This invention is directed to tricyclic spiro-oxindole derivatives of formula (I), wherein j, k, m, n, w, q, Y, Q, X, R
1
, R
2
and R
3
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
三环螺内
酰亚胺衍
生物的公式(I),其中j、k、m、n、w、q、Y、Q、X、R1、R2和R3如本文所定义的立体异构体、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、溶剂或前药,该化合物对
钠通道介导的疾病或病症,如疼痛的治疗和/或预防有用。本文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。