The present invention provides a novel
carboxylic acid compound, a salt thereof or a
hydrate of them useful as an
insulin sensitizer, and a medicament comprising the compound as an
active ingredient. That is, the present invention provides a
carboxylic acid compound represented by the following formula, a salt thereof, an ester thereof or a
hydrate of them. Wherein R<1 >represents a
hydrogen atom, hydroxyl group,
halogen, carboxyl group, or a C1-6
alkyl group etc., each of which may have one or more substituents; L represents a
single bond, or a C1-6 alkylene group, a C2-6 alkenylene group or a C2-6 alkynylene group, each of which may have one or more substituents; M represents a
single bond, or a C1-6 alkylene group, a C2-6 alkenylene group or a C2-6 alkynylene group, each of which may have one or more substituents; T represents a
single bond, or a C1-3 alkylene group, a C2-3 alkenylene group or a C2-3 alkynylene group, each of which may have one or more substituents; W represents a carboxyl group; represents a single bond etc.; X represents a single bond,
oxygen atom, a group represented by -NR<X1>CQ<1>O- (wherein Q<1 >represents an
oxygen atom or
sulfur atom; and R<X1 >represents a
hydrogen atom,
formyl group, or a C1-6
alkyl group etc., each of which may have one or more substituents), -OCQ<1>NR<X1>- (wherein Q<1 >and R<X1 >are as defined above), -CQ<1>NR<X1>O- (wherein Q<1 >and R<X1 >are as defined above), ONR<X1>CQ<1>- (wherein Q<1 >and R<X1 >are as defined above), -Q<2>SO2- (wherein Q<2 >is an
oxygen atom or -NR<X10>- (wherein R<X10 >represents a
hydrogen atom,
formyl group, or a C1-6
alkyl group etc., each of which may have one or more substituents)) or -SO2Q<2>- (wherein Q<2 >is as defined above), (wherein, provided that R<X2 >and R<X3>, and / or R<X4 >and R<X5 >may together form a ring, Q<3 >and Q<4 >are the same as or different from each other and each represents an
oxygen atom, (O)S(O) or NR<X10 >< /