Treatment of human retroviral infections with 2',3'-dideoxyinosine alone and in combination with other antiviral compounds
First Claim
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1. A method for increasing the CD4 count or CD4+:
- CD8+ ratio in immunodepressed patients by administration of about 1.0 mg/kg/day to about 14 mg/kg/day of 2'"'"',3'"'"'-dideoxyinosine.
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Abstract
A preferred method and dosages for the short and long-term treatment of human retroviral infections, or retroviral-like infections, including acquired immunodeficiency syndrome (AIDS) and other manifestations of human immunodeficiency virus (HIV) infection, with 2'"'"',3'"'"'-dideoxyinosine (ddl) are disclosed, along with a protocol for halting and restarting 2'"'"',3'"'"'-dideoxyinosine to minimize certain side effects.
133 Citations
27 Claims
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1. A method for increasing the CD4 count or CD4+:
- CD8+ ratio in immunodepressed patients by administration of about 1.0 mg/kg/day to about 14 mg/kg/day of 2'"'"',3'"'"'-dideoxyinosine.
- 2. A method of treating HIV infection which comprises administering to an HIV infected patient in need thereof about 0.4 to 25.6 mg/kg/day of 2'"'"',3'"'"'-dideoxyinosine in combination with a member selected from the group consisting of 3'"'"'-azido-2'"'"',3'"'"'-dideoxythymidine, acyclovir, gancyclovir, pentamidine and ribovirin.
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9. A method of administering 2'"'"',3'"'"'-dideoxyinosine to a patient infected with HIV in a manner to minimize neuropathy comprising administration of 2'"'"',3'"'"'-dideoxyinosine wherein the 2'"'"',3'"'"'-dideoxyinosine is withheld at the first indication of pain, tingling, or a loss of vibratory sense, followed by a resumption of dosing with about 0.4 to about 9.6 mg/kg/day of 2'"'"',3'"'"'-dideoxyinosine when the aforementioned symptoms and signs subside.
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10. A method of administering 2'"'"',3'"'"'-dideoxyinosine to a patient infected with HIV in a manner to minimize pancreatitis comprising administration of 2'"'"',3'"'"'-dideoxyinosine in a range of about 0.4 mg/kg/day to about 14 mg/kg/day wherein:
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(1) the patient'"'"'s serum triglyceride levels and/or serum amylase levels are monitored; (2) the 2'"'"',3'"'"'-dideoxyinosine is withheld when the serum triglyceride level exceeds about 500 mg/dl or the amylase levels rise to about 150% or more of the upper limit of normal levels; and (3) administration of 2'"'"',3'"'"'-dideoxyinosine is resumed at a dose of about 0.4 mg/kg/day to about 9.6 mg/kg/day after triglyceride or amylase levels return to about normal or baseline levels.
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11. A method of administering 2'"'"',3'"'"'-dideoxyinosine to a patient infected with HIV in a manner to minimize hepatitis comprising administration of 2'"'"',3'"'"'-dideoxyinosine in a range of about 0.4 mg/kg/day to about 14 mg/kg/day wherein
(1) the patient'"'"'s hepatic transaminase levels are monitored; -
(2) the 2'"'"',3'"'"'-dideoxyinosine is withheld when the transaminase levels exceed about five times the upper limit of normal; and (3) administration of 2'"'"',3'"'"'-dideoxyinosine is resumed at a dose of about 0.4 mg/kg/day to about 9.6 mg/kg/day after the transaminase levels return to three times the upper limit of normal or lower.
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- 12. A method of treating HIV infection which comprises administering to an HIV infected patient in need thereof 2'"'"',3'"'"'-dideoxyinosine (ddI) at a dose of about 0.4 to about 9.6 mg/kg/day.
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16. A method of administering 2'"'"',3'"'"'-dideoxyinosine (ddI) to a patient infected with HIV in a manner to minimize treatment induced pancreatitis or other pancreatic dysfunction which comprises:
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(a) administering said ddI to said patient at a dosage of about 0.4 to about 25.6 mg/kg/day; (b) monitoring said patient for indications of an increased risk of pancreatitis or other pancreatic dysfunction; (c) interrupting the administration of said ddI when said indications are noted; and (d) resuming administration of said ddI at a dosage of about 0.4 to about 14 mg/kg/day when said indications subside. - View Dependent Claims (17, 18, 19)
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20. A method of administering 2'"'"',3'"'"'-dideoxyinosine (ddI) to a patient infected with HIV in a manner to minimize treatment induced neuropathy which comprises:
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(a) administering said ddI to said patient at a dosage of about 0.4 to about 25.6 mg/kg/day; (b) monitoring said patient for indications of potential onset of neuropathy; (c) interrupting the administration of said ddI when said indications are noted; and (d) resuming administration of said ddI when said indications subside. - View Dependent Claims (21, 22, 23)
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24. A method of administering 2'"'"',3'"'"'-dideoxyinosine (ddI) to a patient infected with HIV in a manner to minimize treatment induced hepatitis which comprises:
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(a) administering said ddI to said patient at a dosage of about 0.4 to about 25.6 mg/kg/day; (b) monitoring said patient for indications of potential onset of hepatitis; (c) interrupting the administration of said ddI when said indications are noted; and (d) resuming administration of said ddI when said indications subside. - View Dependent Claims (25, 26, 27)
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Specification