This invention is directed to the (L)-tartaric acid salt of 2-amino-N-{1-(2,4-difluoro-benzyloxymethyl)-2-oxo-2-[3-oxo-3a-pyridin-2-ylmethyl-2-(2,2,2-trifluoro-ethyl)-2,3,3a,4,6,7-hexahydro-pyrazolo{4,3-c}pyridin-5-yl]-ethyl]-2-methyl-propionamide which is a growth hormone secretagogue and as such is useful for increasing the level of endogenous growth hormone. In another aspect this invention provides certain intermediates which are useful in the synthesis of the foregoing compound. The (L)-tartaric acid salt of the compound of this invention is useful in the treatment and/or prevention of osteoporosis, insulin resistance and other conditions or diseases associated with growth hormone deficiency. The (L)-tartaric acid salt of the compound of the present invention is also useful in treating osteoporosis when used in combination with: a bisphosphonate compound; estrogen, Premarin, and optionally progesterone; an estrogen agonist or antagonist; or calcitonin. Further, the present invention is directed to pharmaceutical compositions. This invention is further directed to methods comprising administering to a human or other animal a combination of an alpha-2 adrenergic agonist and the (L)-tartaric acid salt of the compound of this invention.
这项发明涉及(L)-
酒石酸盐,该盐是2-
氨基-N-[1-(2,4-二
氟苯甲氧基甲基)-2-氧代-2-[3-氧代-3a-
吡啶-2-基甲基-2-(
2,2,2-三氟乙基)-2,3,3a,4,6,7-六氢
吡唑[4,3-c]
吡啶-5-基]-乙基]-2-甲基丙酰胺,是一种生长激素分泌素,因此可用于增加内源性生长激素
水平。在另一个方面,这项发明提供了一些在合成上述化合物时有用的中间体。本发明的化合物的(L)-
酒石酸盐在治疗和/或预防骨质疏松症、
胰岛素抵抗和其他与生长激素缺乏有关的疾病或病症方面具有用处。本发明的化合物的(L)-
酒石酸盐在与
双膦酸盐化合物、
雌激素、孕马
尿素和可选的孕激素结合使用时,也可用于治疗骨质疏松症;或与
雌激素激动剂或拮抗剂;或
降钙素结合使用时,也可用于治疗骨质疏松症。此外,本发明涉及药物组合物。本发明还涉及方法,包括向人类或其他动物施用α-2
肾上腺素受体激动剂和本发明的化合物的(L)-
酒石酸盐的组合。