Heterocyclic inhibitors of microsomal triglyceride transfer protein and method

A compound which has the structure ##STR240## including a pharmaceutically acceptable salt thereof, or an N-oxide thereof,

• wherein A is ##STR241## where Z is N or CH, or where Z is ##STR242## or CH.sub.2 when --- is a single bond;
• Q is (1) --O--;
• (2) --S--;
• or
• (3) ##STR243## where R.sup.5 and R.sup.5a are the same or different and are H, lower alkyl, aryl, heteroaryl or cycloalkyl;
• R is H, alkyl, alkoxy, alkenyl, alkynyl, aryl, halo, heteroaryl, cycloheteroalkyl, heteroarylalkyl, cycloalkyl or cycloalkenyl, with the proviso that R cannot be alkoxy or halo when --- is a single bond;
• B is a fluorenyl-type group of the structure ##STR244## R.sup.1 is alkyl, alkenyl, alkynyl, alkoxyl, (alkyl or aryl).sub.3 Si (where each alkyl or aryl group is independent), cycloalkyl, cycloalkenyl, substituted alkylamino, substituted arylalkylamino, aryl, arylalkyl, arylamino, aryloxy, hydroxy, amino, heteroaryl, heteroarylamino, heteroaryloxy, arylsulfonylamino, heteroarylsulfonylamino, arylthio, arylsulfinyl, arylsulfonyl, alkylthio, alkylsulfinyl, alkylsulfonyl, heteroarylthio, heteroarylsulfinyl, heteroarylsulfonyl, cycloheteroalkyl, cycloheteroalkylalkyl, --PO(R.sup.13) (R.sup.14), (where R.sup.13 and R.sup.14 are independently alkyl, aryl, alkoxy, aryloxy, heteroaryl, heteroarylalkyl, heteroaryloxy, heteroarylalkoxy, cycloheteroalkyl, cycloheteroalkylalkyl, cycloheteroalkoxy, or cycloheteroalkylalkoxy);
• carbonylamino or aminocarbonyl (where the amino may optionally be substituted with one or two aryl, alkyl or heteroaryl groups);
• cyano, 1,1-(alkoxyl or aryloxy).sub.2 alkyl (where the two aryl or alkyl substituents can be independently defined, or linked to one another to form a ring connected to L.sup.1 at the 2, 4, 5 or 6-position;
• the R.sup.1 group may optionally be substituted with 1, 2, 3 or 4 substituents, which can be any of the R.sup.3 or R.sup.1 groups or alkylcarbonylamino, cycloalkylcarbonylamino, arylcarbonylamino, heteroarylcarbonylamino, alkoxycarbonylamino, aryloxycarbonylamino, heteroaryloxylcarbonylamino, uriedo (where the uriedo nitrogens may optionally be substituted with alkyl, aryl or heteroaryl), heterocyclylcarbonylamino (where the heterocycle is connected to the carbonyl group via a nitrogen or carbon atom), alkylsulfonylamino, arylsulfonylamino, heteroarylsulfonylamino, ##STR245## where J is:
• CHR.sup.23, ##STR246## R.sup.23, R.sup.24 and R.sup.25 are independently hydrogen, alkyl, alkenyl, alkynyl, aryl, arylalkyl, heteroaryl, heteroarylalkyl, cycloalkyl, or cycloalkylalkyl;
• R.sup.20, R.sup.21, R.sup.22 are independently hydrogen, halo, alkyl, alkenyl, alkoxy, aryloxy, aryl, arylalkyl, alkylmercapto, arylmercapto, cycloalkyl, cycloalkylalkyl, heteroaryl, heteroarylalkyl, hydroxy or haloalkyl;
• and these substituents may either be directly attached to R.sup.1, or attached via an alkylene at an open position;
• L.sup.1 is a linking group containing from 1 to 10 carbons in a linear chain including alkylene, alkenylene or alkynylene, which may contain, within the linking chain any of the following:
• one or two alkenes, one or two alkynes, an oxygen, an amino group, an oxo group, and may be substituted with one to five alkyl or halo groups;
• R.sup.3, R.sup.3 ', R.sup.4 and R.sup.4 ' may be the same or different and are independently selected from H, halogen, CF.sub.3, haloalkyl, hydroxy, alkoxy, alkyl, aryl, alkenyl, alkenyloxy, alkynyl, alkynyloxy, alkanoyl, nitro, amino, thiol, alkylthio, alkylsulfinyl, alkylsulfonyl, carboxy, alkoxycarbonyl, aminocarbonyl, alkylcarbonyloxy, alkylcarbonylamino, cycloheteroalkyl, cycloheteroalkylalkyl, cyano, Ar-, Ar-alkyl, ArO, Ar-amino, Ar-thio, Ar-sulfinyl, Ar-sulfonyl, Ar-carbonyl, Ar-carbonyloxy or Ar-carbonylamino, wherein Ar is aryl or heteroaryl and Ar may optionally include 1, 2 or 3 additional rings fused to Ar;
• R.sup.3a and R.sup.3b are the same or different and are independently any of the R.sup.3 groups;
• ##STR247## are the same or different and independently represent a 5 or 6 membered heteroaryl ring which contains 1, 2, 3 or 4 heteroatoms in the ring which are independently N, S or O;
• and including N-oxides;
• X is a bond, or is one of the following groups:
• ##STR248## wherein Y is O, N--R.sup.6 or S;
• n is 0, 1 or 2;
• R.sup.6 is H, lower alkyl, aryl, --C(O)--R.sup.11 or --C(O)--O--R.sup.11 ;
• R.sup.7 and R.sup.8 are the same or different and are independently H, alkyl, aryl, halogen, --O--R.sup.12, or
• R.sup.7 and R.sup.8 together can be oxygen to form a ketone;
• R.sup.9, R.sup.10, R.sup.9 ' and R.sup.10 are the same or different and are independently H, lower alkyl, aryl or --O--R.sup.11 ;
• R.sup.9 " and R.sup.10 " are the same or different and are independently H, lower alkyl, aryl, halogen or --O--R.sup.11 ;
• R.sup.11 is alky or aryl;
• R.sup.12 is H, alkyl or aryl;
• with the proviso that where A is ##STR249## or ##STR250## then R.sup.1 is other than alkoxy containing 1 to 3 carbons.