Provided are picolinamide and pyrimidine-4-carboxamide compounds, a method for preparing the same, a pharmaceutical composition containing the same, and a medical use using the compound as an agent for preventing, regulating, and treating diseases related to regulation of glucocorticoids by using selective inhibitory activity of the compound for an 11β-HSD1 enzyme. The picolinamide and pyrimidine-4-carboxamide compounds of the present invention are selective inhibitors of human-derived 11β-HSD1 enzymes, and are useful in an agent for preventing, regulating, and treating diseases related to glucocorticoid regulation in which human-derived 11β-HSD1 enzymes are involved, for example, metabolic syndromes such as, type 1 and type 2 diabetes, diabetes later complications, latent autoimmune diabetes adult (LADA), insulin tolerance syndromes, obesity, impaired glucose tolerance (IGT), impaired fasting glucose (IFG), damaged glucose tolerance, dyslipidemia, atherosclerosis, hypertension, etc.
本发明提供了
吡啶甲酰胺和
嘧啶-4-羧酰胺化合物、其制备方法、含有该化合物的药物组合物,以及使用该化合物作为11β-H
SD1酶的选择性抑制活性的药剂来预防、调节和治疗与糖皮质激素调节相关的疾病的医疗用途。本发明的
吡啶甲酰胺和
嘧啶-4-羧酰胺化合物是人源11β-H
SD1酶的选择性
抑制剂,在预防、调节和治疗与人源11β-H
SD1酶相关的糖皮质激素调节疾病中非常有用,例如代谢综合征、1型和2型糖尿病、糖尿病后并发症、成人潜在自身免疫性糖尿病、
胰岛素耐量综合征、肥胖症、糖耐量受损、空腹血糖受损、糖耐量受损、血脂异常、动脉硬化和高血压等。