Therapeutic somatostatin analogues

Abstract: Octapeptides of the formula: R-A¹-Cys-Tyr-D-Trp-Lys-alpha-Aminobutryric Acid-Cys-A², wherein R is H or a C 1-20 alkyl; A¹ is D-beta-Nal, D-­ Trp, or D-X-Phe, where X is H, OH, CH₃, or a halogen; and A² is Thr-NH₂, Thr-OH, Nal-NH₂, or Trp-NH₂ are effective therapeutically in reducing growth hormone,insulin, glucagon and/or pancreatic exocrine secretion.

Description: This invention relates to therapeutic peptides. A number of somatostatin analogues exhibiting GH-release-inhibiting activity have been described in the literature, including analogs containing fewer than the naturally occurring fourteen amino acids. For example, Coy et al. U.S. Patent No. 4,485,101, hereby incorporated by reference, describes dodecapeptides having an N-terminal acetyl group, a C-terminal NH 2 , D-Trp at position 6, and p-Cl-Phe at position 4. (Herein, when no designation of configuration is given, the L-isomer is intended.) In a first aspect the invention features an octapeptide of the formula: wherein: A 1 is D-β-Nal,or D-Phe; and A 2 is Thr-NH 2 , or β-Nal-NH 2 or a pharmaceutically acceptable salt thereof. Preferred compounds of the invention include H-D-Phe-Cys-Tyr-D-Trp-Lys-α-Aminobutyric acid-Cys-Thr-NH 2 and H-D-β-Nal-Cys-Tyr-D-Trp-Lys-α-aminobutyric acid-Cys-Thr-NH 2 . In other preferred embodiments, according to the invention is the therapeutic compound and a pharmaceutically acceptable carrier substance, e.g. magnesium carbonate, lactose, or a phospholipid with which the therapeutic compound can form a micelle, and which together form a therapeutic composition, e.g. a pill, tablet, capsule, or liquid for oral administration to a human patient, a spreadable cream, gel, lotion, or ointment for application to the skin of a human patient in need of the compound, a liquid capable of being administered nasally as drops or spray, or a liquid capable of intravenous, parenteral, subcutaneous, or intraperitoneal administration. The pill, tablet or capsule can be coated with a substance capable of protecting the composition from the gastric acid in the patient's stomach for a period of time sufficient to allow the composition to pass undisintegrated into the patient's small intestine. The therapeutic composition can also be in the form of a biodegradable sustained release formulation for intramuscular administration. For maximum efficacy, zero order release is desired. Zero order release can be obtained using an implantable or external pump, e.g., Infusoid TM pump, to administer the therapeutic composition. The compounds of the invention are active in inhibiting the secretion of GH, insulin, and glucagon. Further, the aromatic lipophilic N-terminal end can provide long-lasting in vivo activity. Other features and advantages of the invention will be apparent from the following description of the preferred embodiments thereof, and from the claims. Description of the Preferred Embodiments Structure The compounds of the invention have the general formula recited in claim 1 and above. They are all octapeptide analogues of somatostatin which have Cys at position 2; Tyr at position 3; D-Trp. at position 4; Lys at position 5; Abu at position 6 (where Abu is α-Aminobutyric Acid); and Cys at position 7. It has been found that D-β-Nal at position 1 particularly enhances activity. The compounds can be provided in the form of pharmaceutically acceptable salts. Examples of preferred salts are those with therapeutically acceptable organic acids, e.g., acetic, lactic, maleic, citric, malic, ascorbic, succinic, benzoic, salicylic, methanesulphonic, toluenesulphonic, or pamoic acid, as well as polymeric acids such as tannic acid or carboxymethyl cellulose, and salts with inorganic acids such as the hydrohalic acids, e.g., hydrochloric acid, sulfuric acid, or phosphoric acid. Synthesis The synthesis of one octapeptide follows. Other octapeptides of the invention can be prepared by making appropriate modifications, within the ability of someone of ordinary skill in this field, of the following synthetic method. The first step in the preparation of D-β-naphthylalanine-Cys-Tyr-D-Trp-Lys-Abu-Cys-Thr- NH 2 was the preparation of the intermediate tert-butyloxycarbonyl-D-β-naphthylalanine-S-methylbenzyl-Cys-Tyr-D-Trp-N ε -benzyloxycarbonyl-Lys-Abu-S-methylbenzyl-Cys-O-benzyl-Thr-benzyhydrylaminine resin, as follows. Benzhydrylamine-polystyrene resin (Vega Biochemicals, Inc.) in the chloride ion form was placed in the reaction vessel of a Beckman 990B peptide synthesizer programmed to perform the following reaction cycle: (a) methylene chloride; (b) 33% trifluoroacetic acid in methylene chloride (2 times for 1 and 25 min each); (c) methylene chloride; (d) ethanol; (e) methylene chloride; (f) 10% triethylamine in chloroform. The neutralized resin was stirred with Boc-O-benzyl-threonine and diisopropylcarbodiimide (1.5 mmole each) in methylene chloride for 1 h and the resulting amino acid resin was then cycled through steps (a) to (g) in the above wash program. The following amino acids (1.5 mmole) were then coupled successively by the same procedure: Boc-S-methylbenzyl-Cys, Boc-N-α-benzyloxycarbonyl-Abu, Boc-Ne-benzyloxycarbonyl-lysine, Boc-D-Trp, Boc-Tyr, Boc-S-methylbenzyl-Cys, Boc-D-β-naphthylalanine. The resin was washed and dried and then mixed with anisole (4 ml) and anhydrous hydrogen fluoride (36 ml) at 0°C and stirred for 45 min. (one can also use thioanisole, trifluoroacetic acid, and trifluoromethane sulfonic acid at a ratio of 1:90:9, for 6h). 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 800 ml of 90% acetic acid to which was added I 2 in methanol until a permanent brown color was present. The solution was then stirred for 1 h before removing the solvent in vacuo . The resulting oil was dissolved in a minimum volume of 50% acetic acid and eluted on a column (2.5 X 100 mm) of Sephadex G-25. Fractions containing a major component by uv absorption and thin layer chromatography were then pooled, evaporated to a small volume, and applied to a column (2.5 X 50 cm) of Whatman LRP-1 octadecylsilane (15-20 uM). The column was eluted with a linear gradient of 10-50% acetonitrile in 0.1% trifluoroacetic acid in water. Fractions were examined by thin layer chromatography and analytical high performance liquid chromatography and pooled to give maximum purity and if desired, a different salt prepared, e.g., acetate or phosphate. Repeated lyophilization of the solution from water gave 170 mg of the product as a white, fluffy powder. The product was found to be homogeneous by Hplc and Tlc. Amino acid analysis of an acid hydrolysate confirmed the composition of the octapeptide. Use When administered to mammals, particularly humans, (e.g. orally, topically, intravenously, parenterally in a sustained release, biodegradable form, nasally, or by suppository), the compounds can be effective to inhibit GH release as well as to inhibit insulin, glucagon, and pancreatic exocrine secretion, and to therapeutically affect the central nervous system. The compounds can be administered to a mammal, e.g. a human, in the dosages used for somatostatin or, because of their greater potency, in smaller dosages. The compounds of the invention can be used for the treatment of cancer, particularly growth hormone-dependent cancer (e.g., bone, cartilage, pancreas (endocrine and exocrine), prostate, or breast), acromegaly and related hypersecretory endocrine states, or of bleeding ulcers in emergency patients and in those suffering from pancreatitis or diarrhea. The compounds can also be used in the management of diabetes and to protect the liver of patients suffering from cirrhosis or hepatitis. The compounds can also be used to treat Alzheimer's disease, as analgesics to treat pain by acting specifically on certain opiate receptors, and as gastric cytoprotective compounds for ulcer therapy. The compounds can also be used to treat certain types of mushroom poisoning. The compounds can also be used to treat diabetes-related retinopathy. The anti-cancer activity of the compounds may be related to their ability to antagonize cancer-related growth factors such as epidermal growth factor. The compounds can be administered to a mammal, e.g., a human, in a dosage of 0.01 to 1000 mcg/kg/day, preferably 0.1 to 100 mcg/kg/day.

Claims: Claims for the following Contracting States : AT, BE, CH, DE, FR, GB, IT, LI, LU, NL, SE An octapeptide of the formula: wherein: A 1 is D-β-Nal or D-Phe; A 2 is Thr-NH 2 , or β-Nal-NH 2 ; or a pharmaceutically acceptable salt thereof. An octapeptide according to claim 1 wherein A 1 is D-β-Nal. An octapeptide of the formula: (i) H-D-Phe-Cys-Tyr-D-Trp-Lys-α-aminobutyric acid-Cys-Thr-NH 2 , (ii) H-D-β-Nal-Cys-Tyr-D-Trp-Lys-α-aminobutyric acid-Cys-Thr-NH 2 ; or a pharmaceutically acceptable salt thereof. A therapeutic composition comprising a compound as claimed in claim 1, 2 or 3 together with a pharmaceutically acceptable carrier substance. A composition as claimed in claim 4 wherein the composition is in the form of a liquid, pill, tablet, or capsule for oral administration. A composition as claimed in claim 4 wherein the composition is coated with a substance capable of protecting the composition from the gastric acid in the stomach of a human patient for a period of time sufficient to allow the composition to pass undisintegrated into the small intestine of the human patient. A composition as claimed in claim 4 wherein: (a) the composition is in the form of a cream, gel, spray, or ointment for application to the skin of a human patient in need of the compound; (b) the composition is in the form of a liquid capable of being administered nasally as drops or spray to a human patient in need of the compound; (c) the composition is in the form of a liquid for intravenous, subcutaneous, parenteral, or intraperitioneal administration to a human patient in need of the compound; or (d) the composition is in the form of a biodegradable sustained release composition for intramuscular administration to a human patient in need of said compound. An octapeptide as claimed in claim 1, 2 or 3 for use in medicine. The use of an octapeptide as claimed in claim 1, 2 or 3 in the preparation of an agent for reducing growth hormone, insulin, glucagon and/or pancreatic exocrine secretion. A process for the preparation of an octapeptide as claimed in claim 1, 2 or 3, the process comprising coupling together successive amino acids by peptide bond formation. Claims for the following Contracting States : ES, GR A process for the preparation of an octapeptide of the formula: wherein: A 1 is D-β-Nal or D-Phe; A 2 is Thr-NH 2 , or β-Nal-NH 2 ; or a pharmaceutically acceptable salt thereof. A process according to claim 1 wherein A 1 is D-β-Nal. A process for the preparation of an octapeptide of the formula: (i) H-D-Phe-Cys-Tyr-D-Trp-Lys-α-aminobutyric acid-Cys-Thr-NH 2 ; (ii) H-D-β-Nal-Cys-Tyr-D-Trp-Lys-α-aminobutyric acid-Cys-Thr-NH 2 ; or a pharmaceutically acceptable salt thereof comprising coupling successive amino acids together by peptide bond formation. A process for the preparation of a therapeutic composition, the process comprising admixing an octapeptide as defined in claim 1, 2 or 3 with a pharmaceutically acceptable carrier therefor. A process as claimed in claim 4 wherein the composition is in the form of a liquid, pill, tablet, or capsule for oral administration to a human patient in need of the compound. A process as claimed in claim 4 wherein the composition is coated with a substance capable of protecting the composition from the gastric acid in the stomach of the human patient for a period of time sufficient to allow the composition to pass undisintegrated into the small intestine of the human patient. A process as claimed in claim 4 wherein the composition is in the form of a cream, gel, spray, or ointment for application to the skin of a human patient in need of the compound or the composition is in the form of a liquid capable of being administered nasally as drops or spray to a human patient in need of the compound. A process as claimed in claim 4 wherein the composition is in the form of a liquid for intravenous, subcutaneous, parenteral, or intraperitioneal administration to a human patient in need of the compound. A process as claimed in claim 4 wherein the composition is in the form of a biodegradable sustained release composition for intramuscular administration to a human patient in need of the compound. The use of an octapeptide as defined in claim 1, 2 or 3 in the preparation of an agent for reducing growth hormone, insulin, glucagon and/or pancreatic exocrine secretion.

Inventors: COY DAVID H, HEIMAN MARK L, MURPHY WILLIAM A, COY, DAVID H., HEIMAN, MARK L., MURPHY, WILLIAM A.
Applicants: UNIV TULANE, THE ADMINISTRATORS OF THE TULANE UNIVERSITY EDUCATIONAL FUND
Application year: 1987
Main classification: C07K14
IPC codes: A61P5, C07K14, A61K38, C07K7