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.