申请人:Kato Tomoki
公开号:US20090137584A1
公开(公告)日:2009-05-28
This invention relates to compounds of the formula (I): or a pharmaceutically acceptable salt thereof, wherein A, R
1
, R
2
, R
3
, R
4
, R
5
, m and n are each as described herein, and compositions containing such compounds, and the use of such compounds in the treatment of a condition mediated by CB2 receptor activity such as, but not limited to, inflammatory pain, nociceptive pain, neuropathic pain, fibromyalgia, chronic low back pain, visceral pain, acute cerebral ischemia, pain, chronic pain, acute pain, post herpetic neuralgia, neuropathies, neuralgia, diabetic neuropathy, HIV-related neuropathy, nerve injury, rheumatoid arthritic pain, osteoarthritic pain, back pain, cancer pain, dental pain, fibromyalgia, neuritis, sciatica, inflammation, neurodegenerative disease, cough, broncho constriction, irritable bowel syndrome (IBS), inflammatory bowel disease (IBD), colitis, cerebrovascular ischemia, emesis such as cancer chemotherapy-induced emesis, rheumatoid arthritis, asthma, Crohn's disease, ulcerative colitis, asthma, dermatitis, seasonal allergic rhinitis, GERD, constipation, diarrhea, functional gastrointestinal disorders, irritable bowel syndrome, cutaneous T cell lymphoma, multiple sclerosis, osteoarthritis, psoriasis, systemic lupus erythematosus, diabetes, glaucoma, osteoporosis, glomerulonephritis, renal ischemia, nephritis, hepatitis, cerebral stroke, vasculitis, myocardial infarction, cerebral ischemia, reversible airway obstruction, adult respiratory disease syndrome, COPD, cryptogenic fibrosing alveolitis and bronchitis.
本发明涉及化合物公式(I)或其药学上可接受的盐,其中A、R1、R2、R3、R4、R5、m和n分别如本文所述,以及含有这种化合物的组合物,以及这种化合物在治疗CB2受体活性介导的疾病中的应用,例如但不限于炎症性疼痛、伤害性疼痛、神经病理性疼痛、纤维肌痛、慢性腰痛、内脏疼痛、急性脑缺血、疼痛、慢性疼痛、急性疼痛、带状疱疹后神经痛、神经病、神经痛、糖尿病神经病、艾滋病相关神经病、神经损伤、类风湿性关节炎疼痛、骨关节炎疼痛、背痛、癌痛、牙痛、纤维肌痛、神经炎、坐骨神经痛、炎症、神经退行性疾病、咳嗽、支气管收缩、肠易激综合症(IBS)、炎症性肠病(IBD)、结肠炎、脑血管缺血、呕吐,例如癌症化疗引起的呕吐、类风湿性关节炎、哮喘、克罗恩病、溃疡性结肠炎、哮喘、皮炎、季节性过敏性鼻炎、GERD、便秘、腹泻、功能性胃肠疾病、肌肤T细胞淋巴瘤、多发性硬化症、骨关节炎、银屑病、系统性红斑狼疮、糖尿病、青光眼、骨质疏松症、肾小球肾炎、肾脏缺血、肾炎、肝炎、脑卒中、血管炎、心肌梗死、脑缺血、可逆性气道阻塞、成人呼吸系统疾病综合症、COPD、隐源性纤维化性肺泡炎和支气管炎等。