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US Patent 6903100 - USE OF REGULARLY SCHEDULED HIGH DOSE INTRAVENOUS METHOTREXATE THERAPY, WITH INTERIM ADMINISTRATION OF IMMUNOMODULATORY AGENTS, TO TREAT MULTIPLE SCLEROSIS AND OTHER DISEASES OF THE CENTRAL NERVOUS SYSTEM

US Patent Issued on June 7, 2005
Estimated Patent Expiration Date: Icon_subject April 24, 2022Estimated 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.
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Abstract

The present invention is directed to the treatment of multiple sclerosis by periodically administering a high dose of methotrexate at a level sufficiently high to cross the blood brain barrier. The methotrexate administration is accompanied by leucovorin rescue of the periphery. The high dose methotrexate is preferably administered at 1 to 4 month intervals. The periodic high dose methotrexate treatment may be used in conjunction with interim treatments using a therapeutic agent that is effective in treating MS, but does not cross the BBB in cytotoxic amounts. It is contemplated that the method of the present invention may be employed to treat other non-infectious, non-neoplastic inflammatory conditions of the CNS.

Other References

  • Uria, D. F., Treatment of Multiple Sclerosis, Neurologia, 1999, 14/Suppl. 6, pp. 1-12, abstract.
  • Goodkin, et al., Low Dose (7.5 mg) Oral Methotrexate reduces the rate of progression in chronic progressive multiple sclerosis, Ann Neurol, 1995, 37:30-40.
  • Weiner, et al., Intermittent Cyclophosphamide Pulse Therapy in Progressive Multiple Sclerosis: Final Report of the Northeast Cooperative Multiple Sclerosis Treatment Group, Neurology, 1993, 43: 910-8.
  • Cronstein, The Mechanism of Actin of Methotrexate,Rheum Dis Clin North Am, 1997, 23: 739-55.
  • Glantz, et al., High-Dose Intravenous Methotrexate for Patients With Nonleukemic Sarcoma Leptomeningeal Cancer: Is Intrathecal Chemotherapy Necessary?, J Clin Oncol, 1998, 16: 1561-7.
  • Pignon, et al., Pharmacokinetics of High-Dose Methotrexate in Adult Osteogenic Sarcoma, Cancer Chemother Pharmacol, 1994, 33: 420-4.
  • Balis, Remission Induction of Meningeal Leukemia With High-Dose Intravenous Methotrexate, J Clin Oncol, 1985, 3: 485-9.
  • Doolittle, et al., Safety and Efficacy of a Multicenter Study Using Intraarterial Chemotherapy in Conjunction With Osmotic Opening of the Blood-Brain barrier for the Treatment of Patients With Malignant Brain Tumors, Cancer, 2000, 88: 637-47.
  • Neuwelt, et al., Primary CNS Lymphoma Treated With Osmotic Blood-Brain Barrier Disruption: Prolonged Survival and Preservation of Cognitive Function, J Clin Oncol, 1991, 9: 1580-90.
  • Wang, et al., Methotrexate Pulse Therapy on MSFC and Cellular Immunology Markers in Patients With Relapsing Progressive Multiple Sclerosis, Neurology, 2001, 56, Suppl. 3: A365.
  • Currier, et al., Low Dose Oral Methotrexate Treatment of Multiple Sclerosis: A Pilot Study [published erratum appears in J Neurol Neurosurg Psychiatry Apr. 1999; 57(4): 528]. J Neurosurg Psychiatry, 1993, 56: 1217-8.
  • Goodkin, et al., Low-Dose Oral Methotrexate in Chronic Progressive Multiple Sclerosis: Analyses of Serial MRIs., Neurology, 1996, 47: 1153-7.
  • Rensel, et al., Oral Methotrexate Dose Escalation Study in Progressive Multiple Sclerosis, Ann Neurol, 1997, 42: 423.
  • Tetef, et al., Pharmacokinetics and Toxicity of High-Dose Intravenous Methotrexate in the Treatment of Leptomeningeal Carcinomatosis, Cancer Chemother Pharmacol, 2000, 46: 19-26.
  • Conrad, et al., Treatment of Primary and Secondary Progressive Multilple Sclerosis with High Dose Methotrexate and Leucovorin Rescue, Neurology, 1998: 50: A-146.
  • Mid America Neuroscience Research Foundation, Study Suggests New Hope for Patents Suffering from Progressive Multiple Sclerosis, The Neurology Newsletter, 1998, pp. 1-4.

Inventor

Assignee

Application

No. 10128947 filed on 04/24/2002

US Classes:

514/251, Isoalloxazine (e.g., riboflavins, Vitamin B2, etc.)514/186, Bicyclo ring system514/521, C=O other than as ketone or aldehyde514/638, Nitrogen double bonded directly to carbon514/742, Polynitro424/184.1, ANTIGEN, EPITOPE, OR OTHER IMMUNOSPECIFIC IMMUNOEFFECTOR (E.G., IMMUNOSPECIFIC VACCINE, IMMUNOSPECIFIC STIMULATOR OF CELL-MEDIATED IMMUNITY, IMMUNOSPECIFIC TOLEROGEN, IMMUNOSPECIFIC IMMUNOSUPPRESSOR, ETC.)424/279.1Synthetic or structurally-modified peptidoglycan or mucopolysaccharide or fragment thereof (e.g., derivative of N-acetyl-muramyl-L-alanyl-D-glutamic or fragment thereof (e.g., derivative of N-acetyl-muramyl-L-alanyl-D- acid, etc.) glutamic acid, etc.)

Field of Search

514/251, Isoalloxazine (e.g., riboflavins, Vitamin B2, etc.)514/186, Bicyclo ring system514/521, C=O other than as ketone or aldehyde514/903, MULTIPLE SCLEROSIS514/889, INTERFERON INDUCER514/638, Nitrogen double bonded directly to carbon514/742, Polynitro514/825, ARTHRITIS424/184.1, ANTIGEN, EPITOPE, OR OTHER IMMUNOSPECIFIC IMMUNOEFFECTOR (E.G., IMMUNOSPECIFIC VACCINE, IMMUNOSPECIFIC STIMULATOR OF CELL-MEDIATED IMMUNITY, IMMUNOSPECIFIC TOLEROGEN, IMMUNOSPECIFIC IMMUNOSUPPRESSOR, ETC.)424/810, INVOLVING AUTOIMMUNITY, ALLERGY, IMMEDIATE HYPERSENSITIVITY, DELAYED HYPERSENSITIVITY, IMMUNOSUPPRESSION, IMMUNOTOLERANCE, OR ANERGY424/279.1Synthetic or structurally-modified peptidoglycan or mucopolysaccharide or fragment thereof (e.g., derivative of N-acetyl-muramyl-L-alanyl-D-glutamic or fragment thereof (e.g., derivative of N-acetyl-muramyl-L-alanyl-D- acid, etc.) glutamic acid, etc.)

Examiners

Primary: Henley, III, Raymond

Attorney, Agent or Firm

US Patent References

5166149, Methotrexate compositions and methods of treatment using same
Issued on: 11/24/1992
Inventor: Loev
5935577Treatment of autoimmune disease using tolerization in combination with methotrexate
Issued on: 08/10/1999
Inventor: Weiner, et al.

International Classes

A61K031/525
A61K031/555
A61K031/275
A61K039/38
A61K045/00

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