A series of novel spiro-substituted glutaramide derivatives have been prepared, including the pharmaceutically acceptable salts thereof and bioprecursors therefor, wherein the spiro-substituent completes a 5- or 6-membered carbocycyclic ring and is located at the carbon atom adjacent to the carbamoyl group. These particular compounds are inhibitors of the neutral endopeptidase E.C.3.4.24.11 enzyme and are therefore useful in therapy as diuretic agents for the treatment of hypertension, heart failure, renal insufficiency and other disorders. Methods for preparing these compounds from known starting materials are provided.
已制备了一系列新颖的螺环取代谷
氨酰胺衍
生物,包括其药用可接受盐和
生物前体,其中螺环取代基完成一个5-或6-成员碳环,并位于相邻于羰胺基团的碳原子上。这些特定化合物是中性内切肽酶E.C.3.4.24.11酶的
抑制剂,因此在治疗高血压、心力衰竭、肾功能不全和其他疾病中作为利尿剂剂而有用。提供了从已知起始物质制备这些化合物的方法。