申请人:Ciba-Geigy Corporation
公开号:US05244889A1
公开(公告)日:1993-09-14
The invention relates to macrocyclic lactam derivatives of formula I ##STR1## wherein R is hydrogen or acyl; m is an integer from 4 to 9 inclusive; n is 1 or 2; p is zero, 1 or 2; X is --CONH-- or --NHCO--; Y is S, O or CH.sub.2 ; R.sub.1 is --COOH; or R.sub.1 is ##STR2## in which R.sub.2 is hydrogen, lower alkyl, aryl-lower alkyl, amino-lower alkyl, hydroxy-lower alkyl, acyloxy-lower alkyl, lower alkoxy-lower alkyl, mercapto-lower alkyl, lower alkyl-(thio, sulfinyl or sulfonyl)-lower alkyl, or carboxy-lower alkyl, R.sub.3 is hydrogen or lower alkyl, and q is zero or an integer from 1 to 5 inclusive; or R.sub.1 is ##STR3## in which R.sub.4 is hydrogen, lower alkyl, lower alkoxy, hydroxy or acyloxy, and r is 1 or 2; or R.sub.1 is ##STR4## in which s is 1 or 2; or R.sub.1 is ##STR5## in which R.sub.5 and R.sub.6 independently represent hydrogen, lower alkyl, C.sub.5 - or C.sub.6 -cycloalkyl, (hydroxy-, acyloxy or lower alkoxy-) lower alkyl, carbocyclic or heterocyclic monocyclic aryl, or (hydroxy-, acyloxy- or alkoxy-) lower alkyloxy-lower alkyl; or R.sub.5 and R.sub.6 together with the nitrogen to which they are attached represent pyrrolidino, piperidino, morpholino, piperazino or N-alkylpiperazino; and macrocyclic sulfur and oxygen containing lactam ring isomers in which a CH.sub.2 group of (CH.sub.2).sub.m in formula I is replaced by O or S, and Y represents CH.sub.2 ; and pharmaceutically acceptable prodrug esters of any above said compound with a free carboxyl group; and pharmaceutically acceptable salts of any said compounds with a free acid or basic salt forming group; pharmaceutical compositions comprising said compounds; methods for the preparation of said compounds and for the preparation of intermediates; and methods of treating disorders in mammals which are responsive to the inhibition of neutral endopeptidases by administration of said compounds to mammals in need of such treatment.
该发明涉及公式I的大环内酰胺衍生物,其中R为氢或酰基;m为4到9之间的整数;n为1或2;p为零、1或2;X为--CONH--或--NHCO--;Y为S、O或CH2;R1为--COOH;或R1为其中R2为氢、较低烷基、芳基-较低烷基、氨基-较低烷基、羟基-较低烷基、酰氧基-较低烷基、较低烷氧基-较低烷基、巯基-较低烷基、较低烷基-(硫、亚硫酰基或砜基)-较低烷基或羧基-较低烷基,R3为氢或较低烷基,q为零或1到5之间的整数;或R1为其中R4为氢、较低烷基、较低烷氧基、羟基或酰氧基,r为1或2;或R1为其中s为1或2;或R1为其中R5和R6独立地代表氢、较低烷基、C5-或C6-环烷基、(羟基、酰氧基或较低烷氧基-)较低烷基、碳环或杂环单环芳基,或(羟基、酰氧基或烷氧基-)较低烷氧基-较低烷基;或R5和R6连同它们连接的氮原子代表吡咯烷基、哌啶烷基、吗啉烷基、哌嗪基或N-烷基哌嗪基;以及在公式I中(CH2)m的一个CH2基被O或S替换的大环硫和氧含有内酰胺环异构体,Y代表CH2;以及具有游离羧基的上述任何化合物的药学上可接受的前药酯;以及具有游离酸或碱性盐形成基团的任何上述化合物的药学上可接受的盐;包括所述化合物的制剂;制备所述化合物和中间体的方法;以及通过将所述化合物用于需要此类治疗的哺乳动物中来抑制中性内肽酶以治疗哺乳动物中的疾病的方法。