The present inventors provides one or more of a tiacumicin compound, a stereo-isomer thereof, a polymorph thereof or a pharmaceutically acceptable solvate thereof for use in the oral treatment of Clostridium difficile infections (CDI) or Clostridium difficile-associated disease (CDAD) in a patient according to a dosage regimen comprising: (1) administering to the patient in an initial course of treatment 200 mg of the tiacumicin compound twice a day; (2) monitoring the efficacy of the initial course of treatment in the patient by means of monitoring changes of one or more indicators of CDI or CDAD; (3) assessing whether there is a positive change of the one or the more of the indicators; and (4) switching to an intermittent course of treatment by administering to the patient 200 mg of the tiacumicin compound every other day if the one or the more of the indicators of CDI or CDAD are positively changed. Further the invention provides the use of the tiacumicin compound to reduce recurrence in a patient suffering from CDI or CDAD.
本发明人提供了一种或多种烟曲霉毒素化合物、其立体异构体、其多晶型或其药学上可接受的溶解物,用于患者艰难梭菌感染(
CDI)或艰难梭菌相关疾病(
CDAD)的口服治疗,其剂量方案包括:(1) 在初始疗程中给患者服用 200 毫克噻库米星化合物,每天两次; (2) 通过监测一种或多种
CDI 或
CDAD 指标的变化,监测患者初始疗程的疗效;(3) 评估一项或多项指标是否发生了积极变化;以及 (4) 如果一项或多项
CDI 或
CDAD 指标发生了积极变化,则转为间歇性疗程,每隔一天向患者施用 200 毫克烟曲霉毒素复合物。此外,本发明还提供了噻枯茗化合物的用途,以减少
CDI 或
CDAD 患者的复发。