The present invention pertains generally to the field of therapeutic compounds. More specifically the present invention pertains to certain 3,3-disubstituted-(8-aza- bicyclo [3.2.1]oct-8-yl)[5-(1H-pyrazol-4-yl)-thiophen-3-yl]-methanone, 3,3-disubstituted- (6-aza-bicyclo[3.1.1]hept-6-yl)-[5-(1H-pyrazol-4-yl)-thiophen-3-yl]-methanone, and 4, 4-disubstituted piperidin-1 -yl)-[5-(1H-pyrazol-4-yl)-thiophen-3-yl]-methanone compounds of the following formula (I) that, inter alia, inhibit 11 β-hydroxysteroid dehydrogenase type 1 (11 β-HSD1 ). The present invention also pertains to pharmaceutical compositions comprising such compounds, and the use of such compounds and compositions, both in vitro and in vivo, to inhibit 11 β-hydroxysteroid dehydrogenase type 1; to treat disorders that are ameliorated by the inhibition of 11 β-hydroxysteroid dehydrogenase type 1; to treat the metabolic syndrome, which includes disorders such as type 2 diabetes and obesity, and associated disorders including insulin resistance, hypertension, lipid disorders and cardiovascular disorders such as ischaemic (coronary) heart disease; to treat CNS disorders such as mild cognitive impairment and early dementia, including Alzheimer's disease; etc.
本发明通常涉及治疗化合物领域。更具体地,本发明涉及某些3,3-二取代-(8-aza-双环[3.2.1]辛-8-基)[5-(1H-
吡唑-4-基)-
噻吩-3-基]-甲酮,3,3-二取代-(6-aza-双环[3.1.1]庚-6-基)-[5-(1H-
吡唑-4-基)-
噻吩-3-基]-甲酮和4,4-二取代
哌啶-1-基)-[5-(1H-
吡唑-4-基)-
噻吩-3-基]-甲酮的化合物,其具有以下式(I)的结构,其在某种程度上抑制11β-羟基
甾醇脱氢酶1(11β-H
SD1)。本发明还涉及包含这些化合物的药物组合物,以及在体内外使用这些化合物和组合物抑制11β-羟基
甾醇脱氢酶1;治疗通过抑制11β-羟基
甾醇脱氢酶1而改善的疾病;治疗代谢综合征,包括2型糖尿病和肥胖等疾病,以及相关疾病,包括
胰岛素抵抗、高血压、脂质紊乱和心血管疾病,如缺血性(冠状)心脏病;治疗中枢神经系统疾病,如轻度认知障碍和早期痴呆,包括阿尔茨海默病等。