申请人:O'NEIL Rita M.
公开号:US20130259850A1
公开(公告)日:2013-10-03
Uric acid in mammalian subjects is reduced and excretion of uric acid is increased by administering a compound of Formula I or a pharmaceutically acceptable salt thereof.
In Formula I m is 0, 1, 2, 3 or 4; n is 0 or 1; m+n is not more than 4;
t is 0 or 1; q is 0 or 1; and r is 0, 1 or 2. R
6
is hydrogen, methyl or ethyl and R
12
is hydrogen or methyl, or R
6
is hydroxy and R
12
is hydrogen, or R
6
is O and R
12
is absent, or R
6
and R
12
together are —CH
2
CH
2
—. R
7
is hydrogen or alkyl having from 1 to 3 carbon atoms. One of R
8
and R
9
is alkyl having from 1 to 3 carbon atoms, and the other is hydrogen or alkyl having from 1 to 3 carbon atoms. R
10
is hydrogen, halo, alkyl having from 1 to 3 carbon atoms or alkoxy having from 1 to 3 carbon atoms. X is C(O) and r is 0 and t is 0; or X is NH(R
11
) wherein R
11
is hydrogen or alkyl having from 1 to 3 carbon atoms. A is phenyl, unsubstituted or substituted by 1 or 2 groups selected from halo, hydroxy, methyl, ethyl, perfluoromethyl, methoxy, ethoxy, and perfluoromethoxy; or a 5 or 6 membered heteroaromatic ring having 1 or 2 ring heteroatoms selected from N, S and O and the heteroaromatic ring is covalently bound to the remainder of the compound of Formula I by a ring carbon; or cycloalkyl having from 3 to 6 ring carbon atoms wherein the cycloalkyl is unsubstituted or one or two ring carbons are independently monosubstituted by methyl or ethyl. The uric acid-lowering effects of the Compounds of Formula I are used to treat or prevent a variety of conditions including gout, hyperuricemia, elevated levels of uric acid that do not meet the levels customarily justifying a diagnosis of hyperuricemia, renal dysfunction, kidney stones, cardiovascular disease, risk for developing cardiovascular disease, tumor-lysis syndrome, and cognitive impairment.
在哺乳动物主体中,通过给予化合物I的一个衍生物或其药学上可接受的盐,可以降低尿酸并增加尿酸的排泄。在公式I中,m为0、1、2、3或4;n为0或1;m+n不超过4;t为0或1;q为0或1;r为0、1或2。R6为氢、甲基或乙基,R12为氢或甲基,或者R6为羟基且R12为氢,或者R6为O且R12不存在,或者R6和R12共同为—CH2CH2—。R7为氢或有1至3个碳原子的烷基。R8和R9中的一个为有1至3个碳原子的烷基,另一个为氢或有1至3个碳原子的烷基。R10为氢、卤素、有1至3个碳原子的烷基或有1至3个碳原子的烷氧基。X为C(O),r为0且t为0;或X为NH(R11),其中R11为氢或有1至3个碳原子的烷基。A为苯基,未取代或取代为1或2个从卤素、羟基、甲基、乙基、全氟甲基、甲氧基、乙氧基和全氟甲氧基中选择的基团;或为有1或2个从N、S和O中选择的环杂原子的5或6成员杂环芳基环,且该杂环芳基环通过一个环碳原子与公式I的其余部分共价结合;或为有3至6个环碳原子的环烷基,其中环烷基未取代或其中一或两个环碳原子独立地被甲基或乙基单取代。公式I的降低尿酸作用可用于治疗或预防多种疾病,包括痛风、高尿酸血症、尿酸水平升高但不符合惯常诊断高尿酸血症的水平、肾功能障碍、肾结石、心血管疾病、发生心血管疾病的风险、肿瘤溶解综合征和认知障碍。