Methods for treatment of insulin-like growth factor-1 deficiency
The present invention provides a method comprising administering to a patient suffering from an endocrine disorder characterized by partial endogenous growth hormone activity or signaling an amount of insulin-like growth factor-1 (IGF-1) and an amount of growth hormone (GH) that in combination are effective to improve growth or metabolism in the patient, where the patient receives IGF-1 in a single daily administration and receives GH in a single daily administration, and where the single administrations are administered to the patient substantially contemporaneously each day.
1. A method for treating a human pediatric subject having primary insulin-likegrowth factor-1 deficiency (IGFD) comprising;
administering to a human pediatric subject suffering from a growth disorder characterized by primary IGFD and partial endogenous growth hormone signaling a combination of an amount of insulin like growth factor-1 (IGF-1) and an amount of growth hormone (GH) effective to promote growth in the subject, wherein the subject is further characterized as follows:
the subject, at the time of treatment or prior to initial treatment with IGF-1, has or had a height at least about 2.0 standard deviations (SD) below a normal mean for a subject of the same age and gender, and
the subject has moderate primary IGFD but not severe primary IGFD,
and the subject has IGF-1 levels in blood that are below, but no more than about 2 SD below, normal mean IGF-1 blood levels for a subject of the same age or gender, and
wherein the subject receives each of IGF-1 and GH in a single administration per day, and wherein the single administration of IGF-1 and the single administration of GH are administered to the patient substantially contemporaneously each day.
2. The method of claim 1 , wherein IGF-1 is administered in a dose of about 25 to 250 μg/kg/day and GH is administered in a dose of about 0.05 to 0.5 mg/kg/week.
3. The method of claim 1 , wherein IGF-1 is administered in a dose of about 20 to 240 μg/kg/day.
4. The method of claim 1 , wherein the single administration of GH and the single administration of IGF-1 are each administered to the patient by subcutaneous injection.
5. The method of claim 1 , wherein the subject is further characterized as having a blood level of growth hormone binding protein (GHBP) which is at least normal for a subject of the same age and gender.
6. The method of claim 1 , wherein the subject does not have partial growth hormone insensitivity syndrome.
7. The method of claim 1 , wherein the subject receives the single administration of IGF-1 and the single administration of GH within about 2 hours of awakening from sleep each day.
8. The method of claim 1 , wherein the subject receives the single administration of IGF-1 with a meal or snack.
9. The method of claim 1 , wherein the subject does not receive treatment with insulin-like growth factor binding protein-3 (IGFBP-3) concomitantly with the IGF-1 therapy of the method.
10. The method of claim 1 , wherein the GH and the IGF-1 are in the form of separate solutions that are administered by separate injections.
11. The method of claim 10 , wherein IGF-1 is administered in a dose of about 25 to 250 μg/kg/day and GH is administered in a dose of about 0.05 to 0.5 mg/kg/week.
12. The method of claim 10 , wherein IGF-1 is administered in a dose of about 20 to 240 μg/kg/day.
13. The method of claim 10 , wherein the single administration of GH and the single administration of IGF-1 are each administered to the patient by subcutaneous injection.
14. The method of claim 10 , wherein the subject is further characterized as having a blood level of growth hormone binding protein (GHBP) which is at least normal for a subject of the same age and gender.
15. The method of claim 10 , wherein the subject does not have partial growth hormone insensitivity syndrome.
16. The method of claim 10 , wherein the subject receives the single administration of IGF-1 and the single administration of GH within about 2 hours of awakening from sleep each day.
17. The method of claim 10 , wherein the subject receives the single administration of IGF-1 with a meal or snack.
18. The method of claim 10 , wherein the subject does not receive treatment with insulin-like growth factor binding protein-3 (IGFBP-3) concomitantly with the IGF-1 therapy of the method.