TW201105327A - Modulators of metabolism and the treatment of disorders related thereto - Google Patents

Modulators of metabolism and the treatment of disorders related thereto Download PDF

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TW201105327A
TW201105327A TW099122538A TW99122538A TW201105327A TW 201105327 A TW201105327 A TW 201105327A TW 099122538 A TW099122538 A TW 099122538A TW 99122538 A TW99122538 A TW 99122538A TW 201105327 A TW201105327 A TW 201105327A
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amino
compound
disease
diabetes
methyl
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Robert M Jones
Juerg Lehmann
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Arena Pharm Inc
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    • CCHEMISTRY; METALLURGY
    • C07ORGANIC CHEMISTRY
    • C07DHETEROCYCLIC COMPOUNDS
    • C07D403/00Heterocyclic compounds containing two or more hetero rings, having nitrogen atoms as the only ring hetero atoms, not provided for by group C07D401/00
    • C07D403/14Heterocyclic compounds containing two or more hetero rings, having nitrogen atoms as the only ring hetero atoms, not provided for by group C07D401/00 containing three or more hetero rings
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P3/00Drugs for disorders of the metabolism
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P3/00Drugs for disorders of the metabolism
    • A61P3/04Anorexiants; Antiobesity agents
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P3/00Drugs for disorders of the metabolism
    • A61P3/08Drugs for disorders of the metabolism for glucose homeostasis
    • A61P3/10Drugs for disorders of the metabolism for glucose homeostasis for hyperglycaemia, e.g. antidiabetics
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P9/00Drugs for disorders of the cardiovascular system

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Abstract

The present invention relates to the GPR119 agonist, N-(2-fluoro-4-(methylsulfonyl) phenyl)-5-methyl-6-(1-(5-methylpyrazin-2-yl)piperidin-4-yloxy)pyrimidin-4-amine (Compound 1, Formula (I)), and pharmaceutically acceptable salts, solvates, and hydrates thereof, that are useful in the treatment of GPR119-related disorders, such as, metabolic-related disorders and complications thereof, such as, diabetes and obesity.

Description

201105327 六、發明說明: 【發明所屬之技術領域】 本發明係關於GPR119激動劑N-(2-氟-4-(甲基磺醯基)苯 基)-5-甲基·6-(1_(5_甲基0比嗪基)六氫吡啶·4•基氧基)嘧 啶-4-胺(化合^,式⑴)及其醫藥上可接受之鹽、溶劑合 物及水合物,其用於治療GPR119相關病症,例如代謝相 關病症及其併發症,例如糖尿病及肥胖症。 【先前技術】 A ·糖尿病 糖尿病係影響全世界超過丨億人的嚴重疾病。在美國有 超過一千兩百萬名糖尿病患者,並且每年有600,000例新 診斷病例。 糖尿病係特徵為葡萄糖體内平衡異常導致血糖升高的一 類病症之診斷術語。糖尿病有許多類型,但最常見的兩種 係1型糖尿病(亦稱為胰島素依賴型糖尿病或iddm)及2型 糖尿病(亦稱為非胰島素依賴型糖尿病或NIDDM)。 不同類型糖尿病的病因不相同;然而,每個糖尿病患者 ^兩樣症狀相同:肝臟㈣糖產生過剩及較少能力或沒有 能力將葡萄糖自血液轉移至細胞中並在細胞中成為身體的 主要燃料。 _沒有患糖尿病的人依賴姨腺產生的一種激素冑島素將葡 胃II自jk 至身體細胞中。然而糖尿病患者不產生膜 2或者不能有效地使用其產生之姨島素;因此其不能將 葡萄糠移入其細胞中。葡萄糖積聚在血液中造成稱作高血 I49380.doc 201105327 糖症的病況’並且隨時間推移會造成嚴重的健康問題。 糖尿病係一種具有相關代謝性、血管及神經病症狀的症 候群。代谢症候群的一般特徵為高企糖症,包含由胰島素 分泌缺乏或顯著減少及/或無效胰島素作用所引起的碳水 化合物、脂肪及蛋白質代謝變化。血管症候群由導致心血 皆、視網膜及腎臟併發症的血管異常組成。外周及自主神 經糸統異常亦係糖尿病症候群之一部分。 約5%至10%的糖尿病患者患有IDDM。該等個體不產生 胰島素且因此必須通過注射胰島素來保持其血糖水平正 节。IDDM的特徵為產生騰島素的胰腺β細胞受破壞所引起 的内源性胰島素產生量低下或檢測不到,該特徵最易於將 IDDM與NIDDM區分開來。曾稱作青少年型糖尿病的 IDDM同樣侵襲著少年及成年人。 約90%至95%的糖尿病患者患有2型糖尿病(或NIDDM)。 NIDDM個體產生胰島素,但其體内的細胞有胰島素抵抗: 該等細胞不能對激素做出正確的反應,因此葡萄糖積聚在 其血液中。NIDDM之特徵為内源性胰島素產生與胰島素需 求之間相對不均衡’導致較高血糖濃度。與IDDM相反, NIDDM總存在一些内源性騰島素產生;許多NIDDM患者 具有正常或甚至較南的血液騰島素濃度,而其他Niddm患 者產生的胰島素不足(Rotwein, R.等人n. Engl. J. Med. 308,65-71 (1983))»多數被診斷患有NIDDM之人之年齡為 30歲或以上’並且半數新病例的年齡為55歲及以上。與白 人及亞洲人相比’ NIDDM在美國原住民、美國黑人、拉丁 149380.doc 201105327 美洲人及西班牙裔人中更普遍。此外,其發病可為隱襲性 或甚至係臨床上不明顯的,從而造成診斷困難。 NIDDM的主要致病病灶仍未明瞭。許多人提出外周組織 的主要月夷島素抵抗為主要事件。$傳流行病學研究支持該 觀點。同樣’已有人主張姨島素分泌異常為NIDDM的主要 缺陷。有可能兩種現象均為該疾病過程的重要組成部分 (Rimom,D. L_ 等人 Emery and Rim〇in,s Principles and201105327 VI. Description of the invention: [Technical field to which the invention pertains] The present invention relates to a GPR119 agonist N-(2-fluoro-4-(methylsulfonyl)phenyl)-5-methyl·6-(1_( 5-methyl-2-pyridyl)hexahydropyridin-4-yloxy)pyrimidine-4-amine (Chemical Formula (1)), and pharmaceutically acceptable salts, solvates and hydrates thereof, which are used for Treatment of GPR119 related disorders, such as metabolic related disorders and their complications, such as diabetes and obesity. [Prior Art] A · Diabetes Diabetes affects more than 100 million people worldwide. There are more than 12 million diabetic patients in the United States and 600,000 new diagnoses each year. Diabetes is a diagnostic term for a class of conditions in which abnormal glucose homeostasis leads to elevated blood glucose. There are many types of diabetes, but the two most common types are type 1 diabetes (also known as insulin-dependent diabetes or iddm) and type 2 diabetes (also known as non-insulin-dependent diabetes or NIDDM). The causes of different types of diabetes are different; however, each patient with diabetes has the same symptoms: the liver (4) is overproduced with sugar and has less or no ability to transfer glucose from the blood to the cells and become the body's main fuel in the cells. _ People without diabetes rely on a hormone produced by the parotid gland. The stomach II is from jk to the body cells. However, diabetic patients do not produce membrane 2 or cannot effectively use the insulin produced by them; therefore, they cannot move grapevines into their cells. Glucose accumulates in the blood, causing a condition called hyperglycemia, which can cause serious health problems over time. Diabetes is a syndrome with associated metabolic, vascular, and neurological symptoms. The general hallmark of metabolic syndrome is hyperglycemia, which involves changes in carbohydrate, fat, and protein metabolism caused by a deficiency or significant reduction in insulin secretion and/or ineffective insulin action. Vascular syndrome consists of vascular abnormalities that lead to cardiovascular, retinal, and renal complications. Peripheral and autonomous neurological abnormalities are also part of the diabetes syndrome. About 5% to 10% of diabetic patients have IDDM. These individuals do not produce insulin and therefore must maintain their blood glucose levels by injecting insulin. IDDM is characterized by a low or no detectable amount of endogenous insulin production caused by destruction of pancreatic beta cells that produce temsin, a feature that is most likely to distinguish IDDM from NIDDM. IDDM, once known as juvenile diabetes, also invades teenagers and adults. About 90% to 95% of people with diabetes have type 2 diabetes (or NIDDM). NIDDM individuals produce insulin, but the cells in their bodies have insulin resistance: these cells do not respond correctly to hormones, so glucose accumulates in their blood. NIDDM is characterized by a relative imbalance between endogenous insulin production and insulin demand, resulting in higher blood glucose concentrations. In contrast to IDDM, there are always some endogenous oxytocin production in NIDDM; many NIDDM patients have normal or even souther blood oxygen levels, while other Niddm patients produce insulin deficiency (Rotwein, R. et al. n. Engl J. Med. 308, 65-71 (1983)) » Most people diagnosed with NIDDM are 30 years of age or older' and half of the new cases are 55 years of age and older. Compared with whites and Asians, NIDDM is more common in Native Americans, African Americans, Latin 149380.doc 201105327 Americans and Hispanics. In addition, the onset may be insidious or even clinically insignificant, resulting in diagnostic difficulties. The main pathogenic lesions of NIDDM remain unclear. Many people have suggested that the main temperament resistance of peripheral tissues is the main event. The transmission of epidemiological studies supports this view. Similarly, it has been advocated that the abnormal secretion of 姨 素 is a major defect of NIDDM. It is possible that both phenomena are an important part of the disease process (Rimom, D. L_ et al. Emery and Rim〇in, s Principles and

Practice of Medical Genetics^3^ . 1:1401-1402 (1996)) 〇 許多niddm患者有久坐的生活方式而且身材肥胖;其體 重比針對其身高及體格所推薦的重量多出約20%。此外, 肥胖症之特徵為高胰島素血症及胰島素抵抗(niddm亦具 有的特徵)、高血壓及動脈粥樣硬化。 糖尿病患者面臨壽命減少3〇β/” 45歲後,糖尿病患者與 未患糖尿病之人相比患顯著心臟病的可能性高三倍以上且 心中風的可旎性尚達五倍。該等發現強調了 NIDDM與冠心 病風險因素間之相互關係及預防該等病況之综合方法之潛 在價值(perry,l.】·,等人,BMJ 310 560 564 (1995))。 糖尿病亦與羅患腎病、眼病及神經系統問題有關。腎臟 疾病又稱腎病’其發生於腎臟的「過濾機制」受損之時, 且此時蛋白質過量漏人尿中且最終腎臟無法發揮其功能。 糖尿病亦係眼睛後部視網膜損傷之首要原因且會增加白内 障及月光眼之風險H糖尿病尤其與腿部及^部之神 經損傷有關’其干擾感覺疼痛的能力並促發嚴重感染。總 之’糖尿病併發症係國内首要死亡原因之一。 149380.doc 201105327 B.肥胖症 肥胖症及糖尿病係工業化社會中最常見的人類健康問 題。在工業化國家中三分之一的人口至少超重2〇%。在美 國,肥胖人口之百分比已自二十世紀七十年代末之25%增 長至九十年代初之33%。肥胖症係NIDDM最重要的風險因 素之一。肥胖症的定義各異,但一般而言體重超過針對其 身高及體格所推薦之重量至少2〇%即認為該個體係肥胖 的。超重30¼之個體形成NIDDM之風險增至三倍,且四分 之三的NIDDM患者超重。 在實驗動物及人類中’肥胖症作為熱量攝取與能量消耗 間失衡的結果與胰島素抵抗及糖尿病高度相關。然而,肥 胖症-糠尿病症候群所涉及的分子機制仍不清楚。在肥胖 症早期發展過程中,增加腺島素分泌能平衡膜島素抵抗並 保護患者免於高血糖症(Le Stunff等人Diabetes 43, 696-702 (1989))。然而幾十年後,β細胞功能退化且約2〇%肥胖人 群發展為非騰島素依賴型糖尿病(Pederson, P. Diab. Metab.Practice of Medical Genetics^3^ . 1:1401-1402 (1996)) 〇 Many niddm patients have a sedentary lifestyle and are obese; their body weight is about 20% more than the recommended weight for their height and physique. In addition, obesity is characterized by hyperinsulinemia and insulin resistance (which is also characteristic of niddm), hypertension, and atherosclerosis. Diabetes patients face a reduction in life expectancy of 3〇β/” After 45 years of age, diabetic patients are more than three times more likely to have significant heart disease than those without diabetes and five times more likely to have heartbeat. These findings emphasize The interrelationship between NIDDM and risk factors for coronary heart disease and the potential value of a comprehensive approach to prevent such conditions (perry, l., et al, BMJ 310 560 564 (1995)). Diabetes also suffers from kidney disease, eye disease It is related to nervous system problems. Kidney disease, also known as kidney disease, occurs when the "filtration mechanism" of the kidney is impaired, and at this time, the protein is excessively leaked into the urine and eventually the kidney cannot perform its function. Diabetes is also the leading cause of retinal damage in the back of the eye and increases the risk of cataracts and menstrual eyes. H diabetes is particularly associated with the damage of the legs and the limbs. It interferes with the ability to feel pain and promotes serious infections. In general, 'diabetes complications are one of the leading causes of death in the country. 149380.doc 201105327 B. Obesity The most common human health problem in the industrialized society of obesity and diabetes. One third of the population in industrialized countries is at least 2% overweight. In the United States, the percentage of obese people has increased from 25% in the late 1970s to 33% in the early 1990s. Obesity is one of the most important risk factors for NIDDM. Obesity is defined differently, but in general, the body is considered to be obese by weighing more than 2% of the weight recommended for its height and physique. The risk of developing an NIDDM in an overweight 301⁄4 person is tripled, and three-quarters of NIDDM patients are overweight. In experimental animals and humans, obesity is highly correlated with insulin resistance and diabetes as a result of an imbalance between caloric intake and energy expenditure. However, the molecular mechanisms involved in the obesity-hypercrine disorder are still unclear. During the early development of obesity, increased glandular secretion can balance membrane resistance and protect patients from hyperglycemia (Le Stunff et al. Diabetes 43, 696-702 (1989)). However, decades later, beta cell function degraded and approximately 2% of obese populations developed non-Tenger-dependent diabetes mellitus (Pederson, P. Diab. Metab.

Rev. 5,505-509 (1989))及(Brancati,F. L. #A,Arch·Rev. 5, 505-509 (1989)) and (Brancati, F. L. #A, Arch·

Intern· Med. 159,957-963 (1999))。鑒於肥胖症在當代社 會中的發病率很高,其已因此成為NIDDM的首要風險因素 (Hill, J. 〇.等人 Science 280,1371-1374 (1998))。然而,一 部分患者由於脂肪堆積而易於發生胰島素分泌改變的因素 仍未可知。 將某人分類為超重抑或肥胖可藉由多種不同方法(例如 基於其體重指數(BMI))來確定,體重指數由體重(kg)除以 149380.doc 201105327 身南之平方(m2)來計算。因此,麵的單位係kg/m2且可計 算出與各年齡段最小死亡率有關的画㈣。超重定義為 8奶在25-3〇 kg/m2之範圍内,且肥胖定義為_大於3〇 kg/m2(參見下表)。該定義存在的問題是,其未將肌肉相對 於脂肪(脂肪組織)的體重比例計算在内。為了對該問題加 以考慮,亦可基於體内脂肪含量將肥胖定義為··男性及女 性中分別大於25%及30〇/。。 藉由體重; ^數(BMI)對體重進行分類 BMI _ 分類 <18.5 體重偏輕 18.5-24.9 正常 25.0 - 29.9 — 超重_:~ 30.0-34.9 肥胖α級) 35.0-39.9 肥胖αι級) ~~~ >40 極度肥胖(III級) — 隨著BMI的增加,由各種獨立於其他風險因素之原因導 致死亡之風險增加。伴隨肥胖的最常見疾病係心血管病 (尤其高血壓)、糖尿病(肥胖會惡化糖尿病發展)、膽囊疾 病(尤其癌症)及生殖疾病。研究表明即使適度減少體重亦 可對應於顯著減少罹患冠心病之風險。 肥胖亦顯著增加了罹患心血管疾病之風險。冠狀動脈供 血不足、動脈粥樣硬化疾病及心機能不全位於由肥胖引發 之心血管併發症之前列。據估計若所有人均具有理想體 重’則冠狀動脈供血不足的風險將減少25%且心機能不全 及腦血管意外的風險將減少35%。在超重30%的50歲以下 個體中冠心病發病率會加倍。 149380.doc 201105327 c.動脈粥樣硬化 動脈粥樣硬化係特徵為炎症、脂質堆積、細胞死亡及纖 維化之複雜疾病《動脈粥樣硬化之特徵為膽固醇沈積及單 核細胞滲入内皮下間隙中,從而導致泡沫細胞形成。動脈 粥樣硬化後之血栓症會導致心肌梗塞及中風。動脈粥樣硬 化係包括美國在内的許多國家中之首要死亡原因。(例 如,參見Ruggeri,Nat Med (2002) 8:1227-1234 ; Arehart等 人,Circ Res,Circ. Res. (2008) 102:986-993。) D.骨質疏鬆症 骨質疏鬆症係致殘性疾病,其特徵為骨質量損失及骨架 結構之微結構劣化從而導致骨強度受損,此使得患者易於 發生脆性骨折增加之風險,骨質疏鬆症侵襲歐洲、日本及 美國的超過7千5百萬人,且僅在歐洲及美國即造成超過 230萬人骨折。在美國,骨質疏鬆症侵襲所有絕經後白人 女性中的至少25%,且該比例在8〇歲以上女性中上升至 70%。5G歲以上女性中有1/3將患有f f疏鬆性骨折,此對 杜會造成巨大的社會及財政負擔。該疾病並不限於女性; 其亦可侵襲老年男性。到2050時,預計全世界男性髖部骨 折的發生率將增加310%且女性將增加24〇%。臨床上所呈 現的髖部、前臂及脊椎骨折之終身組合風險大約為4〇%, 等同於心血管疾病之風險。因此,骨質疏鬆性骨折造成主 要死亡率、發病率及經濟花費。除非研發出有效的預防策 略,否則隨著老年人口的增加,在未來5〇年裏骨質疏鬆性 骨折數量及其花費將增加至少一倍。(例如,參見偷等 149380.doc 201105327 人,Clin Orthop Relat Res (2006) 443:19-24 ; Raisz,J Clin Invest (2005) 1 15:3318-3325 ;及 World Health OrganizationIntern. Med. 159, 957-963 (1999)). Given the high prevalence of obesity in contemporary society, it has therefore become a primary risk factor for NIDDM (Hill, J. 〇. et al. Science 280, 1371-1374 (1998)). However, it is still unknown that some patients are prone to changes in insulin secretion due to fat accumulation. The classification of a person as overweight or obesity can be determined by a number of different methods (eg, based on their body mass index (BMI)), which is calculated by dividing body weight (kg) by the square of the south (m2) of 149380.doc 201105327. Therefore, the unit of the face is kg/m2 and the painting related to the minimum mortality rate of each age group can be calculated (4). Overweight is defined as 8 milk in the range of 25-3 〇 kg/m2, and obesity is defined as _ greater than 3 〇 kg/m2 (see table below). The problem with this definition is that it does not account for the body weight ratio of muscle to fat (fatty tissue). In order to consider this problem, obesity can also be defined as based on body fat content, which is greater than 25% and 30% in men and women, respectively. . Body weight by weight; ^B (BMI) BMI _ Classification <18.5 Weight is 18.5-24.9 Normal 25.0 - 29.9 - Overweight _:~30.0-34.9 Obesity α) 35.0-39.9 Obesity αι) ~~ ~ >40 Extremely obese (Level III) - As BMI increases, the risk of death is increased by a variety of factors independent of other risk factors. The most common diseases associated with obesity are cardiovascular disease (especially hypertension), diabetes (obesity worsens diabetes development), gallbladder disease (especially cancer), and reproductive diseases. Studies have shown that even moderate weight loss can correspond to a significant reduction in the risk of coronary heart disease. Obesity also significantly increases the risk of cardiovascular disease. Coronary arterial insufficiency, atherosclerotic disease, and cardiac insufficiency are preceded by cardiovascular complications caused by obesity. It is estimated that if all people have an ideal body weight, the risk of coronary insufficiency will be reduced by 25% and the risk of cardiac insufficiency and cerebrovascular accidents will be reduced by 35%. The incidence of coronary heart disease is doubled in individuals over 50% of those under 50 years of age. 149380.doc 201105327 c. Atherosclerosis Atherosclerosis is characterized by complex diseases of inflammation, lipid accumulation, cell death and fibrosis. "Atherosclerosis is characterized by cholesterol deposition and monocyte infiltration into the subendothelial space. This results in the formation of foam cells. A thrombosis after atherosclerosis can lead to myocardial infarction and stroke. Atherosclerosis is the leading cause of death in many countries, including the United States. (See, for example, Ruggeri, Nat Med (2002) 8: 1227-1234; Arehart et al, Circ Res, Circ. Res. (2008) 102: 986-993.) D. Osteoporosis Osteoporosis Resilience Disease, characterized by loss of bone mass and microstructural deterioration of the skeletal structure leading to impaired bone strength, which makes patients susceptible to increased risk of fragility fractures. Osteoporosis affects more than 75 million people in Europe, Japan and the United States. More than 2.3 million fractures were caused in Europe and the United States alone. In the United States, osteoporosis affects at least 25% of all postmenopausal white women, and this proportion rises to 70% among women over 8 years of age. One third of women over 5 years of age will have f f loose fractures, which will cause enormous social and financial burden on Du Hui. The disease is not limited to women; it can also affect older men. By 2050, the incidence of hip fractures in men worldwide is expected to increase by 310% and women by 24%. Clinically, the lifetime risk of hip, forearm, and spinal fractures is approximately 4%, which is equivalent to the risk of cardiovascular disease. Therefore, osteoporotic fractures cause major mortality, morbidity and economic costs. Unless an effective prevention strategy is developed, the number and cost of osteoporotic fractures will increase at least twice in the next five years as the elderly population increases. (For example, see Stealing 149380.doc 201105327, Clin Orthop Relat Res (2006) 443:19-24; Raisz, J Clin Invest (2005) 1 15:3318-3325; and World Health Organization

Technical Report Series 921 (2003), Prevention andTechnical Report Series 921 (2003), Prevention and

Management of Osteopoosis ° ) E.炎症性腸病(IBD) 炎症性腸病(IBD)係造成腸道炎症之疾病之通用名稱且 包括(例如)克隆氏病(Crohn’s disease)、潰瘍性結腸炎、潰 瘍性直腸炎。據估計美國在1990年的炎症性腸病醫療花費 為14億至18億美元。據估計,損失的生產力增加了額外的 4億至8億美元’使得炎症性腸病之估計花費為18億至26億 美元。(例如,參見Pearson, Nursing Times (2004) 100:86-90 ’ Hay等人,j Clin Gastroenterol (1992) 14:309-317 ; Keighley 等人,Ailment Pharmacol Ther (2003) 18:66-70 〇 ) 腸炎係指腸道、尤其小腸之炎症’其係可由諸多不同原 因中之任一者造成的一般病況。小腸結腸炎係指小腸及結 腸之炎症。 克隆氏病(CD)係一種炎症性過程,其可侵襲消化道之任 一部分,但最常見於小腸最後一部分,該部分另外稱為 (末端)回腸及盲腸。該區域亦一起稱作回盲腸區。其他情 形可侵襲以下中之一或多者:僅結腸、僅小腸(十二指 腸、空腸及/或回腸)、肛門、胃或食道。與潰瘍性結腸炎 相反,CD —般不會侵襲直腸,而經常會侵襲肛門。炎疒 深入延伸至受侵襲器官之襯層中。炎症可造成疼痛且可使 腸頻繁地排空,從而導致腹瀉。克隆氏病亦可稱作腸炎。 149380.doc 201105327 肉芽腫性結腸炎係侵襲結腸之克隆氏病之另一名稱。回腸 炎係回腸之CD,回腸係小腸之第三部分。克隆氏病係侵 襲部分或全部結腸之CD。 潰瘍性結腸炎(UC)係通常稱為結腸的大腸之炎症性疾 病。uc會造成結腸及直腸内襯之炎症及潰瘍。uc炎症— 般在直腸區中最嚴重,且嚴重度朝向大腸與小腸接合處之 盲腸方向降低(速率在不同患者間會有所不同)。直腸之炎 症稱為直腸炎。乙狀結腸(就位於直腸上方)之炎症稱為乙 狀結腸炎。涉及全部結腸之炎症稱為全結腸炎。該炎症會 造成結腸頻繁地排空,從而導致腹瀉。由於破壞了結腸襯 層而形成潰癌從而釋放黏液、膿液及血液。潰癌性直腸炎 係一種僅侵襲直腸之UC形式。 F. GPR119 GPR119係G蛋白偶合受體(GPR119 ;例如,人類 GPR119 ’ GenBank®登記號AAP72125及其等位基因;例 如,小鼠GPR119,GenBank®登記號AY288423及其等位基 因)且在胰腺β細胞上選擇性表現^ GPR11 9活化產生與偶合 至G之GPR119—致的細胞内cAMp濃度升高。GPR119之激 動劑刺激活體外葡萄糖依賴性胰島素分泌並降低活體内升 高的血糖濃度;例如’參見國際申請案W〇 04/065380及 WO 04/076413、及EP 1338651,以上每一申請案之全部揭 示内容以引用方式併入本文中。在文獻中,GPR119亦被 稱為RUP3(參見’國際申請案w〇 00/31258)且被稱為葡萄 糖依賴性促肤島素受體GDIR(參見,J〇nes等人Expert 149380.doc -10- 201105327Management of Osteopoosis ° ) E. Inflammatory Bowel Disease (IBD) Inflammatory bowel disease (IBD) is a generic name for diseases causing intestinal inflammation and includes, for example, Crohn's disease, ulcerative colitis, ulcers Sexual proctitis. It is estimated that the medical expenses of inflammatory bowel disease in the United States in 1990 were between $1.4 billion and $1.8 billion. It is estimated that the lost productivity increased by an additional $400 million to $800 million, making the estimated cost of inflammatory bowel disease between $1.8 billion and $2.6 billion. (See, for example, Pearson, Nursing Times (2004) 100:86-90 ' Hay et al, j Clin Gastroenterol (1992) 14:309-317; Keighley et al., Ailment Pharmacol Ther (2003) 18:66-70 〇) Enteritis refers to the inflammation of the intestines, especially the small intestines, which can be caused by a general condition caused by any of a number of different causes. Enterocolitis refers to inflammation of the small intestine and colon. Crohn's disease (CD) is an inflammatory process that can invade any part of the digestive tract, but is most commonly found in the last part of the small intestine, which is otherwise referred to as the (end) ileum and cecum. This area is also collectively referred to as the ileocecal area. Other conditions may affect one or more of the following: colon only, small intestine (duodenum, jejunum and/or ileum), anus, stomach or esophagus. In contrast to ulcerative colitis, CD does not invade the rectum and often attacks the anus. The sputum extends deep into the lining of the affected organ. Inflammation can cause pain and can cause frequent emptying of the intestines, leading to diarrhea. Crohn's disease can also be called enteritis. 149380.doc 201105327 Granulomatous colitis is another name for Crohn's disease that invades the colon. The ileum is the CD of the ileum and the third part of the small intestine of the ileum. The Crohn's disease affects the CD of some or all of the colon. Ulcerative colitis (UC) is commonly referred to as the inflammatory disease of the large intestine of the colon. Uc causes inflammation and ulceration of the colon and rectum. Uc inflammation - is most severe in the rectal area, and the severity decreases toward the cecum of the junction of the large intestine and the small intestine (the rate varies from patient to patient). Rectal inflammation is called proctitis. The inflammation of the sigmoid colon (just above the rectum) is called sigmoid colitis. Inflammation involving the entire colon is called total colitis. This inflammation causes frequent colon emptying, which leads to diarrhea. Muscle, pus and blood are released as a result of the destruction of the colonic lining. Ulcerative proctitis is a form of UC that only invades the rectum. F. GPR119 GPR119 is a G protein-coupled receptor (GPR119; for example, human GPR119 ' GenBank® accession number AAP72125 and its allele; for example, mouse GPR119, GenBank® accession number AY288423 and its allele) and in the pancreas beta The selective expression of GPR11 9 on cells produces an increase in intracellular cAMp concentration associated with GPR119 coupled to G. An agonist of GPR119 activates glucose-dependent insulin secretion in vitro and reduces elevated blood glucose concentrations in vivo; for example, see International Application Nos. WO 04/065380 and WO 04/076413, and EP 1338651, all of which are incorporated herein by reference. The disclosure is incorporated herein by reference. In the literature, GPR119 is also known as RUP3 (see 'International Application No. 00/31258') and is referred to as the glucose dependent pro-apoptotic receptor GDIR (see, J〇nes et al. Expert 149380.doc-10). - 201105327

Opin. Ther. Patents (2009),19(10): 1339-1359)。 GPR119激動劑亦刺激葡萄糖依賴性促胰島素多肽 (GIP)、高血糖素樣肽-1 (GLP-1)及至少一種其他L細胞肽 (肽 YY (PYY))之釋放(Jones 等人 Expert Opin. Ther. Patents (2009), 19(10): 1339-1359);與 GPR119 激動劑及以下肽之 釋放相關之特定參考文獻如下: GIP,參見 Shah, Current Opinion in Drug Discovery & Development, (2009) 12:519-532 ; Jones 等人,Ann· Rep. Med. Chem.,(2009) 44:149-170 ; WO 2007/120689 ;及 WO 2007/120702 ; GLP-1,參見 Shah,Current Opinion in Drug Discovery & Development, (2009) 12:519-532 ; Jones等人,Ann. Rep. Med. Chem.,(2009) 44:149-170 ; Schwartz 等人,Cell Metabolism,2010, 11:445-447 ;及 WO 2006/076231 ;及 PYY,參見 Schwartz 等人,Cell Metabolism, 2010, 11:445-447 ;及 WO 2009/126245。 如上文所述,GPR119激動劑可促進腸降血糖素釋放且 因此可用於治療與諸如GIP、GLP-1及PYY等腸降血糖素相 關之病症。然而’諸如GIP及GLP-1等多種腸降血糖素係 酶DPP-IV之受質。Jones及合作者(Jones等人,Ann. Rep. Med_ Chem·,(2009) 44:149-170)已證明,組合投與GPR119 激動劑(2-氟-4-曱烷磺醢基-苯基)-{6-[4-(3-異丙基-[1,2,4] °惡二。坐-5-基)-六氫β比咬-1 -基]-5-硝基-。密咬-4-基}-胺(參 見,WO 2004/065380中之化合物Bill)與DPP-IV抑制劑以 149380.doc 201105327 顯著大於單獨任一試劑之程度急劇地增加血衆GLP-1濃度 並改良葡萄糖耐受性。 G·葡萄糖依賴性促胰島素多肽(GIP) 葡萄糖依賴性促胰島素多肽(GIP,亦稱為胃抑多肽)係 42個胺基酸之肽腸降血糖素激素,其係在膳食攝入後自十 二指腸内分泌K細胞釋放。所釋放GIP之量主要取決於所 消耗葡萄糖之量。GIP已顯示可刺激胰腺β細胞中葡萄糖依 賴性胰島素之分泌。GIP藉助特異性G蛋白偶合受體即 GIPR來調介其作用。 由於GIP在2位上含有丙胺酸,因此其係調節GIP降解之 酶二肽基肽酶-4 (DPP-IV)之優良受質。全長GIP(1_42)在 自腸K細胞分泌後數分鐘内會快速轉化為生物非活性 GIP(3-42)。DPP-IV之抑制已顯示可增進GIP之生物活性。 (例如,參見 Drucker,Cell Metab (2006) 3:153-165 ; McIntosh等人,Regul Pept (2005) 128:159-165 ; Deacon, Regul Pept (2005) 128:117-124 ;及Ahren等人,Endocrinology (2005) 146:2055-2059)。可使用N-末端特異性分析對(例 如)血液中之全長生物活性GIP實施分析(例如,參見Opin. Ther. Patents (2009), 19(10): 1339-1359). GPR119 agonists also stimulate the release of glucose-dependent insulinotropic polypeptide (GIP), glucagon-like peptide-1 (GLP-1), and at least one other L-cell peptide (peptide YY (PYY)) (Jones et al. Expert Opin. Ther. Patents (2009), 19(10): 1339-1359); specific references related to the release of GPR119 agonists and the following peptides are as follows: GIP, see Shah, Current Opinion in Drug Discovery & Development, (2009) 12:519-532; Jones et al, Ann·Rep. Med. Chem., (2009) 44: 149-170; WO 2007/120689; and WO 2007/120702; GLP-1, see Shah, Current Opinion in Drug Discovery & Development, (2009) 12:519-532; Jones et al, Ann. Rep. Med. Chem., (2009) 44:149-170; Schwartz et al, Cell Metabolism, 2010, 11:445-447 And WO 2006/076231; and PYY, see Schwartz et al, Cell Metabolism, 2010, 11: 445-447; and WO 2009/126245. As described above, GPR119 agonists can promote glucagon release and are therefore useful in the treatment of conditions associated with incretins such as GIP, GLP-1 and PYY. However, the receptors of various incretin enzymes such as GIP and GLP-1 are DPP-IV. Jones and co-workers (Jones et al., Ann. Rep. Med_Chem., (2009) 44: 149-170) have demonstrated that a combination of GPR119 agonist (2-fluoro-4-nonanesulfonyl-phenyl) has been demonstrated. )-{6-[4-(3-isopropyl-[1,2,4] ° dioxin. sit-5-yl)-hexahydro-β-biti-1-yl]-5-nitro-. Mickey-4-yl}-amine (see, Compound Bill in WO 2004/065380) and DPP-IV inhibitor dramatically increase blood GLP-1 concentration by 149380.doc 201105327 significantly greater than either agent alone Improve glucose tolerance. G·glucose-dependent insulinotropic polypeptide (GIP) The glucose-dependent insulinotropic polypeptide (GIP, also known as gastric inhibitory peptide) is a 42 amino acid peptide incretin hormone, which is derived from the duodenum after dietary intake. Endocrine K cells are released. The amount of GIP released depends primarily on the amount of glucose consumed. GIP has been shown to stimulate the secretion of glucose-dependent insulin in pancreatic beta cells. GIP mediates its effects by means of a specific G protein-coupled receptor, GIPR. Since GIP contains alanine at the 2-position, it is an excellent substrate for regulating the GIP-degrading enzyme dipeptidyl peptidase-4 (DPP-IV). Full-length GIP (1_42) is rapidly converted to bioinactive GIP (3-42) within minutes of secretion from intestinal K cells. Inhibition of DPP-IV has been shown to enhance the biological activity of GIP. (See, for example, Drucker, Cell Metab (2006) 3: 153-165; McIntosh et al, Regul Pept (2005) 128: 159-165; Deacon, Regul Pept (2005) 128: 117-124; and Ahren et al. Endocrinology (2005) 146:2055-2059). An N-terminal specific assay can be used to perform an analysis of, for example, full-length bioactive GIP in blood (see, for example, see

Deacon等人,J Clin Endocrinol Metab (2000) 85:3575-3581)。 最近,GIP已顯示可促進骨形成。GIP已顯示可活化成骨 細胞受體,從而增加I型膠原合成及鹼性磷酸酶活性,此 二者皆與骨形成有關。GIP已顯示可在活體外抑制破骨細 胞之活性及分化。投與GIP已顯示預防因卵巢切除所致之 149380.doc 12 201105327 骨損失。GIP受體(GIPR)敲除小鼠顯示骨尺寸減小、骨質 量降低、骨微結構及生化性質改變、及骨更新(尤其在骨 形成中)參數改變。(例如,參見Zhong等人,Am J PhysiolDeacon et al, J Clin Endocrinol Metab (2000) 85: 3575-3581). Recently, GIP has been shown to promote bone formation. GIP has been shown to activate osteoblast receptors, thereby increasing type I collagen synthesis and alkaline phosphatase activity, both of which are involved in bone formation. GIP has been shown to inhibit the activity and differentiation of osteoclasts in vitro. Administration of GIP has been shown to prevent ovarian resection due to ovarian resection 149380.doc 12 201105327 Bone loss. GIP receptor (GIPR) knockout mice show altered bone size, decreased bone mass, altered bone microstructure and biochemical properties, and altered bone turnover (especially in bone formation). (For example, see Zhong et al., Am J Physiol

Endocrinol Metab (2007) 292:E543-E548 ; Bollag等人, Endocrinology (2000) 141:1228-1235 ; Bollag等人,Mol Cell Endocrinol (2001) 177:35-41 ; Xie等人,Bone (2005) 37:759-769 ;及 Tsukiyama 等人,Mol Endocrinol (2006) 20:1644-1651 。) GIP用於維持或增加骨密度或形成之有用性已由美國商 標及專利局(United State Trademark and Patent Office)藉由 頒佈美國專利第6,410,508號得到認可,該專利用於藉由投 與GIP肽來治療骨礦物化降低。然而,現行GIP肽激動劑缺 乏經口生物利用度,從而不利地影響患者順應性。一種有 吸引力的替代方法係研發經口活性组合物用於增加GIp活 性之内源性位準。 H.高金糖素樣肽 高血糖素樣肽-UGLP-l)係自高血糖素原之轉譯後修飾 獲得且由腸内分泌細胞分泌的腸降血糖素激素。GLP4藉 助特異性G蛋白偶合受體(即GLp_1R)來調介其作用。GLp_ 1之最佳特徵為調節葡萄糖體内平衡之激素。GLP-1已顯示 可刺激葡萄糖依賴性胰島素分泌並增加胰腺p細胞質量。 GLP-1亦已顯示可降低胃排空速率並提升飽腹感。已在數 個臨床研究中證明GLp_丨肽激動劑在控制2型糖尿病之血糖 中之力效[例如,參見Nauck等人,Drug News Perspect 149380.doc • 13· 201105327 (2003) 16:413-422],亦已證明其在降低體重中之功效 [Zander等人,Lancet (2002) 359:824-830]。 GLP-1受體激動劑另外可用於保護免於心肌梗塞及認知 及神經退化性病症。GLP-1已顯示在心肌梗塞之大鼠模型 中具有心臟保護性[Bose等人,Diabetes (2005) 54:146· 151],且GLP-1R已顯示在齧齒類動物模型中與學習及神經 保護有關[During等人,Nat. Med. (2003) 9:1173-1179 ;及 Greig等人,Ann N Y Acad Sci (2004) 1035:290-315]。 諸如2型糖尿病等某些病症之特徵為GLP-1缺乏[例如, 參見 Nauck等人,Diabetes (2004) 53增刊 3:S190-196]。 現行GLP-1肽激動劑缺乏經口生物利用度,從而不利地 影響患者順應性。迄今為止,研發可經口生物利用的GLP-1R之非肽能小分子激動劑之努力尚未成功[Mentlein, Expert Opin Investig Drugs (2005) 14:57-64]。一種有吸引 力的替代方法係研發經口活性組合物用於增加血液中GLP-1之内源性濃度。 I.肽 YY(PYY) 肽ΥΥ(ΡΥΥ)係最早於1980年自豬腸中分離出的36胺基酸 肽(Tatemoto等人,Nature (1980) 285:417-418)。ΡΥΥ係自 大腸及小腸二者内之腸内分泌L-細胞分泌。已顯示在大鼠 及人類腸道中,免疫反應性PYY之濃度在十二指腸及空腸 中較低,在回腸及結腸中較高,且在直腸中最高 (Lundberg等人,PNAS USA (1982) 79:4471-4475 ; Adrian 等人,Gastroenterol. (1985) 89:1070-1077 ; Ekblad等人, 149380.doc 14 201105327Endocrinol Metab (2007) 292: E543-E548; Bollag et al, Endocrinology (2000) 141:1228-1235; Bollag et al, Mol Cell Endocrinol (2001) 177: 35-41; Xie et al, Bone (2005) 37 :759-769; and Tsukiyama et al., Mol Endocrinol (2006) 20:1644-1651. The usefulness of GIP for maintaining or increasing bone density or formation has been recognized by the United States Trademark and Patent Office by issuing US Patent No. 6,410,508, which is used to administer GIP peptides. To treat bone mineralization is reduced. However, current GIP peptide agonists lack oral bioavailability, which adversely affects patient compliance. An attractive alternative is the development of oral active compositions for increasing the endogenous level of GIp activity. H. High Glucagon-Like Peptide The glucagon-like peptide, UGLP-1, is an incretin hormone obtained by post-translational modification of proglucagon and secreted by enteroendocrine cells. GLP4 mediates its effects by means of a specific G-protein coupled receptor (ie, GLp_1R). The best feature of GLp_ 1 is the hormone that regulates glucose homeostasis. GLP-1 has been shown to stimulate glucose-dependent insulin secretion and increase pancreatic p-cell mass. GLP-1 has also been shown to reduce gastric emptying rates and improve satiety. The efficacy of GLp_丨 peptide agonists in controlling blood glucose in type 2 diabetes has been demonstrated in several clinical studies [see, for example, Nauck et al., Drug News Perspect 149380.doc • 13· 201105327 (2003) 16:413- 422], its efficacy in reducing body weight has also been demonstrated [Zander et al, Lancet (2002) 359: 824-830]. GLP-1 receptor agonists are additionally useful for protecting against myocardial infarction and cognitive and neurodegenerative disorders. GLP-1 has been shown to be cardioprotective in a rat model of myocardial infarction [Bose et al, Diabetes (2005) 54: 146 151], and GLP-1R has been shown in rodent models with learning and neuroprotection Related to [During et al, Nat. Med. (2003) 9: 1173-1179; and Greig et al, Ann NY Acad Sci (2004) 1035: 290-315]. Certain conditions, such as type 2 diabetes, are characterized by a lack of GLP-1 [see, for example, Nauck et al., Diabetes (2004) 53 Supplement 3: S190-196]. Current GLP-1 peptide agonists lack oral bioavailability, which adversely affects patient compliance. To date, efforts to develop non-peptide small molecule agonists of GLP-1R that are orally bioavailable have not been successful [Mentlein, Expert Opin Investig Drugs (2005) 14: 57-64]. An attractive alternative is the development of oral active compositions for increasing the endogenous concentration of GLP-1 in the blood. I. Peptide YY (PYY) Peptone ΡΥΥ (ΡΥΥ) is the 36 amino acid peptide originally isolated from pig intestine in 1980 (Tatemoto et al, Nature (1980) 285: 417-418). The sputum is secreted from the enteroendocrine L-cells in both the large intestine and the small intestine. It has been shown that in the intestine of rats and humans, the concentration of immunoreactive PYY is lower in the duodenum and jejunum, higher in the ileum and colon, and highest in the rectum (Lundberg et al., PNAS USA (1982) 79:4471 -4475; Adrian et al., Gastroenterol. (1985) 89:1070-1077; Ekblad et al., 149380.doc 14 201105327

Peptides (2002) 23:251-261 ; Ueno等人,Regul Pept (2008) 145:12-16)。已報導大鼠中PYY之表現亦延伸至朗格漢斯 島(islets of Langerhans)之α細胞及延髓中之細胞(Ekblad等 人,Peptides (2002) 23:251-261) ; PYY以 PYYN36及 ργγ3_36 形式釋放至環流中(Eberlein等人,Peptides (1989) 10:797-803)。ΡΥΥ3_3ό係藉由二肽基肽酶IV裂解ΡΥΥ,Μ之N-末端 Tyr及Pro殘基來生成。ργγ3_36係ργγ在人類餐後血漿中之 主要形式(Grandt等人,Regul. Pept. (1994) 51:151-159)。 已報導ΡΥΥ〗·36及PYY3-36對G蛋白偶合受體NPY Y2受體 (Y2R)具有相當的激動劑活性(parker等人,Br. J. Pharmacol. (2008) 153:420-431);然而,已報導卩丫丫3 36 為 高親和力Y2R選擇性激動劑(Keire等人,Am. J. Physiol.Peptides (2002) 23:251-261; Ueno et al., Regul Pept (2008) 145:12-16). It has been reported that the expression of PYY in rats also extends to the alpha cells of the islets of Langerhans and the cells in the medulla oblongata (Ekblad et al., Peptides (2002) 23:251-261); PYY is in the form of PYYN36 and ργγ3_36 Release into the circulation (Eberlein et al, Peptides (1989) 10: 797-803). ΡΥΥ3_3 ό is produced by dipeptidyl peptidase IV cleavage of ΡΥΥ, N-terminal Tyr and Pro residues of hydrazine. The main form of ργγ3_36 ργγ in human postprandial plasma (Grandt et al, Regul. Pept. (1994) 51:151-159). It has been reported that ΡΥΥ··36 and PYY3-36 have comparable agonist activities to the G protein-coupled receptor NPY Y2 receptor (Y2R) (Parker et al., Br. J. Pharmacol. (2008) 153:420-431); However, it has been reported that 卩丫丫3 36 is a high affinity Y2R selective agonist (Keire et al., Am. J. Physiol.

Gastrointest. Liver Physiol· (2000) 279:G126-G131)。據報 導PYY在外周投與後可隨後減少大鼠之高脂肪食物攝取 (Okada等人,Endocrinology Supplement (1993) 180)且在 外周投與後造成小鼠體重減少(Morley等人,Life Sciences (1987) 41:2157-2165) ° 已報導外周投與PYYS_36顯著降低大鼠之食物攝取及重 量增加,降低人類之食慾及食物攝取,且降低小鼠之食物 攝取,但在無Y2R小鼠中不存在該等情況,據此表明食物 攝取效應需要Y2R。在人類研究中發現,輸注ργγ3_36可顯 著降低食慾並在24小時内使食物攝取減少33%。輸注 ργγ3·36至達到該肽之正常餐後循環濃度使得1>¥¥3 36在j 5 分鐘内達峰血清濃度’其隨後在3〇分鐘内快速下降至基礎 I49380.doc 15 201105327 位準。據報導,PYY3·36在輸注後12小時時段内對食物攝取 有顯著抑制,但在12小時至24小時時段内對食物攝取基本 上沒有效應。在大鼠研究中,經腹膜腔内反覆投與ΡΥΥ3 % (每曰注射2次並持續7曰)可減少累積性食物攝取 (Batterham等人,Nature (2002) 418:650-654 ; Renshaw等 人,Current Drug Targets (2005) 6:171-179)。 已報導,在兩種性別之代謝疾病之多種齧齒類動物模型 中外周投與PYY3-36減小食物攝取、重量增加及血糖指數 (glycemic indicesKPittner等人,int. j· 〇b?s Relat MetabGastrointest. Liver Physiol (2000) 279: G126-G131). It has been reported that PYY can reduce the high-fat food intake of rats after peripheral administration (Okada et al., Endocrinology Supplement (1993) 180) and causes weight loss in mice after peripheral administration (Morley et al., Life Sciences (1987). 41:2157-2165) ° Peripheral administration of PYYS_36 has been reported to significantly reduce food intake and weight gain in rats, reduce appetite and food intake in humans, and reduce food intake in mice, but does not exist in non-Y2R mice. These conditions, according to this, indicate that the food intake effect requires Y2R. In human studies, infusion of ργγ3_36 significantly reduced appetite and reduced food intake by 33% within 24 hours. Infusion of ργγ3·36 until the normal postprandial circulating concentration of the peptide is reached such that 1>¥¥3 36 peaks in serum concentration within 5 minutes' which then rapidly drops to the base I49380.doc 15 201105327 level within 3 minutes. It has been reported that PYY3·36 significantly inhibited food intake during the 12-hour period after infusion, but had no effect on food intake during the 12-hour to 24-hour period. In the rat study, cumulative food intake was reduced by intraperitoneal administration of ΡΥΥ3 % (2 injections per sputum for 7 曰) (Batterham et al., Nature (2002) 418:650-654; Renshaw et al. , Current Drug Targets (2005) 6: 171-179). Peripheral administration of PYY3-36 has been reported to reduce food intake, weight gain, and glycemic index in a variety of rodent models of metabolic diseases of both genders (glycemic indicesKPittner et al., int. j· 〇b?s Relat Metab)

Disord· (2004) 28:963-971)。已報導利用特異性拮抗劑 BIIE-246阻斷Y2R可減弱外周投與之内源性及外源性ργγ3以 對於減少食物攝取之效應(Abbott等人,Brain Res (2005) 1 043 :1 39-144)。已報導在齧齒類動物中外周投與新賴長效 選擇性Y2R聚乙二醇-偶聯肽激動劑減少食物攝取並改良葡 萄糖代謝作用(葡萄糖清除、灰漿胰島素及血毁葡萄 糖)(0rtiz等人,JPET (2007) 323:692-700; Lamb等人,J. Med. Chem. (2007) 50:2264-2268)。已報導在小鼠中去除 PYY產生高胰島素血症及肥胖症(Boey等人,Diabetologia (2006) 49:1360-1370)。已報導外周投與長效高選擇性Y2R 激動劑抑制小鼠之食物攝取並促進脂肪代謝作用 (Balasubramaniam等人 > Peptides (2007) 28:235-240) 〇 有證據表明,刺激P YY在活體内合成之試劑可賦予對抗 飲食誘發型及遺傳型肥胖症之保護且可提高葡萄糖财受性 (Boey等人,Neuropeptides (2008) 42:19-30)。 149380.doc -16- 201105327 已報導諸如PYYi-36及ΡΥΥ3_36等Y2R激動劑可賦予對抗 癲癇發作(例如對抗紅藻胺酸鹽誘導的發作)之保護作用(Ε1 Bahh等人,Eur. J. Neurosci. (2005) 22:1417-1430 ; Woldbye 等人,Neurobiology of Disease (2005) 20:760-772)。 已報導使用諸如PYYu36及PYY3-36等Y2R激動劑作為促 吸收性(或抗分泌性)激素,在靜脈内投與後該等激素可增 加腸各部分中對水及鈉二者之吸收(Bilchik等人, Gastroenterol. (1993) 105:1441-1448 ; Liu等人,J. Surg_ Res. (1995) 58:6-11 ; Nightingale等人,Gut (1996) 39:267-272 ; Liu等人,Am Surg (1996) 62:232-236 ; Balasubramaniam等 人,J. Med. Chem. (2000) 43:3420-3427)。已報導諸如 PYY類似物等Y2R激動劑抑制腸上皮之分泌並其促進吸收 及生長(Balasubramaniam 等人,J. Med. Chem. (2000) 43:3420-3427)。已報導PYY促進正常大鼠之腸生長(Gomez 等人,Am. J. Physiol. (1995) 268:G71-G81)。已報導諸如 ΡΥΥ!_36及PYY3-36等Y2R激動劑抑制腸運動並起到防止腹 瀉之作用(ΕΡ 1902730 ;亦參見 Cox,Peptides (2007) 28:345-35 1)。 已報導諸如PYY丨·36及ΡΥΥ3·36等Y2R激動劑可賦予對抗 諸如潰瘍性結腸炎及克隆氏病等炎症性腸病之保護(WO 03/105763)。已報導ΡΥΥ缺乏小鼠展示骨質疏鬆性表型, 即ΡΥΥ可增加骨質量及/或可賦予對抗骨質量損失之保護 (例如,減少骨質量損失)(Wortley等人,Gastroenterol· (2007) 133:1534-1543)。已報導PYY3_36可賦予胰腺炎之齧 149380.doc -17· 201105327 齒類動物模型以保護(Vona-Davis等人,Peptides (2007) 28:334-338) 〇 已報導Y2R缺乏小鼠之血管發生受損(Lee等人,Peptides (2003) 24:99-106),即諸如 PYY!.36 及 PYY3-36 等 Y2R 之激動 劑促進血管發生。已報導Y2R缺乏小鼠之傷口癒合受損 (Ekstrand等人,PNAS USA (2003) 100:6033-6038),即諸 如ΡΥΥ!.%及PYY3_36等Y2R之激動劑促進傷口癒合。已報 導Y2R缺乏小鼠之缺血性血管發生受損(Lee等人,J. Clin. Invest. (2003) 11 1:1853-1862),即諸如 PYY丨·36 及 PYY3-36 等 Y2R之激動劑促進缺血性組織之血管再造及功能恢復。已 報導諸如ΡΥΥ^δ及ΡΥΥ3-36等Y2R之激動劑調介外周動脈 疾病之大鼠模型中側支依賴性血流之增加(Cruze等人, Peptides (2007) 28:269-280) 〇 已報導PYY及諸如PYY3-36等Y2R激動劑在(例如)以下情 形中可抑制腫瘤生長:胰腺癌(例如胰腺導管腺癌)、乳癌 (例如乳腺浸潤性導管腺癌)、結腸癌(例如結腸腺癌)及巴雷 特氏腺癌(Barrett’s adenocarcinoma)(Liu 等人,Surgery (1995) 118:229-236 ; Liu等人,J. Surg. Res. (1995) 58:707-712 ; Grise等人,J. Surg· Res. (1999) 82:151-155 ; Tseng 等人,Peptides (2002) 23:389-395 ; McFadden等人,Am. J. Surg. (2004) 188:516-519)。 已報導(例如)PYY3_36對Y2R之刺激導致血漿脂聯素 (adiponectin)增加(Ortiz等人,JPET (2007) 323:692-700)。 脂聯素係具有有效抗炎症性質之脂肪細胞因子(adipokine) 149380.doc • 18- 201105327 (Ouchi 等人,Clin Chim Acta (2007) 380:24-30 ; Tilg 等 人,Nat· Rev. Immunol· (2006) 6:772-783)。脂聯素主要在 肌肉及肝臟中藉由靶向血管内皮細胞及巨噬細胞來發揮抗 動脈粥樣硬化效應及胰島素敏感化效應(Kubota等人,J. Biol. Chem. (2002) 277:25863-25866 ; Maeda等人,Nat. Med· (2002) 8:731-737)。已報導在血脂異常(甘油三酯升 高、小緻密LDL膽固醇、低HDL膽固醇)中低脂聯素濃度與 動脈粥樣硬化性脂蛋白有關(Marso等人,Diabetes Care (2008) 2月5曰,印刷前之電子出版物)。脂聯素與高密度 脂蛋白(HDL)之裝配有關(Oku等人,FEBS Letters (2007) 581:5029-5033)。已發現在與脂聯素濃度降低有關之肥胖 症關聯性代謝症候群之小鼠模型中脂聯素可改善代謝症候 群之異常’包括胰島素抵抗、高血糖症及血脂異常(Hara 等人 ’ Diabetes Care (2006) 29:13 57-1362)。已報導脂聯素 因應組織缺血而刺激血管發生(Shibata等人,J. Biol. Chem. (2004) 279:28670-28674)。已報導脂聯素藉助内皮 一氧化氮合酶依賴性機制來預防腦缺血性損傷(Nishimura 等人,Circulation (2008) 117:216-223)。已報導脂聯素賦 予對抗心肌缺血-再灌注損傷之保護(Shibata等人,NatDisord· (2004) 28: 963-971). Blocking Y2R with the specific antagonist BIIE-246 has been reported to attenuate the effects of peripherally administered endogenous and exogenous ργγ3 on reducing food intake (Abbott et al., Brain Res (2005) 1 043 :1 39- 144). Peripheral administration of a new long-acting selective Y2R polyethylene glycol-conjugated peptide agonist in rodents has been reported to reduce food intake and improve glucose metabolism (glucose clearance, mortar insulin, and blood glucose) (0rtiz et al., JPET) (2007) 323: 692-700; Lamb et al., J. Med. Chem. (2007) 50: 2264-2268). Removal of PYY in mice has been reported to produce hyperinsulinemia and obesity (Boey et al, Diabetologia (2006) 49: 1360-1370). Peripheral administration of long-acting, highly selective Y2R agonists has been shown to inhibit food intake and promote fat metabolism in mice (Balasubramaniam et al. Peptides (2007) 28: 235-240). There is evidence that stimulation of P YY is in vivo. Internally synthesized agents can confer protection against diet-induced and hereditary obesity and can increase glucose yield (Boey et al, Neuropeptides (2008) 42: 19-30). 149380.doc -16- 201105327 It has been reported that Y2R agonists such as PYYi-36 and ΡΥΥ3_36 confer protection against seizures (eg against seizure-induced seizures) (Ε1 Bahh et al., Eur. J. Neurosci) (2005) 22: 1417-1430; Woldbye et al., Neurobiology of Disease (2005) 20: 760-772). It has been reported that Y2R agonists such as PYYu36 and PYY3-36 have been used as pro-absorbent (or anti-secretory) hormones, which increase the absorption of both water and sodium in various parts of the intestine after intravenous administration (Bilchik) Et al, Gastroenterol. (1993) 105: 1441-1448; Liu et al, J. Surg_ Res. (1995) 58:6-11; Nightingale et al, Gut (1996) 39:267-272; Liu et al. Am Surg (1996) 62: 232-236; Balasubramaniam et al, J. Med. Chem. (2000) 43: 3420-3427). Y2R agonists such as PYY analogs have been reported to inhibit intestinal epithelial secretion and promote absorption and growth (Balasubramaniam et al, J. Med. Chem. (2000) 43:3420-3427). PYY has been reported to promote intestinal growth in normal rats (Gomez et al, Am. J. Physiol. (1995) 268: G71-G81). Y2R agonists such as ΡΥΥ!_36 and PYY3-36 have been reported to inhibit bowel movement and prevent diarrhea (ΕΡ 1902730; see also Cox, Peptides (2007) 28:345-35 1). It has been reported that Y2R agonists such as PYY丨36 and ΡΥΥ3·36 can confer protection against inflammatory bowel diseases such as ulcerative colitis and Crohn's disease (WO 03/105763). It has been reported that deficient mice exhibit an osteoporotic phenotype, ie, sputum can increase bone mass and/or can confer protection against loss of bone mass (eg, reduce bone mass loss) (Wortley et al, Gastroenterol (2007) 133: 1534-1543). PYY3_36 has been reported to confer protection to the pancreatitis 149380.doc -17· 201105327 Tooth model (Vona-Davis et al, Peptides (2007) 28: 334-338) 血管 has been reported to be angiogenic in Y2R-deficient mice Lesions (Lee et al, Peptides (2003) 24: 99-106), ie agonists of Y2R such as PYY!.36 and PYY3-36 promote angiogenesis. Y2R-deficient mice have been reported to have impaired wound healing (Ekstrand et al, PNAS USA (2003) 100: 6033-6038), ie, agonists of Y2R such as ΡΥΥ!.% and PYY3_36 promote wound healing. Ischemic angiogenesis in Y2R-deficient mice has been reported to be impaired (Lee et al., J. Clin. Invest. (2003) 11 1:1853-1862), ie, the stimulation of Y2R such as PYY丨36 and PYY3-36 The agent promotes revascularization and functional recovery of ischemic tissue. An increase in collateral-dependent blood flow in a rat model of peripheral arterial disease such as ΡΥΥ^δ and ΡΥΥ3-36 has been reported (Cruze et al., Peptides (2007) 28:269-280) It is reported that PYY and Y2R agonists such as PYY3-36 can inhibit tumor growth in, for example, pancreatic cancer (eg, pancreatic ductal adenocarcinoma), breast cancer (eg, breast invasive ductal adenocarcinoma), colon cancer (eg, colon gland) Cancer) and Barrett's adenocarcinoma (Liu et al., Surgery (1995) 118: 229-236; Liu et al, J. Surg. Res. (1995) 58: 707-712; Grise et al. J. Surg·Res. (1999) 82:151-155; Tseng et al., Peptides (2002) 23:389-395; McFadden et al., Am. J. Surg. (2004) 188:516-519). Stimulation of Y2R by, for example, PYY3_36 has been reported to result in an increase in plasma adiponectin (Ortiz et al, JPET (2007) 323:692-700). Adiponectin is an adipokine with potent anti-inflammatory properties. 149380.doc • 18-201105327 (Ouchi et al., Clin Chim Acta (2007) 380:24-30; Tilg et al., Nat· Rev. Immunol· (2006) 6:772-783). Adiponectin exerts anti-atherosclerotic effects and insulin sensitization effects mainly in muscle and liver by targeting vascular endothelial cells and macrophages (Kubota et al., J. Biol. Chem. (2002) 277:25863 -25866; Maeda et al., Nat. Med. (2002) 8: 731-737). Low adiponectin concentrations have been reported to be associated with atherosclerotic lipoproteins in dyslipidemia (triglyceride elevation, small dense LDL cholesterol, low HDL cholesterol) (Marso et al., Diabetes Care (2008) February 5曰, electronic publication before printing). Adiponectin is involved in the assembly of high density lipoprotein (HDL) (Oku et al., FEBS Letters (2007) 581: 5029-5033). Adiponectin has been shown to improve metabolic syndrome abnormalities in a mouse model of obesity-associated metabolic syndrome associated with decreased adiponectin concentrations, including insulin resistance, hyperglycemia, and dyslipidemia (Hara et al' Diabetes Care ( 2006) 29:13 57-1362). Adiponectin has been reported to stimulate angiogenesis in response to tissue ischemia (Shibata et al, J. Biol. Chem. (2004) 279:28670-28674). Adiponectin has been reported to prevent cerebral ischemic injury by means of an endothelial nitric oxide synthase-dependent mechanism (Nishimura et al., Circulation (2008) 117:216-223). Adiponectin has been reported to confer protection against myocardial ischemia-reperfusion injury (Shibata et al., Nat

Med (2005) 11:1096-1103 ; Tao等人,Circulation (2007) 115:1408-1416)。已報導脂聯素經由amp活化之蛋白激 酶、Akt及一氧化氮賦予對抗心肌缺血_再灌注損傷之保護 (Gonon等人,Cardiovasc Res. (2008) 78:1 16-122)。已報導 脂聯素藉助其能夠抑制心臟肥大及間質纖維化並保護免於 149380.doc 19 201105327 肌細胞及毛細血管丟失來賦予對抗在心肌梗塞後產生心肌 收縮障礙之保護(Shibata 等人,J_ Mol. Cell Cardiol. (2007) 42:1065-1074)。已報導脂聯素賦予對抗炎症性肺部疾病之 保護;脂聯素缺乏小鼠展示肺氣腫樣表型(Sumnier等人,Med (2005) 11:1096-1103; Tao et al., Circulation (2007) 115:1408-1416). Adiponectin has been reported to confer protection against myocardial ischemia-reperfusion injury via amp-activated protein kinase, Akt and nitric oxide (Gonon et al, Cardiovasc Res. (2008) 78:1 16-122). It has been reported that adiponectin can protect against cardiac hypertrophy and interstitial fibrosis and protect against muscle cell and capillary loss from 149380.doc 19 201105327 to protect against myocardial contraction after myocardial infarction (Shibata et al., J_) Mol. Cell Cardiol. (2007) 42:1065-1074). Adiponectin has been reported to confer protection against inflammatory lung disease; adiponectin-deficient mice exhibit an emphysema-like phenotype (Sumnier et al.

Am J. Physiol. Lung Cell Mol. Physiol (March 7,2008))。 已報導脂聯素賦予對抗可能與哮喘有關之過敏性氣道炎症 及氣道高反應性之保護(Sh〇re等人,j. Allergy Clin.Am J. Physiol. Lung Cell Mol. Physiol (March 7, 2008)). Adiponectin has been reported to confer protection against allergic airway inflammation and airway hyperresponsiveness that may be associated with asthma (Sh〇re et al., j. Allergy Clin.

Immunol (2006) 118:389-395)。已表明脂聯素藉助其胰島 素敏感化效應來賦予對抗肺動脈高企壓之保護(Hansmann 等人,Circulation (2007) 1 15..1275-1284)。已報導脂聯素 改善肥胖症相關高血壓’其中該高血壓之改善部分與前列 環素表現上調有關(Ohashi等人,Hypertension (2006) 47:1108-1 116)。已報導脂聯素減少人類主脈内皮細胞 (HAEC)中由腫瘤壞死因子(TNF)-a-誘發的黏附分子 VCAM-1、E-選擇素及ICAM-1之表現(〇uchi等人, Circulation (1999) 100:2473-2476)且抑制巨噬細胞中 TNF_ α 之產生(Yokota等人,Blood (2000) 96:1723-1732)。已報 導在血管介入後脂聯素賦予對抗再狹窄之保護(肘以川如等 人 ’ J Biol Chem (2002) 277:37487-37491)。已藉由能夠阻 辦TNF-a治療多種炎症性病況之作用之試劑證明tnf-cx在 炎症中之重要作用。TNF-a介導之炎症性病況涵蓋類風濕 性關節炎、炎症性腸病(例如克隆氏病)、強直性脊柱炎、 牛皮癖、缺血性腦損傷、心臟同種異體移植排斥、哮喘及 諸如此類(Bradley,J Pathol (2008) 214:149-160)。例如, 149380.doc •20- 201105327 參見 Yamamoto 等人,Clinical Science (2002) 103:137- 142 ; Behre,Scand J Clin Lab Invest (2007) 67:449-458 ; Guerre-Millo, Diabetes & Metabolism (2008) 34:12-18 ; Parker等人,Br. J. Pharmacol. (2008) 153:420-431。 【發明内容】 本發明係關於N-(2-氟-4-(甲基磺醯基)苯基)-5-甲基-6-(1-(5 -甲基°比嗪-2-基)六氫η比啶-4-基氧基)嘧啶-4-胺(化合 物1,式(I))及其醫藥上可接受之鹽、溶劑合物及水合物、 及其用途,該等化合物與GPCR(本文稱作GPR119)結合並 調節其活性。本文所用術語GPR119包括GeneBank登記號 為AY28 84 16中發現的人類序列、天然存在的等位基因變 體、哺乳動物直系同源物及其重組突變體。用於筛選及測 試本發明化合物之較佳人類GPR119提供於發現於pcT申請 案第WO 2005/007647號中的Seq. ID.No:l之核苷酸序列中 及Seq· ID.No:2中之相應胺基酸序列中,該申請案之全部 揭示内容以引用方式併入本文中。 本發明之一個態樣涵蓋選自以下式⑴化合物及其醫藥上 可接受之鹽、溶劑合物及水合物之化合物:Immunol (2006) 118: 389-395). Adiponectin has been shown to confer protection against high pulmonary arteries by virtue of its insulin sensitization effect (Hansmann et al., Circulation (2007) 1 15..1275-1284). Adiponectin has been reported to improve obesity-related hypertension, where the improvement in this hypertension is partly related to the upregulation of prostacyclin (Ohashi et al., Hypertension (2006) 47: 1108-1 116). Adiponectin has been reported to reduce the expression of adhesion molecules VCAM-1, E-selectin and ICAM-1 induced by tumor necrosis factor (TNF)-a in human main endothelial cells (HAEC) (〇uchi et al., Circulation ( 1999) 100: 2473-2476) and inhibits the production of TNF_α in macrophages (Yokota et al., Blood (2000) 96: 1723-1732). Adiponectin has been reported to confer protection against restenosis after vascular intervention (Elbow, et al., J Biol Chem (2002) 277: 37487-37491). The important role of tnf-cx in inflammation has been demonstrated by agents capable of preventing the action of TNF-a in the treatment of various inflammatory conditions. TNF-a-mediated inflammatory conditions include rheumatoid arthritis, inflammatory bowel disease (eg, Crohn's disease), ankylosing spondylitis, psoriasis, ischemic brain damage, cardiac allograft rejection, asthma, and the like (Bradley, J Pathol (2008) 214: 149-160). For example, 149380.doc •20-201105327 See Yamamoto et al., Clinical Science (2002) 103:137-142; Behre, Scand J Clin Lab Invest (2007) 67:449-458; Guerre-Millo, Diabetes & Metabolism ( 2008) 34:12-18; Parker et al., Br. J. Pharmacol. (2008) 153:420-431. SUMMARY OF THE INVENTION The present invention relates to N-(2-fluoro-4-(methylsulfonyl)phenyl)-5-methyl-6-(1-(5-methyl-pyrazine-2-yl) Hexahydron-pyridin-4-yloxy)pyrimidine-4-amine (Compound 1, Formula (I)), and pharmaceutically acceptable salts, solvates and hydrates thereof, and uses thereof, and the like It binds to GPCR (herein referred to as GPR119) and modulates its activity. The term GPR119 as used herein includes human sequences, naturally occurring allelic variants, mammalian orthologs, and recombinant mutants thereof, found in GeneBank Accession No. AY28 84 16. A preferred human GPR119 for screening and testing a compound of the invention is provided in the nucleotide sequence of Seq. ID. No: 1 found in pcT application No. WO 2005/007647 and Seq. ID. No: 2 The entire disclosure of this application is incorporated herein by reference. One aspect of the present invention encompasses a compound selected from the group consisting of the following compounds of the formula (1) and pharmaceutically acceptable salts, solvates and hydrates thereof:

本發明之一個態樣係關於醫藥組合物,其包含選自式(I) 化合物及其醫藥上可接受之鹽 '溶劑合物及水合物之化合 149380.doc -21- 201105327 物及醫藥上可接受之載劑。 本發明之一個態樣係關於組合物,其包含選自式⑴化合 物及其藥上可接受之鹽、溶劑合物及水合物之化合物及 二肽基肽酶IV(DPP-IV)之抑制劑。 本發明之一個態樣係關於組合物,其中Dpp-iv之抑制劑 選自以下化合物及其醫藥上可接受之鹽、溶劑合物及水合 物: 3(R)-胺基-1-[3-(三氟甲基)-5,6,7,8-四氫[1,2,4]三唑并 [4,3-8]°比嗪-7-基]-4-(2,4,5-三氟苯基)丁-1_酮; 1- [2-(3-羥基金剛烷-1-基胺基)乙醯基]D比咯啶_2(s)_甲 腈; (18,38,58)-2-[2(8)-胺基-2-(3-經基金剛烧-1-基)乙醯基]_ 2-氮雜二環[3.1.0]己烷-3-甲腈; 2- [6-[3(R)-胺基六氫吡啶-1-基]-3-曱基-2,4-二側氧基-1,2,3,4-四氫嘧啶-1-基曱基]苄腈; 8-[3(R)-胺基六氫°比啶-1-基]-7-(2-丁炔基)-3-曱基-1-(4-曱基喹唑啉-2-基曱基)黃嘌呤; 1 -[N-[3(R)-吡咯啶基]甘胺醯基]吡咯啶-2(R)-基硼酸; 4(S)-氟- l-[2-[(lR,3S)-3-(lH-l,2,4-三唑-1-基曱基)環戊 基胺基]乙醯基]0比咯啶-2(S)_曱腈; l-[(2S,3S,llbS)-2-胺基-9,10-二曱氧基-2,3,4,6,7,1113-六 氫-1H-。比啶并[2,l-a]異喹啉-3-基]-4(S)-(氟甲基)。比咯啶-2-酮; (2S,4S)-2-氰基-4-氟-l-[(2-羥基-i,i-二甲基)乙基胺基]乙 149380.doc •22· 201105327 酿基°比Π各咬; 8_(順式-六氫-吡咯并[3,2-b]吡咯-1-基)-3-曱基-7-(3-甲 基-丁 -2-烯基)-卜(2-側氧基-2-苯基乙基)-3,7-二氫·嘌呤-2,6-二酮; 1- ((38,43)-4-胺基-1-(4-(3,3-二氟吡咯啶-1-基)-1,3,5-三 嗪-2-基比嘻σ定_3_基)-5,5二氟六氫°比咬-2-酮; (R)-2-((6-(3-胺基六氫。比啶-1-基)-3-甲基-2,4-二侧氧基- 3.4- 二氫嘧啶-1(2H)-基)甲基)-4-氟苄腈; 5- {(S)-2-[2-((S)-2-氰基-吼咯啶-1-基)-2-側氧基-乙基胺 基]-丙基}-5-(1Η-四。坐-5-基)10,11-二氫-5H-二苯并[a,d]環 庚烯-2,8-二甲酸雙-二甲基醯胺; ((2S,4S)-4-(4-(3-曱基-1-苯基-ΙΗ-η比唑-5-基)六氫吡〇秦_1· 基)0比洛咬-2 -基)(四風嗟11坐-3-基)曱嗣; (2S,4S)-l-[2-[(4-乙氧基羰基二環[2.2 2]辛_1_基)胺基]乙 醯基]-4-氟吡咯啶-2-甲腈; 6- [(3R)-3-胺基-六氫吡啶-1-基]-5-(2-氯,5_氟_苄基)_丨,3_ 二曱基_1,5二氫-吡咯并[3,2-d]嘧啶·2,4-二鋼; 2- ({6-[(311)-3-胺基-3-曱基六氫1>比0定-1_基]_13_二甲美 2.4- 二側氧基-1,2,3,4-四氫-5Η-吡咯并[3,2_d]嘧啶_5_基)曱 基)-4-氟苄腈; (2S)-l-{[2-(5-曱基-2·苯基-嗔哇_4_基)_乙基胺基]_乙醯 基}-吡咯啶-2-甲腈; (聊1-{[1,1-二曱基-3-(4-心定-3-基_咪唑小基)_丙基胺 基]-乙醯基}-吡咯啶-2-甲腈; -23- 149380.doc 201105327 (3,3-二氟吡咯啶·1_基)_((23,48)-4-(4-(嘧啶_2基)六氫吡 唤-1-基)0比洛咬-2-基)曱酮; (23,48)-1-[(28)-2-胺基-3,3-雙(4-氟笨基)丙醯基]_4_氟0比 咯啶-2-曱腈; (2S,5R)-5-乙炔基_ι_{Ν_(4-曱基-1-(4-綾基·吡啶_2-基)六 氫0比唆-4-基)甘胺醯基}。比略。定_2_甲腈;及 (lS,6R)-3-{[3-(三氟曱基)_5,6_ 二氫[124]三唑并[43a] 吡嗪-7(8H)-基]羰基}_6-(2,4,5-三氟苯基)環己^-烯」·胺。 本發明之一個態樣係關於組合物’其中Dpp_iv之抑制劑 選自以下化合物及其醫藥上可接受之鹽、溶劑合物及水合 物: 3(R)-胺基_1-[3-(三氟甲基)-5,6,7,8-四氫[1,2,4]三唑并 [4,3-a]4b °秦-7-基]-4-(2,4,5-三氟苯基)丁 _ι_酮; 1- [2-(3-羥基金剛烷-1-基胺基)乙醯基]吡咯啶_2(s)_曱 腈; (18,38,58)-2-[2(3)-胺基-2-(3-經基金剛烧-1_基)乙醯基]_ 2-氮雜二環[3.1.0]己烷-3-曱腈; 2- [6-[3(R)-胺基六氫吡啶-i_基]_3_曱基_2,4_二側氧基_ 1,2,3,4-四氫嘧啶-1-基甲基]苄腈; 8-[3(11)-胺基六氫。比啶-1_基]_7_(2_丁炔基)_3_甲基_1_(4_ 曱基唾唑琳-2-基曱基)黃嘌呤; 1-[N-[3(R)-吡咯啶基]甘胺醯基]吼咯啶_2(R)_基硼酸; 4(8)-氟-1-[2-[(111,38)-3-(11^-1,2,4-三唑_1-基曱基)環戊 基胺基]乙醯基]吼咯啶-2(S)-甲腈; 149380.doc •24- 201105327 l-[(2S,3S,llbS)-2-胺基-9,l〇-二甲氧基-2,3,4,6,7,1115-六 氫-1H-吡啶并[2,l-a]異喹啉·3-基]_4(S)-(氟曱基)吡咯啶-2- 酮;及 (2S,4S)-l-[(2S)-2-胺基-3,3-雙(4-氟苯基)丙醯基]-4·氟咐 °各咬-2 -曱猜。 本發明之一個態樣係關於組合物,其中DPP-IV之抑制劑 選自以下化合物及其醫藥上可接受之鹽、溶劑合物及水合 物: 3(R)-胺基-1-[3-(三氟甲基)_5,6,7,8_四氫[1,2,4]三唑并 [4,3-a]吡嗪-7-基]-4-(2,4,5-三氟苯基)丁 -1-酮; 1- [2-(3-羥基金剛烷-1-基胺基)乙醯基]吼咯啶_2(s)_甲 腈; (lS,3S,5S)-2-[2(S)-胺基-2-(3-羥基金剛烷-1-基)乙醯基]-2-氮雜二環[3.1.0]己烷-3-曱腈; 2- [6-[3(R)-胺基六氫吼啶-!•基]_3_甲基_2,4-二側氧基-1,2,3,4-四氫嘧啶-1-基甲基]苄腈; 8-[3(R)-胺基六氫吼啶-i_基]_7_(2_ 丁炔基)_3_甲基-1-(4-甲基喹唑啉-2-基甲基)黃嘌呤; 1-[N-[3(R)-啦咯啶基]甘胺醯基]D比咯啶_2(R)_基硼酸; 4(S)-氟- l-[2-[(lR,3S)-3-(lH-l,2,4_三唑-1-基甲基)環戊 基胺基]乙醯基]吡咯啶-2(S)-f腈;及 l-[(2S,3S,llbS)-2-胺基-9,l〇-二甲氧基-2,3,4,6,7,llb-六 氫-1H-。比啶并[2,14]異喹啉-3-基]-4(8)-(氟甲基)啦咯啶-2-酮0 149380.doc -25· 201105327 關於DPIMV抑制劑的本發明之—些實施例包括__或多種 DPIMV抑制劑及其醫藥上可接受之鹽、溶劑合物及水合物 之每一組合’該等抑制劑選自以下群: 3(R)-胺基-1-[3-(三氟甲基卜以以四氫以別三唑并 [4,3-a]吡嗪-7-基]-4-(2,4,5-三氟笨基)丁 _丨_酮; 1- [2-(3-羥基金剛烷-1·基胺基)乙醯基]吡咯啶_2(s)·曱 腈; (lS,3S,5S)-2-[2(S)_胺基-2-(3-經基金剛烷基)乙醯基]_ 2-氮雜二環[3.1.0]己烷-3-曱腈; 2- [6-[3(R)-胺基六氫。比啶小基]_3_甲基_2,4_二側氧基_ 1,2,3,4-四氫嘧啶-1-基曱基]苄腈; 8-[3(R)-胺基六氫'比啶-1-基;]_7_(2_ 丁炔基)_3甲基_1(4_ 曱基喹唑啉-2-基甲基)黃嘌呤; 1-[N-[3(R)-吡咯啶基]甘胺醯基]吡咯咬_2(R)_基硼酸; 4(S)-氟-l-[2-[(lR,3S)-3-(lH-l,2,4-三唑 基甲基)環戊 基胺基]乙醞基]0比〇各咬-2(8)-甲腈;及 l-WSJS’HbS)-?-胺基-9,10_ 二曱氧基_23,4,6,711^六 氫-1H-吡啶并[2,l-a]異喹啉-3_基]_4(!§)_(氟甲基)吡咯啶_2_ 鋼0 在一些實施例中,二肽基肽酶以之抑制劑選自以下化合 物及其醫藥上可接受之鹽、溶劑合物及水合物: 3(R)_胺基-1-[3-(三氟曱基)-5,6,7,8-四氫[1,2,4]三唑并 [4,3-a]n比嗪-7-基]-4-(2,4,5-三氟笨基)丁 _ι_酮。 在一些貫施例中,二肽基肽酶IV之抑制劑係3 (R)胺基_ 149380.doc •26· 201105327 1-[3-(三氟曱基)-5,6,7,8.四氫⑴以]三唑并[4 3♦比嗪_7. 基]-4-(2,4,5·三氟苯基)丁_丨·酮磷酸鹽(1:1)單水合物。 本發明之一個態樣係關於組合物,其進—步°包含醫藥上 可接受之載劑。 μ 本發明之一個態樣係關於組合物,其中: 化合物選自以下式(1)化合物及其醫藥上可接受之鹽、溶 劑合物及水合物:One aspect of the present invention relates to a pharmaceutical composition comprising a compound selected from the group consisting of a compound of the formula (I) and a pharmaceutically acceptable salt thereof, a solvate and a hydrate thereof, 149380.doc -21 - 201105327, and a pharmaceutically acceptable Accepted carrier. One aspect of the present invention relates to a composition comprising a compound selected from the group consisting of a compound of the formula (1) and a pharmaceutically acceptable salt, solvate thereof and hydrate thereof, and an inhibitor of dipeptidyl peptidase IV (DPP-IV) . One aspect of the invention pertains to compositions wherein the inhibitor of Dpp-iv is selected from the group consisting of the following compounds and pharmaceutically acceptable salts, solvates and hydrates thereof: 3(R)-amino-1-[3 -(trifluoromethyl)-5,6,7,8-tetrahydro[1,2,4]triazolo[4,3-8]°pyrazine-7-yl]-4-(2,4 , 5-trifluorophenyl)butan-1-one; 1-[2-(3-hydroxyadamantan-1-ylamino)ethenyl]D-pyridyl-2(s)-carbonitrile; 18,38,58)-2-[2(8)-Amino-2-(3-hydroxydext-1-yl)ethenyl]- 2-azabicyclo[3.1.0]hexane -3-carbonitrile; 2-[6-[3(R)-aminohexahydropyridin-1-yl]-3-indolyl-2,4-di-oxy-1,2,3,4- Tetrahydropyrimidin-1-ylindenyl]benzonitrile; 8-[3(R)-aminohexahydropyridin-1-yl]-7-(2-butynyl)-3-indolyl-1 -(4-mercaptoquinazolin-2-ylindenyl)xanthine; 1-[N-[3(R)-pyrrolidinyl]glycidyl]pyrrolidine-2(R)-ylboronic acid; 4(S)-fluoro-l-[2-[(lR,3S)-3-(lH-l,2,4-triazol-1-ylindenyl)cyclopentylamino]ethinyl]0 Bilobidine-2(S)-indene nitrile; l-[(2S,3S,llbS)-2-amino-9,10-dimethoxy-2,3,4,6,7,1113-hexa Hydrogen-1H-. Bis-[2,l-a]isoquinolin-3-yl]-4(S)-(fluoromethyl). Biloxidin-2-one; (2S,4S)-2-cyano-4-fluoro-l-[(2-hydroxy-i,i-dimethyl)ethylamino]ethyl 149380.doc •22 · 201105327 The base is more than each bite; 8_(cis-hexahydro-pyrrolo[3,2-b]pyrrol-1-yl)-3-indolyl-7-(3-methyl-but-2 -alkenyl)-bu(2-o-oxy-2-phenylethyl)-3,7-dihydroindol-2,6-dione; 1-((38,43)-4-amino group 1-(4-(3,3-difluoropyrrolidin-1-yl)-1,3,5-triazin-2-ylpyridinium _3_yl)-5,5 difluorohexahydro ° ratio ketone-2-ketone; (R)-2-((6-(3-aminohexahydro.bipyridin-1-yl)-3-methyl-2,4-di-oxyl- 3.4- Dihydropyrimidin-1(2H)-yl)methyl)-4-fluorobenzonitrile; 5-{(S)-2-[2-((S)-2-cyano-indolyl-1-yl) -2-Sideoxy-ethylamino]-propyl}-5-(1Η-tetra. sit-5-yl) 10,11-dihydro-5H-dibenzo[a,d]cycloheptane Ethylene-2,8-dicarboxylic acid bis-dimethyl decylamine; ((2S,4S)-4-(4-(3-indolyl-1-phenyl-indole-n-biazole-5-yl)hexa Hydropyridinium _1 _1 · · -2 -2 -2 四 ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( Carbonylbicyclo[2.2 2]octyl-1amino)amino]ethinyl]-4-fluoropyrrolidin-2-carbonitrile; 6-[(3R)-3-amine -hexahydropyridin-1-yl]-5-(2-chloro,5-fluoro-benzyl)-indole, 3-dimercapto-1,5-dihydro-pyrrolo[3,2-d]pyrimidine·2 , 4-di steel; 2-({6-[(311)-3-amino-3-indenylhexahydro 1> ratio 0--1]-]13-dimethyl-2.4-di-oxy- 1,2,3,4-tetrahydro-5-pyrido[3,2-d]pyrimidin-5-yl)indolyl-4-fluorobenzonitrile; (2S)-l-{[2-(5-曱-22-·phenyl-嗔 _4_yl)-ethylamino]-ethenyl}-pyrrolidine-2-carbonitrile; (Talk 1-{[1,1-dimercapto-3- (4-carduyl-3-yl-imidazolyl)-propylamino]-ethenyl}-pyrrolidine-2-carbonitrile; -23- 149380.doc 201105327 (3,3-difluoropyrrolidine) · 1_yl)-((23,48)-4-(4-(pyrimidin-2-yl)hexahydropyridin-1-yl)0-Butyl-2-yl)anthone; (23,48) -1-[(28)-2-amino-3,3-bis(4-fluorophenyl)propanyl]_4_fluoro 0-pyridin-2-indene nitrile; (2S,5R)-5- Ethynyl_ι_{Ν_(4-mercapto-1-(4-indolylpyridin-2-yl)hexahydro 0-indol-4-yl)glycidyl}. Billion. _2_carbonitrile; and (lS,6R)-3-{[3-(trifluoromethyl)_5,6-dihydro[124]triazolo[43a]pyrazine-7(8H)-yl] Carbonyl}_6-(2,4,5-trifluorophenyl)cyclohexene-ene"-amine. One aspect of the present invention relates to a composition wherein the inhibitor of Dpp_iv is selected from the group consisting of the following compounds and pharmaceutically acceptable salts, solvates and hydrates thereof: 3(R)-aminol_1-[3-( Trifluoromethyl)-5,6,7,8-tetrahydro[1,2,4]triazolo[4,3-a]4b °Q-7-yl]-4-(2,4,5 -trifluorophenyl)butanthone; 1-[2-(3-hydroxyadamantan-1-ylamino)ethenyl]pyrrolidine-2(s)-indenenitrile; (18,38, 58)-2-[2(3)-Amino-2-(3- via fund-frost-1_yl)ethenyl]- 2-azabicyclo[3.1.0]hexane-3-anthracene Nitrile; 2-[6-[3(R)-aminohexahydropyridine-i-yl]_3_indolyl-2,4-dioxy-1,2,3,4-tetrahydropyrimidine-1 -ylmethyl]benzonitrile; 8-[3(11)-aminohexahydro. Bipyridin-1_yl]_7_(2-butynyl)_3_methyl_1_(4_decyl-thaspazole-2-ylindenyl)xanthine; 1-[N-[3(R)-pyrrole Pyridyl]glycidyl]pyridinium-2(R)-ylboronic acid; 4(8)-fluoro-1-[2-[(111,38)-3-(11^-1,2,4 -triazol-1-ylindenyl)cyclopentylamino]ethanoyl]anthrolidine-2(S)-carbonitrile; 149380.doc •24- 201105327 l-[(2S,3S,llbS)- 2-Amino-9,l-dimethoxy-2,3,4,6,7,1115-hexahydro-1H-pyrido[2,la]isoquinoline-3-yl]_4(S )-(fluoroindolyl)pyrrolidin-2-one; and (2S,4S)-l-[(2S)-2-amino-3,3-bis(4-fluorophenyl)propanyl]- 4·Fluorine 咐°bit 2 - 曱 guess. One aspect of the invention pertains to compositions wherein the inhibitor of DPP-IV is selected from the group consisting of the following compounds and pharmaceutically acceptable salts, solvates and hydrates thereof: 3(R)-amino-1-[3 -(trifluoromethyl)_5,6,7,8-tetrahydro[1,2,4]triazolo[4,3-a]pyrazine-7-yl]-4-(2,4,5 -trifluorophenyl)butan-1-one; 1-[2-(3-hydroxyadamantan-1-ylamino)ethenyl]anthrolidine-2(s)-carbonitrile; (lS,3S ,5S)-2-[2(S)-Amino-2-(3-hydroxyadamantan-1-yl)ethenyl]-2-azabicyclo[3.1.0]hexane-3-anthracene Nitrile; 2-[6-[3(R)-Amino hexahydroacridine-!•yl]_3_methyl-2,4-di-oxy-1,2,3,4-tetrahydropyrimidine- 1-ylmethyl]benzonitrile; 8-[3(R)-aminohexahydroacridine-i-yl]_7_(2-butynyl)_3_methyl-1-(4-methylquinazoline -2-ylmethyl)xanthine; 1-[N-[3(R)-la-rrolidyl]glycidyl]D-pyridyl-2(R)-ylboronic acid; 4(S)-fluoro - l-[2-[(lR,3S)-3-(lH-l,2,4-triazol-1-ylmethyl)cyclopentylamino]ethinyl]pyrrolidine-2(S) -f nitrile; and l-[(2S,3S,llbS)-2-amino-9,l-dimethoxy-2,3,4,6,7,llb-hexahydro-1H-. Bipyrido[2,14]isoquinolin-3-yl]-4(8)-(fluoromethyl)lahydropyridin-2-one 0 149380.doc -25·201105327 The present invention for a DPIMV inhibitor Some examples include __ or each of the various DPIMV inhibitors and pharmaceutically acceptable salts, solvates and hydrates thereof. The inhibitors are selected from the group consisting of: 3(R)-amino-1 -[3-(trifluoromethyl b to tetrahydrofuranium [4,3-a]pyrazin-7-yl]-4-(2,4,5-trifluorophenyl)butane丨 ketone; 1-[2-(3-hydroxyadamantan-1-ylamino)ethenyl]pyrrolidine_2(s)·phthalonitrile; (lS,3S,5S)-2-[2( S)_Amino-2-(3-hydroxyd-alkyl)-ethenyl]- 2-azabicyclo[3.1.0]hexane-3-indene nitrile; 2- [6-[3(R )-amino hexahydro.pyridinyl small group]_3_methyl-2,4_di-oxyl-1,2,3,4-tetrahydropyrimidin-1-ylindenyl]benzonitrile; 8-[ 3(R)-Aminohexahydro'pyridin-1-yl;]_7_(2-butynyl)_3methyl-1(4-decylquinazolin-2-ylmethyl)xanthine; 1-[ N-[3(R)-pyrrolidinyl]glycidyl]pyrrole _2(R)-ylboronic acid; 4(S)-fluoro-l-[2-[(lR,3S)-3-( lH-l,2,4-triazolylmethyl)cyclopentylamino]ethinyl]0 is more than each bite-2(8)-carbonitrile; -WSJS'HbS)-?-Amino-9,10_dimethoxy_23,4,6,711^hexahydro-1H-pyrido[2,la]isoquinoline-3-yl]_4 (!§) _(fluoromethyl)pyrrolidine_2_Steel 0 In some embodiments, the dipeptidyl peptidase is selected from the group consisting of the following compounds and pharmaceutically acceptable salts, solvates and hydrates thereof: 3 (R )-amino-1-[3-(trifluoromethyl)-5,6,7,8-tetrahydro[1,2,4]triazolo[4,3-a]npyrazine-7- Base]-4-(2,4,5-trifluorophenyl)butanthone. In some embodiments, the inhibitor of dipeptidyl peptidase IV is 3 (R) amine group _ 149380.doc • 26· 201105327 1-[3-(trifluoromethyl)-5,6,7,8 .tetrahydro (1) to triazolo[4 3♦pyrazine-7.yl]-4-(2,4,5·trifluorophenyl)butanthone ketone phosphate (1:1) monohydrate . One aspect of the invention pertains to compositions which comprise a pharmaceutically acceptable carrier. μ A aspect of the invention relates to a composition wherein: the compound is selected from the group consisting of the following compounds of formula (1), and pharmaceutically acceptable salts, solvates and hydrates thereof:

二肽基肽酶IV之抑制劑選自以下化合物及其醫藥上可接 受之鹽、溶劑合物及水合物: 3(R)-胺基-l-[3-(三氟甲基)_5,6,7,8_四氫π,2,4]三唑并 [4,3-a]吡嗪-7-基]-4-(2,4,5-三氟笨基)丁 _丨_酮。本發明之一 些實施例係關於組合物,其進一步包含醫藥上可接受之載 劑。 本發明之一個態樣係關於藉由使GPR1丨9受體與化合物 或其組合物接觸來調節該受體活性之方法,該化合物選自 式(I)化合物及其醫藥上可接受之鹽、溶劑合物及水合物。 本發明之一個態樣係關於藉由使GPRi丨9受體與化合物 或其組合物接觸來激動該受體之方法,該化合物選自式⑴ 化合物及其醫藥上可接受之鹽、溶劑合物及水合物。 本發明之一個態樣係關於治療個體之Gprh 9受體相關 149380.doc •27· 201105327 病症之方法,其包含向有需要之個體投與治療有效量之化 合物或其組合物,該化合物選自式(I)化合物及其醫藥上可 接受之鹽、溶劑合物及水合物。 在一些實施例中’ GPR119受體相關病症係代謝相關病 症。 本發明之一個態樣係關於治療個體之代謝相關病症之方 法’其包含向有需要之個體投與治療有效量之化合物或其 組合物,該化合物選自式(I)化合物及其醫藥上可接受之 鹽、溶劑合物及水合物。 本發明之一個態樣係關於治療選自由以下組成之群之代 謝相關病症之方法: 糖尿病、1型糖尿病、2型糖尿病、葡萄糖耐受性不足、 葡萄糖耐受性受損、胰島素抵抗、高血糖症、高脂血症、 咼甘油三酯血症、高膽固醇血症、血脂異常、動脈粥樣硬 化、中風、X症候群、高血壓、胰腺p細胞不足 (insufficient)、腸内分泌細胞不足、糖尿、代謝性酸中 毒、白内障、糖尿病性腎病、糖尿病性神經病變、外周神 經病變、糖尿病性冠狀動脈疾病、糖尿病性腦血管疾病、 糖尿病性外周血管疾病、糖尿病性視網膜病變、代謝症候 群、糖尿病相關錢、心肌梗塞、學習障礙、記憶障礙、 神經退化性病症、由增加患有神經退化性病症之個體之血 液GLP-1濃度改善之病況、由嚴重癲.称从 澉里顧厕發作所造成的興奮 毒性腦損害、阿茲海默氏病(Alzh丨 imer s dlsease)、帕金森 氏病(ParkinS〇n,S 心邮6)、亨庭頓氏病(Huntington,s 149380.doc -28- 201105327 disease)、與普里昂(pri〇n)有關之疾病、中風、運動神經 元疾病、創傷性腦損傷、脊髓損傷及肥胖症。 本發明之一個態樣係關於治療個體之2型糖尿病之方 法,其包含向有需要之個體投與治療有效量之化合物或其 組合物,该化合物選自式⑴化合物及其醫藥上可接受之 鹽、溶劑合物及水合物。 本發明之一個態樣係關於治療個體之高血糖症之方法, 其包含向有需要之個體投與治療有效量之化合物或其組合 物,該化合物選自式(I)化合物及其醫藥上可接受之鹽、溶 劑合物及水合物。 本發明之一個態樣係關於治療個體之高脂血症之方法, 其包含向有需要之個體投與治療有效量之化合物或其組合 物,該化合物選自式(I)化合物及其醫藥上可接受之鹽、溶 劑合物及水合物。 本發明之一個態樣係關於治療個體之高甘油三酯血症之 方法,其包含向有需要之個體投與治療有效量之化合物或 其組合物,該化合物選自式⑴化合物及其醫藥上可接受之 鹽、溶劑合物及水合物。 本發明之一個態樣係關於治療個體之i型糖尿病之方 法,其包含向有需要之個體投與治療有效量之化合物或其 組合物,該化合物選自式(〗)化合物及其醫藥上可接受之 鹽、溶劑合物及水合物。 本發明之一個態樣係關於治療個體之血脂異常之方法, 其包含向有需要之個體投與治療有效量之化合物或其組合 149380.doc •29· 201105327 物,該化合物選自式(i)化合物及其醫藥上可接受之鹽、溶 劑合物及水合物。 本發明之一個態樣係關於治療個體之症候群之方法,其 包含向有需要之個體投與治療有效量之化合物或其組合 物,β玄化合物選自式(I)化合物及其醫藥上可接受之鹽、溶 劑合物及水合物。 在一些實施例中,該個體係哺乳動物。 在一些實施例中,該嗔乳動物係人類。 本發明之一個態樣係關於治療個體之肥胖症之方法,其 包含向需要治療之個體投與治療有效量之化合物或其組合 物,該化合物選自式⑴化合物及其醫藥上可接受之鹽、溶 劑合物及水合物。 本發明之一個態樣係關於減少個體之食物攝取之方法, 其包含向有需要之個體投與治療有效量之化合物或其組合 物,該化合物選自式(I)化合物及其醫藥上可接受之鹽、溶 劑合物及水合物。 本發明之一個態樣係關於誘發個體之飽腹感之方法,其 包含向有需要之個體投與治療有效量之化合物或其組合 物,該化合物選自式⑴化合物及其醫藥上可接受之鹽、溶 劑合物及水合物。 本發明之一個態樣係關於控制或減少個體之重量增加之 方法,其包含向有需要之個體投與治療有效量之化合物或 其組合物,該化合物選自式⑴化合物及其醫藥上可接受之 鹽、〉谷劑合物及水合物。 149380.doc •30· 201105327 本發明之一個態樣係關於治療個體之GPRl 19受體相關 病症之方法,其包含向有需要之個體投與治療有效量之如 技術方案1之化合物與DPP-IV抑制劑之組合,其中化合物 與DPP-ΐν抑制劑係同時、分開或依序投與。 在一些實施例中,化合物與DPP-IV抑制劑係同時投與。 在一些貫施例中,化合物與DPP-IV抑制劑係分開投與。 在一些實施例中’化合物與DPP-IV抑制劑係依序投與。 在一些實施例中,GPR119受體相關病症係代謝相關病 症。 在一些實施例中,代謝相關病症選自由以下組成之群: 糖尿病、1型糖尿病、2型糖尿病、葡萄糖耐受性不足、 葡萄糖耐受性受損、胰島素抵抗、高血糖症、高脂血症、 高甘油三i旨血症、高膽固醇血症、血脂異常、動脈粥樣硬 化中風X症候群、高血壓、姨腺P細胞不足、腸内分泌 不足糖尿、代謝性酸中毒、白内障、糖尿病性腎 病、糖尿病性神經病變、外㈣經病變、糖尿病性冠狀動 脈疾病、糖尿病性腦A & A > &疾病、糖尿病性外周血管疾病、 糖尿病性視網膜病轡、 代謝症候群、糖尿病相關病況、心 Z塞、-學習障礙、記憶障礙、神經退化性病症、由增加 退化性病症之個體之血液GLM濃度改善之病 氏病、癇發作所造成的興奮毒性腦損害、阿茲海默 中風、運動;Γ病”庭頓氏病、與普里昂有關之疾病、 =運動相元_、她傷、細員傷及肥胖 149380.doc •31· 201105327 在一些實施例中,代謝相關病症係2型糖尿病。 在'-些實施例中代謝相關病症係商血糖症。 在一些實施例中’代謝相關病症係高脂血症。 在一些實施例中’代謝相關病症係高甘油三酯血症。 在一些實施例中’代謝相關病症係1型糖尿病。 在一些實施例中,代謝相關病症係血脂異常。 在一些實施例中,代謝相關病症係X症候群。 本發明之一個態樣係關於治療個體之肥胖症之方法,其 包含向需要治療之個體投與治療有效量之如技術方案1之 化合物與DPP-IV抑制劑之組合,其中化合物與Dpp-iv抑 制劑係同時、分開或依序投與。 本發明之一個態樣係關於減少個體之食物攝取之方法, 其包含向有需要之個體投與治療有效量之如技術方案i之 化合物與DPP-IV抑制劑之組合,其中化合物與〇1>1>_1¥抑 制劑係同時、分開或依序投與。 本發明之一個態樣係關於誘發個體之飽腹感之方法,其 l 3向有要之個體投與治療有效量之如技術方案1之化 '物,、DPP-IV抑制劑之組合,其中化合物與Dpp_iV抑制 劑係同時、分開或依序投與。 本發明之一個態樣係關於控制或減少個體之重量增加之 方法,其包含向有需要之個體投與治療有效量之如技術方 案1之化合物與DPIMV抑制劑之組合,其中化合物與附_ IV抑制劑係同時、分開或依序投與。 在-些實施例中,化合物與Dpp_IV抑制劑係同時投與。 l49380.d〇c •32· 201105327 在一些實施例中,化合物與DPP-IV抑制劑係分開投與。 在一些實施例中,化合物與DPP-IV抑制劑係依序投與。 本發明之一個態樣係關於化合物或其組合物在製造用於 調節GPR119受體活性之藥劑中之用途’該化合物選自式 (I)化合物及其醫藥上可接受之鹽、溶劑合物及水合物。 本發明之一個態樣係關於化合物或其組合物在製造用於 激動GPR119受體之藥劑中之用途,該化合物選自式⑴化 合物及其醫藥上可接受之鹽、溶劑合物及水合物。 本發明之一個態樣係關於化合物或其組合物在製造用於 治療GPR1 19受體相關病症之藥劑中之用途,該化合物選 自式(I)化合物及其醫藥上可接受之鹽、溶劑合物及水合 物。 本發明之一個態樣係關於化合物或其組合物在製造用於 治療代謝相關病症之藥劑中之用途,該化合物選自式⑴化 合物及其醫藥上可接受之鹽、溶劑合物及水合物。 本發明之一個態樣係關於化合物或其組合物在製造用於 治療代謝相關病症之藥劑中之用途,該化合物選自式⑴化 合物及其醫藥上可接受之鹽、溶劑合物及水合物,該代謝 相關病症選自由以下組成之群: 糖尿病、1型糖尿病、2型糖尿病、葡萄糖耐受性不足、 葡萄糖耐受性受損、胰島素抵抗、高血糖症、高脂血症、 咼甘油三酯血症、高膽固醇血症、血脂異常、動脈粥樣硬 化、中風、X症候群、高血壓、胰腺P細胞不足、腸内分泌 細胞不足、糖尿、代謝性酸中毒、白内障、糖尿病性腎 149380.doc •33· 201105327 尿雜輕病變、外㈣經病變、糖尿病 2疾病、糖尿病性腦血管疾病'糖尿病性外周血管疾病、 尿病性視網膜病變、代謝症候群、糖尿病相關病況、心 击梗塞-于習卜礙、記憶障礙、神經退化性病症、由增加 〜有神經退化性病症之個體之血液GLM濃度改善之病 况、由嚴重癲癎發作所造成的興奮毒性腦損害、阿兹海默 ^病帕金森氏病、亨庭頓氏病、與普里昂有關之疾病、 A運動神經兀疾病、創傷性腦損傷、脊髓損傷及肥胖 症。 二本务明之一個態樣係關於化合物或其組合物在製造用於 〜療2型糖尿病之藥劑中之用途,該化合物選自式⑴化合 物及其醫藥上可接受之鹽、溶劑合物及水合物。 电月之個態樣係關於化合物或其組合物在製造用於 治療高血糖症之藥劑中之用途’該化合物選自式⑴化合物 及其省藥上可接受之鹽、溶劑合物及水合物。 本發明之一個態樣係關於化合物或其組合物在製造用於 /α療而脂血症之藥劑中之用途,該化合物選自式(I)化合物 及其邊藥上可接受之鹽、溶劑合物及水合物。 本發明之一個態樣係關於化合物或其組合物在製造用於 療向甘油二雖血症之藥劑中之用途,該化合物選自式⑴ 化合物及其醫藥上可接受之鹽、溶劑合物及水合物。 本發明之一個態樣係關於化合物或其組合物在製造用於 …療1型糖尿病之藥劑中之用途,該化合物選自式⑴化合 物及其醫藥上可接受之鹽、溶劑合物及水合物。 149380.doc -34- 201105327 本發明之一個態樣係關於化合物或其纟且合物在製造用於 治療血脂異常之藥劑中之用途,該化合物選自式(I)化合物 及其醫藥上可接受之鹽、溶劑合物及水合物。 本發明之一個態樣係關於化合物或其組合物在製造用於 治療x症候群之藥劑中之用途,該化合物選自式(I)化合物 及其醫藥上可接受之鹽、溶劑合物及水合物。 本發明之一個態樣係關於選自式(I)化合物及其醫藥上可 接受之鹽、溶劑合物及水合物之化合物或其組合物在製造 用於治療肥胖症之藥劑之用途。 本發明之一個態樣係關於選自式(I)化合物及其醫藥上可 接受之鹽、溶劑合物及水合物之化合物或其組合物在製造 用於減少個體食物攝取之藥劑的用途。 本發明之一個態樣係關於選自式(I)化合物及其醫藥上可 接受之鹽、溶劑合物及水合物之化合物或其組合物在製造 用於誘發個體飽腹感之藥劑的用途。 本發明之一個態樣係關於選自式⑴化合物及其醫藥上可 接受之鹽、溶劑合物及水合物之化合物或其組合物在製造 用於控制或減少個體重量增加之藥劑的用途。 本發明之一個態樣係關於本發明化合物或其組合物用於 藉由療法來治療人類或動物體之方法。 本發明之一個態樣係關於本發明化合物或其組合物用於 調節GPR119受體活性之方法。 本發明之一個態樣係關於本發明化合物或其組合物用於 激動GPR119受體之方法。 ; ' 149380.doc -35- 201105327 本發明之一個態樣係關於本發明化合物或其組合物用於 治療GPR119受體相關病症之方法。 本發明之一個態樣係關於本發明化合物或其組合物用於 治療代謝相關病症之方法。 本發明之一個態樣係關於本發明化合物或其組合物用於 治療代謝相關病症之方法,該代謝相關病症選自由以下組 成之群: 糖尿病、1型糖尿病、2型糖尿病、葡萄糖耐受性不足、 葡萄糖耐受性受損、胰島素抵抗、高血糖症、高脂血症、 而甘油二酯血症、高膽固醇血症、血脂異常、動脈粥樣硬 化、中風、X症候群、高血壓、騰腺β細胞不足、腸内分泌 細胞不足、糖尿、代謝性酸中毒、白内障、糖尿病性腎 病、糖尿病性神經病變、外周神經病變、糖尿病性冠狀動 脈疾病、糖尿病性腦血管疾病、糖尿病性外周血管疾病、 糖尿病性視網膜病變、代謝症候群、糖尿病相關病況、心 肌梗塞、學習障礙、記憶障礙、神經退化性病症、由增加 患有神經退化性病症之個體之血液GLpq濃度改善之病 況、由嚴重癲癇發作所造成的興奮毒性腦損害、阿茲海默 氏病、帕金森氏病、亨庭頓氏病、與普里昂有關之疾病、 中風、運動神經元疾病、創傷性腦損傷、脊髓損傷及肥胖 症0 本發明之一個態樣係關於用於治療2型糖尿病之方法中 的本發明化合物或其組合物。 本發明之一個態樣係關於用於治療高血糖症之方法中的 149380.doc •36- 201105327 本發明化合物或其組合物。 本發明之一個態樣係關於用於治療高脂血症之方法中的 本發明化合物或其組合物。 本發明之一個態樣係關於用於治療高甘油三酯血症之方 法中的本發明化合物或其組合物。 本發明之一個態樣係關於用於治療1型糖尿病之方法中 的本發明化合物或其組合物。 本發明之一個態樣係關於用於治療血脂異常之方法中的 本發明化合物或其組合物。 本發明之一個態樣係關於用於治療X症候群之方法中的 本發明化合物或其組合物。 本發明之一個態樣係關於用於治療肥胖症之方法中的本 發明化合物或其組合物。 本發明之一個態樣係關於用於減少個體之食物攝取的本 發明化合物或其組合物。 本發明之一個態樣係關於用於誘發個體之飽腹感的本發 明化合物。 本發明之一個態樣係關於用於控制或減少個體之重量增 加的本發明化合物或其組合物。 在一些實施例中,該個體係哺乳動物。在—些實施例 中,3亥哺乳動物係人類。在一些實施例中,該人類的體重 指數係約18.5至約45或更大。在-些實施例中,該人類的 體:指數係約18 5至約45。在—些實施例中,該人類的體 數係約25至約45。在-些實施例中,該人類的體重指 149380.doc -37- 201105327 數係約3〇至約45。名:一此眘& & 在些實苑例中,該人類的體重指數係 約3 5至約4 5。 上本發明包括一或多種代謝相關病症之每一組合,該等代 謝相關病症選自由以下組成之群:糖尿病、】型糖尿病、2 型糖尿病、葡萄糖对受性不足、葡萄糖对受性受損、騰島 素抵抗、尚血糖症、高脂血症、高甘油三酯血症、高膽固 醇血症、血脂異常、動脈粥樣硬化、中風、X症候群、高 血壓、騰腺β細胞不足、腸内分泌細胞不足、糖尿、代謝 性酸中毒、白内障、糖尿病性腎病、糖尿病性神經病變、 外周神經病變、糖尿病性冠狀動脈疾病、糖尿病性腦血管 疾病、糖尿病性外周也管疾病、糖尿病性視網膜病變、代 "射症候群、糖尿病相關病況、心肌梗塞、學習障礙、記情 障礙、神經退化性病症、由增加患有神經退化性病症^ 體之血液GLP-1遭度改善之病況、由嚴重瘤瘤發作所造成 的興奮毒性腦損害、阿茲海默氏病、帕金森氏病、亨庭頓 氏病、與普里昂有關之疾病、中風、運動神經元疾病、創 傷性腦損傷、脊髓損傷及肥胖症。 本叙月之些貫施例包括一或多種代謝相關病症之每一 組合,該等代謝相關病症選自由以下組成之群:2型糖尿 病、高血糖症、高胰島素血症、高脂血症、高甘油三酯血 症、姨島素抵抗、1型糖尿病、特發性㈣糖尿病…型)、 成人隱匿性自身免疫性糖尿病(LADA)、早發性2型糖尿病 (EOD)、青少年發作之非典型糖尿病(y〇ad)、青少年成熟 發作型糖尿病(MODY)、營養不良相關糖尿病、蛀娠期糖 149380.doc -38· 201105327 尿病冠心病、血管再狭窄、再狹窄、血管成形術再狹 乍外周血管疾病、跋行、間歇性破行、與心肌梗塞有關 之細胞死亡(例如壞死及細胞凋亡)、血脂異常、餐後脂血 症葡萄糖耐党性受損(IGT)病況、葡萄糖代謝受損、葡 萄糖代謝又損病況、空腹血漿葡萄糖異常病況、代謝性酸 中毋酮病、關節炎、肥胖症、骨質疏鬆症、高血壓、充 血比。臟衰竭、左心室肥大、外周動脈疾病、糖尿病性視 周膜病.!、黃斑變性、白内$、糖尿病性腎病、腎小球硬 化k I1生腎衰、糖尿病性神經病變、代謝症候群、X症 候群經刖期症候群、心絞痛、血栓症、動脈粥樣硬化、 缺血性中風、短暫性缺血性發作、中風、勃起功能障礙、 皮膚及結締組織病症、足潰瘍、潰瘍性結腸炎、内皮功能 障礙及血管順應性障礙。 本發明之-個態樣係關於製備組合物之方法,其包含將 選自式⑴化合物及其醫藥上可接受之鹽、溶劑合物及水合 物之化合物與醫藥上可接受之載劑混合。 本發明之一個態樣係關於製備醫藥組合物之方法,其包 含將選自式⑴化合物及其醫藥上可接受之鹽、溶劑合物及 水合物之化合物與醫藥上可接受之載劑混合之步驟。 本發明之一個態樣係關於製備組合物之方法,其包含將 選自式(I)化合物及其醫藥上可接受之鹽、溶劑合物及水合 物之化合物與DPP-IV抑制劑混合之步驟。 本發明之一個態樣係關於製備組合物之方法,其包含將 選自式(I)化合物及其醫藥上可接受之鹽、溶劍合物及水合 149380.doc •39· 201105327 物之化合物與DPP-IV抑制劑及醫藥上可接受之載劑混合之 步驟》 本發明之一個態樣係關於製備組合物之方法,其進一步 包含自該組合物製備單位劑型之步驟。 本發明之一個態樣係關於製備用於治療個體之Gpri 19 受體相關病症之醫藥組合物之劑型的方法,該醫藥組合物 包含式(I)化合物及其醫藥上可接受之鹽、溶劑合物及水合 物、及DPP-IV抑制劑;該方法包含: (a) 將該化合物與第一醫藥上可接受之載劑混合以製備 該化合物之劑型; (b) 將該DPP-IV抑制劑與第二醫藥上可接受之載劑混合 以製備該DPP-IV抑制劑之劑型;及 ⑷提供用於$時、分開或依序應用的呈组合製劑形式 之劑型。 本發明之-個態樣係關⑨製備用於治療GpRn9受體相 關病症之醫藥組合物之劑型的方法,該病症選自由以下组 成之群: 糖尿病、1型糖尿病、2形撼 _ !糖尿病、阄萄糖耐受性不足、 葡萄糖耐受性受損、胰島专 > 古, 馬素抵抗、尚血糖症、高脂血症、 间甘油二酯血症、高膽固醇 ,,上 ^ 血月曰異常、動脈粥樣硬 化、中風、X症候群、古 群回血壓、胰腺β細胞不足、腸内分泌 、,,田胞不足、糖尿 '代謝性 成k ρ 0文中毒、白内障、糖尿病性腎 病、糖尿病性神經病變、 ^ # -r- Ρ 卜周神!病變、糖尿病性冠狀動 脈疾病、糖尿病性腦血營 S疾病、糖尿病性外周血管疾病、 149380.doc 201105327 糖尿病性視網膜病變、代謝症候群、糖尿病相關病況、心 肌梗塞、_學習障礙、記憶障礙、神經退化性病症、由增加 有_广退化’生病症之個體之血液沉卩」濃度改善之病 兄由嚴重瘤癎發作所造成的興奮毒性腦損害、阿兹海默 ^病、帕金森氏病、亨庭頓氏病'與普里昂有關之疾病、 風、運動神經元疾病、創傷性腦損傷、脊髓損傷及肥胖 症0 在一些實施例中,組合製劑係呈雙套件形式。 在一些實施例中,步驟⑷及⑻中之第一醫藥上可接受 之載劑與第二醫藥上可接受之載劑不同。 在-些實施例中,步驟⑷及⑻中之第一醫藥上可接受 之載劑與第—醫藥上可接受之載劑大體上相同。 在一些實施例中’組合製劑係用於同時應用。 在-些貫施例中,組合製劑係用於分開應用。 在一些實施例中,組合製劑係用於依序應用。 、本發明之—個態樣係關於製備用於增加個體之血液GLP_ 1濃度之醫藥組合物之劑型的方法’該醫藥組合物包含式 ⑴化合物及其醫藥上可接受之鹽、溶劑合物及水合物、及 DPP-IV抑制劑;該方法包含: ⑷將該化合物與第一醫藥上可接受之載劑混合以製備 該化合物之劑型; 以 (b)將6亥〇ΡΡ_Ιν抑制劑與第二醫藥上可接受之載劑混人 製備該WMV抑制劑之劑塑;及 ° (c)提供用於同時、分開或依序應用的呈組合製劑形式 149380.doc -41 201105327 之劑型。 雙套件形式。 中之第一醫藥上可接受 不同。 在一些實施例中’組合製劑係呈 在一些實施例中’步驟(a)及 之載劑與第二醫藥上可接受之載劑 在-些實施例中,步驟⑷及(b)中之第__醫藥上可接成 之載劑與第二醫藥上可接受之載劑大體上相同。 在一些實施例中,組合製劑係用於同時應用。 在一些實施例中,組合製劑係用於分開應用。 在一些實施例中,組合製劑係用於依序應用。 在-些實施例中,僅式⑴化合物及其醫藥上可接受之 鹽、溶劑合物及水合物之量及僅DPIMV抑制敎量在增加 個體之血液GLP-1濃度方面無治療有效性。 曰 本發明之—個態樣係關於式⑴化合物及其醫藥上可接成 之鹽、溶劑合物及水合物’其用於與Dpp_IV抑制劑組合: 以治療藉由增力口哺乳動物之血液叫濃度來改善之病 在一些實施例中,僅式⑴化合物及其醫藥上可接受之 鹽、、溶劑合物及水合物之量對於治療藉由增加哺乳動物之 血液GLP-1濃度來改善之病況無治療有 效性。 本發明之—個態樣係關於DPP-IV抑制劑,其用於與式 ⑴化合物及其醫藥上可接受之鹽、溶劑合物及水合物組合 用以冶療藉由增加哺乳動物之血液GLP-1濃度來改善之病 在—些實施例中,僅DPP-IV抑制劑之量對於治療藉由增 149380.doc -42- 201105327 加哺乳動物之血液GLP-!濃度來改善之病況無治療有效 性。 在一些實施例中,藉由增加血液GLp_uf度來改善之病 況選自由以下組成之群: 糖尿病、1型糖尿病、2型糖尿病、葡萄糖耐受性不足、 葡萄糖耐受性受損、騰島素抵抗、高血糖症、高脂血症、 高甘油三S旨血症、高膽固醇血症、血脂異常、動脈粥樣硬 化、令風、X症候群、高血壓、胰腺p細胞不^、腸内分泌 細胞不足、糖尿、代謝性酸中毒、白内障、糖尿病性腎 病、糖尿病性神經病變、外周神經病變、糖尿病性冠狀動 脈疾病、糖尿病性腦血管疾病、糖尿病性外周血管疾病、 糖尿病性視網膜病變、代謝症候群、糖尿病相關病況、心 肌梗塞、學習障礙、記憶障礙、神經退化性病症、由增加 患有神年退化性病症之個體之血液GL p _ i濃度改善之病 況由嚴重癲癇發作所造成的興奮毒性腦損害、阿兹海默 氏病、帕金森氏病、亨庭頓氏病、與普里昂有關之疾病、 中風、運動神經元疾病、·!丨丨德4〇片 幻傷性細知傷、脊髓損傷及肥胖 症。 月之一個態樣係關於醫藥組合物,其包含式⑴化合 化A物醫”:接受之鹽、溶劑合物及水合物,該等式⑴ 。及其醫樂上可接受之鹽、溶劑合物及 DP1MV抑制劑組 物用於與 口相Μ /α療猎由增加哺 犯·】濃度所改善之病況。 動物之Μ 在一些實施例令,該化合 早獨之I對於治療藉由增加 149380.doc -43- 201105327 哺乳動物之血液GLP· 1濃度來改善之病況係治療無效的。 本發明之一個態樣係關於醫藥组合物,其包含Dpp_iv抑 制劑,該DPP-IV抑制劑用於與式⑴化合物及其醫藥上可 接文之鹽、溶劑合物及水合物組合用以治療藉由增加哺乳 動物之血液GLP-1濃度來改善之病況。 在一些實施例中,藉由增加血液GLPdi度來改善之病 況選自由以下組成之群: 糖尿病、1型糖尿病、2型糖尿病、葡萄糖耐受性不足、 葡萄糖耐受性受損、膜島夺把p — 又丨土又谓 ^島京抵抗、尚血糖症、高脂血症、 高甘油三S旨血症、高膽固醇血症、血脂異常、動脈粥樣硬 化、中風、X症候群、高血壓、胰腺_胞不足、腸内分泌 細胞不足、糖尿、代謝性酸中毒、白内障、糖尿病性腎 病、糖尿病性神經病變、外周神經病變、糖尿病性冠狀動 脈疾病、糖尿病性腦4疾病、糖尿病性外周血管疾病、 糖尿病性視簡病變、代謝症候群、糖尿病相關病況、心 肌梗塞、帛習障礙、記憶障礙、神經退化性病症、神經退 化性病症、由嚴重癲癇發作所造成的興奮毒性腦損害、阿 兹海默氏病、帕金森氏病、亨庭頓氏病、肖普里昂有關之 疾病中風、運動神經元疾病、創傷性腦損傷、脊趙損傷 及肥胖症。 型 本七明之-個態樣係關於如本文所述醫藥組合物之劑 本發:月之一個態樣係關於組合製劑,其包含式⑴化合物 及其醫樂上可接受之鹽、溶劑合物及水合物、及DPP调 149380.doc 201105327 關病況之同時 制劑,該組合製劑用於治療糖尿病或其相 分開或依序應用。 在-些實施例中’僅選自式⑴化合物及其醫藥上可接受 ,鹽、溶劑合物及水合物之化合物之量及Dpp_iv抑制劑之 罝在降低個體之血糖濃度方面無治療有效性。 在一些實施财,將化合物與DPP_IV抑制劑肖醫藥上可 接受之載劑混合。 在一些實施例中’將化合物及DPP_IV抑制劑與不同的醫 藥上可接受之載劑混合。 在一些實施例中,糖尿病相關病況選自由以下組成之 群:高血糖症、葡萄糖耐受性受損、月夷島素抵抗、胰腺β 細胞不足、腸内分泌細胞不足、糖尿、代謝性酸中毒、白 内障、糖尿病性腎病、糖尿病性神經病變、糖尿病性視網 膜病變、糖尿病性冠狀動脈疾病、糖尿病性腦血管疾病、 糖尿病性外周血管疾病、代謝症候群、高脂血症、動脈粥 樣硬化、中風、高血壓及肥胖症。 ,發明之-個態樣係關於雙套件,其包含式⑴化合物及 八邊藥上可接文之鹽、溶劑合物及水合物、及抑制 劑作為組合製劑,該組合製劑用於治療糖尿病或其相關病 況。 在二貫知*例中,將化合物及DPP-IV抑制劑與不同的醫 藥上可接受之載劑混合。 在些實施例中,該等不同的醫藥上可接受之載劑適於 藉由不同途徑來投與。 H9380.doc •45· 201105327 在一些實施例中,糖尿病相關病況選自由以下組成之 群:高血糖症、葡萄糖耐受性受損、胰島素抵抗、胰腺p 細胞不足、腸内分泌細胞不足、糖尿、代謝性酸中毒、白 内障:糖尿病性腎病、糖尿病性神經病變、糖尿病性視網 膜病變、糖尿病性冠狀動脈疾病、糖尿病性腦金管疾病、 糖尿病性外周4管疾病、代謝症候群、高脂血症、動脈粥 樣硬化、中風、高血壓及肥胖症。 本發明之一個態樣係關於套組,其包含(a)第一包裝,其 包含如技術方案1之化合物或其醫藥組合物;及(b)第二包 裝,其包含DPP-IV抑制劑。 隨著本專利揭示内容的展開’將更詳細地闡述揭示於本 文中之該等及其他態樣。 【實施方式】 應瞭解,本發明為清楚起見而閣述於單獨實施例上下 中之某些特徵亦可在單__實施例中組合提供。相反,本 :為簡潔起見而闡述於單一實施例上文中之各種特徵亦 草獨提供或以任-適宜子組合提供。因此,本發明特定』 涵蓋本文所述用途及醫學適應症之所有組合,如同本幻 別且明確地引述用途及醫學適應症之每一子組合一樣。 本發明揭示内容包括在本發明化合物、其鹽及結晶形i 中出現的原子之所有同位素。同位素包括彼等具有相同: 子序數但不同質量數的原子。以一般舉例方式且不且有阳 二氯之同位素包括2卿3鲁碳之同位素包括 I49380.doc •46- 201105327 除非另有說明,否則本文使用下文定義的術語來詳細地 闡述本發明。 術語「激動劑」意指與受體相互作用並活化受體(例如 GPR119受體)並且引發以該受體為特徵的生理或藥理反應 之部分。例如’當多個部分在結合至受體後激活細胞内反 應或增強GTP與膜的結合。 術語「組合物」意指包含至少兩種組份的材料;例如且 不限於,包含本發明化合物及醫藥上可接受之載劑之組合 物。 接觸(contact或contacting)」意指在活體外系統抑或 活體内系統中將指定部分放在一起。因此,使GpRl 19受 體與本發明化合物接觸包括向具有GpR1丨9受體之個體(較 佳人類)投與本發明化合物収(例如)將本㈣化合物引入 -個樣本中’ #中該樣本中包含含有GpRii9受體的細胞 或更純化製備品。 本文所用術語「水合物 杳社j· & 物」思私本發明化合物或其鹽,其 進' 步包括化學計量或非彳h舉·*·4·按θ 飞非化學计罝量的由非共價分子間力 結合之水。 一—,入〆口;^町勺父 用,其意指由護理者(例如,料 1 j如對於人類而言為醫生、蹲 士、從業護士等;對於包括非 非人類哺乳動物的動物而言為 獸醫)作出的個體或動物需要或 ”’ „ , ^ 义將又益於治療的判斷。該 判斷係基於護理者專業領域中 Μ的各種因素作出的,且1包 括該個體或動物由於本發明 八匕 月化合物可治療之疾病、病況或 149380.doc -47· 201105327 病症而患病或將患病之知識。因&卜本發明化合物可㈣ 護性或預防性方式使用;或者本發明化合物可用來緩解' 抑制或改善疾病、病況或病症。 術語「個體」或「患者」意指包括哺乳動物在内的任何 動物’較佳為小鼠、大鼠、其他齧齒類動物、兔、狗、 猫、緒、牛、羊、馬或靈長類動物,且最佳為人類。在另 -實施例中’個體係人類且在某些實施例中,人類係嬰 兒、兒童、青年或成人。在-個實施例中,個體處於形成 GPR119相關病症之風險中。在一個實施例中,個體處於 產生代謝相關疾病或病症之風險中 。處於風險中之個體包 括(但不限於)彼等具有代謝相關疾病或病症遺傳史者或彼 等處於一種使該等患者有罹患代謝相關疾病或病症風險之 身體健康狀態中的患者。在另一實施例中,患者已由護理 者或根據護理者之指導作業之人Μ確定為患有代謝相關疾 病或病症。 術語「調節(modulate或modulating)」意指增加或減少特 定活性、功能或分子之量、質量、反應或效應。 術語「醫藥組合物」意指包含至少一種活性成份之組合 物;包括(但不限於)本發明化合物之鹽、溶劑合物及水合 物;藉此該組合物適於研究哺乳動物(例如,但不限於人 類)中之特定有效結果。彼等熟習此項技術者應理解並瞭 解適於根據技術人員之需要來確定活性成份是否具有期望 有效結果之技術。 本文所用術語「溶劑合物」意指本發明化合物或其鹽, 149380.doc -48- 201105327 =步包括化學計量或非化學計量量的由非共價分子間 力、“之溶齊卜較佳溶劑係具揮發性、無毒及/或可接受 用於以痕量投與人類之溶劑。 術語「治療有效量」意指由研究者、獸醫、醫生或其他 l床醬币所尋求的引起組織、系統、動物、個體或人類之 生物或醫療反應的活性化合物或醫藥試劑之量,該生物或 醫療反應包括以下中之一或多種: ⑴預防疾病’·例如預防可能易患該疾病、病況或病症 但尚未經歷或呈現該疾病之病理或症狀的個體之疾病、病 況或病症; (2)抑制疾病;例如抑制正經受或呈現該疾病、病況或 病症之病理或症狀的個體之疾病、病況或病症(即,阻止 該病理及/或症狀的進一步發展);及 (3)改善疾病;例如改善正經受或呈現該疾病、病況咬 病症之病理或症狀的個體之疾病、病況或病症(即,逆轉 該病理及/或症狀)。 本發明化合物 新顆化合物N-(2-氟-4-(曱基續醢基)苯基)_5_曱基-。(丄 (5 -曱基°比°秦-2-基)六氫〇比。定_4_基氧基)癌咬_4_胺(化合物” 係GPR119之有效選擇性激動劑。在HTRF cAMP分析中, N-(2-氟-4-(甲基確醯基)苯基)-5 -甲基- 6-(1-(5 -甲基η比。秦_2 基)六氫吡啶-4-基氧基)嘧啶-4-胺係「完全激動劑」。化合 物N-(2-|t-4-(曱基績g盛基)苯基)-5 -甲基- 6-(1-(5 -甲基η比。秦 2-基)六氫吡。定-4-基氧基)°密咬-4-胺可增加表現人類 149380.doc • 49- 201105327 GPR119 (GDIR)之CHO細胞之cAMP濃度,且所觀察EC50係 6 nM(參見實例1A)。N-(2-氟-4-(曱基磺醯基)苯基)-5-曱基-6-(1-(5 -甲基吡嗪-2-基)六氫吡啶-4-基氧基)嘧啶-4-胺可刺 激小鼠GLUTag細胞釋放GLP-1,且所觀察EC5〇係54.1 nM(參見實例1B)且係正常斯普拉·道來氏(SpragUe-Dawley) 大鼠活體内之強效G P R119激動劑。在每一該等模型中, N-(2-氣-4-(甲基續酿基)本基)-5-甲基- 6- (1-(5-甲基0比°秦-2_ 基)六氫°比啶-4-基氧基)嘧。定-4-胺在口服葡萄糖耐受性測試 (oGTT)(參見實例2)期間可有效增加葡萄糖清除。此外, N-(2-^-4-(曱基石頁酿基)本基)-5 -甲基- 6- (1-(5 -甲基〇比。秦_2_ 基)六氫°比啶-4-基氧基)嘧啶-4-胺以1.5 mg/kg之劑量在口 服葡萄糖耐受性測試(參見實例3)期間可顯著降低血糖濃 度。 在重組CYP酶製劑中,N-(2-氟-4·(甲基磺醯基)苯基)_5· 曱基-6-( 1-(5-甲基吡嗪-2-基)六氫吡啶_4_基氧基)嘧啶_4·胺 可抑制3A4、2C9及2C19且IC5〇抑制值分別大約為9 〇5 μΜ、8.82 μΜ及>10 μΜ且對1A2及2D0顯示無抑制。在人 類肝微粒體製劑中,對2C9之ICw抑制值大約為6 μΜ且對 於所測試其他1>450(即’ 2C19及3Α4)而言,ic50值 >30 μΜ(參見實例4及5)。 本發明之一個態樣係關於選自如式⑴中所展示的以下化 合物Ν-(2-氟-4-(曱基磺醯基)苯基)_5_甲基_6_(1(5_曱基吼 嗪-2-基)六氫吡啶_4_基氧基)嘧啶-4-胺(化合物丨): 149380.doc -50- 201105327The inhibitor of dipeptidyl peptidase IV is selected from the group consisting of the following compounds and pharmaceutically acceptable salts, solvates and hydrates thereof: 3(R)-amino-l-[3-(trifluoromethyl)-5, 6,7,8_tetrahydroπ,2,4]triazolo[4,3-a]pyrazin-7-yl]-4-(2,4,5-trifluorophenyl)butane_丨_ ketone. Some embodiments of the invention relate to compositions further comprising a pharmaceutically acceptable carrier. One aspect of the invention relates to a method of modulating the activity of a receptor by contacting a GPR1-9 receptor with a compound or a composition thereof, the compound being selected from the group consisting of a compound of formula (I) and a pharmaceutically acceptable salt thereof, Solvates and hydrates. One aspect of the present invention relates to a method for stimulating a receptor by contacting a GPRi-9 receptor with a compound or a composition thereof, the compound being selected from the group consisting of a compound of the formula (1) and a pharmaceutically acceptable salt or solvate thereof And hydrates. One aspect of the invention relates to the treatment of a Gprh 9 receptor associated with an individual 149380. Doc 27. The method of a condition comprising administering to a subject in need thereof a therapeutically effective amount of a compound or a composition selected from the group consisting of a compound of formula (I), and pharmaceutically acceptable salts, solvates thereof, and Hydrate. In some embodiments the 'GPRl 19 receptor associated disorder is a metabolically related disorder. One aspect of the invention relates to a method of treating a metabolic-related disorder in an individual comprising administering to a subject in need thereof a therapeutically effective amount of a compound selected from the group consisting of a compound of formula (I) and a pharmaceutically acceptable compound thereof Accepted salts, solvates and hydrates. One aspect of the invention relates to a method of treating a metabolic-related disorder selected from the group consisting of: diabetes, type 1 diabetes, type 2 diabetes, inadequate glucose tolerance, impaired glucose tolerance, insulin resistance, hyperglycemia Symptoms, hyperlipidemia, triglycerideemia, hypercholesterolemia, dyslipidemia, atherosclerosis, stroke, X syndrome, hypertension, pancreatic insufficient, intestinal endocrine cells, diabetes, Metabolic acidosis, cataract, diabetic nephropathy, diabetic neuropathy, peripheral neuropathy, diabetic coronary artery disease, diabetic cerebrovascular disease, diabetic peripheral vascular disease, diabetic retinopathy, metabolic syndrome, diabetes related money, Myocardial infarction, learning disabilities, memory disorders, neurodegenerative disorders, conditions in which blood GLP-1 levels are improved by increasing the number of individuals with neurodegenerative disorders, by severe epilepsy. Excited toxic brain damage caused by seizures in the village, Alzheimer's disease (Alzh丨imer s dlsease), Parkinson's disease (ParkinS〇n, S heart mail 6), Huntington's disease ( Huntington, s 149380. Doc -28- 201105327 disease), diseases related to pri〇n, stroke, motor neuron disease, traumatic brain injury, spinal cord injury and obesity. One aspect of the invention is a method of treating type 2 diabetes in a subject comprising administering to a subject in need thereof a therapeutically effective amount of a compound or a composition selected from the group consisting of a compound of formula (1) and a pharmaceutically acceptable compound thereof Salts, solvates and hydrates. One aspect of the invention relates to a method of treating hyperglycemia in an individual comprising administering to a subject in need thereof a therapeutically effective amount of a compound or a composition selected from the group consisting of a compound of formula (I) and a pharmaceutically acceptable compound thereof Accepted salts, solvates and hydrates. One aspect of the invention relates to a method of treating hyperlipidemia in a subject comprising administering to a subject in need thereof a therapeutically effective amount of a compound or a composition selected from the group consisting of a compound of formula (I) and a medicament thereof Acceptable salts, solvates and hydrates. One aspect of the invention relates to a method of treating hypertriglyceridemia in an individual comprising administering to a subject in need thereof a therapeutically effective amount of a compound or a composition selected from the group consisting of a compound of formula (1) and a medicament thereof. Acceptable salts, solvates and hydrates. One aspect of the invention relates to a method of treating i-type diabetes in an individual comprising administering to a subject in need thereof a therapeutically effective amount of a compound or a composition selected from the group consisting of a compound of formula () and a pharmaceutically acceptable compound thereof Accepted salts, solvates and hydrates. One aspect of the invention relates to a method of treating dyslipidemia in an individual comprising administering to a subject in need thereof a therapeutically effective amount of a compound or a combination thereof 149380. Doc • 29. 201105327, the compound is selected from the group consisting of a compound of formula (i), and pharmaceutically acceptable salts, solvates and hydrates thereof. One aspect of the invention relates to a method of treating a syndrome in an individual comprising administering to a subject in need thereof a therapeutically effective amount of a compound or a composition thereof, wherein the beta 玄 compound is selected from the group consisting of a compound of formula (I) and pharmaceutically acceptable thereof Salts, solvates and hydrates. In some embodiments, the system is a mammal. In some embodiments, the suckling animal is a human. One aspect of the invention relates to a method of treating obesity in an individual comprising administering to a subject in need of treatment a therapeutically effective amount of a compound or a composition selected from the group consisting of a compound of formula (1) and a pharmaceutically acceptable salt thereof. , solvates and hydrates. One aspect of the invention relates to a method of reducing food intake in an individual comprising administering to a subject in need thereof a therapeutically effective amount of a compound selected from the group consisting of a compound of formula (I) and a pharmaceutically acceptable compound thereof Salts, solvates and hydrates. One aspect of the invention is a method of inducing satiety in an individual comprising administering to a subject in need thereof a therapeutically effective amount of a compound or a composition selected from the group consisting of a compound of formula (1) and a pharmaceutically acceptable compound thereof Salts, solvates and hydrates. One aspect of the invention relates to a method of controlling or reducing the weight gain of an individual comprising administering to a subject in need thereof a therapeutically effective amount of a compound selected from the group consisting of a compound of formula (1) and a pharmaceutically acceptable compound thereof. Salt, gluten, and hydrate. 149380. Doc • 30· 201105327 A version of the invention relates to a method of treating a GPR19 receptor-associated disorder in an individual comprising administering to a subject in need thereof a therapeutically effective amount of a compound of claim 1 and a DPP-IV inhibitor A combination wherein the compound is administered simultaneously, separately or sequentially with the DPP-ΐν inhibitor system. In some embodiments, the compound is administered concurrently with a DPP-IV inhibitor system. In some embodiments, the compound is administered separately from the DPP-IV inhibitor. In some embodiments, the compound is administered sequentially with a DPP-IV inhibitor. In some embodiments, the GPR119 receptor associated disorder is a metabolic related disorder. In some embodiments, the metabolic related disorder is selected from the group consisting of: diabetes, type 1 diabetes, type 2 diabetes, inadequate glucose tolerance, impaired glucose tolerance, insulin resistance, hyperglycemia, hyperlipidemia , high glycerol, hypercholesterolemia, dyslipidemia, atherosclerosis, stroke X syndrome, hypertension, parotid P cell deficiency, intestinal endocrine deficiency, diabetes, metabolic acidosis, cataract, diabetic nephropathy, Diabetic neuropathy, external (four) meridian lesions, diabetic coronary artery disease, diabetic brain A & A >& disease, diabetic peripheral vascular disease, diabetic retinopathy, metabolic syndrome, diabetes-related conditions, heart Z Sputum, learning disabilities, memory disorders, neurodegenerative disorders, disease-induced GML in patients with increased degenerative conditions, excitotoxic brain damage caused by seizures, Alzheimer's stroke, exercise; Disease "Tington's disease, disease related to Prian, = sports phase _, her injury, injury and obesity 149380. Doc • 31· 201105327 In some embodiments, the metabolic related disorder is type 2 diabetes. In some embodiments, the metabolic related disorder is a glycemic disorder. In some embodiments the 'metabolic related disorder is hyperlipidemia. In some embodiments the 'metabolic related disorder is hypertriglyceridemia. In some embodiments the 'metabolic related disorder is type 1 diabetes. In some embodiments, the metabolic related disorder is dyslipidemia. In some embodiments, the metabolic related disorder is X syndrome. One aspect of the invention relates to a method of treating obesity in an individual comprising administering to a subject in need of treatment a therapeutically effective amount of a combination of a compound of claim 1 and a DPP-IV inhibitor, wherein the compound is Dpp-iv Inhibitors are administered simultaneously, separately or sequentially. One aspect of the invention relates to a method of reducing food intake in an individual comprising administering to a subject in need thereof a therapeutically effective amount of a combination of a compound of the formula i and a DPP-IV inhibitor, wherein the compound and the oxime 1>1>_1¥ inhibitors are administered simultaneously, separately or sequentially. One aspect of the present invention relates to a method for inducing satiety in an individual, which comprises administering to a subject in need thereof a therapeutically effective amount of a combination of a chemical substance, a DPP-IV inhibitor, wherein The compound is administered simultaneously, separately or sequentially with the Dpp_iV inhibitor. One aspect of the invention relates to a method of controlling or reducing the weight gain of an individual comprising administering to a subject in need thereof a therapeutically effective amount of a combination of a compound of claim 1 and a DPIMV inhibitor, wherein the compound and the attached IV Inhibitors are administered simultaneously, separately or sequentially. In some embodiments, the compound is administered concurrently with the Dpp_IV inhibitor system. L49380. D〇c • 32· 201105327 In some embodiments, the compound is administered separately from the DPP-IV inhibitor. In some embodiments, the compound is administered sequentially with a DPP-IV inhibitor. One aspect of the invention relates to the use of a compound or composition thereof for the manufacture of a medicament for modulating the activity of a GPR119 receptor. The compound is selected from the group consisting of a compound of formula (I), and pharmaceutically acceptable salts, solvates thereof, and Hydrate. One aspect of the present invention relates to the use of a compound or a composition thereof for the manufacture of a medicament for agonizing the GPR119 receptor, which compound is selected from the group consisting of the compound of the formula (1) and pharmaceutically acceptable salts, solvates and hydrates thereof. One aspect of the invention relates to the use of a compound or composition thereof for the manufacture of a medicament for the treatment of a GPR1 19 receptor-related disorder selected from the group consisting of a compound of formula (I), and a pharmaceutically acceptable salt thereof, a solvent combination thereof And hydrates. One aspect of the invention relates to the use of a compound or composition thereof for the manufacture of a medicament for the treatment of a metabolic-related disorder selected from the group consisting of a compound of formula (1), and pharmaceutically acceptable salts, solvates and hydrates thereof. One aspect of the invention relates to the use of a compound or composition thereof for the manufacture of a medicament for the treatment of a metabolic-related disorder selected from the group consisting of a compound of formula (1), and pharmaceutically acceptable salts, solvates and hydrates thereof, The metabolic-related disorder is selected from the group consisting of: diabetes, type 1 diabetes, type 2 diabetes, inadequate glucose tolerance, impaired glucose tolerance, insulin resistance, hyperglycemia, hyperlipidemia, sputum triglycerides Hypertension, hypercholesterolemia, dyslipidemia, atherosclerosis, stroke, X syndrome, hypertension, pancreatic P cell deficiency, intestinal endocrine cell deficiency, diabetes, metabolic acidosis, cataract, diabetic kidney 149380. Doc •33· 201105327 urinary light lesions, external (four) menstrual disease, diabetes 2 diseases, diabetic cerebrovascular disease 'diabetic peripheral vascular disease, urinary retinopathy, metabolic syndrome, diabetes-related conditions, heart attack infarction Disorders, memory disorders, neurodegenerative disorders, conditions in which blood GLM levels are improved by individuals with increased neurodegenerative disorders, excitotoxic brain damage caused by severe epileptic seizures, Alzheimer's disease Parkinson Disease, Huntington's disease, diseases associated with Prian, A motor neurosis, traumatic brain injury, spinal cord injury and obesity. A mode of the present invention relates to the use of a compound or a composition thereof for the manufacture of a medicament for the treatment of type 2 diabetes, the compound being selected from the group consisting of a compound of the formula (1) and a pharmaceutically acceptable salt, solvate thereof and hydrate thereof Things. The present invention relates to the use of a compound or a composition thereof for the manufacture of a medicament for the treatment of hyperglycemia. The compound is selected from the group consisting of the compound of the formula (1) and its pharmaceutically acceptable salts, solvates and hydrates. . One aspect of the invention relates to the use of a compound or composition thereof for the manufacture of a medicament for the treatment of lipoemia for /alpha therapy, the compound being selected from the group consisting of a compound of formula (I) and a pharmaceutically acceptable salt thereof, a solvent Compounds and hydrates. One aspect of the present invention relates to the use of a compound or a composition thereof for the manufacture of a medicament for the treatment of glycerol bisemia, which is selected from the group consisting of a compound of the formula (1), and pharmaceutically acceptable salts, solvates thereof and Hydrate. One aspect of the present invention relates to the use of a compound or a composition thereof for the manufacture of a medicament for the treatment of type 1 diabetes, which is selected from the group consisting of a compound of the formula (1) and pharmaceutically acceptable salts, solvates and hydrates thereof . 149380. Doc-34-201105327 A version of the invention relates to the use of a compound or a ruthenium complex thereof for the manufacture of a medicament for the treatment of dyslipidemia, which compound is selected from the group consisting of a compound of formula (I) and a pharmaceutically acceptable salt thereof , solvates and hydrates. One aspect of the invention relates to the use of a compound or composition thereof for the manufacture of a medicament for the treatment of x syndrome, which compound is selected from the group consisting of a compound of formula (I) and pharmaceutically acceptable salts, solvates and hydrates thereof . One aspect of the present invention relates to the use of a compound selected from the compounds of formula (I), and pharmaceutically acceptable salts, solvates and hydrates thereof, or compositions thereof, for the manufacture of a medicament for the treatment of obesity. One aspect of the present invention relates to the use of a compound selected from the compounds of formula (I), and pharmaceutically acceptable salts, solvates and hydrates thereof, or compositions thereof, for the manufacture of a medicament for reducing food intake in an individual. One aspect of the present invention relates to the use of a compound selected from the compounds of formula (I) and pharmaceutically acceptable salts, solvates and hydrates thereof, or compositions thereof, for the manufacture of a medicament for inducing satiety in an individual. One aspect of the present invention relates to the use of a compound selected from the compound of formula (1) and a pharmaceutically acceptable salt, solvate or hydrate thereof, or a composition thereof, for the manufacture of a medicament for controlling or reducing the weight gain of an individual. One aspect of the invention pertains to a method of treating a human or animal body by therapy with a compound of the invention or a composition thereof. One aspect of the invention pertains to a method of modulating GPR119 receptor activity with respect to a compound of the invention or a composition thereof. One aspect of the invention pertains to methods of using the compounds of the invention or compositions thereof for agonizing the GPR119 receptor. ; ' 149380. Doc-35-201105327 One aspect of the invention pertains to a method of treating a GPR119 receptor-associated disorder with a compound of the invention or a composition thereof. One aspect of the invention pertains to a method of treating a metabolic related disorder with a compound of the invention or a composition thereof. One aspect of the invention pertains to a method of treating a metabolic-related disorder with a compound of the invention or a composition thereof, the metabolic-related disorder being selected from the group consisting of: diabetes, type 1 diabetes, type 2 diabetes, inadequate glucose tolerance , impaired glucose tolerance, insulin resistance, hyperglycemia, hyperlipidemia, and diglycerideemia, hypercholesterolemia, dyslipidemia, atherosclerosis, stroke, X syndrome, hypertension, gonads Insufficient beta cells, intestinal endocrine cells, diabetes, metabolic acidosis, cataracts, diabetic nephropathy, diabetic neuropathy, peripheral neuropathy, diabetic coronary artery disease, diabetic cerebrovascular disease, diabetic peripheral vascular disease, diabetes Retinopathy, metabolic syndrome, diabetes-related conditions, myocardial infarction, learning disabilities, memory disorders, neurodegenerative disorders, conditions in which the blood GLpq concentration is improved by an individual with a neurodegenerative disorder, caused by severe seizures Excitatory toxic brain damage, Alzheimer's disease, Parkin Disease, Huntington's disease, disease associated with Prian, stroke, motor neuron disease, traumatic brain injury, spinal cord injury, and obesity 0 One aspect of the present invention relates to a method for treating type 2 diabetes A compound of the invention or a composition thereof. One aspect of the invention relates to a method for treating hyperglycemia 149380. Doc • 36- 201105327 A compound of the invention or a composition thereof. One aspect of the invention pertains to a compound of the invention or a composition thereof for use in a method of treating hyperlipidemia. One aspect of the invention pertains to a compound of the invention or a composition thereof for use in a method of treating hypertriglyceridemia. One aspect of the invention pertains to a compound of the invention or a composition thereof for use in a method of treating type 1 diabetes. One aspect of the invention pertains to a compound of the invention or a composition thereof for use in a method of treating dyslipidemia. One aspect of the invention pertains to a compound of the invention or a composition thereof for use in a method of treating X syndrome. One aspect of the invention pertains to a compound of the invention or a composition thereof for use in a method of treating obesity. One aspect of the invention pertains to a compound of the invention or a composition thereof for use in reducing food intake in an individual. One aspect of the invention pertains to the compounds of the invention for use in inducing satiety in an individual. One aspect of the invention pertains to a compound of the invention or a composition thereof for use in controlling or reducing the weight gain of an individual. In some embodiments, the system is a mammal. In some embodiments, the 3 Hai mammal is a human. In some embodiments, the human body weight index is about 18. 5 to about 45 or more. In some embodiments, the human body: index is between about 18 5 and about 45. In some embodiments, the human body is between about 25 and about 45. In some embodiments, the human body weight is 149,380. Doc -37- 201105327 The number is about 3〇 to about 45. Name: One such caution &&&&&&&&&&> In these examples, the human body mass index is about 35 to about 45. The present invention encompasses each combination of one or more metabolically related disorders selected from the group consisting of diabetes, type 2 diabetes, type 2 diabetes, impaired glucose tolerance, impaired glucose tolerance, Tengdaosu resistance, blood sugar, hyperlipidemia, hypertriglyceridemia, hypercholesterolemia, dyslipidemia, atherosclerosis, stroke, X syndrome, hypertension, TB deficiency, enteroendocrine Cell deficiency, diabetes, metabolic acidosis, cataract, diabetic nephropathy, diabetic neuropathy, peripheral neuropathy, diabetic coronary artery disease, diabetic cerebrovascular disease, diabetic peripheral disease, diabetic retinopathy, generation "shot syndrome, diabetes-related conditions, myocardial infarction, learning disabilities, memory disorders, neurodegenerative disorders, conditions in which blood GLP-1 is improved by increased neurodegenerative disorders, by severe tumor onset Excitatory toxic brain damage, Alzheimer's disease, Parkinson's disease, Huntington's disease, and Aung about the disease, stroke, motor neuron disease, traumatic brain injury, spinal cord injury and obesity. Some examples of the present month include each combination of one or more metabolically related disorders selected from the group consisting of type 2 diabetes, hyperglycemia, hyperinsulinemia, hyperlipidemia, Hypertriglyceridemia, insulin resistance, type 1 diabetes, idiopathic (four) diabetes type), adult occult autoimmune diabetes (LADA), early onset type 2 diabetes (EOD), atypical pneumonia Type 2 diabetes (y〇ad), adolescent mature onset diabetes (MODY), malnutrition-related diabetes, sputum sugar 149380. Doc -38· 201105327 Urinary coronary heart disease, vascular restenosis, restenosis, angioplasty, narrow-neck peripheral vascular disease, lameness, intermittent breaks, cell death associated with myocardial infarction (eg necrosis and apoptosis) , dyslipidemia, postprandial lipemia, impaired glucose tolerance (IGT), impaired glucose metabolism, glucose metabolism and disease, fasting plasma glucose abnormalities, metabolic acid ketosis, arthritis, obesity, Osteoporosis, hypertension, and congestion ratio. Dirty failure, left ventricular hypertrophy, peripheral arterial disease, diabetic retinopathy. ! , macular degeneration, intradermal $, diabetic nephropathy, glomerular sclerosis, k I1 renal failure, diabetic neuropathy, metabolic syndrome, X syndrome, sputum syndrome, angina pectoris, thrombosis, atherosclerosis, ischemic Stroke, transient ischemic attack, stroke, erectile dysfunction, skin and connective tissue disorders, foot ulcers, ulcerative colitis, endothelial dysfunction, and vascular compliance disorders. A mode of the present invention relates to a method of preparing a composition comprising mixing a compound selected from the group consisting of a compound of the formula (1) and a pharmaceutically acceptable salt, solvate thereof and hydrate thereof with a pharmaceutically acceptable carrier. One aspect of the present invention relates to a method of preparing a pharmaceutical composition comprising mixing a compound selected from the group consisting of a compound of the formula (1) and a pharmaceutically acceptable salt, solvate thereof and hydrate thereof with a pharmaceutically acceptable carrier step. One aspect of the present invention relates to a method of preparing a composition comprising the step of mixing a compound selected from the group consisting of a compound of the formula (I) and a pharmaceutically acceptable salt, solvate thereof and hydrate thereof with a DPP-IV inhibitor . One aspect of the present invention relates to a method of preparing a composition comprising a compound selected from the group consisting of a compound of formula (I), and a pharmaceutically acceptable salt thereof, a solvating compound, and hydrated 149,380. Doc • 39· 201105327 Step of mixing a compound of a compound with a DPP-IV inhibitor and a pharmaceutically acceptable carrier. A method of the present invention relates to a method of preparing a composition, which further comprises preparing a unit dosage form from the composition The steps. One aspect of the invention relates to a method of preparing a pharmaceutical composition for treating a Gpri 19 receptor-associated disorder in a subject, the pharmaceutical composition comprising a compound of formula (I), a pharmaceutically acceptable salt thereof, a solvate And a hydrate, and a DPP-IV inhibitor; the method comprises: (a) mixing the compound with a first pharmaceutically acceptable carrier to prepare a dosage form of the compound; (b) the DPP-IV inhibitor A dosage form prepared by mixing with a second pharmaceutically acceptable carrier to prepare the DPP-IV inhibitor; and (4) providing a dosage form in the form of a combined preparation for use in a time, separate or sequential application. A mode of the invention is a method of preparing a pharmaceutical composition for treating a GpRn9 receptor-associated disorder, the disorder being selected from the group consisting of: diabetes, type 1 diabetes, type 2 撼 _ diabetes, Insufficient glucose tolerance, impaired glucose tolerance, islet specific> ancient, horse resistance, blood sugar, hyperlipidemia, inter-diglyceridemia, high cholesterol, upper blood stasis Abnormalities, atherosclerosis, stroke, X syndrome, ancient group blood pressure, pancreatic β-cell deficiency, enteroendocrine,, field cell deficiency, diabetes, metabolism into k ρ 0 poisoning, cataract, diabetic nephropathy, diabetes Neuropathy, ^ # -r- Ρ 周 周神! Lesions, diabetic coronary artery disease, diabetic cerebral blood s disease, diabetic peripheral vascular disease, 149,380. Doc 201105327 Diabetic retinopathy, metabolic syndrome, diabetes-related conditions, myocardial infarction, _ learning disabilities, memory disorders, neurodegenerative disorders, increased blood concentration by individuals with increased _ extensive degenerative disease Excitotoxic brain damage caused by severe onset of oncosis, Alzheimer's disease, Parkinson's disease, Huntington's disease associated with Prian, wind, motor neuron disease, traumatic brain injury, Spinal Cord Injury and Obesity 0 In some embodiments, the combination formulation is in the form of a dual kit. In some embodiments, the first pharmaceutically acceptable carrier in steps (4) and (8) is different than the second pharmaceutically acceptable carrier. In some embodiments, the first pharmaceutically acceptable carrier in steps (4) and (8) is substantially the same as the first pharmaceutically acceptable carrier. In some embodiments, the combination formulation is for simultaneous application. In some embodiments, the combination formulation is for separate application. In some embodiments, the combination formulation is for sequential application. The present invention relates to a method for preparing a pharmaceutical composition for increasing the blood GLP-1 concentration of an individual. The pharmaceutical composition comprises a compound of the formula (1), a pharmaceutically acceptable salt thereof, a solvate thereof, and a hydrate, and a DPP-IV inhibitor; the method comprising: (4) mixing the compound with a first pharmaceutically acceptable carrier to prepare a dosage form of the compound; (b) treating the 6 〇ΡΡ Ι Ι 抑制剂 inhibitor with the second The pharmaceutically acceptable carrier is prepared by mixing the WMV inhibitor; and (c) providing the combined preparation form 149380 for simultaneous, separate or sequential application. Doc -41 201105327 dosage form. Double kit form. The first medicine in the acceptance is different. In some embodiments, the 'combination formulation is in some embodiments' the step (a) and the carrier and the second pharmaceutically acceptable carrier. In some embodiments, the first of steps (4) and (b) The pharmaceutically acceptable carrier is substantially the same as the second pharmaceutically acceptable carrier. In some embodiments, the combination formulation is for simultaneous application. In some embodiments, the combination formulation is for separate applications. In some embodiments, the combination formulation is for sequential application. In some embodiments, only the amount of the compound of formula (1) and its pharmaceutically acceptable salts, solvates, and hydrates, and the amount of DPIMV inhibited sputum, are not therapeutically effective in increasing blood GLP-1 concentration in an individual. The present invention relates to a compound of the formula (1) and a pharmaceutically acceptable salt, solvate and hydrate thereof for use in combination with a Dpp_IV inhibitor: for treating blood of a mammal by boosting the mouth The concentration is to improve the disease. In some embodiments, only the amount of the compound of formula (1) and its pharmaceutically acceptable salts, solvates, and hydrates is improved for treatment by increasing the blood GLP-1 concentration in a mammal. The condition has no therapeutic effectiveness. A mode of the present invention relates to a DPP-IV inhibitor for use in combination with a compound of the formula (1) and a pharmaceutically acceptable salt, solvate thereof and hydrate thereof for the treatment of blood glucose by increasing the mammalian blood GLP -1 concentration to improve the disease In some embodiments, only the amount of DPP-IV inhibitor is increased by 149,380 for treatment. Doc -42- 201105327 Adding mammalian blood GLP-! concentration to improve the condition without treatment effectiveness. In some embodiments, the condition improved by increasing blood GLp_uf is selected from the group consisting of: diabetes, type 1 diabetes, type 2 diabetes, inadequate glucose tolerance, impaired glucose tolerance, and resistance to tamsin , hyperglycemia, hyperlipidemia, hyperglycerin trisodium semia, hypercholesterolemia, dyslipidemia, atherosclerosis, wind, X syndrome, hypertension, pancreatic p cells, and intestinal endocrine cells ,diabetes, metabolic acidosis, cataract, diabetic nephropathy, diabetic neuropathy, peripheral neuropathy, diabetic coronary artery disease, diabetic cerebrovascular disease, diabetic peripheral vascular disease, diabetic retinopathy, metabolic syndrome, diabetes Related conditions, myocardial infarction, learning disabilities, memory disorders, neurodegenerative disorders, excitotoxic brain damage caused by severe seizures caused by increased blood GL p _ i concentration in individuals with degenerative conditions of the Year of the Sen, Alzheimer's disease, Parkinson's disease, Huntington's disease, diseases associated with Prian, medium Wind, motor neuron disease, ·! 丨丨德 4 film illusory fine injury, spinal cord injury and obesity. One aspect of the month relates to a pharmaceutical composition comprising a compound of the formula (1) A: a salt, a solvate and a hydrate which are accepted, the formula (1), and a therapeutically acceptable salt or solvent thereof The substance and the DP1MV inhibitor group are used for the condition of the oral phase Μ/α 猎 由 由 由 。 。 。 。 。 。 。 。 。 动物 动物 动物 动物 动物 Μ Μ Μ Μ Μ Μ Μ Μ Μ Μ Μ Μ Μ Μ Μ Μ Μ Μ Μ Μ Μ Μ Μ Μ Μ . Doc -43- 201105327 The concentration of GLP·1 in mammalian blood to improve the condition is ineffective. One aspect of the present invention relates to a pharmaceutical composition comprising a Dpp-iv inhibitor for use in combination with a compound of formula (1) and a pharmaceutically acceptable salt, solvate thereof and hydrate thereof for treatment The condition is improved by increasing the blood GLP-1 concentration in the mammal. In some embodiments, the condition improved by increasing blood GLPdi is selected from the group consisting of: diabetes, type 1 diabetes, type 2 diabetes, inadequate glucose tolerance, impaired glucose tolerance, membrane island capture p — 丨 又 又 ^ 岛 岛 京 京 京 京 京 京 京 京 京 京 京 京 京 京 京 京 京 京 京 京 京 京 京 京 京 京 京 京 京 ^ 京 ^ ^ ^ ^ ^ ^ ^ ^ ^ ^ ^ ^ Pancreatic _ cell deficiency, intestinal endocrine cell deficiency, diabetes, metabolic acidosis, cataract, diabetic nephropathy, diabetic neuropathy, peripheral neuropathy, diabetic coronary artery disease, diabetic brain 4 disease, diabetic peripheral vascular disease, Diabetic dysplasia, metabolic syndrome, diabetes-related conditions, myocardial infarction, paralysis disorder, memory disorder, neurodegenerative disorder, neurodegenerative disorder, excitotoxic brain damage caused by severe seizures, Alzheimer's disease Disease, Parkinson's disease, Huntington's disease, Spirion-related disease stroke, motor neuron disease, traumatic Injury, spinal injury and Zhao obesity. The present invention relates to a pharmaceutical composition as described herein. One aspect of the month relates to a combined preparation comprising a compound of the formula (1) and a pharmaceutically acceptable salt or solvate thereof. And hydrate, and DPP tone 149380. Doc 201105327 A simultaneous preparation for the treatment of diabetes or its separate or sequential application. In some embodiments, the amount of the compound selected from the group consisting of the compound of the formula (1) and its pharmaceutically acceptable salts, solvates and hydrates, and the Dpp_iv inhibitor are not therapeutically effective in lowering the blood glucose concentration of the individual. In some implementations, the compound is mixed with a DPP_IV inhibitor, a pharmaceutically acceptable carrier. In some embodiments, the compound and the DPP-IV inhibitor are mixed with different pharmaceutically acceptable carriers. In some embodiments, the diabetes-related condition is selected from the group consisting of hyperglycemia, impaired glucose tolerance, temperament resistance, pancreatic beta cell deficiency, intestinal endocrine deficiencies, diabetes, metabolic acidosis, cataract , diabetic nephropathy, diabetic neuropathy, diabetic retinopathy, diabetic coronary artery disease, diabetic cerebrovascular disease, diabetic peripheral vascular disease, metabolic syndrome, hyperlipidemia, atherosclerosis, stroke, hypertension And obesity. The invention relates to a dual kit comprising a compound of the formula (1) and an octagonal pharmaceutically acceptable salt, a solvate and a hydrate thereof, and an inhibitor as a combined preparation for treating diabetes or Its related conditions. In a two-dimensional example, the compound and the DPP-IV inhibitor are mixed with different pharmaceutically acceptable carriers. In some embodiments, the different pharmaceutically acceptable carriers are suitable for administration by different routes. H9380. Doc •45· 201105327 In some embodiments, the diabetes-related condition is selected from the group consisting of hyperglycemia, impaired glucose tolerance, insulin resistance, pancreatic p-cell deficiency, intestinal endocytosis, diabetes, metabolic acid Poisoning, cataract: diabetic nephropathy, diabetic neuropathy, diabetic retinopathy, diabetic coronary artery disease, diabetic brain tube disease, diabetic peripheral 4 tube disease, metabolic syndrome, hyperlipidemia, atherosclerosis, Stroke, high blood pressure and obesity. One aspect of the invention pertains to a kit comprising (a) a first package comprising a compound of claim 1 or a pharmaceutical composition thereof; and (b) a second package comprising a DPP-IV inhibitor. These and other aspects disclosed in this document are set forth in more detail in the context of the disclosure of this disclosure. [Embodiment] It is to be understood that certain features of the present invention, which are set forth in the context of a single embodiment, may also be provided in combination in a single embodiment. In contrast, the various features set forth above for a single embodiment are also provided solely or in any suitable sub-combination. Accordingly, the present invention encompasses all combinations of uses and medical indications described herein, as the present illusion and expressly recites each sub-combination of use and medical indications. The present disclosure includes all isotopes of atoms occurring in the compounds of the present invention, their salts, and crystalline forms i. Isotopes include atoms that have the same: number of sub-sequences but different mass numbers. By way of general example and not, the isotope of dichlorobenzene includes the isotopes of 2 Qing 3 Lu carbon including I49380. Doc • 46- 201105327 Unless otherwise stated, the present invention is explained in detail using terms defined below. The term "agonist" means a moiety that interacts with a receptor and activates a receptor (e.g., the GPR119 receptor) and elicits a physiological or pharmacological response characterized by the receptor. For example, when multiple moieties bind to a receptor, they activate intracellular responses or enhance binding of GTP to the membrane. The term "composition" means a material comprising at least two components; for example and without limitation, a composition comprising a compound of the invention and a pharmaceutically acceptable carrier. Contact or contact means the placement of designated parts together in an in vitro system or in an in vivo system. Thus, contacting a GpR19 receptor with a compound of the invention comprises administering to a subject having a GpR1丨9 receptor (preferably a human) a compound of the invention, for example, by introducing the compound of the (4) into a sample. Cells containing the GpRii9 receptor or a purified preparation are included. As used herein, the term "hydrated sputum j. & 物" is a compound of the present invention or a salt thereof, which includes stoichiometry or non-彳h lifting. Non-covalent intermolecular forces combined with water. - - into the mouth; ^ machi spoon parent, which means by the caregiver (for example, material 1 j for doctors, gentlemen, nurses, etc. for humans; for animals including non-human mammals The individual or animal needs made by the veterinarian) or "' „ , ^ will also benefit from the judgment of treatment. The judgement is based on various factors in the care professional's field of expertise, and includes the disease or condition that the individual or animal can treat due to the eight-month compound of the present invention or 149,380. Doc -47· 201105327 Knowledge of illness or illness. The compounds of the invention may be used in a (four) protective or prophylactic manner; or the compounds of the invention may be used to alleviate 'inhibiting or ameliorating a disease, condition or disorder. The term "individual" or "patient" means any animal, including a mammal, preferably a mouse, rat, other rodent, rabbit, dog, cat, snail, cow, sheep, horse or primate. Animals, and the best is human. In another embodiment, the human system, and in some embodiments, the human infant, child, youth or adult. In one embodiment, the individual is at risk of developing a GPR119 related disorder. In one embodiment, the individual is at risk of developing a metabolic related disease or condition. Individuals at risk include, but are not limited to, those who have a genetic history of a metabolically related disease or condition or who are in a state of health in which they are at risk of developing a metabolic related disease or condition. In another embodiment, the patient has been determined to have a metabolic related disease or condition by a caregiver or a person operating according to the caregiver's instructions. The term "modulate or modulating" means to increase or decrease the amount, quality, response or effect of a particular activity, function or molecule. The term "pharmaceutical composition" means a composition comprising at least one active ingredient; including but not limited to salts, solvates and hydrates of the compounds of the invention; whereby the composition is suitable for studying mammals (eg, but Specific effective results in not limited to humans. Those skilled in the art will understand and understand the techniques appropriate to determining, based on the needs of the skilled person, whether the active ingredient has the desired effective results. The term "solvate" as used herein means a compound of the present invention or a salt thereof, 149,380. Doc -48- 201105327 =Steps include stoichiometric or non-stoichiometric amounts of non-covalent intermolecular forces, "the solvent is preferred, volatile, non-toxic and/or acceptable for use in trace amounts Solvent for humans. The term "therapeutically effective amount" means an active compound or pharmaceutical agent that is caused by a researcher, veterinarian, doctor or other l-bowl so as to cause a biological or medical response to a tissue, system, animal, individual or human. The biological or medical response comprises one or more of the following: (1) preventing a disease', for example, preventing a disease, condition or disorder in an individual who may be susceptible to the disease, condition or condition but has not experienced or presented the pathology or symptoms of the disease. (2) inhibiting a disease; for example, inhibiting a disease, condition or condition of an individual who is undergoing or exhibiting a pathology or symptom of the disease, condition or condition (ie, preventing further progression of the pathology and/or symptom); and (3) Ameliorating a disease; for example, ameliorating a disease, condition or condition of an individual who is undergoing or exhibiting the pathology or symptoms of the disease, conditional bite disorder (ie, reversing the pathology and/or symptom) . A compound of the invention is a novel compound N-(2-fluoro-4-(fluorenyl fluorenyl)phenyl)-5-indenyl-. (丄(5 - 曱 ° ° ° ° Qin-2-yl) hexahydropyrene ratio. _4_ yloxy) cancer bite _4_amine (compound) is an effective selective agonist of GPR119. In HTRF cAMP In the analysis, N-(2-fluoro-4-(methyl-decyl)phenyl)-5-methyl-6-(1-(5-methyl-n-r-methyl-2-yl)hexahydropyridine- 4-yloxy)pyrimidine-4-amine is a "complete agonist". Compound N-(2-|t-4-(indenyl)phenyl)-5-methyl-6-(1) -(5-methyl η ratio. Qin 2-yl) hexahydropyridyl. 1,4--4-yloxy) ° butyl-4-amine can increase the performance of human 149380. Doc • 49-201105327 The cAMP concentration of CHO cells of GPR119 (GDIR), and the observed EC50 is 6 nM (see Example 1A). N-(2-Fluoro-4-(indolylsulfonyl)phenyl)-5-mercapto-6-(1-(5-methylpyrazin-2-yl)hexahydropyridin-4-yloxy The pyrimidine-4-amine can stimulate the release of GLP-1 from mouse GLUTag cells, and the observed EC5 lanthanide 54. 1 nM (see Example 1B) and is a potent G P R119 agonist in the in vivo of SpragUe-Dawley rats. In each of these models, N-(2-gas-4-(methyl aryl)) benzyl)-5-methyl-6-(1-(5-methyl- 0-° Qin-2_yl) Hexahydropyridinium-4-yloxy)pyrimidine. D-amines are effective in increasing glucose clearance during the oral glucose tolerance test (oGTT) (see Example 2). In addition, N-(2-^-4-(曱基石石基基基基)-5-methyl-6-(1-(5-methylindole ratio. Qin_2_yl)hexahydropyridinium -4-yloxy)pyrimidine-4-amine is 1. A dose of 5 mg/kg significantly reduced blood glucose concentrations during the oral glucose tolerance test (see Example 3). In the recombinant CYP enzyme preparation, N-(2-fluoro-4·(methylsulfonyl)phenyl)-5(indolyl-6-(1-(5-methylpyrazin-2-yl)hexahydro) Pyridine_4_yloxy)pyrimidine-4 amine can inhibit 3A4, 2C9 and 2C19 and the IC5〇 inhibition value is about 9 〇 5 μΜ, respectively. 82 μΜ and >10 μΜ and showed no inhibition for 1A2 and 2D0. In human liver microsome preparations, the ICw inhibition value for 2C9 was approximately 6 μΜ and for the other 1 > 450 tested (i.e., '2C19 and 3Α4), the ic50 value > 30 μΜ (see Examples 4 and 5). One aspect of the present invention pertains to the following compound selected from the group consisting of hydrazine-(2-fluoro-4-(fluorenylsulfonyl)phenyl)-5-methyl-6-(1(5-fluorenyl) as shown in formula (1) Pyridazin-2-yl)hexahydropyridin-4-yloxy)pyrimidine-4-amine (Compound 丨): 149380. Doc -50- 201105327

(I) 及其醫藥上可接受之鹽、溶劑合物或水合物之化合物。 適應症及治療方法 除本文所揭示的本發明化合物之前述有益用途之外本 發明化合物亦可用於治療其他疾病。該等疾病包括(但不 限於)下文所述者。 2型糖尿病中最顯著的病理係其靶組織處之胰島素信號 傳導削弱(「胰島素抵抗」)及胰腺之胰島素產生細胞不能 因應南血糖信號而分泌出適當程度的胰島素。當前治療後 者之療法包括用以激發内源性胰島素儲備之釋放、或投與 外源性胰島素的β細胞ATP敏感性鉀離子通道抑制劑。此二 者均不能實現血糖濃度準確正常化且兩者均會帶來誘發低 血糖之風險。出於該等原因,研發可在葡萄糖依賴性作用 中發揮功旎之藥物、即葡萄糖信號傳導增效劑已引起人們 的強烈興趣。以此方式發揮作用的生理信號傳導系統已經 過充分表徵且包括腸道肽GLpi、GIP及pACAP。該等激素 經由其同源G-蛋白偶合受體起作用來刺激胰腺p細胞中產 生cAMP »所增加的cAMP似乎並未在禁食或餐前狀態期間 產生胰島素釋放之刺激。然而,包括ATp敏感性鉀離子通 道、電壓敏感性鉀離子通道及胞外分泌機制在内的一系列 cAMP信號生化靶經修飾後使得對餐後葡萄糖刺激的胰島 素分泌之反應明顯增強。因此’新穎的具有類似功能之激 149380.doc -51 - 201105327 動劑β細胞GPCR(包括GPR119)亦可刺激内源性胰島素之釋 放並因此促進2型糖尿病中的血糖量正常。 亦已確定由(例如)GLP-1的刺激導致的cAMP增加可促進 β細胞增殖、抑制β細胞死亡並因此提高胰島質量。預期該 對β細胞質量的積極效應對2型糖尿病(其中產生的姨島素 不足)及1型糖尿病(其中β細胞被不適當的自體免疫反應破 壞)均有效。 包括GPR119在内的一些β細胞GPCR亦存在於下丘腦 中,其在此處調節饑餓感、飽腹感,減少食物攝取,從而 控制或減少重量及能量消耗。因此,鑒於該等受體在下丘 月a迴路中之功能,其激動劑或反向激動劑可減輕饑餓感, 提升飽腹感並由此調節重量。 亦已充分確定,代謝疾病會對其他生理系統產生負面影 響。因此,通常會共同發生多種疾病狀態(例如丨型糖尿 病、2型糖尿病、葡萄糖耐受性不^、姨島素抵抗、高血 糖症、高脂血症、高甘油三_血症、高膽_血症、血 異常、肥胖症$「X症候群」中之心血管病)或明顯繼發 糖尿病之疾病(例如腎病、外周神經病變)。因此,預期 效治療糖尿病症況將因而會有益於此㈣連性疾病狀態 、在本發明之一些實施例中,代謝相關病症選自由以下 成之群.2型糖尿病、高血糖症、高胰島素血症、高脂 ^间甘油二S旨血症、胰島素抵抗、1型糖尿病、特發,Μ ^唐尿病Ub型)、成人隱匿性自身免疫性糖尿病a·) 性2型糖尿病(励)、〇年發作之非典型糖尿 149380.doc -52· 201105327 (YOAD)、青少年成熟發作型糖尿病(m〇dy)、營養不良相 關糖尿病、妊娠期糖尿病、心血管疾病、冠心病、血管再 狹窄、再狹窄、血管成形術後再狹窄、外周血管疾病、跛 行、間歇性跛行、與心肌梗塞有關之細胞死亡(例如壞死 及細胞调亡)、血脂異常、餐後脂血症、葡萄糖耐受性受 損(IGT)病況、葡萄糖代謝受損、葡萄糖代謝受損病況、 空腹血漿葡萄糖異常病況、代謝性酸中毒、酮病、關節 乂肥胖症、骨質疏鬆症、咼血壓、充血性心臟衰竭、左 〜至肥大、外周動脈疾病、糖尿病性視網膜病變' 黃斑變 性、白内障、糖尿病性腎病、腎小球硬化、慢性腎衰竭、 糖尿病性神經病變、代謝症候群、X症候群、經前期症候 群、心絞痛、血栓症、動脈粥樣硬化、缺血性中風、短暫 性缺血性發作、中風、勃起功能障礙、皮膚及結缔組織病 症、足潰瘍、潰瘍性結腸炎、内皮功能障礙及血管順應性 障礙。 組合物及鹽 本發明之另一態樣係關於包含化合物之組合物,該化合 物選自N-(2-氟-4-(甲基磺醯基)苯基)_5_甲基_6_(1_(5_曱基 。比嗪-2-基)六氫D比啶_4_基氧基)嘧啶_4_胺(化合物丨)及其醫 藥上可接受之鹽、溶劑合物及水合物。 本發明之又一態樣係關於包含化合物及一或多種醫藥上 可接近之載劑之組合物,該化合物選自N_(2_氟_4_(甲基磺 酿基)苯基)_5·甲基各㈣-曱基。比嗪-2-基)六氫吼咬-4-基 氧基)嘧啶-4-胺(化合物1)及其醫藥上可接受之鹽、溶劑合 149380.doc(I) A compound of a pharmaceutically acceptable salt, solvate or hydrate thereof. Indications and Methods of Treatment In addition to the foregoing beneficial uses of the compounds of the invention disclosed herein, the compounds of the invention may also be used in the treatment of other conditions. Such diseases include, but are not limited to, those described below. The most prominent pathology of type 2 diabetes is that the insulin signaling weakening ("insulin resistance") at the target tissue and the insulin-producing cells of the pancreas cannot secrete an appropriate level of insulin in response to the southern glucose signal. Current therapeutic therapies include beta cell ATP-sensitive potassium channel inhibitors to stimulate the release of endogenous insulin stores or to administer exogenous insulin. Neither of these can achieve accurate normalization of blood glucose levels and both of them present a risk of inducing hypoglycemia. For these reasons, the development of drugs that can play a role in glucose-dependent effects, i.e., glucose signaling synergists, has attracted strong interest. Physiological signaling systems that function in this manner are well characterized and include the intestinal peptides GLpi, GIP and pACAP. These hormones act via their homologous G-protein coupled receptors to stimulate the production of cAMP in pancreatic p cells. The increased cAMP does not appear to produce stimulation of insulin release during fasting or pre-prandial conditions. However, a series of cAMP signal biochemical targets including ATp-sensitive potassium channels, voltage-sensitive potassium channels, and extracellular secretion mechanisms have been modified to significantly increase the response to postprandial glucose-stimulated insulin secretion. Therefore, 'new novels with similar functions 149380.doc -51 - 201105327 ACTIVATOR β-cell GPCRs (including GPR119) can also stimulate the release of endogenous insulin and thus promote normal blood glucose levels in type 2 diabetes. It has also been determined that an increase in cAMP caused by, for example, stimulation of GLP-1 promotes beta cell proliferation, inhibits beta cell death, and thus increases islet mass. This positive effect on beta cell mass is expected to be effective for type 2 diabetes, in which sputum is insufficient, and type 1 diabetes, in which beta cells are damaged by inappropriate autoimmune responses. Some beta cell GPCRs, including GPR119, are also present in the hypothalamus, where they regulate hunger, satiety, and reduce food intake, thereby controlling or reducing weight and energy expenditure. Thus, in view of the function of these receptors in the hypothalamic a loop, their agonists or inverse agonists can alleviate hunger, increase satiety and thereby regulate weight. It has also been well established that metabolic diseases can have a negative impact on other physiological systems. Therefore, a variety of disease states usually occur together (eg, type 2 diabetes, type 2 diabetes, glucose tolerance, sputum resistance, hyperglycemia, hyperlipidemia, hypertriglyceridemia, hyperbilirubin) Hypertension, blood abnormalities, obesity (cardiovascular disease in "X syndrome") or disease secondary to diabetes (eg, kidney disease, peripheral neuropathy). Therefore, it is expected that the treatment of diabetes will be beneficial to this (iv) disease state, in some embodiments of the invention, the metabolic-related disorder is selected from the group consisting of: type 2 diabetes, hyperglycemia, hyperinsulinemia Symptoms, high-fat, glycerol, serotonin, insulin resistance, type 1 diabetes, idiopathic, Μ ^tanguria Ub type, adult occult autoimmune diabetes a ·) type 2 diabetes (excitation), Atypical diabetes in the following year 149380.doc -52· 201105327 (YOAD), adolescent mature onset diabetes (m〇dy), malnutrition-related diabetes, gestational diabetes, cardiovascular disease, coronary heart disease, vascular restenosis, re Stenosis, restenosis after angioplasty, peripheral vascular disease, lameness, intermittent claudication, cell death associated with myocardial infarction (eg necrosis and apoptosis), dyslipidemia, postprandial lipemia, impaired glucose tolerance (IGT) condition, impaired glucose metabolism, impaired glucose metabolism, fasting plasma glucose abnormalities, metabolic acidosis, ketosis, glenoid obesity, osteoporosis , 咼 blood pressure, congestive heart failure, left ~ to hypertrophy, peripheral arterial disease, diabetic retinopathy 'macular degeneration, cataract, diabetic nephropathy, glomerular sclerosis, chronic renal failure, diabetic neuropathy, metabolic syndrome, X Syndrome, premenstrual syndrome, angina pectoris, thrombosis, atherosclerosis, ischemic stroke, transient ischemic attack, stroke, erectile dysfunction, skin and connective tissue disorders, foot ulcers, ulcerative colitis, endothelium Dysfunction and vascular compliance disorders. Compositions and Salts Another aspect of the invention pertains to compositions comprising a compound selected from the group consisting of N-(2-fluoro-4-(methylsulfonyl)phenyl)-5-methyl-6-(1_ (5-fluorenyl.pyrazine-2-yl)hexahydro-D-pyridyl-4-yloxy)pyrimidine-4-amine (compound) and pharmaceutically acceptable salts, solvates and hydrates thereof. A further aspect of the invention relates to a composition comprising a compound and one or more pharmaceutically accessible carriers selected from the group consisting of N_(2_fluoro_4_(methylsulfanyl)phenyl)_5·A Kei (4) - 曱 base. Biazin-2-yl)hexahydroindole-4-yloxy)pyrimidine-4-amine (Compound 1) and pharmaceutically acceptable salts thereof, solvent combination 149380.doc

S -53· 201105327 物及水合物。 本發明之又一態樣係關於包含化合物及一或多種醫藥上 可接近之載劑之醫藥組合物,該化合物選自冰(2_氟_4-(曱 基績酿基)苯基)-5-甲基-6-(1_(5_曱基吼。秦_2_基)六氮吼〇定_ 4-基氧基)嘧啶-4-胺(化合物”及其醫藥上可接受之鹽、溶 劑合物及水合物。 本發明之-些實施例係關於包含N_(2_氟_4_(甲基續醢 基)笨基)-5-曱基-6-(1-(5-甲基吧嗪·2_基)六n定_4_基氧 基)嘧啶-4-胺及醫藥上可接受之載劑之組合物。 本發明之一些實施例包括製備醫藥組合物之方法,其包 含將N-(2-氟-4-(曱基績醯基)苯基)_5甲基冬(κ(5·甲基。比 唤心基)六m4_基氧基)㈣·4_胺或其醫藥上可接受 之鹽與醫藥上可接受之載劑混合。 可藉由任一適宜方法來製備组合物,通常藉由將活性化 合物與液體或微細固體載劑或兩者以所需比例均勾混合, 且隨後若需要使所得混合物形成為合意形狀來製備。 可將諸如#合劑、填充劑、可接受之潤濕劑、壓鍵潤滑 劑及崩解劑等習用賦形㈣於錠劑或膠囊中用於經口投 與。用於經口投與的液體製劑可呈溶液、乳液、水性或油 性懸浮液及糖焚形式。或者,口服製劑可呈乾燥粉末之形 式,該乾燥粉末可在使用前用水或另一適宜液體媒劑再構 成。可將諸如懸浮劑或乳化劑、非水性媒劑(包括食用 ’由)、防腐劑、及調味劑及著色劑等額外添加劑添 體製劑中。可錢Μ密㈣以、瓶或安^_由將本之 149380.doc •54- 201105327 發明化合物溶解於適宜的液體媒劑中並對該溶液進行無菌 過濾來製備非經腸劑型。該等實例僅係製備劑型技術中習 知的許多適宜方法中之數個實例。 可使用為彼等熟習此項技術者所習知之技術將本發明化 合物調配成醫藥組合物。除彼等本文所提及載劑之外之適 且的醤藥上可接受之載劑已為業内所熟知;例如,參見S -53· 201105327 Physicochemicals and hydrates. A further aspect of the invention relates to a pharmaceutical composition comprising a compound and one or more pharmaceutically accessible carriers selected from the group consisting of ice (2-fluoro-4-(indolyl)phenyl)- 5-methyl-6-(1_(5_mercaptopurinyl)-2-hexyl hexazapine -4-yloxy)pyrimidine-4-amine (compound) and pharmaceutically acceptable salts thereof , solvates and hydrates. Some embodiments of the invention relate to the inclusion of N_(2_fluoro_4_(methyl hydrazino) phenyl)-5-mercapto-6-(1-(5-A) A composition of a pharmaceutically acceptable carrier and a pharmaceutically acceptable carrier. Some embodiments of the invention include methods of preparing a pharmaceutical composition, Containing N-(2-fluoro-4-(indolyl)phenyl)-5 methyl winter (κ(5·methyl. 唤 基)) hexamyl-yloxy)(tetra)·4-amine Or a pharmaceutically acceptable salt thereof is admixed with a pharmaceutically acceptable carrier. The composition may be prepared by any suitable method, usually by bringing the active compound to liquid or fine solid carrier or both in a desired ratio Hook and mix, and then if necessary, the resulting mixture is formed into a desired Prepared in the form of a mixture, such as a mixture, a filler, an acceptable wetting agent, a pressure-bonding lubricant, and a disintegrating agent, in a tablet or capsule for oral administration. The liquid preparation to be administered may be in the form of a solution, emulsion, aqueous or oily suspension and sugar incineration. Alternatively, the oral preparation may be in the form of a dry powder which may be reconstituted with water or another suitable liquid vehicle before use. Additional additives such as suspending or emulsifying agents, non-aqueous vehicles (including edible 'supplements), preservatives, and flavoring agents and coloring agents may be added to the preparations. The parental dosage form is prepared by dissolving the compound of the invention 149380.doc • 54-201105327 in a suitable liquid vehicle and sterile filtering the solution. These examples are merely among the many suitable methods known in the art of preparing dosage forms. A number of examples. The compounds of the present invention can be formulated into pharmaceutical compositions using techniques well known to those skilled in the art, and are suitable for use in addition to the carriers mentioned herein. Carrier has been The well known; for example, see

Remington 之 The Science and Practice of Pharmacy,第 20 版 ’ 2000, LipPincott Wuiiams & Wilkins(編者:Gennaro, A. R等人)。 儘官本發明化合物用於治療時有可能會以粗化學品或純 化學品形式交替投用,但較佳使該化合物或活性成份以亦 另外包含醫藥上可接受之載劑的醫藥調配物或組合物形式 提供。 因此本發明進一步提供醫藥調配物,其包含本發明化合 物或其馐藥上可接受之鹽或衍生物連同其一或多種醫藥上 可接觉之載劑及/或預防成份。載劑必須在與組合物之其 他成份相容且對其接受者不具有過度毒性之意義上係「可 接受的」。 醫藥調配物包括彼等適於經口、直腸、鼻、局部(包括 頰内及舌下)、陰道或非經腸(包括肌肉内、皮下及靜脈内) 投與或呈適於藉由吸人、吹人或藉由經皮貼#等形式來投 藥之調配物《經皮貼片藉由以最小藥物降解及有效方式提 供藥物吸收而以受控速率分配藥物。通常,經皮貼片包含 不可渗透之背觀層、單一壓敏黏合層及具有釋放襯墊之可 149380.doc -55- 201105327 去除保護層。熟習此項技術者將理解並瞭解適於根據技術 人員之需要製造期望有效經皮貼片的技術。 因此’可將本發明化合物連同習用佐劑、載劑或稀釋劑 製成醫藥組合及其單位劑量之形式,且此等形式可以固體 形式使用’例如錠劑或填充膠囊;或以液體形式使用,例 如溶液、懸浮液、乳液、驰劑、凝膠或以該等形式物質填 充之膠囊(所有形式皆用於口服);以栓劑形式用於直史 與;或以無菌可注射溶液形式用於非經腸(包括皮下)使 用。此等醫藥組合物及其單位劑型可包含習用比例之習用 成份’具有或不具有額外活性化合物或要素,且此等單位 劑型可含有與所用合意曰劑量範圍相稱的任一適宜有效劑 量之活性成份。 就經口投與而言,醫藥組合物可呈(例如)錠劑、膠囊、 懸浮液或液體形式。醫藥組合物較佳製成含有特定量活性 成份之劑量單位形式。此等劑量單位之實例係膠囊、錠 J叙末、顆粒或懸浮液’其含有習用添加劑,例如乳 糖甘露糖醇、玉米殿粉或馬铃著殿粉;含有黏合劑,例 二結^_素、纖維素衍生物、阿拉伯膠、玉米殿粉或明 ;3有朋解劑’例如玉米殿粉、馬鈴薯殿粉或缓甲基纖 料納;及含有潤滑劑,例如滑石粉或硬脂酸鎮。活性成 Μ可作為組合物藉由注射來投與’其中可使用(例如)鹽 水♦右紅糖或水作為適宜醫藥上可接受之載劑。 ,田,用本發明化合物時劑量可在寬界限内變化且正如慣 例及醫師所瞭解,在各個體病例中應根據個體狀況來調 149380.doc •56· 201105327 整。此取決於(例如)擬治療疾病之性質及嚴重程度、患者 之狀況、所用化合物或所治療之疾病是急性的還是慢性的 或實施預防或是否投與除本發明化合物之外的其他活性化 合物。例如,本發明之劑量包括(但不限於)約〇 〇〇i mg至 約 5000 mg、約 〇·〇〇ι 至约 25〇〇 mg、約〇 〇〇1 至約 1〇〇〇 邮、 0.001 至約 500 mg、0_001 mg至約 25〇 、約 〇 _ 邮至 100 mg、約 o.ooi mg至約 5〇 mg及約 〇 〇〇1 mg至約 25 。 每曰可在一個劑量中方便地投與期望劑量或可作為多個劑 量以適宜間隔投與,例如每曰作為2 ' 3或4或更多個分劑 量投與。分劑量自身可進一步分成(例如)許多離散鬆散間 隔投與。依據個體且患者之醫師或護理者認為適合,可能 需要對本文所述劑量向上或向下浮動。 用於治療所需的本發明化合物或其醫藥上可接受之鹽之 里不僅將Ik著所選擇之特定鹽變化而且亦隨著投與途徑、 所治療病況之性質及患者之年齡與狀況而變化,並且最終 由主冶醤生或fe床醫師來判斷。通常,熟習此項技術者瞭 解如何自通常為動物模型之模型系統中獲得的活體内數據 外推至另一模型(例如人類)。通常,動物模型包括(但不限 於)下文實例1中所述齧齒類動物糖尿病模型(以及業内熟知 的其他動物模型,例如由Reed及Scribner於Diabetes, Obesity and Metabolism,U 1999, 75_86中報道的彼等模 型)。在一些情況下,該等外推可僅僅基於動物模型相較 於另一個動物模型(例如哺乳動物,較佳人類)之重量,然 而更常見的是該等外推並非簡單地基於重量,而是結合了 149380.doc •57- 201105327 多種因素。代表性因素包括(但不限於)患者之年齡、體 重、性別、飲食及醫療狀況、疾病之嚴重程度、投與途 徑、藥s學考慮、因素(例如所採用特定化合物之活性、功 效、藥物動力學及毒理學特徵)、是否利用藥物遞送系 統、所治療之疾病是急性的還是慢性的或實施預防或是否 投與除本發明化合物之外的其他活性化合物且作為藥物組 合之-部分。根據上文所述多種因素來選擇㈣本發明化 合物及/或組合物治療疾病之劑量方案。因此,所採用之 Η際劑里方案可相I很大且因必匕可偏離較佳劑量方案且 A習此項技術者應認識到,肖等典型範圍之外的劑量及劑 !方案可經測試且若合適可用於本發明方法中。 本發明化合物可以各種口服及非經腸劑型投與。對彼等 熟習此項技術者而言顯然以下劑型可包含本發明化合物或 本發明化合物之醫藥上可接受之鹽作為活性組份。 為自本發明化合物製備醫藥組合物,適宜的醫藥上可接 爻載劑可選擇為固體、液體或二者之混合物。固體形式製 劑包括粉末、錠劑、丸劑、膠囊、扁囊劑、栓劑及可分散 顆粒。固體載劑可為—或多種物f,其亦可作為稀釋劑月、 矮味劑、增溶劑、冑滑劑、懸浮劑、黏合劑、防腐劑、鍵 劑崩解劑或囊封材料。 在奋末令載劑係與微細活性組份混合之微細固體。 在錠劑中,將活性組份與具有必要黏合能力之载劑以適 宜比例混合且壓縮成期望形狀及尺寸。 粉末及錠劑可含有不同百分數量的活性化合物。粉末或 149380.doc -58- 201105327 錠劑中之代表量可含有0 5%至約90%的本發明化合物;然 而技術人員將瞭解有時需要為該範圍以外之量。粉末及錠 劑之適宜載劑係碳酸鎂、硬脂酸鎂、滑石粉、蔗糖、乳 糖、果膠、糊精、澱粉、明膠、黃蓍膠、甲基纖維素、羧 甲基纖維素鈉、低熔點蠟、可可油及諸如此類。術語「製 劑」意欲包括活性化合物與作為載劑提供膠囊之囊封材料 的調配物,其中含有或不含載劑的活性組份被載劑包圍, 並由此及其相結合。同樣,亦包括扁囊劑及菱形錠劑。錠 劑、粉末、膠囊、丸劑、扁囊劑及菱職劑可以適於經口 投與之固體形式使用。 為製備栓劑,首先將諸如脂肪酸甘油酯混合物或可可油 等低熔點蠟熔融且藉由例如攪拌將活性組份均勻分散於其 中。Ik後將熔融均質混合物倒入適宜尺寸之模具中使其 冷卻並由此固化。 適於陰道投與之組合物可呈現為陰道栓、棉塞、乳霜、 凝膠、糊劑、泡沫或喷霧形式,其除活性成份外亦:有 (例如)業内已知的適宜載劑。 液體形式製劑包括溶液、懸浮液及乳液,例如水或水_ 丙二醇溶液。舉例而言,可將非經腸注射液體製劑調配成 聚乙二醇水溶液中之溶液。可根據已知技術使用適 劑或龍劑及料劑來調配可注射㈣,例如,^^ 射水性或油性懸浮液。無菌可注射製劑亦可為無毒非 可接受稀釋劑或溶劑中之無菌可注射溶液或懸浮液,例々 u-丁二醇中之溶液。可採用的可接受媒劑及溶劑尤二σ 149380.doc -59- 201105327 水、林格氏溶液(Ringeris soluti〇n)以及等渗氣化納溶液。 此外’通常採用無菌固定油作為溶劑或懸浮介質。包括人 成甘油早酯或甘油二酯在内的任一溫和固定油均可用於此 目的。此外,在可注射製劑中可使用諸如油酸等脂肪酸。 因此,本發明化合物可經調配用於非經 藉:注射,例如濃注或連續輸注),且可以單位:供 :女瓿、預填充注射器、小容量輸液管或於含有所添加防 腐劑的多劑量容器中。醫藥組合物可呈諸如存於油性或水 性媒劑中之懸浮液、溶液或乳液等形式,且可含有諸如懸 洋劑、穩定劑及/或分散劑等調配劑。或者,活性成份可 呈藉由無菌固體之滅菌分離或藉由自溶液凍乾所獲得的粉 末形式,以供在使用前利用適宜媒劑(例如無菌無熱原水) 構成。 一適於口服使用的水性組合物可藉由將活性組份溶解或懸 浮於水中並視需要添加適宜的著色劑、橋味劑、穩定劑及 增稠劑來製備。 適於口服使用的水性懸浮液可藉由將微細活性組份分散 於水及黏性材料(例如,天然或合成膠、樹脂、曱基纖維 素、羧甲基纖維素鈉或其他習知懸浮劑)中來製備。 本發明亦包括意欲在即將使用前才轉化成用於經口投與 之液體形式製劑的固體形式製劑.此等液體形式包括溶 液、懸浮液及乳液。除活性組份外該等製劑亦可含有著色 劑、矯味劑、穩定劑、緩衝劑、人工及天然甜味劑、分散 劑、增稠劑、增溶劑及諸如此類。 149380.doc -60· 201105327 對局部投與至表皮而言,可將本發明化合物調配成軟 膏、乳霜或洗劑,或調配成經皮貼片。 舉例而言,軟膏及乳霜可在添加適宜增稠劑及/或膠凝 劑下用水性或油性基質來調配。洗劑可利用水性或油性基 質調配且通常亦將含有一或多種乳化劑、穩定劑、分散 劑、懸浮劑、增稠劑或著色劑。 適於在口中局部投與的組合物包括:菱形錠劑,其在通 常為蔗糖及阿拉伯膠或黃蓍膠的調味基質中包含活性成 伤,軟錠齊丨其在諸如明膠及甘油或蔗糖及阿拉伯膠等惰 性基質中包含活性組份;及漱σ藥水,其在適宜液體載劑 中包含活性成份。 溶液或懸浮液藉由習用手段(例如用滴管、吸管或噴射 器)直接施用於鼻腔。組合物可以單一或多劑量形式提 供。在使用㈣或吸f的後―種情況下,此可藉由患者投 與適宜駭體積的溶液或懸浮液來實現。倘若為噴射器, 則此可藉助(例如)計量霧化喷霧幫浦來達成。 呼吸道投與亦可借助氣溶膠組合物來達成’其中將活 性成份提供於具有適宜推進劑的加壓封裝中。若以氣溶膠 形式(例如以鼻腔氣溶膠形式或藉由吸入)投 物或包含其之醫藥組合物,則此可使用(例如)喷射器、; 霧器:幫浦式噴霧器、吸人裝置、計量吸人器或乾粉 器來貫施1於作為氣溶膠投與本發明化合物的醫藥形式 可藉由熟習此項技術者習…、 襟而言,可採用本發明化二: 例如,就其製 合物在水、水/醇混合物或適宜 149380.doc 61 201105327 鹽水溶液中之溶液或分散液,並使用習用添加劑,例如节 醇或其他適宜防腐劑、用於增加生物利用度的吸收增強 劑、增溶劑、分散劑及其他試劑,且適當時使用習用推進 劑’例如包括二氧化碳、諸如二氯二氟曱烷、三氣氟甲烷 或二氣四氟乙烷等CFC ;及諸如此類。氣溶膠亦可方便地 含有表面活性劑,例如卵磷脂。可使用計量閥來控制藥物 劑量。 在欲技與至呼吸道的組合物(包括鼻内組合物)中該化 。物一般應具有(例如)約1〇微米或更小之小粒徑。此—粒 性可稭由業内已知之手段(例如藉由微粉化)獲得。當需要 時,可採用適於持續釋放活性成份之組合物。 ―或:者’活性成份可以乾粉形式提供,例如化合物存於適 :粉=質:之粉末混合物’該粉末基質可為(例如)乳 二π、诸如羥丙基曱基纖維素及聚乙烯吡咯啶The Science and Practice of Pharmacy, Remington, 20th Edition '2000, LipPincott Wuiiams & Wilkins (Editor: Gennaro, A. R et al.). It is contemplated that the compounds of the present invention may be administered in the form of a crude chemical or a pure chemical, but it is preferred to have the compound or active ingredient in a pharmaceutical formulation which may additionally comprise a pharmaceutically acceptable carrier or Provided in the form of a composition. The invention therefore further provides a pharmaceutical formulation comprising a compound of the invention or a pharmaceutically acceptable salt or derivative thereof together with one or more pharmaceutically acceptable carriers and/or prophylactic ingredients thereof. The carrier must be "acceptable" in the sense of being compatible with the other ingredients of the composition and not excessively toxic to the recipient. The pharmaceutical formulations include those suitable for oral, rectal, nasal, topical (including buccal and sublingual), vaginal or parenteral (including intramuscular, subcutaneous and intravenous) administration or are suitable for inhaling Formulations that are administered by blowing, or by means of a transdermal patch, etc. "Transdermal patches dispense drugs at a controlled rate by providing drug absorption in a minimally degradable and effective manner. Typically, a transdermal patch comprises an impermeable backing layer, a single pressure sensitive adhesive layer, and a release liner. 149380.doc -55-201105327 Removal of the protective layer. Those skilled in the art will understand and appreciate techniques suitable for making the desired effective transdermal patch to the needs of the skilled artisan. Thus, the compounds of the present invention can be formulated into a pharmaceutical combination and a unit dosage thereof together with conventional adjuvants, carriers or diluents, and such forms can be used in solid form such as a tablet or a filling capsule; or in liquid form, For example, solutions, suspensions, emulsions, granules, gels or capsules filled with such materials (all forms are used orally); used as a suppository for straight history; or as a sterile injectable solution for non-menstrual use Use in the intestines (including subcutaneous). These pharmaceutical compositions and unit dosage forms may contain conventional ingredients in the conventional proportions with or without additional active compounds or elements, and such unit dosage forms may contain any suitable effective amount of active ingredient commensurate with the desired dosage range employed. . For oral administration, the pharmaceutical compositions may be in the form of, for example, a troche, a capsule, a suspension or a liquid. The pharmaceutical compositions are preferably in the form of dosage units containing a particular amount of active ingredient. Examples of such dosage units are capsules, ingots, granules or suspensions, which contain conventional additives, such as lactose mannitol, corn house powder or horse bell powder; containing binders, example 2 , cellulose derivatives, gum arabic, corn house powder or Ming; 3 have a friend's agent such as corn house powder, potato house powder or slow methyl fiber material; and contain lubricants, such as talcum powder or stearic acid town. The active ingredient can be administered as a composition by injection, wherein, for example, salt water ♦ right brown sugar or water can be used as a suitable pharmaceutically acceptable carrier. The dosage of the compound of the present invention may vary within wide limits and, as is customary and understood by the physician, should be adjusted according to individual conditions in each individual case. 149380.doc • 56· 201105327. This depends, for example, on the nature and severity of the condition to be treated, the condition of the patient, whether the compound or treatment being treated is acute or chronic, or whether prevention or administration of other active compounds other than the compounds of the invention is administered. For example, dosages of the invention include, but are not limited to, from about 〇〇〇i mg to about 5000 mg, from about 〇·〇〇ι to about 25 〇〇mg, from about 〇〇〇1 to about 1 〇〇〇, 0.001 To about 500 mg, 0_001 mg to about 25 〇, about 〇 _ to 100 mg, about o.ooi mg to about 5 〇 mg, and about 〇〇〇 1 mg to about 25. Each sputum may conveniently be administered in a dose at a desired dose or may be administered as a plurality of doses at appropriate intervals, e.g., each sputum is administered as 2 '3 or 4 or more divided doses. The divided dose itself can be further divided into, for example, a number of discrete loose intervals. Depending on the individual and the physician or caregiver of the patient considers it appropriate, it may be necessary to float the dose described herein up or down. The compound of the present invention or a pharmaceutically acceptable salt thereof for use in the treatment varies not only by the particular salt selected, but also by the route of administration, the nature of the condition being treated, and the age and condition of the patient. And finally judged by the master doctor or the fe bed doctor. Often, those skilled in the art understand how to extrapolate in vivo data obtained from a model system that is typically used in animal models to another model (e. g., humans). In general, animal models include, but are not limited to, the rodent diabetes model described in Example 1 below (as well as other animal models well known in the art, such as reported by Reed and Scribner in Diabetes, Obesity and Metabolism, U 1999, 75-86). Their models). In some cases, such extrapolation may be based solely on the weight of the animal model compared to another animal model (eg, a mammal, preferably a human), although it is more common that such extrapolation is not simply based on weight, but rather Combined with 149380.doc •57- 201105327 a variety of factors. Representative factors include, but are not limited to, the age, weight, sex, diet and medical condition of the patient, the severity of the disease, the route of administration, the consideration of the drug, factors such as the activity of the particular compound employed, efficacy, drug motility Learning and toxicological characteristics), whether a drug delivery system is utilized, whether the disease to be treated is acute or chronic, or whether prevention or administration of other active compounds other than the compounds of the invention is administered and as part of a pharmaceutical combination. The dosage regimen of the compounds and/or compositions of the invention for treating diseases is selected in accordance with a variety of factors as described above. Therefore, the solution used in the sputum agent can be very large and must be deviated from the preferred dosage regimen, and those skilled in the art should recognize that doses and agents outside the typical range of Xiao et al. It can be tested and, if appropriate, used in the process of the invention. The compounds of the invention may be administered in a variety of oral and parenteral dosage forms. It will be apparent to those skilled in the art that the following dosage forms may comprise a compound of the invention or a pharmaceutically acceptable salt of a compound of the invention as the active ingredient. For the preparation of a pharmaceutical composition from a compound of the invention, a suitable pharmaceutically acceptable carrier can be selected as a solid, a liquid or a mixture of the two. Solid form preparations include powders, troches, pills, capsules, cachets, suppositories, and dispersible granules. The solid carrier can be - or a plurality of materials f, which can also act as a diluent, a drier, a solubilizer, a slip agent, a suspending agent, a binder, a preservative, a key disintegrating agent or an encapsulating material. A fine solid in which the carrier is mixed with the finely active component. In the tablet, the active ingredient is mixed with a carrier having the necessary adhesive ability in an appropriate ratio and compressed into a desired shape and size. Powders and lozenges may contain varying percentages of active compound. A representative amount of the powder or 149380.doc-58-201105327 lozenge may contain from 05% to about 90% of the compound of the invention; however, the skilled artisan will appreciate that amounts outside of this range are sometimes required. Suitable carriers for powders and lozenges are magnesium carbonate, magnesium stearate, talc, sucrose, lactose, pectin, dextrin, starch, gelatin, tragacanth, methylcellulose, sodium carboxymethylcellulose, Low melting waxes, cocoa butter, and the like. The term "preparation" is intended to include a formulation of the active compound with an encapsulating material which provides a capsule as a carrier, wherein the active ingredient with or without the carrier is surrounded by the carrier and thereby combined therewith. Similarly, cachets and rhomboid tablets are also included. Tablets, powders, capsules, pills, cachets, and ampoules can be used in solid form for oral administration. To prepare a suppository, a low melting wax such as a fatty acid glyceride mixture or cocoa butter is first melted and the active component is uniformly dispersed therein by, for example, stirring. After Ik, the molten homogeneous mixture is poured into a mold of suitable size to cool and thereby solidify. Compositions suitable for vaginal administration may be presented as pessaries, tampons, creams, gels, pastes, foams or sprays, in addition to the active ingredient: there are, for example, suitable carriers known in the art Agent. Liquid form preparations include solutions, suspensions and emulsions such as water or water-propylene glycol solutions. For example, a parenteral injection liquid preparation can be formulated into a solution in an aqueous solution of polyethylene glycol. Injectable (iv), for example, water- or oil-based suspensions may be formulated according to the known techniques using the remedies or agents and agents. The sterile injectable preparation may also be a sterile injectable solution or suspension in a non-toxic non-missible diluent or solvent, such as a solution in u-butylene glycol. The acceptable vehicles and solvents that can be used are sigma sigma 149380.doc -59- 201105327 water, Ringeris soluti〇n and isotonic gasification nanosolution. In addition, sterile fixed oils are usually employed as a solvent or suspending medium. Any mild fixed oil, including human glycerol early ester or diglyceride, can be used for this purpose. In addition, fatty acids such as oleic acid find use in the injectable formulations. Thus, the compounds of the invention may be formulated for non-borrowing: injection, such as bolus injection or continuous infusion), and may be in units of: for virgin, prefilled syringes, small volume infusion tubes or with more preservatives added. In the dose container. The pharmaceutical composition may be in the form of a suspension, solution or emulsion, for example, in an oily or aqueous vehicle, and may contain a formulation such as a suspending agent, a stabilizer, and/or a dispersing agent. Alternatively, the active ingredient may be in the form of a powder which is isolated by sterilization of sterile solids or by lyophilization from solution for constitution with a suitable vehicle (for example, sterile pyrogen-free water) before use. An aqueous composition suitable for oral use can be prepared by dissolving or suspending the active ingredient in water and, if necessary, adding suitable coloring agents, humectants, stabilizers and thickening agents. Aqueous suspensions suitable for oral use can be dispersed in water and viscous materials (for example, natural or synthetic gums, resins, sulfhydryl cellulose, sodium carboxymethylcellulose or other conventional suspending agents) ) to prepare. The present invention also encompasses solid form preparations which are intended to be converted into liquid form preparations for oral administration just prior to use. Such liquid forms include solutions, suspensions and emulsions. These preparations may contain, in addition to the active ingredient, coloring agents, flavoring agents, stabilizers, buffers, artificial and natural sweeteners, dispersing agents, thickening agents, solubilizing agents, and the like. 149380.doc -60· 201105327 For topical administration to the epidermis, the compounds of the invention may be formulated as a cream, cream or lotion, or as a transdermal patch. For example, ointments and creams can be formulated with an aqueous or oily base with the addition of suitable thickening and/or gelling agents. Lotions may be formulated with aqueous or oily bases and will usually contain one or more emulsifying, stabilizing, dispersing, suspending, thickening or coloring agents. Compositions suitable for topical administration in the mouth include: rhomboid tablets which comprise active wounds in a flavoring base which is typically sucrose and gum arabic or tragacanth, and which are in the form of gelatin and glycerin or sucrose, and An inert matrix such as gum arabic contains an active ingredient; and a 漱σ syrup which contains the active ingredient in a suitable liquid carrier. The solution or suspension is applied directly to the nasal cavity by conventional means (e.g., using a dropper, pipette or ejector). The compositions may be provided in single or multiple doses. In the case of (4) or after the inhalation of f, this can be achieved by the patient administering a suitable volume or solution or suspension. In the case of an ejector, this can be achieved, for example, by metering an atomizing spray pump. Respiratory administration can also be achieved by means of an aerosol composition wherein the active ingredient is provided in a pressurized package with a suitable propellant. If the drug is administered in the form of an aerosol (for example in the form of a nasal aerosol or by inhalation) or a pharmaceutical composition comprising the same, it is possible to use, for example, an ejector, a mister: a pump sprayer, a suction device, The metering of the inhaler or the dry powder for the administration of the pharmaceutical form of the compound of the present invention as an aerosol can be carried out by the skilled artisan, for example, by using the present invention: for example, a solution or dispersion in water, a water/alcohol mixture or a suitable saline solution of 149380.doc 61 201105327, and using conventional additives such as sterols or other suitable preservatives, absorption enhancers for increasing bioavailability, Solubilizers, dispersants, and other agents, and where appropriate, conventional propellants' include, for example, carbon dioxide, CFCs such as dichlorodifluorodecane, tri-fluorofluoromethane or di-tetrafluoroethane; and the like. Aerosols may also conveniently contain a surfactant such as lecithin. A metering valve can be used to control the dose of the drug. This is done in compositions and compositions to the respiratory tract, including intranasal compositions. The material should generally have a small particle size of, for example, about 1 micron or less. This granulated straw can be obtained by means known in the art (for example by micronization). When necessary, a composition suitable for sustained release of the active ingredient can be employed. Or the 'active ingredient' may be provided in the form of a dry powder, for example, a compound in a powder: a powder mixture of the powder: the powder base may be, for example, milk π, such as hydroxypropyl fluorenyl cellulose and polyvinylpyrrole Pyridine

Vp)等澱粉衍生物。粉末載劑將在鼻腔 膠。例如,扒士,入 乃使地形成凝 泡罩包的膠二二物可:單位劑型存在於(例如)明膠或 醫藥別 湾中粉末可借助吸入器自其投與。 含有適二單位劑型。在此形式中,製劑可細分為 劑,該封裝八有=伤之早位劑量。單位劑型可為經封農製 瓶或安財:二Γ量之製劑’例如小包錠劑、膠囊及小 式 形 劑、扁囊劑或L此外’早位劑型本身亦可為膠囊、錠 。 5 ·劑,或其可為適宜量之任一該等封裝 經 投與之錠劑或膠囊及靜脈 内投與之液體係較佳組合 149380.doc -62- 201105327 物。 本發明化合物可視情況以醫藥上可接受之鹽存在,該等 鹽包括自包括無機酸及有機酸在内的醫藥上可接受之無毒 酸製得的醫藥上可接受之酸加成鹽。 該等酸加成鹽可作為化合物合成的直接產物獲得。在替 代方案中,可將游離驗溶解於含有適宜酸的適宜溶劑中, 並藉由蒸發溶劑或者將該鹽與溶劑分開來分離鹽。本發明 化合物可使用熟悉此項技術者已知的方法與低分子量溶劑 形成溶劑合物。 應注意,當GPR119激動劑及其醫藥上可接受之鹽、溶 劑合物及水合物在諸如醫藥組合物等組合物中用作活性成 份時,其未必僅欲用於人類,而且同樣用於其他非人類哺 礼動物。實際上,最近在動物健康護理領域中的進展表 明,應考慮使用諸如GPR119受體調節劑等活性藥劑來治 療家畜(例如貓及狗)之肥胖症,並將GPR119受體調節劑用 於疾病或病症不明的諸如家畜等其他動物(例如,供食用 的動物,例如牛、小雞、魚等)中。相信彼等熟悉此項技 術者可容易地理解此等化合物在此等場合令之用途。 醫藥上可接受之鹽、溶劑合物及水合物 應瞭解’當使用片語「醫藥上可接受之鹽、溶劑合物及 水合物」時當提及Ν·(2-氟·4_(曱基續醯基)苯基)_5_甲基冬 (1-(5-甲基啦嗓-2-基)六氫。比咬_4_基氧基)π密咬-4·胺時,意 欲涵蓋: 1) N-(2-氟-4-(甲基磺醯基)苯基)_5•甲基甲基 I49380.doc •63- 201105327 。比嗪·2·基)六氫m_4_基氧基)㈣_4_胺之醫藥上可接受 之鹽; 2) N-(2-氟-4_(甲基磺醯基)苯基)_5_甲基_6·(ι_(5•甲基 吡嗪-2·基)六氫吡啶-4_基氧基)嘧啶·4_胺及其醫藥上可^ 受之鹽之溶劑合物;及 3) Ν-(2“氟_4_(甲基磺醯基)苯基)_5·甲基甲基 吡嗪-2-基)六氫吡啶_4_基氧基)嘧啶_4_胺及其醫藥上可二 受之鹽之水合物。 本發明化合物可以各種口服及非經腸劑型投與。彼等熟 習此項技術者將易知,以下劑型可包含選自化合物ν_(2_ 氟-4-(甲基磺醯基)苯基)_5·甲基_6·(1_(5_甲基〇比嗪_2•基)六 氩吡啶-4-基氧基)嘧啶_4·胺(化合物i)及其醫藥上可接受之 鹽、溶劑合物及水合物之化合物作為活性組份。此外,本 發明化合物及其鹽之各種水合物及溶劑合物可用作製造醫 藥組合物之中間體。用於製備及確定除彼等本文所提及者 之外的適宜水合物及溶劑合物之典型程序為彼等熟習此項 技術所熟知;例如,參見K.j GuiUory,「Generati()n ofVp) and other starch derivatives. The powder carrier will be in the nasal cavity. For example, a gentleman may enter a gel or a blister pack to form a blister pack: the unit dosage form is present in, for example, gelatin or a pharmaceutical bay where the powder can be administered by means of an inhaler. Contains two suitable unit dosage forms. In this form, the formulation can be subdivided into an agent, which has an early dose of the injury. The unit dosage form may be a sealed agricultural bottle or an Ancai: a two-component preparation such as a small package, a capsule and a small form, a cachet or an L. The early dosage form itself may also be a capsule or an ingot. The agent, or any suitable package thereof, may be preferably a combination of a tablet or capsule administered thereto and an intravenously administered liquid system 149380.doc -62-201105327. The compounds of the present invention may optionally be present as pharmaceutically acceptable salts, including pharmaceutically acceptable acid addition salts prepared from pharmaceutically acceptable non-toxic acids including inorganic acids and organic acids. These acid addition salts can be obtained as a direct product of the synthesis of the compound. In an alternative embodiment, the free assay can be dissolved in a suitable solvent containing the appropriate acid and the salt isolated by evaporation of the solvent or separation of the salt from the solvent. The compounds of the present invention can be formed into solvates with low molecular weight solvents using methods known to those skilled in the art. It should be noted that when the GPR119 agonist and its pharmaceutically acceptable salts, solvates and hydrates are used as active ingredients in compositions such as pharmaceutical compositions, they are not necessarily intended for use in humans, but are also used in other Non-human feeding animals. In fact, recent advances in animal health care have shown that active agents such as GPR119 receptor modulators should be considered for the treatment of obesity in livestock (eg cats and dogs) and GPR119 receptor modulators for disease or Other animals such as livestock, such as animals, such as cattle, chickens, fish, etc., whose condition is unknown. It is believed that those skilled in the art will readily appreciate the use of such compounds in such occasions. Pharmaceutically acceptable salts, solvates and hydrates should be understood as 'when using the phrase "pharmaceutically acceptable salts, solvates and hydrates" when referring to Ν·(2-fluoro·4_(曱基) Continuation of fluorenyl)phenyl)_5_methyl winter (1-(5-methyloxain-2-yl)hexahydro. When biting _4_yloxy) π-Bite-4. : 1) N-(2-Fluoro-4-(methylsulfonyl)phenyl)_5•methylmethyl I49380.doc •63- 201105327. a pharmaceutically acceptable salt of a pyridinium-2(yl)hexahydrom_4_yloxy)(tetra)-4-amine; 2) N-(2-fluoro-4-((methylsulfonyl)phenyl)-5-methyl _6·(ι_(5•methylpyrazine-2·yl)hexahydropyridin-4-yloxy)pyrimidin-4-amine and a pharmaceutically acceptable salt thereof; and 3) Ν -(2"Fluoro-4-(methylsulfonyl)phenyl)-5-methylmethylpyrazin-2-yl)hexahydropyridyl-4-yloxy)pyrimidine-4-amine and its medicinal The hydrate of the salt of the invention may be administered in a variety of oral and parenteral dosage forms. It will be readily apparent to those skilled in the art that the following dosage forms may comprise a compound selected from the compound ν_(2_fluoro-4-(methyl) Sulfhydryl)phenyl)_5.methyl_6·(1_(5-methylpyridazine-2-yl)hexafluoropyridin-4-yloxy)pyrimidine-4 amine (compound i) and A pharmaceutically acceptable salt, solvate, and hydrate compound is used as an active ingredient. Further, various hydrates and solvates of the compound of the present invention and salts thereof can be used as an intermediate for the manufacture of a pharmaceutical composition. And determining suitable hydrates and solvates other than those mentioned herein Typical procedures are well known to those skilled in the art; for example, see K.j GuiUory, "Generati()n of

Polymorphs, Hydrates, Solvates, and Amorphous Solidsj: Polymorphism in Pharmaceutical Solids > Harry G. Brittan 編輯’第 95卷 ’ Marcel Dekker公司,New York,1999之第 202至209頁,其全部内容以引用方式併入本文中。因此, 本發明之一個態樣係關於N-(2-氟-4-(甲基磺醯基)苯基)-5-曱基-6-( 1-(5-甲基吡嗪-2-基)六氫吡啶_4_基氧基)嘧啶_4_胺 及其醫藥可接受之鹽之水合物及溶劑合物,其可藉由一或 149380.doc -64 - 201105327 多種業内已知的方法來分離並表徵,該等方法係例如熱重 分析(TGA)、TGA-質譜、TGA-紅外光譜、粉末X射線繞射 (XRPD)、卡耳費瑟滴定(Karl Fisher titration)、高解析度X 射線繞射及諸如此類。有若干商業實體在常規基礎上提供 用於鑑別溶劑合物及水合物之快速有效服務。提供該等服 務之實例性公司包括 Wilmington PharmaTech (Wilmington, DE) ' Avantium Technologies (Amsterdam)及Aptuit (Greenwich, CT)。 多晶型物及假多晶型物 多晶性係物質以兩種或更多種結晶相存在之能力,該等 結晶相在晶格中具有不同的分子排列及/或構象。多晶型 物在液態或氣態中顯示相同性質,但其在固態中則表現不 同。 除了單組份多晶型物以外,藥物亦可以鹽及其他多組份 結晶相形式存在。舉例而言,溶劑合物及水合物可分別含 有API主體及作為客體之溶劑或水分子。類似地,當客體 化合物在室溫下係固體時,所得形式通常稱為共晶體。 鹽、溶劑合物、水合物及共晶體亦可顯示多晶性。具有相 同API主體但具有不同客體之結晶相可彼此稱作假多晶型 物。 溶劑合物在限定晶格中含有結晶溶劑分子。結晶溶劑為 水之溶劑合物稱作水合物。由於水係大氣之組份,因而可 相當容易地形成藥物水合物。 舉例而言,Stahly最近公開了 245個由「眾多種結構類 149380.doc -65- 201105327 型」組成的化合物之多晶型物篩選物,其顯示該等化合物 中之約90%展示多種固體形式。總之,該等化合物中大約 有一半係多晶型,且通常具有一至三種形式。約1/3該等 化合物形成水合物’且約1 / 3形成溶劑合物。64個化合物 之共晶體篩選物數據顯示60%形成共晶體而非水合物或溶 劑合物。(G. P. Stahly,Crystal Growth & Design (2007), 7(6), 1007-1026.) 組合療法 在本發明上下文中,本文所述化合物或其 用於調節如本文所述的GPR119受體相關疾病、病況及/哀 病症之活動。調節GPR119受體相關疾病之活動之實例爸 括治療代謝相關病症。代謝相關病症包括(但不限於):g 脂血症;i型糖尿病;2型糖尿病,及其有關之病況,例士 (但不限於)冠心病、缺血性中風、血管成形術後再狹窄 外周血管疾病、跛行、間歇性跛行、與心肌梗塞有關之岛 胞死亡(例如,壞死及細胞凋亡)、血脂異常、餐後脂』 症、葡萄糖耐受性受損(IGT)病況 '空腹血漿葡萄糖異_ 病況、代謝性酸中毒、酮病、關節炎、肥胖症、骨質疏秦 症、高血壓、充血性心力衰竭 '左心室肥大、外周動脈邊 病、糖尿病性視網膜病變、黃斑變性、白内障、糖尿_ 腎病、腎小動脈▲管球硬化、慢性腎衰竭、糖尿病性神包 病變、代謝症候群、X症候群、經前期症候群、冠心病’、 紋痛、血栓症、動脈粥樣硬化、心肌梗塞、短暫性缺古 性發作、中風、血管狹窄、高域症、高姨島素症、高 149380.doc • 66 - 201105327 血症、高甘油三醋血症、胰島素抵抗、葡萄糖代謝受損、 葡萄糖耐受性受損病況、空腹血聚葡萄糖異常病況、肥胖 症、勃起功能障礙、皮膚及結缔組織病症、足潰瘍、潰瘍 性結腸炎、内皮功能障礙及血管順應性障礙。在—些實施 例中’代謝相關病症包括i型糖尿病、2型糖尿病、葡萄糖 耐受性不足、姨島素抵抗、高血糖症、高脂血症、高甘油 二酯血症、高膽固醇血症 '血脂異常及χ症候群。調節 GPR119受體相關疾病之活動之其他實例包括藉由減少食 物攝取、誘發飽腹感(即飽的感覺)、控制重量增加、減少 體重及/或影響代謝以使接受者失去重量及/或維持重量來 治療肥胖症及/或超重。 儘管本發明化合物可作為單一活性醫藥試劑(即單一療 法)技與,但該化合物亦可以與一或多種一起或分開投與 之醫藥試劑組合(即組合療法)用於治療本文所述之疾病/病 況/病症。因此’本發明之另一態樣包括治療代謝相關病 症(包括重量相關病症’例如,肥胖症)之方法,其包含向 需要預防及/或治療之個體投與治療有效量之本發明化合 物及一或多種本文所述之額外醫藥試劑。 可與本發明化合物組合使用的適宜醫藥試劑包括抗肥胖 劑’例如載脂蛋白-B分泌/微粒體甘油三酯轉移蛋白(apo_ B/MTP)抑制劑、MCR-4激動劑、膽囊收縮素A (cholescystoldnin-AKCCK-A)激動劑、血清素及去甲腎上 腺素再攝取抑制劑(例如,西布曲明(sibutramine))、擬交 感神經劑、β3腎上腺素受體激動劑、多巴胺激動劑(例 I49380.doc • 67- 201105327 如,溴隱亭(bromocriptine))、促黑素細胞激素受體類似 物、大麻素(cannabinoid) 1受體拮抗劑[例如,SR14i716: >1-(娘。定-1-基)-5-(4-氣苯基)-1-(2,4-二氯苯基)_4_甲基_1幵- °比唑-3 -甲醯胺]、黑素濃集激素拮抗劑、瘦素(ieptin)(〇B 蛋白)、瘦素類似物、痩素受體激動劑、甘丙肽(galanin)拮 抗劑、脂肪酶抑制劑(例如四氫利普他丁(tetrahydr〇lipstatin), 即奥利司他(Orlistat))、減食欲劑(諸如鈴蟾肽(b〇mbesin) 激動劑)、神經肽-Y拮抗劑、擬曱狀腺素劑、去氫表雄酮 或其類似物、糖皮質激素受體激動劑或拮抗劑、阿立新 (orexin)受體拮抗劑、尿皮素(uroc〇rtin)結合蛋白拮抗劑、 胰高血糖素樣肽-1受體激動劑、睫狀神經營養因子(例如自Polymorphs, Hydrates, Solvates, and Amorphous Solidsj: Polymorphism in Pharmaceutical Solids > Harry G. Brittan, eds., vol. 95, Marcel Dekker, New York, 1999, pp. 202-209, all of which is incorporated herein by reference. in. Thus, one aspect of the invention pertains to N-(2-fluoro-4-(methylsulfonyl)phenyl)-5-mercapto-6-(1-(5-methylpyrazine-2- And pharmaceutically acceptable salt hydrates and solvates thereof, which are known in the art by one or 149380.doc-64 - 201105327 Methods for separation and characterization, such as thermogravimetric analysis (TGA), TGA-mass spectrometry, TGA-infrared spectroscopy, powder X-ray diffraction (XRPD), Karl Fisher titration, high resolution X-ray diffraction and the like. Several commercial entities provide fast and efficient services for identifying solvates and hydrates on a regular basis. Exemplary companies that provide such services include Wilmington PharmaTech (Wilmington, DE) 'Avantium Technologies (Amsterdam) and Aptuit (Greenwich, CT). Polymorphs and Pseudopolymorphs Polymorphic materials have the ability to exist in two or more crystalline phases that have different molecular arrangements and/or conformations in the crystal lattice. Polymorphs exhibit the same properties in liquid or gaseous form, but they behave differently in solid state. In addition to the one-component polymorph, the drug may also be present in the form of a salt and other multi-component crystalline phases. For example, solvates and hydrates may each contain an API host and a solvent or water molecule as a guest. Similarly, when the guest compound is a solid at room temperature, the resulting form is often referred to as a co-crystal. Salts, solvates, hydrates, and co-crystals can also exhibit polymorphism. Crystal phases having the same API host but having different guest bodies may be referred to each other as pseudopolymorphs. The solvate contains a crystalline solvent molecule in a defined lattice. The solvating solvent in which the crystallization solvent is water is referred to as a hydrate. Due to the composition of the aqueous system of the atmosphere, drug hydrates can be formed quite easily. For example, Stahly recently published 245 polymorphic screenings of compounds consisting of "many species of structural class 149380.doc -65- 201105327", which showed that about 90% of these compounds exhibited multiple solid forms. . In summary, about half of these compounds are polymorphic and usually have one to three forms. About 1/3 of these compounds form a hydrate' and about 1/3 form a solvate. Co-crystal screen data for 64 compounds showed 60% formation of eutectics rather than hydrates or solvates. (GP Stahly, Crystal Growth & Design (2007), 7(6), 1007-1026.) Combination Therapy In the context of the present invention, a compound described herein or a compound thereof for use in modulating a GPR119 receptor-associated disease as described herein , conditions and/or sorrowful activities. Examples of activities that modulate GPR119 receptor-associated diseases include treatment of metabolic related disorders. Metabolic related disorders include, but are not limited to, g-lipidemia; type 1 diabetes; type 2 diabetes, and related conditions, including but not limited to coronary heart disease, ischemic stroke, restenosis after angioplasty Peripheral vascular disease, lameness, intermittent claudication, island cell death associated with myocardial infarction (eg, necrosis and apoptosis), dyslipidemia, postprandial lipids, impaired glucose tolerance (IGT) condition, fasting plasma Glucose _ condition, metabolic acidosis, ketosis, arthritis, obesity, osteoporosis, hypertension, congestive heart failure 'left ventricular hypertrophy, peripheral arterial disease, diabetic retinopathy, macular degeneration, cataract ,diabetes _ nephropathy, renal arteries ▲ tube sclerosis, chronic renal failure, diabetic sensation, metabolic syndrome, X syndrome, premenstrual syndrome, coronary heart disease, striated pain, thrombosis, atherosclerosis, myocardial infarction Transient analgesia, stroke, vascular stenosis, high-grade disease, sorghum, high 149380.doc • 66 - 201105327 Hypertension, hypertriglyceridemia, Insulin resistance, impaired glucose metabolism, impaired glucose tolerance, abnormal conditions of fasting blood polydextrose, obesity, erectile dysfunction, skin and connective tissue disorders, foot ulcers, ulcerative colitis, endothelial dysfunction and blood vessels Compliance disorder. In some embodiments, 'metabolic related conditions include type I diabetes, type 2 diabetes, inadequate glucose tolerance, sputum resistance, hyperglycemia, hyperlipidemia, hypertriglyceridemia, hypercholesterolemia 'Hyperlipidemia and snoring syndrome. Other examples of activities that modulate GPR119 receptor-associated diseases include loss of weight and/or maintenance by reducing food intake, inducing satiety (ie, feeling full), controlling weight gain, reducing body weight, and/or affecting metabolism Weight to treat obesity and / or overweight. While the compounds of the invention may be used as a single active pharmaceutical agent (ie, monotherapy), the compounds may also be administered in combination with one or more of the pharmaceutical agents (ie, combination therapies) for the treatment of the diseases described herein. Condition / illness. Thus, another aspect of the invention includes a method of treating a metabolic-related disorder, including a weight-related disorder, eg, obesity, comprising administering to a subject in need of prophylaxis and/or treatment a therapeutically effective amount of a compound of the invention and a Or a plurality of additional pharmaceutical agents described herein. Suitable pharmaceutical agents that can be used in combination with the compounds of the invention include anti-obesity agents such as apolipoprotein-B secreting/microsomal triglyceride transfer protein (apo_B/MTP) inhibitors, MCR-4 agonists, cholecystokinin A (cholescystoldnin-AKCCK-A) agonists, serotonin and norepinephrine reuptake inhibitors (eg, sibutramine), sympathomimetic agents, beta 3 adrenergic receptor agonists, dopamine agonists ( Example I49380.doc • 67-201105327 For example, bromocriptine, melanocyte stimulating hormone receptor analog, cannabinoid 1 receptor antagonist [eg, SR14i716: > 1-(mother. Dec-1-yl)-5-(4-phenylphenyl)-1-(2,4-dichlorophenyl)_4_methyl-1幵- °biazole-3-formamide], melanin Concentrated hormone antagonists, leptin (〇B protein), leptin analogs, alizarin receptor agonists, galanin antagonists, lipase inhibitors (eg tetrahydrolipidin) (tetrahydr〇lipstatin), ie Orlistat), anorectic agent (such as 〇 es es es 、 、 、), neuropeptide-Y antagonist Anti-agent, pseudo-like gonadotropin, dehydroepiandrosterone or its analogue, glucocorticoid receptor agonist or antagonist, orexin receptor antagonist, uroc〇rtin binding Protein antagonists, glucagon-like peptide-1 receptor agonists, ciliary neurotrophic factors (eg self-

Regeneron Pharmaceuticals 公司(Tarrytown,NY)及 Procter & Gamble公司(Cincinnati,〇H)購得的 Axokine™)、人類刺 鼠相關蛋白(AGRP)、格那啉(ghrelin)受體拮抗劑、組胺3 受體拮抗劑或反向激動劑、神經調節肽U受體激動劑、產 生去曱腎上腺素的減食欲劑(例如,芬特明(phentermine)、 氯苯咪吲哚(mazindol)及諸如此類)、及食欲抑制劑(例如安 非他明(bupropion)) 〇 包括下文所列試劑在内的其他抗肥胖劑已為人們所熟知 且根據本發明揭示内容易於為熟習此項技術者所瞭解。 在一些實施例中,抗肥胖劑選自由奥利司他、西布曲 明、溴隱亭、麻黃鹼、瘦素、芬特明及偽麻黃鹼組成之 群。在又一實施例中’本發明化合物及組合療法係與運動 及/或合理飲食聯合施用。 149380.doc -68- 201105327 應瞭解,本發明化合物及其他抗肥胖劑、減食欲劑、食 欲抑制劑及相關藥劑之組合療法之範圍並不限於上文列出 的彼等清况,而疋原則上包括與用於治療超重及肥胖個體 之任一醫藥試劑或醫藥組合物的任一組合。 應瞭解,本發明化合物與其他醫藥試劑之組合療法之範 目並不限於本文之上文或下文中列出者,而是原則上包括 任何與適於治療與代謝相關病症相關聯之疾病、病況或病 症之任何醫藥試劑或醫藥組合物的組合。 本發明之一些實施例包括治療本文所述疾病、病症、病 況或其併發症之方法,該等方法包含向需要此治療之個體 投與治療有效量或劑量之本發明化合物與至少一種選自由 以下組成之群之醫藥試劑組合:磺醯脲類(例如格列本脲 (glybunde)、格列吼嗅(glipizide)、格列美腺(glimepiride) 及業内已知的其他磺醯脲類)、美格替耐類(meglitinides) (例如瑞格列奈(repaglinide)、那替格歹彳(nateglinide)及業内 已知的其他美格替耐類)、雙胍類(biguanides)(例如雙胍 類’包括苯乙雙胍(phenformin)、二甲雙胍(metfor-min)、 丁福明(buformin)、及業内已知的雙胍類)、α-葡糖苷酶抑 制劑[例如糖祿(acarbose)、N-(l,3-二羥基-2-丙基)井岡黴醇 胺(vali〇lamine)(通用名:伏格列波糖(v〇glibose))、米格列 醇(miglitol)、及業内已知的α_葡糖苷酶抑制劑]、過氧化 小體(peroxisome)增生因子活化受體-γ(即PPAR-γ)激動劑 (例如羅格列酮(rosiglitazone)、°比格列酮(pioglitazone)、 特撒格列查(tesaglitazar)、尼格列酮(netoglitazone)、GW- 149380.doc -69- 201105327 40954|、GW-501516及業内已知的PPAR-γ激動劑)、胰島 素、胰島素類似物、HMG-CoA還原酶抑制劑(例如羅舒伐 他、;丁(rosuvastatin)、普伐他汀(pravastatin)及其納鹽、辛伐 他、;丁(simvastatin)、洛伐他汀(lovastatin)、阿托伐他汀 (atorvastatin)、氟伐他汀(fluvastatin)、西立伐他汀(cerivastatin)、 羅舒伐他汀(rosuvastatin)、皮塔伐他汀(pitavastatin)、 BMS之「超級他;j:丁(superstatin) j、及業内已知的HMG-CoA 還原酶抑制劑)、降膽固醇藥物(例如,纖維酸類(fibrates), 包括苯紮貝特(bezafibrate)、苄氣貝特(beclobrate)、比尼 貝特(binifibrate)、環丙貝特(ciprofibrate)、克利貝特 (clino-fibrate)、氣貝丁 S旨(clofibrate)、氣貝酸(clofibric acid)、 依託貝特(etofibrate)、非諾貝特(fenofibrate)、吉非羅齊 (gemfibrozil)、尼可貝特(nicofibrate)、D比貝特(pirifibrate)、 氣煙貝特(ronifibrate)、雙貝特(simfibrate)、經乙茶驗安妥 明(theofibrate)、及業内已知的纖維酸類;膽汁酸螯合 劑,其包括:考來稀胺(cholestyramine)、考來替潑 (colestipol)及諸如此類;及於驗酸)、抗血小板劑(例如阿 司匹林(aspirin)及腺苷二磷酸受體拮抗劑,包括:氣η比格 雷(clopidogrel)、°塞氣匹定(ticlopidine)及諸如此類)、血管 緊張素轉化酶抑制劑(例如卡托普利(captopril)、依那普利 (enalapril)、阿拉普利(alacepril)、地拉普利(delapril)、雷 米普利(ramipril)、賴法普利(lisinopril)、咪達普利(imidapril)、 貝那普利(benazepril)、西羅普利(ceronaprU) '西拉普利 (cilazapril)、依那普利拉(enalaprilat)、福辛普利(fosinopril)、 149380.doc -70- 201105327 莫維普利(moveltopdl)、培哚普利(perind〇prii)、喹那普利 (quinapril)、螺普利(spirapril)、替莫普利(temocapril)、群 多普利(trandolapdl)、及業内已知的血管緊張素轉化酶抑 制劑)、血管緊張素Π受體括抗劑[例如氣沙坦(l〇sartan)(及 鉀鹽形式)及業内已知的血管緊張素Η受體拮抗劑]、脂聯 素、角鯊嫦合成抑制劑(例如(S)_a-[雙[2,2-二甲基-1-側氧 基丙氧基)曱氧基]氧膦基(phosphinyl)]-3 -苯氧基苯丁項酸 單卸鹽(BMS-188494)及業内已知的角鯊烯合成抑制劑), 及諸如此類。在一些實施例中,本發明化合物及醫藥試劑 分開投與。在其他實施例中,本發明化合物及醫藥試劑一 起投與。 可與本發明化合物聯合使用的適宜醫藥試劑包括(但不 限於)殿粉素激動劑(例如,普蘭林肽(pramlintide))、胰島 素促分泌素(例如’ GLP-1激動劑;艾塞那肽(exendin-4); 騰島素調理素(insulinotropin) (NN2211))、醯基CoA膽固醇 乙酿基轉移酶抑制劑(例如,依澤替米貝(Ezetimibe)、愛氟 西米(eflucimibe)、及類似化合物)、膽固醇吸收抑制劑(例 如’依澤替米貝(Ezetimibe)、帕馬苷(pamaqueside)及類似 化合物)、膽固醇酯轉移蛋白抑制劑(例如,CP-529414、 iTT_7G5、CETi-1及類似化合物)、微粒體甘油三酯轉移蛋 白抑制劑(例如’英普他派(implitapide)及類似化合物)、膽 固醇調節劑(例如,NO-1886及類似化合物)、膽酸調節劑 (例如’ GT103-279及類似化合物)、胰島素信號途徑調節 劑(諸如蛋白質酪胺酸磷酸酶抑制劑(PTP酶))、穀胺醯胺- 149380.doc 71 201105327 果糖-6-磷酸胺基轉移酶(GFAT)的非小分子模擬化合物及 抑制劑、影響失調性肝葡萄糖產生之化合物(諸如葡萄糖_ 6-磷酸酶(G6P酶)抑制劑、果糖-i,6-二磷酸酶(F-1,6-BP酶) 抑制劑、糖原填酸化酶(GP)抑制劑、胰高血糖素受體拮抗 劑及磷酸烯醇丙酮酸羧基激酶(PEPCK)抑制劑、丙酮酸脫 氫酶激酶(PDHK)抑制劑、胰島素敏感性增強劑、胰島素 分泌增強劑、胃排空抑制劑、α2_腎上腺素能拮抗劑、類視 黃醇X受體(RXR)激動劑及二肽基肽酶-4 (DPP-IV)抑制 劑。 二肽基肽酶IV (DPP-IV)抑制劑 二肽基肽酶1¥(0??-1乂£€3.4.14.5)對寬範圍之肽受質 展示催化活性,該等肽受質包括肽激素、神經肽及趨化因 子。腸降血糖素高血糖素樣肽l(GLP-l)及葡萄糖依賴性促 胰島素多肽(GIP)刺激葡萄糖依賴性胰島素分泌且另外促 進血糖體内平衡,此兩種肽於2位丙胺酸處被DPP-IV快速 裂解’從而導致其生物活性失活。DPP-IV活性之藥理及遺 傳衰減二者均與活體内之腸降血糖素作用增強、胰島素增 加及較低血糖有關^ DPP-IV活性之遺傳衰減已顯示可提供 對肥胖症之抵抗性並提高胰島素敏感性。DPP-IV抑制劑已 顯示可用作治療劑,例如,已發現向患有2型糖尿病之人 類患者經口投與維達列汀(vildagliptin)(l-[2-(3-羥基金剛 烷-1-基胺基)乙醯基]吡咯啶-2(S)-甲腈)或西他列汀 (sitagliptin)(3(R)-胺基-l-[3-(三氟甲基)-5,6,7,8·四氫 [1,2,4]二唾并[4,3-&]°比°秦-7-基]-4-(2,4,5-三|^笨基)丁-1- 149380.doc •72- 201105327 酮)可減少與顯著降低的HbAlc濃度相關聯的空腹葡萄糖及 餐後葡萄糖之漂移。關於應用DPP-IV抑制劑來治療2型糖 尿病之綜述可參照以下出版物:(1) H.-U. Demuth等人, 「Type 2 diabetes-Therapy with dipeptidyl peptidase IV inhibitors」Biochim. Biophys. Acta, 1751: 33-44 (2005); 及(2) K. Augustyns等人,「Inhibitors of proline-specific dipeptidyl peptidases: DPP-IV inhibitors as a novel approach for the treatment of Type 2 diabetes」,ExpertRegeneron Pharmaceuticals (Tarrytown, NY) and Procter & Gamble (Cincinnati, 〇H) purchased AxokineTM), human squirrel-associated protein (AGRP), ghrelin receptor antagonist, histamine 3 a receptor antagonist or inverse agonist, a neuromodulin U receptor agonist, an anorectic agent that produces norepinephrine (eg, phentermine, mazindol, and the like), And appetite suppressants (e.g., bupropion), other anti-obesity agents, including the agents listed below, are well known and are readily understood by those skilled in the art in light of the present disclosure. In some embodiments, the anti-obesity agent is selected from the group consisting of orlistat, sibutramine, bromocriptine, ephedrine, leptin, phentermine, and pseudoephedrine. In yet another embodiment, the compounds of the invention and combination therapies are administered in combination with exercise and/or a reasonable diet. 149380.doc -68- 201105327 It should be understood that the scope of combination therapy of the compounds of the present invention with other anti-obesity agents, anorectic agents, appetite suppressants and related agents is not limited to the above-listed conditions, and the principle of 疋Included in any combination with any of the pharmaceutical or pharmaceutical compositions for treating overweight and obese individuals. It will be appreciated that the scope of combination therapies of the compounds of the invention with other pharmaceutical agents is not limited to those listed above or below, but includes, in principle, any disease or condition associated with a treatment-related metabolic-related disorder. Or any pharmaceutical agent or combination of pharmaceutical compositions of the condition. Some embodiments of the invention include methods of treating a disease, disorder, condition, or complication thereof, as described herein, comprising administering to a subject in need of such treatment a therapeutically effective amount or dose of a compound of the invention and at least one selected from the group consisting of a combination of pharmaceutical agents comprising: sulfonylureas (eg, glybunde, glipizide, glimepiride, and other sulfonamides known in the art), Meglitinides (eg, repaglinide, nateglinide, and other melamines known in the art), biguanides (eg biguanides) Including phenformin, metfor-min, buformin, and known biguanides in the industry, alpha-glucosidase inhibitors [eg acarbose, N-(l, 3-dihydroxy-2-propyl)vali〇lamine (common name: v〇glibose), miglitol, and alpha known in the industry _glucosidase inhibitor], peroxisome proliferative factor Chemo-receptor-gamma (ie, PPAR-gamma) agonists (eg, rosiglitazone, pioglitazone, tesaglitazar, negoglitazone, GW) - 149380.doc -69- 201105327 40954|, GW-501516 and PPAR-gamma agonists known in the art), insulin, insulin analogues, HMG-CoA reductase inhibitors (eg rosuvastatin, butyl ( Rosuvastatin), pravastatin and its sodium salts, simvastatin, simvastatin, lovastatin, atorvastatin, fluvastatin, cerivastatin (cerivastatin), rosuvastatin, pitavastatin, BMS "super-he; j: superstatin j, and HMG-CoA reductase inhibitors known in the industry", Cholesterol drugs (eg, fibrates, including bezafibrate, beclobrate, binifibrate, ciprofibrate, clino-fibrate ), gas beetin S (clofibrate), gas benign acid (cl Ofibric acid), etofibrate, fenofibrate, gemfibrozil, nicofibrate, pirifibrate, ronifibrate , simfibrate, theofibrate, and fiber acids known in the art; bile acid sequestrants, including: cholestyramine, colestipol And the like; and acid detection), antiplatelet agents (such as aspirin and adenosine diphosphate receptor antagonists, including: clopidogrel, ticlopidine, and the like), Angiotensin-converting enzyme inhibitors (eg, captopril, enalapril, alapril, delapril, ramipril, lamapi Lisinopril, imidapril, benazepril, ceronaprU 'cilazapril, enalaprilat, fossip Lee (fosinopril), 149380.doc -70- 2 01105327 moveltopdl, perind〇prii, quinapril, spirapril, temocapril, trandolapdl, and Angiotensin-converting enzyme inhibitors known in the art), angiotensin-receptor inhibitors [eg, sarsartan (and potassium salt forms), and angiotensin- Η known in the art) Inhibitors, adiponectin, squalene synthesis inhibitors (eg (S)_a-[bis[2,2-dimethyl-1-oxooxypropoxy)decyloxy]phosphinyl) Phosphylyl]]-3-phenoxybenzidine monosodium salt (BMS-188494) and known squalene synthesis inhibitors in the art), and the like. In some embodiments, the compounds of the invention and pharmaceutical agents are administered separately. In other embodiments, the compounds of the invention and pharmaceutical agents are administered together. Suitable pharmaceutical agents that can be used in combination with the compounds of the invention include, but are not limited to, dinol agonists (e.g., pramlintide), insulin secretagogues (e.g., 'GLP-1 agonists; exenatide (exendin-4); insulinotropin (NN2211)), sulfhydryl-based CoA cholesterol-based transferase inhibitor (eg, ezetimibe, eflucimibe, And similar compounds), cholesterol absorption inhibitors (eg 'Ezetimibe, pamaqueside and similar compounds), cholesterol ester transfer protein inhibitors (eg, CP-529414, iTT_7G5, CETi-1) And similar compounds), microsomal triglyceride transfer protein inhibitors (such as 'impitapide and similar compounds), cholesterol regulators (eg, NO-1886 and similar compounds), cholic acid modulators (eg ' GT103-279 and similar compounds), insulin signaling pathway regulators (such as protein tyrosine phosphatase inhibitor (PTPase)), glutamine 149380.doc 71 201105327 fructose-6-phosphorus Non-small molecule mimetic compounds and inhibitors of aminotransferases (GFAT), compounds that affect the production of dysfunctional hepatic glucose (such as glucose-6-phosphatase (G6P enzyme) inhibitors, fructose-i,6-bisphosphatase ( F-1,6-BP enzyme) inhibitor, glycogenate phosphatase (GP) inhibitor, glucagon receptor antagonist and phosphoenolpyruvate carboxykinase (PEPCK) inhibitor, pyruvate dehydrogenase Kinase (PDHK) inhibitor, insulin sensitivity enhancer, insulin secretion enhancer, gastric emptying inhibitor, α2_adrenergic antagonist, retinoid X receptor (RXR) agonist and dipeptidyl peptidase -4 (DPP-IV) inhibitor. Dipeptidyl peptidase IV (DPP-IV) inhibitor dipeptidyl peptidase 1 ¥ (0??-1乂£€3.4.14.5) for a wide range of peptide receptors Showing catalytic activity, peptide receptors including peptide hormones, neuropeptides and chemokines. Incretin-glucagon-like peptide 1 (GLP-1) and glucose-dependent insulinotropic polypeptide (GIP) stimulate glucose-dependent insulin Secretion and additionally promote blood glucose homeostasis, the two peptides are rapidly cleaved by DPP-IV at position 2 alanine Its biological activity is inactivated. Both pharmacological and genetic attenuation of DPP-IV activity are associated with increased incretin action, increased insulin and lower blood glucose in vivo. The genetic attenuation of DPP-IV activity has been shown to provide Resistance to disease and increased insulin sensitivity. DPP-IV inhibitors have been shown to be useful as therapeutic agents, for example, it has been found that oral administration of vildagliptin to human patients with type 2 diabetes (l- [2-(3-Hydroxyadamantan-1-ylamino)ethylidene]pyrrolidine-2(S)-carbonitrile) or sitagliptin (3(R)-amino-l- [3-(Trifluoromethyl)-5,6,7,8·tetrahydro[1,2,4]disindol [4,3-&]°°°Q-7-yl]-4- (2,4,5-three|^ stupid) D-1- 1 149380.doc • 72-201105327 Ketone) can reduce the drift of fasting glucose and postprandial glucose associated with significantly reduced HbAlc concentration. For a review of the use of DPP-IV inhibitors for the treatment of type 2 diabetes, refer to the following publications: (1) H.-U. Demuth et al., "Type 2 diabetes-Therapy with dipeptidyl peptidase IV inhibitors" Biochim. Biophys. Acta, 1751: 33-44 (2005); and (2) K. Augustyns et al., "Inhibitors of proline-specific dipeptidyl peptidases: DPP-IV inhibitors as a novel approach for the treatment of Type 2 diabetes", Expert

Opin. Ther. Patents,15: 1387-1407 (2005)。 因此,適宜醫藥試劑包括DPP-IV抑制劑,其可與分開或 一起給予之本發明化合物聯合使用。DPP-IV抑制劑為業内 所熟知或可易於確定且其活體外生物活性可使用任何數目 的可獲取方法來確定,例如,O'Brien,M.,Daily, B., Schurria, Μ.,「Assay for DPPIV activity using a homogeneous, luminescent method」,Cell Notes,第 11 期,2005 ;亦參見DPPIV-GloTM蛋白酶分析技術簡報 (Technical Bulletin)編號 TB339。 DPP-IV抑制劑之實例闡述於以下文獻中:對於LAF237 而言,Villhauer等人,J Med Chem (2003) 46:2774-2789 ; Ahren等人,J Clin Endocrinol Metab (2004) 89:2078-2084 ;對於 NVP-DPP728 而言,Villhauer 等人,J Med Chem (2002) 45:2362-2365 ;對於 NVP-DPP728 而言, Ahren 等人,Diabetes Care (2002) 25:869-875 ; Peters 等 人,Bioorg Med Chem Lett (2004) 14:1491-1493 ; Caldwell 149380.doc -73- 201105327 等人,Bioorg Med Chem Lett (2004) 14:1265-1268 ;Opin. Ther. Patents, 15: 1387-1407 (2005). Thus, suitable pharmaceutical agents include DPP-IV inhibitors which can be used in combination with the compounds of the invention administered separately or together. DPP-IV inhibitors are well known in the art or can be readily determined and their in vitro biological activity can be determined using any number of available methods, for example, O'Brien, M., Daily, B., Schurria, Μ., "Assay for DPPIV activity using a homogeneous, luminescent method", Cell Notes, No. 11, 2005; see also DPPIV-GloTM Protease Analysis Technical Bulletin No. TB339. Examples of DPP-IV inhibitors are set forth in the literature: for LAF237, Villhauer et al, J Med Chem (2003) 46: 2774-2789; Ahren et al, J Clin Endocrinol Metab (2004) 89: 2078-2084 For NVP-DPP728, Villhauer et al., J Med Chem (2002) 45: 2362-2365; for NVP-DPP728, Ahren et al., Diabetes Care (2002) 25: 869-875; Peters et al. Bioorg Med Chem Lett (2004) 14: 1491-1493; Caldwell 149380. doc-73-201105327 et al, Bioorg Med Chem Lett (2004) 14: 1265-1268;

Edmondson等人,Bioorg Med Chem Lett (2004) 14:5151-515 5 ;及 Abe 等人,J Nat Prod (2004) 67:999-1004 o DPP-IV抑制劑之特定實例包括(但不限於)二肽衍生物或 二肽模擬物,例如丙胺酸-°比°各啶、異白胺酸-噻唑咬及假 受質N-綠胺醯基脯胺醯基,〇-苯曱酿基經基胺,如(例如)美 國專利第6,303,661號中所述。 本發明之一些實施例包括一或多種DPP-IV抑制劑之每一 組合,該等抑制劑選自見於以下美國專利中之DPP-IV抑制 劑:第 6,869,947號、第 6,867,205號、第 6,861,440號、第 6,849,622 號、第 6,812,350 號、第 6,803,357 號、第 6,800,650 號、第 6,727,261 號、第 6,716,843 號、第 6,710,040 號、第 6,706,742 號、第 6,645,995 號、第 6,617,340 號、第 6,699,871 號、第 6,573,287 號、第 6,432,969 號、第 6,395,767 號、第 6,380,398 號、第 6,303,661 號、第 6,242,422 號、第 6,166,063 號、第 6,100,234號及第 6,040,145號。 本發明之一些實施例包括一或多種DPP-IV抑制劑之每一 組合,該等抑制劑選自見於以下美國專利申請案中之DPP-IV 抑制劑:第 2005059724 號、第 2005059716 號、第 2005043292號、第 2005038020號、第 2005032804號、第 2005004205號、第 2004259903號、第 2004259902號、第 2004259883號、第 2004254226號、第 2004242898號、第 2004229926號、第 2004180925號、第 2004176406號、第 149380.doc •74- 201105327 第 2004116328號、 第 2004097510號、 第 2004077645 號、 第 2004034014號、 第 2003216450號、 第 2003195188 號、 第 2003134802號、 第 2003125304號、 第 2003105077號、 第 2003078247號、 第 2002103384號、 2004138214號 2004106656號 2004082570號 2004063935 號 2003225102 號 2003199528 號 2003 149071 號 2003130199號 2003 1 19738 號 2003087950 號 2002183367號 第 2004110817號、第 第 2004087587號、第 第 2004072892號、第 第 2003232788號、第 第 2003216382號、第 第 2003162820號、第 第 2003130281號、第 第 2003119750號、第 第 2003100563 號、第 第 2002198205 號、第 第2002049164號及第 2002006899號。 本發明之一些實施例包括一或多種DPP-IV抑制劑之每一 組合,該等抑制劑選自見於以下國際專利申請公開案中之Edmondson et al, Bioorg Med Chem Lett (2004) 14:5151-515 5 ; and Abe et al, J Nat Prod (2004) 67:999-1004 o Specific examples of DPP-IV inhibitors include (but are not limited to) two Peptide derivatives or dipeptide mimetics, such as alanine-° ratios of each pyridine, isoleucine-thiazole bite and pseudo-nuclear N-chloroamine decyl amidoxime, hydrazine-benzoquinone , for example, as described in U.S. Patent No. 6,303,661. Some embodiments of the invention include each combination of one or more DPP-IV inhibitors selected from the group consisting of DPP-IV inhibitors as disclosed in U.S. Patent Nos. 6,869,947, 6,867,205, 6,861,440 No. 6,849,622, 6,812,350, 6,803,357, 6,800,650, 6,727,261, 6,716,843, 6,710,040, 6,706,742, 6,645,995, 6,617,340, 6,699,871, 6,573,287, Nos. 6,432,969, 6,395,767, 6,380,398, 6,303,661, 6,242,422, 6,166,063, 6,100,234, and 6,040,145. Some embodiments of the invention include each combination of one or more DPP-IV inhibitors selected from the group consisting of DPP-IV inhibitors found in the following U.S. patent applications: No. 2005059724, No. 2005059716, No. 2005043292 No. 2005038020, 2005032804, 2005004205, 2004259903, 2004259902, 2004259883, 2004254226, 2004242898, 2004229926, 2004180925, 2004176406, 149380. • 74-201105327 No. 2004116328, No. 2004097510, No. 2004077645, No. 2004034014, No. 2003216450, No. 2003195188, No. 2003134802, No. 2003125304, No. 2003105077, No. 2003078247, No. 2002103384, 2004138214 2004106656 No. 2004082570 No. 2004063935 No. 2003225102 No. 2003199528 No. 2003 149071 No. 2003130199 No. 2003 1 19738 No. 2003087950 No. 2002183367 No. 2004110817, No. 2004087587, No. 2004072892, No. 2003232788, No. 2003216382, No. 20031628 No. 20, No. 2003130281, No. 2003119750, No. 2003100563, No. 2002198205, No. 2002049164 and No. 2002006899. Some embodiments of the invention include each combination of one or more DPP-IV inhibitors selected from the following International Patent Application Publications.

、WO 2005/082348 、 WO WO 2005/075426 、 WO WO 2005/058849 、 WO WO 2005/044195 、 WO WO 2005/037828 ' WO WO 2005/033099 ' WO WO 2005/030127 、 WO WO 2005/023762 、 WO WO 05/12312 、 WO DPP-IV抑制劑:WO 2005/087235 2005/082849 2005/072530 2005/049022 2005/042488 2005/037779 2005/032590 2005/026148 2005/020920 、WO 2005/079795、 、WO 2005/063750、 、WO 2005/047297、 ' WO 2005/040095 ' ' WO 2005/034940 ' 、WO 2005/030751、 ' WO 2005/025554 > 、WO 05/19168 、 05/12308、WO 05/12249、WO 05/11581、WO 05/09956、 149380.doc -75- 201105327 WO 05/03 135 ' WO 05/00848 、WO 05/00846 ' WO 04/112701 、WO 04/111051 WO 04/111041 、 wo 04/110436 、wo 04/110375 wo 04/108730 、 wo 04/104216 、wo 04/104215 wo 04/103993 ' wo 04/103276 、wo 04/99134 wo 04/96806 、 wo 04/92128 、 WO 04/87650、WO 04/87053 、WO 04/85661、 WO 04/85378、WO 04/76434、WO 04/76433、WO 04/71454、WO 04/69162、WO 04/67509、WO 04/64778、 WO 04/58266、WO 04/52362、WO 04/52850、WO 04/50022、WO 04/50658、WO 04/48379 ' WO 04/46106、 WO 04/43940、WO 04/41820、WO 04/41795、WO 04/37169、WO 04/37181、WO 04/33455、WO 04/32836、 WO 04/20407、WO 04/18469、WO 04/18468、WO 04/18467 ' WO 04/14860、WO 04/09544、WO 04/07468、 WO 04/07446、WO 04/04661 、WO 04/00327、WO 03/106456 、 WO 03/104229 、 WO 03/101958 、 WO 03/101448、WO 03/99279、WO 03/95425、WO 03/84940、WO 03/82817、WO 03/80633、WO 03/74500、 WO 03/72556 、 WO 03/72528 、 WO 03/68757 、 WO 03/68748 > WO 03/57666、WO 03/57144、WO 03/55881、 WO 03/45228 ' WO 03/40174 ' WO 03/38123 ' WO 03/37327 ' WO 03/35067、WO 03/35057、WO 03/24965、 WO 03/24942 、 WO 03/22871 、 WO 03/15775 、 WO 03/04498、WO 03/04496、WO 03/02530、WO 03/02596、 -76- 149380.doc 201105327 WO 03/02595、WO 03/02593、WO 03/02553、WO 03/02531、WO 03/00181、WO 03/00180、WO 03/00250、 WO 02/83109 、 WO 02/83 128 、 WO 02/76450 、 WO 02/68420、WO 02/62764、WO 02/55088、WO 02/51836、 WO 02/38541 > WO 02/34900 ' WO 02/30891 ' WO 02/30890、WO 02/14271、WO 02/02560、WO 01/97808、 WO 01/96295、WO 01/81337、WO 01/81304、WO 01/68603、WO 01/55105、WO 01/52825、WO 01/34594、 WO 00/71135、WO 00/69868、WO 00/56297、WO 00/56296、WO 00/34241 ' WO 00/23421、WO 00/10549、 WO 99/67278 、 WO 99/62914 、 WO 99/61431 、 WO 99/56753、WO 99/25719、WO 99/16864、WO 98/50066、 WO 98/50046 、 WO 98/19998 、 WO 98/18763 、 WO 97/40832、WO 95/29691、WO 95/15309 ' WO 93/10127 ' WO 93/08259及 WO 91/16339。 本發明之一些實施例包括一或多種DPP-IV抑制劑之每一 組合,該等抑制劑選自見於以下專利公開案中之DPP-IV抑, WO WO 2005/037828, WO WO 2005/037828 ' WO WO 2005/033099 ' WO WO 2005/030127 , WO WO 2005/023762 , WO WO 05/12312, WO DPP-IV inhibitor: WO 2005/087235 2005/082849 2005/072530 2005/049022 2005/042488 2005/037779 2005/032590 2005/026148 2005/020920, WO 2005/079795, WO 2005/063750 WO 2005/047297, 'WO 2005/040095 ' 'WO 2005/034940 ', WO 2005/030751, 'WO 2005/025554 >, WO 05/19168, 05/12308, WO 05/12249, WO 05/ 11581, WO 05/09956, 149380.doc -75-201105327 WO 05/03 135 'WO 05/00848, WO 05/00846 'WO 04/112701, WO 04/111051 WO 04/111041, wo 04/110436, wo 04/110375 wo 04/108730 , wo 04/104216 , wo 04/104215 wo 04/103993 ' wo 04/103276 , wo 04/99134 wo 04/96806 , wo 04/92128 , WO 04/87650 , WO 04/87053 , WO 04/85661, WO 04/85378, WO 04/76434, WO 04/76433, WO 04/71454, WO 04/69162, WO 04/67509, WO 04/64778, WO 04/58266, WO 04/52362 , WO 04/ 52850, WO 04/50022, WO 04/50658, WO 04/48379 'WO 04/46106, WO 04/43940, WO 04/41820, WO 04/41795, WO 04/37169, WO 04/37181, WO 04/ 33455, WO 04/32836, WO 04/20407, WO 04/18469, WO 04/18468, WO 04/18467 'WO 04/14860, WO 04/09544, WO 04/07468, WO 04/07446, WO 04/ 04661, WO 04/00327, WO 03/106456, WO 03/104229, WO 03/101958, WO 03/101448, WO 03/99279, WO 03/95425, WO 03/84940, WO 03/82817, WO 03/ 80633, WO 03/74500, WO 03/72556, WO 03/72528, WO 03/68757, WO 03/68748 > WO 03/57666, WO 03/57144, WO 03/55881, WO 03/45228 'WO 03 /40174 'WO 03/38123 ' WO 03/37327 'WO 03/35067, WO 03/35057, WO 03/24965, WO 03/24942, WO 03/22871, WO 03/15775, WO 03/04498, WO 03 /04496, WO 03/02530, WO 03/02596, -76- 149380.doc 201105327 WO 03/02595, WO 03/02593, WO 03/02553, WO 03/02531, WO 03/00181, WO 03/00180, WO 03/00250, WO 02/83109, WO 02/83 128, WO 02/76450, WO 02/68420, WO 02/62764, WO 02/55088, WO 02/51836, WO 02/38541 > WO 02/34900 'WO 02/30891 'WO 02/30890, WO 02/14271, WO 02/02560, WO 01/97808, WO 01/96295, WO 01/81337, WO 01/81304 WO 01/68603, WO 01/55105, WO 01/52825, WO 01/34594, WO 00/71135, WO 00/69868, WO 00/56297, WO 00/56296, WO 00/34241 'WO 00/23421 WO 00/10549, WO 99/67278, WO 99/62914, WO 99/61431, WO 99/56753, WO 99/25719, WO 99/16864, WO 98/50066, WO 98/50046, WO 98/19998 WO 98/18763, WO 97/40832, WO 95/29691, WO 95/15309 'WO 93/10127 ' WO 93/08259 and WO 91/16339. Some embodiments of the invention include each combination of one or more DPP-IV inhibitors selected from the group consisting of DPP-IV as disclosed in the following patent publications.

制劑:EP 1517907 、 EP 1513808 、 EP 1492777 、 EPPreparation: EP 1517907, EP 1513808, EP 1492777, EP

1490335 、 EP 1476429 ' EP 1461337 、 EP 1441719 、 EP 1406872 、 EP 1399471 、 EP 1489088 、 EP 1469873 、 EP 1450794 、 EP 1426366 、 EP 1406622 、 EP 1399470 、 EP 1480961 、 EP 1465891 、 EP 1446116 、 EP 1412357 、 EP 1404675 、 EP 1399469 、 EP 1476435 、EP 1463727 、 EP 1442049 、 EP 1406873 、 EP 1399420 、 EP 1399433 ' EP 149380.doc 77- 2011053271490335, EP 1 476 429, EP 1 461 337, EP 1441719, EP 1406872, EP 1399471, EP 1489088, EP 1469873, EP 1450794, EP 1426366, EP 1406622, EP 1399470, EP 1480961, EP 1465891, EP 1446116, EP 1412357, EP 1404675, EP 1399469, EP 1476435, EP 1463727, EP 1442049, EP 1406873, EP 1399420, EP 1399433 'EP 149380.doc 77- 201105327

1399154 > EP 1354882 、 EP 1301187 、 EP 1261586 、 EP 1245568 、 EP 1123272 ' EP 1043328 、 EP 0731789 、 EP 2466870、CA 2289124、CA 1385508 ' EP 1338592 ' EP 1296974 ' EP 1258476 ' EP 1215207 、 EP 1104293 、 EP 0995440 、 EP 0641347 、 EP 2433090 ' CA 2123128、DD 1377288 、 EP 1333025 、 EP 1280797 、 EP 1254113 > EP 1228061 、 EP 1082314 、 EP 0980249 、 EP 0610317 、 EP 2339537、CA 296075、DE1399154 > EP 1354882 , EP 1301187 , EP 1261586 , EP 1245568 , EP 1123272 ' EP 1043328 , EP 0731789 , EP 2466870 , CA 2289124 , CA 1385508 ' EP 1338592 ' EP 1296974 ' EP 1258476 ' EP 1215207 , EP 1104293 , EP 0995440 , EP 0 641 347, EP 2433090 'CA 2123128, DD 1377288, EP 1333025, EP 1280797, EP 1254113 > EP 1228061, EP 1082314, EP 0980249, EP 0610317, EP 2339537, CA 296075, DE

1355886 、 EP 1304327 、 EP 1282600 、 EP 1248604 、 EP 1137635、EP 1050540 、 EP 0975359 、 EP 0528858、CA 2289125、CA 19834591 、 DE 19828113、DE 19823831、DE 19616486、DE 10333935、1355886, EP 1304327, EP 1282600, EP 1248604, EP 1137635, EP 1050540, EP 0975359, EP 0528858, CA 2289125, CA 19834591, DE 19828113, DE 19823831, DE 19616486, DE 10333935,

DE 10327439 ·&gt; DE 10256264 DE 10251927 DE 10238477、DE 10238470 ' DE 10238242 i、DE 10143840、 FR 2824825 、FR 2822826 、 JP 2005507261 JP 2005505531 ' JP 2005502624 、 JP 2005500321 JP 2005500308 ' JP 2005023038 JP 2004536115 JP 2004535445 、 JP 2004535433 JP 2004534836 \ JP 2004534815 、 JP 2004532220 JP 2004530729 % JP 2004525929 、 JP 2004525179 JP 2004522786 JP 2004521149 、 JP 2004503531 JP 2004315496 JP 2004244412 、 JP 2004043429 JP 2004035574 JP 2004026820 、 JP 2004026678 &gt; JP 2004002368 JP 2004002367 ' JP 2003535898 、 JP 2003535034 JP 2003531204 &gt; JP 2003531191 JP 2003531118 JP 149380.doc -78- 201105327DE 10 327 439 </ RTI> </ RTI> </ RTI> <RTIgt; JP 2004534836 \ JP 2004534815 , JP 2004532220 JP 2004530729 % JP 2004525929 , JP 2004525179 JP 2004522786 JP 2004521149 , JP 2004503531 JP 2004315496 JP 2004244412 , JP 2004043429 JP 2004035574 JP 2004026820 , JP 2004026678 &gt; JP 2004002368 JP 2004002367 ' JP 2003535898 , JP 2003535034 JP 2003531204 &gt; JP 2003531191 JP 2003531118 JP 149380.doc -78- 201105327

2003524591 、 JP 2003520849 、 JP 2003327532 、 JP 2003300977 、 JP 2003238566 、 JP 2002531547 JP 2002527504 、 JP 2002517401 、 JP 2002516318 、 JP 2002363157 、 JP 2002356472 &gt; JP 2002356471 ·&gt; JP 2002265439 、 JP 2001510442 、 JP 2000511559 JP 2000327689 ' JP 2000191616 、 JP 1998182613 X JP 1998081666 、 JP 1997509921 、 JP 1995501078 及 JP 1993508624。 在一些實施例中,DPP-IV抑制劑之IC50小於約1 0 μΜ、 小於約1 μΜ、小於約100 ηΜ、小於約75 ηΜ、小於約50 ηΜ、小於約25 ηΜ、小於約20 ηΜ、小於約1 5 ηΜ、小於約 10 ηΜ、小於約5 ηΜ、小於約4 ηΜ、小於約3 ηΜ、小於約 2 ηΜ或小於約1 ηΜ。在一些實施例中,DPP-IV抑制劑之 IC5〇小於約50 ηΜ、小於約25 ηΜ、小於約20 ηΜ、小於約 1 5 ηΜ、小於約10 ηΜ、小於約5 ηΜ、小於約4 ηΜ、小於 約3 ηΜ、小於約2 ηΜ或小於約1 ηΜ。 在一些實施例中,DPP-IV抑制劑係選擇性DPP-IV抑制 劑,其中選擇性DPP-IV抑制劑對於人類血漿DPP-IV之選 擇性係對於以下酶中之一或多者之選擇性的至少約1 0倍、 更佳至少約1 00倍及最佳至少約1000倍:脯胺酸後裂解酶 (PPCE)、二肽基肽酶II (DPPII)、二肽基肽酶-8 (DPP-8)及 二肽基肽酶-9 (DPP-9)。 在一些實施例中,DPP-IV抑制劑具有口服活性。 在一些實施例中,DPP-IV抑制劑係人類DPP-IV抑制 149380.doc -79- 201105327 劑。 本發明之一些實施例包括一或多種選自以下之彳b合物及 其醫藥上可接受之鹽、溶劑合物及水合物之每一組合: 3(R)-胺基_1-[3-(三氟甲基)_5,6,7,8_四氫[1,2,4]彡唑并 [4,3-a]。比嗪-7-基]-4-(2,4,5-三氟笨基)丁^•酮;羥 基金剛烧-1-基胺基)乙酿基]„比„各。定_2(s)-甲腈; (18,38,58)-2-[2(8)-胺基-2-(3-經基金剛院_1_基)乙酿基]_2-氮雜二環[3.1.0]己院-3-曱腈;2-[6-[3(11)-胺基六氫吡啶-1_ 基]-3 -曱基-2,4-二側氧基-1,2,3,4_四氫喊咬-1-基甲基]卞 腈;8-[3(R)-胺基六氫。比咬-1·基]-7-(2-丁炔基)-3-甲基_1_ (4-曱基喹唑琳-2-基甲基)黃嘌呤;l-[N-[3(R)-n比哈°定基]甘 胺醯基]吡咯啶-2(R)-基硼酸;4(S)-氟-l-[2-[(lR,3S)-3-(1H-1,2,4-三唑-1-基曱基)環戊基胺基]乙醯基]吡咯啶-2(S)-曱腈;l-[(2S,3S,llbS)-2-胺基-9,10-二甲氧基· 2,3,4,6,7,111?-六氫-111-°比。定并[2,1-&amp;]異啥琳-3-基]-4(8)-(氟 甲基)吡咯啶-2-酮;(2S,4S)-2-氰基-4-氟-l-[(2-羥基-1,1-二 甲基)乙基胺基]乙醯基吡咯啶;8-(順式-六氫-吡咯并[3,2-b]。比0各-1-基)-3 -甲基- 7-(3 -曱基-丁- 2-稀基)-1-(2 -側氧基-2-苯基乙基)-3,7-二氫-嘌呤-2,6-二酮;1_((33,48)-4-胺基-1-(4-(3,3-二氤吡咯啶-1-基)-1,3,5-三嗪-2-基)吡咯啶-3-基)-5,5二乱六虱°比°定-2_嗣;(R)-2-((6-(3-胺基六氫吼°定-1-基)_ 3-甲基-2,4-二側氧基-3,4-二氫嘧啶-l(2H)-基)甲基)-4-氟苄 腈;5-{(S)-2-[2-((S)-2-氰基-0比洛。定-1-基)-2-側氧基-乙基 胺基]丙基}-5-(1Η-四唑-5-基)10,11-二氫-5H-二苯并[a,d] 149380.doc -80 - 201105327 環庚烯-2,8-二甲酸雙-二甲基醯胺;((2S,4S)-4-(4-(3-甲基-1-苯基-1Η-°比唑-5-基)六氫吡嗪-1-基)°比11 各啶-2-基)(四氫嗟 唑-3-基)曱酮;(2S,4S)-l-[2-[(4-乙氧基羰基二環[2.2.2]辛-1-基)胺基]乙醯基]-4-氟吡咯啶-2-甲腈;6-[(3R)-3-胺基-六 氫吡啶-1-基]-5-(2-氯-5-氟-苄基)-1,3-二曱基-1,5二氫-吡咯 并[3,2-d]嘧啶-2,4·二酮;2-({6-[(3R)-3-胺基-3-曱基六氫吡 啶-1-基]-1,3-二甲基-2,4-二側氧基-1,2,3,4-四氫-5H-吡咯并 [3,2-d]嘧啶-5-基}曱基)-4-氟苄腈;(2S)-l-{[2-(5-甲基-2-苯基-噁唑-4-基)-乙基胺基]-乙醯基}-吡咯啶-2-甲腈; (2S)-1-{[1,1-二甲基-3·(4-π比0定-3 -基-味〇坐-1-基)-丙基胺 基]-乙酿基}-»比洛咬-2-曱腈;(3,3-二氟°比洛咬-1-·基)-((2S,4S)-4-(4-(嘧啶-2基)六氫吡嗪-1 -基)。比咯啶-2-基)甲 酮;(2S,4S)-l-[(2S)-2-胺基·3,3-雙(4-氟苯基)丙醯基]-4-氟 吡咯啶-2-甲腈;(2S,5R)-5-乙炔基·1-{Ν-(4-甲基-1-(4-羧 基-吡啶-2-基)六氫吡啶-4-基)甘胺醢基}吡咯啶-2-甲腈; 及(1 S,6R)-3-{[3-(三氟曱基)-5,6 -二氫[1,2,4]三嗤并[4,3-a] 吡嗪-7(8H)-基]羰基}-6-(2,4,5-三氟苯基)環己-3-烯-1-胺。 本發明之一些實施例包括一或多種選自以下之化合物及 其醫藥上可接受之鹽、溶劑合物及水合物之每一組合: 3(11)-胺基-1-[3-(三氟曱基)-5,6,7,8-四氫[1,2,4]三。坐并 [4,3-a]°比嗪-7-基]-4-(2,4,5-三氟苯基)丁-i_ 酮;^[2-(3-羥 基金剛烷-1-基胺基)乙醯基]吡咯啶_2(S)-甲腈; (18,3 8,5 8)-2-[2(3)-胺基-2-(3-經基金剛娱1-1-基)乙醯基]-2-氮雜二環[3.1.0]己烷-3-曱腈;2-[6-[3(R)-胺基六氫吡啶-1- 149380.doc •81- 201105327 基]-3 -曱基-2,4-二側氧基-1,2,3,4-四氫n密咬基甲基]苄 腈;8-[3(R)-胺基六氫《比啶-1-基]_7_(2· 丁炔基)3·甲基-^ (4_甲基1坐琳·2_基曱基)黃嗓吟;1-[N-[3(R)-吡咯啶基]甘 胺醯基]吼咯啶-2(R)-基硼酸;4(8)_氟_1[2 [(111,33)冬 (1H-1,2,4-二唑-1-基甲基)環戊基胺基]乙醯基]吡咯啶_2(s)_ 甲腈;l-[(2S,3S,llbS)-2-胺基 _91〇_ 二甲氧基 _ 2,3,4,6,7,111^六氫-111-吼啶并[2,1-&amp;]異喹啉_3_基]_4(8)_(氟 甲基)吡咯啶-2-酮;(2S,4S)-2-氰基4·氟羥基“山二 曱基)乙基胺基]乙醯基。比ν»各。定;8_(順式-六氫_ π比洛并[3,2_ b]。比咯-1-基)-3-曱基-7-(3-曱基-丁-2-烯基)-1-(2-側氧基-2-苯基乙基)-3,7-二氫·嘌呤 _2,6_二酮;i_((3S,4S)-4-胺基-1-(4-(3,3-二氟。比洛咬_1_基)_i,3,5-三嗪·2·基)η比咯咬_3_基)· 5,5二氟六氫吡啶-2-酮;(R)-2-((6-(3-胺基六氫。比啶-1-基)_ 3 -曱基-2,4-二側氧基-3,4-二氫嘧啶-ΐ(2ίί)-基)甲基)-4-氟苄 腈;5-{(S)-2-[2-((S)-2-氰基“比咯啶-1-基)-2-側氧基-乙基 胺基]-丙基卜5-(1Η-四唑-5-基)10,11-二氫-5H-二苯并[a,d] 環庚烯-2,8-二曱酸雙-二曱基醯胺;((2S,4S)-4-(4-(3-甲基-1-苯基-1H-。比唑-5-基)六氫。比嗪-1-基比咯啶-2-基)(四氫噻 唑-3-基)曱酮;(2S,4S)-l-[2-[(4-乙氧基羰基二環[2.2.2]辛-1-基)胺基]乙醯基]-4-氟吡咯啶-2-曱腈;6-[(3R)-3-胺基-六 氫吡啶-1-基]-5-(2-氣-5-氟·苄基)-1,3-二曱基-1,5二氫-吡咯 并[3,2-d]嘧啶-2,4-二酮;2-({6-[(3R)-3-胺基-3-曱基六氫吡 啶-1-基]-1,3-二甲基-2,4-二側氧基-1,2,3,4-四氫-5.H-吡咯并 [3,2-d]嘧啶-5-基}甲基)·4_ 氟苄腈;(2S)-l-{[2-(5-甲基-2- 149380.doc -82- 201105327 苯基·噁唑-4-基)-乙基胺基]•乙醯基}-吡咯啶-2_曱腈; (2S)-1-{[1,1_二甲基-3-(4-吡啶-3-基-咪唑-1-基)_丙基胺 基]-乙醯基}•吡咯啶-2-甲腈;及(3,3-二氟吡咯咬-1-基)-((2S,4S)-4_(4_(嘧啶-2基)六氫吡嗪-1 -基)°比咯啶_2·基)甲 鲷。 本發明之一些實施例包括一或多種選自以下之化合物及 其醫藥上可接受之鹽、溶劑合物及水合物之每一組合: (2S,4S)-l-[(2S)-2-胺基-3,3-雙(4-氟苯基)丙醯基]-心氟。比咯 啶-2-甲腈;(2S,5R)-5-乙炔基-1-{Ν-(4-曱基-1-(4-羧基-吡 啶-2-基)六氫吡啶-4-基)甘胺醯基}吡咯啶-2-甲腈;及 (lS,6R)-3-{[3-(三氟甲基)-5,6-二氫[1,2,4]三唑并[4,3-a]°比 嗪-7(8H)-基]羰基}-6-(2,4,5-三氟苯基)環己-3-烯-1-胺。 磷酸西他列汀(Januvia,MK-043 1,3(R)-胺基-1-[3-(三 氟甲基)-5,6,7,8-四氫[1,2,4]三唑并[4,3-a]吡嗪-7-基]-4-(2,4,5-三氟笨基)丁-1-酮之二氫磷酸鹽)由Merck &amp; Co.出售 用於每日1次口服治療2型糖尿病^ januvia首先在墨西哥投 放市場’隨後在美國實行商業化。2007年,該產品獲得歐 洲藥品評償局(European Medicines Evaluation Agency) (ΕΜΕA)批准且當前可在英國 '德國及西班牙獲得。2〇〇9 年,Januvia在日本獲得批准並投放市場。此外,厘“仏亦 已在美國申請批准Januvia作為飲食及運動之輔助劑並與其 他療法組合用以在糖尿病治療中改良血糖控制⑻”⑽沁 ⑽⑽^化合物卿-胺基小叫王氟甲基)-5,6,7,8·^^ [1’2,4]二唾并[4,3-a]〇比唤-7-基]·4-(2,4,5-三氟苯基)丁·卜酮 149380.doc •83- 201105327 及其醫藥上可接受之鹽揭示於國際專利公開案w〇2003524591 , JP 2003520849 , JP 2003327532 , JP 2003300977 , JP 2003238566 , JP 2002531547 JP 2002527504 , JP 2002517401 , JP 2002516318 , JP 2002363157 , JP 2002356472 &gt; JP 2002356471 · &gt; JP 2002265439 , JP 2001510442 , JP 2000511559 JP 2000327689 ' JP 2000191616 JP 1998182613 X JP 1998081666 , JP 1997509921 , JP 1995501078 and JP 1993508624. In some embodiments, the DPP-IV inhibitor has an IC50 of less than about 10 μΜ, less than about 1 μΜ, less than about 100 μΜ, less than about 75 ηΜ, less than about 50 ηΜ, less than about 25 ηΜ, less than about 20 ηΜ, less than About 15 η Μ, less than about 10 η Μ, less than about 5 η Μ, less than about 4 η Μ, less than about 3 η Μ, less than about 2 η Μ or less than about 1 η Μ. In some embodiments, the DPP-IV inhibitor has an IC5 〇 of less than about 50 η Μ, less than about 25 η Μ, less than about 20 Μ Μ, less than about 1 5 η Μ, less than about 10 η Μ, less than about 5 η Μ, less than about 4 η Μ, Less than about 3 η Μ, less than about 2 η Μ or less than about 1 η Μ. In some embodiments, the DPP-IV inhibitor is a selective DPP-IV inhibitor, wherein the selectivity of the selective DPP-IV inhibitor for human plasma DPP-IV is selective for one or more of the following enzymes; At least about 10 times, more preferably at least about 100 times and optimally at least about 1000 times: prolyl lyase (PPCE), dipeptidyl peptidase II (DPPII), dipeptidyl peptidase-8 ( DPP-8) and dipeptidyl peptidase-9 (DPP-9). In some embodiments, the DPP-IV inhibitor has oral activity. In some embodiments, the DPP-IV inhibitor is a human DPP-IV inhibitor 149380.doc-79-201105327 agent. Some embodiments of the invention include one or more selected from the group consisting of ruthenium b compounds and pharmaceutically acceptable salts, solvates and hydrates thereof: 3(R)-Amine_1-[3 -(Trifluoromethyl)_5,6,7,8-tetrahydro[1,2,4]oxazolo[4,3-a]. Bipyrazin-7-yl]-4-(2,4,5-trifluorophenyl)butanone; hydroxy hydroxymethyl-1-ylamino) ethyl ketone] „ „ each. _2(s)-carbonitrile; (18,38,58)-2-[2(8)-amino-2-(3- via fund gang _1_yl) ethoxylate]_2-nitrogen Heterobicyclo[3.1.0]hexyl-3-indene nitrile; 2-[6-[3(11)-aminohexahydropyridin-1-yl]-3-indolyl-2,4-dioxy -1,2,3,4_tetrahydropyranyl-1-ylmethyl]phthalonitrile; 8-[3(R)-aminohexahydro. Specific bite-1·yl]-7-(2-butynyl)-3-methyl_1_(4-mercaptoquinazolin-2-ylmethyl)xanthine; l-[N-[3( R)-n 比哈°定基]Glycidyl]pyrrolidine-2(R)-ylboronic acid; 4(S)-fluoro-l-[2-[(lR,3S)-3-(1H-1) , 2,4-triazol-1-ylindenyl)cyclopentylamino]ethionyl]pyrrolidine-2(S)-phthalonitrile; 1-[(2S,3S,llbS)-2-amine -9,10-Dimethoxy· 2,3,4,6,7,111?-hexahydro-111-° ratio. And [2,1-&amp;]isoindol-3-yl]-4(8)-(fluoromethyl)pyrrolidin-2-one; (2S,4S)-2-cyano-4-fluoro -l-[(2-hydroxy-1,1-dimethyl)ethylamino]ethinylpyrrolidine; 8-(cis-hexahydro-pyrrolo[3,2-b]. -1-yl)-3-methyl-7-(3-indolyl-but-2-yl)-1-(2-oxo-2-phenylethyl)-3,7-dihydro -嘌呤-2,6-dione; 1-((33,48)-4-amino-1-(4-(3,3-dipyridyrridin-1-yl)-1,3,5-three Pyridin-2-yl)pyrrolidin-3-yl)-5,5,2,6,6,6,6,6,6,6,6,(R)-2-((6-(3-Amino hexahydroindole) -1-yl)_3-methyl-2,4-di-oxy-3,4-dihydropyrimidine-l(2H)-yl)methyl)-4-fluorobenzonitrile; 5-{(S -2-[2-((S)-2-cyano-0-bilo.-1-yl)-2-yloxy-ethylamino]propyl}-5-(1Η-tetrazole -5-yl)10,11-dihydro-5H-dibenzo[a,d] 149380.doc -80 - 201105327 Cycloheptene-2,8-dicarboxylic acid bis-dimethyl decylamine; ((2S , 4S) -4-(4-(3-methyl-1-phenyl-1 Η-β-biazole-5-yl)hexahydropyrazin-1-yl) ° ratio 11 pyridin-2-yl) ( Tetrahydrocarbazol-3-yl)anthone; (2S,4S)-l-[2-[(4-ethoxycarbonylbicyclo[2.2.2]oct-1-yl)amino]acetamidine 4-fluoropyrrolidin-2-carbonitrile; 6-[(3R)-3-amino-hexahydropyridin-1-yl]-5-(2-chloro-5-fluoro-benzyl)- 1,3-Dimercapto-1,5-dihydro-pyrrolo[3,2-d]pyrimidine-2,4·dione; 2-({6-[(3R)-3-amino-3- Mercaptohexahydropyridin-1-yl]-1,3-dimethyl-2,4-di-oxy-1,2,3,4-tetrahydro-5H-pyrrolo[3,2-d] Pyrimidin-5-yl}fluorenyl-4-fluorobenzonitrile; (2S)-l-{[2-(5-methyl-2-phenyl-oxazol-4-yl)-ethylamino] -ethylidene}-pyrrolidine-2-carbonitrile; (2S)-1-{[1,1-dimethyl-3·(4-π ratio 0-but-3-yl- miso sitting-1- ))-propylamino]-ethyl aryl}-»Bilo bite-2-indene nitrile; (3,3-difluoropyrazole l-l-yl)-((2S,4S)-4 -(4-(pyrimidin-2-yl)hexahydropyrazine-1-yl).Byrrolidin-2-yl)methanone; (2S,4S)-l-[(2S)-2-amino]3 ,3-bis(4-fluorophenyl)propanyl]-4-fluoropyrrolidin-2-carbonitrile; (2S,5R)-5-ethynyl·1-{Ν-(4-methyl-1 -(4-carboxy-pyridin-2-yl)hexahydropyridin-4-yl)glycidyl}pyrrolidin-2-carbonitrile; and (1 S,6R)-3-{[3-(trifluoro Indenyl)-5,6-dihydro[1,2,4]triazino[4,3-a]pyrazine-7(8H)-yl]carbonyl}-6-(2,4,5-tri Fluorophenyl)cyclohex-3-ene-1 -amine. Some embodiments of the invention include one or more compounds selected from the group consisting of: pharmaceutically acceptable salts, solvates, and hydrates: 3(11)-amino-1-[3-(three Fluorinyl)-5,6,7,8-tetrahydro[1,2,4]tri. Sit and [4,3-a]°bazine-7-yl]-4-(2,4,5-trifluorophenyl)butan-i-one; ^[2-(3-hydroxyadamantane-1- Ethylamino)pyridinylpyrrolidine_2(S)-carbonitrile; (18,3 8,5 8)-2-[2(3)-amino-2-(3- via fund just entertainment 1 -1-yl)ethinyl]-2-azabicyclo[3.1.0]hexane-3-indene nitrile; 2-[6-[3(R)-amino hexahydropyridine-1- 149380. Doc •81- 201105327 】]]-mercapto-2,4-di-oxy-1,2,3,4-tetrahydron-n-butylmethyl]benzonitrile; 8-[3(R)- Amino hexahydro"pyridin-1-yl]_7_(2.butynyl)3.methyl-^ (4-methyl 1 坐 琳·2 曱 曱) 嗓吟 嗓吟; 1-[N- [3(R)-pyrrolidinyl]glycidyl]anthrolidine-2(R)-ylboronic acid; 4(8)-fluoro_1[2[(111,33) winter (1H-1,2 ,4-dioxazol-1-ylmethyl)cyclopentylamino]ethidyl]pyrrolidinium-2(s)_carbonitrile; 1-[(2S,3S,llbS)-2-amino]-91 〇_Dimethoxy_ 2,3,4,6,7,111^hexahydro-111-acridino[2,1-&amp;]isoquinoline_3_yl]_4(8)_(fluorine Methyl)pyrrolidin-2-one; (2S,4S)-2-cyano-4·fluorohydroxy "behenyldiyl)ethylamino]ethinyl. Ratio ν» each; 8_(cis - hexahydro _ π piroxi[3,2_ b]. pyrrol-1-yl)-3-mercapto-7-(3-indolyl- But-2-enyl)-1-(2-oxo-2-phenylethyl)-3,7-dihydro-indole-2,6-dione; i_((3S,4S)-4 -amino-1-(4-(3,3-difluoro.Bilobitone_1_yl)_i,3,5-triazine·2·yl)η ratio bite_3_base)· 5, 5 difluorohexahydropyridin-2-one; (R)-2-((6-(3-aminohexahydro)pyridin-1-yl)-3-indolyl-2,4-dioxy -3,4-dihydropyrimidine-purine (2ίί)-yl)methyl)-4-fluorobenzonitrile; 5-{(S)-2-[2-((S)-2-cyano" Acridine-1-yl)-2-oxo-ethylamino]-propyl b 5-(1Η-tetrazol-5-yl)10,11-dihydro-5H-dibenzo[a,d Cycloheptene-2,8-didecanoic acid bis-didecyl decylamine; ((2S,4S)-4-(4-(3-methyl-1-phenyl-1H-.biazole-5) -yl)hexahydro.pyrazine-1-ylpyrrolidin-2-yl)(tetrahydrothiazol-3-yl)anthone; (2S,4S)-l-[2-[(4-ethoxy) Carbonylbicyclo[2.2.2]oct-1-yl)amino]ethinyl]-4-fluoropyrrolidin-2-indene nitrile; 6-[(3R)-3-amino-hexahydropyridine-1 -yl]-5-(2-a-5-fluoro-benzyl)-1,3-dimercapto-1,5-dihydro-pyrrolo[3,2-d]pyrimidine-2,4-dione ;2-({6-[(3R)-3-amino-3-mercaptohexahydropyridin-1-yl]-1,3-dimethyl-2,4-di-oxy-1,2 ,3,4-tetrahydro-5.H-pyrrole And [3,2-d]pyrimidin-5-yl}methyl)·4_fluorobenzonitrile; (2S)-l-{[2-(5-methyl-2- 149380.doc -82- 201105327 phenyl · Oxazol-4-yl)-ethylamino]•Ethyl}-pyrrolidine-2_indoleonitrile; (2S)-1-{[1,1-dimethyl-3-(4-pyridine) -3-yl-imidazol-1-yl)-propylamino]-ethenyl}•pyrrolidine-2-carbonitrile; and (3,3-difluoropyrrole-1-yl)-((2S) , 4S) - 4 - (4 - (pyrimidin-2-yl) hexahydropyrazine-1 -yl) ° pyridin-2-yl) formazan. Some embodiments of the invention include one or more compounds selected from the group consisting of: pharmaceutically acceptable salts, solvates, and hydrates: (2S, 4S)-l-[(2S)-2- Amino-3,3-bis(4-fluorophenyl)propanyl]-nuclear fluoride. Bibromopyridine-2-carbonitrile; (2S,5R)-5-ethynyl-1-{Ν-(4-mercapto-1-(4-carboxy-pyridin-2-yl)hexahydropyridine-4- Glycosyl}pyrrolidine-2-carbonitrile; and (lS,6R)-3-{[3-(trifluoromethyl)-5,6-dihydro[1,2,4]triazole And [4,3-a]°bazine-7(8H)-yl]carbonyl}-6-(2,4,5-trifluorophenyl)cyclohex-3-en-1-amine. Sitagliptin phosphate (Januvia, MK-043 1,3(R)-amino-1-[3-(trifluoromethyl)-5,6,7,8-tetrahydro[1,2,4] Triazolo[4,3-a]pyrazin-7-yl]-4-(2,4,5-trifluorophenyl)butan-1-one dihydrogen phosphate) sold by Merck &amp; Co. For oral treatment of type 2 diabetes once a day ^ januvia was first placed on the market in Mexico' and subsequently commercialized in the United States. In 2007, the product was approved by the European Medicines Evaluation Agency (ΕΜΕA) and is currently available in the UK 'Germany and Spain. In 2〇〇9 years, Januvia was approved and put on the market in Japan. In addition, 厘 “仏 has also applied for approval of Januvia as an adjunct to diet and exercise in the United States and combined with other therapies to improve glycemic control in the treatment of diabetes (8)” (10) 沁 (10) (10) ^ Compound cleavage - amine nickname Wang fluoromethyl )-5,6,7,8·^^ [1'2,4]disindol [4,3-a]pyrene-7-yl]·4-(2,4,5-trifluorobenzene Base butyl ketone 149380.doc •83- 201105327 and its pharmaceutically acceptable salts are disclosed in the international patent publication w〇

揭不於WO 2003/004498中之DPP-IV抑制劑之化合物及其 醫藥上可接受之鹽、溶劑合物及水合物之每一組合。在一 些實施例申,本發明之DPP_IV抑制劑選自3(R)_胺基 (二氟甲基)-5,6,7,8-四氫[1,2,4]三唑并[4,3-a]吼嗪-7-基]-4- (2,4,5-二氟苯基)丁 _丨_酮及其醫藥上可接受之鹽、溶劑合 物及水合物:Each of the compounds of the DPP-IV inhibitors of WO 2003/004498 and pharmaceutically acceptable salts, solvates and hydrates thereof are disclosed. In some embodiments, the DPP_IV inhibitor of the present invention is selected from the group consisting of 3(R)-amino (difluoromethyl)-5,6,7,8-tetrahydro[1,2,4]triazolo[4 , 3-a]pyridazin-7-yl]-4-(2,4,5-difluorophenyl)butan- ketone and pharmaceutically acceptable salts, solvates and hydrates thereof:

在一些實施例中’二肽基肽酶1¥ (Dpp4)抑制劑係 胺基_1_[3_(三氟曱基)-5,6,7,8-四氫[1,2,4]三唑并[4,3-a]。比 嗪-7-基]-4-(2,4,5-三氟苯基)丁 _1_酮填酸鹽:In some embodiments, the 'dipeptidyl peptidase 1 ¥ (Dpp4) inhibitor is amine 1_1-[3_(trifluoromethyl)-5,6,7,8-tetrahydro[1,2,4]3 Zoxa[4,3-a]. Bisazine-7-yl]-4-(2,4,5-trifluorophenyl)butan-1-one:

3(R)-胺基三氟甲基)_5,6,7,8_四氫[152,4]三唑并 [4,3-a]吼嗪·7-基]-4-(2,4,5-三氟苯基)丁-1-酮磷酸鹽單水合 物之結晶形式揭示於國際專利公開案WO 2005/003 1335(其 全部内容以引用方式併入)中。在一些實施例中’二肽基 肽酶IV(DPP4)抑制劑係結晶3(R)_胺基三氟甲基)- 149380.doc -84 - 201105327 5,6,7,8-四氫[1,2,4]三°坐并[4,3-3]°比嗓-7-基]-4-(;2,4,5-三氟4 苯基)丁-1-酮磷酸鹽單水合物。 維達列汀(Galvus,LAF-237, 1-[2-(3-羥基金剛烷-i_基胺 基)乙醯基]。比洛°定-2(S)-甲腈)係另一二肽基-肽酶iv(dpp_ IV)抑制劑且首先由Novartis在巴西及墨西哥商業化用於每 曰1次口服治療2型糖尿病。2008年,該藥之銷售授權申請 (marketing authorization application)(MAA)在歐盟獲得批 准用於該適應症且於2008年3月在英國投放市場。在美國 提出申請的規章性申請案已收到批准信函。2〇 1 〇年其在曰 本獲得批准。化合物1-[2-(3-羥基金剛烷-1_基胺基)乙醯 基]吡咯啶-2(S)-曱腈揭示於國際專利公開案w〇 2000/034241中。本發明之一些實施例包括一或多種選自 揭示於W0 2000/034241中之DPP-IV抑制劑之化合物及其 醫藥上可接受之鹽、溶劑合物及水合物之每一組合。在一 些實施例中,本發明之DPP-IV抑制劑選自1-[2-(3·羥基金 剛烷-1-基胺基)乙醯基]吡咯啶_2(S)-曱腈及其醫藥上可接 受之鹽、溶劑合物及水合物:3(R)-Aminotrifluoromethyl)_5,6,7,8-tetrahydro[152,4]triazolo[4,3-a]pyridazine-7-yl]-4-(2, The crystalline form of the 4,5-trifluorophenyl)butan-1-one phosphate monohydrate is disclosed in International Patent Publication No. WO 2005/003 1335, the entire disclosure of which is incorporated herein by reference. In some embodiments, the 'dipeptidyl peptidase IV (DPP4) inhibitor is crystalline 3(R)-aminotrifluoromethyl)-149380.doc-84 - 201105327 5,6,7,8-tetrahydro[ 1,2,4] three-degree sitting and [4,3-3]° 嗓-7-yl]-4-(;2,4,5-trifluoro-4-phenyl)butan-1-one phosphate Hydrate. Vidastatin (Galvus, LAF-237, 1-[2-(3-hydroxyadamantane-i-ylamino)ethyl)]. Biluo-1 (S)-carbonitrile) is another The dipeptidyl-peptidase iv (dpp_IV) inhibitor was first commercialized by Novartis in Brazil and Mexico for oral treatment of type 2 diabetes once per week. In 2008, the drug marketing authorization application (MAA) was approved for use in the EU in the EU and was launched in the UK in March 2008. A regulatory letter has been received in the regulatory application for filing in the United States. 2〇 1 The following year, it was approved in 曰. The compound 1-[2-(3-hydroxyadamantane-1-ylamino)ethylidene]pyrrolidine-2(S)-indene is disclosed in International Patent Publication No. 2000/034241. Some embodiments of the invention include one or more compounds selected from the group consisting of DPP-IV inhibitors disclosed in WO 2000/034241, and each combination of pharmaceutically acceptable salts, solvates and hydrates thereof. In some embodiments, the DPP-IV inhibitor of the present invention is selected from the group consisting of 1-[2-(3·hydroxyadamantan-1-ylamino)ethylidene]pyrrolidine-2(S)-phthalonitrile and Pharmaceutically acceptable salts, solvates and hydrates:

化合物1-[2-(3-羥基金剛烷-基胺基)乙醯基]吡咯啶_ 2(S)-曱腈之某些鹽揭示於國際專利公開案w〇 2007/019255 中。在一些實施例中,DPP-IV抑制劑係卜[2-(3-羥基金剛 烧-1-基胺基)乙醯基]。比洛咬-2(S)-曱腈HC1 : I49380.doc -85- 201105327Certain salts of the compound 1-[2-(3-hydroxyadamantane-ylamino)ethenyl]pyrrolidine-2(S)-phthalonitrile are disclosed in International Patent Publication No. 2007/019255. In some embodiments, the DPP-IV inhibitor is [2-(3-hydroxyadamantan-1-ylamino)ethyl). Bilo bite-2(S)-indole nitrile HC1 : I49380.doc -85- 201105327

沙格列汀(Saxagliptin)(Onglyza,BMS-477118,(1S,3S,5S)-2-[2(S)-胺基-2·(3-羥基金剛烷-i_基)乙醯基]-2-氮雜二環 [3.1 ·0]己烧-3-曱腈)係另一 DPP-IV抑制劑且由AstraZeneca 及Bristol-Myers Squibb於2009年在美國投放市場用於治療 2型糖尿病。2009年,該產品亦在歐盟獲得批准用於獨立 及與二曱雙胍組合治療2型糖尿病。其用於2型糖尿病之治 療在日本正進行III期臨床研究。化合物(1S,3S,5S)_2_ [2(S)-胺基-2-(3-羥基金剛烷-丨-基)乙醯基]_2_氮雜二環 [3 · 1.0]己烷-3-甲腈揭示於國際專利公開案w〇 2001/068603 中。本發明之一些實施例包括一或多種選自揭示於w〇 2001/068603中之DPP-IV抑制劑之化合物及其醫藥上可接 受之鹽、溶劑合物及水合物之每一組合。在一些實施例 中,本發明之DPP-IV抑制劑選自(iS,3S,5S)_2_[2(s)_胺基_ 2-(3-羥基金剛烧_1_基)乙醯基]_2_氮雜二環[31〇]己烷_3_ 甲腈及其醫藥上可接受之鹽、溶劑合物及水合物:Saxagliptin (Onglyza, BMS-477118, (1S, 3S, 5S)-2-[2(S)-amino-2·(3-hydroxyadamantane-i-yl)ethenyl] 2-Azabicyclo[3.1·0]hexan-3-carbonitrile is another DPP-IV inhibitor and was marketed in the United States in 2009 by AstraZeneca and Bristol-Myers Squibb for the treatment of type 2 diabetes. In 2009, the product was also approved in the European Union for the treatment of type 2 diabetes independently and in combination with diterpene. Its use in the treatment of type 2 diabetes is undergoing a phase III clinical study in Japan. Compound (1S,3S,5S)_2_[2(S)-Amino-2-(3-hydroxyadamantane-indenyl)ethenyl]_2_azabicyclo[3 ·1.0]hexane-3 -Methonitrile is disclosed in International Patent Publication No. 2001/068603. Some embodiments of the invention include one or more compounds selected from the group consisting of DPP-IV inhibitors disclosed in WO 2001/068603, and pharmaceutically acceptable salts, solvates and hydrates thereof. In some embodiments, the DPP-IV inhibitor of the present invention is selected from the group consisting of (iS, 3S, 5S)_2_[2(s)-amino-2-(3-hydroxyadamantyl-1-yl)ethenyl] _2_Azabicyclo[31〇]hexane_3_carbonitrile and pharmaceutically acceptable salts, solvates and hydrates thereof:

SYR-322(阿格列汀(A1〇gliptin),胺基六氫吡 定1基]3 -甲基-2,4-二側氧基-1,2,3,4 -四氫《«密〇定_1_基甲基] 苄腈)係DPP-IV抑制劑,其規章性批准已在曰本及美國由 Takeda提出申請用於每日丨次口服治療2型糖尿病。化合物 149380.doc *86· 201105327 2-[6-[3(R)-胺基六氫&lt;«比啶-i_基]_3_甲基·2,4-二側氧基-1,2,3,4-四氫嘧啶-1-基甲基]苄腈及其醫藥上可接受之鹽揭 示於國際專利公開案WO 2005/095381中。本發明之一些實 施例包括一或多種選自揭示於WO 2005/095381中之DPP-IV抑制劑之化合物及其醫藥上可接受之鹽、溶劑合物及水 合物之每一組合。在一些實施例中,本發明之Dpp-iv抑制 劑選自2-[6-[3(11)-胺基六氫〇比啶-1-基]-3-甲基-2,4-二側氧 基-1,2,3,4-四氫嘴。定:1-基甲基]苄腈及其醫藥上可接受之 鹽、溶劑合物及水合物:SYR-322 (Aglitapine (A1〇gliptin), amino hexahydropyridin 1 yl]3-methyl-2,4-di-oxy-1,2,3,4-tetrahydro" 〇 _1 _ 基 ] 苄 苄 苄 苄 苄 , , , , , _1 _1 _1 _1 _1 _1 _1 _1 _1 _1 _1 _1 _1 _1 _1 _1 _1 _1 _1 _1 _1 _1 _1 _1 _1 _1 _1 _1 _1 _1 Compound 149380.doc *86· 201105327 2-[6-[3(R)-Amino hexahydro&lt;«biidine-i-yl]_3_methyl·2,4-di-oxy-1,2 , 3,4-tetrahydropyrimidin-1-ylmethyl]benzonitrile and pharmaceutically acceptable salts thereof are disclosed in International Patent Publication WO 2005/095381. Some embodiments of the invention include one or more compounds selected from the group consisting of DPP-IV inhibitors disclosed in WO 2005/095381, and pharmaceutically acceptable salts, solvates and hydrates thereof. In some embodiments, the Dpp-iv inhibitor of the present invention is selected from the group consisting of 2-[6-[3(11)-amino hexahydropyridin-1-yl]-3-methyl-2,4-di Sideoxy-1,2,3,4-tetrahydrol nozzle. Formulation: 1-ylmethyl]benzonitrile and pharmaceutically acceptable salts, solvates and hydrates thereof:

2-[6-[3(R)-胺基六氫'比啶-1-基]_3·甲基_2,4_二側氧基· 1,2,3,4-四氫嘧啶-1-基曱基]苄腈之結晶形式揭示於國際專 利公開案WO 2007/035372(其全部内容以弓丨用方式併入) 中。在一些實施例中’ DPP-IV抑制劑係2_[6_[3(11)_胺基六 氫0比0定-1-基]-3 -甲基- 2,4 -一側氧基_ι,2,3,4-四氫。密咬_卜基 甲基]苄腈苯甲酸鹽:2-[6-[3(R)-Aminohexahydro'pyridin-1-yl]_3·methyl-2,4-dioxyl-1,2,3,4-tetrahydropyrimidine-1 The crystalline form of -bensyl]benzonitrile is disclosed in International Patent Publication WO 2007/035372, the entire disclosure of which is incorporated herein by reference. In some embodiments 'DPP-IV inhibitor system 2_[6_[3(11)-amino hexahydro 0-0--1-yl]-3-methyl-2,4-one-oxyl- , 2,3,4-tetrahydrogen. Bite_Bulk methyl]benzonitrile benzoate:

BI-1356(Ondero,8-[3(R)-胺基六氫吡啶丨基]_7_(2 丁 快基)-3-甲基-1-(4-甲基喧唾琳-2-基甲基)黃嘌呤)係Dpp_IV 149380.doc -87- 201105327 抑制劑且處於Boehringer Ingelheim之III期臨床研發中用以 評價其作為二甲雙胍用於治療2型糖尿病之辅助性療法之 可月b性。化合物8_[3(r)_胺基六氫。比咬_丨·基]_7_(2_ 丁炔 基)-3-甲基·ι_(4_甲基喹唑啉_2_基甲基)黃嘌呤揭示於國際 專利公開案WO 2004/018468。本發明之一些實施例包括一 或多種選自揭示於WO 2004/018468中之DPP-IV抑制劑之 化合物及其醫藥上可接受之鹽、溶劑合物及水合物之每一 組合。在一些實施例中,本發明之DPP-IV抑制劑選自8_ [3(R)_胺基六氫吼啶-卜基卜?·^丁炔基曱基_1(4曱基 喧。坐啉-2-基曱基)黃嘌呤及其醫藥上可接受之鹽、溶劑合 物及水合物:BI-1356(Ondero, 8-[3(R)-Aminohexahydropyridinyl]_7_(2 butyl)-3-methyl-1-(4-methylindole-2-yl-methyl Base) Astragalus) Dpp_IV 149380.doc -87- 201105327 Inhibitor and in Phase III clinical development of Boehringer Ingelheim to evaluate its monthly b-type as adjunctive therapy for metformin for the treatment of type 2 diabetes. Compound 8_[3(r)-Amino hexahydro. The specific enthalpy _ 丨 基 ] _ 7_(2_butynyl)-3-methyl·ι_(4-methylquinazoline-2-ylmethyl) ruthenium is disclosed in International Patent Publication No. WO 2004/018468. Some embodiments of the invention include one or more compounds selected from the group consisting of DPP-IV inhibitors disclosed in WO 2004/018468, and pharmaceutically acceptable salts, solvates and hydrates thereof. In some embodiments, the DPP-IV inhibitor of the present invention is selected from the group consisting of 8-[3(R)-amino hexahydroacridine-buquib? · 丁 alkynyl fluorenyl-1 (4 fluorenyl. sulphone-2-yl fluorenyl) xanthine and its pharmaceutically acceptable salts, solvates and hydrates:

化合物8-[3(R)-胺基六氫。比。定-1_基]-7-(2- 丁炔基)·3_甲 基-1-(4-甲基喹唑啉_2_基甲基)黃嘌呤之某些多晶型物揭示 於國際專利公開案W0 2007/128721中。在一些實施例中, DPP-IV抑制劑係8_[3(r)_胺基六氫。比啶-丁炔 基)-3-甲基-1-(4-甲基喹唑啉-2-基曱基)黃嘌呤之結晶形 式。 PHX_1149(杜格列汀(Dutogliptin)),1-[N,[3(R)_ 吡洛咬 基]甘胺醯基]吡咯啶-2(R)-基硼酸)係DPP-IV抑制劑,其處 於由Phenomix及Forest所進行的用於每日1次口服治療2型 糖尿病之III期臨床試驗中。化合物i_[N-[3(R)-。比咯咬基] 149380.doc -88 - 201105327 甘胺酿基]料咬_2(R)·基硼酸及其醫藥上可接受之鹽揭示 於國際專利公開案W〇 20〇5/〇47297中。本發明之一些實施 例包括一或多種選自揭示於W〇 2005/047297中之DPP-lv 抑制劑之化合物及其醫藥上可接受之鹽、溶劑合物及水合 物之每一組合 在一些實施例中,本發明之DPP-IV抑制劑 k自1-[N-[3(R)-。比嘻咬基]甘胺酿基]β比洛咬_2(R)_基棚酸及 其醫藥上可接受之鹽、溶劑合物及水合物:Compound 8-[3(R)-Amino hexahydro. ratio. Certain polymorphs of -1 -yl]-7-(2-butynyl)·3-methyl-1-(4-methylquinazolin-2-ylmethyl)xanthine are disclosed in International Patent Publication No. WO2007/128721. In some embodiments, the DPP-IV inhibitor is 8-[3(r)-amino hexahydro. The crystalline form of pyridinium-butynyl)-3-methyl-1-(4-methylquinazolin-2-ylindenyl)xanthine. PHX_1149 (Dutogliptin), 1-[N,[3(R)_pyrrolidyl]glycidyl]pyrrolidine-2(R)-ylboronic acid) is a DPP-IV inhibitor, It is in a phase III clinical trial conducted by Phenomix and Forest for a daily oral treatment of type 2 diabetes. Compound i_[N-[3(R)-.比 咬 】 】 149 149 149 149 149 149 149 149 149 149 149 149 149 149 149 149 149 149 149 149 149 149 149 149 149 149 149 149 149 149 149 149 149 149 149 149 149 149 149 149 149 149 149 149 149 149 149 149 149 149 . Some embodiments of the invention include one or more compounds selected from the group consisting of DPP-lv inhibitors disclosed in WO 2005/047297, and each combination of pharmaceutically acceptable salts, solvates and hydrates thereof, in some embodiments In one embodiment, the DPP-IV inhibitor k of the present invention is derived from 1-[N-[3(R)-.嘻 基 ] ] ] ] ] ] ] ] ] ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( (

l-[N-[3(R)-°比洛啶基]甘胺醯基]。比咯啶_2(R)_基硼酸酒石 酉文鹽之結晶形式揭示於國際專利公開案W〇 2008/027273 中。在一些實施例中,DPP-IV抑制劑係i_[N_[3(r)·。比咯啶 基]甘胺醯基]吡咯啶_2(R)_基硼酸酒石酸鹽:L-[N-[3(R)-°Bididyl]glycine]. The crystal form of the pyridinium 2(R)-based boric acid tartar is disclosed in International Patent Publication No. 2008/027273. In some embodiments, the DPP-IV inhibitor is i_[N_[3(r)·. Pyrrolidinyl]glycidyl]pyrrolidine_2(R)-ylboronic acid tartrate:

GRC_8200(美羅列汀(Melogliptin),4(S)- 氟-1-[2-[(1R,3S)-3_(1H-1,2,4-三唑-1-基曱基)環戊基胺基]乙醯基] 。比洛咬-2(S)-甲腈)係DPP_IV抑制劑且當前正處於由GRC_8200 (Melogliptin, 4(S)-fluoro-1-[2-[(1R,3S)-3_(1H-1,2,4-triazol-1-ylindenyl)cyclopentyl) Amino]ethinyl]. Bilota-2(S)-carbonitrile is a DPP_IV inhibitor and is currently in the process of

Glenmark Pharmaceuticals及 Merck KGaA所進行的用於治 療2型糖尿病之π期臨床試驗中。化合物4(s)_氟 [(111,33)-3-(111-1,2,4-三唑-1-基曱基)環戊基胺基]乙醯基] D比洛嚏-2(S)-曱腈揭示於國際專利公開案w〇 2006/040625 中。本發明之一些實施例包括一或多種選自揭示於W〇 149380.doc -89- 201105327 2006/040625中之DPP-IV抑制劑之化合物及其醫藥上可接 受之鹽、溶劑合物及水合物之每一組合。在一些實施例 中,本發明之DPP-IV抑制劑選自4(S)-氟-l-[2-[(lR,3S)-3-(1H-1,2,4-三唑-1-基甲基)環戊基胺基]乙醯基]吡咯啶_2(s)_ 曱腈及其醫藥上可接受之鹽、溶劑合物及水合物:In π phase clinical trials for the treatment of type 2 diabetes by Glenmark Pharmaceuticals and Merck KGaA. Compound 4(s)_Fluoro[(111,33)-3-(111-1,2,4-triazol-1-ylindenyl)cyclopentylamino]ethinyl] D is more than 嚏-2 (S)-nitrile is disclosed in International Patent Publication No. 2006/040625. Some embodiments of the present invention include one or more compounds selected from the group consisting of DPP-IV inhibitors disclosed in WO 149380.doc-89-201105327 2006/040625, and pharmaceutically acceptable salts, solvates and hydrates thereof Each combination. In some embodiments, the DPP-IV inhibitor of the invention is selected from the group consisting of 4(S)-fluoro-l-[2-[(lR,3S)-3-(1H-1,2,4-triazole-1 -ylmethyl)cyclopentylamino]ethinyl]pyrrolidinium-2(s)-phthalonitrile and pharmaceutically acceptable salts, solvates and hydrates thereof:

R-1579(卡莫列汀(Carmegliptin),l-[(2S,3S,llbS)-2-胺 基-9,10 -二曱氧基 _2,3,4,6,7, lib-六氫-1 Η-»比咬并[2,1-a]異 喧琳-3-基]-4(S)-(氟甲基)吡咯啶-2-酮)係DPP-IV抑制劑。 化合物 l-[(2S,3S,llbS)-2-胺基-9,10-二曱氧基-2,3,4,6,7,llb-六氫-1Η-η比啶并[2,1-a]異喹啉-3-基]-4(S)-(氟甲基V比咯啶-2-酮揭示於國際專利公開案w〇 2005/000848。本發明之一 些實施例包括一或多種選自揭示於WO 2005/000848中之 DPP-IV抑制劑之化合物及其醫藥上可接受之鹽、溶劑合物 及水合物之每一組合。在一些實施例中,本發明之DPP-IV 抑制劑選自l-[(2S,3S,llbS)-2-胺基-9,10-二曱氧基-2,3,4,6,7,1113-六氫-111-吼啶并[2,1-&amp;]異喹啉-3-基]-4(8)-(氟 曱基比咯啶-2-酮及其醫藥上可接受之鹽、溶劑合物及水 合物:R-1579 (Carmegliptin, l-[(2S,3S,llbS)-2-amino-9,10-dimethoxy 2,3,4,6,7, lib-six Hydrogen-1 Η-» ratio bite [2,1-a]isoindol-3-yl]-4(S)-(fluoromethyl)pyrrolidin-2-one) is a DPP-IV inhibitor. Compound l-[(2S,3S,llbS)-2-amino-9,10-dimethoxy-2,3,4,6,7,llb-hexahydro-1Η-η is pyridine [2, 1-a]Isoquinolin-3-yl]-4(S)-(fluoromethyl V-pyridin-2-one is disclosed in International Patent Publication No. 2005/000848. Some embodiments of the invention include a Or a combination of each of the compounds selected from the group consisting of DPP-IV inhibitors disclosed in WO 2005/000848, and pharmaceutically acceptable salts, solvates and hydrates thereof. In some embodiments, the DPP- of the invention The IV inhibitor is selected from the group consisting of l-[(2S,3S,llbS)-2-amino-9,10-dimethoxy-2,3,4,6,7,1113-hexahydro-111-acridine. [2,1-&amp;]isoquinolin-3-yl]-4(8)-(fluorodecylpyrrolidin-2-one and pharmaceutically acceptable salts, solvates and hydrates thereof:

149380.doc •90· 201105327149380.doc •90· 201105327

Taisho揭示(2S,4S)-2-氰基-4-氟-1·[(2-羥基-1,1-二甲基) 乙基胺基]乙醯基吡咯啶作為Dpp—iv抑制劑^化合物 (2S,4S)-2-氰基-4-氟-i-[(2-羥基·二甲基)乙基胺基]乙醯 基°比洛°定揭示於美國公開案US 2007/0112059中。本發明 之一些實施例包括一或多種選自揭示於US 2007/0112059 中之DPP-IV抑制劑之化合物及其醫藥上可接受之鹽、溶劑 合物及水合物之每一組合。在一些實施例中,本發明之 DPP-IV抑制劑選自(2S,4S)_2_氰基_4氟小[(2_經基-二 曱基)乙基胺基]乙醯基吡咯啶及其醫藥上可接受之鹽、溶 劑合物及水合物:Taisho Reveals (2S,4S)-2-Cyano-4-fluoro-1·[(2-hydroxy-1,1-dimethyl)ethylamino]ethinylpyrrolidine as Dpp-iv Inhibitor^ The compound (2S,4S)-2-cyano-4-fluoro-i-[(2-hydroxydimethyl)ethylamino]ethyl oxime is disclosed in US Publication No. US 2007/0112059 in. Some embodiments of the invention include one or more compounds selected from the group consisting of DPP-IV inhibitors disclosed in US 2007/0112059, and pharmaceutically acceptable salts, solvates and hydrates thereof. In some embodiments, the DPP-IV inhibitor of the present invention is selected from the group consisting of (2S,4S)_2-cyano-4tetrahydro[(2-trans-diyl)ethylamino]ethenylpyrrolidine And pharmaceutically acceptable salts, solvates and hydrates thereof:

Sanof卜Aventis在美國公開案us 2〇〇7/〇167468(其全部内 谷以引用方式併入)中揭示一系列經取代二環8-吡咯啶黃嘌 7衍生物作為DPP_iV抑制劑。本發明之一些實施例包括— 或夕種選自揭示於美國公開案第2007/0167468號中之DPP-IV抑制劑之化合物及其醫藥上可接受之鹽、溶劑合物及水 〇物之每—組合。在一些實施例中本發明之抑制 Μ選自8_(順式-六氫比咯并[3,2-b]。比咯-1-基)-3-甲基_7_(3. 曱基丁 -2-烯基)_丨_(2_側氡基_2_苯基乙基)_3,7_二氫-嘌呤_ ’晒及其醫藥上可接受之鹽、溶劑合物及水合物: 149380.doc -91- 201105327A series of substituted bicyclic 8-pyrrolidine xanthine 7 derivatives are disclosed as DPP_iV inhibitors in U.S. Patent No. 2,7/〇 167,468, the entire disclosure of which is incorporated herein by reference. Some embodiments of the invention include - or a compound selected from the group consisting of DPP-IV inhibitors disclosed in U.S. Publication No. 2007/0167468, and each of their pharmaceutically acceptable salts, solvates and hydrazines -combination. In some embodiments, the inhibitory oxime of the present invention is selected from the group consisting of 8-(cis-hexahydropyrolo[3,2-b].pyrrol-1-yl)-3-methyl-7-(3. -2-alkenyl)_丨_(2_ fluorenyl-2-phenylethyl)_3,7-dihydro-indole _ 'Sun and its pharmaceutically acceptable salts, solvates and hydrates: 149380.doc -91- 201105327

3-胺基·Μ$·4·内酿胺衍生物作為Dpp_iv抑制劑。本發 明之些實施例包括一或多種選自揭示於w〇 2〇〇7/The 3-amino group Μ$·4·lactam derivative is used as a Dpp_iv inhibitor. Some embodiments of the invention include one or more selected from the group consisting of disclosed in w〇 2〇〇7/

Pfizer在國際專利公開案w〇 2〇〇7/i48 t Μ中揭示一系列 中之DPP-IV抑制劑化合物及其醫藥上可接受之鹽、溶劑合 物及水口物之每—組合。一種此化合物係卜“化牝)·扣胺 基_W4-(3,3-二氟外匕略。定+基)-1,3’5-三唤_2_基)吼略咬-3_ 基)-5,5-二氟六氫吡啶_2_酮及其醫藥上可接受之鹽。在一 些實施例+,本發明之DPP_IV抑制劑選自冰胺 基小(4_(3,3_二氣°比〇各咬-1·基)-1,3,5-三唤-2-基)吼咯咬_3_ 基)-5,5二氟六氫吡啶_2_酮及其醫藥上可接受之鹽、溶劑 合物及水合物:Pfizer discloses in each of the series of DPP-IV inhibitor compounds and their pharmaceutically acceptable salts, solvates and nozzles in the International Patent Publication No. 4/7/i48 t. One such compound is 牝 牝 牝 · · · · _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ -5,5-Difluorohexahydropyridin-2-one and pharmaceutically acceptable salts thereof. In some embodiments, the DPP_IV inhibitor of the present invention is selected from the group consisting of small amines (4_(3,3_) Two gas ° 〇 each bite -1 · base) -1,3,5-tripa-2-yl) 吼 _ 3_ base)-5,5 difluorohexahydropyridine 2 - ketone and its medicine Acceptable salts, solvates and hydrates:

Syrrx在國際專利公開案w〇 2〇〇5/〇95381中揭示一系列 經取代嘧啶^^出口⑴-二酮衍生物作為]^^!^^^^^。 本發明之一些實施例包括一或多種選自揭示於w〇 2005/095381中之DPP-IV抑制劑之化合物及其醫藥上可接 受之鹽、溶劑合物及水合物之每一組合。一種此化合物係 (R)-2-((6-(3-胺基六氫吼啶基)_3_曱基_2,4_二側氧基_ 3’4-二氫嘧啶-1 (2H)-基)甲基)_4_氟苄腈及其醫藥上可接受 149380.doc •92· 201105327 之鹽。在一些實施例中,本發明之Dpp_IV抑制劑選自 2-((6-(3-胺基六氫吡啶_ι_基)_3_甲基_2,4二側氧基·3,4_二 氫嘧啶-1(2Η)-基)曱基)-4-氟苄腈及其醫藥上可接受之鹽、 溶劑合物及水合物:Syrrx discloses a series of substituted pyrimidine(^)-dione derivatives as a ^^^^^^^^^ in the International Patent Publication No. 5〇〇5/〇95381. Some embodiments of the invention include one or more compounds selected from the group consisting of DPP-IV inhibitors disclosed in WO 2005/095381, and pharmaceutically acceptable salts, solvates and hydrates thereof. One such compound is (R)-2-((6-(3-aminohexahydroacridinyl)_3_indolyl-2,4-dioxy 3'4-dihydropyrimidin-1 (2H) )-yl)methyl)_4_fluorobenzonitrile and its pharmaceutically acceptable salt of 149380.doc •92·201105327. In some embodiments, the Dpp_IV inhibitor of the present invention is selected from the group consisting of 2-((6-(3-aminohexahydropyridine_ι_yl)_3_methyl-2,4 di-oxy3,4_ Dihydropyrimidin-1(2Η)-yl)indolyl-4-fluorobenzonitrile and pharmaceutically acceptable salts, solvates and hydrates thereof:

(R)-2-((6-(3-胺基六氫。比啶_丨_基)_3_曱基_2,4二側氧基_ 3,4-一氫嘧啶_ι(2Η)-基)甲基)_4_氟苄腈丁二酸鹽之各種結 晶形式已揭示於國際專利公開案W〇 2005/003 1335中。本 發明一個貫施例係關於如國際專利公開案w〇 2〇〇5/〇〇31335 中所述(R)-2-((6-(3-胺基六氫吡啶_丨_基)_3_甲基_2,4_二侧 氧基-3,4-二氫嘧t_1(2H)_基)甲基)_4_氟苄腈丁二酸鹽之任(R)-2-((6-(3-Aminohexahydro.biidine-丨-yl)_3_indolyl-2,4 di-oxyl-3,4-monohydropyrimidine_ι(2Η) Various crystalline forms of -yl)methyl)_4_fluorobenzonitrile succinate have been disclosed in International Patent Publication No. 2005/003 1335. A consistent embodiment of the present invention relates to (R)-2-((6-(3-aminohexahydropyridinyl)-yl)_3 as described in International Patent Publication No. 2〇5/〇〇31335 _Methyl-2,4_di-oxy-3,4-dihydropyrimidine t_1(2H)-yl)methyl)_4_fluorobenzonitrile succinate

一或多種結晶形式。在一些實施例中,二肽基肽酶IV (DPP4)抑制奇丨係結晶(r)_2_((6_(3_胺基六氫β比咬_ι_基)·3_ 甲基_2,4_二側氧基_3,4_二氫嘧啶-1(211)-基)甲基)-4-氟苄腈 丁二酸鹽:One or more crystalline forms. In some embodiments, the dipeptidyl peptidase IV (DPP4) inhibits the indole crystal (r)_2_((6_(3_aminohexahydrobeta) than the bite_ι_yl)·3_methyl_2,4 _Di-sideoxy_3,4-dihydropyrimidin-1(211)-yl)methyl)-4-fluorobenzonitrile succinate:

Alant〇S在國際專利公開案WO 2006/116157中揭示一系 列經取代2-氰基_吡咯啶衍生物作為Dppjv抑制劑。本發 明之一些實施例包括一或多種選自揭示於W〇 2006/116157 I49380.doc -93· 201105327 中之DPP_IV抑制劑之化合物及其醫藥上 劑 合物—之每'组合。-種此化合物係二二 ((S)-2-乳基比咯啶+基)_2側氧基乙基胺基]-丙基卜^ (1H-四。坐巧-基⑽^卜二氫別二苯并^观庚稀从二甲 酸雙-一甲基醯胺及其醫藥上可接受之鹽。在一些實施例 中’本發明之;〇ΡΡ·Ιν抑制劑選自Η⑻_2K⑻2氛基_ 比各疋1基)_2-側氧基_乙基胺基]丙基}_5_(ιη四唑_5· 基)10’11-_氫_SH_二苯并[a d]環庚烯2,8二甲酸雙二曱 基醯胺及其醫藥上可接受之鹽、;容劑合物及水合物:A series of substituted 2-cyano-pyrrolidine derivatives as Dppjv inhibitors are disclosed in International Patent Publication No. WO 2006/116157. Some embodiments of the invention include one or more per-combinations of a compound selected from the group consisting of DPP_IV inhibitors disclosed in WO 2006/116157 I49380.doc-93 201105327, and pharmaceutically acceptable compositions thereof. - This compound is di-((S)-2-lacylpyrrolidine+yl)_2 oxoethylethylamino]-propyl b^ (1H-tetra. Sodium-based (10)^dihydrogen Di-dibenzoxanthene bis-monomethylammonium dicarboxylate and a pharmaceutically acceptable salt thereof. In some embodiments, 'the present invention; 〇ΡΡ·Ιν inhibitor is selected from the group consisting of Η(8)_2K(8)2 基 _疋1 yl)_2-sideoxy-ethylamino]propyl}_5_(ιηtetrazole_5.yl)10'11-_hydrogen_SH_dibenzo[ad]cycloheptene 2,8 Diglycidyl diamine and its pharmaceutically acceptable salts; compatibilizers and hydrates:

Mitsubishi在國際專利公開案w〇 2〇〇2/〇〇14271中揭示一 系列2,4_一取代吡咯啶衍生物作為DPP-IV抑制劑。本發明 之一些實施例包括一或多種選自揭示於W〇 2〇〇2/〇〇14271 中之DPP-IV抑制劑之化合物及其醫藥上可接受之鹽、溶劑 合物及水合物之每一組合,一種此化合物係((2S,4S)_4_(4_ (3_曱基-卜苯基-1 Η- °比唑-5-基)六氫吼嗪-1 -基)吡咯啶-2-基)(四氫嗔唑·3_基)曱酮及其醫藥上可接受之鹽。在一些 實施例中,本發明之DPP-iv抑制劑選自((2S,4S)-4-(4-(3-曱基-1-笨基_1H-。比唾-5-基)六氫吼唤-1-基)吼洛。定-2- 149380.doc • 94· 201105327 基)(四氫噻唑-3-基)甲酮及其醫藥上可接受之鹽、溶劑合 物及水合物:Mitsubishi discloses a series of 2,4-monosubstituted pyrrolidine derivatives as DPP-IV inhibitors in International Patent Publication No. 2〇〇2/〇〇14271. Some embodiments of the invention include one or more compounds selected from the group consisting of DPP-IV inhibitors disclosed in W〇2〇〇2/〇〇14271, and pharmaceutically acceptable salts, solvates and hydrates thereof A combination of one such compound ((2S,4S)_4_(4_(3_indolyl-buphenyl-1 Η- °-biazole-5-yl)hexahydropyridazin-1 -yl)pyrrolidine-2 -yl)(tetrahydrocarbazole-3-yl)fluorenone and pharmaceutically acceptable salts thereof. In some embodiments, the DPP-iv inhibitor of the present invention is selected from the group consisting of ((2S, 4S)-4-(4-(3-mercapto-1-indolyl-1H-. than sal-5-yl) hexa Hydroquinone-1-yl) guanluo. -2- 149380.doc • 94· 201105327 yl) (tetrahydrothiazol-3-yl)methanone and its pharmaceutically acceptable salts, solvates and hydrates :

((2S,4S)-4-(4-(3-甲基-1-本基·1Η-Π 比0坐-5-基)六氫'•比嘻-i_ 基)吡咯啶-2-基)(四氫°塞°坐-3_基)甲酮鹽之各種結晶形式已 揭示於國際專利公開案2006/088129及美國公開案第 2009/0216016號中。本發明一個實施例係關於國際專利公 開案WO 2006/088129及美國公開案第2009/0216016號中所 述((2S,4S)-4_(4-(3-甲基-1-苯基-1H-吡唑-5-基)六氫吡嗪-卜 基)°比°各。定-2-基)(四氫嚷。坐-3-基)曱酮鹽之任一或多種結晶 形式。在一些實施例中,DPP-IV抑制劑係結晶((2S,4SM-(4-(3 -甲基-1-苯基-1H-吡唑-5-基)六氫吡嗪_ι_基)„比n各唆_2_ 基)(四氫噻唑_3_基)甲酮2·5氫溴酸鹽:((2S,4S)-4-(4-(3-methyl-1-bensin-1Η-Π is 0--5-yl) hexahydro'•bi-i-yl)pyrrolidin-2-yl The various crystalline forms of the ketone salt are disclosed in International Patent Publication No. 2006/088129 and U.S. Publication No. 2009/0216016. One embodiment of the present invention is described in the International Patent Publication No. WO 2006/088129 and the US Publication No. 2009/0216016 ((2S, 4S)-4_(4-(3-methyl-1-phenyl-1H). -pyrazol-5-yl)hexahydropyrazine-diyl). Any one or more crystalline forms of the indole ketone salt. In some embodiments, the DPP-IV inhibitor is crystalline ((2S,4SM-(4-(3-methyl-1-phenyl-1H-pyrazol-5-yl)hexahydropyrazine)) ) „比n各唆_2_ base)(tetrahydrothiazole_3_yl)methanone 2·5 hydrobromide:

或其單或二水合物Or its mono- or dihydrate

在一些實施例中’二肽基肽酶IV (DPP4)抑制劑係結晶((2S,4S)-4-(4-(3-甲基-1-笨基_出_0比 唑_5_基)六氫°比嗪·1 二氫溴酸鹽。 -基)°比0各咬-2-基)(四氫嗟〇坐-3-基)甲酮 149380.doc -95- 201105327In some embodiments, the 'dipeptidyl peptidase IV (DPP4) inhibitor is crystallized ((2S,4S)-4-(4-(3-methyl-1-phenyl)-out-0-by-azole_5_ )) hexahydropyrazine·1 dihydrobromide. -base)° ratio 0 each bit-2-yl)(tetrahydroindole-3-yl)methanone 149380.doc -95- 201105327

Kyorin在國際專利公開案WO 2008/114857及美國公開案 第2008/0146818號中揭示一系列吡咯啶曱腈衍生物作為 DPP-IV抑制劑。本發明之一些實施例包括一或多種選自揭 示於WO 2008/114857及美國公開案第2008/0146818號中之 DPP-IV抑制劑之化合物及其醫藥上可接受之鹽、溶劑合物 及水合物之每一組合。一種此化合物係(2S,4S)-l-[2-[(4-乙 氧基羰基二環[2.2.2]辛-1-基)胺基]乙醯基]-4-氟。比咯啶_2· 曱腈及其醫藥上可接受之鹽。在一些實施例中,本發明之 DPP-IV抑制劑選自(2S,4S)-l-[2-[(4-乙氧基羰基二環[2.2.2] 辛-1-基)胺基]乙醯基]-4-氟。比咯啶-2-曱腈及其醫藥上可接 受之鹽'溶劑合物及水合物:A series of pyrrolidinium nitrile derivatives are disclosed as DPP-IV inhibitors in Kyorin, International Patent Publication No. WO 2008/114857, and U.S. Publication No. 2008/0146818. Some embodiments of the present invention include one or more compounds selected from the group consisting of DPP-IV inhibitors disclosed in WO 2008/114857 and US Publication No. 2008/0146818, and pharmaceutically acceptable salts, solvates and hydrates thereof. Every combination of things. One such compound is (2S,4S)-l-[2-[(4-ethoxycarbonylbicyclo[2.2.2]oct-1-yl)amino]ethinyl]-4-fluoro. Birozidine_2·phthalonitrile and its pharmaceutically acceptable salts. In some embodiments, the DPP-IV inhibitor of the present invention is selected from the group consisting of (2S,4S)-l-[2-[(4-ethoxycarbonylbicyclo[2.2.2]oct-1-yl)amino ] Ethyl]-4-fluoro. Biloxidin-2-indene nitrile and its pharmaceutically acceptable salts 'solvates and hydrates:

Dainippon Sumitomo在國際專利公開案 w〇 2006/068163 及美國公開案第2009/0192129號中揭示一系列二環吡洛衍 生物作為DPP-IV抑制劑。本發明之一些實施例包括一或多 種選自揭示於WO 2006/068163及美國公開案第2009/0192129 號中之DPP-IV抑制劑之化合物及其醫藥上可接受之鹽、溶 劑合物及水合物之每一組合。一種此化合物係6 [(3R)_3_ 胺基-六氫吡啶-1-基]-5·(2-氣-5-氟-苄基二曱基“,丘二 氫-吡咯并[3,2-d]嘧啶-2,4-二酮及其醫藥上可接受之鹽。 在些貫施例中’本發明之DPP-IV抑制劑選自(6_[(3r)_3_ 149380.doc -96- 201105327 胺基-六氫吼啶-1-基]-5-(2-氯-5-氟-苄基)qj·二曱基-丨5二 氫-吡咯并[3,2-d]嘧啶-2,4-二酮及其醫藥上可接受之鹽、 溶劑合物及水合物:A series of bicyclopyrryl derivatives are disclosed as DPP-IV inhibitors in International Patent Publication No. 2006/068163 and U.S. Patent Publication No. 2009/0192129. Some embodiments of the present invention include one or more compounds selected from the group consisting of DPP-IV inhibitors disclosed in WO 2006/068163 and U.S. Publication No. 2009/0192129, and pharmaceutically acceptable salts, solvates and hydrates thereof. Every combination of things. One such compound is 6 [(3R)_3_amino-hexahydropyridin-1-yl]-5.(2-a-5-fluoro-benzyldiindenyl), methane dihydro-pyrrolo[3,2 -d]pyrimidine-2,4-dione and pharmaceutically acceptable salts thereof. In some embodiments, the DPP-IV inhibitor of the present invention is selected from (6_[(3r)_3_ 149380.doc-96- 201105327 Amino-hexahydroacridin-1-yl]-5-(2-chloro-5-fluoro-benzyl)qj.dimercapto-indole-5-dihydro-pyrrolo[3,2-d]pyrimidine- 2,4-dione and its pharmaceutically acceptable salts, solvates and hydrates:

Dainippon Sumitomo在國際專利公開案 w〇 2009/084497 中揭示2-({6-[(3R)-3-胺基-3-甲基六氫》比咬-卜基]-I〗·二曱 基-2,4-二侧氧基_ι,2,3,4-四氫-5Η-吡咯并[3,2-d]嘧啶-5-基} 曱基)-4-氟苄腈作為DPP-IV抑制劑。本發明之一些實施例 包括一或多種選自揭示於國際專利公開案W〇 2〇〇9/〇84497 中之DPP-IV抑制劑之化合物之每一組合^在一些實施例 中,本發明之DPP-IV抑制劑選自2-({6-[(3R)-3-胺基-3-甲 基/、氫0比0疋-1-基],3_二曱基_2,4_二側氧基_i,2,3,4-四氫· 5H-。比咯并[3,2-d]嘧啶-5-基}曱基)-4-氟苄腈及其醫藥上可 接受之鹽、溶劑合物及水合物:Dainippon Sumitomo, in International Patent Publication No. 2009/084497, discloses 2-({6-[(3R)-3-amino-3-methylhexahydro) than bite-buji]-I]. -2,4-di-oxy-,1,3,4-tetrahydro-5-pyrrolo[3,2-d]pyrimidin-5-yl} fluorenyl-4-fluorobenzonitrile as DPP- IV inhibitor. Some embodiments of the invention include each combination of one or more compounds selected from the group consisting of DPP-IV inhibitors disclosed in International Patent Publication No. WO 9/9/844, filed in some embodiments, the present invention The DPP-IV inhibitor is selected from the group consisting of 2-({6-[(3R)-3-amino-3-methyl/, hydrogen 0 to 0疋-1-yl], 3_dimercapto-2, 4_ Bi-oxyl_i,2,3,4-tetrahydro-5H-.pyrolo[3,2-d]pyrimidin-5-yl}indolyl-4-fluorobenzonitrile and its pharmaceutically acceptable Salts, solvates and hydrates:

Hoffmann-La Roche在國際專利公開案w〇 〇3/〇37327中 揭不一系列N-經取代D比咯啶衍生物作為Dpp_IV抑制劑。本 149380.doc •97- 201105327 發明之些貫把例包括一或多種選自揭示於w〇 03/037327 中之DPP-IV抑帝J劑之化合物及其醫藥上可接受之鹽、溶劑 合物及水合物之每一組合^ _種此化合物係(2s)_i{[2_(5_ 甲基_2·苯基-&quot;惡。坐-4-基)-乙基胺基]•乙醯基卜比咯唆1甲 腈及其醫藥上可接受之鹽。在一些實施例中,本發明之 DPP-IV抑制劑選自(28)小{[2_(5-甲基2苯基嗔唑_4_基)_ 乙基胺基]-乙醯基}-吡咯啶_2_甲腈及其醫藥上可接受之 鹽、溶劑合物及水合物: 广。 (2S)-l-{[2-(5-甲基-2-苯基-噁唑·4_基)_乙基胺基]_乙醯 基}-吡咯啶-2-曱腈曱磺酸鹽之各種結晶形式揭示於國際專 利公開案WO 2006/100181中。在一些實施例中,本發明之 DPP-IV抑制劑係曱基_2•苯基-噁唑_4_基)_乙 基胺基]-乙酿基} - n比洛咬_ 2 _甲腈曱續酸鹽(即,甲確酸鹽 (mesylate)):Hoffmann-La Roche discloses a series of N-substituted D-pyrrolidine derivatives as Dpp_IV inhibitors in International Patent Publication No. 3/〇37327. 149380.doc •97-201105327 Some examples of the invention include one or more compounds selected from the group consisting of DPP-IV inhibitors disclosed in WO 03/037327, and pharmaceutically acceptable salts and solvates thereof And each combination of hydrates ^ _ this compound is (2s) _i{[2_(5_methyl_2·phenyl-&quot; oxa. sit-4-yl)-ethylamino]-ethyl fluorenyl Bobbi 唆 1 carbonitrile and its pharmaceutically acceptable salts. In some embodiments, the DPP-IV inhibitor of the present invention is selected from the group consisting of (28) small {[2_(5-methyl 2phenyloxazolyl-4-yl)-ethylamino]-ethenyl}- Pyrrolidine-2-carbonitrile and pharmaceutically acceptable salts, solvates and hydrates thereof: broad. (2S)-l-{[2-(5-Methyl-2-phenyl-oxazole·4-yl)-ethylamino]-ethenyl}-pyrrolidine-2-indole sulfonic acid Various crystalline forms of the salt are disclosed in International Patent Publication WO 2006/100181. In some embodiments, the DPP-IV inhibitor of the present invention is a thiol-2 phenyl-oxazole _4_yl)-ethylamino]-ethyl aryl} - n 洛洛 bite _ 2 _ A Nitrile oxime acid salt (ie, mesylate):

CH3SO3H 由Hoffmann-La Roche在國際專利公開案w〇 03/037327 中揭示的另一化合物係(2S)-1-{[1,1-二甲基-3-(4-吡啶-3-基米唾-1-基)-丙基胺基]-乙醯基}·吡咯啶_2_曱腈及其醫藥 上可接受之鹽’例如曱續酸鹽。在一些實施例中,本發明 149380.doc -98- 201105327 之DPP-IV抑制劑選自(2S)-1-{[1,1-二甲基-3-(4-吡啶-3、基 咪唑-1-基)-丙基胺基]-乙醯基卜比咯啶_2-曱腈及其醫藥上 可接受之鹽、溶劑合物及水合物:CH3SO3H Another compound (2S)-1-{[1,1-dimethyl-3-(4-pyridin-3-yl) disclosed by Hoffmann-La Roche in International Patent Publication No. 03/037327 Saliv-1-yl)-propylamino]-ethenyl}-pyrrolidin-2-indene nitrile and pharmaceutically acceptable salts thereof such as a carbaryl salt. In some embodiments, the DPP-IV inhibitor of the invention 149380.doc-98-201105327 is selected from the group consisting of (2S)-1-{[1,1-dimethyl-3-(4-pyridine-3, benzyl imidazole) -1-yl)-propylamino]-ethenylpyrrolidin-2-indene nitrile and pharmaceutically acceptable salts, solvates and hydrates thereof:

在一些實施例中,本發明之DPP-IV抑制劑係(2Sy_ {[1,1-二甲基-3-(4-吡啶-3-基-咪唑-1-基)-丙基胺基μ乙酿 基}-吡咯啶-2-甲腈曱磺酸鹽:In some embodiments, the DPP-IV inhibitor of the invention is (2Sy_{[1,1-dimethyl-3-(4-pyridin-3-yl-imidazol-1-yl)-propylamino) Ethyl}-pyrrolidine-2-carbonitrile sulfonate:

(2S)-1-{[1,1-二曱基-3-(4-0比咬-3-基-〇米嗤-1-基)-丙基月安 基]-乙醯基}-吡咯啶-2-曱腈富馬酸鹽之各種結晶形式揭示 於國際專利公開案WO 2007/071576(其全部内容以引用方 式併入)中。在一些實施例中,本發明之DPP-IV抑制劑係 (28)-1-{[1,1-二曱基_3-(4-°比咬-3-基-咪唾-1-基)_丙基胺 基]-乙酿基}-»比咯a定-2-曱腈富馬酸鹽(即,富馬酸略 (fumarate)):(2S)-1-{[1,1-dimercapto-3-(4-0 butyl-3-yl-indolyl-1-yl)-propyl-hydanto]-ethenyl}- The various crystalline forms of pyrrolidine-2-indolesulfonic acid fumarate are disclosed in International Patent Publication No. WO 2007/071576, the entire disclosure of which is incorporated herein by reference. In some embodiments, the DPP-IV inhibitor of the present invention is (28)-1-{[1,1-dimercapto-3-(4-° ratio -3-yl-methan-1-yl) ) _ propylamino]-ethyl aryl}-» 比 a 定 曱 曱 曱 曱 ( ( ( ( fumarate):

Pfizer在國際專利公開案WO 2005/116014(其全部内容以 149380.doc •99- 201105327 引用方式併入)中揭示一系列脯胺酸衍生物作為 制劑。本發明之一些實施例包括一或多種選自揭示於wo 2005/116014中之DPP-IV抑制劑之化合物及其醫藥上可接 受之鹽、溶劑合物及水合物之每一組合。一種此化合物係 (3’3·二氟吡咯啶-1·基H(2S,4S)-4-(4-(嘧啶-2基)六氫吡嗪_ 1-基)吡咯啶-2-基)曱酮及其醫藥上可接受之鹽。在一些實 施例中,本發明之DPP_IV抑制劑選自(3,3_二氟吡咯啶-卜 基)-((2S,4S)-4-(4_(嘧啶_2基)六氫吡嗪_丨_基)吡咯啶_2_基) 曱酮及其醫藥上可接受之鹽、溶劑合物及水合物:A series of proline derivatives are disclosed as formulations in Pfizer, International Patent Publication No. WO 2005/116014, the entire disclosure of which is incorporated herein by reference. Some embodiments of the invention include one or more compounds selected from the group consisting of DPP-IV inhibitors disclosed in WO 2005/116014, and pharmaceutically acceptable salts, solvates and hydrates thereof. One such compound is (3'3·difluoropyrrolidin-1·yl H(2S,4S)-4-(4-(pyrimidin-2-yl)hexahydropyrazine-1-yl)pyrrolidin-2-yl Anthrone and its pharmaceutically acceptable salts. In some embodiments, the DPP_IV inhibitor of the invention is selected from the group consisting of (3,3-difluoropyrrolidinyl-bu)-((2S,4S)-4-(4-(pyrimidin-2-yl)hexahydropyrazine _丨_yl)pyrrolidine_2-yl) fluorenone and pharmaceutically acceptable salts, solvates and hydrates thereof:

GlaxoSmithKline在國際專利公開案w〇 03/002531中揭 示一系列氟°比咯啶衍生物作為Ε)ΡΡ·ιν抑制劑。本發明之一 些貫施例包括一或多種選自揭示於W〇 03/037327中之 DPP-IV抑制劑之化合物及其醫藥上可接受之鹽、溶劑合物 及水合物之每一組合。一種此化合物係 胺基-3,3-雙(4-氟苯基)丙醯基]_4_氟吡咯啶_2_曱腈(地那列 &gt;丁(Denaghptin))。在一些實施例中,本發明之Dpp_IV抑制 劑選自(2S,4S)-l-[(2S)-2-胺基_3,3-雙(4-氟苯基)丙醯基]-4- 氟吡咯啶_2-甲腈及其醫藥上可接受之鹽、溶劑合物及水合 物: 149380.doc •100- 201105327GlaxoSmithKline, in International Patent Publication No. 03/002531, discloses a series of fluoropyrrolidine derivatives as Ε)ΡΡι inhibitors. One of the embodiments of the present invention comprises one or more compounds selected from the group consisting of DPP-IV inhibitors disclosed in WO 03/037327, and pharmaceutically acceptable salts, solvates and hydrates thereof. One such compound is amino-3,3-bis(4-fluorophenyl)propanyl]_4-fluoropyrrolidine-2-indene nitrile (Denaghptin). In some embodiments, the Dpp_IV inhibitor of the present invention is selected from the group consisting of (2S,4S)-l-[(2S)-2-amino-3,3-bis(4-fluorophenyl)propanyl]-4 - fluoropyrrolidine_2-carbonitrile and its pharmaceutically acceptable salts, solvates and hydrates: 149380.doc •100- 201105327

FF

(2S,4S)-l-[(2S)-2-胺基-3,3-雙(4-氟苯基)丙醯基]_4·氟处 °各咬-2 -甲腈及其鹽之各種結晶形式已揭示於國際專利公開 案 WO 2005/009956 中。一種所揭示鹽係(2S,4S)-l-[(2S)-2-胺基-3,3-雙(4-氟苯基)丙醯基]-4-氟&quot;比哈咬-2-甲腈對甲苯 磺酸鹽(亦稱作(2S,4S)-4-氟-l-[4-氟-β-(4-氟苯基)-L-苯基 丙胺醯基]-2-。比咯啶曱腈對甲苯磺酸鹽或地那列汀曱苯石黃 酸鹽)。在一些實施例中’本發明之DPP-IV抑制劑係 (28,48)-1-[(28)-2-胺基-3,3-雙(4-氣苯基)丙酿基]_4-氟》»比洛 啶-2-曱腈對曱苯磺酸鹽:(2S,4S)-l-[(2S)-2-Amino-3,3-bis(4-fluorophenyl)propanyl]_4·Fluorine °bit 2 -carbonitrile and its salts Various crystalline forms are disclosed in International Patent Publication WO 2005/009956. A disclosed salt system (2S,4S)-l-[(2S)-2-amino-3,3-bis(4-fluorophenyl)propanyl]-4-fluoro&quot;Bihabite-2 - carbonitrile p-toluenesulfonate (also known as (2S,4S)-4-fluoro-l-[4-fluoro-β-(4-fluorophenyl)-L-phenylpropylamine fluorenyl]-2- Bilobidinonitrile p-toluenesulfonate or dynastatine terpene salt). In some embodiments, the DPP-IV inhibitor of the invention is (28,48)-1-[(28)-2-amino-3,3-bis(4-phenylphenyl)propyl]_4 -Fluorine»Bilozine-2-indonitrile nitrile sulfonate:

Abbott在國際專利公開案w〇 2004/026822中揭示一系列 經取代吡咯啶基衍生物作為DPP-IV抑制劑。本發明之一些 實施例包括一或多種選自揭示於W0 2004/026822中之 DPP-IV抑制劑之化合物及其醫藥上可接受之鹽、溶劑合物 及水合物之每一組合。一種此化合物係(2S,5R)_5_乙炔基_ l_{N-(4-甲基-1-(4-羧基-咄啶_2_基)六氫吡啶_4_基)甘胺醯 149380.doc -101- 201105327 基}。比咯啶-2-曱腈。在一些實施例中,本發明之]〇卩1)_1乂抑 制劑選自(2S,5R)_5_乙炔基曱基_1-(4_羧基_吡啶_ 2·基)六氫》比啶-4-基)甘胺醯基}。比嘻咬_2-甲腈及其醫藥上 可接受之鹽、溶劑合物及水合物:A series of substituted pyrrolidinyl derivatives as DPP-IV inhibitors are disclosed by Abbott in International Patent Publication No. 2004/026822. Some embodiments of the invention include one or more compounds selected from the group consisting of DPP-IV inhibitors disclosed in WO 2004/026822, and pharmaceutically acceptable salts, solvates and hydrates thereof. One such compound is (2S,5R)_5-ethynyl-l_{N-(4-methyl-1-(4-carboxy-acridin-2-yl)hexahydropyridine-4-yl)glycine 醯149380 .doc -101- 201105327 base}. Birolidine-2-indene nitrile. In some embodiments, the 〇卩1)_1乂 inhibitor of the present invention is selected from the group consisting of (2S,5R)_5-ethynylfluorenyl-1-(4-carboxy-pyridyl-2-yl)hexahydropyridinium -4-yl)glycidyl}. Specific bite _2-carbonitrile and its pharmaceutically acceptable salts, solvates and hydrates:

Abbott已在國際專利公開案w〇 2〇〇7/〇2765丨中進一步揭 示一系列經取代環己烷基/環己烯基衍生物作為Dpp_iv抑 制劑。本發明之一些實施例包括一或多種選自揭示於w〇 2007/02765 i中之DPP_IV抑制劑之化合物及其醫藥上可接 受之鹽、溶劑合物及水合物之每一組合。一種此化合物係 (lS,6R)-3-{[3-(二氟甲基)_5,6_二氫[12,4]三唑并[4,3_小比 嗓-7(8H)-基]数基}_6_(2,4,5_三氟苯基)環己%稀小胺。在 一些實施例中’本發明之DPP_IV抑制劑選自(is,叫3_ {[3-(三氣甲基)_5,6_二氫[12,4]三唑并[4,3_小比唤__)_ 基]幾基}冬(2,4,5-三乳笨基)環己_3_烯+胺及其醫藥上可 接受之鹽、溶劑合物及水合物: 根據本發明A series of substituted cyclohexane/cyclohexenyl derivatives have been further disclosed by Abbott as a Dpp_iv inhibitor in International Patent Publication No. 2〇〇7/〇2765丨. Some embodiments of the invention include one or more compounds selected from the group consisting of DPP_IV inhibitors disclosed in WO 2007/02765 i and pharmaceutically acceptable salts, solvates and hydrates thereof. One such compound is (lS,6R)-3-{[3-(difluoromethyl)_5,6-dihydro[12,4]triazolo[4,3_small 嗓-7(8H)- Base] number base}_6_(2,4,5-trifluorophenyl)cyclohexane% dilute amine. In some embodiments, the DPP_IV inhibitor of the present invention is selected from the group consisting of (is, 3_{[3-(trimethyl))-5,6-dihydro[12,4]triazolo[4,3_small ratio ___)_基基基基}冬(2,4,5-三乳基基)cyclohexa-3-ene+amine and pharmaceutically acceptable salts, solvates and hydrates thereof: According to the invention

’該組合可藉由下述方法使 伤即本發明化合物及醫藥試劑一起或分別與上 用:使各活性組 文所述生理 149380.doc •102- 201105327 子〇接又之載劑、賦形劑、黏合劑、稀釋劑等混合並將該 或多 、'曼 a 成σ物作為醫藥組合物經口或非經口投與。當 χ化α物或本發明化合物之混合物作為組合療法與另 活I·生化合物一起投與時,可將治療劑調配為在相同時間 或不同時間給藥的單獨醫藥組合物;或者可將本發明化合 物或本發明化合物之混合物—起調配為單—單位劑量。 其他用途 本發明·^ g α 力—目的係關於經放射標記之化合物,其不僅 用於放射成像而且亦用於活體外及活體内二者之分析,以 用於在包括人類的組織樣品中定位及定量GPR119受體並 ;二由抑制經放射標記化合物的結合來識別OPR〗19受 體配體本發明之又一目的係研發新賴⑴受體分 析其巾包含此等經放射標記之化合物。 ^發明化合物亦可包括在中間體及/或最終化合物及其 醫藥上可接受之鹽、溶劑合物及水合物中出現的原子之所 有同位素。同位素包括彼等具有相同原子序數但不同質量 數的原子。經同位素標記或經放射標記之化合物係與本文 所揭示化合物相同之化合物,但實際上一或多個原子被且 !與自然界中通常所·發現之(即天然存在之)原子質量或質 量數不同之原子貝里或質量數的原子替代或取代。可納入 本發月化σ物中之適宜放射核素包括“旦不限於)咕(對於氘 亦寫作d)、3Η(對於氚亦寫作”、、丨沧、&quot;η 15Ν、150、丨 7〇、U0、18f、35 77'The combination can be used to make the injury, that is, the compound of the present invention and the pharmaceutical agent together or separately: to make the physiological group 149380.doc •102-201105327 The agent, the binder, the diluent, and the like are mixed and the or more, 'man' a sigma substance is administered as a pharmaceutical composition orally or parenterally. When a deuterated alpha or a mixture of compounds of the invention is administered as a combination therapy with an additional active compound, the therapeutic agent can be formulated as a separate pharmaceutical composition for administration at the same time or at different times; or The inventive compound or a mixture of the compounds of the invention is formulated as a single unit dose. Other uses The present invention relates to radiolabeled compounds that are used not only for radiography but also for in vitro and in vivo analysis for localization in tissue samples including humans. And quantifying the GPR119 receptor; and secondly, by inhibiting the binding of the radiolabeled compound to recognize the OPR-19 receptor ligand. A further object of the invention is to develop a novel (1) receptor assay comprising a radiolabeled compound. The inventive compound may also include all isotopes of atoms occurring in the intermediates and/or final compounds and their pharmaceutically acceptable salts, solvates and hydrates. Isotopes include those atoms that have the same atomic number but different mass numbers. An isotope-labeled or radiolabeled compound is the same compound as the compounds disclosed herein, but in practice one or more atoms are different from the atomic mass or mass found in nature (ie, naturally occurring). The atomic Berry or mass atom is substituted or replaced. Suitable radionuclides that can be included in the sigma sigma include "not limited to" 咕 (for 氘 also written d), 3 Η (for 氚 also writing), 丨沧, &quot;η 15Ν, 150, 丨7 〇, U0, 18f, 35 77

Br 123, 124ι 12 5i及 131 S、36C卜 82Br、75grBr 123, 124ι 12 5i and 131 S, 36C Bu 82Br, 75gr

Br 納入本發明經放射標記化合 149380.doc 201105327 物中=放射核素將端視所使用經放射標記化合物之具體應 用而定。舉例而言’對於活體外GpRU9受體標記及競爭 么私JTL + .. -&gt; … 分析而言,納入4、14匚 常將最有用。對於放射成像應用而言Br is included in the radiolabeled compound of the invention 149380.doc 201105327 = Radionuclides will depend on the particular application of the radiolabeled compound used. For example, for in vitro GpRU9 receptor labeling and competition, JTL + .. -&gt; ... analysis, inclusion of 4, 14 匚 will often be most useful. For radiology applications

Br 4或35s之化合物通 241、131.Br 4 or 35s compounds pass 2411, 131.

'C 18'C 18

F 125, 75F 125, 75

Br 76Br或77Br通常將最有用 應瞭解,經放射標記或經標記之化合物係已納入至少一 種放射核素之本發明化合物;在—些實施例中,放射核素 選自由H叫、、及82以組成之群。 本發明的某些經同位素標記之化合物可用於化合物及, 或Γ組織分佈分析。在某些實施例中,放射核素及/ 或C同位素可用於該等研究。此外,用諸如氛(即2⑴等較 重同位素取代可提供源自較高代謝穩枝的某些治療優勢 (例如’活體内半衰期增加或劑量需求降低)且因此在某些 情=中可能係、較佳的。本發明經同位素標記之化合物通常 °藉由類似於上述流程及下述實例中所公開的彼等程序、 藉由用經同位素標記之試劑取代未經同位素標記之試劑來製 備—在下文中將付淪適用的其他合成方法。此外,應瞭解, 表示於本發明化合物中的所有原子可係'此㈣子最常見的同 位素或者係較稀有的放射性同位素或非放射活性同位素。 將放射同位素納人有機化合物中的合成方法可適用於本 發明化合物且為業内所孰4 所热知例如氚氣曝露標記。該程序涉 及使含有可交換質子之前艚Λ 4 + _ 體在適且觸媒存在下曝露至氚氣。 經放射標記之本發明GPP 丰發明GPRU9受體化合物可用於篩選分 析以鑑別/評價化合物。概言之,可評估新合成或鑑別之 149380.doc •104· 201105327 化合物(即測試化合物)降低經放射標記之本發明化合物與 _19文體結合之能力。因此,測試化合物&amp;㈣㈣ 圮之本發明化合物競爭結合GpRU9受體之能力及其結合 親及力直接相關。 ,”至枯π己之本發明化合物結合至GpRi 19受體上。在一個 實施例中,經標記之化合物之1(:5〇小於約5〇〇 •在另一 實施例中,經標記之化合物之小於約100 μΜ ;在又一 實施例中,經標記之化合物之IC5G小於約10 μΜ ;在又一 實施例甲,經標記之化合物之ICM小於約i ρΜ ;在再一實 施例中,經標記之抑制劑之KM小於約〇」μΜ ;在再一實 施例中’經標記之抑制劑之ZCm小於約〇 〇1 μΜ ;且在再一 實施例中’經標記之抑制劑之IC5()小於約〇 〇〇5 。 應認識到,本發明方法之步驟不需要實施任何特定次數 或以任何特定順序實施。在驗證本發明的以下實例之後, 本發明之其他目的、優勢及新穎特徵對於彼等熟習此項技 術者將變得顯而易見’該等實例意欲具有說明性而不欲具 有限制性。 實例 實例1 : Ν-(2-氟-4-(甲基磺酿基)苯基)-5-甲基-6-(1-(5-甲基 β比嗪-2-基)六氫吡啶-4-基氧基)嘧啶-4-胺(化合物1)之初步 藥理學-活體外分析。 Α.表現人類或大鼠葡萄糖依賴性促胰島素受體(GDIR) 之CHO或RIN-5F細胞中之cAMP生成》Br 76Br or 77Br will generally be most useful to be understood that a radiolabeled or labeled compound is a compound of the invention that has been incorporated into at least one radionuclide; in some embodiments, the radionuclide is selected from the group consisting of H, and 82. To form a group. Certain isotopically labeled compounds of the invention are useful in the analysis of compound and/or tissue distribution. In certain embodiments, radionuclides and/or C isotopes can be used in such studies. In addition, substitution with heavier isotopes such as the atmosphere (ie 2(1)) may provide certain therapeutic advantages derived from higher metabolic stability (eg, 'in vivo half-life increase or dose demand reduction) and thus may be, in some cases, Preferably, the isotopically labeled compound of the present invention is typically prepared by substituting an isotopically labeled reagent for an isotopically labeled reagent by procedures similar to those disclosed in the above schemes and the following examples. In addition, it will be understood that all of the atoms represented in the compounds of the present invention may be the most common isotopes of this (four) or the rarer radioisotope or non-radioactive isotope. The synthetic method in the organic compound of the human can be applied to the compound of the present invention and is known in the art as a helium gas exposure marker. The procedure involves making the 艚Λ 4 + _ body suitable for the exchange of protons. Exposure to helium in the presence of radiation. The GPP GPRU9 receptor compound of the invention, which is radiolabeled, can be used for screening analysis for identification/evaluation. In summary, the newly synthesized or identified 149380.doc • 104· 201105327 compound (ie, test compound) reduces the ability of the radiolabeled compound of the invention to bind to the -19 motif. Thus, the test compound &amp; (d) (iv) The ability of a compound of the invention to compete for binding to the GpRU9 receptor and its binding affinity is directly related. "The compound of the invention is bound to the GpRi 19 receptor. In one embodiment, the labeled compound is 1(:5〇 is less than about 5〇〇• In another embodiment, the labeled compound is less than about 100 μΜ; in yet another embodiment, the labeled compound has an IC5G of less than about 10 μΜ; For example, the labeled compound has an ICM of less than about i ρ Μ; in yet another embodiment, the labeled inhibitor has a KM of less than about 〇"μΜ; in yet another embodiment, the labeled inhibitor has a ZCm of less than about 〇〇1 μΜ; and in yet another embodiment, the labeled inhibitor IC5() is less than about 〇〇〇5. It will be appreciated that the steps of the method of the invention need not be performed any particular number of times or in any particular order. Other objects, advantages and novel features of the invention will become apparent to those skilled in the <RTIgt; 1 : Ν-(2-fluoro-4-(methylsulfonic acid)phenyl)-5-methyl-6-(1-(5-methylβ-pyridin-2-yl)hexahydropyridine-4 Preliminary pharmacology-in vitro analysis of -yloxy)pyrimidine-4-amine (Compound 1) Α. cAMP in CHO or RIN-5F cells expressing human or rat glucose-dependent insulinotropic receptor (GDIR) generate"

使用表現人類GDIR(hGDIR)及大鼠GDIR(rGDIR)之CHO 149380.doc -105- 201105327 細胞。在DMEM/F12K培養基中培養CHO細胞,該培養基 含有青黴素/鍵黴素、10% FBS及選擇用適宜抗生素(用於 大鼠之500 pg/mL G418及用於人類純系細胞之3 pg/mL嘌 呤黴素)。為了建立分析條件’以5x 1 〇5個細胞/mL(2x 1 〇5個 細胞/mL)將100 pL細胞接種於經離胺酸塗覆之96孔培養板 中並使其恢復24小時。在24小時黏附及生長期後,用含有 青黴素/鏈黴素及250 μΜ異丁基甲基黃嘌吟(ibmX,碗酸 二酯酶抑制劑)之DMEM/F12替換培養基。 向該等細胞中添加化合物或DMSO(媒劑)並在〇%、4%或 20%血清存在下將其在37°C下培育45分鐘。培育後,依照 製造商說明書(用於定量來自培養哺乳動物細胞之cAMP之 Tropix cAMP-Screen™系統化學發光免疫分析系統)對該等 細胞實施裂解及處理。去除細胞培養基並添加100 pL分析/ 裂解緩衝液並且將其混合以便使用ELISA套組(Tropix cAMP-ScreenTM系統化學發光免疫分析系統,Applied Biosystems,Foster City, CA)實施 cAMP 分析。利用 GraphPadPrism數據分析軟體計算EC5〇計算值。 化合物1在CHO- h GDIR及CHO- r GDIR細胞中之 cAMP生成中之效能 CHO- h GDIR CHO- r GDIR EC5〇 (nM) EC5〇 (nM) 化合物1 具有0%血清 6 65 具有4%血清 18±8 26±6 具有20%血清 116+38 389±118 149380.doc •106- 201105327 B. GLP-1自GLUTag細胞之釋放 將生長培養基(DMEM GIBCO目錄編號11995-065,10% FBS GIBCO目錄編號16000-044)中之G.luTag細胞接種於96 孔板中以90,000個細胞/孔並在C02培養箱中於37°C下培育 24小時。藉由抽吸去除生長培養基並向各孔中添加2〇〇 a 分析培養基(具有5 mM葡萄糖及0.1% BSA之DMEM)。在 37°C下培育30 min後’去除分析培養基並向各孔中補充 175 μί具有DPP-IV抑制劑之新鮮分析培養基》接下來,將 25 μι攻擊溶液添加至各孔中並在37°C下將反應物培育2小 時。在反應完成後,將180 pL上清液轉移至新96孔板,隨 後將該板置於-80°C儲存用深冷器中直至分析。使用來自CHO 149380.doc-105-201105327 cells expressing human GDIR (hGDIR) and rat GDIR (rGDIR) were used. CHO cells were cultured in DMEM/F12K medium containing penicillin/bondin, 10% FBS and selected antibiotics (500 pg/mL G418 for rats and 3 pg/mL for human pure cells) Mycin). To establish the analysis conditions, 100 pL of cells were seeded in an lysine coated 96-well culture plate at 5 x 1 〇 5 cells/mL (2 x 1 〇 5 cells/mL) and allowed to recover for 24 hours. After 24 hours of adhesion and growth, the medium was replaced with DMEM/F12 containing penicillin/streptomycin and 250 μM isobutylmethylxanthine (ibmX, bowl acid diesterase inhibitor). Compounds or DMSO (vehicle) were added to the cells and incubated for 45 minutes at 37 ° C in the presence of 〇%, 4% or 20% serum. After incubation, the cells were lysed and processed according to the manufacturer's instructions (the Tropix cAMP-ScreenTM System Chemiluminescence Immunoassay System for quantification of cAMP from cultured mammalian cells). Cell culture medium was removed and 100 pL of analysis/lysis buffer was added and mixed to perform cAMP analysis using an ELISA kit (Tropix cAMP-ScreenTM System Chemiluminescence Immunoassay System, Applied Biosystems, Foster City, CA). Calculate the EC5〇 calculation value using the GraphPadPrism data analysis software. Potency of Compound 1 in cAMP production in CHO-h GDIR and CHO-r GDIR cells CHO- h GDIR CHO- r GDIR EC5〇(nM) EC5〇(nM) Compound 1 with 0% serum 6 65 with 4% serum 18±8 26±6 with 20% serum 116+38 389±118 149380.doc •106- 201105327 B. GLP-1 release from GLUTag cells Growth medium (DMEM GIBCO catalog number 11995-065, 10% FBS GIBCO catalog G.luTag cells in No. 16000-044) were seeded in 96-well plates at 90,000 cells/well and incubated at 37 ° C for 24 hours in a CO 2 incubator. The growth medium was removed by aspiration and 2 〇〇 a assay medium (DMEM with 5 mM glucose and 0.1% BSA) was added to each well. After incubation for 30 min at 37 °C, 'removing the assay medium and replenishing each well with 175 μL of fresh assay medium with DPP-IV inhibitor. Next, add 25 μιη of challenge solution to each well at 37 °C. The reaction was incubated for 2 hours. After the reaction was completed, 180 pL of the supernatant was transferred to a new 96-well plate, which was then placed in a -80 ° C storage cryostat until analysis. Use from

Lincoln Research之ELISA套組(目錄編號EGLP-35K)根據製 造商說明書量測GLP-1。 化合物1在自GLUTag細胞釋放GLP-1中之效能 EC5〇 (nM) 化合物1 54.1 實例2 :以0.3 mg/kg及3 mg/kg之單劑量心(2氟_4(甲基磺 醢基)苯基)-5-甲基-6-(1-(5-甲基吼嗪_2_基)六氫吡啶_4_基 氧基)嘧啶-4-胺對雄性SD大鼠(PK/PD研究)之口服葡萄糖 耐受性測試(〇GTT)之活體内效應。 口服葡萄糖耐受性測試(〇 G T T)量測動物代謝外源性葡萄 糖大丸劑之能力。葡萄糖AUC自基線漂移之減小表明葡萄 糖控制較佳。在具有! 2小時光/暗循環之溫控室中以每籠1 149380.doc 201105327 隻大鼠圈養雄性SD大鼠(6至7週齡)。其可隨意獲取水及食 物。在研究前將大鼠禁食過夜。在8:30 am首先將媒劑 (0.5% HPMC)或化合物1以0.3 mg/kg或3 mg/kg劑量經由經 口管飼給予該等大鼠。在給予化合物1小時後,藉由經口 管飼向大鼠投與葡萄糖(2 g/kg,使用50% G)並於第0 m i η、3 0 m i η、6 0 m i η及12 0 m i η收集尾部血樣以量測血糖 及血漿胰島素。以類似方式給予單獨組大鼠並在給藥後1 11、211、411、611、8 11及24 11收集血樣以供?1!:分析。 在OGTT期間以0.3 mg/kg及3 mg/kg劑量二者給予化合物 1均可顯著降低血糖AUC。血漿中之化合物濃度顯示劑量 相關性增加。 在oGTT期間N-(2-氟-4-(甲基磺酿基)苯基)-5-甲基-6-(1-(5-甲基吡嗪-2-基)六氫吡啶-4-基氧基)嘧啶-4-胺(化合物1) 對SD大鼠之葡萄糖漂移之功效(PD組) 處理 媒劑 化合物1 0.3 mg/kg 3 mg/kg 體重(g) 273.1 ±2.4 269.2 ± 0.2 270.4 ±3_4 給予化合物前之血糖(mg/dL) 72.1 ±3.5 69.5 士 2.4 68.3 ±3.1 在OGTT期間之 血糖 (mg/dL) 0 min 76.1 ±4.2 81.4±3.3 70.6 ±2.0 30 min 187.8 ± 12.1 160.0 ±8.1 159.1 ±7.3 60 min 192.0 ±6.8 164.3 ±7.9 158.9 ±4.5 120 min 123.4 ±8.8 107.1 ±8.3 98.6 ±7.0 在OGTT期間之 AUCglu mg12h / mL 19116 ±609 16626 ±6811 15939 ±3441 媒劑% 100 ±3 87 ±41 83 ±21 A基線 mg12h / mL 9981 ±542 6861 ±9521 7470 ±4191 媒劑△值% 100 ±5 69± 101 75 ±41 149380.doc *108- 1 與媒劑處理組相比具有統計學差異(實施單因素重複量測方差分析(ANOVA)及 Dunnett’s後檢驗)。 201105327 在OGTT期間N-(2-氟-4-(甲基磺醯基)苯基)-5-甲基-6-(1-(5-曱基咕嗪-2-基)六氫吡啶-4-基氧基)嘧啶-4-胺(化合 物1)在SD大鼠之葡萄糖漂移期間之血漿濃度(PK組) 處理 化合物1 0.3 mg/kg 3 mg/kg 化合物1 濃度 (ng/mL) 1 h,(OGTT 之0 min) 56.6 ±35.5 933.0 ±417.6 2 h,(OGTT 之 60 min) 54.9 ± 28.6 894.3 ± 98.2 4 h,(OGTT之 180 min) 35.5 ±21.5 397.0 ±207.7 實例3 :單劑量N-(2-氟-4-(甲基磺醯基)苯基)_5_甲基-6-(1-(5-甲基吡嗪-2-基)六氫吡啶-4-基氧基)嘧啶-4-胺(化合物1) 對在正常雄性食蟹猴(Cynomo丨gus Monkey)中實施的oGTT 之作用。 在健康雄性食蟹猴中測試化合物1對血糖控制之作用。在 該研究中使用純真徤康雄性食蟹猴。基於基本空腹血糖濃度 將猴分為3組。在給予化合物、投與葡萄糖前及在經鼻管飼 葡萄糖(6 g/kg,使用50%葡萄糖溶液)後第30 min、60 min及 120 min收集血樣。該研究之結果表明,化合物1以1.5 mg/kg 劑量可顯著降低在口服葡萄糖測試期間之血糖濃度。 在oGTT期間N-(2-氟-4-(甲基磺醯基)苯基)-5·甲基-6-(1-(5-甲基吡嗪-2-基)六氫吡啶-4-基氧基)嘧啶-4-胺(化 合物1)對食蟹猴之血糖濃度之效應 組 血糖濃度(mg/dL) AUCglu -60 0 30 60 120 mg *2 h/dL 媒劑% 媒劑 78±14 70±15 133士28 165±24 66士 11 14413±1378 100%±10% 化合物 1 · 1.5 mg/kg 82±19.6 73±11.9 115±32.3 119±19.8 65 士 40.8 13320±2431 82% 士 17% 149380.doc •109- 201105327 實例4 : 重組P450酶之抑制 人類細胞色素P450蛋白係參與内源性受質代謝作用及使 藥物及其他外源化學品去毒之酶家族。p45〇酶將各種化合 物轉化為極性較高之分子,且轉化分子較易自機體去除。 藥物-藥物相互作用發生在共投與兩種藥物之時並競爭相 同P450酶’從而可能導致去毒不完全。分析條件匯總於下 表中。 用於P450分析之特定酶母液及受質 酶 陽性對照 (抑制劑母液) 酶受質 混合物 培育時間 激發 (帶寬) 發射 (帶寬) 1Α2 5 mM呋拉茶鹼 (Furafylline) 1A2-E/S混合物 20 min 409 nm (20 nm) 460 run (40 nm) 2C9 0.5 mM磺胺苯吡唑 2C9-MFC-E/S 混合物 45 min 409 nm (20 nm) 530 nm (25 nm) 2C19 25 mM反笨環丙胺 2C19-CEC-E/S 混合物 45 min 409 nm (20 nm) 460 nm (40 nm) 2D6 0.025 mM奎尼丁 (Quinidine) 2D6-AMMC-E/S 混合物 30 min 390 nm (20 nm) 460 nm (40 nm) 2Ε1 5 mM DDTC 2E1-DDTC-E/S 混合物 45 min 409 nm (20 nm) 530 nm (25 nm) 3Α4 10 mM醋竹桃黴素 (Troleandomycin) 3A4-BFC-E/S 混合物 30 min 409 nm (20 nm) 530 nm (25 nm) 吾人觀察到10 μΜ N-(2-氟-4-(甲基磺醯基)苯基)-5-曱基-6-(1-(5-甲基°比嗪-2-基)六氫&quot;比啶-4-基氧基)嘧啶-4-胺對於 同工酶3A4、2C9及2C19之抑制大約為50%,且IC50值分別 為9.05 μΜ、8.82 μΜ及&gt;10 μΜ。未觀察到對1A2或2D6之 抑制。 149380.doc -110- 201105327 N-(2-氟-4-(甲基磺酿基)苯基)-5-甲基-6-(1-(5-甲基。比嗪-2-基)六氫吡啶-4-基氧基)嘧啶-4-胺(化合物1)對於重組CYP- 450酶之抑制特徵 亞型 10 μΜ下之 抑制% ic50 (μΜ) 3Α4 40.2 9.05 1Α2 0 &gt;10 2C19 46.7 &gt;10 2C9 54.1 8.82 2D6 0 &gt;10 實例5 : N-(2-氟-4-(甲基磺醯基)苯基)-5-甲基-6-(1-(5-甲基 吡嗪-2-基)六氫吡啶-4-基氧基)嘧啶-4-胺(化合物1)對HLM 中P450 2C9及2C19之抑制。 使用96孔板形式實施利用標準探測受質(用於CYP2C9之 甲苯磺丁脲及用於CYP2C19之(S)-美芬妥英((S)-mephenytoin))之代謝培育。一般培育混合物含有0.5 mg/mL 微粒體蛋白、〇 μΜ至50 μΜ N-(2-氟-4-(甲基磺醯基)苯基)-5 -曱基- 6- (1-(5 -甲基。比°秦-2-基)六風π比0定-4-基氧基)。密α定-4 _ 胺(作為抑制劑)、1 mM NADPH及100 mM含有3 mM MgCl2 及lmMEDTA(pH7.5)之磷酸鉀緩衝液,且最終體積為100 pL。就CYP2C9而言,將150 μΜ美芬妥英添加至反應混合 物中並在37°C下培育10 min。就CYP2C19而言,將50 μΜ (S)-美芬妥英添加至反應混合物中並在37°C下培育40 min。用不添加化合物1之美芬妥英及(S)-美芬妥英實施平 行對照培育,並將該等培育物用作反應物之陽性對照。一 式三份實施所有分析。藉由添加100 μί含有以下化合物中 149380.doc • 111 · 201105327 之一者作為内標物之乙腈來終止培育:用於CYP2C9之4'-羥基美芬妥英-d9及用於CYP2C19之4’-羥基美芬妥英-d3(最 終濃度為1 〇〇 ng/mL)。在添加内標物後,以3000 rpm將96 孔板離心10 min並將100 μί上清液轉移至清潔96孔板中以 供藉由LC/MS/MS進行分析。 Ν-(2-氟-4-(甲基磺醢基)苯基)-5-甲基-6-(1-(5-甲基&quot;比 嗓-2 -基)六氮β比咬-4 -基氧基)鳴咬-4 -胺對於重組C Y P _ 450酶之抑制特徵 1A2 2C9 2C19 2D6 3A4(睪酮) 3Α4(β米達嗤侖 (Midazolam)) &gt;30 6 &gt;30 &gt;30 &gt;30 &gt;30 &gt;30 4 &gt;30 &gt;30 &gt;30 &gt;30 實例6 : Ν-(2-氟-4-(甲基磺醢基)苯基)-5-甲基-6-( 1-(5-甲基。比嗪-2-基)六氫吡啶-4-基氧基)嘧啶-4-胺之合成展示於以下實例 中。提供以下實例以進一步界定本發明,然而,此並非將 本發明限於該等實例之細節。本文所述化合物係根據CS ChemDraw Ultra 9.0.7版來命名。在某些情形中,使用通 用名稱且應瞭解,該等通用名稱將為彼等熟習此項技術者 所認識。 化學性質:質子核磁共振&quot;Η NMR)譜係在裝配有4核自 動變換探針及z-梯度的Varian Mercury Vx-400或裝配有 QNP(Quad核探針)或BBI(寬帶反向探頭)及z-梯度的Bruker Avance-400上記錄。化學位移以百萬份數(ppm)給出,其 149380.doc •112- 201105327 中使用殘餘溶劑信號作為參考。使用以下NMR縮寫:s =單 峰,d =雙峰,t=三重峰,q=四重峰,m=多重峰·,sept=七 重峰,br=寬冷。使用Emyrs合成儀(Personal Chemistry)實 施微波輻照。在矽膠60 F254(Merck)上實施薄層層析 (TLC),在PK6F石夕膠60 A 1 mm板(Whatman)上實施製備型 薄層層析(prep TLC),並使用 0.063-0.200 mm 之 Kieselgel 60(Merck)在矽膠柱上實施管柱層析。在Biichi旋轉蒸發器 上進行真空蒸發。在鈀過濾期間使用矽藻土 545®。 LCMS譜:1) PC·· HPLC-幫浦:LC-10AD VP, Shimadzu 公司;HPLC系統控制器:SCL-10A VP,Shimadzu公司; UV-檢測器:SPD-10A VP,Shimadzu公司;自動取樣器: CTC HTS,PAL, Leap Scientific ;質譜儀:配有 Turbo Ion Spray 源的 API 150EX,AB/MDS Sciex ;軟體:Analyst 1·2。2) Mac: HPLC-幫浦:LC-8A VP,Shimadzu公司; HPLC系統控制器:SCL-10A VP,Shimadzu公司;UV-檢測 器:SPD-10A VP,Shimadzu公司;自動取樣器:215 Liquid Handler,Gilson 公司;質譜儀:配有 Turbo Ion Spray源的 API 150EX,AB/MDS Sciex,軟體:Masschrom 1.5.2 。 實例6.1 : 1-(5-甲基吡嗪-2-基)六氫吡啶-4-醇之製備》 h〇-Cn-〇-ch3 將2-溴-5-曱基比嗪(73 g, 422 mmol)與六氫比。定-4-醇 (107 g, 1055 mmol)存於470 mL異丙醇中之混合物分別裝 149380.doc -113- 201105327 入兩個高壓容器中。在!^^下將反應物攪拌17 h。在減 壓下將溶劑去除至一半體積並用DCM及水稀釋殘餘物。分 離出有機層並用DCM萃取水性層。經無水MgS〇dfc燥有機 層,並將其在真空中濃縮。藉助矽膠塞對殘餘物實施過 濾,並用100% EtOAc洗脫,提供固體1_(5曱基吡嗪_2_基) 六氫 °比咬-4-醇(69.75 g,361 mmol,86% 產率)。The Lincoln Research ELISA kit (catalog number EGLP-35K) measures GLP-1 according to the manufacturer's instructions. Potency of Compound 1 in the release of GLP-1 from GLUTag cells EC5〇(nM) Compound 1 54.1 Example 2: Single dose of 0.3 mg/kg and 3 mg/kg (2F- 4 (methylsulfonyl) Phenyl)-5-methyl-6-(1-(5-methylpyridazin-2-yl)hexahydropyridyl-4-yloxy)pyrimidine-4-amine in male SD rats (PK/PD In vivo effects of the oral glucose tolerance test (〇GTT). The oral glucose tolerance test (〇 G T T) measures the ability of an animal to metabolize an exogenous glucose bolus. A decrease in glucose AUC from baseline drift indicates better glucose control. Have it! Male SD rats (6 to 7 weeks old) were housed in 1 149380.doc 201105327 rats per cage in a 2 hour light/dark cycle temperature control chamber. It is free to get water and food. Rats were fasted overnight before the study. The rats were first administered orally by vehicle (0.5% HPMC) or Compound 1 at a dose of 0.3 mg/kg or 3 mg/kg at 8:30 am. One hour after the administration of the compound, glucose was administered to the rats by oral gavage (2 g/kg, using 50% G) and at 0 mi η, 3 0 mi η, 60 mi η and 120 mi η Collect tail blood samples to measure blood glucose and plasma insulin. A separate group of rats was administered in a similar manner and blood samples were collected for 1 11 , 211, 411, 611, 8 11 and 24 11 after administration. 1!: Analysis. Administration of Compound 1 at both 0.3 mg/kg and 3 mg/kg doses during OGTT significantly reduced blood glucose AUC. The concentration of the compound in the plasma showed an increase in dose correlation. N-(2-Fluoro-4-(methylsulfanyl)phenyl)-5-methyl-6-(1-(5-methylpyrazin-2-yl)hexahydropyridine-4 during oGTT -Baseoxy)pyrimidine-4-amine (Compound 1) Efficacy of glucose drift in SD rats (PD group) Treatment vehicle compound 1 0.3 mg/kg 3 mg/kg Weight (g) 273.1 ±2.4 269.2 ± 0.2 270.4 ±3_4 Blood glucose before administration of compound (mg/dL) 72.1 ±3.5 69.5 ± 2.4 68.3 ±3.1 Blood glucose during OGTT (mg/dL) 0 min 76.1 ±4.2 81.4±3.3 70.6 ±2.0 30 min 187.8 ± 12.1 160.0 ± 8.1 159.1 ±7.3 60 min 192.0 ±6.8 164.3 ±7.9 158.9 ±4.5 120 min 123.4 ±8.8 107.1 ±8.3 98.6 ±7.0 AUCglu mg12h / mL during OGTT 19116 ±609 16626 ±6811 15939 ±3441 Vehicle % 100 ±3 87 ±41 83 ±21 A baseline mg12h / mL 9981 ±542 6861 ±9521 7470 ±4191 Vehicle △%% 100 ±5 69± 101 75 ±41 149380.doc *108- 1 Statistically compared with the vehicle treated group Differences (implementation of single factor repeated measures analysis of variance (ANOVA) and Dunnett's post test). 201105327 N-(2-Fluoro-4-(methylsulfonyl)phenyl)-5-methyl-6-(1-(5-mercaptopyridazin-2-yl)hexahydropyridine - during OGTT Plasma concentration of 4-aminooxypyrimidine-4-amine (Compound 1) during glucose drift in SD rats (PK group) Treatment Compound 1 0.3 mg/kg 3 mg/kg Compound 1 Concentration (ng/mL) 1 h, (0 min of OGTT) 56.6 ± 35.5 933.0 ± 417.6 2 h, (60 min for OGTT) 54.9 ± 28.6 894.3 ± 98.2 4 h, (180 min for OGTT) 35.5 ± 21.5 397.0 ± 207.7 Example 3: Single dose N -(2-fluoro-4-(methylsulfonyl)phenyl)-5-methyl-6-(1-(5-methylpyrazin-2-yl)hexahydropyridin-4-yloxy) Effect of pyrimidine-4-amine (Compound 1) on oGTT administered in normal male cynomolgus monkeys (Cynomo丨gus Monkey). The effect of Compound 1 on glycemic control was tested in healthy male cynomolgus monkeys. Pure cockroach male cynomolgus monkeys were used in this study. The monkeys were divided into 3 groups based on the basic fasting blood glucose concentration. Blood samples were collected at 30 min, 60 min and 120 min after administration of the compound, administration of glucose and after nasal gavage of glucose (6 g/kg, using 50% glucose solution). The results of this study indicate that Compound 1 at a dose of 1.5 mg/kg significantly reduced blood glucose concentrations during the oral glucose test. N-(2-Fluoro-4-(methylsulfonyl)phenyl)-5.methyl-6-(1-(5-methylpyrazin-2-yl)hexahydropyridine-4 during oGTT -Glyoxypyrimidine-4-amine (Compound 1) Effect on blood glucose concentration of cynomolgus monkeys Blood glucose concentration (mg/dL) AUCglu -60 0 30 60 120 mg *2 h/dL Vehicle% Vehicle 78 ±14 70±15 133士28 165±24 66士11 14413±1378 100%±10% Compound 1 · 1.5 mg/kg 82±19.6 73±11.9 115±32.3 119±19.8 65 ±40.8 13320±2431 82% 17% 149380.doc •109- 201105327 Example 4: Inhibition of recombinant P450 enzymes The human cytochrome P450 protein family is involved in endogenous metabolic metabolism and a family of enzymes that detoxify drugs and other exogenous chemicals. The p45 chymase converts various compounds into molecules with higher polarity, and the transforming molecules are easier to remove from the body. Drug-drug interactions occur when a co-injection of two drugs and competing for the same P450 enzyme' may result in incomplete detoxification. The analysis conditions are summarized in the table below. Specific enzyme mother liquor and substrate enzyme positive control (inhibitor mother liquor) for P450 analysis Enzyme substrate mixture incubation time (bandwidth) Emission (bandwidth) 1Α2 5 mM Furaylline 1A2-E/S mixture 20 Min 409 nm (20 nm) 460 run (40 nm) 2C9 0.5 mM sulfaphenazole 2C9-MFC-E/S mixture 45 min 409 nm (20 nm) 530 nm (25 nm) 2C19 25 mM anti-cyclopropylamine 2C19 -CEC-E/S mixture 45 min 409 nm (20 nm) 460 nm (40 nm) 2D6 0.025 mM Quinidine 2D6-AMMC-E/S mixture 30 min 390 nm (20 nm) 460 nm (40 Nm) 2Ε1 5 mM DDTC 2E1-DDTC-E/S mixture 45 min 409 nm (20 nm) 530 nm (25 nm) 3Α4 10 mM oleoleomycin 3A4-BFC-E/S mixture 30 min 409 Nm (20 nm) 530 nm (25 nm) We observed 10 μΜ N-(2-fluoro-4-(methylsulfonyl)phenyl)-5-mercapto-6-(1-(5-A) The inhibition of the isozymes 3A4, 2C9 and 2C19 is about 50% with an IC50 value of 9.05 μΜ, respectively. The ratio of pyridyl-2-yl)hexahydro&quot;pyridin-4-yloxy)pyrimidine-4-amine is about 50%. , 8.82 μΜ and >10 μΜ. No inhibition of 1A2 or 2D6 was observed. 149380.doc -110- 201105327 N-(2-Fluoro-4-(methylsulfanyl)phenyl)-5-methyl-6-(1-(5-methyl.pyrazine-2-yl) Inhibition of recombinant CYP-450 enzyme by hexahydropyridin-4-yloxy)pyrimidine-4-amine (Compound 1) Inhibition of subtype 10 μΜ ic50 (μΜ) 3Α4 40.2 9.05 1Α2 0 &gt;10 2C19 46.7 &gt;10 2C9 54.1 8.82 2D6 0 &gt;10 Example 5: N-(2-Fluoro-4-(methylsulfonyl)phenyl)-5-methyl-6-(1-(5-methylpyridyl) Inhibition of P450 2C9 and 2C19 in HLM by pyrazin-2-yl)hexahydropyridin-4-yloxy)pyrimidine-4-amine (Compound 1). Metabolic incubation using standard probe matrices (tolbutamide for CYP2C9 and (S)-mephenytoin for CYP2C19) was performed using a 96-well plate format. The general incubation mixture contains 0.5 mg/mL microsomal protein, 〇μΜ to 50 μΜ N-(2-fluoro-4-(methylsulfonyl)phenyl)-5-mercapto-6-(1-(5- Methyl. Ratio ° Qin-2-yl) Hexaphos π vs. 0--4-yloxy). Azetone-4 _ amine (as inhibitor), 1 mM NADPH and 100 mM potassium phosphate buffer containing 3 mM MgCl2 and lmMEDTA (pH 7.5), and a final volume of 100 pL. For CYP2C9, 150 μM of fenfluramine was added to the reaction mixture and incubated at 37 ° C for 10 min. For CYP2C19, 50 μM (S)-mefentoin was added to the reaction mixture and incubated at 37 ° C for 40 min. Parallel control incubations were performed with meflutamine and (S)-mefentoin without the addition of Compound 1, and these were used as positive controls for the reactants. All analyses were performed in triplicate. Termination of incubation by adding 100 μί of acetonitrile containing one of 149380.doc • 111 · 201105327 as the internal standard: 4'-hydroxymefentoin-d9 for CYP2C9 and 4' for CYP2C19 - Hydroxymethafen-d3 (final concentration 1 ng/mL). After the addition of the internal standard, the 96-well plate was centrifuged at 3000 rpm for 10 min and 100 μL of the supernatant was transferred to a clean 96-well plate for analysis by LC/MS/MS. Ν-(2-Fluoro-4-(methylsulfonyl)phenyl)-5-methyl-6-(1-(5-methyl&quot; 嗓-2-yl) hexazaβ ratio bite- Inhibition of recombinant CYP _450 enzyme by 4 - oxy) tert-4-amines 1A2 2C9 2C19 2D6 3A4 (anthrone) 3Α4 (Midazolam) &gt;30 6 &gt;30 &gt;30 &gt;30 &gt;30 &gt;30 4 &gt;30 &gt;30 &gt;30 &gt;30 Example 6 : Ν-(2-fluoro-4-(methylsulfonyl)phenyl)-5-methyl- The synthesis of 6-(1-(5-methyl.pyrazine-2-yl)hexahydropyridin-4-yloxy)pyrimidine-4-amine is shown in the following examples. The following examples are provided to further define the invention, however, the invention is not limited to the details of the examples. The compounds described herein are named according to CS ChemDraw Ultra version 9.0.7. In some cases, generic names are used and it should be understood that such generic names will be recognized by those skilled in the art. Chemical properties: proton NMR &quot;Η NMR) lineage in a Varian Mercury Vx-400 equipped with a 4-core automatic shift probe and z-gradient or equipped with QNP (Quad nuclear probe) or BBI (broadband reverse probe) and Recorded on the z-gradient Bruker Avance-400. Chemical shifts are given in parts per million (ppm) and the residual solvent signal is used as a reference in 149380.doc • 112-201105327. The following NMR abbreviations are used: s = unimodal, d = doublet, t = triplet, q = quartet, m = multiplet, sept = sigma, br = broad cold. Microwave irradiation was carried out using an Emyrs synthesizer (Personal Chemistry). Thin layer chromatography (TLC) was performed on silica gel 60 F254 (Merck), and preparative thin layer chromatography (prep TLC) was performed on PK6F Shijiao 60 A 1 mm plate (Whatman), and 0.063-0.200 mm was used. Kieselgel 60 (Merck) was subjected to column chromatography on a silica gel column. Vacuum evaporation was carried out on a Biichi rotary evaporator. Use diatomaceous earth 545® during palladium filtration. LCMS spectrum: 1) PC·· HPLC-Gang: LC-10AD VP, Shimadzu; HPLC system controller: SCL-10A VP, Shimadzu; UV-detector: SPD-10A VP, Shimadzu; autosampler : CTC HTS, PAL, Leap Scientific ; Mass spectrometer: API 150EX with Turbo Ion Spray source, AB/MDS Sciex; Software: Analyst 1·2. 2) Mac: HPLC-Pump: LC-8A VP, Shimadzu HPLC system controller: SCL-10A VP, Shimadzu; UV-detector: SPD-10A VP, Shimadzu; autosampler: 215 Liquid Handler, Gilson; mass spectrometer: API 150EX with Turbo Ion Spray source , AB/MDS Sciex, software: Masschrom 1.5.2. Example 6.1: Preparation of 1-(5-methylpyrazin-2-yl)hexahydropyridin-4-ol h〇-Cn-〇-ch3 2-bromo-5-mercaptopyrazine (73 g, 422 mmol) to hexahydrogen. The mixture of 1,4-ol (107 g, 1055 mmol) in 470 mL of isopropanol was charged into 149380.doc -113-201105327 into two high pressure vessels. in! The reaction was stirred for 17 h. The solvent was removed to half volume under reduced pressure and the residue was diluted with DCM and water. The organic layer was separated and the aqueous layer was extracted with DCM. The organic layer was dried over anhydrous MgSO.sub.d., and concentrated in vacuo. The residue was filtered with a pad of EtOAc (EtOAc) eluting eluting eluting with with with with with with with with with with with with with with with ).

GoHbNsO之準確質量計算值為19312,實驗值為194 3 [M+H]+。 實例6.2 : 4-氣-5-甲基-6-(1-(5-甲基吡嗪-2-基)六氫吡啶-4- 基氧基)嘧啶之製備。The exact mass calculated for GoHbNsO is 19312 and the experimental value is 194 3 [M+H]+. Example 6.2: Preparation of 4-gas-5-methyl-6-(1-(5-methylpyrazin-2-yl)hexahydropyridin-4-yloxy)pyrimidine.

在乾冰-丙酮浴中於0。(:下向異丙基1_(5·曱基吡嗪_2_基) /、氫。比。定-4-醇(69.75 g,361 mmol)及 4,6-二氣-5-曱基,咬 (61.8 g,379 mm〇l)存於125 mL THF中之溶液中逐滴添加存 於THF(3 75 mL,3 75 mmol)中之1 Μ第三丁醇錦。使反應混 合物升溫至室溫並持續授拌17 h。再添加5 mL存於THF中 之 1 Μ第二丁 醇钟。After two additional hours of stirring no change was observed藉助Celite®對反應混合物實施過濾 並用EtOAc(500 mL)洗滌。在減壓下將溶劑濃縮至大約1/3 體積°將所得懸浮液過濾,用冷CH3CN洗滌固體並在減壓 下對慮液貫施濃縮。藉由管柱層析(Bi〇tage®,石夕膠, AcOElHex,1:1 ’ 34〇 g尺寸管柱)對殘餘物實施純化,提 149380.doc -114· 201105327 供固體4 -氯-5 -曱基-6-(1-(5 -甲基0比嗓-2-基)六氫η比β定-4-基 氧基)嘧啶(80.35 g,70%)。Ci5H18C1N50之準確質量計算值 為319.12,實驗值為320.3 [河+印+。 實例6.3 : N-(2-氟-4-(甲基磺醯基)苯基)-5-甲基-6-(1-(5-甲 基吡嗪-2-基)六氫吡啶-4-基氧基)嘧啶-4-胺(化合物1)之製 備。In a dry ice-acetone bath at 0. (: Downward isopropyl 1_(5·decylpyrazine-2-yl) /, hydrogen. Ratio. 4--4-ol (69.75 g, 361 mmol) and 4,6-di-5-fluorenyl , bite (61.8 g, 379 mm 〇l) in a solution of 125 mL of THF was added dropwise to 1 Μ of the third butyl alcohol in THF (3 75 mL, 3 75 mmol). The reaction mixture was allowed to warm. The mixture was stirred at room temperature for 17 h. A further 5 mL of 1 Μ second butanol clock in THF was added. After two additional hours of stirring no change was observed. The reaction mixture was filtered with EtOAc (500 mL) Washing. Concentrate the solvent to about 1/3 volume under reduced pressure. The resulting suspension was filtered, and the solid was washed with cold CH.sub.3CN and concentrated under reduced pressure. , Shixi gum, AcOElHex, 1:1 '34〇g size column) to purify the residue, 149380.doc -114· 201105327 for solid 4-chloro-5-mercapto-6-(1-(5 -Methyl 0 is more than 嗓-2-yl) hexahydro η than β-1,4-yloxy)pyrimidine (80.35 g, 70%). The exact mass of Ci5H18C1N50 is 319.12, the experimental value is 320.3 [河+印+. Example 6.3: N-(2-Fluoro-4-(methyl) Sulfomethyl)phenyl)-5-methyl-6-(1-(5-methylpyrazin-2-yl)hexahydropyridin-4-yloxy)pyrimidine-4-amine (Compound 1) preparation.

向2 L三頸圓底燒瓶中加入4-氣-5-曱基-6-(1-(5-甲基吡 嗪-2-基)六氫吡啶-4-基氧基)嘧啶(63.8 g,200 mmol)、2-氟-4-(曱基確醯基)苯胺(37.7 g,199 mmol)、二乙醢氧基把 (2_24 g,9.98 mmol)、1,1’-雙(二-第三丁基膦基)二茂鐵 (9.47 g,19.71 mmol)及二噁烷(1 L)。使N2鼓泡通過該溶液 5 min。在室溫下添加2-甲基丙-2-醇鈉(46.02 g,479 mmol) 並隨後將混合物加熱至1 〇〇°C。形成黃色固體且顏色自深 褐色變為黃色。使該混合物在1 〇〇°C下維持1 h。將所得反 應混合物倒入2 L冰水中。過濾固體(80 3 g)並將其於8〇〇c 下懸浮於乙腈(1 L)中。使混合物冷卻並過濾固體,得到淺 黃褐色固體N-(2-氟-4-(曱基磺醯基)苯基)_5_曱基_6_(1_(5_ 曱基吡嗪-2-基)六氫吡啶_4_基氧基)嘧啶_4_胺(74.26 g, 157 mmol,79。/。產率)。4 NMR (CDC13, 400 MHz) δ 1.90- I49380.doc -115- 201105327 1.95 (m, 2H), 2.12-2.17 (m, 2H), 2.12 (s, 3H), 2.44 (s, 3H), 3.08 (s, 3H), 3.50-3.56 (m, 2H), 3.89-3.95 (m, 2H), 5.44-5.46 (sept, J= 3.79 Hz, 1H), 6.84-6.85 (d, J= 4.17 Hz, 1H), 7.71-7.77 (m, 2H), 7.99 (s, 1H), 8.13 (s, 1H), 8.44 (s, 1H), 8.84-8.88 (t,J= 8.34 Hz,1H)。C22H25FN603S之準確質量計 算值為472.17’實驗值為473 5 []^+11]+。 藉由粉末X射線繞射(XRpD)、熱重分析(TGA)及差式掃 描熱量測定(DSC)對該材料進行進一步表徵。粉末X射線 繞射(XRPD)圖顯示該材料係結晶材料(參見圖丨)^熱重分 析(TGA)溫譜圖顯示在熔融溫度範圍(約n(rc至約ι8〇β(:, 參見圖2)内該材料具有約1.〇%之初始重量損失。差式掃描 熱量測定(DSC)溫譜圖顯示該材料在熔融溫度下具有窄吸 熱現象,其中起始溫度及峰溫度分別為約18 〇 · 7 〇C及約 1 82·8 C,且因樣品熔融及隨後的放熱分解所致之焓為3 J/g(參見圖3)。 彼等熟習此項技術者將會認識到可對本文所述闡釋性實 例進行各種修改、添加、替換及改變,此並不背離本發明 之精神’且因此認為其在本發明之範圍内。上文引用的所 有文獻(包括(但不限於)印刷出版物、及臨時及正式專利申 請案)之全部内容均以引用方式併入本文中。 【圖式簡單說明】 圖1展示根據實例6中所述程序製備的化合物丨之粉末X射 線繞射(PXRD)圖; 圖2展示根據實例6中所述程序製備的化合物丨之熱重八 149380.doc •116- 201105327 析(TGA)溫譜圖;及 圖3展示根據實例6中所述程序製備的化合物1之差式掃 描熱量測定(DSC)溫譜圖。 149380.doc -117·To a 2 L 3-neck round bottom flask was charged 4-cyclo-5-mercapto-6-(1-(5-methylpyrazin-2-yl)hexahydropyridin-4-yloxy)pyrimidine (63.8 g) , 200 mmol), 2-fluoro-4-(decyl-decyl) aniline (37.7 g, 199 mmol), diethoxycarbonyl (2_24 g, 9.98 mmol), 1,1'-bis (di- Tert-butylphosphino)ferrocene (9.47 g, 19.71 mmol) and dioxane (1 L). N2 was bubbled through the solution for 5 min. Sodium 2-methylpropan-2-olate (46.02 g, 479 mmol) was added at room temperature and then the mixture was heated to 1 °C. A yellow solid formed and the color changed from dark brown to yellow. The mixture was maintained at 1 °C for 1 h. The resulting reaction mixture was poured into 2 L of ice water. The solid (80 3 g) was filtered and suspended in acetonitrile (1 L) at EtOAc. The mixture was allowed to cool and the solid was filtered to give a pale-yellow solid N-(2-fluoro-4-(decylsulfonyl)phenyl)-5-indolyl_6_(1_(5-decylpyrazin-2-yl) Hexahydropyridine-4-yloxy)pyrimidine-4-amine (74.26 g, 157 mmol, 79% yield). 4 NMR (CDC13, 400 MHz) δ 1.90- I49380.doc -115- 201105327 1.95 (m, 2H), 2.12-2.17 (m, 2H), 2.12 (s, 3H), 2.44 (s, 3H), 3.08 ( s, 3H), 3.50-3.56 (m, 2H), 3.89-3.95 (m, 2H), 5.44-5.46 (sept, J= 3.79 Hz, 1H), 6.84-6.85 (d, J= 4.17 Hz, 1H) , 7.71-7.77 (m, 2H), 7.99 (s, 1H), 8.13 (s, 1H), 8.44 (s, 1H), 8.84-8.88 (t, J = 8.34 Hz, 1H). The accurate mass calculation for C22H25FN603S is 472.17' experimental value is 473 5 []^+11]+. The material was further characterized by powder X-ray diffraction (XRpD), thermogravimetric analysis (TGA), and differential scanning calorimetry (DSC). The powder X-ray diffraction (XRPD) pattern shows that the material is a crystalline material (see Figure 丨) ^ Thermogravimetric analysis (TGA) thermogram shows the melting temperature range (about n (rc to about ι8 〇 β (:, see figure) 2) The material has an initial weight loss of about 1.%. The differential scanning calorimetry (DSC) thermogram shows that the material has a narrow endotherm at the melting temperature, wherein the onset temperature and peak temperature are about 18, respectively. 〇· 7 〇C and approximately 1 82·8 C, and the enthalpy due to sample melting and subsequent exothermic decomposition is 3 J/g (see Figure 3). Those skilled in the art will recognize that The illustrative examples described herein are subject to various modifications, additions, substitutions and alterations without departing from the spirit of the invention and are therefore considered to be within the scope of the invention. All of the documents cited above (including but not limited to) The entire contents of the publications, and the provisional and official patent applications are hereby incorporated herein by reference. PXRD) Figure; Figure 2 shows according to Example 6 The procedure for preparing the compound 丨热重八 149380.doc • 116-201105327 analysis (TGA) thermogram; and Figure 3 shows the differential scanning calorimetry (DSC) of Compound 1 prepared according to the procedure described in Example 6. Thermogram. 149380.doc -117·

Claims (1)

201105327 七、申請專利範圍: 1.種化σ物,其選自以下式⑴化合物及其醫藥上可接受 之鹽、溶劑合物及水合物:201105327 VII. Scope of Application: 1. The σ substance is selected from the following formula (1) and its pharmaceutically acceptable salts, solvates and hydrates: 種醬藥組合物,其包含如請求項1之化合物及醫藥上 可接受之載劑。 3. —種組合物,其包含如請求項i之化合物及Dpp iv抑制 4.如請求項3之組合物,其中該Dpp_IV抑制劑選自以下化 合物及其醫藥上可接受之鹽、溶劑合物及水合物: 3(R)-胺基-1-[3-(三氟曱基)_5,6,7,8-四氫[1,2,4]三唑并 [4,3-a]吡嗪-7-基]_4-(2,4,5-三氟苯基)丁 _卜酮; 1- [2-(3-羥基金剛烷_ι_基胺基)乙醯基]吡咯啶_2(s)_甲 腈; (18,38,58)-2-[2(8)-胺基-2-(3-經基金剛烧-1_基)乙醯 基]-2-氮雜二環[3.1.0]己烷-3-甲腈; 2- [6-[3(R)-胺基六氫吼啶-1-基]-3-甲基-2,4-二側氧基 (oxo) -1,2,3,4-四氫嘧啶-1-基曱基]苄腈; 8-[3(R)-胺基六氫。比啶-1-基]-7-(2-丁炔基)-3-曱基-1-(4-甲基喹唑啉-2-基曱基)黃嘌呤; 1-[N-[3(R)-吡咯啶基]甘胺醯基]吡洛啶-2(R)-基硼酸; 149380.doc 201105327 4(S)-氟-1-[2-[(111,38)-3-(出_1,2,4-三唑-1-基甲基)環戊 基胺基]乙醯基]°比咯啶-2(S)-甲腈; l-[(2S,3S,llbS)-2-胺基-9,10-二甲氧基-2,3,4,6,7,lib_ 六氫-1Η-»比啶并[2,l-a]異喹啉-3_基]-4(S)-(氟甲基)吡咯 啶-2-酮; (2S,4S)-2-氰基-4-氟-l-[(2-羥基-1,1-二曱基)乙基胺基] 乙酿基°比π各。定; 8-(順式-六氫-吡洛并[3,2-匕]°比咯-1-基)-3 -曱基-7-(3 -甲 基-丁-2-烯基)-1-(2-側氧基-2-苯基乙基)-3,7-二氫-嘌呤· 2,6-二酮; 1- ((38,48)-4-胺基-1-(4-(3,3-二氣°比11各*1定-1-基)-1,3,5- 三嗪-2-基)吡咯啶-3-基)-5,5二氟六氫吡啶-2-酮; (尺)_2-((6-(3-胺基六氣〇比咬-1-基)-3-曱基-2,4-二側氧 基-3,4-二氫嘧啶-i(2H)-基)甲基)-4-氟苄腈; 5_{(S)-2-[2-((S)-2 -氰基-。比11 各咬-1-基)-2-側氧基-乙基 胺基]-丙基}-5-(1Η-四唑-5 -基)10,11-二氫-5H-二苯并 [a,d]環庚烯-2,8-二甲酸雙-二曱基醯胺; ((2S,4S)-4-(4-(3-曱基-1-苯基-1H-0比。坐-5-基)六氫〇比嗓_ 1-基)吡咯啶-2-基)(四氫噻唑-3-基)甲酮; (2S,4S)-l-[2-[(4 -乙氧基数基二環[2.2.2]辛-1-基)胺基] 乙醯基]-4-氟吡咯啶-2-曱腈; 6-[(3R)-3-胺基-六氫°比啶-1-基]-5-(2-氯-5 -氟-节基)-1,3-二曱基-1,5二氫-吨咯并[3,2-引嘧啶-2,4-二酮; 2- ({6-[(3R)-3-胺基-3 -曱基六氫0比咬-1-基]_ι,3_二曱基_ 149380.doc -2- 201105327 2,4-二側氧基-1,2,3,4-四氫-511-'1比|1各并[3,2-&lt;1]°密咬-5-基} 甲基)-4_氟苄腈; (2S)-l-{[2-(5-甲基-2-苯基-噁唑-4-基)-乙基胺基]-乙醯 基}-吡咯啶-2-曱腈; (2S)-1-{[1,1-二曱基-3-(4-0比咬-3-基米》坐-1-基)-丙基 胺基]-乙醯基}-吡咯啶-2-甲腈; (3,3-二氟吡咯啶-1-基)-((2S,4S)-4-(4-(嘧啶-2基)六氫 °比°秦-1-基)0比洛唆-2-基)甲鋼; (2S,4S)-l_[(2S)-2-胺基-3,3-雙(4-氟苯基)丙醯基]-4-氟 吡咯啶-2-曱腈; (2S,5R)-5 -乙炔基-1-{Ν·(4-甲基-1·(4-叛基比咬-2-基) 六風咬-4-基)甘胺醯基} η比β各咬_2_甲腈;及 (18,6尺)-3-{[3-(三氟甲基)-5,6-二氫[1,2,4]三唑并[4,3-a]。比嗪-7(8Η)-基]羰基}-6-(2,4,5-三氟苯基)環己_3·烯_卜 胺。 5. 如請求項3或4之醫藥組合物,其進—步包含醫藥上可接 受之載劑。 6. —種用於治療個體之GpRU9受體相關病症之方法,其包 含向有此需要之個體投與治療有效量之如請求項1之化 合物或如請求項2至5中任一項之組合物。 7. 如請求項6之方法,其中該GpRU9受體相關病症係代謝 相關病症。 8. 如請求項7之方法,其中該代謝相關病症選自由以下组 成之群: ' 149380.doc 201105327 糖尿病、1型糖尿病、2型糖尿病、葡萄糖耐受性不 足、葡萄糖耐受性受損、姨島素抵抗、“糖症、高脂 血症、高甘油三醋血症、高膽固醇血症、血脂異常、: 脈粥樣硬化、中風、x症候群、高血壓、騰腺_胞不足 (insufficiency)、腸内分泌細胞不足、糖尿 '代謝性酸中 毒、白内障、糖尿病性腎病、糖尿病性神經病變、外周 神經病變、糖尿病性冠狀動脈疾病 '糖尿病性腦血管疾 病、糖尿病性外周血管疾病、糖尿病性視網膜病變、代 謝症候群、糖尿病相關病況、心肌梗塞、學習障礙、記 憶障礙、神經退化性病症、由增加患有神經退化性病症 之個體之血液GUM濃度改#之病況、由嚴重_發作 所造成的興奮毒性腦損害、阿兹海默氏病(Aizheimeh disease)、帕金森氏病(parkins〇n,s⑴““约、亨庭頓氏病 (Himtington’s disease)、與普里昂(ρΗ〇η)有關之疾病中 風、運動神經元疾病、創傷性腦損傷、脊髓損傷及肥胖 症。 9.如請求項7之方法,其中該代謝相關病症係2型糖尿病。 ίο. —種用於治療個體之GPR119受體相關病症之方法,其包 含向有此需要之個體投與治療有效量之如請求項1之化 合物與DPP-IV抑制劑之組合,其中該化合物與該Dpp_IV 抑制劑係同時、分開或依序投與。 11 ·如請求項丨〇之方法’其中該化合物與該DPp_IV抑制劑係 同時投與。 1 2.如請求項丨〇之方法,其中該化合物與該〇1&gt;1}_1¥抑制劑係 149380.doc 201105327 分開投與》 η·如求項10之方法,其中該化合物與該DPP-IV抑制劑係 依序投與。 14. 如明求項10至13中任—項之方法其中該受體相 關病症係代謝相關病症。 15. 如凊求項14之方法,其中該代謝相關病症選自由以下組 成之群: ' 糖尿病、1型糖尿病、2型糖尿病、葡萄糖耐受性不 足、葡萄糖耐受性受損、騰島素抵抗、高血糖症、高脂 血症问甘油二酯血症、高膽固醇血症、血脂異常、動 脈粥樣硬化、中風、x症候群、高血壓、胰腺_胞不 j、腸内分泌細胞不足、糖尿'代謝性酸中毒、白内 障糖尿病性腎病、糖尿病性神經病變、外周神經病 變、糖尿病性冠狀動脈疾病、糖尿病性腦4疾病、糖 尿病性外周血管疾病、糖尿病性視網膜病變、代謝症候 群、糖尿病相關病況、心肌梗塞、學習障礙、記憶障 礙、神經退化性病症、由增加患有神經退化性病症之個 體之血液GUM濃纽善H由嚴重_發作所造 成的興奮毒性腦損害、阿茲海默氏病、帕金森氏病、亨 庭頓氏病'與普里昂有關之疾病、中風、運動神經元疾 病、創傷性腦損傷、脊髓損傷及肥胖症。 16.如5月求項14之方法,其中該代謝相關病症係2型糖尿 病0 其中該DPP-IV抑制劑 17.如請求項10至16中任一項之方法 149380.doc 201105327 選自以下化合物及其醫藥上可接受之鹽、溶劑合物及水 合物: 3(R)-胺基-1-[3-(三氟曱基”,^^氫^似唾并 [4,3-a]吡嗪-7-基]-4-(2,4,5-三氟苯基)丁 _1-g同; 1 -[2-(3-羥基金剛烷-1 _基胺基)乙醯基]吡咯啶_2(s)_甲 腈; (lS,3S,5S)-2-[2(S)-胺基-2-(3-經基金剛烧 _ι_ 其、 土 J G酿 基]-2-氮雜二環[3.1.0]己烷-3-甲腈; 2-[6-[3(R)-胺基六氫吡啶基]_3_甲基_2,4_二側氧義 1,2,3,4-四氫嘧啶-1-基甲基]苄腈; 8-[3(11)-胺基六氫吡啶-1_基;|_7_(2_丁炔基)_3_甲基_1 (4-曱基喹唑啉-2-基甲基)黃嘌呤; 1-[N-[3(R)-吡咯啶基]甘胺醯基]吼咯啶基硼酸. 4(S)-氟-1-[2-[(111,38)-3-(11^1,2,4-三唑-1-基甲基)環戊 基胺基]乙醯基;1°比咯啶-2(S)-甲腈; l-[(2S,3S,llbS)-2-胺基-9,10-二甲氧基-2,3,4,6,7,llb- 六氫-1H-吼啶并[2,l-a]異喹啉-3-基]-4(S)-(氟曱基)〇比咯 啶-2-酮; (2S,4S)-2-氰基-4-氟-l-[(2-羥基-i,i-二甲基)乙基胺基] 乙醯基°比洛η定; 8-(順式-六氫-吡咯并[3,2-b]。比咯-1-基)-3-甲基-7-(3-曱 基-丁-2-烯基)-1-(2-側氧基-2-苯基乙基)-3,7-二氫-嘌呤-2,6-二酮; l_((3S,4S)-4 -胺基-1-(4-(3,3 -二氣。比洛 °定-1-基)-1,3,5- 149380.doc •6- 201105327 三嗪-2-基)。比咯啶_3_基)_5,5二氟六氫吡啶_2•酮; (R)-2-((6-(3-胺基六氫《•比咬-1-基)_3_甲基_2,4二側氧 基-3,4-二氫嘧啶-以2!^·基)甲基)_4•氟苄腈; 5- {(S)-2-[2-((S)-2-氰基比咯啶-i_基)·2_側氧基-乙基 胺基]-丙基}-5-(1Η-四唑-5-基)10,li-二氫_5Η_二苯并 [a,d]環庚烯_2,8-二曱酸雙-二甲基醯胺; ((2S,4S)-4-(4-(3 -曱基-1-苯基-1H-。比。坐·5·基)六氫比唤_ 1-基)吡咯啶-2-基)(四氫噻唑-3-基)甲g同; (28,48)-1-[2-[(4-乙氧基幾基二環[2.2.2]辛-1-基)胺基] 乙醯基]-4-氟吡咯啶-2-曱腈; 6- [(3R)-3-胺基-六氫吼啶-1-基]-5-(2-氣-5-1-节基)· 1,3-二曱基-1,5二氫比咯并[3,2-d]嘧啶_2,4-二酮; 2-({6-[(3R)-3·胺基-3-曱基六氫吡啶基]_ι,3-二甲基· 2,4-二側氧基-l,2,3,4-四氫-5H-吡咯并[3,2-d]嘧啶-5-基} 甲基)-4-氟苄腈; (2S)-l-{[2-(5 -曱基-2-苯基惡吐-4 -基)-乙基胺基]-乙酿 基}-吡咯啶-2-曱腈; (2S)-1-{[1,1-二曱基-3-(4-吡啶-3-基-咪唑-1-基)-丙基 胺基]-乙醯基}-吡咯啶-2-甲腈; (3,3-二氟吡咯啶-1-基)-((2S,4S)-4-(4-(嘧啶-2基)六氫 吡嗪-1-基)吡咯啶-2-基)曱酮; (25,43)-1-[(28)-2-胺基-3,3-雙(4-氟笨基)丙醯基]-4-氟 吡咯啶-2-曱腈; (2S,5R)-5-乙炔基-1-{Ν·(4-曱基-1-(4-羧基比啶-2-基) 149380.doc 201105327 六氫°比啶_4-基)甘胺醯基}吡。各 (1S,6R)-3-{[3-(三氟甲基) a]。比嗪-7(8H)-基]羰基}_6-(2,4 胺。 °定-2-曱腈;及 ,6'二氣[I,2,4]三唑并 μ,3_ ,5-二氟笨基)環己_3_烯-i· 18. 一種如請求項1之化合物或 合物之用途,其用於製造用 之藥劑。 如4求項2至5中任一項之組 以治療GPR119受體相關病症 19. 一種如請求項1之化合物或如 合物之用途,其用於製造用 劑0 &quot;月求項2至5中任一項之組 以治療代謝相關病症之藥 20. —種如請求項 ^ ,巧“土 J 丫仕一項之組 :物:用^其用於製造用以治療代謝相關病症之藥 劑,忒病症選自由以下組成之群: ’、 足糖=1型糖尿病、2型糖尿病、葡萄糖耐受性不 ㈣糖耐受性受損、姨島素抵抗、高血糖症、高脂 二:Γ油…症、高膽固醇血症、血脂異常、動 :=、中風、x症候群、高血壓、姨腺㈣胞不 足腸内为泌細胞不足、糖尿、_ 障、糖尿病性腎病、糖尿病性神經病變、外;= 變、糖尿病性冠狀動脈疾病'糖尿病性腦血 官疾病、糖尿病性視網膜病變、代謝症候 尿病相關病K肌梗塞、學f障礙、記 體之!=化性病症、由增加患有神經退化性病症之個 體之MGUM濃度改善之錢、由嚴重癲癇發作所造 149380.doc 201105327 成的興奮毒性腦損害、阿⑽默氏病、帕金森氏病、亨 庭頓氏病'與普里昂有關之疾病、中風、運動神經元疾 病、創傷性腦損傷、脊髓損傷及肥胖症。 21. =種如請求項1之化合物或如請求項2至5中任一項之組 。物之用途,其用於製造用以治療2型糖尿病之藥劑。 22. 如π求項!之化合物或如請求項2至$中任一項之組合 物,其用於藉由療法來治療人類或動物體之方法。 用求項1之化合物或如請求項2至5中任一項之組合 物,其用於治療GPR119受體相關病症之方法。 24. 如咕求項1之化合物或如請求項2至5中任一項之組合 物其用於治療代謝相關病症之方法。 25. 如請求項丨之化合物或如請求項2至5中任一項之組合 物’其用於治療代謝相關病症之方法,該病症選自由以 下組成之群: 糖尿病、1型糖尿病、2型糖尿病、葡萄糖耐受性不 足、葡萄糖耐受性受損、膝島素抵抗、高血糖症、高脂 血症、鬲甘油三酯血症、高膽固醇血症、血脂異常、動 脈粥樣硬化、中風、X症候群、高血塵、姨腺β細胞不 j '腸内分泌細胞不足、糖尿、代謝性酸中毒、白内 尿病f生月病、糖尿病性神經病變、外周神經病 變 '糖尿病性冠狀動脈疾病、糖尿病性腦血管疾病、糖 尿病ί·生外周血管疾病、糖尿病性視網膜病變、代謝症候 群、線尿病相關病況、心肌梗塞、學習障礙、記憶障 礙、神經退化性病症、由增加患有神經退化性病症之個 149380.doc 201105327 體之血液GLP-丨濃度改盖 忐沾® i * 〇病兄、由嚴重癲癇發作所造 成的興奮毒性腦損害、阿玆冷 ^ β 海默氏病、帕金森氏病、亨 文頓氏病、與普里昂有關 免4 疾病 '中風、運動神經元疾 26. 27. 28. 29. 30. 病、創傷性腦損傷、脊錄損傷及肥胖症。、 如請求項1之化合物或如請求項2至5中任一項… 物,其用於治療2型糖尿病之方法。 、’。 一種製備組合物之方法,复 盘毁一 其包含將如請求項1之化合物 與4樂上可接受之載劑混合之步驟。 一種製備組合物之方法,t h ^ @ t ± 1 其包含將如請求項1之化合物 與DPP-IV抑制劑混合之步驟。 一種製備組合物之方法,其包 3將如明求項1之化合物 與DPP-W抑制劑及醫藥上可接受之載劑混合&quot;驟。 一種製備如請求項28或29之組合物之方法,其^該DPP_ IV抑制劑選自以下化合物及其醫藥上可接受之鹽、溶劑 合物及水合物: 3(R)-胺基-^3-(三氟甲基&gt;5,67,8•四氫三嗤并 [4,3-a]吡嗪-7-基]-4-(2,4,5-三氟苯基)丁_丨__ ; 1 -[2-(3-羥基金剛烷-1 _基胺基)乙醯基]。比咯啶_2(s)甲 腈; (lS,3S,5S)-2-[2(S)·胺基-2-(3-經基金剛燒]-基)乙醯 基]-2-氮雜二環[3.1.0]己烧-3-曱腈; 2-[6-[3(R)-胺基六氫吡啶_丨_基]_3_曱基_2,扣二側氧基· 1,2,3,4-四氫嘧啶-1-基甲基]苄腈; 8-[3(R)-胺基六氫吼啶-1-基]_7_(2_ 丁炔基)_3_曱其小 149380.doc -10· 201105327 (4-甲基喹唑啉_2_基曱基)黃嘌呤; 1-[N-[3(R)-吡咯啶基]甘胺醯基]吡咯啶_2(R)_基硼酸; 4(S)_ 氟- l- [2-[(lR,3S)-3-(lH-l,2,4-三唾 基甲基)環戊 基胺基]乙醯基]吡咯啶-2(S)-曱腈; 1-[(28,38,1153)-2-胺基-9,10-二甲氧基_2,3,4,6,71115_ 六氫吡啶并pj-a]異喹啉·3_基]_1 2 3 4 5(s)_(氟甲基)吡咯 °定-2 ·酿| ; (2MS)-2-氰基-4-氟-l-[(2-羥基-1,1-二曱基)乙基胺基] 乙酿基°比σ各u定; 8 (順式-六氧-。比σ各并[3,2-1)]11比〇各_1-基)_3-甲基-7-(3-甲 基丁 埽基)_ΐ-(2-側氧基-2-苯基乙基)_3,7_二氫票吟· 2,6 -—明; « 149380.doc -11 · 1 ((3S,4S)-4-胺基-1-(4-(3,3-二氟&quot;比哈 σ定小基)_1,3,5_ 2 三嗪-2-基)吡咯啶·3_基)_5,5二氟六氫吡啶·2•酮; 3 (R)-2-((6-(3-胺基六氫°比啶-1-基)-3-甲基_2,4_二側氧 4 基_3,心二氫嘧啶_ι(2Η)_基)曱基)-4-氟节腈; 5 {(S)-2-[2-((S)_2-氰基-1各。定+基)·2側氧基_乙基 胺基]-丙基}-5-(1Η-四唑-5-基)10,U-二氫_5H_二苯并 [a,d]環庚烯_2,8-二甲酸雙-二甲基醯胺; ((2S,4S)-4-(4-(3-曱基-1-苯基.“比唑_5_基)六氫咕。秦_ 1-基)11比咯啶-2-基)(四氫噻唑-3-基)甲酮; (2S,4S)-l-[2_[(4-乙氧基羰基二環[2 2 2]辛_丨_基)胺基] 乙醯基]-4-氟吡咯啶_2_曱腈; 6 [(3R)-3-胺基-六氫D比啶·丨-基]·5_(2_氣_5_氟-节基)_ 201105327 1,3-二曱基-1,5二氫-吡咯并[3,2-d]嘧啶-2,4-二酮; 2-({6-[(3R)-3-胺基-3-曱基六氫吼啶-1-基]-1,3-二曱基-2,4-二側氧基-1,2,3,4-四氫-5H-吡咯并[3,2-d]嘧啶-5-基} 曱基)-4-氟苄腈; 、 (2S)-l-{[2-(5-甲基-2-苯基-噁唑-4-基)-乙基胺基]-乙醯 基}-吡咯啶-2-曱腈; (2S)-1-{[1,1-二曱基-3-(4-°比。定-3-基-σ米0坐-1-基)-丙基 胺基]-乙醯基}-吡咯啶-2-曱腈; (3,3-二氟 比咯啶-1-基)-((2S,4S)-4-(4-(嘧啶-2 基)六氫 吡嗪-1-基)吼咯啶-2-基)曱酮; (2S,4S)-l-[(2S)-2-胺基-3,3-雙(4-氟苯基)丙醯基]-4-氟 吡咯啶-2-甲·補·; (28,511)-5-乙炔基-1-{]^-(4-曱基-1-(4-叛基-吼咬-2-基) 六氫°比咬-4 -基)甘胺醯基} °比。各咬-2 -甲腈;及 (lS,6R)-3-{[3-(三氟曱基)-5,6-二氫[1,2,4]三唑并[4,3-a]吼嗪-7(8H)-基]数基}-6-(2,4,5-三氟苯基)環己-3·烯_卜 胺。 3 1 ·.如請求項1之化合物’其用於與DPP-IV抑制劑組合用以 治療由增加哺乳動物之血液GLP-1濃度改善之病況。 32.如請求項3丨之化合物,其中該化合物單獨之量對於治療 由增加哺乳動物之血液GLP-1濃度改善之病況係治療無 效的。 33·如請求項31或32之化合物,其中該由增加血液GLp-丨濃 度改善之病況選自由以下組成之群: 149380.doc •12- 201105327 糖尿病、1型糖尿病、2型糖尿病、葡萄糖耐受性不 足、葡萄糖耐受性受損、姨島素抵抗、高血糖症、高腊 血症'馬甘油三醋血症、高膽固醇血症、血脂異常、動 脈粥樣硬化、中風、x症候群、高血壓、胰腺p細胞不 足、腸内分泌細胞不足、糖尿、代謝性酸令毒、白内 障糖尿病性腎病、糖尿病性神經病變、外周神經病 之糖尿病性冠狀動脈疾病、糖尿病性腦血管疾病、糖 尿病性外周血管疾病、糖尿病性視網膜病變、代謝症候 群、糖尿病相關病況、心肌梗塞、學習障礙、記憶障 礙、神經退化性病症、由增加患有神經退化性病症:個 體之A液GLP-l m度改善之病況、由嚴重_癇發作所造 成的興奮毒性腦損害、阿兹海默氏病、帕金森氏病、亨 庭頓氏病、與普里昂有關之疾病、中風、運動神經元疾 病、創傷性腦損傷、脊髓損傷及肥胖症。 34. 如請求項31或32之化合物,其中該病況係〗型糖尿病。 35. 如請求項31至34中任—項之化合物’其中該Dpp_iv抑制 劑選自以下化合物及其醫藥上可接受之鹽、溶劑合物及 水合物: 3(R)-胺基-H3-(三敦甲基)_5,6,7,8_四氣π,2,4]三唾并 [4,3♦比嗓-7-基]-4-(2,4,5-三I笨基)丁酮; Η2-0-經基金剛院小基胺基)乙酿基]料咬_2(s)_甲 腈; (lS,3S,5S)-2-[2(S)-胺基-2-(3-羥基金剛烷小基)乙醯 基]-2-氮雜二環[3.1.0]己烷_3_甲腈; 149380.doc •13· 201105327 2-[6-[3(11)-胺基六氫》比咬-1_基]_3_甲基-2,4-二側氧基-1,2,3,4-四氫嘧啶-1-基曱基]苄腈; 8-[3(R)-胺基六氫〇比啶-i_基]_7·(2_丁炔基)_3-甲基-1-(4-曱基喹唑啉-2-基曱基)黃嘌呤; 1 - [N-[3 (R) - °比咯啶基]甘胺醯基^比B各啶_2(R)_基硼酸; 4(3)-氟-1-[2-[(111,3$)-3-(111-1,2,4~三唑-卜基曱基)環戊 基胺基]乙醯基]。比咯啶-2(S)-甲腈; 1-[(23,3 8,1155)-2-胺基-9,10-二甲氧基-2,3,4,6,7,111)-六氫-1Η-°比啶并[2,l-a]異喹啉-3-基]_4(S)-(氟甲基)13比咯 咬-2-_ ; (28,48)-2-氰基-4-氣1-1-[(2-經基-1,1-二曱基)乙基胺基] 乙醯基°比洛 定; 8-(順式-六氫-吡咯并[3,2-b]吡咯-l_基)-3-曱基-7·(3-曱 基-丁 -2 -稀基)-1-(2 -側氧基-2-笨基乙基)_3,7-二氫-嗓吟― 2,6 -二銅; 1-((38,48)-4-胺基-1-(4-(3,3-二氟'1比嘻。定-1_基)_1,3,5_ 三嗓-2-基)。比。各11 定-3-基)-5,5二敗六氫〇比咬_2·鲷; (R)_2-((6-(3-胺基六氣D比0定-1-基)-3 -曱基-2,4 -二側氧 基-3,4-二氫嘧啶-1(2H)-基)曱基)-4-氟苄腈; 5-{(S)-2-[2-((S)-2-氰基比洛咬-l-基)_2·側氧基_乙基 胺基]-丙基}-5-(1Η-四唑-5 -基)10,11-二氫-5Η-二苯并 [a,d]環庚烯-2,8-二曱酸雙-二曱基醯胺; ((2S,4S)-4-(4-(3-曱基-1-苯基-1H-。比唑-5-基)六氫吼嗪_ 卜基)吡咯啶-2-基)(四氫噻唑-3-基)甲酮; 149380.doc -14- 201105327 (28’48)-1-[2-[(4-乙氧基羰基二環[2.2.2]辛_1-基)胺基] 乙醯基]-4-氟吡咯啶-2·曱腈; 6-[(3R)-3·胺基-六氫η比啶-卜基]_5_(2_氯_5·氟-苄基)_ 1,3-二曱基-1,5二氫-吡咯并[3,2-(1]嘧啶_2,4_二酮; 2-({6-[(3R)-3-胺基-3 -甲基六氫°比咬_ι·基]4,3.二甲基_ 2,4-一 側氧基-1,2,3,4-四氫-5Η-°Λ D各并[3,2-d]嘴咬-5-基} 甲基)-4-氟苄腈; (2S)-l-{[2-(5-曱基-2-苯基-噁唑-4-基)_乙基胺基]•乙醯 基}-吡咯啶-2-甲腈; (2S)-1-{[1,1-二曱基·3-(4-°比。定-3-基-咪。坐_卜基)_丙基 胺基]-乙酸基}-D比略咬-2-甲腈; (3,3-二氟吡咯啶-1-基)_((2S,4S)-4-(4-(嘧啶_2基)六氫 吡嗪-1-基)吡咯啶-2-基)曱酮; (2S,4S)-l-[(2S)-2·胺基-3,3-雙(4-氟笨基)丙醯基]_4_ 氣 吡咯啶-2-甲腈; (2S,5R)-5-乙炔基-1-{Ν-(4-曱基·丨气肛羧基_吡啶_2_基) 六氫°比°定-4-基)甘胺醯基}。比略咬_2_甲猜;及 (lS,6R)-3-{[3-(二 I 曱基)-5,6-二氫[1,2,4]三唑并[4,3_ a]吼嗪-7(8H)-基]羰基}-6-(2,4,5-三氟苯基)環己_3_烯 胺。 36. —種DPP-IV抑制劑,其用於與如請求項i之化合物組合 用以治療由增加哺乳動物之血液GLP-i濃度改善之病 況。 37_如請求項36之DPP-IV抑制劑,其中該Dpp_IV抑制劑單獨 149380.doc •15· 201105327 之量對於治療由增加喃乳動你+ , 之 再礼動物之血液GU&gt;-j濃度改善 病況係治療無效的。 38.如請求項36或37之DPP_IV抑制齋 ΓΤ P ^ ^ μ 八令该由增加血液 GLP-ί濃度改善之病況選自由以下組成之群: 糖尿病、〗型糖尿病、2型播 ^ 5•糖尿病、葡萄糖耐受性不 足、葡萄糖耐受性受損、姨島 ^ 及岛京抵抗、咼血糖症、高脂 血症、高甘油三酯血症、离确 问膽固醇血症、血脂異常、動 脈粥樣硬化、中風、X症値 ▲ 候群、咼血壓、胰腺β細胞不 足、腸内分泌細胞不龙、她Ρ I +疋、搪尿、代謝性酸中毒、白内 障、糖尿病性腎病、糖尿病性神經病變、外周神經病 變、糖尿病性冠狀動脈疾病、糖尿病性腦血管疾病、糖 尿病ί生外周Jk管疾病、糖尿病性視網膜病變、代謝症候 群、糖尿病相關病況、心肌梗塞、學習障礙、記憶障 礙、神經退化性病症、神經退化性病症、由嚴重癲癇發 作所k成的興奮毋性腦損害、阿兹海默氏病、帕金森氏 病了庭頓氏病、與普里昂有關之疾病、中風、運動神 經兀疾病、創傷性腦損傷、脊髓損傷及肥胖症。 39.如响求項36或37之DPP-ΐν抑制劑,其中該病況係2型糠 尿病。 40.如明求項36至39中任一項之DpiMV抑制劑,其 中該DPP- IV抑制劑選自以下化合物及其醫藥上可接受之鹽、溶劑 合物及水合物: 3(R)-胺基-1_[3_(三I曱基)_5,6,7,8四氩唑并 [4,3-a]。比嘻_7_基]_4_(2,4,5三氟笨基)丁·卜酮; 149380.doc •16, 201105327 lJ2-(3-羥基金剛烷-1-基胺基)乙醯基]吡咯啶-2(S)-甲 腈; (lS,3S,5S)-2-[2(S)-胺基-2-(3-經基金剛统-1-基)乙醯 基]-2-氮雜二環[3·1·0]己烷-3-曱腈; 2-[6-[3(R)-胺基六氫。比啶-1-基]_3_曱基·2,4-二側氧基-1,2,3,4-四氫嘧啶-1-基曱基]苄腈; 8-[3(R)-胺基六氫吨啶-1-基]-7-(2-丁炔基)-3-甲基-1-(4-甲基喹唑啉-2-基曱基)黃嘌呤; 1 -[N-[3(R)-»比咯啶基]甘胺醯基]吼咯啶-2(R)-基硼酸; 4(S)-氟-l-[2-[(lR,3S)-3-(lH-l,2,4-三。坐-1-基曱基)環戊 基胺基]乙醯基]η比咯啶-2(S)-甲腈; l-[(2S,3S,llbS)-2-胺基-9,10-二甲氧基-2,3,4,6,7,llb_ 六氫-1H-吡啶并[2,l-a]異喹啉-3-基]-4(S)-(氟甲基)吡咯 啶-2-酮; (2S,4S)-2 -氰基-4-亂-1-[(2-經基-l,i_二曱基)乙基胺基] 乙醯基°比D各咬; 8-(順式-六氫-吡咯并[3,2-b]吡咯·ι·基)-3 -曱基-7-(3-甲 基-丁 -2-烯基)-1-(2-側氧基-2-苯基乙基)-3,7-二氫-嘌呤-2,6-二酮; 1-((38,48)-4-胺基-1-(4-(3,3-二氟1&gt;比洛咬-1_基)-1,3,5-三嗪-2-基)吡咯啶-3-基)-5,5二氟六氫吡啶-2-酮; (尺)-2-((6-(3-胺基六氫1&gt;比啶-1-基)_3-甲基-2,4-二側氧 基-3,4-二氫嘧啶-i(2H)-基)甲基)-4-氟苄腈; 5-{(S)_2-[2-((S)-2-氰基-。比咯啶小基卜2-側氧基-乙基 149380.doc -17- 201105327 胺基]-丙基}-5·(1Η-四唑-5-基)10,11-二氫·5Η_二苯并 [a,d]環庚烯-2,8-二曱酸雙-二曱基醯胺; ((2S’4S)_4-(4-(3-曱基-1-苯基-IH-nb 唑 _5·基)六氫 0比嗓 _ 1-基)0比〇各咬-2-基)(四氫》塞。坐_3_基)曱酿I ; (23.48) -1-[2-[(4-乙氧基羰基二環[2.2.2]辛_1_基)胺基] 乙醯基]-4-氟η比咯啶-2-甲腈; 6-[(3R)-3-胺基-六氫《比啶-ΐ_基]-5-(2-氣-5_氟_节基 1,3-二甲基-1,5二氫·吡咯并[3,2-d]嘧啶-2,4-二酮; 2-({6-[(3R)-3-胺基-3-曱基六氫0比咬-1-基]_ι,3-二曱基_ 2,4_二側氧基-1,2,3,4-四氫-:5H-吡略并[3,2-d]痛咬-5-基} 曱基)-4-氟苄腈; (2S)-l-{[2_(5-曱基-2-苯基·噁唑-4-基)_乙基胺基]_乙醯 基}-吡咯啶-2-甲腈; (2S)-1-{[1,1-二甲基-3-(4-0比咬-3-基-咪 0坐_1_基)_ 丙基 胺基]-乙醯基}-。比略咬-2-曱腈; (3,3-二氟 °比嘻&quot;定-1-基)-((2S,4S)-4-(4-(。密咬-2 基)六氫 。比嗓-1-基)°比°各啶-2-基)曱酮; (23.48) -1-[(28)-2-胺基-3,3-雙(4-氟苯基)丙醯基]_4-氟 吡咯啶-2-曱腈; (2S,5R)-5 -乙块基-1-{Ν-(4-甲基 _ι_(4-缓基 _0比咬 _2-基) 六氫。比11定-4-基)甘胺醯基} °比略咬-2-甲腈;及 (1 S,6R)-3-{[3-(三氣曱基)-5,6-二氫[ι,2,4]三 〇坐并[4,3-a]0比嗪-7(8Η)-基]羰基}-6-(2,4,5-三氟苯基)環己_3_烯- 胺。 149380.doc -18- 201105327 41. 種雙套件,其包含如請求項i之化合物及Dpp iv抑制 劑作為治療糖尿病或與其相關病況之組合製劑。 42. 如咕求項41之雙套件,其中該化合物及該抑制劑 與相同或不同的醫藥上可接受之載劑混合。 43. 如咕求項41之雙套件,其中該化合物及該Dpp_iv抑制劑 與不同的醫藥上可接受之載劑混合。 44. 如请求項43之雙套件,其中該等不同的醫藥上可接受之 載劑適於藉由不同途徑投與。 45. 如請求項41至44中之任—項之雙套件,其中該糖尿病相 關病況選自由以下組成之群:高血糖症、葡萄糖耐受性 受損、姨島素抵抗、姨腺β細胞不足、腸内分泌細胞不 足、糖尿、代謝性酸中毒、白内障、糖尿病性腎病、糖 尿病性神經病變、糖尿病性視網膜病變、糖尿病性冠狀 動脈疾病、糖尿病性腦血管疾病、糖尿病性外周血管疾 病、代謝症候群、高脂血症、動脈粥樣硬化、中風、高 血壓及肥胖症。 46. 如請求項41至45中任一項之雙套件,其令該〇1&gt;1)_1¥抑制 劑選自以下化合物及其醫藥上可接受之鹽、溶劑合物及 水合物: 3(R)-胺基-1-[3-(三氟曱基)-5,6,7,8-四氫[1,2,4]三唑并 [4,3-a]吡嗪 _7·基]_4_(2,4,5_三氟苯基)丁_1-酮; 羥基金剛烷基胺基)乙醯基]吡咯啶_2(s)_曱 腈; (lS,3S,5S)-2-[2(S)-胺基·2-(3-羥基金剛烷·丨·基)乙醯 149380.doc •19· 201105327 基]-2-氮雜二環[3.1.0]己院-3-曱腈; 2-[6-[3(R)-胺基六氫吡啶基]_3_甲基_2,4_二側氧基_ 1,2,3,4-四氫嘧啶-1-基曱基]苄腈; 8-[3(R)-胺基六氫吡啶-1·基]_7_(2_ 丁炔基)_3_甲基、^ (4-甲基喹唑啉-2-基甲基)黃嘌呤; l-[N-[3(R)-°比洛啶基]甘胺醯基]吡洛咬_2(r)_基硼酸; 4(S)-氟-1-[2-[(111,38)-3-(111-1,2,4-三唑-1-基曱基)環戊 基胺基]乙醯基]。比咯啶-2(S)-甲腈; l-[(2S,3S,llbS)-2-胺基-9,10-二曱氧基 _2,3,4,6,7,llb- 六氫-1H-。比啶并[2,l-a]異喹啉-3-基]-4(S)-(氟甲基)吡咯 啶-2-酮; (2S,4S)-2-氰基-4 -氣-l-[(2-經基-l,i-二甲基)乙基胺基] 乙酿基°比p各咬; 8-(順式-六氫-。比B各并[3,2-b]。比嘻-1-基)-3 -曱基_7-(3 -曱 基-丁 -2 -稀基)-1-(2 -側氧基-2-笨基乙基)-3,7-二氫票。令_ 2,6-二酮; 1-((38,48)-4-胺基-1-(4-(3,3-二敗。比略〇定-1_基)_1,3,5-三唤-2-基)β比咯啶·3-基)-5,5二氟六氫吡啶-2-酮; (R)-2-((6-(3-胺基六氫吡啶-1·基)-3-曱基-2,4-二側氧 基_3,4-二氫β密。定-1 (2Η)-基)曱基)-4-1节腈; 5-{(S)-2-[2-((S)-2-氰基比咯啶-1-基)-2-側氧基-乙基 胺基]-丙基}-5-(1Η-® °坐-5 -基)10,11-二氫-5H-二苯并 [a,d]環庚烯-2,8-二甲酸雙-二曱基醯胺; ((2S,4S)-4-(4-(3-甲基-卜苯基-1H-。比唑-5-基)六氫吼嗪- I49380.doc -20- 201105327 1-基)吡咯啶-2-基)(四氫噻唑_3_基)曱酮; (2S,4S)-H2-[(4_乙氧基幾基二環[2 2 2]辛小基)胺基] 乙醯基]-4-氟吡咯啶-2-甲腈; 6_[(3R)_3_胺基.六氫対]•基]·5_(2ϋ氟节基)_ 1.3- 二甲基-1,5二氫-吡咯并[3,2-d]嘧啶·2,4_二酮. 2-({6-[(3R)-3·胺基-3-甲基六氫0比咬小基]13_二甲基_ 2.4- 二側氧基-1,2,3’4-四氫·5Η-。比η各并[3,2_d卜密。定_5_基} 曱基)-4-氟苄腈; 苯基_^|基)_乙基胺基]_乙酿 基}-吡咯啶-2-甲腈; (2S)-l-{[l,lc甲基-3-(4_〇比。定_3_基_咪唑小基)丙基 胺基]-乙醯基}-吡咯啶-2-曱腈; (3,3-二氟吡咯啶-1-基H(2S,4S)-4-(4-(嘧啶_2基)六氫 吡嗪-1-基)吡咯啶-2-基)甲酮; (28,48)-1-[(25)-2-胺基-3,3-雙(4-氟苯基)丙醯基]_4_氟 吡咯啶-2-曱腈; (2S,5R)-5 -乙炔基-1-{Ν-(4-曱基-1-(4-竣基 _0比咬 _2_基) 六氫吡啶-4-基)甘胺醯基}吡咯啶-2-甲腈;及 (1 S,6R)-3-{[3-(三氣曱基)-5,6-二氫[ι,2,4]三咕并[4 3· a]°比嗪-7(8H)-基]羰基}-6-(2,4,5-三氟苯基)環己_3_烯^ 胺。 47. —種套組,其包含(a)第一包裝,其包含如請求項!之化 合物或其醫藥組合物·’及(b)第二包裴,其包含抑 制劑或其醫藥組合物。 149380.doc •21 201105327 48.如請求項47之套組,其中該〇ρρ·Ιν抑制劑選自以下化合 物及其醫藥上可接受之鹽、溶劑合物及水合物: 3(R)-胺基三氟曱基)_5,6,7,8_四氫[U4]三唑并 [4,3-a]吡嗪·7_基]-4_(2,4,5_三氟苯基)丁丨酮; 1 [2-(3 -經基金剛烧_ 1 _基胺基)乙醯基]。比η各咬_2(s)_甲 腈; (lS,3S,5S)-2-[2(S)-胺基-2-(3-經基金剛烧-1-基)乙醯 基]-2-氮雜二環[3.1.〇]己烷_3_甲腈; 2-[6-[3(R)-胺基六氫。比啶-i_基]_3_曱基_2,4_二側氧基_ 1,2,3,4-四氫嘧啶-丨_基曱基;j苄腈; 8-[3(R)-胺基六氮吡啶-1-基]-7-(2-丁炔基)-3-甲基-1-(4-曱基喹唑啉_2_基曱基)黃嘌呤; 1-[N-[3(R)-。比洛咬基]甘胺酿基]η比嘻咬_2(r)_基删酸; 4(S)-氟-1-[2-[(111,3 8)-3-(111-1,2,4-三唑-1-基曱基)環戊 基胺基]乙醢基]此咯啶-2(S)-曱腈; 1-[(28,3 3,1153)-2-胺基-9,10-二甲氧基-2,3,4,6,7,1113-六氫-1H-。比啶并[2,l-a]異喹啉-3-基]-4(S)-(氟曱基)。比咯 啶-2·酮; (2S,4S)-2-氰基-4-氟-l-[(2-羥基-1,1-二曱基)乙基胺基] 乙酸基°比。各。定; 8-(順式-六氫-吡咯并[3,2-b]吡咯-1-基)-3-甲基-7-(3-曱 基-丁 -2-烯基)-1-(2-側氧基-2-苯基乙基)-3,7-二氫-嘌呤-2,6-二酮; l-((3S,4S)-4-胺基-1-(4-(3,3-二氟吡咯啶-1,基)-1,3,5- 149380.doc -22- 201105327 三嗪-2-基)吡咯啶-3-基)_5,5二氟六氫吡啶_2_酮; (R)-2-((6-(3-胺基六氫吡啶_^基)_3_甲基_2,4二側氧 基-3,4-二氫嘧啶-1(2H)-基)甲基)_4_氟苄腈; 5- {(S)-2-[2-((S)-2-氰基_。比咯啶_丨_基)·2_側氧基_乙基 胺基]-丙基}-5-(1Η-四唑_5_基)1011_二氫·5Η二苯并 [a,d]環庚烯-2,8-二甲酸雙_二曱基醯胺; ((2S,4S)-4-(4-(3 -甲基 苯基 _ιη-。比 〇坐-5-基)六氫 1·比0秦_ 1-基)0比0各咬-2-基)(四氫。塞唾_3_基)甲鋼; (2S,4S)-l-[2-[(4·乙氧基羰基二環[2 2 2]辛q基)胺基] 乙醯基]-4-氟吡咯啶-2-甲腈; 6- [(3R)-3-胺基-六氫吡啶-丨_基]_5·(2-氯_5_氟苄基)_ 1,3-二甲基-1,5二氫-吡咯并[3,2-d]嘧啶-2,4-二酮; 2-({6-[(3R)-3-胺基-3 -甲基六氫β比。定-基]_13_二甲基-2,4-.一 側氧基 _1,2,3,4 -四風- 洛弁[3,2-d]^ff定-5-基} 甲基)-4 -氣节猜, (2S)-l-{[2-(5 -甲基-2-苯基惡《•坐-4-基)-乙基胺基]-乙醯 基}-吡咯啶-2-甲腈; (2S)-1-{[1,1-二甲基-3-(4-〇比〇定-3-基-口米唾-1-基)-丙基 胺基]-乙醯基}-吡咯啶-2-曱腈; (3,3-:^Dtb^°^-l-S)-((2S,4S)-4-(4-(^^-2S)AiL 0比0秦-1 -基)0比0各咬-2-基)甲綱; (2S,4S)-l-[(2S)-2-胺基-3,3-雙(4-氟苯基)丙醯基]-4-氟 吡咯啶-2-甲腈; (2S,5R)-5-乙炔基-1-{Ν-(4-甲基-1-(4-羧基-吡啶-2-基) 149380.doc •23· 201105327 六氫吡啶-4-基)甘胺醯基”比咯啶-2-曱腈;及 (13,611)-3-{[3-(三氟曱基)-5,6-二氫[1,2,4]三唑并[4,3-a]。比嗪-7(8H)-基]羰基}-6-(2,4,5-三氟苯基)環己-3-烯-1- 胺0 149380.doc .24-A sauce composition comprising the compound of claim 1 and a pharmaceutically acceptable carrier. 3. A composition comprising a compound of claim i and a Dpp iv inhibition. 4. The composition of claim 3, wherein the Dpp_IV inhibitor is selected from the group consisting of the following compounds and pharmaceutically acceptable salts, solvates thereof And hydrate: 3(R)-amino-1-[3-(trifluoromethyl)_5,6,7,8-tetrahydro[1,2,4]triazolo[4,3-a] Pyrazin-7-yl]-4-(2,4,5-trifluorophenyl)butanone; 1-[2-(3-hydroxyadamantane-ι-ylamino)ethenyl]pyrrolidine _2(s)-carbonitrile; (18,38,58)-2-[2(8)-amino-2-(3-hydroxyd-l-yl)-ethenyl]-2-nitrogen Heterobicyclo[3.1.0]hexane-3-carbonitrile; 2-[6-[3(R)-aminohexahydroacridin-1-yl]-3-methyl-2,4-di Oxy (oxo) -1,2,3,4-tetrahydropyrimidin-1-ylindenyl]benzonitrile; 8-[3(R)-aminohexahydro. Bipyridin-1-yl]-7-(2-butynyl)-3-mercapto-1-(4-methylquinazolin-2-ylindenyl)xanthine; 1-[N-[3 (R)-pyrrolidinyl]glycidyl]pyrrolidine-2(R)-ylboronic acid; 149380.doc 201105327 4(S)-fluoro-1-[2-[(111,38)-3- (except _1,2,4-triazol-1-ylmethyl)cyclopentylamino]ethinyl]°pyrrolidine-2(S)-carbonitrile; l-[(2S,3S,llbS )-2-amino-9,10-dimethoxy-2,3,4,6,7,lib_hexahydro-1Η-»pyrido[2,la]isoquinolin-3-yl]- 4(S)-(fluoromethyl)pyrrolidin-2-one; (2S,4S)-2-cyano-4-fluoro-l-[(2-hydroxy-1,1-didecyl)ethyl The amine group has a ratio of π to π. 8-(cis-hexahydro-pyrolo[3,2-indene]pyrrol-1-yl)-3-indolyl-7-(3-methyl-but-2-enyl) 1-(2-oxo-2-phenylethyl)-3,7-dihydro-indole·2,6-dione; 1-((38,48)-4-amino-1- (4-(3,3-two gas ratio 11 each *1 -1-yl)-1,3,5-triazin-2-yl)pyrrolidin-3-yl)-5,5 difluorohexa Hydropyridin-2-one; (foot)_2-((6-(3-amino-6 gas-to-one-1-yl)-3-mercapto-2,4-di-oxy-3,4- Dihydropyrimidine-i(2H)-yl)methyl)-4-fluorobenzonitrile; 5_{(S)-2-[2-((S)-2-cyano-. 2-yloxy-ethylamino]-propyl}-5-(1Η-tetrazol-5-yl)10,11-dihydro-5H-dibenzo[a,d]cycloheptane Alkene-2,8-dicarboxylic acid bis-didecylguanamine; ((2S,4S)-4-(4-(3-mercapto-1-phenyl-1H-0 ratio. sit-5-yl) Hexahydroindole 嗓 1- 1-yl) pyrrolidin-2-yl)(tetrahydrothiazol-3-yl)methanone; (2S,4S)-l-[2-[(4-ethoxylated) bicyclic [2.2.2] oct-1-yl)amino] ethinyl]-4-fluoropyrrolidin-2-indene nitrile; 6-[(3R)-3-amino-hexahydropyridin-1- 5-(2-chloro-5-fluoro-nodal)-1,3-dimercapto-1,5-dihydro-tondro[3,2-pyrimidine-2,4-dione;2-({6-[(3R)-3-Amino-3-indolylhexahydro 0-biten-1-yl]_ι,3_dimercapto_ 149380.doc -2- 201105327 2,4-II Sideoxy-1,2,3,4-tetrahydro-511-'1 ratio|1 each [3,2- &lt;1]°Bite-5-yl}methyl)-4_fluorobenzonitrile; (2S)-l-{[2-(5-methyl-2-phenyl-oxazole-4-yl) -ethylamino]-ethenyl}-pyrrolidin-2-indene nitrile; (2S)-1-{[1,1-dimercapto-3-(4-0 ratio -3-amino) -1--1-yl)-propylamino]-ethenyl}-pyrrolidine-2-carbonitrile; (3,3-difluoropyrrolidin-1-yl)-((2S,4S)-4- (4-(pyrimidin-2-yl)hexahydrogen ratio ° Qin-1-yl) 0-pyridin-2-yl)methyl steel; (2S,4S)-l_[(2S)-2-amino-3 ,3-bis(4-fluorophenyl)propanyl]-4-fluoropyrrolidin-2-indene nitrile; (2S,5R)-5-ethynyl-1-{Ν·(4-methyl-1 · (4- 叛 比 比 bit -2- base) hexagram bit -4- base) glycidinium } η than β each bite _2 carbonitrile; and (18,6 feet) -3-{[3 -(Trifluoromethyl)-5,6-dihydro[1,2,4]triazolo[4,3-a]. Bis-7(8Η)-yl]carbonyl}-6-(2,4,5-trifluorophenyl)cyclohexa-3-ene-amine. 5. The pharmaceutical composition of claim 3 or 4 further comprising a pharmaceutically acceptable carrier. 6. A method for treating a GpRU9 receptor-associated disorder in an individual comprising administering to the individual in need thereof a therapeutically effective amount of a compound of claim 1 or a combination of any one of claims 2 to 5 Things. 7. The method of claim 6, wherein the GpRU9 receptor-associated disorder is a metabolic related disorder. 8. The method of claim 7, wherein the metabolic-related disorder is selected from the group consisting of: '149380.doc 201105327 diabetes, type 1 diabetes, type 2 diabetes, inadequate glucose tolerance, impaired glucose tolerance, sputum Island resistance, "glycosis, hyperlipidemia, hypertriglyceridemia, hypercholesterolemia, dyslipidemia,: atherosclerosis, stroke, x syndrome, hypertension, insufficiency" Intestinal endocrine cell deficiency, diabetes, 'metabolic acidosis, cataract, diabetic nephropathy, diabetic neuropathy, peripheral neuropathy, diabetic coronary artery disease' diabetic cerebrovascular disease, diabetic peripheral vascular disease, diabetic retinopathy , metabolic syndrome, diabetes-related conditions, myocardial infarction, learning disabilities, memory disorders, neurodegenerative disorders, conditions in which blood GUM concentrations are increased by individuals with neurodegenerative disorders, excitotoxicity caused by severe seizures Brain damage, Alzheimer's disease, Parkinson's disease (parkins〇n) , s(1) ""About, Himtington's disease, disease related to prion, stroke, motor neuron disease, traumatic brain injury, spinal cord injury, and obesity. The method of claim 7, wherein the metabolic-related disorder is type 2 diabetes. ίο. A method for treating a GPR119 receptor-associated disorder in a subject, comprising administering to the individual in need thereof a therapeutically effective amount as claimed in claim 1 A combination of a compound and a DPP-IV inhibitor, wherein the compound is administered simultaneously, separately or sequentially with the Dpp_IV inhibitor system. 11 - The method of claim </RTI> wherein the compound is administered concurrently with the DPp_IV inhibitor system 1 2. The method of claim 1, wherein the compound is administered separately from the 〇1&gt;1}_1¥ inhibitor system 149380.doc 201105327 η. The method of claim 10, wherein the compound and the DPP The method of claim 14, wherein the receptor-related disorder is a metabolic-related disorder. 15. The method of claim 14, wherein the metabolic correlation is The condition is selected from Group of components: 'diabetes, type 1 diabetes, type 2 diabetes, inadequate glucose tolerance, impaired glucose tolerance, resistance to tetanyl, hyperglycemia, hyperlipidemia, diglyceride, high cholesterol Hypertension, dyslipidemia, atherosclerosis, stroke, x syndrome, hypertension, pancreatic dysfunction, intestinal endocrine cell deficiency, diabetes, metabolic acidosis, cataract diabetic nephropathy, diabetic neuropathy, peripheral neuropathy , diabetic coronary artery disease, diabetic brain disease 4, diabetic peripheral vascular disease, diabetic retinopathy, metabolic syndrome, diabetes-related conditions, myocardial infarction, learning disabilities, memory disorders, neurodegenerative disorders, increased by nerves Individuals with degenerative conditions, blood GUM-rich New Zealand H caused by severe _ seizures caused by excitotoxic brain damage, Alzheimer's disease, Parkinson's disease, Huntington's disease and prion-related diseases, stroke , motor neuron disease, traumatic brain injury, spinal cord injury and obesity. 16. The method of claim 14, wherein the metabolic-related disorder is type 2 diabetes 0 wherein the DPP-IV inhibitor is 17. The method of any one of claims 10 to 16 149380.doc 201105327 is selected from the group consisting of And pharmaceutically acceptable salts, solvates and hydrates thereof: 3(R)-amino-1-[3-(trifluoromethyl), ^^ hydrogen^like saliva[4,3-a] Pyrazin-7-yl]-4-(2,4,5-trifluorophenyl)butan-1-g; 1 -[2-(3-hydroxyadamantan-1-ylamino)ethenyl Pyrrrolidine_2(s)-carbonitrile; (lS,3S,5S)-2-[2(S)-amino-2-(3- via fund just burned_ι_ its, soil JG brewing base]- 2-Azabicyclo[3.1.0]hexane-3-carbonitrile; 2-[6-[3(R)-Aminohexahydropyridinyl]_3_methyl-2,4_dioxaxy 1,2,3,4-tetrahydropyrimidin-1-ylmethyl]benzonitrile; 8-[3(11)-aminohexahydropyridine-1-yl; |_7_(2-butynyl)_3_ Methyl-1(4-mercaptoquinazolin-2-ylmethyl)xanthine; 1-[N-[3(R)-pyrrolidinyl]glycine]pyrrolidinylboronic acid. 4( S)-fluoro-1-[2-[(111,38)-3-(11^1,2,4-triazol-1-ylmethyl)cyclopentylamino]ethenyl; 1° ratio L-pyridine-2(S)-carbonitrile; l-[(2S,3S,llbS)-2-amino-9,10- Methoxy-2,3,4,6,7,llb-hexahydro-1H-acridino[2,la]isoquinolin-3-yl]-4(S)-(fluoroindolyl)pyrene (2S,4S)-2-cyano-4-fluoro-l-[(2-hydroxy-i,i-dimethyl)ethylamino]ethylidene 8-(cis-hexahydro-pyrrolo[3,2-b].pyrrol-1-yl)-3-methyl-7-(3-indolyl-but-2-enyl)- 1-(2-Sideoxy-2-phenylethyl)-3,7-dihydro-indole-2,6-dione; l_((3S,4S)-4-Amino-1-(4) -(3,3 - 二气.Biluo~-1-yl)-1,3,5- 149380.doc •6- 201105327 Triazin-2-yl).Byrrolidine_3_yl)_5, 5 difluorohexahydropyridine 2 ketone; (R)-2-((6-(3-aminohexahydro)••bit-1-yl)_3_methyl-2,4 di-oxy- 3,4-dihydropyrimidine- to 2!^.yl)methyl)_4•fluorobenzonitrile; 5-{(S)-2-[2-((S)-2-cyanopyrrolidine-i _ base)·2_sideoxy-ethylamino]-propyl}-5-(1Η-tetrazol-5-yl)10,li-dihydro-5Η-dibenzo[a,d] ring Heptene-2,8-didecanoic acid bis-dimethylamine; ((2S,4S)-4-(4-(3-indolyl-1-phenyl-1H-. ratio. (5,48)-1-[2-[(4-) Ethoxycyclobicyclo[2.2.2]oct-1-yl)amino]ethynyl]-4-fluoropyrrolidin-2-indene nitrile; 6-[(3R)-3-amino--6 Hydropyridin-1-yl]-5-(2-gas-5-1-pyringyl)·1,3-dimercapto-1,5-dihydropyrolo[3,2-d]pyrimidine_2 , 4-dione; 2-({6-[(3R)-3.amino-3-mercaptohexahydropyridyl]-ι,3-dimethyl-2,4-di-oxyl-l, 2,3,4-tetrahydro-5H-pyrrolo[3,2-d]pyrimidin-5-yl}methyl)-4-fluorobenzonitrile; (2S)-l-{[2-(5-曱(2-S)-Ethyloxy-4-yl)-ethylamino]-ethyl-7-pyrrolidin-2-indene; (2S)-1-{[1,1-dimercapto-3 -(4-pyridin-3-yl-imidazol-1-yl)-propylamino]-ethenyl}-pyrrolidine-2-carbonitrile; (3,3-difluoropyrrolidin-1-yl) -((2S,4S)-4-(4-(pyrimidin-2-yl)hexahydropyrazin-1-yl)pyrrolidin-2-yl)anthone; (25,43)-1-[(28) 2-amino-3,3-bis(4-fluorophenyl)propanyl]-4-fluoropyrrolidin-2-indene nitrile; (2S,5R)-5-ethynyl-1-{Ν· (4-mercapto-1-(4-carboxypyridin-2-yl) 149380.doc 201105327 Hexahydropyridyl-4-yl) } Pyrazol acyl amine. Each (1S,6R)-3-{[3-(trifluoromethyl) a]. Bis-7-(8H)-yl]carbonyl}_6-(2,4 amine. 定-2-indene nitrile; and, 6' digas [I, 2, 4] triazole and μ, 3_, 5- Difluorophenyl)cyclohexyl-3-ene-i. 18. A use of the compound or compound of claim 1 for the manufacture of a medicament. The group of any one of claims 2 to 5 for treating a GPR119 receptor-related disorder. 19. A use of the compound or compound of claim 1 for the manufacture of a medicament 0 &quot; a group of any one of 5 for treating a metabolic-related disorder. 20. A species such as the request item ^, "A group of soils: a substance: used for the manufacture of a medicament for treating a metabolic-related disorder" The sputum condition is selected from the group consisting of: ', foot sugar type 1 diabetes, type 2 diabetes, glucose tolerance, (four) impaired glucose tolerance, sputum resistance, hyperglycemia, high fat two: Γ Oil, hypercholesterolemia, dyslipidemia, motility: =, stroke, x syndrome, hypertension, parotid gland (4), insufficient intestinal cells for intestinal deficiency, diabetes, dysfunction, diabetic nephropathy, diabetic neuropathy, Outside; = variable, diabetic coronary artery disease 'diabetic cerebral blood disease, diabetic retinopathy, metabolic syndrome-related disease K-muscle infarction, learning f disorder, remembering! = inflammatory disease, increased by MGUM concentration improvement in individuals with neurodegenerative disorders Excitatory toxic brain damage caused by severe seizures 149380.doc 201105327, A (10) Morse disease, Parkinson's disease, Huntington's disease and prion-related diseases, stroke, motor neuron disease, trauma Sexual brain injury, spinal cord injury, and obesity. 21. The use of a compound of claim 1 or a group according to any one of claims 2 to 5 for the manufacture of a medicament for the treatment of type 2 diabetes 22. A compound according to any one of claims 2 to 3, which is for use in a method of treating a human or animal body by therapy. The composition of any one of 2 to 5 for use in the treatment of a GPR119 receptor-related disorder. 24. The compound of claim 1 or the composition according to any one of claims 2 to 5 for use in therapy A method of metabolizing a related disorder. 25. A method of claiming a compound or a composition according to any one of claims 2 to 5, wherein the condition is selected from the group consisting of: diabetes, Type 1 diabetes, type 2 diabetes, grapes Insufficient tolerance, impaired glucose tolerance, knee resistance, hyperglycemia, hyperlipidemia, triglycerideemia, hypercholesterolemia, dyslipidemia, atherosclerosis, stroke, X syndrome High blood dust, parotid β cells are not j 'Intestinal secretory cells are insufficient, diabetes, metabolic acidosis, leucorrhea, gynecological disease, diabetic neuropathy, peripheral neuropathy 'diabetic coronary artery disease, diabetes Cerebrovascular disease, diabetes, peripheral vascular disease, diabetic retinopathy, metabolic syndrome, nephropathy-related conditions, myocardial infarction, learning disabilities, memory disorders, neurodegenerative disorders, increased by neurodegenerative disorders 149380.doc 201105327 Body blood GLP-丨 concentration changed to 忐 ®® i * 〇 兄 brother, excitotoxic brain damage caused by severe seizures, Azil ^ β Haimo's disease, Parkinson's disease, Henry Wendun's disease, related to Pryon 4 disease 'stroke, motor neuron disease 26. 27. 28. 29. 30. Disease, traumatic brain injury, spinal injury and obesity. The method of claim 1, wherein the compound of claim 1 or any one of claims 2 to 5 is used for the treatment of type 2 diabetes. , '. A method of preparing a composition, which comprises the step of mixing a compound of claim 1 with 4 a reagent which is acceptable. A method of preparing a composition, t h ^ @ t ± 1 which comprises the step of mixing a compound of claim 1 with a DPP-IV inhibitor. A method of preparing a composition, which comprises mixing a compound of the formula 1 with a DPP-W inhibitor and a pharmaceutically acceptable carrier. A method of preparing a composition according to claim 28 or 29, wherein the DPP_IV inhibitor is selected from the group consisting of the following compounds and pharmaceutically acceptable salts, solvates and hydrates thereof: 3(R)-amino group-^ 3-(trifluoromethyl)5,67,8•tetrahydrotriazino[4,3-a]pyrazin-7-yl]-4-(2,4,5-trifluorophenyl) _丨__ ; 1 -[2-(3-hydroxyadamantan-1-ylamino)ethyl)]pyrrolidine-2(s)carbonitrile; (lS,3S,5S)-2-[ 2(S)·Amino-2-(3- via fundo-fired]-yl)ethinyl]-2-azabicyclo[3.1.0]hexan-3-ylcarbonitrile; 2-[6- [3(R)-Amino hexahydropyridine 丨 基 基 ] ] ] , , , , , , ; ; ; ; ; ; ; ; ; ; ; ; ; ; ; ; ; ; ; ; ; ; ; ; 8-[3(R)-Aminohexahydroacridin-1-yl]_7_(2-butynyl)_3_曱小小149380.doc -10· 201105327 (4-methylquinazoline_2_yl Alkyl) xanthine; 1-[N-[3(R)-pyrrolidinyl]glycine]pyrrolidine_2(R)-ylboronic acid; 4(S)_fluoro-l- [2-[ (lR,3S)-3-(lH-l,2,4-trisylmethyl)cyclopentylamino]ethionyl]pyrrolidine-2(S)-phthalonitrile; 1-[(28, 38,1153)-2-Amino-9,10-dimethoxy-2,3,4,6,71115_hexahydropyridinyl pj-a]isoquinoline·3_ ]_1 2 3 4 5(s)_(fluoromethyl)pyrrole °-2 · Stuffed; ; (2MS)-2-cyano-4-fluoro-l-[(2-hydroxy-1,1-di曱基)ethylamino] ethyl ketone ° ratio σ each set; 8 (cis-hexaoxy-. ratio σ each [3, 2-1)] 11 〇 each _1-base)_3- Methyl-7-(3-methylbutylidene)-indole-(2-o-oxy-2-phenylethyl)_3,7-dihydropene · 2,6-- Ming; « 149380.doc -11 · 1 ((3S,4S)-4-amino-1-(4-(3,3-difluoro)(比哈σ定小基)_1,3,5_ 2 triazin-2-yl)pyrrolidine ·3_yl)_5,5 difluorohexahydropyridine·2•one; 3 (R)-2-((6-(3-aminohexahydropyridin-1-yl)-3-methyl_ 2,4_2 Side Oxygen 4 Base_3, Heart Dihydropyrimidine_ι(2Η)_yl)fluorenyl)-4-fluorosulfononitrile; 5 {(S)-2-[2-((S)_2 -Cyano-1 each. +K)·2 side oxy-ethylamino]-propyl}-5-(1Η-tetrazol-5-yl)10,U-dihydro-5H_diphenyl And [a, d] cycloheptene 2,8-dicarboxylic acid bis-dimethyl decylamine; ((2S,4S)-4-(4-(3-mercapto-1-phenyl." _5_ base) hexahydroquinone. (1-7,4S)-l-[2_[(4-ethoxycarbonylbicyclo[2 2] 2] 丨 丨 基 基 ) 胺 胺 ] ] 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 (2_Gas_5_Fluoro-nodal)_201105327 1,3-Dimercapto-1,5-dihydro-pyrrolo[3,2-d]pyrimidine-2,4-dione; 2-({ 6-[(3R)-3-Amino-3-mercaptohexahydroacridin-1-yl]-1,3-dimercapto-2,4-di-oxy-1,2,3,4 -tetrahydro-5H-pyrrolo[3,2-d]pyrimidin-5-yl}indenyl)-4-fluorobenzonitrile; , (2S)-l-{[2-(5-methyl-2- Phenyl-oxazol-4-yl)-ethylamino]-ethenyl}-pyrrolidin-2-indene nitrile; (2S)-1-{[1,1-dimercapto-3-(4) -° ratio. 1,4--3-yl-σm0-n-yl)-propylamino]-ethenyl}-pyrrolidin-2-indene nitrile; (3,3-difluoropyrrolidine- 1-yl)-((2S,4S)-4-(4-(pyrimidin-2-yl)hexahydropyrazin-1-yl)indolyl-2-yl)anthone; (2S,4S)-l -[(2S)-2-amino-3,3-bis(4-fluorophenyl)propanyl]-4-fluoropyrrolidin-2-yl·complement·; (28,511)-5-ethynyl- 1-{]^-(4-mercapto-1-(4-reyl-anthracene-2-yl) hexahydrogen ratio bite-4-yl) } ° acyl ratio. Each bite 2-carbonitrile; and (lS,6R)-3-{[3-(trifluoromethyl)-5,6-dihydro[1,2,4]triazolo[4,3-a Pyridazin-7(8H)-yl]yl}-6-(2,4,5-trifluorophenyl)cyclohexa-3-ene-p-amine. 3 1 . The compound of claim 1 which is for use in combination with a DPP-IV inhibitor for the treatment of a condition which is improved by increasing the blood GLP-1 concentration in a mammal. 32. The compound of claim 3, wherein the compound alone is ineffective for treating a condition which is ameliorated by increasing the blood glucose level of the mammal. 33. The compound of claim 31 or 32, wherein the condition ameliorated by an increase in blood GLp-丨 concentration is selected from the group consisting of: 149380.doc • 12-201105327 diabetes, type 1 diabetes, type 2 diabetes, glucose tolerance Insufficiency, impaired glucose tolerance, insulin resistance, hyperglycemia, hyperplasia, equine glycerol triglyceride, hypercholesterolemia, dyslipidemia, atherosclerosis, stroke, x syndrome, high Blood pressure, pancreatic p-cell deficiency, intestinal endocrine cell deficiency, diabetes, metabolic acidosis, cataract diabetic nephropathy, diabetic neuropathy, peripheral neuropathy, diabetic coronary artery disease, diabetic cerebrovascular disease, diabetic peripheral vascular disease , diabetic retinopathy, metabolic syndrome, diabetes-related conditions, myocardial infarction, learning disabilities, memory disorders, neurodegenerative disorders, increased neurodegenerative disorders: the condition of the individual's fluid GLP-l m is improved by Severe _ epileptic seizure caused by excitotoxic brain damage, Alzheimer's disease, Parkinson's disease, Huntington Disease, and the prion-related disease, stroke, motor neuron disease, traumatic brain injury, spinal cord injury and obesity. 34. The compound of claim 31 or 32, wherein the condition is type II diabetes. 35. The compound of any one of claims 31 to 34 wherein the Dpp_iv inhibitor is selected from the group consisting of the following compounds and pharmaceutically acceptable salts, solvates and hydrates thereof: 3(R)-amino-H3- (三敦methyl)_5,6,7,8_four gas π,2,4]three saliva[4,3♦ than 嗓-7-yl]-4-(2,4,5-three I stupid Butyl ketone; Η2-0--------------------------------------- (2) Benzyl-2-(3-hydroxyadamantanyl)-ethenyl]-2-azabicyclo[3.1.0]hexane_3_carbonitrile; 149380.doc •13· 201105327 2-[6-[ 3(11)-Aminohexahydro"Bist-1-yl]_3_methyl-2,4-dioxy-1,2,3,4-tetrahydropyrimidin-1-ylindenyl]benzyl Nitrile; 8-[3(R)-amino hexahydropyridinium-i-yl]_7·(2-butynyl)_3-methyl-1-(4-mercaptoquinazolin-2-yl Alkyl) Astragalus; 1 - [N-[3 (R) - °pyrrolidyl]glycine oxime^ than B pyridine 2(R)-ylboronic acid; 4(3)-fluoro-1- [2-[(111,3$)-3-(111-1,2,4~Triazol-buylindolyl)cyclopentylamino]ethinyl]. Birolidine-2(S)-carbonitrile; 1-[(23,3 8,1155)-2-amino-9,10-dimethoxy-2,3,4,6,7,111) - hexahydro-1 Η-° than pyridine and [2,la]isoquinolin-3-yl]_4(S)-(fluoromethyl) 13 to singly -2- ( ;28,48)-2- Cyano-4-pyrene-1-([(2-yl-1,1-didecyl)ethylamino]ethyl)-pyrrolidine; 8-(cis-hexahydro-pyrrolo[ 3,2-b]pyrrole-l-yl)-3-indolyl-7·(3-indolyl-but-2-yl)-1-(2-oxo-2-phenyl)ethyl _3,7-Dihydro-indole-2,6-di-copper; 1-((38,48)-4-amino-1-(4-(3,3-difluoro]1 嘻. 1_基)_1,3,5_三嗓-2-yl). Ratio: each 11 -3-yl)-5,5 di-hexahydropyrene than bite _2·鲷; (R)_2-(( 6-(3-Amino6-gas D ratio 0-dec-1-yl)-3-mercapto-2,4-di-oxy-3,4-dihydropyrimidin-1(2H)-yl) fluorenyl )-4-fluorobenzonitrile; 5-{(S)-2-[2-((S)-2-cyanopyrobitone-l-yl)_2·sideoxy-ethylamino]-propyl }--5-(1Η-tetrazol-5-yl)10,11-dihydro-5Η-dibenzo[a,d]cycloheptene-2,8-dioxalate bis-didecyl decylamine ((2S,4S)-4-(4-(3-indolyl-1-phenyl-1H-.bazin-5-yl)hexahydropyridazine-bu)pyrrolidin-2-yl)( Tetrahydrogen Thiazol-3-yl)methanone; 149380.doc -14- 201105327 (28'48)-1-[2-[(4-ethoxycarbonylbicyclo[2.2.2]oct-1-yl)amino Ethyl]-4-fluoropyrrolidine-2·phthalonitrile; 6-[(3R)-3·amino-hexahydron-pyridinyl-p-yl]_5_(2_chloro-5·fluoro-benzyl _ 1,3-dimercapto-1,5-dihydro-pyrrolo[3,2-(1]pyrimidine-2,4-dione; 2-({6-[(3R)-3-amino) -3 -Methylhexahydrogen ratio bite_ι·基]4,3. Dimethyl_ 2,4-one oxy-1,2,3,4-tetrahydro-5Η-°Λ D [3,2-d] mouth bite-5-yl} methyl)-4-fluorobenzonitrile; (2S)-l-{[2-(5-mercapto-2-phenyl-oxazole-4- ()ethylamino)-ethylidene}-pyrrolidine-2-carbonitrile; (2S)-1-{[1,1-didecyl-3-(4-° ratio.基-咪. Sodium _ propyl) propylamino]-acetic acid}-D ratio slightly biting-2-carbonitrile; (3,3-difluoropyrrolidin-1-yl)_((2S,4S -4-(4-(pyrimidin-2-yl)hexahydropyrazin-1-yl)pyrrolidin-2-yl)anthone; (2S,4S)-l-[(2S)-2.Amino- 3,3-bis(4-fluorophenyl)propanyl]_4_ gas pyrrolidine-2-carbonitrile; (2S,5R)-5-ethynyl-1-{Ν-(4-mercapto-helium Anal carboxy-pyridine-2-yl) hexahydro-ratio -4-amino)glycine fluorenyl}. Than a little bite _2_A guess; and (lS,6R)-3-{[3-(diI decyl)-5,6-dihydro[1,2,4]triazolo[4,3_ a Pyridazine-7(8H)-yl]carbonyl}-6-(2,4,5-trifluorophenyl)cyclohexa-3-enamine. 36. A DPP-IV inhibitor for use in combination with a compound of claim i for the treatment of a condition which is ameliorated by increasing the concentration of blood GLP-i in a mammal. 37_ The DPP-IV inhibitor of claim 36, wherein the amount of the Dpp_IV inhibitor alone 149380.doc •15·201105327 is improved for the treatment of the blood of the animal by increasing the number of squirting The condition is ineffective. 38. The DPP_IV of claim 36 or 37 inhibits the fasting of P ^ ^ μ 8. The condition improved by increasing the concentration of blood GLP-ί is selected from the group consisting of: diabetes, type 2 diabetes, type 2 broadcast, 5 • diabetes Insufficient glucose tolerance, impaired glucose tolerance, 姨岛^ and Shimao resistance, 咼 咼 咼 、, hyperlipidemia, hypertriglyceridemia, cholelithiasis, dyslipidemia, atherosclerosis Sclerotherapy, stroke, X syndrome ▲ ▲ group, sputum blood pressure, pancreatic β cell deficiency, enteroendocrine cells are not dragon, her Ρ I + 疋, urinary tract, metabolic acidosis, cataract, diabetic nephropathy, diabetic neuropathy Peripheral neuropathy, diabetic coronary artery disease, diabetic cerebrovascular disease, diabetes, peripheral Jk tube disease, diabetic retinopathy, metabolic syndrome, diabetes-related conditions, myocardial infarction, learning disabilities, memory disorders, neurodegenerative disorders , neurodegenerative disorders, excitatory brain damage caused by severe seizures, Alzheimer's disease, Parkinson's disease Disease, diseases associated with Prian, stroke, motor sputum, traumatic brain injury, spinal cord injury and obesity. 39. The DPP-ΐν inhibitor of claim 36 or 37, wherein the condition is type 2 urinary disease. The DpiMV inhibitor according to any one of the items 36 to 39, wherein the DPP-IV inhibitor is selected from the group consisting of the following compounds and pharmaceutically acceptable salts, solvates and hydrates thereof: 3(R)- Amino-1_[3_(tri-indolyl)_5,6,7,8 tetraarzolo[4,3-a].嘻7_基__4_(2,4,5-trifluorophenyl)butanone; 149380.doc •16, 201105327 lJ2-(3-hydroxyadamantan-1-ylamino)ethylidene] Pyrrolidine-2(S)-carbonitrile; (lS,3S,5S)-2-[2(S)-amino-2-(3-hydroxydong-1-yl)ethenyl]-2 - azabicyclo[3·1·0]hexane-3-indene nitrile; 2-[6-[3(R)-amino hexahydro. Bis-1-yl]_3_fluorenyl 2,4-di-oxy-1,2,3,4-tetrahydropyrimidin-1-ylindenyl]benzonitrile; 8-[3(R)- Amino hexahydrooxazin-1-yl]-7-(2-butynyl)-3-methyl-1-(4-methylquinazolin-2-ylindenyl)xanthine; 1 -[ N-[3(R)-»pyrrolidyl]glycidyl]anthrolidine-2(R)-ylboronic acid; 4(S)-fluoro-l-[2-[(lR,3S)- 3-(lH-l,2,4-tris.-1-ylindolyl)cyclopentylamino]ethinyl]npyrrolidine-2(S)-carbonitrile; l-[(2S, 3S,llbS)-2-amino-9,10-dimethoxy-2,3,4,6,7,llb_hexahydro-1H-pyrido[2,la]isoquinolin-3-yl] -4(S)-(fluoromethyl)pyrrolidin-2-one; (2S,4S)-2-cyano-4-ran-1-[(2-yl-l-i-diyl) Ethylamino]ethyl hydrazide ° bit each; 8-(cis-hexahydro-pyrrolo[3,2-b]pyrrole·ι·yl)-3 -mercapto-7-(3-A -but-2-enyl)-1-(2-o-oxy-2-phenylethyl)-3,7-dihydro-indole-2,6-dione; 1-((38,48 )-4-amino-1-(4-(3,3-difluoro 1&gt; piroxicam-1_yl)-1,3,5-triazin-2-yl)pyrrolidin-3-yl) -5,5 difluorohexahydropyridin-2-one; (foot)-2-((6-(3-aminohexahydro-1)-pyridin-1-yl)_3-methyl-2,4-di Sideoxy-3,4- Dihydropyrimidine-i(2H)-yl)methyl)-4-fluorobenzonitrile; 5-{(S)_2-[2-((S)-2-cyano-.pyrrolidine small base 2 - sideoxy-ethyl 149380.doc -17- 201105327 Amino]-propyl}-5·(1Η-tetrazol-5-yl)10,11-dihydro·5Η_dibenzo[a,d Cycloheptene-2,8-didecanoic acid bis-didecyl decylamine; ((2S'4S)_4-(4-(3-mercapto-1-phenyl-IH-nb azole-5) ) hexahydro 0 to 嗓 _ 1-yl) 0 〇 each bite-2-yl) (tetrahydro) plug. sit _3_ base) brewing I; (23.48) -1-[2-[(4- Ethoxycarbonylbicyclo[2.2.2]oct-1-yl)amino]ethynyl]-4-fluoronpyrrolidine-2-carbonitrile; 6-[(3R)-3-amino- Hexahydro"pyridinyl-indole-yl]-5-(2-gas-5-fluoro-]benzyl 1,3-dimethyl-1,5-dihydro-pyrrolo[3,2-d]pyrimidine-2 , 4-dione; 2-({6-[(3R)-3-amino-3-indolylhexahydro 0-biten-1-yl]_ι,3-didecyl _ 2,4_ two side Oxy-1,2,3,4-tetrahydro-:5H-pyrido[3,2-d]bitat-5-yl} fluorenyl-4-fluorobenzonitrile; (2S)-l- {[2_(5-Mercapto-2-phenyloxazolyl-4-yl)-ethylamino]-ethenyl}-pyrrolidine-2-carbonitrile; (2S)-1-{[1 , 1-dimethyl-3-(4-0 is more than -3-yl-m-O-O-l-l-yl)-propylamino]-ethenyl}-. Than a little bit of chitocarbonitrile; (3,3-difluoropyrane ratio quot&quot;dine-1-yl)-((2S,4S)-4-(4-(. 密-2) hexahydro嗓-1-yl) ° ratio of each pyridin-2-yl) fluorenone; (23.48) -1-[(28)-2-amino-3,3-bis(4-fluorophenyl)propene醯基]_4-fluoropyrrolidine-2-indene nitrile; (2S,5R)-5-ethylidene-1-{Ν-(4-methyl_ι_(4-slow-base_0 than bite_2- Hexyl. Hexahydrogenate is more than a bit of chiral-2-ylcarbamate; and (1 S,6R)-3-{[3-(trimethylsulfonyl)-5 ,6-Dihydro[ι,2,4]triterpenoid[4,3-a]0-pyridin-7(8Η)-yl]carbonyl}-6-(2,4,5-trifluorophenyl Cyclohexyl-3-ene-amine. 149380.doc -18- 201105327 41. A kit of parts comprising a compound of claim i and a Dpp iv inhibitor as a combined preparation for treating diabetes or a condition associated therewith. 42. The kit of claim 41, wherein the compound and the inhibitor are mixed with the same or different pharmaceutically acceptable carrier. 43. The dual kit of claim 41, wherein the compound and the Dpp_iv inhibitor are combined with a different pharmaceutically acceptable carrier. 44. The dual kit of claim 43, wherein the different pharmaceutically acceptable carriers are suitable for administration by different routes. 45. The dual kit of any one of claims 41 to 44, wherein the condition associated with diabetes is selected from the group consisting of hyperglycemia, impaired glucose tolerance, resistance to sputum, and deficiency of parotid beta cells Intestinal endocrine cell deficiency, diabetes, metabolic acidosis, cataract, diabetic nephropathy, diabetic neuropathy, diabetic retinopathy, diabetic coronary artery disease, diabetic cerebrovascular disease, diabetic peripheral vascular disease, metabolic syndrome, Hyperlipidemia, atherosclerosis, stroke, hypertension, and obesity. 46. The dual kit of any one of claims 41 to 45, wherein the 〇1&gt;1)_1¥ inhibitor is selected from the group consisting of the following compounds and pharmaceutically acceptable salts, solvates and hydrates thereof: 3 ( R)-Amino-1-[3-(trifluoromethyl)-5,6,7,8-tetrahydro[1,2,4]triazolo[4,3-a]pyrazine_7· ]]_4_(2,4,5-trifluorophenyl)butan-1-one; hydroxyadamantylamino)ethinyl]pyrrolidine_2(s)-indeneonitrile; (lS,3S,5S) -2-[2(S)-amino 2-(3-hydroxyadamantane-yl)acetamidine 149380.doc •19·201105327 base]-2-azabicyclo[3.1.0] -3-phthalonitrile; 2-[6-[3(R)-aminohexahydropyridyl]_3_methyl-2,4-dioxy-1,2,3,4-tetrahydropyrimidine- 1-ylindenyl]benzonitrile; 8-[3(R)-aminohexahydropyridin-1yl]_7_(2-butynyl)_3_methyl, ^(4-methylquinazoline-2 -ylmethyl)xanthine; l-[N-[3(R)-°pyridinyl]glycine]pyrazole 2(r)-ylboronic acid; 4(S)-fluoro-1 -[2-[(111,38)-3-(111-1,2,4-triazol-1-ylindenyl)cyclopentylamino]ethenyl]. Bilobidine-2(S)-carbonitrile; l-[(2S,3S,llbS)-2-amino-9,10-dimethoxy 2,3,4,6,7,llb- Hydrogen-1H-. Bis-[2,la]isoquinolin-3-yl]-4(S)-(fluoromethyl)pyrrolidin-2-one; (2S,4S)-2-cyano-4 - gas-l -[(2-transyl-l,i-dimethyl)ethylamino] ethyl ketone ° bit each bit; 8-(cis-hexahydro-. than B each [3,2-b嘻-1-yl)-3 -mercapto-7-(3-indolyl-but-2-yl)-1-(2-oxo-2-phenylethyl)-3, 7-Dihydrogen ticket. _ 2,6-dione; 1-((38,48)-4-amino-1-(4-(3,3-di-f.) 〇略〇-1_yl)_1,3,5 -tripa-2-yl)β-pyridyl-3-yl)-5,5 difluorohexahydropyridin-2-one; (R)-2-((6-(3-aminohexahydropyridine)- 1·yl)-3-mercapto-2,4-di-oxy-3,4-dihydro-β-densyl.-1 (2Η)-yl)indenyl)-4-1 benzyl nitrile; 5-{ (S)-2-[2-((S)-2-cyanopyridin-1-yl)-2-oxo-ethylamino]-propyl}-5-(1Η-® ° Sodium-5-yl)10,11-dihydro-5H-dibenzo[a,d]cycloheptene-2,8-dicarboxylic acid bis-didecyl decylamine; ((2S,4S)-4- (4-(3-Methyl-buphenyl-1H-.bazol-5-yl)hexahydropyridazine- I49380.doc -20- 201105327 1-yl)pyrrolidin-2-yl)(tetrahydrothiazole (3S,4S)-H2-[(4-ethoxycyclobicyclo[2 2 2]octyl)amino]ethinyl]-4-fluoropyrrolidine-2- Nitrile; 6_[(3R)_3_Amino. Hexahydroquinone]•Base]·5_(2ϋFluoro)=1.3-Dimethyl-1,5-dihydro-pyrrolo[3,2-d] Pyrimidine·2,4-dione. 2-({6-[(3R)-3.Amino-3-methylhexahydro 0-bite small base]13-dimethyl-2.4-di-oxy- 1,2,3'4-tetrahydro·5Η-. The ratio of η is [3,2_d b. _5_ base} -4-fluorobenzonitrile; phenyl _^|yl)-ethylamino]-ethylidene}-pyrrolidine-2-carbonitrile; (2S)-l-{[l, lc methyl- 3-(4_〇 ratio. 定_3_基_imidazole small group) propylamino]-ethenyl}-pyrrolidine-2-indene nitrile; (3,3-difluoropyrrolidin-1-yl H(2S,4S)-4-(4-(pyrimidin-2-yl)hexahydropyrazin-1-yl)pyrrolidin-2-yl)methanone; (28,48)-1-[(25)- 2-Amino-3,3-bis(4-fluorophenyl)propanyl]_4_fluoropyrrolidine-2-indene nitrile; (2S,5R)-5-ethynyl-1-{Ν-(4 - mercapto-1-(4-fluorenyl-0 to bit_2_yl) hexahydropyridin-4-yl)glycidyl}pyrrolidine-2-carbonitrile; and (1 S,6R)-3 -{[3-(trimethylsulfonyl)-5,6-dihydro[ι,2,4]triazino[4 3· a]°pyrazine-7(8H)-yl]carbonyl}-6- (2,4,5-Trifluorophenyl)cyclohexyl-3-ene oxide. 47. A kit comprising (a) a first package containing the request item! A compound or a pharmaceutical composition thereof&apos; and (b) a second pack comprising an inhibitor or a pharmaceutical composition thereof. 129380.doc • 21 201105327 48. The kit of claim 47, wherein the 〇ρρ·Ιν inhibitor is selected from the group consisting of the following compounds and pharmaceutically acceptable salts, solvates and hydrates thereof: 3(R)-amine Trifluoroindolyl)_5,6,7,8-tetrahydro[U4]triazolo[4,3-a]pyrazine·7-yl]-4_(2,4,5-trifluorophenyl) Butanone; 1 [2-(3 - via fund just calcined _ 1 _ylamino)ethyl). Ratio η each bite _2(s)_carbonitrile; (lS,3S,5S)-2-[2(S)-amino-2-(3-hydroxydone-1-yl)ethenyl] 2-Azabicyclo[3.1.oxime]hexane_3_carbonitrile; 2-[6-[3(R)-aminohexahydro. Bis-i-yl]_3_mercapto-2,4_di-oxyl-1,2,3,4-tetrahydropyrimidine-indole-yl fluorenyl; j-benzonitrile; 8-[3(R) -amino hexaazin-1-yl]-7-(2-butynyl)-3-methyl-1-(4-mercaptoquinazolin-2-ylindenyl) xanthine; 1-[ N-[3(R)-. Bilo bite] glycine aryl] η than bite _2 (r) _ base acid; 4 (S)-fluoro-1-[2-[(111,3 8)-3-(111-1 , 2,4-triazol-1-ylindenyl)cyclopentylamino]ethinyl]-r-pyridine-2-(S)-phthalonitrile; 1-[(28,3 3,1153)-2- Amino-9,10-dimethoxy-2,3,4,6,7,1113-hexahydro-1H-. Bis-[2,l-a]isoquinolin-3-yl]-4(S)-(fluoroindolyl). Bilobidine-2·one; (2S,4S)-2-cyano-4-fluoro-l-[(2-hydroxy-1,1-diindenyl)ethylamino]acetic acid. each. 8-(cis-hexahydro-pyrrolo[3,2-b]pyrrol-1-yl)-3-methyl-7-(3-indolyl-but-2-enyl)-1- (2-Sideoxy-2-phenylethyl)-3,7-dihydro-indole-2,6-dione; l-((3S,4S)-4-amino-1-(4- (3,3-difluoropyrrolidine-1,yl)-1,3,5- 149380.doc -22- 201105327 triazin-2-yl)pyrrolidin-3-yl)_5,5 difluorohexahydropyridine _2 ketone; (R)-2-((6-(3-aminohexahydropyridyl)-yl)- 2,2-di-oxy-3,4-dihydropyrimidin-1 ( 2H)-yl)methyl)_4_fluorobenzonitrile; 5-{(S)-2-[2-((S)-2-cyano-.pyrrolidine-丨-yl)·2_side oxygen —ethylamino]-propyl}-5-(1Η-tetrazole-5-yl) 1011_dihydro·5Ηdibenzo[a,d]cycloheptene-2,8-dicarboxylic acid double _ Dimethyl decylamine; ((2S,4S)-4-(4-(3-methylphenyl_ιη-. 〇 -5-5-yl) hexahydro 1·0 0 _ 1-yl)0 (0S,4S)-l-[2-[(4·ethoxycarbonylbicyclo[2 2 2] octyl) Q-amino)amino]ethinyl]-4-fluoropyrrolidine-2-carbonitrile; 6-[(3R)-3-amino-hexahydropyridine-purinyl]-5·(2-chloro-5) _Fluorobenzyl)_1,3-dimethyl-1,5-dihydro-pyrrolo[3,2-d] Pyridine-2,4-dione; 2-({6-[(3R)-3-amino-3-methylhexahydro-β ratio. s-yl]-13-dimethyl-2,4-. Side oxy-1,2,3,4 -four winds - 弁[3,2-d]^ff定-5-yl} methyl)-4 - gas knot guess, (2S)-l-{[ 2-(5-Methyl-2-phenyloxa)-ethyl-4-yl)-ethylamino]-ethenyl}-pyrrolidine-2-carbonitrile; (2S)-1-{[1 , 1-dimethyl-3-(4-indolepyrimidin-3-yl-mouth-sodium-1-yl)-propylamino]-ethenyl}-pyrrolidine-2-indoleonitrile; 3,3-:^Dtb^°^-lS)-((2S,4S)-4-(4-(^^-2S)AiL 0 is 0-0-1 -base) 0 to 0 each bite-2- (2S,4S)-l-[(2S)-2-amino-3,3-bis(4-fluorophenyl)propanyl]-4-fluoropyrrolidine-2-carbonitrile (2S,5R)-5-ethynyl-1-{Ν-(4-methyl-1-(4-carboxy-pyridin-2-yl) 149380.doc •23· 201105327 Hexahydropyridin-4-yl Glycosyl thiol"pyrrolidin-2-indene nitrile; and (13,611)-3-{[3-(trifluoromethyl)-5,6-dihydro[1,2,4]triazolo[ 4,3-a]. Bis-7-(8H)-yl]carbonyl}-6-(2,4,5-trifluorophenyl)cyclohex-3-en-1-amine 0 149380.doc .24-
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