EP1542996A2

Octahydro-2-h-naphtho 1,2-f indole-4-carboxamide derivatives as selective glucocorticoid receptor modulators

Abstract

This record has no abstract on file.

EP1542996A2, drawing sheet 1
Sheet 1 of 158

Term

Term ended

Projected expiry passed 17 September 2023, 3 years ago.

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30 claims: 5 independent, 25 dependent

  1. 1
    Claims of equivalent WO 2004026248 A2 WHAT IS CLAIMED IS:1. A compound represented by Formula I or a pharmaceutically acceptable salt or hydrate thereof, wherein: n and m are each independently 0, 1 or
  2. 2
    2;J is selected from NRl or C(Rl)(R2);K is selected from NR
  3. 3
    3 or C(R3)(R
  4. 4
    4) ; L is selected from NR5 or C(R5)(R6); X is a bond, -C(O), -N(Rl4)-, -N(Rl4)-C(O)-, -C(O)-N(Rl4)-, -N(Rl4)-S(O) -, -N(Rl4)-C(O)-NH- or -S(O)k-N(Rl4); k is 0, 1 or 2; Rl and RlO are each independently selected from the group consisting of:(1) Ci- 6 alkyl, (2) C2-6alkenyl, (3) C2-6akynyl, (4) C3_6cycloalkyl, (5) Cι_6alkoxy, (6) Cι_6alkyl-S(O)k-, wherein k is 0, 1 or 2, (7) aryl, (8) aryl Cι_6alkyl, (9) HET, (10) -Ci. 6 alkyl-HET, (11) aryloxy, (12) aroyloxy, (13) aryl C2-6alkenyl, (14) aryl C2-6alkynyl, (15) hydrogen, (16) hydroxyl and (17) cyano wherein items (1) to (6) above and the alkyl portions of items (8) and (10) above and the alkenyl portion of item (13) above and the alkynyl portion of item (14) above are optionally substituted from one up to the maximum number of substitutable positions with a substituent independently selected from the group consisting of: halo, oxo, OR13, N(Rl4)2, C3_6cycloalkyl and Ci-6alkyl-S(O)k-, wherein k is 0, 1 or 2, and wherein items (7), (9), (11) and (12) above and aryl portion of items (8), (13) and (14) above and the HET portion of item (10) above are optionally substituted from one up to the maximum number of substitutable positions with a substituent independently selected from the group consisting of: (a) halo, (b) OR13, (c) N(Rl4) 2 , (d) Cι_6alkyl, (e) C2-6alkenyl, (f) C2-6akynyl, (g) Ci-6alkyl-S(O)k-, wherein k is 0, 1 or 2, (h) aryl, (i) aryl-S(O)k-, wherein k is 0, 1 or 2, (j) HET, (k) aryl Cι _6alkyl, (1) aroyl, (m) aryloxy, (n) aryl Ci-6alkoxy, (o) CN and (p) C3_6cycloalkyl, wherein items (d) to (g) and (p) above and the alkyl portions of item (k) above are optionally substituted from one up to the maximum number of substitutable positions with a substituent independently selected from the group consisting of: halo, OR1 and N(Rl4) 2 , and wherein items (h), (i), (j), (1) and (m) above and the aryl portions of items (k) and (n) above are optionally substituted from one up to the maximum number of substitutable positions with a substituent independently selected from the group consisting of: halo, ORl3 and Ci-4alkyl, R2, R3, R4 5 R5 and R6 are each independently selected from the group consisting of: (1) hydrogen, (2) halo, (3) Cι_6alkyl, (4) C2-6alkenyl, (5) C2-6akynyl, (6) C3-6cycloalkyl, (7) Ci-6alkoxy, (8) Ci-6alkyl-S(O)k-, wherein k is 0, 1 or 2, (9) aryl, (10) aryl Cι_6alkyl, (11) HET and (12) -Ci-6alkyl-HET, wherein items (3) to (8) above and the alkyl portions of items (10) and (12) above are optionally substituted from one up to the maximum number of substitutable positions with a substituent independently selected from the group consisting of: halo, OR13, N(Rl4) 2 and Cι_6alkyl-S(O)k-, wherein k is 0, 1 or 2;and wherein items (9) and (11) and the aryl portion of items (10) and the HET portion of item (12) are optionally substituted from one up to the maximum number of substituable positions with a substituent independently selected from the group consisting of: (a) halo, (b) OR13, (c) N(R14) 2 , (d) Ci_ 6 alkyl, (e) C2-6alkenyl, (f) C2-6akynyl and (g) Cι_6alkyl-S(O)k-, wherein k is 0, 1 or 2, wherein items (d) to (g) above are optionally substituted with from one up to the maximum number of substitutable positions with a substituent independently selected from the group consisting of: halo, OR13 and N(Rl4)2, or Rl and R or R and R5 may be joined together to form a double bond;R7 is selected from the group consisting of: (1) hydrogen, (2) OR13, (3) Ci_4alkyl, (4) aryl and (5) aryl Ci-4alkyl, wherein item (3) above and the alkyl portion of item (5) above are optionally substituted with from one up to the maximum number of substitutable positions with a substituent independently selected from the group consisting of: halo, OR13 and N(Rl4) 2 , and wherein item (4) above and the aryl portion of item (5) above are optionally substituted with from one up to the maximum number of substitutable positions with a substituent independently selected from the group consisting of: (a) halo, (b) ORB, (c) N(R14) 2 , (d) Ci- 6 alkyl, (e) C2-6alkenyl and (f) C2-6akynyl, wherein items (d) to (f) above are optionally substituted with from one up to the maximum number of substitutable positions with a substituent independently selected from the group consisting of: halo, OR13 and N(Rl4)2;each Yl , Y2 and Y3 are independently selected from the group consisting of: (1) hydrogen, (2) -O-R9, (3) -S(O)k-R 9 , wherein k is 0, 1 or 2, (4) -C-W-R9, wherein W is O or S(O)k, (7) -N(Rl5)-S(O)k-N(Rl5) 2 , (8) NO2, (9) -C(O)-Rl5, (10) -C(O)O-Rl5, (11) -CN, (12) halo, (13) -O-S(O)k-R 15 and (14) Cι_4alkyl, optionally substituted with from 1 to 6 halo groups, with the proviso that when Y2 is hydrogen, Y3 is -C(O)-Rl5, Rl5 i s Cι_6alkyl and X is -C(O) then RlO is not Cι_6alkyl, and with the proviso that when Y2 is -C(O)-Rl5, Y3 i s hydrogen, Rl5 is Cι_6alkyl and X is -C(O) then RlO is not Cι_6alkyl, and with the proviso that when Y2 and Y3 are both hydrogen, X is a bond and Rl i s HET, then said HET is defined as a 5-membered aromatic or non-aromatic monocyclic ring containing 1-3 heteroatoms selected from O, S and N, R8 is selected from the group consisting of: hydrogen, Cι_6alkyl, Cι_ 6alkoxy, -Ci-6alkyl-C(O)OH and -Cι_6alkyl-C(O)O-Cι_6alkyl, wherein the Cι_ βalkyl portion is optionally mono, di or tri substituted with halo;or where R8 and XRlO together with the carbon atom to which they are attached form the spiro R9 is selected from the group consisting of: hydrogen, Cι_i2alkyl and aryl, wherein Cι_i2alkyl and aryl are optionally substituted from one up to the maximum number of substituents with halo;each Rl 1, R 2 and R is independently selected from the group consisting of: (1) hydrogen, (2) halo, (3) Ci-6alkyl, (4) C2-6alkenyl, (5) Cι_6alkoxy and (6) hydroxy, wherein items (3) to (5) above are optionally substituted from one up to the maximum number of substitutable positions with a substituent independently selected from the group consisting of: halo, OR12, N(Rl3)2 and Cχ-6alkyl-S(O)k-, wherein k is 0, 1 or 2, or R 6 may additionally be hydrogen;each Rl3 and Rl4 is independently selected from the group consisting of hydrogen and Ci-4alkyl, optionally substituted from one up to the maximum number of substitutable positions with halo;and each Rl5 is independently selected from the group consisting of: hydrogen, Ci-6alkyl, aryl and Cι_i2alkoxycarbonyl, wherein said Cχ-6alkyl and Cι_ 12alkoxycarbonyl are optionally substituted from one up to the maximum number of substituable positions with halo and said aryl is optionally substituted from one up to the maximum number of substituable positions with halo and Cι_4alkyl, optionally substituted with 1-3 halo groups. A compound according to Claim 1 wherein: J is NRl;K is NR3;L is C(R5)(R6) ;and R3 and R5 are joined together to form a double bond. A compound according to Claim 1 of Formula la: la 4. A compound according to Claim 1 wherein Rl is phenyl or pyridyl said phenyl or pyridyl or optionally mono or di- substituted with a substituent independently selected from the group consisting of: (a) halo, (b) OCH 3 , (d) CH3, (e) CN.
  5. 5
    A compound according to Claim 4 wherein Rl is phenyl, optionally mono or di-substituted with halo.
  6. 6
    A compound according to Claim 3 wherein Yi is hydrogen.
  7. 7
    A compound according to Claim 3 wherein Rl is hydrogen.
  8. 8
    A compound according to Claim 6 wherein Rl2 is hydrogen.
  9. 9
    A compound according to Claim 3 wherein R7 is methyl.
  10. 10
    A compound according to Claim 1 wherein X is a bond, -C(O), -N(Rl4)-, -N(Rl4)-C(O)-, -C(O)-N(Rl4)-, -N(R14)-C(0)-NH- ;and Rl4 is hydrogen or methyl.
  11. 11
    A compound according to Claim 1 wherein X is a bond, -C(O), -N(Rl4)-, -N(Rl4)-C(O)-, -C(O)-N(Rl4)-, -N(Rl4)-C(O)-NH- ; Yl is hydrogen; Rl is phenyl, optionally mono or di-substituted with halo; R7 is methyl. Rll is hydrogen; Rl2 is hydrogen; Rl4 is hydrogen or methyl; Rl6 is hydrogen; and RlO are each independently selected from the group consisting of:(1) Ci- alkyl, (2) C2-4alkenyl, (3) C2-4akynyl, (4) C3_6cycloalkyl, (5) Ci-4alkoxy, (6) aryl, (7) aryl Cι_4alkyl, (8) HET, (9) -Ci_4alkyl-HET, (10) aryloxy, (11) aroyloxy, (
  12. 12
    12) aryl C2-4alkenyl, (
  13. 13
    13) aryl C2-6alkynyl, wherein items (1) to (5) above and the alkyl portions of items (7) and (9) above and the alkenyl portion of item (12) above and the alkynyl portion of item (13) above are optionally substituted with from one to three substituents independently selected from the group consisting of:halo, OR13, N(Rl4)2, C3-6cycloalkyl and Cι_6alkyl-S(O)k-, wherein k is 0, 1 or 2, and wherein items (6), (8), (10) and (11) above and aryl portion of items (7), (12) and (13) above and the HET portion of item (9) above are optionally substituted with from one to three substituents independently selected from the group consisting of: (a) halo, (b) OR13, (c) N(Rl4) 2 , (d) Ci- alkyl, (e) C2-4alkenyl, (f) C2-4akynyl, (g) aryl, (h) HET, (i) aryl Cι_6alkyl, (j) aroyl, (k) aryloxy, (1) aryl Cι_6alkoxy and (m) CN, wherein items (d) to (f) above and the alkyl portions of item (i) above are optionally substituted from with one to three substituents independently selected from the group consisting of: halo, OR13 and N(Rl4)2, and wherein items (g), (h), (j) and (k) above and the aryl portions of items (i) and (1) above are optionally substituted with from one to three substituents independently selected from the group consisting of: halo, OR13 and Ci-4alkyl, 12. A compound according to Claim 1 of Formula lb lb wherein: m is O or 1, n is O or 1, Rl is phenyl, optionally mono or di-substituted with halo;RlO are each independently selected from the group consisting of: (1) Cι_6alkyl, (2) C2-6alkenyl, (3) C2-6akynyl, (4) C3_6cycloalkyl, (5) Ci-βalkoxy, (6) Ci-6alkyl-S(O)k-, wherein k is 0, 1 or 2, (7) aryl, (8) aryl Ci-6alkyl, (9) HET, (10) -Ci-6alkyl-HET, (11) aryloxy, (12) aroyloxy, (13) aryl C2-6 a lkenyl, (14) aryl C2-6alkynyl, (15) hydrogen, and (16) hydroxy wherein items (1) to (6) above and the alkyl portions of items (8) and (10) above and the alkenyl portion of item (13) above and the alkynyl portion of item (14) above are optionally substituted with from one to three substituents independently selected from the group consisting of: halo, OR13, N(Rl4)2, C3_6cycloalkyl and Cι_6alkyl-S(O)k-, ' wherein k is 0, 1 or 2, and wherein items (7), (9), (11) and (12) above and aryl portion of items (8), (13) and (14) above and the HET portion of item (10) above are optionally substituted with from one to three substituents independently selected from the group consisting of: (a) halo, (b) ORB, (c) N(Rl4) 2 , (d) Cι_6alkyl, (e) C2-6alkenyl, (f) C2-6akynyl, (g) Cι_6alkyl-S(O)k-, wherein k is 0, 1 or 2, (h) aryl, (i) aryl-S(O)k-, wherein k is 0, 1 or 2, 0) HET, (k) aryl Ci-ealkyl, (1) aroyl, (m) aryloxy, (n) aryl Ci-6alkoxy and (o) CN, wherein items (d) to (g) above and the alkyl portions of item (k) above are optionally substituted from one to three substituents independently selected from the group consisting of: halo, OR13 and N(Rl4)2, and wherein items (h), (i), (j), (1) and (m) above and the aryl portions of items (k) and (n) above are optionally substituted from one to three substituents independently selected from the group consisting of: halo, OR13 and Ci-4alkyl, each Rl3 and Rl4 is independently selected from the group consisting of hydrogen and Cχ_4alkyl, optionally substituted from one to three halo groups;Rl6 and each Rll ;are independently selected from the group consisting of: (1) hydrogen, (2) halo, (3) methyl, (4) methoxy, and (5) hydroxy;Yl and Y2 are each selcected from the group consisting of: (1) hydrogen, (2) hydroxy, (3) halo, (4) methyl, (5) -NO 2 , (6) -CN, (6) mono, di or tri halo substituted methyl, X is a bond, -C(O), -N(Rl4)-, -N(Rl4)-C(O)-, -C(O)-N(Rl4)-, -N(Rl4)-S(O)k-, -N(Rl4)-C(O)-NH- or -S(O)k-N(Rl4) ;13. A compound according to Claim 12 wherein Y\, Rl 1 and Rl6 are each hydrogen.
  14. 14
    A compound according to Claim 12 of Formula Ic:Ic wherein n is 0 or 1, Rl is phenyl, optionally mono or di-substituted with halo;RlO is selected from the group consisting of: (1) Ci-βalkyl, (2) C2-6alkenyl, (3) C2-6akynyl, (4) C3_6cycloalkyl, (5) Ci-6alkoxy, (6) Ci_6alkyl-S(0)k-, wherein k is 0, 1 or 2, (7) aryl, (8) aryl Ci-6alkyl, (9) HET, (10) -Ci-6alkyl-HET, (11) aryloxy, (12) aroyloxy, (13) aryl C2-6alkenyl, (14) aryl C2-6alkynyl, (15) hydrogen, and (16) hydroxy wherein items (1) to (6) above and the alkyl portions of items (8) and (10) above and the alkenyl portion of item (13) above and the alkynyl portion of item (14) above are optionally substituted with from one to three substituents independently selected from the group consisting of: halo, OR13, N(Rl4)2, C3-6cycloalkyl and Ci-6alkyl-S(O)k-, wherein k is 0, 1 or 2, and wherein items (7), (9), (11) and (12) above and aryl portion of items (8), (13) and (14) above and the HET portion of item (10) above are optionally substituted with from one to three substituents independently selected from the group consisting of: (a) halo, (b) OR13, (c) N(R14) 2 , (d) Ci. 6 alkyl, (e) C2-6alkenyl, (f) C 2 -6akynyl, (g) Ci-6alkyI-S(O)k-, wherein k is 0, 1 or 2, (h) aryl, (i) aryl-S(O)k-, wherein k is 0, 1 or 2, (j) HET, (k) aryl Cι_6alkyl, (1) aroyl, (m) aryloxy, (n) aryl Ci_6alkoxy and (o) CN, wherein items (d) to (g) above and the alkyl portions of item (k) above are optionally substituted with from one to three substituents independently selected from the group consisting of: halo, OR13 and N(Rl4)2, and wherein items (h), (i), (j), (1) and (m) above and the aryl portions of items (k) and (n) above are optionally substituted with from one to three substituents independently selected from the group consisting of: halo, OR13 and Cι_4alkyl, each Rl3 and Rl4 is independently selected from the group consisting of hydrogen and Cι_4alkyl, optionally substituted with from one to three halos;Rl6 and each Rl 1 are independently selected from the group consisting of: (1) hydrogen, (2) halo, (3) methyl, (4) methoxy, and (5) hydroxy;Yl and Y2 are each selcected from the group consisting of: (1) hydrogen, (2) hydroxy, (3) halo, (4) methyl, (5) -NO2, (6) -CN, (6) mono, di or tri halo substituted methyl, X is a bond, -C(O), -N(Rl4)-, -N(Rl4)-C(O)-, -C(O)-N(Rl4)-, -N(Rl4)-S(O)k-, -N(Rl4)-C(O)-NH- or -S(O)k-N(Rl4);
  15. 15
    The compound according to Claim 13 wherein X is a bond, -C(O), -N(Rl4)-, -N(Rl4)-C(O)-, -C(O)-N(Rl4)-, -N(Rl4)-C(O)-NH- ; Rl3 and Rl4 are each independently selected from hydrogen or methyl; and RlO are each independently selected from the group consisting of:(1) Ci-4alkyl, (2) C2-4alkenyl, (3) C2-4akynyl, (4) C3_6cycloalkyl, (5) Ci_4alkoxy, (6) aryl, (7) aryl Ci-4alkyl, (8) HET, (9) -Cι_4alkyl-HET, (10) aryloxy, (11) aroyloxy, (12) aryl C2-4alkenyl, (13) aryl C2-6alkynyl, wherein items (1) to (5) above and the alkyl portions of items (7) and (9) above and the alkenyl portion of item (12) above and the alkynyl portion of item (13) above are optionally substituted with from to three substituents independently selected from the group consisting of: halo, OR13, N(Rl4)2, C3_6cycloalkyl and Cι_6alkyl-S(O)k-, wherein k is 0, 1 or 2, and wherein items (6), (8), (10) and (11) above and aryl portion of items (7), (12) and (13) above and the HET portion of item (9) above are optionally substituted with from one to three substituents independently selected from the group consisting of: (a) halo, (b) OR13, (c) N(Rl4) 2 , (d) Cι_ 4 alkyl, (e) C2-4alkenyl, (f) C2-4akynyl, (g) aryl, (h) HET, (i) aryl Ci-6alkyl, 0) aroyl, (k) aryloxy, (1) aryl Cχ-6alkoxy and (m) CN, wherein items (d) to (f) above and the alkyl portions of item (i) above are optionally substituted with from one to three substituents independently selected from the group consisting of: halo, OR13 and N(Rl4)2, and wherein items (g), (h), (j) and (k) above and the aryl portions of items (i) and (1) above are optionally substituted with from one to three substituents independently selected from the group consisting of: halo, OR13 and Ci-4alkyl.
  16. 16
    The compound according to Claim 15 wherein X is a bond, -C(O), -N(Rl4)-, -N(Rl4)-C(O)-, -C(O)-N(Rl4)-, -N(R14)-C(0)-NΗ- ; Rl3 and Rl4 are each independently from hydrogen or methyl; and RlO are each independently selected from the group consisting of:(1) C3_6cycloalkyl, (2) aryl, (3) aryl Cι_4alkyl, (4) HET, (5) -Cι_4alkyl-HET, (6) aryl C2-4alkenyl, wherein item (1) above and the alkyl portions of items (3) and (5) above and the alkenyl portion of item (8) above are optionally substituted with from one to three substituents independently selected from the group consisting of: halo, OR13, N(Rl4) 2 , and wherein the aryl portion of items (2), (3), (6) and the HET portion of item (4) and (5) above are optionally substituted from one up to the maximum number of substitutable positions with a substituent independently selected from the group consisting of: (a) halo, (b) OR13, (c) N(Rl4) 2 , (d) Ci- alkyl, (e) C2-4alkenyl, (f) C2-4akynyl, (g) aryl, (h) HET, (i) aryl Ci-6alkyl, (j) aroyl, (k) aryloxy, (1) aryl Cι_6alkoxy and (m) CN, wherein items (d) to (f) above and the alkyl portions of item (i) above are optionally substituted from one up to the maximum number of substitutable positions with a substituent independently selected from the group consisting of: halo, OR 1 and N(Rl4) 2 , and wherein items (g), (h), (j) and (k) above and the aryl portions of items (i) and (1) above are optionally substituted from one up to the maximum number of substitutable positions with a substituent independently selected from the group consisting of: halo, OR13 and Ci-4alkyl.
  17. 17
    The compound according to Claim 16 wherein RlO are each independently selected from the group consisting of:(1) C3-6cycloalkyl, (2) aryl, (3) aryl Ci-4alkyl, (4) HET, (5) -Ci-4alkyl-HET, (6) aryl C2-4alkenyl, wherein item (1) above and the alkyl portions of items (3) and (5) above and the alkenyl portion of item (8) above are optionally substituted with from one to three substituents independently selected from the group consisting of: halo, OR13, N(Rl4) 2 , and wherein the HET portion of item (4) and (5) are optionally substituted with from one to three substituents selected from the group consisting of Ci-4alkyl and aryl, and wherein the aryl portion of items (2), (3), (6) above are optionally substituted with from one to three substituents independently selected from the group consisting of: (a) halo, (b) OR13, (c) N(Rl4) 2 , (d) Ci- alkyl, (e) C2-4alkenyl, (f) C2-4akynyl, (g) aryl, (h) HET, (i) aryl Ci_6alkyl, (j) aroyl, (k) aryloxy, (1) aryl Ci-βalkoxy and (m) CN, wherein items (d) to (f) above and the alkyl portions of item (i) above are optionally substituted from one up to the maximum number of substitutable positions with a substituent independently selected from the group consisting of: halo, OR13 and N(Rl4) 2 , and wherein items (g), (h), (j) and (k) above and the aryl portions of items (i) and (1) above are optionally substituted from one up to the maximum number of substitutable positions with a substituent independently selected from the group consisting of: halo, ORl and Cι_4alkyl.
  18. 18
    The compound according to Claim 3 wherein Y2 is CF3.
  19. 19
    The compound according to Claim 18 wherein RlO is selected from the group consisting of:(1) phenyl, (2) benzyl, and (3) HET, wherein HET is a 5-membered aromatic or non-aromatic monocyclic ring containing 1-3 heteroatoms selected from O, S and N, wherein groups (1) to (3) above are optionally substituted with 1 to 3 substituents independently selected from the group consisting of: (a) halo, (b) Ci-4alkyl, optionally substituted with hydroxy or 1 to 3 halo groups, (c) Ci-4alkoxy, optionally substituted with 1 to 3 halo groups, (d) NH 2) (e) hydroxy, and (e) phenyl or benzyl.
  20. 20
    The compound according to Claim 3 wherein Y2 is hydrogen, X is a bond and RlO is HET, wherein HET is a 5-membered aromatic or non-aromatic monocyclic ring containing 1-3 heteroatoms selected from O, S and N.
  21. 21
    The compound according to Claim 20 wherein HET is selected from oxazolyl and imidazolyl.
  22. 22
    A compound selected from the group consisting of:-138 -164
  23. 23
    A pharmaceutical composition comprising a compound according to Claim 1 in combination with a pharmaceutically acceptable carrier.
  24. 24
    A method for treating a glucocorticoid receptor mediated disease or condition in a mammalian patient in need of such treatment comprising administering the patient a compound according to Claim 1 in an amount that is effective for treating the glucocorticoid receptor mediated disease or condition.
  25. 25
    The method according to Claim 24 wherein the glucocorticoid receptor mediated disease or condition is selected from the group consisting of:tissue rejection, leukemias, lymphomas, Cushing's syndrome, acute adrenal insufficiency, congenital adrenal hyperplasia, rheumatic fever, polyarteritis nodosa, granulomatous polyarteritis, inhibition of myeloid cell lines, immune proliferation apoptosis, HPA axis suppression and regulation, hypercortisolemia, stroke and spinal cord injury, hypercalcemia, hypergylcemia, acute adrenal insufficiency, chronic primary adrenal insufficiency, secondary adrenal insufficiency, congenital adrenal hyperplasia, cerebral edema, thrombocytopenia, Little's syndrome, obesity, metabolic syndrome, inflammatory bowel disease, systemic lupus erythematosus, polyartitis nodosa, Wegener's granulomatosis, giant cell arteritis, rheumatoid arthritis, juvenile rheumatoid arthritis, uveitis, hay fever, allergic rhinitis, urticaria, angioneurotic edema, chronic obstructive pulmonary disease, asthma, tendonitis, bursitis, Crohn's disease, ulcerative colitis, autoimmune chronic active hepatitis, organ transplantation, hepatitis, cirrhosis, inflammatory scalp alopecia, panniculitis, psoriasis, discoid lupus erythematosus, inflamed cysts, atopic dermatitis, pyoderma gangrenosum, pemphigus vulgaris, buflous pemphigoid, systemic lupus erythematosus, dermatomyositis, herpes gestationis, eosinophilic fasciitis, relapsing polychondritis, inflammatory vasculitis, sarcoidosis, Sweet's disease, type I reactive leprosy, capillary hemangiomas, contact dermatitis, atopic dermatitis, lichen planus, exfoliative dermatitus, erythema nodosum, acne, hirsutism, toxic epidermal necrolysis, erythema multiform, cutaneous T-cell lymphoma, Human Immunodeficiency Virus (HIV), cell apoptosis, cancer, Kaposi's sarcoma, retinitis pigmentosa, cognitive performance, memory and learning enhancement, depression, addiction, mood disorders, chronic fatigue syndrome, schizophrenia, sleep disorders, and anxiety.
  26. 26
    The method according to Claim 24 wherein the glucocorticoid receptor mediated disease or condition is selected from the group consisting of:tissue rejection, Cushing's syndrome, inflammatory bowel disease, systemic lupus erythematosus, rheumatoid arthritis, juvenile rheumatoid arthritis, hay fever, allergic rhinitis, asthma, organ transplantation, inflammatory scalp alopecia, psoriasis, discoid lupus erythematosus, and depression.
  27. 27
    A method of selectively modulating the activation, repression, agonism and antagonism effects of the glucocorticoid receptor in a mammal comprising administering to the mammal a compound according to Claim 1 in an amount that is effective to modulate the glucocorticoid receptor.
  28. 28
    A method of partially or fully antagonizing, repressing agonizing or modulating the glucocorticoid receptor in a mammal comprising administering to the mammal an effective amount of compound according to Claim 1.
  29. 29
    A compound according to Claim 1 of Formula Id Id or a pharmaceutically acceptable salt thereof, wherein RlO is a 5-membered aromatic or non-aromatic mono-cyclic ring containing 1-3 heteroatoms selected from O, S, and N, and RlO is mono-substituted with phenyl, wherein phenyl is optionally substituted with 1- 3 substituents independently selected from halo, Ci-4alkyl and Cι_4alkoxy.
  30. 30
    The compound according to Claim 29 wherein Rl is oxazolyl, oxadiazolyl orthiazolyl. 1. The compound according to Claim 30 wherein RlO is oxazolyl.
Independent claims30