Novel compounds are provided which are 11-beta-hydroxysteroid dehydrogenase type I inhibitors. 11-beta-hydroxysteroid dehydrogenase type I inhibitors are useful in treating, preventing, or slowing the progression of diseases requiring 11-beta-hydroxysteroid dehydrogenase type I inhibitor therapy. These novel compounds have the structure:
or stereoisomers or prodrugs or pharmaceutically acceptable salts thereof wherein W, L, R
3
, R
3a
, R
3b
and R
4
are defined herein.
提供了新型化合物,它们是11-β-羟基类
固醇脱氢酶I型
抑制剂。11-β-羟基类
固醇脱氢酶I型
抑制剂在治疗、预防或减缓需要11-β-羟基类
固醇脱氢酶I型
抑制剂治疗的疾病方面是有用的。这些新型化合物具有以下结构:或其立体异构体或前药或其药学上可接受的盐,其中W、L、R3、R3a、R3b和R4在此定义。