This invention is directed to spiroheterocyclic compounds of formula (I):
wherein
k, j, p, Q, R
1
, R
3a
, R
3b
, R
3e
, and R
3d
are as defined herein, as a stereoisomer, enantiomer, tautomer thereof or mixtures thereof; or a pharmaceutically acceptable salt, solvate or prodrug thereof, that are useful for the treatment and/or prevention of sodium channel-mediated diseases or conditions, such as pain. Pharmaceutical compositions comprising the compounds and methods of using the compounds are also disclosed.
本发明涉及式(I)的螺环
杂环化合物:其中k,j,p,Q,R1,R3a,R3b,R3e和R3d如本文所定义,作为立体异构体,对映异构体,互变异构体或其混合物;或其药学上可接受的盐,溶剂或前药,用于治疗和/或预防
钠通道介导的疾病或病症,例如疼痛。还公开了包含该化合物的制药组合物和使用该化合物的方法。