Prediction of qt prolongation based on snp genotype
AssigneeVanda Pharmaceuticals Inc.
InventorsChristian Lavedan, Simona Volpi, Louis Licamele, Kendra Tomino Mack, Callie Michelle Heaton
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Abstract
The present invention relates to the prediction of QT prolongation following administration of a compound capable of increasing an individual's QT interval based on the individual's genotype at one or more single nucleotide polymorphism (SNP) loci and to the treatment of a patient based on such prediction.
Claims50
A method of predicting an individual's QT prolongation following administration of a compound capable of prolonging the individual's QT interval, the method comprising:
- determining the individual's genotype at least one single nucleotide polymorphism (SNP) locus selected from a group consisting of:
- rs993648, rs3924426, rs4799915, rs4933824, rs714881, and rs17054392;
- and
- in the case that the individual's genotype at the at least one SNP locus is associated with increased QT prolongation, predicting that the individual will experience above-average QT prolongation.
A method of predicting an individual's QT prolongation following administration of a compound capable of prolonging the individual's QT interval, the method comprising:
- determining the individual's genotype at least one single nucleotide polymorphism (SNP) locus selected from a group consisting of:
- rs993648, rs3924426, rs4799915, rs4933824, rs714881, and rs17054392;
- and
- in the case that the individual's genotype at the at least one SNP locus is associated with decreased QT prolongation, predicting that the individual will experience below-average QT prolongation.
A method of treating a patient for one or more symptoms of a psychotic disorder, the method comprising:
- determining the patient's genotype in both copies of at least one single nucleotide polymorphism (SNP) locus selected from a group consisting of:
- rs993648, rs3924426, rs4799915, rs4933824, rs714881, and rs17054392;
- and
- treating the patient based upon whether the patient's genotype at the at least one SNP locus is associated with increased QT prolongation.
A method of administering to an individual a compound capable of prolonging the individual's QT interval, the method comprising:
- determining at least a portion of an individual's ceramide kinase-like (CERKL) gene sequence;
- and
- in the case that a portion of the individual's CERKL gene sequence is associated with an increased risk of QT prolongation, performing at least one of the following:
- administering to the individual a quantity of the compound less than would be administered to an individual having a CERKL gene sequence not associated with an increased risk of QT prolongation,
- administering to the individual a quantity of the compound equal to that which would be administered to an individual having a CERKL gene sequence not associated with an increased risk of QT prolongation;
- or
- monitoring the patient for QT prolongation;
- or
- electing instead to treat the individual with a different compound not known to be associated with QT prolongation.
A kit for use in determining treatment strategy for a patient with a psychotic disorder, schizophrenia, or bipolar disorder comprising:
- at least one polynucleotide able to recognize and bind to a portion of DNA containing a single nucleotide polymorphism (SNP) selected from a group consisting of:
- rs993648, rs3924426, rs4799915, rs4933824, rs714881, and rs17054392;
- a container suitable for containing the at least one polynucleotide and a sample of chromosomal DNA from the said individual wherein the at least one polynucleotide can contact the chromosomal DNA;
- and
- means to detect the combination of the at least one polynucleotide with the chromosomal DNA and thereby to ascertain what the genotype of the individual is at the SNP.
Iloperidone, an active metabolite of iloperidone, or a salt of iloperidone or of an active metabolite of iloperidone for use in the treatment of patients suffering from one or more symptoms of a psychotic disorder, schizophrenia, or bipolar disorder in a patient that has a genotype that is associated with increased QT prolongation at least one of the SNP locus selected from a group consisting of:
- rs993648, rs3924426, rs4799915, rs4933824, rs714881, and rs17054392 SNPs.
Dependencies are inferred from the claim text.