Title of Invention

A PHARMACEUTICAL COMPOSITION

Abstract The invention discloses a pharmaceutical composition comprising a polypeptide wherein said polypeptide is a heteropolymer of two or more synthetic amino acids and an active agent covalently attached to the side chain of said polypeptide, wherein said composition is in a form suitable for oral administration and release of said active agent into the bloodstream following oral administration.
Full Text "A PHARMACEUTICAL COMPOSITION"
Field of the Invention
The present invention relates to active agent delivery systems and, more
specifically, to compositions that comprise polypeptides covalently attached to active
agents and methods for protecting and administering active agents.
Background of the Invention
Active agent delivery systems are often critical for the effective delivery of a
biologically active agent (active agent) to the appropriate target. The importance of
these systems becomes magnified when patient compliance and active agent stability
are taken under consideration. For instance, one would expect patient compliance to
increase markedly if an active agent is administered orally in lieu of an injection or
another invasive technique. Increasing the stability of the active agent, such as
prolonging shelf life or survival in the stomach, will assure dosage reproducibility and
perhaps even reduce the number of dosages required which could improve patient
compliance.
Absorption of an orally administered active agent is often blocked by the
harshly acidic stomach milieu, powerful digestive enzymes in the GI tract,
permeability of cellular membranes and transport across lipid bilayers. Incorporating
adjuvants such as resorcinol, surfactants, polyethylene glycol (PEG) or bile acids
enhance permeability of cellular membranes. Microencapsulating active agents using
protenoid microspheres, liposomes or polysaccharides have been effective in abating
enzyme degradation of the active agent. Enzyme inhibiting adjuvants have also been
used to prevent enzyme degradation. Enteric coatings have been used as a protector
of Pharmaceuticals in the stomach.
Active agent delivery systems also provide the ability to control the release of
the active agent. For example, formulating diazepam with a copolymer of glutamic
acid and aspartic acid enables a sustained release of the active agent. As another
example, copolymers of lactic acid and glutaric acid are used to provide timed release
of human growth hormone. A wide range of pharmaceuticals purportedly provide
sustained release through microencapsulation of the active agent in amides of
dicarboxylic acids, modified amino acids or thermally condensed amino acids. Slow
release rendering additives can also be intermixed with a large array of active agents
in tablet formulations.
Each of these technologies imparts enhanced stability and time-release
properties to active agent substances.. Unfortunately, these technologies suffer from
several shortcomings. Incorporation of the active agent is often dependent on
diffusion into the microencapsulating matrix, which may not be quantitative and may
complicate dosage reproducibility. In addition, encapsulated drugs rely on diffusion
out of the matrix, which is highly dependant on the water solubility of the active
agent. Conversely, water-soluble microspheres swell by an infinite degree and,
unfortunately, may release the active agent in bursts with little active agent available
for sustained release. Furthermore, in some technologies, control of the degradation
process required for active agent release is unreliable. For example, an enterically
coated active agent depends on pH to release the active agent and, as such, is difficult
to control the rate of release.
In the past, use has been made of amino acid side chains of polypeptides as
pendant groups to which active agents can be attached. These technologies typically
require the use of spacer groups between the amino acid pendant group and the active
agent The peptide-drug conjugates of this class of drug delivery system rely on
enzymes in the bloodstream for the release of the drug and, as such, are not used for
oral administration. Examples of timed and targeted release of injectable or
subcutaneous pharmaceuticals include: linking of norethindrone, via a hydroxypropyl
spacer, to the gamma carboxylate of polyglutamic acid; and linking of nitrogen
mustard, via a peptide spacer, to the gamma carbamide of polyglutamine.
Dexamethasone has been covalently attached directly to the beta carboxylate of
polyaspartic acid without a spacer group. This prodrug formulation was designed as a
colon-specific drug delivery system where the drug is released by bacterial hydrolytic
enzymes residing in the large intestines. The released dexamethasone active agent, in
turn, was targeted to treat large bowel disorders and was not intended to be absorbed
into the bloodstream. Yet another technology combines the advantages of covalent
drug attachment with liposome formation where the active ingredient is attached to
highly ordered lipid films (known as HARs) via a peptide linker. Thus, there has
been no drug delivery system, heretofore reported, that incorporates the concept of
attaching an active1 ingredient to a polypeptide pendant group with its targeted
delivery into the bloodstream via oral administration.
It is also important to control the molecular weight, molecular size and particle
size of the active agent delivery system. Variable molecular weights have
unpredictable diffusion rates and pharmacokinetics. High molecular weight carriers
are digested slowly or late, as in the case of naproxen-linked dextran, which is
digested almost exclusively in the colon by bacterial enzymes. High molecular
weight microspheres usually have high moisture content which may present a
problem with water labile active ingredients. Particle size not only becomes a
problem with injectable drags, as in the HAR application, but absorption through the
brush-border membrane of the intestines is limited to less than 5 microns.
Summary of the Invention
The present invention provides covalent attachment of active agents to a
polymer of peptides or amino acids. The invention is distinguished from the above
mentioned technologies by virtue of covalently attaching the active agent, which
includes, for example, pharmaceutical drugs and nutrients, to the N-terminus, the C-
terminus or directly to the amino acid side chain of an oligopeptide or polypeptide,
also referred to herein as a carrier peptide. In certain applications, the polypeptide
will stabilize the active agent, primarily in the stomach, through conformational
protection. In these applications, delivery of the active agent is controlled, in part, by
the kinetics of unfolding of the. carrier peptide. Upon entry into the upper intestinal
tract, indigenous enzymes release the active ingredient for absorption by the body by
selectively hydrolyzing the peptide bonds of the carrier peptide. This enzymatic
action introduces a second order sustained release mechanism.
The invention provides a composition comprising a polypeptide and an active
agent covalently attached to the polypeptide. Preferably, the polypeptide is (i) an
oligopeptide, (ii) a homopolymer of one of the twenty naturally occurring amino acids
(L or D isomers), or an isomer, analogue, or derivative thereof, (iii) a heteropolymer
of two or more naturally occurring amino acids (L or D isomers), or an isomer,
analogue, or1 derivative thereof, (iv) a homopolymer of a synthetic amino acid, (v) a
beteropolymer of two or more synthetic amino acids or (vi) a heteropolymer of one or
more naturally occurring amino acids and one or more synthetic amino acids.
The active agent preferably is covalently attached to a side chain, the N-
terminus or the C-terminus of the polypeptide. In a preferred embodiment, the active
agent is a carboxylic acid and is covalently attached to the N-terminus of the
polypeptide. In another preferred embodiment, the active agent is an amine and is
covalently attached to the C-terminus of the polypeptide. In another preferred
embodiment, the active agent is an alcohol and is covalently attached to the C-
terminus of the polypeptide. In yet another preferred embodiment, the active agent is
an alcohol and is covalently attached to the N-terminus of the polypeptide.
The composition of the invention can also include one or more of a
microencapsulating agent, an adjuvant and a pharmaceutically acceptable excipient
The microencapsulating agent can be selected from polyethylene glycol (PEG), an
amino acid, a sugar and a salt When an adjuvant is included in the composition, the
adjuvant preferably activates an intestinal transporter.
Preferably, the composition of the invention is in the form of an ingestable
tablet, an intravenous preparation or an oral suspension. The active agent can be
conformationally protected by folding of the polypeptide about the active agent In
another embodiment, the polypeptide is capable of releasing the active agent from the
composition in a pH-dependent manner.
The invention also provides a method for protecting an active agent from
degradation comprising covalently attaching the active agent to a polypeptide.
The invention also provides a method for controlling release of an active agent
from a composition wherein the composition comprises a polypeptide, the method
comprising covalently attaching the active agent to the polypeptide.
The invention also provides a method for delivering an active agent to a
patient, the patient being a human or a non-human animal, comprising administering
to the patient a composition comprising a polypeptide and an active agent covalently
attached to the polypeptide. In a preferred embodiment, the active agent is released
from the composition by an enzyme-catalyzed release. In another preferred
embodiment, the active agent is released in a time-dependent manner based on the
pharmacokinetics of the enzyme-catalyzed release. In another preferred embodiment,
the composition further comprises a microencapsulating agent and the active agent is
released from the composition by dissolution of the microencapsulating agent In
another preferred embodiment, the active agent is released from the composition by a
pH-dependent unfolding of the polypeptide. In another preferred embodiment, the
active agent is released from the composition in a sustained release. In yet another
preferred embodiment, the composition further comprises an adjuvant covalently
attached to the polypeptide and release of the adjuvant from the composition is
controlled by the polypeptide. The adjuvant can be microencapsulated into a carrier
peptide-drug conjugate for biphasic release of active ingredients.
The invention also provides a method for preparing a composition comprising
a polypeptide and an active agent covalently attached to the polypeptide. The method
comprises the steps of:
(a) attaching the active agent to a side chain of an amino acid to form an active
agent/amino acid complex;
(b) forming an active agent/amino acid complex N-carboxyanhydride (NCA)
from the active agent/amino acid complex; and
(c) polymerizing the active agent/amino acid complex N-carboxyanhydride
(NCA).
In a preferred embodiment, the active agent is a pharmaceutical agent or an
adjuvant. In another preferred embodiment, steps (a) and (b) are repeated prior to step
(c) with a second active agent. When steps (a) and (b) are repeated prior to step (c)
with a second agent, the active agent and second active agent can be copolymerized in
step (c). In another preferred embodiment, the amino acid is glutamic acid and the
active agent is released from the glutamic acid as a dimer upon a hydrolysis of the
polypeptide and wherein the active agent is released from the glutamic acid by
coincident intramolecular transamination. In another preferred embodiment, the
glutamic acid is replaced by an amino acid selected from the group consisting of
aspartic acid, arginine, asparagine, cysteine, lysine, threonine, and serine, and wherein
the active agent is attached to the side chain of the amino acid to form an amide, a
thioester, an ester, an ether, a urethane, a carbonate, an anhydride or a carbamate. In
yet another preferred embodiment, the glutamic acid is replaced by a synthetic amino
acid with a pendant group comprising an amine, an alcohol, a sulfhydryl, an amide, a
urea, or an acid functionality.
It is to be understood that both the foregoing general description and the
following detailed description are exemplary, but are not restrictive, of the invention.
BRIEF DESCRIPTION OF THE DRAWINGS
The invention is best understood from the following detailed description when
read in connection with the accompanying drawing. Included in the drawing are the
following figures.
Fig. 1 illustrates an acid active agent/N-terminus scheme of the invention.
Fig. 2 illustrates an amine active agent/C-terminus scheme of the invention.
Fig. 3 illustrates an alcohol active agent/N-terminus scheme of the invention.
Fig. 4 illustrates an alcohol active agent/glutamic acid dimer preparation and
conjugation scheme of the invention.
Fig. 5 illustrates a mechanism of alcohol active agent from glutamic acid
dimer scheme.
Fig. 6 illustrates the in situ digestion of polythroid in intestinal epithelial cell
cultures.
Fig. 7 illustrates basolateral T4 concentrations.
Fig. 8 illustrates the polythroid concentration of basal versus basolateral.
Fig. 9 illustrates T4 analysis in gastric simulator versus intestinal simulator.
Fig. 10 illustrates T3 analysis in gastric simulator versus intestinal simulator.
DETAILED DESCRIPTION OF THE INVENTION
The present invention provides several benefits for active agent delivery.
First, the invention can stabilize the active agent and prevent digestion in the stomach.
In addition, the pharmacologic effect can be prolonged by delayed release of the
active agent. Furthermore, active agents can be combined to produce synergistic
effects. Also, absorption of the active agent in the intestinal tract can be enhanced.
The invention also allows targeted delivery of active agents to specifics sites of
action.
The composition of the invention comprises a polypeptide and an active agent
covalently attached to the polypeptide. Acive agents may be selected from the list in
TABLE 1, either alone or in combination with other agents on the list.
Preferably, the polypeptide is (i) an oligopeptide, (ii) a homopolymer of one of
the twenty naturally occurring amino acids (L or D isomers), or an isomer, analogue,
or derivative thereof, (iii) a heteropolymer of two or more naturally occurring amino
acids (L or D isomers), or an isomer, analogue, or derivative thereof, (iv) a
homopolymer of a synthetic amino acid, (v) a heteropolymer of two or more synthetic
amino acids or (vi) a heteropolymer of one or more naturally occurring amino acids
and one or more synthetic amino acids.
Proteins, oligopeptides and polypeptides are polymers of amino acids that
have primary, secondary and tertiary structures. The secondary structure of the
protein is the local conformation of the polypeptide chain and consists of helices,
pleated sheets and turns. The protein's amino acid sequence and the structural
constraints on the conformations of the chain determine the spatial arrangement of the
molecule. The folding of the secondary structure and the spatial arrangement of the
side chains constitute the tertiary structure.
Proteins fold because of the dynamics associated between neighboring atoms
on the protein and solvent molecules. The thermodynamics of protein folding and
unfolding are defined by the free energy of a particular condition of the protein that
relies on a particular model. The process of protein folding involves, amongst other
things, amino acid residues packing into a hydrophobic core. The amino acid side
chains inside the protein core occupy the same volume as they do in amino acid
crystals. The folded protein interior is therefore more like a crystalline solid than an
oil drop and so the best model for determining forces contributing to protein stability
is the solid reference state.
The major forces contributing to the thermodynamics of protein folding are
Van der Waals interactions, hydrogen bonds, electrostatic interactions,
configurational entropy and the hydrophobic effect. Considering protein stability, the
hydrophobic effect refers to the energetic consequences of removing apolar groups
from the protein interior and exposing them to water. Comparing the energy of amino
acid hydrolysis with protein unfolding in the solid reference state, the hydrophobic
effect is the dominant force. Hydrogen bonds are established during the protein fold
process and intramolecular bonds are formed at the expense of hydrogen bonds With
water. Water molecules are "pushed out" of the packed, hydrophobic protein core.
All of these forces combine and contribute to the overall stability of the folded protein
where the degree to which ideal packing occurs determines the degree of relative
stability of the protein. The result of maximum packing is to produce a center of
residues or hydrophobic core that has maximum shielding from solvent.
Since it is likely that lipophilic drugs would reside in the hydrophobic core of
a peptide, it would require energy to unfold the peptide before the drug can be
released. The unfolding process requires overcoming the hydrophobic effect by
hydrating the amino acids or achieving the melting temperature of the protein. The
heat of hydration is a destabilization of a protein. Typically, the folded state of a
protein is favored by only 5-15 kcal/mole over the unfolded state. Nonetheless,
protein unfolding at neutral pH and at room temperature requires chemical reagents.
In fact, partial unfolding of a protein is often observed prior to the onset of
irreversible chemical or conformation processes. Moreover, protein conformation
generally controls the rate and extent of deleterious chemical reactions.
Conformational protection of active agents by proteins depends on the stability
of the protein's folded state and the thermodynamics associated with the agent's
decomposition. Conditions necessary for the agent's decomposition should be
different than for protein unfolding.
Selection of the amino acids will depend on the physical properties desired.
For instance, if increase in bulk or lipophilicity is desired, then the carrier polypeptide
will be enriched in the amino acids in the table provided below. Polar amino acids, on
the other hand, can be selected to increase the hydrophilicity of the polypeptide.
Ionizing amino acids can be selected for pH controlled peptide unfolding.
Aspartic acid, glutamic acid and tyrosine carry a neutral charge in the stomach, but
will ionize upon entry into the intestine. Conversely, basic amino acids, such as
histidine, lysine and arginine, ionize in the stomach and are neutral in an alkaline
environment.
Other factors such as p-p interactions between aromatic residues, kinking of
the peptide chain by addition of proline, disulfide crosslinking and hydrogen bonding
can all be used to select the optimum amino acid sequence for a given application.
Ordering of the linear sequence can influence how these interactions can be
maximized and is important in directing the secondary and tertiary structures of the
polypcptide.
Furthermore, ainino acids with reactive side chains (e.g., glutamic acid, lysine,
aspartic acid, serine, threonine and cysteine) can be incorporated for attaching
multiple active agents or adjuvants to the same carrier peptide. This is particularly
useful if a synergisuc effect between two or more active agents is desired.
As stated above, variable molecular weights of the carrier compound can have
profound effects on the active agent release kinetics. As a result, low molecular
weight active agent delivery systems are preferred. An advantage of this invention is
that chain length and molecular weight of the polypeptide can be optimized depending
on the level of conformational protection desired. This property can be optimized in
concert with the kinetics of the first order release mechanism. Thus, another
advantage of this invention is that prolonged release time can be imparted by
increasing the molecular weight of the carrier polypcptide. Another, significant
advantage of the invention is that the kinetics of active agent release is primarily
controlled by the enzymatic hydrolysis of the key bond between the carrier peptide
and the active agent.
Dextran is the only polysaccharide known that has been explored as a
macromolecular carrier for the covalent binding of drug for colon specific drug
delivery. Generally, it was only possible to load up to 1/10 of the total drug-dextran
conjugate weight with drug. As stated earlier, polysaccharides are digested mainly in
the colon and drug absorption is mainly limited to the colon. As compared to dextran,
this invention has two major advantages. First, peptides are hydrolyzed by any one of
several aminopeptidases found in the intestinal lumen or associated with the brush-
border membrane and so active agent release and subsequent absorption can occur in
the jejunum or the ileum. Second, the molecular weight of the carrier molecule can
be controlled and, thus, active agent loading can also be controlled.
As a practical example, the following table lists the molecular weights of
lipophilic amino acids (less one water molecule) and selected analgesics and vitamins
Lipophilic amino acids are preferred because conformational protection through the
stomach is important for the selected active agents, which were selected based on ease
of covalent attachment to an oligopeptide. Eighteen was subtracted from the amino
acid's molecular weight so that their condensation into a polypeptide is considered.
For example, a decamer of glycine (MW=588) linked to aspirin would have a total
molecular weight of 750 and aspirin would represent 24% of the total weight of the
active agent delivery composition or over two times the maximum drug loading for
dextran. This is only for an N- or C- terminus application, for those active agents
attached to pendant groups of decaglutamic acid, for instance, a drug with a molecular
weight of 180 could conceivably have a loading of 58%, although this may not be
entirely practical.
The alcohol, amine or carboxylic acid group of the active agent is covalently
attached to the N-terminus, the C-terminus or the side chain of the oligopeptide or
polypeptide. The location of attachment depends somewhat on the functional group
selection. For instance, if the active drug is a carboxylic acid (e.g., aspirin) then the
N-terminus of the oligopeptide is the preferred point of attachment as shown in Fig. 1.
If the active agent is an amine (e.g., ampicillin), then the C-terminus is the preferred
point of attachment in order to achieve a stable peptide linked active agent as shown
in Fig. 2. In both, the C- and N-terminus examples, the peptide is, in essence,
extended by one monomeric unit forming a new peptide bond. If the active agent is
an alcohol, then either the C-terminus or the N-terminus is the preferred point of
attachment in order to achieve a stable composition. As in the example above where
the alcohol, norethindrone, was covalently attached to poly(hydroxypropylglutamine),
an alcohol can be converted into an alkylchloroformate with phosgene. This
invention, then, pertains to the reaction of this key intermediate with the N-terminus
of the peptide carrier as shown in Fig. 3. Figs. 1 through 3 also depict the release of
the active ingredient from the peptide carrier by intestinal peptidases.
The alcohol can be selectively bound to the gamma carboxylate of glutamic
acid and then this conjugate covalently attached to the C-terminus of the peptide
carrier. Because the glutamic acid-drug conjugate can be considered a dimer, this
product adds two monomeric units to the C-terminus of the peptide carrier where the
glutamic acid moiety serves as a spacer between the peptide and the drug as shown in
Fig. 4. Intestinal enzymatic hydrolysis of the key peptide bond releases the glutamic
acid-drug moiety from the peptide carrier. The newly formed free amine of the
glutamic acid residue will then undergo an intramolecular transamination reaction,
thereby, releasing the active agent with coincident formation of pyroglutamic acid as
shown in Fig. 5. Alternatively, the glutamic acid-drug dimer can be converted into
the gamma ester of glutamic acid N-carboxyanhydride. This intermediate can then be
polymerized, as described above, using any suitable initiator as shown in Fig. 4. The
product of this polymerization is polyglutamic acid with active ingredients attached to
multiple pendant groups. Hence, maximum drug loading of the carrier peptide can be
achieved. In addition, other amino acid-NCA's can be copolymerized with the
gamma ester glutamic acid NCA to impart specific properties to the drug delivery
system.
The invention also provides a method of imparting the same mechanism of
action for other polypeptides containing functional side chains. Examples include,
but are not limited to, polylysine, polyasparagine, polyarginine, polyserine,
polycysteine, polytyrosine, polythreonine and polyglutamine. The mechanism can
translate to these polypeptides through a spacer or linker on the pendant group, which
is terminated, preferably, by the glutamic acid-drug dimer. This carrier peptide-drug
conjugate is distinguished from the prior art by virtue of the fact that the primary
release of the drug moiety relies on peptidases and not on esterases. Alternatively, the
active agent can be attached directly to the pendant group where some other
indigenous enzymes in the alimentary tract can affect release.
The active agent can be covalently attached to the N-terminus, the C-terminus
or the side chain of the polypeptide using known techniques. Examples of linking
organic compounds to the N-terminus type of a peptide include, but are not limited to,
the attachment of naphthylacetic acid to LH-RH, coumarinic acid to opioid peptides
and l,3-dialkyl-3-acyltriazenes to tetragastrin and pentagastrin. As another example,
there are known techniques for forming peptide linked biotin and peptide linked
acridine.
The polypeptide carrier can be prepared using conventional techniques. A
preferred technique is copolymerization of mixtures of amino acid N-
carboxyanhydrides. Alternatively, if a specific sequence is desired, a solid state
automated peptide synthesizer can be used.
The addition of stabilizers to the composition has the potential of stabilizing
the polypeptide further. Stabilizers such as sugar, amino acids, polyethylene glycol
(PEG) and salts have been shown to prevent protein unfolding. In another
embodiment of the invention, a pre-first order release of the active agent is imparted
by microencapsulating the carrier polypeptide-active agent conjugate in a
polysaccharide, amino acid complex, PEG or salts.
There is evidence that hydrophilic compounds are absorbed through the
intestinal epithelia efficiently via specialized transporters. The entire membrane
transport system is intrinsically asymmetric and responds asymmetrically to cofactors.
Thus, one can expect that excitation of the membrane transport system will involve
some sort of specialized adjuvant resulting in localized delivery of active agents.
There are seven known intestinal transport systems classified according to the
physical properties of the transported substrate. They include the amino acid,
oligopeptide, glucose, monocarboxic acid, phosphate, bile acid and the P-glycoprotein
transport systems and each has its own associated mechanism of transport. The
mechanisms can depend on hydrogen ions, sodium ions, binding sites or other
cofactors. The invention also allows targeting the mechanisms for intestinal epithelial
transport systems to facilitate absorption of active agents.
In another embodiment of the invention, the composition includes one or more
adjuvants to enhance the bioavailability of the active agent. Addition of an adjuvant
is particularly preferred when using an otherwise poorly absorbed active agent.
Suitable adjuvants, for example, include: papain, which is a potent enzyme for
releasing the catalytic domain of aminopeptidase-N into the lumen; glycorecognizers,
which activate enzymes in the BBM; and bile acids, which have been attached to
peptides to enhance absorption of the peptides.
Preferably, the resultant peptide-active agent conjugate is formulated into a
tablet using suitable excipients and can either be wet granulated or dry compressed.
Compositions of the invention are, in essence, the formation of amides from
acids and amines and can be prepared by the following examples.
Acid/N-terminus conjugation (Fig. 1)
An acid bioactive agent can be dissolved in DMF under nitrogen and cooled to
0 °C. The solution can then be treated with diisopropylcarbodiimide and
hydroxybenzotriazole followed by the amine peptide carrier. The reaction can then be
stirred for several hours at room temperature, the urea by-product filtered off, the
product precipitated out in ether and purified using gel permeation chromatography
(GPC) or dialysis.
Amine/C-terminus conjugation (Fig. 2)
The peptide carrier can be dissolved in DMF under nitrogen and cooled to 0
°C. The solution can then be treated with diisopropylcarbodiimide and
hydroxybenzotriazole followed by the amine bioactive agent. The reaction can then
be stirred for several hours at room temperature, the urea by-product filtered off, the
product precipitated out in ether and purified using GPC or dialysis.
Alcohol/N-Terminus Conjugation (Fig. 3)
In the following example the combination of the alcohol with triphosgene
produces a chloroformate, which when reacted with the N-terminus of the peptide
produces a carbamate. Pursuant to this, an alcohol bioactive agent can be treated with
triphosgene in dry DMF under nitrogen. The suitably protected peptide carrier is then
added slowly and the solution stirred at room temperature for several hours. The
product is then precipitated out in ether The crude product is suitably deprotected and
purified using GPC.
Other solvents, activating agents, cocatalysts and bases can be used.
Examples of other solvents include dimethylsulfoxide, ethers such as tetrahydrofuran
or chlorinated solvents such as chloroform. Examples of other activating agents
include dicyclohexylcarbodiimide or thionyl chloride. An example of another
cocatalyst is N-hydroxysuccinimide. Examples of bases include pyrrolidinopyridine,
dimethylaminopyridine, triethylamine or tributylamine.
Preparation of ?-Alkyl Glutamate (Fig. 4)
There have been over 30 different ?-alkyl glutamates prepared any one of
which may be suitable for the drug alcohol of choice. For example, a suspension of
glutamic acid, the alcohol and concentrated hydrochloric acid can be prepared and
heated for several hours. The ?-alkyl glutamate product can be precipitated out in
acetone, filtered, dried and recrystallized from hot water.
?-Alkyl Glutamate/C-Terminus Conjugation (Fig. 4)
The peptide carrier can be dissolved in DMF under nitrogen and cooled to 0
°C. The solution can then be treated with diisopropylcarbodiimide and
hydroxybenzotriazole followed by the y-alkyl glutamate bioactive agent. The reaction
can then be stirred for several hours at room temperature, the urea by-product filtered
off, the product precipitated out in ether and purified using GPC or dialysis.
Preparation of ?-Alkyl Glutamate-NCA
?-Alkyl glutamate can be suspended in dry THF where triphosgene is added
and the mixture refluxed under a nitrogen atmosphere until the mixture becomes
homogenous. The solution can be poured into heptane to precipitate the NCA
product, which is filtered, dried and recrystallized from a suitable solvent.
Preparation of Poly[?-Alkyl Glutamate]
?-Alkyl glutamate-NCA can be dissolved in dry DMF where a catalytic
amount of a primary amine can be added to the solution until it becomes viscous
(typically overnight). The product can be isolated from the solution by pouring it into
water and filtering. The product can be purified using GPC or dialysis.
EXAMPLE 1
Preparation of Capped Iodothyronine Composition Comprising a Copolymer of
T3 and T4 Covalently Attached to the N-terminus of Polyglutamic Acid
The synthesis of polyglutamic acid is well known through a variety of reported
methods. For the present examples polyglutamic acid was synthesized through the
activation of the Benzyl Glutamic NCA (BnGlu-NCA) monomer. The BnGlu-NCA
was then polymerized and the benzyl groups removed with hydrogen bromide. When
capping polyglutamic acid, the liberation of its N-tenninus amino group from the
hydrogen bromide complex without imparting unwanted nucleophilicity to the free
carboxylic acids is critical. Reactions using sodium carbonate, sodium bicarbonate,
and sodium acetate produced glutamic acid/T4/T3 copolymer with the T4 and T3
incorporation decreasing with increasing pKb. Sodium acetate was the preferred
reagent because its pKb is between that of sodium bromide, polyglutamic acid, and
sodium salt. The reaction using basic alumina kept the T4-NCA and T3-NCA intact
with no apparent capping or self-polymerization. The stability of T4-NCA and T3-
NCA will influence how glutamic acid/T4/T3 copolymer will be commercially
manufactured. Sodium acetate can be replaced with sodium carbonate, sodium
bicarbonate, sodium propionate, sodium butyrate, sodium pivalate, basic alumina, or
any other weak base capable of neutralizing hydrogen bromide complexed with an
amino group.
The synthesis of glutamic acid/T4/T3 copolymer began with benzylglutamic
acid, thyroxine, and triiodothyronine. Each of these synthons was independently
reacted with triphosgene in a suitable organic solvent. The BnGlu-NCA was
polymerized in tetrahydrofuran (THF) with sodium methoxide as an initiator.
Polybenzylglutamic acid was deprotected with 15% hydrogen bromide in acetic acid.
This product needs to be free of uncomplexed hydrogen bromide where it was
dissolved in DMF and treated with sodium acetate. The previously prepared T4-NCA
and T3-NCA were blended and added to the solution. The reaction was then stirred
until T4-NCA or T3-NCA were no longer detected by thin layer chromatography
(TLC). The final product was added to water and the precipitate was washed with
water and dried in vacuo to yield a white amorphous powder.
Experimentation with several weak bases revealed that a variety of sodium
salts of a carboxylic acid work in capping polyglutamic acid. The reaction was tried
with sodium propionate, sodium butyrate, and sodium pivalate in lieu of sodium
acetate all with essentially the same result.
Preparation of benzylglutamic acid-NCA
Benzylglutamic acid (25 grams) was suspended in 400 mL anhydrous ethyl
acetate under nitrogen. The mixture was heated to reflux where 30 grams of
triphosgene was added in six (6) equal portions. The reaction was refluxed for three
(3) hours until homogenous. The solution was cooled to room temperature, filtered,
and concentrated in vacuo. The white powder was recrystallized from 50 mL of hot
anhydrous ethyl acetate to yield 17.4 grams (63%) of a white powder.
Preparation of T4-NCA
In a round bottom flask fitted with a nitrogen inlet, five grams of thyroxine was stirred
with 25 mL of tetrahydrofuran (THF) and 1.3 grams of triphosgene and the mixture
refluxed for four (4) hours until homogenous. The solution was cooled to room
temperature, and added dropwise to 200 mL of heptane with stirring. The crystals
were filtered and dried in vacuo to yield 4.72 grams (91%) of an off-white powder.
Preparation of T3-NCA
In a round bottom flask fitted with a nitrogen inlet, 4.29 grams of
triiodothyronine was stirred with 20 mL of tetrahydrofuran (THF) and 1.45 grams of
triphosgene and the mixture refluxed for four (4) hours until homogenous. The
solution was cooled to room temperature and added dropwise to 200 ml of heptane
with stirring. The liquid was decanted off the yellow gum, which was recrystallized,
from anhydrous ethyl acetate and hexanes to yield 2.5 grams (56%) of a white powder
that was dried under high vacuum.
Preparation of polybenzylglutamic acid
Benzylglutamic acid (17.4 grams) was dissolved in anhydrous tetrahydrofuran
(THF) under nitrogen where 238 mg of sodium methoxide was added portionwise.
The solution was stirred for two (2) days with a marked increase in viscosity. The
solution was poured into 1.5 L of petroleum ether with stirring. The petroleum ether
was decanted off and an additional 1L of petroleum ether was added back. The
mixture was stirred by hand, the petroleum ether was decanted off and the process
repeated with 500 mL of petroleum ether. The white solid was air dried and then
vacuum dried to yield 14.7 (95%) of a white fluffy paper-like solid.
Preparation of polyglutamic acid
Acetic acid (l0mL) was stirred with 0 roL 30wt% hydrogen bromide (HBr) in
acetic acid where 1.96 of polybenzylglutamic acid was added by hand. The mixture
was stirred at room temperature for one day and was, then, added to 50 mL of ether.
The white precipitant was filtered, washed with 4 x 30 mL of ether and dried under a
high vacuum to yield 1.11 grams (97%) of a white powder.
Preparation of glutamic acid/TVT3 copolymer
Polyglutamic acid (375 mg) was dissolved in dry 3 mL DMF. Sodium acetate (24
mg) was added followed by a blend of 105 mg of T4-NCA and 8 mg of T3-NCA. The
solution was stirred for two (2) days where TLC showed the absence of thyronine
starting materials. The solution was poured into 30 mL of water and cooled 10 °C
overnight. The precipitant was filtered, washed with water, and dried under high
vacuum to yield 413 mg (85%) of light beige powder. The proton NMR revealed a
copolymer of T3 and T4 covalently attached to the N-terminus of polyglutamic acid,
which was virtually completely digested by the pronase enzyme system in two hours.
EXAMPLE 2
Preparation of Peptide Polymers
Polyaspartic acid: Asp(OtBu) (13mg, 0.07mmol) and Asp(OtBu)-NCA
(200mg, 0.93 mmol) were dissolved in anhydrous DMF (5ml), and the solution
allowed to stir over night at room temperature under argon. The following morning,
2.5 ml of the reaction mixture was transferred to separate flask (Flask B). T4-NCA
(27mg, 0.03mmol) was added to the original flask (Flask A), and both solutions were
allowed to continue stirring under argon for an additional 24 hours. Polymer was
then precipitated by the addition of water (50ml) to each flask. The resulting solids
were collected by filtration and dried over night under vacuum.
The dried Asp(OtBu)n (Flask B) and T4-Asp(OtBu)n (Flask A) were then
dissolved in 95% trifluoroacetic acid in water (3ml) and allowed to stir at room
temperature for 2 hours. The deprotected polymers were then precipitated by the
addition of ethyl ether (10ml) and then storing the suspension at 4 °C for 2 hours. The
respective polymers were then collected by filtration and the solids dried over night
under vacuum. This afforded 48mg of Aspn (Flask B) and 12mg of T4-Aspn (Flask
A). MALDI indicated that T4-Aspn (Flask A) consisted of a mixture of polymers of
varying lengths: T4-Asp3-12.
Polyserine and Polythreonine were also prepared using this protocol. The
serine reaction mixture contained N-methylmorpholine (1.1 equivalents).
EXAMPLE 3
Preparation of (Glu)n-Cephalexin
Glu(OtBu)NCA (1.000 g, 4.4mmol) and Cephalexin•HCl (0.106g, 0.3mmol)
were dissolved in anhydrous DMF (5ml). The reaction was then allowed to stir at
room temperature under argon. After 3 days, the solvent was removed by rotary-
evaporation under vacuum. The resulting solid was then placed under argon and then
dissolved in 4N HC1 in Dioxane (2ml) and then allowed to stir at room temperature
under a blanket of argon. After 1 hour, the dioxane and HC1 were removed by rotary-
evaporation under vacuum. The solid was then suspended in methanol (2ml) and
once more brought to dryness by rotary-evaporation in order to remove residual HC1
and dioxane. This material was then resuspended in methanol (2ml) and precipitated
by the addition of water (20ml). The aqueous suspension was then stored at 4°C for 4
hours, and the solid isolated by centrifugation. The pelleted material was then
allowed to dry under vacuum over night. This process afforded a mixture of (Glu)n
and (Glu)n-cephalexin (464mg) as determined by MALDI. MALDI indicates a
mixture of polymers (Glu)7-13 and (Glu)5-14 cephalexin. Other chain-lengths may be
present but they are not clearly visible in the MALDI spectra. Reversed-phase HPLC
(265nm detection, C18 column, l6%MeOH/4%TBDF/80%water mobile phase)
indicated that no free cephalexin was present in the isolated material. "Water" in the
HPLC actually refers to an aqueous buffer of 0.1% heptanesulfonic acid and 1.5%
triethylamine.
3-Methyl-naItrexone: Naltrexone (6.0 g, 16.5 mmol) was dissolved in 100 ml
distilled water. The solution was titrated with 1N NaOH to a final pH of 11.8. la the
course of the titration, neutral naltrexone precipitated from solution and then went
back into solution. Upon reaching pH 11.8, the solvent was removed by rotary-
evaporation under high vacuum, and the resulting solid stored under vacuum over
night at room temperature.. The solid was then suspended/dissolved in anhydrous
tetrahydrofuran (200 ml) and allowed to stir at room temperature under argon. A
solution of iodomethane (2.1 mg, 33 mmol) in 50 ml of tetrahydrofuran was added
dropwise over the course 30 minutes. The reaction was then allowed to stir an
additional 3 hours at room temperature under argon. The solvent was then removed
by rotary-evaporation under reduced pressure. The residual solid was then dissolved
in 40 ml of CHCI3 and the organic solution washed with 30 ml of saturated NaCl,
3x30 ml of IN NaOH and finally twice more with 30 ml saturated aqueous NaCl.
The organic solution was collected and dried over sodium sulfate. Removal of
solvent by rotary-evaporation and drying over night under vacuum afforded pure 3-
methylnaltrexone (5.6g, 15.8 mmol, 96% yield) as a brown residue and composition
determined by TLC and 'H-NMR. Features used to identify the compound by
comparison to the spectrum of naltrexone: 'H-NMR (360 MHz, CDCI3) 5 6.677 (d,
1H, naltrexone aromatic), 6.591 (d, 1H, naltrexone aromatic), 3.874 (s, 3H, methoxy
group.), 0.6-0.5 ppm (m, 2H, naltrexone cyclopropyl) and 0.2-0.1 ppm (m, 2H,
naltrexone cyclopropyl).
Boc-Glu(NaI)-OtBu: The solids Boc-Glu-OtBu (0.96g, 3.18mmol), naltrexone
(l.00g, 2.65mmol) and PyBrop (1.73g, 3.71mmol) were dissolved in 5 ml of
anhydrous DMF and stirred at room temperature under argon. Dry N-
methylmorpholine (1.08ml, 9.81mmol) was added and the reaction allowed to
continue stirring at room temperature under argon. After two days additional Boc-
Glu-OtBu (0.096g, 0.32mmol), PyBrop (0.173g, 0.37mmol) and N-methylmorpholine
(0.10ml, 0.981mmol) were added. After 2 more days, the solvent was removed by
rotary-evaporation under high vacuum. The resulting residue was then dissolved in
CHCI3, and the resulting organic solution extracted with 2x20 ml of saturated NaCl,
3x20 ml of 10% Na2CO3 and a final wash with 20 ml saturated aqueous NaCl. The
organic solution was collected, dried over sodium sulfate and then adsorbed onto
silica. Pure naltrexone conjugated amino acid (0.486g, 0.78mmol, 29%) was then
isolated by flash chromatography and a gradient of 0-1.5% CH3OH in CHCl3. The
purity of the isolated material was determined by TLC (6:1 CH3OH/CHCl3), and the
presence of both the amino acid moiety and the naltrexone were confirmed by 1H-
NMR. Indicative protons: 1H-NMR (360 MHz, CDCl3) 5 6.81 (d, 1H, naltrexone
aromatic), 6.63 (d, 1H, naltrexone aromatic), 4.3-4.2 (m, 1H, glutamic acid a-proton),
1.7-1.3 (pair of bs, 18H, Boc and OtBu groups.), 0.6-0.4 ppm (m, 2H, naltrexone
cyclopropyl) and 0.2-0.0 ppm (m, 2H, naltrexone cyclopropyl).
Boc-Asp(Nal)-OtBu: Boc-Asp(Nal)-OtBu was obtained in 41% isolate yield using a
similar protocol. Indicative protons: !H-NMR (360 MHz, CDC13): 5 6.84 (d, 1H,
naltrexone aromatic), 6.66 (d, 1H, naltrexone aromatic), 4.6-4.5 (m, 1H, aspartic acid
a-proton), 1.6-1.3 (pair of bs, 18H, Boc and OtBu groups.), 0.7-0.5 ppm (m, 2H,
naltrexone cyclopropyl) and 0.4-0.1 ppm (m, 2H, naltrexone cyclopropyl).
NMR characterization:
While naltrexone has a complex NMR spectrum, there are several key protons that
have distinct chemical shifts and are unique to naltrexone.
Poly-Glu(Acyclovir)
To a solution of poly-glujs (0.600g, 0.310mmol) in DMF (25ml) was added
EDCI (2.07g, 10.8mmol). The resulting mixture was allowed to stir at ambient
temperature for one hour. Then, N-methyl morpholine (0.51ml, 4.7mmol) was added
followed by a mixture of acyclovir (1.74g, 7.75mmol), DMF (25ml) and N-methyl
morpholine (0.85ml). The reaction mixture was stirred at ambient temperature for 4
days. After this, water (50ml) was added and all solvent was removed. To the dried
mixture was added water (100ml) and a precipitate of unreacted acyclovir formed.
Solid was centrifuged and the supernate was purified using ultrafiltration (YM1
membrane). Approximately 300ml water was allowed to pass through the membrane.
NMR has shown an unexpected alkyl-urea side chain attached impurity. Poly-
glu(acyclovir) (0.970g) was obtained as a light yellow solid: 1H NMR (D2O) 8 1.11
(br m, 4H, urea), 2.01 (br m, 2H, Glu-b H), 2.39 (br m, 2H, Glu-?H), 2.72 (br m, 2H,
urea), 3.32 (br m, 6H, acyclovir CH2 and urea), 3.83 (br m, 3H, urea), 4.38 (br d, 3H,
Glu-a H), 5.47 (br s, 2H, acyclovir 1' CH2), 7.94 (br s, 1H, acyclovir 8 CH).
EXAMPLE 6
To a solution of poly-glu15 (0.078g, 0.040mmol) in DMF (5ml) was added
EDCI (0.035g, 0.18nunol). After stirring for 30 minutes, N-methyl morpholine was
added (0.03ml, 0.24mmol). After stirring for 10 minutes, a solution of fexofenadine
(O.lOOg, 0.20mmol), N-methyl morpholine (0.07ml, 0.60mmol) and DMF (5ml) was
added via a syringe. After stirring reaction at ambient temperatures for three days,
sample was dissolved in water (25ml). A solid precipitate formed which was bom
drug-conjugate and free fexofenadine. Water was acidified and all solids dissolved.
Purification using ultrafiltration (YM1 followed by YM3) and size exclusion
chromatography using Sephadex-25 at pH 7 yielded poly-glu(fexofenadine) (O.OlOg)
as a white solid: 1H NMR (D2O) 8 1.37 (s, 8H, fex. CH2 and CH3), 1.58 (br m, 5H,
fex. CH and CH2), 1.99 (br m, 24H, Glu-P H), 2.31 (br m, 24H, Glu-yH), 2.70 (br m,
10H, fex. CH and CH2), 4.14 (br m, 26H, Glu-oc H), 7.25 (br m, 14H, fex. aromatic
H).
EXAMPLE 7
Poly-Glu(Zalcitabine)
To a solution of poly-glu15 (0.123g, 0.060mmol) in DMF (8ml) was added
EDCI (0.403g, 2.10mmol). After 30 minutes, N-methyl morpholine (0.13ml,
1.2mmol) was added. After 35 minutes, a solution of zalcitabine (0.200g, 0.95mmol),
N-methyl morpholine (0.10ml, 0.9mmol) and DMF (2ml) was added via a syringe.
The resulting mixture was stirred at ambient temperature for 48 hours. Solvent was
removed and the residue was dissolved in water (15ml). Ultrafiltration (YM1
followed with YM3) and size exclusion using Sephadex-25 at pH 7 yielded poly-
glu(zalcitabine) (0.083g) as a light yellow solid: 1H NMR (DMSO-d6 w/D20) 5 1.14
(br m, 20H, urea), 1.90 (br m, 30H, Glu-b H, Glu-? H and CH2 in zalcitabine), 2.66
(br m, 4H, urea), 3.24 (br m, 36H, urea, CH and CH2 in zalcitabine), 4.29 (br m, 8H,
Glu-a H), 5.87 (br s, 1H, zalcitabine 1' CH), 7.18 (br s, 1.19H, zalcitabine NH2), 8.52
(br s, 1H, zalcitabine 6 CH).
EXAMPLE 8
Poly-G)u(Stavudine)
Preparation was similar to poly-glu(zalcitabine). Purification using
ultrafiltration (YM1) yielded poly-glu(stavudine) (0.089g) as a white solid: 1H NMR
(D20) 8 1.87 (s, 3H, stavudine 5 CH3), 2.06 (br m, 38H, Gru-b H and Glu-? H), 2.49
(br m, 12H, Glu-?H), 3.75 (br m, 12H, urea and stavudine 5' CH2), 3.96 (br m, 12H,
urea), 4.45 (br d, 13H, Glu-a H), 5.98 (d, 1H, stavudine 1' CH), 6.48 (d, 1H,
stavudine 3' CH), 6.96 (d, 1H, stavudine 2' CH), 7.63 (s, 1H, stavudine 6 CH).
Poly-Glu(Metronidazole)
Preparation was similar to poly-glu(zalcitabine). Purification using
ultrafiltration (YM1) yielded poly-glu(metronidazole) (0.326g) as a yellow solid: 1H
NMR (DMSO-d6) d 1.18 (br d, 13H, urea), 1.93 (br s, 17H, Glu-b H and Glu-? H),
2.71 (br s, 16H, urea), 4.01 (br m, 18H, Glu-a H and metronidazole CH2), 4.58 (br s,
2H, metronidazole CH2), 8.05 (br s, 1H, metronidazole 2 CH).
Methyl Naltrexone - Glucose Ketal Conjugate
To a solution of methyl naltrexone (0.200g, 0.56mmol) in dioxane (20ml) was
added D-cc-glucose (2.02g, 11.2mmol), triflic acid (0.05ml, 0.62mmol), and CuSO4
(l.00g). The reaction mixture was stirred at ambient temperatures for 4 days.
Reaction was then filtered, neutralized with NaHCO3 (sat) and filtered again.
Dioxane and water were removed and the residue was taken up in CHCl3 and
extracted with water (3X100ml). The organic layer was dried over MgSO4 and
solvents were removed under reduced pressure. Crude product was purified over
silica gel (0-10% MeOH in CHCl3) to obtain the ketal conjugate (0.010g) in a 1:1
mixture with free methyl naltrexone: 1H NMR (CDCl3) 8 0.14 (br s, 4H, naltrexone
cyclopropyl), 0.53 (br m, 4H, naltrexone cyclopropyl), 0.90 (m, 2H, naltrexone
cyclopropyl), 1.48 (m, 6H, naltrexone), 2.19-2.78 (m, 12H, naltrexone), 3.03 (m, 2H,
naltrexone), 3.75 (q, 2H, glucose), 3.87 (m, 8H, naltrexone CH3 and glucose), 3.97 (q,
2H, glucose), 4.14 (q, 1H. glucose), 4.33 (t, 1H, glucose), 4.66 (s, 1H, naltrexone),
6.65 (m, 4H, naltrexone).
EXAMPLE 11
2-Amino-pentanedioic acid 5-(4-acetylamino-phenyl) ester or
Glu(Acetaminophen)
To a solution of Boc-Glu(OSuc)-OtBu (0.500g, 1.25mmol) and
acetaminophen (0.944g, 6.25mraol) in THF (15ml) was added N-methyl morpholine
(1.40ml, 12.5mmol). The reaction was allowed to beat to reflux and stirred at reflux
overnight Solvent was then removed and the crude compound was purified over
silica gel (50-75% ethyl acetate in hexanes) to obtain Boc-Glu(Acetaminophcn)-OtBu
(0.432g, 0.900mmol, 72%): 1H NMR (CDC13) 8 1.43 (d, 18H, t-Bu), 1.97 (m, 1H,
Glu-b H), 2.12 (s, 3H, acetaminophen CH3), 2.25 (m, 1H, Glu-b H), 2.60 (m, 2H,
Glu-? H), 4.25 (m, 1H, Glu-a H), 7.04 (d, 2H, acetaminophen aromatic), 7.48 (d, 2H,
acetaminophen aromatic).
A solution of Boc-Glu(Acetaminophen)-OtBu (0.097g, 0.20mmol) in 4N HC1
in dioxane (10ml) was stirred at ambient temperatures for 2 hours. Solvent was
removed to obtain glu(acetaminophen) (0.90g) as the HC1 salt: JH NMR (D2O) 8 2.19
(s, 3H, acetaminophen CH3), 2.41 (m, 2H, Glu-b H), 2.97 (t, 2H, Glu-? H), 4.18 (t,
1H, Glu-a H), 7.19 (d, 2H, acetaminophen aromatic), 7.51 (d, 2H, acetaminophen
aromatic); 13C NMR (DMSO) d 23.80, 29.25, 51.00, 66.24, 119.68, 121.69, 137.00,
145.35, 168.23, 170.42, 170.79.
3-(2,5-Dioxo-oxazolidin-4-yl)-propionic acid 4-acetylamino-
phenyl ester or Glu(Acetaminophen) NCA
To a mixture of 2-amino-pentanedioic acid 5-(4-acetylamino-phenyl) ester
(1.54g, 4.29mmol) in THF (40ml) was added triphosgene (1.02g, 3.43mmol). The
resulting solution was stirred at reflux for 3 hours. During reaction, the product
precipitated and was filtered away to obtain the NCA of glu(acetaminophen) (1.02g,
2.64mmol, 62%) as an off white solid: 1H NMR (DMSO-d6) d 2.01 (s, 3H,
acetaminophen CH3), 2.15 (m, 2H, Glu-P H), 2.81 (m, 2H, Glu-? H), 3.76 (t, 1H, Glu-
a H), 7.06 (d, 2H, acetaminophen aromatic), 7.63 (d, 2H, acetaminophen aromatic),
8.57 (br s, 1H, amide), 10.19 (s, 1H, amide); 13C NMR (DMSO) 8 23.81, 29.25,
52.13, 54.62, 119.66, 121.71, 136.98, 145.35, 167.44, 168.19, 170.46, 170.77.
GIu(Dipyriniadole)
To a solution of dipyrimadole (0.500g, 0.990mmol) and Boc-Glu(OSuc)-OtBu
(3.96g, 9.91mmol) in THF (35ml) was added DMAP (0.072g, 0.60mmol) and N-
methyl morpholine (0.22ml, 1.98mmol). The solution was then refluxed for 48 hours.
Solvent was then removed and crude product was purified over silica gel (25-50%
ethyl acetate in hexanes). Two major products were isolated, one with R=2-3 (0.57g)
and another with R=3-4 (2.80g), as bright yellow oils: [for R=2-3 1H NMR (CDC13) 5
1.41 (s, 42H, t-Bu), 1.64 (br s, 5H, dipyrimadole), 1.85 (m, 2H, Glu-b H), 2.07 (m,
2H, Glu-b H), 2.37 (m, 4H, Glu- ? H), 3.60-4.24 (m, 12H, Glu-a H and
dipyrimadole)]; [for R=3-4 similar as above except 1.44 (s, 56H, t-Bu)].
A solution of Boc-Glu(dipyrimadole)-OtBu (R=2-3, 0.57g) and 4N HQ in
dioxane (20ml) was stirred at ambient temperature for 2.5 hours. Solvent was
removed and the product (0.280g) was a bright yellow solid: 'H NMR (DMSO-d6) d
1.65 (br m, 4H, Glu-b H and dipyrimadole), 2.04 (br m, 2H, Glu-b H), 2.40 (br m,
4H, Glu-? H), 3.75 (br m, 8H, dipyrimadole), 3.91 (br m, 2H, Glu-a H), 8.55 (br m,
2H, amide H).
EXAMPLE 13
Glu(AZT)
To a solution of zidovudine (1.00g, 3.75mmol) and Boc-Glu(OSuc)-OtBu
(3.00g, 7.49mmol) in dioxane (75ml) was added DMAP (0.137g, 1.13mmol) and N-
methyl morpholine (0.82ml, 7.49mmol). The solution was heated to reflux for 6
hours and heated at 70°C for 12 hours. Solvent was then removed and the crude
product was purified over silica gel (100%CHCl3) to obtain Boc-Glu(AZT)-OtBu
(1.09g, 1.91mmol, 51%) as a yellow foam: 1H NMR (CDC13) d 1.40 (d, 32H, t-Bu),
1.86 (s, 3H, AZT CH3), 2.11 (m, 2H, Glu-b H), 2.38 (m, 4H, Glu-? H and AZt 2'
CH2), 4.00-4.31 (m, 4H, AZT 41 CH, 5' CH2 and Glu-a H), 5.21 (d, 1H, AZT 31 CH),
6.01 (t, 1H, AZT 1' CH), 7.16 (s, 1H, AZT 6 CH).
A solution of Boc-Glu(AZT)-OtBu (1.09g, 1.91mmol) in 4N HC1 in dioxane
(20ml) was stirred for 4 hours and solvent removed. The product, Glu(AZT) (0.89g,
1.99mmol, quant.), was obtained as a yellow glass: 1H NMR (D2O) d 1.89 (s. 3H,
AZT CH3), 2.21 (m, 4H, Glu-b H and AZT 2' CH2), 2.58 (m, 2H, Glu-? H), 3.70 (t,
1H, Glu-a H), 4.05-4.41 (m, 4H, AZT 4' CH, 3' CH and 5' CH2), 6.18 (t, 1H, AZT 1'
CH), 7.51 (s, 1H, AZT 6 CH).
EXAMPLE 14

1
Threonine NCA
To a mixture of Thr-OtBu (0.500g, 2.85mmol) in THF (25ml) was added
triphosgene (0.677g, 2.28mmol). The resulting solution was stirred at reflux for 3
hours. The solution was evaporated to dryness to obtain Thr-NCA (0.500g,
2.48mmol, 87%) as a white solid. Thr-NCA was used without further
characterization.
EXAMPLE 15
Preparation of a DRUG-GLU conjugate as a starting synthon for
polymerization
With non-primary amine drug candidates, formation of the Drug-poly-Glu conjugate
may prove problematic. To overcome this difficulty, the following scheme was used,
wherein the drug is first conjugated to Glu, and this synthon is then used to initiated
coupling. The protocol has been successfully applied to sertraline and to
metoclopramide.
Protocol for coupling Boc-G)u(OtBu)-OH to Sertraline
1. Boc-Glu(OtBu)-0H (0.44 g, 1.46 mmol) and PyBOP (0.84 g, 1.60 mmol) were
dissolved in dry DMF (15 mL) with stirring.
2. DIEA (0.31 mL, 1.75 mmol) was added and the amino acid derivative was allowed
to activate for 15 minutes.
3. Sertraline hydrochloride (0.50 g, 1.46 mmol) was added to the stirring mixture
followed by an additional 0.31 mL DIEA.
4. The mixture was allowed to stir for 16 h.
5. The solution was stripped yielding a brown oil.
6. The oil was dissolved in EtOAc (100 mL) and the resulting solution was washed
with 10 % HQ (3 x 30 mL), saturated NaHCO3, 4M NaHSO4, and brine (2 x 30 mL,
respectively).
7. The solution was dried over MgSO4, filtered and the solvent was removed by rotary
evaporation under reduced pressure, yielding a light brown oil.
8. The oil was dried on the vacuum manifold and the product was purified by column
chromatography on silica gel using EtOAc/Hexanes 1:5 to 1:4 solvent system.
9. The product fractions were pooled and solvent was again removed by rotary
evaporation yielding 0.85 g (99%) of the final product, Sertraline-NH-C(O)-Glu-
NH3+.
10. The preparation was dried on the vacuum manifold.
EXAMPLE 16
Synthesis of Poly-Lysine-Ibuprofen
I. Preparation of Ibuprofen-O-Succinimide (RI-172) (Grafe & Hoffman, PJiarmazie
55:286-292,2000)

To a stirring solution of ibuprofen (2.06 g, 10 mmol) in 5 mL of dioxane at room
temperature was added a solution of dicyclohexylcarbodiimide (DCC, 2.27 g, 11
mmol) in 25 mL of dioxane. After 10 minutes a solution of N-hydroxysuccinimide
(NHS, 1.16 g, 10 mmol) in 15 mL of dioxane was added. The reaction mixture was
allowed to stir at room temperature for 5 hours and then filtered through a sintered
glass funnel to remove the dicyclohexylurea (DCU). After rotary evaporation, the
product was crystallized from methylene chloride/hexanes to yield 2.36 g (78%) of a
colorless solid. 1H-NMR (dmso-d6): d 0.86 (d, 6, CH3), 1.49 (d, 3,a- CH3), 1.81 (m,
1, CH), 2.43 (d, 2, CH2), 3.33 (m, 4, CH2CH2), 4.22 (q, 1, CH), 7.16 (d, 2, ArH), 7.28
(d, s, ArH).
IL Conjugation of Poly-Lysine with Ibuprofen-O-Succinimde (RI-197)
Poly-lysine-HBr (Sigma, 100 mg, 34.5nmol) was dissolved in 1 mL of water that had
brought to a pH of 8 with sodium bicarbonate, and stirred at room temperature. To
this solution was added a solution of ibuprofen-O-succinimide (116 mg, 380 nmol) in
2 mL of dioxane. After stirring overnight, the dioxane was removed by rotary
evaporation and diluted with 10 mL of pH 8 sodium bicarbonate in water. The
precipitated product was filtered through a sintered glass funnel and washed with 3 X
10 mL of water and 4 X 10 mL of diethyl ether. After drying overnight by high
vacuum the solid product was scraped out yielding 105 mg (62%). 1H-NMR (dmso-
d6): 8 0.85 (br s, 6, CH3), 1.27 (br s, 3,a- CH3), 1.40-1.79 (m, 5, CH of ibu and lysine
yand d CH2CH2), 2.31 (d, 2, b CH2), 2.41-2.52, under dmso (m, 2, b CH2), 2.73-3.01
(m, 2, e CH2), 3.51-3.85 (m, 1 ibu CH), 4.0M.43 (m, 1, a CH), 7.14 (d, 2, ArH), 7.6
(d, 2, ArH), 7.90-8.06 (m, 2, NH).
EXAMPLE 17
Summary of the synthesis of [Lysine]xx -[Gemfibrozil or Naproxen] or [Glu]n L-
DOPA
Synthesis of [Glu]15 - L-dihydroxyphenylalanine or [Glu]15-L-DOPA
L-DOPA (0.050 g, 254 Dmol) and GluNCA (0.666 g, 3.85 mmol) were
dissolved in 6 ml DMF. After stirring overnight under Argon, the reaction was
examined by thin layer chromatography (9:1 H2O: HO Ac) showed some free drug
(Rt= 0.70) and a more polar spot presumed to be polymer (Rt= 0.27). The reaction
was quenched by the addition of 12 ml H2O. The pH was adjusted to pH 1-2 using
IN HC1. The solvent was removed by rotary evaporation and the viscous residue
dried in vacuum. The resultant syrup was transferred to a new vessel in H2O and
lyophilized. The resulting crystals were off white to light brown. Yield: 0.470 g,
62%. 1H NMR showed pyfoglutamic acid contamination; therefore, the material was
suspended in H2O and ultrafiltered (Millipore, regenerated cellulose, YM1, NMWL
=1000), and the retentate dried under vacuum. Yield: 0.298 grams. 1H NMR
(500MHz, DMSO) indicated a relative ratio of 30:1 Glu:L-DOPA, 6.6 (L-DOPA
aromatic), 6.4 (L-DOPA aromatic), 4.1 (Glu, a)
1.85 (Glu, b), 2.25 (Glu, ?, L-DOPA), 2.3 (L-DOPA, benzylic), 12.4-11.5 (Glu,
CO2H), 8.0 (Glu, amide)
Synthesis of [Glu]10 -L-DOPA
As in the synthesis of [Glu]i5-L-DOPA except 0.439 grams of GluNCA were
used. The final yield of purified material was 0.007 grams.
The 1H NMR (500MHz, DMSO) indicates 8:1 Glu.L-DOPA.
Synthesis of Naproxen-Succinimide
To Naproxen (2.303 g, 10 mmol) in 5 ml of dioxane was added N-
hydroxysuccinimide (1.16 g, 10 mmol) dissolved in 15 ml of dioxane and
dicyclohexylcarbodiimide (2.27 g, llmmol) in 25 ml of dioxane. The reaction was
stirred overnight and the insoluble dicyclohexylurea removed by filtration. The
solvent was removed by rotary evaporation and the residue dissolved in 30-40 ml
CH2Cl2. Approximately 10 ml hexane was added and the mixture was chilled to 4°C
for 2 hr. Additional hexane was added dropwise until small planar white crystals
began to form and the solution was refrigerated overnight. The activated ester was
harvested, washed with hexane and dried in vacuum (2.30 g, 70.0 %): 1H NMR
(500MHz, DMSO) 1.70 (d, 3H, CH3) 2.9 (s, 4H, succinimide), 3.91 (s, 3H, OCH3),
4.18 (q, 1H, methine) 7.75-7.12 (m, 6H, aromatic).
Synthesis of polylysine-Naproxen
To [Lys]14 14 HBr (0.100 g, 35 mmol) in 1 ml of H2O (containing 10 mg/ml
Na2CO3) was added Naproxen-Succinimide (0.124 g, 379 mmol) in 2 ml of dioxane.
After stirring overnight a precipitate formed. More precipitate was formed by the
addition of 30-40 ml of H2O (containing 10 mg/ml Na2CO3), isolated by filtration and
washed with 50 ml of Et2O. The fine white powder was dried (0.095 g, 53%): 1H
NMR (500MHz, DMSO) 8.1 (m, 1H, lysine; amide), 7.8-7.0 (m, 6H, aromatic), 4.4-
4.1 (m, 2H, q methine), 3.3 (s, 3H, OCH3), 2.8 (m, 2H, e), 1.7-1.0 (m, 9H, b, ?, d,
CH3).
Synthesis of Gemfibrozil - Succinimide
To Gemfibrozil (GEM) (5.0 g, 20.0 mmol) in 30 ml dioxane was added
N- hydroxysuccinimide (2.3 g, 20.0 mmol) in 20 ml dioxane and
dicyclohexylcarbodiimide (4.5 g, 22.0 mmol) in 50 ml dioxane. The reaction was
stirred overnight and the insoluble dicyclohexylurea removed by filtration. The
solvent was removed by rotary evaporation and the residue dissolved in 15 - 20 ml of
CH2C12. Hexane was added dropwise until crystal formation was seen and the
mixture was chilled to 4° C overnight. Approximately 3 ml of additional n-hexane
was added and the mixture chilled to -20° C overnight The activated ester formed
small planer crystals and was harvested, washed with hexane and dried in vacuum
(5.8 g, 80%):1H NMR (500 MHz, DMSO) 1.2, 1.3 (s, 6H, CH3), 1.8-1.5 (m, 6H,
GEM CH2), 2.3-2.1 (s, 6H, aromatic CH3) 2.85-2.7 (d, 4H, succinimide CH2), 7.0-6.6
(m, 3H, aromatic).
Synthesis of polylysine-Gemfibrozil
To [Lys]11 11 HBr (0.100 g, 43.5 amol) in 1 ml of H2O (containing 10
mg/ml Na2CO3) was added Gemfibrozil-succinimide (0.094 g, 261.1 amol) in 2 ml
dioxane. After stirring overnight a precipitate formed. More precipitate was formed
by the addition of 30 ml of H2O (containing 10 mg/ml Na2CO3), isolated and washed
with 50 ml Et2O. The fine white powder was dried (0.019 g, 1 %): 1H NMR
(500MHz, DMSO) 1.5-1.0 (m, 12H, b, ?,.d, CH3), 1.85-1.5 (m, 4H, CH2), 2.3,2.1 (s,
6H, aromatic CH3), 3.35 (s, 2H, e), 3.85 (s, 2H, OCH2), 4.05 (s, 1H, a), 5.6 (d, 1H,
carbamate), 7.0-6.7 (m, 3H, aromatic), 8.0 (d, 1H, amide).
EXAMPLE 18
All reagents were used as received. 1H NMR was run on a Bruker 300 MHz
(300) or JEOL 500 MHz (500) NMR spectrophotometer using tetramethylsilane as an
internal standard. Thin layer chromatography was performed using plates precoated
with silica gel 60 F254. Flash chromatography was performed using silica gel 60 (230-
400 mesh).
Preparation of polvArg
Method 1
To H-Arg(Z) 2-OH (0.300 g, 0.68 mmol) in 3.0 ml dry DMSO was added
diphenylphosphorylazide (219 |xl, 1.02 mmol) and triethylamine (236 \ii, 1.69 mmol).
The reaction was stirred for 48 h under Ar upon which the solution was poured into
100 ml H2O. The resulting heterogeneous solution was centrifuged to isolate the
white precipitate which was washed 3 x 100 ml H2O,3 x 100 ml CH2OH and 100
Et2O and then vacuumed dried to obtain 172 mg of an off white solid: 1H NMR (500
MHz, DMSO) 7.31 (m, 10H), 5.21 (m, 1H, benzylic), 5.01 (m, 1H, benzylic), 3.83
(m, 1H, a), 3.34 (m, 2H, 5) 1.54 (m, 4H, b, ?).
This material was dissolved in 1.5 ml dry anisole and stirred with 0.3 ml
anhydrous methanesulfonic acid for 3 h upon which another 0.3 ml anhydrous
methanesulfonic acid was added and the solution stirred for 1 h. The reaction mixture
was poured into 6 ml Et2O and refrigerated for 15 m. The heterogeneous biphasic
mixture was concentrated to 0.5 ml by rotary evaporation. Thrice, an additional 8 ml
Et2O was added and the biphasic mixture centrifuged and the supernatant removed
leaving a yellowish gum. This residue was washed twice with 6 ml acetone,
centrifuged and the supernatant discarded leaving behind a white-yellow residue. The
residue was dissolved in 0.3 ml H2O and shaken with Amberlite IRA-400. The resin
was removed by filtration and washed with 3 ml H2O. The combined eluent and wash
were dried in vacuum yielding a yellow film 0.063 g, (90% yield): 1H NMR (500
MHz, D2O) 4.37 (m, 1H, a), 3.22 (m, 2H, d) 1.94-1.66 (m, 4H, (5, y); MALDI-MS
shows a degree of polymerization varying between six to fourteen residues.
Method 2
To Boc-Arg(Z)2-OH (0.025 g, 0.05 mmol) and H-Arg(Z)2-OH (0.280 g, 0.63
mmol) in 3.0 ml dry DMSO was added diphenylphosphorylazide (219 ul, 1.02 mmol)
and triethylamine (236 ul, 1.69 mmol). The reaction was stirred for 48 h and then
poured into 100 ml H2O. The heterogeneous solution was centrifuged and the
precipitate washed 3 x 100 ml H2O, 3 x 100 ml CH3OH and 100 Et2O and then
vacuumed dried to obtain 132 mg of solid: ]H NMR (500 MHz, DMSO) 7.31 (m,
10H), 5.21 (m, 1H, benzylic), 5.01 (m, 1H, benzylic), 3.83 (m, 1H, a), 3.34 (m, 2H, d)
1.54 (m,4H, b, ?).
The protected polymer was dissolved in 1.5 ml dry anisole and stirred with 1.3
ml anhyd methanesulfonic acid for 4 h. The solution was concentrated to 0.5 ml by
rotary evaporation. Et2O (8 ml) was added and the biphasic system centrifuged and
the supernatant discarded. Thrice, 10 ml acetone was added, the solution centrifuged
and the supernatant discarded. The pellet was dried overnight in vacuum and then
dissolved in 0.3 ml H2O and shaken with Amberlite IRA-400. The resin was removed
by filtration and washed with 3 ml H2O. The combined eluent and wash were dried in
vacuum .yielding a yellow film 0.019, (24% yield); 1H NMR (500 MHz, D2O) 4.37
(m, 1H, a), 3.22 (m, 2H, 6) 1.94-1.66 (m, 4H, b, ?); MALDI-MS shows a degree of
polymerization varying between five to eleven residues.
Preparation of T4 Conjugates
T4 conjugated to aminoacid polymers were either prepared by coupling
(protected) T4 to commercially available aminoacid homopolymers or incorporated
by polymerization of a T4 moiety with the corresponding N-carboxyanhydride
aminoacid.
T4 Conjugation to preformed homopolymers
To N-TeocT4 (0.017 g, 17 umol) in 1 ml dry DMF was added
dicyclohexylcarbodiimide (0.004 g, 18 umol). After stirring for 30 minutes N-
dimethyl-4-aminopyridine (0.004 g, 36 umol) and Gly18 (0.017 g, 17 umol) were
added and the reaction stirred overnight. The cloudy solution was poured into 20 ml
H2O and extracted twice with 10 ml CH2CI2. The aqueous component was acidified
to pH 3 with 1 N HC1 and chilled to 4° C. The material was isolated by centrifugation
and the pellet thrice washed with 8 ml H2O. The pellet was dried in vacuum to yield
dicyclohexylurea and N-TeocT4-Gly18: 1H NMR (500 DMSO) 7.8 (T4 aromatic), 7.1
(T4 aromatic), 4.1 (a).
To the impure protected polymer was added 2 ml trifluoroacetic acid. The
reaction was stirred for 2 h and the solvent removed by rotary evaporation. The
residue was dissolved in 1 ml DMF and the insoluble material removed by filtration.
The DMF was removed by rotary evaporation and dried in vacuum to yield a white
material (.012 g, 40%): 1H NMR (500 DMSO) 7.75 (T4 aromatic), 7.08 (T4
aromatic), 4.11 (bs, a).
Preparation of aminoacid NCA.
To the L-aminoacid (1.5 g) in 100 ml dry THF was added triphosgene (0.8
eqv). The reaction was vessel was equipped with a reflux condenser and NaOH trap
and heated to reflux for 3 h. The solvent was removed by rotary evaporation and the
residue washed with hexane to yield the aminoacid NCA as white residue.
LeuNCA: 1H NMR (500 CDC13) 6.65 (s, 1H, NH), 4.33 (dd, 1H, a), 1.82 (m,
2H, b), 1.68 (m, 1H, ?), 0.98 (dd, 6H, d)..
PheNCA: 1H NMR (500 CDC13) 7.36-7.18 (m, 5H), 5.84 (s, 1H, NH), 4.53
(dd, 1H), 3.28 (dd, 1H, a), 2.98 (dd, 1H, P).
Trp(Boc)NCA: : 1H NMR (500 CDC13) 8.14 (d, 1H), 7.49 (d, 2H), 7.36 (t,
1H), 7.27 (m, 1H), 5.90 (s, 1H, NH), 4.59 (dd, 1H, a), 3.41 (dd, 1H, P), 3.07 (dd, 1H,
b),1.67(s,9H,t-Bu).
DeNCA: 1H NMR (300 CDC13) 6.65 (s, 1H, NH), 4.25 (d, 1H, a), 1.94 (m,
1H, b), 1.43 (dm, 2H, ?-CH2), 1.03 (d, 3H, ?-CH3), 0.94 (t, 3H, d).
Lys(Boc)NCA: 1H NMR (500 CDCl3) 6.65 (bs, 1H, N,H), 4.64 (s, 1H,
carbaxnate NH), 4.31 (t, 1H, a), 3.13 (s, 2H, e), 2.04 (m, 2H, b), 1.84 (m, 2H, d), 1.48
(m,HH,?,t-Bu).
MetNCA: 1H NMR (500 CDC13) 6.89 (s, 1H, NH), 4.50 (dd, 1H, a), 2.69 (t,
2H, ?), 2.10 (m, 1H, b), 2.08 (m, 4H, b, 5).
Typical preparation of T4 N-capped homopolymers:
T4-Leui5
To DeNCA (0.200 g, 1.3 µnol) in 2.5 ml DMF was added isoleucine (0.012 g,
0.1 µnol). After stirring overnight under Ar T4-NCA (0.037 g, 0.050 µmol) was
added and the reaction stirred an additional 72 h. The white solution was added to 8
ml H2O. The heterogeneous solution was chilled to 4° C, centrifuged and the
supernatant discarded and the pellet washed with 8 ml H2O. The dried residue was
washed with 50 ml ethanol warmed to 50° C to yield after drying, a white powder
(0.124 g, 55%): 1H NMR (500 DMSO) 7.75 (s, T4 aromatic), 7.08 (s, T4 aromatic),
4.11 (dd, a), 1.77 (m, b), 1.38 (m, b, ?-CH), 0.91 (m, ?-CH, ?-CH3, d).
T4-Phe15
White powder (58%): 1H NMR (360 MHz, DMSO) 7.0-8.1 (NH, aromatics), 4.5 (a),
3.0 (P); MALDI-MS indicates T4-Phe1-5.
T4-Met15
White powder (10%): 1H NMR (500MHz, DMSO) 8.0-8.5 (amide NH), 4.4 (a) 2.5
(?), 2.05(e), 2.0-1.7(b).
T4-Val15
White powder (14%): 1H NMR (500MHz, DMSO) 7.75 (T4 aromatic), 7.08 (T4
aromatic), 4.35 (a), 3.45 (b), 1.05 (?).
For those conjugates that used a protected NCA an additional, separate deprotection
step was necessary:
To T4-[Lys(Boc)]15 (0.256 g, 61 µmol) in 10 ml of CH2C12 was stirred with
trifluoroacetic acid (10 ml) for 2 h. The solvent was removed by rotary evaporation
and the residue dissolved in 3 ml H2O and ultrafiltered (Amicon regenerated
cellulose, YM1, NMWL 1000, wash with 30 ml pH 5 H2O). The retentate was dried
in vacuum to give a light brown residue: 1H NMR (500 D2O) 7.82 (s, T4 aromatic),
7.41 (s, T4 aromatic), 4.29 (bs, a), 3.00 (bs, e), 2.13-1.70 (m, b, d, ?); MALDI-MS
gives a range T4-Lys4-11.
T4-Trpi5: !H NMR (500 DMSO) 8.25-6.80 (m, aromatic), 4.50 (bs, a), 3.40
(bs,P),3.00(bs,P).
Typical preparation of T4 C-capped homopolymers:
To T4 (0.078 g, 100 µmol) in 10 ml dry DMF was added Trp(Boc)NCA
(0.500 g, 1.514 mmol). After stirring for 64 h under Ar the reaction was quenched by
adding 30 ml H2O. The cloudy white solution was chilled to 4° C, centrifuged and
the pellet washed three times with 25 ml H2O. The residue was dried in vacuum to
provide Trp(Boc)15-T4 as a brown solid. This material was further purified by
ultrafiltration (Amicon regenerated cellulose, YM1, NMWL 1000, wash with 30 ml
pH 5 H2O) to provide [Trp(Boc)]15-T4 as a brown-gold solid (0.400 g, 79%): 1H
NMR (500 DMSO) 8.25-6.80 (m, aromatic), 4.50 (bs, a), 3.40 (bs, b), 3.00 (bs, b),
1.50 (bs, t-Bu).
To [Trp(Boc)]15-T4 (0.509 g) in 8 ml of 1:1 CH2C12: trifluoroacetic acid was
stirred for 1.5 h. The solvent was removed by rotary evaporation and the residue
dried in vacuum to yield a brown solid (0.347 g, 97%): 1H NMR (500 DMSO) 8.25-
6.80 (m, aromatic), 4.50 (bs, b), 3.40 (bs, a), 3.00 (bs, b).
[Lys(Boc)]15-T4: 1H NMR (500 D2O) 7.82 (s, T4 aromatic), 7.41 (s, T4 aromatic),
4.29 (bs, a), 3.00 (bs, e), 2.13-1.70 (m, b, d, ?).
Lys15-T4: 1H NMR (500 D2O) 7.82 (s, T4 aromatic), 7.41 (s, T4 aromatic), 4.29 (bs,
a), 3.00 (bs, e), 2.13-1.70 (m, b, d, ?).
Typical preparation of random T4/homopolymers:
To T4NCA (0.065 g, 0.1 mmol) and Trp(Boc)NCA (0.400 g, 1.2 mmol) were
combined in 4 ml dry DMF. Triethylamine (11 µl, 0.1 mmol) was added and the
reaction stirred for 44 h under Ar. After quenching by the addition of 10 ml H2O the
heterogeneous mix was chilled to 4° C and centrifuged. The pellet was isolated and
washed three times with 10 ml H2O and dried in vacuum.
To the random T4/[Trp(Boc)]15 polymer was added 10 ml 1:1 CH2C12:
trifluoroacetic acid and the reaction stirred for 1 h. The solvent was removed by
rotary evaporation to provide the deprotected polymer as a brown solid (0.262 g,
91%) which was further purified by ultrafiltration (Amicon regenerated cellulose,
YM1, NMWL 1000, wash with 30 ml pH 5 H2O): 1H NMR (500 DMSO), 8.25-6.80
(m, aromatic), 4.50 (bs, a), 3.40 (bs, b), 3.00 (bs, b).
Random T4/Lys15: 1H NMR (500 D2O); 7.82 (s, T4 aromatic), 7.41 (s, T4 aromatic),
4.29 (bs, a), 3.00 (bs, e), 2.13-1.70 (m, b, d, ?).
Prparation of PoIyLysine Depakote
To valproic acid (1.0 g, 6.9 mmol) in 14 ml 6:1 CH2C12:DMF was added N-
hydroxysuccinimide (0.8 g, 6.9 mmol), dicyclohexylcarbodiimide (1.6 g, 7.6 mmol)
and triethylamine (0.9 g, 8.9 mmol). The reaction was stirred for 60 h whereupon the
solution was filtered to remove the white precipitate and the solvent removed by
rotary evaporation. The residue was purified by flash chromatography (10:1-2:1
hexane:EtOAc) to provide the succinimidyl ester as a clear oil (1.0 g, 59%): Rf (3:1
hexane:EtOAc) 0.43; 1H NMR (300 MHz, CDC13) 2.76 (s, 4H, succinimide), 2.61
(m, 1H, methine), 1.65-1.19 (m, 8H, methylene), 0.88 (t, 6H, methyl).
To Lys14 HBr (0.106 g, 37 umol) in 0.8 ml H2O pH 8 was added the valproic
succinimidyl ester (0.104 g, 431 umol) dissolved in 0.4 ml THF. The reaction was
stirred overnight whereupon 8 ml H2O was added. The mixture was acidified to pH 3
with 6 M HC1 and extracted twice with 2 ml CH2Cl2. The aqueous layer was dried
and the residue dissolved in 1 ml H2O. The solution was purified by SEC (G-15,10
ml dry volume) and eluted with water. Those fractions containing conjugate were
combined and dried to yield a white solid (0.176 mg) which by NMR indicated 28
Lysine for every one drug molecule; 1H NMR (D2O) 4.29 (m, 1H, a), 3.00 (m, 2H, s),
1.87-1.68 (m, 4H, b, d), 1.43 (m, ?, methylene), 0.85 (t, methyl).
Preparation of PolyGIu Mevastatin
AcNGlu15(3-mevastatin)2
To polyGlu15 (0.116 g, 69 umol) in 3 ml dry DMF was added 1 ml pyridine
and acetic anhydride (20 µl, 207 umol). After stirring for 21 h the mixture was
acidified with 6 N HC1 until pH 1 and then cooled to 4° C. The white precipitate was
collected by centrifugation and washed three times with H2O and then dried under
vacuum to yield 11 mg of N-acetylated polyGlu15.
To N-acetylated polyGlu15 (0.011 g, 7 a mol) in 4.8 ml dry DMF was added
dicyclohexylcarbodiimide (0.022 g, 108 umol). After stirring twenty minutes the
heterogeneous solution was filtered to remove insoluble dicyclohexylurea and
combined with mevastatin (0.042 g, 108 umol) and N-dimethyl-4-aminopyridine
(0.013 g, 108 umol). The mixture stirred for 23 h whereupon the reaction was
quenched by the addition of 20 ml H2O. The solution was extracted twice with 10 ml
CHCl3. The aqueous component was adjusted to pH 3 with 1 N HC1 and cooled to 4°
C. The resultant white precipitate was isolated by centrifugation and washed three
times with 8 ml H2O. The solid was dissolved in 1 ml H2O and washed with 1 ml
CH2Cl2 and twice with 2 ml EtOAc. The aqueous layer was *****acidified to pH 3 with 1
N HC1, cooled to 4° C, the precipitate isolated by centrifugation and washed twice
with 2 ml H2O. The dried conjugate (2 mg) was shown by *H NMR to contain fifteen
Glu for every two mevastatin molecules: *H NMR (500 MHz, DMSO) 5.92 (5'
mevastatin), 5.72 (3' mevastatin), 5.19 (4' mevastatin), 5.17 (8' mevastatin), 5.12 (3
mevastatin), 4.41 (5 mevastatin), 4.03 (a, Glu), 2.25 (7, Glu), 1.88 (p\ Glu), 0.82
(4",2' allylic methyl mevastatin), 1.17 (2" mevastatin).
Glui5(3-mevastatin) (160)
To Glujj (0.151 g, 77 umol) in 3 ml dry DMF was added
dicyclohexylcarbodiimide (0.239 g, 1.159 mmol) and the reaction stirred for 4 h under
At. The white precipitate was removed and N-dimethyl-4-aminopyridine (0.141 g,
1.159 mmol) and mevastatin (0.222 g, 0.569 mmol) were added dissolved in 10 ml
CHCI3. The reaction stirred for 21 h under Ar whereupon the precipitate was
removed. The solution was concentrated by rotary evaporation and added to 40 ml
saturated NaCl (aq) adjusted so pH 8. The homogeneous solution was extracted three
times with 20 ml CHC13 and then ultrafiltered (Amicon regenerated cellulose, YM1,
NMWL 1,000). The retentate was dried in vacuum to yield 8 mg of a white residue
which showed a ratio of 15 Glutamic acids to one mevastatin by *H NMR (500 D2O);
5.92 (5* mevastatin), 5.72 (3* mevastatin), 5.19 (4' mevastatin), 5.17 (8* mevastatin),
5.12 (3 mevastatin), 4.41 (5 mevastatin), 4.03 (a, Glu), 2.25 (y, Glu), 1.88 (p, Glu),
0.82 (4M,2' allylic methyl mevastatin), 1.17 (2M mevastatin).
BocGlu(3-mevastatin)O-t-Bu
To BocGlu(OSu)O-t-Bu (0.181 g, 453 a mol) and mevastatin (0.177 g, 453
umol) in 40 ml CHC13 was added N-dimethyl-4-aminopyridine (0.055 g, 453 umol).
for 8 h. The solvent was removed by rotary evaporation and the residue purified by
flash chromatography (8:1-1:1 hexane:EtOAc) to provide the conjugate as a clear film
(0.038 g, 11%): Rf (3:1 hexane:EtOAc) 0.22; ]H NMR (CDCI3 500 MHz) 5.97 (d,
1H, 5'), 5.73 (dd, 1H, 3'), 5.55 (s, 1H, 4'), 5.32 (s, 1H, 8'), 5.24 (dd, 1H, 3), 5.09 (d,
1H, NH), 4.48 (m, 1H, 5), 4.20 (m, 1H, a), 2.78 (m, 2H, 2), 2.37 (m. 4H, 2', 2", y),
1.45 (s, 18H, t-Bu), 1.12 (d, 3H, 2"-CH3), 0.88 (m, 6H, 4", 2'-CH3).
Preparation of PolyGlu Prednisone
BocGlu(21 -Prednisone)O-t-Bu
To BocGlu-O-t-Bu (0.400 g, 1.32 mmol) in 20 ml CHC13 was added
dicyclohexylcarbodiimide (0.544 g, 2.64 mmol). The reaction was stirred for 1 h and
filtered to remove insoluble dicyclohexylurea. N-dimethyl-4-aminopyridine (0.320 g,
2.64 mmol) and prednisone (0.472 g, 1.32 mmol) was added. The reaction was stirred
for 60 h and filtered. The solvent was removed by rotary evaporation and the residue
purified by flash chromatography (10:1-0:1 hexane:EtOAc) to provide the target as a
clear film (0.256 g, 31%): Rf (6:1 CHCl3:MeOH) 0.54; JH NMR (CDCI3 500 MHz)
7.68 (d, 1H, 1), 6.16 (d, 1H, 2), 6.04 (s, 1H, 4), 5.15 (d, 1H, NH), 5.03 (d, 1H, 21),
4.71 (d, 1H, 21), 4.08 (t, 1H, o), 1.40 (s, 18H, t-Bu).
Glu(21 -Prednisone)
To BocGlu(21-Prednisone)O-t-Bu (0.060 g, 93 umol) in 15 ml CH2C12 was
stirred for 1 h with trifluoroacetic acid (1.5 ml). The solvent was removed by rotary
evaporation and the residue purified by flash chromatography (8:1 CHCl3:MeOH) to
yield a clear film: Rf (6:1 CHCl3:MeOH) 0.13 !H NMR (CDC13 500 MHz) 7.72 (d,
1H, 1), 6.25 (d, 1H, 2), 6.14 (s. 1H, 4), 5.14 (d, 1H, 21), 4.75 (d, 1H, 21), 4.10 (t, 1H,
a).
DMF is dimethylfonnamide, anhydrous, and was purchased from Aldrich.
Glassware was oven-dried prior to use.
1. Glu-NCA (500 mg, 2.89 mmoles) was dissolved in 4 mL of DMF and stirred
under Ar in a 15 mL roundbottom flask equipped with a gas inlet tube.
2. Atenolol, dissolved in 1 mL of DMF, was added to this solution of Glu-NCA
and allowed to stir at room temperature for 72 h. In general, the reactions can
be run until there is no free amine initiator by tic. For this reaction, tic was
run using silica plates and eluting with 20% methanol in ethyl acetate.
3. The reaction was quenched by pouring into 20 mL of 10% sodium bicarbonate
in water (pH = 8).
4. The water was washed with 3 X 20 mL of methylene chloride and 3 X 20 mL
of ethyl acetate.
5. Combined aqueous layers were brought to a pH of 6 with 6N HC1 and reduced
to a volume of about 20 mL by rotary evaporation. This solution was then
cooled in the refrigerator for > 3 hours.
6. To precipitate the polymeric product, the aqueous solution was then acidified
to a pH of about 2 using 6N HC1 and placed back in the refrigerator for 1-2
hours.
7. The suspension was poured by portions into a 10 mL test tube and centrifuged
for 15 minutes until the precipitate formed a solid pack at the bottom of the
tube from which the water could be decanted. (At this point in the general
procedure, it is preferable that the solid be filtered through a filter runnel and
washed with acidic water. The centrifuge was used for atenolol because the
solid was too thin to filter.)
8. The solid was then resuspended in acidic water (pH about 2) and vortexed
before being centrifuged again and the water decanted. This procedure was
repeated once more for a total of three washes.
9. The solid was then dried by high vacuum overnight yielding 262 mg (59%) of
polymer. NMR analysis indicated that the Glu/Atenolol ratio was about 30/1.
EXAMPLE 20
Monolayers of Caco-2 human intestinal epithelial cells are increasingly being used to
predict the absorption of orally delivered drugs. We used the Caco-2 transwell system
and other in vitro assays to evaluate the performance of Polythroid. Our findings
indicate that Polythroid may enhance oral delivery of thyroid hormones for the
treatment of hypothyroid disorders.
J3V VITRO PERFORMANCE
Caco-2 human intestinal epithelial cell assay
Caco-2 cells are grown on the surface of collagen coated wells in a 24 well format to
form confluent monolayers that represent small segments of the intestine. The wells
are removable and contain a top chamber representing the apical side (facing the
lumen of the intestine) and a bottom chamber representing the basolateral side (site of
serosal drug absorption). The integrity of the epithelial barrier is monitored by testing
the electrical resistance across the monolayer. Absorption of drugs can be studied by
adding sample to the apical side and assaying the concentration of the drug in the
basolateral chamber following incubation.
Intestinal epithelial cell proteases digest Polythroid
Polythroid is a synthetic polymer of glutamic acid with T4 and T3 covalently attached
by a peptide bond linkage. The polymer is the delivery vehicle for the thyroid
hormones and is not designed to cross the intestinal barrier itself. Rather, it is
designed to release T4 and T3 in a time dependent manner. Release of the thyroid
hormones is dependent on the enzymatic cleavage of the glutamic acid polymer. In
theory, this will result from Polythroid encountering proteolytic enzymes as it
descends the intestinal tract. Proteins are digested into small polypeptides by gastric
pepsin and pancreatic enzymes secreted into the small intestine. Intestinal epithelial
cells then function to further breakdown the small polypeptides. They accomplish this
with proteolytic enzymes referred to as brush border proteases that are attached to the
cell surface.
Monitoring the effect of brush border peptidases on Polythroid required
development of an assay to specifically distinguish Polythroid from polyglutamic acid
and the thyroid hormones. Therefore, we developed an enzyme-linked
immunosorbent assay (ELIS A) that specifically recognizes Polythroid. The assay
employs antibodies against the glutamic acid polymer to capture Polythroid and
antibodies to T4 or T3 to detect the presence of Polythroid. The assay has no cross-
reactivity with polyglutamic acid or the thyroid hormones themselves. Consequently,
proteolytic degradation of Polythroid results in T4 and T3 release from the polymer
and a corresponding decrease in ELK A reactivity. The Polythroid specific ELJSA
can, therefore, be used to monitor the breakdown of Polythroid.
The Polythroid specific assay was used to analyze in situ digestion of
Polythroid in Caco-2 cell cultures. Different concentrations of Polythroid were added
to the apical side of Caco-2 cells and incubated for 4 hours in PBS at 37°C (n=4). The
apical side Polythroid concentration was measured by Polythroid specific ELIS A
before and after the 4 hour incubation (Fig. 6). At the relatively high concentration of
100 micrograms, 26% of Polythroid was degraded, whereas at a 10-fold lower
concentration 84% of the Polythroid was degraded. When a concentration of 0.5
micrograms was added (closer to the concentrations that would be encountered by the
intestine in a normal human dose) the amount of Polythroid remaining after 4 hours of
incubation was below the limit of detection for the ELISA (10 ng) indicating
essentially complete digestion. The loss of Polymer in the apical chamber was not due
to absorption of Polythroid across the monolayer since the basolateral chamber
contained no detectable Polythroid in any of the experiments (see below). We cannot
rule out cellular uptake of Polythroid, however, enzymatic digestion is likely to
account for most, if not all, of the decrease in Polythroid concentration on the apical
side. At the higher concentrations, it would be difficult for cellular uptake to account
for such a large difference in the remaining Polythroid.
Polythroid enhances absorption of T4 across Caco-2 monolayers
Absorption of T4 was monitored in the Caco-2 transwell system (n=4).
Polythroid (10 micrograms) was added to the apical side of the transwells. T4
was added to the apical side at a concentration equal to the T4 content of
Polythroid. A commercial ELISA for T4 was used to determine the level of T4 in
the basolateral chamber following incubation for 4 hours at 37°C (Fig. 7). A
significantly higher amount of T4 was absorbed from Polythroid as compared to
CaCo-2 cells incubated with the amount of T4 equivalent to that contained in the
polymer.
Polythroid does not cross Caco-2 monolayers
In order to determine if Polythroid itself crosses the Caco-2 monolayer we used the
Polythroid specific ELIS A to measure the amount of polymer in the basolateral
chamber after incubation with Polythroid at a high concentration (100 micrograms).
After 4 hours incubation, samples (n=4) from the basolateral side showed no
reactivity in the ELISA (Fig. 8). The limit of detection for Polythroid is 10 ng,
therefore, less than 1/10,000 of the Polythroid was absorbed. In conclusion, within the
limits of ELISA detection, Polythroid does not cross the Caco-2 monolayer.
Digestion of Polythroid in gastric and intestinal simulators
Pepsin secreted by the gastric mucosa is the only protease active in the acid conditions
of the stomach. The pancreas secretes a number of proteolytic enzymes into the
intestine which degrade proteins and polypeptides. In theory, these endogenous
proteases will participate in release of T4 and T3 from Polythroid as the polymer
descends the intestinal tract.
We tested Polythroid in the USP gastric simulator and the USP intestinal simulator
and compared the levels of digestion for Polythroid synthesized by different methods.
The samples of Polythroid varied in the position of thyroid hormone attachment.
Samples were dissolved in gastric simulator buffer containing pepsin or in intestinal
simulator buffer containing pancreatic enzyme extract (pancreatin) and incubated for
24 hours at 37°C. Following digestion, samples were analyzed by HPLC for the
content of released monomeric T4 and T3. Figures 9and 10 show the levels of T4 and
T3 following digestion in the gastric and intestinal simulators. Release varied
depending on the position of thyroid hormone attachment. Polythroid with T4 and T3
attached at the C-terminus (C-capped) showed the highest level of digestion. On the
other hand, Polythroid with N-terminal attachment (N-capped) showed no digestion in
the gastric simulator and a relatively low amount of digestion in the intestinal
simulator. Polythroid with random attachment showed only marginal digestion in the
gastric simulator and moderate digestion in the intestinal simulator. In conclusion, the
rate of thyroid hormone release from Polythroid varies depending on the method of
synthesis. This provides a potential means of controlling (fine tuning) time release of
oral delivery.
Conclusions and Summary
The following conclusions can be drawn from in vitro performance assays:
• T4 and T3 are released from Polythroid by pancreatic and intestinal cell proteases
• T4 and T3 released from Polythroid are absorbed across intestinal monolayers
• Polythroid enhances absorption of T4 across intestinal epithelium in vitro
• Polythroid itself does not cross the intestinal epithelial barrier in vitro
• The kinetics of time release may be controlled by the method of Polythroid
synthesis
Covalent attachment of T4 and T3 to a polypeptide affords a number of
potential advantages to oral delivery for thyroid hormone replacement therapy.
Proteolytic enzymes produced by the pancreas and intestinal epithelial cells release
T4 and T3 from Polythroid. Therefore, T4 and T3 should be released in a time
dependent manner as they descend the intestinal tract. Once released the hormones are
absorbed across the intestinal epithelium in the Caco-2 cell model. In addition, data
from the in vitro intestinal epithelial model suggests that attachment of T4 to
polymers of glutamic acid may enhance absorption of the thyroid hormones, perhaps
by providing a second mechanism of uptake and/or enhancing solubility of the
hormones. Polythroid itself does not cross the intestinal epithelial barrier in the in
vitro Caco-2 model. Thus, any concerns about systemic effects of the polymer are
minimized since it should not be absorbed into the bloodstream.
Although illustrated and described above with reference to specific
embodiments, the invention is nevertheless not intended to be limited to the details
shown. Rather, various modifications may be made in the details within the scope
and range of equivalents of the claims and without departing from the spirit of the
invention.
We Claim:
1. A pharmaceutical composition comprising:
a polypeptide wherein said polypeptide is a heteropolymer of two or more
synthetic amino acids;
an active agent such as herein described covalently attached to the side chain of
said polypeptide and
wherein said composition is in a form suitable for oral administration and release
of said active agent into the bloodstream following oral administration.
2. A pharmaceutical composition comprising:
a polypeptide such as herein described;
an active agent other than an amino acid wherein said active agent is an amine and
wherein said active agent is covalently attached through said amine to the C-terminus of
said polypeptide; and
wherein said composition is in a form suitable for oral administration and
enxymatic release of said active agent into the bloodstream following oral administration.
3. A pharmaceutical composition comprising:
a polypeptide such as herein described;
an active agent wherein said active agent is an alcohol and wherein said active
agent is covalently attached through said alcohol to the C-terminus of said polypeptide;
and
wherein said composition is in a form suitable for oral administration and
enzymatic release of said active agent into the bloodstream following oral administration.
4. A pharmaceutical composition comprising:
a polypeptide such as herein described;
an active agent wherein said active agent is an alcohol and wherein said active
agent is covalently attached through said alcohol to the N-terminus of said polypeptide;
and
wherein said composition is in a form suitable for oral administration and
enzymatic release of said active agent into the bloodstream following oral administration
5. A pharmaceutical composition comprising:
a polypeptide wherein said polypeptide consists of one or more of the twenty
naturally occuring amino acids,
an active agent other than an amino acid wherein said active agent is an amine and
wherein said active agent is covalently attached through said amine to the C-terminus of
said polypeptide; and
wherein said composition is in a form suitable for oral administration and
enzymatic release of said active agent into the bloodstream following oral administration.
6. A pharmaceutical composition comprising:
a polypeptide wherein said polypeptide consists of one or more of the twenty
naturally occuring amino acids,
an active agent wherein said active agent is an alcohol which is covalently
attached through said alcohol to the C-terminus of said polypeptide; and
wherein said composition is in a form suitable for oral administration and
enzymatic release of said active agent into the bloodstream following oral administration.
7. A pharmaceutical composition comprising:
a polypeptide wherein said polypeptide consists of one or more of the twenty
naturally occuring amino acids,
an active agent wherein said active agent is an alcohol which is covalently
attached through said alcohol to the N-terminus of said polypeptide; and
wherein said composition is in a form suitable for oral administration and
enzymatic release of said active agent into the bloodstream following oral administration.
8. A pharmaceutical composition comprising:
a polypeptide such as herein described;
an active agent other than an amino acid wherein said active agent is an alcohol
covalently attached to said polypeptide through said alcohol in a form suitable for oral
administration and enzymatic release of said active agent into the bloodstream following
oral administration wherein said composition is in the form of an ingestible table, a
capsule, or an oral suspension.
9. The pharmaceutical composition of claim 8 wherein said polypeptide consists of
one or more of the twenty naturally occuring amino acids.
10. The pharmaceutical composition of claim 8, wherein said polypeptide consists of
one or more amino acids selected from glutamic acid, aspartic acid, arginine, asparagine,
cysteine, lysine, threonine, or serine.
11. The pharmaceutical composition of claim 10, wherein the polypeptide consists of
glutamic acid.
12. The pharmaceutical composition of claim 10, wherein the polypeptide consists of
serine.
13. The pharmaceutical composition of claim 10, wherein the polypeptide consists of
lysine.
14. The pharmaceutical composition of claims 8,9.10, 11,12 or 13 wherein said active
agent is attached through the C-terminus.
15. The pharmaceutical composition of claims 8,9,10,11,12 or 13 wherein said active
agent is attached through the N-terminus.
16. The pharmaceutical composition of claims 8,9,10,11,12 or 13 wherein said active
agent is attached through the side chain of an amino acid.
17. A pharmaceutical composition comprising:
a polypeptide such as herein described;
an active agent other than an amino acid wherein said active agent is an amine
covalently attached to said polypeptide through said amine in a form suitable for oral
administration and enzymatic release of said active agent into the bloodstream following
oral administration,
wherein said composition is in the form of an ingestible tablet, a capsule or an oral
suspension.
18. The pharmaceutical composition of claims 17, wherein said polypeptide consists
of one or more of the twenty naturally occuring amino acids.
19. The pharmaceutical composition of claim 17, wherein said polypeptide consists of
one or more amino acids selected from glutamic acid, aspartic acid, arginine. asparagine,
cysteine, lysine, threonine, and serine.
20. The pharmaceutical composition of claim 19, wherein the polypeptide consists of
glutamic acid.
21. The pharmaceutical composition of claim 19, wherein the polypeptide consists of
serine.
22. The pharmaceutical composition of claim 19, wherein the polypeptide consists of
lysine.
23. The pharmaceutical composition of claims 17,18,19,20,21 or 22 wherein said
active agent is attached through the C-terminus.
24. The pharmaceutical composition of claims 17,18,19,20,21 or 22 wherein said
active agent is attached through the side chain of an amino acid.
25. A pharmaceutical composition comprising:
a polypeptide such as herein described;
an active agent other than an amino acid wherein said active agent is a carboxylic
acid covalently attached to said polypeptide through said carboxylic acid in a form
suitable for oral administration and enzymatic release of said active agent into the
bloodstream following oral administration,
wherein said composition is in the form of an ingestible tablet, a capsule, or an
oral suspension.
26. The pharmaceutical composition of claim 25, wherein said polypeptide consists of
one ore more of the twenty naturally occurring amino acids.
27. The pharmaceutical composition of claim 25, wherein said polypeptide consists of
one ore more amino acids selected from glutamic acid, aspartic acid, arginine, asparagine,
cysteine, lysine, threonine, and serine.
28. The pharmaceutical composition of claim 27, wherein the polypeptide consists of
glutamic acid.
29. The pharmaceutical composition of claim 27, wherein the polypeptide consists of
serine.
30. The pharmaceutical composition of claim 27. wherein the polypeptide consists of
lysine.
31. The pharmaceutical composition of claims 25.26,27.28,29 or 30 wherein said
active agent is attached through the N-terminus.
32. The pharmaceutical composition of claims 25.26,27,28,29 or 30 wherein said
active agent is attached through the side chain of an amino acid.
33. A pharmaceutical composition comprising:
a polypeptide wherein said polypeptide is a heteropolymer of two or more
synthetic amino acids;
an active agent other than an amino acid such as herein described, covalently
attached to said polypeptide; and
wherein said composition is in a form suitable for oral administration and
enzymatic release of said active agent into the bloodstream following oral administration
wherein said composition is in the form of an ingestible tablet, a capsule, or an oral
suspension.
34. Composition of claim 33, wherein said active agent is attached to the N-terminus.
35. Composition of claim 33, wherein said active agent is attached to the C-terminus.
36. Composition of claim 33, wherein said active agent is attached to the side chain.
37. A pharmaceutical composition comprising:
a polypeptide such as herein described;
an active agent other than an amino acid covalently attached to said polypeptide in
a form suitable for oral administration and enzymatic release of said active agent into the
bloodstream following oral administration.
Wherein said composition is in the form of an ingestible tablet, a capsule, or an
oral suspension.
38. The pharmaceutical composition of claim 32, wherein said polypeptide comprises
one or more of the twenty naturally occurring amino acids.
39. The pharmaceutical composition of claim 37, wherein said polypeptide comprises
glutamic acid, aspartic acid, arginine, asparagine, cysteine, lysine, threonine, or serine.
40. The pharmaceutical composition of claim 39, wherein the polypeptide comprises
glutamic acid.
41. The pharmaceutical composition of claim 39. wherein the polypeptide comprises
serine.
42. The pharmaceutical composition of claim 39, wherein the polypeptide comprises
lysine.
43. The pharmaceutical composition of claims 37,38,39,40,41 or 42 wherein said
active agent is attached through the C-terminus.
44. The pharmaceutical composition of claims 37,38,39.40,41 or 42 wherein said
active agent is attached through the N-terminus.
45. The pharmaceutical composition of claims 37,38,39,40,41 or 42 wherein said
active agent is attached through the side chain of an amino acid.
46. A pharmaceutical composition comprising:
a polypeptide consisting essentially of one or more of the twenty naturally
occurring amino acids;
an active agent other than an amino acid covalently attached to said polypeptide in
a form suitable for oral administration and enzymatic release of said active agent into the
bloodstream following oral administration,
wherein said composition is in the form of an ingestible tablet, a capsule, or an
oral suspension.
47. The pharmaceutical composition of claim 46, wherein said naturally occurring
amino acid is glutamic acid.
48. The pharmaceutical composition of claim 46, wherein said naturally occurring,
amino acid is lysine.
49. The pharmaceutical composition of claim 46, wherein said naturally occurring
amino acid is serine.
The invention discloses a pharmaceutical composition comprising a polypeptide wherein
said polypeptide is a heteropolymer of two or more synthetic amino acids and an active
agent covalently attached to the side chain of said polypeptide, wherein said composition
is in a form suitable for oral administration and release of said active agent into the
bloodstream following oral administration.

Documents:

329-kolnp-2003-certified copies(other countries).pdf

329-KOLNP-2003-CORRESPONDENCE-1.1.pdf

329-KOLNP-2003-CORRESPONDENCE.pdf

329-KOLNP-2003-FORM 16.pdf

329-KOLNP-2003-FORM 27-1.1.pdf

329-KOLNP-2003-FORM 27.pdf

329-KOLNP-2003-FORM-27-1.pdf

329-KOLNP-2003-FORM-27.pdf

329-kolnp-2003-granted-abstract.pdf

329-kolnp-2003-granted-assignment.pdf

329-kolnp-2003-granted-claims.pdf

329-kolnp-2003-granted-correspondence.pdf

329-kolnp-2003-granted-description (complete).pdf

329-kolnp-2003-granted-drawings.pdf

329-kolnp-2003-granted-examination report.pdf

329-kolnp-2003-granted-form 1.pdf

329-kolnp-2003-granted-form 13.pdf

329-kolnp-2003-granted-form 18.pdf

329-kolnp-2003-granted-form 3.pdf

329-kolnp-2003-granted-form 5.pdf

329-kolnp-2003-granted-gpa.pdf

329-kolnp-2003-granted-reply to examination report.pdf

329-kolnp-2003-granted-specification.pdf


Patent Number 225972
Indian Patent Application Number 329/KOLNP/2003
PG Journal Number 49/2008
Publication Date 05-Dec-2008
Grant Date 03-Dec-2008
Date of Filing 20-Mar-2003
Name of Patentee NEW RIVER PHARMACEUTICALS, INC.
Applicant Address 100 FIFTH STREET, SUITE 410, BRISTOL, TENNESSEE
Inventors:
# Inventor's Name Inventor's Address
1 PICCARIELLO THOMAS 203 MURPHY STREET, BLACKSBURG, VIRGINIA 24060
2 OLON LAWRENCE P 306 GALWAY ROAD, BRISTOL, TENNESSEE 37620
3 KIRK RANDALL J P.O. BOX 3526. RADFORD VIRGINIA 24143
PCT International Classification Number A61K 9/14, 9/22
PCT International Application Number PCT/US01/26142
PCT International Filing date 2001-08-22
PCT Conventions:
# PCT Application Number Date of Convention Priority Country
1 60/247,632 2000-11-14 U.S.A.
2 60/247,694 2000-11-14 U.S.A.
3 60/247,702 2000-11-14 U.S.A.
4 60/247,723 2000-11-14 U.S.A.
5 60/247,727 2000-11-14 U.S.A.