GIP agonist compounds and methods
The present invention relates to acylated GIP analogues which have GIP agonist activity, and their use in the treatment of metabolic disorders.
1 . A pharmaceutical composition formulated as a liquid suitable for administration by injection or infusion comprising a GIP analogue, or a pharmaceutically acceptable salt thereof, in admixture with a carrier, wherein the GIP analogue is represented by the general Formula I:
(SEQ ID NO: 42)
R 1 -Tyr-X2-Glu-Gly-Thr-Phe-Ile-Ser-Asp-X10-X11-X12-
Glu-Leu-X15-X16-X17-X18-X19-X20-X21-Phe-X23-X24-
X25-Leu-X27-X28-X29-Y1-Y2-R 2 (I)
wherein
R 1 is H—, Ac or pGlu (pyroglutamic acid, (S)-(−)-2-pyrrolidone-5-carboxylic acid);
X2 is Aib, Ala, D-Ala, Gly, Ser, N-Me-Ser, Ac3c, Ac4c or Ac5c;
X10 is Tyr, Leu or Ser;
X11 is Ser or Leu;
X12 is Lys, Ψ or Ile;
X15 is Asp or Glu;
X16 is Ser, Glu, Lys or Ψ;
X17 is Ile, Lys, Gln, Arg or Ψ;
X18 is His, Arg or Ala;
X19 is Gln, Lys, Ala or Glu;
X20 is Gln, Lys, Ala, His or Arg;
X21 is Ala, Leu, Asp or Glu;
X23 is Val or Ile;
X24 is Asn or Glu;
X25 is Tyr or Trp;
X27 is Leu, Glu, Ser, Lys or Val;
X28 is Ala, Ser or Arg;
X29 is Aib, Gly, Ala, Gln, Thr, Ser or Lys or is absent;
Y1 is Lys-Gly, Gly-Pro-Ser-Ser-Gly-Ala-Pro-Pro-Pro-Ser (SEQ ID NO: 43), Gly-Pro-Ser-Ser-Gly-Ala-Pro-Pro-Ser (SEQ ID NO: 44), Pro-Ser-Ser-Gly-Ala-Pro-Pro-Pro-Ser (SEQ ID NO: 45), Pro-Ser-Ser-Gly-Ala-Pro-Pro-Ser (SEQ ID NO: 46), Gly-Lys-Lys-Asn-Asp-Trp-Lys-His-Asn-Ile-Thr-Gln (SEQ ID NO: 47) or absent;
Y2 is Ψ or is absent;
R 2 is —NH 2 or —OH;
wherein Ψ is a residue independently selected from Lys, Arg, Orn and Cys and wherein the side chain of said residue is conjugated to a lipophilic substituent;
and wherein the GIP analogue contains one and only one residue Ψ.
2 . The pharmaceutical composition according to claim 1 , wherein Ψ is a residue of Lys, Arg, Orn or Cys in which the side chain of said residue is conjugated to a lipophilic substituent having the formula —Z 1 or —Z 2 —Z 1 .
3 . The pharmaceutical composition according to claim 2 , wherein —Z 1 is a fatty chain having at a terminus a connection —X— to Ψ or to Z 2 ;
wherein —X— is a bond, —CO—, —SO—, or —SO 2 —;
and, optionally, Z 1 has a polar group at the end of the chain distal from connection —X—; said polar group comprising a carboxylic acid or a carboxylic acid bioisostere, a phosphonic acid, or a sulfonic acid group.
4 . The pharmaceutical composition according to claim 2 , wherein Z 1 is:
A-B—C 16-20 alkylene-(CO)— wherein A is H or —COOH and B is a bond, or wherein Z 1 is selected from:
17-carboxy-heptadecanoyl HOOC—(CH 2 ) 16 —(CO)—;
19-carboxy-nonadecanoyl HOOC—(CH 2 ) 18 —(CO)—;
Octadecanoyl H 3 C—(CH 2 ) 16 —(CO)—; and
Eicosanoyl H 3 C—(CH 2 ) 18 —(CO)—.
5 . The pharmaceutical composition according to claim 2 , wherein Z 2 is a spacer bound at one terminus by Y, which is a nitrogen, oxygen or sulfur atom, and at the other terminus by X, which is a bond or an acyl (—CO—), sulfinyl (—SO—), sulfonyl (—SO 2 —) or absent.
6 . The pharmaceutical composition according to claim 2 , wherein —Z 1 —Z 2 is:
7 . The pharmaceutical composition according to claim 1 , wherein the GIP analogue has the sequence;
(SEQ ID NO: 1)
Y-Aib-EGTFISDYSIELDK-K(Hexadecanoyl-isoGlu)-
HQQDFVNWLLAQGPSSGAPPPS;
(SEQ ID NO: 2)
Y-Aib-EGTFISDYSIELD-K(Hexadecanoyl-isoGlu)-I
HQQDFVNWLLAQGPSSGAPPPS;
(SEQ ID NO: 3)
Y-Aib-EGTFISDYSIELEK-K(Hexadecanoyl-isoGlu)-
HQQDFVNWLLAQGPSSGAPPPS;
(SEQ ID NO: 4)
Y-Aib-EGTFISDYSIELDKIHQQDFVNWLLAQGPSSGAPPPS-
K([19-carboxy-nonadecanoyl]-isoGlu-
Peg3-Peg3);
(SEQ ID NO: 5)
Y-Aib-EGTFISDYSIELDKIHQQDFVNWLLAQGPSSGAPPPS-
K(Hexadecanoyl-isoGlu);
(SEQ ID NO: 6)
Y-Aib-EGTFISDYSIELDKIHQQDFVNWLLAQ-
K(Hexadecanoyl-isoGlu);
(SEQ ID NO: 7)
Y-Aib-EGTFISDYSIELDKIHQQDFVNWLLAQKG-K
(Hexadecanoyl-isoGlu);
(SEQ ID NO: 8)
Y-Aib-EGTFISDYSIELDK-K([19-carboxy-
nonadecanoyl]-isoGlu-Peg3-Peg3)-
HQQDFVNYLLAQGPSSGAPPPS;
(SEQ ID NO: 9)
Y-Aib-EGTFISDYSIELDK-K([19-carboxy-
nonadecanoyl]-isoGlu-Peg3-Peg3)-
HQQDFVNWLLAQGPSSGAPPPS;
(SEQ ID NO: 10)
Y-Aib-EGTFISDYSIELDK-K([19-carboxy-
nonadecanoyl]-isoGlu-Peg3-Peg3)-
AAQDFVNWLLAQGPSSGAPPPS;
(SEQ ID NO: 11)
Y-Aib-EGTFISDYSIELEK-K([19-carboxy-
nonadecanoyl]-isoGlu-Peg3-Peg3)-
AAKEFVNWLLAQGPSSGAPPPS;
(SEQ ID NO: 12)
Y-Aib-EGTFISDYSIELEK-K([19-carboxy-
nonadecanoyl]-isoGlu-Peg3-Peg3)-
AQRAFVEWLLAQGPSSGAPPPS;
(SEQ ID NO: 13)
Y-Aib-EGTFISDYSIELEKIAQRAFVEWLLAQ
GPSSGAPPPS-K([19-carboxy-
nonadecanoyl]-isoGlu-Peg3-Peg3);
(SEQ ID NO: 141)
[[H-]]Y-Aib-EGTFISDYSIELEKIAQRAFV
EWLLAQ-K([19-carboxy-nonadecanoyl]-
isoGlu-Peg3-Peg3);
(SEQ ID NO: 15)
[[H-]]Y-Aib-EGTFISDYSIELDK-K([19-
carboxy-nonadecanoyl]-isoGlu-Peg3-Peg3)-
AAQDFVNWLLAGPSSGAPPPS;
(SEQ ID NO: 142)
[[H-]]Y-Aib-EGTFISDYSIELDKIAAQDFVNWLL
AGPSSGAPPPS-K([19-carboxy-nonadecanoyl]-
isoGlu-Peg3-Peg3);
(SEQ ID NO: 17)
Y-Aib-EGTFISDYSIELDK-K([19-Carboxy-
nonadecanoyl]-isoGlu-Peg3-Peg3)-
AQRAFVEWLLAQGPSSGAPPPS;
(SEQ ID NO: 18)
Y-Aib-EGTFISDYSIELDK-K([19-Carboxy-
nonadecanoyl]-isoGlu-Peg3-Peg3)-
AQRAFIEWLLAQGPSSGAPPPS;
(SEQ ID NO: 19)
Y-Aib-EGTFISDYSIELDK-K((19-Carboxy-
nonadecanoyl)-[(Piperazine-1-yl)-
acetyl]-Peg3-Peg3)-AQRAFIEWLLAQ
GPSSGAPPPS;
(SEQ ID NO: 20)
Y-Aib-EGTFISDYSIELDK-K((19-Carboxy-
nonadecanoyl)-[(Piperazine-1-yl)-
acetyl]-Peg3-Peg3)-AQRAFVEWLLA
QGPSSGAPPPS;
(SEQ ID NO: 21)
Y-Aib-EGTFISDYSIELDK-K((19-Carboxy-
nonadecanoyl)-[(Piperazine-1-yl)-
acetyl]-Peg3-Peg3)-AQKEFVEWLLA
AGPSSGAPPPS
(SEQ ID NO: 22)
Y-Aib-EGTFISDYSIELDK-K([19-Carboxy-
nonadecanoyl]-isoGlu-Peg3-Peg3)-
AQKEFVEWLLAAGPSSGAPPPS;
(SEQ ID NO: 23)
Y-Aib-EGTFISDYSIELDKIAQRAFIEWLLAGP
SSGAPPPS-K([19-Carboxy-nonadecanoyl]-
isoGlu-Peg3-Peg3);
(SEQ ID NO: 24)
Y-Aib-EGTFISDYSIELDKIAQKEFIEWLLAGPS
SGAPPPS-K([19-Carboxy-nonadecanoyl]-
isoGlu-Peg3-Peg3);
(SEQ ID NO: 25)
Y-Aib-EGTFISDYSIELDKIAAQDFIEWLLAGPS
SGAPPPS-K([19-Carboxy-nonadecanoyl]-
isoGlu-Peg3-Peg3);
(SEQ ID NO: 26)
Y-Aib-EGTFISDYSIELDKIAAQDFIEWLLAGP
SSGAPPPS-K((19-Carboxy-nonadecanoyl)-
[(Piperazine-1-yl)-acetyl]-Peg3-
Peg3);
(SEQ ID NO: 27)
Y-Aib-EGTFISDYSIELDKIAAQDFVEWLLAGPS
SGAPPPS-K([19-Carboxy-nonadecanoyl]-
isoGlu-Peg3-Peg3);
(SEQ ID NO: 28)
Y-Aib-EGTFISDYSIELDKIAQRAFIEWLLAQGP
SSGAPPPS-K([19-Carboxy-nonadecanoyl]-
isoGlu-Peg3-Peg3);
(SEQ ID NO: 29)
Y-Aib-EGTFISDYSIELDK-K([19-Carboxy-
nonadecanoyl]-isoGlu-Peg3-Peg3)-
AAQAFVNWLLAGPSSGAPPPS;
(SEQ ID NO: 30)
Y-Aib-EGTFISDYSIELDK-K([19-Carboxy-
nonadecanoyl]-isoGlu-Peg3-Peg3)-
AAQDFVNWLLAAGPSSGAPPPS;
(SEQ ID NO: 31)
Y-Aib-EGTFISDYSIELDK-K([19-Carboxy-
nonadecanoyl]-isoGlu-Peg3-Peg3)-
AAQDFINWLLAGPSSGAPPPS;
(SEQ ID NO: 32)
Y-Aib-EGTFISDYSIELDK-K([19-Carboxy-
nonadecanoyl]-isoGlu-Peg3-Peg3)-
AAQDFIEWLLAGPSSGAPPPS;
(SEQ ID NO: 33)
Y-Aib-EGTFISDYSIELDK-K((19-Carboxy-
nonadecanoyl)-[(Piperazine-1-yl)-
acetyl]-Peg3-Peg3)-AAQDFIEWLLAGPSS
GAPPPS;
(SEQ ID NO: 34)
Y-Aib-EGTFISDYSIELD-K([19-Carboxy-
nonadecanoyl]-isoGlu-Peg3-Peg3)-
IAQRAFIEWLLAQGPSSGAPPPS;
(SEQ ID NO: 35)
Y-Aib-EGTFISDYS-K([19-Carboxy-
nonadecanoyl]-isoGlu-Peg3-Peg3)-
ELDKIAQRAFIEWLLAQGPSSGAPPPS;
(SEQ ID NO: 36)
Y-DAla-EGTFISDYSIELDK-K([19-Carboxy-
nonadecanoyl]-isoGlu-Peg3-Peg3)-
AQRAFIEWLLAQGPSSGAPPPS;
(SEQ ID NO: 37)
Y-DAla-EGTFISDYSIELDKIAAQDFIEWLLAG
PSSGAPPPS-K((19-Carboxy-nonadecanoyl)-
[(Piperazine-1-yl)-acetyl]-Peg3-Peg3);
(SEQ ID NO: 38)
Y-Aib-EGTFISDYSIELDK-K([19-Carboxy-
nonadecanoyl]-isoGlu-Peg3-Peg3)-
AAQDFIEWLLAQGPSSGAPPPS;
(SEQ ID NO: 39)
Y-Aib-EGTFISDYSIELDK-K([19-Carboxy-
nonadecanoyl]-isoGlu-Peg3-Peg3)-
AAQDFINWLLAQGPSSGAPPPS;
(SEQ ID NO: 40)
Y-Aib-EGTFISDYSIELDK-K([19-Carboxy-
nonadecanoyl]-isoGlu-Peg3-Peg3)-
AAQAFIEWLLAQGPSSGAPPPS;
or
(SEQ ID NO: 41)
Y-Aib-EGTFISDYSIELDK-K((19-Carboxy-
nonadecanoyl)-[(Piperazine-1-yl)-
acetyl]-Peg3-Peg3)-AAQAFIEWLLAQGP
SSGAPPPS.
8 . The pharmaceutical composition according to claim 1 , wherein the GIP analogue is:
(SEQ ID NO: 89)
H-Y-Aib-EGTFISDYSIELDK-K(Hexadecanoyl-isoGlu)-
HQQDFVNWLLAQGPSSGAPPPS-NH 2 ;
(SEQ ID NO: 90)
H-Y-Aib-EGTFISDYSIELD-K(Hexadecanoyl-isoGlu)-I
HQQDFVNWLLAQGPSSGAPPPS-NH 2 ;
(SEQ ID NO: 91)
H-Y-Aib-EGTFISDYSIELEK-K(Hexadecanoyl-isoGlu)-
HQQDFVNWLLAQGPSSGAPPPS-NH 2 ;
(SEQ ID NO: 92)
H-Y-Aib-EGTFISDYSIELDKIHQQDFVNWLLAQGPSSGAPPPS-
K([19-carboxy-nonadecanoyl]-isoGlu-
Peg3-Peg3)-NH 2 ;
(SEQ ID NO: 93)
YH--Aib-EGTFISDYSIELDKIHQQDFVNWLLAQGPSSGAPPPS-
K(Hexadecanoyl-isoGlu)-NH 2 ;
(SEQ ID NO: 94)
H-Y-Aib-EGTFISDYSIELDKIHQQDFVNWLLAQ-
K(Hexadecanoyl-isoGlu)-NH 2 ;
(SEQ ID NO: 95)
H-Y-Aib-EGTFISDYSIELDKIHQQDFVNWLLAQKG-K
(Hexadecanoyl-isoGlu)-NH 2 ;
(SEQ ID NO: 96)
H-Y-Aib-EGTFISDYSIELDK-K([19-carboxy-
nonadecanoyl]-isoGlu-Peg3-Peg3)-
HQQDFVNYLLAQGPSSGAPPPS-NH 2 ;
(SEQ ID NO: 97)
H-Y-Aib-EGTFISDYSIELDK-K([19-carboxy-
nonadecanoyl]-isoGlu-Peg3-Peg3)-
HQQDFVNWLLAQGPSSGAPPPS;
(SEQ ID NO: 98)
H-Y-Aib-EGTFISDYSIELDK-K([19-carboxy-
nonadecanoyl]-isoGlu-Peg3-Peg3)-
AAQDFVNWLLAQGPSSGAPPPS-NH 2 ;
(SEQ ID NO: 99)
H-Y-Aib-EGTFISDYSIELEK-K([19-carboxy-
nonadecanoyl]-isoGlu-Peg3-Peg3)-
AAKEFVNWLLAQGPSSGAPPPS-NH 2 ;
(SEQ ID NO: 100)
H-Y-Aib-EGTFISDYSIELEK-K([19-carboxy-
nonadecanoyl]-isoGlu-Peg3-Peg3)-
AQRAFVEWLLAQGPSSGAPPPS-NH 2 ;
(SEQ ID NO: 101)
H-Y-Aib-EGTFISDYSIELEKIAQRAFVEWLLAQ
GPSSGAPPPS-K([19-carboxy-
nonadecanoyl]-isoGlu-Peg3-Peg3)-NH 2 ;
(SEQ ID NO: 102)
H-Y-Aib-EGTFISDYSIELEKIAQRAFV
EWLLAQ-K([19-carboxy-nonadecanoyl]-
isoGlu-Peg3-Peg3)-NH 2 ;
(SEQ ID NO: 103)
H-Y-Aib-EGTFISDYSIELDK-K([19-
carboxy-nonadecanoyl]-isoGlu-Peg3-Peg3)-
AAQDFVNWLLAGPSSGAPPPS-NH 2 ;
(SEQ ID NO: 104)
H-Y-Aib-EGTFISDYSIELDKIAAQDFVNWLL
AGPSSGAPPPS-K([19-carboxy-nonadecanoyl]-
isoGlu-Peg3-Peg3)-NH 2 ;
(SEQ ID NO: 105)
H-Y-Aib-EGTFISDYSIELDK-K([19-Carboxy-
nonadecanoyl]-isoGlu-Peg3-Peg3)-
AQRAFVEWLLAQGPSSGAPPPS-NH 2 ;
(SEQ ID NO: 106)
H-Y-Aib-EGTFISDYSIELDK-K([19-Carboxy-
nonadecanoyl]-isoGlu-Peg3-Peg3)-
AQRAFIEWLLAQGPSSGAPPPS-NH 2 ;
(SEQ ID NO: 107)
H-Y-Aib-EGTFISDYSIELDK-K((19-Carboxy-
nonadecanoyl)-[(Piperazine-1-yl)-
acetyl]-Peg3-Peg3)-AQRAFIEWLLAQ
GPSSGAPPPS-NH 2 ;
(SEQ ID NO: 108)
H-Y-Aib-EGTFISDYSIELDK-K((19-Carboxy-
nonadecanoyl)-[(Piperazine-1-yl)-
acetyl]-Peg3-Peg3)-AQRAFVEWLLA
QGPSSGAPPPS-NH 2 ;
(SEQ ID NO: 109)
H-Y-Aib-EGTFISDYSIELDK-K((19-Carboxy-
nonadecanoyl)-[(Piperazine-1-yl)-
acetyl]-Peg3-Peg3)-AQKEFVEWLLA
AGPSSGAPPPS-NH 2
(SEQ ID NO: 110)
H-Y-Aib-EGTFISDYSIELDK-K([19-Carboxy-
nonadecanoyl]-isoGlu-Peg3-Peg3)-
AQKEFVEWLLAAGPSSGAPPPS-NH 2 ;
(SEQ ID NO: 111)
H-Y-Aib-EGTFISDYSIELDKIAQRAFIEWLLAGP
SSGAPPPS-K([19-Carboxy-nonadecanoyl]-
isoGlu-Peg3-Peg3)-NH 2 ;
(SEQ ID NO: 112)
H-Y-Aib-EGTFISDYSIELDKIAQKEFIEWLLAGPS
SGAPPPS-K([19-Carboxy-nonadecanoyl]-
isoGlu-Peg3-Peg3)-NH 2 ;
(SEQ ID NO: 113)
H-Y-Aib-EGTFISDYSIELDKIAAQDFIEWLLAGPS
SGAPPPS-K([19-Carboxy-nonadecanoyl]-
isoGlu-Peg3-Peg3)-NH 2 ;
(SEQ ID NO: 114)
H-Y-Aib-EGTFISDYSIELDKIAAQDFIEWLLAGP
SSGAPPPS-K((19-Carboxy-nonadecanoyl)-
[(Piperazine-1-yl)-acetyl]-Peg3-
Peg3)-NH 2 ;
(SEQ ID NO: 115)
H-Y-Aib-EGTFISDYSIELDKIAAQDFVEWLLAGPS
SGAPPPS-K([19-Carboxy-nonadecanoyl]-
isoGlu-Peg3-Peg3)-NH 2 ;
(SEQ ID NO: 116)
H-Y-Aib-EGTFISDYSIELDKIAQRAFIEWLLAQGP
SSGAPPPS-K([19-Carboxy-nonadecanoyl]-
isoGlu-Peg3-Peg3)-NH 2 ;
(SEQ ID NO: 117)
H-Y-Aib-EGTFISDYSIELDK-K([19-Carboxy-
nonadecanoyl]-isoGlu-Peg3-Peg3)-
AAQAFVNWLLAGPSSGAPPPS-NH 2 ;
(SEQ ID NO: 118)
H-Y-Aib-EGTFISDYSIELDK-K([19-Carboxy-
nonadecanoyl]-isoGlu-Peg3-Peg3)-
AAQDFVNWLLAAGPSSGAPPPS-NH 2 ;
(SEQ ID NO: 119)
H-Y-Aib-EGTFISDYSIELDK-K([19-Carboxy-
nonadecanoyl]-isoGlu-Peg3-Peg3)-
AAQDFINWLLAGPSSGAPPPS-NH 2 ;
(SEQ ID NO: 120)
H-Y-Aib-EGTFISDYSIELDK-K([19-Carboxy-
nonadecanoyl]-isoGlu-Peg3-Peg3)-
AAQDFIEWLLAGPSSGAPPPS-NH 2 ;
(SEQ ID NO: 121)
H-Y-Aib-EGTFISDYSIELDK-K((19-Carboxy-
nonadecanoyl)-[(Piperazine-1-yl)-
acetyl]-Peg3-Peg3)-AAQDFIEWLLAGPSS
GAPPPS-NH 2 ;
(SEQ ID NO: 122)
H-Y-Aib-EGTFISDYSIELD-K([19-Carboxy-
nonadecanoyl]-isoGlu-Peg3-Peg3)-
IAQRAFIEWLLAQGPSSGAPPPS-NH 2 ;
(SEQ ID NO: 123)
H-Y-Aib-EGTFISDYS-K([19-Carboxy-
nonadecanoyl]-isoGlu-Peg3-Peg3)-
ELDKIAQRAFIEWLLAQGPSSGAPPPS-NH 2 ;
(SEQ ID NO: 124)
H-Y-DAla-EGTFISDYSIELDK-K([19-Carboxy-
nonadecanoyl]-isoGlu-Peg3-Peg3)-
AQRAFIEWLLAQGPSSGAPPPS-NH 2 ;
(SEQ ID NO: 125)
H-Y-DAla-EGTFISDYSIELDKIAAQDFIEWLLAG
PSSGAPPPS-K((19-Carboxy-nonadecanoyl)-
[(Piperazine-1-yl)-acetyl]-Peg3-Peg3)-NH 2 ;
(SEQ ID NO: 126)
H-Y-Aib-EGTFISDYSIELDK-K([19-Carboxy-
nonadecanoyl]-isoGlu-Peg3-Peg3)-
AAQDFIEWLLAQGPSSGAPPPS-NH 2 ;
(SEQ ID NO: 127)
H-Y-Aib-EGTFISDYSIELDK-K([19-Carboxy-
nonadecanoyl]-isoGlu-Peg3-Peg3)-
AAQDFINWLLAQGPSSGAPPPS-NH 2 ;
(SEQ ID NO: 128)
H-Y-Aib-EGTFISDYSIELDK-K([19-Carboxy-
nonadecanoyl]-isoGlu-Peg3-Peg3)-
AAQAFIEWLLAQGPSSGAPPPS-NH 2 ;
or
(SEQ ID NO: 129)
H-Y-Aib-EGTFISDYSIELDK-K((19-Carboxy-
nonadecanoyl)-[(Piperazine-1-yl)-
acetyl]-Peg3-Peg3)-AAQAFIEWLLAQGP
SSGAPPPS-NH 2 .
9 . The pharmaceutical composition according to claim 1 , wherein the pharmaceutical composition is a unit dosage form.
10 . The pharmaceutical composition according to claim 9 , wherein the unit dosage form is a single dose injectable form.
11 . The pharmaceutical composition according to claim 10 , wherein the single dose injectable form is an injection pen.
12 . The pharmaceutical composition according to claim 1 , wherein the pharmaceutical composition is suitable for subcutaneous, intramuscular, intravenous or transdermal administration.
13 . The pharmaceutical composition according to claim 1 , wherein the pharmaceutical composition is suitable for administration by an injection pen.
14 . A pharmaceutical composition formulated as a liquid suitable for administration by injection or infusion comprising a GIP analogue, or a pharmaceutically acceptable salt thereof, in admixture with a carrier, wherein the GIP analogue is represented by the general Formula II:
(SEQ ID NO: 48)
R 1 -Tyr-X2-Glu-Gly-Thr-Phe-Ile-Ser-Asp-Tyr-Ser-X12-
Glu-Leu-X15-X16-X17-X18-X19-X20-X21-Phe-X23-X24-
X25-Leu-X27-X28-X29-Y1-Y2-R 2 (II)
wherein
R 1 is H—, Ac or pGlu;
X2 is Aib, Ala, D-Ala, Gly;
X12 is Lys, Ψ or Ile;
X15 is Asp or Glu;
X16 is Ser, Glu, Lys or Ψ;
X17 is Ile, Lys, Gln, Arg or Ψ;
X18 is His, Arg or Ala;
X19 is Gln or Ala;
X20 is Gln, Lys, Ala, His or Arg;
X21 is Ala, Asp or Glu;
X23 is Ile or Val;
X24 is Asn or Glu;
X25 is Tyr or Trp;
X27 is Leu, Glu, Ser, Lys or Val;
X28 is Ala, Ser or Arg;
X29 is Aib, Gly, Ala, Gln, Thr, Ser or Lys or is absent;
Y1 is Lys-Gly, Gly-Pro-Ser-Ser-Gly-Ala-Pro-Pro-Pro-Ser (SEQ ID NO: 43), Gly-Pro-Ser-Ser-Gly-Ala-Pro-Pro-Ser (SEQ ID NO: 44), Pro-Ser-Ser-Gly-Ala-Pro-Pro-Pro-Ser (SEQ ID NO: 45), Pro-Ser-Ser-Gly-Ala-Pro-Pro-Ser (SEQ ID NO: 46), Gly-Lys-Lys-Asn-Asp-Trp-Lys-His-Asn-Ile-Thr-Gln (SEQ ID NO: 47) or absent;
Y2 is Ψ or is absent;
R 2 is —NH 2 or —OH;
wherein Ψ is a Lys residue wherein the side chain of said Lys residue is conjugated to a lipophilic substituent;
and wherein the GIP analogue contains one and only one residue Ψ.
15 . A pharmaceutical composition formulated as a liquid suitable for administration by injection or infusion comprising a GIP analogue, or a pharmaceutically acceptable salt thereof, in admixture with a carrier, wherein the GIP analogue is represented by the general Formula III:
(SEQ ID NO: 50)
R 1 -Tyr-Aib-Glu-Gly-Thr-Phe-Ile-Ser-Asp-Tyr-Ser-Ile-
Glu-Leu-X15-X16-X17-X18-X19-X20-X21-Phe-Val-X24-
X25-Leu-Leu-Ala-X29-Y1-Y2-R 2 (III)
wherein
R 1 is H—, Ac or pGlu;
X15 is Asp or Glu;
X16 is Lys or Ψ;
X17 is Ile or Ψ;
X18 is His or Ala
X19 is Gln or Ala;
X20 is Gln, Lys or Arg;
X21 is Ala, Asp or Glu;
X24 is Asn or Glu;
X25 is Tyr or Trp
X28 is Ala, Ser or Arg;
X29 is Gln or is absent;
Y1 is Lys-Gly, Gly-Pro-Ser-Ser-Gly-Ala-Pro-Pro-Pro-Ser, Gly-Pro-Ser-Ser-Gly-Ala-Pro-Pro-Ser, Pro-Ser-Ser-Gly-Ala-Pro-Pro-Pro-Ser, Pro-Ser-Ser-Gly-Ala-Pro-Pro-Ser, Gly-Lys-Lys-Asn-Asp-Trp-Lys-His-Asn-Ile-Thr-Gln or absent;
Y2 is Ψ or is absent;
R 2 is-NH 2 or —OH;
wherein Ψ is a residue independently selected from Lys, Arg, Orn and Cys and wherein the side chain of said residue is conjugated to a lipophilic substituent;
and wherein the GIP analogue contains one and only one residue Ψ.
16 . A pharmaceutical composition formulated as a liquid suitable for administration by injection or infusion comprising a GIP analogue, or a pharmaceutically acceptable salt thereof, in admixture with a carrier, wherein the GIP analogue has the following sequence;
(SEQ ID NO: 51)
Y-Aib-EGTFISDYSIELDKΨHQQDFVNWLLAQGPSSGAPPPS;
(SEQ ID NO: 52)
Y-Aib-EGTFISDYSIELDΨIHQQDFVNWLLAQGPSSGAPPPS;
(SEQ ID NO: 53)
Y-Aib-EGTFISDYSIELEKΨHQQDFVNWLLAQGPSSGAPPPS;
(SEQ ID NO: 54)
Y-Aib-EGTFISDYSIELDKIHQQDFVNWLLAQGPSSGAPPPSΨ;
(SEQ ID NO: 55)
Y-Aib-EGTFISDYSIELDKIHQQDFVNWLLAQΨ;
(SEQ ID NO: 56)
Y-Aib-EGTFISDYSIELDKIHQQDFVNWLLAQKGΨ;
(SEQ ID NO: 57)
Y-Aib-EGTFISDYSIELDKΨHQQDFVNYLLAQGPSSGAPPPS;
(SEQ ID NO: 59)
Y-Aib-EGTFISDYSIELDKΨAAQDFVNWLLAQGPSSGAPPPS;
(SEQ ID NO: 60)
Y-Aib-EGTFISDYSIELEKΨAAKEFVNWLLAQGPSSGAPPPS;
(SEQ ID NO: 61)
Y-Aib-EGTFISDYSIELEKΨAQRAFVEWLLAQGPSSGAPPPS;
(SEQ ID NO: 62)
Y-Aib-EGTFISDYSIELEKIAQRAFVEWLLAQGPSSGAPPPSΨ;
(SEQ ID NO: 63)
Y-Aib-EGTFISDYSIELEKIAQRAFVEWLLAQΨ;
(SEQ ID NO: 64)
Y-Aib-EGTFISDYSIELDKΨAAQDFVNWLLAGPSSGAPPPS;
(SEQ ID NO: 65)
Y-Aib-EGTFISDYSIELDKIAAQDFVNWLLAGPSSGAPPPSΨ;
(SEQ ID NO: 130)
Y-Aib-EGTFISDYSIELDKKΨAQRAFVEWLLAQGPSSGAPPPS;
(SEQ ID NO: 131)
Y-Aib-EGTFISDYSIELDKKΨAQRAFIEWLLAQGPSSGAPPPS;
(SEQ ID NO: 68)
Y-Aib-EGTFISDYSIELDKIAQRAFIEWLLAGPSSGAPPPSKΨ;
(SEQ ID NO: 69)
Y-Aib-EGTFISDYSIELDKIAQKEFIEWLLAGPSSGAPPPSKΨ;
(SEQ ID NO: 70)
Y-Aib-EGTFISDYSIELDKIAAQDFIEWLLAGPSSGAPPPSKΨ;
(SEQ ID NO: 71)
Y-Aib-EGTFISDYSIELDKIAAQDFVEWLLAGPSSGAPPPSKΨ;
(SEQ ID NO: 72)
Y-Aib-EGTFISDYSIELDKIAQRAFIEWLLAQGPSSGAPPPSKΨ;
(SEQ ID NO: 132)
Y-Aib-EGTFISDYSIELDKKΨAAQAFVNWLLAGPSSGAPPPS;
(SEQ ID NO: 133)
Y-Aib-EGTFISDYSIELDKKΨAAQDFVNWLLAAGPSSGAPPPS;
(SEQ ID NO: 134)
Y-Aib-EGTFISDYSIELDKKΨAAQDFINWLLAGPSSGAPPPS;
(SEQ ID NO: 135)
Y-Aib-EGTFISDYSIELDKKΨAAQDFIEWLLAGPSSGAPPPS;
(SEQ ID NO: 78)
Y-Aib-EGTFISDYSIELDKΨIAQRAFIEWLLAQGPSSGAPPPS;
(SEQ ID NO: 136)
Y-Aib-EGTFISDYSKΨELDKIAQRAFIEWLLAQGPSSGAPPPS;
(SEQ ID NO: 137)
Y-DAla-EGTFISDYSIELDKKΨAQRAFIEWLLAQGPSSGAPPPS;
(SEQ ID NO: 81)
Y-DAla-EGTFISDYSIELDKIAAQDFIEWLLAGPSSGAPPPSKΨ;
(SEQ ID NO: 138)
Y-Aib-EGTFISDYSIELDKKΨAAQDFIEWLLAQGPSSGAPPPS;
(SEQ ID NO: 139)
Y-Aib-EGTFISDYSIELDKKΨAAQDFINWLLAQGPSSGAPPPS;
or
(SEQ ID NO: 140)
Y-Aib-EGTFISDYSIELDKKΨAAQAFIEWLLAQGPSSGAPPPS.
17 . A method of treating a metabolic disorder in a subject, the method comprising administering a therapeutically effective amount of a pharmaceutical composition according to claim 1 to the subject wherein the metabolic disorder is increased fasting glucose, dyslipidemia, atherosclerosis, atherogenic dyslipidemia, osteoporosis including increased risk of bone fractures, or blood fat disorders.
18 . The method according to claim 17 , wherein:
(a) the blood fat disorder is high triglycerides, low HDL cholesterol, high LDL cholesterol, plaque buildup in artery walls, or a combination thereof; and/or
(c) the proinflammatory state comprises an elevated C-reactive protein level in the blood.
19 . A method of treating a metabolic disorder in a subject, the method comprising administering a therapeutically effective amount of a pharmaceutical composition according to claim 1 wherein the pharmaceutical composition is administered as part of a combination therapy with a GLP-1 agonist.
20 . The method according to claim 17 , wherein the metabolic disorder is diabetes or a diabetes related disorder, or obesity or an obesity related disorder.
21 . The method according to claim 20 , wherein:
(a) the diabetes related disorder is insulin resistance, glucose intolerance, increased fasting glucose, hypoglycemia, pre-diabetes, type 1 diabetes, type 2 diabetes, gestational diabetes hypertension, dyslipidemia, or a combination thereof; or
(b) the diabetes related disorder is atherosclerosis, arteriosclerosis, coronary heart disease, peripheral artery disease, stroke, atherogenic dyslipidemia, a blood fat disorder, elevated blood pressure, or hypertension;
(c) the diabetes related disorder is osteoporosis including increased risk of bone fractures; or
(d) the obesity related disorder is obesity linked inflammation, obesity linked gallbladder disease, obesity induced sleep apnea, or a combination thereof.