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    • 2. 发明授权
    • Method of treating and preventing secondary hyperparathyroidism
    • 治疗和预防继发性甲状旁腺功能亢进的方法
    • US08329677B2
    • 2012-12-11
    • US12305572
    • 2007-06-21
    • Charles W. BishopKeith H. CrawfordEric J. MessnerMartin P. PetkovichChristian F. Helvig
    • Charles W. BishopKeith H. CrawfordEric J. MessnerMartin P. PetkovichChristian F. Helvig
    • A61K31/59
    • A61K31/593A61K9/48A61K31/59A61K31/592
    • The a method of treating elevated blood levels of iPTH by increasing or maintaining blood concentrations of both 25-hydroxyvitamin D and 1,25-dihydroxyvitamin D in a patient by administering, as necessary, both Vitamin D repletion and Vitamin D hormone replacement therapies, is disclosed. The blood concentrations of 25-hydroxyvitamin D are increased to and maintained at or above 30 ng/mL, and blood concentrations of 1,25-dihydroxyvitamin D are increased to or maintained within a patient's normal historical physiological range for 1,25-dihydroxyvitamin D without causing substantially increased risk of hypercalcemia, hyperphosphatemia or over suppression of plasma iPTH in the patient. The blood levels of 25-hydroxyvitamin D are maintained at or above 30 ng/mL between doses of Vitamin D repletion therapies, and the blood levels of 1,25-dihydroxyvitamin D are maintained in the patient's normal historical physiological range between doses of Vitamin D hormone replacement therapies. In one aspect, the disclosure includes methods wherein the blood concentration of 25-hydroxyvitamin D during treatment comprises predominantly 25-hydroxyvitamin D3, and/or wherein the method includes administering predominantly or solely 25-hydroxyvitamin D3 for 25-hydroxyvitamin D repletion and/or maintenance.
    • 通过根据需要施用维生素D补充剂和维生素D激素替代疗法,通过增加或维持患者的25-羟基维生素D和1,25-二羟基维生素D的血液浓度来治疗iPTH升高的血液水平的方法是 披露 25-羟基维生素D的血液浓度增加并保持在30ng / mL以上,1,25-二羟基维生素D的血液浓度增加至1,25-二羟基维生素D的患者正常的历史生理范围内 而不会导致患者高钙血症,高磷血症或过度抑制血浆iPTH的风险显着增加。 在维生素D补充疗法的剂量之间,25-羟基维生素D的血液水平维持在或高于30ng / mL,1,25-二羟基维生素D的血液水平维持在维生素D剂量之间的患者正常的历史生理范围内 激素替代疗法。 一方面,本公开内容包括其中治疗期间25-羟基维生素D的血液浓度主要包含25-羟基维生素D3和/或其中所述方法包括主要或单独使用25-羟基维生素D补充的25-羟基维生素D3用于25-羟基维生素D补充和/或 保养。
    • 3. 发明申请
    • METHOD OF TREATING AND PREVENTING SECONDARY HYPERPARATHYROIDISM
    • 治疗和预防继发性高血压病的方法
    • US20090209501A1
    • 2009-08-20
    • US12305572
    • 2007-06-21
    • Charles W. BishopKeith H. CrawfordEric J. MessenerMartin P. PetkovichChristian F. Helvig
    • Charles W. BishopKeith H. CrawfordEric J. MessenerMartin P. PetkovichChristian F. Helvig
    • A61K31/59A61P5/14
    • A61K31/593A61K9/48A61K31/59A61K31/592
    • The a method of treating elevated blood levels of iPTH by increasing or maintaining blood concentrations of both 25-hydroxyvitamin D and 1,25-dihydroxyvitamin D in a patient by administering, as necessary, both Vitamin D repletion and Vitamin D hormone replacement therapies, is disclosed. The blood concentrations of 25-hydroxyvitamin D are increased to and maintained at or above 30 ng/mL, and blood concentrations of 1,25-dihydroxyvitamin D are increased to or maintained within a patient's normal historical physiological range for 1,25-dihydroxyvitamin D without causing substantially increased risk of hypercalcemia, hyperphosphatemia or over suppression of plasma iPTH in the patient. The blood levels of 25-hydroxyvitamin D are maintained at or above 30 ng/mL between doses of Vitamin D repletion therapies, and the blood levels of 1,25-dihydroxyvitamin D are maintained in the patient's normal historical physiological range between doses of Vitamin D hormone replacement therapies. In one aspect, the disclosure includes methods wherein the blood concentration of 25-hydroxyvitamin D during treatment comprises predominantly 25-hydroxyvitamin D3, and/or wherein the method includes administering predominantly or solely 25-hydroxyvitamin D3 for 25-hydroxyvitamin D repletion and/or maintenance
    • 通过根据需要施用维生素D补充剂和维生素D激素替代疗法,通过增加或维持患者的25-羟基维生素D和1,25-二羟基维生素D的血液浓度来治疗iPTH升高的血液水平的方法是 披露 25-羟基维生素D的血液浓度增加并保持在30ng / mL以上,1,25-二羟基维生素D的血液浓度增加至1,25-二羟基维生素D的患者正常的历史生理范围内 而不会导致患者高钙血症,高磷血症或过度抑制血浆iPTH的风险显着增加。 在维生素D补充疗法的剂量之间,25-羟基维生素D的血液水平维持在或高于30ng / mL,1,25-二羟基维生素D的血液水平维持在维生素D剂量之间的患者正常的历史生理范围内 激素替代疗法。 一方面,本公开内容包括其中治疗期间25-羟基维生素D的血液浓度主要包含25-羟基维生素D3和/或其中所述方法包括主要或单独使用25-羟基维生素D补充的25-羟基维生素D3用于25-羟基维生素D补充和/或 保养
    • 10. 发明授权
    • 1.alpha.-hydroxy vitamin D.sub.4 and novel intermediates and analogues
    • 1α-羟基维生素D4和新型中间体和类似物
    • US5488120A
    • 1996-01-30
    • US296084
    • 1994-08-24
    • Joyce C. KnutsonCharles W. BishopRobert M. Moriarty
    • Joyce C. KnutsonCharles W. BishopRobert M. Moriarty
    • A61K31/59C07C35/21C07C401/00
    • A61K31/592C07C35/21C07C401/00
    • Novel 1.alpha.-hydroxy Vitamin D.sub.4 and novel analogues, 1,25 dihydroxy Vitamin D.sub.4 and 1,24 dihydroxy Vitamin D.sub.4 which are useful for the treatment of disorders of calcium metabolism. Preparation of the novel 1.alpha.-hydroxy Vitamin D.sub.4 starts from ergosterol which is converted in six steps to 22,23-dihydroergosterol. 22,23-dihydroergosterol was irradiated to yield Vitamin D.sub.4 which was converted in four steps to 1.alpha.-hydroxy Vitamin D.sub.4 using a cyclovitamin procedure which produced the novel intermediates, Vitamin D.sub.4 tosylate, 3,5 cyclovitamin D.sub.4 and 1.alpha.-hydroxy cyclovitamin D.sub.4. 1,25 dihydroxy Vitamin D.sub.4 and 1,24 dihydroxy Vitamin D.sub.4 are isolated as biological products of the metabolism of novel 1.alpha.-hydroxy Vitamin D.sub.4 using cultured human liver cells.
    • 新型1α-羟基维生素D4和新型类似物,1,25二羟基维生素D4和1,24二羟基维生素D4,其可用于治疗钙代谢紊乱。 新型1α-羟基维生素D4的制备从麦角甾醇开始,其以六步转化为22,23-二氢麦角甾醇。 22,23-二氢麦角甾醇被照射以产生维生素D4,其使用产生新的中间体维生素D4甲苯磺酸盐,3,5环维生素D4和1α-羟基环维生素D4的环维生素程序将其四步转化为1α-羟基维生素D4 。 使用培养的人肝细胞,分离出1,25二羟基维生素D4和1,24二羟基维生素D4作为新型1α-羟基维生素D4代谢的生物学产物。