Modulators of G-protein coupled receptors

Inventors

Erlanson, DanielFUCINI, Raymond V.Hansen, StigIwig, JeffKRISHNAN, ShyamMoya, EnriqueSethofer, Steven

Assignees

Carmot Therapeutics Inc

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Publication Number

US-12281149-B2

Patent

Publication Date

2025-04-22

Expiration Date


Abstract

This disclosure features chemical entities (e.g., a compound or a pharmaceutically acceptable salt) that modulate (e.g., agonize or partially agonize or antagonize) glucagon-like peptide-1 receptor (“GLP-1R”) and/or the gastric inhibitory polypeptide receptor (“GIPR”). The chemical entities are useful, e.g., for treating a disease, disorder, or condition in which modulation (e.g., agonism, partial agonism or antagonism) of GLP-1R and/or GIPR activities is beneficial for the treatment or prevention of the underlying pathology and/or symptoms and/or progression of the disease, disorder, or condition. In some embodiments, modulation results in enhancement of (e.g., increases) existing levels (e.g., normal or below normal levels) of GLP-1R and/or GIPR activity (e.g., signaling). In some embodiments, the chemical entities described herein further modulate (e.g., attenuate, uncouple) β-arrestin signaling relative to what is observed with the native ligand. This disclosure also features compositions as well as other methods of using and making the said chemical entities.

Core Innovation

The disclosed subject matter provides peptide-linked compound frameworks defined by broad structural formulas, sequence identifiers, and variable substituent groups. The framework includes peptide-based chemical entities that modulate GLP-1R and/or GIPR, with agonist, partial agonist, and/or antagonist forms, and with receptor modulation linked to specific intracellular signaling outcomes.

A key theme is enhancing cAMP signaling while attenuating β-arrestin coupling, described as uncoupling relative to native ligands. The disclosure ties this signaling bias to reducing GLP-1R/GIPR-related aversion, including conditioned taste aversion described as associated with nausea risk, and contrasts β-arrestin coupling disruption with non-β-arrestin GPCR signaling complexes as the mechanistic basis for the desired outcome.

The content further defines compound embodiments by Formula (I), Formula (A), and related W group structures, including specific sequence embodiments, variable substituent options, and peptide-linked structures identified by SEQ ID NO references. It also includes pharmaceutical compositions comprising the compound or pharmaceutically acceptable salt with pharmaceutically acceptable excipients, together with labeled chemical structure depictions and associated file/image identifiers.

The patent also describes multiple example chemical structures, each associated with stated elemental composition and mass/ion values. The structures are organized into sequence labels and shared core motifs, including aryl–quaternary carbon–amide/linked anilide, amide/heterocycle, amide/urea-like, peptidomimetic/amide, and GLP-1/GIP-based fusion or conjugate structures, while substituents vary between the examples.

Claims Coverage

The provided independent claims cover compounds or pharmaceutically acceptable salts selected from defined groups, with dependent claims narrowing scope to specific depicted structures identified by SEQ ID NO references and associated file/image identifiers. Across the claim sets, the inventive features center on selection from defined structural groups, specific peptide-linked or small-molecule embodiments, and in one dependent refinement a pharmaceutical composition with pharmaceutically acceptable excipients.

Selected peptide-based compound from a defined group

A compound, or pharmaceutically acceptable salt thereof, selected from the group consisting of defined peptide-based compounds.

Selected compound narrowed by specific depicted structures and SEQ ID references

A compound, or pharmaceutically acceptable salt thereof, selected from the group consisting of compounds, with dependent claims specifying particular chemical structures referenced by SEQ ID NO and associated images/files.

Pharmaceutical composition comprising the selected compound and excipients

A pharmaceutical composition comprising the compound or pharmaceutically acceptable salt thereof together with one or more pharmaceutically acceptable excipients.

Compound selected from a defined group of compounds

A compound, or pharmaceutically acceptable salt thereof, wherein the compound is selected from the group consisting of the defined compounds.

Specific depicted structure selection by SEQ ID NO

The compound is specified as the particular chemical structure shown in the provided image(s) and associated with a specific SEQ ID NO.

Specific depicted structure selection by SEQ ID NO and associated file identifiers

The compound is specified as the particular chemical structure shown in the images or chemical structure files, together with associated image/file identifiers.

Overall, the claim coverage is directed to compounds selected from defined groups, with dependents narrowing to specific depicted structures tied to SEQ ID NO references and one formulation refinement to a pharmaceutical composition. The claim language provided does not add additional functional limitations beyond the selection and formulation structure.

Stated Advantages

Enhances cAMP signaling while attenuating β-arrestin coupling relative to native ligands.

Reduces conditioned taste aversion, described as associated with nausea risk.

Provides in vivo glucose clearance without aversion.

Documented Applications

Treatment of metabolic disorders including type 2 diabetes, obesity, and NASH/NAFLD and related comorbidities.

Screening methods using β-arrestin-coupled versus uncoupled GPCR signaling complexes to identify compounds that disrupt β-arrestin coupling while supporting non-β-arrestin signaling.

Modulation of GLP-1R and GIPR.

Modulation of aversion/nausea/vomiting.

Method-level indications for diabetes.

Method-level indications for NASH.

Method-level indications for obesity.

Method-level indications for fatty liver.

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