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    • 10. 发明申请
    • MACROCYCLIC ANTAGONISTS OF THE MOTILIN RECEPTOR FOR TREATMENT OF GASTROINTESTINAL DYSMOTILITY DISORDERS
    • 胃动素受体治疗胃肠道憩室病的大环内​​酯类拮抗剂
    • WO2008033328A2
    • 2008-03-20
    • PCT/US2007/019705
    • 2007-09-11
    • TRANZYME PHARMA, INC.MARSAULT, ÉricFRASER, GraemeBENAKLI, KamelST-LOUIS, CarlROUILLARD, AlainTHOMAS, Helmut
    • MARSAULT, ÉricFRASER, GraemeBENAKLI, KamelST-LOUIS, CarlROUILLARD, AlainTHOMAS, Helmut
    • C07K5/08A61P1/00
    • C07K5/0812A61K38/00C07C271/16C07D273/00C07D413/06C07D417/12Y02P20/582
    • The present invention provides conformationally-defined macrocyclic compounds that bind to and/or are functional modulators of the motilin receptor including subtypes, isoforms and/or variants thereof. These macrocyclic compounds, at a minimum, possess adequate pharmacological properties to be useful as therapeutics for a range of disease indications. In particular, these compounds are useful for treatment and prevention of disorders characterized by hypermotilinemia and/or gastrointestinal hypermotility, including, but not limited to, diarrhea, cancer treatment-related diarrhea, cancer-induced diarrhea, chemotherapy-induced diarrhea, radiation enteritis, radiation-induced diarrhea, stress-induced diarrhea, chronic diarrhea, AIDS-related diarrhea, C. difficile associated diarrhea, traveller's diarrhea, diarrhea induced by graph versus host disease, other types of diarrhea, dyspepsia, irritable bowel syndrome, chemotherapy-induced nausea and vomiting (emesis) and post-operative nausea and vomiting and functional gastrointestinal disorders. In addition, the compounds possess utility for the treatment of diseases and disorders characterized by poor stomach or intestinal absorption, such as short bowel syndrome, celiac disease and cachexia. The compounds also have use for the treatment of inflammatory diseases and disorders of the gastrointestinal tract, such as inflammatory bowel disease, ulcerative colitis, Crohn's disease and pancreatitis. Accordingly, methods of treating such disorders and pharmaceutical compositions including compounds of the present invention are also provided.
    • 本发明提供了结构上定义的大环化合物,其与motilin受体包括其亚型,同种型和/或变体结合和/或是其功能调节剂。 这些大环化合物至少具有足够的药理学性质,可用作一系列疾病适应症的治疗剂。 特别是,这些化合物可用于治疗和预防特征在于高血脂酸过多和/或胃肠过度运动的病症,包括但不限于腹泻,癌症治疗相关性腹泻,癌症诱导的腹泻,化学疗法诱导的腹泻,放射性肠炎, 辐射诱发的腹泻,压力诱发的腹泻,慢性腹泻,AIDS相关的腹泻,C。 其他类型的腹泻,消化不良,肠易激综合征,化疗引起的恶心和呕吐(呕吐)以及手术后恶心和呕吐以及功能性胃肠疾病 。 此外,这些化合物还可用于治疗特征在于胃或肠吸收不良的疾病和病症,如短肠综合征,乳糜泻和恶病质。 这些化合物也可用于治疗炎症性疾病和胃肠道病症,如炎症性肠病,溃疡性结肠炎,克罗恩氏病和胰腺炎。 因此,还提供了治疗这些病症的方法和包括本发明化合物的药物组合物。