Modulators of the beta-3 adrenergic receptor useful for the treatment or prevention of disorders related thereto
申请人:Arena Pharmaceuticals, Inc.
公开号:US10479797B2
公开(公告)日:2019-11-19
The present invention relates to compounds of Formula (Ia) and pharmaceutical compositions thereof that modulate the activity of the beta-3 adrenergic receptor. Compounds of the present invention and pharmaceutical compositions thereof are directed to methods useful in the treatment of a beta-3 adrenergic receptor-mediated disorder, such as, heart failure; cardiac performance in heart failure; mortality, reinfarction, and/or hospitalization in connection with heart failure; acute heart failure; acute decompensated heart failure; congestive heart failure; severe congestive heart failure; organ damage associated with heart failure (e.g., kidney damage or failure, heart valve problems, heart rhythm problems, and/or liver damage); heart failure due to left ventricular dysfunction; heart failure with normal ejection fraction; cardiovascular mortality following myocardial infarction; cardiovascular mortality in patients with left ventricular failure or left ventricular dysfunction; left ventricular failure; left ventricular dysfunction; class II heart failure using the New York Heart Association (NYHA) classification system; class III heart failure using the New York Heart Association (NYHA) classification system; class IV heart failure using the New York Heart Association (NYHA) classification system; LVEF<40% by radionuclide ventriculography; LVEF≤35% by echocardiography or ventricular contrast angiography; and conditions related thereto.
本发明涉及调节β-3肾上腺素能受体活性的式(Ia)化合物及其药物组合物。本发明的化合物及其药物组合物用于治疗β-3肾上腺素能受体介导的疾病,如心力衰竭;心力衰竭时的心脏表现;与心力衰竭有关的死亡率、再梗塞和/或住院治疗;急性心力衰竭;急性失代偿性心力衰竭;充血性心力衰竭;严重充血性心力衰竭;与心力衰竭有关的器官损伤(如:肾脏损伤或衰竭、心脏瓣膜问题、心律问题等)、左心室功能不全导致的心力衰竭;射血分数正常的心力衰竭;心肌梗塞后的心血管死亡率;左心室功能不全或左心室功能障碍患者的心血管死亡率;左心室功能不全;左心室功能障碍;根据纽约心脏协会(NYHA)分类系统划分的Ⅱ级心力衰竭;根据纽约心脏协会(NYHA)分类系统划分的Ⅲ级心力衰竭;根据纽约心脏协会(NYHA)分类系统划分的Ⅳ级心力衰竭;根据放射性核素心室造影检查,LVEF<40%;根据超声心动图或心室造影血管造影检查,LVEF≤35%;以及与此相关的情况。