Treatment of circadian rhythm disorders
US-9060995-B2 · Jun 23, 2015 · US
US9549913B2 · US · B2
| Field | Value |
|---|---|
| Publication number | US-9549913-B2 |
| Application number | US-201314374257-A |
| Country | US |
| Kind code | B2 |
| Filing date | Jan 25, 2013 |
| Priority date | Jan 26, 2012 |
| Publication date | Jan 24, 2017 |
| Grant date | Jan 24, 2017 |
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Embodiments of the invention relate to the use of a melatonin agonist in the treatment of free running circadian rhythms in patients, including light perception impaired patients, e.g., blind patients, and to methods of measuring circadian rhythm.
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What is claimed is: 1. A method of entraining a patient's cortisol circadian rhythm to a 24-hour circadian rhythm and maintaining said 24-hour circadian rhythm, the method comprising: treating the patient by orally administering to the patient tasimelteon once daily before a target bedtime. 2. The method of claim 1 , wherein the patient is light perception impaired (LPI). 3. The method of claim 1 , wherein the patient is totally blind. 4. The method of claim 1 , wherein the patient suffers from Non-24-Hour Sleep-Wake Disorder. 5. The method of claim 1 , wherein the 24-hour circadian rhythm comprises a 24-hour sleep-wake cycle in which the patient awakens at or near a target wake time following a daily sleep period of approximately 7 to 9 hours. 6. The method of claim 1 , wherein the tasimelteon is orally administered 0.5 hours to 1.5 hours before the target bedtime. 7. The method of claim 1 , wherein treatment is initiated on a day in which the patient's urinary cortisol acrophase is predicted to be within about 5.5 hours before a target wake time and about 2.5 hours after the target wake time. 8. The method of claim 1 , wherein treatment is initiated on a day in which the patient's urinary aMT6s acrophase is predicted to be within about 5.5 hours before a target wake time and about 2.5 hours after the target wake time. 9. The method of claim 1 , wherein the administering includes administering between about 10 mg and 100 mg of tasimelteon. 10. The method of claim 1 , wherein the administering includes administering between about 20 mg and about 50 mg of tasimelteon. 11. The method of claim 1 , wherein the administering includes administering about 20 mg of tasimelteon. 12. The method of claim 4 , wherein the 24-hour circadian rhythm comprises a 24-hour sleep-wake cycle in which the patient awakens at or near a target wake time following a daily sleep period of approximately 7 to 9 hours. 13. The method of claim 5 , wherein the tasimelteon is orally administered 0.5 hours to 1.5 hours before the target bedtime. 14. The method of claim 6 , wherein the administering includes administering about 20 mg of tasimelteon.
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