EP1289531A2 - Kits und verfahren zur optimierung der effektivität von chondroprotektiven zusammensetzungen - Google Patents

Kits und verfahren zur optimierung der effektivität von chondroprotektiven zusammensetzungen

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Publication number
EP1289531A2
EP1289531A2 EP01944213A EP01944213A EP1289531A2 EP 1289531 A2 EP1289531 A2 EP 1289531A2 EP 01944213 A EP01944213 A EP 01944213A EP 01944213 A EP01944213 A EP 01944213A EP 1289531 A2 EP1289531 A2 EP 1289531A2
Authority
EP
European Patent Office
Prior art keywords
composition
beverage
present
compositions
chondroprotective
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Withdrawn
Application number
EP01944213A
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English (en)
French (fr)
Inventor
Robert Joseph Sarama
Judith Lynn Harris
Kris Eugene Spence
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Procter and Gamble Co
Original Assignee
Procter and Gamble Co
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Filing date
Publication date
Application filed by Procter and Gamble Co filed Critical Procter and Gamble Co
Publication of EP1289531A2 publication Critical patent/EP1289531A2/de
Withdrawn legal-status Critical Current

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Classifications

    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K9/00Medicinal preparations characterised by special physical form
    • A61K9/0087Galenical forms not covered by A61K9/02 - A61K9/7023
    • A61K9/0095Drinks; Beverages; Syrups; Compositions for reconstitution thereof, e.g. powders or tablets to be dispersed in a glass of water; Veterinary drenches
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K47/00Medicinal preparations characterised by the non-active ingredients used, e.g. carriers or inert additives; Targeting or modifying agents chemically bound to the active ingredient
    • A61K47/06Organic compounds, e.g. natural or synthetic hydrocarbons, polyolefins, mineral oil, petrolatum or ozokerite
    • A61K47/26Carbohydrates, e.g. sugar alcohols, amino sugars, nucleic acids, mono-, di- or oligo-saccharides; Derivatives thereof, e.g. polysorbates, sorbitan fatty acid esters or glycyrrhizin
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P19/00Drugs for skeletal disorders
    • A61P19/02Drugs for skeletal disorders for joint disorders, e.g. arthritis, arthrosis
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P19/00Drugs for skeletal disorders
    • A61P19/08Drugs for skeletal disorders for bone diseases, e.g. rachitism, Paget's disease
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P19/00Drugs for skeletal disorders
    • A61P19/08Drugs for skeletal disorders for bone diseases, e.g. rachitism, Paget's disease
    • A61P19/10Drugs for skeletal disorders for bone diseases, e.g. rachitism, Paget's disease for osteoporosis
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P29/00Non-central analgesic, antipyretic or antiinflammatory agents, e.g. antirheumatic agents; Non-steroidal antiinflammatory drugs [NSAID]
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P3/00Drugs for disorders of the metabolism
    • A61P3/02Nutrients, e.g. vitamins, minerals
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P9/00Drugs for disorders of the cardiovascular system
    • A61P9/10Drugs for disorders of the cardiovascular system for treating ischaemic or atherosclerotic diseases, e.g. antianginal drugs, coronary vasodilators, drugs for myocardial infarction, retinopathy, cerebrovascula insufficiency, renal arteriosclerosis

Definitions

  • kits which are useful for promoting one or more health benefits including, for example, joint health, bone health, cardiac health, and / or anti- inflammation.
  • the present invention is further directed to methods of using the kits.
  • Osteoarthritis is a widespread, degenerative disease of the joints, cartilage, and other articular components. Osteoarthritis affects all ethnic groups worldwide. In addition to humans, osteoarthritis affects nearly all mammals, for example, horses and cows, as well as domestic cats and dogs. Many treatments for osteoarthritis have been proposed, all resulting in varying degrees of success.
  • Enhanced proteoglycan provides the framework for collagen and other joint components, as well as imparting flexibility, resiliency, and resistance to compression.
  • these agents may be administered according to various methods to enhance the articular compositions or, at a minimum, inhibit the process of degradation.
  • compositions containing various chondroprotective agents are in dry-form, for example, in the form of tablets or capsules.
  • These forms offer the benefit of enhancing joint or bone health, however, the forms also suffer various deficiencies.
  • these dry-forms are not convenient for use and are not beneficial for compliance to a particular regimen.
  • some dry-forms require formulation in water by the consumer, which introduces the elements of dosing errors and contamination.
  • Other forms include aqueous "syrups" (e.g., highly concentrated compositions) which are also inconvenient, particularly unpalatable, and thus do not promote compliance to an effective regimen.
  • the present inventors have surprisingly discovered that the efficacy of the chondroprotective agent is dependent upon two factors: 1 ) the form of the chondroprotective composition (i.e., whether in dry-form, syrup-form, or ready-to-drink form); and 2) whether the composition is ingested at or near the time of ingestion of a food or beverage.
  • the present inventors have discovered that efficacy of the chondroprotective composition is enhanced wherein the composition is ingested within about 4 hours of ingestion of a food or beverage, relative to not consuming a food or beverage during this time period.
  • aqueous chondroprotective compositions is significantly greater relative to that of dry-forms and syrup-forms of chondroprotective compositions (e.g., tablets or capsules), even wherein each of these compositions is ingested within about 4 hours of ingestion of a food or beverage.
  • efficacy of chondroprotective compositions is surprisingly related to behavior of the consumer in need of treatment, in particular, the relationship between 1 ) ingestion of a particular form of chondroprotective composition; and 2) food or beverage intake.
  • kits which comprise a ready-to-drink chondroprotective composition as well as information which, when followed, improves or aids efficacy of the composition.
  • the kits comprise information which instructs or suggests ingestion of the composition within about 4 hours of ingestion of a food or beverage.
  • the kits comprise information which informs the consumer that aqueous chondroprotective compositions provide enhanced efficacy relative to dry-form and / or syrup-form chondroprotective compositions having the same, or similar, chondroprotective agent.
  • kits which are useful for promoting one or more health benefits as defined herein.
  • the present kits comprise:
  • composition comprising one or more chondroprotective agents and at least about 80% water;
  • instruction or suggestion of ingestion of the composition within about 4 hours of ingestion of a food or beverage; and (iii) combinations thereof.
  • the instruction or suggestion relates to ingestion within about 2 hours or concurrently with a food or beverage.
  • kits comprising:
  • composition comprising one or more chondroprotective agents and at least about 80% water;
  • the present invention also relates to methods of enhancing a benefit associated with a composition comprising one or more chondroprotective agents and water, the method comprising administering to a mammal the composition within about 4 hours of administration of a food or beverage.
  • the present invention is directed to kits which are useful for providing chondroprotective compositions having enhanced health benefits, and instructions or suggestions for use which encourage optimization of these benefits. Wherein this regimen is followed, compliance, and thus efficacy, is enhanced.
  • the compositions include those which are traditional, as well as those which may be classified as "medical foods" under regulatory guidelines.
  • the composition is a beverage composition.
  • the present invention is further directed to methods of using such compositions.
  • compositions are suitable for mammalian use, particularly use in humans and domestic animals such as, for example, dogs, cats, horses, and cows.
  • All component or composition levels are in reference to the active level of that component or composition, and are exclusive of impurities, for example, residual solvents or by-products, which may be present in commercially available sources.
  • compositions, kits, and methods herein may comprise, consist essentially of, or consist of any of the elements as described herein.
  • kits of the present invention are useful for providing one or more enhanced health benefits, including, for example, joint health, bone health, cardiac health, anti-inflammation and / or efficacy benefits.
  • Joint health benefits include, but are not limited to, preventing, inhibiting, ceasing and / or reversing the actions associated with arthritis, particularly osteoarthritis.
  • improved joint health will provide, for example, decreased pain in the joints and / or increased flexibility.
  • Bone health benefits include, but are not limited to, preventing, inhibiting, ceasing, and / or reversing bone loss and / or building bone mass, and / or preventing, inhibiting, ceasing, and / or reversing osteoporosis.
  • improved bone health may provide, for example, healthy bones, stronger bones, and / or increased bone mass.
  • Cardiac health benefits include, but are not limited to, preventing, inhibiting, ceasing, and / or reversing, for example, heart disease, atherosclerosis, and / or restenosis.
  • Anti-inflammation benefits include, for example, preventing, inhibiting, ceasing, and / or reversing inflammation, particularly in the joints. Thus, anti- inflammation will typically result in pain reduction.
  • Efficacy benefits are included within all of the foregoing, and include enhanced efficacy and / or bioavailability in treating, preventing, and / or ceasing joint health dysfunction, bone health dysfunction, cardiac health dysfunction, and / or inflammation.
  • kits comprise:
  • composition comprising one or more chondroprotective agents and at least about 80% water;
  • kits comprise:
  • composition comprising one or more chondroprotective agents and at least about 80% water;
  • the present invention is directed to use of compositions which are useful in, for example, food, beverage, pharmaceutical, over-the-counter, and dietary supplement products.
  • the products are suitable for mammalian use, particularly use in humans and domestic animals such as, for example, dogs, cats, horses, and cows.
  • the present compositions are directed for use in humans and domestic animals. More preferably, the present compositions are directed for use in humans, domestic dogs, and domestic cats. Most preferably, the present compositions are directed for use in humans.
  • compositions comprise one or more chondroprotective agents and water:
  • the chondroprotective agent utilized herein may be any agent which provides joint health, bone health, and / or anti-inflammation, as described above. Many of these agents will also provide a cardiac health benefit, as also described above. Chondroprotective agents are quite well-known in the art, and the ordinarily skilled artisan has the capability to choose any such agent for use in the present invention.
  • the chondroprotective agent is important for enhancing joint function as the component aids in the stimulation of proteoglycan and collagen in vivo.
  • Proteoglycan provides the connective tissue, for example, collagen, which is necessary for joint health.
  • proteoglycan is comprised of glycosaminoglycans (often termed "GAGs") which are long chains of modified sugars. Aminosugars and methylsulfonylmethane are useful for building glycosaminoglycans and proteoglycan.
  • GAGs glycosaminoglycans
  • Aminosugars and methylsulfonylmethane are useful for building glycosaminoglycans and proteoglycan.
  • the cardiac benefits of various of these components is also a beneficial feature of this component. See e.g., Morrison et al'., Coronary Heart Disease and the Mucopolysaccharides (Glycosaminoglycan
  • Non-limiting examples of chondroprotective agents which are useful herein include gelatin, cartilage, aminosugars, glycosaminoglycans, methylsulfonylmethane, precursors of methylsulfonylmethane, S-adenosylmethionine, salts thereof, and mixtures thereof.
  • the chondroprotective agent is selected from gelatin, cartilage, aminosugars, glycosaminoglycans, S-adenosylmethionine, salts thereof, and mixtures thereof.
  • the chondroprotective agent is selected from aminosugars, glycosaminoglycans, S- adenosylmethionine, salts thereof, and mixtures thereof. Even more preferably, the chondroprotective agent is selected from aminosugars, glycosaminoglycans, salts thereof, and mixtures thereof. Most preferably, the chondroprotective agent is a salt of an aminosugar, particularly wherein the aminosugar is glucosamine.
  • chondroprotective agents examples are described in expanded detail as follows. With respect to dosing preferences, all dosage levels are based on typical human subjects (e.g., a 65 kg subject). Wherein the present composition is used in other mammals, it may be necessary to modify the dosage. Modification of dosages based on the needs of the subject is well within the skill of the ordinary artisan. It is therefore understood that these dosage ranges are by way of example only, and that daily administration can be adjusted depending on various factors. The specific dosage of the chondroprotective agent to be administered, as well as the duration of treatment are interdependent.
  • the dosage and treatment regimen will also depend upon such factors as the specific chondroprotective agent used, the treatment indication, the efficacy of the compound, the personal attributes of the subject (such as, for example, weight, age, sex, and medical condition of the subject), and compliance with the treatment regimen.
  • the specific chondroprotective agent used the treatment indication
  • the efficacy of the compound the efficacy of the compound
  • the personal attributes of the subject such as, for example, weight, age, sex, and medical condition of the subject
  • gelatin is a protein obtained from the partial hydrolysis of collagen, which is the major structural and connective protein tissue in mammals.
  • Gelatin typically contains from about 84% to about 90% protein, from about 1% to about 2% mineral salts, and from about 8% to about 15% water (these are non-limiting approximations).
  • Gelatin typically contains specific amounts of 18 different amino acids, which are joined together to form polypeptide chains of approximately 1 ,000 amino acid residues per chain.
  • the collagen obtained for gelatin production is from animal bones and skins, e.g., from cows and pigs.
  • Gelatin production will typically involve the subjection of collagenous material to alkaline pre-treatment, followed by hot-water extraction (providing gelatin having an iso-electric point of about 5). Acidic pre-treatment may also be utilized (providing gelatin having an iso-electric point of from about 7 to 9).
  • a single dose of gelatin within the composition is preferably from about 1 mg to about 2000 mg, more preferably from about 100 mg to about 700 mg, even more preferably from about 150 mg to about 600 mg, and most preferably from about 200 mg to about 400 mg.
  • the composition comprising the gelatin could be dosed from about once to about five times daily, preferably from about once to about three times daily, most preferably once daily.
  • Cartilage may be chosen as the chondroprotective agent in the present compositions.
  • cartilage is a tough, elastic tissue present in the joints (as well as other locations) of the bodies of various mammals.
  • Cartilage is comprised of at least one of calcium, proteins, carbohydate mucopolysaccharides (e.g., chondroitin), and collagen.
  • Bovine cartilage is primarily derived from the trachea of cows (also known as bovine tracheal cartilage, or BTC). It is similar in structure to shark cartilage.
  • Shark cartilage is a widely utilized cartilage source, as the skeletons of sharks are primarily composed of cartilage rather than bone.
  • a single dose of cartilage within the composition is preferably from about 1 mg to about 2000 mg, more preferably from about 100 mg to about 700 mg, even more preferably from about 150 mg to about 600 mg, and most preferably from about 200 mg to about 400 mg.
  • the composition comprising the cartilage is dosed from about once to about five times daily, preferably from about once to about three times daily, most preferably once daily.
  • aminosugars may be chosen as the chondroprotective agent herein.
  • the aminosugars are monosaccharide components (i.e., hexoses) which are modified with an amine functionality.
  • the amine functionality may be a free amine moiety or a protected amine moiety (e.g., N-acetyl amine).
  • the aminosugar is a precursor to glycosaminoglycan, which is important for construction of joint constituents (e.g., collagen).
  • certain aminosugars may serve to inhibit the activity of enzymes which are implicated in breakdown the cartilage in osteoarthritics (e.g., mannosamine, which has been discovered to inhibit aggrecanase).
  • the aminosugars are well-known in the art; many aminosugars are naturally occurring.
  • aminosugars include glucosamine, salts of glucosamine, galactosamine, salts of galactosamine, mannosamine, salts of mannosamine, as well as the N- acetyl derivatives of the foregoing, including N-acetyl glucosamine and N-acetyl galactosamine. More preferably, the aminosugars include glucosamine and salts of glucosamine, most preferably salts of glucosamine. Particularly preferred salts of glucosamine include glucosamine sulfate and glucosamine hydrochloride. The salts of glucosamine are particularly preferred to aid bioavailability to the aminosugar in addition to the bioavailability benefit achieved by the second component (as described herein below).
  • glucosamine provides the building block needed in vivo to manufacture glycosaminoglycan, which is found in cartilage.
  • glucosamine, and other aminosugars function not only to relieve symptoms of joint pain but also inhibits, stops, and / or reverses the degenerative process.
  • Typical single dosing of the aminosugars is preferably from about 1 mg to about 5000 mg, more preferably from about 100 mg to about 3600 mg, even more preferably from about 150 mg to about 2200 mg, and most preferably from about 250 mg to about 1900 mg, based on the molecular weight of glucosamine hydrochloride.
  • a particularly preferred dosage of glucosamine hydrochloride is about 1800 mg, which translates to about 1480 mg of glucosamine. All other aminosugars may be similarly dosed, based on the molecular weight of glucosamine hydrochloride.
  • the composition comprising the aminosugar is dosed from about once to about five times daily, preferably from about once to about three times daily, most preferably once daily.
  • glycosaminoglycans may be utilized as the chondroprotective agent herein.
  • the glycosaminoglycans are commonly known as GAGs, and are precursors to joint structure, for example, collagen.
  • the glycosaminoglycans may also be important for the healing of bone.
  • glycosaminoglycans will be well-known to the ordinarily skilled artisan.
  • Preferred glycosaminoglycans include chondroitin, hyaluronic acid, keratan, heparin, and dermatin, as well as salts of the foregoing.
  • chondroitin sulfate is a particularly preferred chondroitin salt.
  • salts of the glycosaminoglycans are particularly preferred for use herein.
  • chondroitin provides the structure and allows various molecules to transport through cartilage (which is important, since there is no blood supply to cartilage). Chondroitin is a major constituent of cartilage and contains repeating chains of mucopolysaccharides.
  • Typical single dosing of the glycosaminoglycans is preferably from about 1 mg to about 10 grams, more preferably from about 100 mg to about 5 grams, even more preferably from about 150 mg to about 1000 mg, and most preferably from about 250 mg to about 800 mg, based on the molecular weight of chondroitin. All other glycosaminoglycans may be similarly dosed, based on the molecular weight of chondroitin.
  • the composition comprising the glycosaminoglycan is dosed from about once to about five times daily, preferably from about once to about three times daily, most preferably once daily.
  • the chondroprotective agent herein may also be methylsufonylmethane, or a precursor thereof.
  • precursor thereof me.ans a compound which, in mammalian systems, is converted to methylsulfonylmethane in vivo.
  • Methylsulfonylmethane, and precursors thereof are common ingredients found in vivo and in nature, e.g., in unprocessed foods.
  • methylsulfonylmethane While unprocessed foods contain methylsulfonylmethane, and the precursors thereof, conventional food processing and preparation causes the loss of these compounds from the foods. Therefore, commonly ingested foods may become deficient in these compounds. In these respects, methylsulfonylmethane is similar to vitamins and minerals which are typically partially or totally lost during normal food processing and preparation. It is therefore an important embodiment of this invention to include methylsulfonylmethane or a precursor thereof in the present compositions.
  • Non-limiting examples of precursors of methylsulfonylmethane include methionine and methyl sulfide. See e.g., Herschler et al., U.S. Patent No. 4,863,748, issued September 5, 1989.
  • Precursors of methylsulfonylmethane are associated with a variety of health benefits, including joint benefits (such as relief from osteoarthritis and rheumatoid arthritis), as well as anti- inflammation.
  • a single dose of methanesulfonylmethane within the composition is preferably from about 0.01 mg to about 2000 mg, more preferably from about 0.01 mg to about 500 mg, even more preferably from about 1 mg to about 200 mg, and most preferably from about 1 mg to about 100 mg.
  • the precursors of methanesulfonylmethane may be similarly dosed, based on the molecular weights of the precursors relative to methanesulfonylmethane.
  • the composition comprising methylsulfonyl methane, or a precursor thereof is dosed from about once to about five times daily, preferably from about once to about three times daily, most preferably once daily.
  • S-adenosylmethionine which is commonly known as SAM-e
  • SAM-e is a compound which is found in most, if not all, living cells. Without intending to be limited by theory, SAM-e is produced through reaction of the essential amino acid methionine and the energy molecule known as adenosine triphosphate (commonly known as ATP). SAM-e manufactures the components of cartilage and repairs, restores, and maintains joint function. SAM-e is made in vivo from the amino acid methionine, and is found in ordinary dietary sources such as meats, soybeans, eggs, seeds, and lentils.
  • a single dose of SAM-e within the composition is preferably from about 1 mg to about 2000 mg, more preferably from about 100 mg to about 700 mg, even more preferably from about 150 mg to about 600 mg, and most preferably from about 200 mg to about 400 mg.
  • the composition comprising SAM-e is dosed from about once to about five times daily, preferably from about once to about three times daily, most preferably once daily.
  • Water is the second necessary constituent of the present compositions.
  • the present inventors have surprisingly discovered that bioavailability and efficacy of aqueous chondroprotective compositions is significantly greater relative to that of dry forms of chondroprotective compositions (e.g., tablets or capsules), even wherein each of these compositions is ingested within about 4 hours of ingestion of a food or beverage. Accordingly, efficacy of chondroprotective compositions is surprisingly related to behavior of the consumer in need of treatment, in particular, the relationship between 1 ) ingestion of a particular form of chondroprotective composition; and 2) food or beverage intake. It has therefore been found that aqueous chondroprotective compositions are surprisingly more effective relative to the corresponding dry-forms (i.e., those containing less than about 2% water).
  • compositions comprise from about 80% to about 99.9999% water.
  • the compositions preferably comprise at least about 82% water, more preferably at least about 83% water, still more preferably at least about 84% water, even more preferably at least about 85% water, and most preferably at least about 86% water.
  • the water included at these levels includes all added water and any water present in combination components, for example, fruit juice.
  • compositions of this invention preferably exhibit a pH of from about 2 to about 7, more preferably from about 2 to about 5, still more preferably from about 3 to about 5, even more preferably from about 3.5 to about 4.5, and most preferably from about 3J to about 4J.
  • the present compositions may comprise one or more acidulants in order to reach, and maintain, the presently preferred pH.
  • Composition acidity can be adjusted to and maintained within the requisite range by known and conventional methods, e.g., the use of one or more acidulants.
  • Organic as well as inorganic edible acids may be used to adjust the pH of the ready-to- drink beverage compositions.
  • the acids can be present in their undissociated form or, alternatively, as their respective salts, for example, potassium or sodium hydrogen phosphate, potassium or sodium dihydrogen phosphate salts.
  • the preferred acids are edible organic acids which include citric acid, malic acid, fumaric acid, adipic acid, phosphoric acid, gluconic acid, tartaric acid, ascorbic acid, acetic acid, phosphoric acid or mixtures thereof. The most preferred acids are citric and malic acids.
  • compositions herein are typically beverage compositions, beverage concentrates, foods or supplements (including, for example, dietary supplements, over-the-counter remedies, and pharmaceutical remedies).
  • the compositions herein may comprise additional optional components to enhance, for example, their performance in providing joint health, bone health, other health benefits, a desirable nutritional profile, and / or organoleptic properties.
  • additional optional components to enhance, for example, their performance in providing joint health, bone health, other health benefits, a desirable nutritional profile, and / or organoleptic properties.
  • one or more omega-3-fatty acids, bracers, flavanols, milk base solids, soluble fibers, non-caloric sweeteners, nutrients, flavoring agents, coloring agents, preservatives, emulsifiers, oils, carbonation components, and the like may be included in the compositions herein.
  • Such optional components may be dispersed, solubilized, or otherwise mixed into the present compositions. These components may be added to the compositions herein provided they do not substantially hinder the properties of the beverage
  • omega-3-fatty acids may be added to the present compositions.
  • Omega-3-fatty acids are anti-inflammatory compounds which act as competitive inhibitors of the arachidonic acid cascade.
  • the omega-3- fatty acids are precursors to the synthesis of prostaglandins which function in mammals to regulate inflammation. See e.g.. Burger, U.S. Patent No. 5,843,919, issued December 1 , 1998.
  • omega-3-fatty acid optionally utilized herein may be any omega-3-fatty acid or combination of omega-3-fatty acids.
  • omega-3-fatty acids which are suitable for use herein include eicosapentaenoic acid (also known as EPA), docosahexaenoic acid (also known as DHA), and mixtures thereof.
  • omega-3-fatty acid as well as all other oil soluble components described herein, can be added to the present compositions via an emulsion and / or encapsulation.
  • the omega-3-fatty acid may be spray dried according to commonly known techniques.
  • the ratio of the chondroprotective agent herein and the omega-3-fatty acids is often important for optimization of health benefits, particularly joint health benefits, bone health benefits, and anti- inflammatio ⁇ .
  • the ratio of the chondroprotective agent to the total omega-3-fatty acid(s) present in the composition is from about 95:5 to about 5:95, more preferably from about 75:25 to about 25:75, most preferably from about 60:40 to about 40:60.
  • the dosage of omega-3-fatty acid(s) included in the composition is therefore preferably administered according to these guidelines.
  • dosage levels of the chondroprotective agent has been detailed herein above.
  • bracers can be obtained by extraction from a natural source or can be synthetically produced.
  • Non-limiting examples of bracers include methylxanthines, e.g., caffeine, theobromine, and theophylline.
  • numerous other xanthine derivatives have been isolated or synthesized, which may be utilized as a bracer in the compositions herein. See e.g., Bruns, Biochemical Pharmacology, Vol. 30, pp.
  • bracers are present in, for example, coffee, tea, kola nut, cacao pod, mate', yaupon, guarana paste, and yoco.
  • Natural plant extracts are the preferred sources of bracers as they may contain other compounds that delay the bioavailability of the bracer thus they may provide mental refreshment and alertness without tension or nervousness.
  • the most preferred methylxanthine is caffeine.
  • Caffeine may be obtained from the aforementioned plants and their waste or, alternatively, may be synthetically prepared.
  • Preferred botanical sources of caffeine which may be utilized as a complete or partial source of caffeine include green tea, guarana, mate', black tea, cola nuts, cocoa, and coffee.
  • green tea, guarana, coffee, and mate' are the most preferred botanical sources of caffeine, most preferably green tea, guarana, and coffee.
  • Mate' may have the additional benefit of an appetite suppressing effect and may be included for this purpose as well.
  • the total amount of caffeine in any embodiment of the present invention, includes the amount of caffeine naturally present in the tea extract, flavoring agent, botanical and any other components, as well as any added caffeine.
  • bracer utilized herein is preferably present in physiologically relevant amounts, which means that the sources used in the practice of this invention provide a safe and effective quantity to achieve the desired mental alertness.
  • compositions will preferably comprise from about 0.0005% to about 1 %, more preferably from about 0.003% to about 0.5%, still more preferably from about 0.003% to about 0.2%, even more preferably from about 0.005% to about 0.05%, and most preferably from about 0.005% to about 0.02% of a bracer, by weight of the composition.
  • the actual amount of bracer added will depend its biological effect, for example, effect of mental alertness on the consumer.
  • the total amount of bracer includes any added bracer as well as any bracer naturally present in any other component of the present invention.
  • Flavanols are natural substances present in a variety of plants (e.g., fruits, vegetables, and flowers).
  • the flavanols which may be utilized in the present invention can be extracted from, for example, fruit, vegetables, green tea or other natural sources by any suitable method well known to those skilled in the art.
  • extraction with ethyl acetate or chlorinated organic solvents is a common method to isolate flavanols from green tea.
  • Flavanols may be extracted from either a single plant or mixtures of plants. Many fruits, vegetables, and flowers contain flavanols but to a lesser degree relative to green tea. Plants containing flavanols are known to those skilled in the art.
  • Examples of the most common flavanols which are extracted from tea plants and other members of the Catechu gambir (Uncaria family) include, for example, catechin, epicatechin, gallocatechin, epigallocatechin, epicatechin gallate, and epigallocatechin gallate.
  • the flavanols utilized in all compositions of the present invention can be in the form of a tea extract.
  • the tea extract can be obtained from the extraction of unfermented teas, fermented teas, partially fermented teas, and mixtures thereof.
  • the tea extracts are obtained from the extraction of unfermented and partially fermented teas.
  • the most preferred tea extracts are obtained from green tea. Both hot and cold extracts can be used in the present invention. Suitable methods for obtaining tea extracts are well known. See e.g.. Ekanavake. U.S. Patent No. 5,879,733, issued March 9, 1999; Tsai, U.S. Patent No. 4,935,256, issued June, 1990; Lunder, U.S. 4,680,193, issued July, 1987; and Creswick, U.S. Patent No. 4,668,525, issued May 26, 1987.
  • the preferred source of flavanols in the compositions of the present invention is green tea.
  • green tea, and in particular the flavanols present in green tea are incorporated into the beverage, the present inventors have discovered that the flavanols are at least partially responsible for delaying the bioavailability of bracers, which contributes to the reduction and / or elimination of nervousness and tension typically associated with such bracers.
  • these same flavanols may be prepared by synthetic or other appropriate chemical methods and incorporated into the present compositions. Flavanols, including catechin, epicatechin, and their derivatives are commercially available.
  • the amount of flavanols in the compositions of the present invention can vary. However, wherein one or more flavanols are utilized, preferably from about 0.001 % to about 5%, more preferably from about 0.001% to about 2%, even more preferably from about 0.01% to about 1%, and most preferably from about 0.01% to about 0.05% of one or more flavanols is utilized, by weight of the composition.
  • the total amount of flavanols includes any added flavanols as well as any flavanols naturally present in any other component of the present invention.
  • milk base means milk from one or more mammals or a plant- derived milk, and includes, for example, fermented milk, lactic acid beverages obtained by lactic acid fermentation or otherwise acidified, sterilized milk base, liquid milk, and milk products such as skim milk powder or whole milk powder or other powdered forms of milk.
  • milk base solids means the solids content or dry matter of milk base.
  • the desired total level of milk base solids is from about 0.001% to about 15%, preferably from about 0.005% to about 10%, and most preferably from about 0.1 % to about 5%.
  • the total amount of milk base solids includes any added milk base solid as well as any milk base solid naturally present, in any other component of the present invention.
  • soluble fibers may also optionally be included in the compositions of the present invention to provide, for example, nutritive benefits.
  • Soluble fibers which can be used singularly or in combination in all embodiments of the present invention include but are not limited to pectins, psyllium, guar gum, xanthan gum, alginates, gum arabic, fructo-oligosaccharides, inulin, agar, and carrageenan.
  • Preferred among these soluble fibers are at least one of guar gum, xanthan, and carrageenan, most preferably at least one of guar gum and xanthan.
  • These soluble fibers may also serve as stabilizing agents in the various embodiments of this invention.
  • Particularly preferred soluble fibers for use herein are glucose polymers, preferably those which have branched chains.
  • Preferred among these soluble fibers is one marketed under the trade name Fibersol2, commercially available from Matsutani Chemical Industry Co., Itami City, Hyogo, Japan.
  • Pectin and fructo-oligosaccharides are also preferred soluble fibers herein. Even more preferably, pectin and fructo-oligosaccharides are used in combination.
  • the preferred ratio of pectin to fructo-oligosaccharide is from about 3:1 to about 1 :3, by weight of the composition.
  • the preferred pectins have a degree of esterification higher than about 65%.
  • the preferred fructo-oligosaccharides are a mixture of fructo-oligosaccharides composed of a chain of fructose molecules linked to a molecule of sucrose. Most preferably, they have a nystose to kestose to fructosyl-nystose ratio of about 40:50:10, by weight of the composition.
  • Preferred fructo-oligosaccharides may be obtained by enzymatic action of fructosyltransferase on sucrose such as those which are, for example, commercially available from Beghin-Meiji Industries, Neuilly-sur-Seine, France.
  • Preferred pectins are obtained by hot acidic extraction from citrus peels and may be obtained, for example, from Danisco Co., Braband, Denmark.
  • the desired total level of soluble dietary fiber for the compositions of the present invention is from about 0.01% to about 15%, preferably from about 0.1% to about 5%, more preferably from about 0.1% to about 3%, and most preferably from about 0.2% to about 2%, by weight of the composition.
  • the total amount of soluble dietary fiber includes any added soluble dietary fiber as well as any soluble dietary fiber naturally present in any other component of the present invention.
  • compositions of the present invention can, and typically will, contain an effective amount of one or more sweeteners, including carbohydrate sweeteners and natural and/or artificial no/low calorie sweeteners.
  • the amount of the sweetener used in the beverages of the present invention typically depends upon the particular sweetener used and the sweetness intensity desired. For no/low calorie sweeteners, this amount varies depending upon the sweetness intensity of the particular sweetener.
  • compositions of the present invention can be sweetened with any of the carbohydrate sweeteners, preferably monosaccharides and / or disaccharides.
  • Sweetened beverages will typically comprise from about 0.1 % to about 20%, most preferably from about 6 to about 14%, sweetener.
  • These sugars can be incorporated into the beverages in solid or liquid form but are typically, and preferably, incorporated as a syrup, most preferably as a concentrated syrup such as high fructose corn syrup.
  • these sugar sweeteners can be provided to some extent by other components of the beverage such as, for example, the fruit juice component and / or flavors.
  • Preferred sugar sweeteners for use in beverage products of the present invention are sucrose, fructose, glucose, and mixtures thereof, particularly sucrose and fructose.
  • Fructose can be obtained or provided as liquid fructose, high fructose corn syrup, dry fructose or fructose syrup, but is preferably provided as high fructose com syrup.
  • High fructose corn syrup (HFCS) is commercially available as HFCS-42, HFCS-55 and HFCS-90, which comprise 42%, 55% and 90%, respectively, by weight of the sugar solids therein, as fructose.
  • sweeteners or their purified extracts such as glycyrrhizin, stevioside, the protein sweetener thaumatin, the juice of Luo Han Guo (containing the sweet mogrosides) disclosed in, for example, Fischer et al., U. S. Patent No. 5,433,965, issued July 18, 1995, and the like can also be used in the beverages of the present invention.
  • Non-limiting examples of non-caloric sweeteners include aspartame, saccharine, cyclamates, acesulfame K, L-aspartyl-L- phenylalanine lower alkyl ester sweeteners, L-aspartyl-D-alanine amides such as, for example, those disclosed in Brennan et al.. U.S. Patent No. 4,411 ,925, issued 1983, L-aspartyl-D-serine amides such as, for example, those disclosed in Brennan et al., U.S. Patent No.
  • L-aspartyl-hydroxymethyl alkane amide sweeteners such as, for example, those disclosed in Brand, U.S. Patent No. 4,333,346, issued 1982, L-aspartyl-1-hydroxyethylalkane amide sweeteners such as, for example, those disclosed in Rizzi, U.S. Patent No. 4,423,029, issued 1983, glycyrrhizins, and synthetic alkoxy aromatics.
  • Aspartame and acesulfame-K are the most preferred non-caloric sweeteners utilized herein, and may be utilized alone or in combination.
  • the total non-caloric sweetener is preferably utilized at levels from about 0.0001% to about 5%, more preferably from about 0.001% to about 3%, still more preferably from about 0.005% to about 2%, even more preferably from about 0.01% to about 1%, and most preferably from about 0.01% to about 0.05%, by weight of the composition.
  • compositions herein may optionally, but preferably, be fortified further with one or more nutrients, especially one or more vitamins and / or minerals.
  • the U.S. Recommended Daily Intake (USRDI) for vitamins and minerals are defined and set forth in the Recommended Daily Dietary Allowance-Food and Nutrition Board, National Academy of Sciences-National Research Council.
  • the composition typically comprises at least about 1%, preferably at least about 5%, more preferably from about 10% to about 200%, even more preferably from about 40% to about 150%, and most preferably from about 60% to about 125% of the USRDI of such mineral.
  • the composition comprises at least about 1%, preferably at least about 5%, more preferably from about 10% to about 200%, even more preferably from about 20% to about 150%, and most preferably from about 25% to about 120% of the USRDI of such vitamin.
  • Non-limiting examples of such further vitamins and minerals include niacin, thiamin, folic acid, pantothenic acid, biotin, vitamin A, vitamin C, vitamin B 2 , vitamin B 3 , vitamin B 6 , vitamin B 12 , vitamin D, vitamin E, vitamin K, iron, zinc, copper, phosphorous, iodine, chromium, molybdenum, and fluoride.
  • a further vitamin or mineral is utilized the vitamin or mineral is selected from niacin, thiamin, folic acid, iodine, vitamin A, vitamin C, vitamin B 6 , vitamin B 12 , vitamin D, vitamin E, iron, zinc, and calcium.
  • At least one vitamin is selected from vitamin C, vitamin B 6 , vitamin B 12 , vitamin E, pantothenic acid, niacin, and biotin.
  • the composition comprises vitamin C and one or more other vitamins selected from vitamin B 6 , vitamin B 12 , vitamin E, pantothenic acid, niacin, and biotin.
  • vitamin A includes, but is not limited to, vitamin A (retinol), ⁇ - carotene, retinol palmitate, and retinol acetate.
  • the vitamin A may be in any form, for example, an oil, beadlets, or encapsulated.
  • the product comprises at least about 1 %, preferably at least about 5%, more preferably from about 10% to about 200%, even more preferably from about 15% to about 150%, and most preferably from about 20% to about 120% of the USRDI of such vitamin.
  • vitamin A is present in the compositions herein, it is especially preferred to include about 25% of the USRDI of vitamin A.
  • the quantity of vitamin A to be added is dependent on processing conditions and the amount of vitamin A deliver desired after storage.
  • the compositions comprise from about 0.0001 % to about 0.2%, more preferably from about 0.0002% to about 0.12%, also preferably from about 0.0003% to about 0.1%, even more preferably from about 0.0005% to about 0.08%, and most preferably from about 0.001 % to about 0.06% of vitamin A, by weight of the product.
  • vitamin B2 also known as riboflavin
  • the product comprises at least about 1%, preferably at least about 5%, more preferably from about 5% to about 200%, even more preferably from about 10% to about 150%, and most preferably from about 10% to about 120% of the USRDI of such vitamin.
  • vitamin B2 is present in the compositions herein, it is especially preferred to include from about 15% to about 35% of the USRDI of vitamin B 2 .
  • Vitamin C is a particularly preferred optional ingredient for use herein. Without intending to be limited by theory, it is believed that vitamin C may be utilized to enhance the benefits herein, by serving as a co-factor for the enzyme which cross-links collagen.
  • Encapsulated ascorbic acid and edible salts of ascorbic acid can also be used.
  • vitamin C is present in the compositions herein, the product comprises at least about 1%, preferably at least about 5%, more preferably from about 10% to about 200%, even more preferably from about 20% to about 150%, and most preferably from about 25% to about 120% of the USRDI of such vitamin.
  • vitamin C is present in the compositions herein, it is especially preferred to include about 100% of the USRDI of vitamin C.
  • the quantity of vitamin C to be added is dependent on processing conditions and the amount of vitamin C deliver desired after storage.
  • the compositions comprise from about 0.005% to about 0.2%, more preferably from about 0.01 % to about 0.12%, also preferably from about 0.02% to about 0.1%, even more preferably from about 0.02% to about 0.08%, and most preferably from about 0.03% to about 0.06% of vitamin C, by weight of the product.
  • Nutritionally supplemental amounts of other vitamins which may be incorporated herein include, but are not limited to, vitamins Bg and B-
  • Minerals which may optionally be included in the compositions herein are, for example, calcium, manganese, magnesium, boron, zinc, iodine, iron, and copper.
  • Minerals may be, for example, salts, chelated, complexed, or in colloidal form. Any soluble salt of these minerals suitable for inclusion edible compositions can be used, for example, magnesium citrate, magnesium gluconate, magnesium sulfate, zinc chloride, zinc sulfate, potassium iodide, copper sulfate, copper gluconate, and copper citrate.
  • Manganese is a particularly preferred mineral for use herein, as this mineral is involved in the synthesis of glycosaminoglycans, collagen, and glycoproteins. Additionally manganese deficiencies can lead to abnormal bone growth, inflamed joints, bone loss, and arthritis.
  • Manganese ascorbate is a particularly preferred form of manganese for use herein. Typical manganese dosages range from about 0 mg to about 1000 mg, more preferably from about 50 mg to about 950 mg, and most preferably from about 50 mg to about 250 mg for a human or large mammal (e.g., horse).
  • Boron is a particularly preferred mineral for use herein, as this mineral is necessary for osteocalcin formation in bone.
  • Calcium is a particularly preferred mineral for use in the present invention.
  • Preferred sources of calcium include, for example, amino acid chelated calcium, calcium carbonate, calcium oxide, calcium hydroxide, calcium sulfate, calcium chloride, calcium phosphate, calcium hydrogen phosphate, calcium dihydrogen phosphate, calcium citrate, calcium malate, calcium titrate, calcium gluconate, calcium realate, calcium tantrate, and calcium lactate, and in particular calcium citrate-malate.
  • the form of calcium citrate-malate is described in, e.g., Mehansho et al.. U.S. Patent No. 5,670,344, issued September 23, 1997; Diehl et al.. U.S.. Patent No.
  • compositions of the present invention will comprise from about 0.01 % to about 0.5%, more preferably from about 0.03% to about 0.2%, even more preferably from about 0.05% to about 0.15%, and most preferably from about 0.1 % to about 0.15% of calcium, by weight of the product.
  • Iron may also be utilized in the compositions and methods of the present invention. Acceptable forms of iron are well-known in the art. The amount of iron compound incorporated into the product will vary widely depending upon the level of supplementation desired in the final product and the targeted consumer. Iron fortified compositions of the present invention typically contain from about 5% to about 100%, preferably from about 15% to about 50%, and most preferably about 20% to about 40% of the USRDI for iron.
  • Ferrous iron is typically better utilized by the body than ferric iron.
  • Highly bioavailable ferrous salts that can be used in the ingestible compositions of the present invention are ferrous sulfate, ferrous fumarate, ferrous succinate, ferrous gluconate, ferrous lactate, ferrous tartarate, ferrous citrate, ferrous amino acid chelates, as well as mixtures of these ferrous salts. While ferrous iron is typically more bioavailable, certain ferric salts can also provide highly bioavailable sources of iron.
  • Highly bioavailable ferric salts that can be used in the food or beverage compositions of the present invention are ferric saccharate, ferric ammonium citrate, ferric citrate, ferric sulfate, as well as mixtures of these ferric salts. Combinations or mixtures of highly bioavailable ferrous and ferric salts can be used in these edible mixes and ready-to-serve beverages.
  • the preferred sources of highly bioavailable iron are ferrous fumarate and ferrous amino acid chelates.
  • Ferrous amino acid chelates particularly suitable as highly bioavailable iron sources for use in the present invention are those having a ligand to metal ratio of at least 2:1.
  • suitable ferrous amino acid chelates having a ligand to metal mole ratio of two are those of formula:
  • L is an alpha amino acid, dipeptide, tripeptide, or quadrapeptide ligand.
  • L can be any ligand which is a naturally occurring alpha amino acid selected from alanine, arginine, asparagine, aspartic acid, cysteine, cystine, glutamine, glutamic acid, glycine, histidine, hydroxyproline, isoleucine, leucine, lysine, methionine, omithine, phenylalanine, proline, serine, threonine, tryptophan, tyrosine, and valine; or dipeptides, tripeptides, or quadrapeptides formed by any combination of these alpha amino acids.
  • ferrous amino acid chelates are those where the reacting ligands are glycine, lysine, and leucine. Most preferred is the ferrous amino acid chelate sold under the mark Ferrochel ® (Albion Laboratories, Salt Lake City, Utah) wherein the ligand is glycine.
  • bioavailable ferrous and ferric salts can be included in the food and beverage compositions of the present invention.
  • Other sources of iron particularly suitable for fortifying compositions of the present invention included certain iron-sugar-carboxylate complexes.
  • the carboxylate provides the counterion for the ferrous (preferred) or ferric iron:
  • the overall synthesis of these iron-sugar-carboxylate complexes involves the formation of a calcium-sugar moiety in aqueous media (for example, by reacting calcium hydroxide with a sugar, reacting the iron source (such as ferrous ammonium sulfate) with the calcium-sugar moiety in aqueous media to provide an iron-sugar moiety, and neutralizing the reaction system with a carboxylic acid (the "carboxylate counterion") to provide the desired iron-sugar- carboxylate complex.
  • a carboxylic acid the "carboxylate counterion”
  • Sugars that can be used to prepare the calcium-sugar moiety include any of the ingestible saccharidic materials, and mixtures thereof, such as glucose, sucrose and fructose, mannose, galactose, lactose, maltose, and the like, with sucrose and fructose being the more preferred.
  • the carboxylic acid providing the "carboxylate counterion" can be any ingestible carboxylic acid such as citric acid, malic acid tartaric acid, lactic acid, succinic acid, propionic acid, etc., as well as mixtures of these acids.
  • iron-sugar-carboxylate complexes can be prepared in the manner described in, e.g., Nakel et al.. U.S. Patent Nos. 4,786,510 and 4,786,518, issued November 22, 1988, both of which are incorporated by reference. These materials are referred to as “complexes", but they may exist in solution as complicated, highly hydrated, protected colloids; the term “complex” is used for the purpose of simplicity.
  • Zinc may also be utilized in the compositions and methods of the present invention. Acceptable forms of zinc are well-known in the art. Zinc fortified compositions of the present invention typically contain from about 5% to about 100%, preferably from about 15% to about 50%, and most preferably about 25% to about 45% of the USRDI for zinc.
  • the zinc compounds which can be used in the present invention can be in any of the commonly used forms such as, e.g., zinc sulfate, zinc chloride, zinc acetate, zinc gluconate, zinc ascorbate, zinc citrate, zinc aspartate, zinc picolinate, amino acid chelated zinc, and zinc oxide. Zinc gluconate and amino acid chelated zinc are particularly preferred.
  • flavoring agents are recommended for the embodiments of the present invention in order to enhance their palatability.
  • Any natural or synthetic flavor agent can be used in the present invention.
  • one or more botanical and / or fruit flavors may be utilized herein.
  • such flavors may be synthetic or natural flavors.
  • Particularly preferred fruit flavors are exotic and lactonic flavors such as, for example, passion fruit flavors, mango flavors, pineapple flavors, cupuacu flavors, guava flavors, cocoa flavors, papaya flavors, peach flavors, and apricot flavors.
  • a variety of other fruit flavors can be utilized such as, for example, apple flavors, citrus flavors, grape flavors, raspberry flavors, cranberry flavors, cherry flavors, grapefruit flavors, and the like.
  • These fruit flavors can be derived from natural sources such as fruit juices and flavor oils, or may alternatively be synthetically prepared.
  • Preferred botanical flavors include, for example, tea (preferably black and green tea, most preferably green tea), aloe vera, guarana, ginseng, ginkgo, hawthorn, hibiscus, rose hips, chamomile, peppermint, fennel, ginger, licorice, lotus seed, schizandra, saw palmetto, sarsaparilla, safflower, St. John's Wort, curcuma, cardimom, nutmeg, cassia bark, buchu, cinnamon, jasmine, haw, chrysanthemum, water chestnut, sugar cane, lychee, bamboo shoots, vanilla, coffee, and the like.
  • tea preferably black and green tea, most preferably green tea
  • aloe vera guarana
  • ginseng ginkgo
  • hawthorn hawthorn
  • hibiscus rose hips
  • chamomile peppermint
  • fennel ginger
  • tea guarana
  • ginseng ginko
  • coffee is included within the present compositions.
  • a combination of green tea and coffee in the present compositions is often preferred.
  • the flavor agent can also comprise a blend of various flavors.
  • the flavor in the flavoring agent may be formed into emulsion droplets which are then dispersed in the beverage composition or concentrate. Because these droplets usually have a specific gravity less than that of water and would therefore form a separate phase, weighting agents (which can also act as clouding agents) can be used to keep the emulsion droplets dispersed in the beverage composition or concentrate. Examples of such weighting agents are brominated vegetable oils (BVO) and resin esters, in particular the ester gums. See L.F. Green, Developments in Soft Drinks Technology, Vol. ' 1 , Applied Science Publishers Ltd., pp.
  • weighting and clouding agents in liquid beverages.
  • the flavoring agents are conventionally available as concentrates or extracts or in the form of synthetically produced flavoring esters, alcohols, aldehydes, terpenes, sesquiterpenes, and the like.
  • FD&C dyes e.g., yellow #5, blue #2, red # 40
  • FD&C lakes are preferably used. By adding the lakes to the other powdered ingredients, all the particles, in particular the colored iron compound, are completely and uniformly colored and a uniformly colored beverage mix is attained.
  • Preferred lake dyes which may be used in the present invention are the FDA-approved Lake, such as Lake red #40, yellow #6, blue #1 , and the like.
  • a mixture of FD&C dyes or a FD&C lake dye in combination with other conventional food and food colorants may be used.
  • Riboflavin and b-carotene may also be used.
  • other natural coloring agents may be utilized including, for example, fruit, vegetable, and / or plant extracts such as grape, black currant, aronia, carrot, beetroot, red cabbage, and hibiscus.
  • the amount of coloring agent used will vary, depending on the agents used and the intensity desired in the finished product. The amount can be readily determined by one skilled in the art. Generally, if utilized, the coloring agent should be present at a level of from about 0.0001% to about 0.5%, preferably from about 0.001% to about 0.1%, and most preferably from about 0.004% to about 0.1 %, by weight of the composition.
  • preservatives may additionally be utilized herein.
  • Preferred preservatives include, for example, sorbate, benzoate, and polyphosphate preservatives.
  • sorbate or benzoate preservatives are utilized.
  • Sorbate and benzoate preservatives suitable for use in the present invention include sorbic acid, benzoic acid, and salts thereof, including (but not limited to) calcium sorbate, sodium sorbate, potassium sorbate, calcium benzoate, sodium benzoate, potassium benzoate, and mixtures thereof. Sorbate preservatives are particularly preferred. Potassium sorbate is particularly preferred for use in the present invention.
  • a composition comprises a preservative
  • the preservative is preferably included at levels from about 0.0005% to about 0.5%, more preferably from about 0.001% to about 0.4% of the preservative, still more preferably from about 0.001% to about 0.1%, even more preferably from about 0.001% to about 0.05%, and most preferably from about 0.003% to about 0.03% of the preservative, by weight of the composition.
  • the composition comprises a mixture of one or more preservatives, the total concentration of such preservatives is preferably maintained within these ranges.
  • One or more emulsifiers and / or oils may also be included in the present compositions for texture and opacity purposes.
  • Typical emulsifiers and oils useful herein include, for example, mono-di glycerides, lecithin, pulp, cotton seed oil, and vegetable oil.
  • Carbon dioxide can be introduced into the water which is mixed with a beverage concentrate or into the beverage composition after dilution to achieve carbonation.
  • the carbonated beverage can be placed into a container, such as a bottle or can, and then sealed. Any conventional carbonation methodology may be utilized to make carbonated beverage compositions of this invention.
  • the amount of carbon dioxide introduced into the beverage will depend upon the particular flavor system utilized and the amount of carbonation desired.
  • kits further comprise information selected from the group consisting of: (i) dose-form information;
  • this information is critical to the success of the compositions herein.
  • the present inventors have surprisingly discovered that the behavior of the consumer in need of treatment affects the success of the chondroprotective regimen.
  • the relationship between 1) ingestion of a particular form of chondroprotective composition; and 2) food or beverage intake has been found to be critical to the success of the regimen.
  • the information described herein, which guides the consumer toward an optimized. regimen is a critical and surprisingly effective element of the present invention.
  • kits comprise an aqueous chondroprotective composition as well as information which improves or aids efficacy of the composition.
  • the kits comprise information which informs the consumer that aqueous chondroprotective compositions provide enhanced efficacy relative to dry-form chondroprotective compositions having the same, or similar, chondroprotective agent.
  • the kits comprise information which instructs or suggests ingestion of the composition within about 4 hours of ingestion of a food or beverage.
  • the information defined within the present invention is not limited to specific words or descriptions herein.
  • the information included within the kit may be in the form of words, pictures, symbols, and / or the like.
  • the information may, as non-limiting examples, be present on: 1) a label visible on the exterior of packaging (e.g., a label on a bottle, carrier, or case); or 2) a packaging insert included within the packaging utilized (including, for example, within carriers, cases, or even under a bottle cap).
  • the information of the kit need not be physically present with the aqueous chondroprotective composition.
  • the information may be associated with the composition, for example, advertising or information accessible by computer (e.g., the internet), television, print advertisement, and physician recommendations).
  • the information is printed on a device containing the composition, e.g., a bottle.
  • kits may be in the form of one bottle containing the composition, or may be obtained as a plurality of bottles each containing the composition.
  • the kits may be obtained as one bottle, or cases of four, six, seven (e.g., a weekly supply), or eight bottles co-packaged together.
  • monthly kits may be obtained as cases of, for example, twenty-eight or thirty bottles co-packaged together.
  • the information need not use the actual words described herein (e.g., "enhanced efficacy").
  • the information is preferably presented in a manner such that the consumer can readily understand and follow the instructions.
  • the information is provided at a low readability level, i.e., is written such that the average consumer can understand the information.
  • Complex and difficult medical terminology or diagnostic indicators e.g., photos showing a clinical difference between subjects treated with traditional products and subjects treated with the compositions herein
  • the readability level of the information is very important since it has been reported that patients do not understand many medical terms used in typical patient information materials. See e.g.. D.L. Smith, "Compliance Packaging: A Patient Education Tool", Amer. Pharm., Vol. NS29, No. 2, p. 42 - 53 (1989).
  • the present inventors have discovered that efficacy of chondroprotective compositions is unexpectedly related to the particular form of chondroprotective composition used.
  • the present inventors have discovered that the aqueous chondroprotective compositions used herein provide substantially increased efficacy, and thus health benefit, relative to the corresponding dry-forms.
  • the "corresponding dry-form” will contain the same chondroprotective agent(s) as the aqueous chondroprotective composition to which it is compared. However, this "corresponding dry-form" comprises less than about 2% water, by weight of the dry-form composition.
  • Dry-form compositions comprise less than about 2% water, by weight of the composition. Preferably, dry-form compositions comprise less than about 1% water, by weight of the composition. Most preferably, dry-form compositions comprise less than about 0.5% water, by weight of the composition.
  • Non-limiting examples of dry-form compositions include tablets, capsules, pills, granules, and powders. Dry-form compositions are often compressed, tablet triturates, enteric-coated, sugar-coated, film-coated, or multiple-compressed, containing suitable binders, lubricants, diluents, disintegrating agents, coloring agents, flavoring agents, flow-inducing agents, and melting agents.
  • Dry-form compositions will often contain one or more conventional adjuvants such as inert diluents, for example, calcium carbonate, sodium carbonate, mannitol, lactose and cellulose; binders such as starch, gelatin and sucrose; disintegrants such as starch, alginic acid and croscarmelose; lubricants such as magnesium stearate, stearic acid, and talc. Glidants such as silicon dioxide can be used to improve flow characteristics of the powder mixture. Coloring agents, such as the FD&C dyes are often added for appearance. Sweeteners and flavoring agents, such as aspartame, saccharin, menthol, peppermint, and fruit flavors, are useful adjuvants for chewable tablets.
  • inert diluents for example, calcium carbonate, sodium carbonate, mannitol, lactose and cellulose
  • binders such as starch, gelatin and sucrose
  • disintegrants such as starch, alginic
  • the "dose-form information" distinguishes efficacy of the present aqueous chondroprotective compositions from that exhibited by the foregoing dry-form compositions. Such information will inform the consumer (by words, pictures, symbols and / or the like) that use of the aqueous chondroprotective present as part of the kit will exhibit enhanced efficacy relative to a dry-form composition, for example, a corresponding dry-form composition.
  • the present aqueous chondroprotective compositions will provide an enhanced health benefit (e.g., a joint health benefit, bone health benefit, cardiac health benefit, and / or anti-inflammation benefit) relative to dry-form compositions).
  • the dose-form information will inform the consumer that the present aqueous chondroprotective compositions provide an enhanced joint health benefit, bone health benefit, and / or anti-inflammation benefit relative to the dry-form composition. It is most preferred to convey that a joint health benefit is optimized through use of the present aqueous chondroprotective compositions, relative to the dry-form composition.
  • Non-limiting examples of such dose-form information include the following phrases (other words, pictures, symbols, and / or the like can alternatively be used to convey the same or similar meaning):
  • the present inventors have discovered that efficacy of the chondroprotective composition is also enhanced wherein the composition is ingested within about 4 hours of ingestion of a food or beverage, relative to not consuming a food or beverage during this time period.
  • efficacy of aqueous chondroprotective compositions is significantly greater relative to that of dry forms of chondroprotective compositions (e.g., tablets or capsules), even wherein each of these compositions is ingested within about 4 hours of ingestion of a food or beverage.
  • kits further comprise information which is instruction or suggestion of ingestion of the chondroprotective composition within about 4 hours of ingestion of a food or beverage.
  • instruction of ingestion of the composition is information which instructs the consumer to ingest the composition within about 4 hours of ingestion of a food or beverage.
  • sacgestion of ingestion of the composition is information which merely suggests this use or merely informs the consumer that certain results may be achieved when ingested within about 4 hours of ingestion of a food or beverage.
  • the term "ingested within about 4 hours of ingestion of a food or beverage” includes within both about 4 hours before or after ingestion of a chondroprotective composition described herein. Additionally, “within about 4 hours” includes any amount of time which is less than, or equal to, about 4 hours. For example, “within about 4 hours” includes within about 3 hours, within about 2 hours, within about 1 hour, within about 45 minutes, and even concurrently with ingestion of a food or beverage.
  • “concurrently” means ingestion of a chondroprotective composition as described herein at about the same time as ingesting a food or beverage, within about fifteen to about thirty minutes after completely ingesting a food or beverage, or within about fifteen to about thirty minutes before commencing the ingestion of a food or beverage.
  • the term “concurrently” includes instruction to ingest the chondroprotective composition "with a food or beverage.”
  • the food or beverage is ingested within about 2 hours, more preferably within about 1 hour, and most preferably concurrently with, ingestion of the chondroprotective composition.
  • the chondroprotective composition may be in any form, e.g., a ready-to-drink beverage composition or a concentrate which is formulated by the consumer. Therefore, "within about 4 hours of ingestion of a food or beverage” refers to a food or beverage which is additional to the chondroprotective composition ingested herein.
  • the food or beverage ingested is not limited and need not be specifically described in the information (i.e., the information may be "for best results, take this product with the food of your choice").
  • the present kits comprise information that the aqueous chondroprotective composition should be ingested within about 4 hours of ingestion of a food.
  • Such food may be a full meal (e.g., a meal comprised of a meat and vegetable) or a snack (e.g., a piece of fruit, crackers, or a candy bar). Therefore, the information may instruct or suggest ingestion of a chondroprotective composition within 4 hours of ingestion of breakfast, lunch, dinner, or a snack.
  • the food or beverage preferably comprises at least one of a carbohydrate, fat, or protein source.
  • Non-limiting examples of foods include fruits, vegetables, savory snacks (e.g., potato chips and pretzels), cracker snacks (e.g., cheese and cracker snacks), health bars (e.g., PowerBar ® (commercially available from PowerBar Inc., Berkeley, CA), NutriGrain ® Bar (commercially available from Kellogg's), HeartBar (commercially available from Cooke Pharma, Belmont, CA), and Clif Bar ® and Luna Bar ® (both commercially available from Clif Bar, Inc., Berkeley, CA), and Prevesse ® , commercially available from Procter & Gamble Co., Cincinnati, OH)), yogurts, cheeses, breads, cereals, meat products, rice products, and baked goods (e.g., cookies and other snack foods). Most preferably, the food is. a health bar.
  • Non-limiting examples of beverages include fruit juices (including all levels of fruit juice), milk products, sodas, and coffee products.
  • the food or beverage is nutritionally-balanced.
  • the term “nutritionally-balanced”, means that that a single serving or reference serving of the food provides a nutritionally desirable level of fat, protein or amino acid source, and dietary fiber.
  • "nutritionally balanced" foods provide a relatively low level of digestible fat (e.g., about 3 grams or less per reference serving and / or about 27% or less of total calories from fat), are a good source of dietary protein or other amino acid source (e.g., about 5 g or more per reference serving and / or about 19% or more of total calories from protein), and / or are a good source of dietary fiber (e.g., about 2.5 g or more of dietary fiber per reference serving).
  • a relatively low level of digestible fat e.g., about 3 grams or less per reference serving and / or about 27% or less of total calories from fat
  • are a good source of dietary protein or other amino acid source e.g., about 5 g or more per reference serving and / or about 19% or more of total calories from protein
  • / or are a good source of dietary fiber e.g., about 2.5 g or more of dietary fiber per reference serving.
  • "nutritionally balanced" foods provide a relatively low level of digestible fat (e.g., about 3 grams or less per reference serving and / or about 27% or less of total calories from fat), are a good source of dietary protein or other amino acid source (e.g., about 5 g or more per reference serving and about 19% or more of total calories from protein), and / or are a good source of dietary fiber (e.g., about 2.5 g or more of dietary fiber per reference serving).
  • a relatively low level of digestible fat e.g., about 3 grams or less per reference serving and / or about 27% or less of total calories from fat
  • are a good source of dietary protein or other amino acid source e.g., about 5 g or more per reference serving and about 19% or more of total calories from protein
  • / or are a good source of dietary fiber e.g., about 2.5 g or more of dietary fiber per reference serving.
  • the kit is labeled with the time of day that the chondroprotective composition is to be administered, for example, "Breakfast”, “Lunch”, “Dinner” and / or “Snack” (i.e., between, before, and / or after a meal).
  • This aids the consumer to ingest the aqueous chondroprotective composition with a meal or snack.
  • the information of the kit may also be, for example, recipes and healthy diet literature which recommends the ingestion of healthy foods to the user.
  • the information will inform the consumer that the present aqueous chondroprotective compositions provide an enhanced joint health benefit, bone health benefit, and / or anti-inflammation when ingested within about 4 hours of ingestion of a food or beverage. It is most preferred to convey that a joint health, bone health, and / or anti-inflammation benefit is enhanced. Most preferably, the information conveys that a joint health benefit is enhanced.
  • Non-limiting examples of such information include the following phrases (other words, pictures, symbols, and / or the like can alternatively be used to convey the same or similar meaning):
  • a healthy lifestyle includes eating the right meal before or after you drink this product.
  • kits comprise:
  • composition comprising one or more chondroprotective agents and at least about 80% water;
  • the present inventors have discovered that efficacy of the chondroprotective composition is enhanced wherein the composition is ingested within about 4 hours of a food or beverage, relative to not consuming a food or beverage during this time period. Therefore, as has been discovered, in order to provide an efficacious chondroprotective regimen, it is important for the consumer to have access not only to the composition comprising the chondroprotective agent, but also a separate food or beverage. This ensures compliance with the optimal regimen described herein, particularly for the modern consumer who is extremely busy with the tasks and responsibilities of daily life. It is understood herein that the composition comprising the chondroprotective agent and water may, and often will be, a beverage composition.
  • the "separate food or beverage” is a distinct composition which may be, for example, a solid or semi-solid food, or even a further beverage composition.
  • the kit comprises a separate food.
  • a source of one or more of a carbohydrate, fat (lipid), protein, or other common food component is included as a composition which is separate from the chondroprotective composition also provided within the kit.
  • the separate food or beverage preferably comprises at least one of a carbohydrate, fat, or protein source.
  • separate foods include fruits, vegetables, savory snacks (e.g., potato chips and pretzels), cracker snacks (e.g., cheese and cracker snacks), health bars (e.g., PowerBar ® (commercially available from PowerBar Inc., Berkeley, CA), NutriGrain ® Bar (commercially available from Kellogg's), HeartBar (commercially available from Cooke Pharma, Belmont, CA), and Clif Bar ® and Luna Bar ® (both commercially available from Clif Bar, Inc., Berkeley, CA), and Prevesse ® , commercially available from Procter & Gamble Co., Cincinnati, OH)), yogurts, cheeses, breads, cereals, meat products, rice products, and baked goods (e.g., cookies and other snack foods).
  • the separate food is a health bar.
  • Non-limiting examples of separate beverages include fruit juices (including all levels of fruit juice), milk products, soda
  • the separate food or beverage is nutritionally-balanced.
  • the term "nutritionally-balanced" means that that a single serving or reference serving of the food provides a nutritionally desirable level of fat, protein or amino acid source, and dietary fiber.
  • "nutritionally balanced" foods provide a relatively low level of digestible fat (e.g., about 3 grams or less per reference serving and / or about 27% or less of total calories from fat), are a good source of dietary protein or other amino acid source (e.g., about 5 g or more per reference serving and / or about 19% or more of total calories from protein), and / or are a good source of dietary fiber (e.g., about 2.5 g or more of dietary fiber per reference serving).
  • a relatively low level of digestible fat e.g., about 3 grams or less per reference serving and / or about 27% or less of total calories from fat
  • are a good source of dietary protein or other amino acid source e.g., about 5 g or more per reference serving and / or about 19% or more of total calories from protein
  • / or are a good source of dietary fiber e.g., about 2.5 g or more of dietary fiber per reference serving.
  • "nutritionally balanced" foods provide a relatively low level of digestible fat (e.g., about 3 grams or less per reference serving and / or about 27% or less of total calories from fat), are a good source of dietary protein or other amino acid source (e.g., about 5 g or more per reference serving and about 19% or more of total calories from protein), and / or are a good source of dietary fiber (e.g., about 2.5 g or more of dietary fiber per reference serving).
  • a relatively low level of digestible fat e.g., about 3 grams or less per reference serving and / or about 27% or less of total calories from fat
  • are a good source of dietary protein or other amino acid source e.g., about 5 g or more per reference serving and about 19% or more of total calories from protein
  • / or are a good source of dietary fiber e.g., about 2.5 g or more of dietary fiber per reference serving.
  • kits comprising the separate food or beverage may optionally further comprise:
  • the methods of the present invention comprise enhancing a benefit associated with a composition comprising one or more chondroprotective agents and water, the method comprising orally administering to a mammal the composition within about 4 hours of oral administration of a food or beverage.
  • the compositions are preferably administered to mammals who experience joint and / or bone dysfunction or those who desire to maintain current joint and / or bone function (i.e., prophylactic use).
  • the compositions of this invention may be ingested as a supplement to normal dietetic requirements. Frequency of administration is not limited, however, such administration is typically at least once weekly, more preferably at least 3 times weekly, and most preferably at least once daily.
  • the term "orally administering" with respect to the mammal means that the mammal ingests or is directed to ingest (preferably, for the purpose of providing joint and / or bone health): 1) one or more aqueous chondroprotective compositions of the present invention; and also according to the method 2) a food or beverage within 4 hours of administration of the composition.
  • the composition is a beverage composition having the foregoing preferred limitations.
  • the food or beverage is a food, having the foregoing preferred limitations.
  • the composition is administered within about 2 hours, more preferably within about 1 hour, and most preferably concurrently with administration of a food or beverage.
  • the mammal is directed to ingest one or more of the compositions or the food or beverage, such direction may be that which instructs and / or informs the user that use of the composition may and / or will provide one or more general health and / or general physiological benefits including, but not limited to, joint health, bone health, cardiac health, anti-inflammation, refreshment, satiation, and nutrition.
  • Such instruction or information is set forth herein above as part of the description of the present kits.
  • such direction may be oral direction (e.g., through oral instruction from, for example, a physician, health professional, sales professional or organization, and / or radio or television media (i.e., advertisement) or written direction (e.g., through written direction from, for example, a physician or other health .professional (e.g., scripts), sales professional or organization (e.g., through, for example, marketing brochures, pamphlets, or other instructive paraphernalia), written media (e.g., internet, electronic mail, or other computer-related media), and / or packaging associated with the composition (e.g., a label present on a package containing the composition).
  • oral direction e.g., through oral instruction from, for example, a physician, health professional, sales professional or organization, and / or radio or television media (i.e., advertisement)
  • written direction e.g., through written direction from, for example, a physician or other health .professional (e.g., scripts), sales professional or organization (e.g
  • written means through words, pictures, symbols, and / or other visible descriptors. Such direction need not utilize the actual words used herein, for example, “joint”, “bone”, “human”, or “mammal”, but rather use of words, pictures, symbols, and the like conveying the same or similar meaning are contemplated within the scope of this invention.
  • compositions herein may be prepared by dissolving, dispersing, or otherwise mixing all components singularly or in suitable combinations together and in water where appropriate, agitating with a mechanical stirrer until all of the ingredients have been solubilized or adequately dispersed. Where appropriate, all separate solutions and dispersed may then be combined.
  • the present chondroprotective agents which have been discovered to be pH sensitive as described herein, it may be important to adjust the desired pH with an acidulant and / or buffer system before adding the chondroprotective agent to the mixture. Wherein a shelf stable composition is desired, the final mixture can optionally, but preferably, be pasteurized or filled aseptically at appropriate process conditions.
  • a beverage concentrate may optionally be formed first.
  • One method to prepare the concentrate form of the beverage composition would be to start with less than the required volume of water that is used in the preparation of the beverage composition.
  • Another method would be to partially dehydrate the finally prepared beverage compositions to remove only a portion of the water and any other volatile liquids present. Dehydration may be accomplished in accordance with well known procedures, such as evaporation under vacuum.
  • the concentrate can be in the form of a relatively thick liquid.
  • a syrup is typically formed by adding suitable ingredients such as electrolytes or emulsions to the beverage concentrate.
  • the syrup is then mixed with water to form a finished beverage or finished beverage concentrate.
  • the weight ratio of water to syrup is typically from about 1 :1 to about 5:1.
  • Carbon dioxide can be introduced either into the water to be mixed with the beverage concentrate, or into the ready-to-drink beverage composition, to achieve carbonation.
  • the carbonated beverage composition can then be stored in a suitable container and then sealed.
  • Example 1 An 8 oz. ready-to-drink beverage composition is prepared by combining the following components in a conventional manner:
  • this beverage composition approximately 1800 mg of the glucosamine hydrochloride is used in the composition. If needed, the pH of the beverage composition is adjusted to around 3.7.
  • Various flavors of the beverage composition may be formulated according to standard techniques, for example, grapefruit and / or cranberry flavors.
  • This composition is contained within a bottle.
  • the bottle is labeled with various information, including the information described herein.
  • the label states that "Best results are achieved when taking this product with food.”
  • the label also states that "This product provides greater joint health benefit relative to any benefit provided by the leading tablet or capsule.”
  • a 45-year-old human female orally ingests the composition concurrently with her daily breakfast, which typically includes buttered toast and a banana. After ingesting the composition once-daily for about 4 weeks, she reports enhanced flexibility relative to when she was ingesting corresponding dry-forms.
  • Example 2 A 4 oz. ready-to-drink beverage composition is prepared by combining the following components in a conventional manner:
  • the pH of the beverage composition is adjusted to from about 37 to about 3.9.
  • Various flavors of the beverage composition may be formulated according to standard techniques, for example, grapefruit and / or cranberry flavors. If desired, this beverage composition may be further diluted by the consumer prior to ingestion with additional water, or a beverage of the consumer's choice.
  • This composition is contained within a bottle.
  • the bottle is labeled with various information, including the information described herein.
  • the label instructs the consumer to "Take this product within about 1 hour of eating your favorite snack or meal.”
  • the label also instructs the consumer to "Take this product as a superior substitute to the leading capsule or tablet.”
  • a ' 50-year-old human male orally ingests the composition After ingesting the composition once-daily for about 4 weeks concurrently with his daily dinner, which typically includes meat and vegetables (e.g., a salad), he reports decreased joint pain relative to when he was ingesting corresponding dry-forms.
  • meat and vegetables e.g., a salad
  • Example 3 A 2 oz. ready-to-drink beverage composition is prepared by combining the following components in a conventional manner:
  • the pH of the beverage composition is adjusted to from about 3J to about 3.9.
  • Various flavors of the beverage composition may be formulated according to standard techniques, for example, grapefruit and / or cranberry flavors. If desired, this beverage composition may be further diluted by the consumer prior to ingestion with additional water, or a beverage of the consumer's choice.
  • This composition is contained within a bottle.
  • the bottle is labeled with various information, including the information described herein.
  • the label instructs the consumer to "Add this to the water you provide with your pet's daily meal.”
  • the label also instructs the consumer to "Feed this as a substitute to the leading dry powder.”
  • the owner of a large dog administers the composition to the dog. After the dog ingests the composition once-daily with his daily meal for about 4 weeks, the owner reports that the dog exhibits increased physical activity (including running and jumping) relative to when the dog was ingesting corresponding dry-forms.
  • Example 4 A kit according to the present invention comprises the composition according to Example 1 and a distinct, nutritionally-balanced health bar composition (having a filling (according to the "filling formula") sandwiched between two “crackers" (according to the crumb formula) and having the following composition:
  • the health bar is manufactured under standard conditions well-known to one of ordinary skill in the art.
  • the chondroprotective composition is contained within a bottle.
  • the bottle is labeled with various information, including the information described herein.
  • the label states that "Best results are achieved when taking this product with food.”
  • the label also states that "This product provides greater joint health benefit relative to any benefit provided by the leading tablet or capsule.”
  • the health bar is packaged in a standard plastic wrapper, the chondroprotective composition is contained within a bottle, and the two of these are co-packaged (e.g., inside a containing device such as a box) as the kit.
  • a 30-year-old athletic male obtains the kit, eats the health bar, and drinks the chondroprotective composition over a 15 minute period.

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  • Health & Medical Sciences (AREA)
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  • Life Sciences & Earth Sciences (AREA)
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  • Rheumatology (AREA)
  • Orthopedic Medicine & Surgery (AREA)
  • Epidemiology (AREA)
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  • Medicines That Contain Protein Lipid Enzymes And Other Medicines (AREA)
  • Medicines Containing Material From Animals Or Micro-Organisms (AREA)
  • Acyclic And Carbocyclic Compounds In Medicinal Compositions (AREA)
  • Non-Alcoholic Beverages (AREA)
EP01944213A 2000-06-02 2001-06-01 Kits und verfahren zur optimierung der effektivität von chondroprotektiven zusammensetzungen Withdrawn EP1289531A2 (de)

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US58651400A 2000-06-02 2000-06-02
US586514 2000-06-02
PCT/US2001/017721 WO2001093833A2 (en) 2000-06-02 2001-06-01 Kits and methods for optimizing the efficacy of chondroprotective compositions

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BR0111378A (pt) 2003-06-17
JP2003535121A (ja) 2003-11-25
CN1431908A (zh) 2003-07-23
WO2001093833A3 (en) 2002-04-25

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