申请人:Pfizer Inc.
公开号:US06194578B1
公开(公告)日:2001-02-27
This invention is directed to compounds of the Formula
and the pharmaceutically-acceptable salts thereof, where the substituents are as defined in the Specification, which are growth hormone secretogogues and which increase the level of endogenous growth hormone. The compounds of this invention are therapeutically effective in treating osteoporosis and/or frailty, congestive heart failure, frailty associated with aging, obesity; accelerating bone fracture repair, attenuating protein catabolic response after a major operation, reducing cachexia and protein loss due to chronic illness, accelerating wound healing, or accelerating the recovery of burn patients or patients having undergone major surgery; improving muscle strength, mobility, maintenance of skin thickness, metabolic homeostasis or renal homeostasis. The compounds of the present invention are also useful in treating osteoporosis and/or frailty when used in combination with: a bisphosphonate compound such as alendronate; estrogen, premarin, and optionally progesterone; an estrogen agonist or antagonist; or calcitonin, and pharmaceutical compositions useful therefor. Further, the present invention is directed to pharmaceutical compositions therapeutically effective for increasing the endogenous production or release of growth hormone in a human or other animal which comprises an effective amount of a compound of the present invention and a growth hormone secretagogue selected from GHRP-6, Hexarelin, GHRP-1, growth hormone releasing factor (GRF), IGF-1, IGF-2 or B-HT920. The invention is also directed to intermediates useful in the preparation of compounds of Formula I.
这项发明涉及公式化合物及其药用盐,其中取代基如规范中定义的那样,这些化合物是生长激素分泌素,可以增加内源性生长激素的水平。本发明的化合物在治疗骨质疏松症和/或虚弱、充血性心力衰竭、与衰老有关的虚弱、肥胖;加速骨折修复、减轻重大手术后蛋白质分解反应、减少慢性疾病引起的消瘦和蛋白质流失、加速伤口愈合,或加速烧伤患者或接受重大手术的患者的康复方面具有治疗效果;改善肌肉力量、运动能力、皮肤厚度的维持、代谢稳态或肾脏稳态。本发明的化合物在与双膦酸盐类化合物(如阿伦膦酸盐)、雌激素、孕马尿素和可选择的孕激素、雌激素激动剂或拮抗剂、降钙素一起使用时也可用于治疗骨质疏松症和/或虚弱;以及用于制备这些药物组合的药物组合。此外,本发明涉及药物组合,对于增加人类或其他动物内源性生长激素的产生或释放具有治疗效果,包括本发明化合物的有效量和从GHRP-6、Hexarelin、GHRP-1、生长激素释放因子(GRF)、IGF-1、IGF-2或B-HT920中选择的生长激素分泌素。该发明还涉及在制备公式I化合物时有用的中间体。