Method for treating neovascularization
View Patent ↗The present invention describes an improved photodynamic treatment to treat subfoveal choroidal neovascularization (CNV).
1. A method for repeat adjunctive therapy for the treatment of unwanted ocular neovasculature in a subject suffering from choroidal neovascularization or retinal neovascularization, the method comprising;
(a) administering an effective amount of a photosensitive agent to the subject; and
(b) irradiating the unwanted neovasculature with light having a wavelength absorbable by the photosensitive agent, followed by
(c) administering an effective amount of an antagonist of vascular endothelial growth factor (VEGF); and
(d) repeating the method of steps (a), (b), and (c) or repeating step (c).
2. The method of claim 1 , wherein the antagonist of VEGF of step (c) is administered between 0 and about 4 weeks after the administration of the photosensitive agent of step (a) and step (b).
3. The method of claim 1 , wherein the antagonist of VEGF is administered between 0 and about 1 week after the administration of the photosensitive agent of step (a) and step (b).
4. The method of claim 1 , wherein the administration of the antagonist of VEGF of step (c) comprises multiple administrations after any administration of the photosensitive agent of step (a) and step (b).
5. The method of claim 1 wherein the subject is suffering from retinal neovascularization.
6. The method of claim 1 , wherein the photosensitive agent is a green porphyrin.
7. The method of claim 6 , wherein the green porphyrin is benzoporphyrin derivative monoacid ring A.
8. The method of claim 7 , wherein the benzoporphyrin derivative monoacid ring A is formulated as a liposomal composition.
9. The method of claim 6 , wherein the green porphyrin is administered at a dosage of 0.1-50 mg/m 2 .
10. The method of claim 9 , wherein the green porphyrin is administered at a dosage of 0.2-10 mg/m 2 .
11. The method of claim 10 , wherein the green porphyrin is administered at a dosage of 2-8 mg/m 2 .
12. The method of claim 1 , wherein the antagonist of VEGF of step (c) is administered as an aqueous solution.
13. The method of claim 1 , wherein t the antagonist of VEGF of step (c) is administered at a dosage of 1-500 mg/kg of body weight.
14. A method for treating unwanted ocular neovasculature in a subject suffering from choroidal neovascularization or retinal neovascularization, the method comprising;
(a) administering an effective amount of a photosensitive agent to the subject; and
(b) irradiating the unwanted neovasculature with light having a wavelength absorbable by the photosensitive agent, followed by
(c) administering an effective amount of an antagonist of vascular endothelial growth factor (VEGF);
wherein the photosensitive agent is a green porphyrin administered at a dosage of 0.1-50 mg/m 2 .
15. The method of claim 14 , wherein the green porphyrin is administered at a dosage of 0.2-10 mg/m 2 .
16. The method of claim 15 , wherein the green porphyrin is administered at a dosage of 2-8 mg/m 2 .
17. The method of claim 16 , wherein the antagonist of VEGF is administered between 0 and about 4 weeks after the administration of the photosensitive agent.
18. The method of claim 17 , wherein the antagonist of VEGF is administered between 0 and about 1 week after the administration of the photosensitive agent.
19. The method of claim 18 , wherein the subject is suffering from retinal neovascularization.