MTORC1 MODULATORS AND USES THEREOF

Information

  • Patent Application
  • 20230331737
  • Publication Number
    20230331737
  • Date Filed
    January 20, 2023
    2 years ago
  • Date Published
    October 19, 2023
    a year ago
Abstract
The disclosure provides compounds and salts that show high selectivity and inhibitory activity for mTORC1 and uses thereof for the treatment of disease.
Description
BACKGROUND OF THEE INVENTION

The therapeutic potential of rapamycin has been established in many chronic diseases, from Alzheimer's and Parkinson's disease to diabetes and cardiovascular disease. However, the prohibitive safety profile of rapamycin for chronic treatment has limited its use for the treatment of various diseases. Rapamycin, an FDA approved compound, inhibits mTOR signaling, leading to extension of lifespan in a number of species, yet it can induce adverse effects, such as peripheral edema, hypercholesterolemia, muscosal ulcerations, abdominal pain, headache, nausea, diarrhea, pain, constipation, hypertriglyceridemia, hypertension, increased creatinine, fever, urinary tract infection, anemia, arthralgia, and thrombocytopenia. Given the complications associated with rapamycin, therapeutic alternatives are needed.


SUMMARY OF THE INVENTION

In an aspect, the present disclosure provides a compound represented by the Formula




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or a salt of either one thereof, wherein:

    • R1 is selected from




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    •  and —OCH3;

    • R2 is selected from hydrogen, hydroxy, and an optionally substituted C1-C6 alkoxy group, wherein substituents on the C1-C6 alkoxy group are independently selected at each occurrence from hydroxy, halogen, cyano, nitro, C2-C6 alkoxy group, optionally substituted carbocycle and optionally substituted heterocycle, wherein substituents on the carbocycle or heterocycle are independently selected from hydroxy, halogen, cyano, nitro, C1-C6 alkyl, haloalkyl, hydroxy C1-C6 alkyl, alkoxy, and alkoxy C1-C6 alkyl;

    • R3 is selected from hydrogen, hydroxy, and optionally substituted C1-C6 alkoxy group, wherein the substituents on the C1-C6 alkoxy group are independently selected at each occurrence from hydroxy, halogen, cyano, nitro, C2-C6 alkoxy group, optionally substituted carbocycle and optionally substituted heterocycle, wherein substituents on the carbocycle or heterocycle are independently selected from hydroxy, halogen, cyano, nitro, C1-C6 alkyl, haloalkyl, hydroxy C1-C6 alkyl, alkoxy, and alkoxy C1-C6 alkyl;

    • R4 is selected from







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    •  and —O—CH(CH3)2;

    • T is an optionally substituted 3-6-membered heterocycloalkyl wherein substituents are independently selected from hydroxy, halogen, cyano, nitro, C1-C6 alkyl, haloalkyl, hydroxy C1-C6 alkyl, alkoxy, and alkoxy C1-C6 alkyl;

    • Q1 and Q3 are independently selected from —O—, —OC(═O)NR41—, —S—, and —NR40—;

    • Q2 is selected from optionally substituted C3-6 carbocycle, optionally substituted 3-8-membered heterocycle, —OR34, —(O—CH2—(CH2)p)n—W, and —N(R39)2, wherein substituents on C3-6 carbocycle and 3-8-membered heterocycle are independently selected from hydroxy, halogen, cyano, nitro, C1-C6 alkyl, haloalkyl, hydroxy C1-C6 alkyl, alkoxy, and alkoxy C1-C6 alkyl;

    • Q4 is selected from optionally substituted C3-6 carbocycle, optionally substituted 3-8-membered heterocycle, and —OR42, wherein substituents on C3-6 carbocycle and 3-8-membered heterocycle are independently selected from hydroxy, halogen, cyano, nitro, C1-C6 alkyl, haloalkyl, hydroxy C1-C6 alkyl, alkoxy, and alkoxy C1-C6 alkyl;

    • R30, R31, R35, and R36 are independently selected from hydrogen, hydroxy, halogen, cyano, nitro, C1-C6 alkyl, haloalkyl, hydroxy C1-C6 alkyl, alkoxy, and alkoxy C1-C6 alkyl;

    • each R32, R33, R37, and R38 are independently selected from hydrogen, hydroxy, halogen, cyano, nitro, C1-C6 alkyl, haloalkyl, hydroxy C1-C6 alkyl, alkoxy, and alkoxy C1-C6 alkyl;

    • each R34 is selected from hydrogen, optionally substituted C1-C6 alkyl, optionally substituted carbocycle, and optionally substituted heterocycle, wherein the substituents on C1-C6 alkyl, carbocycle, and heterocycle are independently selected at each occurrence from hydroxy, halogen, cyano, nitro, C1-C6 alkoxy, carbocycle and heterocycle;

    • each R39 is selected from hydrogen, C1-C6 alkyl, haloalkyl, and alkoxy C1-C6 alkyl;

    • each R40 is selected from hydrogen and an optionally substituted C1-C6 alkyl group, wherein the substituents are independently selected at each occurrence from hydroxy, halogen, cyano, nitro, C2-C6 alkoxy group, carbocycle and heterocycle; and

    • each R41 is selected from hydrogen and an optionally substituted C1-C6 alkyl group, wherein the substituents are independently selected at each occurrence from hydroxy, halogen, cyano, nitro, C2-C6 alkoxy group, carbocycle and heterocycle;

    • each R42 is selected from hydrogen, optionally substituted C1-C6 alkyl, optionally substituted carbocycle, and optionally substituted heterocycle, wherein the substituents on C1-C6 alkyl, carbocycle, and heterocycle are independently selected at each occurrence from hydroxy, halogen, cyano, nitro, C1-C6 alkoxy, carbocycle and heterocycle;

    • each p is selected from 1 or 2;

    • n is selected from 2-4; and

    • W is selected from —OH and —OCH3.





In certain aspects, the disclosure provides a compound represented by Formula (III-A) or (III-C):




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or a salt thereof, wherein:

    • R1′ is selected from —OH,




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    •  and —OCH3;

    • R4 is selected from







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    •  —O—(CH2)0-1T and —O—CH(CH3)2;

    • T is an optionally substituted 3-6-membered heterocycloalkyl wherein substituents are independently selected from hydroxy, halogen, cyano, nitro, C1-C6 alkyl, haloalkyl, hydroxy C1-C6 alkyl, alkoxy, and alkoxy C1-C6 alkyl;

    • Q1 and Q3 are independently selected from —O—, —OC(═O)NR41—, —S—, and —NR40—;

    • Q2 is selected from optionally substituted C3-6 carbocycle, optionally substituted 3-8-membered heterocycle, —OR34, —(O—CH2—(CH2)p)n—W, and —N(R3)2, wherein substituents on C3-6 carbocycle and 3-8-membered heterocycle are independently selected from hydroxy, halogen, cyano, nitro, C1-C6 alkyl, haloalkyl, hydroxy C1-C6 alkyl, alkoxy, and alkoxy C1-C6 alkyl;

    • Q4 is selected from optionally substituted C3-6 carbocycle, optionally substituted 3-8-membered heterocycle, and —OR42, wherein substituents on C3-6 carbocycle and 3-8-membered heterocycle are independently selected from hydroxy, halogen, cyano, nitro, C1-C6 alkyl, haloalkyl, hydroxy C1-C6 alkyl, alkoxy, and alkoxy C1-C6 alkyl;

    • R30, R31, R35, and R36 are independently selected from hydrogen, hydroxy, halogen, cyano, nitro, C1-C6 alkyl, haloalkyl, hydroxy C1-C6 alkyl, alkoxy, and alkoxy C1-C6 alkyl;

    • each R32, R33, R37, and R38 are independently selected from hydrogen, hydroxy, halogen, cyano, nitro, C1-C6 alkyl, haloalkyl, hydroxy C1-C6 alkyl, alkoxy, and alkoxy C1-C6 alkyl;

    • each R34 is selected from hydrogen, optionally substituted C1-C6 alkyl, optionally substituted carbocycle, and optionally substituted heterocycle, wherein the substituents on C1-C6 alkyl, carbocycle, and heterocycle are independently selected at each occurrence from hydroxy, halogen, cyano, nitro, C1-C6 alkoxy, carbocycle and heterocycle;

    • each R39 is selected from hydrogen, C1-C6 alkyl, haloalkyl, and alkoxy C1-C6 alkyl;

    • each R40 is selected from hydrogen and an optionally substituted C1-C6 alkyl group, wherein the substituents are independently selected at each occurrence from hydroxy, halogen, cyano, nitro, C2-C6 alkoxy group, carbocycle and heterocycle; and

    • each R41 is selected from hydrogen and an optionally substituted C1-C6 alkyl group, wherein the substituents are independently selected at each occurrence from hydroxy, halogen, cyano, nitro, C2-C6 alkoxy group, carbocycle and heterocycle;

    • each R42 is selected from hydrogen, optionally substituted C1-C6 alkyl, optionally substituted carbocycle, and optionally substituted heterocycle, wherein the substituents on C1-C6 alkyl, carbocycle, and heterocycle are independently selected at each occurrence from hydroxy, halogen, cyano, nitro, C1-C6 alkoxy, carbocycle and heterocycle;

    • each p is selected from 1 or 2;

    • n is selected from 2-4; and

    • W is selected from —OH and —OCH3.





In certain aspects, the present disclosure provides a compound of Formula (IB), (IC), (ID), (IE), (IIB), (IIC), (III-A), (III-B), (III-C), (III-D), (III-E), (III-F), (III-G), or (III-H) or a salt of any one thereof.


In certain aspects, the present disclosure provides a pharmaceutical formulation comprising a compound of Formula (IA), (IB), (IC), (ID), (IE), (IIA), (IIB), (IIC), (III-A), (III-B), (III-C), (III-D), (III-E), (III-F), (III-G), or (III-H) or a salt of any one thereof and a pharmaceutically acceptable excipient.


In certain aspects, the present disclosure provides methods for treating an mTORopathy using a pharmaceutical formulation of a compound of Formula (IA), (IB), (IC), (ID), (IE), (IIA), (IIB), (IIC), (III-A), (III-B), (III-C), (III-D), (III-E), (III-F), (III-G), or (III-H).


INCORPORATION BY REFERENCE

All publications, patents, and patent applications mentioned in this specification are herein incorporated by reference to the same extent as if each individual publication, patent, or patent application was specifically and individually indicated to be incorporated by reference. To the extent publications and patents or patent applications incorporated by reference contradict the disclosure contained in the specification, the specification is intended to supersede and/or take precedence over any such contradictory material.







DETAILED DESCRIPTION OF THE INVENTION

While preferred embodiments of the present invention have been shown and described herein, it will be obvious to those skilled in the art that such embodiments are provided by way of example only. Numerous variations, changes, and substitutions will now occur to those skilled in the art without departing from the invention. It should be understood that various alternatives to the embodiments of the invention described herein may be employed in practicing the invention. It is intended that the following claims define the scope of the invention and that methods and structures within the scope of these claims and their equivalents be covered thereby.


Definitions

Unless defined otherwise, all technical and scientific terms used herein have the same meaning as is commonly understood by one of skill in the art to which this invention belongs. All patents and publications referred to herein are incorporated by reference.


As used in the specification and claims, the singular form “a”, “an” and “the” includes plural references unless the context clearly dictates otherwise.


A pharmaceutically acceptable salt also refers to any salt which may form in vivo as a result of administration of an acid, another salt, or a prodrug which is converted into an acid or salt. A salt comprises one or more ionic forms of the compound, such as a conjugate acid or base, associated with one or more corresponding counterions. Salts can form from or incorporate one or more deprotonated acidic groups (e.g. carboxylic acids), one or more protonated basic groups (e.g. amines), or both (e.g. zwitterions).


The term “Cx-y” when used in conjunction with a chemical moiety, such as alkyl, alkenyl, or alkynyl is meant to include groups that contain from x to y carbons in the chain. For example, the term “C1-6alkyl” refers to saturated hydrocarbon groups, including straight-chain alkyl and branched-chain alkyl groups that contain from 1 to 6 carbons. The term —Cx-yalkylene-refers to a substituted or unsubstituted alkylene chain with from x to y carbons in the alkylene chain. For example —C1-6alkylene- may be selected from methylene, ethylene, propylene, butylene, pentylene, and hexylene, any one of which is optionally substituted.


The terms “Cx-yalkenyl” and “Cx-yalkynyl” refer to unsaturated aliphatic groups analogous in length and possible substitution to the alkyls described above, but that contain at least one double or triple bond, respectively. The term —Cx-yalkenylene- refers to a substituted or unsubstituted alkenylene chain with from x to y carbons in the alkenylene chain. For example, —C2-6alkenylene- may be selected from ethenylene, propenylene, butenylene, pentenylene, and hexenylene, any one of which is optionally substituted. An alkenylene chain may have one double bond or more than one double bond in the alkenylene chain. The term —Cx-yalkynylene-refers to a substituted or unsubstituted alkynylene chain with from x to y carbons in the alkynylene chain. For example, —C2-6alkynylene- may be selected from ethynylene, propynylene, butynylene, pentynylene, and hexynylene, any one of which is optionally substituted. An alkynylene chain may have one triple bond or more than one triple bond in the alkynylene chain.


“Alkylene” refers to a straight divalent hydrocarbon chain linking the rest of the molecule to a radical group, consisting solely of carbon and hydrogen, containing no unsaturation, and preferably having from one to twelve carbon atoms, for example, methylene, ethylene, propylene, butylene, and the like. The alkylene chain is attached to the rest of the molecule through a single bond and to the radical group through a single bond. The points of attachment of the alkylene chain to the rest of the molecule and to the radical group are through the terminal carbons respectively. Alkylene chain may be optionally substituted by one or more substituents such as those substituents described herein.


“Alkenylene” refers to a straight divalent hydrocarbon chain linking the rest of the molecule to a radical group, consisting solely of carbon and hydrogen, containing at least one carbon-carbon double bond, and preferably having from two to twelve carbon atoms. The alkenylene chain is attached to the rest of the molecule through a single bond and to the radical group through a single bond. The points of attachment of the alkenylene chain to the rest of the molecule and to the radical group are through the terminal carbons respectively. Alkenylene chain may be optionally substituted by one or more substituents such as those substituents described herein.


“Alkynylene” refers to a straight divalent hydrocarbon chain linking the rest of the molecule to a radical group, consisting solely of carbon and hydrogen, containing at least one carbon-carbon triple bond, and preferably having from two to twelve carbon atoms. The alkynylene chain is attached to the rest of the molecule through a single bond and to the radical group through a single bond. The points of attachment of the alkynylene chain to the rest of the molecule and to the radical group are through the terminal carbons respectively. Alkynylene chain may be optionally substituted by one or more substituents such as those substituents described herein.


The term “carbocycle” as used herein refers to a saturated, unsaturated or aromatic ring in which each atom of the ring is carbon. Carbocycle may include 3- to 10-membered monocyclic rings, 6- to 12-membered bicyclic rings, and 6- to 12-membered bridged rings. Each ring of a bicyclic carbocycle may be selected from saturated, unsaturated, and aromatic rings. In some embodiments, the carbocycle is an aryl. In some embodiments, the carbocycle is a cycloalkyl. In some embodiments, the carbocycle is a cycloalkenyl. In an exemplary embodiment, an aromatic ring, e.g., phenyl, may be fused to a saturated or unsaturated ring, e.g., cyclohexane, cyclopentane, or cyclohexene. Any combination of saturated, unsaturated and aromatic bicyclic rings, as valence permits, are included in the definition of carbocyclic. Exemplary carbocycles include cyclopentyl, cyclohexyl, cyclohexenyl, adamantyl, phenyl, indanyl, and naphthyl. Carbocycle may be optionally substituted by one or more substituents such as those substituents described herein. Bicyclic carbocycles may be fused, bridged or spiro-ring systems.


The term “heterocycle” as used herein refers to a saturated, unsaturated or aromatic ring comprising one or more heteroatoms. Exemplary heteroatoms include N, O, Si, P, B, and S atoms. Heterocycles include 3- to 10-membered monocyclic rings, 6- to 12-membered bicyclic rings, and 6- to 12-membered bridged rings. Each ring of a bicyclic heterocycle may be selected from saturated, unsaturated, and aromatic rings. The heterocycle may be attached to the rest of the molecule through any atom of the heterocycle, valence permitting, such as a carbon or nitrogen atom of the heterocycle. In some embodiments, the heterocycle is a heteroaryl. In some embodiments, the heterocycle is a heterocycloalkyl. In an exemplary embodiment, a heterocycle, e.g., pyridyl, may be fused to a saturated or unsaturated ring, e.g., cyclohexane, cyclopentane, or cyclohexene. Exemplary heterocycles include pyrrolidinyl, pyrrolyl, imidazolyl, pyrazolyl, triazolyl, piperidinyl, pyridinyl, pyrimidinyl, pyridazinyl, pyrazinyl, thiophenyl, oxazolyl, thiazolyl, morpholinyl, indazolyl, indolyl, and quinolinyl. Heterocycle may be optionally substituted by one or more substituents such as those substituents described herein. Bicyclic heterocycles may be fused, bridged or spiro-ring systems.


The term “heteroaryl” includes aromatic single ring structures, preferably 5- to 7-membered rings, more preferably 5- to 6-membered rings, whose ring structures include at least one heteroatom, preferably one to four heteroatoms, more preferably one or two heteroatoms. The term “heteroaryl” also includes polycyclic ring systems having two or more rings in which two or more atoms are common to two adjoining rings wherein at least one of the rings is heteroaromatic, e.g., the other rings can be aromatic or non-aromatic carbocyclic, or heterocyclic. Heteroaryl groups include, for example, pyrrole, furan, thiophene, imidazole, oxazole, thiazole, pyrazole, pyridine, pyrazine, pyridazine, and pyrimidine, and the like.


The term “substituted” refers to moieties having substituents replacing a hydrogen on one or more carbons or substitutable heteroatoms, e.g., an NH or NH2 of a compound. It will be understood that “substitution” or “substituted with” includes the implicit proviso that such substitution is in accordance with permitted valence of the substituted atom and the substituent, and that the substitution results in a stable compound, i.e., a compound which does not spontaneously undergo transformation such as by rearrangement, cyclization, elimination, etc. In certain embodiments, substituted refers to moieties having substituents replacing two hydrogen atoms on the same carbon atom, such as substituting the two hydrogen atoms on a single carbon with an oxo, imino or thioxo group. As used herein, the term “substituted” is contemplated to include all permissible substituents of organic compounds. In a broad aspect, the permissible substituents include acyclic and cyclic, branched and unbranched, carbocyclic and heterocyclic, aromatic and non-aromatic substituents of organic compounds. The permissible substituents can be one or more and the same or different for appropriate organic compounds.


In some embodiments, substituents may include any substituents described herein, for example: halogen, hydroxy, oxo (═O), thioxo (═S), cyano (—CN), nitro (—NO2), imino (═N—H), oximo (═N—OH), hydrazino (═N—


NH2), —Rb—ORa, —Rb—OC(O)—Ra, —Rb—OC(O)—ORa, —Rb—OC(O)—N(Ra)2, —Rb—NRa)2, —Rb—C(O)Ra, —Rb—C(O)ORa, —Rb—C(O)N(Ra)2, Rb—O—Rc—C(O)N)2, Rb—NRa)C(O)ORa, —Rb—N(Ra)C(O)Ra, —Rb—N(Ra)S(O)tRa (where t is 1 or 2), —Rb—S(O)tRa (where t is 1 or 2), —Rb—S(O)tORa (where t is 1 or 2), and —Rb—S(O)tN(Ra)2 (where t is 1 or 2); and alkyl, alkenyl, alkynyl, aryl, aralkyl, aralkenyl, aralkynyl, cycloalkyl, cycloalkylalkyl, heterocycloalkyl, heterocycloalkylalkyl, heteroaryl, and heteroarylalkyl any of which may be optionally substituted by alkyl, alkenyl, alkynyl, halogen, haloalkyl, haloalkenyl, haloalkynyl, oxo (═O), thioxo (═S), cyano (—CN), nitro (—NO2), imino (═N—H), oximo (═N—OH), hydrazine (═N—


NH2), —Rb—ORa, —Rb—OC(O)—Ra, —Rb—OC(O)—ORa, —Rb—OC(O)—N(Ra)2, —Rb—N(Ra)2, —Rb—C(O)Ra, —Rb—C(O)ORa, —Rb—C(O)N(Ra)2, —Rb—O—Rc—C(O)N(Ra)2, —Rb—N(Ra)C(O)ORa, —Rb—N(Ra)C(O)Ra, —Rb—N(Ra)S(O)tRa (where t is 1 or 2), —Rb—S(O)tRa (where t is 1 or 2), —Rb—S(O)tORa (where t is 1 or 2) and —Rb—S(O)tN(Ra)2 (where t is 1 or 2); wherein each Ra is independently selected from hydrogen, alkyl, cycloalkyl, cycloalkylalkyl, aryl, aralkyl, heterocycloalkyl, heterocycloalkylalkyl, heteroaryl, or heteroarylalkyl, wherein each Ra, valence permitting, may be optionally substituted with alkyl, alkenyl, alkynyl, halogen, haloalkyl, haloalkenyl, haloalkynyl, oxo (═O), thioxo (═S), cyano (—CN), nitro (—NO2), imino (═N—H), oximo (═N—OH), hydrazine (═N—


NH2), —Rb—OR, —Rb—OC(O)—Ra, —Rb—OC(O)—OR, —Rb—OC(O)—N(Ra)2, —Rb—N(Ra)2, —Rb—C(O)Ra, —Rb—C(O)ORa, —Rb—C(O)N(Ra)2, —Rb—O—Rc—C(O)N(Ra)2, —Rb—N(Ra)C(O)ORa, —Rb—N(Ra)C(O)Ra, —Rb—N(Ra)S(O)tRa (where t is 1 or 2), —Rb—S(O)Ra (where t is 1 or 2), —Rb—S(O)tORa (where t is 1 or 2) and —Rb—S(O)LN(Ra)2 (where t is 1 or 2); and wherein each Rb is independently selected from a direct bond or a straight or branched alkylene, alkenylene, or alkynylene chain, and each Rc is a straight or branched alkylene, alkenylene or alkynylene chain. It will be understood by those skilled in the art that substituents can themselves be substituted, if appropriate.


The phrases “parenteral administration” and “administered parenterally” as used herein means modes of administration other than enteral and topical administration, usually by injection, and includes, without limitation, intravenous, intramuscular, intraarterial, intrathecal, intracapsular, intraorbital, intracardiac, intradermal, intraperitoneal, transtracheal, subcutaneous, subcuticular, intraarticular, subcapsular, subarachnoid, intraspinal and intrasternal injection and infusion.


The phrase “pharmaceutically acceptable” is employed herein to refer to those compounds, materials, compositions, and/or dosage forms which are, within the scope of sound medical judgment, suitable for use in contact with the tissues of human beings and animals without excessive toxicity, irritation, allergic response, or other problem or complication, commensurate with a reasonable benefit/risk ratio.


The phrase “pharmaceutically acceptable excipient” or “pharmaceutically acceptable carrier” as used herein means a pharmaceutically acceptable material, composition or vehicle, such as a liquid or solid filler, diluent, excipient, solvent or encapsulating material. Each carrier must be “acceptable” in the sense of being compatible with the other ingredients of the formulation and not injurious to the patient. Some examples of materials which can serve as pharmaceutically acceptable carriers include: (1) sugars, such as lactose, glucose and sucrose; (2) starches, such as corn starch and potato starch; (3) cellulose, and its derivatives, such as sodium carboxymethyl cellulose, ethyl cellulose and cellulose acetate; (4) powdered tragacanth; (5) malt; (6) gelatin; (7) talc; (8) excipients, such as cocoa butter and suppository waxes; (9) oils, such as peanut oil, cottonseed oil, safflower oil, sesame oil, olive oil, corn oil and soybean oil; (10) glycols, such as propylene glycol; (11) polyols, such as glycerin, sorbitol, mannitol and polyethylene glycol; (12) esters, such as ethyl oleate and ethyl laurate; (13) agar; (14) buffering agents, such as magnesium hydroxide and aluminum hydroxide; (15) alginic acid; (16) pyrogen-free water; (17) isotonic saline; (18) Ringer's solution; (19) ethyl alcohol; (20) phosphate buffer solutions; and (21) other non-toxic compatible substances employed in pharmaceutical formulations.


The terms “subject,” “individual,” and “patient” may be used interchangeably and refer to humans, the as well as non-human mammals (e.g., non-human primates, canines, equines, felines, porcines, bovines, ungulates, lagomorphs, and the like). In various embodiments, the subject can be a human (e.g., adult male, adult female, adolescent male, adolescent female, male child, female child) under the care of a physician or other health worker in a hospital, as an outpatient, or other clinical context. In certain embodiments, the subject may not be under the care or prescription of a physician or other health worker.


As used herein, the phrase “a subject in need thereof” refers to a subject, as described infra, that suffers from, or is at risk for, a pathology to be prophylactically or therapeutically treated with a compound or salt described herein.


The terms “administer”, “administered”, “administers” and “administering” are defined as providing a composition to a subject via a route known in the art, including but not limited to intravenous, intraarterial, oral, parenteral, buccal, topical, transdermal, rectal, intramuscular, subcutaneous, intraosseous, transmucosal, or intraperitoneal routes of administration. In certain embodiments, oral routes of administering a composition can be used. The terms ““administer”, “administered”, “administers” and “administering” a compound should be understood to mean providing a compound of the invention or a prodrug of a compound of the invention to the individual in need.


The term “effective amount” or “therapeutically effective amount” refers to that amount of a compound or salt described herein that is sufficient to affect the intended application including but not limited to disease treatment, as defined below. The therapeutically effective amount may vary depending upon the intended application (in vitro or in vivo), or the subject and disease condition being treated, e.g., the weight and age of the subject, the severity of the disease condition, the manner of administration and the like, which can readily be determined by one of ordinary skill in the art. The term can also apply to a dose that can induce a particular response in target cells, e.g., reduction of proliferation or down regulation of activity of a target protein. The specific dose can vary depending on the particular compounds chosen, the dosing regimen to be followed, whether it is administered in combination with other compounds, timing of administration, the tissue to which it is administered, and the physical delivery system in which it is carried.


As used herein, “treatment” or “treating” refers to an approach for obtaining beneficial or desired results with respect to a disease, disorder, or medical condition including, but not limited to, a therapeutic benefit and/or a prophylactic benefit. In certain embodiments, treatment or treating involves administering a compound or composition disclosed herein to a subject. A therapeutic benefit may include the eradication or amelioration of the underlying disorder being treated. Also, a therapeutic benefit may be achieved with the eradication or amelioration of one or more of the physiological symptoms associated with the underlying disorder, such as observing an improvement in the subject, notwithstanding that the subject may still be afflicted with the underlying disorder. In certain embodiments, for prophylactic benefit, the compositions are administered to a subject at risk of developing a particular disease, or to a subject reporting one or more of the physiological symptoms of a disease, even though a diagnosis of this disease may not have been made. Treating can include, for example, reducing, delaying or alleviating the severity of one or more symptoms of the disease or condition, or it can include reducing the frequency with which symptoms of a disease, defect, disorder, or adverse condition, and the like, are experienced by a patient. Treating can be used herein to refer to a method that results in some level of treatment or amelioration of the disease or condition, and can contemplate a range of results directed to that end, including but not restricted to prevention of the condition entirely.


In certain embodiments, the term “prevent” or “preventing” as related to a disease or disorder may refer to a compound that, in a statistical sample, reduces the occurrence of the disorder or condition in the treated sample relative to an untreated control sample, or delays the onset or reduces the severity of one or more symptoms of the disorder or condition relative to the untreated control sample.


A “therapeutic effect,” as that term is used herein, encompasses a therapeutic benefit and/or a prophylactic benefit as described above. A prophylactic effect includes delaying or eliminating the appearance of a disease or condition, delaying or eliminating the onset of symptoms of a disease or condition, slowing, halting, or reversing the progression of a disease or condition, or any combination thereof.


The term “selective inhibition” or “selectively inhibit” as referred to a biologically active agent refers to the agent's ability to preferentially reduce the target signaling activity as compared to off-target signaling activity, via direct or interact interaction with the target.


Introduction

The mechanistic target of rapamycin (mTOR) signaling pathway integrates both intracellular and extracellular signals and serves as a central regulator of cell metabolism, growth, proliferation and survival. In particular, mTOR complex 1 (mTORC1) positively regulates cell growth and proliferation by promoting many anabolic processes, including biosynthesis of proteins, lipids and organelles, and by limiting catabolic processes such as autophagy. Much of the knowledge about mTORC1 function comes from the use of the bacterial macrolide rapamycin.


Rapamycin is believed to inhibit mTORC1 directly and mTORC2 indirectly upon chronic treatment. Recent evidence has revealed that inhibition of mTORC1 is responsible for effects related to lifespan extension, while inhibition of mTORC2 is uncoupled from longevity and is responsible for several of the adverse effects of rapamycin, such as impaired insulin sensitivity, glucose homeostasis, and lipid dysregulation.


Studies of rapamycin and related compounds reveal that these compounds form binary complexes with FKB binding proteins such as FKBP12 and FKBP51. This binary complex can allosterically inhibit the functionality of mTORC1 by binding to the FRB domain of mTOR. FKBP12 and FKBP51 direct binding assays provide a method to assess the relative binding affinity of rapamycin and related compounds to the specified FKBP. While not wishing to be bound by any particular mechanistic theory, it may be preferred that binding of a rapamycin and related compounds to an FKB protein, e.g., FKBP12 or FKBP51, is similar, equivalent or stronger relative to rapamycin binding to said FKB protein.


The ternary complex formation assay provides a method to assess the relative binding affinity of the rapamycin/FKB binary complex to the FRB domain of mTOR. Different binding affinities for mTOR exhibited by rapamycin and related compounds/FKB complexes may result in different pharmacology and safety profiles relative to rapamycin, everolimus, and related compounds.


In certain aspects, the disclosure provides compounds and salts thereof, and methods of use for the treatment of diseases. In certain aspects, the compounds described herein display similar direct binding properties, e.g., similar or improved FKB binding, relative to known compounds, such as rapamycin and everolimus. In certain aspects, the compounds described herein display altered ternary binding affinity, e.g. diminished binding affinity to the FRB domain of mTOR, relative to known compounds, such as rapamycin or everolimus.


In certain embodiments, compounds or salts of the disclosure are evaluated for direct binding to FKBP12 and/or FKBP51. In certain embodiments, compounds or salts of the disclosure are evaluated for ternary complex formation with MTORC1 and FKBP12. In certain embodiments, a compound or salt thereof has potent binding to FKBP12 and/or FKBP51.


Compounds

In some aspects, the present disclosure provides a compound represented by the Formula (IA) or (IIA):




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(IIA); or a salt of either one thereof, wherein:

    • R1 is selected from




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    •  and —OCH3;

    • R2 is selected from hydrogen, hydroxy, and an optionally substituted C1-C6 alkoxy group, wherein substituents on the C1-C6 alkoxy group are independently selected at each occurrence from hydroxy, halogen, cyano, nitro, C2-C6 alkoxy group, optionally substituted carbocycle and optionally substituted heterocycle, wherein substituents on the carbocycle or heterocycle are independently selected from hydroxy, halogen, cyano, nitro, C1-C6 alkyl, haloalkyl, hydroxy C1-C6 alkyl, alkoxy, and alkoxy C1-C6 alkyl;

    • R3 is selected from hydrogen, hydroxy, and optionally substituted C1-C6 alkoxy group, wherein the substituents on the C1-C6 alkoxy group are independently selected at each occurrence from hydroxy, halogen, cyano, nitro, C2-C6 alkoxy group, optionally substituted carbocycle and optionally substituted heterocycle, wherein substituents on the carbocycle or heterocycle are independently selected from hydroxy, halogen, cyano, nitro, C1-C6 alkyl, haloalkyl, hydroxy C1-C6 alkyl, alkoxy, and alkoxy C1-C6 alkyl;

    • R4 is selected from







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    •  —O—(CH2)0-1T and —O—CH(CH3)2;

    • T is an optionally substituted 3-6-membered heterocycloalkyl wherein substituents are independently selected from hydroxy, halogen, cyano, nitro, C1-C6 alkyl, haloalkyl, hydroxy C1-C6 alkyl, alkoxy, and alkoxy C1-C6 alkyl;

    • Q1 and Q3 are independently selected from —O—, —OC(═O)NR41—, —S—, and —NR40—;

    • Q2 is selected from optionally substituted C3-6 carbocycle, optionally substituted 3-8-membered heterocycle, —OR34, —(O—CH2—(CH2)p)n—W, and —N(R39)2, wherein substituents on C3-6 carbocycle and 3-8-membered heterocycle are independently selected from hydroxy, halogen, cyano, nitro, C1-C6 alkyl, haloalkyl, hydroxy C1-C6 alkyl, alkoxy, and alkoxy C1-C6 alkyl;

    • Q4 is selected from optionally substituted C3-6 carbocycle, optionally substituted 3-8-membered heterocycle, and —OR42, wherein substituents on C3-6 carbocycle and 3-8-membered heterocycle are independently selected from hydroxy, halogen, cyano, nitro, C1-C6 alkyl, haloalkyl, hydroxy C1-C6 alkyl, alkoxy, and alkoxy C1-C6 alkyl;

    • R30, R31, R35, and R36 are independently selected from hydrogen, hydroxy, halogen, cyano, nitro, C1-C6 alkyl, haloalkyl, hydroxy C1-C6 alkyl, alkoxy, and alkoxy C1-C6 alkyl;

    • each R32, R33, R37, and R38 are independently selected from hydrogen, hydroxy, halogen, cyano, nitro, C1-C6 alkyl, haloalkyl, hydroxy C1-C6 alkyl, alkoxy, and alkoxy C1-C6 alkyl;

    • each R34 is selected from hydrogen, optionally substituted C1-C6 alkyl, optionally substituted carbocycle, and optionally substituted heterocycle, wherein the substituents on C1-C6 alkyl, carbocycle, and heterocycle are independently selected at each occurrence from hydroxy, halogen, cyano, nitro, C1-C6 alkoxy, carbocycle and heterocycle;

    • each R39 is selected from hydrogen, C1-C6 alkyl, haloalkyl, and alkoxy C1-C6 alkyl;

    • each R40 is selected from hydrogen and an optionally substituted C1-C6 alkyl group, wherein the substituents are independently selected at each occurrence from hydroxy, halogen, cyano, nitro, C2-C6 alkoxy group, carbocycle and heterocycle; and

    • each R41 is selected from hydrogen and an optionally substituted C1-C6 alkyl group, wherein the substituents are independently selected at each occurrence from hydroxy, halogen, cyano, nitro, C2-C6 alkoxy group, carbocycle and heterocycle;

    • each R42 is selected from hydrogen, optionally substituted C1-C6 alkyl, optionally substituted carbocycle, and optionally substituted heterocycle, wherein the substituents on C1-C6 alkyl, carbocycle, and heterocycle are independently selected at each occurrence from hydroxy, halogen, cyano, nitro, C1-C6 alkoxy, carbocycle and heterocycle;

    • each p is selected from 1 or 2;

    • n is selected from 2-4; and

    • W is selected from —OH and —OCH3.





In some embodiments, the compound or salt of Formula (IA) is represented by the structure of Formula (IB), (IC), (ID), or (IE), or a salt any one of thereof. In some embodiments, the structure of Formula (IB) is represented by




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or a salt thereof. In some embodiments, the structure of Formula (IC) is represented by




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or a salt thereof. In some embodiments, the structure of Formula (ID) is represented by




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or a salt thereof. In some embodiments, the structure of Formula (IE) is represented by




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or a salt thereof.


In some embodiments, the compound or salt of Formula (IIA) is represented by the structure of Formula (IIB) or Formula (IIC). In some embodiments, the structure of Formula (IIB) is represented by




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or a salt thereof. In some embodiments, the structure of Formula (IIC) may be represented by




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or a salt thereof.


In certain embodiments, a compound of the disclosure may be selected from Formulas (III-A), (III-B), (III-C), (III-D), (III-E), (III-F), (III-G), and (III-H):




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or a salt of any one thereof wherein:

    • R1 is selected from




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    •  and —OCH3;

    • R4 is selected from







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    •  —O—(CH2)0-1T and —O—CH(CH3)2;

    • T is an optionally substituted 3-6-membered heterocycloalkyl wherein substituents are independently selected from hydroxy, halogen, cyano, nitro, C1-C6 alkyl, haloalkyl, hydroxy C1-C6 alkyl, alkoxy, and alkoxy C1-C6 alkyl;

    • Q1 and Q3 are independently selected from —O—, —OC(═O)NR41—, —S—, and —NR40—;

    • Q2 is selected from optionally substituted C3-6 carbocycle, optionally substituted 3-8-membered heterocycle, —OR34, —(O—CH2—(CH2)p)n—W, and —N(R39)2, wherein substituents on C3-6 carbocycle and 3-8-membered heterocycle are independently selected from hydroxy, halogen, cyano, nitro, C1-C6 alkyl, haloalkyl, hydroxy C1-C6 alkyl, alkoxy, and alkoxy C1-C6 alkyl;

    • Q4 is selected from optionally substituted C3-6 carbocycle, optionally substituted 3-8-membered heterocycle, and —OR42, wherein substituents on C3-6 carbocycle and 3-8-membered heterocycle are independently selected from hydroxy, halogen, cyano, nitro, C1-C6 alkyl, haloalkyl, hydroxy C1-C6 alkyl, alkoxy, and alkoxy C1-C6 alkyl;

    • R30, R31, R35, and R36 are independently selected from hydrogen, hydroxy, halogen, cyano, nitro, C1-C6 alkyl, haloalkyl, hydroxy C1-C6 alkyl, alkoxy, and alkoxy C1-C6 alkyl;

    • each R32, R33, R37, and R38 are independently selected from hydrogen, hydroxy, halogen, cyano, nitro, C1-C6 alkyl, haloalkyl, hydroxy C1-C6 alkyl, alkoxy, and alkoxy C1-C6 alkyl;

    • each R34 is selected from hydrogen, optionally substituted C1-C6 alkyl, optionally substituted carbocycle, and optionally substituted heterocycle, wherein the substituents on C1-C6 alkyl, carbocycle, and heterocycle are independently selected at each occurrence from hydroxy, halogen, cyano, nitro, C1-C6 alkoxy, carbocycle and heterocycle;

    • each R39 is selected from hydrogen, C1-C6 alkyl, haloalkyl, and alkoxy C1-C6 alkyl;

    • each R40 is selected from hydrogen and an optionally substituted C1-C6 alkyl group, wherein the substituents are independently selected at each occurrence from hydroxy, halogen, cyano, nitro, C2-C6 alkoxy group, carbocycle and heterocycle; and

    • each R41 is selected from hydrogen and an optionally substituted C1-C6 alkyl group, wherein the substituents are independently selected at each occurrence from hydroxy, halogen, cyano, nitro, C2-C6 alkoxy group, carbocycle and heterocycle;

    • each R42 is selected from hydrogen, optionally substituted C1-C6 alkyl, optionally substituted carbocycle, and optionally substituted heterocycle, wherein the substituents on C1-C6 alkyl, carbocycle, and heterocycle are independently selected at each occurrence from hydroxy, halogen, cyano, nitro, C1-C6 alkoxy, carbocycle and heterocycle;

    • each p is selected from 1 or 2;

    • n is selected from 2-4; and

    • W is selected from —OH and —OCH3.





In certain embodiments, a compound of the disclosure may be selected from a compound represented by Formula (III-A) or (III-C):




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or a salt thereof, wherein:

    • R1′ is selected from —OH,




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    •  and —OCH3;

    • R4 is selected from







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    •  —O—(CH2)0-1-T and —O—CH(CH3)2;

    • T is an optionally substituted 3-6-membered heterocycloalkyl wherein substituents are independently selected from hydroxy, halogen, cyano, nitro, C1-C6 alkyl, haloalkyl, hydroxy C1-C6 alkyl, alkoxy, and alkoxy C1-C6 alkyl;

    • Q1 and Q3 are independently selected from —O—, —OC(═O)NR41—, —S—, and —NR40—;

    • Q2 is selected from optionally substituted C3-6 carbocycle, optionally substituted 3-8-membered heterocycle, —OR34, —(O—CH2—(CH2)p)n—W, and —N(R39)2, wherein substituents on C3-6 carbocycle and 3-8-membered heterocycle are independently selected from hydroxy, halogen, cyano, nitro, C1-C6 alkyl, haloalkyl, hydroxy C1-C6 alkyl, alkoxy, and alkoxy C1-C6 alkyl;

    • Q4 is selected from optionally substituted C3-6 carbocycle, optionally substituted 3-8-membered heterocycle, and —OR42, wherein-substituents on C3-6 carbocycle and 3-8-membered heterocycle are independently selected from hydroxy, halogen, cyano, nitro, C1-C6 alkyl, haloalkyl, hydroxy C1-C6 alkyl, alkoxy, and alkoxy C1-C6 alkyl;

    • R30, R31, R35, and R36 are independently selected from hydrogen, hydroxy, halogen, cyano, nitro, C1-C6 alkyl, haloalkyl, hydroxy C1-C6 alkyl, alkoxy, and alkoxy C1-C6 alkyl;

    • each R32, R33, R37, and R38 are independently selected from hydrogen, hydroxy, halogen, cyano, nitro, C1-C6 alkyl, haloalkyl, hydroxy C1-C6 alkyl, alkoxy, and alkoxy C1-C6 alkyl;

    • each R34 is selected from hydrogen, optionally substituted C1-C6 alkyl, optionally substituted carbocycle, and optionally substituted heterocycle, wherein the substituents on C1-C6 alkyl, carbocycle, and heterocycle are independently selected at each occurrence from hydroxy, halogen, cyano, nitro, C1-C6 alkoxy, carbocycle and heterocycle;

    • each R39 is selected from hydrogen, C1-C6 alkyl, haloalkyl, and alkoxy C1-C6 alkyl;

    • each R40 is selected from hydrogen and an optionally substituted C1-C6 alkyl group, wherein the substituents are independently selected at each occurrence from hydroxy, halogen, cyano, nitro, C2-C6 alkoxy group, carbocycle and heterocycle; and

    • each R41 is selected from hydrogen and an optionally substituted C1-C6 alkyl group, wherein the substituents are independently selected at each occurrence from hydroxy, halogen, cyano, nitro, C2-C6 alkoxy group, carbocycle and heterocycle;

    • each R42 is selected from hydrogen, optionally substituted C1-C6 alkyl, optionally substituted carbocycle, and optionally substituted heterocycle, wherein the substituents on C1-C6 alkyl, carbocycle, and heterocycle are independently selected at each occurrence from hydroxy, halogen, cyano, nitro, C1-C6 alkoxy, carbocycle and heterocycle;

    • each p is selected from 1 or 2;

    • n is selected from 2-4; and

    • W is selected from —OH and —OCH3.





In certain embodiments, a compound of the disclosure may be selected from a compound represented by Formula (III-C).


In certain embodiments, a compound of the disclosure may be selected from a compound represented by Formula (III-A).


In some embodiments, for a compound or salt of Formula (III-A) or (III-C), R1′ is selected from:




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and —OCH3.

In some embodiments, for a compound or salt of Formula (III-A) or (III-C), R1′ is —OH.


In some embodiments, for a compound or salt of Formula (III-A) or (III-C), R1′ is selected from:




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wherein Q1 is 0.


In some embodiments, for a compound or salt of Formula (III-A) or (III-C), R1′ is selected from:




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wherein Q2 is selected from optionally substituted 5-7 membered heterocycle, —OH, or C1-C6 alkoxy.


In some embodiments, for a compound or salt of Formula (III-A) or (III-C), R1′ is selected from:




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wherein Q2 is selected from optionally substituted 5-6 membered heterocycle, —OH, or C1-C6 alkoxy.


In some embodiments, for a compound or salt of Formula (III-A) or (III-C), R1′ is selected from:




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wherein Q2 is selected from optionally substituted 5-6 membered heterocycle. The optional substituents of the 5-6 membered heterocycle may be selected from hydroxy, hydroxy C1-C6 alkyl, C1-C6 alkyl, and alkoxy.


In some embodiments, for a compound or salt of Formula (III-A) or (III-C), R30, R31, R32, and R33 are independently selected at each occurrence from hydrogen and hydroxy. In some embodiments, for a compound or salt of Formula (III-A) or (III-C), R30, R31, R32, and R33 are each hydrogen.


In some embodiments, for a compound or salt of Formula (III-A) or (III-C), R4 is selected from




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In some embodiments, R4 is selected from




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wherein Q3 is —O—.


In some embodiments, for a compound or salt of Formula (III-A) or (III-C), R35, R36, R37, and R38 are independently selected at each occurrence from hydrogen, hydroxy, hydroxy C1-C6 alkyl and C1-C6 alkyl.


In some embodiments, for a compound or salt of Formula (III-A) or (III-C), R31, R36, R37, and R38 are independently selected at each occurrence from hydrogen.


In some embodiments, for a compound or salt of Formula (III-A) or (III-C), Q4 is selected from optionally substituted C3-6 carbocycle, optionally substituted 3-7-membered heterocycle, and —OR42.


In some embodiments, for a compound or salt of Formula (III-A) or (III-C), R42 is selected from hydrogen, optionally substituted C1-C6 alkyl, wherein the optional substituents are selected from hydroxy, and C1-C6 alkoxy.


In some embodiments, for a compound or salt of Formula (III-A) or (III-C), R is selected from:




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In some embodiments for a compound or salt of Formula (III-A) or (III-C), R is selected from:




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In some embodiments, for a compound or salt of Formula (III-A) or (III-C), R4 is selected from




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In some embodiments, for a compound or salt of Formula (IA), (IB), (IC), (ID), (IE), (IIA), (IIB), (IIC), (III-A), (III-B), (III-C), (III-D), (III-E), (III-F), (III-G), or (III-H), R1 is




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R4 is not



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In some embodiments, for a compound or salt of Formula (IA), (IB), (IC), (ID), (IE), (IIA), (IIB), (IIC), (III-A), (III-B), (III-C), (III-D), (III-E), (III-F), (III-G), or (III-H), R1 is not




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In some embodiments, for a compound or salt of Formula (IA), (IB), (IC), (ID), (IE), (IIA), (IIB), (IIC), (III-A), (III-B), (III-C), (III-D), (III-E), (III-F), (III-G), or (III-H), R1 is hydroxy. In some embodiments, for a compound or salt of Formula (IA), (IB), (IC), (ID), (IE), (IIA), (IIB), (IIC), (III-A), (III-B), (III-C), (III-D), (III-E), (III-F), (III-G), or (III-H), R1 is not hydroxy.


In some embodiments, for a compound or salt of Formula (IA), (IB), (IC), (ID), (IE), (IIA), (IIB), or (IIC), R2 is selected from optionally substituted C1-C6 alkoxy group. In some embodiments, R2 is a C1-C6 alkoxy. In some embodiments, R2 is —OCH3.


In some embodiments, for a compound or salt of Formula (IA), (IB), (IC), (ID), (IE), (IIA), (IIB), or (IIC), R3 is a C1-C6 alkoxy. In some embodiments, R3 is a C1-C3 alkoxy. In some embodiments, R3 is a C1 alkoxy group. In some embodiments, R3 is a —OCH3.


In some embodiments, for a compound or salt of Formula (IA), (IB), (IC), (ID), (IE), (IIA), (IIB), (IIC), (III-A), (III-B), (III-C), (III-D), (III-E), (III-F), (III-G), or (III-H), R1 is selected from:




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In some embodiments, R1 is selected from:




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wherein n is 0, 1, 2, 3, 4 or 5. In some embodiments, n of




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is 0, 1, 2, or 3. In some embodiments, n of




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is 0, 1, or 2. In some embodiments, n of




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is 0. In some embodiments, n of




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is 1. In some embodiments, n of




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is 2.


In some embodiments for a compound or salt of Formula (IA), (IB), (IC), (ID), (IE), (IIA), (IIB), (IIC), (III-A), (III-B), (III-C), (III-D), (III-E), (III-F), (III-G), or (III-H), Q2 is selected from optionally substituted phenyl, optionally substituted 5-7-membered heterocycle, and —N(R39)2, wherein substituents on phenyl and 5-7-membered heterocycle are independently selected from hydroxy, halogen, cyano, nitro, C1-C6 alkyl, haloalkyl, hydroxy C1-C6 alkyl, alkoxy, and alkoxy C1-C6 alkyl.


In some embodiments for a compound of Formula (IA), (IB), (IC), (ID), (IE), (IIA), (IIB), (IIC), (III-A), (III-B), (III-C), (III-D), (III-E), (III-F), (III-G), or (III-H), when Q1 is —O—, Q2 is selected from optionally substituted phenyl, optionally substituted 5-7-membered heterocycle, and —N(R39)2, wherein substituents on phenyl and 5-7-membered heterocycle are independently selected from hydroxy, halogen, cyano, nitro, C1-C6 alkyl, haloalkyl, hydroxy C1-C6 alkyl, alkoxy, and alkoxy C1-C6 alkyl.


In some embodiments for a compound of Formula (IA), (IB), (IC), (ID), (IE), (IIA), (IIB), (IIC), (III-A), (III-B), (III-C), (III-D), (III-E), (III-F), (III-G), or (III-H), Q2 is selected from optionally substituted phenyl and optionally substituted 5- or 6-membered heterocycle wherein substituents on phenyl and 5- or 6-membered heterocycle are independently selected from hydroxy, halogen, cyano, nitro, C1-C6 alkyl, haloalkyl; hydroxy C1-C6 alkyl, alkoxy, and alkoxy C1-C6 alkyl.


In some embodiments for a compound of Formula (IA), (IB), (IC), (ID), (IE), (IIA), (IIB), (IIC), (III-A), (III-B), (III-C), (III-D), (III-E), (III-F), (III-G), or (III-H), Q2 is selected from optionally substituted phenyl and optionally substituted 5- or 6-membered saturated heterocycle wherein substituents on phenyl and 5- or 6-membered saturated heterocycle are independently selected from hydroxy, halogen, cyano, nitro, C1-C6 alkyl, haloalkyl, hydroxy C1-C6 alkyl, C1-C6 alkoxy, and C1-C6 alkoxy C1-C6 alkyl.


In some embodiments for a compound of Formula (IA), (IB), (IC), (ID), (IE), (IIA), (IIB), (IIC), (III-A), (III-B), (III-C), (III-D), (III-E), (III-F), (III-G), or (III-H), Q2 is selected from optionally substituted phenyl, optionally substituted piperidine, optionally substituted morpholine, optionally substituted piperazine, optionally substituted pyrrolidine, optionally substituted pyrazolidine, optionally substituted oxazolidine, and optionally substituted isooxazolidine, wherein substituents on phenyl, morpholine, piperidine, pyrrolidine, pyrazolidine, oxazolidine, isooxazolidine, and piperazine are independently selected from hydroxy, halogen, cyano, nitro, C1-C6 alkyl, haloalkyl, hydroxy C1-C6 alkyl, alkoxy, and alkoxy C1-C6 alkyl.


In some embodiments for a compound of Formula (IA), (IB), (IC), (ID), (IE), (IIA), (IIB), (IIC), (III-A), (III-B), (III-C), (III-D), (III-E), (III-F), (III-G), or (III-H), Q2 is selected from optionally substituted phenyl, optionally substituted piperidine, optionally substituted morpholine, and optionally substituted piperazine, wherein substituents on phenyl, morpholine, piperidine, and piperazine are independently selected from hydroxy, halogen, cyano, nitro, C1-C6 alkyl, haloalkyl, hydroxy C1-C6 alkyl, alkoxy, and alkoxy C1-C6 alkyl.


In some embodiments for a compound of Formula (IA), (IB), (IC), (ID), (IE), (IIA), (IIB), (IIC), (III-A), (III-B), (III-C), (III-D), (III-E), (III-F), (III-G), or (III-H), Q1 of R1 is selected from —O— and —OC(═O)NR41—. In some embodiments, Q1 of R1 is selected from —O— and —OC(═O)NR41—, and R41 is selected from hydrogen and C1-C3 alkyl group wherein the substituents are independently selected at each occurrence from halogen, hydroxy, carbocycle and heterocycle. In some embodiments, the carbocycle of optionally substituted C1-C3 alkyl group of R41 is a C3-6 carbocycle, e.g., phenyl. In some embodiments, the heterocycle of optionally substituted C1-C3 alkyl group of R1 is 3- to 6-membered heterocycle, e.g., a 5- or 6-membered heteroaryl ring In some embodiments, Q1 of R is selected from —O— and —OC(═O)NR41—, and R41 is selected from hydrogen and C1-C3 alkyl group wherein the substituents are independently selected at each occurrence from halogen or hydroxy. In some embodiments, Q1 of R1 is selected from —O— and —OC(═O)NR41—, and R41 is selected from hydrogen and C1-C3 alkyl group. In some embodiments, Q1 of R1 is selected from —O— and —OC(═O)NR41—, and R41 is selected from hydrogen and C1 alkyl group. In some embodiments, Q1 of R1 is —OC(═O)NR41—, and R41 is selected from hydrogen and C1-3 alkyl group.


In some embodiments for a compound of Formula (IA), (IB), (IC), (ID), (IE), (IIA), (IIB), (IIC), (III-A), (III-B), (III-C), (III-D), (III-E), (III-F), (III-G), or (III-H), Q1 of R1 is selected from —O—, —OC(═O)NH—, and —OC(═O)N(CH3)—. In some embodiments, Q1 of R1 is from —O—. In some embodiments, Q1 of R1 is —OC(═O)NH—. In some embodiments, Q1 of R1 is and —OC(═O)N(CH3)—. In some embodiments, Q1 of R1 is and —OC(═O)N(CH2CH3)—. In some embodiments, Q1 of R1 is and —OC(═O)N(CH2CH2CH3)—. In some embodiments, Q1 of R1 is and —OC(═O)N(CH2CH2CH2CH3)—.


In some embodiments for a compound of Formula (IA), (IB), (IC), (ID), (IE), (IIA), (IIB), (IIC), (III-A), (III-B), (III-C), (III-D), (III-E), (III-F), (III-G), or (III-H), each of R30, R31, R32 and R33 of R1 is independently selected from hydrogen, hydroxy, halogen, cyano, nitro, and C1-C6 alkyl. In some embodiments, each of R30, R31, R32 and R33 of R1 is independently selected from hydrogen, hydroxy, halogen, cyano, nitro, and C1-C3 alkyl. In some embodiments, each of R30, R31, R32 and R33 of R1 is independently selected from hydrogen, hydroxy, and C1-C3 alkyl.


In some embodiments for a compound of Formula (IA), (IB), (IC), (ID), (IE), (IIA), (IIB), (IIC), (III-A), (III-B), (III-C), (III-D), (III-E), (III-F), (III-G), or (III-H), each of R30, R31, R32 and R33 of R1 is independently selected from hydrogen, hydroxy, and methyl. In some embodiments, one of R30, R31, R32 and R33 of R1 is hydroxy or methyl and the rest of R30, R31, R32 and R33 are each hydrogen. In some embodiments, one of R30, R31, R32 and R33 of R1 is hydroxy and the rest of R30, R31, R32 and R33 are each hydrogen. In some embodiments, each R30, R31, R32 and R33 of R is hydrogen.


In some embodiments for a compound of Formula (IA), (IB), (IC), (ID), (IE), (IIA), (IIB), (IIC), (III-A), (III-B), (III-C), (III-D), (III-E), (III-F), (III-G), or (III-H), Q2 of R1 is selected from optionally substituted C3-6 carbocycle, optionally substituted 5-7-membered heterocycle, —OR34, —(O—CH2—(CH2)p)a—W, and —N(R39)2, wherein substituents on C3-6 carbocycle and 5-7-membered heterocycle are independently selected from hydroxy, halogen, cyano, nitro, C1-C6 alkyl, haloalkyl, hydroxy C1-C6 alkyl, alkoxy, and alkoxy C1-C6 alkyl. In some embodiments, Q2 of R1 is selected from optionally substituted phenyl, optionally substituted 5-7-membered heterocycle, —OR34, —(O—CH2—(CH2)p)n—W, and —N(R39)2, wherein substituents on phenyl and 5-7-membered heterocycle are independently selected from hydroxy, halogen, cyano, nitro, C1-C6 alkyl, haloalkyl, hydroxy C1-C6 alkyl, alkoxy, and alkoxy C1-C6 alkyl.


In some embodiments for a compound of Formula (IA), (IB), (IC), (ID), (IE), (IIA), (IIB), (IIC), (III-A), (III-B), (III-C), (III-D), (III-E), (III-F), (III-G), or (III-H), Q2 of R is selected from optionally substituted 5-7-membered heterocycle, and —OR34. In some embodiments, Q2 of R1 is selected from —OR34, and R34 is selected from hydrogen and optionally substituted C1-C6 alkyl. In some embodiments, Q2 of R1 is selected from —OR34, and R34 is selected from hydrogen and C1-C6 alkyl. In some embodiments, Q2 of R1 is selected from —OR34, and R34 is selected from hydrogen, methyl, ethyl and propyl.


In some embodiments for a compound of Formula (IA), (IB), (IC), (ID), (IE), (IIA), (IIB), (IIC), (III-A), (III-B), (III-C), (III-D), (III-E), (III-F), (III-G), or (III-H), Q2 of R1 is selected from optionally substituted carbocycle or optionally substituted heterocycle. In some embodiments, the carbocycle of Q2 of R1 may be selected from:




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any one of which is optionally substituted. In some embodiments, the heterocycle of Q2 of R1 may be selected from:




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any one of which is optionally substituted.


In some embodiments for a compound of Formula (IA), (IB), (IC), (ID), (IE), (IIA), (IIB), (IIC), (III-A), (III-B), (III-C), (III-D), (III-E), (III-F), (III-G), or (III-H), Q2 of R1 is optionally substituted carbocycle. In some embodiments, substituents on carbocycle are independently selected from hydroxy, halogen, cyano, nitro, C1-C6 alkyl, haloalkyl, hydroxy C1-C6 alkyl, alkoxy, and alkoxy C1-C6 alkyl. In some embodiments, Q2 of R1 is optionally substituted C3-6 carbocycle. In some embodiments, substituents on C3-6 carbocycle are independently selected from hydroxy, halogen, cyano, nitro, C1-C6 alkyl, haloalkyl, hydroxy C1-C6 alkyl, alkoxy, and alkoxy C1-C6 alkyl. In some embodiments, C3-6 carbocycle is substituted with one substituent selected from hydroxy, halogen, cyano, nitro, C1-C6 alkyl, haloalkyl, hydroxy C1-C6 alkyl, alkoxy, and alkoxy C1-C6 alkyl. In some embodiments, C3-6 carbocycle is substituted with one substituent selected from hydroxy, C1-C6 alkyl, hydroxy C1-C6 alkyl, alkoxy, and alkoxy C1-C6 alkyl. In some embodiments, Q2 of R1 is optionally substituted phenyl. In some embodiments, substituents on phenyl of Q2 of R1 of are independently selected from hydroxy, halogen, cyano, nitro, C1-C6 alkyl, haloalkyl, hydroxy C1-C6 alkyl, alkoxy, and alkoxy C1-C6 alkyl. In some embodiments, phenyl of Q2 of R1 is substituted with one substituent selected from hydroxy, halogen, cyano, nitro, C1-C6 alkyl, haloalkyl, hydroxy C1-C6 alkyl, alkoxy, and alkoxy C1-C6 alkyl.


In some embodiments for a compound or salt of Formula (IA), (IB), (IC), (ID), (IE), (IIA), (IIB), (IIC), (III-A), (III-B), (III-C), (III-D), (III-E), (III-F), (III-G), or (III-H), Q2 of R1 is optionally substituted 5-7-membered heterocycle. In some embodiments, substituents on 5-7-membered heterocycle of Q2 of R1 are independently selected from hydroxy, halogen, cyano, nitro, C1-C6 alkyl, haloalkyl, hydroxy C1-C6 alkyl, alkoxy, and alkoxy C1-C6 alkyl. In some embodiments, substituents on 5-7-membered heterocycle of Q2 of R1 are independently selected from hydroxy, C1-C6 alkyl, hydroxy C1-C6 alkyl, alkoxy, and alkoxy C1-C6 alkyl. In some embodiments, 5-7-membered heterocycle of Q2 of R1 is substituted one substituent selected from hydroxy, halogen, cyano, nitro, C1-C6 alkyl, haloalkyl, hydroxy C1-C6 alkyl, alkoxy, and alkoxy C1-C6 alkyl. In some embodiments, 5-7-membered heterocycle of Q2 of R1 is substituted two substituents independently selected at each occurrence from hydroxy, halogen, cyano, nitro, C1-C6alkyl, haloalkyl, hydroxy C1-C6 alkyl, alkoxy, and alkoxy C1-C6 alkyl. In some embodiments, 5-7-membered heterocycle of Q2 of R1 is substituted with one, two, or three substituents independently selected at each occurrence from hydroxy, halogen, cyano, nitro, C1-C6 alkyl, haloalkyl, hydroxy C1-C6 alkyl, alkoxy, and alkoxy C1-C6 alkyl. In some embodiments, 5-7-membered heterocycle of Q2 of R1 is substituted with one or two substituents independently selected at each occurrence from hydroxy, halogen, cyano, nitro, C1-C6 alkyl, haloalkyl, hydroxy C1-C6 alkyl, alkoxy, and alkoxy C1-C6 alkyl. In some cases, the C1-C6 alkyl of the independently selected at each occurrence C1-C6 alkyl of the 5-7-membered heterocycle of Q2 of R1 may be substituted with a substituent independently selected at each occurrence from hydroxy, C1-C6 alkyl, and alkoxy.


In some embodiments for a compound or salt of Formula (IA), (IB), (IC), (ID), (IE), (IIA), (IIB), (IIC), (III-A), (III-B), (III-C), (III-D), (III-E), (III-F), (III-G), or (III-H), Q2 of R1 is —OR34. In some embodiments, Q2 of R is —OR34, and R34 is selected from hydrogen, optionally substituted C1-C6 alkyl, optionally substituted carbocycle, and optionally substituted heterocycle, wherein the substituents on C1-C6 alkyl, carbocycle, and heterocycle are independently selected at each occurrence from hydroxy, C1-C6 alkoxy, carbocycle and heterocycle. In some embodiments, the optionally substituted carbocycle of R34 of —OR34 is a C3-6 carbocycle. In some embodiments, the optionally substituted heterocycle of R34 of —OR34 is a 3-7-membered hetercycle.


In some embodiments for a compound of Formula (IA), (IB), (IC), (ID), (IE), (IIA), (IIB), (IIC), (III-A), (III-B), (III-C), (III-D), (III-E), (III-F), (III-G), or (III-H), R1 is selected from




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In some embodiments for a compound of Formula (IA), (IB), (IC), (ID), (IE), (IIA), (IIB), (IIC), (III-A), (III-B), (III-C), (III-D), (III-E), (III-F), (III-G), or (III-H), R1 is selected from:




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In some embodiments for a compound of Formula (IA), (IB), (IC), (ID), (IE), (IIA), (IIB), (IIC), (III-A), (III-B), (III-C), (III-D), (III-E), (III-F), (III-G), or (III-H), R1 is




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In some embodiments for a compound of Formula (IA), (IB), (IC), (ID), (IE), (IIA), (IIB), (IIC), (III-A), (III-B), (III-C), (III-D), (III-E), (III-F), (III-G), or (III-H), R1 is




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In some embodiments for a compound of Formula (IA), (IB), (IC), (ID), (IE), (IIA), R34 of —OR34 may be selected from:




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any one of which is optionally substituted.


In some embodiments for a compound of Formula (IA), (IB), (IC), (ID), (IE), (IIA), (IIB), (IIC), (III-A), (III-B), (III-C), (III-D), (III-E), (III-F), (III-G), or (III-H), the heterocycle of R34 of —OR34 may be selected from:




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any one of which is optionally substituted.


In some embodiments for a compound of Formula (IA), (IB), (IC), (ID), (IE), (IIA), (IIB), (IIC), (III-A), (III-B), (III-C), (III-D), (III-E), (III-F), (III-G), or (III-H), Q2 of R1 is —OR34, and R34 is selected from hydrogen, C1-C6 alkyl, carbocycle, and heterocycle. In some embodiments, the carbocycle of R34 of —OR34 is a C3-6 carbocycle. In some embodiments, Q2 of R1 is selected from —OR34, and R34 is selected from hydrogen and optionally substituted C1-C6 alkyl. In some embodiments, Q2 of R1 is selected from —OR34, and R34 is selected from hydrogen and C1-C6 alkyl. In some embodiments, Q2 of R1 is selected from —OR34, and R34 is selected from hydrogen, methyl, ethyl and propyl.


In some embodiments for a compound of Formula (IA), (IB), (IC), (ID), (IE), (IIA), (IIB), (IIC), (III-A), (III-B), (III-C), (III-D), (III-E), (III-F), (III-G), or (III-H), R1 is selected from




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In some embodiments for a compound of Formula (IA), (IB), (IC), (ID), (IE), (IIA), (IIB), (IIC), (III-A), (III-B), (III-C), (III-D), (III-E), (III-F), (III-G), or (III-H), R1 is selected from:




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In some embodiments for a compound of Formula (IA), (IB), (IC), (ID), (IE), (IIA), (IIB), (IIC), (III-A), (III-B), (III-C), (III-D), (III-E), (III-F), (III-G), or (III-H), R4 is selected from




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and —O—(CH2)0-1T.


In some embodiments for a compound of Formula (IA), (IB), (IC), (ID), (IE), (IIA), (IIB), (IIC), (III-A), (III-B), (III-C), (III-D), (III-E), (III-F), (III-G), or (III-H), R4 is —O—(CH2)0-1T. In some embodiments, T of —O—(CH2)0-1T is an optionally substituted 3-6-membered heterocycloalkyl wherein substituents are independently selected from hydroxy, C1-C6 alkyl, hydroxy C1-C6 alkyl, alkoxy, and alkoxy C1-C6 alkyl.


In some embodiments for a compound of Formula (IA), (IB), (IC), (ID), (IE), (IIA), (IIB), (IIC), (III-A), (III-B), (III-C), (III-D), (III-E), (III-F), (III-G), or (III-H), R4 is selected from




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In some embodiments, Q3 of R4 is —O—.


In some embodiments for a compound of Formula (IA), (IB), (IC), (ID), (IE), (IIA), (IIB), (IIC), (III-A), (III-B), (III-C), (III-D), (III-E), (III-F), (III-G), or (III-H), each of R35, R36, R37 and R38 of R4 are independently selected from hydrogen, hydroxy, halogen, cyano, nitro, and C1-C3 alkyl. In some embodiments, each of R35, R36, R37 and R38 of R4 are independently selected from hydrogen, hydroxy, and methyl.


In some embodiments for a compound of Formula (IA), (IB), (IC), (ID), (IE), (IIA), (IIB), (II), (III-A), (III-B), (III-C), (III-D), (III-E), (III-F), (III-G), or (III-H), one or two of R3, R36, R37 and R38 of R4 is selected from hydroxy and methyl and the rest of R35, R36, R37 and R38 are each hydrogen.


In some embodiments for a compound of Formula (IA), (IB), (IC), (ID), (IE), (IIA), (IIB), (IIC), (III-A), (III-B), (III-C), (III-D), (III-E), (III-F), (III-G), or (III-H), each of R35, R36, R37, and R38 are independently selected from hydrogen, hydroxy, halogen, cyano, nitro, C1-C6 alkyl, haloalkyl, hydroxy C1-6 alkyl, alkoxy, and alkoxy C1-C6 alkyl, wherein no more than three of R35, R36, R37, and R38 are hydroxy, halogen, cyano, nitro, C1-C6 alkyl, haloalkyl, hydroxy C1-6 alkyl, alkoxy, and alkoxy C1-C6 alkyl and the others are hydrogen.


In some embodiments for a compound of Formula (IA), (IB), (IC), (ID), (IE), (IIA), (IIB), (IIC), (III-A), (III-B), (III-C), (III-D), (III-E), (III-F), (III-G), or (III-H), each of R35, R36, R37, and R38 are independently selected from hydrogen, hydroxy, halogen, cyano, nitro, C1-C6 alkyl, haloalkyl, hydroxy C1-6 alkyl, alkoxy, and alkoxy C1-C6 alkyl, wherein no more than three of R35, R36, R37, and R38 are hydroxy.


In some embodiments for a compound of Formula (IA), (IB), (IC), (ID), (IE), (IA), (IIB), (IIC), (III-A), (III-B), (III-C), (III-D), (III-E), (III-F), (III-G), or (III-H), each of R35, R36, R37, and R38 are independently selected from hydrogen, hydroxy, halogen, cyano, nitro, C1-C6 alkyl, haloalkyl, hydroxy C1-6 alkyl, alkoxy, and alkoxy C1-C6 alkyl, wherein no more than two of R35, R36, R37, and R38 are hydroxy.


In some embodiments for a compound of Formula (IA), (IB), (IC), (ID), (IE), (IIA), (IIB), (IIC), (III-A), (III-B), (III-C), (III-D), (III-E), (III-F), (III-G), or (III-H), Q4 of R4 is selected from optionally substituted phenyl, and —OR42, wherein substituents on phenyl are independently selected from hydroxy, halogen, cyano, nitro, C1-C6 alkyl, haloalkyl, hydroxy C1-C6 alkyl, alkoxy, and alkoxy C1-C6 alkyl.


In some embodiments for a compound of Formula (IA), (IB), (IC), (ID), (IE), (IIA), (IIB), (IIC), (III-A), (III-B), (III-C), (III-D), (III-E), (III-F), (III-G), or (III-H), Q4 of R4 is selected from phenyl and —OR42, and R42 is selected from hydrogen and optionally substituted C1-C6 alkyl.


In some embodiments for a compound of Formula (IA), (IB), (IC), (ID), (IE), (IIA), (IIB), (IIC), (III-A), (III-B), (III-C), (III-D), (III-E), (III-F), (III-G), or (III-H), Q4 of R4 is selected from phenyl and —OR42, and R42 is selected from hydrogen, methyl, hydroxyethyl, and methoxyethyl.


In some embodiments for a compound of Formula (IA), (IB), (IC), (ID), (IE), (IIA), (IIB), (IIC), (III-A), (III-B), (III-C), (III-D), (III-E), (III-F), (III-G), or (III-H), R4 is selected from:




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In some embodiments for a compound of Formula (IA), (IB), (IC), (ID), (IE), (IIA), (IIB), (IIC), (III-A), (III-B), (III-C), (III-D), (III-E), (III-F), (III-G), or (III-H), R4 is selected




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In certain embodiments, for a compound of Formula (IA), (IB), (IC), (ID), (IE), (IIA), (IIB), (IIC), (III-A), (III-B), (III-C), (III-D), (III-E), (III-F), (III-G), or (III-H):

    • R1 is selected from




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    •  and —OCH3;

    • R2 is selected from optionally substituted C1-C6 alkoxy group, such as R2 is a C1-C6 alkoxy group, and preferably R2 is —OCH3;

    • R3 is selected from an optionally substituted C1-C6 alkoxy group, such as R2 is a C1-C6 alkoxy group, and preferably R2 is —OCH3;
      • R4 is selected from







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      •  and —O—(CH2)0-1T;

      • T is an optionally substituted 4-6-membered heterocycloalkyl wherein substituents are independently selected from hydroxy, halogen, cyano, nitro, C1-C6 alkyl, haloalkyl, hydroxy C1-C6 alkyl, alkoxy, and alkoxy C1-C6 alkyl, such as T is selected from optionally substituted oxetane and optionally substituted pyran;

      • Q1 and Q3 are independently selected from —O—, —OC(═O)NR41—, —S—, and —NR40—, preferably Q1 and Q3 are each —O—;

      • Q2 is selected from optionally substituted C3-6 carbocycle, optionally substituted 3-8-membered heterocycle, —OR34, and —N(R39)2, wherein substituents on C3-6 carbocycle and 3-8-membered heterocycle are independently selected from hydroxy, halogen, cyano, nitro, C1-C6 alkyl, haloalkyl, hydroxy C1-C6 alkyl, alkoxy, and alkoxy C1-C6 alkyl, preferably Q2 is —OR34;

      • Q4 is selected from optionally substituted C3-6 carbocycle, optionally substituted 3-8-membered heterocycle, and —OR42, wherein substituents on C3-6 carbocycle and 3-8-membered heterocycle are independently selected from hydroxy, halogen, cyano, nitro, C1-C6 alkyl, haloalkyl, hydroxy C1-C6 alkyl, alkoxy, and alkoxy C1-C6 alkyl, preferably Q4 is —OR42;

      • R30, R31, R35, and R36 are independently selected from hydrogen, hydroxy, halogen, cyano, nitro, C1-C6 alkyl, haloalkyl, hydroxy C1-C6 alkyl, alkoxy, and alkoxy C1-C6 alkyl, and preferably each of R30, R31, R35, and R36 is hydrogen;

      • each R32, R33, R37, and R38 are independently selected from hydrogen, hydroxy, halogen, cyano, nitro, C1-C6 alkyl, haloalkyl, hydroxy C1-C6 alkyl, alkoxy, and alkoxy C1-C6 alkyl, wherein no more than two of R35, R36 R37, and R38 are hydroxy, such as preferably each of R32, R33, R37, and R38 are hydrogen;

      • R34 is selected from hydrogen and optionally substituted C1-C6 alkyl, hydrogen, optionally substituted C1-C6 alkyl, optionally substituted carbocycle, and optionally substituted heterocycle, wherein the substituents on C1-C6 alkyl, carbocycle, and heterocycle are independently selected at each occurrence from hydroxy, halogen, cyano, nitro, C1-C6 alkoxy, carbocycle and heterocycle, preferably R34 is hydrogen or CH3;

      • each R39 is selected from hydrogen, C1-C6 alkyl, haloalkyl, and alkoxy C1-C6 alkyl;

      • each R4 is selected from hydrogen and an optionally substituted C1-C6 alkyl group, wherein the substituents are independently selected at each occurrence from hydroxy, halogen, cyano, nitro, C2-C6 alkoxy group, carbocycle and heterocycle;

      • each R41 is selected from hydrogen and an optionally substituted C1-C6 alkyl group, wherein the substituents are independently selected at each occurrence from hydroxy, halogen, cyano, nitro, C2-C6 alkoxy group, carbocycle and heterocycle; and

      • each R42 is selected from hydrogen, optionally substituted C1-C2 alkyl, optionally substituted carbocycle, and optionally substituted heterocycle, wherein the substituents on C1-C2 alkyl, carbocycle, and heterocycle are independently selected at each occurrence from hydroxy, halogen, cyano, nitro, C1-C2 alkoxy, carbocycle and heterocycle.







In certain embodiments, for a compound of Formula (IA), (IB), (IC), (ID), (IE), (IIA), (IIB), (IIC), (III-A), (III-B), (III-C), (III-D), (III-E), (III-F), (III-G), or (III-H):

    • R1 is selected from




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    • R2 is selected from optionally substituted C1-C6 alkoxy, such as R2 is a C1-C6 alkoxy group, and preferably R2 is —OCH3;

    • R3 is selected from an optionally substituted C1-C6 alkoxy, such as R2 is a C1-C6 alkoxy group, and preferably R2 is —OCH3;
      • R4 is selected from







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      •  —O—(CH2)0-1T and —O—CH(CH3)2;

      • T is an optionally substituted 3-6-membered heterocycloalkyl wherein substituents are independently selected from hydroxy, halogen, cyano, nitro, C1-C6 alkyl, haloalkyl, hydroxy C1-C6 alkyl, alkoxy, and alkoxy C1-C6 alkyl;

      • Q1 selected from —OC(═O)NR41—, —S—, and —NR40—, preferably Q1 is —OC(═O)NR41—;

      • Q3 is selected from —O—, —OC(═O)NR41—, —S—, and —NR40—, preferably Q3 is —O—;

      • Q2 is selected from optionally substituted phenyl, optionally substituted 3-6-membered saturated heterocycle, —OR34, and —N(R39)2, wherein substituents on phenyl and 3-6-membered saturated heterocycle are independently selected from hydroxy, halogen, cyano, nitro, C1-C6 alkyl, haloalkyl, hydroxy C1-C6 alkyl, alkoxy, and alkoxy C1-C6 alkyl;

      • Q4 is selected from optionally substituted C3-6 carbocycle, optionally substituted 3-8-membered heterocycle, and —OR42, wherein substituents on C3-6 carbocycle and 3-8-membered heterocycle are independently selected from hydroxy, halogen, cyano, nitro, C1-C6 alkyl, haloalkyl, hydroxy C1-C6 alkyl, alkoxy, and alkoxy C1-C6 alkyl, preferably Q4 is —OR42;

      • R30, R31, R35, and R36 are independently selected from hydrogen, hydroxy, halogen, cyano, nitro, C1-C6 alkyl, haloalkyl, hydroxy C1-C6 alkyl, alkoxy, and alkoxy C1-C6 alkyl, and preferably each of R30, R31, R35, and R36 is hydrogen;

      • each R32, R33, R37, and R38 are independently selected from hydrogen, hydroxy, halogen, cyano, nitro, C1-C6 alkyl, haloalkyl, hydroxy C1-C6 alkyl, alkoxy, and alkoxy C1-C6 alkyl, wherein no more than two of R35, R36, R37, and R38 are hydroxy, such as preferably each of R32, R33, R37, and R38 are hydrogen;

      • each R34 is selected from hydrogen, optionally substituted C1-C6 alkyl, optionally substituted carbocycle, and optionally substituted heterocycle, wherein the substituents on C1-C6 alkyl, carbocycle, and heterocycle are independently selected at each occurrence from hydroxy, halogen, cyano, nitro, C1-C6 alkoxy, carbocycle and heterocycle, preferably R34 is hydrogen or CH3;

      • each R39 is selected from hydrogen, C1-C6 alkyl, haloalkyl, and alkoxy C1-C6 alkyl;

      • each R40 is selected from hydrogen and an optionally substituted C1-C6 alkyl group, wherein the substituents are independently selected at each occurrence from hydroxy, halogen, cyano, nitro, C2-C6 alkoxy group, carbocycle and heterocycle;

      • each R41 is selected from hydrogen and an optionally substituted C1-C6 alkyl group, wherein the substituents are independently selected at each occurrence from hydroxy, halogen, cyano, nitro, C2-C6 alkoxy group, carbocycle and heterocycle; and

      • each R42 is selected from hydrogen, optionally substituted C1-C2 alkyl, optionally substituted carbocycle, and optionally substituted heterocycle, wherein the substituents on C1-C2 alkyl, carbocycle, and heterocycle are independently selected at each occurrence from hydroxy, halogen, cyano, nitro, C1-C2 alkoxy, carbocycle and heterocycle.







In certain embodiments, for a compound or salt of Formula (IA), (IB), (IC), (ID), (IE), (IIA), (IIB), (IIC), (III-A), (III-B), (III-C), (III-D) (III-E), (III-F), (III-G), or (III-H),

    • R1 is selected from




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    • R2 is selected from optionally substituted C1-C6 alkoxy group, such as R2 is a C1-C6 alkoxy group, and preferably R2 is —OCH3;

    • R3 is selected from an optionally substituted C1-C6 alkoxy group, such as R2 is a C1-C6 alkoxy group, and preferably R2 is —OCH3;

    • R4 is selected from







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    •  —O—(CH2)0-1T and —O—CH(CH3)2;
      • T is an optionally substituted 3-6-membered heterocycloalkyl wherein substituents are independently selected from hydroxy, halogen, cyano, nitro, C1-C6 alkyl, haloalkyl, hydroxy C1-C6 alkyl, alkoxy, and alkoxy C1-C6 alkyl;
      • Q1 selected from —O—, —OC(═O)NR41—, and —NR40—, preferably Q1 is —O—;
      • Q3 is selected from —O—, —OC(═O)NR41—, —S—, and —NR40—, preferably Q3 is —O—;
      • Q2 is selected from optionally substituted phenyl, optionally substituted 3-8-membered saturated heterocycle, and —N(R39)2, wherein substituents on phenyl and 3-8-membered saturated heterocycle are independently selected from hydroxy, halogen, cyano, nitro, C1-C6 alkyl, haloalkyl, hydroxy C1-C6 alkyl, alkoxy, and alkoxy C1-C6 alkyl;
      • Q4 is selected from optionally substituted C3-6 carbocycle, optionally substituted 3-8-membered heterocycle, and —OR42, wherein substituents on C3-6 carbocycle and 3-8-membered heterocycle are independently selected from hydroxy, halogen, cyano, nitro, C1-C6 alkyl, haloalkyl, hydroxy C1-C6 alkyl, alkoxy, and alkoxy C1-C6 alkyl, preferably Q4 is —OR42;
      • R30, R31, R35, and R36 are independently selected from hydrogen, hydroxy, halogen, cyano, nitro, C1-C6 alkyl, haloalkyl, hydroxy C1-C6 alkyl, alkoxy, and alkoxy C1-C6 alkyl, and preferably each of R30, R31, R35, and R36 is hydrogen;
      • each R32, R33, R37, and R38 are independently selected from hydrogen, hydroxy, halogen, cyano, nitro, C1-C6 alkyl, haloalkyl, hydroxy C1-C6 alkyl, alkoxy, and alkoxy C1-C6 alkyl, wherein no more than two of R35, R36, R37, and R38 are hydroxy, such as preferably each of R32, R33, R37, and R38 are hydrogen;
      • each R34 is selected from hydrogen, optionally substituted C1-C6 alkyl, optionally substituted carbocycle, and optionally substituted heterocycle, wherein the substituents on C1-C6 alkyl, carbocycle, and heterocycle are independently selected at each occurrence from hydroxy, halogen, cyano, nitro, C1-C6 alkoxy, carbocycle and heterocycle, preferably R34 is hydrogen or CH3;
      • each R39 is selected from hydrogen, C1-C6 alkyl, haloalkyl, and alkoxy C1-C6 alkyl;
      • each R40 is selected from hydrogen and an optionally substituted C1-C6 alkyl group, wherein the substituents are independently selected at each occurrence from hydroxy, halogen, cyano, nitro, C2-C6 alkoxy group, carbocycle and heterocycle; and
      • each R41 is selected from hydrogen and an optionally substituted C1-C6 alkyl group, wherein the substituents are independently selected at each occurrence from hydroxy, halogen, cyano, nitro, C2-C6 alkoxy group, carbocycle and heterocycle; and
      • each R42 is selected from hydrogen, optionally substituted C1-C2 alkyl, optionally substituted carbocycle, and optionally substituted heterocycle, wherein the substituents on C1-C2 alkyl, carbocycle, and heterocycle are independently selected at each occurrence from hydroxy, halogen, cyano, nitro, C1-C2 alkoxy, carbocycle and heterocycle.





In certain embodiments, for a compound or salt of Formula (III-A), R1 and R4 may be selected from Table 1. In some cases, R1 may be selected from Table 1. In some cases, R4 may be selected from Table 1.


In certain embodiments, for a compound or salt of Formula (III-B), R1 and R4 may be selected from Table 2. In some cases, R1 may be selected from Table 2. In some cases, R4 may be selected from Table 2.


In certain embodiments, for a compound or salt of Formula (III-C), R1 and R4 may be selected from Table 3. In some cases, R1 may be selected from Table 3. In some cases, R4 may be selected from Table 3.


In certain embodiments, for a compound or salt of Formula (III-D), R1 and R4 may be selected from Table 4. In some cases, R1 may be selected from Table 4. In some cases, R4 may be selected from Table 4.


In certain embodiments, for a compound or salt of Formula (III-E), R1 and R4 may be selected from Table 5. In some cases, R1 may be selected from Table 5. In some cases, R4 may be selected from Table 5.


In certain embodiments, for a compound or salt of Formula (III-F), R1 and R4 may be selected from Table 6. In some cases, R1 may be selected from Table 6. In some cases, R4 may be selected from Table 6.


In certain embodiments, for a compound or salt of Formula (III-G), R1 and R4 may be selected from Table 7. In some cases, R1 may be selected from Table 7. In some cases, R4 may be selected from Table 7.


In certain embodiments, for a compound or salt of Formula (III-H), R1 and R4 may be selected from Table 8. In some cases, R1 may be selected from Table 8. In some cases, R4 may be selected from Table 8.


Chemical entities having carbon-carbon double bonds or carbon-nitrogen double bonds may exist in Z- or E-form (or cis- or trans-form). Furthermore, some chemical entities may exist in various tautomeric forms. Unless otherwise specified, compounds described herein are intended to include all Z-, E- and tautomeric forms as well.


“Isomers” are different compounds that have the same molecular formula. “Stereoisomers” are isomers that differ only in the way the atoms are arranged in space. “Enantiomers” are a pair of stereoisomers that are non-superimposable mirror images of each other. A 1:1 mixture of a pair of enantiomers is a “racemic” mixture. The term “(±)” is used to designate a racemic mixture where appropriate. “Diastereoisomers” or “diastereomers” are stereoisomers that have at least two asymmetric atoms but are not mirror images of each other. The absolute stereochemistry is specified according to the Cahn-Ingold-Prelog R-S system. When a compound is a pure enantiomer, the stereochemistry at each chiral carbon can be specified by either R or S. Resolved compounds whose absolute configuration is unknown can be designated (+) or (−) depending on the direction (dextro- or levorotatory) in which they rotate plane polarized light at the wavelength of the sodium D line. Certain compounds described herein contain one or more asymmetric centers and can thus give rise to enantiomers, diastereomers, and other stereoisomeric forms, the asymmetric centers of which can be defined, in terms of absolute stereochemistry, as (R)- or (S)-. The present chemical entities, pharmaceutical compositions and methods are meant to include all such possible stereoisomers, including racemic mixtures, optically pure forms, mixtures of diastereomers and intermediate mixtures. Optically active (R)- and (S)-isomers can be prepared using chiral synthons or chiral reagents, or resolved using conventional techniques. The optical activity of a compound can be analyzed via any suitable method, including but not limited to chiral chromatography and polarimetry, and the degree of predominance of one stereoisomer over the other isomer can be determined.


When stereochemistry is not specified, molecules with stereocenters described herein include isomers, such as enantiomers and diastereomers, mixtures of enantiomers, including racemates, mixtures of diastereomers, and other mixtures thereof, to the extent they can be made by one of ordinary skill in the art by routine experimentation. In certain embodiments, the single enantiomers or diastereomers, i.e., optically active forms, can be obtained by asymmetric synthesis or by resolution of the racemates or mixtures of diastereomers. Resolution of the racemates or mixtures of diastereomers, if possible, can be accomplished, for example, by conventional methods such as crystallization in the presence of a resolving agent, or chromatography, using, for example, a chiral high-pressure liquid chromatography (HPLC) column. Furthermore, a mixture of two enantiomers enriched in one of the two can be purified to provide further optically enriched form of the major enantiomer by recrystallization and/or trituration.


For any Formula described herein with depicted stereochemistry at a particular position, the intended stereochemistry of a substituent is that depicted in the Formula. For example, a compound of Formula (III-A) where R4 is




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would have the following stereochemistry at R4:




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Methods of producing substantially pure enantiomers are well known to those of skill in the art. For example, a single stereoisomer, e.g., an enantiomer, substantially free of its stereoisomer may be obtained by resolution of the racemic mixture using a method such as formation of diastereomers using optically active resolving agents (Stereochemistry of Carbon Compounds, (1962) by E. L. Eliel, McGraw Hill; Lochmuller (1975) J. Chromatogr., 113(3): 283-302). Racemic mixtures of chiral compounds can be separated and isolated by any suitable method, including, but not limited to: (1) formation of ionic, diastereomeric salts with chiral compounds and separation by fractional crystallization or other methods, (2) formation of diastereomeric compounds with chiral derivatizing reagents, separation of the diastereomers, and conversion to the pure stereoisomers, and (3) separation of the substantially pure or enriched stereoisomers directly under chiral conditions. Another approach for separation of the enantiomers is to use a Diacel chiral column and elution using an organic mobile phase such as done by Chiral Technologies (www.chiraltech.com) on a fee for service basis.


A “tautomer” refers to a molecule wherein a proton shift from one atom of a molecule to another atom of the same molecule is possible. The compounds presented herein, in certain embodiments, exist as tautomers. In circumstances where tautomerization is possible, a chemical equilibrium of the tautomers will exist. The exact ratio of the tautomers depends on several factors, including physical state, temperature, solvent, and pH. Some examples of tautomeric equilibrium include:




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The compounds disclosed herein, in some embodiments, are used in different enriched isotopic forms, e.g., enriched in the content of 2H, 3H, 11C, 13C and/or 14C. In one particular embodiment, the compound is deuterated in at least one position. Such deuterated forms can be made by the procedure described in U.S. Pat. Nos. 5,846,514 and 6,334,997. As described in U.S. Pat. Nos. 5,846,514 and 6,334,997, deuteration can improve the metabolic stability and or efficacy, thus increasing the duration of action of drugs.


Unless otherwise stated, compounds described herein are intended to include compounds which differ only in the presence of one or more isotopically enriched atoms. For example, compounds having the present structures except for the replacement of a hydrogen by a deuterium or tritium, or the replacement of a carbon by 13C- or 14C-enriched carbon are within the scope of the present disclosure.


The compounds of the present disclosure optionally contain unnatural proportions of atomic isotopes at one or more atoms that constitute such compounds. For example, the compounds may be labeled with isotopes, such as for example, deuterium (2H), tritium (3H), iodine-125 (125I) or carbon-14 (14C). Isotopic substitution with 2H, 11C, 13C, 14C, 15C, 12N, 13N, 15N, 16N, 16O, 17O, 14F, 15F, 16F, 17F, 18F, 33S, 34S, 35S, 36S, 35Cl, 37Cl, 19Br, 81Br, and 125I are all contemplated. All isotopic variations of the compounds of the present invention, whether radioactive or not, are encompassed within the scope of the present invention.


In certain embodiments, the compounds disclosed herein have some or all of the 1H atoms replaced with 2H atoms. The methods of synthesis for deuterium-containing compounds are known in the art and include, by way of non-limiting example only, the following synthetic methods.


Deuterium substituted compounds are synthesized using various methods such as described in: Dean, Dennis C.; Editor. Recent Advances in the Synthesis and Applications of Radiolabeled Compounds for Drug Discovery and Development. [In: Curr., Pharm. Des., 2000; 6(10)] 2000, 110 pp; George W.; Varma, Rajender S. The Synthesis of Radiolabeled Compounds via Organometallic Intermediates, Tetrahedron, 1989, 45(21), 6601-21; and Evans, E. Anthony. Synthesis of radiolabeled compounds, J. Radioanal. Chem., 1981, 64(1-2), 9-32.


Deuterated starting materials are readily available and are subjected to the synthetic methods described herein to provide for the synthesis of deuterium-containing compounds. Large numbers of deuterium-containing reagents and building blocks are available commercially from chemical vendors, such as Aldrich Chemical Co.


Compounds of the present invention also include crystalline and amorphous forms of those compounds, pharmaceutically acceptable salts, and active metabolites of these compounds having the same type of activity, including, for example, polymorphs, pseudopolymorphs, solvates, hydrates, unsolvated polymorphs (including anhydrates), conformational polymorphs, and amorphous forms of the compounds, as well as mixtures thereof.


Included in the present disclosure are salts, particularly pharmaceutically acceptable salts, of the compounds described herein. The compounds of the present disclosure that possess a sufficiently acidic, a sufficiently basic, or both functional groups, can react with any of a number of inorganic bases, and inorganic and organic acids, to form a salt. Alternatively, compounds that are inherently charged, such as those with a quaternary nitrogen, can form a salt with an appropriate counterion, e.g., a halide such as bromide, chloride, or fluoride, particularly bromide.


The methods and compositions described herein include the use of amorphous forms as well as crystalline forms (also known as polymorphs). The compounds described herein may be in the form of pharmaceutically acceptable salts. As well, in some embodiments, active metabolites of these compounds having the same type of activity are included in the scope of the present disclosure. In addition, the compounds described herein can exist in unsolvated as well as solvated forms with pharmaceutically acceptable solvents such as water, ethanol, and the like. The solvated forms of the compounds presented herein are also considered to be disclosed herein.


In certain embodiments, compounds or salts of the compounds may be prodrugs, e.g., wherein a hydroxyl in the parent compound is presented as an ester or a carbonate, or carboxylic acid present in the parent compound is presented as an ester. The term “prodrug” is intended to encompass compounds which, under physiologic conditions, are converted into pharmaceutical agents of the present disclosure. One method for making a prodrug is to include one or more selected moieties which are hydrolyzed under physiologic conditions to reveal the desired molecule. In other embodiments, the prodrug is converted by an enzymatic activity of the host animal such as specific target cells in the host animal. For example, esters or carbonates (e.g., esters or carbonates of alcohols or carboxylic acids and esters of phosphonic acids) are preferred prodrugs of the present disclosure.


Prodrugs are often useful because, in some situations, they may be easier to administer than the parent drug. They may, for instance, be bioavailable by oral administration whereas the parent is not. Prodrugs may help enhance the cell permeability of a compound relative to the parent drug. The prodrug may also have improved solubility in pharmaceutical compositions over the parent drug. Prodrugs may be designed as reversible drug derivatives, for use as modifiers to enhance drug transport to site-specific tissues or to increase drug residence inside of a cell.


In some embodiments, the design of a prodrug increases the lipophilicity of the pharmaceutical agent. In some embodiments, the design of a prodrug increases the effective water solubility. See, e.g., Fedorak et al., Am. J. Physiol., 269:G210-218 (1995); McLoed et al., Gastroenterol, 106:405-413 (1994); Hochhaus et al., Biomed Chrom., 6:283-286 (1992); 1. Larsen and H. Bundgaard, Int. J. Pharmaceutics, 37, 87 (1987); J. Larsen et al., Int. J. Pharmaceutics, 47, 103 (1988); Sinkula et al., J. Pharm. Sci., 64:181-210 (1975); T. Higuchi and V. Stella, Pro-drugs as Novel Delivery Systems, Vol. 14 of the A.C.S. Symposium Series; and Edward B. Roche, Bioreversible Carriers in Drug Design, American Pharmaceutical Association and Pergamon Press, 1987, all incorporated herein for such disclosure). According to another embodiment, the present disclosure provides methods of producing the above-defined compounds. The compounds may be synthesized using conventional techniques. Advantageously, these compounds are conveniently synthesized from readily available starting materials.


Synthetic chemistry transformations and methodologies useful in synthesizing the compounds described herein are known in the art and include, for example, those described in R. Larock, Comprehensive Organic Transformations (1989); T. W. Greene and P. G. M. Wuts, Protective Groups in Organic Synthesis, 2d. Ed. (1991); L. Fieser and M. Fieser, Fieser and Fieser's Reagents for Organic Synthesis (1994); and L. Paquette, ed., Encyclopedia of Reagents for Organic Synthesis (1995).


Pharmaceutical Formulations

A compound or salt of any one of Formula (IA), (IB), (IC), (ID), (IE), (IIA), (IIB), (IIC), (III-A), (III-B), (III-C), (III-D), (III-E), (III-F), (III-G), or (III-H), may be formulated in any suitable pharmaceutical formulation. A pharmaceutical formulation of the present disclosure typically contains an active ingredient (e.g., compound or salt of any one of Formula (IA), (IB), (IC), (ID), (IE), (IIA), (IIB), (IIC), (III-A), (III-B), (III-C), (III-D), (III-E), (III-F), (III-G), or (III-H), and one or more pharmaceutically acceptable excipients or carriers, including but not limited to: inert solid diluents and fillers, diluents, sterile aqueous solution and various organic solvents, permeation enhancers, antioxidants, solubilizers, and adjuvants.


In certain embodiments, a pharmaceutical formulation of the disclosure comprises a mixture of diastereomers. The pharmaceutical formulation may include one major diastereomer which accounts for 50 wt % or more of the mixture of diastereomers in the formulation and one or more minor diastereomers which individually or in combination account for less than 50 wt % of the mixture of diastereomers. A pharmaceutical formulation may comprise 51 wt % or more of the major diastereomer, such as from about 60 wt % to 95 wt %, such as 70 wt % to 95 wt %, such as 80 wt % to 95 wt % of the major diastereomer and one or more minor diastereomers bringing the percentage to 100 wt %. For example, a pharmaceutical comprises 80 wt % of the compound of 525 of Table 3 and 20 wt % of the compound 126 of Table 1. As another example, a pharmaceutical formulation comprises a mixture of diastereomers with 80 wt % of compound 601 of Table 4, 10 wt % of compound 201 of Table 2, 8 wt % of compound 401 of Table 3, and 2 wt % of compound 2 of Table 1.


In certain embodiments, the pharmaceutical formulation comprises a compound or salt of the disclosure in a mixture of diastereomers with a major diastereomer and one or more minor diastereomers, wherein the one or more minor diastereomers account for about 0.5 wt % to about 20 wt % of the mixture of diastereomers in the pharmaceutical formulation. For example, a pharmaceutical formulation comprises from about 1 wt % to about 40 wt %, such as about 1 wt % to about 30 wt %, such as about 1 wt % to about 20 wt %, such as about 2 wt % to about 10 wt %, such as about 5 wt % to about 10 wt % of a minor diastereomer or a combination of minor diastereomers.


In certain embodiments, the pharmaceutical formulation comprises a compound or salt of the disclosure in a mixture of diastereomers wherein the major diastereomer accounts for 90 wt % or more, 95 wt % or more of even 98 wt % or more of the mixture of diastereomers. In certain embodiments, a compound or salt of Formula (IA), (IB), (IC), (ID), (IE), (IIA), (IIB), (IIC), (III-A), (III-B), (III-C), (III-D), (III-E), (III-F), (III-G), or (III-H), is formulated with an agent that inhibits degradation of the compound or salt. In certain embodiments, the compound or salt is formulated with one or more antioxidants. Acceptable antioxidants include, but are not limited to, citric acid, d,I-α-tocopherol, BHA, BHT, monothioglycerol, ascorbyl palmitate, ascorbic acid, and propyl gallate. In certain embodiments, the formulation contains from 0.1 to 30%, from 0.5 to 25%, from 1 to 20%, from 5 to 15%, or from 7 to 12% (wt/wt) CCI-779, from 0.5 to 50%, from 1 to 40%, from 5 to 35%, from 10 to 25%, or from 15 to 20% (wt/wt) water soluble polymer, from 0.5 to 10%, 1 to 8%, or 3 to 5% (wt/wt) surfactant, and from 0.001% to 1%, 0.01% to 1%, or 0.1% to 0.5% (wt/wt) antioxidant. In certain embodiments, the antioxidants of the formulations of this invention will be used in concentrations ranging from 0.001% to 3% wt/wt.


In certain embodiments, a compound or salt of Formula (IA), (IB), (IC), (ID), (IE), (IIA), (IIB), (IIC), (III-A), (III-B), (III-C), (III-D), (III-E), (III-F), (III-G), or (III-H), is formulated with a pH modifying agent to maintain a pH of about 4 to about 6. Acceptable pH modifying agents include, but are not limited to citric acid, sodium citrate, dilute HCl, and other mild acids or bases capable of buffering a solution containing a compound or a salt of the disclosure to a pH in the range of about 4 to about 6.


In certain embodiments, a compound or salt of Formula (IA), (IB), (IC), (ID), (IE), (IIA), (IIB), (IIC), (III-A), (III-B), (III-C), (III-D), (III-E), (III-F), (III-G), or (III-H), is formulated with a chelating agent or other material capable of binding metal ions, such as ethylene diamine tetra acetic acid (EDTA) and its salts are capable of enhancing the stability of a compound or salt of Formula (IA), (IB), (IC), (ID), (IE), (IIA), (IIB), (IIC), (III-A), (III-B), (III-C), (III-D), (III-E), (III-F), (III-G), or (III-H).


Pharmaceutical formulations may be provided in any suitable form, which may depend on the route of administration. In some embodiments, the pharmaceutical composition disclosed herein can be formulated in dosage form for administration to a subject. In some embodiments, the pharmaceutical composition is formulated for oral, intravenous, intraarterial, aerosol, parenteral, buccal, topical, transdermal, rectal, intramuscular, subcutaneous, intraosseous, intranasal, intrapulmonary, transmucosal, inhalation, and/or intraperitoneal administration. In some embodiments, the dosage form is formulated for oral administration. For example, the pharmaceutical composition can be formulated in the form of a pill, a tablet, a capsule, an inhaler, a liquid suspension, a liquid emulsion, a gel, or a powder. In some embodiments, the pharmaceutical composition can be formulated as a unit dosage in liquid, gel, semi-liquid, semi-solid, or solid form.


The amount of compound or salt of any one of Formula (IA), (IB), (IC), (ID), (IE), (IIA), (IIB), (IIC), (III-A), (III-B), (III-C), (III-D), (III-E), (III-F), (III-G), or (III-H) will be dependent on the mammal being treated, the severity of the disorder or condition, the rate of administration, the disposition of the compound or salt of any one of Formula (IA), (IB), (IC), (ID), (IE), (IIA), (IIB), (IIC), (III-A), (III-B), (III-C), (III-D), (III-E), (III-F), (III-G), or (III-H), and the discretion of the prescribing physician.


In some embodiments, pharmaceutically acceptable carriers of Formula (IA), (IB), (IC), (ID), (IE), (IA), (IIB), (IIC), (III-A), (III-B), (III-C), (III-D), (III-E), (III-F), (III-G), or (III-H), can include a physiologically acceptable compound that is an antioxidant.


In some embodiments, the disclosure provides a pharmaceutical composition for oral administration containing at least one compound or salt of any one of Formula (IA), (IB), (IC), (ID), (IE), (IIA), (IIB), (IIC), (III-A), (III-B), (III-C), (III-D), (III-E), (III-F), (III-G), or (III-H), and a pharmaceutical excipient suitable for oral administration. The composition may be in the form of a solid, liquid, gel, semi-liquid, or semi-solid. In some embodiments, the composition further comprises a second agent.


Pharmaceutical compositions of the disclosure suitable for oral administration can be presented as discrete dosage forms, such as hard or soft capsules, cachets, troches, lozenges, or tablets, or liquids or aerosol sprays each containing a predetermined amount of an active ingredient as a powder or in granules, a solution, or a suspension in an aqueous or non-aqueous liquid, an oil-in-water emulsion, or a water-in-oil liquid emulsion, or dispersible powders or granules, or syrups or elixirs. Such dosage forms can be prepared by any of the methods of pharmacy, which typically include the step of bringing the active ingredient(s) into association with the carrier. In general, the composition are prepared by uniformly and intimately admixing the active ingredient(s) with liquid carriers or finely divided solid carriers or both, and then, if necessary, shaping the product into the desired presentation. For example, a tablet can be prepared by compression or molding, optionally with one or more accessory ingredients. Compressed tablets can be prepared by compressing in a suitable machine the active ingredient(s) in a free-flowing form such as powder or granules, optionally mixed with an excipient such as, but not limited to, a binder, a lubricant, an inert diluent, and/or a surface active or dispersing agent. Molded tablets can be made by molding in a suitable machine a mixture of the powdered compound or salt of any one of Formula (IA), (IB), (IC), (ID), (IE), (IIA), (IIB), (IC), (III-A), (III-B), (III-C), (III-D), (III-E), (III-F), (III-G), or (III-H), moistened with an inert liquid diluent.


In some embodiments, the disclosure provides a pharmaceutical composition for injection containing a compound or salt of any one of Formula (IA), (IB), (IC), (ID), (IE), (IIA), (IIB), (IIC), (III-A), (III-B), (III-C), (III-D), (III-E), (III-F), (III-G), or (III-H), disclosed herein and a pharmaceutical excipient suitable for injection. Components and amounts of agents in the composition are as described herein.


In certain embodiments, the compound or salt of any one of Formula (IA), (IB), (IC), (ID), (IE), (IIA), (IIB), (IIC), (III-A), (III-B), (III-C), (III-D), (III-E), (III-F), (III-G), or (III-H), may be formulated for injection as aqueous or oil suspensions, emulsions, with sesame oil, corn oil, cottonseed oil, or peanut oil, as well as elixirs, mannitol, dextrose, or a sterile aqueous solution, and similar pharmaceutical vehicles.


Aqueous solutions in saline are also conventionally used for injection. Ethanol, glycerol, propylene glycol, liquid polyethylene glycol, and the like (and suitable mixtures thereof), cyclodextrin derivatives, and vegetable oils may also be employed. The proper fluidity can be maintained, for example, by the use of a coating, such as lecithin, for 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.


Pharmaceutical compositions may also be prepared from a compound or salt of any one of Formula (IA), (IB), (IC), (ID), (IE), (IIA), (IIB), (IIC), (III-A), (III-B), (III-C), (III-D), (III-E), (III-F), (III-G), or (III-H), and one or more pharmaceutically acceptable excipients suitable for transdermal, inhalative, sublingual, buccal, rectal, intraosseous, intraocular, intranasal, epidural, or intraspinal administration. Preparations for such pharmaceutical composition are well-known in the art. See, e.g., Anderson, Philip O.; Knoben, James E.; Troutman, William G, eds., Handbook of Clinical Drug Data, Tenth Edition, McGraw-Hill, 2002; Pratt and Taylor, eds., Principles of Drug Action, Third Edition, Churchill Livingston, New York, 1990; Katzung, ed., Basic and Clinical Pharmacology, Ninth Edition, McGraw Hill, 2003; Goodman and Gilman, eds., The Pharmacological Basis of Therapeutics, Tenth Edition, McGraw Hill, 2001; Remingtons Pharmaceutical Sciences, 20th Ed., Lippincott Williams & Wilkins., 2000; Martindale, The Extra Pharmacopoeia, Thirty-Second Edition (The Pharmaceutical Press, London, 1999).


The disclosure also provides kits. The kits may include a compound or salt of any one of Formula (IA), (IB), (IC), (ID), (IE), (IIA), (IIB), (IIC), (III-A), (III-B), (III-C), (III-D), (III-E), (III-F), (III-G), or (III-H), and one or more additional agents in suitable packaging with written material that can include instructions for use, discussion of clinical studies, listing of side effects, and the like. Such kits may also include information, such as scientific literature references, package insert materials, clinical trial results, and/or summaries of these and the like, which indicate or establish the activities and/or advantages of the composition, and/or which describe dosing, administration, side effects, drug interactions, or other information useful to the health care provider. Such information may be based on the results of various studies, for example, studies using experimental animals involving in vivo models and studies based on human clinical trials. The kit may further contain another agent. In some embodiments, the compound or salt of any one of Formula (IA), (IB), (IC), (ID), (IE), (IIA), (IIB), (IIC), (III-A), (III-B), (III-C), (III-D), (III-E), (III-F), (III-G), or (III-H), and the agent are provided as separate compositions in separate containers within the kit. In some embodiments, the compound or salt of any one of Formula (IA), (IB), (IC), (ID), (IE), (IIA), (IIB), (IIC), (III-A), (III-B), (III-C), (III-D), (III-E), (III-F), (III-G), or (III-H), and the agent are provided as a single composition within a container in the kit. Suitable packaging and additional articles for use (e.g., measuring cup for liquid preparations, foil wrapping to minimize exposure to air, and the like) are known in the art and may be included in the kit. Kits described herein can be provided, marketed and/or promoted to health providers, including physicians, nurses, pharmacists, formulary officials, and the like. Kits may also, in some embodiments, be marketed directly to the consumer.


Applications

In one aspect, the present disclosure provides a method of inhibiting mTORC1, comprising administering a compound or salt of any one of Formula (IA), (IB), (IC), (ID), (IE), (IIA), (IIB), (IIC), (III-A), (III-B), (III-C), (III-D), (III-E), (III-F), (III-G), or (III-H). In one aspect, the present disclosure provides a method of inhibiting mTORC1 without appreciably modulating mTORC2, comprising administering a compound or salt of any one of Formula (IA), (IB), (IC), (ID), (IE), (IIA), (IIB), (IIC), (III-A), (III-B), (III-C), (III-D), (III-E), (III-F), (III-G), or (III-H). In certain embodiments, the compounds and salt of the disclosure do not appreciably inhibit mTORC2.


While not being bound to any particular mechanism, a compound or salt of any one of Formula (IA), (IB), (IC), (ID), (IE), (IIA), (IIB), (IIC), (III-A), (III-B), (III-C), (III-D), (III-E), (III-F), (III-G), or (III-H) may show reduced side effects relative to rapamycin. In particular, compounds or salts of the disclosure may not appreciably impact the gastrointestinal and/or cardiac systems. In certain embodiments the compounds of the disclosure may be administered in larger dosing amounts or over longer periods of time than the prescribed dosing amounts or timeframes for rapamycin. For example of the intended timeframes, a compound or salt of any one of Formula (IA), (IB), (IC), (ID), (IE), (IIA), (IIB), (IIC), (III-A), (III-B), (III-C), (III-D), (III-E), (III-F), (III-G), or (III-H) may be administered daily, every other day, once a week, once every two weeks over a period of time, such as 2 months or more, 4 months or more, 6 months or more, 1 year or more, or even two years or more. For example of the intended dosing, a compound or salt of any one of Formula (IA), (IB), (IC), (ID), (IE), (IIA), (IIB), (IIC), (III-A), (III-B), (III-C), (III-D), (III-E), (III-F), (III-G), or (III-H) may be administered in dose, 30% or greater, 50% greater, 80% or greater than rapamycin indicated dosing for the same indication.


In certain embodiments, a compound or salt of any one of Formula (IA), (IB), (IC), (ID), (IE), (IIA), (IIB), (IIC), (III-A), (III-B), (III-C), (III-D), (III-E), (III-F), (III-G), or (III-H) is administered to a subject in need thereof for the treatment and/or prevention of a tauopathy (including but not limited to Alzheimer's disease, Parkinson's disease, progressive supranuclear palsy (PSP), corticobasal degeneration, corticobasal syndrome, frontotemporal dementia, frontotemporal lobar degeneration (FTLD) including but not limited to FTLD-17, behavior variant FTD, primary progressive aphasia (semantic, agrammatic or logopenic variants), argyrophilic grain disease, Pick's disease, globular glial tauopathies, primary age-related tauopathy (including neurofibrillary tangle dementia), chronic traumatic encephalopathy (CTE)-traumatic brain injury and aging-related tau astrogliopathy), an mTORopathy (including but not limited to tuberous sclerosis complex (TSC)), an mTORopathy associated with epileptic seizures, focal cortical dysplasia (FCD), ganglioglioma, hemimegalencephaly, neurofibromatosis 1, Sturge-Weber syndrome, Cowden syndrome, PMSE (Polyhydramnios, Megalencephaly, Symptomatic Epilepsy)), familial multiple discoid fibromas (FMDF), an epilepsy/epileptic seizures (both genetic and acquired forms of the disease such as familial focal epilepsies, epileptic spasms, infantile spasms (IS), status epilepticus (SE), temporal lobe epilepsy (PLE) and absence epilepsy), rare diseases associated with a dysfunction of mTORC1 activity (e.g., lymphangioleiomyomatosis (LAM), Leigh's syndrome, Friedrich's ataxia, Diamond-Blackfan anemia, etc.), metabolic diseases (e.g., obesity, Type II diabetes, etc.), autoimmune and inflammatory diseases (e.g., Systemic Lupus Erythematosus (SLE), multiple sclerosis (MS) psoriasis, etc.), cancer, a fungal infection, a proliferative disease, the maintenance of immunosuppression, transplant rejection, traumatic brain injury, autism, lysosomal storage diseases and neurodegenerative diseases associated with an mTORC1 hyperactivity (e.g., Parkinson's, Huntington's disease, etc.), aberrant compound accumulation, dysfunction of the autophagy mechanisms, and generally including but not limited to disorders that can be modulated by selective inhibition of the mTORC1 pathway.


In certain embodiments, a compound or salt of any one of Formula (IA), (IB), (IC), (ID), (IE), (IIA), (IIB), (IIC), (III-A), (III-B), (III-C), (III-D), (III-E), (III-F), (III-G), or (III-H) is administered to a subject in need thereof for treatment and/or prevention of a tauopathy selected from the group consisting of: progressive supranuclear palsy, dementia pugilistica (chronic traumatic encephalopathy), frontotemporal dementia, lytico-bodig disease (parkinson-dementia complex of guam), tangle-predominant dementia (with nfts similar to ad, but without plaques), ganglioglioma and gangliocytoma, meningioangiomatosis, subacute sclerosing panencephalitis, lead encephalopathy, tuberous sclerosis, Pick's disease, corticobasal degeneration (tau proteins are deposited in the form of inclusion bodies within swollen or “ballooned” neurons), Alzheimer's disease, Parkinson's disease, Huntington's disease, frontotemporal dementia, and frontotemporal lobar degeneration.


In certain embodiments, a compound or salt of any one of Formula (IA), (IB), (IC), (ID), (IE), (IIA), (IIB), (IIC), (III-A), (III-B), (III-C), (III-D), (III-E), (III-F), (III-G), or (III-H) is administered to a subject in need thereof for the treatment and/or prevention of a tauopathy selected from the group consisting of: Alzheimer's disease, Parkinson's disease, progressive supranuclear palsy (PSP), corticobasal degeneration, corticobasal syndrome, frontotemporal dementia, frontotemporal lobar degeneration (FTLD) including but not limited to FTLD-17, behavior variant FTD, primary progressive aphasia (semantic, agrammatic or logopenic variants), argyrophilic grain disease, Pick's disease, globular glial tauopathies, primary age-related tauopathy (including neurofibrillary tangle dementia), chronic traumatic encephalopathy (CTE)-traumatic brain injury and aging-related tau astrogliopathy.


In certain embodiments, a compound or salt of any one of Formula (IA), (IB), (IC), (ID), (IE), (IIA), (IIB), (IIC), (III-A), (III-B), (III-C), (III-D), (III-E), (III-F), (III-G), or (III-H) is administered to a subject in need thereof for the treatment and/or prevention of a mTORopathy. The mTORopathy may be, for example, Tuberous Sclerosis, Focal Cortical Dysplasia, or a PTEN (Phosphatase and tensin homolog) disease, etc. The mTORopathy may be a disease or disorder described elsewhere herein.


In certain embodiments, a compound or salt of any one of Formula (IA), (IB), (IC), (ID), (IE), (IIA), (IIB), (IIC), (III-A), (III-B), (III-C), (III-D), (III-E), (III-F), (III-G), or (III-H) is administered to a subject in need thereof for the treatment and/or prevention of cancer. Non-limiting examples of cancers can include Acute lymphoblastic leukemia (ALL); Acute myeloid leukemia; Adrenocortical carcinoma; Astrocytoma, childhood cerebellar or cerebral; Basal-cell carcinoma; Bladder cancer; Bone tumor, osteosarcoma/malignant fibrous histiocytoma; Brain cancer; Brain tumors, such as, cerebellar astrocytoma, malignant glioma, ependymoma, medulloblastoma, visual pathway and hypothalamic glioma; Brainstem glioma; Breast cancer; Bronchial adenomas/carcinoids; Burkitt's lymphoma; Cerebellar astrocytoma; Cervical cancer; Cholangiocarcinoma; Chondrosarcoma; Chronic lymphocytic leukemia; Chronic myelogenous leukemia; Chronic myeloproliferative disorders; Colon cancer; Cutaneous T-cell lymphoma; Endometrial cancer; Ependymoma; Esophageal cancer; Eye cancers, such as, intraocular melanoma and retinoblastoma; Gallbladder cancer; Glioma; Hairy cell leukemia; Head and neck cancer; Heart cancer; Hepatocellular (liver) cancer; Hodgkin lymphoma; Hypopharyngeal cancer; Islet cell carcinoma (endocrine pancreas); Kaposi sarcoma; Kidney cancer (renal cell cancer); Laryngeal cancer; Leukemia, such as, acute lymphoblastic, acute myeloid, chronic lymphocytic, chronic myelogenous and, hairy cell; Lip and oral cavity cancer; Liposarcoma; Lung cancer, such as, non-small cell and small cell; Lymphoma, such as, AIDS-related, Burkitt; Lymphoma, cutaneous T-Cell, Hodgkin and Non-Hodgkin, Macroglobulinemia, Malignant fibrous histiocytoma of bone/osteosarcoma; Melanoma; Merkel cell cancer; Mesothelioma; Multiple myeloma/plasma cell neoplasm; Mycosis fungoides; Myelodysplastic syndromes; Myelodysplastic/myeloproliferative diseases; Myeloproliferative disorders, chronic; Nasal cavity and paranasal sinus cancer; Nasopharyngeal carcinoma; Neuroblastoma; Oligodendroglioma; Oropharyngeal cancer; Osteosarcoma/malignant fibrous histiocytoma of bone; Ovarian cancer; Pancreatic cancer; Parathyroid cancer; Pharyngeal cancer; Pheochromocytoma; Pituitary adenoma; Plasma cell neoplasia; Pleuropulmonary blastoma; Prostate cancer, Rectal cancer; Renal cell carcinoma (kidney cancer); Renal pelvis and ureter, transitional cell cancer, Rhabdomyosarcoma; Salivary gland cancer; Sarcoma, Ewing family of tumors; Sarcoma, Kaposi; Sarcoma, soft tissue; Sarcoma, uterine; Sézary syndrome; Skin cancer (non-melanoma); Skin carcinoma; Small intestine cancer; Soft tissue sarcoma; Squamous cell carcinoma; Squamous neck cancer with occult primary, metastatic; Stomach cancer; Testicular cancer; Throat cancer; Thymoma and thymic carcinoma; Thymoma; Thyroid cancer; Thyroid cancer, childhood; Uterine cancer, Vaginal cancer; Waldenström macroglobulinemia; Wilms tumor and any combination thereof.


In certain embodiments, a compound or salt of any one of Formula (IA), (IB), (IC), (ID), (IE), (IIA), (IIB), (IIC), (III-A), (III-B), (III-C), (III-D), (III-E), (III-F), (III-G), or (III-H) is administered to a subject in need thereof for the treatment and/or prevention of seizures and/or seizure related disorders. The seizure related disorders may include but not limited to: West syndrome, Focal Cortical Dysplasia (FCD), tuberous sclerosis complex (TSC), childhood absence epilepsy, benign focal epilepsies of childhood, juvenile myoclonic epilepsy (QME), temporal lobe epilepsy, frontal lobe epilepsy, refractory epilepsy, Lennox-Gastaut syndrome, occipital lobe epilepsy, 5 Proteus syndrome, hemi-megalencephaly syndrome (HMEG), megalencephaly syndrome (MEG), megalencephaly-capillary malformation (MCAP), megalencephalypolymicrogyria-polydactyly-hydrocephalus syndrome (MPPH) and PTEN disorders.


A compound according any therapeutic compound disclosed herein for use in the treatment and/or prevention of disorders that include the processes of fibrosis and/or inflammation (e.g., liver and kidney disorders). The disorders may include but not limited to liver fibrosis (which may occur in end-stage liver disease); liver cirrhosis; liver failure due to toxicity; non-alcohol-associated hepatic steatosis or NASH; and alcohol-associated steatosis. Another example may be kidney fibrosis, which may occur as a result of acute kidney injury or diabetic nephropathy can induce kidney fibrosis and inflammation.


A compound according any therapeutic compound disclosed herein for use in the treatment and/or prevention of disorders that include the processes of fibrosis and/or inflammation (e.g., liver and kidney disorders). The disorders may include but not limited to liver fibrosis (which may occur in end-stage liver disease); liver cirrhosis; liver failure due to toxicity; non-alcohol-associated hepatic steatosis or NASH; and alcohol-associated steatosis. Another example may be kidney fibrosis, which may occur as a result of acute kidney injury, chronic kidney disease, or diabetic nephropathy can induce kidney fibrosis and inflammation. The disorder may include polycystic kidney disease, ischemia/reperfusion injury, transplantation, adriamycin nephropathy, unilateral ureteral obstruction (UUO), glomerulopathy, IgA nephropathy, focal segmental glomerulosclerosis (FSGS), Lupus mesangial proliferative nephritis.


A compound according any therapeutic compound disclosed herein for use in the treatment and/or prevention of acute or chronic organ or tissue transplant rejection, for example, heart, lung, combined heart-lung, liver, kidney, pancreatic, skin or corneal transplants, prevention of graft-versus-host disease, such as following bone marrow transplantation, etc.


A compound according any therapeutic compound disclosed herein for use in the treatment and/or prevention of autoimmune diseases and/or and inflammatory conditions include in particular inflammatory conditions with an etiology that may include an autoimmune component such as arthritis (for example rheumatoid arthritis, arthritis chronica progrediente and arthritis deformans) and rheumatic diseases. Examples may include autoimmune hematological disorders (including e. g. hemolytic anemia, aplastic anemia, pure red cell anaemia and idiopathic thrombocytopenia), systemic lupus erythematosus, polychondritis, scleroderma, Wegener granulamatosis, dermatomyositis, chronic active hepatitis, myasthenia gravis, psoriasis, Steven-Johnson syndrome, idiopathic sprue, autoimmune inflammatory bowel disease (including e. g. ulcerative colitis and Crohn's disease) endocrine ophthalmopathy, Graves disease, sarcoidosis, multiple sclerosis, primary biliary cirrhosis, juvenile diabetes (diabetes mellitus type I), uveitis (anterior and posterior), keratoconjunctivitis sicca and vernal keratoconjunctivitis, interstitial lung fibrosis, psoriatic arthritis, glomerulonephritis (with and without nephrotic syndrome, e.g. including idiopathic nephrotic syndrome or minimal change nephropathy) and juvenile dermatomyositis.


A compound according any therapeutic compound disclosed herein for use in the treatment and/or prevention of mitochondrial diseases or disorders.


A compound according any therapeutic compound disclosed herein for use in the treatment and/or prevention of smooth muscle cell proliferation migration leading to vessel intimal thickening, blood vessel obstruction, obstructive coronary atherosclerosis, or restenosis.


In certain embodiments, a compound or salt of Formula (IA), (IB), (IC), (ID), (IE), (IIA), (IIB), (IIC), (III-A), (III-B), (III-C), (III-D), (III-E), (III-F), (III-G), or (III-H) or a compound of any one of Tables 1, 2, 3, 4, 5, 6, 7, or 8 is administered to a subject in need thereof for the treatment and/or prevention of diabetic nephropathy, kidney-related complications of type 1 diabetes and type 2 diabetes, autosomal dominant polycystic kidney disease (ADPKD), autosomal recessive polycystic kidney disease (ARPKD), kidney diseases associated with cyst formation or cystogenesis, focal segmental glomerulosclerosis (FSGS) and other diseases associated with sclerosis of the kidney (glomerulopathy, IgA nephropathy, Lupus mesangial proliferative nephritis), laminopathies, age-related macular degeneration (AMD), diabetic macular edema, diabetic retinopathy, glaucoma, age related retinal disease, immune system senescence, respiratory tract infections, urinary tract infections, heart failure, osteoarthritis, pulmonary arterial hypertension (PAH), and/or chronic obstructive pulmonary disease (COPD).


In certain embodiments, a compound or salt of Formula (IA), (IB), (IC), (ID), (IE), (IIA), (IIB), (IIC), (III-A), (III-B), (III-C), (III-D), (III-E), (III-F), (III-G), or (III-H) or a compound of any one of Tables 1, 2, 3, 4, 5, 6, 7, or 8 is administered to a subject in need thereof for the treatment and/or prevention of Lymphangioleiomyomatosis (LAM) and/or polycystic kidney disease.


In certain embodiments, the disclosure provides a method of treating disease characterized by hyperactivation of mTORC1. The following references include methods for evaluating mTORC (e.g., mTORC1) activity: T. O'Reilly et al., Translational Oncology, v3, i2, p 65-79, (2010); J. Peralba, Clinical Cancer Research, v9, i8, p 2887-2892 (2003); D. R. Moore et al., Acla Physiologica, v201, i3, p 365-372 (2010); M. Dieterlen., Clinical Cytometry, v82B, i3, p 151-157, (2012); the contents of each of which are incorporated by reference herein.


In certain embodiments, the disclosure provides a method of treating age-related diseases. It may be established that modulation of mTORC1 signalling may prolong lifespan and may delay the onset of age-related diseases across a wide array of organisms, ranging from flies to mammals, thus possibly providing therapeutic options for preventing or treating age-related diseases in humans. In a recent clinical study Mannick et al. (mTOR inhibition improves immune function in the elderly, Sci Transl Med. 2014 Dec. 24; 6(268):268ra179. doi: 10.1126/scitranslmed.3009892) may have showed that mTOR inhibition improves the immune function in the elderly.


In certain embodiments, the disclosure provides a method of treating mitochondrial diseases. Mitochondrial myopathy and mitochondrial stress may be mitochondrial disorders as described in Chinnery, P. F. (2015); EMBO Mol. Med. 7, 1503-1512; Koopman, W. J. et al., 10 (2016); EMBO Mol. Med. 8, 311-327 and Young, M. J., and Yound and Copeland, W. C. (2016); Curr. Opin. Genet. Dev. 38, 52-62.


In certain embodiments, the disclosure provides a method of treating diseases of impaired autophagy. In some cases they may include impaired autophagies that result in mitochondrial damage, lysosomal storage diseases, cancer, Crohn's disease, etc. In some cases the impaired autophagies may be as described in Jiang P. & Mizushima, N., Autophagy and human diseases, Cell Research volume 24, p. 69-79 (2014).


In certain embodiments, the disclosure provides a method of treating limbic predominate age-related tar DNA-binding protein 43 (TDP-43) encephalopathy. In some cases, the compounds herein may be used to treat a condition or disease associated with misfolded TDP-43. In some cases, the compounds herein may be used to treat a TDP-43 associated neurodegenerative disease.


In certain embodiments, a compound or salt of the disclosure is used to induce heterodimerization of FKBP12 and the FRB domain of mTOR. Chemical Induction of Dimerization (CID) can be employed as a biological tool to spatially manipulate specific molecules, e.g., peptides and polypeptides, within cells at precise times to control a particular activity. Uses of CID include experimental investigations to elucidate cellular systems and therapeutic uses to regulate cell-based therapies. Exemplary uses include activation of cells used to promote engraftment, to treat diseases or conditions, or to control or modulate the activity of therapeutic cells that express chimeric antigen receptors or recombinant T cell receptors. Compounds of the disclosure maybe used in the development of inducible systems or molecular switches to control cell signaling.


The use of rapamycin as a dimerizing agent is limited by side effects associated with mTOR inhibition. mTOR inhibition can lead to reductions in cell growth and proliferation as well as possible immunosuppression. In contrast, compounds of the present disclosure may present an advantage over rapamycin due to the high selectivity for mTOR1 over mTOR2. mTOR2 inhibition is associated with the negative side effects affiliated with rapamycin. As the presently described compounds are selective from mTOR1 and have minimal impact on mTOR2.


In certain embodiments, the disclosure provides a method of approximating or multimerizing two or more polypeptides within a cell, comprising administering a compound with an pIC50 of 8.0 or greater, 8.5 or greater, or even 9.0 or greater for mTOR1 and a pIC50 of 7.0 or less, 6.5 or less, or even 6 or less for mTOR2. In certain embodiments, the disclosure provides a method of inducing heterodimerization of FKBP12 and the FRB domain of mTOR in a cell, comprising contacting the cell with a compound with a pIC50 of 8.0 or greater, 8.5 or greater, or even 9.0 or greater for mTOR1 and a pIC50 of 7.0 or less, 6.5 or less, or even 6 or less for mTOR2. In certain embodiments, the compound is any one of the compounds described herein, e.g., a compound of Formula (IA), (IB), (IC), (ID), (IE), (IIA), (IIB), (IIC), (III-A), (III-B), (III-C), (III-D), (III-E), (III-F), (III-G), or (III-H) or a compound of any one of Tables 1, 2, 3, 4, 5, 6, 7, or 8. In certain embodiments the cell is in vitro. In certain embodiments, the cell is in vivo.


The term “multimerize” or multimerization refers to the dimerization of two peptides or polypeptides, or the multimerization of more than two peptides or polypeptides, for example, the dimerization of FKBP12 and the FRB domain of mTOR.


Inducible FKBP12/FRB-based multimerization systems can also be incorporated into chimeric antigen receptor (CAR) T cells which can be used, for example, in immunotherapy applications. One type of immunotherapy is adoptive cell transfer in which a subject's immune cells are collected and modified ex vivo, e.g., CAR-modified T cells, to provide for specific and targeted tumor cell killing when the modified cells are returned to the body. T Cells from a patient's blood may be extracted and genetically engineered to express CARs on the cell surface. The components of a CAR typically include an extracellular, antibody-derived single chain variable fragment (scFv), which specifically recognizes a target tumor cell antigen, and one or more multicellular T-cell-derived signaling sequences fused to the scFv. Binding of the scFv region to an antigen results in activation of the T cell through the signaling domains of the CAR. In certain embodiments, a compound of the disclosure may be administered to a cell to activate a CAR-T cell with an FKBP12/FRB-based multimerization system. In certain embodiments, the disclosure provides a method of activating the growth of a cell, e.g., CAR-T cell, containing an FKBP protein fusion and an FRB fusion protein by contacting the cell with a compound of Formula (IA), (IB), (IC), (ID), (IE), (IIA), (IIB), (IIC), (III-A), (III-B), (III-C), (III-D), (III-E), (III-F), (III-G), or (III-H) or a compound of any one of Tables 1, 2, 3, 4, 5, 6, 7, or 8.


In some instances, it is beneficial to increase the activity of a therapeutic cell. For example, co-stimulating polypeptides may be used to enhance the activation of T Cells, and of CAR-expressing T cells against antigens, which would increase the potency of the adoptive immunotherapy. These treatments are used, for example, to treat tumors for elimination, and to treat cancer and blood disorders, but these therapies may have negative side effects. Overzealous on-target effects, such as those directed at large tumor masses, can lead to cytokine storms associated with tumor lysis syndrome (TLS), cytokine release syndrome (CRS) or macrophage activation syndrome (MAS). In some instances of therapeutic cell-induced adverse events, there is a need for rapid and near complete elimination of the therapeutic cells. If there is a need to reduce the number of transferred CAR-T cells, an inducing ligand may be administered to the subject being treated, thereby inducing apoptosis specifically of the modified T cells. For example, multimeric versions of the ligand binding domains FRB and/or FKBP12 or variants thereof, such as those described in WO 2020/076738, fused to caspase proteins and expressed in a modified therapeutic cell can serve as scaffolds that permit the spontaneous dimerization and activation of the caspase units upon recruitment through the FRB and/or FKBP12 with a chemical inducing agent such as a compound of Formula (IA), (IB), (IC), (ID), (IE), (IIA), (IIB), (IIC), (III-A), (III-B), (III-C), (III-D), (III-E), (III-F), (III-G), or (III-H) or a compound of any one of Tables 1, 2, 3, 4, 5, 6, 7, or 8. In certain embodiments, the disclosure provides a method of inhibiting the growth of a cell containing an FKBP protein fusion and an FRB fusion protein by contacting the cell with a compound a compound of Formula (IA), (IB), (IC), (ID), (IE), (IIA), (IIB), (IIC), (III-A), (III-B), (III-C), (III-D), (III-E), (III-F), (III-G), or (III-H) or a compound of any one of Tables 1, 2, 3, 4, 5, 6, 7, or 8.


The following examples are offered to illustrate, but not to limit the claimed invention. It will be recognized that these preparation methods are illustrative and not limiting. Using the teaching provided herein, numerous other methods of producing the rapamycin analogs described herein will be available to one of skill in the art.


EXAMPLES
Illustrative Synthetic Schemes

Illustrative synthetic routes to prepare a compound of Formula (IA), (IB), (IC), (ID), (IE), (IIA), (IIB), (IIC), (III-A), (III-B), (III-C), (III-D), (III-E), (III-F), (III-G), or (III-H), or a compound of any one of Tables 1, 2, 3, 4, 5, 6, 7, or 8 shown and described herein are exemplary only and are not intended, nor are they to be construed, to limit the scope of the present disclosure in any manner whatsoever. Those skilled in the art will be able to recognize modifications of the disclosed synthetic schemes and to devise alternate routes based on the disclosed examples provided herein; all such modifications and alternate routes are within the scope of the claims.


The chemical entities described herein can be synthesized according to one or more illustrative schemes herein and/or techniques known in the art. Materials used herein are either commercially available or prepared by synthetic methods generally known in the art. These schemes are not limited to the compounds listed in the examples or by any particular substituents, which are employed for illustrative purposes. Although various steps are described and depicted in Schemes 1-32 the steps in some cases may be performed in a different order than the order shown in Schemes 1-32. Numberings or R groups in each scheme do not necessarily correspond to that of the claims or other schemes or tables herein. In some embodiments, C16 modification may be performed before C40 modification. In some embodiments, C40 modification may be performed before C16 modification. In some embodiments, C28 modification may be performed before/after C16 and/or C40 modification.


Compounds of the disclosure with C40 and/or C28 modifications including stereochemical inversions at these positions may be prepared as previously described, for example, in PCT Publication Nos. WO 95/14023 and WO 01/14387.


In certain embodiments, compounds of the disclosure are prepared from one of the following compounds as a starting material: rapamycin, everolimus, and/or 27-o-desmethyl rapamycin.


In some embodiments, compounds of Tables 1 to 8 may be prepared according to schemes 1 to 32. The compounds of tables 1 to 8 may have the core structure of Formula (III-A), Formula (III-B), Formula (III-C), Formula (III-D), Formula (III-E), Formula (III-F), Formula (III-G), or Formula (III-H) as shown below with the R1 and R4 illustrated in table 1 to 8.


The compound nomenclature below was generated using Dotmatics ELN.




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Oxetan-3-ol (5.8 mL, 87.5 mmol) was added to a solution of rapamycin (2.00 g, 2.19 mmol) in anhydrous DCM (87 mL). The mixture was cooled to −40° C. and 4-methylbenzenesulfonic acid (1.88 g, 10.9 mmol) was added. The mixture was stirred 90 minutes at room temperature. The mixture was diluted with DCM and neutralized by a saturated solution of NaHCO3. The phases were separated. The organic phase was washed with water (40 mL), dried, filtered and concentrated to dryness. The resulting crude mixture was purified by reverse phase chromatography (Uptisphere Strategy C18-Hq 10 um 250×30.0 mm CH3CN:H2O gradient 70:30 to 100:0, 277 nm). The main fraction (872 mg) was purified by SFC separation to afford (1R,9S,12S,15R,16E,18R,19R,21R,23S,24E,26E,28E,30S,32S,35R)-1,18-dihydroxy-12-[(2R)-1-[(1S,3R,4R)-4-hydroxy-3-methoxycyclohexyl]propan-2-yl]-19-methoxy-15,17,21,23,29,35-hexamethyl-30-(oxetan-3-yloxy)-11,36-dioxa-4-azatricyclo[30.3.1.04,9]hexatriaconta-16,24,26,28-tetraene-2,3,10,14,20-pentone (169 mg, 9%, white amorphous solid, compound 523) and (1R,9S,12S,15R,16E,18R,19R,21R,23S,24E,26E,28E,30R,32S,35R)-1,18-dihydroxy-12-[(2R)-1-[(1S,3R,4R)-4-hydroxy-3-methoxycyclohexyl]propan-2-yl]-19-methoxy-15,17,21,23,29,35-hexamethyl-30-(oxetan-3-yloxy)-11,36-dioxa-4-azatricyclo[30.3.1.04,9]hexatriaconta-16,24,26,28-tetraene-2,3,10,14,20-pentone (56 mg, 3%, white amorphous solid, compound 124).


SFC separation: Column: Princeton 2 Ethylpyridine 5 μm 60 A. Column size: 3 cm I.D.×15 cm L. Mobile phase: Carbon dioxide/Isopropanol (CO2/IpOH) 80/20. Flowrate: 100 ml/min. Pressure: 100 Bar. Wavelength: UV 277 nm. SFC Equipment: Waters SFC200.


Compound 523: 1H NMR (DMSO-d6, 600 MHz): δ (ppm) 5.84-6.54 (m, 5H), 5.47 (dd, J=14.9, 9.8 Hz, 1H), 5.23 (d, J=4.5 Hz, 1H), 5.08 (br d, J=10.1 Hz, 1H), 4.90-5.02 (m, 2H), 4.47-4.72 (m, 3H), 4.28-4.45 (m, 3H), 3.97-4.08 (m, 2H), 3.88 (d, J=5.0 Hz, 1H), 3.69-3.79 (m, 1H), 3.41-3.49 (m, 1H), 3.00-3.36 (m, 9H), 2.66-2.89 (m, 2H), 2.34-2.47 (m, 2H), 2.13-2.33 (m, 1H), 1.46-2.11 (m, 19H), 1.10-1.46 (m, 7H), 0.65-1.09 (m, 19H), 0.59 (q, J=12.0 Hz, 1H). LCMS: MNa+ (ion type), 978.3 (ion m/z).


Compound 124: 1H NMR (DMSO-d6, 600 MHz): δ (ppm) 5.84-6.54 (m, 5H), 5.47 (dd, J=14.9, 9.8 Hz, 1H), 5.23 (d, J=4.5 Hz, 1H), 5.08 (br d, J=10.1 Hz, 1H), 4.90-5.02 (m, 2H), 4.47-4.72 (m, 3H), 4.28-4.45 (m, 3H), 3.97-4.08 (m, 2H), 3.88 (d, J=5.0 Hz, 1H), 3.69-3.79 (m, 1H), 3.41-3.49 (m, 1H), 3.00-3.36 (m, 9H), 2.66-2.89 (m, 2H), 2.34-2.47 (m, 2H), 2.13-2.33 (m, 1H), 1.46-2.11 (m, 19H), 1.10-1.46 (m, 7H), 0.65-1.09 (m, 19H), 0.59 (q, J=12.0 Hz, 1H). LCMS: MNa+ (ion type), 978.3 (ion m/z).




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Oxetan-3-ylmethanol (8.03 g, 86.6 mmol) was added to a solution of rapamycin (2.00 g, 2.19 mmol) in anhydrous DCM (87 mL). The mixture was cooled to 0° C. and 4-methylbenzenesulfonic acid (1.88 g, 10.9 mmol) added. The mixture was stirred for five hours at 0° C. The mixture was diluted with DCM and neutralized by a saturated solution of NaHCO3. The phases were separated. The organic phase was washed with water (40 mL), dried, filtered and concentrated to dryness. The resulting crude mixture was purified by reverse phase chromatography (Uptisphere Strategy C18-Hq 10 um 250×30.0 mm CH3CN:H2O gradient 50:50 to 100:0, 277 nm). The main fraction (900 mg) was purified by SFC separation to afford (1R,9S,12S,15R,16E,18R,19R,21R,23S,24E,26E,28E,30S,32S,35R)-1,18-dihydroxy-12-[(2R)-1-[(1S,3R,4R)-4-hydroxy-3-methoxycyclohexyl]propan-2-yl]-19-methoxy-15,17,21,23,29,35-hexamethyl-30-[(oxetan-3-yl)methoxy]-11,36-dioxa-4-azatricyclo[30.3.1.04,9]hexatriaconta-16,24,26,28-tetraene-2,3,10,14,20-pentone (102.9 mg, 5%, white amorphous solid, compound 521) and (1R,9S,12S,15R,16E,18R,19R,21R,23S,24E,26E,28E,30R,32S,35R)-1,18-dihydroxy-12-[(2R)-1-[(1S,3R,4R)-4-hydroxy-3-methoxycyclohexyl]propan-2-yl]-19-methoxy-15,17,21,23,29,35-hexamethyl-30-[(oxetan-3-yl)methoxy]-11,36-dioxa-4-azatricyclo[30.3.1.04,9]hexatriaconta-16,24,26,28-tetraene-2,3,10,14,20-pentone (22.9 mg, 1%, white amorphous solid, compound 122).


SFC separation method: Column: Princeton 2 Ethylpyridine 5 μm 60. Column size: 3 cm I.D.×15 cm L. Mobile phase: CO2/IpOH 78/22. Flowrate: 100 ml/min. Pressure: 100 Bar. Wave length: UV 277 nm. SFC Equipment: Waters SFC200.


Compound 521: 1H NMR (DMSO-d6, 600 MHz): δ (ppm) 6.32-6.50 (m, 2H), 6.05-6.28 (m, 3H), 5.47 (dd, J=14.9, 9.6 Hz, 1H), 5.24 (br d, J=2.3 Hz, 1H), 5.09 (br d, J=10.1 Hz, 1H), 4.96-5.02 (m, 1H), 4.91-4.95 (m, 1H), 4.47-4.66 (m, 3H), 4.18-4.33 (m, 2H), 3.97-4.08 (m, 2H), 3.92 (d, J=4.7 Hz, 1H), 3.78 (dd, J=11.7, 2.1 Hz, 1H), 3.01-3.48 (m, 13H), 2.83 (ddd, J=11.1, 8.7, 4.5 Hz, 1H), 2.74 (dd, J=17.7, 2.6 Hz, 1H), 2.35-2.46 (m, 2H), 2.17-2.26 (m, 1H), 1.46-2.13 (m, 19H), 0.55-1.44 (m, 27H). LCMS: MNa+ (ion type), 992.4 (ion m/z).


Compound 124: 1H NMR (DMSO-d6, 600 MHz): δ ppm 6.31-6.71 (m, 2H), 5.85-6.28 (m, 3H), 4.75-5.70 (m, 5H), 4.45-4.69 (m, 3H), 4.15-4.40 (m, 2H), 3.67-4.12 (m, 4H), 3.50-3.64 (m, 1H), 3.36-3.49 (m, 2H), 3.00-3.24 (m, 6H), 2.52-2.90 (m, 4H), 1.82-2.47 (m, 6H), 0.67-1.80 (m, 44H), 0.51-0.63 (m, 1H). LCMS: MNa+ (ion type), 992.4 (ion m/z).




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(Oxan-4-yl)methanol (10.06 g, 86.6 mmol) was added to a solution of rapamycin (2.00 g, 2.19 mmol) in anhydrous DCM (87 mL). The mixture was cooled to −40° C. and 4-methylbenzenesulfonic acid (1.88 g, 10.9 mmol) added. The mixture was allowed to reach −10° C. and stirred for one hour at −10° C. The mixture was diluted with DCM and neutralized by a saturated solution of NaHCO3. The phases were separated. The organic phase was washed with water (40 mL), dried, filtered and concentrated to dryness. The resulting crude mixture was purified by reverse phase chromatography (Uptisphere Strategy C18-Hq 10 um 250×30.0 mm CH3CN:H2O gradient 60:40 to 100:0 in 40 min, 277 nm). The main fraction (450 mg) was purified by SFC separation to afford (1R,9S,12S,15R,16E,18R,19R,21R,23S,24E,26E,28E,30S,32S,35R)-1,18-dihydroxy-12-[(2R)-1-[(1S,3R,4R)-4-hydroxy-3-methoxycyclohexyl]propan-2-yl]-19-methoxy-15,17,21,23,29,35-hexamethyl-30-[(oxan-4-yl)methoxy]-11,36-dioxa-4-azatricyclo[30.3.1.04,9]hexatriaconta-16,24,26,28-tetraene-2,3,10,14,20-pentone (109 mg, 5%, amorphous white solid, compound 525) and (1R,9S,12S,15R,16E,18R,19R,21R,23S,24E,26E,28E,30R,32S,35R)-1,18-dihydroxy-12-[(2R)-1-[(1S,3R,4R)-4-hydroxy-3-methoxycyclohexyl]propan-2-yl]-19-methoxy-15,17,21,23,29,35-hexamethyl-30-[(oxan-4-yl)methoxy]-11,36-dioxa-4-azatricyclo[30.3.1.04,9]hexatriaconta-16,24,26,28-tetraene-2,3,10,14,20-pentone (6 mg, 0.5%, amorphous white solid, compound 126).


SFC separation: Column: Princeton 2 Ethylpyridine 5 μm 60 A, Column size: 3 cm I.D.×15 cm L. Mobile phase: CO2/IpOH 83/17. Flowrate: 100 ml/mi. Pressure: 100 Bar. Wave length: UV 277 nm. SFC Equipment: Waters SFC200


Compound 525: 1H NMR (DMSO-d6, 600 MHz): δ ppm 6.27-6.52 (m, 2H), 6.04-6.25 (m, 3H), 5.46 (dd, J=14.9, 9.8 Hz, 1H), 5.23 (s, 1H), 5.13-5.39 (m, 1H), 5.09 (br d, J=10.1 Hz, 1H), 4.96-5.00 (m, 1H), 4.91-4.95 (m, 1H), 4.34-4.64 (m, 1H), 3.99-4.08 (m, 2H), 3.94 (d, J=4.5 Hz, 1H), 3.79-3.86 (m, 2H), 3.65-3.75 (m, 1H), 3.23-3.37 (m, 6H), 3.12-3.21 (m, 6H), 3.07 (dd, J=9.1, 6.3 Hz, 1H), 2.94 (dd, J=9.1, 6.2 Hz, 1H), 2.83 (ddd, J=11.1, 8.6, 4.3 Hz, 1H), 2.73 (dd, J=17.7, 2.6 Hz, 1H), 2.34-2.45 (m, 2H), 2.17-2.26 (m, 1H), 1.93-2.14 (m, 3H), 1.11-1.92 (m, 28H), 0.89-1.08 (m, 6H), 0.87 (d, J=6.6 Hz, 3H), 0.80-0.85 (m, 3H), 0.78 (d, J=6.7 Hz, 3H), 0.70-0.76 (m, 3H), 0.60 (m, 1H). LCMS: MNa+ (ion type), 1020.5 (ion m/z).


Compound 126: LCMS: MNa+ (ion type), 1020.5 (ion m/z).




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Cyclopropanol (5.47 mL, 86.64 mmol) was added to a solution of rapamycin (2.00 g, 2.19 mmol) in anhydrous DCM (87 mL). The mixture was cooled to −20° C. and 4-methylbenzenesulfonic acid (1.88 g, 10.9 mmol) added. The mixture stirred for 2 hours at −20° C. The mixture was allowed to reach room temperature over an hour. The mixture was diluted with DCM and neutralized by a saturated solution of NaHCO3. The phases were separated. The organic phase was washed with water (40 mL), dried, filtered and concentrated to dryness. The resulting crude mixture was purified by reverse phase chromatography (Uptisphere Strategy C18-Hq 10 um 250×30.0 mm CH3CN:H2O gradient 70:30 to 100:0 in 33 min, 277 nm). The main fraction (940 mg) was purified by SFC separation to afford (1R,9S,12S,15R,16E,18R,19R,21R,23S,24E,26E,28E,30R,32S,35R)-30-(cyclopropoxy)-1,18-dihydroxy-12-[(1R)-2-[(1S,3R,4R)-4-hydroxy-3-methoxy-cyclohexyl]-1-methyl-ethyl]-19-methoxy-15,17,21,23,29,35-hexamethyl-11,36-dioxa-4-azatricyclo[30.3.1.04,9]hexatriaconta-16,24,26,28-tetraene-2,3,10,14,20-pentone (132 mg, 6.5%, amorphous white solid, compound 519) and (1R,9S,12S,15R,16E,18R,19R,21R,23S,24E,26E,28E,30S,32S,35R)-30-(cyclopropoxy)-1,18-dihydroxy-12-[(1R)-2-[(1S,3R,4R)-4-hydroxy-3-methoxy-cyclohexyl]-1-methyl-ethyl]-19-methoxy-15,17,21,23,29,35-hexamethyl-11,36-dioxa-4-azatricyclo[30.3.1.04,9]hexatriaconta-16,24,26,28-tetraene-2,3,10,14,20-pentone (14 mg, 0.6%, amorphous white solid, compound 120).


SFC separation: Column: Princeton 2 Ethylpyridine 5 μm 60 A. Column size: 3 cm I.D.×15 cm L. Mobile phase: CO2/IpOH 80/20. Flowrate: 70 ml/min. Pressure: 100 Bar. Wave length: UV 277 nm. SFC Equipment: Waters SFC200


Compound 519: 1H NMR (DMSO-d6, 600 MHz): δ (ppm) 6.35-6.49 (m, 2H), 6.19-6.29 (m, 1H), 6.09-6.18 (m, 2H), 5.46 (dd, J=15.0, 9.5 Hz, 1H), 5.17-5.32 (m, 1H), 5.09 (br d, J=10.1 Hz, 1H), 4.95-5.02 (m, 1H), 4.93 (br d, J=5.3 Hz, 1H), 4.56 (br s, 1H), 3.98-4.06 (m, 1H), 3.92 (d, J=4.7 Hz, 1H), 3.84-3.90 (m, 1H), 3.82 (dd, J=11.8, 2.0 Hz, 1H), 3.39-3.45 (m, 1H), 3.30 (s, 3H), 3.25-3.29 (m, 2H), 3.16-3.22 (m, 1H), 3.16 (s, 3H), 3.04 (tt, J=6.0, 3.1 Hz, 1H), 2.79-2.91 (m, 1H), 2.73 (dd, J=17.6, 2.5 Hz, 1H), 2.34-2.46 (m, 2H), 1.78-2.34 (m, 6H), 1.63-1.77 (m, 10H), 1.01-1.62 (m, 13H), 0.98 (d, J=6.6 Hz, 2H), 0.92-1.01 (m, 2H), 0.87 (d, J=6.5 Hz, 3H), 0.83 (d, J=6.5 Hz, 3H), 0.81-0.86 (m, 1H), 0.75-0.81 (m, 3H), 0.69-0.75 (m, 3H), 0.60 (q, J=11.9 Hz, 1H), 0.27-0.52 (m, 4H). LCMS: MNa+ (ion type), 962.3 (ion m/z).


Compound 120: 1H NMR (DMSO-d6, 600 MHz): δ (ppm) 5.91-6.72 (m, 5H), 5.61-5.73 (m, 1H), 4.86-5.45 (m, 4H), 4.35-4.75 (m, 1H), 4.05 (br d, J=1.6 Hz, 1H), 3.69-3.99 (m, 3H), 3.51-3.63 (m, 1H), 2.98-3.42 (m, 10H), 2.63-2.93 (m, 2H), 2.51-2.59 (m, 2H), 2.21-2.34 (m, 1H), 1.85-2.19 (m, 3H), −0.05-1.83 (m, 47H). LCMS: MNa+ (ion type), 962.3 (ion m/z).




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2-phenylethanol (10 mL, 86.6 mmol) was added to a solution of rapamycin (2.00 g, 2.19 mmol) in anhydrous DCM (87 mL). The mixture was cooled to −20° C. and 4-methylbenzenesulfonic acid (1.88 g, 10.9 mmol) added. The mixture stirred for 1 hour at 0° C. The mixture was allowed to reach room temperature over an hour. The mixture was diluted with DCM and neutralized by a saturated solution of NaHCO3. The phases were separated. The organic phase was washed with water (40 mL), dried, filtered and concentrated to dryness. The resulting crude mixture was purified by reverse phase chromatography (Uptisphere Strategy C18-Hq 10 um 250×30.0 mm CH3CN:H2O gradient 60:40 to 100:0 in 25 min, 277 nm). The main fraction (1.76 g) was purified by SFC separation to afford (1R,9S,12S,15R,16E,18R,19R,21R,23S,24E,26E,28E,30S,32S,35R)-1,18-dihydroxy-12-[(1R)-2-[(1S,3R,4R)-4-hydroxy-3-methoxy-cyclohexyl]-1-methyl-ethyl]-19-methoxy-15,17,21,23,29,35-hexamethyl-30-(2-phenylethoxy)-11,36-dioxa-4-azatricyclo[30.3.1.04,9]hexatriaconta-16,24,26,28-tetraene-2,3,10,14,20-pentone (95.2 mg, 4.2%, amorphous white solid, compound 520) and ((1R,9S,12S,15R,16E,18R,19R,21R,23S,24E,26E,28E,30R,32S,35R)-1,18-dihydroxy-12-[(1R)-2-[(I S,3R,4R)-4-hydroxy-3-methoxy-cyclohexyl]-1-methyl-ethyl]-19-methoxy-15,17,21,23,29,35-hexamethyl-30-(2-phenylethoxy)-11,36-dioxa-4-azatricyclo[30.3.1.04,9]hexatriaconta-16,24,26,28-tetraene-2,3,10,14,20-pentone (42 mg, 1.9%, amorphous white solid, compound 121).


SFC separation: Column: Princeton 2 Ethylpyridine 5 μm 60 A. Column size: 3 cm I.D.×15 cm L. Mobile phase: CO2/IpOH 80/20. Flowrate: 100 ml/min. Pressure: 100 Bar. Wave length: UV 277 nm. SFC Equipment: Waters SFC200.


Compound 520: 1H NMR (DMSO-d6, 600 MHz): δ (ppm) 7.13-7.31 (m, 5H), 6.30-6.42 (m, 21H), 6.05-6.24 (m, 3H), 5.45 (dd, J=14.8, 9.7 Hz, 1H), 5.17-5.28 (m, 1H), 5.08 (br d, J=10.1 Hz, 1H), 4.94-5.05 (m, 1H), 4.93 (br d, J=5.4 Hz, 1H), 4.57 (d, J=4.5 Hz, 1H), 3.89-4.06 (m, 3H), 3.68-3.75 (m, 1H), 3.40-3.48 (m, 2H), 3.31-3.33 (m, 4H), 3.25 (br dd, J=10.1, 6.6 Hz, 1H), 3.16-3.21 (m, 2H), 3.15 (s, 3H), 2.71-2.85 (m, 4H), 2.33-2.44 (m, 2H), 2.16-2.33 (m, 1H), 2.05-2.12 (m, 1H), 1.96-2.05 (m, 1H), 1.80-1.91 (m, 2H), 1.74-1.78 (m, 1H), 1.73 (s, 3H), 1.59-1.70 (m, 5H), 1.57-1.59 (m, 3H), 0.91-1.56 (m, 16H), 0.85 (d, J=6.6 Hz, 3H), 0.82 (d, J=6.5 Hz, 41), 0.76 (d, J=6.7 Hz, 3H), 0.72 (d, J=6.7 Hz, 3H), 0.55-0.62 (m, 1H). LCMS: MNa+ (ion type), 1026.5 (ion m/z).


Compound 121: 1H NMR (600 MHz, DMSO-d6) Shift 7.16-7.28 (m, 5H), 6.55 (s, 1H), 5.88-6.50 (m, 4H), 5.53-5.71 (m, 1H), 5.21-5.26 (m, 1H), 5.08-5.13 (m, 1H), 4.96-5.00 (m, 1H), 4.52-4.58 (m, 1H), 3.77-4.11 (m, 4H), 3.54 (br d, J=13.06 Hz, 1H), 3.35-3.48 (m, 2H), 3.20-3.29 (m, 4H), 3.10-3.20 (m, 4H), 2.93-3.08 (m, 1H), 2.70-2.84 (m, 4H), 2.51-2.55 (m, 1H), 2.31-2.47 (m, 1H), 2.20-2.30 (m, 1H), 2.15 (br d, J=13.79 Hz, 1H), 1.87-2.05 (m, 2H), 1.07-1.83 (m, 26H), 0.53-0.99 (m, 18H). LCMS: MNa+ (ion type), 1026.4 (ion m/z).




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Oxetan-3-ylmethanol (3.83 g, 41 mmol) was added to a solution of (1R,9S,12S,15R,16E,18R,19R,21R,23S,24E,26E,28E,30S,32S,35R)-1,18-dihydroxy-12-{(2R)-1-[(1S,3R,4R)-4-(2-hydroxyethoxy)-3-methoxycyclohexyl]propan-2-yl}-19,30-dimethoxy-15,17,21,23,29,35-hexamethyl-11,36-dioxa-4-azatricyclo[30.3.1.0˜4,9˜]hexatriaconta-16,24,26,28-tetraene-2,3,10,14,20-pentone (1 g, 1.04 mmol) in anhydrous DCM (41.7 mL). The mixture was cooled down to 0° C. and 4-methylbenzenesulfonic acid (0.88 g, 5.11 mmol) was added. The mixture was stirred for 6 hours at 0° C., diluted with DCM and neutralized by a saturated solution of NaHCO3. The phases were separated. The organic phase was washed with water (60 mL), dried, filtered and concentrated to dryness. The resulting crude mixture was purified by reverse phase chromatography (Uptisphere Strategy C18-Hq 10 um 250×30.0 mm CH3CN:H2O gradient 60:40 to 100:0 in 25 min, 277 nm). The main fraction (395 mg) was purified by SFC separation to afford (1R,9S,12S,15R,16E,18R,19R,21R,23S,24E,26E,28E,30S,32S,35R)-1,18-dihydroxy-12-[(1R)-2-[(1S,3R,4R)-4-(2-hydroxyethoxy)-3-methoxy-cyclohexyl]-1-methyl-ethyl]-19-methoxy-15,17,21,23,29,35-hexamethyl-30-(oxetan-3-ylmethoxy)-11,36-dioxa-4-azatricyclo[30.3.1.04,9]hexatriaconta-16,24,26,28-tetraene-2,3,10,14,20-pentone (75.5 mg, 7.1%, amorphous white solid, compound 474) and (1R,9S,12S,15R,16E,18R,19R,21R,23S,24E,26E,28E,30R,32S,35R)-1,18-dihydroxy-12-[(1R)-2-[(1S,3R,4R)-4-(2-hydroxyethoxy)-3-methoxy-cyclohexyl]-1-methyl-ethyl]-19-methoxy-15,17,21,23,29,35-hexamethyl-30-(oxetan-3-ylmethoxy)-11,36-dioxa-4-azatricyclo[30.3.1.04,9]hexatriaconta-16,24,26,28-tetraene-2,3,10,14,20-pentone (48 mg, 3.7%, amorphous white solid, compound 75).


SFC separation: Column: Princeton 2 Ethylpyridine 5 μm 60 A. Column size: 3 cm I.D.×15 cm L. Mobile phase: CO2/IpOH 80/20. Flowrate: 50 ml/min. Pressure: 100 Bar. Wave length: UV 277 nm. SFC Equipment: Waters SFC200.


Compound 474: 1H NMR (DMSO-d6, 600 MHz): δ (ppm) 6.45 (s, 1H), 6.40 (dd, J=14.7, 11.2 Hz, 1H), 6.18-6.26 (m, 1H), 6.10-6.17 (m, 2H), 5.47 (dd, J=15.0, 9.5 Hz, 1H), 5.25 (d, J=4.5 Hz, 1H), 5.09 (br d, J=10.1 Hz, 1H), 4.95-5.00 (m, 1H), 4.93 (br d, J=5.7 Hz, 1H), 4.61 (dd, J=7.8, 5.9 Hz, 2H), 4.44 (t, J=5.4 Hz, 1H), 4.25 (td, J=6.0, 2.0 Hz, 2H), 3.96-4.06 (m, 2H), 3.92 (d, J=4.7 Hz, 1H), 3.78 (br d, J=13.5 Hz, 1H), 3.39-3.55 (m, 6H), 3.32-3.34 (m, 1H), 3.33 (s, 3H), 3.24-3.29 (m, 1H), 3.16-3.23 (m, 1H), 3.15 (s, 3H), 3.02-3.12 (m, 2H), 2.97 (ddd, J=11.1, 8.8, 4.5 Hz, 1H), 2.73 (br d, J=15.1 Hz, 1H), 2.30-2.48 (m, 2H), 2.19-2.34 (m, 1H), 2.09 (br d, J=13.5 Hz, 1H), 1.79-2.06 (m, 5H), 1.74 (s, 3H), 1.62-1.70 (m, 5H), 0.00 (d, J=6.9 Hz, 3H), 0.90-1.60 (m, 15H), 0.87 (d, J=6.6 Hz, 3H), 0.83 (d, J=6.5 Hz, 3H), 0.79-0.82 (m, 1H), 0.78 (d, J=6.7 Hz, 3H), 0.73 (d, J=6.7 Hz, 3H), 0.65 (q, J=11.8 Hz, 1H). LCMS: MNa+ (ion type), 1036.5 (ion m/z).


Compound 75: 1H NMR (DMSO-d6, 600 MHz): δ (ppm) 6.58 (s, 1H), 6.38-6.50 (m, 1H), 6.11-6.25 (m, 3H), 6.06 (br d, J=11.0 Hz, 1H), 5.64 (dd, J=14.5, 8.4 Hz, 1H), 5.25 (br d, J=4.5 Hz, 2H), 5.09-5.14 (m, 1H), 4.99 (br d, J=6.0 Hz, 1H), 4.60 (dt, J=7.8, 6.3 Hz, 2H), 4.41-4.45 (m, 1H), 4.32 (t, J=5.8 Hz, 1H), 4.26 (t, J=5.9 Hz, 1H), 4.05 (t, J=4.4 Hz, 1H), 3.91-4.02 (m, 1H), 3.88 (d, J=4.8 Hz, 1H), 3.85 (dd, J=10.1, 1.9 Hz, 1H), 3.57 (br d, J=13.8 Hz, 1H), 3.38-3.54 (m, 6H), 3.32-3.34 (m, 1H), 3.31 (s, 3H), 3.18 (s, 3H), 3.05-3.13 (m, 2H), 2.99-3.05 (m, 1H), 2.92-2.99 (m, 1H), 2.78 (br dd, J=17.5, 2.6 Hz, 1H), 2.52-2.73 (m, 2H), 2.23-2.38 (m, 1H), 2.06-2.19 (m, 1H), 1.86-2.05 (m, 31H), 1.71-1.76 (m, 1H), 1.69 (s, 3H), 1.66 (s, 3H), 1.21-1.65 (m, 12H), 1.03-1.14 (m, 3H), 0.99 (d, J=6.6 Hz, 3H), 0.98-1.02 (m, 1H), 0.94 (br d, J=6.7 Hz, 3H), 0.86-0.92 (m, 2H), 0.85 (d, J=6.6 Hz, 3H), 0.80 (d, J=6.7 Hz, 3H), 0.74 (d, J=6.6 Hz, 3H), 0.62 (q, J=11.8 Hz, 1H). LCMS: MNa+ (ion type), 1036.5 (ion m/z).




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A solution of (1R,9S,12S,15R,16E,18R,19R,21R,23S,24E,26E,28E,30S,32S,35R)-1,18-dihydroxy-12-[(1R)-2-[(1S,3R,4R)-4-(3-hydroxypropoxy)-3-methoxy-cyclohexyl]-1-methyl-ethyl]-19-methoxy-30-(2-methoxyethoxy)-15,17,21,23,29,35-hexamethyl-11,36-dioxa-4-azatricyclo[30.3.1.0{circumflex over ( )}4,9]hexatriaconta-16,24,26,28-tetraene-2,3,10,14,20-pentone (compound 427, 350 mg, 0.344 mmol) in anhydrous DCM (2.87 mL) was cooled to −78° C. under argon. Then 2,6-dimethylpyridine (171 uL, 1.48 mmol) was added. The solution was stirred for few minutes and trifluoromethylsulfonyl trifluoromethanesulfonate (116 uL, 0.689 mmol) was added. The mixture was stirred 10 min at −78° C. The bath was removed and 1-methylpiperazine (191 uL, 1.72 mmol) was added. The reaction mixture was stirred while allowed to reach room temperature over 20 minutes. The mixture was diluted with DCM, concentrated and purified by silica gel flash column chromatography (0 to 10% of (MeOH:Triethylamine 1:1) in ethyl acetate. The isolated fractions of interest were purified a second time by silica gel flash column chromatography (0 to 20% of MeOH in DCM to afford the compound of interest (1R,9S,12S,15R,16E,18R,19R,21R,23S,24E,26E,28E,30S*,32S,35R)-1,18-dihydroxy-19-methoxy-30-(2-methoxyethoxy)-12-[(1R)-2-[(1S,3R,4R)-3-methoxy-4-[3-(4-methylpiperazin-1-yl)propoxy]cyclohexyl]-1-methyl-ethyl]-15,17,21,23,29,35-hexamethyl-11,36-dioxa-4-azatricyclo[30.3.1.0{circumflex over ( )}4,9]hexatriaconta-16,24,26,28-tetraene-2,3,10,14,20-pentone (368 mg, 77%, compound 431).


Compound 431: 1H NMR (DMSO-d6, 600 MHz): δ (ppm) 5.87-6.57 (m, 5H), 5.46 (dd, J=14.9, 9.6 Hz, 1H), 5.25 (d, J=4.5 Hz, 1H), 5.09 (br d, J=10.1 Hz, 1H), 4.98 (dt, J=7.8, 4.0 Hz, 1H), 4.93 (br d, J=5.6 Hz, 1H), 4.01 (br t, J=4.1 Hz, 2H), 3.94 (d, J=4.5 Hz, 1H), 3.78 (dd, J=11.8, 1.7 Hz, 1H), 3.07-3.62 (m, 19H), 2.87-3.04 (m, 2H), 2.73 (br dd, J=17.7, 2.6 Hz, 1H), 2.13-2.66 (m, 11H), 2.06-2.11 (m, 1H), 1.81-2.05 (m, 5H), 1.47-1.78 (m, 17H), 1.34-1.44 (m, 2H), 0.98 (br d, J=6.5 Hz, 13H), 0.80-0.88 (m, 7H), 0.77 (d, J=6.7 Hz, 3H), 0.73 (d, J=6.6 Hz, 3H), 0.65 (q, J=11.8 Hz, 1H). LCMS: MH+ (ion type), 1098.5 (ion m/z).




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(1R,9S,12S,15R,16E,18R,19R,21R,23S,24E,26E,28E,30S,32S,35R)-12-[(1R)-2-[(1S,3R,4R)-4-[3-[tert-butyl(dimethyl)silyl]oxypropoxy]-3-methoxy-cyclohexyl]-1-methyl-ethyl]-1,18-dihydroxy-19-methoxy-30-(2-methoxyethoxy)-15,17,21,23,29,35-hexamethyl-11,36-dioxa-4-azatricyclo[30.3.1.04,9]hexatriaconta-16,24,26,28-tetraene-2,3,10,14,20-pentone (compound A, 600 mg, 0.531 mmol) was dissolved in anhydrous THF (6 mL) and stirred at room temperature. A 1 M aqueous solution of chlorohydric acid (53 uL, 0.0531 mmol) was added. After two hours at room temperature, water and DCM were added, the layers were separated and the aqueous was extracted twice with DCM. The combined organic layer was concentrated and purified by silica gel flash column chromatography (AcOEt/Cyclohexane 0/100 to 100/0) to afford (1R,9S,12S,15R,16E,18R,19R,21R,23S,24E,26E,28E,30S,32S,35R)-1,18-dihydroxy-12-[(1R)-2-[(1S,3R,4R)-4-(3-hydroxypropoxy)-3-methoxy-cyclohexyl]-1-methyl-ethyl]-19-methoxy-30-(2-methoxyethoxy)-15,17,21,23,29,35-hexamethyl-11,36-dioxa-4-azatricyclo[30.3.1.04,9]hexatriaconta-16,24,26,28-tetraene-2,3,10,14,20-pentone (250 mg, 57%, compound 427, white amorphous solid)


Compound 427: 1H NMR (600 MHz, CHLOROFORM-d, 300K) δ ppm 5.79-6.44 (m, 4H), 5.02-5.60 (m, 4H), 4.78 (br s, 1H), 4.17 (d, J=5.9 Hz, 1H), 2.95-3.97 (m, 26H), 2.54-2.91 (m, 4H), 2.05-2.39 (m, 5H), 0.78-2.01 (m, 43H), 0.62-0.76 (m, 1H). LCMS: MNa+ (ion type), 1038.5 (ion m/z).




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(1R,9S,12S,15R,16E,18R,19R,21R,23S,24E,26E,28E,30S,32S,35R)-1,18-dihydroxy-12-[(1R)-2-[(1S,3R,4R)-4-hydroxy-3-methoxy-cyclohexyl]-1-methyl-ethyl]-19-methoxy-30-(2-methoxyethoxy)-15,17,21,23,29,35-hexamethyl-11,36-dioxa-4-azatricyclo[30.3.1.04,9]hexatriaconta-16,24,26,28-tetraene-2,3,10,14,20-pentone (compound 529, 1.00 g, 1.04 mmol) was dissolved in chlorobenzene (10 mL) with N-ethyl-N-isopropyl-propan-2-amine (0.58 mL, 3.34 mmol) and 3-[tert-butyl(dimethyl)silyl]oxypropyl trifluoromethanesulfonate (1009 mg, 3.13 mmol) under argon. The reaction mixture was heated at 50° C. for two hours. Extra N-ethyl-N-isopropyl-propan-2-amine (0.58 mL, 3.34 mmol) and 3-[tert-butyl(dimethyl)silyl]oxypropyl trifluoromethanesulfonate (1009 mg, 3.13 mmol) were charged after two hours and four hours of reaction. After 6 hours at 50° C., the mixture was allowed to reach room temperature. It was then diluted with DCM and water. The layers were separated and the organic was washed with a saturated aqueous solution of NaCl. The gathered organic layers were concentrated and purified by silica gel flash column chromatography (AcOEt/Cyclohexane 0/100 to 30/70) to afford (1R,9S,12S,15R,16E,18R,19R,21R,23S,24E,26E,28E,30S,32S,35R)-12-[(1R)-2-[(1S,3R,4R)-4-[3-[tert-butyl(dimethyl)silyl]oxypropoxy]-3-methoxy-cyclohexyl]-1-methyl-ethyl]-1,18-dihydroxy-19-methoxy-30-(2-methoxyethoxy)-15,17,21,23,29,35-hexamethyl-11,36-dioxa-4-azatricyclo[30.3.1.04,9]hexatriaconta-16,24,26,28-tetraene-2,3,10,14,20-pentone (545 mg, 44% compound A, white amorphous solid).


Compound A: 1H NMR (DMSO-d6, 600 MHz): δ (ppm) 5.86-6.55 (m, 5H), 5.46 (dd, J=15.0, 9.7 Hz, 1H), 5.25 (d, J=4.5 Hz, 1H), 5.09 (br d, J=10.1 Hz, 1H), 4.90-5.00 (m, 2H), 3.70-4.36 (m, 4H), 3.60-3.68 (m, 2H), 3.28-3.59 (m, 11H), 3.03-3.28 (m, 9H), 2.89-3.03 (m, 2H), 2.73 (br dd, J=17.5, 2.4 Hz, 1H), 1.79-2.46 (m, 9H), 0.48-1.78 (m, 49H), −0.11-0.16 (m, 6H). LCMS: MNa+ (ion type), 1152.6 (ion m/z).




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Rapamycin (2.0 g, 2.19 mmol), pTSA monohydrate (1.88 g, 10 mmol), DCM (27 mL) and 2-methoxyethanol (63 mL) were charged in a 100 mL flask and stirred for 1 h at room temperature. The mixture was diluted with EtOAc and NaHCO3 aqueous solution. The layers were separated and the aqueous layer extracted with EtOAc. The combined organic phases were washed with water, concentrated and purified by SFC purification to afford two fractions. FC purification condition: Instrument: Waters SFC80; Stationary Phase: Princeton 2-ethylpyridine 20×150 mm 5 μm;


Mobile phase: CO2/IpOH 83/17; Flowrate: 100 mL/min; Detection: 277 nm; Pressure: 50 bar 1185 mg of sample were dissolved in 65 mL of IpOH.


Compound 529: (1R,9S,12S,15R,16E,18R,19R,21R,23S,24E,26E,28E,30S,32S,35R)-1,18-dihydroxy-12-[(1R)-2-[(1S,3R,4R)-4-hydroxy-3-methoxy-cyclohexyl]-1-methyl-ethyl]-19-methoxy-30-(2-methoxyethoxy)-15,17,21,23,29,35-hexamethyl-11,36-dioxa-4-azatricyclo[30.3.1.04,9]hexatriaconta-16,24,26,28-tetraene-2,3,10,14,20-pentone (12.6 g, 45%, compound 529, white amorphous solid).


Compound 529: 1H NMR (DMSO-d6, 600 MHz): δ (ppm) 6.44 (s, 1H), 6.39 (dd, J=14.7, 11.3 Hz, 1H), 6.18-6.25 (m, 1H), 6.07-6.16 (m, 2H), 5.46 (dd, J=15.0, 9.7 Hz, 1H), 5.24 (br s, 1H), 5.09 (br d, J=10.1 Hz, 1H), 4.98 (ddd, J=8.5, 4.6, 2.9 Hz, 1H), 4.93 (br d, J=5.4 Hz, 1H), 4.43-4.71 (m, 1H), 3.98-4.09 (m, 2H), 3.94 (d, J=4.7 Hz, 1H), 3.76-3.81 (m, 1H), 3.09-3.48 (m, 17H), 2.83 (ddd, J=11.1, 8.7, 4.4 Hz, 1H), 2.73 (dd, J=17.5, 2.6 Hz, 1H), 2.34-2.45 (m, 2H), 2.16-2.27 (m, 1H), 1.80-2.14 (m, 6H), 1.46-1.78 (m, 14H), 1.35-1.45 (m, 2H), 1.11-1.33 (m, 4H), 0.91-1.09 (m, 6H), 0.67-0.89 (m, 13H), 0.55-0.64 (m, 1H). LCMS: MN-4+(ion type), 975.5 (ion m/z).


Compound 130: (1R,9S,12S,15R,16E,18R,19R,21R,23S,24E,26E,28E,30R,32S,35R)-1,18-dihydroxy-12-[(1R)-2-[(1S,3R,4R)-4-hydroxy-3-methoxy-cyclohexyl]-1-methyl-ethyl]-19-methoxy-30-(2-methoxyethoxy)-15,17,21,23,29,35-hexamethyl-11,36-dioxa-4-azatricyclo[30.3.1.04,9]hexatriaconta-16,24,26,28-tetraene-2,3,10,14,20-pentone (350 mg, 17%, compound 130, white amorphous solid).


Compound 130: 1H NMR (DMSO-d6, 600 MHz) δ 5.9-6.6 (m, 5H), 5.61 (dd, 1H, J=8.4, 14.6 Hz), 5.2-5.3 (m, 2H), 5.11 (ddd, 1H, J=2.8, 4.8, 9.0 Hz), 4.99 (dd, 1H, J=1.0, 6.1 Hz), 4.57 (br dd, 1H, J=1.2, 1.9 Hz), 4.04 (br d, 1H, J=3.8 Hz), 3.9-4.0 (m, 1H), 3.90 (d, 1H, J=4.5 Hz), 3.82 (dd, 1H, J=1.9, 9.7 Hz), 3.55 (br d, 1H, J=13.6 Hz), 3.0-3.5 (m, 12H), 2.5-2.9 (m, 4H), 2.2-2.3 (m, 1H), 1.8-2.2 (m, 4H), 0.5-1.8 (m, 46H); LCMS: MNa+ (ion type), 980.6 (ion m/z).




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(1R,9S,12S,15R,16E,18R,19R,21R,23S,24E,26E,28E,30S,32S,35R)-1,18-dihydroxy-12-[(1R)-2-[(1S,3R,4R)-4-(3-hydroxypropoxy)-3-methoxy-cyclohexyl]-1-methyl-ethyl]-19-methoxy-30-(2-methoxyethoxy)-15,17,21,23,29,35-hexamethyl-11,36-dioxa-4-azatricyclo[30.3.1.0{circumflex over ( )}4,9]hexatriaconta-16,24,26,28-tetraene-2,3,10,14,20-pentone (compound 14, 237 mg, 0.233 mmol) was dissolved in anhydrous DCM (1.94 mL). 2,6-dimethylpyridine (116 uL, 1.00 mmol) was then added and the mixture was cooled down to −78° C., before trifluoromethylsulfonyl trifluoromethanesulfonate (78 uL, 0.466 mmol) was added. The reaction was stirred at −78° C. for 1 hour. The ice bath was removed and morpholine (102 uL, 1.17 mmol) was added. The reaction mixture was stirred while allowed to reach room temperature over 20 minutes. The mixture was diluted with DCM, concentrated and purified by silica gel flash column chromatography (0 to 10% of (MeOH:Triethylamine 1:1) in ethyl acetate. The isolated fractions of interest were purified a second time by silica gel flash column chromatography (0 to 20% of MeOH in DCM to afford (1R,9S,12S,15R,16E,18R,19R,21R,23S,24E,26E,28E,30S,32S,35R)-1,18-dihydroxy-19-methoxy-30-(2-methoxyethoxy)-12-[(1R)-2-[(1S,3R,4R)-3-methoxy-4-(3-morpholinopropoxy)cyclohexyl]-1-methyl-ethyl]-15,17,21,23,29,35-hexamethyl-11,36-dioxa-4-azatricyclo[30.3.1.04,9]hexatriaconta-16,24,26,28-tetraene-2,3,10,14,20-pentone (118.2 mg, 41%, Compound 447, white amorphous solid).


Compound 447: 1H NMR (DMSO-d6, 600 MHz): δ (ppm) 6.45 (d, J=1.5 Hz, 1H), 6.39 (dd, J=14.7, 11.2 Hz, 1H), 6.08-6.25 (m, 3H), 5.46 (dd, J=14.8, 9.7 Hz, 1H), 5.25 (d, J=4.5 Hz, 1H), 5.09 (br d, J=10.1 Hz, 1H), 4.95-5.05 (m, 1H), 4.91-4.95 (m, 1H), 3.97-4.08 (m, 2H), 3.86-3.95 (m, 1H), 3.76-3.82 (m, 1H), 3.51-3.59 (m, 6H), 3.33-3.50 (m, 5H), 3.32 (s, 3H), 3.25-3.28 (m, 1H), 3.23 (s, 3H), 3.11-3.16 (m, 3H), 2.92-3.04 (m, 2H), 2.73 (br dd, J=17.8, 2.5 Hz, 1H), 2.34-2.45 (m, 2H), 2.27-2.34 (m, 6H), 1.83-2.23 (m, 7H), 1.71-1.77 (m, 3H), 0.89-1.70 (m, 26H), 0.85-0.88 (m, 3H), 0.83 (d, J=6.5 Hz, 3H), 0.81-0.84 (m, 1H), 0.77 (d, J=6.7 Hz, 3H), 0.73 (d, J=6.6 Hz, 3H), 0.60-0.69 (m, 1H). LCMS: MH+ (ion type), 1085.6 (ion m/z).




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To a solution of (1R,9S,12S,15R,16E,18R,19R,21R,23S,24E,26E,28E,30S,32S,35R)-1,18-dihydroxy-12-[(1R)-2-[(1S,3R,4R)-4-(3-iodopropoxy)-3-methoxy-cyclohexyl]-1-methyl-ethyl]-19-methoxy-30-(2-methoxyethoxy)-15,17,21,23,29,35-hexamethyl-11,36-dioxa-4-azatricyclo[30.3.1.0{circumflex over ( )}4,9]hexatriaconta-16,24,26,28-tetraene-2,3,10,14,20-pentone (compound C1) (326 mg, 0.289 mmol) in anhydrous DCM (1.8 mL) was added N-ethyl-N-isopropyl-propan-2-amine (152 uL, 0.868 mmol) then piperidine (34 uL, 0.347 mmol). The reaction mixture was stirred for 4.5 hours at room temperature under argon. The reaction mixture was diluted with DCM and quenched with aqueous saturated NH4Cl solution (pH=6). The organic phase was washed with water and dried. The crude was then purified by silica gel flash column chromatography (100/0 to 70/30 of EtOAc/MeOH:Et3N (50:50). The fraction of interest were then purified by silica gel flash column chromatography (100/0 to 80/20 of DCM/MeOH) to afford the desired product (1R,9S,12S,15R,16E,18R,19R,21R,23S,24E,26E,28E,30S,32S,35R)-1,18-dihydroxy-19-methoxy-30-(2-methoxyethoxy)-12-[(1R)-2-[(1S,3R,4R)-3-methoxy-4-[3-(1-piperidyl)propoxy]cyclohexyl]-1-methyl-ethyl]-15,17,21,23,29,35-hexamethyl-11,36-dioxa-4-azatricyclo[30.3.1.0{circumflex over ( )}4,9]hexatriaconta-16,24,26,28-tetraene-2,3,10,14,20-pentone (115.5 mg, 36%, compound 434).


Compound 434: MS (ES+, m/z): 1083.7 [M+Na]+. 1H NMR (600 MHz, DMSO-d6) Shift 5.87-6.57 (m, 5H), 5.42-5.68 (m, 1H), 5.24 (d, J=4.40 Hz, 1H), 4.89-5.16 (m, 3H), 3.86-4.08 (m, 3H), 3.67-3.81 (m, 1H), 3.33-3.61 (m, 7H), 3.31-3.33 (m, 3H), 3.12-3.27 (m, 9H), 2.63-3.08 (m, 7H), 2.22-2.43 (m, 3H), 2.07-2.12 (m, 1H), 1.83-2.01 (m, 5H), 1.51-1.76 (m, 18H), 1.36-1.44 (m, 3H), 1.20-1.20 (m, 1H), 1.10-1.33 (m, 7H), 0.94-1.05 (m, 6H), 0.87 (s, 14H). LCMS: MH+ (ion type), 1083.6 (ion m/z).




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To a solution of (1R,9S,12SR,15R,16E,18R,19R,21R,23S,24E,26E,28E,30S,32S,35R)-1,18-dihydroxy-12-[(1R)-2-[(1S,3R,4R)-4-(3-iodopropoxy)-3-methoxy-cyclohexyl]-1-methyl-ethyl]-19,30-dimethoxy-15,17,21,23,29,35-hexamethyl-11,36-dioxa-4-azatricyclo[30.3.1.04,9]hexatriaconta-16,24,26,28-tetraene-2,3,10,14,20-pentone (6.83 g, 6.31 mmol) in DCM (77 mL) was added 2-methoxyethanol (161 mL, 2.31 mol) then 4-methylbenzenesulfonic acid (5.43 g, 31.5 mmol). The reaction mixture was stirred for 1 h at room temperature and subsequently neutralized with a saturated aqueous solution of NaHCO3. The two phases were separated. The organic phase was washed with NaCl, dried and concentrated to dryness. Purification of the crude mixture by reverse phase chromatography (Uptisphere Strategy C18-Hq 10 um 250×30.0 mm CH3CN:H2O gradient 75:25 to 100:0, 277 nm). The main fraction (2.88 g) was purified by SFC separation to afford (1R,9S,12S,15R,16E,18R,19R,21R,23S,24E,26E,28E,30S,32S,35R)-1,18-dihydroxy-12-[(1R)-2-[(1S,3R,4R)-4-(3-iodopropoxy)-3-methoxy-cyclohexyl]-1-methyl-ethyl]-19-methoxy-30-(2-methoxyethoxy)-15,17,21,23,29,35-hexamethyl-11,36-dioxa-4-azatricyclo[30.3.1.0{circumflex over ( )}4,9]hexatriaconta-16,24,26,28-tetraene-2,3,10,14,20-pentone (2.11 g, 29%, compound C1) and (1R,9S,12S,15R,16E,18R,19R,21R,23S,24E,26E,28E,30R,32S,35R)-1,18-dihydroxy-12-[(1R)-2-[(1S,3R,4R)-4-(3-iodopropoxy)-3-methoxy-cyclohexyl]-1-methyl-ethyl]-19-methoxy-30-(2-methoxyethoxy)-15,17,21,23,29,35-hexamethyl-11,36-dioxa-4-azatricyclo[30.3.1.04,9]hexatriaconta-16,24,26,28-tetraene-2,3,10,14,20-pentone (850 mg, 12%) compound C2. SFC separation: Column: Princeton 2 Ethylpyridine 5 μm 60 A Column size: 3 cm I.D.×15 cm L; Mobile phase: CO2/IpOH 80/20; Flowrate: 100 ml/min; Pressure: 100 Bar Wave length: UV 277 nm SFC Equipment: Waters SFC200.


Compound C1: 1H NMR (600 MHz, DMSO-d6) δ 5.87-6.54 (m, 5H), 5.40-5.70 (m, 1H), 4.86-5.35 (m, 4H), 3.99-4.06 (m, 2H), 3.92-3.99 (m, 1H), 3.71-3.82 (m, 2H), 3.47-3.57 (m., 3H), 3.31-3.32 (m, 3H), 3.09-3.27 (m, 10H), 2.94-3.06 (m, 3H), 2.66-2.85 (m, 2H), 2.35-2.48 (m, 2H), 2.22 (br d, J=7.34 Hz, 1H), 2.07-2.12 (m, 1H), 2.01-2.05 (m, 1H), 1.84-1.99 (m, 6H), 1.74 (s, 2H), 1.52-1.70 (m, 11H), 1.33-1.45 (m, 2H), 1.21-1.33 (m, 3H), 1.10-1.20 (m, 2H), 0.94-1.09 (m, 8H), 0.76-0.88 (m, 9H), 0.71-0.75 (m, 3H), 0.64-0.68 (m, 1H). LCMS: MNa+ (ion type), 1148.6 (ion m/z).


Compound C2: 1H NMR (DMSO-d6, 600 MHz) δ 5.8-6.6 (m, 5H), 5.61 (dd, 1H, J=8.3, 14.5 Hz), 5.2-5.3 (m, 2H), 5.1-5.2 (m, 1H), 4.99 (br d, 1H, J=5.1 Hz), 3.8-4.1 (m, 4H), 2.9-3.6 (m, 22H), 2.5-2.8 (m, 3H), 2.2-2.4 (m, 1H), 2.1-2.2 (m, 1H), 1.8-2.1 (m, 5H), 0.5-1.8 (m, 42H), LCMS: MNa+ (ion type), 1148.4 (ion m/z).




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Under Ar, rapamycin (3.00 g, 3.28 mmol) was dissolved in Anhydrous Toluene (20.25 mL) after which N-ethyl-N-isopropyl-propan-2-amine (5.3 mL, 30.1 mmol) and 3-iodopropyl trifluoromethanesulfonate (5.41 g, 16.4 mmol) were added. The mixture was then heated at 60° C. for 2.5 hours. The crude mixture was then concentrated under vacuum and purified by silica gel flash column chromatography (Cyclohexane/EtOAc from 100/0 to 50/50) to yield (1R,9S,12S,15R,16E,18R,19R,21R,23S,24E,26E,28E,30S,32S,35R)-1,18-dihydroxy-12-[(1R)-2-[(1S,3R,4R)-4-(3-iodopropoxy)-3-methoxy-cyclohexyl]-1-methyl-ethyl]-19,30-dimethoxy-15,17,21,23,29,35-hexamethyl-11,36-dioxa-4-azatricyclo[30.3.1.0{circumflex over ( )}4,9]hexatriaconta-16,24,26,28-tetraene-2,3,10,14,20-pentone (3.07 g, 47%, compound D).


Compound D: MS (ES+, m/z): 1104.5 [M+Na]+. 1H NMR (DMSO, 600 MHz): δ (ppm) 6.43 (d, 1H), 6.41-6.38 (m, 1H), 6.25-6.09 (m, 3H), 5.46 (dd, J=14.9, 9.6 Hz, 1H), 5.25 (d, J=4.5 Hz, 1H), 5.10 (d, J=10.2 Hz, 1H), 5.00-4.92 (m, 2H), 4.28 (d, 1H), 4.03-3.98 (m, 2H), 3.94 (d, J=4.6 Hz, 1H), 3.64-3.60 (m, 1H), 3.53 (dtt, J=19.7, 9.9, 5.5 Hz, 2H), 3.44 (d, J=13.5 Hz, 1H), 3.33-3.28 (m, 5H), 3.10 (d, J=63.6 Hz, 9H), 2.73 (dd, J=17.7, 2.6 Hz, 1H), 2.43-2.36 (m, 2H), 2.25-1.80 (m, 7H), 1.75-0.89 (m, 31H), 0.89-0.71 (m, 10H), 0.69-0.60 (m, 1H). LCMS: MNa+ (ion type), 1104.5 (ion m/z).




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(1R,9S,12S,15R,16E,18R,19R,21R,23S,24E,26E,28E,30S,32S,35R)-1,18-dihydroxy-12-[(1R)-2-[(1S,3R,4R)-4-(3-iodopropoxy)-3-methoxy-cyclohexyl]-1-methyl-ethyl]-19-methoxy-30-(2-methoxyethoxy)-15,17,21,23,29,35-hexamethyl-11,36-dioxa-4-azatricyclo[30.3.1.0{circumflex over ( )}4,9]hexatriaconta-16,24,26,28-tetraene-2,3,10,14,20-pentone (350 mg, 0.311 mmol, compound C1) was dissolved in dry DCM (1.5 mL). A solution of (2R)-2-methylmorpholine hydrochloride (51 mg, 0.373 mmol) and N-ethyl-N-isopropyl-propan-2-amine (228 uL, 1.31 mmol) in dry DCM (0.6 mL) was added and the solution stirred at rt for 20 hours. The reaction mixture was diluted with DCM and quenched with saturated NH4Cl. The resulting mixture was washed with water, dried, concentrated and purified over silica gel flash column chromatography (100/0 to 70/30 of EtOAc/MeOH:Et3N (50:50). The fractions of interest were purified over silica gel flash column chromatography (DCM/MeOH, 100/0 to 90/10) to yield (1R,9S,12S,15R,16E,18R,19R,21R,23S,24E,26E,28E,30S,32S,35R)-1,18-dihydroxy-19-methoxy-30-(2-methoxyethoxy)-12-[(1R)-2-[(1S,3R,4R)-3-methoxy-4-[3-[(2R)-2-methylmorpholin-4-yl]propoxy]cyclohexyl]-1-methyl-ethyl]-15,17,21,23,29,35-hexamethyl-11,36-dioxa-4-azatricyclo[30.3.1.04,9]hexatriaconta-16,24,26,28-tetraene-2,3,10,14,20-pentone (72.3 mg, 21%, compound 435).


Compound 435: MS (ES+, m/z): 1099.7 [M+Na]+. 1H NMR (DMSO-d6, 600 MHz): δ (ppm) 6.45 (d, J=1.3 Hz, 1H), 6.39 (dd, J=14.6, 11.2 Hz, 1H), 6.18-6.25 (m, 1H), 6.08-6.16 (m, 2H), 5.46 (dd, J=14.9, 9.6 Hz, 1H), 5.25 (d, J=4.5 Hz, 1H), 5.09 (br d, J=10.1 Hz, 1H), 4.96-5.00 (m, 1H), 4.91-4.95 (m, 1H), 3.98-4.06 (m, 2H), 3.93 (d, J=4.7 Hz, 1H), 3.76-3.81 (m, 1H), 3.70 (dd, J=11.2, 1.6 Hz, 1H), 3.34-3.56 (m, 7H), 3.32 (s, 3H), 3.24-3.29 (m, 2H), 3.23 (s, 3H), 3.17-3.21 (m, 1H), 3.15 (s, 3H), 2.90-3.05 (m, 2H), 2.55-2.76 (m, 3H), 2.33-2.45 (m, 2H), 2.30 (br t, J=7.2 Hz, 2H), 2.16-2.25 (m, 1H), 2.09 (br d, J=13.2 Hz, 1H), 1.98-2.06 (m, 1H), 1.77-1.97 (m, 5H), 1.73 (s, 3H), 1.65-1.68 (m, 2H), 1.64 (s, 3H), 1.45-1.62 (m, 8H), 1.35-1.45 (m, 2H), 1.24-1.33 (m, 3H), 1.08-1.20 (m, 3H), 1.04-1.08 (m, 2H), 1.02 (d, J=6.3 Hz, 3H), 0.98 (d, J=6.6 Hz, 3H), 0.88-0.96 (m, 2H), 0.87 (d, J=6.6 Hz, 3H), 0.83 (d, J=6.5 Hz, 3H), 0.77 (d, J=6.7 Hz, 31), 0.73 (d, J=6.6 Hz, 3H), 0.65 (q, J=11.9 Hz, 1H). LCMS: MH+ (ion type), 1099.6 (ion m/z).




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(1R,9S,12S,15R,16E,18R,19R,21R,23S,24E,26E,28E,30S,32S,35R)-1,18-dihydroxy-12-[(1R)-2-[(1S,3R,4R)-4-(3-iodopropoxy)-3-methoxy-cyclohexyl]-1-methyl-ethyl]-19-methoxy-30-(2-methoxyethoxy)-15,17,21,23,29,35-hexamethyl-11,36-dioxa-4-azatricyclo[30.3.1.0{circumflex over ( )}4,9]hexatriaconta-16,24,26,28-tetraene-2,3,10,14,20-pentone (150 mg, 0.1332 mmol, compound 17) was dissolved in dry DCM (0.63 mL). A solution of (2S)-2-methylmorpholine hydrochloride (21.99 mg, 0.159 mmol) and N-ethyl-N-isopropyl-propan-2-amine (97.7 uL 0.559 mmol) in dry DCM (0.4 mL) was added and the solution stirred at rt for 20 hours. The reaction mixture was diluted with DCM and quenched with saturated NH4Cl. The resulting mixture was washed with water, dried, concentrated and purified over silica gel flash column chromatography (100/0 to 70/30 of EtOAc/MeOH:Et3N (50:50). The fractions of interest were purified over silica gel flash column chromatography (DCM/MeOH, 100/0 to 90/10) to yield (1R,9S,12S,15R,16E,18R,19R,21R,23S,24E,26E,28E,30S,32S,35R)-1,18-dihydroxy-19-methoxy-30-(2-methoxyethoxy)-12-[(1R)-2-[(1S,3R,4R)-3-methoxy-4-[3-[(2S)-2-methylmorpholin-4-yl]propoxy]cyclohexyl]-1-methyl-ethyl]-15,17,21,23,29,35-hexamethyl-11,36-dioxa-4-azatricyclo[30.3.1.04,9]hexatriaconta-16,24,26,28-tetraene-2,3,1.0,14,20-pentone (80 mg, 54%, compound 517).


Compound 517: MS (ES+, m/z): 1099.7 [M+Na]+. Rt=2.29 min. 1H NMR (600 MHz, DMSO-d6) Shift 6.04-6.50 (m, 1H), 5.40-5.70 (m, 1H), 5.20-5.28 (m, 1H), 4.86-5.16 (m, 1H), 3.62-4.08 (m, 5H), 3.32-3.56 (m, 11H), 3.11-3.28 (m, 9Hf), 2.92-3.04 (m, 2H), 2.58-2.74 (m, 3H), 2.35-2.45 (m, 2H), 2.18-2.33 (m, 3H), 1.79-2.12 (m, 8H), 1.73 (s, 2H), 1.52-1.70 (m, 14H), 1.31-1.44 (m, 3H), 1.21-1.31 (m, 5H), 1.18 (br dd, (J=4.84, 11.59 Hz, 1H), 0.94-1.11 (m, 11H), 0.72-0.88 (m, 13H), 0.53-0.71 (m, 2H). LCMS: MH+ (ion type), 1099.7 (ion m/z).




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(1R,9S,12SR,15R,16E,18R,19R,21R,23S,24E,26E,28E,30S,32SR,35R)-1,18-dihydroxy-12-[(1R)-2-[(1S,3R,4R)-4-(3-iodopropoxy)-3-methoxy-cyclohexyl]-1-methyl-ethyl]-19,30-dimethoxy-15,17,21,23,29,35-hexamethyl-11,36-dioxa-4-azatricyclo[30.3.1.0{circumflex over ( )}4,9]hexatriaconta-16,24,26,28-tetraene-2,3,10,14,20-pentone (2.00 g, 1.85 mmol) in anhydrous DCM (18.5 mL) was added ethylene glycol (34 mL, 0.61 mol) then 4-methylbenzenesulfonic acid (1.59 g, 9.24 mmol). The reaction mixture was stirred at room temperature for 3 hours and subsequently neutralized with a saturated aqueous solution of NaHCO3. The two phases were separated. The organic phase was washed with NaCl, dried and concentrated to dryness. Purification of the crude mixture by reverse phase chromatography (Uptisphere Strategy C18-Hq 10 um 250×30.0 mm CH3CN:H2O gradient 70:30 to 100:0, 277 nm). Two isolated fractions were purified by SFC to afford (1R,9S,12S,15R,16E,18R,19R,21R,23S,24E,26E,28E,30S,32S,35R)-1,18-dihydroxy-30-(2-hydroxyethoxy)-12-[(1R)-2-[(1S,3R,4R)-4-(3-iodopropoxy)-3-methoxy-cyclohexyl]-1-methyl-ethyl]-19-methoxy-15,17,21,23,29,35-hexamethyl-11,36-dioxa-4-azatricyclo[30.3.1.0{circumflex over ( )}4,9]hexatriaconta-16,24,26,28-tetraene-2,3,10,14,20-pentone (400 mg, 19%, compound L) and (1R,9S,12S,15R,16E,18R,19R,21R,23S,24E,26E,28E,30R,32S,35R)-1,18-dihydroxy-30-(2-hydroxyethoxy)-12-[(1R)-2-[(1S,3R,4R)-4-(3-iodopropoxy)-3-methoxy-cyclohexyl]-1-methyl-ethyl]-19-methoxy-15,17,21,23,29,35-hexamethyl-11,36-dioxa-4-azatricyclo[30.3.1.04,9]hexatriaconta-16,24,26,28-tetraene-2,3,10,14,20-pentone (500 mg, 19%, compound M).


SFC separation: Column: Princeton 2 Ethylpyridine 5 μm 60 A. Column size: 3 cm I.D.×15 cm L. Mobile phase: CO2/IpOH 80/20. Flowrate: 50 ml/min. Pressure: 100 Bar. Wave length: UV 277 nm. SFC Equipment: Waters SFC200.


Compound L: 1H NMR (DMSO-d6, 600 MHz): δ (ppm) 6.43 (d, J=1.0 Hz, 1H), 6.40 (dd, J=14.6, 11.2 Hz, 1H), 6.07-6.25 (m, 3H), 5.46 (dd, J=14.9, 9.6 Hz, 1H), 5.25 (br d, J=4.1 Hz, 1H), 5.09 (br d, J=10.1 Hz, 1H), 4.95-5.00 (m, 1H), 4.92-4.94 (m, 1H), 4.44-4.53 (m, 1H), 3.99-4.09 (m, 2H), 3.94 (d, J=4.5 Hz, 1H), 3.75-3.81 (m, 1H), 3.49-3.57 (m, 2H), 3.40-3.48 (m, 3H), 3.32 (s, 3H), 3.30-3.30 (m, 2H), 3.19-3.28 (m, 3H), 3.15 (s, 3H), 3.12-3.16 (m, 1H), 3.02-3.07 (m, 1H), 2.97 (ddd, J=11.0, 8.8, 4.5 Hz, 1H), 2.73 (br dd, J=17.5, 2.6 Hz, 1H), 2.34-2.44 (m, 2H), 2.18-2.33 (m, 11H), 1.78-2.15 (m, 8H), 1.74 (s, 3H), 1.67-1.72 (m, 2H), 1.65 (s, 3H), 1.48-1.64 (m, 5H), 1.01-1.43 (m, 10H), 0.98 (d, J=6.6 Hz, 3H), 0.87 (d, J=6.5 Hz, 3H), 0.84-0.85 (m, 1H), 0.83 (d, J=6.5 Hz, 3H), 0.78 (d, J=6.7 Hz, 3H), 0.73 (d, J=6.7 Hz, 3H), 0.62-0.69 (m, 1H). LCMS: MNa+ (ion type), 1134.3 (ion m/z).


Compound M: MS (ES+, m/z): 1134.3 [M+Na]+. Rt=5.34 min. 1H NMR (DMSO-d6, 600 MHz): δ (ppm) 6.51 (s, 1H), 6.40-6.48 (m, 1H), 6.13-6.22 (m, 2H), 6.04 (br d, J=11.2 Hz, 1H), 5.63 (br dd, J=14.2, 8.2 Hz, 1H), 5.05-5.45 (m, 8H), 4.99 (br d, J=5.9 Hz, 1H), 4.51 (br t, J=5.4 Hz, 1H), 4.04 (br t, J=4.2 Hz, 1H), 3.99-4.03 (m, 1H), 3.89 (d, J=4.7 Hz, 1H), 3.83 (br dd, J=9.6, 1.2 Hz, 1H), 3.41-3.59 (m, 5H), 3.31-3.32 (m, 1H), 3.31 (br s, 3H), 3.29-3.29 (m, 2H), 3.21-3.25 (m, 2H), 3.18 (s, 3H), 3.05-3.10 (m, 1H), 2.93-3.05 (m, 2H), 2.75-2.80 (m, 1H), 2.67-2.74 (m, 1H), 2.52-2.59 (m, 1H), 2.21-2.32 (m, 1H), 1.87-2.18 (m, 7H), 1.46-1.78 (m, 13H), 1.08-1.45 (m, 6H), 0.99 (br d, J=6.6 Hz, 3H), 0.95-0.98 (m, 1H), 0.93 (br d, J=6.7 Hz, 3H), 0.85 (br d, J=6.6 Hz, 3H), 0.80 (br d, J=6.7 Hz, 3H), 0.75 (br d, J=6.6 Hz, 3H), 0.59-0.67 (m, 1H). LCMS: MNa+ (ion type), 1134.3 (ion m/z).




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(1R,9S,12S,15R,16E,18R,19R,21R,23S,24E,26E,28E,30S,32S,35R)-1,18-dihydroxy-30-(2-hydroxyethoxy)-12-[(1R)-2-[(1S,3R,4R)-4-(3-iodopropoxy)-3-methoxy-cyclohexyl]-1-methyl-ethyl]-19-methoxy-15,17,21,23,29,35-hexamethyl-11,36-dioxa-4-azatricyclo[30.3.1.0{circumflex over ( )}4,9]hexatriaconta-16,24,26,28-tetraene-2,3,10,14,20-pentone (350 mg, 0.315 mmol) was dissolved in DCM-Anhydrous (1,1444 mL) with N-ethyl-N-isopropyl-propan-2-amine (220 uL, 1.26 mmol) and (3R)-3-methylmorpholine (97%, 43 uL, 0.378 mmol). The reaction mixture was stirred at room temperature for 24 hours. The mixture was diluted with DCM. An aqueous saturated solution of NH4Cl was added to adjust the pH to 7. The resulting mixture was washed with water, dried, concentrated and purified over silica gel flash column chromatography (100/0 to 90/10 of EtOAc/MeOH:Et3N (50:50). The fractions of interest were purified over silica gel flash column chromatography (DCM/MeOH, 100/0 to 90/10) to yield (1R,9S,12S,15R,16E,18R,19R,21R,23S,24E,26E,28E,30S,32S,35R)-1,18-dihydroxy-30-(2-hydroxyethoxy)-19-methoxy-12-[(1R)-2-[(1S,3R,4R)-3-methoxy-4-[3-[(3R)-3-methylmorpholin-4-yl]propoxy]cyclohexyl]-1-methyl-ethyl]-15,17,21,23,29,35-hexamethyl-11,36-dioxa-4-azatricyclo[30.3.1.04,9]hexatriaconta-16,24,26,28-tetraene-2,3,10,14,20-pentone (101.3 mg, 29%, Compound 404).


Compound 404: MS (ES+, m/z): 1085.6 [M+Na]+. 1H NMR (600 MHz, DMSO-d6) Shift 5.89-6.62 (m, 5H), 5.43-5.67 (m, 1H), 5.19-5.28 (m, 1H), 4.91-5.14 (m, 3H), 4.43-4.57 (m, 1H), 3.43-4.07 (m, 12H), 3.31-3.34 (m, 3H), 3.11-3.28 (m, 7H), 2.93-3.10 (m, 4H), 2.64-2.81 (m, 3H), 1.84-2.44 (m, 12H), 1.73 (s, 3H), 1.51-1.70 (m, 12H), 1.36-1.44 (m, 2H), 1.22-1.35 (m, 4H), 1.13-1.19 (m, 1H), 0.94-1.11 (m, 8H), 0.81-0.92 (m, 9H), 0.77 (d, J=6.75 Hz, 2H), 0.73 (d, J=6.60 Hz, 2H), 0.63-0.70 (m, 1H). LCMS: MH+ (ion type), 1085.6 (ion m/z).




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(1R,9S,12S,15R,16E,18R,19R,21R,23S,24E,26E,28E,30R,32S,35R)-1,18-dihydroxy-30-(2-hydroxyethoxy)-12-[(1R)-2-[(1S,3R,4R)-4-(3-iodopropoxy)-3-methoxy-cyclohexyl]-1-methyl-ethyl]-19-methoxy-15,17,21,23,29,35-hexamethyl-11,36-dioxa-4-azatricyclo[30.3.1.04,9]hexatriaconta-16,24,26,28-tetraene-2,3,10,14,20-pentone (350 mg, 0.315 mmol) was dissolved in DCM-Anhydrous (1,1444 mL) with N-ethyl-N-isopropyl-propan-2-amine (220 uL, 1.26 mmol) and (3R)-3-methylmorpholine (97%, 43 uL, 0.378 mmol). The reaction mixture was stirred at room temperature for 72 hours. The mixture was diluted with DCM. An aqueous saturated solution of NH4Cl was added to adjust the pH to 7. The resulting mixture was washed with water, dried, concentrated and purified over silica gel flash column chromatography (100/0 to 90/10 of EtOAc/MeOH:Et3N (50:50). The fractions of interest were purified over silica gel flash column chromatography (DCM/MeOH, 100/0 to 90/10) to yield (1R,9S,12S,15R,16E,18R,19R,21R,23S,24E,26E,28E,30R,32S,35R)-1,18-dihydroxy-30-(2-hydroxyethoxy)-19-methoxy-12-[(1R)-2-[(1S,3R,4R)-3-methoxy-4-[3-[(3R)-3-methylmorpholin-4-yl]propoxy]cyclohexyl]-1-methyl-ethyl]-15,17,21,23,29,35-hexamethyl-11,36-dioxa-4-azatricyclo[30.3.1.04,9]hexatriaconta-16,24,26,28-tetraene-2,3,10,14,20-pentone (52 mg, 15%, Compound 404).


Compound 5: MS (ES+, m/z): 1085.6 [M+Na]+. 6.63-5.85 (m, 5H), 5.74-5.51 (m, 1H), 5.45-5.05 (m, 3H), 5.04-4.72 (m, 2H), 4.58-4.41 (m, 11H), 4.18-3.39 (m, 9Hf), 3.33-3.30 (m, 3H), 3.26-3.09 (m, 4H), 3.09-2.89 (m, 3H), 2.82-2.62 (m, 3H), 2.33-1.85 (m, 7H), 1.80-1.44 (m, 11H), 1.42-1.21 (m, 5H), 1.19-0.60 (m, 17H) LCMS: MH+ (ion type), 1085.6 (ion m/z).




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(1R,9S,12S,15R,16E,18R,19R,21R,23S,24E,26E,28E,30S,32S,35R)-1,18-dihydroxy-30-(2-hydroxyethoxy)-12-[(1R)-2-[(1S,3R,4R)-4-(3-iodopropoxy)-3-methoxy-cyclohexyl]-1-methyl-ethyl]-19-methoxy-15,17,21,23,29,35-hexamethyl-11,36-dioxa-4-azatricyclo[30.3.1.0{circumflex over ( )}4,9]hexatriaconta-16,24,26,28-tetraene-2,3,10,14,20-pentone (143 mg, 0.129 mmol) was dissolved in DCM-Anhydrous (1,1444 mL) with N-ethyl-N-isopropyl-propan-2-amine (90 uL, 0.514 mmol) and (3S)-3-methylmorpholine (18 uL, 0.154 mmol). The reaction mixture was stirred at room temperature for 48 hours. The mixture was diluted with DCM. An aqueous saturated solution of NH4Cl was added to adjust the pH to 7. The resulting mixture was washed with water, dried, concentrated and purified over silica gel flash column chromatography (100/0 to 90/10 of EtOAc/MeOH:Et3N (50:50). The fractions of interest were purified over silica gel flash column chromatography (DCM/MeOH, 100/0 to 90/10) to yield (1R,9S,12S,15R,16E,18R,19R,21R,23S,24E,26E,28E,30S,32S,35R)-1,18-dihydroxy-30-(2-hydroxyethoxy)-19-methoxy-12-[(1R)-2-[(1S,3R,4R)-3-methoxy-4-[3-[(3S)-3-methylmorpholin-4-yl]propoxy]cyclohexyl]-1-methyl-ethyl]-15,17,21,23,29,35-hexamethyl-11,36-dioxa-4-azatricyclo[30.3.1.04,9]hexatriaconta-16,24,26,28-tetraene-2,3,10,14,20-pentone (118.4 mg, 85%, Compound 401).


Compound 401: MS (ES+, m/z): 1085.6 [M+Na]+. Rt=1.34 min. 1H NMR (600 MHz, DMSO-d6) Shift 5.90-6.58 (m, 5H), 5.39-5.67 (m, 1H), 5.20-5.27 (m, 1H), 4.84-5.15 (m, 3H), 4.43-4.57 (m, 1H), 3.40-4.11 (m, 12H), 3.31-3.34 (m, 3H), 3.12-3.29 (m, 7H), 2.93-3.08 (m, 3H), 2.63-2.77 (m, 3H), 1.85-2.41 (m, 12H), 1.46-1.79 (m, 16H), 1.22-1.42 (m, 6H), 0.65-1.05 (m, 23H). LCMS: MH+ (ion type), 1085.6 (ion m/z).




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(1R,9S,12SR,15R,16E,18R,19R,21R,23S,24E,26E,28E,30S,32SR,35R)-1,18-dihydroxy-12-[(1R)-2-[(1S,3R,4R)-4-(3-iodopropoxy)-3-methoxy-cyclohexyl]-1-methyl-ethyl]-19,30-dimethoxy-15,17,21,23,29,35-hexamethyl-11,36-dioxa-4-azatricyclo[30.3.1.0{circumflex over ( )}4,9]hexatriaconta-16,24,26,28-tetraene-2,3,10,14,20-pentone (5.00 g, 4.62 mmol) was dissolved in anhydrous DCM (184 mL) and butane-1,4-diol (16 mL, 182 mmol). 4-methylbenzenesulfonic acid (3.97 g, 23 mmol) was added and the reaction mixture stirred at room temperature for 4 hours. It was then neutralized with a saturated aqueous solution of NaHCO3 and the two phases were separated. The organic phase was washed with brine, dried and concentrated to dryness. Purification of the obtained crude by reverse phase chromatography (Uptisphere Strategy C18-Hq 10 um 250×30.0 mm CH3CN:H2O gradient 70:30 to 100:0, 277 nm) afforded one main fraction (2.2 g) that was purified by SFC to afford two fractions.


SFC separation: Column: Princeton 2 Ethylpyridine Sm 60 A. Column size: 3 cm I.D.×15 cm L. Mobile phase: CO2/IpOH 83/17. Flowrate: 50 ml/min. Pressure: 100 Bar.Wave length: UV 277 nm. SFC Equipment: Waters SFC200.


Compound O1: (1R,9S,12S,15R,16E,18R,19R,21R,23S,24E,26E,28E,30S,32S,35R)-1,18-dihydroxy-30-(4-hydroxybutoxy)-12-[(1R)-2-[(1S,3R,4R)-4-(3-iodopropoxy)-3-methoxy-cyclohexyl]-1-methyl-ethyl]-19-methoxy-15,17,21,23,29,35-hexamethyl-11,36-dioxa-4-azatricyclo[30.3.1.04,9]hexatriaconta-16,24,26,28-tetraene-2,3,10,14,20-pentone (969 mg, 16%, compound O1).


Compound O1: 1H NMR (DMSO-d6, 600 MHz): δ (ppm) 6.44 (s, 1H), 6.37-6.42 (m, 1H), 6.17-6.24 (m, 1H), 6.07-6.16 (m, 2H), 5.45 (dd, J=14.9, 9.8 Hz, 1H), 5.25 (d, J=4.5 Hz, 1H), 5.09 (br d, J=10.3 Hz, 1H), 4.98 (br s, 1H), 4.93 (br s, 1H), 4.30-4.40 (m, 1H), 4.02 (br d, J=12.0 Hz, 2H), 3.94 (d, J=4.5 Hz, 1H), 3.72 (br d, J=13.5 Hz, 1H), 3.48-3.57 (m, 2H), 3.41-3.47 (m, 1H), 3.35-3.40 (m, 2H), 3.32 (s, 3H), 3.30-3.30 (m, 2H), 3.16-3.28 (m, 3H), 3.15 (s, 3H), 3.07-3.11 (m, 1H), 3.01-3.06 (m, 1H), 2.93-3.00 (m, 1H), 2.73 (br d, J=15.3 Hz, 1H), 2.36-2.48 (m, 2H), 2.18-2.33 (m, 1H), 2.07-2.14 (m, 1H), 1.99-2.06 (m, 1H), 1.88-1.98 (m, 4H), 1.83 (br s, 1H), 1.74 (s, 3H), 1.52-1.68 (m, 9H), 1.35-1.52 (m, 7H), 1.24 (br s, 4H), 1.17 (br t, J=7.1 Hz, 2H), 1.00-1.10 (m, 3H), 0.98 (br d, J=6.6 Hz, 3H), 0.88-0.93 (m, 1H), 0.87 (d, J=6.6 Hz, 31H), 0.83 (br d, J=6.5 Hz, 3H), 0.78 (d, J=6.7 Hz, 3H), 0.73 (d, J=6.6 Hz, 3H), 0.59-0.69 (m, 1H) LCMS: MNa+ (ion type), 1162.6 (ion m/z).


Compound O2: (1R,9S,12S,15R,16E,18R,19R,21R,23S,24E,26E,28E,30R,32S,35R)-1,18-dihydroxy-30-(4-hydroxybutoxy)-12-[(1R)-2-[(1S,3R,4R)-4-(3-iodopropoxy)-3-methoxy-cyclohexyl]-1-methyl-ethyl]-19-methoxy-15,17,21,23,29,35-hexamethyl-11,36-dioxa-4-azatricyclo[30.3.1.04,9]hexatriaconta-16,24,26,28-tetraene-2,3,10,14,20-pentone (341 mg, 4%, compound O2).


Compound O2: 1H NMR (600 MHz, DMSO-d6) δ 5.87-6.64 (m, 5H), 5.42-5.68 (m, 1H), 5.20-5.35 (m, 2H), 5.05-5.16 (m, 1H), 4.99 (br d, J=4.84 Hz, 1H), 4.26-4.45 (m, 1H), 3.76-4.09 (m, 4H), 3.44-3.58 (m, 3H), 3.35-3.41 (m, 2H), 3.32-3.33 (m, 11H), 3.12-3.23 (m, 5H), 3.3 (m, 6H) 2.95-3.05 (m, 2H), 2.73-2.83 (m, 1H), 2.5-2.5 (m, 2H), 2.25-2.32 (m, 1H), 1.78-2.19 (m, 6H), 1.21-1.76 (m, 25H), 0.55-1.19 (m, 21H). LCMS: MNa+ (ion type), 1162.5 (ion m/z).




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(1R,9S,12SR,15R,16E,18R,19R,21R,23S,24E,26E,28E,30S,32S,35R)-1,18-dihydroxy-30-(4-hydroxybutoxy)-12-[(1R)-2-[(1S,3R,4R)-4-(3-iodopropoxy)-3-methoxy-cyclohexyl]-1-methyl-ethyl]-19-methoxy-15,17,21,23,29,35-hexamethyl-11,36-dioxa-4-azatricyclo[30.3.1.0{circumflex over ( )}4,9]hexatriaconta-16,24,26,28-tetraene-2,3,10,14,20-pentone (240 mg, 0.210 mmol) in dry DCM (1,3155 mL) was added N-ethyl-N-isopropyl-propan-2-amine (110 uL, 0.631 mmol) then morpholine (22 uL, 0.253 mmol). The reaction mixture was stirred at room temperature for 24 hours. The mixture was then diluted with DCM and aqueous HCl 1N was added until pH=5. The organic phase was washed with water, dried and concentrated to dryness and purified over silica gel flash column chromatography (100/0 to 85/15 of EtOAc/MeOH:Et3N (50:50). The fractions of interest were purified over silica gel flash column chromatography (DCM/MeOH, 100/0 to 90/10) to yield (1R,9S,12S,15R,16E,18R,19R,21R,23S,24E,26E,28E,30S,32S,35R)-1,18-dihydroxy-30-(4-hydroxybutoxy)-19-methoxy-12-[(1R)-2-[(1S,3R,4R)-3-methoxy-4-(3-morpholinopropoxy)cyclohexyl]-1-methyl-ethyl]-15,17,21,23,29,35-hexamethyl-11,36-dioxa-4-azatricyclo[30.3.1.0{circumflex over ( )}4,9]hexatriaconta-16,24,26,28-tetraene-2,3,10,14,20-pentone (107 mg, 46%, Compound 426).


Compound 426: MS (ES+, m/z): 1099.6 [M+H]+. Rt=1.62 min. 1H NMR (DMSO-d6, 600 MHz): δ (ppm) 6.43-6.46 (m, 1H), 6.39 (dd, J=14.5, 11.2 Hz, 1H), 6.07-6.24 (m, 3H), 5.42-5.49 (m, 1H), 5.25 (d, J=4.7 Hz, 1H), 5.09 (br d, J=10.1 Hz, 1H), 4.98 (dt, J=7.7, 4.1 Hz, 1H), 4.93 (br d, J=5.3 Hz, 1H), 4.35 (t, J=5.1 Hz, 1H), 3.97-4.07 (m, 2H), 3.94 (d, J=4.7 Hz, 1H), 3.72 (dd, J=11.8, 1.8 Hz, 1H), 3.42-3.57 (m, 7H), 3.34-3.40 (m, 2H), 3.32 (s, 3H), 3.24-3.29 (m, 1H), 3.17-3.23 (m, 2H), 3.15 (s, 3H), 3.09 (dt, J=9.4, 6.1 Hz, 1H), 2.92-3.04 (m, 2H), 2.73 (br dd, J=17.5, 2.4 Hz, 1H), 2.35-2.45 (m, 2H), 2.31 (br t, J=7.2 Hz, 6H), 2.16-2.25 (m, 1H), 1.78-2.14 (m, 6H), 1.74 (s, 3H), 0.89-1.69 (m, 29H), 0.87 (d, J=6.5 Hz, 3H), 0.81-0.84 (m, 1H), 0.83 (d, J=6.3 Hz, 3H), 0.77 (d, J=6.7 Hz, 3H), 0.73 (d, J=6.7 Hz, 3H), 0.61-0.69 (m, 1H). LCMS: MH+ (ion type), 1099.6 (ion m/z).




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To a solution of everolimus (1.50 g, 1.57 mmol) in anhydrous DCM (19,568 mL) was added 2-methoxyethanol (45 mL, 0.573 mol) then 4-methylbenzenesulfonic acid (1.35 g, 7.83 mmol). The reaction mixture was stirred for 1 h at room temperature. The reaction mixture was neutralized with saturated NaHCO3 aqueous and extracted with DCM. The organic phase was washed with water (60 mL), dried, filtered and concentrated to dryness. The resulting crude mixture was purified by reverse phase chromatography (Uptisphere Strategy C18-Hq 10 um 250×30.0 mm CH3CN:H2O gradient 60:40 to 100:0 in 25 min, 277 nm). The main fraction (768 mg) was purified by SFC separation to afford (1R,9S,12S,15R,16E,18R,19R,21R,23S,24E,26E,28E,30S,32S,35R)-1,18-dihydroxy-12-[(1R)-2-[(1S,3R,4R)-4-(2-hydroxyethoxy)-3-methoxy-cyclohexyl]-1-methyl-ethyl]-19-methoxy-30-(2-methoxyethoxy)-15,17,21,23,29,35-hexamethyl-11,36-dioxa-4-azatricyclo[30.3.1.0{circumflex over ( )}4,9]hexatriaconta-16,24,26,28-tetraene-2,3,10,14,20-pentone (compound 439,231 mg, 15%, white amorphous solid).


SFC separation: Column: Princeton 2 Ethylpyridine. 5 μm 60 A. Column size: 3 cm I.D.×15 cm L. Mobile phase: CO2/IpOH 85/15. Flowrate: 50 ml/min. Pressure: 100 Bar. Wave length: UV 277 nm. SFC Equipment: Waters SFC200.


Compound 439: 1H NMR (DMSO-d6, 600 MHz): δ (ppm) 5.90-6.49 (m, 5H), 5.42-5.5 (m, 1H), 5.25 (d, J=4.5 Hz, 1H), 5.09 (d, J=10.1 Hz, 1H), 5.00-4.95 (m, 1H), 4.93 (d, J=5.5 Hz, 1H), 4.44 (t, J=5.4 Hz, 1H), 4.08-3.98 (m, 2H), 3.94 (d, J=4.5 Hz, 1H), 3.78 (d, J=13.7 Hz, 1H), 3.56-3.35 (m, 6H), 3.35-3.31 (m, 3H), 3.28-3.11 (m, 7H), 3.08-2.93 (m, 2H), 2.77-2.70 (m, 1H), 2.45-2.34 (m, 2H), 2.21 (s, 1H), 2.14-1.81 (m, 6H), 1.74 (s, 2H), 1.72-1.47 (m, 8H), 1.47-1.21 (m, 5H), 1.20-0.91 (m, 8H), 0.89-0.60 (m, 10H). LCMS: MNa+ (ion type), 1024.7 (ion m/z).




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(1R,9S,12S,15R,16E,18R,19R,21R,23S,24E,26E,28E,30S,32S,35R)-1,18-dihydroxy 12-[(1R)-2-[(1S,3R,4R)-4-(2-hydroxyethoxy)-3-methoxy-cyclohexyl]-1-methyl-ethyl]-19-methoxy-30-(2-methoxyethoxy)-15,17,21,23,29,35-hexamethyl-11,36-dioxa-4-azatricyclo[30.3.1.04,9]hexatriaconta-16,24,26,28-tetraene-2,3,10,14,20-pentone (Compound 29, 250 mg, 0.249 mmol) was diluted in anhydrous DCM (2,079 mL). The mixture was then cooled down to −78° C., before 2,6-dimethylpyridine (0.12 mL, 1.07 mmol) was added and stirred for 10 min. Subsequent addition of trifluoromethylsulfonyl trifluoromethanesulfonate (84 uL, 0.499 mmol) was carried out. The reaction was stirred at −78° C. for 1 hour. The ice bath was removed after addition of 2-oxa-6-azaspiro[3.3]heptane (98%, 0.11 mL, 1.25 mmol). The mixture was allowed to reach room temperature, diluted with DCM, concentrated, purified by silica gel flash column chromatography (100/0 to 90/10 of EtOAc/MeOH:Et3N (50:50)). The isolated fractions of interest were purified a second time by silica gel flash column chromatography (0 to 20% of MeOH in DCM to afford (1R,9S,12S,15R,16E,18R,19R,21R,23S,24E,26E,28E,30S,32S,35R)-1,18-dihydroxy-19-methoxy-30-(2-methoxyethoxy)-12-[(1R)-2-[(1S,3R,4R)-3-methoxy-4-[2-(2-oxa-6-azaspiro[3.3]heptan-6-yl)ethoxy]cyclohexyl]-1-methyl-ethyl]-15,17,21,23,29,35-hexamethyl-11,36-dioxa-4-azatricyclo[30.3.1.04,9]hexatriaconta-16,24,26,28-tetraene-2,3,10,14,20-pentone (Compound 443, 21.2 mg, 8%, white amorphous solid).


Compound 443: 1H NMR (DMSO-d6, 600 MHz): δ (ppm) 6.45 (d, J=1.3 Hz, 1H), 6.39 (dd, J=14.6, 11.2 Hz, 1H), 6.19-6.25 (m, 1H), 6.07-6.17 (m, 2H), 5.46 (dd, J=14.8, 9.5 Hz, 1H), 5.25 (d, J=4.4 Hz, 1H), 5.09 (br d, J=10.0 Hz, 1H), 4.95-5.01 (m, 1H), 4.90-4.96 (m, 1H), 4.57 (s, 4H), 3.96-4.07 (m, 2H), 3.94 (d, J=4.5 Hz, 1H), 3.78 (dd, J=11.8, 2.0 Hz, 1H), 3.33-3.76 (m, 11H), 3.31 (s, 3H), 3.24-3.27 (m, 2H), 3.24 (s, 3H), 3.19-3.23 (m, 2H), 3.15 (s, 3H), 2.92-3.02 (m, 2H), 2.73 (br dd, J=17.8, 2.7 Hz, 1H), 2.36-2.44 (m, 3H), 2.18-2.26 (m, 1H), 2.07-2.13 (m, 1H), 1.82-2.04 (m, 5H), 1.73 (s, 3H), 1.67-1.72 (m, 2H), 1.64 (s, 3H), 1.37-1.58 (m, 7H), 1.25-1.35 (m, 3H), 0.99-1.21 (m, 5H), 0.98 (d, J=6.6 Hz, 3H), 0.87 (d, J=6.5 Hz, 3H), 0.83 (d, J=6.5 Hz, 3H), 0.77 (d, J=6.7 Hz, 3H), 0.73 (d, J=6.6 Hz, 3H), 0.58-0.69 (m, 1H). LCMS: MH+ (ion type), 1083.7 (ion m/z).




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2,2′-oxydiethanol (8.7 mL, 86.6 mmol) was added to a solution of (1R,9S,12S,15R,16E,18R,19R,21R,23S,24E,26E,28E,30S,32S,35R)-1,18-dihydroxy-12-[(1R)-2-[(1S,3R,4R)-4-hydroxy-3-methoxy-cyclohexyl]-1-methyl-ethyl]-19,30-dimethoxy-15,17,21,23,29,35-hexamethyl-11,36-dioxa-4-azatricyclo[30.3.1.0{circumflex over ( )}4,9]hexatriaconta-16,24,26,28-tetraene-2,3,10,14,20-pentone (2.00 g, 2.19 mmol) in anhydrous DCM (87 mL). The mixture was cooled to −15° C. and 4-methylbenzenesulfonic acid (1.88 g, 10.9 mmol) was added. The mixture was stirred 60 minutes at −15° C. and 120 minutes at room temperature. The mixture was diluted with DCM and neutralized by a saturated solution of NaHCO3. The phases were separated. The organic phase was washed with water (40 mL), dried, filtered and concentrated to dryness. The resulting crude mixture was purified by reverse phase chromatography (Uptisphere Strategy C18-Hq 10 um 250×30.0 mm CH3CN:H2O gradient 70:30 to 100:0, 277 nm). The main fraction (1.1 g) was purified by SFC separation to afford two fractions.


(1R,9S,12S,15R,16E,18R,19R,21R,23S,24E,26E,28E,30S,32S,35R)-1,18-dihydroxy-30-[2-(2-hydroxyethoxy)ethoxy]-12-[(1R)-2-[(1S,3R,4R)-4-hydroxy-3-methoxy-cyclohexyl]-1-methyl-ethyl]-19-methoxy-15,17,21,23,29,35-hexamethyl-11,36-dioxa-4-azatricyclo[30.3.1.04,9]hexatriaconta-16,24,26,28-tetraene-2,3,10,14,20-pentone (138 mg, 6%, white amorphous solid, compound 524) and (1R,9S,12S,15R,16E,18R,19R,21R,23S,24E,26E,28E,30R,32S,35R)-1,18-dihydroxy-30-[2-(2-hydroxyethoxy)ethoxy]-12-[(1R)-2-[(1S,3R,4R)-4-hydroxy-3-methoxy-cyclohexyl]-1-methyl-ethyl]-19-methoxy-15,17,21,23,29,35-hexamethyl-11,36-dioxa-4-azatricyclo[30.3.1.04,9]hexatriaconta-16,24,26,28-tetraene-2,3,10,14,20-pentone (58 mg, 3%, white amorphous solid, compound 125).


SFC separation: Column: Princeton 2 Ethylpyridine 5 μm 60 A. Column size: 3 cm I.D.×15 cm L. Mobile phase: CO2/IpOH 82/18. Flowrate: 100 ml/min. Pressure: 100 Bar. Wave length: UV 277 nm. SFC Equipment: Waters SFC200.


Compound 524: 1H NMR (DMSO-d6, 600 MHz): δ (ppm) 6.44 (d, J=1.5 Hz, 1H), 6.40 (dd, J=14.5, 11.2 Hz, 1H), 6.18-6.25 (m, 1H), 6.07-6.16 (m, 2H), 5.46 (dd, J=14.8, 9.7 Hz, 1H), 5.24 (d, J=4.5 Hz, 1H), 5.09 (br d, J=10.1 Hz, 1H), 4.96-5.01 (m, 1H), 4.93 (br d, J=4.8 Hz, 1H), 4.47-4.63 (m, 2H), 3.97-4.08 (m, 2H), 3.94 (d, J=4.7 Hz, 11H), 3.79 (dd, J=11.7, 1.9 Hz, 1H), 3.38-3.58 (m, 7H), 3.22-3.37 (m, 6H), 3.11-3.21 (m, 5H), 2.83 (ddd, J=11.2, 8.6, 4.5 Hz, 1H), 2.73 (br dd, J=17.7, 2.6 Hz, 1H), 2.34-2.46 (m, 2H), 2.17-2.27 (m, 1H), 1.83-2.12 (m, 5H), 1.46-1.79 (m, 14H), 0.90-1.44 (m, 13H), 0.68-0.90 (m, 13H), 0.60 (q, J=11.8 Hz, 1H) LCMS: MNa+ (ion type), 1010.4 (ion m/z).


Compound 125: 1H NMR (DMSO-d6, 600 MHz): δ (ppm) 5.93-6.63 (m, 5H), 5.61 (dd, J=14.4, 8.5 Hz, 1H), 5.24 (br d, J=4.5 Hz, 1H), 5.07-5.13 (m, 1H), 4.98 (br d, J=4.8 Hz, 1H), 4.46-4.63 (m, 3H), 3.67-4.14 (m, 4H), 2.99-3.60 (m, 18H), 2.79 (br s, 4H), 0.35-2.42 (m, 47H). LCMS: MNa+ (ion type), 1010.4 (ion m/z).




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2,2′-[ethane-1,2-diylbis(oxy)]diethanol (18.37 mL, 129 mmol) was added to a solution of (1R,9S,12S,15R,16E,18R,19R,21R,23S,24E,26E,28E,30S,32S,35R)-1,18-dihydroxy-12-{(2R)-1-[(1S,3R,4R)-4-hydroxy-3-methoxycyclohexyl]propan-2-yl}-19,30-dimethoxy-15,17,21,23,29,35-hexamethyl-11,36-dioxa-4-azatricyclo[30.3.1.0˜4,9˜]hexatriaconta-16,24,26,28-tetraene-2,3,10,14,20-pentone (3.00 g, 3.28 mmol) in anhydrous DCM (131 mL). 4-methylbenzenesulfonic acid (2.82 g, 16.4 mmol) was added. The mixture was stirred 60 minutes at room temperature. The mixture was diluted with DCM and neutralized by a saturated solution of NaHCO3. The phases were separated. The organic phase was washed with water, dried, filtered and concentrated to dryness. The resulting crude mixture was purified by reverse phase chromatography (Uptisphere Strategy C18-Hq 10 um 250×30.0 mm CH3CN:H2O gradient 70:30 to 100:0, 277 nm). The main fraction (1.8 g) was purified by SFC separation to afford two fractions.


(1R,9S,12S,15R,16E,18R,19R,21R,23S,24E,26E,28E,30R,32S,35R)-1,18-dihydroxy-30-[2-[2-(2-hydroxyethoxy)ethoxy]ethoxy]-12-[(1R)-2-[(1S,3R,4R)-4-hydroxy-3-methoxy-cyclohexyl]-1-methyl-ethyl]-19-methoxy-15,17,21,23,29,35-hexamethyl-11,36-dioxa-4-azatricyclo[30.3.1.04,9]hexatriaconta-16,24,26,28-tetraene-2,3,10,14,20-pentone (444 mg, 13%, white amorphous solid, compound 526) and (1R,9S,12S,15R,16E,18R,19R,21R,23S,24E,26E,28E,30S,32S,35R)-1,18-dihydroxy-30-[2-[2-(2-hydroxyethoxy)ethoxy]ethoxy]-12-[(1R)-2-[(1S,3R,4R)-4-hydroxy-3-methoxy-cyclohexyl]-1-methyl-ethyl]-19-methoxy-15,17,21,23,29,35-hexamethyl-11,36-dioxa-4-azatricyclo[30.3.1.04,9]hexatriaconta-16,24,26,28-tetraene-2,3,10,14,20-pentone (288 mg, 3%, white amorphous solid, compound 127).


SFC separation: Column: Princeton 2 Ethylpyridine 5 μm 60 A. Column size: 3 cm I.D.×15 cm L. Mobile phase: CO2/IpOH 60/40. Flowrate: 100 ml/min. Pressure: 100 Bar. Wave length: UV 277 nm. SFC Equipment: Waters SFC200.


Compound 526: 1H NMR (DMSO-d6, 600 MHz) δ 5.9-6.6 (m, 5H), 5.46 (dd, 1H, J=9.6, 14.9 Hz), 5.2-5.3 (m, 1H), 5.09 (br d, 1H, J=10.1 Hz), 5.0-5.1 (m, 1H), 4.93 (br d, 1H, J=6.2 Hz), 4.5-4.6 (m, 2H), 4.0-4.1 (m, 2H), 3.94 (d, 1H, J=4.5 Hz), 3.8-3.8 (m, 1H), 3.4-3.6 (m, 12H), 3.1-3.3 (m, 7H), 2.82 (ddd, 2H, J=4.3, 8.5, 11.2 Hz), 2.73 (dd, 1H, J=2.4, 17.5 Hz), 2.3-2.4 (m, 2H), 2.2-2.3 (m, 1H), 1.8-2.2 (m, 5H), 1.5-1.8 (m, 14H), 0.7-1.5 (m, 28H), 0.59 (q, 1H, J=12.0 Hz) LCMS: MNa+ (ion type), 1054.8 (ion m/z).


Compound 127: 1H NMR (DMSO-d6, 600 MHz): δ (ppm) 6.53 (d, J=0.9 Hz, 1H), 6.43 (dd, J=14.0, 11.7 Hz, 1H), 6.13-6.22 (m, 2H), 6.05 (br d, J=10.3 Hz, 1H), 5.60 (dd, J=14.5, 8.4 Hz, 1H), 5.25 (d, J=4.5 Hz, 1H), 5.19-5.24 (m, 1H), 5.10 (ddd, J=8.9, 4.8, 2.7 Hz, 1H), 4.98 (br d, J=5.1 Hz, 1H), 4.57 (d, J=4.3 Hz, 1H), 4.55 (t, J=5.4 Hz, 1H), 4.04 (br d, J=4.1 Hz, 1H), 3.95-4.00 (m, 1H), 3.91 (d, J=4.5 Hz, 1H), 3.80-3.83 (m, 1H), 3.53-3.57 (m, 1H), 3.44-3.52 (m, 8H), 3.40-3.43 (m, 2H), 3.32-3.40 (m, 2H), 3.30-3.31 (m, 1H), 3.30 (s, 3H), 3.18 (s, 3H), 3.12-3.15 (m, 1H), 3.01-3.09 (m, 1H), 2.79-2.86 (m, 1H), 2.75-2.79 (m, 1H), 2.50 (br s, 2H), 2.22-2.31 (m, 1H), 2.15 (br d, J=12.9 Hz, 1H), 1.97-2.04 (m, 1H), 1.87-1.96 (m, 1H), 1.70-1.78 (m, 3H), 1.70 (s, 3H), 1.65 (s, 3H), 1.47-1.63 (m, 7H), 1.32-1.46 (m, 3H), 1.22-1.32 (m, 3H), 1.05-1.21 (m, 4H), 0.98 (br d, J=6.7 Hz, 3H), 0.94-0.97 (m, 1H), 0.92 (d, J=6.6 Hz, 3H), 0.85-0.88 (m, 1H), 0.83 (d, J=6.5 Hz, 3H), 0.79 (br d, J=6.7 Hz, 2H), 0.73 (s, 3H), 0.52-0.60 (m, 1H) LCMS: MNa+ (ion type), 1054.8 (ion m/z).




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Cyclopropanol (2.6 mL, 41.3 mmol) was added to a solution of (1R,9S,12S,15R,16E,18R,19R,21R,23S,24E,26E,28E,30S,32S,35R)-1,18-dihydroxy-12-{(2R)-1-[(1S,3R,4R)-4-(2-hydroxyethoxy)-3-methoxycyclohexyl]propan-2-yl}-19,30-dimethoxy-15,17,21,23,29,35-hexamethyl-11,36-dioxa-4-azatricyclo[30.3.1.0˜4,9˜]hexatriaconta-16,24,26,28-tetraene-2,3,10,14,20-pentone (1.00 g, 1.04 mmol) in anhydrous DCM (42 mL). The mixture was cooled to −20° C. and 4-methylbenzenesulfonic acid (881 mg, 5.11 mmol) was added. The mixture was stirred 30 minutes at room temperature. The mixture was diluted with DCM and neutralized by a saturated solution of NaHCO3. The phases were separated. The organic phase was washed with water (40 mL), dried, filtered and concentrated to dryness. The resulting crude mixture was purified by reverse phase chromatography (Uptisphere Strategy C18-Hq 10 um 250×30.0 mm CH3CN:H2O gradient 70:30 to 100:0, 277 nm). The main fraction was purified by SFC separation to afford two fractions.


(1R,9S,12S,15R,16E,18R,19R,21R,23S,24E,26E,28E,30S,32S,35R)-30-(cyclopropoxy)-1,18-dihydroxy-12-[(1R)-2-[(1S,3R,4R)-4-(2-hydroxyethoxy)-3-methoxy-cyclohexyl]-1-methyl-ethyl]-19-methoxy-15,17,21,23,29,35-hexamethyl-11,36-dioxa-4-azatricyclo[30.3.1.04,9]hexatriaconta-16,24,26,28-tetraene-2,3,10,14,20-pentone (381 mg, 36%, white amorphous solid, compound 527) and (1R,9S,12S,15R,16E,18R,19R,21R,23S,24E,26E,28E,30R,32S,35R)-30-(cyclopropoxy)-1,18-dihydroxy-12-[(1R)-2-[(1S,3R,4R)-4-(2-hydroxyethoxy)-3-methoxy-cyclohexyl]-1-methyl-ethyl]-19-methoxy-15,17,21,23,29,35-hexamethyl-11,36-dioxa-4-azatricyclo[30.3.1.04,9]hexatriaconta-16,24,26,28-tetraene-2,3,10,14,20-pentone (168 mg, 15%, white amorphous solid, compound 128).


SFC separation: Column: Waters Viridis Ethylpyridine 5 μm 60 A. Column size: 19×250 mm. Mobile phase: CO2/IpOH 80/20. Flowrate: 50 ml/min. Pressure: 100 Bar. Wave length: UV 277 nm. SFC Equipment: Waters SFC200.


Compound 527: 1H NMR (600 MHz, DMSO-d6) δ 5.91-6.52 (m, 5H), 5.44-5.59 (m, 1H), 5.19-5.32 (m, 1H), 5.03-5.17 (m, 1H), 4.91-5.00 (m, 2H), 4.41-4.46 (m, 1H), 3.99-4.03 (m, 1H), 3.66-3.96 (m, 3H), 3.38-3.55 (m, 5H), 3.31-3.35 (m, 3H), 3.24-3.29 (m, 1H), 3.12-3.21 (m, 31H), 2.95-3.10 (m, 3H), 2.65-2.78 (m, 1H), 2.34-2.48 (m, 2H), 2.18-2.26 (m, 1H), 2.06-2.15 (m, 1H), 1.65-2.04 (m, 13H), 1.50-1.62 (m, 5H), 1.36-1.44 (m, 2H), 1.22-1.33 (m, 4H), 1.10-1.19 (m, 2H), 0.93-1.06 (m, 7H), 0.81-0.91 (m, 6H), 0.62-0.79 (m, 7H), 0.22-0.54 (m, 4H) LCMS: MNa+ (ion type), 1006.6 (ion m/z).


Compound 128: 1H NMR (600 MHz, DMSO-d6) δ 5.91-6.70 (m, 5H), 5.61-5.74 (m, 1H), 5.18-5.34 (m, 2H), 5.05-5.18 (m, 1H), 4.98 (br d, J=5.43 Hz, 1H), 4.40-4.46 (m, 1H), 4.01-4.09 (m, 1H), 3.80-3.99 (m, 3H), 3.42-3.59 (m, 5H), 3.30-3.39 (m, 4H), 3.13-3.28 (m, 4H), 2.92-3.10 (m, 3H), 2.53-2.86 (m, 3H), 2.25-2.32 (m, 1H), 2.06-2.19 (m, 1H), 1.87-2.03 (m, 3H), 1.65-1.71 (m, 6H), 1.49-1.61 (m, 6H), 1.40-1.45 (m, 1H), 1.20-1.37 (m, 5H), 1.17 (br s, 1H), 1.06-1.15 (m, 4H), 0.93-1.05 (m, 7H), 0.70-0.90 (m, 11H), 0.61-0.66 (m, 1H), 0.22-0.53 (m, 4H) LCMS: MNa+ (ion type), 1006.7 (ion m/z).




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Preparation of (1R,9S,12S,15R,16E,18R,19R,21R,23S,24E,26E,28E,30S,32S,35R)-12-[(1R)-2-[(1S,3R,4R)-4-[3-[tert-butyl(dimethyl)silyl]oxypropoxy]-3-methoxy-cyclohexyl]-1-methyl-ethyl]-1,18-dihydroxy-19,30-dimethoxy-15,17,21,23,29,35-hexamethyl-11,36-dioxa-4-azatricyclo[30.3.1.0 A4,9] hexatriaconta-16,24,26,28-tetraene-2,3,10,14,20-pentone (Compound V). 3-[tert-butyl(dimethyl)silyl]oxypropyl trifluoromethanesulfonate (1799 mg, 5.58 mmol) was added to a mixture of Sirolimus (1.7 g, 1.86 mmol) and N-ethyl-N-isopropyl-propan-2-amine (1.8 mL, 10.2 mmol) previously dissolved in dry Toluene (6.9 mL) under argon. After 3 hours of stirring at 60° C., the crude mixture was concentrated and purified on silica gel by flash column chromatography (Cyclohexane/Ethylacetate 100:0 to 70:30) to afford the desired product as an amorphous white solid (799 mg). Yield 39%. LCMS: MNa+ (ion type), 1108.7 (ion m/z).




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2-methoxyethanol (81 mL, 1.02 mmol) was added to a solution of (1R,9S,12SR,15R,16E,18R,19R,21R,23S,24E,26E,28E,30S,32S,35R)-12-[(1R)-2-[(1S,3R,4R)-4-[3-[tertbutyl(dimethyl)silyl]oxypropoxy]-3-methoxy-cyclohexyl]-1-methyl-ethyl]-1,18-dihydroxy-19,30-dimethoxy-15,17,21,23,29,35-hexamethyl-11,36-dioxa-4-azatricyclo[30.3.1.0{circumflex over ( )}4,9]hexatriaconta-16,24,26,28-tetraene-2,3,10,14,20-pentone (3.03 g, 2.79 mmol) in anhydrous DCM (30 mL). 4-methylbenzenesulfonic acid (2.40 g, 13.9 mmol) was added. The mixture was stirred 60 minutes at room temperature. The mixture was diluted with DCM and neutralized by a saturated solution of NaHCO3. The phases were separated. The organic phase was washed with water (40 mL), dried, filtered and concentrated to dryness. The resulting crude mixture was purified by reverse phase chromatography (Uptisphere Strategy C18-Hq 10 um 250×30.0 mm CH3CN:H2O gradient 60:40 to 100:0, 277 nm). The main fraction was purified by SFC separation to afford two fractions.


(1R,9S,12S,15R,16E,18R,19R,21R,23S,24E,26E,28E,30S,32S,35R)-1,18-dihydroxy-12-[(1R)-2-[(1S,3R,4R)-4-(3-hydroxypropoxy)-3-methoxy-cyclohexyl]-1-methyl-ethyl]-19-methoxy-30-(2-methoxyethoxy)-15,17,21,23,29,35-hexamethyl-11,36-dioxa-4-azatricyclo[30.3.1.04,9]hexatriaconta-16,24,26,28-tetraene-2,3,10,14,20-pentone (66 mg, 3%, white amorphous solid, compound 427) and (1R,9S,12S,15R,16E,18R,19R,21R,23S,24E,26E,28E,30R,32S,35R)-1,18-dihydroxy-12-[(1R)-2-[(1S,3R,4R)-4-(3-hydroxypropoxy)-3-methoxy-cyclohexyl]-1-methyl-ethyl]-19-methoxy-30-(2-methoxyethoxy)-15,17,21,23,29,35-hexamethyl-11,36-dioxa-4-azatricyclo[30.3.1.04,9]hexatriaconta-16,24,26,28-tetraene-2,3,10,14,20-pentone (19.7 mg, 1%, white amorphous solid, compound 28).


SFC separation: Column: Waters Viridis Ethylpyridine 5 μm 60 A. Column size: 19×250 mm. Mobile phase: CO2/IpOH 80/20. Flowrate: 50 ml/min. Pressure: 100 Bar. Wave length: UV 277 nm. SFC Equipment: Waters SFC200.


Compound 427: 1H NMR (600 MHz, DMSO-d6, 300K) δ ppm 1H NMR (DMSO-d6, 500 MHz): δ (ppm) 6.45 (d, J=1.7 Hz, 1H), 6.32-6.43 (m, 1H), 6.08-6.26 (m, 3H), 5.46 (dd, J=14.8, 9.7 Hz, 1H), 5.26 (d, J=4.4 Hz, 1H), 5.09 (br d, J=10.0 Hz, 1H), 4.98 (dt, J=7.6, 4.0 Hz, 1H), 4.94 (br d, J=5.4 Hz, 1H), 4.30 (br t, J=5.1 Hz, 1H), 3.97-4.08 (m, 2H), 3.94 (d, J=4.6 Hz, 1H), 3.79 (br d, J=11.5 Hz, 1H), 3.53-3.60 (m, 1H), 3.34-3.52 (m, 6H), 3.33 (s, 3H), 3.25-3.30 (m, 2H), 3.24 (s, 3H), 3.16 (s, 3H), 2.89-3.05 (m, 2H), 2.73 (br d, J=15.4 Hz, 1H), 2.30-2.44 (m, 2H), 2.17-2.28 (m, 1H), 2.10 (br d, J=13.0 Hz, 1H), 1.99-2.06 (m, 1H), 1.81-1.98 (m, 4H), 1.74 (s, 3H), 1.66-1.70 (m, 2H), 1.64 (s, 3H), 1.50-1.63 (m, 6H), 1.35-1.47 (m, 2H), 1.21-1.33 (m, 3H), 1.09-1.20 (m, 2H), 1.04 (d, J=5.9 Hz, 3H), 1.00-1.08 (m, 2H), 0.98 (br d, J=6.6 Hz, 3H), 0.91-0.96 (m, 1H), 0.87 (d, J=6.6 Hz, 3H), 0.83 (d, J=6.4 Hz, 3H), 0.79-0.81 (m, 1H), 0.78 (d, J=6.8 Hz, 3H), 0.73 (d, J=6.8 Hz, 3H), 0.65 (q, J=12.0 Hz, 1H)


Compound 28: 1H NMR (600 MHz, DMSO-d6, 300K) δ ppm 5.49-6.45 (m, 5H), 4.98-5.57 (m, 5H), 4.10-4.51 (m, 3H), 3.57-3.94 (m, 8H), 3.18-3.57 (m, 16H), 2.97-3.17 (m, 2H), 2.51-2.76 (m, 3H), 1.89-2.42 (m, 8H), 1.24-1.88 (m, 18H), 0.65-1.18 (m, 14H). LCMS: MNa+ (ion type), 1038.7 (ion m/z).




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To a solution of (1R,9S,12S,15R,16E,18R,19R,21R,23S,24E,26E,28E,30S,32S,35R)-1,18-dihydroxy-12-[(1R)-2-[(1S,3R,4R)-4-(3-iodopropoxy)-3-methoxy-cyclohexyl]-1-methyl-ethyl]-19-methoxy-30-(2-methoxyethoxy)-15,17,21,23,29,35-hexamethyl-11,36-dioxa-4-azatricyclo[30.3.1.0{circumflex over ( )}4,9]hexatriaconta-16,24,26,28-tetraene-2,3,10,14,20-pentone (compound C1) (300 mg, 0.266 mmol) in anhydrous DCM (1.66 mL) was added N-ethyl-N-isopropyl-propan-2-amine (139 uL, 0.799 mmol) then methylpiperazine (36 uL, 0.319 mmol). The reaction mixture was stirred for 6 hours at room temperature under argon. The reaction mixture was diluted with DCM and quenched with aqueous saturated NH4Cl solution (pH=6). The organic phase was washed with water and dried. The crude was then purified by silica gel flash column chromatography (100/0 to 70/30 of EtOAc/MeOH:Et3N (50:50). The fraction of interest were then purified by silica gel flash column chromatography (100/0 to 80/20 of DCM/MeOH) to afford the desired product (1R,9S,12S,15R,16E,18R,19R,21R,23S,24E,26E,28E,30S,32S,35R)-1,18-dihydroxy-19-methoxy-30-(2-methoxyethoxy)-12-[(1R)-2-[(1S,3R,4R)-3-methoxy-4-[3-(4-methylpiperazin-1-yl)propoxy]cyclohexyl]-1-methyl-ethyl]-15,17,21,23,29,35-hexamethyl-11,36-dioxa-4-azatricyclo[30.3.1.0{circumflex over ( )}4,9]hexatriaconta-16,24,26,28-tetraene-2,3,10,14,20-pentone (137 mg, 47%, compound 431).


Compound 431: MS (ES+, m/z): 1098.7 [M+H]+. 1H NMR (600 MHz, DMSO-d6) δ 5.88-6.53 (m, 5H), 5.42-5.70 (m, 1H), 5.20-5.29 (m, 1H), 5.06-5.15 (m, 1H), 4.92-5.05 (m, 2H), 3.98-4.08 (m, 2H), 3.83-3.96 (m, 1H), 3.67-3.81 (m, 1H), 3.32-3.57 (m, 9H), 3.10-3.28 (m, 9H), 2.91-3.05 (m, 2H), 2.70-2.76 (m, 1H), 2.16-2.48 (m, 13H), 2.16 (br s, 3H), 1.97-2.13 (m, 3H), 1.83-1.96 (m, 4H), 1.73 (s, 2H), 1.52-1.70 (m, 12H), 1.35-1.45 (m, 2H), 1.21-1.33 (m, 4H), 1.14-1.20 (m, 1H), 0.93-1.11 (m, 8H), 0.80-0.89 (m, 6H), 0.72-0.79 (m, 5H), 0.63-0.69 (n, 1H) LCMS: MH+ (ES+), 1098.7 (ion m/z).




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To a solution of ((1R,9S,12S,15R,16E,18R,19R,21R,23S,24E,26E,28E,30R,32S,35R)-1,18-dihydroxy-12-[(1R)-2-[(1S,3R,4R)-4-(3-iodopropoxy)-3-methoxy-cyclohexyl]-1-methyl-ethyl]-19-methoxy-30-(2-methoxyethoxy)-15,17,21,23,29,35-hexamethyl-11,36-dioxa-4-azatricyclo[30.3.1.04,9]hexatriaconta-16,24,26,28-tetraene-2,3,10,14,20-pentone (compound C1) (502.9 mg, 0.446 mmol) in anhydrous DCM (2.79 mL) was added N-ethyl-N-isopropyl-propan-2-amine (233 uL, 1.34 mmol) then 1-methylpiperazine (60 uL, 0.535 mmol). The reaction mixture was stirred for 3 hours at room temperature under argon. The reaction mixture was diluted with DCM and quenched with aqueous saturated NH4Cl solution (pH=6). The organic phase was washed with water and dried. The crude was then purified by silica gel flash column chromatography (100/0 to 70/30 of EtOAc/MeOH:Et3N (50:50). The fraction of interest were then purified by silica gel flash column chromatography (100/0 to 80/20 of DCM/MeOH) to afford the desired product (1R,9S,12S,15R,16E,18R,19R,21R,23S,24E,26E,28E,30R,32S,35R)-1,18-dihydroxy-19-methoxy-30-(2-methoxyethoxy)-12-[(1R)-2-[(1S,3R,4R)-3-methoxy-4-[3-(4-methylpiperazin-1-yl)propoxy]cyclohexyl]-1-methyl-ethyl]-15,17,21,23,29,35-hexamethyl-11,36-dioxa-4-azatricyclo[30.3.1.04,9]hexatriaconta-16,24,26,28-tetraene-2,3,10,14,20-pentone (78.9 mg, 15%, compound 32).


Compound 32: MS (ES+, m/z): 1098.7 [M+H]+. 1H NMR (600 MHz, DMSO-d6) δ 5.89-6.61 (m, 5H), 5.39-5.67 (m, 1H), 5.04-5.38 (m, 4H), 4.89-5.02 (m, 1H), 3.89-4.07 (m, 2H), 3.77-3.87 (m, 1H), 3.65-3.75 (m, 1H), 3.32-3.51 (m, 7H), 2.91-3.07 (m, 4H), 2.64-2.83 (m, 3H), 2.51-2.63 (m, 2H), 2.26-2.44 (m, 9H), 2.07-2.23 (m, 6H), 1.86-2.03 (m, 4H), 1.54-1.72 (m, 18H), 1.47-1.52 (m, 2H), 1.22-1.41 (m, 7H), 1.04-1.11 (m, 5H), 0.90-1.02 (m, 10H), 0.72-0.88 (m, 10H), 0.61-0.68 (m, 1H) LCMS: MH+ (ES+), 1098.7 (ion m/z).




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(1R,9S,12SR,15R,16E,18R,19R,21R,23S,24E,26E,28E,30R,32S,35R)-1,18-dihydroxy-30-(4-hydroxybutoxy)-12-[(1R)-2-[(1S,3R,4R)-4-(3-iodopropoxy)-3-methoxy-cyclohexyl]-1-methyl-ethyl]-19-methoxy-15,17,21,23,29,35-hexamethyl-11,36-dioxa-4-azatricyclo[30.3.1.04,9]hexatriaconta-16,24,26,28-tetraene-2,3,10,14,20-pentone (334 mg, 0.29 mmol) in dry DCM (1.33 mL) was added N-ethyl-N-isopropyl-propan-2-amine (113 uL, 0.88 mmol) then morpholine (22 uL, 0.25 mmol). The reaction mixture was stirred at room temperature for 24 hours. The mixture was then diluted with DCM and aqueous HCl 1N was added until pH=5. The organic phase was washed with water, dried and concentrated to dryness and purified over silica gel flash column chromatography (100/0 to 85/15 of EtOAc/MeOH:Et3N (50:50). The fractions of interest were purified over silica gel flash column chromatography (DCM/MeOH, 100/0 to 90/10) to yield (1R,9S,12S,15R,16E,18R,19R,21R,23S,24E,26E,28E,30R,32S,35R)-1,18-dihydroxy-30-(4-hydroxybutoxy)-19-methoxy-12-[(1R)-2-[(1S,3R,4R)-3-methoxy-4-(3-morpholinopropoxy)cyclohexyl]-1-methyl-ethyl]-15,17,21,23,29,35-hexamethyl-11,36-dioxa-4-azatricyclo[30.3.1.04,9]hexatriaconta-16,24,26,28-tetraene-2,3,10,14,20-pentone (110 mg, 34%, Compound 27).


Compound 27: 1H NMR (600 MHz, DMSO-d6) δ 5.86-6.59 (m, 5H), 5.43-5.64 (m, 1H), 4.89-5.27 (m, 4H), 4.29-4.43 (m, 1H), 3.60-4.09 (m, 4H), 3.45-3.58 (m, 7H), 3.34-3.41 (m, 2H), 3.32 (br d, J=5.28 Hz, 4H), 3.10-3.20 (m, 5H), 2.93-3.01 (m, 2H), 2.61-2.83 (m, 3H), 2.26-2.35 (m, 7H), 0.64-2.20 (m, 53H) LCMS: MH+ (ion type), 1099.6 (ion m/z).




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To a solution of everolimus (1.50 g, 1.57 mmol) in anhydrous DCM (19,568 mL) was added 2-methoxyethanol (45 mL, 0.573 mol) then 4-methylbenzenesulfonic acid (1.35 g, 7.83 mmol). The reaction mixture was stirred for 1 h at room temperature. The reaction mixture was neutralized with saturated NaHCO3 aqueous and extracted with DCM. The organic phase was washed with water (60 mL), dried, filtered and concentrated to dryness. The resulting crude mixture was purified by reverse phase chromatography (Uptisphere Strategy C18-Hq 10 um 250×30.0 mm CH3CN:H2O gradient 60:40 to 100:0 in 25 min, 277 nm). The main fraction (540 mg) was purified by SFC separation to afford (1R,9S,12S,15R,16E,18R,19R,21R,23S,24E,26E,28E,30R,32S,35R)-1,18-dihydroxy-12-[(1R)-2-[(1S,3R,4R)-4-(2-hydroxyethoxy)-3-methoxy-cyclohexyl]-1-methyl-ethyl]-19-methoxy-30-(2-methoxyethoxy)-15,17,21,23,29,35-hexamethyl-11,36-dioxa-4-azatricyclo[30.3.1.0{circumflex over ( )}4,9]hexatriaconta-16,24,26,28-tetraene-2,3,10,14,20-pentone (compound 439,231 mg, 15%, white amorphous solid).


SFC separation: Column: Princeton 2 Ethylpyridine. 5 μm 60 A. Column size: 3 cm I.D.×15 cm L. Mobile phase: CO2/IpOH 85/15. Flowrate: 50 ml/min. Pressure: 100 Bar. Wave length: UV 277 nm. SFC Equipment: Waters SFC200.


Compound 439: 1H NMR (DMSO-d6, 600 MHz): δ (ppm) 5.87-6.60 (m, 5H), 5.61 (dd, J=14.3, 8.5 Hz, 1H), 5.04-5.53 (m, 3), 4.99 (d, J=5.8 Hz, 1H), 4.95-4.89 (m, 1H), 4.43 (t, J=5.5 Hz, 1H), 3.91-4.15 (2H, m), 3.78-3.92 (m, 1H), 3.62-3.78 (m, 1H), 3.35-3.59 (m, 3H), 3.26-3.34 (m 7H), 3.10-3.26 (m, 3H), 2.89-3.09 (m, 4H), 2.59-2.85 (m, 2H), 2.34-2.43 (m, 1H), 2.20-2.33 (m, 1H), 1.81-2.19 (m, 4H), 1.45-1.81 (m, 6H), 1.19-1.45 (m, 3H), 0.89-1.19 (m, 5H), 0.59-0.89 (5H, m). LCMS: MNa+ (ion type), 1024.6 (ion m/z).




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TABLE 1







with Fromula (III-A) core:









No. #
R1
R4












1


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2


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3


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5


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6


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7


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8


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9


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10


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11


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27


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Table 2 with Formula (III-B) core:









No. #
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R4












200


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embedded image







239


embedded image




embedded image







240


embedded image




embedded image







241


embedded image




embedded image







242


embedded image




embedded image







243


embedded image




embedded image







244


embedded image




embedded image







245


embedded image




embedded image







246


embedded image




embedded image







247


embedded image




embedded image







248


embedded image




embedded image







249


embedded image




embedded image







250


embedded image




embedded image







251


embedded image




embedded image







252


embedded image




embedded image







253


embedded image




embedded image







254


embedded image




embedded image







255


embedded image




embedded image







256


embedded image




embedded image







257


embedded image




embedded image







258


embedded image




embedded image







259


embedded image




embedded image







260


embedded image




embedded image







261


embedded image




embedded image







262


embedded image




embedded image







263


embedded image




embedded image







264


embedded image




embedded image







265


embedded image




embedded image







266


embedded image




embedded image







267


embedded image




embedded image







268


embedded image




embedded image







269


embedded image




embedded image







270


embedded image




embedded image







271


embedded image




embedded image







272


embedded image




embedded image







273


embedded image




embedded image







274


embedded image




embedded image







275


embedded image




embedded image







276


embedded image




embedded image







277


embedded image




embedded image







278


embedded image




embedded image







279


embedded image




embedded image







280


embedded image




embedded image







281


embedded image




embedded image







282


embedded image




embedded image







283


embedded image




embedded image







284


embedded image




embedded image







285


embedded image




embedded image







286


embedded image




embedded image







287


embedded image




embedded image







288


embedded image




embedded image







289


embedded image




embedded image







290


embedded image




embedded image







291


embedded image




embedded image







292


embedded image




embedded image







293


embedded image




embedded image







294


embedded image




embedded image







295


embedded image




embedded image







296


embedded image




embedded image







297


embedded image




embedded image







298


embedded image




embedded image







299


embedded image




embedded image







300


embedded image




embedded image







301


embedded image




embedded image







302


embedded image




embedded image







303


embedded image




embedded image







304


embedded image




embedded image







305


embedded image




embedded image







306


embedded image




embedded image







307


embedded image




embedded image







308


embedded image




embedded image







309


embedded image




embedded image







310


embedded image




embedded image







311


embedded image




embedded image







312


embedded image




embedded image







313


embedded image




embedded image







314


embedded image




embedded image







315


embedded image




embedded image







316


embedded image




embedded image







317


embedded image




embedded image







318


embedded image




embedded image







319


embedded image




embedded image







320


embedded image




embedded image







321


embedded image




embedded image







322


embedded image




embedded image







323


embedded image




embedded image







324


embedded image




embedded image







325


embedded image




embedded image







326


embedded image




embedded image







327


embedded image




embedded image







329


embedded image




embedded image







330


embedded image




embedded image













embedded image












Table 3 with Formula (III-C) core:











No. #
R1
R4















400


embedded image




embedded image









401


embedded image




embedded image









402


embedded image




embedded image









403


embedded image




embedded image









404


embedded image




embedded image









405


embedded image




embedded image









406


embedded image




embedded image









407


embedded image




embedded image









408


embedded image




embedded image









409


embedded image




embedded image









410


embedded image




embedded image









411


embedded image




embedded image









412


embedded image




embedded image









413


embedded image




embedded image









414


embedded image




embedded image









415


embedded image




embedded image









416


embedded image




embedded image









417


embedded image




embedded image









418


embedded image




embedded image









419


embedded image




embedded image









420


embedded image




embedded image









421


embedded image




embedded image









422


embedded image




embedded image









423


embedded image




embedded image









424


embedded image




embedded image









425


embedded image




embedded image









426


embedded image




embedded image









427


embedded image




embedded image









428


embedded image




embedded image









429


embedded image




embedded image









430


embedded image




embedded image









431


embedded image




embedded image









432


embedded image




embedded image









433


embedded image




embedded image









434


embedded image




embedded image









435


embedded image




embedded image









436


embedded image




embedded image









437


embedded image




embedded image









438


embedded image




embedded image









439


embedded image




embedded image









440


embedded image




embedded image









441


embedded image




embedded image









442


embedded image




embedded image









443


embedded image




embedded image









444


embedded image




embedded image









445


embedded image




embedded image









446


embedded image




embedded image









447


embedded image




embedded image









448


embedded image




embedded image









449


embedded image




embedded image









450


embedded image




embedded image









451


embedded image




embedded image









452


embedded image




embedded image









453


embedded image




embedded image









454


embedded image




embedded image









455


embedded image




embedded image









456


embedded image




embedded image









457


embedded image




embedded image









458


embedded image




embedded image









459


embedded image




embedded image









460


embedded image




embedded image









461


embedded image




embedded image









462


embedded image




embedded image









463


embedded image




embedded image









464


embedded image




embedded image









465


embedded image




embedded image









466


embedded image




embedded image









467


embedded image




embedded image









468


embedded image




embedded image









469


embedded image




embedded image









470


embedded image




embedded image









471


embedded image




embedded image









472


embedded image




embedded image









473


embedded image




embedded image









474


embedded image




embedded image









475


embedded image




embedded image









476


embedded image




embedded image









477


embedded image




embedded image









478


embedded image




embedded image









479


embedded image




embedded image









480


embedded image




embedded image









481


embedded image




embedded image









482


embedded image




embedded image









483


embedded image




embedded image









484


embedded image




embedded image









485


embedded image




embedded image









486


embedded image




embedded image









487


embedded image




embedded image









488


embedded image




embedded image









489


embedded image




embedded image









490


embedded image




embedded image









491


embedded image




embedded image









492


embedded image




embedded image









493


embedded image




embedded image









494


embedded image




embedded image









495


embedded image




embedded image









496


embedded image




embedded image









497


embedded image




embedded image









498


embedded image




embedded image









499


embedded image




embedded image









500


embedded image




embedded image









501


embedded image




embedded image









502


embedded image




embedded image









503


embedded image




embedded image









504


embedded image




embedded image









505


embedded image




embedded image









506


embedded image




embedded image









507


embedded image




embedded image









508


embedded image




embedded image









509


embedded image




embedded image









510


embedded image




embedded image









511


embedded image




embedded image









512


embedded image




embedded image









513


embedded image




embedded image









514


embedded image




embedded image









515


embedded image




embedded image









516


embedded image




embedded image









517


embedded image




embedded image









518


embedded image




embedded image









519


embedded image




embedded image









520


embedded image




embedded image









521


embedded image




embedded image









522


embedded image




embedded image









523


embedded image




embedded image









524


embedded image




embedded image









525


embedded image




embedded image









526


embedded image




embedded image









527


embedded image




embedded image









529


embedded image




embedded image














embedded image









TABLE 4







with Formula (IIII-D) core:









No. #
R1
R4





600


embedded image




embedded image







601


embedded image




embedded image







602


embedded image




embedded image







603


embedded image




embedded image







604


embedded image




embedded image







605


embedded image




embedded image







606


embedded image




embedded image







607


embedded image




embedded image







608


embedded image




embedded image







609


embedded image




embedded image







610


embedded image




embedded image







611


embedded image




embedded image







612


embedded image




embedded image







613


embedded image




embedded image







614


embedded image




embedded image







615


embedded image




embedded image







616


embedded image




embedded image







617


embedded image




embedded image







618


embedded image




embedded image







619


embedded image




embedded image







620


embedded image




embedded image







621


embedded image




embedded image







622


embedded image




embedded image







623


embedded image




embedded image







624


embedded image




embedded image







625


embedded image




embedded image







626


embedded image




embedded image







627


embedded image




embedded image







628


embedded image




embedded image







629


embedded image




embedded image







630


embedded image




embedded image







631


embedded image




embedded image







632


embedded image




embedded image







633


embedded image




embedded image







634


embedded image




embedded image







635


embedded image




embedded image







636


embedded image




embedded image







637


embedded image




embedded image







638


embedded image




embedded image







639


embedded image




embedded image







640


embedded image




embedded image







641


embedded image




embedded image







642


embedded image




embedded image







643


embedded image




embedded image







644


embedded image




embedded image







645


embedded image




embedded image







646


embedded image




embedded image







647


embedded image




embedded image







648


embedded image




embedded image







649


embedded image




embedded image







650


embedded image




embedded image







651


embedded image




embedded image







652


embedded image




embedded image







653


embedded image




embedded image







654


embedded image




embedded image







655


embedded image




embedded image







656


embedded image




embedded image







657


embedded image




embedded image







658


embedded image




embedded image







659


embedded image




embedded image







660


embedded image




embedded image







661


embedded image




embedded image







662


embedded image




embedded image







663


embedded image




embedded image







664


embedded image




embedded image







665


embedded image




embedded image







666


embedded image




embedded image







667


embedded image




embedded image







668


embedded image




embedded image







669


embedded image




embedded image







670


embedded image




embedded image







671


embedded image




embedded image







672


embedded image




embedded image







673


embedded image




embedded image







674


embedded image




embedded image







675


embedded image




embedded image







676


embedded image




embedded image







677


embedded image




embedded image







678


embedded image




embedded image







679


embedded image




embedded image







680


embedded image




embedded image







681


embedded image




embedded image







682


embedded image




embedded image







683


embedded image




embedded image







684


embedded image




embedded image







685


embedded image




embedded image







686


embedded image




embedded image







687


embedded image




embedded image







688


embedded image




embedded image







689


embedded image




embedded image







690


embedded image




embedded image







691


embedded image




embedded image







692


embedded image




embedded image







693


embedded image




embedded image







694


embedded image




embedded image







695


embedded image




embedded image







696


embedded image




embedded image







697


embedded image




embedded image







698


embedded image




embedded image







699


embedded image




embedded image







700


embedded image




embedded image







701


embedded image




embedded image







702


embedded image




embedded image







703


embedded image




embedded image







704


embedded image




embedded image







705


embedded image




embedded image







706


embedded image




embedded image







707


embedded image




embedded image







708


embedded image




embedded image







709


embedded image




embedded image







710


embedded image




embedded image







711


embedded image




embedded image







712


embedded image




embedded image







713


embedded image




embedded image







714


embedded image




embedded image







715


embedded image




embedded image







716


embedded image




embedded image







717


embedded image




embedded image







718


embedded image




embedded image







719


embedded image




embedded image







720


embedded image




embedded image







721


embedded image




embedded image







722


embedded image




embedded image







723


embedded image




embedded image







724


embedded image




embedded image







725


embedded image




embedded image







726


embedded image




embedded image







727


embedded image




embedded image







729


embedded image




embedded image







730


embedded image




embedded image













embedded image









TABLE 5







with Formula (III-E) core:











No. #
R1
R4







801


embedded image




embedded image









802


embedded image




embedded image









803


embedded image




embedded image









804


embedded image




embedded image









805


embedded image




embedded image









806


embedded image




embedded image









807


embedded image




embedded image









808


embedded image




embedded image









809


embedded image




embedded image









810


embedded image




embedded image









811


embedded image




embedded image









812


embedded image




embedded image









813


embedded image




embedded image









814


embedded image




embedded image









815


embedded image




embedded image









816


embedded image




embedded image









817


embedded image




embedded image









818


embedded image




embedded image









819


embedded image




embedded image









820


embedded image




embedded image









821


embedded image




embedded image









822


embedded image




embedded image









823


embedded image




embedded image









824


embedded image




embedded image









825


embedded image




embedded image









826


embedded image




embedded image









827


embedded image




embedded image









828


embedded image




embedded image









829


embedded image




embedded image









830


embedded image




embedded image









831


embedded image




embedded image









832


embedded image




embedded image









833


embedded image




embedded image









834


embedded image




embedded image









835


embedded image




embedded image









836


embedded image




embedded image









837


embedded image




embedded image









838


embedded image




embedded image









839


embedded image




embedded image









840


embedded image




embedded image









841


embedded image




embedded image









842


embedded image




embedded image









843


embedded image




embedded image









844


embedded image




embedded image









845


embedded image




embedded image









846


embedded image




embedded image









847


embedded image




embedded image









848


embedded image




embedded image









849


embedded image




embedded image









850


embedded image




embedded image









851


embedded image




embedded image









852


embedded image




embedded image









853


embedded image




embedded image









854


embedded image




embedded image









855


embedded image




embedded image









856


embedded image




embedded image









857


embedded image




embedded image









858


embedded image




embedded image









859


embedded image




embedded image









860


embedded image




embedded image









861


embedded image




embedded image









862


embedded image




embedded image









863


embedded image




embedded image









864


embedded image




embedded image









865


embedded image




embedded image









866


embedded image




embedded image









867


embedded image




embedded image









868


embedded image




embedded image









869


embedded image




embedded image









870


embedded image




embedded image









871


embedded image




embedded image









872


embedded image




embedded image









873


embedded image




embedded image









874


embedded image




embedded image









875


embedded image




embedded image









876


embedded image




embedded image









877


embedded image




embedded image









878


embedded image




embedded image









879


embedded image




embedded image









880


embedded image




embedded image









881


embedded image




embedded image









882


embedded image




embedded image









883


embedded image




embedded image









884


embedded image




embedded image









885


embedded image




embedded image









886


embedded image




embedded image









887


embedded image




embedded image









888


embedded image




embedded image









889


embedded image




embedded image









890


embedded image




embedded image









891


embedded image




embedded image









892


embedded image




embedded image









893


embedded image




embedded image









894


embedded image




embedded image









895


embedded image




embedded image









896


embedded image




embedded image









897


embedded image




embedded image









898


embedded image




embedded image









899


embedded image




embedded image









900


embedded image




embedded image









901


embedded image




embedded image









902


embedded image




embedded image









903


embedded image




embedded image









904


embedded image




embedded image









905


embedded image




embedded image









906


embedded image




embedded image









907


embedded image




embedded image









908


embedded image




embedded image









909


embedded image




embedded image









910


embedded image




embedded image









911


embedded image




embedded image









912


embedded image




embedded image









913


embedded image




embedded image









914


embedded image




embedded image









915


embedded image




embedded image









916


embedded image




embedded image









917


embedded image




embedded image









918


embedded image




embedded image









919


embedded image




embedded image









920


embedded image




embedded image









921


embedded image




embedded image









922


embedded image




embedded image









923


embedded image




embedded image









924


embedded image




embedded image









925


embedded image




embedded image









926


embedded image




embedded image









927


embedded image




embedded image









928


embedded image




embedded image









930


embedded image




embedded image









931


embedded image




embedded image














embedded image









TABLE 6







with Formula (III-F) core:











No. #
R1
R4







1001


embedded image




embedded image









1002


embedded image




embedded image









1003


embedded image




embedded image









1004


embedded image




embedded image









1005


embedded image




embedded image









1006


embedded image




embedded image









1007


embedded image




embedded image









1008


embedded image




embedded image









1009


embedded image




embedded image









1000


embedded image




embedded image









1011


embedded image




embedded image









1012


embedded image




embedded image









1013


embedded image




embedded image









1014


embedded image




embedded image









1015


embedded image




embedded image









1016


embedded image




embedded image









1017


embedded image




embedded image









1018


embedded image




embedded image









1019


embedded image




embedded image









1020


embedded image




embedded image









1021


embedded image




embedded image









1022


embedded image




embedded image









1023


embedded image




embedded image









1024


embedded image




embedded image









1025


embedded image




embedded image









1026


embedded image




embedded image









1027


embedded image




embedded image









1028


embedded image




embedded image









1029


embedded image




embedded image









1030


embedded image




embedded image









1031


embedded image




embedded image









1032


embedded image




embedded image









1033


embedded image




embedded image









1034


embedded image




embedded image









1035


embedded image




embedded image









1036


embedded image




embedded image









1037


embedded image




embedded image









1038


embedded image




embedded image









1039


embedded image




embedded image









1040


embedded image




embedded image









1041


embedded image




embedded image









1042


embedded image




embedded image









1043


embedded image




embedded image









1044


embedded image




embedded image









1045


embedded image




embedded image









1046


embedded image




embedded image









1047


embedded image




embedded image









1048


embedded image




embedded image









1049


embedded image




embedded image









1050


embedded image




embedded image









1051


embedded image




embedded image









1052


embedded image




embedded image









1053


embedded image




embedded image









1054


embedded image




embedded image









1055


embedded image




embedded image









1056


embedded image




embedded image









1057


embedded image




embedded image









1058


embedded image




embedded image









1059


embedded image




embedded image









1060


embedded image




embedded image









1061


embedded image




embedded image









1062


embedded image




embedded image









1063


embedded image




embedded image









1064


embedded image




embedded image









1065


embedded image




embedded image









1066


embedded image




embedded image









1067


embedded image




embedded image









1068


embedded image




embedded image









1069


embedded image




embedded image









1070


embedded image




embedded image









1071


embedded image




embedded image









1072


embedded image




embedded image









1073


embedded image




embedded image









1074


embedded image




embedded image









1075


embedded image




embedded image









1076


embedded image




embedded image









1077


embedded image




embedded image









1078


embedded image




embedded image









1079


embedded image




embedded image









1080


embedded image




embedded image









1081


embedded image




embedded image









1082


embedded image




embedded image









1083


embedded image




embedded image









1084


embedded image




embedded image









1085


embedded image




embedded image









1086


embedded image




embedded image









1087


embedded image




embedded image









1088


embedded image




embedded image









1089


embedded image




embedded image









1090


embedded image




embedded image









1091


embedded image




embedded image









1092


embedded image




embedded image









1993


embedded image




embedded image









1094


embedded image




embedded image









1095


embedded image




embedded image









1096


embedded image




embedded image









1097


embedded image




embedded image









1098


embedded image




embedded image









1099


embedded image




embedded image









1100


embedded image




embedded image









1101


embedded image




embedded image









1102


embedded image




embedded image









1103


embedded image




embedded image









1104


embedded image




embedded image









1105


embedded image




embedded image









1106


embedded image




embedded image









1107


embedded image




embedded image









1108


embedded image




embedded image









1109


embedded image




embedded image









1110


embedded image




embedded image









1111


embedded image




embedded image









1112


embedded image




embedded image









1113


embedded image




embedded image









1114


embedded image




embedded image









1115


embedded image




embedded image









1116


embedded image




embedded image









1117


embedded image




embedded image









1118


embedded image




embedded image









1119


embedded image




embedded image









1120


embedded image




embedded image









1121


embedded image




embedded image









1122


embedded image




embedded image









1123


embedded image




embedded image









1124


embedded image




embedded image









1125


embedded image




embedded image









1126


embedded image




embedded image









1127


embedded image




embedded image









1128


embedded image




embedded image









1130


embedded image




embedded image









1131


embedded image




embedded image














embedded image









TABLE 7







with Formula (IIII-G) core:









No. #
R1
R4





1201


embedded image




embedded image







1202


embedded image




embedded image







1203


embedded image




embedded image







1204


embedded image




embedded image







1205


embedded image




embedded image







1206


embedded image




embedded image







1207


embedded image




embedded image







1208


embedded image




embedded image







1209


embedded image




embedded image







1210


embedded image




embedded image







1211


embedded image




embedded image







1212


embedded image




embedded image







1213


embedded image




embedded image







1214


embedded image




embedded image







1215


embedded image




embedded image







1216


embedded image




embedded image







1217


embedded image




embedded image







1218


embedded image




embedded image







1219


embedded image




embedded image







1220


embedded image




embedded image







1221


embedded image




embedded image







1222


embedded image




embedded image







1223


embedded image




embedded image







1224


embedded image




embedded image







1225


embedded image




embedded image







1226


embedded image




embedded image







1227


embedded image




embedded image







1228


embedded image




embedded image







1229


embedded image




embedded image







1230


embedded image




embedded image







1231


embedded image




embedded image







1232


embedded image




embedded image







1233


embedded image




embedded image







1234


embedded image




embedded image







1235


embedded image




embedded image







1236


embedded image




embedded image







1237


embedded image




embedded image







1238


embedded image




embedded image







1239


embedded image




embedded image







1240


embedded image




embedded image







1241


embedded image




embedded image







1242


embedded image




embedded image







1243


embedded image




embedded image







1244


embedded image




embedded image







1245


embedded image




embedded image







1246


embedded image




embedded image







1247


embedded image




embedded image







1248


embedded image




embedded image







1249


embedded image




embedded image







1250


embedded image




embedded image







1251


embedded image




embedded image







1252


embedded image




embedded image







1253


embedded image




embedded image







1254


embedded image




embedded image







1255


embedded image




embedded image







1256


embedded image




embedded image







1257


embedded image




embedded image







1258


embedded image




embedded image







1259


embedded image




embedded image







1260


embedded image




embedded image







1261


embedded image




embedded image







1262


embedded image




embedded image







1263


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1264


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1266


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1267


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1268


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TABLE 8







with Formula (III-H) core:









No. #
R1
R4





1401


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1402


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1403


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1404


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1405


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1406


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Example 1: Supercritical Fluid Chromatography (SFC) Analytical Methods for Separating Various Diastereomers









TABLE 9







SFC analytical methods











Conditions



Analytical SFC conditions:
type






Instrument: Waters UPC2
I



Stationary phase: Princeton 2 EthylPyridine




4.6 × 150 mm 5 μm




Mobile phase: CO2/IpOH 80/20




Flowrate: 2.4 mL/min




Pressure: 100 bar




Temperature: 40° C.




Detection: 277 nm




Instrument: Waters UPC2
II



Stationary phase: Princeton 2 EthylPyridine




4.6 × 150 mm 5 μm




Mobile phase: CO2/IpOH 83/17




Flowrate: 2.4 mL/min




Pressure: 100 bar




Temperature: 40° C.




Detection: 277 nm




Instrument: Waters UPC2
III



Stationary phase: Princeton 2 EthylPyridine




4.6 × 150 mm 5 μm




Mobile phase: CO2/IpOH 85/15




Flowrate: 2.4 mL/min




Pressure: 100 bar




Temperature: 40° C.




Detection: 277 nm




Instrument: Waters UPC2
IV



Stationary phase: Princeton 2 EthylPyridine




4.6 × 150 mm 5 μm




Mobile phase: CO2/IpOH 75/25




Flowrate: 2.4 mL/min




Pressure: 100 bar




Temperature: 40° C.




Detection: 277 nm
















TABLE 10







Structures and Retention Time




embedded image

















Retention Time
Analytical


R1
R4
(minutes)
Method







embedded image




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8.0
I







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10.0
I







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9.4
I







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10.5
I







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15.6
II







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18.3
II







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7.9
I







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9.1
I







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11.2
I







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13.0
I







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10.3
I







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11.7
I







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7.9
I







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8.6
I







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11.0
II







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10.8
II







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15.5
I







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17.4
I







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33.5
II







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37.4
II







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19.6
III







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23.6
III







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15.1
I







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16.3
I







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15.2
I







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16.5
I







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8.7
I







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9.8
I







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10.2
I







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11.9
I







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8.0
I







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10.0
I







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9.4
I







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10.5
I







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15.6
II







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18.3
II







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7.9
I







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9.1
I







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11.2
I







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13.0
I







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10.3
I







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11.7
I







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7.9
I







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8.6
I







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11.0
II







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10.8
II







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15.5
I







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17.4
I







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33.5
II







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37.4
II







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19.6
III







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23.6
III







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15.1
I







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16.3
I







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15.2
I







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16.5
I







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8.7
I







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9.8
I







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10.2
I







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11.9
I







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6.49
IV







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7.41
IV







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18.44
III







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9.60
I







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14.75
I







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17.98
I







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17.24
I









Differential pharmacology of compounds described herein in the following assays may be observed in different cell or tissue types depending on (1) the relative abundance of FKBP homologs in these cells/tissues and (2) the specificity of binding to these different FKBP homologs (Mol. Cell Biol. (2013) 33: 1357-1367). Various FKBP homologs are used in the following examples.


Example 2

SPR Assay to Determine Binding Affinity to FKBP12.


Biotinylated avi-FKBP12 was immobilized on a streptavidin chip (Cytiva Series S SA) using a Biacore 8K or 8k+ (Cytiva). To achieve an immobilization level of 1000 RU, 2 μg/ml biotinylated avi-FKBP12 were injected for 100 sec at a flow rate of 10 l/min. Test compounds described in Table 11 were diluted in DMSO to 100× working concentration. Each test compound was 100-fold diluted in 50 mM HEPES pH 7.5, 150 mM NaCl, 2 mM MgCl2, 1 mM DTT, 0.05% Tween-20 and a serial dilution prepared (9 concentrations, 3-fold dilutions, 0.08-500 nM). Rapamycin was used as reference sample (9 concentrations, 3-fold dilutions, 0.02-100 nM). The compound dilutions were then injected at 100 uL/min for 120 seconds contact time in sequence with increasing concentrations. Dissociation was monitored for 3600 seconds. 50 mM HEPES pH 7.5, 150 mM NaCl, 2 mM MgCl2, 1 mM DTT, 0.05% Tween-20, 1% DMSO was used as running buffer. The single-cycle kinetics data were fit to a 1:1 binding model to measure the association rate ka (1/Ms), the dissociation rate kd (1/s) and the affinity Kd (M).


Table 11 includes FKBP12 direct binding Kd (nM) values of selected compounds; with compounds having a FKBP12 direct binding Kd of less than 0.3 nM as A, 0.3 nM to 1.0 nM as B, and greater than 1.0 nM as C.









TABLE 11







FKBP12 direct binding of various compounds of compounds represented by the Formula:




embedded image















Compound


FKBP12 Direct


Number
R1
R4
Binding Kd, nM





431


embedded image




embedded image


B





32


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B





521


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embedded image


A





122


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embedded image


B





474


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embedded image


B





75


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embedded image


B





524


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embedded image


A





125


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embedded image


A





523


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embedded image


A





124


embedded image




embedded image


A





519


embedded image




embedded image


A





120


embedded image




embedded image


B





527


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B





128


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C





520


embedded image




embedded image


C





121


embedded image




embedded image


C





404


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embedded image


A





5


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426


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embedded image


A





27


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A





427


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B





28


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C





439


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B





40


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C





529


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A





130


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B






















Compound
FKBP12 Kd (nM)








Rapamycin
A









Example 3: SPR Assay to Determine Binding Affinity to FKBP51

Biotinylated avi-FKBP51 is immobilized on a streptavidin chip (Cytiva Series S SA) using a Biacore 8K or 8k+ (Cytiva). To achieve an immobilization level of 2000 RU, 3 μg/ml biotinylated avi-FYBP51 are injected for 360 sec at a flow rate of 10 glu/min. Test compounds are diluted in DMSO to 100× working concentration. Each test compound is 100-fold diluted in 50 mM HEPES pH 7.5, 150 mM NaCl, 2 MM MgCl2, 1 mM DTT, 0.05% Tween-20 and a serial dilution prepared (8 concentrations, 3-fold dilutions, 0.5-1000 nM). Rapamycin was used as reference sample (8 concentrations, 3-fold dilutions, 0.5-1000 nM). The compound dilutions were then injected at 100 uL/min for 120 seconds contact time and with 3600 seconds dissociation time with increasing concentrations. 50 mM HEPES pH 7.5, 150 mM NaCl, 2 mM MgCl2, 1 mM DTT, 0.05% Tween-20, 1% DMSO was used as running buffer. Multi-cycle kinetics data were fit to a 1:1 binding model to measure the association rate ka (1/Ms), the dissociation rate kd (1/s) and the affinity Kd (M).


Example 4: SPR Assay to Characterize Ternary Complex Formation with FKBP12

Biotinylated avi-FKBP12 was immobilized on a streptavidin chip (Cytiva Series S SA) using a Biacore 8K or 8k+ (Cytiva). To achieve an immobilization level of 100 RU, 0.3 μg/ml biotinylated avi-FKBP12 were injected for 80 sec at a flow rate of 10 μl/min. Serial dilution of FRB was prepared (12 concentrations, 3-fold dilutions, 0.00011-20 μM) and supplemented with 100 nM of a test compound. A-B-A injection mode was used to ensure saturation immobilized FKBP12 with respective test compound. 100 nM solution of the respective test compound was injected before FRB injection for 120 sec and during dissociation for 420 sec. The FRB dilutions were then injected 120 seconds contact time with increasing concentrations. Rapamycin was used as reference sample. 50 mM HEPES pH 7.5, 150 mM NaCl, 2 mM MgCl2, 1 mM DTT, 0.05% Tween-20, 1% DMSO was used as running buffer at a flow rate of 30 μl/min. The multi-cycle kinetics data were fit to a 1:1 binding model to measure the association rate ka (1/Ms), the dissociation rate kd (1/s) and the affinity Kd (M). In case of fast association and dissociation, steady state affinity analysis following the law of mass action was used to determine the affinity Kd (M).


Table 12 includes FKBP12 ternary complex Kd (nM) values of selected compounds; with compounds having a FKBP12 ternary complex Kd of less than 500 nM as A, 500 nM to 1100 nM as B, and greater than 1100 nM as C.









TABLE 12







FKBP12 Ternary Complex of various compounds of compounds represented by the Formula:




embedded image


















FKBP12





Ternary


Compound


Complex


Number
R1
R4
Kd, nM





431


embedded image




embedded image


A





32


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embedded image


C





521


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embedded image


B





122


embedded image




embedded image


C





474


embedded image




embedded image


B





75


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embedded image


C





524


embedded image




embedded image


B





125


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embedded image


C





523


embedded image




embedded image


C





124


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embedded image


C





519


embedded image




embedded image


A





120


embedded image




embedded image


A





527


embedded image




embedded image


A





128


embedded image




embedded image


A





520


embedded image




embedded image


A





121


embedded image




embedded image


A





401


embedded image




embedded image


A





5


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embedded image








426


embedded image




embedded image


B





27


embedded image




embedded image


B





427


embedded image




embedded image


A





28


embedded image




embedded image


B





439


embedded image




embedded image


A





40


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B





529


embedded image




embedded image


A





130


embedded image




embedded image


B









Example 5: SPR Assay to Characterize Ternary Complex Formation with FKBP51

Biotinylated avi-FKBP51 is immobilized on a streptavidin chip (Cytiva Series S SA) using a Biacore 8K or 8k+ (Cytiva). To achieve an immobilization level of 200 RU, 0.6 μg/ml biotinylated avi-FKBP51 is injected for 150 sec at a flow rate of 10 μl/min. Serial dilution of FRB is prepared (12 concentrations, 3-fold dilutions, 0.00011-20 μM) and supplemented with 100 nM of test compound. A-B-A injection mode is used to ensure saturation immobilized FKBP12 with respective test compound. 100 nM solution of the respective test compound is injected before FRB injection for 120 sec and during dissociation for 420 sec. The FRB dilutions are then injected 120 seconds contact time with increasing concentrations. Rapamycin is used as reference sample. 50 mM HEPES pH 7.5, 150 mM NaCl, 2 mM MgCl2, 1 mM DTT, 0.05% Tween-20, 1% DMSO was is as running buffer at a flow rate of 30 μl/min. The multi-cycle kinetics data are fit to a 1:1 binding model to measure the association rate ka (1/Ms), the dissociation rate kd (1/s) and the affinity Kd (M). In case of fast association and dissociation, steady state affinity analysis following the law of mass action is used to determine the affinity Kd (M).


Example 6: mTORC1 Inhibition, mTORC2 Inhibition, Cell Lysis, AlphaLISA Experiments, and Data Analysis

mTORC1 inhibition was determined via analysis of phosphorylation levels of Phospho-p70 S6 kinase (p70S6K pT389) and Phospho-S6 Ribosomal Protein (pRPS6 pS240/pS244) with the corresponding AlphaLISA kits (PerkinElmer Alpha SF Ultra™ Multiplex phospho (Thr389)/total p70 S6K Assay Kit (Eu/Tb) and AlphaLISA SF Ultra™ p-Ribosomal Protein S6 (Ser240/244) Assay Kit). Thus, PC-3 cells were plated on 96 well Corning clear bottom plates (Cat #3997) in growth medium (DMEM:Ham's F12, basic (CLS Cell Lines Service GmbH, Cat #820400a), supplemented with additional 5% fetal bovine serum (FBS; Gibco, Cat #10500064) at 1.20E+06 cells/mL and incubated over-night at 37° C., 5% CO2. On the following day, cells were treated with growth medium containing increasing compound concentrations (12 points at 3-fold dilutions) and incubated for further 24 hours at 37° C., 5% CO2 before cell lysis.


mTORC2 inhibition was determined via analysis of phosphorylation level of Phospho-AKT (pAKT pS473) with the corresponding AlphaLISA kit (PerkinElmer, Alpha SF Ultram Multiplex p-AKT1/2/3(Ser473)/Total AKT1). PC3 cells were plated on 96 well plates in assay medium (DMEM:Ham's F12, basic (CLS Cell Lines Service GmbH, Cat #820400a), supplemented with additional 10% FBS at 1.20E+06 cells/mL and incubated over-night at 37° C., 5% CO2. On the following day, cells were treated with assay medium (10% FBS) containing increasing compound concentrations (12 points at 3-fold dilutions) and incubated for 6 hours at 37° C., 5% CO2. Thereafter, medium was aspirated and cells were rinsed with PBS. In the following, cells were treated with compound dilutions in starvation medium (DMEM:Ham's F12, basic; without FBS) for further 18 h at 37° C., 5% CO2. Then, immediately prior to cell lysis, cells were treated with 12% FBS for 15 min.


After performing experiments according to mTORC1 and mTORC2 protocols, cells were harvested in lysis buffer supplied with the AlphaLISA kits, additionally enriched with Roche cOmplete™ Protease Inhibitor Cocktail (Cat #CO-RO). Thus, cells were lysed using 50 μL of the lysis buffer and incubated for 60 min at 4° C. while shaking. After centrifugation at 4000 rpm for 5 min, experiments were performed according to the AlphaLISA manufacturer's protocol. Ten microliters of cell lysates were mixed with the acceptor mix. After incubation for 2 h at room temperature, the donor mix was added. After additional incubation at room temperature for 2 hours, AlphaLISA signal was read on PHERAstar® FSX (BMG Labtech) with AlphaPLEX module. Percent inhibition was calculated via ExcelFit standard algorithm, based on high control (cells incubated with vehicle/DMSO) and low control (mTORC1: cells incubated with 0.1 μM rapamycin; mTORC2: cells incubated with 1 μM rapamycin). All IC50 experiments were conducted in triplicates with rapamycin and vehicle controls.


Data Analysis

Percentage activity/inhibition was calculated via application of the equations:





%−activity=100*((Sample−Low control)/(High control−Low control))





%−inhibition=100*(1−((Sample−Low control)/(High control−Low control)))

    • Sample=Assay signal (phospho-protein normalized to total protein) at respective compound concentration
    • High Control=Assay signal in presence of vehicle/DMSO
    • Low Control=Assay signal cells in presence of 0.1 μM (mTORC1) or 1 μM rapamycin (mTORC2)


EC50 values were calculated by ExcelFit standard algorithm. All IC50 experiments were conducted in triplicates with rapamycin and vehicle controls (six high/low controls per plate).


Table 13 includes IC50 (nM) values for mTORC1 as measured by inhibition of p70S6K pT389 levels by selected compounds; with compounds having an IC50 for mTORC1 of <0.8 nM as A, 0.8 nM to 1.5 nM as B, and greater than 1.5 as C.


When tested by the mTORC2 assay of Example 6, compounds of the disclosure typically display IC50s>1.0 uM whereas everolimus and rapamycin typically display IC50s of less than 10 nM









TABLE 13







mTORC 1 IC50 of compounds represented by the Formula:




embedded image















Compound





Number
R1
R4
mTROC1 IC50 (nM)













431


embedded image




embedded image


A





32


embedded image




embedded image


C





521


embedded image




embedded image


A





122


embedded image




embedded image


B





474


embedded image




embedded image


A





75


embedded image




embedded image


C





524


embedded image




embedded image


A





125


embedded image




embedded image


B





523


embedded image




embedded image


A





124


embedded image




embedded image


C





519


embedded image




embedded image


A





120


embedded image




embedded image


A





527


embedded image




embedded image


A





128


embedded image




embedded image


B





520


embedded image




embedded image


A





121


embedded image




embedded image


B





404


embedded image




embedded image


A





5


embedded image




embedded image








426


embedded image




embedded image


B





27


embedded image




embedded image


B





427


embedded image




embedded image


A





28


embedded image




embedded image


C





439


embedded image




embedded image


A





40


embedded image




embedded image


C





529


embedded image




embedded image


A





130


embedded image




embedded image


B






















Compound
mTORC1 IC50 (nM)








Rapamycin
A








Claims
  • 1-118. (canceled)
  • 119. A compound represented by Formula (III-C):
  • 120. The compound or salt of claim 119, wherein for Formula (III-C), R1 and R4 are both selected from:
  • 121. The compound or salt of claim 119, wherein for Formula (III-C), R1 and R4 are both selected from:
  • 122. The compound or salt of claim 119, wherein for Formula (III-C), R1 and R4 are both selected from:
  • 123. The compound or salt of claim 119, wherein for Formula (III-C), R1 and R4 are both selected from:
  • 124. The compound or salt of claim 119, wherein for Formula (III-C), R1 and R4 are both selected from:
  • 125. The compound or salt of claim 119, wherein for Formula (III-C), R1 and R4 are both selected from:
  • 126. The compound or salt of claim 119, wherein for Formula (III-C), R1 and R4 are both selected from.
  • 127. The compound or salt of claim 119, wherein for Formula (III-C), R1 and R4 are both selected from:
  • 128. The compound or salt of claim 119, wherein for Formula (III-C), R1 and R4 are both selected from.
  • 129. The compound or salt of claim 119, wherein for Formula (III-C), R1 and R4 are both selected from:
  • 130. The compound or salt of claim 119, wherein for Formula (III-C), R1 and R4 are both selected from:
  • 131. The compound or salt of claim 119, wherein for Formula (III-C), R1 and R4 are both selected from:
  • 132. The compound or salt of claim 119, wherein for Formula (III-C), R1 and R4 are both selected from:
  • 133. A pharmaceutical composition comprising a compound or salt of claim 119 and a pharmaceutically acceptable excipient.
  • 134. A method of treating a disease, comprising administering to a subject in need thereof a pharmaceutical composition of claim 133.
  • 135. The method of claim 134, wherein the disease is selected from a chronic disease.
  • 136. The method of claim 135, wherein the chronic disease is selected from a disease wherein mTORC1 is hyperactivated or a disease that would benefit from inhibition of the activity of mTORC1.
  • 137. The method of claim 136, wherein the chronic disease is selected from a neurodegenerative disease; a neurocutaneous disease; a neurodevelopmental disorder; mTORopathies, including tuberous sclerosis, focal cortical dysplasia, and a PTEN disease; tauopathies; cognitive disorders; epilepsies; autism spectrum disorders; autoimmune diseases; metabolic diseases; cancer; diseases of impaired autophagy; infectious diseases; cardiovascular diseases; muscular atrophy; inflammatory diseases; eye disorders; age related diseases that result in hyperactivation of mTORC1 or age related diseases that benefit from inhibition of the activity of mTORC1, including reduced immune activity in the elderly; a kidney disease, including polycystic kidney disease; and lymphangioleiomyomatosis.
  • 138. The method of claim 137, wherein the chronic disease is an mTORopathy.
CROSS-REFERENCE

This application is a continuation of International Patent Application PCT/US2021/042644, filed Jul. 21, 2021, which claims priority to U.S. Application No. 63/054,767 filed Jul. 21, 2020, each of which is incorporated by reference herein in its entirety.

Provisional Applications (1)
Number Date Country
63054767 Jul 2020 US
Continuations (1)
Number Date Country
Parent PCT/US21/42644 Jul 2021 US
Child 18157224 US