WO2007027225A2 - Combination therapy for the treatment of obesity and diabetes and conditions related thereto and for the treatment of conditions ameliorated by increasing a blood glp-1 level - Google Patents

Combination therapy for the treatment of obesity and diabetes and conditions related thereto and for the treatment of conditions ameliorated by increasing a blood glp-1 level Download PDF

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Publication number
WO2007027225A2
WO2007027225A2 PCT/US2006/016024 US2006016024W WO2007027225A2 WO 2007027225 A2 WO2007027225 A2 WO 2007027225A2 US 2006016024 W US2006016024 W US 2006016024W WO 2007027225 A2 WO2007027225 A2 WO 2007027225A2
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WIPO (PCT)
Prior art keywords
brs
dpp
agonist
inhibitor
glp
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PCT/US2006/016024
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English (en)
French (fr)
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WO2007027225A3 (en
Inventor
Zhi-Liang Chu
James N. Leonard
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Arena Pharmaceuticals Inc
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Arena Pharmaceuticals Inc
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Priority to EP06824717A priority Critical patent/EP1871362A2/en
Priority to CA002605228A priority patent/CA2605228A1/en
Priority to AU2006285393A priority patent/AU2006285393A1/en
Priority to US11/919,381 priority patent/US8354241B2/en
Priority to JP2008509119A priority patent/JP5774264B2/ja
Publication of WO2007027225A2 publication Critical patent/WO2007027225A2/en
Anticipated expiration legal-status Critical
Publication of WO2007027225A3 publication Critical patent/WO2007027225A3/en
Priority to US13/680,866 priority patent/US9182414B2/en
Ceased legal-status Critical Current

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Definitions

  • Bombesin is a 14 amino acid peptide isolated from frog skin.
  • Bombesin Receptor Subtype-3 BRS-3 G protein-coupled receptor (BRS-3; e.g., human BRS-3, GenBank ® Accession No. AAA35604 and alleles thereof; e.g, mouse BRS-3, GenBank ® Accession No. AY288423 and alleles thereof) exhibits about 50% homology to gastric-releasing peptide receptor (GRP-R) and neuromedin B receptor (NMB-R), and together they form the bombesin-like receptor group.
  • BRS-3 is selectively expressed in tissues including hypothalamus and uterus.
  • the present invention additionally features a method of reducing body mass comprising administering to a subject in need thereof a therapeutically effective amount of a composition comprising or consisting essentially of a BRS-3 agonist and a DPP-IV inhibitor.
  • the BRS-3 agonist and the DPP-IV inhibitor are administered in amounts sufficient to increase a blood GLP-I level in the subject.
  • the subject in need thereof has a BMI of 27 or greater.
  • the subject in need thereof is overweight.
  • the subject in need thereof is obese.
  • the present invention additionally features a composition comprising or consisting essentially of a BRS-3 agonist and a DPP-IV inhibitor for use in a method of reducing body mass of the human or animal body by therapy.
  • the present invention relates to a dosage form of the composition wherein the BRS-3 agonist and the DPP-IV inhibitor are in amounts sufficient to increase a blood GLP-I level in a subject.
  • nucleotide sequence being the sequence obtainable by a process comprising performing polymerase chain reaction (PCR) on a human DNA sample using specific primers SEQ ID NO:3 and SEQ ID NO:4;
  • step (c) contacting a compound which stimulates functionality of the receptor in step (b) in vitro with a mammalian enteroendocrine cell;
  • test compound being a GLP-I secretagogue or a compound useful for reducing body mass or a compound useful for preventing or treating a condition ameliorated by increasing a blood GLP-I level.
  • blood glucose level or blood GLP-I level
  • blood GLP-I level is a level in blood of biologically active GLP-I, wherein GLP-I having agonist activity at GLP-IR is biologically active.
  • a blood glucose level or blood GLP-I level is a plasma glucose level or a plasma GLP-I level.
  • elevated blood glucose level shall mean an elevated blood glucose level such as that found in a subject demonstrating clinically inappropriate basal and postprandial hyperglycemia or such as that found in a subject in oral glucose tolerance test (oGTT).
  • amount that is effective to prevent refers to that amount of drug that will prevent or reduce the risk of occurrence of the biological or medical event that is sought to be prevented. In many instances, the amount that is effective to prevent is the same as the therapeutically effective amount.
  • carboxy or “carboxyl” denotes the group -CO 2 H; also referred to as a carboxylic acid group.
  • C 3-7 cycloalkenyl denotes a non-aromatic ring radical containing 3 to 6 ring carbons and at least one double bond; some embodiments contain 3 to 5 carbons; some embodiments contain 3 to 4 carbons. Examples include cyclopropenyl, cyclobutenyl, cyclopentenyl, cyclopentenyl, cyclohexenyl, and the like.
  • ethynylene refers to the carbon-carbon triple bond group as represented below:
  • heterocyclic denotes a non-aromatic carbon ring (i.e., cycloalkyl or cycloalkenyl as defined herein) wherein one, two or three ring carbons are replaced by a heteroatom selected from, but not limited to, the group consisting of O, S, N, wherein the N can be optionally substituted with H, C 1-4 acyl or C M alkyl, and ring carbon atoms optionally substituted with oxo or a thiooxo thus forming a carbonyl or thiocarbonyl group.
  • the heterocyclic group is a 3-, 4-, 5-, 6- or 7-membered containing ring.
  • perfluoroalkyl denotes the group of the formula -C n F 2n+ i; stated differently, a perfluoroalkyl is an alkyl as defined herein wherein the alkyl is fully substituted with fluorine atoms and is therefore considered a subset of haloalkyl. Examples of perfluoroalkyls include CF 3 , CF 2 CF 3 , CF 2 CF 2 CF 3 , CF(CF 3 ) 2 , CF 2 CF 2 CF 2 CF 3 , CF 2 CF(CF 3 ) 2 , CF(CF 3 )CF 2 CF 3 and the like.
  • phenoxy refers to the group C 6 HsO-.
  • phenyl refers to the group C 6 H 5 -.
  • phosphonooxy refers to a group with the following chemical structure:
  • sulfonamide refers to the group -SO 2 NH 2 .
  • sulfonic acid refers to the group -SO 3 H.
  • tetrazolyl refers to the five membered heteroaryl of the following formulae:
  • primer is used herein to denote a specific oligonucleotide sequence which is complementary to a target nucleotide sequence and used to hybridize to the target nucleotide sequence.
  • a primer serves as an initiation point for nucleotide polymerization catalyzed by DNA polymerase, RNA polymerase, or reverse transcriptase.
  • Dosage amount and interval may be adjusted individually to provide plasma levels of BRS-3 agonist according to the present invention and DPP-IV inhibitor according to the present invention which provide a synergistic effect in lowering a blood glucose level in the subject according to the present invention or provide a synergistic effect in increasing a blood GLP-I level in the subject according to the present invention.
  • the blood glucose level is an elevated blood glucose level.
  • the blood glucose level is an elevated blood glucose level.
  • Synthetic methods for incorporating activity levels of I into target molecules include: A. Sandmeyer and like reactions - This procedure transforms an aryl or heteroaryl amine into a diazonium salt, such as a tetrafluoroborate salt, and subsequently to 125 I labelled compound using Na 125 I. A represented procedure was reported by Zhu, D.-G. and co-workers in J. Org. Chem. 2002, 67, 943-948. B. Ortho 125 Iodination of phenols - This procedure allows for the incorporation of I at the ortho position of a phenol as reported by Collier, T. L. and co-workers in J. Labelled Compd Radiopharm. 1999, 42, S264-S266. C.
  • GLUTag cells were found to express BRS-3. See Figure 2.

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AU2006285393A AU2006285393A1 (en) 2005-04-27 2006-04-26 Combination therapy for the treatment of obesity and diabetes and conditions related thereto and for the treatment of conditions ameliorated by increasing a blood GLP-1 level
US11/919,381 US8354241B2 (en) 2005-04-27 2006-04-26 Methods for identifying a GLP-1 secretagogue
JP2008509119A JP5774264B2 (ja) 2005-04-27 2006-04-26 肥満および糖尿病、ならびにそれらに関連する病態の処置のため、ならびに血中glp−1レベルを増大させることによって緩和される病態の処置のための、併用療法
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WO2011080276A1 (en) 2009-12-29 2011-07-07 Genfit Pharmaceutical combinations comprising a dpp-4 inhibitor and a 1,3-diphenylprop-2-en-1-one derivative
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EP2108960A1 (en) 2008-04-07 2009-10-14 Arena Pharmaceuticals, Inc. Methods of using A G protein-coupled receptor to identify peptide YY (PYY) secretagogues and compounds useful in the treatment of conditons modulated by PYY
WO2017151728A1 (en) * 2016-03-01 2017-09-08 Board Of Supervisors Of Louisiana State Univ. And Agricultural And Mechanical College Indirect assessment of insulin release in a cell
KR20210149366A (ko) * 2020-06-02 2021-12-09 주식회사 고바이오랩 Icam-2에 결합하는 물질을 유효성분으로 포함하는 대사질환 예방 또는 치료용 약학 조성물

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Cited By (6)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO2008085888A1 (en) * 2007-01-05 2008-07-17 Arena Pharmaceuticals, Inc. G protein-coupled receptor and modulators thereof for the treatment of gaba-related neurological disorders including sleep-related disorders
WO2011080276A1 (en) 2009-12-29 2011-07-07 Genfit Pharmaceutical combinations comprising a dpp-4 inhibitor and a 1,3-diphenylprop-2-en-1-one derivative
WO2016034851A1 (en) * 2014-09-03 2016-03-10 The University Of Birmingham Elevated intracranial pressure treatment
US10835579B2 (en) 2014-09-03 2020-11-17 Invex Therapeutics Ltd. Elevated intracranial pressure treatment
EP4000630A1 (en) 2014-09-03 2022-05-25 Invex Therapeutics Ltd Elevated intracranial pressure treatment
US11738067B2 (en) 2014-09-03 2023-08-29 Invex Therapeutics Ltd. Elevated intracranial pressure treatment

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