The present invention relates to a novel compound useful as a TRPV4
antagonist, specifically the compound 1-(((5S,7R)-3-(5-cyclopropylpyrazin-2-yl)-7-hydroxy-2-oxo-1-oxa-3-azaspiro[4.5]decan-7-yl)methyl)-1H-benzo[d]
imidazole-6-carbonitrile, pharmaceutically acceptable salts thereof and pharmaceutical compositions containing the compound. The compound of the invention can be useful in the treatmentof a
disease state selected from: atherosclerosis, disorders related to vasogenic
edema, postsurgical abdominal
edema, ocular
edema,
cerebral edema, local and systemic edema, fluid retention,
sepsis,hypertension,
inflammation, bone related dysfunctions and congestive
heart failure,
pulmonary disorders, chronic obstructive pulmonary disorder, ventilator induced
lung injury, high altitude inducedpulmonary edema,
acute respiratory distress syndrome, acute
lung injury,
pulmonary fibrosis,
sinusitis / rhinitis,
asthma, cough; including acute cough, sub-acute cough and
chronic cough,
pulmonary hypertension,
overactive bladder, cystitis, pain,
motor neuron disorders, genetic
gain of function disorders, cardiovascular
disease, renal dysfunction,
stroke,
glaucoma,
retinopathy,
endometriosis, pre-term labor, dermatitis, pruritus, pruritus in
liver disease, diabetes,
metabolic disorder,
obesity,
migraine,
pancreatitis, tumor suppression,
immunosuppression,
osteoarthritis, crohn's
disease,
colitis,
diarrhea, intestinal irregularity (hyperreactivity / hyporeactivity),
fecal incontinence,
irritable bowel syndrome (IBS),
constipation, intestinal pain and cramping, celiac disease,
lactose intolerance, and
flatulence.