This invention is directed to sorbitol dehydrogenase inhibitory compounds of the formula I,
wherein R is as defined in the specification. This invention is also directed to pharmaceutical compositions containing those compounds and methods of treating or preventing diabetic complications, particularly diabetic neuropathy, diabetic nephropathy and diabetic cardiomyopathy by administering such compounds to a mammal suffering from diabetes and therefore at risk for developing such complications. This invention is also directed to pharmaceutical compositions comprising a combination of a compound of formula I of this invention with an aldose reductase inhibitor and to methods of treating or preventing diabetic complications therewith. This invention is also directed to pharmaceutical compositions comprising a combination of a compound of formula I of this invention with an NHE-1 inhibitor and to methods of treating cardiomyopathy and other heart-related problems therewith. This invention is also directed to certain intermediates used in the synthesis of the compounds of formula I and to processes for preparing those intermediates.
这项发明涉及式I的
山梨醇脱氢酶抑制化合物,其中R如规范中所定义。这项发明还涉及含有这些化合物的药物组合物,以及通过向患有糖尿病且因此有发生这些并发症风险的哺乳动物施用这些化合物来治疗或预防糖尿病并发症,特别是糖尿病神经病变、糖尿病肾病和糖尿病心肌病。这项发明还涉及含有本发明式I化合物与醛糖还原酶
抑制剂的组合物的药物组合物,以及用于治疗或预防糖尿病并发症的方法。这项发明还涉及含有本发明式I化合物与NHE-1
抑制剂的组合物的药物组合物,以及用于治疗心肌病和其他心脏相关问题的方法。这项发明还涉及用于合成式I化合物的某些中间体以及制备这些中间体的方法。