Methods of food intake management

Abstract

Methods for regulating food intake in a human subject; for improving a compliance of a human subject to caloric restriction; and for reducing a desire of a human subject to consume fats, utilizing H1-receptor agonists that have a pharmacological half-life that allows an efficient treatment regime thereof are disclosed. The methods can be efficiently used for treating conditions such as overeating, overweight, obesity, binge eating disorder, night eating syndrome, obsessive eating, compulsive eating and bulimia, as well as conditions associated with metabolic derangement such as dyslipidemia.

Description

RELATED APPLICATIONS [0001] This application is a Continuation-In-Part (CIP) of PCT Patent Application No. PCT / IL2005 / 000440, filed on Apr. 21, 2005, which claims priority from U.S. Provisional Patent Application No. 60 / 670,290, filed on Apr. 12, 2005, and from Israel Patent Application No. 161595, filed on Apr. 22, 2004. The teachings of the above applications are hereby incorporated by reference as if fully set forth herein.FIELD OF THE INVENTION [0002] The present invention relates to novel methods for regulating food intake in human subjects and more particularly to methods of preventing or treating conditions in which weight management is beneficial. The present invention further relates to methods of preventing or reducing weight gain associated with drug treatment, smoking cessation and the like. BACKGROUND OF THE INVENTION [0003] Obesity is a chronic, complex, multi-factorial disease, involving social, cultural, genetic, physiological and psychological components, and is ass...

AI Technical Summary

Benefits of technology

[0041] The present invention successfully addresses the shortcomings of the presently known methods for regulating food intake by providing such methods that utilize H1 receptor agonists, which are highly efficient in humans, which have a pharmacological half life of at least 3 hours and which are devoid of the limitations of the currently known methods. The present invention further provides methods for preventing or reducing weight gain associated with external factors such as drug treatment, smoking cessation and the like.

Problems solved by technology

Obesity significantly increases the risk of illness from about thirty serious medical conditions and is associated with increases in deaths from all-causes.

Furthermore, each year, obesity causes at least 300,000 excess deaths in the U.S., being the second leading cause of unnecessary deaths.

Weight gain associated with use of certain drugs may significantly affect patient compliance with the drug administration regime.

Furthermore, such drugs may stimulate appetite by blocking of histamine receptors.

Weight gain was also found to be more problematic for children and adolescents than for adults.

According to a recent review (Newcomer, 2005), clozapine and olanzapine treatment are associated with an increased risk of diabetes mellitus and dyslipidemia.

The use of atypical antipsychotics have also been associated with an increase in eating disorders, such as binge eating disorder, and bulimia nervosa (Theisen, 2003), which may be a secondary effect of the weight gain associated with these medicaments, resulting in reduced self esteem and repeated unsuccessful dietary trials.

Hence, nicotine causes slight hyperglycemia, and as a result, the body and brain may slow down the hormones and other signals that trigger feelings of hunger.

Although hundreds of millions of people are seeking drug therapy for the treatment of obesity, current drug therapies do not meet this need due to their undesired side effects and limited efficacy.

A potentially third category, medications increasing energy expenditure, such as ephedrine, is not currently approved for treating obesity in the United States.

Some of these drugs are considered by the Drug Enforcement Administration (DEA) to have a potential for abuse.

Amphetamines, which are considered to have a particularly high potential for abuse are no longer recommended for weight loss for this reason.

Further, neurologists point out that the endocannabinoid system helps to protect the brain under some circumstances (such as stroke and head injury,) such that brain damage in these circumstances might be worse in patients taking drugs that block the endocannabiniod system.

However, the long-term effects of H3 receptors on anorexigenic activities for body-weight homeostasis have not been documented because of the off-target activity (Leurs, 1995) and toxicity profile of H3 inhibitors (Onderwater, 1998).

However, since activation of H2 receptors is known to stimulate hydrochloric acid secretion (see, for example, Clayman, 1977), it was further suggested that the lack of the influence of betahistine on food intake after intragastrical administration may be due to the fact that betahistine increased hydrochloric acid release by activation of H2 receptors, thereby abolishing the central anorectic activity of betahistine.

Nevertheless, Szelag et al. fails to teach the effect of betahistine administered orally or by any other route of administration, on food intake in humans.

(2002) found that inhibition of histamine catabolism by intraperitoneal injection of metoprine, a histamine-N-methyltransferase inhibitor, resulted in suppressed daily energy intake and ingestion of fat in rats.

The prior art does not teach or suggest the use of H1 agonists for regulating food intake in humans.

The prior art further does not teach or suggest the use of such H1 agonists that have a pharmacological half life that permits an efficient treatment therewith.

The prior art further does not teach or suggest the use of orally administered H1 agonists for regulating food intake in humans.

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