Claims
- 1. A compound which has the structure
- 2. The compound as defined in claim 1 wherein CH2)x, (CH2)x1, (CH2)x2, (CH2)x3, (CH2)x4,(CH2)x5, (CH2)x6, (CH2)x7 is alkylene, alkenylene, allenyl, or alkynylene.
- 3. The compound as defined in claim 1 wherein X is CH.
- 4. The compound as defined in claim 1 wherein R2a, R2b and R2c are each H.
- 5. The compound as defined in claim 1 wherein R1 is lower alkyl, X2 is O, X3 is C, and X4 is N.
- 6. The compound as defined in claim 1 wherein A is —(CH2)x2—O—(CH2)x3—
- 7. The compound as defined in claim 1 wherein Z is (CH2)x4 where x4 is 2 or 3, or Z is (CH2)x5 which includes a C═C bond where x5 is 2, 3 or 4.
- 8. The compound as defined in claim 1 wherein n is 0 and m is 0 or 1.
- 9. The compound as defined in claim 1 wherein R3 is arylalkyl, aryloxycarbonyl or arylalkyloxycarbonyl.
- 10. The compound as defined in claim 9 wherein R3 is alkoxyaryloxycarbonyl or phenoxyarylalkyl.
- 11. A compound having the structure
- 12. The compound as defined in claim 1 having the structure
- 13. A pharmaceutical composition comprising a compound as defined in claim 1 and a pharmaceutically acceptable carrier therefor.
- 14. A method for lowering blood glucose levels which comprises administering to a patient in need of treatment a therapeutically effective amount of a compound as defined in claim 1.
- 15. A method for treating diabetes which comprises administering to a patient in need of treatment a therapeutically effective amount of a compound as defined in claim 1.
- 16. A method for treating a premalignant disease, an early malignant disease, a malignant disease, or a dysplastic disease, which comprises administering to a patient in need of treatment a therapeutically effective amount of a compound as defined in claim 1.
- 17. A pharmaceutical combination comprising a compound as defined in claim 1 and a lipid-lowering agent, a lipid modulating agent, an antidiabetic agent, an anti-obesity agent, an antihypertensive agent, a platelet aggregation inhibitor, and/or an antiosteoporosis agent.
- 18. The pharmaceutical combination as defined in claim 17 comprising said compound and an antidiabetic agent.
- 19. The combination as defined in claim 18 wherein the antidiabetic agent is 1, 2, 3 or more of a biguanide, a sulfonyl urea, a glucosidase inhibitor, a PPAR γ agonist, a PPAR α/γ dual agonist, an SGLT2 inhibitor, a DP4 inhibitor, an aP2 inhibitor, an insulin sensitizer, a glucagon-like peptide-1 (GLP-1), insulin and/or a meglitinide.
- 20. The combination as defined in claim 19 wherein the antidiabetic agent is 1, 2, 3 or more of metformin, glyburide, glimepiride, glipyride, glipizide, chlorpropamide, gliclazide, acarbose, miglitol, pioglitazone, troglitazone, rosiglitazone, insulin, Gl-262570, isaglitazone, JTT-501, NN-2344, L895645, YM-440, R-119702, AJ9677, repaglinide, nateglinide, KAD1129, AR-HO39242, GW-409544, KRP297, AC2993, LY315902, P32/98 and/or NVP-DPP-728A.
- 21. The combination as defined in claim 18 wherein the compound is present in a weight ratio to the antidiabetic agent within the range from about 0.001 to about 100:1.
- 22. The combination as defined in claim 17 wherein the anti-obesity agent is a beta 3 adrenergic agonist, a lipase inhibitor, a serotonin (and dopamine) reuptake inhibitor, a thyroid receptor agonist, an aP2 inhibitor and/or an anorectic agent.
- 23. The combination as defined in claim 22 wherein the anti-obesity agent is orlistat, ATL-962, AJ9677, L750355, CP331648, sibutramine, topiramate, axokine, dexamphetamine, phentermine, phenylpropanolamine, and/or mazindol.
- 24. The combination as defined in claim 17 wherein the lipid lowering agent is an MTP inhibitor, an HMG CoA reductase inhibitor, a squalene synthetase inhibitor, a fibric acid derivative, an upregulator of LDL receptor activity, a lipoxygenase inhibitor, or an ACAT inhibitor.
- 25. The combination as defined in claim 24 wherein the lipid lowering agent is pravastatin, lovastatin, simvastatin, atorvastatin, cerivastatin, fluvastatin, itavastatin, visastatin, fenofibrate, gemfibrozil, clofibrate, avasimibe, TS-962, MD-700, cholestagel, niacin and/or LY295427.
- 26. The combination as defined in claim 24 wherein the compound is present in a weight ratio to the lipid-lowering agent within the range from about 0.001:1 to about 100:1.
- 27. The combination as defined in claim 17 wherein the antihypertensive agent is an ACE inhibitor, angiotensin II receptor antagonist, NEP/ACE inhibitor, calcium channel blocker and/or β-adrenergic blocker.
- 28. The combination as defined in claim 27 wherein the antihypertensive agent is an ACE inhibitor which is captopril, fosinopril, enalapril, lisinopril, quinapril, benazepril, fentiapril, ramipril or moexipril; an NEP/ACE inhibitor which is omapatrilat, [S[(R*, R*)]-hexahydro-6-[(2-mercapto-1-oxo-3-phenylpropyl)amino]-2,2-dimethyl-7-oxo-1H-azepine-1-acetic acid (gemopatrilat) or CGS 30440;
an angiotensin II receptor antagonist which is irbesartan, losartan or valsartan; amlodipine besylate, prazosin HCl, verapamil, nifedipine, nadolol, propranolol, carvedilol, or clonidine HCl.
- 29. The combination as defined in claim 17 wherein the platelet aggregation inhibitor is aspirin, clopidogrel, ticlopidine, dipyridamole or ifetroban.
- 30. A method for treating insulin resistance, hyperglycemia, hyperinsulinemia, or elevated blood levels of free fatty acids or glycerol, hyperlipidemia, obesity, Syndrome X, dysmetabolic syndrome, inflammation, diabetic complications, impaired glucose homeostasis, impaired glucose tolerance, hypertriglyceridemia or atherosclerosis which comprises administering to a mammalian species in need of treatment a therapeutically effective amount of a pharmaceutical combination as defined in claim 23.
- 31. A method for treating irritable bowel syndrome, Crohn's disease, gastric ulceritis or osteoporosis, or psoriasis, which comprises administering to a mammalian species in need of treatment a therapeutically effective amount of a compound as defined in claim 1.
- 32. The method as defined in claim 16 wherein the disease is a liposarcoma or an epithelial tumor.
- 33. The method as defined in claim 32 wherein the epithelial tumor is a tumor of the breast, prostate, colon, ovaries, stomach or lung.
- 34. The method as defined in claim 13 wherein the disease is ductal carcinoma in situ of the breast, lobular carcinoma in situ of the breast, fibroadenoma of the breast, or prostatic intraepithelial neoplasia.
Parent Case Info
[0001] This application claims priority from U.S. provisional appication No. 60/294,505 filed May 30, 2001 which is incorporated herein by reference.
Provisional Applications (1)
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Number |
Date |
Country |
|
60294505 |
May 2001 |
US |