CN1787830A - Compositions for delivering peptide YY and PYY agonists - Google Patents
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Abstract
本发明提供了包含至少一种传送剂化合物和肽YY(PYY)与PYY激动剂中至少一种的组合物(例如药物组合物)。优选该组合物包含治疗有效量的肽YY或PYY激动剂和传送剂化合物。与没有传送剂化合物的给药相比,本发明的组合物便于PYY、PYY激动剂或其混合物的传送,并提高了其生物利用度。PPY和PYY激动剂具有与降低营养利用度、包括减少食物摄入的药物相同的活性。This invention provides a composition (e.g., a pharmaceutical composition) comprising at least one delivery compound and at least one of peptide YY (PYY) and a PYY agonist. Preferably, the composition comprises a therapeutically effective amount of peptide YY or a PYY agonist and a delivery compound. Compared to administration without a delivery compound, the compositions of this invention facilitate the delivery of PYY, a PYY agonist, or a mixture thereof, and improve their bioavailability. PPY and PYY agonists have the same activity as drugs that reduce nutrient utilization, including reducing food intake.
Description
本申请要求享有下列申请的优先权:于2003年5月14日提交的美国临时专利申请No.60/470,905、于2003年5月15日提交的美国临时专利申请No.60/471,114、于2003年9月25日提交的美国临时专利申请No.60/506,702和于2004年1月14日提交的美国临时专利申请No.60/536,697,上述所有的专利申请引入本文作为参考。This application claims priority to U.S. Provisional Patent Application No. 60/470,905, filed May 14, 2003; U.S. Provisional Patent Application No. 60/471,114, filed May 15, 2003; U.S. Provisional Patent Application No. 60/506,702, filed September 25, 2004, and U.S. Provisional Patent Application No. 60/536,697, filed January 14, 2004, all of which are incorporated herein by reference.
发明领域field of invention
本发明涉及用于将肽YY(PYY)和PYY激动剂传送至靶点的组合物。这些组合物包括良好适合于与口服施用于动物的PYY和PYY激动剂形成非共价混合物的化合物。本发明还公开了制备、给药和治疗的方法。The present invention relates to compositions for delivering peptide YY (PYY) and PYY agonists to a target. These compositions include compounds well suited to form non-covalent mixtures with PYY and PYY agonists administered orally to animals. The invention also discloses methods of preparation, administration and treatment.
发明背景Background of the invention
目前的抗肥胖症药物的功效有限并有多种副作用。Crowley,V.E.,Yeo,G.S.& O′Rahilly,S.,Nat.Rev.Drug Discov 1,276-86(2002).随着肥胖症在世界范围内变得流行,迫切需要在该领域发展合适的治疗。近年来,在调节食欲、体能消耗和脂肪量累积中涉及的激素和神经肽已经作为有潜力的抗肥胖症药物出现。McMinn,J.E.,Baskin,D.G.& Schwartz,M.W.,Obes Rev 1:37-46(2000),Drazen,D.L.& Woods,S.C.,Curr Opin ClinNutr Metab Care 6:621-629(2003)。然而,目前这些肽需要经胃肠道外给药。每日注射以控制肥胖的前景不很乐观,并且可能限制这些药物的应用。Current anti-obesity drugs have limited efficacy and various side effects. Crowley, V.E., Yeo, G.S. & O'Rahilly, S., Nat. Rev. Drug Discov 1, 276-86 (2002). As obesity becomes more prevalent worldwide, there is an urgent need to develop suitable drugs in this field. treat. In recent years, hormones and neuropeptides involved in the regulation of appetite, energy expenditure, and fat mass accumulation have emerged as potential anti-obesity drugs. McMinn, J.E., Baskin, D.G. & Schwartz, M.W., Obes Rev 1:37-46 (2000), Drazen, D.L. & Woods, S.C., Curr Opin ClinNutr Metab Care 6:621-629 (2003). However, these peptides currently require parenteral administration. The prospects for daily injections to control obesity are dim and may limit the use of these drugs.
一种这样的肽,PYY,餐后由末端胃肠道的内分泌细胞分泌并作用于下丘脑信号饱食中枢。Batterham,R.L.等人,Nature 418:650-654(2002).最近的研究表明肥胖患者禁食和餐后PYY含量较低,这可以解释他们食欲旺盛和食物消耗多的原因。当静脉内给药时,它抑制瘦弱者和肥胖患者的食欲和食物摄入。Batterham,R.L.等人,N Engl J Med 349:941-948(2003)。源自胰腺肽(PP)家族的其它肽如肽YY片段(例如PYY[3-36])和PYY激动剂(包括不属于PP家族的肽)也能抑制食欲。然而,由于在胃肠道吸收少且降解快,其口服活性可以忽略不计。One such peptide, PYY, is secreted after meals by endocrine cells of the terminal gastrointestinal tract and acts on the hypothalamus signaling satiety center. Batterham, R.L. et al., Nature 418:650-654 (2002). Recent studies have shown that obese patients have lower fasting and postprandial PYY levels, which may explain their high appetite and high food consumption. When administered intravenously, it suppresses appetite and food intake in lean and obese patients. Batterham, R.L. et al., N Engl J Med 349:941-948 (2003). Other peptides derived from the pancreatic peptide (PP) family such as peptide YY fragments (eg, PYY[3-36]) and PYY agonists (including peptides not belonging to the PP family) also suppress appetite. However, its oral activity is negligible due to poor absorption and rapid degradation in the gastrointestinal tract.
在PYY和PYY激动剂传送至动物的过程中,身体赋予了各种屏障。物理障碍的实例有皮肤、脂质双层和各种器官膜,它们对某些活性剂而言是相对不可渗透的,但在到达靶点如循环系统之前必须穿过它们。化学屏障包括但不限于胃肠(GI)道的pH变化和降解酶。During the delivery of PYY and PYY agonists to animals, the body imposes various barriers. Examples of physical barriers are skin, lipid bilayers, and various organ membranes, which are relatively impermeable to certain active agents but must pass through them before reaching a target such as the circulatory system. Chemical barriers include, but are not limited to, pH changes and degradative enzymes of the gastrointestinal (GI) tract.
这些屏障在口服传送系统的设计中特别重要。要不是因为这些生物、化学和物理屏障,PYY和PYY激动剂的口服传送将是动物给药途径的选择。这些治疗剂在胃肠道中可能由于酸解、酶等导致迅速失活或被破坏。此外,大分子药物的大小和结构可能阻止吸收。结果,蛋白质和肽类药物的口服给药在某种程度上由于它们的吸收少和降解快而具有挑战性。These barriers are of particular importance in the design of oral delivery systems. Were it not for these biological, chemical and physical barriers, oral delivery of PYY and PYY agonists would be the route of choice for animal administration. These therapeutic agents may be rapidly inactivated or destroyed in the gastrointestinal tract due to acid hydrolysis, enzymes, etc. In addition, the size and structure of macromolecular drugs may prevent absorption. As a result, oral administration of protein and peptide drugs is challenging in part due to their poor absorption and rapid degradation.
早期口服施用易被破坏的药物治疗剂的方法依赖于共同给予辅剂(例如,间苯二酚和非离子型表面活性剂如聚氧乙烯油基醚和正十六烷基聚乙烯醚)以人为地增加肠壁的通透性、以及共同给予酶抑制剂以抑制酶促降解。脂质体作为胰岛素和肝素的给药系统也已经有记载。然而,这类给药系统的广泛应用受到阻碍,部分因为:(1)该系统需要有毒量的辅剂或抑制剂;(2)不能获得适宜低分子量的被传送物,即活性剂;(3)该系统显示出稳定性差和贮存期限不够长;(4)该系统难以制备;(5)该系统不能保护活性剂(被传送物);(6)该系统不利地改变活性剂;或(7)该系统不允许或促进活性剂的吸收。Early methods of oral administration of fragile pharmacotherapeutics relied on the co-administration of adjuvants (e.g., resorcinol and nonionic surfactants such as polyoxyethylene oleyl ether and n-hexadecyl polyvinyl ether) to artificially Increase the permeability of the intestinal wall, and co-administer enzyme inhibitors to inhibit enzymatic degradation. Liposomes have also been described as delivery systems for insulin and heparin. However, the widespread use of such drug delivery systems has been hampered in part because: (1) the system requires toxic amounts of adjuvants or inhibitors; (2) the inability to obtain a suitable low molecular weight deliverable, i.e., the active agent; (3) ) the system exhibits poor stability and an insufficient shelf life; (4) the system is difficult to prepare; (5) the system does not protect the active agent (deliverable); (6) the system adversely alters the active agent; or (7) ) The system does not allow or facilitates the absorption of the active agent.
新近,类蛋白微球体已经用于传送药物。例如参见美国专利5,401,516、5,443,841和Re.35,862。此外,某些改性氨基酸已经用于传送药物。例如参见美国专利5,629,020、5,643,957、5,766,633、5,776,888和5,866,536。More recently, proteinoid microspheres have been used to deliver drugs. See, eg, US Patents 5,401,516, 5,443,841 and Re. 35,862. In addition, certain modified amino acids have been used to deliver drugs. See, eg, US Patents 5,629,020, 5,643,957, 5,766,633, 5,776,888, and 5,866,536.
根据Batterham等人,Nature 418:650-654(2002)(引入本文作为参考)的描述,肽YY[3-36]系统可以为肥胖症的治疗提供治疗靶点。According to Batterham et al., Nature 418:650-654 (2002) (incorporated herein by reference), the peptide YY [3-36] system may provide a therapeutic target for the treatment of obesity.
国际申请WO 02/47712和美国专利2002/0141985公开了用肽YY和肽YY激动剂如肽YY[3-36]治疗肥胖症和糖尿病的方法。International application WO 02/47712 and US patent 2002/0141985 disclose methods of treating obesity and diabetes with peptide YY and peptide YY agonists such as peptide YY [3-36].
然而,还需要有简单、廉价的传送肽YY和PYY激动剂的递药系统。However, there is a need for simple, inexpensive drug delivery systems for delivering peptide YY and PYY agonists.
需要有非侵入性地传送肽YY[3-36]的途径以确保患者的依从性,优选口服途径。There is a need for a non-invasive route of delivery of peptide YY [3-36] to ensure patient compliance, preferably an oral route.
发明概述Summary of the invention
本发明提供了包含(a)至少一种传送剂(delivery agent)化合物和(b)肽YY(PYY)、PYY激动剂或其混合物的组合物(例如药物组合物)。优选该组合物包含治疗有效量的肽YY和/或PYY激动剂以及传送剂化合物。与没有传送剂化合物的给药相比,本发明的组合物便于PYY和/或PYY激动剂的传送,并提高了其生物利用度。PPY和PYY激动剂具有与降低营养利用度、包括减少食物摄入的药物相同的活性。The invention provides compositions (eg, pharmaceutical compositions) comprising (a) at least one delivery agent compound and (b) peptide YY (PYY), a PYY agonist, or a mixture thereof. Preferably the composition comprises a therapeutically effective amount of a peptide YY and/or PYY agonist and a delivery agent compound. The compositions of the invention facilitate the delivery of PYY and/or PYY agonists and increase their bioavailability compared to administration without the delivery agent compound. PPY and PYY agonists have the same activity as drugs that reduce nutrient availability, including reducing food intake.
优选的传送剂化合物包括但不限于N-(8-[2-羟基苯甲酰基]氨基)辛酸和N-(10-[2-羟基苯甲酰基]氨基)癸酸以及它们的盐、溶剂化物和水合物。在优选的实施方案中,其盐为钠盐,如一钠盐。Preferred delivery agent compounds include, but are not limited to, N-(8-[2-hydroxybenzoyl]amino)caprylic acid and N-(10-[2-hydroxybenzoyl]amino)decanoic acid and their salts, solvates and hydrate. In a preferred embodiment, the salt is a sodium salt, such as the monosodium salt.
在一个优选的实施方案中,该组合物包括肽YY、PYY激动剂或其混合物以及至少一种具有下式结构或其盐的传送剂,In a preferred embodiment, the composition comprises peptide YY, a PYY agonist or a mixture thereof and at least one delivery agent having the following structure or a salt thereof,
式A Formula A
其中:in:
Ar为苯基或萘基;Ar is phenyl or naphthyl;
Ar任选地被-OH、卤素、C1-C4烷基、C1-C4链烯基、C1-C4烷氧基或C1-C4卤代烷氧基中的一个或多个基团取代;Ar is optionally replaced by one or more of -OH, halogen, C 1 -C 4 alkyl, C 1 -C 4 alkenyl, C 1 -C 4 alkoxy or C 1 -C 4 haloalkoxy group substitution;
R7选自C4-C20烷基、C4-C20链烯基、苯基、萘基、(C1-C10烷基)苯基、(C1-C10链烯基)苯基、(C1-C10烷基)萘基、(C1-C10链烯基)萘基、苯基(C1-C10烷基)、苯基(C1-C10链烯基)、萘基(C1-C10烷基)或萘基(C1-C10链烯基);R 7 is selected from C 4 -C 20 alkyl, C 4 -C 20 alkenyl, phenyl, naphthyl, (C 1 -C 10 alkyl) phenyl, (C 1 -C 10 alkenyl) benzene base, (C 1 -C 10 alkyl) naphthyl, (C 1 -C 10 alkenyl) naphthyl, phenyl (C 1 -C 10 alkyl), phenyl (C 1 -C 10 alkenyl ), naphthyl (C 1 -C 10 alkyl) or naphthyl (C 1 -C 10 alkenyl);
R8选自氢、C1-C4烷基、C2-C4链烯基、C1-C4烷氧基和C1-C4卤代烷氧基;R is selected from hydrogen, C 1 -C 4 alkyl, C 2 -C 4 alkenyl, C 1 -C 4 alkoxy and C 1 -C 4 haloalkoxy;
R7任选地被C1-C4烷基、C2-C4链烯基、C1-C4烷氧基、C1-C4卤代烷氧基、-OH、-SH、-CO2R9或它们的任意组合取代;R 7 is optionally replaced by C 1 -C 4 alkyl, C 2 -C 4 alkenyl, C 1 -C 4 alkoxy, C 1 -C 4 haloalkoxy, -OH, -SH, -CO 2 R 9 or any combination thereof;
R9是氢、C1-C4烷基或C2-C4链烯基;R 9 is hydrogen, C 1 -C 4 alkyl or C 2 -C 4 alkenyl;
R7任选地被氧、氮、硫或它们的任意组合间隔;条件是该化合物在酸基团的α位上不被氨基取代。 R7 is optionally interrupted by oxygen, nitrogen, sulfur, or any combination thereof; provided that the compound is not substituted with an amino group alpha to the acid group.
在另一优选的实施方案中,该组合物包含肽YY、PYY激动剂或其混合物以及至少一种具有下式结构或其盐的传送剂:In another preferred embodiment, the composition comprises peptide YY, a PYY agonist or a mixture thereof and at least one delivery agent having the following structure or a salt thereof:
式B Formula B
其中,in,
R1、R2、R3和R4独立地为H、-OH、卤素、C1-C4烷基、C2-C4链烯基、C1-C4烷氧基、-C(O)R8、-NO2、-NR9R10或-N+R9R10R11(R12)-;R 1 , R 2 , R 3 and R 4 are independently H, -OH, halogen, C 1 -C 4 alkyl, C 2 -C 4 alkenyl, C 1 -C 4 alkoxy, -C( O) R 8 , -NO 2 , -NR 9 R 10 or -N + R 9 R 10 R 11 (R 12 ) - ;
R5为H、-OH、-NO2、卤素、-CF3、-NR14R15、-N+R14R15R16(R13)-、酰氨基、C1-C12烷氧基、C1-C12烷基、C2-C12链烯基、氨基甲酸酯基、碳酸酯基、脲基或-C(O)R18;R 5 is H , -OH, -NO 2 , halogen, -CF 3 , -NR 14 R 15 , -N + R 14 R 15 R 16 (R 13 ) - , amido, C 1 -C 12 alkoxy , C 1 -C 12 alkyl, C 2 -C 12 alkenyl, carbamate, carbonate, ureido or -C(O)R 18 ;
R5任选地被卤素、-OH、-SH或-COOH取代; R is optionally substituted by halogen, -OH, -SH or -COOH;
R5任选地被O、N、S或-C(O)-间隔;R is optionally interrupted by O, N, S or -C(O)-;
R6为C1-C12亚烷基、C2-C12亚烯基或亚芳基;R 6 is C 1 -C 12 alkylene, C 2 -C 12 alkenylene or arylene;
R6任选地被C1-C4烷基、C2-C4链烯基、C1-C4烷氧基、-OH、-SH、卤素、-NH2或-CO2R8取代;R 6 is optionally substituted by C 1 -C 4 alkyl, C 2 -C 4 alkenyl, C 1 -C 4 alkoxy, -OH, -SH, halogen, -NH 2 or -CO 2 R 8 ;
R6任选地被O或N间隔;R is optionally interrupted by O or N;
R7为键或亚芳基;R 7 is a bond or an arylene group;
R7任选地被-OH、卤素、-C(O)CH3、-NR10R11或-N+R10R11R12(R13)-取代;R 7 is optionally substituted by -OH, halogen, -C(O)CH 3 , -NR 10 R 11 or -N + R 10 R 11 R 12 (R 13 )-;
R8每次出现时独立地为H、C1-C4烷基、C2-C4链烯基或-NH2;Each occurrence of R 8 is independently H, C 1 -C 4 alkyl, C 2 -C 4 alkenyl or -NH 2 ;
R9、R10、R11和R12独立地为H或C1-C10烷基;R 9 , R 10 , R 11 and R 12 are independently H or C 1 -C 10 alkyl;
R13为卤离子、氢氧根、硫酸根、四氟硼酸根或磷酸根;R 13 is halide, hydroxide, sulfate, tetrafluoroborate or phosphate;
R14、R15和R16独立地为H、C1-C10烷基、被-COOH取代的C1-C10烷基、C2-C12链烯基、被-COOH取代的C2-C12链烯基或-C(O)R17;R 14 , R 15 and R 16 are independently H, C 1 -C 10 alkyl, C 1 -C 10 alkyl substituted by -COOH, C 2 -C 12 alkenyl, C 2 substituted by -COOH -C 12 alkenyl or -C(O)R 17 ;
R17为-OH、C1-C10烷基或C2-C12链烯基;且R 17 is -OH, C 1 -C 10 alkyl or C 2 -C 12 alkenyl; and
R18为H、C1-C6烷基、-OH、-NR14R15或N+R14R15R16(R13)-。R 18 is H, C 1 -C 6 alkyl, -OH, -NR 14 R 15 or N + R 14 R 15 R 16 (R 13 ) - .
任选地,当R1、R2、R3、R4和R5为H且R7为键时,R6不是C1-C6、C9或C10烷基。Optionally, when R 1 , R 2 , R 3 , R 4 and R 5 are H and R 7 is a bond, R 6 is not C 1 -C 6 , C 9 or C 10 alkyl.
任选地,当R1、R2、R3和R4为H,R5为-OH且R7为键时,R6不是C1-C3烷基。Optionally, when R 1 , R 2 , R 3 and R 4 are H, R 5 is -OH and R 7 is a bond, R 6 is not C 1 -C 3 alkyl.
任选地,当R1、R2、R3和R4中至少一个不是H,R5为-OH,且R7为键时,R6不是C1-C4烷基。Optionally, when at least one of R 1 , R 2 , R 3 and R 4 is not H, R 5 is -OH, and R 7 is a bond, R 6 is not C 1 -C 4 alkyl.
任选地,当R1、R2和R3为是H,R4为-OCH3,R5为-C(O)CH3,且R6为键时,R7不是C3烷基。Optionally, when R 1 , R 2 and R 3 are H, R 4 is -OCH 3 , R 5 is -C(O)CH 3 , and R 6 is a bond, R 7 is not C 3 alkyl.
任选地,当R1、R2、R4和R5为H,R3为-OH,且R7为键时,R6不是甲基。Optionally, when R 1 , R 2 , R 4 and R 5 are H, R 3 is -OH, and R 7 is a bond, R 6 is other than methyl.
在另一实施方案中,该组合物包含肽YY、PYY激动剂或其混合物以及至少一种具有下式结构或其盐的传送剂,In another embodiment, the composition comprises peptide YY, a PYY agonist or a mixture thereof and at least one delivery agent having the structure or a salt thereof,
化合物C Compound C
其中:in:
R1、R2、R3、R4和R5独立地为H、-CN、-OH、-OCH3或卤素,且R1、R2、R3、R4和R5中至少一个为-CN;且R 1 , R 2 , R 3 , R 4 and R 5 are independently H, -CN, -OH, -OCH 3 or halogen, and at least one of R 1 , R 2 , R 3 , R 4 and R 5 is -CN; and
R6为C1-C12直链或支链亚烷基、亚烯基、亚芳基、烷基(亚芳基)或芳基(亚烷基)。R 6 is C 1 -C 12 linear or branched alkylene, alkenylene, arylene, alkyl (arylene) or aryl (alkylene).
按照一个实施方案,当R1为-CN,R4为H或-CN,且R2、R3和R5为H时,R6不是亚甲基((CH2)1)。According to one embodiment, when R 1 is -CN, R 4 is H or -CN, and R 2 , R 3 and R 5 are H, R 6 is not methylene ((CH 2 ) 1 ).
本发明还提供了包含本发明组合物的剂量单位形式(例如,口服剂量单位形式)。剂量单位形式可以是液体或固体的形式,如片剂、胶囊或颗粒,包括粉末或囊剂。The invention also provides dosage unit forms (eg, oral dosage unit forms) comprising compositions of the invention. Dosage unit forms can be in liquid or solid form, such as tablets, capsules or granules, including powders or sachets.
另一实施方案是给需要其的动物施用肽YY、PYY激动剂或其混合物的方法,该方法通过将本发明的组合物或剂量单位形式施用于动物来进行。优选的给药途径是口服给药。Another embodiment is a method of administering peptide YY, a PYY agonist, or a mixture thereof to an animal in need thereof by administering to the animal a composition or dosage unit form of the invention. The preferred route of administration is oral administration.
另一实施方案是给需要其的动物施用肽YY、PYY激动剂或其混合物的方法,该方法通过将本发明的组合物或剂量单位形式以最小化或阻止肽YY和/或PYY激动剂的抗体形成的方式施用于动物来进行。Another embodiment is a method of administering Peptide YY, a PYY agonist, or a mixture thereof to an animal in need thereof by administering a composition or dosage unit form of the invention in such a way as to minimize or prevent peptide YY and/or PYY agonist Antibody formation is carried out by administering to animals.
另一实施方案是使需要其的动物(如人)减轻体重的方法,该方法通过将有效量的本发明的组合物或剂量单位形式施用于动物来进行。换言之,施用有效量的便于PYY或PYY激动剂传送的传送剂化合物和有效量(例如治疗有效量)的PYY或PYY激动剂。Another embodiment is a method of reducing body weight in an animal, such as a human, in need thereof by administering to the animal an effective amount of a composition or dosage unit form of the invention. In other words, an effective amount of a delivery agent compound that facilitates delivery of PYY or a PYY agonist and an effective amount (eg, a therapeutically effective amount) of PYY or a PYY agonist are administered.
另一实施方案是治疗需要其的动物(如人)的肥胖症的方法,该方法通过将有效量的本发明的组合物施用于动物来进行。Another embodiment is a method of treating obesity in an animal in need thereof, such as a human, by administering to the animal an effective amount of a composition of the invention.
另一实施方案是在动物(如人)中治疗可通过降低营养利用度来缓和的病症或紊乱的方法,该方法通过给动物施用治疗有效量的本发明的组合物或剂量单位形式来进行。这类病症和紊乱包括但不局限于高血压、血脂异常症、心血管疾病的危险、进食障碍、胰岛素抵抗、肥胖症和糖尿病。Another embodiment is a method of treating a condition or disorder that can be alleviated by reduced nutrient availability in an animal, such as a human, by administering to the animal a therapeutically effective amount of a composition or dosage unit form of the invention. Such conditions and disorders include, but are not limited to, hypertension, dyslipidemia, risk of cardiovascular disease, eating disorders, insulin resistance, obesity, and diabetes.
另一实施方案是改善动物(如人)的脂质性质的方法,该方法通过给动物施用有效量的本发明的组合物或剂量单位形式来进行。Another embodiment is a method of improving the lipid profile of an animal, such as a human, by administering to the animal an effective amount of a composition or dosage unit form of the invention.
另一实施方案是制备本发明组合物的方法,该方法通过将至少一种传送剂化合物与肽YY与PYY激动剂中的至少一种混合来进行。Another embodiment is a method of preparing a composition of the invention by admixing at least one delivery agent compound with at least one of peptide YY and a PYY agonist.
附图简述Brief description of the drawings
图1是按照实施例1中描述的步骤有和无传送剂SNAC的情况下口服施用PYY[3-36]后PYY[3-36]血药浓度(pg/ml±标准差)-时间图。Figure 1 is a graph of PYY[3-36] plasma concentrations (pg/ml ± standard deviation) versus time following oral administration of PYY[3-36] following the procedure described in Example 1 with and without the delivery agent SNAC.
图2是按照实施例1中描述的步骤在有和无传送剂SNAD的情况下口服施用PYY[3-36]后PYY[3-36]血药浓度(pg/ml±标准差)-时间图。Figure 2 is a graph of PYY[3-36] plasma concentration (pg/ml±standard deviation)-time after oral administration of PYY[3-36] with and without the delivery agent SNAD according to the procedure described in Example 1 .
图3是按照实施例2中描述的步骤在无传送剂化合物的情况下腹膜内注射PYY[3-36]后PYY[3-36]血药浓度(pg/ml±标准差)-时间图。Figure 3 is a graph of PYY[3-36] plasma concentrations (pg/ml ± standard deviation) versus time following intraperitoneal injection of PYY[3-36] following the procedure described in Example 2 without delivery agent compound.
图4是按照实施例3中描述的步骤对大鼠口服施用PYY[3-36]和多种传送剂、仅施用传送剂3和施用PYY与甘露醇后PYY[3-36]血药浓度(pg/ml±标准差)-时间图。Fig. 4 is according to the step described in embodiment 3 to rat orally administers PYY [3-36] and multiple delivery agents, only uses delivery agent 3 and uses PYY and mannitol after PYY [3-36] plasma concentration ( pg/ml±standard deviation)-time graph.
图5是按照实施例4中描述的步骤在将PYY[3-36]与传送剂1一起口服施用于非人灵长类动物之后PYY[3-36]血药浓度(pg/ml±标准差)-时间图。Figure 5 is a graph of PYY[3-36] plasma concentrations (pg/ml ± standard deviation) after oral administration of PYY[3-36] to non-human primates following the procedure described in Example 4 )-time graph.
图6是按照实施例3c中描述的步骤在口服施用PYY[3-36]与SNAD的组合后PYY[3-36]血药浓度-时间图。Figure 6 is a graph of PYY[3-36] plasma concentration over time following oral administration of the combination of PYY[3-36] and SNAD following the procedure described in Example 3c.
图7是在按照实施例5中描述的步骤在用PYY[3-36]与SNAD的组合处理雄性Sprague Dawley大鼠的4天期间与安慰剂相比的食物摄入图。Figure 7 is a graph of food intake compared to placebo during the 4 days of treatment of male Sprague Dawley rats with the combination of PYY[3-36] and SNAD according to the procedure described in Example 5.
图8a是在按照实施例6中描述的步骤在用PYY[3-36]-与SNAD的组合处理雄性Sprague Dawley大鼠的7天期间与安慰剂相比的累计体重增加图。Figure 8a is a graph of cumulative body weight gain compared to placebo during 7 days of treatment of male Sprague Dawley rats with PYY[3-36]-combination with SNAD according to the procedure described in Example 6.
图8b是在按照实施例6中描述的步骤在用PYY[3-36]与SNAD的组合处理雄性Sprague Dawley大鼠的7天期间与安慰剂相比的累计食物摄入和体重增加图。Figure 8b is a graph of cumulative food intake and body weight gain compared to placebo during 7 days of treatment of male Sprague Dawley rats with the combination of PYY[3-36] and SNAD according to the procedure described in Example 6.
发明详述Detailed description of the invention
定义definition
如本文所用的术语“水合物”包括但不限于:(i)含有以分子形式结合的水的物质和(ii)含一个或多个结晶水分子的晶体物质或含游离水的晶体物质。The term "hydrate" as used herein includes, but is not limited to: (i) a material containing molecularly bound water and (ii) a crystalline material containing one or more crystal water molecules or a crystalline material containing free water.
如本文所用的术语“溶剂化物”包括但不限于溶剂的分子或离子与传送剂化合物或其盐或其水合物或溶剂化物的分子或离子形成的分子或离子络合物。The term "solvate" as used herein includes, but is not limited to, molecular or ion complexes of molecules or ions of a solvent with molecules or ions of a delivery agent compound or a salt thereof or a hydrate or solvate thereof.
术语“传送剂”指本文中公开的任何传送剂化合物。The term "delivery agent" refers to any delivery agent compound disclosed herein.
术语“SNAC”指N-(8-[2-羟基苯甲酰基]-氨基)辛酸一钠盐。The term "SNAC" refers to N-(8-[2-hydroxybenzoyl]-amino)octanoic acid monosodium salt.
术语“SNAD”指N-(10-[2-羟基苯甲酰基]-氨基)癸酸一钠盐。术语“SNAD二钠盐”指N-(10-[2-羟基苯甲酰基]-氨基)癸酸二钠盐。The term "SNAD" refers to N-(10-[2-hydroxybenzoyl]-amino)decanoic acid monosodium salt. The term "SNAD disodium salt" refers to N-(10-[2-hydroxybenzoyl]-amino)decanoic acid disodium salt.
“有效量的PYY、PYY激动剂或其混合物”是PYY、PYY激动剂或其混合物在施用于活生物体一段时间后有效治疗或预防病症的量,例如在期望的给药时间内提供了治疗效果。An "effective amount of PYY, a PYY agonist, or a mixture thereof" is an amount of PYY, a PYY agonist, or a mixture thereof that is effective to treat or prevent a condition when administered to a living organism for a period of time, e.g., provides a therapeutic Effect.
“有效量的传送剂”是传送剂允许和/或便于经任何途径(如本申请中详述的那些,包括但不限于口服(例如穿过胃肠道的生物膜)、经鼻、经肺、皮肤、口腔、阴道和/或眼途径)施用的预期量的PYY或PYY激动剂被吸收的量。An "effective amount of a delivery agent" is one that the delivery agent allows and/or facilitates via any route (such as those detailed in this application, including but not limited to oral (e.g., through biofilms of the gastrointestinal tract), nasal, pulmonary , dermal, buccal, vaginal and/or ocular routes) administered the expected amount of PYY or the amount of a PYY agonist absorbed.
如本文所用的术语“AUC”指血浆浓度-时间曲线下面积,如通过梯形法在整个给药期间、例如24小时期间计算。The term "AUC" as used herein refers to the area under the plasma concentration-time curve, as calculated by the trapezoidal method over the entire dosing period, eg, over a 24-hour period.
除非另有说明,术语“平均”当放在药代动力学数值(例如平均峰值)之前时表示该药代动力学数值的算术平均值。Unless otherwise stated, the term "average" when preceded by a pharmacokinetic value (eg mean peak value) means the arithmetic mean of the pharmacokinetic value.
如本文和所附的权利要求所用的单数形式“一个”和“一种”包括所涉及对象的复数,除非上下文另外清楚地标明。因而,例如,“一个分子”包括一个或多个该分子,“一种试剂”包括一种或多种这类不同的试剂,“一种抗体”包括一种或多种这类不同的抗体,“方法”包括本领域普通技术人员已知的可以变通为或代替本文中所述方法的同等的步骤和方法。As used herein and in the appended claims, the singular forms "a" and "an" include plural referents unless the context clearly dictates otherwise. Thus, for example, reference to "a molecule" includes one or more such molecules, "an agent" includes one or more such different agents, "an antibody" includes one or more such different antibodies, A "method" includes equivalent steps and methods known to those of ordinary skill in the art that may be modified or substituted for the methods described herein.
术语“约”通常指在给定值或范围的10%、优选5%、更优选1%之内变化。The term "about" generally means within 10%, preferably 5%, more preferably 1% variation of a given value or range.
如本文所用的术语“烷基”和“链烯基”分别包括直链和支链的烷基和链烯基取代基。The terms "alkyl" and "alkenyl" as used herein include straight and branched chain alkyl and alkenyl substituents, respectively.
如本文所用的术语“患者”指哺乳动物,且优选人。The term "patient" as used herein refers to a mammal, and preferably a human.
短语“可药用的”指当施用于哺乳动物时是生理可耐受的并且通常不产生过敏或类似不良反应如胃部不适、眩晕等的添加剂或组合物。The phrase "pharmaceutically acceptable" refers to an additive or composition that is physiologically tolerable and generally does not produce allergic or similar adverse reactions such as stomach upset, dizziness and the like when administered to a mammal.
PYY和PYY激动剂PYY and PYY agonists
“肽YY”或“PYY”指由任何物种获得或衍生的肽YY多肽。因此,术语“PYY”包括人的全长、36氨基酸肽,如国际申请WO 02/47712(它是美国专利公开号2002/0141985相应的PCT申请,该文献引入本文作为参考)和Tatemoto,Proc Natl Acad Sci U.S.A.79:2514-8,1982中SEQ IDNO:2所示,以及包括PYY不同种属的变体,例如包括鼠科、仓鼠、鸡、牛、大鼠和狗的PYY。“PYY激动剂”指引起PYY降低营养利用度作用的任何化合物,例如这样的化合物:(1)在WO 02/47712和美国专利公开号2002/0141985的实施例1、2、5或6中描述的食物摄入、胃排空、胰液分泌或体重减轻的检测中具有活性的化合物,和(2)在Y受体检测(WO02/47712和美国专利公开号2002/0141985的实施例10)中或在竞争性结合检测中特异性结合源自富含Y受体的某些组织(例如包括最后区,WO02/47712和美国专利公开号2002/0141985的实施例9)的标记PYY或PYY[3-36],其中所述PYY激动剂不是胰多肽。优选PYY激动剂在诸如此类的检测中亲和力大于约1μM,更优选亲和力大于约1至约5nM。"Peptide YY" or "PYY" refers to a Peptide YY polypeptide obtained or derived from any species. Thus, the term "PYY" includes human full-length, 36 amino acid peptides, such as International Application WO 02/47712 (which is the corresponding PCT application to U.S. Patent Publication No. 2002/0141985, which is incorporated herein by reference) and Tatemoto, Proc Natl Acad Sci U.S.A. 79: 2514-8, 1982, shown in SEQ ID NO: 2, and variants including PYY in different species, such as PYY including murine, hamster, chicken, cow, rat and dog. "PYY agonist" refers to any compound that causes the effect of PYY to reduce nutrient availability, such as compounds: (1) described in WO 02/47712 and US Patent Publication No. 2002/0141985 in Examples 1, 2, 5 or 6 Compounds that are active in assays of food intake, gastric emptying, pancreatic juice secretion, or weight loss, and (2) in the Y receptor assay (WO02/47712 and Example 10 of U.S. Patent Publication No. 2002/0141985) or In a competitive binding assay specifically binds to markers PYY or PYY [3- 36], wherein the PYY agonist is not pancreatic polypeptide. Preferred PYY agonists have an affinity of greater than about 1 [mu]M in an assay such as this, more preferably an affinity of greater than about 1 to about 5 nM.
这类激动剂可包括含PYY功能结构域的多肽、PYY的活性片段或化学的或小分子。PYY激动剂可以是肽或非肽化合物,包括“PYY激动剂类似物”,PYY激动剂类似物指任何在结构上与PYY相似的具有PYY活性的化合物,这种活性通常由于与PYY受体或PYY本身与之相互作用产生生物响应的其它受体结合或者通过其它方式直接或间接与之相互作用。这类化合物包括PYY衍生物、PYY片段、含多于36个氨基酸的扩展PYY分子、含少于36个氨基酸的截短PYY分子以及含一种或多种不同氨基酸的取代PYY分子或以上所述的任何组合。这类化合物还可以通过如聚乙二醇化、酰胺化、糖基化、酰化、硫酸化、磷酸化、乙酰化和环化的方法进行修饰。Such agonists may include polypeptides containing PYY functional domains, active fragments of PYY, or chemical or small molecules. PYY agonists may be peptide or non-peptide compounds, including "PYY agonist analogs", which refers to any compound that is structurally similar to PYY and has PYY activity, usually due to interaction with PYY receptors or PYY itself binds or otherwise interacts directly or indirectly with other receptors to which it interacts to produce a biological response. Such compounds include PYY derivatives, PYY fragments, extended PYY molecules containing more than 36 amino acids, truncated PYY molecules containing less than 36 amino acids, and substituted PYY molecules containing one or more different amino acids or described above any combination of . Such compounds may also be modified by methods such as pegylation, amidation, glycosylation, acylation, sulfation, phosphorylation, acetylation and cyclization.
一种这样的PYY激动剂类似物是PYY[3-36],被鉴定为WO 02/47712和美国专利公开号2002/0141985中的SEQ ID NO:3;Eberlein Eysselein等,Peptides 10:797-803(1989);和Grandy,Schimiczek等,Regul Pept 51:151-9(1994)。括弧内有数目的多肽指具有全长肽在括弧内的氨基酸位置上的序列的截短多肽。因此,PYY[3-36]具有与PYY的3位至36位氨基酸相同的序列。PYY[3-36]含大约40%的人及犬的肠提取物的总肽YY-样免疫反应性和约36%的禁食状态下总血浆肽YY免疫反应性至略大于50%(餐后)。显然它是肽YY的二肽基肽酶-IV(DPP4)裂解产物。据报道肽YY[3-36]是Y2和Y5受体的选择性配体,这两种受体在优选N-末端截短(即C端片段)神经肽Y类似物中显示出药理学的独特性。PYY激动剂可能以较高或较低的亲和力与PYY受体结合,这表示有较长或较短的体内或体外半衰期,或者比天然PYY作用更大或更小。One such PYY agonist analogue is PYY[3-36], identified as SEQ ID NO:3 in WO 02/47712 and U.S. Patent Publication No. 2002/0141985; Eberlein Eysselein et al., Peptides 10:797-803 (1989); and Grandy, Schimiczek et al., Regul Pept 51:151-9 (1994). A polypeptide with a number in brackets refers to a truncated polypeptide having the sequence of the full-length peptide at the bracketed amino acid position. Therefore, PYY[3-36] has the same sequence as amino acids 3 to 36 of PYY. PYY[3-36] contains about 40% of the total peptide YY-like immunoreactivity of human and canine intestinal extracts and about 36% of the total plasma peptide YY immunoreactivity in the fasted state to slightly more than 50% (postprandial ). It is apparently a dipeptidyl peptidase-IV (DPP4) cleavage product of peptide YY. Peptide YY [3-36] is reported to be a selective ligand for the Y2 and Y5 receptors, which show pharmacological activity in the preferred N-terminal truncated (i.e. C-terminal fragment) neuropeptide Y analogues. unique. PYY agonists may bind to PYY receptors with higher or lower affinity, indicating a longer or shorter half-life in vivo or in vitro, or be more or less potent than native PYY.
其它适宜的PYY激动剂包括国际申请公开号WO 98/20885中描述的PYY激动剂,该文献引入本文作为参考。Other suitable PYY agonists include those described in International Application Publication No. WO 98/20885, which is incorporated herein by reference.
“可通过减少热量(或营养)利用度来缓和的病症或紊乱”指动物由相对高的营养利用度所引起、并发或恶化的任何病症或紊乱,或者可通过降低营养利用度、例如通过减少食物摄入来缓和的任何病症或紊乱。这类病症或紊乱包括但不限于肥胖症、糖尿病且包括2型糖尿病、进食障碍以及胰岛素抵抗综合症。"Condition or disorder that can be mitigated by reduced caloric (or nutrient) availability" means any condition or disorder in an animal that results from, is complicated by, or is exacerbated by relatively high Any condition or disorder that is alleviated by food intake. Such conditions or disorders include, but are not limited to, obesity, diabetes and including type 2 diabetes, eating disorders, and insulin resistance syndrome.
一方面,本发明提供了治疗肥胖或体重过重动物的肥胖症的方法,该方法通过施用治疗有效量的PYY、PYY激动剂或其混合物以及至少一种传送剂化合物。尽管“肥胖症”通常被定义为体重指数超过30,但对本发明公开内容的目的而言,需要或希望减轻体重的任何受治疗者、包括体重指数低于30的受治疗者都包括“肥胖”范围内。患有胰岛素抵抗、葡萄糖不耐受或任何形式糖尿病(例如1型、2型或妊娠期糖尿病)的患者都可从本方法受益。In one aspect, the invention provides a method of treating obesity in an obese or overweight animal by administering a therapeutically effective amount of PYY, a PYY agonist, or a mixture thereof, and at least one delivery agent compound. Although "obesity" is generally defined as a body mass index over 30, for purposes of the present disclosure, any subject in need or desire to lose weight, including subjects with a body mass index below 30, includes "obesity" within range. Patients suffering from insulin resistance, glucose intolerance or any form of diabetes such as type 1, type 2 or gestational diabetes may benefit from this approach.
在其它方面,本发明使减少食物摄入、治疗糖尿病和改善脂质性质(包括降低LDL胆固醇和甘油三酯水平和/或改变HDL胆固醇水平)的方法具有特色,该方法包括给受治疗者施用治疗有效量的PYY、PYY激动剂或其混合物以及至少一种传送剂化合物。在优选的实施方案中,本发明的方法用于治疗可通过减少需要其的受治疗者的营养利用度来缓和的病症或紊乱,包括给所述受治疗者施用治疗有效量的PYY、PYY激动剂或其混合物以及至少一种传送剂化合物。这类病症和紊乱包括但不局限于高血压、血脂异常症、心血管疾病、进食障碍、胰岛素抵抗、肥胖症以及任何类型的糖尿病。In other aspects, the invention features methods of reducing food intake, treating diabetes, and improving lipid profile, including lowering LDL cholesterol and triglyceride levels and/or altering HDL cholesterol levels, comprising administering to a subject A therapeutically effective amount of PYY, a PYY agonist, or a mixture thereof and at least one delivery agent compound. In a preferred embodiment, the methods of the invention are used to treat a condition or disorder that can be alleviated by reducing nutrient availability to a subject in need thereof, comprising administering to said subject a therapeutically effective amount of PYY, a PYY agonist, agent or mixture thereof and at least one delivery agent compound. Such conditions and disorders include, but are not limited to, hypertension, dyslipidemia, cardiovascular disease, eating disorders, insulin resistance, obesity, and diabetes of any type.
本发明的方法中,优选的PYY激动剂是在WO 02/47712和美国专利公开号2002/0141985中描述的检测之一中的作用高于NPY在相同检测中作用的PYY激动剂。In the methods of the invention, preferred PYY agonists are PYY agonists that have a higher effect than NPY in one of the assays described in WO 02/47712 and U.S. Patent Publication No. 2002/0141985 in the same assay.
在一个实施方案中,对于本文中描述的所有病症和紊乱的治疗,优选的PYY激动剂是PYY[3-36],以单一剂量或分份剂量每天施用(外周)约1pg至约5mg。或者,PYY[3-36]可以根据受治疗者总体重以单一剂量或分份剂量按每天约0.01μg/kg至约500μg/kg、约0.05μg/kg至约250μg/kg或低于约50μg/kg的量给药。当然在这些范围内的剂量将随各种激动剂的效能而变化,并且很容易由本领域技术人员确定。In one embodiment, for the treatment of all conditions and disorders described herein, the preferred PYY agonist is PYY [3-36] administered (peripherally) from about 1 pg to about 5 mg per day in single or divided doses. Alternatively, PYY[3-36] may be administered in single or divided doses at about 0.01 μg/kg to about 500 μg/kg, about 0.05 μg/kg to about 250 μg/kg, or less than about 50 μg per day, depending on the total body weight of the subject. /kg dose. Dosages within these ranges will of course vary with the potency of the various agonists and are readily ascertainable by those skilled in the art.
在本发明的方法中,PYY和PYY激动剂与传送剂化合物可以单独或与一种或多种显示出长期或短期降低营养利用度作用的其它化合物和组合物一起给药,这些化合物和组合物包括但不限于包括胰岛淀粉样多肽或胰岛淀粉样多肽激动剂、缩胆囊肽(CCK)或CCK激动剂、瘦蛋白(OB蛋白))瘦蛋白激动剂、exendin或exendin激动剂或者GLP-1或GLP-1激动剂的其它化合物和组合物。例如,适宜的胰岛淀粉样多肽激动剂包括[25,28,29Pro-]-人胰岛淀粉样多肽(又名“普兰林肽”,在美国专利号5,686,511和5,998,367中有描述)、降钙素(例如鲑降钙素),包括美国专利号5,739,106中描述的那些,该文献引入本文作为参考。所用的CCK优选CCK八肽(CCK-8)。瘦蛋白例如在Pelleymounter,C.等人,Science 269:540-543(1995)、Halaas,G.等,Science 269:543-6(1995)和Campfield,S.等,Science 269:546-549(1995)中有讨论。适宜的CCK激动剂包括美国专利号5,739,106中描述的那些,该文献引入本文作为参考。适宜的exendin包括exendin-3和exendin-4,exendin激动剂化合物包括例如PCT申请公开WO 99/07404、WO 99/25727和WO 99/25728中描述的那些,所有这些文献均引入本文作为参考。按照一个实施方案,本发明的组合物包含至少一种传送剂化合物、PYY、PYY激动剂或其混合物、至少一种胰岛淀粉样多肽激动剂和CCK激动剂。适宜的胰岛淀粉样多肽激动剂和CCK激动剂的组合包括但不限于美国专利号5,739,106中描述的组合,该文献引入本文作为参考。In the methods of the present invention, PYY and PYY agonist and delivery agent compounds may be administered alone or in combination with one or more other compounds and compositions that exhibit long-term or short-term effects that reduce nutrient availability. Including but not limited to including amylin or amylin agonist, cholecystokinin (CCK) or CCK agonist, leptin (OB protein)) leptin agonist, exendin or exendin agonist or GLP-1 or Other compounds and compositions that are GLP-1 agonists. For example, suitable amylin agonists include [25,28,29Pro-]-human amylin (also known as "pramlintide", described in U.S. Patent Nos. 5,686,511 and 5,998,367), calcitonin ( eg salmon calcitonin), including those described in US Pat. No. 5,739,106, which is incorporated herein by reference. The CCK used is preferably CCK octapeptide (CCK-8). Leptin is for example found in Pelleymounter, C. et al., Science 269:540-543 (1995), Halaas, G. et al., Science 269:543-6 (1995) and Campfield, S. et al., Science 269:546-549 ( 1995) are discussed. Suitable CCK agonists include those described in US Patent No. 5,739,106, which is incorporated herein by reference. Suitable exendins include exendin-3 and exendin-4, and exendin agonist compounds include, for example, those described in PCT Application Publications WO 99/07404, WO 99/25727 and WO 99/25728, all of which are incorporated herein by reference. According to one embodiment, the composition of the invention comprises at least one delivery agent compound, PYY, a PYY agonist or a mixture thereof, at least one amylin agonist and a CCK agonist. Suitable combinations of an amylin agonist and a CCK agonist include, but are not limited to, the combinations described in US Pat. No. 5,739,106, which is incorporated herein by reference.
PYY和PYY[3-36]当在生理上表达时是C末端酰胺化的,但对本发明的目的而言没有必要如此。这些肽还可以进行其它翻译后修饰。PYY and PYY[3-36] are C-terminally amidated when expressed physiologically, but this need not be the case for the purposes of the present invention. These peptides may also undergo other post-translational modifications.
本文中描述的PYY和基于肽的PYY激动剂可以采用本领域已知的标准重组体表达或化学肽合成技术来制备,例如使用自动化或半自动化的肽合成仪。本文中描述的PYY包括任何形态的PYY[3-36],包括通过冷冻干燥、结晶、重构、喷雾干燥以及超临界流化过程获得的PYY[3-36]。The PYY and peptide-based PYY agonists described herein can be prepared using standard recombinant expression or chemical peptide synthesis techniques known in the art, eg, using an automated or semi-automated peptide synthesizer. The PYY described herein includes PYY [3-36] in any form, including PYY [3-36] obtained by freeze-drying, crystallization, reconstitution, spray-drying, and supercritical fluidization processes.
固相肽合成可以用肽自动合成仪(例如430A型,Applied BiosystemsInc.,Foster City,CA)采用NMP/HOBt(选项1)系统和加帽tBoc或Fmoc化学(参见Applied Biosystems User′s Manual for the ABI 430A PeptideSynthesizer,1.3B版,1988年7月1日,6:4970,Applied Biosystems,Inc,Foster City,CA)进行。还可以利用Advanced ChemTech Synthesizer(高级化学技术合成仪,MPS 350型,路易斯维尔,肯塔基)装配。肽可以采用例如Waters Delta Prep 3000系统和C4、C8或C18制备柱(10p,2.2×25cm;Vydac,Hesperia,CA)通过RP-HPLC(制备型和分析型)进行纯化。Solid-phase peptide synthesis can be performed using an automated peptide synthesizer (e.g., Model 430A, Applied Biosystems Inc., Foster City, CA) using the NMP/HOBt (option 1) system and capped tBoc or Fmoc chemistry (see Applied Biosystems User's Manual for the ABI 430A Peptide Synthesizer, Version 1.3B, Jul 1, 1988, 6:4970, Applied Biosystems, Inc, Foster City, CA). It can also be assembled using an Advanced ChemTech Synthesizer (Advanced ChemTech Synthesizer, Model MPS 350, Louisville, KY). Peptides can be purified by RP-HPLC (preparative and analytical) using, for example, a Waters Delta Prep 3000 system and a C4 , C8 or C18 preparative column (10p, 2.2 x 25 cm; Vydac, Hesperia, CA).
在本发明中有用的肽类化合物还可以采用重组DNA技术、使用目前本领域已知的方法制备。例如参见Sambrook等,Molecular Cloning:ALaboratory Manual,第2版,Cold Spring Harbor(1989)。在本发明中有用的非肽类化合物可以通过本领域已知的方法制备。例如,含磷酸酯的氨基酸和含这类氨基酸的肽可以采用本领域已知的方法制备。例如参见Bartlett和Landen,Biorg Chem.14:356-377(1986)。Peptide compounds useful in the present invention can also be prepared using recombinant DNA techniques using methods now known in the art. See, eg, Sambrook et al., Molecular Cloning: A Laboratory Manual, 2nd Ed., Cold Spring Harbor (1989). Non-peptidic compounds useful in the present invention can be prepared by methods known in the art. For example, phosphate-containing amino acids and peptides containing such amino acids can be prepared using methods known in the art. See, eg, Bartlett and Landen, Biorg Chem. 14:356-377 (1986).
用于本发明的组合物可以以例如用于注射或输液的胃肠道外组合物的形式提供。例如,可以将它们悬浮在含水的载体中,例如悬浮在pH为约3.0至约8.0的等渗缓冲溶液中。有用的缓冲液包括柠檬酸钠-柠檬酸和磷酸钠-磷酸以及醋酸钠/醋酸缓冲液。可以使用贮库或“仓库”缓释制剂的形式以便将治疗有效量的制剂在经皮注射或传送后传送到血流中达数小时或数天。Compositions for use in the present invention may be provided, for example, as parenteral compositions for injection or infusion. For example, they can be suspended in an aqueous carrier, for example, in an isotonic buffer solution having a pH of about 3.0 to about 8.0. Useful buffers include sodium citrate-citric acid and sodium phosphate-phosphoric acid and sodium acetate/acetate buffers. A depot or "depot" sustained release formulation may be used to deliver a therapeutically effective amount of the formulation into the bloodstream for hours or days following transdermal injection or delivery.
由于PYY和多种PYY激动剂是两性的,因此它们可以以游离碱、以酸加成盐或以金属盐的形式使用。所述盐优选是可药用的盐,这些盐将包括金属盐、尤其是碱金属和碱土金属盐,例如钾盐或钠盐。各种各样的可药用酸加成盐都是可以获得的。通过本领域技术人员熟知的方法很容易制备这类产物。Since PYY and various PYY agonists are amphoteric, they can be used as free bases, as acid addition salts, or as metal salts. The salts are preferably pharmaceutically acceptable salts, and these salts will include metal salts, especially alkali metal and alkaline earth metal salts, such as potassium or sodium salts. A wide variety of pharmaceutically acceptable acid addition salts are available. Such products are readily prepared by methods well known to those skilled in the art.
治疗有效量的用于降低营养利用度的PYY或PYY激动剂是抑制食欲至期望程度的那些。正如本领域的人员将能认识到的那样,有效量的治疗剂将随多种因素而变,包括患者的年龄和体重、患者的身体健康状况、血糖水平、将获得的体重水平及其它因素。Therapeutically effective amounts of PYY or PYY agonists for reducing nutrient availability are those that suppress appetite to the desired extent. As will be appreciated by those skilled in the art, an effective amount of a therapeutic agent will vary with a variety of factors, including the age and weight of the patient, the patient's physical health, blood glucose levels, weight levels to be gained, and other factors.
对于体重50kg的患者而言,PYY、PYY激动剂或其混合物抑制食欲的有效日剂量为约1至30μg至约50mg/天,或约10至30μg至约20mg/天,或约5至100μg至约10mg/天,或约5μg至约5mg/天。有效量的PYY或PYY激动剂可以以单一剂量或分份剂量给药。剂量可以为约0.01至约1mg/kg/剂量。所施用的精确剂量可以由本领域技术人员确定,这依赖于PYY、PYY激动剂或其混合物的药效以及依赖于个体的年龄、体重和身体状况。只要期望抑制营养利用度、食物摄入、体重、血糖或降低血脂,例如在最初的病征出现时或在诊断为肥胖症、糖尿病或胰岛素抵抗综合症之后不久,就应当开始用药。For a patient weighing 50 kg, an effective daily dose of PYY, a PYY agonist, or a mixture thereof to suppress appetite is from about 1 to 30 μg to about 50 mg/day, or from about 10 to 30 μg to about 20 mg/day, or from about 5 to 100 μg to About 10 mg/day, or about 5 μg to about 5 mg/day. An effective amount of PYY or a PYY agonist can be administered in a single dose or in divided doses. Dosages may be from about 0.01 to about 1 mg/kg/dose. The precise dose to be administered can be determined by one skilled in the art and will depend on the potency of PYY, the PYY agonist or mixture thereof and on the age, weight and physical condition of the individual. Drugs should be initiated whenever inhibition of nutrient availability, food intake, body weight, blood glucose, or lowering of blood lipids is desired, eg, at the onset of first symptoms or shortly after a diagnosis of obesity, diabetes, or insulin resistance syndrome.
其它PYY激动剂的筛选Screening for other PYY agonists
其它PYY激动剂可以通过采用下文中描述的(例如WO 02/47712和美国专利公开号2002/0141985的实施例9和10)或本领域已知的受体结合检测法并结合WO 02/47712和美国专利公开号2002/0141985的实施例中描述的生理筛选法进行鉴定。将潜在的PYY激动剂与PYY或PYY[3-36]的活性进行比较。Other PYY agonists can be detected by using receptor binding assays described below (e.g. WO 02/47712 and Examples 9 and 10 of U.S. Patent Publication No. 2002/0141985) or known in the art in combination with WO 02/47712 and Physiological screening methods described in the Examples of US Patent Publication No. 2002/0141985 were identified. Potential PYY agonists were compared with the activity of PYY or PYY [3-36].
或者,一旦一种或多种PYY-优选(Y7)受体被表征和克隆,就可以按下文中详述的或本领域已知的方法实施可选择的检测和高流通量筛选。Y7受体是对PYY或PYY[3-36]的亲和力高于它们对神经肽Y(NPY)亲和力的那些受体。筛选调节PYY受体活性的化合物的方法包括使试验化合物与PYY受体接触并检测该化合物和PYY受体之间络合物的存在。在这类检测中,试验配体通常被标记。在适当温育之后,游离的配体与以结合形式存在的配体分离,游离或未络合的标记物的量为具体化合物结合PYY受体能力的量度。Alternatively, once one or more PYY-preferred (Y7) receptors have been characterized and cloned, alternative assays and high-throughput screening can be performed as detailed below or as known in the art. Y7 receptors are those receptors that have a higher affinity for PYY or PYY [3-36] than their affinity for neuropeptide Y (NPY). A method of screening for compounds that modulate the activity of a PYY receptor comprises contacting a test compound with a PYY receptor and detecting the presence of a complex between the compound and the PYY receptor. In such assays, the test ligand is usually labeled. After appropriate incubation, free ligand is separated from ligand present in bound form and the amount of free or uncomplexed label is a measure of the ability of a particular compound to bind the PYY receptor.
或者,可以测量所结合的标记配体(例如利用表达膜结合的Y7受体)。Alternatively, bound labeled ligand can be measured (eg, by expressing a membrane-bound Y7 receptor).
可以进行对具有适宜PYY受体结合亲和力的PYY激动剂的高流通量筛选。例如,在固体基质上合成大量不同的小的肽试验化合物。使这些肽试验化合物与PYY受体接触,然后冲洗。然后用本领域公知的方法检测所结合的PYY受体。纯化的试验化合物还可以直接涂布在用于前述药物筛选技术的板上。此外,假如试验化合物是蛋白质,则可以使用抗体来捕获该蛋白质并通过本领域已知的方法将其固定于固体载体上。High throughput screening for PYY agonists with suitable PYY receptor binding affinity can be performed. For example, large numbers of different small peptide test compounds are synthesized on solid substrates. These peptide test compounds were contacted with PYY receptors, followed by washing. Bound PYY receptors are then detected using methods known in the art. Purified test compounds can also be directly coated on plates used in the aforementioned drug screening techniques. Additionally, if the test compound is a protein, antibodies can be used to capture the protein and immobilize it on a solid support by methods known in the art.
可以使用竞争筛选分析法,其中能特异性结合本发明多肽的中和抗体与试验化合物竞争性地结合多肽。在该方法中,抗体可用于检测与PYY激动剂共享一个或多个抗原决定簇的任何肽的存在。放射性标记的竞争性结合研究在Lin,A.H.等人,Antimicrobial Agents and Chemotherapy41(10):2127-2131(1997)中作了描述,其公开的内容全文引入本文作为参考。Competitive screening assays can be used in which neutralizing antibodies that specifically bind a polypeptide of the invention compete with test compounds for binding to the polypeptide. In this method, antibodies can be used to detect the presence of any peptide that shares one or more antigenic determinants with the PYY agonist. Competitive binding studies of radiolabels are described in Lin, A.H. et al., Antimicrobial Agents and Chemotherapy 41(10):2127-2131 (1997), the disclosure of which is incorporated herein by reference in its entirety.
传送剂化合物delivery agent compound
传送剂化合物可以是下述文献中描述的任何化合物:美国专利5,650,386和5,866,536以及国际申请公开号WO94/23767、WO95/11690、WO95/28920、WO95/28838、WO96/10396、WO96/09813、WO96/12473、WO96/12475、WO96/30036、WO96/33699、WO97/31938、WO97/36480、WO98/21951、WO98/25589、WO98/34632、WO98/49135、WO99/16427、WO00/06534、WO00/07979、WO00/40203、WO00/46182、WO00/47188、WO00/48589、WO00/50386、WO00/59863、WO00/59480、WO01/32130、WO01/32596、WO01/34114、WO01/44199、WO01/51454、WO01/70219、WO01/92206、WO02/02509、WO02/15959、WO02/16309、WO02/20466、WO02/19969、WO02/070438、WO03/026582、WO02/100338、WO03/045306和WO0326582,所有这些文献均引入本文作为参考。The delivery agent compound can be any of the compounds described in U.S. Patent Nos. 5,650,386 and 5,866,536 and International Application Publication Nos. 12473, WO96/12475, WO96/30036, WO96/33699, WO97/31938, WO97/36480, WO98/21951, WO98/25589, WO98/34632, WO98/49135, WO99/16427, WO00/06534, WO00/07979, WO00/40203, WO00/46182, WO00/47188, WO00/48589, WO00/50386, WO00/59863, WO00/59480, WO01/32130, WO01/32596, WO01/34114, WO01/44199, WO01/51454, WO01/ 70219, WO01/92206, WO02/02509, WO02/15959, WO02/16309, WO02/20466, WO02/19969, WO02/070438, WO03/026582, WO02/100338, WO03/045306 and WO0326582, all of which are incorporated herein Reference.
传送剂化合物非限制性的实例包括N-(8-[2-羟基苯甲酰基]-氨基)辛酸、N-(10-[2-羟基苯甲酰基]-氨基)癸酸、8-(2-羟基-4-甲氧基苯甲酰氨基)辛酸,8-(2,6-二羟苯甲酰氨基)辛酸、8-(2-羟基-5-溴苯甲酰氨基)辛酸、8-(2-羟基-5-氯苯甲酰氨基)辛酸、8-(2-羟基-5-碘苯甲酰氨基)辛酸、8-(2-羟基-5-甲基苯甲酰氨基)辛酸、8-(2-羟基-5-氟苯甲酰氨基)辛酸、8-(2-羟基-5-甲氧基苯甲酰氨基)辛酸、8-(3-羟基苯氧基)辛酸、8-(4-羟基苯氧基)辛酸、6-(2-氰基苯氧基)己酸、8-(2-羟基苯氧基)辛基-二乙醇胺、8-(4-羟基苯氧基)辛酸酯盐、8-(4-羟基苯氧基)辛酸盐、8-(2-羟基-4-甲氧基苯甲酰氨基)辛酸、8-(2-羟基-5-甲氧基苯甲酰氨基)-辛酸以及它们的盐。优选的盐包括但不限于一钠和二钠盐。Non-limiting examples of delivery agent compounds include N-(8-[2-hydroxybenzoyl]-amino)octanoic acid, N-(10-[2-hydroxybenzoyl]-amino)decanoic acid, 8-(2 -Hydroxy-4-methoxybenzamido) octanoic acid, 8-(2,6-dihydroxybenzamido) octanoic acid, 8-(2-hydroxy-5-bromobenzamido) octanoic acid, 8- (2-Hydroxy-5-chlorobenzamido) octanoic acid, 8-(2-hydroxy-5-iodobenzamido) octanoic acid, 8-(2-hydroxy-5-methylbenzamido) octanoic acid, 8-(2-Hydroxy-5-fluorobenzamido) octanoic acid, 8-(2-hydroxy-5-methoxybenzamido) octanoic acid, 8-(3-hydroxyphenoxy) octanoic acid, 8- (4-Hydroxyphenoxy)octanoic acid, 6-(2-cyanophenoxy)hexanoic acid, 8-(2-hydroxyphenoxy)octyl-diethanolamine, 8-(4-hydroxyphenoxy) Octanoate, 8-(4-hydroxyphenoxy)octanoate, 8-(2-hydroxy-4-methoxybenzamido)octanoic acid, 8-(2-hydroxy-5-methoxy Benzamido)-octanoic acid and their salts. Preferred salts include, but are not limited to, the monosodium and disodium salts.
传送剂化合物可以是羧酸或其可药用盐如钠盐、以及其水合物和溶剂化物的形式。这些盐可以是单价或多价盐,如一钠盐和二钠盐。这些传送剂化合物可以含有例如由于它们对修饰载体的溶出性质的作用而选择的不同抗衡离子。The delivery agent compound may be in the form of a carboxylic acid or a pharmaceutically acceptable salt thereof, such as sodium salt, as well as hydrates and solvates thereof. These salts may be monovalent or polyvalent salts, such as monosodium and disodium salts. These delivery agent compounds may contain different counterions selected for example due to their effect on modifying the dissolution properties of the carrier.
传送剂化合物可以通过本领域已知的方法制备,如在前述的申请公开(例如国际公开号WO 98/34632、WO 00/07979、WO 01/44199、WO01/32596、WO 02/20466和WO 03/045306)中详述的那些。SNAC、SNAD及其游离酸和其它盐可以通过本领域已知的任何方法来制备,例如通过美国专利号5,650,386和5,866,536中描述的方法来制备。Delivery agent compounds can be prepared by methods known in the art, as disclosed in the aforementioned applications (e.g. International Publication Nos. /045306). SNAC, SNAD, and their free acids and other salts can be prepared by any method known in the art, for example by the methods described in US Patent Nos. 5,650,386 and 5,866,536.
本发明传送剂化合物的盐可以通过本领域已知的方法制备。例如,钠盐可以通过将传送剂化合物溶解在乙醇中并加入氢氧化钠水溶液来制备。Salts of the delivery agent compounds of the present invention can be prepared by methods known in the art. For example, the sodium salt can be prepared by dissolving the delivery agent compound in ethanol and adding aqueous sodium hydroxide.
传送剂化合物可以通过重结晶或通过在一个或多个单独或串联的固态色谱固定相分馏来纯化。适宜的重结晶溶剂体系包括但不限于乙腈、甲醇和四氢呋喃。分馏可如下进行:在适宜的色谱固定相如氧化铝上采用甲醇/正丙醇混合物作为流动相来进行;采用三氟乙酸/乙腈混合物作为流动相进行反相色谱法分离;和采用水或适当缓冲液作为流动相进行离子交换色谱法。当进行阴离子交换色谱法时,优选采用0-500mM的氯化钠梯度。The transporter compound can be purified by recrystallization or by fractional distillation on one or more solid-state chromatographic stationary phases, either alone or in series. Suitable solvent systems for recrystallization include, but are not limited to, acetonitrile, methanol, and tetrahydrofuran. Fractional distillation can be carried out as follows: on a suitable chromatographic stationary phase such as alumina using a methanol/n-propanol mixture as the mobile phase; reverse phase chromatography using a trifluoroacetic acid/acetonitrile mixture as the mobile phase; and separation using water or a suitable The buffer was used as the mobile phase for ion exchange chromatography. When anion exchange chromatography is performed, a sodium chloride gradient of 0-500 mM is preferably employed.
传送系统delivery system
本发明的组合物包含一种或多种本发明的传送剂化合物和/或一种或多种PYY和PYY激动剂。传送剂化合物和PYY和/或PYY激动剂通常在给药之前混合形成给药组合物。Compositions of the invention comprise one or more delivery agent compounds of the invention and/or one or more PYY and PYY agonists. The delivery agent compound and PYY and/or PYY agonist are usually mixed to form a dosing composition prior to administration.
该组合物可以包含一种或多种降低食物摄取、降低血浆葡萄糖或改变血浆脂质的治疗剂,如胰岛淀粉样多肽、胰岛淀粉样多肽激动剂、CCK或CCK激动剂、瘦蛋白或瘦蛋白激动剂或exendin或exendin激动剂。The composition may comprise one or more therapeutic agents that reduce food intake, lower plasma glucose, or alter plasma lipids, such as amylin, an amylin agonist, CCK or a CCK agonist, leptin or leptin Agonist or exendin or exendin agonist.
给药组合物可以是液体的形式。溶液介质可以是水、25%丙二醇水溶液或磷酸盐缓冲液。其它给药载体包括聚乙二醇。给药溶液可以恰好在给药之前将传送剂化合物的溶液与活性剂的溶液混合来制备。或者,可以将传送剂化合物(或PYY、PYY激动剂或其混合物)的溶液与固体形式的PYY或PYY激动剂(或传送剂化合物)混合。也可以将传送剂化合物与PYY、PYY激动剂或其混合物以干粉的形式混合。还可以将传送剂化合物与PYY、PYY激动剂或其混合物在制备过程中混合。Compositions for administration may be in liquid form. The solution medium can be water, 25% propylene glycol in water or phosphate buffered saline. Other administration carriers include polyethylene glycols. Dosing solutions can be prepared by mixing a solution of the delivery agent compound with a solution of the active agent just prior to administration. Alternatively, a solution of a delivery agent compound (or PYY, a PYY agonist or a mixture thereof) may be mixed with PYY or a PYY agonist (or delivery agent compound) in solid form. The delivery agent compound can also be mixed with PYY, a PYY agonist, or a mixture thereof as a dry powder. The delivery agent compound can also be mixed with PYY, a PYY agonist, or mixtures thereof during the manufacturing process.
给药溶液可以任选地含有添加剂如磷酸盐缓冲盐、柠檬酸、乙二醇或其它分散剂。稳定添加剂可掺入到该溶液中,优选浓度为约0.1-20%(w/v)。Administration solutions may optionally contain additives such as phosphate buffered saline, citric acid, glycol or other dispersing agents. Stabilizing additives may be incorporated into the solution, preferably at a concentration of about 0.1-20% (w/v).
或者,该给药组合物可以是固体的形式,如片剂、胶囊或颗粒,如粉末或囊剂。固体剂型可以通过将固体形式的该化合物与固体形式的PYY、PYY激动剂或其混合物混合来制备。或者,固体可以通过本领域已知的方法如冻干(冷冻干燥)、沉淀、结晶和固体分散由化合物和PYY、PYY激动剂或其混合物的溶液获得。或者,该给药组合物可以是半固体,为凝胶(gel)、糊剂、胶体、凝胶体(gelatin)、乳剂或混悬液等的形式。Alternatively, the administration composition may be in the form of a solid, such as a tablet, capsule or granules, such as a powder or sachets. Solid dosage forms can be prepared by admixing solid form of the compound with solid form of PYY, a PYY agonist, or mixtures thereof. Alternatively, solids can be obtained from solutions of compounds and PYY, PYY agonists or mixtures thereof by methods known in the art such as lyophilization (freeze drying), precipitation, crystallization and solid dispersion. Alternatively, the administration composition may be semi-solid, in the form of a gel, paste, colloid, gelatin, emulsion or suspension, and the like.
本发明的给药组合物还可以包含一种或多种酶抑制剂。这类酶抑制剂包括但不限于诸如放线酰胺素(actinonin)或表放线酰胺素(epiactinonin)及其衍生物的化合物。其它酶抑制剂包括但不限于抑肽酶(Trasylol)和Bowman-Birk抑制剂。The administration compositions of the invention may also contain one or more enzyme inhibitors. Such enzyme inhibitors include, but are not limited to, compounds such as actinonin or epiactinonin and derivatives thereof. Other enzyme inhibitors include, but are not limited to, aprotinin (Trasylol) and Bowman-Birk inhibitors.
用于本发明的给药组合物的PYY和/或PYY激动剂的量为有效治疗目标适应症的量。然而,当组合物以剂量单位形式使用时,该量可以低于上述量,因为剂量单位形式可能含有传送剂化合物/PYY或PYY激动剂的多个组合物或者可能含有分开有效量。因此,总有效量可以累计单位施用,这些单位总体含有有效量的PYY、PYY激动剂或其混合物。而且,本领域技术人员将认识到PYY、PYY激动剂或其混合物的有效量将随多种因素而变化,包括患者的年龄和体重、患者的身体状况、血糖水平、所欲获得的体重水平以及其它因素。The amount of PYY and/or PYY agonist used in the administered compositions of the present invention is an amount effective to treat the intended indication. However, when the composition is used in dosage unit form, the amount may be lower than the above amounts, since a dosage unit form may contain multiple combinations of delivery agent compound/PYY or PYY agonist or may contain separate effective amounts. Thus, the total effective amount can be administered in cumulative units that collectively contain an effective amount of PYY, a PYY agonist, or a mixture thereof. Furthermore, those skilled in the art will recognize that an effective amount of PYY, a PYY agonist, or a mixture thereof will vary with a variety of factors, including the age and weight of the patient, the patient's physical condition, blood glucose levels, desired body weight level, and other factors.
PYY或PYY激动剂的总用量可通过本领域技术人员已知的方法来确定。然而,因为本发明的组合物与仅含PYY或PYY激动剂的组合物相比可以更有效地传送PYY或PYY激动剂,因此可给患者施用少于以往剂量单位形式或递药系统中用量的PYY或PYY激动剂,而仍然获得相同的血液水平和/或治疗效果。The total amount of PYY or PYY agonist used can be determined by methods known to those skilled in the art. However, because the compositions of the present invention can deliver PYY or a PYY agonist more effectively than compositions containing only PYY or a PYY agonist, patients can be administered less than previously used dosage unit forms or delivery systems. PYY or a PYY agonist while still achieving the same blood levels and/or therapeutic effect.
按照一个实施方案,与传送剂一起施用的PYY、PYY激动剂或其混合物的量为足以抑制食欲至期望水平的量。对于体重50kg的患者,PYY、PYY激动剂或其混合物抑制食欲的有效日剂量通常是单一剂量或分份剂量形式的约1μg至约5mg/天,优选约5μg至约2mg/天,更优选约5μg至500μg/天。优选本发明的剂型含有约0.01至约10μg/kg/剂量的PYY、PYY激动剂或其混合物。According to one embodiment, the amount of PYY, PYY agonist, or mixture thereof administered with the delivery agent is an amount sufficient to suppress appetite to a desired level. For a patient weighing 50 kg, an effective daily dose of PYY, a PYY agonist, or a mixture thereof to suppress appetite is generally from about 1 μg to about 5 mg/day, preferably from about 5 μg to about 2 mg/day, more preferably about 5 mg/day, in single or divided doses. 5 μg to 500 μg/day. Preferably, dosage forms of the present invention contain from about 0.01 to about 10 [mu]g/kg/dose of PYY, a PYY agonist, or a mixture thereof.
本发明还包括其中包含上述量的PYY、PYY激动剂或其混合物以及至少一种传送剂的药物组合物和剂型。The present invention also includes pharmaceutical compositions and dosage forms comprising the above-mentioned amounts of PYY, PYY agonists or mixtures thereof and at least one delivery agent.
通常便于传送PYY和/或PYY激动剂的有效量的传送剂与PYY、PYY激动剂或其混合物一起施用。通常,传送剂与PYY、PYY激动剂或其混合物的摩尔比为约25000∶1至约50∶1,优选约8000∶1至约100∶1,最优选约4000∶1至约300∶1。Typically, an effective amount of a delivery agent to facilitate delivery of PYY and/or a PYY agonist is administered with PYY, a PYY agonist, or a mixture thereof. Typically, the molar ratio of delivery agent to PYY, PYY agonist or mixture thereof is from about 25000:1 to about 50:1, preferably from about 8000:1 to about 100:1, most preferably from about 4000:1 to about 300:1.
本发明公开的传送剂化合物便于PYY、PYY激动剂或其混合物的传送,尤其是口服、鼻内、舌下、十二指肠内、皮下、口腔、结肠内、直肠、阴道、粘膜、经肺、经皮、皮内、胃肠道外、腹膜内、静脉内、肌内和眼系统中时,以及穿透血脑屏障。本发明的组合物和剂量单位形式可经上述任何途径施用。The delivery agent compounds disclosed herein facilitate the delivery of PYY, PYY agonists, or mixtures thereof, especially oral, intranasal, sublingual, intraduodenal, subcutaneous, buccal, intracolonic, rectal, vaginal, mucosal, pulmonary , percutaneous, intradermal, parenteral, intraperitoneal, intravenous, intramuscular, and ocular, as well as cross the blood-brain barrier. The compositions and dosage unit forms of the invention may be administered by any of the routes described above.
当口服施用于人时,本发明的组合物和剂量单位形式在体内可获得PYY[3-36]的已知治疗水平,如在Batterham等人,Nature 418:650-654(2002)中列举的那些。The compositions and dosage unit forms of the present invention achieve known therapeutic levels of PYY [3-36] in vivo when administered orally to humans, as set forth in Batterham et al., Nature 418:650-654 (2002) Those ones.
剂量单位形式还可以包含赋形剂、稀释剂、崩解剂、润滑剂、增塑剂、着色剂、香料、掩味剂、糖、甜味剂、盐和给药载体中的任何一种或其组合,包括但不限于水、1,2-丙二醇、乙醇、橄榄油或它们的任意组合。The dosage unit form may also contain any one of excipients, diluents, disintegrants, lubricants, plasticizers, colorants, flavors, taste-masking agents, sugars, sweeteners, salts, and administration carriers or Combinations thereof include but are not limited to water, 1,2-propanediol, ethanol, olive oil or any combination thereof.
本发明的化合物和组合物可用于将生物或化学活性治疗剂施用于任何动物,包括但不限于鸟类如鸡;鱼,爬行动物,哺乳动物如啮齿类、牛、猪、狗、猫、灵长类且尤其是人,以及昆虫。The compounds and compositions of the present invention are useful for administering biologically or chemically active therapeutic agents to any animal including, but not limited to, birds such as chickens; fish, reptiles, mammals such as rodents, cattle, pigs, dogs, cats, squirrels Long species and especially humans, and insects.
实施例Example
以下实施例用于非限制性地举例说明本发明。除非另有陈述,所有部分都按重量给出。The following examples serve to illustrate the invention without limitation. All parts are given by weight unless otherwise stated.
实施例1-大鼠中PYY[3-36]的液体口服传送Example 1 - Liquid Oral Delivery of PYY[3-36] in Rats
如下制备传送剂化合物和肽YY残基3-36(PYY[3-36])(可从加拿大托兰斯的Bachem California Inc.,获得)在去离子水中的口服强饲(PO)给药溶液。Oral gavage (PO) dosing solutions of the delivery agent compound and peptide YY residues 3-36 (PYY[3-36]) (available from Bachem California Inc., Torrance, Canada) in deionized water were prepared as follows .
传送剂1(SNAC)和PYY[3-36]的给药溶液的制备如下。将SNAC一钠盐固体溶于水中。该溶液的pH接近7.5,因此不必调节pH。将等分试样的该SNAC溶液与等分试样的PYY溶液(pH7.5)混合。按照该步骤制备100或200mg/kg SNAC和0.1或0.5mg/kg PYY[3-36]的溶液。这些溶液的最终pH为7.5。Dosing solutions of Delivery Agent 1 (SNAC) and PYY[3-36] were prepared as follows. Dissolve SNAC monosodium salt solid in water. The pH of this solution was close to 7.5, so no pH adjustment was necessary. An aliquot of this SNAC solution was mixed with an aliquot of the PYY solution (pH 7.5). Follow this procedure to prepare solutions of 100 or 200 mg/kg SNAC and 0.1 or 0.5 mg/kg PYY[3-36]. The final pH of these solutions was 7.5.
传送剂2一钠盐(SNAD)和PYY[3-36]的给药溶液的制备如下。将固态的SNAD二钠盐溶于水中。所得溶液的pH为11.1。然后通过加入HCl(5N)将其pH调低到7.7。然后将等分试样的SNAD溶液等分试样的PYY[3-36]溶液(pH7.5)混合。按照该步骤制备100或200mg/kg SNAD和0.1或0.5mg/kg PYY[3-36]的溶液。这些溶液的最终pH在7.5-7.6之间变化。Dosing solutions of delivery agent 2 monosodium salt (SNAD) and PYY[3-36] were prepared as follows. Dissolve the solid disodium salt of SNAD in water. The resulting solution had a pH of 11.1. Its pH was then adjusted down to 7.7 by adding HCl (5N). An aliquot of the SNAD solution was then mixed with an aliquot of the PYY[3-36] solution (pH 7.5). Follow this procedure to prepare solutions of 100 or 200 mg/kg SNAD and 0.1 or 0.5 mg/kg PYY[3-36]. The final pH of these solutions varied between 7.5-7.6.
传送剂4-15一钠盐和PYY[3-36]的给药溶液的制备如下。将各传送剂化合物(游离酸或一钠盐形式)溶于水中。根据需要加入HCl(5N)和NaOH(5N)将其pH调至约7.5。然后将等分试样的传送剂溶液与等分试样的PYY[3-36]溶液(pH7.5)混合。按照该步骤制备200mg/kg的传送剂和0.3mg/kg PYY[3-36]的溶液。这些溶液的最终pH为约7.5。Dosing solutions of delivery agents 4-15 monosodium salt and PYY[3-36] were prepared as follows. Each delivery agent compound (free acid or monosodium salt form) was dissolved in water. The pH was adjusted to about 7.5 by adding HCl (5N) and NaOH (5N) as needed. An aliquot of the delivery agent solution was then mixed with an aliquot of the PYY[3-36] solution (pH 7.5). Follow this procedure to prepare a solution of 200 mg/kg of delivery agent and 0.3 mg/kg of PYY[3-36]. The final pH of these solutions was about 7.5.
典型的给药和取样方案如下。将体重240-320g的雄性Sprague-Dawley大鼠在试验前禁食至最多24小时,在施用试验制品之前经肌内注射施用氯胺酮(44mg/kg)和氯丙嗪(1.5mg/kg)。之后,通过口服强饲给麻醉动物施用试验制品。对给药组的五只动物施用所述给药溶液之一。对于口服强饲(PO),采用11cm的Rusch 8 French导管适合于带有吸管端的1ml注射器。经导管吸取溶液,使注射器填充有给药溶液,然后擦干导管。将导管置入食管,留1cm试管通过切牙。压注射器柱塞施用给药溶液。A typical dosing and sampling protocol is as follows. Male Sprague-Dawley rats weighing 240-320 g were fasted for up to 24 hours prior to testing, and ketamine (44 mg/kg) and chlorpromazine (1.5 mg/kg) were administered intramuscularly prior to administration of the test article. Thereafter, the test article is administered to anesthetized animals by oral gavage. One of the dosing solutions was administered to five animals of the dosing group. For oral gavage (PO) an 11 cm Rusch 8 French catheter fitted to a 1 ml syringe with a straw tip was used. Aspirate the solution through the catheter, fill the syringe with the dosing solution, and wipe the catheter dry. The catheter was inserted into the esophagus, leaving 1 cm of the test tube through the incisor. Depress the syringe plunger to administer the dosing solution.
经尾动脉或心脏穿刺连续收集血样,通常在时间=0、15、30、45、60和90分钟时收集。采用PYY[3-36]放射免疫测定法(目录号RK-059-02,Phoenix Pharmaceuticals,Inc.,Belmont,CA)测量血清PYY浓度。将各时间点由各组动物获得的结果取平均值。这些平均值中的最大值(即平均血清PYY[3-36]浓度峰值±标准差(SD))报道于下述表1中。当动物仅口服给予PYY[3-36]时,在血中没有检测到明显的PYY[3-36]。用传送剂SNAC和SNAD所得的结果(±标准差)也分别显示于图1和2中。Blood samples were collected serially via tail artery or cardiac puncture, typically at time = 0, 15, 30, 45, 60 and 90 minutes. Serum PYY concentrations were measured using the PYY[3-36] radioimmunoassay (Cat. No. RK-059-02, Phoenix Pharmaceuticals, Inc., Belmont, CA). The results obtained from each group of animals at each time point were averaged. The maximum of these means (ie mean peak serum PYY[3-36] concentration ± standard deviation (SD)) is reported in Table 1 below. When animals were given PYY only orally [3-36], no significant PYY was detected in the blood [3-36]. The results (± SD) obtained with the delivery agents SNAC and SNAD are also shown in Figures 1 and 2, respectively.
表1.
大鼠中PYY[3-36]的口服传送
传送剂1为N-(8-[2-羟基苯甲酰基]-氨基)辛酸一钠盐(SNAC)。Delivery Agent 1 was N-(8-[2-hydroxybenzoyl]-amino)caprylic acid monosodium salt (SNAC).
传送剂2为N-(10-[2-羟基苯甲酰基]-氨基)癸酸一钠盐(SNAD)。Delivery agent 2 was N-(10-[2-hydroxybenzoyl]-amino)decanoic acid monosodium salt (SNAD).
传送剂4为8-(2-羟基-4-甲氧基苯甲酰氨基)辛酸一钠盐。Delivery agent 4 was 8-(2-hydroxy-4-methoxybenzamido) octanoic acid monosodium salt.
传送剂5为8-(2,6-二羟基苯甲酰氨基)辛酸一钠盐。Delivery agent 5 was 8-(2,6-dihydroxybenzamido) octanoic acid monosodium salt.
传送剂6为8-(2-羟基-5-溴苯甲酰氨基)辛酸一钠盐。Delivery agent 6 was 8-(2-hydroxy-5-bromobenzamido) octanoic acid monosodium salt.
传送剂7为8-(2-羟基-5-氯苯甲酰氨基)辛酸一钠盐。Delivery agent 7 was 8-(2-hydroxy-5-chlorobenzamido) octanoic acid monosodium salt.
传送剂8为8-(2-羟基-5-碘苯甲酰氨基)辛酸一钠盐。Delivery agent 8 was 8-(2-hydroxy-5-iodobenzamido) octanoic acid monosodium salt.
传送剂9为8-(2-羟基-5-甲基苯甲酰氨基)辛酸一钠盐。Delivery agent 9 was 8-(2-hydroxy-5-methylbenzamido) octanoic acid monosodium salt.
传送剂10为8-(2-羟基-5-氟苯甲酰氨基)辛酸一钠盐。Delivery agent 10 was 8-(2-hydroxy-5-fluorobenzamido) octanoic acid monosodium salt.
传送剂11为8-(2-羟基-5-甲氧基苯甲酰氨基)辛酸一钠盐。Delivery agent 11 was 8-(2-hydroxy-5-methoxybenzamido) octanoic acid monosodium salt.
传送剂12为8-(3-羟基苯氧基)辛酸一钠盐。Delivery agent 12 was 8-(3-hydroxyphenoxy) octanoic acid monosodium salt.
传送剂13为8-(4-羟基苯氧基)辛酸一钠盐。Delivery agent 13 was 8-(4-hydroxyphenoxy) octanoic acid monosodium salt.
传送剂14为6-(2-氰基苯氧基)己酸一钠盐。Delivery agent 14 was 6-(2-cyanophenoxy)hexanoic acid monosodium salt.
传送剂15为8-(2-羟基苯氧基)辛基-二乙醇胺一钠盐。
实施例2大鼠中肽YY[3-36]的腹膜内传送Example 2 Intraperitoneal Delivery of Peptide YY [3-36] in Rats
在无菌盐水溶液(0.9%氯化钠,pH 7.5)中制备PYY[3-36]的腹膜内给药溶液。典型的给药和取样方案如下。将体重240-320g的雄性Solutions for intraperitoneal administration of PYY[3-36] were prepared in sterile saline solution (0.9% sodium chloride, pH 7.5). A typical dosing and sampling protocol is as follows. Males weighing 240-320g
Sprague-Dawley大鼠在试验前禁食至最多24小时,在施用试验制品之前经肌内注射施用氯胺酮(44mg/kg)和氯丙嗪(1.5mg/kg)。之后,通过腹膜内注射给麻醉动物施用试验制品。对给药组的五只动物施用所述给药溶液之一。Sprague-Dawley rats were fasted for a maximum of 24 hours prior to testing, and ketamine (44 mg/kg) and chlorpromazine (1.5 mg/kg) were administered intramuscularly prior to administration of the test article. Thereafter, the test article is administered to anesthetized animals by intraperitoneal injection. One of the dosing solutions was administered to five animals of the dosing group.
经尾动脉或心脏穿刺连续收集血样,通常在时间=0、15、30、45、60和90分钟时收集。采用PYY[3-36]放射免疫测定法(目录号RK-059-02,Phoenix Pharmaceuticals,Inc.,Belmont,CA)测量血清PYY浓度。将各时间点由各组动物获得的结果取平均值。这些平均值中的最大值(即平均血清PYY浓度峰值)报道于下述表2。所得的结果(±标准差)还显示于图3中。Blood samples were collected serially via tail artery or cardiac puncture, typically at time = 0, 15, 30, 45, 60 and 90 minutes. Serum PYY concentrations were measured using the PYY[3-36] radioimmunoassay (Cat. No. RK-059-02, Phoenix Pharmaceuticals, Inc., Belmont, CA). The results obtained from each group of animals at each time point were averaged. The maximum of these means (ie, the mean peak serum PYY concentration) is reported in Table 2 below. The obtained results (± standard deviation) are also shown in FIG. 3 .
表2.大鼠中PYY[3-36]的腹膜内(IP)传送Table 2. Intraperitoneal (IP) Delivery of PYY[3-36] in Rats
实施例3-大鼠PYY[3-36]的固体口服传送Example 3 - Solid Oral Delivery of PYY[3-36] in Rats
实施例3a.固体PYY3-36对限制喂养大鼠的施用 Example 3a. Administration of Solid PYY3-36 to Restricted Rats
使用以去离子水制备的PYY[3-36]储备液(80mg/ml)。A stock solution of PYY[3-36] (80 mg/ml) prepared in deionized water was used.
加入约0.08mg/片(约0.3mg/kg)的PYY(约1μl)并与约13.5或约27mg/片(约50或100mg/kg)的传送剂混合。将Natoli Engineering Company,Inc.销售的带有小胶囊形模具的Carver 4350手工压片机的上冲、下冲和冲模用硬脂酸镁(0.1%)处理。将约13.58或约27.08mg的混合粉末输入冲模并在约1000PSI bar压力下制备成小球形片剂。所得固体剂型当为27.08mg时其大小约为标准9号胶囊的尺寸(直径约2.65mm,长约8.40mm),当为13.58mg固体时为直径约2.65mm且长约4.20mm。About 0.08 mg/tablet (about 0.3 mg/kg) of PYY (about 1 μl) was added and mixed with about 13.5 or about 27 mg/tablet (about 50 or 100 mg/kg) of delivery agent. The punches, punches, and dies of a Carver 4350 manual tablet press with small capsule-shaped dies sold by Natoli Engineering Company, Inc. were treated with magnesium stearate (0.1%). About 13.58 or about 27.08 mg of the blended powder was fed into a die and prepared into small spherical tablets under a pressure of about 1000 PSI bar. The resulting solid dosage form was about the size of a standard size 9 capsule (about 2.65 mm in diameter and about 8.40 mm in length) at 27.08 mg and about 2.65 mm in diameter and about 4.20 mm in length at 13.58 mg solid.
将雄性Sprague Dawley大鼠(约260-约280g)禁食过夜,然后用标准CO2吸入技术麻醉约10至30秒,使之处于麻醉状态约不到一分钟,优选约10秒至约30秒。Male Sprague Dawley rats (approximately 260 to approximately 280 g) were fasted overnight and then anesthetized for approximately 10 to 30 seconds using standard CO2 inhalation techniques, allowing them to remain under anesthesia for approximately less than one minute, preferably approximately 10 seconds to approximately 30 seconds .
使用口服给药管。将给药管插入大鼠口中并小心沿大鼠的咽和食管插入约8cm至约15cm,这取决于大鼠的体重(通常约11cm)。通过压口服给药管的柱塞将固体剂型传送到末端食管和/或胃内。Use an oral tube. The dosing tube is inserted into the rat's mouth and carefully inserted about 8 cm to about 15 cm along the rat's pharynx and esophagus, depending on the rat's body weight (usually about 11 cm). The solid dosage form is delivered into the distal esophagus and/or stomach by depressing the plunger of the oral administration tube.
经尾动脉或心脏穿刺连续收集血样,或者在这种情形下通过后眼眶取血,通常在时间=0、15、30、60和90分钟时收集。采用PYY[3-36]放射免疫测定法(目录号RK-059-02,Phoenix Pharmaceuticals,Inc.,Belmont,CA)测量血清PYY浓度。将各时间点由各组动物获得的结果取平均值。这些平均值中的最大值(即平均血清PYY[3-36]浓度峰值)报道于下述表3。Blood samples were collected serially via tail artery or cardiac puncture, or in this case retro-orbital bleeding, typically at time = 0, 15, 30, 60 and 90 minutes. Serum PYY concentrations were measured using the PYY[3-36] radioimmunoassay (Cat. No. RK-059-02, Phoenix Pharmaceuticals, Inc., Belmont, CA). The results obtained from each group of animals at each time point were averaged. The maximum of these means (ie mean peak serum PYY[3-36] concentration) is reported in Table 3 below.
表3.
限制喂养的大鼠中PYY[3-36]的口服传送
传送剂16为N-(10-[2-羟基苯甲酰基]-氨基)癸酸二钠盐(SNAD)。Delivery agent 16 is N-(10-[2-hydroxybenzoyl]-amino)decanoic acid disodium salt (SNAD).
传送剂17为8-(4-羟基苯氧基)辛酸二钠盐。Delivery agent 17 was 8-(4-hydroxyphenoxy) octanoic acid disodium salt.
传送剂18为8-(4-羟基苯氧基)辛酸酯一钠盐。Delivery agent 18 was 8-(4-hydroxyphenoxy) caprylate monosodium salt.
传送剂19为8-(2-羟基-4-甲氧基苯甲酰氨基)辛酸二钠盐。Delivery agent 19 was 8-(2-hydroxy-4-methoxybenzamido) octanoic acid disodium salt.
传送剂20为8-(2-羟基-5-甲氧基苯甲酰氨基)辛酸二钠盐。Delivery agent 20 was 8-(2-hydroxy-5-methoxybenzamido) octanoic acid disodium salt.
甘露醇用作对照剂。Mannitol was used as a control.
实施例3b.固体PYY[3-36]对非限制喂养大鼠的施用 Example 3b. Administration of solid PYY[3-36] to non-restricted fed rats
除了在施用固体剂型之前没有对大鼠采取食物限制外,按实施例3a中的描述给大鼠接受由PYY[3-36]和载体组成的固体口服剂型。在各时间点测定每只动物的血清PYY浓度,将各时间点由各组动物获得的结果取平均值。这些平均值中的最大值(即平均血清PYY[3-36]浓度峰值±标准差(SD))报道于下述表4。Rats received a solid oral dosage form consisting of PYY [3-36] and vehicle as described in Example 3a, except that no food restriction was imposed on the rats prior to administration of the solid dosage form. The serum PYY concentration of each animal was measured at each time point, and the results obtained from each group of animals at each time point were averaged. The maximum of these means (ie mean peak serum PYY[3-36] concentration ± standard deviation (SD)) is reported in Table 4 below.
表4.
非限制喂养的大鼠中PYY[3-36]的口服传送
实施例3c.限制喂养大鼠中微型片的施用 Example 3c. Administration of Minitablets in Restricted-Fed Rats
将雄性Sprague Dawley大鼠禁食过夜。通过物理混合和压制制备含PYY[3-36]和SNAD的微型片(直径约2.5mm),然后通过口服强饲施用于大鼠。用放射免疫测定法测定血清PYY[3-36]水平。在施用分别含0.3和100mg/kg(体重)的PYY[3-36]及SNAD的一片微型片后,血清PYY[3-36]增至940±74pg/ml(n=5,均值±s.e.m.),并保持在基线水平之上达90分钟。当单独施用PYY[3-36]或SNAD时没有检测到血清PYY[3-36]的变化。Male Sprague Dawley rats were fasted overnight. Microtablets (about 2.5 mm in diameter) containing PYY[3-36] and SNAD were prepared by physical mixing and compression, and then administered to rats by oral gavage. Serum PYY[3-36] levels were measured by radioimmunoassay. Serum PYY[3-36] increased to 940±74 pg/ml after administration of one microtablet containing 0.3 and 100 mg/kg (body weight) of PYY[3-36] and SNAD, respectively (n=5, mean±s.e.m.) , and remain above baseline for 90 minutes. No changes in serum PYY[3-36] were detected when PYY[3-36] or SNAD were administered alone.
90分钟测试时间中的结果如图6所示。The results during the 90 minute test period are shown in FIG. 6 .
实施例4-猕猴(Rhesus Monkey)中肽YY(PYY[3-36]固体口服传送Peptide YY (PYY[3-36] Solid Oral Delivery in Rhesus Monkey (Rhesus Monkey)) in Example 4
逐渐加入约1mg/片的PYY固体粉末并与50或100mg/片传送剂混合。将Natoli Engineering Company,Inc.销售的带有小胶囊形模具的Carver4350手工压片机的上冲、下冲和冲模用硬脂酸镁(0.1%)处理。将约51或约101mg的混合粉末输入冲模并在约1000PSI bar压力下制备成小球形片剂。所得固体剂型当为51mg固体时其直径约3mm且高约1mm,当为101mg固体时为直径约3mm且高约2mm。About 1 mg/tablet of PYY solid powder was gradually added and mixed with 50 or 100 mg/tablet delivery agent. The punches, punches, and dies of a Carver 4350 manual tablet press with small capsule-shaped dies sold by Natoli Engineering Company, Inc. were treated with magnesium stearate (0.1%). About 51 or about 101 mg of the blended powder was fed into a die and prepared into small spherical tablets under a pressure of about 1000 PSI bar. The resulting solid dosage form was about 3 mm in diameter and about 1 mm in height at 51 mg solids and about 3 mm in diameter and about 2 mm in height at 101 mg solids.
对于各剂量水平,在试验前将重3.5-5.0kg的2只雄性和2只雌性猕猴禁食过夜,在固体给药约2小时后恢复进食。在给药前后30分钟期间,除用于给药的水外,停止喂水。For each dose level, 2 male and 2 female rhesus monkeys weighing 3.5-5.0 kg were fasted overnight prior to testing and resumed approximately 2 hours after solid administration. During the 30 minutes before and after dosing, water feeding was stopped except for the water used for dosing.
使用弹丸枪将各固体剂型传送到口腔后部。在固体剂型释放后,给予5ml反渗水至口腔以便于吞咽。传送之后,检查口腔以确保固体被吞咽。Each solid dosage form was delivered to the back of the mouth using a pellet gun. After release of the solid dosage form, 5 ml of reverse osmosis water was administered to the oral cavity to facilitate swallowing. After delivery, check the mouth to ensure solids have been swallowed.
从股静脉、臂静脉或隐静脉连续收集血样(约1.3ml),通常在时间=0(给药前)和给药后10、20、30、45、60、90、150、240和360分钟时收集。将样品置于血清分离管中,并在室温下放置30-45分钟以使其凝固。然后将样品在2500rpm下于约2-8℃离心10分钟。将所得血清转移到试管内并置于干冰上,然后在-70±10℃下冷冻贮藏至检测。采用PYY[3-36]放射免疫测定法(目录号RK-059-02,Phoenix Pharmaceuticals,Inc.,Belmont,CA)测量血清PYY浓度。将各时间点由各组动物获得的结果取平均值。这些平均值中的最大值(即平均血清PYY[3-36]浓度峰值±标准差)报道于下述表4。该结果(±标准差)还显示于图5中。Serial blood samples (approximately 1.3 ml) were collected from the femoral, brachial, or saphenous veins, typically at time = 0 (pre-dose) and 10, 20, 30, 45, 60, 90, 150, 240, and 360 minutes post-dose when collected. Place samples in serum separation tubes and allow to clot at room temperature for 30-45 minutes. The samples were then centrifuged at about 2-8°C for 10 minutes at 2500 rpm. The resulting sera were transferred into test tubes and placed on dry ice, then stored frozen at -70±10°C until assayed. Serum PYY concentrations were measured using the PYY[3-36] radioimmunoassay (Cat. No. RK-059-02, Phoenix Pharmaceuticals, Inc., Belmont, CA). The results obtained from each group of animals at each time point were averaged. The maximum of these means (ie mean peak serum PYY[3-36] concentrations ± standard deviation) is reported in Table 4 below. The results (± standard deviation) are also shown in FIG. 5 .
表4.
猕猴中PYY的口服传送
传送剂1为N-(8-[2-羟基苯甲酰基]-氨基)辛酸一钠盐(SNAC)。Delivery Agent 1 was N-(8-[2-hydroxybenzoyl]-amino)caprylic acid monosodium salt (SNAC).
实施例5-口服施用PYY[3-36]对4小时食物摄入的影响Example 5 - Effect of Oral Administration of PYY[3-36] on 4-Hour Food Intake
用去离子水制备的PYY[3-36]储备液(80mg/ml)用于制备PYY[3-36]片剂。A stock solution of PYY[3-36] (80 mg/ml) prepared in deionized water was used to prepare PYY[3-36] tablets.
加入约0.132mg/片(约0.5mg/kg)的PYY[3-36](约1.7μl)并与约27mg/片(100mg/kg)的传送剂SNAD混合。将带有小胶囊形模具的Carver 4350手工压片机(可从Natoli Engineering Company,Inc.获得)的上冲、下冲和冲模用硬脂酸镁(0.1%)处理。将约27.132mg的混合PYY[3-36]/SNAD粉末输入冲模并在约1000PSI bar压力下制备成小球形片剂。所得固体剂型的大小约为标准9号胶囊的尺寸(直径约2.65mm,长约8.40mm)。About 0.132 mg/tablet (about 0.5 mg/kg) of PYY[3-36] (about 1.7 μl) was added and mixed with about 27 mg/tablet (100 mg/kg) of the delivery agent SNAD. The punches, punches, and dies of a Carver 4350 manual tablet press (available from Natoli Engineering Company, Inc.) with caplet-shaped dies were treated with magnesium stearate (0.1%). About 27.132 mg of blended PYY[3-36]/SNAD powder was fed into a die and prepared into small spherical tablets under a pressure of about 1000 PSI bar. The size of the resulting solid dosage form was about the size of a standard size 9 capsule (about 2.65 mm in diameter and about 8.40 mm in length).
安慰剂片只含SNAD,约27mg/片(100mg/kg),以同样方法制备。Placebo tablets containing only SNAD, approximately 27 mg/tablet (100 mg/kg), were prepared in the same manner.
雄性Sprague Dawley大鼠(约260至约280g)在给药前禁食24小时。每只大鼠给予一片PYY[3-36]/SNAD片剂或一片安慰剂片。Male Sprague Dawley rats (about 260 to about 280 g) were fasted for 24 hours prior to dosing. Each rat was given either one PYY[3-36]/SNAD tablet or one placebo tablet.
使用口服给药管。将给药管插入大鼠口中并小心沿大鼠的咽和食管插入约8cm至约15cm,这取决于大鼠的体重(通常约11cm)。通过压口服给药管的柱塞将固体剂型传送到末端食管和/或胃内。给药时未使用麻醉剂。Use an oral tube. The dosing tube is inserted into the rat's mouth and carefully inserted about 8 cm to about 15 cm along the rat's pharynx and esophagus, depending on the rat's body weight (usually about 11 cm). The solid dosage form is delivered into the distal esophagus and/or stomach by depressing the plunger of the oral administration tube. No anesthesia was used during the administration.
称取食物并在给药后一小时给予大鼠。四小时后,撤掉食物并称重。根据食物重量差测定消耗的食物量。Food was weighed and given to rats one hour after dosing. After four hours, food was removed and weighed. The amount of food consumed was determined from the difference in food weight.
以克表示的4小时累计食物摄入(平均值±s.e.m.)如表5和图7所示。双星号表示P<0.01。Cumulative 4-hour food intake in grams (mean ± s.e.m.) is shown in Table 5 and Figure 7. Double asterisks indicate P<0.01.
表5.
4小时食物摄入
如上表和图7所示,接受一片PYY[3-36]片剂的大鼠所消耗的食物显著少于接受一片安慰剂片的大鼠。As shown in the table above and Figure 7, rats receiving one PYY[3-36] tablet consumed significantly less food than rats receiving one placebo tablet.
实施例6-口服施用PYY[3-36]处理7天后体重增加和食物摄入的影响Example 6 - Effect of oral administration of PYY[3-36] on body weight gain and food intake after 7 days of treatment
用去离子水制备的PYY[3-36]储备液(110mg/ml)用于制备PYY[3-36]片剂。A stock solution of PYY[3-36] (110 mg/ml) prepared in deionized water was used to prepare PYY[3-36] tablets.
按照实施例6中描述的步骤制备含约0.11mg/片(约0.5mg/kg)PYY[3-36]和约16.5mg/片(75mg/kg)传送剂SNAD的微球形片剂。Microspherical tablets containing about 0.11 mg/tablet (about 0.5 mg/kg) of PYY [3-36] and about 16.5 mg/tablet (75 mg/kg) of the delivery agent SNAD were prepared following the procedure described in Example 6.
安慰剂片仅含SNAD,约16.5mg/片(75mg/kg),同样按实施例6描述的步骤制备。Placebo tablets containing only SNAD, about 16.5 mg/tablet (75 mg/kg), were also prepared according to the procedure described in Example 6.
对雄性Sprague Dawley大鼠(约220g)给予一片PYY[3-36]片剂或一片安慰剂片,每天两次,共7天。在给药前,大鼠用标准CO2吸入技术麻醉约10至30秒,使之处于麻醉状态约不到一分钟,优选约10秒至约30秒。在给药前撤掉食物并在给药30分钟后恢复。Male Sprague Dawley rats (approximately 220 g) were administered either one PYY[3-36] tablet or one placebo tablet twice daily for 7 days. Prior to dosing, rats are anesthetized for about 10 to 30 seconds using standard CO2 inhalation techniques and are allowed to remain under anesthesia for about less than one minute, preferably for about 10 seconds to about 30 seconds. Withdraw food prior to dosing and resume 30 minutes after dosing.
使用口服给药管。将给药管插入大鼠口中并小心沿大鼠的咽和食管插入约8cm至约15cm,这取决于大鼠的体重(通常约11cm)。通过压口服给药管的柱塞将固体剂型传送到末端食管和/或胃内。Use an oral tube. The dosing tube is inserted into the rat's mouth and carefully inserted about 8 cm to about 15 cm along the rat's pharynx and esophagus, depending on the rat's body weight (usually about 11 cm). The solid dosage form is delivered into the distal esophagus and/or stomach by depressing the plunger of the oral administration tube.
每24小时由给予各大鼠的食物和剩下食物的重量差测定食物消耗。每24小时测各大鼠体重。Food consumption was determined every 24 hours from the difference in weight between the food given to each rat and the remaining food. The body weight of each rat was measured every 24 hours.
结果如表6和图8a和8b所示。在7天治疗期间的体重增加(以克表示)如图8a所示。星号表示P<0.05。在7天治疗期间的累计食物摄入(以克表示)(平均值±s.e.m.)如图8b所示。双星号表示P<0.01。The results are shown in Table 6 and Figures 8a and 8b. Body weight gain (expressed in grams) during the 7-day treatment period is shown in Figure 8a. Asterisks indicate P<0.05. Cumulative food intake (in grams) during the 7-day treatment period (mean ± s.e.m.) is shown in Fig. 8b. Double asterisks indicate P<0.01.
表6.7天治疗期间的体重增加Table 6. Weight gain during the 7-day treatment period
如上表和图8a和8b所示,与接受安慰剂的大鼠相比,接受PYY[3-36]/SNAD的大鼠的体重增加和食物消耗显著较少。PYY[3-36]对胃排空没有影响。在7天研究结束时,胃内食物量极少且对于安慰剂组和治疗组动物其量相当。在研究结束后,进行肉眼尸检时在胃肠道没有观察到病理或其它现象。As shown in the table above and in Figures 8a and 8b, rats receiving PYY[3-36]/SNAD had significantly less body weight gain and food consumption compared to rats receiving placebo. PYY [3-36] had no effect on gastric emptying. At the end of the 7-day study, the amount of food in the stomach was minimal and comparable for placebo and treated animals. No pathology or other phenomena were observed in the gastrointestinal tract at the time of macroscopic autopsy after the end of the study.
实施例7-SNAD二钠盐和PYY[3-36]的剂型以及PYY[3-36]的腹膜内给药Example 7 - Dosage Forms of SNAD Disodium Salt and PYY [3-36] and Intraperitoneal Administration of PYY [3-36]
液体剂型制备如下。用去离子水制备的PYY[3-36]储备液(80mg/ml)。通过将SNAD二钠盐溶于水中制备传送剂的液体溶液。所得SNAD二钠盐溶液的pH为约10。将等分试样的SNAD二钠盐溶液与等分试样的PYY[3-36]溶液(pH约8)混合。按该步骤制备含约100-200mg/kg SNAD二钠盐和约0.3-1mg/kg PYY[3-36]的液体剂型。该液体剂型的最终pH为约9-10。Liquid dosage forms are prepared as follows. PYY[3-36] stock solution (80 mg/ml) prepared in deionized water. A liquid solution of the delivery agent is prepared by dissolving the disodium salt of SNAD in water. The pH of the resulting SNAD disodium salt solution was about 10. An aliquot of the SNAD disodium salt solution was mixed with an aliquot of the PYY[3-36] solution (pH about 8). This procedure is followed to prepare a liquid dosage form containing about 100-200 mg/kg SNAD disodium salt and about 0.3-1 mg/kg PYY [3-36]. The final pH of the liquid dosage form is about 9-10.
固体剂型制备如下。加入约0.08mg/片(约0.3mg/kg)的PYY(约1μl)并与约13.5或约27mg/片(约50或100mg/kg)的传送剂混合。将NatoliEngineering Company,Inc.销售的带有小胶囊形模具的Carver 4350手工压片机的上冲、下冲和冲模用硬脂酸镁(0.1%)处理。将约13.58或约27.08mg的混合粉末输入冲模并在约1000PSI bar压力下制备成小球形片剂。所得固体剂型当为27.08mg时其大小约为标准9号胶囊的尺寸(直径约2.65mm,长约8.40mm),当为13.58mg固体时为直径约2.65mm且长约4.20mm。Solid dosage forms are prepared as follows. About 0.08 mg/tablet (about 0.3 mg/kg) of PYY (about 1 μl) was added and mixed with about 13.5 or about 27 mg/tablet (about 50 or 100 mg/kg) of delivery agent. The punches, punches, and dies of a Carver 4350 manual tablet press with small capsule-shaped dies sold by Natoli Engineering Company, Inc. were treated with magnesium stearate (0.1%). About 13.58 or about 27.08 mg of the blended powder was fed into a die and prepared into small spherical tablets under a pressure of about 1000 PSI bar. The resulting solid dosage form was about the size of a standard size 9 capsule (about 2.65 mm in diameter and about 8.40 mm in length) at 27.08 mg and about 2.65 mm in diameter and about 4.20 mm in length at 13.58 mg solid.
将雄性Sprague Dawley大鼠(约260-约280g)禁食过夜,然后用标准CO2吸入技术麻醉约10至30秒,使之处于麻醉状态约不到一分钟,优选约10秒至约30秒。Male Sprague Dawley rats (approximately 260 to approximately 280 g) were fasted overnight and then anesthetized for approximately 10 to 30 seconds using standard CO2 inhalation techniques, allowing them to remain under anesthesia for approximately less than one minute, preferably approximately 10 seconds to approximately 30 seconds .
使用口服给药管。将给药管插入大鼠口中并小心沿大鼠的咽和食管插入约8cm至约15cm,这取决于大鼠的体重(通常约11cm)。通过压口服给药管的柱塞将固体剂型传送到末端食管和/或胃内。Use an oral tube. The dosing tube is inserted into the rat's mouth and carefully inserted about 8 cm to about 15 cm along the rat's pharynx and esophagus, depending on the rat's body weight (usually about 11 cm). The solid dosage form is delivered into the distal esophagus and/or stomach by depressing the plunger of the oral administration tube.
经尾动脉或心脏穿刺连续收集血样,或者在这种情形下通过后眼眶取血,通常在时间=0、15、30、60和90分钟时收集。采用PYY[3-36]放射免疫测定法(目录号RK-059-02,Phoenix Pharmaceuticals,Inc.,Belmont,CA)测量血清PYY浓度。将各时间点由各组动物获得的结果取平均值。这些平均值中的最大值(即平均血清PYY浓度峰值)报道于下述表7。Blood samples were collected serially via tail artery or cardiac puncture, or in this case retro-orbital bleeding, typically at time = 0, 15, 30, 60 and 90 minutes. Serum PYY concentrations were measured using the PYY[3-36] radioimmunoassay (Cat. No. RK-059-02, Phoenix Pharmaceuticals, Inc., Belmont, CA). The results obtained from each group of animals at each time point were averaged. The maximum of these means (ie, mean peak serum PYY concentration) is reported in Table 7 below.
表7.
大鼠中PYY[3-36]的传送
实施例8-肽YY(PYY[3-36]),短尾猴(Cynomoleus monkey)中的固体口服Example 8 - Peptide YY (PYY[3-36]), solid oral administration in Cynomoleus monkey 传送send
胶囊制备如下。逐渐加入约1mg PYY固体粉末并与50或100mgSNAD混合。用干净的金属药勺将预先称重的2号胶囊壳填充该混合物。将最终的胶囊再次称重并确定含>98%的所转移的混合物。Capsules are prepared as follows. Gradually add approximately 1 mg of PYY solid powder and mix with 50 or 100 mg of SNAD. Fill the pre-weighed size 2 capsule shells with this mixture using a clean metal medicine spoon. The final capsules were reweighed and determined to contain >98% of the transferred mixture.
片剂制备如下。逐渐加入约1mg/片的PYY固体粉末并与约50mg/片的传送剂混合。将Natoli Engineering Company,Inc.销售的带有小胶囊形模具的Carver 4350手工压片机的上冲、下冲和冲模用硬脂酸镁(0.1%)处理。将约51mg的混合粉末输入冲模并在约1000PSI bar压力下制备成小球形片剂。所得固体剂型直径约3mm且高约1mm。Tablets are prepared as follows. About 1 mg/tablet of PYY solid powder was gradually added and mixed with about 50 mg/tablet of the delivery agent. The punches, punches, and dies of a Carver 4350 manual tablet press with small capsule-shaped dies sold by Natoli Engineering Company, Inc. were treated with magnesium stearate (0.1%). About 51 mg of the blended powder was fed into a die and prepared into small spherical tablets under a pressure of about 1000 PSI bar. The resulting solid dosage form was about 3 mm in diameter and about 1 mm in height.
对于各剂量水平,在试验前将重3.5-5.0kg的2只雄性和2只雌性短尾猴禁食过夜,在固体给药约2小时后恢复进食。在给药前后30分钟期间,除用于给药的水外,停止喂水。For each dose level, 2 male and 2 female macaques weighing 3.5-5.0 kg were fasted overnight prior to testing and resumed approximately 2 hours after solid administration. During the 30 minutes before and after dosing, water feeding was stopped except for the water used for dosing.
使用强饲管将各固体剂型直接送至胃中。通过吹气将胶囊或片剂射出。Each solid dosage form was delivered directly into the stomach using a gavage tube. The capsule or tablet is ejected by blowing air.
从股静脉、臂静脉或隐静脉连续收集血样(约1.3ml),通常在时间=0(给药前)和给药后10、20、30、45、60、90、150、240和360分钟时收集。将样品置于血清分离管中,并在室温下放置30-45分钟以使其凝固。然后将样品在2500rpm下于约2-8℃离心10分钟。将所得血清转移到试管内并置于干冰上,然后在-70±10℃下冷冻贮藏至检测。采用PYY[3-36]放射免疫测定法(目录号RK-059-02,Phoenix Pharmaceuticals,Inc.,Belmont,CA)测量血清PYY浓度。将各时间点由各组动物获得的结果取平均值。这些平均值中的最大值(即平均血清PYY浓度峰值)报道于下述表8。Serial blood samples (approximately 1.3 ml) were collected from the femoral, brachial, or saphenous veins, typically at time = 0 (pre-dose) and 10, 20, 30, 45, 60, 90, 150, 240, and 360 minutes post-dose when collected. Place samples in serum separation tubes and allow to clot at room temperature for 30-45 minutes. The samples were then centrifuged at about 2-8°C for 10 minutes at 2500 rpm. The resulting sera were transferred into test tubes and placed on dry ice, then stored frozen at -70±10°C until assayed. Serum PYY concentrations were measured using the PYY[3-36] radioimmunoassay (Cat. No. RK-059-02, Phoenix Pharmaceuticals, Inc., Belmont, CA). The results obtained from each group of animals at each time point were averaged. The maximum of these means (ie, mean peak serum PYY concentration) is reported in Table 8 below.
表8.
短尾猴中PYY[3-36]固体口服传送的结果
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以上提到的专利、申请、试验方法以及出版物在此全文引入作为参考。The patents, applications, test procedures, and publications mentioned above are hereby incorporated by reference in their entirety.
根据上述的详细说明,本发明的多种变通方式本身可提示给本领域技术人员。所有这些显而易见的变化都在所附权利要求的充分预期的范围之内。From the above detailed description, various modifications of the present invention can themselves be suggested to those skilled in the art. All such obvious variations are within the fully intended scope of the appended claims.
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