US2005026827A1PendingUtilityA1

Octapeptide bombesin analogs

Assignee: SOD CONSEILS RECH APPLICPriority: Sep 24, 1987Filed: Feb 27, 2004Published: Feb 3, 2005
Est. expirySep 24, 2007(expired)· nominal 20-yr term from priority
C07K 14/57572C07K 7/02C07K 7/086C07K 7/18A61K 38/00C07K 14/685
65
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Claims

Abstract

A linear (i.e., non-cyclic) analog of biologically active amphibian bombesin, mammalian gastrin-releasing peptide (GRP), or mammalian growth hormone releasing factor (GRF), having an active site and a binding site responsible for the binding of the peptide to a receptor on a target cell. Cleavage of a peptide bond in the active site of naturally occurring bombesin, GRP, or GRF is unnecessary for in vivo biological activity. The analog has one of the following modifications: (a) a deletion of an amino acid residue within the active site and a modification of an amino acid residue outside of the active site, (b) a replacement of two amino acid residues within the active site with a synthetic amino acid, a β-amino acid, or a γ-amino acid residue, or (c) a non-peptide bond. instead of a peptide bond between an amino acid residue of the active site and an adjacent amino acid residue.

Claims

exact text as granted — not AI-modified
1 - 8 . (canceled)  
     
     
         9 . A method of inhibiting tumor growth which comprises administering to a patient in need thereof an effective amount of a therapeutic peptide of the formula:  
       
         
           
           
               
               
           
         
       
       wherein 
 A 0 =Gly, Nle, α-aminobutyric acid, or the D-isomer of any of Ala, Val, Gln, Asn, Leu, Ile, Met, p-X-Phe (where X=F, Cl, Br, NO 2 , OH, H or CH 3 ), Trp, Cys, or β-Nal, or is deleted;  
 A 1 =the D or L-isomer of any of pGlu, Nle, or α-aminobutyric acid, or the D-isomer of any of Ala, Val, Gln, Asn, Leu, Ile, Met, p-X-Phe (where X=F, Cl, Br, NO 2 , OH, H or CH 3 ), F 5 -Phe, Trp, Cys, or β-Nal, or is deleted;  
 A 2 =pGlu, Gly, Ala, Val, Gln, Asn, Leu, Ile, Met, p-X-Phe (where X=F, Cl, Br, NO 2 , OH, H or CH 3 ), Trp, Cys, β-Nal, His, 1-methyl-His, or 3-methyl-His;  
 A 4 =Ala, Val, Gln, Asn, Gly, Leu, Ile, Nle, α-aminobutyric acid, Met, p-X-Phe (where X=F, Cl, Br, NO 2 , OH, H or CH 3 ), Trp, Cys, or β-Nal;  
 A 5 =Gln, Asn, Gly, Ala, Leu, Ile, Nle, α-aminobutyric acid, Met, Val, p-X-Phe (where X=F, Cl, Br, OH, H or CH 3 ), Trp, Thr, or β-Nal;  
 A 6 =Sar, Gly, or the D-isomer of any of Ala, N-methyl-Ala, Val, Gln, Asn, Leu, Ile, Met, p-X-Phe (where X=F, Cl, Br, NO 2 , OH, H or CH 3 ), Trp, Cys, or β-Nal;  
 A 7 =1-methyl-His, 3-methyl-His or His;  
 provided that, if A 0  is present, A 1  cannot be pGlu; further provided that, if A 0  or A 1  is present, A 2  cannot be pGlu; further provided that, when A 0  is deleted and A 1  is pGlu, R 1  must be H and R 2  must be the portion of Glu that forms the imine ring in pGlu; and further provided that, W can be any one of the following:  
                     
 wherein R 3  is CHR 20 —(CH 2 ) n1  (where R 20  is either of H or OH; and n1 is either of 1 or 0), or is deleted, and Z 1  is the identifying group of any of the amino acids Gly, Ala, Val, Leu, Ile, Ser, Asp, Asn, Glu, Gln, p-X-Phe (where X=H, F, Cl, Br, NO 2 , OH, or CH 3 ), F 5 -Phe, Trp, Cys, Met, Pro, HyPro, cyclohexyl-Ala, or β-Nal; and V is either OR 4 , or  
                     
 where R 4  is any of C 1-20  alkyl, C 3-20  alkenyl, C 3-20  alkinyl, phenyl, naphthyl, or C 7-10  phenylalkyl, and each R 5 , and R 6 , independently, is any of H, C 1-12  alkyl, C 7-10  phenylalkyl, lower acyl, or  
                     
 where R 22  is any of H, C 1-12  alkyl, C 7-10  phenylalkyl, or lower acyl; provided that, when one of R 5  or R 6  is —NR 22 , the other is H;  
                     
 wherein Z 1  is the identifying group of any of the amino acids Gly, Ala, Val, Leu, Ile, Ser, Asp, Asn, Glu, β-Nal, Gln, p-X-Phe (where X=H, F, Cl, Br, NO 2 , OH or CH 3 ), F 5 -Phe, Trp, Cys, Met, Pro, or HyPro; and each Z 2 , Z 3 , and Z 4 , independently, is H, lower alkyl, lower phenylalkyl, or lower naphthylalkyl; or  
                     
 wherein each Z 20  and Z 30 , independently, is H, lower alkyl, lower phenylalkyl, lower naphthylalkyl; further provided that, when either of Z 20  or Z 30  is other than H, A 7  is His, A 6  is Gly, A 5  is Val, A 4  is Ala, A 2  is His, and either of R 1  or R 2  is other than H, A 1  must be other than deleted; further provided that, for the formulas (I) through (III), any asymmetric carbon atom can be R, S or a racemic mixture; and further provided that each R 1  and R 2 , independently, is H, C 1-12  alkyl, C 7-10  phenylalkyl, COE 1  (where E 1  is C 1-20  alkyl, C 3-20  alkenyl, C 3-20  alkinyl, phenyl, naphthyl, or C 7-10  phenylalkyl), or lower acyl, and R 1  and R 2  are bonded to the N-terminal amino acid of said peptide, and further provided that when one of R 1  or R 2  is COE 1 , the other must be H, or a pharmaceutically acceptable salt thereof.  
 
     
     
         10 . The method of  claim 9  wherein said therapeutic peptide is of the formula: 
 A 0 =Gly, D-Phe, or is deleted;    A 1 =p-Glu, D-Phe, D-Ala, D-β-Nal, D-Cpa, or D-Asn;    A 2 =Gln, His, 1-methyl-His, or 3-methyl-His;    A 4 =Ala;    A 5 =Val;    A 6 =Sar, Gly, D-Phe, or D-Ala;    A 7 =His;    and, where W is (I) and R 3  is CH 2  or CH 2 —CH 2 , Z 1  is the identifying group of Leu or Phe, where W is (I) and R 3  is CHOH—CH 2 , Z 1  is the identifying group of Leu, cyclohexyl-Ala, or Phe and each R 5  and R 6  is H; and where W is (I), V is NHR 6 , and R 6  is NH 2 ; where W is (II), Z 1  is the identifying group of any one of the amino acids Leu or p-X-Phe (where X=H, F, Cl, Br, NO 2 , OH or CH 3 ); and each Z 2 , Z 3  and Z 4 , independently, is H, lower alkyl, lower phenylalkyl, or lower naphthylalkyl; and where W is (III), each Z 20  and Z 30 , is H; and each R 1  and R 2 , independently, is H, lower alkyl, or lower acyl.    
     
     
         11 . The method of  claim 10  wherein said therapeutic peptide is of the formula: 
 D-Phe-Gln-Trp-Ala-Val-Gly-His-Leu-ethylamide.    
     
     
         12 . The method of  claim 10  wherein said therapeutic peptide is of the formula: 
 p-Glu-Gln-Trp-Ala-Val-Gly-His-statine-amide.    
     
     
         13 . The method of  claim 10  wherein said therapeutic peptide is of the formula: 
 D-Cpa-Gln-Trp-Ala-Val-Gly-His-β-Leu-NH 2 .    
     
     
         14 . The method of  claim 9  wherein said therapeutic peptide is of the formula: W is (I), V is OR 4 , and R 4  is any of C 1-20 alkyl, C 3-20 alkenyl, C 3-20 alkinyl, phenyl, naphthyl, or C 7-10  phenylalkyl, and A 6  is N-methyl-D-Ala or A 1  is D-F 5 -Phe.  
     
     
         15 . The therapeutic peptide of  claim 14  of the formula: 
 D-Phe-Gln-Trp-Ala-Val-N-methyl-D-Ala-His-Leu-methylester.    
     
     
         16 . The therapeutic peptide of  claim 10  of the formula: 
 D-Cpa-Gln-Trp-Ala-Val-D-Ala-His-β-Leu-NH 2 .    
     
     
         17 . The method of  claim 9  wherein said tumor is located in the gastrointestinal tract, pancreas, colon, prostrate or breast.  
     
     
         18 . The method of  claim 9  wherein said tumor is a small-cell lung carcinoma.  
     
     
         19 . The method of  claim 9  wherein said effective amount is 0.5 μg/kg/day to 5 mg/kg/day.  
     
     
         20 . The method of  claim 9  wherein said effective amount is 250 mg/patient/day.  
     
     
         21 . A method of inhibiting pancreatic adenocarcinomas which comprises administering to a patient in need thereof an effective amount of a therapeutic compound of the formula:  
       
         
           
           
               
               
           
         
       
       wherein 
 A 0 =Gly, Nle, α-aminobutyric acid, or the D-isomer of any of Ala, Val, Gln, Asn, Leu, Ile, Met, p-X-Phe (where X=F, Cl, Br, NO 2 , OH, H or CH 3 ), Trp, Cys, or β-Nal, or is deleted;  
 A 1 =the D or L-isomer of any of pGlu, Nle, or α-aminobutyric acid, or the D-isomer of any of Ala, Val, Gln, Asn, Leu, Ile, Met, p-X-Phe (where X=F, Cl, Br, NO 2 , OH, H or CH 3 ), F 5 -Phe, Trp, Cys, or β-Nal, or is deleted;  
 A 2 =pGlu, Gly, Ala, Val, Gln, Asn, Leu, Ile, Met, p-X-Phe (where X=F, Cl, Br, NO 2 , OH, H or CH 3 ), Trp, Cys, β-Nal, His, 1-methyl-His, or 3-methyl-His;  
 A 4 =Ala, Val, Gln, Asn, Gly, Leu, Ile, Nle, α-aminobutyric acid, Met, p-X-Phe (where X=F, Cl, Br, NO 2 , OH, H or CH 3 ), Trp, Cys, or β-Nal;  
 A 5 =Gln, Asn, Gly, Ala, Leu, Ile, Nle, α-aminobutyric acid, Met, Val, p-X-Phe (where X=F, Cl, Br, OH, H or CH 3 ), Trp, Thr, or β-Nal;  
 A 6 =Sar, Gly, or the D-isomer of any of Ala, N-methyl-Ala, Val, Gln, Asn, Leu, Ile, Met, p-X-Phe (where X=F, Cl, Br, NO 2 , OH, H or CH 3 ), Trp, Cys, or β-Nal;  
 A 7 =1-methyl-His, 3-methyl-His or His;  
 provided that, if A 0  is present, A 1  cannot be pGlu; further provided that, if A 0  or A 1  is present, A 2  cannot be pGlu; further provided that, when A 0  is deleted and A 1  is pGlu, R 1  must be H and R 2  must be the portion of Glu that forms the imine ring in pGlu; and further provided that, W can be any one of the following:  
                     
 wherein R 3  is CHR 20 —(CH 2 ) n1  (where R 20  is either of H or OH; and n1 is either of 1 or 0), or is deleted, and Z 1  is the identifying group of any of the amino acids Gly, Ala, Val, Leu, Ile, Ser, Asp, Asn, Glu, Gln, p-X-Phe (where X=H, F, Cl, Br, NO 2 , OH, or CH 3 ), F 5 -Phe, Trp, Cys, Met, Pro, HyPro, cyclohexyl-Ala, or β-Nal; and V is either OR 4 , or  
                     
 where R 4  is any of C 1-20  alkyl, C 3-20  alkenyl, C 3-20  alkinyl, phenyl, naphthyl, or C 7-10  phenylalkyl, and each R 5 , and R 6 , independently, is any of H, C 1-12  alkyl, C 7-10  phenylalkyl, lower acyl, or  
                     
 where R 22  is any of H, C 1-12  alkyl, C 7-10  phenylalkyl, or lower acyl; provided that, when one of R 5  or R 6  is —NR 22 , the other is H;  
                     
 wherein Z 1  is the identifying group of any of the amino acids Gly, Ala, Val, Leu, Ile, Ser, Asp, Asn, Glu, β-Nal, Gln, p-X-Phe (where X=H, F, Cl, Br, NO 2 , OH or CH 3 ), F 5 -Phe, Trp, Cys, Met, Pro, or HyPro; and each Z 2 , Z 3 , and Z 4 , independently, is H, lower alkyl, lower phenylalkyl, or lower naphthylalkyl; or  
                     
 wherein each Z 20  and Z 30 , independently, is H, lower alkyl, lower phenylalkyl, lower naphthylalkyl; further provided that, when either of Z 20  or Z 30  is other than H, A 7  is His, A 6  is Gly, A 5  is Val, A 4  is Ala, A 2  is His, and either of R 1  or R 2  is other than H, A 1  must be other than deleted; further provided that, for the formulas (I) through (III), any asymmetric carbon atom can be R, S or a racemic mixture; and further provided that each R 1  and R 2 , independently, is H, C 1-12  alkyl, C 7-10  phenylalkyl, COE 1  (where E 1  is C 1-20  alkyl, C 3-20  alkenyl, C 3-20  alkinyl, phenyl, naphthyl, or C 7-10  phenylalkyl), or lower acyl, and R 1  and R 2  are bonded to the N-terminal amino acid of said peptide, and further provided that when one of R 1  or R 2  is COE 1 , the other must be H, or a pharmaceutically acceptable salt thereof.  
 
     
     
         22 . The method of  claim 21  wherein said therapeutic peptide is of the formula: 
 A 0 =Gly, D-Phe, or is deleted;    A 1 =p-Glu, D-Phe, D-Ala, D-β-Nal, D-Cpa, or D-Asn;    A 2 =Gln, His, 1-methyl-His, or 3-methyl-His;    A 4 =Ala;    A 5 =Val;    A 6 =Sar, Gly, D-Phe, or D-Ala;    A 7 =His;    and, where W is (I) and R 3  is CH 2  or CH 2 —CH 2 , Z 1  is the identifying group of Leu or Phe, where W is (I) and R 3  is CHOH—CH 2 , Z 1  is the identifying group of Leu, cyclohexyl-Ala, or Phe and each R 5  and R 6  is H; and where W is (I), V is NHR 6 , and R 6  is NH 2 ; where W is (II), Z 1  is the identifying group of any one of the amino acids Leu or p-X-Phe (where X=H, F, Cl, Br, NO 2 , OH or CH 3 ); and each Z 2 , Z 3  and Z 4 , independently, is H, lower alkyl, lower phenylalkyl, or lower naphthylalkyl; and where W is (III), each Z 20  and Z 30 , is H; and each R 1  and R 2 , independently, is H, lower alkyl, or lower acyl.    
     
     
         23 . The method of  claim 22  wherein said therapeutic peptide is of the formula: 
 D-Phe-Gln-Trp-Ala-Val-Gly-His-Leu-ethylamide.    
     
     
         24 . The method of  claim 22  wherein said therapeutic peptide is of the formula: 
 p-Glu-Gln-Trp-Ala-Val-Gly-His-statine-amide.    
     
     
         25 . The method of  claim 22  wherein said therapeutic peptide is of the formula: 
 D-Cpa-Gln-Trp-Ala-Val-Gly-His-β-Leu-NH 2 .    
     
     
         26 . The method of  claim 21  wherein said therapeutic peptide is of the formula: W is (I), V is OR 4 , and R 4  is any of C 1-20 alkyl, C 3-20 alkenyl, C 3-20 alkinyl, phenyl, naphthyl, or C 7-10  phenylalkyl, and A 6  is N-methyl-D-Ala or A 1  is D-F 5 -Phe.  
     
     
         27 . The therapeutic peptide of  claim 26  of the formula: 
 D-Phe-Gln-Trp-Ala-Val-N-methyl-D-Ala-His-Leu-methylester.    
     
     
         28 . The therapeutic peptide of  claim 22  of the formula: 
 D-Cpa-Gln-Trp-Ala-Val-D-Ala-His-β-Leu-NH 2 .    
     
     
         29 . The method of  claim 21  wherein said effective amount is 0.5 μg/kg/day to 5 mg/kg/day.  
     
     
         30 . The method of  claim 21  wherein said effective amount is 250 mg/patient/day.  
     
     
         31 . A method of inhibiting gastric acid secretion which comprises administering to a patient in need thereof an effective amount of a therapeutic compound of the formula:  
       
         
           
           
               
               
           
         
       
       wherein 
 A 0 =Gly, Nle, α-aminobutyric acid, or the D-isomer of any of Ala, Val, Gln, Asn, Leu, Ile, Met, p-X-Phe (where X=F, Cl, Br, NO 2 , OH, H or CH 3 ), Trp, Cys, or β-Nal, or is deleted;  
 A 1 =the D or L-isomer of any of pGlu, Nle, or α-aminobutyric acid, or the D-isomer of any of Ala, Val, Gln, Asn, Leu, Ile, Met, p-X-Phe (where X=F, Cl, Br, NO 2 , OH, H or CH 3 ), F 5 -Phe, Trp, Cys, or β-Nal, or is deleted;  
 A 2 =pGlu, Gly, Ala, Val, Gln, Asn, Leu, Ile, Met, p-X-Phe (where X=F, Cl, Br, NO 2 , OH, H or CH 3 ), Trp, Cys, β-Nal, His, 1-methyl-His, or 3-methyl-His;  
 A 4 =Ala, Val, Gln, Asn, Gly, Leu, Ile, Nle, α-aminobutyric acid, Met, p-X-Phe (where X=F, Cl, Br, NO 2 , OH, H or CH 3 ), Trp, Cys, or β-Nal;  
 A 5 =Gln, Asn, Gly, Ala, Leu, Ile, Nle, α-aminobutyric acid, Met, Val, p-X-Phe (where X=F, Cl, Br, OH, H or CH 3 ), Trp, Thr, or β-Nal;  
 A 6 =Sar, Gly, or the D-isomer of any of Ala, N-methyl-Ala, Val, Gln, Asn, Leu, Ile, Met, p-X-Phe (where X=F, Cl, Br, NO 2 , OH, H or CH 3 ), Trp, Cys, or β-Nal;  
 A 7 =1-methyl-His, 3-methyl-His or His;  
 provided that, if A 0  is present, A 1  cannot be pGlu; further provided that, if A 0  or A 1  is present, A 2  cannot be pGlu; further provided that, when A 0  is deleted and A 1  is pGlu, R 1  must be H and R 2  must be the portion of Glu that forms the imine ring in pGlu; and further provided that, W can be any one of the following:  
                     
 wherein R 3  is CHR 20 —(CH 2 ) n1  (where R 20  is either of H or OH; and n1 is either of 1 or 0), or is deleted, and Z 1  is the identifying group of any of the amino acids Gly, Ala, Val, Leu, Ile, Ser, Asp, Asn, Glu, Gln, p-X-Phe (where X=H, F, Cl, Br, NO 2 , OH, or CH 3 ), F 5 -Phe, Trp, Cys, Met, Pro, HyPro, cyclohexyl-Ala, or β-Nal; and V is either OR 4 , or  
                     
 where R 4  is any of C 1-20  alkyl, C 3-20  alkenyl, C 3-20  alkinyl, phenyl, naphthyl, or C 7-10  phenylalkyl, and each R 5 , and R 6 , independently, is any of H, C 1-12  alkyl, C 7-10  phenylalkyl, lower acyl, or  
                     
 where R 22  is any of H, C 1-12  alkyl, C 7-10  phenylalkyl, or lower acyl; provided that, when one of R 5  or R 6  is —NR 22 , the other is H;  
                     
 wherein Z 1  is the identifying group of any of the amino acids Gly, Ala, Val, Leu, Ile, Ser, Asp, Asn, Glu, β-Nal, Gln, p-X-Phe (where X=H, F, Cl, Br, NO 2 , OH or CH 3 ), F 5 -Phe, Trp, Cys, Met, Pro, or HyPro; and each Z 2 , Z 3 , and Z 4 , independently, is H, lower alkyl, lower phenylalkyl, or lower naphthylalkyl; or  
                     
 wherein each Z 20  and Z 30 , independently, is H, lower alkyl, lower phenylalkyl, lower naphthylalkyl; further provided that, when either of Z 20  or Z 30  is other than H, A 7  is His, A 6  is Gly, A 5  is Val, A 4  is Ala, A 2  is His, and either of R 1  or R 2  is other than H, A 1  must be other than deleted; further provided that, for the formulas (I) through (III), any asymmetric carbon atom can be R, S or a racemic mixture; and further provided that each R 1  and R 2 , independently, is H, C 1-12  alkyl, C 7-10  phenylalkyl, COE 1  (where E 1  is C 1-20  alkyl, C 3-20  alkenyl, C 3-20  alkinyl, phenyl, naphthyl, or C 7-10  phenylalkyl), or lower acyl, and R 1  and R 2  are bonded to the N-terminal amino acid of said peptide, and further provided that when one of R 1  or R 2  is COE 1 , the other must be H, or a pharmaceutically acceptable salt thereof.  
 
     
     
         32 . The method of  claim 31  wherein said therapeutic peptide is of the formula: 
 A 0 =Gly, D-Phe, or is deleted;    A 1 =p-Glu, D-Phe, D-Ala, D-β-Nal, D-Cpa, or D-Asn;    A 2 =Gln, His, 1-methyl-His, or 3-methyl-His;    A 4 =Ala;    A 5 =Val;    A 6 =Sar, Gly, D-Phe, or D-Ala;    A 7 =His;    and, where W is (I) and R 3  is CH 2  or CH 2 —CH 2 , Z 1  is the identifying group of Leu or Phe, where W is (I) and R 3  is CHOH—CH 2 , Z 1  is the identifying group of Leu, cyclohexyl-Ala,    Phe and each R 5  and R 6  is H; and where W is (I), V is NHR 6 , and R 6  is NH 2 ; where W is (II), Z 1  is the identifying group of any one of the amino acids Leu or p-X-Phe (where X=H, F, Cl, Br, NO 2 , OH or CH 3 ); and each Z 2 , Z 3  and Z 4 , independently, is H, lower alkyl, lower phenylalkyl, or lower naphthylalkyl; and where W is (III), each Z 20  and Z 30 , is H; and each R 1  and R 2 , independently, is H, lower alkyl, or lower acyl.    
     
     
         33 . The method of  claim 32  wherein said therapeutic peptide is of the formula: 
 D-Phe-Gln-Trp-Ala-Val-Gly-His-Leu-ethylamide.    
     
     
         34 . The method of  claim 32  wherein said therapeutic peptide is of the formula: 
 p-Glu-Gln-Trp-Ala-Val-Gly-His-statine-amide.    
     
     
         35 . The method of  claim 32  wherein said therapeutic peptide is of the formula: 
 D-Cpa-Gln-Trp-Ala-Val-Gly-His-β-Leu-NH 2 .    
     
     
         36 . The method of  claim 31  wherein said therapeutic peptide is of the formula: W is (I), V is OR 4 , and R 4  is any of C 1-20 alkyl, C 3-20 alkenyl, C 3-20 alkinyl, phenyl, naphthyl, or C 7-10  phenylalkyl, and A 6  is N-methyl-D-Ala or A 1  is D-F 5 -Phe.  
     
     
         37 . The therapeutic peptide of  claim 36  of the formula: 
 D-Phe-Gln-Trp-Ala-Val-N-methyl-D-Ala-His-Leu-methylester.    
     
     
         38 . The therapeutic peptide of  claim 32  of the formula: 
 D-Cpa-Gln-Trp-Ala-Val-D-Ala-His-β-Leu-NH 2 .    
     
     
         39 . The method of  claim 31  wherein said effective amount is 0.5 μg/kg/day to 5 mg/kg/day.  
     
     
         40 . A method of treating motility disorders of the GI tract which comprises administering to a patient in need thereof an effective amount of a therapeutic compound of the formula:  
       
         
           
           
               
               
           
         
       
       wherein 
 A 0 =Gly, Nle, α-aminobutyric acid, or the D-isomer of any of Ala, Val, Gln, Asn, Leu, Ile, Met, p-X-Phe (where X=F, Cl, Br, NO 2 , OH, H or CH 3 ), Trp, Cys, or β-Nal, or is deleted;  
 A 1 =the D or L-isomer of any of pGlu, Nle, or α-aminobutyric acid, or the D-isomer of any of Ala, Val, Gln, Asn, Leu, Ile, Met, p-X-Phe (where X=F, Cl, Br, NO 2 , OH, H or CH 3 ), F 5 -Phe, Trp, Cys, or β-Nal, or is deleted;  
 A 2 =pGlu, Gly, Ala, Val, Gln, Asn, Leu, Ile, Met, p-X-Phe (where X=F, Cl, Br, NO 2 , OH, H or CH 3 ), Trp, Cys, β-Nal, His, 1-methyl-His, or 3-methyl-His;  
 A 4 =Ala, Val, Gln, Asn, Gly, Leu, Ile, Nle, α-aminobutyric acid, Met, p-X-Phe (where X=F, Cl, Br, NO 2 , OH, H or CH 3 ), Trp, Cys, or β-Nal;  
 A 5 =Gln, Asn, Gly, Ala, Leu, Ile, Nle, α-aminobutyric acid, Met, Val, p-X-Phe (where X=F, Cl, Br, OH, H or CH 3 ), Trp, Thr, or β-Nal;  
 A 6 =Sar, Gly, or the D-isomer of any of Ala, N-methyl-Ala, Val, Gln, Asn, Leu, Ile, Met, p-X-Phe (where X=F, Cl, Br, NO 2 , OH, H or CH 3 ), Trp, Cys, or β-Nal;  
 A 7 =1-methyl-His, 3-methyl-His or His;  
 provided that, if A 0  is present, A 1  cannot be pGlu; further provided that, if A 0  or A 1  is present, A 2  cannot be pGlu;  
 further provided that, when A 0  is deleted and A 1  is pGlu, R 1  must be H and R 2  must be the portion of Glu that forms the imine ring in pGlu; and further provided that, W can be any one of the following:  
                     
 wherein R 3  is CHR 20 —(CH 2 ) n1  (where R 20  is either of H or OH; and n1 is either of 1 or 0), or is deleted, and Z 1  is the identifying group of any of the amino acids Gly, Ala, Val, Leu, Ile, Ser, Asp, Asn, Glu, Gln, p-X-Phe (where X=H, F, Cl, Br, NO 2 , OH, or CH 3 ), F 5 -Phe, Trp, Cys, Met, Pro, HyPro, cyclohexyl-Ala, or β-Nal; and V is either OR 4 , or  
                     
 where R 4  is any of C 1-20  alkyl, C 3-20  alkenyl, C 3-20  alkinyl, phenyl, naphthyl, or C 7-10  phenylalkyl, and each R 5 , and R 6 , independently, is any of H, C 1-12  alkyl, C 7-10  phenylalkyl, lower acyl, or  
                     
 where R 22  is any of H, C 1-12  alkyl, C 7-10  phenylalkyl, or lower acyl; provided that, when one of R 5  or R 6  is —NR 22 , the other is H;  
                     
 wherein Z 1  is the identifying group of any of the amino acids Gly, Ala, Val, Leu, Ile, Ser, Asp, Asn, Glu, β-Nal, Gln, p-X-Phe (where X=H, F, Cl, Br, NO 2 , OH or CH 3 ), F 5 -Phe, Trp, Cys, Met, Pro, or HyPro; and each Z 2 , Z 3 , and Z 4 , independently, is H, lower alkyl, lower phenylalkyl, or lower naphthylalkyl; or  
                     
 wherein each Z 20  and Z 30 , independently, is H, lower alkyl, lower phenylalkyl, lower naphthylalkyl; further provided that, when either of Z 20  or Z 30  is other than H, A 7  is His, A 6  is Gly, A 5  is Val, A 4  is Ala, A 2  is His, and either of R 1  or R 2  is other than H, A 1  must be other than deleted; further provided that, for the formulas (I) through (III), any asymmetric carbon atom can be R, S or a racemic mixture; and further provided that each R 1  and R 2 , independently, is H, C 1-12  alkyl, C 7-10  phenylalkyl, COE 1  (where E 1  is C 1-20  alkyl, C 3-20  alkenyl, C 3-20  alkinyl, phenyl, naphthyl, or C 7-10  phenylalkyl), or lower acyl, and R 1  and R 2  are bonded to the N-terminal amino acid of said peptide, and further provided that when one of R 1  or R 2  is COE 1 , the other must be H, or a pharmaceutically acceptable salt thereof.  
 
     
     
         41 . The method of  claim 40  wherein said therapeutic peptide is of the formula: 
 A 0 =Gly, D-Phe, or is deleted;    A 1 =p-Glu, D-Phe, D-Ala, D-β-Nal, D-Cpa, or D-Asn;    A 2 =Gln, His, 1-methyl-His, or 3-methyl-His;    A 4 =Ala;    A 5 =Val;    A 6 =Sar, Gly, D-Phe, or D-Ala;    A 7 =His;    and, where W is (I) and R 3  is CH 2  or CH 2 —CH 2 , Z 1  is the identifying group of Leu or Phe, where W is (I) and R 3  is CHOH—CH 2 , Z 1  is the identifying group of Leu, cyclohexyl-Ala, or Phe and each R 5  and R 6  is H; and where W is (I), V is NHR 6 , and R 6  is NH 2 ; where W is (II), Z 1  is the identifying group of any one of the amino acids Leu or p-X-Phe (where X=H, F, Cl, Br, NO 2 , OH or CH 3 ); and each Z 2 , Z 3  and Z 4 , independently, is H, lower alkyl, lower phenylalkyl, or lower naphthylalkyl; and where W is (III), each Z 20  and Z 30 , is H; and each R 1  and R 2 , independently, is H, lower alkyl, or lower acyl.    
     
     
         42 . The method of  claim 41  wherein said therapeutic peptide is of the formula: 
 D-Phe-Gln-Trp-Ala-Val-Gly-His-Leu-ethylamide.    
     
     
         43 . The method of  claim 41  wherein said therapeutic peptide is of the formula: 
 p-Glu-Gln-Trp-Ala-Val-Gly-His-statine-amide.    
     
     
         44 . The method of  claim 41  wherein said therapeutic peptide is of the formula: 
 D-Cpa-Gln-Trp-Ala-Val-Gly-His-β-Leu-NH 2 .    
     
     
         45 . The method of  claim 40  wherein said therapeutic peptide is of the formula: W is (I), V is OR 4 , and R 4  is any of C 1-20 alkyl, C 3-20 alkenyl, C 3-20 alkinyl, phenyl, naphthyl, or C 7-10  phenylalkyl, and A 6  is N-methyl-D-Ala or A 1  is D-F 5 -Phe.  
     
     
         46 . The therapeutic peptide of  claim 45  of the formula: 
 D-Phe-Gln-Trp-Ala-Val-N-methyl-D-Ala-His-Leu-methylester.    
     
     
         47 . The therapeutic peptide of  claim 41  of the formula: 
 D-Cpa-Gln-Trp-Ala-Val-D-Ala-His-β-Leu-NH 2 .    
     
     
         48 . The method of  claim 40  wherein said effective amount is 0.5 μg/kg/day to 5 mg/kg/day.  
     
     
         49 . A method of suppressing amylase release which comprises administering to a patient in need thereof an effective amount of a therapeutic peptide of the formula:  
       
         
           
           
               
               
           
         
       
       wherein 
 A 0 =Gly, Nle, α-aminobutyric acid, or the D-isomer of any of Ala, Val, Gln, Asn, Leu, Ile, Met, p-X-Phe (where X=F, Cl, Br, NO 2 , OH, H or CH 3 ), Trp, Cys, or β-Nal, or is deleted;  
 A 1 =the D or L-isomer of any of pGlu, Nle, or α-aminobutyric acid, or the D-isomer of any of Ala, Val, Gln, Asn, Leu, Ile, Met, p-X-Phe (where X=F, Cl, Br, NO 2 , OH, H or CH 3 ), F 5 -Phe, Trp, Cys, or β-Nal, or is deleted;  
 A 2 =pGlu, Gly, Ala, Val, Gln, Asn, Leu, Ile, Met, p-X-Phe (where X=F, Cl, Br, NO 2 , OH, H or CH 3 ), Trp, Cys, β-Nal, His, 1-methyl-His, or 3-methyl-His;  
 A 4 =Ala, Val, Gln, Asn, Gly, Leu, Ile, Nle, α-aminobutyric acid, Met, p-X-Phe (where X=F, Cl, Br, NO 2 , OH, H or CH 3 ), Trp, Cys, or β-Nal;  
 A 5 =Gln, Asn, Gly, Ala, Leu, Ile, Nle, α-aminobutyric acid, Met, Val, p-X-Phe (where X=F, Cl, Br, OH, H or CH 3 ), Trp, Thr, or β-Nal;  
 A 6 =Sar, Gly, or the D-isomer of any of Ala, N-methyl-Ala, Val, Gln, Asn, Leu, Ile, Met, p-X-Phe (where X=F, Cl, Br, NO 2 , OH, H or CH 3 ), Trp, Cys, or β-Nal;  
 A 7 =1-methyl-His, 3-methyl-His or His;  
 provided that, if A 0  is present, A 1  cannot be pGlu; further provided that, if A 0  or A 1  is present, A 2  cannot be pGlu; further provided that, when A 0  is deleted and A 1  is pGlu, R 1  must be H and R 2  must be the portion of Glu that forms the imine ring in pGlu; and further provided that, W can be any one of the following:  
                     
 wherein R 3  is CHR 20 —(CH 2 ) n1  (where R 20  is either of H or OH; and n1 is either of 1 or 0), or is deleted, and Z 1  is the identifying group of any of the amino acids Gly, Ala, Val, Leu, Ile, Ser, Asp, Asn, Glu, Gln, p-X-Phe (where X=H, F, Cl, Br, NO 2 , OH, or CH 3 ), F 5 -Phe, Trp, Cys, Met, Pro, HyPro, cyclohexyl-Ala, or β-Nal; and V is either OR 4 , or  
                     
 where R 4  is any of C 1-20  alkyl, C 3-20  alkenyl, C 3-20  alkinyl, phenyl, naphthyl, or C 7-10  phenylalkyl, and each R 5 , and R 6 , independently, is any of H, C 1-12  alkyl, C 7-10  phenylalkyl, lower acyl, or  
                     
 where R 22  is any of H, C 1-12  alkyl, C 7-10  phenylalkyl, or lower acyl; provided that, when one of R 5  or R 6  is —NR 22 , the other is H;  
                     
 wherein Z 1  is the identifying group of any of the amino acids Gly, Ala, Val, Leu, Ile, Ser, Asp, Asn, Glu, β-Nal, Gln, p-X-Phe (where X=H, F, Cl, Br, NO 2 , OH or CH 3 ), F 5 -Phe, Trp, Cys, Met, Pro, or HyPro; and each Z 2 , Z 3 , and Z 4 , independently, is H, lower alkyl, lower phenylalkyl, or lower naphthylalkyl; or  
                     
 wherein each Z 20  and Z 30 , independently, is H, lower alkyl, lower phenylalkyl, lower naphthylalkyl; further provided that, when either of Z 20  or Z 30  is other than H, A 7  is His, A 6  is Gly, A 5  is Val, A 4  is Ala, A 2  is His, and either of R 1  or R 2  is other than H, A 1  must be other than deleted; further provided that, for the formulas (I) through (III), any asymmetric carbon atom can be R, S or a racemic mixture; and further provided that each R 1  and R 2 , independently, is H, C 1-12  alkyl, C 7-10  phenylalkyl, COE 1  (where E 1  is C 1-20  alkyl, C 3-20  alkenyl, C 3-20  alkinyl, phenyl, naphthyl, or C 7-10  phenylalkyl), or lower acyl, and R 1  and R 2  are bonded to the N-terminal amino acid of said peptide, and further provided that when one of R 1  or R 2  is COE 1 , the other must be H, or a pharmaceutically acceptable salt thereof.  
 
     
     
         50 . The method of  claim 49  wherein said therapeutic peptide is of the formula: 
 A 0 =Gly, D-Phe, or is deleted;    A 1 =p-Glu, D-Phe, D-Ala, D-β-Nal, D-Cpa, or D-Asn;    A 2 =Gln, His, 1-methyl-His, or 3-methyl-His;    A 4 =Ala;    A 5 =Val;    A 6 =Sar, Gly, D-Phe, or D-Ala;    A 7 =His;    and, where W is (I) and R 3  is CH 2  or CH 2 —CH 2 , Z 1  is the identifying group of Leu or Phe, where W is (I) and R 3  is CHOH—CH 2 , Z 1  is the identifying group of Leu, cyclohexyl-Ala,    or Phe and each R 5  and R 6  is H; and where W is (I), V is NHR 6 , and R 6  is NH 2 ; where W is (II), Z 1  is the identifying group of any one of the amino acids Leu or p-X-Phe (where X=H, F, Cl, Br, NO 2 , OH or CH 3 ); and each Z 2 , Z 3  and Z 4 , independently, is H, lower alkyl lower phenylalkyl, or lower naphthylalkyl; and where W is (III), each Z 20  and Z 30 , is H; and each R 1  and R 2 , independently, is H, lower alkyl, or lower acyl.    
     
     
         51 . The method of  claim 50  wherein said therapeutic peptide is of the formula: 
 D-Phe-Gln-Trp-Ala-Val-Gly-His-Leu-ethylamide.    
     
     
         52 . The method of  claim 50  wherein said therapeutic peptide is of the formula: 
 p-Glu-Gln-Trp-Ala-Val-Gly-His-statine-amide.    
     
     
         53 . The method of  claim 50  wherein said therapeutic peptide is of the formula: 
 D-Cpa-Gln-Trp-Ala-Val-Gly-His-β-Leu-NH 2 .    
     
     
         54 . The method of  claim 49  wherein said therapeutic peptide is of the formula: W is (I), V is OR 4 , and R 4  is any of C 1-20 alkyl, C 3-20 alkenyl, C 3-20 alkinyl, phenyl, naphthyl, or C 7-10  phenylalkyl, and A 6  is N-methyl-D-Ala or A 1  is D-F 5 -Phe.  
     
     
         55 . The therapeutic peptide of  claim 54  of the formula: 
 D-Phe-Gln-Trp-Ala-Val-N-methyl-D-Ala-His-Leu-methylester.    
     
     
         56 . The therapeutic peptide of  claim 50  of the formula: 
 D-Cpa-Gln-Trp-Ala-Val-D-Ala-His-β-Leu-NH 2 .    
     
     
         57 . The method of  claim 49  wherein said effective amount is 0.5 μg/kg/day to 5 mg/kg/day.  
     
     
         58 . A method of treating cancer cachexia which comprises administering to a patient in need thereof an effective amount of a therapeutic compound of the formula:  
       
         
           
           
               
               
           
         
       
       wherein 
 A 0 =Gly, Nle, α-aminobutyric acid, or the D-isomer of any of Ala, Val, Gln, Asn, Leu, Ile, Met, p-X-Phe (where X=F, Cl, Br, NO 2 , OH, H or CH 3 ), Trp, Cys, or β-Nal, or is deleted;  
 A 1 =the D or L-isomer of any of pGlu, Nle, or α-aminobutyric acid, or the D-isomer of any of Ala, Val, Gln, Asn, Leu, Ile, Met, p-X-Phe (where X=F, Cl, Br, NO 2 , OH, H or CH 3 ), F 5 -Phe, Trp, Cys, or β-Nal, or is deleted;  
 A 2 =pGlu, Gly, Ala, Val, Gln, Asn, Leu, Ile, Met, p-X-Phe (where X=F, Cl, Br, NO 2 , OH, H or CH 3 ), Trp, Cys, β-Nal, His, 1-methyl-His, or 3-methyl-His;  
 A 4 =Ala, Val, Gln, Asn, Gly, Leu, Ile, Nle, α-aminobutyric acid, Met, p-X-Phe (where X=F, Cl, Br, NO 2 , OH, H or CH 3 ), Trp, Cys, or β-Nal;  
 A 5 =Gln, Asn, Gly, Ala, Leu, Ile, Nle, α-aminobutyric acid, Met, Val, p-X-Phe (where X=F, Cl, Br, OH, H or CH 3 ), Trp, Thr, or β-Nal;  
 A 6 =Sar, Gly, or the D-isomer of any of Ala, N-methyl-Ala, Val, Gln, Asn, Leu, Ile, Met, p-X-Phe (where X=F, Cl, Br, NO 2 , OH, H or CH 3 ), Trp, Cys, or β-Nal;  
 A 7 =1-methyl-His, 3-methyl-His or His;  
 provided that, if A 0  is present, A 1  cannot be pGlu; further provided that, if A 0  or A 1  is present, A 2  cannot be pGlu; further provided that, when A 0  is deleted and A 1  is pGlu, R 1  must be H and R 2  must be the portion of Glu that forms the imine ring in pGlu; and further provided that, W can be any one of the following:  
                     
 wherein R 3  is CHR 20 —(CH 2 ) n1  (where R 20  is either of H or OH; and n1 is either of 1 or 0), or is deleted, and Z 1  is the identifying group of any of the amino acids Gly, Ala, Val, Leu, Ile, Ser, Asp, Asn, Glu, Gln, p-X-Phe (where X=H, F, Cl, Br, NO 2 , OH, or CH 3 ), F 5 -Phe, Trp, Cys, Met, Pro, HyPro, cyclohexyl-Ala, or β-Nal; and V is either OR 4 , or  
                     
 where R 4  is any of C 1-20  alkyl, C 3-20  alkenyl, C 3-20  alkinyl, phenyl, naphthyl, or C 7-10  phenylalkyl, and each R 5 , and R 6 , independently, is any of H, C 1-12  alkyl, C 7-10  phenylalkyl, lower acyl, or  
                     
 where R 22  is any of H, C 1-12  alkyl, C 7-10  phenylalkyl, or lower acyl; provided that, when one of R 5  or R 6  is —NR 22 , the other is H;  
                     
 wherein Z 1  is the identifying group of any of the amino acids Gly, Ala, Val, Leu, Ile, Ser, Asp, Asn, Glu, β-Nal, Gln, p-X-Phe (where X=H, F, Cl, Br, NO 2 , OH or CH 3 ), F 5 -Phe, Trp, Cys, Met, Pro, or HyPro; and each Z 2 , Z 3 , and Z 4 , independently, is H, lower alkyl, lower phenylalkyl, or lower naphthylalkyl; or  
                     
 wherein each Z 20  and Z 30 , independently, is H, lower alkyl, lower phenylalkyl, lower naphthylalkyl; further provided that, when either of Z 20  or Z 30  is other than H, A 7  is His, A 6  is Gly, A 5  is Val, A 4  is Ala, A 2  is His, and either of R 1  or R 2  is other than H, A 1  must be other than deleted; further  
 provided that, for the formulas (I) through (III), any asymmetric carbon atom can be R, S or a racemic mixture; and further provided that each R 1  and R 2 , independently, is H, C 1-12  alkyl, C 7-10  phenylalkyl, COE 1  (where E 1  is C 1-20  alkyl, C 3-20  alkenyl, C 3-20  alkinyl, phenyl, naphthyl, or C 7-10  phenylalkyl), or lower acyl, and R 1  and R 2  are bonded to the N-terminal amino acid of said peptide, and further provided that when one of R 1  or R 2  is COE 1 , the other must be H, or a pharmaceutically acceptable salt thereof.  
 
     
     
         59 . The method of  claim 58  wherein said therapeutic peptide is of the formula: 
 A 0 =Gly, D-Phe, or is deleted;    A 1 =p-Glu, D-Phe, D-Ala, D-β-Nal, D-Cpa, or D-Asn;    A 2 =Gln, His, 1-methyl-His, or 3-methyl-His;    A 4 =Ala;    A 5 =Val;    A 6 =Sar, Gly, D-Phe, or D-Ala;    A 7 =His;    and, where W is (I) and R 3  is CH 2  or CH 2 —CH 2 , Z 1  is the identifying group of Leu or Phe, where W is (I) and R 3  is CHOH—CH 2 , Z 1  is the identifying group of Leu, cyclohexyl-Ala, or Phe and each R 5  and R 6  is H; and where W is (I), V is NHR 6 , and R 6  is NH 2 ; where W is (II), Z 1  is the identifying group of any one of the amino acids Leu or p-X-Phe (where X=H, F, Cl, Br, NO 2 , OH or CH 3 ); and each Z 2 , Z 3  and Z 4 , independently, is H, lower alkyl, lower phenylalkyl, or lower naphthylalkyl; and where W is (III), each Z 20  and Z 30 , is H; and each R 1  and R 2 , independently, is H, lower alkyl, or lower acyl.    
     
     
         60 . The method of  claim 59  wherein said therapeutic peptide is of the formula: 
 D-Phe-Gln-Trp-Ala-Val-Gly-His-Leu-ethylamide.    
     
     
         61 . The method of  claim 59  wherein said therapeutic peptide is of the formula: 
 p-Glu-Gln-Trp-Ala-Val-Gly-His-statine-amide.    
     
     
         62 . The method of  claim 59  wherein said therapeutic peptide is of the formula: 
 D-Cpa-Gln-Trp-Ala-Val-Gly-His-β-Leu-NH 2 .    
     
     
         63 . The method of  claim 58  wherein said therapeutic peptide is of the formula: W is (I), V is OR 4 , and R 4  is any of C 1-20 alkyl, C 3-20 alkenyl, C 3-20 alkinyl, phenyl, naphthyl, or C 7-1  phenylalkyl, and A 6  is N-methyl-D-Ala or A 1  is D-F 5 -Phe.  
     
     
         64 . The therapeutic peptide of  claim 63  of the formula: 
 D-Phe-Gln-Trp-Ala-Val-N-methyl-D-Ala-His-Leu-methylester.    
     
     
         65 . The therapeutic peptide of  claim 59  of the formula: 
 D-Cpa-Gln-Trp-Ala-Val-D-Ala-His-β-Leu-NH 2 .    
     
     
         66 . The method of  claim 58  wherein said effective amount is 0.5 μg/kg/day to 5 mg/kg/day.  
     
     
         67 . A method of inhibiting growth hormone release which comprises administering to a patient in need thereof an effective amount of a therapeutic peptide of the formula:  
       
         
           
           
               
               
           
         
       
       wherein 
 A 0 =Gly, Nle, α-aminobutyric acid, or the D-isomer of any of Ala, Val, Gln, Asn, Leu, Ile, Met, p-X-Phe (where X=F, Cl, Br, NO 2 , OH, H or CH 3 ), Trp, Cys, or β-Nal, or is deleted;  
 A 1 =the D or L-isomer of any of pGlu, Nle, or α-aminobutyric acid, or the D-isomer of any of Ala, Val, Gln, Asn, Leu, Ile, Met, p-X-Phe (where X=F, Cl, Br, NO 2 , OH, H or CH 3 ), F 5 -Phe, Trp, Cys, or β-Nal, or is deleted;  
 A 2 =pGlu, Gly, Ala, Val, Gln, Asn, Leu, Ile, Met, p-X-Phe (where X=F, Cl, Br, NO 2 , OH, H or CH 3 ), Trp, Cys, β-Nal, His, 1-methyl-His, or 3-methyl-His;  
 A 4 =Ala, Val, Gln, Asn, Gly, Leu, Ile, Nle, α-aminobutyric acid, Met, p-X-Phe (where X=F, Cl, Br, NO 2 , OH, H or CH 3 ), Trp, Cys, or β-Nal;  
 A 5 =Gln, Asn, Gly, Ala, Leu, Ile, Nle, α-aminobutyric acid, Met, Val, p-X-Phe (where X=F, Cl, Br, OH, H or CH 3 ), Trp, Thr, or β-Nal;  
 A 6 =Sar, Gly, or the D-isomer of any of Ala, N-methyl-Ala, Val, Gln, Asn, Leu, Ile, Met, p-X-Phe (where X=F, Cl, Br, NO 2 , OH, H or CH 3 ), Trp, Cys, or β-Nal;  
 A 7 =1-methyl-His, 3-methyl-His or His;  
 provided that, if A 0  is present, A 1  cannot be pGlu; further provided that, if A 0  or A 1  is present, A 2  cannot be pGlu; further provided that, when A 0  is deleted and A 1  is pGlu, R 1  must be H and R 2  must be the portion of Glu that forms the imine ring in pGlu; and further provided that, W can be any one of the following:  
                     
 wherein R 3  is CHR 20 —(CH 2 ) n1  (where R 20  is either of H or OH; and n1 is either of 1 or 0), or is deleted, and Z 1  is the identifying group of any of the amino acids Gly, Ala, Val,  
 Leu, Ile, Ser, Asp, Asn, Glu, Gln, p-X-Phe (where X=H, F, Cl, Br, NO 2 , OH, or CH 3 ), F 5 -Phe, Trp, Cys, Met, Pro, HyPro, cyclohexyl-Ala, or β-Nal; and V is either OR 4 , or  
                     
 where R 4  is any of C 1-20  alkyl, C 3-20  alkenyl, C 3-20  alkinyl, phenyl, naphthyl, or C 7-10  phenylalkyl, and each R 5 , and R 6 , independently, is any of H, C 1-12  alkyl, C 7-10  phenylalkyl, lower acyl, or  
                     
 where R 22  is any of H, C 1-12  alkyl, C 7-10  phenylalkyl, or lower acyl; provided that, when one of R 5  or R 6  is —NR 22 , the other is H;  
                     
 wherein Z 1  is the identifying group of any of the amino acids Gly, Ala, Val, Leu, Ile, Ser, Asp, Asn, Glu, β-Nal, Gln, p-X-Phe (where X=H, F, Cl, Br, NO 2 , OH or CH 3 ), F 5 -Phe, Trp, Cys, Met, Pro, or HyPro; and each Z 2 , Z 3 , and Z 4 , independently, is H, lower alkyl, lower phenylalkyl, or lower naphthylalkyl; or  
                     
 wherein each Z 20  and Z 30 , independently, is H, lower alkyl, lower phenylalkyl, lower naphthylalkyl; further provided that, when either of Z 20  or Z 30  is other than H, A 7  is His, A 6  is Gly, A 5  is Val, A 4  is Ala, A 2  is His, and either of R 1  or R 2  is other than H, A 1  must be other than deleted; further provided that, for the formulas (I) through (III), any asymmetric carbon atom can be R, S or a racemic mixture; and further provided that each R 1  and R 2 , independently, is H, C 1-12  alkyl, C 7-10  phenylalkyl, COE 1  (where E 1  is C 1-20  alkyl, C 3-20  alkenyl, C 3-20  alkinyl, phenyl, naphthyl, or C 7-10  phenylalkyl), or lower acyl, and R 1  and R 2  are bonded to the N-terminal amino acid of said peptide, and further provided that when one of R 1  or R 2  is COE 1 , the other must be H, or a pharmaceutically acceptable salt thereof.  
 
     
     
         68 . The method of  claim 67  wherein said therapeutic peptide is of the formula: 
 A 0 =Gly, D-Phe, or is deleted;    A 1 =p-Glu, D-Phe, D-Ala, D-β-Nal, D-Cpa, or D-Asn;    A 2 =Gln, His, 1-methyl-His, or 3-methyl-His;    A 4 =Ala;    A 5 =Val;    A 6 =Sar, Gly, D-Phe, or D-Ala;    A 7 =His;    and, where W is (I) and R 3  is CH 2  or CH 2 —CH 2 , Z 1  is the identifying Leu or Phe, where W is (I) and R 3  is CHOH—CH 2 , Z 1  is the identifying group of Leu, cyclohexyl-Ala,    or Phe and each R 5  and R 6  is H; and where W is (I), V is NHR 6 , and R 6  is NH 2 ; where W is (II), Z 1  is the identifying group of any one of the amino acids Leu or p-X-Phe (where X=H, F, Cl, Br, NO 2 , OH or CH 3 ); and each Z 2 , Z 3  and Z 4 , independently, is H, lower alkyl, lower phenylalkyl, or lower naphthylalkyl; and where W is (III), each Z 20  and Z 30 , is H; and each R 1  and R 2 , independently, is H, lower alkyl, or lower acyl.    
     
     
         69 . The method of  claim 68  wherein said therapeutic peptide is of the formula: 
 D-Phe-Gln-Trp-Ala-Val-Gly-His-Leu-ethylamide.    
     
     
         70 . The method of  claim 68  wherein said therapeutic peptide is of the formula: 
 p-Glu-Gln-Trp-Ala-Val-Gly-His-statine-amide.    
     
     
         71 . The method of  claim 68  wherein said therapeutic peptide is of the formula: 
 D-Cpa-Gln-Trp-Ala-Val-Gly-His-β-Leu-NH 2 .    
     
     
         72 . The method of  claim 67  wherein said therapeutic peptide is of the formula: W is (I), V is OR 4 , and R 4  is any of C 1-20 alkyl, C 3-20 alkenyl, C 3-20 alkinyl, phenyl, naphthyl, or C 7-10  phenylalkyl, and A 6  is N-methyl-D-Ala or A 1  is D-F 5 -Phe.  
     
     
         73 . The therapeutic peptide of  claim 72  of the formula: 
 D-Phe-Gln-Trp-Ala-Val-N-methyl-D-Ala-His-Leu-methylester.    
     
     
         74 . The therapeutic peptide of  claim 68  of the formula: 
 D-Cpa-Gln-Trp-Ala-Val-D-Ala-His-β-Leu-NH 2 .    
     
     
         75 . The method of  claim 67  wherein said growth hormone is a factor in the progression of muscular dystrophy in a patient.  
     
     
         76 . The method of  claim 67  wherein said growth hormone is a factor in the onset of diabetes in a patient.  
     
     
         77 . The method of  claim 67  wherein said growth hormone is a factor in the development of diabetes-related retinopathy in a patient.  
     
     
         78 . The method of  claim 67  wherein said effective amoun is 0.5 μg/kg/day to 5 mg/kg/day.  
     
     
         79 . The method of  claim 67  wherein said effective amount is 0.01 μg/kg/day to 1000 μg/kg/day.  
     
     
         80 . The method of  claim 67  wherein said effective amount is 0.1 μg/kg/day to 100 μg/kg/day.  
     
     
         81 . A method of treating artherosclerosis which comprises administering to a patient in need thereof an effective amount of a therapeutic peptide of the formula:  
       
         
           
           
               
               
           
         
       
       wherein 
 A 0 =Gly, Nle, α-aminobutyric acid, or the D-isomer of any of Ala, Val, Gln, Asn, Leu, Ile, Met, p-X-Phe (where X=F, Cl, Br, NO 2 , OH, H or CH 3 ), Trp, Cys, or β-Nal, or is deleted;  
 A 1 =the D or L-isomer of any of pGlu, Nle, or α-aminobutyric acid, or the D-isomer of any of Ala, Val, Gln, Asn, Leu, Ile, Met, p-X-Phe (where X=F, Cl, Br, NO 2 , OH, H or CH 3 ), F 5 -Phe, Trp, Cys, or β-Nal, or is deleted;  
 A 2 =pGlu, Gly, Ala, Val, Gln, Asn, Leu, Ile, Met, p-X-Phe (where X=F, Cl, Br, NO 2 , OH, H or CH 3 ), Trp, Cys, β-Nal, His, 1-methyl-His, or 3-methyl-His;  
 A 4 =Ala, Val, Gln, Asn, Gly, Leu, Ile, Nle, α-aminobutyric acid, Met, p-X-Phe (where X=F, Cl, Br, NO 2 , OH, H or CH 3 ), Trp, Cys, or βNal;  
 A 5 =Gln, Asn, Gly, Ala, Leu, Ile, Nle, α-aminobutyric acid, Met, Val, p-X-Phe (where X=F, Cl, Br, OH, H or CH 3 ), Trp, Thr, or β-Nal;  
 A 6 =Sar, Gly, or the D-isomer of any of Ala, N-methyl-Ala, Val, Gln, Asn, Leu, Ile, Met, p-X-Phe (where X=F, Cl, Br, NO 2 , OH, H or CH 3 ), Trp, Cys, or β-Nal;  
 A 7 =1-methyl-His, 3-methyl-His or His;  
 provided that, if A 0  is present, A 1  cannot be pGlu; further provided that, if A 0  or A 1  is present, A 2  cannot be pGlu; further provided that, when A 0  is deleted and A 1  is pGlu, R 1  must be H and R 2  must be the portion of Glu that forms the imine ring in pGlu; and further provided that, W can be any one of the following:  
                     
 wherein R 3  is CHR 20 —(CH 2 ) n1  (where R 20  is either of H or OH; and n1 is either of 1 or 0), or is deleted, and Z 1  is the identifying group of any of the amino acids Gly, Ala, Val, Leu, Ile, Ser, Asp, Asn, Glu, Gln, p-X-Phe (where X=H, F, Cl, Br, NO 2 , OH, or CH 3 ), F 5 -Phe, Trp, Cys, Met, Pro, HyPro, cyclohexyl-Ala, or β-Nal; and V is either OR 4 , or  
                     
 where R 4  is any of C 1-20  alkyl, C 3-20  alkenyl, C 3-20  alkinyl, phenyl, naphthyl, or C 7-10  phenylalkyl, and each R 5 , and R 6 , independently, is any of H, C 1-12  alkyl, C 7-10  phenylalkyl, lower acyl, or  
                     
 where R 22  is any of H, C 1-12  alkyl, C 7-10  phenylalkyl, or lower acyl; provided that, when one of R 5  or R 6  is —NR 22 , the other is H;  
                     
 wherein Z 1  is the identifying group of any of the amino acids Gly, Ala, Val, Leu, Ile, Ser, Asp, Asn, Glu, β-Nal, Gln, p-X-Phe (where X=H, F, Cl, Br, NO 2 , OH or CH 3 ), F 5 -Phe, Trp, Cys, Met, Pro, or HyPro; and each Z 2 , Z 3 , and Z 4 , independently, is H, lower alkyl, lower phenylalkyl, or lower naphthylalkyl; or  
                     
 wherein each Z 20  and Z 30 , independently, is H, lower alkyl, lower phenylalkyl, lower naphthylalkyl; further provided that, when either of Z 20  or Z 30  is other than H, A 7  is His, A 6  is Gly, A 5  is Val, A 4  is Ala, A 2  is His, and either of R 1  or R 2  is other than H, A 1  must be other than deleted; further provided that, for the formulas (I) through (III), any asymmetric carbon atom can be R, S or a racemic mixture; and further provided that each R 1  and R 2 , independently, is H, C 1-12  alkyl, C 7-10  phenylalkyl, COE 1  (where E 1  is C 1-20  alkyl, C 3-20  alkenyl, C 3-20  alkinyl, phenyl, naphthyl, or C 7-10  phenylalkyl), or lower acyl, and R 1  and R 2  are bonded to the N-terminal amino acid of said peptide, and further provided that when one of R 1  or R 2  is COE 1 , the other must be H, or a pharmaceutically acceptable salt thereof.  
 
     
     
         82 . The method of  claim 81  wherein said therapeutic peptide is of the formula: 
 A 0 =Gly, D-Phe, or is deleted;    A 1 =p-Glu, D-Phe, D-Ala, D-β-Nal, D-Cpa, or D-Asn;    A 2 =Gln, His, 1-methyl-His, or 3-methyl-His;    A 4 =Ala;    A 5 =Val;    A 6 =Sar, Gly, D-Phe, or D-Ala;    A 7 =His;    and, where W is (I) and R 3  is CH 2  or CH 2 —CH 2 , Z 1  is the identifying group of Leu or Phe, where W is (I) and R 3  is CHOH—CH 2 , Z 1  is the identifying group of Leu, cyclohexyl-Ala,    or Phe and each R 5  and R 6  is H; and where W is (I), V is NHR 6 , and R 6  is NH 2 ; where W is (II), Z 1  is the identifying group of any one of the amino acids Leu or p-X-Phe (where X=H, F, Cl, Br, NO 2 , OH or CH 3 ); and each Z 2 , Z 3  and Z 4 , independently, is H, lower alkyl, lower phenylalkyl, or lower naphthylalkyl; and where W is (III), each Z 20  and Z 30 , is H; and each R 1  and R 2 , independently, is H, lower alkyl, or lower acyl.    
     
     
         83 . The method of  claim 82  wherein said therapeutic peptide is of the formula: 
 D-Phe-Gln-Trp-Ala-Val-Gly-His-Leu-ethylamide.    
     
     
         84 . The method of  claim 82  wherein said therapeutic peptide is of the formula: 
 p-Glu-Gln-Trp-Ala-Val-Gly-His-statine-amide.    
     
     
         85 . The method of  claim 82  wherein said therapeutic peptide is of the formula: 
 D-Cpa-Gln-Trp-Ala-Val-Gly-His-β-Leu-NH 2 .    
     
     
         86 . The method of  claim 81  wherein said therapeutic peptide is of the formula: W is (I), V is OR 4 , and R 4  is any of C 1-20 alkyl, C 3-20 alkenyl, C 3-20 alkinyl, phenyl, naphthyl, or C 7-10  phenylalkyl, and A 6  is N-methyl-D-Ala or A 1  is D-F 5 -Phe.  
     
     
         87 . The therapeutic peptide of  claim 86  of the formula: 
 D-Phe-Gln-Trp-Ala-Val-N-methyl-D-Ala-His-Leu-methylester.    
     
     
         88 . The therapeutic peptide of  claim 82  of the formula: 
 D-Cpa-Gln-Trp-Ala-Val-D-Ala-His-β-Leu-NH 2 .    
     
     
         89 . The method of  claim 81  wherein said effective amount is 0.5 μg/kg/day to 5 mg/kg/day.

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