The present invention pertains generally to the field of therapeutic compounds. More specifically the present invention pertains to certain 3,3-disubstituted-(8-aza-bicyclo[3.2.1]oct-8-yl)-[5-(1H-pyrazol-4-yl)-thiophen-3-yl]-methanone, 3,3-disubstituted-(6-aza-bicyclo[3.1.1]hept-6-yl)-[5-(1H-pyrazol-4-yl)-thiophen-3-yl]-methanone, and 4,4-disubstituted piperidin-1-yl)-[5-(1H-pyrazol-4-yl)-thiophen-3-yl]-methanone compounds of the following formula that, inter alia, inhibit 11β-hydroxysteroid dehydrogenase type 1 (11β-HSD1). The present invention also pertains to pharmaceutical compositions comprising such compounds, and the use of such compounds and compositions, both in vitro and in vivo, to inhibit 11β-hydroxysteroid dehydrogenase type 1; to treat disorders that are ameliorated by the inhibition of 11β-hydroxysteroid dehydrogenase type 1; to treat the metabolic syndrome, which includes disorders such as type 2 diabetes and obesity, and associated disorders including insulin resistance, hypertension, lipid disorders and cardiovascular disorders such as ischaemic (coronary) heart disease; to treat CNS disorders such as mild cognitive impairment and early dementia, including Alzheimer's disease; etc.
本发明一般涉及治疗化合物领域。更具体地,本发明涉及某些3,3-二取代-(8-
氮杂双环[3.2.1]辛-8-基)-[5-(1H-
吡唑-4-基)-
噻吩-3-基]-甲酮、3,3-二取代-(6-
氮杂双环[3.1.1]庚-6-基)-[5-(1H-
吡唑-4-基)-
噻吩-3-基]-甲酮和4,4-二取代
哌啶-1-基)-[5-(1H-
吡唑-4-基)-
噻吩-3-基]-甲酮化合物,其
化学式如下,可抑制11β-羟基类
固醇脱氢酶1型(11β-H
SD1)等。本发明还涉及包括这些化合物的制药组合物以及使用这些化合物和组合物在体外和体内抑制11β-羟基类
固醇脱氢酶1型;治疗由抑制11β-羟基类
固醇脱氢酶1型改善的疾病;治疗代谢综合征,包括2型糖尿病和肥胖症等疾病,并伴随有
胰岛素抵抗、高血压、脂质紊乱和缺血性(冠状动脉)心脏病等相关疾病;治疗中枢神经系统疾病,如轻度认知障碍和早期痴呆,包括阿尔茨海默病等等。