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    • 1. 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
    • WO2008008608A2
    • 2008-01-17
    • PCT/US2007071791
    • 2007-06-21
    • PROVENTIV THERAPEUTICS LLCCYTOCHROMA INCBISHOP CHARLES WCRAWFORD KEITH HMESSNER ERIC JPETKOVICH MARTIN PHELVIG CHRISTIAN F
    • BISHOP CHARLES WCRAWFORD KEITH HMESSNER ERIC JPETKOVICH MARTIN PHELVIG CHRISTIAN F
    • A61K31/593A61K9/48A61K31/59A61K31/592
    • The a method of treating elevated blood levels of iPTH by increasing or maintaining blood concentrations of both 25 -hydroxy vitamin 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 -hydroxy vitamin 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 -hydroxy vitamin D3, and/or wherein the method includes administering predominantly or solely 25-hydroxyvitamin D3 for 25 -hydroxy vitamin 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的血液水平升高的方法, 被披露。 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的血液浓度增加至维持在患者正常的历史生理范围内1,25-二羟基维生素 D,而不会导致患者高钙血症,高磷酸血症或过度抑制血浆iPTH的风险显着增加。 25-羟基维生素D的血液水平在维生素D补充疗法剂量之间维持在或高于30ng / mL,1,25-二羟维生素D的血液水平维持在患者维生素D剂量之间的正常历史生理范围内 激素替代疗法。 在一个方面,本公开包括其中治疗期间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仅仅使用25-羟基维生素D补充的25-羟基维生素D3的方法, /或维护
    • 4. 发明申请
    • METHODS AND ARTICLES FOR TREATING 25-HYDROXYVITAMIN D INSUFFICIENCY AND DEFICIENCY
    • 治疗25-羟维生素D缺乏症和缺乏症的方法和文章
    • WO2007047327A2
    • 2007-04-26
    • PCT/US2006039787
    • 2006-10-12
    • PROVENTIV THERAPEUTICS LLCBISHOP CHARLES WCRAWFORD KEITH HMESSNER ERIC J
    • BISHOP CHARLES WCRAWFORD KEITH HMESSNER ERIC J
    • A61K31/59A61K31/593A61K45/06A61P43/00
    • A61K31/59A61K9/4841A61K9/4858A61K9/4875A61K9/4891A61K31/593A61K45/06A61K2300/00
    • A controlled-release phapnaceutical formulation including cholecalciferol and/or ergocalciferol, a method of making the formulation, and a method of administering the formulation to treat 25-hydroxyvitamin D insufficiency or deficiency, are disclosed. The composition and method of administration preferably result in delayed release of the vitamin(s) in the ileum of the small intestine and sustained, substantially constant, release of the vitamin(s) over an extended period, e.g., at least 4 hours or more. Individual and combined dosages of 500 IU to 50,000 IU per dosage form, preferably daily, are disclosed. The compositions and methods are contemplated to exhibit one or more advantages including, but not limited to efficiency of vitamin D repletion and maintenance; mitigation or avoidance of first pass effects of the Vitamin D compounds on the duodenum; mitigation or avoidance of adverse supraphysiological surges in intralumenal, intracellular and blood levels of cholecalciferol, ergocalciferol and 25- hydroxyvitamin D and their consequences; and mitigation or avoidance of serious side effects associated with Vitamin D supplementation, namely Vitamin D toxicity.
    • 公开了包括胆钙化甾醇和/或麦角钙化醇的控释药物制剂,制备方法和施用该制剂以治疗25-羟基维生素D不足或不足的方法。 组合物和给药方法优选地导致维生素在小肠回肠中的延迟释放和持续的,基本上恒定的维生素释放在延长的时间内,例如至少4小时或更长时间 。 公开了每剂量形式的500IU至50,000IU的个体和组合剂量,优选每天。 预期组合物和方法表现出一个或多个优点,包括但不限于维生素D补充和维持的效率; 缓解或避免维生素D化合物对十二指肠的首过效应; 缓解或避免胆钙化醇,麦角钙化醇和25-羟基维生素D的肠内,细胞内和血液中的不良超生理波动及其后果; 并减轻或避免与维生素D补充相关的严重副作用,即维生素D毒性。