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Optimizing Therapeutic Efficacy in Immune-Mediated Gastrointestinal Disorders with 6-Thioguanine

DESCRIPTION

This method aims to enhance treatment for immune-mediated gastrointestinal disorders through a tailored approach using 6-thioguanine. The process involves administering the drug to the patient and monitoring the metabolite levels in the bloodstream. If the 6-thioguanine level is below 230 pmol per 8x10^8 red blood cells, an increase in dosage is recommended. Conversely, if the level exceeds 400 pmol, dosage adjustment is needed to mitigate potential toxicity, thus optimizing therapeutic outcomes.

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Optimizing Therapeutic Efficacy in Immune-Mediated Gastrointestinal Disorders with 6-Thioguanine

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  1. 1. A method of optimizing therapeutic efficacy for treatment of an immune-mediated gastrointestinal disorder, comprising: • (a) administering a drug providing 6-thioguanine to a subject having said immune-mediated gastrointestinal disorder; and • (b) determining the level of 6-thioguanine in said subject having said immune-mediated gastrointestinal disorder, • wherein the level of 6-thioguanine less than about 230 pmol per 8x108 red blood cells indicates a need to increase the amount of said drug subsequently administered to said subject and • wherein the level of 6-thioguanine greater than about 400 pmol per 8x108 red blood cells indicates a need to decrease the amount of said drug subsequently administered to said subject.

  2. 46. A method of optimizing therapeutic efficacy and reducing toxicity associated with treatment of an immune-mediated gastrointestinal disorder, comprising: (a) determining the level of [particular metabolites]6-thioguanine or 6-methyl-mercaptopurine in a subject administered a drug [that creates the metabolites] selected from the group consisting of 6-mercaptopurine, azathioprine, 6-thioguanine, and 6-methylmercaptoriboside, said subject having said immune-mediated gastrointestinal disorder;  • wherein [a metabolite level under 230 indicates a need to increase, and a level over 400 (or over 7000 of another number) indicates a need to decrease] the level of 6-thioguanine less than about 230 pmol per 8x10^8 red blood cells indicates a need to increase the, amount of said drug subsequently administered to said subject, and  wherein the level of 6-thioguanine greater than about 400 pmol per 8x10^8 red blood cells or a level of 6-methyl-mercaptopurine greater than about 7000 pmol per 8x10^8 red blood cells indicates a need to decrease the amount of said drug subsequently administered to said subject. 

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