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    • 6. 发明申请
    • SYNTHETIC APELIN FATTY ACID CONJUGATES WITH IMPROVED HALF-LIFE
    • 合成APELIN脂肪酸与改善的生命之间的联系
    • WO2016116842A1
    • 2016-07-28
    • PCT/IB2016050206
    • 2016-01-15
    • NOVARTIS AGKANTER AARONUSERA AIMEE RICHARDSONZECRI FREDERIC
    • KANTER AARONUSERA AIMEE RICHARDSONZECRI FREDERIC
    • A61K47/48A61K45/06A61P9/04
    • A61K38/12A61K45/06A61K47/542A61K47/60A61K47/64A61K51/0402C07K7/64C07K14/47
    • The invention provides a conjugate, or a pharmaceutically acceptable salt thereof, comprising a synthetic polypeptide of Formula I: Q-R-P-R-L-C*-H-K-G-P-(Nle)-C*-F (I) or a amide or ester thereof; and a fatty acid selected from: wherein said fatty acid is covalently linked to the N-terminus of the peptide via one of its carboxylic acid functionality, optionally via a polyethylene glycol linker; and wherein the two cysteine amino acids labeled with "*" form a disulfide bond between the thiol functionalities of their side chain. The conjugates are agonist of the APJ receptor. The invention also relates to a method for manufacturing the conjugates of the invention, and its therapeutic uses such as treatment or prevention of acute decompensated heart failure (ADHF), chronic heart failure, pulmonary hypertension, atrial fibrillation, Brugada syndrome, ventricular tachycardia, atherosclerosis, hypertension, restenosis, ischemic cardiovascular diseases, cardiomyopathy, cardiac fibrosis, arrhythmia, water retention, diabetes (including gestational diabetes), obesity, peripheral arterial disease, cerebrovascular accidents, transient ischemic attacks, traumatic brain injuries, amyotrophic lateral sclerosis, burn injuries (including sunburn) and preeclampsia. The present invention further provides a combination of pharmacologically active agents and a pharmaceutical composition.
    • 本发明提供了包含式I的合成多肽:Q-R-P-R-L-C * -H-K-G-P-(Nle)-C * -F(I)或其酰胺或酯的缀合物或其药学上可接受的盐; 和选自以下的脂肪酸:其中所述脂肪酸通过其羧酸官能团之一,任选地经由聚乙二醇连接体共价连接到肽的N末端; 并且其中用“*”标记的两个半胱氨酸氨基酸在其侧链的硫醇官能团之间形成二硫键。 缀合物是APJ受体的激动剂。 本发明还涉及本发明的缀合物的制备方法及其治疗用途,例如治疗或预防急性失代偿性心力衰竭(ADHF),慢性心力衰竭,肺动脉高压,心房颤动,布鲁加达综合征,室性心动过速,动脉粥样硬化 ,高血压,再狭窄,缺血性心血管疾病,心肌病,心脏纤维化,心律失常,保水,糖尿病(包括妊娠糖尿病),肥胖,外周动脉疾病,脑血管意外,短暂性脑缺血发作,创伤性脑损伤,肌萎缩性侧索硬化,烧伤( 包括晒伤)和先兆子痫。 本发明还提供药理活性剂和药物组合物的组合。