# US 10,441,580 B2 · Iloperidone for the treatment of schizophrenia

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- Number: US 10,441,580 B2
- Document ID: US10441580B2
- Status: Granted
- Kind: B2
- Application number: 15/549,820
- Filed: 2016-02-17
- Published: 2018-01-25
- Granted: 2019-10-15
- Earliest claimed: 2015-02-17
- Assignees: Vanda Pharmaceuticals Inc.
- Applicants: Vanda Pharmaceuticals, Inc.
- Inventors: Mihael H. Polymeropoulos; Curt D. Wolfgang
- Web page: https://patentgrep.com/patent/US10441580B2

## CPC

- A61K 31/454: containing a five-membered ring with nitrogen as a ring hetero atom, e.g. pimozide, domperidone
- A61P 25/18: Antipsychotics, i.e. neuroleptics; Drugs for mania or schizophrenia
- A61K: PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES (devices or methods specially adapted for bringing pharmaceutical products into particular physical or administering forms A61J3/00; chemical aspects of, or use of materials for deodorisation of air, for disinfection or sterilisation, or for bandages, dressings, absorbent pads or surgical articles A61L; soap compositions C11D)
- A61P: SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS

## Abstract

Aspects of the invention relate generally to the treatment of schizophrenia in an individual and, more specifically, to the treatment of an individual with iloperidone, an iloperidone metabolite, or a pharmaceutically-acceptable salt thereof. In one embodiment, the invention provides a method of preventing schizophrenic relapse in an individual diagnosed with schizophrenia, the method comprising: administering to the individual iloperidone, an iloperidone metabolite, or a pharmaceutically-acceptable salt thereof at a daily dose between about 12 mg and about 16 mg following a period in which the individual's schizophrenia was stabilized.

## Claims

### Claim 1

A method of treating schizophrenia or a symptom of schizophrenia in an individual, the method comprising:
administering to the individual a titrated first daily dose of 16-24 mg/day of iloperidone or a pharmaceutically-acceptable salt thereof during an acute treatment phase, wherein the acute treatment phase follows an initial titration of iloperidone,
followed by administering to the individual a second daily dose that is smaller than the titrated first daily dose and is 12-16 mg/day of iloperidone or a pharmaceutically-acceptable salt thereof during a maintenance treatment phase, following completion of the acute treatment phase.

### Claim 2 (depends on 1)

The method of claim 1, wherein the titrated first daily dose is 8-12 mg of iloperidone administered orally twice daily, and the second daily dose is 6-8 mg of iloperidone administered orally twice daily.

### Claim 3 (depends on 1)

The method of claim 1, wherein the second daily dose is 75% of the first daily dose.

### Claim 4 (depends on 1)

The method of claim 1, wherein the titrated first daily dose is 16 mg and the second daily dose is 12 mg.

### Claim 5 (depends on 1)

The method of claim 1, wherein the titrated first daily dose is 12 mg and the second daily dose is 8 mg.

### Claim 6 (depends on 1)

The method of claim 1, wherein the second daily dose is 50% of the first daily dose.

### Claim 7 (depends on 6)

The method of claim 6, wherein the titrated first daily dose is 24 mg and the second daily dose is 12 mg.

### Claim 8 (depends on 6)

The method of claim 6, wherein the titrated first daily dose is 16 mg and the second daily dose is 8 mg.

### Claim 9 (depends on 6)

The method of claim 6, wherein the titrated first daily dose is 12 mg and the second daily dose is 6 mg.

### Claim 10 (depends on 1)

The method of claim 1, wherein the second daily dose is between 12 mg and 16 mg.

### Claim 11 (depends on 10)

The method of claim 10, wherein the second daily dose is between 12 mg and 14 mg.

### Claim 12

A method of continuing the treatment of schizophrenia in an individual who has been receiving a titrated first daily dose of 16-24 mg/day of iloperidone or a pharmaceutically acceptable salt thereof during an acute treatment phase of the schizophrenia, the method comprising:
administering a second daily dose of 12-16 mg/day of iloperidone or the pharmaceutically acceptable salt thereof that is reduced relative to the first daily dose during a subsequent maintenance treatment phase following completion of the acute treatment phase.

### Claim 13 (depends on 12)

The method of claim 12, wherein the titrated first daily dose of iloperidone or the pharmaceutically acceptable salt thereof is 8-12 mg administered twice daily, and the second daily dose of iloperidone or the pharmaceutically acceptable salt thereof is 6-8 mg administered twice daily.

### Claim 14 (depends on 12)

The method of claim 12, wherein the second daily dose is 75% of the first daily dose.

### Claim 15 (depends on 14)

The method of claim 14, wherein the first daily dose is 16 mg and the second daily dose is 12 mg/day.

### Claim 16 (depends on 14)

The method of claim 14, wherein the first daily dose is 20 mg and the second daily dose is 15 mg/day.

### Claim 17 (depends on 12)

The method of claim 12, wherein the first daily dose is 24 mg and the second daily dose is 16 mg.

### Claim 18 (depends on 12)

The method of claim 12, wherein the second daily dose is 50% of the first daily dose.

### Claim 19 (depends on 18)

The method of claim 18, wherein the first daily dose is 24 mg and the second daily dose is 12 mg/day.

### Claim 20 (depends on 12)

The method of claim 12, wherein the second daily dose is between 12 mg and 14 mg/day.
