US2010184641A1PendingUtilityA1
Novel Plasma Protein Affinity Tags
Est. expirySep 19, 2023(expired)· nominal 20-yr term from priority
A61P 3/08A61P 5/50A61P 3/04A61P 3/06A61P 9/00A61P 9/10A61P 43/00A61P 5/18A61P 5/06A61P 9/12A61P 25/28A61P 3/10A61K 38/00C07K 14/605A61P 1/04A61K 47/64A61K 47/54A61P 1/18
43
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Claims
Abstract
Method for increasing half-life of therapeutic agents in plasma and novel polypeptide derivatives.
Claims
exact text as granted — not AI-modified1 . A method of increasing intravascular half-life of an agent, said method comprising converting said agent into a compound of general formula (I):
wherein
R 1 is the radical of carboxylic acid R 1 —CO 2 H, which R 1 —CO 2 H can bind reversibly to a plasma protein,
G is NH or CHW, wherein W is hydrogen, fluorine, cyano, nitro, C(═O)-E 1 , S(═O) 2 -E 2 , S(═O)-E 3 , aryl, or C 1-6 -alkyl,
wherein E 1 , E 2 , and E 3 independently represent C 1-6 -alkyl, aryl, heteroaryl, C 1-6 -alkoxy, amino, C 1-6 -alkyl-amino, or di-C 1-6 -alkyl-amino,
Z is S═O, S(═O) 2 , C(═O), C(═O)O, C(═O)NR 2 , or arylene which is optionally substituted with C 1-6 -alkyl, halogen, nitro, cyano, or heteroarylene, said heteroarylene optionally substituted with C 1-6 -alkyl, halogen, nitro, or cyano,
wherein R 2 represents hydrogen, cyano, or C 1-6 -alkyl,
X represents a bond or a spacer, optionally selected from C 1 -C 20 -alkylene, arylene, heteroarylene, C 1 -C 20 -perfluoroalkylene, or combinations thereof, or —[(CQ 2 ) n A] m (CQ 2 ) p —, or —[(CQ 2 ) n A] m (CQ 2 ) p —[(CQ 2 ) n E] m (CQ 2 ) p —, wherein
n and m independently are 1-20 and p independently is 0-10,
each A and E independently are —O—, —S—, —NR 3 —, —N(COR 4 )—, —PR 5 (O)—, - or P(OR 8 )(O)—, wherein
R 3 , R 4 , R 5 , and R 6 independently represent hydrogen or C 1-6 -alkyl,
each Q is independently hydrogen or fluorine,
Y represents a functional group capable of serving as linker to the agent, optionally selected from —C(═O)—, —C(═S)—, —NR 7 (C═O)—, —OC(═O)—, —NR 8 (C═S)—, —CH 2 —, —CH(OH)—, —S(═O) 2 —, —NR 9 —S(═O) 2 —, —S—, —S—S—, wherein
R 7 , R 8 , and R 6 independently represent hydrogen or C 1-6 -alkyl,
and the term ‘agent’ refers to a molecule for which a prolonged half-life in plasma is desired.
2 . The method according to claim 1 , wherein said agent is a therapeutic agent.
3 . A method according to claim 2 , wherein said therapeutic agent is a biopolymer.
4 . A method according to claim 2 , wherein said therapeutic agent is a polypeptide.
5 . A method according to claim 2 , wherein the therapeutic agent is a small molecule drug.
6 . A compound of general formula (I):
wherein
R 1 is the radical of carboxylic acid R 1 —CO 2 H, which R 1 —CO 2 H can bind reversibly to a plasma protein,
G is NH or CHW, wherein W is hydrogen, fluorine, cyano, nitro, C(═O)-E′, S(═O) 2 -E 2 , S(═O)-E 3 , aryl, or C 1-6 -alkyl,
wherein E 1 , E 2 , and E 3 independently represent C 1-6 alkyl, aryl, heteroaryl, C 1-6 -alkoxy, amino, C 1-6 -alkyl-amino, or di-C 1-6 alkyl-amino,
Z is S═O, S(═O) 2 , C(═O), C(═O)O, C(═O)NR 2 , or arylene which is optionally substituted with C 1-6 -alkyl, halogen, nitro, cyano, or heteroarylene, said heteroarylene optionally substituted with C 1-6 -alkyl, halogen, nitro, or cyano,
wherein R 2 represents hydrogen, cyano, or C 1-6 -alkyl,
X represents a bond or a spacer, optionally selected from C 1 -C 20 -alkylene, arylene, heteroarylene, C 1 -C 20 -perfluoroalkylene, or combinations thereof, or —[(CQ 2 ) n A] m (CQ 2 ) p —, or —[(CQ 2 ) n A] m (CQ 2 ) p -[(CQ 2 ) n E] m (CQ 2 ) p -, wherein
n and m independently are 1-20 and p independently is 0-10,
each A and E independently are —O—, —S—, —NR 3 —, —N(COR 4 )—, —PR 5 (O)—, - or P(OR 6 )(O)—, wherein
R 3 , R 4 , R 5 , and R 6 independently represent hydrogen or C 1-6 alkyl,
each Q is independently hydrogen or fluorine,
Y represents a functional group capable of serving as linker to the agent, optionally selected from —C(═O)—, —C(═S)—, —NR 7 (C═O)—, —OC(═O)—, —NR 8 (C═S)—, —CH 2 —, —CH(OH)—, —S(═O) 2 —, —NR 9 —S(═O) 2 —, —S—, —S—S—, wherein
R 7 , R 8 , and R 8 independently represent hydrogen or C 1-6 -alkyl,
and the term ‘agent’ refers to a molecule for which a prolonged half-life in plasma is desired.
7 . A compound according to claim 6 , wherein the agent is a therapeutic agent.
8 . A method for preparation of a compound according to claim 6 , comprising reacting the agent or therapeutic agent with a compound of general formula (III)
wherein R 1 , G, Z, and X are defined as in claim 6 , and
Y 1 is a functional group capable of undergoing a bond-forming reaction with a compound to yield a compound of the general formula (I), Y 1 optionally selected from —C(═O)-L, —C(═S)-L, NR 2 (C═O)-L, —OC(═O)-L, —NR 2 (C═S)-L, —C(H 2 )-L, —C(C 1-6 alkyl)(═O), —CH(═O), —S(═O) 2 -L, NR 2 —S(═O) 2 -L, —SH, —S-L, —NCO, —NCS, —NCNR 2 , —NC, —O—NH 2 , wherein
L is a leaving group for nucleophilic displacement, optionally selected from hydroxy, halide, 2,6-dichlorobenzoyl, pivaloyl, 2- or 4-nitrophenyloxy, 2,4-dinitrophenloxy, benzotriazole-1-yloxy, 4-benzotriazol-3-yloxy, C 1-6 alkoxycarbonyloxy, 4-oxo-3,4-dihydro-1,2,3-benzotriazin-3-yloxy, perfluorophenyloxy, imidazolyl, 2,5-dioxopyrrolidin-1-yloxy, 1,3-dioxo-2,3-dihydro-1-1′-isondol-2-yloxy, 2,4,6-trichlorophenyloxy, or azide, and wherein R 2 represents hydrogen, cyano, or C 1-6 -alkyl.
9 . A compound of general formula (III).
wherein R 1 is the radical of carboxylic acid R 1 —CO 2 H, which R 1 —CO 2 H can bind reversibly to a plasma protein,
G is NH or CHW, wherein W is hydrogen, fluorine, cyano, nitro, C(═O)-E 1 , S(═O) 2 -E 2 , S(═O)-E 3 , aryl, or C 1-8 -alkyl,
wherein E 1 , E 2 , and E 3 independently represent C 1-6 -alkyl, aryl, heteroaryl, C 1-6 -alkoxy, amino, C 1-6 -alkyl-amino, or di-C 1-6 -alkyl-amino,
Z is S═O, S(═O) 2 , C(═O), C(═O)O, C(═O)NR 2 , or arylene which is optionally substituted with C 1-6 -alkyl, halogen, nitro, cyano, or heteroarylene, said heteroarylene optionally substituted with C 1-6 -alkyl, halogen, nitro, or cyano,
wherein R 2 represents hydrogen, cyano, or C 1-6 -alkyl,
X represents a bond or a spacer, optionally selected from C 1 -C 20 -alkylene, arylene, heteroarylene, C 1 -C 20 -perfluoroalkylene, or combinations thereof, or —[(CQ 2 ) n A] m (CQ 2 ) p -, or —[(CQ 2 ) n A] m (CQ 2 ) p -[(CQ 2 ) n E] m (CQ 2 ) p -, wherein
n and m independently are 1-20 and p independently is 0-10,
each A and E independently are —O—, —S—, —NR 3 —, —N(COR 4 )—, —PR 5 (O)—, - or P(OR 6 )(O)—, wherein
R 3 , R 4 , R 5 , and R 6 independently represent hydrogen or C 1-6 -alkyl,
each Q is independently hydrogen or fluorine,
and Y 1 is a functional group capable of undergoing a bond-forming reaction with a compound to yield a compound of the general formula (I), Y 1 optionally selected from —C(═O)-L, —C(═S)-L, —NR 2 (C═O)-L, —OC(═O)-L, —NR 2 (C═S)-L, —C(H 2 )-L, —C(C 1-6 alkyl)(═O), —CH(═O), —S(═O) 2 -L, NR 2 —S(═O) 2 -L, —SH, —S-L, —NCO, —NCS, —NCNR 2 , —NC, —O—NH 2 , wherein
L is a leaving group for nucleophilic displacement, optionally selected from hydroxy, halide, 2,6-dichlorobenzoyl, pivaloyl, 2- or 4-nitrophenyloxy, 2,4-dinitrophenloxy, benzotriazole-1-yloxy, 4-benzotriazol-3-yloxy, C 1-6 alkoxycarbonyloxy, 4-oxo-3,4-dihydro-1,2,3-benzotriazin-3-yloxy, perfluorophenyloxy, imidazolyl, 2,5-dioxopyrrolidin-1-yloxy, 1,3-dioxo-2,3-dihydro-1-H-isondol-2-yloxy, 2,4,6-trichlorophenyloxy, or azide,
and wherein R 2 represents hydrogen, cyano, or C 1-6 -alkyl.
10 . A compound according to claim 6 , wherein the corresponding acid R 1 —CO 2 H has a binding affinity constant towards human serum albumin that is below about 10 μM.
11 . A compound according to claim 6 , wherein R 1 is selected from
C 1-30 -alkyl, optionally substituted with one or more —CO 2 H, —SO 3 H, —PO 2 OH, —SO 2 NH 2 , —NH 2 , —OH, —SH, halogen, or aryl, said aryl optionally substituted with —CO 2 H, —SO 3 H, —PO 2 OH, —SO 2 NH 2 , —NH 2 , —OH, —SH, or halogen, or C 1-30 -perfluoroalkyl, optionally substituted with one or more —CO 2 H, —SO 3 H, —PO 2 OH, —SO 2 NH 2 , —NH 2 , —OH, —SH, halogen, or aryl, said aryl optionally substituted with —CO 2 H, —SO 3 H, —PO 2 OH, —SO 2 NH 2 , —NH 2 , —OH, —SH, or halogen.
12 . A compound according to claim 6 , wherein R 1 is selected from a straight chain alkyl group, a branched alkyl group, a group which has an ω-carboxylic acid group, or a partially or completely hydrogenated cyclopentanophenanthrene skeleton.
13 . A compound according to claim 6 , wherein R 1 —CO 2 H is selected from arylacetic acids, iophenoxate or dicarboxilic acids.
14 . A compound according to claim 13 , wherein R 1 —CO 2 H is ketoprofen or 3-carboxy-4-methyl-5-propyl-2-furanpropionic acid (CMPF).
15 . A compound according to claim 6 , wherein R 1 has from 6 to 40 carbon atoms.
16 . A compound according to claim 6 , wherein R 1 is a peptide.
17 . A compound according to claim 6 , wherein G is NH.
18 . A compound according to claim 6 , wherein Z is S(═O) 2 .
19 . A compound according to claim 6 , wherein Q is H.
20 . A compound according to claim 6 , wherein A and E are both —O—.
21 . A compound according to claim 6 , wherein n is 2.
22 . A compound according to claim 6 , wherein X is a spacer which has a molecular weight in the range from about 80 Da to about 1000 Da.
23 . A compound according to claim 7 , wherein the therapeutic agent is a biopolymer.
24 . A compound according to claim 7 , wherein the therapeutic agent is a polypeptide.
25 . A compound according to claim 24 , wherein said polypeptide is attached to Y via a E-amino group of a lysine residue in said polypeptide.
26 . A compound according to claim 24 , wherein said polypeptide is attached to Y via an amino acid residue selected from cysteine, glutamate and aspartate.
27 . A compound according to claim 24 , wherein said therapeutic polypeptide is a glucagon-like peptide 1 (GLP-1) peptide.
28 . A compound according to claim 27 , wherein said GLP-1 peptide is selected from GLP-1(7-35), GLP-1(7-36), GLP-1(7-36)-amide, GLP-1(7-37), GLP-1(7-38), GLP-1(7-39), GLP-1(7-40), GLP-1(7-41) or an analogue thereof.
29 . A compound according to claim 27 , wherein said GLP-1 peptide comprises no more than ten amino acid residues which have been exchanged, added or deleted as compared to GLP-1(7-37) (SEQ ID No. 1).
30 . A compound according to claim 29 , wherein said GLP-1 peptide comprises no more than six amino acid residues which have been exchanged, added or deleted as compared to GLP-1(7-37) (SEQ ID No. 1).
31 . A compound according to claim 29 , wherein said GLP-1 peptide comprises no more than 4 amino acid residues which are not encoded by the genetic code.
32 . A compound according to claim 29 , wherein said GLP-1 peptide is a DPPIV protected GLP-1 peptide.
33 . A compound according to claim 29 , wherein said GLP-1 peptide comprises an Aib residue in position 8.
34 . A compound according to claim 27 , wherein the amino acid residue in position 7 of said GLP-1 compound is selected from the group consisting of D-histidine, desamino-histidine, 2-amino-histidine, β-hydroxy-histidine, homohistidine, N α -acetyl-histidine, α-fluoromethyl-histidine, and α-methyl-histidine.
35 . A compound according to claim 27 , wherein said polypeptide is a GLP-1 peptide comprising the amino acid sequence of the formula (IV):
Formula (IV)
(SEQ ID No: 2)
Xaa 7 -Xaa 8 -Glu-Gly-Thr-Phe-Thr-Ser-Asp-Xaa 16 -Ser-
Xaa 18 -Xaa 19 -Xaa 20 -Glu-Xaa 22 -Xaa 23 -Ala-Xaa 25 -Xaa 26 -
Xaa 27 -Phe-Ile-Xaa 30 -Trp-Leu-Xaa 33 -Xaa 34 -Xaa 35 -
Xaa 36 -Xaa 37 -Xaa 38 -Xaa 39 -Xaa 40 -Xaa 41 -Xaa 42 -Xaa 43 -
Xaa 44 -Xaa 45 -Xaa 46
wherein
Xaa 7 is L-histidine, D-histidine, desamino-histidine, 2-amino-histidine, β-hydroxy-histidine, homohistidine, N α -acetyl-histidine, α-fluoromethyl-histidine, α-methyl-histidine, 3-pyridylalanine, 2-pyridylalanine or 4-pyridylalanine;
Xaa 8 is Ala, Gly, Val, Leu, Ile, Lys, Aib, (1-aminocyclopropyl) carboxylic acid, (1-aminocyclobutyl) carboxylic acid, (1-aminocyclopentyl) carboxylic acid, (1-aminocyclohexyl) carboxylic acid, (1-aminocycloheptyl) carboxylic acid, or (1-aminocyclooctyl) carboxylic acid;
Xaa 16 is Val or Leu;
Xaa 18 is Ser, Lys or Arg;
Xaa 19 is Tyr or Gln;
Xaa 20 is Leu or Met;
Xaa 22 is Gly, Glu or Aib;
Xaa 23 is Gln, Glu, Lys or Arg;
Xaa 25 is Ala or Val;
Xaa 26 is Lys, Glu or Arg;
Xaa 27 is Glu or Leu;
Xaa 30 is Ala, Glu or Arg;
Xaa 33 is Val or Lys;
Xaa 34 is Lys, Glu, Asn or Arg;
Xaa 35 is Gly or Aib;
Xaa 36 is Arg, Gly or Lys;
Xaa 37 is Gly, Ala, Glu, Pro, Lys, amide or is absent;
Xaa 38 is Lys, Ser, amide or is absent.
Xaa 39 is Ser, Lys, amide or is absent;
Xaa 40 is Gly, amide or is absent;
Xaa 41 is Ala, amide or is absent;
Xaa 42 is Pro, amide or is absent;
Xaa 43 is Pro, amide or is absent;
Xaa 44 is Pro, amide or is absent;
Xaa 45 is Ser, amide or is absent;
Xaa 46 is amide or is absent;
provided that if Xaa 38 , Xaa 39 , Xaa 40 , Xaa 41 , Xaa 42 , Xaa 43 , Xaa 44 , Xaa 45 or Xaa 46 is absent then each amino acid residue downstream is also absent.
36 . A compound according to claim 27 , wherein said polypeptide is a GLP-1 peptide comprising the amino acid sequence of formula (V):
Formula (V)
(SEQ ID No: 3)
Xaa 7 -Xaa 8 -Glu-Gly-Thr-Phe-Thr-Ser-Asp-Val-Ser-
Xaa 18 -Tyr-Leu-Glu-Xaa 22 -Xaa 23 -Ala-Ala-Xaa 26 -Glu-
Phe-Ile-Xaa 30 -Trp-Leu-Val-Xaa 34 -Xaa 35 -Xaa 36 -Xaa 37 -
Xaa 38
wherein
Xaa 7 is L-histidine, D-histidine, desamino-histidine, 2-amino-histidine, β-hydroxy-histidine, homohistidine, N α -acetyl-histidine, α-fluoromethyl-histidine, α-methyl-histidine, 3-pyridylalanine, 2-pyridylalanine or 4-pyridylalanine;
Xaa 8 is Ala, Gly, Val, Leu, Ile, Lys, Aib, (1-aminocyclopropyl) carboxylic acid, (1-aminocyclobutyl) carboxylic acid, (1-aminocyclopentyl) carboxylic acid, (1-aminocyclohexyl) carboxylic acid, (1-aminocycloheptyl) carboxylic acid, or (1-aminocyclooctyl) carboxylic acid;
Xaa 18 is Set, Lys or Arg;
Xaa 22 is Gly, Glu or Aib;
Xaa 23 is Gln, Glu, Lys or Arg;
Xaa 28 is Lys, Glu or Arg;
Xaa 30 is Ala, Glu or Arg;
Xaa 34 is Lys, Glu or Arg;
Xaa 35 is Gly or Aib;
Xaa 36 is Arg or Lys;
Xaa 37 is Gly, Ala, Glu or Lys;
Xaa 38 is Lys, amide or is absent.
37 . A compound according to claim 27 , wherein said GLP-1 peptide is selected from the group consisting of Arg 34 GLP-1(7-37), Lys 38 Arg 26,34 GLP-1(7-38), Lys 38 Arg 26,34 GLP-1(7-38)-OH, Lys 36 Arg 26,34 GLP-1(7-36), Aib 8,22,35 GLP-1(7-37), Aib 8,35 GLP-1(7-37), Aib 8,22 GLP-1(7-37), Aib 8,22,35 Arg 26,34 Lys 38 GLP-1(7-38), Aib 8,35 Arg 26,34 Lys 38 GLP-1(7-38), Aib 8,22 Arg 26,34 Lys 38 GLP-1(7-38), Aib 8,22,35 Arg 26,34 Lys 38 GLP-1(7-38), Aib 8,35 Arg 26,34 Lys 38 GLP-1(7-38), Aib 8,22,35 Arg 26,34 Lys 38 GLP-1(7-38), Aib 8,35 Arg 26,34 Lys 38 GLP-1(7-38), Aib 8,22,35 Arg 26 Lys 38 GLP-1(7-38), Aib 8,22,35 Arg 34 Lys 38 GLP-1(7-38), Aib 8,35 Arg 34 Lys 38 GLP-1(7-38), Aib 8,22 Arg 34 Lys 38 GLP-1(7-38), Aib 8,22,35 Ala 37 Lys 38 GLP-1(7-38), Aib 8,35 Ala 37 Lys 38 GLP-1(7-38), Aib 8,22 Ala 37 Lys 38 GLP-1(7-38), Aib 8,22,35 Lys 37 GLP-1(7-37), Aib 8,35 Lys 37 GLP-1(7-37) and Aib 8,22 Lys 37 GLP-1(7-38).
38 . A compound according to claim 27 , wherein said GLP-1 peptide is attached to Y via the amino acid residue in position 23, 26, 34, 36 or 38 relative to the amino acid sequence SEQ ID No:1.
39 . A compound according to claim 27 , wherein said GLP-1 peptide is exendin-4 (SEQ ID No:4).
40 . A compound according to claim 27 , wherein said GLP-1 peptide is
(SEQ ID No: 5)
HGEGTFTSDLSKQMEEEAVRLFIEWLKNGGPSSGAPPSKKKKKK-
amide.
41 . A compound according to claim 27 , wherein R 1 —C(═O)-G-Z—X—Y— is attached to said GLP-1 peptide on the C-terminal amino acid residue of said GLP-1 peptide.
42 . A compound according to claim 41 , wherein a second R 1 —C(═O)-G-Z—X—Y— moiety is attached to an amino acid residue which is not the C-terminal amino acid residue.
43 . A compound according to claim 24 , wherein said therapeutic polypeptide is a glucagon-like peptide 2 (GLP-2) peptide.
44 . A compound according to claim 43 , wherein said GLP-2 peptide is a DPPIV-protected GLP-2 peptide.
45 . A compound according to claim 43 , wherein said GLP-2 peptide is Gly 2 -GLP-2(1-33).
46 . A compound according to claim 43 , wherein said GLP-2 peptide is Lys 17 ,Arg 30 -GLP-2(1-33).
47 . A compound according to claim 43 , which is
N ε17 -(6-((2-(3-(Benzoyl)phenyl)propionylamino)sulfonyl)hexanoyl)[Lys 17 ,Arg 30 ]GLP-2(1-33) or N δ17 -(lauroylsulfamoyl)benzyl-[Glu 3 ,Gln 17 ]GLP-2(1-33).
48 . A compound according to claim 24 , wherein said therapeutic polypeptide is human insulin or an analogue thereof.
49 . A compound according to claim 48 , wherein said therapeutic polypeptide is selected from the group consisting of is Asp B28 -human insulin, Lys B28 ,Pro B29 -human insulin, Lys B3 ,Glu B29 -human insulin, Gly A21 ,Arg B31 ,Arg B32 -human insulin and des(B30) human insulin.
50 . A compound according to claim 24 , wherein said therapeutic polypeptide is human growth hormone or an analogue thereof.
51 . A compound according to claim 24 , wherein said therapeutic polypeptide is parathyroid hormone or an analogue thereof.
52 . A compound according to claim 24 , wherein said therapeutic polypeptide is human follicle stimulating hormone or an analogue thereof.
53 . A compound according to claim 24 , wherein said therapeutic polypeptide has a molar weight of less than 100 kDa.
54 . A compound according to claim 24 , wherein said therapeutic polypeptide is selected from the group consisting of a growth factor, a somatomedin, interferon, pro-urokinase, urokinase, tissue plasminogen activator (t-PA), plasminogen activator inhibitor 1, plasminogen activator inhibitor 2, von Willebrandt factor, a cytokine, a colony stimulating factor (CFS), stem cell factor, a tumor necrosis factor, a protease inhibitor, an opioid, a hormone, a neuropeptide, and melanocortins.
55 . A compound selected from the group consisting of
56 . A pharmaceutical composition comprising a compound according to claim 6 and a pharmaceutically acceptable excipient.
57 . The pharmaceutical composition according to claim 57 which is suited for parenteral administration.
58 . A method for treating hyperglycemia, type 2 diabetes, impaired glucose tolerance, type 1 diabetes, obesity, hypertension, syndrome X, dyslipidemia, cognitive disorders, atheroschlerosis, myocardial infarction, coronary heart disease and other cardiovascular disorders, stroke, inflammatory bowel syndrome, dyspepsia or gastric ulcers, said method comprising administering to a subject in need of such treatment an effective amount of a compound according to claim 27 .
59 . A method for delaying or preventing disease progression in type 2 diabetes in a subject, said method comprising administering to said subject an effective amount of a compound according to claim 27 .
60 . A method for decreasing food intake, decreasing β-cell apoptosis, increasing β-cell function and β-cell mass, and/or for restoring glucose sensitivity to β-cells in a subject, said method comprising administering to said subject an effective amount of a compound according to claim 27 .
61 . A method for treating small bowel syndrome, inflammatory bowel syndrome or Crohns disease, said method comprising administering to a subject In need of such treatment an effective amount of a compound according to claim 43 .
62 . A method for treating hyperglycemia, type 1 diabetes, type 2 diabetes or 6-cell deficiency in a subject, said method comprising administering to a subject in need of such treatment an effective amount of a compound according to claim 48 .Join the waitlist — get patent alerts
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