Osteoclast inhibitors for knee conditions
View Patent ↗Oral dosage forms of osteoclast inhibitors, such as nitrogen-containing bisphosphonates, can be used to treat or alleviate pain or related conditions.
1. A method of treating a bone marrow lesion of the knee comprising: selecting a patient having a bone marrow lesion of the knee and OARSI Grade 0 or Kellgren and Lawrence Grade 0 or Grade 1 of joint space narrowing, and administering an inhibitor of osteoclast activity to the patient for the treatment of the bone marrow lesion, wherein the inhibitor of osteoclast activity is ibandronic acid, risedronic acid, or alendronic acid.
2. The method of claim 1 , wherein the inhibitor of osteoclast activity is administered at least twice.
3. The method of claim 2 , wherein the inhibitor of osteoclast activity is administered about every three months, or more frequently.
4. The method of claim 1 , wherein the inhibitor of osteoclast activity is ibandronic acid.
5. The method of claim 1 , wherein the inhibitor of osteoclast activity is risedronic acid.
6. The method of claim 1 , wherein the inhibitor of osteoclast activity is alendronic acid.
7. The method of claim 1 , wherein the inhibitor of osteoclast activity is administered orally.
8. The method of claim 1 , wherein the inhibitor of osteoclast activity is administered intravenously.
9. The method of claim 1 , wherein the patient experiences a reduction in bone marrow lesion size that is at least about 15% within about six months after the inhibitor of osteoclast activity is administered to the patient.
10. The method of claim 1 , wherein the patient experiences a reduction in bone marrow lesion size that is at least about 25% within about six months after the inhibitor of osteoclast activity is administered to the patient.
11. The method of claim 2 , wherein the inhibitor of osteoclast activity is administered at least twice over a period of at least four weeks.
12. The method of claim 9 , wherein the inhibitor of osteoclast activity is administered once weekly for a period of six weeks.
13. The method of claim 9 , wherein the weekly dose of the inhibitor of osteoclast activity is between about 25 mg and about 75 mg.
14. The method of claim 10 , wherein the inhibitor of osteoclast activity is administered once weekly for a period of six weeks.
15. The method of claim 10 , wherein the weekly dose of the inhibitor of osteoclast activity is between about 25 mg and about 75 mg.
16. The method of claim 1 , wherein the patient is about 10 years to about 90 years old.
17. The method of claim 1 , wherein the patient has had knee pain associated with a bone marrow lesion of the knee for at least two months.
18. The method of claim 4 , wherein the patient has had knee pain associated with a bone marrow lesion of the knee for at least two months.
19. The method of claim 5 , wherein the patient has had knee pain associated with a bone marrow lesion of the knee for at least two months.
20. The method of claim 6 , wherein the patient has had knee pain associated with a bone marrow lesion of the knee for at least two months.
21. The method of claim 7 , wherein the human being is fasted for at least 2 hours before the inhibitor of osteoclast activity is orally administered.
22. The method of claim 7 , wherein the human being is fasted for at least 4 hours before the inhibitor of osteoclast activity is orally administered.
23. The method of claim 7 , wherein the human being is fasted for at least 6 hours before the inhibitor of osteoclast activity is orally administered.
24. The method of claim 7 , wherein the human being is fasted for at least 8 hours before the inhibitor of osteoclast activity is orally administered.
25. The method of claim 7 , wherein the human being is fasted for at least 10 hours before the inhibitor of osteoclast activity is orally administered.
26. The method of claim 7 , wherein the human being is fasted for at least 12 hours before the inhibitor of osteoclast activity is orally administered.
27. The method of claim 1 , wherein the inhibitor of osteoclast activity is orally administered in a tablet.
28. The method of claim 1 , wherein the inhibitor of osteoclast activity is orally administered in a capsule.
29. The method of claim 1 , wherein the inhibitor of osteoclast activity is orally administered in a pill.
30. The method of claim 1 , wherein the inhibitor of osteoclast activity is orally administered in a troche.