WO2014056872A1 - Exendin-4 derivatives as dual glp1/glucagon agonists - Google Patents

Exendin-4 derivatives as dual glp1/glucagon agonists Download PDF

Info

Publication number
WO2014056872A1
WO2014056872A1 PCT/EP2013/070882 EP2013070882W WO2014056872A1 WO 2014056872 A1 WO2014056872 A1 WO 2014056872A1 EP 2013070882 W EP2013070882 W EP 2013070882W WO 2014056872 A1 WO2014056872 A1 WO 2014056872A1
Authority
WO
WIPO (PCT)
Prior art keywords
carboxy
butyryl
amino acid
acid residue
residue selected
Prior art date
Application number
PCT/EP2013/070882
Other languages
French (fr)
Inventor
Torsten Haack
Michael Wagner
Bernd Henkel
Siegfried Stengelin
Andreas Evers
Martin Bossart
Original Assignee
Sanofi
Priority date (The priority date 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 date listed.)
Filing date
Publication date
Family has litigation
First worldwide family litigation filed litigation Critical https://patents.darts-ip.com/?family=49304983&utm_source=google_patent&utm_medium=platform_link&utm_campaign=public_patent_search&patent=WO2014056872(A1) "Global patent litigation dataset” by Darts-ip is licensed under a Creative Commons Attribution 4.0 International License.
Priority to UAA201504488A priority Critical patent/UA116217C2/en
Priority to MA38066A priority patent/MA38066B1/en
Priority to NO13773767A priority patent/NO2906595T3/no
Priority to NZ706898A priority patent/NZ706898A/en
Priority to CA2887272A priority patent/CA2887272C/en
Priority to MX2015004531A priority patent/MX359533B/en
Priority to CN201380064117.XA priority patent/CN104837864B/en
Priority to EP13773767.2A priority patent/EP2906595B1/en
Priority to JP2015535054A priority patent/JP6373270B2/en
Priority to BR112015007685A priority patent/BR112015007685A2/en
Priority to KR1020157010088A priority patent/KR102179751B1/en
Priority to DK13773767.2T priority patent/DK2906595T3/en
Priority to LTEP13773767.2T priority patent/LT2906595T/en
Application filed by Sanofi filed Critical Sanofi
Priority to RS20171151A priority patent/RS56515B1/en
Priority to EA201590715A priority patent/EA030023B1/en
Priority to PL13773767T priority patent/PL2906595T3/en
Priority to ES13773767.2T priority patent/ES2647418T3/en
Priority to AU2013328802A priority patent/AU2013328802B2/en
Priority to SI201330838T priority patent/SI2906595T1/en
Priority to SG11201501770WA priority patent/SG11201501770WA/en
Publication of WO2014056872A1 publication Critical patent/WO2014056872A1/en
Priority to IL237641A priority patent/IL237641B/en
Priority to ZA2015/01694A priority patent/ZA201501694B/en
Priority to TNP2015000101A priority patent/TN2015000101A1/en
Priority to PH12015500688A priority patent/PH12015500688A1/en
Priority to CR20150200A priority patent/CR20150200A/en
Priority to HK15110559.5A priority patent/HK1209766A1/en
Priority to HRP20171726TT priority patent/HRP20171726T1/en
Priority to CY20171101194T priority patent/CY1119987T1/en

Links

Classifications

    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K38/00Medicinal preparations containing peptides
    • A61K38/16Peptides having more than 20 amino acids; Gastrins; Somatostatins; Melanotropins; Derivatives thereof
    • A61K38/17Peptides having more than 20 amino acids; Gastrins; Somatostatins; Melanotropins; Derivatives thereof from animals; from humans
    • A61K38/22Hormones
    • A61K38/26Glucagons
    • CCHEMISTRY; METALLURGY
    • C07ORGANIC CHEMISTRY
    • C07KPEPTIDES
    • C07K14/00Peptides having more than 20 amino acids; Gastrins; Somatostatins; Melanotropins; Derivatives thereof
    • C07K14/435Peptides having more than 20 amino acids; Gastrins; Somatostatins; Melanotropins; Derivatives thereof from animals; from humans
    • C07K14/575Hormones
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K38/00Medicinal preparations containing peptides
    • A61K38/16Peptides having more than 20 amino acids; Gastrins; Somatostatins; Melanotropins; Derivatives thereof
    • A61K38/17Peptides having more than 20 amino acids; Gastrins; Somatostatins; Melanotropins; Derivatives thereof from animals; from humans
    • A61K38/22Hormones
    • A61K38/2264Obesity-gene products, e.g. leptin
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K38/00Medicinal preparations containing peptides
    • A61K38/16Peptides having more than 20 amino acids; Gastrins; Somatostatins; Melanotropins; Derivatives thereof
    • A61K38/17Peptides having more than 20 amino acids; Gastrins; Somatostatins; Melanotropins; Derivatives thereof from animals; from humans
    • A61K38/22Hormones
    • A61K38/28Insulins
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K45/00Medicinal preparations containing active ingredients not provided for in groups A61K31/00 - A61K41/00
    • A61K45/06Mixtures of active ingredients without chemical characterisation, e.g. antiphlogistics and cardiaca
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P1/00Drugs for disorders of the alimentary tract or the digestive system
    • A61P1/04Drugs for disorders of the alimentary tract or the digestive system for ulcers, gastritis or reflux esophagitis, e.g. antacids, inhibitors of acid secretion, mucosal protectants
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P1/00Drugs for disorders of the alimentary tract or the digestive system
    • A61P1/16Drugs for disorders of the alimentary tract or the digestive system for liver or gallbladder disorders, e.g. hepatoprotective agents, cholagogues, litholytics
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P25/00Drugs for disorders of the nervous system
    • A61P25/30Drugs for disorders of the nervous system for treating abuse or dependence
    • A61P25/36Opioid-abuse
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P3/00Drugs for disorders of the metabolism
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P3/00Drugs for disorders of the metabolism
    • A61P3/04Anorexiants; Antiobesity agents
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P3/00Drugs for disorders of the metabolism
    • A61P3/06Antihyperlipidemics
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P3/00Drugs for disorders of the metabolism
    • A61P3/08Drugs for disorders of the metabolism for glucose homeostasis
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P3/00Drugs for disorders of the metabolism
    • A61P3/08Drugs for disorders of the metabolism for glucose homeostasis
    • A61P3/10Drugs for disorders of the metabolism for glucose homeostasis for hyperglycaemia, e.g. antidiabetics
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P9/00Drugs for disorders of the cardiovascular system
    • 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
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P9/00Drugs for disorders of the cardiovascular system
    • A61P9/12Antihypertensives
    • CCHEMISTRY; METALLURGY
    • C07ORGANIC CHEMISTRY
    • C07KPEPTIDES
    • C07K14/00Peptides having more than 20 amino acids; Gastrins; Somatostatins; Melanotropins; Derivatives thereof
    • C07K14/435Peptides having more than 20 amino acids; Gastrins; Somatostatins; Melanotropins; Derivatives thereof from animals; from humans
    • C07K14/575Hormones
    • C07K14/605Glucagons
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K38/00Medicinal preparations containing peptides
    • YGENERAL TAGGING OF NEW TECHNOLOGICAL DEVELOPMENTS; GENERAL TAGGING OF CROSS-SECTIONAL TECHNOLOGIES SPANNING OVER SEVERAL SECTIONS OF THE IPC; TECHNICAL SUBJECTS COVERED BY FORMER USPC CROSS-REFERENCE ART COLLECTIONS [XRACs] AND DIGESTS
    • Y02TECHNOLOGIES OR APPLICATIONS FOR MITIGATION OR ADAPTATION AGAINST CLIMATE CHANGE
    • Y02ATECHNOLOGIES FOR ADAPTATION TO CLIMATE CHANGE
    • Y02A50/00TECHNOLOGIES FOR ADAPTATION TO CLIMATE CHANGE in human health protection, e.g. against extreme weather
    • Y02A50/30Against vector-borne diseases, e.g. mosquito-borne, fly-borne, tick-borne or waterborne diseases whose impact is exacerbated by climate change

Definitions

  • the present invention relates to exendin-4 peptide analogues which - in contrast to the pure GLP-1 agonist exendin-4 - activate both the GLP1 and the Glucagon receptor and their medical use, for example in the treatment of disorders of the metabolic syndrome, including diabetes and obesity, as well as for reduction of excess food intake.
  • Exendin-4 is a 39 amino acid peptide which is produced by the salivary glands of the Gila monster (Heloderma suspectum) (Eng, J. et al., J. Biol. Chem., 267:7402-05,1992). Exendin-4 is an activator of the glucagon-like peptide-1 (GLP-1 ) receptor, whereas it does not activate significantly the glucagon receptor.
  • GLP-1 glucagon-like peptide-1
  • Exendin-4 shares many of the glucoregulatory actions observed with GLP-1 .
  • Clinical and non-clinical studies have shown that exendin-4 has several beneficial antidiabetic properties including a glucose dependent enhancement in insulin synthesis and secretion, glucose dependent suppression of glucagon secretion, slowing down gastric emptying, reduction of food intake and body weight, and an increase in beta-cell mass and markers of beta cell function (Gentilella R et al., Diabetes Obes Metab., 1 1 :544-56, 2009; Norris SL et al., Diabet Med., 26:837-46, 2009; Bunck MC et al., Diabetes Care., 34:2041 -7, 201 1 ).
  • These effects are beneficial not only for diabetics but also for patients suffering from obesity. Patients with obesity have a higher risk of getting diabetes, hypertension, hyperlipidemia, cardiovascular and musculoskeletal diseases.
  • exendin-4 is resistant to cleavage by dipeptidyl peptidase-4 (DPP4) resulting in a longer half-life and duration of action in vivo (Eng J., Diabetes, 45 (Suppl 2):152A (abstract 554), 1996).
  • DPP4 dipeptidyl peptidase-4
  • exendin-4 is chemically labile due to methionine oxidation in position 14 (Hargrove DM et al., Regul. Pept., 141 : 1 13-9, 2007) as well as deamidation and isomerization of asparagine in position 28 (WO 2004/035623).
  • exendin-4 is shown as SEQ ID NO: 1 HGEGTFTSDLSKQMEEEAVRLFIEWLKNGGPSSGAPPPS-NH2
  • amino acid sequence of GLP-1 (7-36)-amide is shown as SEQ ID NO: 2
  • Liraglutide is a marketed chemically modified GLP-1 analog in which, among other modifications, a fatty acid is linked to a lysine in position 20 leading to a prolonged duration of action (Drucker DJ et al., Nature Drug Disc. Rev. 9, 267-268, 2010; Buse, J.B. et al., Lancet, 374:39-47, 2009).
  • the amino acid sequence of Liraglutide is shown as SEQ ID NO: 195.
  • Glucagon is a 29-amino acid peptide which is released into the bloodstream when circulating glucose is low. Glucagon's amino acid sequence is shown in SEQ ID NO: 3.
  • hypoglycemia when blood glucose levels drop below normal, glucagon signals the liver to break down glycogen and release glucose, causing an increase of blood glucose levels to reach a normal level. Hypoglycemia is a common side effect of insulin treated patients with hyperglycemia (elevated blood glucose levels) due to diabetes. Thus, glucagon's most predominant role in glucose regulation is to counteract insulin action and maintain blood glucose levels.
  • GLP-1 receptor agonists such as GLP-1 , liraglutide and exendin-4
  • FPG and PPG fasting and postprandial glucose
  • triple co-agonist peptides which not only activate the GLP-1 and the glucagon receptor but also the GIP receptor are described in WO 2012/0881 16 and by VA Gault et al. (Biochem Pharmacol, 85, 16655-16662, 2013; Diabetologia, 56, 1417-1424, 2013).
  • Bloom et al. disclose that peptides which bind and activate both the glucagon and the GLP-1 receptor can be constructed as hybrid molecules from glucagon and exendin-4, where the N-terminal part (e.g. residues 1 -14 or 1 -24) originates from glucagon and the C-terminal part (e.g. residues 15-39 or 25-39) originates from exendin- DE Otzen et al. (Biochemistry, 45, 14503-14512, 2006) disclose that N- and C-terminal hydrophobic patches are involved in fibrillation of glucagon due to the hydrophobicity and/or high ⁇ -sheet propensity of the underlying residues.
  • N-terminal part e.g. residues 1 -14 or 1 -24
  • the C-terminal part e.g. residues 15-39 or 25-39
  • Krstenansky et al. show the importance of the residues 10-13 of glucagon for its receptor interactions and activation of adenylate cyclase.
  • residues Tyr10 and Tyr13 which are known to contribute to the fibrillation of glucagon (DE Otzen, Biochemistry, 45, 14503- 14512, 2006) are replaced by Leu in position 10 and Gin, a non-aromatic polar amino acid, in position 13, leading to exendin-4 derivatives with potentially improved biophysical properties.
  • compounds of this invention are exendin-4 derivatives with fatty acid acylated residues in position 14.
  • This fatty acid functionalization in position 14 results in exendin-4 derivatives with high activity not only at the GLP-1 receptor but also at the glucagon receptor when compared to the corresponding non-acylated exendin-4 derivatives.
  • this modification results in an improved pharmacokinetic profile.
  • NEP neutral endopeptidase
  • DPP4 dipeptidyl peptidase-4
  • Compounds of this invention are preferably soluble not only at neutral pH, but also at pH 4.5. This property potentially allows co-formulation for a combination therapy with an insulin or insulin derivative and preferably with a basal insulin like insulin glargine/Lantus ® .
  • exendin-4 derivatives which potently activate the GLP1 and the glucagon receptor.
  • exendin-4 derivatives - among other substitutions - methionine at position 14 is replaced by an amino acid carrying an -NH 2 group in the side chain, which is further substituted with an unpolar residue (e.g. a fatty acid optionally combined with a linker).
  • the invention provides a peptidic compound having the formula (I):
  • X2 represents an amino acid residue selected from Ser, D-Ser and Aib,
  • X3 represents an amino acid residue selected from Gin, His and a-amino- functionalized Gin, wherein Gin may be functionalized in that an H of the a-NH 2 group is substituted by (Ci-C 4 )-alkyl,
  • X14 represents an amino acid residue having a side chain with an -NH 2 group, wherein the -NH 2 side chain group is functionalized by -C(O)-R 5 , -C(O)O-R 5 , -
  • R 5 may be a moiety comprising up to 50 or up to 100 carbon atoms and optionally heteroatoms selected from halogen, N, O, S and/or P,
  • X15 represents an amino acid residue selected from Glu and Asp
  • X16 represents an amino acid residue selected from Ser, Glu and Lys,
  • X17 represents an amino acid residue selected from Arg, Glu, Gin, Leu, Aib and Lys
  • X18 represents an amino acid residue selected from Arg, Ala and Lys
  • X20 represents an amino acid residue selected from Gin, Arg, Lys, His, Glu and Aib
  • X21 represents an amino acid residue selected from Asp, Leu and Glu
  • X28 represents an amino acid residue selected from Asn, Arg, Lys, Aib, Ser, Glu, Ala and Asp,
  • X29 represents an amino acid residue selected from Gly, Ala, D-Ala and Thr,
  • X35 represents an amino acid residue selected from Ala, Glu, Arg and Lys, X39 represents Ser or is absent and
  • X40 is absent or represents an amino acid residue having a side chain with an -NH 2 group, wherein the -NH 2 side chain group is optionally functionalized by -C(O)- R 5 , -C(O)O-R 5 , -C(O)NH-R 5 , -S(O) 2 -R 5 or R 5 , preferably by -C(O)-R 5 , wherein R 5 may be a moiety comprising up to 50 or up to 100 carbon atoms and optionally heteroatoms selected from halogen, N, O, S and/or P,
  • R 1 represents the N-terminal group of the peptidic compound and is selected from NH 2 and mono- or bisfunctionalized NH 2 ,
  • R 2 represents the C-terminal group of the peptidic compound and is selected from
  • the compounds of the invention are GLP-1 and glucagon receptor agonists as determined by the observation that they are capable of stimulating intracellular cAMP formation.
  • the compounds of the invention exhibit at least a relative activity of 0.1 %, more preferably of 0.2%, more preferably of 0.3% and even more preferably of 0.4% compared to that of GLP-1 (7-36) at the GLP-1 receptor. Furthermore, the compounds exhibit at least a relative activity of 0.1 %, more preferably of 0.2% or of 0.3% or of 0.4% and even more preferably of 0.5% compared to that of natural glucagon at the glucagon receptor.
  • the term "activity” as used herein preferably refers to the capability of a compound to activate the human GLP-1 receptor and the human glucagon receptor. More preferably the term “activity” as used herein refers to the capability of a compound to stimulate intracellular cAMP formation.
  • the term "relative activity” as used herein is understood to refer to the capability of a compound to activate a receptor in a certain ratio as compared to another receptor agonist or as compared to another receptor. The activation of the receptors by the agonists (e.g. by measuring the cAMP level) is determined as described herein, e.g. as described in the examples.
  • the compounds of the invention have an EC 50 for hGLP-1 receptor of 450 pmol or less, preferably of 200 pmol or less; more preferably of 150 pmol or less, more preferably of 100 pmol or less, more preferably of 90 pmol or less, more preferably of 80 pmol or less, more preferably of 70 pmol or less, more preferably of 60 pmol or less, more preferably of 50 pmol or less, more preferably of 40 pmol or less, more preferably of 30 pmol or less, more preferably of 25 pmol or less, more preferably of 20 pmol or less, more preferably of 15 pmol or less, more preferably of 10 pmol or less, more preferably of 9 pmol or less, more preferably of 8 pmol or less, more preferably of 7 pmol or less, more preferably of 6 pmol or less, and more preferably of 5 pmol or less.
  • the compounds of the invention have an EC 50 for hGlucagon receptor of 500 pmol or less, preferably of 200 pmol or less; more preferably of 150 pmol or less, more preferably of 100 pmol or less, more preferably of 90 pmol or less, more preferably of 80 pmol or less, more preferably of 70 pmol or less, more preferably of 60 pmol or less, more preferably of 50 pmol or less, more preferably of 40 pmol or less, more preferably of 30 pmol or less, more preferably of 25 pmol or less, more preferably of 20 pmol or less, more preferably of 15 pmol or less, more preferably of 10 pmol or less.
  • the compounds of the invention have an EC 50 for hGLP-1 receptor of 450 pmol or less, preferably of 200 pmol or less; more preferably of 150 pmol or less, more preferably of 100 pmol or less, more preferably of 90 pmol or less, more preferably of 80 pmol or less, more preferably of 70 pmol or less, more preferably of 60 pmol or less, more preferably of 50 pmol or less, more preferably of 40 pmol or less, more preferably of 30 pmol or less, more preferably of 25 pmol or less, more preferably of 20 pmol or less, more preferably of 15 pmol or less, more preferably of 10 pmol or less, more preferably of 9 pmol or less, more preferably of 8 pmol or less, more preferably of 7 pmol or less, more preferably of 6 pmol or less, and more preferably of 5 pmol or less, and/or an EC 5 o for hGlucagon
  • the EC 50 for both receptors i.e. for the hGLP-1 receptor and the hGlucagon receptor is 100 pmol or less, more preferably 90 pmol or less, more preferably 80 pmol or less, more preferably 70 pmol or less, more preferably 60 pmol or less, more preferably 50 pmol or less, more preferably 40 pmol or less, more preferably 30 pmol or less, more preferably 25 pmol or less, more preferably 20 pmol or less, more preferably 15 pmol or less, more preferably 10 pmol or less.
  • the EC 5 o for hGLP-1 receptor and hGlucagon receptor may be determined as described in the Methods herein and as used to generate the results described in Example 9.
  • the compounds of the invention have the ability to reduce the intestinal passage, to increase the gastric content and/or to reduce the food intake of a patient. These activities of the compounds of the invention can be assessed in animal models known to the skilled person and also described herein in the Methods. The results of such experiments are described in Examples 1 1 and 12.
  • Preferred compounds of the invention may increase the gastric content of mice, preferably of female NMRI-mice, if administered as a single dose, preferably subcutaneous dose, of 0.02 mg/kg body weight by at least 25%, more preferably by at least 30%, more preferably by at least 40%, more preferably by at least 50%, more preferably by at least 60%, more preferably by at least 70%, more preferably by at least 80%.
  • this result is measured 1 h after administration of the respective compound and 30 mins after administration of a bolus, and/or reduces intestinal passage of mice, preferably of female NMRI-mice, if administered as a single dose, preferably subcutaneous dose, of 0.02 mg/kg body weight at least by 45%; more preferably by at least 50%, more preferably by at least 55%, more preferably by at least 60%, and more preferably at least 65%; and/or reduces food intake of mice, preferably of female NMRI- mice, over a period of 22 h, if administered as a single dose, preferably subcutaneous dose of 0.01 mg/kg body weight by at least 10%, more preferably 15%, and more preferably 20%.
  • the compounds of the invention have the ability to reduce blood glucose level, and/or to reduce HbA1 c levels of a patient. These activities of the compounds of the invention can be assessed in animal models known to the skilled person and also described herein in the Methods. The results of such experiments are described in Examples 14 and 17.
  • Preferred compounds of the invention may reduce blood glucose level of mice, preferably in female leptin-receptor deficient diabetic db/db mice over a period of 24 h, if administered as a single dose, preferably subcutaneous dose, of 0.01 mg/kg body weight by at least 4 mmol/L; more preferably by at least 6 mmol/L, more preferably by at least 8 mmol/L.
  • the compounds of the invention lead to a reduction by at least 7 mmol/L; more preferably by at least 9 mmol/L, more preferably by at least 1 1 mmol/L.
  • the compounds of the invention preferably reduce the increase of HbA1 c levels of mice over a period of 4 weeks, if administered at a daily dose of 0.01 mg/kg to about the ignition value.
  • the compounds of the invention also have the ability to reduce body weight of a patient. These activities of the compounds of the invention can be assessed in animal models known to the skilled person and also described herein in the Methods and in Examples 13 and 16.
  • the compounds of the invention have a high solubility at acidic and/or physiological pH values, e.g., at pH 4.5 and/or at pH 7.4 at 25°C, in another embodiment at least 0.5 mg/ml and in a particular embodiment at least 1 .0 mg/ml.
  • the compounds of the invention preferably have a high stability when stored in solution.
  • Preferred assay conditions for determining the stability is storage for 7 days at 25°C in solution at pH 4.5 or pH 7.
  • the remaining amount of peptide is determined by chromatographic analyses as described in the Examples.
  • the remaining peptide amount is at least 80%, more preferably at least 85%, even more preferably at least 90% and even more preferably at least 95%.
  • the compounds of the present invention comprise a peptide moiety Z (II) which is a linear sequence of 39-40 amino carboxylic acids, particularly a-amino carboxylic acids linked by peptide, i.e. carboxamide bonds.
  • R 1 is selected from -NH 2 , -NH[(CrC 5 )alkyl], -N[(Ci-C 5 )alkyl] 2> -NH[(C 0 - C 4 )alkylene-(C 3 -C 8 )cycloalkyl], NH-C(O)-H, NH-C(O)-(C C 5 )-alkyl, NH-C(O)-(C 0 - C 3 )alkylene-(C 3 -C 8 )cycloalkyl, in which alkyl or cycloalkyl is unsubstituted or up to 5-fold substituted by -OH or halogen selected from F, CI, Br and I, preferably F.
  • R 2 is selected from -OH, -O-(CrC 2 o)alkyl, -O(C 0 -C 8 )alkylene-(C 3 - C 8 )cycloalkyl, -NH 2 , -NH[(C C 30 )alkyl], -N[(CrC 30 )alkyl] 2 , -NH[(C0-C8)alkylene-(C 3 - C 8 )cycloalkyl], -N[(C0-C8)alkylene-(C 3 -C 8 )cycloalkyl] 2 , -NH[(CH 2 -CH 2 -O) 1-4 o-(CrC 4 )alkyl], - NH-(C 3 -C 8 )heterocyclyl or -NH-(C 0 -C 8 )alkylene-aryl, wherein aryl is selected from phenyl and naphthyl, preferably phenyl,
  • alkyl or cycloalkyl as described above is unsubstituted or up to 5-fold substituted by -OH or halogen selected from F, CI, Br and I, preferably F.
  • the N-terminal group R 1 is NH 2 .
  • the C- terminal group R 2 is NH 2 .
  • the N-terminal group R 1 and the C- terminal group R 2 are NH 2 .
  • position X14 represents an amino acid residue with a functionalized - NH 2 side chain group, such as functionalized Lys, Orn, Dab, or Dap, more preferably functionalized Lys
  • X40 represents an amino acid residue with a functionalized -NH 2 side chain group, such as functionalized Lys, Orn, Dab, or Dap, more preferably functionalized Lys.
  • An amino acid residue with an -NH 2 side chain group e.g.
  • Lys, Orn, Dab or Dap may be functionalized in that at least one H atom of the -NH 2 side chain group is replaced by - C(O)-R 5 , -C(O)O-R 5 , -C(O)NH-R5, -S(0)2-R5 or R 5 , preferably by -C(O)-R 5 , wherein R 5 may be a moiety comprising up to 50 or up to 100 carbon atoms and optionally heteroatoms selected from halogen, N, O, S and/or P.
  • R 5 may comprise a lipophilic moiety, e.g. an acyclic linear or branched saturated hydrocarbon group, wherein R 5 particularly comprises an acyclic linear or branched (C 4 -C 3 o) saturated or unsaturated hydrocarbon group, and/or a cyclic saturated, unsaturated or aromatic group, particularly a mono-, bi-, or tricyclic group comprising 4 to 14 carbon atoms and 0, 1 , or 2 heteroatoms selected from N, O, and S, e.g.
  • a lipophilic moiety e.g. an acyclic linear or branched saturated hydrocarbon group, wherein R 5 particularly comprises an acyclic linear or branched (C 4 -C 3 o) saturated or unsaturated hydrocarbon group, and/or a cyclic saturated, unsaturated or aromatic group, particularly a mono-, bi-, or tricyclic group comprising 4 to 14 carbon atoms and 0, 1 , or 2 heteroatoms selected from N, O, and S,
  • cyclohexyl phenyl, biphenyl, chromanyl, phenanthrenyl or naphthyl, wherein the acyclic or cyclic group may be unsubstituted or substituted e.g. by halogen, -OH and/or CO 2 H.
  • R 5 may comprise a lipophilic moiety, e.g. an acyclic linear or branched (Ci 2 -C 22 ) saturated or unsaturated hydrocarbon group.
  • the lipophilic moiety may be attached to the -NH 2 side chain group by a linker in all stereoisomeric forms, e.g. a linker comprising one or more, e.g. 2, amino acid linker groups such as ⁇ -aminobutyric acid (GABA), ⁇ -aminohexanoic acid ( ⁇ -Ahx), ⁇ -Glu and/or ⁇ -Ala.
  • the lipophilic moiety is attached to the -NH 2 side chain group by a linker.
  • the lipophilic moiety directly attached to the -NH 2 side chain group.
  • amino acid linker groups are ( -Ala)i -4 , (y-Glu)i- 4 , (£-Ahx) -4 , or (GABA) -4 .
  • Preferred amino acid linker groups are ⁇ -Ala, ⁇ -Glu, ⁇ - ⁇ 3- ⁇ - ⁇ 3 and y-Glu-y-Glu.
  • -C(O)-R 5 groups are listed in the following Table 1 , which are selected from the group consisting of (S)-4-Carboxy-4-hexadecanoylamino-butyryl-, (S)-4-Carboxy-4-octadecanoylamino-butyryl-, 4-Hexadecanoylamino-butyryl-, 4- ⁇ 3-[(R)- 2,5,7,8-tetramethyl-2-((4R,8R)-4,8,12-trimethyl-tridecyl)-chroman-6-yloxycarbonyl]- propionylamino ⁇ -butyryl-, 4-octadecanoylamino-butyryl-, 4-((Z)-octadec-9-enoylamino)- butyryl-, 6-[(4,4-Diphenyl-cyclohexyloxy)-hydroxy-phosphoryloxy]-hexanoyl-, Hexa
  • stereoisomers particularly enantiomers of these groups, either S- or R-enantiomers.
  • R in Table 1 is intended to mean the attachment site of -C(O)- R 5 at the peptide back bone, i.e. particularly the ⁇ -amino group of Lys.
  • R 5 is selected from the group consisting of (S)-4-carboxy- 4-hexadecanoylamino-butyryl ( ⁇ - ⁇ 53), (S)-4-carboxy-4-octadecanoylamino-butyryl ( ⁇ - x70), 4-hexadecanoylamino-butyryl (GABA-x53), 4- ⁇ 3-[(R)-2,5,7 I 8-tetramethyl-2-((4R,8R)- 4,8,12-trimethyl-tridecyl)-chroman-6-yloxycarbonyl]-propionylam (GABA-x60), 4-octadecanoylamino-butyryl (GABA-x70), 4-((Z)-octadec-9-enoylamino)-butyryl (GABA- x74), 6-[(4,4-Diphenyl-cyclohexyloxy)-hydroxy-phosphoryloxy]-hexano
  • propionylamino ⁇ -butyryl ( ⁇ - ⁇ 60), (S)-4-Carboxy-4-((9Z,12Z)-octadeca-9,12- dienoylamino)-butyryl ( ⁇ - ⁇ 61 ), (S)-4-Carboxy-4-[6-((2S,3R,4S,5R)-5-carboxy-2,3,4,5- 10 tetrahydroxy-pentanoylamino)-hexanoylannino]-butyryl ( ⁇ - ⁇ 64), (S)-4-Carboxy-4- ((2S,3R,4S,5R)-5-carboxy-2,3,4,5-tetrahydroxy-pentanoylamino)-butyryl ( ⁇ - ⁇ 65), (S)-4- carboxy-4-tetradecanoylamino-butyryl ( ⁇ - ⁇ 69), (S)-4-(1 1 -Benzyloxycarbonyl- undecanoylamino)-4-car
  • R 5 is selected from the group consisting of (S)-4- carboxy-4-octadecanoylamino-butyryl ( ⁇ - ⁇ 70), (S)-4-carboxy-4-hexadecanoylamino- butyryl ( ⁇ - ⁇ 53), and hexadecanoyl (x53).
  • R 5 is (S)-4-carboxy-4-hexadecanoylamino-butyryl ( ⁇ - ⁇ 53).
  • position X14 and/or X40 represents Lysine (Lys).
  • Lys at position 14 and optionally at position 40 is functionalized, e.g. with a group -C(O)R 5 as described above.
  • X40 is absent and X14 is Lys functionalized with -C(O)-R 5 , -C(O)O-R 5 , -C(O)NH-R5, -S(O)2- R5 or R5, preferably by -C(O)-R 5 , wherein R 5 is as defined above.
  • X14 is Lys functionalized with C(O)-R 5 , wherein R 5 is selected from the group consisting of (S)-4- carboxy-4-hexadecanoylamino-butyryl ( ⁇ - ⁇ 53), (S)-4-carboxy-4-octadecanoylamino- butyryl ( ⁇ - ⁇ 70), 4-hexadecanoylamino-butyryl (GABA-x53), 4- ⁇ 3-[(R)-2,5,7,8-tetramethyl- 2-((4R,8R)-4,8,12-trimethyl-tridecyl)-chroman-6-yloxycarbonyl]-propionylamino ⁇ -butyryl- (GABA-x60), 4-octadecanoylamino-butyryl (GABA-x70), 4-((Z)-octadec-9-enoylamino)- butyryl (GABA-x74), 6-[(4,4-Dipheny
  • a further embodiment relates to a group of compounds, wherein
  • R 1 is NH 2 , R is NH 2 or
  • R 1 and R 2 are NH 2 .
  • a further embodiment relates to a group of compounds, wherein
  • X2 represents an amino acid residue selected from Ser, D-Ser and Aib,
  • X3 represents an amino acid residue selected from Gin, His and a-amino- functionalized Gin, wherein Gin may be functionalized in that an H of the a-NH 2 group is substituted by (Ci -C 4 )-alkyl,
  • X14 represents an amino acid residue selected from Lys, Orn, Dab and Dap, wherein the -NH 2 side chain group is functionalized by -C(O)-R 5 ,
  • X15 represents an amino acid residue selected from Glu and Asp
  • X16 represents an amino acid residue selected from Ser, Lys and Glu
  • X17 represents an amino acid residue selected from Arg, Glu, Gin, Leu and Lys
  • X18 represents an amino acid residue selected from Arg and Ala
  • X20 represents an amino acid residue selected from Gin, Arg, Lys and Aib,
  • X21 represents an amino acid residue selected from Asp, Leu and Glu,
  • X28 represents an amino acid residue selected from Asn, Arg, Lys, Aib, Ser, Glu, Asp and Ala,
  • X29 represents an amino acid residue selected from Gly, Ala, D-Ala and Thr
  • X35 represents an amino acid residue selected from Ala or Glu
  • X39 is Ser or is absent
  • X40 is either absent or represents Lys, wherein the -NH 2 side chain group can be functionalized by -C(O)-R 5 and
  • a further embodiment relates to a group of compounds, wherein
  • X2 represents an amino acid residue selected from D-Ser and Aib,
  • X3 represents Gin
  • X14 represents an amino acid residue selected from Lys and Orn, wherein the -NH 2 side chain group is functionalized by -C(O)-R 5 ,
  • X15 represents an amino acid residue selected from Glu and Asp
  • X16 represents an amino acid residue selected from Ser and Glu
  • X17 represents an amino acid residue selected from Arg, Gin and Lys,
  • X18 represents an amino acid residue selected from Arg and Ala
  • X20 represents an amino acid residue selected from Gin, Arg, Lys and Aib
  • X21 represents an amino acid residue selected from Asp, Leu and Glu,
  • X28 represents an amino acid residue selected from Asn, Arg, Lys, Aib, Ser and Ala,
  • X29 represents an amino acid residue selected from Gly, Ala or Thr,
  • X35 represents Ala
  • X39 is Ser or is absent
  • X40 is either absent or represents Lys, wherein the -NH 2 side chain group can be functionalized by -C(O)-R 5 and
  • a further embodiment relates to a group of compounds, wherein
  • X20 represents an amino acid residue selected from Gin, Lys and Aib.
  • a further embodiment relates to a group of compounds, wherein
  • X2 represents an amino acid residue selected from D-Ser and Aib,
  • X3 represents Gin
  • X14 represents Lys, wherein the -NH 2 side chain group is functionalized by one of the groups selected from 3-(3-octadecanoylamino-propionyl-amino)-propionyl-, 4-hexadecanoylamino-butyryl-, 4- ⁇ 3-[(R)-2,5,7,8-tetramethyl-2-((4R,8R)-4,8,12- trimethyl-tridecyl)-chroman-6-yloxycarbonyl]-propionylamino ⁇ -butyryl-, 4- octadecanoylamino-butyryl-, 4-((Z)-octadec-9-enoylamino)-butyryl-, hexadecanoyl-, (S)-4-carboxy-4-((Z)-octadec-9-enoylamino)-butyryl-, (S)-4- carboxy-4-(4-dodec
  • X15 represents Glu
  • X16 represents Ser
  • X17 represents an amino acid residue selected from Arg, Gin and Lys,
  • X18 represents Ala
  • X20 represents Gin
  • X21 represents Asp
  • X28 represents Ala
  • X29 represents Gly
  • X35 represents Ala
  • X40 is absent.
  • a further embodiment relates to a group of compounds of formula (I), wherein
  • X2 represents Aib
  • X3 represents Gin
  • X14 represents Lys, wherein the -NH 2 side chain group is functionalized, particularly by (S)-4-Carboxy-4-hexadecanoylamino-butyryl- and (S)-4-Carboxy-4- octadecanoylamino-butyryl-;
  • X15 represents an amino acid residue selected from Asp and Glu
  • X16 represents an amino acid residue selected from Ser and Glu
  • X17 represents an amino acid residue selected from Gin and Lys,
  • X18 represents Ala
  • X20 represents an amino acid residue selected from Gin and Lys,
  • X21 represents an amino acid residue selected from Asp and Leu,
  • X28 represents Ala
  • X29 represents an amino acid residue selected from Gly and D-Ala
  • X35 represents Ala
  • X40 is absent.
  • a further embodiment relates to a group of compounds, wherein
  • X2 represents an amino acid residue selected from D-Ser and Aib,
  • X3 represents Gin
  • X14 represents Lys, wherein the -NH 2 side chain group is functionalized, particularly by (S)-4-Carboxy-4-octadecanoylamino-butyryl-; X15 represents Asp,
  • X16 represents Ser
  • X17 represents Arg
  • X18 represents Arg
  • X20 represents Gin
  • X21 represents Asp
  • X28 represents Ala
  • X29 represents an amino acid residue selected from Gly and D-Ala
  • X35 represents Ala
  • X40 is absent.
  • a further embodiment relates to a group of compounds, wherein
  • X2 represents D-Ser
  • X3 represents Gin
  • X14 represents Lys, wherein the -NH 2 side chain group can be functionalized, particularly by (S)-4-carboxy-4- ⁇ 3-[(R)-2,5,7,8-tetramethyl-2-((4R,8R)-4,8,12- trimethyl-tridecyl)-chroman-6-yloxycarbonyl]-propionylamino ⁇ -butyryl-, (S)-4- carboxy-4-((9Z,12Z)-octadeca-9,12-dienoylamino)-butyryl-, (S)-4-carboxy-4- tetradecanoylamino-butyryl-, (S)-4-carboxy-4-octadecanoylamino-butyryl-, 2- ((S)-4-carboxy-4- ⁇ 3-[3-((2S,3R,4S,5R)-5-carboxy-2,3,4,5-tetrahydroxy- pentanoylamino)-
  • X15 represents Asp
  • X16 represents Ser
  • X17 represents Arg
  • X18 represents Arg
  • X20 represents Gin
  • X21 represents Asp
  • X28 represents Asn
  • X29 represents Gly
  • X35 represents Ala
  • X39 is Ser
  • X40 is absent.
  • a further embodiment relates to a group of compounds, wherein
  • X2 represents D-Ser
  • X3 represents Gin
  • X14 represents Lys, wherein the -NH 2 side chain group is functionalized, particularly by (S)-4-carboxy-4-hexadecanoylamino-butyryl- or hexadecanoyl-;
  • X15 represents an amino acid residue selected from Glu or Asp
  • X16 represents Ser
  • X17 represents Arg
  • X18 represents Arg
  • X20 represents Gin
  • X21 represents Asp
  • X28 represents an amino acid residue selected from Asn, Arg, Lys, Aib, Ser, Glu and Asp,
  • X29 represents an amino acid residue selected from Gly, Ala, D-Ala and Thr
  • X35 represents an amino acid residue selected from Ala, Glu, Arg and Lys
  • X40 is absent.
  • a further embodiment relates to a group of compounds, wherein
  • X2 represents D-Ser
  • X3 represents Gin
  • X14 represents Lys, wherein the -NH 2 side chain group is functionalized, particularly by (S)-4-carboxy-4-hexadecanoylamino-butyryl- or hexadecanoyl-;
  • X15 represents an amino acid residue selected from Glu and Asp
  • X16 represents an amino acid residue selected from Ser and Glu
  • X17 represents an amino acid residue selected from Arg, Glu, Lys and Aib,
  • X18 represents an amino acid residue selected from Arg, Lys and Ala
  • X20 represents an amino acid residue selected from Gin, Lys and Aib,
  • X21 represents an amino acid residue selected from Asp and Leu,
  • X28 represents an amino acid residue selected from Ala and Asn
  • X29 represents Gly
  • X35 represents Ala
  • X40 is absent.
  • a further embodiment relates to a group of compounds, wherein
  • X2 represents D-Ser
  • X3 represents Gin
  • X14 represents Orn or Dab, wherein the -NH 2 side chain group is functionalized, particularly by (S)-4-carboxy-4-hexadecanoylamino-butyryl-;
  • X15 represents Glu
  • X16 represents Ser
  • X17 represents Arg
  • X18 represents Arg
  • X20 represents Gin
  • X21 represents Asp
  • X28 represents Ala
  • X29 represents Gly
  • X35 represents Ala
  • X40 is absent.
  • a further embodiment relates to a group of compounds, wherein
  • X2 represents D-Ser
  • X3 represents Gin
  • X14 represents Lys, wherein the -NH 2 side chain group is functionalized, particularly by (S)-4-carboxy-4-hexadecanoylamino-butyryl- or hexadecanoyl-;
  • X15 represents an amino acid residue selected from Glu and Asp
  • X16 represents Ser
  • X17 represents an amino acid residue selected from Arg and Lys
  • X18 represents an amino acid residue selected from Arg and Ala
  • X20 represents Gin
  • X21 represents an amino acid residue selected from Asp and Leu,
  • X28 represents an amino acid residue selected from Ala and Asn
  • X29 represents Gly
  • X35 represents Ala
  • X39 represents Ser or is absent, X40 is absent or represents Lys, wherein the -NH 2 side chain group is optionally functionalized, particularly by (S)-4-carboxy-4-hexadecanoylamino-butyryl- and R 2 is NH 2 , NH(Ci-Ci 8 ) alkyl, which are unsubstituted or monosubstituted by OH or 3- fold-substituted by F, N[(C C 6 ) alkyl] 2 , NH(CH 2 -CH 2 -O) 1-24 -(C C 4 ) alkyl-COOH, NH-pyrrolidine (N-pyrrolidin-1 -yl-amido), NH-benzyl (N-benzyl-amido) or N- morpholine (1 -morpholin-4-yl), particularly by NH 2 , NH-CH 2 -CH 3 , NH-(CH 2 ) 2 - CH 3 , NH-
  • a further embodiment relates to a group of compounds, wherein
  • X2 represents an amino acid residue selected from Ser, D-Ser and Aib,
  • X3 represents an amino acid residue selected from Gin, His, Asn and N a -methylated Gin [Gin (a-NHCH 3 )],
  • X14 represents Lys, wherein the -NH 2 side chain group is functionalized, particularly by (S)-4-carboxy-4-hexadecanoylamino-butyryl- or hexadecanoyl-;
  • X15 represents an amino acid residue selected from Glu and Asp
  • X16 represents an amino acid residue selected from Ser and Lys
  • X17 represents an amino acid residue selected from Arg and Glu
  • X18 represents an amino acid residue selected from Arg and Ala
  • X20 represents an amino acid residue selected from Gin, Arg and Aib,
  • X21 represents an amino acid residue selected from Asp and Leu,
  • X28 represents an amino acid residue selected from Ala and Asn
  • X29 represents Gly
  • X35 represents Ala
  • X40 is absent.
  • a further embodiment relates to a group of compounds of formula (I), wherein
  • X2 represents an amino acid residue selected from Ser, D-Ser and Aib,
  • X3 represents an amino acid residue selected from Gin, His and N a -methylated Gin [Gin (a-NHCH 3 )],
  • X14 represents Lys, wherein the -NH 2 side chain group is functionalized, particularly by (S)-4-carboxy-4-hexadecanoylamino-butyryl- or hexadecanoyl-;
  • X15 represents an amino acid residue selected from Glu and Asp,
  • X16 represents an amino acid residue selected from Ser and Lys
  • X17 represents Arg
  • X18 represents an amino acid residue selected from Arg and Ala
  • X20 represents an amino acid residue selected from Gin and Aib,
  • X21 represents an amino acid residue selected from Asp and Leu,
  • X28 represents an amino acid residue selected from Ala and Asn
  • X29 represents Gly
  • X35 represents Ala
  • X40 is absent.
  • a further embodiment relates to a group of compounds of formula (I), wherein
  • X2 represents an amino acid residue selected from D-Ser and Aib,
  • X3 represents an amino acid residue selected from Gin and His,
  • X14 represents Lys, wherein the -NH 2 side chain group is functionalized, particularly by (S)-4-carboxy-4-hexadecanoylamino-butyryl-, (S)-4-carboxy-4-((S)-4- carboxy hexadecanoylamino-butyrylamino)-butyryl-, or (S)-4-carboxy-4- octadecanoylamino-butyryl-;
  • X15 represents an amino acid residue selected from Glu and Asp
  • X16 represents Glu
  • X17 represents Glu
  • X18 represents Ala
  • X20 represents an amino acid residue selected from Arg and Lys
  • X21 represents Leu
  • X28 represents Ala
  • X29 represents Gly
  • X35 represents Ala
  • X40 is absent.
  • X40 is absent.
  • a still further preferred embodiment relates to a group of compounds, wherein
  • the functionalized Lys in position 14 is functionalized at its ⁇ -amino group with -C(O)-R 5 , and-C(O)-R 5 is (S)-4-carboxy-4-hexadecanoyl-amino-butyryl, (S)-4-carboxy-4- octadecanoylamino-butyryl, hexadecanoyl or octadecanoyl.
  • X2 represents an amino acid residue selected from Aib and D-Ser
  • X3 represents an amino acid residue selected from Gin and His;
  • X14 represents Lys, wherein the -NH 2 side chain group is functionalized by one of the groups selected from (S)-4-Carboxy-4-hexadecanoylamino-butyryl-, (S)-4-
  • X15 represents an amino acid residue selected from Asp and Glu
  • X16 represents an amino acid residue selected from Ser and Glu
  • X17 represents an amino acid residue selected from Arg, Gin, Lys, Aib and Leu;
  • X18 represents an amino acid residue selected from Arg and Ala;
  • X20 represents an amino acid residue selected from Gin, Aib and Lys;
  • X21 represents an amino acid residue selected from Asp, Glu and Lys;
  • X28 represents an amino acid residue selected from Asn, Ser, Aib, Ala and Arg
  • X29 represents an amino acid residue selected from Gly, Thr, Ala and D-Ala
  • X35 represents Ala
  • X40 is absent.
  • X2 represents an amino acid residue selected from Aib and D-Ser
  • X3 represents Gin
  • X14 represents Lys, wherein the -NH 2 side chain group is functionalized by one of the groups selected from (S)-4-carboxy-4-hexadecanoyl-amino-butyryl, (S)-4- carboxy-4-octadecanoylamino-butyryl, hexadecanoyl and octadecanoyl;
  • X15 represents Glu;
  • X16 represents Ser
  • X17 represents an amino acid residue selected from Arg, Gin and Lys;
  • X18 represents Ala
  • X20 represents Gin
  • X21 represents Asp
  • X28 represents Ala
  • X29 represents Gly
  • X35 represents Ala
  • X40 is absent.
  • a further embodiment relates to a group of compounds, wherein
  • X2 represents Aib
  • X3 represents Gin
  • X14 represents Lys, wherein the -NH 2 side chain group is functionalized, particularly by (S)-4-Carboxy-4-henicosanoylamino-butyryl- and (S)-4-Carboxy-4- octadecanoylamino-butyryl-;
  • X15 represents Asp
  • X16 represents an amino acid residue selected from Lys and Glu
  • X17 represents an amino acid residue selected from Arg and Glu
  • X18 represents an amino acid residue selected from Ala and Arg
  • X20 represents an amino acid residue selected from Gin and Lys,
  • X21 represents an amino acid residue selected from Asp and Leu,
  • X28 represents Ala
  • X29 represents an amino acid residue selected from Gly and D-Ala
  • X35 represents Ala
  • X40 is absent.
  • the invention provides a peptidic compound having the formula (I): R 1 - Z - R 2 (I),
  • the invention provides a peptidic compound having the formula (I):
  • the invention provides a peptidic compound having the formula (I):
  • Z is a peptide moiety having the formula (lie)
  • the invention provides a peptidic compound having the formula (I):
  • peptidic compounds of the invention are the compounds of SEQ ID NO: 4-181 , as well as salts and solvates thereof.
  • peptidic compounds of the invention are the compounds of SEQ ID NO: 4-181 and 196-223 as well as salts and solvates thereof.
  • Further specific examples of peptidic compounds of the invention are the compounds of SEQ ID NO: 7, 1 1 -13, 22, 24-31 , 34-39, 44-48, 86, 97, 123-124, 130-159, 164, 166, 173- 176, as well as salts and solvates thereof.
  • peptidic compounds of formula (I) are the compounds of SEQ ID NO: 7, 1 1 -13, 22, 24-31 , 34-39, 44-48, 86, 97, 123-124, 130-159, 164, 166, 173-176, 196-223, 226-229 as well as salts and solvates thereof.
  • the compound of the invention is selected from the group consisting of SEQ ID NOs.: 25, 31 , 133, 148, 153, 155 and 158. In other embodiments, the compound of the invention is selected from the group consisting of SEQ ID NOs.: 209, 210, 21 1 , 212 and 213.
  • the compound of the invention is represented by SEQ ID NO.: 97 (see Table 10).
  • the compound of formula (I) is represented by SEQ ID NO.: 24 (see Table 10).
  • the invention further provides a nucleic acid (which may be DNA or RNA) encoding said compound, an expression vector comprising such a nucleic acid, and a host cell containing such a nucleic acid or expression vector.
  • a nucleic acid which may be DNA or RNA
  • the present invention provides a composition comprising a compound of the invention in admixture with a carrier.
  • the composition is a pharmaceutically acceptable composition and the carrier is a pharmaceutically acceptable carrier.
  • the compound of the invention may be in the form of a salt, e.g. a pharmaceutically acceptable salt or a solvate, e.g. a hydrate.
  • the present invention provides a composition for use in a method of medical treatment, particularly in human medicine.
  • the nucleic acid or the expression vector may be used as therapeutic agents, e.g. in gene therapy.
  • the compounds of formula (I) are suitable for therapeutic application without an additionally therapeutically effective agent. In other embodiments, however, the compounds are used together with at least one additional therapeutically active agent, as described in "combination therapy”.
  • the compounds of formula (I) are particularly suitable for the treatment or prevention of diseases or disorders caused by, associated with and/or accompanied by disturbances in carbohydrate and/or lipid metabolism, e.g. for the treatment or prevention of hyperglycemia, type 2 diabetes, impaired glucose tolerance, type 1 diabetes, obesity and metabolic syndrome. Further, the compounds of the invention are particularly suitable for the treatment or prevention of degenerative diseases, particularly neurodegenerative diseases.
  • the compounds described find use, inter alia, in preventing weight gain or promoting weight loss.
  • preventing is meant inhibiting or reducing when compared to the absence of treatment, and is not necessarily meant to imply complete cessation of a disorder.
  • the compounds of the invention may cause a decrease in food intake and/or increase in energy expenditure, resulting in the observed effect on body weight.
  • the compounds of the invention may have a beneficial effect on circulating cholesterol levels, being capable of improving lipid levels, particularly LDL, as well as HDL levels (e.g. increasing HDL/LDL ratio).
  • the compounds of the invention can be used for direct or indirect therapy of any condition caused or characterised by excess body weight, such as the treatment and/or prevention of obesity, morbid obesity, obesity linked inflammation, obesity linked gallbladder disease, obesity induced sleep apnea. They may also be used for treatment and prevention of the metabolic syndrome, diabetes, hypertension, atherogenic dyslipidemia, atherosclerosis, arteriosclerosis, coronary heart disease, or stroke. Their effects in these conditions may be as a result of or associated with their effect on body weight, or may be independent thereof.
  • Preferred medical uses include delaying or preventing disease progression in type 2 diabetes, treating metabolic syndrome, treating obesity or preventing overweight, for decreasing food intake, increase energy expenditure, reducing body weight, delaying the progression from impaired glucose tolerance (IGT) to type 2 diabetes; delaying the progression from type 2 diabetes to insulin-requiring diabetes; regulating appetite; inducing satiety; preventing weight regain after successful weight loss; treating a disease or state related to overweight or obesity; treating bulimia; treating binge eating; treating atherosclerosis, hypertension, type 2 diabetes, IGT, dyslipidemia, coronary heart disease, hepatic steatosis, treatment of beta-blocker poisoning, use for inhibition of the motility of the gastrointestinal tract, useful in connection with investigations of the gastrointestinal tract using techniques such as X-ray, CT- and NMR-scanning.
  • ITT impaired glucose tolerance
  • Further preferred medical uses include treatment or prevention of degenerative disorders, particularly neurodegenerative disorders such as Alzheimer's disease, Parkinson's disease, Huntington's disease, ataxia, e.g spinocerebellar ataxia, Kennedy disease, myotonic dystrophy, Lewy body dementia, multi-systemic atrophy, amyotrophic lateral sclerosis, primary lateral sclerosis, spinal muscular atrophy, prion-associated diseases, e.g.
  • neurodegenerative disorders such as Alzheimer's disease, Parkinson's disease, Huntington's disease, ataxia, e.g spinocerebellar ataxia, Kennedy disease, myotonic dystrophy, Lewy body dementia, multi-systemic atrophy, amyotrophic lateral sclerosis, primary lateral sclerosis, spinal muscular atrophy, prion-associated diseases, e.g.
  • Creutzfeldt-Jacob disease multiple sclerosis, telangiectasia, Batten disease, corticobasal degeneration, subacute combined degeneration of spinal cord, Tabes dorsalis, Tay-Sachs disease, toxic encephalopathy, infantile Refsum disease, Refsum disease, neuroacanthocytosis, Niemann-Pick disease, Lyme disease, Machado-Joseph disease, Sandhoff disease, Shy-Drager syndrome, wobbly hedgehog syndrome, proteopathy, cerebral ⁇ -amyloid angiopathy, retinal ganglion cell degeneration in glaucoma, synucleinopathies, tauopathies, frontotemporal lobar degeneration (FTLD), dementia, cadasil syndrome, hereditary cerebral hemorrhage with amyloidosis, Alexander disease, seipinopathies, familial amyloidotic neuropathy, senile systemic amyloidosis, serpinopathies, AL (light chain) amyloido
  • amino acid sequences of the present invention contain the conventional one letter and three letter codes for naturally occurring amino acids, as well as generally accepted three letter codes for other amino acids, such as Aib (a-aminoisobutyric acid), Orn (ornithin), Dab (2,4-diamino butyric acid), Dap (2,3-diamino propionic acid), Nle (norleucine), GABA ( ⁇ -aminobutyric acid) or Ahx ( ⁇ -aminohexanoic acid).
  • Aib a-aminoisobutyric acid
  • Orn ornithin
  • Dab 2,4-diamino butyric acid
  • Dap 2,3-diamino propionic acid
  • Nle nodeucine
  • GABA ⁇ -aminobutyric acid
  • Ahx ⁇ -aminohexanoic acid
  • native exendin-4" refers to native exendin-4 having the sequence HGEGTFTSDLSKQMEEEAVRLFIEWLKNGGPSSGAPPPS-NH2 (SEQ ID NO: 1 ).
  • the invention provides peptidic compounds as defined above.
  • the peptidic compounds of the present invention comprise a linear backbone of amino carboxylic acids linked by peptide, i.e. carboxamide bonds.
  • the amino carboxylic acids are a-amino carboxylic acids and more preferably L-a-amino carboxylic acids, unless indicated otherwise.
  • the peptidic compounds preferably comprise a backbone sequence of 39-40 amino carboxylic acids.
  • the peptidic compounds may be functionalized (covalently linked) with chemical moieties at their N-terminus, C-terminus and at least one side chain.
  • the N-terminus of the peptidic compound may be unmodified, i.e. an NH 2 group or a mono- or bisfunctionalized NH 2 group.
  • the peptidic compounds may be unmodified, i.e. have a OH group or be modified, e.g. with functionalized OH group or an NH 2 group or a monofunctionalized or bisfunctionalized NH 2 group as described above (see R)
  • alkyl refers to saturated, monovalent hydrocarbon radicals.
  • the alkyl groups can be linear, i.e. straight-chain, or branched.
  • alkanediyl or "alkylene”, as used herein, refers to saturated, divalent hydrocarbon radicals. As far as applicable, the preceding explanations regarding alkyl groups apply correspondingly to alkanediyl groups, which thus can likewise be linear and branched.
  • cycloalkyl refers to a monovalent radical of a saturated or partially saturated hydrocarbon ring system, which can be monocyclic.
  • cycloalkyl groups are cyclopropyl, cyclobutyl, cyclopentyl, cyclohexyl, cycloheptyl and cyclooctyl.
  • heterocycloalkyl or “heterocyclyl”, as used herein unless otherwise indicated, refers to a cycloalkyl as defined above, in which 1 , 2 or 3 carbon atoms are replaced by nitrogen, oxygen or sulfur atoms, provided that the heterocycloalkyl system is stable and suitable as a subgroup for the desired purpose of the compound of the formula (I) such as use as a drug substance.
  • the number of ring heteroatoms which can be present in a heterocyclic group is 1 , 2, 3 or 4, in another embodiment 1 , 2 or 3, in another embodiment 1 or 2, in another embodiment 2, in another embodiment 1 , wherein the ring heteroatoms can be identical or different.
  • the heterocycloalkyl group can be attached by any ring carbon atom or saturated ring nitrogen atom.
  • Halogen is fluorine, chlorine, bromine or iodine.
  • the peptidic compounds of the present invention may have unmodified side chains or carry at least one modification at one of the side chains.
  • sequence of the peptidic moiety (II) differs from native exendin-4 at least at one of those positions which are stated to allow variation.
  • Amino acids within the peptide moiety (II) can be considered to be numbered consecutively from 0 to 40 in the conventional N-terminal to C-terminal direction.
  • Reference to a "position" within peptidic moiety (II) should be constructed accordingly, as should reference to positions within native exendin-4 and other molecules.
  • amino acid residues at position 14 and optionally at position 40, having a side chain with an -NH 2 group, e.g. Lys, Orn, Dab or Dap are conjugated to a functional group, e.g. acyl groups.
  • a side chain with an -NH 2 group e.g. Lys, Orn, Dab or Dap
  • a functional group e.g. acyl groups.
  • one or more selected amino acids of the peptides in the present invention may carry a covalent attachment at their side chains. In some cases those attachments may be lipophilic. These lipophilic side chain attachments have the potential to reduce in vivo clearance of the peptides thus increasing their in vivo half-lives.
  • the lipophilic attachment may consist of a lipophilic moiety which can be a branched or unbranched, aliphatic or unsaturated acyclic moiety and/or a cyclic moiety selected from one or several aliphatic or unsaturated homocycles or heterocycles, aromatic condensed or non-condensed homocycles or heterocycles, ether linkages, unsaturated bonds and substituents, e.g. hydroxy and/or carboxy groups.
  • the lipophilic moiety may be attached to the peptide either by alkylation, reductive amination or by an amide bond or a sulfonamide bond in case of amino acids carrying an amino group at their side chain, an ester bond in case of amino acids carrying a hydroxy group at their side chain or thioether or thioester linkages in case of amino acids carrying a thiol group at their side chain or it may be attached to a modified side chain of an amino acid thus allowing the introduction of a lipophilic moiety by click-chemistry or Michael-addition.
  • Nonlimiting examples of lipophilic moieties that can be attached to amino acid side chains include fatty acids, e.g. C 8 -3o fatty acids such as palmitic acid, myristic acid, stearic acid and oleic acid, and/or cyclic groups as described above or derivatives thereof. There might be one or several linkers between the amino acid of the peptide and the lipophilic attachment.
  • Nonlimiting examples of those linkers are ⁇ -alanine, ⁇ -glutamic acid, ⁇ -aminobutyric acid and/or ⁇ -aminohexanoic acid or dipeptides, such as -Ala- -Ala and/or y-Glu-y-Glu in all their stereo-isomer forms (S and R enantiomers).
  • a side chain attachment is palmitic acid which is covalently linked to the a-amino group of glutamic acid forming an amide bond.
  • the ⁇ - carboxy group of this substituted glutamic acid can form an amide bond with the side chain amino group of a lysine within the peptide.
  • the present invention provides a composition comprising a compound of the invention as described herein, or a salt or solvate thereof, in admixture with a carrier.
  • the invention also provides the use of a compound of the present invention for use as a medicament, particularly for the treatment of a condition as described below.
  • the invention also provides a composition wherein the composition is a pharmaceutically acceptable composition, and the carrier is a pharmaceutically acceptable carrier.
  • Peptide synthesis The skilled person is aware of a variety of different methods to prepare peptides that are described in this invention. These methods include but are not limited to synthetic approaches and recombinant gene expression. Thus, one way of preparing these peptides is the synthesis in solution or on a solid support and subsequent isolation and purification. A different way of preparing the peptides is gene expression in a host cell in which a DNA sequence encoding the peptide has been introduced. Alternatively, the gene expression can be achieved without utilizing a cell system. The methods described above may also be combined in any way.
  • a preferred way to prepare the peptides of the present invention is solid phase synthesis on a suitable resin.
  • Solid phase peptide synthesis is a well established methodology (see for example: Stewart and Young, Solid Phase Peptide Synthesis, Pierce Chemical Co., Rockford, III., 1984; E. Atherton and R. C. Sheppard, Solid Phase Peptide Synthesis. A Practical Approach, Oxford-IRL Press, New York, 1989).
  • Solid phase synthesis is initiated by attaching an N-terminally protected amino acid with its carboxy terminus to an inert solid support carrying a cleavable linker.
  • This solid support can be any polymer that allows coupling of the initial amino acid , e.g.
  • the polymer support must be stable under the conditions used to deprotect the a-amino group during the peptide synthesis.
  • the a-amino protecting group of this amino acid is removed.
  • the remaining protected amino acids are then coupled one after the other in the order represented by the peptide sequence using appropriate amide coupling reagents, for example BOP (benzotriazol-1 -yl-oxy-tris- (dimethylamino)-phosphonium), HBTU (2-(1 H-benzotriazol-1 -yl)-1 ,1 ,3,3-tetramethyl- uronium), HATU (O-(7-azabenztriazol-1 -yl-oxy-tris-(dimethylamino)-phosphonium) or DIC ( ⁇ , ⁇ '-diisopropylcarbodiimide) / HOBt (1 -hydroxybenzotriazol), wherein BOP, HBTU and HATU are used with tertiary amine bases.
  • the liberated N-terminus can be functionalized with groups other than amino acids,
  • peptide is cleaved from the resin. This can be achieved by using King's cocktail (D. S. King, C. G. Fields, G. B. Fields, Int. J. Peptide Protein Res. 36, 1990, 255- 266).
  • the raw material can then be purified by chromatography, e.g. preparative RP- HPLC, if necessary.
  • Potency As used herein, the term “potency” or “in vitro potency” is a measure for the ability of a compound to activate the receptors for GLP-1 or glucagon in a cell-based assay. Numerically, it is expressed as the "EC50 value", which is the effective concentration of a compound that induces a half maximal increase of response (e.g. formation of intracellular cAMP) in a dose-response experiment.
  • the compounds of the invention are for use in medicine, particularly human medicine.
  • the compounds of the invention are agonists for the receptors for GLP-1 and for glucagon (e.g. "dual agonists") and may provide an attractive option for targeting the metabolic syndrome by allowing simultaneous treatment of obesity and diabetes.
  • Metabolic syndrome is a combination of medical disorders that, when occurring together, increase the risk of developing type 2 diabetes, as well as atherosclerotic vascular disease, e.g. heart disease and stroke.
  • Defining medical parameters for the metabolic syndrome include diabetes mellitus, impaired glucose tolerance, raised fasting glucose, insulin resistance, urinary albumin secretion, central obesity, hypertension, elevated triglycerides, elevated LDL cholesterol and reduced HDL cholesterol.
  • Obesity is a medical condition in which excess body fat has accumulated to the extent that it may have an adverse effect on health and life expectancy and due to its increasing prevalence in adults and children it has become one of the leading preventable causes of death in modern world. It increases the likelihood of various other diseases, including heart disease, type 2 diabetes, obstructive sleep apnoe, certain types of cancer, as well as osteoarthritis, and it is most commonly caused by a combination of excess food intake, reduced energy expenditure, as well as genetic susceptibility.
  • Diabetes mellitus often simply called diabetes, is a group of metabolic diseases in which a person has high blood sugar levels, either because the body does not produce enough insulin, or because cells do not respond to the insulin that is produced.
  • the most common types of diabetes are: (1 ) type 1 diabetes, where the body fails to produce insulin; (2) type 2 diabetes, where the body fails to use insulin properly, combined with an increase in insulin deficiency over time, and (3) gestational diabetes, where women develop diabetes due to their pregnancy. All forms of diabetes increase the risk of long- term complications, which typically develop after many years.
  • macrovascular disease arising from atherosclerosis of larger blood vessels
  • microvascular disease arising from damage of small blood vessels.
  • macrovascular disease conditions are ischemic heart disease, myocardial infarction, stroke and peripheral vascular disease.
  • microvascular diseases are diabetic retinopathy, diabetic nephropathy, as well as diabetic neuropathy.
  • the receptors for GLP-1 and glucagon are both members of the family B of G-protein coupled receptors. They are highly related to each other and share not only a significant level of sequence identity, but have also similar mechanisms of ligand recognition and intracellular signaling pathways.
  • the peptides GLP-1 and glucagon are homologous to each other, with similar length and regions of high sequence identity. Both are produced from a common precursor, preproglucagon, which is differentially processed in a tissue-specific manner to yield e.g. GLP-1 in intestinal endocrine cells and glucagon in alpha cells of pancreatic islets.
  • the incretin hormone GLP-1 is secreted by intestinal endocrine cells in response to food and enhances meal-stimulated insulin secretion.
  • targeting of the GLP-1 receptor with suitable agonists offers an attractive approach for treatment of metabolic disorders, including diabetes.
  • the receptor for GLP-1 is distributed widely, being found mainly in pancreatic islets, brain, heart, kidney and the gastrointestinal tract. In the pancreas, GLP-1 acts in a strictly glucose-dependent manner by increasing secretion of insulin from beta cells. This glucose-dependency shows that activation of GLP-1 receptors is unlikely to cause hypoglycemia.
  • GLP-1 has been shown to promote glucose sensitivity, neogenesis, proliferation, transcription of proinsulin and hypertrophy, as well as antiapoptosis.
  • Other relevant effects of GLP-1 beyond the pancreas include delayed gastric emptying, increased satiety, decreased food intake, reduction of body weight, as well as neuroprotective and cardioprotective effects. In patients with type 2 diabetes, such extrapancreatic effects could be particularly important considering the high rates of comorbidities like obesity and cardiovascular disease.
  • Glucagon is a 29-amino acid peptide hormone that is produced by pancreatic alpha cells and released into the bloodstream when circulating glucose is low.
  • An important physiological role of glucagon is to stimulate glucose output in the liver, which is a process providing the major counterregulatory mechanism for insulin in maintaining glucose homeostasis in vivo.
  • Glucagon receptors are however also expressed in extrahepatic tissues such as kidney, heart, adipocytes, lymphoblasts, brain, retina, adrenal gland and gastrointestinal tract, suggesting a broader physiological role beyond glucose homeostasis. Accordingly, recent studies have reported that glucagon has therapeutically positive effects on energy management, including stimulation of energy expenditure and thermogenesis, accompanied by reduction of food intake and body weight loss. Altogether, stimulation of glucagon receptors might be useful in the treatment of obesity and the metabolic syndrome.
  • Oxyntomodulin is a 37-amino acid peptide hormone consisting of glucagon with an eight amino acids encompassing C-terminal extension. Like GLP-1 and glucagon, it is preformed in preproglucagon and cleaved and secreted in a tissue-specific manner by endocrinal cells of the small bowel. Oxyntomodulin is known to stimulate both, the receptors for GLP-1 and glucagon and is therefore the prototype of a dual agonist.
  • the compounds of the invention may be used for treatment of glucose intolerance, insulin resistance, pre-diabetes, increased fasting glucose, type 2 diabetes, hypertension, dyslipidemia, arteriosclerosis, coronary heart disease, peripheral artery disease, stroke or any combination of these individual disease components.
  • the compounds of the invention may be used for control of appetite, feeding and calory intake, increase of energy expenditure, prevention of weight gain, promotion of weight loss, reduction of excess body weight and altogether treatment of obesity, including morbid obesity.
  • Further disease states and health conditions which could be treated with the compounds of the invention are obesity-linked inflammation, obesity-linked gallbladder disease and obesity-induced sleep apnea.
  • the effects of the compounds of the invention may be mediated in whole or in part via an effect on body weight, or independent thereof.
  • diseases to be treated are neurodegenerative diseases such as Alzheimer's disease or Parkinson's disease, or other degenerative diseases as described above.
  • composition indicates a mixture containing ingredients that are compatible when mixed and which may be administered.
  • a pharmaceutical composition may include one or more medicinal drugs. Additionally, the pharmaceutical composition may include carriers, buffers, acidifying agents, alkalizing agents, solvents, adjuvants, tonicity adjusters, emollients, expanders, preservatives, physical and chemical stabilizers e.g. surfactants, antioxidants and other components, whether these are considered active or inactive ingredients.
  • Guidance for the skilled in preparing pharmaceutical compositions may be found, for example, in Remington: The Science and Practice of Pharmacy, (20th ed.) ed. A. R. Gennaro A. R., 2000, Lippencott Williams & Wilkins and in R.C.Rowe et al (Ed), Handbook of Pharmaceutical Excipients, PhP, May 2013 update.
  • exendin-4 peptide derivatives of the present invention, or salts thereof, are administered in conjunction with an acceptable pharmaceutical carrier, diluent, or excipient as part of a pharmaceutical composition.
  • a "pharmaceutically acceptable carrier” is a carrier which is physiologically acceptable (e.g. physiologically acceptable pH) while retaining the therapeutic properties of the substance with which it is administered.
  • Standard acceptable pharmaceutical carriers and their formulations are known to one skilled in the art and described, for example, in Remington: The Science and Practice of Pharmacy, (20th ed.) ed. A. R. Gennaro A. R., 2000, Lippencott Williams & Wilkins and in R.C.Rowe et al (Ed), Handbook of Pharmaceutical excipients, PhP, May 2013 update.
  • One exemplary pharmaceutically acceptable carrier is physiological saline solution.
  • carriers are selected from the group of buffers (e.g. citrate/citric acid), acidifying agents (e.g. hydrochloric acid), alkalizing agents (e.g. sodium hydroxide), preservatives (e.g. phenol), co-solvents (e.g. polyethylene glycol 400), tonicity adjusters (e.g. mannitol), stabilizers (e.g. surfactant, antioxidants, amino acids).
  • buffers e.g. citrate/citric acid
  • acidifying agents e.g. hydrochloric acid
  • alkalizing agents e.g. sodium hydroxide
  • preservatives e.g. phenol
  • co-solvents e.g. polyethylene glycol 400
  • tonicity adjusters e.g. mannitol
  • stabilizers e.g. surfactant, antioxidants, amino acids
  • Concentrations used are in a range that is physiologically acceptable.
  • Acceptable pharmaceutical carriers or diluents include those used in formulations suitable for oral, rectal, nasal or parenteral (including subcutaneous, intramuscular, intravenous, intradermal, and transdermal) administration.
  • the compounds of the present invention will typically be administered parenterally.
  • pharmaceutically acceptable salt means salts of the compounds of the invention which are safe and effective for use in mammals.
  • Pharmaceutically acceptable salts may include, but are not limited to, acid addition salts and basic salts.
  • acid addition salts include chloride, sulfate, hydrogen sulfate, (hydrogen) phosphate, acetate, citrate, tosylate or mesylate salts.
  • basic salts include salts with inorganic cations, e.g. alkaline or alkaline earth metal salts such as sodium, potassium, magnesium or calcium salts and salts with organic cations such as amine salts. Further examples of pharmaceutically acceptable salts are described in Remington: The Science and Practice of Pharmacy, (20th ed.) ed.
  • solvate means complexes of the compounds of the invention or salts thereof with solvent molecules, e.g. organic solvent molecules and/or water.
  • solvent molecules e.g. organic solvent molecules and/or water.
  • the exendin-4 derivative can be in monomeric or oligomeric form.
  • terapéuticaally effective amount of a compound refers to a nontoxic but sufficient amount of the compound to provide the desired effect.
  • the amount of a compound of the formula I necessary to achieve the desired biological effect depends on a number of factors, for example the specific compound chosen, the intended use, the mode of administration and the clinical condition of the patient.
  • An appropriate "effective" amount in any individual case may be determined by one of ordinary skill in the art using routine experimentation
  • the "therapeutically effective amount” of a compound of the formula (I) is about 0.01 to 50 mg/dose, preferably 0.1 to 10 mg/dose.
  • compositions of the invention are those suitable for parenteral (for example subcutaneous, intramuscular, intradermal or intravenous), oral, rectal, topical and peroral (for example sublingual) administration, although the most suitable mode of administration depends in each individual case on the nature and severity of the condition to be treated and on the nature of the compound of formula I used in each case.
  • Suitable pharmaceutical compositions may be in the form of separate units, for example capsules, tablets and powders in vials or ampoules, each of which contains a defined amount of the compound; as powders or granules; as solution or suspension in an aqueous or nonaqueous liquid; or as an oil-in-water or water-in-oil emulsion. It may be provided in single or multiple dose injectable form, for example in the form of a pen.
  • the compositions may, as already mentioned, be prepared by any suitable pharmaceutical method which includes a step in which the active ingredient and the carrier (which may consist of one or more additional ingredients) are brought into contact.
  • the pharmaceutical composition may be provided together with a device for application, for example together with a syringe, an injection pen or an autoinjector. Such devices may be provided separate from a pharmaceutical composition or prefilled with the pharmaceutical composition.
  • a device for application for example together with a syringe, an injection pen or an autoinjector.
  • Such devices may be provided separate from a pharmaceutical composition or prefilled with the pharmaceutical composition.
  • Combination therapy The compounds of the present invention, dual agonists for the GLP-1 and glucagon receptors, can be widely combined with other pharmacologically active compounds, such as all drugs mentioned in the Rote Liste 2012 and/or the Rote Liste 2013, e.g.
  • the active ingredient combinations can be used especially for a synergistic improvement in action. They can be applied either by separate administration of the active ingredients to the patient or in the form of combination products in which a plurality of active ingredients are present in one pharmaceutical preparation. When the active ingredients are administered by separate administration of the active ingredients, this can be done simultaneously or successively.
  • active substances which are suitable for such combinations include in particular those which for example potentiate the therapeutic effect of one or more active substances with respect to one of the indications mentioned and/or which allow the dosage of one or more active substances to be reduced.
  • Therapeutic agents which are suitable for combinations include, for example, antidiabetic agents such as: Insulin and Insulin derivatives, for example: Glargine / Lantus ® , 270 - 330U/ml_ of insulin glargine (EP 2387989 A ), 300U/ml_ of insulin glargine (EP 2387989 A), Glulisin / Apidra ® , Detemir / Levemir ® , Lispro / Humalog ® / Liprolog ® , Degludec / DegludecPlus, Aspart, basal insulin and analogues (e.g.LY-2605541 , LY2963016, NN1436), PEGylated insulin Lispro, Humulin ® , Linjeta, SuliXen ® , NN1045, Insulin plus Symlin, PE0139, fast-acting and short- acting insulins (e.g.
  • Linjeta PH20, NN1218, HinsBet
  • API-002 hydrogel
  • oral, inhalable, transdermal and sublingual insulins e.g. Exubera ® , Nasulin ® , Afrezza, Tregopil, TPM 02, Capsulin, Oral-lyn ® , Cobalamin ® oral insulin, ORMD-0801 , NN1953, NN1954, NN1956, VIAtab, Oshadi oral insulin.
  • insulin derivatives which are bonded to albumin or another protein by a bifunctional linker.
  • GLP-1 , GLP-1 analogues and GLP-1 receptor agonists for example: Lixisenatide / AVE0010 / ZP10 / Lyxumia, Exenatide / Exendin-4 / Byetta / Bydureon / ITCA 650 / AC- 2993, Liraglutide / Victoza, Semaglutide, Taspoglutide, Syncria / Albiglutide, Dulaglutide, rExendin-4, CJC-1 134-PC, PB-1023, TTP-054, Langlenatide / HM-1 1260C, CM-3, GLP-1 Eligen, ORMD-0901 , NN-9924, NN-9926, NN-9927, Nodexen, Viador-GLP-1 , CVX-096, ZYOG-1 , ZYD-1 , GSK-2374697, DA-3091 , MAR-701 , MAR709, ZP-2929, ZP-3022
  • DPP-4 inhibitors for example: Alogliptin / Nesina, Trajenta / Linagliptin / BI-1356 / Ondero / Trajenta / Tradjenta / Trayenta / Tradzenta, Saxagliptin / Onglyza, Sitagliptin / Januvia / Xelevia / Tesave / Janumet / Velmetia, Galvus / Vildagliptin, Anagliptin, Gemigliptin, Teneligliptin, Melogliptin, Trelagliptin, DA-1229, Omarigliptin / MK-3102, KM- 223, Evogliptin, ARI-2243, PBL-1427, Pinoxacin.
  • SGLT2 inhibitors for example: Invokana / Canaglifozin, Forxiga / Dapagliflozin, Remoglifozin, Sergliflozin, Empagliflozin, Ipragliflozin, Tofogliflozin, Luseogliflozin, LX- 421 1 , Ertuglifozin / PF-04971729, RO-4998452, EGT-0001442, KGA-3235 / DSP-3235, LIK066, SBM-TFC-039,
  • Biguanides e.g. Metformin, Buformin, Phenformin
  • Thiazolidinediones e.g. Pioglitazone, Rivoglitazone, Rosiglitazone, Troglitazone
  • dual PPAR agonists e.g. Aleglitazar, Muraglitazar, Tesaglitazar
  • Sulfonylureas e.g. Tolbutamide, Glibenclamide, Glimepiride/Annaryl, Glipizide
  • Meglitinides e.g. Nateglinide, Repaglinide, Mitiglinide
  • Alpha-glucosidase inhibitors e.g.
  • GPR1 19 agonists e.g. GSK-263A, PSN-821 , MBX-2982, APD-597, ZYG-19, DS-8500
  • GPR40 agonists e.g. Fasiglifam / TAK-875, TUG-424, P-1736, JTT-851 , GW9508.
  • Suitable combination partners are: Cycloset, inhibitors of 1 1 -beta-HSD (e.g. LY2523199, BMS770767, RG-4929, BMS816336, AZD-8329, HSD-016, BI-135585), activators of glucokinase (e.g. TTP-399, AMG-151 , TAK-329, GKM-001 ), inhibitors of DGAT (e.g. LCQ-908), inhibitors of protein tyrosinephosphatase 1 (e.g.
  • Trodusquemine inhibitors of glucose-6-phosphatase, inhibitors of fructose-1 ,6-bisphosphatase, inhibitors of glycogen phosphorylase, inhibitors of phosphoenol pyruvate carboxykinase, inhibitors of glycogen synthase kinase, inhibitors of pyruvate dehydrokinase, alpha2-antagonists, CCR-2 antagonists, SGLT-1 inhibitors (e.g. LX-2761 ).
  • One or more lipid lowering agents are also suitable as combination partners, such as for example: HMG-CoA-reductase inhibitors (e.g. Simvastatin, Atorvastatin), fibrates (e.g. Bezafibrate, Fenofibrate), nicotinic acid and the derivatives thereof (e.g. Niacin), PPAR- (alpha, gamma or alpha/gamma) agonists or modulators (e.g. Aleglitazar), PPAR-delta agonists, ACAT inhibitors (e.g. Avasimibe), cholesterol absorption inhibitors (e.g. Ezetimibe), Bile acid-binding substances (e.g.
  • HMG-CoA-reductase inhibitors e.g. Simvastatin, Atorvastatin
  • fibrates e.g. Bezafibrate, Fenofibrate
  • nicotinic acid and the derivatives thereof e.g. Niacin
  • HDL-raising compounds such as: CETP inhibitors (e.g. Torcetrapib, Anacetrapid, Dalcetrapid, Evacetrapid, JTT-302, DRL-17822, TA-8995) or ABC1 regulators.
  • suitable combination partners are one or more active substances for the treatment of obesity, such as for example: Sibutramine, Tesofensine, Orlistat, antagonists of the cannabinoid-1 receptor, MCH-1 receptor antagonists, MC4 receptor agonists, NPY5 or NPY2 antagonists (e.g. Velneperit), beta-3-agonists, leptin or leptin mimetics, agonists of the 5HT2c receptor (e.g. Lorcaserin), or the combinations of bupropione/naltrexone, bupropione/zonisamide, bupropione/phentermine or pramlintide/metreleptin.
  • Other suitable combination partners are:
  • gastrointestinal peptides such as Peptide YY 3-36 (PYY3-36) or analogues thereof, pancreatic polypeptide (PP) or analogues thereof.
  • Glucagon receptor agonists or antagonists GIP receptor agonists or antagonists, ghrelin antagonists or inverse agonists, Xenin and analogues thereof.
  • angiotensin II receptor antagonists e.g. telmisartan, candesartan, valsartan, losartan, eprosartan, irbesartan, olmesartan, tasosartan, azilsartan
  • ACE inhibitors e.g. telmisartan, candesartan, valsartan, losartan, eprosartan, irbesartan, olmesartan, tasosartan, azilsartan
  • ACE inhibitors e.g. telmisartan, candesartan, valsartan, losartan, eprosartan, irbesartan, olmesartan, tasosartan, azilsartan
  • ACE inhibitors e.g. telmisartan, candesartan, valsartan, losartan, eprosartan, irbe
  • this invention relates to the use of a compound according to the invention or a physiologically acceptable salt thereof combined with at least one of the active substances described above as a combination partner, for preparing a medicament which is suitable for the treatment or prevention of diseases or conditions which can be affected by binding to the receptors for GLP-1 and glucagon and by modulating their activity.
  • This is preferably a disease in the context of the metabolic syndrome, particularly one of the diseases or conditions listed above, most particularly diabetes or obesity or complications thereof.
  • the use of the compounds according to the invention, or a physiologically acceptable salt thereof, in combination with one or more active substances may take place simultaneously, separately or sequentially.
  • the use of the compound according to the invention, or a physiologically acceptable salt thereof, in combination with another active substance may take place simultaneously or at staggered times, but particularly within a short space of time. If they are administered simultaneously, the two active substances are given to the patient together; if they are used at staggered times, the two active substances are given to the patient within a period of less than or equal to 12 hours, but particularly less than or equal to 6 hours.
  • this invention relates to a medicament which comprises a compound according to the invention or a physiologically acceptable salt of such a compound and at least one of the active substances described above as combination partners, optionally together with one or more inert carriers and/or diluents.
  • the compound according to the invention, or physiologically acceptable salt or solvate thereof, and the additional active substance to be combined therewith may both be present together in one formulation, for example a tablet or capsule, or separately in two identical or different formulations, for example as so-called kit-of-parts.
  • FIGURES Figure 1 Effect of s.c. administration of compound SEQ ID NO: 97 and comparators on gastric emptying and intestinal passage in female NMRI-mice. Data are mean+SEM. " * " indicates statistical significance versus vehicle, "#” versus comparators, respectively.
  • Figure 2 Effect of SEQ ID NO: 97, 0.1 and 0.01 mg/kg, s.c, on 22-hours food intake in female NMRI-mice. Data are mean+SEM. * p ⁇ 0.05.
  • Figure 3 Acute effect of s.c. administration of compound SEQ ID NO: 97 on blood glucose in female diet-induced obese C57BL/6NCrl mice (9 months on high-fat diet). Data are mean+SEM. * p ⁇ 0.05.
  • Figure 4. Acute effect of s.c. administration of compound SEQ ID NO: 97 on blood glucose in female leptin-receptor deficient diabetic db/db mice. Data are mean+SEM. * p ⁇ 0.05.
  • FIG. 1 Body weight development during 3 weeks of subcutaneous treatment with SEQ ID NO: 24 in male high-fat fed C57BL/6N Crl mice. Data are mean+SEM.
  • Figure 8 Relative body weight change in % during 3 weeks of subcutaneous treatment with SEQ ID NO: 24 in male high-fat fed C57BL/6N Crl mice. Data are mean+SEM.
  • Figure 10 Acute effect of s.c. administration of compound SEQ ID NO: 24 on blood glucose in female leptin-receptor deficient diabetic db/db mice. Data are mean+SEM.
  • Rink-Amide resins (4-(2',4'-Dimethoxyphenyl-Fmoc-aminomethyl)- phenoxyacetamido-norleucylaminomethyl resin, Merck Biosciences; 4-[(2,4- Dimethoxyphenyl)(Fmoc-amino)methyl]phenoxy acetamido methyl resin, Agilent Technologies) were used for the synthesis of peptide amides with loadings in the range of 0.3-0.4 mmol/g. Suppliers were Merck Biosciences and Agilent Technologies.
  • the solid phase peptide syntheses were performed on a Prelude Peptide Synthesizer (Protein Technologies Inc) using standard Fmoc chemistry and HBTU/DIPEA activation. DMF was used as the solvent. Deprotection: 20% piperidine/DMF for 2 x 2.5 min. Washes: 7 x DMF. Coupling 2:5:10 200 mM AA / 500 mM HBTU / 2M DIPEA in DMF 2 x for 20 min. Washes: 5 x DMF.
  • the crude peptides were purified either on an Akta Purifier System or on a Jasco semiprep HPLC System. Preparative RP-C18-HPLC columns of different sizes and with different flow rates were used depending on the amount of crude peptide to be purified. Acetonitrile + 0.1 % TFA (B) and water + 0.1 % TFA (A) were employed as eluents. Product-containing fractions were collected and lyophilized to obtain the purified product.
  • the target concentration was 1 .0 mg/mL pure compound. Therefore, solutions from solid samples were prepared in different buffer systems with a concentration of 1 .0 mg/mL compound based on the previously determined content. HPLC-UV was performed after 2 h of gentle agitation from the supernatant, which was obtained by 20 min of centrifugation at 4000 rpm.
  • solubility was then determined by comparison with the UV peak areas obtained with a stock solution of the peptide at a concentration of 2 mg/mL in pure water or a variable amount of acetonitrile (optical control that all of the compound was dissolved). This analysis also served as starting point (tO) for the stability testing.
  • % remaining peptide [(peak area peptide t7) x 100]/peak area peptide to.
  • % precipitate 100-([% remaining peptide] + [ % soluble degradation products])
  • This precipitate includes non-soluble degradation products, polymers and/or fibrils, which have been removed from analysis by centrifugation.
  • Agonism of compounds for the two receptors was determined by functional assays measuring cAMP response of HEK-293 cell lines stably expressing human GLP-1 or glucagon receptor.
  • cAMP content of cells was determined using a kit from Cisbio Corp. (cat. no. 62AM4PEC) based on HTRF (Homogeneous Time Resolved Fluorescence). For preparation, cells were split into T175 culture flasks and grown overnight to near confluency in medium (DMEM / 10% FBS). Medium was then removed and cells washed with PBS lacking calcium and magnesium, followed by proteinase treatment with accutase (Sigma-Aldrich cat. no. A6964).
  • Detached cells were washed and resuspended in assay buffer (1 x HBSS; 20 mM HEPES, 0.1 % BSA, 2 mM IBMX) and cellular density determined. They were then diluted to 400000 cells/ml and 25 ⁇ -aliquots dispensed into the wells of 96-well plates. For measurement, 25 ⁇ of test compound in assay buffer was added to the wells, followed by incubation for 30 minutes at room temperature. After addition of HTRF reagents diluted in lysis buffer (kit components), the plates were incubated for 1 hr, followed by measurement of the fluorescence ratio at 665 / 620 nm. In vitro potency of agonists was quantified by determining the concentrations that caused 50% activation of maximal response (EC50).
  • Bioanalytical screening method for quantification of peptide GLP1 -GCG receptor agonists in mice Mice were dosed 1 mg/kg subcutaneously (s.c). The mice were sacrificed and blood samples were collected after 0.25, 1 , 2, 4, 8, 16 and 24 hours post application. Plasma samples were analysed after protein precipitation via liquid chromatography mass spectrometry (LC/MS). PK parameters and half-life were calculated using WinonLin Version 5.2.1 (non-compartment model).
  • mice Female NMRI-mice of a body weight between 20 and 30 g were used. Mice were adapted to housing conditions for at least one week.
  • mice were overnight fasted, while water remained available all the time. On the study day, mice were weighed, single-caged and allowed access to 500 mg of feed for 30 min, while water was removed. At the end of the 30 min feeding period, remaining feed was removed and weighed. 60 min later, a coloured, non-caloric bolus was instilled via gavage into the stomach. The test compound / reference compound or its vehicle in the control group was administered subcutaneously, to reach Cmax when coloured bolus was administered. After another 30 min, the animals were sacrificed and the stomach and the small intestine prepared. The filled stomach was weighed, emptied, carefully cleaned and dried and reweighed. The calculated stomach content indicated the degree of gastric emptying.
  • the small intestine was straightened without force and measured in length. Then the distance from the gastric beginning of the gut to the tip of the farthest travelled intestinal content bolus was measured. The intestinal passage was given as relation in percent of the latter distance and the total length of the small intestine.
  • mice Female NMRI-mice of a body weight between 20 and 30 g were used. Mice were adapted to housing conditions for at least one week and for at least one day single-caged in the assessment equipment, when basal data were recorded simultaneously. On the study day, test product was administered subcutaneously close to the lights-off phase (12 h lights off) and assessment of feed consumption was directly started afterwards. Assessment included continued monitoring (every 30 min) over 22 hours. Repetition of this procedure over several days was possible. Restriction of assessment to 22 hours was for practical reasons to allow for reweighing of animals, refilling of feed and water and drug administration between procedures. Results could be assessed as cumulated data over 22 hours or differentiated to 30 min intervals.
  • mice were subcutaneously (s.c.) injected with vehicle solution and weighed for 3 days to acclimate them to the procedures.
  • Acute effect on blood glucose in fed DIP mice initial blood samples were taken just before first administration (s.c.) of vehicle (phosphate buffer solution) or the exendin-4 derivatives at doses of 3, 10, and 100 pg/kg (dissolved in phosphate puffer), respectively. The volume of administration was 5 mL/kg. The animals had access to water and their corresponding diet during the experiment, food consumption was determined at all time points of blood sampling.
  • vehicle phosphate buffer solution
  • exendin-4 derivatives dissolved in phosphate puffer
  • Comparable data can also be obtained when using male mice.
  • mice Female BKS.Cg-m +/+ Leprdb/J (db/db) and BKS.Cg-m +/+ Leprdb/+ (lean control) mice were obtained from Charles River Laboratories, Germany, at an age of 9 - 10 weeks. The animals were housed in groups in a specific pathogen-free barrier facility on a 12-h light/dark cycle with free access to water and rodent-standard chow.
  • HbA1 c is a glycosylated form of haemoglobin whose level reflects the average level of glucose to which the erythrocyte has been exposed during its lifetime. In mice, HbA1 c is a relevant biomarker for the average blood glucose level during the preceding 4 weeks (erythrocyte life span in mouse ⁇ 47 days).
  • Comparable data can also be obtained when using male mice.
  • the ivDde- group was cleaved from the peptide on resin according to a modified literature procedure (S.R. Chhabra et al., Tetrahedron Lett. 39, (1998), 1603), using 4% hydrazine hydrate in DMF. Hereafter Palm-Glu(YOSu)-OtBu was coupled to the liberated amino-group.
  • the peptide was cleaved from the resin with King's cocktail (D. S. King, C. G. Fields, G. B. Fields, Int. J. Peptide Protein Res. 36, 1990, 255-266).
  • the crude product was purified via preparative HPLC on a Waters column (Sunfire, Prep C18) using an acetonitrile/water gradient (both buffers with 0.1 % TFA).
  • the solid phase synthesis was carried out on Novabiochem Rink-Amide resin (4-(2',4'- Dimethoxyphenyl-Fmoc-aminomethyl)-phenoxyacetamido-norleucylaminomethyl resin), 100-200 mesh, loading of 0.34 mmol/g.
  • the Fmoc-synthesis strategy was applied with HBTU/DIPEA-activation. In position 14 Fmoc-Lys(ivDde)-OH and in position 1 Boc- His(Boc)-OH were used in the solid phase synthesis protocol.
  • the ivDde-group was cleaved from the peptide on resin according to a modified literature procedure (S.R.
  • the crude product was purified via preparative HPLC on a Waters column (Sunfire, Prep C18) using an acetonitrile/water gradient (both buffers with 0.1 % TFA). Finally, the molecular mass of the purified peptide was confirmed by LC-MS.
  • the solid phase synthesis was carried out on Agilent Technologies Rink-Amide resin (4- [(2,4-Dimethoxyphenyl)(Fmoc-amino)methyl]phenoxyacetomido methyl resin) , 75-150 ⁇ , loading of 0.38 mmol/g.
  • the Fmoc-synthesis strategy was applied with HBTU/DIPEA- activation.
  • Fmoc-Lys(ivDde)-OH and in position 1 Boc-His(Boc)-OH were used in the solid phase synthesis protocol.
  • the ivDde-group was cleaved from the peptide on resin according to a modified literature procedure (S.R. Chhabra et al., Tetrahedron Lett.
  • the solid phase synthesis was carried out on Agilent Technologies CI-Trt-CI resin (2,a- Dichlorobenzhydryl-polystyrene crosslinked with divinylbenzene) , 75-150 ⁇ , loading of 1 .4 mmol/g.
  • Fmoc-Ser-OAIIyl was synthesized according to literature (S. Ficht, R.J.Payne, R.T. Guy, C.-H. Wong, Chem. Eur. J. 14, 2008, 3620-3629) and coupled via the side chain hydroxyl function onto CI-Trt-CI-resin using DIPEA in dichloromethane.
  • Fmoc- synthesis strategy was applied with HBTU/DIPEA-activation.
  • Fmoc- Lys(ivDde)-OH and in position 1 Boc-His(Boc)-OH were used in the solid phase synthesis protocol.
  • the ivDde-group was cleaved from the peptide on resin according to a modified literature procedure (S.R. Chhabra et al., Tetrahedron Lett. 39, (1998), 1603), using 4% hydrazine hydrate in DMF.
  • Fmoc-Glu-OtBu was coupled to the liberated amino- group using HBTU/DIPEA for activation followed by the removal of the Fmoc-group with 20% piperidine in DMF.
  • Palmitic acid was coupled onto the resulting amino group after activation with HBTU/DIPEA.
  • the allyl-ester group was removed employing the procedure described in literature (S. Ficht, R.J.Payne, R.T. Guy, C.-H. Wong, Chem. Eur. J. 14, 2008, 3620-3629) followed by activation of the C-terminus with HOBt/DIC in DMF and addition of n-propylamin.
  • the peptide was cleaved from the resin with King's cocktail (D. S. King, C. G. Fields, G. B. Fields, Int. J. Peptide Protein Res. 36, 1990, 255-266).
  • the crude product was purified via preparative HPLC on a Waters column (Sunfire, Prep C18) using an acetonitrile/water gradient (both buffers with 0.1 % TFA).
  • Table 3 List of peptides that can be synthesized in an analogous way.
  • Potencies of peptidic compounds at the GLP-1 and glucagon receptors were determined by exposing cells expressing human glucagon receptor (hGlucagon R) or human GLP-1 receptor (hGLP-1 R) to the listed compounds at increasing concentrations and measuring the formed cAMP as described in Methods.
  • Example 1 1 Effect of SEQ ID NO: 97 on gastric emptying and intestinal passage in female NMRI-mice
  • SEQ ID NO: 97 reduced intestinal passage by 67% (versus 44% and 34%, respectively) and increased gastric content by 90% (versus 19% and 21 %, respectively) (p ⁇ 0.0001 versus vehicle control and versus comparators, 1 -W-ANOVA, followed by Newman-Keul's post-hoc test) (Fig. 1 a, b).
  • SEQ ID NO: 97 demonstrated a dose-dependent reduction of feed intake, reaching 23% (p ⁇ 0.0001 ) and 66% (p ⁇ 0.0001 , 2-W-ANOVA-RM, post hoc Dunnett's Test) at the end of the study, respectively (Fig. 2).
  • Example 13 Acute and subchronic effects of SEQ ID NO: 97 after subcutaneous treatment on blood glucose and body weight in female diet-induced obese (DIP) C57BL/6NCrl mice (10 months on high fat diet) 1 ) Glucose profile
  • mice After blood sampling to determine the blood glucose baseline level, fed diet-induced obese female C57BL/6NCrl mice were administered 3, 10 or 100 pg/kg of SEQ ID NQ: 97 or phosphate buffered solution (vehicle control on standard or high-fat diet) subcutaneously. At predefined time points, more blood samples were taken to measure blood glucose and generate the blood glucose profile over 24 h.
  • SEQ ID NO: 97 demonstrated a significant dose-dependent decrease in blood glucose compared to DIO control mice, lasting at least 8 h in the low and medium dose group and > 24 h in the high dose group (p ⁇ 0.0001 , 2-W-ANOVA-RM, post hoc Dunnett's Test; Fig. 3, mean ⁇ SEM).
  • Example 14 Acute and subchronic effects of SEQ ID NO: 97 after subcutaneous treatment on blood glucose and HbA1 c in female leptin-receptor deficient diabetic db/db mice
  • mice After blood sampling to determine the blood glucose baseline level, fed diabetic female db/db mice were administered 3, 10 or 100 pg/kg of SEQ ID NO: 97 or phosphate buffered solution (vehicle-treated db/db control) subcutaneously. At predefined time points, more blood samples were taken to measure blood glucose and generate the blood glucose profile over 24 h.
  • SEQ ID NO: 97 demonstrated a significant decrease in blood glucose compared to db/db control mice, lasting up to 8 h in the low and medium dose group and > 24 h in the high dose group (p ⁇ 0.0001 for lean control mice; p ⁇ 0.01 1 - 8 h after treatment for low and medium dose, p ⁇ 0.0002 4 - 24 h for high dose; 2-W-ANOVA-RM, post hoc Dunnett's Test; Fig. 4, mean ⁇ SEM). 2. Blood glucose & HbA1 c Female diabetic mice were treated for 4 weeks once daily subcutaneously with 3, 10 or 100 pg/kg SEQ ID NO: 97 or vehicle.
  • Blood glucose and HbA1 c were determined before start of treatment and at the end of the study after 4 weeks of treatment. Before treatment started, no significant differences in blood glucose levels could be detected between db/db groups, only the lean control animals had significant lower glucose levels. During the 4 weeks of treatment, glucose levels increased in the vehicle- treated db/db control group, indicating a worsening of the diabetic situation. All SEQ ID NO: 97-treated animals displayed a significant lower blood glucose level than the db control mice at the end of the study (p ⁇ 0.0001 for lean control mice; p ⁇ 0.01 in SEQ ID NO: 97 groups; 2-W-ANOVA-RM, post hoc Dunnett's Test; Fig. 5, mean ⁇ SEM).
  • HbA1 c Corresponding to blood glucose, at the beginning of the study, no significant differences in HbA1 c levels could be detected between db/db groups, only the lean control animals had significant lower levels.
  • HbA1 c increased in the vehicle-treated db/db control group, corresponding to the increasing blood glucose levels.
  • Animals treated with high dose SEQ ID NO: 97 displayed a significant lower HbA1 c level than the db control mice at the end of the study (p ⁇ 0.0001 , 2-W-ANOVA-RM, post hoc Dunnett's Test; Fig. 6, mean ⁇ SEM).
  • inventive exendin-4 derivatives comprising a functionalized amino acid in position 14 has been tested versus corresponding compounds having in this position 14 a 'non-functionalized' amino acid.
  • the reference pair compounds and the corresponding EC50 values at GLP-1 and Glucagon receptors are given in Table 8. As shown, the inventive exendin-4 derivatives show a superior activity in comparison to the compounds with a 'non-functionalized' amino acid in position 14. Table 8. Comparison of exendin-4 derivatives comprising a non-functionalized amino acid in position 14 vs. exendin-4 derivatives comprising a functionalized amino acid in position 14.
  • Example 16 Acute and chronic effects of SEQ ID NO: 24 after subcutaneous treatment on body weight in male diet-induced obese (DIP) C57BL/6NCrl mice Body weight
  • mice Male obese C57BL/6NCrl mice were treated for 3 weeks twice daily subcutaneously with 0.5, 1 .5, 5 or 15 pg/kg SEQ ID NQ: 24 or vehicle. Body weight was recorded daily, and body fat content was determined before the start and after 3 weeks of treatment. Treatment with SEQ ID NO: 24 reduced body weight significantly at dosages of 1 .5, 5 and 15 pg/kg ( * : p ⁇ 0.05, 1 -W-ANOVA, post hoc Dunnett's Test, Table 9, Fig. 7 and 8). These changes resulted from a decrease in body fat, as shown by the absolute changes in body fat content (Table 9, Fig. 9).
  • Example 17 Acute and chronic effects of SEQ ID NO: 24 after subcutaneous treatment on blood glucose and HbA1 c in female leptin-receptor deficient diabetic db/db mice
  • Glucose profile After blood sampling to determine the blood glucose baseline level, fed diabetic female db/db mice were administered 50 pg/kg of SEQ ID NO: 24 or phosphate buffered solution (vehicle-treated db/db control) twice daily subcutaneously. At predefined time points, more blood samples were taken to measure blood glucose and generate the blood glucose profile over 24 h.
  • SEQ ID NO: 24 demonstrated a significant decrease in blood glucose compared to db/db control mice, lasting > 24 h (p ⁇ 0.001 ; 2-W-ANOVA-RM, post hoc Dunnett's Test; Fig. 10, mean ⁇ SEM). 2. Blood glucose & HbA1 c
  • mice Female diabetic mice were treated for 4 weeks subcutaneously with 50 pg/kg SEQ ID NO: 24 or vehicle twice daily. Blood glucose and HbA1 c were determined before start of treatment and at the end of the study after 4 weeks of treatment. Before treatment started, no significant differences in blood glucose levels could be detected between db/db groups, only the lean control animals had significant lower glucose levels. During the 4 weeks of treatment, glucose levels increased in the vehicle- treated db/db control group, indicating a worsening of the diabetic situation.
  • the SEQ ID NO: 24-treated animals displayed a significant lower blood glucose level than the db control mice at the end of the study (p ⁇ 0.01 in SEQ ID NO: 24 group; 2-W-ANOVA-RM, post hoc Dunnett's Test; Fig. 1 1 , mean ⁇ SEM).
  • HbA1 c Corresponding to blood glucose, at the beginning of the study, no significant differences in HbA1 c levels could be detected between db/db groups, only the lean control animals had significant lower levels.
  • HbA1 c increased in the vehicle-treated db/db control group, corresponding to the increasing blood glucose levels.
  • Animals treated with SEQ ID NO: 24 displayed a significantly lower HbA1 c level than the db control mice at the end of the study (p ⁇ 0.001 , 2-W-ANOVA-RM, post hoc Dunnett's Test; Fig. 12, mean ⁇ SEM).

Landscapes

  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Chemical & Material Sciences (AREA)
  • General Health & Medical Sciences (AREA)
  • Medicinal Chemistry (AREA)
  • Animal Behavior & Ethology (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Pharmacology & Pharmacy (AREA)
  • Organic Chemistry (AREA)
  • Bioinformatics & Cheminformatics (AREA)
  • Engineering & Computer Science (AREA)
  • Endocrinology (AREA)
  • Gastroenterology & Hepatology (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • General Chemical & Material Sciences (AREA)
  • Chemical Kinetics & Catalysis (AREA)
  • Proteomics, Peptides & Aminoacids (AREA)
  • Zoology (AREA)
  • Diabetes (AREA)
  • Epidemiology (AREA)
  • Obesity (AREA)
  • Immunology (AREA)
  • Genetics & Genomics (AREA)
  • Hematology (AREA)
  • Biochemistry (AREA)
  • Molecular Biology (AREA)
  • Biophysics (AREA)
  • Toxicology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Cardiology (AREA)
  • Emergency Medicine (AREA)
  • Addiction (AREA)
  • Psychiatry (AREA)
  • Biomedical Technology (AREA)
  • Child & Adolescent Psychology (AREA)
  • Neurosurgery (AREA)
  • Vascular Medicine (AREA)
  • Urology & Nephrology (AREA)
  • Neurology (AREA)

Abstract

The present invention relates to exendin-4 derivatives and their medical use, for example in the treatment of disorders of the metabolic syndrome, including diabetes and obesity, as well as reduction of excess food intake.

Description

Exendin-4 Derivatives as Dual GLP1/Glucagon Agonists Description
FIELD OF THE INVENTION
The present invention relates to exendin-4 peptide analogues which - in contrast to the pure GLP-1 agonist exendin-4 - activate both the GLP1 and the Glucagon receptor and their medical use, for example in the treatment of disorders of the metabolic syndrome, including diabetes and obesity, as well as for reduction of excess food intake.
BACKGROUND OF THE INVENTION
Exendin-4 is a 39 amino acid peptide which is produced by the salivary glands of the Gila monster (Heloderma suspectum) (Eng, J. et al., J. Biol. Chem., 267:7402-05,1992). Exendin-4 is an activator of the glucagon-like peptide-1 (GLP-1 ) receptor, whereas it does not activate significantly the glucagon receptor.
Exendin-4 shares many of the glucoregulatory actions observed with GLP-1 . Clinical and non-clinical studies have shown that exendin-4 has several beneficial antidiabetic properties including a glucose dependent enhancement in insulin synthesis and secretion, glucose dependent suppression of glucagon secretion, slowing down gastric emptying, reduction of food intake and body weight, and an increase in beta-cell mass and markers of beta cell function (Gentilella R et al., Diabetes Obes Metab., 1 1 :544-56, 2009; Norris SL et al., Diabet Med., 26:837-46, 2009; Bunck MC et al., Diabetes Care., 34:2041 -7, 201 1 ). These effects are beneficial not only for diabetics but also for patients suffering from obesity. Patients with obesity have a higher risk of getting diabetes, hypertension, hyperlipidemia, cardiovascular and musculoskeletal diseases.
Relative to GLP-1 , exendin-4 is resistant to cleavage by dipeptidyl peptidase-4 (DPP4) resulting in a longer half-life and duration of action in vivo (Eng J., Diabetes, 45 (Suppl 2):152A (abstract 554), 1996).
Nevertheless, exendin-4 is chemically labile due to methionine oxidation in position 14 (Hargrove DM et al., Regul. Pept., 141 : 1 13-9, 2007) as well as deamidation and isomerization of asparagine in position 28 (WO 2004/035623).
The amino acid sequence of exendin-4 is shown as SEQ ID NO: 1 HGEGTFTSDLSKQMEEEAVRLFIEWLKNGGPSSGAPPPS-NH2
The amino acid sequence of GLP-1 (7-36)-amide is shown as SEQ ID NO: 2
HAEGTFTSDVSSYLEGQAAKEFIAWLVKGR-NH2
Liraglutide is a marketed chemically modified GLP-1 analog in which, among other modifications, a fatty acid is linked to a lysine in position 20 leading to a prolonged duration of action (Drucker DJ et al., Nature Drug Disc. Rev. 9, 267-268, 2010; Buse, J.B. et al., Lancet, 374:39-47, 2009).
The amino acid sequence of Liraglutide is shown as SEQ ID NO: 195.
HAEGTFTSDVSSYLEGQAAK((S)-4-Carboxy-4-hexadecanoylamino-butyryl-)
EFIAWLVRGRG-OH
Glucagon is a 29-amino acid peptide which is released into the bloodstream when circulating glucose is low. Glucagon's amino acid sequence is shown in SEQ ID NO: 3.
HSQGTFTSDYSKYLDSRRAQDFVQWLMNT-OH
During hypoglycemia, when blood glucose levels drop below normal, glucagon signals the liver to break down glycogen and release glucose, causing an increase of blood glucose levels to reach a normal level. Hypoglycemia is a common side effect of insulin treated patients with hyperglycemia (elevated blood glucose levels) due to diabetes. Thus, glucagon's most predominant role in glucose regulation is to counteract insulin action and maintain blood glucose levels.
Hoist (Hoist, J. J. Physiol. Rev. 2007, 87, 1409) and Meier (Meier, J. J. Nat. Rev. Endocrinol. 2012, 8, 728) describe that GLP-1 receptor agonists, such as GLP-1 , liraglutide and exendin-4, have 3 major pharmacological activities to improve glycemic control in patients with T2DM by reducing fasting and postprandial glucose (FPG and PPG): (i) increased glucose-dependent insulin secretion (improved first- and second- phase), (ii) glucagon suppressing activity under hyperglycemic conditions, (iii) delay of gastric emptying rate resulting in retarded absorption of meal-derived glucose.
Pocai et al. (Obesity 2012;20: 1566-1571 ; Diabetes 2009, 58, 2258) and Day et al. (Nat Chem Biol 2009;5: 749) describe that dual activation of the GLP-1 and glucagon receptors, e.g. by combining the actions of GLP-1 and glucagon in one molecule, leads to a therapeutic principle with anti-diabetic action and a pronounced weight lowering effect.
Peptides which bind and activate both the glucagon and the GLP-1 receptor (Hjort et al., Journal of Biological Chemistry, 269, 30121 -30124, 1994; Day JW et al., Nature Chem Biol, 5: 749-757, 2009) and suppress body weight gain and reduce food intake are described in patent applications WO 2008/071972, WO 2008/101017, WO 2009/155258, WO 2010/096052, WO 2010/096142, WO 201 1/075393, WO 2008/152403, WO 2010/070251 , WO 2010/070252, WO 2010/070253, WO 2010/070255, WO 201 1/160630, WO 201 1/006497, WO 201 1/152181 , WO 201 1/152182, WO 201 1/1 17415, WO 201 1/1 17416 and WO 2006/134340, the contents of which are herein incorporated by reference.
In addition, triple co-agonist peptides which not only activate the GLP-1 and the glucagon receptor but also the GIP receptor are described in WO 2012/0881 16 and by VA Gault et al. (Biochem Pharmacol, 85, 16655-16662, 2013; Diabetologia, 56, 1417-1424, 2013).
Bloom et al. (WO 2006/134340) disclose that peptides which bind and activate both the glucagon and the GLP-1 receptor can be constructed as hybrid molecules from glucagon and exendin-4, where the N-terminal part (e.g. residues 1 -14 or 1 -24) originates from glucagon and the C-terminal part (e.g. residues 15-39 or 25-39) originates from exendin- DE Otzen et al. (Biochemistry, 45, 14503-14512, 2006) disclose that N- and C-terminal hydrophobic patches are involved in fibrillation of glucagon due to the hydrophobicity and/or high β-sheet propensity of the underlying residues.
Krstenansky et al. (Biochemistry, 25, 3833-3839, 1986) show the importance of the residues 10-13 of glucagon for its receptor interactions and activation of adenylate cyclase. In the exendin-4 derivatives described in this invention, several of the underlying residues are different from glucagon. In particular residues Tyr10 and Tyr13 , which are known to contribute to the fibrillation of glucagon (DE Otzen, Biochemistry, 45, 14503- 14512, 2006) are replaced by Leu in position 10 and Gin, a non-aromatic polar amino acid, in position 13, leading to exendin-4 derivatives with potentially improved biophysical properties.
Furthermore, compounds of this invention are exendin-4 derivatives with fatty acid acylated residues in position 14. This fatty acid functionalization in position 14 results in exendin-4 derivatives with high activity not only at the GLP-1 receptor but also at the glucagon receptor when compared to the corresponding non-acylated exendin-4 derivatives. In addition, this modification results in an improved pharmacokinetic profile.
Compounds of this invention are more resistant to cleavage by neutral endopeptidase (NEP) and dipeptidyl peptidase-4 (DPP4), resulting in a longer half-life and duration of action in vivo when compared with GLP-1 and glucagon. Furthermore, the compounds are stabilized versus other proteases, among those cathepsin D.
Compounds of this invention are preferably soluble not only at neutral pH, but also at pH 4.5. This property potentially allows co-formulation for a combination therapy with an insulin or insulin derivative and preferably with a basal insulin like insulin glargine/Lantus®.
BRIEF SUMMARY OF THE INVENTION
Provided herein are exendin-4 derivatives which potently activate the GLP1 and the glucagon receptor. In these exendin-4 derivatives - among other substitutions - methionine at position 14 is replaced by an amino acid carrying an -NH2 group in the side chain, which is further substituted with an unpolar residue (e.g. a fatty acid optionally combined with a linker).
The invention provides a peptidic compound having the formula (I):
R1 - Z - R2 (I) wherein Z is a peptide moiety having the formula (II)
His-X2-X3-Gly-Thr-Phe-Thr-Ser-Asp-Leu-Ser-Lys-Gln-X14-X15-X16-X17-X18-Ala- X20-X21 -Phe-lle-Glu-Trp-Leu-Lys-X28-X29-Gly-Pro-Ser-Ser-Gly-X35-Pro-Pro-Pro- X39-X40 (II)
X2 represents an amino acid residue selected from Ser, D-Ser and Aib,
X3 represents an amino acid residue selected from Gin, His and a-amino- functionalized Gin, wherein Gin may be functionalized in that an H of the a-NH2 group is substituted by (Ci-C4)-alkyl,
X14 represents an amino acid residue having a side chain with an -NH2 group, wherein the -NH2 side chain group is functionalized by -C(O)-R5, -C(O)O-R5, -
C(O)NH-R5, -S(O)2-R5 or R5, preferably by -C(O)-R5, wherein R5 may be a moiety comprising up to 50 or up to 100 carbon atoms and optionally heteroatoms selected from halogen, N, O, S and/or P,
X15 represents an amino acid residue selected from Glu and Asp,
X16 represents an amino acid residue selected from Ser, Glu and Lys,
X17 represents an amino acid residue selected from Arg, Glu, Gin, Leu, Aib and Lys, X18 represents an amino acid residue selected from Arg, Ala and Lys,
X20 represents an amino acid residue selected from Gin, Arg, Lys, His, Glu and Aib, X21 represents an amino acid residue selected from Asp, Leu and Glu,
X28 represents an amino acid residue selected from Asn, Arg, Lys, Aib, Ser, Glu, Ala and Asp,
X29 represents an amino acid residue selected from Gly, Ala, D-Ala and Thr,
X35 represents an amino acid residue selected from Ala, Glu, Arg and Lys, X39 represents Ser or is absent and
X40 is absent or represents an amino acid residue having a side chain with an -NH2 group, wherein the -NH2 side chain group is optionally functionalized by -C(O)- R5, -C(O)O-R5, -C(O)NH-R5, -S(O)2-R5 or R5, preferably by -C(O)-R5, wherein R5 may be a moiety comprising up to 50 or up to 100 carbon atoms and optionally heteroatoms selected from halogen, N, O, S and/or P,
R1 represents the N-terminal group of the peptidic compound and is selected from NH2 and mono- or bisfunctionalized NH2,
R2 represents the C-terminal group of the peptidic compound and is selected from
(i) OH or functionalized OH and
(ii) NH2 or mono- or bisfunctionalized NH2,
or a salt or solvate thereof. The compounds of the invention are GLP-1 and glucagon receptor agonists as determined by the observation that they are capable of stimulating intracellular cAMP formation.
According to another embodiment, the compounds of the invention, particularly with a lysine at position 14 which is further substituted with a lipophilic residue, exhibit at least a relative activity of 0.1 %, more preferably of 0.2%, more preferably of 0.3% and even more preferably of 0.4% compared to that of GLP-1 (7-36) at the GLP-1 receptor. Furthermore, the compounds exhibit at least a relative activity of 0.1 %, more preferably of 0.2% or of 0.3% or of 0.4% and even more preferably of 0.5% compared to that of natural glucagon at the glucagon receptor.
The term "activity" as used herein preferably refers to the capability of a compound to activate the human GLP-1 receptor and the human glucagon receptor. More preferably the term "activity" as used herein refers to the capability of a compound to stimulate intracellular cAMP formation. The term "relative activity" as used herein is understood to refer to the capability of a compound to activate a receptor in a certain ratio as compared to another receptor agonist or as compared to another receptor. The activation of the receptors by the agonists (e.g. by measuring the cAMP level) is determined as described herein, e.g. as described in the examples. According to one embodiment, the compounds of the invention have an EC50 for hGLP-1 receptor of 450 pmol or less, preferably of 200 pmol or less; more preferably of 150 pmol or less, more preferably of 100 pmol or less, more preferably of 90 pmol or less, more preferably of 80 pmol or less, more preferably of 70 pmol or less, more preferably of 60 pmol or less, more preferably of 50 pmol or less, more preferably of 40 pmol or less, more preferably of 30 pmol or less, more preferably of 25 pmol or less, more preferably of 20 pmol or less, more preferably of 15 pmol or less, more preferably of 10 pmol or less, more preferably of 9 pmol or less, more preferably of 8 pmol or less, more preferably of 7 pmol or less, more preferably of 6 pmol or less, and more preferably of 5 pmol or less.
According to another embodiment, the compounds of the invention have an EC50 for hGlucagon receptor of 500 pmol or less, preferably of 200 pmol or less; more preferably of 150 pmol or less, more preferably of 100 pmol or less, more preferably of 90 pmol or less, more preferably of 80 pmol or less, more preferably of 70 pmol or less, more preferably of 60 pmol or less, more preferably of 50 pmol or less, more preferably of 40 pmol or less, more preferably of 30 pmol or less, more preferably of 25 pmol or less, more preferably of 20 pmol or less, more preferably of 15 pmol or less, more preferably of 10 pmol or less.
According to another embodiment, the compounds of the invention have an EC50 for hGLP-1 receptor of 450 pmol or less, preferably of 200 pmol or less; more preferably of 150 pmol or less, more preferably of 100 pmol or less, more preferably of 90 pmol or less, more preferably of 80 pmol or less, more preferably of 70 pmol or less, more preferably of 60 pmol or less, more preferably of 50 pmol or less, more preferably of 40 pmol or less, more preferably of 30 pmol or less, more preferably of 25 pmol or less, more preferably of 20 pmol or less, more preferably of 15 pmol or less, more preferably of 10 pmol or less, more preferably of 9 pmol or less, more preferably of 8 pmol or less, more preferably of 7 pmol or less, more preferably of 6 pmol or less, and more preferably of 5 pmol or less, and/or an EC5o for hGlucagon receptor of 500 pmol or less, preferably of 200 pmol or less; more preferably of 150 pmol or less, more preferably of 100 pmol or less, more preferably of 90 pmol or less, more preferably of 80 pmol or less, more preferably of 70 pmol or less, more preferably of 60 pmol or less, more preferably of 50 pmol or less, more preferably of 40 pmol or less, more preferably of 30 pmol or less, more preferably of 25 pmol or less, more preferably of 20 pmol or less, more preferably of 15 pmol or less, more preferably of 10 pmol or less.
In still another embodiment,the EC50 for both receptors i.e. for the hGLP-1 receptor and the hGlucagon receptor, is 100 pmol or less, more preferably 90 pmol or less, more preferably 80 pmol or less, more preferably 70 pmol or less, more preferably 60 pmol or less, more preferably 50 pmol or less, more preferably 40 pmol or less, more preferably 30 pmol or less, more preferably 25 pmol or less, more preferably 20 pmol or less, more preferably 15 pmol or less, more preferably 10 pmol or less. The EC5o for hGLP-1 receptor and hGlucagon receptor may be determined as described in the Methods herein and as used to generate the results described in Example 9.
The compounds of the invention have the ability to reduce the intestinal passage, to increase the gastric content and/or to reduce the food intake of a patient. These activities of the compounds of the invention can be assessed in animal models known to the skilled person and also described herein in the Methods. The results of such experiments are described in Examples 1 1 and 12. Preferred compounds of the invention may increase the gastric content of mice, preferably of female NMRI-mice, if administered as a single dose, preferably subcutaneous dose, of 0.02 mg/kg body weight by at least 25%, more preferably by at least 30%, more preferably by at least 40%, more preferably by at least 50%, more preferably by at least 60%, more preferably by at least 70%, more preferably by at least 80%.
Preferably, this result is measured 1 h after administration of the respective compound and 30 mins after administration of a bolus, and/or reduces intestinal passage of mice, preferably of female NMRI-mice, if administered as a single dose, preferably subcutaneous dose, of 0.02 mg/kg body weight at least by 45%; more preferably by at least 50%, more preferably by at least 55%, more preferably by at least 60%, and more preferably at least 65%; and/or reduces food intake of mice, preferably of female NMRI- mice, over a period of 22 h, if administered as a single dose, preferably subcutaneous dose of 0.01 mg/kg body weight by at least 10%, more preferably 15%, and more preferably 20%.
The compounds of the invention have the ability to reduce blood glucose level, and/or to reduce HbA1 c levels of a patient. These activities of the compounds of the invention can be assessed in animal models known to the skilled person and also described herein in the Methods. The results of such experiments are described in Examples 14 and 17. Preferred compounds of the invention may reduce blood glucose level of mice, preferably in female leptin-receptor deficient diabetic db/db mice over a period of 24 h, if administered as a single dose, preferably subcutaneous dose, of 0.01 mg/kg body weight by at least 4 mmol/L; more preferably by at least 6 mmol/L, more preferably by at least 8 mmol/L. If the dose is increased to 0.1 mg/kg body weight a more pronounced reduction of blood glucose levels can be observed in mice over a period of 24 h, if administered as a single dose, preferably subcutaneous dose. Preferably the compounds of the invention lead to a reduction by at least 7 mmol/L; more preferably by at least 9 mmol/L, more preferably by at least 1 1 mmol/L. The compounds of the invention preferably reduce the increase of HbA1 c levels of mice over a period of 4 weeks, if administered at a daily dose of 0.01 mg/kg to about the ignition value.
The compounds of the invention also have the ability to reduce body weight of a patient. These activities of the compounds of the invention can be assessed in animal models known to the skilled person and also described herein in the Methods and in Examples 13 and 16.
It was found that peptidic compounds of the formula (I), particularly those with a lysine at position 14 which is further substituted with a lipophilic residue, showed increased glucagon receptor activation compared to derivatives having the original methionine (from exendin-4) at position 14. Furthermore, oxidation (in vitro or in vivo) of methionine is not possible anymore.
In one embodiment the compounds of the invention have a high solubility at acidic and/or physiological pH values, e.g., at pH 4.5 and/or at pH 7.4 at 25°C, in another embodiment at least 0.5 mg/ml and in a particular embodiment at least 1 .0 mg/ml.
Furthermore, according to one embodiment, the compounds of the invention preferably have a high stability when stored in solution. Preferred assay conditions for determining the stability is storage for 7 days at 25°C in solution at pH 4.5 or pH 7. The remaining amount of peptide is determined by chromatographic analyses as described in the Examples. Preferably, after 7 days at 25°C in solution at pH 4.5 or pH 7, the remaining peptide amount is at least 80%, more preferably at least 85%, even more preferably at least 90% and even more preferably at least 95%.
Preferably, the compounds of the present invention comprise a peptide moiety Z (II) which is a linear sequence of 39-40 amino carboxylic acids, particularly a-amino carboxylic acids linked by peptide, i.e. carboxamide bonds. In an embodiment R1 is selected from -NH2, -NH[(CrC5)alkyl], -N[(Ci-C5)alkyl]2> -NH[(C0- C4)alkylene-(C3-C8)cycloalkyl], NH-C(O)-H, NH-C(O)-(C C5)-alkyl, NH-C(O)-(C0- C3)alkylene-(C3-C8)cycloalkyl, in which alkyl or cycloalkyl is unsubstituted or up to 5-fold substituted by -OH or halogen selected from F, CI, Br and I, preferably F. In an embodiment R2 is selected from -OH, -O-(CrC2o)alkyl, -O(C0-C8)alkylene-(C3- C8)cycloalkyl, -NH2, -NH[(C C30)alkyl], -N[(CrC30)alkyl]2, -NH[(C0-C8)alkylene-(C3- C8)cycloalkyl], -N[(C0-C8)alkylene-(C3-C8)cycloalkyl]2, -NH[(CH2-CH2-O)1-4o-(CrC4)alkyl], - NH-(C3-C8)heterocyclyl or -NH-(C0-C8)alkylene-aryl, wherein aryl is selected from phenyl and naphthyl, preferably phenyl, or a (C3-C8)-heterocyclyl containing 1 N-atom and optionally two additional heteroatoms selected from O, N or S, particularly selected from azetidinyl, pyrrolidinyl, piperidinyl, morpholinyl und homopiperidinyl. Moreover alkyl or cycloalkyl as described above is unsubstituted or up to 5-fold substituted by -OH or halogen selected from F, CI, Br and I, preferably F. In one embodiment, the N-terminal group R1 is NH2. In a further embodiment, the C- terminal group R2 is NH2. In still a further embodiment the N-terminal group R1 and the C- terminal group R2 are NH2.
In one embodiment position X14 represents an amino acid residue with a functionalized - NH2 side chain group, such as functionalized Lys, Orn, Dab, or Dap, more preferably functionalized Lys, and X40 represents an amino acid residue with a functionalized -NH2 side chain group, such as functionalized Lys, Orn, Dab, or Dap, more preferably functionalized Lys. An amino acid residue with an -NH2 side chain group, e.g. Lys, Orn, Dab or Dap, may be functionalized in that at least one H atom of the -NH2 side chain group is replaced by - C(O)-R5, -C(O)O-R5, -C(O)NH-R5, -S(0)2-R5 or R5, preferably by -C(O)-R5, wherein R5 may be a moiety comprising up to 50 or up to 100 carbon atoms and optionally heteroatoms selected from halogen, N, O, S and/or P.
In certain embodiments, R5 may comprise a lipophilic moiety, e.g. an acyclic linear or branched saturated hydrocarbon group, wherein R5 particularly comprises an acyclic linear or branched (C4-C3o) saturated or unsaturated hydrocarbon group, and/or a cyclic saturated, unsaturated or aromatic group, particularly a mono-, bi-, or tricyclic group comprising 4 to 14 carbon atoms and 0, 1 , or 2 heteroatoms selected from N, O, and S, e.g. cyclohexyl, phenyl, biphenyl, chromanyl, phenanthrenyl or naphthyl, wherein the acyclic or cyclic group may be unsubstituted or substituted e.g. by halogen, -OH and/or CO2H.
More preferred groups R5 may comprise a lipophilic moiety, e.g. an acyclic linear or branched (Ci2-C22) saturated or unsaturated hydrocarbon group. The lipophilic moiety may be attached to the -NH2 side chain group by a linker in all stereoisomeric forms, e.g. a linker comprising one or more, e.g. 2, amino acid linker groups such as γ-aminobutyric acid (GABA), ε-aminohexanoic acid (ε-Ahx), γ-Glu and/or β-Ala. In one embodiment the lipophilic moiety is attached to the -NH2 side chain group by a linker. In another embodiment the lipophilic moiety directly attached to the -NH2 side chain group. Specific examples of amino acid linker groups are ( -Ala)i-4, (y-Glu)i-4, (£-Ahx) -4, or (GABA) -4. Preferred amino acid linker groups are β-Ala, γ-Glu, β-Αΐ3-β-Αΐ3 and y-Glu-y-Glu.
Specific preferred examples for -C(O)-R5 groups are listed in the following Table 1 , which are selected from the group consisting of (S)-4-Carboxy-4-hexadecanoylamino-butyryl-, (S)-4-Carboxy-4-octadecanoylamino-butyryl-, 4-Hexadecanoylamino-butyryl-, 4-{3-[(R)- 2,5,7,8-tetramethyl-2-((4R,8R)-4,8,12-trimethyl-tridecyl)-chroman-6-yloxycarbonyl]- propionylamino}-butyryl-, 4-octadecanoylamino-butyryl-, 4-((Z)-octadec-9-enoylamino)- butyryl-, 6-[(4,4-Diphenyl-cyclohexyloxy)-hydroxy-phosphoryloxy]-hexanoyl-, Hexadecanoyl-, (S)-4-Carboxy-4-(15-carboxy-pentadecanoylamino)-butyryl-, (S)-4- Carboxy-4-{3-[3-((2S,3R,4S,5R)-5-carboxy-2,3,4,5-tetrahydroxy-pentanoylamino)- propionylamino]-propionylamino}-butyryl-, (S)-4-Carboxy-4-{3-[(R)-2,5,7,8-tetramethyl-2- ((4R,8R)-4,8,12-trimethyl-tridecyl)-chroman-6^
(S)-4-Carboxy-4-((9Z,12Z)-octadeca-9,12-dienoylamino)-butyryl-, (S)-4-Carboxy-4-[6- ((2S,3R,4S,5R)-5-carboxy-2,3,4,5-tetrahydroxy-pentanoylamino)-hexanoylamino]-butyryl-, (S)-4-Carboxy-4-((2S,3R,4S,5R)-5-carboxy-2,3,4,5-tetrahydroxy-pentanoylannino)-butyryl-, (S)-4-Carboxy-4-tetradecanoylamino-butyryl-, (S)-4-(1 1 -Benzyloxycarbonyl- undecanoylamino)-4-carboxy-butyryl-, (S)-4-Carboxy-4-[1 1 -((2S,3R,4R,5R)-2,3,4,5,6- pentahydroxy-hexylcarbamoyl)-undecanoylannino]-butyryl-, (S)-4-Carboxy-4-((Z)-octadec- 9-enoylamino)-butyryl-, (S)-4-Carboxy-4-(4-dodecyloxy-benzoylamino)-butyryl-, (S)-4- Carboxy-4-henicosanoylamino-butyryl-, (S)-4-Carboxy-4-docosanoylamino-butyryl-, (S)-4- Carboxy-4-((Z)-nonadec-10-enoylamino)-butyryl-, (S)-4-Carboxy-4-(4-decyloxy- benzoylamino)-butyryl-, (S)-4-Carboxy-4-[(4'-octyloxy-biphenyl-4-carbonyl)-amino]-butyryl- (S)-4-Carboxy-4-(12-phenyl-dodecanoylamino)-butyryl-, (S)-4-Carboxy-4- icosanoylamino-butyryl-, (S)-4-Carboxy-4-((S)-4-carboxy-4-hexadecanoylamino- butyrylamino)-butyryl-, (S)-4-Carboxy-4-((S)-4-carboxy-4-octadecanoylamino- butyrylamino)-butyryl-, 3-(3-Octadecanoylamino-propionylannino)-propionyl-, 3-(3- Hexadecanoylamino-propionylannino)-propionyl-, 3-Hexadecanoylamino-propionyl-, (S)-4- Carboxy^-KRH-iiSR.SS R.eR.QR.10S,12S,13R,14R,17R)-3,7,12-trihydroxy-8,10,13- trimethyl-hexadecahydro-cyclopenta[a]phenanthren-17-yl)-pentanoylamino]-butyryl-, (S)- 4-Carboxy-4-[(R)-4-((3R,5RJ8RJ9S,10S,13R,14S,17R)-3-hydroxy-10,13-dimethyl- hexadecahydro-cyclopenta[a]phenanthren-17-yl)-pentanoylamino]-butyryl-, (S)-4- Carboxy-4-((9S,10R)-9,10,16-trihydroxy-hexadecanoylannino)-butyryl-, Tetradecanoyl-, 1 1 -Carboxy-undecanoyl-, 1 1 -Benzyloxycarbonyl-undecanoyl-, (S)-4-Carboxy-4-((S)-4- carboxy-4-tetradecanoylamino-butyrylannino)-butyryl-, 6-[Hydroxy-(naphthalene-2-yloxy)- phosphoryloxy]-hexanoyl-, 6-[Hydroxy-(5-phenyl-pentyloxy)-phosphoryloxy]-hexanoyl-, 4- (Naphthalene-2-sulfonylamino)-4-oxo-butyryl-, 4-(Biphenyl-4-sulfonylamino)-4-oxo- butyryl-, (S)-4-Carboxy-4-{(S)-4-carboxy-4-[2-(2-{2-[2-(2-{2-[(S)-4-carboxy-4-(17-carboxy- heptadecanoylamino)-butyrylamino]-ethoxy}-ethoxy)-acetylamino]-ethoxy}-ethoxy)- acetylamino]-butyrylamino}-butyryl-, (S)-4-Carboxy-4-[2-(2-{2-[2-(2-{2-[(S)-4-carboxy-4- (17-carboxy-heptadecanoylamino)-butyrylamino]-ethoxy}-ethoxy)-acetylamino]-ethoxy}- ethoxy)-acetylamino]-butyryl-, (S)-4-Carboxy-2-{(S)-4-carboxy-2-[2-(2-{2-[2-(2-{2-[(S)-4- carboxy-4-(17-carboxy-heptadecanoylamino)-butyrylamino]-ethoxy}-ethoxy)-acetylamino]- ethoxy}-ethoxy)-acetylamino]-butyrylamino}-butyryl-, (S)-4-Carboxy-2-[2-(2-{2-[2-(2-{2- [(S)-4-carboxy-4-(17-carboxy-heptadecanoylamino)-butyrylannino]-ethoxy}-ethoxy)- acetylamino]-ethoxy}-ethoxy)-acetylannino]-butyryl-, (S)-4-Carboxy-4-{(S)-4-carboxy-4-[2- (2-{2-[(S)-4-carboxy-4-(17-carboxy-heptadecanoylamino)-butyrylamino]-ethoxy}-ethoxy)- acetylamino]-butyrylannino}-butyryl-, (S)-4-Carboxy-4-[2-(2-{2-[(S)-4-carboxy-4-(17- carboxy-heptadecanoylamino)-butyrylamino]-ethoxy}-ethoxy)-acetylamino]-butyryl-, (S)-4- Carboxy-2-{(S)-4-carboxy-2-[2-(2-{2-[(S)-4-carboxy-4-(17-carboxy-heptadecanoylamino)- butyrylamino]-ethoxy}-ethoxy)-acetylamino]-butyrylamino}-butyryl-, (S)-4-Carboxy-2-[2-(2- {2-[(S)-4-carboxy-4-(17-carboxy-heptadecanoylamino)-butyrylamino]-ethoxy}-ethoxy)- acetylamino]-butyryl-, 2-(2-{2-[2-(2-{2-[(S)-4-Carboxy-4-(17-carboxy-hepta- decanoylamino)-butyrylamino]-ethoxy}-ethoxy)-acetylamino]-ethoxy}-ethoxy)-acetyl-, 2-(2- {2-[(S)-4-Carboxy-4-(17-carboxy-heptadecanoylamino)-butyrylamino]-ethoxy}-ethoxy)- acetyl, (S)-4-Carboxy-4-((S)-4-carboxy-4-{(S)-4-carboxy-4-[(S)-4-carboxy-4-(19-carboxy- nonadecanoylamino)-butyrylamino]-butyrylamino}-butyrylamino)-butyryl, 2-(2-{2-[2-(2-{2- [(S)-4-Carboxy-4-(16-1 H-tetrazol-5-yl-hexadecanoylamino)-butyrylamino]-ethoxy}-ethoxy)- acetylamino]-ethoxy}-ethoxy)-acetyl-, 2-(2-{2-[2-(2-{2-[(S)-4-Carboxy-4-(16-carboxy- hexadecanoylamino)-butyrylamino]-ethoxy}-ethoxy)-acetylamino]-ethoxy}-ethoxy)-acetyl-, (S)-4-Carboxy-4-{(S)-4-carboxy-4-[(S)-4-carboxy-4-(17-carboxy-heptadecanoylamino)- butyrylamino]-butyrylamino}-butyryl-, (S)-4-Carboxy-4-((S)-4-carboxy-4-{2-[2-(2-{2-[2-(2- {(S)-4-carboxy-4-[10-(4-carboxy-phenoxy)-decanoylamino]-butyrylamino}-ethoxy)-ethoxy]- acetylamino}-ethoxy)-ethoxy]-acetylannino}-butyryl-, (S)-4-Carboxy-4-{(S)-4-carboxy-4-[2- (2-{2-[2-(2-{2-[(S)-4-carboxy-4-(7-carboxy-heptanoylamino)-butyrylamino]-ethoxy}-ethoxy)- acetylamino]-ethoxy}-ethoxy)-acetylamino]-butyrylamino}-butyryl-, (S)-4-Carboxy-4-{(S)-4- carboxy-4-[2-(2-{2-[2-(2-{2-[(S)-4-carboxy-4-(1 1 -carboxy-undecanoylamino)- butyrylamino]-ethoxy}-ethoxy)-acetylamino]-ethoxy}-ethoxy)-acetylamino]-butyrylamm butyryl-, (S)-4-Carboxy-4-{(S)-4-carboxy-4-[2-(2-{2-[2-(2-{2-[(S)-4-carboxy-4-(13-carboxy- tridecanoylamino)-butyrylamino]-ethoxy}-ethoxy)-acetylamino]-ethoxy}-ethoxy)- acetylamino]-butyrylamino}-butyryl-, (S)-4-Carboxy-4-{(S)-4-carboxy-4-[2-(2-{2-[2-(2-{2- [(S)-4-carboxy-4-(15-carboxy-pentadecanoylamino)-butyrylamino]-ethoxy}-ethoxy)- acetylamino]-ethoxy}-ethoxy)-acetylamino]-butyrylamino}-butyryl-, and (S)-4-Carboxy-4- {(S)-4-carboxy-4-[2-(2-{2-[2-(2-{2-[(S)-4-carboxy-4-(19-carboxy-nonadecanoylamino)- butyrylamino]-ethoxy}-ethoxy)-acetylamino]-ethoxy}-ethoxy)-acetylamino]-butyrylamino}- butyryl-.
Further preferred are stereoisomers, particularly enantiomers of these groups, either S- or R-enantiomers. The term "R" in Table 1 is intended to mean the attachment site of -C(O)- R5 at the peptide back bone, i.e. particularly the ε-amino group of Lys.
PAGE RECEIVED BLANK UPON FILING
Figure imgf000016_0001
Figure imgf000017_0001
Figure imgf000018_0001
- 18 -
Figure imgf000019_0001
Figure imgf000020_0001
ĭ20
Figure imgf000021_0001
Figure imgf000022_0001
ĭ22
Figure imgf000023_0001
-23-
Figure imgf000024_0001
Figure imgf000025_0001
Figure imgf000026_0001
Figure imgf000027_0001
Figure imgf000028_0001
Figure imgf000029_0001
According to one embodiment, R5 is selected from the group consisting of (S)-4-carboxy- 4-hexadecanoylamino-butyryl (γΕ-χ53), (S)-4-carboxy-4-octadecanoylamino-butyryl (γΕ- x70), 4-hexadecanoylamino-butyryl (GABA-x53), 4-{3-[(R)-2,5,7I8-tetramethyl-2-((4R,8R)- 4,8,12-trimethyl-tridecyl)-chroman-6-yloxycarbonyl]-propionylam (GABA-x60), 4-octadecanoylamino-butyryl (GABA-x70), 4-((Z)-octadec-9-enoylamino)-butyryl (GABA- x74), 6-[(4,4-Diphenyl-cyclohexyloxy)-hydroxy-phosphoryloxy]-hexanoyl (Phosphol ), Hexadecanoyl (x53), (S)-4-Carboxy-4-(15-carboxy-pentadecanoylamino)-butyryl (x52), 5 (S)-4-Carboxy-4-{3-[3-((2S,3R,4S,5R)-5-carboxy-2,3,4,5-tetrahydroxy-pentanoylamino)- propionylamino]-propionylannino}-butyryl (γΕ-χ59), (S)-4-Carboxy-4-{3-[(R)-2,5,7,8- tetramethyl-2-((4R,8R)-4,8,12-trimethyl-tridecyl)-chroman-6-yloxycarbonyl]^
propionylamino}-butyryl (γΕ-χ60), (S)-4-Carboxy-4-((9Z,12Z)-octadeca-9,12- dienoylamino)-butyryl (γΕ-χ61 ), (S)-4-Carboxy-4-[6-((2S,3R,4S,5R)-5-carboxy-2,3,4,5- 10 tetrahydroxy-pentanoylamino)-hexanoylannino]-butyryl (γΕ-χ64), (S)-4-Carboxy-4- ((2S,3R,4S,5R)-5-carboxy-2,3,4,5-tetrahydroxy-pentanoylamino)-butyryl (γΕ-χ65), (S)-4- carboxy-4-tetradecanoylamino-butyryl (γΕ-χ69), (S)-4-(1 1 -Benzyloxycarbonyl- undecanoylamino)-4-carboxy-butyryl (γΕ-χ72), (S)-4-carboxy-4-[1 1 -((2S,3R,4R,5R)- 2,3,4,5,6-pentahydroxy-hexylcarbannoyl)-undecanoylannino]-butyryl (γΕ-χ73), (SHI S Carboxy-4-((Z)-octadec-9-enoylamino)-butyryl (γΕ-χ74), (S)-4-Carboxy-4-(4-dodecyloxy- benzoylamino)-butyryl (γΕ-χ75), (S)-4-Carboxy-4-henicosanoylamino-butyryl (γΕ-χ76), (S)-4-Carboxy-4-docosanoylamino-butyryl (γΕ-χ77), (S)-4-Carboxy-4-((Z)-nonadec-10- enoylamino)-butyryl (γΕ-χ79), (S)-4-Carboxy-4-(4-decyloxy-benzoylamino)-butyryl (γΕ- x80), (S)-4-Carboxy-4-[(4'-octyloxy-biphenyl-4-carbonyl)-amino]-butyryl (γΕ-χ81 ), (S)-4- 20 Carboxy-4-(12-phenyl-dodecanoylamino)-butyryl (γΕ-χ82), (S)-4-Carboxy-4- icosanoylamino-butyryl (γΕ-χ95), (S)-4-Carboxy-4-((S)-4-carboxy-4-hexadecanoylamino- butyrylamino)-butyryl (γΕ-γΕ-χ53), (S)-4-Carboxy-4-((S)-4-carboxy-4-octadecanoylamino- butyrylamino)-butyryl (γΕ-γΕ-χ70), and 3-(3-Octadecanoylamino-propionylannino)- propionyl( -Ala- -Ala-x70).
25
According to another embodiment, R5 is selected from the group consisting of (S)-4- carboxy-4-octadecanoylamino-butyryl (γΕ-χ70), (S)-4-carboxy-4-hexadecanoylamino- butyryl (γΕ-χ53), and hexadecanoyl (x53).
30 According to yet another embodiment, R5 is (S)-4-carboxy-4-hexadecanoylamino-butyryl (γΕ-χ53).
In some embodiments of the invention, position X14 and/or X40 represents Lysine (Lys). According to some embodiments, Lys at position 14 and optionally at position 40 is functionalized, e.g. with a group -C(O)R5 as described above. In other embodiments, X40 is absent and X14 is Lys functionalized with -C(O)-R5, -C(O)O-R5, -C(O)NH-R5, -S(O)2- R5 or R5, preferably by -C(O)-R5, wherein R5 is as defined above. In particular, X14 is Lys functionalized with C(O)-R5, wherein R5 is selected from the group consisting of (S)-4- carboxy-4-hexadecanoylamino-butyryl (γΕ-χ53), (S)-4-carboxy-4-octadecanoylamino- butyryl (γΕ-χ70), 4-hexadecanoylamino-butyryl (GABA-x53), 4-{3-[(R)-2,5,7,8-tetramethyl- 2-((4R,8R)-4,8,12-trimethyl-tridecyl)-chroman-6-yloxycarbonyl]-propionylamino}-butyryl- (GABA-x60), 4-octadecanoylamino-butyryl (GABA-x70), 4-((Z)-octadec-9-enoylamino)- butyryl (GABA-x74), 6-[(4,4-Diphenyl-cyclohexyloxy)-hydroxy-phosphoryloxy]-hexanoyl (Phosphol ), Hexadecanoyl (x53), (S)-4-Carboxy-4-(15-carboxy-pentadecanoylamino)- butyryl (x52), (S)-4-Carboxy-4-{3-[3-((2S,3R,4S,5R)-5-carboxy-2,3,4,5-tetrahydroxy- pentanoylamino)-propionylamino]-propionylamino}-butyryl (γΕ-χ59), (S)-4-Carboxy-4-{3- [(R)-2,5,7,8-tetramethyl-2-((4R,8R)-4,8,12-trimethyl-tridecyl)-chroman-6-yloxycarbonyl]- propionylamino}-butyryl (γΕ-χ60), (S)-4-Carboxy-4-((9Z,12Z)-octadeca-9,12- dienoylamino)-butyryl (γΕ-χ61 ), (S)-4-Carboxy-4-[6-((2S,3R,4S,5R)-5-carboxy-2,3,4,5- tetrahydroxy-pentanoylamino)-hexanoylamino]-butyryl (γΕ-χ64), (S)-4-Carboxy-4- ((2S,3R,4S,5R)-5-carboxy-2,3,4,5-tetrahydroxy-pentanoylamino)-butyryl (γΕ-χ65), (S)-4- carboxy-4-tetradecanoylamino-butyryl (γΕ-χ69), (S)-4-(1 1 -Benzyloxycarbonyl- undecanoylamino)-4-carboxy-butyryl (γΕ-χ72), (S)-4-carboxy-4-[1 1 -((2S,3R,4R,5R)- 2,3,4,5,6-pentahydroxy-hexylcarbamoyl)-undecanoylamino]-butyryl (γΕ-χ73), (S)-4- Carboxy-4-((Z)-octadec-9-enoylamino)-butyryl (γΕ-χ74), (S)-4-Carboxy-4-(4-dodecyloxy- benzoylamino)-butyryl (γΕ-χ75), (S)-4-Carboxy-4-henicosanoylamino-butyryl (γΕ-χ76), (S)-4-Carboxy-4-docosanoylamino-butyryl (γΕ-χ77), (S)-4-Carboxy-4-((Z)-nonadec-10- enoylamino)-butyryl (γΕ-χ79), (S)-4-Carboxy-4-(4-decyloxy-benzoylamino)-butyryl (γΕ- x80), (S)-4-Carboxy-4-[(4'-octyloxy-biphenyl-4-carbonyl)-amino]-butyryl (γΕ-χ81 ), (S)-4- Carboxy-4-(12-phenyl-dodecanoylamino)-butyryl (γΕ-χ82), (S)-4-Carboxy-4- icosanoylamino-butyryl (γΕ-χ95), (S)-4-Carboxy-4-((S)-4-carboxy-4-hexadecanoylamino- butyrylamino)-butyryl (γΕ-γΕ-χ53), (S)-4-Carboxy-4-((S)-4-carboxy-4-octadecanoylamino- butyrylamino)-butyryl (γΕ-γΕ-χ70), and 3-(3-Octadecanoylamino-propionylamino)- propionyl( -Ala- -Ala-x70).
A further embodiment relates to a group of compounds, wherein
R1 is NH2, R is NH2 or
R1 and R2 are NH2.
A further embodiment relates to a group of compounds, wherein
X2 represents an amino acid residue selected from Ser, D-Ser and Aib,
X3 represents an amino acid residue selected from Gin, His and a-amino- functionalized Gin, wherein Gin may be functionalized in that an H of the a-NH2 group is substituted by (Ci -C4)-alkyl,
X14 represents an amino acid residue selected from Lys, Orn, Dab and Dap, wherein the -NH2 side chain group is functionalized by -C(O)-R5,
X15 represents an amino acid residue selected from Glu and Asp,
X16 represents an amino acid residue selected from Ser, Lys and Glu,
X17 represents an amino acid residue selected from Arg, Glu, Gin, Leu and Lys, X18 represents an amino acid residue selected from Arg and Ala,
X20 represents an amino acid residue selected from Gin, Arg, Lys and Aib,
X21 represents an amino acid residue selected from Asp, Leu and Glu,
X28 represents an amino acid residue selected from Asn, Arg, Lys, Aib, Ser, Glu, Asp and Ala,
X29 represents an amino acid residue selected from Gly, Ala, D-Ala and Thr, X35 represents an amino acid residue selected from Ala or Glu,
X39 is Ser or is absent,
X40 is either absent or represents Lys, wherein the -NH2 side chain group can be functionalized by -C(O)-R5 and
-C(O)-R5 is as defined above.
A further embodiment relates to a group of compounds, wherein
X2 represents an amino acid residue selected from D-Ser and Aib,
X3 represents Gin,
X14 represents an amino acid residue selected from Lys and Orn, wherein the -NH2 side chain group is functionalized by -C(O)-R5,
X15 represents an amino acid residue selected from Glu and Asp,
X16 represents an amino acid residue selected from Ser and Glu,
X17 represents an amino acid residue selected from Arg, Gin and Lys,
X18 represents an amino acid residue selected from Arg and Ala, X20 represents an amino acid residue selected from Gin, Arg, Lys and Aib,
X21 represents an amino acid residue selected from Asp, Leu and Glu,
X28 represents an amino acid residue selected from Asn, Arg, Lys, Aib, Ser and Ala,
X29 represents an amino acid residue selected from Gly, Ala or Thr,
X35 represents Ala,
X39 is Ser or is absent,
X40 is either absent or represents Lys, wherein the -NH2 side chain group can be functionalized by -C(O)-R5 and
-C(O)-R5 is as defined above.
A further embodiment relates to a group of compounds, wherein
X20 represents an amino acid residue selected from Gin, Lys and Aib.
A further embodiment relates to a group of compounds, wherein
X2 represents an amino acid residue selected from D-Ser and Aib,
X3 represents Gin,
X14 represents Lys, wherein the -NH2 side chain group is functionalized by one of the groups selected from 3-(3-octadecanoylamino-propionyl-amino)-propionyl-, 4-hexadecanoylamino-butyryl-, 4-{3-[(R)-2,5,7,8-tetramethyl-2-((4R,8R)-4,8,12- trimethyl-tridecyl)-chroman-6-yloxycarbonyl]-propionylamino}-butyryl-, 4- octadecanoylamino-butyryl-, 4-((Z)-octadec-9-enoylamino)-butyryl-, hexadecanoyl-, (S)-4-carboxy-4-((Z)-octadec-9-enoylamino)-butyryl-, (S)-4- carboxy-4-(4-dodecyloxy-benzoylamino)-butyryl-, (S)-4-carboxy-4- henicosanoylamino-butyryl-, (S)-4-carboxy-4-docosanoylamino-butyryl-, (S)-4- carboxy-4-((Z)-nonadec-10-enoylamino)-butyryl-, (S)-4-carboxy-4-(4-decyloxy- benzoylamino)-butyryl-, (S)-4-carboxy-4-[(4'-octyloxy-biphenyl-4-carbonyl)- amino]-butyryl-, (S)-4-carboxy-4-(12-phenyl-dodecanoylamino)-butyryl-, (S)-4- carboxy-4-((S)-4-carboxy-4-hexadecanoylamino-butyrylamino)-butyryl-, (S)-4- carboxy-4-((S)-4-carboxy-4-octadecanoylamino-butyrylamino)-butyryl-, (S)-4- carboxy-4-{3-[(R)-2,5,7,8-tetramethyl-2-((4R,8R)-4,8,12-trimethyl-tridecyl)- chroman-6-yloxycarbonyl]-propionylamino}-butyryl-, (S)-4-carboxy-4-((9Z,12Z)- octadeca-9,12-dienoylamino)-butyryl-, (S)-4-carboxy-4-octadecanoylamino- butyryl- and (S)-4-carboxy-4-hexadecanoylamino-butyryl-,
X15 represents Glu, X16 represents Ser,
X17 represents an amino acid residue selected from Arg, Gin and Lys,
X18 represents Ala,
X20 represents Gin,
X21 represents Asp,
X28 represents Ala,
X29 represents Gly,
X35 represents Ala,
X39 is Ser
X40 is absent.
A further embodiment relates to a group of compounds of formula (I), wherein
X2 represents Aib,
X3 represents Gin,
X14 represents Lys, wherein the -NH2 side chain group is functionalized, particularly by (S)-4-Carboxy-4-hexadecanoylamino-butyryl- and (S)-4-Carboxy-4- octadecanoylamino-butyryl-;
X15 represents an amino acid residue selected from Asp and Glu,
X16 represents an amino acid residue selected from Ser and Glu,
X17 represents an amino acid residue selected from Gin and Lys,
X18 represents Ala,
X20 represents an amino acid residue selected from Gin and Lys,
X21 represents an amino acid residue selected from Asp and Leu,
X28 represents Ala,
X29 represents an amino acid residue selected from Gly and D-Ala,
X35 represents Ala,
X39 is Ser,
X40 is absent. A further embodiment relates to a group of compounds, wherein
X2 represents an amino acid residue selected from D-Ser and Aib,
X3 represents Gin,
X14 represents Lys, wherein the -NH2 side chain group is functionalized, particularly by (S)-4-Carboxy-4-octadecanoylamino-butyryl-; X15 represents Asp,
X16 represents Ser,
X17 represents Arg,
X18 represents Arg,
X20 represents Gin,
X21 represents Asp,
X28 represents Ala,
X29 represents an amino acid residue selected from Gly and D-Ala,
X35 represents Ala,
X39 is Ser,
X40 is absent.
A further embodiment relates to a group of compounds, wherein
X2 represents D-Ser,
X3 represents Gin,
X14 represents Lys, wherein the -NH2 side chain group can be functionalized, particularly by (S)-4-carboxy-4-{3-[(R)-2,5,7,8-tetramethyl-2-((4R,8R)-4,8,12- trimethyl-tridecyl)-chroman-6-yloxycarbonyl]-propionylamino}-butyryl-, (S)-4- carboxy-4-((9Z,12Z)-octadeca-9,12-dienoylamino)-butyryl-, (S)-4-carboxy-4- tetradecanoylamino-butyryl-, (S)-4-carboxy-4-octadecanoylamino-butyryl-, 2- ((S)-4-carboxy-4-{3-[3-((2S,3R,4S,5R)-5-carboxy-2,3,4,5-tetrahydroxy- pentanoylamino)-propionylamino]-propionylamino}-butyryl-, 2-{(S)-4-carboxy-4- [6-((2S,3R,4S,5R)-5-carboxy-2,3,4,5-tetrahydroxy-pentanoylamino)- hexanoylamino]-butyryl-, 2-[(S)-4-carboxy-4-((2S,3R,4S,5R)-5-carboxy-2,3,4,5- tetrahydroxy-pentanoylamino)-butyryl-, 2-[(S)-4-(1 1 -benzyloxycarbonyl- undecanoylamino)-4-carboxy-butyryl-, 2-{(S)-4-carboxy-4-[1 1 -((2S,3R,4R,5R)- 2,3,4,5,6-pentahydroxy-hexylcarbamoyl)-undecanoylamino]-butyryl-;
X15 represents Asp,
X16 represents Ser,
X17 represents Arg,
X18 represents Arg,
X20 represents Gin,
X21 represents Asp,
X28 represents Asn, X29 represents Gly, X35 represents Ala, X39 is Ser,
X40 is absent.
A further embodiment relates to a group of compounds, wherein
X2 represents D-Ser,
X3 represents Gin,
X14 represents Lys, wherein the -NH2 side chain group is functionalized, particularly by (S)-4-carboxy-4-hexadecanoylamino-butyryl- or hexadecanoyl-;
X15 represents an amino acid residue selected from Glu or Asp,
X16 represents Ser,
X17 represents Arg,
X18 represents Arg,
X20 represents Gin,
X21 represents Asp,
X28 represents an amino acid residue selected from Asn, Arg, Lys, Aib, Ser, Glu and Asp,
X29 represents an amino acid residue selected from Gly, Ala, D-Ala and Thr, X35 represents an amino acid residue selected from Ala, Glu, Arg and Lys,
X39 is Ser,
X40 is absent.
A further embodiment relates to a group of compounds, wherein
X2 represents D-Ser,
X3 represents Gin,
X14 represents Lys, wherein the -NH2 side chain group is functionalized, particularly by (S)-4-carboxy-4-hexadecanoylamino-butyryl- or hexadecanoyl-;
X15 represents an amino acid residue selected from Glu and Asp,
X16 represents an amino acid residue selected from Ser and Glu,
X17 represents an amino acid residue selected from Arg, Glu, Lys and Aib,
X18 represents an amino acid residue selected from Arg, Lys and Ala,
X20 represents an amino acid residue selected from Gin, Lys and Aib,
X21 represents an amino acid residue selected from Asp and Leu,
X28 represents an amino acid residue selected from Ala and Asn,
X29 represents Gly,
X35 represents Ala,
X39 is Ser,
X40 is absent. A further embodiment relates to a group of compounds, wherein
X2 represents D-Ser,
X3 represents Gin,
X14 represents Orn or Dab, wherein the -NH2 side chain group is functionalized, particularly by (S)-4-carboxy-4-hexadecanoylamino-butyryl-;
X15 represents Glu,
X16 represents Ser,
X17 represents Arg,
X18 represents Arg,
X20 represents Gin,
X21 represents Asp,
X28 represents Ala,
X29 represents Gly,
X35 represents Ala,
X39 is Ser,
X40 is absent.
A further embodiment relates to a group of compounds, wherein
X2 represents D-Ser,
X3 represents Gin,
X14 represents Lys, wherein the -NH2 side chain group is functionalized, particularly by (S)-4-carboxy-4-hexadecanoylamino-butyryl- or hexadecanoyl-;
X15 represents an amino acid residue selected from Glu and Asp,
X16 represents Ser,
X17 represents an amino acid residue selected from Arg and Lys,
X18 represents an amino acid residue selected from Arg and Ala,
X20 represents Gin,
X21 represents an amino acid residue selected from Asp and Leu,
X28 represents an amino acid residue selected from Ala and Asn,
X29 represents Gly,
X35 represents Ala,
X39 represents Ser or is absent, X40 is absent or represents Lys, wherein the -NH2 side chain group is optionally functionalized, particularly by (S)-4-carboxy-4-hexadecanoylamino-butyryl- and R2 is NH2, NH(Ci-Ci8) alkyl, which are unsubstituted or monosubstituted by OH or 3- fold-substituted by F, N[(C C6) alkyl]2, NH(CH2-CH2-O)1-24-(C C4) alkyl-COOH, NH-pyrrolidine (N-pyrrolidin-1 -yl-amido), NH-benzyl (N-benzyl-amido) or N- morpholine (1 -morpholin-4-yl), particularly by NH2, NH-CH2-CH3, NH-(CH2)2- CH3, NH-C(CH3)3, NH-CH2-CF3, NH-(CH2)12-OH, NH-(CH2)13-CH3, NH-(CH2)14- CH3, NH-(CH2)15-CH3, NH-(CH2)17-CH3, NH(CH2-CH2-O)4-CH2-CH2-COOH, NH(CH2-CH2-O)24-CH2-CH2-COOH, NH-N(CH2)4, NH-CH2-C6H5, N(CH2-CH2)2O.
A further embodiment relates to a group of compounds, wherein
X2 represents an amino acid residue selected from Ser, D-Ser and Aib,
X3 represents an amino acid residue selected from Gin, His, Asn and Na-methylated Gin [Gin (a-NHCH3)],
X14 represents Lys, wherein the -NH2 side chain group is functionalized, particularly by (S)-4-carboxy-4-hexadecanoylamino-butyryl- or hexadecanoyl-;
X15 represents an amino acid residue selected from Glu and Asp,
X16 represents an amino acid residue selected from Ser and Lys,
X17 represents an amino acid residue selected from Arg and Glu,
X18 represents an amino acid residue selected from Arg and Ala,
X20 represents an amino acid residue selected from Gin, Arg and Aib,
X21 represents an amino acid residue selected from Asp and Leu,
X28 represents an amino acid residue selected from Ala and Asn,
X29 represents Gly,
X35 represents Ala,
X39 is Ser,
X40 is absent.
A further embodiment relates to a group of compounds of formula (I), wherein
X2 represents an amino acid residue selected from Ser, D-Ser and Aib,
X3 represents an amino acid residue selected from Gin, His and Na-methylated Gin [Gin (a-NHCH3)],
X14 represents Lys, wherein the -NH2 side chain group is functionalized, particularly by (S)-4-carboxy-4-hexadecanoylamino-butyryl- or hexadecanoyl-; X15 represents an amino acid residue selected from Glu and Asp,
X16 represents an amino acid residue selected from Ser and Lys,
X17 represents Arg,
X18 represents an amino acid residue selected from Arg and Ala,
X20 represents an amino acid residue selected from Gin and Aib,
X21 represents an amino acid residue selected from Asp and Leu,
X28 represents an amino acid residue selected from Ala and Asn,
X29 represents Gly,
X35 represents Ala,
X39 is Ser,
X40 is absent.
A further embodiment relates to a group of compounds of formula (I), wherein
X2 represents an amino acid residue selected from D-Ser and Aib,
X3 represents an amino acid residue selected from Gin and His,
X14 represents Lys, wherein the -NH2 side chain group is functionalized, particularly by (S)-4-carboxy-4-hexadecanoylamino-butyryl-, (S)-4-carboxy-4-((S)-4- carboxy hexadecanoylamino-butyrylamino)-butyryl-, or (S)-4-carboxy-4- octadecanoylamino-butyryl-;
X15 represents an amino acid residue selected from Glu and Asp,
X16 represents Glu,
X17 represents Glu,
X18 represents Ala,
X20 represents an amino acid residue selected from Arg and Lys,
X21 represents Leu,
X28 represents Ala,
X29 represents Gly,
X35 represents Ala,
X39 is Ser,
X40 is absent.
A still further preferred embodiment relates to a group of compounds wherein
X40 is absent. A still further preferred embodiment relates to a group of compounds, wherein
the functionalized Lys in position 14 is functionalized at its ε-amino group with -C(O)-R5, and-C(O)-R5 is (S)-4-carboxy-4-hexadecanoyl-amino-butyryl, (S)-4-carboxy-4- octadecanoylamino-butyryl, hexadecanoyl or octadecanoyl.
A still further preferred embodiment relates to a group of compounds wherein
X2 represents an amino acid residue selected from Aib and D-Ser;
X3 represents an amino acid residue selected from Gin and His;
X14 represents Lys, wherein the -NH2 side chain group is functionalized by one of the groups selected from (S)-4-Carboxy-4-hexadecanoylamino-butyryl-, (S)-4-
Carboxy-4-octadecanoylamino-butyryl-, (S)-4-Carboxy-4-((S)-4-carboxy-4- hexadecanoylamino-butyrylamino)-butyryl-, (S)-4-Carboxy-4-((S)-4-carboxy-4- octadecanoylamino-butyrylamino)-butyryl-, 3-(3-Octadecanoylamino- propionylamino)-propionyl-, 3-(3-Hexadecanoylamino-propionylamino)- propionyl-, (S)-4-Carboxy-4-henicosanoylamino-butyryl-, 4-
Hexadecanoylamino-butyryl- and 4-octadecanoylamino-butyryl-,
X15 represents an amino acid residue selected from Asp and Glu;
X16 represents an amino acid residue selected from Ser and Glu;
X17 represents an amino acid residue selected from Arg, Gin, Lys, Aib and Leu; X18 represents an amino acid residue selected from Arg and Ala;
X20 represents an amino acid residue selected from Gin, Aib and Lys;
X21 represents an amino acid residue selected from Asp, Glu and Lys;
X28 represents an amino acid residue selected from Asn, Ser, Aib, Ala and Arg; X29 represents an amino acid residue selected from Gly, Thr, Ala and D-Ala;
X35 represents Ala;
X39 represents Ser and
X40 is absent.
A still further preferred embodiment relates to a group of compounds wherein
X2 represents an amino acid residue selected from Aib and D-Ser;
X3 represents Gin;
X14 represents Lys, wherein the -NH2 side chain group is functionalized by one of the groups selected from (S)-4-carboxy-4-hexadecanoyl-amino-butyryl, (S)-4- carboxy-4-octadecanoylamino-butyryl, hexadecanoyl and octadecanoyl; X15 represents Glu;
X16 represents Ser;
X17 represents an amino acid residue selected from Arg, Gin and Lys;
X18 represents Ala;
X20 represents Gin;
X21 represents Asp;
X28 represents Ala;
X29 represents Gly;
X35 represents Ala;
X39 represents Ser and
X40 is absent.
A further embodiment relates to a group of compounds, wherein
X2 represents Aib,
X3 represents Gin,
X14 represents Lys, wherein the -NH2 side chain group is functionalized, particularly by (S)-4-Carboxy-4-henicosanoylamino-butyryl- and (S)-4-Carboxy-4- octadecanoylamino-butyryl-;
X15 represents Asp,
X16 represents an amino acid residue selected from Lys and Glu,
X17 represents an amino acid residue selected from Arg and Glu,
X18 represents an amino acid residue selected from Ala and Arg,
X20 represents an amino acid residue selected from Gin and Lys,
X21 represents an amino acid residue selected from Asp and Leu,
X28 represents Ala,
X29 represents an amino acid residue selected from Gly and D-Ala,
X35 represents Ala,
X39 is Ser,
X40 is absent.
In one embodiment, the invention provides a peptidic compound having the formula (I): R1 - Z - R2 (I),
wherein Z is a peptide moiety having the formula (I la)
H-dSer-Q-G-T-F-T-S-D-L-S-K-Q-K(YE-x53)-D-S-K-A-Aib-Q-D-F-l-E-W-L-K-A-G-G-P-S-S- G-A-P-P-P-S-NH2 (Ila).
In another embodiment, the invention provides a peptidic compound having the formula (I):
R1 - Z - R2 (I),
wherein Z is a peptide moiety having the formula (Mb)
H-dSer-Q-G-T-F-T-S-D-L-S-K-Q-K(YE-x53)-D-S-K-A-S-Q-D-F-l-E-W-L-K-A-G-G-P-S-S-G- A-P-P-P-S-NH2 (Mb). In another embodiment, the invention provides a peptidic compound having the formula (I):
R1 - Z - R2 (I),
wherein Z is a peptide moiety having the formula (lie)
H-dSer-Q-G-T-F-T-S-D-L-S-K-Q-K(YE-x53)-D-S-K-A-L-Q-D-F-l-E-W-L-K-A-G-G-P-S-S-G- A-P-P-P-S-NH2 (lie).
In another embodiment, the invention provides a peptidic compound having the formula (I):
R1 - Z - R2 (I),
wherein Z is a peptide moiety having the formula (lid)
H-dSer-Q-G-T-F-T-S-D-L-S-K-Q-K(YE-x53)-D-S-K-A-A-Q-D-F-l-E-W-K-K-A-G-G-P-S-S-G- A-P-P-P-S-NH2 (lid).
Specific examples of peptidic compounds of the invention are the compounds of SEQ ID NO: 4-181 , as well as salts and solvates thereof.
Further specific examples of peptidic compounds of the invention are the compounds of SEQ ID NO: 4-181 and 196-223 as well as salts and solvates thereof. Further specific examples of peptidic compounds of the invention are the compounds of SEQ ID NO: 7, 1 1 -13, 22, 24-31 , 34-39, 44-48, 86, 97, 123-124, 130-159, 164, 166, 173- 176, as well as salts and solvates thereof.
Further specific examples of peptidic compounds of formula (I) are the compounds of SEQ ID NO: 7, 1 1 -13, 22, 24-31 , 34-39, 44-48, 86, 97, 123-124, 130-159, 164, 166, 173-176, 196-223, 226-229 as well as salts and solvates thereof.
In some embodiments, the compound of the invention is selected from the group consisting of SEQ ID NOs.: 25, 31 , 133, 148, 153, 155 and 158. In other embodiments, the compound of the invention is selected from the group consisting of SEQ ID NOs.: 209, 210, 21 1 , 212 and 213.
According to one particular embodiment, the compound of the invention is represented by SEQ ID NO.: 97 (see Table 10). In another particular embodiment, the compound of formula (I) is represented by SEQ ID NO.: 24 (see Table 10).
In certain embodiments, i.e. when the compound of formula (I) comprises genetically encoded amino acid residues, the invention further provides a nucleic acid (which may be DNA or RNA) encoding said compound, an expression vector comprising such a nucleic acid, and a host cell containing such a nucleic acid or expression vector.
In a further aspect, the present invention provides a composition comprising a compound of the invention in admixture with a carrier. In preferred embodiments, the composition is a pharmaceutically acceptable composition and the carrier is a pharmaceutically acceptable carrier. The compound of the invention may be in the form of a salt, e.g. a pharmaceutically acceptable salt or a solvate, e.g. a hydrate. In still a further aspect, the present invention provides a composition for use in a method of medical treatment, particularly in human medicine.
In certain embodiments, the nucleic acid or the expression vector may be used as therapeutic agents, e.g. in gene therapy.
The compounds of formula (I) are suitable for therapeutic application without an additionally therapeutically effective agent. In other embodiments, however, the compounds are used together with at least one additional therapeutically active agent, as described in "combination therapy".
The compounds of formula (I) are particularly suitable for the treatment or prevention of diseases or disorders caused by, associated with and/or accompanied by disturbances in carbohydrate and/or lipid metabolism, e.g. for the treatment or prevention of hyperglycemia, type 2 diabetes, impaired glucose tolerance, type 1 diabetes, obesity and metabolic syndrome. Further, the compounds of the invention are particularly suitable for the treatment or prevention of degenerative diseases, particularly neurodegenerative diseases.
The compounds described find use, inter alia, in preventing weight gain or promoting weight loss. By "preventing" is meant inhibiting or reducing when compared to the absence of treatment, and is not necessarily meant to imply complete cessation of a disorder.
The compounds of the invention may cause a decrease in food intake and/or increase in energy expenditure, resulting in the observed effect on body weight.
Independently of their effect on body weight, the compounds of the invention may have a beneficial effect on circulating cholesterol levels, being capable of improving lipid levels, particularly LDL, as well as HDL levels (e.g. increasing HDL/LDL ratio). Thus, the compounds of the invention can be used for direct or indirect therapy of any condition caused or characterised by excess body weight, such as the treatment and/or prevention of obesity, morbid obesity, obesity linked inflammation, obesity linked gallbladder disease, obesity induced sleep apnea. They may also be used for treatment and prevention of the metabolic syndrome, diabetes, hypertension, atherogenic dyslipidemia, atherosclerosis, arteriosclerosis, coronary heart disease, or stroke. Their effects in these conditions may be as a result of or associated with their effect on body weight, or may be independent thereof.
Preferred medical uses include delaying or preventing disease progression in type 2 diabetes, treating metabolic syndrome, treating obesity or preventing overweight, for decreasing food intake, increase energy expenditure, reducing body weight, delaying the progression from impaired glucose tolerance (IGT) to type 2 diabetes; delaying the progression from type 2 diabetes to insulin-requiring diabetes; regulating appetite; inducing satiety; preventing weight regain after successful weight loss; treating a disease or state related to overweight or obesity; treating bulimia; treating binge eating; treating atherosclerosis, hypertension, type 2 diabetes, IGT, dyslipidemia, coronary heart disease, hepatic steatosis, treatment of beta-blocker poisoning, use for inhibition of the motility of the gastrointestinal tract, useful in connection with investigations of the gastrointestinal tract using techniques such as X-ray, CT- and NMR-scanning.
Further preferred medical uses include treatment or prevention of degenerative disorders, particularly neurodegenerative disorders such as Alzheimer's disease, Parkinson's disease, Huntington's disease, ataxia, e.g spinocerebellar ataxia, Kennedy disease, myotonic dystrophy, Lewy body dementia, multi-systemic atrophy, amyotrophic lateral sclerosis, primary lateral sclerosis, spinal muscular atrophy, prion-associated diseases, e.g. Creutzfeldt-Jacob disease, multiple sclerosis, telangiectasia, Batten disease, corticobasal degeneration, subacute combined degeneration of spinal cord, Tabes dorsalis, Tay-Sachs disease, toxic encephalopathy, infantile Refsum disease, Refsum disease, neuroacanthocytosis, Niemann-Pick disease, Lyme disease, Machado-Joseph disease, Sandhoff disease, Shy-Drager syndrome, wobbly hedgehog syndrome, proteopathy, cerebral β-amyloid angiopathy, retinal ganglion cell degeneration in glaucoma, synucleinopathies, tauopathies, frontotemporal lobar degeneration (FTLD), dementia, cadasil syndrome, hereditary cerebral hemorrhage with amyloidosis, Alexander disease, seipinopathies, familial amyloidotic neuropathy, senile systemic amyloidosis, serpinopathies, AL (light chain) amyloidosis (primary systemic amyloidosis), AH (heavy chain) amyloidosis, AA (secondary) amyloidosis, aortic medial amyloidosis, ApoAI amyloidosis, ApoAII amyloidosis, ApoAIV amyloidosis, familial amyloidosis of the Finnish type (FAF), Lysozyme amyloidosis, Fibrinogen amyloidosis, Dialysis amyloidosis, Inclusion body myositis/myopathy, Cataracts, Retinitis pigmentosa with rhodopsin mutations, medullary thyroid carcinoma, cardiac atrial amyloidosis, pituitary prolactinoma, Hereditary lattice corneal dystrophy, Cutaneous lichen amyloidosis, Mallory bodies, corneal lactoferrin amyloidosis, pulmonary alveolar proteinosis, odontogenic (Pindborg) tumor amyloid, cystic fibrosis, sickle cell disease or critical illness myopathy (CIM).
DETAILED DESCRIPTION OF THE INVENTION
Definitions The amino acid sequences of the present invention contain the conventional one letter and three letter codes for naturally occurring amino acids, as well as generally accepted three letter codes for other amino acids, such as Aib (a-aminoisobutyric acid), Orn (ornithin), Dab (2,4-diamino butyric acid), Dap (2,3-diamino propionic acid), Nle (norleucine), GABA (γ-aminobutyric acid) or Ahx (ε-aminohexanoic acid).
The term "native exendin-4" refers to native exendin-4 having the sequence HGEGTFTSDLSKQMEEEAVRLFIEWLKNGGPSSGAPPPS-NH2 (SEQ ID NO: 1 ).
The invention provides peptidic compounds as defined above.
The peptidic compounds of the present invention comprise a linear backbone of amino carboxylic acids linked by peptide, i.e. carboxamide bonds. Preferably, the amino carboxylic acids are a-amino carboxylic acids and more preferably L-a-amino carboxylic acids, unless indicated otherwise. The peptidic compounds preferably comprise a backbone sequence of 39-40 amino carboxylic acids.
The peptidic compounds may be functionalized (covalently linked) with chemical moieties at their N-terminus, C-terminus and at least one side chain. The N-terminus of the peptidic compound may be unmodified, i.e. an NH2 group or a mono- or bisfunctionalized NH2 group.
At the C-terminus, the peptidic compounds may be unmodified, i.e. have a OH group or be modified, e.g. with functionalized OH group or an NH2 group or a monofunctionalized or bisfunctionalized NH2 group as described above (see R)
The term "alkyl", as used herein, refers to saturated, monovalent hydrocarbon radicals. The alkyl groups can be linear, i.e. straight-chain, or branched.
The term "alkanediyl" or "alkylene", as used herein, refers to saturated, divalent hydrocarbon radicals. As far as applicable, the preceding explanations regarding alkyl groups apply correspondingly to alkanediyl groups, which thus can likewise be linear and branched. Examples of divalent alkyl groups are -CH2- (= methylene), -CH2-CH2-, -CH2- CH2-CH2-, -CH2-CH2-CH2-CH2-, -CH(CH3)-, -C(CH3)2-, -CH(CH3)-CH2-, -CH2-CH(CH3)-, - C(CH3)2-CH2-, -CH2-C(CH3)2-.
The term "cycloalkyl", as used herein, unless otherwise indicated, refers to a monovalent radical of a saturated or partially saturated hydrocarbon ring system, which can be monocyclic. Examples of cycloalkyl groups are cyclopropyl, cyclobutyl, cyclopentyl, cyclohexyl, cycloheptyl and cyclooctyl.
The term "heterocycloalkyl" or "heterocyclyl", as used herein unless otherwise indicated, refers to a cycloalkyl as defined above, in which 1 , 2 or 3 carbon atoms are replaced by nitrogen, oxygen or sulfur atoms, provided that the heterocycloalkyl system is stable and suitable as a subgroup for the desired purpose of the compound of the formula (I) such as use as a drug substance. Depending on the definition of the respective heterocyclic group, in one embodiment of the invention the number of ring heteroatoms which can be present in a heterocyclic group, independently of the number of ring heteroatoms in any other heterocyclic group, is 1 , 2, 3 or 4, in another embodiment 1 , 2 or 3, in another embodiment 1 or 2, in another embodiment 2, in another embodiment 1 , wherein the ring heteroatoms can be identical or different. The heterocycloalkyl group can be attached by any ring carbon atom or saturated ring nitrogen atom.
Halogen is fluorine, chlorine, bromine or iodine.
The peptidic compounds of the present invention may have unmodified side chains or carry at least one modification at one of the side chains.
For the avoidance of doubt, in the definitions provided herein, it is generally intended that the sequence of the peptidic moiety (II) differs from native exendin-4 at least at one of those positions which are stated to allow variation. Amino acids within the peptide moiety (II) can be considered to be numbered consecutively from 0 to 40 in the conventional N-terminal to C-terminal direction. Reference to a "position" within peptidic moiety (II) should be constructed accordingly, as should reference to positions within native exendin-4 and other molecules.
The amino acid residues at position 14 and optionally at position 40, having a side chain with an -NH2 group, e.g. Lys, Orn, Dab or Dap are conjugated to a functional group, e.g. acyl groups. Thus, one or more selected amino acids of the peptides in the present invention may carry a covalent attachment at their side chains. In some cases those attachments may be lipophilic. These lipophilic side chain attachments have the potential to reduce in vivo clearance of the peptides thus increasing their in vivo half-lives.
The lipophilic attachment may consist of a lipophilic moiety which can be a branched or unbranched, aliphatic or unsaturated acyclic moiety and/or a cyclic moiety selected from one or several aliphatic or unsaturated homocycles or heterocycles, aromatic condensed or non-condensed homocycles or heterocycles, ether linkages, unsaturated bonds and substituents, e.g. hydroxy and/or carboxy groups. The lipophilic moiety may be attached to the peptide either by alkylation, reductive amination or by an amide bond or a sulfonamide bond in case of amino acids carrying an amino group at their side chain, an ester bond in case of amino acids carrying a hydroxy group at their side chain or thioether or thioester linkages in case of amino acids carrying a thiol group at their side chain or it may be attached to a modified side chain of an amino acid thus allowing the introduction of a lipophilic moiety by click-chemistry or Michael-addition.
Nonlimiting examples of lipophilic moieties that can be attached to amino acid side chains include fatty acids, e.g. C8-3o fatty acids such as palmitic acid, myristic acid, stearic acid and oleic acid, and/or cyclic groups as described above or derivatives thereof. There might be one or several linkers between the amino acid of the peptide and the lipophilic attachment. Nonlimiting examples of those linkers are β-alanine, γ-glutamic acid, γ-aminobutyric acid and/or ε-aminohexanoic acid or dipeptides, such as -Ala- -Ala and/or y-Glu-y-Glu in all their stereo-isomer forms (S and R enantiomers).
Thus, one nonlimiting example of a side chain attachment is palmitic acid which is covalently linked to the a-amino group of glutamic acid forming an amide bond. The γ- carboxy group of this substituted glutamic acid can form an amide bond with the side chain amino group of a lysine within the peptide.
In a further aspect, the present invention provides a composition comprising a compound of the invention as described herein, or a salt or solvate thereof, in admixture with a carrier. The invention also provides the use of a compound of the present invention for use as a medicament, particularly for the treatment of a condition as described below. The invention also provides a composition wherein the composition is a pharmaceutically acceptable composition, and the carrier is a pharmaceutically acceptable carrier.
Peptide synthesis The skilled person is aware of a variety of different methods to prepare peptides that are described in this invention. These methods include but are not limited to synthetic approaches and recombinant gene expression. Thus, one way of preparing these peptides is the synthesis in solution or on a solid support and subsequent isolation and purification. A different way of preparing the peptides is gene expression in a host cell in which a DNA sequence encoding the peptide has been introduced. Alternatively, the gene expression can be achieved without utilizing a cell system. The methods described above may also be combined in any way.
A preferred way to prepare the peptides of the present invention is solid phase synthesis on a suitable resin. Solid phase peptide synthesis is a well established methodology (see for example: Stewart and Young, Solid Phase Peptide Synthesis, Pierce Chemical Co., Rockford, III., 1984; E. Atherton and R. C. Sheppard, Solid Phase Peptide Synthesis. A Practical Approach, Oxford-IRL Press, New York, 1989). Solid phase synthesis is initiated by attaching an N-terminally protected amino acid with its carboxy terminus to an inert solid support carrying a cleavable linker. This solid support can be any polymer that allows coupling of the initial amino acid , e.g. a trityl resin, a chlorotrityl resin, a Wang resin or a Rink resin in which the linkage of the carboxy group (or carboxamide for Rink resin) to the resin is sensitive to acid (when Fmoc strategy is used). The polymer support must be stable under the conditions used to deprotect the a-amino group during the peptide synthesis.
After the first amino acid has been coupled to the solid support, the a-amino protecting group of this amino acid is removed. The remaining protected amino acids are then coupled one after the other in the order represented by the peptide sequence using appropriate amide coupling reagents, for example BOP (benzotriazol-1 -yl-oxy-tris- (dimethylamino)-phosphonium), HBTU (2-(1 H-benzotriazol-1 -yl)-1 ,1 ,3,3-tetramethyl- uronium), HATU (O-(7-azabenztriazol-1 -yl-oxy-tris-(dimethylamino)-phosphonium) or DIC (Ν,Ν'-diisopropylcarbodiimide) / HOBt (1 -hydroxybenzotriazol), wherein BOP, HBTU and HATU are used with tertiary amine bases. Alternatively, the liberated N-terminus can be functionalized with groups other than amino acids, for example carboxylic acids, etc.
Usually, reactive side chain groups of the amino acids are protected with suitable blocking groups. These protecting groups are removed after the desired peptides have been assembled. They are removed concomitantly with the cleavage of the desired product from the resin under the same conditions. Protecting groups and the procedures to introduce protecting groups can be found in Protective Groups in Organic Synthesis, 3d ed., Greene, T. W. and Wuts, P. G. M., Wiley & Sons (New York: 1999). In some cases it might be desirable to have side chain protecting groups that can selectively be removed while other side chain protecting groups remain intact. In this case the liberated functionality can be selectively functionalized. For example, a lysine may be protected with an ivDde protecting group (S.R. Chhabra et al., Tetrahedron Lett. 39, (1998), 1603) which is labile to a very nucleophilic base, for example 4% hydrazine in DMF (dimethyl formamide). Thus, if the N-terminal amino group and all side chain functionalities are protected with acid labile protecting groups, the ivDde ([1 -(4,4-dimethyl- 2,6-dioxocyclohex-1 -ylidene)-3-methylbutyl) group can be selectively removed using 4% hydrazine in DMF and the corresponding free amino group can then be further modified, e.g. by acylation. The lysine can alternatively be coupled to a protected amino acid and the amino group of this amino acid can then be deprotected resulting in another free amino group which can be acylated or attached to further amino acids.
Finally the peptide is cleaved from the resin. This can be achieved by using King's cocktail (D. S. King, C. G. Fields, G. B. Fields, Int. J. Peptide Protein Res. 36, 1990, 255- 266). The raw material can then be purified by chromatography, e.g. preparative RP- HPLC, if necessary.
Potency As used herein, the term "potency" or "in vitro potency" is a measure for the ability of a compound to activate the receptors for GLP-1 or glucagon in a cell-based assay. Numerically, it is expressed as the "EC50 value", which is the effective concentration of a compound that induces a half maximal increase of response (e.g. formation of intracellular cAMP) in a dose-response experiment.
Therapeutic uses
According to one aspect, the compounds of the invention are for use in medicine, particularly human medicine.
The compounds of the invention are agonists for the receptors for GLP-1 and for glucagon (e.g. "dual agonists") and may provide an attractive option for targeting the metabolic syndrome by allowing simultaneous treatment of obesity and diabetes.
Metabolic syndrome is a combination of medical disorders that, when occurring together, increase the risk of developing type 2 diabetes, as well as atherosclerotic vascular disease, e.g. heart disease and stroke. Defining medical parameters for the metabolic syndrome include diabetes mellitus, impaired glucose tolerance, raised fasting glucose, insulin resistance, urinary albumin secretion, central obesity, hypertension, elevated triglycerides, elevated LDL cholesterol and reduced HDL cholesterol.
Obesity is a medical condition in which excess body fat has accumulated to the extent that it may have an adverse effect on health and life expectancy and due to its increasing prevalence in adults and children it has become one of the leading preventable causes of death in modern world. It increases the likelihood of various other diseases, including heart disease, type 2 diabetes, obstructive sleep apnoe, certain types of cancer, as well as osteoarthritis, and it is most commonly caused by a combination of excess food intake, reduced energy expenditure, as well as genetic susceptibility.
Diabetes mellitus, often simply called diabetes, is a group of metabolic diseases in which a person has high blood sugar levels, either because the body does not produce enough insulin, or because cells do not respond to the insulin that is produced. The most common types of diabetes are: (1 ) type 1 diabetes, where the body fails to produce insulin; (2) type 2 diabetes, where the body fails to use insulin properly, combined with an increase in insulin deficiency over time, and (3) gestational diabetes, where women develop diabetes due to their pregnancy. All forms of diabetes increase the risk of long- term complications, which typically develop after many years. Most of these long-term complications are based on damage to blood vessels and can be divided into the two categories "macrovascular" disease, arising from atherosclerosis of larger blood vessels and "microvascular" disease, arising from damage of small blood vessels. Examples for macrovascular disease conditions are ischemic heart disease, myocardial infarction, stroke and peripheral vascular disease. Examples for microvascular diseases are diabetic retinopathy, diabetic nephropathy, as well as diabetic neuropathy.
The receptors for GLP-1 and glucagon are both members of the family B of G-protein coupled receptors. They are highly related to each other and share not only a significant level of sequence identity, but have also similar mechanisms of ligand recognition and intracellular signaling pathways.
Similarly, the peptides GLP-1 and glucagon are homologous to each other, with similar length and regions of high sequence identity. Both are produced from a common precursor, preproglucagon, which is differentially processed in a tissue-specific manner to yield e.g. GLP-1 in intestinal endocrine cells and glucagon in alpha cells of pancreatic islets.
The incretin hormone GLP-1 is secreted by intestinal endocrine cells in response to food and enhances meal-stimulated insulin secretion. Evidence suggests that GLP-1 secretion is reduced in subjects with impaired glucose tolerance or type 2 diabetes, whereas responsiveness to GLP-1 is still preserved in these patients. Thus, targeting of the GLP-1 receptor with suitable agonists offers an attractive approach for treatment of metabolic disorders, including diabetes. The receptor for GLP-1 is distributed widely, being found mainly in pancreatic islets, brain, heart, kidney and the gastrointestinal tract. In the pancreas, GLP-1 acts in a strictly glucose-dependent manner by increasing secretion of insulin from beta cells. This glucose-dependency shows that activation of GLP-1 receptors is unlikely to cause hypoglycemia.
At the beta cell level, GLP-1 has been shown to promote glucose sensitivity, neogenesis, proliferation, transcription of proinsulin and hypertrophy, as well as antiapoptosis. Other relevant effects of GLP-1 beyond the pancreas include delayed gastric emptying, increased satiety, decreased food intake, reduction of body weight, as well as neuroprotective and cardioprotective effects. In patients with type 2 diabetes, such extrapancreatic effects could be particularly important considering the high rates of comorbidities like obesity and cardiovascular disease.
Glucagon is a 29-amino acid peptide hormone that is produced by pancreatic alpha cells and released into the bloodstream when circulating glucose is low. An important physiological role of glucagon is to stimulate glucose output in the liver, which is a process providing the major counterregulatory mechanism for insulin in maintaining glucose homeostasis in vivo.
Glucagon receptors are however also expressed in extrahepatic tissues such as kidney, heart, adipocytes, lymphoblasts, brain, retina, adrenal gland and gastrointestinal tract, suggesting a broader physiological role beyond glucose homeostasis. Accordingly, recent studies have reported that glucagon has therapeutically positive effects on energy management, including stimulation of energy expenditure and thermogenesis, accompanied by reduction of food intake and body weight loss. Altogether, stimulation of glucagon receptors might be useful in the treatment of obesity and the metabolic syndrome.
Oxyntomodulin is a 37-amino acid peptide hormone consisting of glucagon with an eight amino acids encompassing C-terminal extension. Like GLP-1 and glucagon, it is preformed in preproglucagon and cleaved and secreted in a tissue-specific manner by endocrinal cells of the small bowel. Oxyntomodulin is known to stimulate both, the receptors for GLP-1 and glucagon and is therefore the prototype of a dual agonist.
As GLP-1 is known for its anti-diabetic effects, GLP-1 and glucagon are both known for their food intake-suppressing effects and glucagon is also a mediator of additional energy expenditure, it is conceivable that a combination of the activities of the two hormones in one molecule can yield a powerful medication for treatment of the metabolic syndrome and in particular its components diabetes and obesity. Accordingly, the compounds of the invention may be used for treatment of glucose intolerance, insulin resistance, pre-diabetes, increased fasting glucose, type 2 diabetes, hypertension, dyslipidemia, arteriosclerosis, coronary heart disease, peripheral artery disease, stroke or any combination of these individual disease components.
In addition, they may be used for control of appetite, feeding and calory intake, increase of energy expenditure, prevention of weight gain, promotion of weight loss, reduction of excess body weight and altogether treatment of obesity, including morbid obesity. Further disease states and health conditions which could be treated with the compounds of the invention are obesity-linked inflammation, obesity-linked gallbladder disease and obesity-induced sleep apnea.
Although all these conditions could be associated directly or indirectly with obesity, the effects of the compounds of the invention may be mediated in whole or in part via an effect on body weight, or independent thereof.
Further, diseases to be treated are neurodegenerative diseases such as Alzheimer's disease or Parkinson's disease, or other degenerative diseases as described above.
Pharmaceutical compositions
The term "pharmaceutical composition" indicates a mixture containing ingredients that are compatible when mixed and which may be administered. A pharmaceutical composition may include one or more medicinal drugs. Additionally, the pharmaceutical composition may include carriers, buffers, acidifying agents, alkalizing agents, solvents, adjuvants, tonicity adjusters, emollients, expanders, preservatives, physical and chemical stabilizers e.g. surfactants, antioxidants and other components, whether these are considered active or inactive ingredients. Guidance for the skilled in preparing pharmaceutical compositions may be found, for example, in Remington: The Science and Practice of Pharmacy, (20th ed.) ed. A. R. Gennaro A. R., 2000, Lippencott Williams & Wilkins and in R.C.Rowe et al (Ed), Handbook of Pharmaceutical Excipients, PhP, May 2013 update.
The exendin-4 peptide derivatives of the present invention, or salts thereof, are administered in conjunction with an acceptable pharmaceutical carrier, diluent, or excipient as part of a pharmaceutical composition. A "pharmaceutically acceptable carrier" is a carrier which is physiologically acceptable (e.g. physiologically acceptable pH) while retaining the therapeutic properties of the substance with which it is administered. Standard acceptable pharmaceutical carriers and their formulations are known to one skilled in the art and described, for example, in Remington: The Science and Practice of Pharmacy, (20th ed.) ed. A. R. Gennaro A. R., 2000, Lippencott Williams & Wilkins and in R.C.Rowe et al (Ed), Handbook of Pharmaceutical excipients, PhP, May 2013 update. One exemplary pharmaceutically acceptable carrier is physiological saline solution.
In one embodiment carriers are selected from the group of buffers (e.g. citrate/citric acid), acidifying agents (e.g. hydrochloric acid), alkalizing agents (e.g. sodium hydroxide), preservatives (e.g. phenol), co-solvents (e.g. polyethylene glycol 400), tonicity adjusters (e.g. mannitol), stabilizers (e.g. surfactant, antioxidants, amino acids).
Concentrations used are in a range that is physiologically acceptable.
Acceptable pharmaceutical carriers or diluents include those used in formulations suitable for oral, rectal, nasal or parenteral (including subcutaneous, intramuscular, intravenous, intradermal, and transdermal) administration. The compounds of the present invention will typically be administered parenterally.
The term "pharmaceutically acceptable salt" means salts of the compounds of the invention which are safe and effective for use in mammals. Pharmaceutically acceptable salts may include, but are not limited to, acid addition salts and basic salts. Examples of acid addition salts include chloride, sulfate, hydrogen sulfate, (hydrogen) phosphate, acetate, citrate, tosylate or mesylate salts. Examples of basic salts include salts with inorganic cations, e.g. alkaline or alkaline earth metal salts such as sodium, potassium, magnesium or calcium salts and salts with organic cations such as amine salts. Further examples of pharmaceutically acceptable salts are described in Remington: The Science and Practice of Pharmacy, (20th ed.) ed. A. R. Gennaro A. R., 2000, Lippencott Williams & Wilkins or in Handbook of Pharmaceutical Salts, Properties, Selection and Use, e.d. P. H. Stahl, C. G. Wermuth, 2002, jointly published by Verlag Helvetica Chimica Acta, Zurich, Switzerland, and Wiley-VCH, Weinheim, Germany. The term "solvate" means complexes of the compounds of the invention or salts thereof with solvent molecules, e.g. organic solvent molecules and/or water. In the pharmaceutical composition, the exendin-4 derivative can be in monomeric or oligomeric form.
The term "therapeutically effective amount" of a compound refers to a nontoxic but sufficient amount of the compound to provide the desired effect. The amount of a compound of the formula I necessary to achieve the desired biological effect depends on a number of factors, for example the specific compound chosen, the intended use, the mode of administration and the clinical condition of the patient. An appropriate "effective" amount in any individual case may be determined by one of ordinary skill in the art using routine experimentation For example the "therapeutically effective amount" of a compound of the formula (I) is about 0.01 to 50 mg/dose, preferably 0.1 to 10 mg/dose.
Pharmaceutical compositions of the invention are those suitable for parenteral (for example subcutaneous, intramuscular, intradermal or intravenous), oral, rectal, topical and peroral (for example sublingual) administration, although the most suitable mode of administration depends in each individual case on the nature and severity of the condition to be treated and on the nature of the compound of formula I used in each case.
Suitable pharmaceutical compositions may be in the form of separate units, for example capsules, tablets and powders in vials or ampoules, each of which contains a defined amount of the compound; as powders or granules; as solution or suspension in an aqueous or nonaqueous liquid; or as an oil-in-water or water-in-oil emulsion. It may be provided in single or multiple dose injectable form, for example in the form of a pen. The compositions may, as already mentioned, be prepared by any suitable pharmaceutical method which includes a step in which the active ingredient and the carrier (which may consist of one or more additional ingredients) are brought into contact.
In certain embodiments the pharmaceutical composition may be provided together with a device for application, for example together with a syringe, an injection pen or an autoinjector. Such devices may be provided separate from a pharmaceutical composition or prefilled with the pharmaceutical composition. Combination therapy The compounds of the present invention, dual agonists for the GLP-1 and glucagon receptors, can be widely combined with other pharmacologically active compounds, such as all drugs mentioned in the Rote Liste 2012 and/or the Rote Liste 2013, e.g. with all antidiabetics mentioned in the Rote Liste 2012, chapter 12, and/or the Rote Liste 2013, chapter 12, all weight-reducing agents or appetite suppressants mentioned in the Rote Liste 2012, chapter 1 , and/or the Rote Liste 2013, chapter 1 , all lipid-lowering agents mentioned in the Rote Liste 2012, chapter 58, and/or the Rote Liste 2013, chapter 58, all antihypertensives and nephroprotectives, mentioned in the Rote Liste 2012 and/or the Rote Liste 2013, or all diuretics mentioned in the Rote Liste 2012, chapter 36, and/or the Rote Liste 2013, chapter 36.
The active ingredient combinations can be used especially for a synergistic improvement in action. They can be applied either by separate administration of the active ingredients to the patient or in the form of combination products in which a plurality of active ingredients are present in one pharmaceutical preparation. When the active ingredients are administered by separate administration of the active ingredients, this can be done simultaneously or successively.
Most of the active ingredients mentioned hereinafter are disclosed in the USP Dictionary of USAN and International Drug Names, US Pharmacopeia, Rockville 201 1 .
Other active substances which are suitable for such combinations include in particular those which for example potentiate the therapeutic effect of one or more active substances with respect to one of the indications mentioned and/or which allow the dosage of one or more active substances to be reduced.
Therapeutic agents which are suitable for combinations include, for example, antidiabetic agents such as: Insulin and Insulin derivatives, for example: Glargine / Lantus® , 270 - 330U/ml_ of insulin glargine (EP 2387989 A ), 300U/ml_ of insulin glargine (EP 2387989 A), Glulisin / Apidra®, Detemir / Levemir®, Lispro / Humalog® / Liprolog®, Degludec / DegludecPlus, Aspart, basal insulin and analogues (e.g.LY-2605541 , LY2963016, NN1436), PEGylated insulin Lispro, Humulin®, Linjeta, SuliXen®, NN1045, Insulin plus Symlin, PE0139, fast-acting and short- acting insulins (e.g. Linjeta, PH20, NN1218, HinsBet), (APC-002)hydrogel, oral, inhalable, transdermal and sublingual insulins (e.g. Exubera®, Nasulin®, Afrezza, Tregopil, TPM 02, Capsulin, Oral-lyn®, Cobalamin® oral insulin, ORMD-0801 , NN1953, NN1954, NN1956, VIAtab, Oshadi oral insulin). Additionally included are also those insulin derivatives which are bonded to albumin or another protein by a bifunctional linker.
GLP-1 , GLP-1 analogues and GLP-1 receptor agonists, for example: Lixisenatide / AVE0010 / ZP10 / Lyxumia, Exenatide / Exendin-4 / Byetta / Bydureon / ITCA 650 / AC- 2993, Liraglutide / Victoza, Semaglutide, Taspoglutide, Syncria / Albiglutide, Dulaglutide, rExendin-4, CJC-1 134-PC, PB-1023, TTP-054, Langlenatide / HM-1 1260C, CM-3, GLP-1 Eligen, ORMD-0901 , NN-9924, NN-9926, NN-9927, Nodexen, Viador-GLP-1 , CVX-096, ZYOG-1 , ZYD-1 , GSK-2374697, DA-3091 , MAR-701 , MAR709, ZP-2929, ZP-3022, TT- 401 , BHM-034. MOD-6030, CAM-2036, DA-15864, ARI-2651 , ARI-2255, Exenatide-XTEN and Glucagon-Xten.
DPP-4 inhibitors, for example: Alogliptin / Nesina, Trajenta / Linagliptin / BI-1356 / Ondero / Trajenta / Tradjenta / Trayenta / Tradzenta, Saxagliptin / Onglyza, Sitagliptin / Januvia / Xelevia / Tesave / Janumet / Velmetia, Galvus / Vildagliptin, Anagliptin, Gemigliptin, Teneligliptin, Melogliptin, Trelagliptin, DA-1229, Omarigliptin / MK-3102, KM- 223, Evogliptin, ARI-2243, PBL-1427, Pinoxacin.
SGLT2 inhibitors, for example: Invokana / Canaglifozin, Forxiga / Dapagliflozin, Remoglifozin, Sergliflozin, Empagliflozin, Ipragliflozin, Tofogliflozin, Luseogliflozin, LX- 421 1 , Ertuglifozin / PF-04971729, RO-4998452, EGT-0001442, KGA-3235 / DSP-3235, LIK066, SBM-TFC-039,
Biguanides (e.g. Metformin, Buformin, Phenformin), Thiazolidinediones (e.g. Pioglitazone, Rivoglitazone, Rosiglitazone, Troglitazone), dual PPAR agonists (e.g. Aleglitazar, Muraglitazar, Tesaglitazar), Sulfonylureas (e.g. Tolbutamide, Glibenclamide, Glimepiride/Annaryl, Glipizide), Meglitinides (e.g. Nateglinide, Repaglinide, Mitiglinide), Alpha-glucosidase inhibitors (e.g. Acarbose, Miglitol, Voglibose), Amylin and Amylin analogues (e.g. Pramlintide, Symlin). GPR1 19 agonists (e.g. GSK-263A, PSN-821 , MBX-2982, APD-597, ZYG-19, DS-8500), GPR40 agonists (e.g. Fasiglifam / TAK-875, TUG-424, P-1736, JTT-851 , GW9508).
Other suitable combination partners are: Cycloset, inhibitors of 1 1 -beta-HSD (e.g. LY2523199, BMS770767, RG-4929, BMS816336, AZD-8329, HSD-016, BI-135585), activators of glucokinase (e.g. TTP-399, AMG-151 , TAK-329, GKM-001 ), inhibitors of DGAT (e.g. LCQ-908), inhibitors of protein tyrosinephosphatase 1 (e.g. Trodusquemine), inhibitors of glucose-6-phosphatase, inhibitors of fructose-1 ,6-bisphosphatase, inhibitors of glycogen phosphorylase, inhibitors of phosphoenol pyruvate carboxykinase, inhibitors of glycogen synthase kinase, inhibitors of pyruvate dehydrokinase, alpha2-antagonists, CCR-2 antagonists, SGLT-1 inhibitors (e.g. LX-2761 ).
One or more lipid lowering agents are also suitable as combination partners, such as for example: HMG-CoA-reductase inhibitors (e.g. Simvastatin, Atorvastatin), fibrates (e.g. Bezafibrate, Fenofibrate), nicotinic acid and the derivatives thereof (e.g. Niacin), PPAR- (alpha, gamma or alpha/gamma) agonists or modulators (e.g. Aleglitazar), PPAR-delta agonists, ACAT inhibitors (e.g. Avasimibe), cholesterol absorption inhibitors (e.g. Ezetimibe), Bile acid-binding substances (e.g. Cholestyramine), ileal bile acid transport inhibitors, MTP inhibitors, or modulators of PCSK9. HDL-raising compounds such as: CETP inhibitors (e.g. Torcetrapib, Anacetrapid, Dalcetrapid, Evacetrapid, JTT-302, DRL-17822, TA-8995) or ABC1 regulators.
Other suitable combination partners are one or more active substances for the treatment of obesity, such as for example: Sibutramine, Tesofensine, Orlistat, antagonists of the cannabinoid-1 receptor, MCH-1 receptor antagonists, MC4 receptor agonists, NPY5 or NPY2 antagonists (e.g. Velneperit), beta-3-agonists, leptin or leptin mimetics, agonists of the 5HT2c receptor (e.g. Lorcaserin), or the combinations of bupropione/naltrexone, bupropione/zonisamide, bupropione/phentermine or pramlintide/metreleptin. Other suitable combination partners are:
Further gastrointestinal peptides such as Peptide YY 3-36 (PYY3-36) or analogues thereof, pancreatic polypeptide (PP) or analogues thereof.
Glucagon receptor agonists or antagonists, GIP receptor agonists or antagonists, ghrelin antagonists or inverse agonists, Xenin and analogues thereof.
Moreover, combinations with drugs for influencing high blood pressure, chronic heart failure or atherosclerosis, such as e.g.: Angiotensin II receptor antagonists (e.g. telmisartan, candesartan, valsartan, losartan, eprosartan, irbesartan, olmesartan, tasosartan, azilsartan), ACE inhibitors, ECE inhibitors, diuretics, beta-blockers, calcium antagonists, centrally acting hypertensives, antagonists of the alpha-2-adrenergic receptor, inhibitors of neutral endopeptidase, thrombocyte aggregation inhibitors and others or combinations thereof are suitable.
In another aspect, this invention relates to the use of a compound according to the invention or a physiologically acceptable salt thereof combined with at least one of the active substances described above as a combination partner, for preparing a medicament which is suitable for the treatment or prevention of diseases or conditions which can be affected by binding to the receptors for GLP-1 and glucagon and by modulating their activity. This is preferably a disease in the context of the metabolic syndrome, particularly one of the diseases or conditions listed above, most particularly diabetes or obesity or complications thereof.
The use of the compounds according to the invention, or a physiologically acceptable salt thereof, in combination with one or more active substances may take place simultaneously, separately or sequentially. The use of the compound according to the invention, or a physiologically acceptable salt thereof, in combination with another active substance may take place simultaneously or at staggered times, but particularly within a short space of time. If they are administered simultaneously, the two active substances are given to the patient together; if they are used at staggered times, the two active substances are given to the patient within a period of less than or equal to 12 hours, but particularly less than or equal to 6 hours.
Consequently, in another aspect, this invention relates to a medicament which comprises a compound according to the invention or a physiologically acceptable salt of such a compound and at least one of the active substances described above as combination partners, optionally together with one or more inert carriers and/or diluents.
The compound according to the invention, or physiologically acceptable salt or solvate thereof, and the additional active substance to be combined therewith may both be present together in one formulation, for example a tablet or capsule, or separately in two identical or different formulations, for example as so-called kit-of-parts.
LEGENDS TO THE FIGURES Figure 1. Effect of s.c. administration of compound SEQ ID NO: 97 and comparators on gastric emptying and intestinal passage in female NMRI-mice. Data are mean+SEM. "*" indicates statistical significance versus vehicle, "#" versus comparators, respectively. a) Effect of SEQ ID NO: 97 and Liraglutide (all 0.02 mg/kg, s.c.) on remaining gastric contents (as indicator for gastric emptying) b) Effect of SEQ ID NO: 97 and Liraglutide all 0.02 mg/kg, s.c, on small intestinal motility c) Effect of SEQ ID NO: 97, at 0.02 and 0.002 mg/kg, s.c, on remaining gastric contents (as indicator for gastric emptying) d) Effect of SEQ ID NO: 97, at 0.02 and 0.002 mg/kg, s.c, on small intestinal motility
Figure 2. Effect of SEQ ID NO: 97, 0.1 and 0.01 mg/kg, s.c, on 22-hours food intake in female NMRI-mice. Data are mean+SEM. *p<0.05.
Figure 3. Acute effect of s.c. administration of compound SEQ ID NO: 97 on blood glucose in female diet-induced obese C57BL/6NCrl mice (9 months on high-fat diet). Data are mean+SEM. *p<0.05. Figure 4. Acute effect of s.c. administration of compound SEQ ID NO: 97 on blood glucose in female leptin-receptor deficient diabetic db/db mice. Data are mean+SEM. *p<0.05.
Figure 5. Glucose level before and after 4 weeks of subcutaneous treatment with SEQ ID NO: 97 in female leptin-receptor deficient diabetic db/db mice. Data are mean+SEM.
Figure 6. HbA1 c level before and after 4 weeks of subcutaneous treatment with SEQ ID NO: 97 in female leptin-receptor deficient diabetic db/db mice. Data are mean+SEM.
Figure 7. Body weight development during 3 weeks of subcutaneous treatment with SEQ ID NO: 24 in male high-fat fed C57BL/6N Crl mice. Data are mean+SEM.
Figure 8. Relative body weight change in % during 3 weeks of subcutaneous treatment with SEQ ID NO: 24 in male high-fat fed C57BL/6N Crl mice. Data are mean+SEM.
Figure 9. Determination of total fat mass measured by nuclear magnetic resonance (NMR) using a Bruker minispec, before and after 3 weeks of treatment with SEQ ID NO: 24 in male high-fat fed C57BL/6N Crl mice. Data are mean+SEM.
Figure 10. Acute effect of s.c. administration of compound SEQ ID NO: 24 on blood glucose in female leptin-receptor deficient diabetic db/db mice. Data are mean+SEM.
Figure 11. Glucose level before and after 4 weeks of subcutaneous treatment with SEQ ID NO: 24 in female leptin-receptor deficient diabetic db/db mice. Data are mean+SEM.
Figure 12. HbA1 c level before and after 4 weeks of subcutaneous treatment with SEQ ID NO: 24 in female leptin-receptor deficient diabetic db/db mice. Data are mean+SEM. METHODS
Abbreviations employed are as follows: ivDde: 1 -(4,4-dimethyl-2,6-dioxocyclohexylidene)3-methyl-butyl
Dde: 1 -(4,4-dimethyl-2,6-dioxocyclohexylidene)-ethyl
TFA: trifluoroacetic acid
BOP benzotriazol-1 -yl-oxy-tris-(dimethylamino)-phosphonium hexafluorophosphate
HBTU 2-(1 H-benzotriazol-1 -yl)-1 ,1 ,3,3-tetramethyl-uronium hexafluorophosphate
HATU 0-(7-azabenzothazol-1 -yl)-/V,/V,/\/',/\/'-tetramethyluronium hexafluorophosphate
DIC N,N'-diisopropylcarbodiimide
HOBt 1 -hydroxybenzotriazol
DMF dimethyl formamide
EDT ethanedithiol
HPLC High Performance Liquid Chromatography
Boc tert-butyloxycarbonyl
Fmoc fluorenyloxycarbonyl
PEG Polyethylene Glycol
HTRF Homogenous Time Resolved Fluorescence
BSA bovine serum albumin
FBS fetal bovine serum
DMEM Dulbecco's modified Eagle's medium
PBS phosphate buffered saline
HEPES 2-[4-(2-hydroxyethyl)piperazin-1 -yl]ethanesulfonic acid
IBMX 3-lsobutyl-1 -methylxanthine
General synthesis of peptidic compounds
Materials:
Different Rink-Amide resins (4-(2',4'-Dimethoxyphenyl-Fmoc-aminomethyl)- phenoxyacetamido-norleucylaminomethyl resin, Merck Biosciences; 4-[(2,4- Dimethoxyphenyl)(Fmoc-amino)methyl]phenoxy acetamido methyl resin, Agilent Technologies) were used for the synthesis of peptide amides with loadings in the range of 0.3-0.4 mmol/g. Suppliers were Merck Biosciences and Agilent Technologies. From the same suppliers 2-chloro-trityl-chloride polystyrene resins with loadings up to 1 .4 mmol/g were purchased and used for the synthesis of peptide acids. Fmoc protected natural amino acids were purchased from Protein Technologies Inc., Senn Chemicals, Merck Biosciences, Novabiochem, Iris Biotech or Bachem. The following standard amino acids were used throughout the syntheses: Fmoc-L-Ala-OH, Fmoc-L- Asn(Trt)-OH, Fmoc-L-Asp(OtBu)-OH, Fmoc-L-Cys(Trt)-OH, Fmoc-L-Gln(Trt)-OH, Fmoc-L- Glu(OtBu)-OH, Fmoc-Gly-OH, Fmoc-L-His(Trt)-OH, Fmoc-L-lle-OH, Fmoc-L-Leu-OH, Fmoc-L-Lys(Boc)-OH, Fmoc-L-Met-OH, Fmoc-L-Phe-OH, Fmoc-L-Pro-OH, Fmoc-L- Ser(tBu)-OH, Fmoc-L-Thr(tBu)-OH, Fmoc-L-Trp(Boc)-OH, Fmoc-L-Tyr(tBu)-OH, Fmoc-L- Val-OH.
In addition, the following special amino acids were purchased from the same suppliers as above: Fmoc-L-Lys(ivDde)-OH, Fmoc-Aib-OH, Fmoc-D-Ser(tBu)-OH, Fmoc-D-Ala-OH, Boc-L-His(Boc)-OH (available as toluene solvate) and Boc-L-His(Trt)-OH.
The solid phase peptide syntheses were performed on a Prelude Peptide Synthesizer (Protein Technologies Inc) using standard Fmoc chemistry and HBTU/DIPEA activation. DMF was used as the solvent. Deprotection: 20% piperidine/DMF for 2 x 2.5 min. Washes: 7 x DMF. Coupling 2:5:10 200 mM AA / 500 mM HBTU / 2M DIPEA in DMF 2 x for 20 min. Washes: 5 x DMF.
In cases where a Lys-side chain was modified, Fmoc-L-Lys(ivDde)-OH was used in the corresponding position. After completion of the synthesis, the ivDde group was removed according to a modified literature procedure (S.R. Chhabra et al., Tetrahedron Lett. 39, (1998), 1603), using 4% hydrazine hydrate in DMF. The following acylations were carried out by treating the resin with the N-hydroxy succinimide esters of the desired acid or using coupling reagents like HBTU/DIPEA or HOBt/DIC.
All the peptides that had been synthesized were cleaved from the resin with King's cleavage cocktail consisting of 82.5% TFA, 5% phenol, 5% water, 5% thioanisole, 2.5% EDT. The crude peptides were then precipitated in diethyl or diisopropyl ether, centrifuged, and lyophilized. Peptides were analysed by analytical HPLC and checked by ESI mass spectrometry. Crude peptides were purified by a conventional preparative HPLC purification procedure.
Analytical HPLC was performed on an Agilent 1 100 Series HPLC system with a Waters XBridge BEH130 3.5 μηη C18 column (2.1 x 150 mm) at 40 °C with a gradient elution at a flow rate of 0.5 mL/min and monitored at 215 and 280 nm. The gradients were set up as 10% B to 90% B over 15 min and then 90% B for 1 min or as 15% B to 50% B over 12.5 min and then 50% B to 90% B over 3 min. Buffer A = 0.1 % formic acid in water and B = 0.1 % formic acid in acetonitrile.
General Preparative HPLC Purification Procedure:
The crude peptides were purified either on an Akta Purifier System or on a Jasco semiprep HPLC System. Preparative RP-C18-HPLC columns of different sizes and with different flow rates were used depending on the amount of crude peptide to be purified. Acetonitrile + 0.1 % TFA (B) and water + 0.1 % TFA (A) were employed as eluents. Product-containing fractions were collected and lyophilized to obtain the purified product.
Solubility and Stability-Testing of exendin-4 derivatives
Prior to the testing of solubility and stability of a peptide batch, its content was determined. Therefore, two parameters were investigated, its purity (HPLC-UV) and the amount of salt load of the batch (ion chromatography). Since synthesized peptides contain primarily trifluoroacetate anions, only anion chromatography was performed.
For solubility testing, the target concentration was 1 .0 mg/mL pure compound. Therefore, solutions from solid samples were prepared in different buffer systems with a concentration of 1 .0 mg/mL compound based on the previously determined content. HPLC-UV was performed after 2 h of gentle agitation from the supernatant, which was obtained by 20 min of centrifugation at 4000 rpm.
The solubility was then determined by comparison with the UV peak areas obtained with a stock solution of the peptide at a concentration of 2 mg/mL in pure water or a variable amount of acetonitrile (optical control that all of the compound was dissolved). This analysis also served as starting point (tO) for the stability testing.
For stability testing, an aliquot of the supernatant obtained for solubility was stored for 7 days at 25°C. After that time course, the sample was centrifuged for 20 min at 4000 rpm and the supernatant was analysed with HPLC-UV.
For determination of the amount of the remaining peptide, the peak areas of the target compound at tO and t7 were compared, resulting in "% remaining peptide", following the equation
% remaining peptide = [(peak area peptide t7) x 100]/peak area peptide to.
The amount of soluble degradation products was calculated from the comparison of the sum of the peak areas from all observed impurities reduced by the sum of peak areas observed at to (i.e. to determine the amount of newly formed peptide-related species). This value was given in percentual relation to the initial amount of peptide at tO, following the equation: % soluble degradation products = {[(peak area sum of impurities t7) - (peak area sum of impurities tO)] x 100}/peak area peptide tO
The potential difference from the sum of "% remaining peptide" and "% soluble degradation products" to 100% reflects the amount of peptide which did not remain soluble upon stress conditions following the equation
% precipitate = 100-([% remaining peptide] + [ % soluble degradation products])
This precipitate includes non-soluble degradation products, polymers and/or fibrils, which have been removed from analysis by centrifugation.
Anion Chromatography
Instrument: Dionex ICS-2000, pre/column: Ion Pac AG-18 2 x 50 mm (Dionex)/AS18 2 x 250 mm (Dionex), eluent: aqueous sodium hydroxide, flow: 0.38 mL/min, gradient: 0- 6 min: 22 mM KOH, 6-12 min: 22-28 mM KOH, 12-15 min: 28-50 mM KOH, 15-20min: 22mM, suppressor: ASRS 300 2 mm, detection: conductivity. HPLC-UV
Instrument: Agilent 1 100, column: X-Bridge C18 3.5 μιτι 2,1 x 150 mm (Waters), eluent: A: H20 + 500 ppm TFA/ B: Methanol, flow: 0.55 mL/min, gradient: 0-5 min: 10 - 60% B; 5 - 15 min: 60 - 99% B; detection: 214 nm.
In vitro cellular assays for GLP-1 receptor and glucagon receptor efficacy
Agonism of compounds for the two receptors was determined by functional assays measuring cAMP response of HEK-293 cell lines stably expressing human GLP-1 or glucagon receptor. cAMP content of cells was determined using a kit from Cisbio Corp. (cat. no. 62AM4PEC) based on HTRF (Homogeneous Time Resolved Fluorescence). For preparation, cells were split into T175 culture flasks and grown overnight to near confluency in medium (DMEM / 10% FBS). Medium was then removed and cells washed with PBS lacking calcium and magnesium, followed by proteinase treatment with accutase (Sigma-Aldrich cat. no. A6964). Detached cells were washed and resuspended in assay buffer (1 x HBSS; 20 mM HEPES, 0.1 % BSA, 2 mM IBMX) and cellular density determined. They were then diluted to 400000 cells/ml and 25 μΙ-aliquots dispensed into the wells of 96-well plates. For measurement, 25 μΙ of test compound in assay buffer was added to the wells, followed by incubation for 30 minutes at room temperature. After addition of HTRF reagents diluted in lysis buffer (kit components), the plates were incubated for 1 hr, followed by measurement of the fluorescence ratio at 665 / 620 nm. In vitro potency of agonists was quantified by determining the concentrations that caused 50% activation of maximal response (EC50).
Bioanalytical screening method for quantification of peptide GLP1 -GCG receptor agonists in mice Mice were dosed 1 mg/kg subcutaneously (s.c). The mice were sacrificed and blood samples were collected after 0.25, 1 , 2, 4, 8, 16 and 24 hours post application. Plasma samples were analysed after protein precipitation via liquid chromatography mass spectrometry (LC/MS). PK parameters and half-life were calculated using WinonLin Version 5.2.1 (non-compartment model).
Gastric emptying and intestinal passage in mice Female NMRI-mice of a body weight between 20 and 30 g were used. Mice were adapted to housing conditions for at least one week.
Mice were overnight fasted, while water remained available all the time. On the study day, mice were weighed, single-caged and allowed access to 500 mg of feed for 30 min, while water was removed. At the end of the 30 min feeding period, remaining feed was removed and weighed. 60 min later, a coloured, non-caloric bolus was instilled via gavage into the stomach. The test compound / reference compound or its vehicle in the control group was administered subcutaneously, to reach Cmax when coloured bolus was administered. After another 30 min, the animals were sacrificed and the stomach and the small intestine prepared. The filled stomach was weighed, emptied, carefully cleaned and dried and reweighed. The calculated stomach content indicated the degree of gastric emptying. The small intestine was straightened without force and measured in length. Then the distance from the gastric beginning of the gut to the tip of the farthest travelled intestinal content bolus was measured. The intestinal passage was given as relation in percent of the latter distance and the total length of the small intestine.
Statistical analyses were performed with Everstat 6.0 by 1 -way-ANOVA, followed by Dunnetts or Newman-Keuls as post-hoc test, respectively. Differences were considered statistically significant at the p < 0.05 level. As post hoc test Dunnet's Test was applied to compare versus vehicle control, only. Newman-Keul's Test was applied for all pairwise comparisons (i.e. versus vehicle and reference groups).
Automated assessment of feed intake in mice Female NMRI-mice of a body weight between 20 and 30 g were used. Mice were adapted to housing conditions for at least one week and for at least one day single-caged in the assessment equipment, when basal data were recorded simultaneously. On the study day, test product was administered subcutaneously close to the lights-off phase (12 h lights off) and assessment of feed consumption was directly started afterwards. Assessment included continued monitoring (every 30 min) over 22 hours. Repetition of this procedure over several days was possible. Restriction of assessment to 22 hours was for practical reasons to allow for reweighing of animals, refilling of feed and water and drug administration between procedures. Results could be assessed as cumulated data over 22 hours or differentiated to 30 min intervals.
Statistical analyses were performed with Everstat 6.0 by two-way ANOVA on repeated measures and Dunnetts post-hoc analyses. Differences were considered statistically significant at the p < 0.05 level.
Acute and subchronic effects of exendin-4 derivatives after subcutaneous treatment on blood glucose and body weight in female diet-induced obese (DIP) C57BL/6NCrl mice (10 months on high-fat diet) Female C57BL/6NCrl mice were housed in groups in a specific pathogen-free barrier facility on a 12-h light/dark cycle with free access to water and high-fat diet. After 10 months on high-fat diet, mice were stratified to treatment groups (n = 8), so that each group had similar mean body weight. An aged-matched group with ad-libitum access to standard chow was included as standard control group.
Before the experiment, mice were subcutaneously (s.c.) injected with vehicle solution and weighed for 3 days to acclimate them to the procedures.
1 ) Acute effect on blood glucose in fed DIP mice: initial blood samples were taken just before first administration (s.c.) of vehicle (phosphate buffer solution) or the exendin-4 derivatives at doses of 3, 10, and 100 pg/kg (dissolved in phosphate puffer), respectively. The volume of administration was 5 mL/kg. The animals had access to water and their corresponding diet during the experiment, food consumption was determined at all time points of blood sampling. Blood glucose levels were measured at t = 0.5 h, t = 1 h, t = 2 h, t = 4 h, t = 6 h, t = 8 h, and t = 24 h (method: d-glucose hexokinase, hemolysate, AU640 Beckman Coulter). Blood sampling was performed by tail incision without anaesthesia.
Comparable data can also be obtained when using male mice.
2) Subchronic effect on body weight: all animals were treated once daily s.c. in the morning, at the beginning of the light phase (12 h lights on) with either vehicle or exendin- 4 derivatives at the abovementioned doses for 4 weeks. Body weight was recorded daily. On days 6 and 28, total fat mass was measured by nuclear magnetic resonance (NMR) using a Bruker minispec (Ettlingen, Germany).
Comparable data can be obtained for both female and male mice.
Statistical analyses were performed with Everstat 6.0 by repeated measures two-way ANOVA and Dunnetts post-hoc analyses (glucose profile) and 1 -way-ANOVA, followed by Dunnetts post-hoc test (body weight, body fat). Differences versus vehicle-treated DIO control mice were considered statistically significant at the p < 0.05 level.
Acute and subchronic effects of exendin-4 derivatives after subcutaneous treatment on blood glucose and HbA1 c in female leptin-receptor deficient diabetic db/db mice
Female BKS.Cg-m +/+ Leprdb/J (db/db) and BKS.Cg-m +/+ Leprdb/+ (lean control) mice were obtained from Charles River Laboratories, Germany, at an age of 9 - 10 weeks. The animals were housed in groups in a specific pathogen-free barrier facility on a 12-h light/dark cycle with free access to water and rodent-standard chow. After 1 week of acclimatization, blood samples were drawn from the tail without anaesthesia and blood glucose (method: d-glucose hexokinase, hemolysate, AU640 Beckman Coulter) and HbA1 c level (method: hemolysate, Cobas6000 c501 , Roche Diagnostics, Germany) were determined.
HbA1 c is a glycosylated form of haemoglobin whose level reflects the average level of glucose to which the erythrocyte has been exposed during its lifetime. In mice, HbA1 c is a relevant biomarker for the average blood glucose level during the preceding 4 weeks (erythrocyte life span in mouse ~ 47 days).
Db/db mice were stratified to treatment groups (n = 8), so that each group had similar baseline blood glucose and HbA1 c levels.
1 ) Acute effect on blood glucose in fed db/db mice: initial blood samples were taken just before first administration (s.c.) of vehicle (phosphate buffer solution) or exendin-4 derivatives at doses of 3, 10, and 100 pg/kg (dissolved in phosphate puffer), respectively. The volume of administration was 5 mL/kg. The animals had access to water and chow during the experiment, food consumption was determined at all time points of blood sampling. Blood glucose levels were measured at t = 0.5 h, t = 1 h, t = 2 h, t = 4 h, t = 6 h, t = 8 h, and t = 24 h. Blood sampling was performed by tail incision without anaesthesia.
Comparable data can also be obtained when using male mice.
2) Subchronic effect on blood glucose and HbA1 c: all animals were treated once daily s.c. with either vehicle or exendin-4 derivatives at the abovementioned doses for 4 weeks. At the end of the study, blood samples (tail, no anaesthesia) were analyzed for glucose and HbA1 c.
Comparable data can be obtained for both female and male mice.
Statistical analyses were performed with Everstat 6.0 by repeated measures two-way ANOVA and Dunnetts post-hoc analyses. Differences versus vehicle-treated db/db control mice were considered statistically significant at the p < 0.05 level.
EXAMPLES
The invention is further illustrated by the following examples.
Example 1 :
Synthesis of SEQ ID NO: 4 The solid phase synthesis was carried out on Novabiochem Rink-Amide resin (4-(2',4'- Dimethoxyphenyl-Fmoc-aminomethyl)-phenoxyacetamido-norleucylaminomethyl resin), 100-200 mesh, loading of 0.34 mmol/g. The Fmoc-synthesis strategy was applied with HBTU/DIPEA-activation. In position 14 Fmoc-Lys(ivDde)-OH and in position 1 Boc- His(Boc)-OH were used in the solid phase synthesis protocol. The ivDde-group was cleaved from the peptide on resin according to a modified literature procedure (S.R. Chhabra et al., Tetrahedron Lett. 39, (1998), 1603), using 4% hydrazine hydrate in DMF. Hereafter Palm-Glu(YOSu)-OtBu was coupled to the liberated amino-group. The peptide was cleaved from the resin with King's cocktail (D. S. King, C. G. Fields, G. B. Fields, Int. J. Peptide Protein Res. 36, 1990, 255-266). The crude product was purified via preparative HPLC on a Waters column (Sunfire, Prep C18) using an acetonitrile/water gradient (both buffers with 0.1 % TFA).
Finally, the molecular mass of the purified peptide was confirmed by LC-MS.
Example 2:
Synthesis of SEQ ID NO: 5 The solid phase synthesis was carried out on Novabiochem Rink-Amide resin (4-(2',4'- Dimethoxyphenyl-Fmoc-aminomethyl)-phenoxyacetamido-norleucylaminomethyl resin), 100-200 mesh, loading of 0.34 mmol/g. The Fmoc-synthesis strategy was applied with HBTU/DIPEA-activation. In position 14 Fmoc-Lys(ivDde)-OH and in position 1 Boc- His(Boc)-OH were used in the solid phase synthesis protocol. The ivDde-group was cleaved from the peptide on resin according to a modified literature procedure (S.R. Chhabra et al., Tetrahedron Lett. 39, (1998), 1603), using 4% hydrazine hydrate in DMF. Hereafter Palm(yOSu) was coupled to the liberated amino-group. The peptide was cleaved from the resin with King's cocktail (D. S. King, C. G. Fields, G. B. Fields, Int. J. Peptide Protein Res. 36, 1990, 255-266). The crude product was purified via preparative HPLC on a Waters column (Sunfire, Prep C18) using an acetonitrile/water gradient (both buffers with 0.1 % TFA).
Finally, the molecular mass of the purified peptide was confirmed by LC-MS. Example 3:
Synthesis of SEQ ID NO: 6 The solid phase synthesis was carried out on Novabiochem Rink-Amide resin (4-(2',4'- Dimethoxyphenyl-Fmoc-aminomethyl)-phenoxyacetamido-norleucylaminomethyl resin), 100-200 mesh, loading of 0.34 mmol/g. The Fmoc-synthesis strategy was applied with HBTU/DIPEA-activation. In position 14 and in position 40 Fmoc-Lys(ivDde)-OH and in position 1 Boc-His(Boc)-OH were used in the solid phase synthesis protocol. The ivDde- group was cleaved from the peptide on resin according to a modified literature procedure (S.R. Chhabra et al., Tetrahedron Lett. 39, (1998), 1603), using 4% hydrazine hydrate in DMF. Hereafter Palm-Glu(YOSu)-OtBu was coupled to the liberated amino-group. The peptide was cleaved from the resin with King's cocktail (D. S. King, C. G. Fields, G. B. Fields, Int. J. Peptide Protein Res. 36, 1990, 255-266). The crude product was purified via preparative HPLC on a Waters column (Sunfire, Prep C18) using an acetonitrile/water gradient (both buffers with 0.1 % TFA).
Finally, the molecular mass of the purified peptide was confirmed by LC-MS. Example 4:
Synthesis of SEQ ID NO: 7
The solid phase synthesis was carried out on Novabiochem Rink-Amide resin (4-(2',4'- Dimethoxyphenyl-Fmoc-aminomethyl)-phenoxyacetamido-norleucylaminomethyl resin), 100-200 mesh, loading of 0.34 mmol/g. The Fmoc-synthesis strategy was applied with HBTU/DIPEA-activation. In position 14 Fmoc-Lys(ivDde)-OH and in position 1 Boc- His(Boc)-OH were used in the solid phase synthesis protocol. The ivDde-group was cleaved from the peptide on resin according to a modified literature procedure (S.R. Chhabra et al., Tetrahedron Lett. 39, (1998), 1603), using 4% hydrazine hydrate in DMF. Hereafter Fmoc-GABA was coupled to the liberated amino-group employing the coupling reagents HBTU/DIPEA followed by Fmoc-deprotection with 20% piperidine in DMF. Finally palmitic acid was coupled to the amino-group of GABA using HBTU/DIPEA. The peptide was cleaved from the resin with King's cocktail (D. S. King, C. G. Fields, G. B. Fields, Int. J. Peptide Protein Res. 36, 1990, 255-266). The crude product was purified via preparative HPLC on a Waters column (Sunfire, Prep C18) using an acetonitrile/water gradient (both buffers with 0.1 % TFA).
Finally, the molecular mass of the purified peptide was confirmed by LC-MS.
Example 5:
Synthesis of SEQ ID NO: 8 The solid phase synthesis was carried out on Agilent Technologies Rink-Amide resin (4- [(2,4-Dimethoxyphenyl)(Fmoc-amino)methyl]phenoxyacetomido methyl resin) , 75-150 μητι, loading of 0.38 mmol/g. The Fmoc-synthesis strategy was applied with HBTU/DIPEA- activation. In position 14 Fmoc-Lys(ivDde)-OH and in position 1 Boc-His(Boc)-OH were used in the solid phase synthesis protocol. The ivDde-group was cleaved from the peptide on resin according to a modified literature procedure (S.R. Chhabra et al., Tetrahedron Lett. 39, (1998), 1603), using 4% hydrazine hydrate in DMF. Hereafter Fmoc-Glu-OtBu was coupled to the liberated amino-group using HBTU/DIPEA for activation followed by the removal of the Fmoc-group with 20% piperidine in DMF. Stearic acid was coupled onto the resulting amino group after activation with HBTU/DIPEA. The peptide was cleaved from the resin with King's cocktail (D. S. King, C. G. Fields, G. B. Fields, Int. J. Peptide Protein Res. 36, 1990, 255-266). The crude product was purified via preparative HPLC on a Waters column (Sunfire, Prep C18) using an acetonitrile/water gradient (both buffers with 0.1 % TFA). Finally, the molecular mass of the purified peptide was confirmed by LC-MS.
Example 6:
Synthesis of SEQ ID NO: 9
The solid phase synthesis was carried out on Agilent Technologies Rink-Amide resin (4- [(2,4-Dimethoxyphenyl)(Fmoc-amino)methyl]phenoxyacetomido methyl resin) , 75-150 μητι, loading of 0.38 mmol/g. The Fmoc-synthesis strategy was applied with HBTU/DIPEA- activation. In position 14 Fmoc-Lys(ivDde)-OH and in position 1 Boc-His(Boc)-OH were used in the solid phase synthesis protocol. The ivDde-group was cleaved from the peptide on resin according to a modified literature procedure (S.R. Chhabra et al., Tetrahedron Lett. 39, (1998), 1603), using 4% hydrazine hydrate in DMF. Hereafter Fmoc-Glu-OtBu was coupled to the liberated amino-group using HBTU/DIPEA for activation followed by the removal of the Fmoc-group with 20% piperidine in DMF. 4-Dodecyloxy benzoic acid was coupled onto the resulting amino group after activation with HBTU/DIPEA. The peptide was cleaved from the resin with King's cocktail (D. S. King, C. G. Fields, G. B. Fields, Int. J. Peptide Protein Res. 36, 1990, 255-266). The crude product was purified via preparative HPLC on a Waters column (Sunfire, Prep C18) using an acetonitrile/water gradient (both buffers with 0.1 % TFA).
Finally, the molecular mass of the purified peptide was confirmed by LC-MS.
Example 7:
Synthesis of SEQ ID NO: 10
The solid phase synthesis was carried out on Agilent Technologies CI-Trt-CI resin (2,a- Dichlorobenzhydryl-polystyrene crosslinked with divinylbenzene) , 75-150 μητι, loading of 1 .4 mmol/g. Fmoc-Ser-OAIIyl was synthesized according to literature (S. Ficht, R.J.Payne, R.T. Guy, C.-H. Wong, Chem. Eur. J. 14, 2008, 3620-3629) and coupled via the side chain hydroxyl function onto CI-Trt-CI-resin using DIPEA in dichloromethane. The Fmoc- synthesis strategy was applied with HBTU/DIPEA-activation. In position 14 Fmoc- Lys(ivDde)-OH and in position 1 Boc-His(Boc)-OH were used in the solid phase synthesis protocol. The ivDde-group was cleaved from the peptide on resin according to a modified literature procedure (S.R. Chhabra et al., Tetrahedron Lett. 39, (1998), 1603), using 4% hydrazine hydrate in DMF. Hereafter Fmoc-Glu-OtBu was coupled to the liberated amino- group using HBTU/DIPEA for activation followed by the removal of the Fmoc-group with 20% piperidine in DMF. Palmitic acid was coupled onto the resulting amino group after activation with HBTU/DIPEA. The allyl-ester group was removed employing the procedure described in literature (S. Ficht, R.J.Payne, R.T. Guy, C.-H. Wong, Chem. Eur. J. 14, 2008, 3620-3629) followed by activation of the C-terminus with HOBt/DIC in DMF and addition of n-propylamin. The peptide was cleaved from the resin with King's cocktail (D. S. King, C. G. Fields, G. B. Fields, Int. J. Peptide Protein Res. 36, 1990, 255-266). The crude product was purified via preparative HPLC on a Waters column (Sunfire, Prep C18) using an acetonitrile/water gradient (both buffers with 0.1 % TFA).
Finally, the molecular mass of the purified peptide was confirmed by LC-MS.
In an analogous way, the other peptides listed in Table 2 were synthesized.
Table 2: List of synthesized peptides and comparison of calculated vs. found molecular weight
SEQ ID NO calc. mass found mass
4 4553,1 4552,4
5 4422,0 4421 ,4
6 5046,9 5046,8
7 4396,0 4395,1
8 4610,2 4609,8
9 4518,1 4518,2
10 4624,2 4624,6
11 4425,0 4424,4
12 4352,0 4351 ,2
13 4395,0 4394,1
14 4396,9 4396,0
15 4395,0 4394,4
16 4483,0 4482,0
17 4483,0 4483,2
18 4439,9 4439,1
19 4481 ,1 4480,5
20 4440,9 4440,0
21 4439,0 4438,2
22 4468,0 4467,9
23 4537,2 4536,5
24 4440,0 4439,5
25 4438,0 4437,4
26 4468,1 4467,2
27 4466,1 4465,3
28 4454,0 4454,0
29 4438,1 4437,3
30 4426,0 4425,9
31 4424,0 4423,9
32 4310,9 4310,3 4308,9 4308,3
4468,0 4467,9
4439,9 4439,4
4438,0 4437,3
4454,0 4453,9
4452,0 4451 ,9
4425,9 4425,9
4468,0 4467,4
4466,0 4465,4
4310,8 4310,3
4308,9 4308,3
4468,0 4467,4
4494,1 4493,4
4423,0 4422,3
4482,0 4482,0
4466,1 4465,4
4597,1 4596,4
4424,0 4423,5
4496,1 4495,2
4625,2 4626,0
4452,1 4452,0
4509,1 4509,0
4494,0 4493,7
4450,0 4449,6
4742,4 4741 ,6
4698,4 4698,0
4538,2 4538,3
4552,2 4552,1
4508,1 4507,7
4490,0 4490,2
4474,0 4474,3
4474,0 4474,3
4496,1 4495,5
4338,9 4338,4
4496,1 4495,7
4551 ,2 4550,5
4422,1 4421 ,5
4466,1 4465,5
4539,1 4538,8
4525,0 4524,8
4562,1 4561 ,5
4539,1 4538,4
4510,1 4509,4
4381 ,0 4380,3 77 4551 ,1 4550,5
78 4553,1 4552,7
79 4567,1 4566,7
80 4583,1 4582,4
81 4454,0 4453,5
82 4696,3 4695,8
83 4567,1 4566,7
84 4596,2 4595,4
85 4610,2 4609,7
86 4513,0 4512,8
87 4624,2 4623,4
88 4623,2 4622,5
89 4856,5 4856,3
90 4554,1 4553,7
91 4646,1 4645,8
92 4626,2 4625,5
93 4596,1 4595,4
94 4596,1 4595,3
95 4610,2 4609,5
96 4640,2 4639,8
97 4582,1 4581 ,7
98 4651 ,3 4651 ,1
99 4672,3 4672,1
100 4638,3 4638,0
101 4638,3 4638,2
102 4652,2 4652,2
103 4664,2 4663,7
104 4830,4 4830,3
105 5711 ,5 5711 ,2
106 4806,6 4806,5
107 4766,5 4766,0
108 4792,6 4792,6
109 4834,6 4834,5
110 4778,5 4778,9
111 4724,3 4723,9
112 4595,2 4594,7
113 4637,2 4636,7
114 4508,1 4507,7
115 4580,1 4579,4
116 4596,1 4595,4
117 4594,2 4593,4
118 4539,1 4538,6
119 4424,0 4423,4
120 4553,1 4552,5 121 4466,1 4466,0
122 4337,0 4336,5
123 4511 ,0 4511 ,0
124 4525,1 4525,0
125 4624,2 4623,7
126 4652,2 4651 ,7
127 4638,2 4637,7
128 4555,1 4554,3
129 4569,1 4568,6
131 4381 ,0 4380,9
133 4506,2 4505,4
134 4470,0 4470,0
135 4484,0 4484,0
136 4468,1 4468,0
137 4463,0 4462,4
138 4475,2 4475,8
139 4495,2 4495,6
140 4555,1 4554,0
142 4482,1 4481 ,4
143 4468,0 4467,0
144 4440,0 4439,1
145 4442,0 4440,0
146 4468,0 4466,1
147 4441 ,0 4438,8
148 4464,1 4462,2
149 4506,2 4505,4
150 4453,1 4453,6
151 4468,0 4467,9
152 4593,2 4592,1
153 4506,2 4505,1
155 4423,9 4423.9
156 4452,0 4451 ,9
157 4454,0 4453,9
158 4464,1 4462,8
159 4506,2 4504,8
161 4581 ,2 4580,7
162 4565,2 4564,2
163 4567,1 4566,4
164 4468,1 4468,0
166 4541 ,1 4540,8
173 4442,0 4441 ,9
174 4609,2 4608,3
175 4595,2 4594,8
183 4214,6 4214,1 184 4188,6 4190,7
185 4259,7 4259,0
186 4231 ,7 4231 ,0
187 4188,6 4188,4
188 4174,6 4172,0
189 4075,5 4074,8
190 4145,6 4145,1
191 4057,4 4056,2
192 4043,4 4043,4
193 4043,4 4043,2
196 4496,1 4494,4
197 4577,3 4575,6
198 4563,2 4561 ,2
199 4593,2 4591 ,2
200 4591 ,3 4589,7
201 4548,3 4546,2
202 4536,2 4534,0
203 4534,2 4532,4
204 4548,3 4546,2
205 4591 ,3 4590,4
206 4565,3 4567,0
207 4710,3 4710,6
208 4562,1 4559,6
209 4620,3 4618,8
210 4618,4 4616,1
211 4533,3 4532,4
212 4575,3 4573,5
213 4493,1 4493,4
214 4521 ,1 4523,4
215 4535,2 4536,9
217 4544,2 4545,0
219 4546,2 4545,3
221 4495,1 4494,4
222 4523,1 4522,4
226 4622,2 4621 ,6
227 4631 ,2 4629,6
In an analogous way, the following peptides of Table 3 can be synthesized:
Table 3: List of peptides that can be synthesized in an analogous way.
Figure imgf000081_0001
154
160
165
167
168
169
170
171
172
176
177
178
179
180
181
182
218
223
228
229
Example 8: Chemical stability and solubility
Solubility and chemical stability of peptidic compounds were assessed as described Methods. The results are given in Table 4.
Table 4: Chemical stability and solubility
Figure imgf000082_0001
121 100 90.5 >1000 >980
195 0 >985
Example 9: In vitro data on GLP-1 and glucagon receptor
Potencies of peptidic compounds at the GLP-1 and glucagon receptors were determined by exposing cells expressing human glucagon receptor (hGlucagon R) or human GLP-1 receptor (hGLP-1 R) to the listed compounds at increasing concentrations and measuring the formed cAMP as described in Methods.
The results are shown in Table 5:
Table 5. EC50 values of exendin-4 derivatives at GLP-1 and Glucagon receptors
(indicated in pM)
SEQ ID NO EC50 hGLP-1 R EC50 hGlucagon-R
2 0.7 > 10000000
3 56.6 1 .0
4 5 4
5 11 109
6 141 18.9
7 3.5 20.7
8 6.3 2.3
9 2.2 4.1
10 9.2 1 .7
11 3.6 25.7
12 4.6 263
13 3.1 281
14 4.6 94.7
15 6.6 176
16 2.8 117
17 1 .7 93.1
18 2.6 152
19 1 .9 104
20 3.8 104
21 3.8 144
22 1 .1 2.4
23 5.6 126
24 1 .9 9.4
25 4.2 40.6
26 5.1 5.4
27 7.7 25.1
28 5.5 12.6
29 5.9 87.9
30 3.2 7 1.7 9.3
10.2 188
11.2 473
1.5 6.7
1.5 14.2
2.7 45.9
1.5 12.9
2.9 53.1
2.7 7.6
2.6 4.8
3.3 20.7
10.2 199
4.1 443
2.7 12
7.5 19.9
3.2 25.1
2.2 10.3
5.9 53.6
1.1 2.9
3.3 11.1
2.7 3
1.9 2
5.4 6.5
4.8 4
5.4 15.8
4.5 29.3
45 8
45.6 15.1
7.9 6.8
38.4 19.3
5.3 16
3.9 10.6
4.9 8.4
3.1 6.9
5 5.6
8.4 113
15.7 3
7.9 5.7
44.8 52.4
6.5 40.9
20.5 5.6
25.9 386
4.1 1.7
4.2 1.3
11.1 12.5
44.9 162
4.3 11.9
17.8 1.6
23.3 7.5
5.8 1 81 48 7.1
82 11.7 4.7
83 53.9 41.3
84 8.1 4.3
85 8.1 10.4
86 4.9 3.5
87 3 1.3
88 2.4 1.6
89 35.6 13.7
90 8.8 3.7
91 15.1 8.9
92 26 1
93 10.7 2.6
94 5.2 2.1
95 20.6 9.2
96 74.3 3.4
97 3.5 1
98 9.6 1.4
99 15.9 2.6
100 13.5 2
101 9.8 1.7
102 7.2 1.1
103 10.1 1.7
104 6.5 1.1
105 7.9 1
106 210 10.5
107 188 37.8
108 197 9
109 430 28.6
110 213 7.2
111 8.1 2.5
112 33.6 21.1
113 11.4 5.4
114 62.3 31.1
115 2.4 1.9
116 6 3.6
117 3.8 16.5
118 15.3 4.3
119 30.8 41.2
121 6.1 23.7
122 24.9 156
123 2.6 9.7
124 3 8.4
125 31.4 6.9
126 6.6 6.8
127 14.7 9.4
128 6.2 1.6
129 14.8 4.1
131 9.1 24.9
138 5.5 9.2 140 1.3 1.5
142 4.1 2.1
150 6 35.5
152 3.2 2.3
155 2.5 25.1
156 2.9 12.5
161 5 2.4
162 3.1 2.4
173 5.7 5.9
174 2.6 1.9
175 2.5 3.1
196 7.8 1.8
197 6.8 5.8
198 8.2 2.4
199 10.1 7.2
200 4.6 4.4
201 22.7 29.6
202 26.2 6.9
203 34.9 13.1
204 34.1 12.5
205 12.3 5.2
206 3.2 12.5
207 1.1 1.2
208 2.0 1.3
209 5.4 1.9
210 6.7 3.0
211 15.5 26.4
212 14.1 6.6
213 2.7 59.1
214 4.2 16.0
215 5.3 42.6
216 4.7 19.5
217 4.3 2.1
219 2.1 3.7
220 2.0 2.3
221 1.5 9.2
222 1.8 2.9
226 1.4 19.1
227 1.4 1.1
Example 10: Pharnnacokinetic testing
Pharmacokinetic profiles were determined as described in Methods. Calculated T/2 Cmax values are shown in Table 6.
Table 6. Pharmacokinetic profiles of exendin-4 derivatives. SEQ ID NO Ti/2 [h] Cmax [ng/ml]
35 3.6 4910
36 3.8 5260
44 3.4 2450
24 3.7 6560
8 3.3 2680
126 1 .5 3160
97 3.2 2000
4 2.8 3590
117 2.7 5000
5 1 .7 3180
Example 1 1 : Effect of SEQ ID NO: 97 on gastric emptying and intestinal passage in female NMRI-mice Female NMRI-mice, weighing on average 25 - 30 g, received 0.02 mg/kg of SEQ ID NO: 97, Liraglutide (SEQ ID NO: 195) as reference compound, or phosphate buffered saline (vehicle control) subcutaneously, 30 min prior to the administration of the coloured bolus. 30 min later, the assessment of stomach contents and intestinal passage was done (Fig. 1 a, b).
In another study, female NMRI-mice, weighing on average 25 - 30 g, were administered subcutaneously 0.02 and 0.002 mg/kg of SEQ ID NO: 97 or phosphate buffered saline (vehicle control), 30 min prior to the administration of the coloured bolus. 30 min later, the assessment of stomach contents and intestinal passage was done (Fig. 1 c, d).
In the study with reference compound Liraglutide, SEQ ID NO: 97 reduced intestinal passage by 67% (versus 44% and 34%, respectively) and increased gastric content by 90% (versus 19% and 21 %, respectively) (p<0.0001 versus vehicle control and versus comparators, 1 -W-ANOVA, followed by Newman-Keul's post-hoc test) (Fig. 1 a, b).
When SEQ ID NO: 97 was tested at 0.02 and 0.002 mg/kg, s.c. versus PBS-control, intestinal passage was reduced by 43% and 63%, respectively, and gastric content was increased by 37% and 47%, respectively (p<0.0001 versus vehicle control, 1 -W-ANOVA, followed by Dunnett's post-hoc test) (Fig. 1 c, d).
Example 12: Effect of SEQ ID NO: 97 on 22-hours food intake in female NMRI-mice Fed female NMRI-mice, weighing on average 25-30 g, were administered 0.01 or 0.1 mg/kg of SEQ ID NO: 97 or phosphate buffered saline (vehicle control) subcutaneously, directly prior to start of feeding monitoring (time = 0 h). Lights-off phase (dark phase) started 4 hours later.
At the tested doses, SEQ ID NO: 97 demonstrated a dose-dependent reduction of feed intake, reaching 23% (p<0.0001 ) and 66% (p<0.0001 , 2-W-ANOVA-RM, post hoc Dunnett's Test) at the end of the study, respectively (Fig. 2).
Example 13: Acute and subchronic effects of SEQ ID NO: 97 after subcutaneous treatment on blood glucose and body weight in female diet-induced obese (DIP) C57BL/6NCrl mice (10 months on high fat diet) 1 ) Glucose profile
After blood sampling to determine the blood glucose baseline level, fed diet-induced obese female C57BL/6NCrl mice were administered 3, 10 or 100 pg/kg of SEQ ID NQ: 97 or phosphate buffered solution (vehicle control on standard or high-fat diet) subcutaneously. At predefined time points, more blood samples were taken to measure blood glucose and generate the blood glucose profile over 24 h.
At the tested doses, SEQ ID NO: 97 demonstrated a significant dose-dependent decrease in blood glucose compared to DIO control mice, lasting at least 8 h in the low and medium dose group and > 24 h in the high dose group (p < 0.0001 , 2-W-ANOVA-RM, post hoc Dunnett's Test; Fig. 3, mean ± SEM).
2) Body weight Female obese C57BL/6NCrl mice were treated for 4 weeks once daily subcutaneously in the morning, at the beginning of the light phase (12 h lights on) with 3, 10 or 100 pg/kg SEQ ID NO: 97 or vehicle. Body weight was recorded daily, and body fat content was determined before the start of treatment and after 4 weeks of treatment. Treatment with SEQ ID NO: 97 reduced body weight, whereas in the high-fat diet control group an increase in body weight could be observed. These changes resulted from a decrease (or increase in the HFD control group) in body fat, as shown by the absolute changes in body fat content. These changes reached statistical significance in the medium and high dose group (*: p < 0.05, 1 -W-ANOVA, post hoc Dunnett's Test, Table 7).
Table 7. Weight change in DIO mice over a 4-week treatment period (mean ± SEM)
Figure imgf000089_0001
Example 14: Acute and subchronic effects of SEQ ID NO: 97 after subcutaneous treatment on blood glucose and HbA1 c in female leptin-receptor deficient diabetic db/db mice
1 . Glucose profile
After blood sampling to determine the blood glucose baseline level, fed diabetic female db/db mice were administered 3, 10 or 100 pg/kg of SEQ ID NO: 97 or phosphate buffered solution (vehicle-treated db/db control) subcutaneously. At predefined time points, more blood samples were taken to measure blood glucose and generate the blood glucose profile over 24 h.
At the tested doses, SEQ ID NO: 97 demonstrated a significant decrease in blood glucose compared to db/db control mice, lasting up to 8 h in the low and medium dose group and > 24 h in the high dose group (p < 0.0001 for lean control mice; p < 0.01 1 - 8 h after treatment for low and medium dose, p < 0.0002 4 - 24 h for high dose; 2-W-ANOVA-RM, post hoc Dunnett's Test; Fig. 4, mean ± SEM). 2. Blood glucose & HbA1 c Female diabetic mice were treated for 4 weeks once daily subcutaneously with 3, 10 or 100 pg/kg SEQ ID NO: 97 or vehicle. Blood glucose and HbA1 c were determined before start of treatment and at the end of the study after 4 weeks of treatment. Before treatment started, no significant differences in blood glucose levels could be detected between db/db groups, only the lean control animals had significant lower glucose levels. During the 4 weeks of treatment, glucose levels increased in the vehicle- treated db/db control group, indicating a worsening of the diabetic situation. All SEQ ID NO: 97-treated animals displayed a significant lower blood glucose level than the db control mice at the end of the study (p < 0.0001 for lean control mice; p < 0.01 in SEQ ID NO: 97 groups; 2-W-ANOVA-RM, post hoc Dunnett's Test; Fig. 5, mean ± SEM).
Corresponding to blood glucose, at the beginning of the study, no significant differences in HbA1 c levels could be detected between db/db groups, only the lean control animals had significant lower levels. During the 4 weeks of treatment, HbA1 c increased in the vehicle-treated db/db control group, corresponding to the increasing blood glucose levels. Animals treated with high dose SEQ ID NO: 97 displayed a significant lower HbA1 c level than the db control mice at the end of the study (p < 0.0001 , 2-W-ANOVA-RM, post hoc Dunnett's Test; Fig. 6, mean ± SEM).
Example 15: Comparison Testing
A selection of inventive exendin-4 derivatives comprising a functionalized amino acid in position 14 has been tested versus corresponding compounds having in this position 14 a 'non-functionalized' amino acid. The reference pair compounds and the corresponding EC50 values at GLP-1 and Glucagon receptors (indicated in pM) are given in Table 8. As shown, the inventive exendin-4 derivatives show a superior activity in comparison to the compounds with a 'non-functionalized' amino acid in position 14. Table 8. Comparison of exendin-4 derivatives comprising a non-functionalized amino acid in position 14 vs. exendin-4 derivatives comprising a functionalized amino acid in position 14. EC50 values at GLP-1 and Glucagon receptors are indicated in pM. (M=methionine, K=lysine, Nle=norleucine, YE-x53=(S)-4-Carboxy-4-hexadecanoylamino-butyryl-, Ac=acetate)
Figure imgf000091_0001
Example 16: Acute and chronic effects of SEQ ID NO: 24 after subcutaneous treatment on body weight in male diet-induced obese (DIP) C57BL/6NCrl mice Body weight
Male obese C57BL/6NCrl mice were treated for 3 weeks twice daily subcutaneously with 0.5, 1 .5, 5 or 15 pg/kg SEQ ID NQ: 24 or vehicle. Body weight was recorded daily, and body fat content was determined before the start and after 3 weeks of treatment. Treatment with SEQ ID NO: 24 reduced body weight significantly at dosages of 1 .5, 5 and 15 pg/kg (*: p < 0.05, 1 -W-ANOVA, post hoc Dunnett's Test, Table 9, Fig. 7 and 8). These changes resulted from a decrease in body fat, as shown by the absolute changes in body fat content (Table 9, Fig. 9).
Table 9. Weight change in DIO mice over a 3-week treatment period (mean ± SEM)
Figure imgf000092_0001
Example 17: Acute and chronic effects of SEQ ID NO: 24 after subcutaneous treatment on blood glucose and HbA1 c in female leptin-receptor deficient diabetic db/db mice
1 . Glucose profile After blood sampling to determine the blood glucose baseline level, fed diabetic female db/db mice were administered 50 pg/kg of SEQ ID NO: 24 or phosphate buffered solution (vehicle-treated db/db control) twice daily subcutaneously. At predefined time points, more blood samples were taken to measure blood glucose and generate the blood glucose profile over 24 h.
At the tested dose, SEQ ID NO: 24 demonstrated a significant decrease in blood glucose compared to db/db control mice, lasting > 24 h (p < 0.001 ; 2-W-ANOVA-RM, post hoc Dunnett's Test; Fig. 10, mean ± SEM). 2. Blood glucose & HbA1 c
Female diabetic mice were treated for 4 weeks subcutaneously with 50 pg/kg SEQ ID NO: 24 or vehicle twice daily. Blood glucose and HbA1 c were determined before start of treatment and at the end of the study after 4 weeks of treatment. Before treatment started, no significant differences in blood glucose levels could be detected between db/db groups, only the lean control animals had significant lower glucose levels. During the 4 weeks of treatment, glucose levels increased in the vehicle- treated db/db control group, indicating a worsening of the diabetic situation. The SEQ ID NO: 24-treated animals displayed a significant lower blood glucose level than the db control mice at the end of the study (p < 0.01 in SEQ ID NO: 24 group; 2-W-ANOVA-RM, post hoc Dunnett's Test; Fig. 1 1 , mean ± SEM).
Corresponding to blood glucose, at the beginning of the study, no significant differences in HbA1 c levels could be detected between db/db groups, only the lean control animals had significant lower levels. During the 4 weeks of treatment, HbA1 c increased in the vehicle-treated db/db control group, corresponding to the increasing blood glucose levels. Animals treated with SEQ ID NO: 24 displayed a significantly lower HbA1 c level than the db control mice at the end of the study (p < 0.001 , 2-W-ANOVA-RM, post hoc Dunnett's Test; Fig. 12, mean ± SEM).
Table 10. Sequences
SEQ. I D sequence
1 H-G-E-G-T-F-T-S-D-L-S-K-Q-M-E-E-E-A-V-R-L-F-l-E-W-L-K- N-G-G-P-S-S-G-A-P-P-P-S-NH2
2 H-A-E-G-T-F-T-S-D-V-S-S-Y-L-E-G-Q-A-A-K-E-l-A-W-L-V-K- G-R-NH2
3 H-S-Q-G-T-F-T-S-D-Y-S-K-Y-L-D-S-R-R-A-Q-D-V-Q-W-L-M- N-T-OH
4 H-dSer-Q-G-T-F-T-S-D-L-S-K-Q-K(YE-x53)-E-S-R-R-A-Q-D- F-I-E-W-L-K-A-G-G-P-S-S-G-A-P-P-P-S-NH2
5 H-Aib-Q-G-T-F-T-S-D-L-S-K-Q-K(x53)-E-S-R-R-A-Q-D-F-I-E- W-L-K-A-G-G-P-S-S-G-A-P-P-P-S-NH2
6 H-dSer-Q-G-T-F-T-S-D-L-S-K-Q-K(YE-x53)-E-S-R-R-A-Q-L-F- I-E-W-L-K-A-G-G-P-S-S-G-A-P-P-P-S-K(YE-X53)-N H2
7 H-dSer-Q-G-T-F-T-S-D-L-S-K-Q-K(GABA-x53)-E-S-K-A-A-Q- D-F-I-E-W-L-K-A-G-G-P-S-S-G-A-P-P-P-S-NH2
8 H-dSer-Q-G-T-F-T-S-D-L-S-K-Q-K(YE-x70)-D-S-R-R-A-Q-D- F-I-E-W-L-K-N-G-G-P-S-S-G-A-P-P-P-S-NH2
9 H-dSer-Q-G-T-F-T-S-D-L-S-K-Q-K(YE-x75)-E-S-R-A-A-Q-D- F-I-E-W-L-K-A-G-G-P-S-S-G-A-P-P-P-S-NH2
10 H-dSer-Q-G-T-F-T-S-D-L-S-K-Q-K(YE-x53)-D-S-R-R-A-Q-D- F-l-E-W-L-K-N-G-G-P-S-S-G-A-P-P-P-S-NH(n-Propyl)
1 1 H-dSer-Q-G-T-F-T-S-D-L-S-K-Q-K(YE-x70)-E-S-Aib-A-A-Q-D- F-I-E-W-L-K-A-G-G-P-S-S-G-A-P-P-P-S-NH2
12 H-dSer-Q-G-T-F-T-S-D-L-S-K-Q-K(YE-x53)-E-S-Aib-A-A-Aib- L-F-I-E-W-L-K-A-G-G-P-S-S-G-A-P-P-P-S-NH2 H-Aib-Q-G-T-F-T-S-D-L-S-K-Q-K(YE-x53)-E-S-Aib-A-A-Q-D- F-I-E-W-L-K-A-G-G-P-S-S-G-A-P-P-P-S-NH2
H-dSer-Q-G-T-F-T-S-D-L-S-K-Q-K(YE-x53)-E-S-Aib-A-A-Q-D- F-I-E-W-L-K-A-G-G-P-S-S-G-A-P-P-P-S-NH2
H-dSer-Q-G-T-F-T-S-D-L-S-K-Q-K(YE-x53)-E-S-Aib-A-A-Q-L- F-I-E-W-L-K-A-G-G-P-S-S-G-A-P-P-P-S-NH2
H-dSer-Q-G-T-F-T-S-D-L-S-K-Q-K(YE-x53)-E-E-E-A-A-Q-D- F-I-E-W-L-K-A-G-G-P-S-S-G-A-P-P-P-S-NH2
H-dSer-Q-G-T-F-T-S-D-L-S-K-Q-K(YE-x53)-E-E-E-A-A-K-D-F- I-E-W-L-K-A-G-G-P-S-S-G-A-P-P-P-S-NH2
H-dSer-Q-G-T-F-T-S-D-L-S-K-Q-K(YE-x53)-E-E-E-A-A-Aib-D- F-I-E-W-L-K-A-G-G-P-S-S-G-A-P-P-P-S-NH2
H-dSer-Q-G-T-F-T-S-D-L-S-K-Q-K(YE-x53)-E-E-E-A-A-K-L-F- I-E-W-L-K-A-G-G-P-S-S-G-A-P-P-P-S-NH2
H-dSer-Q-G-T-F-T-S-D-L-S-K-Q-K(YE-x53)-E-S-E-A-A-Q-D- F-I-E-W-L-K-A-G-G-P-S-S-G-A-P-P-P-S-NH2
H-dSer-Q-G-T-F-T-S-D-L-S-K-Q-K(YE-x53)-E-S-E-A-A-Q-L-F- I-E-W-L-K-A-G-G-P-S-S-G-A-P-P-P-S-NH2
H-dSer-Q-G-T-F-T-S-D-L-S-K-Q-K(YE-x53)-D-E-K-A-A-Q-D- F-I-E-W-L-K-A-G-G-P-S-S-G-A-P-P-P-S-NH2
H-dSer-Q-G-T-F-T-S-D-L-S-K-Q-K(YE-x53)-E-E-K-K-A-K-L-F- I-E-W-L-K-A-G-G-P-S-S-G-A-P-P-P-S-NH2
H-dSer-Q-G-T-F-T-S-D-L-S-K-Q-K(YE-x53)-E-S-K-A-A-Q-D- F-I-E-W-L-K-A-G-G-P-S-S-G-A-P-P-P-S-NH2
H-Aib-Q-G-T-F-T-S-D-L-S-K-Q-K(YE-x53)-E-S-K-A-A-Q-D-F-l- E-W-L-K-A-G-G-P-S-S-G-A-P-P-P-S-NH2
H-dSer-Q-G-T-F-T-S-D-L-S-K-Q-K(YE-x70)-E-S-K-A-A-Q-D- F-I-E-W-L-K-A-G-G-P-S-S-G-A-P-P-P-S-NH2
H-dSer-Q-G-T-F-T-S-D-L-S-K-Q-K(YE-x70)-E-S-K-A-A-Q-L-F- I-E-W-L-K-A-G-G-P-S-S-G-A-P-P-P-S-NH2
H-dSer-Q-G-T-F-T-S-D-L-S-K-Q-K(YE-x53)-E-S-K-A-A-Q-E-F- I-E-W-L-K-A-G-G-P-S-S-G-A-P-P-P-S-NH2
H-dSer-Q-G-T-F-T-S-D-L-S-K-Q-K(YE-x53)-E-S-K-A-A-Q-L-F- I-E-W-L-K-A-G-G-P-S-S-G-A-P-P-P-S-NH2
H-dSer-Q-G-T-F-T-S-D-L-S-K-Q-K(YE-x53)-D-S-K-A-A-Q-D- F-I-E-W-L-K-A-G-G-P-S-S-G-A-P-P-P-S-NH2
H-Aib-Q-G-T-F-T-S-D-L-S-K-Q-K(YE-x53)-D-S-K-A-A-Q-D-F- I-E-W-L-K-A-G-G-P-S-S-G-A-P-P-P-S-NH2
H-dSer-Q-G-T-F-T-S-D-L-S-K-Q-K(x53)-E-S-K-A-A-Q-D-F-l- E-W-L-K-A-G-G-P-S-S-G-A-P-P-P-S-NH2
H-Aib-Q-G-T-F-T-S-D-L-S-K-Q-K(x53)-E-S-K-A-A-Q-D-F-I-E- W-L-K-A-G-G-P-S-S-G-A-P-P-P-S-NH2
H-dSer-Q-G-T-F-T-S-D-L-S-K-Q-K(YE-x53)-D-E-Q-A-A-Q-D- F-I-E-W-L-K-A-G-G-P-S-S-G-A-P-P-P-S-NH2
H-dSer-Q-G-T-F-T-S-D-L-S-K-Q-K(YE-x53)-E-S-Q-A-A-Q-D- F-I-E-W-L-K-A-G-G-P-S-S-G-A-P-P-P-S-NH2
H-Aib-Q-G-T-F-T-S-D-L-S-K-Q-K(YE-x53)-E-S-Q-A-A-Q-D-F- I-E-W-L-K-A-G-G-P-S-S-G-A-P-P-P-S-NH2
H-dSer-Q-G-T-F-T-S-D-L-S-K-Q-K(YE-x53)-E-S-Q-A-A-Q-E- F-I-E-W-L-K-A-G-G-P-S-S-G-A-P-P-P-S-NH2 H-Aib-Q-G-T-F-T-S-D-L-S-K-Q-K(YE-x53)-E-S-Q-A-A-Q-E-F- I-E-W-L-K-A-G-G-P-S-S-G-A-P-P-P-S-NH2
H-dSer-Q-G-T-F-T-S-D-L-S-K-Q-K(YE-x53)-D-S-Q-A-A-Q-D- F-I-E-W-L-K-A-G-G-P-S-S-G-A-P-P-P-S-NH2
H-dSer-Q-G-T-F-T-S-D-L-S-K-Q-K(YE-x70)-E-S-Q-A-A-Q-D- F-I-E-W-L-K-A-G-G-P-S-S-G-A-P-P-P-S-NH2
H-Aib-Q-G-T-F-T-S-D-L-S-K-Q-K(YE-x70)-E-S-Q-A-A-Q-D-F- I-E-W-L-K-A-G-G-P-S-S-G-A-P-P-P-S-NH2
H-dSer-Q-G-T-F-T-S-D-L-S-K-Q-K(x53)-E-S-Q-A-A-Q-D-F-l- E-W-L-K-A-G-G-P-S-S-G-A-P-P-P-S-NH2
H-Aib-Q-G-T-F-T-S-D-L-S-K-Q-K(x53)-E-S-Q-A-A-Q-D-F-I-E- W-L-K-A-G-G-P-S-S-G-A-P-P-P-S-NH2
H-dSer-Q-G-T-F-T-S-D-L-S-K-Q-K(YE-x53)-E-S-R-A-A-Q-D- F-I-E-W-L-K-A-G-G-P-S-S-G-A-P-P-P-S-NH2
H-dSer-Q-G-T-F-T-S-D-L-S-K-Q-K(YE-x70)-E-S-R-A-A-Q-L-F- I-E-W-L-K-A-G-G-P-S-S-G-A-P-P-P-S-NH2
H-dSer-Q-G-T-F-T-S-D-L-S-K-Q-K(YE-x53)-E-S-R-A-A-Aib-L- F-I-E-W-L-K-A-G-G-P-S-S-G-A-P-P-P-S-NH2
H-dSer-Q-G-T-F-T-S-D-L-S-K-Q-K(YE-x53)-E-S-R-A-A-Q-E- F-I-E-W-L-K-A-G-G-P-S-S-G-A-P-P-P-S-NH2
H-dSer-Q-G-T-F-T-S-D-L-S-K-Q-K(YE-x53)-E-S-R-A-A-Q-L-F- I-E-W-L-K-A-G-G-P-S-S-G-A-P-P-P-S-NH2
H-dSer-Q-G-T-F-T-S-D-L-S-K-Q-K(YE-YE-x53)-E-S-R-A-A-Q- D-F-I-E-W-L-K-A-G-G-P-S-S-G-A-P-P-P-S-NH2
H-dSer-Q-G-T-F-T-S-D-L-S-K-Q-K(GABA-x53)-E-S-R-A-A-Q- D-F-I-E-W-L-K-A-G-G-P-S-S-G-A-P-P-P-S-NH2
H-dSer-Q-G-T-F-T-S-D-L-S-K-Q-K(YE-x70)-E-S-R-A-A-Q-D- F-I-E-W-L-K-A-G-G-P-S-S-G-A-P-P-P-S-NH2
H-dSer-Q-G-T-F-T-S-D-L-S-K-Q-K(YE-YE-x70)-E-S-R-A-A-Q- D-F-I-E-W-L-K-A-G-G-P-S-S-G-A-P-P-P-S-NH2
H-dSer-Q-G-T-F-T-S-D-L-S-K-Q-K(GABA-x70)-E-S-R-A-A-Q- D-F-I-E-W-L-K-A-G-G-P-S-S-G-A-P-P-P-S-NH2
H-dSer-Q-G-T-F-T-S-D-L-S-K-Q-K( A- A-x70)-E-S-R-A-A-Q- D-F-I-E-W-L-K-A-G-G-P-S-S-G-A-P-P-P-S-NH2
H-dSer-Q-G-T-F-T-S-D-L-S-K-Q-K(YE-x74)-E-S-R-A-A-Q-D- F-I-E-W-L-K-A-G-G-P-S-S-G-A-P-P-P-S-NH2
H-dSer-Q-G-T-F-T-S-D-L-S-K-Q-K(GABA-x74)-E-S-R-A-A-Q- D-F-I-E-W-L-K-A-G-G-P-S-S-G-A-P-P-P-S-NH2
H-dSer-Q-G-T-F-T-S-D-L-S-K-Q-K(YE-x60)-E-S-R-A-A-Q-D- F-I-E-W-L-K-A-G-G-P-S-S-G-A-P-P-P-S-NH2
H-dSer-Q-G-T-F-T-S-D-L-S-K-Q-K(GABA-x60)-E-S-R-A-A-Q- D-F-I-E-W-L-K-A-G-G-P-S-S-G-A-P-P-P-S-NH2
H-dSer-Q-G-T-F-T-S-D-L-S-K-Q-K(YE-x76)-E-S-R-A-A-Q-D- F-I-E-W-L-K-A-G-G-P-S-S-G-A-P-P-P-S-NH2
H-dSer-Q-G-T-F-T-S-D-L-S-K-Q-K(YE-x77)-E-S-R-A-A-Q-D- F-I-E-W-L-K-A-G-G-P-S-S-G-A-P-P-P-S-NH2
H-dSer-Q-G-T-F-T-S-D-L-S-K-Q-K(YE-x79)-E-S-R-A-A-Q-D- F-I-E-W-L-K-A-G-G-P-S-S-G-A-P-P-P-S-NH2
H-dSer-Q-G-T-F-T-S-D-L-S-K-Q-K(YE-x80)-E-S-R-A-A-Q-D- F-I-E-W-L-K-A-G-G-P-S-S-G-A-P-P-P-S-NH2 H-dSer-Q-G-T-F-T-S-D-L-S-K-Q-K(YE-x81 )-E-S-R-A-A-Q-D- F-I-E-W-L-K-A-G-G-P-S-S-G-A-P-P-P-S-NH2
H-dSer-Q-G-T-F-T-S-D-L-S-K-Q-K(YE-x82)-E-S-R-A-A-Q-D- F-I-E-W-L-K-A-G-G-P-S-S-G-A-P-P-P-S-NH2
H-dSer-Q-G-T-F-T-S-D-L-S-K-Q-K(YE-x70)-E-S-R-A-A-Q-D- F-I-E-W-L-K-A-G-G-P-S-S-G-A-P-P-P-S-NH2
H-dSer-Q-G-T-F-T-S-D-L-S-K-Q-K(x53)-E-S-R-A-A-Q-D-F-l- E-W-L-K-A-G-G-P-S-S-G-A-P-P-P-S-NH2
H-dSer-Q-G-T-F-T-S-D-L-S-K-Q-K(YE-x53)-D-S-R-R-A-Aib-D- F-I-E-W-L-K-A-G-G-P-S-S-G-A-P-P-P-S-NH2
H-dSer-Q-G-T-F-T-S-D-L-S-K-Q-K(YE-x53)-E-S-R-R-A-Q-L-F- I-E-W-L-K-A-G-G-P-S-S-G-A-P-P-P-S-NH2
H-dSer-Q-G-T-F-T-S-D-L-S-K-Q-K(x53)-E-S-R-R-A-Q-L-F-l- E-W-L-K-A-G-G-P-S-S-G-A-P-P-P-S-NH2
H-dSer-Q-G-T-F-T-S-D-L-S-K-Q-K(YE-x53)-E-S-R-A-A-Q-L-F- I-E-W-L-K-A-G-G-P-S-S-G-A-P-P-P-S-NH2
H-dSer-Q-G-T-F-T-S-D-L-S-K-Q-Orn(YE-x53)-E-S-R-R-A-Q- D-F-I-E-W-L-K-A-G-G-P-S-S-G-A-P-P-P-S-NH2
H-dSer-Q-G-T-F-T-S-D-L-S-K-Q-Dab(YE-x53)-E-S-R-R-A-Q- D-F-I-E-W-L-K-A-G-G-P-S-S-G-A-P-P-P-S-NH2
H-dSer-H-G-T-F-T-S-D-L-S-K-Q-K(YE-x53)-E-S-R-R-A-Q-D- F-I-E-W-L-K-A-G-G-P-S-S-G-A-P-P-P-S-NH2
H-dSer-Q-G-T-F-T-S-D-L-S-K-Q-K(YE-x53)-D-S-R-R-A-Q-D- F-I-E-W-L-K-A-G-G-P-S-S-G-A-P-P-P-S-NH2
H-dSer-Q-G-T-F-T-S-D-L-S-K-Q-K(YE-x53)-E-S-R-R-A-Aib-D- F-I-E-W-L-K-A-G-G-P-S-S-G-A-P-P-P-S-NH2
H-dSer-Q-G-T-F-T-S-D-L-S-K-Q-K(x53)-E-S-R-R-A-Aib-D-F-l- E-W-L-K-A-G-G-P-S-S-G-A-P-P-P-S-NH2
H-Aib-Q-G-T-F-T-S-D-L-S-K-Q-K(YE-x53)-E-S-R-R-A-Q-D-F- I-E-W-L-K-A-G-G-P-S-S-G-A-P-P-P-S-NH2
H-dSer-Q-G-T-F-T-S-D-L-S-K-Q-K(YE-x53)-D-S-R-R-A-Q-D- F-I-E-W-L-K-Aib-G-G-P-S-S-G-A-P-P-P-S-NH2
H-dSer-Q-G-T-F-T-S-D-L-S-K-Q-K(YE-x53)-E-S-R-R-A-Q-D- F-I-E-W-L-K-Aib-G-G-P-S-S-G-A-P-P-P-S-NH2
H-dSer-Q-G-T-F-T-S-D-L-S-K-Q-K(YE-x53)-D-S-R-R-A-Q-D- F-I-E-W-L-K-D-G-G-P-S-S-G-A-P-P-P-S-NH2
H-dSer-Q-G-T-F-T-S-D-L-S-K-Q-K(x53)-D-S-R-R-A-Q-D-F-l- E-W-L-K-D-G-G-P-S-S-G-A-P-P-P-S-NH2
H-dSer-Q-G-T-F-T-S-D-L-S-K-Q-K(YE-x53)-E-S-R-R-A-Q-D- F-I-E-W-L-K-E-G-G-P-S-S-G-R-P-P-P-S-NH2
H-dSer-Q-G-T-F-T-S-D-L-S-K-Q-K(x53)-E-S-R-R-A-Q-D-F-l- E-W-L-K-E-G-G-P-S-S-G-R-P-P-P-S-NH2
H-dSer-Q-G-T-F-T-S-D-L-S-K-Q-K(YE-x53)-D-S-R-R-A-Q-D- F-I-E-W-L-K-K-G-G-P-S-S-G-A-P-P-P-S-NH2
H-dSer-Q-G-T-F-T-S-D-L-S-K-Q-K(YE-x53)-E-S-R-R-A-Q-D- F-I-E-W-L-K-K-G-G-P-S-S-G-A-P-P-P-S-NH2
H-dSer-Q-G-T-F-T-S-D-L-S-K-Q-K(YE-x53)-D-S-Q-A-A-Q-D- F-I-E-W-L-K-N-T-G-P-S-S-G-A-P-P-P-S-NH2
H-dSer-Q-G-T-F-T-S-D-L-S-K-Q-K(YE-x53)-D-E-R-R-A-K-D- F-I-E-W-L-K-N-G-G-P-S-S-G-A-P-P-P-S-NH2 88 H-dSer-Q-G-T-F-T-S-D-L-S-K-Q-K(YE-x53)-E-K-R-R-A-Q-D- F-I-E-W-L-K-N-G-G-P-S-S-G-A-P-P-P-S-NH2
89 H-dSer-Q-G-T-F-T-S-D-L-S-K-Q-K(YE-x60)-D-S-R-R-A-Q-D- F-I-E-W-L-K-N-G-G-P-S-S-G-A-P-P-P-S-NH2
90 H-dSer-Q-G-T-F-T-S-D-L-S-K-Q-K(YE-x69)-D-S-R-R-A-Q-D- F-I-E-W-L-K-N-G-G-P-S-S-G-A-P-P-P-S-NH2
91 H-dSer-Q-G-T-F-T-S-D-L-S-K-Q-K(YE-x72)-D-S-R-R-A-Q-D- F-I-E-W-L-K-N-G-G-P-S-S-G-A-P-P-P-S-NH2
92 H-dSer-Q-G-T-F-T-S-D-L-S-K-Q-K(YE-x53)-D-S-R-R-A-Q-D- F-I-E-W-L-K-N-T-G-P-S-S-G-A-P-P-P-S-NH2
93 H-dSer-Q-G-T-F-T-S-D-L-S-K-Q-K(YE-x53)-D-S-R-R-A-Q-D- F-I-E-W-L-K-N-A-G-P-S-S-G-A-P-P-P-S-NH2
94 H-dSer-Q-G-T-F-T-S-D-L-S-K-Q-K(YE-x53)-D-S-R-R-A-Q-D- F-l-E-W-L-K-N-dAla-G-P-S-S-G-A-P-P-P-S-NH2
95 H-dSer-Q-G-T-F-T-S-D-L-S-K-Q-K(YE-x53)-E-S-R-R-A-Q-D- F-I-E-W-L-K-N-A-G-P-S-S-G-A-P-P-P-S-NH2
96 H-dSer-Q-G-T-F-T-S-D-L-S-K-Q-K(YE-x53)-E-S-R-R-A-Q-D- F-I-E-W-L-K-N-T-G-P-S-S-G-A-P-P-P-S-NH2
97 H-dSer-Q-G-T-F-T-S-D-L-S-K-Q-K(YE-x53)-D-S-R-R-A-Q-D- F-I-E-W-L-K-N-G-G-P-S-S-G-A-P-P-P-S-NH2
98 H-dSer-Q-G-T-F-T-S-D-L-S-K-Q-K(YE-x53)-D-S-R-R-A-Q-D- F-l-E-W-L-K-N-G-G-P-S-S-G-A-P-P-P-S-NH(pyrrolidin)
99 H-dSer-Q-G-T-F-T-S-D-L-S-K-Q-K(YE-x53)-D-S-R-R-A-Q-D- F-l-E-W-L-K-N-G-G-P-S-S-G-A-P-P-P-S-NH(benzyl)
100 H-dSer-Q-G-T-F-T-S-D-L-S-K-Q-K(YE-x53)-D-S-R-R-A-Q-D- F-l-E-W-L-K-N-G-G-P-S-S-G-A-P-P-P-S-NH(tert.butyl)
101 H-dSer-Q-G-T-F-T-S-D-L-S-K-Q-K(YE-x53)-D-S-R-R-A-Q-D- F-I-E-W-L-K-N-G-G-P-S-S-G-A-P-P-P-S-N(diethyl)
102 H-dSer-Q-G-T-F-T-S-D-L-S-K-Q-K(YE-x53)-D-S-R-R-A-Q-D- F-I-E-W-L-K-N-G-G-P-S-S-G-A-P-P-P-S-N(morpholin)
103 H-dSer-Q-G-T-F-T-S-D-L-S-K-Q-K(YE-x53)-D-S-R-R-A-Q-D- F-I-E-W-L-K-N-G-G-P-S-S-G-A-P-P-P-S-NH(CH2-CF3)
104 H-dSer-Q-G-T-F-T-S-D-L-S-K-Q-K(YE-x53)-D-S-R-R-A-Q-D- F-l-E-W-L-K-N-G-G-P-S-S-G-A-P-P-P-S-NH[(CH2-CH2-O)4- CH2-CH2-COOH]
105 H-dSer-Q-G-T-F-T-S-D-L-S-K-Q-K(YE-x53)-D-S-R-R-A-Q-D-
F-l-E-W-L-K-N-G-G-P-S-S-G-A-P-P-P-S-NH[(CH2-CH2-O)24-
CH2-CH2-COOH]
106 H-dSer-Q-G-T-F-T-S-D-L-S-K-Q-K(YE-x53)-D-S-R-R-A-Q-D- F-I-E-W-L-K-N-G-G-P-S-S-G-A-P-P-P-S-NH[(CH2)15-CH3]
107 H-dSer-Q-G-T-F-T-S-D-L-S-K-Q-K(YE-x53)-D-S-R-R-A-Q-D- F-l-E-W-L-K-N-G-G-P-S-S-G-A-P-P-P-S-NH[(CH2)12-OH]
108 H-dSer-Q-G-T-F-T-S-D-L-S-K-Q-K(YE-x53)-D-S-R-R-A-Q-D- F-I-E-W-L-K-N-G-G-P-S-S-G-A-P-P-P-S-NH[(CH2)14-CH3]
109 H-dSer-Q-G-T-F-T-S-D-L-S-K-Q-K(YE-x53)-D-S-R-R-A-Q-D- F-I-E-W-L-K-N-G-G-P-S-S-G-A-P-P-P-S-NH[(CH2)17-CH3]
1 10 H-dSer-Q-G-T-F-T-S-D-L-S-K-Q-K(YE-x53)-D-S-R-R-A-Q-D- F-I-E-W-L-K-N-G-G-P-S-S-G-A-P-P-P-S-NH[(CH2)13-CH3]
1 1 1 H-dSer-Q-G-T-F-T-S-D-L-S-K-Q-K(YE-x53)-E-S-R-R-A-Q-D- F-I-E-W-L-K-N-G-G-P-S-S-G-A-P-P-P-S-K-NH2 H-dSer-Q-G-T-F-T-S-D-L-S-K-Q-K(x53)-E-S-R-R-A-Q-D-F-l- E-W-L-K-N-G-G-P-S-S-G-A-P-P-P-S-K-NH2
H-dSer-Q-G-T-F-T-S-D-L-S-K-Q-K(YE-x53)-E-S-R-R-A-Q-D- F-I-E-W-L-K-N-G-G-P-S-S-G-A-P-P-P-K-NH2
H-dSer-Q-G-T-F-T-S-D-L-S-K-Q-K(x53)-E-S-R-R-A-Q-D-F-l- E-W-L-K-N-G-G-P-S-S-G-A-P-P-P-K-NH2
H-Aib-Q-G-T-F-T-S-D-L-S-K-Q-K(YE-x53)-D-S-R-R-A-Q-D-F- I-E-W-L-K-N-G-G-P-S-S-G-A-P-P-P-S-NH2
H-dSer-Q-G-T-F-T-S-D-L-S-K-Q-K(YE-x53)-E-S-R-R-A-Q-D- F-I-E-W-L-K-N-G-G-P-S-S-G-A-P-P-P-S-NH2
H-Aib-Q-G-T-F-T-S-D-L-S-K-Q-K(YE-x53)-E-S-R-R-A-Q-D-F- I-E-W-L-K-N-G-G-P-S-S-G-A-P-P-P-S-NH2
H-dSer-Q-G-T-F-T-S-D-L-S-K-Q-K(YE-x53)-D-S-R-R-A-Aib-D- F-I-E-W-L-K-N-G-G-P-S-S-G-A-P-P-P-S-NH2
H-dSer-Q-G-T-F-T-S-D-L-S-K-Q-K(x53)-E-S-R-R-A-Aib-D-F-l- E-W-L-K-N-G-G-P-S-S-G-A-P-P-P-S-NH2
H-dSer-Q-G-T-F-T-S-D-L-S-K-Q-K(YE-x53)-E-S-R-R-A-Aib-D- F-I-E-W-L-K-N-G-G-P-S-S-G-A-P-P-P-S-NH2
H-dSer-Q-G-T-F-T-S-D-L-S-K-Q-K(YE-x53)-E-S-R-A-A-Aib-L- F-I-E-W-L-K-N-G-G-P-S-S-G-A-P-P-P-S-NH2
H-dSer-Q-G-T-F-T-S-D-L-S-K-Q-K(x53)-E-S-R-A-A-Aib-L-F-l- E-W-L-K-N-G-G-P-S-S-G-A-P-P-P-S-NH2
H-dSer-Q-G-T-F-T-S-D-L-S-K-Q-K(YE-x53)-D-S-Q-A-A-Q-D- F-I-E-W-L-K-R-G-G-P-S-S-G-A-P-P-P-S-NH2
H-dSer-Q-G-T-F-T-S-D-L-S-K-Q-K(YE-x53)-D-S-Q-A-A-Q-D- F-I-E-W-L-K-R-A-G-P-S-S-G-A-P-P-P-S-NH2
H-dSer-Q-G-T-F-T-S-D-L-S-K-Q-K(YE-x53)-D-S-R-R-A-Q-D- F-I-E-W-L-K-R-G-G-P-S-S-G-A-P-P-P-S-NH2
H-dSer-Q-G-T-F-T-S-D-L-S-K-Q-K(YE-x53)-E-S-R-R-A-Q-D- F-l-E-W-L-K-R-dAla-G-P-S-S-G-A-P-P-P-S-NH2
H-dSer-Q-G-T-F-T-S-D-L-S-K-Q-K(YE-x53)-E-S-R-R-A-Q-D- F-I-E-W-L-K-R-G-G-P-S-S-G-A-P-P-P-S-NH2
H-dSer-Q-G-T-F-T-S-D-L-S-K-Q-K(YE-x53)-D-S-R-R-A-Q-D- F-I-E-W-L-K-S-G-G-P-S-S-G-A-P-P-P-S-NH2
H-dSer-Q-G-T-F-T-S-D-L-S-K-Q-K(YE-x53)-E-S-R-R-A-Q-D- F-I-E-W-L-K-S-G-G-P-S-S-G-A-P-P-P-S-NH2
H-dSer-Q-G-T-F-T-S-D-L-S-K-Q-K(YE-x70)-E-S-Aib-A-A-Q-L- F-I-E-W-L-K-A-G-G-P-S-S-G-A-P-P-P-S-NH2
H-dSer-Q-G-T-F-T-S-D-L-S-K-Q-K(GABA-x70)-E-S-Aib-A-A- Q-L-F-I-E-W-L-K-A-G-G-P-S-S-G-A-P-P-P-S-NH2
H-Aib-Q-G-T-F-T-S-D-L-S-K-Q-K(YE-x53)-E-S-Aib-A-A-Q-L-F- I-E-W-L-K-A-G-G-P-S-S-G-A-P-P-P-S-NH2
H-Aib-Q-G-T-F-T-S-D-L-S-K-Q-K(YE-x70)-D-E-K-A-A-K-L-F-l- E-W-L-K-A-dAla-G-P-S-S-G-A-P-P-P-S-NH2
H-dSer-Q-G-T-F-T-S-D-L-S-K-Q-K(x52)-E-S-K-A-A-Q-D-F-l- E-W-L-K-A-G-G-P-S-S-G-A-P-P-P-S-NH2
H-dSer-Q-G-T-F-T-S-D-L-S-K-Q-K(x52)-E-S-K-A-A-Q-E-F-l- E-W-L-K-A-G-G-P-S-S-G-A-P-P-P-S-NH2
H-dSer-Q-G-T-F-T-S-D-L-S-K-Q-K(x52)-E-S-K-A-A-Q-L-F-l-E- W-L-K-A-G-G-P-S-S-G-A-P-P-P-S-NH2 137 H-dSer-H-G-T-F-T-S-D-L-S-K-Q-K(YE-X70)-D-S-K-A-A-Q-D- F-I-E-W-L-K-A-G-G-P-S-S-G-A-P-P-P-S-NH2
138 H-dSer-H-G-T-F-T-S-D-L-S-K-Q-K(YE-X70)-D-S-K-A-A-Q-L- F-l-E-W-L-K-A-dAla-G-P-S-S-G-A-P-P-P-S-NH2
139 H-dSer-Q-G-T-F-T-S-D-L-S-K-Q-K(YE-x76)-D-S-K-A-A-Q-D- F-I-E-W-L-K-A-G-G-P-S-S-G-A-P-P-P-S-NH2
140 H-dSer-Q-G-T-F-T-S-D-L-S-K-Q-K(YE-YE-x53)-D-S-K-A-A-Q- D-F-I-E-W-L-K-A-G-G-P-S-S-G-A-P-P-P-S-NH2
141 H-dSer-Q-G-T-F-T-S-D-L-S-K-Q-K(Phospho1 )-D-S-K-A-A-Q- D-F-I-E-W-L-K-A-G-G-P-S-S-G-A-P-P-P-S-NH2
142 H-dSer-Q-G-T-F-T-S-D-L-S-K-Q-K(YE-X95)-D-S-K-A-A-Q-D- F-I-E-W-L-K-A-G-G-P-S-S-G-A-P-P-P-S-NH2
143 H-dSer-Q-G-T-F-T-S-D-L-S-K-Q-K(YE-X70)-D-S-K-A-A-Q-D- F-l-E-W-L-K-A-dAla-G-P-S-S-G-A-P-P-P-S-NH2
144 H-dSer-Q-G-T-F-T-S-D-L-S-K-Q-K(YE-x53)-D-S-K-A-Aib-Q-D- F-I-E-W-L-K-A-G-G-P-S-S-G-A-P-P-P-S-NH2
145 H-dSer-Q-G-T-F-T-S-D-L-S-K-Q-K(YE-x53)-D-S-K-A-S-Q-D- F-I-E-W-L-K-A-G-G-P-S-S-G-A-P-P-P-S-NH2
146 H-dSer-Q-G-T-F-T-S-D-L-S-K-Q-K(YE-x53)-D-S-K-A-L-Q-D-F- I-E-W-L-K-A-G-G-P-S-S-G-A-P-P-P-S-NH2
147 H-dSer-Q-G-T-F-T-S-D-L-S-K-Q-K(YE-x53)-D-S-K-A-A-Q-D- F-I-E-W-K-K-A-G-G-P-S-S-G-A-P-P-P-S-NH2
148 H-Aib-Q-G-T-F-T-S-D-L-S-K-Q-K(YE-x70)-D-S-K-A-A-Q-L-F-l- E-W-L-K-A-dAla-G-P-S-S-G-A-P-P-P-S-NH2
149 H-Aib-Q-G-T-F-T-S-D-L-S-K-Q-K(YE-x76)-D-S-K-A-A-Q-L-F-l- E-W-L-K-A-dAla-G-P-S-S-G-A-P-P-P-S-NH2
150 H-dSer-Q-G-T-F-T-S-D-L-S-K-Q-K(YE-x53)-E-S-L-A-A-Q-D-F- I-E-W-L-K-A-G-G-P-S-S-G-A-P-P-P-S-NH2
151 H-dSer-Q-G-T-F-T-S-D-L-S-K-Q-K(YE-x53)-D-E-Q-A-A-K-D- F-I-E-W-L-K-A-G-G-P-S-S-G-A-P-P-P-S-NH2
152 H-Aib-Q-G-T-F-T-S-D-L-S-K-Q-K(YE-X70)-D-E-Q-R-A-K-E-F- I-E-W-L-K-A-G-G-P-S-S-G-A-P-P-P-S-NH2
153 H-Aib-Q-G-T-F-T-S-D-L-S-K-Q-K(YE-x70)-D-E-Q-A-A-K-L-F-l- E-W-L-K-A-dAla-G-P-S-S-G-A-P-P-P-S-NH2
154 H-Aib-Q-G-T-F-T-S-D-L-S-K-Q-K(YE-x70)-E-S-Q-A-A-Q-D-F- I-E-W-L-K-A-G-G-P-S-S-G-A-P-P-P-S-NH2
155 H-Aib-Q-G-T-F-T-S-D-L-S-K-Q-K(YE-x53)-D-S-Q-A-A-Q-D-F- I-E-W-L-K-A-G-G-P-S-S-G-A-P-P-P-S-NH2
156 H-Aib-Q-G-T-F-T-S-D-L-S-K-Q-K(YE-X70)-D-S-Q-A-A-Q-D-F- I-E-W-L-K-A-G-G-P-S-S-G-A-P-P-P-S-NH2
157 H-dSer-Q-G-T-F-T-S-D-L-S-K-Q-K(YE-X70)-D-S-Q-A-A-Q-D- F-I-E-W-L-K-A-G-G-P-S-S-G-A-P-P-P-S-NH2
158 H-Aib-Q-G-T-F-T-S-D-L-S-K-Q-K(YE-x70)-D-S-Q-A-A-Q-L-F-l- E-W-L-K-A-dAla-G-P-S-S-G-A-P-P-P-S-NH2
159 H-Aib-Q-G-T-F-T-S-D-L-S-K-Q-K(YE-x76)-D-S-Q-A-A-Q-L-F-l- E-W-L-K-A-dAla-G-P-S-S-G-A-P-P-P-S-NH2
160 H-dSer-Q-G-T-F-T-S-D-L-S-K-Q-K(YE-x61 )-E-S-R-A-A-Q-D- F-I-E-W-L-K-A-G-G-P-S-S-G-A-P-P-P-S-NH2
161 H-dSer-Q-G-T-F-T-S-D-L-S-K-Q-K(YE-X70)-D-S-R-R-A-Q-D- F-l-E-W-L-K-A-dAla-G-P-S-S-G-A-P-P-P-S-NH2
Figure imgf000100_0001
186 H-dSer-Q-G-T-F-T-S-D-L-S-K-Q-M-D-S-R-R-A-Q-D-F-l-E-W- L-K-K-G-G-P-S-S-G-A-P-P-P-S-NH2
187 H-dSer-Q-G-T-F-T-S-D-L-S-K-Q-M-D-S-R-R-A-Q-D-F-l-E-W- L-K-Aib-G-G-P-S-S-G-A-P-P-P-S-NH2
188 H-dSer-Q-G-T-F-T-S-D-L-S-K-Q-M-D-S-R-R-A-Q-D-F-l-E-W- L-K-A-G-G-P-S-S-G-A-P-P-P-S-NH2
189 H-dSer-Q-G-T-F-T-S-D-L-S-K-Q-M-E-S-K-A-A-Q-D-F-l-E-W- L-K-A-G-G-P-S-S-G-A-P-P-P-S-NH2
190 H-dSer-Q-G-T-F-T-S-D-L-S-K-Q-M-E-S-R-R-A-Aib-D-F-l-E- W-L-K-A-G-G-P-S-S-G-A-P-P-P-S-NH2
191 H-dSer-Q-G-T-F-T-S-D-L-S-K-Q-Nle-E-S-Q-A-A-Q-D-F-l-E- W-L-K-A-G-G-P-S-S-G-A-P-P-P-S-NH2
192 H-dSer-Q-G-T-F-T-S-D-L-S-K-Q-Nle-D-S-K-A-A-Q-D-F-l-E- W-L-K-A-G-G-P-S-S-G-A-P-P-P-S-NH2
193 H-dSer-Q-G-T-F-T-S-D-L-S-K-Q-Nle-D-S-Q-A-A-Q-D-F-l-E- W-L-K-A-G-G-P-S-S-G-A-P-P-P-S-NH2
194 H-dSer-Q-G-T-F-T-S-D-L-S-K-Q-K(Ac)-E-S-R-R-A-Q-D-F-l-E- W-L-K-A-G-G-P-S-S-G-A-P-P-P-S-NH2
195 H-A-E-G-T-F-T-S-D-V-S-S-Y-L-E-G-Q-A-A-K(YE-X53)-E-I-A- W-L-V-R-G-R-G-OH
196 H-dSer-Q-G-T-F-T-S-D-L-S-K-Q-K(YE-x70)-D-S-K-R-A-Aib-D- F-I-E-W-L-K-A-G-G-P-S-S-G-A-P-P-P-S-NH2
197 H-Aib-Q-G-T-F-T-S-D-L-S-K-Q-K(YE-x70)-D-E-Q-R-A-K-L-F-l- E-W-L-K-A-G-G-P-S-S-G-A-P-P-P-S-NH2
198 H-Aib-Q-G-T-F-T-S-D-L-S-K-Q-K(YE-x70)-D-S-R-R-A-Q-L-F-l- E-W-L-K-A-G-G-P-S-S-G-A-P-P-P-S-NH2
199 H-Aib-Q-G-T-F-T-S-D-L-S-K-Q-K(YE-x70)-D-E-Q-R-A-K-D-F- l-E-W-L-K-A-dAla-G-P-S-S-G-A-P-P-P-S-NH2
200 H-Aib-Q-G-T-F-T-S-D-L-S-K-Q-K(YE-x70)-D-E-Q-R-A-K-L-F-l- E-W-L-K-A-dAla-G-P-S-S-G-A-P-P-P-S-NH2
201 H-Aib-Q-G-T-F-T-S-D-L-S-K-Q-K(YE-x76)-D-E-Q-A-A-K-L-F-l- E-W-L-K-A-dAla-G-P-S-S-G-A-P-P-P-S-NH2
202 H-Aib-Q-G-T-F-T-S-D-L-S-K-Q-K(YE-x76)-E-S-R-A-A-Q-D-F- I-E-W-L-K-A-G-G-P-S-S-G-A-P-P-P-S-NH2
203 H-Aib-Q-G-T-F-T-S-D-L-S-K-Q-K(YE-x76)-E-S-R-A-A-Q-L-F-l- E-W-L-K-A-G-G-P-S-S-G-A-P-P-P-S-NH2
204 H-Aib-Q-G-T-F-T-S-D-L-S-K-Q-K(YE-x76)-E-S-R-A-A-Q-L-F-l- E-W-L-K-A-dAla-G-P-S-S-G-A-P-P-P-S-NH2
205 H-Aib-Q-G-T-F-T-S-D-L-S-K-Q-K(YE-x70)-E-S-R-R-A-Q-L-F-l- E-W-L-K-A-dAla-G-P-S-S-G-A-P-P-P-S-NH2
206 H-Aib-Q-G-T-F-T-S-D-L-S-K-Q-K(YE-x70)-D-E-Q-K-A-K-L-F-l- E-W-L-K-S-G-G-P-S-S-G-A-P-P-P-S-NH2
207 H-Aib-Q-G-T-F-T-S-D-L-S-K-Q-K(YE-YE-x53)-D-E-Q-R-A-K-E- F-I-E-W-L-K-S-G-G-P-S-S-G-A-P-P-P-S-NH2
208 H-S-H-G-T-F-T-S-D-L-S-K-Q-K(YE-X53)-E-S-R-R-A-Q-D-F-I- E-W-L-K-A-G-G-P-S-S-G-A-P-P-P-S-NH2
209 H-Aib-Q-G-T-F-T-S-D-L-S-K-Q-K(YE-x70)-D-K-R-R-A-Q-D-F- l-E-W-L-K-A-dAla-G-P-S-S-G-A-P-P-P-S-NH2
210 H-Aib-Q-G-T-F-T-S-D-L-S-K-Q-K(YE-x70)-D-K-R-R-A-Q-L-F-l- E-W-L-K-A-dAla-G-P-S-S-G-A-P-P-P-S-NH2 H-Aib-Q-G-T-F-T-S-D-L-S-K-Q-K(YE-x70)-D-K-R-A-A-Q-L-F-l- E-W-L-K-A-dAla-G-P-S-S-G-A-P-P-P-S-NH2
H-Aib-Q-G-T-F-T-S-D-L-S-K-Q-K(YE-x76)-D-K-R-A-A-Q-L-F-l- E-W-L-K-A-dAla-G-P-S-S-G-A-P-P-P-S-NH2
H-Aib-Q-G-T-F-T-S-D-L-S-K-Q-K(YE-x70)-D-E-E-A-A-K-L-F-l- E-W-L-K-A-G-G-P-S-S-G-A-P-P-P-S-NH2
H-Aib-Q-G-T-F-T-S-D-L-S-K-Q-K(YE-X70)-D-E-E-A-A-R-L-F-I- E-W-L-K-A-G-G-P-S-S-G-A-P-P-P-S-NH2
H-Aib-Q-G-T-F-T-S-D-L-S-K-Q-K(YE-X70)-E-E-E-A-A-R-L-F-I- E-W-L-K-A-G-G-P-S-S-G-A-P-P-P-S-NH2
H-Aib-Q-G-T-F-T-S-D-L-S-K-Q-K(YE-X70)-D-E-E-A-A-R-L-F-I- E-W-L-K-A-G-G-P-S-S-G-A-P-P-P-S-NH2
H-Aib-H-G-T-F-T-S-D-L-S-K-Q-K(YE-X70)-E-E-E-A-A-R-L-F-I- E-W-L-K-A-G-G-P-S-S-G-A-P-P-P-S-NH2
H-Aib-H-G-T-F-T-S-D-L-S-K-Q-K(YE-X70)-D-E-E-A-A-R-L-F-I- E-W-L-K-A-G-G-P-S-S-G-A-P-P-P-S-NH2
H-dSer-H-G-T-F-T-S-D-L-S-K-Q-K(YE-X70)-E-E-E-A-A-R-L-F- I-E-W-L-K-A-G-G-P-S-S-G-A-P-P-P-S-NH2
H-dSer-H-G-T-F-T-S-D-L-S-K-Q-K(YE-X70)-D-E-E-A-A-R-L-F- I-E-W-L-K-A-G-G-P-S-S-G-A-P-P-P-S-NH2
H-dSer-Q-G-T-F-T-S-D-L-S-K-Q-K(YE-x53)-D-E-E-A-A-R-L-F- I-E-W-L-K-A-G-G-P-S-S-G-A-P-P-P-S-NH2
H-dSer-Q-G-T-F-T-S-D-L-S-K-Q-K(YE-X70)-D-E-E-A-A-R-L- F-I-E-W-L-K-A-G-G-P-S-S-G-A-P-P-P-S-NH2
H-dSer-Q-G-T-F-T-S-D-L-S-K-Q-K(YE-x70)-E-E-E-A-A-R-L-F- I-E-W-L-K-A-G-G-P-S-S-G-A-P-P-P-S-NH2
H-Aib-Q-G-T-F-T-S-D-L-S-K-Q-L-D-E-E-A-A-R-L-F-I-E-W-L- K-A-G-G-P-S-S-G-A-P-P-P-S-NH2
H-Aib-Q-G-T-F-T-S-D-L-S-K-Q-L-E-E-E-A-A-R-L-F-I-E-W-L- K-A-G-G-P-S-S-G-A-P-P-P-S-NH2
H-Aib-Q-G-T-F-T-S-D-L-S-K-Q-K(YE-YE-x53)-D-E-E-A-A-R-L- F-I-E-W-L-K-A-G-G-P-S-S-G-A-P-P-P-S-NH2
H-Aib-H-G-T-F-T-S-D-L-S-K-Q-K(YE-YE-x53)-D-E-E-A-A-R-L- F-I-E-W-L-K-A-G-G-P-S-S-G-A-P-P-P-S-NH2
H-Aib-Q-G-T-F-T-S-D-L-S-K-Q-K(YE-YE-x53)-E-E-E-A-A-R-L- F-I-E-W-L-K-A-G-G-P-S-S-G-A-P-P-P-S-NH2
H-Aib-H-G-T-F-T-S-D-L-S-K-Q-K(YE-YE-x53)-E-E-E-A-A-R-L- F-I-E-W-L-K-A-G-G-P-S-S-G-A-P-P-P-S-NH2

Claims

Claims
1 . A peptidic compound having the formula (I): R1 - Z - R2 (I) wherein Z is a peptide moiety having the formula (II)
His-X2-X3-Gly-Thr-Phe-Thr-Ser-Asp-Leu-Ser-Lys-Gln-X14-X15-X16-X17-X18-Ala- X20-X21 -Phe-lle-Glu-Trp-Leu-Lys-X28-X29-Gly-Pro-Ser-Ser-Gly-X35-Pro-Pro-Pro- X39-X40 (II)
X2 represents an amino acid residue selected from Ser, D-Ser and Aib,
X3 represents an amino acid residue selected from Gin, His and a-amino- functionalized Gin, wherein Gin may be functionalized in that an H of the a-NH2 group is substituted by (Ci-C4)-alkyl,
X14 represents an amino acid residue having a side chain with an -NH2 group, wherein the -NH2 side chain group is functionalized by -C(O)-R5, -C(O)O-R5, - C(O)NH-R5, -S(O)2-R5 or R5, preferably by -C(O)-R5, wherein R5 may be a moiety comprising up to 50 or up to 100 carbon atoms and optionally heteroatoms selected from halogen, N, O, S and/or P,
X15 represents an amino acid residue selected from Glu and Asp,
X16 represents an amino acid residue selected from Ser, Glu and Lys,
X17 represents an amino acid residue selected from Arg, Glu, Gin, Leu, Aib and Lys,
X18 represents an amino acid residue selected from Arg, Ala and Lys,
X20 represents an amino acid residue selected from Gin, Arg, Lys, His, Glu and Aib,
X21 represents an amino acid residue selected from Asp, Leu and Glu,
X28 represents an amino acid residue selected from Asn, Arg, Lys, Aib, Ser, Glu, Ala and Asp,
X29 represents an amino acid residue selected from Gly, Ala, D-Ala and Thr,
X35 represents an amino acid residue selected from Ala, Glu, Arg and Lys,
X39 represents Ser or is absent and
X40 is absent or represents an amino acid residue having a side chain with an -NH2 group, wherein the -NH2 side chain group is optionally functionalized by -C(O)-R5, - C(O)O-R5, -C(O)NH-R5, -S(O)2-R5 or R5, preferably by -C(O)-R5, wherein R5 may be a moiety comprising up to 50 or up to 100 carbon atoms and optionally heteroatoms selected from halogen, N, O, S and/or P,
R1 represents the N-terminal group of the peptidic compound and is selected from NH2 and mono- or bisfunctionalized NH2,
R2 represents the C-terminal group of the peptidic compound and is selected from
(i) OH or functionalized OH and
(ii) NH2 or mono- or bisfunctionalized NH2,
or a salt or solvate thereof.
The compound of claim 1 , wherein
X14 represents an amino acid residue selected from Lys, Orn, Dab and Dap, wherein the -NH2 side chain group is functional ized by -C(O)-R5,
X40 represents an amino acid residue selected from Lys, Orn, Dab and Dap, wherein the -NH2 side chain group can be functional ized by -C(O)-R5, and
R5 is a lipophilic moiety selected from an acyclic linear or branched (C4-C30) saturated or unsaturated hydrocarbon group, and/or a cyclic saturated, unsaturated or aromatic group, wherein the lipophilic moiety may be attached to the -NH2 side chain group by a linker selected from ( -Ala)i-4, (Y-GI U)I-4, (£-Ahx) -4, or (GABA) -4 in all stereoisomeric forms.
A compound of any one of claims 1 - 2, wherein
X14 represents an amino acid residue selected from Lys, Orn, Dab and Dap, wherein the -NH2 side chain group is functionalized by -C(O)-R5,
X40 represents an amino acid residue selected from Lys, Orn, Dab and Dap, wherein the -NH2 side chain group can be functionalized by -C(O)-R5, and
-C(O)-R5 is selected from
(S)-4-Carboxy-4-hexadecanoylamino-butyryl-, (S)-4-Carboxy-4-octadecanoylamino- butyryl-,4-Hexadecanoylamino-butyryl-, 4-{3-[(R)-2,5,7,8-tetramethyl-2-((4R,8R)- 4,8,12-trimethyl-tridecyl)-chroman-6-yloxycarbonyl]-propionylamino}-butyryl-, 4- octadecanoylamino-butyryl-, 4-((Z)-octadec-9-enoylamino)-butyryl-, 6-[(4,4-Diphenyl- cyclohexyloxy)-hydroxy-phosphoryloxy]-hexanoyl-, Hexadecanoyl-, (S)-4-Carboxy-4- (15-carboxy-pentadecanoylamino)-butyryl-, (S)-4-Carboxy-4-{3-[3-((2S,3R,4S,5R)-5- carboxy-2,3,4,5-tetrahydroxy-pentanoylamino)-propionylamino]-propionylamino}- butyryl, (S)-4-Carboxy-4-{3-[(R)-2,5,7,8-tetramethyl-2-((4R,8R)-4,8,12-trimethyl- tridecyl)-chroman-6-yloxycarbonyl]-propionylannino}-butyryl-, (S)-4-Carboxy-4- ((9Z,12Z)-octadeca-9,12-dienoylamino)-butyryl-, (S)-4-Carboxy-4-[6-((2S,3R,4S,5R)- 5-carboxy-2,3,4,5-tetrahydroxy-pentanoylannino)-hexanoylannino]-butyryl, (S)-4- Carboxy-4-((2S,3R,4S,5R)-5-carboxy-2,3,4,5-tetrahydroxy-pentanoylannino)-butyryl, (S)-4-Carboxy-4-tetradecanoylamino-butyryl-, (S)-4-(1 1 -Benzyloxycarbonyl- undecanoylamino)-4-carboxy-butyryl, (S)-4-Carboxy-4-[1 1 -((2S,3R,4R,5R)-2,3,4,5,6- pentahydroxy-hexylcarbamoyl)-undecanoylannino]-butyryl-, (S)-4-Carboxy-4-((Z)- octadec-9-enoylamino)-butyryl-, (S)-4-Carboxy-4-(4-dodecyloxy-benzoylamino)- butyryl-, (S)-4-Carboxy-4-henicosanoylamino-butyryl-, (S)-4-Carboxy-4- docosanoylamino-butyryl-, (S)-4-Carboxy-4-((Z)-nonadec-10-enoylamino)-butyryl-, (S)-4-Carboxy-4-(4-decyloxy-benzoylamino)-butyryl-, (S)-4-Carboxy-4-[(4'-octyloxy- biphenyl-4-carbonyl)-amino]-butyryl-, (S)-4-Carboxy-4-(12-phenyl- dodecanoylamino)-butyryl-, (S)-4-Carboxy-4-icosanoylamino-butyryl-, (S)-4-Carboxy- 4-((S)-4-carboxy-4-hexadecanoylamino-butyrylannino)-butyryl-, (S)-4-Carboxy-4-((S)- 4-carboxy-4-octadecanoylamino-butyrylannino)-butyryl-, 3-(3-Octadecanoylamino- propionylamino)-propionyl-, 3-(3-Hexadecanoylamino-propionylannino)-propionyl-, 3- Hexadecanoylamino-propionyl-, (S)-4-Carboxy-4-[(R)-4- ((3R,5S,7R,8R,9R,10S.12S.13R.14R.17R)-3,7,12-trihydroxy-8,10,13-trimethyl- hexadecahydro-cyclopenta[a]phenanthren-17-yl)-pentanoylamino]-butyryl-, (S)-4- Carboxy-4-[(R)-4-((3R,5R,8R,9S,10S,13R,14S,17R)-3-hydroxy-10,13-dimethyl- hexadecahydro-cyclopenta[a]phenanthren-17-yl)-pentanoylamino]-butyryl-, (S)-4- Carboxy-4-((9S,10R)-9,10,16-trihydroxy-hexadecanoylamino)-butyryl-,
Tetradecanoyl-, 1 1 -Carboxy-undecanoyl-, 1 1 -Benzyloxycarbonyl-undecanoyl, (S)-4- Carboxy-4-((S)-4-carboxy-4-tetradecanoylamino-butyrylannino)-butyryl-, 6-[Hydroxy- (naphthalen-2-yloxy)-phosphoryloxy]-hexanoyl-, 6-[Hydroxy-(5-phenyl-pentyloxy)- phosphoryloxy]-hexanoyl-, 4-(Naphthalene-2-sulfonylamino)-4-oxo-butyryl-, 4- (Biphenyl-4-sulfonylamino)-4-oxo-butyryl-, (S)-4-Carboxy-4-{(S)-4-carboxy-4-[2-(2- {2-[2-(2-{2-[(S)-4-carboxy-4-(17-carboxy-heptadecanoylamino)-butyrylannino]- ethoxy}-ethoxy)-acetylamino]-ethoxy}-ethoxy)-acetylamino]-butyrylamino}-butyryl-, (S)-4-Carboxy-4-[2-(2-{2-[2-(2-{2-[(S)-4-carboxy-4-(17-carboxy- heptadecanoylamino)-butyrylamino]-ethoxy}-ethoxy)-acetylamino]-ethoxy}-ethoxy)- acetylamino]-butyryl, (S)-4-Carboxy-2-{(S)-4-carboxy-2-[2-(2-{2-[2-(2-{2-[(S)-4- carboxy-4-(17-carboxy-heptadecanoylamino)-butyrylannino]-ethoxy}-ethoxy)- acetylamino]-ethoxy}-ethoxy)-acetylannino]-butyrylannino}-butyryl, (S)-4-Carboxy-2 [2-(2-{2-[2-(2-{2-[(S)-4-carboxy-4-(17-carboxy-heptadecanoylamino)-butyrylannino]- ethoxy}-ethoxy)-acetylamino]-ethoxy}-ethoxy)-acetylannino]-butyryl, (S)-4-Carboxy-4 {(S)-4-carboxy-4-[2-(2-{2-[(S)-4-carboxy-4-(17-carboxy-heptadecanoylamino)- butyrylamino]-ethoxy}-ethoxy)-acetylannino]-butyrylannino}-butyryl, (S)-4-Carboxy-4 [2-(2-{2-[(S)-4-carboxy-4-(17-carboxy-heptadecanoylamino)-butyrylannino]-ethoxy}- ethoxy)-acetylamino]-butyryl,(S)-4-Carboxy-2-{(S)-4-carboxy-2-[2-(2-{2-[(S)-4- carboxy-4-(17-carboxy-heptadecanoylamino)-butyrylannino]-ethoxy}-ethoxy)- acetylamino]-butyrylannino}-butyryl, (S)-4-Carboxy-2-[2-(2-{2-[(S)-4-carboxy-4-(17 carboxy-heptadecanoylamino)-butyrylamino]-ethoxy}-ethoxy)-acetylamino]-butyryl, 2 (2-{2-[2-(2-{2-[(S)-4-Carboxy-4-(17-carboxy-heptadecanoylamino)-butyrylannino]- ethoxy}-ethoxy)-acetylamino]-ethoxy}-ethoxy)-acetyl-, 2-(2-{2-[(S)-4-Carboxy-4-(17 carboxy-heptadecanoylamino)-butyrylannino]-ethoxy}-ethoxy)-acetyl, (S)-4-Carboxy 4-((S)-4-carboxy-4-{(S)-4-carboxy-4-[(S)-4-carboxy-4-(19-carboxy- nonadecanoylamino)-butyrylamino]-butyrylamino}-butyrylamino)-butyryl, 2-(2-{2-[2- (2-{2-[(S)-4-Carboxy-4-(16-1 H-tetrazol-5-yl-hexadecanoylamino)-butyrylannino]- ethoxy}-ethoxy)-acetylamino]-ethoxy}-ethoxy)-acetyl, 2-(2-{2-[2-(2-{2-[(S)-4-Carboxy 4-(16-carboxy-hexadecanoylamino)-butyrylamino]-ethoxy}-ethoxy)-acetylamino]- ethoxy}-ethoxy)-acetyl, (S)-4-Carboxy-4-{(S)-4-carboxy-4-[(S)-4-carboxy-4-(17 carboxy-heptadecanoylamino)-butyrylannino]-butyrylannino}-butyryl, (S)-4-Carboxy-4- ((S)-4-carboxy-4-{2-[2-(2-{2-[2-(2-{(S)-4-carboxy-4-[10-(4-carboxy-phenoxy)- decanoylamino]-butyrylamino}-ethoxy)-ethoxy]-acetylamino}-ethoxy)-ethoxy]- acetylaminoj-butyryl, (S)-4-Carboxy-4-{(S)-4-carboxy-4-[2-(2-{2-[2-(2-{2-[(S)-4 carboxy-4-(7-carboxy-heptanoylamino)-butyrylamino]-ethoxy}-ethoxy)-acetylamino]- ethoxy}-ethoxy)-acetylamino]-butyrylannino}-butyryl, (S)-4-Carboxy-4-{(S)-4-carboxy 4-[2-(2-{2-[2-(2-{2-[(S)-4-carboxy-4-(1 1 -carboxy-undecanoylamino)-butyrylannino]- ethoxy}-ethoxy)-acetylamino]-ethoxy}-ethoxy)-acetylamino]-butyrylamino}-butyryl, (S)-4-Carboxy-4-{(S)-4-carboxy-4-[2-(2-{2-[2-(2-{2-[(S)-4-carboxy-4-(13-carboxy- tridecanoylamino)-butyrylamino]-ethoxy}-ethoxy)-acetylamino]-ethoxy}-ethoxy)- acetylamino]-butyrylamino}-butyryl, (S)-4-Carboxy-4-{(S)-4-carboxy-4-[2-(2-{2-[2-(2 {2-[(S)-4-carboxy-4-(15-carboxy-pentadecanoylamino)-butyrylannino]-ethoxy}- ethoxy)-acetylamino]-ethoxy}-ethoxy)-acetylannino]-butyrylannino}-butyryl, and (S)-4- Carboxy-4-{(S)-4-carboxy-4-[2-(2-{2-[2-(2-{2-[(S)-4-carboxy-4-(19-carboxy- nonadecanoylamino)-butyrylamino]-ethoxy}-ethoxy)-acetylamino]-ethoxy}-ethoxy)- acetylamino]-butyrylamino}-butyryl.
A compound of any one of claims 1 - 3,
wherein
R1 is NH2,
R2 is NH2 or
R1 and R2 are NH2.
The compound of any one of claims 1 - 4
wherein
X14 is Lys, which is functionalized with a group -C(O)R5, wherein R5 is as described in any one of claims 1 -3.
The compound of any one of claims 1 - 5, wherein
X14 is Lys, which is functionalized with a group -C(O)R5, wherein R5 comprises a lipophilic moiety, an acyclic linear or branched (Ci2-C22) saturated hydrocarbon group attached directly to the -NH2 side chain group or attached to the -NH2 side chain group by a linker selected form the group of β-Ala, γ-Glu, β-Αΐ3-β-Αΐ8 and γ- Glu-y-Glu in all stereoisomeric forms.
A compound of any one of claims 1 - 6, wherein
X2 represents an amino acid residue selected from Ser, D-Ser and Aib,
X3 represents an amino acid residue selected from Gin, His and a-amino- functionalized Gin, wherein Gin may be functionalized in that an H of the a-NH2 group is substituted by (Ci -C4)-alkyl,
X14 represents an amino acid residue selected from Lys, Orn, Dab and Dap, wherein the -NH2 side chain group is functionalized by -C(O)-R5,
X15 represents an amino acid residue selected from Glu and Asp,
X16 represents an amino acid residue selected from Ser, Lys and Glu,
X17 represents an amino acid residue selected from Arg, Glu, Gin, Leu and Lys,
X18 represents an amino acid residue selected from Arg and Ala,
X20 represents an amino acid residue selected from Gin, Arg, Lys and Aib,
X21 represents an amino acid residue selected from Asp, Leu and Glu, X28 represents an amino acid residue selected from Asn, Arg, Lys, Aib, Ser, Glu, Asp and Ala,
X29 represents an amino acid residue selected from Gly, Ala, D-Ala and Thr,
X35 represents an amino acid residue selected from Ala or Glu,
X39 is Ser or is absent,
X40 is either absent or represents Lys, wherein the -NH2 side chain group can be functionalized by -C(O)-R5 and
-C(O)-R5 is as defined in claim 2.
A compound of any one of claims 1 - 7, wherein
X2 represents an amino acid residue selected from D-Ser and Aib,
X3 represents Gin,
X14 represents an amino acid residue selected from Lys and Orn, wherein the -NH2 side chain group is functionalized by -C(O)-R5,
X15 represents an amino acid residue selected from Glu and Asp,
X16 represents an amino acid residue selected from Ser and Glu,
X17 represents an amino acid residue selected from Arg, Gin and Lys,
X18 represents an amino acid residue selected from Arg and Ala,
X20 represents an amino acid residue selected from Gin, Arg, Lys and Aib,
X21 represents an amino acid residue selected from Asp, Leu and Glu,
X28 represents an amino acid residue selected from Asn, Arg, Lys, Aib, Ser and Ala,
X29 represents an amino acid residue selected from Gly, Ala or Thr,
X35 represents Ala,
X39 is Ser or is absent,
X40 is either absent or represents Lys, wherein the -NH2 side chain group can be functionalized by -C(O)-R5 and
-C(O)-R5 is as defined in claim 2.
The compound of any one of claims 1 - 8, wherein
X20 represents an amino acid residue selected from Gin, Lys and Aib.
A compound of any one of claims 1 - 9, wherein
X2 represents an amino acid residue selected from D-Ser and Aib,
X3 represents Gin, X14 represents Lys, wherein the -NH2 side chain group is functionalized by one of the groups selected from 3-(3-octadecanoylamino-propionyl-amino)-propionyl-, 4- hexadecanoylamino-butyryl-, 4-{3-[(R)-2,5,7,8-tetramethyl-2-((4R,8R)-4,8,12- trimethyl-tridecyl)-chroman-6-yloxycarbonyl]-propionylamino}-butyryl-, 4- octadecanoylamino-butyryl-, 4-((Z)-octadec-9-enoylamino)-butyryl-, hexadecanoyl-, (S)-4-carboxy-4-((Z)-octadec-9-enoylamino)-butyryl-, (S)-4-carboxy-4-(4-dodecyloxy- benzoylamino)-butyryl-, (S)-4-carboxy-4-henicosanoylamino-butyryl-, (S)-4-carboxy- 4-docosanoylamino-butyryl-, (S)-4-carboxy-4-((Z)-nonadec-10-enoylamino)-butyryl-, (S)-4-carboxy-4-(4-decyloxy-benzoylamino)-butyryl-, (S)-4-carboxy-4-[(4'-octyloxy- biphenyl-4-carbonyl)-amino]-butyryl-, (S)-4-carboxy-4-(12-phenyl-dodecanoylamino)- butyryl-, (S)-4-carboxy-4-((S)-4-carboxy-4-hexadecanoylamino-butyrylamino)- butyryl-, (S)-4-carboxy-4-((S)-4-carboxy-4-octadecanoylamino-butyrylamino)-butyryl- (S)-4-carboxy-4-{3-[(R)-2,5,7,8-tetramethyl-2-((4R,8R)-4,8,12-trimethyl-tridecyl)- chroman-6-yloxycarbonyl]-propionylamino}-butyryl-, (S)-4-carboxy-4-((9Z,12Z)- octadeca-9,12-dienoylamino)-butyryl-, (S)-4-carboxy-4-octadecanoylamino-butyryl- and (S)-4-carboxy-4-hexadecanoylamino-butyryl-,
X15 represents Glu,
X16 represents Ser,
X17 represents an amino acid residue selected from Arg, Gin and Lys,
X18 represents Ala,
X20 represents Gin,
X21 represents Asp,
X28 represents Ala,
X29 represents Gly,
X35 represents Ala,
X39 is Ser
X40 is absent.
The compound of any one of claims 1 - 10, wherein
X2 represents Aib,
X3 represents Gin,
X14 represents Lys, wherein the -NH2 side chain group is functionalized, particularly by (S)-4-Carboxy-4-hexadecanoylamino-butyryl- and (S)-4-Carboxy-4- octadecanoylamino-butyryl-; X15 represents an amino acid residue selected from Asp and Glu,
X16 represents an amino acid residue selected from Ser and Glu,
X17 represents an amino acid residue selected from Gin and Lys,
X18 represents Ala,
X20 represents an amino acid residue selected from Gin and Lys,
X21 represents an amino acid residue selected from Asp and Leu,
X28 represents Ala,
X29 represents an amino acid residue selected from Gly and D-Ala,
X35 represents Ala,
X39 is Ser,
X40 is absent.
12. A compound of any one of claims 1 - 1 1 , wherein
X2 represents D-Ser,
X3 represents Gin,
X14 represents Lys, wherein the -NH2 side chain group is functionalized, particularly by (S)-4-carboxy-4-hexadecanoylamino-butyryl- or hexadecanoyl-;
X15 represents an amino acid residue selected from Glu and Asp,
X16 represents an amino acid residue selected from Ser and Glu,
X17 represents an amino acid residue selected from Arg, Glu, Lys and Aib,
X18 represents an amino acid residue selected from Arg, Lys and Ala,
X20 represents an amino acid residue selected from Gin, Lys and Aib,
X21 represents an amino acid residue selected from Asp and Leu,
X28 represents an amino acid residue selected from Ala and Asn,
X29 represents Gly,
X35 represents Ala,
X39 is Ser,
X40 is absent. 13. A compound of any one of claims 1 - 12, wherein
X2 represents an amino acid residue selected from Aib and D-Ser;
X3 represents an amino acid residue selected from Gin and His;
X14 represents Lys, wherein the -NH2 side chain group is functionalized by one of the groups selected from (S)-4-Carboxy-4-hexadecanoylamino-butyryl-, (S)-4- Carboxy-4-octadecanoylamino-butyryl-, (S)-4-Carboxy-4-((S)-4-carboxy-4- hexadecanoylamino-butyrylamino)-butyryl- (S)-4-Carboxy-4-((S)-4-carboxy-4- octadecanoylamino-butyrylannino)-butyryl-, 3-(3-Octadecanoylamino-propionyla- mino)-propionyl-, 3-(3-Hexadecanoylamino-propionyla-nnino)-propionyl-, (S)-4- Carboxy-4-henicosanoylamino-butyryl-, 4-Hexadecanoylamino-butyryl- and 4- octadecanoylamino-butyryl-,
X15 represents an amino acid residue selected from Asp and Glu;
X16 represents an amino acid residue selected from Ser and Glu;
X17 represents an amino acid residue selected from Arg, Gin, Lys, Aib and Leu;
X18 represents an amino acid residue selected from Arg and Ala;
X20 represents an amino acid residue selected from Gin, Aib and Lys;
X21 represents an amino acid residue selected from Asp, Glu and Lys;
X28 represents an amino acid residue selected from Asn, Ser, Aib, Ala and Arg;
X29 represents an amino acid residue selected from Gly, Thr, Ala and D-Ala;
X35 represents Ala;
X39 represents Ser and
X40 is absent.
A compound of any one of claims 1 - 13, wherein
the functionalized Lys in position 14 is functionalized at its ε-amino group with -C(O)- R5, and-C(O)-R5 is (S)-4-carboxy-4-hexadecanoyl-amino-butyryl, (S)-4-carboxy-4- octadecanoylamino-butyryl, hexadecanoyl or octadecanoyl.
A compound of claim 14, wherein
X2 represents an amino acid residue selected from Aib and D-Ser;
X3 represents Gin;
X14 represents Lys, wherein the -NH2 side chain group is functionalized by one of the groups selected from (S)-4-carboxy-4-hexadecanoyl-amino-butyryl, (S)-4- carboxy-4-octadecanoylamino-butyryl, hexadecanoyl and octadecanoyl;
X15 represents Glu;
X16 represents Ser;
X17 represents an amino acid residue selected from Arg, Gin and Lys;
X18 represents Ala; X20 represents Gin;
X21 represents Asp;
X28 represents Ala;
X29 represents Gly;
X35 represents Ala;
X39 represents Ser and
X40 is absent.
The compound of any one of claims 1 - 15, wherein
X2 represents Aib,
X3 represents Gin,
X14 represents Lys, wherein the -NH2 side chain group is functionalized, particularly by (S)-4-Carboxy-4-henicosanoylamino-butyryl- and (S)-4-Carboxy-4- octadecanoylamino-butyryl-;
X15 represents Asp,
X16 represents an amino acid residue selected from Lys and Glu,
X17 represents an amino acid residue selected from Arg and Glu,
X18 represents an amino acid residue selected from Ala and Arg,
X20 represents an amino acid residue selected from Gin and Lys,
X21 represents an amino acid residue selected from Asp and Leu,
X28 represents Ala,
X29 represents an amino acid residue selected from Gly and D-Ala
X35 represents Ala,
X39 is Ser,
X40 is absent.
17. The compound of any one of claims 1 -16, selected from the compounds of SEQ ID NO. 4-181 , or a salt or solvate thereof. 18. The compound of any one of claims 1 -16, selected from the compounds of SEQ ID NO. 4-181 , 196-223, 226-229 or a salt or solvate thereof.
19. Compound according to any one of claims 1 -18, which has a high solubility at acidic pH values, e.g. at pH 4.5 at 25°C, and/or at physiological pH values, e.g., at pH 7.4 at 25°C, wherein the solubility at said pH value and/or pH values is particularly at least 0.5 mg/ml, or at least 1 .0 mg/ml.
The compound of any one of claims 1 -19 for use in medicine, particularly in human medicine.
The compound for use according to claim 20 which is present as an active agent in a pharmaceutical composition together with at least one pharmaceutically acceptable carrier.
The compound for use according to claim 20 or 21 together with at least one additional therapeutically active agent, wherein the additional therapeutically active agent is selected from the series of Insulin and Insulin derivatives, GLP-1 , GLP-1 analogues and GLP-1 receptor agonists, polymer bound GLP-1 and GLP-1 analogues, dual GLP1/GIP agonists, PYY3-36 or analogues thereof, pancreatic polypeptide or analogues thereof, Glucagon receptor agonists, GIP receptor agonists or antagonists, ghrelin antagonists or inverse agonists, Xenin and analogues thereof, DDP-IV inhibitors, SGLT2 inhibitors, dual SGLT2 / SGLT1 inhibitors, Biguanides Thiazolidinediones, dual PPAR agonists, Sulfonylureas, Meglitinides, alpha-glucosidase inhibitors, Amylin and Amylin analogues, GPR1 19 agonists, GPR40 agonists, GPR120 agonists, GPR142 agonists, systemic or low- absorbable TGR5 agonists, Cycloset, inhibitors of 1 1 -beta-HSD, activators of glucokinase, inhibitors of DGAT, inhibitors of protein tyrosinephosphatase 1 , inhibitors of glucose-6-phosphatase, inhibitors of fructose-1 ,6-bisphosphatase, inhibitors of glycogen phosphorylase, inhibitors of phosphoenol pyruvate carboxykinase, inhibitors of glycogen synthase kinase, inhibitors of pyruvate dehydrogenase kinase, alpha2-antagonists, CCR-2 antagonists, modulators of glucose transporter-4, Somatostatin receptor 3 agonists, HMG-CoA-reductase inhibitors, fibrates, nicotinic acid and the derivatives thereof, nicotinic acid receptor 1 agonists, PPAR-alpha, gamma or alpha/gamma) agonists or modulators, PPAR- delta agonists, ACAT inhibitors, cholesterol absorption inhibitors, bile acid-binding substances, IBAT inhibitors, MTP inhibitors, modulators of PCSK9, LDL receptor up- regulators by liver selective thyroid hormone receptor β agonists, HDL-raising compounds, lipid metabolism modulators, PLA2 inhibitors , ApoA-l enhancers, thyroid hormone receptor agonists, cholesterol synthesis inhibitors, omega-3 fatty acids and derivatives thereof, active substances for the treatment of obesity, such as Sibutramine, Tesofensine, Orlistat, CB-1 receptor antagonists, MCH-1 antagonists, MC4 receptor agonists and partial agonists, NPY5 or NPY2 antagonists, NPY4 agonists, beta-3-agonists, leptin or leptin mimetics, agonists of the 5HT2c receptor, or the combinations of bupropione/naltrexone (CONTRAVE), bupropione/zonisamide (EMPATIC), bupropione/phentermine or pramlintide/metreleptin, QNEXA (Phentermine+ topiramate), lipase inhibitors, angiogenesis inhibitors, H3 antagonists, AgRP inhibitors, triple monoamine uptake inhibitors (norepinephrine and acetylcholine), MetAP2 inhibitors, nasal formulation of the calcium channel blocker diltiazem, antisense against production of fibroblast growth factor receptor 4, prohibitin targeting peptide-1 , drugs for influencing high blood pressure, chronic heart failure or atherosclerosis, such as angiotensin II receptor antagonists, ACE inhibitors, ECE inhibitors, diuretics, beta-blockers, calcium antagonists, centrally acting hypertensives, antagonists of the alpha-2- adrenergic receptor, inhibitors of neutral endopeptidase, thrombocyte aggregation inhibitors.
The compound for use according to claim 20 or 21 together with at least one additional therapeutically active agent, wherein the additional therapeutically active agent particularly is a GLP-1 compound and/or an insulinic compound and/or a gastrointestinal peptide.
The compound for use according to claim 20 or 21 together with at least one additional therapeutically active agent, wherein the additional therapeutically active agent particularly is insulin or an insulin derivative.
The compound for use according to claim 20 or 21 , wherein the pharmaceutical composition is for parenteral administration, preferably in a single dose injectable form, particularly in the form of a pen.
The compound for use according to any one of claims 20 - 25 for the treatment or prevention of hyperglycemia, type 2 diabetes, impaired glucose tolerance, type 1 diabetes, obesity, metabolic syndrome and neurodegenerative disorders, particularly for delaying or preventing disease progression in type 2 diabetes, treating metabolic syndrome, treating obesity or preventing overweight, for decreasing food intake, increase energy expenditure, reducing body weight, delaying the progression from impaired glucose tolerance (IGT) to type 2 diabetes; delaying the progression from type 2 diabetes to insulin-requiring diabetes; regulating appetite; inducing satiety; preventing weight regain after successful weight loss; treating a disease or state related to overweight or obesity; treating bulimia; treating binge eating; treating atherosclerosis, hypertension, IGT, dyslipidemia, coronary heart disease, hepatic steatosis, treatment of beta-blocker poisoning, use for inhibition of the motility of the gastro-intestinal tract, useful in connection with investigations of the gastro-intestinal tract using techniques such as X-ray, CT- and NMR-scanning.
The compound for use according to any one of claims 20 - 26 for the treatment or prevention of hyperglycemia, type 2 diabetes, obesity and metabolic syndrome or reducing body weight.
The compound for use according to any one of claims 20 - 26 for simultaneous treatment of obesity and diabetes.
PCT/EP2013/070882 2012-10-09 2013-10-08 Exendin-4 derivatives as dual glp1/glucagon agonists WO2014056872A1 (en)

Priority Applications (28)

Application Number Priority Date Filing Date Title
UAA201504488A UA116217C2 (en) 2012-10-09 2013-08-10 Exendin-4 derivatives as dual glp1/glucagon agonists
SG11201501770WA SG11201501770WA (en) 2012-10-09 2013-10-08 Exendin-4 derivatives as dual glp1/glucagon agonists
PL13773767T PL2906595T3 (en) 2012-10-09 2013-10-08 Exendin-4 derivatives as dual glp1/glucagon agonists
EA201590715A EA030023B1 (en) 2012-10-09 2013-10-08 Exendin-4 derivatives as dual glp1/glucagon agonists
CA2887272A CA2887272C (en) 2012-10-09 2013-10-08 Exendin-4 derivatives as dual glp1/glucagon agonists
NO13773767A NO2906595T3 (en) 2012-10-09 2013-10-08
CN201380064117.XA CN104837864B (en) 2012-10-09 2013-10-08 Exendin-4 derivative as GLP1/ glucagon dual agonists
EP13773767.2A EP2906595B1 (en) 2012-10-09 2013-10-08 Exendin-4 derivatives as dual glp1/glucagon agonists
JP2015535054A JP6373270B2 (en) 2012-10-09 2013-10-08 Exendin-4 derivatives as dual GLP1 / glucagon agonists
BR112015007685A BR112015007685A2 (en) 2012-10-09 2013-10-08 exendin-4 derivatives as double glp1 / glucagon agonists
KR1020157010088A KR102179751B1 (en) 2012-10-09 2013-10-08 Exendin-4 derivatives as dual glp1/glucagon agonists
DK13773767.2T DK2906595T3 (en) 2012-10-09 2013-10-08 EXENDIN-4 DERIVATIVES AS GLP1 / GLUCAGON DOUBLE TAGONISTS
ES13773767.2T ES2647418T3 (en) 2012-10-09 2013-10-08 Derivatives of exendin-4 as double agonists of GLP1 / glucagon
MA38066A MA38066B1 (en) 2012-10-09 2013-10-08 Exendin-4 derivatives used as double glp1 / glucagon agonists
RS20171151A RS56515B1 (en) 2012-10-09 2013-10-08 Exendin-4 derivatives as dual glp1/glucagon agonists
NZ706898A NZ706898A (en) 2012-10-09 2013-10-08 Exendin-4 derivatives as dual glp1/glucagon agonists
MX2015004531A MX359533B (en) 2012-10-09 2013-10-08 Exendin-4 derivatives as dual glp1/glucagon agonists.
LTEP13773767.2T LT2906595T (en) 2012-10-09 2013-10-08 Exendin-4 derivatives as dual glp1/glucagon agonists
AU2013328802A AU2013328802B2 (en) 2012-10-09 2013-10-08 Exendin-4 derivatives as dual GLP1/Glucagon agonists
SI201330838T SI2906595T1 (en) 2012-10-09 2013-10-08 Exendin-4 derivatives as dual glp1/glucagon agonists
IL237641A IL237641B (en) 2012-10-09 2015-03-09 Exendin-4 derivatives as dual glp1/glucagon agonists
ZA2015/01694A ZA201501694B (en) 2012-10-09 2015-03-11 Exendin-4 derivatives as dual glp1/glucagon agonists
TNP2015000101A TN2015000101A1 (en) 2012-10-09 2015-03-17 Exendin-4 derivatives as dual glp1/glucagon agonists
PH12015500688A PH12015500688A1 (en) 2012-10-09 2015-03-26 Exendin-4 derivatives as dual glp1/glucagon agonists
CR20150200A CR20150200A (en) 2012-10-09 2015-04-17 DERIVATIVES OF EXENDINA-4 AS DUAL AGONISTS OF GLP1 / GLUCACÓN
HK15110559.5A HK1209766A1 (en) 2012-10-09 2015-10-27 Exendin-4 derivatives as dual glp1/glucagon agonists glp1/-4
HRP20171726TT HRP20171726T1 (en) 2012-10-09 2017-11-10 Exendin-4 derivatives as dual glp1/glucagon agonists
CY20171101194T CY1119987T1 (en) 2012-10-09 2017-11-14 Exendin-4 Derivatives as GLP1 / Glucagon Binding Agents

Applications Claiming Priority (4)

Application Number Priority Date Filing Date Title
EP12306232 2012-10-09
EP12306232.5 2012-10-09
EP13305222.5 2013-02-27
EP13305222 2013-02-27

Publications (1)

Publication Number Publication Date
WO2014056872A1 true WO2014056872A1 (en) 2014-04-17

Family

ID=49304983

Family Applications (1)

Application Number Title Priority Date Filing Date
PCT/EP2013/070882 WO2014056872A1 (en) 2012-10-09 2013-10-08 Exendin-4 derivatives as dual glp1/glucagon agonists

Country Status (39)

Country Link
US (3) US9365632B2 (en)
EP (1) EP2906595B1 (en)
JP (1) JP6373270B2 (en)
KR (1) KR102179751B1 (en)
CN (1) CN104837864B (en)
AR (1) AR092925A1 (en)
AU (1) AU2013328802B2 (en)
BR (1) BR112015007685A2 (en)
CA (1) CA2887272C (en)
CL (2) CL2015000811A1 (en)
CR (1) CR20150200A (en)
CY (1) CY1119987T1 (en)
DK (1) DK2906595T3 (en)
DO (1) DOP2015000073A (en)
EA (1) EA030023B1 (en)
ES (1) ES2647418T3 (en)
GT (1) GT201500081A (en)
HK (1) HK1209766A1 (en)
HR (1) HRP20171726T1 (en)
HU (1) HUE037150T2 (en)
IL (1) IL237641B (en)
LT (1) LT2906595T (en)
MX (1) MX359533B (en)
MY (1) MY168749A (en)
NO (1) NO2906595T3 (en)
NZ (1) NZ706898A (en)
PE (1) PE20150900A1 (en)
PH (1) PH12015500688A1 (en)
PL (1) PL2906595T3 (en)
PT (1) PT2906595T (en)
RS (1) RS56515B1 (en)
SG (1) SG11201501770WA (en)
SI (1) SI2906595T1 (en)
TN (1) TN2015000101A1 (en)
TW (1) TWI613213B (en)
UA (1) UA116217C2 (en)
UY (1) UY35072A (en)
WO (1) WO2014056872A1 (en)
ZA (1) ZA201501694B (en)

Cited By (31)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO2015086733A1 (en) * 2013-12-13 2015-06-18 Sanofi Dual glp-1/glucagon receptor agonists
WO2016193371A1 (en) 2015-06-05 2016-12-08 Sanofi Prodrugs comprising an glp-1/glucagon dual agonist linker hyaluronic acid conjugate
WO2016198624A1 (en) 2015-06-12 2016-12-15 Sanofi Exendin-4 derivatives as trigonal glp-1/glucagon/gip receptor agonists
WO2016198628A1 (en) 2015-06-12 2016-12-15 Sanofi Non-acylated exendin-4 derivatives as dual glp-1/glucagon receptor agonists
US9670261B2 (en) 2012-12-21 2017-06-06 Sanofi Functionalized exendin-4 derivatives
US9751926B2 (en) 2013-12-13 2017-09-05 Sanofi Dual GLP-1/GIP receptor agonists
US9750788B2 (en) 2013-12-13 2017-09-05 Sanofi Non-acylated exendin-4 peptide analogues
US9758561B2 (en) 2014-04-07 2017-09-12 Sanofi Dual GLP-1/glucagon receptor agonists derived from exendin-4
US9771406B2 (en) 2014-04-07 2017-09-26 Sanofi Peptidic dual GLP-1/glucagon receptor agonists derived from exendin-4
US9775904B2 (en) 2014-04-07 2017-10-03 Sanofi Exendin-4 derivatives as peptidic dual GLP-1/glucagon receptor agonists
US9789165B2 (en) 2013-12-13 2017-10-17 Sanofi Exendin-4 peptide analogues as dual GLP-1/GIP receptor agonists
US9932381B2 (en) 2014-06-18 2018-04-03 Sanofi Exendin-4 derivatives as selective glucagon receptor agonists
WO2018069295A1 (en) 2016-10-10 2018-04-19 Sanofi Method of preparing peptides comprising a lipophilically modified lysine side chain
US9982029B2 (en) 2015-07-10 2018-05-29 Sanofi Exendin-4 derivatives as selective peptidic dual GLP-1/glucagon receptor agonists
WO2018100174A1 (en) 2016-12-02 2018-06-07 Sanofi Conjugates comprising an glp-1/glucagon dual agonist, a linker and hyaluronic acid
WO2018100134A1 (en) 2016-12-02 2018-06-07 Sanofi New compounds as peptidic trigonal glp1/glucagon/gip receptor agonists
WO2018100135A1 (en) 2016-12-02 2018-06-07 Sanofi New compounds as peptidic glp1/glucagon/gip receptor agonists
WO2018153849A1 (en) 2017-02-21 2018-08-30 Sanofi Azetidine compounds as gpr119 modulators for the treatment of diabetes, obesity, dyslipidemia and related disorders
WO2019030268A1 (en) 2017-08-09 2019-02-14 Sanofi Glp-1/glucagon receptor agonists in the treatment of fatty liver disease and steatohepatitis
WO2019122109A1 (en) 2017-12-21 2019-06-27 Sanofi Liquid pharmaceutical composition
WO2019229225A1 (en) 2018-05-30 2019-12-05 Sanofi Conjugates comprising an glp-1/glucagon/gip triple receptor agonist, a linker and hyaluronic acid
US10758592B2 (en) 2012-10-09 2020-09-01 Sanofi Exendin-4 derivatives as dual GLP1/glucagon agonists
US11028123B2 (en) 2018-04-10 2021-06-08 Sanofi-Aventis Deutschland Gmbh Capping of unprotected amino groups during peptide synthesis
WO2021175974A1 (en) 2020-03-06 2021-09-10 Sanofi Peptides as selective gip receptor agonists
WO2021214220A1 (en) 2020-04-24 2021-10-28 Boehringer Ingelheim International Gmbh Glucagon analogues as long-acting glp-1/glucagon receptor agonists in the treatment of fatty liver disease and steatohepatitis
US11242373B2 (en) 2018-04-05 2022-02-08 Sun Pharmaceutical Industries Limited GLP-1 analogues
WO2022133148A1 (en) * 2020-12-17 2022-06-23 Intarcia Therapeutics, Inc. Long acting glucagon like polypeptide-1 (glp-1) receptor agonists and methods of use
US11560402B2 (en) 2018-04-10 2023-01-24 Sanofi-Aventis Deutschland Gmbh Method for cleavage of solid phase-bound peptides from the solid phase
WO2023006923A1 (en) 2021-07-30 2023-02-02 Boehringer Ingelheim International Gmbh Dose regimen for long-acting glp1/glucagon receptor agonists
WO2023031455A1 (en) 2021-09-06 2023-03-09 Sanofi Sa New peptides as potent and selective gip receptor agonists
WO2024165571A2 (en) 2023-02-06 2024-08-15 E-Therapeutics Plc Inhibitors of expression and/or function

Families Citing this family (11)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US9255154B2 (en) 2012-05-08 2016-02-09 Alderbio Holdings, Llc Anti-PCSK9 antibodies and use thereof
TWI783244B (en) * 2015-06-22 2022-11-11 美商美國禮來大藥廠 Glucagon and glp-1 co-agonist compounds
TWI622596B (en) 2015-10-26 2018-05-01 美國禮來大藥廠 Glucagon receptor agonists
HUE053079T2 (en) * 2015-12-14 2021-06-28 Antaros Medical Ab Selective glucagon receptor agonists comprising a chelating moiety for imaging purposes
TWI829687B (en) 2018-05-07 2024-01-21 丹麥商諾佛 儂迪克股份有限公司 Solid compositions comprising a glp-1 agonist and a salt of n-(8-(2-hydroxybenzoyl)amino)caprylic acid
CN110452952B (en) * 2018-05-08 2024-01-16 宜昌东阳光长江药业股份有限公司 Method for detecting bioactivity of GLP-1 analogue
KR102282240B1 (en) 2018-12-06 2021-07-28 경상국립대학교산학협력단 A Long-acting Exendin-4 and Use of There
CN115380043A (en) * 2019-08-13 2022-11-22 安医健有限公司 Exenatide analogue and application thereof
US20240238374A1 (en) * 2021-05-20 2024-07-18 Energesis Pharmaceuticals, Inc. Methods and compositions for inducing brown adipogenesis
CN116606367A (en) * 2022-05-31 2023-08-18 南京盛德瑞尔医药科技有限公司 Long-acting Exendin-9-39 and application thereof in treatment of hypoglycemia and medicament for treating hypoglycemia
WO2023240031A1 (en) * 2022-06-07 2023-12-14 9 Meters Biopharma, Inc. Compositions and methods for treating postural tachycardia syndrome

Citations (22)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO2004035623A2 (en) 2002-10-02 2004-04-29 Zealand Pharma A/S Stabilized exendin-4 compounds
WO2006134340A2 (en) 2005-06-13 2006-12-21 Imperial Innovations Limited Oxyntomodulin analogues and their effects on feeding behaviour
WO2007139941A2 (en) * 2006-05-26 2007-12-06 Amylin Pharmaceuticals, Inc. Composition and methods for treatment of congestive heart failure
WO2008071972A1 (en) 2006-12-13 2008-06-19 Imperial Innovations Limited Novel compounds and their effects on feeding behaviour
WO2008081418A1 (en) * 2007-01-05 2008-07-10 Covx Technologies Ireland Limited Glucagon-like protein-1 receptor (glp-1r) agonist compounds
WO2008101017A2 (en) 2007-02-15 2008-08-21 Indiana Unversity Research And Technology Corporation Glucagon/glp-1 receptor co-agonists
WO2008152403A1 (en) 2007-06-15 2008-12-18 Zealand Pharma A/S Glucagon analogues
WO2009155258A2 (en) 2008-06-17 2009-12-23 Indiana University Research And Technology Corporation Glucagon/glp-1 receptor co-agonists
WO2010070252A1 (en) 2008-12-15 2010-06-24 Zealand Pharma A/S Glucagon analogues
WO2010070253A1 (en) 2008-12-15 2010-06-24 Zealand Pharma A/S Glucagon analogues
WO2010070255A1 (en) 2008-12-15 2010-06-24 Zealand Pharma A/S Glucagon analogues
WO2010070251A1 (en) 2008-12-15 2010-06-24 Zealand Pharma A/S Glucagon analogues
WO2010096142A1 (en) 2009-02-19 2010-08-26 Merck Sharp & Dohme, Corp. Oxyntomodulin analogs
WO2011006497A1 (en) 2009-07-13 2011-01-20 Zealand Pharma A/S Acylated glucagon analogues
WO2011024110A2 (en) * 2009-08-27 2011-03-03 Rinat Neuroscience Corporation Glucagon-like peptide-1 receptor (glp-1r) agonists for treating autoimmune disorders
WO2011075393A2 (en) 2009-12-18 2011-06-23 Indiana University Research And Technology Corporation Glucagon/glp-1 receptor co-agonists
WO2011117416A1 (en) 2010-03-26 2011-09-29 Novo Nordisk A/S Novel glucagon analogues
EP2387989A2 (en) 2010-05-19 2011-11-23 Sanofi Long - acting formulations of insulins
WO2011152181A1 (en) 2010-06-01 2011-12-08 本田技研工業株式会社 Controller for dc/dc converter
WO2011152182A1 (en) 2010-05-31 2011-12-08 株式会社ジェイテクト Method for manufacturing a coated member
WO2011160630A2 (en) 2010-06-23 2011-12-29 Zealand Pharma A/S Glucagon analogues
WO2012088116A2 (en) 2010-12-22 2012-06-28 Indiana University Research And Technology Corporation Glucagon analogs exhibiting gip receptor activity

Family Cites Families (413)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US6284727B1 (en) 1993-04-07 2001-09-04 Scios, Inc. Prolonged delivery of peptides
NZ250844A (en) 1993-04-07 1996-03-26 Pfizer Treatment of non-insulin dependant diabetes with peptides; composition
US5424286A (en) 1993-05-24 1995-06-13 Eng; John Exendin-3 and exendin-4 polypeptides, and pharmaceutical compositions comprising same
US5641757A (en) 1994-12-21 1997-06-24 Ortho Pharmaceutical Corporation Stable 2-chloro-2'-deoxyadenosine formulations
ES2359031T3 (en) 1996-08-08 2011-05-17 Amylin Pharmaceuticals, Inc. PHARMACEUTICAL COMPOSITION THAT INCLUDES AN EXENDIN-4 PEPTIDE.
US6458924B2 (en) 1996-08-30 2002-10-01 Novo Nordisk A/S Derivatives of GLP-1 analogs
DE122009000079I2 (en) 1996-08-30 2011-06-16 Novo Nordisk As Novo Alle GLP-1 DERIVATIVES
JP4798814B2 (en) 1997-01-07 2011-10-19 アミリン・ファーマシューティカルズ,インコーポレイテッド Use of exendin and its agonists to reduce food intake
US6410511B2 (en) 1997-01-08 2002-06-25 Amylin Pharmaceuticals, Inc. Formulations for amylin agonist peptides
US7312196B2 (en) 1997-01-08 2007-12-25 Amylin Pharmaceuticals, Inc. Formulations for amylin agonist peptides
US6723530B1 (en) 1997-02-05 2004-04-20 Amylin Pharmaceuticals, Inc. Polynucleotides encoding proexendin, and methods and uses thereof
DK1019077T4 (en) 1997-08-08 2011-03-07 Amylin Pharmaceuticals Inc New exendin agonist compounds
US7157555B1 (en) 1997-08-08 2007-01-02 Amylin Pharmaceuticals, Inc. Exendin agonist compounds
US7220721B1 (en) 1997-11-14 2007-05-22 Amylin Pharmaceuticals, Inc. Exendin agonist peptides
ATE381939T1 (en) 1997-11-14 2008-01-15 Amylin Pharmaceuticals Inc NOVEL EXENDIN AGONISTS
US7223725B1 (en) 1997-11-14 2007-05-29 Amylin Pharmaceuticals, Inc. Exendin agonist compounds
DK1032587T4 (en) 1997-11-14 2013-04-08 Amylin Pharmaceuticals Llc New exendin agonist compounds
WO1999034822A1 (en) 1998-01-09 1999-07-15 Amylin Pharmaceuticals, Inc. Formulations for amylin agonist peptides
US6703359B1 (en) 1998-02-13 2004-03-09 Amylin Pharmaceuticals, Inc. Inotropic and diuretic effects of exendin and GLP-1
EP1056775B1 (en) 1998-02-27 2010-04-28 Novo Nordisk A/S Glp-1 derivatives of glp-1 and exendin with protracted profile of action
CA2321026A1 (en) 1998-03-09 1999-09-16 Zealand Pharmaceuticals A/S Pharmacologically active peptide conjugates having a reduced tendency towards enzymatic hydrolysis
WO1999047160A1 (en) 1998-03-13 1999-09-23 Novo Nordisk A/S Stabilized aqueous peptide solutions
US6998387B1 (en) 1998-03-19 2006-02-14 Amylin Pharmaceuticals, Inc. Human appetite control by glucagon-like peptide receptor binding compounds
TR200100079T2 (en) 1998-06-12 2001-06-21 Bionebraska, Inc. Glucagon-like peptide-1, which increases the ß-cell response to glucose
US7056734B1 (en) 1998-08-10 2006-06-06 The United States Of America As Represented By The Department Of Health And Human Services, Nih Differentiation of non-insulin producing cells into insulin producing cells by GLP-1 or exendin-4 and uses thereof
CA2343268A1 (en) 1998-09-17 2000-03-23 Eli Lilly And Company Protein formulations
US6429197B1 (en) 1998-10-08 2002-08-06 Bionebraska, Inc. Metabolic intervention with GLP-1 or its biologically active analogues to improve the function of the ischemic and reperfused brain
US7259136B2 (en) 1999-04-30 2007-08-21 Amylin Pharmaceuticals, Inc. Compositions and methods for treating peripheral vascular disease
US6284725B1 (en) 1998-10-08 2001-09-04 Bionebraska, Inc. Metabolic intervention with GLP-1 to improve the function of ischemic and reperfused tissue
CA2358107C (en) 1998-12-22 2011-08-23 Eli Lilly And Company Shelf-stable formulation of glucagon-like peptide-1
EP1140145B2 (en) 1999-01-14 2019-05-15 Amylin Pharmaceuticals, LLC Novel exendin agonist formulations and methods of administration thereof
US20030087820A1 (en) 1999-01-14 2003-05-08 Young Andrew A. Novel exendin agonist formulations and methods of administration thereof
US7399489B2 (en) 1999-01-14 2008-07-15 Amylin Pharmaceuticals, Inc. Exendin analog formulations
WO2000041548A2 (en) 1999-01-14 2000-07-20 Amylin Pharmaceuticals, Inc. Methods for glucagon suppression
US6451974B1 (en) 1999-03-17 2002-09-17 Novo Nordisk A/S Method of acylating peptides and novel acylating agents
CN1344248A (en) 1999-03-17 2002-04-10 诺沃挪第克公司 Method for acylating peptides and novel acylating agents
US6924264B1 (en) 1999-04-30 2005-08-02 Amylin Pharmaceuticals, Inc. Modified exendins and exendin agonists
EP1175443A1 (en) 1999-04-30 2002-01-30 Amylin Pharmaceuticals, Inc. Modified exendins and exendin agonists
US6514500B1 (en) 1999-10-15 2003-02-04 Conjuchem, Inc. Long lasting synthetic glucagon like peptide {GLP-!}
ES2209885T3 (en) 1999-05-17 2004-07-01 Conjuchem, Inc. LONG-TERM INSULINOTROPIC PEPTIDES.
US6887470B1 (en) 1999-09-10 2005-05-03 Conjuchem, Inc. Protection of endogenous therapeutic peptides from peptidase activity through conjugation to blood components
US6849714B1 (en) 1999-05-17 2005-02-01 Conjuchem, Inc. Protection of endogenous therapeutic peptides from peptidase activity through conjugation to blood components
US6482799B1 (en) 1999-05-25 2002-11-19 The Regents Of The University Of California Self-preserving multipurpose ophthalmic solutions incorporating a polypeptide antimicrobial
US6506724B1 (en) 1999-06-01 2003-01-14 Amylin Pharmaceuticals, Inc. Use of exendins and agonists thereof for the treatment of gestational diabetes mellitus
US6344180B1 (en) 1999-06-15 2002-02-05 Bionebraska, Inc. GLP-1 as a diagnostic test to determine β-cell function and the presence of the condition of IGT and type II diabetes
US6528486B1 (en) 1999-07-12 2003-03-04 Zealand Pharma A/S Peptide agonists of GLP-1 activity
US6972319B1 (en) 1999-09-28 2005-12-06 Bayer Pharmaceuticals Corporation Pituitary adenylate cyclase activating peptide (PACAP)receptor 3 (R3) agonists and their pharmacological methods of use
GB9930882D0 (en) 1999-12-30 2000-02-23 Nps Allelix Corp GLP-2 formulations
CA2396157A1 (en) 2000-01-10 2001-07-19 Amylin Pharmaceuticals, Inc. Use of exendins and agonists thereof for modulation of triglyceride levels and treatment of dyslipidemia
AU2001252201A1 (en) 2000-03-14 2001-09-24 Amylin Pharmaceuticals, Inc. Effects of glucagon-like peptide-1 (7-36) on antro-pyloro-duodenal motility
CA2380423A1 (en) 2000-05-17 2001-11-22 Bionebraska, Inc. Peptide pharmaceutical formulations
KR100518046B1 (en) 2000-05-19 2005-10-04 아밀린 파마슈티칼스, 인크. Treatment of acute coronary syndrome with glp-1
WO2002016309A1 (en) 2000-08-18 2002-02-28 Emisphere Technologies, Inc. Compounds and compositions for delivering active agents
US7507714B2 (en) 2000-09-27 2009-03-24 Bayer Corporation Pituitary adenylate cyclase activating peptide (PACAP) receptor 3 (R3) agonists and their pharmacological methods of use
WO2002034285A2 (en) 2000-10-20 2002-05-02 Coolidge Thomas R Treatment of hibernating myocardium and diabetic cardiomyopathy with a glp-1 peptide
CZ306180B6 (en) 2000-12-07 2016-09-14 Eli Lilly And Company GLP-1 fusion proteins
WO2002047716A2 (en) 2000-12-13 2002-06-20 Eli Lilly And Company Chronic treatment regimen using glucagon-like insulinotropic peptides
GB2371227A (en) 2001-01-10 2002-07-24 Grandis Biotech Gmbh Crystallisation - resistant aqueous growth hormone formulations
US6573237B2 (en) 2001-03-16 2003-06-03 Eli Lilly And Company Protein formulations
CN1162446C (en) 2001-05-10 2004-08-18 上海华谊生物技术有限公司 Insulinotropic hormone secretion peptide derivative
AU2002308706A1 (en) 2001-06-01 2002-12-16 Eli Lilly And Company Glp-1 formulations with protracted time action
US20030119734A1 (en) 2001-06-28 2003-06-26 Flink James M. Stable formulation of modified GLP-1
ATE421091T1 (en) 2001-07-16 2009-01-15 Caprotec Bioanalytics Gmbh CAUGHT COMPOUNDS, THEIR COLLECTION AND METHODS FOR ANALYZING THE PROTEOME AND COMPLEX COMPOSITIONS
DE60228972D1 (en) 2001-07-31 2008-10-30 Us Gov Health & Human Serv GLP 1 EXENDIN 4 PEPTIDE ANALOG AND THEIR USES
WO2003020201A2 (en) 2001-08-28 2003-03-13 Eli Lilly And Company Pre-mixes of glp-1 and basal insulin
US7179788B2 (en) 2001-10-19 2007-02-20 Eli Lilly And Company Biphasic mixtures of GLP-1 and insulin
EP2261250B1 (en) 2001-12-21 2015-07-01 Human Genome Sciences, Inc. GCSF-Albumin fusion proteins
AU2002364587A1 (en) 2001-12-21 2003-07-30 Human Genome Sciences, Inc. Albumin fusion proteins
US7105489B2 (en) 2002-01-22 2006-09-12 Amylin Pharmaceuticals, Inc. Methods and compositions for treating polycystic ovary syndrome
NZ534125A (en) 2002-02-20 2006-11-30 Emisphere Tech Inc A formulation comprising a GLP-1 compound and a delivery agent
ATE402716T1 (en) 2002-02-27 2008-08-15 Immunex Corp STABILIZED TNFR-FC FORMULATION WITH ARGININE
ATE421088T1 (en) 2002-03-11 2009-01-15 Caprotec Bioanalytics Gmbh COMPOUNDS AND METHODS FOR ANALYZING THE PROTEOME
US7141240B2 (en) 2002-03-12 2006-11-28 Cedars-Sinai Medical Center Glucose-dependent insulin-secreting cells transfected with a nucleotide sequence encoding GLP-1
WO2003084563A1 (en) 2002-04-04 2003-10-16 Novo Nordisk A/S Glp-1 agonist and cardiovascular complications
MXPA04009929A (en) 2002-04-10 2006-03-10 Lilly Co Eli Treatment of gastroparesis.
US6861236B2 (en) 2002-05-24 2005-03-01 Applied Nanosystems B.V. Export and modification of (poly)peptides in the lantibiotic way
AU2003232172A1 (en) 2002-06-14 2003-12-31 Novo Nordisk A/S Combined use of a modulator of cd3 and a glp-1 compound
US20040037826A1 (en) 2002-06-14 2004-02-26 Michelsen Birgitte Koch Combined use of a modulator of CD3 and a GLP-1 compound
DE10227232A1 (en) 2002-06-18 2004-01-15 Aventis Pharma Deutschland Gmbh Sour insulin preparations with improved stability
WO2004005342A1 (en) 2002-07-04 2004-01-15 Zealand Pharma A/S Glp-1 and methods for treating diabetes
CN1668332A (en) 2002-07-09 2005-09-14 桑多斯股份公司 Liquid formulations with a high concentration of human growth hormone (HGH) comprising glycine
US20070065469A1 (en) 2002-07-09 2007-03-22 Michael Betz Liquid formulations with high concentration of human growth hormone (high) comprising glycine
JP4828940B2 (en) 2002-08-01 2011-11-30 マンカインド コーポレイション Cell transport compositions and uses thereof
US20040038865A1 (en) 2002-08-01 2004-02-26 Mannkind Corporation Cell transport compositions and uses thereof
US20080260838A1 (en) 2003-08-01 2008-10-23 Mannkind Corporation Glucagon-like peptide 1 (glp-1) pharmaceutical formulations
CA2496249C (en) 2002-08-21 2012-01-24 Boehringer Ingelheim Pharma Gmbh & Co. Kg 8-[3-amino-piperidin-1-yl]-xanthines, the production thereof and the use of the same as medicaments
US7407955B2 (en) 2002-08-21 2008-08-05 Boehringer Ingelheim Pharma Gmbh & Co., Kg 8-[3-amino-piperidin-1-yl]-xanthines, the preparation thereof and their use as pharmaceutical compositions
US6969702B2 (en) 2002-11-20 2005-11-29 Neuronova Ab Compounds and methods for increasing neurogenesis
US20050209142A1 (en) 2002-11-20 2005-09-22 Goran Bertilsson Compounds and methods for increasing neurogenesis
EP1583541B1 (en) 2002-11-20 2011-01-12 NeuroNova AB Compounds and methods for increasing neurogenesis
US20040209803A1 (en) 2002-12-19 2004-10-21 Alain Baron Compositions for the treatment and prevention of nephropathy
AU2003297356A1 (en) 2002-12-17 2004-07-14 Amylin Pharmaceuticals, Inc. Prevention and treatment of cardiac arrhythmias
US7790681B2 (en) 2002-12-17 2010-09-07 Amylin Pharmaceuticals, Inc. Treatment of cardiac arrhythmias with GLP-1 receptor ligands
GB0300571D0 (en) 2003-01-10 2003-02-12 Imp College Innovations Ltd Modification of feeding behaviour
WO2004089280A2 (en) 2003-04-08 2004-10-21 Yeda Research And Development Co. Ltd. Reversible pegylated drugs
WO2004089985A1 (en) 2003-04-11 2004-10-21 Novo Nordisk A/S Stable pharmaceutical compositions
ATE549028T1 (en) 2003-05-15 2012-03-15 Tufts College STABLE ANALOGUES OF GLP-1
MXPA05007628A (en) 2003-05-23 2005-10-19 Nektar Therapeutics Al Corp Polymer derivatives having particular atom arrangements.
US7947261B2 (en) 2003-05-23 2011-05-24 Nektar Therapeutics Conjugates formed from polymer derivatives having particular atom arrangements
EP1631308B1 (en) 2003-05-30 2013-07-31 Amylin Pharmaceuticals, LLC Novel methods and compositions for enhanced transmucosal delivery of peptides and proteins
CA2527743A1 (en) 2003-06-03 2004-12-09 Novo Nordisk A/S Stabilized pharmaceutical peptide compositions
CN1812808B (en) 2003-06-03 2012-07-04 诺沃挪第克公司 Stabilized pharmaceutical peptide compositions
CN102940879B (en) 2003-06-03 2017-06-06 诺沃挪第克公司 Stabilized pharmaceutical peptide compositions
WO2004105790A1 (en) 2003-06-03 2004-12-09 Novo Nordisk A/S Stabilized pharmaceutical peptide compositions
US8921311B2 (en) 2003-08-01 2014-12-30 Mannkind Corporation Method for treating hyperglycemia
PL2107069T3 (en) 2003-08-05 2013-06-28 Novo Nordisk As Novel insulin derivatives
CA2532340A1 (en) 2003-08-21 2005-03-03 Novo Nordisk A/S Separation of polypeptides comprising a racemized amino acid
JP5518282B2 (en) 2003-09-01 2014-06-11 ノヴォ ノルディスク アー/エス Stable peptide formulation
US20060247167A1 (en) 2003-09-01 2006-11-02 Novo Nordisk A/S Stable formulations of peptides
EP1667724A2 (en) 2003-09-19 2006-06-14 Novo Nordisk A/S Albumin-binding derivatives of therapeutic peptides
US20060287221A1 (en) 2003-11-13 2006-12-21 Novo Nordisk A/S Soluble pharmaceutical compositions for parenteral administration comprising a GLP-1 peptide and an insulin peptide of short time action for treatment of diabetes and bulimia
ATE525083T1 (en) 2003-11-13 2011-10-15 Novo Nordisk As PHARMACEUTICAL COMPOSITION COMPRISING AN INSULINOTROPIC GLP-1(7-37) ANALOG, ASP(B28) INSULIN, AND A SURFACE-ACTIVE COMPOUND
US20050106214A1 (en) 2003-11-14 2005-05-19 Guohua Chen Excipients in drug delivery vehicles
US20050281879A1 (en) 2003-11-14 2005-12-22 Guohua Chen Excipients in drug delivery vehicles
KR101243648B1 (en) 2003-11-20 2013-03-14 노보 노르디스크 에이/에스 Propylene glycol-containing peptide formulations which are optimal for production and for use in injection devices
CA2546843C (en) 2003-11-20 2015-01-06 Neuronova Ab Compounds and methods for increasing neurogenesis
CN102816228A (en) 2003-12-03 2012-12-12 诺和诺德公司 Single-chain insulin
JP2007513965A (en) 2003-12-10 2007-05-31 ネクター セラピューティクス アラバマ,コーポレイション Composition comprising two populations of polymer-active agent complex
US20060210614A1 (en) 2003-12-26 2006-09-21 Nastech Pharmaceutical Company Inc. Method of treatment of a metabolic disease using intranasal administration of exendin peptide
US20050143303A1 (en) 2003-12-26 2005-06-30 Nastech Pharmaceutical Company Inc. Intranasal administration of glucose-regulating peptides
CN1938334A (en) 2004-01-30 2007-03-28 瓦拉塔药品公司 Combined use of a GLP-1 agonist and gastrin compounds
WO2005077072A2 (en) 2004-02-11 2005-08-25 Amylin Pharmaceuticals, Inc. Hybrid polypeptides with selectable properties
EP1789440A4 (en) 2004-02-11 2008-03-12 Amylin Pharmaceuticals Inc Pancreatic polypeptide family motifs and polypeptides comprising the same
US8076288B2 (en) 2004-02-11 2011-12-13 Amylin Pharmaceuticals, Inc. Hybrid polypeptides having glucose lowering activity
CA2556226A1 (en) 2004-02-11 2006-08-10 Amylin Pharmaceuticals, Inc. Amylin family peptides and methods for making and using them
US7399744B2 (en) 2004-03-04 2008-07-15 Amylin Pharmaceuticals, Inc. Methods for affecting body composition
US20060110423A1 (en) 2004-04-15 2006-05-25 Wright Steven G Polymer-based sustained release device
ATE531374T1 (en) 2004-04-15 2011-11-15 Alkermes Inc DELAYED RELEASE POLYMER BASED DEVICE
US7456254B2 (en) 2004-04-15 2008-11-25 Alkermes, Inc. Polymer-based sustained release device
US20090069226A1 (en) 2004-05-28 2009-03-12 Amylin Pharmaceuticals, Inc. Transmucosal delivery of peptides and proteins
WO2005117584A2 (en) 2004-05-28 2005-12-15 Amylin Pharmaceuticals, Inc Improved transmucosal delivery of peptides and proteins
JP2008501765A (en) 2004-06-11 2008-01-24 ノボ ノルディスク アクティーゼルスカブ Neutralization of drug-induced obesity using GLP-1 agonists
AU2005269753B2 (en) 2004-07-19 2011-08-18 Biocon Limited Insulin-oligomer conjugates, formulations and uses thereof
CA2569381A1 (en) 2004-07-21 2006-08-31 Ambrx, Inc. Biosynthetic polypeptides utilizing non-naturally encoded amino acids
WO2006017688A2 (en) 2004-08-03 2006-02-16 Biorexis Pharmaceutical Corporation Combination therapy using transferrin fusion proteins comprising glp-1
PL1789434T3 (en) 2004-08-31 2014-07-31 Novo Nordisk As Use of tris(hydroxymethyl) aminomethane for the stabilization of peptides, polypeptides and proteins
DE102004043153B4 (en) 2004-09-03 2013-11-21 Philipps-Universität Marburg Invention relating to GLP-1 and exendin
EP1791554A2 (en) 2004-09-17 2007-06-06 Novo Nordisk A/S Pharmaceutical compositions containing insulin and insulinotropic peptide
MX2007003968A (en) 2004-10-01 2008-03-04 Ramscor Inc Conveniently implantable sustained release drug compositions.
EP1799711B1 (en) 2004-10-07 2012-06-20 Novo Nordisk A/S Protracted exendin-4 compounds
US7595294B2 (en) 2004-10-08 2009-09-29 Transition Therapeutics, Inc. Vasoactive intestinal polypeptide pharmaceuticals
CA2582464A1 (en) 2004-10-13 2006-04-27 Sanjay Bhanot Antisense modulation of ptp1b expression
US7442682B2 (en) 2004-10-19 2008-10-28 Nitto Denko Corporation Transepithelial delivery of peptides with incretin hormone activities
EP1814581B1 (en) 2004-11-12 2016-03-16 Novo Nordisk A/S Stable formulations of peptides comprising an acylated glp-1 analogue and a basal insuline
JP5175103B2 (en) 2004-11-12 2013-04-03 ノヴォ ノルディスク アー/エス Stable peptide formulation
CN112618700A (en) 2004-11-12 2021-04-09 诺和诺德公司 Stable formulations of insulinotropic peptides
CN101128487B (en) 2004-12-02 2012-10-10 杜门蒂斯有限公司 Bispecific domain antibodies targeting serum albumin and GLP-1 or PYY
EP3000826A1 (en) 2004-12-13 2016-03-30 Amylin Pharmaceuticals, LLC Pancreatic polypeptide family motifs, polypeptides and methods comprising the same
WO2006069388A2 (en) 2004-12-21 2006-06-29 Nektar Therapeutics Al, Corporation Stabilized polymeric thiol reagents
EP2168982A1 (en) 2004-12-22 2010-03-31 Eli Lilly &amp; Company GLP-1 analog fusion protein formulations
AU2005323063B2 (en) 2004-12-24 2011-01-27 Amylin Pharmaceuticals, Llc Use of GLP-1 and agonists thereof to prevent cardiac myocyte apoptosis
US8716221B2 (en) 2005-01-14 2014-05-06 Wuxi Grandchamp Pharmaceutical Technology Co., Ltd. Modified exendins and uses thereof
JP4785206B2 (en) 2005-01-14 2011-10-05 ウクスィ・グランドチャンプ・ファーマシューティカル・テクノロジー・カンパニー・リミテッド Modified exendins and uses thereof
WO2006082588A2 (en) 2005-02-07 2006-08-10 Pharmalight Inc. Method and device for ophthalmic administration of active pharmaceutical ingredients
WO2007022123A2 (en) 2005-08-11 2007-02-22 Amylin Pharmaceuticals, Inc. Hybrid polypeptides with selectable properties
AU2006213607A1 (en) 2005-02-11 2006-08-17 Amylin Pharmaceuticals, Llc GIP analog and hybrid polypeptides with selectable properties
US8263545B2 (en) 2005-02-11 2012-09-11 Amylin Pharmaceuticals, Inc. GIP analog and hybrid polypeptides with selectable properties
WO2006097535A2 (en) 2005-03-18 2006-09-21 Novo Nordisk A/S Peptide agonists of the glucagon family with secretin like activity
US8946149B2 (en) 2005-04-11 2015-02-03 Amylin Pharmaceuticals, Llc Use of exendin and analogs thereof to delay or prevent cardiac remodeling
JP4979686B2 (en) 2005-04-24 2012-07-18 ノボ・ノルデイスク・エー/エス Injection device
JP5235661B2 (en) 2005-05-25 2013-07-10 ノボ・ノルデイスク・エー/エス Stabilized polypeptide preparation
AU2006249869A1 (en) 2005-05-26 2006-11-30 Bristol-Myers Squibb Company N-terminally modified GLP-1 receptor modulators
CN101217940B (en) 2005-06-06 2013-03-27 卡穆鲁斯公司 Glp-1 analogue formulations
GB0511986D0 (en) 2005-06-13 2005-07-20 Imp College Innovations Ltd Novel compounds and their effects on feeding behaviour
PT2279758E (en) 2005-06-16 2015-05-27 Nektar Therapeutics Conjugates having a degradable linkage and polymeric reagents useful in preparing such conjugates
CA2617064A1 (en) 2005-08-04 2007-02-15 Nektar Therapeutics Al, Corporation Conjugates of a g-csf moiety and a polymer
CN101277722A (en) 2005-08-06 2008-10-01 王庆华 Composition and method for prevention and treatment of type I diabetes
PT2347762T (en) 2005-08-19 2019-06-17 Amylin Pharmaceuticals Llc Exendin for treating diabetes and reducing body weight
HUE028623T2 (en) 2005-09-14 2016-12-28 Mannkind Corp Method of drug formulation based on increasing the affinity of active agents for crystalline microparticle surfaces
CA2622579C (en) 2005-09-20 2013-12-31 Novartis Ag Use of a dpp-iv inhibitor to reduce hypoglycemic events
WO2007047834A2 (en) 2005-10-18 2007-04-26 Biocon Limited Oral peptide conjugates for metabolic diseases
US7687608B2 (en) 2005-10-19 2010-03-30 Smartcells, Inc. Methods for reducing the mitogenicity of lectin compositions
ES2572952T3 (en) 2005-11-07 2016-06-03 Indiana University Research And Technology Corporation Glucagon analogs showing physiological solubility and stability
US8039432B2 (en) 2005-11-09 2011-10-18 Conjuchem, Llc Method of treatment of diabetes and/or obesity with reduced nausea side effect
JP2009518315A (en) 2005-12-02 2009-05-07 エムディーアールエヌエー,インコーポレイテッド Pharmaceutical formulations for increasing epithelial permeability of glucose-regulating peptides
WO2007064691A1 (en) 2005-12-02 2007-06-07 Nabil Habib Lab Treatment of cancer and other diseases
US20080318861A1 (en) 2005-12-08 2008-12-25 Nastech Pharmaceutical Company Inc. Mucosal Delivery of Stabilized Formulations of Exendin
US8293869B2 (en) 2005-12-16 2012-10-23 Nektar Therapeutics Polymer conjugates of GLP-1
US8841255B2 (en) 2005-12-20 2014-09-23 Duke University Therapeutic agents comprising fusions of vasoactive intestinal peptide and elastic peptides
US20130172274A1 (en) 2005-12-20 2013-07-04 Duke University Methods and compositions for delivering active agents with enhanced pharmacological properties
EP1971355B1 (en) 2005-12-20 2020-03-11 Duke University Methods and compositions for delivering active agents with enhanced pharmacological properties
EP1984009B1 (en) 2006-01-18 2012-10-24 Qps, Llc Pharmaceutical compositions with enhanced stability
JP2009525986A (en) 2006-02-03 2009-07-16 メディミューン,エルエルシー Protein preparation
US7704953B2 (en) 2006-02-17 2010-04-27 Mdrna, Inc. Phage displayed cell binding peptides
CN101432025B (en) 2006-03-21 2012-04-04 安米林药品公司 Peptide-peptidase inhibitor conjugates and methods of using same
BRPI0710651A2 (en) 2006-04-13 2011-08-23 Sod Conseils Rech Applic pharmaceutical compositions of hglp-1, expedina-4 and their analogues and their use
KR101438839B1 (en) 2006-04-14 2014-10-02 맨카인드 코포레이션 Glucagon-like peptide 1 (glp-1)pharmaceutical formulations
PE20080251A1 (en) 2006-05-04 2008-04-25 Boehringer Ingelheim Int USES OF DPP IV INHIBITORS
WO2007133778A2 (en) 2006-05-12 2007-11-22 Amylin Pharmaceuticals, Inc. Methods to restore glycemic control
US20100022457A1 (en) 2006-05-26 2010-01-28 Bristol-Myers Squibb Company Sustained release glp-1 receptor modulators
PT2038423E (en) 2006-06-21 2013-03-27 Biocon Ltd A method of producing biologically active polypeptide having insulinotropic activity
WO2008038147A2 (en) 2006-07-05 2008-04-03 Foamix Ltd. Foamable vehicle comprising dicarboxylic acid or dicarboxylic acid ester and pharmaceutical compositions thereof
KR101193722B1 (en) 2006-07-24 2013-01-11 바이오렉시스 파마슈티칼 코포레이션 Exendin fusion proteins
US7928186B2 (en) 2006-08-02 2011-04-19 Phoenix Pharmaceuticals, Inc. Cell permeable bioactive peptide conjugates
EP2046284A1 (en) 2006-08-04 2009-04-15 Nastech Pharmaceutical Company Inc. Compositions for intranasal delivery of human insulin and uses thereof
ES2422864T3 (en) 2006-08-09 2013-09-16 Intarcia Therapeutics, Inc Osmotic release systems and piston units
US8497240B2 (en) 2006-08-17 2013-07-30 Amylin Pharmaceuticals, Llc DPP-IV resistant GIP hybrid polypeptides with selectable properties
EP2057188B1 (en) 2006-08-17 2013-07-31 Amylin Pharmaceuticals, LLC Dpp-iv resistant gip hybrid polypeptides with selectable properties
WO2008023050A1 (en) * 2006-08-25 2008-02-28 Novo Nordisk A/S Acylated exendin-4 compounds
CN101125207B (en) 2006-11-14 2012-09-05 上海华谊生物技术有限公司 Exendin or its analogs with polyethylene group and its preparation and application
JP2010512399A (en) 2006-12-12 2010-04-22 アミリン・ファーマシューティカルズ,インコーポレイテッド Pharmaceutical preparation and preparation method thereof
CN101663317A (en) 2007-01-05 2010-03-03 CovX科技爱尔兰有限公司 glucagon-like protein-1 receptor (glp-1r) agonist compounds
RU2432361C2 (en) 2007-01-05 2011-10-27 КовЭкс Текнолоджиз Айэлэнд Лимитед Glucagon-like protein-1 receptor (glp-1r) agonist compounds
ES2628063T3 (en) 2007-01-05 2017-08-01 Indiana University Research And Technology Corporation Glucagon analogs showing greater solubility in physiological pH buffers
WO2008098212A2 (en) 2007-02-08 2008-08-14 Diobex, Inc. Extended release formulations of glucagon and other peptides and proteins
US8420598B2 (en) 2007-04-20 2013-04-16 B & L Delipharm Corp. Mono modified exendin with polyethylene glycol or its derivatives and uses thereof
PT2157967E (en) 2007-04-23 2013-04-03 Intarcia Therapeutics Inc Suspension formulations of insulinotropic peptides and uses thereof
US8236760B2 (en) 2007-04-27 2012-08-07 Cedars-Sinsai Medical Center Use of GLP-1 receptor agonists for the treatment of short bowel syndrome
US7829664B2 (en) 2007-06-01 2010-11-09 Boehringer Ingelheim International Gmbh Modified nucleotide sequence encoding glucagon-like peptide-1 (GLP-1), nucleic acid construct comprising same for production of glucagon-like peptide-1 (GLP-1), human cells comprising said construct and insulin-producing constructs, and methods of use thereof
CA2689909C (en) 2007-06-08 2016-04-05 Ascendis Pharma As Long-acting polymeric prodrugs of exendin
UA97673C2 (en) 2007-07-10 2012-03-12 Эли Лилли Энд Компани Glp-1-fc fusion protein formulation
EP3260129A1 (en) 2007-08-03 2017-12-27 Eli Lilly and Company An fgf-21 compound and a glp-1 compound for use in the treatment of obesity
CN101366692A (en) 2007-08-15 2009-02-18 江苏豪森药业股份有限公司 Stable Exenatide formulation
KR20100080519A (en) 2007-08-30 2010-07-08 큐어디엠 인코포레이티드 Compositions and methods of using proislet peptides and analogs thereof
US20100261637A1 (en) 2007-09-05 2010-10-14 Novo Nordisk A/S Peptides derivatized with a-b-c-d- and their therapeutical use
JP2010538069A (en) 2007-09-07 2010-12-09 イプセン ファルマ ソシエテ パール アクシオン サンプリフィエ Exendin-4 and analogs of exendin-3
WO2009055740A2 (en) 2007-10-24 2009-04-30 Mannkind Corporation Method of preventing adverse effects by glp-1
US8785396B2 (en) 2007-10-24 2014-07-22 Mannkind Corporation Method and composition for treating migraines
BRPI0818874A2 (en) 2007-10-24 2015-05-05 Mannkind Corp Active Agents Release
JP5771005B2 (en) 2007-10-30 2015-08-26 インディアナ ユニバーシティー リサーチ アンド テクノロジー コーポレーションIndiana University Research And Technology Corporation Glucagon antagonist and compound showing GLP-1 agonist activity
ES2509883T3 (en) 2007-10-30 2014-10-20 Indiana University Research And Technology Corporation Glucagon antagonists
PL2209800T3 (en) 2007-11-16 2013-12-31 Novo Nordisk As Stable pharmaceutical compositions comprising liraglutide and degludec
US8710002B2 (en) 2007-11-23 2014-04-29 Michael Rothkopf Methods of enhancing diabetes resolution
CN101444618B (en) 2007-11-26 2012-06-13 杭州九源基因工程有限公司 Pharmaceutical preparation containing exenatide
CA2708762A1 (en) 2007-12-11 2009-06-18 Conjuchem Biotechnologies Inc. Formulation of insulinotropic peptide conjugates
EP2229407B1 (en) 2008-01-09 2016-11-16 Sanofi-Aventis Deutschland GmbH Novel insulin derivatives having an extremely delayed time-action profile
US20110065633A1 (en) 2008-01-30 2011-03-17 Indiana University Research And Technology Corporation Ester-based peptide prodrugs
RU2010136023A (en) 2008-02-01 2012-03-10 Асцендис Фарма Ас (Dk) A MEDICINE CONTAINING A SELF-DIVISIBLE LINKER
JP5587795B2 (en) 2008-02-06 2014-09-10 バイオコン・リミテッド Fermentation medium and process thereof
WO2009114959A1 (en) 2008-03-20 2009-09-24 中国人民解放军军事医学科学院毒物药物研究所 Injectalble sustained-release pharmaceutical formulation and method for preparing it
AU2008354530B2 (en) 2008-04-07 2014-02-27 Indian Institute Of Science Compositions useful for the treatment of diabetes and other chronic disorder
KR20110007614A (en) 2008-05-07 2011-01-24 메리온 리서치 Ⅲ 리미티드 Compositions of gnrh related compounds and processes of preparation
US20110263496A1 (en) 2008-05-21 2011-10-27 Amylin Pharmaceuticals, Inc. Exendins to lower cholesterol and triglycerides
WO2009143014A1 (en) 2008-05-23 2009-11-26 Amylin Pharmaceuticals, Inc. Glp-1 receptor agonist bioassays
US8485180B2 (en) 2008-06-13 2013-07-16 Mannkind Corporation Dry powder drug delivery system
ES2570400T3 (en) 2008-06-13 2016-05-18 Mannkind Corp A dry powder inhaler and a drug delivery system
CL2009001425A1 (en) 2008-06-17 2010-04-30 Univ Indiana Res & Tech Corp Glucagon analogs with a large aromatic amino acid lacking an imidazole side chain that confers agonist activity at the gip receptor; pharmaceutical compositions; kit containing them and use to reduce weight gain, treat diabetes, or induce intestinal tract paralysis.
JP5604297B2 (en) 2008-06-17 2014-10-08 株式会社糖鎖工学研究所 Glycosylated GLP-1 peptide
CA2727161A1 (en) 2008-06-17 2009-12-23 Indiana University Research And Technology Corporation Glucagon analogs exhibiting enhanced solubility and stability physiological ph buffers
WO2009158704A2 (en) 2008-06-27 2009-12-30 Duke University Therapeutic agents comprising elastin-like peptides
EP2303247A4 (en) 2008-07-21 2012-08-01 Syneron Medical Ltd Transdermal system for extended delivery of incretins and incretin mimetic peptides
WO2010013012A2 (en) 2008-08-01 2010-02-04 Lund University Bioscience Ab Novel polypeptides and uses thereof
CN101670096B (en) 2008-09-11 2013-01-16 杭州九源基因工程有限公司 Medicinal preparation containing exenatide
HUE037449T2 (en) 2008-10-17 2018-08-28 Sanofi Aventis Deutschland Combination of an insulin and a glp-1 agonist
ES2620610T3 (en) 2008-12-10 2017-06-29 Glaxosmithkline Llc Albiglutide pharmaceutical compositions
AU2009327418A1 (en) 2008-12-19 2010-06-24 Indiana University Research And Technology Corporation Amide based glucagon superfamily peptide prodrugs
CN101538323B (en) 2009-01-13 2012-05-09 深圳翰宇药业股份有限公司 Method for purifying Exenatide
AU2010221254B2 (en) 2009-03-04 2014-04-03 Mannkind Corporation An improved dry powder drug delivery system
DK2403569T3 (en) 2009-03-05 2014-07-21 Sanofi Aventis Deutschland PHARMACEUTICAL DELIVERY DEVICE
US8642544B2 (en) 2009-04-01 2014-02-04 Amylin Pharmaceuticals, Llc N-terminus conformationally constrained GLP-1 receptor agonist compounds
WO2010118034A2 (en) 2009-04-06 2010-10-14 Board Of Regents, The University Of Texas System Cyclic peptide analogues for non-invasive imaging of pancreatic beta-cells
EP2423233B1 (en) 2009-04-22 2015-03-11 Alteogen, Inc In vivo half life increased fusion protein or peptide maintained by sustained in vivo release, and method for increasing in vivo half-life using same
CN101870728A (en) 2009-04-23 2010-10-27 派格生物医药(苏州)有限公司 Novel Exendin variant and conjugate thereof
CN101559041B (en) 2009-05-19 2014-01-15 中国科学院过程工程研究所 Polypeptide medicament sustained release microsphere or microcapsule preparation with uniform grain size and preparation method thereof
WO2010133676A1 (en) 2009-05-20 2010-11-25 Sanofi-Aventis Deutschland Gmbh A system comprising a drug delivery device and a cartridge provided with a bung and a method of identifying the cartridge
CN102438679B (en) 2009-05-20 2016-03-09 赛诺菲-安万特德国有限公司 For the stopper of drug delivery device Chinese medicine accommodation tube
EP2435061A4 (en) 2009-05-28 2013-03-27 Amylin Pharmaceuticals Inc Glp-1 receptor agonist compounds for sleep enhancement
EP2440235A1 (en) 2009-06-11 2012-04-18 Novo Nordisk A/S Glp-1 and fgf21 combinations for treatment of diabetes type 2
IN2012DN00377A (en) 2009-06-16 2015-08-21 Univ Indiana Res & Tech Corp
US9161988B2 (en) 2009-07-02 2015-10-20 Angiochem Inc. Multimeric peptide conjugates and uses thereof
CN101601646B (en) 2009-07-22 2011-03-23 南京凯瑞尔纳米生物技术有限公司 Nasal cavity drop for treating diabetes and preparation method thereof
WO2011011675A1 (en) 2009-07-23 2011-01-27 Zelos Therapeutics, Inc. Pharmaceutically acceptable formulations/compositions for peptidyl drugs
SG178193A1 (en) 2009-07-31 2012-03-29 Sanofi Aventis Deutschland Prodrugs comprising an insulin linker conjugate
US9359201B2 (en) * 2009-08-03 2016-06-07 Technion Research & Development Foundation Ltd. Hydrogen production by an autothermal heat exchanger packed-bed membrane gas reformer
WO2011017835A1 (en) 2009-08-11 2011-02-17 Nanjing University Preparation method of protein or peptide nanoparticles for in vivo drug delivery by unfolding and refolding
CN101993485B (en) 2009-08-20 2013-04-17 重庆富进生物医药有限公司 Peptide analog homologous dimer capable of accelerating insulin secretion and application thereof
MX2012003939A (en) 2009-09-30 2012-07-30 Glaxo Group Ltd Drug fusions and conjugates with extended half life.
US9610329B2 (en) 2009-10-22 2017-04-04 Albireo Pharma, Inc. Stabilized glucagon solutions
US20110097386A1 (en) 2009-10-22 2011-04-28 Biodel, Inc. Stabilized glucagon solutions
EP2490708B1 (en) 2009-10-22 2013-03-27 Biodel Inc. Stabilized glucagon solutions
US20120264684A1 (en) 2009-10-30 2012-10-18 Yasuhiro Kajihara Glycosylated Form of Antigenic GLP-1 Analogue
US8669380B2 (en) 2009-11-02 2014-03-11 Pfizer Inc. Dioxa-bicyclo[3.2.1]octane-2,3,4-triol derivatives
US20120294855A1 (en) 2009-11-03 2012-11-22 Eli Lilly & Company Glp-1 receptor agonist compounds for obstructive sleep apnea
WO2011058082A1 (en) 2009-11-13 2011-05-19 Sanofi-Aventis Deutschland Gmbh Pharmaceutical composition comprising a glp-1 agonist and methionine
AR080669A1 (en) 2009-11-13 2012-05-02 Sanofi Aventis Deutschland PHARMACEUTICAL COMPOSITION INCLUDING A GLP-1 AGONIST, AN INSULIN AND METIONIN
US8912335B2 (en) 2009-12-15 2014-12-16 Metabolic Solutions Development Company, Llc PPAR-sparing thiazolidinedione salts for the treatment of metabolic diseases
RU2012129971A (en) 2009-12-15 2014-01-27 МЕТАБОЛИК СОЛЮШНЗ ДЕВЕЛОПМЕНТ КОМПАНИ, ЭлЭлСи THIAZOLIDINDIONES NOT INTERACTING WITH PPAR AND COMBINATIONS FOR TREATING OBESITY AND METABOLISM DISORDERS
CA2783264A1 (en) 2009-12-15 2011-07-14 Metabolic Solutions Development Company, Llc Ppar-sparing thiazolidinediones and combinations for the treatment of diabetes mellitus and other metabolic diseases
WO2011075514A1 (en) 2009-12-15 2011-06-23 Metabolic Solutions Development Company Ppar-sparing thiazolidinediones and combinations for the treatment of neurodegenerative diseases
EP2512518A1 (en) 2009-12-16 2012-10-24 Novo Nordisk A/S Glp-1 receptor agonist compounds with a modified n-terminus
CN102933200B (en) 2009-12-18 2015-11-25 莱迪杜德制药公司 Comprise the single-phase gels compositions of phospholipid
CN101798588B (en) 2009-12-21 2015-09-09 上海仁会生物制药股份有限公司 GLP-1 receptor stimulant Determination of biological activity method
AR079345A1 (en) 2009-12-22 2012-01-18 Lilly Co Eli OXINTOMODULINE PEPTIDAL ANALOG
AR079344A1 (en) 2009-12-22 2012-01-18 Lilly Co Eli PEPTIDAL ANALOG OF OXINTOMODULIN, PHARMACEUTICAL COMPOSITION THAT UNDERSTANDS AND USES TO PREPARE A USEFUL MEDICINAL PRODUCT TO TREAT NON-INSULINED INDEPENDENT DIABETES AND / OR OBESITY
EA026384B1 (en) 2010-01-20 2017-04-28 Зилэнд Фарма А/С Treatment of cardiac conditions
US8551946B2 (en) 2010-01-27 2013-10-08 Indiana University Research And Technology Corporation Glucagon antagonist-GIP agonist conjugates and compositions for the treatment of metabolic disorders and obesity
SG183127A1 (en) 2010-02-01 2012-09-27 Sanofi Aventis Deutschland Cartridge holder, drug delivery device and method for securing a cartridge in a cartridge holder
WO2011109784A1 (en) 2010-03-05 2011-09-09 Conjuchem, Llc Formulation of insulinotropic peptide conjugates
AR080592A1 (en) 2010-03-26 2012-04-18 Lilly Co Eli PEPTIDE WITH ACTIVITY FOR GIP-R AND GLP-1-R, FAMILY FORMULATION THAT UNDERSTANDS IT, ITS USE TO PREPARE A USEFUL MEDICINAL PRODUCT FOR THE TREATMENT OF MELLITUS DIABETES AND TO INDICATE WEIGHT LOSS
US9127088B2 (en) 2010-05-13 2015-09-08 Indiana University Research And Technology Corporation Glucagon superfamily peptides exhibiting nuclear hormone receptor activity
MX2012013005A (en) 2010-05-13 2013-02-26 Univ Indiana Res & Tech Corp Glucagon superfamily peptides exhibiting g protein-coupled receptor activity.
BR112012029280A2 (en) 2010-05-20 2016-11-29 Glaxo Group Ltd serum antialbumin immunoglobulin single variable domain variant, anti-sa immunoglobulin, multispecific ligand, fusion protein, composition, nucleic acid, vector, isolated host cell, and use of one variant, multispecific ligand or fusion protein
WO2011156407A2 (en) 2010-06-09 2011-12-15 Amylin Pharmaceuticals, Inc. Glp-1 receptor agonists to treat pancre-atitis
CN101891823B (en) 2010-06-11 2012-10-03 北京东方百泰生物科技有限公司 Exendin-4 and analog fusion protein thereof
US8636711B2 (en) 2010-06-14 2014-01-28 Legacy Emanuel Hospital & Health Center Stabilized glucagon solutions and uses therefor
MX359281B (en) 2010-06-21 2018-09-21 Mannkind Corp Dry powder drug delivery system and methods.
CA2796894A1 (en) 2010-06-24 2011-12-29 Indiana University Research And Technology Corporation Amide based glucagon superfamily peptide prodrugs
US9234023B2 (en) 2010-06-24 2016-01-12 Biousian Biosystems, Inc. Glucagon-like peptide-1 glycopeptides
WO2011163473A1 (en) 2010-06-25 2011-12-29 Indiana University Research And Technology Corporation Glucagon analogs exhibiting enhanced solubility and stability in physiological ph buffers
US20120046225A1 (en) 2010-07-19 2012-02-23 The Regents Of The University Of Colorado, A Body Corporate Stable glucagon formulations for the treatment of hypoglycemia
US20130137645A1 (en) 2010-07-19 2013-05-30 Mary S. Rosendahl Modified peptides and proteins
WO2012015975A2 (en) 2010-07-28 2012-02-02 Amylin Pharmaceuticals, Inc. Glp-1 receptor agonist compounds having stabilized regions
CN102397558B (en) 2010-09-09 2013-08-14 中国人民解放军军事医学科学院毒物药物研究所 Positioning pegylation modified compound of Exendin-4 analog and application thereof
EP2438930A1 (en) 2010-09-17 2012-04-11 Sanofi-Aventis Deutschland GmbH Prodrugs comprising an exendin linker conjugate
WO2012050923A2 (en) 2010-09-28 2012-04-19 Amylin Pharmaceuticals, Inc. Engineered polypeptides having enhanced duration of action
WO2012059764A1 (en) 2010-11-03 2012-05-10 Arecor Limited Novel composition comprising glucagon
MX340112B (en) 2010-11-09 2016-06-27 Mannkind Corp Composition comprising a serotonin receptor agonist and a diketopiperazine for treating migraines.
EP2460552A1 (en) 2010-12-06 2012-06-06 Sanofi-Aventis Deutschland GmbH Drug delivery device with locking arrangement for dose button
CN102552883B (en) 2010-12-09 2014-02-19 天津药物研究院 Polypeptide compound, pharmaceutical composition, its preparation method and application thereof
MX345501B (en) 2010-12-16 2017-02-02 Novo Nordisk As Solid compositions comprising a glp-1 agonist and a salt of n-(8-(2-hydroxybenzoyl)amino)caprylic acid.
EP2654767A4 (en) 2010-12-22 2014-05-21 Amylin Pharmaceuticals Inc Glp-1 receptor agonists for islet cell transplantation
CN102532301B (en) 2010-12-31 2014-09-03 上海医药工业研究院 Novel Exendin-4 analogues and preparation method thereof
US20120208755A1 (en) 2011-02-16 2012-08-16 Intarcia Therapeutics, Inc. Compositions, Devices and Methods of Use Thereof for the Treatment of Cancers
CN102100906A (en) 2011-02-18 2011-06-22 深圳翰宇药业股份有限公司 Medicinal preparation of exenatide and preparation method thereof
BR112013023062B1 (en) 2011-03-10 2022-01-18 Xeris Pharmaceuticals, Inc STABLE SOLUTION FOR PARENTERAL INJECTION AND MANUFACTURING METHOD OF IT
CN102718858B (en) 2011-03-29 2014-07-02 天津药物研究院 Glucagon-like peptide-1 (GLP-1) analogue monomer and dimer, preparation method therefor and application thereof
CN102718868A (en) 2011-03-30 2012-10-10 上海华谊生物技术有限公司 Fixed point mono-substituted pegylation of Exendin analogue and preparation method thereof
WO2012138941A1 (en) 2011-04-05 2012-10-11 Longevity Biotech, Inc. Compositions comprising glucagon analogs and methods of making and using the same
WO2012140647A2 (en) 2011-04-11 2012-10-18 Yeda Research And Development Co. Ltd Albumin binding probes and drug conjugates thereof
WO2012150503A2 (en) 2011-05-03 2012-11-08 Zealand Pharma A/S Glu-glp-1 dual agonist signaling-selective compounds
CN102766204B (en) 2011-05-05 2014-10-15 天津药物研究院 Glucagon-like peptide-1 mutant polypeptide, its preparation method and application thereof
CA3134906A1 (en) 2011-05-18 2012-11-22 Mederis Diabetes, Llc Improved peptide pharmaceuticals for insulin resistance
JP2014521594A (en) 2011-05-25 2014-08-28 アミリン・ファーマシューティカルズ,リミテッド・ライアビリティ・カンパニー Long duration dual hormone conjugate
UA113626C2 (en) 2011-06-02 2017-02-27 A COMPOSITION FOR THE TREATMENT OF DIABETES CONTAINING THE DURABLE INSULIN CON conjugate AND THE DUAL ACTION INSULINOTROPIC PIPIDE
ES2692187T3 (en) 2011-06-10 2018-11-30 Hanmi Science Co., Ltd. New oxintomodulin derivatives and pharmaceutical composition for the treatment of obesity comprising it
KR102002783B1 (en) 2011-06-10 2019-07-24 베이징 한미 파마슈티컬 컴퍼니 리미티드 Glucose dependent insulinotropic polypeptide analogs, pharmaceutical compositions and use thereof
KR101577734B1 (en) 2011-06-17 2015-12-29 한미사이언스 주식회사 A conjugate comprising oxyntomodulin and an immunoglobulin fragment, and use thereof
CN103974715A (en) 2011-06-17 2014-08-06 哈洛齐梅公司 Stable formulations of a hyaluronan-degrading enzyme
MX2013015168A (en) 2011-06-22 2014-03-31 Univ Indiana Res & Tech Corp Glucagon/glp-1 receptor co-agonists.
MX347703B (en) 2011-06-22 2017-05-09 Univ Indiana Res & Tech Corp Glucagon/glp-1 receptor co-agonists.
CN103906528A (en) 2011-06-24 2014-07-02 安米林药品有限责任公司 Methods of treating diabetes with sustained release formulations of GLP-1 receptor agonists
KR101357117B1 (en) 2011-06-28 2014-02-06 비앤엘델리팜 주식회사 PEGylated Exendin-4 analogues or its derivatives, preparation method thereof and pharmaceutical composition containing the same for preventing and treating a diabetes
WO2013004983A1 (en) 2011-07-04 2013-01-10 Imperial Innovations Limited Novel compounds and their effects on feeding behaviour
WO2013009545A1 (en) 2011-07-08 2013-01-17 Amylin Pharmaceuticals, Inc. Engineered polypeptides having enhanced duration of action with reduced immunogenicity
DK2741765T3 (en) 2011-08-10 2016-06-13 Adocia Injectable solution of at least one type of basal insulin
US20130084277A1 (en) 2011-08-24 2013-04-04 Phasebio Pharmaceuticals, Inc. Formulations of active agents for sustained release
CN103189389B (en) 2011-09-03 2017-08-11 深圳市健元医药科技有限公司 New analogs of GLP I and its production and use
CA2849673A1 (en) 2011-09-23 2013-03-28 Novo Nordisk A/S Novel glucagon analogues
MX359329B (en) 2011-10-28 2018-09-25 Sanofi Aventis Deutschland Treatment protocol of diabetes type 2.
CN102363633B (en) 2011-11-16 2013-11-20 天津拓飞生物科技有限公司 Glucagon like peptide-1 mutant polypeptide and preparation method, medicinal composition and use thereof
CA2847246A1 (en) 2011-11-17 2013-05-23 Indiana University Research And Technology Corporation Glucagon superfamily peptides exhibiting glucocorticoid receptor activity
KR101922752B1 (en) 2011-11-29 2018-11-27 주록스 피티와이 리미티드 Methods of preserving injectable pharmaceutical compositions comprising a cyclodextrin and a hydrophobic drug
JP2015501844A (en) 2011-12-16 2015-01-19 モデルナ セラピューティクス インコーポレイテッドModerna Therapeutics,Inc. Modified nucleosides, nucleotides and nucleic acid compositions
JP6165168B2 (en) 2011-12-22 2017-07-19 ファイザー・インク Anti-diabetic compounds
PE20142113A1 (en) 2011-12-23 2014-12-03 Zealand Pharma As GLUCAGON ANALOGS
CN104159570A (en) 2011-12-29 2014-11-19 陈献 Stabilized glucagon nanoemulsions
BR112014016889A8 (en) 2012-01-09 2017-07-04 Adocia composition in the form of an aqueous injectable solution ph is comprised between 6.0 and 8.0 and unit dose formulation with ph comprised between 7 and 7.8
WO2013148966A1 (en) 2012-03-28 2013-10-03 Amylin Pharmaceuticals, Llc Transmucosal delivery of engineered polypeptides
WO2013148871A1 (en) 2012-03-28 2013-10-03 Amylin Pharmaceuticals, Llc Engineered polypeptides
AU2013243949A1 (en) 2012-04-02 2014-10-30 Moderna Therapeutics, Inc. Modified polynucleotides for the production of biologics and proteins associated with human disease
EP2833923A4 (en) 2012-04-02 2016-02-24 Moderna Therapeutics Inc Modified polynucleotides for the production of proteins
CN102649947A (en) 2012-04-20 2012-08-29 无锡和邦生物科技有限公司 Cell strain for measuring bioactivity of GLP-1 and functional analogue thereof and application of cell strain
US20150111246A1 (en) 2012-04-24 2015-04-23 Astrazeneca Pharmaceuticals Lp Site-specific enzymatic modification of exendins and analogs thereof
US20130289241A1 (en) 2012-04-26 2013-10-31 Shanghai Ambiopharm, Inc. Method for preparing exenatide
WO2013182217A1 (en) 2012-04-27 2013-12-12 Sanofi-Aventis Deutschland Gmbh Quantification of impurities for release testing of peptide products
US8901484B2 (en) 2012-04-27 2014-12-02 Sanofi-Aventis Deutschland Gmbh Quantification of impurities for release testing of peptide products
EP2844669B1 (en) 2012-05-03 2018-08-01 Zealand Pharma A/S Gip-glp-1 dual agonist compounds and methods
EA028929B1 (en) 2012-05-03 2018-01-31 Зилэнд Фарма А/С Glucagon-like-peptide-2 (glp-2) analogues
EP2664374A1 (en) 2012-05-15 2013-11-20 F. Hoffmann-La Roche AG Lysin-glutamic acid dipeptide derivatives
CN103421094A (en) 2012-05-24 2013-12-04 上海医药工业研究院 Polypeptide compound with EPO-like activity
US20150174209A1 (en) 2012-05-25 2015-06-25 Amylin Pharmaceuticals. Llc Insulin-pramlintide compositions and methods for making and using them
EA201590011A1 (en) 2012-06-14 2015-05-29 Санофи PEPTIDE ANALOGUES EXENDIN-4
KR20150023013A (en) 2012-06-21 2015-03-04 인디애나 유니버시티 리서치 앤드 테크놀로지 코퍼레이션 Glucagon analogs exhibiting gip receptor activity
PL2864350T3 (en) 2012-06-21 2019-01-31 Indiana University Research And Technology Corporation Analogs of glucagon exhibiting gip receptor activity
WO2014012069A2 (en) 2012-07-12 2014-01-16 Mannkind Corporation Dry powder drug delivery systems and methods
AU2013295035B2 (en) 2012-07-23 2017-08-03 Zealand Pharma A/S Glucagon analogues
AR094821A1 (en) 2012-07-25 2015-09-02 Hanmi Pharm Ind Co Ltd LIQUID FORMULATION OF AN INSULINOTROPIC PEPTIDE CONJUGATE OF PROLONGED ACTION
KR101968344B1 (en) 2012-07-25 2019-04-12 한미약품 주식회사 A composition for treating hyperlipidemia comprising oxyntomodulin analog
AR092862A1 (en) 2012-07-25 2015-05-06 Hanmi Pharm Ind Co Ltd LIQUID FORMULATION OF PROLONGED ACTION INSULIN AND AN INSULINOTROPIC PEPTIDE AND PREPARATION METHOD
EP2931300A1 (en) 2012-08-14 2015-10-21 Wockhardt Limited Pharmaceutical microparticulate compositions of polypeptides
WO2014027253A1 (en) 2012-08-14 2014-02-20 Wockhardt Limited Pharmaceutical microparticulate compositions of polypeptides
CN102816244A (en) 2012-08-23 2012-12-12 无锡和邦生物科技有限公司 Fusion protein of exendin-4 peptide and human serum albumin (HSA) and preparation method thereof
CN102827270A (en) 2012-09-13 2012-12-19 无锡和邦生物科技有限公司 Pegylated exenatide ramification and use thereof
EP2895506A1 (en) 2012-09-17 2015-07-22 Imperial Innovations Limited Peptide analogues of glucagon and glp1
TWI608013B (en) 2012-09-17 2017-12-11 西蘭製藥公司 Glucagon analogues
WO2014049610A2 (en) 2012-09-26 2014-04-03 Cadila Healthcare Limited Peptides as gip, glp-1 and glucagon receptors triple-agonist
UA116217C2 (en) 2012-10-09 2018-02-26 Санофі Exendin-4 derivatives as dual glp1/glucagon agonists
WO2014073842A1 (en) 2012-11-06 2014-05-15 Hanmi Pharm. Co., Ltd. Liquid formulation of protein conjugate comprising the oxyntomodulin and an immunoglobulin fragment
KR101993393B1 (en) 2012-11-06 2019-10-01 한미약품 주식회사 A composition for treating diabetes or diabesity comprising oxyntomodulin analog
EP3653649A1 (en) 2012-11-20 2020-05-20 Mederis Diabetes, LLC Improved peptide pharmaceuticals for insulin resistance
TWI674270B (en) 2012-12-11 2019-10-11 英商梅迪繆思有限公司 Glucagon and glp-1 co-agonists for the treatment of obesity
CN104902920A (en) 2012-12-21 2015-09-09 赛诺菲 Exendin-4 derivatives as dual GLP1/GIP or trigonal GLP1/GIP/glucagon agonists
CN103908657A (en) 2012-12-31 2014-07-09 复旦大学附属华山医院 Use of glucagons-like peptide-1 analogue in preparation of ophthalmic disease drug
EP3238734A1 (en) 2013-03-14 2017-11-01 Medimmune Limited Pegylated glucagon and glp-1 co-agonists for the treatment of obesity
RU2678134C2 (en) 2013-03-14 2019-01-23 Индиана Юниверсити Рисерч Энд Текнолоджи Корпорейшн Insulin-incretin conjugates
EP2986314A4 (en) 2013-03-15 2016-04-13 Univ Indiana Res & Tech Corp Prodrugs with prolonged action
MX362275B (en) 2013-04-18 2019-01-10 Novo Nordisk As Stable, protracted glp-1/glucagon receptor co-agonists for medical use.
JP2014227368A (en) 2013-05-21 2014-12-08 国立大学法人帯広畜産大学 Glucagon analog for treating diabetes mellitus and hyperglycemia condition
CN103304660B (en) 2013-07-12 2016-08-10 上海昂博生物技术有限公司 A kind of synthetic method of Arg34Lys26-(N-EPSILON-(N-ALPHA-Palmitoyl-L-GAMMA-glutamyl))-GLP-1[7-37]
CN103405753B (en) 2013-08-13 2016-05-11 上海仁会生物制药股份有限公司 Stable insulin secretion accelerating peptide liquid drugs injection pharmaceutical composition
RS57632B1 (en) 2013-10-17 2018-11-30 Zealand Pharma As Acylated glucagon analogues
US9988429B2 (en) 2013-10-17 2018-06-05 Zealand Pharma A/S Glucagon analogues
EP3066117B1 (en) 2013-11-06 2019-01-02 Zealand Pharma A/S Glucagon-glp-1-gip triple agonist compounds
TW201609798A (en) 2013-12-13 2016-03-16 賽諾菲公司 EXENDIN-4 peptide analogues
TW201609800A (en) 2013-12-13 2016-03-16 賽諾菲公司 EXENDIN-4 peptide analogues as dual GLP-1/glucagon receptor agonists
EP3080149A1 (en) 2013-12-13 2016-10-19 Sanofi Dual glp-1/glucagon receptor agonists
WO2015086729A1 (en) 2013-12-13 2015-06-18 Sanofi Dual glp-1/gip receptor agonists
TW201609795A (en) 2013-12-13 2016-03-16 賽諾菲公司 EXENDIN-4 peptide analogues as dual GLP-1/GIP receptor agonists
WO2015086730A1 (en) 2013-12-13 2015-06-18 Sanofi Non-acylated exendin-4 peptide analogues
CN103665148B (en) 2013-12-17 2016-05-11 中国药科大学 A kind of Polypeptide-k of Orally-administrable and method for making thereof and purposes
CN103980358B (en) 2014-01-03 2016-08-31 杭州阿诺生物医药科技股份有限公司 A kind of method preparing Arg34Lys26-(N-EPSILON-(N-ALPHA-Palmitoyl-L-GAMMA-glutamyl))-GLP-1[7-37]
SG11201604708VA (en) 2014-01-09 2016-07-28 Sanofi Sa Stabilized glycerol free pharmaceutical formulations of insulin analogues and/or insulin derivatives
AU2015205624A1 (en) 2014-01-09 2016-07-14 Sanofi Stabilized pharmaceutical formulations of insulin analogues and/or insulin derivatives
GB201404002D0 (en) 2014-03-06 2014-04-23 Imp Innovations Ltd Novel compounds
TW201625670A (en) 2014-04-07 2016-07-16 賽諾菲公司 Dual GLP-1/glucagon receptor agonists derived from EXENDIN-4
TW201625668A (en) 2014-04-07 2016-07-16 賽諾菲公司 Exendin-4 derivatives as peptidic dual GLP-1/glucagon receptor agonists
TW201625669A (en) 2014-04-07 2016-07-16 賽諾菲公司 Peptidic dual GLP-1/glucagon receptor agonists derived from Exendin-4
US9932381B2 (en) 2014-06-18 2018-04-03 Sanofi Exendin-4 derivatives as selective glucagon receptor agonists
CN104926934B (en) 2014-09-23 2016-11-09 蒋先兴 Oxyntomodulin analogs
EP3204408B1 (en) 2014-10-10 2020-05-06 Novo Nordisk A/S Stable glp-1 based glp-1/glucagon receptor co-agonists
EP3209682B1 (en) 2014-10-24 2020-12-30 Merck Sharp & Dohme Corp. Co-agonists of the glucagon and glp-1 receptors
WO2016198624A1 (en) 2015-06-12 2016-12-15 Sanofi Exendin-4 derivatives as trigonal glp-1/glucagon/gip receptor agonists
WO2016198604A1 (en) 2015-06-12 2016-12-15 Sanofi Exendin-4 derivatives as dual glp-1 /glucagon receptor agonists

Patent Citations (24)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO2004035623A2 (en) 2002-10-02 2004-04-29 Zealand Pharma A/S Stabilized exendin-4 compounds
WO2006134340A2 (en) 2005-06-13 2006-12-21 Imperial Innovations Limited Oxyntomodulin analogues and their effects on feeding behaviour
WO2007139941A2 (en) * 2006-05-26 2007-12-06 Amylin Pharmaceuticals, Inc. Composition and methods for treatment of congestive heart failure
WO2008071972A1 (en) 2006-12-13 2008-06-19 Imperial Innovations Limited Novel compounds and their effects on feeding behaviour
WO2008081418A1 (en) * 2007-01-05 2008-07-10 Covx Technologies Ireland Limited Glucagon-like protein-1 receptor (glp-1r) agonist compounds
WO2008101017A2 (en) 2007-02-15 2008-08-21 Indiana Unversity Research And Technology Corporation Glucagon/glp-1 receptor co-agonists
WO2008152403A1 (en) 2007-06-15 2008-12-18 Zealand Pharma A/S Glucagon analogues
WO2009155258A2 (en) 2008-06-17 2009-12-23 Indiana University Research And Technology Corporation Glucagon/glp-1 receptor co-agonists
WO2010070252A1 (en) 2008-12-15 2010-06-24 Zealand Pharma A/S Glucagon analogues
WO2010070253A1 (en) 2008-12-15 2010-06-24 Zealand Pharma A/S Glucagon analogues
WO2010070255A1 (en) 2008-12-15 2010-06-24 Zealand Pharma A/S Glucagon analogues
WO2010070251A1 (en) 2008-12-15 2010-06-24 Zealand Pharma A/S Glucagon analogues
WO2010096142A1 (en) 2009-02-19 2010-08-26 Merck Sharp & Dohme, Corp. Oxyntomodulin analogs
WO2010096052A1 (en) 2009-02-19 2010-08-26 Merck Sharp & Dohme Corp. Oxyntomodulin analogs
WO2011006497A1 (en) 2009-07-13 2011-01-20 Zealand Pharma A/S Acylated glucagon analogues
WO2011024110A2 (en) * 2009-08-27 2011-03-03 Rinat Neuroscience Corporation Glucagon-like peptide-1 receptor (glp-1r) agonists for treating autoimmune disorders
WO2011075393A2 (en) 2009-12-18 2011-06-23 Indiana University Research And Technology Corporation Glucagon/glp-1 receptor co-agonists
WO2011117416A1 (en) 2010-03-26 2011-09-29 Novo Nordisk A/S Novel glucagon analogues
WO2011117415A1 (en) 2010-03-26 2011-09-29 Novo Nordisk A/S Novel glucagon analogues
EP2387989A2 (en) 2010-05-19 2011-11-23 Sanofi Long - acting formulations of insulins
WO2011152182A1 (en) 2010-05-31 2011-12-08 株式会社ジェイテクト Method for manufacturing a coated member
WO2011152181A1 (en) 2010-06-01 2011-12-08 本田技研工業株式会社 Controller for dc/dc converter
WO2011160630A2 (en) 2010-06-23 2011-12-29 Zealand Pharma A/S Glucagon analogues
WO2012088116A2 (en) 2010-12-22 2012-06-28 Indiana University Research And Technology Corporation Glucagon analogs exhibiting gip receptor activity

Non-Patent Citations (35)

* Cited by examiner, † Cited by third party
Title
"Handbook of Pharmaceutical excipients", May 2013
"Handbook of Pharmaceutical Excipients, PhP", May 2013
"Handbook of Pharmaceutical Salts, Properties, Selection and Use", 2002, VERLAG HELVETICA CHIMICA ACTA, ZURICH, SWITZERLAND, AND WILEY-VCH, WEINHEIM
"Remington: The Science and Practice of Pharmacy", 2000, LIPPENCOTT WILLIAMS & WILKINS
"Rote Liste", 2012
"Rote Liste", 2013
"USP Dictionary of USAN and International Drug Names", 2011
BUNCK MC ET AL., DIABETES CARE., vol. 34, 2011, pages 2041 - 7
BUSE, J.B. ET AL., LANCET, vol. 374, 2009, pages 39 - 47
D. S. KING; C. G. FIELDS; G. B. FIELDS, INT. J. PEPTIDE PROTEIN RES., vol. 36, 1990, pages 255 - 266
DAY ET AL., NAT CHEM BIOL, vol. 5, 2009, pages 749
DAY JW ET AL., NATURE CHEM BIOL, vol. 5, 2009, pages 749 - 757
DE OTZEN ET AL., BIOCHEMISTRY, vol. 45, 2006, pages 14503 - 14512
DE OTZEN, BIOCHEMISTRY, vol. 45, 2006, pages 14503 - 14512
DIABETES, vol. 58, 2009, pages 2258
DIABETOLOGIA, vol. 56, 2013, pages 1417 - 1424
DRUCKER DJ ET AL., NATURE DRUG DISC. REV., vol. 9, 2010, pages 267 - 268
E. ATHERTON; R. C. SHEPPARD: "Solid Phase Peptide Synthesis. A Practical Approach", 1989, OXFORD-IRL PRESS
ENG J., DIABETES, vol. 45, no. 2, 1996, pages 152A
ENG, J. ET AL., J. BIOL. CHEM., vol. 267, 1992, pages 7402 - 05
GENTILELLA R ET AL., DIABETES OBES METAB., vol. 11, 2009, pages 544 - 56
GREENE, T. W.; WUTS, P. G. M.: "Protective Groups in Organic Synthesis", 1999, WILEY & SONS
HARGROVE DM ET AL., REGUL. PEPT., vol. 141, 2007, pages 113 - 9
HJORT ET AL., JOURNAL OF BIOLOGICAL CHEMISTRY, vol. 269, 1994, pages 30121 - 30124
HOLST, J., J. PHYSIOL. REV., vol. 87, 2007, pages 1409
KRSTENANSKY ET AL., BIOCHEMISTRY, vol. 25, 1986, pages 3833 - 3839
MEIER, J., J. NAT. REV. ENDOCRINOL., vol. 8, 2012, pages 728
NORRIS SL ET AL., DIABET MED., vol. 26, 2009, pages 837 - 46
POCAI ET AL., OBESITY, vol. 20, 2012, pages 1566 - 1571
ROTE LISTE, 2012
ROTE LISTE, 2013
S. FICHT; R.J.PAYNE; R.T. GUY; C.-H. WONG, CHEM. EUR. J., vol. 14, 2008, pages 3620 - 3629
S.R. CHHABRA ET AL., TETRAHEDRON LETT., vol. 39, 1998, pages 1603
STEWART; YOUNG: "Solid Phase Peptide Synthesis", 1984, PIERCE CHEMICAL CO.
VA GAULT ET AL., BIOCHEM PHARMACOL, vol. 85, 2013, pages 16655 - 16662

Cited By (49)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US10758592B2 (en) 2012-10-09 2020-09-01 Sanofi Exendin-4 derivatives as dual GLP1/glucagon agonists
US10253079B2 (en) 2012-12-21 2019-04-09 Sanofi Functionalized Exendin-4 derivatives
US9670261B2 (en) 2012-12-21 2017-06-06 Sanofi Functionalized exendin-4 derivatives
US9745360B2 (en) 2012-12-21 2017-08-29 Sanofi Dual GLP1/GIP or trigonal GLP1/GIP/glucagon agonists
US9789165B2 (en) 2013-12-13 2017-10-17 Sanofi Exendin-4 peptide analogues as dual GLP-1/GIP receptor agonists
WO2015086733A1 (en) * 2013-12-13 2015-06-18 Sanofi Dual glp-1/glucagon receptor agonists
US9694053B2 (en) 2013-12-13 2017-07-04 Sanofi Dual GLP-1/glucagon receptor agonists
US9751926B2 (en) 2013-12-13 2017-09-05 Sanofi Dual GLP-1/GIP receptor agonists
US9750788B2 (en) 2013-12-13 2017-09-05 Sanofi Non-acylated exendin-4 peptide analogues
US9758561B2 (en) 2014-04-07 2017-09-12 Sanofi Dual GLP-1/glucagon receptor agonists derived from exendin-4
US9771406B2 (en) 2014-04-07 2017-09-26 Sanofi Peptidic dual GLP-1/glucagon receptor agonists derived from exendin-4
US9775904B2 (en) 2014-04-07 2017-10-03 Sanofi Exendin-4 derivatives as peptidic dual GLP-1/glucagon receptor agonists
US9932381B2 (en) 2014-06-18 2018-04-03 Sanofi Exendin-4 derivatives as selective glucagon receptor agonists
WO2016193371A1 (en) 2015-06-05 2016-12-08 Sanofi Prodrugs comprising an glp-1/glucagon dual agonist linker hyaluronic acid conjugate
CN107750168A (en) * 2015-06-05 2018-03-02 赛诺菲 Include the prodrug of GLP1/ hyperglycemic factor dual agonists joint hyaluronic acid conjugates
US10806797B2 (en) 2015-06-05 2020-10-20 Sanofi Prodrugs comprising an GLP-1/glucagon dual agonist linker hyaluronic acid conjugate
WO2016198624A1 (en) 2015-06-12 2016-12-15 Sanofi Exendin-4 derivatives as trigonal glp-1/glucagon/gip receptor agonists
WO2016198628A1 (en) 2015-06-12 2016-12-15 Sanofi Non-acylated exendin-4 derivatives as dual glp-1/glucagon receptor agonists
US9982029B2 (en) 2015-07-10 2018-05-29 Sanofi Exendin-4 derivatives as selective peptidic dual GLP-1/glucagon receptor agonists
US11021512B2 (en) 2016-10-10 2021-06-01 Sanofi Method of preparing peptides comprising a lipophilically modified lysine side chain
WO2018069295A1 (en) 2016-10-10 2018-04-19 Sanofi Method of preparing peptides comprising a lipophilically modified lysine side chain
WO2018100135A1 (en) 2016-12-02 2018-06-07 Sanofi New compounds as peptidic glp1/glucagon/gip receptor agonists
US11141489B2 (en) 2016-12-02 2021-10-12 Sanofi Conjugates comprising an GLP-1/Glucagon dual agonist, a linker and hyaluronic acid
WO2018100134A1 (en) 2016-12-02 2018-06-07 Sanofi New compounds as peptidic trigonal glp1/glucagon/gip receptor agonists
WO2018100174A1 (en) 2016-12-02 2018-06-07 Sanofi Conjugates comprising an glp-1/glucagon dual agonist, a linker and hyaluronic acid
US10792367B2 (en) 2016-12-02 2020-10-06 Sanofi Conjugates comprising an GLP-1/glucagon dual agonist, a linker and hyaluronic acid
US10519211B2 (en) 2016-12-02 2019-12-31 Sanofi Compounds as peptidic GLP1/glucagon/GIP receptor agonists
US10538567B2 (en) 2016-12-02 2020-01-21 Sanofi Compounds as peptidic trigonal GLP1/glucagon/GIP receptor agonists
US10392366B2 (en) 2017-02-21 2019-08-27 Sanofi Azetidine compounds as GPR119 modulators for the treatment of diabetes, obesity, dyslipidemia and related disorders
WO2018153849A1 (en) 2017-02-21 2018-08-30 Sanofi Azetidine compounds as gpr119 modulators for the treatment of diabetes, obesity, dyslipidemia and related disorders
WO2019030268A1 (en) 2017-08-09 2019-02-14 Sanofi Glp-1/glucagon receptor agonists in the treatment of fatty liver disease and steatohepatitis
US11352405B2 (en) 2017-08-09 2022-06-07 Sanofi GLP-1/glucagon receptor agonists in the treatment of fatty liver disease and steatohepatitis
WO2019122109A1 (en) 2017-12-21 2019-06-27 Sanofi Liquid pharmaceutical composition
US11590206B2 (en) 2017-12-21 2023-02-28 Sanofi Liquid pharmaceutical composition
US11447535B2 (en) 2018-04-05 2022-09-20 Sun Pharmaceutical Industries Limited GLP-1 analogues
US11242373B2 (en) 2018-04-05 2022-02-08 Sun Pharmaceutical Industries Limited GLP-1 analogues
US11873328B2 (en) 2018-04-05 2024-01-16 Sun Pharmaceutical Industries Limited GLP-1 analogues
US11866477B2 (en) 2018-04-05 2024-01-09 Sun Pharmaceutical Industries Limited GLP-1 analogues
US11560402B2 (en) 2018-04-10 2023-01-24 Sanofi-Aventis Deutschland Gmbh Method for cleavage of solid phase-bound peptides from the solid phase
US11028123B2 (en) 2018-04-10 2021-06-08 Sanofi-Aventis Deutschland Gmbh Capping of unprotected amino groups during peptide synthesis
WO2019229225A1 (en) 2018-05-30 2019-12-05 Sanofi Conjugates comprising an glp-1/glucagon/gip triple receptor agonist, a linker and hyaluronic acid
WO2021175974A1 (en) 2020-03-06 2021-09-10 Sanofi Peptides as selective gip receptor agonists
US11813312B2 (en) 2020-04-24 2023-11-14 Boehringer Ingelheim International Gmbh Glucagon analogues as long-acting GLP-1/glucagon receptor agonists in the treatment of fatty liver disease and steatohepatitis
WO2021214220A1 (en) 2020-04-24 2021-10-28 Boehringer Ingelheim International Gmbh Glucagon analogues as long-acting glp-1/glucagon receptor agonists in the treatment of fatty liver disease and steatohepatitis
WO2022133148A1 (en) * 2020-12-17 2022-06-23 Intarcia Therapeutics, Inc. Long acting glucagon like polypeptide-1 (glp-1) receptor agonists and methods of use
US12084485B2 (en) 2020-12-17 2024-09-10 I2O Therapeutics, Inc. Long acting glucagon like polypeptide-1 (GLP-1) receptor agonists and methods of use
WO2023006923A1 (en) 2021-07-30 2023-02-02 Boehringer Ingelheim International Gmbh Dose regimen for long-acting glp1/glucagon receptor agonists
WO2023031455A1 (en) 2021-09-06 2023-03-09 Sanofi Sa New peptides as potent and selective gip receptor agonists
WO2024165571A2 (en) 2023-02-06 2024-08-15 E-Therapeutics Plc Inhibitors of expression and/or function

Also Published As

Publication number Publication date
MY168749A (en) 2018-11-30
ES2647418T3 (en) 2017-12-21
JP6373270B2 (en) 2018-08-15
HUE037150T2 (en) 2018-08-28
DOP2015000073A (en) 2015-05-31
CL2016002137A1 (en) 2017-12-22
ZA201501694B (en) 2016-01-27
TW201427992A (en) 2014-07-16
CA2887272C (en) 2021-09-21
DK2906595T3 (en) 2017-11-27
MX359533B (en) 2018-10-01
SI2906595T1 (en) 2017-12-29
EA030023B1 (en) 2018-06-29
CL2015000811A1 (en) 2015-09-11
US20140100156A1 (en) 2014-04-10
HK1209766A1 (en) 2016-04-08
KR20150064093A (en) 2015-06-10
EP2906595B1 (en) 2017-08-16
PH12015500688B1 (en) 2015-05-25
TN2015000101A1 (en) 2016-06-29
BR112015007685A2 (en) 2017-08-08
TWI613213B (en) 2018-02-01
US20160220643A1 (en) 2016-08-04
EP2906595A1 (en) 2015-08-19
JP2015532297A (en) 2015-11-09
KR102179751B1 (en) 2020-11-17
AU2013328802A1 (en) 2015-05-07
CN104837864B (en) 2019-07-05
SG11201501770WA (en) 2015-04-29
UY35072A (en) 2014-05-30
NZ706898A (en) 2018-02-23
CY1119987T1 (en) 2018-12-12
UA116217C2 (en) 2018-02-26
AR092925A1 (en) 2015-05-06
US20180185450A1 (en) 2018-07-05
EA201590715A1 (en) 2015-11-30
CR20150200A (en) 2015-06-11
MX2015004531A (en) 2015-12-01
IL237641A0 (en) 2015-04-30
CA2887272A1 (en) 2014-04-17
CN104837864A (en) 2015-08-12
PE20150900A1 (en) 2015-06-16
AU2013328802B2 (en) 2017-10-12
LT2906595T (en) 2017-11-27
GT201500081A (en) 2017-12-15
HRP20171726T1 (en) 2017-12-29
IL237641B (en) 2019-06-30
PH12015500688A1 (en) 2015-05-25
PL2906595T3 (en) 2018-01-31
US9365632B2 (en) 2016-06-14
US10758592B2 (en) 2020-09-01
PT2906595T (en) 2017-11-16
RS56515B1 (en) 2018-02-28
NO2906595T3 (en) 2018-01-13

Similar Documents

Publication Publication Date Title
US10758592B2 (en) Exendin-4 derivatives as dual GLP1/glucagon agonists
US10253079B2 (en) Functionalized Exendin-4 derivatives
AU2015243611B2 (en) Dual GLP-1 / glucagon receptor agonists derived from exendin-4
CA2944682A1 (en) Exendin-4 derivatives as peptidic dual glp-1 / glucagon receptor agonists
WO2013186240A2 (en) Exendin-4 peptide analogues
OA17436A (en) Functionalized exendin-4 derivatives.
OA17287A (en) New indanyloxydihydrobenzofuranylacetic acids

Legal Events

Date Code Title Description
121 Ep: the epo has been informed by wipo that ep was designated in this application

Ref document number: 13773767

Country of ref document: EP

Kind code of ref document: A1

DPE1 Request for preliminary examination filed after expiration of 19th month from priority date (pct application filed from 20040101)
REEP Request for entry into the european phase

Ref document number: 2013773767

Country of ref document: EP

WWE Wipo information: entry into national phase

Ref document number: 2013773767

Country of ref document: EP

WWE Wipo information: entry into national phase

Ref document number: 237641

Country of ref document: IL

WWE Wipo information: entry into national phase

Ref document number: 12015500688

Country of ref document: PH

WWE Wipo information: entry into national phase

Ref document number: 2015000811

Country of ref document: CL

ENP Entry into the national phase

Ref document number: 2015535054

Country of ref document: JP

Kind code of ref document: A

ENP Entry into the national phase

Ref document number: 2887272

Country of ref document: CA

WWE Wipo information: entry into national phase

Ref document number: 000458-2015

Country of ref document: PE

NENP Non-entry into the national phase

Ref country code: DE

WWE Wipo information: entry into national phase

Ref document number: MX/A/2015/004531

Country of ref document: MX

WWE Wipo information: entry into national phase

Ref document number: CR2015-000200

Country of ref document: CR

ENP Entry into the national phase

Ref document number: 20157010088

Country of ref document: KR

Kind code of ref document: A

REG Reference to national code

Ref country code: BR

Ref legal event code: B01A

Ref document number: 112015007685

Country of ref document: BR

WWE Wipo information: entry into national phase

Ref document number: 15100828

Country of ref document: CO

WWE Wipo information: entry into national phase

Ref document number: 38066

Country of ref document: MA

ENP Entry into the national phase

Ref document number: 2013328802

Country of ref document: AU

Date of ref document: 20131008

Kind code of ref document: A

WWE Wipo information: entry into national phase

Ref document number: 201590715

Country of ref document: EA

WWE Wipo information: entry into national phase

Ref document number: IDP00201502780

Country of ref document: ID

ENP Entry into the national phase

Ref document number: 112015007685

Country of ref document: BR

Kind code of ref document: A2

Effective date: 20150407