Methods of administering deflazacort therapy
The disclosure provides a deflazacort therapy comprising, administering to a subject suffering from Duchenne muscular dystrophy (DMD) a fixed dose of deflazacort. Also provided is a deflazacort therapy comprising, increasing the deflazacort dosage when the subject loses ambulation; or, increasing the dosage of deflazacort administered during concomitant administration of a CYP3A4 inducer; or, decreasing the dosage of deflazacort administered during concomitant administration of a CYP3A inhibitor.
1. A method for treating a subject that is suffering from Duchenne muscular dystrophy (DMD) comprising,
(a) administering a target dose of deflazacort from a fixed target dose range; and
(b) administering a higher dose of deflazacort that is 1.2 fold to 1.4 fold higher than the target dose when the subject becomes non-ambulatory.
2. The method of claim 1 , wherein the fixed target dose range for a subject less than or equal to 11 years of age is 6-18 mg per day when the subject is ambulatory; or, wherein the fixed target dose range of deflazacort for a subject greater than 18 years of age is 36-72 mg per day when the subject is ambulatory.
3. The method of claim 1 , wherein the fixed target dose range for a subject weight range less than or equal to 30 kg is 12-36 mg per day when the subject is ambulatory; or, wherein the fixed target dose range of deflazacort for a subject weight range greater than 50 kg is 48-72 mg per day when the subject is ambulatory.
4. The method of claim 1 , wherein the target dose for a subject less than or equal to 11 years of age and having a subject weight range less than or equal to 30 kg is 18 mg per day when the subject is ambulatory, and the dose administered is 24 mg per day when the subject is non-ambulatory; or, wherein the target dose for a subject greater than 18 years of age and having a subject weight range greater than 50 kg is 48 mg per day when the subject is ambulatory, and the dose administered is 54 mg per day when the subject is non-ambulatory.
5. The method of claim 1 , wherein the subject is administered a moderate CYP3A4 inducer and the dosage of deflazacort is increased about Two-Fold to about Three-Fold.
6. The method of claim 1 , wherein the subject is administered a strong CYP3A4 inducer and the dosage of deflazacort is increased about Four-Fold to about Six-Fold.
7. The method of claim 1 , wherein the subject is administered a moderate CYP3A4 inhibitor and the dosage of deflazacort is reduced about Two-Fold to about Three-Fold.
8. The method of claim 1 , wherein the subject is administered a strong CYP3A4 inhibitor and the dosage of deflazacort is reduced about Three-Fold to about Four-Fold.
9. The method of claim 1 , wherein the subject is administered a Pgp inhibitor and the fixed dose of deflazacort is reduced about Three-Fold to about Four-Fold.
10. The method of claim 1 , wherein the fixed target dose range for a subject greater than 11 years of age and less than or equal to 18 years of age is 30-60 mg per day when the subject is ambulatory.
11. The method of claim 1 , wherein for a subject with a weight range of greater than 30 kg and less than or equal to 50 kg the fixed target dose range is 24-60 mg per day when the subject is ambulatory.
12. The method of claim 1 , wherein the higher dose is about 6 mg to about 24 mg more than the target dose.
13. The method of claim 12 , wherein the target dose for a subject greater than 11 years of age and less than or equal to 18 years of age and having a subject weight range greater than 30 kg and less than or equal to 50 kg is 36 mg per day when the subject is ambulatory and the dose administered is 42 mg when the subject is non-ambulatory.