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    • 4. 发明授权
    • Substituted azetidinone compounds useful as hypocholesterolemic agents
    • 用作降胆固醇药的取代的氮杂环丁酮化合物
    • US5627176A
    • 1997-05-06
    • US403081
    • 1995-03-13
    • Michael P. KirkupSundeep Dugar
    • Michael P. KirkupSundeep Dugar
    • A61K31/395A61K31/397A61P3/06A61P9/10C07B53/00C07C227/32C07C229/34C07C311/06C07C311/19C07C311/37C07C319/20C07C323/62C07D205/08C07D403/04C07D403/06
    • C07C227/32C07C229/34C07D205/08C07C2101/14
    • Substituted azetidinone hypocholesterolemic agents of the formula ##STR1## or a pharmaceutically acceptable salt thereof, wherein: Ar.sup.1 is R.sup.3 -substituted aryl;Ar.sup.2 is R.sup.4 -substituted aryl;Ar.sup.3 is R.sup.5 -substituted aryl;Y and Z are independently --CH.sub.2 --, --CH(lower alkyl)-- or --C(dilower alkyl)--;A is --O--, --S--, --S(O)-- or --S(O).sub.2 --;R.sup.1 is --OR.sup.6, --O(CO)R.sup.6, --O(CO)OR.sup.9 or --O(CO)NR.sup.6 R.sup.7 ; R.sup.2 is hydrogen, lower alkyl or aryl; or R.sup.1 and R.sub.2 together are .dbd.O;q is 1, 2 or 3; p is 0, 1,2, 3 or 4;R.sup.5 is 1-3 substitutes independently selected from --OR.sup.6, --O(CO)R.sup.6, --O(CO)OR.sup.9, --O(CH.sub.2).sub.1-5 OR.sup.9, --O(CO)NR.sup.6 R.sup.7, --NR.sup.6 R.sup.7, --NR.sup.6 (CO)R.sup.7, --NR.sup.6 (CO)OR.sup.9, --NR.sup.6 (CO)NR.sup.7 R.sup.8, --NR.sup.6 SO.sub.2 -lower alkyl, --NR.sup.6 SO.sub.2 -aryl, --CONR.sup.6 R.sup.7, --COR.sup.6, --SO.sub.2 NR.sup.6 R.sup.7, S(O).sub.0-2 -alkyl, S(O).sub.0-2 -aryl, --O(CH.sub.2).sub.1-10 -COOR.sup.6, --O(CH.sub.2).sub.0-10 CONR.sup.6 R.sup.7, o-halogeno, m-halogeno, o-lower alkyl, m-lower alkyl, -(lower alkylene)-COOR.sup.6 and --CH.dbd.CH--COOR.sup.6 ;R.sup.3 and R.sup.4 are 1-3 substituents independently selected from R.sup.5, hydrogen, p-lower alkyl, aryl, --NO.sub.2, CF.sub.3 and p-halogeno;R.sup.6, R.sup.7 and R.sup.8 are hydrogen, lower alkyl, aryl or aryl-substituted lower alkyl; andR.sup.9 is lower alkyl, aryl or aryl-substituted lower alkyl; are disclosed, as well as a method of lowering serum cholesterol by administering said compounds, pharmaceutical compositions containing them, the combination of a substituted azetidinone and a cholesterol biosynthesis inhibitor for the treatment and prevention of atherosclerosis, novel intermediates and methods for preparing said intermediates.
    • 取代的式“IMAGE”的氮杂环丁酮降胆固醇剂或其药学上可接受的盐,其中:Ar 1是R 3取代的芳基; Ar2是R4-取代的芳基; Ar 3是R 5取代的芳基; Y和Z独立地是-CH 2 - , - CH(低级烷基) - 或-C(二卤代烷基) - 。 A是-O - , - S - , - S(O) - 或-S(O)2 - ; R1是-OR6,-O(CO)R6,-O(CO)OR9或-O(CO)NR6R7; R2是氢,低级烷基或芳基; 或R 1和R 2一起为= O; q为1,2或3; p为0,1,2,3或4; R5是独立地选自-OR6,-O(CO)R6,-O(CO)OR9,-O(CH2)1-5OR9,-O(CO)NR6R7,-NR6R7,-NR6(CO) R 7,-NR 6(CO)OR 9,-NR 6(CO)NR 7 R 8,-NR 6 SO 2 - 低级烷基,-NR 6 SO 2 - 芳基,-CONR 6 R 7,-COR 6,-SO 2 NR 6 R 7,S(O) 0-2-芳基,-O(CH 2)1-10 -COOR 6,-O(CH 2)0-10 CONR 6 R 7,o-卤代,间 - 卤代,邻 - 低级烷基,间 - 低级烷基, - (低级亚烷基) COOR 6和-CH = CH-COOR 6; R3和R4是1-3个独立地选自R5,氢,对 - 低级烷基,芳基,-NO2,CF3和对 - 卤代的取代基; R6,R7和R8是氢,低级烷基,芳基或芳基取代的低级烷基; 并且R 9为低级烷基,芳基或芳基取代的低级烷基; 以及通过施用所述化合物,含有它们的药物组合物,取代的氮杂环丁酮和用于治疗和预防动脉粥样硬化的胆固醇生物合成抑制剂的组合来降低血清胆固醇的方法,新型中间体和制备所述中间体的方法。