AU2003271325B2 - GLP-1 Analogues - Google Patents

Description

AUSTRALIA

Patents Act 1990 COMPLETE SPECIFICATION STANDARD PATENT Applicants: SOCIETE DE CONSEILS DE RECHERCHES SCIENTIFIQUES, S.A.S.

ET D'APPLICATIONS THE ADMINISTRATORS OF THE TULANE EDUCATIONAL FUND Invention Title: GLP-1 ANALOGUES The following statement is a full description of this invention, including the best method of performing it known to me/us: GLP-1 ANALOGUES Background of the Invention The present invention is directed to peptide analogues of glucagon-like peptide-1, the pharmaceutically-acceptable salts thereof, to methods of using such analogues to treat mammals and to pharmaceutical compositions useful therefor comprising said analogues.

Glucagon-like peptide-1 (7-36) amide (GLP-1) (SEQ ID NO: 1) is synthesized in the intestinal L-cells by tissue-specific post-translational processing of the glucagon precursor pre-proglucagon (Vamdell, et al., J. Histochem Cytochem, 1985:33:1080-6) and is released into the circulation in response to a meal. The plasma concentration of GLP-1 rises from a fasting level of approximately 15 pmol/L to a peak postprandial level of 40 pmol/L. It has been demonstrated that, for a given rise in plasma glucose concentration, the increase in plasma insulin is approximately threefold greater when glucose is administered orally compared with intravenously (Kreymann, et al., Lancet 1987:2. 1300-4).

This alimentary enhancement of insulin release, known as the incretin effect, is primarily humoral and GLP-1 is now thought to be the most potent physiological incretin in humans. In addition to the insulinotropic effect, GLP-1 suppresses glucagon secretion, delays gastric emptying (Wettergren et al., Dig Dis Sci 1993:38:665-73) and may enhance peripheral glucose disposal (D'Alessio, D.A. et al., J. Clin Invest 1994:93:2293-6).

In 1994, the therapeutic potential of GLP-1 was suggested following the observation that a single subcutaneous dose of GLP-1 could completely normalize postprandial glucose levels in patients with non-insulin-dependent diabetes mellitus (NIDDM) (Gutniak. et al., Diabetes Care 1994:17:1039-44).

This effect was thought to be mediated both by increased insulin release and by a reduction in glucagon secretion. Furthermore, an intravenous infusion of GLP-1 has been shown to delay postprandial gastric emptying in patients with NIDDM (Williams, et al., J. Clin Endo Metab 1996:81:327-32). Unlike sulfonylureas. the insulinotropic action of GLP-1 is dependent on plasma glucose concentration (Holz.

G.G. 4t, et al., Nature 1993:361:362-5). Thus, the loss of GLP-1-mediated insulin release at tow plasma gtucose concentration protects against severe hypoglycemia This combination of actions gives GLP-1 unique potential therapeutic advantages over other agents currently used to treat NIDDM.

Numerous studies have shown that when given to healthy subjects, GLP-1 potently influences glycemic levels as well as insulin and glucagon concentrations (Orskov, C, Diabetologia 35:701-711, 1992; Hoist, et al., Potential of GLP-1 in diabetes management in Glucagon III, Handbook of Experimental Pharmacology, Lefevbre PJ, Ed. Berlin, Springer Verlag, 1996, p. 311-326), effects which are glucose dependent (Kreymann, et al., Lancet ii: 1300-1304, 1987; Weir, et al., Diabetes 38:338-342, 1989). Moreover, it is also effective in patients with diabetes (Gutniak, N. Engl J Med 226:1316-1322, 1992; Nathan, et al., Diabetes Care 15:270-276, 1992), normalizing blood glucose levels in type 2 diabetic subjects (Nauck, et al., Diagbetologia 36:741-744, 1993), and improving glycemic control in type 1 patients (Creutzfeldt, et al., Diabetes Care 19:580- 586, 1996), raising the possibility of its use as a therapeutic agent.

GLP-1 is, however, metabolically unstable, having a plasma half-life (t, 1 of only 1-2 min in vivo. Exogonously administered GLP-1 is also rapidly degraded (Deacon. et al., Diabetes 44:1126-1131, 1995). This metabolic instability limits the therapeutic potential of native GLP-1. Hence, there is a need for GLP-1 analogues that are more active or are more metabolically stable than native GLP-1.

Summary of the Invention In one aspect, the present invention is directed to a compound of formula

(R

2

R

3

A

7 A -A

-A

12

-A

13

-A

1 4

-A

5

-A'

6

-A

7

-A

1 8 -Ale -A 21

-A

2

-A

23

A

2 4 -A 2 5

-A

2 A 27 _A -A 2 -A -A 3

-A

31

-A

3

-A

3

-AA

35

A

36

_A

37 R'

(I)

wherein

A

7 is L-His, D-His, Tyr, Tma-His or deleted;: A' is Ala, D-Ala, Aib, Acc, N-Me-Ala, N-Me-D-Ala, Arg or N-Me-Gly;

A

9 is Glu, N-Me-Glu, N-Me-Asp or Asp; A'O is Gly, Acc, Ala, D-Ala, Phe or Aib; A" is Thr or Ser;

A'

2 is Phe, Acc, Aic, Aib, 3-Pal, 4-Pal, p-Nal, Cha, Trp or X'-Phe;

A'

3 is Thr or Ser; is Ser, Thr, Ala or Aib:

A'

5 is Asp, Ala, D-Asp or Glu; A" is Val, D-Val, Acc, Aib, Leu, lie. Tie, Ne, Abu, Ala, D-Ala. Tba or Cha;

A'

7 is Ser. Ala, D-Ala, Aib, Acc or Thr; A' is Ser, Ala, D-Ala, Aib, Acc or Thr; A'9 is Tyr, D-Tyr, Cha. Phe, 3-Pal, 4-Pal, Acc. |-Nal, Amp or X'-Phe; is Leu. Ala, Acc, Aib, Nie, lie, Cha, Tie, Val, Phe or X'-Phe;

A

2 is Glu, Ala or Asp; A2 is Gly, Acc, Ala, D-Ala, -Ala or Aib; A" is Gin, Asp, Ala, D-Ala, Aib, Acc, Asn or Glu;

A

2 4 is Ala, Aib, Val, Abu, Tie or Ace; is Ala, Aib, Val, Abu, Tie, Acc, Lys, Arg, hArg, Orn, HN-CH((CH2)n-NR'OR")- C(O) or HN-CH((CH2).-X3)-C(O); A2 is Lys, Ala, 3-Pal, 4-Pal, Arg, hArg, Omrn, Amp. HN-CH((CH 2

)-NR

1 or

HN-CH((CH-X')-C(O);

A

27 is Glu. Ala, D-Ala or Asp; A" is Phe, Ala, Pal. f-Nal, X'-Phe, Aic, Ace, Aib, Cha or Trp; A" is lie, Ace, Aib, Leu, Nle, Cha, Tie, Val, Abu, Ala, Tba or Phe; A is Ala, Aib, Ace or deleted; A' is Trp, Ala, 3-Nal, 3-Pal, 4-Pal, Phe, Ace, Aib, Cha, Amp or deleted; A3 is Leu, Ala, Ace, Aib, Nie, lie, Cha, Tie, Phe, X'-Phe. Ala or deleted; A3 is Val, Acc, Aib. Leu, lie, Tie, NIe, Cha, Ala, Phe, Abu, X'-Phe, Tba, Gaba or deleted; A" is Lys, Arg, hArg, Om, Amp, Gaba, HN-CH((CH2),-NR'OR")-C(O),

HN-

or deleted; A' is Gly or deleted; A' is L- or D-Arg, D- or L-Lys, D- or L-hArg, D- or L-Orn, Amp, HN-CH((CH-2)nor deleted; A37 is Gly or deleted; X' for each occurrence is independently selected from the group consisting of (C,-C 8 )alkyl, OH and halo; R' is OH, NH2, (C,-C 1 2 )alkoxy, or NH-X'-CHrZt, wherein X 2 is a (C 1 C,2)hydrocarbon moiety, and ZO is H, OH. C02H or CONH2; XL N N-(CH 2 -CH 3

X

3 is or -C(O)-NHR' 2 wherein X 4 for each occurrence is independentiy or -CH 2 and f for each occurrence is independently an integer from 1 to 29; each of R 2 and R' is independently selected from the group consisting of H-, (C,-C3)alkyl, (Cr-C~,)alkenyl, phenyi(C 1 -C3,)alkyl, hydroxy(C 1

-C

3 0 )alkyl. hydroxy(C2-Cao)alkenyl, hydroxyphenyl(CI-C 30 )alkyl, and hydroxynaphthyl(C-C 3 o)alkyl; or one of R 2 and R 3 is C(O)X 5 in which X is (C 1 -0 30 )alkyl. (Cz-Cyj)alkeny, phenyl(C 1 -C30)alkyl, naphthy(C 1 -C3,)alky, hydroxy(Ci-Csc)alkyl, hydroxy(C2-C 3 a)alkenyl. hydroxyphenyl(Cl-0 30 )alkyl, t1hydmoxynaphthyl(C-C 3 o)alkyl, (CH 3 )2-N-C=N(CH 3 2

Y(CH

2 )rN \N-(CH 2 ),,so 2 or Y(CH 2 N-(CHA -Co- (b) where Y is H or OH, r is 0-4 and q is 0-4; n for each occurrence is independently an integer from 1-5: and

R

10 and R 1 for each occurrence is each independently H. (C 1

-C

3 0)alkyI, (Cl-

C

33 )acyl, (CI.C30)alkylsulfonyI, -C((NHX(NHJ)) or -C O -C -N C 2 -C H 3 ,p ro v id e d th a t w h e n R 0 is (C 1 -C 30 )a cy l, N-(H 2 )(CH 3

(C

1 -C30)alkylsulfonyI, -C((NH)(NH 2 or

R"

1 is H or (C,-C~a)alkyl: and R 1 2 is (C,-C%)alkyl; with the proviso that: at least one amino acid of a compound of formula is not the same as the native sequence of hGLP-1 (7-36. or -37)NH 2 (SEQ ID NOS: 1, 2) or hGLP-1 (7-36, or -37)0 H (SEQ ID NOS: 3. 4); (ii) a compound of formula is not an analogue of hGLP-1(7-36, or -37)NH2 (SEQ ID NOS: 1. 2) or hGLP-1(7-36, or -37)OH (SEQ ID NOS: 3, 4) wherein a single position has been substituted by Ala; (iii) a compound of formula is not [Lyss(N'-alkanoyi)]hGLP-1(7-36, or -37)-E (SEQ ID NOS: [Lys4(N'-alkanoyl)]hGLP-1(7-36, or -37)-E (SEQ ID NOS: 9- 12), [Lys6'-bis(N'-alkanoyl)]hGLP-1(7-36, or -37)-E (SEQ ID NOS: 13-16), [Arg 26 Lys(N'-alkanoy)]hGLP-1(8-36, or -37)-E (SEQ ID NOS: 17-20), or {Arg 26 34 Lys6(N'-alkanoyl)]hGLP-1(7-36, or wherein E is -OH or -NH 2 (SEQ ID NOS: 21-24); (iv) a compound of formula is not Z'-hGLP-1(7-36, or -37)-OH, Z'-hGLP-1(7-36, or -37)-NH 2 where Z 1 is selected from the group consisting of [Argf (SEQ ID NOS: 25-28 [Argf] (SEQ ID NOS: 29-32), [Arg 26 4 (SEQ ID NOS: 33-36), [Lys 3 (SEQ ID NOS: 37-40), [Arg 26 Lys 3 (SEQ ID NOS: 41-44), [Arg 3 Lys 3 (SEQ ID NOS: 45-48), [D-Lys 3 [Argf] (SEQ ID NOS: 3,4,1,2), [D-ArgJ], [Arga 34 Lys (SEQ ID NOS: 49-52), or [Arg 2 a.,3 Lys 4 (SEQ ID NOS: 25-28); [Asp 21 (SEQ ID NOS: 53-56); at least one of [Aib 8 (SEQ ID NOS: 57-60), [D-Ala') and [Aspj (SEQ ID NOS: 61-64); and [Tyr 7 (SEQ ID NOS: 65-68), [N-acyl-His 7 (SEQ ID NOS: 69-72), IN-alkyl-His 7 [N-acyl-D-His 7 (SEQ ID NOS: 73-76) or [N-alkyl-D-His 7 a compound of formula is not a combination of any two of the substitutions listed in groups to and (vi) a compound of formula is not [N-Me-Ala 8 ]hGLP-1(8-36 or -37) (SEQ ID NOS: 75, 78), [Glu' 5 ]hGLP-1(7-36 or -37) (SEQ ID NOS: 79, 80), [Asp 2 ]hGLP-1(7-36 or 37) (SEQ ID NOS: 53, 54)or [Phe 3 ']hGLP-1(7-36 or -37) (SEQ ID NOS: 81, 82).

A preferred compound of the immediately foregoing compound of formula (I) is where A" is Thr; A' 3 is Thr; is Ser, Aib or Ala; A' 7 is Ser, Ala, Aib or D-Ala;

A'

8 is Ser, Ala, Aib or D-Ala; A 21 is Glu or Ala; A 23 is Gin, Glu, or Ala; and A 27 is Glu or Ala; or a pharmaceutically acceptable salt thereof.

A preferred compound of the immediately foregoing compound of formula (I) is where A 9 is Glu, N-Me-Glu or N-Me-Asp; A' 2 is Phe, Acc or Aic; A' 1 is Val, D-Val, Acc, Aib, Ala, Tie or D-Ala; A' 9 is Tyr, 3-Pal, 4-Pal or D-Tyr; A 2 is Leu, Acc, Cha.

Ala or Tie; A 2 1 is Ala, Aib or Acc; A 25 is Ala, Aib, Acc, Lys, Arg, hArg, Orn, HN- WO 00/34332 PCT/IUS99/28929 -6-

CH((CH

2

A

28 is Phe or Ala; A 29 is Ile, Ace or Tie; A30 is Ala, Aib or deleted; A 3 is Trp, Ala, 3-Pal, 4-Pal or deleted; A 32 is Leu, Ace, Cha, Ala or deleted;

A

33 is Val, Acc, Ala, Gaba, Tie or deleted; or a pharmaceutically acceptable salt thereof.

A preferred compound of the immediately foregoing compound of formula (I) is where A 8 is Ala, D-Ala, Aib, A6c, A5c, N-Me-Ala. N-Me-D-Ala or N-Me-Gly; A'O is Gly, Ala, D-Ala or Phe; A 12 is Phe, A6c or A5c; A'6 is Val, Ala, Tie, A6c, A5c or D- Val; A' is Leu, A6c, A5c, Cha, Ala or Tie; A22 is Gly, Aib, p-Ala, L-Ala or D-Ala; A24 is Ala or Aib; A" is lie, A6c, A5c or Tie; A32 is Leu, A6c, A5c, Cha, Ala or deleted;

A

3 3 is Val, A6c, A5c, Ala, Gaba, Tie or deleted; or a pharmaceutically acceptable salt thereof.

A preferred compound of the immediately foregoing compound of formula (1) is where R' is OH or NH 2 or a pharmaceutically acceptable salt thereof.

A preferred compound of the immediately foregoing compound of formula (1) or a pharmaceutically acceptable salt thereof is where R 2 is H and R 3 is (C2-C 3 o)alkenyl (Ci-Cro)acyl, -N N-CH 2 or A most preferred compound of formula is where said compound is ID-Ala 8 Ala' 7 7 3-Pal' 9 3 1 Gabafl-GLP-1(7-34)NH 2 fD-Ala 1 .23.

27 3- Pal' 3 "']hGLP-1(7-35)-NH 2 [AlaltSf., 3-Pal'" 3 ]hGLP-1(7-35)-NH 2 (SEQ ID NO: 83); [Ala'6 2 7 3-Pal'1 9 31 ]hGLP-1(7-35)-NH 2 (SEQ ID NO: 84); [Ala"4.

23 .2 7 3- Pal' 93 1 ']hGLP-1(7-35)-NH 2 (SEQ ID NO: 85); [Ala2223.2 7 3Pal9.31]hGLP-1(7-35)-NHz (SEQ ID NO:86); [Ala-23,27 3- Pal' 9 3']hGLP-1(7-35)-NH 2 (SEQ ID NO: 88); [Ala 1723 27 3-Pal"l']hGLP-1 (7-35)-NH 2 (SEQ ID NO: 89); [Ala.2327, 3-Pal'.3', Gaba34lhGLP-1 (7-34)-NH 2 (SEQ ID NO: (Ala' 5 22.23.2 7 3-Pal' 9 3 Gaba']hGLP-1 (7-34)-NH 2 (SEQ ID NO: 91); [Ala17.22.2.27. 3- Pal'9 31 Gaba34]hGLP-1(7-34)-NH 2 (SEQ ID NO: 92); [Ala 8.22.23.27, 3-Pal'93 1 Gabaf]hGLP-1(7-34)-NH2 (SEQ ID NO: 93); tAla2l.22.23.27, 3-Pa19.

3 1 Gabaf]hGLP- 1(7-34)-NH 2 (SEQ ID NO: 94); [Ala22 23 .26.2 7 3-Pal".31', Gaba4]hGLP-1(7-34)-NHz (SEQ ID NO: 95); [Ala 22 23 7 .3 2 3-Pal 1 9 31 Gaba 34 hGLP-1(7-34)-NH 2 (SEQ ID NO: 96); [Ala 22 232827 3-Pa 1 931 Gaba3flhGLP-1(7-33)-NH 2 (SEQ) ID NO: 97); [Ala 2223.

7 31 3-Pal' 9 Gaba 33JhGLP-1U7-33)-NH 2 (SEQ ID NO: 98); (Ala 22 2 3 27 3 Pal" 1 Gaba 33 )hGLP-1(7-33)-NH 2 (SEQ ID NO: 99); [Ala 22 2327 2 9, 3-Pa]' 931 Gaba"]hGLP- 1(7-33)-N H 2 (SEQ I D NO: 100); (Ala 2 7 3-Pal"'9 31 Gaba 3J hGLP-1(7- 33)-NH 2 (SEQ ID NO: 101); [Ala2.2 3 2 3-Pal""31, Gaba3]hGLP-1 (7-33)-NH 2

(SEQ

NO: 102); [Ala 22 23, 7 3-Pal'1 9 Gaba 3 ]hGLP-1 (7-33)-NH 2 (SEQ ID NO: 103); [Ala'1 72 2 2 2 7 3-Pal""'31, Gaba"]hGLP-1(7-33)-NH 2 (SEQ ID NO: 104); [0-Ala' 0 Ala 3 2 23 27 3-Pal 19 31 Gaba"]hGLP-1 (7-33)-NH2; [D-Ala 8 Ala'1 7 "23- 7 3-Pal""'.31]hGLP- 1(7-34)-NH 2 [Ala'1 72 7 3-Pal"'2 3 1 ]hGLP,1 (7-34)-NH 2 (SEQ ID NO: 105); (0-Ala 8 Ala'", 3-Pal' 3 1 ]hGLP-1(7-34)-NH 2 [Aa' 7 2 3,2, 3-Pal""'31]hGLP-1 (7-34)-NH 2 (SEQ ID NO: 106); [D-Ala 8 Ala'1 7 -13 27 3-Pal' 31 TleflhGLP-1 (7-34)-NH 2 [D-Ala, Ala' 7 23 27

,I

3-Pal'"',3 Tle'jhGLP-1 (7-34)-NH 2 [0-Ala'. Ala 1 7 27 3-P 2

I

1 931 Gabafl]hGLP-1 (7- 34)-NH 2 [D-Ala22, Ala' 72 2 3-Pal" 1 Gabafl]hGLP-1(7-34-NH 2 (Aib 8 Ala 7 3 3-Pal 1"'3 Gaba'j]hGLP-1(7-34)-NHz (SEO ID NO: 107); [D-Alaa. Ala'1 7 2 27 3- Pa11".3]hGLP-1 (7-33)-NH 2 [Aibg, Ala1 7 2 7 3-Pal'"'3]hGLP-1 (7-33)-NH 2 (SEQ ID NO: 108); [Ala'1 7 18 2 3- 2 Gabafl]hGLP-1(7-34)-NH 2 (SEQ ID NO: 109); [Ala 17..27, 3-Pal 9 31 Tie". Gaba'jhGLP-1(7-34)-NH 2 (SEQ ID NO: 110); [Tle", Aia' 7 2 3-Pal 1 1- 31 GabaflhGLP-1(7-34)-NH 2 (SEQ ID NO: 111); [N-Me-D-AWa, Ala' 7 ',22.

3 27 3-Pal""'31]hGLP-1 (7-33)-NH 2 (Aib 8 Ala'1 7 18,2.23.

7 3-Pal""1.']hGLP-1 (7- 33)-NH 2 (SEQ ID NO: 112); [Ala 7 2 7 3-Pal""'31, Tle"".20 Gabafl]hGLP-1 (7-34)-

NH

2 (SEQ ID NO: 113); [0-Ala', Ala' 7 "'82Z" 2 7 3-Pal' 9 .1 Tne", Gaba 4 ]hGLP-1(7- 34)-NH 2 [0-Ala 82 Ala' 7 "1 8 3 27 3-Pal"'9 31 Gabafl]hGLP-1 (7-34)-NH 2 [0-Ala 8 8 Ala' 7 2 Gaba34jhGLP- 1(7-34)-NH 2 [0-Ala 8 Ala"""' 2 3-Pal"" Gabafl]hGLP-1 (7-34)-NH 2 or [D-Ala 8 Ala 17, 1 6f.

2 327 3-Pal""'31, Gabafl]hGLP-1 (7- 34)-NH 2 or a pharmaceutically acceptable salt thereof.

Another most preferred compound of formula is wherein said compound is (Aib', A6c-2IhGLP-1 (7-36)NH 2 (SEQ ID NO: 114); [Aft20 3 2 IhGLP-1I(7-36)-NH, (SEQ I0 NO: 115); [Aiba]hGLP-1 (7-36)-NH2 (SEQ MD NO: 116); [(Tma-His) 7 ]hGLP-1 (7-3 6

NH

2 (SEQ ID NO: 117); [A6c']hGLP-1(8-36)-NH2 (SEQ ID NO: 118); [A6c']hGLP- 1(7-36)-NH 2 (SEQ ID NO: 119); [A~c""'0]hGLP-1(7-36)-NH 2 (SEQ ID NO: 120).

[A6c, 3 2 ]hGLP- 1(7-36)-NH 2 (SEQ ID NO:. 121); [AB& 0 Aib2 4 ]hGLP- 1(7-36)-NH.

(SEQ ID NO: 122); [Aib 2 4. A6C19 3 IhGLP-1(7-36)-NH 2 (SEQ ID NO: 123! -8- [A6c'6' 32 hGLP-1(7-36)-NH 2 (SEQ ID NO: 124):.

00 (N-Me-Ala 8 JhGLP-1(7-36)-NH2 (SEQ ID NO: 128); (N-Me- Ala~hGLP-1 (8-36)-NH 2 N-Me-D-Ala 8 JhGLP-1 (7-36)-NH 2 (N-Me- D-A~a 8 JhGLP-1(8-36)-NH 2 [N-Me-Gly 8 hGLP-1(7-36)-NH 2 (SEQ ID NO: 129); 8 ]hGLP-1 (7-36)-NH 2 (SEQ ID NO: 130); [N-Me-Glu 9 ]hGLP-1 (7-36)-NH 2 (SEQ ID NO: 131); [Mec, A~c 2 ]hGLP-1 (7-36)-NH 2 (SEQ ID NO: 132); [Aiba, A6c 3 lhGLP- 1(7-36)-NH 2 (SEQ ID NO: 133); [Aib8-lhGLP-1(7-36-NH 2 (SEQ ID NO: 134); [Alb"JhGLP-1(7-36)-NH 2 (SEQ ID NO: 135); [Aiba-nhGLP-1(7-36)-NH 2 (SEQ ID Cl 10 NO: 136); [Aba, Cha"JhGLP-1(7-36)-NH 2 (SEQ ID NO: 137); [Alba, Cha~lhGLP- 1(7-36)-NH 2 (SEQ ID NO: 138); [Aib 8 GILuhGLP-1 (7-36)-NH 2 (SEQ ID NO: 139); [AOb, A6cMhGLP-1 (7-36)-NH 2 (SEQ ID NO: 140); [Aib 8 A6c"-3-hGLP-1 (7-36)-NH 2 (SEQ ID NO: 141); [A~b-hGLP-1(7-36)-NH 2 (SEQ ID NO: 142); (Alb 8 4P- A~aqJhGLP-1 (7-36)-NH 2 (SECI ID NO: 143); [Aba, Lys2JhGLP-1 (7-36-NH 2 (SEQ ID NO: 144); [Alb8, A6c' 2 JhGLP-1 (7-36)-NH2 (SEQ ID NO: 145); [Alb 8 A6M'hGLP-1 (7- 36)-NH 2 (SEQ ID NO: 146); [Alb, A6c~lhGLP-1(7-36)-NH 2 (SEQ ID NO: 147); [Alba- 1 JhGLP-1 (7-36)NH 2 (SEQ ID NO: 148); [Aiba-']hGLP-1 (7-36)NH 2 (SEQ ID NO: 149); or [A~ba-' 7 JhGLP-1(7-36)NH 2 (SEQ ID NO: 150); or a pharmaceutically acceptable salt thereof. In another aspect, the present invention provides a pharmaceutical composition compising an effective amount of a compound of formula as defined hereinabove or a pharmaceutically acceptable salt thereof and a pharmaceutically acceptable carrier or diluent In still another aspect, the present invention provides a method of eliciting an agonist effect from a GLP-1 receptor in a subject in need thereof which comprises administering to said subject an effective amount of a compound of formula as defined hereinabove or a pharmaceutically acceptable salt thereof.

In yet a further aspect, this Invention provides a method of treating a disease selected from the group consisting of Type I diabetes, Type 11 diabetes, obesity, glucagonomas. secretory disorders of the airway, metabolic disorder.

arthritis, osteoporosis. central nervous system disease, restenosis and neurodegenerative disease, renal failure, congestive heart failure, nephrotic syndrome, cirrhosis, pulmonary edema, hypertension. and disorders wherein the reduction of food intake is desired, in a subject in need thereof which comprises administering to said subject an effective amount of a compound of formula as -9 defined hereinabove or a pharmaceutically acceptable salt thereof. Preferred of the foregoing method is where the disease is Type I diabetes or Type II diabetes.

In still another aspect, the present invention provides for the treatment of a disease selected from the group consisting of Type I diabetes, Type II diabetes, obesity, glucagonomas, secretory disorders of the airway, metabolic disorder, arthritis, osteoporosis, central nervous system disease, restenosis, neurodegenerative disease, renal failure, congestive heart failure, nephrotic syndrome, cirrhosis, pulmonary edema, and hypertension.

With the exception of the N-terminal amino acid, all abbreviations (eg. Ala) of amino acids in this disclosure stand for the structure of -NH-CH(R)-CO-, wherein R is the side chain of an amino acid (eg. CH 3 for Ala). For the N-terminal amino acid, the abbreviation stands for the structure of (R 2 R3)-N-CH(R)-CO-, wherein R is a side chain of an amino acid and R 2 and R 3 are as defined above except in the case where A' is Ura, Paa, Pta or Hppa in which case R 2 and R 3 are not present since Ura, Paa, Pta and Hppa are considered here as des-amino acids.

The abbreviations: P-Nal, Nle, Cha, Amp, 3-Pal, 4-Pal and Aib stand for the following a-amino acids: 0-(2naphthyl)alanine, norleucine, cyclohexylalaine, 4-aminophenylalanine, 0-(3-pyridinyl)alanine, j-(4pyridinyl)alanine and a-aminoisobutyric acid, respectively. Other amino acid definitions are: Ura is urocanic acid; Pta is (4-pyridylthio) acetic acid; Paa is trans-3-(3-pyridyl) acrylic acid; Tma-His is N,Ntetramethylamidino-histidine; N-Me-Ala is N-methylalanine; N-Me-Gly is N-methyl-glycine; N-Me-Glu is Nmethyl-glutamic acid; Tle is tert-butylglycine; Abu is aaminobutyric acid; Tba is tert-butylalanine; Orn is ornithine; Aib is a-aminoisobutyric acid; P-Ala is 0alanine; Gaba is y-aminobutyric acid; Ava is acid; Aic is 2-aminoindane-2-carboxylic acid; and Hppa is 3-(4-hydroxyphenyl) propionic acid.

9a What is meant by Acc is an amino acid selected from the group of 1amino-1-cyclopropanecarboxylic acid (A3c); 1-amino-l-cyclobutanecarboxylic acid (A4c); 1-amino-l-cyclopentanecarboxylic acid (A5c); 1-amino-l-cyclohexanecarboxylic acid (A6c); 1-amino-1-cycloheptanecarboxylic acid (A7c); 1-amino-1cyclooctanecarboxylic acid (A8c); and 1-amino-l-cyclononanecarboxylic acid (A9c). In the above formula, hydroxyalkyl, hydroxyphenyfalkyl, and hydroxynaphthlalkyl may contain 1-4 hydroxy substituents. COX 5 stands for -C=0 X 5 Examples of -C=0 X 5 include, but are not limited to, acetyl and phenylpropionyl.

What is meant by Lys(N'-alkanoyl) is represented by the following structure: 0 1N

H

H O What is meant by Lys(N'-alkylsulfonyl) is represented by the following structure: 0 0

II

SO H N,S

CH,

H H H 0 What is meant by Lys(N'-(2-(4-alkyl-l-piperazine)-acetyl)) is represented by the following 0 H 3 N N N O H 0 Asp( 4-alkyl-piperazine)) Asp(1-(4-alkyl-piperazine)) by SWhat is meant by the following is represented structure: What is meant by Asp(1-alkylamino) 0

CH.

SH

I

is represented by the following structure: H O The variable n in the foregoing structures is 1 to The full names for other abbreviations used herein are as follows: Boc for tbutyloxycarbonyl, HF for hydrogen fluoride, Fm for formyl, Xan for xanthyl, Bzl for benzyl, Tos for tosyl, DNP for 2,4-dinitrophenyl, DMF for dimethylformamide. DCM for dichloromethane, HBTU for 2-(1H-Benzotriazol-1-yl)-.1.,3.3-tetramethyl uronium hexafluorophosphate. DIEA for diisopropylethylamine, HOAc for acetic acid, TFA for trifluoroacetic acid, 2CIZ for 2-chlorobenzyloxycarbonyl and OcHex for 0cyclohexy.

A peptide of this invention is also denoted herein by another format, e.g..

[A5c]hGLP-1(7-36)-NH2 (SEQ ID NO: 130), with the substituted amino acids from the natural sequence placed between the set of brackets ASc 8 for Ala" in hGLP-1). The abbreviation GLP-1 means glucagon-like peptide-1. and hGLP-1 means human glucagon-like peptide-1. The numbers between the parentheses refer to the number of amino acids present in the peptide hGLP-1(7-36) (SEQ ID NO: 3) is amino acids 7 through 36 of the peptide sequence for human GLP-1).

The sequence for hGLP-1(7-37) (SEQ ID NO: 4) is listed in Mojsov, Int. J.

Peptide Protein Res., 40, 1992, pp. 333-342, the content of which is incorporated herein by reference. The designation "NH 2 in hGLP-1(7-36)NH 2 (SEQ ID NO:1) indicates that the C-terminus of the peptide is amidated. hGLP-1(7-36)(SEQ ID NO:2) means that the C-terminus is the free acid.

Detailed Descriptiqn The peptides of this invention and related peptides can be prepared by standard solid phase peptide synthesis as described below and in the Examples.

See, Stewart, et al., Solid Phase Synthesis (Pierce Chemical Co., 2d ed. 1984). The substituents R 2 and R 3 of the above generic formula can be attached to the free amine of the N-terminal amino acid by standard methods known in the art. For example, alkyl groups, (C 1

-C

30 )alkyl. can be attached using reductive alkylation. Hydroxyalkyl groups, (C1-

C

30 )hydroxyalkyl, can also be attached using reductive alkylation wherein the free hydroxy group is protected with a t-butyl ester. Acyl groups, COE', may be attached by coupling the. free acid, E'COOH, to the free amine of the Nterminal amino add by mixing the completed resin with 3 molar equivalents of both the free acid and diisopropylcarbodiimide in methylene chloride for one hour. If the free acid contains a free hydroxy group, p-hydroxyphenylpropionic acid, then the coupling should be performed with an additional 3 molar equivalents of HOBT.

When R' is NH-X 2

-CH

2 CONH2 ZO=CONH 2 the synthesis of the peptide starts with BocHN-X 2 -CHz-COOH which is coupled to the MBHA resin. If R' is NH-X'-CH,-COOH Z°=COOH) the synthesis of the peptide starts with Boc-

HN-X

2 -CHrCOOH which is coupled to PAM resin.

The following describes a synthetic method for making a peptide of this invention, which method is well-known to those skilled in the art. Other methods are also known to those skilled in the art.

Benzhydrylamine-polystyrene resin (Advanced ChemTech, Inc., Louisville.

KY) (0.9 g, 0.3 mmole) in the chloride ion form is placed in a reaction vessel of an Advanced ChemTech Peptide Synthesizer Model 200 programmed to perform the following reaction cycle: methylene chloride; 33% trifluoroacetic acid in methylene chloride (2 times for 1 and 15 min each); methylene chloride; (d) ethanol; methylene chloride; 10% diisopropylethylamine in methylene chloride.

The neutralized resin is stirred with Boc-protected amino acid which is to be the C-terminal amino acid of the desired peptide to be synthesized and diisopropylcarbodiimide (3 mmote each) in methylene chloride for 1 hour ano [tie resulting amino acid resin is then cycled through steps through in the above wash program. The other amino acids (3 mmol) of the desired peptide are then coupled successively by the same procedure. The finished peptide is cleaved from the resin by mixing it with anisole (5 ml), dithiothreitol (100 mg) and anhydrous hydrogen fluoride (35 ml) at about 0 OC and stirring it for about 45 min. Excess hydrogen fluoride is evaporated rapidly under a stream of dry nitrogen and free peptide precipitated and washed with ether. The crude peptide is then dissolved in a minimum volume of dilute acetic acid and eluted on a column (2.5 x 25 cm) of VYDAC® octadecylsilane silica (10 mM) and eluted with a linear gradient of 20-60% acetonitrile over about 1 h in 0.1% trifluoroacetic acid in water. Fractions are examined by thin layer chromatography and analytical high performance liquid chromatography (40-70% B at 1%/min, solution B is 80% acetonitrile/water containing 0.1% TFA) and pooled to give maximum purity rather than yield.

Repeated lyophilization of the solution from water gives the product as a white, fluffy powder.

The product peptide is analyzed by HPLC. Amino acid analysis of an acid hydrolysate of the product peptide can confirm the composition of the peptide.

Laser desorption MS is used to determine the molecular weight of the peptide.

The protected amino acid 1-[N-tert-butoxycarbcnyl-amino]-1-cyclohexanecarboxylic acid (Boc-A6c-OH) was synthesized as follows. 19.1 g (0.133 mol) of 1amino-1-cyclohexanecarboxylic acid (Acros Organics, Fisher Scientific, Pittsburgh, PA) was dissolved in 200 ml of dioxane and 100 ml of water. To it was added 67 ml of 2N NaOH. The solution was cooled in an ice-water bath. 32.0 g (0.147 mol) of di-tert-butyl-dicarbonate was added to this solution. The reaction mixture was stirred overnight at room temperature. Dioxane was then removed under reduced pressure. 200 ml of ethyl acetate was added to the remaining aqueous solution The mixture was cooled in an ice-water bath. The pH of the aqueous layer was adjusted to about 3 by adding 4N HCI. The organic layer was separated. The aqueous layer was extracted with ethyl acetate (1 x 100 ml). The two organic layers were combined and washed with water (2 x 150 ml), dried over anhydrous MgSO,. filtered, and concentrated to dryness under reduced pressure. The residue was recrystallized in ethyl acetate/hexanes. 9.2 g of the pure product was obtained. 29% yield.

Boc-A5c-OH was synthesized in an analogous manner to that of Boc-A6c- OH. Other protected Acc amino acids can be prepared in an analogous manner by a person of ordinary skill in the art as enabled by the teachings herein.

In the synthesis of a peptide of this invention containing A5c, A6c and/or Aib, the coupling time is about 2 hrs. for these residues and the residue immediately following them. For the synthesis of [Tma-His'jhGLP-1(7-36)NH 2

(SEQ

ID NO: 117), HBTU (2 mmol) and DIEA (1.0 ml) in 4 ml DMF were used to react with the N-terminal free amine of the peptide-resin in the last coupling reaction; the coupling time is about 2 hours.

The full names for the abbreviations used above are as follows: Boc for tbutyloxycarbonyl, HF for hydrogen fluoride, Fm for formyl, Xan for xanthyl, Bzi for benzyl, Tos for tosyl, DNP for 2,4-dinitrophenyl, DMF for dimethylformamide, DCM for dichloromethane, HBTU for 2-(1H-benzotriazol-1-yl)-1,1,3,3-tetramethyl uronium hexafluorophosphate, DIEA for diisopropylethylamine, HOAc for acetic acid, TFA for trifluoroacetic acid, 2CIZ for 2-chlorobenzyoxycarbonyl, 2BrZ for 2bromobenzyloxycarbonyl and OcHex for O-cyclohexyl.

The substituents R 2 and R 3 of the above generic formula can be attached to the free amine of the N-terminal amino acid by standard methods known in the art.

For example, alkyl groups, (CI-C30)alkyl, may be attached using reductive alkylation. Hydroxyalkyl groups, (Ci-C3o)hydroxyalkyl, can also be attached using reductive alkylation wherein the free hydroxy group is protected with a t-butyl ester. Acyl groups, COX', can be attached by coupling the free acid, e.g..

X'COOH, to the free amine of the N-terminal amino acid by mixing the completed resin with 3 molar equivalents of both the free acid and diisopropylcarbodiimide in methylene chloride for about one hour. If the free acid contains a free hydroxy group, p-hydroxyphenylpropionic acid, then the coupling should be performed with an additional 3 molar equivalents of HOBT.

A compound of the present invention can be tested for activity as a GLP-1 binding compound according to the following procedure.

Celt Culture: RIN 5F rat insulinoma cells (ATCC-# CRL-2058, American Type Culture Collection, Manassas, VA), expressing the GLP-1 receptor, were cultured in Dulbecco's modified Eagle's medium (DMEM) containing 10% fetal calf serum, and maintained at about 37 "C in a humidified atmosphere of 5% C02/95% air.

Radioligand Binding: Membranes were prepared for radioligand binding studies by homogenization of the RIN cells in 20 ml of ice-cold 50 mM Tris-HCI with a Brinkman Polytron (Westbury, NY) (setting 6, 15 sec). The homogenates were washed twice by centrifugation (39,000 g 10 min), and the final pellets were resuspended in 50 mM Tris-HCI, containing 2.5 mM MgCI 2 0.1 mg/ml bacitracin (Sigma Chemical, St. Louis, MO), and 0.1% BSA. For assay, aliquots (0.4 ml) were incubated with 0.05 nM ['2I]GLP-1(7-36) (SEQ ID NO: 151) (-2200 Ci/mmol, New England Nuclear, Boston, MA), with and without 0.05 ml of unlabeled competing test peptides. After a 100 min incubation (25 the bound ['lZI]GLP-1(7-36) (SEQ ID NO: 151) was separated from the free by rapid filtration through GF/C filters (Brandel, Gaithersburg, MD), which had been previously soaked in polyethyleneimine. The filters were then washed three times with 5 ml aliquots of ice-cold 50 mM Tris-HCI, and the bound radioactivity trapped on the filters was counted by gamma spectrometry (Wallac LKB, Gaithersburg, MD). Specific binding was defined as the total ['2I]GLP-1(7-36) (SEQ ID NO: 151) bound minus that bound in the presence of 1000 nM GLP1 (7-36) (SEQ ID NO: 3) (Bachem, Torrence,

CA).

The peptides of this invention can be provided in the form of pharmaceutically acceptable salts. Examples of such salts include, but are not limited to, those formed with organic acids acetic, lactic, maleic, citric, malic, ascorbic, succinic, benzoic, methanesulfonic, toluenesulfonic, or pamoic acid), inorganic acids hydrochloric acid, sulfuric acid, or phosphoric acid), and polymeric acids tannic acid, carboxymethyl cellulose, polylactic, polyglycolic, or copolymers of polylactic-glycolic acids). A typical method of making a salt of a peptide of the present invention is well known in the art and can be accomplished by standard methods of salt exchange. Accordingly, the TFA salt of a peptide of the present invention (the TFA salt results from the purification of the peptide by using preparative HPLC, eluting with TFA containing buffer solutions) can be converted into another salt, such as an acetate salt by dissolving the peptide in a small 1 amount of 0.25 N acetic acid aqueous solution. The resulting solution is applied to a semi-prep HPLC column (Zorbax, 300 SB, The column is eluted with 0.1N ammonium acetate aqueous solution for 0.5 hrs., 0.25N acetic acid aqueous solution 0.5 hrs. and a linear gradient (20% to 100% of solution B over 30 min.) at a flow rate of 4 ml/min (solution A is 0.25N acetic acid aqueous solution; solution B is 0.25N acetic acid in acetonitrile/water, 80:20). The fractions containing the peptide are collected and lyophilized to dryness.

As is well known to those skilled in the art, the known and potential uses of GLP-1 is varied and multitudinous [See, Todd, et al., Clinical Science, 1998, 95, pp. 325-329; and Todd, J.F. et al., European Journal of Clinical Investigation, 1997, 27, pp.533-536]. Thus, the administration of the compounds of this invention for purposes of eliciting an agonist effect can have the same effects and uses as GLP-1 itself. These varied uses of GLP-1 may be summarized as follows, treatment of: Type I diabetes, Type II diabetes, obesity, glucagonomas, secretory disorders of the airway, metabolic disorder, arthritis, osteoporosis, central nervous system diseases, restenosis and neurodegenerative diseases. GLP-1 analogues of the present invention that elicit an antagonist effect from a subject can be used for treating the following: hypoglycemia and malabsorption syndrome associated with gastroectomy or small bowel resection.

Accordingly, the present invention includes within its scope pharmaceutical compositions comprising, as an active ingredient, at least one of the compounds of formula in association with a pharmaceutically acceptable carrier or diluent.

The dosage of active ingredient in the compositions of this invention may be varied; however, it is necessary that the amount of the active ingredient be such that a suitable dosage form is obtained. The selected dosage depends upon the desired therapeutic effect, on the route of administration, and on the duration of the treatment. In general, an effective dosage for the activities of this invention is' in the range of 1x10, 7 to 200 mg/kg/day, preferably 1x10 4 to 100 mg/kg/day, which can be administered as a single dose or divided into multiple doses.

The compounds of this invention can be administered by oral, parenteral intramuscular, intraperitoneal, intravenous or subcutaneous injection, or implant), nasal, vaginal, rectal, sublingual or topical routes of administration and can be formulated with pharmaceutically acceptable carriers to provide dosage forms appropriate for each route of administration.

Solid dosage forms for oral administration include capsules, tablets, pills, powders and granules. In such solid dosage forms, the active compound is admixed with at least one inert pharmaceutically acceptable carrier such as sucrose, lactose, or starch. Such dosage forms can also comprise, as is normal practice, additional substances other than such inert diluents, lI.

agents such as magnesium stearate. In the case of capsules, tablets and pills, the dosage forms may also comprise buffering agents. Tablets and pills can additionally be prepared with enteric coatings.

Liquid dosage forms for oral administration include pharmaceutically acceptable emulsions, solutions, suspensions, syrups, the elixirs containing inert diluents commonly used in the art, such as water. Besides such inert diluents.

compositions can also include adjuvants, such as wetting agents, emulsifying and suspending agents, and sweetening, flavoring and perfuming agents.

Preparations according to this invention for parenteral administration include sterile aqueous or non-aqueous solutions, suspensions, or emulsions. Examples of non-aqueous solvents or vehicles are propylene glycol, polyethylene glycol, vegetable oils, such as olive oil and corn oil, gelatin, and injectable organic esters such as ethyl oleate. Such dosage forms may also contain adjuvants such as preserving, wetting, emulsifying, and dispersing agents. They may be sterilized by, for example, filtration through a bacteria-retaining filter, by incorporating sterilizing agents into the compositions, by irradiating the compositions, or by heating the compositions. They can also be manufactured in the form of sterile solid compositions which can be dissolved in sterile water, or some other sterile injectable medium immediately before use.

Compositions for rectal or vaginal administration are preferably suppositories which may contain, in addition to the active substance, excipients such as coca butter or a suppository wax.

Compositions for nasal or sublingual administration are also prepared with standard excipients well known in the art.

Further, a compound of this invention can be administered in a sustained release composition such as those described in the following patents and patent applications. U.S. Patent No. 5,672,659 teaches sustained release compositions comprising a bioactive agent and a polyester. U.S. Patent No. 5.595,760 teaches sustained release compositions comprising a bioactive agent in a gelable form. U.S.

Application No. 081929.363 filed September 9, 1997, teaches polymeric sustained release compositions comprising a bioactive agent and chitosan. U.S. Application No. 08/740,778 filed November 1, 1996, teaches sustained release compositions comprising a bioactive agent and cyclodextrin. U.S. Application No. 09/015,394 filed January 29. 1998, teaches absorbable sustained release compositions of a bioactive agent. U.S. Application No. 09/121,653 filed July 23, 1998, teaches a process for making microparticles comprising a therapeutic agent such as a peptide in an oil-in-water process. U.S. Application No. 09/131,472 filed August 10, 1998, teaches complexes comprising a therapeutic agent such as a peptide and a phosphorylated polymer. U.S. Application No. 09/184,413 filed November 2, 1998, teaches complexes comprising a therapeutic agent such as a peptide and a polymer bearing a non-polymerizable lactone. The teachings of the foregoing patents and applications are incorporated herein by reference.

Unless defined otherwise, all technical and scientific terms used herein have the same meaning as commonly understood by one of ordinary skill in the art to which this invention belongs. Also, all publications, patent applications, patents and other references mentioned herein are incorporated by reference.

The following examples describe synthetic methods for making a peptide of this invention, which methods are well-known to those skilled in the art. Other methods are also known to those skilled in the art. The examples are provided for the purpose of illustration and is not meant to limit the scope of the present invention in any manner.

Example 1 (D-Ala', Ala' 7 22 2 3 27 3-Pal 1 9 3 1 Gabaf]-GLP-1(7-34)NH 2 Benzhydrylamine-polystyrene resin (Advanced ChemTech, Inc. Louisville, KY) (0.9 g. 0.3 mmole) in the chloride ion form was placed in a reaction vessel of an Advanced ChemTech peptide synthesizer Model 200 programmed to perform the following reaction cycle: methylene chloride; 33% trifluoroacetic acid in methylene chloride (2 times for 1 and 15 min each); methylene chloride; (d) ethanol; methylene chloride; 10% diisopropylethylamine in methylene chloride.

The neutralized resin was stirred with Boc-Gaba and diisopropylcarbodiimide (3 mmole each) in methylene chloride for 1 hour and the resulting amino acid resin was then cycled through steps to in the above wash program. The following amino acids (3 mmole) were then couolec successively by the same procedure: Boc-Val, Boc-Leu. Boc-3-Pal, Boc-Ala, Boclie, Boc-Phe, Boc-Ala. Boc-Lys(2-CI-Z), Boc-Ala, Boc-Ala, Boc-Ala, Boc-Ala, Boc- Glu(Bzl), Boc-Leu, Boc-3-Pal, Boc-Ser(Bzl), Boc-Ala, Boc-Val, Boc-Asp(Bzl), Boc- Ser(Bzl), Boc-Thr(Bzl), Boc-Phe, Boc-Thr(Bzl), Boc-Gly, Boc-Glu(Bzl), Boc-D-Ala, Boc-His(Bom).

The resin with the completed peptide sequence was mixed with anisole ml), dithiothreitol (100 mg) and anhydrous hydrogen fluoride (35 ml) at about 0 °C and stirred for about 45 min. Excess hydrogen fluoride was evaporated rapidly under a stream of dry nitrogen and free peptide precipitated and washed with ether.

The crude peptide was then dissolved in a minimum volume of dilute acetic acid and eluted on a column (2.5 x 25 cm) of VYDAC® octadecylsilane silica (10 mM) and eluted with a linear gradient of 20-60% acetonitrile over about 1 h in 0.1% trifluoroacetic acid in water. Fractions were examined by thin layer chromatography and analytical high performance liquid chromatography (40-70% B at 1%/min; r.t.: 14.1 min) and pooled to give maximum purity rather than yield. Repeated lyophilization of the solution from water gives the product (49.9 mg) as a white, fluffy powder.

The product was found to be homogeneous by HPLC and tic. Amino acid analysis of an acid hydrolysate confirms the composition of the peptide. Laser desorption MS gave a MW of 2880 (Calc. M+H 2873).

Example 2 Synthesis of Peptide Lower-Alkylamides Peptides are assembled on O-benzyl-polystyrene resin (often referred to as Merrifield resin) using the Boc amino acid protocol described in Example 1, except that Asp and Glu amino acid carboxyl side-chains are protected with an Fm (fluorenylmethyl ester) group. Completed peptide-resins are suspended in dilute DMF solutions of an appropriate lower alkylamine (such as -ethylamine.

propylamine, phenethylamine, 1,2-diaminoethane, etc.) and stirred at about 60 °C (for about 18 hrs) whereupon filtration, removal of solvents under reduced pressure and trituration of cleaved peptide oil with ether gives a solid, protected alkylamide peptide. This is then subjected to HF cleavage to remove additional side chain protecting groups and HPLC purification as described in Example 1.

I

Examples Examples 3-5 can be synthesized substantially according to the procedure described in Example 1 using the appropriate protected amino acids to yield the noted peptides.

Example 3: [Aib 8 D-Ala' 7 Ala' 16 8 22 23 27 3-Pal 19 31 Tie' 6 Gaba 34 -GLP-1(7-34)NH 2 Example 4: [Aib 8 0-Ala' 7 Ala 22 23 27 3-Pal 19 31 Tle' 6 ]-GLP-1(7-33)NH 2 Example 5: [Aib 8 D-Ala' 7 Ala 2223 27 3-Pal' 9 3 1 Tlel"e]-GLP-1(7-33)NHz Examples 6-51 Examples 6-51 were made substantially according to the procedure described for Example 1 but using the appropriate protected amino acid to yield the noted peptide. MS were obtained by laser desorption MS (NA means not available).

Example 6: [D-Ala 23 27 3-Pal 1 9.3 1 ]hGLP-1(7-35)-NH 2 MS 2971.0; Calc. MW 2974.4.

Example 7: [Ala 1 23 27 3-Pal 19 31 ]hGLP-1 (7-35)-NHz (SEQ ID NO: 83); MS 2954.4; Calc. MW 2958.4.

Example 8: [Ala' 23 27 3-Pal19 3 1 ]hGLP-1(7-35)-NH 2 (SEQ ID NO: 84); MS 2943.0; Calc. MW 2946.3.

Example 9: [Ala' 14 7 3-Pal'"9' ]hGLP-1(7-35)-NH 2 (SEQ ID NO: 85); MS 2956.0; CaIc. MW 2958.4.

Example 10: [Ala 2 2327 3-Pal' 19 "]hGLP-1(7-35)-NH 2 (SEQ ID NO: 86); MS 2981.0; Calc. MW 2988.4.

Example 11: [Hppa']hGLP-1 (7-36)-NH 2 (SEQ ID NO: 87); MS NA Example 12: [Ala s 523 T 2 3-Pal' 31 hGLP-1(7-35)-NHz (SEQ ID NO: 88); MS 2928.0; Calc. MW 2930.4.

Example 13: [Ala' 7 23 27 3-Pal19.

31 ]hGLP-1(7-35)-NH 2 (SEQ ID NO: 89); MS 2955.0; Calc. MW 2958.4.

Example 14: (Ala z 23 2 7 3-Pal' 9 3 Gaba"]hGLP-1(7-34)-NH 2 (SEQ ID NO: MS 2896.0; Calc. MW 2888.3.

Example 15: [Ala' 5 22 23 .2 7 3-Pal' 19 31 Gabaf]hGLP-1(7-34)-NH2 (SEQ ID NO: 91); MS 2852.0; Calc. MW 2844.3.

Example 16: [Ala 7.22,23.27, 3-Palr' 9 3 Gaba4]hGLP-l(7-34)-NH, (SEQ ID NO: 92); MS 2880.0; Calc. MW 2872.3.

Example 17: [Ala' 8 22 23 27 3-Pal"' 3 Gabaf]hGLP-1(7-34)-NH 2 (SEQ ID NO: 93); MS 2870.0; Calc. MW 2872.3.

Example 18: [Ala".2 1 27, 3-Pal'19.3 1 Gaba 3 ]hGLP-1 (7-34)-NH 2 (SEQ ID NO: 94); MS NA.

Example 19: [Ala 2 2 .23.26.2 7 3-Pal' 931 Gabaf]hGLP-1(7-34)-NH 2 (SEQ ID NO: MS 2832.0; Calc. MW 2831.2.

,Example 20: [Ala22 23 3-Pal' 931 Gaba]]hGLP-1(7-34)-NH 2 (SEQ ID NO: 96); MS 2855.0; Gale. MW 2846.2.

Example 21: [Ala 22 .23.26.27, 3-Pal' 9 3 1 Gabaf]hGLP-1(7-33)-NH 2 (SEQ ID NO: 97); MS 2729.0; Gale. MW 2732.0.

Example 22: [Ala22n 73 1 3-Pal' 9 Gaba33]hGLP-1(7-33)-NH 2 (SEQ 0ID NO: 98); MS 2711.6; Calc. MW 2712.0.

Example 23: [Ala"2223.27.28, 3-Pal''.3 1 Gaba 3 ']hGLP-1(7-33)-NH 2 (SEQ ID NO: 99); MS 2712.0; Gale. MW 2713.0.

Example 24: [Ala'23*2729 3-Pal' 931 Gaba 3 IhGLP-1(7-33)-NH 2 (SEQ ID NO: 100); MS 2746.9; Calc. MW 2747.1.

Example 25: [Ala, 27 3-PaI.3', GabajhGLP-1 (7-33)-NH 2 (SEQ ID NO: 101); MS 2777.0; Calc. MW 2,775.1.

Example 26: [Ala2.223.27, Gabaf]hGLP-1(7-33)-NH 2 (SEQ ID NO: 102); MS 2742.0; Calc. MW 2747.1.

Example 27: [Ala22 7 3-Pal 9 1 Gaba'jhGLP-1(7-33)-NH 2 (SEQ ID NO: 103); MS 2786.7; Gale. MW 2789.1.

Example 28: [AJa 7 '22, 3 2 7 3-Pal' 9 31 GabaU]hGLP-1(7-33)-NH 2 (SEQ ID NO: 104); MS 2771.0; Gale. MW 2773.1.

Example 29: [D-Ala'o, Ala2=2,7 3-Pal'".31, GabaSJhGLP-1(7-33)-NH 2 MS 2802.0; Calc. MW 2803.2.

Example 30: [D-Ala, Ala'f.2-27, 3-Pal' 9 .3']hGLP-1(7-34)-NH 2 MS 2905.0; Calc.

MW 2901.3.

Example 31: [Ala 1 7.23.2 7 3-Pal 2 8

G

3 ]hGLP-1(7-34)-NH 2 (SEQ ID NO: 105); MS 2920.0; Gale. MW 2921.3.

Example 32: [D-Ala 8 Ala' 7 3-Pal'.

3 1 JhGLP-1(7-34)-NH 2 MS 2908.0 (Na' salt).

Gale. MW 2885.3.

Example 33: [Ala' 7 .23- 7 3-Pal t 9.3 1 ]hGLP-1(7-34)-NH 2 (SEQ ID NO: 106); MS 2907.0; Calc. MW 2901.3.

Example 34: (D-Ala 8 Ala 723 .2 7 3-Pal' 31 TIe2hGLP-1(7-34)-NH 2 MS 2906.0 Gale. MW 2901.3.

Example 35: [D-Ala 8 Ala'1723,27, 3-Pal'19.

3 1 Tle' 6 ]hGLP-1(7-34)-NH; MS 2914.0; Calc. MW 2915.4.

Example 36: (D-Ala 8 Ala2.2 3 7, 3-Pal' 1 Gaba]hGLP-1(7-34)-NH; MS 2856.8; Calc. MW 2858.2.

Example 37: (D-Ala2, Ala'1723.

2 7 3-Pal9.

3 1 Gaba4]hGLP-1(7-34)-NH 2 MS 2871.0; Cale. MW 2872.3.

Example 38: [Aib', Ala7.23.

2 7 3_pal' 9 3 1 Gaba'}hGLP-1(7-34)-NH 2 (SEQ ID NO: 107); MS 2875.0; Cale. MW 2872.3.

Example 39: (D-Ala8, Ala7.22.27, 3-Pal' 9 3 1 ]hGLP-1(7-33)-NH 2 MS 2786.0; Calc. MW 2787.2.

Example 40: fAib 8 Ala',2Z 2 7 3-Pal' 9 3 1 ]hGLP-1(7-33)-NH 2 (SEQ 10 NO: 108); MS 2800.0; Calc. MW 2801.2.

Example 41: [Alaa' 7 18 3-Pal 9 31 Gaba']hGLP-1 (7-34)-NH 2 (SEQ ID NO: 109); MS 2842.5; Cale. MW 2842.2.

Example 42: [Alan2", Tle3, Gaba34]hGLP-1(7-34)-NH 2 (SEQ ID NO: 110); MS 2871.0; Calc. MW 2872.3.

Example 43: n(Tle'", Ja"'7 7 3-Pa10 1 Gaba34]hGLP-1(7-34)-NH 2 (SEQ ID NO: 111); MS 2870.0; Calc. MW 2872.3.

Example 44: [N-Me-D-Ala', Ala' 7 22 27 3-Pal'"']hGLP-1(7-33)-NH 2 MS 2795.0; Calc. MW 2801.2.

Example 45: [Aib 8 Ala17.1 8 .22.3. 3-PalI' 3 ']hGLP-1(7-33)-NH 2 (SEQ ID NO: 112); MS 2784.2; Catl. MW 2785.2.

Example 46:- [Ala7.2", le"z, Gaba'lhGLP-1(7-34)-NH 2 (SEQ ID NO: 113); MS 2871.9; Calc. MW 2870.3.

Example 47; fD-Ala 8 Ala 1 7.'822.23 27 3-pal 9 3 1 Tle", Gaba']hGLP-1(7-34)-NH 2 MS 2870.0; Calc. MW 2870.3.

Example 48: [D-Ala's2, Ala7..23 2 7 3-Pal' 9 31 Gabaf]hGLP-1(7-34)-NH 2 MS 2856.3; Cale. MW 2856.3.

Example 49: Ala.22,23, 2 7 3-Pal' 91 Gabaf]hGLP-1(7-34)-NH 2 MS

NA.

Example 50: AlalS.2 2 3 2 7 3-Pal'' 31 Gabal']hGLP-1(7-34)-NH 2 MS

NA.

Example 51: [D-Ala', Ala.14.22.23, 2 7 3-Pal'" 31 GabaflhGLP-1(7-34)-NHz; MS 2861.6; Calc. MW 2856.3.

Example 52 [Aib A6c 32 ]hGLP-1(7-36)NH 2 (SEQ ID NO: 114) The title peptide was synthesized on an Applied Biosystems (Foster City, CA) model 430A peptide synthesizer which was modified to do accelerated Bocchemistry solid phase peptide synthesis. See Schnolzer, et al., Int. J. Peptide Protein Res., 40:180 (1992). 4-Methylbenzhydrylamine (MBHA) resin (Peninsula, Belmont, CA) with the substitution of 0.91 mmol/g was used. The Boc amino acids (Bachem, CA, Torrance, CA; Nova Biochem., LaJolla, CA) were used with the following side chain protection: Boc-Ala-OH, Boc-Arg(Tos)-OH, Boc-Asp(OcHex)- OH, Boc-Tyr(2BrZ)-OH, Boc-His(DNP)-OH, Boc-Val-OH, Boc-Leu-OH, Boc-Gly- OH, Boc-Gln-OH, Boc-lle-OH, Boc-Lys(2CIZ)-OH, Boc-Thr(Bzl)-OH, Boc-A6c-OH, Ser(Bzl)-OH, Boc-Phe-OH, Boc-Aib-OH, Boc-Glu(OcHex)-OH and Boc-Trp(Fm)- OH. The synthesis was carred out on a 0.20 mmol scale. The Boc groups were removed by treatment with 100% TFA for 2 x 1 min. Boc amino acids (2.5 mmol) were pre-activated with HBTU (2.0 mmol) and DIEA (1.0 ml) in 4 ml of DMF and were coupled without prior neutralization of the peptide-resin TFA salt. Coupling times were about 5 min except for the Boc-Aib-OH and Boc-A6c-OH residues and the following residues, Boc-Trp(Fm)-OH and Boc-His(DNP)-OH wherein the coupling times were about 2 hours.

At the end of the assembly of the peptide chain, the resin was treated with a solution of 20% mercaptoethanol/10% DIEA in DMF for 2 x 30 min to remove the DNP group on the His side chain. The N-terminal Boc group was then removed by treatment with 100% TFA for 2 x 2 min. After neutralization of the peptide-resin with DIEA in DMF (1 x 1 min), the formyl group on the side of the chain of Trp was removed by treatment with a solution of 15% ethanotamine/ 15% water/ 70% DMF for 2 x 30 min. The partially-deprotected peptide-resin was washed with DMF and DCM and dried under reduced pressure. The final cleavage was done by stirring the peptide-resin in 10 ml of HF containing 1 ml of anisole and dithiothreitol (24 mg) at 0 °C for about 75 min. HF was removed with a flow of nitrogen. The residue was washed with ether (6 x 10 ml) and extracted with 4N HOAc (6 x 10 ml).

The peptide mixture in the aqueous extract was purified on a reverse-phase preparative high pressure liquid chromatography (HPLC) using a reverse phase VYDAC® Crl column (Nest Group, Southborough, MA). The column was eluted with a linear gradient (20% to 50% of solution B over 105 min) at a flow rate of ml/min (Solution A water containing 0.1% TFA; Solution B acetonitrile containing 0.1% of TFA). Fractions were collected and checked on analytical HPLC. Those containing pure product were combined and lyophilized to dryness.

92 mg of a white solid was obtained. Purity was >99% based on analytical HPLC analysis. Electro-spray mass spectrometer analysis gave the molecular weight at 3324.2 (the calculated molecular weight is 3323.7).

The synthesis of other compounds of the present invention can be carried out in the same manner as described for the synthesis of [Aib 8 A6c']hGLP-1(7- 36)NH 2 (SEQ ID NO: 114) in Example 52 above but using the appropriate protected amino acids depending on the desired peptide.

[(N-HEPES-His)7]hGLP-1(7-36)NH 2 (SEQ ID NO: 152) (HEPES is hydroxyethyl)-1-piperazine-ethanesulfonic acid)} can be synthesized as follows: After assembly of the peptide long chain on MBHA resin (0.20 mmol), the peptideresin is treated with 100% TFA (2 x 2 min.) and washed with DMF and DCM. The resin is then neutralized with 10% DIEA in DMF for about 2 min. After washing with DMF and DCM, the resin is treated with 0.23 mmol of 2-chloro-l-ethanesulfonyl chloride and 0.7 mmol of DIEA in DMF for about 1 hour. The resin is washed with DMF and DCM and treated with 1.2 mmol of 2-hydroxyethylpiperazine for about 2 hours. The resin is washed with DMF and DCM and treated with different reagents 20% mercaptoethanol 10% DIEA in DMF and 15% ethanolamine water 70% DMF) to remove the DNP group from the His side chain and formyl group on the Trp side chain as described above before the final HF cleavage of the peptide from the resin.

[(N"-HEPA-His)7]hGLP-1(7-36)NH 2 (SEQ ID NO: 153) ([(4-(2-hydroxyethyl)- 1-piperazineacetyl)-His 7 ]hGLP-1(7-36)NH2) can be made substantially according to the procedure described immediately above for making [(N"-HEPES-His)7]hGLP- 1(7-36)NH 2 (SEQ ID NO: 152) except that 2-bromo-acetic anhydride is used in place of 2-chloro-l-ethanesulfonyl chloride.

Examples 53-90 and 104 Examples 53-90 and 104 were made substantially according to Example 52 but using the appropriate protected amino acid.

Example 53: [A6c20.

3 2 hGLP-1(7-36)-NH 2 (SEQ ID NO:115); MS =3322.3; Calc.

MW= 3321.7.

-24- Example 54: [Aib']hGLP-1(7-36)-NH 2 (SEQ ID NO: 116); MS 3311.7; Calc. MW 3311.7.

Example 55: [(Tma-His)']hGLP-1(7-36)-NH2 (SEQ ID NO: 117); MS 3395.9; Calc. MW 3396.9.

Example 56: (A6c8)hGLP-1(8-36)-NH 2 (SEQ ID NO: 118); MS 3214.5; Calc.

MW 3214.7.

Example 57: [A6c]hGLP-1(7-36)-NH 2 (SEQ ID NO:119); MS 3351.5; Calc. MW 3351.8.

Example 58: [A6c'6f2]hGLP-1(7-36)-NH2 (SEQ ID NO: 120); MS 3335.9; Calc.

MW 3335.8.

Example 59: [A6cg]hGLP-1(7-36)-NH 2 (SEQ ID NO: 121); MS 3321.7; Caic.

MW 3321.7.

Example 60: [A6c 0 Aib 24 ]hGLP-1(7-36)-NH 2 (SEQ ID NO: 122); MS 3323.6; Calc. MW 3323.7.

Example 61: [Aib 24 A6cel,]hGLP-1(7-36)-NH 2 (SEQ ID NO: 123); MS 3335.7; Calc. MW 3335.8.

Example 62: [A6c'6l'-]hGLP-1(7-36)-NH 2 (SEQ ID NO: 124); MS 3347.7; Calc. MW 3347.8.

Example 63: [Ura']hGLP-1(7-36)-NH 2 (SEQ ID NO: 125); MS 3279.5; Calc.

MW 3280.7.

Example 64: [Paa 7 ]hGLP-1(7-36}-NH 2 (SEQ ID NO: 126); MS 3290.9; Calc.

MW 3291.8.

Example 65: [Pta 7 ]hGLP-1(7-36)-NH 2 (SEQ ID NO: 127); MS 3311.2; Calc. MW 3311.8.

Example 66: [N-Me-Alaa]hGLP-1(7-36)-NH 2 (SEQ ID NO: 128); MS 3311.4; Calc. MW 3311.7.

Example 67: [N-Me-D-Ala 5 ]hGLP-1(7-36)-NH 2 MS 3311.6; Calc. MW 3311.7.

Example 68: [N-Me-D-Ala]hGLP-1(8-36)-NH 2 MS 3174.0; Calc. MW 3174.6.

Example 69: [N-Me-Gly]hGLP-1(7-36)-NH 2 (SEQ ID NO: 129); MS 3297.3; Calc. MW 3297.7.

Example 70: (A5c 8 ]hGLP-1(7-36)-NH2 (SEQ ID NO: 130); MS 3337.3; Calc. MW 3337.8.

Example 71: [N-Me-GlujhGLP-1(7-36)-NH 2 (SEQ ID NO: 131); MS 3311.4; Calc. MW 3311.7.

Example 72: [A5c 8 A6c 20 32)hGLP-1(7-36)-NH, (SEQ ID NO: 132); MS 3361.4; Calc. MW 3361.8.

Example 73: [Aiba, A6c 3 ]hGLP-1(7-36)-NH 2 (SEQ ID NO: 133); MS 3323.2; Calc. MW 3323.7.

Example 74: [Aib.

2 5 lhGLP-1(7-36)-NH 2 (SEQ ID NO: 134); MS 3325.8; Calc.

MW 3325.7.

Example 75: [Aib 824 ]hGLP-1(7-36)-NH2 (SEQ ID NO: 135); MS 3325.8; Calc.

MW 3325.7.

Example 76: [Aib 8 3lhGLP-1(7-36)-NH2 (SEQ ID NO: 136); MS 3326.1; Calc.

MW 3325.7.

Example 77: [Aib 8 ChaflhGLP-1(7-36)-NH 2 (SEQ ID NO: 137); MS 3351.8; Cacl. MW 3351.8.

Example 78: [Aib a Cha 3 ]hGLP-1(7-36)-NH 2 (SEQ ID NO: 138); MS 3352.0; Calc. MW 3351.8.

Example 79: [Aib", Glu2JhGLP-1(7-36)-NH2 (SEQ ID NO: 139); MS 3311.7; Calc. MW 3312.7.

Example 80: [Aib 8 A6cf]hGLP-1(7-36)-NH2 (SEQ ID NO: 140); MS 3323.6; Calc. MW 3323.7.

Example 81: [Aib, A6c202]hGLP-1(7-36)-NH 2 (SEQ ID NO: 141); MS 3335.3; Calc. MW 3335.7.

Example 82: [Aib8'hGLP-1(7-36)-NH 2 (SEQ ID NO: 142); MS 3339.8; Calc.

MW 3339.8.

Example 83: [Aib,1P-Ala2]hGLP-1(7-36)-NH 2 (SEQ ID NO: 143); MS 3325.6; Calc. MW 3325.8.

Example 84: [Aib a LysZ]hGLP-1(7-36)-NH2 (SEQ ID NO: 144); MS 3369.0; Calc. MW 3368.8.

Example 85: [Aib 8 A6c'IhGLP-1(7-36)-NH2 (SEQ ID NO: 145); MS 3289.8; Calc. MW 3289.7.

Example 86: [Aib 8 A6c]hGLP-1(7-36)-NH2 (SEQ ID NO:146); MS 3323.9; Calc. MW 3323.7.

Example 87: [Aib 8 A6c 3 ]hGLP-1(7-36)-NH 2 (SEQ ID NO: 147); MS 3338.0; Calc. MW 3337.8.

Example 88: Aib'14]hGLP-1(7-36)NH 2 (SEQ ID NO: 148); MS 3309.8; Calc.

MW 3309.7.

Example 89: [Aib'" 8 ]hGLP-1(7-36)NH 2 (SEQ ID NO: 149); MS 3309.7; Calc.

MW 3309.7.

Example 90: [Aib'- 7 ]hGLP-1(7-36)NH 2 (SEQ ID NO: 150): MS 3309.4; Calc.

MW 3309.7.

Example 104: [Aib", D-Arg;26hGLP-1(7-36)NH 2 MS 3310.7; Calc. MW 3311.73.

Example 91 [Aib 8 A5c 33 ]hGLP-1 (7-36)NH 2 (SEQ ID NO: 154) The title compound can be made substantially according to Example 52 using the appropriate protected amino acids.

Example 92 [Aib 8 A6c 32 Lys6(N'-tetradecanoyl)hGLP-1(7-36)NH 2 (SEQ ID NO: 155) The Boc amino acids to be used are the same as those in the synthesis of [Aib 8 A6c2]hGLP-1(7-36)NH 2 (SEQ ID NO: 114) (Example 52) except that Fmoc- Lys(Boc)-OH is used here for the Lys(N'-tetradecanoyl) residue. The first amino acid residue is coupled to the resin manually on a shaker. 2.5 mmol of Fmoc- Lys(Boc)-OH is dissolved in 4 ml of 0.5N HBTU in DMF. To the solution is added 1 ml of DIEA. The mixture is shaken for about 2 min. To the solution is then added 0.2 mmol of MBHA resin (substitution 0.91 mmollg). The mixture is shaken for about 1 hr. The resin is washed with DMF and treated with 100% TFA for 2x2 min to remove the Boc protecting group. The resin is washed with DMF. Myristic acid mmol) is pre-activated with HBTU (2.0 mmol) and DIEA (1.0 ml) in 4 ml of DMF for 2 min and is coupled to the Fmoc-Lys-resin. The coupling time is about 1 hr. The resin is washed with DMF and treated with 25% piperidine in DMF for 2x20 min to remove the Fmoc protecting group. The resin is washed with DMF and transferred to the reaction vessel of the peptide synthesizer. The remainder of the synthesis and purification procedures of the peptide are the same as those in the synthesis of IAib 8 A6c 3 2]hGLP-1 (7-36)NH 2 (SEQ ID NO: 114) The syntheses of other compounds containing Lys(N'-alkanoyl) residue are carried out in an analogous manner as described for the synthesis of IAib 8 A6c 32 Lys"(N'-tetradecanoyi)]hGLP-1(7-36)NH 2 SEQ ID NO: 155). Fmoc-Lys(Boc)-OH amino acid is used for the residue of Lys(N' -alkanoyl) in the peptide, while Boc- Lys(2CIZ)-OH amino acid is used for the residue of Lys. If the Lys(N'-alkanoyl) residue is not at the C-terminus, the peptide fragment immediately prior to the Lys(Nr-alkanoyl) residue is assembled on the resin on the peptide synthesizer first.

Examples 93-98 Examples 93-98 can be made substantially according to the procedure described for Example 92 using the appropriate amino acids.

Example 93: [Aib 8 A6c 32 Lys6N'-tetradecanoyl)]hGLP-1(7-36)NH2 (SEQ ID NO: 155) Example 94: [Aiba, Arg 26 34 A6c 32 Lys3(N'-tetradecanoyl)]hGLP-1(7-36)NH 2

(SEQ

ID NO: 156) Example 95: [Aib 8 Arg 2 A6c 3 2 Lys(N'-tetradecanoyl)]hGLP-1(7-36)NH 2 (SEQ ID NO: 157) Example 96: [Aib 8 Lys6(N'-tetradecanoyl), A6c 32 Arg34]hGLP-1(7-36)NH 2 (SEQ ID NO: 158) Example 97: [Aib 8 Lys(N'-octanoyl)]hGLP-1 (7-36)NH 2 (SEQ ID NO: 159) Example 98: [Aib 8 A6c 32, LysO(N'-octanoyl)]hGLP-1 (7-36)NH2 (SEQ ID NO: 160) Example 99 [Aib 8 Arg 26 s J A6c 32 Lys (N'-tetradecanoyl)]hGLP-1(7-36)-OH (SEQ ID NO: 161) The Boc amino acids to be used are the same as those used in the synthesis of [Aib 8 A6c 32 Lys6(N=-tetradecanoyl)]hGLP-1(7-36)NH 2 (SEQ ID NO: 162) (Example 92). Fmoc -Lys(Boc)-OH (2.5 mmol) is pre-activated with HBTU mmol), HOBt (2.0 mmol) and DIEA (2.5 ml) in DMF (4 ml) for about 2 min. This amino acid is coupled to 235 mg of PAM resin (Chem-lmpex, Wood Dale, IL; substitution 0.85 mmol/g) manually on a shaker. The coupling time is about 8 hrs.

The remainder of the synthesis and purification procedures for making the peptide are the same as those described in Example 52.

The syntheses of other analogs of hGLP-1(7-36)-OH (SEQ ID'NO: 3) and hGLP-1(7-37)-OH, (SEQ ID NO: 4) which contain Lys(N'-alkanoyl) residue, are carried out in an analogous manner as described for the synthesis of [Aib 8 Arg 26 ,3 A6c 32 Lys6N'-tetradecanoyl)]hGLP-1(7-36)-OH (SEQ ID NO: 161). Fmoc- Lys(Boc)-OH amino acid is used for the residue of Lys(N'-alkanoyl) in the peptide.

while Boc-Lys(2CIZ)-OH amino acid is used for the residue of Lys.

-28- Examples 100-103 Examples 100-103 can be made substantially according to the procedure described for Example 99 using the appropriate amino acids.

Example 100: [Aib a Arg 26 A6c 32 Lys3(N'-tetradecanoyl)]hGLP-1(7-36)-OH

(SEQ

-tD NO: 162) Example 101: [Aib 8 Lys26(N'-tetradecanoyl), A6c 32 Arg3]hGLP-1(7-36)-OH (SEQ ID NO: 163) Example 102: [Aib 8 Arg 2 6 34 A6c 32 Lys3(N'-tetradecanoyl)]hGLP-1(7-37)-OH (SEQ ID NO: 164) Example 103: [Aib 8 Arg 6 A6c 32 ,Lys 3 (N'-tetradecanoyl)]hGLP-1(7-37)-OH (SEQ ID NO: 165) 28a Throughout this specification and the claims, the words "comprise", "comprises" and "comprising" are used in a non-exclusive sense, except where the context requires otherwise.

Variations and modifications of this device will be apparent to the person skilled in the art, and those variations and modifications are within the scope of the present invention.

It will be clearly understood that, although a number of prior art publications are referred to herein, this reference does not constitute an admission that any of these documents forms part of the common general knowledge in the art, in Australia or in any other country.

Claims (4)

1. A compound of formula (R 2 R 3 A 7 -A 8 -A' 0 -A'l -A'1 2 -A 1 3 -A'1 4 -A's -A'1 6 -A'1 7 -A' 8 -A' 9 -A 20 -A 2 -A 22 -A 23 -A A 8 -A29 -A30 -A 3 -A 2 -A33 -A34 -A-1 -Am -A 37 R 1 wherein A 7 is L-His, 0-His, Tyr, Tma-His or deleted; A 8 is Ala, 0-Ala, Aib. Acc, N-Me-Ala, N-Me-D-Ala, Arg or N-Me-Gly; A9 is Glu, N-Me-Glu, N-Me-Asp or Asp; A' 0 is Gly, Acc, Ala, D-Aia, Phe or Aib; A" 1 is Thr or Ser, A 1 2 is Phe, Acc, Aic, Aib, 3-Pal, 4-Pal, f3-al, Cha, Trp or X'-Phe; A 1 3 is Thr or Ser, A"1 is Ser, Thr, Ala or Aib; A's is Asp, AMa, D-Asp or Glu; A'O is Val, 0-Val, Acc, Aib, Leu, lie, Tie, Nle, Abu, Ala, 0-Ala, Tha or Cha; A' 7 is Ser, Ala, D-Ala, Aib, Acc or Thr, A' 8 is Ser, Ala, 0-Ala, Aib. Acc or Thr, A19 is Tyr, D-Tyr, Cha, Phe, 3-Pal, 4-Pal, Acc, P-Nal, Amp or X'-Phe; is Leu, Ala, Acc, Alb, Nle, Ile, Cha, Tie, Val, Phe or X'-Phe; A 2 1 is Glu, Ala or Asp; A22 is Gly, Acc, Ala, 0-Ala, JP-Ala or Aib; A 23 is Gin, Asp, Ala, 0-Ala, Aib, Acc, Asn or Glu; A 2 4 is Ala, Aib, Val, Abu, Tle or Acc; e~ is Ala, Aib. Val, Abu. Tie. Acc, Lys. Arg, hArg, Omn, HN-CH((CH 2 0 C(O) or HN-CH((CH- 2 3 A26 is Lys, Ala. 3-Pal, 4-Pal, Arg, hArg, Om,. Amp, HN-CH((CH 2 )--NR 0 or HN-CH((CH 2 3 A 27 is Glu, Ala, 0-Ala or Asp; A 2 8 is Phe, Ala. Pal. f3-Nal. X'-Phe. Aic. Acc. Aib, Cha or Tip; A29 is Ilie, Act, Aib, Leu, Nle, Cha, Tie, VSal, Abu, Ala, Tba or Phe; is Ala, Aib, Act or deleted; A 31 is Trp, Ala, 3-Nal, 3-Pal, 4-Pal, Phe, Aco, Aib. Cha, Amp or deleted; A 32 is Leu, Ala, Act, Aib, Nie, Ilie, Cha, Tie. Phe. X 1 -Phe, Ala or deleted; -AA 33 is VSal, Act, Aib, Leu, Ilie, TIe, Nbe, Cha, Ala, Phe, Abu, X 1 -Phe, Tba, Gaba or deleted; A34 is Lys, Arg, hArg, Orn, Amp, Gaba, HN-CH((CH,),-NR' 0 R 11 HN- CH((CHz )eX 3 or deleted; s Gly or deleted; A~Is L- or D-Arg, D- or L-Lys, D- or L-hArg, 0- or L-Omn, Amnp, HN-CH((CH 2 NR' 0 R' HN..CH((CH 2 3 or deleted; A 37 is Gly or deleted: X' for each occurrence is independently selected from the group consisting of (C 1 -C 6 )alkyl, OH and halo; 1 5 R 1 is OH. NH- 2 (CI-C 12 )alkoxy, or NH-X 2 -CH2r, wherein X 2 is a (C 1 C 12 )hydmocarbon moiety, and tO is H. OH, 00 2 H or CONH1 2 N N-(CHZf-CH 3 X 3 is ~or -C(O)-NHR 12 wherein X 4 for each occurrence is independently or -CHr-, and f for each occurrence is independentiy an integer from 1 to 29; each of R 2 and R 3 is independently selected from the group consisting of H, (rC 2 r 0 )alkenyl, phenyl(CI-C30)alkyl, naphthyl(C,-C~)alky, hydroxy(C 1 -C~)alkyl, hydroxy(Cz-C~o)alkenyl, hydroxyPhenyl(C 1 -C3,)alkyl, and hydroxynaphthyl(Cr-C 3 )alkyl; or one of R 2 and R' is C(O)X 5 in which X 5 is (C 1 -C~o)alkyl, (C2-Cvjalkeny, phenyi(C 1 -C30)alkyl. naphthyl(C 1 -C 30 )alkyl. hydroxy(C 1 -C30)alkyl, hydroxy(C 2 -C~o)alkenyl, hydroxyphenyl(C 1 -Cyj)alky. t hydroxynaphthyl(C-C 3 0 )alkyl, (CH 3 2 -N-C=N(CH. 3 Y(CH 2 \N-(CH 2 )qSO 2 or Y(CH 2)rN N-(CH 2 )-CO- where Y is H or OH, r is 0 to 4 and q is 0 to 4; e for each occurrence is independently an integer from 1 to 4; n for each occurrence is independently an integer from 1-5: and R'o and R' for each occurrence is each independently H. (Ci-C 30 )alkyi, C3)acyl, (C,-C3)alkylsulfonyl, -C((NH)(NH 2 or -C(O)-CH N provided that when R 1 o is (C 1 -Cao)acyl, -C(O)-CH-N N-(CH 2 (C 1 -C3)alkylsulfonyI, -C((NH)(NH 2 or R" is H or (C 1 -C)alkyl; and R 1 2 is (C 1 -C3)alkyl; with the proviso that: at least one amino acid of a compound of formula is not the same as the native sequence of hGLP-1(7-36, or -37)NH 2 (SEQ ID NOS: 1, 2) or hGLP-1(7-36 or -37)OH (SEQ ID NOS: 3, 4); (ii) a compound of formula is not an analogue of hGLP-1(7-36, or -37)NH 2 (SEQ ID NOS: 1,2) or hGLP-1(7-36, or -37)OH (SEQ 0ID NOS: 3, 4) wherein a single position has been substituted by Ala; (iii) a compound of formula is not [Lys6(N-alkanoyl)]hGLP-1(7-36, or -37)-E (SEQ ID NOS: [Lys3(N-alkanoyl)]hGLP-1(7-36, or -37)-E (SEQ ID NOS: 9- 12), [Lys5-34bis(N'-alkanoyl)]hGLP-1(7-36. or -37)-E (SEQ ID NOS: 13-16), [Arg 2 6 Lys"(N -alkanoyl)]hGLP-1(8-36, or -37)-E (SEQ ID NOS: 17-20), or [Arg 2 6 34 Lys (N-alkanoyl)jhGLP-1 (7-36. or wherein E is -OH or -NH 2 (SEQ ID NOS:

21-24); (iv) a compound of formula is not Z'-hGLP-1(7-36, or -37)-OH, Z'-hGLP-1(7-36 or -37)-NH 2 where Z' is selected from the group consisting of [Argfl (SEQ ID NOS: 25-28), [Arg (SEQ ID NOS: 29-32), [Arg."l (SEQ ID NOS: 33-36), [Lys 36 (SEQ ID NOS: 37-40), [Arge, Lysm] (SEQ ID NOS: 41-44), [Arg", Lysfl (SEQ ID NOS: 45-46), [D-Lysf], [Argfl (SEQ ID NOS: 37-40). [D- Arg'], [Arg 2 6 Lys'] (SEQ ID NOS: 49-52), or [Arg26', Lys3j (SEQ ID NOS

25-28); [Asp 2 1 (SEQ ID NOS: 53-56); at least one of (Aib"] (SEQ ID NOS: 57-60), [D-Ala 8 and [Asp 9 (SEQ ID NOS:

61-64); and [Tyr 7 (SEQ ID NOS: 65-68), [N-acyl-His 7 (SEQ ID NOS: 69-72), [N-alkyl-His 7 (SEQ ID NOS: 73-76), [N-acyl-D-His 7 or [N-alkyl-D-His 7 a compound of formula is not a combination of any two of the substitutions listed in groups to and (vi) a compound of formula is not [N-Me-Ala 6 ]hGLP-1 (8-36 or -37) (SEQ ID NOS: 77, 78), [Glu']hGLP-1(7-36 or -37) (SEQ ID NOS: 79, 80), [Asp 21 ]hGLP-1(7-36 or 37) (SEQ ID NOS: 53, 54) or [Phe 3 ']hGLP-1(7-36 or -37) (SEQ ID NOS: 81, 82). 2. A compound according to claim 1 or a pharmaceutically acceptable salt thereof wherein A" is Thr; A 13 is Thr; A 14 is Ser, Aib or Ala; A 17 is Ser, Ala, Aib or D-Ala; is Ser, Ala, Aib or D-Ala; A 2 is Glu or Ala; A 2 is Gin, Glu, or Ala; and A 27 is Glu or Ala. 3. A compound according to claim 2 or a pharmaceutically acceptable salt thereof wherein A 9 is Glu, N-Me-Glu or N-Me-Asp; A' 2 is Phe, Acc or Aic; A 16 is Val, D-Val, Acc, Aib, Ala, Tie or D-Ala; A 19 is Tyr, 3-Pal, 4-Pal or D-Tyr; A 20 is Leu, Acc, Cha, Ala or Tie; A 24 is Ala, Aib or Acc; A 2 is Ala, Aib, Acc, Lys, Arg, hArg, Om, HN-CH((CH 2 A 2 is Phe or Ala; A 29 is lie, Acc or Tie; A 3 is Ala. Aib or deleted; A 3 is Trp, Ala, 3-Pal, 4-Pal or deleted; A" is Leu, Acc, Cha, Ala or deleted; A" is Val, Acc, Ala, Gaba, Tie or deleted. 4. A compound according to claim 3 or a pharmaceutically acceptable salt thereof wherein A8 is Ala, D-Ala, Aib, A6c, A5c, N-Me-Ala, N-Me-D-Ala or N- Me-Gly; A a 1 is Gly, Ala, D-Ala or Phe; A' 2 is Phe, A6c or A5c; A 1e is Val, Ala, Tie, A6c, A5c or D-Val; A 20 is Leu, A6c, A5c, Cha, Ala or Tie; A 2 is Gly, Aib, P3-Ala, L-Ala or D-Ala; A 24 is Ala or Aib; A 29 is lie, A6c. A5c or Tie; A 2 is Leu, A6c, A5c, Cha, Ala or deleted; A" is Val, A6c, A5c, Ala, Gaba, Tie or deleted. A compound according to claim 4 or a pharmaceutically acceptable salt thereof wherein R' is OH or NH,. 6. A compound according to claim 5 or a pharmaceutically acceptable salt thereof wherein R 2 is H and R 3 is (CI-Ca)alkyl, (C2-C30)alkenyl, (CI-Cao)acyl, HO-(CH)--N N-(CH 2 2 -SO- HO-(CH)2-N N-CH-C(O)- or I 7. A compound according to claim 1 wherein said compound is [0-Ala 8 Ala'1 7 22 23 27 3-Pal'9-" Gaba 34 ]-GLP-1 (7-34)NH 2 [0-Ala 8 3 3-Pal 1931 ]hGLP-1 (7-35)-NH 2 [Ala 18 '2 3 '2 7 3-PaI'1 9 31 )hGLP-1 (7-35)-NH 2 (SEQ ID NO: 83); (AaI62nr,2 3-Pal 19 .']hGLP-1(7-35)-NH 2 (SEQ ID NO: 84); [Ala 14 2 327 3-Pal' 9 31 ']hGLP-1(7-35)-NH 2 (SEQ ID NO: [Ala 22 13. 7 3-PaI 1 1 931 ]hGLP-1 (7-35)-NH 2 (SEQ ID NO: 86); (Ala1 523 27 3-Pa 1931 ]hGLP-1 (7-35)-NH 2 (SEQ ID NO: 58); [Ala' 7 3-Pal 193 JhGLP-1 (7-35)-NH 2 (SEQ ID NO: 89); [Aia2' 3 27 3-Pa 1931 Gabafl]hGLP-1 (7-34)-NH- 2 (SEQ ID NO: IAWa 5 2 3 M 27 3-Pall' 1 Gaba34]hGLP-1 (7-34)-NH 2 (SEQ ID NO: 91); (Aa' 7 '2ZM2' 3-Pal$ 9 31 Gabafl]hGLP-1(7-34)-NH 2 (SEQ ID NO: 92); [Ala182tn 27 3-PalO 1 Gaba-t]hGLP-1 (7-34)-NH 2 (SEQ I D NO: 93); [A~a 21 JW 27 3-Pal 1 9- 1 Gabafl]hGLP-1 (7-34)-NH 2 (SEQ ID NO: 94); [Aa 22326 7 3-Pal' 931 Gabafl]hGLP-1(7-34-N- 2 (SEQ ID NO: [Alan3.2. .3-Pa 1 'g 3 1 Gabafl]hGLP-1 (7-34)-NI- 2 (SEQ ID NO: 96); (Alaz2'2' 8 3 p 8 1 1t.31 ,Gaba"IhGLP-1(7-33)-NH 2 (SEQ ID NO: 97); [Alaf 2 M-27 3 1, 3-Pal 19 Gaba 33 j]hGLP-1(7-33)-NH2 (SEQ 1D NO: 98); [Ala?-3' 728 3-Pal 19 31 GabaflhGLP-1 (7-33)-NH 2 (SEQ ID NO: 99); [Alaz2"'7-2 3-Pal 1 1 GabaflhGLP-1(7-33)-NH 2 (SEQ ID NO: 100); [Ala23 7 3-Pal' 9 3 1 GabaSIlhGLP-1(7-33)-NH 2 (SEQ ID NO: 101); [Aa 2 7 3-Pal'"'31, Gaba~lhGLP-1(7-33)-NH 2 (SEQ ID NO: 102); [Aa2-' 7 3-Pal 19 31 Gaban]hGLP-1(7-33)-NH 2 (SEQ 10 NO: 103); [Ala1 7 -V 2 3 27 3-Pal19.3', Gaba 33 ]hGLP-1(7-33)-NH 2 (SEQ ID NO: 104); [0-Ala', Ala 2 2.L.7 3-Pal 19 Gaba3]hGLP-1 (7-33)-NH 2 [0-Ala 8 Ala'1 7 23-2 3-Pal 19 1 hGLP-1l(7-34)-NH 2 [A~a'1-23 27 3-Pall 9 2 31 ]hGLP-1 (7-34)-NH 2 (SEQ ID NO: 105); [D-Ala 8 Ala 17 3-Pai' 9 31 ]hGLP-1(7-34)-NH 2 [Ala'1 72327 3-Pal' 931 ]hGLP-1 (7-34)-NH 2 (SEQ ID NO: 106); [0-Ala 8 Ala' 723 27 3-Pal1 9 31 Tle 2 IhGLP-l(7-34)-NH 2 [0-Ala 8 Ala1 7 3 2 1, 3-Pa' 9 31 Tle' 6 JhGLP-1 (7-34)-NH 2 [0-Ala 8 Ala 1 23 27 3-Pal' 931 Gaba 34 JhGLP-1 (7-34)-NH 2 jO-Ala 2 1, Ala 17.23.27, 3-Pal 1 93 1 Gaba 34 J]hGLP-1 (7-34)-NH 2 (AVb, Ala'1 7 .23 27 3-Pal1 9 31 Gabat]hGLP-l (7-34)-NH 2 (SEQ ID NO: 107); 4BP-Ala 8 Ala1 7 .22 23 2 7 3-Pal' 1 ]hGLP- 1(7-33)-NH 2 [Aib", Ala 17 22 2 3 27 3-Pal 1 9 3 JhGLP-1 (7-3.3)-NH 2 (SEQ ID NO: 108); [Ala' 7 '1 8 23 27 3-Pal' 931 Gabafl]hGLP-1(7-34)-NH 2 (SEQ ID NO: 109); [Ala'1 7 23 27 3-Pal' 93 Tie 3 GabaflhGLP- 1(7-34)-NH 2 (SEQ ID NO:- 110); Rio".6 Ala 17 23 27 3-Pal1 9 31 Gaba3]hGLP-1 (7-34)-NH 2 (SEQ ID NO: 111); [N-Me-D-Alae, Ala 1 7 .2223. 7 3-Pal' 931 JhGLP-1 (7-33)-NH 2 [Aib, Aa"7.8.2.2" 2 7 3-Pal'1 93 ]hGLP-1(7-33-NH 2 (SEQ ID NO: 112); [Aa 7 1a.Z2 2 7 3-Pal 1 9 3 1, Tre"6-2, Gabafl]hGLP-1(7-34)-NH 2 (SEQ ID NO: 113); [0-Ala 8 Ala1 7 18 23 3-Pal 1 931 Tie", Gabafl]hGLP-1 (7-34)-NH 2 tD-Ala 8 Z, Ala 17 27 3-Palt9 3 t Gabafl]hGLP-1 (7-34)-NH 2 [D-Alaa"", Aa 172223r, 3-PaIltsl1, Gabafl]hGLP-1l(7-34)-NH 2 [D-Afa6 7 Ala 3-Pall1.931, GabaflhGLP-1 (7-34)-NH 2 or [D-A~a8, Aja1?*'$- 2 nr. 3-Pal' 9 GabaflhGLP-1 (7-34)-NH 2 or a pharmaceutically acceptable salt thereof. 8. A compound according to claim 1 wherein said compound is [Aibe, A6c~lhGLP-1(7-36)NH 2 (SEQ ID NO: 114); (A6&" 2 ]hLP-11(7-36-NH 2 (SEQ ID NO: 115); LAibjhGLP-1 (7-36)-NH 2 (SEQ ID NO: 116); [(Tma-His) T ]hGLP-1(7-36)-NH 2 (SEQ ID NO: 117); [A6flhGLP-1 (8-36)-NH 2 (SEQ ID) NO: 118); [A6c'JhGLP-1(7-36)-NH 2 (SEQ ID NO: 119); [A6c'6-IhGLP-1(7-36)-NH 2 (SEQ ID NO: 120); [A6c29-32hGLP-1(7-36)-NH 2 (SEQ ID NO: 121); [AMe, Aib 2 4 hGLP-1 (7-36)-NH 2 (SEQ ID NO: 122); [Aib 2 4 A6c~g 3 1hGLP-1(7-36)-NH 2 (SEQ ID NO: 123); [A6c 629 3 1hGLP-1 (7-36)-NH 2 (SEQ ID NO: 124); [N-Me-Ala'JhGLP-1(7-36)-NH 2 (SEQ ID NO: 128); [N-Me-AlaaJhGLP-1 (8-36)-NH 2 [N-Me-D-Alaa]hGLP- 1 (7-36)-NH 2 fN-Me-D-AlaaJhGLP- 1 (8-36)-NH 2 [N-Me-Gly 6 JhGLP- 1(7-36)-NH2 (SEQ ID NO: 129); [A5c 8 JhGLP-1 (7-36)-NH2 (SEQ) ID NO: 130). (N-Me-Glu 9 IhGLP-1 (7-36)-NH2 (SEQ ID NO: 131); 8 A6C20 3 IhGLP-1 (7-36)-NH 2 (SEQ ID NO: 132); [Aib., A6C 3 JhGLP-1 (7-36)-NH2 (SEQ ID NO: 133); [Aib 5 -41hGLP-1(7-36)-NH2 (SEQ ID NO: 134); [Aibq 8 24]hGLP-1(7-36)-NH2 (SEQ ID NO: 135); [Aj08- 3 JhGLP1(7-36)-NH 2 (SEQ ID NO: 136); [Aiba. Cha~JhGLP.1(7-36)-NH2 (SEQ ID NO: 137); [Aiba, Cha~lhGLP-1 (7-36)-NH 2 (SEQ ID NO: 138); (Aba, Glu"]hGLP-1 (7-36)-NH 2 (SEQ ID NO: 139); [Aiba, A6? 0 )hGLP-1 (7-36)-NH 2 (SEQ ID NO: 140); [Alba, A6c9 2 JhGLP-1 (7-36)-NH 2 (SEQ ID NO: 141); [A1b*-ghGLP-1(7-36)-NH2 (SEQ ID NO: 142); [Aib',ft-A~a22hGLP-1(7-36)-NH2 (SEQ ID NO: 143); [Aib'. Lys4JhGLP-1 (7-36-NH2 (SEQ ID NO: 144); [Alba. A6c9 2 ]hGLP-1 (7-36)-NH 2 (SEQ ID NO: 145); [Aib', A6cnJhGLP-1 (7-36)-NH 2 (SEQ ID NO: 146); (Aib 8 A6c~']hGLP-1 (7-36)-NH 2 (SEQ ID NO: 147); [Aib8-'hGLP-1 (7-36)NH2 (SEQ ID NO: 148); [AVIb.ahGLP-1(7-36)NH2 (SEQ ID NO: 149): (Ab" 17 hGLP-1(7-36)NH2 (SEQ ID NO: 150); or [Alba, D-Arg;J1hGLP-1 (7-36)NH2; or a pharmaceutically acceptable salt thereof. 9. A pharmaceutical composition comprising an effective amount of a compound according to any one of claims 1 to 8 or a pharmaceutically acceptable salt thereof and a pharmaceutically acceptable carrier or diluent. 10. A method of eliciting an agonist effect from a GLP- 1 receptor in a subject in need thereof which comprises administering to said subject an effective amount of a compound according to any one of claims 1 to 8 or a pharmaceutically acceptable salt thereof. 36 11. A method of treating a disease selected from the group O consisting of Type I diabetes, Type II diabetes, obesity, glucagonomas, secretory C disorders of the airway, metabolic disorder, arthritis, osteoporosis, central nervous Ssystem disease, restenosis, neurodegenerative disease, renal failure, congestive heart failure, nephrotic syndrome, cirrhosis, pulmonary edema, and hypertension in a subject 00 in need thereof which comprises administering to said subject an effective amount of a compound according to any one of claims 1 to 8 or a pharmaceutically acceptable salt Sthereof. 12. A method according to claim 11 wherein said disease is Type I diabetes or Type II diabetes. c 13. The use of a compound according to any one of claims 1 to 8 in SIhe manufacture of a medicament for the treatment of a disease selected from the C group consisting of Type I diabetes, Type II diabetes, obesity, glucagonomas, secretory disorders of the airway, metabolic disorder, arthritis, osteoporosis, central nervous system disease, restenosis, neurodegenerative disease, renal failure, congestive heart failure, nephrotic syndrome, cirrhosis, pulmonary edema, and hypertension. 14. A method according to claim 13 wherein said disease is Type I diabetes or Type II diabetes.