This invention is directed to methods of treating insulin resistance in a mammal which comprise administering an effective amount of a compound of formula I,
where the variables are defined in the specification, or the stereoisomeric mixtures, diastereomerically enriched, diastereomerically pure, enantiomerically enriched or enantiomerically pure isomers, or the pharmaceutically acceptable salts and prodrugs thereof to said mammal. The compounds of formula I are growth hormone secretagogues and as such are 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 compounds and certain processes useful for the synthesis of said intermediates and the compounds of formula I. This invention is further directed to methods comprising administering to a human or other animal a combination of a functional somatostatin antagonist such as an alpha-2 adrenergic agonist and a compound of formula I.
这项发明涉及治疗哺乳动物的
胰岛素抵抗方法,包括向该哺乳动物施用化合物I的有效量,其中变量在规范中定义,或其立体异构混合物、对映异构体富集物、对映异构体纯物、对映体富集物或对映体纯异构体,或其药学上可接受的盐和前药。化合物I是生长激素分泌素,因此对于增加内源生长激素
水平是有用的。在另一个方面,这项发明提供了一些在合成上述化合物中有用的中间体,以及对合成所述中间体和化合物I有用的某些过程。这项发明进一步涉及方法,包括向人类或其他动物施用功能性
生长抑素拮抗剂,如α-2
肾上腺素受体激动剂和化合物I的组合。