US2002019351A1PendingUtilityA1

Treatment of skeletal disorders

Priority: Feb 23, 1998Filed: Sep 27, 2001Published: Feb 14, 2002
Est. expiryFeb 23, 2018(expired)· nominal 20-yr term from priority
A61P 43/00A61P 1/02A61K 38/2264A61P 19/10A61P 19/00A61P 19/08A61P 1/00
39
PatentIndex Score
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Claims

Abstract

This invention relates to methods for treating bone loss in a mammal by administering to the mammal a therapeutically effective amount of leptin or a leptin mimetic. This invention also relates to methods for treating bone fracture, enhancing bone healing following facial reconstruction, maxillary reconstruction or madibular reconstruction, enhancing long bone extension, enhancing the healing rate of a bone graft, enhancing prosthetic growth and inducing vertebral synostosis by administering a therapeutically effective amount of leptin or a leptin mimetic. This invention further relates to methods and compositions comprising leptin or a leptin mimetic and estrogen, a selective estrogen receptor modulator or a bisphonate for treating the above-recited diseases and conditions.

Claims

exact text as granted — not AI-modified
1 . A method for preventing bone loss or augmenting bone mass in a mammal comprising administering to said mammal a therapeutically effective amount of leptin, a fragment thereof or a leptin mimetic.  
     
     
         2 . A method of  claim 1  wherein leptin or a fragment thereof is administered.  
     
     
         3 . A method for treating a mammal having a condition which presents with low bone mass comprising administering to said mammal a therapeutically effective amount of leptin, a fragment thereof or a leptin mimetic.  
     
     
         4 . A method of  claim 3  wherein leptin or a fragment thereof is adminstered.  
     
     
         5 . The method of  claim 4  wherein osteoporosis, osteotomy, childhood idiopathic bone loss or bone loss associated with periodontitis is treated.  
     
     
         6 . The method of  claim 5  wherein osteoporosis is treated.  
     
     
         7 . The method of  claim 4  wherein the mammal is a human.  
     
     
         8 . The method of  claim 7  wherein the human is a post-menopausal woman or a man over the age of 60.  
     
     
         9 . The method of  claim 4  wherein secondary osteoporosis is treated.  
     
     
         10 . The method of  claim 9  wherein glucocorticoid-induced osteoporosis, hyperthyroidism-induced osteoporosis, immobilization-induced osteoporosis, heparin-induced osteoporosis or immunosuppressive-induced osteoporosis is treated.  
     
     
         11 . A method for treating a bone fracture in a mammal by administering to said mammal suffering from or susceptible to a bone fracture a therapeutically effective amount of leptin, a fragment thereof or a leptin mimetic.  
     
     
         12 . A method of  claim 11  wherein leptin or a fragment thereof is administered.  
     
     
         13 . The method of  claim 12  wherein the mammal is a human.  
     
     
         14 . A method for enhancing bone healing following facial reconstruction, maxillary reconstruction or mandibular reconstruction, enhancing long bone extension, enhancing the healing rate of a bone graft, enhancing prosthetic ingrowth, or inducing vertebral synostosis in a mammal by administering to said mammal a therapeutically effective amount of leptin, a fragment thereof or a leptin mimetic.  
     
     
         15 . A method for treating low bone mass or bone fracture in a mammal comprising administering to said mammal a therapeutically effective amount of leptin, a fragment thereof or a leptin mimetic, and estrogen.  
     
     
         16 . A method for treating low bone mass or bone fracture in a mammal comprising administering to said mammal a therapeutically effective amount of leptin, a fragment thereof or a leptin mimetic, and a selective estrogen receptor modulator.  
     
     
         17 . A method of  claim 16  wherein leptin or a fragment thereof is adminstered.  
     
     
         18 . A method of  claim 17  wherein said selective estrogen receptor modulator is droloxifene.  
     
     
         19 . A method of  claim 17  wherein said selective estrogen receptor modulator is raloxifene.  
     
     
         20 . A method of  claim 17  wherein said selective estrogen receptor modulator is idoxifene.  
     
     
         21 . A method of  claim 17  wherein said selective estrogen receptor modulator is (−)-cis-6-phenyl-5-(4-(2-pyrrolidin-1-yl)-ethoxy)-phenyl)-5,6,7,8-tetrahydronaphthalen-2-ol.  
     
     
         22 . A method for treating low bone mass or bone fracture in a mammal comprising administering to said mammal a therapeutically effective amount of leptin, a fragment thereof or a leptin mimetic, and a bisphosphonate.  
     
     
         23 . A method of  claim 22  wherein leptin or a fragment thereof is administered.  
     
     
         24 . A method of  claim 23  wherein said bisphosphonate is alendronate.  
     
     
         25 . A method of  claim 23  wherein said bisphosphonate is risedronate.  
     
     
         26 . A method for enhancing bone healing following facial reconstruction, maxillary reconstruction or mandibular reconstruction, enhancing long bone extension, enhancing the healing rate of a bone graft, enhancing prosthetic ingrowth or inducing vertebral synostosis in a mammal comprising administering to said mammal a therapeutically effective amount of leptin, a fragment thereof or a leptin mimetic, and estrogen.  
     
     
         27 . A method of  claim 26  wherein leptin or a fragment thereof is adminstered.  
     
     
         28 . A method for enhancing bone healing following facial reconstruction, maxillary reconstruction or mandibular reconstruction, enhancing long bone extension, enhancing the healing rate of a bone graft, enhancing prosthetic ingrowth or inducing vertebral synostosis in a mammal comprising administering to said mammal a therapeutically effective amount of leptin, a fragment thereof or a leptin mimetic, and a selective estrogen receptor modulator.  
     
     
         29 . A method of  claim 28  wherein leptin or a fragment thereof is adminstered.  
     
     
         30 . A method for enhancing bone healing following facial reconstruction, maxillary reconstruction or mandibular reconstruction, enhancing long bone extension, enhancing the healing rate of a bone graft, enhancing prosthetic ingrowth or inducing vertebral synostosis in a mammal comprising administering to said mammal a therapeutically effective amount of leptin, a fragment thereof or a leptin mimetic, and a bisphosphonate.  
     
     
         31 . A method of  claim 30  wherein leptin or a fragment thereof is administered.  
     
     
         32 . A pharmaceutical composition comprising a leptin mimetic and a pharmaceutically acceptable carrier or diluent.  
     
     
         33 . A pharmaceutical composition comprising leptin, a fragment thereof or a leptin mimetic, estrogen and a pharmaceutically acceptable carrier or diluent.  
     
     
         34 . A composition of  claim 33  comprising leptin or a fragment thereof.  
     
     
         35 . A pharmaceutical composition comprising leptin, a fragment thereof or a leptin mimetic, a selective estrogen receptor modulator and a pharmaceutically acceptable carrier or diluent.  
     
     
         36 . A composition of  claim 35  comprising leptin or a fragment thereof.  
     
     
         37 . A pharmaceutical composition comprising leptin, a fragment thereof or a leptin mimetic, a bisphosphonate and a pharmaceutically acceptable carrier or diluent.  
     
     
         38 . A composition of  claim 37  comprising leptin or a fragment thereof.  
     
     
         39 . A kit comprising: 
 a. an amount of leptin, a fragment thereof or a leptin mimetic in a first unit dosage form;    b. an amount of estrogen in a second unit dosage form; and    c. a container.    
     
     
         40 . A kit of  claim 39  comprising leptin or a fragment thereof.  
     
     
         41 . A kit comprising: 
 a. an amount of leptin, a fragment thereof or a leptin mimetic in a first unit dosage form;    b. an amount of a selective estrogen receptor modulator in a second unit dosage form; and    c. a container.    
     
     
         42 . A kit of  claim 41  comprising leptin or a fragment thereof.  
     
     
         43 . A kit comprising: 
 a. an amount of leptin, a fragment thereof or a leptin mimetic in a first unit dosage form;    b. a bisphonate in a second unit dosage form; and    c. a container.    
     
     
         44 . A kit of  claim 43  comprising leptin or a fragment thereof.

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