Enhanced erythropoiesis and iron metabolism

1. A method of treating anemia in a human subject with kidney disease comprising administering to the human subject an effective amount of a compound of Formula I

wherein

A is —CR 5 R 6 and R 5 and R 6 are each hydrogen;

B is —CO 2 H;

X is O;

Q is O;

R 4 is hydrogen

Y is CR 3 ;

R 1 , R 2 and R 3 are identical or different and are hydrogen, hydroxyl, halogen, cyano, trifluoromethyl, nitro, carboxyl, (C 1 -C 20 )-alkyl, (C 3 -C 8 )-cycloalkyl, (C 3 -C 8 )cycloalkyl-(C 1 -C 12 )-alkyl, (C 3 -C 8 )-cycloalkoxy, (C 3 -C 8 )-cycloalkyl-(C 1 -C 12 )-alkoxy, (C 3 -C 8 )-cycloalkyloxy-(C 1 -C 12 )-alkyl, (C 3 -C 8 )-cycloalkyloxy-(C 1 -C 12 )-alkoxy, (C 3 -C 8 )-cycloalkyl-(C 1 -C 8 )-alkyl-(C 1 -C 6 )-alkoxy, (C 3 -C 8 )-cycloalkyl-(C 1 -C 8 )-alkoxy-(C 1 -C 6 )-alkyl, (C 3 -C 8 )-cycloalkyloxy-(C 1 -C 8 )-alkoxy-(C 1 -C 6 )-alkyl, (C 3 -C 8 )-cycloalkoxy-(C 1 -C 8 )-alkoxy-(C 1 -C 8 )-alkoxy, (C 6 -C 12 )-aryl, (C 7 -C 16 )-aralkyl, (C 7 -C 16 )-aralkenyl, (C 7 -C 16 )-aralkynyl, (C 2 -C 20 )-alkenyl, (C 2 -C 20 )-alkynyl, (C 1 -C 20 )-alkoxy, (C 2 -C 20 )-alkenyloxy, (C 2 -C 2 )-alkynyloxy, retinyloxy, (C 1 -C 20 )-alkoxy-(C 1 -C 12 )-alkyl, (C 1 -C 12 )-alkoxy-(C 1 -C 12 )-alkoxy, (C 1 -C 12 )-alkoxy-(C 1 -C 8 )-alkoxy-(C 1 -C 8 )-alkyl, (C 6 -C 12 )-aryloxy, (C 7 -C 16 )-aralkyloxy, (C 6 -C 12 )-aryloxy-(C 1 -C 6 )-alkoxy, (C 7 -C 16 )-aralkoxy-(C 1 -C 6 )-alkoxy, (C 1 -C 16 )-hydroxyalkyl, (C 6 -C 16 )-aryloxy-(C 1 -C 8 )-alkyl, (C 7 -C 16 )-aralkoxy-(C 1 -C 8 )-alkyl, (C 6 -C 12 )-aryloxy-(C 1 -C 8 )-alkoxy-(C 1 -C 6 )-alkyl, (C 7 -C 12 )-aralkyloxy-(C 1 -C 8 )-alkoxy-(C 1 -C 6 )-alkyl, (C 2 -C 20 )-alkenyloxy-(C 1 -C 6 )-alkyl, (C 2 -C 20 )-alkynyloxy-(C 1 -C 6 )-alkyl, retinyloxy-(C 1 -C 6 )-alkyl, —O—[CH 2 ] x CfH (2f+1−g) F g , —OCF 2 Cl, —OCF 2 —CHFCl, (C 1 -C 20 )-alkylcarbonyl, (C 3 -C 8 )-cycloalkylcarbonyl, (C 6 -C 12 )-arylcarbonyl, (C 7 -C 16 )-aralkylcarbonyl, cinnamoyl, (C 2 -C 20 )-alkenylcarbonyl, (C 2 -C 20 )-alkynylcarbonyl, (C 1 -C 20 )-alkoxycarbonyl, (C 1 -C 12 )-alkoxy-(C 1 -C 12 )-alkoxycarbonyl, (C 6 -C 12 )-aryloxycarbonyl, (C 7 -C 16 )-aralkoxycarbonyl, (C 3 -C 8 )-cycloalkoxycarbonyl, (C 2 -C 20 )-alkenyloxycarbonyl, retinyloxycarbonyl, (C 2 -C 20 )-alkynyloxycarbonyl, (C 6 -C 12 )-aryloxy-(C 1 -C 6 )-alkoxycarbonyl, (C 7 -C 16 )-aralkoxy-(C 1 -C 6 )-alkoxycarbonyl, (C 3 -C 8 )-cycloalkyl-(C 1 -C 6 )-alkoxycarbonyl, (C 3 -C 8 )-cycloalkoxy-(C 1 -C 6 )-alkoxycarbonyl, (C 1 -C 12 )-alkylcarbonyloxy, (C 3 -C 8 )-cycloalkylcarbonyloxy, (C 6 -C 12 )-arylcarbonyloxy, (C 7 -C 16 )-aralkylcarbonyloxy, cinnamoyloxy, (C 2 -C 12 )-alkenylcarbonyloxy, (C 2 -C 12 )-alkynylcarbonyloxy, (C 1 -C 12 )-alkoxycarbonyloxy, (C 1 -C 12 )-alkoxy-(C 1 -C 12 )-alkoxycarbonyloxy, (C 6 -C 12 )-aryloxycarbonyloxy, (C 7 -C 16 )-aralkyloxycarbonyloxy, (C 3 -C 8 )-cycloalkoxycarbonyloxy, (C 2 -C 12 )-alkenyloxycarbonyloxy, (C 2 -C 12 )-alkynyloxycarbonyloxy, carbamoyl, N—(C 1 -C 12 )-alkylcarbamoyl, N,N-di-(C 1 -C 12 )-alkylcarbamoyl, N—(C 3 -C 8 )-cycloalkylcarbamoyl, N,N-dicyclo-(C 3 -C 8 )-alkylcarbamoyl, N—(C 1 -C 10 )-alkyl-N—(C 3 -C 8 )-cycloalkylcarbamoyl, N—((C 3 -C 8 )-cycloalkyl-(C 1 -C 6 )-alkyl)-carbamoyl, N—(C 1 -C 6 )-alkyl-N—((C 3 -C 8 )-cycloalkyl-(C 1 -C 6 )-alkyl)-carbamoyl, N-(+)-dehydroabietylcarbamoyl, N—(C 1 -C 6 )-alkyl-N-(+)-dehydroabietylcarbamoyl, N—(C 6 -C 12 )-arylcarbamoyl, N—(C 7 -C 16 )-aralkylcarbamoyl, N—(C 1 -C 10 )-alkyl-N—(C 6 -C 16 )-arylcarbamoyl, N—(C 1 -C 10 )-alkyl-N—(C 7 -C 16 )-aralkylcarbamoyl, N—((C 1 -C 18 )-alkoxy-(C 1 -C 10 )-alkyl)-carbamoyl, N—((C 6 -C 16 )-aryloxy-(C 1 -C 10 )-alkyl)-carbamoyl, N—((C 7 -C 16 )-aralkyloxy-(C 1 -C 10 )-alkyl)-carbamoyl, N—(C 1 -C 10 )-alkyl-N—((C 1 -C 10 )-alkoxy-(C 1 -C 10 )-alkyl)-carbamoyl, N—(C 1 -C 10 )-alkyl-N—((C 6 -C 12 )-aryloxy-(C 1 -C 10 )-alkyl)-carbamoyl, N—(C 1 -C 10 )-alkyl-N—((C 7 -C 16 )-aralkyloxy-(C 1 -C 10 )-alkyl)-carbamoyl; CON(CH 2 ) h , in which a CH 2 group can be replaced by O, S, N—(C 1 -C 8 )-alkylimino, N—(C 3 -C 8 )-cycloalkylimino, N—(C 3 -C 8 )-cycloalkyl-(C 1 -C 4 )-alkylimino, N—(C 6 -C 12 )-arylimino, N—(C 7 -C 16 )-aralkylimino, N—(C 1 -C 4 )-alkoxy-(C 1 -C 6 )-alkylimino, and h is from 3 to 7; a carbamoyl radical of the formula R

in which

R x and R v are each independently selected from hydrogen, (C 1 -C 6 )-alkyl, (C 3 -C 7 )-cycloalkyl, aryl, or the substituent of an α-carbon of an α-amino acid, to which the L- and D-amino acids belong,

s is 1-5,

T is OH, or NR*R**, and R*, R** and R*** are identical or different and are selected from hydrogen, (C 6 -C 12 )-aryl, (C 7 -C 11 )-aralkyl, (C 1 -C 8 )-alkyl, (C 3 -C 8 )-cycloalkyl, (+)-dehydroabietyl, (C 1 -C 8 )-alkoxy-(C 1 -C 8 )-alkyl, (C 7 -C 12 )-aralkoxy-(C 1 -C 8 )-alkyl, (C 6 -C 12 )-aryloxy-(C 1 -C 8 )-alkyl, (C 1 -C 10 )-alkanoyl, optionally substituted (C 7 -C 16 )-aralkanoyl, optionally substituted (C 6 -C 12 )-aroyl; or R* and R** together are —[CH 2 ] h , in which a CH 2 group can be replaced by O, S, SO, SO 2 , N-acylamino, N—(C 1 -C 10 )-alkoxycarbonylimino, N—(C 1 -C 8 )-alkylimino, N—(C 3 -C 8 )-cycloalkylimino, N—(C 3 -C 8 )-cycloalkyl-(C 1 -C 4 )-alkylimino, N—(C 6 -C 12 )-arylimino, N—(C 7 -C 16 )-aralkylimino, N—(C 1 -C 4 )-alkoxy-(C 1 -C 6 )-alkylimino, and h is from 3 to 7;

carbamoyloxy, N—(C 1 -C 12 )-alkylcarbamoyloxy, N,N-di-(C 1 -C 12 )-alkylcarbamoyloxy, N—(C 3 -C 8 )-cycloalkylcarbamoyloxy, N—(C 6 -C 12 )-arylcarbamoyloxy, N—(C 7 -C 16 )-aralkylcarbamoyloxy, N—(C 1 -C 10 )-alkyl-N—(C 6 -C 12 )-arylcarbamoyloxy, N—(C 1 -C 10 )-alkyl-N—(C 7 -C 16 )-aralkylcarbamoyloxy, N—((C 1 -C 10 )-alkyl)-carbamoyloxy, N—((C 6 -C 12 )-aryloxy-(C 1 -C 10 )-alkyl)-carbamoyloxy, N—((C 7 -C 16 )-aralkyloxy-(C 1 -C 10 )-alkyl)-carbamoyloxy, N—(C 1 -C 10 )-alkyl-N—((C 1 -C 10 )-alkoxy-(C 1 -C 10 )-alkyl)-carbamoyloxy, N—(C 1 -C 10 )-alkyl-N-((C 6 -C 12 )-aryloxy-(C 1 -C 10 )-alkyl)-carbamoyloxy, N—(C 1 -C 10 )-alkyl-N—((C 7 -C 16 )-aralkyloxy-(C 1 -C 10 )-alkyl)-carbamoyloxyamino, (C 1 -C 12 )-alkylamino, di-(C 1 -C 12 )-alkylamino, (C 3 -C 8 )-cycloalkylamino, (C 3 -C 12 )-alkenylamino, (C 3 -C 12 )-alkynylamino, N—(C 6 -C 12 )-arylamino, N—(C 7 -C 11 )-aralkylamino, N-alkyl-aralkylamino, N-alkyl-arylamino, (C 1 -C 12 )-alkoxyamino, (C 1 -C 12 )-alkoxy-N—(C 1 -C 10 )-alkylamino, (C 1 -C 12 )-alkanoylamino, (C 3 -C 8 )-cycloalkanoylamino, (C 6 -C 12 )-aroylamino, (C 7 -C 16 )-aralkanoylamino, (C 1 -C 12 )-alkanoyl-N—(C 1 -C 10 )-alkylamino, (C 3 -C 8 )-cycloalkanoyl-N—(C 1 -C 10 )-alkylamino, (C 6 -C 12 )-aroyl-N—(C 1 -C 10 )-alkylamino, (C 7 -C 11 )-aralkanoyl-N—(C 1 -C 10 )-alkylamino, (C 1 -C 12 )-alkanoylamino-(C 1 -C 8 )-alkyl, (C 3 -C 8 )-cycloalkanoylamino-(C 1 -C 8 )-alkyl, (C 6 -C 12 )-aroylamino-(C 1 -C 8 )-alkyl, (C 7 -C 16 )-aralkanoylamino-(C 1 -C 8 )-alkyl, amino-(C 1 -C 10 )-alkyl, N—(C 1 -C 10 )-alkylamino-(C 1 -C 10 )-alkyl, N,N-di(C 1 -C 10 )-alkylamino-(C 1 -C 10 )-alkyl, (C 3 -C 8 )-cycloalkylamino(C 1 -C 10 )-alkyl, (C 1 -C 20 )-alkylmercapto, (C 1 -C 20 )-alkylsulfinyl, (C 1 -C 20 )-alkylsulfonyl, (C 6 -C 12 )-arylmercapto, (C 6 -C 12 )-arylsulfinyl, (C 6 -C 12 )-arylsulfonyl, (C 7 -C 16 )-aralkylmercapto, (C 7 -C 16 )-aralkylsulfinyl, (C 7 -C 16 )-aralkylsulfonyl, (C 1 -C 12 )-alkylmercapto-(C 1 -C 6 )-alkyl, (C 1 -C 12 )-alkylsulfinyl-(C 1 -C 6 )-alkyl, (C 1 -C 12 )-alkylsulfonyl-(C 1 -C 6 )-alkyl, (C 6 -C 12 )-arylmercapto-(C 1 -C 6 )-alkyl, (C 6 -C 12 )-arylsulfinyl-(C 1 -C 6 )-alkyl, (C 6 -C 12 )-arylsulfonyl-(C 1 -C 6 )-alkyl, (C 7 -C 16 )-aralkylmercapto-(C 1 -C 6 )-alkyl, (C 7 -C 16 )-aralkylsulfinyl-(C 1 -C 6 )-alkyl, (C 7 -C 16 )-aralkylsulfonyl-(C 1 -C 6 )-alkyl, sulfamoyl, N—(C 1 -C 10 )-alkylsulfamoyl, N,N-di-(C 1 -C 10 )-alkylsulfamoyl, (C 3 -C 8 )-cycloalkylsulfamoyl, N—(C 6 -C 12 )-arylsulfamoyl, N—(C 7 -C 16 )-aralkylsulfamoyl, N—(C 1 -C 10 )-alkyl-N—(C 6 -C 12 )-arylsulfamoyl, N—(C 1 -C 10 )-alkyl-N—(C 7 -C 16 )-aralkylsulfamoyl, (C 1 -C 10 )-alkylsulfonamido, N—((C 1 -C 10 )-alkyl)-(C 1 -C 10 )-alkylsulfonamido, (C 7 -C 16 )-aralkylsulfonamido, and N—((C 1 -C 10 )-alkyl-(C 7 -C 16 )-aralkylsulfonamido; where an aryl radical may be substituted by 1 to 5 substituents selected from hydroxyl, halogen, cyano, trifluoromethyl, nitro, carboxyl, (C 2 -C 16 )-alkyl, (C 3 -C 8 )-cycloalkyl, (C 3 -C 8 )-cycloalkyl-(C 1 -C 12 )-alkyl, (C 3 -C 8 )-cycloalkoxy, (C 3 -C 8 )-cycloalkyl-(C 1 -C 12 )-alkoxy, (C 3 -C 8 )-cycloalkyloxy-(C 1 -C 12 )-alkyl, (C 3 -C 8 )-cycloalkyloxy-(C 1 -C 12 )-alkoxy, (C 3 -C 8 )-cycloalkyl-(C 1 -C 8 )-alkyl-(C 1 -C 6 )-alkoxy, (C 3 -C 8 )-cycloalkyl(C 1 -C 8 )-alkoxy-(C 1 -C 6 )-alkyl, (C 3 -C 8 )-cycloalkyloxy-(C 1 -C 8 )-alkoxy-(C 1 -C 6 )-alkyl, (C 3 -C 8 )-cycloalkoxy-(C 1 -C 8 )-alkoxy-(C 1 -C 8 )-alkoxy, (C 6 -C 12 )-aryl, (C 7 -C 16 )-aralkyl, (C 2 -C 16 )-alkenyl, (C 2 -C 12 )-alkynyl, (C 1 -C 16 )-alkoxy, (C 1 -C 16 )-alkenyloxy, (C 1 -C 12 )-alkoxy-(C 1 -C 12 )-alkyl, (C 1 -C 12 )-alkoxy-(C 1 -C 12 )-alkoxy, (C 1 -C 12 )-alkoxy(C 1 -C 8 )-alkoxy-(C 1 -C 8 )-alkyl, (C 6 -C 12 )-aryloxy, (C 7 -C 16 )-aralkyloxy, (C 6 -C 12 )-aryloxy-(C 1 -C 6 )-alkoxy, (C 7 -C 16 )-aralkoxy-(C 1 -C 6 )-alkoxy, (C 1 -C 8 )-hydroxyalkyl, (C 6 -C 16 )-aryloxy-(C 1 -C 8 )-alkyl, (C 7 -C 16 )-aralkoxy-(C 1 -C 8 )-alkyl, (C 6 -C 12 )-aryloxy-(C 1 -C 8 )-alkoxy-(C 1 -C 6 )-alkyl, (C 7 -C 12 )-aralkyloxy-(C 1 -C 8 )-alkoxy-(C 1 -C 6 )-alkyl, —O—[CH 2 ] x C f H (2f+1−g) F g , —OCF 2 Cl, —OCF 2 —CHFCl, (C 1 -C 12 )-alkylcarbonyl, (C 3 -C 8 )-cycloalkylcarbonyl, (C 6 -C 12 )-arylcarbonyl, (C 7 -C 16 )-aralkylcarbonyl, (C 1 -C 12 )-alkoxycarbonyl, (C 1 -C 12 )-alkoxy-(C 1 -C 12 )-alkoxycarbonyl, (C 6 -C 12 )-aryloxycarbonyl, (C 7 -C 16 )-aralkoxycarbonyl, (C 3 -C 8 )-cycloalkoxycarbonyl, (C 2 -C 12 )-alkenyloxycarbonyl, (C 2 -C 12 )-alkynyloxycarbonyl, (C 6 -C 12 )-aryloxy-(C 1 -C 6 )-alkoxycarbonyl, (C 7 -C 16 )-aralkoxy-(C 1 -C 6 )-alkoxycarbonyl, (C 3 -C 8 )-cycloalkyl-(C 1 -C 6 )-alkoxycarbonyl, (C 3 -C 8 )-cycloalkoxy-(C 1 -C 6 )-alkoxycarbonyl, (C 1 -C 12 )-alkylcarbonyloxy, (C 3 -C 8 )-cycloalkylcarbonyloxy, (C 6 -C 12 )-arylcarbonyloxy, (C 7 -C 16 )-aralkylcarbonyloxy, cinnamoyloxy, (C 2 -C 12 )-alkenylcarbonyloxy, (C 2 -C 12 )-alkynylcarbonyloxy, (C 1 -C 12 )-alkoxycarbonyloxy, (C 1 -C 12 )-alkoxy-(C 1 -C 12 )-alkoxycarbonyloxy, (C 6 -C 12 )-aryloxycarbonyloxy, (C 7 -C 16 )-aralkyloxycarbonyloxy, (C 3 -C 8 )-cycloalkoxycarbonyloxy, (C 2 -C 12 )-alkenyloxycarbonyloxy, (C 2 -C 12 )-alkynyloxycarbonyloxy, carbamoyl, N—(C 1 -C 12 )-alkylcarbamoyl, N,N-di(C 1 -C 12 )-alkylcarbamoyl, N—(C 3 -C 8 )-cycloalkylcarbamoyl, N,N-dicyclo-(C 3 -C 8 )-alkylcarbamoyl, N—(C 1 -C 10 )-alkyl-N—(C 3 -C 8 )-cycloalkylcarbamoyl, N—((C 3 -C 8 )-cycloalkyl-(C 1 -C 6 )-alkyl)carbamoyl, N—(C 1 -C 6 )-alkyl-N—((C 3 -C 8 )-cycloalkyl-(C 1 -C 6 )-alkyl)carbamoyl, N-(+)-dehydroabietylcarbamoyl, N—(C 1 -C 6 )-alkyl-N-(+)-dehydroabietylcarbamoyl, N—(C 6 -C 12 )-arylcarbamoyl, N—(C 7 -C 16 )-aralkylcarbamoyl, N—(C 1 -C 10 )-alkyl-N—(C 6 -C 16 )-arylcarbamoyl, N—(C 1 -C 10 )-alkyl-N—(C 7 -C 16 )-aralkylcarbamoyl, N—((C 1 -C 16 )-alkoxy-(C 1 -C 10 )-alkyl)carbamoyl, N—((C 6 -C 16 )-aryloxy-(C 1 -C 10 )-alkyl)carbamoyl, N—((C 7 -C 16 )-aralkyloxy-(C 1 -C 10 )-alkyl)carbamoyl, N—(C 1 -C 10 )-alkyl-N—((C 1 -C 10 )-alkoxy-(C 1 -C 10 )-alkyl)carbamoyl, N—(C 1 -C 10 )-alkyl-N—((C 6 -C 12 )-aryloxy-(C 1 -C 10 )-alkyl)carbamoyl, N—(C 1 -C 10 )-alkyl-N—((C 7 -C 16 )-aralkyloxy-(C 1 -C 10 )-alkyl)-carbamoyl, CON(CH 2 ) h , in which a CH 2 group can be replaced by, O, S, N—(C 1 -C 8 )-alkylimino, N—(C 3 -C 8 )-cycloalkylimino, N—(C 3 -C 8 )-cycloalkyl-(C 1 -C 4 )-alkylimino, N—(C 6 -C 12 )-arylimino, N—(C 7 -C 16 )-aralkylimino, N—(C 1 -C 4 )-alkoxy-(C 1 -C 6 )-alkylimino, and h is from 3 to 7; carbamoyloxy, N—(C 1 -C 12 )-alkylcarbamoyloxy, N,N-di-(C 1 -C 12 )-alkylcarbamoyloxy, N—(C 3 -C 8 )-cycloalkylcarbamoyloxy, N—(C 6 -C 16 )-arylcarbamoyloxy, N—(C 7 -C 16 )-aralkylcarbamoyloxy, N—(C 1 -C 10 )-alkyl-N—(C 6 -C 12 )-arylcarbamoyloxy, N—(C 1 -C 10 )-alkyl-N—(C 7 -C 16 )-aralkylcarbamoyloxy, N—((C 1 -C 10 )-alkyl)carbamoyloxy, N—((C 6 -C 12 )-aryloxy-(C 1 -C 10 )-alkyl)carbamoyloxy, N—((C 7 -C 16 )-aralkyloxy-(C 1 -C 10 )-alkyl)carbamoyloxy, N—(C 1 -C 10 )-alkyl-N—((C 1 -C 10 )-alkoxy-(C 1 -C 10 )-alkyl)carbamoyloxy, N—(C 1 -C 10 )-alkyl-N—((C 6 -C 12 )-aryloxy-(C 1 -C 10 )-alkyl)carbamoyloxy, N—(C 1 -C 10 )-alkyl-N—((C 7 -C 16 )-aralkyloxy-(C 1 -C 10 )-alkyl)carbamoyloxy, amino, (C 1 -C 12 )-alkylamino, di-(C 1 -C 12 )-alkylamino, (C 3 -C 8 )-cycloalkylamino, (C 3 -C 12 )-alkenylamino, (C 3 -C 12 )-alkynylamino, N—(C 6 -C 12 )-arylamino, N—(C 7 -C 11 )-aralkylamino, N-alkyl-aralkylamino, N-alkyl-arylamino, (C 1 -C 12 )-alkoxyamino, (C 1 -C 12 )-alkoxy-N—(C 1 -C 10 )-alkylamino, (C 1 -C 12 )-alkanoylamino, (C 3 -C 8 )-cycloalkanoylamino, (C 6 -C 12 )-aroylamino, (C 7 -C 16 )-aralkanoylamino, (C 1 -C 12 )-alkanoyl-N—(C 1 -C 10 )-alkylamino, (C 3 -C 8 )-cycloalkanoyl-N—(C 1 -C 10 )-alkylamino, (C 6 -C 12 )-aroyl-N—(C 1 -C 10 )-alkylamino, (C 7 -C 11 )-aralkanoyl-N—(C 1 -C 10 )-alkylamino, (C 1 -C 12 )-alkanoylamino-(C 1 -C 8 )-alkyl, (C 3 -C 8 )-cycloalkanoylamino-(C 1 -C 8 )-alkyl, (C 6 -C 12 )-aroylamino-(C 1 -C 8 )-alkyl, (C 7 -C 16 )-aralkanoylamino-(C 1 -C 8 )-alkyl, amino-(C 1 -C 10 )-alkyl, N—(C 1 -C 10 )-alkylamino-(C 1 -C 10 )-alkyl, N,N-di-(C 1 -C 10 )-alkylamino-(C 1 -C 10 )-alkyl, (C 3 -C 8 )-cycloalkylamino-(C 1 -C 10 )-alkyl, (C 1 -C 12 )-alkylmercapto, (C 1 -C 12 )-alkylsulfinyl, (C 1 -C 12 )-alkylsulfonyl, (C 6 -C 16 )-arylmercapto, (C 6 -C 16 )-arylsulfinyl, (C 6 -C 16 )-arylsulfonyl, (C 7 -C 16 )-aralkylmercapto, (C 7 -C 16 )-aralkylsulfinyl, or (C 7 -C 16 )-aralkylsulfonyl;

including the physiologically active salts derived therefrom, wherein the anemia is treated.

2. The method of claim 1 , wherein the compound inhibits hypoxia-inducible factor (HIF) prolyl hydroxylase enzyme activity.

3. The method of claim 1 , wherein the compound stabilizes the alpha subunit of hypoxia inducible factor.

4. The method of claim 1 , wherein the compound is orally administered to the human subject.

5. The method of claim 1 , wherein the human subject is undergoing kidney dialysis.

6. The method of claim 1 , wherein the human subject is not undergoing kidney dialysis.

7. The method of claim 1 , wherein the erythropoietin plasma level in the human subject is increased following administration of the effective amount of the compound.

8. The method of claim 1 , wherein the plasma hematocrit level in the human subject is increased following administration of the effective amount of the compound.

9. The method of claim 1 , wherein the plasma hemoglobin level in the human subject is increased following administration of the effective amount of the compound.

10. The method of claim 1 , wherein administration of the compound to the human subject reduces the need for the human subject to receive an allogenic blood transfusion.

11. The method of claim 1 further comprising administering exogenous erythropoietin to the human subject.

12. The method of claim 1 , wherein the kidney disease is chronic.

13. A method of treating anemia in a human subject with kidney disease comprising administering to the human subject an effective amount of a compound of Formula I

wherein

A is —CR 5 R 6 and R 5 and R 6 are each hydrogen;

B is —CO 2 H;

X is 0;

Q is 0;

R 4 is hydrogen;

Y is CR 3 ;

R 1 , R 2 and R 3 are identical or different and are hydrogen, halogen, (C 1 -C 20 )-alkyl, (C 6 -C 12 )-aryl, (C 1 -C 20 )-alkoxy, (C 6 -C 12 )-aryloxy, N—((C 1 -C 18 )-alkoxy-(C 1 -C 10 )-alkyl)-carbamoyl, (C 6 -C 12 )-arylmercapto; where an aryl radical may be substituted by 1 to 5 substituents selected from halogen;

including the physiologically active salts derived therefrom, wherein the anemia is treated.

14. The method of claim 13 , wherein the compound inhibits hypoxia-inducible factor (HIF) prolyl hydroxylase enzyme activity.

15. The method of claim 13 , wherein the compound stabilizes the alpha subunit of hypoxia inducible factor.

16. The method of claim 13 , wherein the compound is orally administered to the human subject.

17. The method of claim 13 , wherein the human subject is undergoing kidney dialysis.

18. The method of claim 13 , wherein the human subject is not undergoing kidney dialysis.

19. The method of claim 13 , wherein the erythropoietin plasma level in the human subject is increased following administration of the effective amount of the compound.

20. The method of claim 13 , wherein the plasma hematocrit level in the human subject is increased following administration of the effective amount of the compound.

21. The method of claim 13 , wherein the plasma hemoglobin level in the human subject is increased following administration of the effective amount of the compound.

22. The method of claim 13 , wherein administration of the compound to the human subject reduces the need for the human subject to receive an allogenic blood transfusion.

23. The method of claim 13 further comprising administering exogenous erythropoietin to the human subject.

24. The method of claim 13 , wherein the kidney disease is chronic.

25. A method of treating anemia in a human subject with chronic renal failure comprising administering to the human subject an effective amount of a compound of the formula I

wherein

A is —CR 5 R 6 and R 5 and R 6 are each hydrogen;

B is —CO 2 H

X is 0;

Q is 0;

R 4 is hydrogen;

Y is CR 3 ;

R 1 , R 2 and R 3 are identical or different and are hydrogen, hydroxyl, halogen, cyano, trifluoromethyl, nitro, carboxyl, (C 1 -C 20 )-alkyl, (C 3 -C 8 )-cycloalkyl, (C 3 -C 8 )cycloalkyl-(C 1 -C 12 )-alkyl, (C 3 -C 8 )-cycloalkoxy, (C 3 -C 8 )-cycloalkyl-(C 1 -C 12 )-alkoxy, (C 3 -C 8 )-cycloalkyloxy-(C 1 -C 12 )-alkyl, (C 3 -C 8 )-cycloalkyloxy-(C 1 -C 2 )-alkoxy, (C 3 -C 8 )-cycloalkyl-(C 1 -C 8 )-alkyl-(C 1 -C 6 )-alkoxy, (C 3 -C 8 )-cycloalkyl-(C 1 -C 8 )-alkoxy-(C 1 -C 6 )-alkyl, (C 3 -C 8 )-cycloalkyloxy-(C 1 -C 8 )-alkoxy-(C 1 -C 6 )-alkyl, (C 3 -C 8 )-cycloalkoxy-(C 1 -C 8 )-alkoxy-(C 1 -C 8 )-alkoxy, (C 6 -C 2 )-aryl, (C 7 -C 16 )-aralkyl, (C 7 -C 16 )-aralkenyl, (C 7 -C 16 )-aralkynyl, (C 2 -C 20 )-alkenyl, (C 2 -C 20 )-alkynyl, (C 1 -C 20 )-alkoxy, (C 2 -C 20 )-alkenyloxy, (C 2 -C 2 )-alkynyloxy, retinyloxy, (C 1 -C 20 )-alkoxy-(C 1 -C 12 )-alkyl, (C 1 -C 2 )-alkoxy-(C 1 -C 12 )-alkoxy, (C 1 -C 2 )-alkoxy-(C 1 -C 8 )-alkoxy-(C 1 -C 8 )-alkyl, (C 6 -C 2 )-aryloxy, (C 7 -C 16 )-aralkyloxy, (C 6 -C 12 )-aryloxy-(C 1 -C 6 )-alkoxy, (C 7 -C 16 )-aralkoxy-(C 1 -C 6 )-alkoxy, (C 1 -C 16 )-hydroxyalkyl, (C 6 -C 16 )-aryloxy-(C 1 -C 8 )-alkyl, (C 7 -C 16 )-aralkoxy-(C 1 -C 8 )-alkyl, (C 6 -C 12 )-aryloxy-(C 1 -C 8 )-alkoxy-(C 1 -C 6 )-alkyl, (C 7 -C 2 )-aralkyloxy-(C 1 -C 8 )-alkoxy-(C 1 -C 6 )-alkyl, (C 2 -C 20 )-alkenyloxy-(C 1 -C 6 )-alkyl, (C 2 -C 20 )-alkynyloxy-(C 1 -C 6 )-alkyl, retinyloxy-(C 1 -C 6 )-alkyl, —O—[CH 2 ] x CfH (2f+−g) F g , —OCF 2 Cl, —OCF 2 —CHFCl, (C 1 -C 20 )-alkylcarbonyl, (C 3 -C 8 )-cycloalkylcarbonyl, (C 6 -C 12 )-arylcarbonyl, (C 7 -C 16 )-aralkylcarbonyl, cinnamoyl, (C 2 -C 20 )-alkenylcarbonyl, (C 2 -C 20 )-alkynylcarbonyl, (C 1 -C 20 )-alkoxycarbonyl, (C 1 -C 2 )-alkoxy-(C 1 -C 12 )-alkoxycarbonyl, (C 6 -C 12 )-aryloxycarbonyl, (C 7 -C 16 )-aralkoxycarbonyl, (C 3 -C 8 )-cycloalkoxycarbonyl, (C 2 -C 20 )-alkenyloxycarbonyl, retinyloxycarbonyl, (C 2 -C 20 )-alkynyloxycarbonyl, (C 6 -C 12 )-aryloxy-(C 1 -C 6 )-alkoxycarbonyl, (C 7 -C 16 )-aralkoxy-(C 1 -C 6 )-alkoxycarbonyl, (C 3 -C 8 )-cycloalkyl-(C 1 -C 6 )-alkoxycarbonyl, (C 3 -C 8 )-cycloalkoxy-(C 1 -C 6 )-alkoxycarbonyl, (C 1 -C 12 )-alkylcarbonyloxy, (C 3 -C 8 )-cycloalkylcarbonyloxy, (C 6 -C 12 )-arylcarbonyloxy, (C 7 -C 16 )-aralkylcarbonyloxy, cinnamoyloxy, (C 2 -C 12 )-alkenylcarbonyloxy, (C 2 -C 12 )-alkynylcarbonyloxy, (C 1 -C 12 )-alkoxycarbonyloxy, (C 1 -C 12 )-alkoxy-(C 1 -C 2 )-alkoxycarbonyloxy, (C 6 -C 12 )-aryloxycarbonyloxy, (C 7 -C 16 )-aralkyloxycarbonyloxy, (C 3 -C 8 )-cycloalkoxycarbonyloxy, (C 2 -C 12 )-alkenyloxycarbonyloxy, (C 2 -C 12 )-alkynyloxycarbonyloxy, carbamoyl, N—(C 1 -C 12 )-alkylcarbamoyl, N,N-di-(C 1 -C 2 )-alkylcarbamoyl, N—(C 3 -C 8 )-cycloalkylcarbamoyl, N,N-dicyclo-(C 3 -C 8 )-alkylcarbamoyl, N—(C 1 -C 10 )-alkyl-N—(C 3 -C 8 )-cycloalkylcarbamoyl, N—((C 3 -C 8 )-cycloalkyl-(C 1 -C 6 )-alkyl)-carbamoyl, N—(C 1 -C 6 )-alkyl-N—((C 3 -C 8 )-cycloalkyl-(C 1 -C 6 )-alkyl)-carbamoyl, N-(+)-dehydroabietylcarbamoyl, N—(C 1 -C 6 )-alkyl-N-(+)-dehydroabietylcarbamoyl, N—(C 6 -C 12 )-arylcarbamoyl, N—(C 7 -C 16 )-aralkylcarbamoyl, N—(C 1 -C 10 )-alkyl-N—(C 6 -C 16 )-arylcarbamoyl, N—(C 1 -C 10 )-alkyl-N—(C 7 -C 16 )-aralkylcarbamoyl, N—((C 1 -Cis)-alkoxy-(C 1 -C 10 )-alkyl)-carbamoyl, N—((C 6 -C 16 )-aryloxy-(C 1 -C 10 )-alkyl)-carbamoyl, N—((C 7 -C 16 )-aralkyloxy-(C 1 -C 10 )-alkyl)-carbamoyl, N—(C 1 -C 10 )-alkyl-N—((C 1 -C 10 )-alkoxy-(C 1 -C 10 )-alkyl)-carbamoyl, N—(C 1 -C 10 )-alkyl-N—((C 6 -C 12 )-aryloxy-(C 1 -C 10 )-alkyl)-carbamoyl, N—(C 1 -C 10 )-alkyl-N—((C 7 -C 16 )-aralkyloxy-(C 1 -C 10 )-alkyl)-carbamoyl; CON(CH 2 ) h , in which a CH 2 group can be replaced by O, S, N—(C 1 -C 8 )-alkylimino, N—(C 3 -C 8 )-cycloalkylimino, N—(C 3 -C 8 )-cycloalkyl-(C 1 -C 4 )-alkylimino, N—(C 6 -C 12 )-arylimino, N—(C 7 -C 16 )-aralkylimino, N—(C 1 -C 4 )-alkoxy-(C 1 -C 6 )-alkylimino, and h is from 3 to 7; a carbamoyl radical of the formula R

in which

R x and R v are each independently selected from hydrogen, (C 1 -C 6 )-alkyl, (C 3 -C 7 )-cycloalkyl, aryl, or the substituent of an α-carbon of an α-amino acid, to which the L- and D-amino acids belong,

s is 1-5,

T is OH, or NR*R**, and R*, R** and R*** are identical or different and are selected from hydrogen, (C 6 -C 12 )-aryl, (C 7 -C 11 )-aralkyl, (C 1 -C 8 )-alkyl, (C 3 -C 8 )-cycloalkyl, (+)-dehydroabietyl, (C 1 -C 8 )-alkoxy-(C 1 -C 8 )-alkyl, (C 7 -C 12 )-aralkoxy-(C 1 -C 8 )-alkyl, (C 6 -C 12 )-aryloxy-(C 1 -C 8 )-alkyl, (C 1 -C 10 )-alkanoyl, optionally substituted (C 7 -C 16 )-aralkanoyl, optionally substituted (C 6 -C 12 )-aroyl; or R* and R** together are —[CH 2 ] h , in which a CH 2 group can be replaced by O, S, SO, SO 2 , N-acylamino, N—(C 1 -C 10 )-alkoxycarbonylimino, N—(C 1 -C 8 )-alkylimino, N—(C 3 -C 8 )-cycloalkylimino, N—(C 3 -C 8 )-cycloalkyl-(C 1 -C 4 )-alkylimino, N—(C 6 -C 2 )-arylimino, N—(C 7 -C 16 )-aralkylimino, N—(C 1 -C 4 )-alkoxy-(C 1 -C 6 )-alkylimino, and h is from 3 to 7; carbamoyloxy, N—(C 1 -C 12 )-alkylcarbamoyloxy, N,N-di-(C 1 -C 12 )-alkylcarbamoyloxy, N—(C 3 -C 8 )-cycloalkylcarbamoyloxy, N—(C 6 -C 12 )-arylcarbamoyloxy, N—(C 7 -C 16 )-aralkylcarbamoyloxy, N—(C 1 -C 10 )-alkyl-N—(C 6 -C 12 )-arylcarbamoyloxy, N—(C 1 -C 10 )-alkyl-N—(C 7 -C 16 )-aralkylcarbamoyloxy, N—((C 1 -C 10 )-alkyl)-carbamoyloxy, N—((C 6 -C 2 )-aryloxy-(C 1 -C 10 )-alkyl)-carbamoyloxy, N—((C 7 -C 16 )-aralkyloxy-(C 1 -C 10 )-alkyl)-carbamoyloxy, N—(C 1 -C 10 )-alkyl-N—((C 1 -C 10 )-alkoxy-(C 1 -C 10 )-alkyl)-carbamoyloxy, N—(C 1 -C 10 )-alkyl-N—((C 1 -C 12 )-aryloxy-(C 1 -C 10 )-alkyl)-carbamoyloxy, N—(C 1 -C 10 )-alkyl-N—((C 7 -C 16 )-aralkyloxy-(C 1 -C 10 )-alkyl)-carbamoyloxyamino, (C 1 -C 12 )-alkylamino, di-(C 1 -C 2 )-alkylamino, (C 3 -C 8 )-cycloalkylamino, (C 3 -C 12 )-alkenylamino, (C 3 -C 12 )-alkynylamino, N—(C 6 -C 12 )-arylamino, N—(C 7 -C 11 )-aralkylamino, N-alkyl-aralkylamino, N-alkyl-arylamino, (C 1 -C 2 )-alkoxyamino, (C 1 -C 2 )-alkoxy-N—(C 1 -C 10 )-alkylamino, (C 1 -C 12 )-alkanoylamino, (C 3 -C 8 )-cycloalkanoylamino, (C 6 -C 2 )-aroylamino, (C 7 -C 16 )-aralkanoylamino, (C 1 -C 12 )-alkanoyl-N—(C 1 -C 10 )-alkylamino, (C 3 -C 8 )-cycloalkanoyl-N—(C 1 -C 10 )-alkylamino, (C 6 -C 12 )-aroyl-N—(C 1 -C 10 )-alkylamino, (C 7 -C 11 )-aralkanoyl-N—(C 1 -C 10 )-alkylamino, (C 1 -C 12 )-alkanoylamino-(C 1 -C 8 )-alkyl, (C 3 -C 8 )-cycloalkanoylamino-(C 1 -C 8 )-alkyl, (C 6 -C 12 )-aroylamino-(C 1 -C 8 )-alkyl, (C 7 -C 16 )-aralkanoylamino-(C 1 -C 8 )-alkyl, amino-(C 1 -C 10 )-alkyl, N—(C 1 -C 10 )-alkylamino-(C 1 -C 10 )-alkyl, N,N-di(C 1 -C 10 )-alkylamino-(C 1 -C 10 )-alkyl, (C 3 -C 8 )-cycloalkylamino(C 1 -C 10 )-alkyl, (C 1 -C 20 )-alkylmercapto, (C 1 -C 20 )-alkylsulfinyl, (C 1 -C 20 )-alkylsulfonyl, (C 6 -C 12 )-arylmercapto, (C 6 -C 12 )-arylsulfinyl, (C 6 -C 12 )-arylsulfonyl, (C 7 -C 6 )-aralkylmercapto, (C 7 -C 16 )-aralkylsulfinyl, (C 7 -C 16 )-aralkylsulfonyl, (C 1 -C 12 )-alkylmercapto-(C 1 -C 6 )-alkyl, (C 1 -C 12 )-alkylsulfinyl-(C 1 -C 6 )-alkyl, (C 1 -C 2 )-alkylsulfonyl-(C 1 -C 6 )-alkyl, (C 6 -C 2 )-arylmercapto-(C 1 -C 6 )-alkyl, (C 6 -C 12 )-arylsulfinyl-(C 1 -C 6 )-alkyl, (C 6 -C 12 )-arylsulfonyl-(C 1 -C 6 )-alkyl, (C 7 -C 16 )-aralkylmercapto-(C 1 -C 6 )-alkyl, (C 7 -C 16 )-aralkylsulfinyl-(C 1 -C 6 )-alkyl, (C 7 -C 6 )-aralkylsulfonyl-(C 1 -C 6 )-alkyl, sulfamoyl, N—(C 1 -C 10 )-alkylsulfamoyl, N,N-di-(C 1 -C 10 )-alkylsulfamoyl, (C 3 -C 8 )-cycloalkylsulfamoyl, N—(C 6 -C 12 )-arylsulfamoyl, N—(C 7 -C 16 )-aralkylsulfamoyl, N—(C 1 -C 10 )-alkyl-N—(C 6 -C 12 )-arylsulfamoyl, N—(C 1 -C 10 )-alkyl-N—(C 7 -C 16 )-aralkylsulfamoyl, (C 1 -C 10 )-alkylsulfonamido, N—((C 1 -C 10 )-alkyl)-(C 1 -C 10 )-alkylsulfonamido, (C 7 -C 16 )-aralkylsulfonamido, and N—((C 1 -C 10 )-alkyl-(C 7 -C 16 )-aralkylsulfonamido; where an aryl radical may be substituted by 1 to 5 substituents selected from hydroxyl, halogen, cyano, trifluoromethyl, nitro, carboxyl, (C 2 -C 16 )-alkyl, (C 3 -C 8 )-cycloalkyl, (C 3 -C 8 )-cycloalkyl-(C 1 -C 2 )-alkyl, (C 3 -C 8 )-cycloalkoxy, (C 3 -C 8 )-cycloalkyl-(C 1 -C 12 )-alkoxy, (C 3 -C 8 )-cycloalkyloxy-(C 1 -C 2 )-alkyl, (C 3 -C 8 )-cycloalkyloxy-(C 1 -C 12 )-alkoxy, (C 3 -C 8 )-cycloalkyl-(C 1 -C 8 )-alkyl-(C 1 -C 6 )-alkoxy, (C 3 -C 8 )-cycloalkyl(C 1 -C 8 )-alkoxy-(C 1 -C 6 )-alkyl, (C 3 -C 8 )-cycloalkyloxy-(C 1 -C 8 )-alkoxy-(C 1 -C 6 )-alkyl, (C 3 -C 8 )-cycloalkoxy-(C 1 -C 8 )-alkoxy-(C 1 -C 8 )-alkoxy, (C 6 -C 12 )-aryl, (C 7 -C 16 )-aralkyl, (C 2 -C 16 )-alkenyl, (C 2 -C 12 )-alkynyl, (C 1 -C 16 )-alkoxy, (C 1 -C 16 )-alkenyloxy, (C 1 -C 2 )-alkoxy-(C 1 -C 2 )-alkyl, (C 1 -C 12 )-alkoxy-(C 1 -C 12 )-alkoxy, (C 1 -C 2 )-alkoxy(C 1 -C 8 )-alkoxy-(C 1 -C 8 )-alkyl, (C 6 -C 2 )-aryloxy, (C 7 -C 16 )-aralkyloxy, (C 6 -C 12 )-aryloxy-(C 1 -C 6 )-alkoxy, (C 7 -C 16 )-aralkoxy-(C 1 -C 6 )-alkoxy, (C 1 -C 8 )-hydroxyalkyl, (C 6 -C 16 )-aryloxy-(C 1 -C 8 )-alkyl, (C 7 -C 16 )-aralkoxy-(C 1 -C 8 )-alkyl, (C 6 -C 12 )-aryloxy-(C 1 -C 8 )-alkoxy-(C 1 -C 6 )-alkyl, (C 7 -C 12 )-aralkyloxy-(C 1 -C 8 )-alkoxy-(C 1 -C 6 )-alkyl, —O—[CH 2 ] x C f H (2f+1−g) F g , —OCF 2 Cl, —OCF 2 —CHFCl, (C 1 -C 12 )-alkylcarbonyl, (C 3 -C 8 )-cycloalkylcarbonyl, (C 6 -C 12 )-arylcarbonyl, (C 7 -C 16 )-aralkylcarbonyl, (C 1 -C 2 )-alkoxycarbonyl, (C 1 -C 12 )-alkoxy-(C 1 -C 12 )-alkoxycarbonyl, (C 6 -C 12 )-aryloxycarbonyl, (C 7 -C 16 )-aralkoxycarbonyl, (C 3 -C 8 )-cycloalkoxycarbonyl, (C 2 -C 12 )-alkenyloxycarbonyl, (C 2 -C 12 )-alkynyloxycarbonyl, (C 6 -C 12 )-aryloxy-(C 1 -C 6 )-alkoxycarbonyl, (C 7 -C 16 )-aralkoxy-(C 1 -C 6 )-alkoxycarbonyl, (C 3 -C 8 )-cycloalkyl-(C 1 -C 6 )-alkoxycarbonyl, (C 3 -C 8 )-cycloalkoxy-(C 1 -C 6 )-alkoxycarbonyl, (C 1 -C 12 )-alkylcarbonyloxy, (C 3 -C 8 )-cycloalkylcarbonyloxy, (C 6 -C 12 )-arylcarbonyloxy, (C 7 -C 16 )-aralkylcarbonyloxy, cinnamoyloxy, (C 2 -C 2 )-alkenylcarbonyloxy, (C 2 -C 2 )-alkynylcarbonyloxy, (C 1 -C 12 )-alkoxycarbonyloxy, (C 1 -C 2 )-alkoxy-(C 1 -C 2 )-alkoxycarbonyloxy, (C 6 -C 2 )-aryloxycarbonyloxy, (C 7 -C 16 )-aralkyloxycarbonyloxy, (C 3 -C 8 )-cycloalkoxycarbonyloxy, (C 2 -C 12 )-alkenyloxycarbonyloxy, (C 2 -C 12 )-alkynyloxycarbonyloxy, carbamoyl, N—(C 1 -C 12 )-alkylcarbamoyl, N,N-di(C 1 -C 12 )-alkylcarbamoyl, N—(C 3 -C 8 )-cycloalkylcarbamoyl, N,N-dicyclo-(C 3 -C 8 )-alkylcarbamoyl, N—(C 1 -C 10 )-alkyl-N—(C 3 -C 8 )-cycloalkylcarbamoyl, N—((C 3 -C 8 )-cycloalkyl-(C 1 -C 6 )-alkyl)carbamoyl, N—(C 1 -C 6 )-alkyl-N—((C 3 -C 8 )-cycloalkyl-(C 1 -C 6 )-alkyl)carbamoyl, N-(+)-dehydroabietylcarbamoyl, N—(C 1 -C 6 )-alkyl-N-(+)-dehydroabietylcarbamoyl, N—(C 6 -C 12 )-arylcarbamoyl, N—(C 7 -C 16 )-aralkylcarbamoyl, N—(C 1 -C 10 )-alkyl-N—(C 6 -C 16 )-arylcarbamoyl, N—(C 1 -C 10 )-alkyl-N—(C 7 -C 16 )-aralkylcarbamoyl, N—((C 1 -C 16 )-alkoxy-(C 1 -C 10 )-alkyl)carbamoyl, N—((C 6 -C 16 )-aryloxy-(C 1 -C 10 )-alkyl)carbamoyl, N—((C 7 -C 16 )-aralkyloxy-(C 1 -C 10 )-alkyl)carbamoyl, N—(C 1 -C 10 )-alkyl-N—((C 1 -C 10 )-alkoxy-(C 1 -C 10 )-alkyl)carbamoyl, N—(C 1 -C 10 )-alkyl-N—((C 6 -C 12 )-aryloxy-(C 1 -C 10 )-alkyl)carbamoyl, N—(C 1 -C 10 )-alkyl-N—((C 7 -C 16 )-aralkyloxy-(C 1 -C 10 )-alkyl)-carbamoyl, CON(CH 2 ) h , in which a CH 2 group can be replaced by, O, S, N—(C 1 -C 8 )-alkylimino, N—(C 3 -C 8 )-cycloalkylimino, N—(C 3 -C 8 )-cycloalkyl-(C 1 -C 4 )-alkylimino, N—(C 6 -C 12 )-arylimino, N—(C 7 -C 16 )-aralkylimino, N—(C 1 -C 4 )-alkoxy-(C 1 -C 6 )-alkylimino, and h is from 3 to 7; carbamoyloxy, N—(C 1 -C 12 )-alkylcarbamoyloxy, N,N-di-(C 1 -C 12 )-alkylcarbamoyloxy, N—(C 3 -C 8 )-cycloalkylcarbamoyloxy, N—(C 6 -C 16 )-arylcarbamoyloxy, N—(C 7 -C 16 )-aralkylcarbamoyloxy, N—(C 1 -C 10 )-alkyl-N—(C 6 -C 12 )-arylcarbamoyloxy, N—(C 1 -C 10 )-alkyl-N—(C 7 -C 16 )-aralkylcarbamoyloxy, N—((C 1 -C 10 )-alkyl)carbamoyloxy, N—((C 6 -C 12 )-aryloxy-(C 1 -C 10 )-alkyl)carbamoyloxy, N—((C 7 -C 16 )-aralkyloxy-(C 1 -C 10 )-alkyl)carbamoyloxy, N—(C 1 -C 10 )-alkyl-N—((C 1 -C 10 )-alkoxy-(C 1 -C 10 )-alkyl)carbamoyloxy, N—(C 1 -C 10 )-alkyl-N—((C 6 -C 12 )-aryloxy-(C 1 -C 10 )-alkyl)carbamoyloxy, N—(C 1 -C 10 )-alkyl-N—((C 7 -C 16 )-aralkyloxy-(C 1 -C 10 )-alkyl)carbamoyloxy, amino, (C 1 -C 12 )-alkylamino, di-(C 1 -C 12 )-alkylamino, (C 3 -C 8 )-cycloalkylamino, (C 3 -C 12 )-alkenylamino, (C 3 -C 12 )-alkynylamino, N—(C 6 -C 12 )-arylamino, N—(C 7 -C 11 )-aralkylamino, N-alkyl-aralkylamino, N-alkyl-arylamino, (C 1 -C 12 )-alkoxyamino, (C 1 -C 12 )-alkoxy-N—(C 1 -C 10 )-alkylamino, (C 1 -C 12 )-alkanoylamino, (C 3 -C 8 )-cycloalkanoylamino, (C 6 -C 12 )-aroylamino, (C 7 -C 16 )-aralkanoylamino, (C 1 -C 12 )-alkanoyl-N—(C 1 -C 10 )-alkylamino, (C 3 -C 8 )-cycloalkanoyl-N—(C 1 -C 10 )-alkylamino, (C 6 -C 12 )-aroyl-N—(C 1 -C 10 )-alkylamino, (C 7 -C 1 )-aralkanoyl-N—(C 1 -C 10 )-alkylamino, (C 1 -C 12 )-alkanoylamino-(C 1 -C 8 )-alkyl, (C 3 -C 8 )-cycloalkanoylamino-(C 1 -C 8 )-alkyl, (C 6 -C 12 )-aroylamino-(C 1 -C 8 )-alkyl, (C 7 -C 16 )-aralkanoylamino-(C 1 -C 8 )-alkyl, amino-(C 1 -C 10 )-alkyl, N—(C 1 -C 10 )-alkylamino-(C 1 -C 10 )-alkyl, N,N-di-(C 1 -C 10 )-alkylamino-(C 1 -C 10 )-alkyl, (C 3 -C 8 )-cycloalkylamino-(C 1 -C 10 )-alkyl, (C 1 -C 12 )-alkylmercapto, (C 1 -C 12 )-alkylsulfinyl, (C 1 -C 12 )-alkylsulfonyl, (C 6 -C 16 )-arylmercapto, (C 6 -C 16 )-arylsulfinyl, (C 6 -C 16 )-arylsulfonyl, (C 7 -C 16 )-aralkylmercapto, (C 7 -C 16 )-aralkylsulfinyl, or (C 7 -C 16 )-aralkylsulfonyl;

including the physiologically active salts derived therefrom, wherein the anemia is treated.

26. The method of claim 25 , wherein the compound inhibits hypoxia-inducible factor (HIF) prolyl hydroxylase enzyme activity.

27. The method of claim 25 , wherein the compound stabilizes the alpha subunit of hypoxia inducible factor.

28. The method of claim 25 , wherein the compound is orally administered to the human subject.

29. The method of claim 25 , wherein the human subject is undergoing kidney dialysis.

30. The method of claim 25 , wherein the human subject is not undergoing kidney dialysis.

31. The method of claim 25 , wherein the erythropoietin plasma level in the human subject is increased following administration of the effective amount of the compound.

32. The method of claim 25 , wherein the plasma hematocrit level in the human subject is increased following administration of the effective amount of the compound.

33. The method of claim 25 , wherein the plasma hemoglobin level in the human subject is increased following administration of the effective amount of the compound.

34. The method of claim 25 , wherein administration of the compound to the human subject reduces the need for the human subject to receive an allogenic blood transfusion.

35. The method of claim 25 further comprising administering exogenous erythropoietin to the human subject.

36. A method of treating anemia in a human subject with chronic renal failure comprising administering to the human subject an effective amount of a compound of Formula I

wherein

A is —CR 5 R 6 and R 5 and R 6 are each hydrogen;

B is —CO 2 H;

X is 0;

Q is 0;

R 4 is hydrogen;

Y is CR 3 ;

R 1 , R 2 and R 3 are identical or different and are hydrogen, halogen, (C 1 -C 20 )-alkyl, (C 6 -C 12 )-aryl, (C 1 -C 20 )-alkoxy, (C 6 -C 12 )-aryloxy, N—((C 1 -C 18 )-alkoxy-(C 1 -C 10 )-alkyl)-carbamoyl, (C 6 -C 12 )-arylmercapto; where an aryl radical may be substituted by 1 to 5 substituents selected from halogen;

including the physiologically active salts derived therefrom, wherein the anemia is treated.

37. The method of claim 36 , wherein the compound inhibits hypoxia-inducible factor (HIF) prolyl hydroxylase enzyme activity.

38. The method of claim 36 , wherein the compound stabilizes the alpha subunit of hypoxia inducible factor.

39. The method of claim 36 , wherein the compound is orally administered to the human subject.

40. The method of claim 36 , wherein the human subject is undergoing kidney dialysis.

41. The method of claim 36 , wherein the human subject is not undergoing kidney dialysis.

42. The method of claim 36 , wherein the erythropoietin plasma level in the human subject is increased following administration of the effective amount of the compound.

43. The method of claim 36 , wherein the plasma hematocrit level in the human subject is increased following administration of the effective amount of the compound.

44. The method of claim 36 , wherein the plasma hemoglobin level in the human subject is increased following administration of the effective amount of the compound.

45. The method of claim 36 , wherein administration of the compound to the human subject reduces the need for the human subject to receive an allogenic blood transfusion.

46. The method of claim 36 further comprising administering exogenous erythropoietin to the human subject.