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    • 8. 发明申请
    • COMPOUNDS AND METHODS FOR INHIBITING NHE-MEDIATED ANTIPORT IN THE TREATMENT OF DISORDERS ASSOCIATED WITH FLUID RETENTION OR SALT OVERLOAD AND GASTROINTESTINAL TRACT DISORDERS
    • 用于抑制NHE介导的抗体治疗与流体保持或盐过载和胃肠疾病相关的疾病的化合物和方法
    • WO2010078449A2
    • 2010-07-08
    • PCT/US2009/069852
    • 2009-12-30
    • ARDELYX, INC.CHARMOT, DominiqueJACOBS, Jeffrey, W.LEADBETTER, Michael, RobertNAVRE, MarcCARRERAS, ChrisBELL, Noah
    • CHARMOT, DominiqueJACOBS, Jeffrey, W.LEADBETTER, Michael, RobertNAVRE, MarcCARRERAS, ChrisBELL, Noah
    • C07C311/29C07D401/12C07D217/04C07F9/38C07F9/40C07F9/572C07F9/62A61K31/18A61K31/472A61K31/4725A61K31/517A61K31/662A61K31/675A61K45/06
    • A61K31/4725A61K31/18A61K31/472A61K31/517A61K31/662A61K31/675A61K45/06A61K47/55A61P1/00A61P7/10A61P9/04A61P9/12C07C311/29C07D215/14C07D217/04C07D217/14C07D217/16C07D401/12C07F9/3808C07F9/3834C07F9/3882C07F9/5765C07F9/60C07F9/65583
    • The present disclosure is directed to compounds and methods for the treatment of disorders associated with fluid retention or salt overload, such as heart failure (in particular, congestive heart failure), chronic kidney disease, end-stage renal disease, liver disease, and peroxisome proliferator-activated receptor (PPAR) gamma agonist-induced fluid retention. The present disclosure is also directed to compounds and methods for the treatment of hypertension. The present disclosure is also directed to compounds and methods for the treatment of gastrointestinal tract disorders, including the treatment or reduction of pain associated with gastrointestinal tract disorders. The methods generally comprise administering to a mammal in need thereof a pharmaceutically effective amount of a compound, or a pharmaceutical composition comprising such a compound, that is designed to be substantially active in the gastrointestinal (GI) tract to inhibit NHE-mediated antiport of sodium ions and hydrogen ions therein. More particularly, the method comprises administering to a mammal in need thereof a pharmaceutically effective amount of a compound, or a pharmaceutical composition comprising such a compound, that inhibits NHE-3, -2 and/or -8 mediated antiport of sodium and/or hydrogen ions in the GI tract and is designed to be substantially impermeable to the layer of epithelial cells, or more specifically the epithelium of the GI tract. As a result of the compound being substantially impermeable, it is not absorbed and is thus essentially systemically non-bioavailable, so as to limit the exposure of other internal organs (e.g., liver, heart, brain, etc.) thereto. The present disclosure is still further directed to a method wherein a mammal is administered such a compound with a fluid-absorbing polymer, such that the combination acts as described above and further provides the ability to sequester fluid and/or salt present in the GI tract.
    • 本公开涉及用于治疗与流体保留或盐过载相关的疾病的化合物和方法,例如心力衰竭(特别是充血性心力衰竭),慢性肾脏疾病,终末期肾病,肝脏疾病和过氧化物酶体 增殖激活受体(PPAR)γ激动剂诱导的液体保留。 本公开还涉及用于治疗高血压的化合物和方法。 本公开还涉及用于治疗胃肠道疾病的化合物和方法,包括治疗或减少与胃肠道疾病相关的疼痛。 所述方法通常包括向有需要的哺乳动物施用药学有效量的化合物或包含这种化合物的药物组合物,其被设计为在胃肠道(GI)道中基本上具有活性以抑制NHE介导的钠离子 离子和氢离子。 更具体地,该方法包括向有需要的哺乳动物施用药学有效量的化合物或包含这种化合物的药物组合物,其抑制NHE-3,-2和/或-8介导的钠和/或 胃肠道中的氢离子被设计为对上皮细胞层,或更具体地,GI道的上皮基本上不可渗透。 由于化合物基本上是不可渗透的,其不被吸收,因此基本上是全身非生物可利用的,以限制其上的其他内脏(例如肝,心,脑等)的暴露。 本公开还涉及一种方法,其中将哺乳动物与吸收流体的聚合物一起施用这样的化合物,使得该组合如上所述起作用并进一步提供螯合胃肠道中存在的流体和/或盐的能力 。