This invention is directed to spiro-oxindole compounds of formula (I):
wherein k, j, Q, R
1,
R
2a
, R
2b
, R
2c
, R
2d
, R
3a
, R
3b
, R
3c
, 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, which 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 preparing and using the compounds are also disclosed.
本发明涉及式(I)的螺环氧
吲哚化合物:
其中k,j,Q,R1,R2a,R2b,R2c,R2d,R3a,R3b,R3c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,溶剂化合物或前药,其用于治疗和/或预防
钠通道介导的疾病或病症,如疼痛。还公开了包含该化合物的药物组合物以及制备和使用该化合物的方法。