Neuroactive Steroids for Antidepressant-Induced Sexual Dysfunction

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Solution Overview

Problem

Current methods for treating sexual dysfunction, particularly treatment-induced sexual dysfunction, often result in significant side effects and do not effectively address the underlying issues, especially for patients taking antidepressants.

Innovation Solution

Administration of Compound (1) or Compound (2), which are neuroactive steroids acting as positive allosteric modulators of GABAA receptors, to treat sexual dysfunction and related CNS disorders with reduced or no side effects, including a specific dosing regimen and assessment using the Changes in Sexual Functioning Questionnaire-14.

Engineering Contradictions & Design Principles

VSEngineering Contradiction Analysis

1Reliability

If antidepressants are administered to treat CNS disorders, then therapeutic effect is improved, but sexual dysfunction side effects worsen

Engineering Contradiction:
Improvetherapeutic effectVSAvoidsexual dysfunction side effects
Core Design Contradiction:
ReliabilityVSObject-generated harmful factors

Solution Approach 1:

The patent introduces a second medication specifically for treating sexual dysfunction side effects as an intermediary solution. This mediator addresses the harmful sexual dysfunction caused by antidepressants without requiring discontinuation of the primary antidepressant therapy, thereby maintaining both therapeutic efficacy and sexual function

Inventive Principle:
Principle #24Intermediary (Mediator)

Solution Approach 2:

The patent explores dose reduction of antidepressants as a parameter change strategy. By adjusting the dosage parameter, the patent attempts to maintain sufficient therapeutic effect while reducing the intensity of sexual dysfunction side effects, though this may compromise complete treatment of the underlying CNS disorder

Inventive Principle:
Principle #35Parameter changes

2Object-generated harmful factors

If dose reduction is applied to reduce sexual dysfunction, then side effects are reduced, but therapeutic effect worsens

Engineering Contradiction:
Improvesexual dysfunction side effectsVSAvoidtherapeutic effect
Core Design Contradiction:
Object-generated harmful factorsVSReliability

Solution Approach 1:

The patent introduces a second medication specifically for treating sexual dysfunction side effects as an intermediary solution. This mediator addresses the harmful sexual dysfunction caused by antidepressants without requiring discontinuation of the primary antidepressant therapy, thereby maintaining both therapeutic efficacy and sexual function

Inventive Principle:
Principle #24Intermediary (Mediator)

3Object-generated harmful factors

If medication is added to treat sexual adverse effects, then sexual function is improved, but treatment complexity worsens

Engineering Contradiction:
Improvesexual adverse effectsVSAvoidtreatment complexity
Core Design Contradiction:
Object-generated harmful factorsVSDevice complexity

Solution Approach 1:

The patent introduces a second medication specifically for treating sexual dysfunction side effects as an intermediary solution. This mediator addresses the harmful sexual dysfunction caused by antidepressants without requiring discontinuation of the primary antidepressant therapy, thereby maintaining both therapeutic efficacy and sexual function

Inventive Principle:
Principle #24Intermediary (Mediator)

Applied Scientific Principles

This section explains which scientific principles are used to turn an abstract innovation direction into a practical engineering solution.

Function Achieved in This Case

The compounds help maintain sexual function in patients with mood disorders and those receiving chemical psychotherapy, reducing treatment-emergent sexual dysfunction without significant impairment, as shown by stable or improved CSFQ-14 scores over time.

Implementation Method 1

Administration of Compound (1) or Compound (2), which are neuroactive steroids acting as positive allosteric modulators of GABAA receptors, to treat sexual dysfunction and related CNS disorders

Methodology Applied
Scientific EffectPositive allosteric modulation of GABAA receptors:

Data Source

PatentUS20240122945A1Use of neuroactive steroids for treatment of sexual dysfunction
Publication Date: 2024.04.18 SAGE THERAPEUTICS LLC
  • US20240122945A1 patent drawing
  • US20240122945A1 patent drawing
  • US20240122945A1 patent drawing

AI summary

This invention relates to methods of treating sexual dysfunction and/or maintaining sexual function in a patient by administering to the patient neuroactive steroids.