Title of Invention

A GHRELIN ANALOGUE

Abstract The instant invention discloses compounds which are ghrelin analogues and pharmaceutically acceptable salts thereof capable of exhibiting ghrelin agonist activity.
Full Text

This application is divided out of the Indian Patent Application no.: 1973/KOLNP/2004
The pulsatile release of growth hormone from the pituitary somatotrops is
regulated by two hypothalamic neuropeptides: growth hormone-releasing hormone
and somatostatin. Growth hormone-releasing hormone stimulates release of growth
hormone, whereas, somatostatin inhibits secretion of growth hormone. (Frohman et
al., Endocr. Rev. 1986, 7, 223-253, and Strobi et al., Pharmacol. Rev. 1994, 46, 1-
34.)
Release of growth hormone from the pituitary somatotrops can also be
controlled by growth hormone-releasing peptides (GHRP's). A hexapeptide, His-D-
Trp-Ala-Trp-D-Phe-Lys-amide (GHRP-6), was found to release growth hormone from
somatotrops in a dose-dependent manner in several species including man. (Bowers
et al., Endocrinology 1984, 114, 1537-1545.) Subsequent chemical studies on
GHRP-6 led to the identification of other potent growth hormone secretagogues such
as GHRP-1, GHRP-2 and hexarelin (Cheng et al., Endocrinology 1989, 124, 2791-
2798, Bowers, C. Y. Novel GH-Releasing Peptides. In: Molecular and Clinical
Advances in Pituitary Disorders. Ed: Melmed, S.; Endocrine Research and
Education, Inc., Los Angeles, CA, USA 1993, 153-157, and Deghenghi et al.. Life
Sci. 1994, 54, 1321-1328):
GHRP-1 Ala-His-D-(2')-Nal-Ala-Trp-D-Phe-Lys-NH2;
GHRP-2 D-Ala-D-(2')-Nal-Ala-Trp-D-Nal-Lys-NH2;
Hexarelin His-D-2-MeTrp-Ala-Trp-D-Phe-Lys-NH2;.
GHRP-1, GHRP-2, GHRP-6, and hexarelin are synthetic growth hormone
secretagogues (GHS's). GHS's stimulate secretion of growth hormone by a
mechanism different from that of growth hormone-releasing hormone. (Bowers et al..
Endocrinology 1984, 114, 1537-1545, Cheng et al. Endocrinology 1989, 124, 2791-
2798, Bowers, C. Y. Novel GH-Releasing Peptides. In: Molecular and Clinical
Advances in Pituitary Disorders. Ed: Melmed, S.; Endocrine Research and
Education, Inc., Los Angeles, CA, USA 1993, 153-157, and Deghenghi et al., Life
Sci. 1994,54,1321-1328.)
The low oral bioavailability ( secretagogues stimulated search for non-peptide compounds mimicking action of
GHRP-6 in the pituitary. Several benzolactams and spiroindanes have been reported
to stimulate growth hormone release in various animal species and in man. (Smith et
al.. Science 1993, 260, 1640-1643, Patchett et al., Proc. Natl. Acad. Sci. USA. 1995,
92, 7001-7005, and Chen et al., Bioorg. Mod. Chem. Lett. 1996, 6, 2163-2169.) A
specific example of a small spiroindane is MK-0677 (Patchett et al. Proc. Natl. Acad.
-1A-

Sci. USA. 1995, 92, 7O01-7005):

The actions of the above-mentioned GHS's (both peptide and non-peptide)
appear to be mediated by a specific growth hormone secretagogue receptor (GHS
receptor). (Howard et al., Science 1996, 273, 974-977, and Pong et al, Molecular
Endocrinology 1996, 10, 57-61.) This receptor is present in the pituitary and
hypothalamus of various mammalian species (GHSR1a) and is distinct from the
growth hormone-releasing hormone (GHRH) receptor. The GHS receptor was also
detected in the other areas of the central nervous system and in peripheral tissues,
for instance adrenal and thyroid glands, heart, lung, kidney and skeletal muscles.
(Chen et al, Bioorg. Med. Chem. Lett. 1996, 6, 2163-2169, Howard et al, Science
1996, 273, 974-977, Pong et al, Molecular Endocrinology 1996, 10, 57-61, Guan et al,
Mol. Brain Res. 1997, 48, 23-29, and McKee et al., Genomics 1997, 46, 426-434.) A
truncated version of GHSR1a has been reported. (Howard et al., Science 1996, 273,
974-977.)
The GHS receptor is a G-protein coupled-receptor. Effects of GHS receptor
activation include depolarization and inhibition of potassium channels, an increase in
intercellular concentrations of inositol triphosphate (IP3), and a transient increase in
the concentrations of intracellular calcium. (Pong et al, Molecular Endocrinology
1996, 10, 57-61, Guan et al., Mol. Brain Res. 1997, 48, 23-29, and McKee et al.,
Genomics 1997, 46, 426-434.)
Ghrelin is a naturally occurring peptide which is believed to be an
endogenous ligand for the GHS receptor. (Kojima et al., Nature 1999, 402, 656-660.)
The native structures of ghrelins from several mammalian and non-mammalian
species of animals are known. (Kaiya et al., J. Biol. Chem. 2001, 276, 40441-40448;
International Patent Application PCT/JP00/04907 (WO 01/07475).) A core region
present in ghrelin was found to provide for activity at the GHS receptor. The core
region comprises the four N-terminal amino acids, where the serine at position 3 is
normally modified with n-octanoic. However, in addition to acylation by n-octanoic
acid native ghrelin also has been observed to be acylated with n-decanoic acid.
(Kaiya et al., J. Biol. Chem. 2001, 276, 40441-40448.) Ghrelin analogs have a variety
2

of different therapeutic uses as well as uses as research tools.
SUMMARY OF THE INVENTION
The present invention features peptidyl analogs active at the GHS receptor.
The analogs of the invention can bind to the GHS receptor and, preferably, bring
about signal transduction.
Thus, in a first aspect the present invention features a compound according to
formula (1):
R1-A1-A2-A3-A4-A5-R2
(1)
or a pharmaceutically acceptable salt thereof, wherein:
A1 is Aib, Apc or Inp;
A2 is D-Bal, D-Bip, D-Bpa, D-Dip, D-1Nal, D-2Nal, D-Ser(BzI), or D-Trp;
A3 is D-Bal, D-Bip, D-Bpa, D-Dip, D-1 Nal, D-2Nal, D-Ser(Bzl), or D-Trp;
A4 is 2Fua, Om, 2Pal, 3Pal, 4Pal, Pff, Phe, Pirn, Taz, 2Thi, 3Thi, Thr(Bzl);
A5 is Apc, Dab, Dap, Lys, Om, or deleted;
R1 is hydrogen, (C1-6)alkyl, (C5-14)aryl, (C1-6)alkyI(C5.14)aryl, (C3-8)cycloakyl, or
(C2.10)acyl; and
R2 is OH or NH2;
provided that
when A5 is Dab, Dap, Lys, or Orn, then:
A2 is D-Bip, D-Bpa, D-Dip or D-Bal; or
A3 is D-Bip, D-Bpa, D-Dip or D-Bal; or
A4 is 2Thi, 3Thi, Taz, 2Fua, 2Pal, 3Pal, 4Pal, Om, Thr(Bzl), or Pff;
when A5 is deleted, then:
A3 is D-Bip, D-Bpa, or D-Dip; or
A4 is 2Fua, Pff, Taz, or Thr(Bzl); or
A1 is Apc and -
A2 is D-Bip, D-Bpa, D-Dip or D-Bal; or
A3 is D-Bip, D-Bpa, D-Dip or D-Bal; or
A4 is 2Thi, 3Thi, Orn, 2Pal, 3Pal, or 4Pal.
A preferred compound of formula (I), termed a Group 1 compound, is a
compound according to formula (I) wherein:
A1 is Aib, Apc or H-lnp;
A2 is D-Bal, D-Bip, D-Bpa, D-Dip, D-1 Nal, D-2Nal, D-Ser(Bzl), or D-Trp;
A3 is D-Bal, D-Bpa, D-Dip, D-1 Nal, D-2Nal, or D-Trp;
A4 is Om, 3Pal, 4Pal, Pff, Phe, Pirn, Taz, 2Thi, or Thr(Bzl); and
3

A5 is Ape, Lys, or deleted;
or a phamnaceutically acceptable salt thereof.
A preferred Group 1 compound, termed a Group 1A compound, is a
compound according to the formula:
A1 is Ape or H-lnp;
A2 is D-Bal, D-Bip, D-1Nal, or D-2Nal;
A3 is D-Bal, D-1Nal, D-2Nal, or D-Trp;
A4 is 3Pal, 4PaI, Pff, Phe, Pirn, Taz, 2Thi, or Thr(Bzl); and
or a pharmaceutically acceptable salt thereof.
Another preferred compound of formula (1), termed a Group 2 compound, is a
compound according to the formula:
H-lnp-D-1Nal-D-Trp-3Pal-Lys-NH2;
H-lnp-D-2Nal-D-Trp-4Pal-Lys-NH2;
H-lnp-D-2Nal-D-Trp-Orn-Lys-NH2;
H-lnp-D-Bip-D-Trp-Phe-Lys-NH2;
H-lnp-D-2Nal-D-Trp-Thr(Bzl)-Lys-NH2;
H-lnp-D-2Nal-D-Trp-Pff-Lys-NH2;
H-lnp-D-2Nal-D-Trp-2Thi-Lys-NH2;
H-lnp-D-2Nal-D-Trp-Taz-Lys-NH2;
H-lnp-D-Dip-D-Trp-Phe-Lys-NH2;
H-lnp-D-Bpa-D-Trp-Phe-Lys-NH2;
H-lnp-D-2Nal-D-Bpa-Phe-Lys-NH2;
H-lnp-D-2NaJ-D-Trp-3Pal-NH2;
H-lnp-D-2Nal-D-Trp-4Pal-NH2;
H-lnp-D-1 Nal-D-Trp-3Pal-NH2
H-lnp-D-Bip-D-Trp-Phe-NH2;
H-lnp-D-2Nal-D-Trp-Thr(Bzl)-NH2;
H-lnp-D-2Nal-D-Trp-Pff-NH2;
H-lnp-D-2Nal-D-Trp-2Thi-NH2;
H-lnp-D-2Nal-D-Trp-Taz-NH2;
H-lnp-D-Dip-D-Trp-Phe-NH2;
H-lnp-D-2Nal-D-Dip-Phe-NH2;
H-lnp-D-Bal-D-Trp-Phe-NH2;
H-lnp-D-2Nal-D-Bal-Phe-NH2;
H-lnp-D-2Nal-D-Trp-3Pal-Lys-NH2;
H-lnp-D-Trp-D-2Nal(Ψ)-Pim;
H-lnp-D-Bal-D-Trp-2Thi-Lys-NH2;
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H-lnp-D-Bal-D-Trp-Phe-Lys-NH2;
H-lnp-D-1Nal-D-Trp-2Thi-Lys-NH2;
H-lnp-D-2Nal-D-Trp-Phe-Apc-NH2;
H-lnp-D-1Nal-D-Trp-Phe-Apc-NH2;
H-lnp-D-Bal-D-Trp-Phe-Apc-NH2;
H-Apc-D-2Nal-D-Trp-Phe-Lys-NH2;
H-Apc-D-1Nal-D-Trp-2Thi-Lys-NH2;
H-lnp-D-1Nal-D-Trp-2Thi-NH2;
H-Apc-D-1Nal-D-Trp-Phe-NH2;
H-lnp-D-2Nal-D-Trp(Ψ)-Pim;
H-lnp-D-1Nal-D-Trp(Ψ)-Pim;
H-lnp-D-Bal-D-Trp(Ψ)-Pim;
H-Aib-D-Ser(Bzl)-D-Trp(Ψ)-Pim;
H-lnp-D-1Nal-D-Trp-Taz-Lys-NH2;
H-lnp-D-Bal-D-Trp-Taz-Lys-NH2;
H-Apc-D-1Nal-D-Trp-Taz-Lys-NH2;
H-Apc-D-Bal-D-Trp-Taz-Lys-NH2;
H-Apc-D-Bal-D-Trp-2Thi-Lys-NH2;
H-Apc-D-Bal-D-Trp-Phe-Lys-NH2;
H-Apc-D-1Nal-D-Trp-Phe-Apc-NH2;
H-Apc-D-Bal-D-Trp-Phe-Apc-NH2;
H-Apc-D-1Nal-D-1 Nal-Phe-Apc-NH2;
H-Apc-D-1Nal-D-2Nal-Phe-Apc-NH2;
H-Apc-D-1Nal-D-1Nal-Phe-Lys-NH2;
H-Apc-D-Bal-D-1Nal-Phe-Apc-NH2;
H-Apc-D-Bal-D-2Nal-Phe-Apc-NH2;
H-Apc-D-Bal-D-1Nal-Phe-Lys-NH2;
H-Apc-D-Bal-D-2Nal-Phe-Lys-NH2;
H-Apc-D-1Nal-D-Trp-2Thi-NH2;
H-Apc-D-Bal-D-Trp-Phe-NH2;
H-Apc-D-1Nal-D-Trp-Taz-NH2;
H-Apc-D-Bal-D-Trp-2Thi-NH2;
H-Apc-D-Bal-D-Trp-Taz-NH2;
H-Apc-D-2Nal-D-Trp-2Thi-NH2;
H-Apc-D-2Nal-D-Trp-Taz-NH2;
H-lnp-D-1 Nal-D-Trp-Taz-Apc-NH2;
H-Inp-D-Bal-D-Trp-Taz-Apc-NH2;
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H-Apc-D-1Nal-D-Trp-Taz-Apc-NH2;
H-Apc-D-Bal-D-Trp-Taz-Apo-NH2;
H-Apc-D-1 Nal-D-Trp-2Fua-Apc-NH2;
H-Apc-D-1Nal-D-Trp-2Fua-Lys-NH2;
H-Apc-D-1Nal-D-Trp-2Fua-NH2;
H-Apc-D-1Nal-D-Trp-2Pal-NH2;
H-Apc-D-1Nal-D-Trp-3Pal-NH2;
H-Apc-D-1Nal-D-Trp-3Thi-Apc-NH2;
H-Apc-D-1Nal-D-Trp-3Thi-Lys-NH2;
H-Apc-D-1Nal-D-Trp-3Thi-NH2;
H-Apc-D-1Nal-D-Trp-4Pal-NH2;
H-Apc-D-1Nal-D-Trp-Pff-Apc-NH2;
H-Apc-D-1Nal-D-Trp-Pff-Lys-NH2;
H-Apc-D-1Nal-D-Trp-Pff-NH2;
H-Apc-D-2Nal-D-Trp-2Fua-Apc-NH2;
H-Apc-D-2Nal-D-Trp-2Fua-Lys-NH2;
H-Apc-D-2Nal-D-Trp-2Fua-NH2;
H-Apc-D-2Nal-D-Trp-2Pal-NH2;
H-Apc-D-2Nal-D-Trp-2Thi-Apc-NH2;
H-Apc-D-2NaI-D-Trp-2Thi-Lys-NH2;
H-Apc-D-2Nal-D-Trp-3Pal-NH2;
H-Apc-D-2Nal-D-Trp-3Thi-Apc-NH2;
H-Apc-D-2NaI-D-Trp-3Thi-Lys-NH2;
H-Apc-D-2Nal-D-Trp-3Thi-NH2;
H-Apc-D-2Nal-D-Trp-4Pal-NH2;
H-Apc-D-2Nal-D-Tfp-Pff-Apc-NH2;
H-Apc-D-2Nal-D-Trp-Pff-Lys-NH2;
H-Apc-D-2Nal-D-Trp-Pff-NH2;
H-Apc-D-2Nal-D-Trp-Taz-Apc-NH2;
H-Apc-D-2Nal-D-Trp-Taz-Lys-NH2;
H-Apc-D-Bal-D-Bal-2Fua-Apc-NH2;
H-Apc-D-Bal-D-Bal-2Fua-Lys-NH2;
H-Apc-D-Bal-D-Bal-2Fua-NH2
H-Apc-D-Bal-D-Bal-2Pal-NH2;
H-Apc-D-BaI-D-Bal-2Thi-Apc-NH2;
H-Apc-D-Bal-D-Bal-2Thi-Lys-NH2;
H-Apc-D-Bal-D-Bal-2Thi-NH2;
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H-Apc-D-Bal-D-Bal-3Pal-NH2;
H-Apc-D-Bal-D-Bal-3Thi-Apc-NH2;
H-Apc-D-Bal-D-Bal-3Thi-Lys-NH2;
H-Apc-D-Bal-D-Bal-3Thi-NH2;
H-Apc-D-Bal-D-Bal-4PaI-NH2;
H-Apc-D-Bal-D-Bal-Pff-Apc-NH2;
H-Apc--D-Bal-D-Bal-Pff-Lys-NH2;
H-Apc-D-Bal-D-Bal-Pff-N H2;
H-Apc-D-Bal-D-Bal-Phe-Apc-NH2;
H-Apc-D-Bal-D-Bal-Phe-Lys-NH2;
H-Apc-D-Bal-D-Bal-Phe-NH2;
H-Apc-D-Bal-D-Bal-Taz-Apc-NH2;
H-Apc-D-Bal-D-Bal-Taz-Lys-NH2;
H-Apc-D-Bal-D-Ba!-Taz-NH2;
H-Apc-D-Bal-D-Trp-2Fua-Apc-NH2;
H-Apc-D-Bal-D-Trp-2Fua-Lys-NH2;
H-Apc-D-Bal-D-Tip-2Fua-NH2;
H-Apc-D-Bal-D-Trp-2Pal-NH2;
H-Apc-D-Bal-D-Trp-3Pal-NH2;
H-Apc-D-Bal-D-Trp-3Thi-Apc-NH2;
H-Apc-D-Bal-D-Trp-3Thi-Lys-NH2;
H-Apc-D-Bal-D-Trp-3Thi-NH2;
H-Apc-D-Bal-D-Trp-4Pal-NH2;
H-Apc-D-Bal-D-Trp-Pff-Apc-NH2;
H-Apc-D-Ba!-D-Trp-Pff-Lys-NH2;
H-Apc-D-Bal-D-Trp-Pff-NH2;
H-lnp-D-1Nal-D-Bal-2Fua-Lys-NH2;
,H-lnp-D-1Nal-D-Ba-2Fua-NH2;
H-lnp-D-1Nal-D-Bal-2Thi-Lys-NH2;
H-lnp-D-1Nal-D-Bal-3Thi-Lys-NH2;
H-lnp-D-1Nal-D-Bal-Pff-Lys-NH2;
H-lnp-D-1Nal-D-Bal-Pff-NH2;
H-lnp-D-1Nal-D-Bal-Phe-Lys-NH2;
H-lnp-D-1Nal-D-Bal-Taz-Lys-NH2;
H-lnp-D-1Nal-D-Bal-Taz-NH2;
H-lnp-D-1Nal-D-Trp-2Fua-Apc-NH2;
H-lnp-D-1Nal-D-Trp-2Fua-Lys-NH2;
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H-lnp-D-1Nal-D-Trp-2Fua-NH2;
H-lnp-D-1Nal-D-Trp-3Thi-Apc-NH2;
H-lnp-D-1Nal-D-Trp-3Thi-Lys-NH2;
H-lnp-D-1Nal-D-Trp-Pff-Apc-NH2;
H-lnp-D-1Nal-D-Trp-Pff-Lys-NH2;
H-lnp-D-1Nal-D-Trp-Pff-NH2;
H-lnp-D-1Nal-D-Trp-Taz-NH2;
H-lnp-D-2Nal-D-Trp-2Fua-Apc-NH2;
H-lnp-D-2Nal-D-Trp-2Fua-NH2;
H-lnp-D-2Nal-D-Trp-2Thi-Apc-NH2;
H-lnp-D-2Nal-D-Trp-3Thi-Apc-NH2;
H-lnp-D-2Nal-D-Trp-3Thi-Lys-NH2;
H-Inp-D-2Nal-D-Trp-3Thi-NH2;
H-lnp-D-2Nal-D-Trp-Pff-Apc-NH2;
H-lnp-D-2Nai-D-Trp-Pff-NH2;
H-lnp-D-2Nal-D-Trp-Taz-Apo-NH2;
H-lnp-D-2Nal-D-Trp-Taz-NH2;
H-lnp-D-Bal-D-Bal-2Fua-Lys-NH2;
H-lnp-D-Bal-D-Bal-2Fua-NH2;
H-lnp-D-Bal-D-Bal-2Thi-Lys-NH2;
H-lnp-D-Bal-D-Bal-3Thi-Lys-NH2;
H-lnp-D-Bal-D-Bal-Pff-Lys-NH2;
H-lnp-D-Bal-D-Bal-Pff-NH2;
H-Inp-D-Ba!-D-Bal-Phe-Lys-NH2;
H-lnp-D-Bal-D-Bal-Taz-Lys-NH2;
H-lnp-D-Bal-D-Bal-Taz-NH2;
H-lnp-D-Bal-D-Trp-2Fua-Apc-NH2;
H-lnp-D-Bal-D-Trp-2Fua-Lys-NH2;
H-lnp-D-Bal-D-Trp-2Fua-NH2;
H-lnp-D-Bal-D-Trp-3Thi-Apc-NH2;
H-lnp-D-Bal-D-Trp-3Thi-Lys-NH2;
H-lnp-D-Bal-D-Trp-Pff-Apc-NH2;
H-lnp-D-Bal-D-Trp-Pff-Lys-NH2;
H-lnp-D-Bal-D-Trp-Pff-NH2;
H-lnp-D-Bal-D-Trp-Taz-NH2;
H-lnp-D-Bip-D-Bal-2Fua-Lys-NH2;
H-lnp-D-Bip-D-Bal-2Fua-NH2;
8

H-lnp-D-Bip-D-Bal-2Thi-Lys-NH2;
H-lnp-D-Bip-D-Bal-3Thi-Lys-NH2;
H-lnp-D-Bip-D-Bal-Pff-Lys-NH2;
H-lnp-D-Bip-D-Bal-Pff-NH2; or
H-lnp-D-Bip-D-Bal-Taz-Lys-NH2;
H-lnp-D-Bip-D-Bal-Taz-NH2;
H-lnp-D-Bip-D-Trp-2Fua-Lys-NH2;
H-lnp-D-Bip-D-Trp-2Fua-NH2;
H-lnp-D-Bip-D-Trp-2Thi-Lys-NH2;
H-lnp-D-Bip-D-Trp-3Thi-Lys-NH2;
H-lnp-D-Bip-D-Trp-Pff-Lys-NH2;
H-lnp-D-Bip-D-Trp-Pff-NH2;
H-lnp-D-Bip-D-Trp-Taz-Lys-NH2; or
H-Inp-D-Bip-D-Trp-Taz-NH2;
or a pharmaceutically acceptable salt thereof.
A preferred Group 2 compound, termed a Group 2A compound, is a
compound according to the formula:
H-lnp-D-1Nal-D-Trp-3Pal-Lys-NH2;
H-lnp-D-2Nal-D-Trp-4Pal-Lys-NH2;
H-lnp-D-2Nal-D-Trp-Orn-Lys-NH2;
H-lnp-D-Bip-D-Trp-Phe-Lys-NH2;
H-lnp-D-2Nal-D-Trp-Thr(Bzl)-Lys-NH2;
H-lnp-D-2Nal-D-Trp-Pff-Lys-NH2;
H-lnp-D-2Nal-D-Trp-2Thl-Lys-NH2;
H-lnp-D-2Nal-D-Trp-Taz-Lys-NH2;
H-lnp-D-Dip-D-Trp-Phe-Lys-NH2;
H-lnp-D-Bpa-D-Trp-Phe-Lys-NH2;
H-lnp-D-2Nal-D-Bpa-Phe-Lys-NH2;
H-lnp-D-2Nal-D-Trp-Thr(Bzl)-NH2;
H-lnp-D-2Nal-D-Trp-Pff-NH2;
H-lnp-D-2Nal-D-Trp-Taz-NH2;
H-lnp-D-2Nal-D-Dip-Phe-NH2;
H-lnp-D-2Nal-D-Trp-3Pal-Lys-NH2;
H-lnp-D-Trp-D-2Nal(Ψ)-Pim;
H-lnp-D-Bal-D-Trp-2Thi-Lys-NH2;
H-lnp-D-Bal-D-Trp-Phe-Lys-NH2;
H-lnp-D-1NaI-D-Trp-2Thi-Lys-NH2;
9

H-lnp-D-2Nal-D-Trp-Phe-Apc-NH2;
H-Inp-D-1Nal-D-Trp-Phe-Apc-NH2;
H-lnp-D-Bal-D-Trp-Phe-Apc-NH2;
H-Apc-D-2Nal-D-Trp-Phe-Lys-NH2;
H-Apc-D-1Nal-D-Trp-2Thi-Lys-NH2;
H-lnp-D-2Nal-D-Trp(Ψ)-Pim;
H-lnp-D-1Nal-D-Trp(Ψ)-Pim;
H-lnp-D-BaI-D-Trp(Ψ)-Pim;
H-Aib-D-Ser(Bzl)-D-Trp(Ψ)-Pim;
H-lnp-D-1Nal-D-Trp-Taz-Lys-NH2;
H-lnp-D-Bal-D-Trp-Taz-Lys-NH2;
H-Apc-D-1Nal-D-Trp-Taz-Lys-NH2;
H-Apc-D-Bal-D-Trp-Taz-Lys-NH2;
H-Apc-D-Bal-D-Trp-2Thi-Lys-NH2;
H-Apc-D-Bal-D-Trp-Phe-Lys-NH2;
H-Apc-D-1Nal-D-Trp-Phe-Apc-NH2;
H-Apc-D-Bal-D-Trp-Phe-Apc-NH2;
H-Apc-D-1 Nal-D-1Nal-Phe-Apc-NH2;
H-Apc-D-1 Nal-D-2Nal-Phe-Apc-NH2;
H-Apc-D-1 Nal-D-1 Nal-Phe-Lys-NH2;
H-Apc-D-Bal-D-1Nal-Phe-Apc-NH2;
H-Apc-D-Bal-D-2Nal-Phe-Apc-NH2;
H-Apc-D-Bal-D-1Nal-Phe-Lys-NH2;
H-Apc-D-Bal-D-2Nal-Phe-Lys-NH2;
H-Apc-D-1Nal-D-Trp-2Thi-NH2;
H-Apc-D-Bal-D-Trp-Phe-NH2;
H-Apc-D-1Nal-D-Trp-Taz-NH2;
H-Apc-D-Bal-D-Trp-2Thi-NH2;
H-Apc-D-Bal-D-Trp-Taz-NH2;
H-Apc-D-2Nal-D-Trp-2Thi-NH2;
H-Apc-D-2Nal-D-Trp-Taz-NH2;
H-lnp-D-1Nal-D-Trp-Taz-Apc-NH2;
H-lnp-D-Bal-D-Trp-Taz-Apc-NH2;
H-Apc-D-1 Nal-D-Trp-Taz-Apc-NH2;
H-Apc-D-Bal-D-Trp-Taz-Apc-NH2;
H-lnp-D-2NaI-D-Trp-3Thi-Lys-NH2;
H-lnp-D-Bal-D-Trp-3Thi-Lys-NH2;
10

H-lnp-D-BaI-D-Trp-2Fua-Lys-NH2;
H-lnp-D-Bal-D-Trp-Pff-Lys-NH2;
H-lnp-D-Bal-D-Trp-3Thi-Apc-NH2;
H-lnp-D-Bal-D-Trp-2Fua-Apc-NH2;
H-lnp-D-Bal-D-Trp-Pff-Apc-NH2;
H-Apc-D-Bal-D-Trp-3Thi-Lys-NH2;
H-Apc-D-Bal-D-Trp-2Fua-Lys-NH2;
H-Apc-D-Bal-D-Trp-Pff-Lys-NH2;
H-lnp-D-Bal-D-Bal-Phe-Lys-NH2;
H-lnp-D-Bal-D-Bal-2Thi-Lys-NH2;
H-lnp-D-Bal-D-Bal-3Thi-Lys-NH2;
H-lnp-D-Bal-D-Bal-Taz-Lys-NH2;
H-lnp-D-Bal-D-Bal-2Fua-Lys-NH2;
H-lnp-D-Bal-D-Bal-Pff-Lys-NH2;
H-Apc-D-Bal-D-Bal-Phe-Lys-NH2;
H-Apc-D-Bal-D-Bal-2Thi-Lys-NH2;
H-Apc-D-Bal-D-Bal-3Thi-Lys-NH2;
H-Apc-D-Bal-D-Bal-Taz-Lys-NH2;
H-Apc-D-Bal-D-Bal-2Fua-Lys-NH2;
H-Apc-D-Bal-D-Bal-Pff-Lys-NH2;
H-lnp-D-1Nal-D-Trp-3Thi-Lys-NH2;
H-lnp-D-1Nal-D-Trp-2Fua-Lys-NH2;
H-lnp-D-1Nal-D-Trp-Pff-Lys-NH2;
H-lnp-D-1Nal-D-Bal-Phe-Lys-NH2;
H-lnp-D-1Nal-D-Bal-2Thi-Lys-NH2;
H-lnp-D-1Nal-D-Bal-3Thi-Lys-NH2;
H-lnp-D-1NaI-D-Bal-Taz-Lys-NH2;
H-lnp-D-1Nal-D-Bal-2Fua-Lys-NH2;
H-lnp-D-1Nal-D-BaI-Pff-Lys-NH2;
H-lnp-D-2Nal-D-Trp-2Thi-Apc-NH2;
H-lnp-D-2Nal-D-Trp-3Thi-Apc-NH2;
H-lnp-D-2Nal-D-Trp-Taz-Apc-NH2;
H-lnp-D-2Nal-D-Trp-2Fua-Apc-NH2;
H-lnp-D-2Nal-D-Trp-Pff-Apc-NH2;
H-lnp-D-1 Nal-D-Trp-3Thi-Apc-NH2;
H-lnp-D-1 Nal-D-Trp-2Fua-Apc-NH2;
H-lnp-D-1 Nal-D-Trp-Pff-Apc-NH2;
11

H-Apc-D-1Nal-D-Trp-3Thi-Lys-NH2;
H-Apc-D-1Nal-D-Trp-2Fua-Lys-N H2;
H-Apc-D-1Nal-D-Trp-Pff-Lys-NH2;
H-Apc-D-2Nal-D-Trp-2Thi-Lys-NH2;
H-Apc-D-2Nal-D-Trp-3Thi-Lys-NH2;
H-Apc-D-2Nal-D-Trp-Taz-Lys-NH2;
H-ApoD-2NaI-D-Trp-2Fua-Lys-NH2;
H-Apc-D-2Nal-D-Trp-Pff-Lys-NH2;
H-lnp-D-Bip-D-Trp-2Thi-Lys-NH2;
H-lnp-D-Bip-D-Trp-3Thi-Lys-NH2;
H-lnp-D-Bip-D-Trp-Taz-Lys-NH2;
H-lnp-D-Bip-D-Trp-2Fua-Lys-NH2;
H-lnp-D-Bip-D-Trp-Pff-Lys-NH2;
H-lnp-D-Bip-D-Bal-2Thi-Lys-NH2;
H-lnp-D-Bip-D-Bal-3Thi-Lys-NH2;
H-lnp-D-Bip-D-Bal-Taz-Lys-NH2;
H-lnp-D-Bip-D-Bal-2Fua-Lys-NH2;
H-lnp-D-Bip-D-BaI-Pff-Lys-NH2;
H-Apc-D-Bal-D-Trp-3Thi-Apc-NH2;
H-Apc-D-Bal-D-Trp-2Fua-Apc-NH2;
H-Apc-D-BaI-D-Trp-Pff-Apc-NH2;
H-Apc-D-Bal-D-Bal-Phe-Apc-NH2;
H-Apc-D-Bal-D-Ba!-2Thi-Apc-NH2;
H-Apc-D-Bal-D-Bal-3Thi-Apc-NH2;
H-Apc-D-Bal-D-Bal-Taz-Apc-NH2;
H-Apc-D-Bal-D-Bal-2Fua-Apc-NH2;
H-Apc-D-Bal-D-Bal-Pff-Apc-NH2;
H-Apc-D-1 NaI-D-Trp-3Thi-Apc-NH2;
H-Apc-D-1 Nal-D-Trp-2Fua-Apc-NH2;
H-Apc-D-1 Nal-D-Trp-Pff-Apc-NH2;
H-Apc-D-2Nal-D-Trp-2Thi-Apc-NH2;
H-Apc-D-2Nal-D-Trp-3Thi-Apc-NH2;
H-Apc-D-2Nal-D-Trp-Taz-Apc-NH2;
H-Apc-D-2Nal-D-Trp-2Fua-Apc-NH2;
H-Apc-D-2Nal-D-Trp-Pff-Apc-NH2;
H-lnp-D-Bal-D-Trp-Taz-NH2;
H-lnp-D-Bal-D-Trp-2Fua-NH2;
12

H-Inp-D-Bal-D-Trp-Pff-NH2;
H-Apc-D-BaI-D-Trp-3Thi-NH2;
H-Apc-D-Bal-D-Trp-2Fua-NH2;
H-Apc-D-Bal-D-Trp-Pff-NH2;
H-Apc-D-Bal-D-Trp-4Pal-NH2;
H-Apc-D-Bal-D-Trp-3PaI-NH2;
H-Apc-D-Bal-D-Trp-2Pal-NH2;
H-lnp-D-Bal-D-Bal-Taz-NH2;
H-lnp-D-Bal-D-Bal-2Fua-NH2;
H-lnp-D-Bal-D-Bal-Pff-NH2;
H-Apc-D-Bal-D-Bal-Phe-NH2;
H-Apc-D-Bal-D-Bal-2Thi-NH2;
H-Apc-D-Bal-D-Bal-3Thi-NH2;
H-Apc-D-Bal-D-Bal-Taz-NH2;
H-Apc-D-Bal-D-Bal-2Fua-NH2;
H-Apc-D-Bal-D-Bal-Pff-NH2;
H-Apc-D-Bal-D-Bal-4Pal-NH2;
H-Apc-D-Bal-D-Bal-3Pal-NH2;
H-Apc-D-Bal-D-Bal-2Pal-NH2;
H-lnp-D-1Nal-D-Trp-Taz-NH2;
H-lnp-D-1Nal-D-Trp-2Fua-NH2;
H-lnp-D-1Nal-D-Trp-Pff-NH2;
H-lnp-D-1Nal-D-Bal-Taz-NH2;
H-lnp-D-1Nal-D-Bal-2Fua-NH2;
H-lnp-D-1Nal-D-Bal-Pff-NH2;
H-lnp-D-2Nal-D-Trp-Taz-NH2;
H-lnp-D-2Nal-D-Trp-2Fua-NH2;
H-lnp-D-2Nal-D-Trp-Pff-NH2;
H-Apc-D-1Nal-D-Trp-3Thi-NH2;
H-Apc-D-1Nal-D-Trp-2Fua-NH2;
H-Apc-D-1Nal-D-Trp-Pff-NH2;
H-Apc-D-1Nal-D-Trp-4Pal-NH2;
H-Apc-D-1Nal-D-Trp-3Pal-NH2;
H-Apc-D-1Nal-D-Trp-2Pal-NH2;
H-Apc-D-2NaI-D-Trp-3Thi-NH2;
H-Apc-D-2Nal-D-Trp-2Fua-NH2;
H-Apc-D-2Nal-D-Trp-Pff-NH2;
13

H-Apc-D-2Nal-D-Trp-4Pal-NH2;
H-Apc-D-2Nal-D-Trp-3Pal-NH2;
H-Apc-D-2Nal-D-Trp-2Pal-NH2;
H-Inp-D-Bip-D-Trp-Taz-NH2;
H-lnp-D-Bip-D-Trp-2Fua-NH2;
H-lnp-D-Bip-D-Trp-Pff-NH2;
H-lnp-D-Bip-D-Bal-Taz-NH2;
H-lnp-D-Bip-D-Bal-2Fua-NH2; or
H-lnp-D-Bip-D-Bal-Pff-NH2;
or a pharmaceutically acceptable salt thereof.
A preferred Group 2A compound, termed a Group 2B compound, is a
compound according to the formula:
H-lnp-D-1Nal-D-Trp-3Pal-Lys-NH2;
H-lnp-D-2Nal-D-Trp-4Pal-Lys-NH2;
H-lnp-D-2Nal-D-Trp-Om-Lys-NH2;
H-lnp-D-Bip-D-Trp-Phe-Lys-NH2;
H-lnp-D-2Nal-D-Trp-Thr(Bzl)-Lys-NH2;
H-lnp-D-2Nal-D-Trp-Pff-Lys-NH2;
H-lnp-D-2Nal-D-Trp-2Thi-Lys-NH2;
H-lnp-D-2Nal-D-Trp-Taz-Lys-NH2;
H-lnp-D-Dip-D-Trp-Phe-Lys-NH2;
H-lnp-D-Bpa-D-Trp-Phe-Lys-NH2;
H-lnp-D-2Nal-D-Bpa-Phe-Lys-NH2;
H-lnp-D-1Nal-D-Trp(Ψ)-Pim;
H-lnp-D-2Nal-D-Trp-Thr(Bzl)-NH2;
H-lnp-D-2Nal-D-Trp-Pff-NH2;
H-lnp-D-2Nal-D-Trp(Ψ)-Pim:
H-lnp-D-Trp-D-2Nal(Ψ)-Pim;
H-lnp-D-2Nal-D-Trp-Taz-NH2;
H-lnp-D-2Nal-D-Dip-Phe-NH2;
H-lnp-D-2Nal-D-Trp-3Pal-Lys-NH2;
H-lnp-D-Bal-D-Trp-Phe-Lys-NH2;
H-lnp-D-Bal-D-Trp-2Thi-Lys-NH2;
H-lnp-D-Bal-D-Trp-Taz-Lys-NH2;
H-lnp-D-Bal-D-Trp-Phe-Apc-NH2;
H-lnp-D-Bal-D-Trp-Taz-Apc-NH2;
H-Apc-D-Bal-D-Trp-Phe-Lys-NH2;
14

H-Apc-D-Bal-D-Trp-2Thi-Lys-NH2;
H-Apc-D-Bal-D-Trp-Taz-Lys-NH2;
H-Apc-D-Bal-D-1Nal-Phe-Lys-NH2;
H-Apc-D-Bal-D-2Nal-Phe-Lys-NH2;
H-lnp-D-1Nal-D-Trp-2Thi-Lys-NH2;
H-lnp-D-1Nal-D-Trp-Taz-Lys-NH2;
H-lnp-D-2NaI-D-Trp-Phe-Apc-NH2;
H-lnp-D-1Nal-D-Trp-Taz-Apc-NH2;
H-lnp-D-1Nal-D-Trp-Phe-Apc-NH2;
H-Apc-D-1Nal-D-Trp-2Thi-Lys-NH2;
H-Apc-D-1Nal-D-Trp-Taz-Lys-NH2;
H-Apc-D-1Nal-D-1Nal-Phe-Lys-NH2;
H-Apc-D-2Nal-D-Trp-Phe-Lys-NH2;
H-Apc-D-Bal-D-Trp-Phe-Apc-NH2;
H-Apc-D-Bal-D-Trp-Taz-Apc-NH2;
H-Apc-D-Bal-D-1NaI-Phe-Apc-NH2;
H-Apc-D-Bal-D-2Nal-Phe-Apc-NH2;
H-Apc-D-1 Nal-D-Trp-Taz-Apc-NH2;
H-Apc-D-1 Nal-D-Trp-Phe-Apc-NH2;
H-Apc-D-1 Nal-D-1Nal-Phe-Apc-NH2;
H-Apc-D-1Nal-D-2Nal-Phe-Apc-NH2;
H-lnp-D-Bal-D-Trp(Ψ)-Pim;
H-Apc-D-Bal-D-Trp-Phe-NH2;
H-Apc-D-Bal-D-Trp-2Thi-NH2;
H-Apc-D-Bal-D-Trp-Taz-NH2;
H-Apc-D-1 Nal-D-Trp-2Thi-NH2;
H-Apc-D-1 Nal-D-Trp-Taz-NH2;
H-Apc-D-2Nal-D-Trp-2Thi-NH2;
H-Apc-D-2Nal-D-Trp-Taz-NH2; or
H-Aib-D-Ser(Bzl)-D-Trp(Ψ)-Pim;
or a pharmaceutically acceptable salt thereof.
A preferred Group 2B compound, termed a Group 2B-1 compound, is a
compound according to the formula:
H-lnp-D-1Nal-D-Trp-3Pal-Lys-NH2;
H-lnp-D-2Nal-D-Trp-4Pal-Lys-NH2;
H-lnp-D-Bip-D-Trp-Phe-Lys-NH2;
H-lnp-D-2Nal-D-Trp-Thr(Bzl)-Lys-NH2;
15

H-Inp-D-2Nal-D-Trp-2Thi-Lys-NH2;
H-lnp-D-2Nal-D-Trp-Taz-Lys-NH2;
H-lnp-D-2Nal-D-Trp-Phe-Lys-NH2;
H-lnp-D-2Nal-D-Trp-Thr(Bzl)-NH2;
H-lnp-D-2Nal-D-Trp-Taz-NH2;
H-lnp-D-2Nal-D-Trp-3Pal-Lys-NH2;
H-lnp-D-Bal-D-Trp-2Thi-Lys-NH2;
H-lnp-D-Bal-D-Trp-Phe-Lys-NH2;
H-lnp-D-1Nal-D-Trp-2Thi-Lys-NH2;
H-lnp-D-2Nal-D-Trp-Phe-Apc-NH2;
H-lnp-D-1Nal-D-Trp-Phe-Apc-NH2;
H-Inp-D-Bal-D-Trp-Phe-Apc-NH2;
H-Apc-D-2Nal-D-Trp-Phe-Lys-NH2;
H-Apc-D-1Nal-D-Trp-2Thi-Lys-NH2;
H-lnp-D-1NaI-D-Trp-Taz-Lys-NH2;
H-lnp-D-Bal-D-Trp-Taz-Lys-NH2; '
H-Apc-D-1 Nal-D-Trp-Taz-Lys-NH2;
H-Apc-D-Bal-D-Trp-Taz-Lys-NH2;
H-Apc-D-Bal-D-Trp-2Thi-Lys-NH2;
H-Apc-D-Bal-D-Trp-Phe-Lys-NH2;
H-Apc-D-1Nal-D-Trp-Phe-Apc-NH2;
H-Apc-D-Bal-D-Trp-Phe-Apc-NH2;
H-Apc-D-1 Nal-D-1Nal-Phe-Apc-NH2;
H-Apc-D-1Nal-D-2Nal-Phe-Apc-NH2;
H-Apc-D-1 Nal-D-1Nal-Phe-Lys-NH2;
H-Apc-D-Bal-D-1 Nal-Phe-Apc-NH2;
H-Apc-D-Bal-D-2Nal-Phe-Apc-NH2;
H-Apc-D-Bal-D-1Nal-Phe-Lys-NH2;
H-Apc-D-Bal-D-2Nal-Phe-Lys-NH2;
H-Apc-D-1Nal-D-Trp-2Thi-NH2;
H-Apc-D-Bal-D-Trp-Phe-NH2;
H-Apc-D-1Nal-D-Trp-Taz-NH2;
H-Apc-D-Bal-D-Trp-2Thi-NH2;
H-Apc-D-Bal-D-Trp-Taz-NH2;
H-Apc-D-2Nal-D-Trp-2Thi-NH2;
H-Apc-D-2Nal-D-Trp-Taz-NH2;
H-lnp-D-1Nal-D-Trp-Taz-Apc-NH2;
16

H-lnp-D-Bal-D-Trp-Taz-Apc-NH2;
H-Apc-D-1Nal-D-Trp-Taz-Apc-NH2; or
H-Apc-D-Bal-D-Trp-Taz-Apc-NH2;
or a pharmaceutically acceptable salt thereof.
A preferred Group 2B-1 compound, termed a Group 2B-1a compound, is a
compound according to the formula:
H-lnp-D-1Nal-D-Trp-3Pal-Lys-NH2;
H-Inp-D-2Nal-D-Tip-2Thi-Lys-NH2;
H-lnp-D-2Nal-D-Trp-Taz-Lys-NH2;
H-lnp-D-2Nal-D-Trp-Phe-Lys-NH2;
H-lnp-D-Bal-D-Trp-2Thi-Lys-NH2;
H-lnp-D-Bal-D-Trp-Phe-Lys-NH2;
H-lnp-D-1Nal-D-Trp-2Thi-Lys-NH2;
H-lnp-D-2Nal-D-Trp-Phe-Apc-NH2;
H-lnp-D-1Nal-D-Trp-Phe-Apc-NH2;
H-lnp-D-Bal-D-Trp-Phe-Apc-NH2;
H-Apc-D-2Nal-D-Trp-Phe-Lys-NH2;
H-Apc-D-1Nal-D-Trp-2Thi-Lys-NH2;
H-lnp-D-1 Nal-D-Trp-Taz-Lys-NH2;
H-lnp-D-Bal-D-Trp-Taz-Lys-NH2;
H-Apc-D-1Nal-D-Trp-Taz-Lys-NH2;
H-Apc-D-Bal-D-Trp-Taz-Lys-NH2;
H-Apc-D-Bal-D-Trp-2Thi-Lys-NH2;
H-Apc-D-Bal-D-Trp-Phe-Lys-NH2;
H-Apc-D-1 Nal-D-Trp-Phe-Apc-NH2;
H-Apc-D-Bal-D-Trp-Phe-Apc-NH2;
H-Apc-D-Bal-D-2Nal-Phe-Lys-NH2;
H-Apc-D-1 Nal-D-Trp-2Thi-NH2;
H-Apc-D-Bal-D-Trp-Phe-NH2;
H-Apc-D-Ba!-D-Trp-2Thi-NH2;
H-Apc-D-2Nal-D-Trp-2Thi-NH2;
H-lnp-D-1 Nal-D-Trp-Taz-Apc-NH2;
H-lnp-D-Bal-D-Trp-Taz-Apc-NH2;
H-Apc-D-1 Nal-D-Trp-Taz-Apc-NH2;
H-Apc-D-Bal-D-Trp-Taz-Apc-N H2; or
or a pharmaceutically acceptable salt thereof.
17

A more preferred Group 2B-1 compound, termed a Group 2B-1 b compound,
is a compound according to the formula:
H-lnp-D-2Nal-D-Trp-2Thi-Lys-NH2;
H-lnp-D-2Nal-D-Trp-Phe-Lys-NH2;
H-lnp-D-Bal-D-Trp-2Thi-Lys-NH2;
H-lnp-D-BaI-D-Trp-Phe-Lys-NH2;
H-lnp-D-1Nal-D-Trp-2Thi-Lys-NH2;
H-lnp-D-1Nal-D-Trp-Phe-Apc-NH2;
H-Inp-D-Bal-D-Trp-Phe-Apc-NH2;
H-Apc-D-2Nal-D-Trp-Phe-Lys-NH2;
H-Apc-D-1Nal-D-Trp-2Thi-Lys-NH2;
H-Inp-D-Bal-D-Trp-Taz-Lys-NH2;
H-Apc-D-1Nal-D-Trp-Taz-Lys-NH2;
H-Apc-D-Bal-D-Trp-Taz-Lys-NH2;
H-Apc-D-Bal-D-Trp-2Thi-Lys-NH2;
H-Apc-D-Bal-D-Trp-Phe-Lys-NH2;
H-Apc-D-1Nal-D-Trp-Phe-Apc-NH2; or
H-Apc-D-2Nal-D-Trp-2Thi-NH2;
or a pharmaceutically acceptable salt thereof.
A still more preferred Group 2B-1 compound termed a Group 2B-1c
compound, is a compound according to the formula:
H-Inp-D-2Nal-D-Trp-2Thi-Lys-NH2;
H-lnp-D-Bal-D-Trp-Phe-Apc-NHz;
H-Apc-D-1 Nal-D-Trp-2Thi-Lys-NH2;
H-Apc-D-1 Nal-D-Trp-Taz-Lys-NH2;
or a pharmaceutically acceptable salt thereof.
A particularly preferred Group 2B-1c compound is a compound according to
the formula:
H-lnp-D-Bal-D-Trp-Phe-Apc-NH2;
or a pharmaceutically acceptable salt thereof.
Another still more preferred Group 2B-1 compound, termed a Group 2B-1d
compound, is a compound according to the formula:
H-Inp-D-Bal-D-Trp-Taz-Lys-NH2;
H-Apc-D-1Nal-D-Trp-Taz-Lys-NH2;
H-Apc-D-Bal-D-Trp-Taz-Lys-NH2;
H-Apc-D-1 Nal-D-Trp-Phe-Apc-NH2; or
or a pharmaceutically acceptable salt thereof.
18

Another preferred Group 2B compound, termed a Group 2B-2 compound, is a
compound according to the formula:
H-lnp-D-2Nal-D-Trp-Orn-Lys-NH2;
H-lnp-D-2Nal-D-Trp-Pff-Lys-NH2;
H-lnp-D-Dip-D-Trp-Phe-Lys-NH2;
H-lnp-D-Bpa-D-Trp-Phe-Lys-NH2;
H-lnp-D-2Nal-D-Bpa-Phe-Lys-NH2;
H-lnp-D-2Na!-D-Trp-Pff-NH2;
H-lnp-D-2Nal-D-Dip-Phe-NH2;
H-lnp-D-Trp-D-2Nal(Ψ)-Pim;
H-lnp-D-2Nal-D-Trp(Ψ)-Pim;
H-lnp-D-1Na-D-Trp(Ψ)-Pim;
H-lnp-D-Bal-D-Trp(Ψ)-Pim; or
H-Aib-D-Ser(BzI)-D-Trp(Ψ)-Pim;
or a pharmaceutically acceptable salt thereof.
A preferred Group 2B-2 compound, termed a Group 2B-2a compound, is a
compound according to the formula:
H-lnp-D-2Nal-D-Trp-Pff-Lys-NH2;
H-lnp-D-Dip-D-Trp-Phe-Lys-NH2;
H-lnp-D-2Nal-D-Trp-Pff-NH2;
H-lnp-D-1Na-D-Trp(Ψ)-Pim; or
H-lnp-D-Bal-D-Trp(Ψ)-Pim;
or a pharmaceutically acceptable salt thereof.
Another preferred Group 2 compound, termed a Group 2C compound, is a
compound according to the formula:
H-lnp-D-2Nal-D-Trp-3Pal-NH2;
H-lnp-D-2Nal-D-Trp-4Pal-NH2;
H-lnp-D-1 Nal-D-Trp-3Pal-NH2;
H-lnp-D-Bip-D-Trp-Phe-NH2;
H-lnp-D-2Nal-D-Trp-2Thi-NH2;
H-lnp-D-2Nal-D-Trp-3Thi-NH2;
H-lnp-D-Dip-D-Trp-Phe-NH2;
H-lnp-D-Bal-D-Trp-Phe-NH2;
H-lnp-D-2Nal-D-Bal-Phe-NH2;
H-lnp-D-1Nal-D-Trp-2Thi-NH2; or
H-Apc-D-1Nal-D-Trp-Phe-NH2;
or a pharmaceutically acceptable salt thereof.
19

A preferred Group 2C compound, termed a Group 2C-1 compound, is a
compound according to the formula:
H-lnp-D-2Nal-D-Trp-2Thi-NH2;
H-lnp-D-Bal-D-Trp-Phe-NH2;
H-lnp-D-1Nal-D-Trp-2Thi-NH2; or
H-Apc-D-1Nal-D-Trp-Phe-NH2;
or a pharmaceutically acceptable salt thereof.
A particularly preferred compound of the invention, termed a Group 3
compound, is a compound according to the formula:
H-Inp-D-1Nal-D-Trp-2Thi-Apc-NH2;
H-lnp-D-Bal-D-Trp-2Thi-Apc-NH2;
H-Apc-D-1Nal-D-Trp-2Thi-Apc-NH2;
H-Apc-D-Bal-D-Trp-2Thi-Apc-NH2; or
H-Apc-D-1Nal-D-Trp-Phe-Lys-NH2;
or a pharmaceutically acceptable salt thereof.
In another aspect the invention features a method of determining a
compound's ability to bind to a GHS receptor, said method comprising the step of
measuring the ability of a compound to affect binding of a compound according to
formula (I) or according to any one of Groups 1, 1A, 2, 2A, 2B, 2B-1, 2B-1a, 2B-1b,
2B-1c, 2B-1d, 2B-2, 2B-2a, 2C, or 2C-1 to said receptor, to a fragment of said
receptor, to a polypeptide comprising said fragment of said receptor, or to a
derivative of said polypeptide.
In another aspect the invention features a method for achieving a beneficial
affect in a subject comprising, said method comprising the step of administering to
said subject an effective amount of a compound according to formula (I), Group 1,
Group 1 A, Group 2, Group 2A, Group 2B, Group 2B-1, Group 2B-1a, Group 2B-1b,
Group 2B-1c, Group 2B-1d, Group 2B-2, Group 2B-2a, Group 2C, or Group 2C-1, or
a pharmaceutically acceptable salt thereof, wherein said effective amount is effective
for producing a beneficial effect in helping to treat (e.g., cure or reduce the severity)
or prevent (e.g., reduce the likelihood of onset or severity) a disease or disorder.
In another aspect the invention features a method for stimulating growth
hormone secretion in a subject in need of such stimulation, comprising the step of
administering to a subject an effective amount of a ghrelin agonist according to
formula (I), Group 1, Group 1A, Group 2, Group 2A, Group 2B, Group 2B-1, Group
2B-1a, Group 2B-1b, Group 2B-1c, Group 2B-1d, Group 2B-2, Group 2B-2a, Group
2C, or Group 2C-1, or a pharmaceutically acceptable salt thereof, wherein said
effective amount is at least an amount sufficient to produce a detectable increase in
20

growth hormone secretion and, preferably, is an amount sufficient to achieve a
beneficial affect in a patient
In one embodiment of the immediately foregoing aspect said stimulation of
growth hormone secretion is indicated for treatment of a growth hormone deficient
state, for increasing muscle mass, for increasing bone density, for sexual dysfunction
in males or females, for facilitating a weight gain, for facilitating maintenance of
weight, for facilitating maintenance of physical functioning, for facilitating recovery of
physical function, and/or facilitating appetite increase. Preferably said facilitating
weight gain, facilitating maintenance in weight and/or facilitating appetite increase is
indicated in a patient having a disease or disorder, or under going a treatment,
accompanied by weight loss. More preferably said diseases or disorders
accompanied by weight loss include anorexia, bulimia, cancer cachexia, AIDS, (e.g.,
wasting), cachexia, and wasting in frail elderly. Also preferably said treatments
accompanied by weight loss include chemotherapy, radiation therapy, temporary or
permanent immobilization, and dialysis.
In another aspect the invention features a method for suppressing growth
hormone secretion in a subject in need of such suppression, comprising the step of
administering to a subject an effective amount of a ghrelin antagonist according to
formula (I), Group 1, Group 1A, Group 2, Group 2A, Group 2B, Group 2B-1, Group
2B-1a, Group 2B-1b, Group 2B-1c, Group 2B-1d, Group 2B-2, Group 2B-2a, Group
2C, or Group 2C-1, or a pharmaceutically acceptable salt thereof, wherein said
effective amount is at least an amount sufficient to produce a detectable decrease in
growth hormone secretion and, preferably, is an amount sufficient to achieve a
beneficial affect in a patient
In one embodiment of the immediately foregoing aspect said suppression of
growth hormone secretion is indicated for the treatment of a disease or condition
characterized by excessive growth hormone secretion, for facilitation of weight loss,
For facilitation of appetite decrease, for facilitation of weight maintenance, for treating
obesity, for treating diabetes, for treating complications of diabetes including
retinopathy, and/or for treating cardiovascular disorders.
In a preferred embodiment of the immediately foregoing aspect excessive
weight is a contributing factor to a disease or condition including hypertension,
diabetes, dyslipidemia, cardiovascular disease, gall stones, osteoarthritis and
cancers. More preferably said facilitation of weight loss reduces the likelihood of such
diseases or conditions. Also more preferably said facilitation of weight loss comprises
at least part of a treatment for such diseases or conditions.
A method of eliciting a ghrelin agonist effect in a subject, comprising the step
21

of administering to a subject an effective amount of one or more of a ghrelin agonist
according to formula (I), Group 1, Group 1A, Group 2, Group 2A, Group 2B, Group
2B-1, Group 2B-1a, Group 2B-1 b, Group 2B-1c, Group 2B-1d, Group 2B-2, Group
2B-2a, Group 2C, or Group 2C-1, or a pharmaceutically acceptable salt thereof,
wherein said effective amount is at least an amount sufficient to produce a detectable
increase in growth hormone secretion and, preferably, is an amount sufficient to
achieve a beneficial affect in a patient.
In another aspect the invention features a method of eliciting a ghrelin
antagonist effect in a subject, comprising the step of administering to a subject an
effective amount of one or more of a ghrelin antagonist according to formula (1),
Group 1, Group 1A, Group 2, Group 2A, Group 2B, Group 2B-1, Group 2B-1a, Group
2B-1b, Group 2B-1c, Group 2B-1d, Group 2B-2, Group 2B-2a, Group 2C, or Group
2C-1, or a pharmaceutically acceptable salt thereof, wherein said effective amount is
at least an amount sufficient to produce a detectable decrease in growth hormone
secretion and, preferably, is an amount sufficient to achieve a beneficial affect in a
patient.
Compounds of the invention are active at the GHS receptor. The compounds
can bind to the receptor, and preferably, stimulate receptor activity. Thus a
compound of the invention is useful as a functional ghrelin analog, both as a
research tool and/or as a therapeutic agent.
Research tool applications generally involve the use of a compound of the
invention and the presence of a GHS receptor or fragment thereof. The GHS
receptor can be present in different environments such as a mammalian subject, a
whole cell, or a cell membrane fragment Examples of research tool applications
include screening for compounds active at the GHS receptor, determining the
presence of the GHS receptor in a sample or preparation, and examining the role or
effect of ghrelin.
One aspect of the present invention features a method of screening for
ghrelin agonists and/or for ghrelin antagonists. Screening for ghrelin agonists can be
performed, for example, by using a compound according to formula (I), Group 1,
Group 1A, Group 2, Group 2A, Group 2B, Group 2B-1, Group 2B-1a, Group 2B-1b,
Group 2B-1c, Group 2B-1d, Group 2B-2, Group 2B-2a, Group 2C, or Group 2C-1, or
a pharmaceutically acceptable salt thereof, in a competition experiment with test
compounds. Screening for ghrelin antagonists can be performed, for example, by
using a compound according to formula (I), Group 1, Group 1A, Group 2, Group 2A,
Group 2B, Group 2B-1, Group 2B-1a, Group 2B-1b, Group 2B-1c, Group 2B-1d,
Group 2B-2, Group 2B-2a, Group 2C, or Group 2C-1, or a pharmaceutically
22

acceptable salt thereof, to produce GHS receptor activity and then measuring the
ability of a test compound to alter GHS receptor activity.
Another aspect of the present invention features a method of screening for a
compound able to bind to a GHS receptor. The method comprises the step of
measuring the ability of a test compound to affect the binding of a compound
according to formula (I), Group 1, Group 1A, Group 2, Group 2A, Group 2B, Group
2B-1, Group 2B-1a, Group 2B-1b, Group_2B-1c, Group 2B-1d, Group 2B-2, Group
2B-2a, Group 2C, or Group 2C-1, or a pharmaceutically acceptable salt thereof, to
either the receptor, a fragment of the receptor comprising a ghrelin binding site, a
polypeptide comprising the fragment, or a derivative of the polypeptide.
Ghrelin agonists can be used to achieve a beneficial effect in a subject. For
example, ghrelin induces growth hormone release from primary-culture pituitary cells
in a dose-dependent manner without stimulating the release of the other pituitary
hormones. Injected intravenously info anaesthetized rats, ghrelin stimulated pulsatile
release of growth hormone. (Kojima et a/.. Nature 1999, 402, 656-660.) Thus a non-
exclusive list of examples wherein such a beneficial effect may be indicated would
include: treating a growth hormone deficient state, increasing muscle mass,
increasing bone density, treating sexual dysfunction in males or females, facilitating a
weight gain, facilitating maintenance of weight, facilitating maintenance of physical
functioning, facilitating recovery of physical function, and/or facilitating appetite
increase. Facilitating a weight gain, maintenance in weight, or appetite increase is
particularly useful for a subject having a disease or disorder, or undergoing a
treatment, accompanied by weight loss. Diseases or disorders accompanied by
weight loss include, e.g., anorexia, bulimia, cancer cachexia, AIDS, (e.g., wasting),
cachexia, wasting in frail elderly, and the like. Treatments accompanied by weight
loss include, e.g., chemotherapy, radiation therapy, temporary or permanent
immobilization, dialysis, and the like.
Thus another aspect of the present invention features a method for achieving
a beneficial affect in a subject said method comprising the step of administering to
said subject an effective amount of one or more of a compound according to formula
(I), Group 1, Group 1A, Group 2, Group 2A, Group 2B, Group 2B-1, Group 2B-1a,
Group 2B-1b, Group 2B-1c, Group 2B-1d, Group 2B-2, Group 2B-2a, Group 2C, or
Group 2C-1, or a pharmaceutically acceptable salt thereof, wherein said effective
amount is effective for producing a beneficial effect in helping to treat (e.g., cure or
reduce the severity of) or prevent (e.g., reduce the likelihood of onset or severity of) a
disease or disorder.
In a preferred embodiment of the immediately preceding method said
23

beneficial affect comprises stimulating growth hormone secretion in a subject in need
of such stimulation, comprising the step of administering to a subject an effective
amount of one or more of a compound according to formula (I), Group 1, Group 1A,
Group 2, Group 2A, Group 2B, Group 2B-1, Group 2B-1a, Group 2B-1b, Group 2B-
1c, Group 2B-1d, Group 2B-2, Group 2B-2a, Group 2C, or Group 2C-1, or a
pharmaceutically acceptable salt thereof, wherein said effective amount is at least an
amount sufficient to produce a detectable increase in growth hormone secretion and,
preferably, is an amount sufficient to achieve a beneficial affect in a patient
In a more preferred embodiment of the immediately preceding method said
stimulation of growth hormone secretion is indicated for treatment of a growth
hormone deficient state, for increasing muscle mass, for increasing bone density, for
sexual dysfunction in males or females, for facilitating a weight gain, for facilitating
maintenance of weight, for facilitating maintenance of physical functioning, for
facilitating recovery of physical function, and/or facilitating appetite increase.
In another preferred embodiment of the immediately preceding method said
facilitating weight gain, facilitating maintenance in weight, and/or facilitating appetite
increase is indicated in a patient having a disease or disorder, or under going a
treatment, accompanied by weight loss. More preferably said diseases or disorders
accompanied by weight loss include anorexia, bulimia, cancer cachexia, AIDS, (e.g.,
wasting), cachexia, and wasting in frail elderly.
In another more preferred embodiment of the immediately preceding method
said treatments accompanied by weight loss indude chemotherapy, radiation
therapy, temporary or permanent immobilization, and dialysis.
Ghrelin antagonists can also be used to achieve a beneficial effect in a
patient. For example, a ghrelin antagonist can be used to facilitate weight loss,
facilitate appetite decrease, facilitate weight maintenance, treat obesity, treat
diabetes, treat complications of diabetes including retinopathy, and/or treat
cardiovascular disorders. Excessive weight is a contributing factor to different
diseases including hypertension, diabetes, dyslipidemias, cardiovascular disease,
gall stones, osteoarthritis and certain forms of cancers. Bringing about a weight loss
can be used, for example, to reduce the likelihood of such diseases and as part of a
treatment for such diseases.
Compounds of the invention may also antagonize the effects of ghrelin in vitro
and in vivo. Thus yet another aspect of the present invention features a method for
suppressing growth hormone secretion in a subject in need of such suppression,
comprising the step of administering to a subject an effective amount of one or more
of a compound according to formula (I), Group 1, Group 1A, Group 2, Group 2A,
24

Group 2B, Group 2B-1, Group 2B-1a, Group 2B-1b, Group 2B-1c, Group 2B-1d,
Group 2B-2, Group 2B-2a, Group 2C, or Group 2C-1, or a pharmaceutically
acceptable salt thereof, wherein said effective amount is at least an amount sufficient
to produce a detectable decrease in growth hormone secretion and, preferably, is an
amount sufficient to achieve a beneficial affect in a patient
In a preferred embodiment of the immediately preceding method said
suppression of growth hormone secretion is indicated for the treatment of a disease
or condition characterized by excessive growth hormone secretion, for facilitation of
weight loss, for facilitation of appetite decrease, for facilitation of weight maintenance,
or treating obesity, for treating diabetes, for treating complications of diabetes
including retinopathy, and/or for treating cardiovascular disorders.
In a more preferred embodiment of the immediately preceding method
excessive weight is a contributing factor to a disease or condition including
hypertension, diabetes, dyslipidemia, cardiovascular disease, gall stones,
steoarthritis and cancers.
In another more preferred embodiment of the immediately preceding method
aid facilitation of weight loss reduces the likelihood of such diseases or conditions
and/or said facilitation of weight loss comprises at least part of a treatment for such
diseases or conditions.
As is also appreciated by those of skill in the art, ghrelin and agonists thereof
lay also be used to achieve beneficial cardiovascular effects. (Nagaya, et al., Regul
ept. 2003 Jul 15: 114(2-3): 71-77.) For example, it is known that ghrelin inhibits
poptosis of cardiomyocytes and endothelial cells in vitro, that repeated
administration of ghrelin improves cardiac structure and function and attenuates the
development of cardiac cachexia in rats with heart failure, and that ghrelin decreases
systemic vascular resistance and increases cardiac output in human patients with
art failure. (Id.) Thus it has been recognized that ghrelin and ghrelin agonists
present potential therapeutics for the treatment of severe chronic heart failure.
In a particularly preferred embodiment of each of the methods of using a
relin agonist described herein the ghrelin agonist is a compound according to the
rmula:
H-lnp-D-Bal-D-Trp-Phe-Apc-NH2;
a pharmaceutically acceptable salt thereof.
A compound or compounds of the invention can be administered to a subject,
"subject" refers to a mammalian or non-mammalian animal including, for example
d without limitation, a human, a rat a mouse, or a farm animal. Reference to
bject does not necessarily indicate the presence of a disease or disorder. Thus the
25

term subject further includes, for example, a mammalian or non-mammalian animal
being closed with a ghrelin analog as part of an experiment, a mammalian or non-
mammalian animal being treated to help alleviate a disease or disorder, and a
mammalian or non-mammalian animal being treated prophylactically to retard or
prevent the onset of a disease or disorder.
Other features and advantages of the present invention are apparentfrom the
additional descriptions provided herein including the different examples. The
provided examples illustrate different components and methodology useful in
practicing the present invention. The examples do not limit the claimed invention.
Based on the present disclosure the skilled artisan can identify and employ other
components and methodology useful for practicing the present invention.
Unless otherwise stated, those amino acids with a chiral center are provided
in the L-enantiomer. Reference to "a derivative thereof refers to a modified amino
acid such as the corresponding D-amino add, a N-alkyl-amino acid, a β-amino acid,
or a labeled amino add.
DETAILED DESCRIPTION OF THE INVENTION
The present invention features peptidyl analogs active at the GHS receptor.
Human ghrelin is a 28 amino acid modified peptide where a serine hydroxyl group is
esterified by n-octanoic acid. (Kojima et al. Nature 1999, 402, 656-660, and Kojima,
(Abstract), Third International Symposium on Growth Hormone Secretagogues,
Keystone, Colorado, USA 2000, February 17-19.)
Certain amino acids present in compounds of the invention are represented
herein as follows:
A3c 1-amino-1-cyclopropanecarboxylic acid
A4c 1-amino-1-cyclobutanecarboxylic acid
A5c 1-amino-1-cyclopentanecarboxylic add
A6c 1-amino-1-cyclohexanecarboxylic acid
Abu α-aminobutyric acid
Ace 1-amino-1-cyclo(C3-C9)alkyl carboxylic acid

Act 4-amino-4-carboxytetrahydropyran, i.e.,:
Aib α-aminoisobutyric acid
Ala or A alanine
β-Ala beta-alanine
26


Ape amino piperidinylcarboxylic acid, i.e.:
Arg or R arginine
hArg homoarginine
Asn or N asparagine
Asp or D aspartic acid

Bal 3-Benzothienylalanine, i.e.:

Bip 4,4'-Biphenylalanine, i.e.:

Bpa 4-Benzoylphenylalanine, i.e.:
Cha ß-cyclohexylalanine;
Cys or C cysteine;
Dab 2,4-diaminobutyric acid, (α, γ-Diaminobutyric acid);
Dap 2,3-diaminopropionic acid, (α, β-Diaminopropionicacid);

Dip ß,ß-Diphenylalanine, i.e.:
27

Dhp 3,4-dehydroproline
Dmt 5,5-dimethylthiazoIidine-4-carboxylic acid

2Fua ß-(2-furyl)-alanine, i.e.:
Gln or Q glutamine
Glu or E glutamic acid
Gly or G glycine
His or H histidine
3Hyp trans-3-hydroxy-L-proline, i.e., (2S, 3S)-3-hydroxypyrrolidine-2-
carboxylic acid;
4Hyp 4-hydroxyproline, i.e., (2S, 4R)-4-hydroxypyrrolidine-2-
carboxylic acid;
lle or i isoleucine
Inc indoline-2-carboxylic acid

Inp isonipecotic acid, i.e.:
Ktp 4-ketoproline
Leu or L leucine
hLeu homoleucine
Lys or K lysine
Met or M methionine
1Nal ß-(1-Naphthyl)alanine:
2Nai ß-(2-Naphthyf)alanine;
Nle norieucine
Nva norvaline
Oic octahydroindole-2-carboxylic acid
Om omithine

2Pal ß-(2-Pyridyl)-alanine, i.e.,
28

3Pal ß-(3-Pyridyt)-alanine, i.e.:

4Pal ß-(4-Pyridyl)-alanine, i.e.:

Pff pentafluorophenylalanine, i.e.
Phe or F phenylalanine
hPhe homophenylalanine

Pirn ' 2'-(4-PhenyI)imidazolyl, i.e.:
Pip pipecolic acid
Pro or P proline
Ser or S serine

Taz ß-(4-thiazolyl)alanine, i.e.,

2Thi ß-(2-thienyl)alanine, i.e.:



3Thi ß-(3-thienyl)alanine, i.e.:
Thr or T threonine
Thz thiazolidine-4-carboxylic acid
Tic 1,2,3,4-tetrahydroisoquinoline-3-carboxylic acid
Tie tert-leucine
Trp or W tryptophan
Tyr or Y tyrosine
Val or V valine
Certain other abbreviations used herein are defined as follows:
Boc: tert-butyloxycarbonyl
Bzl: benzyl
DCM: dichloromethane
DIC: N, N-diisopropylcarbodiimide
DIEA: diisopropylethyl amine
Dmab: 4-{N-(1-(4,4-dimethyl-2,6-dioxocyclohexylidene)-3-
methylbutyl)-amino} benzyl
DMAP: 4-(dimethylamino)pyridine
DMF dimethylformamide
DNP: 2,4-dinitrophenyl
Fmoc: Fiuorenylmethyloxycarbonyl
HBTU: 2-(1 H-benzotriazole-1 -yl)-1,1,3,3-tetramethyluronium
hexafluorophosphate
cHex cyclohexyl
HOAT: O-(7-azabenzo1riazol-1 -yl)-1,1,3,3-tetramethyluronium
hexafluorophosphate
HOBt 1-hydroxy-benzotriazole
HOSu: N-hydroxysuccinimide
Mmt 4-methoxytrityl
NMP: N-methylpyrrolidone
Pbf: 2,2,4,6,7-pentamethyldihydrobenzofuran-5-sulfonyl
tBu: tert-butyl
TIS: triisopropylsilane
TOS: tosyl
30

trt trityl
TFA: trifluoro acetic acid
TFFH: tetramethylfluoroforamidinium hexafluorophosphate
Z: benzyloxycarbonyl
Unless otherwise apparent, abbreviations (e.g. Ala) of amino acids in this
disclosure stand for the structure of -NH-C(R)(R')-CO-, wherein R and R' each is,
independently, hydrogen or the side chain of an amino acid (e.g., R = CH3 and R1 = H
for Ala), or R and R1 may be joined to form a ring system.
"Alkyl" refers to a hydrocarbon group containing one or more carbon atoms,
where multiple carbon atoms if present are joined by single bonds. The alkyl
hydrocarbon group may be straight-chain or contain one or more branches or cyclic
groups.
"Substituted alkyl" refers to an alkyl wherein one or more hydrogen atoms of
the hydrocarbon group are replaced with one or more substituents selected from the
group consisting of halogen, (i.e., fluorine, chlorine, bromine, and iodine), -OH, -CN,
-SH, -NH2, -NHCH3, -NO2, -C1-2 alkyl substituted with 1 to 6 halogens, -CF3, -OCH3,
-OCF3, and -(CH2)0-4-COOH. In different embodiments 1, 2, 3 or 4 substituents are
present The presence of -(CH2)0-4-COOH results in the production of an alkyl acid.
Examples of alkyl acids containing, or consisting of, -(CH2)0-4-COOH include
2-norbomane acetic acid, tert-butyric acid and 3-cyclopentyl propionic acid.
"HeteroalkyI" refers to an alkyl wherein one of more of the carbon atoms in
the hydrocarbon group are replaced with one or more of the following groups: amino,
amido, -O-, or carbonyl. In different embodiments 1 or 2 heteroatoms are present.
"Substituted heteroalkyl" refers to a heteroalkyl wherein one or more
hydrogen atoms of the hydrocarbon group are replaced with one or more
substituents selected from the group consisting of halogen, (i.e., fluorine, chlorine,
bromine, and iodine),-OH, -CN, -SH, -NH2, -NHCH3, -NO2, -C1-2 alkyl substituted with
1 to 6 halogens, -CF3, -OCH3, -OCF3, and -(CH2)0-4-COOH. In different embodiments
1, 2, 3 or 4 substituents are present.
"Alkenyl" refers to a hydrocarbon group made up of two or more carbons
where one or more carbon-carbon double bonds are present. The alkenyl
hydrocarbon group may be straight-chain or contain one or more branches or cyclic
groups.
"Substituted alkenyl" refers to an alkenyl wherein one or more hydrogens are
replaced with one or more substituents selected from the group consisting of halogen
i.e., fluorine, chlorine, bromine, and iodine), -OH, -CN, -SH, -NH2, -NHCH3, -NO2,
C1-2 alkyl substituted with 1 to 6 halogens, -CF3, -OCH3, -OCF3, and -(CH2)0-4-COOH.
31

In different embodiments 1, 2, 3 or 4 substituents are present
"Aryl" refers to an optionally substituted aromatic group with at least one ring
having a conjugated pi-electron system, containing up to two conjugated or fused
ring systems. Aryl includes carbocyclic aryl, heterocyclic aryl and biaryl groups.
Preferably, the aryl is a 5 or 6 membered ring. Preferred atoms for a heterocyclic aryl
are one or more sulfur, oxygen, and/or nitrogen. Examples of aryl include phenyl,
1-naphthyl, 2-naphthyl, indole, quinoline, 2-imidazole, and 9-anthracene. Aryl
substituents are selected from the group consisting of -C1-4 alkyl. -C1-4 alkoxy,
halogen (i.e., fluorine, chlorine, bromine, and iodine), -OH, -CN, -SH, -NH2, -NO2,
-C1-2 alkyl substituted with 1 to 5 halogens, -CF3, -OCF3, and -(CH2)0-4-COOH. In
different embodiments the aryl contains 0, 1, 2, 3, or 4 substituents.
"Alkylaryl" refers to an "alkyl" joined to an "aryl".
When a non-amino acid imidazole moiety, (e.g., Pirn, defined above), is
present at the C-terminus of a compound of the invention it is understood that the
imidazole moiety is attached to the adjacent amino acid via a pseudo-peptide bond,
wherein a bond is formed between the position 2 carbon of the imidazole ring and the
alpha carbon of the amino acid. For example, in the case where the adjacent amino
acid is D-tryptophan (D-Trp) and the imidazole moiety is Pirn, the C-terminus of the
peptide would appear as follows:

For clarity, in the written formula for such a compound the presence of this bond is
indicated by the Greek letter "Ψ" alone in parentheses. For example, the written
formula H-lnp-D-Trp-D-2Nal(Ψ)-Pim denotes the structure:
32


The present invention includes diastereomers as well as their racemic and
resolved enantiomerically pure forms. Ghrelin analogs can contain D-amino acids, L-
amino acids or a combination thereof. Preferably, amino acids present in a ghrelin
analog are the L-enantiomers.
Preferred derivatives of analogs of the invention comprise D-amino acids, N-
alkyl-amino acids, ß-amino acids, and/or one or more labeled amino acids (including
a labeled version of a D-amino acid, a N-alkyl-amino acids, or a ß-amino acid). A
labeled derivative indicates the alteration of an amino add or amino acid derivative
with a detectable label. Examples of detectable labels include luminescent,
enzymatic, and radioactive labels. Both the type of label and the position of the label
can effect analog activity. Labels should be selected and positioned so as not to
substantially alter the activity of the ghrelin analog at the GHS receptor. The effect of
a particular label and position on ghrelin activity can be determined using assays
measuring ghrelin activity and/or binding.
A protecting group covalentiy joined to the C-terminal carboxy group reduces
the reactivity of the carboxy terminus under in vivo conditions. The carboxy terminus
protecting group is preferably attached to the α-carbonyl group of the last amino acid.
Preferred carboxy terminus protecting groups include amide, methylamide, and
ethylamide.
Examples
Examples are provided below to further illustrate different features of the
present invention. The examples also illustrate useful methodology for practicing the
invention. These examples do not limit the claimed invention.
Synthesis
The compounds of the invention can be produced using the techniques
disclosed in the examples herein as well as techniques that are well known in the art.
=or example, a polypeptide region of a GHRP analog can be chemically or
33

biochemically synthesized and modified. Examples of techniques for biochemical
synthesis involving the introduction of a nucleic acid into a cell and expression of
nucleic acids are provided in Ausubel, Current Protocols in Molecular Biology, John
Wiley, 1987-1998, and Sambrook et a/., in Molecular Cloning, A Laboratory Manual,
2nd Edition, Cold Spring Harbor Laboratory Press, 1989. Techniques for chemical
synthesis of polypeptides are also well known in the art (See e.g., Vincent in Peptide
and Protein Drug Delivery, New York, N.Y., Dekker, 1990.) For example, the
peptides of this invention can be prepared by standard solid phase peptide synthesis.
(See, e.g., Stewart, J.M., et al., Solid Phase Synthesis (Pierce Chemical Co., 2d ed.
1984).)
The substituent R1 of the above formula (1) may be attached to the free amine
of the N-terminal amino acid by standard methods known in the art. For example,
alkyi groups, e.g., (C1-C30)alkyl, may be attached using reductive alkyiation.
Hydroxyalkyl groups, e.g., (C1-C30)hydroxyalkyl, may also be attached using
reductive alkyiation wherein the free hydroxy group is protected with a t-butyl ester.
Acyl groups, e.g., COE1, may be attached by coupling the free acid, e.g., E1COOH,
to the free amine of the N-terminal amino acid by mixing the completed resin with 3
molar equivalents of both the free acid and diisopropyicarbodiimide in methyiene
chloride for about one hour. If the free acid contains a free hydroxy group, e.g., p-
hydroxyphenylpropionic add, then the coupling should be performed with an
additional 3 molar equivalents of HOBT.
Peptides of the invention also can be and were synthesized in a parallel
fashion on an ACT 396 Multiple Biomolecular Synthesizer (Advanced ChemTech,
Louisville, KY), ("synthesizer"), as follows. The synthesizer was programmed to
perform the following reaction cycle: (1) washing with dimethylformamide (DMF), (2)
removing Fmoc protecting group with 20% piperidine in DMF for 1 X 5 min and 1 X
25 min, (3) washing with DMF, (4) coupling with Fmoc amino acid for 1h at room
temperature in the presence of diispropylcarbodiimide (DIC) and 1-
hydroxybenzotriazole (HOBt), and (5) repeating step 4.
Examples 1-65
Each of the reaction wells contained 0.0675 mmol of Rink Amide MBHA resin
(substitution = 0.72 mmol/g, Novabiochem, San Diego, CA). The following Fmoc
amino acids (Novabiochem, San Diego, CA; Chem-lmpex International, Wood Dale,
IL; SyntheTech, Albany, OR; Pharma Core, High Point, NC) were used: Fmoc-
Lys(Boc)-OH, Fmoc-Phe-OH, Fmoc-H-lnp-OH, Fmoc-D-1Nal-OH, Fmoc-D-2Nal-OH,
Fmoc-D-Trp(Boc)-OH, Fmoc-3Pal-OH, Fmoc-4Pal-OH, Fmoc-Orn(Boc)-OH, Fmoc-
34

D-Bip-OH, Fmoc-Thr(Bzl)-OH, Fmoc-Pff-OH, Fmoc-2Thi-OH, Fmoc-Taz-OH, Fmoc-
D-Dip-OH, Fmoc-D-Bpa-OH, Fmoc-D-Bal-OH, and Fmoc-Apc(Boc)-OH.
Each of the Fmoc amino acids was dissolved in a 0.3 N solution of HOBt in
DMF wherein the concentration of the resulting Fmoc amino acid was 0.3 N. A four
old excess (0.27 mmol, 0.9 mL of the 0.3 N solution) of Fmoc amino acid was used
or each coupling. DIC (0.27 mmol, 0.6 mL of 0.45N DIC solution in DMF) was used
as the coupling reagentfor each coupling. Deprotection was performed by using 20%
XXXiperidinein DMF (2X1.5 mL per residue).
The peptides were cleaved from the resin by treating the peptide-resins with
% triisopropylsilane (TIP) in trifluoroacetic acid (TFA) (1.5 mL per reaction well) at
room temperature for 2h. The resin was removed by filtration. Each filtrate was
iluted to 25 mL with ether in a centrifuge tube. The resulting precipitate in each tube
as centrifuged and the solvents were decanted from the precipitate. The precipitate
each tube was then dissolved in methanol (3 mL) and diluted with water (1 mL).
The purification of the crude products was done on a reverse-phase preparative
PLC using a column (100 X 21.20 mm, 5u) of LUNA 5u C8(2) (Phenomenex,
orrance, CA). For each peptide, the column was eluted with a linear gradient from
5% A and 15% B to 25% A and 75% B in 15 min with a flow rate of 25 mL/min. A
as 0.1% TFA in water and B was 0.1% TFA in acetonitrile/water (80/20, v/v). The
actions were checked by analytical HPLC and those containing the pure product
ere combined and lyophilized to dryness.
Yields ranged from 13% to 71% and purity of each of Examples 1-65
ceeded 94% based upon analytical HPLC analysis. Electro-spray ionization mass
ectrometry (ES-MS) analysis was performed and observed molecular weights were
agreement with calculated molecular weights. The results are detailed in Table 1,
elow.
xamples 66 - 69
Examples 66-69 were synthesized according to the following procedure,
a. BOC-(D)-Trp-OH (4.0g, 13.1mmole) (Novabiochem San Diego, Calif.) in
lethanol (36ml) and Cs2CO3 (2.14g, 6.57mmole) in water (10 ml) were combined
anid the mixture was swirled until a homogeneous mixture was obtained. Solvents
ere removed in vacuo and the residue was dissolved in DMF (45 ml). 2-
omoacetophenone(2.61g, 13.1mmole) in DMF (9 ml) was added to the solution
d the solution was stirred for 30 min. at room temperature. Cesium bromide was
moved by filtration and the filtrate was concentrated in vacuo. The resulting
ncentrate was dissolved in xylenes (45ml), NH40Ac (17.1 g) was added, and the
lution was heated at reflux for 1 hr. The cooled solution was washed two times with
35

saturated NaHCO3 solution (45 ml) and then with saturated NaCI. The resulting
organic layer was purified by flash chromatography to yield 4.1 g (77%) of
intermediate 1A depicted in Scheme 1 A, ("Compound 1A").

1b. Compound 1A (403mg) was deblocked using a mixture of trifluomacetic acid
(TFA) (8ml) dichloromethane (DCM) (8ml) and triisopropylsilane (TIPS) (1.4ml). After
mixing for one hour the solution was concentrated under a stream of nitrogen. The
residue was dissolved in DCM (40ml), washed two times with a saturated solution of
NaHCO3 (40ml), and then dried over Na2C4 to yield a solution of the intermediate
product 1B, depicted in Scheme 1B, below.

1c-f. The forgoing solution of the intermediate product 1B was divided into four
equal portions and coupled with the pre-activated HOBT esters of FMOC protected
amino acids, as summarized in reaction schemes 1C, 1D, 1E, and 1F, below. The
amino acid used for each of example 66, 67, 68 and 69 was as follows:
- Ex. 66: FMOC-D-2Nal-0H (130mg, 0.30mmole) (Synthetech Albany, Oregon)
- Ex. 67: FMOC-D-1Nal-0H (130mg, 0.30mmole) (Advanced Chemtech Louisville,
KY)
- Ex. 68: FMOC-D-Bal-0H(132mg, 0.30mmole) (Chem Impex Wood Dale, IL)
- Ex. 69: FMOC-DSer(Bzl)-OH (124mg. 0.30mmole) (Chem Impex Wood Dale, IL)
Each of the immediately foregoing amino acids was pre-activated with HOBT (46mg,
0.30mmole) and DIC (38mg, O.30mmole) in DCM (5ml) for ten minutes before
addition to one of the four portions of the forgoing solution of the intermediate product
36

1B. The coupling reaction was then allowed to proceed for 30 minutes at room
temperature.

37


1.g-j. The FMOC group is removed from each of the resulting compounds 1C, 1D,
1E and 1F by addition of tris(2-aminoethyl)amine (0.9ml) to the respective reaction
mixtures from the previous step and mixing for 30 minutes at room temperature. The
reaction mixtures containing the deblocked compounds were then washed three
times with 10% pH 5.5 phosphate buffer (10ml).
The resulting free amine solutions were coupled with pre-activated HOBT
esters of FMOC or BOC protected aminoacids, as follows:
- Ex. 66: FMOC-lnp-OH (105mg, 0.30mmole) (Chem Impex Wood Dale, IL)
- Ex. 67: FMOC-lnp-OH (105mg, 0.30mmole)
- Ex. 68: BOC-lnp-OH (68.3mg, 0.30mmole) (Bachem Torrance, Calif.
- Ex. 69: BOC-Aib-OH (60.6mg, 0.30mmole) (Bachem Torrance, Calif.)
Each of the immediately foregoing amino acids was pre-activated with HOBT (46mg,
0.30mmole) and DIC (38mg, 0.30mmo!e) in DCM (5ml) for ten minutes before
addition to the appropriate deprotected amine. The coupling reaction was then
allowed to proceed for one hour at room temperature.
Deprotection - Compounds 66-67. The FMOC group was removed from the
resulting FMOC-protected compounds by addition of tris(2-aminoethyl)amine (0.9ml)
and mixing for 30 minutes. The deblocked compounds were washed three times with
10% pH 5.5 phosphate buffer (10ml) and the crude products were collected as a
precipitate.
Deprotection - Compounds 68-69. The BOC-protected compounds were
purified by flash chromatography and then deblocked for one hour with TIPS
(0.50ml), TFA (0.50ml), in DCM (2.75ml). The crude products were then
concentrated and dried under vacuum.
Purification by HPLC afforded the products in 5% and 29% yields for the
compounds of examples 66 and 67, respectively, and 15% and 43% for the
compounds of examples 68 and 69, respectively.
38

The foregoing deprotection, coupling, and deprotection steps are summarized
in reaction schemes 1G, 1H, 11 and 1J, below

39


Example 70: H-lnp-D-Trp-D-2Nal(Ψ)-Pim
Compound 70 was synthesized according to the following procedure.
2.a.1 and 2.a.2.: Compound 2A was made in an analogous manner as was
Compound 1A, using BOC-D-2Nal-OH and 2-bromoacetophenone as starting
materials.
Steps 2.a.1. and 2.a.2. are summarized in Scheme 2A, below.

2.b. 1. Compound 2A (100mg, 0.242 mmole) was deblocked in TFA (2ml) and
DCM (2ml) for one hour. Volatiles were then removed under a stream of nitrogen and
the residue was dissolved in DCM (10ml). The resulting solution washed three times
with saturated NaHCO3 (10ml) to yield a solution of Compound 2A in free amine
form.
2.b.2. The active ester of FMOC-D-Trp-(BOC)-OH (153mg, 0.290mmole)
was preformed with N-hydroxysuccinimide (HOSu; 33mg, 0.290mmole) and DIC
(37mg, 0.290mmole) in DCM (1.5ml). After one hour diisopropylurea was removed by'
filtration and the filtrate was added to the Compound 2A (free amine) solution. The
resulting solution was diluted with DCM to 4ml and the coupling reaction allowed to
proceed for 30 minutes.
40

Steps 2.b.1. and 2.b.2. are summarized in Scheme 2B, below.

2.C.1 Compound 2B was deblocked by addition of tris(2-aminoethyl)amine
TAEA) (0.9ml) to the immediatelyforegoing coupling reaction solution and mixing for
30 minutes at room temperature. The reaction solution was then washed three times
with saturated NaCI solution (10ml) followed by three times with 10% pH 5.5
phosphate buffer (10ml) to yield a solution of Compound 2B in free amine form..
2.C.2. The active ester of BOC-lnp-OH (66.5mg, 0.290mmole) was
preformed with HOSu (33mg, 0.290mmole) and DIC (37mg 0.290mmole) in DCM
1.5ml). After one hour diisopropylurea was removed by filtration and the filtrate was
added to the Compound 2B (free amine) solution. The resulting solution was diluted
with DCM to 4ml and the coupling reaction was allowed to proceed for 12 hours.
The reaction mixture was then washed three times with 10% pH 5.5
phosphate buffer (10ml) and dried over Na2SO4. Solventwas removed under vacuum
and the concentrate was purified by flash chromatography.
2.C.3. The intermediate was deblocked using TFA (2.75ml) and TIPS (0.5ml)
n DCM (2.75ml) for 30 minutes. Volatiles were removed from the reaction mixture
under a stream of nitrogen and the residue was triturated with ether (15ml). After
centrifugation the ether was decanted and the resulting solid was subjected to HPLC
o yield purified Compound 70 in 39% yield.
Steps 2.C.1. and 2.C.2. and 2.C.3. are summarized in Scheme 2C, below.

Other peptides of the invention can be prepared by a person of ordinary skill
n the art using synthetic procedures analogous to those disclosed generally
41

hereinabove and/or to those disclosed specifically in the foregoing examples, as
were the compounds depicted in Table 1.
TABLE 1
Purity Mol.Wt. Mol.Wt.
Ex. No. Sequence (Calc.) (MS-ES) (%)
1 H-lnp-D-1NaI-D-Trp-3Pal-Lys-NH2 787.96 787.4 96
2 H-lnp-D-2Nal-D-Trp-4Pal-Lys-NH2 787.96 787.4 99
3 H-lnp-D-2Nal-D-Trp-Orn-Lys-NH2 753.94 753.4 98
4 H-lnp-D-Bip-D-Trp-Phe-Lys-NH2 813.01 812.4 99
5 H-lnp-D-2Nal-D-Trp-Thr(BzI)-Lys-NH2 831.03 830.4 98
6 H-lnp-D-2Nal-D-Trp-Pff-Lys-NH2 876.92 876.3 98
7 H-lnp-D-2Nal-D-Trp-Thi-Lys-NH2 793.00 792.4 98
8 H-lnp-D-2Nal-D-Trp-Taz-Lys-NH2 793.99 793.4 97
9 H-lnp-D-Dip-D-Trp-Phe-Lys-NH2 813.01 812.4 98
10 H-lnp-D-Bpa-D-Trp-Phe-Lys-NH2 841.02 840.4 95
11 H-lnp-D-2Nal-D-Bpa-Phe-Lys-NH2 852.04 851.3 99
12 H-lnp-D-2Nal-D-Trp-3Pal-NH2 659.79 659.3 99
13 H-lnp-D-2Nal-D-Trp-4Pal-NH2 659.79 659.3 98
14 H-lnp-D-1 NaI-D-Trp-3Pal-NH2 659.79 659.3 98
15 H-inp-D-Bip-D-Trp-Phe-NH2 684.84 684.3 99
16 H-lnp-D-2Nal-D-Trp-Thr(Bzl)-NH2 702.85 702.3 99
17 H-lnp-D-2Nal-D-Trp-Pff-NH2 748.75 748.2 99
18 H-lnp-D-2Nal-D-Trp-2Thi-NH2 664.83 6642 99
19 H-lnp-D-2Nal-D-Trp-Taz-NH2 665.82 665.3 98
20 H-lnp-D-Dip-D-Trp-Phe-NH2 684.84 684.3 98
21 H-lnp-D-2Nal-D-Dip-Phe-NH2 695.86 695.3 99
22 H-lnp-D-Bal-D-Trp-Phe-NH2 664.83 664.3 97
23 H-lnp-D-2Nal-D-Bal-Phe-NH2 675.85 6752 99
24 H-lnp-D-2Nal-D-Trp-3Pal-Lys-NH2 787.96 787.5 97
25 H-lnp-D-Bal-D-Trp-2Thi-Lys-NH2 799.03 798.4 99
26 H-lnp-D-Bal-D-Trp-Phe-Lys-NH2 793.00 792.4 99
27 H-lnp-D-1 Nal-D-Trp-2Thi-Lys-NH2 793.00 792.4 99
28 H-lnp-D-2Nal-D-Trp-Phe-Apc-NH2 784.96 784.4 98
29 H-lnp-D-1 Nal-D-Trp-Phe-Apc-NH2 784.96 784.4 98
30 H-lnp-D-Bal-D-Trp-Phe-Apc-NH2 790.99 790.4 97
31 H-Apc-D-2Nal-D-Trp-Phe-Lys-NH2 801.99 801.4 98
32 H-Apc-D-1Nal-D-Trp-2Thi-Lys-NH2 808.02 807.4 99
42

33 H-lnp-D-1Nal-D-Trp-2Thi-NH2 664.83 6642 98
34 H-Apc-D-1Nal-D-Trp-Phe-NH2 673.81 673.3 99
35 H-lnp-D-1Nal-D-Trp-Taz-Lys-NH2 793.99 793.5 99
36 H-lnp-D-Bal-D-Trp-Taz-Lys-NH2 800.02 799.4 99
37 H-Apc-D-1Nal-D-Trp-Taz-Lys-NH2 809.00 808.5 99
38 H-Apc-D-Bal-D-Trp-Taz-Lys-NH2 815.03 814.4 99
39 H-Apc-D-Bal-D-Trp-2Thi-Lys-NH2 814.04 813.4 98
40 H-lnp-D-1Nal-D-Trp-2Thi-Apc-NH2 790.99 790.5 97
41 H-lnp-D-Bal-D-Trp-2Thi-Apc-NH2 797.01 796.4 97
42 H-Apc-D-1Nal-D-Trp-2Thi-Apc-NH2 806.00 805.5 97
43 H-Apc-D-Bal-D-Trp-2Thi-Apc-NH2 812.03 811.4 98
44 H-Apc-D-1Nal-D-Trp-Phe-Lys-NH2 801.99 801.5 98
45 H-Apc-D-Bal-D-Trp-Phe-Lys-NH2 808.02 807.5 99
46 H-Apc-D-1Nal-D-Trp-Phe-Apc-NH2 799.97 799.5 98
47 H-Apc-D-Bal-D-Trp-Phe-Apc-NH2 806.00 805.5 98
48 H-Apc-D-1Nal-D-1Nal-Phe-Apc-NH2 811.00 810.5 95
49 H-Apc-D-1Nal-D-2Nal-Phe-Apc-NH2 811.00 8105 96
50 H-Apc-D-1Nal-D-1Nal-Phe-Lys-NH2 813.01 812.5 99
51 H-Apc-D-Bal-D-1Nal-Phe-Apc-NH2 817.02 816.5 96
52 H-Apc-D-Bal-D-2Nal-Phe-Apc-NH2 817.02 816.5 94
53 H-Apc-D-Bal-D-1Nal-Phe-Lys-NH2 819.04 818.5 99
54 H-Apc-D-Bal-D-2Nal-Phe-Lys-NH2 819.04 818.5 98
55 H-Apc-D-1Nal-D-Trp-2Thi-NH2 679.84 6792 98
56 H-Apc-D-Bal-D-Trp-Phe-NH2 679.84 679.3 99
57 H-Apc-D-1 Nal-D-Trp-Taz-NH2 680.83 680.3 99
58 H-Apc-D-Bal-D-Trp-2Thi-NH2 68537 6852 97
59 H-Apc-D-Bal-D-Trp-Taz-NH2 686.86 686.2 99
60 H-Apc-D-2Nal-D-Trp-2Thi-NH2 679.84 6792 95
31 H-Apc-D-2Nal-D-Trp-Taz-NH2 680.83 6802 97
32 H-lnp-D-1Nal-D-Trp-Taz-Apc-NH2 791.97 791.5 98
33 H-lnp-D-Bal-D-Trp-Taz-Apc-NH2 798.00 797.4 99
34 H-Apc-D-1Nal-D-Trp-Taz-Apc-NH2 806.99 806.5 99
35 H-Apc-D-Bal-D-Trp-Taz-Apc-NH2 813.02 812.4 98
36 H-lnp-D-2Nal-D-Trp(Ψ)-Pim 610.77 611.4 99
37 H-lnp-D-1Nal-D-Trp(Ψ)-Pim 610.77 611.3 99
58 H-lnp-D-Bal-D-Trp(Ψ)-Pim 616.79 617.3 99
19 H-Aib-D-Ser(Bzl)-D-Trp(Ψ)-Pim 564.69 565.3 99
43

70 H-lnp-D-Trp-D-2Nal(Ψ)-Pim 610.77 611.4 99
Biological Assay
The activities of compounds of the invention at the GHS receptor can be and
were determined using techniques such as those described in the examples provided
below. In different embodiments a ghrelin analog has at least about 50%, at least
about 60%, at least about 70%, at least about 80%, or at least about 90%, functional
activity relative to ghrelin as determined using one or more of the Functional Activity
assays described below; and/or has an IC50 greater than about 1,000 nM, greater
than about 100 nM, or greater than about 50 nM, using the Receptor Binding assay
described below. With respect to ICso, greater refers to potency and thus indicates a
lesser amount is needed to achieve binding inhibition.
Assays measuring the ability of a compound to bind a GHS receptor employ a
GHS receptor, a fragment of the receptor comprising a ghrelin binding site, a
polypeptide comprising such a fragment, or a derivative of the polypeptide.
Preferably, the assay uses the GHS receptor or a fragment thereof. A polypeptide
comprising a GHS receptor fragment that binds ghrelin can also contain one or more
polypeptide regions not found in a GHS receptor. A derivative of such a polypeptide
comprises a GHS receptor fragment that binds ghrelin along with one or more non-
peptide components.
The GHS receptor amino acid sequence involved in binding can be readily
identified using labeled ghrelin or ghrelin structural or functional analogs and different
receptor fragments. Different strategies can be employed to select fragments to be
tested to narrow down the binding region. Examples of such strategies include
testing consecutive fragments about 15 amino acids in length starting at the N-
terminus, and testing longer length fragments. If longer length fragments are tested,
a fragment binding ghrelin can be subdivided to further locate the ghrelin binding
region. Fragments used for binding studies can be generated using recombinant
nucleic acid techniques.
Binding assays can be performed using individual compounds or preparations
containing different numbers of compounds. A preparation containing different
numbers of compounds having the ability to bind to the GHS receptor can be divided
into smaller groups of compounds that can be tested to identify the compound(s)
binding to the GHS receptor, in an embodiment of the present invention, a test
preparation containing at least 10 compounds is used in a binding assay.
Binding assays can be performed using recombinantly produced GHS
receptor polypeptides present in different environments. Such environments include,
44

for example, cell extracts and purified cell extracts containing the GHS receptor
polypeptide expressed from, recombinant nucleic acid or naturally occurring nucleic
acid; and also include, for example, the use of a purified GHS receptor polypeptide
produced by recombinant means or from naturally occurring nucleic acid which is
introduced into a different environment.
Screening for GHS Receptor Active Compounds
Screening for GHS receptor active compounds is facilitated using a
recombinantly expressed receptor. Using a recombinantly expressed GHS receptor
offers several advantages such as the ability to express the receptor in a defined cell
system so that a response to a compound at the GHS receptor can more readily be
differentiated from responses at other receptors. For example, the GHS receptor can
be expressed in a cell line such as HEK 293, COS 7, and CHO not normally
expressing the receptor by an expression vector, wherein the same ceil line without
the expression vector can act as a control.
Screening for compounds reducing GHS receptor activity is facilitated through
the use of a ghrelin functional analog in the assay. The use of a ghrelin functional
analog in a screening assay provides for GHS receptor activity. The effect of test
compounds on such activity can be measured to identify, for example, allosteric
modulators and antagonists.
GHS receptor activity can be measured using different techniques such as
detecting a change in the intracellular conformation of the GHS receptor, in the G-
protein coupled activities, and/or in the intracellular messengers. Preferably, GHS
receptor activity is measured using techniques such as those measuring intracellular
Ca2+. Examples of techniques well known in the art that can be employed to measure
Ca2+ include the use of dyes such as Fura-2 and the use of Ca2+-bioluminescent
sensitive reporter proteins such as aequorin. An example of a cell line employing
aequorin to measure G-protein activity is HEK293/aeq17. (Button et a/.,1993. Cell
Calcium 14, 663-671, and Feighner et al., 1999, Science 284, 2184-2188.)
Chimeric receptors containing a ghrelin binding region functionaly coupled to
a different G-protein can also be used to measure GHS receptor activity. A chimeric
GHS receptor contains an N-terminal extracellular domain; a transmembrane domain
made up of transmembrane regions, extracellular loop regions, and intracellular loop
regions; and an intracelluiar carboxy terminus. Techniques for producing chimeric
receptors and measuring G-protein coupled responses are provided in, for example,
International Application Number WO 97/05252, and U.S. Patent Number 5,264,565,
both of which are hereby incorporated by reference herein.
Stimulation of GHS Receptor Activity
45

Structural and/or functional analogs of ghrelin can be used to stimulate GHS
receptor activity. Such stimulation can be used, for example, to study the effect of
GHS receptor modulation, to study the effect of growth hormone secretion, to look for
or study ghrelin antagonists, or to achieve a beneficial effect in a subject. Beneficial
effects that can be achieved include one or more of the following: treating a growth
hormone deficient state, increasing muscle mass, increasing bone density, treating
sexual dysfunction in males or females, facilitating a weight gain, facilitating
maintenance of weight, facilitating maintenance of physical functioning, facilitating
recovery of physical function, and/or facilitating appetite increase.
Increasing weight or appetite can be useful for maintaining weight or
producing a weight or appetite gain in an underweight subject, or in a patient having
a disease or undergoing treatment that affects weight or appetite. In addition, for
example, farm animals such as pigs, cows and chickens can be treated to gain
weight.
Underweight subjects include those having a body weight about 10% or less,
20% or less, or 30% or less, than the lower end of a "normal" weight range or Body
Mass Index ("BMI"). BMI measures a subject's height/weight ratio and is determined
by calculating weight in kilograms divided by the square of height in meters. BMI
measures your height/weight ratio. It is determined by calculating weight in kilograms
divided by the square of height in meters. The BMI "normal" range for humans is
generally considered to be 19-22. "Normal" weight ranges are well known in the art
and take into account factors such as a subject age, height, and body type.
Biological Assays - Examples
1. Receptor Binding Assay
A. Preparation of CHO-K1 cells expressing the human recombinant GHS
receptor
The cDNA for human growth hormone secretagogue receptor (hGHS-R, or
ghrelin receptor) was cloned by Polymerase Chain Reaction (PCR) using human
brain RNA as a template (Clontech, Palo Alto, CA), gene specific primers flanking the
full-length coding sequence of hGHS-R, (S:5'-ATGTGGAACGCGACGCC
CAGCGAAGAG-3'(SEQ ID NO:) and AS: 5'-TCATGTATTAATAC
TAGATTCTGTCCA-3') (SEQ ID NO:2), and Advantage 2 PCR Kit
(Clontech). The PCR product was cloned into the pCR2.1 vector using Original TA
Cloning Kit (Invitrogen, Carlsbad, CA). The full length human GHS-R was subcloned
into the mammalian expression vector pcDNA 3.1 (Invitrogen). The plasmid was
ransfected into the Chinese hamster ovary cell line, CHO-K1 (American Type
Culture Collection, Rockville, MD), by calcium phosphate method (Wigler, M et al.,
46

Cell 11, 223, 1977). Single cell clones stably expressing the hGHS-R were obtained
by selecting transfected cells grown in cloning rings in RPMI 1640 media
supplemented with 10 % fetal bovine serum and 1 mM sodium pyruvate containing
0.8 mg/ml G418 (Gibco, Grand Island, NY).
B. GHS-R Binding Assay:
Membranes for radioligand binding studies can be and were prepared by
homogenization of the foregoing CHO-K1 cells expressing the human recombinant
GHS receptor in 20 ml of ice-cold 50 mM Tris-HCI with a Brinkman Polytron
(Westbury, NY) (setting 6, 15 sec). The homogenates were washed twice by
centrifugation (39,000 g/10 min), and the final pellets were resuspended in 50 mM
Tris-HCI, containing 2.5 mM MgCI2, and 0.1% BSA. For assay, aliquots (0.4 ml) were
incubated with 0.05 nM (125l)ghrelin (~2000 Cl/mmol, Perkin Elmer Life Sciences,
Boston, MA), with and without 0.05 ml of unlabeled competing test compounds of the
invention. After a 60 min incubation (4°C), the bound (125l)ghrelin was separated
from the free by rapid filtration through GF/C filters (Brandel, Gaithersburg, MD),
which had been previously soaked in 0.5% polyethyleneimine/0.1% BSA. The filters
were then washed three times with 5-ml aliquots of ice-cold 50 mM Tris-HCI and
0.1% bovine serum albumin, and the bound radioactivity trapped on the filters was
counted by gamma spectrometry (Wallac LKB, Gaithersburg, MD). Specific binding
was defined as the total (125l)ghrelin bound minus that bound in the presence of 1000
nM ghrelin (Bachem, Torrence, CA).
2. GHS-R Functional Activity Assays
A. In vitro GSH Receptor Mediated Intracellular Ca2+ Mobilization
The foregoing CHO-K1 cells expressing the human GSH receptor were
harvested by incubating in a 0.3% EDTA/phosphate buffered saline solution (25° C),
and washed twice by centrifugation. The washed cells were resuspended in Hank's -
buffered saline solution (HBSS) for loading of the fluorescent Ca2* indicator Fura-
2AM. Cell suspensions of approximately 108 cells/ml were incubated with 2 µM Fura-
2AM for 30 min at about 25 °C. Unloaded Fura-2AM was removed by centrifugation
twice in HBBS, and the final suspensions were transferred to a spectrofluorometer
(Hitachi F-2000) equipped with a magnetic stirring mechanism and a temperature-
regulated cuvette holder. After equilibrafon to 37°C, the compounds of the invention
were added for measurement of intracellular Ca2+ mobiization. The excitation and
emission wavelengths were 340 and 510 nm, respectively.
B. In vivo GH Release/Suppression
As is well known in the art, compounds may be tested for their ability to
47

stimulate or suppress release of growth hormone (GH) in vivo. (See, e.g.,
Deghenghi, R., et al., Life Sciences 54, 1321-1328 (1994); International Application
No. WO 02/08250.) Thus for example in order to ascertain a compound's ability to
stimulate GH release in vivo the compound may be injected subcutaneously in 10-
day old rats at a dose of, e.g., 300 mg/kg. The circulating GH may be determined at,
e.g., 15 minutes after injection and compared to GH levels in rats injected with a
solvent control.
Similarly, compounds may be tested for their ability to antagonize ghrelin-
induced GH secretion in vivo. Thus a compound may be injected subcutaneously in
10-day old rats at a dose of, e.g., 300 mg/kg, along with ghrelin. Again the circulating
GH may be determined at, e.g., 15 minutes after injection and compared to GH levels
in rats injected with ghrelin alone.
Administration
The compounds of the invention can be formulated and administered to a
subject using the guidance provided herein along with techniques well known in the
art. The preferred route of administration ensures that an effective amount of
compound reaches the target. Guidelines for pharmaceutical administration in
general are provided in, for example, Remington's Pharmaceutical Sciences 18th
Edition, Ed. Gennaro, Mack Publishing, 1990, and Modem Phamtaceutics 2nd
Edition, Eds. Banker and Rhodes, Marcel Dekker, Inc., 1990, both of which are
hereby incorporated by reference herein.
The compounds of the invention can be prepared as acidic or basic salts.
Pharmaceutically acceptable salts (in the form of water- or oil-soluble or dispersible
products) include conventional non-toxicsalts or the quaternary ammonium salts that
are formed, e.g., from inorganic or organic acids or bases. Examples of such salts
include acid addition salts such as acetate, adipate, alginate, aspartate, benzoate,
benzenesulfonate, bisulfate, butyrate, citrate, camphorate, camphorsutfonate,
cyclopentanepropionate, digluconate, dodecylsulfate, ethanesulfonate, fumarate,
glucoheptanoate, glycerophosphate, hemisulfate, heptanoate, hexanoate,
hydrochloride, hydrobromide, hydroiodide, 2-hydroxyethanesulfonate, lactate,
maleate, methanesulfonate, 2-naphthalenesulfonate, nicotinate, oxalate, pamoate,
pectinate, persulfate, 3-phenylpropionate, picrate, pivalate, propionate, succinate,
tartrate, thiocyanate, tosylate, and undecanoate; and base salts such as ammonium
salts, alkali metal salts such as sodium and potassium salts, alkaline earth metal
salts such as calcium and magnesium salts, salts with organic bases such as
dicyclohexylamine salts, N-methyi-D-glucamine, and salts with amino acids such as
arginine and lysine.
48

The compounds of the invention can be administered using different routes
including oral, nasal, by injection, transdermal, and transmucosally. Active
ingredients to be administered orally as a suspension can be prepared according to
techniques well known in the art of pharmaceutical formulation and may contain
microcrystalline cellulose for imparting bulk, alginic acid or sodium alginate as a
suspending agent, methylcellulose as a viscosity enhancer, and sweeteners/flavoring
agents. As immediate release tablets, these compositions may contain
microcrystalline cellulose, dicalcium phosphate, starch, magnesium stearate and
lactose and/or other excipients, binders, extenders, disintegrants, diluents and
lubricants.
Administered by nasal aerosol or inhalation formulations may be prepared, for
example, as solutions in saline, employing benzyl alcohol or other suitable
preservatives, absorption promoters to enhance bioavailabiity, employing
fluorocarbons, and/or employing other soiubilizing or dispersing agents.
The compounds of the invention may also be administered in intravenous
(both bolus and infusion), intraperitoneal, subcutaneous, topical with or without
occlusion, or intramuscular form. When administered by injection, the injectable
solution or suspension may be formulated using suitable non-toxic, parenterally-
acceptable diluents or solvents, such as Ringer's solution or isotonic sodium chloride
solution, or suitable dispersing or wetting and suspending agents, such as sterile,
bland, fixed oils, including synthetic mono- or diglycerides, and fatty acids, including
oleic acid.
Suitable dosing regimens are preferably determined taking into account
actors well known in the art including type of subject being dosed; age, weight, sex
and medical condition of the subject; the route of administration; the renal and
epatic function of the subject; the desired effect; and the particular compound
mployed.
Optimal precision in achieving concentrations of drug within the range that
fields efficacy without toxicity requires a regimen based on the kinetics of the drug's
valiability to target sites. This involves a consideration of the distribution,
quilibrium, and elimination of a drug. The daily dose for a subject is expected to be
etween 0.01 and 1,000 mg per subject per day.
The compounds of the invention can be provided in a kit. Such a kit typically
contains an active compound in dosage forms for administration. A dosage form
contains a sufficient amount of active compound such that a desirable effect can be
btained when administered to a subject during regular intervals, such as 1 to 6
nes a day, during the course of 1 or more days. Preferably, a kit contains
49

nstructions indicating the use of the dosage form to achieve a desirable affect and
the amount of dosage form to be laken over a specified time period.
The invention has been described in an illustrative manner, and it is to be
understood that the terminology which has been used is intended to be in the nature
of words of description rather than of limitation. Obviously, many modifications and
variations of the present invention are possible in light of the above teachings. It is,
therefore, to be understood that within the scope of the appended claims the
invention may be practiced otherwise than as specifically described.
The patent and scientific literature referred to herein represents knowledge
that is available to those with skill in the art. All patents, patent publications and other
publications cited herein are hereby incorporated by reference in their entirety.
Other Embodiments
it is to be understood that whiie the invention has been described in
conjunction with the detailed description thereof, that the foregoing description is
intended to illustrate and not limit the scope of the invention, which is defined by the
scope of the appended claims. Other aspects, advantages, and modifications are
wthin the claims.
50

WE CLAIM :
1. A compound according to the formula:
H-Inp-D-2Nal-D-Trp-3Pal-NH2;
H-Inp-D-2Nal-D-Trp-4Pal-NH2;
H-Inp-D-lNal-D-Trp-3Pal-NH2;
H-Inp-D-Bip-D-Trp-Phe-NH2;
H-Inp-D-2Nal-D-Trp-2Thi-NH2;
H-Inp-D-2Nal-D-Trp-3Thi-NH2;
H-Inp-D-Dip-D-Trp-Phe-NH2;
H-Inp-D-Bal-D-Trp-Phe-NH2;
H-Inp-D-2Nal-D-Bal-Phe-NH2;
H-Inp-D-lNal-D-Trp-2Thi-NH2; or
H-Apc-D- lNal-D-Trp-Phe-NH2;
or a pharmaceutically acceptable salt thereof as herein described.
2. A compound according to the formula:
H-Inp-D-2Nal-D-Trp-2Thi-NH2;
H-Inp-D-Bal-D-Trp-Phe-NH2;
H-Inp-D-1Nal-D-Trp-2Thi-NH2; or
H-Apc-D-1Nal-D-Trp-Phe-NH2;
or a pharmaceutically acceptable salt thereof as herein described.
3. A compound according to the formula:
H-Apc-D- lNal-D-Trp-Phe-Lys-NH2;
or a pharmaceutically acceptable salt thereof as herein described.
4. A compound according to the formula:
H-Apc-D-2Nal-D-Trp-Phe-Lys-NH2;
H-Apc-D- 1Nal-D-1Nal-Phe-Lys-NH2;

H-Inp-D-2Nal-D-Trp(Ψ)-Pim;
H-Inp-D- 1Nal-D-Trp(Ψ)-Pim;
H-Inp-D-Bal-D-Trp(Ψ)-Pim;
H-Aib-D-Ser(Bzl)-D-Trp(Ψ)-Pim;
H-Inp-D-Trp-D^Nal(Ψ)-Pim; or
H-Inp-D-2Nal-D-Trp-Phe-Lys-NH2;
or a pharmaceutically acceptable salt thereof as herein described.
5. A method of curing or preventing or reducing the onset of or severity of a disease
or disorder by administering a ghrelin analogue selected from the list consisting of:
H-Inp-D-2Nal-D-Trp-3Pal-NH2;
H-Inp-D-2Nal-D-Trp-4Pal-NH2;
H-Inp-D-1Nal-D-Trp-3Pal-NH2;
H-Inp-D-Bip-D-Trp-Phe-NH2;
H-Inp-D-2Nal-D-Trp-2Thi-NH2;
H-Inp-D-2Nal-D-Trp-3Thi-NH2;
H-Inp-D-Dip-D-Trp-Phe-NH2;
H-Inp-D-Bal-D-Trp-Phe-NH2;
H-Inp-D-2Nal-D-Bal-Phe-NH2;
H-Inp-D- lNal-D-Trp-2Thi-NH2;
H-Apc-D-1Nal-D-Trp-Phe-NH2;
H-Apc-D-1Nal-D-Trp-Phe-Lys-NH2;
H-Apc-D-2Nal-D-Trp-Phe-Lys-NH2;
H-Apc-D-1Nal-D-1Nal-Phe-Lys-NH2;
H-Inp-D-2Nal-D-Trp(Ψ)-Pim;
H-Inp-D- 1Nal-D-Trp(Ψ)-Pim;
H-Inp-D-Bal-D-Trp(Ψ)-Pim;
H-Aib-D-Ser(Bzl)-D-Trp(Ψ)-Pim;
H-Inp-D-Trp-D-2Nal(Ψ)-Pim; and
H-Inp-D-2Nal-D-Trp-Phe-Lys-NH2;
or a pharmaceutically acceptable salt thereof as herein described, wherein said effective
amount is effective for producing a beneficial effect in helping to treat (e.g., cure or reduce

the severity) or prevent (e.g., reduce the likelihood of onset or severity) a disease or
disorder.
6. A method for stimulating growth hormone secretion in a subject in need of such
stimulation comprising the step of administering to a subject an effective amount of a
ghrelin agonist according to formula:
H-Inp-D-2Nal-D-Trp-3Pal-NH2;
H-Inp-D-2Nal-D-Trp-4Pal-NH2;
H-Inp-D-1Nal-D-Trp-3Pal-NH2;
H-Inp-D-Bip-D-Trp-Phe-NH2;
H-Inp-D-2Nal-D-Trp-2Thi-NH2;
H-Inp-D-2Nal-D-Trp-3Thi-NH2;
H-Inp-D-Dip-D-Trp-Phe-NH2;
H-Inp-D-Bal-D-Trp-Phe-NH2;
H-Inp-D-2Nal-D-Bal-Phe-NH2;
H-Inp-D-1Nal-D-Trp-2Thi-NH2;
H-Apc-D-1Nal-D-Trp-Phe-NH2;
H-Apc-D-1Nal-D-Trp-Phe-Lys-NH2;
H-Apc-D-2Nal-D-Trp-Phe-Lys-NH2;
H-Apc-D-1Nal-D-1Nal-Phe-Lys-NH2;
H-Inp-D-2Nal-D-Trp(Ψ)-Pim;
H-Inp-D-lNal-D-Trp(Ψ)-Pim;
H-Inp-D-Bal-D-Trp(Ψ)-Pim;
H-Aib-D-Ser(Bzl)-D-Trp(Ψ)-Pim;
H-Inp-D-Trp-D-2Nal(Ψ)-Pim; or
H-Inp-D-2Nal-D-Trp-Phe-Lys-NH2;
or a pharmaceutically acceptable salt thereof as herein described, wherein said effective
amount is at least an amount sufficient to produce a detectable increase in growth hormone
secretion and, preferably, in an amount sufficient to achieve a beneficial effect in a patient.
7. A method according to claim 6 wherein said stimulation of growth hormone
secretion is indicated for treatment of a growth hormone deficiency state, for increasing
muscle mass, for increasing bone density, for sexual dysfunction in males or females, for
facilitating a weight gain, for facilitating maintenance of weight, for facilitating
maintenance of physical functioning, for facilitating recovery of physical function, and/or
facilitating appetite increase.
53

8. A method according to claim 7 wherein said facilitating weight gain, facilitating
maintenance in weight and/or facilitating appetite increase is indicated in a patient having a
disease or disorder, or undergoing a treatment, accompanied by weight loss.
9. A method according to claim 8 wherein said diseases or disorders accompanied
by weight loss includes anorexia, bulimia, cancer cachexia, AIDS, AIDS wasting, cachexia,
and wasting in frail elderly.
10. A method according to claim 8 wherein said treatments accompanied by weight
loss include chemotherapy, radiation therapy, temporary or permanent immobilization, and
dialysis.
11. A method of eliciting a ghrelin agonist effect in a subject, comprising the step of
administering to a subject an effective amount of a ghrelin agonist according to the
formula:
H-Inp-D-2Nal-D-Trp-3Pal-NH2;
H-Inp-D-2Nal-D-Trp-4Pal-NH2;
H-Inp-D-1Nal-D-Trp-3Pal-NH2;
H-Inp-D-Bip-D-Trp-Phe-NH2;
H-Inp-D-2Nal-D-Trp-2Thi-NH2;
H-Inp-D-2Nal-D-Trp-3Thi-NH2;
H-Inp-D-Dip-D-Trp-Phe-NH2;
H-Inp-D-Bal-D-Trp-Phe-NH2;
H-Inp-D-2Nal-D-Bal-Phe-NH2;
H-Inp-D-1Nal-D-Trp-2Thi-NH2;
H-Apc-D-1Nal-D-Trp-Phe-NH2;
H-Apc-D-1Nal-D-Trp-Phe-Lys-NH2;
H-Apc-D-2Nal-D-Trp-Phe-Lys-NH2;
H-Apc-D-1Nal-D-1Nal-Phe-Lys-NH2;
H-Inp-D-2Nal-D-Trp(Ψ)-Pim;
H-Inp-D-1Nal-D-Trp(Ψ)-Pim;
H-Inp-D-Bal-D-Trp(Ψ)-Pim;
H-Aib-D-Ser(Bzl)-D-Trp(Ψ)-Pim;
H-Inp-D-Trp-D-2Nal(Ψ)-Pim; or
H-Inp-D-2Nal-D-Trp-Phe-Lys-NH2;
54

or a pharmaceutically acceptable salt thereof as herein described, wherein said effective
amount is at least an amount sufficient to produce a detectable increase in growth hormone
secretion and, preferably, in an amount sufficient to achieve a beneficial effect in a patient.
12. A method of achieving a beneficial cardiovascular effect in a subject in need
thereof, comprising the step of administering to a subject an effective amount of a ghrelin
agonist according to formula:
H-Inp-D-2Nal-D-Trp-3Pal-NH2;
H-Inp-D-2Nal-D-Trp-4Pal-NH2;
H-Inp-D-1Nal-D-Trp-3Pal-NH2;
H-Inp-D-Bip-D-Trp-Phe-NH2;
H-Inp-D-2Nal-D-Trp-2Thi-NH2;
H-Inp-D-2Nal-D-Trp-3Thi-NH2;
H-Inp-D-Dip-D-Trp-Phe-NH2;
H-Inp-D-Bal-D-Trp-Phe-NH2;
H-Inp-D-2Nal-D-Bal-Phe-NH2;
H-Inp-D-1Nal-D-Trp-2Thi-NH2;
H-Apc-D-1Nal-D-Trp-Phe-NH2;
H-Apc-D-1Nal-D-Trp-Phe-Lys-NH2;
H-Apc-D-2Nal-D-Trp-Phe-Lys-NH2;
H-Apc-D-1Nal-D-1Nal-Phe-Lys-NH2;
H-Inp-D-2Nal-D-Trp(Ψ)-Pim;
H-Inp-D-1Nal-D-Trp(Ψ)-Pim;
H-Inp-D-Bal-D-Trp(Ψ)-Pim;
H-Aib-D-Ser(Bzl)-D-Trp(Ψ)-Pim;
H-Inp-D-Trp-D-2Nal(Ψ)-Pim; or
H-Inp-D-2Nal-D-Trp-Phe-Lys-NH2;
or a pharmaceutically acceptable salt thereof as herein described, wherein said effective
amount is at least an amount sufficient to produce a beneficial effect in said subject.
13. A method according to claim 12, wherein said beneficial cardiovascular effect
comprises inhibition of apoptosis of cardiomyocytes, cardiac endothelial cells, or vascular
endothelial cells.
14. A method according to claim 12, wherein said beneficial cardiovascular effect
comprises improvement of cardiac structure or function.
55

15. A method according to claim 12, wherein said beneficial cardiovascular effect
comprises attenuation of the development of cardiac cachexia.
16. A method according to claim 12, wherein said beneficial cardiovascular effect
comprises a reduction in systemic vascular resistance.
17. A method according to claim 12, wherein said beneficial cardiovascular effect
comprises an increase in cardiac output.
18. A method according to any one of claims 12-17, wherein said subject comprises
a human.
Dated this 9th day of April 2007

56

The instant invention discloses compounds which are ghrelin analogues and
pharmaceutically acceptable salts thereof capable of exhibiting ghrelin agonist activity.

Documents:

01229-kolnp-2007-abstract.pdf

01229-kolnp-2007-claims.pdf

01229-kolnp-2007-correspondence others.pdf

01229-kolnp-2007-description complete.pdf

01229-kolnp-2007-form 1.pdf

01229-kolnp-2007-form 2.pdf

01229-kolnp-2007-form 3.pdf

01229-kolnp-2007-form 5.pdf

01229-kolnp-2007-gpa.pdf

01229-kolnp-2007-sequence listing.pdf

1229-KOLNP-2007-(02-07-2013)-CORRESPONDENCE.pdf

1229-KOLNP-2007-(04-09-2014)-CLAIMS.pdf

1229-KOLNP-2007-(04-09-2014)-CORRESPONDENCE.pdf

1229-KOLNP-2007-(04-09-2014)-OTHERS.pdf

1229-KOLNP-2007-ABSTRACT 1.1.pdf

1229-KOLNP-2007-AMANDED CLAIMS.pdf

1229-KOLNP-2007-AMANDED PAGES OF SPECIFICATION.pdf

1229-KOLNP-2007-CANCELLED PAGES.pdf

1229-KOLNP-2007-CORRESPONDENCE OTHERS 1.1.pdf

1229-KOLNP-2007-FORM 1 1.1.pdf

1229-KOLNP-2007-FORM 18.pdf

1229-KOLNP-2007-FORM 2 1.1.pdf

1229-KOLNP-2007-FORM 3 1.1.pdf

1229-KOLNP-2007-OTHERS.pdf

1229-KOLNP-2007-PETITION UNDER RULE 137.tif

1229-KOLNP-2007-REPLY TO EXAMINATION REPORT.pdf


Patent Number 263331
Indian Patent Application Number 1229/KOLNP/2007
PG Journal Number 43/2014
Publication Date 24-Oct-2014
Grant Date 20-Oct-2014
Date of Filing 09-Apr-2007
Name of Patentee SOCIETE DE CONSEIL DE RECHERCHES ET D'APPLICATIONS SCIENTIFIQUES, S.A.S.
Applicant Address 51-53, RUE DU DOCTEUR BLANCHE, F-75016, PARIS
Inventors:
# Inventor's Name Inventor's Address
1 ZHENG XIN DONG 66 FAIRVIEW STREET, HOLLISTON, MA 01746
PCT International Classification Number C07K 14/60
PCT International Application Number PCT/US2003/024834
PCT International Filing date 2003-08-08
PCT Conventions:
# PCT Application Number Date of Convention Priority Country
1 60/402,263 2002-08-09 U.S.A.