Method of treating osteoporosis and other bone disorders with upfront loading of bisphosphonates, and kits for such treatment
First Claim
1. A method comprising at least one pharmaceutically effective dosage of a bisphosphonate selected from the group consisting of alendronate, cimadronate, clodronate, tiludronate, etidronate, ibandronate, risedronate, piridronate, olpandronate, pamidronate, zoledronate or any other new bisphosphonates in a pharmaceutically acceptable salts, acid, or esters thereof, and mixtures thereof, for oral tablets or liquid form or intravenous administration, or administration via other parenteral means to a mammal having a loading dosing interval selected depending on the potency of the agent.
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Abstract
Administering thereto-upfront loading of a bisphosphonate agent can be used to treat primary and secondary osteoporosis, other metabolic bone diseases, alleviation of bone pain, transplant and drug-induced bone loss, Paget'"'"'s disease of bone, loosening of prosthesis, or metastatic bone diseases in mammals, preferably a human female or a male. A bisphosphonate drug can be administered as a loading dose upfront. Bisphosphonates can be administered by themselves or combined with, one or more other medications acting on bone, such as HRT, selective estrogen receptor modulating drug, calcitonin, parathyroid hormone, fluoride, androgen, sex-steroid hormone analogues, nitroglycerin growth factors and their analogs, peptides and proteins and their analogues, or any other novel therapeutic agents.
This new regimen of administration of an anti-osteoporosis drug (e.g., a bisphosphonate) by itself, or in combination with other medications, can be used in mammals, preferably human (in women and men) for prevention and treatment of osteoporosis (e.g., postmenopausal, glucocorticoid- or drug-induced osteoporosis and osteoporosis in men, etc.) and other metabolic bone disorders, metastatic bone disease, transplant bone disease, Paget'"'"'s disease, and prevention and treatment of loosening of prosthesis. Disclosed are methods for rapid inhibition of bone resorption in mammals while obtaining a rapid reduction of bone turnover and biomarkers, rapid increase of bone mineral density, and rapid reduction of fractures. Also disclosed are pharmaceutical compositions and kits for carrying out the therapeutic methods disclosed herein.
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Citations
20 Claims
- 1. A method comprising at least one pharmaceutically effective dosage of a bisphosphonate selected from the group consisting of alendronate, cimadronate, clodronate, tiludronate, etidronate, ibandronate, risedronate, piridronate, olpandronate, pamidronate, zoledronate or any other new bisphosphonates in a pharmaceutically acceptable salts, acid, or esters thereof, and mixtures thereof, for oral tablets or liquid form or intravenous administration, or administration via other parenteral means to a mammal having a loading dosing interval selected depending on the potency of the agent.
- 2. A kit comprising at least one pharmaceutically effective dosage of a bisphosphonate selected from the group consisting of alendronate, cimadronate, clodronate, tiludronate, etidronate, ibandronate, risedronate, piridronate, olpandronate, pamidronate, zoledronate, or any other new bisphosphonates in a pharmaceutically acceptable salts, acid, or esters thereof, and mixtures thereof, for oral tablets or liquid form or intravenous administration, or administration via other parenteral means to a mammal, preferably a human male or female, having a loading dosing interval selected depending on the potency of the agent.
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9. A method of preventing and treating any metabolic bone diseases in a mammal preferably human, comprising administering to the subject a loading dose of a bone resorption inhibiting agent (e.g., a bisphosphonate), or a bone stimulating agent (i.e., anabolic agent), as a pharmaceutically acceptable salt, acid or thereof, or another bone-acting agent either orally or parenteralily including intravenously administered bisphosphonate or a pharmaceutically acceptable salt, acid, or thereof.
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10. A method of preventing and treating any metastatic bone disease in a mammal, preferably a human, administering to the subject a bone resorption inhibiting amount of a loading dose of an oral tablets or liquid form, or parenterally or intravenously administered bisphosphonate as a pharmaceutically acceptable salt, acid, or thereof.
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11. A method of preventing or alleviating pain associated with any metabolic bone disease, crush fracture syndrome, metastatic bone disease, or Paget'"'"'s disease of bone in a mammal, preferably human, using administering a bone resorption inhibiting amount of a loading dose of an oral tablets or liquid form, intravenously or intra arterially administered bisphosphonate as a pharmaceutically acceptable salt, acid, or thereof.
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12. A method of treating or preventing recurrences of Paget'"'"'s disease as well as pain associated with the Paget'"'"'s disease of bone in a mammal, preferably human, using administering a bone resorption inhibiting amount of a loading dose of an oral, parenterally, or intravenously administered bisphosphonate as a pharmaceutically acceptable salt, acid, or thereof.
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13. A method of preventing bone losses associated with microgravity, bed-ridden conditions such as following stokes or a fracture, or for astronauts in long-duration space flights using administering a bone resorption inhibiting amount of a loading dose of an oral, intravenously or intra arterially (parenteral) as a pharmaceutically acceptable bisphosphonate salt, acid, or thereof.
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19. Loading dose of bisphosphonate therapy in patients who have an orthopedic implant device and a method of retarding loosening of an orthopedic prosthesis in a subject for treating and for preventing peri-prosthetic bone loss and/or pain by the administration of a loading dose of an oral, intravenous, or parenterally administered bisphosphonate, or an anabolic agent, or another bone acting agent in by itself or in combination with a bisphosphonate of a pharmaceutically acceptable salt, acid or, thereof, to decrease bone resorption and fracture reduction.
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20. Loading dose of bisphosphonate therapy for treating, retarding, or preventing transplant- or drug-induced bone loss and/or bone pain by the administration of an oral tablets or liquid form, or parenterally administered bisphosphonate, or an anabolic agent, or another bone acting agent by itself or in combination with a bisphosphonate of a pharmaceutically acceptable salt, acid or, thereof, to decrease bone resorption and fracture reduction.
Specification