Controlled-release CNP agonists with low initial NPR-B activity
The present invention relates to a controlled-release CNP agonist from which CNP agonist is released with a release half-life of at least 6 hours under physiological conditions and which controlled-release CNP agonist has an EC 50 that is at least 20-fold higher than the EC 50 of the corresponding free CNP agonist and which released CNP agonist has an EC 50 that is at most 3-fold higher than the EC 50 of the corresponding free CNP agonist; to pharmaceutical compositions comprising said controlled-release CNP agonist; their use; and to methods of treatment.
1. A controlled-release CNP agonist comprising a CNP moiety comprising a ring moiety (−D), wherein the ring moiety has the amino acid sequence of SEQ ID NO:96, the ring moiety being between two cysteine residues forming a disulfide bridge, and being conjugated to a polymer via a linker cleavable in aqueous buffer at pH 7.4 and 37° C. in the absence of enzymes with a half-life of up to six months, wherein the polymer is water-soluble and conjugated via the linker to an amino group side chain of a lysine of SEQ ID NO:96 or the polymer is water-insoluble, wherein D-H is released from the controlled-release CNP agonist by cleavage of the linker with a release half-life of at least 6 hours in aqueous buffer at pH 7.4 and 37° C. in the absence of enzymes and which controlled-release CNP agonist has an EC 50 that is at least 20-fold higher than the EC 50 of the D-H.
2. The controlled-release CNP agonist of claim 1 , wherein the controlled-release CNP agonist has an EC 50 that is at least 50-fold higher than the EC 50 D-H.
3. The controlled-release CNP agonist of claim 1 , wherein the controlled-release CNP agonist has an EC 50 that is at least 100-fold higher than the EC 50 D-H.
4. The controlled-release CNP agonist of claim 1 , wherein the release half-life is at least 24 hours.
5. The controlled-release CNP agonist of claim 1 , wherein the release half-life is at least 168 hours.
6. A pharmaceutical composition comprising the controlled-release CNP agonist of claim 1 and at least one excipient.