Methods for Providing a System of Care for an Oxazaphosphorine Drug Regimen
First Claim
Patent Images
1. A system for ensuring the safety or efficacy of a treatment that includes oxazaphosphorine administration, the system comprising:
- selecting a set of safety and efficacy factors associated with the safe and effective treatment of a subject with an oxazaphosphorine drug;
defining a set of information to be obtained from a subject including information probative of the set of selected safety and efficacy factors associated with the safe and effective treatment of a subject with an oxazaphosphorine drug;
determining whether treatment that includes an oxazaphosphorine administration can be safe and effective for the subject based on the set of information; and
generating a prescription approval code if it is determined that the treatment including the oxazaphosphorine administration can be safe and effective.
2 Assignments
0 Petitions
Accused Products
Abstract
The present invention provides methods of treating subjects with an oxazaphosphorines, methods of identifying subjects that are suitable for oxazaphosphorine treatment, and systems for ensuring the safety and efficacy of a treatment that includes oxazaphosphorine administration.
72 Citations
49 Claims
-
1. A system for ensuring the safety or efficacy of a treatment that includes oxazaphosphorine administration, the system comprising:
-
selecting a set of safety and efficacy factors associated with the safe and effective treatment of a subject with an oxazaphosphorine drug; defining a set of information to be obtained from a subject including information probative of the set of selected safety and efficacy factors associated with the safe and effective treatment of a subject with an oxazaphosphorine drug; determining whether treatment that includes an oxazaphosphorine administration can be safe and effective for the subject based on the set of information; and generating a prescription approval code if it is determined that the treatment including the oxazaphosphorine administration can be safe and effective. - View Dependent Claims (2, 3, 4, 5, 6, 12, 13, 14, 15, 16, 17, 18, 19, 20, 21, 22, 23, 24, 25, 26)
-
-
7. A method for delivering an oxazaphosphorine to subjects in need thereof while restricting access to the oxazaphosphorine by subjects for whom the drug may be contraindicated, said method comprising:
-
obtaining subject information relating to the existence of one or more contraindication factors; and permitting delivery of the oxazaphosphorine only after it has been determined that the subject can safely be treated based on the information relating to one or more contraindication factors. - View Dependent Claims (8, 9, 10, 11)
-
-
27. A method of providing a system of care with an oxazaphosphorine drug regimen, comprising, carrying out one or more of the following steps prior to administration of the oxazaphosphorine drug regimen:
-
a. registering a subject and generating a unique identifier for the subject in a computerized storage medium; b. providing counseling to the subject regarding the risks associated with the administration of the oxazaphosphorine drug regimen, and obtaining the subject'"'"'s informed consent for participation in the regimen; c. registering results in the storage medium of one or more assays administered to the subject including, but not limited to; 1) two independent pregnancy tests in the case of a female subject, 2) a measure of the level of aldehyde dehydrogenase (ALDH) enzyme in the subject'"'"'s peripheral lymphocytes, 3) a measure of the level of ALDH enzyme in the subject'"'"'s hematogenous stem cells, a measure of the white blood cell (WBC) count of the subject prior to and after the oxazaphosphorine drug regimen, 4) an assay (e.g., PCR assay) for detecting the presence of one or more viruses, such as herpesvirus (HSV), herpes simplex virus 1 (HSV-1), herpes simplex virus 2 (HSV-2), varicella-zoster virus (VZV), Epstein-Barr virus (EBV), cytomegalovirus (CMV), herpesvirus 6 (HHV-6), herpesvirus 7 (HHV-7), herpesvirus 8 (HHV-8;
also known as Kaposi'"'"'s sarcoma associated herpesvirus (KSHV), respiratory viruses (e.g., adenovirus, influenza, respiratory syncytial virus (RSV)), papovavirus (e.g., papilloma, polyomavirus such as BKV and JCV), measles, hepatitis A (HAV), hepatitis B (HBV), hepatitis C(HCV), enterovirus, parvovirus, rabies virus, Rubella virus, Coxsackievirus, and human lymphotrophic virus;5) a measure of the QT/QTc interval, 6) a platelet count, 7) a neutrophil count, 8) a radiological assessment of the subject'"'"'s brain volume, 9) a radiological assessment of the presence of gadolinium-enhancing lesions in the subject, 10) a functional disability evaluation score (such as EDSS or MSFC z-score), 11) a record of the subject meeting the qualifying inclusion criteria, 12) the absence of exclusion criteria, or any combination thereof, d. registering in the storage medium all pharmaceuticals (e.g., supplements and drugs) currently being administered to the subject, and confirming in the storage medium that none of the pharmaceuticals include contraindicated pharmaceuticals or substances; e. computing an approval status code upon successful completion of steps a-d which corresponds to the subject'"'"'s identifier within the storage medium; f. transmitting to the administration facility authorization to administer the oxazaphosphorine drug regimen to the subject based on the approval status code, or transmitting to the drug manufacturer authorization to release the oxazaphosphorine to the administration facility based on the approval status code; and g. administering a suitable antiviral therapy such as gancyclovir for CMV if the assay in step (c)(4) is positive for CMV infection. - View Dependent Claims (28, 29, 30, 31, 32, 33, 34, 35, 36, 37, 38, 40, 41, 43, 44, 45, 46, 47, 48, 49)
-
-
39. The method of 27, wherein the authorization of (f) is selected from at least one of the following:
-
1) a telephonic facsimile, paper, or Internet transmission of the subject'"'"'s unique identifier, 2) a telephonic facsimile, paper, or Internet transmission of the subject'"'"'s unique identifier in combination with an approval code for dispensing the oxazaphosphorine drug to the subject, 3) at least one dose of the oxazaphosphorine drug in a container affixed or otherwise associated with the subject'"'"'s unique identifying information, or any combination thereof.
-
-
42. The method of 27, wherein the subject is suffering from cancer and the oxazaphosphorine is to be administered for treatment of the cancer.
Specification