Amylin analogs and pharmaceutical compositions thereof

1. A polypeptide comprising the analogue of SEQ ID No: 1 having about a 10-fold or greater selectivity for binding to the human amylin receptor over binding to the human calcitonin receptor and wherein:

(a) said analogue of SEQ ID No: 1 comprises a proline residue at position 21;

wherein the amino acid sequence numbering of the analogue corresponds to the amino acid numbering sequence of SEQ ID No: 1; and

(b) wherein the polypeptide has at least one substituent attached to at least one of its amino acid residues.

2. The polypeptide according to claim 1 wherein the polypeptide has an IC 50 in a human amylin receptor binding assay of about 1200 pM or less.

3. The polypeptide according to claim 1 wherein the analogue comprises a proline or leucine residue at position 27.

4. The polypeptide according to claim 1 wherein the analogue comprises a proline residue at position 27.

5. The polypeptide according to claim 1 wherein the analogue comprises an amino acid residue at position 14 which is aspartic acid, an amino acid residue at position 17 which is arginine, an amino acid residue at position 21 which is proline, an amino acid residue at position 27 which is proline and an amino acid residue at position 35 which is arginine.

6. The polypeptide according to claim 1 comprising an analogue of SEQ ID No: 1 according to formula (I):

(I)

Xaa 1 -Cys-Asn-Thr-Ala-Thr-Cys-Ala-Thr-Gln-Arg-Leu-

Ala-Xaa 14 -Phe-Leu-Xaa 17 -His-Ser-Ser-Xaa 21 -Asn-Phe-

Gly-Xaa 25 -Xaa 26 -Xaa 27 -Xaa 28 -Xaa 29 -Thr-Xaa 31 -Val-Gly-

Xaa 34 -Xaa 35 -Thr-Xaa 37 ;

wherein

Xaa 1 is independently selected from Ala, Cys, Glu, Gly, His, Arg, Ser and Lys;

Xaa 14 is independently selected from Asp, Glu, His, Asn, Arg, Gly, Ala, Ser, Lys, Thr and Cys;

Xaa 17 is independently selected from Arg and Val;

Xaa 21 is Pro;

Xaa 25 is independently selected from Pro and Ala;

Xaa 26 is independently selected from Pro and Ile;

Xaa 27 is independently selected from Pro and Leu;

Xaa 28 is independently selected from Pro and Ser;

Xaa 29 is independently selected from Pro and Ser;

Xaa 31 is independently selected from Pro and Asn;

Xaa 34 is independently selected from Pro, His, Lys, Arg and Ser

Xaa 35 is independently selected from Asp, Arg, Glu, Lys, His and Asn;

Xaa 37 is independently selected from Pro and Tyr;

and where the C-terminal may optionally be derivatized.

7. The polypeptide according to claim 6 wherein Xaa 1 is Lys, Xaa 14 is Asp, Xaa 17 is Arg, Xaa 21 is Pro, Xaa 25 is Ala, Xaa 26 is Ile, Xaa 27 is Pro, Xaa 28 is Ser, Xaa 29 is Ser, Xaa 31 is Asn, Xaa 34 is Ser, Xaa 35 is Asn, Xaa 37 is Tyr.

8. The polypeptide according to claim 1 wherein the substituent group is selected from the group consisting of C20diacid, C20diacid-γGlu, C20diacid-γGlu-γGlu, C20diacid-γGlu-γGlu-γGlu, C20diacid-OEG, C20diacid-γGlu-OEG, C20diacid-γGlu-OEG-OEG, C18diacid-γGlu, C16diacid-γGlu, and C14diacid-γGlu.

9. The polypeptide according to claim 1 wherein a substituent is attached to the α-amino group of the N-terminal amino acid residue or to a Lys residue or cysteine residue only.

10. The polypeptide according to claim 1 , selected from the group consisting of any of the polypeptides presented in Table 2.

11. The polypeptide according to claim 1 , selected from the group consisting of any of the polypeptides presented in Table 3.

12. A method of treating hyperglycemia, type 2 diabetes, impaired glucose tolerance, type 1 diabetes, obesity, hypertension, syndrome X, dyslipidemia, cognitive disorders, atherosclerosis, myocardial infarction, coronary heart disease and other cardiovascular disorders, stroke, inflammatory bowel syndrome, dyspepsia and gastric ulcers and/or for use in decreasing food intake, decreasing β-cell apoptosis, increasing β-cell function and β-cell mass, and/or for restoring glucose sensitivity to β-cells, comprising administering the polypeptide of claim 1 to a patient in need thereof.

13. A pharmaceutical composition comprising the polypeptide of claim 1 and a pharmaceutically acceptable excipient.

14. A process for preparing a pharmaceutical composition comprising mixing the polypeptide of claim 1 with a pharmaceutically acceptable excipient.