Compounds of the formula (I) provide pharmacological agents which are inhibitors of the P450 enzyme, aldosterone synthase, and thus may be employed for the treatment of aldosterone mediated conditions. Accordingly, the compounds of formula (I) may be employed for prevention, delay of progression, or treatment of hypokalemia, hypertension, congestive heart failure, renal failure, in particular, chronic renal failure, restenosis, atherosclerosis, syndrome X, obesity, nephropathy, postmyocardial infarction, coronary heart diseases, increased formation of collagen, fibrosis and remodeling following hypertension and endothelial dysfunction. Preferred are the compounds of formula (I) which are selective inhibitors of aldosterone synthase devoid of undesirable side effects due to general inhibition of cytochrome P450 enzymes.
公式(I)的化合物提供了药理学制剂,它们是P450酶、
醛固酮合成酶的
抑制剂,因此可用于治疗
醛固酮介导的疾病。因此,公式(I)的化合物可用于预防、延缓进展或治疗低
钾血症、高血压、充血性心力衰竭、肾衰竭,特别是慢性肾衰竭、再狭窄、动脉粥样硬化、X综合征、肥胖症、肾病、心肌梗死后、冠心病、
胶原蛋白增生、高血压和内皮功能障碍后的纤维化和重塑。优选的是公式(I)的化合物,它们是
醛固酮合成酶的选择性
抑制剂,不会因为对细胞色素P450酶的一般抑制而产生不良副作用。