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Method to treat cardiofibrosis with a combination therapy of an angiotensin II antagonist and an epoxy-steroidal aldosterone antagonist

机译:用血管紧张素II拮抗剂和环氧-甾体醛固酮拮抗剂联合疗法治疗心脏纤维化的方法

摘要

A therapeutic method is described for treating cardiofibrosis or cardiac hypertrophy using a combination therapy comprising a therapeutically-effective amount of an epoxy-steroidal aldosterone receptor antagonist and a therapeutically-effective amount of an angiotensin II receptor antagonist. Preferred angiotensin II receptor antagonists are those compounds having high potency and bioavailability and which are characterized in having an imidazole or triazole moiety attached to a biphenylmethyl or pyridinyl/phenylmethyl moiety. Preferred epoxy-steroidal aldosterone receptor antagonists are 20-spiroxane steroidal compounds characterized by the presence of a 9&agr;, 11&agr;-substituted epoxy moiety. A preferred combination therapy includes the angiotensin II receptor antagonist 5-[2-[5-[(3,5-dibutyl-1H-1,2,4-triazol-1-yl)methyl]-2-pyridinyl]phenyl-1H-tetrazole and the aldosterone receptor antagonist epoxymexrenone.
机译:描述了一种使用组合疗法来治疗心脏纤维化或心脏肥大的治疗方法,该组合疗法包括治疗有效量的环氧甾体醛固酮受体拮抗剂和治疗有效量的血管紧张素II受体拮抗剂。优选的血管紧张素II受体拮抗剂是那些具有高效能和生物利用度的化合物,其特征在于具有与联苯甲基或吡啶基/苯甲基部分连接的咪唑或三唑部分。优选的环氧-甾族醛固酮受体拮抗剂是20-螺氧烷甾族化合物,其特征在于存在9α,11α-取代的环氧部分。优选的组合疗法包括血管紧张素II受体拮抗剂5-[ 2-[ 5-[(3,5-二丁基-1H-1,2,4-三唑-1-基)甲基] -2-吡啶基]苯基-1H-四唑和醛固酮受体拮抗剂环氧美沙酮。

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