US2017137487A1PendingUtilityA1

Glucagon-like-peptide-2 (glp-2) analogues

Assignee: ZEALAND PHARMA ASPriority: May 4, 2005Filed: Jan 20, 2017Published: May 18, 2017
Est. expiryMay 4, 2025(expired)· nominal 20-yr term from priority
A61P 39/00A61P 5/00A61P 3/04A61P 43/00A61P 39/02A61P 3/00A61P 35/00A61P 31/04A61P 29/00A61P 1/14A61P 1/04A61P 1/00A61P 1/12A61P 19/10A61K 47/26C12N 2710/20043A61K 38/00C07K 14/605A61K 9/0019A61K 48/00C12N 2760/20243A61K 35/54A61K 9/19C12N 7/00A61K 35/74C12N 2710/10043A61K 38/26C12N 2710/22043
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Claims

Abstract

GLP-2 analogues are disclosed which comprise one of more substitutions as compared to [hGly2]GLP-2 and which improved biological activity in vivo and/or improved chemical stability, e.g., as assessed in in vitro stability assays. More particularly, preferred GLP-2 analogues disclosed herein comprise substitutions at one or more of positions 8, 16, 24 and/or 28 of the wild-type GLP-2 sequence, optionally in combination with further substitutions at position 2 (as mentioned in the introduction) and one or more of positions 3, 5, 7, 10 and 11, and/or a deletion of one or more of amino acids 31 to 33 and/or the addition of a N-terminal or C-terminal stabilizing peptide sequence. The analogues are particularly useful for the prophylaxis or treatment of stomach and bowel-related disorders and for ameliorating side effects of chemotherapy. Also disclosed are methods and kits for selecting a patient from populations suited for treatment with GLP-2 analogues.

Claims

exact text as granted — not AI-modified
1 . A glucagon-like peptide 2 (GLP-2) analogue represented by general Formula I:
   R 1 —Z 1 -His-X2-X3-Gly-X5-X6-X7-X8-X9-X10-X11-X12-X13-X14-X15-X16-X17-Ala-X19-X20-X21-Phe-Ile-X24-Trp-Leu-lie-X28-Thr-Lys-X31-X32-X33-Z 2 —R 2  
   wherein:   R 1  is hydrogen, C 1-4  alkyl (e.g. methyl), acetyl, formyl, benzoyl or trifluoroacetyl   X2 is Gly, Ala or Sar   X3 is Glu or Asp   X5 is Ser or Thr   X6 is Phe or Pro   X7 is Ser or Thr   X8 is Asp or Ser   X9 is Glu or Asp   X10 is Met, Leu, Nle or an oxidatively stable Met-replacement amino acid   X11 is Asn, Ala, Lys or Ser   X12 is Thr or Lys   X13 is Ile, Glu or Gln   X14 is Leu, Met or Nle   X15 is Asp or Glu   X16 is Asn or Ala   X17 is Leu or Glu   X18 is Ala or Aib   X19 is Ala or Thr   X20 is Arg or Lys   X21 is Asp or Ile   X24 is Asn, Ala or Glu   X28 is Gln, Ala or Asn   X31 is Pro, Ile or deleted   X32 is Thr or deleted   X33 is Asp, Asn or deleted   R 2  is NH 2  or OH;   Z 1  and Z 2  are independently absent or a peptide sequence of 3-20 amino acid units selected from the group consisting of Ala, Leu, Ser, Thr, Tyr, Asn, Gln, Asp, Glu, Lys, Arg, His, Met and Orn; and   wherein the GLP-2 analogue comprises one or more of substitutions selected from X8 is Ser and/or X16 is Ala and/or X24 is Ala and/or X28 is Ala;   or a pharmaceutically acceptable salt or derivative thereof.   
     
     
         2 . The GLP-2 analogue of  claim 1  which is represented by general Formula II:
   R 1 —Z 1 -His-Gly-X3-Gly-X5-Phe-X7-X8-X9-X10-X11-X12-X13-X14-X15-X16-X17-Ala-X19-Arg-Asp-Phe-Ile-X24-Trp-Leu-Ile-X28-Thr-Lys-X31-X32-X33-Z 2 —R 2  
 
 wherein: 
 R 1  is hydrogen, C 1-4  alkyl (e.g. methyl), acetyl, formyl, benzoyl or trifluoroacetyl 
 X3 is Glu or Asp 
 X5 is Ser or Thr 
 X7 is Ser or Thr 
 X8 is Asp or Ser 
 X9 is Glu or Asp 
 X10 is Met, Leu, Nle or an oxidatively stable Met-replacement amino acid 
 X11 is Asn, Ala, Lys or Ser 
 X12 is Thr or Lys 
 X13 is Ile, Glu or Gln 
 X14 is Leu, Met or Nle 
 X15 is Asp or Glu 
 X16 is Asn or Ala 
 X17 is Leu or Glu 
 X19 is Ala or Thr 
 X24 is Asn or Ala 
 X28 is Gln, Ala or Asn 
 X31 is Pro, Ile or deleted 
 X32 is Thr or deleted 
 X33 is Asp or deleted 
 R 2  is NH 2  or OH; 
 Z 1  and Z 2  are independently absent or a peptide sequence of 3-20 amino acid units selected from the group consisting of Ala, Leu, Ser, Thr, Tyr, Asn, Gln, Asp, Glu, Lys, Arg, His, Met and Orn; and 
 wherein the GLP-2 analogue comprises one or more of substitutions selected from 
 X8 is Ser and/or X16 is Ala and/or X24 is Ala and/or X28 is Ala; 
 or a pharmaceutically acceptable salt or derivative thereof. 
 
     
     
         3 . The GLP-2 analogue of  claim 1  or  claim 2  which is represented by general Formula III:
   R 1 —Z 1 -His-Gly-X3-Gly-X5-Phe-X7-X8-Glu-X10-X11-Thr-Ile-Leu-Asp-X16-Leu-Ala-Ala-Arg-Asp-Phe-Ile-X24-Trp-Leu-Ile-X28-Thr-Lys-X31-X32-X33-Z 2 —R 2  
 
 wherein: 
 R 1  is hydrogen, C 1-4  alkyl (e.g. methyl), acetyl, formyl, benzoyl or trifluoroacetyl 
 X3 is Glu or Asp 
 X5 is Ser or Thr 
 X7 is Ser or Thr 
 X8 is Asp or Ser 
 X10 is Met, Leu, Nle, or an oxidatively stable Met-replacement amino acid 
 X11 is Asn, Ala, Lys or Ser 
 X24 is Asn or Ala 
 X28 is Gln or Ala 
 X31 is Pro or deleted 
 X32 is Thr or deleted 
 X33 is Asp or deleted 
 R 2  is NH 2  or OH; 
 Z 1  and Z 2  are independently absent or a peptide sequence of 3-20 amino acid units selected from the group consisting of Ala, Leu, Ser, Thr, Tyr, Asn, Gln, Asp, Glu, Lys, Arg, His, Met and Orn; and 
 wherein the GLP-2 analogue comprises one or more of substitutions selected from 
 X8 is Ser and/or X16 is Ala and/or X24 is Ala and/or X28 is Ala; 
 or a pharmaceutically acceptable salt or derivative thereof. 
 
     
     
         4 . The GLP-2 analogue of any one of  claims 1  to  3 , wherein the GLP-2 analogue has at least 60% amino acid sequence identity to wild-type GLP-2 (1-33) and has the biological activity of causing an increase in intestinal mass in vivo. 
     
     
         5 . The GLP-2 analogue of any one of the preceding claims, wherein the GLP-2 analogue comprises more than one of the substitutions at positions X8, X16, X24 and/or X28 and/or one of more of said substitutions in combination with one or more substitutions at positions X3, X5, X7, X10 and/or X11. 
     
     
         6 . The GLP-2 analogue of  claim 5 , wherein said substitutions at position X10 is Leu, Nle, or an oxidatively stable Met-replacement amino acid, such as Met(O) or Met(O) 2 . 
     
     
         7 . The GLP-2 analogue of  claim 5 , wherein said substitutions at position X11 is Ala, Ser, or Lys. 
     
     
         8 . The GLP-2 analogue of  claim 4 , wherein the GLP-2 analogue comprises one or more of the following groups of substitutions:
 Ser8, Ala16   Ser8, Ala24   Ser8, Ala28   Ala16, Ala24   Ala16, Ala28   Ala24, Ala28   Ser8, Ala16, Ala24   Ser8, Ala16, Ala28   Ser8, Ala24, Ala28   Ala16, Ala24, Ala28   Ser8, Ala16, Ala24, Ala28   
     
     
         9 . The GLP-2 analogue of  claim 5 , wherein the GLP-2 analogue comprises one or more of the following groups of substitutions:
 Glu3, Leu10, Ala11,24   Glu3, Thr5, Leu10, Ser11, Ala16,24,28   Glu3, Thr5, Leu10, Lys11, Ala16,24,28   Glu3, Thr5, Ser8, Leu10, Lys11, Ala16,24,28   Glu3, Thr5, Ser8,11, Leu10, Ala16,24,28   Glu3, Thr5, Ser8,11, Leu10, Ala16,24,28   Glu3, Ser8,11, Leu10, Ala16,24,28   Glu3, Leu10, Ser11, Ala16,24,28   Glu3, Leu10, Lys11, Ala16,24,28   Glu3, Thr5, Leu10, Ala11,16,24,28   Glu3, Thr5, Leu10, Ala11,16,24,28, Ile21   Glu3, Thr5, Ser8, Leu10, Ala11,16,24,28   Glu3, Ser8, Leu10, Ala11,16,24,28   Glu3, Leu10, Ala11,16,24,28   Thr7, Leu10, Ala11, 24   Thr7, Leu10, Lys11, Ala24   Thr7, Leu10, Ser11, Ala24   Thr7, Leu10, Ser8,11, Ala24   Thr7, Ser8, Leu10, Ala11,24   Thr7, Ser8, Leu10, Lys11, Ala24   Ser8, Leu10, Ala11,24   Leu10, Ala24   Leu10, Ala11, Ala24   Leu10, Ala11,24,28   Leu10, Ala11,16,24,28   Leu10, Lys11, Ala24   Leu10, Ser11, Ala24   Leu10, Ser8,11, Ala24; or   a deletion at one or more of positions X31-X33.   
     
     
         10 . The GLP-2 analogue of any of the preceding claims which is disclosed in Table 1 herein or a pharmaceutically acceptable salt or derivative thereof. 
     
     
         11 . The GLP-2 analogue of  claim 10  which is: 
       
         
           
                 
                 
                 
               
                     
                   1834 
                   H-HGDGSFTSELATILDNLAARDFIAWLIQTK-NH 2   
                 
                     
                     
                 
                     
                   1846 
                   H-HGEGSFSSELSTILDALAARDFIAWLIATKITDK 6 NH 2   
                 
                     
                     
                 
                     
                   1847 
                   H-HGEGSFSDELSTILDALAARDFIAWLIATKITDK 6 -NH 2   
                 
                     
                     
                 
                     
                   1848 
                   H-HGEGTFSSELATILDALAARDFIAWLIATKITDK 6 -NH 2   
                 
                     
                     
                 
                     
                   1849 
                   H-HGEGSFSSELATILDALAARDFIAWLIATKITDK 6 -NH 2   
                 
                     
                     
                 
                     
                   1855 
                   H-HGEGSFSSELSTILDALAARDFIAWLIATKITD-NH 2   
                 
                     
                     
                 
                     
                   1857 
                   H-HGEGTFSSELATILDALAARDFIAWLIATKITD-NH 2   
                 
                     
                     
                 
                     
                   1858 
                   H-HGEGSFSSELATILDALAARDFIAWLIATKITD-NH 2   
                 
             
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
               
            
           
         
       
     
     
         12 . The GLP-2 analogue of any one of  claims 1  to  9 , wherein the GLP-2 analogue comprises more than one of the substitutions at positions X3, X7, X16, X24, X28, X31, X32 and/or X33. 
     
     
         13 . The GLP-2 analogue of  claim 12 , wherein the GLP-2 analogue comprises one or more of substitutions selected from X3 is Glu, X7 is Ser, X16 is Ala, X24 is Ala, X28 is Ala, X31 is Ile, X32 is Thr and X33 is Asp, and the amino acid residues in positions X31, X32 and X33 are optionally deleted; or a pharmaceutically acceptable salt or derivative thereof. 
     
     
         14 . The GLP-2 analogue of  claim 12  or  claim 13  which is: 
       
         
           
                 
                 
               
                   1827 
                   H-HGDGSFTDELSTILDNLAARDFIAWLIQTKKKKKKK-NH2 
                 
                     
                 
                   1844 
                   H-HGEGTFSSELSTILDALAARDFIAWLIATKITDKKKKKK-NH2 
                 
                     
                 
                   1845 
                   H-HGEGTFSDELSTILDALAARDFIAWLIATKITDKKKKKK-NH2 
                 
                     
                 
                   1846 
                   H-HGEGSFSSELSTILDALAARDFIAWLIATKITDKKKKKK-NH2 
                 
                     
                 
                   1848 
                   H-HGEGTFSSELATILDALAARDFIAWLIATKITDKKKKKK-NH2 
                 
                     
                 
                   1849 
                   H-HGEGSFSSELATILDALAARDFIAWLIATKITDKKKKKK-NH2 
                 
                     
                 
                   1850 
                   H-HGEGSFSDELKTILDALAARDFIAWLIATKITDKKKKKK-NH2 
                 
                     
                 
                   1851 
                   H-HGEGSFSDELKTILDALAARDFIAWLIATKITDKKKKKK-NH2 
                 
                     
                 
                   1852 
                   H-HGEGTFSSELKTILDALAARDFIAWLIATKITDKKKKKK-NH2 
                 
                     
                 
                   1855 
                   H-HGEGSFSSELSTILDALAARDFIAWLIATKITD-NH2 
                 
                     
                 
                   1857 
                   H-HGEGTFSSELATILDALAARDFIAWLIATKITD-NH2 
                 
                     
                 
                   1858 
                   H-HGEGSFSSELATILDALAARDFIAWLIATKITD-NH2 
                 
                     
                 
                   1859 
                   H-HGEGSFSDELKTILDALAARDFIAWLIATKITD-NH2; 
                 
             
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
               
            
           
         
         or a pharmaceutically acceptable salt or derivative thereof. 
       
     
     
         15 . The GLP-2 analogue of any one of  claims 1  to  9 , wherein the GLP-2 analogue comprises more than one of the substitutions at positions X3, X8 and/or X24. 
     
     
         16 . The GLP-2 analogue of  claim 15 , wherein the GLP-2 analogue comprises one or more of substitutions selected from X3 is Asp, X8 is Asp and X24 is Ala; and the amino acid residues in positions X31, X32 and X33 are optionally deleted; or a pharmaceutically acceptable salt or derivative thereof. 
     
     
         17 . The GLP-2 analogue of  claim 15  or  claim 16  which is: 
       
         
           
                 
                 
               
                   1830 
                   H-HGDGSFSDELSTILDNLAARDFIAWLIQTK-NH2 
                 
                     
                 
                   1831 
                   H-HGDGSFTDELSTILDNLAARDFIAWLIQTK-NH2 
                 
                     
                 
                   1835 
                   H-HGDGSFSDELKTILDNLAARDFIAWLIQTK-NH2 
                 
                     
                 
                   1836 
                   H-HGDGSFTDELKTILDNLAARDFIAWLIQTK-NH2 
                 
                     
                 
                   1839 
                   H-HGDGSFSDELATILDNLAARDFIAWLIQTKITDKKKKKK-NH2 
                 
                     
                 
                   1840 
                   H-HGDGSFSDELATILDNLAARDFIAWLIQTKITD-NH2 
                 
                     
                 
                   1841 
                   H-HGDGSFSDELATILDNLAARDFIAWLIQTK-NH2 
                 
                     
                 
                   1843 
                   H-HGDGSFTDELATILDNLAARDFIAWLIQTK-NH2; 
                 
             
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
               
            
           
         
         or a pharmaceutically acceptable salt or derivative thereof. 
       
     
     
         18 . The GLP-2 analogue of any one of  claims 1  to  9  which possesses a substitution at one or more of positions X3, X33, X10, X11, X16 and/or X24. 
     
     
         19 . A GLP-2 analogue of any one of the preceding claims for use in therapy. 
     
     
         20 . A pharmaceutical composition comprising a GLP-2 analogue of any one of the preceding claims, or a salt or derivative thereof, in admixture with a carrier. 
     
     
         21 . The pharmaceutical composition of  claim 20 , wherein the GLP-2 analogue is a pharmaceutically acceptable acid addition salt. 
     
     
         22 . The pharmaceutical composition of  claim 20  or  claim 21 , which is formulated as a liquid suitable for administration by injection or infusion, or which is formulated to cause slow release of said GLP-2 analogue. 
     
     
         23 . Use of a GLP-2 analogue of any one of  claims 1  to  18  for the preparation of a medicament for the treatment and/or prevention of a stomach and bowel-related disorder. 
     
     
         24 . The use of  claim 23 , wherein the stomach and bowel-related disorder is ulcers, digestion disorders, malabsorption syndromes, short-gut syndrome, cul-de-sac syndrome, inflammatory bowel disease, celiac sprue (for example arising from gluten induced enteropathy or celiac disease), tropical sprue, hypogammaglobulinemic sprue, enteritis, regional enteritis (Crohn's disease), ulcerative colitis, small intestine damage or short bowel syndrome. 
     
     
         25 . The use of  claim 23 , wherein the stomach and bowel-related disorder is radiation enteritis, infectious or post-infectious enteritis, or small intestinal damage due to toxic or other chemotherapeutic agents. 
     
     
         26 . Use of a GLP-2 analogue of any one of  claims 1  to  18  for the preparation of a medicament for the treatment and/or prevention of a side effect of chemotherapy or radiation treatment. 
     
     
         27 . The use of  claim 26 , wherein the side effect of chemotherapy is diarrhoea, abdominal cramping, vomiting or structural and functional damage of the intestinal epithelium resulting from chemotherapy treatment. 
     
     
         28 . Use of a GLP-2 analogue of any one of  claims 1  to  18  for the preparation of a medicament for the treatment of neo-natals, osteoporosis or DPP-IV (dipeptidylpeptidase-IV) mediated conditions. 
     
     
         29 . Use of a GLP-2 analogue of any one of  claims 1  to  18  for the preparation of a medicament for the treatment and/or prevention of a condition involving malnutrition. 
     
     
         30 . The use of  claim 29 , wherein the condition involving malnutrition is cachexia or anorexia. 
     
     
         31 . A nucleic acid molecule comprising a nucleic acid sequence encoding a GLP-2 analogue of any one of  claims 1  to  18 . 
     
     
         32 . An expression vector comprising the nucleic acid sequence of  claim 31 , in combination with control sequences to directed its expression. 
     
     
         33 . A host cell transformed the expression vector of  claim 32 . 
     
     
         34 . A method of producing the GLP-2 analogue of any one of  claims 1  to  18 , the method comprising culturing the host cells of  claim 22  under conditions suitable for expressing the GLP-2 analogue and purifying the GLP-2 analogue thus produced. 
     
     
         35 . A nucleic acid molecule according to  claim 31 , an expression vector according to  claim 32 , or a host cell according to  claim 33 , for use in therapy. 
     
     
         36 . Use of a nucleic acid molecule according to  claim 31 , an expression vector according to  claim 32 , or a host cell according to  claim 33 , in the preparation of a medicament for the treatment and/or prevention of a stomach and bowel-related disorder, or for the treatment and/or prevention of a side effect of chemotherapy or radiation treatment, or for the treatment of neo-natals, osteoporosis or DPP-IV (dipeptidylpeptidase-IV) mediated conditions. 
     
     
         37 . A method of treating a stomach and bowel-related disorder in a patient in need thereof by administering an effective amount a GLP-2 analogue of any one of  claims 1  to  17 , a nucleic acid molecule according to  claim 31 , an expression vector according to  claim 32 , or a host cell according to  claim 33 . 
     
     
         38 . The method of  claim 37 , wherein the stomach and bowel-related disorder is ulcers, digestion disorders, malabsorption syndromes, short-gut syndrome, cul-de-sac syndrome, inflammatory bowel disease, celiac sprue (for example arising from gluten induced enteropathy or celiac disease), tropical sprue, hypogammaglobulinemic sprue, enteritis, regional enteritis (Crohn's disease), ulcerative colitis, small intestine damage or short bowel syndrome. 
     
     
         39 . The method of  claim 37 , wherein the stomach and bowel-related disorder is radiation enteritis, infectious or post-infectious enteritis, or small intestinal damage due to toxic or other chemotherapeutic agents. 
     
     
         40 . A method of treating or preventing a side effect of chemotherapy or radiation therapy to a patient in need thereof, the method comprising administering an effective amount a GLP-2 analogue of any one of  claims 1  to  18 , a nucleic acid molecule according to  claim 31 , an expression vector according to  claim 32 , or a host cell according to  claim 33 . 
     
     
         41 . The method of  claim 40 , wherein the side effect of chemotherapy is diarrhoea, abdominal cramping, vomiting or structural or functional damage of the intestinal epithelium resulting from chemotherapy treatment. 
     
     
         42 . A method of treating neo-natal disorders, obesity, osteoporosis or DPP-IV (dipeptidylpeptidase-IV) mediated conditions in a patient in need thereof, the method comprising administering an effective amount a GLP-2 analogue of any one of  claims 1  to  18 , a nucleic acid molecule according to  claim 31 , an expression vector according to  claim 32 , or a host cell according to  claim 33 . 
     
     
         43 . A therapeutic kit comprising a cancer chemotherapy drug and a GLP-2 analogue according to any one of  claims 1  to  18 , a nucleic acid molecule according to  claim 31 , an expression vector according to  claim 32 , or a host cell according to  claim 33 , each optionally in combination with a pharmaceutically acceptable carrier. 
     
     
         44 . A pharmaceutical composition comprising a cancer chemotherapy drug and a GLP-2 analogue according to any one of  claims 1  to  18 , a nucleic acid molecule according to  claim 31 , an expression vector according to  claim 32 , or a host cell according to  claim 33  in combination with a pharmaceutically acceptable carrier. 
     
     
         45 . A GLP-2 analogue of any of  claims 1  to  17  wherein said analog has enhanced stability relative to Gly2-GLP-2. 
     
     
         46 . A GLP-2 analogue of any of  claims 1  to  17  which is further characterized in having an observed purity of at least 70% relative to the initial purity in conditions selected from the group consisting of 0.1 M HCl after 12 days, 0.5% H 2 O 2  after 3 days, and 0.1 M NH 4 HCO 3  after 6 days 
     
     
         47 . A GLP-2 analogue of any of  claims 1  to  17  which is further characterized in having an observed purity of at least 60% relative to initial purity in a solution of HCl 0.1 M after 12 days. 
     
     
         48 . A GLP-2 analogue of any of  claims 1  to  17  which is further characterized in having an observed purity of at least 70% relative to initial purity in a solution of NH 4 HCO 3  0.1 M after 6 days.

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