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US 2019/0076386 A1Published application
Treatment of urea cycle disorders in neonates and infants
AssigneeHorizon Therapeutics, LLC
InventorsBruce SCHARSCHMIDT, Masoud MOKHTARANI
Life of this patent
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Abstract
Nitrogen scavenging drugs such as glycerol phenylbutyrate can be administered safely to infants and toddlers with urea cycle disorders by adjusting the dosage based on one or more biomarkers selected from the group consisting of urinary-PAGN and plasma PAA:PAGN ratio.
Claims28
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A method of treating a urea cycle disorder (UCD) in a patient under 2 years of age comprising
- administering glycerol phenylbutyrate to said patient at an initial daily dose which is administered at an initial frequency of administration;
- and
- if after said administration, said patient exhibits neurological symptoms, normal ammonia levels, and a ratio of plasma PAA to plasma PAGN of >2.5 or a level of plasma PAA of >500 μg/mL, then administering said glycerol phenylbutyrate to said patient at a reduced daily dose while maintaining said initial frequency of administration.
A method of treating a urea cycle disorder (UCD) in a patient under 2 years of age comprising
- administering glycerol phenylbutyrate to said patient at an initial daily dose which is administered at an initial frequency of administration;
- and
- if after said administration said patient exhibits neurological symptoms, normal ammonia levels, and a ratio of plasma PAA to plasma PAGN of >2.5 or a level of plasma PAA of >500 μg/mL, then administering said glycerol phenylbutyrate to said patient at a lower dose or increased frequency of administration while maintaining said daily dose.
A method of treating a urea cycle disorder (UCD) in a patient under 2 years of age comprising
- administering glycerol phenylbutyrate to said patient at an initial daily dose which is administered at an initial frequency of administration;
- and
- if after said administration said patient exhibits neurological symptoms, normal ammonia levels, and a ratio of plasma PAA to plasma PAGN of <2.5, then said glycerol phenylbutyrate to said patient should continue to be administered at the same dose and frequency and the patient evaluated for other causes of his or her neurological symptoms.
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Dependencies are inferred from the claim text.