Macrocyclic antagonist of the motilin receptor for treatment of gastrointestinal dysmotility disorders
申请人:Tranzyme Pharma, Inc.
公开号:EP2431380A2
公开(公告)日:2012-03-21
The present invention provides conformationally-defined macrocyclic compounds that bind to and/or are functional modulators of the motilin receptor including subtypes, isoforms and/or variants thereof. These macrocyclic compounds, at a minimum, possess adequate pharmacological properties to be useful as therapeutics for a range of disease indications. In particular, these compounds are useful for treatment and prevention of disorders characterized by hypermotilinemia and/or gastrointestinal hypermotility, including, but not limited to, diarrhea, cancer treatment-related diarrhea, cancer-induced diarrhea, chemotherapy-induced diarrhea, radiation enteritis, radiation-induced diarrhea, stress-induced diarrhea, chronic diarrhea, AIDS-related diarrhea, C. difficile associated diarrhea, traveller's diarrhea, diarrhea induced by graph versus host disease, other types of diarrhea, dyspepsia, irritable bowel syndrome, chemotherapy-induced nausea and vomiting (emesis) and post-operative nausea and vomiting and functional gastrointestinal disorders. In addition, the compounds possess utility for the treatment of diseases and disorders characterized by poor stomach or intestinal absorption, such as short bowel syndrome, celiac disease and cachexia. The compounds also have use for the treatment of inflammatory diseases and disorders of the gastrointestinal tract, such as inflammatory bowel disease, ulcerative colitis, Crohn's disease and pancreatitis. Accordingly, methods of treating such disorders and pharmaceutical compositions including compounds of the present invention are also provided.
本发明提供了与动情素受体(包括其亚型、同工型和/或变体)结合和/或作为其功能调节剂的构象明确的大环化合物。这些大环化合物至少具有足够的药理特性,可作为一系列疾病适应症的治疗药物。特别是,这些化合物可用于治疗和预防以高胰岛素血症和/或胃肠道高运动性为特征的疾病,包括但不限于腹泻、癌症治疗相关性腹泻、癌症诱导性腹泻、化疗诱导性腹泻、放射性肠炎、放射性诱导性腹泻、压力诱导性腹泻、慢性腹泻、艾滋病相关性腹泻、艰难梭菌相关性腹泻、C.腹泻、艰难梭菌相关性腹泻、旅行者腹泻、图形对宿主疾病诱发的腹泻、其他类型的腹泻、消化不良、肠易激综合征、化疗诱发的恶心和呕吐(呃逆)、术后恶心和呕吐以及功能性胃肠功能紊乱。此外,这些化合物还可用于治疗以胃或肠吸收不良为特征的疾病和失调,如短肠综合征、乳糜泻和恶病质。这些化合物还可用于治疗胃肠道炎症性疾病和紊乱,如炎症性肠病、溃疡性结肠炎、克罗恩病和胰腺炎。因此,还提供了治疗此类疾病的方法和包括本发明化合物的药物组合物。