This invention relates to novel N-biphenylyl lactam compounds having a substituted methylidene or methyl moiety adjacent to the lactam nitrogen, and pharmaceutically acceptable salts thereof. The compounds are angiotensin II receptor antagonists, and are useful in treating hypertension (lowering high blood pressure), congestive heart failure, elevated ocular pressure, cerebral stroke, angina, cardiac insufficiency, myocardial infarction or diabetic nephropathy. The invention also relates to a pharmaceutical composition comprising a compound of the invention, a method of treating a physiological condition in a mammal that is mediated by angiotensin II which comprises administering to the mammal an effective amount of a compound of the invention, and novel processes for preparing the compounds of the invention.
本发明涉及一种新型的N-双苯基乳酰胺化合物,其在乳酰胺氮原子邻近具有取代甲基亚甲基或甲基基团,以及其药学上可接受的盐。这些化合物是
血管紧张素II受体拮抗剂,可用于治疗高血压(降低高血压)、充血性心力衰竭、眼压升高、脑卒中、心绞痛、心脏功能不全、心肌梗死或糖尿病肾病。本发明还涉及一种包括本发明的化合物的药物组合物,以及一种治疗哺乳动物由
血管紧张素II介导的生理状况的方法,该方法包括向哺乳动物施用本发明的化合物的有效量,以及制备本发明化合物的新方法。