Title of Invention

ANTAGONISTIC SYNTHETIC PEPTIDE ANALOGS OF HORMONE-RELEASING HORMONE (GH-RH)

Abstract There is provided a novel series of synthetic antagonistic analogs of hGH-RH(1-29)NH2. These analogs inhibit the activity of endogenous hGH-RH on the pituitary GH-RH receptors, and therefore prevent the release of growth hormone. The analogs also inhibit the proliferation of human cancers through a direct effect on the cancer cells. The higher inhibitory potencies of the new analogs, as compared to previously described ones, results from replacement of various amino acids.
Full Text Field Of Invention
"ANTAGONisTIC SYNTHETIC PEPTIDE ANALOGS OF GROTH HORMON
RELEASING HORMONE (GH-RH)
This invention was made in part with Government support from the Medical Research
Service of the Veterans Affairs Department The Government has certain rights in this application
(VA No. 03-084, assigned July 25,2003).
The present invention relates to novel synthetic peptides that inhibit the release of growth
hormone from the pituitary in mammals as well as inhibit the promeraron Or human cancers
through a direct effect on the cancer cells, and to therapeutic compositions containing these novel
peptides.
BACKGROUND OF THE INVENTION
Growth hormone-releasing hormone (GH-RH) is a peptide belonging to the
secretin/glucagon family of neuroendocrine and gastrointestinal hormones, a family mat also
includes vasoactive intestinal peptide (VIP), pituitary adenylate cyclase activating peptide (PACAP)
and others. Human GH-RH (hGH-RH) peptide is comprised of 44 amino acid residues. The best
known site of production of GH-RH is the hypothalamus, but it was found that various peripheral
organs also synthesize it hGH-RH is also produced, sometimes in large quantities, by human
malignant tissues (cancers) of diverse origin.
GH-RH exerts various physiological and pathophysiological functions. Hypothalamic GH-
RH is an endocrine releasing hormone that, acting through specific GH-RH receptors on the
pituitary, regulates the secretion of pituitary growth hormone (GH). The physiological functions of
GH-RH in extrapituitary tissues are less clear. However, there is increasing evidence for the role of
GH-RH as an autocrine/paracrine growth factor in various cancers. Splice variant (SV) receptors
for GH-RH. different from those expressed in the pituitary, have been described in a wide range of
human cancers and in some normal peripheral organs. The actions of tumoral autocrine/paracrine
GH-RH could be exerted on these receptors. In addition, receptors and other, as yet
In view of the role of GH-RH as an endocrine regulator of GH release, novel therapeutic
strategies, based on the use of agonistic and antagonistic analogs of GH-RH, have been devised
for the treatment of various pathological conditions.
GH is a polypeptide having 191 amino acids that stimulates the production of different
growth factors, e.g. insulin-like growth factor I (IGF-I), and consequently promotes growth of
numerous tissues (skeleton, connective tissue, muscle and viscera) and stimulates various
physiological activities (raising the synthesis of nucleic acids and proteins, and raising IIpolysis, but
lowering urea secretion). Release of pituitary GH is under the control of releasing and inhibiting

factors secreted by the hypothalamus, the primary releasing factors being GH-RH and ghrelin, and
the main inhibiting factor being somatostatin.
GH has been implicated in several diseases. One disease in which GH is involved is
acromegaly, in which excessive levels of GH are present The abnormally enlarged facial and
extremity bones, and the cardiovascular symptoms of this disease can be treated by administering
a GH-RH antagonist Further diseases involving GH are diabetic retinopathy and diabetic
nephropathy. The damage to the retina and kidneys respectively in these diseases, believed to be
due to hypersecretion of GH, results in blindness or reduction in kidney function. This damage can
be prevented or slowed by administration of an effective GH-RH antagonist
In an effort to intervene in these disease and other conditions, some investigators have
attempted to control GH and IGF-l levels by using analogs of somatostatin, an inhibitor of GH
release. However, somatostatin analogs, If administered alone, do not suppress GH or IGF-l
levels to a desired degree. If administered in combination with a GH-RH antagonist, somatostatin
analogs will suppress IGF-l levels much better.
However, the main applications of GH-RH antagonists are in the field of cancer (reviewed
in Serially AV and Varga JL, Trends Endocrinol Metab 10: 383-391, 1999; Serially AV et al,
Frontiers Neuroendocrinol 22: 248-291, 2001; Schally AV and Comaru-Schally AM, in: Kufe DW,
Pollock RE, Weichselbaum RR, Bast Jr. RC, Gansler TS, Holland JF, Frei III E, Eds. Cancer
Medicine, 6th ed. Hamilton, Ontario: BC. Decker, Inc., 2003, p.911-926). GH-RH antagonists inhibit
the proliferation of malignancies by indirect endocrine mechanisms based on the inhibition of
pituitary GH release and resulting in the decrease of serum levels of GH and IGF-l, as well as by
25 direct effects on the tumor tissue.
GH-RH and its tumoral splice variant (SV) receptors are present in human cancers of the
lung, prostate, breast, ovary, endometrium, stomach, intestine, pancreas, kidney, and bone (see
Halmos G et al, Proc Natl Acad Sci: USA97: 10555-10560,2000; Rekasi.Z et at, Proc Natt Acad
S3 USA 97:10561-10566, 2000; Schally AV et al, Frontiers Neuroendocrinol 22: 248-291, 2001;
Serially AV and Comaru-Schally AM, In: Kufe DW, Pollock RE, Weichselbaum RR, Bast Jr. RC,
Gansler TS, Holland JF, Frei III E, Eds. Cancer Medicine, 6 ed. Hamilton, Ontario: BC. Decker,
Inc., 2003, p.911-926). Tumoral GH-RH has been shown or it is suspected to act as an autocrine
growth factor in these malignancies. Antagonistic analogs of GH-RH can inhibit the stimulatory
35 activity of GH-RH and exert direct antiproliferative effects in vitro on cancer cells, and in vivo on
tumors. Direct antiproliferative effects of GH-RH antagonists are exerted on tumoral receptors
(binding sites). In addition to the specific tumoral SV receptors for GH-RH, receptors for VIP and
other, as yet unidentified receptors of mis family, are targets of GH-RH antagonists.

In addition to endocrine inhibitory effects on serum 6H and IGF-I, GH-RH antagonists
have been found to reduce the autocrine and paracrine production of several tumor growth factors
and/or downregulate their receptors. These growth factors include IGF-I, IGF-II, GH, vascular
endothelial growth factor (VEGF), and fibroblast growth factor (FGF), Thus, a disruption of the
autocrine/paracrine stimulatory loops based on these growth factors contributes to the efficacy of
GH-RH antagonists as antitumor agents.
IGF-I and lGF-II are autocrine/paracrine growth factors with potent mitogenic effects on
various cancers. IGF-I is also an endocrine growth factor, and elevated levels of serum IGF-I are
considered an epidemiological risk factor for the development of prostate cancer, lung cancer, and
colorectal cancer. The involvement of IGF-I (somatomedin-C) in breast cancer, prostate cancer,
colon cancer, bone tumors and other malignancies is well established. Nevertheless,
autocnne/paracrine control of proliferation by IGF-II is also a major factor in many tumors. IGF-I
and IGF-II exert their proliferative and anti-apoptotic effects through the common IGF-I receptor.
The receptors for IGF-I are present in primary human breast cancers, prostate cancers, lung
cancers, colon cancers, brain tumors, pancreatic cancers, and in renal cell carcinomas. In several
experimental cancers, such as those of the bone, lung, prostate, kidney, breast, ovary, intestine,
pancreas, and brain, treatment with GH-RH antagonists produces a reduction in IGF-l and/or IGF-
II levels, concomitant to inhibition of tumor growth (reviewed in Schally AV and Varga JL, Trends
Endocrinol Metab 10: 383-391, 1999; Schally AV et al, Frontiers Neuroendocrinol 22: 248-291,
2001; Schally AV and Comaru-Schally AM, in: Kufe DW, Pollock RE, Weichselbaum RR, Bast Jr.
RC, Ganster TS, Holland JF, Frei 111 E, Eds. Cancer Medicine, 6th ed. Hamilton, Ontario: BC.
Decker, Inc., 2003, p.911-926). In some cases, the expression of IGF-I receptors was also
decreased by GH-RH antagonists. Thus the disruption of endocrine and autocrine/paracrine
stimulatory loops dependent on IGF-I and IGF-II contributes to the. antitumor effect of GH-RH
antagonists.
In MXT breast cancer model, treatment with GH-RH antagonists inhibited tumor growth,
reduced the mRNA level for GH and the concentration of GH peptide in tumors, and inhibited the
mRNA expression for GH receptors (Szepeshazi K et al, Endocrinology 142: 4371-4378, 2001).
GH was shown to act as a growth factor for MXT murine mammary carcinoma cells, MCF-7 human
breast cancer cells and other tumor cell lines. Thus the inhibitory activity of GH-RH antagonists on
local and serum GH levels contributes to their antitumor effect
GH-RH antagonists have been shown to inhibit the mRNA levels and protein
concentrations of VEGF in human androgen-sensitive and androgen-independent prostate cancer
models (Letsch M et al, Proc Natl Acad Sci USA 100: 1250-1255, 2003; Plonowski A et al,
Prostate 52: 173-182, 2002) and this phenomenon contributes to their antitumor effect, since
VEGF plays an Important stimulatory role in the neovascularization and growth of various tumors.
40 Moreover, it was found that a GH-RH antagonist inhibited the VEGF secretion and proliferation of

normal murine endothelial cells, apparently through a direct effect on these cells in vitro (Siejka A
et al. Life Sci 72:2473-2479,2003).
Scientists have investigated various modifications of GH-RH to elucidate the relationship
5 of the structure of GH-RH to its activity on the pituitary receptors, in an effort to provide synthetic
congeners with improved agonistic or antagonistic properties. Thus, it was early established that
GH-RH fragment comprising residues 1 to 29, or GH-RH(1-29), is the minimum sequence
necessary for biological activity on the pituitary. This fragment retains 50% or more of the potency
of native GH-RH. Subsequently, many synthetic analogs of GH-RH, based on the structure of
hGH-RH(1-29)NH2 peptide, were prepared. hGH-RH(1-29)NH2 has the following amino acid
sequence:
Tyr-Ala-Asp-Ala-lle5-Phe-Thr-Asn-Ser-Tye10-
Leu-Gln-Asp25-lle-Met-Ser-Arg29-NH2

A considerable number of patents and articles in the open literature disclose analogs of
GH-RH which either act as agonists of GH-RH (I.e. act to stimulate the release of GH) or as
antagonists of GH-RH (i.e. act to inhibit the release of GH) on the pituitary. Most of these peptides
are derived from the GH-RH(1-29) peptide sequence, with specific structural modifications which
account for their enhanced agonistic or antagonistic properties on the pituitary receptors. However,
apart from a few exceptions, it is not known how these analogs would behave on cancer cells that
express GH-RH receptors different from those found in the pituitary. Only a few published scientific
studies tried to elucidate the structure-activity relationships and characterize the direct antagonistic
(or agonistic) effects of GH-RH analogs on cancer cells and tumors (see Rekasi Z et al,
Endocrinology 141: 2120-2128, 2000; Halmos G et al, Proc Natl Acad Sci USA 97:10555-10560,
2000; Rekasi Z et al, Proc Natl Acad Sci USA 97: 10561-10566, 2000; Kiaris H et al, Proc Natl
Acad Sci USA 99: 196-200, 2002), and no issued patents have dealt with this issue so far.
Consequently, very littte is known about the structural features in GH-RH analogs required for a
direct
The first described GH-RH antagonist [Ac-Tyr1,D-Arg2]hGH-RH(1-29)rNH2, which is
generally termed as the "standard antagonist in the literature, was found to prevent the activation
of rat anterior bituitary aaenviate cyclase by hGH-RH(1-29)NH2- The same peptide blocked the
action or GH-RH on its receptors in the pituitary and hypothalamus, and inhibited the pulsatile
grow hormone secretion.The standard antagonist was also evaluated clinically (Ocampo-Lim B
et ai, J Clin Endocrinol Metab 81: 4396-4399, 1996; Jaffe CA et al. J Clin Endocrinol Metab 82:
634-637, 1997). Large doses of this antagonist (400 ug/kg) eliminated nocturnal GH secretion in
normal subjects and inhibited the response to GH-RH. The standard GH-RH antagonist also
reduced GH levels in a patient with acromegaly. However, for clinical use, much more potent
■ 40 antagonists of GH-RH aire required.

The inventions mentioned below disclose GH-RH analogs with antagonistic or agonistic
properties on the pituitary receptors for GH-RH. However it was not reported and not investigated
whether these analogs could exert direct effects on tumor cells.

US Patent 4,650,693 discloses GH-RH antagonistic analogs which contain certain N,N-
dialkyl-omega-guanidino alpha-amino acyl residues in position 2 of the GH-RH(1-29) sequence.
Published application WO 91/16923 reviews earlier attempts to alter the secondary
structure of hGH-RH by modifying Its amino acid sequence. These earlier attempts include:
replacing Tyr1. Ala2, Asp3 or Asn8 with their D-isomers; replacing Asn8 with L- or D-Ser, D-Arg.
Asn, Thr, Gln or D-Lys; replacing Ser8 with Ala to enhance amphiphilicity of the region; and
replacing Gly15 with Ala or Alb. When R2 in the analogs is D-Arg, and R8, R9, and R15 are
substituted as indicated above, antagonistic activity is said to result These antagonistic peptides
are said to be suitable for administration as pharmaceutical compositions to treat conditions
associated with excessive levels of GH, e.g., acromegaly.
The antagonistic activity of the hGH-RH analogue "[Sei9-psilCH2-NH]-Tyr10]hGH-RH(1-
29)" of US Patent 5,064,555 was said to result from the pseudopeptide bond (i.e., a peptide bond
20 reduced to a [CH2-NH] linkage) between the R9 and R10 residues. However, the antagonistic
properties of [Ser9-psi[CH2-NH]-Tyr10]hGH-RH(1-29) were said to be inferior to the standard
antagonist, [N-Ac-Tyr1, D-Arg2]hGH-RH(1-29)-NH2.
US Patent 5,550,212, US Patent 5,942,489, and US Patent 6,057,422, assigned to the
25 same assignee as the present application, disclose analogs of hGH-RH(1-29)NH2 said to have
enhanced antagonistic properties and prolonged duration of action regarding the inhibition of GH-
RH-evoked GH release. These properties are believed to result from replacement of various amino
acids and acytation with aromatic or nonpolar acids at the N-terminus of GH-RH(1-29)NH2. The
tumor inhibitory properties of antagonists featured in US Patent 5,942,489 and US Patent
30 6,057,42J2 have been demonstrated by using mice mice bearing xenografts of experimental human
cancer models. It is noted that in US Patent 5,550,212, and in US Patent 5,942,489, R9 is always
Ser, while R11 and R20 can be either Arg, D-Arg, or Cit In the case of US Patent 6,057,422, R9 can
be either Arg, Har, Lys, Om, D-Arg, D-Har, D-Lys, D-Om, Cit, Nle, Tyr(Me), Ser, Ala, or Alb, while
R11 and R20 are always Arg.
SUMMARY OF THE INVENTION
There is provided a novel series of synthetic analogs of hGH-RH(1-29)NH2 and hGH-
RH(1-30)NH2. These analogs inhibit the release of growth hormone from the pituitary in mammals
40 as well as inhibit the proliferation of human cancers through a direct effect on the cancer cells. The

stronger inhibitory potencies of the new analogs, as compared to previously described ones,
results from replacement of various amino acids.

wherein R1 is a member of the group consisting of a) PhAc, Hca, Dat, IndAc, Ipa, 1-Nac,
2-Nac, 1-Npr, 2-Npr, Ibu; CH3(CH2)CO, or HOOC(CH2)nCO, where n is an integer from 2 to 20,
and b) any other straight chain, cyclic branch chain, saturated, unsaturated or poly unsaturated
aliphatic carboxyl group of 6-14 carbon atoms and any carbocyclic or heterocyclic aromatic
carboxyl group of 3-8 carbon atoms containing up to one atom each of the group 8, N, and O in
the heterocyclic ring,





















It is noted that the amino acid residues from 30 through 44 of the native GH-RH molecule
do not appear to be essential to activity; nor does their identity appear to be critical Therefore, it
appears that the addition of some or all of these further amino acid residues to the C-terminus of
the hGH-RH(1-29)NH2 and hGH-RH(1-30)NH2 analogs of the present invention will not affect the
efficacy of these analogs as GH-RH antagonists. If some or all of these amino acids were added
to the C-terminus of the hGH-RH(1-29)NH2 analogs, the added amino acid residues could be the
same as residues 30 through 44 in the native hGH-RH sequence or reasonable equivalents.

Synthetic Methods,
The synthetic peptides are synthesized by a suitable method such as by exclusive solid
phase techniques, by partial solid-phase techniques, by fragment condensation or by classical
solution phase synthesis.
When the analogs of this invention are synthesized by solid-phase method, the C-terminus
residue (here, A29 or A30) is appropriately linked (anchored) to an inert solid support (resin) while
bearing protecting groups for its alpha amino group (and, where appropriate, for its side chain
functional group). After completion of this step, the alpha amino protecting group is removed from
the anchored amino acid residue and the next amino acid residue, A28 or A28 respectively, is added
having its alpha amino group (as well as any appropriate side chain functional group) suitably
protected, and so forth. The N-terminus protecting groups are removed after each residue is
added, but the side chain protecting groups are not yet removed. After all the desired amino acids
have been linked in the proper sequence, the peptide is cleaved from the support and freed from
all side chain protecting group(s) under conditions that are minimally destructive towards residues
in the sequence. This is be followed by a careful purification and scrupulous characterization of
the synthetic product, so as to ensure that the desired structure is indeed the one obtained.
It is particularly preferred to protect the alpha amino function of the amino acids during the
coupling step with an acid or base sensitive protecting group. Such protecting groups should have
me properties of being stable in the conditions of peptide linkage formation, while being readily
removable without destruction of the growing peptide chain and without racemization of any of the
chirai centers contained therein. Suitable alpha amino protecting groups are Boc and Fmoc.
Medical Applications.
The hGH-RH antagonist peptides, or salts of these peptides, may be formulated in
pharmaceutical dosage forms containing effective amounts thereof and administered to humans or
animals for therapeutic or diagnostic purposes. The peptides may-be used to suppress GH levels
i and to treat conditions associated with excessive levels of GH, e.g., diabetic retinopathy and
nephropathy, and acromegaly. Also provided are methods for treating these diseases by
administration of a composition of the invention to an individual needing such treatment The main
uses of GH-RH antagonists are, however, in the field of cancer, for example human cancers of the
lung, prostate, breast, ovary, endometrium, stomach, colon, pancreas, kidney, bone, and brain
where the receptors for GH-RH, IGF-I/IGF-II, or GH are present, and that depend on stimulation by
growth factors such asGH-RH, IGF-I. IGF-H, GH. or VEGF.

A. Abbreviations
The nomenclature used to define tine peptides is that specified by the IUPAC-IUB
Commission on Biochemical Nomenclature wherein, in accordance with conventional
representation, the amino group at the N-terminus appears to the left and the carboxyl group at the
C-terminus appears to the right The term "natural amino add" as used herein means one o! the
common, naturally occurring L-amino acids found in naturally occurring proteins: Gly, Ala, Val,
Leu, lie, Ser, Thr, Lys, Arg, Asp, Asn, Glu, Gln, Cys, Met Phe, Tyr, Pro, Trp and His. When the
natural amino acid residue has isomeric forms, it is the L-form of the amino acid that is represented
herein unless otherwise expressly indicated.
Non-coded -amino acids, or amino acid analogues, are also incorporated into the GH-RH
antagonists. ("Non-coded" amino acids are those amino acids which are not among the
approximately 20 natural amino acids found in naturally occurring proteins.) When these non-
coded amino acids, or amino acid analogues, have isomeric forms, it is the L-form of the amino
acid that is represented unless otherwise expressly indicated.





B. The GH-RH Analogs
the hGH-RH analogs of the present invention were designed to increase the antagonistic
effects at the pituitary level, and/or at the tumoral level. Some of these analogs, such as Peptide 4,
Peptide 7. Peptide 21, Peptide 30, Peptide 31, Peptide 37, Peptide 41, Peptide 42, Peptide 62,
Peptide 67, and Peptide 69 possess high endocrine antagonistic potencies, causing a very
effective and long lasting inhibition of the GH release stimulated by hGH-RH(1-29)NH2 in vitro and
in vivo, and exhibit high binding affinities to the pituitary GH-RH receptors. Some analogs, such as
Peptide 4, Peptide 5, Peptide 7, Peptide 11, Peptide 22, Peptide 35, Peptide 36, Peptide 39,
Peptide 41, Peptide 62, Peptide 67, Peptide 69, Peptide 70, Peptide 72, Peptide 76, Peptide 77,
Peptide 79, Peptide 80, Peptide 86, Peptide 95, Peptide 96, and Peptide 97, show elevated tumor
inhibitory potencies and display extremely high binding affinities to the tumoral receptors for GH-
RH. The peptides of the present invention were also designed to improve their chemical and
metabolic stabilities.

























The peptides are synthesized by suitable methods such as by exclusive solid phase
techniques, by partial solid-phase techniques, by fragment condensation or by classical solution
phase synthesis. For example, the techniques of exclusive solid-phase synthesis are set forth in
the textBoc k "Solid Phase Peptide Synthesis", J.M. Stewart and J.D. Young, Pierce Chem.
Company, Rockford, Illinois, 1984 (2nd. ed.), and M. Bodanszky, "Principles of Peptide Synthesis",
Springer Veriag, 1984. The hGH-RH antagonist peptides are preferably prepared using solid
phase synthesis, such as that generally described by Merrifield, J.Am.Chem.Soc., 85 p. 2149
(1963), although other equivalent chemical syntheses known in the art can also be used as
previously mentioned.
The synthesis is carried out with amino acids that are protected at their alpha amino group.
Urethane type protecting groups (Boc or Fmoc) are preferably used for the protection of the alpha
amino group.
In solid phase synthesis, the N-alpha-protected amino acid moiety which forms the
aminoacy) group of the final peptide at the C-terminus is attached to a polymeric resin support via
a chemical link. After completion of the coupling reaction, the alpha amino protecting group is
selectively removed to allow subsequent coupling reactions to take place at the amino-terminus,
preferably with 50% TFA in DCM when the N-alpha-protecting group is Boc, or by 20% piperidine
in DMF when the N-alpha-protecting group is Fmoc. The remaining amino acids with similarly Boc
or Fmoc-protected alpha amino groups are coupled stepwise to the free amino group of the
preceding amino acid on the resin to obtain the desired peptide sequence. Because the amino .
acid residues are coupled to the alpha amino group of the C-terminus residue, growth of the
synthetic hGH-RH analogue peptides beGlns at the C terminus and progresses toward the N-
terminus. When the desired sequence has been obtained, the peptide is acylated at the N-
terminus, and it is removed from the support polymer.
Each protected amino acid is used in excess (2.5 or 3 equivalents) and the coupling
reactions are usually carried out in DCM, DMF or mixtures thereof. The extent of completion of the
coupling reaction is monitored at each stage by the ninhydrin reaction. In cases where incomplete
coupling is determined, the coupling procedure is repeated, or a capping by acetylation of
unreacted amino groups is carried out, before removal of the alpha amino protecting group prior to
the coupling of the next amino acid.
Typical synthesis cycles are shown in Table I and Table II




After completion of the synthesis, the cleavage of the peptide from the resin can be
effected using procedures well known in peptide chemistry.
2. Choice of the Support Polymer
The hGH-RH antagonist peptides may be synthesized on a variety of support polymers,
i.e. MBHA, Merrifield, PAM, Rink amide or Wang resins. The peptides can also be synthesized on
aminomethyl, MBHA, or other resins that have been previously derivatzed with suitable linkers.
Examples of such linkers are the base-labile 4-hydroxymethyl benzoic acid (HMBA) linker for the
attachment of C-terminal carboxyl groups or the acid-labile para-sulfonyl-phenoxyacetyl (SPA)
linker which permits the attachment of agmatine through its guanidino group.
When peptides with an amidated C-terminus are synthesized by using Boc strategy, the
preferred resin is MBHA. Attachment of the C-terminal amino acid to this resin can be
accomplished by the standard DIC-mediated coupling method described in Table I.
In order to prepare peptides with a C-terminal ethylamide (-NHEt) modification, the
Merrifield resin or HMBA-MBHA resin can be used in conjunction with the Boc strategy. Loading of
the C-terminal amino acid onto the Merrifield resin is done by coupling mediated by potassium
fluoride (KF) or cesium salt at elevated temperature.
For the synthesis of peptide having Agm at the C-terminus, it is preferred that the support
resin. The guanidinocgroup of BocrAgm is Joined to the
support polymer through a stable, but readily cleavable linker such as the para-sulfonyl-
pnenoxyacetyl (SPA) moiety. The alpha-amino-Boc-protected Agm is reacted with the
chlorosutfonyl phenoxyacetic acid Cl-SO2-C5-O-CH2-COOH to form Boc-Agm-SO2 -C6H4-O-CH2-
COOK This compound is then coupled to the support polymer e.g. to MBHA resin using DiC or
HBTU-HOBt-DlEA as activating reagent to yield Boc-Agm-SPA-MBHA.
3. Amino Acid Derivatives Used
Bifunctional amino acids, i.a those not having side chain functional groups, are mostly
used in the form of their N-alpha Boc- or Fmoc- derivatives for synthesis. Thus, Boc-Gly-OH or
Fmoc-Gly-OH is typically used for incorporating the Gly residue. The naturally occurring

bifunctional amino acids are Gly, Ala,- Vai, Leu, lle, Phe, and Pro, and some well-known non-coded
bifunctional amino acids used in this invention are Abu, Alb, and Nle.
Some of the amino acid residues of the peptides have side chain functional groups which
are reactive with reagents used in coupling or deprotection. When such side chain groups are
present, suitable protecting groups are joined to these functional groups to prevent undesirable
chemical reactions occurring during the reactions used to form the peptides. The following general
rules are followed in selecting a particular side chain protecting group: (a) the protecting group
preferably retains its protecting properties and is not split off under coupling conditions, (b) the
protecting group should be stable under conditions for removing the alpha amino protecting group
at each step of the synthesis, (c) the side chain protecting group must be removable upon the
completion of the synthesis of the desired amino acid sequence, under reaction conditions that will
not undesirably alter the peptide chain.
When Boc-amino acids are used in the synthesis, the reactive side chain functional groups
can be protected as follows: Tos or nitro (NO2) for Arg and Har; cHx or Fm for Asp and Glu; Bom
for His; 2CIZ or Fmoc for Lys and Om; Bzl for Ser and Thr; For for Trp; and 2BrZ forTyr. The side
chains of Asn and Gln are unprotected. In the case of Fmoc synthesis, the reactive side chain
functional groups can be protected by other appropriate protective groups as follows: 2,2,4,6,7-
pentamethyl-dihydrobenzofurane-5-sulfonyl (Pbf) or bis-Boc for Arg and Har, tert-butyl (tBu) for
Asp and Glu; no protective group or trityl (Trt) protection for Asn and Gln; Trt for His; Boc or 4-
methoxytrityl (Mmt) for Lys and Om; tBu or Trt for Ser and Thr; Boc for Trp; and tBu or 2-
chlorotrityl (2Cmt) for Tyr.
In addition to the widely known coded and non-coded amino acids mentioned above, some
of the peptides of this application contain less common non-coded amino acids such as para-
amidino-phenylalanine (Amp); para-guanidino-phenylalanine (Gup); cyclohexylalanine (Cha);
1,2,3,4 -tetrahydronorhanman-3-carboxyclic acid (Tpi); (2-naphthyl)alanine (2-Nal); (3.3-
diphenyl)alenine ;(Dip);' para-amine-phenylanine[ Phe(pNH2)]; para-nitro-phenylalanine
[Phe(pNO2)]; (3-pyridyl)alanine (3-Pal); O-ethyl-tyrosine fTyr(Et)]; and para-benzoyl-phenylalanine
(Bpa). These amino acid residues are incorporated into the peptides by coupling the suitable
protected amino acid derivatives. A non-exclusive list of such protected amino acid derivatives that
can be used is as follows: Bcc-Amp(Alloc)-OH, Boc-Amp-OH. Fmoc-Amp(Alloc)-OH. Fmoc-Amp-
OH, Boc-Gup(Tos)-OH, Boc-Gup-OH, Fmoc-Gup(Boc)2-OH, Fmoc-Gup-OH, Boc-Cha-OH, Boc-
Tpi-OH, Boc-2-Nal-OH, Boc-Dip-OH, Boc-Phe(pNH-Z)-OH, Boc-Phe(pNO2)-OH, Boc-3-Pal-OH,
Boc-Tyr(Et)-OH, and Boc-Bpa-OH. The protected derivatives of noncoded amino acids mentioned
above are commonly available from several commercial suppllers, including Bachem (King of
Prussia, PA), Peptides International (Louisville, KY), Novabiochem (San Diego, CA), Advanced
ChemTech (LouisvPle, KY), and RSP Amino Acid Analogues DBA (Worcester, MA).

4. Stepwise Coupling of Amino Acid Residues
Utilizing the above mentioned support polymers and after loading of the C-terminal amino
acid or Agm residue, the peptide itself may suitably be built up by solid phase synthesis in the
conventional manner. Each protected amino acid is coupled in about a three-fold molar excess,
with respect to resin-bound free amino residues, and the coupling may be carried out in a medium
such as DMF—DCM (1:1) or in DMF or DCM alone. The selection of an appropriate coupling
reagent is within the skill of the art. Particularly suitable as coupling reagents are N,N'-diisopropyl
carbodiimide (QIC), or HBTU combined with HOBt in the presence of DIEA The success of the
coupling reaction at each stage of the synthesis is preferably monitored by the ninhydrin reaction.
in cases where incomplete coupling occurs, either the coupling procedure is repeated, or the resin-
bdund unreacted amino residues are acetylated using a capping reagent, before removal of the
alpha amino protecting group. Suitable capping reagents are 1-acetylimidazole and Ac2O—
pyridine.
Final acylation of the N-terminus of the peptide with mondcarboxylic acids is done in the
same way as the previous couplings, with the difference that the appropriate carboxylic acid is
used instead of an amino acid. When dicarboxylic acids are attached to the N-terminus and it is
desired that only one -COOH group reacts with the amino terminus of the peptide (that is,
monoamides of these acids are prepared), the anhydrides of the respective dicarboxylic acids can
be used for coupling. The cyclic anhydrides of many dicarboxylic acids are commercially available;
in other cases the pre-formed anhydrides of these acids are prepared by treatment with D1C and
used for coupling.
5. Cleavage of the Peptide from the Support Polymer and Removal of the Side-Chain Protecting
Groups
When the synthesis is complete, the peptide is cleaved from the support phase and its
In cases where peptides with an amidated C-terminus (-CONH2) or with a C-terminal
carboxyl group (-COOH) are prepared by Boc strategy on an MBHA, Merrifield, or PAM resin, the
removal of the peptide from the resin is performed by treatment with a reagent such as liquid
hydrogen fluoride (HF). This is also the case for peptides synthesized on the Boc-Agm-SPA-MBHA
resin, in some instances, the liquid HF also cleaves all the remaining side chain protecting groups.
However, if side chain protecting groups resistant to HF treatment are present on the peptide,
additional cleavage steps should be performed in order to remove these protecting groups. Thus,
Fm and Fmoc protecting groups are removed by treatment with 20% piperidine in DMF, while All
and Alloc groups are removed by treatment with Pd(PPh3)4 catalyst and nucleophllic scavengers,
prior to or after the HF treatment

Suitably, the dried and protected peptide-resjn is treated with a mixture consisting of 1.0
ml m-cresol and 10 ml anhydrous hydrogen fluoride per gram of peptide-resin for 60-120 min at
0°C to cleave the peptide from the resin as well as to remove the HF-labite side chain protecting
groups. After the removal of the hydrogen fluoride under a stream of nitrogen and vacuum, the
free peptides are predpitated with ether, filtered, washed with ether and ethyl acetate, extracted
with 50% acetic acid, and lyophilized.
In cases where peptides with an ethylamide (-NHEt) Otermfrius are prepared by Sec
strategy on the Merrifield or HMSA-MBHA resin, the protected peptides are first cleaved horn the
resin by ethytemine (EtNH2) mediated aminolysls. Suitably, liquid EtNH2 is transferred into a
cooled, heavy-walled glass ftask that contains the dried and protected peptide-resin. The quantity
of liquid EtNH2 should be sufficient to cover the peptide-resin. The flask is stoppered, and shaken
with the liquid EtNH2 for 3.5 hours at room temperature in order to allow for the reaction to take
place. After this, the flask is cooled In a dry ice bath, opened, and the liquid EtNH2 is filtered off the
solid residue that contains a mixture of resin and cleaved peptide, the peptide still having the
protecting groups attached. The solid residue is dried and subjected to HF treatment as described
above in order to remove the side chaln.protecting groups of the peptide.
6, Purification
The purification of the crude peptides can be effected using procedures well known in
peptide chemistry. For example, purification may be performed on a MacRabbit HPLC system
(Rainin Instrument Co. inc., Wobum, MA) with a Knauer UV Photometer and a Kipp and Zonen
8040 Recorder using a Vydac 218TP510 reversed-phase column (10 x250 mm, packed with C18
silica gel, 300 A pore size, 5 μm particle size) (The Separations Group inc., Hesperia. CA). The
column is eluted with a solvent system consisting of (A) 0.1% aqueous TFA and (B) 0,1% TFA in
70% aqueous MeCN in a linear gradient mpde (e.g, 30-55% B in 120 mm). The eluent is
monitored at 220 nm, and fractions are examined by analytical HPLC using a Hewlett-Packard
Model HP-1090 liquid chromatograoh and pooled to give maximum purity. Analytical HPIC is
canied out on a Vydac 218TP52 reversed-phase column (2 x 260 mm, C18,300 A, 5 μm) using
isocratic elution with a solvent system consisting of (A) and (B) defined above. The peaks are
monitored at 220 and 280 nm. The peptides are Judged to be substantially (>96%) pure by
analytical HPLC. Molecular masses are checked by etectrospray mass spectrometry, and the
expected amino acid compositions are confirmed by amino add analysis.
D. Pharmaceutical Compositions and Mode of ministration
The peptides of the Invention may be administered in the form of pharmaceutically
acceptable, nontoxic salts, such as add addition salts, illustrative of such add addition salts are

hydrochloride, hydrobromide, sulphate, phosphate, fumarate, gluconate, tannate, maleate, acetate,
trifluoroacetate, citrate, benzoate, succinate, alGlnate, pamoate, malate, ascorbate, tartarate, and
the like. Particularly preferred antagonists are salts of low solubility, e.g., pamoate salts and the
like. These exhibit long duration of activity.
The compounds of the present invention are suitably administered to subject humans or
animals subcutaneously (s.c), intramuscularly (i.m.), or intravenously (i.v); intranasally or by
pulmonary inhalation; by transdermal delivery; or in a depot form (e.g., microcapsules,
microgranules, or cylindrical rod like implants) formulated from a biodegradable suitable polymer
(such as D,L-lactide-coglycolide), the former two depot modes being preferred. Other equivalent
modes of administration are also within the scope of this invention, i.e., continuous drip, cutaneous
patches, depot injections, infusion pump and time release modes such as microcapsules and the
like. Administration is in any physiologically acceptable injectable carrier, physiological saline being
acceptable, though other carriers known to the art may also be used.
The peptides are preferably administered parenterally, intramuscularly, subcutaneously or
intravenously with a pharmaceutically acceptable carrier such as isotonic saline. Alternatively, the
peptides may be administered as an Intranasal spray with an appropriate carrier or by pulmonary
inhalation. One suitable route of administration is a depot form formulated from a biodegradable
suitable polymer, e.g., poly-D.L-lactide-coglycolide as microcapsules, microgranules or cylindrical
implants containing dispersed antagonistic compounds.
The amount of peptide needed depends on the type of pharmaceutical composition and on
the mode of administration. In cases where human subjects receive solutions of GH-RH
antagonists, administered by i.m. or s.c. injection, or in the form of intranasal spray or pulmonary
inhalation, the typical doses are between 2-20 mg/day/patient, given once a day or divided into 2-4
administrations/day. When the GH-RH antagonists are administered intravenously to human
patients, typical doses are in the range of 8-80 μg/kg of body weight/day, divided into 1-4 bolus
injecyionc/day or given as a continous infusion.When depot preparations of the GH-RH
antagonists are used, e.g by i.m: injection of pamoate salts or other salts of low solubility, or by
i.m. or s.c. administration of microcapsules, microgranules, or implants containing the antagonistic
compounds dispersed in a biodegradable polymer, the typical doses, are between 1-10 mg
antagonist/day/patient
E. Therapeutic Uses of GH-RH Antagonists
The most important therapeutic applications of GH-RH antagonists are expected to be in
the field of oncology and endocrinology. Some of the GH-RH antagonists act predominantly at the
pituitary level and have stronger endocrine effects, inhibiting the GH-RH-evoked GH release, and
ultimately decreasing the serum levels of GH and IGF-I. Other GH-RH antagonists act

predominantly at the tumor level, by blocking the tumoral receptors for GH-RH, reducing the
production of various autocrine/paracrine tumor growth factors (such as IGF-I, IGF-II, 6H, VEGF,
FGF) and/or downregulating their receptors, and thus exert stronger inhibitory effects on tumor
growth. These antagonists can also be used as carrier systems linked to radionuclides for tumor
localization or therapy, or conjugated to cbemotherapeutic agents or toxins. Such hybrid
compounds can be actively targeted to cancer for diagnostic or therapeutic purposes. Yet other
GH-RH antagonists act by multiple mechanisms of action, that is by endocrine mechanisms and by
direct effects on tumors at the same time. Thus, the main therapeutic indications of various GH-RH
antagonists differ based on their preferential mechanism of action.
Analogs of GH-RH with antagonistic action on the pituitary can be used in situations where
it is beneficial to suppress serum levels of GH and IGF-I. Thus they are indicated for the therapy of
cadocrine disorders characterized by excessive production of GH and IGF-I, as well as for the
treatment of cancers that express receptors for IGF-I, IGF-II, or GH, and the proliferation of which
is stimulated by these growth factors.
Somatostatin analogs and GH antagonists are also available for the treatment of
endocrine conditions caused by GH and IGF-I. However, GH-RH antagonists offer unique
therapeutical benefits unobtainable by the use of somatostatin analogs and GH antagonists. These
benefits are due to the multiple mechanisms of action of GH-RH antagonists, namely that they
exert GH- and IGF-l-independent direct effects on tumors and other target sites, in addition to
inhibiting the endocrine axis for GH and IGF-I. GH-RH antagonists may be given alone or together
with somatostatin analogs, a combination which more completely suppresses GH and IGF-I levels.
An undesired side-effect of GH antagonists, which can be avoided by the administration of GH-RH
antagonists, is the elevation of serum GH levels through a feed-back mechanism.
One disease caused by excess growth hormone is acromegaly, which is manifested in an
abnormal enlargement of the bones of the. face and extremities. GH-RH antagonists could alleviate
the, clinical manifestation of acromegaly, e,g. the enlargement of facial and extremity bones, the
enlargement of heart,and other structural and functional abnormalities of the cardiovascular
system. The GH-RH antagonists may also be used to treat diabetic retinopathy (the main cause of
blindness in diabetics) and diabetic nephropathy, in which damage to the eye and kidney
respectively is thought to be due to GH. Diabetic patients can also benefit from the increased
insulin sensitivity produced by GH-RH antagonists, an effect linked to the ability of these
J compounds to reduce the GH and IGF-I levels. In addition, since they inhibit GH release, GH-RH
antagonists can be used to slow down the progression of muscular dystrophy.
Drugs with anti-growth factor properties such as GH-RH antagonists can also be of benefit
in controlling or slowing down the progression of some clinicopathologic processes in conditions
such as idiopathic pulmonary fibrosis, systemic sclerosis and hypertrophic cardiomyopathy, where

the present medical therapies have relatively little to offer. In addition, no drug therapy has been
shown to be effective in decreasing the incidence of restenosis after percutaneous transluminal
coronary angioplasty (PTCA) and new approaches must be devised, including the use of GH-RH
antagonists. Some gynecologic conditions, such as myoma, endometriosis, and polycystic ovary
syndrome, can also be treated with GH-RH antagonists in combination with luteinizing hormone-
releasing hormone (LH-RH) agonists or antagonists. GH-RH antagonists are also available for
treatment of benign prostatic hyperplasia (BPH), and hyperplastic and benign proliferative
disorders of other normal organs in which the GH-RH receptors are present
However, the main applications of GH-RH antagonists are in the field of cancer. GH-RH
antagonists, especially those with strong direct effects at the tumor level, are indicated for the
inhibition of growth of primary tumors and for the suppression of their metastatic spread. Since the
antiproliferative effects of GH-RH antagonists are exerted by several mechanisms, these
compounds are available for the treatment of a large variety of cancers, -such as those that depend
on autocrine/paracrine and endocrine stimulation by GH-RH, IGF-I, IGF-II, GH, VEGF, and FGF.
GH-RH antagonists are available for the treatment of tumors that express GH-RH
receptors and use GH-RH as an autocrine/paracrine growth factor. Such malignancies include,
but are not limited to, cancers of the lung, prostate, breast, ovary, endometrium, stomach,
intestine, pancreas, kidney, bone, liver, as well as glioblastomas, pheochromocytomas,
melanomas, and lymphomas. By blocking the tumoral receptors for 6H-RH, these antagonists
prevent the stimulatory action of GH-RH, resulting in inhibition of tumor growth.
One advantage of GH-RH antagonists over somatostatin analogs is based on the fact that
GH-RH antagonists may be utilized for suppression of tumors which do not have somatostatin
receptors but express the tumoral receptors for GH-RH, for example human osteogenic sarcomas.
Malignancies that express the IGF-I receptors, and depend on IGF-) and/or IGF-II as
growth factors,are available for therapy with GH-RH antagonists. These malignancies include,
among others, lung cancers, prostatic, breast ovarian, endometrial, gastric, colorectal, pancreatic,
renal, and hepatic cancers, sarcomas, and brain tumors. The ability of GH-RH antagonists to
decrease serum IGF-l levels, inhibit the autocrine/paracrine production of IGF-I and/or IGF-II in the
tumor tissue, and downregulate the expression level of IGF-I receptor, is beneficial for cancer
therapy.
Breast cancers and other types of cancer that depend on GH as a growth factor, can be
treated with GH-RH antagonists. The ability of GH-RH antagonists to reduce serum GH levels,
inhibit the autocrine production of GH, and downregulate GH receptor expression, beneficiate the
treatment of certain breast cancers and other types of tumors as well.

GH-RH antagonists are available as Inhibitors of angjogenesis, in view of their inhibitory
activity on the synthesis of VEGF by tumor tissues and normal endothelial cells, and considering
their antiproliferative effect on endothelial cells. Thus GH-RH antagonists could be beneficial for
the treatment of those tumors that strongly depend on VEGF and neoangiogenesis.
EXAMPLES
The present invention is described in connection with the following examples which are set
forth for the purposes of illustration only. In the examples, optically active protected amino acids in
the L-configuration are used except where specifically noted.
The following Examples set forth suitable methods of synthesizing the novel GH-RH
antagonists by the solid-phase technique.
EXAMPLE I

The synthesis is conducted in a stepwise manner using manual solid phase peptide
synthesis equipment Briefly, para-methylbenzhydrylamine (MBHA) resin (Bachem, King of
Prussia, PA) (720 mg, 0.50 mmol) is neutralized with 5% DIEA in DCM and washed according to
the protocol described in Table I. The solution of Boc-Har(NO2)-OH (500 mg, 1.5 mmol) in DMF-
DCM (1:1) is shaken with the neutralized resin and DIC (235 μL, 1.5 mmol) in a manual solid
phase peptide synthesis apparatus for 1 hour. After the completion of the coupling reaction is
proved by negative ninhydrin test, the deprotection and neutralizatibn protocols described ip Table
are performed in order to remove the Boc protecting group and prepare the peptide-resin for
coupling of the next amino acid. The synthesis is continued and the peptide chain is built stepwise
by coupling the following protected amino acids in the indicated order on the resin to obtain the

These protected amino acid residues (also commonly available from Bachem) are.
represented above according to a well accepted convention. The suitable protecting group for the

side chain functional group of particular amino acids appears in parentheses. The OH groups in
the above formulae indicate that the carboxyl terminus of each residue is free.
The protected amino acids (1.5 mmol each) are coupled with DIC (235 μL, 1.5 mmol) with
the exceptions of Boc-Asn-OH and Boc-Gln-OH which are coupled with their preformed HOBt
esters. After removal of the N°-Boc protecting group from Tyr\ the peptide is acylated overnight
with octanoic acid [CH3(CH2)6COOH] (475 μL, 3 mmol) using DIC (235 μL, 1.5 mmol) as a coupling
agent
In order to cleave the peptide from the resin and deprotect it, a portion of 130 mg of the
dried peptide resin is stirred with 0.5 mL m-cresol and 5 mL hydrogen fluoride (HF) at 0 °C for 2
hours. After evaporation of the HF under a stream of nitrogen and in vacuo, the residue is Washed
with dry diethyl ether and ethyl acetate. The cleaved and deprotected peptide is dissolved in 50%
acetic acid and separated from the resin by filtration. After dilution with water and lyophilization, 75
mg crude product is obtained.
The crude peptide is checked by analytical HPLC using a Hewlett-Packard Model HP-1090
liquid chromatograph with a Supelco Discovery HS C18 reversed-phase column (2.1 mm x 5 cm,
packed with C18 silica gel, 120 A pore size, 3 μm particle size) (Supelco, Bellefonte, PA) and
linear gradient elution (e.g., 40-70% B), with a solvent system consisting of (A) 0.1% aqueous TFA
and (B) 0.1% TFA in 70% aqueous MeCN. For purification by semipreparative HPLC, 75 mg of
crude peptide is dissolved in AcOH/H`2O, stirred, filtered and applied on a Beckman Ultraprep ODS
column (21.2 mm x 15 cm, packed with C18 silica gel, 300 A pore size, 10 pm particle size). The
column is eluted with a solvent system described above in a linear gradient mode (e.g., 40-60% B
in 120 min); flow rate 10. mL/min. The eluent is monitored at 220 nm, and fractions are examined
by analytical HPLC. Fractions with purity higher than 95% are pooled and lyophilized to give 7.7
mg pure product The analytical HPLC is carried out on a Supelco C18 reversed-phase column
described above using isocratic elution with a solvent system described above with a flow rate of
0.2 mL/min. The peaks are monitored at 220 and 280 nm. The product is judged to be
substantially (>95%) pure by analytical HPLC. Molecular mass is checked by etectrospray mass
spectrometry, and the expected amino acid composition is confirmed by amino acid analysis.
Peptide 2, Peptide 4, Peptide 6. Peptide 8, Peptide 10, Peptide 12, Peptide 14, Peptide
16, Peptide 17, Peptide 79, Peptide 86, Peptide 92, Peptide 93, Peptide 94, Peptide 95, Peptide
96, Peptide 104, and Peptide 105 are synthesized in the same manner as Peptide 80, except that
these peptides also contain other amino acid substitutions and other acyl moieties originating from
fatty acids at their N-termini.







For the synthesis of peptide 79, the chemical structure of which is
[CH3(CH2)6CO -TYR1, D-Arg2. Phe(pCl)5. Cit8, His9, Tyt(Et)10, His11, Abu15, Nle27, D-Arg28,
Har29]hGH-RH(1-29)NH2, .
the following protected amino adds are coupled in (he indicated order on the MBHA resin: Boc-

For the synthesis of Peptide 86, the chemical strusture of this is
[CH3(CH2)CO-Tyr1, D-Arg2, Phe(pCl)8, Ala8, His9, Tyr(Et)10. His11, ABU15, His20, Nle27 ,D-Arg28,
Har29]hGH-RH(1-29)NH2,
the following protected amino acids are coupled in the indicated order on the MBHA resin: Boc-

For the synthesis of Peptide 92, the chemical structure of which is
[CH3(CH2)CO-Tyr1, D-Arg2, Phe(pCl)8, His9, Tyr(Et)10. His11, Abu15, Nle27 ,D-Arg28, Har28]hGH-
RH(1-29)NH;
the following protected amino acids are coupled in the indicated order on the MBHA resin: Boc-

For the synthesis of Peptide 93, the chemical structure of which is
40 [CH3(CH2)6CO-Tyr1, D-Arg2 Phe(pCI)5, Ala8, His9, Cit15, Nle27, D-Arg28, Har29]hGH-RH(1-29)NH2,


the following protected amino acids are coupled in the indicated order on the MBHA resin: Boc-
followed by acylatjpn with CH3(CH2)6COOH.
For the synthesis of Peptide 94, the chemical structure of which is
the following protected amino acids are coupled in the indicated order on the MBHA resin: Boc-
followed by acylation with CH3(CH2)6COOH.
For the synthesis of Peptide 95, the chemical structure of which is
[CH3(CH2)CO-Tyr1, D-Arg2, Phe(pCI)6, Ala8, His9, Tyr(Et)10. His11, Orn12, Abu15, Orn21, Nle27, D-
Arg28, Har29]hGH-RH(1-29)NH2.
the following protected amino acids are coupled in the indicated order on the MBHA resin: Boc-
followed by acylation with CH3(CH2)6COOH.
For the synthesis of Peptide 96, the chemical structure of which is
[CH3(CH2)CO-Tyr1, D-Arg2, Phe(pCI)6. Ala8, His9, Tyr(Et)10, His11, Om12, Abu15, His20, Om21, Nle27,
D-Arg28, Har29]hGH-RH(1-29)NH2.
the following protected amino acids are coupled in the indicated order on the MBHA resin: Boc-




HF cleavage and deprotection, and subsequent purification by semipreparative HPLC of
Peptide 2, Peptide 4, Peptide 6, Peptide 8, Peptide 10, Peptide 12, Peptide 14, Peptide 16,
Peptide 17, Peptide 79, Peptide 86, Peptide 92, Peptide 93, Peptide 94, Peptide 95, Peptide 96,
Peptide 104, and Peptide 105 are done as described in the case of Peptide 80. The purified
compounds are judged to be substantially (>95%) pure by analytical HPLC. Their molecular
masses are checked by electrospray mass spectrometry, and the expected amino acid
compositions are confirmed by amino acid analysis.

The synthesis is conducted in a stepwise manner using manual solid phase peptide synthesis
equipment Briefly, MBHA resin (Bachem, King of Prussia, PA) (720 mg, 0.50 mmol) is neutralized
with 5% DIEA in DCM and washed according to the protocol described in Table I. The solution of
Boc-Har(NO2)-OH (500 mg, 1.5 mmol) in OMF-DCM (1:1) is shaken with the neutralized resin and

OIC (235 μL, 1.5 mmol) in a manual solid phase peptide synthesis apparatus for 1 hour. After the
completion of the coupling reaction is proved by negative ninhydrin test, the deprotection and
neutralization protocols described in Table I are performed in order to remove the Boc protecting
group and prepare the peptkte-resIn for coupling of the next amino acid. The synthesis is
continued and the peptide chain is built stepwise by coupling the following protected amino acids in
each) are coupled with DIC (235 uL, 1.5 MMOl) with the exceptions of Boc-Asn-OH and Bbc-Gln-
OH which are coupled with their preformed HOBt esters.
After removal of the Nα-Boc protecting group from Tyr1 the peptide is acylated with the
pre-formed symmetrical anhydride of 1,12-dodecanedicarboxylic acid which is prepared as follows.
For synthesis on the scale of 0.5 mrnol peptide, 388 mg (1.5 mrnol) 1,12-dodecanedicarboxylic
acid [HOOC(CH2)12COOH] is dissolved in 5 to10 ml of DMF-DCM (1:1), 235 μL (1.5 mrnol) DIC is
added to this solution, and the mixture is allowed to stand at room temperature for 30 min. After
this period of time, the mixture is transferred into the synthesis vessel containing the peptide-resin
with a free amino terminus on Tyr1, and acylation is carried out overnight
In order to cleave the peptide from the resin and deprotect it, a portion of 274 mg of the
dried peptide resin is stirred with 0.5 mL m-cresol and 5 mL hydrogen fluoride (HF) at 0 °C for 2
hours. • After evaporation of the HF under a stream of nitrogen and In vacuo, the residue is washed
with dry diethyl ether and ethyl acetate. The cleaved and deprotected peptide is dissolved in 50 %
acetic acid and separated from the resin by filtration. After dilution with water and lyophilization,
160 mg crude product is obtained.
The crude peptide is checked by analytical HPLC using a Hewlett-Packard Model HP-1090
liquid chromatograph with a Supeico Discovery HS C18 reversed-phase column (2.1 mm x 5 cm,
packed with C18 silica gel, 120 A pore size, 3 μm particle size) (Supelco, Belleforite, PA) and
linear gradient elution (e.g., 50-80% B), with a solvent system consisting of (A) 0.1% aqueous TFA
and (B) 0.1% TFA in 70% aqueous MeCN. For purification by semipreparative HPLC, 160 mg of
crude peptide is dissolved in AcOH/H2O, stirred, filtered and applied on a Beckman Ultraprep ODS
column (21.2 mm x 15 cm, packed with C18 silica gel, 300 A pore size, 10 μm particle size). The
column is eluted with a solvent system described above in a linear gradient mode (e.g., 50-70% B
in 120 min); flow rate 10 mL/min. The eluent is monitored at 220 nm, and fractions are examined
by analytical HPLC. Fractions with purity higher than 95% are pooled and lyophilized to give 6.0
mg pure product The analytical HPLC is carried out on a Supelco C18 reversed-phase column
described above using isocratic elution with a solvent system described above with a flow rate of
0.2 mL/min. The peaks are monitored at 220 and 280 nm. The product is judged to be

substantially (>95%) pure by analytical HPLC. Molecular mass is checked by electrospray mass
spectrometry, and the expected amino acid composition is confirmed by amino acid analysis.
Peptide 3, Peptide 5. Peptide 7, Peptide 9, Peptide 13, Peptide 25, Peptide 81, Peptide
82, Peptide 68, Peptide 102, Peptide 108, and Peptide 109 are synthesized in the same manner
as Peptide 11, except that these peptides also contain other amino acid substitutions and other
acyl moieties originating from dicarboxylic acids at their N-termini.
For the synthesis of Peptide 3, the chemical structure of which is
[HOO(CH2)4CO-Tyr1, D-Arg2, Phe(pCl)6, Arg9, Abu16, Nle27, D-Arg28, Har29]hGH-RH(1-29)NH2.
the foliowing protected amino acids are coupled in the indicated order on the MBHA resin: Boc-

For the synthesis of Peptide 5, the chemical structure of which is
[HOO(CH2)4CO-Tyr1, D-Arg2, Phe(pCI)6, Arg9, Abu15, Nle27, D-Arg28, Har29]hGH-RH(1-29)NH2,
the following protected amino acids are coupled in the indicated order on the MBHA resin: Boc-

for the synthyesis of Peptide 7,the chemical structure of which is
[HOO(CH2)6CO-Tyr1, D-Arg2, Phe(pCI)6, Arg9, Abu15, Nle27, D-Arg28, Har29]hGH-RH(1-29)NH2,
the following protected amino acids are coupled in the indicated order on the MBHA resin: Boc-
i
For the synthesis of Peptide 9, the chemical structure of which is
[HOO(CH2)10CO-Tyr1, D-Arg2, Phe(pCI)6, Arg9, Abu15, Nle27, D-Arg28, Har29]hGH-RH(1-29)NH2

OH, followed by acylation with HOOC(CH2)10COOH.
For the synthesis of Peptide 13, the chemical structure of which is
[HOOC(CH2)14CO-Tyr1, D-Arg2, Phe(pCI)6, Arg9, Abu15, Nle27, D-Arg28, Har28]hGH-RH(1-29)NH2,
the following protected amino acids are coupled in the indicated order on the MBHA resin: Boc-

OH, followed by acylation with [HOOC(CH2)14COOH.
the following protected amino acids are coupled in the indicated order on the MBHA resin: Boc-

For the synthesis of Peptide 25, the chemical structure of which is
[HOOC(CH2)14CO-Tyr1, D-Arg2, Phe(pCI)6,Cit8,Cit9, Abu15, Nle27, D-Arg28, Har28]hGH-RH(1-
29)NH2,
the following protected amino adds are coupled in the indicated order on the MBHA resin: Boc-

by acylation with HOOC(CH2)12COOH.

followed by acylation with HOOC(CH2)6COOH.
For the synthesis of Peptide 81, the chemical structure of which is
HOOC(CH2)14CO-Tyr1, D-Arg2, Phe(pCI)6, Ala8, His9, Tyr(Et)10. His11, Abu15, Nle27, DnArg28,
Har29]hGH-RH(1-29)NH2.
the following protected amino acids are coupled in the indicated order on the MBHA resin Boc-


For the synthesis of Peptide 109, the chemical structure of which is

For the synthesis of Peptide 82, the chemical structure of which is
[HOOC(CH2)12CO -Tyr1 D-Arg2, Phe(pCI)6. Ala8, His9, Tyr(Et)10, His11, Abu15, Nle27, D-Arg28,
Har29]hGH-RH(1-29)NH2
the following protected amino acids are coupled in the indicated order on the MBHA resin: Boc-

followed by acylatlon with HOOC(CH2)12COOH.
For the synthesis of Peptide 88, the chemical structure of which is
HOOC(CH2)12CO -Tyr1 D-Arg2, Phe(pCI)6. Ala8, His9, Tyr(Et)10, His11, Abu15, His20, Nle27. D-Arg28,
Har29]hGH-RH(1-29)NH2,
the following protected amino acids are coupled in the indicated order on the MBHA resin: Boc-

followed by acylation with HOOC(CH2)12COOH.
For the synthesis of Peptide 102, the chemical structure of which is
HOOC(CH2)14CO-Tyr1, D-Arg2, Phe(pCI)6, Ala8, His8, Tyr(Et)10, His11. Om12, Abu15, His20, Om21,
Nle27. D-Arg30. Har]hGH-RH(1-29)NH2,
the following protected amino acids are coupled in the indicated order on the MBHA resin: Boc-

followed by acylation with HOOC(CH2)12COOH.
For the synthesis of Peptide 108, the chemical structure of which is
HOOC(CH2)12CO-Tyr1, D-Arg2, Phe(pCI)6, Ala8, His9, Dip10, His11, Om12, Abu15, His20, Om21, Nle27.
D-Arg28, Har]hGH-RH(1-29)NH2,
the following protected amino acids are coupled in the indicated order on the MBHA resin: Boc-




OH. The protected amino acids (1.5 mmol each) are coupled with DIC (235 μL, 1.5 mmol) with the
exceptions of Boc-Asn-OH and Boc-Gln-OH which are coupled with their preformed HOBt esters.
After removal of the Nα-Boc protecting group from Tyr1, the peptide is acytated with phenytacetic
acid (PhAc-OH) (272 mg, 2 mmol) using DIC (313 μL, 2 mmol).
in order to cleave the peptide from the resin and deprotect it, a portion of 286 mg of the
dried peptide resin is stirred with 0.5 mL m-cresol and 5 mL hydrogen fluoride (HF) at 0 °C for 2
hours. After evaporation of the HF under a stream of nitrogen and in vacuo, the residue is washed
with dry diethyl ether and ethyl acetate. The cleaved and deprotected peptide is dissolved in 50 %
acetic acid and separated from the resin by filtration. After dilution with water and lyophilization,
155 mg crude product is obtained.
The crude peptide is checked by analytical HPLC using a Hewlett-Packard Model HP-1090
liquid chromatograph with a Supelco Discovery HS C18 reversed-phase column (2.1 mm x 5 cm,
packed with C18 silica gel, 120 A pore size, 3 urn particle size) (Supelco, Bellefonte, PA) and
linear gradient elution (e.g., 40-70% B), with a solvent system consisting of (A) 0.1% aqueous TFA
and (B) 0.1% TFA in 70% aqueous MeCN. For purification by semipreparative HPLC, 155 mg of
crude peptide is dissolved in AcOH/H`2O, stirred, filtered and applied on a Beckman Ultraprep ODS
column (21.2 mm x 15 cm, packed with C18 silica gel, 300 A pore size, 10 Mm particle size). The
column is eluted with a solvent system described above in a linear gradient mode (e.g., 40-60% B
in 120 min); flow rate 12 mL/min. The eluent is monitored at 220 nm. and fractions are examined
by analytical HPLC. Fractions with purity higher than 95% are pooled and lyophilized to give 13.3
mg pure product The analytical HPLC is carried out on a Supelco C18 reversed-phase column
described above using isocratic elution with a solvent system described above with a flow rate of
0.2 mL/min. The peaks are monitored at 220 and 280 nm. The product is judged- to be
substantially (>95%) pure by analytical HPLC. Molecular mass is checked by electrospray mass
spectrometry, and the-expected amino acid composition is confirmed by amino acid analysis.

Peptide 85, Peptide 90, and Peptide 91 are synthesized in the same manner as Peptide 62, except
that these peptides also contain other substitutions.
For the synthesis of Peptide 15, the chemical structure of which is




For the synthesis of Peptide 18, the chemical structure of which is
[PhAc-Arg0, D-Arg2, Phe(pCI)6, Arg9, Abu15, Nle27, D-Arg29, Har29]hGH-RH(1-29)NH2.
the following protected-amino acids are coupled in the indicated order on the MBHA resin: Boc-

For the synthesis of Peptide 19, the chemical structure of which is
[PhAc-D-Arg0, D-Arg2, Phe(pCI)6, Arg9, Abu15, Nle27, D-Arg88, Har29]hGH-RH(1-29)NH2
the following protected amino acids are coupled in the indicated order on the MBHA-resin: Boc-

For the synthesis of Peptide 21, the chemical structure of which is
[PhAc-Tyr1 D-Arg2. Phe(pcl)6 Cit8, Arg9, Abu15 Nle27, D-Arg28, Har29]hGH-RH(1-29)NH2.
the following protected amino acids are coupled in the indicated order on the MBHA resin: Boc-

For the synthesis of Peptide 22, the chemical structure of which is
[PhAc-Tyr1, D-Arg2, Phe(pCI)6, Cit8, Cit9, Abu15, Nle27, D-Arg28. Har29]hGH-RH(1-29)NH2,
the following protected amino acids are coupled in the indicated order on the MBHA resin: Boc-



For the synthesis of Peptide 23, the chemical structure of which is
[PhAc-Tyr1, D-Arg2, Phe(pCI)6. Cit8, Arg9, Abu15, Nle27. Har28, D-Arg29]hGH-RH(1-29)NH2,
the following protected amino acids are coupled in the indicated order on the MBHA resin: Boc-D-

For the synthesis of Peptide 24, the chemical structure of which is
(PhAc-Tyr1. D-Arg2, Phe(pCI)6, Cit8, Cit9, Abu15, Nle27, Har25, D-Arg29]hGH-RH(1-29)NH2,
the following protected amino acids are coupled in the indicated order on the MBHA resin: Boc-D-

For the synthesis of Peptide 26, the chemical structure of which is
[PhAc-Tyr1, D-Arg2, Phe(pCI)6, D-Ala8, Arg9 , Abu15 Nle27 D-Arg28, Har29]hGH-RH(1-29)NH2,
the following protected amino acids are coupled in the indicated order on the MBHA resin: Boc-

For the synthesis of Peptide 27, the chemical structure of which is
[PhAc-Tyr1, D-Arg2, Phe(pCI)6, Abu8, Arg9, Abu15, Nle27, D-Arg28, Har29]hGH-RH(1-29)NH2
the following protected amino acids are coupled in the indicated order on the MBHA resin: Boc-



For the synthesis of Peptide 28, the chemical structure of which is
[PhAc-Tyr1, D-Arg2. Phe(pGI)8, Cit9, Abu15, Nle27, Har28, D-Arg29]hGH-RH(1-29)NH2,
the following protected amino acids are coupled in the indicated order on the MBHA resin: Boc-D-

For the synthesis of Peptide 32, the chemical structure of which is
[PhAc-Tyr1, D-Arg2, Phe(pCI)6, Arg9, His10, Abu18, Nle27. D-Arg28, Har29]hGH-RH(1-29)NH2,
the following protected amino acids are coupled in the Indicated order on the MBHA resin: Boc-

For the synthesis of Peptide 33, the chemical structure of which is
[PhAc-Tyr1 D-Arg2, Phe(pcl)6 ,Arg9, Cha10, Abu15, Nle27, D-Arg28, Har29]hGH-RH(1-29)NH2,
the following protected amino acids are coupled in the Indicated order on the MBHA resin: Boc-

For the synthesis of Peptide 34, the chemical structure of which is
[PhAc-Tyr1, D-Arg2, Phe(pCI)8. Har9, Tpi10, Abu18, Nle27, D-Arg28 Har29]hGH-RH(1-29)NH2,
the following protected amino acids are coupled in the Indicated order on the MBHA resin: Boc-



For the synthesis of Peptide 35, the chemical structure of which is
[PhAc-Tyr1, D-Arg2, Phe(pCI)6, Har9,2-Nal10, Abu15, Nle27, D-Arg28, Har29]hGH-RH(1-29)NH2,
the following protected amino acids are coupled in the indicated order on the MBHA resin: Boc-

For the synthesis of Peptide 36, the chemical structure of which is
[PhAo-Tyr1, D-Arg2 Phe(pCI)8. Har9, Dip10, Abu15, Nle27, D-Arg28, Har29]hGH-RH(1-29)NH2,
the following protected amino acids are coupled in the indicated order on the MBHA resinr Boc-

For the synthesis of Peptide 37, the chemical structure of which is
[PhAo-Tyr1, D-Arg2 Phe(pCI)8. Har9, Phe(pNH2)10, Abu15, Nle27, D-Arg28, Har29]hGH-RH(1-29)NH2,
the following protected amino acids are coupled in the indicated order on the MBHA resinr Boc-

OH, followed by acylation with PhAc-OH.
For the synthesis of Peptide 38, the chemical structure of which is
[PhAC-Tyr1, D-Arg2, Phe(pCI)6, Har9, Trp10, Abu15, Nle27, D-Arg28, Har29]hGH-RH(1-29)NH2,
the following protected amino acids are coupled in the indicated order on the MBHA resin: Boc-



For the synthesis of Peptide 39, the chemical structure of which is
[PhAo-Tyr1, D-Arg2 Phe(pCI)6 , Har9, Pne(pNO2)10, Abu15, Nle27, D-Arg28, Har29]hGH-RH(1-29)NH2,
the following protected amino acids are coupled in the indicated order on the MBHA resin: Boc-

OH, followed by acylation with PhAc-OH.
For the synthesis of Peptide 40, the chemical structure of which is
[PhAo-Tyr1, D-Arg2 Phe(pCI)6 , Har9, 3-Pal10, Abu16, Nle27, D-Arg28, Har29]hGH-RH(1-29)NH2,
the following protected amino acids are coupled in the indicated order on the MBHA resin: Boc-

followed by acylation with PhAc-OH.
For the synthesis of Peptide 41, the chemical structure of which is
[PhAo-Tyr1, D-Arg2 Phe(pCI)6 , Har9,TyrGB)10, Abu15, Nle2, D-Arg28, Har29]hGH-RH(1-29)NH2,
the following protected amino acids are coupled in the indicated order on the MBHA resin: Boc-

followed by acylation with PhAc-OH.
For the synthesis of Peptide 42, the chemical structure of which is
[PhAc-His1, D-Arg2, Tyr8, Har9, Bpa10, Abu15, Nle27, D-Arg28, Har29]hGH-RH(1-29)NH2,
the following protected amino acids are coupled in the indicated order on the MBHA resin: Boc-



For the synthesis of Peptide 43, the chemical structure of which is
[PhAc-Tyr1, D-Arg2, Phe(pCI)8, Arg9, Har12, Abu15, Nle27, D-Arg28, Har29]hGH-RH(1-29)NH2,
the following protected amino acids are coupled in the indicated order on the MBHA resin: Boc-

For the synthesis of Peptide 53, the chemical structure of which is
[Hca-Tyr1, D-Arg2, Phe(pCl)6, Har9, Tyr(Me)10, Abu15, Nle27, D-Arg28, Har29, Har30]hGH-RH(1-
30)NH2.
the following protected amino acids are coupled in the indicated order on the MBHA resin: Boc-

Fcr the synthesis of Peptide 54, the chemical structure of which is
[Hca-Tyr1, D-Arg2, Phe(pCl)6, Har9, Tyr(Me)10, Abu15, Nle27, D-Arg28, Har29, Har30]hGH-RH(1-
30)NH2,
the following protected amino acids are coupled in the indicated order on the MBHA resin: Boc-


For the synthesis of Peptide 55, the chemical structure of which is
[lpa-Tyr1, D-Arg2, Phe(pCI)6, Har9, Tyr(Me)10, Abu15, Nle27, D-Arg28, Har29, Har]hGH-RH(1-
30)NH2,
the following protected amino acids are coupled in the indicated order on the MBHA resin: Boc-

Tyr(2BrZ)-OH, followed by acylation with indote-3-prpionic acid (Ipa-OH).
For the synthesis of Peptide 57, the chemical structure of which is
[Hca-Tyr1, D-Arg2, Phe(pCI)6, Har9, Tyr(Me)10, Abu15, Nle27, D-rg28, D-Arg29, Har]hGH-RH(1-
30H2,
the following protected amino acids are coupled in the indicated order on the MBHA resin: Boc-

For the synthesis of Peptide 58. the chemical structure of which is
[Hca-Tyr1, DhArg2, Phe(pCI)6 Har9, Tyr(Me)10,Abu15,Nle27, D-Arg28, Har29, D-Arg30]hGH-RH(1-
30)NH2,
the following protected amino acids are coupled in the indicated order on the MBHA resin: Boc-D-

Tyr(2BrZ)-OH, followed by acylation with Hca-OH.
For the synthesis of Peptide 63, the chemical structure of which is
[PhAc-Tyr1, D-Arg2. Phe(pCI)6, Har9, Tyr(Me)10, Har11, Abu15, Nle27, D-Arg28, Har29]hGH-RH(1-
29)NH2,
the following protected amino acids are coupled in the indicated order on the MBHA resin: Boc-



followed by acylation with PhAc-OH.
For the synthesis of Peptide 65, the chemical structure of which is
[PhAc-Tyr1, D-Arg2. Phe(pCI)6, Har9, Tyr(Me)10. Cit10, Abu15, Nle27, D-Arg28, Har29]hGH-RH(1-
29)NH2,
the following protected amino acids are coupled in the indicated order on the MBHA resin: Boc-

For the synthesis of Peptide 69, the chemical structure of which is
[PhAc-Tyr1, D-Arg2, Phe(pCI)6, His9, Tyr(Me)10, Abu16, Nle27, D-Arg28, Har29]hGH-RH(1-29)NH2,
the following protected amino acids are coupled in the indicated order on the MBHA resin: Boc-

followed by acylation with PhAc-OH.
For the synthesis of Peptide 84, the chemical structure of which Is
[PhAc-Tyr1, D-Arg2, Phe(pCI)6. Har9,Tyr(Me)10, Abu15, His30, Nle27, D-Arg28, Har29]hGH-RH(1-
29)NH2,
the following protected amino acids are coupled in the indicated order on the MBHA resin: Boc-

followed by acylation with PhAc-OH.
For the synthesis of Peptide 85, the chemical structure of which is
[PhAc-Tyr1, D-Arg2, Phe(pcl)6, Har9, Tyr(Me)10, His11, Abu15, His20, Nle27, D-Arg28. Har29]hGH-
RH(1-29)NH2,

followed by acylation with PhAc-OH.
the following protected amino acids are coupled in the indicated order on the MBHA resin: Boc-

For the synthesis of Peptide 90, the chemical structure of which is
[PhAc-Tyr1, D-Arg2, Phe(pCI)6, Arg9, Cit16, Nle27, D-Arg28, Har29]hGH-RH(1-
29)NH2,
the following protected amino acids are coupled in the indicated order on the MBHA resin. Boc-

OH, followed by acylation with PhAc-OH.
For the synthesis of Peptide 91, the chemical structure of which is
[1-Nac-Tyr1, DnArg2, Phe(pCI)6, Ala8, His9, Tyr(Et)10. His11, Abu16, Nle27, D-Arg28, Har29]hGH-RH(1-
29)NH2.
the following protected amino adds are coupled in the indicated order on the MBHA resin: Boc-

followed by acylation with 1-naphthylacetic acid (1-Nac-OH),
HF cleavage and deprotectton, and subsequent purification by semipreparative HPLC of
Peptide 15, Peptide 18, Peptide 19, Peptide 21, Peptide 22, Peptide 23, Peptide 24, Peptide 26,
Peptide 27, Peptide 28, Peptide 32, Peptide 33, Peptide 34, Peptide 35, Peptide 36, Peptide 37,
Peptide 38, Peptide 39, Peptide 40, Peptide 41, Peptide 42, Peptide 43, Peptide 53, Peptide 54,
Peptide 55, Peptide 57, Peptide 58, Peptide 63, Peptide 65, Peptide 69, Peptide 84, Peptide 85,
Peptide 90, and Peptide 91 are done as described in the case of Peptide 62. The purified
compounds are judged to be substantially (>95%) pure by analytical HPLC. Their molecular
masses are checked by electrospray mass spectrometry, and the expected amino acid
compositions are confirmed by amino acid analysis.


The synthesis is conducted in a stepwise manner using manual solid phase peptide
synthesis equipment Briefly, para-methylbenzhydryiamine (MBHA) resin (Bachem, King of
Prussia, PA) (720 mg, 0.50 mmol) is neutralized with 5% DIEA in DCM and washed according to
the protocol described in Table I. The solution of Boc-Har(NO2)-OH (500 mg, 1.5 mmol) in DMF-
DCM (1:1) is shaken with the neutralized resin and DIC (235 pL, 1.5 mmol) In a manual solid
phase peptide synthesis apparatus for 1 hour. After the completion of the coupling reaction is
proved by negative ninhydrin test, the deprotection and neutralization protocols described in Table
are performed in order to remove the Boc protecting group and prepare the peptide-resin for
coupling of the next amino acid. The synthesis is continued and the peptide chain is built stepwise
by coupling the following protected amino acids in the indicated order on the resin to obtain the

Tyr(2BrZ)-OH. The protected, noncoded amino acid Boc-Amp(Alloc)-OH is commercially available
from RSP Amino Acid Analogues, Inc. (Worcester, MA). The protected amino acids (1.5 mmol
each) are coupled with DIC (235 μL, 1.5 mmol), with the exceptions of Boc-Amp(Alloc)-OH, Boc-
Asn-OH and Boc -Gln-OH which are coupled with 569 mg HBTU + 203 mg HOBt + 522 pL DIEA
(1.5 :1.5: 3 mmol). After removal of the Nα-Boc protecting group from Tyr\ the peptide is acylated
with phenylacetic acid (PhAc-OH) (272 mg, 2 mmol) using DIC (313 μL, 2 mmol). The finished
peptidyl resin, with all the side-chain protecting groups still attached, is washed 3x with DCM, 3x
with MeOH, and dried under high vacuum:
The peptide-resin is then subjected to Pd(0)-catalyzed removal of the Alloc protecting
group from the Amp9 residue of the peptide chain, by using the procedure described in the
Ncnrtibfechaii (San Diego, CA) Catalog 2002/2003. A portion of 255 mg peptidyl resin, with an
estimated peptide content of 0.033 mmol, is weighed into a test tube and the tube is sealed with a
rubber septum. The test tube is flushed with a stream of argon (Ar) gas delivered from a needle
inserted through the septum. 116 mg Pd(PPh3)4 (0.1 mmol, or 3 equiv. felative to the Alloc groups
present on the peptidyl resin) is weighed into another dry test tube, 4-5 mL of CHCl3—AcOH—N-
methyfrnorpholine (372:1 vol:vol:vol) is added, the catalyst is dissolved by bubbling a stream of Ar
through the solution, and the tube is seated with a rubber septum. This solution is transferred using
an Ar flushed gas-tight syringe to the tube containing the resin, and the resulting mixture is left to
stand for 2 hours with an occasional gentle agitation. Next, the resin is transferred to a sintered
glass funnel and washed consecutively with 0.5% DIEA in DMF (to neutralize the resin) and

sodium diethyldithiocarbamate (0.5% w/w) in DMF (to remove the catalyst). After another wash
with MeOH, the resin is dried again prior to HF cleavage of the peptide.
Cleavage of the peptide from the MBHA resin with a concomitant removal of the remaining
protecting groups is achieved by HF treatment, as described in Examples l-III. Subsequent work-
up and HPLC purification, performed as described in Examples I-III, yields 11.6 mg of pure Peptide
67v (>95% purity by analytical HPLC). Molecular mass is checked by electrospray mass
spectrometry, and the expected amino acid composition is confirmed by amino acid analysis.
Peptide 30, Peptide 31, Peptide 64, Peptide 68, Peptide 73, Peptide 74, and Peptide 75
are synthesized in the same manner as Peptide 67, except that these peptides also contain other
substitutions.
For the synthesis of Peptide 30, the chemical structure of which is

OH, followed by acylatton with PhAc-OH.
For the synthesis of Peptide 31, the chemical structure of which is
OH,followed by acylaytion with PhAc-OH.
For the synthesis of Peptide 64, the chemical structure of which is

the following protected amino acids are coupled in the indicated order on the MBHA resin: BOC-


For the synthesis of Peptide 68, the chemical structure of which is

the following protected amino acids are coupled in the indicated order on the MBHA resin: Boc-

For the synthesis of Peptide 74, the chemical structure of which is

the following protected amino acids are soupted in the indicated order on the MBHA resin: Boc-

For the synthesis of Peptide 75, the chemical structure of which is




Deprotection, cleavage from the resin, and subsequent purification by semipreparative
HPLC of Peptide 30, Peptide 31, Peptide 64, Peptide 68, Peptide 73, Peptide 74, and Peptide 75
are done as described in the case of Peptide 67. The purified compounds are judged to be
substantially (>95%) pure by analytical HPLC. Their molecular masses are checked by
electrospray mass spectrometry, and the expected amino acid compositions are confirmed by
amino acid analysis.

The synthesis is conducted in a stepwise manner using manual solid phase peptide
synthesis equipment Briefly, Merrifield resin (Bachem, King of Prussia, PA) (3.0 g, with a
substitution of 0.6 mmol/g) is pre-swollen in DCM, washed 3x times with DMF, then a solution of
2390 mg Boc -Har(Tos)-OH (5.4 mmol, corresponding to 3x molar excess) in 20-30 mL DMF and
314 mg solid KF (5.4 mmol, 3x molar excess) is added, in order to load the first amino acid onto
the resin. The resin is shaken with the above mixture for 4 hours at 80 °C, and then the resin is
filtered and washed as follows: 3x DMF, 3x DMF-water (1:1) (to remove the KF), 3x DMF, 3x DCM,
and 3x MeOH. The resin is dried in vacuum for 24 hours to reach a constant weight The weight of
the dry resin with the first amino acid loaded [Boc-Har(Tos)-Merrifield resin] exceeds 3.5 g,
indicating that the yield of loading is better than 70%.
I.5g of Boc-Har((Tos)-Merifield resin (approx 0.5 mmol) is pre-swollen in DCM, and after
deprotection with 50%-TFA in DCM and neutralization with 5% DIEA in DCM, the peptide chain is
built stepwise by coupling the following protected amino acids in the indicated order on the resin to

since the nitro protected guanidino group is known to be attacked by bases such as ethylamine
used in this synthesis, and partial decomposition of Har to Lys could occur with Boc-Har(NO2)-OH.
The protected amino acids (1.5 mmol each) are coupled with DIC (235 μL, 1.5 mmol) with the

exceptions of Boc-Asn-OH and Boc-Gln-OH which are coupled with their preformed HOBt esters.
After removal of the Nα-Boc protecting group from Tyr1, the peptide is acylated with phenyiacetic
acid (PhAc-OH) (272 mg, 2 mmol) using DIC (313 μL, 2 mmol), washed with DCM and MeOH, and
dried.
In order to cleave the protected peptide from the resin by ethylamine (EtNH2) mediated
aminolysis and to obtain it with an ethylamide modification (-NHEt) at the C-terminus, a portion of
250 mg dry peptide resin is added into a round-bottom flask made of heavy-wall glass, the flask is
placed in a dry ice-metbanol cooling bath inside a well-ventillated fume hood, and liquid EtNH2
(b.p.=l6.6 °C, from Aldrich, shipped in metallic cylinder) is transferred into the flask in an amount
sufficient to cover the peptide resin. The flask is stoppered, warmed to room temperature (caution:
pressure develops inside), and shaken for 3 hours and 30 min in order to allow for the reaction to
take place. After this time, the flask is placed again in the cooling bath, opened, and the liquid
EtNH2 is filtered off the solid residue that contains a mixture of resin and cleaved peptide, the
peptide still having the protecting groups attached. After this procedure, the solid residue is
subjected to vacuum overnight to remove any residual EtNH2 and the humidity adsorbed.
The dry residue containing the cleaved, protected peptide is placed in the HF treatment
apparatus and HF cleavage of the protecting groups is performed by treatment with 5 mL HF at 0
°C for 2 hours, in the presence of 0.5 mL m-cresol as scavenger. After evaporation of the HF under
a stream of nitrogen and in vacuo, the residue is washed with dry diethyl ether and ethyl acetate.
The cleaved and deprotected peptide is dissolved in 50 % acetic acid and separated from the resin
by filtration. After dilution with water and lyophilization, 90-110 mg of crude product is typically
obtained.
The peptide is purified by. semipreparative HPLC and the editing fractions are examined by
analytical HPLC as described in Examples I-III- Fractions with purity higher than 95% are pooled
and lyophilized to give 5 to 10 mg of pure Peptide 46. Molecular mass is checked by electrospray
mass spectrometry, and the expected amino acid composition is confirmed by amino add analysis.
Peptide 45. Peptide 47, Peptide 48, Peptide 49, Peptide 50, Peptide 56, Peptide 97,
Peptide 98,Peptide 99, Peptide 100,Peptide 101, Peptide 106, Peptide 110, Peptide 113, Peptide
114, Peptide 115,Peptide 118, Peptide 119, Peptide 120, and Peptide 121 are synthesized in the
same manner as Peptide 46, except that these peptides also contain other substitutions.
. For the synthesis of Peptide 45. the chemical structure of which is



For the synthesis of Peptide 47, the chemical structure of which is
the following protected amino acids are coupled in the indicated order on the Merrifield resin: Boc-



For the synthesis of Peptide 48, the chemical structure of which is
the following protected amino acids are coupled in the indicated order on the Merrifield resin: Boc-
For the synthesis of Peptide 49, the chemical structure of which is
the following protected amino acids are coupled in the indicated order on the Merrifield resin: Boc-



For the synthesis of Peptide 50, the chemical structure of which is
the following protected amino acids are coupled in the indicated order on the Merrifield resin: Boc


For the synthesis of Peptide 56, the chemical structure of which is
the following protected amino acids are coupled in the indicated order on the Merrifield resin: Boc-
Tyr(2BrZ)-OH, followed by acylation with Hca-OH.
For the synthesis of Peptide 97, the chemical structure of which is
the following protected-amino acids are coupled in the indicated order on the Merrifield resin: Boc-
followed by acylation with CH3(CH2)6COOH.
For the synthesis of Peptide 98, the chemical structure of which is
the following protected amino acids are coupled in the indicated order on the Merrifield resin: Boc-
followed by acylation with CH3(CH2)6COOH.
For the synthesis of Peptide 99, the chemical structure of which is


the following protected amino acids are coupled in the indicated order on the Merrifield resin: Boc-
followed by acylation with
For the synthesis of Peptide 100, the chemical structure of which is
the following protected amino acids are coupled in the indicated order on the Merrifield resin: Boc-
followed by acylation with
For the synthesis of Peptide 101, the chemical structure of which is
the following protected amino acids are coupled in the indicated order on the Merrifield resin: Boc
followed by acylation with
For the synthesis of. Peptide 106, the chemical structure of which is
+the following protected amino acids are coupled in the indicated order on the Merrifield resin: Boc-


For the synthesis of Peptide 110, the chemical structure of which is
the following protected amino acids are coupled in the indicated order on the Merrifield resin: Boc-
foilowed by acylation with
For the synthesis of Peptide 113, the chemical structure of which is
the following protected amino acids are coupled in the indicated order on the Merrifield resin: Boc-
by acylation with
For the synthesis of Peptide 114, the chemical structure of which is
the following protected amino acids are coupled in the indicated order orr the Merrifield resin: Boc-
by acylation with
For the synthesis of Peptide 115, the chemical structure of which is
the following protected amino acids are coupled in the indicated order on the Merrifield resin: Boc-


For the synthesis of Peptide 118, the chemical structure of which is
the following protected amino acids are coupled in the indicated order on the Merrifield resin: Boc-
For the synthesis of Peptide 119, the chemical structure of which is
the following protected amino acids are coupled in the indicated order on the Merrifield resin: Boc-
For the synthesis of Peptide 120, the chemical structure of which is
the following protected amino acids are coupled in the indicated order on to Merrifield resin: Boc-

For the synthesis of Peptide 121, the chemical structure of which is




Ethylamine mediated.,cleavage from the resin of Peptide 45, Peptide 47, Peptide 48,
Peptide 49, Peptide 50, Peptide 56, Peptide 97, Peptide 98, Peptide 99, Peptide 100, Peptide 106,
Peptide 110, Peptide 113, Peptide 114, Peptide 115, Peptide 118, Peptide 119, Peptide 120, and
Peptide 121, as well as methylamine mediated cleavage from the resin of Peptide 101, followed by
their deprotection by HF, and subsequent purification by semipreparative HPLC, are done as
described in the case of Peptide 46. The purified compounds are judged to be substantially (>95%)
pure by analytical HPLC. Their molecular masses are checked by electrospray mass spectrometry,
and the expected amino acid compositions are confirmed by amino acid analysis.

The synthesis is conducted in a stepwise manner using manual solid phase peptide
synthesis equipment The starting material of the synthesis is Boc-agmatine-NG-suifonyl-
phenoxyacetyl-MBHA (Boc-Agm-SPA-MBHA) resin with a substitution of 0.3 mmol/g. which was
obtained commercialy from california Peptide Research, Inc.(Napa, CA). The synthesis of this
resin has/been described in U.S. Pat No. 4,914,189 and in the scientific literature (Zarandi M,
Sarfozo P, Zsigo J, Bokser L, Janaky T, Olsen OB, Bajusz S, Schally AV, Int J. Peptide Protein
Res. 39: 211-217. 1992), hereby incorporated by reference. Briefly, Boc-Agm-SPA-MBHA resin
(1.67 g, o 50 mmol) is pre-swollen in DCM and men the deprotection and neutralization protocols
described in Table I are performed in order to remove the Boc protecting group and prepare the
peptide-resin for coupling of the next amino acid. The synthesis is continued and the peptide chain
is built stepwise by coupling the following protected amino acids in the indicated order on the resin




with DIC (235 μL, 1.5 mmol) with the exceptions or Boc-Asn-OH and Boc-Gln-OH-un wnich are
coupled with their preformed HOBt esters. After removal of the Nα-Boc protecting group from Tyr1,
the peptide is acylated with hydrocinnamic acid (Hca-OH) (300 mg, 2 mmol) using DIC (313 uL, 2
mmol).
In order to cleave the peptide from the resin and deprotect it, a portion of 250 mg of the
dried peptide resin is stirred with 0.5 mL m-cresol and 5 mL hydrogen fluoride (HF) at 0 °C for 2
hours. After evaporation of the HF under a stream of nitrogen and in vacuo, the residue is washed
with dry diethyl ether and ethyl acetate. The cleaved and deprotected peptide is dissolved in 50 %
acetic acid and separated from the resin by filtration. After dilution with water and lyophilization,
100-110 mg of crude product is, typically obtained.
The peptide is purified by semipreparative HPLC and the eluting fractions are examined by
analytical HPLC as described in Examples l-lll. Fractions with purity higher than 95% are pooled
and lyophilized to give 5 to 10 mg of pure Peptide 59. Molecular mass is checked by electrospray
mass spectrometry, and the expected amino acid composition is confirmed by amino acid analysis.
Peptide 51, Peptide 52, and Peptide 60 are synthesized in the same manner as Peptide
59, except that these peptides also contain other substitutions.
For the synthesis of Peptide 51, the chemical structure of which is

For the synthesis of Peptide 52, the chemical structure of which is


For the synthesis of Peptide 60, the chemical structure of which is
[PhAc-Tyr\ D-Arg2, Phe(pCI)8, Har9, Tyr(Me)10, Abu15. Nle27, D-Arg28, Har29, Agm"|riGH-RH(1-30),
the following protected amino acids are coupled in the indicated order on the Boc-Agm-SPA-MBHA
resin: Boc-HaitNQ^OH, Boc-D-Arg(Tos)-OH, Boc-Nle-OH, Boc-lle-OH, Boc-Asp(OcHx)-OH, Boc-
Gln-OH, Boc-Leu-OH, Boc-Leu-OH, Boe-Lys(2CIZ)-OH, Bo&Arg(Tos)-OH, Boc-Ala-OH, Boc-
Ser(BzJ)-OH, Boc-Leu-OH, Boc-Gln-OH, Boc -Abu-OH, Boc-Leu-OH, Boc-Val-OH, Boc-Lys(2CIZ)-
OH. Boc-ArgCTosJ-QH, Boc-Tyr(Mej-OH, Boc-HarfNOjJ-OH. Boc-Asn-OH, Boc-ThnCBzlJ-OH, Boc-
Phe(pCI)-OH, Boc-lle-OH, Boc-Aia-OH, BocrAspfOcHxJ-OH, Boc -D-Arg(Tos)-OH, Boc-Tyr(2BrZ)-
OH, followed by acylatfon with PhAc-OH.
HF cleavage and deprotection, and subsequent purification by semipreparative HPLC of
Peptide 51. Peptide 52, and Peptide 60 are done as described in the case of Peptide 59. The
purified compounds are judged to be substantially (>95%) pure by analytical HPLC. Their
molecular masses are checked by electrospray mass spectrometry, and the expected amino acid
impositions are confirmed by amino acid analysis.

All synthetic steps prior to coupling of the N-terminal acy) moiety to the peptide-resin are
performed as described in Example IV. After removal of the N°-Boc protecting group from Tyr\ the
peptide (0.5 mmol) is acylated overnight with octanoic add, [CHsfCH^aCOOH] (475 pL, 3 mmol)
using DIC (235 uL, 1.5 mmol) as a coupling agent The finished peptidyl resin, with all the side-
chain protecting groups still attached, is washed 3x with DCM, 3x with MeOH, and dried under high
vacuum. .;.,.. .-...- .■•■■:■•,. ' ..•.- Subsequently, the peptidyl resin is subjected to Pd(0)-catalyzed removal of the Alloc
protecting group from the Amp9 residue of the peptide chain, as described in Example IV. The
peptide resin is then washed with MeOH and dried, prior to HF cleavage of the peptide.
Cleavage of the peptide from the MBHA resin with a concomitant removal of the remaining
protecting groups is achieved by HF treatment, as described in Examples J-ill. Subsequent work-
up and HPLC purification are performed as described in Examples Nil. After HF treatment of 300
mg dry peptidyl resin, 192 mg crude Jyophflized peptide is obtained, the HPLC purification of which
yields 17.1 mg pure Peptide 70 (>95% purity by analytical HPLC). Molecular mass is checked by
electrospray mass spectrometry, and the expected amino acid composition is confirmed by amino
acid analysis.

Peptide 76, Peptide 78, Peptide 87, Peptide 103, Peptide 111, and Peptide 112 are
synthesized in the same manner as Peptide 70, except that these peptides also contain other
substitutions.
For the synthesis of Peptide 76, the chemical structure of which is
[CH3(CH2)6CO -Tyr1, D-Arg2, Phe(pCI)6, Cit8, Amp9, Tyn(Me)10, His11, Abu15, Nle27, D-Arg28,
Har29]hGH-RH(1-29()NH2,
the following protected amino acids are coupled in the indicated order on the MBHA resin: Boc-

For the synthesis of Peptide 78, the chemical structure of which is
[CH3(CH2)6CO -Ty1, D-Arg2, Phe(pCI)8, Cit8, Amp9. Tyr(Et)10, His11, Abu16, Nle27. D-Arg28,
Har29]hGH-RHO(1-29)NH2,



For the synthesis of Peptide 87, the chemical structure of which is
[CH3(CH2)6CO-Tyr1, D-Arg2, Phe(pCI)6, Ala8, Amp9, Tyr(Et)10, His11, Abu15, His29, Nle27. D-Arg28,
Har29]hGH-RH(1-29)NH2,
the following protected amino acids are coupled in the indicated order on the MBHA resin: Boc-


followed by acylation with


the following protected amino acids are coupled in the indicated order on the MBHA resin: Boc-
followed by acylation with CH3(CH2)6COOH.
For the synthesis of Peptide 111, the chemical structure of which is
[CH3(CH2)6CO-Tyr1, D-Arg2, Phe(pCl)6, Ala8, Amp9. Dip10, His11, Orn12, Abu15, His20, Om21, Nle27,
D-Arg28, Har29]hGH-RH(1-29)NH2,
the following protected amino acids are coupled in the indicated order on the MBHA resin: Boc-

For the synthesis of Peptide 112, the chemical structure of which is
[CH3(CH2)6CO-Tyr1, D-Arg2, Phe(pCI)6, Ala8, Amp9, Phe(pNO2)10. His11, Om12, Abu15, His20, Om21.
Nle27, Dr-Arg28, Har29]hGH-RH(1-29)NH2,
the following protected amino acids are coupled in the indicated order on the MBHA resin: Boc-

OH, followed by acylation with CH3(CH2)6COOH.
Deprotection, cleavage from the resin, and subsequent purification by semipreparative
HPLC of Peptide 76, Peptide 78, Peptide 87, Peptide 103, Peptide 111, and Peptide 112 are done
as described in the case of Peptide 70. The purified compounds are judged to be substantially
(>95%) pure by analytical HPLC. Their molecular masses are checked by electrospray mass
spectrometry, and the expected amino acid compositions are confirmed by amino acid analysis.


{[HOOC(CH2)12CO-Tyr1, D-Arg2, Phe(pCI)6, Amp9, Tyr(Me)10, Abu15, Nle27, D-Arg28, Har29]hGH-
RH(1-29)NH2}
All synthetic steps prior to coupling of the N-terminal acyl moiety to the peptide-resin are
performed as described in Example IV. After removal of the Nα-Boc protecting group from Tyr1, the
peptide is acylated with the ore-formed symmetrical anhydride of 1,12-dodecanedicarboxylic acid
which is prepared as follows. For synthesis on the scale of 0.5 mmol peptide, 388 mg (1.5 mmol)
1,12-dodecanedicarboxylic acid [HOOC(CH2)12COOH] is dissolved in 5 to10 ml of DMF-DCM
(1:1), 235 μL (1.5 mmol) DIG is added to this solution, and the mixture is allowed to stand at room
temperature for 30 min. After this period of time, the mixture is transferred into the synthesis vessel
containing the peptide-resin with a free amino terminus on Tyr1, and acytation is carried out
overnight The finished peptidyl resin, with all the side-chain protecting groups still attached, is
washed 3x with DCM, 3x with MeOH, and dried under high vacuum.
Subsequently, the peptidyl resin is subjected to Pd(0)-catalyzed removal of the Alloc
protecting group from the Amp9 residue of the peptide chain, as. described in Example IV. The
peptide resin is then washed with MeOH and dried, prior to HF cleavage of the peptide.
Cleavage of the peptide from the MBHA resin with a concomitant removal of the remaining
protecting groups is achieved by HF treatment, as described in Examples 1411. Subsequent work-
up and HPLC purification are performed as described in Examples I-III. After HF treatment of 150
mg dry peptidyl resin, 82 mg crude lyophilized peptide is obtained, the HPLC purification of which
yields 2.5 mg pure Peptide 72 (>95% purity by analytical HPLC). Molecular mass is checked by
etectrospray mass spectrometry, and the expected amino acid composition is confirmed by amino
acid analysis.
Peptide 71, Peptide 77, Peptide 89, Peptide 107, Peptide 116, and Peptide 117 are
synthesized in the same manner as Peptide 72, except that these peptides also contain other
substitutions.
For the synthesis of Peptide 71, the chemical structure of which is
[HOOC(CH2)8CO-Tyr1, D-Arg2 ,Phe(pCl)8,Amp9, Tyr(Me)10, Abu15, Nle27, D-Arg28, Har29]hGH-
RH(1-29)NH2
the following protected amino acids are coupled in the indicated order on the MBHA resin: Boc-
Har(NO2)-OH, Boc-Arg(Tos)-OH, Boc-Nle-OH, Boc-lie-OH, Boc-Asp(OcHx)-OH, Boc-Gln-OH,
Boc-Leu-OH, Boc-Leu-OH, Boc-Lys(2ClZ)-OH, Boc-Arg(Tos)-OH, Boc-Ala-OH, Boc-Ser(Bzl)-OH,
Boc-Leu-OH, Boc-Gln-OH, Boc-Abu-OH, Boc-Leu-OH. Boc-Val-OH, Boc-Lysf(2CIZ)-OH, Boc-
Arg(Tos)-OH. Boc-Tyr(Me)-OH, Boc-Amp(Alloc)-OH, Boc-Asn-OH, Boc-Thr(Bzl)-OH, Boc-
Phe(pCI)-OH. Boc-lle-OH, Boc-Ala-OH, Boc-Asp(OcHx)-OH, Boc-D-Arg(Tos)-OH, Boc-Tyr(2BrZ)-
OH, followed by acylation with HOOC(CH2),COOH.

For the synthesis of Peptide 77, the chemical structure of which is
[HOOC(CH2)12CO -Tyr1 , D-Arg2, Phe(pCI)6, Cit8. Amp9, Tyr(Me)10, His11, Abu15. Nle27, D-Arg28,
Har28]hGH-RH(1-29)NH2,
the followino protected amino acids are coupled in the indicated order on the MBHA resin: Boc-

OH, followed by acylation with HOOC(CH2)12COOH.
For the synthesis of Peptide 89, the chemical structure of which is
[HOOC(CH2)12CO-Tyr1. D-Arg2, Phe(pCI)6, Ala8, Amp9, Tyr(Et)10, His11, Abu15, His20, Nle27, D-Arg28,
Har29]hGH-RH(1-29)NH2,
the following protected amino acids are coupled in the indicated order on the MBHA resin: Boc-

followed by acyiation with HOOC(CH2)12COOH.
For the synthesis of Peptide 107, the chemical structure of which is
[HOOC(CH2)12CO-Tyr1, D-Arg2, Phe(pCI)8. Ala8, Amp9, Tyr(Et)10, His11, Orn12, Abu15, His20, Orn21,
Nle27, D-Arg28, Har29]hGH-RH(1-29)NH2,
the following protected amino acids are coupled in the indicated order on the MBHA resin: Boc-

foltowed by acyiation with HOOC(CH2)12COOH.
For the synthesis of Peptide 116, the chemical structure of which is
[HOOC(CH2)12CO-Tyr1, D-Arg2, Phe(pCI)6, Ala8, Amp9. Dip10, His11, Om12, Abu+, His20, Om21,
Nle27, O-Arg28. Har29]hGH-RH(1-29)NH2,
the following protected amino adds are coupled in the indicated order on the MBHA resin: Boc -


His(Bom)-OH, Boc-Dip-OH, Boc-Amp(Alloc)-OH, Boc-Ala-OH, Boc -Thr(Bzl)-OH, Boc-Phe(pCI)-
OH, Boc-lle-OH, Boc Ala-OH, Boc-Asp(OcHx)-OH, Boc -D-Arg(Tos)-OH, Boc -Tyr(2BrZ)-OH,
followed by acylation with HOOC(CH2)12COOH.
For the synthesis of Peptide 117, the chemical structure of which is
(HOOC(CH2)12CO-Tyr1 ,D-Arg2, Phe(pCI)6. Ala8, Amp8, Phe(pNO2)10, His11, Om12, Abu15, His20,
Om211Nle27, D-Arg28, Har29]hGH-RH(1-29)NH2,
the following protected amino acids are coupled in the indicated order on the MBHA resin: Boc-

Deprotection, cleavage from the resin, and subsequent purification oy semipreparative
HPLC of Peptide 71, Peptide 77, Peptide 69, Peptide 107, Peptide 116, and Peptide 117 are done
as described in the case of Peptide 72. The purified compounds are judged to be substantially
(>95%) pure by analytical HPLC. Their molecular masses are checked by electrospray mass
spectrometry, and the expected amino acid compositions are confirmed by amino acid analysis.
EXAMPLE IX
Aqueous Solution for Intramuscular Injection

The gelatin and GH-RH antagonist Peptide 67 are dissolved in water for Injection, then the solution
is sterile filtered.
EXAMPLE X
Long Acting Intramuscular Injectable Formulation (Sesame Oil Gel)


The aluminum monosteerate is combined with the sesame oil and heated to 125 °C with stirring
until a clear yellow solution forms. This mixture is then autoclaved for sterility and allowed to cool.
The GH-RH antagonist Peptide 80 is then added aseptically with trituration. Particularly preferred
antagonists are salts of low solubility, e.g., pamoate salts and the like. These exhibit long duration
of activity.
EXAMPLE XI
Long Acting Intramuscular (IM) Iniectabte-Biodearadable Polymer Microcapsules


Microcapsules are made from the following:
EXAMPLE XII
Biological Activity in Endocrine and Oncological Assays
The peptides of the present invention were tested in assays in vitro and in vivo for their
ability to inhibit the hGH-RH(1-29)NH2 induced GH release. Binding affinities of the compounds to
the tumoral GH-RH receptors were also measured. The antitumor activities of the peptides and
their inhibitory effects on serum IGF-I and on the tumoral IGF system were evaluated in various
cancer models in vivo.
Superfused Rat Pituitary System
The analogs were tested in vitro in a test described earller (S. Vigh and A.V Schelly,
Peptides 5:241-347,1984) with modification (Z. Rekasi and A.V. Schally, P.N.A.S. 902148-2149,
1993).
Briefly, the cells are preincubated with peptides for 9 minutes (3mL) at various
concentrations. Immediately after the Incubation, 1 nM hGH-RH(1-29)NH2 is administered for 3
minutes (1mL) [0 minute response]. To check the duration of the antagonistic effect of the
analogue, 1 nM hGH-RH(1-29)NH2 is applled 30, 60, 90, and 120 minutes later 5for 3 minutes [30,
60, 90, 120 min responses]. Net integral values of the GH responses are evaluated. GH
responses are compared to and expressed as percent of the oriGlnal GH response induced by 1

nM GH-RH(1-29)NH2 The effect of the new antagonists are compared to that of [Ac-Tyr1, D-
Arg2]hGH-RH(1-29)NH2, the "Standard antagonist".
Radtoimmunoassays (RIA) forGH, IGF-I, and IGF-H
Rat GH levels in aliquots of undiluted and diluted supervision samples were measured by
double-antibody radioimmunoassay using materials supplled by the National Hormone and
Pituitary Program, Baltimore, Maryland. The results of RIA were analyzed with a computer
program developed in our institute (V. Csernus and A.V. Schally, in Neuroendocrine Research
Methods, Harwood Academic (Greenstein, B.D. ed., London, pp. 71-109, 1991), hereby
incorporated by reference.
For the measurement of GH and IGF-I levels in the serum, as well as IGF-I and IGF-lI
concentrations in the cytosol fraction of tumors, blood samples and tumor samples were collected
and processed as described (Braczkowski R, Serially AV, Plonowski A, Varga JL, Groot K, Krupa
M, Armatis P, Cancer 95: 1735-1745, 2002), hereby incorporated by reference. Briefly, blood
samples are centrifuged to separate the serum, tumors are homogenized and centrifuged to
separate the cytosol fraction. Serum GH is then measured by the double-antibody RIA method.
Before measurement by RIA, IGF-I and IGF-Il are extracted from serum and cytosol fractions using
an acid-ethanol cryoprecipitation method that eliminates most of the IGF binding proteins, which
can interfere with the RIA IGF-I concentration is measured by RIA using IGF-I as a standard and
goat antHGF-I antibody (both from DSL inc., Webster, TX). IGF-II concentration is measured by
RIA using human recombinant IGF-Il (Bachem) as a standard and anti-IGF-H monoclonal antibody
(Amano international Enzyme, Troy, VA).
In all RIA measurements, inter-assay variation was less than 15% and intra-assay
variation was less than 10%.
Tumoral GH-RH Receptor Binding Assay
Ligand competition assays with 125]-labeled GH-RH antagonist JV-1-42 were used to
determine the binding affinities of GH-RH analogs to the GH-RH receptor isoforms on membrane
fractions of human PC-3 prostate, tumors. The methods used have been described in detail
(Halmos G, Schelly AV, Varga JL, Ptonowski A, Rekasi Z, Czompoly T, Proc Natl Acad Sci USA
97:10555-10560,2000; Halmos G, Serially AV, Czompoly T, Krupa M, Varga JL, Rekasi Z, J Clin
Endocrinol Metab 87: 4707-4714, 2002), hereby incorporated by reference. Briefly, radioiodinated
derivatives of JV-1-42 are prepared by the chloramine-T method. PC-3 tumors, grown as
xenografts in nude mice, are used to prepare crude membranes. PC-3 membrane homogenates
are incubated with [125I]JV-1-42 and increasing concentrations (10-12 to 10-6 M) of nonradioactive
antagonist peptides as competitors. The pellet is separated by centrifugation and counted for
radioactivity in a gamma-counter. The final binding affinities are estimated by K, (dissociation
constant of the inhibitor-receptor complex) and are determined by the Ligand PC and McPherson
computer programs of Munson and Rodbard (P.J. Munson and O. Rodbard, Anal. Biochem. 107:
220-239,1980). Relative affinities (RA.) compared to reference peptides such as JV-1-36 or JV-

1-38, are calculated as the ratio of K, of the reference peptide to the K, of the tested GH-RH
antagonist
Results of Superfusion Assays
The results of the in vitro antagonistic activities tested in superfused rat pituitary system
are summarized in Table III. As it can be seen from these data, the substitutions present in the
molecules cause a much increased and protracted inhibitory effect on the GH-RH-elicited GH
release in vitro, as compared to the standard antagonist







*reference compound, subject to U.S. Patent 6,057,422
Effect of GH-RH antagonists on PC-3 human prostate cancer xenografts in nude mice
Experiment 1:
Male nude mice were implanted s.c. with 3 mm3 pieces of PC-3 human hormone-independent
prostate cancer tissue on both flanks. When tumors reached a volume of approx. 50 mm3, the
mice were divided into 5 experimental groups with 7 to 8 animals in each group and received
single daily injections for 28 days as follows: 1. Control (vehicle solution); 2. JV-1-38 (10 μg/day
s.c.); 3 Peptide 31 (10 μg/day s.c.); 4. Peptide 67 (10 μg/day s.c.); 5. Peptide 62 (10 μg/day sx.).
Tumor volumes were measured twice a week. The experiment was ended on day 29 by sacrificing
the mice under Isoflurane anesthesia. Resulting tumors were cleaned, weighed, and snap-frozen
until further analyses. Trunk blood was collected from the abdominal aorta and serum was
separated for RIA measurement of IGF-I. Statistical analyses of the measurement results were
done by two-tailed t-test, data are presented as the means ± S.E.
Experiment 2:
Experiment 2 was similar to Experiment 1, with the difference that Experiment 2 was started when
PC-3 tumors had grown to approximately 30 mm3 in volume. At this time, the animals were divided
into 8 experimental groups with 8 animals in each group, and received single daily injections for 28
days as follows. 1. Control (vehicle solution); 2. JV-1-38 (10 μg/day s.c.); 3. Peptide 46 (5 μg/day;
s.c.); 4. Peptide 77 (5 μg/day s.c.); 5. Peptide 76 (5 μg/day s.c.); 6. Peptide 70 (5 μg/day s.c.); 7.
Peptide 79 (5 μg/day s.c.); 8. Peptide 80 (5 μg/day s.c.). Further details of-Experiment 2 are the
same as for Experiment 1;
Experiments:
Male nude mice were implanted s.c. with 3 mm3 pieces of PC-3 human hormone-independent
prostate cancer tissue on both flanks. When tumors reached a volume of approximately 65 mm3,
the mice were divided into 7 experimental groups with 8 to 9 animals in each group and received
single daily injections for 28 days as follows: 1. Control (vehicle solution); 2. JV-1-38 (10 μg/day
s.c.); 3. Peptide 35 (10 μg/day s.c.); 4. Peptide 36 (10 μg/day s.c.); 5. Peptide 37 (10 μg/day s.c.);
6. Peptide 38 (10 μg/day s.c.); 7. Peptide 41 (10 μg/day s.c). Tumor volumes were measured
twice a week. The experiment was ended on day 28 by sacrificing the mice under Isoflurane
anesthesia. Resulting tumors were cleaned, weighed, and snap-frozen until further analyses.
Trunk blood was collected from the abdominal aorta and serum was separated for RIA

measurement of IGF-I. Statistical analyses of the measurement results were done by ANOVA
followed by Fisher test; data are presented as the means ± S. E.
Experiment 4:
All expenmental details of Experiment 4 are the same as for Experiment 3, with the following
difference. When tumors reached a volume of approximately 55 mm3, the mice were divided into 5
experimental groups with 8 to 9 animals in each group and received single daily injections for 28
days as follows: 1. Control (vehicle solution); 2. Peptide 80 (5 μg/day s.c.); 3. Peptide 86 (5 μg/day
s.c.); 4. Peptide 95 (5 μg/day s.c.); 5. Peptide 96 (5 μg/day s.c.). Further details of Experiments
are the same as for Experiment 3.
Results
Experiment 1:
Among the GH-RH antagonists tested, Peptide 67 and Peptide 62 exerted a stronger inhibitory
effect on the growth of PC-3 tumors than the reference peptide JV-1-38, subject to U.S. Patent
6,057,422 (Table VI). The peptides of the present invention also more potently suppressed IGF-I
levels in the serum and IGF-II levels in the tumors, as compared to JV-1-38 (Table VII).



N.I., not investigated.
Experiment 2:
Peptide 46, Peptide 77, Peptide 76, Peptide 70, Peptide 79, and Peptide 80 of the present
invention, used at a dose of 5 μg/day, decreased the tumor volumes and tumor weights! of PC-3
cancers by 20-64%, and increased the tumor volume doubling times by up to 101% of the control
value (Table VIII). The effects of Peptide 77, Peptide 70, Peptide 79, and Peptide 80 were
statistically significant on one or more of these tumor parameters. In contrast, reference peptide
JV-1-38, subject to U.S. Patent 6,057.422, did not decrease the tumor volume, and only caused a
slight and non-significant inhibition of 10% in the weight of PC-3 tumors, when used at a double
dose of 10 μg/day (Table VIII). In addition Peptide 70, Peptide 79, and Peptide 80 of the present
invention significantly decreased serum IGF-I levels by 31%-42%. but peptide JV-1-38 had no
effect (Table IX).



Experiment 3:
All peptides tested significantly inhibited the growth of PCS tumors at the dose of 10 μg/day.
Peptide 35, Peptide 36, and Peptide 39 had more potent antitumor effect than reference peptide
JV-1-38 (Table X).


Experiment 4:
All four peptides, administered at a dose of 5 μg/day, significantly inhibited the growth of PC-3
tumors in nude mice. Peptide 96 had the strongest antitumor effect in this experiment (Table XI).
Serum IGF-I levels were also inhibit in all group trated with antagonist, the effct of peptide
86 and Peptide 96 being statiscally significant(table XII).



TABLE XII.
Experiment 4; Effect of Treatment with GH-RH Antagonists on the Serum Levels of IGF-I in Nude
Mice Bearing Xenografts of PC-3 Human Prostate Cancer

Effect of GH-RH antagont on HT-29 human colon cancer xenografts in nude mice
HT-29 human colon cancers were transplanted sc. into male nude mice. 19 days after
transplantation, the mice were divided into two groups of 10 animals each, and the treatment was
started. Mice in the treatment group received single daily injections of Peptide 67 sc. at a dose of
10 μg/day for 62 days, while the control group was injected with the vehicle solvent Tumors were
measured regularly, and tumor volume was calculated. The mice were-sacrificed at the end of
experiment and tumor weights were measured.
Results
Treatment with Peptide 67 for 62 days caused a significant inhibition of 56.3% in the
volumes and 53.9% in the weights of HT-29 tumors growing tn nude mice, as compared to the
control group (Table XIII).


Effect of GH-RH antagonists on DMS-153 human small cell lung carcinomas (SCLC) xenografted
info nude mice
Male nude mice were implanted s.c. with 3 mm3 pieces of DMS-153 human SCLC tissue.
When tumors reached a volume of approx. 100 mm3 the mice were divided into 3 experimental
groups of 6-8 animals each and received the following treatment for 6 weeks group 1 (control),
vehicle solution; group 2, Peptide 67 (10 μg/day s.c.); group 3, Peptide 31 (10 μg/day s.c). Tumor
volumes were recorded twice a week. At the end of treatment mice were anesthetized with
isoflurane, killed by decapitation, trunk blood was collected for measurement of serum IGF-I, and
tumors were excised and weighed. Data are presented as means ± S.E. Data were evaluated by
one way ANOVA and the Student-Newman-Keuls test
Results
Tumor weights were significantly decreased in animals that received treatment with either
GH-RH antagonist, Peptide 67 or Peptide 31, as compared to controls (Table XIV). Tumor volumes
were also significantly smaller in the group that received Peptide 67. In addition, both antagonists
significantly reduced the serum levels of IGF-I as compared to those in the control animals (Table
XIV). The expression of mRNA for IGF-II was likewise inhibited by both antagonists, the level of
expression being 100±1.5% in the control group, 78.0*44.3% in the group treated with Peptide 67,
and 42.7±18.5% in the group that received Peptide 31. The inhibitory effect of Peptide 31 on the
IGF-II mRNA expression was statistically significant (p

Effect of GH-RH antagonists on H-69 human SCLC xenografted into nude mice
Male nude mice were implanted s.c. with 3 mm3 pieces of H-69 human SCLC tissue.
When tumors reached a volume of approx. 80 mm3 the mice were divided into 4 experimental
groups of 7-8 animals each and received the following treatment for 4 weeks: group 1 (control),
vehicle solution; group 2, Peptide 67 (10 μg/day s.c.); group 3, Peptide 31 (10 μg/day s.c.); group
4, Peptide 72 (10 μg/day s.c). Tumor volumes were recorded twice a week. At the end of
treatment mice were anesthetized with isoflurane, killed by decapitation, and tumors were excised
and weighed. Data are presented as means ± S.E. Data were evaluated by one way ANOVA and
the Student-Newman-Keuls test
Results
Alt GH-RH antagonists, given as single dally injection at a dose of 10 μg/day, significantly
inhibited the growth of H-69 tumors in nude mice. Among the compounds tested, Peptide 72 had
the strongest antiproliferative effect (Table XV).



WE CLAIM:
1. A peptide selected from the group having the formulae:
R1-A0-A1-A2-Asp-Ala-A5A6-Thr-A8-A9-A10-A11-A12-Val-Leu-A15-A16-Leu-Ser-A19-A20-A21-A22-Leu-Gln-
Asp-lle-A27-A28-A29-A30-R2
wherein Ri is a member of the group consisting of a) PhAc, Hca, Dat, IndAc, Ipa, 1-Nac,
2-Nac, 1-Npr, 2-Npr, Ibu; CH3(CH2)nCO, or HOOC(CH2)nCO, where n is an integer from 2 to 20,
and b) any other straight chain, branch chain, saturated, unsaturated or poly unsaturated aliphatic
carboxyl group of 2-30 carbon atoms and any carbocyclic or heterocyclic aromatic carboxyl
group of 3-8 carbon atoms containing at least one atom of the group S, N, and O in the
heterocyclic ring,
A° is Phe, D-Phe, Arg, D-Arg, or a carbon-nitrogen single bond,

A30 is Arg, D-Arg, Har, D-Har, Cit, D-Cit, Agm, or is a carbon-nitrogen or carbon-oxygen single
bond,
R2 is -NH2, -NH-NH2, -NH-OH, -NHR3, -NR3R4, -OH, or -OR3, in which R3 and R4 are any of C1-10 alkyl, C2-10 alkenyl, C2-10 alkinyl, C7-16 phenylalkyl, -C6H5, or-CH(C6H5)2;
provided that if A29 is Agm then A30 and R2 are absent, and if A30 is Agm then R2 is absent,

and pharmaceuticaiiy acceptable salts thereof, such as herein described.
2. The compound as claimed in claim 1 wherein one or both of A11 and A20 are other than
Arg, D-Arg, or Cit.
3. A compound as claimed in claim 1 selected from the group consisting of:

























8. A pharmacologically administrate composition, such as herein described, for the
suppression of levels of GH in a patient, the suppression of —IGF-I or IGF-II levels in the tumor
tissue of a patient having a cancer carrying receptors for IGF-I, for the suppression of VEGF
levels in the tumor tissue of a patient having a cancer, the suppression of levels of IGF-I in a
patient, the suppression of GH levels in a patient having a cancer carrying receptors for IGF-I or
GH, for the suppression of IGF-I levels in a patient having a cancer carrying receptors for IGF-I or
for blocking receptors for GH-RH in a patient having a cancer carrying receptors for GH-RH
consisting essentially of a compound as claimed in claim 1, or 5 and a pharmacologically
acceptable carrier, such as herein described.

There is provided a novel series of synthetic antagonistic analogs of hGH-RH(1-29)NH2.
These analogs inhibit the activity of endogenous hGH-RH on the pituitary GH-RH receptors, and
therefore prevent the release of growth hormone. The analogs also inhibit the proliferation of
human cancers through a direct effect on the cancer cells. The higher inhibitory potencies of the
new analogs, as compared to previously described ones, results from replacement of various
amino acids.

Documents:

445-kolnp-2006-granted-abstract.pdf

445-kolnp-2006-granted-assignment.pdf

445-kolnp-2006-granted-claims.pdf

445-kolnp-2006-granted-correspondence.pdf

445-kolnp-2006-granted-description (complete).pdf

445-kolnp-2006-granted-examination report.pdf

445-kolnp-2006-granted-form 1.pdf

445-kolnp-2006-granted-form 13.pdf

445-kolnp-2006-granted-form 18.pdf

445-kolnp-2006-granted-form 3.pdf

445-kolnp-2006-granted-form 5.pdf

445-kolnp-2006-granted-gpa.pdf

445-kolnp-2006-granted-reply to examination report.pdf

445-kolnp-2006-granted-specification.pdf


Patent Number 229479
Indian Patent Application Number 445/KOLNP/2006
PG Journal Number 08/2009
Publication Date 20-Feb-2009
Grant Date 18-Feb-2009
Date of Filing 27-Feb-2006
Name of Patentee THE UNITED STATE OF AMERICA REPRESENTED BY THE DEPARTMENT OF VETERANS AFFAIRS
Applicant Address 801 VERMONT AVE, NW, WASHINGTON DC
Inventors:
# Inventor's Name Inventor's Address
1 VARGA JOZSEF 222 LONDON AVE #202, METAIRIE, LA70005
2 SCHALLY ANDREW V 8440 SOUTH DIXIE DRIVE #1405, MIAMI, FL 33143-7825
3 CAI REN ZHI 7024 GLENN STREET, METAIRIE, LA 70003
4 ZARANDI MARTA DUGOVICS U. 25 III EM, SZEGED
PCT International Classification Number H02K 1/00
PCT International Application Number PCT/US2004/024183
PCT International Filing date 2004-07-26
PCT Conventions:
# PCT Application Number Date of Convention Priority Country
1 60/492,706 2003-08-05 U.S.A.