Disclosed are certain substituted spiro iminopyrimidinones and other compounds of the formula I
or a stereoisomer, tautomer, or pharmaceutically acceptable salt or solvate thereof, wherein U, W, A, R, R1, R2, R6a and R7, are as defined in the specification; and pharmaceutical compositions comprising the compounds of formula I. Also disclosed are methods of using such compounds and compositions to inhibit aspartyl protease, and to treat a variety of disease and indications including (but not limited) to cardiovascular disease and cognitive and neurodegenerative disease. The compounds of the present invention are disclosed for use alone or in combination with one or more additional active ingredients such as cholinesterase inhibitors and a muscarinic m1 agonist and/or m2 antagonists.
本发明揭示了某些式I的取代螺环亚咪啉酮和其他化合物,或其立体异构体,互变异构体或药学上可接受的盐或溶剂化物,其中U,W,A,R,R1,R2,R6a和R7如规范中所定义;以及包含式I化合物的制药组合物。本发明还揭示了使用这种化合物和组合物来抑制
天冬氨酸蛋白酶,并治疗各种疾病和适应症,包括(但不限于)心血管疾病和认知和神经退行性疾病的方法。本发明的化合物可单独使用或与一种或多种其他活性成分(如
胆碱酯酶抑制剂和肌动蛋白m1激动剂和/或m2拮抗剂)组合使用。