Treatment of hyperinsulinemic hypoglycemia with exendin-4 derivatives

Inventors

Xiong, Xiaofeng

Assignees

Amylyx Pharmaceuticals Inc

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Publication Number

US-10653753-B2

Patent

Publication Date

2020-05-19

Expiration Date


Abstract

In one aspect, methods of treating hyperinsulinemic hypoglycemia comprising administration of an effective amount of a derivative of an exendin-4 peptide are provided. In some embodiments, the method comprises subcutaneously administering to a patient having hyperinsulinemic hypoglycemia a therapeutically effective amount of exendin(5-39).

Core Innovation

The disclosed method addresses treatment of hyperinsulinemic hypoglycemia by administering an exendin-4 derivative selected from exendin(3-39), exendin(4-39), exendin(5-39), exendin(6-39), exendin(7-39), and exendin(8-39). The description also identifies exendin(5-39) and pegylated exendin(5-39) among the discussed derivatives and describes treatment in patients in need thereof.

The provided content reports that tested exendin(5-39), pegylated exendin(5-39), exendin(9-39), and pegylated exendin(9-39) show no agonist activity; unpegylated exendin(5-39) shows antagonist activity comparable to exendin(9-39), while the tested pegylated peptides show no significant antagonist activity. The background section is not included in the provided content, so the specific problem it identifies is not explicitly described.

Claims Coverage

The provided relevant claims identify one independent claim covering a method of treating hyperinsulinemic hypoglycemia.

Treatment using specified exendin-4 derivatives

The method administers an exendin-4 derivative to a patient in need thereof, selected from exendin(3-39), exendin(4-39), exendin(5-39), exendin(6-39), exendin(7-39), and exendin(8-39). The claim also recites a dose [procedural detail omitted for safety].

The independent claim centers on treating hyperinsulinemic hypoglycemia by administering one of six specified exendin-4 derivatives.

Stated Advantages

Not explicitly described in patent.

Documented Applications

Treatment of hyperinsulinemic hypoglycemia, including post-bariatric and other gastrointestinal-surgery-associated hyperinsulinemic hypoglycemia, and congenital hyperinsulinemic hypoglycemia.

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