申请人:Pfizer Inc
公开号:US20040110817A1
公开(公告)日:2004-06-10
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.
该发明涉及新的治疗活性和选择性酶二肽基肽酶-IV抑制剂,包括该化合物的制药组合物以及使用该化合物治疗与DPP-IV加工相关的蛋白质相关疾病,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),葡萄糖尿,代谢性酸中毒,白内障,糖尿病神经病变,糖尿病肾病,糖尿病视网膜病变,糖尿病心肌病,1型糖尿病,肥胖,肥胖加剧的状况,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,多囊卵巢综合症导致的不育症,短肠综合症,焦虑,抑郁症,失眠,慢性疲劳,癫痫,饮食失调,慢性疼痛,酗酒,与肠道动力相关的疾病,溃疡,肠易激综合症,炎症性肠病,并且预防2型糖尿病的疾病进展的方法。该发明还涉及一种识别治疗糖尿病的胰岛素分泌剂的方法。