Method for the treatment of prostate cancer

A - Human Necessities – 61 – K

Patent

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A61K 38/00 (2006.01)

Patent

CA 2521221

A method for the treatment of advanced prostate cancer comprises administering to a patient suffering from advanced prostate cancer an androgen suppressing amount of a luteinizing hormone releasing hormone agonist analog and an amount of calcitriol sufficient to enhance the effectiveness of the luteinizing hormone releasing hormone agonist analog against the cancer relative to treatment with the luteinizing hormone releasing hormone agonist analog alone. Preferably the calcitriol is in the form of a stabilized, injectable solution of calcitriol in isotonic saline containing about 1 to about 30 milligrams per milliliter of calcitriol and a sufficient quantity of nonionic surfactant to solubilize the calcitriol therein. Preferably the a luteinizing hormone releasing hormone agonist analog is a nonapeptide or decapeptide agonist, such as leuprolide, goserelin or salts thereof. The method of the present invention affords a surprisingly improved efficacy for treatment of advanced prostate cancer such as androgen-independent prostate cancer (AIPC) or hormone refractory prostate cancer (HRPC) in comparison to treatment with a luteinizing hormone releasing hormone agonist analog alone.

L'invention concerne un procédé permettant de traiter le cancer de la prostate à un stade avancé, qui consiste à administrer au patient souffrant d'un tel cancer une dose antiandrogène d'un analogue agoniste hormonal de libération de l'hormone lutéinisante et une dose de calcitriol suffisante pour renforcer l'efficacité de l'analogue agoniste hormonal de libération de l'hormone lutéinisante contre le cancer par rapport au traitement au moyen de l'analogue agoniste hormonal de libération de l'hormone lutéinisante seul. De préférence, la calcitriol est sous forme de solution injectable stabilisée de calcitriol dans une solution isotonique saline contenant entre environ 1 et environ 30 milligrammes par millilitre de calcitriol et une quantité suffisante d'un tensioactif non ionique pour y solubiliser la calcitriol. De préférence, l'analogue agoniste hormonal de libération de l'hormone lutéinisante est un agoniste nonapeptide ou décapeptide, par exemple leuprolide, gosereline ou des sels de celles-ci. Ledit procédé apporte étonnamment une meilleure efficacité dans le traitement du cancer de la prostate à un stade avancé tel que le cancer de la prostate androgéno-indépendant (AIPC) ou le cancer de la prostate réfractaire aux hormones (HRPC) comparé au traitement avec l'analogue agoniste hormonal de libération de l'hormone lutéinisante seul.

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