Claims for Patent: 11,311,604

Summary for Patent: 11,311,604

Title:	Controlled-release CNP agonists with low NPR-C binding
Abstract:	The present invention relates to a controlled-release CNP agonist having low NPR-C affinity; to pharmaceutical compositions comprising said controlled-release CNP agonist; their use; and to methods of treatment.
Inventor(s):	Harald Rau, Ulrich Hersel, Kennett Sprogøe, Frank FALTINGER, Thomas Wegge, Felix Cleemann
Assignee:	Ascendis Pharma Endocrinology Division AS
Application Number:	US16/066,980
Patent Claims:	1. A controlled-release CNP agonist, wherein the controlled-release CNP agonist releases a CNP agonist in its free form with a release half-life of at least 6 hours under physiological conditions and which controlled-release CNP agonist has an IC50 to the NPR-C receptor that is at least 5-fold higher than the IC50 of the corresponding free CNP agonist-, wherein the controlled-release CNP agonist is of formula (Ia) or (Ib): ZL2-L1-D)x (Ia), DL1-L2-Z)y (Ib), or comprises a conjugate D-L, wherein -L comprises a moiety -L1-, which moiety -L1- is substituted with -L2-Z′ and is optionally further substituted; wherein -D is the CNP agonist moiety, which is a CNP moiety having a sequence selected from the group consisting of SEQ ID NO:1, SEQ ID NO:2, SEQ ID NO:3, SEQ ID NO:4, SEQ ID NO:5, SEQ ID NO:6, SEQ ID NO:7, SEQ ID NO:8, SEQ ID NO:9, SEQ ID NO:10, SEQ ID NO:11, SEQ ID NO:12, SEQ ID NO:13, SEQ ID NO:14, SEQ ID NO:15, SEQ ID NO:16, SEQ ID NO:17, SEQ ID NO:18, SEQ ID NO:19, SEQ ID NO:20, SEQ ID NO:21, SEQ ID NO:22, SEQ ID NO:23, SEQ ID NO:24, SEQ ID NO:25, SEQ ID NO:26, SEQ ID NO:27, SEQ ID NO:28, SEQ ID NO:29, SEQ ID NO:30, SEQ ID NO:31, SEQ ID NO:32, SEQ ID NO:33, SEQ ID NO:34, SEQ ID NO:35, SEQ ID NO:36, SEQ ID NO:37, SEQ ID NO:38, SEQ ID NO:39, SEQ ID NO:40, SEQ ID NO:41, SEQ ID NO:42, SEQ ID NO:43, SEQ ID NO:44, SEQ ID NO:45, SEQ ID NO:46, SEQ ID NO:47, SEQ ID NO:48, SEQ ID NO:49, SEQ ID NO:50, SEQ ID NO:51, SEQ ID NO:52, SEQ ID NO:53, SEQ ID NO:54, SEQ ID NO:55, SEQ ID NO:56, SEQ ID NO:57, SEQ ID NO:58, SEQ ID NO:59, SEQ ID NO:60, SEQ ID NO:61, SEQ ID NO:62, SEQ ID NO:63, SEQ ID NO:64, SEQ ID NO:65, SEQ ID NO:66, SEQ ID NO:67, SEQ ID NO:68, SEQ ID NO:69, SEQ ID NO:70, SEQ ID NO:71, SEQ ID NO:72, SEQ ID NO:73, SEQ ID NO:74, SEQ ID NO:75, SEQ ID NO:76, SEQ ID NO:77, SEQ ID NO:78, SEQ ID NO:79, SEQ ID NO:80, SEQ ID NO:81, SEQ ID NO:82, SEQ ID NO:83, SEQ ID NO:84, SEQ ID NO:85, SEQ ID NO:86, SEQ ID NO:87, SEQ ID NO:88, SEQ ID NO:89, SEQ ID NO:90, SEQ ID NO:91, SEQ ID NO:92, SEQ ID NO:93, SEQ ID NO:94 and SEQ ID NO:95; -L1- is a reversible prodrug linker moiety which is covalently and reversibly conjugated to the side chain of an amino acid residue of the ring moiety of -D or to the backbone of the ring moiety of -D; -L2- is a chemical bond or a spacer moiety; —Z is a water-soluble branched polymer moiety having a first branching point less than 50 atoms from the CNP moiety; —Z′ is a hydrogel; x is an integer selected from the group consisting of 1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15 and 16; and y is an integer selected from the group consisting of 1, 2, 3, 4 and 5. 2. A pharmaceutical composition comprising the controlled-release CNP agonist of claim 1 and at least one excipient. 3. A method of treating, controlling, delaying or preventing in a mammalian patient in need of the treatment of one or more diseases which can be treated with a CNP agonist, comprising the step of administering to said patient in need thereof a therapeutically effective amount of the controlled-release CNP agonist of claim 1 or a pharmaceutical composition comprising the controlled-release CNP agonist. 4. The method of claim 3, wherein the one or more diseases which can be treated with CNP is selected from the group consisting of achondroplasia, hypochondroplasia, short stature, dwarfism, osteochondrodysplasias, thanatophoric dysplasia, osteogenesis imperfecta, achondrogenesis, chondrodysplasia punctata, homozygous achondroplasia, camptomelic dysplasia, congenital lethal hypophosphatasia, perinatal lethal type of osteogenesis imperfecta, short-rib polydactyly syndromes, rhizomelic type of chondrodysplasia punctata, Jansen-type metaphyseal dysplasia, spondyloepiphyseal dysplasia congenita, atelosteogenesis, diastrophic dysplasia, congenital short femur, Langer-type mesomelic dysplasia, Nievergelt-type mesomelic dysplasia, Robinow syndrome, Reinhardt syndrome, acrodysostosis, peripheral dysostosis, Kniest dysplasia, fibrochondrogenesis, Roberts syndrome, acromesomelic dysplasia, micromelia, Morquio syndrome, Kniest syndrome, metatrophic dysplasia, spondyloepimetaphyseal dysplasia, neurofibromatosis, Legius syndrome, LEOPARD syndrome, Noonan syndrome, hereditary gingival fibromatosis, neurofibromatosis type 1, Legius syndrome, cardiofaciocutaneous syndrome, Costello syndrome, SHOX deficiency, idiopathic short stature, growth hormone deficiency, osteoarthritis, cleidocranial dysostosis, craniosynostosis, dactyly, brachydactyly, camptodactyly, polydactyly, syndactyly, dyssegmental dysplasia, enchondromatosis, fibrous dysplasia, hereditary multiple exostoses, hypophosphatemic rickets, Jaffe-Lichtenstein syndrome, Marfan syndrome, McCune-Albright syndrome, osteopetrosis and osteopoikilosis. 5. The method of claim 3, wherein the disease is achondroplasia. 6. The controlled-release CNP agonist of claim 1, wherein the IC50 to the NPR-C receptor is at least 20-fold higher than the IC50 of the corresponding free CNP agonist. 7. The controlled-release CNP agonist of claim 1, wherein the IC50 to the NPR-C receptor is at least 50-fold higher than the IC50 of the corresponding free CNP agonist. 8. The controlled-release CNP agonist of claim 1, wherein the CNP agonist is released with a release half-life of at least 24 hours under physiological conditions. 9. The controlled-release CNP agonist of claim 1, wherein the CNP agonist is released with a release half-life of at least 168 hours under physiological conditions. 10. The method of claim 3, wherein the disease is selected from the group consisting of Muenke syndrome, Crouzon syndrome, Apert syndrome, Jackson-Weiss syndrome, Pfeiffer syndrome and Crouzondermoskeletal syndrome.