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    • 1. 发明授权
    • Method of extending the dose range of vitamin D compounds
    • 延长维生素D化合物剂量范围的方法
    • US07259143B2
    • 2007-08-21
    • US10235244
    • 2002-09-05
    • Hector F. DeLucaJohn W. PikeNirupama ShevdeLori A. PlumMargaret Clagette-Dame
    • Hector F. DeLucaJohn W. PikeNirupama ShevdeLori A. PlumMargaret Clagette-Dame
    • A61K38/00A61K31/59
    • A61K31/565A61K31/593A61K45/06A61K2300/00
    • Inhibitors of bone calcium resorption are administered to allow high doses of vitamin D compounds or mimetics to be given with the intent of treating non-calcium related diseases such as cancer, psoriasis, and autoimmune disease 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 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.
    • 施用骨钙吸收抑制剂以允许给予高剂量的维生素D化合物或模拟物,其目的是治疗非钙相关疾病如癌症,牛皮癣和自身免疫性疾病,而不会引起肾,心脏和 主动脉。 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 ,或者模拟物可以以最小的风险使用于患者。 具体地说,阿仑膦酸被显示阻断1,25-(OH)2 N 3 N 3及其非常有效的类似物2-亚甲基-19-二酮的骨钙动员活性, (20S)-1α,25-二羟基维生素D 3。
    • 2. 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。