Spiro benzazepines as vasopressin antagonists

Details Spiro benzazepines as vasopressin antagonists Spiro benzazepines as vasopressin antagonists

C - Chemistry, Metallurgy

07

D

C07D 487/10 (2006.01) A61K 31/55 (2006.01) A61P 9/00 (2006.01) A61P 9/12 (2006.01)

Patent

CA 2665851

The invention is directed to nonpeptide substituted spiroheterobenzazepine of Formula I, which are useful as vasopressin receptor antagonists for treating conditions associated with vasopressin receptor activity such as those involving increased vascular resistance and cardiac insufficiency, including congestive heart failure, hyponatremia, and hypertension. Pharmaceutical compositions comprising a compound of Formula I and methods of treating conditions such as hypertension, congestive heart failure, cardiac insufficiency, coronary vasospasm, cardiac ischemia, liver cirrhosis, hyponatremia, renal vasospasm, renal failure, diabetic nephropathy, cerebral edema, cerebral ischemia, stroke, thrombosis, or water retention are also disclosed.

L'invention concerne des spirohétérobenzazépines substituées non peptidiques représentées par la formule I, qui sont utiles en tant qu'antagonistes des récepteurs de vasopressine afin de traiter des états pathologiques associés à une activité des récepteurs de vasopressine, tels que ceux impliquant une résistance vasculaire et une insuffisance cardiaque accrues, notamment l'insuffisance cardiaque congestive, l'hyponatrémie et l'hypertension. L'invention concerne également des compositions pharmaceutiques comprenant un composé représenté par la formule I, ainsi que des méthodes de traitement d'états pathologiques tels que l'hypertension, l'insuffisance cardiaque congestive, l'insuffisance cardiaque, le vasospasme coronarien, l'ischémie cardiaque, la cirrhose hépatique, l'hyponatrémie, le vasospasme rénal, l'insuffisance rénale, la néphropathie diabétique, l'oedème cérébral, l'ischémie cérébrale, l'accident cérébrovasculaire, la thrombose, ou la rétention d'eau.

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