Methods of treating or selecting a treatment for a subject having heart failure that include detecting levels of galectin-3 and soluble ST2
First Claim
1. A method of treating a subject having heart failure, the method comprising:
- (a) performing an assay to determine a level of galectin-3 in a biological sample from a subject having heart failure;
(b) comparing the level of galectin-3 in the biological sample of (a) to a reference level of galectin-3;
(c) identifying a subject having an elevated level of galectin-3 in the biological sample of (a) as compared to the reference level of galectin-3;
(d) performing an assay to determine the level of soluble ST2 in a biological sample from the identified subject;
(e) comparing the level of soluble ST2 in the biological sample of (d) to a reference level of soluble ST2; and
(f) administering inpatient treatment to an identified subject having an elevated level of soluble ST2 in the biological sample of (d) as compared to the reference level of soluble ST2;
oradministering outpatient treatment to an identified subject having a non-elevated level of soluble ST2 in the biological sample of (d) as compared to a reference level of soluble ST2.
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Accused Products
Abstract
Provided are methods for evaluating the risk of an adverse clinical outcome in a subject, deciding whether to discharge or continue treating a subject (e.g., treatment on an inpatient basis), or to initiate or terminate treatment, selecting a subject for participation in a clinical study, and selecting a therapeutic treatment for a subject that include determining a level of ST2 in a biological sample from the subject and determining a level of galectin-3 in a biological sample from the subject. Kits are also provided that contain an antibody that specifically binds to ST2, an antibody that specifically binds to galectin-3, and instructions for using the kit to evaluate the risk of an adverse clinical outcome in a subject, to decide whether to discharge or continue treating a subject (e.g., treatment on an inpatient basis) or to initiate or terminate treatment, to select a subject for participation in a clinical study, and/or to select treatment for a subject.
63 Citations
32 Claims
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1. A method of treating a subject having heart failure, the method comprising:
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(a) performing an assay to determine a level of galectin-3 in a biological sample from a subject having heart failure; (b) comparing the level of galectin-3 in the biological sample of (a) to a reference level of galectin-3; (c) identifying a subject having an elevated level of galectin-3 in the biological sample of (a) as compared to the reference level of galectin-3; (d) performing an assay to determine the level of soluble ST2 in a biological sample from the identified subject; (e) comparing the level of soluble ST2 in the biological sample of (d) to a reference level of soluble ST2; and (f) administering inpatient treatment to an identified subject having an elevated level of soluble ST2 in the biological sample of (d) as compared to the reference level of soluble ST2;
oradministering outpatient treatment to an identified subject having a non-elevated level of soluble ST2 in the biological sample of (d) as compared to a reference level of soluble ST2. - View Dependent Claims (2, 3, 4, 5, 6, 7, 8, 9, 10)
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11. A method for treating a subject having heart failure, the method comprising:
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(a) identifying a subject having heart failure and an elevated level of galectin-3 as compared to a reference level of galectin-3; (b) performing an assay to determine the level of soluble ST2 in a biological sample from the identified subject; (c) comparing the level of soluble ST2 in the biological sample to a reference level of soluble ST2; and (d) administering inpatient treatment to an identified subject having an elevated level of soluble ST2 as compared to the reference level of soluble ST2, or administering outpatient treatment to an identified subject having a non-elevated level of soluble ST2 as compared to the reference level of soluble ST2. - View Dependent Claims (12, 13, 14, 15, 16, 17, 18, 19)
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20. A method of selecting a treatment for a subject having heart failure, the method comprising:
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(a) performing an assay to determine a level of galectin-3 in a biological sample from a subject having heart failure; (b) comparing the level of galectin-3 in the biological sample of (a) to a reference level of galectin-3; (c) identifying a subject having an elevated level of galectin-3 in the biological sample of (a) as compared to the reference level of galectin-3; (d) performing an assay to determine the level of soluble ST2 in a biological sample from the identified subject; (e) comparing the level of soluble ST2 in the biological sample of (d) to a reference level of soluble ST2; and (f) selecting a treatment including heart transplant or heart surgery for an identified subject having an elevated level of soluble ST2 in the biological sample of (d) as compared to the reference level of soluble ST2. - View Dependent Claims (21, 22, 23, 24, 25, 26)
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27. A method of selecting a treatment for a subject having heart failure, the method comprising:
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(a) identifying a subject having heart failure and an elevated level of galectin-3 as compared to a reference level of galectin-3; (b) performing an assay to determine the level of soluble ST2 in a biological sample from the identified subject; (c) comparing the level of soluble ST2 in the biological sample to a reference level of soluble ST2; and (d) selecting a treatment including heart transplant or heart surgery for an identified subject having an elevated level of soluble ST2 as compared to the reference level of soluble ST2. - View Dependent Claims (28, 29, 30, 31, 32)
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Specification