DE102005020229A1 - Use of indoline-phenylsulfonamide derivatives - Google Patents

Abstract

The present application relates to novel uses of substituted indoline-phenylsulfonamide derivatives for the prophylaxis and / or treatment of diseases.

Description

The The present application relates to new uses of substituted ones Indoline-phenylsulfonamide derivatives as potent PPAR-delta activating Compounds for the prophylaxis and / or treatment of diseases.

PPAR-delta activating compounds and their use are known and are described in WO 04/005253.

In WO 00/23407 describes PPAR modulators for the treatment of obesity, Atherosclerosis and / or diabetes revealed. In WO 93/15051 and EP 636 608 A1 discloses 1-benzenesulfonyl-1,3-dihydroindol-2-one derivatives as vasopressin and / or oxytocin antagonists for the treatment of various diseases described.

task The present invention has been to provide new uses in particular known compounds, called PPAR-delta modulators can be used.

in welcher
A für die Gruppe C-R¹¹ oder für N steht,
worin
R¹¹ Wasserstoff oder (C₁-C₄)-Alkyl bedeutet,
X für O, S oder CH₂ steht,
R¹ für (C₆-C₁₀)-Aryl oder für 5- bis 10-gliedriges Heteroaryl mit bis zu drei Heteroatomen aus der Reihe N, O und/oder S steht, die ihrerseits jeweils ein- bis dreifach, gleich oder verschieden, durch Substituenten ausgewählt aus der Gruppe Halogen, Cyano, Nitro, (C₁-C₆)-Alkyl, welches seinerseits durch Hydroxy substituiert sein kann, (C₁-C₆)-Alkoxy, Phenoxy, Benzyloxy, Trifluormethyl, Trifluormethoxy, (C₂-C₆)-Alkenyl, Phenyl, Benzyl, (C₁-C₆)-Alkylthio, (C₁-C₆)-Alkylsulfonyl, (C₁-C₆)-Alkanoyl, (C₁-C₆)-Alkoxycarbonyl, Carboxyl, Amino, (C₁-C₆)-Acylamino, Mono- und Di-(C₁-C₆)-alkylamino und 5- bis 6-gliedriges Heterocyclyl mit bis zu zwei Heteroatomen aus der Reihe N, O und/oder S substituiert sein können,
oder für eine Gruppe der Formel

steht,
R² und R³ gleich oder verschieden sind und unabhängig voneinander für Wasserstoff oder (C₁-C₆)-Alkyl stehen oder gemeinsam mit dem Kohlenstoffatom, an das sie gebunden sind, einen 3- bis 7-gliedrigen, spiro-verknüpften Cycloalkyl-Ring bilden,
R⁴ für Wasserstoff oder (C₁-C₆)-Alkyl steht,
R⁵ für Wasserstoff oder (C₁-C₆)-Alkyl steht,
R⁶ für Wasserstoff oder (C₁-C₆)-Alkyl steht,
R⁷ für Wasserstoff, (C₁-C₆)-Alkyl, (C₁-C₆)-Alkoxy oder Halogen steht,
R⁸ und R⁹ gleich oder verschieden sind und unabhängig voneinander für Wasserstoff oder (C₁-C₄)-Alkyl stehen,
und
R¹⁰ für Wasserstoff oder für eine hydrolysierbare Gruppe steht, die zur entsprechenden Carbonsäure abgebaut werden kann,
sowie deren pharmazeutisch verträgliche Salze, Solvate und Solvate der Salze,
sich besonders gut zur Behandlung und Vorsorge der koronaren Herzkrankheit, zur Myokardinfarkt-Prophylaxe sowie zur Behandlung von Restenose nach Koronarangioplastie oder Stenting eignen. Bevorzugt eignen sich die erfindungsgemäßen Verbindungen der Formel (I) zur Behandlung von Stroke, CNS Erkrankungen, Alzheimer, Osteoporose, der Arteriosklerose und Hypercholesterolämie, zur Erhöhung krankhaft niedriger HDL-Spiegel sowie zur Senkung erhöhter Triglycerid- und LDL-Spiegel. Darüber hinaus können sie zur Behandlung von Obesitas, Diabetes, zur Behandlung des metabolischen Syndroms (Glucose-Intoleranz, Hyperinsulinämie, Dyslipidämie und Bluthochdruck), der Leberfibrose und Krebs angewendet werden.It has now been found that PPAR-delta modulators, in particular compounds of the general formula (I)

in which
A is the group CR ¹¹ or N,
wherein
R ^{11 is} hydrogen or (C ₁ -C ₄ ) -alkyl,
X is O, S or CH ₂ ,
R ^{1 is} (C ₆ -C ₁₀ ) -aryl or 5- to 10-membered heteroaryl having up to three heteroatoms from the series N, O and / or S, which in turn are each one to three times, identical or different, by substituents selected from the group consisting of halogen, cyano, nitro, (C ₁ -C ₆ ) -alkyl, which in turn may be substituted by hydroxy, (C ₁ -C ₆ ) -alkoxy, phenoxy, benzyloxy, trifluoromethyl, trifluoromethoxy, (C ₂ -C ₆ ) alkenyl, phenyl, benzyl, (C ₁ -C ₆ ) -alkylthio, (C ₁ -C ₆ ) -alkylsulfonyl, (C ₁ -C ₆ ) -alkanoyl, (C ₁ -C ₆ ) - Alkoxycarbonyl, carboxyl, amino, (C ₁ -C ₆ ) acylamino, mono- and di- (C ₁ -C ₆ ) -alkylamino and 5- to 6-membered heterocyclyl having up to two heteroatoms from the series N, O and / or S can be substituted,
or for a group of the formula

stands,
R ² and R ^{3 are} identical or different and independently of one another are hydrogen or (C ₁ -C ₆ ) -alkyl or, together with the carbon atom to which they are bonded, a 3- to 7-membered, spiro-linked cycloalkyl- Form ring,
R ^{4 is} hydrogen or (C ₁ -C ₆ ) -alkyl,
R ^{5 is} hydrogen or (C ₁ -C ₆ ) -alkyl,
R ^{6 is} hydrogen or (C ₁ -C ₆ ) -alkyl,
R ^{7 is} hydrogen, (C ₁ -C ₆ ) -alkyl, (C ₁ -C ₆ ) -alkoxy or halogen,
R ⁸ and R ^{9 are} identical or different and independently of one another represent hydrogen or (C ₁ -C ₄ ) -alkyl,
and
R ^{10 is} hydrogen or a hydrolyzable group which can be degraded to the corresponding carboxylic acid,
and their pharmaceutically acceptable salts, solvates and solvates of the salts,
Particularly suitable for the treatment and prevention of coronary heart disease, for myocardial infarction prophylaxis and for the treatment of restenosis after coronary angioplasty or stenting. The compounds of the formula (I) according to the invention are preferably suitable for the treatment of stroke, CNS disorders, Alzheimer's disease, osteoporosis, arteriosclerosis and hypercholesterolemia, for increasing pathologically low HDL levels and for lowering elevated triglyceride and LDL levels. In addition, they can be used to treat obesity, diabetes, metabolic syndrome (glucose intolerance, hyperinsulinemia, dyslipidemia and high blood pressure), liver fibrosis and cancer.

Furthermore can the compounds of the formula (I) are used for the treatment from elevated Concentrations of postprandial plasma triglycerides, combined hyperlipidemia, dependent insulin Diabetes, non-insulin-dependent Diabetes, hyperinsulinemia, Insulin resistance and diabetic sequelae such as retinopathy, nephropathy and neuropathy, especially for the treatment of obesity (Mammals) Animals, and as medicines or for the manufacture of drug formulations can be used to treat these disorders.

It was also found that more independent Risk factors for cardiovascular Diseases, such as ischemia, Myocardial infarction, angina, heart failure, increased levels fibrinogen and low density LDL as well as elevated levels of plasminogen activator inhibitor 1 (PAI-1), by the PPAR delta Modulators, in particular compounds of general formula (I), can be treated.

Furthermore can the PPAR delta modulators, in particular compounds of the general formula (I), also for the treatment and / or prevention of micro- and macrovascular damage (Vasculitis), reperfusion damage, arterial as well as venous Thrombosis, edema, Cancer (skin cancer, liposarcoma, carcinoma of the gastrointestinal tract, the liver, pancreas, Lung, kidney, ureter, prostate and genital tract), from neurodegenerative disorders (Stroke, Parkinson's disease, Dementia, epilepsy, depression, multiple sclerosis), inflammatory diseases, Immune diseases (Crohn's disease, ulcerative colitis, lupus erythematosus, rheumatoid arthritis, asthma), kidney disease (glomerulonephritis), Thyroid disease, Diseases of the pancreas (Pancreatitis), skin diseases (psoriasis, acne, eczema, neurodermatitis, Dermatitis, keratitis, scarring, wart formation, chilblains), viral diseases (HPV, HCMV, HIV, HAV, HBV, HCV), cachexia, Gout, incontinence and wound healing and angiogenesis become.

When additional therapy fields for the PPAR delta modulators, in particular compounds of the general Formula (I) are as well the edema treatment (fluid retention), as well as the improvement of endurance performance, too call.

In the context of the invention, in the definition of R ^10, a hydrolyzable group means a group which, in particular in the body, leads to a conversion of the -C (O) OR ^{10 group} into the corresponding carboxylic acid (R ¹⁰ = hydrogen). Such groups are by way of example and by way of preference: benzyl, (C ₁ -C ₆ ) -alkyl or (C ₃ -C ₈ ) -cycloalkyl, each optionally mono- or polysubstituted, identically or differently, by halogen, hydroxy, amino, (C ₁ -C ₆ ) -alkoxy, carboxyl, (C ₁ -C ₆ ) -alkoxycarbonyl, (C ₁ -C ₆ ) -alkoxycarbonylamino or (C ₁ -C ₆ ) -alkanoyloxy, or in particular (C ₁ -C ₄ ) -Alkyl, optionally mono- or polysubstituted, identically or differently, by halogen, hydroxy, amino, (C ₁ -C ₄ ) -alkoxy, carboxyl, (C ₁ -C ₄ ) -alkoxycarbonyl, (C ₁ -C ₄ ) Alkoxycarbonylamino or (C ₁ -C ₄ ) alkanoyloxy.

(C ₁ -C ₆ ) -Alkyl and (C ₁ -C ₄ ) -alkyl are in the context of the invention a straight-chain or branched alkyl radical having 1 to 6 or 1 to 4 carbon atoms. Preferred is a straight-chain or branched alkyl radical having 1 to 4 carbon atoms. By way of example and by way of preference: methyl, ethyl, n-propyl, isopropyl and t-butyl.

In the context of the invention, (C ₂ -C ₆ ) -alkenyl is a straight-chain or branched alkenyl radical having 2 to 6 carbon atoms. Preference is given to a straight-chain or branched alkenyl radical having 2 to 4 carbon atoms. By way of example and by way of preference: vinyl, allyl, isopropenyl and n-but-2-en-1-yl.

(C ₃ -C ₈ ) -cycloalkyl in the context of the invention is a monocyclic cycloalkyl group having 3 to 8 carbon atoms. By way of example and by way of preference: cyclopropyl, cyclobutyl, cyclopentyl and Cyclohexyl.

(C ₆ -C ₁₀ ) -Aryl is in the context of the invention an aromatic radical having preferably 6 to 10 carbon atoms. Preferred aryl radicals are phenyl and naphthyl.

In the context of the invention, (C ₁ -C ₆ ) -alkoxy and (C ₁ -C ₄ ) -alkoxy represent a straight-chain or branched alkoxy radical having 1 to 6 or 1 to 4 carbon atoms. Preference is given to a straight-chain or branched alkoxy radical having 1 to 4 carbon atoms. By way of example and by way of preference: methoxy, ethoxy, n-propoxy, isopropoxy and t-butoxy.

(C ₁ -C ₆ ) -Alkoxycarbonyl and (C ₁ -C ₄ ) -alkoxycarbonyl are in the context of the invention a straight-chain or branched alkoxy radical having 1 to 6 or 1 to 4 carbon atoms which is linked via a carbonyl group. Preference is given to a straight-chain or branched alkoxycarbonyl radical having 1 to 4 carbon atoms. By way of example and by way of preference: methoxycarbonyl, ethoxycarbonyl, n-propoxycarbonyl, isopropoxycarbonyl and t-butoxycarbonyl.

In the context of the invention, (C ₁ -C ₆ ) -alkoxycarbonylamino and (C ₁ -C ₄ ) -alkoxycarbonylamino represent an amino group having a straight-chain or branched alkoxycarbonyl substituent which has 1 to 6 or 1 to 4 carbon atoms in the alkoxy radical and linked via the carbonyl group. Preference is given to an alkoxycarbonylamino radical having 1 to 4 carbon atoms. By way of example and preferably mention may be made of: methoxycarbonylamino, ethoxycarbonylamino, n-propoxycarbonylamino and t-butoxycarbonylamino.

(C ₁ -C ₆ ) -Alkanoyl in the context of the invention represents a straight-chain or branched alkyl radical having 1 to 6 carbon atoms which carries a doubly bonded oxygen atom in the 1-position and is linked via the 1-position. Preference is given to a straight-chain or branched alkanoyl radical having 1 to 4 carbon atoms. Examples which may be mentioned are: formyl, acetyl, propionyl, n-butyryl, i-butyryl, pivaloyl and n-hexanoyl.

In the context of the invention, (C ₁ -C ₆ ) -alkanoyloxy and (C ₁ -C ₄ ) -alkanoyloxy are a straight-chain or branched alkyl radical having 1 to 6 or 1 to 4 carbon atoms which is in the 1-position carries double-bonded oxygen atom and is linked in the 1-position via another oxygen atom. Preferred is an alkanoyloxy radical having 1 to 4 carbon atoms. Examples which may be mentioned by way of example include: acetoxy, propionoxy, n-butyroxy, i-butyroxy, pivaloyloxy, n-hexanoyloxy.

Mono- (C ₁ -C ₆ ) -alkylamino and mono (C ₁ -C ₄ ) -alkylamino in the context of the invention are an amino group having a straight-chain or branched alkyl substituent having 1 to 6 or 1 to 4 carbon atoms having. Preference is given to a straight-chain or branched monoalkylamino radical having 1 to 4 carbon atoms. By way of example and preferably mention may be made of: methylamino, ethylamino, n-propylamino, isopropylamino and t-butylamino.

Di (C ₁ -C ₆ ) -alkylamino and di (C ₁ -C ₄ ) -alkylamino are in the context of the invention an amino group having two identical or different straight-chain or branched alkyl substituents, each of which is 1 to 6 or Have 1 to 4 carbon atoms. Preference is given to straight-chain or branched dialkylamino radicals each having 1 to 4 carbon atoms. Examples which may be mentioned are: N, N-dimethylamino, N, N-diethylamino, N-ethyl-N-methylamino, N-methyl-Nn-propylamino, N-isopropyl-N-n-propylamino, Nt-butyl-N-methylamino, N-ethyl-Nn-pentylamino and Nn-hexyl-N-methylamino.

(C ₁ -C ₆ ) -acylamino in the context of the invention represents an amino group having a straight-chain or branched alkanoyl substituent which has 1 to 6 carbon atoms and is linked via the carbonyl group. Preference is given to an acylamino radical having 1 to 2 carbon atoms. By way of example and by way of preference: formamido, acetamido, propionamido, n-butyramido and pivaloylamido.

(C ₁ -C ₆ ) -alkylthio in the context of the invention is a straight-chain or branched alkylthio radical having 1 to 6 carbon atoms. Preference is given to a straight-chain or branched alkylthio radical having 1 to 4 carbon atoms. Examples which may be mentioned are methylthio, ethylthio, n-propylthio, isopropylthio, t-butylthio, n-pentylthio and n-hexylthio.

(C ₁ -C ₆ ) -alkylsulfonyl in the context of the invention is a straight-chain or branched alkylsulfonyl radical having 1 to 6 carbon atoms. Preferred is a straight-chain or branched alkylsulfonyl radical having 1 to 4 carbon atoms. By way of example and by way of preference: methylsulfonyl, ethyl sulfonyl, n-propylsulfonyl, isopropylsulfonyl, t-butylsulfonyl, n -pentylsulfonyl and n-hexylsulfonyl.

5 to 10-membered or 5- to 6-membered heteroaryl with up to 3 or up to 2 identical or different heteroatoms from the Row N, O and / or S is in the context of the invention for a mono- or optionally bicyclic aromatic heterocycle (Heteroaromatic), the over a ring carbon atom or optionally via a ring nitrogen atom linked to the heteroaromatic is. Examples include: furanyl, pyrrolyl, thienyl, pyrazolyl, Imidazolyl, thiazolyl, oxazolyl, isoxazolyl, isothiazolyl, pyridyl, Pyrimidinyl, pyridazinyl, pyrazinyl, benzofuranyl, benzothienyl, Benzimidazolyl, benzoxazolyl, indolyl, indazolyl, quinolinyl, isoquinolinyl, Naphthyridinyl, quinazolinyl, quinoxalinyl. Preferred are 5- to 6-membered heteroaryl radicals containing up to two nitrogen atoms, such as for example imidazolyl, pyridyl, pyrimidinyl, pyridazinyl, pyrazinyl.

5 to 6-membered heterocyclyl with up to 2 heteroatoms from the Row N, O and / or S is in the context of the invention for a saturated Heterocycle that over a ring carbon atom or optionally via a ring nitrogen atom linked to the heterocycle is. By way of example and by way of preference: tetrahydrofuryl, Pyrrolidinyl, piperidinyl, piperazinyl, morpholinyl and thiomorpholinyl.

halogen includes in the context of the invention, fluorine, chlorine, bromine and iodine. Prefers are chlorine or fluorine.

The used according to the invention Connections can dependent on from the substitution pattern in stereoisomeric forms, either like image and mirror image (enantiomers), or that do not like Image and mirror image (diastereomers) behavior, exist. The The invention relates to both the enantiomers or diastereomers also their respective mixtures. The raceme forms can be as well as the diastereomers in a known manner in the stereoisomerically uniform Separate ingredients.

Farther can certain compounds exist in tautomeric forms. This is known to those skilled in the art, and such compounds are also encompassed by the scope of the invention.

The used according to the invention Connections can also present as salts. Within the scope of the invention are physiological harmless salts are preferred.

physiological harmless salts can Salts of the invention used Compounds with inorganic or organic acids. Preference is given to salts with inorganic acids such as hydrochloric acid, hydrobromic acid, phosphoric acid or Sulfuric acid, or salts with organic carboxylic or sulfonic acids such as acetic acid, propionic acid, maleic acid, fumaric acid, malic acid, citric acid, tartaric acid, lactic acid, benzoic acid, or methane, ethanesulfonic, benzenesulfonic, toluenesulphonic or naphthalenedisulfonic acid.

physiological harmless salts can also salts of the invention used Compounds with bases, such as metal or ammonium salts. Preferred examples are alkali metal salts (e.g., sodium or Potassium salts), alkaline earth salts (e.g., magnesium or calcium salts), and ammonium salts derived from ammonia or organic Amines, such as ethylamine, di- or triethylamine, ethyldiisopropylamine, Monoethanolamine, di- or triethanolamine, dicyclohexylamine, dimethylaminoethanol, Dibenzylamine, N-methylmorpholine, Dihydroabietylamine, 1-ephenamine, methylpiperidine, arginine, lysine, Ethylenediamine or 2-phenylethylamine.

The used according to the invention Connections can also in the form of their solvates, especially in the form of their hydrates.

Preference is given to compounds of the general formula (I) in which
A is the group CR ¹¹ or N,
wherein
R ^{11 is} hydrogen or methyl,
X stands for O or S,
R ^{1 is} phenyl or 5- to 6-membered heteroaryl having up to two heteroatoms from the series N, O and / or S, which in turn are each one to two times, identically or differently, by substituents selected from the group fluorine, Chlorine, cyano, (C ₁ -C ₄ ) -alkyl, (C ₁ -C ₄ ) -alkoxy, phenoxy, benzyloxy, trifluoromethyl, trifluoromethoxy, vinyl, phenyl, benzyl, methylthio, methylsulfonyl, acetyl, propionyl, (C ₁ - C ₄ ) alkoxycarbonyl, amino, acetylamino, mono- and di- (C ₁ -C ₄ ) -alkylamino may be substituted,
R ² and R ^{3 are} identical or different and independently of one another are hydrogen or (C ₁ -C ₄ ) -alkyl or, together with the carbon atom to which they are bonded, a 5- to 6-membered, spiro-linked cycloalkyl Form ring,
R ^{4 is} hydrogen or methyl,
R ^{5 is} hydrogen, methyl or ethyl,
R ^{6 is} hydrogen or methyl,
R ^{7 is} hydrogen, (C ₁ -C ₄ ) -alkyl, (C ₁ -C ₄ ) -alkoxy, fluorine or chlorine,
R ⁸ and R ^{9 are the} same or different and independently of one another represent hydrogen or methyl,
and
R ^{10 is} hydrogen.

Particular preference is given to compounds of the general formula (I) in which
A is CH or N,
X stands for O,
R ^{1 is} phenyl or pyridyl, which in turn each substituted one to two times, identically or differently, by substituents selected from the group consisting of fluorine, chlorine, methyl, tert-butyl, methoxy, trifluoromethyl, trifluoromethoxy, methylthio, amino and dimethylamino could be,
R ^{2 is} hydrogen or methyl,
R ^{3 is} methyl, isopropyl or tert-butyl,
or
R ² and R ³ together with the carbon atom to which they are attached form a spiro-linked cyclohexane ring,
R ^{4 is} hydrogen or methyl,
R ^{5 is} hydrogen, methyl or ethyl,
R ^{6 is} hydrogen or methyl,
R ^{7 is} methyl,
R ⁸ and R ^{9 are} each hydrogen,
and
R ^{10 is} hydrogen.

The in the respective combinations or preferred combinations of Remains in the specified remainder definitions are independent of the respective indicated combinations of the radicals optionally also Remaining definitions of other combinations replaced.

in welcher
R² für Wasserstoff steht,
R³ für Methyl, Isopropyl oder tert.-Butyl steht,
oder
R² und R³ beide für Methyl stehen oder gemeinsam mit dem Kohlenstoffatom, an das sie gebunden sind, einen spiro-verknüpften Cyclohexan-Ring bilden,
und
A, R¹, R⁴, R⁵ und R⁶ jeweils die oben aufgeführte Bedeutung haben.Of particular importance are compounds of the formula (IA)

in which
R ^{2 is} hydrogen,
R ^{3 is} methyl, isopropyl or tert-butyl,
or
R ² and R ^{3 are} both methyl or together with the carbon atom to which they are attached form a spiro-linked cyclohexane ring,
and
A, R ¹ , R ⁴ , R ⁵ and R ^{6 are} each as defined above.

Beispiel 2 [2-Methyl-4-({2,3,7-trimethyl-5-[4-(trifluormethyl)phenyl]-2,3-dihydro-1H-indol-1-yl}sulfonyl)phenoxy]essigsäure

Beispiel 3 [4-({3,7-Dimethyl-5-[4-(trifluormethyl)phenyl]-2,3-dihydro-1H-indol-1-yl}sulfonyl)-2-methylphenoxy]essigsäure

Beispiel 4 [4-({3-Isopropyl-5-[4-(trifluormethyl)phenyl]-2,3-dihydro-1H-pyrrolo[3,2-b]pyridin-1-yl}sulfonyl)-2-methylphenoxy]essigsäure

Beispiel 5 (4-{[5-(4-Trifluormethylphenyl)-2,3-dihydro-3-spiro-1'-cyclohexyl-1H-indol-1-yl]sulfonyl}-2-methylphenoxy)essigsäure

Beispiel 6 (4-{[5-(4-Methoxyphenyl)-2,3-dihydro-1H-indol-1-yl]sulfonyl}-2-methylphenoxy)-essigsäure

Beispiel 7 (4-{[5-(4-Trifluormethylphenyl)-3,3-dimethyl-2,3-dihydro-1H-indol-1-yl]sulfonyl}-2-methylphenoxy)essigsäure

sowie die in der folgenden Tabelle aufgeführten Ausführungsbeispiele 8–96:

Very particular preference is given to the compounds listed below: Example 1 [4 - ({3-Isopropyl-7-methyl-5- [4- (trifluoromethyl) phenyl] -2,3-dihydro-1H-indol-1-yl} sulfonyl) -2-methylphenoxy] acetic acid

Example 2 [2-Methyl-4 - ({2,3,7-trimethyl-5- [4- (trifluoromethyl) phenyl] -2,3-dihydro-1H-indol-1-yl} sulfonyl) -phenoxy] -acetic acid

Example 3 [4 - ({3,7-Dimethyl-5- [4- (trifluoromethyl) phenyl] -2,3-dihydro-1H-indol-1-yl} sulfonyl) -2-methylphenoxy] acetic acid

Example 4 [4 - ({3-Isopropyl-5- [4- (trifluoromethyl) phenyl] -2,3-dihydro-1H-pyrrolo [3,2-b] pyridin-1-yl} sulfonyl) -2-methylphenoxy ]acetic acid

Example 5 (4 - {[5- (4-trifluoromethylphenyl) -2,3-dihydro-3-spiro-1'-cyclohexyl-1H-indol-1-yl] sulfonyl} -2-methylphenoxy) -acetic acid

Example 6 (4 - {[5- (4-Methoxyphenyl) -2,3-dihydro-1H-indol-1-yl] sulfonyl} -2-methylphenoxy) -acetic acid

Example 7 (4 - {[5- (4-trifluoromethylphenyl) -3,3-dimethyl-2,3-dihydro-1H-indol-1-yl] sulfonyl} -2-methylphenoxy) -acetic acid

as well as the exemplary embodiments 8-96 listed in the following table:

The Compounds of the general formula (I), (I-A) and the compounds listed individually are known and according to the method described in WO-04/005253 produced.

Especially the compounds of formula (I) show a surprising and valuable pharmacological spectrum of action and can therefore be in the indications used in humans and animals.

links activate the PPAR delta, in particular the compounds of the formula (I), are particularly useful for the treatment of coronary heart disease, for myocardial infarction prophylaxis and for the treatment of restenosis after coronary angioplasty or stenting. Preferably suitable the compounds of the invention of formula (I) for the treatment of stroke, CNS disorders, Alzheimer's, Osteoporosis, arteriosclerosis and hypercholesterolemia, to increase pathologically low HDL levels and to reduce elevated triglyceride levels. and LDL levels. About that can out they are used to treat obesity, diabetes, to treat the metabolic Syndrome (glucose intolerance, hyperinsulinemia, dyslipidaemia and hypertension), liver fibrosis and cancer.

In addition, the compounds of formula (I) can be used to treat elevated levels of postprandial plasma triglycerides, combined hyperlipidemias, insulin-dependent diabetes, non-insulin-dependent diabetes, hyperinsulinemia, insulin resistance, and diabetic late effects conditions such as retinopathy, nephropathy and neuropathy. Particularly noteworthy here is the treatment of obesity in (mammals) animals.

Further independent Risk factors for cardiovascular Diseases that treat themselves by the compounds mentioned are ischemia, Myocardial infarction, angina, heart failure, increased levels fibrinogen and low density LDL. as well as increased concentrations of plasminogen activator inhibitor 1 (PAI-1).

Furthermore can the compounds mentioned also for the treatment and / or prevention of microvascular and macrovascular damage (Vasculitis), reperfusion damage, arterial and venous thrombosis, edema, cancer (Skin cancer, liposarcoma, carcinomas of the gastrointestinal tract, liver, Pancreas, Lung, kidney, ureter, prostate and genital tract), from neurodegenerative disorders (Stroke, Parkinson's Disease, dementia, epilepsy, depression, multiple sclerosis), of inflammatory diseases, Immune diseases (Crohn's disease, ulcerative colitis, lupus erythematosus, rheumatoid arthritis, asthma), kidney disease (glomerulonephritis), Thyroid disorders, diseases the pancreas (Pancreatitis), skin diseases (psoriasis, acne, eczema, neurodermatitis, Dermatitis, keratitis, scarring, cartilage formation, chilblains), viral diseases (HPV, HCMV, HIV, HAV, HBV, HCV), cachexia, Gout, incontinence and wound healing and angiogenesis become. Further therapeutic fields for the compounds mentioned are the edema treatment (fluid retention) as well as improving endurance performance.

The mentioned compounds alone or as needed in combination with other active ingredients preferably from the group of chemokine receptor antagonists, P38 kinase inhibitors, NPY agonists, orexin agonists, PAF-AH inhibitors, CCK-1 receptor Antagonists, leptin receptor agonists, LTB4 receptor antagonists, Analgesics, anti-depressants and other psychotropic drugs warden.

The mentioned compounds are preferably each with an antidiabetic agent or several antidiabetic agents included in the Red List 2002 / II, Chapter 12 are mentioned, and by way of example and preferably those of Group of glucosidase inhibitors, the CCK-1 receptor agonist and Leptin receptor agonists combined.

at a preferred embodiment The invention relates to the compounds mentioned in combination with a glucosidase inhibitor, such as by way of example and preferably miglitol or acarbose.

Under antithrombotic agents are preferably compounds understood from the group of anticoagulants.

at a preferred embodiment The invention relates to the compounds mentioned in combination with a factor Xa inhibitor, such as by way of example and preferably BAY 59-7939, DU-176b, fidexaban, razaxaban, fondaparinux, idraparinux, PMD-3112, YM-150, KFA-1982, EMD-503982, MCM-17, MLN-1021, SSR-126512 or SSR-128428.

Under the blood pressure lowering agents are exemplified and preferably Compounds from the group alpha receptors blockers, beta receptors Blockers, phosphodiesterase inhibitors, sGC stimulators / activators, amplifiers the cGMP level as well as the aldosterone antagonist / mineralocorticoid Receptor antagonists, understood.

at a preferred embodiment The invention relates to the compounds mentioned in combination with an antagonist of alpha 1 receptors as exemplified and preferably Prazosin, administered.

at a preferred embodiment The invention relates to the compounds mentioned in combination with a beta-receptor blocker, as exemplified and preferably Timolol, pindolol, alprenolol, oxprenolol, penbutolol, bupranolol, Metipranolol, nadolol, mepindolol, carazalol, sotalol, metoprolol, Betaxolol, Celiprolol, Bisoprolol, Carteolol, Esmolol, Labetalol, Carvedilol, adaprolol, landiolol, nebivolol, epanolol or bucindolol, administered.

Among the lipid metabolizing agents are exemplified and preferably compounds from the group of RXR modulators, FXR modulators, LXR modulators, ATP citrate lyase inhibitors, Leptin receptor agonists, cannabinoid receptor 1 antagonists, bombesin receptor agonists, bile acid reabsorption inhibitors, agonists of the niacin receptor and histamine receptor agonists and radical scavengers understood.

at a preferred embodiment The invention relates to the compounds mentioned in combination with an ACAT inhibitor, such as by way of example and preferably avasimibe, Melinamide, pactimibe, eflucimibe or SMP-797.

at a preferred embodiment The invention relates to the compounds mentioned in combination with an MTP inhibitor, such as by way of example and preferably implitapide, BMS-201038, R-103757 or JTT-130.

In a preferred embodiment of the invention, said compounds in combination with a PPAR alpha agonists such. As the fibrates fenofibrate, clofibrate, bezafibrate, ciprofibrate, gemfibrozil or as example and preferably GW 590735 . GW 641597 , DRF-10945 administered.

at a preferred embodiment The invention relates to the compounds mentioned in combination with a CETP inhibitor, such as by way of example and preferably torcetrapib (CP-529 414), JJT-705 or CETP vaccine (Avant).

at a preferred embodiment The invention relates to the compounds mentioned in combination with an antagonist of the niacin receptor, as exemplified and preferably Niacin, Acipimox, Acifran or Radecol.

at a preferred embodiment The invention relates to the compounds mentioned in combination with a bile acid reabsorption inhibitor, as exemplified and preferably ASBT (= IBAT) inhibitors such as e.g. AZD-7806, S-8921, AK-105, BARI-1741, SC-435 or SC-635.

at a preferred embodiment The invention relates to the compounds mentioned in combination with an antioxidant / radical scavenger, as exemplified and preferably probucol, AGI-1067, BO-653 or AEOL-10150 administered.

at a preferred embodiment The invention relates to the compounds mentioned in combination with a cannabinoid receptor 1 antagonist as exemplified and preferably rimonabant or SR-147778.

For the application The compounds mentioned come all the usual forms of application into consideration, i. oral, parenteral, inhalative, nasal, sublingual, rectally, externally such as. transdermally, or locally as e.g. for implants or stents. In parenteral administration, in particular intravenous, intramuscular or subcutaneous administration, for example as a subcutaneous depot. Preference is given to oral or parenteral administration. Most notably preferred is oral administration.

in this connection can the active ingredients administered alone or in the form of preparations become. For the oral administration are suitable as preparations u.a. tablets, Capsules, pellets, dragees, pills, granules, solid and liquid aerosols, Syrups, emulsions, suspensions and solutions. Here, the active ingredient needs are present in such an amount that a therapeutic effect is achieved. In general, the active ingredient in a concentration from 0.1 to 100 wt .-%, in particular 0.5 to 90 wt .-%, preferably 5 to 80 wt .-%, are present. In particular, the concentration should of the active ingredient is 0.5 to 90% by weight, i. the active ingredient should in amounts that are sufficient, the dosage range indicated to reach.

To that purpose the active ingredients in a conventional manner in the usual Preparations are transferred. This is done using inert, non-toxic, pharmaceutical suitable carriers, Auxiliaries, solvents, Vehicles, emulsifiers and / or dispersants.

When Excipients are listed, for example: water, non-toxic organic solvents such as. Paraffins, vegetable oils (e.g., sesame oil), Alcohols (e.g., ethanol, glycerol), glycols (e.g., polyethylene glycol), solid carriers like natural or ground synthetic minerals (e.g., talc or silicates), sugars (e.g. Lactose), emulsifying agents, dispersing agents (e.g., polyvinylpyrrolidone) and lubricants (e.g., magnesium sulfate).

in the Case of oral administration can Tablets of course also additives such as sodium citrate along with additives such as starch, gelatin and the like. aqueous Preparations for the oral application can continue to be mixed with flavor enhancers or dyes.

at oral administration are preferably dosages of 0.001 to 5 mg / kg, preferably applied from 0.005 to 3 mg / kg body weight per 24 hours.

The following embodiments explain The invention. The invention is not limited to the examples.

Claims (9)

Use of PPAR-delta modulators for production of drug formulations for the treatment and prevention of increased Concentrations of postprandial plasma triglycerides, combined hyperlipidemia, insulin-dependent diabetes, Non-insulin-dependent diabetes, Gestational diabetes, hyperinsulinemia, Insulin resistance, obesity (obesity) and diabetic sequelae such as retinopathy, nephropathy and neuropathy. Use of PPAR-delta modulators for production of drug formulations for the treatment and prevention of cardiovascular Diseases, from the group ischemia, myocardial infarction, angina pectoris, heart failure, myocardial insufficiency, restenosis, increased levels fibrinogen and low density LDL as well as elevated levels of plasminogen activator inhibitor 1 (PAI-1. Use of PPAR-delta modulators for production of drug formulations for the treatment and prevention of micro- and macrovascular damage (Vasculitis), reperfusion damage, arterial as well as venous Thrombosis, edema, Cancer (skin cancer, liposarcoma, carcinoma of the gastrointestinal tract, the liver, pancreas, Lung, kidney, ureter, prostate and genital tract), from neurodegenerative disorders (Stroke, Parkinson's Disease, dementia, epilepsy, depression, multiple sclerosis), of inflammatory diseases, Immune diseases (Crohn's disease, ulcerative colitis, lupus erythematosus, rheumatoid arthritis, asthma), kidney disease (glomerulonephritis), Thyroid disease, Diseases of the pancreas (Pancreatitis), skin diseases (psoriasis, acne, eczema, neurodermatitis, Dermatitis, keratitis, scarring, wart formation, chilblains), viral diseases (HPV, HCMV, HIV, HAV, HBV, HCV), cachexia, Gout, incontinence, wound healing and angiogenesis. Use of PPAR-delta modulators for production of drug formulations for edema treatment (fluid retention) as well as to improve endurance performance. Use according to one of claims 1 to 4, characterized in that as PPAR delta modulators compounds of the formula (I)

in which A is the group CR ¹¹ or N, in which R ^{11 is} hydrogen or (C ₁ -C ₄ ) -alkyl, X is O, S or CH ₂ , R ^{1 is} (C ₆ -C ₁₀ ) - Aryl or 5- to 10-membered heteroaryl having up to three heteroatoms from the series N, O and / or S, which in turn each one to three times, same or different, by substituents selected from the group halogen, cyano, nitro , (C ₁ -C ₆ ) -alkyl, which in turn may be substituted by hydroxy, (C ₁ -C ₆ ) -alkoxy, phenoxy, benzyloxy, trifluoromethyl, trifluoromethoxy, (C ₂ -C ₆ ) -alkenyl, phenyl, benzyl , (C ₁ -C ₆ ) -alkylthio, (C ₁ -C ₆ ) -alkylsulfonyl, (C ₁ -C ₆ ) -alkanoyl, (C ₁ -C ₆ ) -alkoxycarbonyl, carboxyl, amino, (C ₁ -C ₆ ) -Acylamino, mono- and di- (C ₁ -C ₆ ) -alkylamino and 5- to 6-membered heterocyclyl with up to two Het ro atoms from the series N, O and / or S may be substituted, or for a group of the formula

R ² and R ^{3 are} identical or different and independently of one another represent hydrogen or (C ₁ -C ₆ ) -alkyl or, together with the carbon atom to which they are bonded, a 3- to 7-membered, spiro-linked Form cycloalkyl ring, R ^{4 is} hydrogen or (C ₁ -C ₆ ) -alkyl, R ^{5 is} hydrogen or (C ₁ -C ₆ ) -alkyl, R ^{6 is} hydrogen or (C ₁ -C ₆ ) - R ^{7 is} hydrogen, (C ₁ -C ₆ ) -alkyl, (C ₁ -C ₆ ) -alkoxy or halogen, R ⁸ and R ^{9 are} identical or different and independently of one another represent hydrogen or (C ₁ -) C ₄ ) alkyl, and R ^{10 is} hydrogen or a hydrolyzable group which can be degraded to the corresponding carboxylic acid, and their pharmaceutically acceptable salts, solvates and solvates of the salts are used. Use according to claim 5, characterized in that compounds of the formula (IA)

in which R ^{2 is} hydrogen, R ^{3 is} methyl, isopropyl or tert-butyl, or R ² and R ^{3 are} both methyl or, together with the carbon atom to which they are attached, a spiro-linked cyclohexane ring and A, R ¹ , R ⁴ , R ⁵ and R ⁶ each have the meanings given in claim 5. Medicaments for the treatment of in claims 1 to 4 diseases, containing at least one PPAR delta Modulator and inert, non-toxic, pharmaceutically acceptable carriers, Auxiliaries, solvents, Vehicles, emulsifiers and / or dispersants. Medicaments for the treatment of in claims 1 to 4 diseases, containing at least one PPAR delta Modulator and additionally at least one other active ingredient. Process for the prevention and treatment of diseases as in the claims 1 to 4, characterized in that PPAR-delta Modulators such as the compounds of the formula (I) or (I-A), such as defined in claim 5 and 6, acting on living things.