COMPOUNDS AND COMPOSITIONS FOR TREATING CONDITIONS ASSOCIATED WITH NLRP ACTIVITY

Information

  • Patent Application
  • 20220387397
  • Publication Number
    20220387397
  • Date Filed
    October 23, 2019
    4 years ago
  • Date Published
    December 08, 2022
    a year ago
Abstract
In one aspect, compounds of Formula A, or a pharmaceutically acceptable salt thereof, are featured (Formula A) or a pharmaceutically acceptable salt thereof, wherein the variables shown in Formula A can be as defined anywhere herein.
Description
TECHNICAL FIELD

This disclosure features chemical entities useful, e.g., for treating a condition, disease or disorder in which a decrease or increase in NLRP1/3 activity (e.g., an increase, e.g., a condition, disease or disorder associated with NLRP1/3 signaling) contributes to the pathology and/or symptoms and/or progression of the condition, disease or disorder in a subject (e.g., a human); as well as other methods of using and making the same. The present disclosure relates to, in part, methods and compositions for treating anti-TNFα resistance in a subject with an NLRP3 antagonist. The present disclosure also relates, in part, to methods, combinations and compositions for treating TFNα related diseases and anti-TNFα resistance in a subject that include administration of an NLRP3 antagonist, an NLRP3 antagonist and an anti-TNFα agent, or a composition encompassing an NLRP3 antagonist and an anti-TNFα agent.


BACKGROUND

The NLRP3 inflammasome is a component of the inflammatory process and its aberrant activation is pathogenic in inherited disorders such as the cryopyrin associated periodic syndromes (CAPS). The inherited CAPS Muckle-Wells syndrome (MWS), familial cold autoinflammatory syndrome (FCAS) and neonatal onset multi-system inflammatory disease (NOMID) are examples of indications that have been reported to be associated with gain of function mutations in NLRP3.


The NLRP1 inflammasome is a component of the inflammatory process and its aberrant activation is pathogenic in inherited disorders such as generalized vitiligo associated with autoimmune disease (autoimmune thyroid disease, latent autoimmune diabetes in adults, rheumatoid arthritis, psoriasis, pernicious anemia, systemic lupus erythematosus, and Addison's disease).


NLRP1 and NLRP3 can form a complex and they have been implicated in the pathogenesis of a number of complex diseases, including but not limited to metabolic disorders such as type 2 diabetes, atherosclerosis, obesity and gout, as well as diseases of the central nervous system, such as Alzheimer's disease and multiple sclerosis and Amyotrophic Lateral Sclerosis and Parkinson disease, lung disease, such as asthma and COPD and pulmonary idiopathic fibrosis, liver disease, such as NASH syndrome, viral hepatitis and cirrhosis, pancreatic disease, such as acute and chronic pancreatitis, kidney disease, such as acute and chronic kidney injury, intestinal disease such as Crohn's disease and Ulcerative Colitis, skin disease such as psoriasis, musculoskeletal disease such as scleroderma, vessel disorders, such as giant cell arteritis, disorders of the bones, such as Osteoarthritis, osteoporosis and osteopetrosis disorders eye disease, such as glaucoma and macular degeneration, diseased caused by viral infection such as HIV and AIDS, autoimmune disease such as Rheumatoid Arthritis, Systemic Lupus Erythematosus, Autoimmune Thyroiditis, Addison's disease, pernicious anemia, cancer and aging.


In light of the above, it would be desirable to provide compounds that modulate (e.g., antagonize) NRLP1/3, wherein the compounds inhibit NLRP1 or NLRP3 or both NLRP3 and NLRP1.


Several patients having inflammatory or autoimmune diseases are treated with anti-TNFα agents. A subpopulation of such patients develop resistance to treatment with the anti-TNFα agents. It is desirable to develop methods for reducing a patient's resistance to anti-TNFα agents. In light of the this, it would also be desirable to provide alternative therapies for treating inflammatory or autoimmune diseases (for example NLRP3 inflammasome inhibitors) to avoid or minimise the use of anti-TNFα agents.


Intestinal bowel disease (IBD), encompassing Ulcerative Colitis (UC) and Crohn's disease (CD), are chronic diseases characterized by barrier dysfunction and uncontrolled inflammation and mucosal immune reactions in the gut. A number of inflammatory pathways have been implicated in the progression of IBD, and anti-inflammatory therapy such as tumor necrosis factor-alpha (TNF-α) blockade has shown efficacy in the clinic (Rutgeerts P et al N Engl J Med 2005; 353:2462-76). Anti-TNFα therapies, however, do not show complete efficacy, however, other cytokines such as IL-1β, IL-6, IL-12, IL-18, IL-21, and IL-23 have been shown to drive inflammatory disease pathology in IBD (Neurath M F Nat Rev Immunol 2014; 14; 329-42). IL-1β and IL-18 are produced by the NLRP3 inflammasome in response to pathogenic danger signals, and have been shown to play a role in IBD. Anti-IL-1β therapy is efficacious in patients with IBD driven by genetic mutations in CARD8 or IL-10R (Mao L et al, J Clin Invest 2018; 238:1793-1806, Shouval D S et al, Gastroenterology 2016; 151:1100-1104), IL-18 genetic polymorphisms have been linked to UC (Kanai T et al, Curr Drug Targets 2013; 14:1392-9), and NLRP3 inflammasome inhibitors have been shown to be efficacious in murine models of IBD (Perera A P et al, Sci Rep 2018; 8:8618). Resident gut immune cells isolated from the lamina propria of IBD patients can produce IL-1β, either spontaneously or when stimulated by LPS, and this IL-1β production can be blocked by the ex vivo addition of a NLRP3 antagonist. Based on strong clinical and preclinical evidence showing that inflammasome-driven IL-1β and IL-18 play a role in IBD pathology, it is clear that NLRP3 inflammasome inhibitors could be an efficacious treatment option for UC, Crohn's disease, or subsets of IBD patients. These subsets of patients could be defined by their peripheral or gut levels of inflammasome related cytokines including IL-1β, IL-6, and IL-18, by genetic factors that pre-dispose IBD patients to having NLRP3 inflammasome activation such as mutations in genes including ATG16L1, CARD8, IL-10R, or PTPN2 (Saitoh T et al, Nature 2008; 456:264, Spalinger M R, Cell Rep 2018; 22:1835), or by other clinical rationale such as non-response to TNF therapy.


Though anti-TNF therapy is an effective treatment option for Crohn's disease, 40% of patients fail to respond. One-third of non-responsive CD patients fail to respond to anti-TNF therapy at the onset of treatment, while another third lose response to treatment over time (secondary non-response). Secondary non-response can be due to the generation of anti-drug antibodies, or a change in the immune compartment that desensitizes the patient to anti-TNF (Ben-Horin S et al, Autoimmun Rev 2014; 13:24-30, Steenholdt C et al Gut 2014; 63:919-27). Anti-TNF reduces inflammation in IBD by causing pathogenic T cell apoptosis in the intestine, therefore eliminating the T cell mediated inflammatory response (Van den Brande et al Gut 2007:56:509-17). There is increased NLRP3 expression and increased production of IL-1β in the gut of TNF-non-responsive CD patients (Leal R F et al Gut 2015; 64:233-42) compared to TNF-responsive patients, suggesting NLRP3 inflammasome pathway activation. Furthermore, there is increased expression of TNF-receptor 2 (TNF-R2), which allows for TNF-mediated proliferation of T cells (Schmitt H et al Gut 2018; 0:1-15). IL-1β signaling in the gut promotes T cell differentiation toward Th1/17 cells which can escape anti-TNF-α mediated apoptosis. It is therefore likely that NLRP3 inflammasome activation can cause non-responsiveness in CD patients to anti-TNF-α therapy by sensitizing pathogenic T cells in the gut to anti-TNF-α mediated apoptosis. Experimental data from immune cells isolated from the gut of TNF-resistant Crohn's patients show that these cells spontaneously release IL-1β, which can be inhibited by the addition of an NLRP3 antagonist. NLRP3 inflammasome antagonists—in part by blocking IL-1P secretion—would be expected to inhibit the mechanism leading to anti-TNF non-responsiveness, re-sensitizing the patient to anti-TNF therapy. In IBD patients who are naive to anti-TNF therapy, treatment with an NLRP3 antagonist would be expected to prevent primary- and secondary-non responsiveness by blocking the mechanism leading to non-response.


NLRP3 antagonists that are efficacious locally in the gut can be efficacious drugs to treat IBD; in particular in the treatment of TNF-resistant CD alone or in combination with anti-TNF therapy. Systemic inhibition of both IL-1β and TNF-α has been shown to increase the risk of opportunistic infections (Genovese M C et al, Arthritis Rheum 2004; 50:1412), therefore, only blocking the NLRP3 inflammasome at the site of inflammation would reduce the infection risk inherent in neutralizing both IL-1□ and TNF-α. NLRP3 antagonists that are potent in NLRP3-inflammasome driven cytokine secretion assays in cells, but have low permeability in vitro in a permeability assay such as an MDCK assay, have poor systemic bioavailability in a rat or mouse pharmacokinetic experiment, but high levels of compound in the colon and/or small intestine could be a useful therapeutic option for gut restricted purposes.


The present invention also provides alternative therapies for the treatment of inflammatory or autoimmune diseases, including IBD, that solves the above problems associated with anti-TNFα agents.


SUMMARY

This disclosure features chemical entities (e.g., a compound that modulates (e.g., antagonizes) NLRP1 or NLRP3 or both NLRP1 and NLRP3, or a pharmaceutically acceptable salt, and/or hydrate, and/or cocrystal, and/or drug combination of the compound) that are useful, e.g., for treating a condition, disease or disorder in which a decrease or increase in NLRP1 or NLRP3 or both NLRP1 and NLRP3 activity, also referred to herein “NLRP1/3” activity (e.g., an increase, e.g., a condition, disease or disorder associated with NLRP1/3 signaling).


In some embodiments, provided herein is a compound of Formula A




embedded image


or a pharmaceutically acceptable salt thereof, wherein the variables in Formula A can be as defined anywhere herein.


In some embodiments, provided herein is a compound of Formula I




embedded image


or a pharmaceutically acceptable salt thereof, wherein the variables in Formula I can be as defined anywhere herein.


In some embodiments, provided herein is a compound of Formula IIa




embedded image


or a pharmaceutically acceptable salt thereof, wherein the variables in Formula IIa can be as defined anywhere herein.


In some embodiments, provided herein is a compound of Formula II




embedded image


or a pharmaceutically acceptable salt thereof, wherein the variables in Formula II can be as defined anywhere herein.


This disclosure also features compositions as well as other methods of using and making the same.


The present invention is also relates to the Applicant's discovery that inhibition of NLRP3 inflammasomes can increase a subject's sensitivity to an anti-TNFα agent or can overcome resistance to an anti-TNFα agent in a subject, or indeed provide an alternative therapy to anti-TNFα agents.


Provided herein are methods of treating a subject that include: (a) identifying a subject having a cell that has an elevated level of NLRP3 inflammasome activity and/or expression as compared to a reference level; and (b) administering to the identified subject a therapeutically effective amount of an compound of Formula I or a pharmaceutically acceptable salt, solvate, or co-crystal thereof.


Provided herein are methods for the treatment of inflammatory or autoimmune disease including IBD, such as UC and CD in a subject in need thereof, comprising administering to said subject a therapeutically effective amount a compound for Formula I or a pharmaceutically acceptable salt, solvate, or co-crystal thereof, wherein the NLRP3 antagonist is a gut-targeted NLRP3 antagonist.


Provided herein are methods of treating a subject in need thereof, that include: (a) identifying a subject having resistance to an anti-TNFα agent; and (b) administering a treatment comprising a therapeutically effective amount of a compound for Formula I, or a pharmaceutically acceptable salt, solvate, or co-crystal thereof to the identified subject.


Provided herein are methods of treating a subject in need thereof, that include: administering a treatment comprising a therapeutically effective amount of a compound for Formula I or a pharmaceutically acceptable salt, solvate, or co-crystal thereof to a subject identified as having resistance to an anti-TNFα agent.


Provided herein are methods of selecting a treatment for a subject in need thereof, that include: (a) identifying a subject having resistance to an anti-TNFα agent; and (b) selecting for the identified subject a treatment comprising a therapeutically effective amount of a compound for Formula I or a pharmaceutically acceptable salt, solvate, or co-crystal thereof.


Provided herein are methods of selecting a treatment for a subject in need thereof, that include selecting a treatment comprising a therapeutically effective amount of a compound for Formula I or a pharmaceutically acceptable salt, solvate, or co-crystal thereof for a subject identified as having resistance to an anti-TNFα agent.


In some embodiments of any of the methods described herein, the treatment further includes a therapeutically effective amount of an anti-TNFα agent, in addition to the NLRP3 antagonist.


An “antagonist” of NLRP1/3 includes compounds that inhibit the ability of NLRP1/3 to induce the production of IL-10 and/or IL-18 by directly binding to NLRP1/3, or by inactivating, destabilizing, altering distribution, of NLRP1/3 or otherwise.


In one aspect, pharmaceutical compositions are featured that include a “chemical entity described herein” which term refers to e.g., a compound described generically or specifically herein or a pharmaceutically acceptable salt thereof or compositions containing the same, and one or more pharmaceutically acceptable excipients.


In one aspect, methods for modulating (e.g., agonizing, partially agonizing, antagonizing) NLRP1 or NLRP3 or both NLRP1 and NLRP3 activity are featured that include contacting NLRP1 or NLRP3 or both NLRP1 and NLRP3 with a “chemical entity described herein” (. Methods include in vitro methods, e.g., contacting a sample that includes one or more cells comprising NLRP1 or NLRP3 or both NLRP1 and NLRP3 (also referred to herein as “NLRP1/3”), as well as in vivo methods.


In a further aspect, methods of treatment of a disease in which NLRP1/3 signaling contributes to the pathology and/or symptoms and/or progression of the disease are featured that include administering to a subject in need of such treatment an effective amount of a “chemical entity described herein”.


In a further aspect, methods of treatment are featured that include administering to a subject a “chemical entity described herein”, wherein the chemical entity is administered in an amount effective to treat a disease in which NLRP1/3 signaling contributes to the pathology and/or symptoms and/or progression of the disease, thereby treating the disease.


Embodiments can include one or more of the following features.


The chemical entity can be administered in combination with one or more additional therapies with one or more agents suitable for the treatment of the condition, disease or disorder.


Examples of the indications that may be treated by the compounds disclosed herein include but are not limited to metabolic disorders such as type 2 diabetes, atherosclerosis, obesity and gout, as well as diseases of the central nervous system, such as Alzheimer's disease and multiple sclerosis and Amyotrophic Lateral Sclerosis and Parkinson disease, lung disease, such as asthma and COPD and pulmonary idiopathic fibrosis, liver disease, such as NASH syndrome, viral hepatitis and cirrhosis, pancreatic disease, such as acute and chronic pancreatitis, kidney disease, such as acute and chronic kidney injury, intestinal disease such as Crohn's disease and Ulcerative Colitis, skin disease such as psoriasis, musculoskeletal disease such as scleroderma, vessel disorders, such as giant cell arteritis, disorders of the bones, such as osteoarthritis, osteoporosis and osteopetrosis disorders, eye disease, such as glaucoma and macular degeneration, diseases caused by viral infection such as HIV and AIDS, autoimmune disease such as rheumatoid arthritis, systemic Lupus erythematosus, autoimmune thyroiditis; Addison's disease, pernicious anemia, cancer and aging.


The methods can further include identifying the subject.


Other embodiments include those described in the Detailed Description and/or in the claims.


Additional Definitions

To facilitate understanding of the disclosure set forth herein, a number of additional terms are defined below. Generally, the nomenclature used herein and the laboratory procedures in organic chemistry, medicinal chemistry, and pharmacology described herein are those well-known and commonly employed in the art. Unless defined otherwise, all technical and scientific terms used herein generally have the same meaning as commonly understood by one of ordinary skill in the art to which this disclosure belongs. Each of the patents, applications, published applications, and other publications that are mentioned throughout the specification and the attached appendices are incorporated herein by reference in their entireties.


As used herein, the term “NLRP1/3” is meant to include, without limitation, nucleic acids, polynucleotides, oligonucleotides, sense and antisense polynucleotide strands, complementary sequences, peptides, polypeptides, proteins, homologous and/or orthologous NLRP molecules, isoforms, precursors, mutants, variants, derivatives, splice variants, alleles, different species, and active fragments thereof.


The term “acceptable” with respect to a formulation, composition or ingredient, as used herein, means having no persistent detrimental effect on the general health of the subject being treated.


“API” refers to an active pharmaceutical ingredient.


The terms “effective amount” or “therapeutically effective amount,” as used herein, refer to a sufficient amount of a chemical entity (e.g., a compound exhibiting activity as a modulator of NLRP1/3, or a pharmaceutically acceptable salt and/or hydrate and/or cocrystal thereof;) being administered which will relieve to some extent one or more of the symptoms of the disease or condition being treated. The result includes reduction and/or alleviation of the signs, symptoms, or causes of a disease, or any other desired alteration of a biological system. An appropriate “effective” amount in any individual case is determined using any suitable technique, such as a dose escalation study.


The term “excipient” or “pharmaceutically acceptable excipient” means a pharmaceutically-acceptable material, composition, or vehicle, such as a liquid or solid filler, diluent, carrier, solvent, or encapsulating material. In one embodiment, each component is “pharmaceutically acceptable” in the sense of being compatible with the other ingredients of a pharmaceutical formulation, and suitable for use in contact with the tissue or organ of humans and animals without excessive toxicity, irritation, allergic response, immunogenicity, or other problems or complications, commensurate with a reasonable benefit/risk ratio.


The term “pharmaceutically acceptable salt” may refer to pharmaceutically acceptable addition salts prepared from pharmaceutically acceptable non-toxic acids including inorganic and organic acids. In certain instances, pharmaceutically acceptable salts are obtained by reacting a compound described herein, with acids. The term “pharmaceutically acceptable salt” may also refer to pharmaceutically acceptable addition salts prepared by reacting a compound having an acidic group with a base to form a saltor by other methods previously determined. The pharmacologically acceptable salt is not specifically limited as far as it can be used in medicaments. Examples of a salt that the compounds described herein form with a base include the following: salts thereof with inorganic bases such as sodium, potassium, magnesium, calcium, and aluminum; salts thereof with organic bases such as methylamine, ethylamine and ethanolamine, or formed by reacting with dicyclohexylamine, N-methyl-D-glucamine or tris(hydroxymethyl)methylamine; salts thereof with basic amino acids such as lysine and ornithine; and ammonium salt. The salts may be acid addition salts, which are specifically exemplified by acid addition salts with the following: mineral acids such as hydrochloric acid, hydrobromic acid, hydroiodic acid, sulfuric acid, nitric acid, and phosphoric acid:organic acids such as formic acid, acetic acid, propionic acid, oxalic acid, malonic acid, succinic acid, fumaric acid, maleic acid, lactic acid, malic acid, tartaric acid, citric acid, methanesulfonic acid, and ethanesulfonic acid; acidic amino acids such as aspartic acid and glutamic acid.


The term “pharmaceutical composition” refers to a mixture of a compound described herein with “excipients”, such as carriers, stabilizers, diluents, dispersing agents, suspending agents, and/or thickening agents. The pharmaceutical composition facilitates administration of the compound to an organism. Multiple techniques of administering a compound exist in the art including, but not limited to: rectal, oral, intravenous, aerosol, parenteral, ophthalmic, pulmonary, and topical administration.


The term “subject” refers to an animal, including, but not limited to, a primate (e.g., human), monkey, cow, pig, sheep, goat, horse, dog, cat, rabbit, rat, or mouse. The terms “subject” and “patient” are used interchangeably herein in reference, for example, to a mammalian subject, such as a human.


The terms “treat,” “treating,” and “treatment,” in the context of treating a disease or disorder, are meant to include alleviating or abrogating a disorder, disease, or condition, where “disorder” where used herein is always to be understood as meaning “disorder, disease, or condition” or one or more of the symptoms associated with the disorder; or to slowing the progression, spread or worsening of a disorder or condition or of one or more symptoms thereof.


The terms “hydrogen” and “H” are used interchangeably herein.


The term “halo” refers to fluoro (F), chloro (Cl), bromo (Br), or iodo (I).


The term “alkyl” refers to a hydrocarbon chain that may be a straight chain or branched chain, containing the indicated number of carbon atoms. For example, C1-10 indicates that the group may have from 1 to 10 (inclusive) carbon atoms in it. Non-limiting examples include methyl, ethyl, iso-propyl, tert-butyl, n-hexyl.


The term “haloalkyl” refers to an alkyl, in which one or more hydrogen atoms is/are replaced with an independently selected halo.


The term “alkoxy” refers to an —O-alkyl radical (e.g., —OCH3).


The term “carbocyclic ring” as used herein includes an aromatic or nonaromatic cyclic hydrocarbon group having 3 to 12 carbons, such as 3 to 8 carbons, such as 3 to 7 carbons, which may be optionally substituted. Examples of carbocyclic rings include five-membered, six-membered, and seven-membered carbocyclic rings. Carbocyclic rings include monocyclic or bicyclic rings, and when a carbocyclic ring is a bicyclic ring, the bicyclic ring can be fused bicyclic, bridged bicyclic, or spirocyclic.


The term “heterocyclic ring” refers to an aromatic or nonaromatic 5-8 membered monocyclic, 8-12 membered bicyclic, or 11-14 membered tricyclic ring system having 1-3 heteroatoms if monocyclic, 1-6 heteroatoms if bicyclic, or 1-9 heteroatoms if tricyclic, said heteroatoms selected from O, N, or S (e.g., carbon atoms and 1-3, 1-6, or 1-9 heteroatoms of N, O, or S if monocyclic, bicyclic, or tricyclic, respectively), wherein 0, 1, 2 or 3 atoms of each ring may be substituted by a substituent. Examples of heterocyclic rings include five-membered, six-membered, and seven-membered heterocyclic rings. When a heterocyclic ring is a bicyclic ring, the bicyclic ring can be fused bicyclic, bridged bicyclic, or spirocyclic.


The term “cycloalkyl” as used herein includes an aromatic or nonaromatic cyclic hydrocarbon radical having 3 to 10 carbons, such as 3 to 8 carbons, such as 3 to 7 carbons, wherein the cycloalkyl group which may be optionally substituted. Examples of cycloalkyls include five-membered, six-membered, and seven-membered rings. Examples include cyclopropyl, cyclobutyl, cyclopentyl, cyclopentenyl, cyclohexyl, cyclohexenyl, cycloheptyl, and cyclooctyl. Cycloalkyl rings include monocyclic or bicyclic rings, and when a carbocyclic ring is a bicyclic ring, the bicyclic ring can be fused bicyclic, bridged bicyclic, or spirocyclic.


The term “heterocycloalkyl” refers to an aromatic or nonaromatic 5-8 membered monocyclic, 8-12 membered bicyclic, or 11-14 membered tricyclic ring system radical having 1-3 heteroatoms if monocyclic, 1-6 heteroatoms if bicyclic, or 1-9 heteroatoms if tricyclic, said heteroatoms selected from O, N, or S (e.g., carbon atoms and 1-3, 1-6, or 1-9 heteroatoms of N, O, or S if monocyclic, bicyclic, or tricyclic, respectively), wherein 0, 1, 2 or 3 atoms of each ring may be substituted by a substituent. Examples of heterocycloalkyls include five-membered, six-membered, and seven-membered heterocyclic rings. Examples include piperazinyl, pyrrolidinyl, dioxanyl, morpholinyl, tetrahydrofuranyl, and the like. When a heterocycloalkyl ring is a bicyclic ring, the bicyclic ring can be fused bicyclic, bridged bicyclic, or spirocyclic.


The term “hydroxy” refers to an OH group.


The term “amino” refers to an NH2 group.


The term “oxo” refers to O. By way of example, substitution of a CH2 a group with oxo gives a C═O group.


As used herein, a curved line connecting two atoms indicates a chain of length as specified by the recited number or number range. For example, a chain connecting an atom “Atom 1” to an atomo “Atom 2” may be depicted as




embedded image


where the number outside the parenthetical indicates the number or range of numbers in the chain.


As used herein, the terms “patient” or “subject” refer to a mammalian organism, preferably a human being, who is diseased with the condition (i.e. disease or disorder) of interest and who would benefit from the treatment.


As used herein, the term “prevent”, “preventing” or “prevention” in connection to a disease or disorder refers to the prophylactic treatment of a subject who is at risk of developing a condition (e.g., specific disease or disorder or clinical symptom thereof) resulting in a decrease in the probability that the subject will develop the condition.


As used herein, the term “treat”, “treating” or “treatment” of any disease or disorder refers in one embodiment to ameliorating the disease or disorder (i.e. slowing or arresting or reducing the development of the disease or at least one of the clinical symptoms or pathological features thereof). In another embodiment “treat”, “treating” or “treatment” refers to alleviating or ameliorating at least one physical parameter or pathological features of the disease, e.g. including those, which may not be discernible by the subject. In yet another embodiment, “treat”, “treating” or “treatment” refers to modulating the disease or disorder, either physically, (e.g. stabilization of at least one discernible or non-discernible symptom), physiologically (e.g. stabilization of a physical parameter) or both. In yet another embodiment, “treat”, “treating” or “treatment” refers to preventing or delaying the onset or development or progression of the disease or disorder, or of at least one symptoms or pathological features associated thereof. In yet another embodiment, “treat”, “treating” or “treatment” refers to preventing or delaying progression of the disease to a more advanced stage or a more serious condition.


As used herein, the term “therapeutically effective amount” refers to an amount of the compound of the invention, e.g. tropifexor (as herein defined, e.g. in free form or as a stereoisomer, an enantiomer, a pharmaceutically acceptable salt, solvate, prodrug, ester thereof and/or an amino acid conjugate thereof), or cenicriviroc (in free form or as a pharmaceutically acceptable salt, solvate, prodrug, and/or ester thereof, e.g. in free form or as a pharmaceutically acceptable salt thereof), which is sufficient to achieve the stated effect. Accordingly, a therapeutically effective amount used for the treatment or prevention of a liver disease or disorder as hereinabove defined is an amount sufficient for the treatment or prevention of such a disease or disorder.


In one embodiment, the present invention relates to a method for the treatment or the prevention of a condition mediated by TNF-α, in particular a gut disease or disorder, in a patient in need thereof, comprising administering to said patient a therapeutically effective amount of a gut-targeted NLRP3 antagonist.


In addition, atoms making up the compounds of the present embodiments are intended to include all isotopic forms of such atoms. Isotopes, as used herein, include those atoms having the same atomic number but different mass numbers. By way of general example and without limitation, isotopes of hydrogen include tritium and deuterium, and isotopes of carbon include 13C and 14C.


The details of one or more embodiments of the invention are set forth in the accompanying drawings and the description below. Other features and advantages of the invention will be apparent from the description and drawings, and from the claims.





DESCRIPTION OF THE DRAWINGS


FIG. 1: Expression levels of RNA encoding NLRP3 in Crohn's Disease patients who are responsive and non-responsive to infliximab.



FIG. 2: Expression levels of RNA encoding IL-1β in Crohn's Disease patients who are responsive and non-responsive to infliximab.



FIG. 3: Expression levels of RNA encoding NLRP3 in Ulcerative Colitis (UC) patients who are responsive and non-responsive to infliximab.



FIG. 4: Expression levels of RNA encoding IL-1β in Ulcerative Colitis (UC) patients who are responsive and non-responsive to infliximab.





DETAILED DESCRIPTION

In some embodiments (EAA), provided herein is a compound of Formula AA




embedded image


or a pharmaceutically acceptable salt thereof, wherein:


Ar is a heteroaryl group




embedded image


or an aryl or heteroaryl group




embedded image


Ar′ is



embedded image


or a 5-membered heteroaryl optionally substituted with one or more R3.


X1 is O, S, N, CR41 or NR41;


X10 is O, S, N, CR10 or NR10;


X11 is O, S, N, CR1 or NR1;


X2 is O, S, N, CR42 or NR42;




embedded image


comprises at least one of CR41, CR10, CR1, and CR42;


X35 is N or CR35;


X21 is N or CR21;


X36 is N or CR36;


X29 is N or CR29;


X34 is N or CR34;




embedded image


comprises at least two of CR35, CR21, CR36, CR29, and CR34;


X4 is CR4, N or NR24;


each R20 is the same or different and is independently selected from hydrogen, C1-C6 alkyl optionally substituted with NR17CO2R15, and NR17CO2R15;


Y is N or CR2;
Z is N or CR8;

R8 is selected from H, CN, halo, CO2C1-C6 alkyl, CO2C3-C8 cycloalkyl, SO2NR11R12, CONR11R12, 3-to-10-membered heterocycloalkyl optionally substituted with haloalkyl, C1-C6 alkyl optionally substituted with hydroxy, C1-C6 alkoxy, C1-C6 haloalkoxy, NR17SO2R15, and C1-C6 haloalkyl;


R2 is hydrogen, C1-C6 alkoxy, halo, C1-C6 haloalkyl, C3-C7 cycloalkyl or C1-C6 alkyl optionally substituted with hydroxy;


R3 is hydrogen, C1-C6 alkoxy, halo, C1-C6 haloalkyl, CN, C1-C6 haloalkoxy, C3-C7 cycloalkyl, CO2R15, or C1-C6 alkyl optionally substituted with hydroxy.


R4 is hydrogen, C1-C6 alkoxy, halo, C1-C6 haloalkyl, C3-C7 cycloalkyl or C1-C6 alkyl optionally substituted with hydroxy;


R24 is absent and R5 is hydrogen, C1-C6 alkoxy, halo, C1-C6 haloalkyl, CN, C1-C6 haloalkoxy, C3-C7 cycloalkyl or C1-C6 alkyl optionally substituted with hydroxy;


or R24 is C1-C6 alkyl or C3-C8 cycloalkyl and R5 is ═O;


provided that at least one of R2, R3, R4 and R5 is not hydrogen;


or R2 and R3 taken together with the carbons connecting them form a four-membered to seven-membered ring A,


or R4 and R5 taken together with the carbons connecting them form a four-membered to seven-membered ring B,


or R2 and R3 taken together with the carbons connecting them form a four-membered to seven-membered ring A and R4 and R5 taken together with the carbons connecting them form a four-membered to seven-membered ring B,


wherein ring A is




embedded image


and ring B is




embedded image


wherein


ring A is a carbocyclic ring or a heterocyclic ring containing 1 or 2 heteroatoms independently selected from O, N, and S;


n1 is from 2 to 5;


ml is from 1 to 10;


wherein ring B is a carbocyclic ring or a heterocyclic ring containing 1 or 2 heteroatoms independently selected from O, N, and S;


n2 is from 2 to 5;


m2 is from 1 to 10;


wherein each R6 in each ring is the same or different and is selected from H, F, C1-C6 alkyl, C1-C6 alkoxy, NR11R12, oxo, and ═NR13;


or two R6 taken together with the atom or atoms connecting them form a 3-to-8-membered carbocyclic or saturated heterocyclic ring containing 1 or 2 heteroatoms independently selected from O, N, and S;


each of R1, R10, R41 and R42 when bonded to carbon is independently selected from H, C1-C6 alkyl, C1-C6 haloalkyl, CN, halo, CO2C1-C6 alkyl, CO2C3-C8 cycloalkyl, C6-C10 aryl, CONR11R12, C3-C7 cycloalkyl and 3- to 7-membered heterocycloalkyl, wherein the C1-C6 alkyl, C3-C7 cycloalkyl and 3- to 7-membered heterocycloalkyl is optionally substituted with one or more substituents each independently selected from hydroxy, oxo, C1-C6 alkyl, C1-C6 alkoxy, NR11R12, ═NR13, COOC1-C6 alkyl, C6-C10 aryl, —(C1-C6 alkoxylene)-5-to-10-membered heterocycloalkyl, and CONR11R12;


wherein the —(C1-C6 alkoxylene)-5-to-10-membered heterocycloalkyl is optionally substituted with one or more hydroxy or —(C1-C6 alkyl)-OH;


and each of R1, R10, R41 and R42 when bonded to nitrogen is independently selected from H, C1-C6 alkyl, C1-C6 haloalkyl, CO2C1-C6 alkyl, CO2C3-C8 cycloalkyl, C6-C10 aryl, CONR11R12, C3-C7 cycloalkyl, S(O2)C1-C6 alkyl and 3- to 7-membered heterocycloalkyl, wherein the C1-C6 alkyl, C3-C7 cycloalkyl and 3- to 7-membered heterocycloalkyl is optionally substituted with one or more substituents each independently selected from hydroxy, oxo, C1-C6 alkyl, C1-C6 alkoxy, NR11R12, ═NR13, COOC1-C6 alkyl, C6-C10 aryl, and CONR11R12;


or any two of R41, R10, R1, and R42 on adjacent atoms, taken together with the atoms connecting them form at least one monocyclic or bicyclic 3-to-12-membered carbocyclic ring or at least one monocyclic or bicyclic 5- to 12-membered heterocyclic ring containing 1-3 heteroatoms independently selected from O, N, NH, NR13, and S, wherein the carbocyclic ring or heterocyclic ring is optionally substituted with one or more substituents each independently selected from hydroxy, halo, oxo, C1-C6 alkyl, C2-C6 alkenyl, C2-C6 alkynyl, C1-C6 alkoxy, OC3-C10 cycloalkyl, NR11R12, ═NR13, CN, COOC1-C6 alkyl, OS(O2)C6-C10 aryl, S(O2)C6-C10 aryl, C6-C10 aryl, 5- to 10-membered heteroaryl, C3-C10 cycloalkyl, 3- to 10-membered heterocycloalkyl, and CONR11R12, wherein the C1-C6 alkyl, C1-C6 alkoxy, S(O2)C6-C10 aryl, C6-C10 aryl, 5- to 10-membered heteroaryl, C3-C10 cycloalkyl, and 3- to 10-membered heterocycloalkyl are optionally substituted with one or more substituents each independently selected from hydroxy, halo, C1-C6 alkyl, C2-C6 alkenyl, C2-C6 alkynyl, C3-C10 cycloalkyl, C1-C6 alkoxy, oxo, NR11R12, ═NR13, COOC1-C6 alkyl, C6-C10 aryl, and CONR11R12;


each of R34, R29, R35, R21 and R36 is independently selected from H, hydroxy, C1-C6 alkyl, C1-C6 haloalkyl, CN, halo, CO2C1-C6 alkyl, CO2C3-C8 cycloalkyl, CONR11R12, C3-C7 cycloalkyl, 3- to 7-membered heterocycloalkyl, C6-C10 aryl, —(C1-C6 alkylene)o-(Z1-Z2)p-Z3, OC1-C6 alkyl, NH2, NHC1-C6 alkyl, N(C1-C6 alkyl)2, NO2, COC1-C6 alkyl, SF5, and S(O2)C1-C6 alkyl; wherein the C1-C6 alkyl, C3-C7 cycloalkyl, and 3- to 7-membered heterocycloalkyl is optionally substituted with one or more substituents each independently selected from hydroxy, oxo, C1-C6 alkoxy, C1-C6 alkyl, NR11R12, ═NR13, COOC1-C6 alkyl, CONR11R12, C3-C7 cycloalkyl, 3- to 7-membered heterocycloalkyl, C6-C10 aryl, 5- to 10-membered heteroaryl, NHCOC6-C10 aryl, NHCO(5- to 10-membered heteroaryl), NHCO(3- to 7-membered heterocycloalkyl), and NHCOC2-C6 alkynyl,

    • wherein the C6-C10 aryl, NHCOC6-C10 aryl, NHCO(5- to 10-membered heteroaryl) and NHCO(3- to 7-membered heterocycloalkyl) are optionally substituted with one or more substituents independently selected from halo, C1-C6 alkyl, and OC1-C6 alkyl,


      or any two of R34, R29, R35, R21 and R36 on adjacent atoms, taken together with the atoms connecting them form at least one monocyclic or bicyclic 3-to-12-membered carbocyclic ring or at least one monocyclic or bicyclic 5- to 12-membered heterocyclic ring containing 1-3 heteroatoms independently selected from O, N, NH, NR13, and S, wherein the carbocyclic ring or heterocyclic ring is optionally substituted with one or more substituents each independently selected from hydroxy, halo, oxo, C1-C6 alkyl, C2-C6 alkenyl, C2-C6 alkynyl, C1-C6 alkoxy, OC3-C10 cycloalkyl, NR11R12, ═NR13, CN, COOC1-C6 alkyl, OS(O2)C6-C10 aryl, S(O2)C6-C10 aryl, C6-C10 aryl, 5- to 10-membered heteroaryl, C3-C10 cycloalkyl, 3- to 10-membered heterocycloalkyl, and CONR11R12, wherein the C1-C6 alkyl, C1-C6 alkoxy, S(O2)C6-C10 aryl, C6-C10 aryl, 5- to 10-membered heteroaryl, C3-C10 cycloalkyl, and 3- to 10-membered heterocycloalkyl are optionally substituted with one or more substituents each independently selected from hydroxy, halo, C1-C6 alkyl, C2-C6 alkenyl, C2-C6 alkynyl, C3-C10 cycloalkyl, C1-C6 alkoxy, oxo, NR11R12, ═NR13, COOC1-C6 alkyl, C6-C10 aryl, and CONR11R12; R13 is C1-C6 alkyl;


      each of R11 and R12 at each occurrence is independently selected from hydrogen, C1-C6 alkyl, C1-C6 haloalkyl, (C═NR15)NR17R18, S(O2)C1-C6 alkyl, S(O2)NR17R18, COR15, CO2R15 and CON R17R18; wherein the C1-C6 alkyl is optionally substituted with one or more hydroxy, halo, C1-C6 alkoxy, C6-C10 aryl, 5- to 10-membered heteroaryl, C3-C7 cycloalkyl or 3- to 7-membered heterocycloalkyl; or R11 and R12 taken together with the nitrogen they are attached to form a 3- to 7-membered ring optionally containing one or more heteroatoms in addition to the nitrogen they are attached to;


      R15 is C1-C6 alkyl, C1-C6 haloalkyl, C6-C10 aryl, or 5- to 10-membered heteroaryl;


      each occurrence of Z1 is independently selected from O, NR17C(O), 5-to-10-membered heteroarylene, and 3-10 membered heterocycloalkyl;


      each occurrence of Z2 is C1-C6 alkylene;


      Z3 is selected from NHCO2R15 and 5-to-10 membered monocyclic or bicyclic heterocycloalkyl containing 1-3 heteroatoms selected from O, N, and S, wherein the heterocycloalkyl is optionally substituted with one or more oxo, hydroxy, or —(C1-C6 alkylene)-OH,


      o is selected from 0 and 1;


      p is selected from 0, 1, 2, 3, 4, 5, 6, 7, or 8;


      each of R7 and R8 at each occurrence is independently selected from hydrogen and C1-C6 alkyl; with the proviso (P1) that the compound is not a compound selected from the group consisting of:




embedded image


embedded image


embedded image


embedded image


embedded image


and


with the proviso (P2) that the compound is not a compound selected from the group consisting of the compounds disclosed in Table 1A and Table 1B.

    • In some embodiments (EAB), provided herein is a compound of Formula AA as shown for embodiments (EAA)


      or a pharmaceutically acceptable salt thereof, wherein:


      Ar is a heteroaryl group




embedded image


or an aryl or heteroaryl group




embedded image


Ar′ is



embedded image


or a 5-membered heteroaryl optionally substituted with one or more R3.


X1 is O, S, N, CR41 or NR41;


X10 is O, S, N, CR10 or NR10;


X11 is O, S, N, CR1 or NR1;


X2 is O, S, N, CR42 or NR42;




embedded image


comprises at least one of CR41, CR10, CR1, and CR42;


X35 is N or CR35;


X21 is N or CR21;


X36 is N or CR36;


X29 is N or CR29;


X34 is N or CR34;




embedded image


comprises at least two of CR35, CR21, CR36, CR29, and CR34;


X4 is CR4, N or NR24;


each R20 is the same or different and is independently selected from hydrogen, C1-C6 alkyl optionally substituted with NR17CO2R15, and NR17CO2R15;


Y is N or CR2;
Z is N or CR8;

R8 is selected from H, CN, halo, CO2C1-C6 alkyl, CO2C3-C8 cycloalkyl, SO2NR11R12, CONR11R12, 3-to-10-membered heterocycloalkyl optionally substituted with haloalkyl, C1-C6 alkyl optionally substituted with hydroxy, C1-C6 alkoxy, C1-C6 haloalkoxy, NR17SO2R15, and C1-C6 haloalkyl;


R2 is hydrogen, C1-C6 alkoxy, halo, C1-C6 haloalkyl, C3-C7 cycloalkyl or C1-C6 alkyl optionally substituted with hydroxy;


R3 is hydrogen, C1-C6 alkoxy, halo, C1-C6 haloalkyl, CN, C1-C6 haloalkoxy, C3-C7 cycloalkyl, CO2R15, or C1-C6 alkyl optionally substituted with hydroxy.


R4 is hydrogen, C1-C6 alkoxy, halo, C1-C6 haloalkyl, C3-C7 cycloalkyl or C1-C6 alkyl optionally substituted with hydroxy;


R24 is absent and R5 is hydrogen, C1-C6 alkoxy, halo, C1-C6 haloalkyl, CN, C1-C6 haloalkoxy, C3-C7 cycloalkyl or C1-C6 alkyl optionally substituted with hydroxy;


or R24 is C1-C6 alkyl or C3-C8 cycloalkyl and R5 is ═O;


provided that at least one of R2, R3, R4 and R5 is not hydrogen;


or R2 and R3 taken together with the carbons connecting them form a four-membered to seven-membered ring A,


or R4 and R5 taken together with the carbons connecting them form a four-membered to seven-membered ring B,


or R2 and R3 taken together with the carbons connecting them form a four-membered to seven-membered ring A and R4 and R5 taken together with the carbons connecting them form a four-membered to seven-membered ring B,


wherein rings A and B as well as n1, m1, n2, m2 and R6 are as defined in embodiments (EAA);


each of R1, R10, R41 and R42 when bonded to carbon is independently selected from H, C1-C6 alkyl, C1-C6 haloalkyl, CN, halo, CO2C1-C6 alkyl, CO2C3-C8 cycloalkyl, C6-C10 aryl, CONR11R12, C3-C7 cycloalkyl and 3- to 7-membered heterocycloalkyl, wherein the C1-C6 alkyl, C3-C7 cycloalkyl and 3- to 7-membered heterocycloalkyl is optionally substituted with one or more substituents each independently selected from hydroxy, oxo, C1-C6 alkyl, C1-C6 alkoxy, NR11R12, ═NR13, COOC1-C6 alkyl, C6-C10 aryl, —(C1-C6 alkoxylene)-5-to-10-membered heterocycloalkyl, and CONR11R12;


wherein the —(C1-C6 alkoxylene)-5-to-10-membered heterocycloalkyl is optionally substituted with one or more hydroxy or —(C1-C6 alkyl)-OH;


and each of R1, R10, R41 and R42 when bonded to nitrogen is independently selected from H, C1-C6 alkyl, C1-C6 haloalkyl, CO2C1-C6 alkyl, CO2C3-C8 cycloalkyl, C6-C10 aryl, CONR11R12, C3-C7 cycloalkyl, S(O2)C1-C6 alkyl and 3- to 7-membered heterocycloalkyl, wherein the C1-C6 alkyl, C3-C7 cycloalkyl and 3- to 7-membered heterocycloalkyl is optionally substituted with one or more substituents each independently selected from hydroxy, oxo, C1-C6 alkyl, C1-C6 alkoxy, NR11R12, ═NR13, COOC1-C6 alkyl, C6-C10 aryl, and CONR11R12;


or any two of R41, R10, R1, and R42 on adjacent atoms, taken together with the atoms connecting them form at least one monocyclic or bicyclic 3-to-12-membered carbocyclic ring or at least one monocyclic or bicyclic 5- to 12-membered heterocyclic ring containing 1-3 heteroatoms independently selected from O, N, NH, NR13, and S, wherein the carbocyclic ring or heterocyclic ring is optionally substituted with one or more substituents each independently selected from hydroxy, halo, oxo, C1-C6 alkyl, C2-C6 alkenyl, C2-C6 alkynyl, C1-C6 alkoxy, OC3-C10 cycloalkyl, NR11R12, ═NR13, CN, COOC1-C6 alkyl, OS(O2)C6-C10 aryl, S(O2)C6-C10 aryl, C6-C10 aryl, 5- to 10-membered heteroaryl, C3-C10 cycloalkyl, 3- to 10-membered heterocycloalkyl, and CONR11R12, wherein the C1-C6 alkyl, C1-C6 alkoxy, S(O2)C6-C10 aryl, C6-C10 aryl, 5- to 10-membered heteroaryl, C3-C10 cycloalkyl, and 3- to 10-membered heterocycloalkyl are optionally substituted with one or more substituents each independently selected from hydroxy, halo, C1-C6 alkyl, C2-C6 alkenyl, C2-C6 alkynyl, C3-C10 cycloalkyl, C1-C6 alkoxy, oxo, NR11R12, ═NR13, COOC1-C6 alkyl, C6-C10 aryl, and CONR11R12;


each of R34, R29, R35, R21 and R36 is independently selected from H, hydroxy, C1-C6 alkyl, C1-C6 haloalkyl, CN, halo, CO2C1-C6 alkyl, CO2C3-C8 cycloalkyl, CONR11R12, C3-C7 cycloalkyl, 3- to 7-membered heterocycloalkyl, C6-C10 aryl, —(C1-C6 alkylene)o-(Z1-Z2)p-Z3, OC1-C6 alkyl, NH2, NHC1-C6 alkyl, N(C1-C6 alkyl)2, NO2, COC1-C6 alkyl, SF5, and S(O2)C1-C6 alkyl;


wherein the C1-C6 alkyl, C3-C7 cycloalkyl, and 3- to 7-membered heterocycloalkyl is optionally substituted with one or more substituents each independently selected from hydroxy, oxo, C1-C6 alkoxy, C1-C6 alkyl, NR11R12, ═NR13, COOC1-C6 alkyl, CONR11R12, C3-C7 cycloalkyl, 3- to 7-membered heterocycloalkyl, C6-C10 aryl, 5- to 10-membered heteroaryl, NHCOC6-C10 aryl, NHCO(5- to 10-membered heteroaryl), NHCO(3- to 7-membered heterocycloalkyl), and NHCOC2-C6 alkynyl,

    • wherein the C6-C10 aryl, NHCOC6-C10 aryl, NHCO(5- to 10-membered heteroaryl) and NHCO(3- to 7-membered heterocycloalkyl) are optionally substituted with one or more substituents independently selected from halo, C1-C6 alkyl, and OC1-C6 alkyl,


      or any two of R34, R29, R35, R21 and R36 on adjacent atoms, taken together with the atoms connecting them form at least one monocyclic or bicyclic 3-to-12-membered carbocyclic ring or at least one monocyclic or bicyclic 5- to 12-membered heterocyclic ring containing 1-3 heteroatoms independently selected from O, N, NH, NR13, and S, wherein the carbocyclic ring or heterocyclic ring is optionally substituted with one or more substituents each independently selected from hydroxy, halo, oxo, C1-C6 alkyl, C2-C6 alkenyl, C2-C6 alkynyl, C1-C6 alkoxy, OC3-C10 cycloalkyl, NR11R12, ═NR13, CN, COOC1-C6 alkyl, OS(O2)C6-C10 aryl, S(O2)C6-C10 aryl, C6-C10 aryl, 5- to 10-membered heteroaryl, C3-C10 cycloalkyl, 3- to 10-membered heterocycloalkyl, and CONR11R12, wherein the C1-C6 alkyl, C1-C6 alkoxy, S(O2)C6-C10 aryl, C6-C10 aryl, 5- to 10-membered heteroaryl, C3-C10 cycloalkyl, and 3- to 10-membered heterocycloalkyl are optionally substituted with one or more substituents each independently selected from hydroxy, halo, C1-C6 alkyl, C2-C6 alkenyl, C2-C6 alkynyl, C3-C10 cycloalkyl, C1-C6 alkoxy, oxo, NR11R12, ═NR13, COOC1-C6 alkyl, C6-C10 aryl, and CONR11R12;


      wherein when X35 is CR35, X21 is CH, X36 is CH, X29 is CH, and X34 is CH, then R35 is selected from hydroxy, C2-C6 alkyl, C1-C6 haloalkyl, CN, I, CO2C2-C6 alkyl, CO2C3-C8 cycloalkyl, CONR11R12, C3-C7 cycloalkyl, 3- to 7-membered heterocycloalkyl, C6-C10 aryl, —(C1-C6 alkylene)o-(Z1-Z2)p-Z3, OC2-C6 alkyl, NH2, NHC1-C6 alkyl, N(C1-C6 alkyl)2, COC1-C6 alkyl, SF5, and S(O2)C1-C6 alkyl;


      wherein the C2-C6 alkyl, C3-C7 cycloalkyl, and 3- to 7-membered heterocycloalkyl is optionally substituted with one or more substituents each independently selected from hydroxy, oxo, C1-C6 alkoxy, C1-C6 alkyl, NR11R12, ═NR13, COOC1-C6 alkyl, CONR11R12, C3-C7 cycloalkyl, 3- to 7-membered heterocycloalkyl, C6-C10 aryl, 5- to 10-membered heteroaryl, NHCOC6-C10 aryl, NHCO(5- to 10-membered heteroaryl), NHCO(3- to 7-membered heterocycloalkyl), and NHCOC2-C6 alkynyl,


      wherein the C6-C10 aryl, NHCOC6-C10 aryl, NHCO(5- to 10-membered heteroaryl) and NHCO(3- to 7-membered heterocycloalkyl) are optionally substituted with one or more substituents independently selected from halo, C1-C6 alkyl, and OC1-C6 alkyl;


      wherein when one of X21 and X29 is N and the other of X21 and X29 is CH, then one of X34, X35, and X36 is other than CH;


      wherein when R


      R13 is C1-C6 alkyl;


      each of R11 and R12 at each occurrence is independently selected from hydrogen, C1-C6 alkyl, C1-C6 haloalkyl, (C═NR15)NR17R18, S(O2)C1-C6 alkyl, S(O2)NR17R18, COR15, CO2R15 and CON R17R18; wherein the C1-C6 alkyl is optionally substituted with one or more hydroxy, halo, C1-C6 alkoxy, C6-C10 aryl, 5- to 10-membered heteroaryl, C3-C7 cycloalkyl or 3- to 7-membered heterocycloalkyl; or R11 and R12 taken together with the nitrogen they are attached to form a 3- to 7-membered ring optionally containing one or more heteroatoms in addition to the nitrogen they are attached to;


      R15 is C1-C6 alkyl, C1-C6 haloalkyl, C6-C10 aryl, or 5- to 10-membered heteroaryl;


      each occurrence of Z1 is independently selected from O, NR17C(O), 5-to-10-membered heteroarylene, and 3-10 membered heterocycloalkyl;


      each occurrence of Z2 is C1-C6 alkylene;


      Z3 is selected from NHC02R15 and 5-to-10 membered monocyclic or bicyclic heterocycloalkyl containing 1-3 heteroatoms selected from O, N, and S, wherein the heterocycloalkyl is optionally substituted with one or more oxo, hydroxy, or —(C1-C6 alkylene)-OH,


      o is selected from 0 and 1;


      p is selected from 0, 1, 2, 3, 4, 5, 6, 7, or 8;


      each of R7 and R8 at each occurrence is independently selected from hydrogen and C1-C6 alkyl; and


      with the proviso that the compound is not a compound selected from the group consisting of the compounds disclosed in Table 1A and Table 1B.
    • In some embodiments (EAC), provided herein is a compound of Formula AA as shown for embodiments (EAA),


      or a pharmaceutically acceptable salt thereof, wherein the compound of Formula AA is a compound of Formula AA-1:




embedded image


wherein


Ar is a heteroaryl group




embedded image


or an aryl or heteroaryl group




embedded image


Ar′ is



embedded image


or a 5-membered heteroaryl optionally substituted with one or more R3;


Ar″ is



embedded image


or a 5-membered heteroaryl optionally substituted with one or more R3;


X1 is S, CR41, or NH;


X10 is CR10,


X11 is N;

X2 is O or CR42;


X35 is CR35;


X21 is N or CR21;


X36 is CR36;


X29 is N or CR29;


X34 is CR34;


X4 is CR4;


each R20 is the same or different and is independently selected from hydrogen, C1-C6 alkyl optionally substituted with NR17CO2R15, and NR17CO2R15;


Y is CR2;
Y′ is CR2′;
Z is CR8;
Z′ is CR8′;

R8 is selected from CN, F, 3-to-10-membered heterocycloalkyl optionally substituted with haloalkyl, and NR17SO2R15;


wherein when R8 is F, one of R34, R29, R35, R21 and R36 is —(C1-C6 alkylene)o-(Z1-Z2)p-Z3;


R8′ is selected from H, 3-to-10-membered heterocycloalkyl optionally substituted with haloalkyl, and NR17SO2R15.


R2 is hydrogen or C1-C6 alkyl;


R2′ is hydrogen;


R3 is hydrogen or CO2R15.


R4 is hydrogen or C1-C6 alkyl;


R5 is hydrogen or halo;


R5′ is hydrogen;


provided that at least one of R2, R3, R4, and R5 is not hydrogen;


each of R10, R11, R41 and R42 is independently selected from H and C1-C6 alkyl, wherein the C1-C6 alkyl, is optionally substituted with one or more substituents each independently selected from hydroxy and —(C1-C6 alkoxylene)-5-to-10-membered heterocycloalkyl;


wherein the —(C1-C6 alkoxylene)-5-to-10-membered heterocycloalkyl is optionally substituted with one or more hydroxy and/or —(C1-C6 alkyl)-OH;


each of R34, R29, R35, R21 and R36 is independently selected from H, hydroxy, SO2NR11R12, C2-C6 alkyl optionally substituted with one or more hydroxy, halo, CONR11R12, and —(C1-C6 alkylene)o-(Z1-Z2)p-Z3, OC1-C6 alkyl;


or R29 and R35, taken together with the atoms connecting them form one monocyclic 5- to 12-membered heterocyclic ring containing 1-3 heteroatoms independently selected from O, N, NH, NR13 and S, wherein the heterocyclic ring is optionally substituted with one or more oxo;


wherein at least one of R34, R29, R35, R21 and R36 is selected from hydroxy, SO2NR11R12, C2-C6 alkyl optionally substituted with one or more hydroxy, halo, CONR11R12, and —(C1-C6 alkylene)o-(Z1-Z2)p-Z3, and OC1-C6 alkyl;


wherein when one of X35, X21, X36, X29, and X34 is C—C(CH3)2OH, then at least two of the remaining X35, X21, X36, X29, and X34 are N;


R13 is C1-C6 alkyl;


each of R11 and R12 at each occurrence is independently selected from hydrogen and C1-C6 alkyl; R15 is C1-C6 alkyl;


each occurrence of Z1 is independently selected from O, NR17C(O), 5-to-10-membered heteroarylene, and 3-10 membered heterocycloalkyl;


each occurrence of Z2 is C1-C6 alkylene;


Z3 is selected from NHCO2R15 and 5-to-10 membered monocyclic or bicyclic heterocycloalkyl containing 1-3 heteroatoms selected from O, N, NH, and S, wherein the heterocycloalkyl is optionally substituted with one or more oxo, hydroxy, or —(C1-C6 alkylene)-OH,


o is selected from 0 and 1;


p is selected from 0, 1, 2, 3, 4, 5, 6, 7, or 8; and


R17 at each occurrence is independently selected from hydrogen and C1-C6 alkyl; and with the proviso that the compound is not a compound selected from the group consisting of the compounds disclosed in Table 1A and Table 1B.


In some embodiments (EAD), provided herein is a compound of Formula A




embedded image


or a pharmaceutically acceptable salt thereof, wherein:


Ar is a heteroaryl group




embedded image


or an aryl or heteroaryl group




embedded image


X1 is O, S, N, CR41 or NR41;


X10 is O, S, N, CR10 or NR10;


X11 is O, S, N, CR1 or NR1;


X2 is O, S, N, CR42 or NR42;




embedded image


comprises at least one of CR41, CR10, CR1, and CR42;


X35 is N or CR35;


X21 is N or CR21;


X36 is N or CR36;


X29 is N or CR29;


X34 is N or CR34;




embedded image


comprises at least two of CR35, CR21, CR36, CR29, and CR34;


X4 is CR4, N or NR24;


each R20 is the same or different and is independently selected from hydrogen and C1-C6 alkyl;


Y is N or CR2;
Z is N or CR8;

R8 is selected from H, CN, halo, CO2C1-C6 alkyl, CO2C3-C8 cycloalkyl, CONR11R12, C1-C6 alkyl optionally substituted with hydroxy, C1-C6 alkoxy, C1-C6 haloalkoxy, and C1-C6 haloalkyl; R2 is hydrogen, C1-C6 alkoxy, halo, C1-C6 haloalkyl, C3-C7 cycloalkyl or C1-C6 alkyl optionally substituted with hydroxy;


R3 is hydrogen, C1-C6 alkoxy, halo, C1-C6 haloalkyl, CN, C1-C6 haloalkoxy, C3-C7 cycloalkyl or C1-C6 alkyl optionally substituted with hydroxy;


R4 is hydrogen, C1-C6 alkoxy, halo, C1-C6 haloalkyl, C3-C7 cycloalkyl or C1-C6 alkyl optionally substituted with hydroxy;


R24 is absent and R5 is hydrogen, C1-C6 alkoxy, halo, C1-C6 haloalkyl, CN, C1-C6 haloalkoxy, C3-C7 cycloalkyl or C1-C6 alkyl optionally substituted with hydroxy;


or R24 is C1-C6 alkyl or C3-C8 cycloalkyl and R5 is ═O;


provided that at least one of R2, R3, R4 and R5 is not hydrogen;


or R2 and R3 taken together with the carbons connecting them form a four-membered to seven-membered ring A,


or R4 and R5 taken together with the carbons connecting them form a four-membered to seven-membered ring B,


or R2 and R3 taken together with the carbons connecting them form a four-membered to seven-membered ring A and R4 and R5 taken together with the carbons connecting them form a four-membered to seven-membered ring B, wherein rings A and B as well as n1, m1, n2, m2 and R6 are as defined in embodiments (EAA);


each of R1, R10, R41 and R42 when bonded to carbon is independently selected from H, C1-C6 alkyl, C1-C6 haloalkyl, CN, halo, CO2C1-C6 alkyl, CO2C3-C8 cycloalkyl, C6-C10 aryl, CONR11R12, C3-C7 cycloalkyl and 3- to 7-membered heterocycloalkyl, wherein the C1-C6 alkyl, C3-C7 cycloalkyl and 3- to 7-membered heterocycloalkyl is optionally substituted with one or more substituents each independently selected from hydroxy, oxo, C1-C6 alkyl, C1-C6 alkoxy, NR11R12, ═NR13, COOC1-C6 alkyl, C6-C10 aryl, and CONR11R12;


and each of R1, R10, R41 and R42 when bonded to nitrogen is independently selected from H, C1-C6 alkyl, C1-C6 haloalkyl, CO2C1-C6 alkyl, CO2C3-C8 cycloalkyl, C6-C10 aryl, CONR11R12, C3-C7 cycloalkyl, S(O2)C1-C6 alkyl and 3- to 7-membered heterocycloalkyl, wherein the C1-C6 alkyl, C3-C7 cycloalkyl and 3- to 7-membered heterocycloalkyl is optionally substituted with one or more substituents each independently selected from hydroxy, oxo, C1-C6 alkyl, C1-C6 alkoxy, NR11R12, ═NR13, COOC1-C6 alkyl, C6-C10 aryl, and CONR11R12;


or any two of R41, R10, R1, and R42 on adjacent atoms, taken together with the atoms connecting them form at least one monocyclic or bicyclic 3-to-12-membered carbocyclic ring or at least one monocyclic or bicyclic 5- to 12-membered heterocyclic ring containing 1-3 heteroatoms independently selected from O, N, NH, NR13, and S, wherein the carbocyclic ring or heterocyclic ring is optionally substituted with one or more substituents each independently selected from hydroxy, halo, oxo, C1-C6 alkyl, C2-C6 alkenyl, C2-C6 alkynyl, C1-C6 alkoxy, OC3-C10 cycloalkyl, NR11R12, ═NR13, CN, COOC1-C6 alkyl, OS(O2)C6-C10 aryl, S(O2)C6-C10 aryl, C6-C10 aryl, 5- to 10-membered heteroaryl, C3-C10 cycloalkyl, 3- to 10-membered heterocycloalkyl, and CONR11R12, wherein the C1-C6 alkyl, C1-C6 alkoxy, S(O2)C6-C10 aryl, C6-C10 aryl, 5- to 10-membered heteroaryl, C3-C10 cycloalkyl, and 3- to 10-membered heterocycloalkyl are optionally substituted with one or more substituents each independently selected from hydroxy, halo, C1-C6 alkyl, C2-C6 alkenyl, C2-C6 alkynyl, C3-C10 cycloalkyl, C1-C6 alkoxy, oxo, NR11R12, ═NR13, COOC1-C6 alkyl, C6-C10 aryl, and CONR11R12;


each of R34, R29, R35, R21 and R36 is independently selected from H, C1-C6 alkyl, C1-C6 haloalkyl, CN, halo, CO2C1-C6 alkyl, CO2C3-C8 cycloalkyl, CONR11R12, C3-C7 cycloalkyl, 3- to 7-membered heterocycloalkyl, C6-C10 aryl, OC1-C6 alkyl, NH2, NHC1-C6 alkyl, N(C1-C6 alkyl)2, NO2, COC1-C6 alkyl, SF5 and S(O2)C1-C6 alkyl;


wherein the C1-C6 alkyl, C3-C7 cycloalkyl and 3- to 7-membered heterocycloalkyl is optionally substituted with one or more substituents each independently selected from hydroxy, oxo, C1-C6 alkoxy, C1-C6 alkyl, NR11R12, ═NR13, COOC1-C6 alkyl, CONR11R12, C3-C7 cycloalkyl, 3- to 7-membered heterocycloalkyl, C6-C10 aryl, 5- to 10-membered heteroaryl, NHCOC6-C10 aryl, NHCO(5- to 10-membered heteroaryl), NHCO(3- to 7-membered heterocycloalkyl), and NHCOC2-C6 alkynyl,

    • wherein the C6-C10 aryl, 5- to 10-membered heteroaryl, NHCOC6-C10 aryl, NHCO(5- to 10-membered heteroaryl) and NHCO(3- to 7-membered heterocycloalkyl) are optionally substituted with one or more substituents independently selected from halo, C1-C6 alkyl, and OC1-C6 alkyl,


      or any two of R34, R29, R35, R21 and R36 on adjacent atoms, taken together with the atoms connecting them form at least one monocyclic or bicyclic 3-to-12-membered carbocyclic ring or at least one monocyclic or bicyclic 5- to 12-membered heterocyclic ring containing 1-3 heteroatoms independently selected from O, N, NH, NR13, and S, wherein the carbocyclic ring or heterocyclic ring is optionally substituted with one or more substituents each independently selected from hydroxy, halo, oxo, C1-C6 alkyl, C2-C6 alkenyl, C2-C6 alkynyl, C1-C6 alkoxy, OC3-C10 cycloalkyl, NR11R12, ═NR13, CN, COOC1-C6 alkyl, OS(O2)C6-C10 aryl, S(O2)C6-C10 aryl, C6-C10 aryl, 5- to 10-membered heteroaryl, C3-C10 cycloalkyl, 3- to 10-membered heterocycloalkyl, and CONR11R12, wherein the C1-C6 alkyl, C1-C6 alkoxy, S(O2)C6-C10 aryl, C6-C10 aryl, 5- to 10-membered heteroaryl, C3-C10 cycloalkyl, and 3- to 10-membered heterocycloalkyl are optionally substituted with one or more substituents each independently selected from hydroxy, halo, C1-C6 alkyl, C2-C6 alkenyl, C2-C6 alkynyl, C3-C10 cycloalkyl, C1-C6 alkoxy, oxo, NR11R12, ═NR13, COOC1-C6 alkyl, C6-C10 aryl, and CONR11R12;


      R13 is C1-C6 alkyl;


      each of R11 and R12 at each occurrence is independently selected from hydrogen, C1-C6 alkyl, C1-C6 haloalkyl, (C═NR15)NR17R8, S(O2)C1-C6 alkyl, S(O2)NR17R8, COR15, CO2R15 and CON R17R18; wherein the C1-C6 alkyl is optionally substituted with one or more hydroxy, halo, C1-C6 alkoxy, C6-C10 aryl, 5- to 10-membered heteroaryl, C3-C7 cycloalkyl or 3- to 7-membered heterocycloalkyl; or R11 and R12 taken together with the nitrogen they are attached to form a 3- to 7-membered ring optionally containing one or more heteroatoms in addition to the nitrogen they are attached to;


      R15 is C1-C6 alkyl, C1-C6 haloalkyl, C6-C10 aryl, or 5- to 10-membered heteroaryl; and each of R17 and R8 at each occurrence is independently selected from hydrogen and C1-C6 alkyl.


In some embodiments (EAE), provided herein is a compound of Formula A




embedded image


or a pharmaceutically acceptable salt thereof, wherein:


Ar is a heteroaryl group




embedded image


or an aryl or heteroaryl group




embedded image


X1 is O, S, N, CR41 or NR41;


X10 is O, S, N, CR10 or NR10;


X11 is O, S, N, CR1 or NR1;


X2 is O, S, N, CR42 or NR42;




embedded image


comprises at least one of CR41, CR10, CR1, and CR42;


X35 is N or CR35;


X21 is N or CR21;


X36 is N or CR36;


X29 is N or CR29;


X34 is N or CR34;




embedded image


comprises at least two of CR35, CR21, CR36, CR29, and CR34;


X4 is CR4, N or NR24;


each R20 is the same or different and is independently selected from hydrogen and C1-C6 alkyl;


Y is N or CR2;
Z is N or CR8;

R8 is selected from H, CN, halo, CO2C1-C6 alkyl, CO2C3-C8 cycloalkyl, CONR11R12, C1-C6 alkyl optionally substituted with hydroxy, C1-C6 alkoxy, C1-C6 haloalkoxy, and C1-C6 haloalkyl;


R2 is hydrogen, C1-C6 alkoxy, halo, C1-C6 haloalkyl, C3-C7 cycloalkyl or C1-C6 alkyl optionally substituted with hydroxy;


R3 is hydrogen, C1-C6 alkoxy, halo, C1-C6 haloalkyl, CN, C1-C6 haloalkoxy, C3-C7 cycloalkyl or C1-C6 alkyl optionally substituted with hydroxy;


R4 is hydrogen, C1-C6 alkoxy, halo, C1-C6 haloalkyl, C3-C7 cycloalkyl or C1-C6 alkyl optionally substituted with hydroxy;


R24 is absent and R5 is hydrogen, C1-C6 alkoxy, halo, C1-C6 haloalkyl, CN, C1-C6 haloalkoxy, C3-C7 cycloalkyl or C1-C6 alkyl optionally substituted with hydroxy;


or R24 is C1-C6 alkyl or C3-C8 cycloalkyl and R5 is ═O;


provided that at least one of R2, R3, R4 and R5 is not hydrogen;


or R2 and R3 taken together with the carbons connecting them form a four-membered to seven-membered ring A,


or R4 and R5 taken together with the carbons connecting them form a four-membered to seven-membered ring B,


or R2 and R3 taken together with the carbons connecting them form a four-membered to seven-membered ring A and R4 and R5 taken together with the carbons connecting them form a four-membered to seven-membered ring B,


wherein rings A and B as well as n1, m1, n2, m2 and R6 are as defined in embodiments (EAA);


each of R1, R10, R41 and R42 when bonded to carbon is independently selected from H, C1-C6 alkyl, C1-C6 haloalkyl, CN, halo, CO2C1-C6 alkyl, CO2C3-C8 cycloalkyl, C6-C10 aryl, CONR11R12, C3-C7 cycloalkyl and 3- to 7-membered heterocycloalkyl, wherein the C1-C6 alkyl, C3-C7 cycloalkyl and 3- to 7-membered heterocycloalkyl is optionally substituted with one or more substituents each independently selected from hydroxy, oxo, C1-C6 alkyl, C1-C6 alkoxy, NR11R12, ═NR13, COOC1-C6 alkyl, C6-C10 aryl, and CONR11R12;


and each of R1, R10, R41 and R42 when bonded to nitrogen is independently selected from H, C1-C6 alkyl, C1-C6 haloalkyl, CO2C1-C6 alkyl, CO2C3-C8 cycloalkyl, C6-C10 aryl, CONR11R12, C3-C7 cycloalkyl, S(O2)C1-C6 alkyl and 3- to 7-membered heterocycloalkyl, wherein the C1-C6 alkyl, C3-C7 cycloalkyl and 3- to 7-membered heterocycloalkyl is optionally substituted with one or more substituents each independently selected from hydroxy, oxo, C1-C6 alkyl, C1-C6 alkoxy, NR11R12, ═NR13, COOC1-C6 alkyl, C6-C10 aryl, and CONR11R12;


or any two of R41, R10, R1, and R42 on adjacent atoms, taken together with the atoms connecting them form at least one monocyclic or bicyclic 3-to-12-membered carbocyclic ring or at least one monocyclic or bicyclic 5- to 12-membered heterocyclic ring containing 1-3 heteroatoms independently selected from O, N, NH, NR13, and S, wherein the carbocyclic ring or heterocyclic ring is optionally substituted with one or more substituents each independently selected from hydroxy, halo, oxo, C1-C6 alkyl, C2-C6 alkenyl, C2-C6 alkynyl, C1-C6 alkoxy, OC3-C10 cycloalkyl, NR11R12, ═NR13, CN, COOC1-C6 alkyl, OS(O2)C6-C10 aryl, S(O2)C6-C10 aryl, C6-C10 aryl, 5- to 10-membered heteroaryl, C3-C10 cycloalkyl, 3- to 10-membered heterocycloalkyl, and CONR11R12, wherein the C1-C6 alkyl, C1-C6 alkoxy, S(O2)C6-C10 aryl, C6-C10 aryl, 5- to 10-membered heteroaryl, C3-C10 cycloalkyl, and 3- to 10-membered heterocycloalkyl are optionally substituted with one or more substituents each independently selected from hydroxy, halo, C1-C6 alkyl, C2-C6 alkenyl, C2-C6 alkynyl, C3-C10 cycloalkyl, C1-C6 alkoxy, oxo, NR11R12, ═NR13, COOC1-C6 alkyl, C6-C10 aryl, and CONR11R12;


each of R34, R29, R35, R21 and R36 is independently selected from H, C1-C6 alkyl, C1-C6 haloalkyl, CN, halo, CO2C1-C6 alkyl, CO2C3-C8 cycloalkyl, CONR11R12, C3-C7 cycloalkyl, 3- to 7-membered heterocycloalkyl, C6-C10 aryl, OC1-C6 alkyl, NH2, NHC1-C6 alkyl, N(C1-C6 alkyl)2, NO2, COC1-C6 alkyl, SF5 and S(O2)C1-C6 alkyl;


wherein the C1-C6 alkyl, C3-C7 cycloalkyl and 3- to 7-membered heterocycloalkyl is optionally substituted with one or more substituents each independently selected from hydroxy, oxo, C1-C6 alkoxy, C1-C6 alkyl, NR11R12, ═NR13, COOC1-C6 alkyl, CONR11R12, C3-C7 cycloalkyl, 3- to 7-membered heterocycloalkyl, C6-C10 aryl, 5- to 10-membered heteroaryl, NHCOC6-C10 aryl, NHCO(5- to 10-membered heteroaryl), NHCO(3- to 7-membered heterocycloalkyl), and NHCOC2-C6 alkynyl,

    • wherein the C6-C10 aryl, 5- to 10-membered heteroaryl, NHCOC6-C10 aryl, NHCO(5- to 10-membered heteroaryl) and NHCO(3- to 7-membered heterocycloalkyl) are optionally substituted with one or more substituents independently selected from halo, C1-C6 alkyl, and OC1-C6 alkyl,


      or any two of R34, R29, R35, R21 and R36 on adjacent atoms, taken together with the atoms connecting them form at least one monocyclic or bicyclic 3-to-12-membered carbocyclic ring or at least one monocyclic or bicyclic 5- to 12-membered heterocyclic ring containing 1-3 heteroatoms independently selected from O, N, NH, NR13, and S, wherein the carbocyclic ring or heterocyclic ring is optionally substituted with one or more substituents each independently selected from hydroxy, halo, oxo, C1-C6 alkyl, C2-C6 alkenyl, C2-C6 alkynyl, C1-C6 alkoxy, OC3-C10 cycloalkyl, NR11R12, ═NR13, CN, COOC1-C6 alkyl, OS(O2)C6-C10 aryl, S(O2)C6-C10 aryl, C6-C10 aryl, 5- to 10-membered heteroaryl, C3-C10 cycloalkyl, 3- to 10-membered heterocycloalkyl, and CONR11R12, wherein the C1-C6 alkyl, C1-C6 alkoxy, S(O2)C6-C10 aryl, C6-C10 aryl, 5- to 10-membered heteroaryl, C3-C10 cycloalkyl, and 3- to 10-membered heterocycloalkyl are optionally substituted with one or more substituents each independently selected from hydroxy, halo, C1-C6 alkyl, C2-C6 alkenyl, C2-C6 alkynyl, C3-C10 cycloalkyl, C1-C6 alkoxy, oxo, NR11R12, ═NR13, COOC1-C6 alkyl, C6-C10 aryl, and CONR11R12;


      R13 is C1-C6 alkyl;


      each of R11 and R12 at each occurrence is independently selected from hydrogen, C1-C6 alkyl, C1-C6 haloalkyl, (C═NR15)NR17R18, S(O2)C1-C6 alkyl, S(O2)NR17R18, COR15, CO2R15 and CON R17R18; wherein the C1-C6 alkyl is optionally substituted with one or more hydroxy, halo, C1-C6 alkoxy, C6-C10 aryl, 5- to 10-membered heteroaryl, C3-C7 cycloalkyl or 3- to 7-membered heterocycloalkyl;


      R15 is C1-C6 alkyl, C1-C6 haloalkyl, C6-C10 aryl, or 5- to 10-membered heteroaryl; and each of R17 and R18 at each occurrence is independently selected from hydrogen and C1-C6 alkyl.
    • In some embodiments (EAF), provided herein is a compound of Formula A as shown for embodiments (EAE),


      or a pharmaceutically acceptable salt thereof, wherein:


      Ar is a heteroaryl group




embedded image


or an aryl or heteroaryl group




embedded image


X1 is O, S, N, CR41 or NR41;


X10 is O, S, N, CR10 or NR10;


X11 is O, S, N, CR1 or NR1;


X2 is O, S, N, CR42 or NR42;


X35 is N or CR35;


X21 is N or CR21;


X36 is N or CR36;


X4 is CR4, N or NR24;


each R20 is the same or different and is independently selected from hydrogen and C1-C6 alkyl;


Y is N or CR2;
Z is N or CR8;

R8 is selected from H, CN, halo, CO2C1-C6 alkyl, CO2C3-C8 cycloalkyl, CONR11R12, C1-C6 alkyl, C1-C6 alkoxy, C1-C6 haloalkoxy, and C1-C6 haloalkyl;


R2 is hydrogen, C1-C6 alkoxy, halo, C1-C6 haloalkyl, C3-C7 cycloalkyl or C1-C6 alkyl optionally substituted with hydroxy;


R3 is hydrogen, C1-C6 alkoxy, halo, C1-C6 haloalkyl, CN, C1-C6 haloalkoxy, C3-C7 cycloalkyl or C1-C6 alkyl optionally substituted with hydroxy;


R4 is hydrogen, C1-C6 alkoxy, halo, C1-C6 haloalkyl, C3-C7 cycloalkyl or C1-C6 alkyl optionally substituted with hydroxy;


R24 is absent and R5 is hydrogen, C1-C6 alkoxy, halo, C1-C6 haloalkyl, CN, C1-C6 haloalkoxy, C3-C7 cycloalkyl or C1-C6 alkyl optionally substituted with hydroxy;


or R24 is C1-C6 alkyl or C3-C8 cycloalkyl and R5 is ═O;


provided that at least one of R2, R3, R4 and R5 is not hydrogen;


or R2 and R3 taken together with the carbons connecting them form a four-membered to seven-membered ring A,


or R4 and R5 taken together with the carbons connecting them form a four-membered to seven-membered ring B,


or R2 and R3 taken together with the carbons connecting them form a four-membered to seven-membered ring A and R4 and R5 taken together with the carbons connecting them form a four-membered to seven-membered ring B,


wherein rings A and B as well as n1, m1, n2, m2 and R6 are as defined in embodiments (EAA);


each of R1, R10, R41 and R42 when bonded to carbon is independently selected from H, C1-C6 alkyl, C1-C6 haloalkyl, CN, halo, CO2C1-C6 alkyl, CO2C3-C8 cycloalkyl, C6-C10 aryl, CONR11R12, C3-C7 cycloalkyl and 3- to 7-membered heterocycloalkyl, wherein the C1-C6 alkyl, C3-C7 cycloalkyl and 3- to 7-membered heterocycloalkyl is optionally substituted with one or more substituents each independently selected from hydroxy, oxo, C1-C6 alkyl, C1-C6 alkoxy, NR11R12, ═NR13, COOC1-C6 alkyl, C6-C10 aryl, and CONR11R12;


and each of R1, R10, R41 and R42 when bonded to nitrogen is independently selected from H, C1-C6 alkyl, C1-C6 haloalkyl, CO2C1-C6 alkyl, CO2C3-C8 cycloalkyl, C6-C10 aryl, CONR11R12, C3-C7 cycloalkyl, S(O2)C1-C6 alkyl and 3- to 7-membered heterocycloalkyl, wherein the C1-C6 alkyl, C3-C7 cycloalkyl and 3- to 7-membered heterocycloalkyl is optionally substituted with one or more substituents each independently selected from hydroxy, oxo, C1-C6 alkyl, C1-C6 alkoxy, NR11R12, ═NR13, COOC1-C6 alkyl, C6-C10 aryl, and CONR11R12;


or R1 and R10 taken together with the atoms connecting them form a 3-to-8-membered carbocyclic or heterocyclic ring containing 1 or 2 heteroatoms independently selected from O, N, and S, wherein the ring is optionally substituted with one or more substituents each independently selected from hydroxy, oxo, C1-C6 alkoxy, NR11R12, ═NR13, COOC1-C6 alkyl, and CONR11R12;


each of R34, R29, R35, R21 and R36 is independently selected from H, C1-C6 alkyl, C1-C6 haloalkyl, CN, halo, CO2C1-C6 alkyl, CO2C3-C8 cycloalkyl, CONR11R12, C3-C7 cycloalkyl, 3- to 7-membered heterocycloalkyl, C6-C10 aryl, OC1-C6 alkyl, NH2, NHC1-C6 alkyl, N(C1-C6 alkyl)2, NO2, COC1-C6 alkyl, SF5 and S(O2)C1-C6 alkyl;


wherein the C1-C6 alkyl, C3-C7 cycloalkyl and 3- to 7-membered heterocycloalkyl is optionally substituted with one or more substituents each independently selected from hydroxy, oxo, C1-C6 alkoxy, C1-C6 alkyl, NR11R12, ═NR13, COOC1-C6 alkyl, CONR11R12, C3-C7 cycloalkyl, 3- to 7-membered heterocycloalkyl, C6-C10 aryl, 5- to 10-membered heteroaryl, NHCOC6-C10 aryl, NHCO(5- to 10-membered heteroaryl), NHCO(3- to 7-membered heterocycloalkyl), and NHCOC2-C6 alkynyl,

    • wherein the C6-C10 aryl, 5- to 10-membered heteroaryl, NHCOC6-C10 aryl, NHCO(5- to 10-membered heteroaryl) and NHCO(3- to 7-membered heterocycloalkyl) are optionally substituted with one or more substituents independently selected from halo, C1-C6 alkyl, and OC1-C6 alkyl,


      or two groups selected from R34, R29, R35, R21 and R36 that are on adjacent ring carbon atoms taken together with the adjacent ring carbons form a 6-membered aromatic ring, a five-to-eight-membered carbocyclic non-aromatic ring, a five- or six-membered heteroaromatic ring or a five-to-eight-membered heterocyclic non-aromatic ring, wherein the ring formed by the two groups together with the adjacent ring carbons is optionally substituted with one or more OC1-C6 alkyl, NH2, NHC1-C6 alkyl, N(C1-C6 alkyl)2;


      R13 is C1-C6 alkyl;


      each of R11 and R12 at each occurrence is independently selected from hydrogen, C1-C6 alkyl, CO2R15 and CONR17R18; or R11 and R12 taken together with the nitrogen they are attached to form a 3- to 7-membered ring optionally containing one or more heteroatoms in addition to the nitrogen they are attached to;


      R15 is C1-C6 alkyl;


      each of R17 and R8 at each occurrence is independently selected from hydrogen and C1-C6 alkyl.


In some embodiments (EAG), provided herein is a compound of Formula I




embedded image


or a pharmaceutically acceptable salt thereof, wherein:


X1 is O, S, N, CR41 or NR41;


X10 is O, S, N, CR10 or NR10;


X11 is O, S, N, CR1 or NR1;


X2 is O, S, N, CR42 or NR42;




embedded image


comprises at least one of CR41, CR10, CR1, and CR42;


X4 is CR4, N or NR24;


each R20 is the same or different and is independently selected from hydrogen and C1-C6 alkyl;


Y is N or CR2;
Z is N or CR8;

R8 is selected from H, CN, halo, CO2C1-C6 alkyl, CO2C3-C8 cycloalkyl, CONR11R12, C1-C6 alkyl optionally substituted with hydroxy, C1-C6 alkoxy, C1-C6 haloalkoxy, and C1-C6 haloalkyl; R2 is hydrogen, C1-C6 alkoxy, halo, C1-C6 haloalkyl, C3-C7 cycloalkyl or C1-C6 alkyl optionally substituted with hydroxy;


R3 is hydrogen, C1-C6 alkoxy, halo, C1-C6 haloalkyl, CN, C1-C6 haloalkoxy, C3-C7 cycloalkyl or C1-C6 alkyl optionally substituted with hydroxy;


R4 is hydrogen, C1-C6 alkoxy, halo, C1-C6 haloalkyl, C3-C7 cycloalkyl or C1-C6 alkyl optionally substituted with hydroxy;


R24 is absent and R5 is hydrogen, C1-C6 alkoxy, halo, C1-C6 haloalkyl, CN, C1-C6 haloalkoxy, C3-C7 cycloalkyl or C1-C6 alkyl optionally substituted with hydroxy;


or R24 is C1-C6 alkyl or C3-C8 cycloalkyl and R5 is ═O;


provided that at least one of R2, R3, R4 and R5 is not hydrogen;


or R2 and R3 taken together with the carbons connecting them form a four-membered to seven-membered ring A,


or R4 and R5 taken together with the carbons connecting them form a four-membered to seven-membered ring B,


or R2 and R3 taken together with the carbons connecting them form a four-membered to seven-membered ring A and R4 and R5 taken together with the carbons connecting them form a four-membered to seven-membered ring B,


wherein rings A and B as well as n1, m1, n2, m2 and R6 are as defined in embodiments (EAA);


each of R1, R10, R41 and R42 when bonded to carbon is independently selected from H, C1-C6 alkyl, C1-C6 haloalkyl, CN, halo, CO2C1-C6 alkyl, CO2C3-C8 cycloalkyl, C6-C10 aryl, CONR11R12, C3-C7 cycloalkyl, S(O2)C1-C6 alkyl and 3- to 7-membered heterocycloalkyl, wherein the C1-C6 alkyl, C3-C7 cycloalkyl and 3- to 7-membered heterocycloalkyl is optionally substituted with one or more substituents each independently selected from hydroxy, oxo, C1-C6 alkyl, C1-C6 alkoxy, NR11R12, ═NR13, COOC1-C6 alkyl, C6-C10 aryl, and CONR11R12;


and each of R1, R10, R41 and R42 when bonded to nitrogen is independently selected from H, C1-C6 alkyl, C1-C6 haloalkyl, CO2C1-C6 alkyl, CO2C3-C8 cycloalkyl, C6-C10 aryl, CONR11R12, C3-C7 cycloalkyl, S(O2)C1-C6 alkyl and 3- to 7-membered heterocycloalkyl, wherein the C1-C6 alkyl, C3-C7 cycloalkyl and 3- to 7-membered heterocycloalkyl is optionally substituted with one or more substituents each independently selected from hydroxy, C1-C6 alkyl, oxo, C1-C6 alkoxy, NR11R12, ═NR13, COOC1-C6 alkyl, C6-C10 aryl, and CONR11R12;


or any two of R41, R0, R1, and R42 on adjacent atoms, taken together with the atoms connecting them form at least one monocyclic or bicyclic 3-to-12-membered carbocyclic ring or at least one monocyclic or bicyclic 5- to 12-membered heterocyclic ring containing 1-3 heteroatoms independently selected from O, N, NH, NR13, and S, wherein the carbocyclic ring or heterocyclic ring is optionally substituted with one or more substituents each independently selected from hydroxy, halo, oxo, C1-C6 alkyl, C2-C6 alkenyl, C2-C6 alkynyl, C1-C6 alkoxy, OC3-C10 cycloalkyl, NR11R12, ═NR13, CN, COOC1-C6 alkyl, OS(O2)C6-C10 aryl, S(O2)C6-C10 aryl, C6-C10 aryl, 5- to 10-membered heteroaryl, C3-C10 cycloalkyl, 3- to 10-membered heterocycloalkyl, and CONR11R12, wherein the C1-C6 alkyl, C1-C6 alkoxy, S(O2)C6-C10 aryl, C6-C10 aryl, 5- to 10-membered heteroaryl, C3-C10 cycloalkyl, and 3- to 10-membered heterocycloalkyl are optionally substituted with one or more substituents each independently selected from hydroxy, halo, C1-C6 alkyl, C2-C6 alkenyl, C2-C6 alkynyl, C3-C10 cycloalkyl, C1-C6 alkoxy, oxo, NR11R12, ═NR13, COOC1-C6 alkyl, C6-C10 aryl, and CONR11R12;


R13 is C1-C6 alkyl;


each of R11 and R12 at each occurrence is independently selected from hydrogen, C1-C6 alkyl, C1-C6 haloalkyl, (C═NR15)NR17R18, S(O2)C1-C6 alkyl, S(O2)NR17R18, COR15, CO2R15 and CON R17R18; wherein the C1-C6 alkyl is optionally substituted with one or more hydroxy, halo, C1-C6 alkoxy, C6-C10 aryl, 5- to 10-membered heteroaryl, C3-C7 cycloalkyl or 3- to 7-membered heterocycloalkyl; or R11 and R12 taken together with the nitrogen they are attached to form a 3- to 7-membered ring optionally containing one or more heteroatoms in addition to the nitrogen they are attached to;


R15 is C1-C6 alkyl, C1-C6 haloalkyl, C6-C10 aryl, or 5- to 10-membered heteroaryl; and each of R17 and R18 at each occurrence is independently selected from hydrogen and C1-C6 alkyl.


In some embodiments (EAH), provided herein is a compound of Formula A




embedded image


or a pharmaceutically acceptable salt thereof, wherein:


Ar′ is



embedded image


or a 5-to-10-membered heteroaryl optionally substituted with one or more R3


X1 is O, S, N, CR41 or NR41;


X10 is O, S, N, CR10 or NR10;


X11 is O, S, N, CR1 or NR1;


X2 is O, S, N, CR42 or NR42;




embedded image


comprises at least one of CR41, CR10, CR1, and CR42; X4 is CR4, N or NR24;


each R20 is the same or different and is independently selected from hydrogen, C1-C6 alkyl optionally substituted with NR17CO2R15, and NR17CO2R15;


Y is N or CR2;
Z is N or CR8;

R8 is selected from H, CN, halo, CO2C1-C6 alkyl, CO2C3-C8 cycloalkyl, CONR11R12, 3-to-10-membered heterocycloalkyl optionally substituted with haloalkyl, C1-C6 alkyl optionally substituted with hydroxy, C1-C6 alkoxy, C1-C6 haloalkoxy, NR17SO2R15, and C1-C6 haloalkyl;


R2 is hydrogen, C1-C6 alkoxy, halo, C1-C6 haloalkyl, C3-C7 cycloalkyl or C1-C6 alkyl optionally substituted with hydroxy;


R3 is hydrogen, C1-C6 alkoxy, halo, C1-C6 haloalkyl, CN, C1-C6 haloalkoxy, C3-C7 cycloalkyl, CO2R15, or C1-C6 alkyl optionally substituted with hydroxy;


R4 is hydrogen, C1-C6 alkoxy, halo, C1-C6 haloalkyl, C3-C7 cycloalkyl or C1-C6 alkyl optionally substituted with hydroxy;


R24 is absent and R5 is hydrogen, C1-C6 alkoxy, halo, C1-C6 haloalkyl, CN, C1-C6 haloalkoxy, C3-C7 cycloalkyl or C1-C6 alkyl optionally substituted with hydroxy;


or R24 is C1-C6 alkyl or C3-C8 cycloalkyl and R5 is ═O;


provided that at least one of R2, R3, R4 and R5 is not hydrogen;


or R2 and R3 taken together with the carbons connecting them form a four-membered to seven-membered ring A,


or R4 and R5 taken together with the carbons connecting them form a four-membered to seven-membered ring B,


or R2 and R3 taken together with the carbons connecting them form a four-membered to seven-membered ring A and R4 and R5 taken together with the carbons connecting them form a four-membered to seven-membered ring B,


wherein rings A and B as well as n1, m1, n2, m2 and R6 are as defined in embodiments (EAA);


each of R1, R10, R41 and R42 when bonded to carbon is independently selected from H, C1-C6 alkyl, C1-C6 haloalkyl, CN, halo, CO2C1-C6 alkyl, CO2C3-C8 cycloalkyl, C6-C10 aryl, CONR11R12, C3-C7 cycloalkyl and 3- to 7-membered heterocycloalkyl, wherein the C1-C6 alkyl, C3-C7 cycloalkyl and 3- to 7-membered heterocycloalkyl is optionally substituted with one or more substituents each independently selected from hydroxy, oxo, C1-C6 alkyl, C1-C6 alkoxy, NR11R12, ═NR13, COOC1-C6 alkyl, C6-C10 aryl, —(C1-C6 alkoxylene)-5-to-10-membered heterocycloalkyl, and CONR11R12;


wherein the —(C1-C6 alkoxylene)-5-to-10-membered heterocycloalkyl is optionally substituted with one or more hydroxy or —(C1-C6 alkyl)-OH;


and each of R1, R10, R41 and R42 when bonded to nitrogen is independently selected from H, C1-C6 alkyl, C1-C6 haloalkyl, CO2C1-C6 alkyl, CO2C3-C8 cycloalkyl, C6-C10 aryl, CONR11R12, C3-C7 cycloalkyl, S(O2)C1-C6 alkyl and 3- to 7-membered heterocycloalkyl, wherein the C1-C6 alkyl, C3-C7 cycloalkyl and 3- to 7-membered heterocycloalkyl is optionally substituted with one or more substituents each independently selected from hydroxy, oxo, C1-C6 alkyl, C1-C6 alkoxy, NR11R12, ═NR13, COOC1-C6 alkyl, C6-C10 aryl, and CONR11R12;


or any two of R41, R10, R1, and R42 on adjacent atoms, taken together with the atoms connecting them form at least one monocyclic or bicyclic 3-to-12-membered carbocyclic ring or at least one monocyclic or bicyclic 5- to 12-membered heterocyclic ring containing 1-3 heteroatoms independently selected from O, N, NH, NR13, and S, wherein the carbocyclic ring or heterocyclic ring is optionally substituted with one or more substituents each independently selected from hydroxy, halo, oxo, C1-C6 alkyl, C2-C6 alkenyl, C2-C6 alkynyl, C1-C6 alkoxy, OC3-C10 cycloalkyl, NR11R12, ═NR13, CN, COOC1-C6 alkyl, OS(O2)C6-C10 aryl, S(O2)C6-C10 aryl, C6-C10 aryl, 5- to 10-membered heteroaryl, C3-C10 cycloalkyl, 3- to 10-membered heterocycloalkyl, and CONR11R12, wherein the C1-C6 alkyl, C1-C6 alkoxy, S(O2)C6-C10 aryl, C6-C10 aryl, 5- to 10-membered heteroaryl, C3-C10 cycloalkyl, and 3- to 10-membered heterocycloalkyl are optionally substituted with one or more substituents each independently selected from hydroxy, halo, C1-C6 alkyl, C2-C6 alkenyl, C2-C6 alkynyl, C3-C10 cycloalkyl, C1-C6 alkoxy, oxo, NR11R12, ═NR13, COOC1-C6 alkyl, C6-C10 aryl, and CONR11R12;


R13 is C1-C6 alkyl;


each of R11 and R12 at each occurrence is independently selected from hydrogen, C1-C6 alkyl, C1-C6 haloalkyl, (C═NR15)NR17R18, S(O2)C1-C6 alkyl, S(O2)NR17R18, COR15, CO2R15 and CON R17R18; wherein the C1-C6 alkyl is optionally substituted with one or more hydroxy, halo, C1-C6 alkoxy, C6-C10 aryl, 5- to 10-membered heteroaryl, C3-C7 cycloalkyl or 3- to 7-membered heterocycloalkyl; or R11 and R12 taken together with the nitrogen they are attached to form a 3- to 7-membered ring optionally containing one or more heteroatoms in addition to the nitrogen they are attached to;


R15 is C1-C6 alkyl, C1-C6 haloalkyl, C6-C10 aryl, or 5- to 10-membered heteroaryl;


each of R17 and R18 at each occurrence is independently selected from hydrogen and C1-C6 alkyl; and


with the proviso that the compound is not a compound selected from the group consisting of the compounds disclosed in Table 1A and Table 1B.

    • In some embodiments (EAI), provided herein is a compound of Formula I as shown for Embodiments (EAG),


      or a pharmaceutically acceptable salt thereof, wherein:


      X1 is O, S, N, CR41 or NR41;


      X10 is O, S, N, CR10 or NR10;


      X11 is O, S, N, CR1 or NR1;


      X2 is O, S, N, CR42 or NR42;


      X4 is CR4, N or NR24;


      each R20 is the same or different and is independently selected from hydrogen and C1-C6 alkyl;


Y is N or CR2;
Z is N or CR8;

R8 is selected from H, CN, halo, CO2C1-C6 alkyl, CO2C3-C8 cycloalkyl, CONR11R12, C1-C6 alkyl, C1-C6 alkoxy, C1-C6 haloalkoxy, and C1-C6 haloalkyl;


R2 is hydrogen, C1-C6 alkoxy, halo, C1-C6 haloalkyl, C3-C7 cycloalkyl or C1-C6 alkyl optionally substituted with hydroxy;


R3 is hydrogen, C1-C6 alkoxy, halo, C1-C6 haloalkyl, CN, C1-C6 haloalkoxy, C3-C7 cycloalkyl or C1-C6 alkyl optionally substituted with hydroxy;


R4 is hydrogen, C1-C6 alkoxy, halo, C1-C6 haloalkyl, C3-C7 cycloalkyl or C1-C6 alkyl optionally substituted with hydroxy;


R24 is absent and R5 is hydrogen, C1-C6 alkoxy, halo, C1-C6 haloalkyl, CN, C1-C6 haloalkoxy, C3-C7 cycloalkyl or C1-C6 alkyl optionally substituted with hydroxy;


or R24 is C1-C6 alkyl or C3-C8 cycloalkyl and R5 is ═O;


provided that at least one of R2, R3, R4 and R5 is not hydrogen;


or R2 and R3 taken together with the carbons connecting them form a four-membered to seven-membered ring A,


or R4 and R5 taken together with the carbons connecting them form a four-membered to seven-membered ring B,


or R2 and R3 taken together with the carbons connecting them form a four-membered to seven-membered ring A and R4 and R5 taken together with the carbons connecting them form a four-membered to seven-membered ring B,


wherein rings A and B as well as n1, m1, n2, m2 and R6 are as defined in embodiments (EAA);


each of R1, R10, R41 and R42 when bonded to carbon is independently selected from H, C1-C6 alkyl, C1-C6 haloalkyl, CN, halo, CO2C1-C6 alkyl, CO2C3-C8 cycloalkyl, C6-C10 aryl, CONR11R12, C3-C7 cycloalkyl, S(O2)C1-C6 alkyl and 3- to 7-membered heterocycloalkyl, wherein the C1-C6 alkyl, C3-C7 cycloalkyl and 3- to 7-membered heterocycloalkyl is optionally substituted with one or more substituents each independently selected from hydroxy, oxo, C1-C6 alkyl, C1-C6 alkoxy, NR11R12, ═NR13, COOC1-C6 alkyl, C6-C10 aryl, and CONR11R12;


and each of R1, R10, R41 and R42 when bonded to nitrogen is independently selected from H, C1-C6 alkyl, C1-C6 haloalkyl, CO2C1-C6 alkyl, CO2C3-C8 cycloalkyl, C6-C10 aryl, CONR11R12, C3-C7 cycloalkyl, S(O2)C1-C6 alkyl and 3- to 7-membered heterocycloalkyl, wherein the C1-C6 alkyl, C3-C7 cycloalkyl and 3- to 7-membered heterocycloalkyl is optionally substituted with one or more substituents each independently selected from hydroxy, C1-C6 alkyl, oxo, C1-C6 alkoxy, NR11R12, ═NR13, COOC1-C6 alkyl, C6-C10 aryl, and CONR11R12;


or R1 and R10 taken together with the atoms connecting them form a 3-to-8-membered carbocyclic or heterocyclic ring containing 1 or 2 heteroatoms independently selected from O, N, and S, wherein the ring is optionally substituted with one or more substituents each independently selected from hydroxy, oxo, C1-C6 alkoxy, NR11R12, ═NR13, COOC1-C6 alkyl, and CONR11R12;


R13 is C1-C6 alkyl;


each of R11 and R12 at each occurrence is independently selected from hydrogen, C1-C6 alkyl, CO2R15 and CONR17R18; or R11 and R12 taken together with the nitrogen they are attached to form a 3- to 7-membered ring optionally containing one or more heteroatoms in addition to the nitrogen they are attached to;


R15 is C1-C6 alkyl;


each of R17 and R18 at each occurrence is independently selected from hydrogen and C1-C6 alkyl.


In some embodiments (EAJ), provided herein is a compound of Formula AII




embedded image


or a pharmaceutically acceptable salt thereof, wherein:


Ar′ is



embedded image


or a 5-membered heteroaryl optionally substituted with one or more R3;


X35 is N or CR35;


X21 is N or CR21;


X36 is N or CR36;


X29 is N or CR29;


X34 is N or CR34;




embedded image


comprises at least two of CR35, CR21, CR36, CR29, and CR34;


X4 is CR4, N or NR24;


each R20 is the same or different and is independently selected from hydrogen, C1-C6 alkyl optionally substituted with NR17CO2R15, and NR17CO2R15;


Y is N or CR2;
Z is N or CR8;

R8 is selected from H, CN, halo, CO2C1-C6 alkyl, CO2C3-C8 cycloalkyl, CONR11R12, 3-to-10-membered heterocycloalkyl optionally substituted with haloalkyl, C1-C6 alkyl optionally substituted with hydroxy, C1-C6 alkoxy, C1-C6 haloalkoxy, NR17SO2R15, and C1-C6 haloalkyl;


R2 is hydrogen, C1-C6 alkoxy, halo, C1-C6 haloalkyl, C3-C7 cycloalkyl or C1-C6 alkyl optionally substituted with hydroxy;


R3 is hydrogen, C1-C6 alkoxy, halo, C1-C6 haloalkyl, CN, C1-C6 haloalkoxy, C3-C7 cycloalkyl, CO2R15, or C1-C6 alkyl optionally substituted with hydroxy.


R4 is hydrogen, C1-C6 alkoxy, halo, C1-C6 haloalkyl, C3-C7 cycloalkyl or C1-C6 alkyl optionally substituted with hydroxy;


R24 is absent and R5 is hydrogen, C1-C6 alkoxy, halo, C1-C6 haloalkyl, CN, C1-C6 haloalkoxy, C3-C7 cycloalkyl or C1-C6 alkyl optionally substituted with hydroxy;


or R24 is C1-C6 alkyl or C3-C8 cycloalkyl and R5 is ═O;


provided that at least one of R2, R3, R4 and R5 is not hydrogen;


or R2 and R3 taken together with the carbons connecting them form a four-membered to seven-membered ring A,


or R4 and R5 taken together with the carbons connecting them form a four-membered to seven-membered ring B,


or R2 and R3 taken together with the carbons connecting them form a four-membered to seven-membered ring A and R4 and R5 taken together with the carbons connecting them form a four-membered to seven-membered ring B,


wherein rings A and B as well as n1, m1, n2, m2 and R6 are as defined in embodiments (EAA);


each of R1, R10, R41 and R42 when bonded to carbon is independently selected from H, C1-C6 alkyl, C1-C6 haloalkyl, CN, halo, CO2C1-C6 alkyl, CO2C3-C8 cycloalkyl, C6-C10 aryl, CONR11R12, C3-C7 cycloalkyl and 3- to 7-membered heterocycloalkyl, wherein the C1-C6 alkyl, C3-C7 cycloalkyl and 3- to 7-membered heterocycloalkyl is optionally substituted with one or more substituents each independently selected from hydroxy, oxo, C1-C6 alkyl, C1-C6 alkoxy, NR11R12, ═NR13, COOC1-C6 alkyl, C6-C10 aryl, —(C1-C6 alkoxylene)-5-to-10-membered heterocycloalkyl, and CONR11R12;


wherein the —(C1-C6 alkoxylene)-5-to-10-membered heterocycloalkyl is optionally substituted with one or more hydroxy or —(C1-C6 alkyl)-OH;


each of R34, R29, R35, R21 and R36 is independently selected from H, hydroxy, C1-C6 alkyl, C1-C6 haloalkyl, CN, halo, CO2C1-C6 alkyl, CO2C3-C8 cycloalkyl, CONR11R12, C3-C7 cycloalkyl, 3- to 7-membered heterocycloalkyl, C6-C10 aryl, —(C1-C6 alkylene)o-(Z1-Z2)p-Z3, OC1-C6 alkyl, NH2, NHC1-C6 alkyl, N(C1-C6 alkyl)2, NO2, COC1-C6 alkyl, SF5, and S(O2)C1-C6 alkyl; wherein the C1-C6 alkyl, C3-C7 cycloalkyl, and 3- to 7-membered heterocycloalkyl is optionally substituted with one or more substituents each independently selected from hydroxy, oxo, C1-C6 alkoxy, C1-C6 alkyl, NR11R12, ═NR13, COOC1-C6 alkyl, CONR11R12, C3-C7 cycloalkyl, 3- to 7-membered heterocycloalkyl, C6-C10 aryl, 5- to 10-membered heteroaryl, NHCOC6-C10 aryl, NHCO(5- to 10-membered heteroaryl), NHCO(3- to 7-membered heterocycloalkyl), and NHCOC2-C6 alkynyl,

    • wherein the C6-C10 aryl, NHCOC6-C10 aryl, NHCO(5- to 10-membered heteroaryl) and NHCO(3- to 7-membered heterocycloalkyl) are optionally substituted with one or more substituents independently selected from halo, C1-C6 alkyl, and OC1-C6 alkyl,


      or any two of R34, R29, R35, R21 and R36 on adjacent atoms, taken together with the atoms connecting them form at least one monocyclic or bicyclic 3-to-12-membered carbocyclic ring or at least one monocyclic or bicyclic 5- to 12-membered heterocyclic ring containing 1-3 heteroatoms independently selected from O, N, NH, NR13, and S, wherein the carbocyclic ring or heterocyclic ring is optionally substituted with one or more substituents each independently selected from hydroxy, halo, oxo, C1-C6 alkyl, C2-C6 alkenyl, C2-C6 alkynyl, C1-C6 alkoxy, OC3-C10 cycloalkyl, NR11R12, ═NR13, CN, COOC1-C6 alkyl, OS(O2)C6-C10 aryl, S(O2)C6-C10 aryl, C6-C10 aryl, 5- to 10-membered heteroaryl, C3-C10 cycloalkyl, 3- to 10-membered heterocycloalkyl, and CONR11R12, wherein the C1-C6 alkyl, C1-C6 alkoxy, S(O2)C6-C10 aryl, C6-C10 aryl, 5- to 10-membered heteroaryl, C3-C10 cycloalkyl, and 3- to 10-membered heterocycloalkyl are optionally substituted with one or more substituents each independently selected from hydroxy, halo, C1-C6 alkyl, C2-C6 alkenyl, C2-C6 alkynyl, C3-C10 cycloalkyl, C1-C6 alkoxy, oxo, NR11R12, ═NR13, COOC1-C6 alkyl, C6-C10 aryl, and CONR11R12;


      R13 is C1-C6 alkyl;


      each of R11 and R12 at each occurrence is independently selected from hydrogen, C1-C6 alkyl, C1-C6 haloalkyl, (C═NR15)NR17R18, S(O2)C1-C6 alkyl, S(O2)NR17R18, COR15, CO2R15 and CON R17R18; wherein the C1-C6 alkyl is optionally substituted with one or more hydroxy, halo, C1-C6 alkoxy, C6-C10 aryl, 5- to 10-membered heteroaryl, C3-C7 cycloalkyl or 3- to 7-membered heterocycloalkyl; or R11 and R12 taken together with the nitrogen they are attached to form a 3- to 7-membered ring optionally containing one or more heteroatoms in addition to the nitrogen they are attached to;


      R15 is C1-C6 alkyl, C1-C6 haloalkyl, C6-C10 aryl, or 5- to 10-membered heteroaryl;


      each occurrence of Z1 is independently selected from O, NR17C(O), 5-to-10-membered heteroarylene, and 3-10 membered heterocycloalkyl;


      each occurrence of Z2 is C1-C6 alkylene;


      Z3 is selected from NHCO2R15 and 5-to-10 membered monocyclic or bicyclic heterocycloalkyl containing 1-3 heteroatoms selected from O, N, and S, wherein the heterocycloalkyl is optionally substituted with one or more oxo, hydroxy, or —(C1-C6 alkylene)-OH,


      o is selected from 0 and 1;


      p is selected from 0, 1, 2, 3, 4, 5, 6, 7, or 8;


      each of R17 and R18 at each occurrence is independently selected from hydrogen and C1-C6 alkyl;


      with the proviso (P1) defined for Embodiments (EAA); and


      with the proviso that the compound is not a compound selected from the group consisting of the compounds disclosed in Table 1A and Table 1B.
    • In some embodiments, (EAK) provided herein is a compound of Formula AII as shown for embodiments (EAJ), or a pharmaceutically acceptable salt thereof, wherein:


Ar′ is



embedded image


or a 5-membered heteroaryl optionally substituted with one or more R3;


X35 is N or CR35;


X21 is N or CR21;


X36 is N or CR36;


X29 is N or CR29;


X34 is N or CR34;




embedded image


comprises at least two of CR35, CR21, CR36, CR29, and CR34;


X4 is CR4, N or NR24;


each R20 is the same or different and is independently selected from hydrogen, C1-C6 alkyl optionally substituted with NR17CO2R15, and NR17CO2R15;


Y is N or CR2;
Z is N or CR8;

R8 is selected from H, CN, halo, CO2C1-C6 alkyl, CO2C3-C8 cycloalkyl, CONR11R12, 3-to-10-membered heterocycloalkyl optionally substituted with haloalkyl, C1-C6 alkyl optionally substituted with hydroxy, C1-C6 alkoxy, C1-C6 haloalkoxy, NR17SO2R15, and C1-C6 haloalkyl;


R2 is hydrogen, C1-C6 alkoxy, halo, C1-C6 haloalkyl, C3-C7 cycloalkyl or C1-C6 alkyl optionally substituted with hydroxy;


R3 is hydrogen, C1-C6 alkoxy, halo, C1-C6 haloalkyl, CN, C1-C6 haloalkoxy, C3-C7 cycloalkyl, CO2R15, or C1-C6 alkyl optionally substituted with hydroxy.


R4 is hydrogen, C1-C6 alkoxy, halo, C1-C6 haloalkyl, C3-C7 cycloalkyl or C1-C6 alkyl optionally substituted with hydroxy;


R24 is absent and R5 is hydrogen, C1-C6 alkoxy, halo, C1-C6 haloalkyl, CN, C1-C6 haloalkoxy, C3-C7 cycloalkyl or C1-C6 alkyl optionally substituted with hydroxy;


or R24 is C1-C6 alkyl or C3-C8 cycloalkyl and R5 is ═O;


provided that at least one of R2, R3, R4 and R5 is not hydrogen;


or R2 and R3 taken together with the carbons connecting them form a four-membered to seven-membered ring A,


or R4 and R5 taken together with the carbons connecting them form a four-membered to seven-membered ring B,


or R2 and R3 taken together with the carbons connecting them form a four-membered to seven-membered ring A and R4 and R5 taken together with the carbons connecting them form a four-membered to seven-membered ring B,


wherein rings A and B as well as n1, m1, n2, m2 and R6 are as defined in embodiments (EAA);


each of R1, R10, R41 and R42 when bonded to carbon is independently selected from H, C1-C6 alkyl, C1-C6 haloalkyl, CN, halo, CO2C1-C6 alkyl, CO2C3-C8 cycloalkyl, C6-C10 aryl, CONR11R12, C3-C7 cycloalkyl and 3- to 7-membered heterocycloalkyl, wherein the C1-C6 alkyl, C3-C7 cycloalkyl and 3- to 7-membered heterocycloalkyl is optionally substituted with one or more substituents each independently selected from hydroxy, oxo, C1-C6 alkyl, C1-C6 alkoxy, NR11R12, ═NR13, COOC1-C6 alkyl, C6-C10 aryl, —(C1-C6 alkoxylene)-5-to-10-membered heterocycloalkyl, and CONR11R12;


wherein the —(C1-C6 alkoxylene)-5-to-10-membered heterocycloalkyl is optionally substituted with one or more hydroxy or —(C1-C6 alkyl)-OH;


each of R34, R29, R35, R21 and R36 is independently selected from H, hydroxy, C1-C6 alkyl, C1-C6 haloalkyl, CN, halo, CO2C1-C6 alkyl, CO2C3-C8 cycloalkyl, CONR11R12, C3-C7 cycloalkyl, 3- to 7-membered heterocycloalkyl, C6-C10 aryl, —(C1-C6 alkylene)o-(Z1-Z2)p-Z3, OC1-C6 alkyl, NH2, NHC1-C6 alkyl, N(C1-C6 alkyl)2, NO2, COC1-C6 alkyl, SF5, and S(O2)C1-C6 alkyl; wherein the C1-C6 alkyl, C3-C7 cycloalkyl, and 3- to 7-membered heterocycloalkyl is optionally substituted with one or more substituents each independently selected from hydroxy, oxo, C1-C6 alkoxy, C1-C6 alkyl, NR11R12, ═NR13, COOC1-C6 alkyl, CONR11R12, C3-C7 cycloalkyl, 3- to 7-membered heterocycloalkyl, C6-C10 aryl, 5- to 10-membered heteroaryl, NHCOC6-C10 aryl, NHCO(5- to 10-membered heteroaryl), NHCO(3- to 7-membered heterocycloalkyl), and NHCOC2-C6 alkynyl,

    • wherein the C6-C10 aryl, NHCOC6-C10 aryl, NHCO(5- to 10-membered heteroaryl) and NHCO(3- to 7-membered heterocycloalkyl) are optionally substituted with one or more substituents independently selected from halo, C1-C6 alkyl, and OC1-C6 alkyl,


      or any two of R34, R29, R35, R21 and R36 on adjacent atoms, taken together with the atoms connecting them form at least one monocyclic or bicyclic 3-to-12-membered carbocyclic ring or at least one monocyclic or bicyclic 5- to 12-membered heterocyclic ring containing 1-3 heteroatoms independently selected from O, N, NH, NR13, and S, wherein the carbocyclic ring or heterocyclic ring is optionally substituted with one or more substituents each independently selected from hydroxy, halo, oxo, C1-C6 alkyl, C2-C6 alkenyl, C2-C6 alkynyl, C1-C6 alkoxy, OC3-C10 cycloalkyl, NR11R12, ═NR13, CN, COOC1-C6 alkyl, OS(O2)C6-C10 aryl, S(O2)C6-C10 aryl, C6-C10 aryl, 5- to 10-membered heteroaryl, C3-C10 cycloalkyl, 3- to 10-membered heterocycloalkyl, and CONR11R12, wherein the C1-C6 alkyl, C1-C6 alkoxy, S(O2)C6-C10 aryl, C6-C10 aryl, 5- to 10-membered heteroaryl, C3-C10 cycloalkyl, and 3- to 10-membered heterocycloalkyl are optionally substituted with one or more substituents each independently selected from hydroxy, halo, C1-C6 alkyl, C2-C6 alkenyl, C2-C6 alkynyl, C3-C10 cycloalkyl, C1-C6 alkoxy, oxo, NR11R12, ═NR13, COOC1-C6 alkyl, C6-C10 aryl, and CONR11R12;


      wherein when X35 is CR35, X21 is CH, X36 is CH, X29 is CH, and X34 is CH, then R35 is selected from hydroxy, C2-C6 alkyl, C1-C6 haloalkyl, CN, I, CO2C2-C6 alkyl, CO2C3-C8 cycloalkyl, CONR11R12, C3-C7 cycloalkyl, 3- to 7-membered heterocycloalkyl, C6-C10 aryl, —(C1-C6 alkylene)o-(Z1-Z2)p-Z3, OC2-C6 alkyl, NH2, NHC1-C6 alkyl, N(C1-C6 alkyl)2, COC1-C6 alkyl, SF5, and S(O2)C1-C6 alkyl;


      wherein the C2-C6 alkyl, C3-C7 cycloalkyl, and 3- to 7-membered heterocycloalkyl is optionally substituted with one or more substituents each independently selected from hydroxy, oxo, C1-C6 alkoxy, C1-C6 alkyl, NR11R12, ═NR13, COOC1-C6 alkyl, CONR11R12, C3-C7 cycloalkyl, 3- to 7-membered heterocycloalkyl, C6-C10 aryl, 5- to 10-membered heteroaryl, NHCOC6-C10 aryl, NHCO(5- to 10-membered heteroaryl), NHCO(3- to 7-membered heterocycloalkyl), and NHCOC2-C6 alkynyl, wherein the C6-C10 aryl, NHCOC6-C10 aryl, NHCO(5- to 10-membered heteroaryl) and NHCO(3- to 7-membered heterocycloalkyl) are optionally substituted with one or more substituents independently selected from halo, C1-C6 alkyl, and OC1-C6 alkyl;


      wherein when one of X2 and X29 is N and the other of X2 and X29 is CH, then one of X34, X35, and X36 is other than CH;


      R13 is C1-C6 alkyl;


      each of R11 and R12 at each occurrence is independently selected from hydrogen, C1-C6 alkyl, C1-C6 haloalkyl, (C═NR15)NR17R18, S(O2)C1-C6 alkyl, S(O2)NR17R18, COR15, CO2R15 and CON R17R18; wherein the C1-C6 alkyl is optionally substituted with one or more hydroxy, halo, C1-C6 alkoxy, C6-C10 aryl, 5- to 10-membered heteroaryl, C3-C7 cycloalkyl or 3- to 7-membered heterocycloalkyl; or R11 and R12 taken together with the nitrogen they are attached to form a 3- to 7-membered ring optionally containing one or more heteroatoms in addition to the nitrogen they are attached to;


      R15 is C1-C6 alkyl, C1-C6 haloalkyl, C6-C10 aryl, or 5- to 10-membered heteroaryl;


      each occurrence of Z1 is independently selected from O, NR17C(O), 5-to-10-membered heteroarylene, and 3-10 membered heterocycloalkyl;


      each occurrence of Z2 is C1-C6 alkylene;


      Z3 is selected from NHCO2R15 and 5-to-10 membered monocyclic or bicyclic heterocycloalkyl containing 1-3 heteroatoms selected from O, N, and S, wherein the heterocycloalkyl is optionally substituted with one or more oxo, hydroxy, or —(C1-C6 alkylene)-OH,


      o is selected from 0 and 1;


      p is selected from 0, 1, 2, 3, 4, 5, 6, 7, or 8;


      each of R17 and R8 at each occurrence is independently selected from hydrogen and C1-C6 alkyl;


      with the proviso P1 as defined under Embodiments (EAA); and


      with the proviso that the compound is not a compound selected from the group consisting of the compounds disclosed in Table 1A and Table 1B.


In some embodiments (EAL), provided herein is a compound of Formula IIa




embedded image


or a pharmaceutically acceptable salt thereof, wherein:


X35 is N or CR35;


X21 is N or CR21;


X36 is N or CR36;


X34 is N or CR34;


X29 is N or CR29;




embedded image


comprises at least two of CR35, CR21, CR36, CR29, and CR34;


X4 is CR4, N or NR24;


each R20 is the same or different and is independently selected from hydrogen and C1-C6 alkyl;


Y is N or CR2;
Z is N or CR8;

R8 is selected from H, CN, halo, CO2C1-C6 alkyl, CO2C3-C8 cycloalkyl, CONR11R12, C1-C6 alkyl optionally substituted with hydroxy, C1-C6 alkoxy, C1-C6 haloalkoxy, and C1-C6 haloalkyl;


R2 is hydrogen, C1-C6 alkoxy, halo, C1-C6 haloalkyl, C3-C7 cycloalkyl or C1-C6 alkyl optionally substituted with hydroxy;


R3 is hydrogen, C1-C6 alkoxy, halo, C1-C6 haloalkyl, CN, C1-C6 haloalkoxy, C3-C7 cycloalkyl or C1-C6 alkyl optionally substituted with hydroxy;


R4 is hydrogen, C1-C6 alkoxy, halo, C1-C6 haloalkyl, C3-C7 cycloalkyl or C1-C6 alkyl optionally substituted with hydroxy;


R24 is absent and R5 is hydrogen, C1-C6 alkoxy, halo, C1-C6 haloalkyl, CN, C1-C6 haloalkoxy, C3-C7 cycloalkyl or C1-C6 alkyl optionally substituted with hydroxy;


or R24 is C1-C6 alkyl or C3-C8 cycloalkyl and R5 is ═O;


provided that at least one of R2, R3, R4 and R5 is not hydrogen;


or R2 and R3 taken together with the carbons connecting them form a four-membered to seven-membered ring A,


or R4 and R5 taken together with the carbons connecting them form a four-membered to seven-membered ring B,


or R2 and R3 taken together with the carbons connecting them form a four-membered to seven-membered ring A and R4 and R5 taken together with the carbons connecting them form a four-membered to seven-membered ring B,


wherein rings A and B as well as n1, m1, n2, m2 and R6 are as defined in embodiments (EAA); each of R34, R29, R35, R21 and R36 is independently selected from H, C1-C6 alkyl, C1-C6 haloalkyl, CN, halo, CO2C1-C6 alkyl, CO2C3-C8 cycloalkyl, CONR11R12, C3-C7 cycloalkyl, 3- to 7-membered heterocycloalkyl, C6-C10 aryl, OC1-C6 alkyl, NH2, NHC1-C6 alkyl, N(C1-C6 alkyl)2, NO2, COC1-C6 alkyl, SF5 and S(O2)C1-C6 alkyl;


wherein the C1-C6 alkyl, C3-C7 cycloalkyl and 3- to 7-membered heterocycloalkyl is optionally substituted with one or more substituents each independently selected from hydroxy, oxo, C1-C6 alkoxy, C1-C6 alkyl, NR11R12, ═NR13, COOC1-C6 alkyl, CONR11R12, C3-C7 cycloalkyl, 3- to 7-membered heterocycloalkyl, C6-C10 aryl, 5- to 10-membered heteroaryl, NHCOC6-C10 aryl, NHCO(5- to 10-membered heteroaryl), NHCO(3- to 7-membered heterocycloalkyl), and NHCOC2-C6 alkynyl,

    • wherein the C6-C10 aryl, 5- to 10-membered heteroaryl, NHCOC6-C10 aryl, NHCO(5- to 10-membered heteroaryl) and NHCO(3- to 7-membered heterocycloalkyl) are optionally substituted with one or more substituents independently selected from halo, C1-C6 alkyl, and OC1-C6 alkyl,


      or any two of R34, R29, R35, R21 and R36 on adjacent atoms, taken together with the atoms connecting them form at least one monocyclic or bicyclic 3-to-12-membered carbocyclic ring or at least one monocyclic or bicyclic 5- to 12-membered heterocyclic ring containing 1-3 heteroatoms independently selected from O, N, NH, NR13, and S, wherein the carbocyclic ring or heterocyclic ring is optionally substituted with one or more substituents each independently selected from hydroxy, halo, oxo, C1-C6 alkyl, C2-C6 alkenyl, C2-C6 alkynyl, C1-C6 alkoxy, OC3-C10 cycloalkyl, NR11R12, ═NR13, CN, COOC1-C6 alkyl, OS(O2)C6-C10 aryl, S(O2)C6-C10 aryl, C6-C10 aryl, 5- to 10-membered heteroaryl, C3-C10 cycloalkyl, 3- to 10-membered heterocycloalkyl, and CONR11R12, wherein the C1-C6 alkyl, C1-C6 alkoxy, S(O2)C6-C10 aryl, C6-C10 aryl, 5- to 10-membered heteroaryl, C3-C10 cycloalkyl, and 3- to 10-membered heterocycloalkyl are optionally substituted with one or more substituents each independently selected from hydroxy, halo, C1-C6 alkyl, C2-C6 alkenyl, C2-C6 alkynyl, C3-C10 cycloalkyl, C1-C6 alkoxy, oxo, NR11R12, ═NR13, COOC1-C6 alkyl, C6-C10 aryl, and CONR11R12;


      R13 is C1-C6 alkyl;


      each of R11 and R12 at each occurrence is independently selected from hydrogen, C1-C6 alkyl, C1-C6 haloalkyl, (C═NR15)NR17R18, S(O2)C1-C6 alkyl, S(O2)NR17R18, COR15, CO2R15 and CON R17R18; wherein the C1-C6 alkyl is optionally substituted with one or more hydroxy, halo, C1-C6 alkoxy, C6-C10 aryl, 5- to 10-membered heteroaryl, C3-C7 cycloalkyl or 3- to 7-membered heterocycloalkyl; or R11 and R12 taken together with the nitrogen they are attached to form a 3- to 7-membered ring optionally containing one or more heteroatoms in addition to the nitrogen they are attached to;


      R15 is C1-C6 alkyl, C1-C6 haloalkyl, C6-C10 aryl, or 5- to 10-membered heteroaryl; and each of R17 and R18 at each occurrence is independently selected from hydrogen and C1-C6 alkyl.


      In some embodiments (EAM), provided herein is a compound of Formula II




embedded image


or a pharmaceutically acceptable salt thereof, wherein:


X35 is N or CR35;


X21 is N or CR21;


X36 is N or CR36;


X4 is CR4, N or NR24;


each R20 is the same or different and is independently selected from hydrogen and C1-C6 alkyl;


Y is N or CR2;
Z is N or CR8;

R8 is selected from H, CN, halo, CO2C1-C6 alkyl, CO2C3-C8 cycloalkyl, CONR11R12, C1-C6 alkyl, C1-C6 alkoxy, C1-C6 haloalkoxy, and C1-C6 haloalkyl;


R2 is hydrogen, C1-C6 alkoxy, halo, C1-C6 haloalkyl, C3-C7 cycloalkyl or C1-C6 alkyl optionally substituted with hydroxy;


R3 is hydrogen, C1-C6 alkoxy, halo, C1-C6 haloalkyl, CN, C1-C6 haloalkoxy, C3-C7 cycloalkyl or C1-C6 alkyl optionally substituted with hydroxy;


R4 is hydrogen, C1-C6 alkoxy, halo, C1-C6 haloalkyl, C3-C7 cycloalkyl or C1-C6 alkyl optionally substituted with hydroxy;


R24 is absent and R5 is hydrogen, C1-C6 alkoxy, halo, C1-C6 haloalkyl, CN, C1-C6 haloalkoxy, C3-C7 cycloalkyl or C1-C6 alkyl optionally substituted with hydroxy;


or R24 is C1-C6 alkyl or C3-C8 cycloalkyl and R5 is ═O;


provided that at least one of R2, R3, R4 and R5 is not hydrogen;


or R2 and R3 taken together with the carbons connecting them form a four-membered to seven-membered ring A,


or R4 and R5 taken together with the carbons connecting them form a four-membered to seven-membered ring B,


or R2 and R3 taken together with the carbons connecting them form a four-membered to seven-membered ring A and R4 and R5 taken together with the carbons connecting them form a four-membered to seven-membered ring B,


wherein rings A and B as well as n1, m1, n2, m2 and R6 are as defined in embodiments (EAA);


each of R34, R29, R35, R21 and R36 is independently selected from H, C1-C6 alkyl, C1-C6 haloalkyl, CN, halo, CO2C1-C6 alkyl, CO2C3-C8 cycloalkyl, CONR11R12, C3-C7 cycloalkyl, 3- to 7-membered heterocycloalkyl, C6-C10 aryl, OC1-C6 alkyl, NH2, NHC1-C6 alkyl, N(C1-C6 alkyl)2, NO2, COC1-C6 alkyl, SF5 and S(O2)C1-C6 alkyl;


wherein the C1-C6 alkyl, C3-C7 cycloalkyl and 3- to 7-membered heterocycloalkyl is optionally substituted with one or more substituents each independently selected from hydroxy, oxo, C1-C6 alkoxy, C1-C6 alkyl, NR11R12, ═NR13, COOC1-C6 alkyl, CONR11R12, C3-C7 cycloalkyl, 3- to 7-membered heterocycloalkyl, C6-C10 aryl, 5- to 10-membered heteroaryl, NHCOC6-C10 aryl, NHCO(5- to 10-membered heteroaryl), NHCO(3- to 7-membered heterocycloalkyl), and NHCOC2-C6 alkynyl,

    • wherein the C6-C10 aryl, 5- to 10-membered heteroaryl, NHCOC6-C10 aryl, NHCO(5- to 10-membered heteroaryl) and NHCO(3- to 7-membered heterocycloalkyl) are optionally substituted with one or more substituents independently selected from halo, C1-C6 alkyl, and OC1-C6 alkyl,


      or two groups selected from R34, R29, R35, R21 and R36 that are on adjacent ring carbon atoms taken together with the adjacent ring carbons form a 6-membered aromatic ring, a five-to-eight-membered carbocyclic non-aromatic ring, a five- or six-membered heteroaromatic ring or a five-to-eight-membered heterocyclic non-aromatic ring, wherein the ring formed by the two groups together with the adjacent ring carbons is optionally substituted with one or more OC1-C6 alkyl, NH2, NHC1-C6 alkyl, N(C1-C6 alkyl)2;


      R13 is C1-C6 alkyl;


      each of R11 and R12 at each occurrence is independently selected from hydrogen, C1-C6 alkyl, CO2R15 and CONR17R18; or R11 and R12 taken together with the nitrogen they are attached to form a 3- to 7-membered ring optionally containing one or more heteroatoms in addition to the nitrogen they are attached to;


      R15 is C1-C6 alkyl;


      each of R17 and R8 at each occurrence is independently selected from hydrogen and C1-C6 alkyl.


In some embodiments (EAN), provided herein is a compound of Formula A




embedded image


or a pharmaceutically acceptable salt thereof, wherein:


Ar is a heteroaryl group




embedded image


or an aryl or heteroaryl group




embedded image


X1 is O, S, N, CR41 or NR41;


X10 is O, S, N, CR10 or NR10;


X11 is O, S, N, CR1 or NR1;


X2 is O, S, N, CR42 or NR42;




embedded image


comprises at least one of CR41, CR10, CR1, and CR42;


X35 is N or CR35;


X21 is N or CR21;


X36 is N or CR36;


X29 is N or CR29;


X34 is N or CR34;




embedded image


comprises at least two of CR35, CR21, CR36, CR29, and CR34;


X4 is CR4, N or NR24;


each R20 is the same or different and is independently selected from hydrogen and C1-C6 alkyl;


Y is N or CR2;
Z is N or CR8;

R8 is selected from H, CN, Cl, F, CO2C1-C6 alkyl, CO2C3-C8 cycloalkyl, CONR11R12, C1-C6 alkyl optionally substituted with hydroxy, and C1-C6 haloalkyl;


R2 is hydrogen, C1-C6 alkoxy, halo, C1-C6 haloalkyl, C3-C7 cycloalkyl or C1-C6 alkyl optionally substituted with hydroxy;


R3 is hydrogen, C1-C6 alkoxy, halo, C1-C6 haloalkyl, C3-C7 cycloalkyl or C1-C6 alkyl optionally substituted with hydroxy;


R4 is hydrogen, C1-C6 alkoxy, halo, C1-C6 haloalkyl, C3-C7 cycloalkyl or C1-C6 alkyl optionally substituted with hydroxy;


R24 is absent and R5 is hydrogen, C1-C6 alkoxy, halo, C1-C6 haloalkyl, C3-C7 cycloalkyl or C1-C6 alkyl optionally substituted with hydroxy;


or R24 is C1-C6 alkyl or C3-C8 cycloalkyl and R5 is ═O;


provided that at least one of R2, R3, R4 and R5 is not hydrogen, and that R2 and R4 are not both hydroxymethyl;


or R2 and R3 taken together with the carbons connecting them form a four-membered to seven-membered ring A,


or R4 and R5 taken together with the carbons connecting them form a four-membered to seven-membered ring B,


or R2 and R3 taken together with the carbons connecting them form a four-membered to seven-membered ring A and R4 and R5 taken together with the carbons connecting them form a four-membered to seven-membered ring B,


wherein rings A and B as well as n1, m1, n2, and m2 are as defined in embodiments (EAA) and wherein each R6 in each ring is the same or different and is selected from H, C1-C6 alkyl, C1-C6 alkoxy, NR11R12, oxo, and ═NR13;


or two R6 taken together with the atom or atoms connecting them form a 3-to-8-membered carbocyclic or saturated heterocyclic ring containing 1 or 2 heteroatoms independently selected from O, N, and S;


each of R1, R10, R41 and R42 when bonded to carbon is independently selected from H, C1-C6 alkyl, C1-C6 haloalkyl, CN, halo, CO2C1-C6 alkyl, CO2C3-C8 cycloalkyl, C6-C10 aryl, CONR11R12, C3-C7 cycloalkyl and 3- to 7-membered heterocycloalkyl, wherein the C1-C6 alkyl, C3-C7 cycloalkyl and 3- to 7-membered heterocycloalkyl is optionally substituted with one or more substituents each independently selected from hydroxy, oxo, C1-C6 alkoxy, NR11R12, ═NR13, COOC1-C6 alkyl, C6-C10 aryl, and CONR11R12;


and each of R1, R10, R41 and R42 when bonded to nitrogen is independently selected from H, C1-C6 alkyl, C1-C6 haloalkyl, CO2C1-C6 alkyl, CO2C3-C8 cycloalkyl, C6-C10 aryl, CONR11R12, C3-C7 cycloalkyl and 3- to 7-membered heterocycloalkyl, wherein the C1-C6 alkyl, C3-C7 cycloalkyl and 3- to 7-membered heterocycloalkyl is optionally substituted with one or more substituents each independently selected from hydroxy, oxo, C1-C6 alkoxy, NR11R12, ═NR13, COOC1-C6 alkyl, C6-C10 aryl, and CONR11R12;


or any two of R41, R0, R1, and R42 on adjacent atoms, taken together with the atoms connecting them form at least one monocyclic or bicyclic 3-to-12-membered carbocyclic ring or at least one monocyclic or bicyclic 5- to 12-membered heterocyclic ring containing 1-3 heteroatoms independently selected from O, N, NH, NR13, and S, wherein the carbocyclic ring or heterocyclic ring is optionally substituted with one or more substituents each independently selected from hydroxy, halo, oxo, C1-C6 alkyl, C2-C6 alkenyl, C2-C6 alkynyl, C1-C6 alkoxy, OC3-C10 cycloalkyl, NR11R12, ═NR13, CN, COOC1-C6 alkyl, OS(O2)C6-C10 aryl, S(O2)C6-C10 aryl, C6-C10 aryl, 5- to 10-membered heteroaryl, C3-C10 cycloalkyl, 3- to 10-membered heterocycloalkyl, and CONR11R12, wherein the C1-C6 alkyl, C1-C6 alkoxy, S(O2)C6-C10 aryl, C6-C10 aryl, 5- to 10-membered heteroaryl, C3-C10 cycloalkyl, and 3- to 10-membered heterocycloalkyl are optionally substituted with one or more substituents each independently selected from hydroxy, halo, C1-C6 alkyl, C2-C6 alkenyl, C2-C6 alkynyl, C3-C10 cycloalkyl, C1-C6 alkoxy, oxo, NR11R12, ═NR13, COOC1-C6 alkyl, C6-C10 aryl, and CONR11R12;


each of R34, R29, R35, R21 and R36 is independently selected from H, C1-C6 alkyl, C1-C6 haloalkyl, CN, halo, CO2C1-C6 alkyl, CO2C3-C8 cycloalkyl, CONR11R12, C3-C7 cycloalkyl, 3- to 7-membered heterocycloalkyl, C6-C10 aryl, OC1-C6 alkyl, NH2, NHC1-C6 alkyl, N(C1-C6 alkyl)2, NO2, COC1-C6 alkyl,


wherein the C1-C6 alkyl, C3-C7 cycloalkyl and 3- to 7-membered heterocycloalkyl is optionally substituted with one or more substituents each independently selected from hydroxy, oxo, C1-C6 alkoxy, NR11R12, ═NR13, COOC1-C6 alkyl, CONR11R12, C3-C7 cycloalkyl, 3- to 7-membered heterocycloalkyl, C6-C10 aryl, 5- to 10-membered heteroaryl, NHCOC6-C10 aryl, NHCO(5- to 10-membered heteroaryl), NHCO(3- to 7-membered heterocycloalkyl), and NHCOC2-C6 alkynyl,

    • wherein the C6-C10 aryl, 5- to 10-membered heteroaryl, NHCOC6-C10 aryl, NHCO(5- to 10-membered heteroaryl) and NHCO(3- to 7-membered heterocycloalkyl) are optionally substituted with one or more substituents independently selected from halo, C1-C6 alkyl, and OC1-C6 alkyl,


      or any two of R34, R29, R35, R21 and R36 on adjacent atoms, taken together with the atoms connecting them form at least one monocyclic or bicyclic 3-to-12-membered carbocyclic ring or at least one monocyclic or bicyclic 5- to 12-membered heterocyclic ring containing 1-3 heteroatoms independently selected from O, N, NH, NR13, and S, wherein the carbocyclic ring or heterocyclic ring is optionally substituted with one or more substituents each independently selected from hydroxy, halo, oxo, C1-C6 alkyl, C2-C6 alkenyl, C2-C6 alkynyl, C1-C6 alkoxy, OC3-C10 cycloalkyl, NR11R12, ═NR13, CN, COOC1-C6 alkyl, OS(O2)C6-C10 aryl, S(O2)C6-C10 aryl, C6-C10 aryl, 5- to 10-membered heteroaryl, C3-C10 cycloalkyl, 3- to 10-membered heterocycloalkyl, and CONR11R12, wherein the C1-C6 alkyl, C1-C6 alkoxy, S(O2)C6-C10 aryl, C6-C10 aryl, 5- to 10-membered heteroaryl, C3-C10 cycloalkyl, and 3- to 10-membered heterocycloalkyl are optionally substituted with one or more substituents each independently selected from hydroxy, halo, C1-C6 alkyl, C2-C6 alkenyl, C2-C6 alkynyl, C3-C10 cycloalkyl, C1-C6 alkoxy, oxo, NR11R12, ═NR13, COOC1-C6 alkyl, C6-C10 aryl, and CONR11R12;


      R13 is C1-C6 alkyl;


      each of R11 and R12 at each occurrence is independently selected from hydrogen, C1-C6 alkyl, C1-C6 haloalkyl, (C═NR15)NR17R18, S(O2)C1-C6 alkyl, S(O2)NR17R18, COR15, CO2R15 and CON R17R18; wherein the C1-C6 alkyl is optionally substituted with one or more hydroxy, halo, C1-C6 alkoxy, C6-C10 aryl, 5- to 10-membered heteroaryl, C3-C7 cycloalkyl or 3- to 7-membered heterocycloalkyl; or R11 and R12 taken together with the nitrogen they are attached to form a 3- to 7-membered ring optionally containing one or more heteroatoms in addition to the nitrogen they are attached to;


      R15 is C1-C6 alkyl, C1-C6 haloalkyl, C6-C10 aryl, or 5- to 10-membered heteroaryl; and each of R17 and R18 at each occurrence is independently selected from hydrogen and C1-C6 alkyl.
    • In some embodiments(EAO), provided herein is a compound of Formula A as shown for embodiments (EAN),


      or a pharmaceutically acceptable salt thereof, wherein:


      Ar is a heteroaryl group




embedded image


or an aryl or heteroaryl group




embedded image


X1 is O, S, N, CR41 or NR41;


X10 is O, S, N, CR10 or NR10;


X11 is O, S, N, CR1 or NR1;


X2 is O, S, N, CR42 or NR42;


X35 is N or CR35;


X21 is N or CR21;


X36 is N or CR36;


X4 is CR4, N or NR24;


each R20 is the same or different and is independently selected from hydrogen and C1-C6 alkyl;


Y is N or CR2;
Z is N or CR8;

R8 is selected from H, CN, Cl, F, CO2C1-C6 alkyl, CO2C3-C8 cycloalkyl, CONR11R12, C1-C6 alkyl, and C1-C6 haloalkyl;


R2 is hydrogen, C1-C6 alkoxy, halo, C1-C6 haloalkyl, C3-C7 cycloalkyl or C1-C6 alkyl optionally substituted with hydroxy;


R3 is hydrogen, C1-C6 alkoxy, halo, C1-C6 haloalkyl, C3-C7 cycloalkyl or C1-C6 alkyl optionally substituted with hydroxy;


R4 is hydrogen, C1-C6 alkoxy, halo, C1-C6 haloalkyl, C3-C7 cycloalkyl or C1-C6 alkyl optionally substituted with hydroxy;


R24 is absent and R5 is hydrogen, C1-C6 alkoxy, halo, C1-C6 haloalkyl, C3-C7 cycloalkyl or C1-C6 alkyl optionally substituted with hydroxy;


or R24 is C1-C6 alkyl or C3-C8 cycloalkyl and R5 is ═O;


provided that at least one of R2, R3, R4 and R5 is not hydrogen, and that R2 and R4 are not both hydroxymethyl;


or R2 and R3 taken together with the carbons connecting them form a four-membered to seven-membered ring A,


or R4 and R5 taken together with the carbons connecting them form a four-membered to seven-membered ring B,


or R2 and R3 taken together with the carbons connecting them form a four-membered to seven-membered ring A and R4 and R5 taken together with the carbons connecting them form a four-membered to seven-membered ring B,


wherein rings A and B as well as n1, m1, n2, m2 and R6 are as defined in embodiments (EAA);


each of R1, R10, R41 and R42 when bonded to carbon is independently selected from H, C1-C6 alkyl, C1-C6 haloalkyl, CN, halo, CO2C1-C6 alkyl, CO2C3-C8 cycloalkyl, C6-C10 aryl, CONR11R12, C3-C7 cycloalkyl and 3- to 7-membered heterocycloalkyl, wherein the C1-C6 alkyl, C3-C7 cycloalkyl and 3- to 7-membered heterocycloalkyl is optionally substituted with one or more substituents each independently selected from hydroxy, oxo, C1-C6 alkoxy, NR11R12, ═NR13, COOC1-C6 alkyl, C6-C10 aryl, and CONR11R12;


and each of R1, R10, R41 and R42 when bonded to nitrogen is independently selected from H, C1-C6 alkyl, C1-C6 haloalkyl, CO2C1-C6 alkyl, CO2C3-C8 cycloalkyl, C6-C10 aryl, CONR11R12, C3-C7 cycloalkyl and 3- to 7-membered heterocycloalkyl, wherein the C1-C6 alkyl, C3-C7 cycloalkyl and 3- to 7-membered heterocycloalkyl is optionally substituted with one or more substituents each independently selected from hydroxy, oxo, C1-C6 alkoxy, NR11R12, ═NR13, COOC1-C6 alkyl, C6-C10 aryl, and CONR11R12;


or R1 and R10 taken together with the atoms connecting them form a 3-to-8-membered carbocyclic or heterocyclic ring containing 1 or 2 heteroatoms independently selected from O, N, and S, wherein the ring is optionally substituted with one or more substituents each independently selected from hydroxy, oxo, C1-C6 alkoxy, NR11R12, ═NR13, COOC1-C6 alkyl, and CONR11R12;


each of R34, R29, R35, R21 and R36 is independently selected from H, C1-C6 alkyl, C1-C6 haloalkyl, CN, halo, CO2C1-C6 alkyl, CO2C3-C8 cycloalkyl, CONR11R12, C3-C7 cycloalkyl, 3- to 7-membered heterocycloalkyl, C6-C10 aryl, OC1-C6 alkyl, NH2, NHC1-C6 alkyl, N(C1-C6 alkyl)2, NO2, COC1-C6 alkyl,


wherein the C1-C6 alkyl, C3-C7 cycloalkyl and 3- to 7-membered heterocycloalkyl is optionally substituted with one or more substituents each independently selected from hydroxy, oxo, C1-C6 alkoxy, NR11R12, ═NR13, COOC1-C6 alkyl, CONR11R12, C3-C7 cycloalkyl, 3- to 7-membered heterocycloalkyl, C6-C10 aryl, 5- to 10-membered heteroaryl, NHCOC6-C10 aryl, NHCO(5- to 10-membered heteroaryl), NHCO(3- to 7-membered heterocycloalkyl), and NHCOC2-C6 alkynyl,

    • wherein the C6-C10 aryl, 5- to 10-membered heteroaryl, NHCOC6-C10 aryl, NHCO(5- to 10-membered heteroaryl) and NHCO(3- to 7-membered heterocycloalkyl) are optionally substituted with one or more substituents independently selected from halo, C1-C6 alkyl, and OC1-C6 alkyl,


      or two groups selected from R34, R29, R35, R21 and R36 that are on adjacent ring carbon atoms taken together with the adjacent ring carbons form a 6-membered aromatic ring, a five-to-eight-membered carbocyclic non-aromatic ring, a five- or six-membered heteroaromatic ring or a five-to-eight-membered heterocyclic non-aromatic ring, wherein the ring formed by the two groups together with the adjacent ring carbons is optionally substituted with one or more OC1-C6 alkyl, NH2, NHC1-C6 alkyl, N(C1-C6 alkyl)2;


      R13 is C1-C6 alkyl;


      each of R11 and R12 at each occurrence is independently selected from hydrogen, C1-C6 alkyl, CO2R15 and CONR17R18;


      R15 is C1-C6 alkyl;


      each of R17 and R8 at each occurrence is independently selected from hydrogen and C1-C6 alkyl.
    • In some embodiments (EAP), provided herein is a compound of Formula I as shown for embodiments (EAI),


      or a pharmaceutically acceptable salt thereof, wherein:


      X1 is O, S, N, CR41 or NR41;


      X10 is O, S, N, CR10 or NR10;


      X11 is O, S, N, CR1 or NR1;


      X2 is O, S, N, CR42 or NR42;




embedded image


comprises at least one of CR41, CR10, CR1, and CR42;


X4 is CR4, N or NR24;


each R20 is the same or different and is independently selected from hydrogen and C1-C6 alkyl;


Y is N or CR2;
Z is N or CR8;

R8 is selected from H, CN, Cl, F, CO2C1-C6 alkyl, CO2C3-C8 cycloalkyl, CONR11R12, C1-C6 alkyl optionally substituted with hydroxy, and C1-C6 haloalkyl;


R2 is hydrogen, C1-C6 alkoxy, halo, C1-C6 haloalkyl, C3-C7 cycloalkyl or C1-C6 alkyl optionally substituted with hydroxy;


R3 is hydrogen, C1-C6 alkoxy, halo, C1-C6 haloalkyl, C3-C7 cycloalkyl or C1-C6 alkyl optionally substituted with hydroxy;


R4 is hydrogen, C1-C6 alkoxy, halo, C1-C6 haloalkyl, C3-C7 cycloalkyl or C1-C6 alkyl optionally substituted with hydroxy;


R24 is absent and R5 is hydrogen, C1-C6 alkoxy, halo, C1-C6 haloalkyl, C3-C7 cycloalkyl or C1-C6 alkyl optionally substituted with hydroxy;


or R24 is C1-C6 alkyl or C3-C8 cycloalkyl and R5 is ═O;


provided that at least one of R2, R3, R4 and R5 is not hydrogen, and that R2 and R4 are not both hydroxymethyl;


or R2 and R3 taken together with the carbons connecting them form a four-membered to seven-membered ring A,


or R4 and R5 taken together with the carbons connecting them form a four-membered to seven-membered ring B,


or R2 and R3 taken together with the carbons connecting them form a four-membered to seven-membered ring A and R4 and R5 taken together with the carbons connecting them form a four-membered to seven-membered ring B,


wherein rings A and B as well as n1, m1, n2, m2 and R6 are as defined in embodiments (EAA);


each of R1, R10, R41 and R42 when bonded to carbon is independently selected from H, C1-C6 alkyl, C1-C6 haloalkyl, CN, halo, CO2C1-C6 alkyl, CO2C3-C8 cycloalkyl, C6-C10 aryl, CONR11R12, C3-C7 cycloalkyl and 3- to 7-membered heterocycloalkyl, wherein the C1-C6 alkyl, C3-C7 cycloalkyl and 3- to 7-membered heterocycloalkyl is optionally substituted with one or more substituents each independently selected from hydroxy, oxo, C1-C6 alkoxy, NR11R12, ═NR13, COOC1-C6 alkyl, C6-C10 aryl, and CONR11R12;


and each of R1, R10, R41 and R42 when bonded to nitrogen is independently selected from H, C1-C6 alkyl, C1-C6 haloalkyl, CO2C1-C6 alkyl, CO2C3-C8 cycloalkyl, C6-C10 aryl, CONR11R12, C3-C7 cycloalkyl and 3- to 7-membered heterocycloalkyl, wherein the C1-C6 alkyl, C3-C7 cycloalkyl and 3- to 7-membered heterocycloalkyl is optionally substituted with one or more substituents each independently selected from hydroxy, oxo, C1-C6 alkoxy, NR11R12, ═NR13, COOC1-C6 alkyl, C6-C10 aryl, and CONR11R12;


or any two of R41, R10, R1, and R42 on adjacent atoms, taken together with the atoms connecting them form at least one monocyclic or bicyclic 3-to-12-membered carbocyclic ring or at least one monocyclic or bicyclic 5- to 12-membered heterocyclic ring containing 1-3 heteroatoms independently selected from O, N, NH, NR13, and S, wherein the carbocyclic ring or heterocyclic ring is optionally substituted with one or more substituents each independently selected from hydroxy, halo, oxo, C1-C6 alkyl, C2-C6 alkenyl, C2-C6 alkynyl, C1-C6 alkoxy, OC3-C10 cycloalkyl, NR11R12, ═NR13, CN, COOC1-C6 alkyl, OS(O2)C6-C10 aryl, S(O2)C6-C10 aryl, C6-C10 aryl, 5- to 10-membered heteroaryl, C3-C10 cycloalkyl, 3- to 10-membered heterocycloalkyl, and CONR11R12, wherein the C1-C6 alkyl, C1-C6 alkoxy, S(O2)C6-C10 aryl, C6-C10 aryl, 5- to 10-membered heteroaryl, C3-C10 cycloalkyl, and 3- to 10-membered heterocycloalkyl are optionally substituted with one or more substituents each independently selected from hydroxy, halo, C1-C6 alkyl, C2-C6 alkenyl, C2-C6 alkynyl, C3-C10 cycloalkyl, C1-C6 alkoxy, oxo, NR11R12, ═NR13, COOC1-C6 alkyl, C6-C10 aryl, and CONR11R12;


R13 is C1-C6 alkyl;


each of R11 and R12 at each occurrence is independently selected from hydrogen, C1-C6 alkyl, CO2R15 and CONR17R18;


R15 is C1-C6 alkyl; and


each of R17 and R18 at each occurrence is independently selected from hydrogen and C1-C6 alkyl.

    • In some embodiments EAQ), provided herein is a compound of Formula I as shown for Embodiments (EAG)




embedded image


or a pharmaceutically acceptable salt thereof, wherein:


X1 is O, S, N, CR41 or NR41;


X10 is O, S, N, CR10 or NR10;


X11 is O, S, N, CR1 or NR1;


X2 is O, S, N, CR42 or NR42;


X4 is CR4, N or NR24;


each R20 is the same or different and is independently selected from hydrogen and C1-C6 alkyl;


Y is N or CR2;
Z is N or CR8;

R8 is selected from H, CN, Cl, F, CO2C1-C6 alkyl, CO2C3-C8 cycloalkyl, CONR11R12, C1-C6 alkyl, and C1-C6 haloalkyl;


R2 is hydrogen, C1-C6 alkoxy, halo, C1-C6 haloalkyl, C3-C7 cycloalkyl or C1-C6 alkyl optionally substituted with hydroxy;


R3 is hydrogen, C1-C6 alkoxy, halo, C1-C6 haloalkyl, C3-C7 cycloalkyl or C1-C6 alkyl optionally substituted with hydroxy;


R4 is hydrogen, C1-C6 alkoxy, halo, C1-C6 haloalkyl, C3-C7 cycloalkyl or C1-C6 alkyl optionally substituted with hydroxy;


R24 is absent and R5 is hydrogen, C1-C6 alkoxy, halo, C1-C6 haloalkyl, C3-C7 cycloalkyl or C1-C6 alkyl optionally substituted with hydroxy;


or R24 is C1-C6 alkyl or C3-C8 cycloalkyl and R5 is ═O;


provided that at least one of R2, R3, R4 and R5 is not hydrogen, and that R2 and R4 are not both hydroxymethyl;


or R2 and R3 taken together with the carbons connecting them form a four-membered to seven-membered ring A,


or R4 and R5 taken together with the carbons connecting them form a four-membered to seven-membered ring B,


or R2 and R3 taken together with the carbons connecting them form a four-membered to seven-membered ring A and R4 and R5 taken together with the carbons connecting them form a four-membered to seven-membered ring B,


wherein rings A and B as well as n1, m1, n2, m2 and R6 are as defined in embodiments (EAA);


each of R1, R10, R41 and R42 when bonded to carbon is independently selected from H, C1-C6 alkyl, C1-C6 haloalkyl, CN, halo, CO2C1-C6 alkyl, CO2C3-C8 cycloalkyl, C6-C10 aryl, CONR11R12, C3-C7 cycloalkyl and 3- to 7-membered heterocycloalkyl, wherein the C1-C6 alkyl, C3-C7 cycloalkyl and 3- to 7-membered heterocycloalkyl is optionally substituted with one or more substituents each independently selected from hydroxy, oxo, C1-C6 alkoxy, NR11R12, ═NR13, COOC1-C6 alkyl, C6-C10 aryl, and CONR11R12;


and each of R1, R10, R41 and R42 when bonded to nitrogen is independently selected from H, C1-C6 alkyl, C1-C6 haloalkyl, CO2C1-C6 alkyl, CO2C3-C8 cycloalkyl, C6-C10 aryl, CONR11R12, C3-C7 cycloalkyl and 3- to 7-membered heterocycloalkyl, wherein the C1-C6 alkyl, C3-C7 cycloalkyl and 3- to 7-membered heterocycloalkyl is optionally substituted with one or more substituents each independently selected from hydroxy, oxo, C1-C6 alkoxy, NR11R12, ═NR13, COOC1-C6 alkyl, C6-C10 aryl, and CONR11R12;


or R1 and R10 taken together with the atoms connecting them form a 3-to-8-membered carbocyclic or heterocyclic ring containing 1 or 2 heteroatoms independently selected from O, N, and S, wherein the ring is optionally substituted with one or more substituents each independently selected from hydroxy, oxo, C1-C6 alkoxy, NR11R12, ═NR13, COOC1-C6 alkyl, and CONR11R12;


R13 is C1-C6 alkyl;


each of R11 and R12 at each occurrence is independently selected from hydrogen, C1-C6 alkyl, CO2R15 and CONR17R8;


R15 is C1-C6 alkyl;


each of R17 and R8 at each occurrence is independently selected from hydrogen and C1-C6 alkyl.

    • In some embodiments (EAR), provided herein is a compound of Formula IIa as shown for embodiments (EAL),


      or a pharmaceutically acceptable salt thereof, wherein:


      X35 is N or CR35;


      X21 is N or CR21;


      X36 is N or CR36;


      X29 is N or CR29;


      X34 is N or CR34;




embedded image


comprises at least two of CR35, CR21, CR36, CR29, and CR34;


X4 is CR4, N or NR24;


each R20 is the same or different and is independently selected from hydrogen and C1-C6 alkyl;


Y is N or CR2;
Z is N or CR8;

R8 is selected from H, CN, Cl, F, CO2C1-C6 alkyl, CO2C3-C8 cycloalkyl, CONR11R12, C1-C6 alkyl optionally substituted with hydroxy, and C1-C6 haloalkyl;


R2 is hydrogen, C1-C6 alkoxy, halo, C1-C6 haloalkyl, C3-C7 cycloalkyl or C1-C6 alkyl optionally substituted with hydroxy;


R3 is hydrogen, C1-C6 alkoxy, halo, C1-C6 haloalkyl, C3-C7 cycloalkyl or C1-C6 alkyl optionally substituted with hydroxy;


R4 is hydrogen, C1-C6 alkoxy, halo, C1-C6 haloalkyl, C3-C7 cycloalkyl or C1-C6 alkyl optionally substituted with hydroxy;


R24 is absent and R5 is hydrogen, C1-C6 alkoxy, halo, C1-C6 haloalkyl, C3-C7 cycloalkyl or C1-C6 alkyl optionally substituted with hydroxy;


or R24 is C1-C6 alkyl or C3-C8 cycloalkyl and R5 is ═O;


provided that at least one of R2, R3, R4 and R5 is not hydrogen, and that R2 and R4 are not both hydroxymethyl;


or R2 and R3 taken together with the carbons connecting them form a four-membered to seven-membered ring A,


or R4 and R5 taken together with the carbons connecting them form a four-membered to seven-membered ring B,


or R2 and R3 taken together with the carbons connecting them form a four-membered to seven-membered ring A and R4 and R5 taken together with the carbons connecting them form a four-membered to seven-membered ring B,


wherein rings A and B as well as n1, m1, n2, m2 and R6 are as defined in embodiments (EAA);


each of R34, R29, R35, R21 and R36 is independently selected from H, C1-C6 alkyl, C1-C6 haloalkyl, CN, halo, CO2C1-C6 alkyl, CO2C3-C8 cycloalkyl, CONR11R12, C3-C7 cycloalkyl, 3- to 7-membered heterocycloalkyl, C6-C10 aryl, OC1-C6 alkyl, NH2, NHC1-C6 alkyl, N(C1-C6 alkyl)2, NO2, COC1-C6 alkyl,


wherein the C1-C6 alkyl, C3-C7 cycloalkyl and 3- to 7-membered heterocycloalkyl is optionally substituted with one or more substituents each independently selected from hydroxy, oxo, C1-C6 alkoxy, NR11R12, ═NR13, COOC1-C6 alkyl, CONR11R12, C3-C7 cycloalkyl, 3- to 7-membered heterocycloalkyl, C6-C10 aryl, 5- to 10-membered heteroaryl, NHCOC6-C10 aryl, NHCO(5- to 10-membered heteroaryl), NHCO(3- to 7-membered heterocycloalkyl), and NHCOC2-C6 alkynyl,

    • wherein the C6-C10 aryl, 5- to 10-membered heteroaryl, NHCOC6-C10 aryl, NHCO(5- to 10-membered heteroaryl) and NHCO(3- to 7-membered heterocycloalkyl) are optionally substituted with one or more substituents independently selected from halo, C1-C6 alkyl, and OC1-C6 alkyl,


      or any two of R34, R29, R35, R21 and R36 on adjacent atoms, taken together with the atoms connecting them form at least one monocyclic or bicyclic 3-to-12-membered carbocyclic ring or at least one monocyclic or bicyclic 5- to 12-membered heterocyclic ring containing 1-3 heteroatoms independently selected from O, N, NH, NR13, and S, wherein the carbocyclic ring or heterocyclic ring is optionally substituted with one or more substituents each independently selected from hydroxy, halo, oxo, C1-C6 alkyl, C2-C6 alkenyl, C2-C6 alkynyl, C1-C6 alkoxy, OC3-C10 cycloalkyl, NR11R12, ═NR13, CN, COOC1-C6 alkyl, OS(O2)C6-C10 aryl, S(O2)C6-C10 aryl, C6-C10 aryl, 5- to 10-membered heteroaryl, C3-C10 cycloalkyl, 3- to 10-membered heterocycloalkyl, and CONR11R12, wherein the C1-C6 alkyl, C1-C6 alkoxy, S(O2)C6-C10 aryl, C6-C10 aryl, 5- to 10-membered heteroaryl, C3-C10 cycloalkyl, and 3- to 10-membered heterocycloalkyl are optionally substituted with one or more substituents each independently selected from hydroxy, halo, C1-C6 alkyl, C2-C6 alkenyl, C2-C6 alkynyl, C3-C10 cycloalkyl, C1-C6 alkoxy, oxo, NR11R12, ═NR13, COOC1-C6 alkyl, C6-C10 aryl, and CONR11R12;


      R13 is C1-C6 alkyl;


      each of R11 and R12 at each occurrence is independently selected from hydrogen, C1-C6 alkyl, CO2R15 and CONR17R18;


      R15 is C1-C6 alkyl; and


      each of R17 and R18 at each occurrence is independently selected from hydrogen and C1-C6 alkyl.
    • In some embodiments (EAS), provided herein is a compound of Formula II as shown for embodiments (EAM)




embedded image


or a pharmaceutically acceptable salt thereof, wherein:


X35 is N or CR35;


X21 is N or CR21;


X36 is N or CR36;


X4 is CR4, N or NR24;


each R20 is the same or different and is independently selected from hydrogen and C1-C6 alkyl;


Y is N or CR2;
Z is N or CR8;

R8 is selected from H, CN, Cl, F, CO2C1-C6 alkyl, CO2C3-C8 cycloalkyl, CONR11R12, C1-C6 alkyl, and C1-C6 haloalkyl;


R2 is hydrogen, C1-C6 alkoxy, halo, C1-C6 haloalkyl, C3-C7 cycloalkyl or C1-C6 alkyl optionally substituted with hydroxy;


R3 is hydrogen, C1-C6 alkoxy, halo, C1-C6 haloalkyl, C3-C7 cycloalkyl or C1-C6 alkyl optionally substituted with hydroxy;


R4 is hydrogen, C1-C6 alkoxy, halo, C1-C6 haloalkyl, C3-C7 cycloalkyl or C1-C6 alkyl optionally substituted with hydroxy;


R24 is absent and R5 is hydrogen, C1-C6 alkoxy, halo, C1-C6 haloalkyl, C3-C7 cycloalkyl or C1-C6 alkyl optionally substituted with hydroxy;


or R24 is C1-C6 alkyl or C3-C8 cycloalkyl and R5 is ═O;


provided that at least one of R2, R3, R4 and R5 is not hydrogen, and that R2 and R4 are not both hydroxymethyl;


or R2 and R3 taken together with the carbons connecting them form a four-membered to seven-membered ring A,


or R4 and R5 taken together with the carbons connecting them form a four-membered to seven-membered ring B,


or R2 and R3 taken together with the carbons connecting them form a four-membered to seven-membered ring A and R4 and R5 taken together with the carbons connecting them form a four-membered to seven-membered ring B,


wherein rings A and B as well as n1, m1, n2, m2 and R6 are as defined in embodiments (EAA); each of R34, R29, R35, R21 and R36 is independently selected from H, C1-C6 alkyl, C1-C6 haloalkyl, CN, halo, CO2C1-C6 alkyl, CO2C3-C8 cycloalkyl, CONR11R12, C3-C7 cycloalkyl, 3- to 7-membered heterocycloalkyl, C6-C10 aryl, OC1-C6 alkyl, NH2, NHC1-C6 alkyl, N(C1-C6 alkyl)2, NO2, COC1-C6 alkyl,


wherein the C1-C6 alkyl, C3-C7 cycloalkyl and 3- to 7-membered heterocycloalkyl is optionally substituted with one or more substituents each independently selected from hydroxy, oxo, C1-C6 alkoxy, NR11R12, ═NR13, COOC1-C6 alkyl, CONR11R12, C3-C7 cycloalkyl, 3- to 7-membered heterocycloalkyl, C6-C10 aryl, 5- to 10-membered heteroaryl, NHCOC6-C10 aryl, NHCO(5- to 10-membered heteroaryl), NHCO(3- to 7-membered heterocycloalkyl), and NHCOC2-C6 alkynyl,

    • wherein the C6-C10 aryl, 5- to 10-membered heteroaryl, NHCOC6-C10 aryl, NHCO(5- to 10-membered heteroaryl) and NHCO(3- to 7-membered heterocycloalkyl) are optionally substituted with one or more substituents independently selected from halo, C1-C6 alkyl, and OC1-C6 alkyl,


      or two groups selected from R34, R29, R35, R21 and R36 that are on adjacent ring carbon atoms taken together with the adjacent ring carbons form a 6-membered aromatic ring, a five-to-eight-membered carbocyclic non-aromatic ring, a five- or six-membered heteroaromatic ring or a five-to-eight-membered heterocyclic non-aromatic ring, wherein the ring formed by the two groups together with the adjacent ring carbons is optionally substituted with one or more OC1-C6 alkyl, NH2, NHC1-C6 alkyl, N(C1-C6 alkyl)2;


      R13 is C1-C6 alkyl;


      each of R11 and R12 at each occurrence is independently selected from hydrogen, C1-C6 alkyl, CO2R15 and CONR17R18;


      R15 is C1-C6 alkyl;


      each of R17 and R18 at each occurrence is independently selected from hydrogen and C1-C6 alkyl.


      In some embodiments (EAT), provided herein is a compound of Formula A as shown above for Embodiments (EAF),




embedded image


or a pharmaceutically acceptable salt thereof, wherein:


Ar is a heteroaryl group




embedded image


or an aryl or heteroaryl group




embedded image


X1 is O, S, N, CR41 or NR41;


X10 is O, S, N, CR10 or NR10;


X11 is O, S, N, CR1 or NR1;


X2 is O, S, N, CR42 or NR42;




embedded image


comprises at least one of CR41, CR10, CR1, and CR42;


X35 is N or CR35;


X21 is N or CR21;


X36 is N or CR36;


X29 is N or CR29;


X34 is N or CR34;




embedded image


comprises at least two of CR35, CR21, CR36, CR29, and CR34;


X4 is CR4, N or NR24;


each R20 is the same or different and is independently selected from hydrogen and C1-C6 alkyl;


Y is N or CR2;
Z is N or CR8;

R8 is selected from H, CN, halo, CO2C1-C6 alkyl, CO2C3-C8 cycloalkyl, CONR11R12, C1-C6 alkyl optionally substituted with hydroxy, C1-C6 alkoxy, C1-C6 haloalkoxy, and C1-C6 haloalkyl;


R2 is hydrogen, C1-C6 alkoxy, halo, C1-C6 haloalkyl, C3-C7 cycloalkyl or C1-C6 alkyl optionally substituted with hydroxy;


R3 is hydrogen, C1-C6 alkoxy, halo, C1-C6 haloalkyl, CN, C1-C6 haloalkoxy, C3-C7 cycloalkyl or C1-C6 alkyl optionally substituted with hydroxy;


R4 is hydrogen, C1-C6 alkoxy, halo, C1-C6 haloalkyl, C3-C7 cycloalkyl or C1-C6 alkyl optionally substituted with hydroxy;


R24 is absent and R5 is hydrogen, C1-C6 alkoxy, halo, C1-C6 haloalkyl, CN, C1-C6 haloalkoxy, C3-C7 cycloalkyl or C1-C6 alkyl optionally substituted with hydroxy;


or R24 is C1-C6 alkyl or C3-C8 cycloalkyl and R5 is ═O;


provided that at least one of R2, R3, R4 and R5 is not hydrogen;


or R2 and R3 taken together with the carbons connecting them form a four-membered to seven-membered ring A,


or R4 and R5 taken together with the carbons connecting them form a four-membered to seven-membered ring B,


or R2 and R3 taken together with the carbons connecting them form a four-membered to seven-membered ring A and R4 and R5 taken together with the carbons connecting them form a four-membered to seven-membered ring B,


wherein rings A and B as well as n1, m1, n2, m2 and R6 are as defined in embodiments (EAA); two of R41, R10, R1, and R42 are present on adjacent atoms, and taken together with the atoms connecting them form at least one monocyclic or bicyclic 3-to-12-membered nonaromatic carbocyclic ring or at least one monocyclic or bicyclic 5- to 12-membered heterocyclic ring containing 1-3 heteroatoms independently selected from O, N, NH, NR13, and S, wherein the carbocyclic ring or heterocyclic ring is optionally substituted with one or more substituents each independently selected from hydroxy, halo, oxo, C1-C6 alkyl, C2-C6 alkenyl, C2-C6 alkynyl, C1-C6 alkoxy, OC3-C10 cycloalkyl, NR11R12, ═NR13, CN, COOC1-C6 alkyl, OS(O2)C6-C10 aryl, S(O2)C6-C10 aryl, C6-C10 aryl, 5- to 10-membered heteroaryl, C3-C10 cycloalkyl, 3- to 10-membered heterocycloalkyl, and CONR11R12, wherein the C1-C6 alkyl, C1-C6 alkoxy, S(O2)C6-C10 aryl, C6-C10 aryl, 5- to 10-membered heteroaryl, C3-C10 cycloalkyl, and 3- to 10-membered heterocycloalkyl are optionally substituted with one or more substituents each independently selected from hydroxy, halo, C1-C6 alkyl, C2-C6 alkenyl, C2-C6 alkynyl, C3-C10 cycloalkyl, C1-C6 alkoxy, oxo, NR11R12, ═NR13, COOC1-C6 alkyl, C6-C10 aryl, and CONR11R12;


each of the R1, R10, R41 and R42 that are not taken together with the atoms connecting them to form at least one ring, when bonded to carbon, is independently selected from H, C1-C6 alkyl, C1-C6 haloalkyl, CN, halo, CO2C1-C6 alkyl, CO2C3-C8 cycloalkyl, C6-C10 aryl, CONR11R12, C3-C7 cycloalkyl and 3- to 7-membered heterocycloalkyl, wherein the C1-C6 alkyl, C3-C7 cycloalkyl and 3- to 7-membered heterocycloalkyl is optionally substituted with one or more substituents each independently selected from hydroxy, oxo, C1-C6 alkyl, C1-C6 alkoxy, NR11R12, ═NR13, COOC1-C6 alkyl, C6-C10 aryl, and CONR11R12;


each of the R1, R10, R41 and R42 that are not taken together with the atoms connecting them to form at least one ring, when bonded to nitrogen, is independently selected from H, C1-C6 alkyl, C1-C6 haloalkyl, CO2C1-C6 alkyl, CO2C3-C8 cycloalkyl, C6-C10 aryl, CONR11R12, C3-C7 cycloalkyl, S(O2)C1-C6 alkyl and 3- to 7-membered heterocycloalkyl, wherein the C1-C6 alkyl, C3-C7 cycloalkyl and 3- to 7-membered heterocycloalkyl is optionally substituted with one or more substituents each independently selected from hydroxy, oxo, C1-C6 alkyl, C1-C6 alkoxy, NR11R12, ═NR13 COOC1-C6 alkyl, C6-C10 aryl, and CONR11R12;


two of R34, R29, R35, R21 and R36 on adjacent atoms, taken together with the atoms connecting them form at least one monocyclic or bicyclic 3-to-12-membered non-aromatic carbocyclic ring or at least one monocyclic or bicyclic 5- to 12-membered (e.g., non-aromatic) heterocyclic ring containing 1-3 heteroatoms independently selected from O, N, NH, NR13, and S, wherein the carbocyclic ring or heterocyclic ring is optionally substituted with one or more substituents each independently selected from hydroxy, halo, oxo, C1-C6 alkyl, C2-C6 alkenyl, C2-C6 alkynyl, C1-C6 alkoxy, OC3-C10 cycloalkyl, NR11R12, ═NR13, CN, COOC1-C6 alkyl, OS(O2)C6-C10 aryl, S(O2)C6-C10 aryl, C6-C10 aryl, 5- to 10-membered heteroaryl, C3-C10 cycloalkyl, 3- to 10-membered heterocycloalkyl, and CONR11R12, wherein the C1-C6 alkyl, C1-C6 alkoxy, S(O2)C6-C10 aryl, C6-C10 aryl, 5- to 10-membered heteroaryl, C3-C10 cycloalkyl, and 3- to 10-membered heterocycloalkyl are optionally substituted with one or more substituents each independently selected from hydroxy, halo, C1-C6 alkyl, C2-C6 alkenyl, C2-C6 alkynyl, C3-C10 cycloalkyl, C1-C6 alkoxy, oxo, NR11R12, ═NR13, COOC1-C6 alkyl, C6-C10 aryl, and CONR11R12;


each of the R34, R29, R35, R21 and R36 that are not taken together with the atoms connecting them to form at least one ring, is independently selected from H, C1-C6 alkyl, C1-C6 haloalkyl, CN, halo, CO2C1-C6 alkyl, CO2C3-C8 cycloalkyl, C6-C10 aryl, CONR11R12, C3-C7 cycloalkyl and 3- to 7-membered heterocycloalkyl, wherein the C1-C6 alkyl, C3-C7 cycloalkyl and 3- to 7-membered heterocycloalkyl is optionally substituted with one or more substituents each independently selected from hydroxy, oxo, C1-C6 alkyl, C1-C6 alkoxy, NR11R12, ═NR13, COOC1-C6 alkyl, C6-C10 aryl, and CONR11R12;


R13 is C1-C6 alkyl;


each of R11 and R12 at each occurrence is independently selected from hydrogen, C1-C6 alkyl, C1-C6 haloalkyl, (C═NR15)NR17R18, S(O2)C1-C6 alkyl, S(O2)NR17R18, COR15, CO2R15 and CON R17R18; wherein the C1-C6 alkyl is optionally substituted with one or more hydroxy, halo, C1-C6 alkoxy, C6-C10 aryl, 5- to 10-membered heteroaryl, C3-C7 cycloalkyl or 3- to 7-membered heterocycloalkyl; or R11 and R12 taken together with the nitrogen they are attached to form a 3- to 7-membered ring optionally containing one or more heteroatoms in addition to the nitrogen they are attached to;


R15 is C1-C6 alkyl, C1-C6 haloalkyl, C6-C10 aryl, or 5- to 10-membered heteroaryl; and each of R17 and R8 at each occurrence is independently selected from hydrogen and C1-C6 alkyl.


In some embodiments (EAX), when R1 and R10 are taken together with the atoms connecting them to form a 3-to-8-membered carbocyclic or heterocyclic ring containing 1 or 2 heteroatoms independently selected from O, N, and S;


then the carbocyclic or heterocyclic ring is substituted with one or more substituents each independently selected from halo, C1-C6 alkyl, C2-C6 alkenyl, C2-C6 alkynyl, OC3-C10 cycloalkyl, CN, NR11R12, CONR11R12, OS(O2)C6-C10 aryl, S(O2)C6-C10 aryl, C6-C10 aryl, 5- to 10-membered heteroaryl, C3-C10 cycloalkyl, and 3- to 10-membered heterocycloalkyl;

    • wherein the C1-C6 alkyl, S(O2)C6-C10 aryl, C6-C10 aryl, 5- to 10-membered heteroaryl, C3-C10 cycloalkyl, and 3- to 10-membered heterocycloalkyl are optionally substituted with one or more substituents each independently selected from hydroxy, halo, C1-C6 alkyl, C2-C6 alkenyl, C2-C6 alkynyl, C3-C10 cycloalkyl, C1-C6 alkoxy, oxo, NR11R12, ═NR13 COOC1-C6 alkyl, C6-C10 aryl, and CONR11R12; and
    • wherein R12 is selected from C1-C6 haloalkyl, (C═NR15)NR17R8, S(O2)C1-C6 alkyl, S(O2)NR17R8, or C1-C6 alkyl substituted with one or more hydroxy, halo, C1-C6 alkoxy, C6-C10 aryl, 5- to 10-membered heteroaryl, C3-C7 cycloalkyl or 3- to 7-membered heterocycloalkyl;


when two of R34, R29, R35, R21 and R36 that are on adjacent ring carbon atoms taken together with the adjacent ring carbons form a 6-membered aromatic ring, a five-to-eight-membered carbocyclic non-aromatic ring, a five- or six-membered heteroaromatic ring or a five-to-eight-membered heterocyclic non-aromatic ring, then the carbocyclic or heterocyclic ring is substituted with one or more substituents each independently selected from halo, C1-C6 alkyl, C2-C6 alkenyl, C2-C6 alkynyl, OC3-C10 cycloalkyl, CN, NR11R12, CONR11R12, OS(O2)C6-C10 aryl, S(O2)C6-C10 aryl, C6-C10 aryl, 5- to 10-membered heteroaryl, C3-C10 cycloalkyl, and 3- to 10-membered heterocycloalkyl;

    • wherein the C1-C6 alkyl, S(O2)C6-C10 aryl, C6-C10 aryl, 5- to 10-membered heteroaryl, C3-C10 cycloalkyl, and 3- to 10-membered heterocycloalkyl are optionally substituted with one or more substituents each independently selected from hydroxy, halo, C1-C6 alkyl, C2-C6 alkenyl, C2-C6 alkynyl, C3-C10 cycloalkyl, C1-C6 alkoxy, oxo, NR11R12, ═NR13 COOC1-C6 alkyl, C6-C10 aryl, and CONR11R12; and
    • wherein R12 is selected from C1-C6 haloalkyl, (C═NR15)NR17R8, S(O2)C1-C6 alkyl, S(O2)NR17R18, or C1-C6 alkyl substituted with one or more hydroxy, halo, C1-C6 alkoxy, C6-C10 aryl, 5- to 10-membered heteroaryl, C3-C7 cycloalkyl or 3- to 7-membered heterocycloalkyl; and


when two of R34, R29, R35, R21 and R36 that are on adjacent ring carbon atoms taken together with the adjacent ring carbons form a 3-5 membered or 7-12 membered aromatic carbocyclic ring (e.g., 9-12 membered), a 3-4 membered or 9-12 membered non-aromatic carbocyclic ring, a 7-12-membered aromatic heterocyclic ring, or a 9-12-membered nonaromatic heterocyclic ring, then the carbocyclic or heterocyclic ring is optionally substituted with one or more substituents each independently selected from hydroxy, halo, oxo, C1-C6 alkyl, C2-C6 alkenyl, C2-C6 alkynyl, C1-C6 alkoxy, OC3-C10 cycloalkyl, NR11R12, ═NR13, CN, COOC1-C6 alkyl, OS(O2)C6-C10 aryl, S(O2)C6-C10 aryl, C6-C10 aryl, 5- to 10-membered heteroaryl, C3-C10 cycloalkyl, 3- to 10-membered heterocycloalkyl, and CONR11R12, wherein the C1-C6 alkyl, C1-C6 alkoxy, S(O2)C6-C10 aryl, C6-C10 aryl, 5- to 10-membered heteroaryl, C3-C10 cycloalkyl, and 3- to 10-membered heterocycloalkyl are optionally substituted with one or more substituents each independently selected from hydroxy, halo, C1-C6 alkyl, C2-C6 alkenyl, C2-C6 alkynyl, C3-C10 cycloalkyl, C1-C6 alkoxy, oxo, NR11R12, ═NR13, COOC1-C6 alkyl, C6-C10 aryl, and CONR11R12;


wherein each of R11 and R12 at each occurrence is independently selected from hydrogen, C1-C6 alkyl, C1-C6 haloalkyl, (C═NR1S)NR17R8, S(O2)C1-C6 alkyl, S(O2)NR17R8, COR1, CO2R15 and CON R17R18; wherein the C1-C6 alkyl is optionally substituted with one or more hydroxy, halo, C1-C6 alkoxy, C6-C10 aryl, 5- to 10-membered heteroaryl, C3-C7 cycloalkyl or 3- to 7-membered heterocycloalkyl; or R11 and R12 taken together with the nitrogen they are attached to form a 3- to 7-membered ring optionally containing one or more heteroatoms in addition to the nitrogen they are attached to.


In some embodiments, when R1 and R10 are taken together with the atoms connecting them to form a 3-to-8-membered carbocyclic or heterocyclic ring containing 1 or 2 heteroatoms independently selected from O, N, and S;


then the carbocyclic or heterocyclic ring is substituted with one or more substituents each independently selected from halo, C1-C6 alkyl, C2-C6 alkenyl, C2-C6 alkynyl, OC3-C10 cycloalkyl, CN, NR11R12, CONR11R12, OS(O2)C6-C10 aryl, S(O2)C6-C10 aryl, C6-C10 aryl, 5- to 10-membered heteroaryl, C3-C10 cycloalkyl, and 3- to 10-membered heterocycloalkyl;


wherein the C1-C6 alkyl, S(O2)C6-C10 aryl, C6-C10 aryl, 5- to 10-membered heteroaryl, C3-C10 cycloalkyl, and 3- to 10-membered heterocycloalkyl are optionally substituted with one or more substituents each independently selected from hydroxy, halo, C1-C6 alkyl, C2-C6 alkenyl, C2-C6 alkynyl, C3-C10 cycloalkyl, C1-C6 alkoxy, oxo, NR11R12, ═NR13, COOC1-C6 alkyl, C6-C10 aryl, and CONR11R12; and


wherein R12 is selected from C1-C6 haloalkyl, (C═NR15)NR17R18, S(O2)C1-C6 alkyl, S(O2)NR17R8, or C1-C6 alkyl substituted with one or more hydroxy, halo, C1-C6 alkoxy, C6-C10 aryl, 5- to 10-membered heteroaryl, C3-C7 cycloalkyl or 3- to 7-membered heterocycloalkyl;


when two adjacent X29, X34, X21, and X36 are other than N, and two of R34, R29, R35, R2 and R36 that are on adjacent ring carbon atoms taken together with the atoms connecting them form a 6-membered aromatic ring, a five-to-eight-membered carbocyclic non-aromatic ring, a five- or six-membered heteroaromatic ring or a five-to-eight-membered heterocyclic non-aromatic ring, then the carbocyclic or heterocyclic ring is substituted with one or more substituents each independently selected from halo, C1-C6 alkyl, C2-C6 alkenyl, C2-C6 alkynyl, OC3-C10 cycloalkyl, CN, NR11R12, CONR11R12, OS(O2)C6-C10 aryl, S(O2)C6-C10 aryl, C6-C10 aryl, 5- to 10-membered heteroaryl, C3-C10 cycloalkyl, and 3- to 10-membered heterocycloalkyl;


wherein the C1-C6 alkyl, S(O2)C6-C10 aryl, C6-C10 aryl, 5- to 10-membered heteroaryl, C3-C10 cycloalkyl, and 3- to 10-membered heterocycloalkyl are optionally substituted with one or more substituents each independently selected from hydroxy, halo, C1-C6 alkyl, C2-C6 alkenyl, C2-C6 alkynyl, C3-C10 cycloalkyl, C1-C6 alkoxy, oxo, NR11R12, ═NR13, COOC1-C6 alkyl, C6-C10 aryl, and CONR11R12; and

    • wherein R12 is selected from C1-C6 haloalkyl, (C═NR15)NR17R18, S(O2)C1-C6 alkyl, S(O2)NR17R18, or C1-C6 alkyl substituted with one or more hydroxy, halo, C1-C6 alkoxy, C6-C10 aryl, 5- to 10-membered heteroaryl, C3-C7 cycloalkyl or 3- to 7-membered heterocycloalkyl; and


when two adjacent X29, X34, X21, and X36 are other than N, and two of R34, R29, R35, R21 and R36 that are on adjacent ring carbon atoms taken together with the adjacent ring carbons form a 3-5 membered or 7-12 membered aromatic carbocyclic ring (e.g., 9-12 membered), a 3-4 membered or 9-12 membered non-aromatic carbocyclic ring, a 7-12-membered aromatic heterocyclic ring, or a 9-12-membered nonaromatic heterocyclic ring, then the carbocyclic or heterocyclic ring is optionally substituted with one or more substituents each independently selected from hydroxy, halo, oxo, C1-C6 alkyl, C2-C6 alkenyl, C2-C6 alkynyl, C1-C6 alkoxy, OC3-C10 cycloalkyl, NR11R12, ═NR13, CN, COOC1-C6 alkyl, OS(O2)C6-C10 aryl, S(O2)C6-C10 aryl, C6-C10 aryl, 5- to 10-membered heteroaryl, C3-C10 cycloalkyl, 3- to 10-membered heterocycloalkyl, and CONR11R12, wherein the C1-C6 alkyl, C1-C6 alkoxy, S(O2)C6-C10 aryl, C6-C10 aryl, 5- to 10-membered heteroaryl, C3-C10 cycloalkyl, and 3- to 10-membered heterocycloalkyl are optionally substituted with one or more substituents each independently selected from hydroxy, halo, C1-C6 alkyl, C2-C6 alkenyl, C2-C6 alkynyl, C3-C10 cycloalkyl, C1-C6 alkoxy, oxo, NR11R12, ═NR13, COOC1-C6 alkyl, C6-C10 aryl, and CONR11R12;


wherein each of R11 and R12 at each occurrence is independently selected from hydrogen, C1-C6 alkyl, C1-C6 haloalkyl, (C═NR15)NR17R18, S(O2)C1-C6 alkyl, S(O2)NR17R18, COR1, CO2R15 and CON R17R18; wherein the C1-C6 alkyl is optionally substituted with one or more hydroxy, halo, C1-C6 alkoxy, C6-C10 aryl, 5- to 10-membered heteroaryl, C3-C7 cycloalkyl or 3- to 7-membered heterocycloalkyl; or R11 and R12 taken together with the nitrogen they are attached to form a 3- to 7-membered ring optionally containing one or more heteroatoms in addition to the nitrogen they are attached to.


In some embodiments (EAY), provided herein is a compound of Formula A as shown for embodiments (EAF),


or a pharmaceutically acceptable salt thereof, wherein:


Ar is a heteroaryl group




embedded image


X1 is O, S, N, CR41 or NR41;


X10 is O, S, N, CR10 or NR10;


X11 is O, S, N, CR1 or NR1;


X2 is O, S, N, CR42 or NR42;




embedded image


comprises at least one of CR41, CR10, CR1, and CR42;


X4 is CR4, N or NR24;


each R20 is the same or different and is independently selected from hydrogen and C1-C6 alkyl;


Y is N or CR2;
Z is N or CR8;

R8 is selected from H, CN, halo, CO2C1-C6 alkyl, CO2C3-C8 cycloalkyl, CONR11R12, C1-C6 alkyl optionally substituted with hydroxy, C1-C6 alkoxy, C1-C6 haloalkoxy, and C1-C6 haloalkyl;


R2 is hydrogen, C1-C6 alkoxy, halo, C1-C6 haloalkyl, C3-C7 cycloalkyl or C1-C6 alkyl optionally substituted with hydroxy;


R3 is hydrogen, C1-C6 alkoxy, halo, C1-C6 haloalkyl, CN, C1-C6 haloalkoxy, C3-C7 cycloalkyl or C1-C6 alkyl optionally substituted with hydroxy;


R4 is hydrogen, C1-C6 alkoxy, halo, C1-C6 haloalkyl, C3-C7 cycloalkyl or C1-C6 alkyl optionally substituted with hydroxy;


R24 is absent and R5 is hydrogen, C1-C6 alkoxy, halo, C1-C6 haloalkyl, CN, C1-C6 haloalkoxy, C3-C7 cycloalkyl or C1-C6 alkyl optionally substituted with hydroxy;


or R24 is C1-C6 alkyl or C3-C8 cycloalkyl and R5 is ═O;


provided that at least one of R2, R3, R4 and R5 is not hydrogen;


or R2 and R3 taken together with the carbons connecting them form a four-membered to seven-membered ring A,


or R4 and R5 taken together with the carbons connecting them form a four-membered to seven-membered ring B,


or R2 and R3 taken together with the carbons connecting them form a four-membered to seven-membered ring A and R4 and R5 taken together with the carbons connecting them form a four-membered to seven-membered ring B,


wherein rings A and B as well as n1, m1, n2, m2 and R6 are as defined in embodiments (EAA; two of R41, R10, R1, and R42 are present on adjacent atoms, and taken together with the atoms connecting them form at least one monocyclic or bicyclic 3-to-12-membered carbocyclic ring or at least one monocyclic or bicyclic 5- to 12-membered heterocyclic ring containing 1-3 heteroatoms independently selected from O, N, NH, NR13, and S, wherein the carbocyclic ring or heterocyclic ring is optionally substituted with one or more substituents each independently selected from hydroxy, halo, oxo, C1-C6 alkyl, C2-C6 alkenyl, C2-C6 alkynyl, C1-C6 alkoxy, OC3-C10 cycloalkyl, NR11R12, ═NR13, CN, COOC1-C6 alkyl, OS(O2)C6-C10 aryl, S(O2)C6-C10 aryl, C6-C10 aryl, 5- to 10-membered heteroaryl, C3-C10 cycloalkyl, 3- to 10-membered heterocycloalkyl, and CONR11R12, wherein the C1-C6 alkyl, C1-C6 alkoxy, S(O2)C6-C10 aryl, C6-C10 aryl, 5- to 10-membered heteroaryl, C3-C10 cycloalkyl, and 3- to 10-membered heterocycloalkyl are optionally substituted with one or more substituents each independently selected from hydroxy, halo, C1-C6 alkyl, C2-C6 alkenyl, C2-C6 alkynyl, C3-C10 cycloalkyl, C1-C6 alkoxy, oxo, NR11R12, ═NR13, COOC1-C6 alkyl, C6-C10 aryl, and CONR11R12;


each of the R1, R10, R41 and R42 that are not taken together with the atoms connecting them to form at least one ring, when bonded to carbon, is independently selected from H, C1-C6 alkyl, C1-C6 haloalkyl, CN, halo, CO2C1-C6 alkyl, CO2C3-C8 cycloalkyl, C6-C10 aryl, CONR11R12, C3-C7 cycloalkyl and 3- to 7-membered heterocycloalkyl, wherein the C1-C6 alkyl, C3-C7 cycloalkyl and 3- to 7-membered heterocycloalkyl is optionally substituted with one or more substituents each independently selected from hydroxy, oxo, C1-C6 alkyl, C1-C6 alkoxy, NR11R12, ═NR13, COOC1-C6 alkyl, C6-C10 aryl, and CONR11R12;


each of the R1, R10, R41 and R42 that are not taken together with the atoms connecting them to form at least one ring, when bonded to nitrogen, is independently selected from H, C1-C6 alkyl, C1-C6 haloalkyl, CO2C1-C6 alkyl, CO2C3-C8 cycloalkyl, C6-C10 aryl, CONR11R12, C3-C7 cycloalkyl, S(O2)C1-C6 alkyl and 3- to 7-membered heterocycloalkyl, wherein the C1-C6 alkyl, C3-C7 cycloalkyl and 3- to 7-membered heterocycloalkyl is optionally substituted with one or more substituents each independently selected from hydroxy, oxo, C1-C6 alkyl, C1-C6 alkoxy, NR11 ‘R’, ═NR13 COOC1-C6 alkyl, C6-C10 aryl, and CONR11R12;


R13 is C1-C6 alkyl;


each of R11 and R12 at each occurrence is independently selected from hydrogen, C1-C6 alkyl, C1-C6 haloalkyl, (C═NR15)NR17R8, S(O2)C1-C6 alkyl, S(O2)NR17R8, COR15, CO2R15 and CON R17R18; wherein the C1-C6 alkyl is optionally substituted with one or more hydroxy, halo, C1-C6 alkoxy, C6-C10 aryl, 5- to 10-membered heteroaryl, C3-C7 cycloalkyl or 3- to 7-membered heterocycloalkyl; or R11 and R12 taken together with the nitrogen they are attached to form a 3- to 7-membered ring optionally containing one or more heteroatoms in addition to the nitrogen they are attached to;


R15 is C1-C6 alkyl, C1-C6 haloalkyl, C6-C10 aryl, or 5- to 10-membered heteroaryl; and each of R17 and R8 at each occurrence is independently selected from hydrogen and C1-C6 alkyl.


In some embodiments (EAZ), provided herein is a compound of Formula A




embedded image


or a pharmaceutically acceptable salt thereof, wherein:


Ar is a heteroaryl group




embedded image


X1 is O, S, N, CR41 or NR41 (e.g., X1 is S, N, CR41 or NR41

X10 is O, S, N, CR10 or NR10;


X11 is O, S, N, CR1 or NR1;


X2 is O, S, N, CR42 or NR42 (e.g., X2 is S, N, CR41 or NR41




embedded image


comprises at least one of CR41, CR10, CR1, and CR42;


X4 is CR4, N or NR24;


each R20 is the same or different and is independently selected from hydrogen and C1-C6 alkyl;


Y is N or CR2;
Z is N or CR8;

R8 is selected from H, CN, halo, CO2C1-C6 alkyl, CO2C3-C8 cycloalkyl, CONR11R12, C1-C6 alkyl optionally substituted with hydroxy, C1-C6 alkoxy, C1-C6 haloalkoxy, and C1-C6 haloalkyl;


R2 is hydrogen, C1-C6 alkoxy, halo, C1-C6 haloalkyl, C3-C7 cycloalkyl or C1-C6 alkyl optionally substituted with hydroxy;


R3 is hydrogen, C1-C6 alkoxy, halo, C1-C6 haloalkyl, CN, C1-C6 haloalkoxy, C3-C7 cycloalkyl or C1-C6 alkyl optionally substituted with hydroxy;


R4 is hydrogen, C1-C6 alkoxy, halo, C1-C6 haloalkyl, C3-C7 cycloalkyl or C1-C6 alkyl optionally substituted with hydroxy;


R24 is absent and R5 is hydrogen, C1-C6 alkoxy, halo, C1-C6 haloalkyl, CN, C1-C6 haloalkoxy, C3-C7 cycloalkyl or C1-C6 alkyl optionally substituted with hydroxy;


or R24 is C1-C6 alkyl or C3-C8 cycloalkyl and R5 is ═O;


provided that at least one of R2, R3, R4 and R5 is not hydrogen;


or R2 and R3 taken together with the carbons connecting them form a four-membered to seven-membered ring A,


or R4 and R5 taken together with the carbons connecting them form a four-membered to seven-membered ring B,


or R2 and R3 taken together with the carbons connecting them form a four-membered to seven-membered ring A and R4 and R5 taken together with the carbons connecting them form a four-membered to seven-membered ring B,


wherein rings A and B as well as n1, m1, n2, m2 and R6 are as defined in embodiments (EAA); two of R41, R10, R1, and R42 are present on adjacent atoms, and taken together with the atoms connecting them form at least one monocyclic or bicyclic 3-to-12-membered nonaromatic carbocyclic ring or at least one monocyclic or bicyclic 5- to 12-membered heterocyclic ring containing 1-3 heteroatoms independently selected from O, N, NH, NR13, and S, wherein the carbocyclic ring or heterocyclic ring is optionally substituted with one or more substituents each independently selected from hydroxy, halo, oxo, C1-C6 alkyl, C2-C6 alkenyl, C2-C6 alkynyl, C1-C6 alkoxy, OC3-C10 cycloalkyl, NR11R12, ═NR13, CN, COOC1-C6 alkyl, OS(O2)C6-C10 aryl, S(O2)C6-C10 aryl, C6-C10 aryl, 5- to 10-membered heteroaryl, C3-C10 cycloalkyl, 3- to 10-membered heterocycloalkyl, and CONR11R12, wherein the C1-C6 alkyl, C1-C6 alkoxy, S(O2)C6-C10 aryl, C6-C10 aryl, 5- to 10-membered heteroaryl, C3-C10 cycloalkyl, and 3- to 10-membered heterocycloalkyl are optionally substituted with one or more substituents each independently selected from hydroxy, halo, C1-C6 alkyl, C2-C6 alkenyl, C2-C6 alkynyl, C3-C10 cycloalkyl, C1-C6 alkoxy, oxo, NR11R12, ═NR13, COOC1-C6 alkyl, C6-C10 aryl, and CONR11R12;


each of the R1, R10, R41 and R42 that are not taken together with the atoms connecting them to form at least one ring, when bonded to carbon, is independently selected from H, C1-C6 alkyl, C1-C6 haloalkyl, CN, halo, CO2C1-C6 alkyl, CO2C3-C8 cycloalkyl, C6-C10 aryl, CONR11R12, C3-C7 cycloalkyl and 3- to 7-membered heterocycloalkyl, wherein the C1-C6 alkyl, C3-C7 cycloalkyl and 3- to 7-membered heterocycloalkyl is optionally substituted with one or more substituents each independently selected from hydroxy, oxo, C1-C6 alkyl, C1-C6 alkoxy, NR11R12, ═NR13, COOC1-C6 alkyl, C6-C10 aryl, and CONR11R12;


each of the R1, R10, R41 and R42 that are not taken together with the atoms connecting them to form at least one ring, when bonded to nitrogen, is independently selected from H, C1-C6 alkyl, C1-C6 haloalkyl, CO2C1-C6 alkyl, CO2C3-C8 cycloalkyl, C6-C10 aryl, CONR11R12, C3-C7 cycloalkyl, S(O2)C1-C6 alkyl and 3- to 7-membered heterocycloalkyl, wherein the C1-C6 alkyl, C3-C7 cycloalkyl and 3- to 7-membered heterocycloalkyl is optionally substituted with one or more substituents each independently selected from hydroxy, oxo, C1-C6 alkyl, C1-C6 alkoxy, NR11R12, ═NR13 COOC1-C6 alkyl, C6-C10 aryl, and CONR11R12;


R13 is C1-C6 alkyl;


each of R11 and R12 at each occurrence is independently selected from hydrogen, C1-C6 alkyl, C1-C6 haloalkyl, (C═NR15)NR17R18, S(O2)C1-C6 alkyl, S(O2)NR17R18, COR15, CO2R15 and CON R17R18; wherein the C1-C6 alkyl is optionally substituted with one or more hydroxy, halo, C1-C6 alkoxy, C6-C10 aryl, 5- to 10-membered heteroaryl, C3-C7 cycloalkyl or 3- to 7-membered heterocycloalkyl; or R11 and R12 taken together with the nitrogen they are attached to form a 3- to 7-membered ring optionally containing one or more heteroatoms in addition to the nitrogen they are attached to;


R15 is C1-C6 alkyl, C1-C6 haloalkyl, C6-C10 aryl, or 5- to 10-membered heteroaryl; and each of R17 and R18 at each occurrence is independently selected from hydrogen and C1-C6 alkyl.


In some embodiments of the one or more formulae herein, when R1 and R10 are taken together with the atoms connecting them to form a 3-to-8-membered carbocyclic or heterocyclic ring containing 1 or 2 heteroatoms independently selected from O, N, and S, then the carbocyclic or heterocyclic ring is substituted with one or more substituents each independently selected from halo, C1-C6 alkyl, C2-C6 alkenyl, C2-C6 alkynyl, OC3-C10 cycloalkyl, CN, NR11R12, CONR11R12, OS(O2)C6-C10 aryl, S(O2)C6-C10 aryl, C6-C10 aryl, 5- to 10-membered heteroaryl, C3-C10 cycloalkyl, and 3- to 10-membered heterocycloalkyl;

    • wherein the C1-C6 alkyl, S(O2)C6-C10 aryl, C6-C10 aryl, 5- to 10-membered heteroaryl, C3-C10 cycloalkyl, and 3- to 10-membered heterocycloalkyl are optionally substituted with one or more substituents each independently selected from hydroxy, halo, C1-C6 alkyl, C2-C6 alkenyl, C2-C6 alkynyl, C3-C10 cycloalkyl, C1-C6 alkoxy, oxo, NR11R12, ═NR13, COOC1-C6 alkyl, C6-C10 aryl, and CONR11R12; and
    • wherein R12 is selected from C1-C6 haloalkyl, (C═NR15)NR7R8, S(O2)C1-C6 alkyl, S(O2)NR7R8, or C1-C6 alkyl substituted with one or more hydroxy, halo, C1-C6 alkoxy, C6-C10 aryl, 5- to 10-membered heteroaryl, C3-C7 cycloalkyl or 3- to 7-membered heterocycloalkyl.


      In some embodiments (EBA), provided herein is a compound of Formula A




embedded image


or a pharmaceutically acceptable salt thereof, wherein:


Ar is a heteroaryl group




embedded image


X35 is N or CR35;


X21 is N or CR21;


X36 is N or CR36;


X29 is N or CR29;


X34 is N or CR34;




embedded image


comprises at least two of CR35, CR21, CR36, CR29, and CR34;


X4 is CR4, N or NR24;


each R20 is the same or different and is independently selected from hydrogen and C1-C6 alkyl;


Y is N or CR2;
Z is N or CR8;

each of R1, R3, R4, R24 is as defined under embodiment (EAZ), provided that at least one of R2, R3, R4 and R5 is not hydrogen;


or R2 and R3 taken together with the carbons connecting them form a four-membered to seven-membered ring A,


or R4 and R5 taken together with the carbons connecting them form a four-membered to seven-membered ring B,


or R2 and R3 taken together with the carbons connecting them form a four-membered to seven-membered ring A and R4 and R5 taken together with the carbons connecting them form a four-membered to seven-membered ring B,


wherein rings A and B as well as n1, m1, n2, m2 and R6 are as defined in embodiments (EAA) two of R34, R29, R35, R21 and R36 on adjacent atoms, taken together with the atoms connecting them form at least one monocyclic or bicyclic 3-to-12-membered carbocyclic ring or at least one monocyclic or bicyclic 5- to 12-membered heterocyclic ring containing 1-3 heteroatoms independently selected from O, N, NH, NR13, and S, wherein the carbocyclic ring or heterocyclic ring is optionally substituted with one or more substituents each independently selected from hydroxy, halo, oxo, C1-C6 alkyl, C2-C6 alkenyl, C2-C6 alkynyl, C1-C6 alkoxy, OC3-C10 cycloalkyl, NR11R12, ═NR13, CN, COOC1-C6 alkyl, OS(O2)C6-C10 aryl, S(O2)C6-C10 aryl, C6-C10 aryl, 5- to 10-membered heteroaryl, C3-C10 cycloalkyl, 3- to 10-membered heterocycloalkyl, and CONR11R12, wherein the C1-C6 alkyl, C1-C6 alkoxy, S(O2)C6-C10 aryl, C6-C10 aryl, 5- to 10-membered heteroaryl, C3-C10 cycloalkyl, and 3- to 10-membered heterocycloalkyl are optionally substituted with one or more substituents each independently selected from hydroxy, halo, C1-C6 alkyl, C2-C6 alkenyl, C2-C6 alkynyl, C3-C10 cycloalkyl, C1-C6 alkoxy, oxo, NR11R12, ═NR13, COOC1-C6 alkyl, C6-C10 aryl, and CONR11R12;


each of the R34, R29, R35, R21 and R36 that are not taken together with the atoms connecting them to form at least one ring, is independently selected from H, C1-C6 alkyl, C1-C6 haloalkyl, CN, halo, CO2C1-C6 alkyl, CO2C3-C8 cycloalkyl, C6-C10 aryl, CONR11R12, C3-C7 cycloalkyl and 3- to 7-membered heterocycloalkyl, wherein the C1-C6 alkyl, C3-C7 cycloalkyl and 3- to 7-membered heterocycloalkyl is optionally substituted with one or more substituents each independently selected from hydroxy, oxo, C1-C6 alkyl, C1-C6 alkoxy, NR11R12, ═NR13, COOC1-C6 alkyl, C6-C10 aryl, and CONR11R12;


R13 is C1-C6 alkyl;


each of R11 and R12 at each occurrence is independently selected from hydrogen, C1-C6 alkyl, C1-C6 haloalkyl, (C═NR15)NR17R18, S(O2)C1-C6 alkyl, S(O2)NR17R18, COR15, CO2R15 and CON R17R18; wherein the C1-C6 alkyl is optionally substituted with one or more hydroxy, halo, C1-C6 alkoxy, C6-C10 aryl, 5- to 10-membered heteroaryl, C3-C7 cycloalkyl or 3- to 7-membered heterocycloalkyl; or R11 and R12 taken together with the nitrogen they are attached to form a 3- to 7-membered ring optionally containing one or more heteroatoms in addition to the nitrogen they are attached to;


R15 is C1-C6 alkyl, C1-C6 haloalkyl, C6-C10 aryl, or 5- to 10-membered heteroaryl; and each of R17 and R18 at each occurrence is independently selected from hydrogen and C1-C6 alkyl.


In some embodiments (EBB), provided herein is a compound of Formula A




embedded image


or a pharmaceutically acceptable salt thereof, wherein:


Ar is a heteroaryl group




embedded image


X35 is N or CR35;


X21 is N or CR21;


X36 is N or CR36;


X29 is N or CR29;


X34 is N or CR34;




embedded image


comprises at least two of CR35, CR21, CR36, CR29, and CR34;


X4 is CR4, N or NR24;


each R20 is the same or different and is independently selected from hydrogen and C1-C6 alkyl;


Y is N or CR2;
Z is N or CR;

each of R1, R3, R4, R24 is as defined under embodiment (EAZ),


provided that at least one of R2, R3, R4 and R5 is not hydrogen;


or R2 and R3 taken together with the carbons connecting them form a four-membered to seven-membered ring A,


or R4 and R5 taken together with the carbons connecting them form a four-membered to seven-membered ring B,


or R2 and R3 taken together with the carbons connecting them form a four-membered to seven-membered ring A and R4 and R5 taken together with the carbons connecting them form a four-membered to seven-membered ring B,


wherein rings A and B as well as n1, m1, n2, m2 and R6 are as defined in embodiments (EAA) two of R34, R29, R35, R21 and R36 on adjacent atoms, taken together with the atoms connecting them form at least one monocyclic or bicyclic 3-to-12-membered non-aromatic carbocyclic ring or at least one monocyclic or bicyclic 5- to 12-membered (e.g., non-aromatic) heterocyclic ring containing 1-3 heteroatoms independently selected from O, N, NH, NR13, and S, wherein the carbocyclic ring or heterocyclic ring is optionally substituted with one or more substituents each independently selected from hydroxy, halo, oxo, C1-C6 alkyl, C2-C6 alkenyl, C2-C6 alkynyl, C1-C6 alkoxy, OC3-C10 cycloalkyl, NR11R12, ═NR13, CN, COOC1-C6 alkyl, OS(O2)C6-C10 aryl, S(O2)C6-C10 aryl, C6-C10 aryl, 5- to 10-membered heteroaryl, C3-C10 cycloalkyl, 3- to 10-membered heterocycloalkyl, and CONR11R12, wherein the C1-C6 alkyl, C1-C6 alkoxy, S(O2)C6-C10 aryl, C6-C10 aryl, 5- to 10-membered heteroaryl, C3-C10 cycloalkyl, and 3- to 10-membered heterocycloalkyl are optionally substituted with one or more substituents each independently selected from hydroxy, halo, C1-C6 alkyl, C2-C6 alkenyl, C2-C6 alkynyl, C3-C10 cycloalkyl, C1-C6 alkoxy, oxo, NR11R12, ═NR13, COOC1-C6 alkyl, C6-C10 aryl, and CONR11R12;


each of the R34, R29, R35, R21 and R36 that are not taken together with the atoms connecting them to form at least one ring, is independently selected from H, C1-C6 alkyl, C1-C6 haloalkyl, CN, halo, CO2C1-C6 alkyl, CO2C3-C8 cycloalkyl, C6-C10 aryl, CONR11R12, C3-C7 cycloalkyl and 3- to 7-membered heterocycloalkyl, wherein the C1-C6 alkyl, C3-C7 cycloalkyl and 3- to 7-membered heterocycloalkyl is optionally substituted with one or more substituents each independently selected from hydroxy, oxo, C1-C6 alkyl, C1-C6 alkoxy, NR11R12, ═NR13, COOC1-C6 alkyl, C6-C10 aryl, and CONR11R12;


each of the R1, R10, R41 and R42 that are not taken together with the atoms connecting them to form at least one ring, when bonded to carbon, is independently selected from H, C1-C6 alkyl, C1-C6 haloalkyl, CN, halo, CO2C1-C6 alkyl, CO2C3-C8 cycloalkyl, C6-C10 aryl, CONR11R12, C3-C7 cycloalkyl and 3- to 7-membered heterocycloalkyl, wherein the C1-C6 alkyl, C3-C7 cycloalkyl and 3- to 7-membered heterocycloalkyl is optionally substituted with one or more substituents each independently selected from hydroxy, oxo, C1-C6 alkyl, C1-C6 alkoxy, NR11R12, ═NR13, COOC1-C6 alkyl, C6-C10 aryl, and CONR11R12;


each of the R1, R10, R41 and R42 that are not taken together with the atoms connecting them to form at least one ring, when bonded to nitrogen, is independently selected from H, C1-C6 alkyl, C1-C6 haloalkyl, CO2C1-C6 alkyl, CO2C3-C8 cycloalkyl, C6-C10 aryl, CONR11R12, C3-C7 cycloalkyl, S(O2)C1-C6 alkyl and 3- to 7-membered heterocycloalkyl, wherein the C1-C6 alkyl, C3-C7 cycloalkyl and 3- to 7-membered heterocycloalkyl is optionally substituted with one or more substituents each independently selected from hydroxy, oxo, C1-C6 alkyl, C1-C6 alkoxy, NR11R12, ═NR13 COOC1-C6 alkyl, C6-C10 aryl, and CONR11R12;


R13 is C1-C6 alkyl;


each of R11 and R12 at each occurrence is independently selected from hydrogen, C1-C6 alkyl, C1-C6 haloalkyl, (C═NR15)NR17R18, S(O2)C1-C6 alkyl, S(O2)NR17R18, COR15, CO2R15 and CON R17R18; wherein the C1-C6 alkyl is optionally substituted with one or more hydroxy, halo, C1-C6 alkoxy, C6-C10 aryl, 5- to 10-membered heteroaryl, C3-C7 cycloalkyl or 3- to 7-membered heterocycloalkyl; or R11 and R12 taken together with the nitrogen they are attached to form a 3- to 7-membered ring optionally containing one or more heteroatoms in addition to the nitrogen they are attached to;


R11 is C1-C6 alkyl, C1-C6 haloalkyl, C6-C10 aryl, or 5- to 10-membered heteroaryl; and each of R17 and R8 at each occurrence is independently selected from hydrogen and C1-C6 alkyl.


In some embodiments (EBC), when two adjacent X29, X34, X21, and X36 are other than N, and two of R34, R29, R35, R21 and R36 that are on adjacent ring carbon atoms taken together with the atoms connecting them form a 6-membered aromatic ring, a five-to-eight-membered carbocyclic non-aromatic ring, a five- or six-membered heteroaromatic ring or a five-to-eight-membered heterocyclic non-aromatic ring, then the carbocyclic or heterocyclic ring is substituted with one or more substituents each independently selected from halo, C1-C6 alkyl, C2-C6 alkenyl, C2-C6 alkynyl, OC3-C10 cycloalkyl, CN, NR11R12, CONR11R12, OS(O2)C6-C10 aryl, S(O2)C6-C10 aryl, C6-C10 aryl, 5- to 10-membered heteroaryl, C3-C10 cycloalkyl, and 3- to 10-membered heterocycloalkyl;

    • wherein the C1-C6 alkyl, S(O2)C6-C10 aryl, C6-C10 aryl, 5- to 10-membered heteroaryl, C3-C10 cycloalkyl, and 3- to 10-membered heterocycloalkyl are optionally substituted with one or more substituents each independently selected from hydroxy, halo, C1-C6 alkyl, C2-C6 alkenyl, C2-C6 alkynyl, C3-C10 cycloalkyl, C1-C6 alkoxy, oxo, NR11R12, ═NR13, COOC1-C6 alkyl, C6-C10 aryl, and CONR11R12; and
    • wherein R12 is selected from C1-C6 haloalkyl, (C═NR15)NR17R18, S(O2)C1-C6 alkyl, S(O2)NR17R8, or C1-C6 alkyl substituted with one or more hydroxy, halo, C1-C6 alkoxy, C6-C10 aryl, 5- to 10-membered heteroaryl, C3-C7 cycloalkyl or 3- to 7-membered heterocycloalkyl.


In some embodiments (EBD), when two adjacent X29, X34, X21, and X36 are other than N, and two of R34, R29, R35, R21 and R36 that are on adjacent ring carbon atoms taken together with the adjacent ring carbons form a 3-5 membered or 7-12 membered aromatic carbocyclic ring (e.g., 9-12 membered), a 3-4 membered or 9-12 membered non-aromatic carbocyclic ring, a 7-12-membered aromatic heterocyclic ring, or a 9-12-membered nonaromatic heterocyclic ring, then the carbocyclic or heterocyclic ring is optionally substituted with one or more substituents each independently selected from hydroxy, halo, oxo, C1-C6 alkyl, C2-C6 alkenyl, C2-C6 alkynyl, C1-C6 alkoxy, OC3-C10 cycloalkyl, NR11R12, ═NR13, CN, COOC1-C6 alkyl, OS(O2)C6-C10 aryl, S(O2)C6-C10 aryl, C6-C10 aryl, 5- to 10-membered heteroaryl, C3-C10 cycloalkyl, 3- to 10-membered heterocycloalkyl, and CONR11R12, wherein the C1-C6 alkyl, C1-C6 alkoxy, S(O2)C6-C10 aryl, C6-C10 aryl, 5- to 10-membered heteroaryl, C3-C10 cycloalkyl, and 3- to 10-membered heterocycloalkyl are optionally substituted with one or more substituents each independently selected from hydroxy, halo, C1-C6 alkyl, C2-C6 alkenyl, C2-C6 alkynyl, C3-C10 cycloalkyl, C1-C6 alkoxy, oxo, NR11R12, ═NR13, COOC1-C6 alkyl, C6-C10 aryl, and CONR11R12;


wherein each of R11 and R12 at each occurrence is independently selected from hydrogen, C1-C6 alkyl, C1-C6 haloalkyl, (C═NR15)NR17R18, S(O2)C1-C6 alkyl, S(O2)NR17R18, COR1, CO2R15 and CON R17R18; wherein the C1-C6 alkyl is optionally substituted with one or more hydroxy, halo, C1-C6 alkoxy, C6-C10 aryl, 5- to 10-membered heteroaryl, C3-C7 cycloalkyl or 3- to 7-membered heterocycloalkyl; or R11 and R12 taken together with the nitrogen they are attached to form a 3- to 7-membered ring optionally containing one or more heteroatoms in addition to the nitrogen they are attached to.


In some embodiments (EBE) of the one or more formulae herein, when two of R34, R29, R35, R21 and R36 that are on adjacent ring carbon atoms taken together with the adjacent ring carbons form a 6-membered aromatic ring, a five-to-eight-membered carbocyclic non-aromatic ring, a five- or six-membered heteroaromatic ring or a five-to-eight-membered heterocyclic non-aromatic ring, then the carbocyclic or heterocyclic ring is substituted with one or more substituents each independently selected from halo, C1-C6 alkyl, C2-C6 alkenyl, C2-C6 alkynyl, OC3-C10 cycloalkyl, CN, NR11R12, CONR11R12, OS(O2)C6-C10 aryl, S(O2)C6-C10 aryl, C6-C10 aryl, 5- to 10-membered heteroaryl, C3-C10 cycloalkyl, and 3- to 10-membered heterocycloalkyl;

    • wherein the C1-C6 alkyl, S(O2)C6-C10 aryl, C6-C10 aryl, 5- to 10-membered heteroaryl, C3-C10 cycloalkyl, and 3- to 10-membered heterocycloalkyl are optionally substituted with one or more substituents each independently selected from hydroxy, halo, C1-C6 alkyl, C2-C6 alkenyl, C2-C6 alkynyl, C3-C10 cycloalkyl, C1-C6 alkoxy, oxo, NR11R12, ═NR13, COOC1-C6 alkyl, C6-C10 aryl, and CONR11R12; and
    • wherein R12 is selected from C1-C6 haloalkyl, (C═NR15)NR17R18, S(O2)C1-C6 alkyl, S(O2)NR17R18, or C1-C6 alkyl substituted with one or more hydroxy, halo, C1-C6 alkoxy, C6-C10 aryl, 5- to 10-membered heteroaryl, C3-C7 cycloalkyl or 3- to 7-membered heterocycloalkyl; and


      when two of R34, R29, R35, R21 and R36 that are on adjacent ring carbon atoms taken together with the adjacent ring carbons form a 3-5 membered or 7-12 membered aromatic carbocyclic ring (e.g., 9-12 membered), a 3-4 membered or 9-12 membered non-aromatic carbocyclic ring, a 7-12-membered aromatic heterocyclic ring, or a 9-12-membered nonaromatic heterocyclic ring, then the carbocyclic or heterocyclic ring is substituted with one or more substituents each independently selected from hydroxy, halo, oxo, C1-C6 alkyl, C2-C6 alkenyl, C2-C6 alkynyl, C1-C6 alkoxy, OC3-C10 cycloalkyl, NR11R12, ═NR13, CN, COOC1-C6 alkyl, OS(O2)C6-C10 aryl, S(O2)C6-C10 aryl, C6-C10 aryl, 5- to 10-membered heteroaryl, C3-C10 cycloalkyl, 3- to 10-membered heterocycloalkyl, and CONR11R12, wherein the C1-C6 alkyl, C1-C6 alkoxy, S(O2)C6-C10 aryl, C6-C10 aryl, 5- to 10-membered heteroaryl, C3-C10 cycloalkyl, and 3- to 10-membered heterocycloalkyl are optionally substituted with one or more substituents each independently selected from hydroxy, halo, C1-C6 alkyl, C2-C6 alkenyl, C2-C6 alkynyl, C3-C10 cycloalkyl, C1-C6 alkoxy, oxo, NR11R12, ═NR13, COOC1-C6 alkyl, C6-C10 aryl, and CONR11R12;


wherein each of R11 and R12 at each occurrence is independently selected from hydrogen, C1-C6 alkyl, C1-C6 haloalkyl, (C═NR15)NR17R18, S(O2)C1-C6 alkyl, S(O2)NR17R18, COR1, CO2R15 and CON R17R18; wherein the C1-C6 alkyl is optionally substituted with one or more hydroxy, halo, C1-C6 alkoxy, C6-C10 aryl, 5- to 10-membered heteroaryl, C3-C7 cycloalkyl or 3- to 7-membered heterocycloalkyl; or R11 and R12 taken together with the nitrogen they are attached to form a 3- to 7-membered ring optionally containing one or more heteroatoms in addition to the nitrogen they are attached to.


In some embodiments the variables shown in the formulae herein are as follows:


Formula AA

In some embodiments, the compound of Formula AA is a compound of Formula AA-1 as shown above under embodiments (EAC), or a compound of the formula AA-2 as shown above under embodiments (EAC).


The Group Ar′

In some embodiments of one or more formulae herein, Ar′ is triazolyl (e.g., 1-triazolyl); or is pyrazolyl (e.g., 1-pyrazolyl); or is pyrrolyl (e.g., 1-pyrrolyl); or is imidazolyl (e.g., 1-imidazolyl); or is furanyl; or is thiophenyl.


The Group Ar″

In some embodiments of one or more formulae herein, Ar″ is unsubstituted phenyl.


In some embodiments of one or more formulae herein, Ar″ is




embedded image


In certain embodiments of the foregoing, R8 is NR17SO2R15 (e.g., NHSO2CH3).


In some embodiments of one or more formulae herein, Ar″ is




embedded image


In certain embodiments of the foregoing, R8 is CO2R15 (e.g., CO2CH3).


The Groups X1, X10, X11 and X2


In some embodiments of one or more formulae herein,




embedded image


comprises at least one of CR41, CR10, CR1, and CR42.


In some embodiments of one or more formulae herein, X1 is O; or is S; or is N; or is CR41; or is NR41.


In some embodiments of one or more formulae herein, X10 is O; or is S; or is N; or is CR10; or is NR10.


In some embodiments of one or more formulae herein, X11 is O; or is S; or is N or is CR1; or i is NR1.


In some embodiments of one or more formulae herein, X2 is O; or is S; or is N; or is CR42; or is NR42;


The Groups X35, X21, X36, X29, and X34


In some embodiments of one or more formulae herein,




embedded image


comprises at least two of CR35, CR21, CR36, CR29, and CR34.


In some embodiments of one or more formulae herein, X35 is N; or is CR35.


In some embodiments of one or more formulae herein, X21 is N; or is CR21.


In some embodiments of one or more formulae herein, X36 is N; or is CR36.


In some embodiments of one or more formulae herein, X29 is N; or is


In some embodiments of one or more formulae herein, X29 is CR29.


In some embodiments of one or more formulae herein, X34 is N; or is CR34.


In some embodiments of one or more of formulae herein, X34 is CR34; and X29 is CR29.


In some embodiments of one or more formulae herein, one or two of X29 and X34 is each independently N; and one or two of X21 and X36 is each independently N.


In some embodiments, two adjacent X29, X34, X21, and X36 are other than N (i.e.,




embedded image


The Group X4

In some embodiments of one or more formulae herein, X4 is CR4; or is N; or is NR24;


The Group R20

In some embodiments, each R20 is independently selected from (i) hydrogen, C1-C6 alkyl optionally substituted with NR17CO2R15, and NR17CO2R15; or (ii) each R20 is hydrogen; or (iii) from hydrogen and C1-C6 alkyl optionally substituted with NR17CO2R15; or (iv) from hydrogen and NR17CO2R15; or (v) R20 is C1-C6 alkyl; or (vi) one R20 is hydrogen and the other R20 is C1-C6 alkyl; or (vii) one R20 is hydrogen, the other R20 is C1-C6 alkyl, and the carbon bonded to each R20 has (S) stereochemistry; or (viii) one R20 is hydrogen, the other R20 is C1-C6 alkyl, and the carbon bonded to each R20 has (R) stereochemistry.


The Group Y

In some embodiments of one or more formulae herein, Y is CR2; or is N.


The Group Y′

In some embodiments of one or more formulae herein, Y is CR2′.


The Groups R2, R2′, R4, R3, R5, R5′, and R24


In some embodiments of one or more formulae herein, R2 is hydrogen; or is C1-C6 alkoxy; or is methoxy; or is halo; or is chloro; or is fluoro; or is C1-C6 haloalkyl; or is CF3; or is C3-C7 cycloalkyl; or is cyclopropyl; or is C1-C6 alkyl optionally substituted with hydroxy; or is isopropyl; or is methyl; or is hydrogen.


In some embodiments of one or more formulae herein, R3 is (ii) hydrogen, C1-C6 alkoxy, halo, C1-C6 haloalkyl, CN, C1-C6 haloalkoxy, C3-C7 cycloalkyl, CO2R15, or C1-C6 alkyl optionally substituted with hydroxy; or is hydrogen, halo, C1-C6 haloalkyl, CN, C3-C7 cycloalkyl, CO2R15, or C1-C6 alkyl optionally substituted with hydroxy; or is hydrogen, halo, CN, CO2R15, or C1-C6 alkyl optionally substituted with hydroxy; or is hydrogen; or is C1-C6 alkoxy; or is methoxy; or is C1-C6 haloalkoxy; or is CN; or halo; or is chloro; or is fluoro; or is C1-C6 haloalkyl; or is CF3; or is C3-C7 cycloalkyl; or is cyclopropyl; or is C1-C6 alkyl optionally substituted with hydroxy; or is isopropyl; or is methyl; or is CO2R15; or is CO2Me. In some embodiments of one or more formulae herein, R4 is hydrogen; or is C1-C6 alkoxy; or is methoxy; or is halo; or is chloro; or is fluoro; or is C1-C6 haloalkyl; or is CF3; or is C3-C7 cycloalkyl; or is cyclopropyl; or is C1-C6 alkyl optionally substituted with hydroxy; or is isopropyl; or is methyl.


In some embodiments of one or more formulae herein, R5 is hydrogen; or is C1-C6 alkoxy; or is methoxy; or is C1-C6 haloalkoxy; or is CN; or is halo; or is chloro; or is fluoro; or is C1-C6 haloalkyl; or is CF3; or is C3-C7 cycloalkyl; or is cyclopropyl; or is C1-C6 alkyl optionally substituted with hydroxy; or is hydrogen.


In some embodiments of one or more formulae herein, each of R2 and R4 is hydrogen or each of R2 and R4 is C1-C6 alkyl optionally substituted with hydroxy.


In some embodiments of one or more formulae herein, R5 is isopropyl or is methyl.


In some embodiments of one or more formulae herein, each of R2 and R4 is isopropyl; or each of R2 and R4 is t-butyl; or, each of R2 and R4 is methyl; or each of R2 and R4 is hydroxymethyl.


In some embodiments of one or more formulae herein, each of R3 and R5 is hydrogen; or each of R3 and R5 is C1-C6 alkyl optionally substituted with hydroxy; or each of R3 and R5 is isopropyl; or each of R3 and R5 is t-butyl; or each of R3 and R5 is methyl; or In some embodiments of one or more formulae herein, each of R3 and R5 is hydroxymethyl.


In some embodiments of one or more formulae herein, each of R3 and R5 is hydrogen and each of R2 and R4 is C1-C6 alkyl optionally substituted with hydroxy; or each of R3 and R5 is hydrogen and each of R2 and R4 is isopropyl.


In some embodiments of one or more formulae herein, each of R3 and R5 is hydrogen and each of R2 and R4 is t-butyl; or each of R3 and R5 is hydrogen and each of R2 and R4 is methyl; or each of R3 and R5 is hydrogen and each of R2 and R4 is hydroxymethyl; or each of R2 and R4 is hydrogen and each of R3 and R5 is C1-C6 alkyl optionally substituted with hydroxy.; or each of R2 and R4 is hydrogen and each of R3 and R5 is isopropyl; or each of R2 and R4 is hydrogen and each of R3 and R5 is t-butyl; or each of R2 and R4 is hydrogen and each of R3 and R5 is methyl; or each of R2 and R4 is hydrogen and each of R3 and R5 is hydroxymethyl.


In some embodiments of one or more formulae herein, R2 and R3 taken together with the carbons connecting them form ring A.


In some embodiments of one or more formulae herein, R4 and R5 taken together with the carbons connecting them form ring B.


In some embodiments of one or more formulae herein, R2 and R3 taken together with the carbons connecting them form ring A and R4 and R5 taken together with the carbons connecting them form ring B.


In some embodiments of one or more formulae herein, at least one of R2, R3, R4 and R5 is not hydrogen.


In some embodiments of one or more formulae herein, R2 and R4 are not both hydroxymethyl.


In some embodiments of one or more formulae herein, at least one of R2, R3, R4 and R5 is not hydrogen and R2 and R4 are not both hydroxymethyl.


In some embodiments of one or more formulae herein, R24 is absent and R5 is hydrogen, C1-C6 alkoxy, halo, C1-C6 haloalkyl, C3-C7 cycloalkyl or C1-C6 alkyl optionally substituted with hydroxyl; or R24 is C1-C6 alkyl and R5 is ═O; or R24 is C3-C8 cycloalkyl and R5 is ═O.


Rings A and B

In some embodiments of one or more formulae herein, ring A is a carbocyclic ring or ring A is a heterocyclic ring containing 1 or 2 heteroatoms independently selected from O, N, and S. In some embodiments of one or more formulae herein, ring B is a carbocyclic ring; or ring B is a heterocyclic ring containing 1 or 2 heteroatoms independently selected from O, N, and S.


In some embodiments, ring A is a carbocyclic ring and n1 is 3; or is a carbocyclic ring and n1 is 4; or is a heterocyclic ring containing 1 or 2 heteroatoms independently selected from O, N, and S and n1 is 3; or is a heterocyclic ring containing 1 or 2 heteroatoms independently selected from O, N, and S and n1 is 4.


In some embodiments, ring B is a carbocyclic ring and n2 is 3; or is a carbocyclic ring and n2 is 4; or is a heterocyclic ring containing 1 or 2 heteroatoms independently selected from O, N, and S and n2 is 3; or is a heterocyclic ring containing 1 or 2 heteroatoms independently selected from O, N, and S and n2 is 4.


I

In some embodiments, ring A is Ring A




embedded image


In some embodiments, ring B is




embedded image


and is the same as ring A.


In some embodiments, ring A is a heterocyclic ring of the formula




embedded image


In some embodiments, ring A is a heterocyclic ring of the formula




embedded image


The Groups R6 and R7 and the Variables n1, n2, m1 and m2 in Ring A and Ring B


In some embodiments of one or more formulae herein, R6 is H; or R6 is F; or R6 is C1-C6 alkyl; or


R6 is C1-C6 alkoxy; or R6 is methoxy; or R6 is NR11R12; or R6 is oxo; or R6 is —NR13.


In some embodiments of one or more formulae herein, n1 is 2; or n1 is 3; or n1 is 4; or n1 is 5.


In some embodiments of one or more formulae herein, n2 is 2; or n2 is 3; or n2 is 4; or


In some embodiments of one or more formulae herein, n2 is 5.


In some embodiments of one or more formulae herein, ml is 1; or ml is 2; or ml is 3; or ml is 4.


In some embodiments of one or more formulae herein, m2 is 1; or m2 is 2; or m2 is 3; or m2 is 4.


In some embodiments of one or more formulae herein, two R6 taken together with the atom or atoms connecting them form a 3-to-8-membered carbocyclic or saturated heterocyclic ring containing 1 or 2 heteroatoms independently selected from O, N, and S.

    • In some embodiments of one or more formulae herein, each R6 in each ring is H, or is F; or is C1-C6 alkyl.
    • In some embodiments of one or more formulae herein, each R7 in each ring is H; or is C1-C6 alkyl.
    • In some embodiments of one or more formulae herein, each R6 in each ring is H and each R7 in each ring is H; or each R6 in each ring is H and each R7 in each ring is C1-C6 alkyl; or each R6 in each ring is C1-C6 alkyl and each R7 in each ring is H; or each R6 in each ring is C1-C6 alkyl and each R7 in each ring is C1-C6 alkyl.


The Group Z

In some embodiments of one or more formulae herein, Z is N and X4 is CR4-; or Z is N and X4 is NR24; or Z is CR8.


The Group Z′

In some embodiments of one or more formulae herein, Z′ is CR8′.


The Group R8

In some embodiments of one or more formulae herein, R8 (i) is selected from H, CN, halo, CO2C1-C6 alkyl, CO2C3-C8 cycloalkyl, SO2NR11R12, CONR11R12, 3-to-10-membered heterocycloalkyl optionally substituted with haloalkyl, C1-C6 alkyl optionally substituted with hydroxy, C1-C6 alkoxy, C1-C6 haloalkoxy, NR17SO2R15, and C1-C6 haloalkyl; or (ii) is selected from H, CN, halo, CO2C1-C6 alkyl, CONR11R12, 3-to-10-membered heterocycloalkyl optionally substituted with haloalkyl, C1-C6 alkoxy, NR17SO2R15, and C1-C6 haloalkyl; or (iii) is selected from H, CN, halo, CO2C1-C6 alkyl, CO2C3-C8 cycloalkyl, CONR11R12, C1-C6 alkyl optionally substituted with hydroxy, C1-C6 alkoxy, C1-C6 haloalkoxy, and C1-C6 haloalkyl; or (iv) is selected from H, CN, halo, CO2C1-C6 alkyl, CO2C3-C8 cycloalkyl, CONR11R12, C1-C6 alkyl, C1-C6 alkoxy, C1-C6 haloalkoxy, and C1-C6 haloalkyl; or (v) is selected from H, CN, Cl, F, CO2C1-C6 alkyl, CO2C3-C8 cycloalkyl, CONR11R12, C1-C6 alkyl optionally substituted with hydroxy, C1-C6 haloalkoxy, and C1-C6 haloalkyl; or (vi) is selected from H, CN, Cl, F, CO2C1-C6 alkyl, CO2C3-C8 cycloalkyl, CONR11R12, C1-C6 alkyl, and C1-C6 haloalkyl; or (vii) is selected from H, CN, Cl, F, CO2C1-C6 alkyl and CONH2; or (viii) is H; or (ix) is CN; or (x) is halo; or (xi) is C1; or (xii) is F; or (xiii) is CO2C1-C6 alkyl; or (xiv) is CO2C3-C8 cycloalkyl; or (xv) is CONH2; or (xvi) is CONR11R12; or (xvii) is C1-C6 alkyl optionally substituted with hydroxy; or (xviii) is C1-C6 alkyl (e.g., isopropyl); or (xix) is 3-to-10-membered heterocycloalkyl (e.g., diazirine (e.g., 3H-diazirine)) optionally substituted with haloalkyl (e.g., trifluoromethyl); or (xx) is NR17SO2R15 (e.g., NHSO2CH3); or (xxi) is C1-C6 alkyl substituted with hydroxy (e.g., hydroxyethyl (e.g., 1-hydroxyeth-1-yl)); or (xxii) is C1-C6 alkoxy; or (xxiii) is C1-C6 haloalkoxy; or (xxiv) is OCF3; or (xxv) is C1-C6 haloalkyl; or (xxvi) is CF3; or (xxvii) is CHF2.


The Group R8′

In some embodiments of one or more formulae herein, R8′ (i) is selected from H, 3-to-10-membered heterocycloalkyl optionally substituted with haloalkyl, and NR17SO2R15; or (ii) is selected from H and NR17SO2R15; or (iii) is selected from H; or (iv) is selected from 3-to-10-membered heterocycloalkyl optionally substituted with haloalkyl; or (v) is selected from NR17SO2R15.


The Groups R1, R10, R41 and R42


In some embodiments of one or more formulae herein, each of R1, R10, R41 and R42 when bonded to carbon is independently selected from H, C1-C6 alkyl, C1-C6 haloalkyl, CN, halo, CO2C1-C6 alkyl, CO2C3-C8 cycloalkyl, C6-C10 aryl, CONR11R12, C3-C7 cycloalkyl and 3- to 7-membered heterocycloalkyl, wherein the C1-C6 alkyl, C3-C7 cycloalkyl and 3- to 7-membered heterocycloalkyl is optionally substituted with one or more substituents each independently selected from hydroxy, oxo, C1-C6 alkyl, C1-C6 alkoxy, NR11R12, ═NR13, COOC1-C6 alkyl, C6-C10 aryl, —(C1-C6 alkoxylene)-5-to-10-membered heterocycloalkyl, and CONR11R12;


wherein the —(C1-C6 alkoxylene)-5-to-10-membered heterocycloalkyl is optionally substituted with one or more hydroxy or —(C1-C6 alkyl)-OH;


In some embodiments of one or more formulae herein, each of R1, R10, R41 and R42 when bonded to carbon is independently selected from H, C1-C6 alkyl, C1-C6 haloalkyl, CN, halo, CO2C1-C6 alkyl, CO2C3-C8 cycloalkyl, C6-C10 aryl, CONR11R12, C3-C7 cycloalkyl, S(O2)C1-C6 alkyl and 3- to 7-membered heterocycloalkyl, wherein the C1-C6 alkyl, C3-C7 cycloalkyl and 3- to 7-membered heterocycloalkyl is optionally substituted with one or more substituents each independently selected from hydroxy, oxo, C1-C6 alkyl, C1-C6 alkoxy, NR11R12, ═NR13, COOC1-C6 alkyl, C6-C10 aryl, and CONR11R12.


In some embodiments of one or more formulae herein, each of R1, R10, R41 and R42 when bonded to carbon is independently selected from H, C1-C6 alkyl, C1-C6 haloalkyl, CN, halo, CO2C1-C6 alkyl, CO2C3-C8 cycloalkyl, C6-C10 aryl, CONR11R12, C3-C7 cycloalkyl and 3- to 7-membered heterocycloalkyl, wherein the C1-C6 alkyl, C3-C7 cycloalkyl and 3- to 7-membered heterocycloalkyl is optionally substituted with one or more substituents each independently selected from hydroxy, oxo, C1-C6 alkoxy, NR11R12, ═NR13, COOC1-C6 alkyl, C6-C10 aryl, and CONR11R12.


In some embodiments of one or more formulae herein, each of R1, R10, R41 and R42 when bonded to nitrogen is independently selected from H, C1-C6 alkyl, C1-C6 haloalkyl, CO2C1-C6 alkyl, CO2C3-C8 cycloalkyl, C6-C10 aryl, CONR11R12, C3-C7 cycloalkyl and 3- to 7-membered heterocycloalkyl, wherein the C1-C6 alkyl, C3-C7 cycloalkyl and 3- to 7-membered heterocycloalkyl is optionally substituted with one or more substituents each independently selected from hydroxy, oxo, C1-C6 alkoxy, NR11R12, ═NR13, COOC1-C6 alkyl, C6-C10 aryl, and CONR11R12.


In some embodiments of one or more formulae herein, R1 is H, or is C1-C6 alkyl optionally substituted with one or more substituents each independently selected from hydroxy, oxo, C1-C6 alkoxy, NR11R12, ═NR13, COOC1-C6 alkyl, and CONR11R12; or is C3-C7 cycloalkyl optionally substituted with one or more substituents each independently selected from hydroxy, oxo, C1-C6 alkoxy, NR11R12, ═NR13, COOC1-C6 alkyl, and CONR11R12; or is C1-C6 alkyl optionally substituted with one or more substituents each independently selected from hydroxy, amino and oxo; or is C1-C6 alkyl substituted with hydroxy; or is 2-hydroxy-2-propyl; or is C1-C6 alkyl optionally substituted with C6-C10 aryl; or is methyl; or is isopropyl; or


is benzyl; or is C1-C6 alkyl substituted with NR11R12; or is C1-C6 alkyl substituted with NH2; or is C1-C6 alkyl substituted with NH(C1-C6 alkyl); or is C1-C6 alkyl substituted with N(C1-C6 alkyl)2; or is dimethylaminomethyl; or is C1-C6 alkyl substituted with NR11R12, wherein R11 and R12 taken together with the nitrogen they are attached to form a 3- to 7-membered ring optionally containing one or more heteroatoms in addition to the nitrogen they are attached to; or is S(O2)C1-C6 alkyl; or is S(O2)CH3; or is C6-C10 aryl; or is phenyl; or is C3-C7 cycloalkyl optionally substituted with one or more substituents each independently selected from hydroxy, amino and oxo; or is C3-C7 cycloalkyl; or is C3-C7 cycloalkyl substituted with hydroxy; or is 1-hydroxy-1-cyclopropyl; or is 1-hydroxy-1-cyclobutyl; or is 1-hydroxy-1-cyclopentyl; or is 3- to 7-membered heterocycloalkyl optionally substituted with one or more substituents each independently selected from hydroxy, amino and oxo; or is 3- to 7-membered heterocycloalkyl; or 3- to 7-membered heterocycloalkyl substituted with hydroxy; or is 5- to 7-membered aromatic monocyclic radical having 1-3 heteroatoms selected from O, N, or S, wherein 0, 1, 2 or 3 atoms of each ring are optionally substituted with one or more substituents each independently selected from hydroxy, oxo, C1-C6 alkoxy, NR11R12, ═NR13, COOC1-C6 alkyl, and CONR11R12. In some embodiments of one or more formulae herein, R1 is 5- to 7-membered aromatic monocyclic radical having 1-3 heteroatoms selected from O, N, or S, wherein 0, 1, 2 or 3 atoms of each ring are optionally substituted with one or more substituents each independently selected from hydroxy, amino and oxo; or is pyridyl optionally substituted with one or more substituents each independently selected from hydroxy, amino and oxo. In some embodiments, R1 is pyrimidinyl optionally substituted with one or more substituents each independently selected from hydroxy, amino and oxo; or is pyrrolyl optionally substituted with one or more substituents each independently selected from hydroxy, amino and oxo; or is pyrazolyl optionally substituted with one or more substituents each independently selected from hydroxy, amino and oxo; or; is imidazolyl optionally substituted with one or more substituents each independently selected from hydroxy, amino and oxo; or is oxazolyl optionally substituted with one or more substituents each independently selected from hydroxy, amino and oxo; or is thiazolyl optionally substituted with one or more substituents each independently selected from hydroxy, amino and oxo; or is —(C1-C6 alkoxylene)-5-to-10-membered heterocycloalkyl, wherein the —(C1-C6 alkoxylene)-5-to-10-membered heterocycloalkyl is optionally substituted with one or more hydroxy or —(C1-C6 alkyl)-OH; or is —(C1-C6 alkoxylene)-5-to-10-membered heterocycloalkyl, wherein the —(C1-C6 alkoxylene)-5-to-10-membered heterocycloalkyl is optionally substituted with one or more hydroxy or —(C1-C6 alkyl)-OH.


In some embodiments of one or more formulae herein, R10 is selected from H, C1-C6 alkyl, C3-C7 cycloalkyl and 3- to 7-membered heterocycloalkyl, wherein R10 is optionally substituted with one or more substituents each independently selected from hydroxy, oxo, C1-C6 alkoxy, NR11R12, ═NR13, COOC1-C6 alkyl, and CONR11R12; or is H; or is C1-C6 alkyl optionally substituted with one or more substituents each independently selected from hydroxy, oxo, C1-C6 alkoxy, NR11R12, ═NR13, COOC1-C6 alkyl, and CONR11R12; or is C3-C7 cycloalkyl optionally substituted with one or more substituents each independently selected from hydroxy, oxo, C1-C6 alkoxy, NR11R12, ═NR13, COOC1-C6 alkyl, and CONR11R12; or is C1-C6 alkyl optionally substituted with one or more substituents each independently selected from hydroxy, amino and oxo; or is C1-C6 alkyl substituted with hydroxy; or is 2-hydroxy-2-propyl; or is C1-C6 alkyl optionally substituted with C6-C10 aryl; or is methyl; or is isopropyl; or is benzyl; or is C1-C6 alkyl substituted with NR11R12; or is C1-C6 alkyl substituted with NH2; or is C1-C6 alkyl substituted with NH(C1-C6 alkyl); or is C1-C6 alkyl substituted with N(C1-C6 alkyl)2; or is dimethylaminomethyl; or is C1-C6 alkyl substituted with NR11R12, wherein R11 and R12 taken together with the nitrogen they are attached to form a 3- to 7-membered ring optionally containing one or more heteroatoms in addition to the nitrogen they are attached to; or is S(O2)C1-C6 alkyl; or is S(O2)CH3; or is C6-C10 aryl; or is phenyl; or is C3-C7 cycloalkyl optionally substituted with one or more substituents each independently selected from hydroxy, amino and oxo; or is C3-C7 cycloalkyl; or is C3-C7 cycloalkyl substituted with hydroxy; or 1-hydroxy-1-cyclopropyl; or is 1-hydroxy-1-cyclobutyl; or is 1-hydroxy-1-cyclopentyl; or is 3- to 7-membered heterocycloalkyl optionally substituted with one or more substituents each independently selected from hydroxy, amino and oxo; or is 3- to 7-membered heterocycloalkyl; or is 3- to 7-membered heterocycloalkyl substituted with hydroxy; or is 5- to 7-membered aromatic monocyclic radical having 1-3 heteroatoms selected from O, N, or S, wherein 0, 1, 2 or 3 atoms of each ring are optionally substituted with one or more substituents each independently selected from hydroxy, oxo, C1-C6 alkoxy, NR11R12, ═NR13, COOC1-C6 alkyl, and CONR11R12. In some embodiments of one or more formulae herein, R10 is 5- to 7-membered aromatic monocyclic radical having 1-3 heteroatoms selected from O, N, or S, wherein 0, 1, 2 or 3 atoms of each ring are optionally substituted with one or more substituents each independently selected from hydroxy, amino and oxo; or is pyridyl optionally substituted with one or more substituents each independently selected from hydroxy, amino and oxo; or is pyrimidinyl optionally substituted with one or more substituents each independently selected from hydroxy, amino and oxo; or is pyrrolyl optionally substituted with one or more substituents each independently selected from hydroxy, amino and oxo; or is pyrazolyl optionally substituted with one or more substituents each independently selected from hydroxy, amino and oxo; or is imidazolyl optionally substituted with one or more substituents each independently selected from hydroxy, amino and oxo; or is oxazolyl optionally substituted with one or more substituents each independently selected from hydroxy, amino and oxo; or is thiazolyl optionally substituted with one or more substituents each independently selected from hydroxy, amino and oxo; or is —(C1-C6 alkoxylene)-5-to-10-membered heterocycloalkyl, wherein the —(C1-C6 alkoxylene)-5-to-10-membered heterocycloalkyl is optionally substituted with one or more hydroxy or —(C1-C6 alkyl)-OH; or is —(C1-C6 alkoxylene)-5-to-10-membered heterocycloalkyl, wherein the —(C1-C6 alkoxylene)-5-to-10-membered heterocycloalkyl is optionally substituted with one or more hydroxy or —(C1-C6 alkyl)-OH.


In some embodiments of one or more formulae herein, R41 is H; or is C1-C6 alkyl optionally substituted with one or more substituents each independently selected from hydroxy, oxo, C1-C6 alkoxy, NR11R12, ═NR13, COOC1-C6 alkyl, and CONR11R12; or is C3-C7 cycloalkyl optionally substituted with one or more substituents each independently selected from hydroxy, oxo, C1-C6 alkoxy, NR11R12, ═NR13, COOC1-C6 alkyl, and CONR11R12; or is C1-C6 alkyl optionally substituted with one or more substituents each independently selected from hydroxy, amino and oxo; or is C1-C6 alkyl substituted with hydroxy; or is 2-hydroxy-2-propyl; or is C1-C6 alkyl optionally substituted with C6-C10 aryl; or is methyl; or is isopropyl; or is benzyl; or is C6-C10 aryl; or is phenyl; or is C1-C6 alkyl substituted with NR11R12; or is C1-C6 alkyl substituted with NH2; or is C1-C6 alkyl substituted with NH(C1-C6 alkyl); or is C1-C6 alkyl substituted with N(C1-C6 alkyl)2; or is dimethylaminomethyl; or is C1-C6 alkyl substituted with NR11R12, wherein R11 and R12 taken together with the nitrogen they are attached to form a 3- to 7-membered ring optionally containing one or more heteroatoms in addition to the nitrogen they are attached to; or is S(O2)C1-C6 alkyl; or is S(O2)CH3; or is C3-C7 cycloalkyl optionally substituted with one or more substituents each independently selected from hydroxy, amino and oxo; or is C3-C7 cycloalkyl; or is C3-C7 cycloalkyl substituted with hydroxy; or is 1-hydroxy-1-cyclopropyl; or is 1-hydroxy-1-cyclobutyl; or is 1-hydroxy-1-cyclopentyl; or is 3- to 7-membered heterocycloalkyl optionally substituted with one or more substituents each independently selected from hydroxy, amino and oxo; or is 3- to 7-membered heterocycloalkyl; or is 3- to 7-membered heterocycloalkyl substituted with hydroxy; or is 5- to 7-membered aromatic monocyclic radical having 1-3 heteroatoms selected from O, N, or S, wherein 0, 1, 2 or 3 atoms of each ring are optionally substituted with one or more substituents each independently selected from hydroxy, oxo, C1-C6 alkoxy, NR11R12, ═NR13, COOC1-C6 alkyl, and CONR11R12; or is 5- to 7-membered aromatic monocyclic radical having 1-3 heteroatoms selected from O, N, or S, wherein 0, 1, 2 or 3 atoms of each ring are optionally substituted with one or more substituents each independently selected from hydroxy, amino and oxo; or is pyridyl optionally substituted with one or more substituents each independently selected from hydroxy, amino and oxo; or is pyrimidinyl optionally substituted with one or more substituents each independently selected from hydroxy, amino and oxo; or is pyrrolyl optionally substituted with one or more substituents each independently selected from hydroxy, amino and oxo; or is pyrazolyl optionally substituted with one or more substituents each independently selected from hydroxy, amino and oxo; or is imidazolyl optionally substituted with one or more substituents each independently selected from hydroxy, amino and oxo; or is oxazolyl optionally substituted with one or more substituents each independently selected from hydroxy, amino and oxo; or is thiazolyl optionally substituted with one or more substituents each independently selected from hydroxy, amino and oxo; or is —(C1-C6 alkoxylene)-5-to-10-membered heterocycloalkyl, wherein the —(C1-C6 alkoxylene)-5-to-10-membered heterocycloalkyl is optionally substituted with one or more hydroxy or —(C1-C6 alkyl)-OH; or is —(C1-C6 alkoxylene)-5-to-10-membered heterocycloalkyl, wherein the —(C1-C6 alkoxylene)-5-to-10-membered heterocycloalkyl is optionally substituted with one or more hydroxy or —(C1-C6 alkyl)-OH.


In some embodiments of one or more formulae herein, R42 is selected from H, C1-C6 alkyl, C3-C7 cycloalkyl and 3- to 7-membered heterocycloalkyl, wherein R42 is optionally substituted with one or more substituents each independently selected from hydroxy, oxo, C1-C6 alkoxy, NR11R12, ═NR13, COOC1-C6 alkyl, and CONR11R12; or is H; or is C1-C6 alkyl optionally substituted with one or more substituents each independently selected from hydroxy, oxo, C1-C6 alkoxy, NR11R12, ═NR13, COOC1-C6 alkyl, and CONR11R12; or is C3-C7 cycloalkyl optionally substituted with one or more substituents each independently selected from hydroxy, oxo, C1-C6 alkoxy, NR11R12, ═NR13, COOC1-C6 alkyl, and CONR11R12; or is C1-C6 alkyl optionally substituted with one or more substituents each independently selected from hydroxy, amino and oxo; or is C1-C6 alkyl substituted with hydroxy; or is 2-hydroxy-2-propyl; or is C1-C6 alkyl optionally substituted with C6-C10 aryl; or is methyl; or is isopropyl; or is benzyl; or is C1-C6 alkyl substituted with NR11R12; or is C1-C6 alkyl substituted with NH2; or is C1-C6 alkyl substituted with NH(C1-C6 alkyl); or is C1-C6 alkyl substituted with N(C1-C6 alkyl)2; or is dimethylaminomethyl; or is C1-C6 alkyl substituted with NR11R12, wherein R11 and R12 taken together with the nitrogen they are attached to form a 3- to 7-membered ring optionally containing one or more heteroatoms in addition to the nitrogen they are attached to; or is S(O2)C1-C6 alkyl; or is S(O2)CH3; or is C6-C10 aryl; or is phenyl; or is C3-C7 cycloalkyl optionally substituted with one or more substituents each independently selected from hydroxy, amino and oxo; or is C3-C7 cycloalkyl; or is C3-C7 cycloalkyl substituted with hydroxy; or is 1-hydroxy-1-cyclopropyl; or is 1-hydroxy-1-cyclobutyl; or is 1-hydroxy-1-cyclopentyl; or is 3- to 7-membered heterocycloalkyl optionally substituted with one or more substituents each independently selected from hydroxy, amino and oxo; or is 3- to 7-membered heterocycloalkyl; or is 3- to 7-membered heterocycloalkyl substituted with hydroxy; or is 5- to 7-membered aromatic monocyclic radical having 1-3 heteroatoms selected from O, N, or S, wherein 0, 1, 2 or 3 atoms of each ring are optionally substituted with one or more substituents each independently selected from hydroxy, oxo, C1-C6 alkoxy, NR11R12, ═NR13, COOC1-C6 alkyl, and CONR11R12; or is 5- to 7-membered aromatic monocyclic radical having 1-3 heteroatoms selected from O, N, or S, wherein 0, 1, 2 or 3 atoms of each ring are optionally substituted with one or more substituents each independently selected from hydroxy, amino and oxo; or is pyridyl optionally substituted with one or more substituents each independently selected from hydroxy, amino and oxo; or is pyrimidinyl optionally substituted with one or more substituents each independently selected from hydroxy, amino and oxo; or is pyrrolyl optionally substituted with one or more substituents each independently selected from hydroxy, amino and oxo; or is pyrazolyl optionally substituted with one or more substituents each independently selected from hydroxy, amino and oxo; or is imidazolyl optionally substituted with one or more substituents each independently selected from hydroxy, amino and oxo; or is oxazolyl optionally substituted with one or more substituents each independently selected from hydroxy, amino and oxo; or is thiazolyl optionally substituted with one or more substituents each independently selected from hydroxy, amino and oxo; or is —(C1-C6 alkoxylene)-5-to-10-membered heterocycloalkyl, wherein the —(C1-C6 alkoxylene)-5-to-10-membered heterocycloalkyl is optionally substituted with one or more hydroxy or —(C1-C6 alkyl)-OH; or is —(C1-C6 alkoxylene)-5-to-10-membered heterocycloalkyl, wherein the —(C1-C6 alkoxylene)-5-to-10-membered heterocycloalkyl is optionally substituted with one or more hydroxy or —(C1-C6 alkyl)-OH.


In some embodiments of one or more formulae herein, one of R1 and R10 is C1-C6 alkyl optionally substituted with one or more substituents each independently selected from hydroxy, amino and oxo, and the other of R1 and R10 is C3-C7 cycloalkyl optionally substituted with one or more substituents each independently selected from hydroxy, amino and oxo; or one of R1 and R10 is 2-hydroxy-2-propyl and the other of R1 and R10 is 1-hydroxy-1-cyclobutyl; or one of R1 and R10 is 2-hydroxy-2-propyl and the other of R1 and R10 is 1-hydroxy-1-cyclopentyl. In some embodiments of one or more formulae herein, R1 is optionally substituted with one or more substituents each independently selected from hydroxy, amino and oxo, and the hydroxy, amino or oxo substituent is at the carbon of R1 directly bonded to the five-membered heteroaryl ring of the formulae herein.


In some embodiments of one or more formulae herein, R10 is optionally substituted with one or more substituents each independently selected from hydroxy, amino and oxo, and the hydroxy, amino or oxo substituent is at the carbon of R11 directly bonded to the five-membered heteroaryl ring of the formulae herein.


In some embodiments of one or more formulae herein, wherein R41 and R10, taken together with the atoms connecting them form a monocyclic or bicyclic 3-to-12-membered carbocyclic ring or a monocyclic or bicyclic 5- to 12-membered heterocyclic ring containing 1-3 heteroatoms independently selected from O, N, NH, NR13, and S, wherein the carbocyclic ring or heterocyclic ring is optionally substituted with one or more substituents each independently selected from hydroxy, halo, oxo, C1-C6 alkyl, C2-C6 alkenyl, C2-C6 alkynyl, C1-C6 alkoxy, OC3-C10 cycloalkyl, NR11R12, ═NR13, CN, COOC1-C6 alkyl, OS(O2)C6-C10 aryl, S(O2)C6-C10 aryl, C6-C10 aryl, 5- to 10-membered heteroaryl, C3-C10 cycloalkyl, 3- to 10-membered heterocycloalkyl, and CONR11R12, wherein the C1-C6 alkyl, C1-C6 alkoxy, S(O2)C6-C10 aryl, C6-C10 aryl, 5- to 10-membered heteroaryl, C3-C10 cycloalkyl, and 3- to 10-membered heterocycloalkyl are optionally substituted with one or more substituents each independently selected from hydroxy, halo, C1-C6 alkyl, C2-C6 alkenyl, C2-C6 alkynyl, C3-C10 cycloalkyl, C1-C6 alkoxy, oxo, NR11R12, ═NR13, COOC1-C6 alkyl, C6-C10 aryl, and CONR11R12.


In some embodiments of one or more formulae herein, R10 and R1, taken together with the atoms connecting them form a monocyclic or bicyclic 3-to-12-membered carbocyclic ring or at least one monocyclic or bicyclic 5- to 12-membered heterocyclic ring containing 1-3 heteroatoms independently selected from O, N, NH, NR13, and S, wherein the carbocyclic ring or heterocyclic ring is optionally substituted with one or more substituents each independently selected from hydroxy, halo, oxo, C1-C6 alkyl, C2-C6 alkenyl, C2-C6 alkynyl, C1-C6 alkoxy, OC3-C10 cycloalkyl, NR11R12, ═NR13, CN, COOC1-C6 alkyl, OS(O2)C6-C10 aryl, S(O2)C6-C10 aryl, C6-C10 aryl, 5- to 10-membered heteroaryl, C3-C10 cycloalkyl, 3- to 10-membered heterocycloalkyl, and CONR11R12, wherein the C1-C6 alkyl, C1-C6 alkoxy, S(O2)C6-C10 aryl, C6-C10 aryl, 5- to 10-membered heteroaryl, C3-C10 cycloalkyl, and 3- to 10-membered heterocycloalkyl are optionally substituted with one or more substituents each independently selected from hydroxy, halo, C1-C6 alkyl, C2-C6 alkenyl, C2-C6 alkynyl, C3-C10 cycloalkyl, C1-C6 alkoxy, oxo, NR11R12, ═NR13, COOC1-C6 alkyl, C6-C10 aryl, and CONR11R12.

  • In some embodiments of one or more formulae herein, R1 and R42, taken together with the atoms connecting them form a monocyclic or bicyclic 3-to-12-membered carbocyclic ring or at least one monocyclic or bicyclic 5- to 12-membered heterocyclic ring containing 1-3 heteroatoms independently selected from O, N, NH, NR13, and S, wherein the carbocyclic ring or heterocyclic ring is optionally substituted with one or more substituents each independently selected from hydroxy, halo, oxo, C1-C6 alkyl, C2-C6 alkenyl, C2-C6 alkynyl, C1-C6 alkoxy, OC3-C10 cycloalkyl, NR11R12, ═NR13, CN, COOC1-C6 alkyl, OS(O2)C6-C10 aryl, S(O2)C6-C10 aryl, C6-C10 aryl, 5- to 10-membered heteroaryl, C3-C10 cycloalkyl, 3- to 10-membered heterocycloalkyl, and CONR11R12, wherein the C1-C6 alkyl, C1-C6 alkoxy, S(O2)C6-C10 aryl, C6-C10 aryl, 5- to 10-membered heteroaryl, C3-C10 cycloalkyl, and 3- to 10-membered heterocycloalkyl are optionally substituted with one or more substituents each independently selected from hydroxy, halo, C1-C6 alkyl, C2-C6 alkenyl, C2-C6 alkynyl, C3-C10 cycloalkyl, C1-C6 alkoxy, oxo, NR11R12, ═NR13, COOC1-C6 alkyl, C6-C10 aryl, and CONR11R1.
  • In some embodiments of one or more formulae herein, R1 and R10 taken together with the atoms connecting them form a three-membered carbocyclic ring; or a four-membered carbocyclic ring; or a five-membered carbocyclic ring; or a six-membered carbocyclic ring; or a seven-membered carbocyclic ring; or an eight-membered carbocyclic ring; or a three-membered heterocyclic ring containing 1 or 2 heteroatoms independently selected from O, N, NH, NR13, and S; or a four-membered heterocyclic ring containing 1 or 2 heteroatoms independently selected from O, N, NH, NR13, and S; or a five-membered heterocyclic ring containing 1 or 2 heteroatoms independently selected from O, N, NH, NR13, and S; or a six-membered heterocyclic ring containing 1 or 2 heteroatoms independently selected from O, N, NH, NR13 and S (e.g., a six-membered heterocyclic ring containing 2 heteroatoms wherein one heteroatom is N; and the other heteroatom is selected from O, NH, and NMe (e.g., the other heteroatom is O)); or a seven-membered heterocyclic ring containing 1 or 2 heteroatoms independently selected from O, N, NH, NR13, and S; or an eight-membered heterocyclic ring containing 1 or 2 heteroatoms independently selected from O, N, NH, NR13, and S; or a nine-membered heterocyclic ring (e.g., spirocyclic nine-membered heterocyclic ring) containing from 1-3 heteroatoms independently selected from O, N, NH, NR13, and S; or a carbocyclic ring substituted with hydroxy; or a carbocyclic ring substituted with oxo; or a carbocyclic ring substituted with C1-C6 alkoxy (e.g., the ring is substituted with one C1-C6 alkoxy which is unsubstituted; or which is substituted as described elsewhere herein); or a carbocyclic ring substituted with C1-C6 alkyl (e.g., the ring is substituted with one C1-C6 alkyl which is unsubstituted; or which is substituted as described elsewhere herein); or a carbocyclic ring substituted with NR11R12; or a carbocyclic ring substituted with ═NR13; or a carbocyclic ring substituted with COOC1-C6 alkyl; or a carbocyclic ring substituted with CONR11R12.


In certain embodiments of the foregoing, each of R41 and R42 when bonded to carbon is independently selected from H, C1-C6 alkyl, C1-C6 haloalkyl, CN, halo, CO2C1-C6 alkyl, CO2C3-C8 cycloalkyl, C6-C10 aryl, CONR11R12, C3-C7 cycloalkyl and 3- to 7-membered heterocycloalkyl, wherein the C1-C6 alkyl, C3-C7 cycloalkyl and 3- to 7-membered heterocycloalkyl is optionally substituted with one or more substituents each independently selected from hydroxy, oxo, C1-C6 alkyl, C1-C6 alkoxy, NR11R12, ═NR13, COOC1-C6 alkyl, C6-C10 aryl, and CONR11R12; and


each of R41 and R42 when bonded to nitrogen, is independently selected from H, C1-C6 alkyl, C1-C6 haloalkyl, CO2C1-C6 alkyl, CO2C3-C8 cycloalkyl, C6-C10 aryl, CONR11R12, C3-C7 cycloalkyl, S(O2)C1-C6 alkyl and 3- to 7-membered heterocycloalkyl, wherein the C1-C6 alkyl, C3-C7 cycloalkyl and 3- to 7-membered heterocycloalkyl is optionally substituted with one or more substituents each independently selected from hydroxy, oxo, C1-C6 alkyl, C1-C6 alkoxy, NR11R12, ═NR13 COOC1-C6 alkyl, C6-C10 aryl, and CONR11R12; or each of R41 and R42 is H; or one of R41 and R42 is H; and the other one of R41 and R42 is other than H; or, one of R41 and R42 is H; and the other one of R41 and R42 is C1-C6 alkyl which is optionally substituted as described elsewhere herein.

    • In some embodiments of one or more formulae herein, R1 and R42 taken together with the atoms connecting them form a three-membered carbocyclic ring; or a four-membered carbocyclic ring; or a five-membered carbocyclic ring; or a six-membered carbocyclic ring; or a seven-membered carbocyclic ring; or an eight-membered carbocyclic ring; or a three-membered heterocyclic ring containing 1 or 2 heteroatoms independently selected from O, N, NH, NR13, and S; or a four-membered heterocyclic ring containing 1 or 2 heteroatoms independently selected from O, N, NH, NR13, and S; or a five-membered heterocyclic ring containing 1 or 2 heteroatoms independently selected from O, N, NH, NR13 and S; or a six-membered heterocyclic ring containing 1 or 2 heteroatoms independently selected from O, N, NH, NR13, and S (e.g., a six-membered heterocyclic ring containing 2 heteroatoms wherein one heteroatom is N; and the other heteroatom is selected from O, NH, and NMe, e.g., the other heteroatom is O); or a seven-membered heterocyclic ring containing 1 or 2 heteroatoms independently selected from O, N, NH, NR13 and S; or an eight-membered heterocyclic ring containing 1 or 2 heteroatoms independently selected from O, N, NH, NR13, and S; or a nine-membered heterocyclic ring (e.g., spirocyclic nine-membered heterocyclic ring) containing from 1-3 heteroatoms independently selected from O, N, NH, NR13, and S; or a carbocyclic ring substituted with hydroxy; or a carbocyclic ring substituted with oxo; or a carbocyclic ring substituted with C1-C6 alkoxy (e.g., the ring is substituted with one C1-C6 alkoxy which is unsubstituted; or which is substituted as described elsewhere herein); or a carbocyclic ring substituted with C1-C6 alkyl (e.g., the ring is substituted with one C1-C6 alkyl which is unsubstituted; or which is substituted as described elsewhere herein); or a carbocyclic ring substituted with NR11R12; or a carbocyclic ring substituted with ═NR13; or a carbocyclic ring substituted with COOC1-C6 alkyl; or a carbocyclic ring substituted with CONR11R12.


In certain embodiments of foregoing, each of R4 and R10 when bonded to carbon is independently selected from H, C1-C6 alkyl, C1-C6 haloalkyl, CN, halo, CO2C1-C6 alkyl, CO2C3-C8 cycloalkyl, C6-C10 aryl, CONR11R12, C3-C7 cycloalkyl and 3- to 7-membered heterocycloalkyl, wherein the C1-C6 alkyl, C3-C7 cycloalkyl and 3- to 7-membered heterocycloalkyl is optionally substituted with one or more substituents each independently selected from hydroxy, oxo, C1-C6 alkyl, C1-C6 alkoxy, NR11R12, ═NR13, COOC1-C6 alkyl, C6-C10 aryl, and CONR11R12; and


each of R41 and R10 when bonded to nitrogen, is independently selected from H, C1-C6 alkyl, C1-C6 haloalkyl, CO2C1-C6 alkyl, CO2C3-C8 cycloalkyl, C6-C10 aryl, CONR11R12, C3-C7 cycloalkyl, S(O2)C1-C6 alkyl and 3- to 7-membered heterocycloalkyl, wherein the C1-C6 alkyl, C3-C7 cycloalkyl and 3- to 7-membered heterocycloalkyl is optionally substituted with one or more substituents each independently selected from hydroxy, oxo, C1-C6 alkyl, C1-C6 alkoxy, NR11R12, ═NR13 COOC1-C6 alkyl, C6-C10 aryl, and CONR11R1.


In certain embodiments, each of R41 and R10 is H; or one of R41 and R10 is H; and the other one of R41 and R10 is other than H; or one of R41 and R10 is H; and the other one of R41 and R10 is C1-C6 alkyl which is optionally substituted as described elsewhere herein.

    • In some embodiments of one or more formulae herein, R41 and R10 taken together with the atoms connecting them form a three-membered carbocyclic ring; or a four-membered carbocyclic ring; or a five-membered carbocyclic ring; or a six-membered carbocyclic ring; or a seven-membered carbocyclic ring; or an eight-membered carbocyclic ring; or a three-membered heterocyclic ring containing 1 or 2 heteroatoms independently selected from O, N, NH, NR13, and S; or a four-membered heterocyclic ring containing 1 or 2 heteroatoms independently selected from O, N, NH, NR13, and S; or a five-membered heterocyclic ring containing 1 or 2 heteroatoms independently selected from O, N, NH, NR13 and S; or a six-membered heterocyclic ring containing 1 or 2 heteroatoms independently selected from O, N, NH, NR13, and S (e.g., a six-membered heterocyclic ring containing 2 heteroatoms wherein one heteroatom is N; and the other heteroatom is selected from O, NH, and NMe (e.g., the other heteroatom is O)); or a seven-membered heterocyclic ring containing 1 or 2 heteroatoms independently selected from O, N, NH, NR13 and S; or an eight-membered heterocyclic ring containing 1 or 2 heteroatoms independently selected from O, N, NH, NR13, and S; or a nine-membered heterocyclic ring (e.g., spirocyclic nine membered heterocyclic ring) containing from 1-3 heteroatoms independently selected from O, N, NH, NR13, and S; or a carbocyclic ring substituted with hydroxy; or a carbocyclic ring substituted with oxo; or a carbocyclic ring substituted with C1-C6 alkoxy (e.g., the ring is substituted with one C1-C6 alkoxy which is unsubstituted; or which is substituted as described elsewhere herein); or a carbocyclic ring substituted with C1-C6 alkyl (e.g., the ring is substituted with one C1-C6 alkyl which is unsubstituted; or which is substituted as described elsewhere herein); or a carbocyclic ring substituted with NR11R12; or a carbocyclic ring substituted with ═NR13; or a carbocyclic ring substituted with COOC1-C6 alkyl; or a carbocyclic ring substituted with CONR11R12.


In certain embodiments of foregoing, each of R1 and R42 when bonded to carbon is independently selected from H, C1-C6 alkyl, C1-C6 haloalkyl, CN, halo, CO2C1-C6 alkyl, CO2C3-C8 cycloalkyl, C6-C10 aryl, CONR11R12, C3-C7 cycloalkyl and 3- to 7-membered heterocycloalkyl, wherein the C1-C6 alkyl, C3-C7 cycloalkyl and 3- to 7-membered heterocycloalkyl is optionally substituted with one or more substituents each independently selected from hydroxy, oxo, C1-C6 alkyl, C1-C6 alkoxy, NR11R12, ═NR13, COOC1-C6 alkyl, C6-C10 aryl, and CONR11R12; and


each of R1 and R42 when bonded to nitrogen, is independently selected from H, C1-C6 alkyl, C1-C6 haloalkyl, CO2C1-C6 alkyl, CO2C3-C8 cycloalkyl, C6-C10 aryl, CONR11R12, C3-C7 cycloalkyl, S(O2)C1-C6 alkyl and 3- to 7-membered heterocycloalkyl, wherein the C1-C6 alkyl, C3-C7 cycloalkyl and 3- to 7-membered heterocycloalkyl is optionally substituted with one or more substituents each independently selected from hydroxy, oxo, C1-C6 alkyl, C1-C6 alkoxy, NR11R1, ═NR13 COOC1-C6 alkyl, C6-C10 aryl, and CONR11R12.

    • In certain embodiments, each of R1 and R42 is H; or one of R1 and R42 is H; and the other one of R1 and R42 is other than H; or one of R1 and R42 is H; and the other one of R1 and R42 is C1-C6 alkyl which is optionally substituted as described elsewhere herein.


      The Groups R11 and R12


In some embodiments of one or more formulae herein, each of R11 and R12 at each occurrence is independently selected from hydrogen, C1-C6 alkyl, C1-C6 haloalkyl, (C═NR15)NR17R18, S(O2)C1-C6 alkyl, S(O2)NR17R18, COR15, CO2R15 and CON R17R18; wherein the C1-C6 alkyl is optionally substituted with one or more hydroxy, halo, C1-C6 alkoxy, C6-C10 aryl, 5- to 10-membered heteroaryl, C3-C7 cycloalkyl or 3- to 7-membered heterocycloalkyl;

    • In some embodiments of one or more formulae herein, R11 is hydrogen; or is C1-C6 alkyl optionally substituted with one or more hydroxy, halo, C1-C6 alkoxy, C6-C10 aryl, 5- to 10-membered heteroaryl, C3-C7 cycloalkyl or 3- to 7-membered heterocycloalkyl; or is CO2R15; or is CONR17R18; or is C1-C6 haloalkyl; or is (C═NR15)NR17R18; or is S(O2)C1-C6 alkyl; or is S(O2)NR17R18; or is COR1.
    • In some embodiments of one or more formulae herein, R12 is hydrogen; or is C1-C6 alkyl optionally substituted with one or more hydroxy, halo, C1-C6 alkoxy, C6-C10 aryl, 5- to 10-membered heteroaryl, C3-C7 cycloalkyl or 3- to 7-membered heterocycloalkyl; or is CO2R15; or is CONR17R18; or is C1-C6 haloalkyl; or is (C═NR15)NR17R18; or is S(O2)C1-C6 alkyl; or is S(O2)NR17R18; or is COR1.
    • In some embodiments of one or more formulae herein, the group NR11R12 is amino; or is methylamino; or is dimethylamino; or R11 and R12 taken together with the nitrogen they are attached to in the NR11R12 group form a 3- to 7-membered ring optionally containing one or more heteroatoms in addition to the nitrogen they are attached to.


In some embodiments of one or more formulae herein, R12 is selected from C1-C6 haloalkyl, (C═NR15)NR17R18, S(O2)C1-C6 alkyl, S(O2)NR17R18, or C1-C6 alkyl substituted with one or more hydroxy, halo, C1-C6 alkoxy, C6-C10 aryl, 5- to 10-membered heteroaryl, C3-C7 cycloalkyl or 3- to 7-membered heterocycloalkyl; or is selected from C1-C6 haloalkyl, (C═NR15)NR17R18, S(O2)C1-C6 alkyl, S(O2)NR17R18, or C1-C6 alkyl substituted with one or more hydroxy, halo, C1-C6 alkoxy, C6-C10 aryl, 5- to 10-membered heteroaryl, C3-C7 cycloalkyl or 3- to 7-membered heterocycloalkyl.


In some embodiments of one or more formulae herein, each of R11 and R12 at each occurrence is independently selected from hydrogen, C1-C6 alkyl, C1-C6 haloalkyl, (C═NR15)NR17R18, S(O2)C1-C6 alkyl, S(O2)NR17R18, COR15, CO2R15 and CON R17R18; wherein the C1-C6 alkyl is optionally substituted with one or more hydroxy, halo, C1-C6 alkoxy, C6-C10 aryl, 5- to 10-membered heteroaryl, C3-C7 cycloalkyl or 3- to 7-membered heterocycloalkyl; or R11 and R12 taken together with the nitrogen they are attached to form a 3- to 7-membered ring optionally containing one or more heteroatoms in addition to the nitrogen they are attached to.


The Groups R13, R15, R17 and R18


In some embodiments of one or more formulae herein, R13 is C1-C6 alkyl.


In some embodiments of one or more formulae herein, R11 is C1-C6 alkyl.


In some embodiments of one or more formulae herein, R7 is hydrogen; or is C1-C6 alkyl.


In some embodiments of one or more formulae herein, R8 is hydrogen; or is C1-C6 alkyl.


The Groups R34, R29, R35, R21 and R36

In some embodiments, each of R34, R29, R35, R21 and R36 is independently selected from H, hydroxy, C1-C6 alkyl, C1-C6 haloalkyl, CN, halo, CO2C1-C6 alkyl, CO2C3-C8 cycloalkyl, CONR11R12, C3-C7 cycloalkyl, 3- to 7-membered heterocycloalkyl, C6-C10 aryl, —(C1-C6 alkylene)o-(Z1-Z2)p-Z3, OC1-C6 alkyl, NH2, NHC1-C6 alkyl, N(C1-C6 alkyl)2, NO2, COC1-C6 alkyl, SF5 and S(O2)C1-C6 alkyl;


In some embodiments, each of R34, R29, R35, R21 and R36 is independently selected from H, C1-C6 alkyl, C1-C6 haloalkyl, CN, halo, CO2C1-C6 alkyl, CO2C3-C8 cycloalkyl, CONR11R12, C3-C7 cycloalkyl, 3- to 7-membered heterocycloalkyl, C6-C10 aryl, OC1-C6 alkyl, NH2, NHC1-C6 alkyl, N(C1-C6 alkyl)2, NO2, COC1-C6 alkyl, SF5 and S(O2)C1-C6 alkyl;


wherein the C1-C6 alkyl, C3-C7 cycloalkyl and 3- to 7-membered heterocycloalkyl is optionally substituted with one or more substituents each independently selected from hydroxy, oxo, C1-C6 alkoxy, C1-C6 alkyl, NR11R12, ═NR13, COOC1-C6 alkyl, CONR11R12, C3-C7 cycloalkyl, 3- to 7-membered heterocycloalkyl, C6-C10 aryl, 5- to 10-membered heteroaryl, NHCOC6-C10 aryl, NHCO(5- to 10-membered heteroaryl), NHCO(3- to 7-membered heterocycloalkyl), and NHCOC2-C6 alkynyl,

    • wherein the C6-C10 aryl, 5- to 10-membered heteroaryl, NHCOC6-C10 aryl, NHCO(5- to 10-membered heteroaryl) and NHCO(3- to 7-membered heterocycloalkyl) are optionally substituted with one or more substituents independently selected from halo, C1-C6 alkyl, and OC1-C6 alkyl,


      or any two of R34, R29, R35, R21 and R36 on adjacent atoms, taken together with the atoms connecting them form at least one monocyclic or bicyclic 3-to-12-membered carbocyclic ring or at least one monocyclic or bicyclic 5- to 12-membered heterocyclic ring containing 1-3 heteroatoms independently selected from O, N, NH, NR13, and S, wherein the carbocyclic ring or heterocyclic ring is optionally substituted with one or more substituents each independently selected from hydroxy, halo, oxo, C1-C6 alkyl, C2-C6 alkenyl, C2-C6 alkynyl, C1-C6 alkoxy, OC3-C10 cycloalkyl, NR11R12, ═NR13, CN, COOC1-C6 alkyl, OS(O2)C6-C10 aryl, S(O2)C6-C10 aryl, C6-C10 aryl, 5- to 10-membered heteroaryl, C3-C10 cycloalkyl, 3- to 10-membered heterocycloalkyl, and CONR11R12, wherein the C1-C6 alkyl, C1-C6 alkoxy, S(O2)C6-C10 aryl, C6-C10 aryl, 5- to 10-membered heteroaryl, C3-C10 cycloalkyl, and 3- to 10-membered heterocycloalkyl are optionally substituted with one or more substituents each independently selected from hydroxy, halo, C1-C6 alkyl, C2-C6 alkenyl, C2-C6 alkynyl, C3-C10 cycloalkyl, C1-C6 alkoxy, oxo, NR11R12, ═NR13, COOC1-C6 alkyl, C6-C10 aryl, and CONR11R12.


In some embodiments of one or more formulae herein, each of R34, R29, R35, R2 and R36 is independently selected from H, C1-C6 alkyl, C1-C6 haloalkyl, CN, halo, CO2C1-C6 alkyl, CO2C3-C8 cycloalkyl, CONR11R12, C3-C7 cycloalkyl, 3- to 7-membered heterocycloalkyl, C6-C10 aryl, OC1-C6 alkyl, NH2, NHC1-C6 alkyl, N(C1-C6 alkyl)2, NO2, COC1-C6 alkyl, SF5 and S(O2)C1-C6 alkyl,


wherein the C1-C6 alkyl, C3-C7 cycloalkyl and 3- to 7-membered heterocycloalkyl is optionally substituted with one or more substituents each independently selected from hydroxy, oxo, C1-C6 alkoxy, C1-C6 alkyl, NR11R12, ═NR13, COOC1-C6 alkyl, CONR11R12, C3-C7 cycloalkyl, 3- to 7-membered heterocycloalkyl, C6-C10 aryl, 5- to 10-membered heteroaryl, NHCOC6-C10 aryl, NHCO(5- to 10-membered heteroaryl), NHCO(3- to 7-membered heterocycloalkyl), and NHCOC2-C6 alkynyl,

    • wherein the C6-C10 aryl, 5- to 10-membered heteroaryl, NHCOC6-C10 aryl, NHCO(5- to 10-membered heteroaryl) and NHCO(3- to 7-membered heterocycloalkyl) are optionally substituted with one or more substituents independently selected from halo, C1-C6 alkyl, and OC1-C6 alkyl,


      or two groups selected from R34, R29, R35, R21 and R36 that are on adjacent ring carbon atoms taken together with the adjacent ring carbons form a 6-membered aromatic ring, a five-to-eight-membered carbocyclic non-aromatic ring, a five- or six-membered heteroaromatic ring or a five-to-eight-membered heterocyclic non-aromatic ring, wherein the ring formed by the two groups together with the adjacent ring carbons is optionally substituted with one or more OC1-C6 alkyl, NH2, NHC1-C6 alkyl, N(C1-C6 alkyl)2.


In some embodiments of one or more formulae herein, each of R34, R29, R35, R21 and R36 is independently selected from H, C1-C6 alkyl, C1-C6 haloalkyl, CN, halo, CO2C1-C6 alkyl, CO2C3-C8 cycloalkyl, CONR11R12, C3-C7 cycloalkyl, 3- to 7-membered heterocycloalkyl, C6-C10 aryl, OC1-C6 alkyl, NH2, NHC1-C6 alkyl, N(C1-C6 alkyl)2, NO2, COC1-C6 alkyl, wherein the C1-C6 alkyl, C3-C7 cycloalkyl and 3- to 7-membered heterocycloalkyl is optionally substituted with one or more substituents each independently selected from hydroxy, oxo, C1-C6 alkoxy, NR11R12, ═NR13 COOC1-C6 alkyl, CONR11R12, C3-C7 cycloalkyl, 3- to 7-membered heterocycloalkyl, C6-C10 aryl, 5- to 10-membered heteroaryl, NHCOC6-C10 aryl, NHCO(5- to 10-membered heteroaryl), NHCO(3- to 7-membered heterocycloalkyl), and NHCOC2-C6 alkynyl,

    • wherein the C6-C10 aryl, 5- to 10-membered heteroaryl, NHCOC6-C10 aryl, NHCO(5- to 10-membered heteroaryl) and NHCO(3- to 7-membered heterocycloalkyl) are optionally substituted with one or more substituents independently selected from halo, C1-C6 alkyl, and OC1-C6 alkyl,


      or two groups selected from R34, R29, R35, R21 and R36 that are on adjacent ring carbon atoms taken together with the adjacent ring carbons form a 6-membered aromatic ring, a five-to-eight-membered carbocyclic non-aromatic ring, a five- or six-membered heteroaromatic ring or a five-to-eight-membered heterocyclic non-aromatic ring, wherein the ring formed by the two groups together with the adjacent ring carbons is optionally substituted with one or more OC1-C6 alkyl, NH2, NHC1-C6 alkyl, N(C1-C6 alkyl)2.


In some embodiments of one or more formulae herein, R34 is H; or is CN; or is C1-C6 alkyl; or is CH3; or is halo; or is C1; or is F; or is hydroxy; or is —(C1-C6 alkylene)o-(Z1-Z2)p-Z3.


In some embodiments of one or more formulae herein, R29 is H; or is CN; or is C1; or is F; or is C1-C6 alkyl; or is CH3; or is C1-C6 alkyl substituted with hydroxy; or is 2-hydroxy-2-propyl; or is 1-hydroxy-1-cyclopropyl; or is C1-C6 alkyl substituted with oxo; or is C1-C6 alkyl substituted with C1-C6 alkoxy; or is C1-C6 alkyl substituted with NR11R12; or is C1-C6 alkyl substituted with COOC1-C6 alkyl; or is C1-C6 alkyl substituted with CONR11R12; or is C1-C6 alkyl substituted with C3-C7 cycloalkyl; or is C1-C6 alkyl substituted with 3- to 7-membered heterocycloalkyl; or is C1-C6 alkyl substituted with C6-C10 aryl; or is C1-C6 alkyl substituted with 5- to 10-membered heteroaryl; or is C1-C6 alkyl substituted with NR11R12; or is C1-C6 alkyl substituted with NH2; or is C1-C6 alkyl substituted with NH(C1-C6 alkyl); or is C1-C6 alkyl substituted with N(C1-C6 alkyl)2; or is dimethylaminomethyl; or is C1-C6 alkyl substituted with NR11R12, wherein R11 and R12 taken together with the nitrogen they are attached to form a 3- to 7-membered ring optionally containing one or more heteroatoms in addition to the nitrogen they are attached to; or is S(O2)C1-C6 alkyl; or is S(O2)CH3; or is C1-C6 alkyl substituted with NHCOC6-C10 aryl; or is C1-C6 alkyl substituted with NHCO(5- to 10-membered heteroaryl); or is C1-C6 alkyl substituted with NHCO(3- to 7-membered heterocycloalkyl); or is C1-C6 alkyl substituted with NHCO(3- to 7-membered heterocycloalkyl) optionally substituted with oxo; or is C1-C6 alkyl substituted with NHCOC2-C6 alkynyl; or is C1-C6 haloalkyl; or is halo; or is C3-C7 cycloalkyl; or is C3-C7 cycloalkyl substituted with hydroxy; or is C3-C7 cycloalkyl substituted with C1-C6 alkoxy; or is C3-C7 cycloalkyl substituted with NR11R12; or is C3-C7 cycloalkyl substituted with COOC1-C6 alkyl; or is C3-C7 cycloalkyl substituted with CONR11R12; or is C3-C7 cycloalkyl substituted with C1-C6 alkyl; or is 3- to 7-membered heterocycloalkyl; or is 3- to 7-membered nonaromatic monocyclic heterocycloalkyl; or is 1,3-dioxolan-2-yl; or is 3- to 7-membered nonaromatic monocyclic heterocycloalkyl substituted with hydroxy; or is 3- to 7-membered nonaromatic monocyclic heterocycloalkyl substituted with oxo; or is 3- to 7-membered nonaromatic monocyclic heterocycloalkyl substituted with C1-C6 alkoxy; or is 3- to 7-membered heterocycloalkyl substituted with C1-C6 alkyl; or is 3- to 7-membered nonaromatic monocyclic heterocycloalkyl substituted with C1-C6 alkyl; or is 2-methyl-1,3-dioxolan-2-yl; or is 3- to 7-membered heterocycloalkyl substituted with hydroxy; or is 3- to 7-membered heterocycloalkyl substituted with C1-C6 alkoxy; or is 3- to 7-membered heterocycloalkyl substituted with NR11R12; or is 3- to 7-membered heterocycloalkyl substituted with COOC1-C6 alkyl; or is 3- to 7-membered heterocycloalkyl substituted with CONR11R12; or is 5- to 7-membered aromatic monocyclic radical having 1-3 heteroatoms selected from O, N, or S, wherein 0, 1, 2 or 3 atoms of each ring are optionally substituted with one or more substituents each independently selected from hydroxy, C1-C6 alkoxy, NR11R12, COOC1-C6 alkyl, and CONR11R12; or is pyridyl optionally substituted with one or more substituents each independently selected from hydroxy, C1-C6 alkoxy, NR11R12, COOC1-C6 alkyl, and CONR11R12; or is pyrimidinyl optionally substituted with one or more substituents each independently selected from hydroxy, C1-C6 alkoxy, NR11R12, COOC1-C6 alkyl, and CONR11R12; or is pyrrolyl optionally substituted with one or more substituents each independently selected from hydroxy, C1-C6 alkoxy, NR11R12, COOC1-C6 alkyl, and CONR11R12; or is pyrazolyl optionally substituted with one or more substituents each independently selected from hydroxy, C1-C6 alkoxy, NR11R12, COOC1-C6 alkyl, and CONR11R12; or is imidazolyl optionally substituted with one or more substituents each independently selected from hydroxy, C1-C6 alkoxy, NR11R12, COOC1-C6 alkyl, and CONR11R12; or is oxazolyl optionally substituted with one or more substituents each independently selected from hydroxy, C1-C6 alkoxy, NR11R12, COOC1-C6 alkyl, and CONR11R12; or is thiazolyl optionally substituted with one or more substituents each independently selected from hydroxy, C1-C6 alkoxy, NR11R12, COOC1-C6 alkyl, and CONR11R12; or is S(O2)C1-C6 alkyl; or is S(O2)CH3; or is hydroxy; or is —(C1-C6 alkylene)o-(Z1-Z2)p-Z3.


In some embodiments of one or more formulae herein, R35 is H; or is CN; or is Cl; or is F; or is C1-C6 alkyl; or is CH3; or is C1-C6 alkyl substituted with hydroxy; or is 2-hydroxy-2-propyl; or is 1-hydroxy-1-cyclopropyl; or is C1-C6 alkyl substituted with oxo; or is C1-C6 alkyl substituted with C1-C6 alkoxy; or is C1-C6 alkyl substituted with NR11R12; or is C1-C6 alkyl substituted with COOC1-C6 alkyl; or is C1-C6 alkyl substituted with CONR11R12; or is C1-C6 alkyl substituted with C3-C7 cycloalkyl; or is C1-C6 alkyl substituted with 3- to 7-membered heterocycloalkyl; or is C1-C6 alkyl substituted with C6-C10 aryl; or is C1-C6 alkyl substituted with 5- to 10-membered heteroaryl; or is C1-C6 alkyl substituted with NR11R12; or is C1-C6 alkyl substituted with N12; or is C1-C6 alkyl substituted with NH(C1-C6 alkyl); or is C1-C6 alkyl substituted with N(C1-C6 alkyl)2; or is dimethylaminomethyl; or is C1-C6 alkyl substituted with NR11R12, wherein R11 and R12 taken together with the nitrogen they are attached to form a 3- to 7-membered ring optionally containing one or more heteroatoms in addition to the nitrogen they are attached to; or is S(O2)C1-C6 alkyl; or


In some embodiments of one or more formulae herein, R35 is S(O2)CH3; or is C1-C6 alkyl substituted with NHCOC6-C10 aryl; or is C1-C6 alkyl substituted with NHCO(5- to 10-membered heteroaryl); or is C1-C6 alkyl substituted with NHCO(3- to 7-membered heterocycloalkyl); or is C1-C6 alkyl substituted with NHCO(3- to 7-membered heterocycloalkyl) optionally substituted with oxo; or is C1-C6 alkyl substituted with NHCOC2-C6 alkynyl; or is C1-C6 haloalkyl; or is halo; or is C3-C7 cycloalkyl; or is C3-C7 cycloalkyl substituted with hydroxy; or is C3-C7 cycloalkyl substituted with C1-C6 alkoxy; or is C3-C7 cycloalkyl substituted with NR11R12; or is C3-C7 cycloalkyl substituted with COOC1-C6 alkyl; or is C3-C7 cycloalkyl substituted with CONR11R12; or is C3-C7 cycloalkyl substituted with C1-C6 alkyl; or is 3- to 7-membered heterocycloalkyl; or is 3- to 7-membered nonaromatic monocyclic heterocycloalkyl; or is 1,3-dioxolan-2-yl; or is 3- to 7-membered nonaromatic monocyclic heterocycloalkyl substituted with hydroxy; or is 3- to 7-membered nonaromatic monocyclic heterocycloalkyl substituted with oxo; or is 3- to 7-membered nonaromatic monocyclic heterocycloalkyl substituted with C1-C6 alkoxy; or is 3- to 7-membered heterocycloalkyl substituted with C1-C6 alkyl; or is 3- to 7-membered nonaromatic monocyclic heterocycloalkyl substituted with C1-C6 alkyl; or is 2-methyl-1,3-dioxolan-2-yl; or is 3- to 7-membered heterocycloalkyl substituted with hydroxy; or is 3- to 7-membered heterocycloalkyl substituted with C1-C6 alkoxy; or is 3- to 7-membered heterocycloalkyl substituted with NR11R12; or is 3- to 7-membered heterocycloalkyl substituted with COOC1-C6 alkyl; or is 3- to 7-membered heterocycloalkyl substituted with CONR11R12; or is 5- to 7-membered aromatic monocyclic radical having 1-3 heteroatoms selected from O, N, or S, wherein 0, 1, 2 or 3 atoms of each ring are optionally substituted with one or more substituents each independently selected from hydroxy, C1-C6 alkoxy, NR11R12, COOC1-C6 alkyl, and CONR11R12; or is pyridyl optionally substituted with one or more substituents each independently selected from hydroxy, C1-C6 alkoxy, NR11R12, COOC1-C6 alkyl, and CONR11R12; or is pyrimidinyl optionally substituted with one or more substituents each independently selected from hydroxy, C1-C6 alkoxy, NR11R12, COOC1-C6 alkyl, and CONR11R12; or is pyrrolyl optionally substituted with one or more substituents each independently selected from hydroxy, C1-C6 alkoxy, NR11R12, COOC1-C6 alkyl, and CONR11R12; or is pyrazolyl optionally substituted with one or more substituents each independently selected from hydroxy, C1-C6 alkoxy, NR11R12, COOC1-C6 alkyl, and CONR11R12; or is imidazolyl optionally substituted with one or more substituents each independently selected from hydroxy, C1-C6 alkoxy, NR11R12, COOC1-C6 alkyl, and CONR11R12; or is oxazolyl optionally substituted with one or more substituents each independently selected from hydroxy, C1-C6 alkoxy, NR11R12, COOC1-C6 alkyl, and CONR11R12; or is thiazolyl optionally substituted with one or more substituents each independently selected from hydroxy, C1-C6 alkoxy, NR11R12, COOC1-C6 alkyl, and CONR11R12; or is S(O2)C1-C6 alkyl; or is S(O2)CH3.


In some embodiments of one or more formulae herein, R21 is hydroxy; or is —(C1-C6 alkylene)o-(Z1-Z2)p-Z3; or is H; or is CN; or is C1; or is F; or is C1-C6 alkyl; or is CH3; or is C1-C6 alkyl substituted with hydroxy; or is 2-hydroxy-2-propyl; or is 1-hydroxy-1-cyclopropyl; or is C1-C6 alkyl substituted with oxo; or is C1-C6 alkyl substituted with C1-C6 alkoxy; or is C1-C6 alkyl substituted with NR11R12; or is C1-C6 alkyl substituted with COOC1-C6 alkyl; or is C1-C6 alkyl substituted with CONR11R12; or is C1-C6 alkyl substituted with C3-C7 cycloalkyl; or is C1-C6 alkyl substituted with 3- to 7-membered heterocycloalkyl; or is C1-C6 alkyl substituted with C6-C10 aryl; or is C1-C6 alkyl substituted with 5- to 10-membered heteroaryl; or is C1-C6 alkyl substituted with NR11R12; or is C1-C6 alkyl substituted with NH2; or is C1-C6 alkyl substituted with NH(C1-C6 alkyl); or is C1-C6 alkyl substituted with N(C1-C6 alkyl)2; or is dimethylaminomethyl; or is C1-C6 alkyl substituted with NR11R12, wherein R11 and R12 taken together with the nitrogen they are attached to form a 3- to 7-membered ring optionally containing one or more heteroatoms in addition to the nitrogen they are attached to; or is S(O2)C1-C6 alkyl; or is S(O2)CH3; or is C1-C6 alkyl substituted with NHCOC6-C10 aryl; or is C1-C6 alkyl substituted with NHCO(5- to 10-membered heteroaryl); or is C1-C6 alkyl substituted with NHCO(3- to 7-membered heterocycloalkyl); or is C1-C6 alkyl substituted with NHCO(3- to 7-membered heterocycloalkyl) optionally substituted with oxo; or is C1-C6 alkyl substituted with NHCOC2-C6 alkynyl; or is C1-C6 haloalkyl; or is halo; or is C3-C7 cycloalkyl; or is C3-C7 cycloalkyl substituted with hydroxy; or is C3-C7 cycloalkyl substituted with C1-C6 alkoxy; or is C3-C7 cycloalkyl substituted with NR11R12; or is C3-C7 cycloalkyl substituted with COOC1-C6 alkyl; or is C3-C7 cycloalkyl substituted with CONR11R12; or is C3-C7 cycloalkyl substituted substituted with C1-C6 alkyl.


In some embodiments of one or more formulae herein, R29 is 3- to 7-membered heterocycloalkyl.


In some embodiments of one or more formulae herein, R21 is 3- to 7-membered nonaromatic monocyclic heterocycloalkyl; or is 1,3-dioxolan-2-yl; or is 3- to 7-membered nonaromatic monocyclic heterocycloalkyl substituted with hydroxy; or s 3- to 7-membered nonaromatic monocyclic heterocycloalkyl substituted with oxo; or is 3- to 7-membered nonaromatic monocyclic heterocycloalkyl substituted with C1-C6 alkoxy; or is 3- to 7-membered heterocycloalkyl substituted with C1-C6 alkyl; or is 3- to 7-membered nonaromatic monocyclic heterocycloalkyl substituted with C1-C6 alkyl; or is 2-methyl-1,3-dioxolan-2-yl; or is 3- to 7-membered heterocycloalkyl substituted with hydroxy; or is 3- to 7-membered heterocycloalkyl substituted with C1-C6 alkoxy; or is 3- to 7-membered heterocycloalkyl substituted with NR11R12; or is 3- to 7-membered heterocycloalkyl substituted with COOC1-C6 alkyl; or is 3- to 7-membered heterocycloalkyl substituted with CONR11R12; or is 5- to 7-membered aromatic monocyclic radical having 1-3 heteroatoms selected from O, N, or S, wherein 0, 1, 2 or 3 atoms of each ring are optionally substituted with one or more substituents each independently selected from hydroxy, C1-C6 alkoxy, NR11R12, COOC1-C6 alkyl, and CONR11R12; or is pyridyl optionally substituted with one or more substituents each independently selected from hydroxy, C1-C6 alkoxy, NR11R12, COOC1-C6 alkyl, and CONR11R12; or is pyrimidinyl optionally substituted with one or more substituents each independently selected from hydroxy, C1-C6 alkoxy, NR11R12, COOC1-C6 alkyl, and CONR11R12; or is pyrrolyl optionally substituted with one or more substituents each independently selected from hydroxy, C1-C6 alkoxy, NR11R12, COOC1-C6 alkyl, and CONR11R12; or is pyrazolyl optionally substituted with one or more substituents each independently selected from hydroxy, C1-C6 alkoxy, NR11R12, COOC1-C6 alkyl, and CONR11R12; or is imidazolyl optionally substituted with one or more substituents each independently selected from hydroxy, C1-C6 alkoxy, NR11R12, COOC1-C6 alkyl, and CONR11R12; or is oxazolyl optionally substituted with one or more substituents each independently selected from hydroxy, C1-C6 alkoxy, NR11R12, COOC1-C6 alkyl, and CONR11R12; or is thiazolyl optionally substituted with one or more substituents each independently selected from hydroxy, C1-C6 alkoxy, NR11R12, COOC1-C6 alkyl, and CONR11R12; or is S(O2)C1-C6 alkyl; or is S(O2)CH3.


In some embodiments of one or more formulae herein, R36 is H; or is CN; or is C1-C6 alkyl; or is CH3; or is halo; or is C1; or is F; or is hydroxy; or is —(C1-C6 alkylene)o-(Z1-Z2)p-Z3.


In some embodiments of one or more formulae herein, wherein R34 and R29, taken together with the atoms connecting them form a monocyclic or bicyclic 3-to-12-membered carbocyclic ring or a monocyclic or bicyclic 5- to 12-membered heterocyclic ring containing 1-3 heteroatoms independently selected from O, N, NH, NR13, and S, wherein the carbocyclic ring or heterocyclic ring is optionally substituted with one or more substituents each independently selected from hydroxy, halo, oxo, C1-C6 alkyl, C2-C6 alkenyl, C2-C6 alkynyl, C1-C6 alkoxy, OC3-C10 cycloalkyl, NR11R12, ═NR13, CN, COOC1-C6 alkyl, OS(O2)C6-C10 aryl, S(O2)C6-C10 aryl, C6-C10 aryl, 5- to 10-membered heteroaryl, C3-C10 cycloalkyl, 3- to 10-membered heterocycloalkyl, and CONR11R12, wherein the C1-C6 alkyl, C1-C6 alkoxy, S(O2)C6-C10 aryl, C6-C10 aryl, 5- to 10-membered heteroaryl, C3-C10 cycloalkyl, and 3- to 10-membered heterocycloalkyl are optionally substituted with one or more substituents each independently selected from hydroxy, halo, C1-C6 alkyl, C2-C6 alkenyl, C2-C6 alkynyl, C3-C10 cycloalkyl, C1-C6 alkoxy, oxo, NR11R12, ═NR13, COOC1-C6 alkyl, C6-C10 aryl, and CONR11R12.


In some embodiments of one or more formulae herein, R29 and R35, taken together with the atoms connecting them form a monocyclic or bicyclic 3-to-12-membered carbocyclic ring or at least one monocyclic or bicyclic 5- to 12-membered heterocyclic ring containing 1-3 heteroatoms independently selected from O, N, NH, NR13, and S, wherein the carbocyclic ring or heterocyclic ring is optionally substituted with one or more substituents each independently selected from hydroxy, halo, oxo, C1-C6 alkyl, C2-C6 alkenyl, C2-C6 alkynyl, C1-C6 alkoxy, OC3-C10 cycloalkyl, NR11R12, ═NR13, CN, COOC1-C6 alkyl, OS(O2)C6-C10 aryl, S(O2)C6-C10 aryl, C6-C10 aryl, 5- to 10-membered heteroaryl, C3-C10 cycloalkyl, 3- to 10-membered heterocycloalkyl, and CONR11R12, wherein the C1-C6 alkyl, C1-C6 alkoxy, S(O2)C6-C10 aryl, C6-C10 aryl, 5- to 10-membered heteroaryl, C3-C10 cycloalkyl, and 3- to 10-membered heterocycloalkyl are optionally substituted with one or more substituents each independently selected from hydroxy, halo, C1-C6 alkyl, C2-C6 alkenyl, C2-C6 alkynyl, C3-C10 cycloalkyl, C1-C6 alkoxy, oxo, NR11R12, ═NR13, COOC1-C6 alkyl, C6-C10 aryl, and CONR11R12.


In some embodiments of one or more formulae herein, R35 and R21, taken together with the atoms connecting them form a monocyclic or bicyclic 3-to-12-membered carbocyclic ring or at least one monocyclic or bicyclic 5- to 12-membered heterocyclic ring containing 1-3 heteroatoms independently selected from O, N, NH, NR13, and S, wherein the carbocyclic ring or heterocyclic ring is optionally substituted with one or more substituents each independently selected from hydroxy, halo, oxo, C1-C6 alkyl, C2-C6 alkenyl, C2-C6 alkynyl, C1-C6 alkoxy, OC3-C10 cycloalkyl, NR11R12, ═NR13, CN, COOC1-C6 alkyl, OS(O2)C6-C10 aryl, S(O2)C6-C10 aryl, C6-C10 aryl, 5- to 10-membered heteroaryl, C3-C10 cycloalkyl, 3- to 10-membered heterocycloalkyl, and CONR11R12, wherein the C1-C6 alkyl, C1-C6 alkoxy, S(O2)C6-C10 aryl, C6-C10 aryl, 5- to 10-membered heteroaryl, C3-C10 cycloalkyl, and 3- to 10-membered heterocycloalkyl are optionally substituted with one or more substituents each independently selected from hydroxy, halo, C1-C6 alkyl, C2-C6 alkenyl, C2-C6 alkynyl, C3-C10 cycloalkyl, C1-C6 alkoxy, oxo, NR11R12, ═NR13, COOC1-C6 alkyl, C6-C10 aryl, and CONR11R12.


In some embodiments of one or more formulae herein, R21 and R26, taken together with the atoms connecting them form a monocyclic or bicyclic 3-to-12-membered carbocyclic ring or at least one monocyclic or bicyclic 5- to 12-membered heterocyclic ring containing 1-3 heteroatoms independently selected from O, N, NH, NR13, and S, wherein the carbocyclic ring or heterocyclic ring is optionally substituted with one or more substituents each independently selected from hydroxy, halo, oxo, C1-C6 alkyl, C2-C6 alkenyl, C2-C6 alkynyl, C1-C6 alkoxy, OC3-C10 cycloalkyl, NR11R12, ═NR13, CN, COOC1-C6 alkyl, OS(O2)C6-C10 aryl, S(O2)C6-C10 aryl, C6-C10 aryl, 5- to 10-membered heteroaryl, C3-C10 cycloalkyl, 3- to 10-membered heterocycloalkyl, and CONR11R12, wherein the C1-C6 alkyl, C1-C6 alkoxy, S(O2)C6-C10 aryl, C6-C10 aryl, 5- to 10-membered heteroaryl, C3-C10 cycloalkyl, and 3- to 10-membered heterocycloalkyl are optionally substituted with one or more substituents each independently selected from hydroxy, halo, C1-C6 alkyl, C2-C6 alkenyl, C2-C6 alkynyl, C3-C10 cycloalkyl, C1-C6 alkoxy, oxo, NR11R12, ═NR13, COOC1-C6 alkyl, C6-C10 aryl, and CONR11R12.


In some embodiments of one or more formulae herein, R34 and R29 taken together with the atoms connecting them form a three-membered carbocyclic ring; or a four-membered carbocyclic ring; or a five-membered carbocyclic ring; or a six-membered carbocyclic ring; or a seven-membered carbocyclic ring; or an eight-membered carbocyclic ring; or a three-membered heterocyclic ring containing 1 or 2 heteroatoms independently selected from O, N, NH, NR13, and S; or a four-membered heterocyclic ring containing 1 or 2 heteroatoms independently selected from O, N, NH, NR13 and S; or a five-membered heterocyclic ring containing 1 or 2 heteroatoms independently selected from O, N, NH, NR13, and S; or a six-membered heterocyclic ring containing 1 or 2 heteroatoms independently selected from O, N, NH, NR13, and S (e.g., a six-membered heterocyclic ring containing 2 heteroatoms wherein one heteroatom is N; and the other heteroatom is selected from 0, NH, and NMe (e.g., the other heteroatom is O)); or a seven-membered heterocyclic ring containing 1 or 2 heteroatoms independently selected from O, N, NH NR13 and S; or an eight-membered heterocyclic ring containing 1 or 2 heteroatoms independently selected from O, N, NH, NR13, and S; or a nine-membered heterocyclic ring (e.g., spirocyclic nine-membered heterocyclic ring) containing from 1-3 heteroatoms independently selected from O, N, NH, NR13, and S; or a carbocyclic ring substituted with hydroxy; or a carbocyclic ring substituted with oxo; or a carbocyclic ring substituted with C1-C6 alkoxy (e.g., the ring is substituted with one C1-C6 alkoxy which is unsubstituted; or which is substituted as described elsewhere herein); or a carbocyclic ring substituted with C1-C6 alkyl (e.g., the ring is substituted with one C1-C6 alkyl which is unsubstituted; or which is substituted as described elsewhere herein); or a carbocyclic ring substituted with NR11R12; or a carbocyclic ring substituted with ═NR13; or a carbocyclic ring substituted with COOC1-C6 alkyl; or a carbocyclic ring substituted with CONR11R12.


In certain embodiments of the foregoing, each of R21, R35, and R36 is independently selected from H, C1-C6 alkyl, C1-C6 haloalkyl, CN, halo, CO2C1-C6 alkyl, CO2C3-C8 cycloalkyl, C6-C10 aryl, CONR11R12, C3-C7 cycloalkyl and 3- to 7-membered heterocycloalkyl, wherein the C1-C6 alkyl, C3-C7 cycloalkyl and 3- to 7-membered heterocycloalkyl is optionally substituted with one or more substituents each independently selected from hydroxy, oxo, C1-C6 alkyl, C1-C6 alkoxy, NR11R12, ═NR13 COOC1-C6 alkyl, C6-C10 aryl, and CONR11R12; or each of R21, R35, and R36 is H; or one of R21, R35, and R36 is H; or two of R21, R35, and R36 are H.


In some embodiments of one or more formulae herein, R29 and R35 taken together with the atoms connecting them form a three-membered carbocyclic ring; or a four-membered carbocyclic ring; or a five-membered carbocyclic ring; or a six-membered carbocyclic ring; or a seven-membered carbocyclic ring; or an eight-membered carbocyclic ring; or a three-membered heterocyclic ring containing 1 or 2 heteroatoms independently selected from O, N, NH, NR13, and S; or a four-membered heterocyclic ring containing 1 or 2 heteroatoms independently selected from O, N, NH, NR13 and S; or a five-membered heterocyclic ring containing 1 or 2 heteroatoms independently selected from O, N, NH, NR13, and S; or a six-membered heterocyclic ring containing 1 or 2 heteroatoms independently selected from O, N, NH, NR13, and S (e.g., a six-membered heterocyclic ring containing 2 heteroatoms wherein one heteroatom is N; and the other heteroatom is selected from 0, NH, and NMe (e.g., the other heteroatom is O)); or a seven-membered heterocyclic ring containing 1 or 2 heteroatoms independently selected from O, N, NH NR13 and S; or an eight-membered heterocyclic ring containing 1 or 2 heteroatoms independently selected from O, N, NH, NR13, and S; or a nine-membered heterocyclic ring (e.g., spirocyclic nine-membered heterocyclic ring) containing from 1-3 heteroatoms independently selected from O, N, NH, NR13, and S; or a carbocyclic ring substituted with hydroxy; or a carbocyclic ring substituted with oxo; or a carbocyclic ring substituted with C1-C6 alkoxy (e.g., the ring is substituted with one C1-C6 alkoxy which is unsubstituted; or which is substituted as described elsewhere herein); or a carbocyclic ring substituted with C1-C6 alkyl (e.g., the ring is substituted with one C1-C6 alkyl which is unsubstituted; or which is substituted as described elsewhere herein); or a carbocyclic ring substituted with NR11R12; or a carbocyclic ring substituted with ═NR13; or a carbocyclic ring substituted with COOC1-C6 alkyl; or a carbocyclic ring substituted with CONR11R12.


In certain embodiments of the foregoing, each of R21, R34, and R36 is independently selected from H, C1-C6 alkyl, C1-C6 haloalkyl, CN, halo, CO2C1-C6 alkyl, CO2C3-C8 cycloalkyl, C6-C10 aryl, CONR11R12, C3-C7 cycloalkyl and 3- to 7-membered heterocycloalkyl, wherein the C1-C6 alkyl, C3-C7 cycloalkyl and 3- to 7-membered heterocycloalkyl is optionally substituted with one or more substituents each independently selected from hydroxy, oxo, C1-C6 alkyl, C1-C6 alkoxy, NR11R12, ═NR13 COOC1-C6 alkyl, C6-C10 aryl, and CONR11R12; or each of R2, R34, and R36 is H; or one of R21, R34, and R36 is H; or two of R21, R34, and R36 are H.


In some embodiments of one or more formulae herein, R35 and R21 taken together with the atoms connecting them form a three-membered carbocyclic ring; or a four-membered carbocyclic ring; or a five-membered carbocyclic ring; or a six-membered carbocyclic ring; or a seven-membered carbocyclic ring; or an eight-membered carbocyclic ring; or a three-membered heterocyclic ring containing 1 or 2 heteroatoms independently selected from O, N, NH, NR13, and S; or a four-membered heterocyclic ring containing 1 or 2 heteroatoms independently selected from O, N, NH NR13 and S; or a five-membered heterocyclic ring containing 1 or 2 heteroatoms independently selected from O, N, NH, NR13, and S; or a six-membered heterocyclic ring containing 1 or 2 heteroatoms independently selected from O, N, NH, NR13, and S (e.g., a six-membered heterocyclic ring containing 2 heteroatoms wherein one heteroatom is N; and the other heteroatom is selected from 0, NH, and NMe (e.g., the other heteroatom is O)); or a seven-membered heterocyclic ring containing 1 or 2 heteroatoms independently selected from O, N, NH, NR13 and S; or an eight-membered heterocyclic ring containing 1 or 2 heteroatoms independently selected from O, N, NH, NR13, and S; or a nine-membered heterocyclic ring (e.g., spirocyclic nine-membered heterocyclic ring) containing from 1-3 heteroatoms independently selected from O, N, NH, NR13, and S; or a carbocyclic ring substituted with hydroxy; or a carbocyclic ring substituted with oxo; or a carbocyclic ring substituted with C1-C6 alkoxy (e.g., the ring is substituted with one C1-C6 alkoxy which is unsubstituted; or which is substituted as described elsewhere herein); or a carbocyclic ring substituted with C1-C6 alkyl (e.g., the ring is substituted with one C1-C6 alkyl which is unsubstituted; or which is substituted as described elsewhere herein); or a carbocyclic ring substituted with NR11R12; or a carbocyclic ring substituted with ═NR13; or a carbocyclic ring substituted with COOC1-C6 alkyl.


In some embodiments of one or more formulae herein, R35 and R21 taken together with the atoms connecting them form a carbocyclic ring substituted with CONR11R12.


In certain embodiments of the foregoing, each of R29, R34, and R36 is independently selected from H, C1-C6 alkyl, C1-C6 haloalkyl, CN, halo, CO2C1-C6 alkyl, CO2C3-C8 cycloalkyl, C6-C10 aryl, CONR11R12, C3-C7 cycloalkyl and 3- to 7-membered heterocycloalkyl, wherein the C1-C6 alkyl, C3-C7 cycloalkyl and 3- to 7-membered heterocycloalkyl is optionally substituted with one or more substituents each independently selected from hydroxy, oxo, C1-C6 alkyl, C1-C6 alkoxy, NR11R12, ═NR13 COOC1-C6 alkyl, C6-C10 aryl, and CONR11R12; or each of R29, R34, and R36 is H; or one of R29, R34, and R36 is H; or two of R29, R34, and R36 are H.


In some embodiments of one or more formulae herein, R21 and R36 taken together with the atoms connecting them form a three-membered carbocyclic ring; or a four-membered carbocyclic ring; or a five-membered carbocyclic ring; or a six-membered carbocyclic ring; or a seven-membered carbocyclic ring; or an eight-membered carbocyclic ring; or a three-membered heterocyclic ring containing 1 or 2 heteroatoms independently selected from O, N, NH, NR13, and S; or a four-membered heterocyclic ring containing 1 or 2 heteroatoms independently selected from O, N, NH, NR13, and S; or a five-membered heterocyclic ring containing 1 or 2 heteroatoms independently selected from O, N, NH, NR13, and S; or a six-membered heterocyclic ring containing 1 or 2 heteroatoms independently selected from O, N, NH, NR13, and S (e.g., a six-membered heterocyclic ring containing 2 heteroatoms wherein one heteroatom is N; and the other heteroatom is selected from 0, NH, and NMe (e.g., the other heteroatom is O)); or a seven-membered heterocyclic ring containing 1 or 2 heteroatoms independently selected from O, N, NH, NR13 and S; or an eight-membered heterocyclic ring containing 1 or 2 heteroatoms independently selected from O, N, NH, NR13, and S; or a nine-membered heterocyclic ring (e.g., spirocyclic nine-membered heterocyclic ring) containing from 1-3 heteroatoms independently selected from O, N, NH, NR13, and S; or a carbocyclic ring substituted with hydroxy; or a carbocyclic ring substituted with oxo; or a carbocyclic ring substituted with C1-C6 alkoxy (e.g., the ring is substituted with one C1-C6 alkoxy which is unsubstituted; or which is substituted as described elsewhere herein); or a carbocyclic ring substituted with C1-C6 alkyl (e.g., the ring is substituted with one C1-C6 alkyl which is unsubstituted; or which is substituted as described elsewhere herein); or a carbocyclic ring substituted with NR11R12; or a carbocyclic ring substituted with ═NR13; or a carbocyclic ring substituted with COOC1-C6 alkyl; or a carbocyclic ring substituted with CONR11R12.


In certain embodiments of the foregoing, each of R29, R34, and R35 is independently selected from H, C1-C6 alkyl, C1-C6 haloalkyl, CN, halo, CO2C1-C6 alkyl, CO2C3-C8 cycloalkyl, C6-C10 aryl, CONR11R12, C3-C7 cycloalkyl and 3- to 7-membered heterocycloalkyl, wherein the C1-C6 alkyl, C3-C7 cycloalkyl and 3- to 7-membered heterocycloalkyl is optionally substituted with one or more substituents each independently selected from hydroxy, oxo, C1-C6 alkyl, C1-C6 alkoxy, NR11R12, ═NR13 COOC1-C6 alkyl, C6-C10 aryl, and CONR11R12.


In certain embodiments, each of R29, R34, and R35 is H; or one of R29, R34, and R35 is H; or two of R29, R34, and R35 are H.


The Groups Z1, Z2, and Z3

In some embodiments of one or more formulae herein, each occurrence of Z1 is independently selected from O, NR17C(O), 5-to-10-membered heteroarylene, and 3-10 membered heterocycloalkyl.


In some embodiments of one or more formulae herein, each occurrence of Z1 is O; or is NR17C(O; or is 5-to-10-membered heteroarylene (e.g., triazolyl); or is 3-10 membered heterocycloalkyl (e.g., diazirine (e.g., 3H-diazirine)).


In some embodiments of one or more formulae herein, each occurrence of Z2 is C1-C6 alkylene; or is methylene; or is ethylene; or is propylene; or is butylene.


In some embodiments of one or more formulae herein, Z3 is selected from NHCO2R15 (e.g., NHCO2tBu) and 5-to-10 membered monocyclic or bicyclic heterocycloalkyl containing 1-3 heteroatoms selected from O, N, and S, wherein the heterocycloalkyl is optionally substituted with one or more oxo, hydroxy, or —(C1-C6 alkylene)-OH. In some embodiments of one or more formulae herein, Z3 is NHCO2R15; or Z3 is 5-to-10 membered monocyclic or bicyclic heterocycloalkyl containing 1-3 heteroatoms selected from O, N, and S, wherein the heterocycloalkyl is optionally substituted with one or more oxo, hydroxy, or —(C1-C6 alkylene)-OH; or Z3 is (3aR,6aS)-tetrahydro-1H-thieno[3,4-d]imidazol-2(3H)-onyl.


The Groups o and p

In some embodiments of one or more formulae herein, o is 0 or 1. In some embodiments of one or more formulae herein, o is O.


In some embodiments of one or more formulae herein, o is 1.


In some embodiments of one or more formulae herein, p is selected from 0, 1, 2, 3, 4, 5, 6, 7, or 8; or is selected from 4, 5, 6, or 7; or is selected from 6 or 7; or is 6; or is 7.


The Moieties



embedded image


In some embodiments of one or more formulae herein, the moiety




embedded image


In some embodiments of one or more formulae herein,




embedded image


In some embodiments of one or more formulae herein, RHS1 is




embedded image


or is




embedded image


or is




embedded image


or is




embedded image


or is




embedded image


or is




embedded image


or is




embedded image


In some embodiments of one or more formulae herein,




embedded image


In some embodiments of one or more formulae herein, RHS2 is




embedded image


or is




embedded image


or is




embedded image


or is




embedded image


or is




embedded image


In some embodiments of one or more formulae herein,




embedded image


In some embodiments of one or more formulae herein, RHS3 is




embedded image


or is




embedded image


or is




embedded image


or is




embedded image


or is




embedded image


or is




embedded image


or is




embedded image


or is




embedded image


or is




embedded image


or is




embedded image


or is




embedded image


or is




embedded image


In some embodiments of one or more formulae herein,




embedded image


In some embodiments of one or more formulae herein, RHS4 is




embedded image


or is




embedded image


or is




embedded image


In some embodiments of one or more formulae herein,




embedded image


In some embodiments of one or more formulae herein, RHS5 is




embedded image


or is




embedded image


In some embodiments of one ore more formulae herein,




embedded image


In some embodiments of one or more formulae herein, RHS6 is




embedded image


In some embodiments of one or more formulae herein,




embedded image


In some embodiments of one or more formulae herein, RHS7 is




embedded image


or is




embedded image


or is




embedded image


or is




embedded image


In some embodiments of one or more formulae herein,




embedded image


In some embodiments of one or more formulae herein, RHS8 is




embedded image


In some embodiments of one or more formulae herein,




embedded image


In some embodiments of one or more formulae herein, RHS9 is




embedded image


In some embodiments of one or more formulae herein,




embedded image


In some embodiments of one or more formulae herein, RHS10 is




embedded image


In some embodiments of one or more formulae herein,




embedded image


In some embodiments of one or more formulae herein, RHS11 is




embedded image


In some embodiments of one or more formulae herein,




embedded image


The Moiety



embedded image


In some embodiments of one or more formulae herein,




embedded image


In some embodiments of one or more formulae herein, LHS1 is




embedded image


or is




embedded image


or is




embedded image


or is




embedded image


In some embodiments of one or more formulae herein,




embedded image


In some embodiments of one or more formulae herein, LHS2 is




embedded image


or is




embedded image


or is




embedded image


or is




embedded image


or is




embedded image


or is




embedded image


or is




embedded image


In some embodiments of one or more formulae herein,




embedded image


In some embodiments of one or more formulae herein, LHS3 is




embedded image


or is




embedded image


or is




embedded image


or is




embedded image


or is




embedded image


or is




embedded image


or is




embedded image


or is




embedded image


or is




embedded image


or is




embedded image


In some embodiments of one or more formulae herein, i




embedded image


In some embodiments of one or more formulae herein,




embedded image


In some embodiments of one or more formulae herein, LHS4 is




embedded image


or is




embedded image


In some embodiments of one or more formulae herein,




embedded image


In some embodiments of one or more formulae herein,




embedded image


In some embodiments of one or more formulae herein,




embedded image


In some embodiments of one or more formulae herein,




embedded image


In some embodiments of one or more formulae herein,




embedded image


In some embodiments of one or more formulae herein,


In some embodiments of one or more formulae herein, LHS6 is




embedded image


In some embodiments of one or more formulae herein,




embedded image


In some embodiments of LHS7, X10 is N; and X2 is O; or X10 is N; and X2 is S.


In some embodiments of one or more formulae herein, LHS7 is




embedded image


or is




embedded image


In some embodiments of LHS7, X10 is CR10; and X2 is O; or X10 is CR10; and X2 is S; or X10 is CH; and X2 is O; or X10 is CH; and X2 is S.


In some embodiments of one or more formulae herein is




embedded image


In some embodiments of LHS8, X1 is O; and X2 is N; or X1 is S; and X2 is N; or X is O; and X2 is CR42; or X1 is S; and X2 is CR42; or X1 is O; and X2 is CH; or X1 is S; and X2 is CH; or X1 is O; and X2 is CCH3; or X1 is S; and X2 is CCH3.


In some embodiments of one or more formulae herein, is




embedded image


In some embodiments of one or more formulae herein, LHS11 is




embedded image


In some embodiments of one or more formulae herein, is




embedded image


In some embodiments of one or more formulae herein, LHS15 is




embedded image


In some embodiments of one or more formulae herein,




embedded image


In some embodiments of one or more formulae herein, LHS16 is




embedded image


In some embodiments of one or more formulae herein is




embedded image


In some embodiments of one or more formulae herein, the moiety




embedded image


or is




embedded image


or is




embedded image


or is




embedded image


or is




embedded image


or is




embedded image


or is




embedded image


or is




embedded image


or is




embedded image


or is




embedded image


or is




embedded image


or is




embedded image


or is




embedded image


or is




embedded image


or is




embedded image


or is




embedded image


or is




embedded image


or is




embedded image


or is




embedded image


or is




embedded image


or is




embedded image


or is




embedded image


or is




embedded image


or is




embedded image


or is




embedded image


or is




embedded image


or is




embedded image


or is




embedded image


or is




embedded image


or is




embedded image


or is




embedded image


or is




embedded image


or is




embedded image


or is




embedded image


or is




embedded image


or is




embedded image


or is




embedded image


or is




embedded image


or is selected from the group consisting of:




embedded image


embedded image


embedded image


embedded image


embedded image


or is selected from the group consisting of:




embedded image


embedded image


or is selected from the group consisting of:




embedded image


embedded image


or is selected from the group consisting of:




embedded image


or is selected from the group consisting of:




embedded image


or is




embedded image


The Moiety



embedded image


In some embodiments of one or more formulae herein,




embedded image


In some embodiments of one or more formulae herein,




embedded image


In some embodiments of one or more formulae herein, LHS9 is




embedded image


or is




embedded image


or is




embedded image


or is




embedded image


In some embodiments of one or more formulae herein,




embedded image


In some embodiments of one or more formulae herein, LHS10 is




embedded image


In some embodiments of one or more formulae herein,




embedded image


In some embodiments of one or more formulae herein, LHS12 is




embedded image


or is




embedded image


or is




embedded image


or is




embedded image


In some embodiments of one or more formulae herein,




embedded image


In some embodiments of one or more formulae herein, LHS13 is




embedded image


In some embodiments of one or more formulae herein,




embedded image


In some embodiments of one or more formulae herein, LHS14 is




embedded image


In some embodiments of one or more formulae herein,




embedded image


In some embodiments of one or more formulae herein, LHS17 is




embedded image


In some embodiments of one or more formulae herein,




embedded image


In some embodiments of one or more formulae herein,




embedded image


is




embedded image


or is




embedded image


or is




embedded image


or is




embedded image


or is




embedded image


or is




embedded image


or is




embedded image


or is




embedded image


or is




embedded image


or is




embedded image


or is




embedded image


or is




embedded image


or is




embedded image


or is




embedded image


or is




embedded image


or is




embedded image


or is




embedded image


or is




embedded image


or is




embedded image


or is




embedded image


or is




embedded image


or is




embedded image


or is




embedded image


or is




embedded image


or is




embedded image


or is




embedded image


or is




embedded image


or is




embedded image


or is




embedded image


or is




embedded image


or is




embedded image


or is




embedded image


or is




embedded image


or is




embedded image


or is




embedded image


or is




embedded image


or is




embedded image


or is




embedded image


or is




embedded image


or is




embedded image


In some embodiments of one or more formulae herein,




embedded image


or is




embedded image


In some embodiments of one or more formulae herein,




embedded image


is




embedded image


or is




embedded image


or is




embedded image


or is




embedded image


or is




embedded image


In some embodiments of one or more formulae herein,




embedded image


or is




embedded image


or is




embedded image


In some embodiments of one or more formulae herein,




embedded image


Non-Limiting Combinations

In some embodiments of one or more formulae herein Ar is LHS1,




embedded image


is RHS1, each R20 is hydrogen; or Ar is LHS1,




embedded image


is RHS2, each R20 is hydrogen; or Ar is LHS1,




embedded image


is RHS3, each R20 is hydrogen; or Ar is LHS1,




embedded image


is RHS4, each R20 is hydrogen; or Ar is LHS1,




embedded image


is RHS5, each R20 is hydrogen; or Ar is LHS1,




embedded image


is RHS6, each R20 is hydrogen; or Ar is LHS1,




embedded image


is RHS7, each R20 is hydrogen; or Ar is LHS1,




embedded image


is RHS8, each R20 is hydrogen; or Ar is LHS2,




embedded image


is RHS1, each R20 is hydrogen; or Ar is LHS2,




embedded image


is RHS2, each R20 is hydrogen; or Ar is LHS2,




embedded image


is RHS3, each R20 is hydrogen; or Ar is LHS2,




embedded image


is RHS4, each R20 is hydrogen; or Ar is LHS2,




embedded image


is RHS5, each R20 is hydrogen; or Ar is LHS2,




embedded image


is RHS6, each R20 is hydrogen; or Ar is LHS2,




embedded image


is RHS7, each R20 is hydrogen; or Ar is LHS2,




embedded image


is RHS8, each R20 is hydrogen; or Ar is LHS3,




embedded image


is RHS1, each R20 is hydrogen; or Ar is LHS3,




embedded image


is RHS2, each R20 is hydrogen; or Ar is LHS3,




embedded image


is RHS3, each R20 is hydrogen; or Ar is LHS3,




embedded image


is RHS4, each R20 is hydrogen; or Ar is LHS3,




embedded image


is RHS5, each R20 is hydrogen; or Ar is LHS3,




embedded image


is RHS6, each R20 is hydrogen; or Ar is LHS3,




embedded image


is RHS7, each R20 is hydrogen; or Ar is LHS3,




embedded image


is RHS8, each R20 is hydrogen; or Ar is LHS4,




embedded image


is RHS1, each R20 is hydrogen; or Ar is LHS4,




embedded image


is RHS2, each R20 is hydrogen; or Ar is LHS4,




embedded image


is RHS3, each R20 is hydrogen; or Ar is LHS4,




embedded image


is RHS4, each R20 is hydrogen; or Ar is LHS4,




embedded image


is RHS5, each R20 is hydrogen; or Ar is LHS4,




embedded image


is RHS6, each R20 is hydrogen; or Ar is LHS4,




embedded image


is RHS7, each R20 is hydrogen; or Ar is LHS4,




embedded image


is RHS8, each R20 is hydrogen; or Ar is LHS5,




embedded image


is RHS1, each R20 is hydrogen; or Ar is LHS5,




embedded image


is RHS2, each R20 is hydrogen; or Ar is LHS5,




embedded image


is RHS3, each R20 is hydrogen; or Ar is LHS5,




embedded image


is RHS4, each R20 is hydrogen; or Ar is LHS5,




embedded image


is RHS5, each R20 is hydrogen; or Ar is LHS5,




embedded image


is RHS6, each R20 is hydrogen; or Ar is LHS5,




embedded image


is RHS7, each R20 is hydrogen; or Ar is LHS5,




embedded image


is RHS8, each R20 is hydrogen; or Ar is LHS6,




embedded image


is RHS1, each R20 is hydrogen; or Ar is LHS6,




embedded image


is RHS2, each R20 is hydrogen; or Ar is LHS6,




embedded image


is RHS3, each R20 is hydrogen; or Ar is LHS6,




embedded image


is RHS4, each R20 is hydrogen; or Ar is LHS6,




embedded image


is RHS5, each R20 is hydrogen; or Ar is LHS6,




embedded image


is RHS6, each R20 is hydrogen; or Ar is LHS6,




embedded image


is RHS7, each R20 is hydrogen; or Ar is LHS6,




embedded image


is RHS8, each R20 is hydrogen; or Ar is LHS7,




embedded image


is RHS1, each R20 is hydrogen; or Ar is LHS7,




embedded image


is RHS2, each R20 is hydrogen; or Ar is LHS7,




embedded image


is RHS3, each R20 is hydrogen; or Ar is LHS7,




embedded image


is RHS4, each R20 is hydrogen; or Ar is LHS7,




embedded image


is RHS5, each R20 is hydrogen; or Ar is LHS7,




embedded image


is RHS6, each R20 is hydrogen; or Ar is LHS7,




embedded image


is RHS7, each R20 is hydrogen; or Ar is LHS7,




embedded image


is RHS8, each R20 is hydrogen; or Ar is LHS8,




embedded image


is RHS1, each R20 is hydrogen; or Ar is LHS8,




embedded image


is RHS2, each R20 is hydrogen; or Ar is LHS8,




embedded image


is RHS3, each R20 is hydrogen; or Ar is LHS8,




embedded image


is RHS4, each R20 is hydrogen; or Ar is LHS8,




embedded image


is RHS5, each R20 is hydrogen; or Ar is LHS8,




embedded image


is RHS6, each R20 is hydrogen; or Ar is LHS8,




embedded image


is RHS7, each R20 is hydrogen; or Ar is LHS8,




embedded image


is RHS3, each R20 is hydrogen; or Ar is LHS9,




embedded image


is RHS4, each R20 is hydrogen; or Ar is LHS9,




embedded image


is RHS2, each R20 is hydrogen; or Ar is LHS9,




embedded image


is RHS3, each R20 is hydrogen; or Ar is LHS9,




embedded image


is RHS4, each R20 is hydrogen; or Ar is LHS9,




embedded image


is RHS5, each R20 is hydrogen; or Ar is LHS9,




embedded image


is RHS6, each R20 is hydrogen; or Ar is LHS9,




embedded image


is RHS7, each R20 is hydrogen; or Ar is LHS9,




embedded image


is RHS8, each R20 is hydrogen; or Ar is LHS10,




embedded image


is RHS1, each R20 is hydrogen; or Ar is LHS10,




embedded image


is RHS2, each R20 is hydrogen; or Ar is LHS10,




embedded image


is RHS3, each R20 is hydrogen; or Ar is LHS10,




embedded image


is RHS4, each R20 is hydrogen; or Ar is LHS10,




embedded image


is RHS5, each R20 is hydrogen; or Ar is LHS10,




embedded image


is RHS6, each R20 is hydrogen; or Ar is LHS10,




embedded image


is RHS7, each R20 is hydrogen; or Ar is LHS10,




embedded image


is RHS8, each R20 is hydrogen; or Ar is LHS11,




embedded image


is RHS1, each R20 is hydrogen; or Ar is LHS11,




embedded image


is RHS2, each R20 is hydrogen; or Ar is LHS11,




embedded image


is RHS3, each R20 is hydrogen; or Ar is LHS11,




embedded image


is RHS4, each R20 is hydrogen; or Ar is LHS11,




embedded image


is RHS5, each R20 is hydrogen; or Ar is LHS11,




embedded image


is RHS6, each R20 is hydrogen; or Ar is LHS11,




embedded image


is RHS7, each R20 is hydrogen; or Ar is LHS11,




embedded image


is RHS1, each R20 is hydrogen; or Ar is LHS11,




embedded image


is RHS1, each R20 is hydrogen; or Ar is LHS12,




embedded image


is RHS2, each R20 is hydrogen; or Ar is LHS12,




embedded image


is RHS3, each R20 is hydrogen; or Ar is LHS12,




embedded image


is RHS4, each R20 is hydrogen; or Ar is LHS12,




embedded image


is RHS5, each R20 is hydrogen; or Ar is LHS12,




embedded image


is RHS6, each R20 is hydrogen; or Ar is LHS12,




embedded image


is RHS7, each R20 is hydrogen; or Ar is LHS12,




embedded image


is RHS8, each R20 is hydrogen; or Ar is LHS13,




embedded image


is RHS1, each R20 is hydrogen; or Ar is LHS13,




embedded image


is RHS2, each R20 is hydrogen; or Ar is LHS13,




embedded image


is RHS3, each R20 is hydrogen; or Ar is LHS13,




embedded image


is RHS4, each R20 is hydrogen; or Ar is LHS13,




embedded image


is RHS5, each R20 is hydrogen; or Ar is LHS13,




embedded image


is RHS6, each R20 is hydrogen; or Ar is LHS13,




embedded image


is RHS7, each R20 is hydrogen; or Ar is LHS13,




embedded image


is RHS8, each R20 is hydrogen; or Ar is LHS14,




embedded image


is RHS1, each R20 is hydrogen; or Ar is LHS14,




embedded image


is RHS2, each R20 is hydrogen; or Ar is LHS14,




embedded image


is RHS3, each R20 is hydrogen; or Ar is LHS14,




embedded image


is RHS4, each R20 is hydrogen; or Ar is LHS14,




embedded image


is RHS5, each R20 is hydrogen; or Ar is LHS14,




embedded image


is RHS6, each R20 is hydrogen; or Ar is LHS14,




embedded image


is RHS7, each R20 is hydrogen; or Ar is LHS14,




embedded image


is RHS8, each R20 is hydrogen; or Ar is LHS17,




embedded image


is RHS1, each R20 is hydrogen; or Ar is LHS17,




embedded image


is RHS2, each R20 is hydrogen; or Ar is LHS17,




embedded image


is RHS3, each R20 is hydrogen; or Ar is LHS17,




embedded image


is RHS4, each R20 is hydrogen; or Ar is LHS17,




embedded image


is RHS5, each R20 is hydrogen; or Ar is LHS17,




embedded image


is RHS6, each R20 is hydrogen; or Ar is LHS17,




embedded image


is RHS7, each R20 is hydrogen; or Ar is LHS17,




embedded image


is RHS8, each R20 is hydrogen; or Ar is LHS18,




embedded image


is RHS1, each R20 is hydrogen; or Ar is LHS18,




embedded image


is RHS2, each R20 is hydrogen; or Ar is LHS18,




embedded image


is RHS3, each R20 is hydrogen; or Ar is LHS18,




embedded image


is RHS4, each R20 is hydrogen; or Ar is LHS18,




embedded image


is RHS5, each R20 is hydrogen; or Ar is LHS18,




embedded image


is RHS6, each R20 is hydrogen; or Ar is LHS18,




embedded image


is RHS7, each R20 is hydrogen; or Ar is LHS18,




embedded image


is RHS8, each R20 is hydrogen; or Ar is LHS1,




embedded image


is RHS9, each R20 is hydrogen; or Ar is LHS1,




embedded image


is RHS10, each R20 is hydrogen; or Ar is LHS1,




embedded image


is RHS11, each R20 is hydrogen; or Ar is LHS1,




embedded image


is RHS12, each R20 is hydrogen; or Ar is LHS2,




embedded image


is RHS9, each R20 is hydrogen; or Ar is LHS2,




embedded image


is RHS10, each R20 is hydrogen; or Ar is LHS2,




embedded image


is RHS11, each R20 is hydrogen; or Ar is LHS2,




embedded image


is RHS12, each R20 is hydrogen; or Ar is LHS3,




embedded image


is RHS9, each R20 is hydrogen; or Ar is LHS3,




embedded image


is RHS10, each R20 is hydrogen; or Ar is LHS3,




embedded image


is RHS11, each R20 is hydrogen; or Ar is LHS3,




embedded image


is RHS12, each R20 is hydrogen; or Ar is LHS4,




embedded image


is RHS9, each R20 is hydrogen; or Ar is LHS4,




embedded image


is RHS10, each R20 is hydrogen; or Ar is LHS4,




embedded image


is RHS11, each R20 is hydrogen; or Ar is LHS4,




embedded image


is RHS12, each R20 is hydrogen; or Ar is LHS5,




embedded image


is RHS9, each R20 is hydrogen; or Ar is LHS5,




embedded image


is RHS10, each R20 is hydrogen; or Ar is LHS5,




embedded image


is RHS11, each R20 is hydrogen; or Ar is LHS5,




embedded image


is RHS12, each R20 is hydrogen; or Ar is LHS6,




embedded image


is RHS9, each R20 is hydrogen; or Ar is LHS6,




embedded image


is RHS10, each R20 is hydrogen; or Ar is LHS6,




embedded image


is RHS11, each R20 is hydrogen; or Ar is LHS6,




embedded image


is RHS12, each R20 is hydrogen; or Ar is LHS7,




embedded image


is RHS9, each R20 is hydrogen; or Ar is LHS7,




embedded image


is RHS10, each R20 is hydrogen; or Ar is LHS7,




embedded image


is RHS11, each R20 is hydrogen; or Ar is LHS7,




embedded image


is RHS12, each R20 is hydrogen; or Ar is LHS8,




embedded image


is RHS9, each R20 is hydrogen; or Ar is LHS8,




embedded image


is RHS10, each R20 is hydrogen; or Ar is LHS8,




embedded image


is RHS11, each R20 is hydrogen; or Ar is LHS8,




embedded image


is RHS12, each R20 is hydrogen; or Ar is LHS9,




embedded image


is RHS9, each R20 is hydrogen; or Ar is LHS9,




embedded image


is RHS10, each R20 is hydrogen; or Ar is LHS9,




embedded image


is RHS11, each R20 is hydrogen; or Ar is LHS9,




embedded image


is RHS12, each R20 is hydrogen; or Ar is LHS10,




embedded image


is RHS9, each R20 is hydrogen; or Ar is LHS10,




embedded image


is RHS10, each R20 is hydrogen; or Ar is LHS10,




embedded image


is RHS11, each R20 is hydrogen; or Ar is LHS10,




embedded image


is RHS12, each R20 is hydrogen; or Ar is LHS11,




embedded image


is RHS9, each R20 is hydrogen; or Ar is LHS11,




embedded image


is RHS10, each R20 is hydrogen; or Ar is LHS11,




embedded image


is RHS11, each R20 is hydrogen; or Ar is LHS11,




embedded image


is RHS12, each R20 is hydrogen; or Ar is LHS12,




embedded image


is RHS9, each R20 is hydrogen; or Ar is LHS12,




embedded image


is RHS10, each R20 is hydrogen; or Ar is LHS12,




embedded image


is RHS11, each R20 is hydrogen; or Ar is LHS12,




embedded image


is RHS12, each R20 is hydrogen; or Ar is LHS13,




embedded image


is RHS9, each R20 is hydrogen; or is LHS13,




embedded image


is RHS10, each R20 is hydrogen; or Ar is LHS13,




embedded image


is RHS11, each R20 is hydrogen; or Ar is LHS13,




embedded image


is RHS12, each R20 is hydrogen; or Ar is LHS14,




embedded image


is RHS9, each R20 is hydrogen; or Ar is LHS14,




embedded image


is RHS10, each R20 is hydrogen; or Ar is LHS14,




embedded image


is RHS11, each R20 is hydrogen; or Ar is LHS14,




embedded image


is RHS12, each R20 is hydrogen; or Ar is LHS17,




embedded image


is RHS9, each R20 is hydrogen; or Ar is LHS17,




embedded image


is RHS10, each R20 is hydrogen; or Ar is LHS17,




embedded image


is RHS11, each R20 is hydrogen; or Ar is LHS17,




embedded image


is RHS12, each R20 is hydrogen; or Ar is LHS18,




embedded image


is RHS9, each R20 is hydrogen; or Ar is LHS18,




embedded image


is RHS10, each R20 is hydrogen; or Ar is LHS18,




embedded image


is RHS11, each R20 is hydrogen; or Ar is LHS18,




embedded image


is RHS12, each R20 is hydrogen; or Ar is LHS19,




embedded image


is RHS1, each R20 is hydrogen; or Ar is LHS19,




embedded image


is RHS2, each R20 is hydrogen; or Ar is LHS19,




embedded image


is RHS3, each R20 is hydrogen; or Ar is LHS19,




embedded image


is RHS4, each R20 is hydrogen; or Ar is LHS19,




embedded image


is RHS5, each R20 is hydrogen; or Ar is LHS19,




embedded image


is RHS6, each R20 is hydrogen; or is LHS19,




embedded image


is RHS7, each R20 is hydrogen; or Ar is LHS19,




embedded image


is RHS8, each R20 is hydrogen; or Ar is LHS19,




embedded image


is RHS9, each R20 is hydrogen; or is LHS19,




embedded image


is RHS10, each R20 is hydrogen; or Ar is LHS19,




embedded image


is RHS11, each R20 is hydrogen; or Ar is LHS19,




embedded image


is RHS12, each R20 is hydrogen.


In some embodiments, the moiety




embedded image


is selected from the group consisting of:




embedded image


embedded image


In some embodiments of the compound of Formula A,


Ar is a heteroaryl group




embedded image


or an aryl or heteroaryl group




embedded image


X1 is O, S, N, CR41 or NR41;


X10 is O, S, N, CR10 or NR10;


X11 is O, S, N, CR1 or NR1;


X2 is O, S, N, CR42 or NR42;


X35 is N or CR35;


X21 is N or CR21;


X36 is N or CR36;


X4 is CR4, N or NR24;


each R20 is hydrogen;


Y is CR2;
Z is N or CR8;

R8 is selected from H, CN, Cl, F, C1-C6 alkyl, C1-C6 haloalkoxy, and C1-C6 haloalkyl;


R2 is hydrogen, C1-C6 alkoxy, halo, C1-C6 haloalkyl, C3-C7 cycloalkyl or C1-C6 alkyl optionally substituted with hydroxy;


R3 is hydrogen, C1-C6 alkoxy, halo, C1-C6 haloalkyl, C3-C7 cycloalkyl or C1-C6 alkyl optionally substituted with hydroxy;


R4 is hydrogen, C1-C6 alkoxy, halo, C1-C6 haloalkyl, C3-C7 cycloalkyl or C1-C6 alkyl optionally substituted with hydroxy;


R24 is absent and R5 is hydrogen, C1-C6 alkoxy, halo, C1-C6 haloalkyl, C3-C7 cycloalkyl or C1-C6 alkyl optionally substituted with hydroxy; or R2 and R3 taken together with the carbons connecting them form a four-membered to seven-membered ring A,


or R4 and R5 taken together with the carbons connecting them form a four-membered to seven-membered ring B,


or R2 and R3 taken together with the carbons connecting them form a four-membered to seven-membered ring A and R4 and R5 taken together with the carbons connecting them form a four-membered to seven-membered ring B,


wherein ring A is




embedded image


and ring B is




embedded image


wherein


each R6 in each ring is H;


each of R1, R10, R41 and R42 when bonded to carbon is independently selected from H, C1-C6 alkyl, C1-C6 haloalkyl, halo, C6-C10 aryl, C3-C7 cycloalkyl, S(O2)C1-C6 alkyl and 3- to 7-membered heterocycloalkyl, wherein the C1-C6 alkyl, C3-C7 cycloalkyl and 3- to 7-membered heterocycloalkyl is optionally substituted with one or more substituents each independently selected from hydroxy, oxo, C1-C6 alkoxy, and NR11R12;


and each of R1, R10, R41 and R42 when bonded to nitrogen is independently selected from H, C1-C6 alkyl, C1-C6 haloalkyl, C6-C10 aryl, C3-C7 cycloalkyl and 3- to 7-membered heterocycloalkyl, wherein the C1-C6 alkyl, C3-C7 cycloalkyl and 3- to 7-membered heterocycloalkyl is optionally substituted with one or more substituents each independently selected from hydroxy, oxo, C1-C6 alkoxy, and NR11R12;


or R1 and R10 taken together with the atoms connecting them form a 3-to-8-membered carbocyclic ring;


each of R34, R29, R35, R21 and R36 is independently selected from H, C1-C6 alkyl, C1-C6 haloalkyl, halo, C3-C7 cycloalkyl, 3- to 7-membered heterocycloalkyl, C6-C10 aryl, and S(O2)C1-C6 alkyl;


wherein the C1-C6 alkyl, C3-C7 cycloalkyl and 3- to 7-membered heterocycloalkyl is optionally substituted with one or more substituents each independently selected from hydroxy, oxo, C1-C6 alkoxy, C1-C6 alkyl, and NR11R12,


or two groups selected from R34, R29, R35, R21 and R36 that are on adjacent ring carbon atoms taken together with the adjacent ring carbons form a 6-membered aromatic ring;


each of R11 and R12 at each occurrence is hydrogen.


In some embodiments of the compound of Formula A or Formula I,


Ar is a heteroaryl group




embedded image


X1 is O, S, N, CR41 or NR41;


X10 is O, S, N, CR10 or NR10;


X11 is O, S, N, CR1 or NR1;


X2 is O, S, N, CR42 or NR42;


each of R1, R10, R41 and R42 when bonded to carbon is independently selected from H, C1-C6 alkyl, C1-C6 haloalkyl, halo, C6-C10 aryl, C3-C7 cycloalkyl, S(O2)C1-C6 alkyl and 3- to 7-membered heterocycloalkyl, wherein the C1-C6 alkyl, C3-C7 cycloalkyl and 3- to 7-membered heterocycloalkyl is optionally substituted with one or more substituents each independently selected from hydroxy, oxo, C1-C6 alkoxy, and NR11R12;


and each of R1, R0, R41 and R42 when bonded to nitrogen is independently selected from H, C1-C6 alkyl, C1-C6 haloalkyl, C6-C10 aryl, C3-C7 cycloalkyl and 3- to 7-membered heterocycloalkyl, wherein the C1-C6 alkyl, C3-C7 cycloalkyl and 3- to 7-membered heterocycloalkyl is optionally substituted with one or more substituents each independently selected from hydroxy, oxo, C1-C6 alkoxy, and NR11R12;


or R1 and R10 taken together with the atoms connecting them form a 3-to-8-membered carbocyclic ring.


In some embodiments of the compound of Formula A or Formula II,


Ar is an aryl or heteroaryl group




embedded image


X35 is N or CR35;


X21 is N or CR21;


X36 is N or CR36;


each of R34, R29, R35, R21 and R36 is independently selected from H, C1-C6 alkyl, C1-C6 haloalkyl, halo, C3-C7 cycloalkyl, 3- to 7-membered heterocycloalkyl, C6-C10 aryl, and S(O2)C1-C6 alkyl;


wherein the C1-C6 alkyl, C3-C7 cycloalkyl and 3- to 7-membered heterocycloalkyl is optionally substituted with one or more substituents each independently selected from hydroxy, oxo, C1-C6 alkoxy, C1-C6 alkyl, and NR11R12,


or two groups selected from R34, R29, R35, R21 and R36 that are on adjacent ring carbon atoms taken together with the adjacent ring carbons form a 6-membered aromatic ring.


In some embodiments of the compound of Formula A or I,


Ar is a heteroaryl group




embedded image


wherein


X1 is O, S, N or CH;

X10 is N, CR10 or NR10;


X11 is N, CR1 or NR1;


X2 is O, S, N or CH;

each of R1 and R10 when bonded to carbon is independently selected from H, C1-C6 alkyl, C6-C10 aryl, S(O2)C1-C6 alkyl and C3-C7 cycloalkyl, wherein the C1-C6 alkyl and C3-C7 cycloalkyl is optionally substituted with one or more substituents each independently selected from hydroxy, oxo, C1-C6 alkoxy, and NR11R12;


and each of R1, R10 when bonded to nitrogen is independently selected from H, C1-C6 alkyl, C6-C10 aryl, and C3-C7 cycloalkyl, wherein the C1-C6 alkyl and C3-C7 cycloalkyl is optionally substituted with one or more substituents each independently selected from hydroxy and C1-C6 alkoxy;


R8 is selected from H, CN, Cl, F, C1-C6 alkyl, C1-C6 alkoxy, C1-C6 haloalkoxy, and C1-C6 haloalkyl;


R2 is hydrogen, C1-C6 haloalkyl, C3-C7 cycloalkyl or C1-C6 alkyl;


R3 is hydrogen or halo;


R4 is hydrogen, C1-C6 haloalkyl, C3-C7 cycloalkyl or C1-C6 alkyl;


R5 is hydrogen or halo.


In some embodiments, the compound of formula I is a compound of formula Ia




embedded image


wherein


X10 is N or CR10; and X2 is O, S, or NR42 or


X10 is N; and X2 is O; or


X10 is N; and X2 is S; or


X10 is CR10; and X2 is O; or


X10 is CR10; and X2 is S; or


X10 is CH; and X2 is O; or


X10 is CH; and X2 is S.


In some embodiments, the compound of formula I is a compound of formula Ib




embedded image


wherein


X1 is O, S, or NR41; and


X2 is N or CR42.


In some embodiments of the compound of formula Ib


X1 is O; and X2 is N; or


X1 is S; and X2 is N; or


X1 is O; and X2 is CR42; or


X1 is S; and X2 is CR42; or


X1 is O; and X2 is CH; or


X1 is S; and X2 is CH; or


X1 is S; and X2 is CCH3.


In some embodiments of the compound of formula A, I, Ia or Ib, R1 is C1-C6 alkyl optionally substituted with hydroxy; or R10 is C1-C6 alkyl optionally substituted with hydroxy; or R1 is 2-hydroxy-2-propyl; or R10 is 2-hydroxy-2-propyl; or R1 is C3-C7 cycloalkyl optionally substituted with hydroxy; or R10 is C3-C7 cycloalkyl optionally substituted with hydroxy; or R1 is 1-hydroxy-1-cyclopropyl; or R10 is 1-hydroxy-1-cyclopropyl; or R41 is C1-C6 alkyl optionally substituted with hydroxy; or R42 is C1-C6 alkyl optionally substituted with hydroxy; or R41 is 2-hydroxy-2-propyl; or R42 is 2-hydroxy-2-propyl; or R41 is C3-C7 cycloalkyl optionally substituted with hydroxy; or R42 is C3-C7 cycloalkyl optionally substituted with hydroxy; or R41 is 1-hydroxy-1-cyclopropyl; or R42 is 1-hydroxy-1-cyclopropyl; or R1 is C1-C6 alkyl optionally substituted with NR11R12, wherein each of R11 and R12 is independently selected from hydrogen and C1-C6 alkyl; or R1 is aminomethyl; or R1 is methylaminomethyl; or R1 is dimethylaminomethyl; or R1 is C1-C6 alkyl optionally substituted with NR11R12, wherein R11 and R12 taken together with the nitrogen they are attached to form a 3- to 7-membered ring optionally containing one or more heteroatoms in addition to the nitrogen they are attached to; or R1 is S(O2)C1-C6 alkyl; or R1 is S(O2)CH3; or


R10 is C1-C6 alkyl optionally substituted with NR11R12, wherein each of R11 and R12 is independently selected from hydrogen and C1-C6 alkyl; or R10 is aminomethyl; or R10 is methylaminomethyl; or R10 is dimethylaminomethyl; or R10 is C1-C6 alkyl optionally substituted with NR11R12, wherein R11 and R12 taken together with the nitrogen they are attached to form a 3- to 7-membered ring optionally containing one or more heteroatoms in addition to the nitrogen they are attached to; or R10 is S(O2)C1-C6 alkyl; or R10 is S(O2)CH3; or R41 is C1-C6 alkyl optionally substituted with NR11R12, wherein each of R11 and R12 is independently selected from hydrogen and C1-C6 alkyl; or R41 is aminomethyl; or R41 is methylaminomethyl; or R41 is dimethylaminomethyl; R41 is C1-C6 alkyl optionally substituted with NR11R12, wherein R11 and R12 taken together with the nitrogen they are attached to form a 3- to 7-membered ring optionally containing one or more heteroatoms in addition to the nitrogen they are attached to; or R41 is S(O2)C1-C6 alkyl, or R41 is S(O2)CH3; or R42 is C1-C6 alkyl optionally substituted with NR11R12, wherein each of R11 and R12 is independently selected from hydrogen and C1-C6 alkyl; or R42 is aminomethyl; or R42 is methylaminomethyl; or R42 is dimethylaminomethyl; or R42 is C1-C6 alkyl optionally substituted with NR11R12, wherein R11 and R12 taken together with the nitrogen they are attached to form a 3- to 7-membered ring optionally containing one or more heteroatoms in addition to the nitrogen they are attached to; or R42 is S(O2)C1-C6 alkyl; or R42 is S(O2)CH3.


In some embodiments of the compound of Formula A or II,


Ar is an aryl or heteroaryl group




embedded image


X35 is CR35;


X21 is N or CR21;


X36 is CR36;


each of R34, R29, R35, R21 and R36 is independently selected from H, C1-C6 alkyl, halo, C3-C7 cycloalkyl, 3- to 7-membered nonaromatic monocyclic heterocycloalkyl, C6-C10 aryl, and S(O2)C1-C6 alkyl;


wherein the C1-C6 alkyl, 3- to 7-membered nonaromatic monocyclic heterocycloalkyl, and C3-C7 cycloalkyl is optionally substituted with one or more substituents each independently selected from hydroxyl, C1-C6 alkyl, oxo, NR11R12, and 3- to 7-membered heterocycloalkyl, R8 is selected from H, CN, Cl, F, C1-C6 alkyl, C1-C6 alkoxy, C1-C6 haloalkoxy, and C1-C6 haloalkyl;


R2 is hydrogen, C1-C6 haloalkyl, C3-C7 cycloalkyl or C1-C6 alkyl;


R3 is hydrogen or halo;


R4 is hydrogen, C1-C6 haloalkyl, C3-C7 cycloalkyl or C1-C6 alkyl;


R5 is hydrogen or halo.


In some embodiments of the compound of formula A or II, R35 is 2-hydroxy-2-propyl; or R21 is 2-hydroxy-2-propyl; or R29 is 2-hydroxy-2-propyl; or R35 is 1-hydroxy-1-cyclopropyl.


In some embodiments of the compound of formula A or II, R21 is 1-hydroxy-1-cyclopropyl; or


R29 is 1-hydroxy-1-cyclopropyl; or R35 is C1-C6 alkyl optionally substituted with NR11R12, wherein each of R11 and R12 is independently selected from hydrogen and C1-C6 alkyl; or R35 is aminomethyl; or R35 is methylaminomethyl; or R35 is dimethylaminomethyl; or R35 is C1-C6 alkyl optionally substituted with NR11R12, wherein R11 and R12 taken together with the nitrogen they are attached to form a 3- to 7-membered ring optionally containing one or more heteroatoms in addition to the nitrogen they are attached to; or R35 is S(O2)C1-C6 alkyl;


or R35 is S(O2)CH3; or R21 is C1-C6 alkyl optionally substituted with NR11R12, wherein each of R11 and R12 is independently selected from hydrogen and C1-C6 alkyl; or R21 is aminomethyl; or


R21 is methylaminomethyl; or R21 is dimethylaminomethyl; or R21 is C1-C6 alkyl optionally substituted with NR11R1, wherein R11 and R12 taken together with the nitrogen they are attached to form a 3- to 7-membered ring optionally containing one or more heteroatoms in addition to the nitrogen they are attached to; or R21 is S(O2)C1-C6 alkyl; or R21 is S(O2)CH3; or R29 is C1-C6 alkyl optionally substituted with NR11R12, wherein each of R11 and R12 is independently selected from hydrogen and C1-C6 alkyl; or R29 is aminomethyl; or R29 is methylaminomethyl; or R29 is dimethylaminomethyl; or R29 is C1-C6 alkyl optionally substituted with NR11R12, wherein R11 and R12 taken together with the nitrogen they are attached to form a 3- to 7-membered ring optionally containing one or more heteroatoms in addition to the nitrogen they are attached to; or R29 is S(O2)C1-C6 alkyl; or R29 is S(O2)CH3; or R35 is 5-membered nonaromatic monocyclic heterocycloalkyl optionally substituted with C1-C6 alkyl; or R35 is 6-membered nonaromatic monocyclic heterocycloalkyl optionally substituted with C1-C6 alkyl; or R35 is 7-membered nonaromatic monocyclic heterocycloalkyl optionally substituted with C1-C6 alkyl; or R29 is 5-membered nonaromatic monocyclic heterocycloalkyl optionally substituted with C1-C6 alkyl; or


R29 is 6-membered nonaromatic monocyclic heterocycloalkyl optionally substituted with C1-C6 alkyl; or R29 is 7-membered nonaromatic monocyclic heterocycloalkyl optionally substituted with C1-C6 alkyl; or R21 is 5-membered nonaromatic monocyclic heterocycloalkyl optionally substituted with C1-C6 alkyl; or R21 is 6-membered nonaromatic monocyclic heterocycloalkyl optionally substituted with C1-C6 alkyl; or R21 is 7-membered nonaromatic monocyclic heterocycloalkyl optionally substituted with C1-C6 alkyl; or R35 is 1,3-dioxolan-2-yl; or R21 is 1,3-dioxolan-2-yl; or R29 is 1,3-dioxolan-2-yl; or R35 is 2-methyl-1,3-dioxolan-2-yl; or R21 is 2-methyl-1,3-dioxolan-2-yl; or R29 is 2-methyl-1,3-dioxolan-2-yl; or R35 is S(O2)C1-C6 alkyl; or


R21 is S(O2)C1-C6 alkyl; or R29 is S(O2)C1-C6 alkyl; or R35 is S(O2)CH3; or R21 is S(O2)CH3; or


R29 is S(O2)CH3; or R29 is C1-C6 alkyl; or R35 is C1-C6 alkyl; or R21 is C1-C6 alkyl; or R34 is C1-C6 alkyl; or R36 is C1-C6 alkyl; or R29 is CH3; or R35 is CH3; or R21 is CH3; or R34 is CH3; or R36 is CH3; or R29 is halo; or R35 is halo; or R21 is halo; or R34 is halo; or R36 is halo.


In some embodiments, provided herein is a compound of Formula III




embedded image


or a pharmaceutically acceptable salt thereof, wherein:


X1 is O, S, or NH;

X2 is N or CR9;


X3 is CH2;


or X3 and R2 taken together with the atoms connecting them form a four-to-seven-membered carbocyclic ring optionally substituted with one or more R16;


or X3 and R4 taken together with the atoms connecting them form a four-to-seven-membered carbocyclic ring optionally substituted with one or more R16;


Z is N or CR8;

R8 is selected from H, CN, Cl, F, CO2C1-C6 alkyl, CO2C3-C8 cycloalkyl, CONR11R12, C1-C6 alkyl, and C1-C6 haloalkyl;


R9 is selected from H, CN, Cl, F, CO2C1-C6 alkyl, CO2C3-C8 cycloalkyl, CONR11R12, C1-C6 alkyl, and C1-C6 haloalkyl;


R2 is hydrogen, C1-C6 alkoxy, halo, C1-C6 haloalkyl, or C1-C6 alkyl optionally substituted with hydroxy;


R3 is hydrogen, C1-C6 alkoxy, halo, C1-C6 haloalkyl, or C1-C6 alkyl optionally substituted with hydroxy;


R4 is hydrogen, C1-C6 alkoxy, halo, C1-C6 haloalkyl, or C1-C6 alkyl optionally substituted with hydroxy;


R5 is hydrogen, C1-C6 alkoxy, halo, C1-C6 haloalkyl, or C1-C6 alkyl optionally substituted with hydroxy;


provided that at least one of R2, R3, R4 and R5 is not hydrogen, and that R2 and R4 are not both hydroxymethyl;


or R2 and R3 taken together with the carbons connecting them form a four-membered to seven-membered ring A,


or R4 and R5 taken together with the carbons connecting them form a four-membered to seven-membered ring B,


or R2 and R3 taken together with the carbons connecting them form a four-membered to seven-membered ring A and R4 and R5 taken together with the carbons connecting them form a four-membered to seven-membered ring B,


wherein ring A is




embedded image


and ring B is




embedded image


wherein


ring A is a carbocyclic ring or a heterocyclic ring containing 1 or 2 heteroatoms independently selected from O, N, and S;


n1 is from 2 to 5;


m1 is from 1 to 10;


wherein ring B is a carbocyclic ring or a heterocyclic ring containing 1 or 2 heteroatoms independently selected from O, N, and S;


n2 is from 2 to 5;


m2 is from 1 to 10;


wherein each R6 in each ring is the same or different and is selected from H, C1-C6 alkyl, C1-C6 alkoxy, NR11R11, oxo, and ═NR13;


or two R6 taken together with the atom or atoms connecting them form a 3-to-8-membered carbocyclic or saturated heterocyclic ring containing 1 or 2 heteroatoms independently selected from O, N, and S;


R1 is selected from H, C1-C6 alkyl, C3-C6 cycloalkyl and C3-C6 heterocycloalkyl;


wherein R1 is optionally substituted with one or more substituents each independently selected from hydroxy, oxo, C1-C6 alkoxy, NR11R12, ═NR13, COOC1-C6 alkyl, and CONR11R12;


R10 is selected from H, C1-C6 alkyl, C3-C6 cycloalkyl and C3-C6 heterocycloalkyl;


wherein R10 is optionally substituted with one or more substituents each independently selected from hydroxy, oxo, C1-C6 alkoxy, NR11R12, ═NR13, COOC1-C6 alkyl, and CONR11R12; or R1 and R10 taken together with the atoms connecting them form a 3-to-8-membered carbocyclic or heterocyclic ring containing 1 or 2 heteroatoms independently selected from O, N, and S, wherein the ring is optionally substituted with one or more substituents each independently selected from hydroxy, oxo, C1-C6 alkoxy, NR11R12, ═NR13, COOC1-C6 alkyl, and CONR11R12;


R13 is C1-C6 alkyl;


each of R11 and R12 at each occurrence is independently selected from hydrogen, C1-C6 alkyl, CO2R15 and CONR17R18;


R15 is C1-C6 alkyl;


each of R17 and R18 at each occurrence is independently selected from hydrogen and C1-C6 alkyl;


each R16 is the same or different and is selected from H, C1-C6 alkyl, C1-C6 alkoxy, NR11R12, oxo, and ═NR13.


In some embodiments, provided herein is a compound of Formula III:




embedded image


or a pharmaceutically acceptable salt thereof, wherein:


X1 is O, S, or NH;

X2 is N or CR9;


X3 is CH2;


Z is N or CR8;

R8 is selected from H, CN, Cl, F, CO2C1-C6 alkyl and CONH2;


R9 is selected from H and C1-C6 alkyl;


R2 is hydrogen or C1-C6 alkyl optionally substituted with hydroxy;


R3 is hydrogen or C1-C6 alkyl optionally substituted with hydroxy;


R4 is hydrogen or C1-C6 alkyl optionally substituted with hydroxy and is the same as R2;


R5 is hydrogen or C1-C6 alkyl optionally substituted with hydroxy and is the same as R3;


provided that at least one of R2, R3, R4 and R5 is not hydrogen, and that R2 and R4 are not both hydroxymethyl;


or R2 and R3 taken together with the carbons connecting them form a five-membered ring A and R4 and R5 taken together with the carbons connecting them form a five-membered ring B,


wherein ring A is




embedded image


and ring B is




embedded image


wherein each R6 in each ring is the same and is H or C1-C6 alkyl, and each R7 in each ring is the same and is H or C1-C6 alkyl;


R1 is selected from H, C1-C6 alkyl and C3-C6 cycloalkyl, wherein R1 is optionally substituted with one or more substituents each independently selected from hydroxy, amino and oxo;


R10 is selected from H, C1-C6 alkyl and C3-C6 cycloalkyl, wherein R10 is optionally substituted with one or more substituents each independently selected from hydroxy, amino and oxo;


or R1 and R10 taken together with the atoms connecting them form a five-membered, a six-membered, or a seven-membered carbocyclic or heterocyclic ring.


In some embodiments, provided herein is a compound of Formula III:




embedded image


or a pharmaceutically acceptable salt thereof, wherein:


X1 is O, S, or NH;

X2 is N or CR9;


X3 is CH2;


Z is N or CR8;

R8 is selected from H, CN, Cl, F, CO2C1-C6 alkyl and CONH2;


R9 is selected from H and C1-C6 alkyl;


R2 is hydrogen or C1-C6 alkyl optionally substituted with hydroxy;


R3 is hydrogen or C1-C6 alkyl optionally substituted with hydroxy;


R4 is hydrogen or C1-C6 alkyl optionally substituted with hydroxy and is the same as R2;


R5 is hydrogen or C1-C6 alkyl optionally substituted with hydroxy and is the same as R3;


or R2 and R3 taken together with the carbons connecting them form a five-membered ring A and R4 and R5 taken together with the carbons connecting them form a five-membered ring B,


wherein ring A is




embedded image


and ring B is




embedded image


wherein each R6 in each ring is the same and is H or C1-C6 alkyl, and each R7 in each ring is the same and is H or C1-C6 alkyl;


R1 is selected from H, C1-C6 alkyl and C3-C6 cycloalkyl, wherein R1 is optionally substituted with one or more substituents each independently selected from hydroxy, amino and oxo;


R10 is selected from H, C1-C6 alkyl and C3-C6 cycloalkyl, wherein R10 is optionally substituted with one or more substituents each independently selected from hydroxy, amino and oxo;


or R1 and R10 taken together with the atoms connecting them form a five-membered, a six-membered, or a seven-membered carbocyclic or heterocyclic ring. =.


In some embodiments, the compound of Formula III is a compound of Formula IIIa




embedded image


or a pharmaceutically acceptable salt thereof, wherein:


X1 is O, S, or NH;

X3 is CH2;


or X3 and R2 taken together with the atoms connecting them form a four-to-seven-membered carbocyclic ring optionally substituted with one or more R16;


or X3 and R4 taken together with the atoms connecting them form a four-to-seven-membered carbocyclic ring optionally substituted with one or more R16;


Z is N or CR8;

R8 is selected from H, CN, Cl, F, CO2C1-C6 alkyl and CONH2;


R2 is hydrogen, C1-C6 alkoxy, halo, C1-C6 haloalkyl, or C1-C6 alkyl optionally substituted with hydroxy;


R3 is hydrogen, C1-C6 alkoxy, halo, C1-C6 haloalkyl, or C1-C6 alkyl optionally substituted with hydroxy;


R4 is hydrogen, C1-C6 alkoxy, halo, C1-C6 haloalkyl, or C1-C6 alkyl optionally substituted with hydroxy;


R5 is hydrogen, C1-C6 alkoxy, halo, C1-C6 haloalkyl, or C1-C6 alkyl optionally substituted with hydroxy;


provided that at least one of R2, R3, R4 and R5 is not hydrogen, and that R2 and R4 are not both hydroxymethyl;


or R2 and R3 taken together with the carbons connecting them form a four-membered to seven-membered ring A,


or R4 and R5 taken together with the carbons connecting them form a four-membered to seven-membered ring B,


or R2 and R3 taken together with the carbons connecting them form a four-membered to seven-membered ring A and R4 and R5 taken together with the carbons connecting them form a four-membered to seven-membered ring B,


wherein ring A is




embedded image


and ring B is




embedded image


wherein


ring A is a carbocyclic ring or a heterocyclic ring containing 1 or 2 heteroatoms independently selected from O, N, and S;


n1 is from 2 to 5;


m1 is from 1 to 10;


wherein ring B is a carbocyclic ring or a heterocyclic ring containing 1 or 2 heteroatoms independently selected from O, N, and S;


n2 is from 2 to 5;


m2 is from 1 to 10;


wherein each R6 in each ring is the same or different and is selected from H, C1-C6 alkyl, C1-C6 alkoxy, NR11R12, oxo, and ═NR13;


or two R6 taken together with the atom or atoms connecting them form a 3-to-8-membered carbocyclic or saturated heterocyclic ring containing 1 or 2 heteroatoms independently selected from O, N, and S;


R1 is selected from H, C1-C6 alkyl and C3-C6 cycloalkyl, wherein R1 is optionally substituted with hydroxy, amino or oxo;


R10 is selected from H, C1-C6 alkyl and C3-C6 cycloalkyl, wherein R10 is optionally substituted with hydroxy, amino or oxo;


wherein R10 is optionally substituted with one or more substituents each independently selected from hydroxy, oxo, C1-C6 alkoxy, NR11R12, ═NR13, COOC1-C6 alkyl, and CONR11R12;


or R1 and R10 taken together with the atoms connecting them form a 3-to-8-membered carbocyclic or heterocyclic ring containing 1 or 2 heteroatoms independently selected from O, N, and S, wherein the ring is optionally substituted with one or more substituents each independently selected from hydroxy, oxo, C1-C6 alkoxy, NR11R12, ═NR13, COOC1-C6 alkyl, and CONR11R12;


R13 is C1-C6 alkyl;


each of R11 and R12 at each occurrence is independently selected from hydrogen, C1-C6 alkyl, CO2R15 and CONR17R18;


R15 is C1-C6 alkyl;


each of R17 and R18 at each occurrence is independently selected from hydrogen and C1-C6 alkyl;


each R16 is the same or different and is selected from H, C1-C6 alkyl, C1-C6 alkoxy, NR11R12, oxo, and ═NR13.


In some embodiments, the compound of Formula III is a compound of Formula IIIa




embedded image


or a pharmaceutically acceptable salt thereof,


wherein


X1 is O, S, or NH;

X3 is CH2;


or X3 and R2 taken together with the atoms connecting them form a four-to-seven-membered carbocyclic ring optionally substituted with one or more R16;


or X3 and R4 taken together with the atoms connecting them form a four-to-seven-membered carbocyclic ring optionally substituted with one or more R16;


Z is N or CR8;

R8 is selected from H, CN, Cl, F, CO2C1-C6 alkyl and CONH2;


R2 is hydrogen or C1-C6 alkyl optionally substituted with hydroxy;


R3 is hydrogen or C1-C6 alkyl optionally substituted with hydroxy;


R4 is hydrogen or C1-C6 alkyl optionally substituted with hydroxy and is the same as R2;


R5 is hydrogen or C1-C6 alkyl optionally substituted with hydroxy and is the same as R3;


provided that at least one of R2, R3, R4 and R5 is not hydrogen, and that R2 and R4 are not both hydroxymethyl;


or R2 and R3 taken together with the carbons connecting them form a five-membered ring A and R4 and R5 taken together with the carbons connecting them form a five-membered ring B,


wherein ring A is




embedded image


and ring B is




embedded image


wherein each R6 in each ring is the same and is H or C1-C6 alkyl, and each R7 in each ring is the same and is H or C1-C6 alkyl;


R1 is selected from H, C1-C6 alkyl and C3-C6 cycloalkyl, wherein R1 is optionally substituted with one or more substituents each independently selected from hydroxy, amino and oxo;


R10 is selected from H, C1-C6 alkyl and C3-C6 cycloalkyl, wherein R10 is optionally substituted with one or more substituents each independently selected from hydroxy, amino and oxo;


or R1 and R10 taken together with the atoms connecting them form a five-membered, a six-membered, or a seven-membered carbocyclic or heterocyclic ring.


In some embodiments, the compound of Formula IIIa is a compound of Formula IIIa-i:




embedded image


or a pharmaceutically acceptable salt thereof,


wherein:


X3 is NB, 0 or CH2;


Z is N or CR8;

R8 is selected from H, CN, Cl, F, CO2C1-C6 alkyl and CONH2;


R2 is C1-C6 alkoxy, halo, C1-C6 haloalkyl, or C1-C6 alkyl optionally substituted with hydroxy;


R3 is hydrogen;


R4 is C1-C6 alkoxy, halo, C1-C6 haloalkyl, or C1-C6 alkyl optionally substituted with hydroxy;


R5 is hydrogen;


R1 is selected from H, C1-C6 alkyl and C3-C6 cycloalkyl, wherein R1 is optionally substituted with hydroxy, amino or oxo;


R10 is selected from H, Ci-C alkyl and C3-C6 cycloalkyl, wherein R10 is optionally substituted with hydroxy, amino or oxo;


or R1 and R10 taken together with the atoms connecting them form a five-membered, a six-membered, or a seven-membered carbocyclic or heterocyclic ring.


In some embodiments, the compound of Formula IIIa is a compound of Formula IIIa-i:




embedded image


or a pharmaceutically acceptable salt thereof,


wherein:


X3 is NH, 0 or CH2;


Z is N or CR8;

R8 is selected from H, CN, Cl, F, CO2C1-C6 alkyl and CONH2;


R3 is C1-C6 alkoxy, halo, C1-C6 haloalkyl, or C1-C6 alkyl optionally substituted with hydroxy;


R2 is hydrogen;


R5 is C1-C6 alkoxy, halo, C1-C6 haloalkyl, or C1-C6 alkyl optionally substituted with hydroxy;


R4 is hydrogen;


R1 is selected from H, C1-C6 alkyl and C3-C6 cycloalkyl, wherein R1 is optionally substituted with hydroxy, amino or oxo;


R10 is selected from H, C1-C6 alkyl and C3-C6 cycloalkyl, wherein R10 is optionally substituted with hydroxy, amino or oxo;


or R1 and R10 taken together with the atoms connecting them form a five-membered, a six-membered, or a seven-membered carbocyclic or heterocyclic ring.


In some embodiments, the compound of Formula IIIa is a compound of Formula IIIa-i:




embedded image


or a pharmaceutically acceptable salt thereof,


wherein:


X3 is NH, 0 or CH2;


Z is N or CR8;

R8 is selected from H, CN, Cl, F, CO2C1-C6 alkyl and CONH2;


R2 and R3 taken together with the carbons connecting them form a four-membered to seven-membered ring A and R4 and R5 taken together with the carbons connecting them form a four-membered to seven-membered ring B,


wherein ring A is




embedded image


and ring B is




embedded image


wherein


ring A is a carbocyclic ring or a heterocyclic ring containing 1 or 2 heteroatoms independently selected from O, N, and S;


n1 is from 2 to 5;


m1 is from 1 to 10;


wherein ring B is a carbocyclic ring or a heterocyclic ring containing 1 or 2 heteroatoms independently selected from O, N, and S;


n2 is from 2 to 5;


m2 is from 1 to 10;


wherein each R6 in each ring is the same or different and is selected from H, C1-C6 alkyl, C1-C6 alkoxy, NR11R11, oxo, and ═NR3;


or two R6 taken together with the atom or atoms connecting them form a 3-to-8-membered carbocyclic or saturated heterocyclic ring containing 1 or 2 heteroatoms independently selected from O, N, and S;


R1 is selected from H, C1-C6 alkyl and C3-C6 cycloalkyl, wherein R1 is optionally substituted with hydroxy, amino or oxo;


R10 is selected from H, C1-C6 alkyl and C3-C6 cycloalkyl, wherein R10 is optionally substituted with hydroxy, amino or oxo;


or R1 and R10 taken together with the atoms connecting them form a five-membered, a six-membered, or a seven-membered carbocyclic or heterocyclic ring.


In some embodiments, the compound of Formula III is a compound of Formula IIIa-ii




embedded image


or a pharmaceutically acceptable salt thereof.


In some embodiments, the compound of Formula III is a compound of Formula IIIa-iii




embedded image


or a pharmaceutically acceptable salt thereof.


In some embodiments of the compound of Formulae IIIa, IIa-i, oIa-ii, IIIa-iii, and IiIb, R1 is C1-C6 alkyl or C3-C6 cycloalkyl, wherein R1 is optionally substituted with one or more substituents each independently selected from hydroxy, amino and oxo. In some embodiments of the compound of Formulae IIIa, IIIa-i, IIIa-i, IIIa-iii, and IIIb, R1 is C1-C6 alkyl optionally substituted with one or more hydroxy. In some embodiments of the compound of Formulae IIIa, IIIa-i, IIIa-ii, IIIa-iii, and IIIb, R1 is C1-C6 alkyl substituted with hydroxy. In some embodiments, the hydroxy is at the carbon of R1 directly bonded to the five-membered heteroaryl ring in Formulae IIIa, IIIa-i, IIIa-ii, IIIa-iii, and IIIb. In some embodiments of the compound of Formulae IIIa, IIIa-i, IIIa-ii, IIIa-iii, and IIIb, R1 is 2-hydroxy-2-propyl.


In some embodiments of the compound of Formulae IIIa, IIIa-i, IIIa-ii, IlIa-iii, and IIc, R10 is C1-C6 alkyl or C3-C6 cycloalkyl, wherein R10 is optionally substituted with one or more substituents each independently selected from hydroxy, amino and oxo. In some embodiments of the compound of Formulae IIIa, IIIa-i, IIIa-ii, IIIa-iii, and IIIc, R10 is C1-C6 alkyl optionally substituted with one or more hydroxy. In some embodiments of the compound of Formulae IIIa, IIIa-i, IIIa-ii, IIIa-iii, and IIIc, R10 is C1-C6 alkyl substituted with hydroxy. In some embodiments, the hydroxy is at the carbon of R10 directly bonded to the five-membered heteroaryl ring in Formulae IIIa, IIIa-i, IIIa-ii, IIIa-iii, and IIIc. In some embodiments of the compound of Formulae IIIa, IIIa-i, IIIa-ii, IIIa-iii, and IIIc, R10 is 2-hydroxy-2-propyl.


In some embodiments of the compound of Formulae IIIa, IIIa-i, IIIa-ii, and IIIa-iii, R1 and R10 taken together with the atoms connecting them form a 3-to-8-membered carbocyclic or heterocyclic ring containing 1 or 2 heteroatoms independently selected from O, N, and S, wherein the ring is optionally substituted with one or more substituents each independently selected from hydroxy, oxo, C1-C6 alkoxy, NR11R12, ═NR13, COOC1-C6 alkyl, and CONR11R12; In some embodiments of the compound of Formulae IIIa, IIIa-i, IIIa-ii, and IIIa-iii, R1 and R10 taken together with the atoms connecting them form a five-membered carbocyclic ring.


In some embodiments of the compound of Formulae IIIa, IIIa-i, IIIa-ii, and IIIa-iii, R1 and R10 taken together with the atoms connecting them form a six-membered carbocyclic ring. In some embodiments of the compound of Formulae IIIa, IIIa-i, IIIa-ii, and IIIa-iii, R1 and R10 taken together with the atoms connecting them form a five-membered heterocyclic ring containing 1 or 2 heteroatoms independently selected from O, N, and S. In some embodiments of the compound of Formulae IIIa, IIIa-i, IIIa-ii, and IIIa-iii, R1 and R10 taken together with the atoms connecting them form a five-membered heterocyclic ring containing 1 or 2 heteroatoms independently selected from O, N, and S.


In some embodiments of the compound of Formulae IIIa, IIIa-i, IIIa-ii, and IIIa-iii, ring A is a carbocyclic ring and n1 is 3; or ring A is a carbocyclic ring and n1 is 4; or ring A is a heterocyclic ring containing 1 or 2 heteroatoms independently selected from O, N, and S and n1 is 3; or ring A is a heterocyclic ring containing 1 or 2 heteroatoms independently selected from O, N, and S and n1 is 4; or ring B is a carbocyclic ring and n2 is 3; or ring B is a carbocyclic ring and n2 is 4; or ring B is a heterocyclic ring containing 1 or 2 heteroatoms independently selected from O, N, and S and n2 is 3; or ring B is a heterocyclic ring containing 1 or 2 heteroatoms independently selected from O, N, and S and n2 is 4.


In some embodiments, the compound of Formula III is a compound of Formula IIIb




embedded image


or a compound of Formula IIIc




embedded image


or


or a pharmaceutically acceptable salt thereof, respectively.


In some embodiments, provided herein is a compound of Formula IV




embedded image


or a pharmaceutically acceptable salt thereof, wherein:


X3 is CH2;


or X3 and R2 taken together with the atoms connecting them form a four-to-seven-membered carbocyclic ring optionally substituted with one or more R16;


or X3 and R4 taken together with the atoms connecting them form a four-to-seven-membered carbocyclic ring optionally substituted with one or more R16;


Z is N or CR8;

R8 is selected from H, CN, Cl, F, CO2C1-C6 alkyl, CO2C3-C8 cycloalkyl, CONR11R12, C1-C6 alkyl, and C1-C6 haloalkyl;


R2 is hydrogen, C1-C6 alkoxy, halo, C1-C6 haloalkyl, or C1-C6 alkyl optionally substituted with hydroxy;


R3 is hydrogen, C1-C6 alkoxy, halo, C1-C6 haloalkyl, or C1-C6 alkyl optionally substituted with hydroxy;


R4 is hydrogen, C1-C6 alkoxy, halo, C1-C6 haloalkyl, or C1-C6 alkyl optionally substituted with hydroxy;


R5 is hydrogen, C1-C6 alkoxy, halo, C1-C6 haloalkyl, or C1-C6 alkyl optionally substituted with hydroxy;


provided that at least one of R2, R3, R4 and R5 is not hydrogen, and that R2 and R4 are not both hydroxymethyl;


or R2 and R3 taken together with the carbons connecting them form a four-membered to seven-membered ring A,


or R4 and R5 taken together with the carbons connecting them form a four-membered to seven-membered ring B,


or R2 and R3 taken together with the carbons connecting them form a four-membered to seven-membered ring A and R4 and R5 taken together with the carbons connecting them form a four-membered to seven-membered ring B,


wherein ring A is




embedded image


and ring B is




embedded image


wherein


ring A is a carbocyclic ring or a heterocyclic ring containing 1 or 2 heteroatoms independently selected from O, N, and S;


n1 is from 2 to 5;


m1 is from 1 to 10;


wherein ring B is a carbocyclic ring or a heterocyclic ring containing 1 or 2 heteroatoms independently selected from O, N, and S;


n2 is from 2 to 5;


m2 is from 1 to 10;


wherein each R6 in each ring is the same or different and is selected from H, C1-C6 alkyl, C1-C6 alkoxy, NR11R12, oxo, and ═NR13;


or two R6 taken together with the atom or atoms connecting them form a 3-to-8-membered carbocyclic or saturated heterocyclic ring containing 1 or 2 heteroatoms independently selected from O, N, and S;


R31 is selected from H, CN, Cl, or F;


R14 is selected from H, CN, Cl, or F;


R19 is selected from C1-C6 alkyl, C(R20)2OH, C(R20)2NR11R12, C3-C6 cycloalkyl and C3-C6 heterocycloalkyl;


wherein, when R19 is C1-C6 alkyl, C3-C6 cycloalkyl or C3-C6 heterocycloalkyl, R19 is optionally substituted with one or more substituents each independently selected from ═NR13, COOC1-C6 alkyl, and CONR11R12;


each R20 is the same and is H or C1-C6 alkyl;


or two R20 taken together with the carbon connecting them form a three-to-eight-membered heterocyclic ring containing 1 or 2 heteroatoms independently selected from O, N, and S, or a three-membered, six-membered, seven-membered, or eight-membered carbocyclic ring, wherein the heterocyclic ring or carbocyclic ring is optionally substituted with one or more substituents each independently selected from H, C1-C6 alkyl, C1-C6 alkoxy, NR11R12, oxo, and ═NR13;


R13 is C1-C6 alkyl;


each of R11 and R12 at each occurrence is independently selected from hydrogen, C1-C6 alkyl, CO2R15 and CONR17R8;


R15 is C1-C6 alkyl;


each of R7 and R18 at each occurrence is independently selected from hydrogen and C1-C6 alkyl;


each R16 is the same or different and is selected from H, C1-C6 alkyl, C1-C6 alkoxy, NR11R12, oxo, and ═NR13.


In some embodiments, provided herein is a compound of Formula IV




embedded image


or a pharmaceutically acceptable salt thereof, wherein:


X3 is CH2;


or X3 and R2 taken together with the atoms connecting them form a four-to-seven-membered carbocyclic ring optionally substituted with one or more R16;


Z is N or CR8;

R8 is selected from H, CN, Cl, F, CO2C1-C6 alkyl, CO2C3-C8 cycloalkyl, CONR11R12, C1-C6 alkyl, and C1-C6 haloalkyl;


R2 is hydrogen, C1-C6 alkoxy, halo, C1-C6 haloalkyl, or C1-C6 alkyl optionally substituted with hydroxy;


R3 is hydrogen, C1-C6 alkoxy, halo, C1-C6 haloalkyl, or C1-C6 alkyl optionally substituted with hydroxy;


R4 is hydrogen, C1-C6 alkoxy, halo, C1-C6 haloalkyl, or C1-C6 alkyl optionally substituted with hydroxy;


R5 is hydrogen, C1-C6 alkoxy, halo, C1-C6 haloalkyl, or C1-C6 alkyl optionally substituted with hydroxy;


provided that at least one of R2, R3, R4 and R5 is not hydrogen, and that R2 and R4 are not both hydroxymethyl;


or R2 and R3 taken together with the carbons connecting them form a four-membered to seven-membered ring A,


or R4 and R5 taken together with the carbons connecting them form a four-membered to seven-membered ring B,


or R2 and R3 taken together with the carbons connecting them form a four-membered to seven-membered ring A and R4 and R5 taken together with the carbons connecting them form a four-membered to seven-membered ring B,


wherein ring A is




embedded image


and ring B is




embedded image


wherein


ring A is a carbocyclic ring or a heterocyclic ring containing 1 or 2 heteroatoms independently selected from O, N, and S;


n1 is from 2 to 5;


m1 is from 1 to 10;


wherein ring B is a carbocyclic ring or a heterocyclic ring containing 1 or 2 heteroatoms independently selected from O, N, and S;


n2 is from 2 to 5;


m2 is from 1 to 10;


wherein each R6 in each ring is the same or different and is selected from H, C1-C6 alkyl, C1-C6 alkoxy, NR11R11, oxo, and ═NR3;


or two R6 taken together with the atom or atoms connecting them form a 3-to-8-membered carbocyclic or saturated heterocyclic ring containing 1 or 2 heteroatoms independently selected from O, N, and S;


R31 is selected from H, CN, Cl, or F;


R14 is selected from H, CN, Cl, or F;


R19 is selected from C1-C6 alkyl, C(R20)2OH, C(R20)2NR11R12, C3-C6 cycloalkyl and C3-C6 heterocycloalkyl;


wherein, when R19 is C1-C6 alkyl, C3-C6 cycloalkyl or C3-C6 heterocycloalkyl, R19 is optionally substituted with one or more substituents each independently selected from ═NR13, COOC1-C6 alkyl, and CONR11R12;


each R20 is the same and is H or C1-C6 alkyl;


R13 is C1-C6 alkyl;


each of R11 and R12 at each occurrence is independently selected from hydrogen, C1-C6 alkyl, CO2R15 and CONR17R18;


R15 is C1-C6 alkyl;


each of R17 and R18 at each occurrence is independently selected from hydrogen and C1-C6 alkyl;


each R16 is the same or different and is selected from H, C1-C6 alkyl, C1-C6 alkoxy, NR11R12, oxo, and ═NR13.


In some embodiments, provided herein is a compound of Formula IV




embedded image


or a pharmaceutically acceptable salt thereof, wherein:


X3 is CH2;


Z is N or CR8;

R8 is selected from H, CN, Cl, F, CO2C1-C6 alkyl, CO2C3-C8 cycloalkyl, CONR11R12, C1-C6 alkyl, and C1-C6 haloalkyl;


R2 is hydrogen, C1-C6 alkoxy, halo, C1-C6 haloalkyl, or C1-C6 alkyl optionally substituted with hydroxy;


R3 is hydrogen, C1-C6 alkoxy, halo, C1-C6 haloalkyl, or C1-C6 alkyl optionally substituted with hydroxy;


R4 is hydrogen, C1-C6 alkoxy, halo, C1-C6 haloalkyl, or C1-C6 alkyl optionally substituted with hydroxy;


R5 is hydrogen, C1-C6 alkoxy, halo, C1-C6 haloalkyl, or C1-C6 alkyl optionally substituted with hydroxy;


provided that at least one of R2, R3, R4 and R5 is not hydrogen, and that R2 and R4 are not both hydroxymethyl;


or R2 and R3 taken together with the carbons connecting them form a four-membered to seven-membered ring A,


or R4 and R5 taken together with the carbons connecting them form a four-membered to seven-membered ring B,


or R2 and R3 taken together with the carbons connecting them form a four-membered to seven-membered ring A and R4 and R5 taken together with the carbons connecting them form a four-membered to seven-membered ring B,


wherein ring A is




embedded image


and ring B is




embedded image


wherein


ring A is a carbocyclic ring or a heterocyclic ring containing 1 or 2 heteroatoms independently selected from O, N, and S;


n1 is from 2 to 5;


m1 is from 1 to 10;


wherein ring B is a carbocyclic ring or a heterocyclic ring containing 1 or 2 heteroatoms independently selected from O, N, and S;


n2 is from 2 to 5;


m2 is from 1 to 10;


wherein each R6 in each ring is the same or different and is selected from H, C1-C6 alkyl, C1-C6 alkoxy, NR11R11, oxo, and ═NR13;


or two R6 taken together with the atom or atoms connecting them form a 3-to-8-membered carbocyclic or saturated heterocyclic ring containing 1 or 2 heteroatoms independently selected from O, N, and S;


R31 is selected from H, CN, Cl, or F;


R14 is selected from H, CN, Cl, or F;


R19 is selected from C1-C6 alkyl, C(R20)2OH, C(R20)2NR11R12, C3-C6 cycloalkyl and C3-C6 heterocycloalkyl;


wherein, when R19 is C1-C6 alkyl, C3-C6 cycloalkyl or C3-C6 heterocycloalkyl, R19 is optionally substituted with one or more substituents each independently selected from ═NR13, COOC1-C6 alkyl, and CONR11R12;


each R20 is the same and is H or C1-C6 alkyl;


each of R11, R12 and R13 at each occurrence is independently selected from hydrogen and C1-C6 alkyl.


In some embodiments, provided herein is a compound of Formula IVa




embedded image


or a pharmaceutically acceptable salt thereof, wherein:


X3 is CH2;


Z is N or CR8;

R8 is selected from H, CN, Cl, F, CO2C1-C6 alkyl and CONH2;


R2 is hydrogen or C1-C6 alkyl optionally substituted with hydroxy;


R3 is hydrogen or C1-C6 alkyl optionally substituted with hydroxy;


R4 is hydrogen or C1-C6 alkyl optionally substituted with hydroxy and is the same as R2;


R5 is hydrogen or C1-C6 alkyl optionally substituted with hydroxy and is the same as R3;


provided that at least one of R2, R3, R4 and R5 is not hydrogen, and that R2 and R4 are not both hydroxymethyl;


or R2 and R3 taken together with the carbons connecting them form a five-membered ring A and R4 and R5 taken together with the carbons connecting them form a five-membered ring B,


wherein ring A is




embedded image


and ring B is




embedded image


wherein each R6 in each ring is the same and is H or C1-C6 alkyl, and each R7 in each ring is the same and is H or C1-C6 alkyl;


R31 is selected from H, CN, Cl, or F;


R14 is selected from H, CN, Cl, or F;


each R20 is the same and is selected from H and C1-C6 alkyl.


In some embodiments, provided herein is a compound of Formula IVa




embedded image


or a pharmaceutically acceptable salt thereof, wherein:


X3 is CH2;


Z is N or CR8;

R8 is selected from H, CN, Cl, F, CO2C1-C6 alkyl and CONH2;


R2 is hydrogen or C1-C6 alkyl optionally substituted with hydroxy;


R3 is hydrogen or C1-C6 alkyl optionally substituted with hydroxy;


R4 is hydrogen or C1-C6 alkyl optionally substituted with hydroxy and is the same as R2;


R5 is hydrogen or C1-C6 alkyl optionally substituted with hydroxy and is the same as R3;


provided that at least one of R2, R3, R4 and R5 is not hydrogen, and that R2 and R4 are not both hydroxymethyl;


or R2 and R3 taken together with the carbons connecting them form a five-membered ring A and R4 and R5 taken together with the carbons connecting them form a five-membered ring B,


wherein ring A is




embedded image


and ring B is




embedded image


wherein each R6 in each ring is the same and is H or C1-C6 alkyl, and each R7 in each ring is the same and is H or C1-C6 alkyl;


R1 is selected from H, CN, Cl, or F;


R14 is selected from H, CN, Cl, or F;


each R20 is the same and is selected from H and C1-C6 alkyl.


The Group X3

In some embodiments of one or more formulae herein, X3 is CH2; or X3 and R2 taken together with the atoms connecting them form a four-to-seven-membered carbocyclic ring optionally substituted with one or more R16; or X3 and R4 taken together with the atoms connecting them form a four-to-seven-membered carbocyclic ring optionally substituted with one or more R16; or X3 and R2 taken together with the atoms connecting them form a four-to-seven-membered ring C of the formula




embedded image


wherein q1 is 0, 1, 2 or 3; A1 is CH; A2 is CH2; and ring C is optionally substituted with 1 to 8 R16.


In some embodiments of ring C, A1 is CH and the CH has (R) stereochemistry; or A1 is CH and the CH has (S) stereochemistry; or R16 is H.


The Group R16





    • In some embodiments of one or more formulae herein, R16 is hydrogen.; or R16 is C1-C6 alkyl; or

    • In some embodiments of one or more formulae herein, R16 is C1-C6 alkoxy; or R16 is NR11R12; or R16 is oxo; or R16 is C1═NR13.





Non-Limiting Combinations

In some embodiments of one or more formulae herein, R2 is C1-C6 alkyl (e.g., isopropyl), halo (e.g., chloro), or C3-C7 cycloalkyl (e.g., cyclopropyl); R3 is hydrogen, halo (e.g., fluoro), or C1-C6 alkyl (e.g., isopropyl or methyl); R8 is hydrogen, halo (e.g., chloro or fluoro), CN, or C1-C6 haloalkyl (e.g., difluoromethyl); R5 is hydrogen or halo (e.g., fluoro); R4 is halo (e.g., chloro), C1-C6 alkyl (e.g., isopropyl), or C3-C7 cycloalkyl (e.g., cyclopropyl);


or R2 and R3 taken together with the carbons connecting them form a five-membered ring A,


or R4 and R5 taken together with the carbons connecting them form a five-membered ring B,


or R2 and R3 taken together with the carbons connecting them form a five-membered ring A; and R4 and R5 taken together with the carbons connecting them form a five-membered ring B,


wherein ring A is




embedded image


and ring B is




embedded image


wherein


ring A is a carbocyclic ring;


n1 is 3;


m1 is 6;


wherein ring B is a carbocyclic ring;


n2 is 3;


m2 is 6;


wherein each R6 in each ring is the same or different and is selected from H or C1-C6 alkyl (e.g., methyl).


In some embodiments of one or more formulae herein, Y is CR2, X4 is CR4, and Z is N.


In some embodiments of one or more formulae herein, R2 is C1-C6 alkyl (e.g., isopropyl) or halo (e.g., chloro); R3 is hydrogen or C1-C6 alkyl (e.g., isopropyl); R5 is hydrogen or halo (e.g., fluoro); R4 is C1-C6 alkyl (e.g., isopropyl);


or R2 and R3 taken together with the carbons connecting them form a five-membered ring A,


or R4 and R5 taken together with the carbons connecting them form a five-membered ring B,


or R2 and R3 taken together with the carbons connecting them form a five-membered ring A; and R4 and R5 taken together with the carbons connecting them form a five-membered ring B,


wherein ring A is




embedded image


and ring B is




embedded image


wherein


ring A is a carbocyclic ring;


n1 is 3;


m1 is 6;


wherein ring B is a carbocyclic ring;


n2 is 3;


m2 is 6;


wherein each R6 in each ring is the same or different and is selected from H or C1-C6 alkyl (e.g., methyl).


Additional Features of the Embodiments Herein

In some embodiments of one or more formulae herein, the compound is not a compound selected from the group consisting of those mentioned under Proviso (P1) above.


In some embodiments of one or more formulae herein, the compound is not a compound selected from the group consisting of the compounds disclosed in Table 1A and Table 1B.


In some embodiments of one or more formulae herein, the compound is not a compound disclosed in Smith, W. E. et. al. J. Med. Chem. 2016, 59(8), 4342-4351.; or is not a compound disclosed in Ammazzalorso, A. et. al. Synth. Commun. 2015, 2546-2554; or is not a compound disclosed in Shen, S. et. al. Org. Biomol. Chem. 2015, 13(40), 10205-10211; or is not a compound disclosed in Yavari, I. et. al. Synlett. 2014, 25(7), 959-960; or is not a compound disclosed in CN 103159674; or is not a compound disclosed in Luo, Y. et. al. Bioorg. Med. Chem. Lett. 2011, 19(20), 6069-6076; or is not a compound disclosed in Raushel, J. et. al. Org. Lett. 2010, 14(23), 6012-6015; or is not a compound disclosed in Smith, W. E. et. al. J. Med. Chem. 2016, 59(8), 4342-4351; Ammazzalorso, A. et. al. Synth. Commun. 2015, 2546-2554; Shen, S. et. al. Org. Biomol. Chem. 2015, 13(40), 10205-10211; Yavari, I. et. al. Synlett. 2014, 25(7), 959-960; CN 103159674; Luo, Y. et. al. Bioorg. Med. Chem. Lett. 2011, 19(20), 6069-6076; and Raushel, J. et. al. Org. Lett. 2010, 14(23), 6012-6015; or is not a compound from two or more or all disclosures mentioned in the present paragraph.


In one embodiment, provided herein is a combination of a compound of any preceding embodiment, for use in the treatment or the prevention of a condition mediated by TNF-α, in a patient in need thereof, wherein the compound is administered to said patient at a therapeutically effective amount. Preferably, the subject is resistant to treatment with an anti-TNFα agent. Preferably, the condition is a gut disease or disorder.


In one embodiment, provided herein is a pharmaceutical composition of comprising a compound of any preceding embodiment, and an anti-TNFα agent disclosed herein. Preferably wherein the anti-TNFα agent is Infliximab, Etanercept, Certolizumab pegol, Golimumab or Adalimumab, more preferably wherein the anti-TNFα agent is Adalimumab.


In one embodiment, provided herein is a pharmaceutical combination of a compound of any preceding embodiment, and an anti-TNFα agent Preferably wherein the anti-TNFα agent is Infliximab, Etanercept, Certolizumab pegol, Golimumab or Adalimumab, more preferably wherein the anti-TNFα agent is Adalimumab.


In one embodiment, the present invention relates to an NLRP3 antagonist for use in the treatment or the prevention of a condition mediated by TNF-α, in particular a gut disease or disorder, in a patient in need thereof, wherein the NLRP3 antagonist is administered to said patient at a therapeutically effective amount.


In one embodiment, the present invention relates to an NLRP3 antagonist for use in the treatment or the prevention of a condition, in particular a gut disease or disorder, in a patient in need thereof wherein the NLRP3 antagonist is administered to said patient at a therapeutically effective amount.


In one embodiment, the present invention relates to an NLRP3 antagonist for use in the treatment, stabilization or lessening the severity or progression of gut disease or disorder, in a patient in need thereof wherein the NLRP3 antagonist is administered to said patient at a therapeutically effective amount.


In one embodiment, the present invention relates to an NLRP3 antagonist for use in the slowing, arresting, or reducing the development of a gut disease or disorder, in a patient in need thereof wherein the NLRP3 antagonist is administered to said patient at a therapeutically effective amount.


In one embodiment, the present invention relates to an NLRP3 antagonist for use according to above listed embodiments wherein the NLRP3 antagonist is a gut-targeted NLRP3 antagonist.


In one embodiment, the present invention relates ton NLRP3 antagonist for use according to any of the above embodiments, wherein the gut disease is IBD.


In one embodiment, the present invention relates to an NLRP3 antagonist for use according to any of the above embodiments, wherein the gut disease is Ulcerative Colitis (UC) or Crohn's Disease (CD).


In one embodiment, the present invention relates to a method for the treatment or the prevention of a condition mediated by TNF-α, in particular a gut disease or disorder, in a patient in need thereof, comprising administering to said patient a therapeutically effective amount of a gut-targeted NLRP3 antagonist.


In one embodiment, the present invention relates to a method for the treatment or the prevention of a condition, in particular a gut disease or disorder, in a patient in need thereof, comprising administering to said patient a therapeutically effective amount of a gut-targeted NLRP3 antagonist.


In one embodiment, the present invention relates to a method for the treatment, stabilization or lessening the severity or progression of gut disease or disorder, in a patient in need thereof comprising administering to said patient a therapeutically effective amount of a gut-targeted NLRP3 antagonist.


In one embodiment, the present invention relates to a method for slowing, arresting, or reducing the development of a gut disease or disorder, in a patient in need thereof comprising administering to said patient a therapeutically effective amount of a gut-targeted NLRP3 antagonist.


In one embodiment, the present invention relates to a method according to any of the above embodiments, wherein the gut disease is IBD.


In one embodiment, the present invention relates to a method according to any of the above embodiments x to xx, wherein the gut disease is UC or CD.


Unless otherwise indicated, when a disclosed compound is named or depicted by a structure without specifying the stereochemistry and has one or more chiral centers, it is understood to represent all possible stereoisomers of the compound.


It is understood that the combination of variables in the formulae herein is such that the compounds are stable.


In some embodiments, provided herein is a compound selected from the group consisting of the compounds in Table 1A below:











TABLE 1A






Com-




pound
Structure








101


embedded image








102


embedded image








103


embedded image








104


embedded image








105


embedded image








106


embedded image








107


embedded image








108


embedded image








109


embedded image








110


embedded image








111


embedded image








112


embedded image








113


embedded image








114


embedded image








115


embedded image








116


embedded image








117


embedded image








118


embedded image








119


embedded image








120


embedded image








121


embedded image








122


embedded image








123


embedded image








124


embedded image








125


embedded image








126


embedded image











and pharmaceutically acceptable salts thereof.


In some embodiments, provided herein is a compound selected from the group consisting of the compounds in Table 1B below:










TABLE 1B







140


embedded image







141


embedded image







142


embedded image







143


embedded image







144


embedded image







145


embedded image







146


embedded image







147


embedded image







148


embedded image







149


embedded image







150


embedded image







151


embedded image







152


embedded image







153


embedded image







154


embedded image







155


embedded image







156


embedded image







157


embedded image







158


embedded image







159


embedded image







160


embedded image







161


embedded image







162


embedded image







163


embedded image







164


embedded image







165


embedded image







166


embedded image







167


embedded image







168


embedded image







169


embedded image







170


embedded image







171


embedded image







172


embedded image







173


embedded image







174


embedded image







175


embedded image







176


embedded image







177


embedded image







178


embedded image







179


embedded image







180


embedded image







181


embedded image







182


embedded image







183


embedded image







184


embedded image







185


embedded image







186


embedded image







187


embedded image







188


embedded image







189


embedded image







190


embedded image







191


embedded image







192


embedded image







193


embedded image







194


embedded image







195


embedded image







196


embedded image







197


embedded image







198


embedded image







199


embedded image







200


embedded image







201


embedded image







202


embedded image







203


embedded image







204


embedded image







205


embedded image







206


embedded image







207


embedded image







208


embedded image







209


embedded image







210


embedded image







211


embedded image







212


embedded image







213


embedded image







214


embedded image







215


embedded image







216


embedded image







217


embedded image







218


embedded image







219


embedded image











and pharmaceutically acceptable salts thereof.


In some embodiments, provided herein is a compound selected from the group consisting of compounds 127-212 above.


In some embodiments, provided herein is a compound selected from the group consisting of compounds 127-215 above.


In some embodiments, provided herein is a compound selected from the group consisting of the compounds below:










TABLE 1C







301


embedded image







302


embedded image







303


embedded image







304


embedded image







305


embedded image







306


embedded image







307


embedded image







308


embedded image







309


embedded image







310


embedded image







311


embedded image







312


embedded image







313


embedded image







314


embedded image







315


embedded image







316


embedded image







317


embedded image







318


embedded image







319


embedded image







320


embedded image







321


embedded image







322


embedded image







323


embedded image







324


embedded image







325


embedded image







326


embedded image







327


embedded image







328


embedded image







329


embedded image







330


embedded image







331


embedded image







332


embedded image







333


embedded image







334


embedded image







335


embedded image







336


embedded image







337


embedded image







338


embedded image







339


embedded image







340


embedded image







341


embedded image







342


embedded image







343


embedded image







344


embedded image







345


embedded image







346


embedded image







347


embedded image







348


embedded image







349


embedded image







350


embedded image







351


embedded image







352


embedded image







353


embedded image







354


embedded image







355


embedded image







356


embedded image







357


embedded image







358


embedded image







359


embedded image







360


embedded image







361


embedded image







362


embedded image







363


embedded image







364


embedded image







365


embedded image







366


embedded image







367


embedded image







368


embedded image







369


embedded image







370


embedded image







371


embedded image







372


embedded image







373


embedded image







374


embedded image







375


embedded image







376


embedded image







377


embedded image







378


embedded image







379


embedded image







380


embedded image







381


embedded image







382


embedded image







383


embedded image







384


embedded image







385


embedded image







386


embedded image







387


embedded image







388


embedded image







389


embedded image







390


embedded image







391


embedded image







392


embedded image







393


embedded image







394


embedded image







395


embedded image











and pharmaceutically acceptable salts thereof.


In some embodiments, provided herein is a compound that is not a compound selected from compounds 101 to 126.


In some embodiments, provided herein is a compound that is not a compound selected from compounds 127 to 215.


In some embodiments, provided herein is a compound selected from the group consisting of the compounds in Table 1D:










TABLE 1D







401


embedded image







402


embedded image







403


embedded image







404


embedded image







405


embedded image







406


embedded image







407


embedded image







408


embedded image







409


embedded image







410


embedded image







411


embedded image







412


embedded image







413


embedded image







414


embedded image







415


embedded image







416


embedded image







417


embedded image







418


embedded image







419


embedded image







420


embedded image







421


embedded image







422


embedded image







423


embedded image












In one embodiment, provided herein is a pharmaceutical composition of comprising a compound of Table 1A, 1B, 1C and 1D, and an anti-TNFα agent disclosed herein. Preferably wherein the anti-TNFα agent is Infliximab, Etanercept, Certolizumab pegol, Golimumab or Adalimumab, more preferably wherein the anti-TNFα agent is Adalimumab.


In one embodiment, provided herein is a pharmaceutical combination of a compound of Table 1A, 1B, 1C and 1D, and an anti-TNFα agent Preferably wherein the anti-TNFα agent is Infliximab, Etanercept, Certolizumab pegol, Golimumab or Adalimumab, more preferably wherein the anti-TNFα agent is Adalimumab.


Pharmaceutical Compositions and Administration


General


In some embodiments, a chemical entity (e.g., a compound that modulates (e.g., antagonizes) NLRP1 or NLRP3 or both NLRP1 and NLRP3, or a pharmaceutically acceptable salt, and/or hydrate, and/or cocrystal, and/or drug combination thereof) is administered as a pharmaceutical composition that includes the chemical entity and one or more pharmaceutically acceptable excipients, and optionally one or more additional therapeutic agents as described herein.


In some embodiments, the chemical entities can be administered in combination with one or more conventional pharmaceutical excipients. Pharmaceutically acceptable excipients include, but are not limited to, ion exchangers, alumina, aluminum stearate, lecithin, self-emulsifying drug delivery systems (SEDDS) such as d-a-tocopherol polyethylene glycol 1000 succinate, surfactants used in pharmaceutical dosage forms such as Tweens, poloxamers or other similar polymeric delivery matrices, serum proteins, such as human serum albumin, buffer substances such as phosphates, tris, glycine, sorbic acid, potassium sorbate, partial glyceride mixtures of saturated vegetable fatty acids, water, salts or electrolytes, such as protamine sulfate, disodium hydrogen phosphate, potassium hydrogen phosphate, sodium-chloride, zinc salts, colloidal silica, magnesium trisilicate, polyvinyl pyrrolidone, cellulose-based substances, polyethylene glycol, sodium carboxymethyl cellulose, polyacrylates, waxes, polyethylene-polyoxypropylene-block polymers, and wool fat. Cyclodextrins such as α-, β, and γ-cyclodextrin, or chemically modified derivatives such as hydroxyalkylcyclodextrins, including 2- and 3-hydroxypropyl-β-cyclodextrins, or other solubilized derivatives can also be used to enhance delivery of compounds described herein. Dosage forms or compositions containing a chemical entity as described herein in the range of 0.005% to 100% with the balance made up from non-toxic excipient may be prepared. The contemplated compositions may contain 0.001%-100% of a chemical entity provided herein, in one embodiment 0.1-95%, in another embodiment 75-85%, in a further embodiment 20-80%. Actual methods of preparing such dosage forms are known, or will be apparent, to those skilled in this art; for example, see Remington: The Science and Practice of Pharmacy, 22nd Edition (Pharmaceutical Press, London, U K. 2012).


In some embodiments, an NLRP3 antagonist and/or an anti-TNFα agent disclosed herein is administered as a pharmaceutical composition that includes the NLRP3 antagonist and/or anti-TNFα agent and one or more pharmaceutically acceptable excipients, and optionally one or more additional therapeutic agents as described herein. Preferably the pharmaceutical composition that includes an NLRP3 antagonist and an anti-TNFα agent.


Preferably the above pharmaceutical composition embodiments comprise an NLRP3 antagonist disclosed herein. More preferably the above pharmaceutical composition embodiments comprise an NLRP3 antagonist and an anti-TNFα agent disclosed herein.


In some embodiments, an NLRP3 antagonist and/or an anti-TNFα agent is administered as a pharmaceutical composition that includes the NLRP3 antagonist and/or anti-TNFα agent and one or more pharmaceutically acceptable excipients, and optionally one or more additional therapeutic agents as described herein.


Routes of Administration and Composition Components


In some embodiments, the chemical entities described herein or a pharmaceutical composition thereof can be administered to subject in need thereof by any accepted route of administration. Acceptable routes of administration include, but are not limited to, buccal, cutaneous, endocervical, endosinusial, endotracheal, enteral, epidural, interstitial, intra-abdominal, intra-arterial, intrabronchial, intrabursal, intracerebral, intracisternal, intracoronary, intradermal, intraductal, intraduodenal, intradural, intraepidermal, intraesophageal, intragastric, intragingival, intraileal, intralymphatic, intramedullary, intrameningeal, intramuscular, intraovarian, intraperitoneal, intraprostatic, intrapulmonary, intrasinal, intraspinal, intrasynovial, intratesticular, intrathecal, intratubular, intratumoral, intrauterine, intravascular, intravenous, nasal, nasogastric, oral, parenteral, percutaneous, peridural, rectal, respiratory (inhalation), subcutaneous, sublingual, submucosal, topical, transdermal, transmucosal, transtracheal, ureteral, urethral and vaginal. In certain embodiments, a preferred route of administration is parenteral (e.g., intratumoral).


Compositions can be formulated for parenteral administration, e.g., formulated for injection via the intravenous, intramuscular, sub-cutaneous, or even intraperitoneal routes. Typically, such compositions can be prepared as injectables, either as liquid solutions or suspensions; solid forms suitable for use to prepare solutions or suspensions upon the addition of a liquid prior to injection can also be prepared; and the preparations can also be emulsified. The preparation of such formulations will be known to those of skill in the art in light of the present disclosure.


The pharmaceutical forms suitable for injectable use include sterile aqueous solutions or dispersions; formulations including sesame oil, peanut oil, or aqueous propylene glycol; and sterile powders for the extemporaneous preparation of sterile injectable solutions or dispersions. In all cases the form must be sterile and must be fluid to the extent that it may be easily injected. It also should be stable under the conditions of manufacture and storage and must be preserved against the contaminating action of microorganisms, such as bacteria and fungi.


The carrier also can be a solvent or dispersion medium containing, for example, water, ethanol, polyol (for example, glycerol, propylene glycol, and liquid polyethylene glycol, and the like), suitable mixtures thereof, and vegetable oils. The proper fluidity can be maintained, for example, by the use of a coating, such as lecithin, by the maintenance of the required particle size in the case of dispersion, and by the use of surfactants. The prevention of the action of microorganisms can be brought about by various antibacterial and antifungal agents, for example, parabens, chlorobutanol, phenol, sorbic acid, thimerosal, and the like. In many cases, it will be preferable to include isotonic agents, for example, sugars or sodium chloride. Prolonged absorption of the injectable compositions can be brought about by the use in the compositions of agents delaying absorption, for example, aluminum monostearate and gelatin.


Sterile injectable solutions are prepared by incorporating the active compounds in the required amount in the appropriate solvent with various of the other ingredients enumerated above, as required, followed by filtered sterilization. Generally, dispersions are prepared by incorporating the various sterilized active ingredients into a sterile vehicle which contains the basic dispersion medium and the required other ingredients from those enumerated above. In the case of sterile powders for the preparation of sterile injectable solutions, the preferred methods of preparation are vacuum-drying and freeze-drying techniques, which yield a powder of the active ingredient, plus any additional desired ingredient from a previously sterile-filtered solution thereof.


Intratumoral injections are discussed, e.g., in Lammers, et al., “Effect of Intratumoral Injection on the Biodistribution and the Therapeutic Potential of HPMA Copolymer-Based Drug Delivery Systems” Neoplasia. 2006, 10, 788-795.


Pharmacologically acceptable excipients usable in the rectal composition as a gel, cream, enema, or rectal suppository, include, without limitation, any one or more of cocoa butter glycerides, synthetic polymers such as polyvinylpyrrolidone, PEG (like PEG ointments), glycerine, glycerinated gelatin, hydrogenated vegetable oils, poloxamers, mixtures of polyethylene glycols of various molecular weights and fatty acid esters of polyethylene glycol Vaseline, anhydrous lanolin, shark liver oil, sodium saccharinate, menthol, sweet almond oil, sorbitol, sodium benzoate, anoxid SBN, vanilla essential oil, aerosol, parabens in phenoxyethanol, sodium methyl p-oxybenzoate, sodium propyl p-oxybenzoate, diethylamine, carbomers, carbopol, methyloxybenzoate, macrogol cetostearyl ether, cocoyl caprylocaprate, isopropyl alcohol, propylene glycol, liquid paraffin, xanthan gum, carboxy-metabisulfite, sodium edetate, sodium benzoate, potassium metabisulfite, grapefruit seed extract, methyl sulfonyl methane (MSM), lactic acid, glycine, vitamins, such as vitamin A and E and potassium acetate.


In certain embodiments, suppositories can be prepared by mixing the chemical entities described herein with suitable non-irritating excipients or carriers such as cocoa butter, polyethylene glycol or a suppository wax which are solid at ambient temperature but liquid at body temperature and therefore melt in the rectum and release the active compound. In other embodiments, compositions for rectal administration are in the form of an enema.


In other embodiments, the compounds described herein or a pharmaceutical composition thereof are suitable for local delivery to the digestive or GI tract by way of oral administration (e.g., solid or liquid dosage forms.).


Solid dosage forms for oral administration include capsules, tablets, pills, powders, and granules. In such solid dosage forms, the chemical entity is mixed with one or more pharmaceutically acceptable excipients, such as sodium citrate or dicalcium phosphate and/or: a) fillers or extenders such as starches, lactose, sucrose, glucose, mannitol, and silicic acid, b) binders such as, for example, carboxymethylcellulose, alginates, gelatin, polyvinylpyrrolidinone, sucrose, and acacia, c) humectants such as glycerol, d) disintegrating agents such as agar-agar, calcium carbonate, potato or tapioca starch, alginic acid, certain silicates, and sodium carbonate, e) solution retarding agents such as paraffin, f) absorption accelerators such as quaternary ammonium compounds, g) wetting agents such as, for example, cetyl alcohol and glycerol monostearate, h) absorbents such as kaolin and bentonite clay, and i) lubricants such as talc, calcium stearate, magnesium stearate, solid polyethylene glycols, sodium lauryl sulfate, and mixtures thereof. In the case of capsules, tablets and pills, the dosage form may also comprise buffering agents. Solid compositions of a similar type may also be employed as fillers in soft and hard-filled gelatin capsules using such excipients as lactose or milk sugar as well as high molecular weight polyethylene glycols and the like.


In one embodiment, the compositions will take the form of a unit dosage form such as a pill or tablet and thus the composition may contain, along with a chemical entity provided herein, a diluent such as lactose, sucrose, dicalcium phosphate, or the like; a lubricant such as magnesium stearate or the like; and a binder such as starch, gum acacia, polyvinylpyrrolidine, gelatin, cellulose, cellulose derivatives or the like. In another solid dosage form, a powder, marume, solution or suspension (e.g., in propylene carbonate, vegetable oils, PEG's, poloxamer 124 or triglycerides) is encapsulated in a capsule (gelatin or cellulose base capsule). Unit dosage forms in which one or more chemical entities provided herein or additional active agents are physically separated are also contemplated; e.g., capsules with granules (or tablets in a capsule) of each drug; two-layer tablets; two-compartment gel caps, etc. Enteric coated or delayed release oral dosage forms are also contemplated.


Other physiologically acceptable compounds include wetting agents, emulsifying agents, dispersing agents or preservatives that are particularly useful for preventing the growth or action of microorganisms. Various preservatives are well known and include, for example, phenol and ascorbic acid.


In certain embodiments the excipients are sterile and generally free of undesirable matter. These compositions can be sterilized by conventional, well-known sterilization techniques. For various oral dosage form excipients such as tablets and capsules sterility is not required. The USP/NF standard is usually sufficient.


In certain embodiments, solid oral dosage forms can further include one or more components that chemically and/or structurally predispose the composition for delivery of the chemical entity to the stomach or the lower GI; e.g., the ascending colon and/or transverse colon and/or distal colon and/or small bowel. Exemplary formulation techniques are described in, e.g., Filipski, K. J., et al., Current Topics in Medicinal Chemistry, 2013, 13, 776-802, which is incorporated herein by reference in its entirety.


Examples include upper-GI targeting techniques, e.g., Accordion Pill (Intec Pharma), floating capsules, and materials capable of adhering to mucosal walls.


Other examples include lower-GI targeting techniques. For targeting various regions in the intestinal tract, several enteric/pH-responsive coatings and excipients are available. These materials are typically polymers that are designed to dissolve or erode at specific pH ranges, selected based upon the GI region of desired drug release. These materials also function to protect acid labile drugs from gastric fluid or limit exposure in cases where the active ingredient may be irritating to the upper GI (e.g., hydroxypropyl methylcellulose phthalate series, Coateric (polyvinyl acetate phthalate), cellulose acetate phthalate, hydroxypropyl methylcellulose acetate succinate, Eudragit series (methacrylic acid-methyl methacrylate copolymers), and Marcoat). Other techniques include dosage forms that respond to local flora in the GI tract, Pressure-controlled colon delivery capsule, and Pulsincap.


Ocular compositions can include, without limitation, one or more of any of the following: viscogens (e.g., Carboxymethylcellulose, Glycerin, Polyvinylpyrrolidone, Polyethylene glycol); Stabilizers (e.g., Pluronic (triblock copolymers), Cyclodextrins); Preservatives (e.g., Benzalkonium chloride, ETDA, SofZia (boric acid, propylene glycol, sorbitol, and zinc chloride; Alcon Laboratories, Inc.), Purite (stabilized oxychloro complex; Allergan, Inc.)).


Topical compositions can include ointments and creams. Ointments are semisolid preparations that are typically based on petrolatum or other petroleum derivatives. Creams containing the selected active agent are typically viscous liquid or semisolid emulsions, often either oil-in-water or water-in-oil. Cream bases are typically water-washable, and contain an oil phase, an emulsifier and an aqueous phase. The oil phase, also sometimes called the “internal” phase, is generally comprised of petrolatum and a fatty alcohol such as cetyl or stearyl alcohol; the aqueous phase usually, although not necessarily, exceeds the oil phase in volume, and generally contains a humectant. The emulsifier in a cream formulation is generally a nonionic, anionic, cationic or amphoteric surfactant. As with other carriers or vehicles, an ointment base should be inert, stable, nonirritating and non-sensitizing.


In any of the foregoing embodiments, pharmaceutical compositions described herein can include one or more one or more of the following: lipids, interbilayer crosslinked multilamellar vesicles, biodegradeable poly(D,L-lactic-co-glycolic acid) [PLGA]-based or poly anhydride-based nanoparticles or microparticles, and nanoporous particle-supported lipid bilayers.


Dosages


The dosages may be varied depending on the requirement of the patient, the severity of the condition being treating and the particular compound being employed. Determination of the proper dosage for a particular situation can be determined by one skilled in the medical arts. The total daily dosage may be divided and administered in portions throughout the day or by means providing continuous delivery.


In some embodiments, the compounds described herein are administered at a dosage of from about 0.001 mg/Kg to about 500 mg/Kg (e.g., from about 0.001 mg/Kg to about 200 mg/Kg; from about 0.01 mg/Kg to about 200 mg/Kg; from about 0.01 mg/Kg to about 150 mg/Kg; from about 0.01 mg/Kg to about 100 mg/Kg; from about 0.01 mg/Kg to about 50 mg/Kg; from about 0.01 mg/Kg to about 10 mg/Kg; from about 0.01 mg/Kg to about 5 mg/Kg; from about 0.01 mg/Kg to about 1 mg/Kg; from about 0.01 mg/Kg to about 0.5 mg/Kg; from about 0.01 mg/Kg to about 0.1 mg/Kg; from about 0.1 mg/Kg to about 200 mg/Kg; from about 0.1 mg/Kg to about 150 mg/Kg; from about 0.1 mg/Kg to about 100 mg/Kg; from about 0.1 mg/Kg to about 50 mg/Kg; from about 0.1 mg/Kg to about 10 mg/Kg; from about 0.1 mg/Kg to about 5 mg/Kg; from about 0.1 mg/Kg to about 1 mg/Kg; from about 0.1 mg/Kg to about 0.5 mg/Kg).


Regimens


The foregoing dosages can be administered on a daily basis (e.g., as a single dose or as two or more divided doses) or non-daily basis (e.g., every other day, every two days, every three days, once weekly, twice weeks, once every two weeks, once a month).


Methods of Treatment


In some embodiments, methods for treating a subject having condition, disease or disorder in which a decrease or increase in NLRP1 or NLRP3 or both NLRP1 and NLRP3 activity (e.g., an increase, e.g., NLRP1/3 signaling) contributes to the pathology and/or symptoms and/or progression of the condition, disease or disorder are provided, comprising administering to a subject an effective amount of a chemical entity described herein (e.g., a compound described generically or specifically herein or a pharmaceutically acceptable salt thereof or compositions containing the same).


Indications


In some embodiments, the condition, disease or disorder is selected from: inappropriate host responses to infectious diseases where active infection exists at any body site, such as septic shock, disseminated intravascular coagulation, and/or adult respiratory distress syndrome; acute or chronic inflammation due to antigen, antibody and/or complement deposition; inflammatory conditions including arthritis, cholangitis, colitis, encephalitis, endocarditis, glomerulonephritis, hepatitis, myocarditis, pancreatitis, pericarditis, reperfusion injury and vasculitis, immune-based diseases such as acute and delayed hypersensitivity, graft rejection, and graft-versus-host disease; auto-immune diseases including Type 1 diabetes mellitus and multiple sclerosis. For example, the condition, disease or disorder may be an inflammatory disorder such as rheumatoid arthritis, osteoarthritis, septic shock, COPD and periodontal disease.


In some embodiments, the condition, disease or disorder is an autoimmune diseases. Non-limiting examples include rheumatoid arthritis, systemic lupus erythematosus, multiple sclerosis, inflammatory bowel diseases (IBDs) comprising Crohn disease (CD) and ulcerative colitis (UC), which are chronic inflammatory conditions with polygenic susceptibility. In certain embodiments, the condition is an inflammatory bowel disease. In certain embodiments, the condition is Crohn's disease, autoimmune colitis, iatrogenic autoimmune colitis, ulcerative colitis, colitis induced by one or more chemotherapeutic agents, colitis induced by treatment with adoptive cell therapy, colitis associated by one or more alloimmune diseases (such as graft-vs-host disease, e.g., acute graft vs. host disease and chronic graft vs. host disease), radiation enteritis, collagenous colitis, lymphocytic colitis, microscopic colitis, and radiation enteritis. In certain of these embodiments, the condition is alloimmune disease (such as graft-vs-host disease, e.g., acute graft vs. host disease and chronic graft vs. host disease), celiac disease, irritable bowel syndrome, rheumatoid arthritis, lupus, scleroderma, psoriasis, cutaneous T-cell lymphoma, uveitis, and mucositis (e.g., oral mucositis, esophageal mucositis or intestinal mucositis).


In some embodiments, the condition, disease or disorder is selected from metabolic disorders such as type 2 diabetes, atherosclerosis, obesity and gout, as well as diseases of the central nervous system, such as Alzheimer's disease and multiple sclerosis and Amyotrophic Lateral Sclerosis and Parkinson disease, lung disease, such as asthma and COPD and pulmonary idiopathic fibrosis, liver disease, such as NASH syndrome, viral hepatitis and cirrhosis, pancreatic disease, such as acute and chronic pancreatitis, kidney disease, such as acute and chronic kidney injury, intestinal disease such as Crohn's disease and Ulcerative Colitis, skin disease such as psoriasis, musculoskeletal disease such as scleroderma, vessel disorders, such as giant cell arteritis, disorders of the bones, such as Osteoarthritis, osteoporosis and osteopetrosis disorders eye disease, such as glaucoma and macular degeneration, diseased caused by viral infection such as HIV and AIDS, autoimmune disease such as Rheumatoid Arthritis, Systemic Lupus Erythematosus, Autoimmune Thyroiditis, Addison's disease, pernicious anemia, cancer and aging.


In some embodiments, the condition, disease or disorder is a cardiovascular indication. In some embodiments, the condition, disease or disorder is myocardial infraction. In some embodiments, the condition, disease or disorder is stroke.


In some embodiments, the condition, disease or disorder is obesity; or is Type 2 Diabetes; or is NASH; or is Alzheimer's disease; or is gout; or is SLE; or is rheumatoid arthritis; or is IBD; or is multiple sclerosis; or is COPD; or is asthma; or


In some embodiments, the condition, disease or disorder is scleroderma; or is pulmonary fibrosis; or is age related macular degeneration (AMD); or is cystic fibrosis; or is Muckle Wells syndrome; or is familial cold autoinflammatory syndrome (FCAS); or is chronic neurologic cutaneous and articular syndrome; or In some embodiments, the condition, disease or disorder is selected from: myelodysplastic syndromes (MDS); non-small cell lung cancer, such as non-small cell lung cancer in patients carrying mutation or overexpression of NLRP3; acute lymphoblastic leukemia (ALL), such as ALL in patients resistant to glucocorticoids treatment; Langerhan's cell histiocytosis (LCH); multiple myeloma; promyelocytic leukemia; gastric cancer; and lung cancer metastasis; or further from acute myeloid leukemia (AML) and chronic myeloid leukemia (CML).


In some embodiments, the indication is MDS.


In some embodiments, the indication is non-small lung cancer in patients carrying mutation or overexpression of NLRP3.


In some embodiments, the indication is ALL in patients resistant to glucocorticoids treatment.


In some embodiments, the indication is LCH; or is multiple myeloma; or is promyelocytic leukemia; or is gastric cancer; or


In some embodiments, the indication is lung cancer metastasis.


Combination Therapy


This disclosure contemplates both monotherapy regimens as well as combination therapy regimens.


In some embodiments, the methods described herein can further include administering one or more additional therapies (e.g., one or more additional therapeutic agents and/or one or more therapeutic regimens) in combination with administration of the compounds described herein.


In certain embodiments, the second therapeutic agent or regimen is administered to the subject prior to contacting with or administering the chemical entity (e.g., about one hour prior, or about 6 hours prior, or about 12 hours prior, or about 24 hours prior, or about 48 hours prior, or about 1 week prior, or about 1 month prior).


In other embodiments, the second therapeutic agent or regimen is administered to the subject at about the same time as contacting with or administering the chemical entity. By way of example, the second therapeutic agent or regimen and the chemical entity are provided to the subject simultaneously in the same dosage form. As another example, the second therapeutic agent or regimen and the chemical entity are provided to the subject concurrently in separate dosage forms.


In still other embodiments, the second therapeutic agent or regimen is administered to the subject after contacting with or administering the chemical entity (e.g., about one hour after, or about 6 hours after, or about 12 hours after, or about 24 hours after, or about 48 hours after, or about 1 week after, or about 1 month after).


Patient Selection


In some embodiments, the methods described herein further include the step of identifying a subject (e.g., a patient) in need of treatment for an indication related to NLRP3 activity, such as an indication related to NLRP3 polymorphism.


In some embodiments, the methods described herein further include the step of identifying a subject (e.g., a patient) in need of treatment for an indication related to NLRP3 activity, such as an indication related to NLRP3 where polymorphism is a gain of function


In some embodiments, the methods described herein further include the step of identifying a subject (e.g., a patient) in need of treatment for an indication related to NLRP3 activity, such as an indication related to NLRP3 polymorphism found in CAPS syndromes.


In some embodiments, the methods described herein further include the step of identifying a subject (e.g., a patient) in need of treatment for an indication related to NLRP3 activity, such as an indication related NLRP3 polymorphism where the polymorphism is VAR_014104 (R262W)


In some embodiments, the methods described herein further include the step of identifying a subject (e.g., a patient) in need of treatment for an indication related to NLRP3 activity, such as an indication related NLRP3 polymorphism where the polymorphism is a natural variant reported in http://www.uniprot.org/uniprot/Q96P20


In some embodiments, the methods described herein further include the step of identifying a subject (e.g., a patient) in need of treatment for an indication related to NLRP1 activity, such as an indication related NLRP1 polymorphism.


In some embodiments, the methods described herein further include the step of identifying a subject (e.g., a patient) in need of treatment for an indication related to NLRP1 activity, such as an indication related to NLRP1 where polymorphism is a gain of function


In some embodiments, the methods described herein further include the step of identifying a subject (e.g., a patient) in need of treatment for an indication related to NLRP1 activity, such as an indication related NLRP1 polymorphism found in vitiligo Vitiligo-Associated Autoimmune Disease.


In some embodiments, the methods described herein further include the step of identifying a subject (e.g., a patient) in need of treatment for an indication related to NLRP1 activity, such as an indication related where NLRP1 polymorphism is VAR_033239 (L155H)


In some embodiments, the methods described herein further include the step of identifying a subject (e.g., a patient) in need of treatment for an indication related to NLRP1 activity, such as an indication related where NLRP1 polymorphism is a natural variant reported in http://www.uniprot.org/uniprot/Q9C000


In some embodiments, the methods described herein further include the step of identifying a subject (e.g., a patient) in need of treatment for an indication related to NLRP1/3 activity, such as an indication related to point mutation of NLRP1/3 signaling.


Anti-TNFα Agents

The term “anti-TNFα agent” refers to an agent which directly or indirectly blocks, down-regulates, impairs, inhibits, impairs, or reduces TNFα activity and/or expression. In some embodiments, an anti-TNFα agent is an antibody or an antigen-binding fragment thereof, a fusion protein, a soluble TNFα receptor (a soluble tumor necrosis factor receptor superfamily member 1A (TNFR1) or a soluble tumor necrosis factor receptor superfamily 1B (TNFR2)), an inhibitory nucleic acid, or a small molecule TNFα antagonist. In some embodiments, the inhibitory nucleic acid is a ribozyme, small hairpin RNA, a small interfering RNA, an antisense nucleic acid, or an aptamer.


Exemplary anti-TNFα agents that directly block, down-regulate, impair, inhibit, or reduce TNFα activity and/or expression can, e.g., inhibit or decrease the expression level of TNFα or a receptor of TNFα (TNFR1 or TNFR2) in a cell (e.g., a cell obtained from a subject, a mammalian cell), or inhibit or reduce binding of TNFα to its receptor (TNFR1 and/or TNFR2) and/or. Non-limiting examples of anti-TNFα agents that directly block, down-regulate, impair, inhibit, or reduce TNFα activity and/or expression include an antibody or fragment thereof, a fusion protein, a soluble TNFα receptor (e.g., a soluble TNFR1 or soluble TNFR2), inhibitory nucleic acids (e.g., any of the examples of inhibitory nucleic acids described herein), and a small molecule TNFα antagonist.


Exemplary anti-TNFα agents that can indirectly block, down-regulate, impair, inhibitreduce TNFα activity and/or expression can, e.g., inhibit or decrease the level of downstream signaling of a TNFα receptor (e.g., TNFR1 or TNFR2) in a mammalian cell (e.g., decrease the level and/or activity of one or more of the following signaling proteins: AP-1, mitogen-activated protein kinase kinase kinase 5 (ASK1), inhibitor of nuclear factor kappa B (IKK), mitogen-activated protein kinase 8 (INK), mitogen-activated protein kinase (MAPK), MEKK 1/4, MEKK 4/7, MEKK 3/6, nuclear factor kappa B (NF-κB), mitogen-activated protein kinase kinase kinase 14 (NIK), receptor interacting serine/threonine kinase 1 (RIP), TNFRSFlA associated via death domain (TRADD), and TNF receptor associated factor 2 (TRAF2), in a cell), and/or decrease the level of TNFα-induced gene expression in a mammalian cell (e.g., decrease the transcription of genes regulated by, e.g., one or more transcription factors selected from the group of activating transcription factor 2 (ATF2), c-Jun, and NF-κB). A description of downstream signaling of a TNFα receptor is provided in Wajant et al., Cell Death Differentiation 10:45-65, 2003 (incorporated herein by reference). For example, such indirect anti-TNFα agents can be an inhibitory nucleic acid that targets (decreases the expression) a signaling component downstream of a TNFα-induced gene (e.g., any TNFα-induced gene known in the art), a TNFα receptor (e.g., any one or more of the signaling components downstream of a TNFα receptor described herein or known in the art), or a transcription factor selected from the group of NF-κB, c-Jun, and ATF2.


In other examples, such indirect anti-TNFα agents can be a small molecule inhibitor of a protein encoded by a TNFα-induced gene (e.g., any protein encoded by a TNFα-induced gene known in the art), a small molecule inhibitor of a signaling component downstream of a TNFα receptor (e.g., any of the signaling components downstream of a TNFα receptor described herein or known in the art), and a small molecule inhibitor of a transcription factor selected from the group of ATF2, c-Jun, and NF-κB.


In other embodiments, anti-TNFα agents that can indirectly block, down-regulate, impair, or reduce one or more components in a cell (e.g., a cell obtained from a subject, a mammalian cell) that are involved in the signaling pathway that results in TNFα mRNA transcription, TNFα mRNA stabilization, and TNFα mRNA translation (e.g., one or more components selected from the group of CD14, c-Jun, ERK1/2, IKK, IκB, interleukin 1 receptor associated kinase 1 (IRAK), INK, lipopolysaccharide binding protein (LBP), MEK1/2, MEK3/6, MEK4/7, MK2, MyD88, NF-κB, NIK, PKR, p38, AKT serine/threonine kinase 1 (rac), raf kinase (raf), ras, TRAF6, TTP). For example, such indirect anti-TNFα agents can be an inhibitory nucleic acid that targets (decreases the expression) of a component in a mammalian cell that is involved in the signaling pathway that results in TNFα mRNA transcription, TNFα mRNA stabilization, and TNFα mRNA translation (e.g., a component selected from the group of CD14, c-Jun, ERK1/2, IKK, IκB, IRAK, INK, LBP, MEK1/2, MEK3/6, MEK4/7, MK2, MyD88, NF-κB, NIK, IRAK, lipopolysaccharide binding protein (LBP), PKR, p38, rac, raf, ras, TRAF6, TTP). In other examples, an indirect anti-TNFα agents is a small molecule inhibitor of a component in a mammalian cell that is involved in the signaling pathway that results in TNFα mRNA transcription, TNFα mRNA stabilization, and TNFα mRNA translation (e.g., a component selected from the group of CD14, c-Jun, ERK1/2, IKK, IκB, IRAK, INK, lipopolysaccharide binding protein (LBP), MEK1/2, MEK3/6, MEK4/7, MK2, MyD88, NF-κB, NIK, IRAK, lipopolysaccharide binding protein (LBP), PKR, p38, rac, raf, ras, TRAF6, TTP).


Antibodies

In some embodiments, the anti-TNFα agent is an antibody or an antigen-binding fragment thereof (e.g., a Fab or a scFv). In some embodiments, an antibody or antigen-binding fragment of an antibody described herein can bind specifically to TNFα. In some embodiments, an antibody or antigen-binding fragment described herein binds specifically to any one of TNFα, TNFR1, or TNFR2. In some embodiments, an antibody or antigen-binding fragment of an antibody described herein can bind specifically to a TNFα receptor (TNFR1 or TNFR2).


In some embodiments, the antibody can be a humanized antibody, a chimeric antibody, a multivalent antibody, or a fragment thereof. In some embodiments, an antibody can be a scFv-Fc, a VHH domain, a VNAR domain, a (scFv)2, a minibody, or a BiTE.


In some embodiments, an antibody can be a crossmab, a diabody, a scDiabody, a scDiabody-CH3, a Diabody-CH3, a DutaMab, a DT-IgG, a diabody-Fc, a scDiabody-HAS, a charge pair antibody, a Fab-arm exchange antibody, a SEEDbody, a Triomab, a LUZ-Y, a Fcab, a kλ-body, an orthogonal Fab, a DVD-IgG, an IgG(H)-scFv, a scFv-(H)IgG, an IgG(L)-scFv, a scFv-(L)-IgG, an IgG (L,H)-Fc, an IgG(H)-V, a V(H)—IgG, an IgG(L)-V, a V(L)-IgG, an KIH IgG-scFab, a 2scFv-IgG, an IgG-2scFv, a scFv4-Ig, a Zybody, a DVI-IgG, a nanobody, a nanobody-HSA, a DVD-Ig, a dual-affinity re-targeting antibody (DART), a triomab, a kih IgG with a common LC, an ortho-Fab IgG, a 2-in-1-IgG, IgG-ScFv, scFv2-Fc, a bi-nanobody, tanden antibody, a DART-Fc, a scFv-HAS-scFv, a DAF (two-in-one or four-in-one), a DNL-Fab3, knobs-in-holes common LC, knobs-in-holes assembly, a TandAb, a Triple Body, a miniantibody, a minibody, a TriBi minibody, a scFv-CH3 KIH, a Fab-scFv, a scFv-CH-CL-scFv, a F(ab′)2-scFV2, a scFv-KIH, a Fab-scFv-Fc, a tetravalent HCAb, a scDiabody-Fc, a tandem scFv-Fc, an intrabody, a dock and lock bispecific antibody, an ImmTAC, a HSAbody, a tandem scFv, an IgG-IgG, a Cov-X-Body, and a scFvl-PEG-scFv2.


Non-limiting examples of an antigen-binding fragment of an antibody include an Fv fragment, a Fab fragment, a F(ab′)2 fragment, and a Fab′ fragment. Additional examples of an antigen-binding fragment of an antibody is an antigen-binding fragment of an antigen-binding fragment of an IgA (e.g., an antigen-binding fragment of IgA1 or IgA2) (e.g., an antigen-binding fragment of a human or humanized IgA, e.g., a human or humanized IgA1 or IgA2); an antigen-binding fragment of an IgD (e.g., an antigen-binding fragment of a human or humanized IgD); an antigen-binding fragment of an IgE (e.g., an antigen-binding fragment of a human or humanized IgE); an IgG (e.g., an antigen-binding fragment of IgG1, IgG2, IgG3, or IgG4) (e.g., an antigen-binding fragment of a human or humanized IgG, e.g., human or humanized IgG1, IgG2, IgG3, or IgG4); or an antigen-binding fragment of an IgM (e.g., an antigen-binding fragment of a human or humanized IgM).


Non-limiting examples of anti-TNFα agents that are antibodies that specifically bind to TNFα are described in Ben-Horin et al., Autoimmunity Rev. 13(1):24-30, 2014; Bongartz et al., JAMA 295(19):2275-2285, 2006; Butler et al., Eur. Cytokine Network 6(4):225-230, 1994; Cohen et al., Canadian J. Gastroenterol. Hepatol. 15(6):376-384, 2001; Elliott et al., Lancet 1994; 344: 1125-1127, 1994; Feldmann et al., Ann. Rev. Immunol. 19(1):163-196, 2001; Rankin et al., Br. J. Rheumatol. 2:334-342, 1995; Knight et al., Molecular Immunol. 30(16):1443-1453, 1993; Lorenz et al., J. Immunol. 156(4):1646-1653, 1996; Hinshaw et al., Circulatory Shock 30(3):279-292, 1990; Ordas et al., Clin. Pharmacol. Therapeutics 91(4):635-646, 2012; Feldman, Nature Reviews Immunol. 2(5):364-371, 2002; Taylor et al., Nature Reviews Rheumatol. 5(10):578-582, 2009; Garces et al., Annals Rheumatic Dis. 72(12):1947-1955, 2013; Palladino et al., Nature Rev. Drug Discovery 2(9):736-746, 2003; Sandborn et al., Inflammatory Bowel Diseases 5(2):119-133, 1999; Atzeni et al., Autoimmunity Reviews 12(7):703-708, 2013; Maini et al., Immunol. Rev. 144(1):195-223, 1995; Wanner et al., Shock 11(6):391-395, 1999; and U.S. Pat. Nos. 6,090,382; 6,258,562; and 6,509,015).


In certain embodiments, the anti-TNFα agent can include or is golimumab (Golimumab™), adalimumab (Humira™), infliximab (Remicade™), CDP571, CDP 870, or certolizumab pegol (Cimzia™). In certain embodiments, the anti-TNFα agent can be a TNFα inhibitor biosimilar. Examples of approved and late-phase TNFα inhibitor biosimilars include, but are not limited to, infliximab biosimilars such as Flixabi™ (SB2) from Samsung Bioepis, Inflectra® (CT-P13) from Celltrion/Pfizer, GS071 from Aprogen, Remsima™, PF-06438179 from Pfizer/Sandoz, NI-071 from Nichi-Iko Pharmaceutical Co., and ABP 710 from Amgen; adalimumab biosimilars such as Amgevita® (ABP 501) from Amgen and Exemptia™ from Zydus Cadila, BMO-2 or IYL-1401-A from Biocon/Mylan, CHS-1420 from Coherus, FKB327 from Kyowa Kirin, and BI 695501 from Boehringer Ingelheim; Solymbic®, SB5 from Samsung Bioepis, GP-2017 from Sandoz, ONS-3010 from Oncobiologics, M923 from Momenta, PF-06410293 from Pfizer, and etanercept biosimilars such as Erelzi™ from Sandoz/Novartis, Brenzys™ (SB4) from Samsung Bioepis, GP2015 from Sandoz, TuNEX® from Mycenax, LBEC0101 from LG Life, and CHS-0214 from Coherus.


In some embodiments of any of the methods described herein, the anti-TNFα agent is selected from the group consisting of: adalimumab, certolizumab, etanercept, golimumab, infliximabm, CDP571, and CDP 870.


In some embodiments, any of the antibodies or antigen-binding fragments described herein has a dissociation constant (KD) of less than 1×10−5 M (e.g., less than 1×10−6 M, less than 1×10−7 M, less than 1×10−8 M, less than 1×10−9 M, less than 1×10−10 M, less than 1×10−11 M, or less than 1×10−12 M), e.g., as measured in phosphate buffered saline using surface plasmon resonance (SPR).


In some embodiments, any of the antibodies or antigen-binding fragments described herein has a KD of about 1×10−2 M to about 1×10−5 M, about 0.5×10−11 M to about 1×10−5 M; about 1×10−1 M to about 1×10−5 M; about 0.5×10−10 M to about 1×10−5 M; about 1×10−10 M to about 1×10−5 M; about 0.5×10−9 M to about 1×10−5 M; about 1 about 0.5×10−8 M to about 1×10−5 M; about 1×10−8 M to about 1×10−5 M, or about 0.5×10−5 M to about 1×10−5 M (inclusive), e.g., as measured in phosphate buffered saline using surface plasmon resonance (SPR).


Fusion Proteins

In some embodiments, the anti-TNFα agent is a fusion protein (e.g., an extracellular domain of a TNFR fused to a partner peptide, e.g., an Fc region of an immunoglobulin, e.g., human IgG) (see, e.g., Deeg et al., Leukemia 16(2):162, 2002; Peppel et al., J. Exp. Med. 174(6):1483-1489, 1991) or a soluble TNFR (e.g., TNFR1 or TNFR2) that binds specifically to TNFα. In some embodiments, the anti-TNFα agent includes or is a soluble TNFα receptor (e.g., Bjornberg et al., Lymphokine Cytokine Res. 13(3):203-211, 1994; Kozak et al., Am. J. Physiol. Reg. Integrative Comparative Physiol. 269(1):R23-R29, 1995; Tsao et al., Eur Respir J. 14(3):490-495, 1999; Watt et al., J Leukoc Biol. 66(6):1005-1013, 1999; Mohler et al., J. Immunol. 151(3):1548-1561, 1993; Nophar et al., EMBO J. 9(10):3269, 1990; Piguet et al., Eur. Respiratory J. 7(3):515-518, 1994; and Gray et al., Proc. Natl. Acad. Sci. U.S.A. 87(19):7380-7384, 1990). In some embodiments, the anti-TNFα agent includes or is etanercept (Enbrel™) (see, e.g., WO 91/03553 and WO 09/406,476, incorporated by reference herein). In some embodiments, the anti-TNFα agent inhibitor includes or is r-TBP-I (e.g., Gradstein et al., J Acquir. Immune Defic. Syndr. 26(2): 111-117, 2001).


Inhibitory Nucleic Acids

Inhibitory nucleic acids that can decrease the expression of AP-1, ASK1, CD14, c-jun, ERK1/2, IκB, IKK, IRAK, INK, LBP, MAPK, MEK1/2, MEKK1/4, MEKK4/7, MEKK 3/6, MK2, MyD88, NF-κB, NIK, p38, PKR, rac, ras, raf, RIP, TNFα, TNFR1, TNFR2, TRADD, TRAF2, TRAF6, or TTP mRNA expression in a mammalian cell include antisense nucleic acid molecules, i.e., nucleic acid molecules whose nucleotide sequence is fully or partially complementary to all or part of a AP-1, ASK1, CD14, c-jun, ERK1/2, IκB, IKK, IRAK, JNK, LBP, MAPK, MEK1/2, MEKK1/4, MEKK4/7, MEKK 3/6, MK2, MyD88, NF-κB, NIK, p38, PKR, rac, ras, raf, RIP, TNFα, TNFR1, TNFR2, TRADD, TRAF2, TRAF6, or TTP mRNA (e.g., fully or partially complementary to all or a part of any one of the sequences presented in Table E).










TABLE E






mRNA GenBank accession


Human gene
number(s)







Tumor necrosis factor (TNF, a.k.a. TNF-
NM_000594


alpha)


TNF receptor superfamily member 1A
NM_001065


(TNFRSF1A) (a.k.a. TNFR1)
NM_001346091



NM_001346092


TNF receptor superfamily member 1B
NM_001066


(TNFRSF1B) (a.k.a. TNFR2)
XM_011542060



XM_011542063



XM_017002214



XM_017002215



XM_017002211


TNFRSF1A associated via death domain
NM_003789


(TRADD)
NM_001323552



XM_005256213



XM_017023815


TNF receptor associated factor 2 (TRAF2)
NM_021138



XM_011518976



XM_011518977



XM_011518974


JunD proto-oncogene, AP-1 transcription
NM_001286968


factor subunit (JUND)
NM_005354


Mitogen-activated protein kinase kinase
NM_005923


kinase 5 (MAP3K5) (a.k.a. ASK1)
XM_017010875



XM_017010872



XM_017010873



XM_017010877



XM_017010874



XM_017010871



XM_017010870



XM_017010876



XM_011535839


CD14
NM_000591



NM_001040021



NM_001174104



NM_001174105


Mitogen-activated protein kinase 3
NM_001040056


(MAPK3) (a.k.a. ERK1)
NM_001109891



NM_002746


Mitogen-activated protein kinase 1
NM_002745


(MAPK1) (a.k.a. ERK2)
NM_138957


Inhibitor of nuclear factor kappa B kinase
NM_001190720


subunit beta (IKBKB)
NM_001242778



NM_001556



XM_005273491



XM_005273496



XM_005273493



XM_005273498



XM_011544518



XM_005273492



XM_005273490



XM_005273494



12XM_017013396



XM_011544521



XM_011544522



XM_005273495



XM_011544517



XM_011544520



XM_011544519


NFKB inhibitor alpha (NFKBIA)
NM_020529


Interleukin 1 receptor associated kinase 1
NM_001025242


(IRAK1)
NM_001025243



NM_001569



XM_005274668


Mitogen-activated protein kinase 8
NM_001278547


(MAPK8) (a.k.a. JNK)
NM_001278548



NM_001323302



NM_001323320



NM_001323321



NM_001323322



NM_001323323



NM_001323324



NM_001323325



NM_001323326



NM_001323327



NM_001323328



NM_001323329



NM_001323330



NM_001323331



NM_139046



NM_139049



XM_024448079



XM_024448080


Lipopolysaccharide binding protein (LBP)
NM_004139


Mitogen-activated protein kinase kinase 1
NM_002755


(MAP2K1) (a.k.a. MEK1)
XM_017022411



XM_011521783



XM_017022412



XM_017022413


Mitogen-activated protein kinase kinase 2
NM_030662


(MAP2K2) (a.k.a. MEK2)
XM_006722799



XM_017026990



XM_017026989



XM_017026991


Mitogen-activated protein kinase kinase 3
NM_001316332


(MAP2K3) (a.k.a. MEK3)
NM_002756



NM_145109



XM_017024859



XM_005256723



XM_017024857



XM_011523959



XM_017024858



XM_011523958


Mitogen-activated protein kinase kinase 6
NM_001330450


(MAP2K6) (a.k.a. MEK6)
NM_002758



XM_005257516



XM_011525027



XM_011525026



XM_006721975


Mitogen-activated protein kinase kinase
NM_005921


kinase 1 (MAP3K1) (a.k.a. MEKK1)
XM_017009485



XM_017009484


Mitogen-activated protein kinase kinase
NM_001330431


kinase 3 (MAP3K3) (a.k.a. MEKK3)
NM_001363768



NM_002401



NM_203351



XM_005257378


Mitogen-activated protein kinase kinase
NM_001291958


kinase 4 (MAP3K4) (a.k.a. MEKK4)
NM_001301072



NM_001363582



NM_005922



NM_006724



XM_017010869


Mitogen-activated protein kinase kinase
NM_001297609


kinase 6 (MAP3K6) (a.k.a. MEKK6)
NM_004672



XM_017002771



XM_017002772


Mitogen-activated protein kinase kinase
NM_003188


kinase 7 (MAP3K7) (a.k.a. MEKK7)
NM_145331



NM_145332



NM_145333



XM_006715553



XM_017011226


MAPK activated protein kinase 2
NM_004759


(MAPKAPK2) (a.k.a. MK2)
NM_032960



XM_005273353



XM_017002810


MYD88, innate immune signal transduction
NM_001172566


adaptor (MYD88)
NM_001172567



NM_001172568



NM_001172569



NM_001365876



NM_001365877



NM_002468


Nuclear factor kappa B subunit 1 (NFKB1)
NM_001165412



NM_001319226



NM_003998



XM_024454069



XM_024454067



XM_011532006



XM_024454068


Mitogen-activated protein kinase kinase
NM_003954


kinase 14 (MAP3K14) (a.k.a. NIK)
XM_011525441


Mitogen-activated protein kinase 14
NM_001315


(MAPK14) (a.k.a. p38)
NM_139012



NM_139013



NM_139014



XM_011514310



XM_017010300



XM_017010299



XM_017010301



XM_017010304



XM_017010303



XM_017010302



XM_006714998


Eukaryotic translation initiation factor 2
NM_001135651


alpha kinase 2 (EIF2AK2) (a.k.a. PKR)
NM_001135652



NM_002759



XM_011532987



XM_017004503


AKT serine/threonine kinase 1 (AKT1)
NM_001014431


(a.k.a. RAC)
NM_001014432



NM_005163


Zinc fingers and homeoboxes 2 (ZHX2)
NM_001362797


(a.k.a. RAF)
NM_014943



XM_011516932



XM_005250836


KRAS proto-oncogene, GTPase (KRAS)
NM_001369786



NM_001369787



NM_004985



NM_033360


NRAS proto-oncogene, GTPase (NRAS)
NM_002524


Receptor interacting serine/threonine kinase
NM_001317061


1 (RIPK1) (a.k.a. RIP)
NM_001354930



NM_001354931



NM_001354932



NM_001354933



NM_001354934



NM_003804



XM_017011405



XM_006715237



XM_017011403



XM_017011404


TNF receptor associated factor 6 (TRAF6)
NM_004620



NM_145803



XM_017018220


ZFP36 ring finger protein (ZFP36) (a.k.a.
NM_003407


TTP)









An antisense nucleic acid molecule can be fully or partially complementary to all or part of a non-coding region of the coding strand of a nucleotide sequence encoding an AP-1, ASK1, CD14, c-jun, ERK1/2, IκB, IKK, IRAK, INK, LBP, MAPK, MEK1/2, MEKK1/4, MEKK4/7, MEKK 3/6, MK2, MyD88, NF-cB, NIK, p38, PKR, rac, ras, raf, RIP, TNFα, TNFR1, TNFR2, TRADD, TRAF2, TRAF6, or TTP protein. Non-coding regions (5′ and 3′ untranslated regions) are the 5′ and 3′ sequences that flank the coding region in a gene and are not translated into amino acids.


Based upon the sequences disclosed herein (e.g., in Table E), one of skill in the art can easily choose and synthesize any of a number of appropriate antisense nucleic acids to target a nucleic acid encoding an AP-1, ASK1, CD14, c-jun, ERK1/2, IκB, IKK, IRAK, INK, LBP, MAPK, MEK1/2, MEKK1/4, MEKK4/7, MEKK 3/6, MK2, MyD88, NF-cB, NIK, p38, PKR, rac, ras, raf, RIP, TNFα, TNFR1, TNFR2, TRADD, TRAF2, TRAF6, or TTP protein described herein. Antisense nucleic acids targeting a nucleic acid encoding an AP-1, ASK1, CD14, c-jun, ERK1/2, IκB, IKK, IRAK, INK, LBP, MAPK, MEK1/2, MEKK1/4, MEKK4/7, MEKK 3/6, MK2, MyD88, NF-cB, NIK, p38, PKR, rac, ras, raf, RIP, TNFα, TNFR1, TNFR2, TRADD, TRAF2, TRAF6, or TTP protein can be designed using the software available at the Integrated DNA Technologies website.


An antisense nucleic acid can be, for example, about 5, 10, 15, 18, 20, 22, 24, 25, 26, 28, 30, 32, 35, 36, 38, 40, 42, 44, 45, 46, 48, or 50 nucleotides or more in length. An antisense oligonucleotide can be constructed using enzymatic ligation reactions and chemical synthesis using procedures known in the art. For example, an antisense nucleic acid can be chemically synthesized using variously modified nucleotides or naturally occurring nucleotides designed to increase the physical stability of the duplex formed between the antisense and sense nucleic acids, e.g., phosphorothioate derivatives and acridine substituted nucleotides or to increase the biological stability of the molecules.


Examples of modified nucleotides which can be used to generate an antisense nucleic acid include 1-methylguanine, 1-methylinosine, 2,2-dimethylguanine, 2-methyladenine, 2-methylguanine, 3-methylcytosine, 2-methylthio-N6-isopentenyladenine, uracil-5-oxyacetic acid (v), wybutoxosine, pseudouracil, queosine, 2-thiocytosine, 5-fluorouracil, 5-bromouracil, 5-chlorouracil, 5-iodouracil, hypoxanthine, xanthine, 4-acetylcytosine, 5-(carboxyhydroxylmethyl) uracil, 5-carboxymethylaminomethyl-2-thiouridine, 5-carboxymethylaminomethyluracil, dihydrouracil, beta-D-galactosylqueosine, inosine, N6-isopentenyladenine, 5-methylcytosine, N6-adenine, 7-methylguanine, 5-methylaminomethyluracil, 5-methoxyaminomethyl-2-thiouracil, beta-D-mannosylqueosine, 5′-methoxycarboxymethyluracil, 5-methoxyuracil, 5-methyl-2-thiouracil, 2-thiouracil, 4-thiouracil, 5-methyluracil, uracil-5-oxyacetic acid methylester, uracil-5-oxyacetic acid (v), 5-methyl-2-thiouracil, 3-(3-amino-3-N-2-carboxypropyl) uracil, (acp3)w, and 2,6-diaminopurine. Alternatively, the antisense nucleic acid can be produced biologically using an expression vector into which a nucleic acid has been subcloned in an antisense orientation (i.e., RNA transcribed from the inserted nucleic acid will be of an antisense orientation to a target nucleic acid of interest).


The antisense nucleic acid molecules described herein can be prepared in vitro and administered to a subject, e.g., a human subject. Alternatively, they can be generated in situ such that they hybridize with or bind to cellular mRNA and/or genomic DNA encoding an AP-1, ASK1, CD14, c-jun, ERK1/2, IκB, IKK, IRAK, INK, LBP, MAPK, MEK1/2, MEKK1/4, MEKK4/7, MEKK 3/6, MK2, MyD88, NF-κB, NIK, p38, PKR, rac, ras, raf, RIP, TNFα, TNFR1, TNFR2, TRADD, TRAF2, TRAF6, or TTP protein to thereby inhibit expression, e.g., by inhibiting transcription and/or translation. The hybridization can be by conventional nucleotide complementarities to form a stable duplex, or, for example, in the case of an antisense nucleic acid molecule that binds to DNA duplexes, through specific interactions in the major groove of the double helix. The antisense nucleic acid molecules can be delivered to a mammalian cell using a vector (e.g., an adenovirus vector, a lentivirus, or a retrovirus).


An antisense nucleic acid can be an u-anomeric nucleic acid molecule. An u-anomeric nucleic acid molecule forms specific double-stranded hybrids with complementary RNA in which, contrary to the usual, -units, the strands run parallel to each other (Gaultier et al., Nucleic Acids Res. 15:6625-6641, 1987). The antisense nucleic acid can also comprise a chimeric RNA-DNA analog (Inoue et al., FEBS Lett. 215:327-330, 1987) or a 2′-O-methylribonucleotide (Inoue et al., Nucleic Acids Res. 15:6131-6148, 1987).


Another example of an inhibitory nucleic acid is a ribozyme that has specificity for a nucleic acid encoding an AP-1, ASK1, CD14, c-jun, ERK1/2, IκB, IKK, IRAK, INK, LBP, MAPK, MEK1/2, MEKK1/4, MEKK4/7, MEKK 3/6, MK2, MyD88, NF-κB, NIK, p38, PKR, rac, ras, raf, RIP, TNFα, TNFR1, TNFR2, TRADD, TRAF2, TRAF6, or TTP mRNA, e.g., specificity for any one of sequences presented in Table E). Ribozymes are catalytic RNA molecules with ribonuclease activity that are capable of cleaving a single-stranded nucleic acid, such as an mRNA, to which they have a complementary region. Thus, ribozymes (e.g., hammerhead ribozymes (described in Haselhoff and Gerlach, Nature 334:585-591, 1988)) can be used to catalytically cleave mRNA transcripts to thereby inhibit translation of the protein encoded by the mRNA. An AP-1, ASK1, CD14, c-jun, ERK1/2, IκB, IKK, IRAK, JNK, LBP, MAPK, MEK1/2, MEKK1/4, MEKK4/7, MEKK 3/6, MK2, MyD88, NF-κB, NIK, p38, PKR, rac, ras, raf, RIP, TNFα, TNFR1, TNFR2, TRADD, TRAF2, TRAF6, or TTP mRNA can be used to select a catalytic RNA having a specific ribonuclease activity from a pool of RNA molecules. See, e.g., Bartel et al., Science 261:1411-1418, 1993.


Alternatively, a ribozyme having specificity for an AP-1, ASK1, CD14, c-jun, ERK1/2, IκB, IKK, IRAK, JNK, LBP, MAPK, MEK1/2, MEKK1/4, MEKK4/7, MEKK 3/6, MK2, MyD88, NF-κB, NIK, p38, PKR, rac, ras, raf, RIP, TNFα, TNFR1, TNFR2, TRADD, TRAF2, TRAF6, or TTP mRNA can be designed based upon the nucleotide sequence of any of the AP-1, ASK1, CD14, c-jun, ERK1/2, IκB, IKK, IRAK, JNK, LBP, MAPK, MEK1/2, MEKK1/4, MEKK4/7, MEKK 3/6, MK2, MyD88, NF-κB, NIK, p38, PKR, rac, ras, raf, RIP, TNFα, TNFR1, TNFR2, TRADD, TRAF2, TRAF6, or TTP mRNA sequences disclosed herein (e.g., in Table E). For example, a derivative of a Tetrahymena L-19 IVS RNA can be constructed in which the nucleotide sequence of the active site is complementary to the nucleotide sequence to be cleaved in an AP-1, ASK1, CD14, c-jun, ERK1/2, IκB, IKK, IRAK, JNK, LBP, MAPK, MEK1/2, MEKK1/4, MEKK4/7, MEKK 3/6, MK2, MyD88, NF-κB, NIK, p38, PKR, rac, ras, raf, RIP, TNFα, TNFR1, TNFR2, TRADD, TRAF2, TRAF6, or TTP mRNA (see, e.g., U.S. Pat. Nos. 4,987,071 and 5,116,742).


An inhibitory nucleic acid can also be a nucleic acid molecule that forms triple helical structures. For example, expression of an AP-1, ASK1, CD14, c-jun, ERK1/2, IκB, IKK, IRAK, JNK, LBP, MAPK, MEK1/2, MEKK1/4, MEKK4/7, MEKK 3/6, MK2, MyD88, NF-κB, NIK, p38, PKR, rac, ras, raf, RIP, TNFα, TNFR1, TNFR2, TRADD, TRAF2, TRAF6, or TTP polypeptide can be inhibited by targeting nucleotide sequences complementary to the regulatory region of the gene encoding the AP-1, ASK1, CD14, c-jun, ERK1/2, IκB, IKK, IRAK, JNK, LBP, MAPK, MEK1/2, MEKK1/4, MEKK4/7, MEKK 3/6, MK2, MyD88, NF-κB, NIK, p38, PKR, rac, ras, raf, RIP, TNFα, TNFR1, TNFR2, TRADD, TRAF2, TRAF6, or TTP polypeptide (e.g., the promoter and/or enhancer, e.g., a sequence that is at least 1 kb, 2 kb, 3 kb, 4 kb, or 5 kb upstream of the transcription initiation start state) to form triple helical structures that prevent transcription of the gene in target cells. See generally Maher, Bioassays 14(12):807-15, 1992; Helene, Anticancer Drug Des. 6(6):569-84, 1991; and Helene, Ann. N.Y. Acad. Sci. 660:27-36, 1992.


In various embodiments, inhibitory nucleic acids can be modified at the sugar moiety, the base moiety, or phosphate backbone to improve, e.g., the solubility, stability, or hybridization, of the molecule. For example, the deoxyribose phosphate backbone of the nucleic acids can be modified to generate peptide nucleic acids (see, e.g., Hyrup et al., Bioorganic Medicinal Chem. 4(1):5-23, 1996). Peptide nucleic acids (PNAs) are nucleic acid mimics, e.g., DNA mimics, in which the deoxyribose phosphate backbone is replaced by a pseudopeptide backbone and only the four natural nucleobases are retained. The neutral backbone of PNAs allows for specific hybridization to RNA and DNA under conditions of low ionic strength. PNA oligomers can be synthesized using standard solid phase peptide synthesis protocols (see, e.g., Perry-O'Keefe et al., Proc. Natl. Acad. Sci. U.S.A. 93:14670-675, 1996). PNAs can be used as antisense or antigene agents for sequence-specific modulation of gene expression by, e.g., inducing transcription or translation arrest or inhibiting replication.


Small Molecules

In some embodiments, the anti-TNFα agent is a small molecule. In some embodiments, the small molecule is a tumor necrosis factor-converting enzyme (TACE) inhibitor (e.g., Moss et al., Nature Clinical Practice Rheumatology 4: 300-309, 2008). In some embodiments, the anti-TNFα agent is C87 (Ma et al., J. Biol. Chem. 289(18):12457-66, 2014). In some embodiments, the small molecule is LMP-420 (e.g., Haraguchi et al., AIDS Res. Ther. 3:8, 2006). In some embodiments, the TACE inhibitor is TMI-005 and BMS-561392. Additional examples of small molecule inhibitors are described in, e.g., He et al., Science 310(5750):1022-1025, 2005.


In some examples, the anti-TNFα agent is a small molecule that inhibits the activity of one of AP-1, ASK1, IKK, INK, MAPK, MEKK 1/4, MEKK4/7, MEKK 3/6, NIK, TRADD, RIP, NF-κB, and TRADD in a cell (e.g., in a cell obtained from a subject, a mammalian cell).


In some examples, the anti-TNFα agent is a small molecule that inhibits the activity of one of CD14, MyD88 (see, e.g., Olson et al., Scientific Reports 5:14246, 2015), ras (e.g., Baker et al., Nature 497:577-578, 2013), raf (e.g., vemurafenib (PLX4032, RG7204), sorafenib tosylate, PLX-4720, dabrafenib (GSK2118436), GDC-0879, RAF265 (CHIR-265), AZ 628, NVP-BHG712, SB590885, ZM 336372, sorafenib, GW5074, TAK-632, CEP-32496, encorafenib (LGX818), CCT196969, LY3009120, RO5126766 (CH5126766), PLX7904, and MLN2480).


In some examples, the anti-TNFα agent TNFα inhibitor is a small molecule that inhibits the activity of one of MK2 (PF 3644022 and PHA 767491), INK (e.g., AEG 3482, BI 78D3, CEP 1347, c-JUN peptide, IQ iS, JIP-1 (153-163), SP600125, SU 3327, and TCS JNK6o), c-jun (e.g., AEG 3482, BI 78D3, CEP 1347, c-JUN peptide, IQ 1S, JIP-1 (153-163), SP600125, SU 3327, and TCS JNK6o), MEK3/6 (e.g., Akinleye et al., J. Hematol. Oncol. 6:27, 2013), p38 (e.g., AL 8697, AMG 548, BIRB 796, CMPD-1, DBM 1285 dihydrochloride, EO 1428, JX 401, ML 3403, Org 48762-0, PH 797804, RWJ 67657, SB 202190, SB 203580, SB 239063, SB 706504, SCIO 469, SKF 86002, SX 011, TA 01, TA 02, TAK 715, VX 702, and VX 745), PKR (e.g., 2-aminopurine or CAS 608512-97-6), TTP (e.g., CAS 329907-28-0), MEK1/2 (e.g., Facciorusso et al., Expert Review Gastroentrol. Hepatol. 9:993-1003, 2015), ERK1/2 (e.g., Mandal et al., Oncogene 35:2547-2561, 2016), NIK (e.g., Mortier et al., Bioorg. Med. Chem. Lett. 20:4515-4520, 2010), IKK (e.g., Reilly et al., Nature Med. 19:313-321, 2013), IκB (e.g., Suzuki et al., Expert. Opin. Invest. Drugs 20:395-405, 2011), NF-κB (e.g., Gupta et al., Biochim. Biophys. Acta 1799(10-12):775-787, 2010), rac (e.g., U.S. Pat. No. 9,278,956), MEK4/7, IRAK (Chaudhary et al., J. Med. Chem. 58(1):96-110, 2015), LBP (see, e.g., U.S. Pat. No. 5,705,398), and TRAF6 (e.g., 3-[(2,5-Dimethylphenyl)amino]-1-phenyl-2-propen-1-one).


In some embodiments of any of the methods described herein, the inhibitory nucleic acid can be about 10 nucleotides to about 50 nucleotides (e.g., about 10 nucleotides to about 45 nucleotides, about 10 nucleotides to about 40 nucleotides, about 10 nucleotides to about 35 nucleotides, about 10 nucleotides to about 30 nucleotides, about 10 nucleotides to about 28 nucleotides, about 10 nucleotides to about 26 nucleotides, about 10 nucleotides to about 25 nucleotides, about 10 nucleotides to about 24 nucleotides, about 10 nucleotides to about 22 nucleotides, about 10 nucleotides to about 20 nucleotides, about 10 nucleotides to about 18 nucleotides, about 10 nucleotides to about 16 nucleotides, about 10 nucleotides to about 14 nucleotides, about 10 nucleotides to about 12 nucleotides, about 12 nucleotides to about 50 nucleotides, about 12 nucleotides to about 45 nucleotides, about 12 nucleotides to about 40 nucleotides, about 12 nucleotides to about 35 nucleotides, about 12 nucleotides to about 30 nucleotides, about 12 nucleotides to about 28 nucleotides, about 12 nucleotides to about 26 nucleotides, about 12 nucleotides to about 25 nucleotides, about 12 nucleotides to about 24 nucleotides, about 12 nucleotides to about 22 nucleotides, about 12 nucleotides to about 20 nucleotides, about 12 nucleotides to about 18 nucleotides, about 12 nucleotides to about 16 nucleotides, about 12 nucleotides to about 14 nucleotides, about 15 nucleotides to about 50 nucleotides, about 15 nucleotides to about 45 nucleotides, about 15nucleotides to about 40 nucleotides, about 15nucleotides to about 35 nucleotides, about 15 nucleotides to about 30 nucleotides, about 15nucleotides to about 28 nucleotides, about 15nucleotides to about 26 nucleotides, about 15nucleotides to about 25 nucleotides, about 15nucleotides to about 24 nucleotides, about 15nucleotides to about 22 nucleotides, about 15nucleotides to about 20 nucleotides, about 15nucleotides to about 18 nucleotides, about 15nucleotides to about 16 nucleotides, about 16 nucleotides to about 50 nucleotides, about 16 nucleotides to about 45 nucleotides, about 16 nucleotides to about 40 nucleotides, about 16 nucleotides to about 35 nucleotides, about 16 nucleotides to about 30 nucleotides, about 16 nucleotides to about 28 nucleotides, about 16 nucleotides to about 26 nucleotides, about 16 nucleotides to about 25 nucleotides, about 16 nucleotides to about 24 nucleotides, about 16 nucleotides to about 22 nucleotides, about 16 nucleotides to about 20 nucleotides, about 16 nucleotides to about 18 nucleotides, about 18 nucleotides to about 20 nucleotides, about 20 nucleotides to about 50 nucleotides, about 20 nucleotides to about 45 nucleotides, about 20 nucleotides to about 40 nucleotides, about 20 nucleotides to about 35 nucleotides, about 20 nucleotides to about 30 nucleotides, about 20 nucleotides to about 28 nucleotides, about 20 nucleotides to about 26 nucleotides, about 20 nucleotides to about 25 nucleotides, about 20 nucleotides to about 24 nucleotides, about 20 nucleotides to about 22 nucleotides, about 24 nucleotides to about 50 nucleotides, about 24 nucleotides to about 45 nucleotides, about 24 nucleotides to about 40 nucleotides, about 24 nucleotides to about 35 nucleotides, about 24 nucleotides to about 30 nucleotides, about 24 nucleotides to about 28 nucleotides, about 24 nucleotides to about 26 nucleotides, about 24 nucleotides to about 25 nucleotides, about 26 nucleotides to about 50 nucleotides, about 26 nucleotides to about 45 nucleotides, about 26 nucleotides to about 40 nucleotides, about 26 nucleotides to about 35 nucleotides, about 26 nucleotides to about 30 nucleotides, about 26 nucleotides to about 28 nucleotides, about 28 nucleotides to about 50 nucleotides, about 28 nucleotides to about 45 nucleotides, about 28 nucleotides to about 40 nucleotides, about 28 nucleotides to about 35 nucleotides, about 28 nucleotides to about 30 nucleotides, about 30 nucleotides to about 50 nucleotides, about 30 nucleotides to about 45 nucleotides, about 30 nucleotides to about 40 nucleotides, about 30 nucleotides to about 38 nucleotides, about 30 nucleotides to about 36 nucleotides, about 30 nucleotides to about 34 nucleotides, about 30 nucleotides to about 32 nucleotides, about 32 nucleotides to about 50 nucleotides, about 32 nucleotides to about 45 nucleotides, about 32 nucleotides to about 40 nucleotides, about 32 nucleotides to about 35 nucleotides, about 35 nucleotides to about 50 nucleotides, about 35 nucleotides to about 45 nucleotides, about 35 nucleotides to about 40 nucleotides, about 40 nucleotides to about 50 nucleotides, about 40 nucleotides to about 45 nucleotides, about 42 nucleotides to about 50 nucleotides, about 42 nucleotides to about 45 nucleotides, or about 45 nucleotides to about 50 nucleotides) in length. One skilled in the art will appreciate that inhibitory nucleic acids may comprises at least one modified nucleic acid at either the 5′ or 3′ end of DNA or RNA.


In some embodiments, the inhibitory nucleic acid can be formulated in a liposome, a micelle (e.g., a mixed micelle), a nanoemulsion, or a microemulsion, a solid nanoparticle, or a nanoparticle (e.g., a nanoparticle including one or more synthetic polymers). Additional exemplary structural features of inhibitory nucleic acids and formulations of inhibitory nucleic acids are described in US 2016/0090598.


In some embodiments, the inhibitory nucleic acid (e.g., any of the inhibitory nucleic acid described herein) can include a sterile saline solution (e.g., phosphate-buffered saline (PBS)). In some embodiments, the inhibitory nucleic acid (e.g., any of the inhibitory nucleic acid described herein) can include a tissue-specific delivery molecule (e.g., a tissue-specific antibody).


Compound Preparation and Biological Assays


As can be appreciated by the skilled artisan, methods of synthesizing the compounds of the formulae herein will be evident to those of ordinary skill in the art. Synthetic chemistry transformations and protecting group methodologies (protection and deprotection) useful in synthesizing the compounds described herein are known in the art and include, for example, those such as described in R. Larock, Comprehensive Organic Transformations, VCH Publishers (1989); T. W. Greene and RGM. Wuts, Protective Groups in Organic Synthesis, 2d. Ed., John Wiley and Sons (1991); L. Fieser and M. Fieser, Fieser and Fieser's Reagents for Organic Synthesis, John Wiley and Sons (1994); and L. Paquette, ed., Encyclopedia of Reagents for Organic Synthesis, John Wiley and Sons (1995), and subsequent editions thereof.


The compounds herein may be prepared, for example, as shown in Scheme 1.




embedded image


PREPARATIVE EXAMPLES

The following abbreviations have the indicated meanings:


ACN=acetonitrile


AcOH=acetic acid


BINAP=(=)-2,2′-bis(diphenylphosphino)-1,1-binaphthyl


CDI=carbonyldiimidazole


DBU=1,8-diazabicycloundec-7-ene


DCM=dichloromethane


Dess-Martin=(1,1,1-triacetoxy)-1,1-dihydro-1,2-benziodoxol-3(1H)-one


DIEA=N,N-diisopropylethylamine
DMAP=4-(dimethylamino)pyridine

DMEDA=N,N′-dimethylethylenediamine


DMF=N,N-dimethylformarnide

EDCI=N-(3-dimethylamninopropyl)-N′-ethylcarbodiinide hydrochloride


Et=ethyl


EtOH=ethanol


HATU=O-(7-azabenzotriazol-1-yl)-N,N,N′,N′-tetramethyluronium hexafluorophosphate


HBTU=O-benzotriazole-N,N,N′,N′-tetramethyluroniun-hexafliorophosphate


HOBt=l-hydroxybenzotrizole


LC-MS=liquid chromatography—mass spectrometry


LiHMDS=lithium bis(trimethylsilyl)amid


Me=methyl


MeOH=methanol


NBS=N-bromosuccinimide
NCS=N-chlorosuccinimide

NMR=nuclear magnetic resonance


Pd(dppf)Cl2=dichloro[1,1′-bis(diphenylphosphino)ferrocene]palladium


Pd2(dba)3=tris(dibenzylideneacetone)dipalladium


Ph=phenyl


HPLC=high performance liquid chromatography


Py=pyridine


RT=room temperature


TBAF=tetrabutylammonium fluoride


TBDMSCI=tert-butyldimethylsilyl chloride


TBDPSCi=tert-butyldiphenylsilyl chloride


TEA triethylamine


TFA=trifluoroacetic acid


THF=tetrahydrofuran


Ti(i-PrO)4=tetraisopropyl titanate


TLC=thin layer chromatography


TsOH=p-toluenesulfonicacidmonohydrate


X-phos=2-(Dicyclohexylphosphino)-2′,4′,6′-triisopropylbiphenyl


The progress of reactions was often monitored by TLC or LC-MS. The idenrity of the products was often confirmed by LC-MS The LC-MS was recorded using one of the following methods.


Method A: Shim-pack XR-ODS, C18, 3×50 mm, 2.5 urn column, 1.0 uL injection, 1.5 mL/min flow rate, 90-900 amu scan range, 190-400 nm UV range, 5-100% (1.1 min), 100% (0.6 min) gradient with ACN (0.05% TFA) and water (0.05% TFA), 2 minute total run time.


Method B: Kinetex EVO, C18, 3×50 mm, 2.2 um column, 1.0 uL injection, 1.5 mL/min flow rate, 90-900 amu scan range, 190-400 nm UV range, 10-95% (1.1 min), 95% (0.6 min) gradient with ACN and water (0.5% NH4HCO3), 2 minute total run time.


Method C: Shim-pack XR-ODS, C18, 3×50 mm, 2.5 um column, 1.0 uL injection, 1.5 mL/min flow rate, 90-900 amu scan range, 190-400 nm UV range, 5-100% (2.1 min), 100% (0.6 min) gradient with ACN (0.05% TFA) and water (0.05% TFA), 3 minute total run time.


Method D: Kinetex EVO, C18, 3×50 mm, 2.2 um column, 1.0 uL injection, 1.5 mL/min flow rate, 90-900 amu scan range, 190-400 nm LV range, 10-95% (2.1 min), 95% (0.6 min) gradient with ACN and water (0.5% NH4HCO3), 3 minute total run time.


The final targets were purified by Prep-HPLC, The Prep-HPLC was carried out using the following method.


Method E: Pre-HPLC: Column, XBridge Shield RP18 OBD (19×250 mm, 10 um); mobile phase, Water (10 mmol/L NH4HCO3) and ACN, UV detection 254/210 nm.


NMR was recorded on BRUKER NMR 300.03 Mz, DUL-C-H, ULTRASHIELD™300, AVANCE II 300 B-ACS™120 or BRUKER NMR 400.13 Mz, BBFO, ULTRASHIELD™400, AVANCE III 400, B-ACS™120.


Scheme of final targets: Schemes A-E illustrate several conditions used for coupling of acid 1 and sulfonamide 2 to afford acyl sulfonamide 3.




embedded image




embedded image




embedded image




embedded image




embedded image


Scheme of Sulfonamides Intermediates: Schemes F-Z illustrate the preparation of sulfonamide intermediates. It is understood that the numbering used in the schemes below refers only to the intermediates and that the intermediates are distinct from compounds of formula A, I, and/or II. that may have the same numerical designation. Thus, by way of example, intermediate number “101” in Scheme AE below—that is, the compound




embedded image


is distinct from compound 101 disclosed herein, that is,




embedded image




embedded image




embedded image


5-(2-Hydroxypropan-2-yl)thiazole-2-sulfonamide
Step 1: Methyl 2-mercaptothiazole-5-carboxylate

Into a 250-mL round-bottom flask, was placed methyl 2-bromothiazole-5-carboxylate (10 g, 45 mmol), EtOH (100 mL), sodium hydrogensulfide (5 g, 89 mmol). The resulting solution was stirred for 2 h at 80° C. and then was cooled to 0° C. with a water/ice bath. The pH value of the solution was adjusted to 3 with hydrogen chloride (1 N). The solids were collected by filtration. This resulted in 6 g (76%) of the title compound as a light yellow solid. MS-ESI: 176.0 (M+1).


Step 2: Methyl 2-(chlorosulfonyl)thiazole-5-carboxylate

Into a 250-mL round-bottom flask, was placed methyl 2-mercaptothiazole-5-carboxylate (6 g, 34 mmol), acetic acid (60 mL). This was followed by the addition of sodium hypochloride (60 mL, 8%-10% wt) in portions at 0° C. The resulting solution was stirred for 1 h at RT and then was diluted with 100 mL of water. The solution was extracted with 3×50 mL of DCM and the organic layers combined and dried over anhydrous Na2SO4, then concentrated under vacuum. This resulted in 5 g (crude, 60%) of the title compound as yellow oil. The crude product was used in the next step.


Step 3: Methyl 2-sulfamoylthiazole-5-carboxylate

Into a 250-mL round-bottom flask, was placed methyl 2-(chlorosulfonyl)thiazole-5-carboxylate (5 g, 21 mmol), DCM (50 mL). This was followed by the addition of a saturated solution of ammonia in DCM (10 mL) in portions at RT. The resulting solution was stirred for 2 h at RT and then was concentrated under vacuum. The residue was applied onto a silica gel column and eluted with ethyl acetate/petroleum ether (1:5 to 1:3). This resulted in 3 g (65%) of the title compound as a white solid. MS-ESI: 223.0 (M+1).


Step 4: 5-(2-Hydroxypropan-2-yl)thiazole-2-sulfonamide

Into a 250-mL round-bottom flask purged with and maintained under nitrogen, was placed a solution of methyl 2-sulfamoylthiazole-5-carboxylate (3 g, 13.5 mmol) in THF (25 mL). This was followed by the addition of MeMgBr/THF (3 M, 18 mL) dropwise with stirring at 0° C. The resulting solution was stirred for 14 h at RT and then was quenched by the addition of 20 mL of NH4Cl (sat.). The resulting solution was extracted with 3×30 mL of DCM and the organic layers combined and dried over anhydrous Na2SO4, then concentrated under vacuum. The residue was applied onto a silica gel column and eluted with ethyl acetate/petroleum ether (1:5 to 1:3). This resulted in 2.3 g (78%) of the title compound as a white solid. MS-ESI: 223.0 (M+1), 221.0 (M-1).




embedded image


5-Isopropylthiazole-2-sulfonamide
Step 5: 5-Isopropylthiazole-2-sulfonamide

Into a 40-mL sealed tube, was placed 5-(2-hydroxypropan-2-yl)thiazole-2-sulfonamide (500 mg, 2.25 mmol) in TFA (5 mL), Et3SiH (5 mL). The resulting solution was stirred for 4 h at 70° C. and then was concentrated under vacuum. The residue was applied onto a silica gel column and eluted with ethyl acetate/petroleum ether (1:4 to 1:2). This resulted in 380 mg (82%) of the title compound as a yellow solid. MS-ESI: 205.0 (M-1).




embedded image




embedded image


4-(1-Hydroxvcyclopropyl)thiophene-2-sulfonamide
Step 1: 4-(1-Hydroxycyclopropyl)thiophene-2-sulfonamide

Into a 500-mL 3-necked round-bottom flask purged with and maintained under nitrogen, was placed methyl 5-sulfamoylthiophene-3-carboxylate (5.525 g, 24.97 mmol), THF (80 mL), Ti(i-PrO)4 (1.5 mL). This was followed by the addition of EtMgBr/THF (3 M, 21 mL) dropwise with stirring at 0° C. The resulting solution was stirred for 2 h at RT and then was quenched by the addition of 30 mL of NH4Cl (sat.). The resulting solution was extracted with 3×40 mL of ethyl acetate and the organic layers combined and concentrated under vacuum. The residue was applied onto a silica gel column and eluted with ethyl acetate/petroleum ether (1:3 to 1:1). This resulted in 662 mg (12%) of the title compound as a light yellow solid. MS-ESI: 218.0 (M-1).




embedded image




embedded image


3-Chloro-5-(2-hydroxypropan-2-vl)benzenesulfonamide
Step 1: 3-Chloro-5-(2-hydroxypropan-2-yl)benzenesulfonamide

Into a 100-mL 3-necked round-bottom flask purged with and maintained under nitrogen, was placed a solution of methyl 3-chloro-5-sulfamoylbenzoate (579 mg, 2.32 mmol) in THF (30 mL). This was followed by the addition of MeMgBr/THF (3 M, 3.5 mL) dropwise with stirring at 0° C. The resulting solution was stirred for 12 h at RT and then was quenched by the addition of 20 mL of NH4Cl (sat.). The solution was extracted with 3×20 mL of ethyl acetate and the organic layers combined and concentrated under vacuum. The residue was applied onto a silica gel column and eluted with ethyl acetate/petroleum ether (1:3 to 1:1). This resulted in 415 mg (72%) of the title compound as a light yellow solid. MS-ESI: 248.0, 250.0 (M-1).




embedded image




embedded image


3-(2-Hydroxypropan-2-yl)benzenesulfonamide
Step 1: Methyl 3-sulfamoylbenzoate

Into a 100-mL round-bottom flask, was placed a solution of methyl 3-(chlorosulfonyl)benzoate (2 g, 8.5 mmol) in DCM (35 mL). To the above was added a saturated solution of ammonia in DCM (15 mL). The resulting solution was stirred for 2 h at RT and then was concentrated under vacuum. The residue was applied onto a silica gel column and eluted with ethyl acetate/petroleum ether (1:3 to 1:1). This resulted in 1.753 g (93%) of the title compound as a white solid. MS-ESI: 214.0 (M-1).


Step 2: 3-(2-Hydroxypropan-2-yl)benzenesulfonamide

Into a 250-mL 3-necked round-bottom flask purged with and maintained under nitrogen, was placed a solution of methyl 3-sulfamoylbenzoate (1.753 g, 8.14 mmol) in THF (70 mL). This was followed by the addition of MeMgBr/THF (3 M, 12.2 mL) dropwise with stirring at 0° C. The resulting solution was stirred for 12 h at RT and then was quenched by the addition of 30 mL of NH4Cl (sat.). The resulting solution was extracted with 5×30 mL of ethyl acetate and the organic layers combined and concentrated under vacuum. The residue was applied onto a silica gel column and eluted with ethyl acetate/petroleum ether (1:3 to 1:1). This resulted in 1.642 g (94%) of the title compound as a white solid. MS-ESI: 214.0 (M-1).









TABLE 2







The Intermediates in the following Table were prepared using the similar procedure for


converting compound 7 to compound 8 shown in Scheme I.










Intermediate #
Structure
IUPAC Name
Mass Spec[M + H]+





Intermediate 6


embedded image


quinoline-3- sulfonamide
209.0 (M + 1)





Intermediate 7


embedded image


benzofuran-2- sulfonamide
196.0 (M − 1)











embedded image


5-(2-Hydroxypropan-2-yl)thiophene-2-sulfonamide

Intermediate 8 was prepared using the similar procedures for converting compound 7 to Intermediate 5 shown in Scheme I MS-ESI 220.0 (M-1).




embedded image




embedded image


3-(Methylsulfonyl)benzenesulfonamide
Step 1: 3-(Methylsulfonyl)benzene-1-sulfonyl chloride

Into a 100-mL round-bottom flask, was placed a solution of 3-(methylsulfonyl)benzenamine (200 mg, 1.17 mmol) in HCl (6 M, 5 mL). This was followed by the addition of a solution of NaNO2 (97 mg, 1.41 mmol) in water (0.5 mL) dropwise with stirring at 0° C. The resulting solution was stirred for 20 min at 0° C. The above mixture was added to a saturated solution of SO2 in AcOH (5 mL) dropwise with stirring at 0° C. Then to the above was added CuCl2 (157 mg, 1.17 mmol). The resulting solution was stirred for 1 h at RT and then was quenched by the addition of 10 mL of water. The resulting solution was extracted with 3×10 mL of DCM and the organic layers combined and dried over anhydrous Na2SO4, then concentrated under vacuum. This resulted in 250 mg (84%) of the title compound as a light yellow solid. The crude product was used in the next step.


Step 2: 3-(Methylsulfonyl)benzenesulfonamide

Into a 50-mL round-bottom flask, was placed 3-(methylsulfonyl)benzene-1-sulfonyl chloride (250 mg, 0.98 mmol), DCM (3 mL). To the above was added a saturated solution of ammonia in DCM (5 mL). The resulting solution was stirred for 1 h at RT and then was diluted with 5 mL of water. The resulting solution was extracted with 3×10 mL of ethyl acetate and the organic layers combined and dried over anhydrous Na2SO4, then concentrated under vacuum. This resulted in 220 mg (crude, 95%) of the title compound as a white solid. MS-ESI: 234.0 (M-1).









TABLE 3







The Intermediates in the following Table were prepared using the similar procedures


for converting compound 9 to Intermediate 9 shown in Scheme J.













Mass


Intermediate #
Structure
IUPAC Name
Spec[M − H]





Intermediate 10


embedded image


(methylsulfonyl) benzenesulfonamide
234.0





Intermediate 11


embedded image


4- pentafluorobenzenesulfonamide
282.0





Intermediate 12


embedded image


4-(1H-pyrazol-1-yl) benzenesulfonamide
222.0











embedded image




embedded image


1-Isopropyl-1H-pyrazole-3-sulfonamide
Step 1: 1-Isopropyl-3-nitro-1H-pyrazole

Into a 250-mL round-bottom flask, was placed a solution of 3-nitro-1H-pyrazole (10 g, 88.4 mmol) in DMF (100 mL). This was followed by the addition of NaH (60%, 3.9 g) in portions at 0° C. The resulting solution was stirred for 0.5 h at 0° C. This was followed by the addition of 2-bromopropane (14.1 g, 114.6 mmol) dropwise with stirring at 0° C. in 10 min. The resulting solution was stirred for 16 h at RT and then was quenched by the addition of 100 mL of water. The resulting solution was extracted with 3×100 mL of ethyl acetate and the organic layers combined and dried over anhydrous Na2SO4, then concentrated under vacuum. The residue was applied onto a silica gel column and eluted with ethyl acetate/petroleum ether (1:5 to 1:3). This resulted in 11.8 g (86%) of the title compound as yellow oil. MS-ESI: 156.1 (M+1).


Step 2: 3-Amino-i-(propan-2-yl)-1H-pyrazole

Into a 250-mL round-bottom flask, was placed a solution of 1-isopropyl-3-nitro-1H-pyrazole (10.8 g, 69.6 mmol) in MeOH (100 mL). Then Pd/C (10% wt, 1.5 g) was added. The flask was evacuated and flushed three times with hydrogen. The mixture was stirred for 24 h at RT under an atmosphere of hydrogen. The solids were filtered out. The resulting mixture was concentrated under vacuum. This resulted in 7.27 g (83%) of the title compound as yellow oil. MS-ESI: 126.1 (M+1).


Steps 3-4 used similar procedures for converting compound 9 to Intermediate 9 shown in Scheme J to afford Intermediate 13. MS-ESI: 188.0 (M-1).




embedded image




embedded image


4-(2-Hydroxypropan-2-yl)furan-2-sulfonamide
Step 1: Ethyl 5-(chlorosulfonyl)furan-3-carboxylate

Into a 500-mL 3-necked round-bottom flask, was placed ethyl furan-3-carboxylate (7 g, 50 mmol), DCM (200 mL). This was followed by the addition of chloranesulfonic acid (5.8 g, 49.8 mmol) dropwise with stirring at −10° C. Then the reaction was stirred for 48 h at RT and the system was cooled to −10° C. Then to the above was added pyridine (3.96 g, 50.1 mmol), phosphorus pentachloride (11.46 g, 55.0 mmol). The resulting solution was stirred for 12 h at RT and then was quenched by the addition of 200 mL of water. The resulting solution was extracted with 3×200 mL of DCM and the organic layers combined and dried over anhydrous Na2SO4, then concentrated under vacuum. This resulted in 7.13 g (60%) of the title compound as light brown oil. The crude product was used in the next step.


Step 2: Ethyl 5-sulfamoylfuran-3-carboxylate

Into a 250-mL round-bottom flask, was placed a solution of ethyl 5-(chlorosulfonyl)furan-3-carboxylate (6.111 g, 25.61 mmol) in DCM (60 mL). To the above was added a saturated solution of ammonia in DCM (40 mL). The resulting solution was stirred for 3 h at RT and then was concentrated under vacuum. The residue was applied onto a silica gel column and eluted with ethyl acetate/petroleum ether (1:4 to 1:2). This resulted in 3.698 g (66%) of the title compound as a light yellow solid. MS-ESI: 218.0 (M-1).


Step 3: 4-(2-Hydroxypropan-2-yl)furan-2-sulfonamide

Into a 250-mL 3-necked round-bottom flask purged with and maintained under nitrogen, was placed a solution of ethyl 5-sulfamoylfuran-3-carboxylate (3.698 g, 16.87 mmol) in THF (100 mL). This was followed by the addition of MeMgBr/THF (3 M, 25 mL) dropwise with stirring at −10° C. The resulting solution was stirred for 10 h at RT and then was quenched by the addition of 50 mL of NH4Cl (sat.). The resulting solution was extracted with 3×50 mL of ethyl acetate and the organic layers combined and dried over anhydrous Na2SO4, then concentrated under vacuum. The residue was applied onto a silica gel column and eluted with ethyl acetate/petroleum ether (1:3 to 1:1). This resulted in 2.6 g (75%) of the title compound as a light yellow solid. MS-ESI: 204.0 (M-1).









TABLE 4







The Intermediates in the following Table were prepared using the similar procedures


for converting compound 15 to Intermediate 14 shown in Scheme L.










Intermediate #
Structure
IUPAC Name
Mass Spec[M − H]





Intermediate 15


embedded image


4-(2-hydroxypropan-2-yl) thiophene-2-sulfonamide
220.0





Intermediate 16


embedded image


4-(2-hydroxypropan-2-yl)-5- methylthiophene-2- sulfonamide
234.0





Intermediate 17


embedded image


4-(2-hydroxypropan-2-yl)-5- methylfuran-2-sulfonamide
218.1





Intermediate 18


embedded image


4-(2-hydroxypropan-2-yl)-3- methylthiophene-2- sulfonamide
234.1











embedded image




embedded image


3-(2-Hydroxypropan-2-yl)-2-methylbenzenesulfonamide
Step 1: Methyl 3-(chlorosulfonyl)-2-methylbenzoate

Into a 100-mL round-bottom flask, was placed methyl methyl 3-amino-2-methylbenzoate (2 g, 12.1 mmol), HCl (6 M, 10 mL). This was followed by the addition of a solution of NaNO2 (1 g, 14.5 mmol) in water (5 mL) dropwise with stirring at 0° C. The resulting solution was stirred for 20 min at 0° C. The above mixture was added to a saturated solution of SO2 in AcOH (15 mL) dropwise with stirring at 0° C. Then to the above was added CuCl2 (1.63 g, 12.1 mmol). The resulting solution was stirred for 1 h at RT and then was quenched by the addition of 15 mL of water. The resulting solution was extracted with 2×20 mL of DCM and the organic layers combined and dried over anhydrous Na2SO4, then concentrated under vacuum. This resulted in 2 g (66%) of the title compound as a light yellow solid. The crude product was used in the next step.


Step 2: Methyl 2-methyl-3-sulfamoylbenzoate

Into a 100-mL round-bottom flask, was placed a solution of methyl 3-(chlorosulfonyl)-2-methylbenzoate (2 g, 8.04 mmol) in DCM (10 mL). To the above was added a saturated solution of ammonia in DCM (15 mL). The resulting solution was stirred for 1 h at RT and then was concentrated under vacuum. The residue was applied onto a silica gel column and eluted with ethyl acetate/petroleum ether (1:3 to 1:1). This resulted in 1.2 g (65%) of the title compound as a white solid. MS-ESI: 228.0 (M-1).


Step 3: 3-(2-Hydroxypropan-2-yl)-2-methylbenzenesulfonamide

Into a 100-mL 3-necked round-bottom flask purged with and maintained under nitrogen, was placed a solution of methyl 2-methyl-3-sulfamoylbenzoate (1.2 g, 5.23 mmol) in THF (20 mL). This was followed by the addition MeMgBr/THF (3 M, 8.7 mL) dropwise with stirring at 0° C. The resulting solution was stirred for 12 h at RT. The reaction was then quenched by the addition of 15 mL of NH4Cl (sat.). The resulting solution was extracted with 3×20 mL of ethyl acetate and the organic layers combined and dried over anhydrous Na2SO4, then concentrated under vacuum. This resulted in 1.1 g (crude, 92%) of the title compound as an off-white solid. MS-ESI: 228.1 (M-1).









TABLE 5







The Intermediates in the following Table were prepared using the similar procedures


for converting compound 18 to Intermediate 19 shown in Scheme M.










Intermediate #
Structure
IUPAC Name
Mass Spec[M − H]





Intermediate 20


embedded image


4-(2-hydroxypropan-2-yl)-2- methylbenzenesulfonamide
228.1





Intermediate 21


embedded image


3-(2-hydroxypropan-2-yl)-5- methylbenzenesulfonamide
228.1





Intermediate 22


embedded image


3-(2-hydroxypropan-2-yl)-4- methylbenzenesulfonamide
228.1





Intermediate 23


embedded image


4-(2-hydroxypropan-2-yl)-3- methylbenzenesulfonamide
228.1





Intermediate 24


embedded image


2-fluoro-4-(2- hydroxypropan-2- yl)benzenesulfonamide
232.1





Intermediate 25


embedded image


3-fluoro-4-(2- hydroxypropan-2- yl)benzenesulfonamide
232.1





Intermediate 26


embedded image


3-fluoro-5-(2- hydroxypropan-2- yl)benzenesulfonamide
232.1





Intermediate 27


embedded image


4-fluoro-3-(2- hydroxypropan-2- yl)benzenesulfonamide
232.1





Intermediate 28


embedded image


2-fluoro-3-(2- hydroxypropan-2- yl)benzenesulfonamide
232.1





Intermediate 29


embedded image


2-fluoro-5-(2- hydroxypropan-2- yl)benzenesulfonamide
232.1





Intermediate 30


embedded image


4-(2-hydroxypropan-2-yl) benzenesulfonamide
214.1





Intermediate 31


embedded image


3-(2-hydroxypropan-2-yl) benzenesulfonamide
214.1





Intermediate 32


embedded image


6-(2-hydroxypropan-2-yl) pyridine-3-sulfonamide
217.1 (M + 1)





Intermediate 33


embedded image


3,5-bis(2-hydroxypropan-2- yl) benzenesulfonamide
272.1











embedded image




embedded image


3-(2-Hydroxypropan-2-yl)-5-(pyridin-4-yl)benzenesulfonamide
Step 1: Ethyl 3-nitro-5-(pyridin-4-yl)benzoate

Into a 500-mL round-bottom flask purged with and maintained under nitrogen, was placed ethyl 3-bromo-5-nitrobenzoate (5.5 g, 20.1 mmol), dioxane (250 mL), water(50 mL), (pyridin-4-yl)boronic acid (3.0 g, 24.4 mmol), Cs2CO3 (12.7 g, 38.98 mmol), Pd(dppf)Cl2 (600 mg, 0.82 mmol). The resulting solution was stirred for 12 h at 90° C. and then was concentrated under vacuum. The residue was applied onto a silica gel column and eluted with ethyl acetate/petroleum ether (1:1 to 3:1). This resulted in 4.2 g (77%) of the title compound as a white solid. MS-ESI: 273.1 (M+1).


Step 2: Ethyl 3-amino-5-(pyridin-4-yl)benzoate

Into a 250-mL round-bottom flask, was placed ethyl 3-nitro-5-(pyridin-4-yl)benzoate (4.2 g, 15.4 mmol), MeOH (150 mL). Then Pd/C (10% wt, 500 mg) was added. The flask was evacuated and flushed three times with hydrogen. The resulting solution was stirred for 2 days at RT under an atmosphere of hydrogen. The solids were filtered out. The resulting solution was concentrated under vacuum. This resulted in 3.7 g (99%) of the title compound as a white solid. MS-ESI: 243.1 (M+1).


Steps 3-5 used similar procedures for converting compound 18 to Intermediate 19 shown in Scheme M to afford Intermediate 34. MS-ESI: 293.1 (M+1), 291.1 (M-1).




embedded image


5-(2-Hydroxypropan-2-yl)biphenyl-3-sulfonamide

Intermediate 35 was prepared using the similar procedures for converting compound 21 to Intermediate 34 shown in Scheme N. MS-ESI: 290.1 (M-1)




embedded image




embedded image


5-(2-Hydroxypropan-2-yl)-1-phenyl-1H-pyrazole-3-sulfonamide
Step 1: Ethyl 3-nitro-1-phenyl-1H-pyrazole-5-carboxylate

Into a 500-mL round-bottom flask, was placed ethyl 3-nitro-1H-pyrazole-5-carboxylate (5 g, 27.0 mmol), THF (150 mL), phenylboronic acid (6.59 g, 54.1 mmol), Cu(OAc)2 (7.36 g, 40.5 mmol), pyridine (8.54 g, 108 mmol). The resulting solution was stirred for 14 h at 55° C. and then was concentrated under vacuum. The residue was applied onto a silica gel column and eluted with ethyl acetate/petroleum ether (1:7 to 1:4). This resulted in 2 g (28%) of the title compound as an off-white solid. MS-ESI: 262.1 (M+1).


Step 2: Ethyl 3-amino-I-phenyl-1H-pyrazole-5-carboxylate

Into a 100-mL round-bottom flask, was placed ethyl 3-nitro-1-phenyl-1H-pyrazole-5-carboxylate (2 g, 7.66 mmol), EtOH (50 mL). Then Pd/C (10% wt, 200 mg) was added. The flask was evacuated and flushed three times with hydrogen. The resulting solution was stirred for 12 h at RT under an atmosphere of hydrogen. The solids were filtered out. The resulting mixture was concentrated under vacuum. The residue was applied onto a silica gel column and eluted with ethyl acetate/petroleum ether (1:3 to 1:1). This resulted in 1 g (56%) of the title compound as a light yellow solid. MS-ESI: 232.1 (M+1).


Steps 3-5 used similar procedures for converting compound 18 to Intermediate 19 shown in Scheme M to afford Intermediate 36. MS-ESI: 280.1 (M-1).




embedded image




embedded image


5-(2-Hydroxypropan-2-yl)-1-methyl-1H-pyrazole-3-sulfonamide
Step 1: Methyl 1-methyl-3-nitro-1H-pyrazole-5-carboxylate

Into a 250-mL round-bottom flask purged with and maintained under nitrogen, was placed methyl 3-nitro-1H-pyrazole-5-carboxylate (15 g, 87.7 mmol), DMF (50 mL), potassium carbonate (22.4 g, 162 mmol), CH3I (18.5 g, 130 mmol). The resulting solution was stirred for 15 h at RT and then was quenched by the addition of 50 mL of water. The resulting solution was extracted with 3×40 mL of ethyl acetate and the organic layers combined and dried over anhydrous Na2SO4, then concentrated under vacuum. This resulted in 17 g (crude) of the title compound as a yellow solid. MS-ESI: 186.0 (M+1).


Step 2: Methyl 3-amino-I-methyl-1H-pyrazole-5-carboxylate

Into a 500-mL round-bottom flask, was placed methyl 1-methyl-3-nitro-1H-pyrazole-5-carboxylate (17 g, 91.8 mmol), MeOH (100 mL). Then Pd/C (10% wt, 2 g) was added. The flask was evacuated and flushed three times with hydrogen. The resulting solution was stirred for 12 h at RT under an atmosphere of hydrogen. The solids were filtered out. The resulting mixture was concentrated under vacuum. The residue was applied onto a silica gel column and eluted with ethyl acetate/petroleum ether (1:4 to 2:3). This resulted in 11.6 g (81%) of the title compound as a yellow solid. MS-ESI: 156.1 (M+1).


Steps 3-5 used similar procedures for converting compound 18 to Intermediate 19 shown in Scheme M to afford Intermediate 37. MS-ESI: 218.0 (M-1).




embedded image


embedded image




embedded image


3-(2-Hydroxypropan-2-yl)-5-morpholinobenzenesulfonamide
Step 1: Ethyl 3-bromo-5-nitrobenzoate

Into a 500-mL round-bottom flask, was placed 3-bromo-5-nitrobenzoic acid (25 g, 101.6 mmol), EtOH (200 mL). This was followed by the addition of thionyl chloride (15 mL) dropwise with stirring at 0° C. The resulting solution was stirred for 4 h at 80° C. and then was quenched by the addition of 50 mL water. The resulting solution was extracted with 3×50 mL of DCM and the organic layers combined and concentrated under vacuum. The residue was applied onto a silica gel column and eluted with ethyl acetate/petroleum ether (1:20 to 1:10). This resulted in 27.5 g (99%) of the title compound as a white solid.


Step 2: Ethyl 3-(morpholin-4-yl)-5-nitrobenzoate

Into a 500-mL round-bottom flask purged with and maintained under nitrogen, was placed ethyl 3-bromo-5-nitrobenzoate (10 g, 36.5 mmol), toluene (250 mL), morpholine (4.6 g, 52.8 mmol), t-BuONa (5 g, 52.0 mmol), Pd2(dba)3CHCl3 (1.9 g, 1.93 mmol), BINAP (1.2 g, 1.93 mmol). The resulting solution was stirred for 18 h at 60° C. and then was concentrated under vacuum. The residue was applied onto a silica gel column and eluted with ethyl acetate/petroleum ether (1:30 to 1:10). This resulted in 2.8 g (27%) of the title compound as a yellow solid. MS-ESI: 281.1 (M+1).


Step 3: Ethyl 3-amino-5-(morpholin-4-yl)benzoate

Into a 250-mL round-bottom flask, was placed ethyl 3-(morpholin-4-yl)-5-nitrobenzoate (3.0 g, 10.7 mmol), MeOH (100 mL). Then Pd/C (10% wt, 300 mg) was added. The flask was evacuated and flushed three times with hydrogen. The resulting solution was stirred for 12 h at RT under an atmosphere of hydrogen. The solids were filtered out. The resulting mixture was concentrated under vacuum. The residue was applied onto a silica gel column and eluted with ethyl acetate/petroleum ether (1:5 to 1:3). This resulted in 2.6 g (97%) of the title compound as a yellow solid. MS-ESI: 251.1 (M+1).


Steps 4-6 used similar procedures for converting compound 18 to Intermediate 19 shown in Scheme M to afford Intermediate 38. MS-ESI: 299.1 (M-1).




embedded image




embedded image


3-((Tert-butyldiphenylsilyloxy)methyl)-4-(2-hydroxypropan-2-yl)benzenesulfonamide

Steps 1-3 used similar procedures for converting compound 18 to Intermediate 19 shown in Scheme M to afford compound 45. MS-ESI: 212.1 (M-1).


Step 4: 3-((Tert-butyldiphenylsilyloxy)methyl)-4-(2-hydroxypropan-2-yl)benzenesulfonamide

Into a 100-mL round-bottom flask, was placed 3-(hydroxymethyl)-4-(2-hydroxypropan-2-yl)benzenesulfonamide (1.9 g, 7.75 mmol), DMF (20 mL), imidazole (1.06 g, 15.57 mmol), TBDPSCl (3.2 g, 11.64 mmol). The resulting solution was stirred overnight at RT and then was diluted with 20 mL of water. The resulting solution was extracted with 2×20 mL of DCM and the organic layers combined and dried over anhydrous Na2SO4, then concentrated under vacuum. The crude product was purified by Flash-Prep-HPLC with the following conditions (IntelFlash-1): Column, C18 silica gel; mobile phase, ACN/H2O (10 mmol/NH4HCO3)=1:4 increasing to ACN/H2O (10 mmol/NH4HCO3)=4:1 within 30 min; Detector, UV 210 nm. This resulted in 1.4 g (37%) of the title compound as an off-white solid. MS-ESI: 482.2 (M-1).




embedded image




embedded image


5-((Tert-butyldiphenylsilyloxy)methyl)thiazole-2-sulfonamide
Step 1: (2-Bromothiazol-5-yl)methanol

Into a 250-mL round-bottom flask, was placed a solution of methyl 2-bromothiazole-5-carboxylate (15 g, 67.55 mmol) in EtOH (100 mL). This was followed by the addition of sodium borohydride (5.13 g, 139.3 mmol) in portions at 0° C. The resulting solution was stirred for 12 h at RT and then was quenched by the addition of 100 mL of water. The resulting solution was extracted with 3×50 mL of DCM and the organic layers combined and dried over anhydrous Na2SO4, then concentrated under vacuum. This resulted in 10 g (crude, 76%) of the title compound as a light yellow oil. MS-ESI: 195.9, 193.9 (M+1).


Step 2: 2-Bromo-5-((tert-butyldiphenylsilyloxy)methyl)thiazole

Into a 250-mL round-bottom flask, was placed (2-bromothiazol-5-yl)methanol (8 g, 41.2 mmol), DMF (50 mL), TBDPSCl (12.5 g, 45.5 mmol), imidazole (5.6 g, 82.4 mmol). The resulting solution was stirred for 2 h at RT and then was concentrated under vacuum. The residue was applied onto a silica gel column and eluted with ethyl acetate/petroleum ether (1:100 to 1:80). This resulted in 15 g (84%) of the title compound as a light yellow solid. MS-ESI: 434.0, 432.0 (M+1).


Step 3: 5-((Tert-butyldiphenylsilyloxy)methyl)thiazole-2-sulfonamide

Into a 500-mL 3-necked round-bottom flask purged with and maintained under nitrogen, was placed a solution of 2-bromo-5-((tert-butyldiphenylsilyloxy)methyl)thiazole (15 g, 34.7 mmol) in THF (200 mL). This was followed by the addition of n-BuLi (2.5 M, 16.7 mL) dropwise with stirring at −78° C. The resulting solution was stirred for 30 min at −78° C. To the above SO2 was introduced. The reaction was warmed to RT and stirred for 30 min and then was concentrated under vacuum. The residue diluted in DCM (150 mL) and then NCS (5.7 g, 42.69 mmol) was added. The resulting solution was stirred for 30 min at RT. To the above was added a saturated solution of ammonia in DCM (100 mL). The resulting solution was stirred for 2 h at RT and then was concentrated under vacuum. The residue was applied onto a silica gel column and eluted with ethyl acetate/petroleum ether (1:20 to 1:10). This resulted in 7.5 g (50%) of the title compound as a light yellow solid. MS-ESI: 431.1 (M-1).




embedded image




embedded image


5-(1-(Tert-butyldiphenylsilyloxy)ethyl)thiazole-2-sulfonamide
Step 1: 2-Bromothiazole-5-carbaldehyde

Into a 500-mL round-bottom flask, was placed (2-bromothiazol-5-yl)methanol (20 g, 103 mmol), DCM (200 mL). This was followed by the addition of Dess-Martin reagent (46 g, 103 mmol) in portions at 0° C. The resulting solution was stirred for 2 h at RT and then was concentrated under vacuum. The residue was applied onto a silica gel column and eluted with ethyl acetate/petroleum ether (1:20 to 1:10). This resulted in 18 g (91%) of the title compound as a white solid. MS-ESI: 193.9, 191.9 (M+1).


Step 2: 1-(2-Bromothiazol-5-yl)ethanol

Into a 500-mL 3-necked round-bottom flask purged with and maintained under nitrogen, was placed a solution of 2-bromothiazole-5-carbaldehyde (18 g, 93.7 mmol) in THF (200 mL). This was followed by the addition of MeMgBr/THF (3 M, 33 mL) dropwise with stirring at 0° C. The resulting solution was stirred for 0.5 h at 0° C. The reaction was then quenched by the addition of 200 mL of NH4Cl (sat.). The resulting solution was extracted with 2×200 mL of DCM and the organic layers combined and concentrated under vacuum. The residue was applied onto a silica gel column and eluted with ethyl acetate/petroleum ether (1:20 to 1:15). This resulted in 15 g (77%) of the title compound as colorless oil. MS-ESI: 209.9, 207.9 (M+1).


Steps 3-4 used similar procedures for converting compound 46 to Intermediate 40 shown in Scheme S to afford Intermediate 41. MS-ESI: 445.1 (M-1).




embedded image




embedded image


5-(1-(Tert-butyldimethylsilyloxy)propan-2-yl)thiazole-2-sulfonamide
Step 1: 1-(2-Bromothiazol-5-yl)ethanone

Into a 250-mL round-bottom flask, was placed 1-(2-bromothiazol-5-yl)ethanol (5.792 g, 27.84 mmol), DCM (150 mL), and Dess-Martin reagent (17.72 g, 41.78 mmol). The resulting solution was stirred for 2 h at RT and then was concentrated under vacuum. The residue was applied onto a silica gel column and eluted with ethyl acetate/petroleum ether (1:10 to 1:5). This resulted in 5.29 g (92%) of the title compound as an off-white solid. MS-ESI: 207.9, 205.9 (M+1).


Step 2: 2-Bromo-5-(1-methoxyprop-1-en-2-yl)thiazole

Into a 250-mL 3-necked round-bottom flask purged with and maintained under nitrogen, was placed (methoxymethyl)triphenylphosphanium chloride (13.16 g, 38.39 mmol), THF (100 mL). This was followed by the addition of LiHMDS (1 M, 38.52 mL) dropwise with stirring at 0° C. The resulting solution was stirred for 0.5 h at 0° C. To this was added a solution of 1-(2-bromothiazol-5-yl)ethanone (5.29 g, 25.67 mmol) in THF (30 mL) dropwise with stirring at 0° C. The resulting solution was stirred for 1 h at RT and then was quenched by the addition of 100 mL of NH4Cl (sat.). The resulting solution was extracted with 3×80 mL of DCM and the organic layers combined and dried over anhydrous Na2SO4, then concentrated under vacuum. The residue was applied onto a silica gel column and eluted with ethyl acetate/petroleum ether (1:5 to 1:3). This resulted in 4.38 g (73%) of the title compound as light yellow oil. MS-ESI: 235.9, 234.0 (M+1).


Step 3: 2-(2-Bromothiazol-5-yl)propanal

Into a 250-mL round-bottom flask, was placed 2-bromo-5-(1-methoxyprop-1-en-2-yl)thiazole (4.38 g, 18.7 mmol), THF (30 mL), water (50 mL), HBr (47% wt, 50 mL). The resulting solution was stirred for 4 h at 70° C. and then was diluted with 30 mL of water. The resulting solution was extracted with 3×50 mL of DCM and the organic layers combined and dried over anhydrous Na2SO4, then concentrated under vacuum. This resulted in 3.79 g (crude, 92%) of the title compound as light yellow oil. MS-ESI: 221.9, 219.9 (M+1).


Step 4: 2-(2-Bromothiazol-5-yl)propan-1-ol

Into a 250-mL round-bottom flask, was placed 2-(2-bromothiazol-5-yl)propanal (4 g, 18.2 mmol), EtOH (60 mL). This was followed by the addition of NaBH4 (1.38 g, 36.5 mmol) in portions at 0° C. The resulting solution was stirred overnight at RT and then was quenched by the addition of 50 mL of water. The resulting solution was extracted with 3×50 mL of DCM and the organic layers combined and dried over anhydrous Na2SO4, then concentrated under vacuum.


This resulted in 3.79 g (94%) of the title compound as light yellow oil. MS-ESI: 223.9, 222.0 (M+1).


Step 5: 2-Bromo-5-(1-(tert-butyldimethylsilyloxy)propan-2-yl)thiazole

Into a 100-mL round-bottom flask, was placed 2-(2-bromothiazol-5-yl)propan-1-ol (3.79 g, 17.1 mmol), DMF (25 mL), imidazole (2.33 g, 34.2 mmol), TBDMSCl (3.87 g, 25.7 mmol). The resulting solution was stirred overnight at RT and then was diluted with 30 mL of water. The resulting solution was extracted with 3×30 mL of DCM and the organic layers combined and dried over anhydrous Na2SO4, then concentrated under vacuum. The residue was applied onto a silica gel column and eluted with ethyl acetate/petroleum ether (1:15 to 1:10). This resulted in 3.12 g (54%) of the title compound as a white solid. MS-ESI: 338.0, 336.0 (M+1).


Step 6 used similar procedure for converting compound 47 to Intermediate 40 shown in Scheme S to afford Intermediate 42. MS-ESI: 335.1 (M-1).




embedded image




embedded image


5-(2-Methoxypropan-2-yl)thiazole-2-sulfonamide
Step 1: 2-(Thiazol-5-yl)propan-2-ol

Into a 250-mL 3-necked round-bottom flask purged with and maintained under nitrogen, was placed a solution of ethyl ethyl thiazole-5-carboxylate (3.75 g, 23.9 mmol) in THF (50 mL). This was followed by the addition of MeMgBr/THF (3 M, 40 mL) dropwise with stirring at 0° C. The resulting solution was stirred for 2 h at RT and then was quenched by the addition of 50 mL of NH4Cl (sat.). The resulting solution was extracted with 3×80 mL of DCM and the organic layers combined and dried over anhydrous Na2SO4, then concentrated under vacuum. The residue was applied onto a silica gel column and eluted with ethyl acetate/petroleum ether (1:3 to 1:1). This resulted in 2.1 g (61%) of the title compound as yellow oil. MS-ESI: 144.0 (M+1).


Step 2: 5-(2-Methoxypropan-2-yl)thiazole

Into a 100-mL round-bottom flask, was placed a solution of 2-(thiazol-5-yl)propan-2-ol (2.06 g, 14.4 mmol) in DMF (20 mL). This was followed by the addition of NaH (60%, 1.15 g, 28.8 mmol) in portions at 0° C. To this was added CH3I (3.07 g, 21.6 mmol) dropwise with stirring at 0° C. The resulting solution was stirred for 1 h at RT and then was quenched by the addition of 20 mL of water. The resulting solution was extracted with 3×30 mL of ethyl acetate and the organic layers combined and dried over anhydrous Na2SO4, then concentrated under vacuum. The residue was applied onto a silica gel column and eluted with ethyl acetate/petroleum ether (1:5 to 1:3). This resulted in 1.42 g (63%) of the title compound as yellow oil. MS-ESI: 158.1 (M+1). Step 3 used similar procedure for converting compound 47 to Intermediate 40 shown in Scheme S to afford Intermediate 43. MS-ESI: 235.0 (M-1).




embedded image




embedded image


5-(2-(Tert-butyldimethylsilyloxy)ethyl)thiazole-2-sulfonamide
Step 1: 2-Bromo-5-(2-methoxyvinyl)thiazole

Into a 100-mL 3-necked round-bottom flask purged with and maintained under nitrogen, was placed (methoxymethyl)triphenylphosphanium chloride (3.2 g, 9.33 mmol), THF (15 mL). This was followed by the addition of LiHMDS (1 M, 9.4 mL) dropwise with stirring at 0° C. To this was added a solution of 2-bromo-1,3-thiazole-5-carbaldehyde (1.5 g, 7.81 mmol) in THF (10 mL) dropwise with stirring at 0° C. The resulting solution was stirred for 0.5 h at 0° C. and then was quenched by the addition of 50 mL of NH4Cl (sat.). The resulting solution was extracted with 3×50 mL of DCM and the organic layers combined and concentrated under vacuum. The residue was applied onto a silica gel column and eluted with ethyl acetate/petroleum ether (1:100 to 1:80). This resulted in 1.3 g (76%) of the title compound as brown oil. The crude product was used in the next step.


Step 2: 2-(2-Bromo-1,3-thiazol-5-yl)acetaldehyde

Into a 50-mL round-bottom flask purged with and maintained under nitrogen, was placed 2-bromo-5-(2-methoxyvinyl)thiazole (1.3 g, 5.91 mmol), THF (10 mL). This was followed by the addition of aqueous hydrogen chloride (4 M, 5 mL) dropwise with stirring at 0° C. The resulting solution was stirred for 4 h at 60° C. The resulting solution was extracted with 3×30 mL of DCM and the organic layers combined and dried over anhydrous Na2SO4, then concentrated under vacuum. This resulted in 1.1 g (90%) of the title compound as light yellow oil. MS-ESI: 205.9, 207.9 (M+1).


Step 3: 2-(2-Bromo-1,3-thiazol-5-yl)ethan-1-ol

Into a 50-mL round-bottom flask, was placed 2-(2-bromo-1,3-thiazol-5-yl)acetaldehyde (1.1 g, 5.34 mmol), EtOH (10 mL), sodium borohydride (200 mg, 5.43 mmol). The resulting solution was stirred for 2 h at RT and then was quenched by the addition of 20 mL of water. The resulting solution was extracted with 3×30 mL of DCM and the organic layers combined and dried over anhydrous Na2SO4, then concentrated under vacuum. This resulted in 1.0 g (90%) of the title compound as light yellow oil. MS-ESI: 207.9, 209.9 (M+1).


Step 4: 2-Bromo-5-(2-(tert-butyldimethylsilyloxy)ethyl)thiazole

Into a 50-mL round-bottom flask, was placed 2-(2-bromo-1,3-thiazol-5-yl)ethan-1-ol (1.0 g, 4.81 mmol), DMF (10 mL), imidazole (650 mg, 9.56 mmol), TBDMSCl (1.1 g, 7.30 mmol). The resulting solution was stirred for 2 h at RT and then was diluted with 20 mL of water. The resulting solution was extracted with 2×20 mL of DCM and the organic layers combined and concentrated under vacuum. This resulted in 1.2 g (77%) of the title compound as light yellow oil. MS-ESI: 324.0, 322.0 (M+1).


Step 5 used similar procedure for converting compound 47 to Intermediate 40 shown in Scheme S to afford Intermediate 44. MS-ESI: 321.1 (M-1).




embedded image




embedded image


5-(1-(Tert-butyldimethylsilyloxy)-2-methylpropan-2-yl)thiazole-2-sulfonamide
Step 1: Tert-butyl 2-(thiazol-5-yl)acetate

Into a 100-mL 3-necked round-bottom flask purged with and maintained under nitrogen, was placed 5-bromothiazole (3 g, 18.29 mmol), THF (30 mL), X-phos (1.74 g, 3.66 mmol), Pd2(dba)3CHCl3 (950 mg, 0.91 mmol). The resulting solution was stirred for 0.5 h at RT. To the above was added tert-butyl 2-(bromozincio)acetate (7.13 g, 27.37 mmol). The resulting solution was stirred for 4 h at 70° C. and then was concentrated under vacuum. The residue was applied onto a silica gel column and eluted with ethyl acetate/petroleum ether (1:10 to 1:3). This resulted in 2.4 g (66%) of the title compound as brown oil. MS-ESI: 200.1 (M+1).


Step 2: Tert-butyl 2-methyl-2-(thiazol-5-yl)propanoate

Into a 100-mL round-bottom flask purged with and maintained under nitrogen, was placed tert-butyl 2-(thiazol-5-yl)acetate (1 g, 5.02 mmol), DMF (20 mL). This was followed by the addition of NaH (60%, 600 mg, 25.00 mmol) in portions at 0° C. The solution was stirred for 0.5 h at 0° C. This was followed by the addition of CH3I (2.13 g, 15.06 mmol) dropwise with stirring at 0° C. The resulting solution was stirred for 2 h at RT and then was quenched by the addition of 40 mL of NH4Cl (sat.). The resulting solution was extracted with 3×50 mL of DCM and the organic layers combined and concentrated under vacuum. The residue was applied onto a silica gel column and eluted with ethyl acetate/petroleum ether (1:10 to 1:3). This resulted in 0.7 g (61%) of the title compound as light yellow oil. MS-ESI: 228.1 (M+1).


Step 3: 2-Methyl-2-(thiazol-5-yl)propan-1-ol

Into a 100-mL round-bottom flask, was placed tert-butyl 2-methyl-2-(thiazol-5-yl)propanoate (700 mg, 3.08 mmol), THF (20 mL). This was followed by the addition of LiAlH4 (200 mg, 5.27 mmol) in portions at 0° C. and was stirred for 2 h at 0° C. and then was quenched by the addition of 1 mL of water. The solids were filtered out. The resulting mixture was concentrated under vacuum. This resulted in 400 mg (83%) of the title compound as brown oil. MS-ESI: 158.1 (M+1).


Steps 4-5 used similar procedures for converting compound 54 to Intermediate 42 shown in in Scheme U to afford Intermediate 45. MS-ESI: 349.1 (M-1).




embedded image




embedded image


2-Fluoro-5-(2-methyl-1,3-dioxolan-2-yl)benzenesulfonamide
Step 1: 2-(3-Bromo-4-fluorophenyl)-2-methyl-1,3-dioxolane

Into a 250-mL round-bottom flask, was placed a solution of 1-(3-bromo-4-fluorophenyl)ethan-1-one (5 g, 23.0 mmol) in toluene (50 mL), ethane-1,2-diol (4 mL), TsOH (200 mg, 1.16 mmol).


The resulting solution was stirred for 6 h at 120° C. The reaction was then quenched by the addition of 100 mL of water. The resulting solution was extracted with 3×100 mL of ethyl acetate and the organic layers combined and dried over anhydrous Na2SO4, then concentrated under vacuum. The residue was applied onto a silica gel column and eluted with ethyl acetate/petroleum ether (1:5 to 1:4). This resulted in 5.5 g (91%) of the title compound as yellow oil.


Step 2 used similar procedure for converting compound 47 to Intermediate 40 shown in Scheme S to afford Intermediate 46. MS-ESI: 260.0 (M-1).




embedded image


5-Acetyl-2-fluorobenzenesulfonamide
Step 3: 5-Acetyl-2-fluorobenzenesulfonamide

Into a 50-mL round-bottom flask, was placed 2-fluoro-5-(2-methyl-1,3-dioxolan-2-yl)benzene-1-sulfonamide (300 mg, 1.15 mmol), THF (5 mL), hydrogen chloride (1 N, 5 mL). The resulting solution was stirred for 12 h at RT. The pH value of the solution was adjusted to 7-8 with NaOH (2 N). The resulting solution was extracted with 3×30 mL of ethyl acetate and the organic layers combined and concentrated under vacuum. This resulted in 240 mg (crude, 96%) of the title compound as a light yellow solid. MS-ESI: 216.0 (M-1).




embedded image




embedded image


2-(2-Hydroxypropan-2-yl)thiazole-5-sulfonamide

Compound 73 was prepared using similar procedures for converting compound 68 to Intermediate 47 shown in Scheme Y.


Step 4: 2-(2-Hydroxypropan-2-yl)thiazole-5-sulfonamide

Into a 100-mL 3-necked round-bottom flask purged with and maintained under nitrogen, was placed 2-acetylthiazole-5-sulfonamide (1 g, 4.85 mmol), THF (20 mL). This was followed by the addition of MeMgBr (3 M, 7 mL) dropwise with stirring at 0° C. The resulting solution was stirred for 14 h at RT and then was quenched by the addition of 20 mL of NH4Cl (sat.). The resulting solution was extracted with 2×30 mL of DCM and the organic layers combined and concentrated under vacuum. The residue was applied onto a silica gel column and eluted with ethyl acetate/petroleum ether (1:5 to 1:3). This resulted in 580 mg (54%) of the title compound as a light yellow solid. MS-ESI: 221.0 (M-1).


Schemes for phenylacetic acids Intermediates: Schemes AA-AQ illustrate the phenylacetic acid intermediates preparation.




embedded image




embedded image


2-(4-Fluoro-2,6-diisopropylphenyl)acetic acid
Step 1: 4-Fluoro-2,6-bis(prop-1-en-2-yl)aniline

Into a 500-mL round-bottom flask purged with and maintained under nitrogen, was placed 2,6-dibromo-4-fluoroaniline (15 g, 55.8 mmol), dioxane (150 mL), water(15 mL), Cs2CO3 (55 g, 169 mmol), 4,4,5,5-tetramethyl-2-(prop-1-en-2-yl)-1,3,2-dioxaborolane (25 g, 149 mmol), Pd(dppf)Cl2 (4 g, 5.47 mmol). The resulting solution was stirred for 15 h at 100° C. and then was concentrated under vacuum. The residue was applied onto a silica gel column and eluted with ethyl acetate/petroleum ether (1:10 to 1:8). This resulted in 9.2 g (86%) of the title compound as brown oil. MS-ESI: 192.1 (M+1).


Step 2: 4-Fluoro-2,6-bis(propan-2-yl)aniline

Into a 500-mL round-bottom flask, was placed 4-fluoro-2,6-bis(prop-1-en-2-yl)aniline (9.2 g, 48.1 mmol), MeOH (200 mL). Then Pd/C (10% wt, 900 mg) was added. The flask was evacuated and flushed three times with hydrogen. The resulting solution was stirred for 12 h at RT under an atmosphere of hydrogen. The solids were filtered out. The resulting mixture was concentrated under vacuum. The residue was applied onto a silica gel column and eluted with ethyl acetate/petroleum ether (1:10 to 1:8). This resulted in 7.2 g (77%) of the title compound as brown oil. MS-ESI: 196.1 (M+1).


Step 3: 2-Bromo-5-fluoro-1,3-bis(propan-2-yl)benzene

Into a 500-mL round-bottom flask purged with and maintained under nitrogen, was placed 4-fluoro-2,6-bis(propan-2-yl)aniline (7 g, 35.9 mmol), ACN (300 mL), CuBr (7.71 g, 53.9 mmol). This was followed by the addition of tert-butyl nitrite (5.55 g, 53.8 mmol) dropwise with stirring at 0° C. The resulting solution was stirred for 3 h at 60° C. and then was concentrated under vacuum. The residue was applied onto a silica gel column with petroleum ether. This resulted in 3.0 g (32%) of the title compound as yellow oil. 1H NMR (400 MHz, DMSO-d6): δ 7.09 (d, J=9.8 Hz, 2H), 3.40 (hept, J=6.9 Hz, 2H), 1.20 (d, J=6.8 Hz, 12H).


Step 4: Tert-butyl 2-[4-fluoro-2,6-bis(propan-2-yl)phenyl]acetate

Into a 250-mL 3-necked round-bottom flask purged with and maintained under nitrogen, was placed 2-bromo-5-fluoro-1,3-bis(propan-2-yl)benzene (3.0 g, 11.6 mmol), THF(150 mL), X-phos (553 mg, 1.16 mmol), Pd2(dba)3CHCl3 (600 mg, 0.58 mmol). The resulting solution was stirred for 0.5 h at RT. Then to the above tert-butyl 2-(bromozincio)acetate (6.0 g, 23.04 mmol) was added. The resulting solution was stirred for 5 h at 70° C. and then was quenched by the addition of 100 mL of NH4Cl (sat.). The resulting solution was extracted with 3×100 mL of ethyl acetate and the organic layers combined and concentrated under vacuum. The residue was applied onto a silica gel column and eluted with ethyl acetate/petroleum ether (1:100 to 3:97). This resulted in 3.14 g (92%) of the title compound as yellow oil. 1H NMR (400 MHz, DMSO-d6) δ 6.93 (d, J=10.4 Hz, 2H), 3.67 (s, 2H), 3.19-3.07 (m, 2H), 1.39 (s, 9H), 1.15 (d, J=6.7 Hz, 12H).


Step 5: 2-(4-Fluoro-2,6-diisopropylphenyl)acetic Acid

Into a 50-mL round-bottom flask, was placed tert-butyl 2-[4-fluoro-2,6-bis(propan-2-yl)phenyl]acetate (1.56 g, 5.30 mmol), DCM (10 mL), TFA (10 mL). The resulting solution was stirred for 3 h at RT and then was concentrated under vacuum. This resulted in 1.36 g (crude, 108%) of the title compound as a light yellow solid. MS-ESI: 237.1 (M-1).




embedded image


embedded image




embedded image


2-(4-Chloro-3,5-difluoro-2,6-diisopropylphenyl)acetic Acid
Step 1: 4-Chloro-3,5-difluorobenzenamine

Into a 500-mL round-bottom flask, was placed 3,5-difluorobenzenamine (10.3 g, 79.8 mmol), ACN (100 mL), NCS (10.8 g, 80.9 mmol). The resulting solution was stirred for 5 h at 80° C. and then was concentrated under vacuum. The residue was applied onto a silica gel column and eluted with ethyl acetate/petroleum ether (1:3 to 1:1). This resulted in 7.1 g (54%) of the title compound as a gray solid. 164.0, 166.0 (M+1).


Step 2: 2,6-Dibromo-4-chloro-3,5-difluorobenzenamine

Into a 250-mL round-bottom flask, was placed 4-chloro-3,5-difluorobenzenamine (4.0 g, 24.5 mmol), ACN (100 mL), NBS (13.0 g, 73.0 mmol). The resulting solution was stirred for 1 h at RT and then was concentrated under vacuum. The residue was applied onto a silica gel column and eluted with ethyl acetate/petroleum ether (1:6 to 1:4). This resulted in 7.4 g (94%) of the title compound as a yellow solid. MS-ESI: 319.8, 321.8, 323.8 (M+1).


Steps 3-7 used similar procedures for converting compound 74 to Intermediate 49 shown in Scheme AA to afford Intermediate 50. MS-ESI: 289.1, 291.1 (M-1).


Compound 84: 1H NMR (400 MHz, CDCl3-d) S 3.67 (hept, J=7.2 Hz, 2H), 1.33 (d, J=7.2 Hz, 12H).




embedded image


embedded image




embedded image


2-(3,4-Difluoro-2,6-diisopropylphenyl)acetic acid
Step 1: 2,6-Dibromo-3,4-difluorobenzenamine

Into a 250-mL round-bottom flask, was placed 3,4-difluorobenzenamine (5 g, 38.7 mmol), ACN (100 mL), NBS (16.2 g, 91.0 mmol). The resulting solution was stirred for 16 h at 85° C. and then was concentrated under vacuum. The residue was applied onto a silica gel column and eluted with ethyl acetate/petroleum ether (1:6 to 1:4). This resulted in 5.49 g (49%) of the title compound as a yellow solid. MS-ESI: 287.9, 285.9, 289.9 (M+1).


Steps 2-6 used similar procedures for converting compound 74 to Intermediate 49 shown in Scheme AA to afford Intermediate 51. MS-ESI: 255.1 (M-1).


Compound 90: 1H NMR (300 MHz, MeOD-d4) δ 7.10 (dd, J=11.7, 8.4 Hz, 1H), 3.79-3.70 (m, 1H), 3.48-3.29 (m, 1H), 1.32 (dd, J=6.8, 1.8 Hz, 6H), 1.18 (d, J=6.8 Hz, 6H).


Compound 91: 1H NMR (300 MHz, DMSO-d6) δ 7.13 (dd, J=12.3, 8.3 Hz, 1H), 3.65 (s, 2H), 3.21-3.00 (m, 2H), 1.35 (s, 9H), 1.28-1.05 (m, 12H).




embedded image


embedded image




embedded image


2-(2,6-Diisopropyl-4-(trifluoromethyl)phenyl)acetic acid
Step 1: 2,6-Dibromo-4-(trifluoromethyl)benzenamine

Into a 100-mL round-bottom flask purged with and maintained under nitrogen, was placed 2-bromo-4-(trifluoromethyl)benzenamine (5 g, 20.8 mmol), AcOH (50 mL), Br2 (1.3 mL). The resulting solution was stirred for 3 h at RT and then was quenched by the addition of 50 mL of Na2S2O3 (sat.). The resulting solution was extracted with 3×50 mL of DCM and the organic layers combined and dried over anhydrous Na2SO4, then concentrated under vacuum. This resulted in 5 g (75%) of the title compound as light yellow oil. MS-ESI: 319.9, 317.9, 321.9 (M+1).


Steps 2-6 used similar procedures for converting compound 74 to Intermediate 49 shown in Scheme AA to afford Intermediate 52. MS-ESI: 287.1 (M-1).


Compound 97: 1H NMR (300 MHz, DMSO-d6) δ 7.39 (s, 2H), 3.29 (s, 2H), 3.16 (hept, J=6.8 Hz, 2H), 1.37 (s, 9H), 1.16 (d, J=6.7 Hz, 12H).




embedded image




embedded image


2-(3-Fluoro-2,6-diisopropylphenyl)acetic acid
Step 1: 2,6-Dibromo-4-chloro-3-fluoroaniline

Into a 500-mL round-bottom flask, was placed 4-chloro-3-fluoroaniline (5.08 g, 34.9 mmol), ACN (200 mL), NBS (18.69 g, 105.0 mmol). The resulting solution was stirred for 12 h at RT and then was concentrated under vacuum. The residue was applied onto a silica gel column and eluted with ethyl acetate/petroleum ether (1:200 to 1:100). This resulted in 9.7 g (92%) of the title compound as a light yellow solid. MS-ESI: 303.8, 305.8, 301.8 (M+1).


Step 2: 4-Chloro-3-fluoro-2,6-bis(prop-1-en-2-yl)aniline

Into a 500-mL round-bottom flask purged with and maintained under nitrogen, was placed 2,6-dibromo-4-chloro-3-fluoroaniline (9.03 g, 29.8 mmol), dioxane (200 mL), water (20 mL), 4,4,5,5-tetramethyl-2-(prop-1-en-2-yl)-1,3,2-dioxaborolane (15.12 g, 89.98 mmol), Cs2CO3 (29.34 g, 90.05 mmol), Pd(dppf)Cl2 (2.20 g, 3.01 mmol). The resulting solution was stirred for 12 h at 90° C. and then was concentrated under vacuum. The residue was applied onto a silica gel column and eluted with ethyl acetate/petroleum ether (1:30 to 1:20). This resulted in 4.3 g (64%) of the title compound as yellow oil. MS-ESI: 226.1, 228.1 (M+1).


Step 3: 3-Fluoro-2,6-bis(propan-2-yl)aniline

Into a 250-mL pressure tank reactor (10 atm) purged with and maintained under nitrogen, was placed 4-chloro-3-fluoro-2,6-bis(prop-1-en-2-yl)aniline (4.3 g, 19.1 mmol), MeOH (100 mL), TEA (2.0 g, 19.8 mmol). Then Pd/C (10% wt, 0.5 g) was added. The flask was evacuated and flushed three times with hydrogen. The resulting solution was stirred for 7 days at 100° C. under an atmosphere of hydrogen. The solids were filtered out. The resulting mixture was concentrated under vacuum. The residue was applied onto a silica gel column and eluted with ethyl acetate/petroleum ether (1:5 to 1:3). This resulted in 3.6 g (97%) of the title compound as light yellow oil. MS-ESI: 196.1 (M+1).


Steps 4-6 used similar procedures for converting compound 76 to Intermediate 49 shown in Scheme AA to afford Intermediate 53. MS-ESI: 237.1 (M-1).


Compound 102: 1H NMR (400 MHz, DMSO-d6) δ 7.28 (dd, J=8.7, 5.9 Hz, 1H), 7.18 (dd, J=11.3, 8.7 Hz, 1H), 3.64 (hept, J=6.9 Hz, 1H), 3.36 (hept, J=6.9 Hz, 1H), 1.30 (dd, J=6.9, 1.9 Hz, 6H), 1.19 (d, J=6.8 Hz, 6H).


Compound 103: 1H NMR (400 MHz, DMSO-d6) δ 7.16 (dd, J=8.6, 5.6 Hz, 1H), 7.00 (dd, J=11.9, 8.7 Hz, 1H), 3.72 (s, 2H), 3.23-3.00 (m, 2H), 1.40 (s, 9H), 1.28 (d, J=6.9 Hz, 6H), 1.15 (d, J=6.8 Hz, 6H).




embedded image




embedded image


2-(3,5-Difluoro-2,6-diisopropylphenyll)acetic acid
Step 1: 3,5-Difluoro-2,6-bis(propan-2-yl)aniline

Into a 100-mL pressure tank reactor (10 atm), was placed 4-chloro-3,5-difluoro-2,6-bis(prop-1-en-2-yl) aniline (1.6 g, 6.57 mmol), MeOH (60 mL), TEA (0.2 mL). Then Pd/C (10% wt, 800 mg) was added. The flask was evacuated and flushed three times with hydrogen. The resulting solution was stirred for 5 days at 100° C. under an atmosphere of hydrogen. The solids were filtered out. The resulting mixture was concentrated under vacuum. The residue was applied onto a silica gel column and eluted with ethyl acetate/petroleum ether (1:5 to 1:3). This resulted in 1.2 g (86%) of the title compound as light yellow oil. MS-ESI: 214.1 (M+1).


Steps 2-4 used similar procedures for converting compound 76 to Intermediate 49 shown in Scheme AA to afford Intermediate 54. MS-ESI: 255.1 (M-1).


Compound 105: 1H NMR (300 MHz, CDCl3-d) δ 6.71 (t, J=11.4 Hz, 1H), 3.64 (hept, J=7.0 Hz, 2H), 1.29 (d, J=7.0 Hz, 12H).


Compound 106: 1H NMR (300 MHz, CDCl3-d) δ 6.64 (t, J=11.8 Hz, 1H), 3.67 (s, 2H), 3.16 (hept, J=7.0 Hz, 2H), 1.43 (s, 9H), 1.30 (d, J=7.0 Hz, 12H).




embedded image




embedded image


2-(2,6-Diisopropyl-4-(trifluoromethoxy)phenyl)acetic acid
Step 1: 2,6-Dibromo-4-(trifluoromethoxy)aniline

Into a 500-mL round-bottom flask, was placed 4-(trifluoromethoxy)aniline (7.15 g, 40.4 mmol), ACN (300 mL), NBS (18 g, 101 mmol). The resulting solution was stirred for 12 h at RT and then was concentrated under vacuum. The residue was applied onto a silica gel column and eluted with ethyl acetate/petroleum ether (1:15 to 1:10). This resulted in 12 g (89%) of the title compound as a white solid. MS-ESI: 335.9, 333.9, 337.9 (M+1).


Step 2: 2,6-Bis(prop-1-en-2-yl)-4-(trifluoromethoxy)aniline

Into a 500-mL 3-necked round-bottom flask purged with and maintained under nitrogen, was placed 2,6-dibromo-4-(trifluoromethoxy)aniline (2.67 g, 7.97 mmol), dioxane (40 mL), water (4 mL), Cs2CO3 (8 g, 24.8 mol), 4,4,5,5-tetramethyl-2-(prop-1-en-2-yl)-1,3,2-dioxaborolane (3.06 g, 18.2 mmol), Pd(dppf)Cl2 (656 mg, 0.80 mmol). The resulting solution was stirred overnight at 90° C. and then concentrated under vacuum. The residue was applied onto a silica gel column and eluted with ethyl acetate/petroleum ether (1:15 to 1:10). This resulted in 1.15 g (56%) of the title compound as light yellow oil. MS-ESI: 258.1 (M+1).


Steps 3-6 used similar procedures for converting compound 82 to Intermediate 54 shown in Scheme AF to afford Intermediate 55. MS-ESI: 303.1 (M-1).


Compound 111: 1H NMR (300 MHz, MeOD-d4) δ 7.10-7.03 (s, 2H), 3.55 (hept, J=6.8 Hz, 2H), 1.25 (d, J=6.8 Hz, 12H).




embedded image




embedded image


2-(2,6-Diisopropylphenyl)acetic Acid
Step 1: 2-Bromo-1,3-bis(propan-2-yl)benzene

Into a 500-mL round-bottom flask, was placed 2,6-diisopropylbenzenamine (10 g, 56.4 mmol). This was followed by the addition of HBr (47% wt, 51 mL) dropwise with stirring at RT during 5 min. The white suspension was cooled down to −56° C. and 23.6 g (0.34 mol) of NaNO2 (6.65 g, 96.4 mmol) was added in portions during 10 min and stirred continued at the same temperature for 1 h. Then 70 mL of ice-cold THF was slowly added during 10 min and the temperature let slowly rising to −15° C. during 2 h until no more gas evolved. The temperature was decreased again to −56° C. and 24 mL of water was added followed by the addition of sodium carbonate decahydrate (33.38 g, 11.67 mmol) giving a brown suspension. The temperature was let raising to RT during 3 h. The mixture was stirred for 16 h at RT. The resulting solution was extracted with 3×50 mL of DCM and the organic layers combined and concentrated under vacuum. The residue was applied onto a silica gel column and eluted with ethyl acetate/petroleum ether (1:15 to 1:10). This resulted in 11 g (81%) of the title compound as yellow oil.


Steps 2-3 used similar procedures for converting compound 77 to Intermediate 49 shown in Scheme AA to afford Intermediate 56. MS-ESI: 219.1 (M-1).


Compound 115: 1H NMR (400 MHz, DMSO-d6) δ 7.21-7.09 (m, 3H), 3.69 (s, 2H), 3.12 (hept, J=6.8 Hz, 2H), 1.39 (s, 9H), 1.18 (d, J=6.8 Hz, 12H).




embedded image




embedded image


2-(4-Chloro-2-isopropyl-6-(trifluoromethyl)phenyl)acetic acid
Step 1: 2-Bromo-4-chloro-6-(trifluoromethyl)aniline

Into a 250-mL round-bottom flask, was placed 4-chloro-2-(trifluoromethyl)aniline (5 g, 25.6 mmol), ACN (150 mL), NBS (9.2 g, 51.7 mmol). The resulting solution was stirred overnight at RT and then was concentrated under vacuum. The residue was applied onto a silica gel column and eluted with ethyl acetate/petroleum ether (1:15 to 1:10). This resulted in 6 g (86%) of the title compound as a white solid. MS-ESI: 275.9, 273.9 (M+1).


Steps 2-6 used similar procedures for converting compound 74 to Intermediate 49 shown in Scheme AA to afford Intermediate 57. MS-ESI: 279.0 (M-1).


Compound 121: 1H NMR (300 MHz, DMSO-d6) δ 7.70 (s, 1H), 7.58 (s, 1H), 3.77 (s, 2H), 3.11-2.97 (m, 1H), 1.35 (s, 9H), 1.17 (d, J=6.8 Hz, 6H).




embedded image




embedded image


2-(4-Chloro-2,6-diisopropylphenyl)acetic acid
Step 1: 4-Chloro-2,6-bis(propan-2-yl)aniline

Into a 100-mL round-bottom flask, was placed 2,6-bis(propan-2-yl)aniline (5 g, 28.2 mmol), DMF (20 mL), NCS (4.9 g, 36.7 mmol). The resulting solution was stirred for 15 h at RT and then was diluted with 20 mL of water. The resulting solution was extracted with 3×20 mL of DCM and the organic layers combined and concentrated under vacuum. The residue was applied onto a silica gel column and eluted with ethyl acetate/petroleum ether (1:10 to 1:5). This resulted in 3.7 g (62%) of the title compound as brown oil. MS-ESI: 212.1, 214.1 (M+1). Steps 2-4 used similar procedures for converting compound 76 to Intermediate 49 shown in Scheme AA to afford Intermediate 58. MS-ESI: 253.1, 255.1 (M-1).




embedded image




embedded image


2-(4-Cyano-2,6-diisopropylphenyl)acetic acid
Step 1: 4-Amino-3,5-bis(propan-2-yl)benzonitrile

Into a 100-mL round-bottom flask purged with and maintained under nitrogen, was placed 4-bromo-2,6-bis(propan-2-yl)aniline (5.1 g, 19.9 mmol), DMF (30 mL), CuCN (2.16 g, 23.9 mmol), CuI (380 mg, 2.00 mmol), KI (664 mg, 3.98 mmol), DMEDA (2.0 mL). The resulting solution was stirred for 24 h at 100° C. and then was diluted with 20 mL of water. The solution was extracted with 3×30 mL of ethyl acetate and the organic layers combined and concentrated under vacuum. The residue was applied onto a silica gel column and eluted with ethyl acetate/petroleum ether (1:30 to 1:20). This resulted in 1.2 g (30%) of the title compound as a yellow solid. MS-ESI: 203.1 (M+1).


Steps 2-4 used similar procedures for converting compound 76 to Intermediate 49 shown in Scheme AA to afford Intermediate 59. MS-ESI: 244.1 (M-1). 1H NMR (400 MHz, DMSO-d6) δ 12.54 (s, 1H), 7.56 (s, 2H), 3.79 (s, 2H), 3.12 (hept, J=6.8 Hz, 2H), 1.15 (d, J=6.7 Hz, 12H).




embedded image




embedded image


2-(8-Chloro-1,2,3,5,6,7-hexahydros-indacen-4-yl)acetic acid
Step 1: 8-Chloro-1,2,3,5,6,7-hexahydros-indacen-4-amine

Into a 100-mL round-bottom flask, was placed 1,2,3,5,6,7-hexahydros-indacen-4-amine (1.73 g, 9.99 mmol), DMF (10 mL), NCS (1.47 g, 11.0 mmol). The resulting solution was stirred for 12 h at RT and then was diluted with 50 mL of DCM. The resulting mixture was washed with 3×10 mL of water. The resulting mixture was concentrated under vacuum. The residue was applied onto a silica gel column and eluted with ethyl acetate/petroleum ether (1:5 to 1:10). This resulted in 1.88 g (91%) of the title compound as a yellow solid. MS-ESI: 208.1, 210.1 (M+1). Steps 2-4 used similar procedures for converting compound 76 to Intermediate 49 shown in Scheme AA to afford Intermediate 60. MS-ESI: 249.1, 251.1 (M-1).




embedded image




embedded image


2-(8-Fluoro-1,2,3,5,6,7-hexahydros-indacen-4-yl)acetic acid
Step 1: 8-Bromo-1,2,3,5,6,7-hexahydro-s-indacen-4-amine

Into a 100-mL round-bottom flask, was placed 1,2,3,5,6,7-hexahydro-s-indacen-4-amine (2.6 g, 15.0 mmol), DMF (30 mL), NBS (2.9 g, 16.3 mmol). The resulting solution was stirred for 12 h at RT and then was diluted with 80 mL of ethyl acetate. The resulting mixture was washed with 3×20 mL of water. The resulting mixture was concentrated under vacuum. The residue was applied onto a silica gel column and eluted with ethyl acetate/petroleum ether (1:30 to 1:20).


This resulted in 3.0 g (79%) of the title compound as a brown solid. MS-ESI: 252.0, 254.0 (M+1).


Step 2: 4-Bromo-8-fluoro-1,2,3,5,6,7-hexahydros-indacene

Into a 100-mL round-bottom flask, was placed 8-bromo-1,2,3,5,6,7-hexahydro-s-indacen-4-amine (1.5 g, 5.95 mmol), DCM (40 mL), HF/Py (70%, 4 mL), 3-methylbutyl nitrite (1.05 g, 8.96 mmol). The resulting solution was stirred for 2 h at RT and then was diluted with 50 mL of DCM. The resulting mixture was washed with 3×10 mL of water. The resulting mixture was concentrated under vacuum. The residue was applied onto a silica gel column and eluted with petroleum ether. This resulted in 1.2 g (79%) of the title compound as an off-white solid. 1H NMR (400 MHz, DMSO-d6) δ 3.00-2.80 (m, 8H), 2.15-2.00 (m, 4H).


Steps 3-4 used similar procedures for converting compound 77 to Intermediate 49 shown in Scheme AA to afford Intermediate 61. 1H NMR (400 MHz, DMSO-d6) δ 12.23 (s, 1H), 3.44 (s, 2H), 2.80 (dt, J=15.0, 7.5 Hz, 8H), 2.04-2.02 (m, 4H).




embedded image




embedded image


2-(1,2,3,5,6,7-Hexahydros-indacen-4-yl)acetic Acid
Step 1: 3-Chloro-1-(2,3-dihydro-1H-inden-5-yl)propan-1-one

Into a 1000-mL round-bottom flask, was placed a solution of AlCl3 (37 g, 278 mmol) in DCM (400 mL). This was followed by the addition of a solution of 2,3-dihydro-1H-indene (30 g, 254 mmol) and 3-chloropropanoyl chloride (32.1 g, 253 mmol) in DCM (100 mL) dropwise with stirring at −10° C. in 30 min. The resulting solution was stirred for 16 h at RT. Then the reaction mixture was added dropwise to cold HCl (3 N, 400 mL) over 45 min at −10° C. The resulting solution was extracted with 3×200 mL of DCM and the organic layers combined and dried over anhydrous Na2SO4, then concentrated under vacuum. This resulted in 53.5 g (crude) of the title compound as a yellow solid.


Step 2: 1,2,3,5,6,7-Hexahydros-indacen-1-one

Into a 1000-mL round-bottom flask, was placed a solution of 3-chloro-1-(2,3-dihydro-1H-inden-5-yl)propan-1-one (53.5 g, 253 mmol) in cc. H2SO4 (300 mL). The resulting solution was stirred for 16 h at 55° C. and then was quenched by the addition of 1500 mL of water/ice. The solids were collected by filtration and then was dried over infrared lamp for 24 h. This resulted in 37.4 g (85%) of the title compound as a yellow solid.


Step 3: 1,2,3,5,6,7-Hexahydros-indacene

Into a 1000-mL round-bottom flask, was placed a solution of 1,2,3,5,6,7-hexahydros-indacen-1-one (37.2 g, 216.00 mmol), MeOH (300 mL), CH3SO3H (42 g). Then Pd(OH)2/C (20% wt, 8 g) was added. The flask was evacuated and flushed three times with hydrogen. The resulting solution was stirred for 16 h at RT under an atmosphere of hydrogen. The solids were filtered out. The resulting mixture was concentrated under vacuum. The residue was applied onto a silica gel column and eluted with ethyl acetate/petroleum ether (1:150 to 1:100). This resulted in 27.1 g (79%) of the title compound as a white solid.


Step 4: 4-Bromo-1,2,3,5,6,7-hexahydros-indacene

Into a 500-mL 3-necked round-bottom flask purged with and maintained under nitrogen, was placed a solution of 1,2,3,5,6,7-hexahydros-indacene (15 g, 94.8 mmol) in CCl4 (200 mL). Then I2 (1.2 g, 4.72 mmol) was added. This was followed by the addition of a solution of Br2 (16 g, 100 mmol) in CCl4 (50 mL) dropwise with stirring at 0° C. in 10 min. The resulting solution was stirred for 2 h at 0° C. The reaction was then quenched by the addition of 150 mL of NH4Cl (sat.).


The resulting solution was extracted with 3×150 mL of DCM and the organic layers combined and dried over anhydrous Na2SO4, then concentrated under vacuum. This resulted in 23.3 g (crude) of the title compound as yellow oil. 1H NMR (300 MHz, DMSO-d6) δ 7.02 (s, 1H), 2.95-2.75 (m, 8H), 2.03-2.01 (m, 4H)


Step 5: Tert-butyl 2-(1,2,3,5,6,7-hexahydros-indacen-4-yl)acetate

Into a 100-mL round-bottom flask purged with and maintained under nitrogen, was placed a solution of 4-bromo-1,2,3,5,6,7-hexahydros-indacene (1 g, 4.2 mmol) in THF (20 mL). Then X-phos (200 mg, 0.42 mmol) and Pd2(dba)3CHCl3 (220 mg, 0.21 mmol) were added. The resulting solution was stirred for 10 min at RT. This was followed by the addition of tert-butyl 2-(bromozincio)acetate (2.2 g, 8.45 mmol). The resulting solution was stirred for 4 h at 80° C. and then was quenched by the addition of 50 mL of NH4Cl (sat.). The resulting solution was extracted with 3×100 mL of DCM and the organic layers combined and dried over anhydrous Na2SO4, then concentrated under vacuum. This resulted in 1.4 g (crude) of the title compound as brown oil. 1H NMR (400 MHz, DMSO-d6) δ 6.96 (s, 1H), 3.47 (s, 2H), 2.79 (dt, J=17.6, 7.5 Hz, 8H), 2.01-1.99 (m, 4H), 1.39 (s, 9H).


Step 6: 2-(1,2,3,5,6,7-hexahydros-indacen-4-yl)acetic acid

Into a 40-mL sealed tube, was placed a solution of tert-butyl 2-(1,2,3,5,6,7-hexahydros-indacen-4-yl)acetate (1.4 g, 5.14 mmol) in 6 M sodium hydroxide/MeOH (4/6 mL). The resulting solution was stirred for 16 h at 100° C. The reaction was then quenched by the addition of 20 mL of water. The resulting solution was extracted with 2×30 mL of DCM and the aqueous layers combined. The pH value of the solution was adjusted to 2 with hydrogen chloride (1 N). The resulting solution was extracted with 3×50 mL of ethyl acetate and the organic layers combined and dried over anhydrous Na2SO4, then concentrated under vacuum. This resulted in 180 mg (16%) of the title compound as a yellow solid. MS-ESI: 215.1 (M-1).




embedded image




embedded image


2-(2,6-Dicyclopropylphenyl)acetic acid
Step 1: Methyl 2-(2,6-dibromophenyl)acetate

Into a 250-mL round-bottom flask, was placed 2-(2,6-dibromophenyl)acetic acid (5 g, 17.0 mmol), methanol (50 mL). This was followed by the addition of sulfuroyl dichloride (4.1 g, 34.5 mmol) dropwise with stirring at 0° C. The resulting solution was stirred for 3 h at 60° C. and then was concentrated under vacuum. The residue was applied onto a silica gel column and eluted with ethyl acetate/petroleum ether (1:15 to 1:10). This resulted in 4.5 g (86%) of the title compound as light yellow oil. MS-ESI: 308.9, 306.9, 310.9 (M+1).


Step 2: Methyl 2-(2,6-dicyclopropylphenyl)acetate

Into a 50-mL round-bottom flask purged with and maintained under nitrogen, was placed methyl 2-(2,6-dibromophenyl)acetate (600 mg, 1.95 mmol), dioxane (20 mL), cyclopropylboronic acid (688 mg, 8.01 mmol), K3PO4 (2.1 g, 9.89 mmol), Pd(dppf)Cl2 (146 mg, 0.20 mmol). The resulting solution was stirred for 4 h at 100° C. and then was concentrated under vacuum. The residue was applied onto a silica gel column and eluted with ethyl acetate/petroleum ether (1:30 to 1:20). This resulted in 440 mg (98%) of the title compound as yellow oil. MS-ESI: 231.1 (M+1).


Step 3: 2-(2,6-Dicyclopropylphenyl)acetic acid

Into a 50-mL round-bottom flask, was placed methyl 2-(2,6-dicyclopropylphenyl)acetate (440 mg, 1.91 mmol). Then to the above was added a solution of sodium hydroxide (228 mg, 5.70 mmol) in MeOH (15 mL) and water (4 mL). The resulting solution was stirred for 2 days at 50° C. The resulting solution was extracted with 20 mL of ethyl acetate and the aqueous layers combined. The pH value of the solution was adjusted to 4 with hydrogen chloride (6 N). The resulting solution was extracted with 3×20 mL of ethyl acetate and the organic layers combined dried over anhydrous Na2SO4, then concentrated under vacuum. This resulted in 260 mg (63%) of the title compound as a yellow solid. MS-ESI: 215.1 (M-1).




embedded image




embedded image


2-(2,6-Diethyl-4-fluorophenyl)acetic acid

Intermediate 64 was prepared using the similar procedures for converting compound 74 to 5 Intermediate 49 shown in Scheme AA. MS-ESI: 209.1 (M-1).




embedded image




embedded image


2-(2-Cyclopropyl-6-isopropylphenyl)acetic acid
Step 1: Ethyl 2-(2,6-dibromophenyl)acetate

Into a 250-mL round-bottom flask, was placed 2-(2,6-dibromophenyl)acetic acid (3.1 g, 10.55 mmol), EtOH (80 mL). This was followed by the addition of sulfuroyl dichloride (4 g, 33.61 mmol) dropwise with stirring at 0° C. The resulting solution was stirred overnight at 60° C. and then was concentrated under vacuum. The residue was applied onto a silica gel column and eluted with ethyl acetate/petroleum ether (1:3 to 1:1). This resulted in 3.4 g (crude) of the title compound as colorless oil. MS-ESI: 322.9, 320.9, 324.9 (M+1).


Step 2: Ethyl 2-(2-bromo-6-(prop-1-en-2-yl)phenyl)acetate

Into a 250-mL round-bottom flask purged with and maintained under nitrogen, was placed ethyl 2-(2,6-dibromophenyl)acetate (3.4 g, 10.6 mmol), dioxane (90 mL), water (20 mL), Cs2CO3 (3.6 g, 11.1 mmol), 4,4,5,5-tetramethyl-2-(prop-1-en-2-yl)-1,3,2-dioxaborolane (2.06 g, 12.3 mmol), Pd(dppf)Cl2 (320 mg, 0.44 mmol). The resulting solution was stirred for 7.5 h at 50° C. and then quenched by the addition of 30 mL of water. The resulting solution was extracted with 3×50 mL of ethyl acetate and the organic layers combined and dried over anhydrous Na2SO4, and then concentrated under vacuum. The residue was applied onto a silica gel column and eluted with ethyl acetate/petroleum ether (1:5 to 1:3). This resulted in 920 mg (31%) of the title compound as light yellow oil. MS-ESI: 283.0, 285.0 (M+1).


Step 3: Ethyl 2-(2-cyclopropyl-6-(prop-1-en-2-yl)phenyl)acetate

Into a 100-mL round-bottom flask purged with and maintained under nitrogen, was placed ethyl 2-(2-bromo-6-(prop-1-en-2-yl)phenyl)acetate (300 mg, 1.06 mmol), dioxane (10 mL), cyclopropylboronic acid (180 mg, 2.10 mmol), K3PO4 (429 mg, 2.02 mmol), Pd(dppf)Cl2 (43 mg, 0.06 mmol). The resulting solution was stirred for 5 h at 110° C. and then was quenched by the addition of 30 mL of water. The resulting solution was extracted with 3×50 mL of ethyl acetate and the organic layers combined and dried over anhydrous Na2SO4, and then concentrated under vacuum. The residue was applied onto a silica gel column and eluted with ethyl acetate/petroleum ether (1:3 to 1:1). This resulted in 228 mg (88%) of the title compound as light yellow oil. MS-ESI: 245.1 (M+1).


Step 4: Ethyl 2-(2-cyclopropyl-6-isopropylphenyl)acetate

Into a 250-mL round-bottom, was placed ethyl 2-(2-cyclopropyl-6-(prop-1-en-2-yl)phenyl)acetate (228 mg, 0.93 mmol), MeOH (10 mL). Then Pd/C (10% wt, 50 mg) was added. The flask was evacuated and flushed three times with hydrogen. The resulting solution was stirred for 3.5 h at RT under an atmosphere of hydrogen. The solids were filtered out. The resulting mixture was concentrated under vacuum. This resulted in 162 mg (70%) of the title compound as colorless oil. MS-ESI: 247.1 (M+1).


Step 5: 2-(2-Cyclopropyl-6-isopropylphenyl)acetic acid

Into a 100-mL round-bottom flask, was placed ethyl 2-(2-cyclopropyl-6-isopropylphenyl)acetate (162 mg, 0.66 mmol), MeOH (10 mL), water (2 mL), LiOH (200 mg, 8.35 mmol). The resulting solution was stirred for 5 h at RT and then was concentrated under vacuum. The resulting solution was diluted with 10 mL of 1 N hydrogen chloride. The resulting solution was extracted with 3×10 mL of DCM and the organic layers combined and dried over anhydrous Na2SO4, and then concentrated under vacuum. This resulted in 140 mg (98%) of the title compound as a light yellow solid. MS-ESI: 217.1 (M-1).


Example 1



embedded image


2-(1,2,3,5,6,7-Hexahydros-indacen-4-yl)-N-(4-(2-hydroxypropan-2-yl)furan-2-ylsulfonyl)acetamide (Scheme A)

Into a 50-mL round-bottom flask purged with and maintained under nitrogen, was placed 2-(1,2,3,5,6,7-hexahydros-indacen-4-yl)acetic acid (125 mg, 0.58 mmol), DMF (5 mL), CDI (113 mg, 0.70 mmol). The resulting solution was stirred for 1 h at RT and then to the above was added 4-(2-hydroxypropan-2-yl)furan-2-sulfonamide (119 mg, 0.58 mmol), DBU (0.11 mL). The resulting solution was stirred for 3 h at RT and then was diluted with 10 mL of water. The resulting solution was extracted with 3×10 mL of ethyl acetate and the organic layers combined and concentrated under vacuum. The crude product was purified by Prep-HPLC using method E eluted with a gradient of 30˜40% ACN. This resulted in 59.9 mg (26%) of the title compound as a white solid. MS-ESI: 402.0 (M-1). 1H NMR (400 MHz, MeOD-d4) δ 7.44 (s, 1H), 6.86 (s, 1H), 6.84 (s, 1H), 3.48 (s, 2H), 2.89-2.65 (m, 8H), 2.10-1.90 (m, 4H), 1.45 (s, 6H).


Example 2



embedded image


2-(2,6-Diisopropylphenyl)-N-(5-(2-hydroxypropan-2-yl)thiazol-2-ylsulfonyl)acetamide(Scheme B)

Into a 50-mL round-bottom flask, was placed 2-(2,6-diisopropylphenyl)acetic acid (60 mg, 0.27 mmol), DMF (5 mL), HBTU (124 mg, 0.33 mmol), DIEA (105 mg, 0.81 mmol), 5-(2-hydroxypropan-2-yl)thiazole-2-sulfonamide (67 mg, 0.30 mmol). The resulting solution was stirred overnight at RT and then was concentrated under vacuum. The crude product was purified by Prep-HPLC using method E eluted with a gradient of 21-43% ACN. This resulted in 44.3 mg (38%) of the title compound as a white solid. MS-ESI. 423.2 (M-1). 1H NMR (300 MHz, MeOD-d4) δ 7.60 (s, 1H), 7.18-7.00 (m, 3H), 3.76 (s, 2H), 3.14 (hept, J=6.6 Hz, 2H), 1.59 (s, 6H), 1.14 (d, J=6.6 Hz, 12H).


Example 3



embedded image


2-(1,2,3,5,6,7-Hexahydros-indacen-4-yl)-N-(5-(2-hydroxypropan-2-yl)thiazol-2-ylsulfonyl)acetamide (Scheme C)

Into a 50-mL round-bottom flask purged with and maintained under nitrogen, was placed 2-(1,2,3,5,6,7-hexahydros-indacen-4-yl)acetic acid (500 mg, 2.31 mmol), DCM (20 mL), DIEA (900 mg, 6.96 mmol), HATU (1.06 g, 2.79 mmol). The resulting solution was stirred for 0.5 h at RT and then to the above was added 5-(2-hydroxypropan-2-yl)thiazole-2-sulfonamide (570 mg, 2.56 mmol). The resulting solution was stirred for 2 h at RT and then was quenched by the addition of 15 mL of water. The resulting solution was extracted with 2×30 mL of DCM and the organic layers combined and dried over anhydrous Na2SO4, and then concentrated under vacuum. The crude product was purified by Prep-HPLC using method E eluted with a gradient of 25˜50% ACN. This resulted in 293.2 mg (30%) of the title compound as a yellow solid. MS-ESI: 421.1 (M+1). 1H NMR (300 MHz, MeOD-d4) δ 7.61 (s, 1H), 6.84 (s, 1H), 3.50 (s, 2H), 2.86-2.66 (m, 8H), 2.10-1.90 (m, 4H), 1.57 (s, 6H).


Example 4



embedded image


2-(4-Fluoro-2,6-diisopropylphenyl)-N-(5-(1-hydroxy-2-methylpropan-2-yl)thiazol-2-ylsulfonyl)acetamide (Scheme D)



embedded image


Step 1: N-(5-(1-(tert-butyldimethylsilyloxy)-2-methylpropan-2-yl)thiazol-2-ylsulfonyl)-2-(4-fluoro-2,6-diisopropylphenyl)acetamide

Into a 50-mL round-bottom flask, was placed 2-(4-fluoro-2,6-diisopropylphenyl)acetic acid (100 mg, 0.42 mmol), DMF (5 mL), EDCI (121 mg, 0.63 mmol), HOBt (85 mg, 0.63 mmol), DMAP (5 mg, 0.04 mmol). The resulting solution was stirred for 20 min at RT and then to the above was added 5-(1-(tert-butyldimethylsilyloxy)-2-methylpropan-2-yl)thiazole-2-sulfonamide (147 mg, 0.42 mmol). The resulting solution was stirred for 3 h at RT and then was diluted with 10 mL of water. The resulting solution was extracted with 2×10 mL of DCM and the organic layers combined and dried over anhydrous Na2SO4, and then concentrated under vacuum. This resulted in 150 mg (crude, 63%) of the title compound as brown oil. MS-ESI: 569.2 (M-1).


Step 2: 2-(4-Fluoro-2,6-diisopropylphenyl)-N-(5-(1-hydroxy-2-methylpropan-2-yl)thiazol-2-ylsulfonyl) acetamide

Into a 50-mL round-bottom flask, was placed N-(5-(1-(tert-butyldimethylsilyloxy)-2-methylpropan-2-yl)thiazol-2-ylsulfonyl)-2-(4-fluoro-2,6-diisopropylphenyl)acetamide (150 mg, 0.26 mmol), HCl/dioxane (4 M, 5 mL). The resulting solution was stirred for 3 h at RT and then was concentrated under vacuum. The crude product was purified by Prep-HPLC using method E eluted with a gradient of 15˜60% ACN. This resulted in 117.3 mg (78%) of the title compound as a white solid. MS-ESI: 455.1 (M-1). 1H NMR (300 MHz, MeOD-d4) δ 7.64 (s, 1H), 6.74 (d, J=10.2 Hz, 2H), 3.73 (s, 2H), 3.45 (s, 2H), 3.10-2.90 (m, 2H), 1.33 (s, 6H), 1.09 (d, J=6.9 Hz, 12H).


Example 5



embedded image


2-(8-Chloro-1,2,3,5,6,7-hexahydros-indacen-4-yl)-N-(5-(2-hydroxypropan-2-yl)thiazol-2-ylsulfonyl) acetamide (Scheme E)

Into a 50-mL round-bottom flask, was placed 2-(8-chloro-1,2,3,5,6,7-hexahydros-indacen-4-yl)acetic acid (60 mg, 0.27 mmol), DCM (3 mL), DMF (0.05 mL). This was followed by the addition of oxalic dichloride (0.5 mL) dropwise with stirring at RT. The resulting solution was stirred for 30 min at RT and then was concentrated under vacuum. The above mixture diluted in DCM (1 mL) was added to a solution of 5-(2-hydroxypropan-2-yl)thiazole-2-sulfonamide (60 mg, 0.27 mmol) and TEA (0.2 mL) in DCM (3 mL) dropwise with stirring at RT. The resulting solution was stirred for 2 h at RT and then was concentrated under vacuum. The crude product was purified by Prep-HPLC using method E eluted with a gradient of 30˜50% ACN. This resulted in 26.7 mg (37%) of the title compound as a white solid. MS-ESI. 455.1 (M+1). 1H NMR (300 MHz, MeOD-d4) δ 7.66 (s, 1H), 3.51 (s, 2H), 2.95-2.78 (m, 8H), 2.15-1.95 (m, 4H), 1.61 (s, 6H).









TABLE 6







Example in the following table was prepared using


similar conditions as described in Example 3 and


Scheme C from appropriate starting materials.











Final

Mass


Example
Target

Spec


#
Number
IUPAC Name
[M + H]+





6
128
2-(4-cyano-2,6-
450.1




diisopropylphenyl)-N-(5-(2-




hydroxypropan-2-yl)thiazol-2-




ylsulfonyl)acetamide
















TABLE 7







Examples in the following table were prepared using


similar conditions as described in Example 5 and


Scheme E from appropriate starting materials.











Final

Mass


Example
Target

Spec


#
Number
IUPAC Name
[M − H]













7
116
2-(1,2,3,5,6,7-hexahydros-
418.1




indacen-4-yl)-N-(4-(2-




hydroxypropan-2-yl)thiophen-2-




ylsulfonyl)acetamide


8
117
2-(2,6-diisopropylphenyl)-N-(4-(2-
422.1




hydroxypropan-2-yl)thiophen-2-




ylsulfonyl)acetamide


9
129
2-(4-fluoro-2,6-
440.1




diisopropylphenyl)-N-(4-(2-




hydroxypropan-2-yl)thiophen-




2-ylsulfonyl)acetamide


10
130
2-(4-cyano-2,6-
447.2




diisopropylphenyl)-N-(4-(2-




hydroxypropan-2-yl)thiophen-




2-ylsulfonyl)acetamide


11
103
2-(3-fluoro-2,6-
440.0




diisopropylphenyl)-N-(4-(2-




hydroxypropan-2-yl)thiophen-




2-ylsulfonyl)acetamide


12
131
2-(4-chloro-3,5-difluoro-2,6-
492.1




diisopropylphenyl)-N-(4-(2-




hydroxypropan-2-yl)thiophen-




2-ylsulfonyl)acetamide


13
132
2-(4-fluoro-2,6-
440.1




diisopropylphenyl)-N-(5-(2-




hydroxypropan-2-yl)thiophen-2-




ylsulfonyl)acetamide


14
133
2-(2,6-diisopropylphenyl)-N-(4-(1-
420.2




hydroxycyclopropyl)thiophen-2-




ylsulfonyl)acetamide


15
134
2-(4-fluoro-2,6-
438.1




diisopropylphenyl)-N-(4-(1-




hydroxycyclopropyl)thiophen-




2-ylsulfonyl)acetamide


16
135
2-(4-cyano-2,6-
445.2




diisopropylphenyl)-N-(4-(1-




hydroxycyclopropyl)thiophen-




2-ylsulfonyl)acetamide


17
136
2-(4-fluoro-2,6-
454.1




diisopropylphenyl)-N-(4-(2-




hydroxypropan-2-yl)-5-




methylthiophen-2-




ylsulfonyl)acetamide


18
137
2-(4-fluoro-2,6-
438.2




diisopropylphenyl)-N-(4-(2-




hydroxypropan-2-yl)-5-methylfuran-




2-ylsulfonyl)acetamide


19
138
2-(4-fluoro-2,6-
454.1




diisopropylphenyl)-N-(4-(2-




hydroxypropan-2-yl)-3-




methylthiophen-2-




ylsulfonyl)acetamide


20
139
2-(4-chloro-3,5-difluoro-2,6-
476.1




diisopropylphenyl)-N-(4-(2-




hydroxypropan-2-yl)furan-2-




ylsulfonyl)acetamide
















TABLE 8







Examples in the following table were prepared using


similar conditions as described in Example 5 and


Scheme E from appropriate starting materials.











Final

Mass


Example
Target

Spec


#
Number
IUPAC Name
[M − H]













21
140
2-(2,6-diisopropylphenyl)-N-(4-(2-
418.3




hydroxypropan-2-
(M + 1)




yl)phenylsulfonyl)acetamide


22
141
2-(2,6-diisopropylphenyl)-N-(3-(2-
493.2




hydroxypropan-2-yl)-5-(pyridin-4-




yl)phenylsulfonyl)acetamide


23
142
2-(2,6-diisopropylphenyl)-N-(5-(2-
492.2




hydroxypropan-2-yl)biphenyl-




3-ylsulfonyl)acetamide


24
143
N-(3,5-bis(2-hydroxypropan-2-
440.1




yl)phenylsulfonyl)-2-
(M −




(2,6-diisopropylphenyl)acetamide
2OH)


25
144
2-(4-fluoro-2,6-
434.0




diisopropylphenyl)-N-(3-(2-




hydroxypropan-2-




yl)phenylsulfonyl)acetamide


26
145
2-(4-cyano-2,6-
441.2




diisopropylphenyl)-N-(3-(2-




hydroxypropan-2-




yl)phenylsulfonyl)acetamide


27
146
N-(3-chloro-5-(2-hydroxypropan-2-
468.1




yl)phenylsulfonyl)-2-(4-fluoro-2,6-




diisopropylphenyl)acetamide


28
147
N-(3-chloro-5-(2-hydroxypropan-2-
475.2




yl)phenylsulfonyl)-2-(4-cyano-2,6-




diisopropylphenyl)acetamide


29
148
2-(4-fluoro-2,6-
511.2




diisopropylphenyl)-N-(3-(2-




hydroxypropan-2-yl)-5-(pyridin-4-




yl)phenylsulfonyl)acetamide


30
149
N-(3,5-bis(2-hydroxypropan-2-
492.2




yl)phenylsulfonyl)-2-(4-fluoro-2,6-




diisopropylphenyl)acetamide


31
150
N-(3,5-bis(2-hydroxypropan-2-
499.2




yl)phenylsulfonyl)-2-(4-cyano-2,6-




diisopropylphenyl)acetamide


32
151
2-(4-fluoro-2,6-
510.2




diisopropylphenyl)-N-(5-(2-




hydroxypropan-2-yl)biphenyl-3-




ylsulfonyl)acetamide


33
152
2-(4-cyano-2,6-
517.3−1




diisopropylphenyl)-N-(5-(2-




hydroxypropan-2-yl)biphenyl-3-




ylsulfonyl)acetamide


34
153
2-(4-fluoro-2,6-
434.2




diisopropylphenyl)-N-(4-(2-




hydroxypropan-2-




yl)phenylsulfonyl)acetamide


35
154
2-(4-cyano-2,6-
441.2




diisopropylphenyl)-N-(4-(2-




hydroxypropan-2-




yl)phenylsulfonyl)acetamide


36
155
2-(4-fluoro-2,6-
435.1




diisopropylphenyl)-N-(6-(2-




hydroxypropan-2-yl)pyridin-3-




ylsulfonyl)acetamide


37
156
2-(4-cyano-2,6-
442.2




diisopropylphenyl)-N-(6-(2-




hydroxypropan-2-yl)pyridin-3-




ylsulfonyl)acetamide


38
157
2-(4-fluoro-2,6-
521.3




diisopropylphenyl)-N-(3-(2-
(M + 1)




hydroxypropan-2-yl)-5-




morpholinophenylsulfonyl)acetamide


39
158
N-(4-pentafluorophenylsulfonyl)-2-
502.1




(4-fluoro-2,6-




diisopropylphenyl)acetamide


40
159
2-(4-fluoro-
427.1




2,6-diisopropylphenyl)-N-




(quinolin-3-ylsulfonyl)acetamide2-




(4-fluoro-2,6-diisopropylphenyl)-N-




(quinolin-3-ylsulfonyl)acetamide


41
160
N-(benzofuran-2-ylsulfonyl)-2-
416.1




(4-fluoro-2,6-




diisopropylphenyl)acetamide


42
161
2-(3-fluoro-2,6-
434.2




diisopropylphenyl)-N-(3-(2-




hydroxypropan-2-




yl)phenylsulfonyl)acetamide


43
162
2-(3-fluoro-2,6-
434.2




diisopropylphenyl)-N-(4-(2-




hydroxypropan-2-




yl)phenylsulfonyl)acetamide


44
163
2-(4-fluoro-2,6-
448.2




diisopropylphenyl)-N-(3-(2-




hydroxypropan-2-yl)-2-




methylphenylsulfonyl)acetamide


45
164
2-(4-fluoro-2,6-
448.2




diisopropylphenyl)-N-(3-(2-




hydroxypropan-2-yl)-4-




methylphenylsulfonyl)acetamide


46
165
2-(4-fluoro-2,6-
448.2




diisopropylphenyl)-N-(3-(2-




hydroxypropan-2-yl)-5-




methylphenylsulfonyl)acetamide


47
166
2-(4-fluoro-2,6-
450.2




diisopropylphenyl)-N-(4-(2-
(M + 1)




hydroxypropan-2-yl)-3-




methylphenylsulfonyl)acetamide


48
167
2-(4-fluoro-2,6-
448.2




diisopropylphenyl)-N-(4-(2-




hydroxypropan-2-yl)-2-




methylphenylsulfonyl)acetamide


49
168
2-(4-fluoro-2,6-
452.3




diisopropylphenyl)-N-(1-




fluoro-3-(2-hydroxypropan-2-




yl)phenylsulfonyl)acetamide


50
169
2-(4-fluoro-2,6-
452.3




diisopropylphenyl)-N-(2-




fluoro-3-(2-hydroxypropan-2-




yl)phenylsulfonyl)acetamide


51
170
2-(4-fluoro-2,6-
452.3




diisopropylphenyl)-N-(3-




fluoro-5-(2-hydroxypropan-2-




yl)phenylsulfonyl)acetamide


52
171
2-(4-fluoro-2,6-
452.3




diisopropylphenyl)-N-(2-




fluoro-5-(2-hydroxypropan-2-




yl)phenylsulfonyl)acetamide


53
172
2-(4-fluoro-2,6-
452.2




diisopropylphenyl)-N-(3-




fluoro-4-(2-hydroxypropan-2-




yl)phenylsulfonyl)acetamide


54
173
2-(4-fluoro-2,6-
452.2




diisopropylphenyl)-N-(2-




fluoro-4-(2-hydroxypropan-2-




yl)phenylsulfonyl)acetamide


55
174
N-(5-acetyl-2-
438.2




fluorophenylsulfonyl)-2-fluoro-
(M + 1)




2,6-diisopropylphenyl)acetamide


56
175
2-(4-fluoro-2,6-
482.3




diisopropylphenyl)-N-(2-
(M + 1)




fluoro-5-(2-methyl-1,3-dioxolan-2-




yl)phenylsulfonyl)acetamide


57
176
2-(8-fluoro-1,2,3,5,6,7-hexahydros-
478.4




indacen-4-yl)-N-(2-fluoro-5-(2-
(M + 1)




methyl-1,3-dioxolan-2-




yl)phenylsulfonyl)acetamide


58
177
2-(4-fluoro-2,6-
454.1




diisopropylphenyl)-N-(4-(methyl-




sulfonyl)phenylsulfonyl)acetamide


59
178
2-(4-fluoro-2,6-
454.1




diisopropylphenyl)-N-(3-(methyl-




sulfonyl)phenylsulfonyl)acetamide


60
179
N-(4-(1H-pyrazol-1-
444.2




yl)phenylsulfonyl)-2-(4-fluoro-2,6-
(M + 1)




diisopropylphenyl)acetamide
















TABLE 9







Examples in the following table were prepared using


similar conditions as described in Example 5 and


Scheme E from appropriate starting materials.











Final

Mass


Example
Target

Spec


#
Number
IUPAC Name
[M − H]













61
114
2-(4-chloro-2,6-
424.0




diisopropylphenyl)-N-(1-isopropyl-1H-




pyrazol-3-ylsulfonyl)acetamide


62
180
2-(4-fluoro-2,6-
408.2




diisopropylphenyl)-N-(1-isopropyl-1H-




pyrazol-3-ylsulfonyl)acetamide


63
181
2-(2,6-diisopropylphenyl)-N-(5-(2-
482.2




hydroxypropan-2-yl)-1-phenyl-1H-




pyrazol-3-ylsulfonyl)acetamide


64
182
2-(4-fluoro-2,6-
502.2




diisopropylphenyl)-N-(5-(2-
(M + 1)




hydroxypropan-2-yl)-1-phenyl-1H-




pyrazol-3-ylsulfonyl)acetamide


65
183
2-(4-cyano-2,6-
507.2




diisopropylphenyl)-N-(5-(2-




hydroxypropan-2-yl)-1-phenyl-1H-




pyrazol-3-ylsulfonyl)acetamide


66
184
2-(2,6-diisopropylphenyl)-N-(5-(2-
422.2




hydroxypropan-2-yl)-1-methyl-1H-
(M + 1)




pyrazol-3-ylsulfonyl)acetamide


67
185
2-(4-fluoro-2,6-
438.2




diisopropylphenyl)-N-(5-(2-




hydroxypropan-2-yl)-1-methyl-1H-




pyrazol-3-ylsulfonyl)acetamide


68
186
2-(4-cyano-2,6-
445.2




diisopropylphenyl)-N-(5-(2-




hydroxypropan-2-yl)-1-methyl-1H-




pyrazol-3-ylsulfonyl)acetamide
















TABLE 10







Examples in the following table were prepared using


similar conditions as described in Example 5 and


Scheme E from appropriate starting materials.











Final

Mass


Example
Target

Spec


#
Number
IUPAC Name
[M − H]













69
187
2-(8-fluoro-1,2,3,5,6,7-hexahydros-
439.1




indacen-4-yl)-N-(5-(2-hydroxypropan-2-
(M + 1)




yl)thiazol-2-ylsulfonyl)acetamide


70
108
2-(4-chloro-2,6-
459.1




diisopropylphenyl)-N-(5-(2-
(M + 1)




hydroxypropan-2-yl)thiazol-2-




ylsulfonyl)acetamide


71
109
2-(3-fluoro-2,6-
443.1




diisopropylphenyl)-N-(5-(2-
(M + 1)




hydroxypropan-2-yl)thiazol-2-




ylsulfonyl)acetamide


72
188
2-(2,6-diisopropyl-4-
491.1




(trifluoromethyl)phenyl)-N-(5-(2-




hydroxypropan-2-yl)thiazol-2-




ylsulfonyl)acetamide


73
189
2-(4-fluoro-2,6-
457.0




diisopropylphenyl)-N-(5-(2-
(M + 1)




methoxypropan-2-yl)thiazol-2-




ylsulfonyl)acetamide


74
190
2-(4-cyano-2,6-
464.1




diisopropylphenyl)-N-(5-(2-
(M + 1)




methoxypropan-2-yl)thiazol-2-




ylsulfonyl)acetamide


75
191
2-(4-fluoro-2,6-
441.1




diisopropylphenyl)-N-(2-(2-




hydroxypropan-2-yl)thiazol-5-




ylsulfonyl)acetamide


76
192
2-(3,4-difluoro-2,6-
461.0




diisopropylphenyl)-N-(5-(2-
(M + 1)




hydroxypropan-2-yl)thiazol-2-




ylsulfonyl)acetamide


77
193
2-(3,5-difluoro-2,6-
459.1




diisopropylphenyl)-N-(5-(2-




hydroxypropan-2-yl)thiazol-2-




ylsulfonyl)acetamide


78
194
2-(2,6-dicyclopropylphenyl)-N-
420.9




(5-(2-hydroxypropan-2-yl)thiazol-2-
(M + 1)




ylsulfonyl)acetamide


79
195
2-(4-chloro-2-isopropyl-6-
483.1




(trifluoromethyl)phenyl)-N-(5-(2-




hydroxypropan-2-yl)thiazol-2-




ylsulfonyl)acetamide


80
196
2-(2-cyclopropyl-6-isopropylphenyl)-
421.1




N-(5-(2-hydroxypropan-2-yl)thiazol-2-




ylsulfonyl)acetamide


81
197
2-(4-fluoro-2,6-
441.1




diisopropylphenyl)-N-(4-(2-




hydroxypropan-2-yl)thiazol-2-




ylsulfonyl)acetamide


82
198
2-(4-cyano-2,6-
448.1




diisopropylphenyl)-N-(4-(2-




hydroxypropan-2-yl)thiazol-2-




ylsulfonyl)acetamide


83
199
2-(4-chloro-3,5-difluoro-2,6-
493.1




diisopropylphenyl)-N-(5-(2-




hydroxypropan-2-yl)thiazol-2-




ylsulfonyl)acetamide


84
200
2-(4-fluoro-2,6-
427.3




diisopropylphenyl)-N-(5-
(M + 1)




isopropylthiazol-2-




ylsulfonyl)acetamide


85
201
2-(2,6-diisopropyl-4-
507.1




(trifluoromethoxy)phenyl)-N-(5-(2-




hydroxypropan-2-yl)thiazol-2-




ylsulfonyl)acetamide


86
202
2-(2,6-diethyl-4-fluorophenyl)-N-(5-
415.1




(2-hydroxypropan-2-yl)thiazol-2-
(M + 1)




ylsulfonyl)acetamide


87
203
2-(2-chloro-5-
442.9




(trifluoromethyl)phenyl)-N-(5-(2-
(M + 1)




hydroxypropan-2-yl)thiazol-2-




ylsulfonyl)acetamide


88
204
2-(3,5-dichloro-2-
438.9




methoxyphenyl)-N-(5-(2-
(M + 1)




hydroxypropan-2-yl)thiazol-2-




ylsulfonyl)acetamide









Example 89



embedded image


2-(4-Fluoro-2,6-diisopropylphenyl)-N-(5-(2-hydroxypropan-2-yl)thiazol-2-ylsulfonyl)acetamide(Scheme E)



embedded image


Step 1: 2-(4-Fluoro-2,6-diisopropylphenyl)-N-(5-(2-hydroxypropan-2-yl)thiazol-2-ylsulfonyl)acetamide

Into a 50-mL round-bottom flask was placed 2-(4-fluoro-2,6-diisopropylphenyl)acetic acid (80 mg, 0.34 mmol), DCM (4 mL), DMF (0.05 mL). This was followed by the addition of oxalyl chloride (0.5 mL) dropwise with stirring at RT. The solution was stirred for 30 min at RT and then was concentrated under vacuum. The above mixture diluted in DCM (1 mL) was added to a solution of 5-(2-hydroxypropan-2-yl)thiazole-2-sulfonamide (80 mg, 0.36 mmol) and TEA (0.2 mL) in DCM (3 mL) dropwise with stirring at RT. The resulting solution was stirred for 2 h at RT and then was concentrated under vacuum. The crude product was purified by Prep-HPLC using method E eluted with a gradient of 19˜68% ACN. This resulted in 82.5 mg (56%) of Example 89 as a white solid. MS-ESI: 443.2 (M+1). 1H NMR (300 MHz, MeOD-d4) δ 7.79 (s, 1H), 6.77 (d, J=10.2 Hz, 2H), 3.80 (s, 2H), 3.00-2.80 (m, 2H), 1.58 (s, 6H), 1.08 (d, J=6.6 Hz, 12H).


Step 2: 2-(4-Fluoro-2,6-diisopropylphenyl)-N-(5-(2-hydroxypropan-2-yl)thiazol-2-ylsulfonyl)-N-methyl acetamide

Into a 50-mL round-bottom flask purged with and maintained under nitrogen, was placed 2-(4-fluoro-2,6-diisopropylphenyl)-N-(5-(2-hydroxypropan-2-yl)thiazol-2-ylsulfonyl)acetamide (80 mg, 0.18 mmol), ACN (5 mL), potassium carbonate (50 mg, 0.36 mmol), CH3I (50 mg, 0.35 mmol). The resulting solution was stirred for 4 h at 80° C. and then was concentrated under vacuum. The crude product was purified by Prep-HPLC using method E eluted with a gradient of 55˜80% ACN. This resulted in 22.9 mg (28%) of Example 90 as a yellow solid. MS-ESI: 457.0 (M+1). 1H NMR (300 MHz, MeOD-d4) δ 7.89 (s, 1H), 6.80 (d, J=10.2 Hz, 2H) 4.30 (s, 2H), 3.37 (s, 3H), 2.90-2.70 (m, 2H), 1.63 (s, 6H), 1.09 (d, J=6.6 Hz, 12H).


Example 91



embedded image


2-(4-Fluoro-2,6-diisopropylphenyl)-N-(5-(hydroxymethyl)thiazol-2-ylsulfonyl)acetamide



embedded image


Step 1: N-(5-((tert-butyldiphenylsilyloxy)methyl)thiazol-2-ylsulfonyl)-2-(4-fluoro-2,6-diisopropylphenyl) acetamide

Into a 50-mL round-bottom flask, was placed 2-(4-fluoro-2,6-diisopropylphenyl)acetic acid (93 mg, 0.39 mmol), DCM (5 mL), DMF (0.05 mL). This was followed by the addition of oxalyl chloride (0.5 mL) dropwise with stirring at RT. The solution was stirred for 30 min at RT and then was concentrated under vacuum. The above mixture diluted in DCM (1 mL) was added to a solution of 5-((tert-butyldiphenylsilyloxy)methyl)thiazole-2-sulfonamide (169 mg, 0.39 mmol) and TEA (0.2 mL) in DCM (3 mL) dropwise with stirring at RT. The resulting solution was stirred for 2 h at RT and diluted with 5 mL of water. The resulting solution was extracted with 3×5 mL of ethyl acetate and the organic layers combined and dried over anhydrous Na2SO4, and then concentrated under vacuum. This resulted in 200 mg (78%) of the title compound as a yellow solid. MS-ESI: 651.2 (M-1).


Step 2: 2-(4-Fluoro-2,6-diisopropylphenyl)-N-(5-(hydroxymethyl)thiazol-2-ylsulfonyl)acetamide

Into a 50-mL round-bottom flask, was placed N-(5-((tert-butyldiphenylsilyloxy)methyl)thiazol-2-ylsulfonyl)-2-(4-fluoro-2,6-diisopropylphenyl)acetamide (200 mg, 0.31 mmol), THF (5 mL), TBAF (160 mg, 0.61 mmol). The resulting solution was stirred for 5 h at RT and then was concentrated under vacuum. The residue was applied onto a silica gel column and eluted with DCM/MeOH (50:1 to 20:1). The crude product was purified by Prep-HPLC using method eluted with a gradient of 20˜55% o ACN. This resulted in 33.0 mg (26% o) of the title compound as a white solid. MS-ESL: 413.1 (M-1). 1H NMR (300 MHz, MeOD-d4) δ 7.69 (s, 1H), 6.75 (d, J=13.6 Hz, 2H), 4.78 (s, 2H), 3.74 (s, 2H), 3.20-3.00 (m, 2H), 1.12 (d, J=7.2 Hz, 12H)









TABLE 11







Examples in the following table were prepared using


similar conditions as described in Example 91 and


Scheme E from appropriate starting materials.











Final

Mass


Example
Target

Spec


#
Number
IUPAC Name
[M − H]













92
207
2-(4-fluoro-2,6-
429.1




diisopropylphenyl)-N-(5-(1-
(M + 1)




hydroxyethyl)thiazol-2-




ylsulfonyl)acetamide


93
208
2-(4-cyano-2,6-
436.1




diisopropylphenyl)-N-(5-(1-
(M + 1)




hydroxyethyl)thiazol-2-




ylsulfonyl)acetamide


94
209
2-(4-fluoro-2,6-
464.2




diisopropylphenyl)-N-(3-




(hydroxymethyl)-4-(2-




hydroxypropan-2-




yl)phenylsulfonyl)acetamide


95
210
2-(4-cyano-2,6-
471.2




diisopropylphenyl)-N-(3-




(hydroxymethyl)-4-(2-




hydroxypropan-2-




yl)phenylsulfonyl)acetamide









Example 96



embedded image


2-(4-Fluoro-2,6-diisopropylphenyl)-N-(5-(1-hydroxypropan-2-yl)thiazol-2-ylsulfonyl)acetamide



embedded image


Step 1: N-(5-(1-(tert-butyldimethylsilyloxy)propan-2-yl)thiazol-2-ylsulfonyl)-2-(4-fluoro-2,6-diisopropyl phenyl)acetamide

Into a 50-mL round-bottom flask, was placed 2-(4-fluoro-2,6-diisopropylphenyl)acetic acid (57 mg, 0.24 mmol), DCM (2 mL), and DMF (0.05 mL). This was followed by the addition of oxalic dichloride (0.5 mL) dropwise with stirring at RT. The resulting solution was stirred for 30 min at RT and then was concentrated under vacuum. The mixture diluted in DCM (1 mL) was added to a solution of 5-(1-(tert-butyldimethylsilyloxy)propan-2-yl)thiazole-2-sulfonamide (80 mg, 0.24 mmol) and TEA (0.2 mL) in DCM (2 mL) dropwise with stirring at RT. The resulting solution was stirred for 1 h at RT and then was diluted with 5 mL of water. The resulting solution was extracted with 3×5 mL of ethyl acetate and the organic layers combined and dried over anhydrous Na2SO4, and then concentrated under vacuum. This resulted in 120 mg (90%) of the title compound as a white solid. MS-ESI: 555.2 (M-1).


Step 2: 2-(4-Fluoro-2,6-diisopropylphenyl)-N-(5-(1-hydroxypropan-2-yl)thiazol-2-ylsulfonyl)acetamide

Into a 50-mL round-bottom flask, was placed N-(5-(1-(tert-butyldimethylsilyloxy)propan-2-yl)thiazol-2-ylsulfonyl)-2-(4-fluoro-2,6-diisopropylphenyl)acetamide (120 mg, 0.22 mmol), HCl/dioxane (4 M, 3 mL). The resulting solution was stirred for 2 h at RT and then was concentrated under vacuum. The crude product was purified by Prep-HPLC using method E eluted with a gradient of 25˜50% ACN. This resulted in 29.4 mg (31%) of the title compound as a white solid. MS-ESI: 443.2 (M+1). 1H NMR (400 MHz, MeOD-d4) δ 7.80 (s, 1H), 6.80 (d, J=10.0 Hz, 2H), 3.82 (s, 2H), 3.62-3.72 (m, 1H), 3.62-3.53 (m, 1H), 3.30-3.20 (m, 1H), 3.00-2.80 (m, 2H), 1.34 (d, J=7.2 Hz, 3H), 1.10 (d, J=7.2 Hz, 12H).









TABLE 12







Example in the following table was prepared using


similar conditions as described in Example 96


and Scheme E from appropriate starting materials.











Final

Mass


Example
Target

Spec


#
Number
IUPAC Name
[M − H]





97
212
2-(4-fluoro-2,6-
427.1




diisopropylphenyl)-N-(5-(2-




hydroxyethyl)thiazol-2-




ylsulfonyl)acetamide









The following compounds were prepared using procedures analogous to those described herein for other compounds using functional group transformations that are known to the skilled artisan:















Final





Target


Mass


Number
Structure
IUPAC Name
Spec







213


embedded image


2-(4-fluoro-2,6-diisopropylphenyl)- N-(5-(dimethylaminomethyl)thiazol- 2-ylsulfonyl)acetamide
442.2





214


embedded image


2-(4-fluoro-2,6-diisopropylphenyl)-N- (4-dimethylaminomethyl) phenylsulfonyl)acetamide
435.2





215


embedded image


2-(4-fluoro-2,6-diisopropylphenyl)-N- (3-dimethylaminomethyl) phenylsulfonyl)acetamide
435.2









Examples 97-99



embedded image


Preparation of 2-(4-bromo-2,6-diisopropylphenyl)acetic Acid



embedded image


Step 1: Preparation of 4-bromo-2,6-diisopropylaniline



embedded image


To a stirred solution of 2,6-diisopropylaniline (5.05 g, 28.4 mmol, 1.00 equiv) in N,N-dimethylformamide (70 mL) at 0° C. was added a solution of NBS (5.05 g, 28.4 mmol, 1.00 equiv) in N,N-dimethylformamide (30 mL) dropwise over 60 min. The reaction was stirred for another hour at 0° C., at which time water (300 mL) was added. The resulting mixture was extracted with ethyl acetate (2×300 mL), and the combined organic layers were washed with saturated NH4C1 solution (3×100 mL) followed by water (100 mL) and dried over anhydrous sodium sulfate. Concentration of the solution under vacuum afforded 4-bromo-2,6-diisopropylaniline (6.5 g, 88% yield). LCMS (Method A): 256.1 [M+H]+, retention time 2.97 min.


Step 2: Preparation of 5-bromo-2-iodo-1,3-diisopropylbenzene



embedded image


4-Bromo-2,6-diisopropylaniline (35.6 g, 138.96 mmol) was added to a suspension of p-TsOH monohydrate (118.95 g, 625.34 mmol) in a mixture of t-BuOH (500 mL) and water (30 mL). The mixture was cooled to 0° C. in an ice bath and a solution of sodium nitrite (28.76 g, 416.89 mmol) and potassium iodide (86.51 g, 521.11 mmol) in water (70 mL) was then added dropwise over 2.5 h, keeping the temperature of the mixture at 10-15° C. Following the addition, the temperature was then allowed to rise to 25° C., and the mixture was stirred for an additional 1.5 h. The reaction mixture was poured into water and extracted with Et2O. The ether layer was then washed with 10% sodium bisulfite solution to remove iodine related by-products. The organic layer was dried over MgSO4 and concentrated under reduced pressure. The residue was flushed through the silica gel plug eluting with hexane/EtOAc (100/0 to 90/10). Fractions containing the desired product were combined and concentrated under reduced pressure to afford pure 5-bromo-2-iodo-1,3-diisopropylbenzene (34.5 g, 67% yield). LCMS (Method A): 366.0 [M+], retention time 4.31 min.


Step 3: Preparation of tert-butyl 2-(4-bromo-2,6-diisopropylphenyl)acetate



embedded image


(2-(tert-butoxy)-2-oxoethyl)zinc(II) bromide solution: Under a N2 atmosphere, to a 500 mL round-bottom flask were added zinc powder (32.19 g, 492.17 mmol), dry THF (200 mL), and TMSCl (2.08 mL, 16.41 mmol). The suspension was warmed to 56° C. and stirred at this temperature for 30 min. A solution of t-butyl bromoacetate (32 g, 164.06 mmol) in THF (50 mL) was added dropwise to the suspension. After insoluble matter precipitated, the light yellow supernatant solution was decanted and used for subsequent experiment as is.


tert-Butyl 2-(4-bromo-2,6-diisopropylphenyl)acetate: Into a 5 L 3-necked round-bottom flask purged with and maintained under nitrogen, was placed 5-bromo-2-iodo-1,3-diisopropylbenzene (34.5 g, 93.99 mmol), THF (150 mL), X-phos (4.48 g, 9.4 mmol), Pd2(dba)3CHCl3 (3.2 g, 4.7 mmol). The resulting solution was stirred for 0.5 h at room temperature, at which time the previously prepared solution of 2-(tert-butoxy)-2-oxoethyl)zinc(II) bromide was added. The resulting solution was stirred for 3 h at 76° C. and then quenched by the addition of 200 mL of NH4Cl (saturated). The organic layer was separated and the aqueous layer was back extracted with EtOAc (200 mL). The combined organic layers were washed with brine, dried over anhydrous sodium sulfate, filtered and concentrated. The crude product was purified by percolation through silica gel, eluting with mixtures of hexane and EtOAc. The product was analyzed on HPLC and had a retention time of 4.11 min using method A. Fractions containing pure product were concentrated and used in the next step without further purification.


Step 4: Preparation of 2-(4-bromo-2,6-diisopropylphenyl) acetic Acid



embedded image


tert-Butyl 2-(4-bromo-2,6-diisopropylphenyl)acetate from the previous step was dissolved in dichloromethane (60 mL) and treated with TFA (35 mL). The reaction mixture was stirred overnight at room temperature and then concentrated and partially purified by silica gel flash chromatography. The majority of the desired product eluted with 100% hexanes, but further fractions collected from 1-20% EtOAc/hexanes also contained product. Those fractions which contained product were combined, concentrated in vacuo, and then partitioned between hexane and aqueous 10% Na2CO3. The product-containing aqueous layer was washed once with hexanes and then acidified to pH˜1 using 2N HCl. The product was extracted into EtOAc (150 mL×3). The combined organic layers were washed with brine, dried over anhydrous sodium sulfate, filtered and concentrated to give desired product 2-(4-bromo-2,6-diisopropylphenyl)acetic acid as white solid (7 g, 25% yield over two steps).


The product does not have discernible [M+H]+ but does have a UV and ELSD signal. The retention time was 3.2 min on an LCMS run using method A. 1H NMR (250 MHz, DMSO-d6): 7.26 (s, 2H), 3.68 (s, 2H), 3.08 (m, 2H), 1.13 (d, J=7.5 Hz, 12H).


Preparation of 2-(4-bromo-2,6-diisopropylphenyl)-N-((4-((dimethylamino)methyl)phenyl) sulfonyl) acetamide)



embedded image


Step 1: Preparation of 4-(bromomethyl)benzenesulfonamide



embedded image


4-(bromomethyl)benzenesulfonyl chloride (2.5 g, 9.3 mmol) was dissolved in dioxane (20 mL). To this solution was added concentrated NH4OH (5 mL). The solution was stirred at room temperature for 5 min. After the initial exotherm, the solution was poured into the water and extracted with EtOAc several times. The combined organic extracts were dried over MgSO4, filtered and concentrated under reduced pressure. The resulting sulfonamide was used without further purification. Product does not ionize on LCMS but has a UV (254 nm) signal at 2.0 min (Method A).


Step 2: Preparation of 4-((dimethylamino)methyl)benzenesulfonamide



embedded image


To a solution of 4-(bromomethyl)benzenesulfonamide (2.5 g, 10 mmol) in DMSO (10 mL) was added dimethylamine hydrochloride followed by K2CO3. The reaction mixture was heated at 70° C. for 1 h. LCMS showed complete conversion of the starting material and the mixture was poured into the water and extracted with EtOAc several times. The product in the combined organic layers was extracted with 1M HCl. The aqueous phase was washed with EtOAc and dichloromethane to remove impurities and the aqueous layer was basified with 2M NaOH and extracted with EtOAc. The solution was dried over MgSO4, filtered and concentrated under reduced pressure to afford pure 4-((dimethylamino)methyl) benzenesulfonamide as white crystals (0.800 g, 37% yield over two steps). LCMS (Method A): 215.1 [M+H]+, retention time 0.86 min. 1H NMR (250 MHz, DMSO-d6): 7.77 (d, J=7.5 Hz, 2H), 7.46 (d, J=7.5 Hz, 2H), 3.45 (s, 2H), 2.15 (s, 6H).


Step 3: Preparation of 2-(4-bromo-2,6-diisopropylphenyl)-N-((4-((dimethylamino)methyl)phenyl)-sulfonyl)acetamide



embedded image


A solution of 2-(4-bromo-2,6-diisopropylphenyl)acetic acid (0.598 g, 2 mmol), 4-((dimethylamino)-methyl) benzene sulfonamide (0.643 g, 3 mmol, 1.5 eq.), 4-dimethyaminopyridine (DMAP, 0.489 g, 4 mmol, 2 equiv), and 1-[3-(dimethyamino)-propyl]-3-ethylcarbodiimide hydrochloride (EDCI, 0.767 g, 4 mmol, 2 eq.) in CH2Cl2 (15 mL) was stirred at room temperature for 1 h. After LCMS showed complete conversion of the acid, the reaction was quenched by the addition of water, and aqueous phase was extracted with DCM (3×50 mL). The combined organic layers were washed with brine and dried over MgSO4, and evaporated in vacuo to afford 2-(4-bromo-2,6-diisopropylphenyl)-N-((4-((dimethylamino) methyl)phenyl)-sulfonyl)acetamide (0.891 g, 90% yield) of sufficient purity to be used as a scaffold for the cross coupling reactions without further purification. An analytically pure sample was obtained when the product was purified on HPLC with TFA buffer. LCMS (Method A): 497.3, 495.3 [M+H]+, retention time 2.63 min. 1H NMR (250 MHz, DMSO-d6): 7.79 (d, J=7.5 Hz, 2H), 7.46 (d, J=7.5 Hz, 2H), 7.14 (s, 2H), 3.86 (s, 2H), 3.58 (s, 2H), 2.97 (m, 2H), 2.41 (s, 6H), 0.97 (d, J=7.5 Hz, 12H).


Preparation of 2-[2,6-bis(propan-2-yl)-4-(tetramethyl-1,3,2-dioxaborolan-2-yl)phenyl]-N-{4-[(dimethylamino)methyl]benzenesulfonyl}acetamide



embedded image


To a solution of 2-(4-bromo-2,6-diisopropylphenyl)-N-((4-((dimethylamino)methyl)phenyl)-sulfonyl)acetamide (530 mg, 1.06 mmol) in dioxane (20 mL) and NMP (2 mL) was added 4,4,5,5-tetramethyl-2-(4,4,5,5-tetramethyl-1,3,2-dioxaborolan-2-yl)-1,3,2-dioxaborolane (410 mg, 1.61 mmol), Pd(dppf)Cl2.DCM (86 mg, 0.106 mmol) and potassium acetate (312 mg, 3.18 mmol). The resulting mixture was stirred at 80° C. for 12 h. Reaction mixture was brought to room temperature, filtered through a pad of celite, diluted with water (50 mL) and extracted with EtOAc (3×30 mL). The combined organic layer was washed water and brine, dried over anhydrous sodium sulfate, filtered and concentrated in vacuo to provide titled compound (437 mg, 75%) as light buff color solid.


General Procedure for Reverse Suzuki Coupling of 2-[2,6-bis(propan-2-yl)-4-(tetramethyl-1,3,2-dioxaborolan-2-yl)phenyl]-N-{4-[(dimethylamino)methyl]benzenesulfonyl}acetamide with Orgnobromides/Chlorides



embedded image


To a solution of 2-[2,6-bis(propan-2-yl)-4-(tetramethyl-1,3,2-dioxaborolan-2-yl)phenyl]-N-{4-[(dimethylamino)methyl]benzenesulfonyl}acetamide (0.1 mmol) in dioxane (1.5 mL) was added the appropriate alkyl or alkenyl halide (e.g., X═Br) (0.2 mmol), Pd(dppf)Cl2.DCM (0.01 mmol) and 1M aqueous cesium carbonate solution (0.3 mL). The resulting mixture was stirred at 80° C. for 12 h. Reaction mixture was brought to room temperature, filtered through a pad of celite and rinsed with EtOAc (5 mL). Filtrates were concentrated in vacuo and purified by prep-HPLC to obtain desired product.


N-((4-((dimethylamino)methyl)phenyl)sulfonyl)-2-(4-ethyl-2,6-diisopropylphenyl)acetamide (Example 97) was synthesized according to the method above. LC/MS (m+z)=445.28 [M+H], retention time (LC/MS Method B): 2.15 min.


2-(2,6-diisopropyl-4-(prop-1-en-2-yl)phenyl)-N-((4-((dimethylamino)methyl)phenyl)sulfonyl)-acetamide (Int. 98); and


2-(4-(but-2-en-2-yl)-2,6-diisopropylphenyl)-N-((4-((dimethylamino)methyl)phenyl)sulfonyl)-acetamide (Int. 99) were prepared according to the method above.


General Procedure for the Hydrogenation of Unsaturated Compounds



embedded image


Method A:

To a solution of unsaturated starting material (0.1 mmol) in MeOH (15 mL) was added 10 weight % Pd/C (10% w/w), trifluoroacetic acid (0.5 mL) and the resulting mixture was hydrogenated at 45 psi for 12 h. Reaction mixture was filtered through a pad of celite, filtrates were concentrated and purified by prep-HPLC.


Method B:

To a solution of unsaturated starting material (crude obtained either from Suzuki or Sonogashira coupling at 0.1 mmol scale) in ethyl acetate (15 mL) was added Pd(OH)2 (22 mg) and trifluoroacetic acid (0.2 mL) and the resulting mixture was hydrogenated at 45 psi for 12 h. Reaction mixture was filtered through a pad of celite, filtrates were concentrated and purified by prep-HPLC.


and were synthesized via hydrogenation of Int. 98 and Int. 99 as described above.


N-((4-((dimethylamino)methyl)phenyl)sulfonyl)-2-(2,4,6-triisopropylphenyl)acetamide (Example 98): LC/MS (m/z)=459.38 [M+H], retention time (LC/MS Method B): 2.24 min.


2-(4-(sec-butyl)-2,6-diisopropylphenyl)-N-((4-((dimethylamino)methyl)phenyl)sulfonyl)-acetamide (Example 99): LC/MS (m/z)=473.19 [M+H], retention time (LC/MS Method B): 2.40 min.


Example 100 (Final Target No. 219)



embedded image


Preparation of N-{4-[(dimethylamino)methyl]benzenesulfonyl}-2-[4-(1-hydroxyethyl)-2,6-bis(propan-2-yl)phenyl]acetamide (Example 100, Final Target No. 219)



embedded image


To a solution of 2-(4-bromo-2,6-diisopropylphenyl)-N-((4-((dimethylamino)methyl)phenyl)-sulfonyl)acetamide (43 mg, 0.087 mmol) in anhydrous THF (2 mL) was added NaH (3.5 mg, 0.087 mmol, 60% dispersed in oil) under nitrogen at −78° C. t-BuLi (0.056 mL, 0.095 mmol, 1.7M in pentane) was added slowly and after 3 min acetaldehyde (0.15 mL) was added quickly. Reaction mixture was further stirred at −78° C. for 5 min before quenching with water (5 mL). Reaction mixture froze. Dry ice/acetone cooling bath was removed. The reaction mixture was gradually warmed up to room temperature and extracted with EtOAc (3×5 mL). Combined organic layer was concentrated in vacuo to obtain crude material which was purified by prep-HPLC to obtain titled compound (4.1 mg, 10%). LCMS (Method A): 461.18 [M+H]*, retention time 1.97 min.


The following protocols are suitable for testing the activity of the compounds dislcosed herein. Bioassay 1:


IL-1β Production in PMA-Differentiated THP-1 Cells Stimulated with Gramicidin.


Cell culture-THP-1 cells were purchased from the American Type Culture Collection and sub-cultured according to instructions from the supplier. Prior to experiments, cells were cultured in RPMI 1640 containing 10% heat inactivated FBS, penicillin (100 units/ml) and streptomycin (100 pg/ml), and maintained in log phase prior to experimental setup. Prior to the experiment THP-1 were treated with PMA (Phorbol 12-myristate 13-acetate) (10 g/ml) for 24 hours. The day of the experiment the media was removed and attaching cells were treated with trypsin for 2 minutes, cells were then collected, washed with PBS (phosphate buffer saline), spin down, resuspended in 2% heat inactivated FBS with RPMI at a concentration of 1×106 cells/ml, and 100 ul was plated in a 96 well plate. Cells were incubated with compounds for 1 hours and then stimulated with Gramicidin (5 μM) (Enzo) for 2 hours. Cell free supernatant was collected and the production of IL-10 was evaluated by ELISA. Compounds were dissolved in dimethyl sulfoxide (DMSO) and added to the culture medium to achieve desired concentration (e.g. 100, 30, 10, 3, 1, 0.3 or 0.1 μM). A vehicle only control was run concurrently with each experiment. Final DMSO concentration was 1%. Compounds exhibit a dose-related inhibition of IL-1β production in PMA-differentiated THP-1 cells.


Bioassay 2:

IL-1β Production in PMA-Differentiated THP-1 Cells Stimulated with Gramicidin.


THP-1 cells were purchased from the American Type Culture Collection and sub-cultured according to instructions from the supplier. Prior to experiments, cells were cultured in complete RPMI 1640 (containing 10% heat inactivated FBS, penicillin (100 units/ml) and streptomycin (100 pg/ml)), and maintained in log phase prior to experimental setup. Prior to the experiment THP-1 were treated with PMA (Phorbol 12-myristate 13-acetate) (20 ng/ml) for 16-18 hours. On the day of the experiment the media was removed and adherent cells were detached with trypsin for 5 minutes. Cells were then harvested, washed with complete RPMI 1640, spun down, resuspended in RPMI 1640 (containing 2% heat inactivated FBS, penicillin (100 units/ml) and streptomycin (100 pg/ml). The cells were plated in a 384-well plate at a density of 50,000 cells/well (final assay volume 50 pl). Compounds were dissolved in dimethyl sulfoxide (DMSO) and added to the culture medium to achieve desired concentration (e.g. 100, 33, 11, 3.7, 1.2, 0.41, 0.14, 0.046, 0.015, 0.0051, 0.0017 pM). Cells were incubated with compounds for 1 hour and then stimulated with gramicidin (5 μM) (Enzo) for 2 hours. Cell free supernatant was collected and the production of IL-1 was evaluated by HTRF (cisbio). A vehicle only control was run concurrently with each experiment. Final DMSO concentration was 0.38%. Compounds exhibited a concentration-dependent inhibition of IL-1 production in PMA-differentiated THP-1 cells.


Compounds tested with protocols 1 and 2 provided IC50 values that are within the variability of the assay.


Tables 13 and 14 show the biological activity of compounds in hTHP-1 assay containing 2% bovine serum: <1 μM=“++++”; ≥1 and <5 μM=“+++”; ≥5 and <15 μM=“++”; ≥15 and <60 μM=“+”.









TABLE 13







Average IC50 of compounds in hTHP-1 assay










Example #
Average IC50














1
++



2
+++



3
+



4
++



5
+



6
+++



7
++



8
++++



9
++++



10
++++



11
++++



12
++++



13
+++



14
+++



15
+++



16
++++



17
+++



18
+++



19
+++



20
++++



21
+++



22
+



23
+++



24
+



25
+++



26
+++



27
+++



28
+++



29
+



30
++



31
++



32
++



33
++



34
+++



35
+++



36
+++



37
++



38
++



39
+



40
+



41
++



42
++



43
+++



44
++



45
+++



46
+++



47
+++



48
++++



49
++



50
+++



51
++



52
+++



53
++++



54
++++



55
+++



56
++++



57
+



58
+++



59
+



61
++



62
++



63
++



64
+++



65
++



66
+



67
+++



68
++



69
+



70
++++



71
+++



72
+++



73
+++



74
++



75
++++



76
++++



77
+++



78
++



79
+



80
++



81
+



82
+



83
++++



84
++



85
+++



86
++



87
+



88
+



89
+++



91
+



92
+++



93
+++



94
+++



95
+++



96
++



97
++

















TABLE 14







Average IC50 of compounds in hTHP-1 assay










Final Target Number
Average IC50














213
++



214
++++



215
++



401
+++



402
+



404
++++



405
++



406
++



407
+



408
>30



409
++



410
>30



411
>30



412
>30



415
>30



416
++++










Study Example 1

The CARD8 gene is located within the inflammatory bowel disease (IBD) 6 linkage region on chromosome 19. CARD8 interacts with NLRP3, and Apoptosis-associated Speck-like protein to form a caspase-1 activating complex termed the NLRP3 inflammasome. The NLRP3 inflammasome mediates the production and secretion of interleukin-1β, by processing pro-IL-1β into mature secreted IL-1β. In addition to its role in the inflammasome, CARD8 is also a potent inhibitor of nuclear factor NF-κB. NF-κB activation is essential for the production of pro-IL-1ϑ. Since over-production of IL-1β and dyregulation of NF-κB are hallmarks of Crohn's disease, CARD8 is herein considered to be a risk gene for inflammatory bowel disease. A significant association of CARD8 with Crohn's disease was detected in two British studies with a risk effect for the minor allele of the non-synonymous single-nucleotide polymorphism (SNP) of a C allele at rs2043211. This SNP introduces a premature stop codon, resulting in the expression of a severely truncated protein. This variant CARD8 protein is unable to suppress NF-κB activity, leading to constitutive production of pro-IL-1β, which is a substrate for the NLRP3 inflammasome. It is believed that a gain-of-function mutation in an NLRP3 gene (e.g., any of the gain-of-function mutations described herein, e.g., any of the gain-of-function mutations in an NLRP3 gene described herein) combined with a loss-of-function mutation in a CARD8 gene (e.g., a C allele at rs2043211) results in the development of diseases related to increased NLRP3 inflammasome expression and/or activity. Patients having, e.g., a gain-of-function mutation in an NLRP3 gene and/or a loss-of-function mutation in a CARD8 gene are predicted to show improved therapeutic response to treatment with an NLRP3 antagonist.


A study is designed to determine: whether NLRP3 antagonists inhibit inflammasome function and inflammatory activity in cells and biopsy specimens from patients with Crohn's disease or ulcerative colitis; and whether the specific genetic variants identify patients with Crohn's disease or ulcerative colitis who are most likely to respond to treatment with an NLRP3 antagonist.


The secondary objectives of this study are to: determine if an NLRP3 antagonist reduces inflammasome activity in Crohn's disease and ulcerative biopsy samples (comparing Crohn's disease and ulcerative colitis results with control patient results); determine if an NLRP3 antagonist reduced inflammatory cytokine RNA and protein expression in Crohn's disease and ulcerative colitis samples; determine if baseline (no ex vivo treatment) RNA levels of NLRP3, ASC, and IL-1β are greater in biopsy samples from patients with anti-TNFα agent resistance status; and stratify the results according to presence of specific genetic mutations in genes encoding ATG16L1, NLRP3, and CARD8 (e.g., any of the mutations in the ATG16L1 gene, NLRP3 gene, and CARD8 gene described herein).


Methods





    • Evaluation of baseline expression of NLRP3 RNA and quantify inhibition of inflammasome activity by an NLRP3 antagonist in biopsies of disease tissue from patients with Crohn's disease and ulcerative colitis.

    • Determine if NLRP3 antagonist treatment reduces the inflammatory response in biopsies of disease from patients with Crohn's disease based on decreased expression of inflammatory gene RNA measured with Nanostring.

    • Sequence patient DNA to detect specific genetic mutations in the ATG16L1 gene, NLRP3 gene, and CARD8 gene (e.g., any of the exemplary mutations in these genes described herein) and then stratify the results of functional assays according to the presence of these genetic mutations.





Experimental Design





    • Human subjects and tissue:
      • Endoscopic or surgical biopsies from areas of disease in patients with Crohn's disease and ulcerative colitis who are either anti-TNFα treatment naive or resistant to anti-TNFα treatment; additionally biopsies from control patients (surveillance colonoscopy or inflammation-free areas from patients with colorectal cancer) are studied.

    • Ex vivo Treatment Model:
      • Organ or LPMC culture as determined appropriate

    • Endpoints to be measured:
      • Before ex vivo treatment—NLRP3 RNA level
      • After ex vivo treatment-inflammasome activity (either processed IL-1β, processed caspase-1, or secreted IL-1β); RNA for inflammatory cytokines (Nanostring); viable T cell number and/or T cell apoptosis.

    • Data Analysis Plan:
      • Determine if NLRP3 antagonist treatment decreases processed IL-I P, processed caspase-1 or secreted IL-1P, and inflammatory cytokine RNA levels.
      • Stratify response data according to treatment status at biopsy and the presence of genetic mutations in the NLRP3 gene, CARD8 gene, and ATG16L1 gene (e.g., any of the exemplary genetic mutations of these genes described herein).





Study Example 2. Treatment of Anti-TNFα Resistant Patients with NLRP3 Antagonists

PLoS One 2009 Nov. 24; 4(11):e7984, describes that mucosal biopsies were obtained at endoscopy in actively inflamed mucosa from patients with Ulcerative Colitis, refractory to corticosteroids and/or immunosuppression, before and 4-6 weeks after their first infliximab (an anti-TNFα agent) infusion and in normal mucosa from control patients. The patients in this study were classified for response to infliximab based on endoscopic and histologic findings at 4-6 weeks after first infliximab treatment as responder or non-responder. Transcriptomic RNA expression levels of these biopsies were accessed by the inventors of the invention disclosed herein from GSE 16879, the publically available Gene Expression Omnibus (htps://www.ncbi.nlm.nih.gov/geo/geo2r/?acc=GSE16879). Expression levels of RNA encoding NLRP3 and IL-1β were determined using GEO2R (a tool available on the same website), based on probe sets 207075_at and 205067_at, respectively. It was surprisingly found that in Crohn's disease patients that are non-responsive to the infliximab (an anti-TNFα agent) have higher expression of NLRP3 and IL-1β RNA than responsive patients (FIGS. 1 and 2). Similar surprising results of higher expression of NLRP3 and IL-1β RNA in UC patients that are non-responsive to infliximab (an anti-TNFα agent) compared to infliximab (an anti-TNFα agent) responsive patients (FIGS. 3 and 4) were found.


Said higher levels of NLRP3 and IL-1β RNA expression levels in anti-TNFα agent non-responders, is hypothesised herein to lead to NLRP3 activation which in turns leads ot release of IL-1β that induces IL-23 production, leading to said resistance to anti-TNFα agents. Therefore, treatment of Crohn's and UC anti-TNFα non-responders with an NLRP3 antagonist would prevent this cascade, and thus prevent development of non-responsiveness to anti-TNFα agents. Indeed, resistance to anti-TNFα agents is common in other inflammatory or autoimmune diseases. Therefore, use of an NLRP3 antagonist for the treatment of inflammatory or autoimmune diseases will block the mechanism leading to non-responsiveness to anti-TNFα□agents. Consequently, use of NLRP3 antagonists will increase the sensitivity of patients with inflammatory or autoimmune diseases to anti-TNFα agents, resulting in a reduced dose of anti-TNFα agents for the treatment of these diseases. Therefore, a combination of an NLRP3 antagonist and an anti-TNFα agent can be used in the treatment of diseases wherein TNFα is overexpressed, such as inflammatory or autoimmune diseases, to avoid such non-responsive development of patients to anti-TNFα agents. Preferably, this combination threatment can be used in the treatment of IBD, for example Crohn's disease and UC.


Further, use of NLRP3 antagonists offers an alternative to anti-TNFα agents for the treatment of diseases wherein TNFα is overexpressed. Therefore, NLRP3 antagonists offers an alternative to anti-TNFα agents inflammatory or autoimmune diseases, such as IBD (e.g. Crohn's disease and UC).


Systemtic anti-TNFα agents are also known to increase the risk of infection. Gut restricted NLRP3 antagonists, however, offers a gut targeted treatment (i.e. non-systemic treatment), preventing such infections. Therefore, treatment of TNFα gut diseases, such as IBD (i.e. Crohn's disease and UC), with gut restricted NLRP3 antagonists has the additional advantage of reducing the risk of infection compared to anti-TNFα agents.


Proposed Experiment:


Determine the expression of NLRP3 and caspase-1 in LPMCs and epithelial cells in patients with non-active disease, in patients with active disease, in patients with active disease resistant to corticosteroids, patients with active disease resistant to TNF-blocking agents. The expression of NLRP3 and caspase-1 in LPMCs and epithelial cells will be analyzed by RNAScope technology. The expression of active NLRP3 signature genes will be analyzed by Nanostring technology. A pilot analysis to determine feasibility will be performed with 5 samples from control, 5 samples from active CD lesions, and 5 samples from active UC lesions.


Study Example 3

It is presented that NLRP3 antagonists reverse resistance to anti-TNF induced T cell depletion/apoptosis in biopsy samples from IBD patients whose disease is clinically considered resistant or unresponsive to anti-TNF therapy.


A study is designed to determine: whether NLRP3 antagonists inhibit inflammasome function and inflammatory activity in cells and biopsy specimens from patients with Crohn's disease or ulcerative colitis; and whether an NLRP3 antagonist will synergize with anti-TNFα therapy in patients with Crohn's disease or ulcerative colitis.


The secondary objectives of this study are to: determine if an NLRP3 antagonist reduces inflammasome activity in Crohn's disease and ulcerative biopsy samples (comparing Crohn's disease and ulcerative colitis results with control patient results); determine if an NLRP3 antagonist reduced inflammatory cytokine RNA and protein expression in Crohn's disease and ulcerative colitis samples; determine if an NLRP3 antagonist in the absence of co-treatment with anti-TNFα antibody induces T cell depletion in Crohn's disease and ulcerative colitis biopsy samples; and determine if baseline (no ex vivo treatment) RNA levels of NLRP3, ASC, and IL-1β are greater in biopsy samples from patients with anti-TNFα agent resistance status.


Methods





    • Evaluation of baseline expression of NLRP3 RNA and quantify inhibition of inflammasome activity by an NLRP3 antagonist in biopsies of disease tissue from patients with Crohn's disease and ulcerative colitis.

    • Determine if there is synergy between an NLRP3 antagonist and anti-TNF antibody with respect to effects on T cell depletion/apoptosis in biopsies of disease from patients with Crohn's disease and ulcerative colitis.

    • Determine if NLRP3 antagonist treatment reduces the inflammatory response in biopsies of disease from patients with Crohn's disease based on decreased expression of inflammatory gene RNA measured with Nanostring.





Experimental Design





    • Human subjects and tissue:
      • Endoscopic or surgical biopsies from areas of disease in patients with Crohn's disease and ulcerative colitis who are either anti-TNFα treatment naive or resistant to anti-TNFα treatment; additionally biopsies from control patients (surveillance colonoscopy or inflammation-free areas from patients with colorectal cancer) are studied.

    • Ex vivo Treatment Model:
      • Organ or LPMC culture as determined appropriate

    • Ex vivo Treatments:
      • NLRP3 antagonist (2 concentrations), negative control (vehicle), positive control (caspase-1 inhibitor) each in the presence or absence of anti-TNF antibody at a concentration appropriate to distinguish differences in the T cell apoptotic between biopsies from anti-TNF resistant and anti-TNF-sensitive Crohn's disease patients. Each treatment condition is evaluated in a minimum in duplicate samples.

    • Endpoints to be measured:
      • Before ex vivo treatment—NLRP3 RNA level
      • After ex vivo treatment-inflammasome activity (either processed IL-I P, processed caspase-1, or secreted IL-1β); RNA for inflammatory cytokines (Nanostring); viable T cell number and/or T cell apoptosis.

    • Data Analysis Plan:
      • Determine if NLRP3 antagonist co-treatment increases T cell apoptosis/deletion in response to anti-TNF.
      • Determine if the level of NLRP3 RNA expression is greater in TNF-resistant Crohn's disease and ulcerative colitis samples compared to anti-TNF treatment-naive samples.
      • Determine if NLRP3 antagonist treatment decreases processed IL-1β, processed caspase-1 or secreted IL-1, and inflammatory cytokine RNA levels.





Biological Assay—Nigericin-Stimulated IL-1β Secretion Assay in THP-1 Cells

Monocytic THP-1 cells (ATCC: TIB-202) were maintained according to providers' instructions in RPMI media (RPMI/Hepes+10% fetal bovine serum+Sodium Pyruvate+0.05 mM Beta-mercaptoethanol (1000x stock)+Pen-Strep). Cells were differentiated in bulk with 0.5 pM phorbol 12-myristate 13-acetate (PMA; Sigma #P8139) for 3 hours, media was exchanged, and cells were plated at 50,000 cells per well in a 384-well flat-bottom cell culture plates (Greiner, #781986), and allowed to differentiate overnight. Compound in a 1:3.16 serial dilution series in DMSO was added 1:100 to the cells and incubated for 1 hour. The NLRP3 inflammasome was activated with the addition of 15 pM (final concentration) Nigericin (Enzo Life Sciences, #BML-CA421-0005), and cells were incubated for 3 hours. 10 pL supernatant was removed, and IL-1β levels were monitored using an HTRF assay (CisBio, #62IL1PEC) according to manufacturers' instructions. Viability and pyroptosis was monitored with the addition of PrestoBlue cell viability reagent (Life Technologies, #A13261) directly to the cell culture plate.


A number of embodiments of the invention have been described. Nevertheless, it will be understood that various modifications may be made without departing from the spirit and scope of the invention. Accordingly, other embodiments are within the scope of the following claims.

Claims
  • 1. A compound of Formula A
  • 2. A compound of Formula A
  • 3. A compound of Formula I
  • 4. A compound of Formula IIa
  • 5. A compound of Formula A
  • 6. A compound of Formula I
  • 7. A compound of Formula IIa
  • 8. A compound of Formula A
  • 9. The compound of claim 8, wherein when R1 and R10 are taken together with the atoms connecting them to form a 3-to-8-membered carbocyclic or heterocyclic ring containing 1 or 2 heteroatoms independently selected from O, N, and S; then the carbocyclic or heterocyclic ring is substituted with one or more substituents each independently selected from halo, C1-C6 alkyl, C2-C6 alkenyl, C2-C6 alkynyl, OC3-C10 cycloalkyl, CN, NR11R12, CONR11R12, OS(O2)C6-C10 aryl, S(O2)C6-C10 aryl, C6-C10 aryl, 5- to 10-membered heteroaryl, C3-C10 cycloalkyl, and 3- to 10-membered heterocycloalkyl;wherein the C1-C6 alkyl, S(O2)C6-C10 aryl, C6-C10 aryl, 5- to 10-membered heteroaryl, C3-C10 cycloalkyl, and 3- to 10-membered heterocycloalkyl are optionally substituted with one or more substituents each independently selected from hydroxy, halo, C1-C6 alkyl, C2-C6 alkenyl, C2-C6 alkynyl, C3-C10 cycloalkyl, C1-C6 alkoxy, oxo, NR11R12, ═NR13, COOC1-C6 alkyl, C6-C10 aryl, and CONR11R12; andwherein R12 is selected from C1-C6 haloalkyl, (C═NR15)NR17R8, S(O2)C1-C6 alkyl, S(O2)NR17R8, or C1-C6 alkyl substituted with one or more hydroxy, halo, C1-C6 alkoxy, C6-C10 aryl, 5- to 10-membered heteroaryl, C3-C7 cycloalkyl or 3- to 7-membered heterocycloalkyl;when two adjacent X29, X34, X21, and X36 are other than N, and two of R34, R29, R35, R2 and R36 that are on adjacent ring carbon atoms taken together with the atoms connecting them form a 6-membered aromatic ring, a five-to-eight-membered carbocyclic non-aromatic ring, a five- or six-membered heteroaromatic ring or a five-to-eight-membered heterocyclic non-aromatic ring, then the carbocyclic or heterocyclic ring is substituted with one or more substituents each independently selected from halo, C1-C6 alkyl, C2-C6 alkenyl, C2-C6 alkynyl, OC3-C10 cycloalkyl, CN, NR11R12, CONR11R12, OS(O2)C6-C10 aryl, S(O2)C6-C10 aryl, C6-C10 aryl, 5- to 10-membered heteroaryl, C3-C10 cycloalkyl, and 3- to 10-membered heterocycloalkyl;wherein the C1-C6 alkyl, S(O2)C6-C10 aryl, C6-C10 aryl, 5- to 10-membered heteroaryl, C3-C10 cycloalkyl, and 3- to 10-membered heterocycloalkyl are optionally substituted with one or more substituents each independently selected from hydroxy, halo, C1-C6 alkyl, C2-C6 alkenyl, C2-C6 alkynyl, C3-C10 cycloalkyl, C1-C6 alkoxy, oxo, NR11R12, ═NR13 COOC1-C6 alkyl, C6-C10 aryl, and CONR11R12; andwherein R12 is selected from C1-C6 haloalkyl, (C═NR15)NR17R18, S(O2)C1-C6 alkyl, S(O2)NR17R8, or C1-C6 alkyl substituted with one or more hydroxy, halo, C1-C6 alkoxy, C6-C10 aryl, 5- to 10-membered heteroaryl, C3-C7 cycloalkyl or 3- to 7-membered heterocycloalkyl; andwhen two adjacent X29, X34, X21, and X36 are other than N, and two of R34, R29, R35, R21 and R36 that are on adjacent ring carbon atoms taken together with the adjacent ring carbons form a 3-5 membered or 7-12 membered aromatic carbocyclic ring (e.g., 9-12 membered), a 3-4 membered or 9-12 membered non-aromatic carbocyclic ring, a 7-12-membered aromatic heterocyclic ring, or a 9-12-membered nonaromatic heterocyclic ring, then the carbocyclic or heterocyclic ring is optionally substituted with one or more substituents each independently selected from hydroxy, halo, oxo, C1-C6 alkyl, C2-C6 alkenyl, C2-C6 alkynyl, C1-C6 alkoxy, OC3-C10 cycloalkyl, NR11R12, ═NR13, CN, COOC1-C6 alkyl, OS(O2)C6-C10 aryl, S(O2)C6-C10 aryl, C6-C10 aryl, 5- to 10-membered heteroaryl, C3-C10 cycloalkyl, 3- to 10-membered heterocycloalkyl, and CONR11R12, wherein the C1-C6 alkyl, C1-C6 alkoxy, S(O2)C6-C10 aryl, C6-C10 aryl, 5- to 10-membered heteroaryl, C3-C10 cycloalkyl, and 3- to 10-membered heterocycloalkyl are optionally substituted with one or more substituents each independently selected from hydroxy, halo, C1-C6 alkyl, C2-C6 alkenyl, C2-C6 alkynyl, C3-C10 cycloalkyl, C1-C6 alkoxy, oxo, NR11R12, ═NR13, COOC1-C6 alkyl, C6-C10 aryl, and CONR11R12;wherein each of R11 and R12 at each occurrence is independently selected from hydrogen, C1-C6 alkyl, C1-C6 haloalkyl, (C═NR15)NR17R18, S(O2)C1-C6 alkyl, S(O2)NR17R18, COR1, CO2R15 and CON R17R18; wherein the C1-C6 alkyl is optionally substituted with one or more hydroxy, halo, C1-C6 alkoxy, C6-C10 aryl, 5- to 10-membered heteroaryl, C3-C7 cycloalkyl or 3- to 7-membered heterocycloalkyl; or R11 and R12 taken together with the nitrogen they are attached to form a 3- to 7-membered ring optionally containing one or more heteroatoms in addition to the nitrogen they are attached to.
  • 10. A compound of Formula A
  • 11. The compound of claim 10, wherein when R1 and R10 are taken together with the atoms connecting them to form a 3-to-8-membered carbocyclic or heterocyclic ring containing 1 or 2 heteroatoms independently selected from O, N, and S; then the carbocyclic or heterocyclic ring is substituted with one or more substituents each independently selected from halo, C1-C6 alkyl, C2-C6 alkenyl, C2-C6 alkynyl, OC3-C10 cycloalkyl, CN, NR11R12, CONR11R12, OS(O2)C6-C10 aryl, S(O2)C6-C10 aryl, C6-C10 aryl, 5- to 10-membered heteroaryl, C3-C10 cycloalkyl, and 3- to 10-membered heterocycloalkyl;wherein the C1-C6 alkyl, S(O2)C6-C10 aryl, C6-C10 aryl, 5- to 10-membered heteroaryl, C3-C10 cycloalkyl, and 3- to 10-membered heterocycloalkyl are optionally substituted with one or more substituents each independently selected from hydroxy, halo, C1-C6 alkyl, C2-C6 alkenyl, C2-C6 alkynyl, C3-C10 cycloalkyl, C1-C6 alkoxy, oxo, NR11R12, ═NR13, COOC1-C6 alkyl, C6-C10 aryl, and CONR11R12; andwherein R12 is selected from C1-C6 haloalkyl, (C═NR15)NR7R8, S(O2)C1-C6 alkyl, S(O2)NR17R18, or C1-C6 alkyl substituted with one or more hydroxy, halo, C1-C6 alkoxy, C6-C10 aryl, 5- to 10-membered heteroaryl, C3-C7 cycloalkyl or 3- to 7-membered heterocycloalkyl.
  • 12. The compound of any one of claims 1, 2, 3, 5, 6, and 8-11, wherein the moiety
  • 13. The compound of any one of claims 1, 2, 3, 5, 6, and 8-11, wherein the moiety
  • 14. The compound of any one of claims 1, 2, 3, 5, 6, and 8-11, wherein LHS3 is
  • 15. The compound of any one of claims 1, 2, 3, 5, 6, and 8-11, wherein the moiety
  • 16. The compound of any one of claims 1, 2, 3, 5, 6, and 8-11, wherein the moiety
  • 17. The compound of any one of claims 1, 2, 3, 5, 6, and 8-11, wherein the moiety
  • 18. The compound of any one of claims 1, 2, 3, 5, 6, and 8-11, wherein the moiety
  • 19. The compound of any one of claims 1, 2, 3, 5, 6, and 8-11, wherein the moiety
  • 20. The compound of claim 19, wherein X10 is N; and X2 is S.
  • 21. The compound of claims 19-20, wherein LHS7 is
  • 22. The compound of claim 19, wherein LHS7 is
  • 23. The compound of any one of claims 1, 2, 3, 5, 6, and 8-11 wherein the moiety
  • 24. The compound of claim 23, wherein X1 is S; and X2 is CH.
  • 25. The compound of claim 1, 2, 4, 5 or 7, wherein the moiety
  • 26. The compound of claim 1, 2, 4, 5 or 7, wherein the moiety
  • 27. The compound of claim any one of claims 1, 2, 3, 5, 6, and 8-11, wherein the moiety
  • 28. The compound of claim 1, 2, 4, 5, or 7, wherein the moiety
  • 29. The compound of claim 1, 2, 4, 5, or 7, wherein the moiety is
  • 30. The compound of claim 1, 2, 4, 5, or 7-9, wherein the moiety
  • 31. The compound of claim 1, 2, 4, 5, or 7, wherein the moiety
  • 32. The compound of claim 31, wherein LHS17 is
  • 33. The compound of claim 1, 2, 4, 5, or 7, wherein the moiety
  • 34. The compound of any one of the preceding claims, wherein the moiety
  • 35. The compound of claim 34, wherein the moiety
  • 36. The compound of claim 34, wherein the moiety
  • 37. The compound of claim 34, wherein the moiety
  • 38. The compound of claim 34, wherein the moiety
  • 39. The compound of claim 38, wherein RHS5 is
  • 40. The compound of claim 34, wherein the moiety
  • 41. The compound of claim 34, wherein the moiety
  • 42. The compound of claim 34, wherein the moiety
  • 43. The compound of any one of claims 1-3, 5, 6, and 8-11, wherein X10 is CR10.
  • 44. The compound of any one of claims 1-3, 5, 6, 8-11, 12-15, 17-18, 22, 23 and 43, wherein R10 is 2-hydroxy-2-propyl.
  • 45. The compound of any one of claims 1-3, 5, 6, 8-11, 12-15, 17-18, 22, 23 and 43, wherein R10 is 1-hydroxy-1-cyclopropyl.
  • 46. The compound of any one of claims 1-3, 5, 6, 8-11, 12-15, 17-18, 22, 23 and 43, wherein R10 is dimethylaminomethyl.
  • 47. The compound of any one of claims 1-3, 5, 6, 8-11, 12-15, 17-18, 22, 23 and 43, wherein R10 is S(O2)CH3.
  • 48. The compound of any one of claims 1-3, 5, 6, and 8-11, wherein X11 is CR1.
  • 49. The compound of any one of claims 1-3, 5, 6, 8-11, 12-16, 18-19, 22, and 48, wherein R1 is 2-hydroxy-2-propyl.
  • 50. The compound of any one of claims 1-3, 5, 6, 8-11, 12-16, 18-19, 22, and 48, wherein R1 is 1-hydroxy-1-cyclopropyl.
  • 51. The compound of any one of claims 1-3, 5, 6, 8-11, 12-16, 18-19, 22, and 48, wherein R1 is dimethylaminomethyl.
  • 52. The compound of any one of claims 1-3, 5, 6, 8-11, 12-16, 18-19, 22, and 48, wherein R1 is S(O2)CH3.
  • 53. The compound of any one of claims 1-3, 5, 6, and 8-11, wherein X10 is NR10.
  • 54. The compound of claim 53, wherein R10 is isopropyl.
  • 55. The compound of claim 53, wherein R10 is methyl.
  • 56. The compound of claim 53, wherein R10 is benzyl.
  • 57. The compound of claim 53, wherein R10 is phenyl.
  • 58. The compound of any one of claims 1-3, 5, 6, 17, and 22, wherein R41 and R10, taken together with the atoms connecting them form a monocyclic or bicyclic 3-to-12-membered carbocyclic ring or a monocyclic or bicyclic 5- to 12-membered heterocyclic ring containing 1-3 heteroatoms independently selected from O, N, NH, NR13 and S, wherein the carbocyclic ring or heterocyclic ring is optionally substituted with one or more substituents each independently selected from hydroxy, halo, oxo, C1-C6 alkyl, C2-C6 alkenyl, C2-C6 alkynyl, C1-C6 alkoxy, OC3-C10 cycloalkyl, NR11R12, ═NR13, CN, COOC1-C6 alkyl, OS(O2)C6-C10 aryl, S(O2)C6-C10 aryl, C6-C10 aryl, 5- to 10-membered heteroaryl, C3-C10 cycloalkyl, 3- to 10-membered heterocycloalkyl, and CONR11R12, wherein the C1-C6 alkyl, C1-C6 alkoxy, S(O2)C6-C10 aryl, C6-C10 aryl, 5- to 10-membered heteroaryl, C3-C10 cycloalkyl, and 3- to 10-membered heterocycloalkyl are optionally substituted with one or more substituents each independently selected from hydroxy, halo, C1-C6 alkyl, C2-C6 alkenyl, C2-C6 alkynyl, C3-C10 cycloalkyl, C1-C6 alkoxy, oxo, NR11R12, ═NR13, COOC1-C6 alkyl, C6-C10 aryl, and CONR11R12.
  • 59. The compound of any one of claims 1-3, 5, 6, 12-15, 18, 22, and 23, wherein R10 and R1, taken together with the atoms connecting them form a monocyclic or bicyclic 3-to-12-membered carbocyclic ring or a monocyclic or bicyclic 5- to 12-membered heterocyclic ring containing 1-3 heteroatoms independently selected from O, N, NH, NR13 and S, wherein the carbocyclic ring or heterocyclic ring is optionally substituted with one or more substituents each independently selected from hydroxy, halo, oxo, C1-C6 alkyl, C2-C6 alkenyl, C2-C6 alkynyl, C1-C6 alkoxy, OC3-C10 cycloalkyl, NR11R12, ═NR13, CN, COOC1-C6 alkyl, OS(O2)C6-C10 aryl, S(O2)C6-C10 aryl, C6-C10 aryl, 5- to 10-membered heteroaryl, C3-C10 cycloalkyl, 3- to 10-membered heterocycloalkyl, and CONR11R12, wherein the C1-C6 alkyl, C1-C6 alkoxy, S(O2)C6-C10 aryl, C6-C10 aryl, 5- to 10-membered heteroaryl, C3-C10 cycloalkyl, and 3- to 10-membered heterocycloalkyl are optionally substituted with one or more substituents each independently selected from hydroxy, halo, C1-C6 alkyl, C2-C6 alkenyl, C2-C6 alkynyl, C3-C10 cycloalkyl, C1-C6 alkoxy, oxo, NR11R12, ═NR13, COOC1-C6 alkyl, C6-C10 aryl, and CONR11R12.
  • 60. The compound of any one of claims 1-3, 5, 6, and 16, wherein R1 and R42, taken together with the atoms connecting them form a monocyclic or bicyclic 3-to-12-membered carbocyclic ring or a monocyclic or bicyclic 5- to 12-membered heterocyclic ring containing 1-3 heteroatoms independently selected from O, N, NH, NR13, and S, wherein the carbocyclic ring or heterocyclic ring is optionally substituted with one or more substituents each independently selected from hydroxy, halo, oxo, C1-C6 alkyl, C2-C6 alkenyl, C2-C6 alkynyl, C1-C6 alkoxy, OC3-C10 cycloalkyl, NR11R12, ═NR13, CN, COOC1-C6 alkyl, OS(O2)C6-C10 aryl, S(O2)C6-C10 aryl, C6-C10 aryl, 5- to 10-membered heteroaryl, C3-C10 cycloalkyl, 3- to 10-membered heterocycloalkyl, and CONR11R12, wherein the C1-C6 alkyl, C1-C6 alkoxy, S(O2)C6-C10 aryl, C6-C10 aryl, 5- to 10-membered heteroaryl, C3-C10 cycloalkyl, and 3- to 10-membered heterocycloalkyl are optionally substituted with one or more substituents each independently selected from hydroxy, halo, C1-C6 alkyl, C2-C6 alkenyl, C2-C6 alkynyl, C3-C10 cycloalkyl, C1-C6 alkoxy, oxo, NR11R12, ═NR13, COOC1-C6 alkyl, C6-C10 aryl, and CONR11R12.
  • 61. The compound of any one of claims 1, 2, 4, 5, and 7, wherein X35 is CR35.
  • 62. The compound of any one of claims 1, 2, 4, 5, 7, 25, 29-30, 33, and 61 wherein R35 is 2-hydroxy-2-propyl.
  • 63. The compound of any one of claims 1, 2, 4, 5, 7, 25, 29-30, 33, and 61, wherein R35 is 1-hydroxy-1-cyclopropyl.
  • 64. The compound of any one of claims 1, 2, 4, 5, 7, 25, 29-30, 33, and 61, wherein R35 is dimethylaminomethyl.
  • 65. The compound of any one of claims 1, 2, 4, 5, 7, 25, 29-30, 33, and 61, wherein R35 is S(O2)CH3.
  • 66. The compound of any one of claims 1, 2, 4, 5, 7, 28, and 61, wherein X21 is CR21.
  • 67. The compound of any one of claims 1, 2, 4, 5, 7, 28, 61, and 66, wherein R21 is 2-hydroxy-2-propyl.
  • 68. The compound of any one of claims 1, 2, 4, 5, 7, 28, 61, and 66, wherein R21 is 1-hydroxy-1-cyclopropyl.
  • 69. The compound of any one of claims 1, 2, 4, 5, 7, 28, 61, and 66, wherein R21 is dimethylaminomethyl.
  • 70. The compound of any one of claims 1, 2, 4, 5, 7, 28, 61, and 66, wherein R21 is S(O2)CH3.
  • 71. The compound of any one of claims 1, 2, 4, 5, 7, 28, 61, and 66, wherein R21 is halo.
  • 72. The compound of any one of claims 1, 2, 4, 5, 7, 28, 61, and 66, wherein R21 is CH3.
  • 73. The compound of any one of claims 1, 2, 4, 5, 7, 26, 28, 30, 31, and 61, wherein R29 is 2-hydroxy-2-propyl.
  • 74. The compound of any one of claims 1, 2, 4, 5, 7, 26, 28, 30, 31, and 61, wherein R29 is 1-hydroxy-1-cyclopropyl.
  • 75. The compound of any one of claims 1, 2, 4, 5, 7, 26, 28, 30, 31, and 61, wherein R29 is dimethylaminomethyl.
  • 76. The compound of any one of claims 1, 2, 4, 5, 7, 26, 28, 30, 31, and 61, wherein R29 is S(O2)CH3.
  • 77. The compound of any one of claims 1, 2, 4, 5, 7, 26, 28, 30, 31, and 61, wherein R29 is halo.
  • 78. The compound of any one of claims 1, 2, 4, 5, 7, 26, 28, 30, 31, and 61, wherein R29 is CH3.
  • 79. The compound of any one of claims 1, 2, 4, 5, 7, 31, and 33, wherein X36 is CR36.
  • 80. The compound of any one of claims 1, 2, 4, 5, 7, 31, 33, and 79, wherein R36 is halo.
  • 81. The compound of any one of claims 1, 2, 4, 5, 7, 31, 33, and 79, wherein R36 is CH3.
  • 82. The compound of any one of claims 1, 2, 4, 5, 7, and 61, wherein R34 is halo.
  • 83. The compound of any one of claims 1, 2, 4, 5, 7, and 61, wherein R34 is CH3.
  • 84. The compound of any one of claims 1-83, wherein Y is CR2, X4 is CR4, and Z is CR8.
  • 85. The compound of claim 84, wherein R2 is C1-C6 alkyl (e.g., isopropyl), halo (e.g., chloro), or C3-C7 cycloalkyl (e.g., cyclopropyl); R3 is hydrogen, halo (e.g., fluoro), or C1-C6 alkyl (e.g., isopropyl or methyl); R8 is hydrogen, halo (e.g., chloro or fluoro), CN, or C1-C6 haloalkyl (e.g., difluoromethyl); R5 is hydrogen or halo (e.g., fluoro); and R4 is halo (e.g., chloro), C1-C6 alkyl optionally substituted with hydroxy (e.g., isopropyl), or C3-C7 cycloalkyl (e.g., cyclopropyl); or R2 and R3 taken together with the carbons connecting them form a five-membered ring A,or R4 and R5 taken together with the carbons connecting them form a five-membered ring B,or R2 and R3 taken together with the carbons connecting them form a five-membered ring A and R4 and R5 taken together with the carbons connecting them form a five-membered ring B,wherein ring A is
  • 86. The compound of any one of claims 1-33 and 35-83, wherein Y is CR2, X4 is CR4, and Z is N.
  • 87. The compound of claim 86, wherein R2 is C1-C6 alkyl (e.g., isopropyl) or halo (e.g., chloro); R3 is hydrogen or C1-C6 alkyl (e.g., isopropyl); R5 is hydrogen or halo (e.g., fluoro); R4 is C1-C6 alkyl (e.g., isopropyl); or R2 and R3 taken together with the carbons connecting them form a five-membered ring A,or R4 and R5 taken together with the carbons connecting them form a five-membered ring B,or R2 and R3 taken together with the carbons connecting them form a five-membered ring A and R4 and R5 taken together with the carbons connecting them form a five-membered ring B,wherein ring A is
  • 88. The compound of any one of the preceding claims, wherein each R20 is hydrogen.
  • 89. The compound of any one of claims 1-2, 3, 5, and 6, wherein Ar is a heteroaryl group
  • 90. The compound of any one of claims 1-2, 3, 5, 6, and 8-11, wherein the compound of formula I is a compound of formula Ia
  • 91. The compound of claim 90, wherein X10 is N; and X2 is O.
  • 92. The compound of claim 90, wherein X10 is N; and X2 is S.
  • 93. The compound of claim 90, wherein X10 is CR10; and X2 is O.
  • 94. The compound of claim 90, wherein X10 is CR10; and X2 is S.
  • 95. The compound of any one of claims 1, 2, 3, 5, 6, and 8-11, wherein the compound of formula I is a compound of formula Ib:
  • 96. The compound of claim 95, wherein X1 is O; and X2 is N.
  • 97. The compound of claim 95, wherein X1 is S; and X2 is N.
  • 98. The compound of claim 95, wherein X1 is O; and X2 is CR42.
  • 99. The compound of claim 95, wherein X1 is S; and X2 is CR42.
  • 100. The compound of any one of claims 90-99, wherein R1 is 2-hydroxy-2-propyl.
  • 101. The compound of any one of claims 90 and 93-99, wherein R10 is 2-hydroxy-2-propyl.
  • 102. The compound of any one of claims 90-99, wherein R1 is 1-hydroxy-1-cyclopropyl.
  • 103. The compound of any one of claims 90 and 93-99, wherein R10 is 1-hydroxy-1-cyclopropyl.
  • 104. The compound of any one of claims 90-95, wherein R41 is 2-hydroxy-2-propyl.
  • 105. The compound of any one of claims 90, 95 and 98-99, wherein R42 is 2-hydroxy-2-propyl.
  • 106. The compound of any one of claims 90-95, wherein R41 is 1-hydroxy-1-cyclopropyl.
  • 107. The compound of any one of claims 90, 95 and 98-99, wherein R42 is 1-hydroxy-1-cyclopropyl.
  • 108. The compound of any one of claims 90-99, wherein R1 is dimethylaminomethyl.
  • 109. The compound of any one of claims 90-99, wherein R1 is S(O2)CH3.
  • 110. The compound of any one of claims 90 and 93-99, wherein R10 is dimethylaminomethyl.
  • 111. The compound of any one of claims 90 and 93-99, wherein R10 is S(O2)CH3.
  • 112. The compound of any one of claims 90-95, wherein R41 is dimethylaminomethyl.
  • 113. The compound of any one of claims 90-95, wherein R41 is S(O2)CH3.
  • 114. The compound of any one of claims 90, 95 and 98-99, wherein R42 is dimethylaminomethyl.
  • 115. The compound of any one of claims 90, 95 and 98-99, wherein R42 is S(O2)CH3.
  • 116. The compound of any one of claims 1, 2, 4, 5, and 7, wherein Ar is an aryl or heteroaryl group
  • 117. The compound of claim 116, wherein R35 is 2-hydroxy-2-propyl.
  • 118. The compound of claim 116, wherein R35 is 1-hydroxy-1-cyclopropyl.
  • 119. The compound of claim 116, wherein R35 is dimethylaminomethyl.
  • 120. The compound of claim 116, wherein R35 is S(O2)CH3.
  • 121. The compound of claim 116, wherein R35 is methyl.
  • 122. The compound of claim 116, wherein R35 halo.
  • 123. The compound of claim 116, wherein R21 is 2-hydroxy-2-propyl.
  • 124. The compound of claim 116, wherein R21 is 1-hydroxy-1-cyclopropyl.
  • 125. The compound of claim 116, wherein R21 is dimethylaminomethyl.
  • 126. The compound of claim 116, wherein R21 is S(O2)CH3.
  • 127. The compound of claim 116, wherein R21 is methyl.
  • 128. The compound of claim 116, wherein R21 halo.
  • 129. The compound of claim 116, wherein R29 is 2-hydroxy-2-propyl.
  • 130. The compound of claim 116, wherein R29 is 1-hydroxy-1-cyclopropyl.
  • 131. The compound of claim 116, wherein R29 is dimethylaminomethyl.
  • 132. The compound of claim 116, wherein R29 is S(O2)CH3.
  • 133. The compound of claim 116, wherein R29 is methyl.
  • 134. The compound of claim 116, wherein R29 halo.
  • 135. The compound of claim 116, wherein R36 is methyl.
  • 136. The compound of claim 116, wherein R36 halo.
  • 137. The compound of claim 116, wherein R34 is methyl.
  • 138. The compound of claim 116, wherein R34 halo.
  • 139. The compound of claim 1-3, 5, 6, 8, and 10, wherein the ring
  • 140. The compound of any one of claims 1-3, 5-6, 8, and 10, wherein the ring
  • 141. The compound of any one of claims 1-33 and 43-140, wherein the ring
  • 142. The compound any one of claims 1-33 and 43-140, wherein the ring
  • 143. A compound selected from the group consisting of the compounds in Table 1A and pharmaceutically acceptable salts thereof.
  • 144. A compound selected from the group consisting of the compounds below:
  • 145. A compound selected from the group consisting of the compounds in Table 1C, and pharmaceutically acceptable salts thereof.
  • 146. A pharmaceutical composition comprising a compound or salt as claimed in any one of claims 1-145 and one or more pharmaceutically acceptable excipients.
  • 147. A method for modulating NRLP3 activity, the method comprising contacting NRLP3 with an effective amount of a compound as claimed in any one of claims 1-145 or a pharmaceutical composition as claimed in claim 146.
  • 148. The method of claim 147, wherein the modulating comprises antagonizing NRLP3.
  • 149. The method of any one of claims 147-148, which is carried out in vitro.
  • 150. The method of claim any one of claims 147-149, wherein the method comprises contacting a sample comprising one or more cells comprising NRLP3 with the compound.
  • 151. The method of any one of claims 147, 148 and 150, which is carried out in vivo.
  • 152. The method of claim 151, wherein the method comprises administering the compound to a subject having a disease in which NRLP3 signaling contributes to the pathology and/or symptoms and/or progression of the disease.
  • 153. The method of claim 152, wherein the subject is a human.
  • 154. A method of treating a disease, disorder or condition that is a metabolic disorder, comprising administering to a subject in need of such treatment an effective amount of a compound as claimed in any one of claims 1-145 or a pharmaceutical composition as claimed in claim 146.
  • 155. The method of claim 154, wherein the metabolic disorder is Type 2 diabetes, atherosclerosis, obesity or gout.
  • 156. A method of treating a disease, disorder or condition that is a disease of the central nervous system, comprising administering to a subject in need of such treatment an effective amount of a compound as claimed in any one of claims 1-145 or a pharmaceutical composition as claimed in claim 146.
  • 157. The method of claim 156, wherein the disease of the central nervous system is Alzheimer's disease, multiple sclerosis, Amyotrophic Lateral Sclerosis or Parkinson's disease.
  • 158. A method of treating a disease, disorder or condition that is lung disease, comprising administering to a subject in need of such treatment an effective amount of a compound as claimed in any one of claims 1-145 or a pharmaceutical composition as claimed in claim 146.
  • 159. The method of claim 158, wherein the lung disease is asthma, COPD or pulmonary idiopathic fibrosis.
  • 160. A method of treating a disease, disorder or condition that is liver disease, comprising administering to a subject in need of such treatment an effective amount of a compound as claimed in any one of claims 1-145 or a pharmaceutical composition as claimed in claim 146.
  • 161. The method of claim 160, wherein the liver disease is NASH syndrome, viral hepatitis or cirrhosis.
  • 162. A method of treating a disease, disorder or condition that is pancreatic disease, comprising administering to a subject in need of such treatment an effective amount of a compound as claimed in any one of claims 1-145 or a pharmaceutical composition as claimed in claim 146.
  • 163. The method of claim 162, wherein the pancreatic disease is acute pancreatitis or chronic pancreatitis.
  • 164. A method of treating a disease, disorder or condition that is kidney disease, comprising administering to a subject in need of such treatment an effective amount of a compound as claimed in any one of claims 1-145 or a pharmaceutical composition as claimed in claim 146.
  • 165. The method of claim 164, wherein the kidney disease is acute kidney injury or chronic kidney injury.
  • 166. A method of treating a disease, disorder or condition that is intestinal disease, comprising administering to a subject in need of such treatment an effective amount of a compound as claimed in any one of claims 1-145 or a pharmaceutical composition as claimed in claim 146.
  • 167. The method of claim 166, wherein the intestinal disease is Crohn's disease or Ulcerative Colitis.
  • 168. A method of treating a disease, disorder or condition that is skin disease, comprising administering to a subject in need of such treatment an effective amount of a compound as claimed in any one of claims 1-145 or a pharmaceutical composition as claimed in claim 146.
  • 169. The method of claim 168, wherein the skin disease is psoriasis.
  • 170. A method of treating a disease, disorder or condition that is musculoskeletal disease, comprising administering to a subject in need of such treatment an effective amount of a compound as claimed in any one of claims 1-145 or a pharmaceutical composition as claimed in claim 146.
  • 171. The method of claim 170, wherein the musculoskeletal disease is scleroderma.
  • 172. A method of treating a disease, disorder or condition that is a vessel disorder, comprising administering to a subject in need of such treatment an effective amount of a compound as claimed in any one of claims 1-145 or a pharmaceutical composition as claimed in claim 146.
  • 173. The method of claim 172, wherein the vessel disorder is giant cell arteritis.
  • 174. A method of treating a disease, disorder or condition that is a disorder of the bones, comprising administering to a subject in need of such treatment an effective amount of a compound as claimed in any one of claims 1-145 or a pharmaceutical composition as claimed in claim 146.
  • 175. The method of claim 174, wherein the disorder of the bones is osteoarthritis, osteoporosis or osteopetrosis disorders.
  • 176. A method of treating a disease, disorder or condition that is eye disease, comprising administering to a subject in need of such treatment an effective amount of a compound as claimed in any one of claims 1-145 or a pharmaceutical composition as claimed in claim 146.
  • 177. The method of claim 176, wherein the eye disease is glaucoma or macular degeneration.
  • 178. A method of treating a disease, disorder or condition that is a disease caused by viral infection, comprising administering to a subject in need of such treatment an effective amount of a compound as claimed in any one of claims 1-145 or a pharmaceutical composition as claimed in claim 146.
  • 179. The method of claim 178, wherein the diseases caused by viral infection is HIV or AIDS.
  • 180. A method of treating a disease, disorder or condition that is an autoimmune disease, comprising administering to a subject in need of such treatment an effective amount of a compound as claimed in any one of claims 1-145 or a pharmaceutical composition as claimed in claim 146.
  • 181. The method of claim 180, wherein the autoimmune disease is Rheumatoid Arthritis, Systemic Lupus Erythematosus, Autoimmune Thyroiditis, Addison's disease, or pernicious anemia.
  • 182. The method of claim 180, wherein the disease is cancer or aging.
  • 183. A method of treating a disease, disorder or condition that is a cancer selected from: myelodysplastic syndromes (MDS); non-small cell lung cancer, such as non-small cell lung cancer in patients carrying mutation or overexpression of NLRP3; acute lymphoblastic leukemia (ALL), such as ALL in patients resistant to glucocorticoids treatment; Langerhan's cell histiocytosis (LCH); multiple myeloma; promyelocytic leukemia; acute myeloid leukemia (AMIL) chronic myeloid leukemia (CML); gastric cancer; and lung cancer metastasis, comprising administering to a subject in need of such treatment an effective amount of a compound as claimed in any one of claims 1-145 or a pharmaceutical composition as claimed in claim 146.
  • 184. A method of treating a disease, disorder or condition that is a cancer selected from: myelodysplastic syndromes (MDS); non-small cell lung cancer, such as non-small cell lung cancer in patients carrying mutation or overexpression of NLRP3; acute lymphoblastic leukemia (ALL), such as ALL in patients resistant to glucocorticoids treatment; Langerhan's cell histiocytosis (LCH); multiple myeloma; promyelocytic leukemia; gastric cancer; and lung cancer metastasis, comprising administering to a subject in need of such treatment an effective amount of a compound as claimed in any one of claims 1-145 or a pharmaceutical composition as claimed in claim 146.
  • 185. The method of any one of claims 183-184, wherein the cancer is MDS.
  • 186. The method of any one of claims 183-184, wherein the cancer is non-small lung cancer.
  • 187. The method of any one of claims 183-184, wherein the cancer is acute lymphoblastic leukemia.
  • 188. The method of any one of claims 183-184, wherein the cancer is LCH.
  • 189. The method of any one of claims 183-184, wherein the cancer is multiple myeloma.
  • 190. The method of any one of claims 183-184, wherein the cancer is promyelocytic leukemia.
  • 191. The method of claim 183, wherein the cancer is acute myeloid leukemia (AMIL).
  • 192. The method of claim 183, wherein the cancer is chronic myeloid leukemia (CML).
  • 193. The method of any one of claims 183-184, wherein the cancer is gastric cancer.
  • 194. The method of any one of claims 183-184, wherein the cancer is lung cancer metastasis.
  • 195. The method of any one of claims 147-194, further comprising administering a therapeutically effective amount of an anti-TNFα agent to the subject.
  • 196. The method of claim 195, wherein the NLRP3 antagonist is administered to the subject prior to administration of the anti-TNFα agent to the subject.
  • 197. The method of claim 195, wherein the anti-TNFα agent is administered to the subject prior to the administration of the NLRP3 antagonist to the subject.
  • 198. The method of claim 195, wherein the NLRP3 antagonist and the anti-TNFα agent are administered to the subject at substantially the same time.
  • 199. The method of claim 195, wherein the NLRP3 antagonist and the anti-TNFα agent are formulated together in a single dosage form.
  • 200. The compound of claim 1, wherein: Ar is a heteroaryl group
  • 201. The compound of claim 200, wherein:
  • 202. The compound of claim 201, wherein: the at least two of R41, R10, R1, and R42 present on adjacent atoms and taken together with the atoms connecting them, form a monocyclic 5- to 12-membered heterocyclic ring containing 1-3 heteroatoms selected from 0 and N, optionally substituted with one or more substituents each independently selected from hydroxy, halo, oxo, C1-C6 alkyl, C2-C6 alkenyl, C2-C6 alkynyl, C1-C6 alkoxy, OC3-C10 cycloalkyl, NR11R12, ═NR13, CN, COOC1-C6 alkyl, OS(O2)C6-C10 aryl, S(O2)C6-C10 aryl, C6-C10 aryl, 5- to 10-membered heteroaryl, C3-C10 cycloalkyl, 3- to 10-membered heterocycloalkyl, and CONR11R12, wherein the C1-C6 alkyl, C1-C6 alkoxy, S(O2)C6-C10 aryl, C6-C10 aryl, 5- to 10-membered heteroaryl, C3-C10 cycloalkyl, and 3- to 10-membered heterocycloalkyl are optionally substituted with one or more substituents each independently selected from hydroxy, halo, C1-C6 alkyl, C2-C6 alkenyl, C2-C6 alkynyl, C3-C10 cycloalkyl, C1-C6 alkoxy, oxo, NR11R12, ═NR13 COOC1-C6 alkyl, C6-C10 aryl, and CONR11R1.
  • 203. The compound of any one of claims 200 to 202, wherein Ar is selected from
  • 204. The compound of any one of claims 200 to 203, wherein
  • 205. The compound of claim 204, wherein R8 is CN.
PCT Information
Filing Document Filing Date Country Kind
PCT/US2019/057676 10/23/2019 WO
Provisional Applications (6)
Number Date Country
62749713 Oct 2018 US
62749725 Oct 2018 US
62749730 Oct 2018 US
62822405 Mar 2019 US
62822418 Mar 2019 US
62822465 Mar 2019 US