申请人:——
公开号:US20010016570A1
公开(公告)日:2001-08-23
This invention is directed to the (L)-tartaric acid salt of 2-amino-N-{1 -(R)-(2,4-difluoro-benzyloxymethyl)-2-oxo-2-[3-oxo-3a-(R)-pyridin-2-ylmethyl-2-(2,2,2-trifluoroethyl)-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 for 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 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.
本发明涉及2-氨基-N-【1-(R)-(2,4-二氟苯甲氧甲基)-2-氧代-2-【3-氧代-3a-(R)-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-甲基丙酰胺的(L)-酒石酸盐,其为生长激素分泌剂,因此对于增加内源性生长激素水平是有用的。在另一个方面,本发明提供了某些在合成前述化合物中有用的中间体。本发明所述化合物的(L)-酒石酸盐对于治疗和/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症状是有用的。本发明所述化合物的(L)-酒石酸盐在与双磷酸盐化合物、雌激素、普瑞玛林和可选孕激素、雌激素激动剂或拮抗剂或降钙素联合使用时,还可用于治疗骨质疏松症。此外,本发明还涉及制药组合物。本发明进一步涉及方法,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化合物的(L)-酒石酸盐的组合。