US2012022126A1PendingUtilityA1

Method Of Treating Diabetes Mellitus

Individually held — no corporate assignee on recordPriority: Nov 10, 2004Filed: Jul 29, 2011Published: Jan 26, 2012
Est. expiryNov 10, 2024(expired)· nominal 20-yr term from priority
A61P 43/00A61P 3/08A61P 3/10A61P 7/00A61K 31/40A61K 31/4025A61P 13/12A61K 31/395
49
PatentIndex Score
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Claims

Abstract

The invention provides methods of treating a diabetic subject comprising administering a glucosylceramide synthase inhibitor to the subject.

Claims

exact text as granted — not AI-modified
1 . A method of lowering blood glucose in a subject, the method comprising administering to the subject a therapeutically effective amount of a composition comprising a compound of Formula Ib, or a pharmaceutically acceptable salt thereof, 
       
         
           
           
               
               
           
         
         where R 1  is an optionally substituted aromatic ring or an optionally substituted heterocycle; R 2  is an optionally substituted alkyl group; and R 3  is an optionally substituted tertiary cyclic amine, 
         with the proviso that R 3  is not morpholine. 
       
     
     
         2 . The method of  claim 1 , wherein R 1  is an optionally substituted aromatic ring. 
     
     
         3 . The method of  claim 2 , wherein R 1  is an optionally substituted phenyl group. 
     
     
         4 . The method of  claim 3 , wherein R 1  is an optionally substituted phenyl group; R 2  is an optionally substituted alkyl group; and R 3  is an optionally substituted tertiary cyclic amine. 
     
     
         5 . The method of  claim 3 , wherein R 1  is a substituted phenyl group. 
     
     
         6 . The method of  claim 5 , wherein R 1  is (3′,4′-ethylenedioxy)phenyl. 
     
     
         7 . The method of  claim 1 , wherein R 3  is pyrrolidine. 
     
     
         8 . The method of  claim 1 , wherein R 2  comprises at least 7 carbon atoms. 
     
     
         9 . The method of  claim 8 , wherein R 2  is an optionally substituted C 7 -C 18  alkyl group. 
     
     
         10 . The method of  claim 9 , wherein R 2  is an optionally substituted C 7  alkyl group. 
     
     
         11 . The method of  claim 10 , wherein R 2  is chosen from 1-(1-hydroxyheptyl) and 1-(6-hydroxyheptyl). 
     
     
         12 . The method of  claim 9 , wherein R 2  is an optionally substituted C 8  alkyl group. 
     
     
         13 . The method of  claim 12 , wherein R 2  is chosen from 1-(1-hydroxyoctyl) and 1-(7-hydroxyoctyl). 
     
     
         14 . The method of  claim 1 , wherein the compound of Formula Ib is in the form of a free base. 
     
     
         15 - 16 . (canceled) 
     
     
         17 . The method of  claim 1 , wherein the compound of Formula Ib is a D-threo isomer;
 wherein the compound of Formula Ib is an L-threo isomer;   wherein the compound of Formula Ib is an L-erythro isomer; or   wherein the compound of Formula Ib is a D-erythro isomer.   
     
     
         18 - 20 . (canceled) 
     
     
         21 . The method of  claim 1 , wherein the compound of Formula Ib is a tartrate salt, and wherein R 1  is D-threo-(3′,4′-ethylenedioxy)phenyl, R 3  is pyrrolidine, and R 2  is a C 7  alkyl group. 
     
     
         22 . The method of  claim 1 , wherein the compound of Formula Ib is a tartrate salt, and wherein R 1  is D-threo-(3′,4′-ethylenedioxy)phenyl, R 3  is pyrrolidine, and R 2  is a C 8  alkyl group. 
     
     
         23 - 27 . (canceled) 
     
     
         28 . The method of  claim 1 , wherein the compound of Formula Ib is 1-(3′,4′-ethylenedioxy)phenyl-2-nonanoylamino-3-pyrrolidino-1-propanol. 
     
     
         29 . The method of  claim 1 , wherein the compound of Formula Ib is 1-(3′,4′-ethylenedioxy)phenyl-2-octanoylamino-3-pyrrolidino-1-propanol. 
     
     
         30 . The method of  claim 4 , wherein R 1  is a substituted phenyl group. 
     
     
         31 . The method of  claim 30 , wherein the substituted phenyl group is (3′,4′-ethylenedioxy)phenyl. 
     
     
         32 . The method of  claim 4 , wherein R 3  is pyrrolidine. 
     
     
         33 . The method of  claim 4 , wherein R 2  comprises at least 7 carbon atoms. 
     
     
         34 . The method of  claim 33 , wherein R 2  is a C 7 -C 18  alkyl group. 
     
     
         35 . The method of  claim 34 , wherein the alkyl group is a C 7  alkyl group. 
     
     
         36 . The method of  claim 33 , wherein R 2  is a C 8  alkyl group. 
     
     
         37 - 39 . (canceled) 
     
     
         40 . The method of  claim 4 , wherein the compound is a D-threo isomer;
 wherein the compound is a L-threo isomer;   wherein the compound is a L-erythro isomer; or   wherein the compound is a D-erythro isomer.   
     
     
         41 - 43 . (canceled) 
     
     
         44 . The method of  claim 4 , wherein the compound is a tartrate salt and wherein R 1  is D-threo-(3′,4′-ethylenedioxy)phenyl, R 3  is pyrrolidine, and R 2  is a C 7  alkyl group. 
     
     
         45 . The method of  claim 4 , wherein the compound is a tartrate salt, and wherein R 1  is D-threo-(3′,4′-ethylenedioxy)phenyl, R 3  is pyrrolidine, and R 2  is a C 8  alkyl group. 
     
     
         46 - 51 . (canceled) 
     
     
         52 . A method of improving glucose tolerance in a subject, the method comprising administering to the subject a therapeutically effective amount of a composition comprising a compound of Formula Ib, or a pharmaceutically acceptable salt thereof, 
       
         
           
           
               
               
           
         
         where R 1  is an optionally substituted aromatic ring or an optionally substituted heterocycle; R 2  is an optionally substituted alkyl group; and R 3  is an optionally substituted tertiary cyclic amine, 
         with the proviso that R 3  is not morpholine. 
       
     
     
         53 . A method of decreasing plasma TNF-α in a subject, the method comprising administering to the subject a therapeutically effective amount of a composition comprising a compound of Formula 1b, or a pharmaceutically acceptable salt thereof, 
       
         
           
           
               
               
           
         
         where R 1  is an optionally substituted aromatic ring or an optionally substituted heterocycle; R 2  is an optionally substituted alkyl group; and R 3  is an optionally substituted tertiary cyclic amine, 
         with the proviso that R 3  is not morpholine. 
       
     
     
         54 . A method of decreasing glycated hemoglobin levels in a subject, the method comprising administering to the subject a therapeutically effective amount of a composition comprising a compound of Formula 1b, or a pharmaceutically acceptable salt thereof, 
       
         
           
           
               
               
           
         
         where R 1  is an optionally substituted aromatic ring or an optionally substituted heterocycle; R 2  is an optionally substituted alkyl group; and R 3  is an optionally substituted tertiary cyclic amine, 
         with the proviso that R 3  is not morpholine. 
       
     
     
         55 . A method of treating a subject having renal hypertrophy or hyperplasia associated with diabetic nephropathy, the method comprising administering to the subject a therapeutically effective amount of a composition comprising a compound of Formula 1b, or a pharmaceutically acceptable salt thereof, 
       
         
           
           
               
               
           
         
         where R 1  is an optionally substituted aromatic ring or an optionally substituted heterocycle; R 2  is an optionally substituted alkyl group; and R 3  is an optionally substituted tertiary cyclic amine, 
         with the proviso that R 3  is not morpholine. 
       
     
     
         56 . (canceled)

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