Reagents and method for therapeutic treatment of multiple sclerosis
Patent 4952594 Issued on August 28, 1990. Estimated Expiration Date: June 14, 2008. Estimated Expiration Date is calculated based on simple USPTO term provisions. It does not account for terminal disclaimers, term adjustments, failure to pay maintenance fees, or other factors which might affect the term of a patent.
514/398, Chalcogen or nitrogen bonded directly to the imidazole ring by nonionic bonding514/263.2, Additional hetero ring attached directly or indirectly to the purine ring system by nonionic bonding514/368, Ring nitrogen is shared by the cyclos of the bicyclo ring system (e.g., tetramisole, etc.)514/399Chalcogen or nitrogen bonded indirectly to the imidazole ring by nonionic bonding
The administration internally to humans of certain imidazol derivatives, especially 1-(Beta-hydroxyethyl)-2-methyl-5-nitro-imidazole (metgronidazole); N"-cyano-N-methyl-N'-[2[[(5-methyl-1H-imidazol-4-yl) methyl]thio]ethyl]-guanidine (cimetidine); 6-[1-methyl-4-nitro-imidazol-5-yl)thio] purine (azathioprine); L-(-)-2,3,5,6-Tetrahydro-6-phenyl-imidazo[2,1-b]thiazole (levamisole), or salts of the above compounds, is an effective therapeutic treatment for multiple sclerosis, both acute and chronic. The imidazole moeity is theorized to directly inhibit spread of the virus theorized to cause multiple sclerosis. Treatment of multiple sclerosis with metronidazole with one bolus dose on a frequency of once a day or less and with cimetidine on a frequency of twice per day has been found to be highly efficatious with minimal suppression of the patient's natural immune system and minimal long term peripheral nerve damage.
Other References
Redfield, et al; Medical Intelligence, Disseminated Vaccinia in a Military Recruit with Human Immunodeficiency Virus (HIV) Disease; The New England Journal of Medicine, vol. 316, No. 11; 3/12/87
Popko, et al; Myelin Deficient Mice: Expression of Myelin Basic Protein and Generation of Mice with Varying Levels of Myelin; Cell, vol. 48, 713-721; 2/27/87
Wallis, Claudia; Probing a Mysterious "Cluster"; Time; 2/23/87
Jacobs, et al; Multicentre Double-Blind Study of Effect of Intrathecally Administered Natural Human Fibroblast Interferon on Exacerbations of Multiple Sclerosis; The Lancet; 12/20-27/86
Baum, Rudy M.; AIDS Researchers Make Inroads in Understanding a Complex Virus; C&EN; 12/1/86
Klinman, et al; Effect of Cyclophosphamide Therapy on Oncogene Expression in Angioimmunoblastic Lymphadenopathy; The Lancet; 11/8/86
Rosenberg, et al; A New Approach to the Adoptive Immunotherapy of Cancer with Tumor-Infiltrating Lymphocytes; Science, vol. 233; 9/19/86
Stjernfeldt, et al; Maternal Smoking During Pregnancy and Risk of Childhood Cancer; The Lancet; 6/14/86
Bailar III, et al; Progress Against Cancer; The New England Journal of Medicine; vol. 314, No. 19; 5/8/86
Hardero, M.D., Jan Erik; An Association Between Cluster Headache and Herpes Simplex; The New England Journal of Medicine; 1/30/86
Rosati, et al; Incidence of Multiple Sclerosis in Macomer, Sardinia, 1912-1981: Onset of the Disease After 1950; Neurology 36; 1/86
Levy, et al; Cimetidine in the Treatment of Herpes Zoster; Journal of the Royal College of Physicians of London, vol. 19, No. 2; 4/85
Straus, et al; Persisting Illness and Fatigue in Adults with Evidence of Epstein-Barr Virus Infection; Annals of Internal Medicine, vol. 102, No. 1; 1/85
Jones, et al; Evidence for Active Epstein-Barr Virus Infection in Patients with Persistent, Unexplained Illnesses: Elevated Anti-Early Antigen Antibodies; Annals of Internal Medicine, vol. 102, No. 1; 1/85
Product Information on Tagamet; Physician's Desk Reference; 1985
Wakefield, Denis, M.B.B.S.; Cimetidine in Recurrent Genital Herpes Simplex Infection; Annals of Internal Medicine, vol. 101, No. 6; 12/84
Shandira, Raymond, M.D.; Treatment of Herpes Zoster with Cimetidine; Canadian Medical Association Journal, vol. 131; 8/15/84
Arnold, et al; Excessive Intracellular Acidosis of Skeletal Muscle on Exercise in a Patient with a Post-Viral Exhaustion/Fatigue Syndrome; The Lancet; 6/23/84
Goldsmith, Marsha F.; Possible Herpesvirus Role in Abortion Studied; Jama, vol. 251, No. 23; 6/15/84
Ashford, et al; Double-Blind Trial of Metronidazole in Malodorous Ulcerating Tumours; The Lancet; 6/2/84
Shingles; The Harvard Medical School Health Letter, vol. IX, No. 8; 6/84
Oldstone, et al; Virus Persists in B Cells of Islets of Langerhans and is Associated with Chemical Manifestations of Diabetes; Science, vol. 224; 6/29/84
Rebuck, et al; Cyclosporin in Pulmonary Sarcoidosis; The Lancet; 5/26/84
Spiers, et al; Complete Remission in Hairy Cell Leukaemia Achieved with Pentostatin; The Lancet; 5/12/84
Allison, et al; Cyclosporin for Crohn's Disease; The Lancet; 4/21/84
Starzl, et al; Reversibility of Lymphomas and Lymphoproliferative Lesions Developing Under Cyclosporin-Steroid Therapy; The Lancet; 3/17/84
Gunby, Phil; Viral Infection May Lead to Vessel Wall Problems; Jama, vol. 251, No. 9; 3/2/84
Marwick, Charles; Nature of Autoimmune Disease Sought Through Treatment; Jama, vol. 251, No. 9; 3/2/84
Bodansky, et al; Which Virus Causes the Initial Islet Lesion in Type I Diabetes?; The Lancet; 2/28/84
Steinberg, Alfred D., M.D.; Cyclophosphamide-Should It be Used Daily, Monthly or Never?; The New England Journal of Medicine, vol. 310, No. 7; 2/16/84
Mavligit, et al; Cimetidine for Herpes Zoster; The New England Journal of Medicine, vol. 310, No. 5; 2/2/84
Pyke, et al; Reversibility of Diabetic Nephrophathy After Transplantation of Affected Kidney; The Lancet; 1/21/84
Merion, et al; Cyclosporine: Five Years' Experience in Cadaveric Renal Transplantation; The New England Journal of Medicine, vol. 310, No. 3; 1/19/84
Marklund, et al; The Effect of Tinidazole on Primary EBV Infection and Immunocompetence; Scand Journal Infect. Dis., 16:17-23; 1984
Melbye, et al; Infectious Mononucleosis in Greenland: A Disease of the Non-indigenous Population; Scand Journal Infect. Dis., 16:9-15; 1984
Hayne, et al; Herpes Zoster: Treatment with Cimetidine; Canadian Medical Association Journal, vol. 129; 12/15/83
Cole, et al; Effects of Cyclosporine on Experimental Infections; Transplantation Proceedings, vol. XV, No. 4, Suppl. 1; 12/83
Nussenblatt, et al; Treatment of Intraocular Inflammatory Disease with Cyclosporin A; The Lancet; 7/30/83
Willebrand, et al; Cyclosporin-A Deposits in Renal Allografts; The Lancet; 7/23/83
Davis, et al; Metronidazole Lowers Serum Lipids; Annals of Internal Medicine, vol. 99, No. 1; 7/83
King, et al; Coxsackie-B-Virus-Specific IgM Responses in Children with Insulin-Dependent (Juvenile-Onset; Type I) Diabetes Mellitus; The Lancet; 6/25/83
Stiller, et al; Cyclosporine for Treatment of Early Type I Diabetes: Preliminary Results; The New England Journal of Medicine, vol. 308, No. 20; 5/19/83
Rockwell, et al; Inhibition of Delayed Hypersensitivity by Metronidazole and Misonidazole; Int. J. Radiation Oncology/Biology/Physics, vol. 9, No. 5; 5/83
Treatment of Multiple Sclerosis; The Lancet; 4/23/83
Lanza, et al; Malignant Neoplasms Occurring After Cardiac Transplantation; Jama, vol. 249, No. 13; 4/1/83
Thornes, et al; Combination of Cimetidine with other Drugs for treatment of Cancer; The New England Journal of Medicine, vol. 308, No. 10; 3/10/83
Miller, et al; Cimetidine and HDL Cholesterol; The Lancet; 3/5/83
Srikanta, et al; Islet-Cell Antibodies and Beta-Cell Function in Monozygotic Triplets and Twins Initially Discordant for Type I Diabetes Mellitus; The New England Journal of Medicine, vol. 308, No. 6; 2/10/83
Hill, et al; Interferon and Cimetidine for Malignant Melanoma; The New England Journal of Medicine; 2/3/83
Hauser, et al; Intensive Immunosuppression in Progressive Multiple Sclerosis; The New England Journal of Medicine, vol. 308, No. 4; 1/27/83
Laupacis, et al; Cyclosporin Prevents Diabetes in BB Wistar Rats; The Lancet; 1/1-8/83
Roe, Francis J. C.; Toxicologic Evaluation of Metronidazole with Particular Reference to Carcinogenic, Mutagenic and Teratogenic Potential; Surgery, vol. 93, No. 1, Part 2; 1/83
Urtasun, et al; Human Pharmacokinetics and Toxicity of High-dose Metronidazole Administered Orally and Intravenously; Surgery, vol. 93, No. 1, Part 2; 1/83
Goldstein, Jay A., M.D.; Cimetidine and Mononucleosis; Annals of Internal Medicine, vol. 99, No. 3; 1983
Aitcheson, et al; Frequency of Transforming Epstein-Barr Virus in Oropharyngeal Secretions of Rheumatoid Arthritis Patients; Intervirology 19:135-143; 1983
Woyciechowska, et al; Multiple Sclerosis, Antiviral Antibodies; The Lancet; 12/25/82
Freston, James W., M.D.; Cimetidine: Developments, Pharmacology and Efficacy, Annals of Internal Medicine, vol. 97, No. 4; 10/82
Freston, James W., M.D.; Cimetidine: Adverse Reactions and Patterns of Use; Annals of Internal Medicine, vol. 97, No. 5; 11/82
Corey, Lawrence, M.D.; The Diagnosis and Treatment of Genital Herpes; Jama, vol. 248, No. 9; 9/3/82
Mertin, et al; Double-Blind Controlled Trial of Immunosuppression in the Treatment of Multiple Sclerosis: Final Report; The Lancet; 8/14/82
Laupacis, M.D., et al; Cyclosporin A: A Powerful Immunosuppressant; CMA Journal, vol. 126; 5/1/82
Melnick, et al; Isolation of Virus from the Spinal Fluid of Three Patients with Multiple Sclerosis and One with Amyotrophic Lateral Sclerosis; The Lancet; 4/10/82
Adams, et al; Evaluation of Novel Radiation Sensitizers In Vitro and In Vivo; Radiation Oncology/Biology/Physics, vol. 8, No. 3 and 4; Mar.-Apr., 1982
Clemmons, Lowell H., Sr., M.D.; Shingles, Herpes, Sex and Mononucleosis; Journal of the Medical Association of the State of Alabama; 3/82
Pybus, P. K.: Metronidazole in Rheumatoid Arthritis; SA Medical Journal; 2/20/82
Kurtzke, et al; Multiple Sclerosis in Iceland: 1. Evidence of a Postwar Epidemic; Neurology; 2/82
Tobi, et al; Prolonged Atypical Illness Associated with Serological Evidence of Persistent Epstein-Barr Virus Infection; The Lancet; 1/9/82
Davidson, et al; Treatment of Infectious Mononucleosis with Metronidazole in the Pediatric Age Group; Scand J. Infect. Dis. 14:103-104; 1982
Gluckman, et al; Nephrotoxicity of Cyclosporin in Bone-Marrow Transplantations; The Lancet; 7/18/81
Armerding, Dieter; Selective Induction of Immunological Tolerance in Antiviral T Killer Cells of Inbred Mice After Treatment with Cyclosporin A; Infection and Immunity; 6/81
Braun, Peter, M.D.; Herpes Simplex Encephalitis; The New England Journal of Medicine; 5/14/81
Lennard-Jones, J. E.; Azathioprine and 6-Mercaptopurine Have a Role in the Treatment of Crohn's Disease; Digestive Diseases and Sciences, vol. 26, No. 4; 4/81
Keown, et al; Immunological and Pharmacological Monitoring in the Clinical Use of Cyclosporin A; The Lancet; 3/28/81
Guinan, M.D., et al; The Course of Untreated Recurrent Genital Herpes Simplex Infection in 27 Women; The New England Journal of Medicine, vol. 304, No. 13; 3/26/81
Whitley, M.D., et al; Herpes Simplex Encephalitis; The New England Journal of Medicine, vol. 304, No. 6; 2/5/81
Woodland, et al; Azathioprine in Rheumatoid Arthritis: Double-blind Study of Full Versus Half Doses Versus Placebo; Annals of the Rheumatic Diseases; 1981
Herreman, et al; Convulsive Seizures and Polyneuritis in a Patient with Lupus Treated with Metronidazole; Ann. Med. Interne; 1981
Bunjes, et al; Cyclosporin A Mediates Immunosuppression of Primary Cytotoxic T Cell Responses by Impairing the Release of Interleukin 1 and Interleukin 2; Eur. J. Immunol.; 1981
Crawford, et al; Studies on Long-Term T-Cell-Mediated Immunity to Epstein-Barr Virus in Immunosuppressed Renal Allograft Recipients; Int. J. Cancer; 1981
Brincker, et al; Increased Breast-Cancer Recurrence Rate After Adjuvant Therapy with Levamisole; The Lancet; 10/18/80
Stephenson, et al; Search for Canine-Distemper-Virus Antibodies in Multiple Sclerosis; The Lancet; 10/11/80
Finegold, Sydney, M., M.D.; Metronidazole; Annals of Internal Medicine; 1980
Spuy, et al; Cimetidine in the Treatment of Herpesvirus Infections; SA Medical Journal; 7/19/80
Sander, M.D.; Hemorrhagic Endovasculitis and Hemorrhagic Villitis of the Placenta; Arch Pathol Lab Med, vol. 104; 7/80
Vestergaard, et al; Type-Specific Herpes-Simplex-Virus Antibodies in Patients with Recurrent Duodenal Ulcer; The Lancet; 7/14/80
Sleisenger, Marvin H., M.D.; How Should We Treat Crohn's Disease?; The New England Journal of Medicine; vol. 302, No. 18; 5/1/80
Hedstrom, Sven Ake; Treatment of Anginose Infectious Mononucleosis with Metronidazole; Scand J. Infect. Dis.; 1980
Kinlen, et al; Collaborative United Kingdom-Australasian Study of Cancer in Patients Treated with Immunosuppressive Drugs; British Medical Journal; 12/8/79
Meredith, et al; Management of Cimetidine Overdose; The Lancet; 12/22-29/79
Rustia, et al; Experimental Induction of Hepatomas, Mammary Tumors, and Other Tumors with Metronidazole in Noninbred Sas:MRC(WI)BR Rats; JNCI, vol. 63, No. 3; 9/79
Minick, et al; Atheroarteriosclerosis Induced by Infection with a Herpesvirus; American Journal of Pathology, vol. 96, No. 3; 9/79
van Rijhoven, A.W.A.M.; Cimetidine Intoxication; The Lancet; 8/18/79
Ting, et al; Development of Donor-Specific B Lymphocyte Antibodies After Renal Transplantation; Transplantation; vol. 28, No. 1; 7/79
Jeffrey, et al; Immunosuppression with Azathioprine, Prednisone and Cyclophosphamide; Transplantation, vol. 28, No. 1; 7/79
Dodson, et al; Treatment of Infectious Mononucleosis with Metronidazole; Israeli Harefauh; 6/15/79
Latt, Doreen; Cytotoxic Drugs in Rheumatoid Arthritis; The Medical Journal of Australia Special Supplement; 4/21/79
Wilson, J. B.; Cymetidine Overdosage; Br. Medical Journal; 4/7/79
Rosen, J. A.; Prolonged Azathioprine Treatment of NonRemitting Multiple Sclerosis; Journal of Neurology, Neurosurgery and Psychiatry; 1979
Henle, et al; The Epstein-Barr Virus; Sc. Amer.; 1979
Kasper, et al; Therapy of Crohn's Disease with Metronidazole-An Uncontrolled Trial; Acta Hepato-Gastroenterol; 1979
Kurtzke, J. F., et al; Multiple Sclerosis in the Faron Islands, Ann. Neurol, vol. 5; 1979
Uris May Induce Bowel Disease Relapses; Medical Tribune; 11/15/78
O'Donoghue, et al; Double-Blind Withdrawal Trial of Azathioprine as Maintenance Treatment for Crohn's Disease; The Lancet; 11/4/78
Hedstrom, et al; Treatment of Anginose Infectious Mononucleosis with Metronidazole; Scand J. Infect. Dis.; 7/9/78
Warren, et al; Medical Intelligence, Isolation of Latent Herpes Simplex Virus from the Superior Cervical and Vagus Ganglions of Human Beings; The New England Journal of Medicine, vol. 298, No. 19; 5/11/78
Morgan, Isabel; Metronidazone Treatment in Pregnancy; Int. J. Gynaecol. Obstet.; 1978
Roe, J. F. C.; Metronidazole: Review of Uses and Toxicity; Journal of Antimicrobial Chemotherapy; 1977
Symoens, J.; Control of Neoplasia by Modulation of the Immune System; Progress in Cancer Research and Therapy, vol. 2; 1977
Levy, et al; A Blood Test for Multiple Sclerosis Based on the Adherence of Lymphocytes to Measles-Infected Cells; The New England Journal of Medicine, vol. 294, No. 26; 6/24/76
Urtasun, et al; Radiation and High-dose Metronidazole in Supratentorial Glioblastomas; The New England Journal of Medicine, vol. 295; No. 25; 6/17/76
Coddon, David R., M.D.; A New Viral-Hematologic Etiology Hypothesis for Chronic and Paroxysmal Headache Syndromes; Mount Sinai Journal of Medicine, vol. 41, No. 1; 1-2/74
Rustia, et al; Induction of Lung . . . Lymphomas in Mice by Metronidazole; Journal of the National Cancer Institute; 1972
Swannell, et al; Preliminary Results of Azathioprine Treatment in Severe Rheumatic Disease; Annals of Physical Medicine; vol. X, No. 3; 1969
Taylor, Jo Ann T.; Pharmacodynamic Observations on Metronidazole Therapy. Side Effects in Endocrine, Metabolic and Auto-Immune Disorders. III--Anti-Ischemic and Anti-Flammatory Action . . . ; Proc. of The Western Pharmocological Society of Washington Univ.; 1966
Meulen, et al; The Possible Role of Viral Infections in Multiple Sclerosis and Other Related Demyelinating Disease