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    • 10. 发明公开
    • IDENTIFYING PATIENT RESPONSE TO S1P RECEPTOR MODULATOR ADMINISTRATION
    • 确定患者对S1P受体调节剂管理的反应
    • EP3199947A2
    • 2017-08-02
    • EP17157993.1
    • 2013-04-19
    • Novartis AG
    • BORELL, HubertGARDIN, AnneJIN, YiLEGANGNEUX, EricUFER, Mike
    • G01N33/50C12Q1/68G01N33/569
    • C07D205/04C12Q1/6883C12Q2600/106C12Q2600/156G01N33/5094G01N33/56972G01N2800/52
    • The invention provides a method of assessing the appropriate therapeutic dose of 1-{4-[1-(4-cyclohexyl-3-trifluoromethyl-benzyloxyimino)-ethyl]-2-ethyl-benzyl}-azetidine-3- carboxylic acid to administer to a patient in need thereof, comprising the steps of:
      (i) testing whether or not the patient has the poor metabolizer genotype; and
      (ii) if the patient does not have the poor metaboliser genotype, administering 1-{4-[1-(4-cyclohexyl-3-trifluoromethyl-benzyloxyimino)-ethyl]-2-ethyl-benzyl}-azetidine-3-carboxylic acid, or a pharmaceutically acceptable salt thereof, to the patient at the standard therapeutic dose; and
      (iii) if the patient does have the poor metaboliser genotype, either
      (a) administering 1-{4-[1-(4-cyclohexyl-3-trifluoromethyl-benzyloxyimino)-ethyl]-2-ethyl-benzyl}-azetidine-3-carboxylic acid, or a pharmaceutically acceptable salt thereof, to the patient at a therapeutic dose below that of the standard therapeutic dose; or
      (b) not administering 1-{4-[1-(4-cyclohexyl-3-trifluoromethyl-benzyloxyimino)-ethyl]-2-ethyl-benzyl}-azetidine-3-carboxylic acid, or a pharmaceutically acceptable salt thereof, to the patient.
    • 本发明提供评估1- {4- [1-(4-环己基-3-三氟甲基 - 苄氧亚氨基) - 乙基] -2-乙基 - 苄基} - 氮杂环丁烷-3-羧酸的适当治疗剂量以施用 包括以下步骤:(i)测试患者是否具有较差的代谢者基因型; (ii)如果患者不具有差的代谢剂基因型,则将1- {4- [1-(4-环己基-3-三氟甲基 - 苄氧基亚氨基) - 乙基] -2-乙基 - 苄基} - 氮杂环丁烷-3-酮 羧酸或其药学上可接受的盐以标准治疗剂量给予患者; (a)给予1- {4- [1-(4-环己基-3-三氟甲基 - 苄氧基亚氨基) - 乙基] -2-乙基 - 苄基} - 氮杂环丁烷 -3-羧酸或其药学上可接受的盐以低于标准治疗剂量的治疗剂量给予患者; 或(b)不施用1- {4- [1-(4-环己基-3-三氟甲基 - 苄氧基亚氨基) - 乙基] -2-乙基 - 苄基} - 氮杂环丁烷-3-羧酸或其药学上可接受的盐, 给病人。