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Title:
CYCLIC CRF ANTAGONIST PEPTIDES
Document Type and Number:
WIPO Patent Application WO/1998/054221
Kind Code:
A1
Abstract:
Novel cyclic CRF antagonist peptides are created by shortening the N-terminus of a CRF family peptide by 8 residues and adding an acyl group. CML is present in what would be the 27-position of the native CRF sequence, and a cyclizing bond is created between the side chains of the residues in positions 30 and 33. The side chain of Lys, preferably, in position 33 is linked to the side chain of Glu in position 30 by a lactam bridge. Disclosed CRF antagonists include: (cyclo 30-33)[Ac-Asp?9�, D-Phe?12�, Nle?21,38�, CML?27,40�, Glu?30�, Lys?33�]r/hCRF(9-41); (cyclo 30-33) [Ac-Asp?9�, D-Phe?12�, CML?18,27�, Nle?21,38�, Glu?30�, Lys?33�]r-hCRF(9-41); (cyclo 30-33)[Ac-Asp?9�, D-Phe?12�, Nle?21,38�, CML?27,37�, Glu?30�, Lys?33�]r/hCRF(9-41); (cyclo 30-33)[Ac-Asp?9�, D-Phe?12�, CML?14,27�, Nle?21,38�, Glu?30�, Lys?33�]r/hCRF(9-41); (cyclo 30-33)[Ac-Asp?9�, D-Phe?12�, Nle?21,38�, CML?27�, Glu?30�, Lys?33�]r/hCRF(9-41); and (cyclo 30-33)[Ac-Asp?9�, D-Phe?12�, Nle?21,38�, CML?27,40�, Glu?30�, Aib?32�, Lys?33�]r/hCRF(9-41).

Inventors:
RIVIER JEAN E F (US)
Application Number:
PCT/US1998/010591
Publication Date:
December 03, 1998
Filing Date:
May 26, 1998
Export Citation:
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Assignee:
SALK INST FOR BIOLOGICAL STUDI (US)
RIVIER JEAN E F (US)
International Classes:
A61K38/00; A61P1/00; A61P25/00; C07K14/575; G01N33/15; G01N33/50; G01N33/566; G01N33/74; (IPC1-7): C07K14/575
Domestic Patent References:
WO1996019499A21996-06-27
WO1990003392A11990-04-05
Foreign References:
US5493006A1996-02-20
Other References:
GULYAS J ET AL: "POTENT, STRUCTURALLY CONSTRAINED AGONISTS AND COMPETITIVE ANTAGONISTS OF CORTICOTROPIN-RELEASING FACTOR", PROCEEDINGS OF THE NATIONAL ACADEMY OF SCIENCES OF USA, vol. 92, no. 23, 7 November 1995 (1995-11-07), pages 10575 - 10579, XP000566934
Attorney, Agent or Firm:
Samples, Kenneth H. (Even Tabin & Flannery, 16th Floor, 120 South LaSalle Stree, Chicago IL, US)
Download PDF:
Claims:
CLAIMS:
1. A cyclic CRF antagonist peptide which binds to CRF receptors but has an intrinsic activity with respect to such receptors equal to 20% or less than that of native CRF, which peptide has the formula Y ADXaaBXaa,Xaa, XaabXaacCNH2 wherein: Y is an acyl group having up to 15 carbon atoms; A is AspLeuThr or AspLeuSer; DXaa is D Phe, D2Nal or DLeu; B is a sequence of 17 amino acid residues of a peptide of the CRF family selected from the group of sequences consisting of (a) residues 1329 of mammalian and fish CRFs and of fish urotensins and (b) residues 1228 of sauvagine; Xaac represent a pair of amino acid residues, the side chains of which are linked in a cyclizing bond; Xaaa is a natural aamino acid residue other than Cys; Xaab is a residue of either (c) a Disomer amino acid from the group consisting of Disomers of natural a amino acids other than Cys and unnatural aromatic aamino acids, or (d) a natural Lisomer aamino acid other than Cys; and C is a sequence of the last 8 amino acid residues of the Cterminal portion of a peptide of the CRF family selected from the group of sequences consisting of (e) residues 3441 of mammalian and fish CRFs and of fish urotensins and (f) residues 3340 of sauvagine; provided that CML is present as residue27 in sequence (a), or as residue26 in sequence (b) and wherein Nle may be substituted for Met in said peptide sequences.
2. A cyclic peptide which is an antagonist of CRF, said peptide having the formula: <BR> <BR> (cyclo30 33) YAspR10R11 DPheR13R14R15ArgR17R18R19R20 R21R22R23R24R25R26CMLR28R29GluR31R32R33R34ArgR36R37 R38R39R40R41NH2 wherein Y is an acyl group having up to 15 carbon atoms; R10 is Leu or CML; R11 is Thr or Ser; R13 is His, Tyr or Glu; R14 is CML or Leu; R15 is Leu or CML; R17 is Glu, CML, Asn or Lys; R18 is Val, Nle, CML or Met; R19 is Leu or Ile; R20 is Glu, DGlu, or His; R21 is Nle or Met; R22 is Ala, DAla, Aib, Asp, Thr, DThr, Glu or DGlu; R23 is Arg or Lys; R24 is Ala, Aib or CML; R25 is Glu or Asp; R26 is Gln, Asn or Lys; R28 is Ala, Lys, Aib or Arg; R29 is Gln, Aib or Glu; R31 is Aib or an Lisomer of an aamino acid other than Cys; R32 is Aib or a D or Lisomer of an aamino acid other than Cys; R33 is Lys or Orn; R34 is Asn or Aib; R36 is Lys, Orn, Arg, Har, CML or Leu; R37 is CML, Leu or Tyr; R38 is Nle, Met or CML; R39 is Glu, Aib or Asp; R40 is CML, Ile, Aib, Thr, Asn, Glu, Ala, Val, Leu, Nle, Phe, Nva, Gly or Gln; and R41 is Ala, Aib, Ile, Gly, Val, Leu, CML, Nle, Phe, Nva or Gln; wherein DPhe12 may be substituted by another Damino acid, such as DLeu, DTyr, DTrp, DCpa, DTrp, DNal or DPal, or by Phe or Tyr.
3. A cyclic CRF antagonist peptide according to claim 2 having the formula: (cyclo 3033) YAspLeuThrR12R13R14R15ArgR17R18LeuR20 NleR22R23R24R25R26CMLR28R29GluR31 R32R33R34ArgR36R37 NleR39R40R41NH2 wherein Y is an acyl group having not more than 7 carbon atoms; R12 is DPhe, DLeu, D2Nal or DTyr; R13 is His, Tyr or Glu; R14 is Leu or CML; R15 is Leu or CML; R17 is Glu or CML; R18 is Val, CML, Nle or Met; R20 is Glu or DGlu; R22 is Ala, DAla, Aib, Thr, Asp or Glu; R23 is Arg or Lys; R24 is Ala, Aib or CML; R25 is Asp or Glu; R26 is Gln, Asn or Lys; R28 is Ala or Aib; R29 is Gln, Aib or Glu; R31 is Ala or Aib; R32 is His, DHis, Aib, DArg, D2Nal, D3Pal, DTrp, imBzlDHis, Gly, Tyr, DTyr, Leu, DLeu, Ala or DAla; R33 is Lys or Orn; R34 is Asn or Aib; R36 is Lys, Orn, Arg, Har, CML or Leu; R37 is CML, Leu or Tyr; R39 is Glu, Aib or Asp; R40 is Ile, CML, Aib, Thr, Glu, Asn or Gln; and R41 is Ala, Aib, Ile, CML, Val or Phe, provided that at least one of R18 and R40 is CML.
4. A cyclic CRF antagonist peptide according to claim 2 having the formula: (cyclo 3033) YAspLeuThrR12HisR14LeuArgGluR18R19 R20R21R22R23R24R25GlnCMLR28GlnGluR31R32R33R34ArgR36 R37NleR39R40R41NH2 wherein Y is an acyl group having not more than 7 carbon atoms; R12 is DPhe or D2Nal; R14 is Leu or CML; R18 is Val, CML or Nle; R19 is Leu or Ile; R20 is Glu or DGlu; R21 is Nle or Met; R22 is Ala, DAla, Aib or Thr; R23 is Arg or Lys; R24 is Ala or Aib; R25 is Asp or Glu; R28 is Ala or Aib; R31 is Ala or Aib; R32 is DHis, imBzlDHis, DArg, D2Nal, or a Disomer of another basic and/or aromatic aamino acid; R33 is Lys or Orn; R34 is Aib or Asn; R36 is Lys or CML; R37 is Leu or CML; R39 is Glu or Asp; R40 is Ile, CML or Aib; and R41 is Ala, Aib, CML or Ile.
5. A cyclic CRF antagonist peptide according to claim 2 having the formula: (cyclo 3033) YAspLeuThrDPheHisR14LeuArgGluR18 Leu R20 eR22R23R24R25GlnCMLR28R29GluR31 R32R33R34 ArgR36R37NleR39R40R41NH2 wherein Y is Ac, Acr or For; R14 is Leu or CML; R18 is Val, CML or Nle; R20 is Glu or DGlu; R22 is Ala, Aib, DAla or Thr; R23 is Arg or Lys; R24 is Ala or Aib; R25 is Asp or Glu; R28 is Ala or Aib; R29 is Gln or Glu; R31 is Ala or Aib; R32 is His, DHis, DArg, imBzlDHis, DNal, DGlu, DAla, DPal, DTrp, DDpr(Nic), DAph, DAgl(Nic), DOrn, DDbu, DDpr or DOrn(Nic); R33 is Lys or Om; R34 is Asn or Aib; R36 is Lys, CML or Leu; R37 is Leu or CML; R39 is Glu or Asp; R40 is Ile, CML, Aib or Glu; and R41 is Ile, Aib, CML or Ala; provided that D2Nal or DLeu or Phe may be substituted for DPhe.
6. A cyclic CRF antagonist peptide according to claim 2 having the formula: (cyclo 3033) YAspLeuThrR12HisLeuLeuArgGluVa Leu GluNleAlaR23AlaGluGlnCMLAlaGlnGluAlaHisR33Asn ArgLysLeuNleGluIleIleNH2 wherein Y is Ac or Acr; R12 is DPhe or D2Nal; R23 is Arg or Lys; R33 is Lys or Orn; and wherein His32 may optionally be substituted by DHis, imBzlDHis, DArg, DTyr, DNal, DPal, DTrp, DAsn, D Lys, DDpr(Nic), DAph, DPhe, DCpa, DAgl(Nic), DOrn, DDbu, DDpr or DOrn(Nic).
7. A cyclic CRF antagonist peptide according to claim 2 having the formula: (cyclo 3033) YAspR10ThrR12HisR14R15ArgR17R18Leu GluR21AlaR23R24GluGlnCMLAlaGlnGluAlaR32R33Asn ArgR36R37R38GluR40R41NH2 wherein Y is Ac, For or Acr; R10 is Leu or CML; R12 is DPhe or D2Nal; R14, R15, and R37 are independently Leu or CML; R17 is Glu or CML; R18 is Val or CML; R21 is Met or Nle; R23 is Arg or Lys; R24 is Ala or CML; R32 is His, DHis, imBzlDHis, DArg, DAsn, DTyr, DPal, DNal, DTrp or another basic and/or aromatic Disomer aamino acid; R33 is Lys or Orn; R36 is Lys or CML; R38 is Met, Nle or CML; and R40 and R41 are independently Ile or CML; and wherein at least one of R14, R18 R36, R37 R40 and R41 is CML.
8. A cyclic CRF antagonist peptide according to claim 2 having the formula: (cyclo 3033) YAspR10ThrR12HisR14R15ATgR17R1 R21 Al aArgR24GluGlnCMLAlaGlnGluAl aR32R33AsnArg R36R37R38GluR40R41NH2 wherein Y is Ac, For or Acr; R10 is Leu or CML; R12 is DPhe or D2Nal; R14, R15, and R37 are independently Leu or CML; R17 is Glu or CML; R18 is Val or CML; R21 is Met or Nle; R24 is Ala or CML; R32 is His, DHis, imBzlDHis, DArg, DAsn, DTyr, DPal, DNal, DTrp or another basic and/or aromatic Disomer aamino acid; R33 is Lys or Orn; R36 is Lys or CML; R38 is Met, Nle or CML; and R40 and R41 are independently Ile or CML; and wherein at least one of R18 and R40 is CML.
9. A cyclic peptide according to claim 2 having the formula: (cyclo 3033) YAspR10ThrR12HisR14R15ArgR17R18LeuGlu R21R22R23R24GluGlnCMLR28R29GluR31 R32R33R34ArgR36R37 R38R39R40R41NH2 wherein Y is an acyl group having up to 15 carbon atoms; R10, R14, R15, and R37 are independently Leu or CML; R12 is DPhe or D2Nal; R17 is Glu or CML; R18 is Val or CML; R21 is Met or Nle; R22, R28 and R31 are independently either Ala or Aib; R23 is Arg or Lys; R24 is Ala, Aib or CML; R29 is Gln or Aib; R32 is His, Aib, DHis, imBzlDHis, DArg, DAsn, DTyr, DPal, DNal, DTrp or another basic and/or aromatic Disomer aamino acid; R33 is Lys or Orn; R34 is Asn or Aib; R36 is Lys or CML; R38 is Met, Nle or CML; R39 is Glu or Aib; and R40 is Ile, CML or Aib; R41 is Leu, CML or Aib; and wherein at least one of R22, R24, R28, and R31 is Aib.
10. A cyclic peptide according to claim 9 wherein at least one of R14, R18, R37, and R40 is CML. ii.
11. A cyclic peptide according to claim 9 having one of the following formulas: [AcAsp9, DPhe12, Nle21t38, Aib22, CML27, Glu30, Lys33] r/hCRF(941); [AcAsp9, DPhe12, Nle21,38, Aib24, CML27, Glu30, Lys33] r/hCRF(941); [AcAsp9, DPhe12, Nle21,38, CML27, Aib28, Glu30, Lys33] r/hCRF(941); [AcAsp9, DPhe12, Nle21,38, CML27, Aib29, Glu30, Lys33] r/hCRF(941); [AcAsp9, DPhe12, Nle21,38, CML27, Glu30, Aib31, Lys33] r/hCRF(941); [AcAsp9, DPhe12, Nle21,38, CML27, Glu30, Lys33, Aib34] r/hCRF(941); [AcAsp9, DPhe12, Nle21,38, CML27, Glu30, Lys33, Aib39] r/hCRF(941); [AcAsp9, DPhe12, Nle21,38, CML27, Glu30, Lys33, Aib40] r/hCRF(941); [AcAsp9, DPhe12, Nle21,38, CML27, Glu30, Lys33, Aib41] r/hCRF(941); [AcAsp9, DPhe12, Nle21,38, CML27,40, Glu30, Lys33, Aib41] r/hCRF(941); [AcAsp9, DPhe12, Nle21,38, Aib22, CML27,40, Glu30, Lys33] r/hCRF(941); [AcAsp9, DPhe12, Nle21,38, Aib24, CML27,40, Glu30, Lys33] r/hCRF(941); [AcAsp9, DPhe12, Nle21,38, Aib22,24, CML27, Glu30, Lys33] r/hCRF(941); [AcAsp9, DPhe12, Nle21,38, CML27,40, Aib28, Glu30, Lys33] r/hCRF(941); [AcAsp9, DPhe12, CML18,27, Nle21,38, Glu30, Aib31,41, Lys33] r/hCRF(941); [AcAsp9, DPhe12, CML14,27, Nle21,38, Glu30, Aib31, Lys33] r/hCRF(941); [AcAsp9, DPhe12, Nle21,38, CML27,37, Aib28,31, Glu30, Lys33] r/hCRF(941); and [AcAsp9, DPhe12, CML14,27, Nle21,38, Aib24,41, Glu30, Lys33] r/hCRF(941).
12. A cyclic CRF antagonist peptide according to any one of Claims 2, 3, 4, 7, 8 and 9 wherein R32 is His, DHis, DArg, DNal, imBzlDHis, DTyr, DAsn, DCpa, DPhe, DPal, DLys, DDpr, DAph, DDbu, DDpr(Nic), DAgl(Nic) or DOrn(Nic).
13. A cyclic CRF antagonist peptide according to any one of Claims 29 wherein R18 is Val, R22 is Ala, R23 is Arg, R24 is Ala, R25 is Glu, R28 is Ala, R39 is Glu, and R41 is Ile.
14. A cyclic CRF antagonist peptide according to claim 2 having the formula: (cyclo 3033) AcAspLeuThrDPheHisLeuLeuArgGluVal LeuGluNleAlaArgAlaGluGlnCMLAlaGlnGluAlaHis LysAsnArgLysCMLNleGluIleIleNH2 ; (cyclo 3033) AcAspLeuThrDPheHisCMLLeuArgGluVal LeuGluNleAlaArgAlaGluGlnCMLAlaGlnGluAlaHis<BR> LysAsnArgLysLeuNleGluIleIleNH2; (cyclo 3033) AcAspLeuThrDPheHisLeuLeuArgGluLeu CMLGluNleAlaArgAlaGluGlnCMLAlaGlnGluAlaHis LysAsnArgLysLeuNleGluIleIleNH2; (cyclo 3033)AcAspLeuThrDPheHisLeuLeuArgGluCML LeuGluNleAlaArgAlaGluGlnCMLAlaGlnGluAlaHis LysAsnArgLysLeuNleGluIleIleNH2; (cyclo 3033)AcAspLeuThrDPheHisLeuLeuArgGluVal LeuGluNleAlaArgAlaGluGlnCMLAlaGlnGluAlaDHis LysAsnArgLysCMLNleGluIleIleNH2; (cyclo 3033 )AcAspLeuThrDPheHisCMLLeuArgGlu ValLeuGluNleAlaArgAlaGluGlnCMLAlaGlnGluAla<BR> DHisLysAsnArgLysLeuNleGluIleIleNH2; (cyclo 3033) AcAspLeuThrDPheHisLeuLeuArgGluVal LeuGluNleAlaArgAlaGluGlnCMLAlaGlnGluAlaDAla LysAsnArgLysLeuNleGluIleIleNH2; (cyclo 3033) AcAspLeuThrDPheHisLeuLeuArgGluVal LeuGluNleDAlaArgAlaGluGlnCMLAlaGlnGluAlaD<BR> 2NalLysAsnArgLysLeuNleGluIleIleNH2; (cyclo 3033) AcAspLeuThrDPheHisCMLLeuArgGluVal LeuGluNleAlaArgAlaGluGlnCMLAlaGlnGluAla imBzlDHisLysAsnArgLysLeuNleGluIleIleNH2; (cyclo 3033) AcAspLeuThrDPheHisLeuLeuArgGluVal LeuGluNleAlaArgAlaGluGlnCMLAlaGlnGluAlaDHis LysAsnArgLysLeuNleGluCMLIleNH2.
15. A cyclic CRF antagonist peptide according to claim 2 having the formula: (cyclo 3033) YAspLeuThrDPheHisLeuLeuArgGluVal <BR> <BR> LeuGluNleAlaArgAlaGluGlnCMLAlaGlnGluAlaHis LysAsnArgLysLeuNleGluCML I leNH2, or the formula: (cyclo 3033) YAspLeuThrDPheHisLeuLeuArgGluVal <BR> <BR> LeuGluNleAlaArgAlaGluGlnCMLAlaGlnGluAlaAib LysAsnArgLysLeuNleGluCMLIleNH2, wherein Y is an acyl group having not more than 12 carbon atoms.
Description:
CYCLIC CRF ANTAGONIST PEPTIDES This invention is generally directed to peptides and to the pharmaceutical treatment of mammals using such peptides. More specifically, the invention relates to cyclic antagonists of the CRF hentetracontapeptides as well as to members of the larger family of CRF-like peptides, to pharmaceutical compositions containing such cyclic CRF antagonists, to methods of treatment of mammals using such cyclic CRF antagonists, and to methods of screening for new drugs using such peptides.

Ovine CRF (oCRF) (SEQ ID NO:1), in 1981, was the first physiologic corticotropin releasing factor characterized; it is disclosed in U.S. Patent No. 4,415,558 as a 41-residue amidated peptide which lowers blood pressure in mammals when injected peripherally and stimulates the secretion of ACTH and p-endorphin.

Rat CRF (rCRF) (SEQ ID NO:2) was later isolated, purified and characterized; it is described in U.S. Patent No. 4,489,163. The amino acid sequence of human CRF was determined to be the same as that of rCRF, so rCRF and hCRF are used interchangeably, as is the designation r/hCRF.

These peptide hormones are considered to form a part of a larger family of native CRF-like peptides and analogs which include the mammalian and fish CRFs, the urotensins and sauvagine (SEQ ID NO:3).

A CRF analog having a high alpha-helical forming potential was developed in about early 1984. It is a 41-residue amidated peptide commonly referred to as AHC (alpha-helical CRF) (SEQ ID NO:4) which is described in U.S. Patent No. 4,594,329 and is considered to be a member of the overall family of CRF-like peptides. Other CRF analogs containing D-isomers of a-amino acids were developed, such as those shown in U.S. Patent No.

5,278,146. Synthetic r/hCRF, oCRF and AHC all stimulate ACTH and p-endorphin-like activities (P-END-Li) in vitro and in vivo and substantially lower blood pressure when injected peripherally. Antagonists of these three peptides and of

sauvagine and urotensin are disclosed in U.S. Patent No.

4,605,642, issued August 12, 1986. Cyclic CRF antagonists exhibiting biopotency are disclosed in U.S. Patent No.

5,493,006 and in U.S. Patent No. 5,510,458 and published international application WO 96/19499, the latter two of which disclose cyclizing bonds between the residues in the 30 and 33 positions. More specifically, the latter document discloses a potent CRF antagonist referred to as Destressin having the formula (cyclo-33) [D-Phe12, Nle21138, Glu30, D-His32, Lys33]-r/hCRF (12-41).

Since the foregoing discoveries, the search for still further improved CRF antagonists has continued.

CRF antagonist peptides have now been discovered which exhibit further increased biological activity in comparison to known CRF antagonists, and many exhibit substantially no residual CRF agonist activity. They also exhibit high solubility in neutral aqueous solutions, e.g. at physiological pH, and high receptor affinity.

It is also shown that the various members of the family of CRF-like peptides can be modified to create such highly biopotent CRF antagonists that bind strongly to the known CRF receptors (CRF-R) without significantly activating same and thus block the action of CRF at its receptors. They exhibit an affinity for CRF-R well above that exhibited by oCRF.

In one basic aspect, the invention provides a cyclic CRF antagonist peptide which binds to CRF receptors but has an intrinsic activity with respect to such receptors equal to 20% or less than that of native CRF, which peptide has the formula Y-A-D-Xaa-B-Xaac-Xaaa-Xaab-Xaac-C-NH2 wherein: Y is an acyl group having up to 15 carbon atoms; A is Asp- Leu-Thr or Asp-Leu-Ser; D-Xaa is D-Phe, D-2Nal or D-Leu; B is a sequence of 17 amino acid residues of a peptide of the CRF family selected from the group of sequences consisting of (a) residues 13-29 of mammalian and fish CRFs and of fish urotensins and (b) residues 12-28 of sauvagine; Xaac represent a pair of amino acid residues, the side chains of which are linked in a cyclizing bond; Xaa a is a natural a-

amino acid residue other than Cys; Xaab is a residue of either (c) a D-isomer amino acid from the group consisting of D-isomers of natural a-amino acids other than Cys and unnatural aromatic a-amino acids, or (d) a natural L-isomer a-amino acid other than Cys; and C is a sequence of the last 8 amino acid residues of the C-terminal portion of a peptide of the CRF family selected from the group of sequences consisting of (e) residues 34-41 of mammalian and fish CRFs and of fish urotensins and (f) residues 33-40 of sauvagine; provided that CML is present as residue-27 in sequence (a), or as residue-26 in sequence (b) and wherein Nle may be substituted for Met in said peptide sequences.

It has been found that the combination of such a cyclizing bond, the presence of CML27 and the acylation of the N-terminus in a peptide of 33 residues in length creates a molecule of long-acting duration and high biopotency, e.g. (cyclo 30-33) [Ac-Ser9, CML27, Glu30, Lys33]- r/hCRF(9-41). The family of CRF-like peptides is considered to encompass those peptides which bind to the CRF receptors and have at least about 45% amino acid structural homology with ovine CRF, the first mammalian CRF isolated and characterized. The CRF-like family includes the following known peptides: ovine CRF (SEQ ID NO:1), rat/human CRF (SEQ ID NO:2), porcine CRF (SEQ ID NO:5), bovine CRF (SEQ ID NO:6), fish CRFs (SEQ ID NO:7), a-helical CRF(AHC) (SEQ ID NO:4), carp urotensin (SEQ ID NO:8), sucker urotensin (SEQ ID NO:9), maggy sole urotensin (SEQ ID NO:10), flounder urotensin (SEQ ID NO:1l) and sauvagine (SEQ ID NO:3).

As indicated above, these peptides have a cyclizing bond between the residues in what would be the 30- and 33-positions in mammalian CRF. A second such bond may optionally be provided between the residues in the 20- and 23-positions. Preferably, the cyclizing bond is a lactam bridge (amide bond) between a side chain carboxyl group on the residue in the 30-position, preferably Glu, and a side chain amino group on the 33-position residue, preferably Lys or Orn. Although the naturally occurring residues of

the CRF-like family may be present in the position which corresponds to the 32-position of CRF, i.e. His, Gly, Leu, Gln and Ala, it appears that any a-amino acid is tolerated here. Preferably however, a basic and/or aromatic D-isomer residue or an equivalent is present in the 32-position in the region between the residues joined by this lactam bridge, e.g. D-His, D-Arg, D-Tyr, imBzlD-His, D-Nal D-Pal, D-Trp, D-Dpr(Nic), D-Aph, D-Agl(Nic), D-Orn, D-Dbu, D-Dpr, D-Orn(Nic) or a comparable D-isomer. However, a wide variety of other residues such as D-Ala, D-Glu, D-Asn, Aib, Asn, Pal, Nal, Phe and Tyr may be present.

As described herein, the lactam linkage between the side chains of the residues in the 30- and 33-positions is preferred; however, biopotency is also increased, but to a somewhat lessor degree, by alternative cyclizing linkages in this same region of the molecule. For example, the side chain of Glu28 or Glu29 can be linked respectively to Lys31 or Lys32, or instead respectively to Lys32 or Lys33 (creating a one-residue longer span). These somewhat less biopotent alternatives are considered to be equivalents to the 30-33 cyclizing linkage.

These peptides also have the preferred inclusion of D-Phe, D-2Nal or D-Leu or an equivalent D-isomer, e.g., D-Cpa, D-Tyr, D-Trp or D-3Pal, in the 12-position, and they preferably have norleucine substituted for any naturally occurring Met, e.g., in the 21 and 38 positions of r/h CRF.

If it is desired to provide a labelled peptide for use in a binding or other assay, as more fully discussed in WO 96/19499, as by adding a radioactive isotope or a fluorescent dye as is well known in this art, D-Tyr, Tyr (e.g. Ac-D-Tyr or Ac-Tyr) or an acyl group having a hydroxy aryl moiety (e.g. desNH2-Tyr) may be present at the N- terminus to form equivalents which are suitable for labelling. Other optional substitutions may also be made throughout the molecule as generally known, and these are considered to be functional equivalents of the specific peptides described hereinafter.

In a broader aspect, the invention provides a cyclic peptide which is an antagonist of CRF, said peptide having the formula: (ctclo30-33)Y-Asp-R10-R11-D-Phe-R13-R14-R15-Arg-R17-R18-R19- R20- R21 -R22-R23-R24-R25-R26-CML-R28-R29-Glu-R31 -R32-R33-R34-Arg-R36-R37- R38-R39-R40-R41-NH2 wherein Y is an acyl group having up to 15 carbon atoms; R10 is Leu or CML; R11 is Thr or Ser; R13 is His, Tyr or Glu; R14 is CML or Leu; R15 is Leu or CML; R17 is Glu, CML, Asn or Lys; R18 is Val, Nle, CML or Met; R19 is Leu or Ile; R20 is Glu, D-Glu, or His; R21 is Nle or Met; R22 is Ala, D-Ala, Aib, Asp, Thr, D-Thr, Glu or D-Glu; R23 is Arg or Lys; R24 is Ala, Aib or CML; R25 is Glu or Asp; R26 is Gln, Asn or Lys; R28 is Ala, Lys, Aib or Arg; R29 is Gln, Aib or Glu; R31 is Aib or an L-isomer of an a-amino acid other than Cys; R32 is Aib or a D- or L-isomer of an a-amino acid other than Cys; R33 is Lys or Orn; R34 is Asn or Aib; R36 is Lys, Orn, Arg, Har, CML or Leu; R37 is CML, Leu or Tyr; R38 is Nle, Met or CML; R39 is Glu, Aib or Asp; R40 is CML, Ile, Aib, Thr, Asn, Glu, Ala, Val, Leu, Nle, Phe, Nva, Gly or Gln; and R41 is Ala, Aib, Ile, Gly, Val, Leu, CML, Nle, Phe, Nva or Gln; wherein D-Phe12 may be substituted by another D-amino acid, such as D-Leu, D-Tyr, D-Trp, D-Cpa, D-Trp, D-Nal or D-Pal, or by Phe or Tyr.

Of particular interest are those analogs wherein the Leu residue in the 27-position is substituted with a methyl group on its a-carbon atom, i.e., CML. CML may optionally also be present in the 10-, 14-, 15-, 17-, 18-, 24-, 36-, 37-, 38-, 40- and/or 41-positions, and analogs including CML27 and at least one more such CML residue are preferred.

In addition, CML may be substituted in the 19-position and the 21-position to provide equivalent analogs.

Cαeala (CMA), which is a-aminoisobutyric acid (Aib), may also be optionally inserted at one or more of positions 22, 24, 28, 29, 31, 32, 34, 39, 40 and 41. Such substitutions, both alone and in combination with various of the aforementioned substitutions, are considered to enhance biopotency and/or to increase duration of action. For example, the combination of CML27 with one or more of CML18

and CML40 and/or with one or more of Aib22, Aib24, Aib28, Aib31 and Aib32 (together with the 30-33 side chain bridge) provides long duration of bioactivity.

Pharmaceutical compositions in accordance with the invention include such CRF antagonists or nontoxic addition salts thereof that are dispersed in a pharmaceutically acceptable liquid or solid carrier. Some such formulations are facilitated because of high solubility at physiological pH; however, formulations in aqueous solutions of mannitol or corn oil may be preferred for subcutaneous (s.c.) administration. The administration of such peptides or pharmaceutically acceptable addition salts thereof to mammals, particularly humans, in accordance with the invention may be carried out for the regulation of secretion of ACTH, -endorphin, -lipotropin, corticosterone and other products of the pro-opiomelano- cortin (POMC) gene and/or for affecting mood, behavioral and gastrointestinal functions and autonomic nervous system activities. For example, these CRF antagonists may be administered to reduce high ACTH levels, and thereby treat stress-related illnesses, such as stress-induced depression and anxiety, to raise blood pressure when injected iv, to decrease blood flow to the gastrointestinal tract, i.e. particularly to treat patients suffering from irritable bowel syndrome and gastrointestinal diseases, and also to treat inflammatory disorders; immune suppression; human immunodeficiency virus (HIV) infections; Alzheimer's disease; anorexia nervosa; hemorrhagic stress; drug and alcohol withdrawal symptoms; drug addiction, and fertility problems. Because of these broad effects, it may be desirable to administer these peptides with hormonal replacement therapy as discussed hereinafter.

The peptides also provide the basis for valuable methods for drug screening in order to detect even more potent molecules that will bind to and/or activate CRF receptors as a result of their high affinity for CRF receptors.

The nomenclature used to define the peptides is that specified by Schroder & Lubke, "The Peptides", Academic Press (1965) wherein, in accordance with conventional representation, the amino group appears to the left and the carboxyl group to the right. The standard 3-letter abbreviations are used to identify the alpha-amino acid residues, and where the amino acid residue has isomeric forms, it is the L-form of the amino acid that is represented unless otherwise expressly indicated, e.g. Ser = L-serine, Orn = L-ornithine, Nle = L-norleucine, Nva = L-norvaline, Agl = aminoglycine, Dbu = L-2,4-diaminobutyric acid, Dpr = L-2,3-diaminopropionic acid, Hly = L-homolysine and Har = L-homoarginine. In addition the following abbreviations are used: CML = CaCH3-L-leucine Aib = CQCH3-alanine or 2-aminoisobutyric acid; Nal = L-p-(l- or 2-naphthyl)alanine; Pal = L-p-(2-,3- or 4-pyridyl)alanine; Cpa = L-(2-, 3-, or 4-chloro) phenylalanine; Aph = or 4-amino)phenylalanine; Amp = (2-, 3- or 4-aminomethyl)phenylalanine; Nic = 3-carboxypyridine (or nicotinic acid); Pn = propionyl; iPn = isopropionyl; butyryl = Bt; valeryl = V1; Vac = vinylacetyl; Nph = naphthoyl; and Flu = fluorenoyl. Generally, the CRF antagonists include a D-isomer in the 12-position and may include a D-isomer in the 32-position.

In one particular aspect, the invention provides CRF antagonist peptides (and equivalent nontoxic salts thereof) having the formula: (cyclo 30-33) Y-Asp-Leu-Thr-R12-His-R14-Leu-Arg-Glu-R18-R19- R20-R21 -R22-R23-R24-R25-Gln-CML-R28-Gl n-Glu-R31 -R32-R33-R34-Arg-R36- R37-Nle-R39-R40-R41-NH2 wherein Y is an acyl group having not more than 7 carbon atoms; R12 is D-Phe or D-2Nal; R14 is Leu or CML; R18 is Val, CML or Nle; R19 is Leu or Ile; R20 is Glu or D-Glu; R21 is Nle or Met; R22 is Ala, D-Ala, Aib or Thr; R23 is Arg or Lys; R24 is Ala or Aib; R25 is Asp or Glu; R28 is Ala or Aib; R31 is Ala or Aib; R32 is D-His, imBzlD-His, D-Arg, D-2Nal, or a D-isomer of another basic and/or aromatic a-amino acid; R33 is Lys or Orn; R34 is Aib or Asn; R36 is Lys or CML; R37 is Leu or CML; R39 is Glu or Asp; R40

is Ile, CML or Aib; and R41 is Ala, Aib, CML or Ile.

Generally, in all these peptides, D-Phe12 may be substituted by another D-amino acid, such as D-Leu, D-Tyr, D-Cpa, D-Nal, D-Trp or D-Pal, or by Phe or Tyr. As an alternative to acylation at the N-terminus, a sulfonamide may be formed, or a sugar or a lipid can be added to modulate hydrophilicity and therefore duration of action and solubility. As earlier indicated, there is wide latitude for selection of the residue in position-32, and examples of suitable additional residues for R32 include the D- and L-isomers of Asn, Trp, Arg, Nal, imBzlHis, Tyr, Ala, Leu, Val, Ser, Thr, Cpa, Pal, Lys, Phe and Gln, as well as Aib, Gly, D-Dpr(Nic), D-Aph, D-Agl(Nic), DOrn, D-Dbu, D-Dpr, or D-Orn(Nic).

In another aspect, the invention provides CRF antagonist peptides (including nontoxic salts thereof) having the following formula: (cyclo3 0-3 3) Y-Asp-R10-Thr-R12-His-R14-R15-Arg-R17-R18-Leu- Glu-R21 -Ala-R23-R24-Glu-Gln-CML-Ala-Gln-Glu-Ala-R32-R33-Asn- Arg-R36-R37-R38-Glu-R40-R41-NH2 wherein Y is Ac, For or Acr; R10 is Leu or CML; R12 is D-Phe or D-2Nal; R14, R15, and R37 are independently Leu or CML; R17 is Glu or CML; R18 is Val or CML; R21 is Met or Nle; R23 is Arg or Lys; R24 is Ala or CML; R32 is His, D-His, imBzlD-His, D-Arg, D-Asn, D-Tyr, D-Pal, D-Nal, D-Trp or another basic and/or aromatic D-isomer a-amino acid; R33 is Lys or Orn; R36 is Lys or CML; R38 is Met, Nle or CML; and R40 and R41 are independently Ile or CML; and wherein at least one of R14, R18, R36, R37, R40 and R41 is CML.

In still another aspect, the invention provides peptides (including nontoxic salts thereof) having the formula: (cyclo 30-33) Y-Asp-Leu-Thr-D-Phe-His-R14-Leu-Arg-Glu-R18- Leu-R20-Nle-R22-R23-R24-R25 -Gln-CML-R28-R29-Glu-R31 -R32-R33-R34- Arg-R36-R37-Nle-R39-R40-R41-NH2 wherein Y is Ac, Acr or For; R14 is Leu or CML; R18 is Val, CML or Nle; R20 is Glu or D-Glu; R22 is Ala, Aib, D-Ala or Thr; R23 is Arg or Lys; R24 is Ala or Aib; R25 is Asp or Glu; R28 is Ala or Aib; R29 is Gln or

Glu; R31 is Ala or Aib; R32 is His, D-His, D-Arg, imBzlD-His, D-Nal, D-Glu, D-Ala, D-Pal, D-Trp, D-Dpr(Nic), D-Aph, D-Agl(Nic), D-Orn, D-Dbu, D-Dpr or D-Orn(Nic); R33 is Lys or Orn; R34 is Asn or Aib; R36 is Lys, CML or Leu; R37 is Leu or CML; R39 is Glu or Asp; R40 is Ile, CML, Aib or Glu; and R41 is Ile, Aib, CML or Ala; provided that D-2Nal or D-Leu or Phe may be substituted for D-Phe.

When it is desired that any of these peptides should very closely resemble r/hCRF, all or a majority of the following selections are incorporated: R18 is Val, R22 is Ala, R23 is Arg, R24 is Ala, R25 is Glu, R28 is Ala, R39 is Glu, and R41 is Ile.

In yet another aspect, the invention provides CRF antagonist peptides (including nontoxic salts thereof) having the following formula: (cyclo 30-33) Y-Asp-Leu-Thr-D-Phe-His-R14-Leu-Arg-Glu-R18- Leu-R20-Nle-R22-Arg-R24-R25-Gln-CML-R28 Gln Glu R31 -R32-R33-R34- Arg-R36-R37-Nle-R39-R40-R41-NHz wherein Y is Ac, Acr or For; R14 is Leu or CML; R18 is Val, CML or Nle; R20 is Glu or D-Glu; R22 is Ala or Aib; R24 is Ala or Aib; R25 is Asp or Glu; R28 is Ala or Aib; R31 is Ala or Aib; R32 is His, Aib, D-His, D-Arg, D-Nal, D-Glu, D-Ala, D-Pal, D-Trp, D-Aph, D-Orn, D-Dbu or D-Dpr; R33 is Lys or Orn; R34 is Asn or Aib; R36 is Lys or CML; R37 is Leu or CML; R39 is Glu or Asp; R40 is Ile, CML or Aib; and R41 is Ile, Aib, CML or Ala; provided that D-2Nal or D-Leu or Phe may be substituted for D-Phe.

In a further aspect, the invention provides CRF antagonist peptides (including nontoxic salts thereof) having the formula: (cyclo 30-33)Y-Asp-R10-Thr-R12-His-R14- R15-Arg-R17-R18-Leu-Glu-R21 -Ala-Arg-R24-Glu-Gln-CML-Ala-Gln- Glu-Ala-R32-R33-Asn-Arg-R36-R37-R38-Glu-R40 R41 -NH2 wherein Y is Ac, For or Acr; R10 is Leu or CML; R12 is D-Phe or D-2Nal;

0 98/54221 PCT/US98/10591 R14, R15, and R37 are independently Leu or CML; R17 is Glu or CML; R18 is Val or CML; R21 is Met or Nle; R24 is Ala or CML; R32 is His, Aib, D-His, imBzlD-His, D-Arg, D-Asn, D-Tyr, D-Pa1, D-Nal, D-Trp or another basic and/or aromatic D-isomer a-amino acid; R33 is Lys or Orn; R36 is Lys or CML; R38 is Met, Nle or CML; and R40 and R41 are independently Ile or CML; and wherein at least one of R10, R14, R15, R17, R18, R19, R37, R40 and R41 is CML. Specific analogs of this group which are considered to be particularly biopotent from the standpoint of reducing high ACTH levels and raising blood pressure are: cyclo (30-33) [Ac-Asp9, D-Phe12, CML14,27, Nle21,38, Glu30, D-His32, lys33]r/hCRF(9-41); cyclo(30-33) [Ac-Asp9, D-Phe12, CML18,27, Nle21,38, Glu30, D-His32, Lys33]r/hCRF(9-41); cyclo(30-33) [Ac-Asp9, D-Phe12, Nle21,38, CML27,36,37, Glu30, Lys33]r/hCRF(9-41); cyclo(30-33) [Ac-Asp9, D-Phe12, Nle21'38, CML27,40, Glu30, Lys33]r/hCRF(9-41); cyclo (30-33) [Ac-Asp9, D-Phe12, Nle21,38, CML27,37, Glu30, Lys33]r/hCRF(9-41); cyclo (30-33) [Ac-Asp9, D-Phe12, CML14,27,40, Nle21'38, Glu30, Lys33]r/hCRF(9-41); cyclo(30-33) [Ac-Asp9, D-Phe12, Nle21,38, CML27,37,41, Glu30, Lys33]r/hCRF(9-41); cyclo(30-33) [Ac-Asp9, D-Phe12, Nle21,38, CML14,27,37,40, Glu30, Lys33]r/hCRF(9-41); cyclo(30-33) [Ac-Asp9, D-2Nal12, CML14,27,37,40, Nle21, 38 Glu30, Lys33]r/hCRF (9-41) ; and cyclo(30-33) [Ac-Asp9, D-Phe12, Nle21,38, CML27,37,40, Glu30, Lys33]r/hCRF(9-41).

In a still further aspect, the invention provides CRF antagonist peptides (including nontoxic salts thereof) having the formula: (cyclo 30-33) Y-Asp-Leu-Thr-R12-R13-R14-R15-Arg-R17-R18-Leu-R20- Nle-R22-R23-R24-R25 -R26-CML-R28-R29-G lu-R31 -R32-R33-R34-Arg-R36-R37- Nle-R39-R40-R41-NH2 wherein Y is an acyl group having not more than 7 carbon atoms; R12 is D-Phe, D-Leu, D-2Nal or D-Tyr;

R13 is His, Tyr or Glu; R14 is Leu or CML; R15 is Leu or CML; R17 is Glu or CML; R18 is Val, CML, Nle or Met; R20 is Glu or D-Glu R22 is Ala, D-Ala, Aib, Thr, Asp or Glu; R23 is Arg or Lys; R24 is Ala, Aib or CML; R25 is Asp or Glu; R26 is Gln, Asn or Lys; R28 is Ala or Aib; R29 is Gln, Aib or Glu; R31 is Ala or Aib; R32 is His, D-His, Aib, D-Arg, D-2Nal, D-3Pal, D-Trp, imBzlD-His, Gly, Tyr, D-Tyr, Leu, D-Leu, Ala or D-Ala; R33 is Lys or Orn; R34 is Asn or Aib; R36 is Lys, Orn, Arg, Har, CML or Leu; R37 is CML, Leu or Tyr; R39 is Glu, Aib or Asp; R40 is Ile, CML, Aib, Thr, Glu, Asn or Gln; and R41 is Ala, Aib, Ile, CML, Val or Phe, provided that at least one of R18 and R40 is CML.

In a yet further aspect, the invention provides CRF antagonist peptides (including nontoxic salts thereof) having the formula: (cyclo 30-33) Y-Asp-R10-Thr-R1,-His-R,4-R,S-Arg-R,,-R, R21-Ala-Arg-R24-Glu-Gln-CML-Ala-aGln-Glu-Ala-R32-R33-Asn-Arg - R36-R37-R38-Glu-R40-R41-NH2 wherein Y is Ac, For or Acr; R10 is Leu or CML; R12 is D-Phe or D-2Nal; R14, R15, and R37 are independently Leu or CML; R17 is Glu or CML; R18 is Val or CML; R21 is Met or Nle; R24 is Ala or CML; R32 is His, D-His, imBzlD-His, D-Arg, D-Asn, D-Tyr, D-Pal, D-Nal, D-Trp or another basic and/or aromatic D-isomer a-amino acid; R33 is Lys or Orn; R36 is Lys or CML; R38 is Met, Nle or CML; and R40 and R41 are independently Ile or CML; and wherein at least one of R18, and R40 is CML.

In still another aspect, the invention provides CRF antagonist peptides (including nontoxic salts thereof) having the formula: (cyclo 30-33) Y-Asp-Leu-Thr-R12-His-Leu-Leu-Arg-Glu-Val-Leu- Glu-Nle-Ala-R23-Ala-Glu-Gln-CML-Ala-Gln-Glu-ala-His-R33-Asn- Arg-Lys-Leu-Nle-Glu-Ile-Ile-NH2 wherein Y is Ac or Acr; R12 is D-Phe or D-2Nal; R23 is Arg or Lys; R33 is Lys or Orn; and wherein His32 may optionally be substituted by D-His, imBzlD-His, D-Arg, D-Tyr, D-Nal, D-Pal, D-Trp, D-Asn, D- Lys, D-Dpr(Nic), D-Aph, D-Phe, D-Cpa, D-Agl(Nic), DOrn, D-Dbu, D-Dpr or D-Orn(Nic).

In yet another aspect, the invention provides CRF antagonist peptides (including nontoxic salts thereof) having the formula: (cyclo 30-33) Y-Asp-R10-Thr-R12-His-R14-R15-Arg-R17-R18-Leu-G1u- R21 -R22-R23-R24-Glu-G ln-CML-R28-R29-G lu-R31 -R32-R33-R34-Arg-R36-R37- R38-R39-R40-R41-NH2 wherein Y is an acyl group having up to 15 carbon atoms; R10, R14, R15, and R37 are independently Leu or CML; R12 is D-Phe or D-2Nal; R17 is Glu or CML; R18 is Val or CML; R21 is Met or Nle; R22, R28 and R31 are independently either Ala or Aib; R23 is Arg or Lys; R24 is Ala, Aib or CML; R29 is Gln or Aib; R32 is His, Aib, D-His, imBzlD-His, D-Arg, D-Asn, D-Tyr, D-Pal, D-Nal, D-Trp or another basic and/or aromatic D-isomer a-amino acid; R33 is Lys or Orn; R34 is Asn or Aib; R36 is Lys or CML; R38 is Met, Nle or CML; R39 is Glu or Aib; and R40 is Ile, CML or Aib; R41 is Leu, CML or Aib; and wherein at least one of R22, R24, R28, and R31 is Aib.

Specific analogs of this group which are considered to be particularly biopotent from the standpoint of reducing high ACTH levels and raising blood pressure are: cyclo(30-33) [Ac-Asp9, D-Phe12, Nle21,38, Aib24, CML27,40 Glu30, Lys33]r/hCRF(9-41); cyclo (30-33) [Ac-Asp9, D-Phe12, Nle21,38, Aib22, CML27,40 Glu30, Lys33]r/hCRF(9-41); cyclo(30-33) [Ac-Asp9, D-Phe12, Nle21,38, CML27, Aib28, Glu30, Lys33]r/hCRF(9-41); cyclo(30-33) [Ac-Asp9, D-Phe12, Nle21,38, CML27,40 Aib28 Glu30, Lys33]r/hCRF(9-41); cyclo(30-33) [Ac-Asp9, D-Phe12, Nle21,38, CML27,37, Aib28, 31 Glu30, Lys33]r/hCRF(9-41); cyclo(30-33) [Ac-Asp9, D-Phe12, Nle21,38, CML2740, Glu30, Aib32, Lys33]r/hCRF(9-4l); and cyclo(30-33) [Ac-Asp9, D-Phe12, CML14,27, Nle21,37, Glu30, Aib31, Lys33]r/hCRF(9-41).

The peptides of the invention may be synthesized by classical peptide solution synthesis, and such synthesis is preferred for large quantities. To obtain limited quantities, e.g. less than 1 kg, it may be preferable to

prepare them using solid phase synthesis, such as that described by Merrifield, J. Am. Chem. Soc., 85, p 2149 (1964), which facilitates the CRF antagonist peptides being prepared in a straightforward manner and then quickly tested to determine biological activity.

Common to chemical syntheses of peptides is the protection of the labile side chain groups of the various amino acid moieties with suitable protecting groups which will prevent a chemical reaction from occurring at that site until the group is ultimately removed. Usually also common is the protection of an alpha-amino group on an amino acid or a fragment while that entity reacts at the carboxyl group, followed by the selective removal of the alpha-amino protecting group to allow subsequent reaction to take place at that location. Accordingly, it is common that, as a step in the synthesis, an intermediate compound is produced which includes each of the amino acid residues located in its desired sequence in the peptide chain with various of these residues having side-chain protecting groups.

For example, chemical synthesis of a peptide analog from one preferred group may include the initial formation of an intermediate of the following amino acid sequence: X1-Asp(X5)-Leu-Thr(X2)-D-Phe-R13(X7 or X5) -Leu-Leu-Arg (X3) - R17(X5)-R18-Leu-R20(X5 or X8)-Nle-R22(X2 or X5)-R23(X3, X6 or X8)-R24-R25(X5)-R26(X4 or X6)-CML-R28-R29(X4 or X5)-R30(X5 or X8)-R31-R32(X3 orX7)-R33 (X6 orX8)-R34 R34(X4)-Arg(X3)-R36 (X3 or X6) -R37(X7) (X7)-Nle-R39 (X5)-R40 (X2, X4 or X5)-R41(X4)-X9 wherein: the R-groups are as hereinbefore defined.

X1 is either hydrogen or an alpha-amino protecting group. The alpha-amino protecting groups contemplated by x1 are those known to be useful in the art in the step-wise synthesis of polypeptides. Among the classes of alpha-amino protecting groups covered by x1 are (1) acyl-type protecting groups, such as formyl(For), acrylyl(Acr), benzoyl(Bz) and acetyl(Ac) which are preferably used only at the N-terminal; (2) aromatic urethan-type protecting groups, such as

benzyloxycarbonyl(Z) and substituted Z, such as p-chlorobenzyloxycarbonyl, p-nitrobenzyloxycarbonyl, p-bromobenzyloxycarbonyl, p-methoxybenzyloxycarbonyl; (3) aliphatic urethan protecting groups, such as t-butyloxycarbonyl (BOC), diisopropylmethoxycarbonyl, isopropyloxycarbonyl, ethoxycarbonyl, allyloxycarbonyl; (4) cycloalkyl urethan-type protecting groups, such as fluorenyl methyloxycarbonyl (Fmoc), cyclopentyloxy-carbonyl, adamantyloxycarbonyl, and cyclohexyloxy-carbonyl; and (5) thiourethan-type protecting groups, such as phenylthiocarbonyl. The two preferred alpha-amino protecting groups are BOC and Fmoc.

X2 is a protecting group for the hydroxyl group of Thr or Ser and is preferably selected from the class consisting of acetyl(Ac), benzoyl(Bz), tert-butyl, triphenylmethyl (trityl), tetrahydropyranyl, benzyl ether(Bzl) and 2,6-dichlorobenzyl (DCB). The most preferred protecting group is Bzl. X2 can be hydrogen, which means there is no protecting group on the hydroxyl group.

X3 is a protecting group for the guanidino group of Arg or Har preferably selected from the class consisting of nitro, p-toluenesulfonyl(Tos), Z, adamantyloxycarbonyl and BOC, or is hydrogen. Tos is most preferred.

X4 is hydrogen or a protecting group, preferably xanthyl(Xan), for the amido group of Asn or Gln. Asn or Gln is often coupled without side chain protection in the presence of hydroxybenzotriazole (HOBt).

X5 is hydrogen or an ester-forming protecting group for the p- or y-carboxyl group of Asp or Glu, preferably selected from the esters of cyclohexyl (OChx) benzyl (OBzl), 2,6-dichlorobenzyl, methyl, ethyl and t-butyl (Ot-Bu). OChx is preferred for a BOC strategy.

X6 is hydrogen or a protecting group for the side chain amino substituent of Lys or Orn. Illustrative of suitable side chain amino-protecting groups are Z, 2-chlorobenzyloxycarbonyl(2Cl-Z), Tos, t-amyloxycarbonyl(Aoc), BOC and aromatic or aliphatic

urethan-type protecting groups as specified hereinbefore.

2C1-Z is preferred for a BOC strategy.

When His is present, X7 is hydrogen or a protecting group for the imidazole nitrogen such as Tos or 2,4-dinitrophenyl(DNP), and when Tyr is present, X7 is hydrogen or a protecting group for the hydroxyl group such as DCB. When Met is present, the sulfur may be protected, if desired, with oxygen.

X8 is a protecting group for an amino side chain which is removable without simultaneously removing the protecting group X6, e.g. a base-labile group such as Fmoc; or a suitable labile protecting group for a carboxyl side chain which is removable without simultaneously removing the protecting group X5, e.g., a base-labile group such as OFm (fluorenylmethyl ester).

The selection of a side chain amino protecting group is not critical except that it should be one which is not removed during deprotection of the alpha-amino groups during the synthesis. Hence, the alpha-amino protecting group and the side chain amino protecting group cannot be the same.

X9 is NH2, a protecting group, such as an ester, or an anchoring bond used in solid phase synthesis for linking to a solid resin support, preferably one of the following: -NH-benzhydrylamine (BHA) resin support and -NH-paramethylbenzhydrylamine (MBHA) resin support.

Cleavage from a BHA or MBHA resin directly gives the CRF analog amide. By employing a methyl-derivative of such a resin, a methyl-substituted amide can be created, which is considered to be the equivalent of the unsubstituted amide.

In the amino acid sequence for the intermediate, at least one of X1, X2, X3, X4, X5, X6, X7 and X8 is a protecting group or X9 includes resin support.

For the acylated N-terminus, an acyl group having 15 carbon atoms or less is present, preferably 12 or less, as represented by Y; acetyl(Ac), formyl(For), acrylyl(Acr) and benzoyl(Bz) are the preferred acyl groups although to facilitate labeling, an acylating agent containing a

hydroxy aryl moiety, such as 4-hydroxy-phenylpropionic acid (desNH2-Tyr) or 4-hydroxy-phenylacetic acid, may be used.

Also, Y may alternatively be a suitable sugar or lipid, which are equivalents that may be used to adjust hydrophil icity.

Thus, in one aspect, there is also provided a process for the manufacture of compounds comprising (a) forming a peptide intermediate, as defined hereinbefore, having at least one protective group wherein: X1, X2, X3, X4, X5, X6, X7 and X8 are each either hydrogen or a protective group, and X9 is either a protective group or an anchoring bond to resin support or NH2, (b) forming a cyclizing bond, particularly if one has not already been formed, (c) removing X1 and acylating the N-terminus, (d) splitting off the remaining protective groups and any anchoring bond from said peptide intermediate, (e) optionally forming a cyclizing bond at this time, and (f) if desired, converting a resulting peptide into a nontoxic addition salt thereof.

To effect an amide cyclizing linkage (lactam bridge), cyclization may be carried out while the partially protected peptide remains attached to the resin as disclosed in U. S. Patents Nos. 5,064,939 and 5,043,322.

Such a procedure effectively creates an amide cyclizing bond between the two desired side chains while other residues, such as Asp, Glu and/or Lys, in the peptide intermediate retain their side-chain protection.

When cyclizing via an amide bond between a side-chain carboxyl group of the 30-position residue and a side-chain amino group of the 33-position residue, or vice-versa which is considered to be an equivalent linkage, it is preferable to synthesize the protected peptide on an MBHA or BHA resin and to derivatize the benzyl ester of the particular carboxyl acid side chain to the hydrazide while the peptide is still attached to the resin and then react it with a selectively deprotected amino-side chain as set forth in U.S. Patent No. 5,043,322. Preferably cyclization is accomplished by using a base-labile protecting group, e.g., OFm, for the carboxyl side-chain of the residue to be

involved in the amide-bond bridge and using Fmoc as a protecting group for the amino side chain on the other residue that is to be involved. The a-amino protecting group on the residue at the N-terminus of the intermediate and all of the other side-chain protecting groups remain in place while the two base-labile groups are removed using piperidine or the like. Following such selective removal, a reaction to accomplish cyclization is carried out by treating with BOP which effects substantially complete generation of the amide bond. If 2 lactam bridges are to be incorporated in the molecule, the 30-33 bridge is preferably effected at a point in the synthesis prior to adding the 23-position residue, or a synthesis protocol such as taught in U.S. Patent No. 5,064,939 is employed. A BOC-protecting group is removed from the N-terminus using TFA, so the N-terminus can be acylated, before the peptide is completely deprotected and cleaved from the resin using a reagent, such as HF.

A straightforward in vitro assay can be carried out using rat anterior pituitary cells in monolayer culture to determine what CRF-activity a candidate peptide will exhibit; the procedure which is used is that generally set forth in Endocrinology, 91, 562 (1972). The assay will show whether a candidate peptide will exhibit some activity as a CRF agonist and stimulate ACTH secretion by activating CRF receptors on such cells; in this manner its intrinsic CRF activity is measured via the use of high doses.

Essentially the same in vitro assay is employed to determine whether the candidate will exhibit strong CRF antagonistic properties when administered together with a challenge dose of CRF, usually either oCRF or r/hCRF.

A candidate CRF antagonist peptide is also readily evaluated in a binding assay using a known CRF receptor, such as that described in Perrin, M., et al., Endocrinolog, 118, 1171-1179 (1986). Such binding assays may be carried out with human CRF-R. One such representative binding assay utilizing CRF-R receptor is described in Chen, et al., P.N.A.S., 90, 8967-8971 (October 1993). Because certain

of the cyclic peptides of the invention, particularly those having a D-amino acid residue in position 32, exhibit high binding affinity for all known CRF receptors, when they are radioactively or otherwise suitably labelled, they are especially valuable for use in screening assays. Such assays are advantageously used to screen for potential CRF-like ligands, in peptide or other form, using such a labelled cyclic CRF antagonist with high affinity.

The following Example I sets forth a preferred method for synthesizing CRF antagonists by the solid-phase technique.

Example I The synthesis of the (cyclo 30-33) [Ac-Asp9, D-Phe12, Nle21.38, CML27, Glu30, Lys33]-r/hCRF(9-41) having the amino acid sequence: (cyclo 30-33) Ac-Asp-Leu-Thr-D-Phe-His-Leu- Leu-Arg-Glu-Val-Leu-Glu-Nle-Ala-Arg-Ala-Glu-Gln-CML-Ala- Gln-Glu-Ala-His-Lys-Asn-Arg-Lys-Leu-Nle-Glu-Ile-Ile-NH2 is conducted in a stepwise manner on about 3 grams of a MBHA hydrochloride resin, such as available from Bachem, Inc., having a substitution range of about 0.43 to 0.46 mequiv/gm resin. The synthesis is performed on an automatic Beckman 990B peptide synthesizer using a suitable program, preferably as follows:

MIXTIMES<BR> STEPREAGENTSANDOPERATIONSMIN. 1CHCl wash-80ml.(2times)~1 2Methanol(MeOH)wash-30ml.(2times)1 3CHCl wash-80ml.(3times)1 450percentTFAplus5percent1,2-ethane-12 dithiolinCH2Cl2-70Nml.(2times) 5Isopropanolwash-80ml.(2times)1 6TEA12.5percentinCHCl-70 ml.(2times)1 7MeOHwash-40ml.(2times)1 8CH2Cl2Wash-80ml.(3times)1 9BOC-aminoacid(3-5molarexcessin30ml.30-300 ofeitherDMForCH2C12,dependinguponthe solubilityoftheparticularprotected aminoacid,(1time)plusDCC(3-5molar excess)inCH Cl Coupling of BOC-Ile results in the substitution of about 0.35 mmol. Ile per gram of resin.

After deprotection and neutralization, the peptide chain is built step-by-step on the resin. Generally, one to two mmol. of BOC-protected amino acid in methylene chloride is used per gram of resin (e.g. a 2-5 fold excess depending on substitution of the resin), plus one equivalent of 2 molar DCC in methylene chloride, for two hours. When BOC-Arg(Tos) is being coupled, a mixture of 50% DMF and methylene chloride is used. Bzl is used as the hydroxyl side-chain protecting group for Ser. BOC-Asn(Xan) or BOC-Gln(Xan) is coupled in the presence of one equivalent of DCC and two equivalents of HOBt in a 50% mixture of DMF and methylene chloride. Either 2Cl-Z or Fmoc is used as the protecting group for the Lys side chain depending upon whether it is to be part of a lactam bridge.

Tos is used to protect the guanidino group of Arg and the imidazole group of His, and the side chain carboxyl group of Glu is protected by OChx or OFm depending upon whether it is to take part in the cyclizing reaction. At the end of the synthesis, the following composition is obtained: <BR> <BR> BOC-Asp(OChx)-Leu-Thr(Bzl)-D-Phe-His(Tos<BR> Leu-Arg(Tos)-Glu(OChx)-Val-Leu-Glu(OChx)

Ala-Glu (OChx)-Gln (Xan)-Leu-Ala-Gln (Xan)-Glu (OFm)-Ala- His(Tos) -Lys(Fmoc) -Asn(Xan) -Arg(Tos) -Lys(2C1-Z) -Leu-Nle- Glu(OChx)-Ile-Ile-MBHA resin support.

Next cyclization (lactamization) of residues 30 and 33 is performed by the method referred to hereinbefore and described more fully as follows. After washes with dichloromethane (DCM) (2x) and dimethylformamide (DMF) (2x), the OFmc/Fmoc groups of Glu30 and Lys33, respectively, are removed by 20% piperidine in DMF (1 x 1 min. and 2 x 10 min.), followed by washing with DMF (2x), Et3N in CH2Cl2(lx) methanol(MeOH) (2x) and DCM (2x). The peptide-resin is cyclized by reaction at room temperature with threefold excess of benzotriazol-l-yl-oxy-tris (dimethylamino) phosphonium hexafluorophosphate (BOP) in presence of excess diisoproplyethylamine(DIEA) in dimethylformamide(DMF) for four hours. Other suitable reagents are well known in the art and may alternatively be used. After washing, the cyclization may be repeated if desired to assure completion. The reaction is followed by Kaiser ninhydrin test (E. Kaiser et al., "Color test for detection of free terminal amino groups in the solid-phase synthesis of peptides", AnalBiochem (1970) 34:595-98).

Following cyclization, the peptide-resin is treated with TFA to remove the BOC protecting group at the N- terminus. It is then reacted with acetic anhydride to acetylate the aspartic acid residue. About 2 grams is cleaved by anhydrous HF (20 mL) in the presence of anisole (0.6 mL) at 0°C for 90 min. The crude peptide is precipitated and washed with anhydrous diethyl ether (450 mL in 3 portions), filtered, extracted from the resin with 380 mL (r portions) of 0.1% TFA in CH3CN/H2O (60:40) and lyophilized to give the crude product.

The crude lyophilized peptide is purified by preparative reverse-phase HPLC (RP-RHPLC) on a system composed of a Waters Associates (Milford, MA) Prep LC 3000 System, a Waters Associate 600E System Controller, a Shimadzu SPD-6A UV Spectrophotometric variable-wavelength detector (detection was 230 nm), Waters 1000 PrepPak

Module, and a Fisher (Lexington, MA) Recordall Series 5000 strip chart recorder (chart speed 0.25 cm/min.). Final peptide purification is carried out in two or three steps using buffers of TEAP pH 2.25, and 0.1% TFA and/or TEAP pH 6.5 and 0.1 TFA.

The crude peptide (about 0.3-1.5 gm) is first dissolved in 400 mL buffer A: triethylammonium phosphate (TEAP) (pH 2.25) (1:4 v/v), loaded on a preparative reversed phase HPLC cartridge (5 x 30 cm) packed in the laboratory using Waters polyethylene sleeves and frits and Vydac C18 silica gel (The Separations Group, Hesperia, CA; 300A pore size, 15 to 20-m particle size). The peptide is eluted using buffer B: 60% CH3CN in buffer A with a gradient from 30 to 60% B. Buffers A (triethlyammonium phosphate (TEAP), pH 2.25) and B (CH3CN in A) are pumped at a flow rate of 95 mL/min for 90 minutes. Fractions containing a total of 50-100 mL are screened under isocratic conditions (61% B), and fractions containing the compound are identified and pooled.

In the second step, the pooled fractions are diluted with 160 mL of H2O and eluted by using as buffer A: 0.1% TFA/H2O and B: 0.1% TFA in CH3CN/H2O (60:40), with a gradient from 40 to 70% B in 90 minutes. Fractions containing a total of 30-50 mL are screened, and fractions containing the compound are pooled and lyophilized to yield the final product peptide. Purity of about 98% is confirmed by capillary zone electrophoresis (CZE), and identity is confirmed by mass spectroscopy (MS). The measured value of 3947.87 obtained using liquid secondary ion mass spectrometry (LSIMS) is in agreement with the calculated value of 3947.23.

In vitro biopotency of the product peptide is measured as follows. Rat anterior pituitary glands from male Sprague-Dawley rats are dissociated by collagenase and plated (0.16x106 cells/well in 48-well plates) in medium containing 2% fetal bovine serum (FBS). Three days after plating, the cells are washed three times with fresh medium containing 0.1% bovine serum albumin (BSA) and incubated

for 1 hour. Following the 1 hour preincubation, the cells are washed once more, and the test peptides are applied in the presence of 1 nM oCRF. At the end of a 3 hour incubation period the media are collected and the level of ACTH is determined by radioimmunoassay (Diagnostic Products Corporation). The cyclic peptide product of the above described synthesis exhibits biopotency about 1.2 (0.41- 4.21) times greater than Destressin, a fairly recently developed CRF antagonist which exhibits a potency many times that of the earlier laboratory "Standard" peptide, i.e. [D-Phe12, Nle21 t38] r/hCRF (12-41).

Administration of the peptide inhibits the secretion of ACTH and P-endorphin-like immunoactivities (P-END-LI) and exhibits especially long duration of inhibition. The in vivo assays which are employed to test these CRF antagonists use adrenalectomized (ADX) rats. Adult male Sprague Dawley rats (230-250 g) are adrenalectomized via a lombar approach under halothane anesthesia. Their diet is supplemented with 0.9% NaCl in the drinking water and with oranges. Two days prior to the experiments, the animals are equipped with jugular cannulae, as described in C. Rivier, et al., Endocrinology, 110, 272-278 (1982). On the morning of the experiments, the iv cannulae are connected to a line filled with heparinized saline, and the rats are placed in individual buckets and left undisturbed for 2 hours. For the experiment, a first blood sample of 0.3 mL is withdrawn, the test solution is injected (in an 0.2-0.5 mL volume), and subsequent blood samples are obtained at about 15, 45, 90 and 120 minutes. The blood samples are centrifuged, and the separated plasma are kept frozen (-20"C) until assayed for ACTH values. Plasma ACTH levels are measured as described in C. Rivier, et al. J. Neuroscience, 14, 1985 (1994).

As a result of in vivo testing at a level of 100Ag/kg of body weight, it is shown that, at 60 minutes time, the cyclic CRF antagonist is more effective than Destressin in reducing ACTH levels in the serum, and much more effective

than the standard CRF antagonist which has now essentially run its course so levels are substantially the same as in the control animals. At 90 minutes following injection, the cyclic compound depresses the ACTH levels even further than at the 60 minute level, while Destressin is now much less effective so that ACTH levels are significantly increasing. At 120 minutes, the ACTH levels remain at about this low level for those rats treated with the cyclic compound, well below the level of those treated with Destressin which are now close to the control rats. At 150 minutes following injection, the level of ACTH is just beginning to rise back to normal, and at 180 minutes, there is still significant improvement over the control rats. It is considered to be long-lasting.

Example II The synthesis of Example I is repeated, substituting D-His for His32, to produce the following peptide: (cyclo 30-33) [Ac-Asp9, D-Phe12, Nle21,38, CML27, Glu30 D-His32 Lys33]-r/hCRF(9-4l), having the formula: (cyclo 30-33) Ac-Asp-Leu-Thr-D-Phe-His-Leu-Leu-Arg-Glu-Val- <BR> <BR> Leu-Glu-Nle-Ala-Arg-Ala-Glu-Gln-CML-Ala-Gln-Glu-Ala-D-His- Lys-Asn-Arg-Lys-Leu-Nle-Glu-Ile-Ile-NH2.

It has a purity of about 98% as a result of HPLC, which is confirmed by CZE. The measured value of 3947.2 obtained using LSIMS is in agreement with the calculated value of 3947.23. The peptide's biopotency, determined by in vitro testing as previously described, is about 2.22(0.30- 7.47) times that of Destressin. In viva testing shows that it is very significantly more effective than Destressin at 90, 120 and 150 minutes at a dosage of about loojig/kg in adrenalectomized rats; it is considered to be fairly long- acting and nearly equal to Peptide I.

ExamPle III The synthesis of Example I is generally repeated, substituting CaMeLeu for Leu14, to produce the following peptide: (cyclo 30-33) [Ac-Asp9, D-Phe12, CML14,27, Nle21'38, G1U301 Lys33]-r/hCRF(9-4l), having the formula:

(cyclo 30-33) Ac-Asp-Leu-Thr-D-Phe-His-CML-Leu-Arg-Glu- Val-Leu-Glu-Nle-Ala-Arg-Ala-Glu-Gln-CML-Ala-Gln-Glu-Ala- His-Lys-Asn-Arg-Lys-Leu-Nle-Glu-Ile-Ile-NH2.

It has a purity of about 98% which is confirmed by CZE. A measured value of 3961.28 is obtained using LSIMS and is in agreement with the calculated value of 3961.2.

The peptide's biopotency, determined by invivo testing as previously described, is greater than that of Destressin at 90 and 150 minutes. It remains significantly effective at 210 minutes, continues to show bioactivity at 270 minutes, and is considered to be very long-acting invivo.

Example IV The synthesis of Example I is repeated, substituting CaMeLeu for Val18, to produce the following peptide: (cyclo 30-33) [Ac-Asp9, D-Phe12, CML18,27, Nle21'38, Gin30 Lys33]-r/hCRF(9-41), having the formula: (cyclo 30-33) Ac-Asp-Leu-Thr-D-Phe-His-Leu-Leu-Arg-Glu- CML-Leu-Glu-Nle-Ala-Arg-Ala-Glu-Gln-CML-Ala-Gln-Glu-Ala- His-Lys-Asn-Arg-Lys-Leu-Nle-Glu-Ile-Ile-NH2.

It has a purity of about 98% which is confirmed by CZE. The measured value of 3975.8 obtained using LSIMS is in agreement with the calculated value of 3975.3. The peptide's biopotency, determined by in vitro testing as previously described, is about 13 times that of the Standard. It is found to be very long-acting invivo, being substantially better than Destressin at 120 minutes and remaining effective for longer than 180 minutes.

ExamPle V The synthesis of Example V is repeated, substituting CaMeLeu for Lys36, to produce the following peptide: (cyclo 30-33) [Ac-Asp9, D-Phe12, Nle21,38, CML27,36, Glu30 Lys33]-r/hCRF(9-41), having the formula: (cyclo 30-33) Ac-Asp-Leu-Thr-D-Phe-His-Leu-Leu-Arg-Glu- Val-Leu-Glu-Nle-Ala-Arg-Ala-Glu-Gln-CML-Ala-Gln-Glu-Ala- His-Lys-Asn-Arg-CML-Leu-Nle-Glu-Ile-Ile-NH2.

It has a purity of about 98% which is confirmed by CZE. The measured value of 3946.26 obtained using LSIMS is in agreement with the calculated value of 3946.24. In vivo

testing at a dosage of about 100Fg/kg shows that it is more effective than Destressin at 90 minutes, and retains substantial effectiveness at 135 minutes. It is considered to be of medium duration.

Example VI The synthesis of Example I is repeated, substituting CaMeLeu for Leu37, to produce the following peptide: (cyclo 30-33) [Ac-Asp9, D-Phe12, N1e21,38, CML27,371 Glu30 Lys33]-r/hCRF(9-41), having the formula: (cyclo 30-33) Ac-Asp-Leu-Thr-D-Phe-His-Leu-Leu-Arg-Glu- Val-Leu-Glu-Nle-Ala-Arg-Ala-Glu-Gln-CML-Ala-Gln-Glu-Ala- His-Lys-Asn-Arg-Lys-CML-Nle-Glu-Ile-Ile-NH2.

It has a purity of about 98% which is confirmed by CZE. A measured value of 3961.20 obtained using LSIMS is in agreement with the calculated value of 3961.2. In vivo testing at a dosage of about 100 g/kg shows that it is substantially more effective than Destressin at 90, 120, 135, 180 and 210 minutes, and that it retains significant effectiveness at 270 minutes. It is considered to be very long-acting.

Example VII The synthesis of Example I is repeated, substituting CaMeLeu for Ile40, to produce the following peptide: (cyclo 30-33) [Ac-Asp9, D-Phe12, Nle21,38, CML27,40, Glu30, Lys33]-r/hCRF(9-4l), having the formula: (cyclo 30-33 )Ac-Asp-Leu-Thr-D-Phe-His-Leu-Leu-Arg-Glu-Val- Leu-Glu-Nle-Ala-Arg-Ala-Glu-Gln-CML-Ala-Gln-Glu-Ala-His- Lys-Asn-Arg-Lys-Leu-Nle-Glu-CML-Ile-NH2.

It has a purity of about 98% which is confirmed by CZE. A measured value of 3961.30 obtained using LSIMS is in agreement with the calculated value of 3961.2. In vivo testing by iv injection at a dosage of 100 g/kg shows that it is substantially more effective than Destressin at 90 and 150 minutes. When administered iv at a dosage of 100yg per rat (4 times the previous dosage), it exhibits such high effectiveness for 6 hours, and still exhibits some effectiveness at 12 hours. It is considered to be very long-acting. The peptide is also formulated in corn oil

and in an aqueous 3-6% mannitol solution and is injected s.c. At a dosage of about 30µg in corn oil and an aqueous solution dosage of l00,ug, both formulations show significant inhibition of secretion of ACTH for over 24 hours.

Example VIII The synthesis of Example I is repeated, substituting CaMeLeu for Ile41, to produce the following peptide: (cyclo 30-33) [Ac-Asp9, D-Phe12, Nle21,38, CML27,41, glu30, Lys33]-r/hCRF(9-41), having the formula: (cyclo 30-33) Ac-Asp-Leu-Thr-D-Phe-His-Leu-Leu-Arg-Glu-Val- Leu-Glu-Nle-Ala-Arg-Ala-Glu-Gln-CML-Ala-Gln-Glu-Ala-His- Lys-Asn-Arg-Lys-Leu-Nle-Glu-Ile-CML-NH2.

It has a purity of about 98% which is confirmed by CZE. A measured value of 3961.30 obtained using LSIMS is in agreement with the calculated value of 3961.2. In vivo testing at a dosage of about 100µg/kg shows that it is more effective than Destressin at 90 and 120 minutes, but that it is no longer effective after 270 minutes.

Example IX The synthesis of Example I is repeated, substituting CaMeLeu for Leu10, to produce the following peptide: (cyclo 30-33) [Ac-Asp9, CML10,27, D-Phe12, N1e21,38, Glu30, Lys33]-r/hCRF(9-41), having the formula: (cyclo 30-33) Ac-Asp-CML-Thr-D-Phe-His-Leu-Leu-Arg-Glu-Val- Leu-Glu-Nle-Ala-Arg-Ala-Glu-Gln-CML-Ala-Gln-Glu-Ala-His- Lys-Asn-Arg-Lys-Leu-Nle-Glu-Ile-Ile-NH2.

It has a purity of about 98% which is confirmed by CZE. The measured value of 3961.3 Da obtained using LSIMS is in agreement with the calculated value of 3961.2 Da. It is found to be of medium duration invivo, being substantially better than Destressin at 90 and 150 minutes, but remaining barely active at 210 minutes at a dosage of about 100jig/kg.

ExamPle X The synthesis of Example I is repeated, substituting CaMeLeu for Leu15, to produce the following peptide: (cyclo 30-33) [Ac-Asp9, D-Phe12, CML15,27, Nle21'38, Glu30, Lys33]-r/hCRF(9-41), having the formula:

(cyclo 30-33) Ac-Asp-Leu-Thr-D-Phe-His-Leu-CML-Arg-Glu- Val-Leu-Glu-Nle-Ala-Arg-Ala-Glu-Gln-CML-Ala-Gln-Glu-Ala- His-Lys-Asn-Arg-Lys-Leu-Nle-Glu-Ile-Ile-NH2.

It has a purity of about 98% which is confirmed by CZE. The measured value of 3961.3 Da obtained using LSIMS is in agreement with the calculated value of 3961.2 Da. It is found to be short-acting invivo, being somewhat better than Destressin at 90 minutes, but then losing effectiveness fairly rapidly so as to be only slightly effective at 150 minutes at a dosage of about 100µg/kg.

Example XI The synthesis of Example XI is repeated, substituting C'MeLeu for Leu19, to produce the following peptide: (cyclo 30-33) [Ac-Asp9, D-Phe12, CML19,27, Nle21,38, Glu30 Lys33]-r/hCRF(9-41), having the formula: (cyclo 30-33) Ac-Asp-Leu-Thr-D-Phe-His-Leu-Leu-Arg-Glu-Val- CML-Glu-Nle-Ala-Arg-Ala-Glu-Gln-CML-Ala-Gln-Glu-Ala-D-His- Lys-Asn-Arg-Lys-Leu-Nle-Glu-Ile-Ile-NH2.

It has a purity of about 98% which is confirmed by CZE. The measured value of 3961.3 Da obtained using LSIMS is in agreement with the calculated value of 3961.2 Da. In vivo testing shows that it is more effective than Destressin at 90 minutes. It still exhibits effectiveness at 150 minutes but not at 210 minutes at a dosage of about 100µg/kg. It is considered to be generally equivalent to Peptide I.

Example XII The synthesis of Example I is repeated, substituting CaMeLeu for Ala24, to produce the following peptide: (cyclo 30-33) [Ac-Asp9, D-Phe12, Nle21,38, CML24'27, Glu30, Lys33]-r/hCRF(9-4l), having the formula: (cyclo 3033) Ac-Asp-Leu-Thr-D-Phe-His-Leu-Leu-Arg-Glu-Val- Leu-Glu-Nle-Ala-Arg-CML-Glu-Gln-CML-Ala-Gln-Glu-Ala-His- Lys-Asn-Arg-Lys-Leu-Nle-Glu-Ile-Ile-NH2.

It has a purity of about 98% which is confirmed by CZE. The measured value of 4003.3 Da obtained using LSIMS is in agreement with the calculated value of 4003.3 Da. It is found to have medium duration of invivo activity, being

substantially better than Destressin at 90 and 150 minutes, but losing effectiveness at about 210 minutes at a dosage of about 100 g/kg.

Example XIII The synthesis of Example I is generally repeated, substituting CaMeLeu for Leu14, Leu37 and Ile40 to produce the following peptide: (cyclo 30-33) [Ac-Asp9, D-Phe12, CML14,27,37,40, Nle21t38 GlU30 Lys33]-r/hCRF(9-41), having the formula: (cyclo 30-33)Ac-Asp-Leu-Thr-D-Phe-His-CML-Leu-Arg-Glu-Val- Leu-Glu-Nle-Ala-Arg-Ala-Glu-Gln-CML-Ala-Gln-Glu-Ala-His- Lys-Asn-Arg-Lys-CML-Nle-Glu-CML-Ile-NH2.

It has a purity of about 98% which is confirmed by CZE. Using LSIMS, a measured value is obtained that is in agreement with the calculated value. The peptide is effective to inhibit the secretion of ACTH.

Example XIII A The synthesis of Example XIII is repeated, substituting D-2Nal for D-Phe12, to produce the following peptide: (cyclo 30-33) [Ac-Asp9, D-2Nal12, CML14,27,37,40, Nle21,38, Glu30 Lys33]-r/hCRF(9-41), having the formula: (cyclo 30-33) Ac-Asp-Leu-Thr-D-2Nal-His-CML-Leu-Arg-Glu-Val- Leu-Glu-Nle-Ala-Arg-Ala-Glu-Gln-CML-Ala-Gln-Glu-Ala-His- Lys-Asn-Arg-Lys-CML-Nle-Glu-CML-Ile-NH2.

It has a purity of about 98% which is confirmed by CZE. Using LSIMS, a measured value is obtained that is in agreement with the calculated value. The peptide is effective to inhibit the secretion of ACTH.

Example XIII B The synthesis of Example I is repeated, substituting CaMeLeu for Leu37 and Ile40, to produce the following peptide: (cyclo 30-33) [Ac-Asp9, D-Phe12, Nle21,38, CML27,37,40, G1u30, Lys33]-r/hCRF(9-41), having the formula: (cyclo 30-33) Ac-Asp-Leu-Thr-D-Phe-His-Leu-Leu-Arg-Glu-Val- Leu-Glu-Nle-Ala-Arg-Ala-Glu-Gln-CML-Ala-Gln-Glu-Ala-His- Lys-Asn-Arg-Lys-CML-Nle-Glu-CML-Ile-NH2.

It has a purity of about 98% which is confirmed by CZE. The peptide is effective to inhibit the secretion of ACTH.

Example XIII C The synthesis of Example I is repeated, substituting CaMeLeu for Glu17, to produce the following peptide: (cyclo 30-33) [Ac-Asp9, D-Phe12, CML17,27, N1e21,38, Glu30 Lys33]-r/hCRF(9-41), having the formula: (cyclo 30-33) Ac-Asp-Leu-Thr-D-Phe-His-Leu-Leu-Arg-CML-Val- Leu-Glu-Nle-Ala-Arg-Ala-Glu-Gln-CML-Ala-Gln-Glu-Ala-His- Lys-Asn-Arg-Lys-Leu-Nle-Glu-Ile-Ile-NH2. It has a purity of about 98% which is confirmed by CZE. The synthesis is repeated substituting BOC-D-2Nal for BOC-D-Phe to produce the peptide (cyclo 30-33) [Ac-Asp9, D-2Na112, CML727, N1e21,38, Glu30, Lys33]r/hCRF(9-4l). HPLC shows a purity of about 98% which is confirmed by CZE.

Both peptides have measured MS values in agreement with the calculated values and are effective in vivo to inhibit the secretion of ACTH.

Example XIII D The synthesis of Example I is generally repeated, substituting CaMeLeu for Leu15 and Aib for His32, to produce the following peptide: (cyclo 30-33) [Ac-Asp9, D-Phe12, CML15,27, Nle21,38, Glu30, Aib32 Lys33]-r/hCRF(9-4l), having the formula: (cyclo 30-33) Ac-Asp-Leu-Thr-D-Phe-His-Leu-CML-Arg-Glu- Val-Leu-Glu-Nle-Ala-Arg-Ala-Glu-Gln-CML-Ala-Gln-Glu- Ala-Aib-Lys-Asn-Arg-Lys-Leu-Nle-Glu-Ile-Ile-NH2.

It has a purity of about 98% and is effective to inhibit the secretion of ACTH.

Example XIII E The synthesis of Example I is repeated, substituting CaMeLeu for Nle21 and Aib for His32, to produce the following peptide: (cyclo 30-33) [Ac-Asp9, D-Phe12, CML21,27, Glu30, Aib32, Lys33, N1e38]-r/hCRF(9-41), having the formula: (cyclo 30-33) Ac-Asp-Leu-Thr-D-Phe-His-Leu-Leu-Arg-Glu-Val-

Leu-Glu-CML-Ala-Arg-Ala-Glu-Gln-CML-Ala-Gln-Glu-Ala-Aib- Lys-Asn-Arg-Lys-Leu-Nle-Glu-Ile-Ile-NH2. The peptide is effective to inhibit the secretion of ACTH.

Example XIII F The synthesis of Example I is repeated, substituting C'MeLeu for Nle38, to produce the following peptide: (cyclo 30-33) [Ac-Asp9, D-Phe12, Nle21, CML27,38, Glu30, Lys33-r/hCRF(9-41), having the formula: (cyclo 30-33)Ac-Asp-Leu-Thr-D-Phe-His-Leu-Leu-Arg-Glu-Val- Leu-Glu-Nle-Ala-Arg-Ala-Glu-Gln-cML-Ala-Gln-Glu-Ala-His- Lys-Asn-Arg-Lys-Leu-CML-Glu-Ile-Ile-NH2.

It has a purity of about 98% which is confirmed by CZE. A measured value of 3961.28 obtained using LSIMS is in agreement with the calculated value of 3961. 2. The peptide's biopotency, determined by in vitro testing as previously described, is about 1.4 times the Standard, and it is considered effective to inhibit the secretion of ACTH in vivo.

Example XIII G The synthesis of Example I is generally repeated, substituting CaMeLeu for Leu40 and Aib for His32, to produce the following peptide: (cyclo 30-33) [Ac-Asp9, D-Phe12, Nle21'38, CML27'40, Glu30 Aib32 Lys33-r/hCRF(9-41), having the formula: (cyclo 30-33) Ac-Asp-Leu-Thr-D-Phe-His-Leu-Leu-Arg-Glu-Val- Leu-Glu-Nle-Ala-Arg-Ala-Glu-Gln-CML-Ala-Gln-Glu-Ala-Aib- Lys-Asn-Arg-Lys-Leu-Nle-Glu-CML-Ile-NH2. It has a purity of about 98%. Using LSIMS, a measured value is obtained that is in agreement with the calculated value. Based upon a single test, it appears to be effective to inhibit the secretion of ACTH for a period of time which is longer than that of the peptide of Example VII.

Example XIII H The synthesis of Example I is repeated a number of times, each time also making at least one additional substitution of CML for a different residue. As a result, the following (cyclo 30-33) cyclic peptides are produced:

[Ac-Asp9, D-Phe12, CML18,27, Nle21,38, Glu30, D-His32, Lys33]- r/hCRF(9-41); [Ac-Asp9,D-Phe12,Nle21,38, CML27,36,40, Glu30, Lys33] - r/hCRF(9-41); [Ac-Asp9, D-Phe12, Nle21,38, CML27,40, Glu30, D-His32, Lys33]- r/hCRF(9-41); [Ac-Asp9, D-Phe12, Nle21,38, CML27,36,37, Glu30, Lys33]- r/hCRF(9-41); [Ac-Asp9, D-Phe12, Nle21,38, CML27,37,41, Glu30, Lys33]- r/hCRF(9-41); [Ac-Asp9, D-Phe12, Nle21,38, CML27,37,41, Glu30, D-His32, Lys33]- r/hCRF(9-41); [Ac-Asp9, D-Phe12, Nle21,38, CML27,36,40, Glu30, D-His32, Lys33]- r/hCRF(9-41); and [Ac-Asp9, D-Phe12, CML14,27,40, Nle21,38, Glu30, Lys33]-r/hCRF (9-41).

Administration of these peptides stimulates the secretion of ACTH and -END-LI, and iv injection lowers blood pressure.

Example XIV The synthesis of (cyclo 30-33) [Ac-Asp9, D-Phe12, Nle21,38, CML27, Glu30, Orn33]-r/hCRF(9-4l) having the amino acid sequence: (cyclo 30-33)Ac-Asp-Leu-Thr-D-Phe-His-Leu- Leu-Arg-Glu-Val-Leu-Glu-Nle-Ala-Arg-Ala-Glu-Gln-CML-Ala- Gln-Glu-Ala-His-Orn-Asn-Arg-Lys-Leu-Nle-Glu-I le-I le-NH2 is conducted as described in Example I above, except that residue 33 is Orn instead of Lys. Administration of the peptide inhibits the secretion of ACTH and -END-LI.

Example XIV A The synthesis of (cyclo 30-33) [Ac-Asp9, D-Phe12, Nle21,38, CML27,40 Glu30, Aib32, Orn33]-r/hCRF (9-41) having the amino acid sequence: (cyclo 30-33) Ac-Asp-Leu-Thr-D-Phe- His-Leu-Leu-Arg-Glu-Val-Leu-Glu-Nle-Ala-Arg-Ala-Glu-Gln- CML-Ala-Gln-Glu-Ala-Aib-Orn-Asn-Arg-Lys-Leu-Nle-Glu-CML- Ile-NH2 is conducted as described in Example XIV, except that residue 40 is CML instead of Leu and residue 32 is Aib

instead of His. Administration of the peptide inhibits the secretion of ACTH and -END-LI.

Example XIV B The peptide (cyclo 30-33) [Ac-Asp9, D-Phe12, Nle18,21, CML27,40, Glu30, D-His32, Lys33]-Carp Urotensin 1(9-41) having the formula: Ac-Asp-Leu-Thr-D-Phe-His-Leu-Leu-Arg-Asn-Nle- Ile-Glu-Nle-Ala-Arg-Asn-Glu-Asn-CML-Arg-Glu-Glu-Ala-D-His- Lys-Asn-Arg-Lys-Tyr-Leu-Asp-CML-Val-NH2 is synthesized.

Testing in accordance with the general procedure set forth in Example I shows that the cyclic compound inhibits the secretion of ACTH and p-END-LI.

Example XIV C The peptide (cyclo 29-32) [Ac-Asp8, D-Leu11, Nle17, CML26,39, Glu29, D-His31, Lys32]-sauvagine(8-40) having the formula: Ac-Asp-Leu-Ser-D-Leu-Glu-Leu-Leu-Arg-Lys-Nle-Ile- Glu-I le-Glu-Lys-Gln-Glu-Lys-CML-Lys-Gln-Glu-Ala-D-His-Lys- Asn-Arg-Leu-Leu-Leu-Asp-CML-Ile-NH2 is synthesized. Testing in accordance with the general procedure set forth in Example I shows that the cyclic compound inhibits the secretion of ACTH and p-END-LI.

The synthesis is repeated to yield the peptide: (cyclo 29-32) [Ac-Asp8, D-Leu11, Nle17, CML26,39, Glu29, Aib31, Lys32]- Sauvagine (8-40). The peptide is biopotent in inhibiting the secretion of ACTH.

Example XIV D The peptide (cyclo 30-33) [Ac-Asp9, D-Phe12, CML27'40, Glu30, Aib32, Lys33]-a-helical CRF(9-41) having the formula: Ac-Asp-Leu-Thr-D-Phe-His-Leu-Leu-Arg-Glu-Met-Leu-Glu-Met- Ala-Lys-Ala-Glu-Gln-CML-Ala-Glu-Glu-Ala-Aib-Lys-Asn-Arg- Leu-Leu-Leu-Glu-CML-Ala-NH2 is synthesized.

Testing in accordance with the general procedure set forth in Example I shows that the cyclic compound inhibits the secretion of ACTH and p-END-LI.

Example XIV E The peptide (cyclo 30-33) [Ac-Asp9, D-Phe12, Nle18,21, CML27,40, Glu30, Aib32, Lys33]-Sucker Urotensin 1(9-41) having the formula:

Ac-Asp-Leu-Thr-D-Phe-His-Leu-Leu-Arg-Asn-Nle-I le-Glu- Nle-Ala-Arg-I le-Glu-Asn-CML-Arg-Glu-Glu-Ala-Aib-Lys- Asn-Arg-Lys-Tyr-Leu-Asp-CML-Val-NH2 is synthesized. The peptide is biopotent to inhibit the secretion of ACTH and -END-LI.

Example XIV F The peptide (cyclo 29-32) [Ac-Asp8, D-Leu11, Nle17, CML26, Glu29, Aib31, Lys32]-sauvagine (8-40) having the formula: <BR> <BR> Ac-Asp-Leu-Ser-D-Leu-Glu-Leu-Leu-Arg-Lys-Nle-I le-Glu-I le-<BR> Glu-Lys-Gln-Glu-Lys-CML-Lys-Gln-Glu-Ala-Aib-Lys-Asn-Arg- Leu-Leu-Leu-Asp-Thr-Ile-NH2 is synthesized. The peptide is biopotent to inhibit the secretion of ACTH and -END-LI.

Example XV The synthesis of Example XIII is repeated a number of times, each time also making one or more substitutions of Aib and/or CML for residues in that CRF antagonist peptide.

As a result, the following (cyclo 30-33) cyclic peptides are produced: [Ac-Asp9, D-Phe12, Nle21,38, Aib22, CML27, Glu30, Lys33]-r/hCRF (9-41); [Ac-Asp9, D-Phe12. Nle21,38, Aib24, CML27, Glu30, Lys33]-r/hCRF (9-41); [Ac-Asp9, D-Phe12, Nle21,38, CML27, Aib28, Glu30, Lys33]-r/hCRF (9-41); [Ac-Asp9, D-Phe12, Nle21,38, CML27, Aib29, Glu30, Lys33]-r/hCRF (9-41); [Ac-Asp9, D-Phe12, Nle21,38, CML27, Glu30, Aib31, Lys33]-r/hCRF (9-41); [Ac-Asp9, D-Phe12, Nle21,38, CML27, Glu30, Lys33, Aib34]-r/hCRF (9-41); [Ac-Asp9, D-Phe12, Nle21,38, CML27, Glu30, Lys33, Aib39]-r/hCRF (9-41); [Ac-Asp9, D-Phe12, Nle21,38, CML27, Glu30, Lys33, Aib40]-r/hCRF (9-41); [Ac-Asp9, D-Phe12, Nle21,38, CML27, Glu30, Lys33, Aib41]-r/hCRF (9-41); [Ac-Asp9, D-Phe12, Nle21,38, CML27,40, Glu30, Lys33, Aib41]- r/hCRF(9-41);

[Ac-Asp9, D-Phe12, Nle21,38, Aib22, CML27,40, Glu30, Lys33]- r/hCRF(9-41); [Ac-Asp9, D-Phe12, Nle21,38, Aib24, CML27,40, Glu30, Lys33]- r/hCRF(9-41) ; [Ac-Asp9, D-Phe12, Nle21,38, Aib22'24, CML27, Glu30, Lys33]- r/hCRF(9-41); [Ac-Asp9, D-Phe12, Nle21,38, CML27,40, Aib28, Glu30, Lys33]- r/hCRF(9-4l) ; [Ac-Asp9, D-Phe12, Nle21,38, CML27, Glu30, Aib31,41, Lys33]- r/hCRF(9-41); [Ac-Asp9, D-Phe12, CML14,27, Nle21,38, Glu30, Aib31, Lys33]- r/hCRF(9-41); [Ac-Asp9, D-Phe12, Nle21,38, CML27,40, Aib32,41, Glu30, Lys33]- r/hCRF (9-41) ; and [Ac-Asp9, D-Phe12, MCL14,27, Nle21,38, Aib24,41, Glu30, Lys33]- r/hCRF(9-41).

Administration of these peptides stimulates the secretion of ACTH and -END-LI, and iv injection lowers blood pressure.

Example XVI Using the procedure as generally set forth in Example I, the following CRF antagonist peptides are also prepared: (c 30-33) [Ac-Asp9, CML17,27, Glu30, Lys33]-AHC(9-41) ; "[Ac-Asp9, CML14,27, $Lys28,33, $Glu30]-oCRF(9-41); [Acr-Asp9, Ser11, D-Phe12, CML14,27, Nle21,38, Glu30, Lys33]-r/hCRF(9-41); [Bz-Asp9, D-2Nal12, CML14,27, Glu30, Lys33]-oCRF(9-41); "[Pn-Asp9, CML17,27, Nle18,21, Glu30, Lys33]-AHC(9-41); " [Acr-asp9, D-Leu12, CML17,27, Glu30, Lys33]-r/hCRF(9-41); [Bt-Asp9, D-Phe12, CML27,37, Nle21, Glu30, Lys33]-oCRF(9-41); [Acr-Asp9, D-4ClPhe12, CML15,27, Glu30, Lys33]-AHC(9-41); [Nph-Asp9, D-Phe12, CML15,27, Nle21,38, Arg28, Glu30, Lys33]-r/hCRF(9-41);

(c 30-33) [Bz-Asp9, D-Phe12, CML14,27, Nle21,38, Glu30, D-Trp32, Lys33]-r/hCRF(9-41); " [Vac-Asp9, D-Phe12, CML27,37, Nle21,38, Glu30, Lys33]- r/hCRF(9-41); [iPn-Asp9, Nle18,21, CML27,37, Glu30, D-His32, Lys33]- AHC(9-41); " [Nph-Asp9, D-Phe12, CML27,37, Glu30, D-Trp32, Lys33, Aib28]-r/hCRF(9-41); [Bz-Asp9, CML2737, Nle21,38, Glu30, Lys33]- r/hCRF(9-41); [For-Asp9, D-Phe12, CML14,27, Glu30, Aib32, Lys33]- r/hCRF(9-41); [For-Asp9, D-Pal12, Nle21, CML27,38, Glu30, Lys33]- oCRF(9-41); [Bt-Asp9, D-Tyr-Asp9, D-Phe12, CML27, Glu30, Lys33]- AHC(9-41); [Vl-Asp9, D-Phe12, CML14,27, Nle21,38, Lys28,33, Glu30]- r/hCRF(9-41); [Flu-Asp9, Ser11, D-Phe12, Nle21,38, CML27,40, Glu30, Aib32, Lys33]-r/hCRF (9-41) ; " [Ac-Asp9, D-Phe12, Nle21,38, Lys23, CML27'41, Glu30, Aib32, Lys33]-r/hCRF (9-41) ; [Ac-Asp9, D-2Nal12, CML14,27, Glu30, D-2Nal32, Lys33]- oCRF(9-41); [Acr-Asp9, CML17,27, Nle18,21, Glu30, D-Arg32, Lys33]- AHC(9-41); " [Bz-Asp9, D-Phe12, CML27, Glu30, D-Leu32, Lys33]- r/hCRF(9-4l) ; " [Ac-Asp9, D-Phe12, CML27,37, Nle211 Glu30, Tyr32, Lys33]-oCRF (9-41) ; and [Nph-Asp9, D-4Cpa12, CML27, Glu30, Arg32, Lys33]- AHC(9-41) These peptides are biopotent in inhibiting the secretion of ACTH and p-END-LI in response to various stimuli.

Preferably the cyclic CRF antagonist does not inherently activate the CRF receptor. Generally a peptide is considered not to significantly activate the CRF

receptor when its intrinsic activity measures about 20% or less of the native compound. Preferred antagonists have an intrinsic activity of about 15% or less; however, intrinsic activity is simply one factor to be balanced against a peptide's potency as an antagonist.

CRF profoundly stimulates the pituitary- adrenalcortical axis, and CRF antagonists are useful to inhibit the functions of this axis in certain types of patients experiencing high ACTH and endogenous glucocorticoid production. For example, CRF antagonists may be useful in regulating pituitary-adrenal function in patients having pituitary Cushings disease or any CRF-sensitive tumor. Preferred members of the improved CRF antagonists provided by the invention bind with high affinity to CRF receptors without significantly activating the receptors, i.e. they exhibit an intrinsic activity or agonism less than 15% of that of ovine CRF. Moreover, they are considered to have a neuronal effect when administered peripherally, e.g. iv, s.c., intranasally, intrapulmonarily, etc., and may be used to combat stress-induced stomach disorders which result from acid secretion.

Most other regulatory peptides have been found to have effects upon the endocrine system, the central nervous system and upon the gastrointestinal tract. Because ACTH and P-END-LI secretion is the "sine qua non" of mammal's response to stress, it is not surprising that CRF has significant effects on the brain as a mediator of many of the body's stress responses. Accordingly, CRF antagonists delivered to the brain should also find application in modifying the mood, learning and behavior, e.g. drug addition and drug and alcohol withdrawal, of normal and mentally disordered individuals. Furthermore, CRF antagonists in the brain should ameliorate stress-induced conditions to which endogenous CRF might contribute, including some types of hypertension, anorexia nervosa, hemorrhagic stress, infertility, decreased libido, impotency and hyperglycemia. Because peripherally administered CRF antagonists reduce the levels of ACTH,

P-END, P-lipotropin, other pro-opiomelanocortin gene products and corticosterone, administration of the antagonists may be used to reduce the effects of all of these substances on the brain to thereby influence memory, mood, pain appreciation, etc., and more specifically, alertness, depression and/or anxiety, as well as to modulate the immune system, gastrointestinal tract and adrenalcortical growth and function. They may also be used to treat HIV infections and Alzheimer's disease.

Because CRF antagonists will block the hypothalamic pituitary axis (HPA) and therefore block ACTH and corticosterone secretion in instances when the desired effects of administration may be on other functions (e.g. immune, neuronal, etc.), hormonal replacement therapy (i.e. administration of ACTH and/or corticosterone) may be advisable as an adjunct to CRF antagonist therapy, as necessary to maintain homeostasis. As a parallel example, testosterone replacement is often used when treating normal humans with GnRH antagonists for male contraception in order to retain libido. Such hormonal replacement is not indicated in the case of treatment of prostate cancer.

All CRF-related peptides have been shown to dilate the mesenteric vascular bed. CRF antagonists should also be of use for decreasing blood flow to the gastrointestinal tract of mammals, particularly humans. Also, because CRF influences gastric acid production, CRF antagonists should also be effective to modulate gastrointestinal functions, including abdominal bowel syndrome and inflammatory diseases.

CRF antagonists or the nontoxic addition salts thereof, combined with a pharmaceutically acceptable carrier to form a pharmaceutical composition, may be administered to mammals, including humans, either intravenously, subcutaneously, intramuscularly, intrapulmonarily, percutaneously, e.g. intranasally, intracerebroventricularly or orally. The peptides should be at least about 90% pure and preferably should have a purity of at least about 98%; however, lower purities are

effective and may well be used with mammals other than humans. This purity means that the intended peptide constitutes the stated weight % of all like peptides and peptide fragments present. Administration to humans may be employed by a physician to inhibit endogenous glucocorticoid production or for possible uses outlined above. Administration may be in a variety of dosage forms such as tablets, lozenges, powders, syrups, injectable solutions, injectable depot formulations and the like. The required dosage will vary with the particular condition being treated, with the severity of the condition and with the duration of desired treatment, and multiple dosages may be used for a single day. In order to block the stress-related effects of endogenous CRF within the central nervous system, it may be necessary to deliver the CRF antagonists into the cerebral ventricle or spinal fluid.

Alternatively, a means of modifying the antagonists so that they could penetrate the blood-brain barrier should be found. For parental administration, solutions in peanut oil, in aqueous propylene glycol, or in sterile aqueous solution may be employed; sterile aqueous media are readily available. Such aqueous solutions, which are suitably buffered, are especially suitable for intravenous (iv), intramuscular, subcutaneous (s.c.) and intraperitoneal administration. For s.c. administration, corn oil or a 3- 6% mannitol solution may be preferred.

Such peptides are often administered in the form of pharmaceutically acceptable nontoxic salts, such as acid addition salts or metal complexes. The salts of trifluoroacetic acid and pamoic acid may be preferred. It may also be desirable to deliver the CRF antagonist peptide over prolonged periods of time, for example, for periods of one week or considerably longer, from a single administration, and slow release, depot or implant dosage forms may be utilized.

The peptides should be administered under the guidance of a physician in single or multiple doses, and pharmaceutical compositions will usually contain the

peptide in conjunction with a known, pharmaceutically- acceptable carrier that may extend its duration of action.

The effective dosage generally depends on the intended route of administration and other factors such as age and weight of the patient, as generally known to a physician, and also upon the illness being treated. Usually, the dosage will be from about 0.01 to about 10 milligrams of the peptide per kilogram of the body weight of the host animal. For the treatment of inflammatory diseases about 0.1 to about 100 mg/kg is generally employed; for gastrointestinal diseases about 0.1 to about 50 mg/kg, as well as for anorexia nervosa, hemorrhagic stress, treatment of drug and alcohol withdrawal symptoms and treatment of fertility problems. The daily dosage may be given in a single dose or up to three divided doses.

As used herein all temperatures are C. and all ratios are by volume. Percentages of liquid materials are also by volume. By lower alkyl is meant C1 to C6.

Although the invention has been described with regard to its preferred embodiments, it should be understood that various changes and modifications as would be obvious to one having the ordinary skill in this art may be made without departing from the scope of the invention which is set forth in the claims appended hereto. For example, pharmaceutically acceptable salts, although not specifically recited, are clearly known equivalents of the claimed subject matter. Instead of D-Phe at the 12- position, L-Phe or Tyr or another appropriate D-isomer generally similar to those hereinbefore mentioned, e.g., D-Cpa, may be present and is considered to be equivalent, although a D-isomer is preferred. D-Ala31 can be substituted for Alma31 with retention of biopotency well above that of the native sequence, thus, it is considered an equivalent at the 31-position. Instead of the simple amide at the C-terminus, a lower alkyl-substituted amide, i.e., 1-4 carbon atoms, e.g., methylamide or ethylamide, may be incorporated. An equivalent lactam bond can also be created by linking the side chains of Lys30 and Glu33;

however, the bonds illustrated hereinbefore are preferred.

The amino group which is reacted to form the 30-33 lactam cyclizing bond or the a-amino group of one of the residues in positions 30 through 33 may be alkylated, as by adding a methyl group; such changes are considered to create equivalent cyclic peptides. Likewise when a D- or L-isomer of Aph, Lys, Orn, Dbu, Dpr, Arg, or Agl is present in the 32-position, its side chain may also be optionally alkylated by a lower alkyl group, e.g., methyl or ethyl.

Such aforementioned peptides are considered as being within the scope of the invention.

Sequence Listing Summary SEQ ID NO:1, when the C-terminus is amidated, is the amino acid sequence of ovine CRF.

SEQ ID NO:2, when the C-terminus is amidated, is the amino acid sequence of rat/human CRF.

SEQ ID NO:3, when pGlu is at the N-terminus and the C- terminus is amidated, is the amino acid sequence of frog sauvagine.

SEQ ID NO:4, when the C-terminus is amidated, is the amino acid sequence of a-helical CRF, referred to as "AHC".

SEQ ID NO:5, when the C-terminus is amidated, is the amino acid sequence of porcine CRF.

SEQ ID NO:6, when the C-terminus is amidated, is the amino acid sequence of bovine CRF.

SEQ ID NO:7, when the C-terminus is amidated, is the amino acid sequence of fish CRF.

SEQ ID NO:8, when the C-terminus is amidated, is the amino acid sequence of carp urotensin.

SEQ ID NO:9, when the C-terminus is amidated, is the amino acid sequence of suckerfish urotensin.

SEQ ID NO : 10, when the C-terminus is amidated, is the amino acid sequence of flathead (Maggy) sole urotensin.

SEQ ID NO:ll, when the C-terminus is amidated, is the amino acid sequence of flounder urotensin.

SEQUENCE LISTING (1) GENERAL INFORMATION: (i) APPLICANT: (A) NAME: THE SALK INSTITUTE FOR BIOLOGICAL STUDIES (B) STREET: 10010 North Torrey Pines Road (C) CITY: La Jolla (D) STATE: California (E) COUNTRY: USA (F) POSTAL CODE (ZIP) : 92037 (A) NAME: RIVIER, Jean E.F.

(B) STREET: 9674 Blackgold Road (C) CITY: La Jolla (D) STATE: California (E) COUNTRY: USA (F) POSTAL CODE (ZIP) : 92037 (ii) TITLE OF INVENTION: CYCLIC CRF ANTAGONIST PEPTIDES (iii) NUMBER OF SEQUENCES: 11 (iv) CORRESPONDENCE ADDRESS: (A) ADDRESSEE: FITCH, EVEN, TABIN & FLANNERY (B) STREET: 135 S. LaSalle Street, Suite 900 (C) CITY: Chicago (D) STATE: Illinois (E) COUNTRY: USA (F) ZIP: 60603 (v) COMPUTER READABLE FORM: (A) MEDIUM TYPE: Floppy disk (B) COMPUTER: IBM PC compatible (C) OPERATING SYSTEM: PC-DOS/MS-DOS (D) SOFTWARE: PatentIn Release &num 1.0, Version &num 1. 30 (EPO) (vi) CURRENT APPLICATION DATA: (A) APPLICATION NUMBER: (B) FILING DATE: (C) CLASSIFICATION: (vii) PRIOR APPLICATION DATA: (A) APPLICATION NUMBER: US 08/865,773 (B) FILING DATE: 30-MAY-1997 (viii) ATTORNEY/AGENT INFORMATION: (A) NAME: Schumann, James J.

(B) REGISTRATION NUMBER: 20,856 (C) REFERENCE/DOCKET NUMBER: 57670-PCT (ix) TELECOMMUNICATION INFORMATION: (A) TELEPHONE: 619-552-1311 (B) TELEFAX: 619-552-0095 (C) TELEX: 20 6566 PATLAW CGO (2) INFORMATION FOR SEQ ID NO:1: (i) SEQUENCE CHARACTERISTICS: (A) LENGTH: 41 amino acids (B) TYPE: amino acid (D) TOPOLOGY: unknown (ii) MOLECULE TYPE: peptide (xi) SEQUENCE DESCRIPTION: SEQ ID NO:1: Ser Gln Glu Pro Pro Ile Ser Leu Asp Leu Thr Phe His Leu Leu Arg 1 5 10 15 Glu Val Leu Glu Met Thr Lys Ala Asp Gln Leu Ala Gln Gln Ala His 20 25 30 Ser Asn Arg Lys Leu Leu Asp Ile Ala 35 40 (2) INFORMATION FOR SEQ ID NO:2: (i) SEQUENCE CHARACTERISTICS: (A) LENGTH: 41 amino acids (B) TYPE: amino acid (D) TOPOLOGY: unknown (ii) MOLECULE TYPE: peptide (xi) SEQUENCE DESCRIPTION: SEQ ID NO:2: Ser Glu Glu Pro Pro Ile Ser Leu Asp Leu Thr Phe His Leu Leu Arg 1 5 10 15 Glu Val Leu Glu Met Ala Arg Ala Glu Gln Leu Ala Gln Gln Ala His 20 25 30 Ser Asn Arg Lys Leu Met Glu Ile Ile 35 40 (2) INFORMATION FOR SEQ ID NO:3: (i) SEQUENCE CHARACTERISTICS: (A) LENGTH: 41 amino acids (B) TYPE: amino acid (D) TOPOLOGY: unknown (ii) MOLECULE TYPE: peptide (xi) SEQUENCE DESCRIPTION: SEQ ID NO:3: Ser Gln Glu Pro Pro Ile Ser Leu Asp Leu Thr Phe His Leu Leu Arg 1 5 10 15 Glu Met Leu Glu Met Ala Lys Ala Glu Gln Glu Ala Glu Gln Ala Ala 20 25 30 Leu Asn Arg Leu Leu Leu Glu Glu Ala 35 40 (2) INFORMATION FOR SEQ ID NO:4: (i) SEQUENCE CHARACTERISTICS: (A) LENGTH: 41 amino acids (B) TYPE: amino acid (D) TOPOLOGY: unknown (ii) MOLECULE TYPE: peptide (xi) SEQUENCE DESCRIPTION: SEQ ID NO:4: Ser Gln Glu Pro Pro Ile Ser Leu Asp Leu Thr Phe His Leu Leu Arg 1 5 10 15 Glu Val Leu Ala Met Thr Lys Ala Asp Gln Leu Ala Gln Gln Ala His 20 25 30 Ser Asn Arg Lys Leu Leu Asp Ile Ala 35 40 (2) INFORMATION FOR SEQ ID NO:5: (i) SEQUENCE CHARACTERISTICS: (A) LENGTH: 41 amino acids (B) TYPE: amino acid (D) TOPOLOGY: unknown (ii) MOLECULE TYPE: peptide (xi) SEQUENCE DESCRIPTION: SEQ ID NO:5: Ser Gln Glu Pro Pro Ile Ser Leu Asp Leu Thr Phe His Leu Leu Arg 1 5 10 15 Glu Val Leu Glu Met Thr Lys Ala Asp Gln Leu Ala Gln Gln Ala His 20 25 30 Ser Asn Arg Lys Leu Leu Ala Ile Ala 35 40 (2) INFORMATION FOR SEQ ID NO:6: (i) SEQUENCE CHARACTERISTICS: (A) LENGTH: 41 amino acids (B) TYPE: amino acid (D) TOPOLOGY: unknown (ii) MOLECULE TYPE: peptide (xi) SEQUENCE DESCRIPTION: SEQ ID NO:6: Ser Gln Glu Pro Pro Ile Ser Leu Asp Leu Thr Phe His Leu Leu Arg 1 5 10 15 Glu Val Leu Ala Met Thr Lys Ala Asp Gln Leu Ala Gln Gln Ala His 20 25 30 Ser Asn Arg Lys Leu Leu Ala Ile Ala 35 40 (2) INFORMATION FOR SEQ ID NO:7: (i) SEQUENCE CHARACTERISTICS: (A) LENGTH: 41 amino acids (B) TYPE: amino acid (D) TOPOLOGY: unknown (ii) MOLECULE TYPE: peptide (xi) SEQUENCE DESCRIPTION: SEQ ID NO:7: Ser Glu Glu Pro Pro Ile Ser Leu Asp Leu Thr Phe His Leu Leu Arg 1 5 10 15 Glu Val Leu Ala Met Ala Arg Ala Glu Gln Leu Ala Gln Gln Ala His 20 25 30 Ser Asn Arg Lys Leu Met Glu Ile Ile 35 40 (2) INFORMATION FOR SEQ ID NO:8: (i) SEQUENCE CHARACTERISTICS: (A) LENGTH: 41 amino acids (B) TYPE: amino acid (D) TOPOLOGY: unknown (ii) MOLECULE TYPE: peptide (xi) SEQUENCE DESCRIPTION: SEQ ID NO:8: Ser Glu Glu Pro Pro Ile Ser Leu Asp Leu Thr Phe His Leu Leu Arg 1 5 10 15 Glu Val Leu Glu Met Ala Arg Ala Glu Gln Leu Ala Gln Gln Ala His 20 25 30 Ser Asn Arg Lys Leu Met Ala Ile Ile 35 40 (2) INFORMATION FOR SEQ ID NO:9: (i) SEQUENCE CHARACTERISTICS: (A) LENGTH: 41 amino acids (B) TYPE: amino acid (D) TOPOLOGY: unknown (ii) MOLECULE TYPE: peptide (xi) SEQUENCE DESCRIPTION: SEQ ID NO:9: Ser Xaa Glu Pro Pro Ile Ser Leu Asp Leu Thr Xaa His Leu Leu Arg 1 5 10 15 Glu Val Leu Xaa Xaa Xaa Xaa Xaa Xaa Gln Leu Ala Gln Gln Ala Xaa 20 25 30 Ser Asn Arg Xaa Leu Xaa Xaa Ile Xaa 35 40 (2) INFORMATION FOR SEQ ID NO:10: (i) SEQUENCE CHARACTERISTICS: (A) LENGTH: 41 amino acids (B) TYPE: amino acid (D) TOPOLOGY: unknown (ii) MOLECULE TYPE: peptide (xi) SEQUENCE DESCRIPTION: SEQ ID NO:10: Xaa Xaa Xaa Xaa Pro Ile Ser Xaa Xaa Leu Xaa Xaa Xaa Xaa Leu Arg 1 5 10 15 Xaa Xaa Xaa Xaa Xaa Xaa Xaa Xaa Xaa Xaa Xaa Xaa Xaa Gln Ala Xaa 20 25 30 Xaa Asn Arg Xaa Xaa Xaa Xaa Xaa Xaa 35 40 (2) INFORMATION FOR SEQ ID NO:ll: (i) SEQUENCE CHARACTERISTICS: (A) LENGTH: 41 amino acids (B) TYPE: amino acid (D) TOPOLOGY: unknown (ii) MOLECULE TYPE: peptide (xi) SEQUENCE DESCRIPTION: SEQ ID NO:ll: Ser Xaa Glu Pro Pro Ile Ser Leu Xaa Leu Thr Xaa Xaa Xaa Leu Arg 1 5 10 15 Glu Xaa Leu Xaa Xaa Ala Lys Xaa Glu Gln Xaa Ala Glu Gln Ala Xaa 20 25 30 Xaa Asn Arg Xaa Xaa Xaa Xaa Xaa Xaa 35 40