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    • 83. 发明申请
    • Method of Extending the Dose Range of Vitamin D Compounds
    • 延长维生素D剂量范围的方法
    • US20080249068A1
    • 2008-10-09
    • US11842752
    • 2007-08-21
    • Hector F. DeLucaJohn W. PikeNirupama ShevdeLori A. PlumMargaret Clagett-Dame
    • Hector F. DeLucaJohn W. PikeNirupama ShevdeLori A. PlumMargaret Clagett-Dame
    • A61K31/66A61K31/59A61P19/08
    • A61K45/06A61K31/565A61K31/593A61K2300/00
    • Inhibitors of bone calcium resorption are administered, and calcium intake in the subject's diet is restricted, to allow high doses of vitamin D compounds or mimetics to be given with the intent of treating diseases such as metabolic bone diseases, hyperparathyroidism, cancer, psoriasis, and autoimmune diseases without the dangers of calcification of kidney, heart, and aorta. Inhibitors of bone calcium resorption include the bis-phosphonates, OPG (osteoprotegerin) or the soluble RANKL (receptor activator of NF-κB ligand) receptor known as sRANK (soluble RANK which is the protein expressed by the NF-κB gene), and function to block the availability of calcium from bone thereby preventing hypercalcemia and the resulting calcification of soft tissues. Thus, high doses of 1α,25-dihydroxyvitamin D3 (1,25-(OH)2D3), its analogs, prodrugs, or mimetics can be utilized to treat the target disease with minimal risk to a patient. Specifically, alendronate is shown to block the bone calcium mobilization activity of both 1,25-(OH)2D3 and its very potent analog, 2-methylene-19-nor-(20S)-1α,25-dihydroxyvitamin D3, as long as the subject being treated is on a low calcium diet.
    • 施用骨钙吸收的抑制剂,受限饮食中的钙摄入受到限制,以允许给予高剂量的维生素D化合物或模拟物,其目的是治疗诸如代谢性骨疾病,甲状旁腺功能亢进,癌症,牛皮癣和 自身免疫性疾病,无肾脏,心脏和主动脉钙化的危险。 骨钙吸收抑制剂包括称为sRANK(可溶性RANK,由NF-κB基因表达的蛋白质)的双膦酸盐,OPG(骨保护素)或可溶性RANKL(NF-κB配体的受体活化剂)受体)和功能 以阻止骨骼中钙的供应,从而防止高钙血症和软组织的钙化。 因此,高剂量的1α,25-二羟基维生素D 3 N(1,25-(OH)2 N 3),其类似物,前药 ,或模拟物可用于以最小的患者风险来治疗目标疾病。 具体地说,阿仑膦酸被显示阻断1,25-(OH)2 N 3 N 3和其非常有效的类似物2-亚甲基-19- (20S)-1α,25-二羟基维生素D 3 N,只要被治疗的受试者处于低钙饮食即可。
    • 87. 发明授权
    • 17,20(Z)-dehydro vitamin D analogs and their uses
    • 17,20(Z) - 脱氢维生素D类似物及其用途
    • US07241748B2
    • 2007-07-10
    • US11283090
    • 2005-11-18
    • Hector F. DeLucaBulli Padmaja TadiLori A. PlumMargaret Clagett-Dame
    • Hector F. DeLucaBulli Padmaja TadiLori A. PlumMargaret Clagett-Dame
    • A61K31/59C07C401/00
    • C07C401/00Y02P20/55
    • This invention discloses 17,20(Z)-dehydro vitamin D analogs, and specifically 17(Z)-1α,25-dihydroxy-17(20)-dehydro-2-methylene-19-nor-vitamin D3 and pharmaceutical uses therefor. This compound exhibits pronounced activity in arresting the proliferation of undifferentiated cells and inducing their differentiation to the monocyte thus evidencing use as an anti-cancer agent and for the treatment of skin diseases such as psoriasis as well as skin conditions such as wrinkles, slack skin, dry skin and insufficient sebum secretion. This compound also may be used to treat autoimmune disorders and inflammatory diseases in humans as well as renal osteodystrophy and obesity. This compound also has significant calcemic activity making it a therapeutic agent for the treatment or prophylaxis of osteoporosis, osteomalacia, renal osteodystrophy and hypoparathyroidism.
    • 本发明公开了17,20(Z) - 脱氢维生素D类似物,特别是17(Z)-1α,25-二羟基-17(20) - 脱氢-2-亚甲基-19-去甲维生素D 3 / SUB>及其制药用途。 该化合物在阻止未分化细胞的增殖并诱导其分化为单核细胞方面表现出显着的活性,从而证明其用作抗癌剂并用于治疗皮肤疾病如牛皮癣以及皮肤病症如皱纹,松弛皮肤, 皮肤干燥,皮脂分泌不足。 该化合物也可用于治疗人类的自身免疫疾病和炎性疾病以及肾性骨营养不良和肥胖。 该化合物还具有显着的钙血活性,使其成为用于治疗或预防骨质疏松症,骨软化症,肾性骨营养不良和甲状旁腺功能低下的治疗剂。
    • 89. 发明授权
    • Once-a-week administration of 25-hydroxy vitamin D3 to sustain elevated steady-state pharmacokinetic blood concentration
    • 每周施用25-羟基维生素D3以维持升高的稳态药代动力学血药浓度
    • US08759328B2
    • 2014-06-24
    • US12672190
    • 2009-07-24
    • Hector F. DelucaLori A. PlumMargaret Clagett-Dame
    • Hector F. DelucaLori A. PlumMargaret Clagett-Dame
    • A61K31/593A61K31/592A61P3/02
    • A61K31/593
    • An oral dosage form comprising a single dose of 25-hydroxy-vitamin D3 sufficient to elevate the serum level in a human to a concentration in the range of 30 ng/ml to 200 ng/ml for at least 7 days and a pharmaceutically suitable oral carrier system, wherein subsequent single doses at least every 7 days are sufficient to sustain the serum level in a human to a concentration in the range of 30 ng/ml to 200 ng/ml at steady-state pharmacokinetics is disclosed. A method of elevating and sustaining the blood level concentration of 25-hydroxy-vitamin D3 in a human in need thereof comprising orally administering or parenterally administering by injection or infusion, at least once every 7 days, a single dose of 25-hydroxy-vitamin D3 sufficient to elevate the serum level in a human to a concentration in the range of 30 ng/ml to 200 ng/ml for at least 7 days, wherein the single doses orally administered at least every 7 days are sufficient to sustain the serum level in a human to a concentration in the range of 30 ng/ml to 200 ng/ml at steady-state pharmacokinetics is disclosed. The human in need thereof may be a human deficient in vitamin D having a serum level concentration of 25-hydroxy-vitamin D3 less than 30 ng/ml.
    • 口服剂型,其包含单剂量的25-羟基 - 维生素D3,其足以将人体血清水平升高至30ng / ml至200ng / ml范围内的浓度至少7天,以及药学上合适的口服 载体系统,其中至少每7天的后续单次剂量足以在稳定的药代动力学下将人的血清水平维持在30ng / ml至200ng / ml范围内的浓度。 一种在有需要的人中提高和维持25-羟基 - 维生素D3的血液浓度的方法,包括通过注射或输注至少每7天至少一次口服给药或肠胃外给药单次剂量的25-羟基维生素 D3足以将人体血清水平升高至30ng / ml至200ng / ml范围内的浓度至少7天,其中至少每7天口服施用的单次剂量足以维持血清水平 在稳定的药代动力学中,人的浓度范围为30ng / ml至200ng / ml。 有需要的人可能是缺乏维生素D的人,其维生素D浓度低于30ng / ml的25-羟基维生素D3。