申请人:Japan Tobacco Inc.
公开号:EP4116301A1
公开(公告)日:2023-01-11
The present invention provides a compound having a PDHK inhibitory activity and useful for the treatment or prophylaxis of diabetes (type 1 diabetes, type 2 diabetes etc.), insulin resistance syndrome, metabolic syndrome, hyperglycemia, hyperlactacidemia, diabetic complications (diabetic neuropathy, diabetic retinopathy, diabetic nephropathy, cataract etc.), cardiac failure (acute cardiac failure, chronic cardiac failure), cardiomyopathy, myocardial ischemia, myocardial infarction, angina pectoris, dyslipidemia, atherosclerosis, peripheral artery disease, intermittent claudication, chronic obstructive pulmonary disease s, brain ischemia, cerebral apoplexy, mitochondrial disease, mitochondrial encephalomyopathy, cancer, pulmonary hypertension, Alzheimer disease, vascular dementia, glaucoma, diabetic retinopathy, retinopathy of prematurity, retinal vein occlusion, ischemic optic neuropathy or chronic kidney disease. The present invention relates to a compound of the formula [I-a], or a pharmaceutically acceptable salt thereof:
wherein each symbol is as defined in the DESCRIPTION.
本发明提供了一种具有丙酮酸脱氢酶激酶(PDHK)抑制活性的化合物,该化合物可用于治疗或预防糖尿病(1型糖尿病、2型糖尿病等)、胰岛素抵抗综合征、代谢综合征、高血糖、高乳酸血症、糖尿病并发症(糖尿病神经病变、糖尿病视网膜病变、糖尿病肾病、白内障等)、心力衰竭(急性心力衰竭、慢性心力衰竭)、心肌病、心肌缺血、心肌梗死、心绞痛、高脂血症、动脉粥样硬化、外周动脉疾病、间歇性跛行、慢性阻塞性肺病、脑缺血、脑出血、线粒体疾病、线粒体脑肌病、癌症、肺动脉高压、阿尔茨海默病、血管性痴呆、青光眼、糖尿病视网膜病变、早产儿视网膜病变、视网膜静脉阻塞、缺血性视神经病变或慢性肾病。本发明涉及式[I-a]的化合物,或其药学上可接受的盐:
其中,各符号的定义如说明书中所述。