Methods of treating liver disease

Abstract

The present disclosure relates to a method of preventing and/or treating liver disease comprising administering an ACC inhibitor in combination with an FXR agonist to a patient in need thereof.

1 . A method of treating and/or preventing a liver disease in a patient in need thereof, comprising administering to the patient a therapeutically effective amount of an ACC inhibitor in combination with a therapeutically effective amount of an FXR agonist, wherein the ACC inhibitor is a compound of Formula (I): 
       
         
           
           
               
               
           
         
       
       or a pharmaceutically acceptable salt thereof;
 and the FXR agonist is a compound of Formula (III): 
 
       
         
           
           
               
               
           
         
       
       or a pharmaceutically acceptable salt thereof. 
     
     
         2 . A method of treating and/or preventing a liver disease in a patient in need thereof, comprising administering to the patient a therapeutically effective amount of an ACC inhibitor in combination with a therapeutically effective amount of an FXR agonist, wherein the ACC inhibitor is a compound of Formula (I): 
       
         
           
           
               
               
           
         
       
       or a pharmaceutically acceptable salt thereof;
 and the FXR agonist is a compound of Formula (IV): 
 
       
         
           
           
               
               
           
         
       
       or a pharmaceutically acceptable salt thereof. 
     
     
         3 . A method of treating and/or preventing a liver disease in a patient in need thereof, comprising administering to the patient a therapeutically effective amount of an ACC inhibitor in combination with a therapeutically effective amount of an FXR agonist, wherein the ACC inhibitor is a compound of Formula (II): 
       
         
           
           
               
               
           
         
       
       or a pharmaceutically acceptable salt thereof;
 and the FXR agonist is a compound of Formula (III): 
 
       
         
           
           
               
               
           
         
       
       or a pharmaceutically acceptable salt thereof. 
     
     
         4 . A method of treating and/or preventing a liver disease in a patient in need thereof, comprising administering to the patient a therapeutically effective amount of an ACC inhibitor in combination with a therapeutically effective amount of an FXR agonist, wherein the ACC inhibitor is a compound of Formula (II): 
       
         
           
           
               
               
           
         
       
       or a pharmaceutically acceptable salt thereof;
 and the FXR agonist is a compound of Formula (IV): 
 
       
         
           
           
               
               
           
         
       
       or a pharmaceutically acceptable salt thereof. 
     
     
         5 . The method of  claim 1 , wherein the liver disease is non-alcoholic steatohepatitis (NASH). 
     
     
         6 . The method of  claim 2 , wherein the liver disease is non-alcoholic steatohepatitis (NASH). 
     
     
         7 . The method of  claim 3 , wherein the liver disease is non-alcoholic steatohepatitis (NASH). 
     
     
         8 . A pharmaceutical composition comprising a therapeutically effective amount of an ACC inhibitor, a therapeutically effective amount of an FXR agonist, and a pharmaceutically acceptable carrier; wherein the ACC inhibitor is a compound of Formula (I): 
       
         
           
           
               
               
           
         
       
       or a pharmaceutically acceptable salt thereof;
 and the FXR agonist is a compound of Formula (III): 
 
       
         
           
           
               
               
           
         
       
       or a pharmaceutically acceptable salt thereof. 
     
     
         9 . A pharmaceutical composition comprising a therapeutically effective amount of an ACC inhibitor, a therapeutically effective amount of an FXR agonist, and a pharmaceutically acceptable carrier; wherein the ACC inhibitor is a compound of Formula (I): 
       
         
           
           
               
               
           
         
       
       or a pharmaceutically acceptable salt thereof;
 and the FXR agonist is a compound of Formula (IV): 
 
       
         
           
           
               
               
           
         
       
       or a pharmaceutically acceptable salt thereof. 
     
     
         10 . A pharmaceutical composition comprising a therapeutically effective amount of an ACC inhibitor, a therapeutically effective amount of an FXR agonist, and a pharmaceutically acceptable carrier; wherein the ACC inhibitor is a compound of Formula (II): 
       
         
           
           
               
               
           
         
       
       or a pharmaceutically acceptable salt thereof;
 and the FXR agonist is a compound of Formula (III): 
 
       
         
           
           
               
               
           
         
       
       or a pharmaceutically acceptable salt thereof. 
     
     
         11 . A pharmaceutical composition comprising a therapeutically effective amount of an ACC inhibitor, a therapeutically effective amount of an FXR agonist, and a pharmaceutically acceptable carrier; wherein the ACC inhibitor is a compound of Formula (II): 
       
         
           
           
               
               
           
         
       
       or a pharmaceutically acceptable salt thereof;
 and the FXR agonist is a compound of Formula (IV): 
 
       
         
           
           
               
               
           
         
       
       or a pharmaceutically acceptable salt thereof. 
     
     
         12 . The pharmaceutical composition of  claim 8 , further comprising a pharmaceutically acceptable carrier. 
     
     
         13 . The pharmaceutical composition of  claim 9 , further comprising a pharmaceutically acceptable carrier. 
     
     
         14 . The pharmaceutical composition of  claim 10 , further comprising a pharmaceutically acceptable carrier. 
     
     
         15 . The pharmaceutical composition of  claim 11 , further comprising a pharmaceutically acceptable carrier. 
     
     
         16 . The method of  claim 4 , wherein the liver disease is non-alcoholic steatohepatitis (NASH).