[EN] HETEROCYCLIC COMPOUNDS AND METHODS OF USE<br/>[FR] COMPOSES HETEROCYCLIQUES ET PROCEDES D'UTILISATION
申请人:NOVARTIS AG
公开号:WO2003043985A1
公开(公告)日:2003-05-30
Compounds of the formula (I) provide pharmacological agents which are potent agonists of Peroxisome Proliferator-Activated Receptors (PPARs). Accordingly, the compounds of the instant invention are useful for the treatment of conditions mediated by the PPAR receptor activity in mammals. Such conditions include dyslipidemia, hyperlipidemia, hypercholesteremia, atherosclerosis, hypertriglyceridemia, heart failure, myocardial infarction, vascular diseases, cardiovascular diseases, hypertension, obesity, inflammation, arthritis, cancer, Alzheimer's disease, skin disorders, respiratory diseases, ophthalmic disorders, inflammatory bowel diseases, ulcerative colitis and Crohn's disease. The compounds of the present invention are particularly useful in mammals as hypoglycemic agents for the treatment and prevention of conditions in which impaired glucose tolerance, hyperglycemia and insulin resistance are implicated, such as type-1 and type-2 diabetes, and Syndrome X. Preferred are the compounds of the invention which are dual agonists of PPARa and PPARy receptors.
式(I)的化合物是有效的过氧化物酶体增殖物激活受体(PPARs)激动剂,具有药理学作用。因此,本发明的化合物可用于治疗哺乳动物中由PPAR受体活性介导的疾病。这些疾病包括血脂异常、高脂血症、高胆固醇血症、动脉粥样硬化、高甘油三酯血症、心力衰竭、心肌梗死、血管疾病、心血管疾病、高血压、肥胖、炎症、关节炎、癌症、阿尔茨海默病、皮肤疾病、呼吸系统疾病、眼科疾病、炎症性肠病、溃疡性结肠炎和克罗恩病等。本发明的化合物特别适用于哺乳动物中作为降糖药物,用于治疗和预防因糖耐量受损、高血糖和胰岛素抵抗引起的疾病,如1型和2型糖尿病以及X综合征。本发明的化合物中,PPARa和PPARy受体的双重激动剂是首选的。