US 12,083,182 B2
Controlled-release CNP agonists with increased NEP stability
Kennett Sprogøe, Holte (DK); Harald Rau, Dossenheim (DE); Ulrich Hersel, Heidelberg (DE); and Felix Cleemann, Mainz (DE)
Assigned to ASCENDIS PHARMA GROWTH DISORDERS A/S, Hellerup (DK)
Filed by ASCENDIS PHARMA GROWTH DISORDERS A/S, Hellerup (DK)
Filed on Nov. 30, 2021, as Appl. No. 17/538,971.
Application 17/538,971 is a division of application No. 16/067,111, granted, now 11,224,661, previously published as PCT/EP2017/050213, filed on Jan. 5, 2017.
Claims priority of application No. 16150628 (EP), filed on Jan. 8, 2016; application No. 16179289 (EP), filed on Jul. 13, 2016; and application No. 16191461 (EP), filed on Sep. 29, 2016.
Prior Publication US 2022/0088206 A1, Mar. 24, 2022
Int. Cl. A61K 38/00 (2006.01); A61K 38/22 (2006.01); A61K 47/60 (2017.01); A61P 43/00 (2006.01)
CPC A61K 47/60 (2017.08) [A61K 38/22 (2013.01); A61P 43/00 (2018.01)] 15 Claims
 
1. 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 the patient a therapeutically effective amount of a controlled-release CNP agonist comprising a CNP moiety (-D) comprising a ring moiety, wherein the ring moiety has the amino acid sequence of SEQ ID NO:96, provided the methionine at position 11 of SEQ ID NO:96 can be substituted with asparagine, the ring moiety being between two cysteine residues forming a disulfide bridge, and being conjugated to a polymer via a reversible prodrug linker cleavable in aqueous buffer at pH 7.4 and 37° C. in the absence of enzymes with a half-life of up to six months, wherein the polymer is water-soluble and a branched polymer of at least 10 kDa, wherein the controlled-release CNP agonist on cleavage of the reversible prodrug linker releases -D in its free form (D-H) and wherein the controlled-release CNP agonist has an at least 5-fold longer degradation half-life in an in vitro NEP degradation assay than the corresponding released D-H.