申请人:Pfizer Inc
公开号:US20040132713A1
公开(公告)日:2004-07-08
The invention relates to new therapeutically active and selective inhibitors of the enzyme dipeptidyl peptidase-IV, pharmaceutical compositions comprising the compounds and the use of such compounds for treating diseases that are associated with proteins that are subject to processing by DPP-IV, such as Type 2 diabetes mellitus, hyperglycemia, impaired glucose tolerance, metabolic syndrome (Syndrome X or insulin resistance syndrome), glucosuria, metabolic acidosis, cataracts, diabetic neuropathy, diabetic nephropathy, diabetic retinopathy, diabetic cardiomyopathy, Type 1 diabetes, obesity, conditions exacerbated by obesity, hypertension, hyperlipidemia, atherosclerosis, osteoporosis, osteopenia, frailty, bone loss, bone fracture, acute coronary syndrome, infertility due to polycystic ovary syndrome, short bowel syndrome, anxiety, depression, insomnia, chronic fatigue, epilepsy, eating disorders, chronic pain, alcohol addiction, diseases associated with intestinal motility, ulcers, irritable bowel syndrome, inflammatory bowel syndrome and to prevent disease progression in Type 2 diabetes. The invention also relates to a method of identifying an insulin secretagogue agent for diabetes.
本发明涉及新型治疗活性和选择性酶抑制剂,该酶抑制剂为二肽基肽酶-IV的抑制剂,药物组合物包括这些化合物,以及使用这些化合物治疗与DPP-IV加工相关的蛋白质所致的疾病,例如2型糖尿病,高血糖,糖耐量受损,代谢综合征(X综合征或胰岛素抵抗综合征),糖尿病性酸中毒,白内障,糖尿病性神经病,糖尿病性肾病,糖尿病性视网膜病变,糖尿病性心肌病,1型糖尿病,肥胖症,由肥胖症恶化的疾病,高血压,高脂血症,动脉硬化,骨质疏松症,脆弱性,骨质流失,骨折,急性冠状动脉综合症,多囊卵巢综合征引起的不育症,短肠综合征,焦虑,抑郁,失眠,慢性疲劳,癫痫,进食障碍,慢性疼痛,酒精成瘾,与肠道动力有关的疾病,溃疡,肠易激综合征,炎症性肠病,并且预防2型糖尿病的疾病进展。本发明还涉及一种用于识别糖尿病胰岛素分泌剂的方法。