Compositions and methods for treating multiple sclerosis and related disorders
The present disclosure is in the field of pharmaceutical compositions suitable for the treatment of diseases in mammals. The disclosure provides novel compositions comprising non-pathogenic fecal microbes for treating multiple sclerosis and related diseases. The disclosure also provides methods for treating a subject with the compositions disclosed herein.
1. A method for treating relapsing-remitting multiple sclerosis in a human subject in need thereof, the method comprising administering to the human subject a pharmaceutically active dose of a therapeutic composition comprising a community of fecal bacteria derived from a stool or portion thereof of a healthy human donor, wherein the therapeutic composition further comprises a cultured bacterial isolate.
2. The method of claim 1 , wherein the method reduces one or more symptoms selected from the group consisting of: constipation and stool leakage, difficulty urinating, frequent urination, urine leakage, double vision, eye discomfort, rapid eye movements, vision loss, memory loss, difficulty solving problems, depression, hearing loss, slurred speech, difficulty with chewing and difficulty with swallowing, limb weakness, tremors, numbness, and motor difficulties.
3. The method of claim 1 , wherein the composition comprises a cryoprotectant.
4. The method of claim 3 , wherein the cryoprotectant is selected from the group consisting of polyethylene glycol, skim milk, erythritol, arabitol, sorbitol, glucose, fructose, alanine, glycine, proline, sucrose, lactose, ribose, trehalose, dimethyl sulfoxide (DMSO), glycerol, and a combination thereof.
5. The method of claim 1 , wherein the composition is in a liquid, frozen, freeze-dried, spray-dried, foam-dried, or powder form.
6. The method of claim 1 , wherein the composition is orally administered.
7. The method of claim 6 , wherein the composition is formulated as a delayed or gradual enteric release form.
8. The method of claim 1 , wherein the composition is formulated as an enteric-coated capsule or an acid-resistant capsule.
9. The method of claim 1 , wherein the subject is pre-treated with an antibiotic prior to administration of the composition.
10. A method for treating multiple sclerosis in a human subject in need thereof, the method comprising administering to the human subject (i) a bacterial isolate, and (ii) a preparation of live non-pathogenic fecal bacteria harvested from a healthy human donor.
11. The method of claim 10 , wherein the multiple sclerosis is clinically isolated syndrome (CIS), relapsing-remitting multiple sclerosis (RRMS), primary progressive multiple sclerosis (PPMS), and secondary progressive multiple sclerosis (SPMS).
12. The method of claim 10 , wherein the method reduces one or more symptoms selected from the group consisting of: constipation and stool leakage, difficulty urinating, frequent urination, urine leakage, double vision, eye discomfort, rapid eye movements, vision loss, memory loss, difficulty solving problems, depression, hearing loss, slurred speech, difficulty with chewing and difficulty with swallowing, limb weakness, tremors, numbness, and motor difficulties.
13. The method of claim 10 , wherein the composition comprises a cryoprotectant.
14. The method of claim 13 , wherein the cryoprotectant is selected from the group consisting of polyethylene glycol, skim milk, erythritol, arabitol, sorbitol, glucose, fructose, alanine, glycine, proline, sucrose, lactose, ribose, trehalose, dimethyl sulfoxide (DMSO), glycerol, and a combination thereof.
15. The method of claim 10 , wherein the composition is in a liquid, frozen, freeze-dried, spray-dried, foam-dried, or powder form.
16. The method of claim 10 , wherein the composition is orally administered.
17. The method of claim 16 , wherein the composition is formulated as a delayed or gradual enteric release form.
18. The method of claim 10 , wherein the composition is formulated as an enteric-coated capsule or an acid-resistant capsule.
19. The method of claim 10 , wherein the subject is pre-treated with an antibiotic prior to administration of the composition.
20. The method of claim 10 , wherein the therapeutic composition further comprises a non-cellular fecal filtrate.