Development of Compstatin Analogues: Enhancing Pharmacokinetic Properties

Abstract

The development of compstatin analogues has seen significant progress in recent years, with a focus on improving their pharmacokinetic (PK) properties. Compstatin analogues exhibit potent inhibitory activity against complement protein C3 and have shown promise for various therapeutic applications. However, challenges related to limited plasma stability, rapid clearance, and potential immunogenicity have prompted efforts to enhance their PK profiles. This lab report discusses the strategies employed to optimize compstatin analogues and improve their PK properties, including PEGylation, albumin-binding peptide (ABP) fusion, and modification with non-proteinogenic amino acids.

The results of in vivo studies in cynomolgus monkeys are presented to demonstrate the impact of these modifications on solubility, bioavailability, and circulation time.

Introduction

Compstatin analogues represent a class of peptide drugs designed to target complement protein C3, a key component of the immune system. Previous studies have reported compstatin analogues with sub-nanomolar affinity for C3 and enhanced PK properties, making them promising candidates for therapeutic applications (Qu et al., 2013; Primikyri et al.

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, 2017; Berger et al., 2018). However, traditional peptide drug development faces challenges such as limited administration routes, poor cell penetration, low metabolic stability, and rapid plasma elimination (Craik et al., 2013).

In this lab report, we explore strategies to enhance the PK properties of compstatin analogues, focusing on increasing their plasma stability and circulation time. These strategies include PEGylation, ABP fusion, and modification with non-proteinogenic amino acids.

Materials and Methods

The development and optimization of compstatin analogues involved several key methods and approaches. These methods are detailed below:

1. Compstatin Analogues: Various compstatin analogues were synthesized and modified as part of this study.
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   These modifications included PEGylation, ABP fusion, and substitution with non-proteinogenic amino acids.

2. In Vivo Studies: In vivo studies were conducted using cynomolgus monkeys to evaluate the PK properties of the compstatin analogues. Single intravenous injections were administered, and blood samples were collected at various time points for analysis.
3. PK Parameters: PK parameters, including Cmax, half-life (t1/2), area under the curve (AUC0-120h), and clearance (CL/F), were determined to assess the impact of modifications on the PK profiles of the analogues.
4. Enzymatic Cleavage: Enzymatic cleavage of compstatin analogues was assessed both in vitro and in vivo to understand potential metabolic processes and the formation of cleavage products.

Experimental Procedure

The experimental procedure involved the following steps:

1. Synthesis and Modification: Compstatin analogues were synthesized and modified using PEGylation, ABP fusion, or substitution with non-proteinogenic amino acids, as described in the literature (Qu et al., 2013; Primikyri et al., 2017; Berger et al., 2018).
2. In Vivo Administration: Cynomolgus monkeys were selected as the animal model for in vivo studies. Compstatin analogues were administered via a single intravenous injection.
3. Blood Sample Collection: Blood samples were collected from the monkeys at specified time intervals after injection to monitor the concentration of the analogues in circulation.
4. PK Parameter Calculations: PK parameters, including Cmax, t1/2, AUC0-120h, and CL/F, were calculated based on the concentration-time profiles of the analogues in monkey plasma.
5. Enzymatic Cleavage Analysis: Enzymatic cleavage of compstatin analogues was evaluated using both in vitro assays and analysis of blood samples collected from the monkeys.

Results

Impact of PEGylation and Amino Acid Substitution

Table 1 presents the PK parameters of compstatin analogues with different modifications, including PEGylation and amino acid substitution. Notably, PEGylation with mPEG(3k) significantly increased the solubility of Cp40, leading to a higher Cmax value and an extended t1/2 compared to the unaltered Cp40. Similarly, amino acid substitutions with Lys residues improved solubility and resulted in favorable PK profiles.

Enzymatic Cleavage Analysis

Enzymatic cleavage of compstatin analogues was observed in both in vitro and in vivo settings. The presence of Lys-Lys bonds in Cp40-KK and Cp40-KKK led to cleavage products. Further investigation is required to identify the specific enzymatic processes involved and their potential biological significance.

Discussion

The optimization of compstatin analogues to enhance their PK properties is a crucial step in their development as potential therapeutics. The results presented in Table 1 demonstrate the impact of PEGylation and amino acid substitution on the PK profiles of these analogues.

PEGylation with mPEG(3k) significantly increased the solubility of Cp40, resulting in a higher Cmax value and an extended half-life (t1/2) compared to the unaltered Cp40. This suggests that PEGylation can improve the bioavailability and circulation time of compstatin analogues, making them more suitable for systemic use. However, it is important to consider potential immunogenicity associated with therapeutic PEGylated compounds (Zhang et al., 2014).

Amino acid substitutions, such as the introduction of Lys residues in Cp40-KK and Cp40-KKK, also improved solubility and led to favorable PK profiles. These modifications resulted in higher Cmax values and extended t1/2, suggesting enhanced bioavailability and longer circulation time. The slower release of these compounds into the systemic circulation from the subcutaneous compartment likely contributes to the longer saturation of circulating C3.

Enzymatic cleavage of compstatin analogues, particularly those with Lys-Lys bonds, was observed in both in vitro and in vivo settings. This phenomenon underscores the importance of understanding metabolic processes and potential cleavage products when designing peptide drugs. Further investigation is needed to identify the specific enzymes involved and assess their biological relevance.

Conclusion

The development of compstatin analogues with enhanced PK properties is a promising avenue for improving their therapeutic potential. PEGylation and amino acid substitution strategies have shown significant success in increasing solubility, Cmax, and t1/2, making these analogues more suitable for systemic administration.

While these modifications offer improved PK profiles, questions remain regarding immunogenicity, route of excretion, and the potential generation of metabolites. Further research and development efforts are required to address these open questions and advance the clinical development of lead compstatin analogues.

Recommendations

Based on the findings of this study, several recommendations can be made for future research and development of compstatin analogues:

1. Continued Investigation: Further investigation is needed to identify the specific enzymes responsible for cleaving Lys-Lys bonds in compstatin analogues. Understanding these enzymatic processes is crucial for assessing potential metabolic pathways.
2. Immunogenicity Assessment: Immunogenicity studies should be conducted to evaluate the risk associated with therapeutic PEGylated compounds. Strategies to mitigate potential immunogenic responses should be explored.
3. Metabolite Characterization: Comprehensive characterization of metabolites generated during the metabolism of compstatin analogues is essential to assess their biological relevance and potential impact on efficacy and safety.
4. Long-term Administration: Strategies to further extend the circulation time of compstatin analogues for long-term administration should be explored, considering the balance between solubility and immunogenicity.

By addressing these recommendations, researchers can continue to enhance the PK properties of compstatin analogues and advance their development as effective therapeutic agents.