US2004214996A1PendingUtilityA1

Modulators of receptors for parathyroid hormone and parathyroid hormone-related protein

Assignee: AMGEN INCPriority: Apr 27, 2000Filed: May 4, 2004Published: Oct 28, 2004
Est. expiryApr 27, 2020(expired)· nominal 20-yr term from priority
A61P 37/06A61P 35/04A61P 9/00A61P 5/18A61P 7/06A61P 5/22A61P 3/10A61P 5/14A61P 5/06A61P 5/46A61P 5/16A61P 3/14A61P 35/00A61P 29/00A61P 35/02A61P 19/00A61P 11/06A61P 21/00A61P 1/16A61P 19/10A61P 19/08A61P 17/14A61P 19/02C07K 14/635A61K 47/61A61K 38/00A61P 1/02A61P 11/00A61P 13/12C07K 2319/00A61K 47/60A61K 47/6425C07K 14/705
50
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Claims

Abstract

The present invention concerns therapeutic agents that modulate the activity of PTH and PTHrP. In accordance with the present invention, modulators of PTH and PTHrP comprise: (a) a PTH/PTHrP modulating domain; and (b) a vehicle, such as a polymer (e.g., PEG or dextran) or an Fc domain, which is preferred; wherein the vehicle is covalently attached to the C-terminus of the PTH/PTHrP modulating domain. The vehicle and the PTH/PTHrP modulating domain may be linked through the N— or C-terminus of the PTH/PTHrP modulating domain, as described further below. The preferred vehicle is an Fc domain, and the preferred Fc domain is an IgG Fc domain. Preferred PTH/PTHrP modulating domains comprise the PTH and PTHrP-derived amino acid sequences described hereinafter. Other PTH/PTHrP modulating domains can be generated by phage display, RNA-peptide screening and the other techniques mentioned herein. Such peptides typically will be modulators of both PTH activity and PTHrP activity, although such techniques can be used to generate peptide sequences that serve as selective modulators (e.g., agonists of PTH activity but not PTHrP activity).

Claims

exact text as granted — not AI-modified
What is claimed is:  
     
         1 . A composition of matter of the formula  
       P 1 -(L 1 ) a -F 1    
       and multimers thereof, wherein: 
 F 1  is a vehicle and is attached at the C-terminus of P 1 -(L 1 ) a ;  
 P 1  is a PTH/PTHrP modulating domain;  
 L 1  is a linker; and  
 a is 0 or 1.  
 
     
     
         2 . The composition of matter of  claim 1  of the formulae  
       P 1 -F 1 .  
     
     
         3 . The composition of matter of  claim 1 , wherein F 1  is an Fc domain.  
     
     
         4 . The composition of matter of  claim 1  wherein F 1  is an IgG Fc domain.  
     
     
         5 . The composition of matter of  claim 1  wherein F 1  is an IgG1 Fc domain.  
     
     
         6 . The composition of matter of  claim 1  wherein F 1  comprises the sequence of SEQ ID NO: 2.  
     
     
         7 . The composition of matter of  claim 1  wherein the PTH/PTHrP modulating domain is of the formula  
       
         
           
                 
                 
                 
               
                     
                 
                   X N HX 10 X 11 X 12 KX 14 X 15 X 16 X 17 X 18 X 19 RX 21   
                   (SEQ ID NO: 3) 
                     
                 
                   X 22 X 23 X 24 X 25 X 26 X 27 X 28 X C   
                 
                     
                 
             
                
                
                
                
               
            
           
         
       
       wherein: 
 X N  is absent or is X 3 X 4 X 5 X 6 X 7 , X 2 X 3 X 4 X 5 X 6 X 7 , X 1 X 2 X 3 X 4 X 5 X 6 X 7 , or YX 1 X 2 X 3 X 4 X 5 X 6 X 7 ;  
 X 1  through X 7 , X 10 , X 11 , X 12 , X 14  through X 28  are each independently amino acid residues;  
 X C  is absent or is X 29 , X 29 X 30 , X 29 X 30 X 31 , X 29 X 30 X 31 X 32 , X 29 X 30 X 31 X 32 X 33 , X 29 X 30 X 31 X 32 X 33 X 34 , X 29 X 30 X 31 X 32 X 33 X 34 X 35 , or X 29 X 30 X 31 X 32 X 33 X 34 X 35 X 36 ;  
 X 29  through X 36  are each independently amino acid residues.  
 
     
     
         8 . The composition of matter of  claim 7 , wherein: 
 X N  is X 1 X 2 X 3 X 4 X 5 X 6 X 7 ;    X 1  is a hydrophilic or nonfunctional residue;    X 2  is V;    X 3  is S;    X 4  is E;    X 5  is a nonfunctional or basic residue;    X 6  is Q;    X 7  is L;    X 10  is an acidic or hydrophilic residue;    X 11  is a nonfunctional or basic residue;    X 12  is a nonfunctional residue;    X 14  is a basic or hydrophilic residue;    X 15  is a nonfunctional residue;    X 16  is a nonfunctional or hydrophilic residue;    X 17  is an acidic, hydrophilic, or nonfunctional residue;    X 18  is a nonfunctional residue;    X 19  is an acidic or basic residue;    X 21  is a nonfunctional or basic residue;    X 22  is a hydrophilic, acidic, or aromatic residue;    X 23  is an aromatic or lipophilic residue;    X 24  is a lipophilic residue (L preferred);    X 25  is a hydrophilic or basic residue;    X 26  is a hydrophilic or basic residue;    X 27  is a lipophilic, basic, or nonfunctional residue; and    X 28  is a lipophilic or nonfunctional residue.    
     
     
         9 . The composition of matter of  claim 8 , wherein: 
 X C  is X 29 X 30 X 31 X 32 X 33 X 34 ;    X 29  is a hydrophilic or nonfunctional residue;    X 30  is a hydrophilic or acidic residue;    X 31  is a lipophilic or nonfunctional residue;    X 32  is H;    X 33  is a hydrophilic residue; and    X 34  is a nonfunctional or aromatic residue.    
     
     
         10 . The composition of matter of  claim 8 , wherein: 
 X C  is X 29 X 30 X 31 ;    X 29  is a hydrophilic or nonfunctional residue;    X 30  is a hydrophilic or acidic residue; and    X 31  is a lipophilic or nonfunctional residue.    
     
     
         11 . The composition of matter of  claim 8 , wherein: 
 X C  is X 29 X 30 ;    X 29  is a hydrophilic or nonfunctional residue; and    X 30  is a hydrophilic or acidic residue.    
     
     
         12 . The composition of matter of  claim 8 , wherein: 
 X C  is X 29 ; and;    X 29  is a hydrophilic or nonfunctional residue.    
     
     
         13 . The composition of matter of  claim 8 , wherein X C  is absent.  
     
     
         14 . The composition of matter of  claim 8 , wherein: 
 X 1  is A, S or Y;    X 5  is H or I;    X 10  is N or D;    X 11  is L, R, or K;    X 12  is G, F, or W;    X 14  is H or S;    X 15  is L or I;    X 16  is Q, N, S, or A;    X 17  is S, D, or L;    X 18  is M, L, V or Nle;    X 19  is E or R;    X 21  is V, M, R, or Nle;    X 22  is E or F;    X 23  is W or F;    X 25  is R or H;    X 26  is K or H;    X 27  is K or L; and    X 28  is L or I.    
     
     
         15 . The composition of matter of  claim 14 , wherein: 
 X C  is X 29 X 30 X 31 X 32 X 33 X 34 ;    X 29  is Q or A;    X 30  is D or E;    X 31  is V or I;    X 33  is N or T; and    X 34  is A, F or Y.    
     
     
         16 . The composition of matter of  claim 14 , wherein: 
 X C  is X 29 X 30 X 31 ;    X 29  is Q or A;    X 30  is D or E; and    X 31  is V or I;    
     
     
         17 . The composition of matter of  claim 14 , wherein: 
 X C  is X 29 X 30 ;    X 29  is Q or A; and    X 30  is D or E.    
     
     
         18 . The composition of matter of  claim 14 , wherein: 
 X C  is X 29 ; and;    X 29  is Q or A.    
     
     
         19 . The composition of matter of  claim 14 , wherein X C  is absent.  
     
     
         20 . The composition of matter of  claim 1 , wherein the PTH/PTHrP modulating domain is of the formula  
       
         
           
                 
                 
                 
                 
               
                     
                     
                 
                     
                   J N J 7 J 8 HNJ 11 J 12 KHLJ 16   
                   (SEQ ID NO: 4) 
                     
                 
                     
                     
                 
                     
                   SJ 18 J 19 RJ 21 EWLRKKLJ C   
                 
                     
                     
                 
             
                
                
                
                
                
               
            
           
         
       
       wherein: 
 J N  is absent or is selected from J 1 J 2 J 3 J 4 J 5 J 6 , J 2 J 3 J 4 J 5 J 6 , J 3 J 4 J 5 J 6 ;  
 J 1  is an amino acid residue;  
 J 2  is an amino acid residue;  
 J 3  is an amino acid residue;  
 J 4  is an amino acid residue;  
 J 5  is an amino acid residue;  
 J 6  is an amino acid residue;  
 J 7  is an amino acid residue;  
 J 8  is an amino acid residue;  
 J 11  is a nonfunctional or basic residue;  
 J 12  is an amino acid residue;  
 J 16  is an amino acid residue;  
 J 18  is an amino acid residue;  
 J 19  is an acidic or basic residue;  
 J 21  is an amino acid residue;  
 J C  is absent or is J 29 , J 29 J 30 , J 29 J 30 J 31 , J 29 J 30 J 31 J 32 , J 29 J 30 J 31 J 32 J 33 , J 29 J 30 J 31 J 32 J 33 J 34 ; and  
 J 29  is an amino acid residue;  
 J 30  is an amino acid residue;  
 J 31  is an amino acid residue;  
 J 32  is an amino acid residue;  
 J 33  is an amino acid residue;  
 J 34  is an amino acid residue.  
 
     
     
         21 . The composition of matter of  claim 20 , wherein: 
 J N  is J 1 J 2 J 3 J 4 J 5 J 6 ;    J 1  is a nonfunctional or aromatic residue;    J 2  is a nonfunctional residue;    J 3  is a hydrophilic residue;    J 4  is an acidic residue;    J 5  is a nonfunctional residue;    J 6  is a basic residue;    J 7  is a nonfunctional or aromatic residue;    J 8  is a nonfunctional residue;    J 11  is a basic or a nonfunctional residue;    J 12  is a nonfunctional or aromatic residue;    J 16  is a nonfunctional or hydrophilic residue;    J 18  is a nonfunctional residue;    J 19  is an acidic or basic residue; and    J 21  is a nonfunctional residue;    J C  is J 29 J 30 J 31 J 32 J 33 J 34 ;    J 29  is a hydrophilic or nonfunctional residue;    J 30  is a hydrophilic or acidic residue;    J 31  is a lipophilic or nonfunctional residue;    J 32  is a basic residue;    J 33  is an acidic residue; and    J 34  is an aromatic residue.    
     
     
         22 . The composition of matter of  claim 21 , wherein: 
 J 1  is A, S or Y;    J 2  is V;    J 3  is S;    J 4  is E;    J 5  is I;    J 6  is Q;    J 7  is L or F;    J 8  is M or Nle;    J 11  is L, R, or K;    J 12  is G or W;    J 16  is N, S, or A;    J 18  is M, Nle, L, or V;    J 19  is E or R;    J 21  is V, M, or Nle;    J 29  is Q or A;    J 30  is D or E;    J 31  is V or I;    J 32  is H;    J 33  is N; and    J 34 is F or Y.    
     
     
         23 . The composition of matter of  claim 20 , wherein: 
 J N  is J 1 J 2 J 3 J 4 J 5 J 6 ;    J 1  is a nonfunctional or aromatic residue;    J 2  is a nonfunctional residue;    J 3  is a hydrophilic residue;    J 4  is an acidic residue;    J 5  is a nonfunctional residue;    J 6  is a basic residue;    J 7  is a nonfunctional or aromatic residue;    J 8  is a nonfunctional residue;    J 11  is a basic or a nonfunctional residue;    J 12  is a nonfunctional or aromatic residue;    J 16  is a nonfunctional or hydrophilic residue;    J 18  is a nonfunctional residue;    J 19  is an acidic or basic residue;    J 21  is a nonfunctional residue;    J C  is J 29 J 30 J 31 ;    J 29  is a hydrophilic or nonfunctional residue;    J 30  is a hydrophilic or acidic residue; and    J 31  is a lipophilic or nonfunctional residue.    
     
     
         24 . The composition of matter of  claim 23 , wherein: 
 J 1  is A, S or Y;    J 2  is V;    J 3  is S;    J 4 is E;    J 5  is I;    J 6  is Q;    J 7 is L or F;    J 8  is M or Nle;    J 11  is L, R, or K;    J 12  is G or W;    J 16  is N, S, or A;    J 18  is M, Nle, L, or V;    J 19  is E or R;    J 21  is V, M, or Nle;    J 29  is Q or A;    J 30  is D or E; and    J 31  is V or I.    
     
     
         25 . The composition of matter of  claim 20 , wherein: 
 J N  is J 1 J 2 J 3 J 4 J 5 J 6 ;    J 1  is a nonfunctional or aromatic residue;    J 2  is a nonfunctional residue;    J 3  is a hydrophilic residue;    J 4  is an acidic residue;    J 5  is a nonfunctional residue;    J 6  is a basic residue;    J 7  is a nonfunctional or aromatic residue;    J 8  is a nonfunctional residue;    J 11  is a basic or a nonfunctional residue;    J 12  is a nonfunctional or aromatic residue;    J 16  is a nonfunctional or hydrophilic residue;    J 18  is a nonfunctional residue;    J 19  is an acidic or basic residue;    J 21  is a nonfunctional residue;    J C  is J 29 J 30 ;    J 29  is a hydrophilic or nonfunctional residue; and    J 30  is a hydrophilic or acidic residue.    
     
     
         26 . The composition of matter of  claim 25 , wherein: 
 J 1  is A, S or Y;    J 2  is V;    J 3  is S;    J 4  is E;    J 5  is I;    J 6  is Q;    J 7  is L or F;    J 8  is M or Nle;    J 11  is L, R, or K;    J 12  is G or W;    J 16  is N, S, or A;    J 18  is M, Nle, L, or V;    J 19  is E or R;    J 21  is V, M, or Nle;    J 29  is Q or A; and    J 30  is D or E.    
     
     
         27 . The composition of matter of  claim 20 , wherein: 
 J N  is J 1 J 2 J 3 J 4 J 5 J 6 ;    J 1  is a nonfunctional or aromatic residue;    J 2  is a nonfunctional residue;    J 3  is a hydrophilic residue;    J 4  is an acidic residue;    J 5  is a nonfunctional residue;    J 6  is a basic residue;    J 7  is a nonfunctional or aromatic residue;    J 8  is a nonfunctional residue;    J 11  is a basic or a nonfunctional residue;    J 12  is a nonfunctional or aromatic residue;    J 16  is a nonfunctional or hydrophilic residue;    J 18  is a nonfunctional residue;    J 19  is an acidic or basic residue;    J 21  is a nonfunctional residue;    J C  is J 29 ; and    J 29  is a hydrophilic or nonfunctional residue.    
     
     
         28 . The composition of matter of  claim 27 , wherein: 
 J 1  is A, S or Y;    J 2  is V;    J 3  is S;    J 4  is E;    J 5  is I;    J 6  is Q;    J 7  is L or F;    J 8  is M or Nle;    J 11  is L, R, or K;    J 12  is G or W;    J 16  is N, S, or A;    J 18  is M, Nle, L, or V;    J 19  is E or R;    J 21  is V, M, or Nle; and    J 29  is Q or A.    
     
     
         29 . The composition of matter of  claim 20 , wherein: 
 J N  is J 1 J 2 J 3 J 4 J 5 J 6 ;    J 1  is a nonfunctional or aromatic residue;    J 2  is a nonfunctional residue;    J 3  is a hydrophilic residue;    J 4  is an acidic residue;    J 5  is a nonfunctional residue;    J 6  is a basic residue;    J 7  is a nonfunctional or aromatic residue;    J 8  is a nonfunctional residue;    J 11  is a basic or a nonfunctional residue;    J 12  is a nonfunctional or aromatic residue;    J 16  is a nonfunctional or hydrophilic residue;    J 18  is a nonfunctional residue;    J 19  is an acidic or basic residue;    J 21  is a nonfunctional residue; and    J C  is absent.    
     
     
         30 . The composition of matter of  claim 29 , wherein: 
 J 1  is A, S or Y;    J 2  is V;    J 3  is S;    J 4  is E;    J 5  is I;    J 6  is Q;    J 7  is L or F;    J 8  is M or Nle;    J 11  is L, R, or K;    J 12  is G or W;    J 16  is N, S, or A;    J 18  is M, Nle, L, or V;    J 19  is E or R; and    J 21  is V, M, or Nle.    
     
     
         31 . The composition of matter of  claim 20 , wherein the PTH/PTHrP modulating domain is selected from Table 1.  
     
     
         32 . The composition of matter of  claim 1  wherein the PTH/PTHrP modulating domain is of the formula  
       
         
           
                 
                 
                 
                 
               
                     
                     
                 
                     
                   O N LHO 10 O 11 O 12 KSIO 16   
                   (SEQ ID NO: 5) 
                     
                 
                     
                     
                 
                     
                   O 17 LRRRFO 23 LHHLIO C   
                 
                     
                     
                 
             
                
                
                
                
                
               
            
           
         
       
       wherein: 
 O N  is absent or is YO 1 O 2 O 3 O 4 O 5 O 6 O 7 , O 1 O 2 O 3 O 4 O 5 O 6 O 7 , O 2 O 3 O 4 O 5 O 6 O 7 , O 3 O 4 O 5 O 6 O 7 , O 4 O 5 O 6 O 7 , O 5 O 6 O 7 , O 6 O 7 , or O 7 ;  
 O 1  is an amino acid residue;  
 O 2  is an amino acid residue;  
 O 3  is an amino acid residue;  
 O 4  is an amino acid residue;  
 O 5  is an amino acid residue;  
 O 6  is an amino acid residue;  
 O 7  is an amino acid residue;  
 O 10  is an amino acid residue;  
 O 11  is an amino acid residue;  
 O 12  is an amino acid residue;  
 O 16  is an amino acid residue;  
 O 17  is an amino acid residue;  
 O 23  is an amino acid residue;  
 O C  is absent or is O 29 , O 29 O 30 , O 29 O 30 O 31 , O 29 O 30 O 31 O 32 , O 29 O 30 O 31 O 32 O 33 , O 29 O 30 O 31 O 32 O 33 O 34 , O 29 O 30 O 31 O 32 O 33 O 34 O 35 , or O 29 O 30 O 31 O 32 O 33 O 34 O 35 O 36 ; and  
 O 29  through O 36  are each independently amino acid residues.  
 
     
     
         33 . The composition of matter of  claim 27 , wherein: 
 O N  is O 7 ;    O 7  is a nonfunctional residue;    O 10  is an acidic or hydrophilic residue;    O 11  is a basic or nonfunctional residue;    O 12  is an aromatic or nonfunctional residue;    O 15  is a hydrophilic or nonfunctional residue;    O 16  is a hydrophilic residue;    O 17  is an acidic or nonfunctional residue;    O 23  is an aromatic residue; and    O C  is absent.    
     
     
         34 . The composition of matter of  claim 23 , wherein: 
 O N  is O 1 O 2 O 3 O 4 O 5 O 6 O 7 ;    O 1  is a nonfunctional amino acid residue;    O 2  is a nonfunctional amino acid residue;    O 3  is a hydrophilic amino acid residue;    O 4  is an acidic amino acid residue;    O 5  is a basic or nonfunctional amino acid residue;    O 6  is a hydrophilic amino acid residue;    O 7  is a nonfunctional residue;    O 10  is an acidic or hydrophilic residue;    O 11  is a basic or nonfunctional residue;    O 12  is an aromatic or nonfunctional residue;    O 15  is a hydrophilic or nonfunctional residue;    O 16  is a hydrophilic residue; and    O 17  is an acidic or nonfunctional residue; and    O 23  is an aromatic residue.    
     
     
         35 . The composition of matter of  claim 34 , wherein: 
 O 1  is A;    O 2  is V;    O 3  is S;    O 4  is E;    O 5  is H or I;    O 6  is Q;    O 7  is L;    O 10  is N or D;    O 11  is K or L;    O 12  is G, F, or W;    O 15  is I or S;    O 16  is Q or N;    O 17  is D or L;    O 23  is F or W.    
     
     
         36 . The composition of matter of  claim 27 , wherein the PTH/PTHrP modulating domain is selected from Table 2.  
     
     
         37 . The composition of matter of  claim 1 , wherein the PTH/PTHrP modulating domain has the amino acid sequence of TIP39.  
     
     
         38 . The composition of matter of  claim 1 , comprising a sequence selected from Table 4.  
     
     
         39 . A composition of matter, which comprises a peptide selected from SEQ ID NOS: 17,18,19, and 69.  
     
     
         40 . A nucleic acid encoding a composition of matter of  claim 1 .  
     
     
         41 . A nucleic acid encoding a composition of matter of  claim 7 .  
     
     
         42 . A nucleic acid encoding a composition of matter of  claim 20 .  
     
     
         43 . A nucleic acid encoding a composition of matter of  claim 32 .  
     
     
         44 . A nucleic acid encoding a composition of matter of  claim 39 .  
     
     
         45 . An expression vector comprising the DNA of  claim 40 .  
     
     
         46 . An expression vector comprising the DNA of  claim 41 .  
     
     
         47 . An expression vector comprising the DNA of  claim 42 .  
     
     
         48 . An expression vector comprising the DNA of  claim 43 .  
     
     
         49 . An expression vector comprising the DNA of  claim 44 .  
     
     
         50 . A host cell comprising the expression vector of  claim 45 .  
     
     
         51 . A host cell comprising the expression vector of  claim 46 .  
     
     
         52 . A host cell comprising the expression vector of  claim 47 .  
     
     
         53 . A host cell comprising the expression vector of  claim 48 .  
     
     
         54 . A host cell comprising the expression vector of  claim 49 .  
     
     
         55 . The cell of  claim 50 , wherein the cell is an  E. coli  cell.  
     
     
         56 . The cell of  claim 51 , wherein the cell is an  E. coli  cell.  
     
     
         57 . The cell of  claim 52 , wherein the cell is an  E. coli  cell.  
     
     
         58 . The cell of  claim 53 , wherein the cell is an  E. coli  cell.  
     
     
         59 . A process for preparing an antagonist of the PTH/PTHrP receptor, which comprises: 
 a) selecting at least one peptide that binds to the receptor; and    b) preparing a pharmacologic agent comprising at least one Fc domain covalently linked to at least one amino acid sequence of the selected peptide or peptides.    
     
     
         60 . The process of  claim 59 , wherein the peptide is selected from the SEQ ID NOS: 3,4, or 5.  
     
     
         61 . The process of  claim 59 , wherein the peptide is selected in a process comprising screening of a phage display library, an  E. coli  display library, a ribosomal library, an RNA-peptide library, or a chemical peptide library.  
     
     
         62 . The process of  claim 59 , wherein the preparation of the pharmacologic agent is carried out by: 
 a) preparing a gene construct comprising a nucleic acid sequence encoding the selected peptide and a nucleic acid sequence encoding an Fc domain; and    b) expressing the gene construct.    
     
     
         63 . The process of  claim 59 , wherein the gene construct is expressed in an  E. coli  cell.  
     
     
         64 . The process of  claim 59 , wherein the selection of the peptide is carried out by a process comprising: 
 a) preparing a gene construct comprising a nucleic acid sequence encoding a first selected peptide and a nucleic acid sequence encoding an Fc domain;    b) conducting a polymerase chain reaction using the gene construct and mutagenic primers, wherein 
 i) a first mutagenic primer comprises a nucleic acid sequence complementary to a sequence at or near the 5′ end of a coding strand of the gene construct, and  
 ii) a second mutagenic primer comprises a nucleic acid sequence complementary to the 3′ end of the noncoding strand of the gene construct.  
   
     
     
         65 . A method of treating osteopenia, which comprises administering a PTH agonist and a bone resorption inhibitor, wherein the PTH agonist comprises a composition of matter of  claim 1 .  
     
     
         66 . A method of treating osteopenia, which comprises administering a PTH agonist and a bone resorption inhibitor, wherein the PTH agonist comprises a composition of matter of  claim 7 .  
     
     
         67 . A method of treating osteopenia, which comprises administering a PTH agonist and a bone resorption inhibitor, wherein the PTH agonist comprises a composition of matter of  claim 20 .  
     
     
         68 . A method of treating osteopenia, which comprises administering a PTH agonist and a bone resorption inhibitor, wherein the PTH agonist comprises a composition of matter of  claim 32 .  
     
     
         69 . A method of treating osteopenia, which comprises administering a PTH agonist and a bone resorption inhibitor, wherein the PTH agonist comprises a composition of matter of  claim 39 .  
     
     
         70 . The method of  claim 65 , wherein the bone resorption inhibitor is selected from OPG, OPG-L antibody, calcitonin, bisphosphonates, estrogens, estrogen receptor modulators, and tibolone.  
     
     
         71 . The method of  claim 66 , wherein the bone resorption inhibitor is selected from OPG, OPG-L antibody, calcitonin, bisphosphonates, estrogens, estrogen receptor modulators, and tibolone.  
     
     
         72 . The method of  claim 67 , wherein the bone resorption inhibitor is selected from OPG, OPG-L antibody, calcitonin, bisphosphonates, estrogens, estrogen receptor modulators, and tibolone.  
     
     
         73 . The method of  claim 68 , wherein the bone resorption inhibitor is selected from OPG, OPG-L antibody, calcitonin, bisphosphonates, estrogens, estrogen receptor modulators, and tibolone.  
     
     
         74 . The method of  claim 69 , wherein the bone resorption inhibitor is selected from OPG, OPG-L antibody, calcitonin, bisphosphonates, estrogens, estrogen receptor modulators, and tibolone.  
     
     
         75 . A method of treating osteopenia, which comprises administering a composition of matter of  claim 1 .  
     
     
         76 . A method of treating osteopenia, which comprises administering a composition of matter of  claim 7 .  
     
     
         77 . A method of treating osteopenia, which comprises administering a composition of matter of  claim 20 .  
     
     
         78 . A method of treating osteopenia, which comprises administering a composition of matter of  claim 32 .  
     
     
         79 . A method of treating osteopenia, which comprises administering a composition of matter of  claim 39.

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