This invention is directed to sorbitol dehydrogenase inhibitory compounds of the formula I,
wherein R is as defined in the specification. This invention is also directed to pharmaceutical compositions containing those compounds and methods of treating or preventing diabetic complications, particularly diabetic neuropathy, diabetic nephropathy and diabetic cardiomyopathy by administering such compounds to a mammal suffering from diabetes and therefore at risk for developing such complications. This invention is also directed to pharmaceutical compositions comprising a combination of a compound of formula I of this invention with an aldose reductase inhibitor and to methods of treating or preventing diabetic complications therewith. This invention is also directed to pharmaceutical compositions comprising a combination of a compound of formula I of this invention with an NHE-1 inhibitor and to methods of treating cardiomyopathy and other heart-related problems therewith. This invention is also directed to certain intermediates used in the synthesis of the compounds of formula I and to processes for preparing those intermediates.
本发明涉及式 I 的
山梨醇脱氢酶抑制性化合物、
其中 R 如说明书中所定义。本发明还涉及含有这些化合物的药物组合物以及治疗或预防糖尿病并发症,特别是糖尿病神经病变、糖尿病肾病变和糖尿病心肌病变的方法,方法是给患有糖尿病并因此有可能患上这些并发症的哺乳动物服用这些化合物。本发明还涉及包含本发明式 I 化合物与醛糖还原酶
抑制剂组合的药物组合物,以及用其治疗或预防糖尿病并发症的方法。本发明还涉及包含本发明式 I 化合物与 NHE-1
抑制剂组合的药物组合物,以及治疗心肌病和其他心脏相关问题的方法。本发明还涉及用于合成式 I 化合物的某些
中间体以及制备这些
中间体的工艺。