申请人:GLAXOSMITHKLINE INTELLECTUAL PROPERTY (NO 2) LTD
公开号:WO2017199199A1
公开(公告)日:2017-11-23
The present invention relates to a novel compound useful as a TRPV4 antagonist, specifically the compound 1-(((5S,7R)-3-(5-cyclopropylpyrazin-2-yl)-7-hydroxy-2-oxo-1-oxa-3-azaspiro[4.5]decan-7-yl)methyl)-1H-benzo[d]imidazole-6-carbonitrile, pharmaceutically acceptable salts thereof and pharmaceutical compositions containing the compound. The compound of the invention can be useful in the treatment of a disease state selected from: atherosclerosis, disorders related to vasogenic edema, postsurgical abdominal edema, ocular edema, cerebral edema, local and systemic edema, fluid retention, sepsis, hypertension, inflammation, bone related dysfunctions and congestive heart failure, pulmonary disorders, chronic obstructive pulmonary disorder, ventilator induced lung injury, high altitude induced pulmonary edema, acute respiratory distress syndrome, acute lung injury, pulmonary fibrosis, sinusitis/rhinitis, asthma, cough; including acute cough, sub-acute cough and chronic cough, pulmonary hypertension, overactive bladder, cystitis, pain, motor neuron disorders, genetic gain of function disorders, cardiovascular disease, renal dysfunction, stroke, glaucoma, retinopathy, endometriosis, pre-term labor, dermatitis, pruritus, pruritus in liver disease, diabetes, metabolic disorder, obesity, migraine, pancreatitis, tumor suppression, immunosuppression, osteoarthritis, crohn's disease, colitis, diarrhea, intestinal irregularity (hyperreactivity/hyporeactivity), fecal incontinence, irritable bowel syndrome (IBS), constipation, intestinal pain and cramping, celiac disease, lactose intolerance, and flatulence.
本发明涉及一种新型化合物,可用作TRPV4拮抗剂,具体为化合物1-(((5S,7R)-3-(5-环丙基
吡嗪-2-基)-7-羟基-2-氧代-1-氧杂
螺[4.5]癸烷-7-基)甲基)-1H-苯并[d]
咪唑-6-碳腈,其药学上可接受的盐以及含有该化合物的药物组合物。本发明的化合物可用于治疗以下疾病状态:动脉粥样硬化,与血管源性
水肿有关的疾病,术后腹部
水肿,眼部
水肿,脑
水肿,局部和全身
水肿,液体潴留,败血症,高血压,炎症,与骨相关的功能障碍和充血性心力衰竭,肺部疾病,慢性阻塞性肺疾病,呼吸机诱导的肺损伤,高海拔诱发的肺
水肿,急性呼吸窘迫综合征,急性肺损伤,肺纤维化,鼻窦炎/鼻炎,哮喘,咳嗽;包括急性咳嗽、亚急性咳嗽和慢性咳嗽,肺动脉高压,膀胱过度活跃,膀胱炎,疼痛,运动神经元疾病,遗传性增强功能障碍,心血管疾病,肾功能障碍,中风,青光眼,视网膜病变,子宫内膜异位症,早产,皮炎,瘙痒,肝病瘙痒,糖尿病,代谢紊乱,肥胖,偏头痛,胰腺炎,肿瘤抑制,免疫抑制,骨关节炎,克罗恩病,结肠炎,腹泻,肠道不规则(过度反应/低反应),大便失禁,肠易激综合征(IBS),便秘,肠道疼痛和痉挛,乳糜泻,
乳糖不耐受和胀气。