Methods for the treatment of systemic disorders treatable with mast cell stabilizers, including mast cell related disorders
Methods for the treatment of systemic disorders treatable with mast cell stabilizers, including mast cell related disorders, are provided.
1. A method of treating a patient having mastocytosis, comprising using a high efficiency nebulizer to administer to the patient a composition comprising a mast cell stabilizer, purified water, and sodium chloride as an excipient, wherein the mast cell stabilizer is cromolyn sodium, and wherein administration of the composition using the high efficiency nebulizer produces in a human subject group an average AUC (0-∞) of the cromolyn sodium greater than about 120 ng*hr/mL.
2. The method of claim 1 , wherein the high efficiency nebulizer provides an RF (≦3.3 μm) of at least about 30% and/or an RF (≦5 μm) of at least about 65%.
3. The method of claim 1 , wherein the high efficiency nebulizer provides an RF (≦3.3 μm) of at least about 45% and/or an RF (≦5 μm) of at least about 75%.
4. The method of claim 1 , wherein the composition comprises greater than about 2% cromolyn sodium.
5. The method of claim 1 , wherein the composition comprises about 4% to about 6% cromolyn sodium.
6. The method of claim 1 , wherein the composition comprises sodium EDTA.
7. The method of claim 1 , wherein the composition further comprises mannitol.
8. The method of claim 1 , wherein the composition has a fill volume of about 0.1 mL to about 5 mL.
9. The method of claim 1 , wherein the composition has a fill volume of about 2 mL or less.
10. The method of claim 1 , wherein the composition comprises about 1 mg to about 120 mg of cromolyn sodium.
11. The method of claim 1 , wherein the composition comprises about 5 mg to about 80 mg of cromolyn sodium.
12. The method of claim 1 , wherein the composition comprises about 20 mg to about 60 mg of cromolyn sodium.
13. The method of claim 1 , wherein the composition comprises about 30 mg to about 50 mg of cromolyn sodium.
14. The method of claim 1 , wherein the composition comprises about 40 mg of cromolyn sodium.
15. The method of claim 1 , wherein the median particle size of the cromolyn sodium aerosol produced by the high efficiency nebulizer is between about 3 μm and about 4 μm.
16. The method of claim 1 , wherein administration of the composition produces in a human subject group an average AUC (0-∞) of the cromolyn sodium greater than about 200 ng*hr/mL.
17. The method of claim 1 , wherein administration of the composition produces in a human subject group an average AUC (0-∞) of the cromolyn sodium greater than about 330 ng*hr/mL.
18. The method of claim 1 , wherein administration of the composition produces in a human subject group an average AUC (0-∞) of the cromolyn sodium greater than about 525 ng*hr/mL.
19. The method of claim 16 , wherein 40 mg of cromolyn sodium is administered.
20. The method of claim 17 , wherein 60 mg of cromolyn sodium is administered.
21. The method of claim 18 , wherein 80 mg of cromolyn sodium is administered.
22. The method of claim 1 , wherein administration of the composition does not cause one or more adverse events selected from the group consisting of dysgeusia and abdominal discomfort.
23. The method of claim 1 , wherein administration of the composition produces in the human subject group an average Cmax of the cromolyn sodium greater than about 55 ng/mL.
24. The method of claim 23 , wherein administration of the composition produces in the human subject group an average Cmax of the cromolyn sodium greater than about 80 ng/mL.
25. The method of claim 24 , wherein administration of the composition produces in the human subject group an average Cmax of the cromolyn sodium greater than about 150 ng/mL.
26. The method of claim 25 , wherein administration of the composition produces in the human subject group an average Cmax of the cromolyn sodium greater than about 230 ng/mL.
27. The method of claim 1 , wherein an oral formulation of cromolyn sodium is not administered in the method.