Volasertib Dosing Schedule for Solid Malignancies

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Solution Overview

Problem

Current treatment modalities for advanced or metastatic solid malignancies often result in tumour progression and death, highlighting the need for improved dosage schedules and therapeutic strategies for chemotherapeutic agents like Volasertib.

Innovation Solution

Administering Volasertib at higher frequencies within a 21-day treatment cycle, specifically at 50 to 200 mg doses on days 1 and 8, or days 1 and another day between 5 to 12, to enhance its efficacy in treating advanced or metastatic solid malignancies.

Engineering Contradictions & Design Principles

VSEngineering Contradiction Analysis

1Reliability

If Volasertib is administered once in a 21-day treatment cycle (standard monotherapy), then the treatment is manageable with acceptable toxicity, but the anti-tumor efficacy is insufficient leading to tumour progression and death

Engineering Contradiction:
Improveanti-tumor efficacyVSAvoiddosage schedule complexity
Core Design Contradiction:
ReliabilityVSDevice complexity

Solution Approach 1:

The treatment cycle is segmented into multiple dosing events (day 1 and day 8) rather than a single dose, allowing the therapeutic effect to be maintained at effective levels while managing toxicity through interval dosing

Inventive Principle:
Principle #1Segmentation

Solution Approach 2:

The invention implements periodic administration of Volasertib at specific intervals (days 1 and 8 of a 21-day cycle) to maintain therapeutic efficacy while allowing recovery periods, optimizing the balance between anti-tumor effect and toxicity management

Inventive Principle:
Principle #19Periodic action

2Reliability

If Volasertib dosage is increased to improve anti-tumor activity, then partial responses and stable disease are achieved, but the risk of severe toxicity increases

Engineering Contradiction:
Improveanti-tumor efficacyVSAvoidtoxicity
Core Design Contradiction:
ReliabilityVSObject-affected harmful factors

Solution Approach 1:

The dosage schedule is dynamically optimized by administering higher doses (50-200 mg) at specific intervals rather than continuous low dosing, allowing peak therapeutic concentrations to achieve anti-tumor responses while interspersed rest periods allow toxicity to subside

Inventive Principle:
Principle #15Dynamics

Solution Approach 2:

The invention changes the temporal parameters of drug administration (frequency and timing) rather than simply increasing dose magnitude, achieving better efficacy-toxicity ratio through optimized dosing intervals on days 1 and 8 of a 21-day cycle

Inventive Principle:
Principle #35Parameter changes

Data Source

PatentEP2707001B1Method for treatment of solid malignancies including advanced or metastatic solid malignancies
Publication Date: 2016.12.21 BOEHRINGER INGELHEIM INT GMBH
  • EP2707001B1 patent drawing

AI summary

The present invention relates to the use of Volasertibor a salt thereof or the hydrate thereof for treating patients suffering from solid malignancies including advanced or metastatic solid malignancies comprising a high frequency administration of Volasertib according to a specific dosage schedule.