Claims
- 1. A method of treating, controlling or preventing one or more diseases, disorders, or conditions selected from the group consisting of diabetes mellitus, hyperglycemia, obesity, hyperlipidemia, hypertriglyceridemia, hypercholesterolemia, atherosclerosis, vascular restenosis, irritable bowel syndrome, pancreatitis, abdominal obesity, adipose cell tumors, adipose cell carcinomas, Syndrome X, polycystic ovarian syndrome, and other disorders where insulin resistance is a component, said method comprising the administration of an effective amount of a compound having Formula I, defined below, and an effective amount of a second compound selected from the group consisting of insulin sensitizers, PPARγ agonists, glitazones, troglitazone, pioglitazone, englitazone, MCC-555, BRL49653, biguanides, metformin, phenformin, insulin, insulin mimetics, sulfonylureas, tolbutamide, glipizide, α-glucosidase inhibitors, acarbose, cholesterol lowering agents, HMG-CoA reductase inhibitors, lovastatin, simvastatin, pravastatin, fluvastatin, atorvastatin, rivastatin, other statins, sequestrants, cholestyramine, colestipol, dialkylaminoalkyl derivatives of a cross-linked dextran, nicotinyl alcohol, nicotinic acid, a nicotinic acid salt, PPARα agonists, fenofibric acid derivatives, gemfibrozil, clofibrate, fenofibrate, benzafibrate, inhibitors of cholesterol absorption, beta-sitosterol, acyl CoA:cholesterol acyltransferase inhibitors, melinamide, probucol, PPARδ agonists, antiobesity compounds, fenfluramine, dexfenfluramine, phentiramine, sulbitramine, orlistat, neuropeptide Y5 inhibitors, β3 adrenergic receptor agonists, and ileal bile acid transporter inhibitors, wherein the compound of Formula I is defined as follows: whereinAr1 is (1) arylene or (2) heteroarylene, wherein arylene and heteroarylene are optionally substituted with from 1 to 4 groups selected from Ra; Ar2 is (1) ortho-substituted aryl or (2) ortho-substituted heteroaryl, wherein said ortho substituent is selected from R; and aryl and heteroaryl are optionally further substituted with from 1-4 groups independently selected from Ra; X and Y are independently O, S, N—Rb, or CH2; Z is O or S; n is 0 to 3; R is (1) C3-10alkyl optionally substituted with 1-4 groups selected from halo and C3-6cycloalkyl, (2) C3-10alkenyl, or (3) C3-8cycloalkyl; Ra is (1) C1-15 alkanoyl, (2) C1-15 alkyl, (3) C2-15 alkenyl, (4) C2-15 alkynyl, (5) halo, (6) ORb, (7) aryl, or (8) heteroaryl, wherein said alkyl, alkenyl, alkynyl, and alkanoyl are optionally substituted with from 1-5 groups selected from Rc, and said aryl and heteroaryl optionally substituted with 1 to 5 groups selected from Rd; Rb is (1) hydrogen, (2) C1-10alkyl, (3) C2-10alkenyl, (4) C2-10alkynyl, (5) aryl, (6) heteroaryl, (7) aryl C1-15 alkyl, (8) heteroaryl C1-15 alkyl, (9) C1-15 alkanoyl, (10) C3-8cycloalkyl, wherein alkyl, alkenyl, alkynyl are optionally substituted with one to four substituents independently selected from Rc, and cycloalkyl, aryl and heteroaryl are optionally substituted with one to four substituents independently selected from Rd; or Rc is (1) halo, (2) aryl, (3) heteroaryl, (4) CN, (5) NO2, (6) ORf; (7) S(O)mRf, m=0, 1 or 2, provided that Rf is not H when m is 1 or 2; (8) NRfRf, (9) NRfCORf, (10) NRfCO2Rf, (11) NRfCON(Rf)2, (12) NRfSO2Rf, provided that Rf is not H, (13) CORf, (14) CO2Rf, (15) CON(Rf)2, (16) SO2N(Rf)2, (17) OCON(Rf)2, or (18) C3-8cycloalkyl, wherein said cycloalkyl, aryl and heteroaryl are optionally substituted with 1 to 3 groups of halo or C1-6 alkyl; Rd is (1) a group selected from Rc, (2) C1-10 alkyl, (3) C2-10 alkenyl, (4) C2-10 alkynyl, (5) aryl C1-10 alkyl, or (6) heteroaryl C1-10 alkyl, wherein alkyl, alkenyl, alkynyl, aryl, heteroaryl are optionally substituted with a group independently selected from Re; Re is (1) halogen, (2) amino, (3) carboxy, (4) C1-4alkyl, (5) C1-4alkoxy, (6) hydroxy, (7) aryl, (8) aryl C1-4alkyl, or (9) aryloxy; Rf is (1) hydrogen, (2) C1-10alkyl, (3) C2-10alkenyl, (4) C2-10alkynyl, (5) aryl, (6) heteroaryl, (7) aryl C1-15 alkyl, (8) heteroaryl C1-15 alkyl, (9) C1-15 alkanoyl, (10) C3-8cycloalkyl; wherein alkyl, alkenyl, alkynyl, aryl, heteroaryl, alkanoyl and cycloalkyl are optionally substituted with one to four groups selected from Re; or a pharmaceutically acceptable salt thereof.
- 2. A method for the treatment, control, or prevention of hypercholesterolemia, including raising HDL levels, which comprises administering to a mammal in need of such treatment a therapeutically effective amount of a compound of formula I, as defined in claim 1, and a cholesterol biosynthesis inhibitor.
- 3. The method as recited in claim 2 wherein the cholesterol biosynthesis inhibitor is an HMG-CoA reductase inhibitor.
- 4. The method as recited in claim 3, wherein the HMG-CoA reductase inhibitor is a statin.
- 5. The method as recited in claim 4, wherein the statin is selected from the group consisting of lovastatin, simvastatin, pravastatin, fluvastatin, atorvastatin and rivastatin.
- 6. A method of treating, controlling or preventing one or more diseases, disorders, or conditions selected from the group consisting of diabetes mellitus, hyperglycemia, obesity, hyperlipidemia, hypertriglyceridemia, hypercholesterolemia, atherosclerosis, vascular restenosis, irritable bowel syndrome, pancreatitis, abdominal obesity, adipose cell tumors, adipose cell carcinomas, Syndrome X, polycystic ovarian syndrome, and other disorders where insulin resistance is a component, said method comprising the administration of an effective amount of a compound having Formula I, defined as follows: whereinAr1 is (1) arylene or (2) heteroarylene, wherein arylene and heteroarylene are optionally substituted with from 1 to 4 groups selected from Ra; Ar2 is (1) ortho-substituted aryl or (2) ortho-substituted heteroaryl, wherein said ortho substituent is selected from R; and aryl and heteroaryl are optionally further substituted with from 1-4 groups independently selected from Ra; X and Y are independently O, S, N—Rb, or CH2; Z is O or S; n is 0 to 3; R is (1) C3-10alkyl optionally substituted with 1-4 groups selected from halo and C3-6cycloalkyl, (2) C3-10alkenyl, or (3) C3-8cycloalkyl; Ra is (1) C1-15 alkanoyl, (2) C1-15 alkyl, (3) C2-15 alkenyl, (4) C2-15 alkynyl, (5) halo, (6) ORb, (7) aryl, or (8) heteroaryl, wherein said alkyl, alkenyl, alkynyl, and alkanoyl are optionally substituted with from 1-5 groups selected from Rc, and said aryl and heteroaryl optionally substituted with 1 to 5 groups selected from Rd; Rb is (1) hydrogen, (2) C1-10alkyl, (3) C2-10alkenyl, (4) C2-10alkynyl, (5) aryl, (6) heteroaryl, (7) aryl C1-15 alkyl, (8) heteroaryl C1-15 alkyl, (9) C1-15 alkanoyl, (10) C3-8cycloalkyl, wherein alkyl, alkenyl, alkynyl are optionally substituted with one to four substituents independently selected from Rc, and cycloalkyl, aryl and heteroaryl are optionally substituted with one to four substituents independently selected from Rd; or Rc is (1) halo, (2) aryl, (3) heteroaryl, (4) CN, (5) NO2, (6) ORf; (7) S(O)mRf, m=0, 1 or 2, provided that Rf is not H when m is 1 or 2; (8) NRfRf, (9) NRfCORf, (10) NRfCO2Rf, (11) NRfCON(Rf)2, (12) NRfSO2Rf, provided that Rf is not H, (13) CORf, (14) CO2Rf, (15) CON(Rf)2, (16) SO2N(Rf)2, (17) OCON(Rf)2, or (18) C3-8cycloalkyl, wherein said cycloalkyl, aryl and heteroaryl are optionally substituted with 1 to 3 groups of halo or C1-6 alkyl; Rd is (1) a group selected from Rc, (2) C1-10 alkyl, (3) C2-10 alkenyl, (4) C2-10 alkynyl, (5) aryl C1-10alkyl, or (6) heteroaryl C1-10 alkyl, wherein alkyl, alkenyl, alkynyl, aryl, heteroaryl are optionally substituted with a group independently selected from Re; Re is (1) halogen, (2) amino, (3) carboxy, (4) C1-4alkyl, (5) C1-4alkoxy, (6) hydroxy, (7) aryl, (8) aryl C1-4alkyl, or (9) aryloxy; Rf is (1) hydrogen, (2) C1-10alkyl, (3) C2-10alkenyl, (4) C2-10alkynyl, (5) aryl, (6) heteroaryl, (7) aryl C1-5 alkyl, (8) heteroaryl C1-5 alkyl, (9) C1-15 alkanoyl, (10) C3-8cycloalkyl; wherein alkyl, alkenyl, alkynyl, aryl, heteroaryl, alkanoyl and cycloalkyl are optionally substituted with one to four groups selected from Re; or a pharmaceutically acceptable salt thereof.
- 7. A pharmaceutical composition comprising (1) a compound of Formula I, as defined below; (2) a second compound selected from the group consisting of an insulin sensitizer, a PPARγ agonist, a glitazone, troglitazone, pioglitazone, englitazone, MCC-555, BRL49653, a biguanide, metformin, phenformin, insulin, an insulin mimetic, a sulfonylurea, tolbutamide, glipizide, α-glucosidase inhibitor, acarbose, a cholesterol lowering agent, an HMG-CoA reductase inhibitor, lovastatin, simvastatin, pravastatin, fluvastatin, atorvastatin, rivastatin, other statins, a sequestrant, cholestyramine, colestipol, a dialkylaminoalkyl derivative of a cross-linked dextran, nicotinyl alcohol, nicotinic acid, a nicotinic acid salt, PPARα agonist, fenofibric acid derivative, gemfibrozil, clofibrate, fenofibrate, benzafibrate, an inhibitor of cholesterol absorption, beta-sitosterol, acyl CoA:cholesterol acyltransferase inhibitor, melinamide, probucol, PPARδ agonist, antiobesity compound, fenfluramine, dexfenfluramine, phentiramine, sulbitramine, orlistat, neuropeptide Y5 inhibitor, β3 adrenergic receptor agonist, and an ileal bile acid transporter inhibitor; and (3) a pharmaceutically acceptable carrier, wherein the compound of Formula I is as follows: whereinAr1 is (1) arylene or (2) heteroarylene, wherein arylene and heteroarylene are optionally substituted with from 1 to 4 groups selected from Ra; Ar2 is (1) ortho-substituted aryl or (2) ortho-substituted heteroaryl, wherein said ortho substituent is selected from R; and aryl and heteroaryl are optionally further substituted with from 1-4 groups independently selected from Ra; X and Y are independently O, S, N—Rb, or CH2; Z is O or S; n is 0 to 3; R is (1) C3-10alkyl optionally substituted with 1-4 groups selected from halo and C3-6cycloalkyl, (2) C3-10alkenyl, or (3) C3-8cycloalkyl; Ra is (1) C1-15 alkanoyl, (2) C1-15 alkyl, (3) C2-15 alkenyl, (4) C2-15 alkynyl, (5) halo, (6) ORb, (7) aryl, or (8) heteroaryl, wherein said alkyl, alkenyl, alkynyl, and alkanoyl are optionally substituted with from 1-5 groups selected from Rc, and said aryl and heteroaryl optionally substituted with 1 to 5 groups selected from Rd; Rb is (1) hydrogen, (2) C1-10alkyl, (3) C2-10alkenyl, (4) C2-10alkynyl, (5) aryl, (6) heteroaryl, (7) aryl C1-15 alkyl, (8) heteroaryl C1-15 alkyl, (9) C1-15 alkanoyl, (10) C3-8cycloalkyl, wherein alkyl, alkenyl, alkynyl are optionally substituted with one to four substituents independently selected from Rc, and cycloalkyl, aryl and heteroaryl are optionally substituted with one to four substituents independently selected from Rd; or Rc is (1) halo, (2) aryl, (3) heteroaryl, (4) CN, (5) NO2, (6) ORf; (7) S(O)mRf, m=0, 1 or 2, provided that Rf is not H when m is 1 or 2; (8) NRfRf, (9) NRfCORf, (10) NRfCO2Rf, (11) NRfCON(Rf)2, (12) NRfSO2Rf, provided that Rf is not H, (13) CORf, (14) CO2Rf, (15) CON(Rf)2, (16) SO2N(Rf)2, (17) OCON(Rf)2, or (18) C3-8cycloalkyl, wherein said cycloalkyl, aryl and heteroaryl are optionally substituted with 1 to 3 groups of halo or C1-6 alkyl; Rd is (1) a group selected from Rc, (2) C1-10 alkyl, (3) C2-10 alkenyl, (4) C2-10 alkynyl, (5) aryl C1-10alkyl, or (6) heteroaryl C1-10 alkyl, wherein alkyl, alkenyl, alkynyl, aryl, heteroaryl are optionally substituted with a group independently selected from Re; Re is (1) halogen, (2) amino, (3) carboxy, (4) C1-4alkyl, (5) C1-4alkoxy, (6) hydroxy, (7) aryl, (8) aryl C1-4alkyl, or (9) aryloxy; Rf is (1) hydrogen, (2) C1-10alkyl, (3) C2-10alkenyl, (4) C2-10alkynyl, (5) aryl, (6) heteroaryl, (7) aryl C1-15 alkyl, (8) heteroaryl C1-15 alkyl, (9) C1-15 alkanoyl, (10) C3-8cycloalkyl; wherein alkyl, alkenyl, alkynyl, aryl, heteroaryl, alkanoyl and cycloalkyl are optionally substituted with one to four groups selected from Re; or a pharmaceutically acceptable salt thereof.
CROSS REFERENCE TO RELATED APPLICATIONS
This is a division of application Ser. No. 09/213,542 filed Dec. 17, 1998 now U.S. Pat. No. 6,008,237. Which is based on, and claims priority from, provisional applications No. 60/068,271, filed Dec. 19, 1997, and No. 60/105,238, filed Oct. 22, 1998, which are hereby incorporated by reference in their entirety.
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Provisional Applications (2)
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60/105238 |
Oct 1998 |
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60/068271 |
Dec 1997 |
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