US2014147442A1PendingUtilityA1

Use of il-23 antagonists for treatment of infection

Assignee: MERCK SHARP & DOHMEPriority: Feb 12, 2007Filed: Oct 28, 2013Published: May 29, 2014
Est. expiryFeb 12, 2027(~0.6 yrs left)· nominal 20-yr term from priority
A61P 31/10A61P 31/20A61K 2039/505A61P 37/02A61K 31/7088C07K 16/2866A61P 37/04A61K 31/713C07K 16/244A61P 31/04A61P 31/18A61P 31/14A61P 31/12A61P 31/00
49
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Claims

Abstract

Methods and compositions comprising antagonists of IL-23 are provided for the treatment of infections, such as chronic bacterial, viral and fungal infections.

Claims

exact text as granted — not AI-modified
1 . A method of treating a subject having a chronic infection selected from the group consisting of a viral infection, a fungal infection and a bacterial infection, comprising administering an effective amount of an antagonist of IL-23. 
     
     
         2 . (canceled) 
     
     
         3 . The method of  claim 1  wherein the chronic infection is a fungal infection. 
     
     
         4 . The method of  claim 3 , wherein the fungal infection is selected from the group consisting of candidiasis, aspergillosis, cryptococcosis and onychomycosis. 
     
     
         5 - 9 . (canceled) 
     
     
         10 . The method of  claim 1  wherein the chronic infection is a mycobacterial infection. 
     
     
         11 . (canceled) 
     
     
         12 . The method of  claim 10  wherein the mycobacterial infection is TB. 
     
     
         13 - 15 . (canceled) 
     
     
         16 . The method of  claim 1  wherein the chronic infection is a viral infection caused by a virus selected from the group consisting of HIV, HPV, HBV and HCV. 
     
     
         17 - 20 . (canceled) 
     
     
         21 . A method of enhancing a Th1 immune response in a subject having a chronic infection comprising administering an antagonist of IL-23. 
     
     
         22 . The method of  claim 21  wherein the enhanced Th1 immune response comprises a 2-fold or greater increase in the percentage of CD4 +  T cells expressing IFN-γ compared with the percentage of CD4 +  T cells expressing IFN-γ prior to administering said antagonist of IL-23. 
     
     
         23 . The method of  claim 21  wherein the enhanced Th1 immune response comprises a 2-fold or greater decrease in the percentage of CD4 +  T cells expressing IL-17 compared with the percentage of CD4 +  T cells expressing IL-17 prior to administering said antagonist of IL-23. 
     
     
         24 . (canceled) 
     
     
         25 . The method of  claim 1  further comprising administering at least one of an antagonist of IL-17A, IL-6 or TGF-β. 
     
     
         26 - 28 . (canceled) 
     
     
         29 . The method of  claim 1 , wherein the antagonist of IL-23 is a binding compound that binds to IL-23p19. 
     
     
         30 . The method of  claim 1 , wherein the antagonist of IL-23 is a binding compound that binds to IL-23R. 
     
     
         31 . The method of  claim 29  wherein the binding compound is an antibody or antigen binding fragment thereof. 
     
     
         32 . (canceled) 
     
     
         33 . The method of  claim 31  wherein the binding compound is an antibody fragment selected from the group consisting of Fab, Fab′, Fab′-SH, Fv, scFv, F(ab′) 2 , a single chain antibody, and a diabody. 
     
     
         34 . The method of  claim 31  wherein the antibody is a humanized or fully human antibody or antigen binding fragment thereof. 
     
     
         35 - 38 . (canceled) 
     
     
         39 . The method of  claim 1  wherein the antagonist of IL-23 is an siRNA or an antisense nucleic acid. 
     
     
         40 - 41 . (canceled) 
     
     
         42 . The method of  claim 1  wherein the subject having the infection is immune compromised. 
     
     
         43 - 50 . (canceled) 
     
     
         51 . The method of  claim 30  wherein the binding compound is an antibody or antigen binding fragment thereof. 
     
     
         52 . The method of  claim 51  wherein the binding compound is an antibody fragment selected from the group consisting of Fab, Fab′, Fab′-SH, Fv, scFv, F(ab′) 2 , a single chain antibody, and a diabody. 
     
     
         53 . The method of  claim 51  wherein the antibody is a humanized or fully human antibody or antigen binding fragment thereof.

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