Novel compounds of the structural formula (I) are antagonists and/or inverse
agonists of the Cannabinoid-1 (CB1) receptor and are useful in the treatment, prevention
and suppression of diseases mediated by the CB1 receptor. The compounds of the
present invention are useful as centrally acting drugs in the treatment of psychosis,
memory deficits, cognitive disorders, migraine, neuropathy, neuro-inflammatory
disorders including multiple sclerosis and Guillain-Barre syndrome and the inflammatory
sequelae of viral encephalitis, cerebral vascular accidents, and head trauma, anxiety
disorders, stress, epilepsy, Parkinson's disease, movement disorders, and schizophrenia.
The compounds are also useful for the treatment of substance abuse disorders, the
treatment of obesity or eating disorders, as well as the treatment of asthma, constipation,
chronic intestinal pseudo-obstruction, and cirrhosis of the liver.