Methods and compositions employing bicifadine for treating disability or functional impairment associated with acute pain, chronic pain, or neuropathic disorders
Methods and compositions are provided for formulating and administering bicifadine and related compounds to treat or prevent functional impairment and disabilities associated with acute pain, chronic pain, and neuropathic disorders.
1. A method for treating a disability or reducing a functional impairment in a mammalian subject associated with acute pain, chronic pain, or a neuropathic disorder, comprising administering to the mammalian subject in need thereof a therapeutically effective amount of a compound of Formula I
or a pharmaceutically acceptable salt thereof.
2. The method of claim 1 , wherein the disability or functional impairment is associated with chronic pain.
3. The method of claim 2 , wherein the chronic pain is selected from the group consisting of osteoarthritis pain, rheumatoid arthritis pain, cancer pain, chronic low back pain, chronic lumbar and cervical pain, chronic fibromyalgia pain, chronic pain from arteriovenous malformation, arachnoiditis, chronic pain from root avulsion, chronic postthoracotomy pain, and chronic postmastectomy pain of non-neuropathic origin.
4. The method of claim 3 , wherein the chronic pain is chronic low back pain (CLBP).
5. The method of claim 1 , wherein the compound of Formula I or a pharmaceutically acceptable salt thereof is formulated with a sustained release vehicle, matrix, binder, or coating material.
6. The method of claim 5 , wherein the sustained release vehicle, matrix, binder, or coating material comprises a sustained release polymer.
7. The method of claim 6 , wherein the sustained release polymer is selected from the group consisting of consisting of ethylcellulose, hydroxyethyl cellulose, hydroxyethylmethyl cellulose, hydroxypropyl cellulose, hydroxypropylmethyl cellulose, hydroxypropylmethyl cellulose phthalate, hydroxypropylmethylcellulose acetate succinate, hydroxypropylmethylcellulose acetate phthalate, sodium carboxymethylcellulose, cellulose acetate phthalate, cellulose acetate trimellitate, polyoxyethylene stearates, polyvinyl pyrrolidone, polyvinyl alcohol, copolymers of polyvinyl pyrrolidone and polyvinyl alcohol, polymethacrylate copolymers, and mixtures thereof.
8. The method of claim 7 , wherein the sustained release polymer is hydroxypropylmethyl cellulose.
9. The method of claim 1 , wherein the disability or functional impairment is associated with acute pain.
10. The method of claim 9 , wherein the acute pain results from a burn; cut; wound; trauma; surgery; headache; sprain; bone fracture; fibromyalgia;
acute lower back pain; dorsopathy; dysmenorrhea; infection; dysfunction of the liver, pancreas, endocrine glands, kidney, bladder, gall bladder, spleen, hematopoietic system, vasculature or other body organ or tissue; torn or injured muscle, ligament, or tendon; or acute exacerbation of a chronic or intermittent pain condition.
11. The method of claim 1 , wherein the disability or functional impairment is associated with a neuropathic disorder.
12. The method of claim 11 , wherein the neuropathic disorder is selected from the group consisting of diabetic neuropathy, peripheral neuropathy, distal symmetrical polyneuropathy, post-herpetic neuralgia, trigeminal neuralgia, alcoholism-related neuropathy, HIV sensory neuropathy, sciatica, spinal cord injury, post-stroke neuropathy, multiple sclerosis, Parkinson's disease, idiopathic or post-traumatic neuropathy, mononeuritis, cancer-associated neuropathy, peripheral nerve trauma, nerve transection, carpal tunnel injury, neuropathy associated with Fabry's disease, vasculitic neuropathy, neuropathy associated with Guillain-Barre syndrome, entrapment neuropathy, and phantom limb syndrome.
13. The method of claim 11 , wherein the neuropathic disorder is associated with fibromyalgia, Wallenberg's syndrome, connective tissue disease, plexus irradiation, ischemic irradiation, hematomyelia, dysraphism, tumor compression, arteriovenous malformation, syphilitic myelitis, commissural myelotomy, arachnoiditis, root avulsion, chronic lower back pain syndromes of neuropathic origin, or reflex sympathetic dystrophy.
14. The method of claim 1 comprising administering a therapeutically effective amount of 1-(4-methylphenyl)-3-azabicyclo[3.1.0]hexane hydrochloride.
15. The method of claim 1 comprising administering a therapeutically effective amount of (+)-1-(4-methylphenyl)-3-azabicyclo[3.1.0]hexane or a pharmaceutically acceptable salt thereof.
16. The method of claim 1 comprising administering a therapeutically effective amount of (+)-1-(4-methylphenyl)-3-azabicyclo[3.1.0]hexane or a pharmaceutically acceptable salt thereof substantially free of (+1-(4-methylphenyl)-3-azabicyclo[3.1.0]hexane or a pharmaceutically acceptable salt thereof.
17. The method of claim 1 comprising administering a therapeutically effective amount of (−)-1-(4-methylphenyl)-3-azabicyclo[3.1.0]hexane or a pharmaceutically acceptable salt thereof.
18. The method of claim 1 comprising administering a therapeutically effective amount of (−)-1-(4-methylphenyl)-3-azabicyclo[3.1.0]hexane or a pharmaceutically acceptable salt thereof substantially free of (+)-1-(4-methylphenyl)-3-azabicyclo[3.1.0]hexane or a pharmaceutically acceptable salt thereof.
19. The method of claim 1 comprising administering a therapeutically effective amount of polymorph form B of 1-(4-methylphenyl)-3-azabicyclo[3.1.0]hexane hydrochloride.
20. The method of claim 1 comprising administering a therapeutically effective amount of polymorph form B of 1-(4-methylphenyl)-3-azabicyclo[3.1.0]hexane hydrochloride substantially free of polymorph form A of 1-(4-methylphenyl)-3-azabicyclo[3.1.0]hexane hydrochloride.
21. The method of claim 1 comprising administering a therapeutically effective amount of polymorph form A of 1-(4-methylphenyl)-3-azabicyclo[3.1.0]hexane hydrochloride.
22. The method of claim 1 comprising administering a therapeutically effective amount of polymorph form A of 1-(4-methylphenyl)-3-azabicyclo[3.1.0]hexane hydrochloride substantially free of polymorph form B of 1-(4-methylphenyl)-3-azabicyclo[3.1.0]hexane hydrochloride.
23. The method of claim 1 comprising administering about 25 to 1200 mg of the compound of Formula I or a pharmaceutically acceptable salt thereof.
24. The method of claim 1 comprising administering about 50 to 1000 mg of the compound of Formula I or a pharmaceutically acceptable salt thereof.
25. The method of claim 1 comprising administering about 75 to 800 mg of the compound of Formula I or a pharmaceutically acceptable salt thereo.
26. The method of claim 1 comprising administering about 100 to 600 mg of the compound of Formula I or a pharmaceutically acceptable salt thereof.
27. The method of claim 1 comprising administering about 100 to 400 mg of the compound of Formula I or a pharmaceutically acceptable salt thereof.
28. The method of claim 1 comprising administering about 100 to 200 mg of the compound of Formula I or a pharmaceutically acceptable salt thereof.