Selective CCK-A agonist activity has been reported to induce satiety in a v
ariety of animals, including man, and thereby suggests a therapeutic role f
or CCK in the management of obesity. To date, three general classes of CCK-
A agonists have been reported, the full-length, sulfated hepta- and hexapep
tides, a series of tetrapeptides, and most recently a series of benzodiazep
ines. The SAR of the hexa- and tetrapeptide classes suggests that the Hpa(S
O3H) and Tac groups may not interact at the CCK-A receptor in the same loca
tion. However, the C-terminal dipeptide part of the hexapeptides and tetrap
eptides appear to interact at the CCK-A receptor in a similar manner. Compo
und 7 (Hpa-Nle-Gly-Trp-Lys(Tac)-Asp-MePhe-NH2) derived from combining the f
eatures of the hexapeptides and the tetrapeptides has subnanomolar affinity
and 3500-fold selectivity for CCK-A receptors. Compound 7 administered int
raperitoneally produces potent, long-lasting reduction in food intake in ra
ts and a corresponding weight loss when administered over nine consecutive
days.