IP Library › Granted Patent US 12,648,934
Granted Patent B2
US 12,648,934 · App. 19/390,174 · Granted Jun 9, 2026

Combination therapy for a dopamine agonist

Inventors: Kathleen E. Clarence-Smith (Washington, DC); Thomas N. Chase (Washington, DC)
Assignee: ALTO NEUROSCIENCE, INC.
A61K31/428A61K31/4178A61P1/08A61P25/24
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Quick Facts
Patent No.
US 12,648,934
App. No.
19/390,174
Granted
Jun 9, 2026
Kind
B2
Abstract

The application describes a method of reducing emesis caused by a dopamine agonist in a patient with depression who is treated with a dopamine agonist, comprising administering ondansetron in combination with the dopamine agonist.

Claims (30)

1 . A method for treating a patient suffering from major depressive disorder (MDD), comprising administering to the patient a daily dose of 6 mg to 64 mg of ondansetron, or a pharmaceutically acceptable salt or solvate thereof, and a daily dose of 0.125 mg to 20 mg of pramipexole, or a pharmaceutically acceptable salt or solvate thereof.

2 . The method of claim 1 , comprising administering to the patient a daily dose of about 0.125 mg to about 6 mg of pramipexole, or a pharmaceutically acceptable salt or solvate thereof.

3 . The method of claim 1 , comprising administering to the patient a daily dose of about 0.375 mg to about 6 mg of pramipexole, or a pharmaceutically acceptable salt or solvate thereof.

4 . The method of claim 1 , comprising administering to the patient a daily dose of about 1 mg to about 6 mg of pramipexole, or a pharmaceutically acceptable salt or solvate thereof.

5 . The method of claim 1 , comprising administering pramipexole dihydrochloride monohydrate.

6 . The method of claim 1 , comprising administering to the patient a daily dose of about 0.125 mg to about 6 mg of pramipexole dihydrochloride monohydrate.

7 . The method of claim 1 , comprising administering to the patient a daily dose of about 0.375 mg to about 6 mg of pramipexole dihydrochloride monohydrate.

8 . The method of claim 1 , comprising administering to the patient a daily dose of about 1 mg to about 6 mg pramipexole dihydrochloride monohydrate.

9 . The method of claim 1 , comprising administering to the patient a daily dose of about 1 mg pramipexole dihydrochloride monohydrate.

10 . The method of claim 1 , comprising administering to the patient a daily dose of about 1.5 mg pramipexole dihydrochloride monohydrate.

11 . The method of claim 1 , comprising administering to the patient a daily dose of about 2.0 mg pramipexole dihydrochloride monohydrate.

12 . The method of claim 1 , comprising administering to the patient a daily dose of about 2.5 mg pramipexole dihydrochloride monohydrate.

13 . The method of claim 1 , comprising administering to the patient a daily dose of about 3.0 mg pramipexole dihydrochloride monohydrate.

14 . The method of claim 1 , comprising administering to the patient a daily dose of about 4.0 mg pramipexole dihydrochloride monohydrate.

15 . The method of claim 1 , comprising administering to the patient a daily dose of about 4.5 mg pramipexole dihydrochloride monohydrate.

16 . The method of claim 1 , comprising administering ondansetron hydrochloride dihydrate.

17 . The method of claim 1 , comprising administering to the patient about 6 mg to about 32 mg ondansetron or an equivalent dose of ondansetron hydrochloride dihydrate.

18 . The method of claim 1 , wherein the method comprises administering to the patient about 8 mg to about 16 mg of ondansetron or an equivalent dose of ondansetron hydrochloride dihydrate.

19 . The method of claim 1 , wherein ondansetron, or a pharmaceutically acceptable salt or solvate thereof, and pramipexole, or a pharmaceutically acceptable salt or solvate thereof, are formulated in separate pharmaceutical compositions.

20 . The method of claim 19 , wherein the separate pharmaceutical compositions are administered to the patient concurrently.

21 . The method of claim 19 , wherein the separate pharmaceutical compositions are administered to the patient sequentially.

22 . The method of claim 1 , wherein ondansetron, or a pharmaceutically acceptable salt or solvate thereof, and pramipexole, or a pharmaceutically acceptable salt or solvate thereof, are formulated in the same pharmaceutical composition.

23 . The method of claim 1 , comprising administering to the patient a daily dose of 6 mg to 32 mg of ondansetron, or a pharmaceutically acceptable salt or solvate thereof, and a daily dose of 0.125 mg to 6 mg of pramipexole, or a pharmaceutically acceptable salt or solvate thereof.

24 . The method of claim 23 , comprising administering to the patient a daily dose of about 0.375 mg to about 6 mg of pramipexole, or a pharmaceutically acceptable salt thereof.

25 . The method of claim 23 , wherein the pramipexole is pramipexole dihydrochloride monohydrate.

26 . The method of claim 23 , wherein the ondansetron is ondansetron hydrochloride dihydrate.

27 . The method of claim 1 , comprising administering ondansetron, or a pharmaceutically acceptable salt or solvate thereof, and pramipexole, or a pharmaceutically acceptable salt or solvate thereof, two times per day.

28 . The method of claim 1 , comprising administering ondansetron, or a pharmaceutically acceptable salt or solvate thereof, and pramipexole, or a pharmaceutically acceptable salt or solvate thereof, three times per day.

29 . The method of claim 23 , comprising administering ondansetron, or a pharmaceutically acceptable salt or solvate thereof, and pramipexole, or a pharmaceutically acceptable salt or solvate thereof, two times per day.

30 . The method of claim 23 , comprising administering ondansetron, or a pharmaceutically acceptable salt or solvate thereof, and pramipexole, or a pharmaceutically acceptable salt or solvate thereof, three times per day.

Assignments (1)
ASSIGNMENT OF ASSIGNOR'S INTEREST Recorded Feb 20, 2026
From: CLARENCE-SMITH, KATHLEEN E.; CHASE, THOMAS N.
To: ALTO NEUROSCIENCE, INC.
Reel/Frame 073851/0599 →
Continuity (4)
Continuation 19244143 · Jun 20, 2025
Continuation 16607252
Provisional Application 62489016 · Apr 24, 2017
Related Publication 20260069573A1 · Mar 12, 2026
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