(12) Patent Application Publication (10) Pub. No.: US 2010/0061976 A1 Ishikawa Et Al
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US 20100061976A1 (19) United States (12) Patent Application Publication (10) Pub. No.: US 2010/0061976 A1 Ishikawa et al. (43) Pub. Date: Mar. 11, 2010 (54) METHOD FORTREATING OR PREVENTING Related U.S. Application Data OSTEOPOROSS BY REDUCING FOLLCLE (63) Continuation-in-part of application No. 12/220,708, STMULATING HORMONE TO CYCLC filed on Jul. 24, 2008, Continuation-in-part of applica PHYSIOLOGICAL LEVELS INA tion No. 12/220,704, filed on Jul. 24, 2008, Continua MAMMALLAN SUBJECT tion-in-part of application No. 12/220,707, filed on Jul. 24, 2008, Continuation-in-part of application No. (75) Inventors: Muriel Y. Ishikawa, Livermore, 12/455,272, filed on May 29, 2009. CA (US); Lowell L. Wood, JR. Publication Classification Bellevue, WA (US) (51) Int. Cl. A 6LX 39/395 (2006.01) Correspondence Address: A638/00 (2006.01) SEARETE LLC A63L/7088 (2006.01) CLARENCET. TEGREENE A6II 3/56 (2006.01) 1756 - 114THAVE., S.E., SUTE 110 (52) U.S. Cl. .......... 424/130.1: 514/2: 514/44 R: 514/169 BELLEVUE, WA 98004 (US) (57) ABSTRACT A method is described for treating or preventing a bone loss (73) Assignee: Searete LLC, a limited liability disease or a bone loss disorder in a mammalian Subject or corporation of the State of reducing the incidence of a bone loss disease or a bone loss Delaware disorder or alleviating the symptoms thereof. The method includes providing to the mammalian Subject at least one treatment regimen including at least one follicle-stimulating (21) Appl. No.: 12/462,057 hormone modulator configured to and in an amount Sufficient to reduce bioactivity or bioavailability of follicle-stimulating (22) Filed: Jul. 27, 2009 hormone in the mammalian Subject. Patent Application Publication Mar. 11, 2010 Sheet 1 of 3 US 2010/0061976 A1 Subject #1 FIGURE 1 Perimenopausal or postmenopausal female subject: Prior to Treatment Follicle-stimulating Luteinizing Level Level Pituitary Hormone Cycle 400 Estrogen Proges Level 200 terOne 100 Level Sex Hormone Cycle Subject #1 Perimenopausal or postmenopausal female subject: Following Treatment Follicle-stimulating Luteinizing hormone :- hormone FSH LH Level Level Pituitary Hormone Cycle 400 Proges Estrogen roges Level 200 terOc Level 1 OO 4. 8 12 15 18 22 28 Day of Cycle Patent Application Publication Mar. 11, 2010 Sheet 2 of 3 US 2010/0061976 A1 FIGURE 2 (son200 2O2 N- (204 206 Directly measure Obtain data on hormone Directly measure & record hormone levels of the subject from & record hormone levels in the subject medical history e.g., provided by GP to levels in the subject specialist 208 Obtain data regarding premenopausal hormone levels; e.g., Obtain data regarding cyclic changes, age-related changes current hormone levels Determine treatment regimen e.g., using computational methods, comparisons, etc. Provide treatment regimen to the subject Monitor current levels in the subject Patent Application Publication Mar. 11, 2010 Sheet 3 of 3 US 2010/0061976 A1 FIGURE 3 300 A system 301 a sensor configured to detect one or more hormones in one or more tissues of the mammalian subject; and 302 a controller in communication with the sensor, wherein the controller is configured to provide at least one treatment regimen including at least one follicle-stimulating hormone modulator configured to and in an amount sufficient to reduce bioactivity or bioavailability of follicle stimulating hormone in the mammalian subject, and to approximate the level of bioactive or bioavailable follicle-stimulating hormone to a target cyclic physiological pre-disease effective level in the mammalian subject. 303 304 305 306 wherein the at least wherein the at least wherein the at least wherein the at least One treatment One treatment One treatment One treatment regimen further regimen is regimen is regimen is includes providing determined based on determined based on determined based replacement therapy population data of pre-disease cyclic on pre-disease including one or physiological cyclic levels of steroid cyclic levels of more steroid pre-disease levels of hormone in the follicle-stimulating hormones or the one or more mammalian subject hormone in the metabolites or steroid hormones in and on current cyclic mammalian subject Ole O Ore levels of steroid and on current modulators thereof. mammalian subjects. hormone in the cyclic levels of mammalian subject. follicle-stimulating hormone in the mammalian subject. US 2010/006 1976 A1 Mar. 11, 2010 METHOD FOR TREATING OR PREVENTING OR CONDITION UTILIZING ESTROGEN RECEP OSTEOPOROSS BY REDUCING FOLLCLE TOR MODULATORS BASED ON APOE ALLELIC STMULATING. HORMONE TO CYCLC PROFILE OF A MAMMALIAN SUBJECT, naming PHYSIOLOGICAL LEVELS INA Roderick A. Hyde, Muriel Y. Ishikawa, Eric C. MAMMALIAN SUBJECT Leuthardt, Dennis J. Rivet, Elizabeth A. Sweeney, Low ell L. Wood, Jr. and Victoria Y. H. Wood as inventors, CROSS-REFERENCE TO RELATED filed 29 May 2009, which is currently co-pending, or is APPLICATIONS an application of which a currently co-pending applica tion is entitled to the benefit of the filing date. 0001. The present application is related to and claims the 0006. The United States Patent Office (USPTO) has pub benefit of the earliest available effective filing date(s) from lished a notice to the effect that the USPTO's computer pro the following listed application(s) (the “Related Applica grams require that patent applicants reference both a serial tions”) (e.g., claims earliest available priority dates for other number and indicate whether an application is a continuation than provisional patent applications or claims benefits under or continuation-in-part. Stephen G. Kunin, Benefit of Prior 35 USC S119(e) for provisional patent applications, for any Filed Application, USPTO Official Gazette Mar. 18, 2003, and all parent, grandparent, great-grandparent, etc. applica available at http://www.uspto.gov/web/offices/com/sol/og/ tions of the Related Application(s)). All subject matter of the 2003/week 1 1/patbene.htm. The present Applicant Entity Related Applications and of any and all parent, grandparent, (hereinafter Applicant”) has provided above a specific ref great-grandparent, etc. applications of the Related Applica erence to the application(s) from which priority is being tions is incorporated herein by reference to the extent such claimed as recited by statute. Applicant understands that the Subject matter is not inconsistent herewith. statute is unambiguous in its specific reference language and does not require either a serial number or any characteriza RELATED APPLICATIONS tion, Such as "continuation' or “continuation-in-part for 0002 For purposes of the USPTO extra-statutory claiming priority to U.S. patent applications. Notwithstand requirements, the present application constitutes a con ing the foregoing, Applicant understands that the USPTO's tinuation-in-part of U.S. patent application Ser. No. computer programs have certain data entry requirements, and 12/220,708, entitled METHOD, DEVICE, AND KIT hence Applicant is designating the present application as a FOR MAINTAINING PHYSIOLOGICAL LEVELS continuation-in-part of its parent applications as set forth OF STEROID HORMONE IN A SUBJECT, naming above, but expressly points out that such designations are not Roderick A. Hyde, Muriel Y. Ishikawa, Dennis J. Rivet, to be construed in any way as any type of commentary and/or Elizabeth A. Sweeney, Lowell L. Wood, Jr. and Victoria admission as to whether or not the present application con Y. H. Wood as inventors, filed 24 Jul. 2008, which is tains any new matter in addition to the matter of its parent currently co-pending, or is an application of which a application(s). currently co-pending application is entitled to the benefit of the filing date. SUMMARY 0003 For purposes of the USPTO extra-statutory 0007. A method is described herein for treating or prevent requirements, the present application constitutes a con ing a bone loss disease or a bone loss disorderina mammalian tinuation-in-part of U.S. patent application Ser. No. Subject or reducing the incidence of a bone loss disease or a 12/220,704, entitled METHOD, DEVICE, AND KIT bone loss disorder or alleviating the symptoms thereof. The FOR MAINTAINING PHYSIOLOGICAL LEVELS method includes providing to the mammalian Subject at least OF STEROID HORMONE IN A SUBJECT, naming one treatment regimen including at least one follicle-stimu Roderick A. Hyde, Muriel Y. Ishikawa, Dennis J. Rivet, lating hormone modulator configured to and in an amount Elizabeth A. Sweeney, Lowell L. Wood, Jr. and Victoria sufficient to reduce bioactivity or bioavailability of follicle Y. H. Wood as inventors, filed 24 Jul. 2008, which is stimulating hormone in the mammalian Subject. The at least currently co-pending, or is an application of which a one treatment regimen is configured to approximate the level currently co-pending application is entitled to the benefit of bioactive or bioavailable follicle-stimulating hormone to a of the filing date. target cyclic physiological pre-disease effective level in the 0004 For purposes of the USPTO extra-statutory mammalian Subject. The at least one follicle-stimulating hor requirements, the present application constitutes a con mone modulator includes, but is not limited to, an inhibitor of tinuation-in-part of U.S. patent application Ser. No. follicle-stimulating hormone bioactivity, a follicle-stimulat 12/220,707, entitled SYSTEM AND DEVICE FOR ing hormone receptor antagonist, oran inhibitor of osteoclast MAINTAINING PHYSIOLOGICAL LEVELS OF activity. The at least one treatment regimen can be determined STEROID HORMONE IN A SUBJECT, naming Rod based on pre-disease cyclic levels of follicle-stimulating hor erick A. Hyde, Muriel Y. Ishikawa, Dennis J. Rivet, mone in the mammalian Subject and on current cyclic levels Elizabeth A. Sweeney, Lowell L. Wood, Jr. and Victoria of follicle-stimulating hormone in the mammalian Subject. Y. H. Wood as inventors, filed 24 Jul. 2008, which is The method which includes providing the at least one treat currently co-pending, or is an application of which a ment regimen can further include providing a cyclic treatment currently co-pending application is entitled to the benefit regimen including at least one gonadotropin-releasing hor of the filing date.