Sgc stimulators

Abstract

The present patent application discloses at least the compounds according to Formula I or Formula Ib shown below, or pharmaceutically acceptable salts thereof, wherein ring B, J B , n, J D , J, o, X, R C and R A are as described herein.

1 - 113 . (canceled) 
     
     
         114 . A method of treating a disease, health condition or disorder in a subject, comprising administering a therapeutically effective amount of the compound of Formula I, or a pharmaceutically acceptable salt thereof, to the subject in need of the treatment, wherein the disease, health condition or disorder is
 (a) Peripheral, pulmonary, hepatic, liver, cardiac or cerebral vascular/endothelial disorders/conditions:   disorders related to high blood pressure and decreased coronary blood flow such as increased acute and chronic coronary blood pressure, arterial hypertension and vascular disorder resulting from cardiac and renal complications (e.g. heart disease, stroke, cerebral ischemia, renal failure); resistant hypertension, diabetic hypertension, diabetic nephropathy, congestive heart failure; diastolic or systolic dysfunction; coronary insufficiency; arrhythmias; diastolic dysfunction;   thromboembolic disorders and ischemias such as myocardial infarction, stroke, transient ischemic attacks (TIAs); stable or unstable angina pectoris;   peripheral arterial disease, peripheral occlusive arterial disease, intermittent claudication, critical limb ischemia, vasculitis   pulmonary/respiratory conditions such as pulmonary hypertension, pulmonary arterial hypertension, portal hypertension, acute respiratory distress syndrome, and associated pulmonary vascular remodeling (e.g. localized thrombosis and right heart hypertrophy); pulmonary hypertonia; primary pulmonary hypertension, secondary pulmonary hypertension, familial pulmonary hypertension, sporadic pulmonary hypertension, pre-capillary pulmonary hypertension, idiopathic pulmonary hypertension, thrombotic pulmonary arteriopathy, plexogenic pulmonary arteriopathy;   pulmonary hypertension associated with or related to: left ventricular dysfunction, hypoxemia, mitral valve disease, constrictive pericarditis, aortic stenosis, cardiomyopathy, mediastinal fibrosis, pulmonary fibrosis, anomalous pulmonary venous drainage, pulmonary venooclusive disease, pulmonary vasculitis, collagen vascular disease, congenital heart disease, pulmonary venous hypertension, interstitial lung disease, sleep-disordered breathing, sleep apnea, alveolar hypoventilation disorders, chronic exposure to high altitude, neonatal lung disease, alveolar-capillary dysplasia, sickle cell disease, other coagulation disorders, chronic thromboembolism, pulmonary embolism (due to tumor, parasites or foreign material), peripheral embolism, connective tissue disease, lupus, schistosomiasis, sarcoidosis, chronic obstructive pulmonary disease, bronchoconstriction, pulmonary vasoconstriction, acute respiratory distress syndrome, asthma, emphysema, chronic bronchitis, pulmonary capillary hemangiomatosis; histiocytosis X, lymphangiomatosis and compressed pulmonary vessels (such as due to adenopathy, tumor or fibrosing mediastinitis);   arterosclerotic diseases or conditions such as atherosclerosis (e.g., associated with endothelial injury, platelet and monocyte adhesion and aggregation, smooth muscle proliferation and migration); restenosis (e.g. developed after thrombolysis therapies, percutaneous transluminal angioplasties (PTAs), percutaneous transluminal coronary angioplasties (PTCAs) and bypass); inflammation; thrombogenic diseases;   cardiovascular disease associated with metabolic syndrome (e.g., obesity, dyslipidemia, diabetes, high blood pressure); lipid related disorders such as dyslipidemia, hypercholesterolemia, hypertriglyceridemia, sitosterolemia, fatty liver disease, and hepatitis;   liver cirrhosis, associated with chronic liver disease, hepatic fibrosis, hepatic stellate cell activation, hepatic fibrous collagen and total collagen accumulation; liver disease of necro-inflammatory and/or of immunological origin; and urogenital system disorders, such as renal fibrosis and renal failure resulting from chronic kidney diseases or insufficiency (e.g. due to accumulation/ deposition and tissue injury, progressive sclerosis, glomerunephritis); prostate hypertrophy; cardiac interstitial fibrosis, cardiac remodeling and fibrosis, heart failure, cardiorenal syndrome; cardiac hypertrophy; diabetic nephropathy   b) sexual disorders of conditions: erectile dysfunction; female sexual dysfunction (e.g., female sexual arousal dysfunction), vaginal atrophy and incontinence; or   c) wound healing (e.g., in diabetics), microvascular perfusion improvement (e.g., following injury, in perioperative care), microcirculation abnormalities, control of vascular leakage and permeability, for conserving blood substitutes in trauma patients, endothelial dysfunction, inhibition of modulation of platelet aggregation, anal fissures; shock, sepsis, cardiogenic shock, control of leukocyte activation; diabetic ulcers; and wherein said compound of Formula I, or a pharmaceutically acceptable salt thereof has the following structure:   
       
         
           
           
               
               
           
         
       
       wherein
 ring B is a phenyl or a 5 or 6-membered heteroaryl ring, containing 1 or 2 ring heteroatoms selected from N, O or S; 
 n is an integer selected from 0 to 3; 
 each J B  is independently selected from halogen, —CN, a C 1-6  aliphatic, —OR B  or a C 3-8  cycloaliphatic group; wherein each said C 1-6  aliphatic and each said C 3-8  cycloaliphatic group is optionally and independently substituted with up to 3 instances of R 3 , 
 each R B  is independently selected from hydrogen, a C 1-6  aliphatic or a C 3-8  cycloaliphatic; wherein each said C 1-6  aliphatic and each said C 3-8  cycloaliphatic ring is optionally and independently substituted with up to 3 instances of R 3aa ; 
 each R 3  is independently selected from halogen, —CN, C 1-4  alkyl, C 1-4  haloalkyl, —O(C 1-4  alkyl) or —O(C 1-4  haloalkyl); 
 each R i a is independently selected from halogen, —CN, C 1-4  alkyl, C 1-4  haloalkyl, —O(C 1-4  alkyl) or —O(C 1-4  haloalkyl); 
 o is an integer selected from 0 to 3; 
 each J D  is independently selected from halogen, —NO 2 , —OR D , —SR S , —C(O)R D , —C(O)OR D , —C(O)N(R D ) 2 , —CN, —N(R D ) 2 , —N(R d )C(O)R D , —N(R d )C(O)OR D , —SO 2 R D , —SO 2 N(R D ) 2 , —N(R d )SO 2 R D , a —(C 1-6  aliphatic, (C 1-6  aliphatic)-R D , a C 3-8  cycloaliphatic ring, a 6 to 10-membered aryl ring, a 4 to 8-membered heterocyclic ring or a 5 to 10-membered heteroaryl ring; wherein each said 4 to 8-membered heterocylic ring and each said 5 to 10-membered heteroaryl ring contains between 1 and 3 heteroatoms independently selected from O, N or S; and wherein each said C 1-6  aliphatic, each said C 3-8  cycloaliphatic ring, each said 6 to 10-membered aryl ring, each said 4 to 8-membered heterocyclic ring and each said 5 to 10-membered heteroaryl ring is optionally and independently substituted with up to 3 instances of R 5 ; 
 each R D  is independently selected from hydrogen, a C 1-6  aliphatic, (C 1-6  aliphatic)-R f , a C 3-8  cycloaliphatic ring, a 4 to 8-membered heterocyclic ring, phenyl or a 5 to 6-membered heteroaryl ring; wherein each said 4 to 8-membered heterocylic ring and each said 5 to 6-membered heteroaryl ring contains between 1 and 3 heteroatoms independently selected from O, N or S; and wherein each said C 1-6  aliphatic, each said C 3-8  cycloaliphatic ring, each said 4 to 8-membered heterocyclic ring, each said phenyl and each said 5 to 6-membered heteroaryl ring is optionally and independently substituted with up to 3 instances of R 5a ; 
 each R d  is independently selected from hydrogen, a C 1-6  aliphatic, —(C 1-6  aliphatic)-R f , a C 3-8  cycloaliphatic ring, a 4 to 8-membered heterocyclic ring, phenyl or a 5 to 6-membered heteroaryl ring; wherein each said heterocylic ring and each said heteroaryl ring contains between 1 and 3 heteroatoms independently selected from O, N or S; and wherein each said C 1-6  aliphatic, each said C 3-8  cycloaliphatic ring, each said 4 to 8-membered heterocyclic ring, each said phenyl and each said 5 to 6-membered heteroaryl ring is optionally and independently substituted by up to 3 instances of R 5b ; 
 each R f  is independently selected from a C 3-8  cycloaliphatic ring, a 4 to 8-membered heterocyclic ring, phenyl or a 5 to 6-membered heteroaryl ring; wherein each said heterocylic ring and each said heteroaryl ring contains between 1 and 3 heteroatoms independently selected from O, N or S; and wherein each said C 3-8  cycloaliphatic ring, each said 4 to 8-membered heterocyclic ring, each said phenyl and each said 5 to 6-membered heteroaryl ring is optionally and independently substituted by up to 3 instances of R 5c ; 
 when J D  is —C(O)N(R D ) 2 , —N(R D ) 2  or SO 2 N(R D ) 2 , the two R D  groups together with the nitrogen atom attached to the R D  groups alternatively form a 4 to 8-membered heterocyclic ring or a 5-membered heteroaryl ring; wherein each said 4 to 8-membered heterocyclic ring and each said 5-membered heteroaryl ring optionally contains up to 2 additional heteroatoms independently selected from N, O or S, and wherein each said 4 to 8-membered heterocyclic ring and each said 5-membered heteroaryl ring is optionally and independently substituted by up to 3 instances of R 5 ; 
 when J D  is —N(R d )C(O)R D , the R D  group together with the carbon atom attached to the R D  group, with the nitrogen atom attached to the R d  group, and with the R d  group alternatively form a 4 to 8-membered heterocyclic ring or a 5-membered heteroaryl ring; wherein each said 4 to 8-membered heterocyclic ring and each said 5-membered heteroaryl ring optionally contains up to 2 additional heteroatoms independently selected from N, O or S, and wherein each said 4 to 8-membered heterocyclic ring and each said 5-membered heteroaryl ring is optionally and independently substituted by up to 3 instances of R 5 ; 
 when J D  is —N(R d )C(O)OR D , the R D  group together with the oxygen atom attached to the R D  group, with the carbon atom of the —C(O)— portion of the —N(R d )C(O)OR D  group, with the nitrogen atom attached to the R d  group, and with the R d  group alternatively form a 4 to 8-membered heterocyclic ring or a 5-membered heteroaryl ring; wherein each said 4 to 8-membered heterocyclic ring and each said 5-membered heteroaryl ring optionally contains up to 2 additional heteroatoms independently selected from N, O or S, and wherein each said 4 to 8-membered heterocyclic ring and each said 5-membered heteroaryl ring is optionally and independently substituted by up to 3 instances of R 5 ; 
 when J D  is —N(R d )SO 2 R D , the R D  group together with the oxygen atom attached to the R D  group, with the sulfur atom attached to said oxygen atom in the —SO 2 R D  portion of the —N(R d )SO 2 R D  group, with the nitrogen atom attached to the R d  group, and with the R d  group alternatively form a 4 to 8-membered heterocyclic ring or a 5-membered heteroaryl ring; wherein each said 4 to 8-membered heterocyclic ring and each said 5-membered heteroaryl ring optionally contains up to 2 additional heteroatoms independently selected from N, O or S, and wherein each said 4 to 8-membered heterocyclic ring and each said 5-membered heteroaryl ring is optionally and independently substituted by up to 3 instances of R 5 ; 
 each R 5  is independently selected from halogen, —CN, —NO 2 , C 1-4  alkyl, a C 7-12  aralkyl, C 3-8  cycloalkyl ring, C 1-4  haloalkyl, C 1-4  cyanoalkyl, —OR 6 , —SR 6 , —OCOR 6 , —COR 6 , —C(O)OR 6 , —C(O)N(R 6 ) 2 , —N(R 6 )C(O)R 6 —N(R 6 ) 2 , —SO 2 R 6 , —SO 2 N(R 6 ) 2 , —N(R 6 )SO 2 R 6 , phenyl or an oxo group; wherein each said phenyl group is optionally and independently substituted with up to 3 instances of halogen, —OH, —NH 2 , —NH(C 1-4  alkyl), —N(C 1-4  alkyl) 2 , —NO 2 , —CN, C 1-4  alkyl, C 1-4  haloalkyl, —O(C 1-4  alkyl) or —O(C 1-4  haloalkyl); and wherein each said C 7-12  aralkyl and each said cycloalkyl group is optionally and independently substituted with up to 3 instances of halogen; 
 each R 5a  is independently selected from halogen, —CN, —NO 2 , C 1-4  alkyl, a C 7-12  aralkyl, C 3-8  cycloalkyl ring, C 1-4  haloalkyl, C 1-4  cyanoalkyl, —OR 6 , —SR 6 , —OCOR 6 , —COR 6 , —C(O)OR 6 , —C(O)N(R 6 ) 2 , —N(R 6 )C(O)R 6 , —(R 6 ) 2 , —SO 2 R 6 , —SO 2 N(R 6 ) 2 , —N(R 6 )SO 2 R 6 , phenyl or an oxo group; wherein each said phenyl group is optionally and independently substituted with up to 3 instances of halogen, —OH, —NH 2 , —NH(C 1-4  alkyl), —N(C 1-4  alkyl) 2 , —NO 2 , —CN, C 1-4  alkyl, C 1-4  haloalkyl, —O(C 1-4 alkyl) or —O(C 1-4 haloalkyl); and wherein each said C 7-12  aralkyl and each said cycloalkyl group is optionally and independently substituted with up to 3 instances of halogen; 
 each R 5b  is independently selected from halogen, —CN, —NO 2 , C 1-4  alkyl, a C 7-12  aralkyl, C 3-8  cycloalkyl ring, C 1-4  haloalkyl, C 1-4  cyanoalkyl, —OR 6 , —SR 6 , —OCOR 6 , —COR 6 , —C(O)OR 6 , —C(O)N(R 6 ) 2 , —N(R 6 )C(O)R 6 , —N(R 6 ) 2 , —SO 2 R 6 , —SO 2 N(R 6 ) 2 , —N(R 6 )SO 2 R 6 , phenyl or an oxo group; wherein each said phenyl group is optionally and independently substituted with up to 3 instances of halogen, —OH, —NH 2 , —NH(C 1-4  alkyl), —N(C 1-4  alkyl) 2 , —NO 2 , —CN, C 1-4  alkyl, C 1-4  haloalkyl, —O(C 1-4 alkyl) or —O(C 1-4 haloalkyl); and wherein each said C 7-12  aralkyl and each said cycloalkyl group is optionally and independently substituted with up to 3 instances of halogen; 
 each R 5c  is independently selected from halogen, —CN, —NO 2 , C 1-4  alkyl, a C 7-12  aralkyl, C 3-8  cycloalkyl ring, C 1-4  haloalkyl, C 1-4  cyanoalkyl, —OR 6 , —SR 6 , —OCOR 6 , —COR 6 , —C(O)OR 6 , —C(O)N(R 6 ) 2 , —N(R 6 )C(O)R 6 —N(R 6 ) 2 , —SO 2 R 6 , —SO 2 N(R 6 ) 2 , —N(R 6 )SO 2 R 6 , phenyl or an oxo group; wherein each said phenyl group is optionally and independently substituted with up to 3 instances of halogen, —OH, —NH 2 , —NH(C 1-4  alkyl), —N(C 1-4  alkyl) 2 , —NO 2 , —CN, C 1-4  alkyl, C 1-4  haloalkyl, —O(C 1-4  alkyl) or —O(C 1-4  haloalkyl); and wherein each said C 7-12  aralkyl and each said cycloalkyl group is optionally and independently substituted with up to 3 instances of halogen; 
 each R 6  is independently selected from hydrogen, a C 1-4  alkyl, a C 2-4  alkenyl, phenyl, a C 7-12  aralkyl or a C 3-8  cycloalkyl ring; wherein each said C 1-4  alkyl, each said C 2-4  alkenyl, each said phenyl, each said C 7-12  aralkyl and each said cycloalkyl group is optionally and independently substituted with up to 3 instances of halogen; 
 alternatively, two instances of R 6  linked to the same nitrogen atom of R 5 , together with said nitrogen atom of R 5 , form a 5 to 8-membered heterocyclic ring or a 5-membered heteroaryl ring; wherein each said 5 to 8-membered heterocyclic ring and each said 5-membered heteroaryl ring optionally contains up to 2 additional heteroatoms independently selected from N, O or S; or 
 alternatively, one instance of R 6  linked to a nitrogen atom of R 5  and one instance of R 6  linked to a carbon or sulfur atom of the same R 5 , together with said nitrogen and said carbon or sulfur atom of the same R 5 , form a 5 to 8-membered heterocyclic ring or a 5-membered heteroaryl ring; wherein each said 5 to 8-membered heterocyclic ring and each said 5-membered heteroaryl ring optionally contains up to 2 additional heteroatoms independently selected from N, O or S. 
 or, alternatively, two J D  groups attached to two vicinal ring D atoms, taken together with said two vicinal ring D atoms, form a 5 to 7-membered heterocycle resulting in a fused ring D wherein said 5 to 7-membered heterocycle contains from 1 to 3 heteroatoms independently selected from N, O or S; and wherein said 5 to 7-membered heterocycle is optionally and independently substituted by up to 3 instances of halogen, —OH, NH 2 , —NH(C 1-4  alkyl), —N(C 1-4  alkyl) 2 , —CN, C 1-4  alkyl, C 1-4  haloalkyl, —O(C 1-4  alkyl), —O(C 1-4  haloalkyl), oxo or phenyl; wherein said phenyl is optionally and independently substituted by up to three instances of halogen, —OH, —NH 2 , —NH(C 1-4  alkyl), —N(C 1-4 alkyl) 2 , —NO 2 , —CN, C 1-4  alkyl, C 1-4  haloalkyl, —O(C 1-4  alkyl) or —O(C 1-4  haloalkyl); 
 R C  is a ring C; ring C is a phenyl ring, a monocyclic 5 or 6-membered heteroaryl ring, a bicyclic 8 to 10-membered heteroaryl ring, a monocyclic 3 to 10-membered cycloaliphatic ring, or a monocyclic 4 to 10-membered heterocycle; wherein said monocyclic 5 or 6-membered heteroaryl ring, said bicyclic 8 to 10-membered heteroaryl ring, or said monocyclic 4 to 10-membered heterocycle contain between 1 and 4 heteroatoms selected from N, O or S; wherein said monocyclic 5 or 6-membered heteroaryl ring is not a 1,3,5-triazinyl ring; and wherein said phenyl, monocyclic 5 to 6-membered heteroaryl ring, bicyclic 8 to 10-membered heteroaryl ring, monocyclic 3 to 10-membered cycloaliphatic ring, or monocyclic 4 to 10-membered heterocycle is optionally and independently substituted with up to 3 instances of J C ; 
 each J C  is independently selected from halogen, —CN, —NO 2 , a C 1-6  aliphatic, —OR H , —SR H , —N(R H ) 2 , a C 3-8  cycloaliphatic ring or a 4 to 8-membered heterocyclic ring; wherein said 4 to 8-membered heterocyclic ring contains 1 or 2 heteroatoms independently selected from N, O or S; wherein each said C 1-6  aliphatic, each said C 3-8  cycloaliphatic ring and each said 4 to 8-membered heterocyclic ring, is optionally and independently substituted with up to 3 instances of R 7 ; or alternatively, two J C  groups attached to two vicinal ring C atoms, taken together with said two vicinal ring C atoms, form a 5 to 7-membered heterocycle resulting in a fused ring C; wherein said 5 to 7-membered heterocycle contains from 1 to 2 heteroatoms independently selected from N, O or S; 
 each R H  is independently selected from hydrogen, a C 1-6  aliphatic, a C 3-8  cycloaliphatic ring or a 4 to 8-membered heterocyclic ring,; wherein each said 4 to 8-membered heterocylic ring contains between 1 and 3 heteroatoms independently selected from O, N or S; and wherein each said C 1-6  aliphatic, each said C 3-8  cycloaliphatic ring, each said 4 to 8-membered heterocyclic ring, is optionally and independently substituted with up to 3 instances of R 7a ; 
 alternatively, two instances of R H  linked to the same nitrogen atom of J C , together with said nitrogen atom off, form a 4 to 8-membered heterocyclic ring or a 5-membered heteroaryl ring; wherein each said 4 to 8-membered heterocyclic ring and each said 5-membered heteroaryl ring optionally contains up to 2 additional heteroatoms independently selected from N, O or S, and wherein each said 4 to 8-membered heterocyclic ring and each said 5-membered heteroaryl ring is optionally and independently substituted by up to 3 instances of R 7b ; 
 each R 7  is independently selected from halogen, —CN, —NO 2 , C 1-4  alkyl, C 1-4  haloalkyl, C 3-8  cycloalkyl ring, —OR 8 , —SR 8 , —N(R 8 ) 2 , or an oxo group; wherein each said cycloalkyl group is optionally and independently substituted with up to 3 instances of halogen; 
 each R 7a  is independently selected from halogen, —CN, —NO 2 , C 1-4  alkyl, C 1-4  haloalkyl, C 3-8  cycloalkyl ring, —OR 8 , —N(R 8 ) 2 , or an oxo group; wherein each said cycloalkyl group is optionally and independently substituted with up to 3 instances of halogen; 
 each R 7b  is independently selected from halogen, —CN, —NO 2 , C 1-4  alkyl, C 1-4  haloalkyl, C 3-8  cycloalkyl ring, —OR 8 , —N(R 8 ) 2 , or an oxo group; wherein each said cycloalkyl group is optionally and independently substituted with up to 3 instances of halogen; 
 each R 8  is independently selected from hydrogen, a C 1-4  alkyl, C 1-4 haloalkyl or a C 3-8  cycloalkyl ring; wherein each said cycloalkyl group is optionally and independently substituted with up to 3 instances of halogen; 
 alternatively, two instances of R 8  linked to the same nitrogen atom of R 7 , R 7a  or R 7b , together with said nitrogen atom of R 7 , R 7a or R 7b , form a 5 to 8-membered heterocyclic ring or a 5-membered heteroaryl ring; wherein each said 5 to 8-membered heterocyclic ring and each said 5-membered heteroaryl ring optionally contains up to 2 additional heteroatoms independently selected from N, O or S; and 
 R A  is selected from hydrogen, halogen, C 1-4  alkyl or C 1-4  haloalkyl. 
 
     
     
         115 . The method of  claim 114 , wherein the disease, health condition or disorder is
 (a) a peripheral or cardiac vascular disorder or health condition selected from: pulmonary hypertension, pulmonary arterial hypertension, and associated pulmonary vascular remodeling, localized pulmonary thrombosis, obstructive thromboanginosis, right heart hypertrophy, pulmonary hypertonia, primary pulmonary hypertension, secondary pulmonary hypertension, familial pulmonary hypertension, sporadic pulmonary hypertension, pre-capillary pulmonary hypertension, idiopathic pulmonary hypertension, thrombotic pulmonary artheriopathy, plexogenic pulmonary artheriopathy; pulmonary hypertension associated with or related to: left ventricular dysfunction, hypoxemia, mitral valve disease, constrictive pericarditis, aortic stenosis, cardiomyopathy, mediastinal fibrosis, pulmonary fibrosis, anomalous pulmonary venous drainage, pulmonary venooclusive disease, pulmonary vasculitis, collagen vascular disease, congenital heart disease, pulmonary venous hypertension, interstitial lung disease, sleep-disordered breathing, apnea, alveolar hypoventilation disorders, chronic exposure to high altitude, neonatal lung disease, alveolar-capillary dysplasia, sickle cell disease, other coagulation disorders, chronic thromboembolism, pulmonary embolism, peripheral embolism, connective tissue disease, lupus, schistosomiasis, sarcoidosis, chronic obstructive pulmonary disease, bronchoconstriction, pulmonary vasoconstriction, acute pulmonary distress syndrome, emphysema, chronic bronchitis, pulmonary capillary hemangiomatosis; histiocytosis X, lymphangiomatosis or compressed pulmonary vessels;   (b) liver cirrhosis,   (c) a urogenital system disorder selected from renal fibrosis, renal failure resulting from chronic kidney diseases or insufficiency, erectile dysfunction or female sexual dysfunction.   (d) wound healing, microvascular perfusion improvement, microcirculation abnormalities, control of vascular leakage and permeability, for conserving blood substitutes in trauma patients, endothelial dysfunction, inhibition of modulation of platelet aggregation, anal fissures.   
     
     
         116 . The method of  claim 115 , wherein the disease, health condition or disorder is pulmonary hypertension, pulmonary arterial hypertension, and associated pulmonary vascular remodeling, localized pulmonary thrombosis, obstructive thromboanginosis, right heart hypertrophy, pulmonary hypertonia, primary pulmonary hypertension, secondary pulmonary hypertension, familial pulmonary hypertension, sporadic pulmonary hypertension, pre-capillary pulmonary hypertension, idiopathic pulmonary hypertension, thrombotic pulmonary arteriopathy, plexogenic pulmonary arteriopathy or chronic obstructive pulmonary disease, bronchoconstriction, pulmonary vasoconstriction, acute pulmonary distress syndrome, liver cirrhosis, renal fibrosis, renal failure resulting from chronic kidney diseases or insufficiency, erectile dysfunction, female sexual dysfunction or wound healing. 
     
     
         117 . The method of  claim 116 , wherein the disease, health condition or disorder is pulmonary hypertension, pulmonary arterial hypertension, and associated pulmonary vascular remodeling, pulmonary hypertonia, primary pulmonary hypertension, secondary pulmonary hypertension, familial pulmonary hypertension, sporadic pulmonary hypertension, pre-capillary pulmonary hypertension or idiopathic pulmonary hypertension. 
     
     
         118 . The method of  claim 114 , further comprising administering an effective amount of one or more additional therapeutic agents to the subject. 
     
     
         119 . The method of  claim 118 , wherein the one or more additional therapeutic agents are selected from endothelium-derived releasing factor, NO donors, substances that enhance cGMP concentrations, nitric oxide synthase substrates, compounds which enhance eNOS transcription, NO-independent heme-independent sGC activators, heme-dependent sGC stimulators; inhibitors of cGMP degradation, calcium channel blockers, endothelin receptor antagonists, prostacyclin derivatives, antihyperlipidemics, anticoagulants, antiplatelet drugs, ACE inhibitors, supplemental oxygen, beta blockers, antiarrhythmic agents, diuretics, exogenous vasodilators, bronchodilators, corticosteroids, dietary supplements, PGD2 receptor antagonists, immunosuppressants, non-steroidal antiasthmatics, non-steroidal anti-inflammatory agents, cyclooxygenase-2 inhibitors or anti-diabetic agents. 
     
     
         120 . (canceled) 
     
     
         121 . The method of  claim 114 , wherein said compound of Formula I, or a pharmaceutically acceptable salt thereof, is selected from: 
       
         
           
           
               
               
           
         
         
           
           
               
               
           
         
       
     
     
         122 . The method of  claim 114 , wherein the disease is a health disorder related to high blood pressure and decreased coronary blood flow selected from: increased acute and chronic coronary blood pressure, arterial hypertension, vascular disorder resulting from heart disease, stroke, cerebral ischemia, or renal failure, congestive heart failure, thromboembolic disorders, ischemias, myocardial infarction, stroke, transient ischemic attacks, stable or unstable angina pectoris, arrhythmias, diastolic dysfunction, coronary insufficiency. 
     
     
         123 . The method of  claim 122 , wherein the disease is a health disorder related to high blood pressure and decreased coronary blood flow selected from: stroke, cerebral ischemia, thromboembolic disorders or transient ischemic attacks. 
     
     
         124 . The method of  claim 114 , wherein the disease is selected from liver cirrhosis, hepatic fibrosis, hepatic stellate cell activation, hepatic fibrous collagen and total collagen accumulation or liver disease of necro-inflammatory and/or of immunological origin. 
     
     
         125 . The method of  claim 114 , wherein the disease a urogenital system disorder selected from renal fibrosis or renal failure resulting from chronic kidney diseases or insufficiency. 
     
     
         126 . The method of  claim 121 , wherein the disease is a health disorder related to high blood pressure and decreased coronary blood flow selected from: increased acute and chronic coronary blood pressure, arterial hypertension, vascular disorder resulting from heart disease, stroke, cerebral ischemia, or renal failure, congestive heart failure, thromboembolic disorders, ischemias, myocardial infarction, stroke, transient ischemic attacks, stable or unstable angina pectoris, arrhythmias, diastolic dysfunction, coronary insufficiency. 
     
     
         127 . The method of  claim 126 , wherein the disease is a health disorder related to high blood pressure and decreased coronary blood flow selected from: stroke, cerebral ischemia, thromboembolic disorders or transient ischemic attacks. 
     
     
         128 . The method of  claim 121 , wherein the disease is selected from liver cirrhosis, hepatic fibrosis, hepatic stellate cell activation, hepatic fibrous collagen and total collagen accumulation or liver disease of necro-inflammatory and/or of immunological origin. 
     
     
         129 . The method of  claim 121 , wherein the disease a urogenital system disorder selected from renal fibrosis or renal failure resulting from chronic kidney diseases or insufficiency.