Claims
- 1. A method for treating renal dysfunction in a human comprising administering to said human a therapeutically effective amount of a compound of the formula: ##STR43## wherein A.sub.i is
- (I) R.sub.5i C(O)--(CH.sub.2).sub.w" -- wherein
- 1) w" is 0 to 4 and
- 2) R.sub.5i is ##STR44## wherein aa' is 1 to 5 and R.sub.6q and R.sub.7q are independently selected from
- 1) hydrogen,
- 2) hydroxy,
- 3) alkoxy,
- 4) thioalkoxy,
- 5) alkoxyalkoxy,
- 6) carboxy,
- 7) alkoxycarbonyl,
- 8) halogen,
- 9) amino,
- 10) C.sub.1 -C.sub.7 -alkylamino,
- 11) di-C.sub.1 -C.sub.7 -alkylamino,
- 12) C.sub.1 -C.sub.7 -alkylsulfonylamino,
- 13) phenylsulfonylamino, naphthylsulfonylamino, tetrahydronaphthylsulfonylamino or indanylsulfonylamino wherein the phenyl, naphthyl, tetrahydronaphthyl or indanyl group is unsubstituted or substituted with one, two or three substituents independently selected from C.sub.1 -C.sub.7 -loweralkyl, C.sub.1 -C.sub.7 -haloalkyl, alkoxy, thioalkoxy, amino, C.sub.1 -C.sub.7 -alkylamino, di-C.sub.1 -C.sub.7 -alkylamino, hydroxy, halo, mercapto, nitro, --CHO, --COOH and --C(O)NH.sub.2,
- 14) C.sub.1 -C.sub.7 -alkylaminocarbonylamino,
- 15) C.sub.1 -C.sub.7 -alkylaminocarbonyloxy,
- 16) alkoxycarbonyloxy, ##STR45## wherein dd' is 1 to 5, and 18) R.sub.8q --Z.sub.q -- wherein Z.sub.q is O, S or NH and R.sub.8q is a C.sub.1 to C.sub.6 straight or branched carbon chain substituted by a substituent selected from hydroxy, alkoxy, thioalkoxy, alkoxyalkoxy, amino, C.sub.1 -C.sub.7 -alkylamino, di-C.sub.1 -C.sub.7 -alkylamino, carboxy, alkoxycarbonyl, phenyl and substituted phenyl as defined above;
- R.sub.1i is
- (I) hydrogen,
- (II) C.sub.1 -C.sub.7 -loweralkyl,
- (III) C.sub.2 -C.sub.7 -loweralkenyl
- (IV) C.sub.3 -C.sub.7 -cycloalkyl-C.sub.1 -C.sub.7 -alkyl,
- (V) C.sub.3 -C.sub.7 -cycloalkenyl-C.sub.1 -C.sub.7 -alkyl or
- (VI) a C.sub.1 to C.sub.3 straight or branched carbon chain substituted by a substituent selected from
- 1) phenyl or
- 2) naphthyl wherein the phenyl or naphthyl ring is unsubstituted or substituted with one, two or three substituents independently selected from C.sub.1 -C.sub.7 -loweralkyl, C.sub.1 -C.sub.7 -haloalkyl, alkoxy, thioalkoxy, amino, C.sub.1 -C.sub.7 -alkylamino, di-C.sub.1 -C.sub.7 -alkylamino, hydroxy, halo, mercapto, nitro, --CHO, --COOH and --C(O)NH.sub.2 ;
- X.sub.i is
- (I) NH,
- (II) O,
- (III) S,
- (IV) S(O) or
- (V) S(O).sub.2 ;
- R.sub.3i is
- (I) C.sub.1 -C.sub.7 -loweralkyl,
- (II) C.sub.1 -C.sub.7 -haloalkyl,
- (III) C.sub.2 -C.sub.7 -loweralkenyl,
- (IV) C.sub.3 -C.sub.7 -cycloalkyl-C.sub.1 -C.sub.7 -alkyl,
- (V) C.sub.3 -C.sub.7 -cycloalkenyl-C.sub.1 -C.sub.7 -alkyl,
- (VI) alkoxy-C.sub.1 -C.sub.7 -alkyl,
- (VII) thioalkoxy-C.sub.1 -C.sub.7 -alkyl,
- (VIII) (alkoxyalkoxy)-C.sub.1 -C.sub.7 -alkyl,
- (IX)--CH.sub.2 OH,
- (X)--(CH.sub.2).sub.ee NHR.sub.12i
- wherein
- 1) ee is 1 to 3 and
- 2) R.sub.12i is
- i) hydrogen,
- ii) C.sub.1 -C.sub.7 -loweralkyl or
- iii) an N-protecting group selected from the group consisting of --CHO, acetyl, pivaloyl, t-butyloxycarbonyl, benzyloxycarbonyl or benzoyl; or
- (XI) benzyl;
- R.sub.4i is
- (I) C.sub.1 -C.sub.7 -loweralkyl,
- (II) C.sub.3 -C.sub.7 -cycloalkylmethyl or
- (III) benzyl; and
- D.sub.i is --CH.sub.2 CH(R.sub.22q)C(O)NHR.sub.23q wherein
- 1) R.sub.22q is
- i) C.sub.1 -C.sub.7 -loweralkyl or
- ii) C.sub.3 -C.sub.7 -cycloalkylalkyl and
- 2) R.sub.23q is ##STR46## wherein a) u' is 1 to 3,
- b) R.sub.24q is N and
- c) R.sub.25q is O;
- or a pharmaceutically acceptable salt thereof.
- 2. The method of claim 1 wherein the renal dysfunction is chronic renal failure or acute renal failure.
- 3. A method for treating renal dysfunction in a human comprising administering to said human a therapeutically effective amount of 2(S)-(1(S)-(4-(methoxymethoxy)piperidin-1-yl)carbonyl-2-phenyl)ethoxyhexanoic acid amide of 3-(4-morpholinyl)propyl-5(S)-amino-6-cyclohexyl-4(S)-hydroxy-2(S)-isopropylhexanamide; or a pharmaceutically acceptable salt thereof.
Parent Case Info
This is a division of U.S. patent application Ser. No. 836,560, filed Feb. 14, 1992, now U.S. Pat. No. 5,182,266, which is a continuation of U.S. patent application Ser. No. 632,595, filed Jan. 4, 1991, now abandoned, which is a continuation-in-part of U.S. patent application Ser. No. 472,937, filed Jan. 31, 1990, now abandoned.
Foreign Referenced Citations (2)
| Number |
Date |
Country |
| 264106 |
Apr 1984 |
EPX |
| WO9003971 |
Apr 1990 |
WOX |
Non-Patent Literature Citations (3)
| Entry |
| Neisius, et al., Am. J. Physiol. 251 H897-H902 (1986). |
| Siragy, H. M., et al., Am. J. Physiol. 255 F749-F754 (1988). |
| Verburg, et al., Kidney International 35 304 (9189). |
Divisions (1)
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Number |
Date |
Country |
| Parent |
836560 |
Feb 1992 |
|
Continuations (1)
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Number |
Date |
Country |
| Parent |
632595 |
Jan 1991 |
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Continuation in Parts (1)
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Number |
Date |
Country |
| Parent |
472937 |
Jan 1990 |
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