What is claimed is:
1. A method of treating a disease state in a patient by irreversibly inhibiting the action of a catalytic antibody comprising:
a) administering to said patient a therapeutic amount of a CRAA, said CRAA comprising an epitope recognized and irreversibly bound by said catalytic antibody;
b) assessing said patient for inactivation of said catalytic antibody; and
c) repeating step a) as necessary to maintain inhibition of said action of said catalytic antibody.
2. A method as claimed in claim 1, wherein said disease state is an autoimmune disease.
3. A method as claimed in claim 2, wherein said autoimmune disease is selected from the group consisting of autoimmune thyroiditis, systemic lupus erythmatosus, asthma, rheumatoid arthritis, mixed connective disease, Reiter’s syndrome, Sjogren’s syndrome, vasculitis, and bird shot retinopathy.
4. A method as claimed in claim 3, wherein said disease state is a lymphoproliferative disorder.
5. A method as claimed in claim 4, wherein said lymphoproliferative disorder is selected from the group consisting of multiple myeloma, acute lymphoblastic leukemia, lymphoblastic lymphoma, Small lymphocytic lymphoma, lymphoplasmacytoid lymphoma, Waldenstroms macroglobinemia, Follicular Center, lymphoma, mucoseassociated lymphoid tissue lymphoma, Hairy Cell Leukemia, Diffuse Large B-Cell lymphoma, Burkitts Lymphoma, and Node based moncocytoid lymphoma.
6. A method for stimulating production of antibodies with catalytic activity comprising:
a) administering to a test subject, an immunogenic amount of a covalently reactive antigen analog;
b) repeating step a) as necessary to ensure effective antibody production; and
c) isolating and purifying said antibodies.
7. A catalytic antibody produced by the method of claim 6.
8. A method of stimulating production of catalytic antibodies as claimed in claim 6, wherein an immunogenic amount of a transition state analog (TSA) is coadministered with said CRAA.
9. A catalytic antibody produced by the method of claim 8.
10. A method for treating a disease state in a patient comprising administering a therapeutically effective amount of antibodies having catalytic activity, produced by the method of claim 7.
11. A method of inhibiting the catalytic antibody used in the treatment of claim 10, comprising:
a) administering to said patient a CRAA, said CRAA binding said catalytic antibody irreversibly;
b) assessing said patient for inhibition of catalytic antibody activity;
c) repeating step a) as necessary to maintain inhibition of said catalytic antibody activity.
12. A method for passively immunizing a patient, comprising:
a) adminstering to said patient a catalytic antibody specific for an antigen associated with a medical disorder diagnosed in said patient;
b) repeating step a) as necessary to maintain immunity;
c) assessing said patient’s sera for the presence of cataltyic antibodies.
13. A method for actively immunizing a patient, against a microbial infection, comprising:
a) complexing a CRAA comprising an immunogenic microbial epitope from an infectious organism with an adjuvant, said CRAA-epitope-adjuvant complex comprising a vaccine;
b) adminstering said vaccine to said patient in a dose in the range of 100-1000 microgramskg body weight;
c) administering at least one booster injection, said at least one booster injections being administered at four week intervals; and
d) assessing said patient’s sera for the presence of catalytic antibodies against said microbial epitope.
The claims below are in addition to those above.
All refrences to claim(s) which appear below refer to the numbering after this setence.
1. A method for delaying the onset of ejaculation in a human individual, comprising administering to the individual an effective amount of a pharmaceutical formulation containing an active agent comprising a serotonin agonist, a serotonin antagonist, or a combination thereof, wherein the active agent is effective to delay the onset of ejaculation by the individual during sexual intercourse.
2. The method of claim 1, wherein the formulation is administered transurethrally.
3. The method of claim 1, wherein the formulation is administered by intracavernosal injection.
4. The method of claim 1, wherein the formulation is administered transdermally.
5. The method of claim 1, wherein the formulation is administered topically.
6. The method of claim 1, wherein the formulation is administered orally.
7. The method of claim 1, wherein the formulation is administered parenterally.
8. The method of claim 1, wherein the formulation is administered buccally.
9. The method of claim 1, wherein the formulation is administered nasally.
10. The method of claim 1, wherein the agent is a serotonin agonist.
11. The method of claim 10, wherein the serotonin agonist is a 5-HT4 agonist.
12. The method of claim 10, wherein the serotonin agonist is selected from the group consisting of 2-methyl serotonin, buspirone, ipsaperone, tiaspirone, gepirone, D-lysergic acid diethylamide, ergot alkaloids, 8-hydroxy-(2-N,N-dipropylamino)-tetraline, 1-(4-bromo-2,5-dimethoxyphenyl)-2-aminopropane, cisapride, sumatriptan, m-chlorophenylpiperazine, trazodone, zacopride, mezacopride, and combinations thereof.
13. The method of claim 1, wherein the agent is a serotonin antagonist.
14. The method of claim 13, wherein the serotonin antagonist is a 5-HT3 antagonist.
15. The method of claim 13, wherein the serotonin antagonist is selected from the group consisting of ondansetron, granisetron, metoclopramide, tropisetron, dolasetron, tri-methobenzamide, methysergide, risperidone, ketanserin, ritanserin, clozapine, amitriptyline, k()–(2,3-dimethoxyphenyl)-1-2-(4-fluorophenyl)ethyl-4-piperidine-methanol, azatadine, cyproheptadine, fenclonine, dexfenfluramnine, fenfluramine, chlorpromazine, mianserin, and combinations thereof.
16. The method of claim 1, wherein a predetermined dose of the agent is administered to the individual one to four times in a twenty-four hour period.
17. The method of claim 1, wherein the pharmaceutical formulation further comprises a vasoactive agent.
18. The method of claim 2, wherein the pharmaceutical formulation comprises a urethral suppository.
19. The method of claim 18, wherein the urethral suppository contains a pharmacologically acceptable carrier selected from the group consisting of polyethylene glycol and derivatives thereof.
20. The method of claim 19, wherein the urethral suppository further includes a solubilizing compound for increasing the solubility of the agent in the carrier.
21. The method of claim 1, wherein the individual suffers from premature ejaculation.
22. A method for delaying the onset of ejaculation in an individual, comprising administering to the individual an effective amount of a pharmaceutical formulation containing an active agent comprising: a 5-HT1A, 5-HT1B, 5-HT1E, 5-HT1F, 5-HT2, 5-HT3 or 5-HT4 agonist; a serotonin antagonist; or a combination thereof, wherein the active agent is effective to delay the onset of ejaculation by the individual during sexual intercourse.
23. A pharmaceutical formulation for delaying the onset of ejaculation in a male individual, comprising a urethral dosage form of an active agent comprising a serotonin agonist, a serotonin antagonist, or a combination thereof, and a pharmaceutically acceptable carrier or excipient.
24. The formulation of claim 23, wherein the agent is a serotonin agonist.
25. The formulation of claim 24, wherein the serotonin agonist is a 5-HT4 agonist.
26. The formulation of claim 24, wherein the serotonin agonist is selected from the group consisting of 2-methyl serotonin, buspirone, ipsaperone, tiaspirone, gepirone, D-lysergic acid diethylamide, ergot alkaloids, 8-hydroxy-(2-N,N-dipropylamino)-tetraline, 1-(4-bromo-2,5-dimethoxyphenyl)-2-aminopropane, cisapride, sumatriptan, m-chlorophenyl-piperazine, trazodone, zacopride, mezacopride and combinations thereof.
27. The formulation of claim 23, wherein the agent is a serotonin antagonist.
28. The formulation of claim 27, wherein the serotonin antagonist is a 5-HT3 antagonist.
29. The formulation of claim 27, wherein the serotonin antagonist is selected from the group consisting of ondansetron, granisetron, metoclopramide, tropisetron, dolasetron, trimethobenzamide, methysergide, risperidone, ketanserin, ritanserin, clozapine, amitriptyline, R()–(2,3-dimethoxyphenyl)-1-2-(4-fluorophenyl)ethyl-4-piperidine-methanol, azatadine, cyproheptadine, fenclonine, dexfenfluramine, fenfluramine, chlorpromazine, mianserin, and combinations thereof.
30. The formulation of claim 23, further comprising a vasoactive agent.
31. A kit for delaying the onset of ejaculation in an individual, comprising: a pharmaceutical formulation containing an active agent comprising a serotonin agonist, a serotonin antagonist, or mixtures thereof, a drug delivery means for administering the formulation; a container for housing the formulation and drug delivery means; and instructions for using the drug delivery means for administering the formulation to treat premature ejaculation.
32. The kit of claim 31, wherein the drug delivery means comprises a transurethral drug delivery device.
33. The kit of claim 31, further including a flexible, adjustable venous flow control (VFC) device and instructions for using the VFC device.
34. A method for delaying the onset of ejaculation in a male individual, comprising locally administering to the individual an effective amount of a pharmaceutical formulation containing a pharmacologically active agent of a type and in an amount effective to delay the onset of ejaculation by the individual during sexual intercourse, wherein the agent is selected from the group consisting of antidepressants, serotonin agonists, serotonin antagonists, adrenergic agonists, adrenergic antagonists, adrenergic neurone blockers, and derivatives and analogs thereof.
35. The method of claim 34, wherein the agent is an antidepressant.
36. The method of claim 35, wherein the antidepressant is selected from the group consisting of amesergide, amineptine, amitriptyline, amoxapine, benactyzine, brofaromine, bupropion, butriptyline, cianopramine, citalopram, clomipramine, clorgyline, clovoxamnine, demexiptiline, desipramine, dibenzepin, dimetacrine, dothiepin, doxepin, etoperidone, femoxetine, fezolamine, fluoxetine, fluvoxamine, ifoxetine, imipramine, iprindole, isocarboxazid, levoprotiline, lofepramine, maprotiline, medifoxamine, melitracen, metapramine, methylphenidate, mianserin, milnacipran, minaprine, mirtazapine, moclobemide, nefazodone, nialamide, nomifensine, nortriptyline, opipramol, oxaflozane, oxaprotiline, oxitriptan, paroxetine, phenelzine, pirlindole, propizepine, protriptyline, quinupramine, rolipram, selegiline, sertraline, setiptiline, sibutramine, teniloxazine, tianeptine, tofenacin, toloxatone, tranylcypromine, trazodone, trimipramine, tryptophan, venlafaxine, viloxazine, viqualine, zimeldine, and combinations thereof.
37. The method of claim 34, wherein the agent is a serotonin agonist.
38. The method of claim 37, wherein the serotonin agonist is a 5-HT4 agonist.
39. The method of claim 37, wherein the serotonin agonist is selected from the group consisting of 2-methyl serotonin, buspirone, ipsaperone, tiaspirone, gepirone, lysergic acid diethylamide, ergot alkaloids, 8-hydroxy-(2-N,N-dipropylamino)-tetraline, 1-(4-bromo-2,5-dimethoxyphenyl)-2-aminopropane, cisapride, sumatriptan, m-chlorophenylpiperazine, trazodone, zacopride, mezacopride, and combinations thereof.
40. The method of claim 37, wherein the agent is a serotonin antagonist.
41. The method of claim 40, wherein the serotonin agonist is a 5-HT4 agonist.
42. The method of claim 40, wherein the serotonin antagonist is selected from the group consisting of ondansetron, granisetron, metoclopramide, tropisetron, dolasetron, trimethobenzamide, methysergide, risperidone, ketanserin, ritanserin, clozapine, amitryptiline, R()–(2,3-dimethoxyphenyl)-1-2-(4-fluorophenyl)ethyl-4-piperidine-methanol, azatadine, cyproheptadine, fenclonine, dexfenfluramine, fenfluramine, chlorpromazine, mianserin, and combinations thereof.
43. The method of claim 34, wherein the agent is an adrenergic agonist.
44. The method of claim 43, wherein the adrenergic agonist is selected from the group consisting of methoxamine, methpentermine, metaraminol, mitodrine, clonidine, apraclonidine, guanfacine, guanabenz, methyldopa, amphetamine, methamphetamine, epinephrine, norepinephrine, ethylnorepinephrine, phenylephrine, ephedrine, pseudoephedrine, methylphenidate, pemoline, naphazoline, tetrahydrozoline, oxymetazoline, xylometazoline, phenylpropanolamine, phenylethylamine, dopamine, dobutamine, colterol, isoproterenol, isotharine, metaproterenol, terbutaline, metaraminol, tyramine, hydroxyamphetamine, ritodrine, prenalterol, albuterol, isoetharine, pirbuterol, bitolterol, fenoterol, formoterol, procaterol, salmeterol, mephenterine, propylhexedrine, and combinations thereof.
45. The method of claim 34, wherein the agent is an adrenergic antagonist.
46. The method of claim 45, wherein the adrenergic antagonist is selected from the group consisting of phenoxybenzamine, phentolamine, tolazoline, prazosin, terazosin, doxazosin, trimazosin, yohimbine, ergot alkaloids, labetalol, ketanserin, urapidil, alfuzosin, bunazosin, tamsulosin, chlorpromazine, haloperidol, phenothiazines, butyrophenones, propranolol, nadolol, timolol, pindolol, metoprolol, atenolol, esmolol, acebutolol, bopindolol, carteolol, oxprenolol, penbutolol, carvedilol, medroxalol, naftopidil, bucindolol, levobunolol, metipranolol, bisoprolol, nebivolol, betaxolol, carteolol, celiprolol, sotalol, propafenone, indoramin, and combinations thereof.
47. The method of claim 34, wherein the agent is an adrenergic neurone blocker.
48. The method of claim 47, wherein the adrenergic neurone blocker is selected from the group consisting of bethanidine, debrisoquine, guabenxan, guanadrel, guanazodine, guanethidine, guanoclor, guanoxan, and combinations thereof.
49. The method of claim 34, wherein a predetermined dose of the agent is administered to the male individual one to four times in a twenty-four hour period.
50. The method of claim 34, wherein the pharmaceutical formulation further comprises a vasoactive agent.
51. The method of claim 34, wherein the pharmaceutical formulation comprises a urethral suppository.
52. The method of claim 51, wherein the urethral suppository contains a pharmacologically acceptable carrier selected from the group consisting of polyethylene glycol and derivatives thereof.