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    • 3. 发明申请
    • IDENTIFYING PATIENT RESPONSE TO S1P RECEPTOR MODULATOR ADMINISTRATION
    • 鉴定患者对S1P受体调节剂的作用
    • WO2014161606A1
    • 2014-10-09
    • PCT/EP2013/058226
    • 2013-04-19
    • NOVARTIS AGBORELL, HubertGARDIN, AnneJIN, YiLEGANGNEUX, EricUFER, Mike
    • 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 -{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.
    • 本发明提供了评估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-羧酸的合适治疗剂量的方法, 包括以下步骤:(i)测试患者是否具有不良代谢基因型; 给予 - {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,并且(ii)如果患者不具有差的代谢基因型, 酸或其药学上可接受的盐以标准治疗剂量给予患者; (iii)如果患者确实具有差的代谢基因型,则(a)给予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, 给病人