Treatment of acute coronary syndrome with GLP-1

• US 6,706,689 B2
• Filed: 05/18/2001
• Issued: 03/16/2004
• Est. Priority Date: 05/19/2000
• Status: Expired due to Term

• Current Assignee: Astrazeneca Pharmaceuticals LP (Astrazeneca PLC)
• Original Assignee: Amylin Pharmaceuticals Incorporated (Bristol-Myers Squibb Company)
• Inventors: Coolidge, Thomas R., Ehlers, Mario
• Primary Examiner(s): Weber, Jon P.
• Application Number:
  US09/859,804
• Publication Number:
  US 20020107206A1
• Time in Patent Office: 1,033 Days
• Field of Search: 514/12, 514/2
• US Class Current: 514/11.7
• CPC Class Codes: A61K 38/26 Glucagons
• CPC Class Codes: A61P 3/10 for hyperglycaemia, e.g. antidiabetics
• CPC Class Codes: A61P 43/00 Drugs for specific purposes, not provided for in groups A61P1/00-A61P41/00
• CPC Class Codes: A61P 9/00 Drugs for disorders of the cardiovascular system
• CPC Class Codes: A61P 9/04 Inotropic agents, i.e. stimulants of cardiac contraction; Drugs for heart failure
• CPC Class Codes: A61P 9/10 for treating ischaemic or atherosclerotic diseases, e.g. antianginal drugs, coronary vasodilators, drugs for myocardial infarction, retinopathy, cerebrovascula insufficiency, renal arteriosclerosis

Abstract

The invention relates to methods for treating a patient suffering from acute coronary syndrome, but who is not suffering from a Q-wave myocardial infarction, comprising administration of a therapeutically effective amount of a GLP-1 molecule. The GLP-1 can be self-administered, and can be administered in one or more doses, as needed, on an intermittent or continuous basis, to optimize metabolism in cardiac tissue and to prevent cardiac damage associated with ischemia.

Claims

1. A method of treating a patient suffering from acute coronary syndrome, comprising administering to the patient a therapeutically effective amount of a GLP-1 molecule, wherein said patient is not suffering from a myocardial infarction.

2. The method of claim 1, wherein the patient is suffering from unstable angina.

3. The method of claim 1, wherein the patient is suffering from non-Q-wave cardiac necrosis.

4. The method of claim 1, wherein the patient has a blood troponin I level of no more than 0.4 ng/ml.

5. The method of claim 1, wherein the patient has a blood troponin T level of no more than 0.1 ng/ml.

6. The method of claim 1, wherein the patient does not have elevated blood creatine kinase.

7. The method of claim 1, wherein the patient does not have ST-segment elevation.

8. The method of claim 1, wherein the patient does not exhibit a pathological Q-wave.

9. A method according to claim 1, wherein said patient exhibits one or more of the following symptoms:

chest pain greater than 15 minutes in duration, chest pain at rest, chest pain following minimal exertion that is poorly responsive to sublingual nitrates.

10. A method according to claim 1, wherein said patient has stable angina.

11. A method according to claim 1, wherein said patient administers the GLP-1 to himself.

12. A method according to claim 1, wherein said GLP-1 is administered in the form of a GLP-1-stick.

13. A method according to claim 1, wherein said GLP-1 is administered in a single dose.

14. A method according to claim 1, wherein said GLP-1 is administered in more than one dose.

15. A method according to claim 1, wherein said GLP-1 is administered continuously.

16. A method according to claim 1, wherein glucose, or a potassium salt, or a combination thereof, is co-administered with the GLP-1.

17. A method for treatment of a patient suffering from one or more conditions selected from the group consisting of unstable angina, non-Q-wave cardiac necrosis, ischemic heart disease, and stable angina, comprising administering to said individual a therapeutically effective amount of a GLP-1 molecule, wherein said administration is after the onset of one or more of the following symptoms:

chest pain lasting longer than 15 minutes, chest pain at rest, chest pain following minimal exertion, nausea, shortness of breath, palpitations, or dizziness.

18. A method according to claim 17, wherein the patient has not suffered from a Q-wave MI prior to the onset of said symptom or symptoms.

19. The method of claim 17, wherein the patient is suffering from unstable angina.

20. The method of claim 17, wherein the patient is suffering from non-Q-wave cardiac necrosis.

21. The method of claim 17, wherein the patient has a blood troponin I level of no more than 0.4 ng/ml.

22. The method of claim 17, wherein the patient has a blood troponin T level of no more than 0.1 ng/ml.

23. The method of claim 17, wherein the patient does not have elevated blood creatine kinase myocardial isoenzyme.

24. The method of claim 17, wherein the patient does not have ST-segment elevation.

25. The method of claim 17, wherein the patient does not exhibit a pathological Q-wave.

26. A method according to claim 17, wherein said administration occurs between the time of onset of said symptom and the time that the patient suffers a myocardial infarction.

27. A method according to claim 17, wherein said patient has ischemic heart disease.

28. The method of claim 17, wherein said patient also has one or more of the following cardiac abnormalities:

congestive heart failure, worsening heart murmur due to mitral regurgitation;

or evidence of cardiac conduction disturbances.

29. The method of claim 28, wherein said patient has a normal ECG.

30. A method according to claim 17, wherein said patient has stable angina.

31. A method according to claim 17, wherein said patient administers the GLP-1 to himself.

32. A method according to claim 17, wherein said GLP-1 is administered in the form of a GLP-1-stick.

33. A method according to claim 17, wherein said GLP-1 is administered in a single dose.

34. A method according to claim 17, wherein said GLP-1 is administered in more than one dose.

35. A method according to claim 17, wherein said GLP-1 is administered continuously.

36. A method according to claim 17, wherein glucose, or a potassium salt, or a combination thereof, is co-administered with the GLP-1.

37. A method for treating a patient suffering from stable angina, comprising administration of a GLP-1 molecule.

38. A method according to claim 37, wherein said administration is continuous.

39. A method for treatment of a patient with ischemic heart disease, or at risk for developing ischemic heart disease, and who exhibits one or more of the following symptoms:

nausea, shortness of breath, palpitations and dizziness, and further wherein said patient does not exhibit chest pain, comprising administering to the patient a therapeutically effective amount of a GLP-1 molecule, wherein said patient is not suffering from a myocardial infarction.

40. A method according to claim 39, wherein said patient has a normal ECG.

41. A method for increasing the time during which thrombolytic therapy will be effective following the first symptom of cardiac distress, comprising administering a therapeutically effective amount of a GLP-1 molecule after the onset of one or more of the following symptoms:

chest pain lasting longer than 15 minutes, chest pain at rest, chest pain following minimal exertion, nausea, shortness of breath, palpitations, or dizziness, wherein said patient is not suffering from a myocardial infarction.