[EN] PYRIDAZINONE ALDOSE REDUCTASE INHIBITORS<br/>[FR] INHIBITEURS PYRIDAZINONE D'ALDOSE RÉDUCTASE
申请人:PFIZER PROD INC
公开号:WO2002079198A1
公开(公告)日:2002-10-10
The present invention relates to novel pyridazinone compounds, pharmaceutical compositions comprising those compounds and to methods of using such compounds and compositions to inhibit aldose reductase, lower sorbitol levels and, thus, lower fructose levels, and/or treat or prevent diabetic complications such as diabetic neuropathy, diabetic retinopathy, diabetic nephropathy, diabetic cardiomyopathy, diabetic microangiopathy and diabetic macroangiopathy in mammals. This invention also relates to methods of affording cardioprotection to subjects not suffering from diabetes. This invention also relates to pharmaceutical compositions and kits comprising a combination of an aldose reductase inhibitor (ARI) of this invention and a sorbitol dehydrogenase inhibitor and to methods of using such compositions or kits to treat or prevent the above diabetic complications in mammals. This invention also relates to other combinations with the ARIs of this invention, including combinations with adenosine agonists; NHE-1 inhibitors; glycogen phosphorylase inhibitors; selective serotonin reuptake inhibitors; GABA agonists; antihypertensive agents; 3-hydroxy-3-methylglutaryl coenzyme A reductase-inhibitors; phosphodiesterase-5 inhibitors; and to glucose lowering agents.
本发明涉及新型吡啶二酮化合物、包含这些化合物的制药组合物以及使用这些化合物和组合物的方法,以抑制醛糖还原酶、降低山梨醇水平,从而降低果糖水平,并/或治疗或预防哺乳动物的糖尿病并发症,如糖尿病神经病、糖尿病视网膜病、糖尿病肾病、糖尿病心肌病、糖尿病微血管病和糖尿病大血管病。本发明还涉及为非糖尿病患者提供心脏保护的方法。本发明还涉及包含本发明的醛糖还原酶抑制剂(ARI)和山梨醇脱氢酶抑制剂的组合物和工具箱,以及使用这些组合物或工具箱治疗或预防哺乳动物的上述糖尿病并发症的方法。本发明还涉及其他与本发明的ARI结合的组合物,包括与腺苷酸激动剂的组合物;NHE-1抑制剂;糖原磷酸化酶抑制剂;选择性5-羟色胺再摄取抑制剂;GABA激动剂;降压药物;3-羟基-3-甲基谷氨酰辅酶A还原酶抑制剂;磷酸二酯酶-5抑制剂;以及降血糖药物。