KR20050067418A - 당뇨병을 치료 또는 예방하기 위한 베타-아미노헤테로사이클릭 디펩티딜 펩티다제 억제제 - Google Patents
당뇨병을 치료 또는 예방하기 위한 베타-아미노헤테로사이클릭 디펩티딜 펩티다제 억제제 Download PDFInfo
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Abstract
Description
중간체 | R3 | 선택된 1H NMR 자료(CD3OD) |
5 | 2-F,4-Cl,5-F | 7.11(dd, 1H, J = 8.9, 6.4Hz),7.03(dd, 1H, J = 9.0, 6.6) |
6 | 2-F,5-Cl | 7.27(dd, 1H, J = 6.4, 2.5Hz), 7.21(m. 1H), 7.03(t, 1H, J = 9.2Hz) |
7 | 2-Me,5-Cl | 7.16(d, 1H, J = 1.8Hz), 7.11-7.07(m, 2H), 2.34(s, 3H) |
8 | 2-Cl,5-Cl | 7.34(d, 1H, J = 9.0), 7.33(d, 1H, J = 2.1Hz), 7.21(dd, 1H, J=8.5, 2.5Hz) |
9 | 2-F,3-Cl,6-F | 7.35(td, 1H, J = 8.5, 5.8Hz), 6.95(t, 1H, J = 8.5Hz) |
10 | 3-Cl,4-F | 7.33(d, 1H, J = 6.9Hz), 7.19-7.11(m, 2H) |
11 | 2-F,3-F,6-F | 7.18-7.12(m, 1H), 6.91(m, 1H) |
12 | 2-F,4-F,6-F | 6.81(t, 2H, J = 8.4Hz) |
13 | 2-OCH2Ph,5-F | 7.49(d, 2H, J = 7.6Hz), 7.38(t, 2H, J = 7.3Hz), 7.30(t, 1H, J = 7.3Hz), 6.96-6.89(m, 3H), 5.11(d, 1H, J = 11.7Hz), 5.08(d, 1H, J = 11.9Hz) |
실시예 | R 3 | R 4 | R 1 | MS(M+1) |
10 | 2-F, 5-F | Me | H | 326.1 |
11 | 2-F, 4-F, 5-F | CH2-cPr | H | 384.1 |
12 | 2-F, 4-F, 5-F | Me | Me | 358.1 |
13 | 2-F, 5-F | Me | Et | 354.1 |
14 | 2-F, 4-F, 5-F | Me | cPr | 384.3 |
15 | 2-F, 5-F | Me | CH2CO2Me | 398.1 |
16 | 2-F, 4-F, 5-F | Me | CH2CH2OH | 388.1 |
17 | 2-F, 4-F, 5-F | Me | CH2CH2OCH2C6H5 | 478.2 |
18 | 2-F, 4-F, 5-F | Et | Me | 372.2 |
19 | 2-F, 5-F | Et | Me | 354.1 |
20 | 2-F, 4-F, 5-F | CH2OH | Me | 374.0 |
21 | 2-F | CH2Ph | Me | 398.2 |
22 | 3-F, 4-F | CH2Ph | Me | 416.2 |
23 | 2-F, 4-F, 5-F | CH2OCH2Ph | Me | 464.2 |
24 | 2-F, 4-F, 5-F | Et | H | 358.1 |
25 | 2-F, 4-F, 5-F | CH2Ph | H | 420.1 |
26 | 3-F, 4-F | CH2Ph | H | 402.1 |
27 | 2-F, 5-F | CH2(4-OCF3-Ph) | H | 486.1 |
28 | 2-F, 4-F, 5-F | CH2(3-OCF3-Ph) | H | 504.2 |
29 | 2-F, 4-F, 5-F | CH2CH(CH3)2 | Me | 400.2 |
30 | 2-F, 4-F, 5-F | CH2(3-CF3,5-CF3-Ph) | H | 556.2 |
31 | 2-F, 5-F | H | H | 312.2 |
32 | 2-F, 4-F, 5-F | CH2(2-CF3-Ph) | H | 488.1 |
33 | 2-F, 4-F, 5-F | CH2(2-Cl-Ph) | H | 454.0 |
34 | 2-F, 4-F, 5-F | CH2(2-CH3-Ph) | H | 434.1 |
35 | 2-F, 4-F, 5-F | CH2(2-CH3,5-CH3-Ph) | H | 448.2 |
36 | 2-F, 4-F, 5-F | Me | CHMe2 | 386.2 |
37 | 2-F, 4-F, 5-F | CH2(2-Ph-Ph) | H | 496.3 |
38 | 2-F, 4-F, 5-F | CH2(2-F,5-F-Ph) | H | 456.1 |
39 | 2-F, 4-F, 5-F | CH2(2-F-Ph) | H | 438.1 |
40 | 2-F, 4-F, 5-F | Me | CH2CF3 | 426.1 |
41 | 2-F, 4-F, 5-F | CH2(2-F,3-F-Ph) | H | 456.2 |
42 | 2-F, 4-F, 5-F | CH2(3-피리딜) | H | 421.1 |
43 | 2-F, 4-F, 5-F | CH2(2-F-Ph) | CH2CH2CH3 | 480.2 |
44 | 2-F, 4-F, 5-F | CH2(4-피리딜) | H | 421.1 |
45 | 2-F, 4-F, 5-F | CH2(2-F-Ph) | Me | 452.2 |
46 | 2-F, 4-F, 5-F | CH2(2-피리딜) | H | 421.2 |
47 | 2-F, 4-F, 5-F | CH2(2-F,6-F-Ph) | H | 456.3 |
48 | 2-F, 4-F, 5-F | CH2CF3 | H | 412.3 |
Claims (29)
- 화학식 1의 화합물 또는 약제학적으로 허용되는 이의 염.화학식 1상기 화학식 1에서,n은 각각 독립적으로 0, 1 또는 2이고,Ar은 1 내지 5개의 R3 치환체로 치환된 페닐이고,R1은 수소,알킬이 할로겐, 하이드록시, C1-6 알콕시, 카복시, C1-6 알킬옥시카보닐 및 페닐-C1-3 알콕시(여기서, 알콕시는 치환되지 않거나 1 내지 5개의 할로겐으로 치환된다)로부터 독립적으로 선택된 1 내지 5개의 치환체에 의해 치환되거나 치환되지 않은 C1-10 알킬,아릴이 할로겐, CN, 하이드록시, R2, OR2, NHSO2R2, NR2SO2R2, SO2R2, CO2H 및 C1-6 알킬옥시카보닐로부터 독립적으로 선택된 1 내지 5개의 치환체로 치환되거나 치환되지 않은 (CH2)n-아릴,헤테로아릴이 하이드록시, 할로겐, C1-6 알킬 및 C1-6 알콕시(여기서, 알킬 및 알콕시는 치환되지 않거나 1 내지 5개의 할로겐으로 치환된다)로부터 독립적으로 선택된 1 내지 3개의 치환체로 치환되거나 치환되지 않은 (CH2)n-헤테로아릴,헤테로사이클릴이 옥소, 하이드록시, 할로겐, C1-6 알킬 및 C1-6 알콕시(여기서, 알킬 및 알콕시가 치환되지 않거나 1 내지 5개의 할로겐으로 치환된다)로부터 독립적으로 선택된 1 내지 3개의 치환체로 치환되거나 치환되지 않은 (CH2)n-헤테로사이클릴 및사이클로알킬이 할로겐, 하이드록시, C1-6 알킬 및 C1-6 알콕시(여기서, 알킬 및 알콕시는 치환되지 않거나 1 내지 5개의 할로겐으로 치환된다)로부터 독립적으로 선택된 1 내지 3개의 치환체로 치환되거나 치환되지 않은 (CH2)n-C3-6 사이클로알킬로 이루어진 그룹으로부터 선택되고,R1 내의 임의의 메틸렌(CH2) 탄소원자는 치환되지 않거나, 할로겐, 하이드록시 및 1 내지 5개의 할로겐으로 치환되거나 치환되지 않은 C1-4 알킬로부터 독립적으로 선택된 1 내지 2개의 치환체로 치환되고,R3은 각각수소,할로겐,시아노,하이드록시,치환되지 않거나 1 내지 5개의 할로겐으로 치환된 C1-6 알킬,치환되지 않거나 1 내지 5개의 할로겐으로 치환된 C1-6 알콕시,카복시,알콕시카보닐,아미노,NHR2,NR2R2,NHSO2R2,NR2SO2R2,NHCOR2,NR2COR2,NHCO2R2,NR2CO2R2,SO2R2,SO2NH2,SO2NHR2 및SO2NR2R2로 이루어진 그룹으로부터 독립적으로 선택되고,R2는 각각 독립적으로 할로겐, CO2H 및 C1-6 알킬옥시카보닐로부터 독립적으로 선택된 1 내지 5개의 치환체로 치환되거나 치환되지 않은 C1-6 알킬이고,R4 및 R5는, 독립적으로,수소,시아노,카복시,C1-6 알킬옥시카보닐,할로겐, 하이드록시, C1-6 알콕시, 카복시, C1-6 알킬옥시카보닐 및 페닐-C1-3 알콕시(여기서, 알콕시는 치환되지 않거나 1 내지 5개의 할로겐으로 치환된다)로부터 독립적으로 선택된 1 내지 5개의 치환체에 의해 치환되거나 치환되지 않은 C1-10 알킬,아릴이 할로겐, 하이드록시, C1-6 알킬 및 C1-6 알콕시(여기서, 알킬 및 알콕시는 치환되지 않거나 1 내지 5개의 할로겐으로 치환된다)로부터 독립적으로 선택된 1 내지 5개의 치환체로 치환되거나 치환되거나 치환되지 않은 (CH2)n-아릴,헤테로아릴이 하이드록시, 할로겐, C1-6 알킬 및 C1-6 알콕시(여기서, 알킬 및 알콕시는 치환되지 않거나 1 내지 5개의 할로겐으로 치환된다)로부터 독립적으로 선택된 1 내지 3개의 치환체로 치환되거나 치환되지 않은 (CH2)n-헤테로아릴,헤테로사이클릴이 옥소, 하이드록시, 할로겐, C1-6 알킬 및 C1-6 알콕시(여기서, 알킬 및 알콕시는 치환되지 않거나 1 내지 5개의 할로겐으로 치환된다)로부터 독립적으로 선택된 1 내지 3개의 치환체로 치환되거나 치환되지 않은 (CH2)n-헤테로사이클릴,사이클로알킬이 할로겐, 하이드록시, C1-6 알킬 및 C1-6 알콕시(여기서, 알킬 및 알콕시는 치환되지 않거나 1 내지 5개의 할로겐으로 치환된다)로부터 독립적으로 선택된 1 내지 3개의 치환체로 치환되거나 치환되지 않은 (CH2)n-C3-6 사이클로알킬 및R6 및 R7이 수소, 테트라졸일, 티아졸일, (CH2)n-페닐, (CH2)n-C3-6 사이클로알킬 및 C1-6 알킬[여기서, 알킬은 치환되지 않거나 1 내지 5개의 할로겐으로 치환되고, 페닐 및 사이클로알킬은 치환되지 않거나 할로겐, 하이드록시, C1-6 알킬 및 C1-5 알콕시(여기서, 알킬 및 알콕시는 치환되지 않거나 1 내지 5개의 할로겐으로 치환된다)로부터 독립적으로 선택된 1 내지 5개의 치환체로 치환된다]로 이루어진 그룹으로부터 독립적으로 선택되거나,R6 및 R7이, 이들이 결합되어 있는 질소원자와 함께, 아제티딘, 피롤리딘, 피페리딘, 피페라진 및 모르폴린으로부터 선택된 헤테로사이클릭 환 화합물[여기서 헤테로사이클릭 환은 치환되지 않거나, 할로겐, 하이드록시, C1-6 알킬 및 C1-6 알콕시(여기서, 알킬 및 알콕시는 치환되지 않거나 1 내지 5개의 할로겐으로 치환된다)로부터 독립적으로 선택된 1 내지 5개의 치환체로 치환된다]을 형성하는 (CH2)nCONR6R7이고,R4 또는 R5에서의 임의의 메틸렌(CH2) 탄소원자는 치환되지 않거나 할로겐, 하이드록시 및 1 내지 5개의 할로겐으로 치환되거나 치환되지 않은 C1-4 알킬로부터 독립적으로 선택된 1 내지 2개의 치환체로 치환되고,R8 및 R9는 각각 독립적으로 수소 또는 C1-6 알킬이다.
- 제1항에 있어서, 화학식 1a의 화합물.화학식 1a상기 화학식 1a에서,*로 표시된 탄소원자는 R 배열을 가지며,Ar, R1, R4, R5, R8 및 R9는 제1항에서 정의한 바와 같다.
- 제1항에 있어서, R3이수소,할로겐,시아노,하이드록시,치환되지 않거나 1 내지 5개의 할로겐으로 치환된 C1-6 알킬 및치환되지 않거나 1 내지 5개의 할로겐으로 치환된 C1-6 알콕시로 이루어진 그룹으로부터 선택되는 화합물.
- 제3항에 있어서, R3가 수소, 플루오로, 클로로, 브로모, 트리플루오로메틸 및 메틸로 이루어진 그룹으로부터 선택되는 화합물.
- 제4항에 있어서, R3가 수소, 클로로 또는 플루오로인 화합물.
- 제1항에 있어서, R1이수소,알킬이 할로겐, 하이드록시, C1-6 알콕시, 카복시, C1-6 알킬옥시카보닐 및 페닐-C1-3 알콕시(여기서, 알콕시는 치환되지 않거나 1 내지 5개의 할로겐으로 치환된다)로부터 독립적으로 선택된 1 내지 5개의 치환체에 의해 치환되거나 치환되지 않은 C1-10 알킬 및사이클로알킬이 할로겐, 하이드록시, C1-6 알킬 및 C1-6 알콕시(여기서, 알킬 및 알콕시는 치환되지 않거나 1 내지 5개의 할로겐으로 치환된다)로부터 독립적으로 선택된 1 내지 3의 치환체로 치환되거나 치환되지 않은 (CH2)n-C3-6 사이클로알킬로 이루어진 그룹으로부터 선택되고,R1 내의 임의의 메틸렌(CH2) 탄소원자가 할로겐, 하이드록시 및 1 내지 5개의 할로겐으로 치환되거나 치환되지 않은 C1-4 알킬로부터 독립적으로 선택된 1 내지 2개의 치환체로 치환되거나 치환되지 않은 화합물.
- 제6항에 있어서, R1이수소,C1-4 알킬,2,2,2-트리플루오로에틸,카복시메틸,하이드록시에틸,벤질옥시메틸,벤질옥시에틸 및사이클로프로필로 이루어진 그룹으로부터 선택되는 화합물.
- 제7항에 있어서, R1이 수소, 메틸, 3급 부틸 및 사이클로프로필로 이루어진 그룹으로부터 선택되는 화합물.
- 제1항에 있어서, R4 및 R5가수소,알킬이 할로겐, 하이드록시, C1-6 알콕시, 카복시, C1-6 알킬옥시카보닐 및 페닐-C1-3 알콕시(여기서, 알콕시는 치환되지 않거나 1 내지 5개의 할로겐으로 치환된다)로부터 독립적으로 선택된 1 내지 5개의 치환체에 의해 치환되거나 치환되지 않은 C1-10 알킬,아릴이 할로겐, 하이드록시, C1-6 알킬 및 C1-6 알콕시(여기서, 알킬과 알콕시는 치환되지 않거나 1 내지 5개의 할로겐으로 치환된다)로부터 독립적으로 선택된 1 내지 5개의 치환체로 치환되거나 치환되지 않은 (CH2)n-아릴,헤테로아릴이 하이드록시, 할로겐, C1-6 알킬 및 C1-6 알콕시(여기서, 알킬과 알콕시는 치환되지 않거나 1 내지 5개의 할로겐으로 치환된다)로부터 독립적으로 선택된 1 내지 3개의 치환체로 치환되거나 치환되지 않은 (CH2)n-헤테로아릴,헤테로사이클릴이 옥소, 하이드록시, 할로겐, C1-6 알킬 및 C1-6 알콕시(여기서, 알킬 및 알콕시는 치환되지 않거나 1 내지 5개의 할로겐으로 치환된다)로부터 독립적으로 선택된 1 내지 3개의 치환체로 치환되거나 치환되지 않은 (CH2)n-헤테로사이클릴 및사이클로알킬이 할로겐, 하이드록시, C1-6 알킬 및 C1-6 알콕시(여기서, 알킬 및 알콕시는 치환되지 않거나 1 내지 5개의 할로겐으로 치환된다)로부터 독립적으로 선택된 1 내지 3개의 치환체로 치환되거나 치환되지 않은 (CH2)n-C3-6 사이클로알킬로 이루어진 그룹으로부터 독립적으로 선택되고,R4 또는 R5 내의 임의의 메틸렌(CH2) 탄소원자가 할로겐, 하이드록시 및 1 내지 5개의 할로겐으로 치환되거나 치환되지 않은 C1-4 알킬로부터 독립적으로 선택된 1 내지 2개의 치환체로 치환되거나 치환되지 않은 화합물.
- 제9항에 있어서, R4 및 R5가수소,알킬이 할로겐, 하이드록시, C1-6 알콕시, 카복시, C1-6 알킬옥시카보닐 및 페닐-C1-3 알콕시(여기서, 알콕시는 치환되지 않거나 1 내지 5개의 할로겐으로 치환된다)로부터 독립적으로 선택된 1 내지 5개의 치환체에 의해 치환되거나 치환되지 않은 C1-6 알킬,아릴이 할로겐, 하이드록시, C1-6 알킬 및 C1-6 알콕시(여기서, 알킬 및 알콕시는 치환되지 않거나 1 내지 5개의 할로겐으로 치환된다)로부터 독립적으로 선택된 1 내지 5개의 치환체로 치환되거나 치환되지 않은 (CH2)n-아릴,헤테로아릴이 하이드록시, 할로겐, C1-6 알킬 및 C1-6 알콕시(여기서, 알킬과 알콕시는 치환되지 않거나 1 내지 5개의 할로겐으로 치환된다)로부터 독립적으로 선택된 1 내지 3개의 치환체로 치환되거나 치환되지 않은 (CH2)n-헤테로아릴,사이클로알킬이 할로겐, 하이드록시, C1-6 알킬 및 C1-6 알콕시(여기서, 알킬 및 알콕시는 치환되지 않거나 1 내지 5개의 할로겐으로 치환된다)로부터 독립적으로 선택된 1 내지 3개의 치환체로 치환되거나 치환되지 않은 (CH2)n-C3-6 사이클로알킬로 이루어진 그룹으로부터 독립적으로 선택되고,R4 또는 R5 내의 임의의 메틸렌(CH2) 탄소원자가 할로겐, 하이드록시 및 1 내지 5개의 할로겐으로 치환되거나 치환되지 않은 C1-4 알킬로부터 독립적으로 선택된 1 내지 2개의 치환체로 치환되거나 치환되지 않은 화합물.
- 제10항에 있어서, R4 및 R5가, 독립적으로,수소,CH3,CH2CH3,CH2CH(CH3)2,CH2-사이클로프로필,CH2-사이클로헥실,CH2OCH2Ph,CH2OH,CH2Ph,CH2(3-OCF3-Ph),CH2(4-OCF3-Ph),CH2(3-CF3,5-CF3-Ph),CH2(2-CF3-Ph),CH2(2-Cl-Ph),CH2(2-Me-Ph),CH2(2-Me,5-Me-Ph),CH2(2-Ph-Ph),CH2(2-F,5-F-Ph),CH2(2-F-Ph),CH2(2-F,3-F-Ph),CH2(2-피리디닐),CH2(3-피리디닐),CH2(4-피리디닐),CH2(1-옥시도피리딘-2-일),CH2(1-옥시도피리딘-3-일),CH2(1H-피라졸-1-일),CH2(2-F,6-F-Ph) 및CH2CF3로 이루어진 그룹으로부터 독립적으로 선택되는 화합물.
- 제11항에 있어서, R5가 수소인 화합물.
- 제1항에 있어서, R8 및 R9가 수소 및 메틸로부터 독립적으로 선택되는 화합물.
- 제13항에 있어서, R8 및 R9가 수소인 화합물.
- 제1항에 있어서, R1이수소,C1-4 알킬,2,2,2-트리플루오로에틸,메톡시카보닐메틸,카복시메틸,하이드록시에틸,벤질옥시메틸,벤질옥시에틸 및사이클로프로필로 이루어진 그룹으로부터 선택되고,R3이 수소, 클로로 또는 플루오로이고,R4가수소,CH3,CH2CH3,CH2CH(CH3)2,CH2-사이클로프로필,CH2-사이클로헥실,CH2OCH2Ph,CH2OH,CH2Ph,CH2(3-OCF3-Ph),CH2(4-OCF3-Ph),CH2(3-CF3,5-CF3-Ph),CH2(2-CF3-Ph),CH2(2-Cl-Ph),CH2(2-Me-Ph),CH2(2-Me,5-Me-Ph),CH2(2-Ph-Ph),CH2(2-F,5-F-Ph),CH2(2-F-Ph),CH2(2-F,3-F-Ph),CH2(2-피리디닐),CH2(3-피리디닐),CH2(4-피리디닐),CH2(1-옥시도피리딘-2-일),CH2(1-옥시도피리딘-3-일),CH2(1H-피라졸-1-일),CH2(2-F,6-F-Ph) 및CH2CF3로 이루어진 그룹으로부터 선택되고,R8 및 R9이 수소인 화합물.
- 제15항에 있어서, R5가 수소인 화합물.
- 제15항에 있어서,,,,,및또는 약제학적으로 허용되는 이들의 염으로 이루어진 그룹으로부터 선택되는 화합물.
- 제15항에 있어서, 화학식 1b의 화합물 또는 약제학적으로 허용되는 이의 염으로 이루어진 그룹으로부터 선택되는 화합물.화학식 1b
R 3 R 4 R 1 2-F, 5-F Me H 2-F, 4-F, 5-F CH2-cPr H 2-F, 4-F, 5-F Me Me 2-F, 5-F Me Et 2-F, 4-F, 5-F Me cPr 2-F, 5-F Me CH2CO2Me 2-F, 4-F, 5-F Me CH2CH2OH 2-F, 4-F, 5-F Me CH2CH2OCH2C6H5 2-F, 4-F, 5-F Et Me 2-F, 5-F Et Me 2-F, 4-F, 5-F CH2OH Me 2-F CH2Ph Me 3-F, 4-F CH2Ph Me 2-F, 4-F, 5-F CH2OCH2Ph Me 2-F, 4-F, 5-F Et H 2-F, 4-F, 5-F CH2Ph H 3-F, 4-F CH2Ph H 2-F, 5-F CH2(4-OCF3-Ph) H 2-F, 4-F, 5-F CH2(3-OCF3-Ph) H 2-F, 4-F, 5-F CH2CH(CH3)2 Me 2-F, 4-F, 5-F CH2(3-CF3,5-CF3-Ph) H 2-F, 5-F H H 2-F, 4-F, 5-F CH2(2-CF3-Ph) H 2-F, 4-F, 5-F CH2(2-Cl-Ph) H 2-F, 4-F, 5-F CH2(2-CH3-Ph) H 2-F, 4-F, 5-F CH2(2-CH3,5-CH3-Ph) H 2-F, 4-F, 5-F Me CHMe2 2-F, 4-F, 5-F CH2(2-Ph-Ph) H 2-F, 4-F, 5-F CH2(2-F,5-F-Ph) H 2-F, 4-F, 5-F CH2(2-F-Ph) H 2-F, 4-F, 5-F Me CH2CF3 2-F, 4-F, 5-F CH2(2-F,3-F-Ph) H 2-F, 4-F, 5-F CH2(3-피리딜) H 2-F, 4-F, 5-F CH2(2-F-Ph) CH2CH2CH3 2-F, 4-F, 5-F CH2(4-피리딜) H 2-F, 4-F, 5-F CH2(2-F-Ph) Me 2-F, 4-F, 5-F CH2(2-피리딜) H 2-F, 4-F, 5-F CH2(2-F,6-F-Ph) H 2-F, 4-F, 5-F CH2CF3 H - 제1항에 따르는 화합물과 약제학적으로 허용되는 담체를 포함하는 약제학적 조성물.
- 제1항에 따르는 화합물 유효량을 디펩티딜 펩티다제-Ⅳ 효소 활성 억제를 필요로 하는 포유동물에 투여함을 포함하여, 포유동물에서 디펩티딜 펩티다제-Ⅳ 효소 활성을 억제하는 방법.
- 제1항에 따르는 화합물 치료학적 유효량을 당뇨병 치료를 필요로 하는 포유동물에 투여함을 포함하여, 포유동물의 당뇨병을 치료하는 방법.
- 제1항에 따르는 화합물 치료학적 유효량을 인슐린 비의존성(타입 2) 당뇨병 치료를 필요로 하는 포유동물에 투여함을 포함하여, 포유동물의 인슐린 비의존성(타입 2) 당뇨병을 치료하는 방법.
- 제1항에 따르는 화합물 치료학적 유효량을 고혈당증 치료를 필요로 하는 포유동물에 투여함을 포함하여, 포유동물의 고혈당증을 치료하는 방법.
- 제1항에 따르는 화합물 치료학적 유효량을 비만 치료를 필요로 하는 포유동물에 투여함을 포함하며, 포유동물의 비만을 치료하는 방법.
- 제1항에 따르는 화합물 치료학적 유효량을 포유동물에 투여함을 포함하여, 이상지질혈증, 고지방혈증, 고중성지방혈증, 고콜레스테롤혈증, 낮은 고밀도 지단백질증(HDL) 및 높은 저밀도 지단백질증(LDL)으로 이루어진 그룹으로부터 선택된 하나 이상의 지질 질환을 치료하는 방법.
- 제1항에 따르는 치료학적 유효량을 포유동물에 투여함을 포함하여, (1)고혈당증, (2)저당내성, (3)인슐린 저항력, (4)비만, (5)지질 질환, (6)이상지질혈증, (7)고지방혈증, (8)고중성지방혈증, (9)고콜레스테롤혈증, (10)저 HDL 수준, (11)고 LDL 수준, (12)동맥 경화증 및 이의 후유증, (13)혈관 재발협착증, (14)과민성 대장 증후군, (15)크론(Crohn's)의 질병 및 궤양성 대장염을 포함한 장염 질환, (16)다른 염증 상태, (17)췌장염, (18)복부 비만, (19)퇴행성 신경질환, (20)망막병증, (21)신장병, (22)신경증, (23)증후군 X, (24)난소의 안드로겐 과다분비(다낭성 난소 증후군) 및 인슐린 내성이 있는 다른 질병으로 이루어진 그룹으로부터 선택된 하나 이상의 질환을 치료하는 방법.
- 제19항에 있어서,(a) 제2 디펩티딜 펩티다제 Ⅳ 억제제,(b) PPARγ효능제, PPARα/γ 이중 효능제, PPARα효능제, 비구아나이드 및 단백질 티로신 포스파타제-1B 억제제로 이루어진 그룹으로부터 선택된 인슐린 증감제,(c) 인슐린 또는 인슐린 유사물질,(d) 설포닐우레아 및 다른 인슐린 분비촉진제,(e) α-글루코시다아제 억제제,(f) 글루카곤 수용체 길항제,(g) GLP-1, GLP-1 유사물질 및 GLP-1 수용체 길항제,(h) GIP 및 GIP 유사물질 및 GIP 수용체 길항제,(i) PACAP, PACAP 유사물질 및 PACAP 수용체 길항제,(j) (ⅰ) HMG-CoA 리덕타제 억제제, (ⅱ) 봉쇄제, (ⅲ) 니코티닐 알코올, 니코틴산 또는 이들의 염, (ⅵ) PPARα효능제, (ⅴ) PPARα/γ 이중 효능제, (ⅵ) 콜레스테롤 흡수 억제제, (ⅶ) 아실 CoA:콜레스테롤 아실트랜스퍼라제 억제제 및 (ⅷ) 산화방지제와 같은 콜레스테롤 감소제,(k) PPARδ 효능제,(l) 비만 치료용 화합물,(m) 회장 담즙산 운반체 억제제,(n) 소염제 및(o) 고혈압 치료제로 이루어진 그룹으로부터 선택된 하나 이상의 추가적인 주성분을 추가로 포함하는 약제학적 조성물.
- 제27항에 있어서, PPARα/γ이중 효능제가 KRP-297인 약제학적 조성물.
- PPARα/γ이중 효능제인 KRP-297과 배합된 상태로 제1항에 따르는 화합물 치료학적 유효량을 당뇨병 치료를 필요로 하는 포유동물에 투여함을 포함하여, 포유동물의 당뇨병을 치료하는 방법.
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