Antagonists of the bradykinin B1 receptor

Abstract

The present invention relates to a method of treating, preventing, or ameliorating a disease or condition associated with or mediated by B1 activity that involves administering a composition of matter containing bradykinin B1 receptor antagonist peptides conjugated to a multivalent vehicle, including peptides conjugated to multivalent PEG. The method can be used therapeutically or prophylactically against diseases or conditions, such as inflammation or pain, linked to the bradykinin B1 receptor.

Description

[0001]This application is a division of U.S. patent application Ser. No. 10 / 972,236, filed Oct. 21, 2004, which claims the benefit of U.S. Provisional Application No. 60 / 513,913 filed Oct. 22, 2003, and U.S. Provisional Application No. 60 / 538,929 filed Jan. 24, 2004, which are hereby incorporated by reference in their entireties.BACKGROUND OF THE INVENTION[0002]More than two million people in the United States alone are incapacitated by chronic pain on any given day (T. M. Jessell & D. D. Kelly, Pain and Analgesia in PRINCIPLES OF NEURAL SCIENCE, third edition (E. R. Kandel, J. H. Schwartz, T. M. Jessell, ed., (1991)). Unfortunately, current treatments for pain are only partially effective, and many also cause life-style altering, debilitating, and / or dangerous side effects. For example, non-steroidal anti-inflammatory drugs (“NSAIDs”) such as aspirin, ibuprofen, and indomethacin are moderately effective against inflammatory pain but they are also renally toxic, and high doses tend ...

AI Technical Summary

Problems solved by technology

Unfortunately, current treatments for pain are only partially effective, and many also cause life-style altering, debilitating, and / or dangerous side effects.

For example, non-steroidal anti-inflammatory drugs (“NSAIDs”) such as aspirin, ibuprofen, and indomethacin are moderately effective against inflammatory pain but they are also renally toxic, and high doses tend to cause gastrointestinal irritation, ulceration, bleeding, increased cardiovascular risk, and confusion.

Local anesthetics such as lidocaine and mixelitine simultaneously inhibit pain and cause loss of normal sensation.

In addition, when used systemically local anesthetics are associated with adverse cardiovascular effects.

Thus, there is currently an unmet need in the treatment of chronic pain.

However, certain types of tissue damage cause a phenomenon, known as hyperalgesia or pronociception, in which relatively innocuous stimuli are perceived as intensely painful because the person's pain thresholds have been lowered.

Similarly, trauma, surgery, amputation, abscess, causalgia, collagen vascular diseases, demyelinating diseases, trigeminal neuralgia, cancer, chronic alcoholism, stroke, thalamic pain syndrome, diabetes, herpes infections, acquired immune deficiency syndrome (“AIDS”), toxins and chemotherapy cause nerve injuries that result in excessive pain.

While a variety of peptide antagonists targeting the B1 receptor have been identified, their development as therapeutic analgesics has been stymied by poor efficacious half-lives resulting from very rapid degradation by tissue and serum peptidases and efficient renal clearance.

PEGylation of small therapeutic peptides, on the other hand, presents unique challenges and has not been broadly applied.

One of the greatest obstacles to peptide PEGylation is the essential requirement that biological activity be preserved in the final conjugate.

Because therapeutic peptides often comprise the minimal sequence required for activity and are therefore very small, they are relatively intolerant to substitution.

Thus, a peptide's ability to tolerate PEGylation and still retain sufficient specific activity to be a useful therapeutic is quite unpredictable and must be empirically determined (Morpurogo, et al., Selective Alkylation and Acylation of α and ε Amino Groups with PEG in a Somatostatin Analogue: Tailored Chemistry for Optimized Bioconjugates.

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