GCN2 inhibitors and uses thereof
Patent Information
- Application Number
- AU2025200232
- Authority / Receiving Office
- AU · AU
- Patent Type
- Applications
- Current Assignee / Owner
- Filing Date
- 2025-01-13
- Publication Date
- 2026-10-29
Abstract
Description
CROSS-REFERENCE TO RELATED APPLICATIONS
[0001] This application claims the benefit under 35 U.S.C. § 119(e) of U.S. Provisional Application no. 62 / 623,299, filed January 29, 2018, the content of which is incorporated herein in its entirety by reference. The present application is a divisional of Australian patent application 2019211485, which is the national phase entry of PCT international application PCT / US2019 / 015469 (published as WO 2019 / 148132), the entirety of each of which is incorporated by reference herein. TECHNICAL FIELD OF THE INVENTION
[0002] The present invention relates to compounds and methods useful for inhibiting General amino acid Control Non-derepressible 2 kinase (“GCN2”). The invention also provides pharmaceutically acceptable compositions comprising compounds of the present invention and methods of using said compositions in the treatment of various disorders. BACKGROUND OF THE INVENTION
[0003] GCN2 (General amino acid Control Non-derepressible 2) is a ubiquitously expressed protein kinase involved in cellular responses to amino acid deficiency across eukaryotes (Castilho et al., 2014). Cellular deficiency in one or more amino acids causes the accumulation of uncharged cognate transfer RNAs (tRNAs), which are bound directly by GCN2, leading to kinase activation and phosphorylation of eukaryotic initiation factor 2 a (eIF2a) on Serine 51 (Wek et al., 1989; Dong et al., 2000). Phosphorylation of eIF2a results in initiation of protein translation, which causes a reduction in the translation of most mRNAs leading to reduced global utilization of amino acids. Simultaneously, eIF2a phosphorylation increases the translation of a specific subset of mRNAs containing certain upstream open reading frames in their 5’ untranslated regions (5’-UTRs), such as the transcription factor ATF4 in mammals (Vattem and Wek, 2004), which promotes restoration of protein homeostasis. GCN2 is therefore a critical determinant of cell fate in response to amino acid depletion.
[0004] Induction of cellular responses to amino acid deficiency is emerging as an important mechanism for regulation of the mammalian immune system, particularly in certain disease settings including cancer and autoimmunity. Various immunosuppressive cell types implicated in the control of immune responses in these settings, including tolerogenic dendritic 2025200232 13 Jan 2025 cells, myeloid derived suppressor cells (MDSCs), tolerogenic / M2 macrophages and cancer cells themselves, have each been reported to use the depletion of amino acids to suppress T-cell responses (Munn et al., 2004; Munn et al., 2005; Rodriguez et al., 2010; Whyte et al., 2011; Uyttenhove et al., 2003). This is achieved by the intracellular transport of amino acids coupled with the overexpression of amino acid catabolizing enzymes in these cells, such as the tryptophan catabolizing enzymes indoleamine 2,3 dioxygenase (IDO) and tryptophan 2,3 dioxygenase (TDO), and the arginine catabolizing enzymes arginase 1 and 2 (ARG1, ARG2). As a result, these cells can reduce the local extracellular concentrations of specific amino acids wherever they reside, and therefore induce GCN2 activity in nearby T-cells in an antigen-specific manner (Munn et al., 2004). In the mouse system both in vitro and in vivo, the depletion of local tryptophan or arginine concentrations, for example by IDO- or ARG1-expressing dendritic cells, has been reported to induce proliferative arrest and anergy in T-cells in a GCN2-dependent manner (Munn et al., 2005; Rodriguez et al., 2007; Fletcher et al., 2015). In addition, the induction and / or maintenance of MDSCs and immunosuppressive regulatory T-cells (T-regs) may also be dependent on GCN2 activity under amino acid depleted conditions (Fletcher et al., 2015; Fallarino et al., 2006). Finally, other work implicates the activation of GCN2 by IDO within tolerogenic macrophages as a key mechanism for suppressing systemic autoimmune responses to apoptotic cells (Ravishankar et al., 2015). These findings identify GCN2 as a potentially key effector of the immunosuppressive effects of amino acid depletion associated with various disease states.
[0005] Incipient cancers need to evade host anti-cancer immunity in order to thrive (Corthay, 2014). This can be achieved by modulating tumor antigen presentation and / or by using tumor immune evasion mechanisms to actively suppress immune attack. High expression of amino acid catabolising enzymes such as IDO and ARG1 has been observed across a large proportion of cancer patients with various tumor types, both in the cancer cells themselves and in immunosuppressive host cell types that accumulate in tumors, tumor-draining lymph nodes and / or the peripheral circulation (Uyttenhove et al., 2003; Pilotte et al., 2012; Zea et al., 2005). Amino acid depletion may therefore be a powerful and widespread immune evasion mechanism whereby anti-cancer immunity is restrained. Consistently, amino acid depletion in both tumors and tumordraining lymph nodes has been established as a resistance mechanism to existing immunooncology agents, including checkpoint receptor blocking antibodies, in several syngeneic mouse tumor models (Holmgaard et al., 2013; Spranger et al., 2014). On this basis, inhibitors of IDO and 2025200232 28 Sep 2026 TDO are now being progressed in clinical trials for cancer and inhibitors of additional amino acid catabolases are in preclinical development. Accordingly, inhibitors of GCN2 may also be useful for cancer treatment by disrupting the nodal effector signal of amino acid depletion in the immune system and enabling an anti-cancer immune response. Genetic ablation of GCN2 is well tolerated in mice under standard growth conditions (Zhang et al., 2002), and inhibitors of GCN2 may have broader utility than inhibitors of individual amino acid catabolases because GCN2 responds to depletion of several different amino acids.
[0006] In addition, GCN2 activation and overexpression has been observed in various human tumors compared with normal tissues (Ye et al., 2010; Wang et al., 2013). Depletion of GCN2 reduced the growth of mouse embryonic fibroblasts and human cancer cells in vitro under severe amino acid or glucose depleted conditions, and blocked the growth of human tumor xenografts in mice (Ye et al., 2010). GCN2 inhibitors may therefore have direct anti-cancer effects due to the frequent disruption of nutrient supply in the tumor microenvironment.
[0007] For these reasons, there is a need for the development of potent and selective inhibitors of GCN2 for the treatment of cancer, either as single agents or in combination, for example with anti-CTLA4 and anti-PD1 / PD-L1 checkpoint blocking antibodies. It is an object of the present invention to meet this need, or at least go some way to providing the public with a useful choice. [0007A] In this specification where reference has been made to patent specifications, other external documents, or other sources of information, this is generally for the purpose of providing a context for discussing the features of the invention. Unless specifically stated otherwise, reference to such external documents is not to be construed as an admission that such documents, or such sources of information, in any jurisdiction, are prior art, or form part of the common general knowledge in the art. SUMMARY OF THE INVENTION
[0008] It has now been found that compounds of this invention, and pharmaceutically acceptable compositions thereof, are effective as inhibitors of GCN2 kinase. Such compounds have the general formula I: 2025200232 28 Sep 2026 or a pharmaceutically acceptable salt thereof, wherein each variable is as defined and described herein.
[0009] Compounds of the present invention, and pharmaceutically acceptable compositions thereof, are useful for treating a variety of diseases, disorders or conditions, associated with regulation of signaling pathways implicating GCN2 kinase. Such diseases, disorders, or conditions include those described herein.
[0010] Compounds provided by this invention are also useful for the study of the GCN2 enzyme in biological and pathological phenomena; the study of intracellular signal transduction pathways occurring in bodily tissues; and the comparative evaluation of new GCN2 inhibitors or other regulators of kinases, signaling pathways, and cytokine levels in vitro or in vivo. [0010A] In a first particular aspect, the present invention provides a compound of formula I: or a pharmaceutically acceptable salt thereof, wherein: Ring A is selected from a 3-8 membered saturated or partially unsaturated monocyclic carbocyclic ring, phenyl, a 4-8 membered partially unsaturated monocyclic heterocyclic ring having 12 heteroatoms independently selected from nitrogen, oxygen, or sulfur optionally fused to a 5-6 membered aromatic ring having 0-4 heteroatoms independently selected from nitrogen, oxygen, or sulfur, a 7-12 membered partially unsaturated spirocyclic heterocyclic ring [FOLLOWED BY PAGE 4a] 2025200232 28 Sep 2026 having 1-2 heteroatoms independently selected from nitrogen, oxygen, or sulfur, a 7-12 membered partially unsaturated bicyclic heterocyclic ring having 1-4 heteroatoms independently selected from nitrogen, oxygen, or sulfur, a 5-6 membered monocyclic heteroaromatic ring having 1-4 heteroatoms independently selected from nitrogen, oxygen, or sulfur, an 8-10 membered bicyclic heteroaromatic ring having 1-5 heteroatoms independently selected from nitrogen, oxygen, or sulfur, or Het, wherein Het is a 4-8 membered saturated monocyclic heterocyclic ring having 1-2 heteroatoms independently selected from nitrogen, oxygen, or sulfur, a 7-12 membered saturated spirocyclic heterocyclic ring having 1-4 heteroatoms independently selected from nitrogen, oxygen, or sulfur, a 7-12 membered saturated bicyclic heterocyclic ring having 1-3 heteroatoms independently selected from nitrogen, oxygen, or sulfur, or a 7-12 membered saturated bridged bicyclic heterocyclic ring having 1-2 heteroatoms independently selected from nitrogen, oxygen, or sulfur; Ring C is ; R is hydrogen or C1-6 aliphatic; each of R1 is independently fluoro, chloro, methyl, ethyl, -OH, -OCH3, -CH2OH, -CH2CN, -CF3, -CH2NH2, -COOH, -NH2, [FOLLOWED BY PAGE 4b] 2025200232 28 Sep 2026 NH2 [FOLLOWED BY PAGE 4c] 2025200232 28 Sep 2026 [FOLLOWED BY PAGE 4d] 2025200232 28 Sep 2026 [FOLLOWED BY PAGE 4eJ NH 2025200232 28 Sep 2026 two R1 groups are taken together to form =O, =NH or =NS(O)2R; each of R2 is independently fluoro, chloro, bromo, methyl, ethyl, -CF3, , , , , , , 9 , R3 is hydrogen; R4 is hydrogen; m is 0, 1, 2, 3, 4 or 5; n is 0, 1, or 2; p is 0 or 1; and q is 0 or 1. [0010B] In another particular aspect, the present invention provides a compound selected from the group consisting of: IV-1 IV-2 IV-3 [FOLLOWED BY PAGE 4g] 2025200232 28 Sep 2026 IV-4 IV-10 IV-5 IV-8 single diastereoisomer (two enantiomers) IV-11 IV-6 single stereoisomer IV-9 single diastereoisomer (two enantiomers) IV-12 IV-13 IV-14 IV-15 [FOLLOWED BY PAGE 4h] 2025200232 28 Sep 2026 IV-16 Br IV-19 IV-22 IV-25 F IV-28 IV-17 IV-20 IV-23 HO IV-26 F IV-29 IV-18 F IV-21 IV-24 IV-27 IV-30 [FOLLOWED BY PAGE 4i] 2025200232 28 Sep 2026 IV-31 Br IV-32 IV-33 IV-35 IV-36 IV-37 IV-38 IV-39 IV-41 F IV-42 F IV-43 F IV-44 IV-45 [FOLLOWED BY PAGE 4j] 2025200232 28 Sep 2026 IV-46 F IV-49 F IV-52 IV-47 F IV-50 F IV-53 N yF F IV-48 F IV-51 F IV-54 IV-55 IV-56 IV-57 IV-58 IV-59 IV-60 [FOLLOWED BY PAGE 4k] nh2 N IV-64 IV-65 IV-72 '2 IV-73 IV-74 IV-75 0 HN-S" 0 2025200232 28 Sep 2026 IV-61 IV-62 IV-63 IV-66 IV-70 IV-71 OH [FOLLOWED BY PAGE 4l] 2025200232 28 Sep 2026 F IV-76 F IV-82 F IV-85 IV-88 IV-77 F IV-80 F IV-83 F IV-86 IV-84 IV-87 F IV-89 IV-90 [FOLLOWED BY PAGE 4m] 2025200232 28 Sep 2026 IV-91 F F IV-92 IV-93 IV-94 IV-95 IV-96 F IV-97 IV-98 IV-99 F IV-100 IV-101 IV-102 F IV-103 IV-104 IV-105 [FOLLOWED BY PAGE 4n] 2025200232 28 Sep 2026 single diastereoisomer (two enantiomers) IV-109 IV-112 IV-115 IV-107 single diastereoisomer (two enantiomers) IV-110 IV-113 IV-108 IV-111 F IV-114 IV-116 IV-117 [FOLLOWED BY PAGE 4o] 2025200232 28 Sep 2026 IV-118 IV-119 IV-120 IV-121 N IV-122 N IV-123 F IV-124 IV-125 IV-126 F IV-127 IV-128 IV-129 F IV-130 IV-131 IV-132 F IV-133 N IV-134 IV-135 [FOLLOWED BY PAGE 4p] 2025200232 28 Sep 2026 F IV-136 IV-137 IV-138 IV-139 IV-140 IV-141 F IV-142 IV-143 F IV-144 IV-145 IV-146 IV-147 F IV-148 IV-149 F IV-150 [FOLLOWED BY PAGE 4q] 2025200232 28 Sep 2026 IV-151 F IV-154 F IV-157 IV-160 IV-163 IV-152 IV-153 IV-155 IV-156 IV-159 F IV-158 F IV-162 F IV-161 IV-164 IV-165 [FOLLOWED BY PAGE 4r] 2025200232 28 Sep 2026 IV-166 IV-169 IV-172 IV-167 F IV-170 IV-168 IV-171 IV-173 IV-174 F IV-179 single stereoisomer F IV-177 IV-180 [FOLLOWED BY PAGE 4s] 2025200232 28 Sep 2026 IV-181 IV-182 IV-185 IV-186 IV-187 IV-188 IV-189 IV-190 single diastereomer (two enantiomers) IV-191 single diastereomer (two enantiomers) IV-192 [FOLLOWED BY PAGE 4t] 2025200232 28 Sep 2026 IV-193 O IV-196 single stereoisomer IV-199 IV-194 IV-195 IV-197 IV-198 single stereoisomer single stereoisomer IV-200 IV-201 IV-202 IV-203 single diastereoisomer (two enantiomers) IV-204 single diastereoisomer (two enantiomers) IV-206 IV-207 [FOLLOWED BY PAGE 4u] 2025200232 28 Sep 2026 n-nh IV-208 IV-211 single stereoisomer IV-214 single stereoisomer IV-217 IV-209 single diastereoisomer (two enantiomers) IV-215 single diastereoisomer (two enantiomers) IV-218 IV-213 single stereoisomer IV-216 [FOLLOWED BY PAGE 4v] 2025200232 28 Sep 2026 IV-220 IV-222 single stereoisomer IV-223 IV-224 IV-225 single diastereoisomer (two enantiomers) single diastereoisomer (two enantiomers) IV-229 IV-230 IV-231 [FOLLOWED BY PAGE 4w] 2025200232 28 Sep 2026 IV-232 single diastereoisomer (two enantiomers) IV-235 IV-238 IV-241 IV-244 single diastereoisomer (two enantiomers) IV-236 IV-239 IV-242 IV-245 IV-237 H2N IV-240 IV-243 single stereoisomer IV-246 [FOLLOWED BY PAGE 4x] 2025200232 28 Sep 2026 IV-247 IV-250 IV-253 IV-256 IV-259 IV-248 IV-249 IV-251 IV-252 O IV-254 IV-257 O IV-260 IV-255 O IV-258 IV-261 [FOLLOWED BY PAGE 4y] 2025200232 28 Sep 2026 o IV-262 O IV-265 O IV-268 IV-271 single stereoisomer IV-274 N IV-263 IV-266 O IV-269 IV-272 single stereoisomer F IV-275 N IV-264 IV-267 IV-270 single stereoisomer O IV-273 O IV-276 [FOLLOWED BY PAGE 4z] 2025200232 28 Sep 2026 IV-278 single diastereoisomer (two enantiomers) single diastereoisomer (two enantiomers) IV-279 single stereoisomer IV-280 IV-281 IV-282 single stereoisomer IV-283 IV-284 single stereoisomer IV-285 single stereoisomer IV-286 IV-287 IV-288 single stereoisomer single stereoisomer IV-289 IV-290 IV-291 [FOLLOWED BY PAGE 4aa] 2025200232 28 Sep 2026 IV-292 single stereoisomer IV-295 IV-298 IV-301 single stereoisomer IV-293 single stereoisomer IV-296 single stereoisomer IV-294 IV-297 IV-300 O IV-303 [FOLLOWED BY PAGE 4ab] aa 2025200232 28 Sep 2026 single diastereoisomer (two enantiomers) single diastereoisomer (two enantiomers) single diastereoisomer (two enantiomers) IV-304 IV-305 IV-306 IV-307 IV-309 single diastereoisomer (two enantiomers) single stereoisomer IV-310 IV-311 IV-312 single stereoisomer single stereoisomer single stereoisomer ab IV-313 IV-314 IV-315 [FOLLOWED BY PAGE 4ac] 2025200232 28 Sep 2026 IV-316 IV-319 IV-322 IV-325 IV-328 ac IV-317 IV-320 single diastereoisomer (two enantiomers) IV-323 IV-326 IV-329 IV-318 IV-321 single diastereomer (two enantiomers) IV-324 IV-327 single diastereoisomer (two enantiomers) IV-330 [FOLLOWED BY PAGE 4ad] 2025200232 28 Sep 2026 IV-331 single diastereomer (two enantiomers) IV-340 ad IV-332 single diastereomer (two enantiomers) single stereoisomer IV-338 IV-341 single stereoisomer IV-339 single diastereoisomer (two enantiomers) N-NH IV-342 [FOLLOWED BY PAGE 4ae] 2025200232 28 Sep 2026 IV-343 IV-346 IV-349 IV-352 IV-355 ae IV-344 IV-345 IV-347 single stereoisomer IV-348 single stereoisomer IV-350 IV-351 IV-353 IV-354 single stereoisomer IV-356 IV-357 [FOLLOWED BY PAGE 4af] 2025200232 28 Sep 2026 single stereoisomer IV-358 single stereoisomer IV-361 single stereoisomer IV-364 af single stereoisomer IV-359 single stereoisomer IV-362 single stereoisomer IV-365 IV-360 single stereoisomer IV-363 IV-369 [FOLLOWED BY PAGE 4ag] 2025200232 28 Sep 2026 single stereoisomer IV-370 single diastereoisomer (two enantiomers) IV-373 single stereoisomer IV-376 single diastereoisomer (two enantiomers) IV-379 ag single diastereoisomer (two enantiomers) IV-371 single stereoisomer IV-374 single stereoisomer IV-377 single diastereoisomer (two enantiomers) IV-380 IV-372 single stereoisomer IV-375 IV-378 single diastereoisomer (two enantiomers) IV-381 [FOLLOWED BY PAGE 4ah] 2025200232 28 Sep 2026 IV-382 IV-385 IV-388 single diastereoisomer (two enantiomers) N-NH IV-391 single diastereoisomer (two enantiomers) IV-394 ah IV-383 IV-386 IV-389 single diastereoisomer (two enantiomers) IV-392 single diastereoisomer (two enantiomers) IV-395 IV-384 IV-387 single diastereoisomer (two enantiomers) IV-390 single diastereoisomer (two enantiomers) HN-N IV-393 IV-396 [FOLLOWED BY PAGE 4ai] 2025200232 28 Sep 2026 single diastereoisomer (two enantiomers) IV-397 IV-400 single stereoisomer IV-403 single stereoisomer IV-406 ai IV-398 single stereoisomer IV-401 single stereoisomer IV-404 single stereoisomer IV-407 IV-399 single stereoisomer IV-402 single stereoisomer IV-405 single stereoisomer IV-408 [FOLLOWED BY PAGE 4aj] 2025200232 28 Sep 2026 IV-409 IV-410 n-nh IV-412 IV-413 single diastereoisomer (two enantiomers) IV-411 IV-414 single diastereoisomer (two enantiomers) IV-415 IV-416 IV-417 single diastereoisomer (two enantiomers) single stereoisomer single stereoisomer IV-418 IV-419 IV-420 [FOLLOWED BY PAGE 4ak] aj 2025200232 28 Sep 2026 IV-421 IV-424 IV-427 IV-430 IV-433 ak IV-422 IV-425 IV-428 IV-431 IV-434 IV-423 IV-426 IV-429 IV-432 IV-435 [FOLLOWED BY PAGE 4al] 2025200232 28 Sep 2026 IV-436 IV-437 HO IV-438 IV-439 IV-440 IV-441 IV-442 IV-443 IV-444 HO IV-445 IV-446 IV-447 IV-448 IV-449 single stereoisomer IV-450 [FOLLOWED BY PAGE 4am] al 2025200232 28 Sep 2026 single stereoisomer IV-451 single diastereoisomer (two enantiomers) IV-454 IV-457 single stereoisomer IV-460 am single diastereoisomer (two enantiomers) IV-452 IV-453 single diastereoisomer IV-455 single stereoisomer IV-458 single stereoisomer IV-461 IV-456 single stereoisomer IV-459 single stereoisomer IV-462 [FOLLOWED BY PAGE 4an] 2025200232 28 Sep 2026 single stereoisomer IV-463 single diastereoisomer (two enantiomers) IV-466 single stereoisomer IV-469 single diastereoisomer (two enantiomers) IV-472 an single diastereoisomer single stereoisomer IV-464 IV-465 single stereoisomer single stereoisomer IV-467 IV-468 single stereoisomer single stereoisomer IV-470 IV-471 single stereoisomer IV-473 IV-474 [FOLLOWED BY PAGE 4ao] 2025200232 28 Sep 2026 single stereoisomer IV-475 IV-478 single stereoisomer IV-481 IV-484 IV-487 ao IV-476 IV-479 IV-482 single diastereoisomer (two enantiomers) IV-488 IV-477 IV-480 IV-483 IV-486 IV-489 [FOLLOWED BY PAGE 4ap] 2025200232 28 Sep 2026 single stereoisomer single stereoisomer IV-490 IV-493 IV-494 IV-495 single diastereoisomer IV-496 IV-497 IV-498 single diastereoisomer single diastereoisomer single diastereoisomer IV-499 IV-500 IV-501 [FOLLOWED BY PAGE 4aq] ap 2025200232 28 Sep 2026 single diastereoisomer (two enantiomers) IV-502 IV-505 IV-508 IV-511 IV-514 aq single diastereoisomer (two enantiomers) IV-503 IV-506 IV-509 IV-512 IV-515 IV-504 IV-507 IV-510 IV-513 IV-516 [FOLLOWED BY PAGE 4ar] 2025200232 28 Sep 2026 IV-517 IV-520 IV-523 IV-526 IV-529 ar IV-518 IV-519 single stereoisomer IV-521 IV-522 IV-524 IV-527 IV-530 single diastereoisomer (two enantiomers) IV-525 IV-528 IV-531 [FOLLOWED BY PAGE 4as] 2025200232 28 Sep 2026 IV-532 IV-535 single stereoisomer IV-538 single stereoisomer IV-541 single diastereoisomer (two enantiomers) IV-544 as IV-533 IV-536 IV-539 IV-542 single stereoisomer IV-545 IV-534 IV-537 single stereoisomer IV-540 single diastereoisomer (two enantiomers) IV-543 single stereoisomer IV-546 [FOLLOWED BY PAGE 4at] 2025200232 28 Sep 2026 IV-547 IV-548 single stereoisomer IV-549 IV-550 single stereoisomer IV-551 IV-552 IV-554 IV-555 IV-553 IV-556 IV-557 IV-559 IV-560 IV-558 IV-561 [FOLLOWED BY PAGE 4au] at 2025200232 28 Sep 2026 single stereoisomer IV-562 single stereoisomer IV-563 IV-564 IV-565 IV-566 single diastereoisomer (two enantiomers) IV-568 single diastereoisomer (two enantiomers) IV-569 IV-570 IV-571 IV-572 IV-573 [FOLLOWED BY PAGE 4av] au 2025200232 28 Sep 2026 IV-574 IV-575 IV-576 single diastereoisomer (two enantiomers) single diastereoisomer (two enantiomers) IV-578 IV-579 IV-580 IV-581 IV-582 single diastereoisomer (two enantiomers) IV-583 IV-584 IV-585 [FOLLOWED BY PAGE 4aw] av 2025200232 28 Sep 2026 single diastereoisomer (two enantiomers) IV-589 single diastereoisomer (two enantiomers) IV-592 IV-595 IV-598 aw single diastereoisomer (two enantiomers) IV-588 IV-590 single diastereoisomer (two enantiomers) IV-593 IV-596 IV-599 IV-591 IV-594 single stereoisomer single stereoisomer IV-600 [FOLLOWED BY PAGE 4ax] 2025200232 28 Sep 2026 IV-601 IV-604 single diastereoisomer (two enantiomers) IV-607 IV-610 ax IV-602 IV-605 single diastereoisomer (two enantiomers) IV-608 IV-611 single stereoisomer IV-614 IV-603 IV-606 single diastereoisomer (two enantiomers) IV-609 IV-612 single stereoisomer IV-615 [FOLLOWED BY PAGE 4ay] 2025200232 28 Sep 2026 IV-616 IV-617 IV-618 IV-619 IV-620 IV-621 single stereoisomer IV-625 IV-626 IV-624 single diastereoisomer (two enantiomers) IV-627 single stereoisomer IV-628 single stereoisomer IV-629 IV-630 [FOLLOWED BY PAGE 4az] ay 2025200232 28 Sep 2026 IV-631 IV-634 IV-637 single diastereoisomer (two enantiomers) IV-640 az single stereoisomer IV-632 IV-635 single stereoisomer IV-638 IV-641 single stereoisomer IV-633 single stereoisomer IV-636 single stereoisomer IV-639 IV-642 [FOLLOWED BY PAGE 4aaa] 2025200232 28 Sep 2026 IV-646 single stereoisomer aaa IV-644 IV-645 IV-647 single diastereoisomer (two enantiomers) IV-648 single stereoisomer IV-653 IV-654 2025200232 28 Sep 2026 IV-655 IV-658 IV-656 IV-657 IV-659 IV-660 IV-661 IV-662 IV-663 IV-664 IV-665 single diastereoisomer (two enantiomers) IV-666 single diastereoisomer (two enantiomers) IV-667 IV-668 single stereoisomer IV-669 [FOLLOWED BY PAGE 4aac] aab 2025200232 28 Sep 2026 single stereoisomer IV-670 IV-671 single diastereoisomer (two enantiomers) IV-672 single stereoisomer single stereoisomer IV-673 IV-674 IV-675 single diastereoisomer single diastereoisomer (two enantiomers) IV-677 IV-678 aac IV-679 IV-680 IV-681 2025200232 28 Sep 2026 single stereoisomer single stereoisomer single stereoisomer IV-682 IV-683 IV-684 single diastereoisomer (two enantiomers) single stereoisomer IV-685 IV-686 IV-687 single diastereoisomer (two enantiomers) single diastereoisomer (two enantiomers) single diastereoisomer (two enantiomers) IV-688 IV-689 IV-690 single diastereoisomer (two enantiomers) aad IV-691 IV-692 IV-693 2025200232 28 Sep 2026 IV-694 single diastereoisomer (two enantiomers) IV-703 IV-706 aae IV-696 IV-704 o IV-699 IV-702 IV-705 IV-707 IV-708 [FOLLOWED BY PAGE 4aaf] 2025200232 28 Sep 2026 IV-709 IV-710 IV-711 IV-712 IV-713 IV-714 IV-715 IV-716 IV-717 IV-718 IV-719 IV-720 [FOLLOWED BY PAGE 4aag] aaf 2025200232 28 Sep 2026 IV-721 IV-722 IV-723 IV-724 IV-725 IV-726 IV-727 IV-728 IV-729 IV-730 IV-731 IV-732 [FOLLOWED BY PAGE 4aah] aag 2025200232 28 Sep 2026 IV-733 IV-734 IV-735 IV-738 IV-739 IV-740 IV-741 [FOLLOWED BY PAGE 4aai] aah 2025200232 28 Sep 2026 A>.. 1 / / f I _ °^A^A 1 N^ / l ( 1 JA / \ANH 1 J™ / =^AA / / / ^1^1 / ^ / N\\ 1 A. / N. A / N A; '- / ' F F F F IV-742 IV-743 ^O __N ,F N \ / / x / .J3 £X N | z / \ \ ^NH TH ' 1 ll L a\ i \\ >nh / V^N 1 \ A-^ a La y 1 nk / 1,. ■ / , / , IV-745 IV-746 L) XX IV-748 IV-749 aai F F IV-744 °<^ A\ A>A\n / 0 IV-747 a\ / N--\— X. / ^A^nn ^N / I IV-750 [FOLLOWED BY PAGE 4aaj] 2025200232 28 Sep 2026 N N IV-757 IV-758 N IV-761 IV-762 IV-754 IV-755 IV-756 IV-759 IV-760 [FOLLOWED BY PAGE 4aak] aaj 2025200232 28 Sep 2026 IV-763 IV-764 IV-765 IV-766 IV-767 IV-768 IV-769 IV-770 IV-771 IV-772 IV-773 IV-774 [FOLLOWED BY PAGE 4aal] aak 2025200232 28 Sep 2026 IV-775 IV-778 , or a pharmaceutically acceptable salt thereof. DETAILED DESCRIPTION OF CERTAIN EMBODIMENTS 1. General Description of Certain Embodiments of the Invention:
[0011] Compounds of the present invention, and compositions thereof, are useful as inhibitors of GCN2 protein kinase. In some embodiments, a provided compound inhibits GCN2.
[0012] In certain embodiments, the present invention provides a compound of formula I: or a pharmaceutically acceptable salt thereof, wherein: Ring A is selected from a 3-8 membered saturated or partially unsaturated monocyclic carbocyclic ring, phenyl, an 8-10 membered bicyclic aromatic carbocyclic ring, a 4-8 membered [FOLLOWED BY PAGE 4aam] aal 2025200232 28 Sep 2026 partially unsaturated monocyclic heterocyclic ring having 1-2 heteroatoms independently selected from nitrogen, oxygen, or sulfur optionally fused to a 5-6 membered aromatic ring having 0-4 heteroatoms independently selected from nitrogen, oxygen, or sulfur, a 7-12 membered partially unsaturated spirocyclic heterocyclic ring having 1-2 heteroatoms independently selected from nitrogen, oxygen, or sulfur, a 7-12 membered partially unsaturated bicyclic heterocyclic ring having 1-4 heteroatoms independently selected from nitrogen, oxygen, or sulfur, a 7-12 membered partially unsaturated bicyclic heteroaromatic ring having 1-4 heteroatoms independently selected from nitrogen, oxygen, or sulfur, a 7-12 membered partially unsaturated bridged bicyclic heterocyclic ring having 1-2 [FOLLOWED BY PAGE 5] aam 2025200232 13 Jan 2025 heteroatoms independently selected from nitrogen, oxygen, or sulfur, a 5-6 membered monocyclic heteroaromatic ring having 1-4 heteroatoms independently selected from nitrogen, oxygen, or sulfur, an 8-10 membered bicyclic heteroaromatic ring having 1-5 heteroatoms independently selected from nitrogen, oxygen, or sulfur, or Het, wherein Het is a 4-8 membered saturated monocyclic heterocyclic ring having 1-2 heteroatoms independently selected from nitrogen, oxygen, or sulfur, a 7-12 membered saturated spirocyclic heterocyclic ring having 1-4 heteroatoms independently selected from nitrogen, oxygen, or sulfur, a 7-12 membered saturated bicyclic heterocyclic ring having 1-3 heteroatoms independently selected from nitrogen, oxygen, or sulfur, or a 7-12 membered saturated bridged bicyclic heterocyclic ring having 1-2 heteroatoms independently selected from nitrogen, oxygen, or sulfur; 2025200232 13 Jan 2025 each R is independently hydrogen or an optionally substituted group selected from Ci-6 aliphatic, a 3-8 membered saturated or partially unsaturated monocyclic carbocyclic ring, phenyl, an 8-10 membered bicyclic aromatic carbocyclic ring, a 4-8 membered saturated or partially unsaturated monocyclic heterocyclic ring having 1-2 heteroatoms independently selected from nitrogen, oxygen, or sulfur, a 5-6 membered monocyclic heteroaromatic ring having 1-4 heteroatoms independently selected from nitrogen, oxygen, or sulfur, or an 8-10 membered bicyclic heteroaromatic ring having 1-5 heteroatoms independently selected from nitrogen, oxygen, or sulfur; or two R groups are optionally taken together to form a bivalent C2-4 alkylene chain; two R groups are optionally taken together with their intervening atoms to form an optionally substituted 3-7-membered saturated or partially unsaturated monocyclic ring having 0-4 heteroatoms independently selected from nitrogen, oxygen or sulfur; each R’ is independently hydrogen or a Ci-3 aliphatic group optionally substituted with halogen; each of R1 is independently hydrogen, halogen, -CN, -NO2, -C(O)R, -C(O)OR, -C(O)N(R)2, -C(O)N(R)S(O)2R, -C(O)N=S(O)(R)2, -N(R)2, -N(R)C(O)R, -N(R)C(O)N(R)2, -N(R)C(O)OR, -N(R)S(O)2R, -N(R)S(O)2N(R)2, -OR, -ON(R)SO2R, -P(O)(R)2, -SR, -S(O)R, -8(0)^, -S(O)(NH)R, -S(O)2N(R)2, -S(NH2)2(O)OH, -N=S(O)(R)2, -C(R)2S(=O)(=NH)R, -C(R)2NHSO2CH3, -CD3, -CD2N(R)S(O)2R, orR; or: two R1 groups are optionally taken together to form =0, =NH or =NS(O)2R; or two R1 groups are optionally taken together to form a bivalent C2-4 alkylene chain; each of R2 is independently hydrogen, halogen, -CN, -C(O)N(R’)2, -OR’, -N(R’)2, -S(O)2R, -S(O)2N(R)2, -O-phenyl, or an optionally substituted group selected from Ci-3 aliphatic, phenyl, 5-6 membered monocyclic heteroaromatic ring having 1-4 heteroatoms 2025200232 28 Sep 2026 independently selected from nitrogen, oxygen, or sulfur, or 4-8 membered saturated monocyclic heterocycle having 1-4 heteroatoms independently selected from nitrogen, oxygen, or sulfur; R3 is hydrogen, halogen, -CN, -OR’, -N(R’)2, or an optionally substituted group selected from C1-3 aliphatic, phenyl, or a 5-6 membered monocyclic heteroaromatic ring having 1-4 heteroatoms independently selected from nitrogen, oxygen, or sulfur; R4 is hydrogen, halogen, -CN, -OR, -N=S(O)(R)2, -N(R)2, or an optionally substituted group selected from C1-3 aliphatic, a 4-8 membered saturated or partially unsaturated monocyclic heterocyclic ring having 1-2 heteroatoms independently selected from nitrogen, oxygen, or sulfur, or a 7-12 membered saturated or partially unsaturated spirocyclic heterocyclic ring having 1-2 heteroatoms independently selected from nitrogen, oxygen, or sulfur; m is 0, 1, 2, 3, 4 or 5; n is 0, 1, or 2; p is 0 or 1; and q is 0 or 1. 2. Compounds and Definitions:
[0013] In the description in this specification reference may be made to subject matter which is not within the scope of the appended claims. That subject matter should be readily identifiable by a person skilled in the art and may assist in putting into practice the invention as defined in the appended claims. [0013A] Compounds of the present invention include those described generally herein, and are further illustrated by the classes, subclasses, and species disclosed herein. As used herein, the following definitions shall apply unless otherwise indicated. For purposes of this invention, the chemical elements are identified in accordance with the Periodic Table of the Elements, CAS version, Handbook of Chemistry and Physics, 75th Ed. Additionally, general principles of organic chemistry are described in “Organic Chemistry”, Thomas Sorrell, University Science Books, Sausalito: 1999, and “March’s Advanced Organic Chemistry”, 5th Ed., Ed.: Smith, M.B. and March, J., John Wiley & Sons, New York: 2001, the entire contents of which are hereby incorporated by reference. [0013B] Unless the context clearly requires otherwise, throughout the description and the [FOLLOWED BY PAGE 7a] 2025200232 28 Sep 2026 claims, the words ‘comprise’, ‘comprising’ and the like are to be construed in an inclusive sense as opposed to an exclusive or exhaustive sense; that is to say in the sense of “including but not limited to”.
[0014] The term “aliphatic” or “aliphatic group”, as used herein, means a straight-chain (i.e., unbranched) or branched, substituted or unsubstituted hydrocarbon chain that is completely saturated or that contains one or more units of unsaturation, or a monocyclic hydrocarbon or bicyclic hydrocarbon that is completely saturated or that contains one or more units of unsaturation, but which is not aromatic (also referred to herein as "carbocycle," “cycloaliphatic” or “cycloalkyl”), that has a single point of attachment to the rest of the molecule. Unless otherwise [FOLLOWED BY PAGE 8] 2025200232 13 Jan 2025 specified, aliphatic groups contain 1-6 aliphatic carbon atoms. In some embodiments, aliphatic groups contain 1-5 aliphatic carbon atoms. In other embodiments, aliphatic groups contain 1-4 aliphatic carbon atoms. In still other embodiments, aliphatic groups contain 1-3 aliphatic carbon atoms, and in yet other embodiments, aliphatic groups contain 1-2 aliphatic carbon atoms. In some embodiments, “cycloaliphatic” (or “carbocycle” or “cycloalkyl”) refers to a monocyclic C3-C6 hydrocarbon that is completely saturated or that contains one or more units of unsaturation, but which is not aromatic, that has a single point of attachment to the rest of the molecule. Suitable aliphatic groups include, but are not limited to, linear or branched, substituted or unsubstituted alkyl, alkenyl, alkynyl groups and hybrids thereof such as (cycloalkyl)alkyl, (cycloalkenyl)alkyl or (cycloalkyl)alkenyl.
[0015] As used herein, the term “bridged bicyclic” refers to any bicyclic ring system, i.e. carbocyclic or heterocyclic, saturated or partially unsaturated, having at least one bridge. As defined by IUPAC, a “bridge” is an unbranched chain of atoms or an atom or a valence bond connecting two bridgeheads, where a “bridgehead” is any skeletal atom of the ring system which is bonded to three or more skeletal atoms (excluding hydrogen). In some embodiments, a bridged bicyclic group has 7-12 ring members and 0-4 heteroatoms independently selected from nitrogen, oxygen, or sulfur. Such bridged bicyclic groups are well known in the art and include those groups set forth below where each group is attached to the rest of the molecule at any substitutable carbon or nitrogen atom. Unless otherwise specified, a bridged bicyclic group is optionally substituted with one or more substituents as set forth for aliphatic groups. Additionally or alternatively, any substitutable nitrogen of a bridged bicyclic group is optionally substituted. Exemplary bridged bicyclics include: 2025200232 13 Jan 2025
[0016] The term “lower alkyl” refers to a Ci-4 straight or branched alkyl group. Exemplary lower alkyl groups are methyl, ethyl, propyl, isopropyl, butyl, isobutyl, and tert-butyl.
[0017] The term “lower haloalkyl” refers to a Ci-4 straight or branched alkyl group that is substituted with one or more halogen atoms.
[0018] The term “heteroatom” means one or more of oxygen, sulfur, nitrogen, phosphorus, or silicon (including, any oxidized form of nitrogen, sulfur, phosphorus, or silicon; the quaternized form of any basic nitrogen or; a substitutable nitrogen of a heterocyclic ring, for example N (as in 3,4-dihydro-2 / 7-pyrrolyl), NH (as in pyrrolidinyl) or NR+ (as in N-substituted pyrrolidinyl)).
[0019] The term "unsaturated," as used herein, means that a moiety has one or more units of unsaturation.
[0020] As used herein, the term “bivalent Ci-s (or Ci-6) saturated or unsaturated, straight or branched, hydrocarbon chain”, refers to bivalent alkylene, alkenylene, and alkynylene chains that are straight or branched as defined herein.
[0021] The term “alkylene” refers to a bivalent alkyl group. An “alkylene chain” is a polymethylene group, i.e., -(CH2)n-, wherein n is a positive integer, preferably from 1 to 6, from 1 to 4, from 1 to 3, from 1 to 2, or from 2 to 3. A substituted alkylene chain is a polymethylene group in which one or more methylene hydrogen atoms are replaced with a substituent. Suitable substituents include those described below for a substituted aliphatic group.
[0022] The term “alkenylene” refers to a bivalent alkenyl group. A substituted alkenylene chain is a polymethylene group containing at least one double bond in which one or more hydrogen 2025200232 13 Jan 2025 atoms are replaced with a substituent. Suitable substituents include those described below for a substituted aliphatic group.
[0023] As used herein, the term “cyclopropylenyl” refers to a bivalent cyclopropyl group of the following structure: / —k .
[0024] The term “halogen” means F, Cl, Br, or I.
[0025] The term “aryl” used alone or as part of a larger moiety as in “aralkyl,” “aralkoxy,” or “aryloxyalkyl,” refers to monocyclic or bicyclic ring systems having a total of five to fourteen ring members, wherein at least one ring in the system is aromatic and wherein each ring in the system contains 3 to 7 ring members. The term “aryl” may be used interchangeably with the term “aryl ring.” In certain embodiments of the present invention, “aryl” refers to an aromatic ring system which includes, but not limited to, phenyl, biphenyl, naphthyl, anthracyl and the like, which may bear one or more substituents. Also included within the scope of the term “aryl,” as it is used herein, is a group in which an aromatic ring is fused to one or more non-aromatic rings, such as indanyl, phthalimidyl, naphthimidyl, phenanthridinyl, or tetrahydronaphthyl, and the like.
[0026] The terms “heteroaryl” and “heteroar-,” used alone or as part of a larger moiety, e.g., “heteroaralkyl,” or “heteroaralkoxy,” refer to groups having 5 to 10 ring atoms, preferably 5, 6, or 9 ring atoms; having 6, 10, or 14 % electrons shared in a cyclic array; and having, in addition to carbon atoms, from one to five heteroatoms. The term “heteroatom” refers to nitrogen, oxygen, or sulfur, and includes any oxidized form of nitrogen or sulfur, and any quatemized form of a basic nitrogen. Heteroaryl groups include, without limitation, thienyl, furanyl, pyrrolyl, imidazolyl, pyrazolyl, triazolyl, tetrazolyl, oxazolyl, isoxazolyl, oxadiazolyl, thiazolyl, isothiazolyl, thiadiazolyl, pyridyl, pyridazinyl, pyrimidinyl, pyrazinyl, indolizinyl, purinyl, naphthyridinyl, and pteridinyl. The terms “heteroaryl” and “heteroar-”, as used herein, also include groups in which a heteroaromatic ring is fused to one or more aryl, cycloaliphatic, or heterocyclyl rings, where the radical or point of attachment is on the heteroaromatic ring. Nonlimiting examples include indolyl, isoindolyl, benzothienyl, benzofuranyl, dibenzofuranyl, indazolyl, benzimidazolyl, benzthiazolyl, quinolyl, isoquinolyl, cinnolinyl, phthalazinyl, quinazolinyl, quinoxalinyl, 47 / quinolizinyl, carbazolyl, acridinyl, phenazinyl, phenothiazinyl, phenoxazinyl, tetrahydroquinolinyl, tetrahydroisoquinolinyl, and pyrido[2,3-b]-l,4-oxazin-3(4H)-one. A heteroaryl group may be 2025200232 13 Jan 2025 mono- or bicyclic. The term “heteroaryl” may be used interchangeably with the terms “heteroaryl ring,” “heteroaryl group,” or “heteroaromatic,” any of which terms include rings that are optionally substituted. The term “heteroaralkyl” refers to an alkyl group substituted by a heteroaryl, wherein the alkyl and heteroaryl portions independently are optionally substituted.
[0027] As used herein, the terms “heterocycle,” “heterocyclyl,” “heterocyclic radical,” and “heterocyclic ring” are used interchangeably and refer to a stable 5- to 7-membered monocyclic or 7-10-membered bicyclic heterocyclic moiety that is either saturated or partially unsaturated, and having, in addition to carbon atoms, one or more, preferably one to four, heteroatoms, as defined above. When used in reference to a ring atom of a heterocycle, the term "nitrogen" includes a substituted nitrogen. As an example, in a saturated or partially unsaturated ring having 0-3 heteroatoms selected from oxygen, sulfur or nitrogen, the nitrogen may be N (as in 3,4-dihydro-27 / pyrrol yl), NH (as in pyrrolidinyl), or +NR (as in Af substituted pyrrolidinyl).
[0028] A heterocyclic ring can be attached to its pendant group at any heteroatom or carbon atom that results in a stable structure and any of the ring atoms can be optionally substituted. Examples of such saturated or partially unsaturated heterocyclic radicals include, without limitation, tetrahydrofuranyl, tetrahydrothiophenyl pyrrolidinyl, piperidinyl, pyrrolinyl, tetrahydroquinolinyl, tetrahydroisoquinolinyl, decahydroquinolinyl, oxazolidinyl, piperazinyl, dioxanyl, dioxolanyl, diazepinyl, oxazepinyl, thiazepinyl, morpholinyl, and quinuclidinyl. The terms “heterocycle,” “heterocyclyl,” “heterocyclyl ring,” “heterocyclic group,” “heterocyclic moiety,” and “heterocyclic radical,” are used interchangeably herein, and also include groups in which a heterocyclyl ring is fused to one or more aryl, heteroaryl, or cycloaliphatic rings, such as indolinyl, 377-indolyl, chromanyl, phenanthridinyl, or tetrahydroquinolinyl. A heterocyclyl group may be mono- or bicyclic. The term “heterocyclylalkyl” refers to an alkyl group substituted by a heterocyclyl, wherein the alkyl and heterocyclyl portions independently are optionally substituted.
[0029] As used herein, the term “partially unsaturated” refers to a ring moiety that includes at least one double or triple bond. The term “partially unsaturated” is intended to encompass rings having multiple sites of unsaturation, but is not intended to include aryl or heteroaryl moieties, as herein defined.
[0030] As described herein, compounds of the invention may contain “optionally substituted” moieties. In general, the term “substituted,” whether preceded by the term 2025200232 13 Jan 2025 “optionally” or not, means that one or more hydrogens of the designated moiety are replaced with a suitable substituent. Unless otherwise indicated, an “optionally substituted” group may have a suitable substituent at each substitutable position of the group, and when more than one position in any given structure may be substituted with more than one substituent selected from a specified group, the substituent may be either the same or different at every position. Combinations of substituents envisioned by this invention are preferably those that result in the formation of stable or chemically feasible compounds. The term “stable,” as used herein, refers to compounds that are not substantially altered when subjected to conditions to allow for their production, detection, and, in certain embodiments, their recovery, purification, and use for one or more of the purposes disclosed herein.
[0031] Suitable monovalent substituents on a substitutable carbon atom of an “optionally substituted” group are independently halogen; -(CH2)o-4R°; -(CH2)o-40R°; -0(CH2)o-4R°, -O-(CH2)o-4C(0)OR°; -(CH2)o-4CH(OR°)2; -(CH2)o^SR°; -(ClUjo-iPh, which may be substituted with R°; -(CH2)o^iO(CH2)o-iPh which may be substituted with R°; -CH=CHPh, which may be substituted with R°; -(CH2)o-40(CH2)o-i-pyridyl which may be substituted with R°; -NO2; -CN; -N3; -(CH2)o-4N(R°)2; -(CH2)o-4N(R°)C(0)R°; -N(R°)C(S)R°; -(CH2)o- 4N(Ro)C(O)N(Ro)2; -N(R°)C(S)N(Ro)2; -(CH2)o-4N(R°)C(0)OR°; - N(R°)N(R°)C(O)R°; -N(R°)N(R°)C(O)N(R°)2; -N(R°)N(R°)C(O)OR°; -(CH2)o-4C(0)R°; -C(S)R°; -(CH2)o-4C(0)OR°; -(CH2)o^C(0)SR°; -(CH2)o^C(0)OSi(R°)3; -(CH2)o-40C(0)R°; -OC(0)(CH2)o-4SR, -SC(S)SR°; -(CH2)o^SC(0)R°; -(CH2)o-4C(0)N(R°)2; -C(S)N(Ro)2; -C(S)SR°; -(CH2)o-40C(0)N(R°)2; -C(O)N(OR°)R°; -C(O)C(O)R°; -C(O)CH2C(O)Ro; -C(NOR°)R°; -(CH2)o^SSR°; -(CH2)o^S(0)2R°; -(CH2)o^S(0)20R°; -(CH2)o-40S(0)2R°; -S(O)2N(RO)2; -(CH2)o-4S(0)R°; -(CH2)o^S(0)(NR°)R°; -N(Ro)S(O)2N(R°)2; - N(R°)S(O)2R°; -N(Ro)S(O)(NR°)(R°)2; -N(0R°)R°; -N=S(O)(Ro)2; -N(ORo)SO2R°; -C(NH)N(R°)2; -P(O)2Ro; -P(O)(Ro)2; -OP(O)(Ro)2; -OP(O)(ORo)2; -Si(R°)3; -(C1-4 straight or branched alkylene)O-N(R°)2; or -(Ci^i straight or branched alkylene)C(O)O-N(R°)2, wherein each R° may be substituted as defined below and is independently hydrogen, C1-6 aliphatic, -CH2PI1, -0(CH2)o-iPh, -CH2-(5-6 membered heteroaryl ring), or a 5-6-membered saturated, partially unsaturated, or aryl ring having 0-4 heteroatoms independently selected from nitrogen, oxygen, or sulfur, or, notwithstanding the definition above, two independent occurrences of R°, 2025200232 13 Jan 2025 taken together with their intervening atom(s), form a 3-12-membered saturated, partially unsaturated, or aryl mono- or bicyclic ring having 0-4 heteroatoms independently selected from nitrogen, oxygen, or sulfur, which may be substituted as defined below.
[0032] Suitable monovalent substituents on R° (or the ring formed by taking two independent occurrences of R° together with their intervening atoms), are independently halogen, -(CH2)o-2R*, -(haloR*), -(CH2)o-2OH, -(CH2)o-2OR*, -(CH2)0-2CH(OR*)2; -O(haloR*), -CN, -N3, -(CH2)o-2C(0)R*, -(CH2)0-2C(O)OH, -(CH2)o-2C(0)OR*, -(CH2)o-2SR*, -(CH2)0-2SH, -(CH2)o-2NH2, -(CH2)0-2NHR*, -(CH2)^2N(R*)2, -NO2, -Si(R*)3, -OSi(R*)3, -C(O)SR* -(Ci^ straight or branched alkyl ene)C(O)OR*, or -SSR* wherein each R* is unsubstituted or where preceded by “halo” is substituted only with one or more halogens, and is independently selected from C1-4 aliphatic, -CH2Ph, -0(CH2)o-iPh, or a 5-6-membered saturated, partially unsaturated, or aryl ring having 0-4 heteroatoms independently selected from nitrogen, oxygen, or sulfur. Suitable divalent substituents on a saturated carbon atom of R° include =0 and =S.
[0033] Suitable divalent substituents on a saturated carbon atom of an “optionally substituted” group include the following: =0, =S, =NNR%, =NNHC(O)R*, =NNHC(O)OR*, =NNHS(O)2R*, =NR*, =NOR\ =NSO2R*, -O(C(R*2))2_3O-, or -S(C(R*2))2-3S-, wherein each independent occurrence of R* is selected from hydrogen, Ci-6 aliphatic which may be substituted as defined below, or an unsubstituted 5-6-membered saturated, partially unsaturated, or aryl ring having 0-4 heteroatoms independently selected from nitrogen, oxygen, or sulfur. Suitable divalent substituents that are bound to vicinal substitutable carbons of an “optionally substituted” group include: -O(CR*2)2-3O-, wherein each independent occurrence of R* is selected from hydrogen, Ci-6 aliphatic which may be substituted as defined below, or an unsubstituted 5-6-membered saturated, partially unsaturated, or aryl ring having 0-4 heteroatoms independently selected from nitrogen, oxygen, or sulfur.
[0034] Suitable substituents on the aliphatic group of R* include halogen, -R*, -(haloR*), -OH, -OR’, -O(haloR*), -CN, -C(O)OH, -C(O)OR*, -NH2, -NHR’, -N(R*)2, or -NO2, wherein each R* is unsubstituted or where preceded by “halo” is substituted only with one or more halogens, and is independently Ci-4 aliphatic, -CH2Ph, -0(CH2)o-iPh, or a 5-6membered saturated, partially unsaturated, or aryl ring having 0-4 heteroatoms independently selected from nitrogen, oxygen, or sulfur. 2025200232 13 Jan 2025
[0035] Suitable substituents on a substitutable nitrogen of an “optionally substituted” group include -R', -N(R')2, -C(O)R', -C(O)OR', -C(O)C(O)Rt, - C(O)CH2C(O)R^, -S(O)2Rf, -S(O)2N(R')2, -C(S)N(R')2, -C(NH)N(Rf)2, or -N^S^R^ wherein each R1' is independently hydrogen, Ci-6 aliphatic which may be substituted as defined below, unsubstituted -OPh, or an unsubstituted 5-6-membered saturated, partially unsaturated, or aryl ring having 0-4 heteroatoms independently selected from nitrogen, oxygen, or sulfur, or, notwithstanding the definition above, two independent occurrences of R ' , taken together with their intervening atom(s) form an unsubstituted 3-12-membered saturated, partially unsaturated, or aryl mono- or bicyclic ring having 0-4 heteroatoms independently selected from nitrogen, oxygen, or sulfur.
[0036] Suitable substituents on the aliphatic group of R1' are independently halogen, -R*, -(haloR*), -OH, -OR*, -O(haloR’), -CN, -C(O)OH, -C(O)OR*, -NH2, -NHR*, -N(R*)2, or -NO2, wherein each R* is unsubstituted or where preceded by “halo” is substituted only with one or more halogens, and is independently Ci-4 aliphatic, -CH2Ph, -0(CH2)o-iPh, or a 5-6membered saturated, partially unsaturated, or aryl ring having 0-4 heteroatoms independently selected from nitrogen, oxygen, or sulfur.
[0037] As used herein, the term "pharmaceutically acceptable salt" refers to those salts which are, within the scope of sound medical judgment, suitable for use in contact with the tissues of humans and lower animals without undue toxicity, irritation, allergic response and the like, and are commensurate with a reasonable benefit / risk ratio. Pharmaceutically acceptable salts are well known in the art. For example, S. M. Berge et al., describe pharmaceutically acceptable salts in detail in J. Pharmaceutical Sciences, 1977, 66, 1-19, incorporated herein by reference. Pharmaceutically acceptable salts of the compounds of this invention include those derived from suitable inorganic and organic acids and bases. Examples of pharmaceutically acceptable, nontoxic acid addition salts are salts of an amino group formed with inorganic acids such as hydrochloric acid, hydrobromic acid, phosphoric acid, sulfuric acid and perchloric acid or with organic acids such as acetic acid, oxalic acid, maleic acid, tartaric acid, citric acid, succinic acid or malonic acid or by using other methods used in the art such as ion exchange. Other pharmaceutically acceptable salts include adipate, alginate, ascorbate, aspartate, benzenesulfonate, benzoate, bisulfate, borate, butyrate, camphorate, camphor sulfonate, citrate, cyclopentanepropionate, digluconate, dodecyl sulfate, ethanesulfonate, formate, fumarate, 2025200232 13 Jan 2025 glucoheptonate, glycerophosphate, gluconate, hemisulfate, heptanoate, hexanoate, hydroiodide, 2-hydroxy-ethanesulfonate, lactobionate, lactate, laurate, lauryl sulfate, malate, maleate, malonate, methanesulfonate, 2-naphthalenesulfonate, nicotinate, nitrate, oleate, oxalate, palmitate, pamoate, pectinate, persulfate, 3-phenylpropionate, phosphate, pivalate, propionate, stearate, succinate, sulfate, tartrate, thiocyanate, p-toluenesulfonate, undecanoate, valerate salts, and the like.
[0038] Salts derived from appropriate bases include alkali metal, alkaline earth metal, ammonium and N+(Ci^>alkyl)4 salts. Representative alkali or alkaline earth metal salts include sodium, lithium, potassium, calcium, magnesium, and the like. Further pharmaceutically acceptable salts include, when appropriate, nontoxic ammonium, quaternary ammonium, and amine cations formed using counterions such as halide, hydroxide, carboxylate, sulfate, phosphate, nitrate, loweralkyl sulfonate and aryl sulfonate.
[0039] Unless otherwise stated, structures depicted herein are also meant to include all isomeric (e.g., enantiomeric, diastereomeric, and geometric (or conformational)) forms of the structure; for example, the R and S configurations for each asymmetric center, Z and E double bond isomers, and Z and E conformational isomers. Therefore, single stereochemical isomers as well as enantiomeric, diastereomeric, and geometric (or conformational) mixtures of the present compounds are within the scope of the invention. Unless otherwise stated, all tautomeric forms of the compounds of the invention are within the scope of the invention. Additionally, unless otherwise stated, structures depicted herein are also meant to include compounds that differ only in the presence of one or more isotopically enriched atoms. For example, compounds having the present structures including the replacement of hydrogen by deuterium or tritium, or the replacement of a carbon by a 13C- or 14C-enriched carbon are within the scope of this invention. Such compounds are useful, for example, as analytical tools, as probes in biological assays, or as therapeutic agents in accordance with the present invention. In certain embodiments, Rx, of a provided compound comprises one or more deuterium atoms.
[0040] As used herein, the term “inhibitor” is defined as a compound that binds to and / or inhibits GCN2 with measurable affinity. In certain embodiments, an inhibitor has an IC50 and / or binding constant of less than about 50 pM, less than about 1 pM, less than about 500 nM, less than about 100 nM, less than about 10 nM, or less than about 1 nM. 2025200232 13 Jan 2025
[0041] A compound of the present invention may be tethered to a detectable moiety. It will be appreciated that such compounds are useful as imaging agents. One of ordinary skill in the art will recognize that a detectable moiety may be attached to a provided compound via a suitable substituent. As used herein, the term “suitable substituent” refers to a moiety that is capable of covalent attachment to a detectable moiety. Such moieties are well known to one of ordinary skill in the art and include groups containing, e.g., a carboxylate moiety, an amino moiety, a thiol moiety, or a hydroxyl moiety, to name but a few. It will be appreciated that such moieties may be directly attached to a provided compound or via a tethering group, such as a bivalent saturated or unsaturated hydrocarbon chain. In some embodiments, such moieties may be attached via click chemistry. In some embodiments, such moieties may be attached via a 1,3-cycloaddition of an azide with an alkyne, optionally in the presence of a copper catalyst. Methods of using click chemistry are known in the art and include those described by Rostovtsev et al., Angew. Chern. Int. Ed. 2002, 41, 2596-99 and Sun et al.. Bioconjugate Chern., 2006, 17, 52-57.
[0042] As used herein, the term “detectable moiety” is used interchangeably with the term "label" and relates to any moiety capable of being detected, e.g., primary labels and secondary labels. Primary labels, such as radioisotopes (e.g., tritium, 32P, 33P, 35S, or 14C), mass-tags, and fluorescent labels are signal generating reporter groups which can be detected without further modifications. Detectable moieties also include luminescent and phosphorescent groups.
[0043] The term “secondary label” as used herein refers to moieties such as biotin and various protein antigens that require the presence of a second intermediate for production of a detectable signal. For biotin, the secondary intermediate may include streptavidin-enzyme conjugates. For antigen labels, secondary intermediates may include antibody-enzyme conjugates. Some fluorescent groups act as secondary labels because they transfer energy to another group in the process of nonradiative fluorescent resonance energy transfer (FRET), and the second group produces the detected signal.
[0044] The terms “fluorescent label”, “fluorescent dye”, and “fluorophore” as used herein refer to moieties that absorb light energy at a defined excitation wavelength and emit light energy at a different wavelength. Examples of fluorescent labels include, but are not limited to: Alexa Fluor dyes (Alexa Fluor 350, Alexa Fluor 488, Alexa Fluor 532, Alexa Fluor 546, Alexa Fluor 568, Alexa Fluor 594, Alexa Fluor 633, Alexa Fluor 660 and Alexa Fluor 680), AMCA, AMCA- 2025200232 13 Jan 2025 S, BODIPY dyes (BODIPY FL, BODIPY R6G, BODIPY TMR, BODIPY TR, BODIPY 530 / 550, BODIPY 558 / 568, BODIPY 564 / 570, BODIPY 576 / 589, BODIPY 581 / 591, BODIPY 630 / 650, BODIPY 650 / 665), Carboxyrhodamine 6G, carboxy-X-rhodamine (ROX), Cascade Blue, Cascade Yellow, Coumarin 343, Cyanine dyes (Cy3, Cy5, Cy3.5, Cy5.5), Dansyl, Dapoxyl, Dialkylaminocoumarin, 4',5'-Dichloro-2',7'-dimethoxy-fluorescein, DM-NERF, Eosin, Erythrosin, Fluorescein, FAM, Hydroxycoumarin, IRDyes (IRD40, IRD 700, IRD 800), JOE, Lissamine rhodamine B, Marina Blue, Methoxycoumarin, Naphthofluorescein, Oregon Green 488, Oregon Green 500, Oregon Green 514, Pacific Blue, PyMPO, Pyrene, Rhodamine B, Rhodamine 6G, Rhodamine Green, Rhodamine Red, Rhodol Green, 2',4',5',7'-Tetra-bromosulfone-fluorescein, Tetramethyl-rhodamine (TMR), Carboxytetramethylrhodamine (TAMRA), Texas Red, Texas Red-X.
[0045] The term “mass-tag” as used herein refers to any moiety that is capable of being uniquely detected by virtue of its mass using mass spectrometry (MS) detection techniques. Examples of mass-tags include electrophore release tags such as N-[3-[4’-[(p-Methoxytetrafluorobenzyl)oxy]phenyl]-3-methylglyceronyl]isonipecotic Acid, 4’-[2,3,5,6-Tetrafluoro-4-(pentafluorophenoxyl)]methyl acetophenone, and their derivatives. The synthesis and utility of these mass-tags is described in United States Patents 4,650,750, 4,709,016, 5,360,8191, 5,516,931, 5,602,273, 5,604,104, 5,610,020, and 5,650,270. Other examples of masstags include, but are not limited to, nucleotides, dideoxynucleotides, oligonucleotides of varying length and base composition, oligopeptides, oligosaccharides, and other synthetic polymers of varying length and monomer composition. A large variety of organic molecules, both neutral and charged (biomolecules or synthetic compounds) of an appropriate mass range (100-2000 Daltons) may also be used as mass-tags.
[0046] The terms “measurable affinity” and “measurably inhibit,” as used herein, means a measurable change in a GCN2 protein kinase activity between a sample comprising a compound of the present invention, or composition thereof, and a GCN2 protein kinase, and an equivalent sample comprising a GCN2 protein kinase, in the absence of said compound, or composition thereof. 2025200232 13 Jan 2025 3. Description of Exemplary Embodiments:
[0047] As described above, in certain embodiments, the present invention provides a compound of formula I: I or a pharmaceutically acceptable salt thereof, wherein: Ring A is selected from a 3-8 membered saturated or partially unsaturated monocyclic carbocyclic ring, phenyl, an 8-10 membered bicyclic aromatic carbocyclic ring, a 4-8 membered partially unsaturated monocyclic heterocyclic ring having 1-2 heteroatoms independently selected from nitrogen, oxygen, or sulfur optionally fused to a 5-6 membered aromatic ring having 0-4 heteroatoms independently selected from nitrogen, oxygen, or sulfur, a 7-12 membered partially unsaturated spirocyclic heterocyclic ring having 1-2 heteroatoms independently selected from nitrogen, oxygen, or sulfur, a 7-12 membered partially unsaturated bicyclic heterocyclic ring having 1-4 heteroatoms independently selected from nitrogen, oxygen, or sulfur, a 7-12 membered partially unsaturated bicyclic heteroaromatic ring having 1-4 heteroatoms independently selected from nitrogen, oxygen, or sulfur, a 712 membered partially unsaturated bridged bicyclic heterocyclic ring having 1-2 heteroatoms independently selected from nitrogen, oxygen, or sulfur, a 5-6 membered monocyclic heteroaromatic ring having 1-4 heteroatoms independently selected from nitrogen, oxygen, or sulfur, an 8-10 membered bicyclic heteroaromatic ring having 1-5 heteroatoms independently selected from nitrogen, oxygen, or sulfur, or Het, wherein Het is a 4-8 membered saturated monocyclic heterocyclic ring having 1-2 heteroatoms independently selected from nitrogen, oxygen, or sulfur, a 7-12 membered saturated spirocyclic heterocyclic ring having 1-4 heteroatoms independently selected from nitrogen, oxygen, or sulfur, a 7-12 membered saturated bicyclic heterocyclic ring having 1-3 heteroatoms independently selected from nitrogen, oxygen, or sulfur, or a 2025200232 13 Jan 2025 7-12 membered saturated bridged bicyclic heterocyclic ring having 1-2 heteroatoms independently selected from nitrogen, oxygen, or sulfur; each R is independently hydrogen or an optionally substituted group selected from Ci-6 aliphatic, a 3-8 membered saturated or partially unsaturated monocyclic carbocyclic ring, phenyl, an 8-10 membered bicyclic aromatic carbocyclic ring, a 4-8 membered saturated or partially unsaturated 2025200232 13 Jan 2025 monocyclic heterocyclic ring having 1-2 heteroatoms independently selected from nitrogen, oxygen, or sulfur, a 5-6 membered monocyclic heteroaromatic ring having 1-4 heteroatoms independently selected from nitrogen, oxygen, or sulfur, or an 8-10 membered bicyclic heteroaromatic ring having 1-5 heteroatoms independently selected from nitrogen, oxygen, or sulfur; or two R groups are optionally taken together to form a bivalent C2-4 alkylene chain; two R groups are optionally taken together with their intervening atoms to form an optionally substituted 3-7-membered saturated or partially unsaturated monocyclic ring having 0-4 heteroatoms independently selected from nitrogen, oxygen or sulfur; each R’ is independently hydrogen or a Ci-3 aliphatic group optionally substituted with halogen; each of R1 is independently hydrogen, halogen, -CN, -NO2, -C(O)R, -C(O)OR, -C(O)N(R)2, - C(O)N(R)S(O)2R, -C(O)N=S(O)(R)2, -N(R)2, -N(R)C(O)R, -N(R)C(O)N(R)2, -N(R)C(O)OR, -N(R)S(O)2R, -N(R)S(O)2N(R)2, -OR, -ON(R)SO2R, -P(O)(R)2, -SR, -S(O)R, -S(O)2R, -S(O)(NH)R, -S(O)2N(R)2, -S(NH2)2(O)OH, -N=S(O)(R)2, -C(R)2S(=O)(=NH)R, -C(R)2NHSO2CH3, -CD3, -CD2N(R)S(O)2R, orR; or: two R1 groups are optionally taken together to form =0, =NH or =NS(O)2R; or two R1 groups are optionally taken together to form a bivalent C2-4 alkylene chain; each of R2 is independently hydrogen, halogen, -CN, -C(O)N(R’)2, -OR’, -N(R’)2, -S(O)2R, -S(O)2N(R)2, -O-phenyl, or an optionally substituted group selected from Ci-3 aliphatic, phenyl, 5-6 membered monocyclic heteroaromatic ring having 1-4 heteroatoms independently selected from nitrogen, oxygen, or sulfur, or 4-8 membered saturated monocyclic heterocycle having 1-4 heteroatoms independently selected from nitrogen, oxygen, or sulfur; R3 is hydrogen, halogen, -CN, -OR’, -N(R’)2, or an optionally substituted group selected from Ci-3 aliphatic, phenyl, or a 5-6 membered monocyclic heteroaromatic ring having 1-4 heteroatoms independently selected from nitrogen, oxygen, or sulfur; R4 is hydrogen, halogen, -CN, -OR, -N=S(O)(R)2, -N(R)2, or an optionally substituted group selected from Ci-3 aliphatic, a 4-8 membered saturated or partially unsaturated monocyclic heterocyclic ring having 1-2 heteroatoms independently selected from nitrogen, oxygen, or sulfur, or a 7-12 membered saturated or partially unsaturated spirocyclic heterocyclic ring having 1-2 heteroatoms independently selected from nitrogen, oxygen, or sulfur; 2025200232 13 Jan 2025 m is 0, 1, 2, 3, 4 or 5; n is 0, 1, or 2; p is 0 or 1; and q is 0 or 1.
[0048] As defined above and described herein, Ring A is selected from a 3-8 membered saturated or partially unsaturated monocyclic carbocyclic ring, phenyl, an 8-10 membered bicyclic aromatic carbocyclic ring, a 4-8 membered partially unsaturated monocyclic heterocyclic ring having 1-2 heteroatoms independently selected from nitrogen, oxygen, or sulfur optionally fused to a 5-6 membered aromatic ring having 0-4 heteroatoms independently selected from nitrogen, oxygen, or sulfur, a 7-12 membered partially unsaturated spirocyclic heterocyclic ring having 1-2 heteroatoms independently selected from nitrogen, oxygen, or sulfur, a 7-12 membered partially unsaturated bicyclic heterocyclic ring having 1-4 heteroatoms independently selected from nitrogen, oxygen, or sulfur, a 7-12 membered partially unsaturated bicyclic heteroaromatic ring having 1-4 heteroatoms independently selected from nitrogen, oxygen, or sulfur, a 7-12 membered partially unsaturated bridged bicyclic heterocyclic ring having 1-2 heteroatoms independently selected from nitrogen, oxygen, or sulfur, a 5-6 membered monocyclic heteroaromatic ring having 1-4 heteroatoms independently selected from nitrogen, oxygen, or sulfur, an 8-10 membered bicyclic heteroaromatic ring having 1-5 heteroatoms independently selected from nitrogen, oxygen, or sulfur.
[0049] In some embodiments, Ring A is 3-8 membered saturated or partially unsaturated monocyclic carbocyclic ring. In some embodiments, Ring A is phenyl. In some embodiments, Ring A is an 8-10 membered bicyclic aromatic carbocyclic ring. In some embodiments, Ring A is a 4-8 membered partially unsaturated monocyclic heterocyclic ring having 1-2 heteroatoms independently selected from nitrogen, oxygen, or sulfur optionally fused to a 5-6 membered aromatic ring having 0-4 heteroatoms independently selected from nitrogen, oxygen, or sulfur. In some embodiments, Ring A is a 7-12 membered partially unsaturated spirocyclic heterocyclic ring having 1-2 heteroatoms independently selected from nitrogen, oxygen, or sulfur. In some embodiments, Ring A is a 7-12 membered partially unsaturated bicyclic heterocyclic ring having 1-4 heteroatoms independently selected from nitrogen, oxygen, or sulfur. In some embodiments, Ring A is a 7-12 membered partially unsaturated bicyclic heteroaromatic ring having 1-4 2025200232 13 Jan 2025 heteroatoms independently selected from nitrogen, oxygen, or sulfur. In some embodiments, Ring A is a 7-12 membered partially unsaturated bridged bicyclic heterocyclic ring having 1-2 heteroatoms independently selected from nitrogen, oxygen, or sulfur. In some embodiments, Ring A is a 5-6 membered monocyclic heteroaromatic ring having 1-4 heteroatoms independently selected from nitrogen, oxygen, or sulfur. In some embodiments, Ring A is an 8-10 membered bicyclic heteroaromatic ring having 1-5 heteroatoms independently selected from nitrogen, oxygen, or sulfur.
[0050] In some embodiments, Ring A is Het. In some embodiments, Ring A is a 4-8 membered saturated monocyclic heterocyclic ring having 1-2 heteroatoms independently selected from nitrogen, oxygen, or sulfur. In some embodiments, Ring A is a 7-12 membered saturated spirocyclic heterocyclic ring having 1-4 heteroatoms independently selected from nitrogen, oxygen, or sulfur. In some embodiments, Ring A is a 7-12 membered saturated bicyclic heterocyclic ring having 1-3 heteroatoms independently selected from nitrogen, oxygen, or sulfur. In some embodiments, Ring A is a 7-12 membered saturated bridged bicyclic heterocyclic ring having 1-2 heteroatoms independently selected from nitrogen, oxygen, or sulfur.
[0051] In some embodiments, Ring A is In some embodiments, Ring A In some embodiments, Ring A is In some embodiments, Ring In some embodiments, Ring A is In some embodiments, Ring A is Y5 In some embodiments, Ring A is Y / in some embodiments, Ring A is In some embodiments, Ring A is In some 2025200232 13 Jan 2025 embodiments, Ring A is embodiments, Ring A is some embodiments, Ring A is some embodiments, Ring A is
[0052] Ring A is In some embodiments, Ring A is In some embodiments, Ring A is In some embodiments, Ring A is In some embodiments, Ring A is In some embodiments, Ring A is In some embodiments, Ring A is embodiments, Ring A In some embodiments, In some In some embodiments, Ring A is In some embodiments, Ring A is M . In some embodiments, Ring A is In some embodiments, Ring A is In some embodiments, Ring A is In some embodiments, Ring A is 2025200232 13 Jan 2025 some embodiments, Ring A is some embodiments, Ring A is In some embodiments, Ring A is In In some embodiments, Ring A is In some embodiments, Ring A is In some embodiments, In some embodiments, Ring A is (R1)m . In some embodiments, Ring A is In some embodiments, Ring A is In some embodiments, Ring In some embodiments, Ring A is In some embodiments, Ring A is In some embodiments, Ring A is 2025200232 13 Jan 2025 In some embodiments, Ring A is In some embodiments, Ring A is embodiments, Ring A is In some embodiments, Ring A is In some embodiments, In some embodiments, Ring A is In some embodiments, Ring A is In some In some embodiments, Ring A is In some embodiments, Ring A is In some embodiments, Ring A is
[0053] In some embodiments, Ring A is (R1)m In some embodiments, Ring A is In some embodiments, Ring A In some embodiments, Ring (R1)m In some embodiments, 2025200232 13 Jan 2025 embodiments, Ring A is In some embodiments, Ring A is In some embodiments, Ring A is In some In some embodiments, Ring A is
[0054] In some embodiments, Ring In some embodiments, Ring A is N+n n+nh Ais (Rl)m . In some embodiments, Ring A is (Rl)m . In some embodiments, Ring A is
[0055] In some embodiments, Ring A is In some embodiments, Ring A (R1)m. In some embodiments, Ring 2025200232 13 Jan 2025
[0056] In some embodiments, Ring A is In some embodiments, Ring A is In some embodiments, Ring A is m. In some embodiments, Ring A In some embodiments, Ring A is In some embodiments, Ring A is In some embodiments, Ring A is In some embodiments, Ring A is In some embodiments, Ring A is In some embodiments, Ring A is embodiments, Ring A is In some embodiments, Ring A is In some 2025200232 13 Jan 2025 In some embodiments, Ring A is In some embodiments, Ring A is In some embodiments, Ring A is embodiments, Ring A is In some embodiments, Ring A is In some embodiments, Ring A is some embodiments, Ring A is In some embodiments, Ring A is Ring A is In some embodiments, In some embodiments, In some In some embodiments, Ring A is In some embodiments, Ring A is In some embodiments, Ring A is 'm (R1)m . In In some embodiments, Ring A is In some embodiments, In some embodiments, Ring A is u . In some 2025200232 13 Jan 2025 embodiments, Ring A is embodiments, Ring A is embodiments, Ring A is In some embodiments, Ring A is In some embodiments, Ring A is some embodiments, Ring A is In some In some embodiments, Ring A is In some embodiments, Ring A is In some embodiments, Ring A is In some embodiments, In some embodiments, Ring A is (R1)m . In some embodiments, Ring A is In some embodiments, Ring A is In some embodiments, Ring A is embodiments, Ring A is In some embodiments, Ring A is In some 2025200232 13 Jan 2025 some embodiments, Ring A is In some embodiments, Ring A is
[0057] In some embodiments, Ring A is selected from those depicted in Tables 1-4, below.
[0058] As defined above and described herein, Ring B is 2025200232 13 Jan 2025
[0059] In some embodiments, Ring B is In some embodiments, Ring B is n. In some embodiments, Ring
[0060] In some embodiments, Ring B is selected from those depicted in Tables 1-4, below. 2025200232 13 Jan 2025
[0062] In some embodiments, Ring C is In some embodiments, Ring C In some embodiments, Ring C is embodiments, Ring C is In some embodiments, Ring C is In some In some embodiments, Ring C is In some embodiments, Ring C is In some embodiments, 2025200232 13 Jan 2025 embodiments, Ring C is In some embodiments, Ring C is some embodiments, Ring C is In some embodiments, Ring C is In some N-S In some embodiments, Ring C is In some embodiments, Ring C is In some embodiments, Ring C is
[0063] In some embodiments, Ring C is selected from those depicted in Tables 1-4, below.
[0064] As defined above and described herein, each R is independently hydrogen or an optionally substituted group selected from Ci-6 aliphatic, a 3-8 membered saturated or partially unsaturated monocyclic carbocyclic ring, phenyl, an 8-10 membered bicyclic aromatic carbocyclic ring, a 4-8 membered saturated or partially unsaturated monocyclic heterocyclic ring having 1-2 heteroatoms independently selected from nitrogen, oxygen, or sulfur, a 5-6 membered monocyclic heteroaromatic ring having 1-4 heteroatoms independently selected from nitrogen, oxygen, or sulfur, or an 8-10 membered bicyclic heteroaromatic ring having 1-5 heteroatoms independently selected from nitrogen, oxygen, or sulfur; or two R groups are optionally taken together to form a bivalent C2-4 alkylene chain; or two R groups are optionally taken together with their intervening atoms to form an optionally substituted 3-7-membered saturated or partially unsaturated monocyclic ring having 0-4 heteroatoms independently selected from nitrogen, oxygen or sulfur. 2025200232 13 Jan 2025
[0065] In some embodiments R is hydrogen. In some embodiments R is an optionally substituted Ci-6 aliphatic group. In some embodiments R is an optionally substituted 3-8 membered saturated or partially unsaturated monocyclic carbocyclic ring. In some embodiments R is an optionally substituted phenyl. In some embodiments R is an optionally substituted 8-10 membered bicyclic aromatic carbocyclic ring. In some embodiments R is an optionally substituted 4-8 membered saturated or partially unsaturated monocyclic heterocyclic ring having 1-2 heteroatoms independently selected from nitrogen, oxygen, or sulfur. In some embodiments R is an optionally substituted 5-6 membered monocyclic heteroaromatic ring having 1-4 heteroatoms independently selected from nitrogen, oxygen, or sulfur. In some embodiments R is an optionally substituted 8-10 membered bicyclic heteroaromatic ring having 1-5 heteroatoms independently selected from nitrogen, oxygen, or sulfur. In some embodiments two R groups are optionally taken together to form a bivalent C2-4 alkylene chain. In some embodiments two R groups are optionally taken together with their intervening atoms to form an optionally substituted 3-7-membered saturated or partially unsaturated monocyclic ring having 0-4 heteroatoms independently selected from nitrogen, oxygen or sulfur.
[0066] In some embodiments, R is selected from those depicted in Tables 1-4, below.
[0067] As defined above and described herein, each of R’ is independently hydrogen or a C1-3 aliphatic group optionally substituted with halogen.
[0068] In some embodiments, R’ is hydrogen. In some embodiments, R’ is a C1.3 aliphatic group optionally substituted with halogen.
[0069] In some embodiments, R’ is selected from those depicted in Tables 1-4, below.
[0070] As defined above and described herein, each of R1 is independently hydrogen, halogen, -CN, -NO2, -C(O)R, -C(O)OR, -C(O)N(R)2, -C(O)N(R)S(O)2R, -C(O)N=S(O)(R)2, -N(R)2, -N(R)C(O)R, -N(R)C(O)N(R)2, -N(R)C(O)OR, -N(R)S(O)2R, -N(R)S(O)2N(R)2, -OR, -ON(R)SO2R, -P(O)(R)2, -SR, -S(O)R, -S(O)2R, -S(O)(NH)R, -S(O)2N(R)2, -S(NH2)2(O)OH, -N=S(O)(R)2, -C(R)2S(=O)(=NH)R, -C(R)2NHSO2CH3, -CD3, -CD2N(R)S(O)2R, or R; or: two R1 groups are optionally taken together to form =0, =NH or =NS(O)2R; or two R1 groups are optionally taken together to form a bivalent C2-4 alkylene chain. 2025200232 13 Jan 2025
[0071] In some embodiments, R1 is hydrogen. In some embodiments, R1 is halogen. In some embodiments, R1 is -CN. In some embodiments, R1 is -NO2. In some embodiments, R1 is -C(O)R. In some embodiments, R1 is -C(O)OR. In some embodiments, R1 is -C(O)N(R)2. In some embodiments, R1 is -C(O)N(R)S(O)2R. In some embodiments, R1 is -C(O)N=S(O)(R)2. In some embodiments, R1 is -N(R)2. In some embodiments, R1 is -N(R)C(O)R. In some embodiments, R1 is -N(R)C(O)N(R)2. In some embodiments, R1 is -N(R)C(O)OR. In some embodiments, R1 is -N(R)S(O)2R. In some embodiments, R1 is -N(R)S(O)2N(R)2. In some embodiments, R1 is -OR. In some embodiments, R1 is -ON(R)SO2R. In some embodiments, R1 is -P(O)(R)2. In some embodiments, R1 is -SR. In some embodiments, R1 is -S(O)R. In some embodiments, R1 is -S(O)2R. In some embodiments, R1 is -S(O)(NH)R. In some embodiments, R1 is -S(O)2N(R)2. In some embodiments, R1 is -S(NH2)2(O)OH. In some embodiments, R1 is -N=S(O)(R)2. In some embodiments, R1 is -C(R)2S(=O)(=NH)R. In some embodiments, R1 is -C(R)2NHSO2CH3. In some embodiments, R1 is -CD3. In some embodiments, R1 is -CD2N(R)S(O)2R. In some embodiments, R1 is R. In some embodiments, two R1 groups are optionally taken together to form =0, =NH or =NS(O)2R. In some embodiments, two R1 groups are optionally taken together to form a bivalent C2-4 alkylene chain.
[0072] In some embodiments, R1 is fluoro. In some embodiments, R1 is chloro. In some embodiments, R1 is methyl. In some embodiments, R1 is ethyl. In some embodiments, R1 is -OH. In some embodiments, R1 is -OCH3. In some embodiments, R1 is -CH2OH. In some embodiments, R1 is -CH2CN. In some embodiments, R1 is -CF3. In some embodiments, R1 is -CH2NH2. In some embodiments, R1 is -COOH. In some embodiments, R1 is -NH2.
[0073] In some embodiments, two R1 groups form =0. In some embodiments, two R1 groups form =NH. In some embodiments, two R1 groups form =NSO2CH3. In some embodiments, two R1 groups form .
[0074] In some embodiments, R1 is . In some embodiments, R1 is . In some embodiments, R1 is V in some embodiments, R1 is . In some embodiments, R1 2025200232 13 Jan 2025 is OH . In some embodiments, R1 is OH . In some embodiments, R1 is F NH2 some embodiments, R1 is F. In some embodiments, R1 is CF3 R1 is \^nh2 .
[0075] OH . In . In some embodiments, 1 V O 1 In some embodiments, R is . In some embodiments, R is In some embodiments, R1 is S' ii o . In some embodiments, R1 is JOH A O O . In some embodiments, R1 is OH . In some embodiments, R1 is . In some embodiments, R1 is NH2 . In some embodiments, R1 is CN . In some embodiments, R1 is °x X . In some embodiments, R1 is O' OH
[0076] In some embodiments, R1 is . In some embodiments, R1 OO Ox NH O Il i'll II * . In some embodiments, R1 is . In some embodiments, R1 is ' . .xy Nrl2 is In some embodiments, R1 is . In some embodiments, R1 is . In some T VN\ embodiments, R1 is F in some embodiments, R1 is . In some embodiments, R1 O, NH X N is H In some embodiments, R1 is
[0077] In some embodiments, R is N X In some embodiments, R is In some embodiments, R1 is . In some embodiments, R1 is . In some 2025200232 13 Jan 2025 A ?sO embodiments, R1 is f . In some embodiments, R1 is 0 o / ax . In some embodiments, o, o Vs'NH R1 is 2 . In some embodiments, R1 is o o \\ / / . In some embodiments, R1 is .
[0078] In some embodiments, R1 is vc^ . In some embodiments, R1 is H . . S' / 9' / X N H . In some embodiments, R1 is OO 1 A <. A .s. N x N x H . In some embodiments, R1 is H O O Y N In some embodiments, R1 is I . In some w V-N-^ embodiments, R1 is H . In some embodiments, R1 is 1 ¥ V \Aa R1 is H . In some embodiments, R1 is H oxp V^N'3'' O NH V N L H . In some embodiments, R1 is NMe2 O O 5 / x -sl. V N xx
[0079] In some embodiments, R1 is Abll OO 0 0 \ n ¥A f n A H V-0 in some embodiments, R1 is O O 0.0 / s i ^i ^'i / An" An-sx / H t-NH in some embodiments, R1 is H D DO.O H . In some embodiments, ’F3 , . In some embodiments, R is H . In some embodiments, R1 is 3 . In some embodiments, R1 is . In some embodiments, R1 is 2025200232 13 Jan 2025 In some embodiments, R1 is
[0080] In some embodiments, R1 In some embodiments, R1 is embodiments, R1 is In some embodiments, R1 is In some embodiments, R1 is H In some embodiments, R1 is In some embodiments, R1 is In some embodiments, R1 is In some embodiments, R1 is In some In some O O embodiments, R1 is H . In some embodiments, R1 is I . In some embodiments, R1 is In some embodiments, R1 is
[0081] / V / VH In some embodiments, R1 is x / \ In some embodiments, R1 is . In some embodiments, R1 is In some embodiments, R1 is In some In some embodiments, R1 is 0 In some embodiments, embodiments, R1 is 0,,0 \' / / xS. N NH2 H O 0 In some embodiments, R1 is H H . In some embodiments, R1 is In some embodiments, R1 is 2025200232 13 Jan 2025 In some embodiments, R1 is
[0082] In some embodiments, R1 is In some embodiments, R1 is In some embodiments, R1 is H . In some embodiments, R1 is H In some embodiments, R1 is In some embodiments, R1 is In some embodiments, R1 is In some embodiments, R1 is In some embodiments, R1 is NH2 In some embodiments, R1 is In some embodiments, R1 is
[0083] In some embodiments, R1 is In some embodiments, R1 is In some embodiments, R1 is In some embodiments, R1 is In some embodiments, R1 is In some embodiments, R1 is In some embodiments, R1 is In some embodiments, R1 is 2025200232 13 Jan 2025
[0084] In some embodiments, R1 is In some embodiments, R1 is In some embodiments, R1 is In some embodiments, R1 is In some embodiments, R1 In some embodiments, R1 In some embodiments, R1 In some embodiments, R1 is is is is In some embodiments, R1 is In some embodiments, R1 is In some embodiments, R1 is
[0085] In some embodiments, R1 is In some embodiments, R1 is In some embodiments, R1 is In some embodiments, R1 is In some embodiments, R1 is In some embodiments, R1 is In some embodiments, R1 is In some embodiments, R1 is OH 2025200232 13 Jan 2025
[0086] In some embodiments, R1 is . In some embodiments, R1 is OH . l)-nh In some embodiments, R1 is ' . In some embodiments, R1 is CF3 In some embodiments, R1 is NC . In some embodiments, R1 is . In some embodiments, j } / ^NH I / ^NH R1 is Cl in some embodiments, R1 is in some embodiments, R1 is / In some embodiments, R1 is
[0087] In some embodiments, R1 is In some embodiments, R1 is In some embodiments, R1 is In some embodiments, R1 is some embodiments, R1 is In some embodiments, R1 is embodiments, R1 is In some embodiments, R1 is In some embodiments, In some embodiments, R1 is 2025200232 13 Jan 2025
[0088] In some embodiments, R1 is / ^NH2 5-2T some embodiments, R1 is N . a / . In some embodiments, R1 is * . In < N^CF3 i s—N J In some embodiments, R is ? . In some __OH . embodiments, R1 is * N"Nx . In some embodiments, R1 is p R1 is . In some embodiments, R1 is Ary0 av . In some embodiments, R1 is r~NH rNQ H O . In some embodiments, . In some embodiments, R1 is s I NH In some embodiments, R1 is ’ . In some embodiments, R1 is In some embodiments, R1 is embodiments, R1 is V i embodiments, R is H \ if h embodiments, R1 is 1— ’ . In some embodiments, R1 is . In some O 1 . In some embodiments, R1 is ' . In some OH . In some embodiments, R1 is . In some , Aa J S z . In some embodiments, R1 is N N^,
[0090] In some embodiments, R1 is Lman ।— j . In some embodiments, R1 is N \ 1 N A i N N= / . In some embodiments, R is ^=== / 1 In some embodiments, R1 is N'N . In some 2025200232 13 Jan 2025 In some embodiments, R1 is In some embodiments, embodiments, R1 is In some embodiments, R1 is In some embodiments, R1 is In some embodiments, R1 is
[0091] In some embodiments, R1 is In some embodiments, R1 is some embodiments, R1 is Hl In some embodiments, R1 is In some embodiments, R1 is In some embodiments, R1 is In some embodiments, In some embodiments, R1 is In some embodiments, R1 is In some embodiments, R1 is In some embodiments, R1 is In some embodiments, R1 is
[0092] In some embodiments, R1 is In some embodiments, R1 is In some embodiments, R1 is In some embodiments, R1 is In some 2025200232 13 Jan 2025 embodiments, R1 is
[0093] In some embodiments, R1 is In some embodiments, R1 is In some embodiments, R1 is In some embodiments, R1 is embodiments, R1 is ? N In some embodiments, R1 is
[0094] In some embodiments, R1 In some embodiments, R1 is In some embodiments, R1 is In some embodiments, R1 is In some embodiments, R1 is In some embodiments, R1 is
[0095] In some embodiments, R1 is some embodiments, R1 is In some In some embodiments, R1 In some embodiments, R1 is In some embodiments, R1 is In some embodiments, R1 is In some embodiments, R1 is In some embodiments, R1 is In some 2025200232 13 Jan 2025 embodiments, R1 is In some embodiments, R1 is In some embodiments, R1 is In some In some embodiments, embodiments, R1 is In some embodiments, R1 is In some embodiments, R1 is In some embodiments, R1 is In some embodiments, R1 is In some embodiments, R1 is In some embodiments, R1 is In some embodiments, R1 is In some embodiments, R1 is In some 2025200232 13 Jan 2025 In some embodiments, R1 is embodiments, R1 is
[0096] In some embodiments, R1 is
[0097] In some embodiments, R1 is In some embodiments, R1 is embodiments, R1 is In some embodiments, R1 is In some embodiments, R1 is In some embodiments, R1 is In some embodiments, R1 is In some embodiments, R1 is In some In some In some embodiments,
[0098] In some embodiments, R1 is selected from those depicted in Tables 1-4, below.
[0099] As defined above and described herein, each of R2 is each of R2 is independently hydrogen, halogen, -CN, -C(O)N(R’)2, -OR’, -N(R’)2, -S(O)2R, -S(O)2N(R)2, -O-phenyl, or an optionally substituted group selected from C1.3 aliphatic, phenyl, 5-6 membered monocyclic heteroaromatic ring having 1-4 heteroatoms independently selected from nitrogen, oxygen, or 2025200232 13 Jan 2025 sulfur, or 4-8 membered saturated monocyclic heterocycle having 1-4 heteroatoms independently selected from nitrogen, oxygen, or sulfur.
[00100] In some embodiments, R2 is hydrogen. In some embodiments, R2 is halogen. In some embodiments, R2 is -CN. In some embodiments, R2 is -C(O)N(R’)2. In some embodiments, R2is-OR’. In some embodiments, R2 is-N(R’)2. In some embodiments, R2 is-S(O)2R. In some embodiments, R2 is -S(O)2N(R)2. In some embodiments, R2 is -O-phenyl. In some embodiments, R2 is an optionally substituted C1.3 aliphatic group. In some embodiments, R2 is an optionally substituted phenyl. In some embodiments, R2 is an optionally substituted 5-6 membered monocyclic heteroaromatic ring having 1-4 heteroatoms independently selected from nitrogen, oxygen, or sulfur. In some embodiments, R2 is an optionally substituted 4-8 membered saturated monocyclic heterocycle having 1-4 heteroatoms independently selected from nitrogen, oxygen, or sulfur.
[00101] In some embodiments, R2 is fluoro. In some embodiments, R2 is chloro. In some embodiments, R2 is bromo. In some embodiments, R2 is methyl. In some embodiments, R2 is ethyl. In some embodiments, R2 is -CF3. In some embodiments, R2 is . In some ? ? 'r. OH ? embodiments, R is . In some embodiments, R is . In some embodiments, R is F 'N^f
[00102] In some embodiments, R2 is In some embodiments, R2 is some embodiments, R2 is V°\ In some embodiments, R2 is . In some embodiments, In some embodiments, R2 is In some embodiments, R2 is O 2025200232 13 Jan 2025 some embodiments, R2 is embodiments, R2 is
[00103] In some embodiments, R2 is In some embodiments, R2 is In some embodiments, R2 is In some In some embodiments, R2 is . In some embodiments, R2 is In some . In some embodiments, R2 embodiments, R2 is . In some embodiments, R2 is F N—I . In some embodiments, R2 is
[00105] In some embodiments, R2 is selected from those depicted in Tables 1-4, below.
[00106] As defined above and described herein, R3 is hydrogen, halogen, -CN, -OR’, - N(R’)2, or an optionally substituted group selected from C1.3 aliphatic, phenyl, or a 5-6 membered 2025200232 13 Jan 2025 monocyclic heteroaromatic ring having 1-4 heteroatoms independently selected from nitrogen, oxygen, or sulfur.
[00107] In some embodiments, R3 is hydrogen. In some embodiments, R3 is halogen. In some embodiments, R3 is -CN. In some embodiments, R3 is -OR’. In some embodiments, R3 is -N(R’)2. In some embodiments, R3 is an optionally substituted C1.3 aliphatic group. In some embodiments, R3 is an optionally substituted phenyl. In some embodiments, R3 is an optionally substituted 5-6 membered monocyclic heteroaromatic ring having 1-4 heteroatoms independently selected from nitrogen, oxygen, or sulfur.
[00108] In some embodiments, R3 is selected from those depicted in Tables 1-4, below.
[00109] As defined above and described herein, R4 is hydrogen, halogen, -CN, -OR, - N=S(O)(R)2, -N(R)2, or an optionally substituted group selected from C1.3 aliphatic, a 4-8 membered saturated or partially unsaturated monocyclic heterocyclic ring having 1-2 heteroatoms independently selected from nitrogen, oxygen, or sulfur, or a 7-12 membered saturated or partially unsaturated spirocyclic heterocyclic ring having 1-2 heteroatoms independently selected from nitrogen, oxygen, or sulfur.
[00110] In some embodiments, R4 is hydrogen. In some embodiments, R4 is halogen. In some embodiments, R4 is -CN. In some embodiments, R4 is -OR. In some embodiments, R4 is -N=S(O)(R)2. In some embodiments, R4 is -N(R)2. In some embodiments, R4 is an optionally substituted C1.3 aliphatic group. In some embodiments, R4 is an optionally substituted 4-8 membered saturated or partially unsaturated monocyclic heterocyclic ring having 1-2 heteroatoms independently selected from nitrogen, oxygen, or sulfur. In some embodiments, R4 is an optionally substituted 7-12 membered saturated or partially unsaturated spirocyclic heterocyclic ring having 1-2 heteroatoms independently selected from nitrogen, oxygen, or sulfur.
[00111] In some embodiments, R4 is fluoro. In some embodiments, R4 is chloro. In some embodiments, R4 is methyl. In some embodiments, R4 is -CF3. In some embodiments, R4 is - H H OH. In some embodiments, R4 is . In some embodiments, R4 is . In some 2025200232 13 Jan 2025 embodiments, R4 is embodiments, R4 is
[00112] H In some embodiments, R4 is In some embodiments, R4 is In some embodiments, R4 is some embodiments, R4 is embodiments, R4 is embodiments, R4 is In some In some embodiments, R4 is In some embodiments, R4 is In some embodiments, R4 is In some embodiments, R4 is In some embodiments, R4 is In some embodiments, R4 is
[00113] In some embodiments, R4 is ho. In some In some In some embodiments, R4 is
[00114] In some embodiments, R4 is selected from those depicted in Tables 1-4, below.
[00115] As defined above and described herein, m is 0, 1, 2, 3, 4 or 5.
[00116] In some embodiments, m is 0. In some embodiments, m is 1. In some embodiments, m is 2. In some embodiments, m is 3. In some embodiments, m is 4. In some embodiments, m is 5.
[00117] In some embodiments, m is 1, 2 or 3.
[00118] In some embodiments, m is selected from those depicted in Tables 1-4, below.
[00119] As defined above and described herein, n is 0, 1, or 2.
[00120] In some embodiments, n is 0. In some embodiments, n is 1. In some embodiments, n is 2. 2025200232 13 Jan 2025
[00121] In some embodiments, n is selected from those depicted in Tables 1-4, below.
[00122] As defined above and described herein, p is 0 or 1.
[00123] In some embodiments, p is 0. In some embodiments, p is 1.
[00124] In some embodiments, p is selected from those depicted in Tables 1-4, below.
[00125] As defined above and described herein, q is 0 or 1.
[00126] In some embodiments, q is 0. In some embodiments, q is 1.
[00127] In some embodiments, q is selected from those depicted in Tables 1-4, below.
[00128] In certain embodiments, the present invention provides a compound of Formula I, (R3)q wherein Ring B is (R )n, thereby forming a compound of formula II: n or a pharmaceutically acceptable salt thereof, wherein each of Ring A, Ring C, R1, R2, R3, R4, m, n, p, and q is as defined above and described in embodiments herein, both singly and in combination. 2025200232 13 Jan 2025
[00129] In certain embodiments, the present invention provides a compound of Formula I, wherein Ring B is n, thereby forming a compound of formula III: III or a pharmaceutically acceptable salt thereof, wherein each of Ring A, Ring C, R1, R2, R3, R4, m, n, p, and q is as defined above and described in embodiments herein, both singly and in combination.
[00130] In certain embodiments, the present invention provides a compound of Formula I, wherein Ring B is (R2)n , thereby forming a compound of formula IV: 2025200232 13 Jan 2025 IV or a pharmaceutically acceptable salt thereof, wherein each of Ring A, Ring C, R1, R2, R3, R4, m, n, p, and q is as defined above and described in embodiments herein, both singly and in combination.
[00131] In certain embodiments, the present invention provides a compound of Formula I, wherein Ring B is n, thereby forming a compound of formula V: V or a pharmaceutically acceptable salt thereof, wherein each of Ring A, Ring C, R1, R2, R3, R4, m, n, p, and q is as defined above and described in embodiments herein, both singly and in combination. 2025200232 13 Jan 2025
[00132] In certain embodiments, the present invention provides a compound of Formula I, wherein Ring A is Het and Ring B is n, thereby forming a compound of formula VI: VI or a pharmaceutically acceptable salt thereof, wherein each of Ring C, R1, R2, R3, R4, m, n, p, and q is as defined above and described in embodiments herein, both singly and in combination.
[00133] In certain embodiments, the present invention provides a compound of Formula I, wherein Ring A is Het, Ring B is , thereby forming a compound of formula VII: 2025200232 13 Jan 2025 (R2)n VII or a pharmaceutically acceptable salt thereof, wherein each of Het, R1, R2, R3, R4, m, n, p, and q is as defined above and described in embodiments herein, both singly and in combination.
[00134] In certain embodiments, the present invention provides a compound of Formula I, wherein Ring A is piperidinyl, piperazinyl, or morpholinyl, Ring B is respectively: thereby forming a compound of formula VUI-a, VIH-b, or VIII-c, 2025200232 13 Jan 2025 VIH-a VIH-b (R2)n VIII-c or a pharmaceutically acceptable salt thereof, wherein each of R1, R2, R3, R4, m, n, p, and q is as defined above and described in embodiments herein, both singly and in combination.
[00135] In certain embodiments, the present invention provides a compound of Formula I, wherein Ring A is Het, Ring B is a compound of formula IX: IX 2025200232 13 Jan 2025 or a pharmaceutically acceptable salt thereof, wherein each of Het, R1, R2, R3, R4, m, n, p, and q is as defined above and described in embodiments herein, both singly and in combination.
[00136] In certain embodiments, the present invention provides a compound of Formula I, wherein Ring A is piperidinyl, piperazinyl, or morpholinyl, Ring B is (RA / , thereby forming a compound of formula X-a, X-b, or X-c, respectively: 2025200232 13 Jan 2025 X-c or a pharmaceutically acceptable salt thereof, wherein each of R1, R2, R3, R4, m, n, p, and q is as defined above and described in embodiments herein, both singly and in combination.
[00137] In certain embodiments, the present invention provides a compound of Formula I, wherein Ring A is Het, Ring B is a compound of formula XI: XI or a pharmaceutically acceptable salt thereof, wherein each of Het, R1, R2, R3, R4, m, n, p, and q is as defined above and described in embodiments herein, both singly and in combination. 2025200232 13 Jan 2025
[00138] In certain embodiments, the present invention provides a compound of Formula I, wherein Ring A is piperidinyl, piperazinyl, or morpholinyl, Ring B is is , thereby forming a compound of formula XH-a, XH-b, or XII-c, respectively: 2025200232 13 Jan 2025 or a pharmaceutically acceptable salt thereof, wherein each of R1, R2, R3, R4, m, n, p, and q is as defined above and described in embodiments herein, both singly and in combination.
[00139] In certain embodiments, the present invention provides a compound of Formula I, wherein Ring A is Het, Ring B is a compound of formula XIII: XIII or a pharmaceutically acceptable salt thereof, wherein each of Het, R1, R2, R3, R4, m, n, p, and q is as defined above and described in embodiments herein, both singly and in combination.
[00140] In certain embodiments, the present invention provides a compound of Formula I, wherein Ring A is piperidinyl, piperazinyl, or morpholinyl, Ring B is 2025200232 13 Jan 2025 respectively: thereby forming a compound of formula XlV-a, XlV-b, or XIV-c, (R")n XlV-b XIV-a (RZ)n XIV-c or a pharmaceutically acceptable salt thereof, wherein each of R1, R2, R3, R4, m, n, p, defined above and described in embodiments herein, both singly and in combination. and q is as 2025200232 13 Jan 2025
[00141] In certain embodiments, the present invention provides a compound of Formula I, wherein Ring A is Het and Ring B is (R2)n , thereby forming a compound of formula XV: XV or a pharmaceutically acceptable salt thereof, wherein each of Ring C, R1, R2, R3, R4, m, n, p, and q is as defined above and described in embodiments herein, both singly and in combination.
[00142] In certain embodiments, the present invention provides a compound of Formula I, forming a compound of formula XVI: 2025200232 13 Jan 2025 XVI or a pharmaceutically acceptable salt thereof, wherein each of Het, R1, R2, R3, R4, m, n, p, and q is as defined above and described in embodiments herein, both singly and in combination.
[00143] In certain embodiments, the present invention provides a compound of Formula I, wherein Ring A is piperidinyl, piperazinyl, or morpholinyl, Ring B is and Ring C is , thereby forming a compound of formula XVII-a, XVII-b, or XVII-c, respectively: XVII-a XVII-b 2025200232 13 Jan 2025 XVII-c or a pharmaceutically acceptable salt thereof, wherein each of R1, R2, R3, R4, m, n, p, and q is as defined above and described in embodiments herein, both singly and in combination.
[00144] In certain embodiments, the present invention provides a compound of Formula I, forming a compound of formula XVIII: XVIII or a pharmaceutically acceptable salt thereof, wherein each of Het, R1, R2, R3, R4, m, n, p, and q is as defined above and described in embodiments herein, both singly and in combination. 2025200232 13 Jan 2025
[00145] In certain embodiments, the present invention provides a compound of Formula I, wherein Ring A is piperidinyl, piperazinyl, or morpholinyl, Ring B is and Ring C is (R")p - / , thereby forming a compound of formula XlX-a, XlX-b, or XIX-c, respectively: XIX-c or a pharmaceutically acceptable salt thereof, wherein each of R1, R2, R3, R4, m, n, p, and q is as defined above and described in embodiments herein, both singly and in combination. 2025200232 13 Jan 2025
[00146] In certain embodiments, the present invention provides a compound of Formula I, wherein Ring A is Het, Ring B is and Ring C is forming a compound of formula XX: XX or a pharmaceutically acceptable salt thereof, wherein each of Het, R1, R2, R3, R4, m, n, p, and q is as defined above and described in embodiments herein, both singly and in combination.
[00147] In certain embodiments, the present invention provides a compound of Formula I, wherein Ring A is piperidinyl, piperazinyl, or morpholinyl, Ring B is and Ring C is respectively: 2025200232 13 Jan 2025 XXI-a XXI-b XXI-c or a pharmaceutically acceptable salt thereof, wherein each of R1, R2, R3, R4, m, n, p, and q is as defined above and described in embodiments herein, both singly and in combination.
[00148] In certain embodiments, the present invention provides a compound of Formula I, wherein Ring A is Het, Ring B is forming a compound of formula XXII: 2025200232 13 Jan 2025 XXII or a pharmaceutically acceptable salt thereof, wherein each of Het, R1, R2, R3, R4, m, n, p, and q is as defined above and described in embodiments herein, both singly and in combination.
[00149] In certain embodiments, the present invention provides a compound of Formula I, wherein Ring A is piperidinyl, piperazinyl, or morpholinyl, Ring B is and Ring C is , thereby forming a compound of formula XXIII-a, XXIII-b, or XXIII- c, respectively: XXIII-a XXIII-b 2025200232 13 Jan 2025 XXIII-c or a pharmaceutically acceptable salt thereof, wherein each of R1, R2, R3, R4, m, n, p, and q is as defined above and described in embodiments herein, both singly and in combination.
[00150] In certain embodiments, the present invention provides a compound of Formula I, wherein Ring A is Het, thereby forming a compound of formula XXIV: XXIV or a pharmaceutically acceptable salt thereof, wherein each of Het, Ring B, Ring C, R1, R2, R3, R4, m, n, p, and q is as defined above and described in embodiments herein, both singly and in combination.
[00151] In certain embodiments, the present invention provides a compound of Formula I, wherein Ring A is Het and Ring C is , thereby forming a compound of formula XXV: 2025200232 13 Jan 2025 XXV or a pharmaceutically acceptable salt thereof, wherein each of Het, Ring B, R1, R2, R3, R4, m, n, p, and q is as defined above and described in embodiments herein, both singly and in combination.
[00152] In certain embodiments, the present invention provides a compound of Formula I, wherein Ring A is Het and Ring C is (R4)P N'Pn r , thereby forming a compound of formula XXVI: XXVI or a pharmaceutically acceptable salt thereof, wherein each of Het, Ring B, R1, R2, R3, R4, m, n, p, and q is as defined above and described in embodiments herein, both singly and in combination.
[00153] In certain embodiments, the present invention provides a compound of Formula I, wherein Ring A is Het and Ring C is , thereby forming a compound of formula XXVII: 2025200232 13 Jan 2025 XXVII or a pharmaceutically acceptable salt thereof, wherein each of Het, Ring B, R1, R2, R3, R4, m, n, p, and q is as defined above and described in embodiments herein, both singly and in combination.
[00154] In certain embodiments, the present invention provides a compound of Formula I, wherein Ring A is Het and Ring C is , thereby forming a compound of formula XXVIII: XXVIII or a pharmaceutically acceptable salt thereof, wherein each of Het, Ring B, R1, R2, R3, R4, m, n, p, and q is as defined above and described in embodiments herein, both singly and in combination.
[00155] In certain embodiments, the present invention provides a compound of Formula I, wherein n is 1, p is 1, q is 1, R2 is -CF3, R3 is hydrogen, R4 is hydrogen, Ring A is piperidinyl, 2025200232 13 Jan 2025 piperazinyl, or morpholinyl, Ring B is forming a compound of formula XXIX-a, XXIX-b, or XXIX-c, respectively: XXIX-c or a pharmaceutically acceptable salt thereof, wherein each of R1 and m is as defined above and described in embodiments herein, both singly and in combination.
[00156] Exemplary compounds of the invention are set forth in Table 1, below. Table 1. Exemplary compounds of formula II 2025200232 13 Jan 2025 single stereoisomer single stereoisomer F II-3 II-6 o. F II-7 F II-9 F 11-10 11-11 F 11-13 F 11-15 2025200232 13 Jan 2025 11-18 11-19 11-20 F 11-21 11-29 2025200232 13 Jan 2025 11-31 11-32 11-33 11-34 11-35 11-37 11-38 11-40 11-41 11-42 single diastereomer (two enantiomers) F 11-43 2025200232 13 Jan 2025 11-46 11-48 11-49 11-52 11-53 11-55 2025200232 13 Jan 2025 11-65 11-69 2025200232 13 Jan 2025 11-71 11-72 11-73 11-74 2025200232 13 Jan 2025 11-83 11-84 11-93 2025200232 13 Jan 2025 single diastereomer (two enantiomers) F 11-95 11-97 single diastereomer (two enantiomers) 11-100 11-103 2025200232 13 Jan 2025 11-110 11-112 2025200232 13 Jan 2025 11-118 11-119 11-120 11-125 11-126 2025200232 13 Jan 2025 11-138 F 11-139 single diastereomer (two enantiomers) 11-140 11-141 11-142 11-144 11-146 11-147 2025200232 13 Jan 2025 F 11-150 single diastereomer (two enantiomers) 11-151 11-152 11-153 single diastereomer (two enantiomers) 11-157 11-158 11-159 2025200232 13 Jan 2025 11-163 11-167 11-169 11-170 11-171 F 11-174 2025200232 13 Jan 2025 11-176 single diastereomer (two enantiomers) F 11-177 11-178 11-179 F 11-181 11-182 11-183 11-184 11-185 11-189 2025200232 13 Jan 2025 11-196 single diastereomer (two enantiomers) 11-198 11-197 F 11-202 2025200232 13 Jan 2025 11-208 11-211 11-217 11-206 11-207 F 11-210 11-213 F 11-218 11-219 2025200232 13 Jan 2025 11-225 F F 11-228 single stereoisomer 11-229 F F 11-232 single diastereomer (two enantiomers) 2025200232 13 Jan 2025 F 11-235 single stereoisomer single diastereomer (two enantiomers) F 11-244 F 11-247 F 11-236 single diastereomer (two enantiomers) 11-239 F 11-237 single diastereomer (two enantiomers) 11-240 single diastereomer (two enantiomers) F 11-243 11-249 2025200232 13 Jan 2025 single diastereomer (two enantiomers) F 11-259 F 11-262 single stereoisomer F single diastereomer (two enantiomers) 11-260 single stereoisomer single stereoisomer F F 11-261 single stereoisomer F 11-264 single diastereomer (two enantiomers) F 2025200232 13 Jan 2025 11-265 11-266 11-267 single diastereomer (two enantiomers) 11-272 F 11-273 F 11-274 11-275 11-276 F 11-279 2025200232 13 Jan 2025 11-280 F 11-283 F 11-286 F 11-289 F F 11-292 11-295 single diastereomer (two enantiomers) F 11-296 11-282 F 11-285 single diastereomer (two enantiomers) F F 11-294 2025200232 13 Jan 2025 single diastereomer (two enantiomers) single diastereomer (two enantiomers) 11-302 11-303 single diastereomer (two enantiomers) single diastereomer (two enantiomers) F 11-304 11-305 11-306 F 11-307 11-311 F 2025200232 13 Jan 2025 11-313 11-314 11-315 11-321 F 11-324 11-328 11-326 11-327 F 11-330 2025200232 13 Jan 2025 11-331 11-332 NX N^N °'S n N yU 'NH2 )—F )—F F F 11-334 11-335 9..o 9...0 n'Y'xX HN-sx nW( HN' \ y N"\> An N"\> w1 yr-F O1 OH ' F OH 11-337 11-338 single stereoisomer (trans diastereomer) 11-333 0 O=S" W ^NH n yAA J An O Vnh Jf F 11-336 JpN nW( Q Oo F 11-339 single stereoisomer (trans diastereomer) , 9S-° J / ' M Kn W Q )— F )—F F F 11-340 11-341 JpN yN ‘ nWk n'WA. a M / n^Wh y. / y yN v / )-F >-F F F 11-343 11-344 single diastereomer (two trans- enantiomers) / pN 9..0 !pN nW J HA \ nVPX Kn n An ,n V" vP V?1 / - F / — F F F % yN sA J J N An nA^\ / / OH / / / OH VO )—F F 11-342 single diastereomer (two cis- enantiomers) D\s-nh2 n^n 0 o n'W^A J HN-\ _ / An Ny O1 AF F 11-345 9.-.° yN H / N nh2 nWW^ H / N n- > y-N 1 W y f F 2025200232 13 Jan 2025 11-346 11-347 11-348 F 11-349 single stereoisomer F 11-351 F 11-355 single stereoisomer F 11-358 F 11-360 F 11-361 single stereoisomer F 11-363 2025200232 13 Jan 2025 single stereoisomer F 11-364 single diastereomer (two enantiomers) 11-365 F 11-366 single diastereomer (two enantiomers) 11-367 F 11-369 F 11-370 11-372 F 11-373 F 11-376 2025200232 13 Jan 2025 single diastereomer (two enantiomers) F 11-379 single diastereomer (two enantiomers) 11-382 single stereoisomer single stereoisomer single stereoisomer F 11-384 11-390 2025200232 13 Jan 2025 single diastereomer (two enantiomers) 11-397 11-403 F F 11-406 single diastereomer (two enantiomers) 11-398 F F 11-407 F 11-396 F 11-399 F 11-402 F 11-408 2025200232 13 Jan 2025 F 11-409 F 11-412 11-415 F 11-418 11-421 11-410 F 11-411 11-413 11-414 11-416 11-417 F 11-422 F 11-423 2025200232 13 Jan 2025 11-425 single stereoisomer F 11-426 F single diastereomer (two enantiomers) single diastereomer (two enantiomers) 11-427 11-428 11-429 F single stereoisomer F single stereoisomer F 11-430 11-431 11-432 single stereoisomer F single stereoisomer 11-433 11-434 single stereoisomer F single stereoisomer F F 11-436 11-437 11-438 2025200232 13 Jan 2025 F 11-439 single stereoisomer 11-440 single stereoisomer 11-441 F 11-442 single stereoisomer 11-443 single stereoisomer 11-444 single stereoisomer F 11-445 single stereoisomer F 11-446 F 11-447 F 11-449 F 11-450 F 11-451 F 11-453 2025200232 13 Jan 2025 F 11-454 F 11-455 F 11-457 F 11-459 F 11-460 single diastereomer (two enantiomers) 11-461 F 11-463 11-464 F 11-465 F F 11-466 single stereoisomer 11-467 single stereoisomer 11-468 2025200232 13 Jan 2025 single stereoisomer F single stereoisomer F single stereoisomer F 11-469 11-470 11-471 single stereoisomer F single diastereomer (two enantiomers) single diastereomer (two enantiomers) 11-472 single stereoisomer F 11-475 single stereoisomer F 11-478 F 11-481 F F 11-473 11-474 single stereoisomer F F 11-476 11-477 single stereoisomer F F 11-479 11-480 F 11-482 F 11-483 2025200232 13 Jan 2025 F 11-484 F 11-485 single stereoisomer F 11-486 11-487 11-488 single stereoisomer 11-489 F 11-490 F 11-492 11-496 11-497 F 11-498 2025200232 13 Jan 2025 F F 11-499 F 11-502 11-508 F 11-511 F F 11-500 single stereoisomer 11-503 11-506 11-509 F 11-507 single stereoisomer F 11-510 2025200232 13 Jan 2025 F 11-520 11-523 single diastereomer (two enantiomers) 11-526 F 11-515 F 11-527 F F 11-516 single diastereomer (two enantiomers) F 11-525 F 11-528 2025200232 13 Jan 2025 single stereoisomer F 11-529 F 11-532 F 11-535 F 11-538 F 11-541 F 11-531 F F 11-534 F 11-536 single stereoisomer F 11-542 F 11-537 F 11-540 single stereoisomer F 11-543 2025200232 13 Jan 2025 F 11-544 single diastereomer (two enantiomers) 11-550 F 11-553 11-556 single stereoisomer F 11-545 single diastereomer (two enantiomers) 11-551 11-554 11-557 single stereoisomer F 11-546 single diastereomer (two enantiomers) 11-549 single diastereomer (two enantiomers) 11-552 11-555 single stereoisomer F 11-558 2025200232 13 Jan 2025 F single stereoisomer single stereoisomer F 11-559 11-560 11-561 11-562 single stereoisomer F 11-564 11-565 11-567 single stereoisomer single stereoisomer single stereoisomer 11-568 11-569 11-570 single diastereomer (two enantiomers) single diastereomer (two enantiomers) single stereoisomer F 2025200232 13 Jan 2025 11-571 single stereoisomer F 11-574 F 11-580 single diastereomer (two enantiomers) F 11-583 11-572 11-578 single stereoisomer 11-581 single diastereomer (two enantiomers) 11-584 single diastereomer (two enantiomers) 11-573 F 11-579 single stereoisomer 11-582 single diastereomer (two enantiomers) 2025200232 13 Jan 2025 11-586 11-587 11-588 11-592 single stereoisomer F 11-591 single stereoisomer F 11-594 F 11-595 single stereoisomer F 11-597 F 11-598 11-599 single stereoisomer F 11-600 single stereoisomer 11-601 single stereoisomer 11-602 single stereoisomer 11-603 2025200232 13 Jan 2025 11-604 single stereoisomer F 11-613 single diastereomer (two enantiomers) 11-616 11-605 single stereoisomer F 11-606 single diastereomer (two enantiomers) 11-615 single stereoisomer F 11-618 2025200232 13 Jan 2025 single diastereomer (two enantiomers) F 11-619 11-622 single stereoisomer F 11-625 11-631 single diastereomer (two enantiomers) single stereoisomer 11-620 11-621 single stereoisomer F 11-626 F 11-629 single stereoisomer 11-632 11-627 single stereoisomer 11-630 single stereoisomer 11-633 2025200232 13 Jan 2025 single stereoisomer F 11-636 single stereoisomer F 11-637 11-638 11-639 single stereoisomer F 11-640 single stereoisomer F 11-642 single stereoisomer F 11-643 single stereoisomer F 11-645 single stereoisomer F single stereoisomer F F 11-646 11-647 11-648 2025200232 13 Jan 2025 single stereoisomer F 11-650 single stereoisomer F 11-651 11-652 11-653 F 11-654 11-655 11-657 11-658 11-662 11-663 2025200232 13 Jan 2025 11-666 11-667 11-668 11-670 11-673 N F 2025200232 13 Jan 2025 11-676 11-677 11-678 11-679 11-680 11-681 11-682 11-685 11-687 11-688 2025200232 13 Jan 2025 11-691 11-692 11-693 11-694 11-695 11-696 11-697 11-698 11-699 11-700 11-701 11-702 11-703 11-704 11-705 2025200232 13 Jan 2025 N-NH 11-706 11-707 11-709 11-708 F 11-711 11-712 11-713 11-714 11-715 11-716 single stereoisomer 11-717 single stereoisomer 11-718 11-719 11-720 2025200232 13 Jan 2025 single stereoisomer 11-721 11-722 single stereoisomer 11-723 single stereoisomer single stereoisomer 11-724 11-725 N " N HjN 11-726 F 11-729 2025200232 13 Jan 2025 0 0 o 11-736 11-737 11-738 11-739 11-740 11-741 11-742 11-743 11-744 11-745 11-746 11-747 11-748 11-749 11-750 2025200232 13 Jan 2025 2025200232 13 Jan 2025 2025200232 13 Jan 2025 Table 2. Exemplary compounds of Formula III III-l III-3 III-5 o F III-6 2025200232 13 Jan 2025 0 F III-12 III-13 III-15 III-16 Table 3. Exemplary compounds of formula IV 2025200232 13 Jan 2025 single stereoisomer single stereoisomer single stereoisomer IV-7 IV-8 IV-9 IV-10 single stereoisomer single stereoisomer single stereoisomer IV-13 IV-14 IV-15 2025200232 13 Jan 2025 IV-16 IV-19 IV-22 IV-25 IV-17 IV-20 IV-18 IV-24 IV-27 o IV-30 2025200232 13 Jan 2025 IV-31 Br IV-32 IV-33 IV-34 IV-36 IV-37 IV-39 IV-40 IV-41 F IV-42 IV-43 F 2025200232 13 Jan 2025 IV-46 IV-47 IV-48 F F F IV-55 IV-56 IV-57 IV-58 IV-59 IV-60 F IV-63 2025200232 13 Jan 2025 IV-71 2025200232 13 Jan 2025 IV-82 IV-83 IV-84 2025200232 13 Jan 2025 F IV-94 F IV-99 F IV-101 IV-102 IV-103 IV-104 IV-105 single diastereoisomer (two enantiomers) IV-106 IV-107 IV-108 2025200232 13 Jan 2025 single diastereoisomer (two enantiomers) F IV-109 single diastereoisomer (two enantiomers) F IV-110 F IV-111 IV-115 IV-114 IV-118 IV-119 2025200232 13 Jan 2025 IV-121 IV-122 IV-123 IV-124 IV-125 F IV-126 N NHSO2Me IV-127 F IV-128 IV-129 F IV-130 IV-131 F IV-132 F IV-135 F IV-136 IV-137 IV-138 2025200232 13 Jan 2025 IV-145 IV-146 IV-147 IV-148 IV-151 F IV-152 2025200232 13 Jan 2025 IV-154 IV-159 F IV-160 IV-161 F IV-163 IV-165 IV-166 2025200232 13 Jan 2025 F IV-169 F IV-172 single stereoisomer F IV-175 F IV-176 IV-177 F IV-178 F IV-179 IV-180 F IV-181 o IV-182 IV-183 2025200232 13 Jan 2025 IV-184 IV-185 IV-186 IV-187 IV-188 IV-189 single diastereomer (two enantiomers) IV-191 single diastereomer (two enantiomers) IV-192 IV-193 IV-194 single diastereoisomer (two enantiomers) IV-195 2025200232 13 Jan 2025 IV-196 IV-198 single stereoisomer single stereoisomer single stereoisomer IV-199 single stereoisomer IV-200 IV-202 single diastereoisomer (two enantiomers) single diastereoisomer (two enantiomers) IV-206 IV-207 IV-208 IV-209 IV-210 2025200232 13 Jan 2025 IV-211 single stereoisomer IV-214 single stereoisomer IV-217 IV-212 single diastereoisomer (two enantiomers) IV-215 single diastereoisomer (two enantiomers) IV-218 IV-213 single stereoisomer IV-216 IV-219 IV-222 2025200232 13 Jan 2025 single stereoisomer single stereoisomer IV-223 IV-224 IV-225 IV-227 single diastereoisomer (two enantiomers) single diastereoisomer (two enantiomers) single stereoisomer IV-229 IV-230 IV-231 single stereoisomer IV-232 IV-234 2025200232 13 Jan 2025 single diastereoisomer (two enantiomers) IV-235 single stereoisomer IV-238 h2n IV-241 single stereoisomer IV-244 single stereoisomer IV-247 single diastereoisomer (two enantiomers) IV-236 IV-239 IV-242 single stereoisomer IV-245 IV-248 single stereoisomer IV-237 h2n IV-240 h2n IV-243 single stereoisomer IV-246 IV-249 2025200232 13 Jan 2025 o IV-253 o IV-256 IV-259 IV-262 o IV-254 IV-255 o IV-258 o IV-261 2025200232 13 Jan 2025 IV-265 IV-268 single stereoisomer IV-277 IV-269 single stereoisomer F IV-275 single diastereoisomer (two enantiomers) IV-278 IV-267 IV-270 single stereoisomer IV-273 single diastereoisomer (two enantiomers) IV-279 2025200232 13 Jan 2025 single diastereoisomer (two enantiomers) single diastereoisomer (two enantiomers) single stereoisomer IV-283 IV-286 IV-289 single diastereoisomer (two enantiomers) IV-292 single stereoisomer IV-282 IV-284 IV-285 single stereoisomer single stereoisomer IV-287 IV-288 single stereoisomer single stereoisomer IV-290 IV-291 single stereoisomer single stereoisomer IV-293 IV-294 2025200232 13 Jan 2025 single stereoisomer IV-295 IV-298 IV-301 single diastereoisomer (two enantiomers) IV-304 single stereoisomer IV-296 IV-299 IV-302 single diastereoisomer (two enantiomers) IV-305 IV-297 IV-300 IV-303 single diastereoisomer (two enantiomers) IV-306 2025200232 13 Jan 2025 IV-307 IV-308 single stereoisomer single stereoisomer single diastereoisomer (two enantiomers) IV-310 IV-312 single stereoisomer single stereoisomer single stereoisomer IV-313 IV-314 IV-315 single stereoisomer single stereoisomer IV-316 IV-319 IV-318 IV-321 2025200232 13 Jan 2025 IV-322 IV-325 single stereoisomer IV-328 IV-331 single diastereoisomer (two enantiomers) single diastereomer (two enantiomers) IV-329 IV-332 IV-324 IV-327 single diastereoisomer (two enantiomers) IV-330 single diastereomer (two enantiomers) IV-333 2025200232 13 Jan 2025 single diastereomer (two enantiomers) single diastereomer (two enantiomers) single stereoisomer IV-334 single stereoisomer IV-337 IV-340 single diastereoisomer (two enantiomers) IV-343 IV-341 single diastereoisomer (two enantiomers) IV-344 single diastereoisomer (two enantiomers) N-NH IV-342 single diastereoisomer (two enantiomers) IV-345 2025200232 13 Jan 2025 IV-346 IV-347 IV-348 IV-349 single stereoisomer single stereoisomer IV-351 IV-352 IV-353 IV-354 IV-355 single stereoisomer IV-357 single stereoisomer IV-358 IV-359 single stereoisomer IV-360 2025200232 13 Jan 2025 single stereoisomer IV-361 single stereoisomer IV-364 single stereoisomer IV-367 single stereoisomer IV-370 single diastereoisomer (two enantiomers) single stereoisomer IV-362 single stereoisomer IV-365 single stereoisomer IV-368 IV-371 single stereoisomer single stereoisomer IV-363 single stereoisomer F IV-366 single stereoisomer IV-369 single diastereoisomer (two enantiomers) IV-372 single stereoisomer 2025200232 13 Jan 2025 IV-373 IV-374 IV-375 single stereoisomer IV-376 IV-378 single diastereoisomer (two enantiomers) IV-379 single diastereoisomer (two enantiomers) IV-380 single diastereoisomer (two enantiomers) IV-381 IV-382 IV-383 IV-384 IV-385 IV-386 IV-387 2025200232 13 Jan 2025 IV-388 IV-389 single diastereoisomer (two enantiomers) single diastereoisomer (two enantiomers) single diastereoisomer (two enantiomers) IV-390 N-NH single diastereoisomer (two enantiomers) hn-n IV-391 single diastereoisomer (two enantiomers) IV-394 IV-397 IV-392 IV-393 single diastereoisomer (two enantiomers) IV-395 IV-396 single diastereoisomer (two enantiomers) single stereoisomer IV-398 IV-399 2025200232 13 Jan 2025 single stereoisomer single stereoisomer single stereoisomer IV-400 single stereoisomer IV-403 single stereoisomer IV-406 IV-409 single stereoisomer IV-404 single stereoisomer IV-407 IV-410 IV-402 single stereoisomer IV-405 single stereoisomer IV-408 single diastereoisomer (two enantiomers) IV-411 2025200232 13 Jan 2025 single stereoisomer IV-413 single stereoisomer IV-414 single diastereoisomer (two enantiomers) IV-415 IV-417 single diastereoisomer (two enantiomers) single stereoisomer single stereoisomer IV-418 IV-420 single diastereoisomer (two enantiomers) single diastereoisomer (two enantiomers) IV-421 IV-422 IV-423 2025200232 13 Jan 2025 IV-424 IV-425 IV-426 IV-427 IV-428 IV-429 IV-430 IV-431 IV-432 IV-433 IV-434 IV-435 IV-436 IV-437 IV-438 IV-439 IV-440 IV-441 2025200232 13 Jan 2025 IV-442 IV-443 IV-444 IV-446 IV-447 IV-448 IV-449 single stereoisomer IV-450 single stereoisomer IV-451 single diastereoisomer (two enantiomers) single diastereoisomer (two enantiomers) IV-454 IV-455 IV-456 2025200232 13 Jan 2025 single stereoisomer IV-458 single stereoisomer IV-459 single stereoisomer single stereoisomer IV-460 IV-461 single diastereoisomer single stereoisomer single stereoisomer single stereoisomer IV-463 IV-464 IV-465 single diastereoisomer (two enantiomers) single stereoisomer IV-466 IV-467 single stereoisomer 2025200232 13 Jan 2025 single stereoisomer IV-472 single stereoisomer IV-474 single stereoisomer IV-481 IV-483 2025200232 13 Jan 2025 IV-484 single diastereoisomer (two enantiomers) IV-485 IV-486 IV-487 IV-488 IV-489 single stereoisomer single stereoisomer IV-490 IV-491 IV-492 IV-493 IV-494 IV-495 single diastereoisomer IV-496 IV-497 IV-498 2025200232 13 Jan 2025 single diastereoisomer single diastereoisomer single diastereoisomer IV-499 IV-500 IV-501 single diastereoisomer (two enantiomers) single diastereoisomer (two enantiomers) IV-502 IV-503 IV-504 IV-505 IV-506 IV-507 IV-508 IV-511 IV-510 IV-513 2025200232 13 Jan 2025 IV-514 IV-517 IV-523 IV-526 IV-515 IV-518 single stereoisomer IV-521 IV-524 IV-527 IV-516 IV-519 IV-522 single diastereoisomer (two enantiomers) IV-528 2025200232 13 Jan 2025 IV-529 IV-530 IV-531 IV-532 IV-533 IV-534 IV-536 IV-537 single stereoisomer IV-538 IV-539 single stereoisomer IV-540 single stereoisomer IV-542 single diastereoisomer (two enantiomers) IV-543 2025200232 13 Jan 2025 single diastereoisomer (two enantiomers) single stereoisomer IV-545 single stereoisomer IV-546 IV-547 single stereoisomer IV-549 single stereoisomer IV-550 IV-551 IV-552 IV-553 IV-554 IV-555 IV-556 IV-557 IV-558 2025200232 13 Jan 2025 IV-559 IV-561 single stereoisomer IV-562 single stereoisomer IV-563 single diastereoisomer (two enantiomers) IV-566 IV-567 IV-568 single diastereoisomer (two enantiomers) IV-569 IV-570 IV-571 IV-572 IV-573 2025200232 13 Jan 2025 IV-574 single diastereoisomer (two enantiomers) IV-577 IV-575 IV-578 IV-576 IV-579 IV-580 IV-581 IV-582 single diastereoisomer (two enantiomers) IV-583 IV-584 IV-585 single diastereoisomer (two enantiomers) single diastereoisomer (two enantiomers) 2025200232 13 Jan 2025 IV-586 IV-587 IV-588 IV-589 single diastereoisomer (two enantiomers) IV-592 IV-590 single diastereoisomer (two enantiomers) IV-593 IV-595 IV-596 IV-598 IV-599 IV-591 IV-594 single stereoisomer IV-597 single stereoisomer IV-600 IV-601 IV-602 IV-603 2025200232 13 Jan 2025 IV-604 single diastereoisomer (two enantiomers) IV-607 IV-610 IV-613 OH IV-616 IV-605 single diastereoisomer (two enantiomers) IV-608 single stereoisomer IV-614 IV-617 IV-606 single diastereoisomer (two enantiomers) IV-609 single stereoisomer IV-618 2025200232 13 Jan 2025 single stereoisomer IV-619 IV-620 IV-621 single stereoisomer IV-622 single stereoisomer IV-624 single diastereoisomer (two enantiomers) IV-625 IV-626 IV-627 single stereoisomer single stereoisomer IV-628 IV-629 IV-630 single stereoisomer single stereoisomer 2025200232 13 Jan 2025 IV-631 IV-632 IV-633 single stereoisomer IV-636 single diastereoisomer (two enantiomers) IV-637 single stereoisomer IV-639 IV-640 IV-641 IV-642 IV-643 2025200232 13 Jan 2025 IV-647 single stereoisomer IV-649 single stereoisomer single stereoisomer IV-652 IV-655 single diastereoisomer (two enantiomers) IV-648 single stereoisomer IV-651 IV-653 IV-654 2025200232 13 Jan 2025 IV-658 IV-659 IV-660 IV-661 single diastereoisomer (two enantiomers) IV-665 IV-666 single diastereoisomer (two enantiomers) IV-667 single stereoisomer IV-669 single diastereoisomer (two enantiomers) single stereoisomer IV-670 IV-671 IV-672 2025200232 13 Jan 2025 IV-674 IV-675 single diastereoisomer (two enantiomers) O single diastereoisomer (two enantiomers) IV-676 IV-677 IV-678 IV-679 IV-680 IV-681 single stereoisomer single stereoisomer single stereoisomer IV-682 IV-683 IV-684 single diastereoisomer (two enantiomers) single stereoisomer 2025200232 13 Jan 2025 IV-685 single diastereoisomer (two enantiomers) IV-691 IV-694 single diastereoisomer (two enantiomers) IV-697 IV-686 IV-687 single diastereoisomer (two enantiomers) single diastereoisomer (two enantiomers) IV-690 single diastereoisomer (two enantiomers) IV-692 IV-693 IV-695 IV-698 IV-699 2025200232 13 Jan 2025 IV-709 IV-710 IV-711 2025200232 13 Jan 2025 2025200232 13 Jan 2025 2025200232 13 Jan 2025 2025200232 13 Jan 2025 2025200232 13 Jan 2025 IV-754 IV-755 IV-756 IV-757 IV-758 IV-759 IV-760 IV-761 IV-762 IV-763 IV-764 IV-765 IV-766 IV-767 IV-768 2025200232 13 Jan 2025 IV-778 IV-779 Table 4. Exemplary compounds of formula V 2025200232 13 Jan 2025 V-l V-4 V-10 V-13 V-2 single diastereomer (pair of enantiomers) V-5 single stereoisomer V-ll V-14 single diastereomer (pair of enantiomers) V-6 single stereoisomer V-12 V-15 2025200232 13 Jan 2025 single diastereomer (pair of enantiomers) single diastereomer (pair of enantiomers) single diastereomer (pair of enantiomers) V-16 V-17 V-18 single diastereomer (pair of enantiomers) V-20 V-19 [001571 In some embodiments, the present invention provides a compound set forth in Tables 1-4, above, or a pharmaceutically acceptable salt thereof.
[00158] In certain embodiments, the present invention provides a complex comprising GCN2 and an inhibitor. 4. General Methods of Providing the Present Compounds
[00159] The compounds of this invention may be prepared or isolated in general by synthetic and / or semi-synthetic methods known to those skilled in the art for analogous compounds and by methods described in detail in the Examples, herein.
[00160] In the Schemes below, where a particular protecting group (“PG”), leaving group (“LG”), or transformation condition is depicted, one of ordinary skill in the art will appreciate that other protecting groups, leaving groups, and transformation conditions are also suitable and are contemplated. Such groups and transformations are described in detail in March's Advanced Organic Chemistry: Reactions, Mechanisms, and Structure, M. B. Smith and J. March, 5th Edition, John Wiley & Sons, 2001, Comprehensive Organic Transformations, R. C. Larock, 2nd Edition, John Wiley & Sons, 1999, and Protecting Groups in Organic Synthesis, T. W. Greene and P. G. 2025200232 13 Jan 2025 M. Wuts, 3rd edition, John Wiley & Sons, 1999, the entirety of each of which is hereby incorporated herein by reference.
[00161] As used herein, the phrase “leaving group” (LG) includes, but is not limited to, halogens (e.g. fluoride, chloride, bromide, iodide), sulfonates (e.g. mesylate, tosylate, benzenesulfonate, brosylate, nosylate, triflate), diazonium, and the like.
[00162] As used herein, the phrase “oxygen protecting group” includes, for example, carbonyl protecting groups, hydroxyl protecting groups, etc. Hydroxyl protecting groups are well known in the art and include those described in detail in Protecting Groups in Organic Synthesis, T. W. Greene and P. G. M. Wuts, 3rd edition, John Wiley & Sons, 1999, the entirety of which is incorporated herein by reference. Examples of suitable hydroxyl protecting groups include, but are not limited to, esters, allyl ethers, ethers, silyl ethers, alkyl ethers, arylalkyl ethers, and alkoxyalkyl ethers. Examples of such esters include formates, acetates, carbonates, and sulfonates. Specific examples include formate, benzoyl formate, chloroacetate, trifluoroacetate, methoxyacetate, triphenylmethoxyacetate, p-chlorophenoxyacetate, 3-phenylpropionate, 4-oxopentanoate, 4,4-(ethylenedithio)pentanoate, pivaloate (trimethylacetyl), crotonate, 4-methoxy-crotonate, benzoate, p-benylbenzoate, 2,4,6-trimethylbenzoate, carbonates such as methyl, 9-fluorenylmethyl, ethyl, 2,2,2-trichloroethyl, 2-(trimethylsilyl)ethyl, 2-(phenylsulfonyl)ethyl, vinyl, allyl, and p-nitrobenzyl. Examples of such silyl ethers include trimethylsilyl, triethylsilyl, t-butyldimethylsilyl, t-butyldiphenylsilyl, triisopropylsilyl, and other trialkylsilyl ethers. Alkyl ethers include methyl, benzyl, p-methoxybenzyl, 3,4-dimethoxybenzyl, trityl, t-butyl, allyl, and allyloxycarbonyl ethers or derivatives. Alkoxyalkyl ethers include acetals such as methoxymethyl, methylthiomethyl, (2-methoxyethoxy)methyl, benzyloxymethyl, beta- (trimethylsilyl)ethoxymethyl, and tetrahydropyranyl ethers. Examples of arylalkyl ethers include benzyl, p-methoxybenzyl (MPM), 3,4-dimethoxybenzyl, O-nitrobenzyl, p-nitrobenzyl, p-halobenzyl, 2,6-dichlorobenzyl, p-cyanobenzyl, and 2- and 4-picolyl.
[00163] Amino protecting groups are well known in the art and include those described in detail in Protecting Groups in Organic Synthesis, T. W. Greene and P. G. M. Wuts, 3rd edition, John Wiley & Sons, 1999, the entirety of which is incorporated herein by reference. Suitable amino protecting groups include, but are not limited to, aralkylamines, carbamates, cyclic imides, allyl amines, amides, and the like. Examples of such groups include t-butyl oxy carbonyl (BOC), 2025200232 13 Jan 2025 ethyloxycarbonyl, methyloxycarbonyl, trichloroethyloxycarbonyl, allyloxycarbonyl (Alloc), benzyloxocarbonyl (CBZ), allyl, phthalimide, benzyl (Bn), fluorenylmethylcarbonyl (Fmoc), formyl, acetyl, chloroacetyl, di chloroacetyl, tri chloroacetyl, phenylacetyl, tri fluoroacetyl, benzoyl, and the like.
[00164] In certain embodiments, compounds of the present invention of formula II are generally prepared according to Schemes 1-17 set forth below:
[00165] Scheme 1: General scheme for the preparation of compounds of formula II where Ring C is a pyrimidine, R3 is hydrogen, R4 is hydrogen, n is 1, p is 1, and q is 1.
[00166] In Scheme 1 above, each of Ring A, R1, R2, and m is as defined above and below and in classes and subclasses as described herein.
[00167] Scheme 2: General scheme for the preparation of compounds of formula II where Ring C is a pyrimidine, R2 is -CHF2, R3 is hydrogen, R4 is hydrogen, n is 1, p is 1, and q is 1. Pd mediated stannylation then Stille cross coupling
[00168] In Scheme 2 above, each of Ring A, R1, and m is as defined above and below and in classes and subclasses as described herein.
[00169] Scheme 3: General scheme for the preparation of compounds of formula II where Ring C is a pyridine, R3 is hydrogen, n is 1, and q is 1. 2025200232 13 Jan 2025 ll-l8 Suzuki Cross coupling
[00170] In Scheme 3 above, each of Ring A, R1, R2, R4, m, and p is as defined above and below and in classes and subclasses as described herein.
[00171] Scheme 4: General scheme for the preparation of compounds of formula II where Ring A is a pyridine, R3 is hydrogen, n is 1, and q is 1.
[00172] In Scheme 4 above, each of Ring A, R1, R2, R4, m, and p is as defined above and below and in classes and subclasses as described herein.
[00173] Scheme 5: General scheme for the preparation of compounds of formula II where Ring C is a pyridine, R2 is -CHF2, R3 is hydrogen, n is 1, and q is 1. 2025200232 13 Jan 2025
[00174] In Scheme 5 above, each of Ring A, R1, R4, m, and p is as defined above and below and in classes and subclasses as described herein.
[00175] Scheme 6: General scheme for the preparation of compounds of formula II where Ring C is a pyridine, R2 is -CHF2, R3 is hydrogen, n is 1, and q is 1. Displacement with amine or Pd assisted cross coupling
[00176] In Scheme 6 above, each of Ring A, R1, R4, m, and p is as defined above and below and in classes and subclasses as described herein.
[00177] Scheme 7: General scheme for the preparation of compounds of formula II where Ring C is a pyridine, R2 is -CHF2, R3 is hydrogen, n is 1, and q is 1.
[00178] In Scheme 7 above, each of Ring A, R1, R4, m, and p is as defined above and below and in classes and subclasses as described herein.
[00179] Scheme 8: General scheme for the preparation of compounds of formula II where Ring C is a pyridine, R2 is -CHF2, R3 is hydrogen, n is 1, and q is 1. 2025200232 13 Jan 2025
[00180] In Scheme 8 above, each of Ring A, R1, R4, m, and p is as defined above and below and in classes and subclasses as described herein.
[00181] Scheme 9: General scheme for the preparation of compounds of formula II where Ring C is a pyridine, R2 is -CHF2, R3 is hydrogen, n is 1, p is 1 and q is 1.
[00182] In Scheme 9 above, each of Ring A, R1, R4, and m is as defined above and below and in classes and subclasses as described herein. 2025200232 13 Jan 2025
[00183] Scheme 10: General scheme for the preparation of compounds of formula II where Ring C is a pyridine, R2 is -CHF2, R3 is hydrogen, n is 1, and q is 1. ll-l8 Pd mediated stannylation then Stille cross coupling
[00184] In Scheme 10 above, each of Ring A, R1, R4, m, and p is as defined above and below and in classes and subclasses as described herein.
[00185] Scheme 11: General scheme for the preparation of compounds of formula II where Ring C is a phenyl, R2 is -CHF2, R3 is hydrogen, n is 1, and q is 1.
[00186] In Scheme 11 above, each of Ring A, R1, R4, m, and p is as defined above and below and in classes and subclasses as described herein.
[00187] Scheme 12: General scheme for the preparation of compounds of formula II where Ring C is a phenyl, R2 is -CHF2, R3 is hydrogen, n is 1, and q is 1. 2025200232 13 Jan 2025
[00188] In Scheme 12 above, each of Ring A, R1, R4, m, and p is as defined above and below and in classes and subclasses as described herein.
[00189] Scheme 13: General scheme for the preparation of compounds of formula II where Ring C is a pyridine, R2 is -OCF2H, R3 is hydrogen, n is 1, and q is 1. Alkylation
[00190] In Scheme 13 above, each of Ring A, R1, R4, m, and p is as defined above and below and in classes and subclasses as described herein.
[00191] Scheme 14: General scheme for the preparation of compounds of formula II where Ring C is a pyridine, R2 is -CF3, R3 is hydrogen, n is 1, and q is 1. 2025200232 13 Jan 2025 C-H activation cross coupling ll-l20 Displacement with amine II
[00192] In Scheme 14 above, each of Ring A, R1, R4, m, and p is as defined above and below and in classes and subclasses as described herein.
[00193] Scheme 15: General scheme for the preparation of compounds of formula II where Ring C is a pyridine, R2 is -CHF2, R3 is hydrogen, n is 1, and q is 1. 2025200232 13 Jan 2025 In Scheme 15 above, each of Ring A, R1, R4, m, and p is as defined above and
[00194] below and in classes and subclasses as described herein.
[00195] Scheme 16: General scheme for the preparation of compounds of formula II where Ring C is a pyrimidine, R2 is -Cl, R3 is hydrogen, n is 1, and q is 1. 2025200232 13 Jan 2025
[00196] In Scheme 16 above, each of Ring A, R1, R4, m, and p is as defined above and below and in classes and subclasses as described herein.
[00197] Scheme 17: General scheme for the preparation of compounds of formula II where Ring C is a pyrimidine, R2 is -CHF2, R3 is hydrogen, R4 is hydrogen, n is 1, p is l,and q is 1. 2025200232 13 Jan 2025 32 Grignard Addition Amide Formation 0
[00198] In Scheme 17 above, each of Ring A, R1, and m is as defined above and below and in classes and subclasses as described herein.
[00199] Scheme 18: General scheme for the preparation of compounds of Formula III where Ring C is a pyrimidine linked to the bicyclic core from position 4, R3 is hydrogen, R4 is hydrogen, p is 1, and q is 1. 2025200232 13 Jan 2025
[00200] In Scheme 18 above, each of Ring A, R1, R2, m, and n is as defined above and below and in classes and subclasses as described herein.
[00201] Scheme 19: General scheme for the preparation of compounds of Formula III where Ring C is a pyrimidine linked to the bicyclic core from position 4, R3 is hydrogen, R4 is hydrogen, p is 1, and q is 1. Ill-I3 lll-l5 III lll-l6
[00202] In Scheme 19 above, each of Ring A, R1, R2, m, and n is as defined above and below and in classes and subclasses as described herein.
[00203] Scheme 20: General scheme for the preparation of compounds of Formula III where Ring C is a pyrimidine linked to the bicyclic core from position 4, R3 is hydrogen, R4 is hydrogen, p is 1, and q is 1. 2025200232 13 Jan 2025
[00204] In Scheme 20 above, each of Ring A, R1, R2, m, and n is as defined above and below and in classes and subclasses as described herein.
[00205] Scheme 21: General scheme for the preparation of compounds of Formula III where Ring C is a pyridine linked to the bicyclic core from position 4, R3 is hydrogen, R4 is hydrogen, p is 1, and q is 1. 2025200232 13 Jan 2025 nh2 Cyclisation Pd assisted cross coupling
[00206] In Scheme 21 above, each of Ring A, R1, R2, m, and n is as defined above and below and in classes and subclasses as described herein.
[00207] Scheme 22: General scheme for the preparation of compounds of Formula III where Ring C is a pyrimidine, R3 is hydrogen, and q is 1. Cyclisation Halogenation Ill-In lll-l12 Pd assisted cross coupling 2025200232 13 Jan 2025
[00208] In Scheme 22 above, each of Ring A, R1, R2, R4, m, n, and p is as defined above and below and in classes and subclasses as described herein.
[00209] Scheme 23: General scheme for the preparation of compounds of Formula III where Ring C is a pyridine-4-yl further substituted at position 2, R3 is hydrogen, and q is 1. Pd assisted cross coupling HI-lio Displacement
[00210] In Scheme 23 above, each of Ring A, R1, R2, R4, m, n, and p is as defined above and below and in classes and subclasses as described herein.
[00211] Scheme 24: General scheme for the preparation of compounds of Formula III where Ring C is a pyridine introduced by a cross coupling reaction, R3 is hydrogen, and q is 1. 2025200232 13 Jan 2025
[00212] In Scheme 24 above, each of Ring A, R1, R2, R4, m, n, and p is as defined above and below and in classes and subclasses as described herein.
[00213] Scheme 25: General scheme for the preparation of compounds of Formula III where Ring C is a pyridine introduced by C-H activation, R3 is hydrogen, and q is 1. Cyclisation III-I12 (R2)n III
[00214] In Scheme 25 above, each of Ring A, R1, R2, R4, m, n, and p is as defined above and below and in classes and subclasses as described herein.
[00215] Scheme 26: General scheme for the preparation of compounds of formula IV where Ring C is a pyrimidine, R3 is hydrogen, R4 is hydrogen, p is 1, and q is 1. Palladium cross coupling reaction Imidazopyridazine formation Displacement with amine
[00216] In Scheme 26 above, each of Ring A, R1, R2, m, and n is as defined above and below and in classes and subclasses as described herein. 2025200232 13 Jan 2025
[00217] Scheme 27: General scheme for the preparation of compounds of formula IV where Ring C is a pyridine, R3 is hydrogen, R4 is hydrogen, p is 1, and q is 1.
[00218] In Scheme 27 above, each of Ring A, R1, R2, m, and n is as defined above and below and in classes and subclasses as described herein.
[00219] Scheme 28: General scheme for the preparation of compounds of formula IV where Ring C is a pyrimidine, R3 is hydrogen, R4 is hydrogen, p is 1, and q is 1.
[00220] In Scheme 28 above, each of Ring A, R1, R2, m, and n is as defined above and below and in classes and subclasses as described herein.
[00221] Scheme 29: General scheme for the preparation of compounds of formula IV where Ring C is a pyrimidine, R3 is hydrogen, R4 is hydrogen, p is 1, and q is 1.
[00222] In Scheme 29 above, each of Ring A, R1, R2, m, and n is as defined above and below and in classes and subclasses as described herein. 2025200232 13 Jan 2025
[00223] Scheme 30: General scheme for the preparation of compounds of formula IV where Ring C is a pyrimidine, R3 is hydrogen, R4 is hydrogen, p is 1, and q is 1. Cl / Br Palladium cross coupling reaction
[00224] In Scheme 30 above, each of Ring A, R1, R2, m, and n is as defined above and below and in classes and subclasses as described herein.
[00225] Scheme 31: General scheme for the preparation of compounds of formula IV where Ring C is a pyrimidine, R3 is hydrogen, R4 is hydrogen, n is 1, p is 1, and q is 1. 2025200232 13 Jan 2025
[00226] In Scheme 31 above, each of Ring A, R1, R2, and m is as defined above and below and in classes and subclasses as described herein.
[00227] Scheme 32: General scheme for the preparation of compounds of formula IV where Ring C is a pyrimidine, R2 is -C(O)NH2, R3 is hydrogen, R4 is hydrogen, n is 1, p is 1, and q is 1. Palladium cross coupling reaction CN
[00228] In Scheme 32 above, each of Ring A, R1, and m is as defined above and below and in classes and subclasses as described herein.
[00229] Scheme 33: General scheme for the preparation of compounds of formula IV where Ring C is a 5-fluoropyrimidine, R3 is hydrogen, R4 is hydrogen, n is 1, p is 1, and q is 1. 2025200232 13 Jan 2025 Imidazopyridazine formation Displacement with amine
[00230] In Scheme 33 above, each of Ring A, R1, R2, and m is as defined above and below and in classes and subclasses as described herein.
[00231] Scheme 34: General scheme for the preparation of compounds of formula IV where Ring C is a 6-chloropyrimidine, R3 is hydrogen, R4 is hydrogen, n is 1, p is 1, and q is 1.
[00232] In Scheme 34 above, each of Ring A, R1, R2, and m is as defined above and below and in classes and subclasses as described herein.
[00233] Scheme 35: General scheme for the preparation of compounds of formula IV where Ring C is a 6-substituted pyrimidine, R3 is hydrogen, n is 1, p is 1, and q is 1. 2025200232 13 Jan 2025 Br I Palladium cross coupling reaction Imidazopyridazine formation R2 Displacement with amine Displacement or palladium coupling reaction
[00234] In Scheme 35 above, each of Ring A, R1, R2, R4, and m is as defined above and below and in classes and subclasses as described herein.
[00235] Scheme 36: General scheme for the preparation of compounds of formula IV where Ring C is a 6-methylpyrimidine, R3 is hydrogen, R4 is methyl, n is 1, p is 1 and q is 1. Imidazopyridazine formation Activation Displacement with amine Me
[00236] In Scheme 36 above, each of Ring A, R1, R2, and m is as defined above and below and in classes and subclasses as described herein. 2025200232 13 Jan 2025
[00237] Scheme 37: General scheme for the preparation of compounds of formula IV where Ring C is a pyrimidine, R3 is hydrogen, R4 is hydrogen, n is 1, p is 1 and q is 1. Palladium cross coupling reaction Imidazopyridazine formation Palladium catalysed cross coupling
[00238] In Scheme 37 above, each of Ring A, R1, R2, and m is as defined above and below and in classes and subclasses as described herein.
[00239] Scheme 38: General scheme for the preparation of compounds of formula IV where Ring C is a pyridine, R3 is hydrogen, R4 is hydrogen, n is 1, p is 1, and q is 1. Palladium cross coupling reaction Imidazopyridazine formation
[00240] In Scheme 38 above, each of Ring A, R1, R2, and m is as defined above and below and in classes and subclasses as described herein.
[00241] Scheme 39: General scheme for the preparation of compounds of formula IV where Ring C is a pyridine, R3 is hydrogen, R4 is hydrogen, n is 1, p is 1, and q is 1. 2025200232 13 Jan 2025
[00242] In Scheme 39 above, each of Ring A, R1, R2, and m is as defined above and below and in classes and subclasses as described herein.
[00243] Scheme 40: General scheme for the preparation of compounds of formula IV where Ring C is a pyridine, R3 is hydrogen, R4 is hydrogen, n is 1, p is 1, and q is 1. Palladium cross coupling reaction Imidazopyridazine formation Displacement with amine
[00244] In Scheme 40 above, each of Ring A, R1, R2, and m is as defined above and below and in classes and subclasses as described herein.
[00245] Scheme 41: General scheme for the preparation of compounds of formula IV where Ring C is a pyridine, R3 is hydrogen, R4 is hydrogen, n is 1, p is 1, and q is 1. 2025200232 13 Jan 2025 R2
[00246] In Scheme 41 above, each of Ring A, R1, R2, and m is as defined above and below and in classes and subclasses as described herein.
[00247] Scheme 42: General scheme for the preparation of compounds of formula IV where Ring C is a pyrimidine, R3 is hydrogen, R4 is hydrogen, n is 1, p is 1, and q is 1.
[00248] In Scheme 42 above, each of Ring A, R1, R2, and m is as defined above and below and in classes and subclasses as described herein.
[00249] Scheme 43: General scheme for the preparation of compounds of formula IV where Ring C is a pyrimidine, R3 is hydrogen, R4 is hydrogen, n is 1, p is 1, and q is 1. 2025200232 13 Jan 2025
[00250] In Scheme 43 above, each of Ring A, R1, R2, and m is as defined above and below and in classes and subclasses as described herein.
[00251] Scheme 44: General scheme for the preparation of compounds of formula IV where Ring C is a pyridazine, R3 is hydrogen, R4 is hydrogen, n is 1, p is 1, and q is 1. ci Palladium catalysed cross coupling Imidazopyridazine formation Displacement with amine
[00252] In Scheme 44 above, each of Ring A, R1, R2, and m is as defined above and below and in classes and subclasses as described herein.
[00253] Scheme 45: General scheme for the preparation of compounds of formula IV where Ring C is a pyridazine, R3 is hydrogen, R4 is hydrogen, n is 1, p is 1, and q is 1. 2025200232 13 Jan 2025 Imidazopyridazine formation
[00254] In Scheme 45 above, each of Ring A, R1, R2, and m is as defined above and below and in classes and subclasses as described herein.
[00255] Scheme 46: General scheme for the preparation of compounds of formula IV where Ring C is a pyridine, R3 is hydrogen, R4 is hydrogen, n is 1, p is 1, and q is 1. Imidazopyridazine formation 2025200232 13 Jan 2025
[00256] In Scheme 46 above, each of Ring A, R1, R2, and m is as defined above and below and in classes and subclasses as described herein.
[00257] Scheme 47: General scheme for the preparation of compounds of formula IV where Ring C is a pyridine, R3 is hydrogen, R4 is fluoro, n is 1, p is 1, and q is 1.
[00258] In Scheme 47 above, each of Ring A, R1, R2, and m is as defined above and below and in classes and subclasses as described herein.
[00259] Scheme 48: General scheme for the preparation of compounds of formula IV where Ring C is a pyrimidine, R3 is hydrogen, R4 is fluoro, n is 1, p is 1, and q is 1. Br Br Palladium cross coupling reaction Imidazopyridazine formation Displacement with amine
[00260] In Scheme 48 above, each of Ring A, R1, R2, and m is as defined above and below and in classes and subclasses as described herein.
[00261] Scheme 49: General scheme for the preparation of compounds of formula IV where Ring C is a pyrimidine, R2 is -CF2CH3, R3 is hydrogen, R4 is hydrogen, n is 1, p is 1, and q is 1. 2025200232 13 Jan 2025
[00262] In Scheme 49 above, each of Ring A, R1, and m is as defined above and below and in classes and subclasses as described herein.
[00263] Scheme 50: General scheme for the preparation of compounds of Formula V where Ring C is a pyrimidine linked to the bicyclic core from position 2, R3 is hydrogen, R4 is hydrogen, n is 1, p is 1, and q is 1.
[00264] In Scheme 50 above, each of Ring A, R1, R2, and m is as defined above and below and in classes and subclasses as described herein.
[00265] Scheme 51: General scheme for the preparation of compounds of Formula V where Ring C is a pyrimidine linked to the bicyclic core from position 2, R2 is -CF2H, R3 is hydrogen, R4 is hydrogen, n is 1, p is 1, and q is 1. 2025200232 13 Jan 2025
[00266] In Scheme 51 above, each of Ring A, R1, and m is as defined above and below and in classes and subclasses as described herein.
[00267] One of skill in the art will appreciate that compounds of formula I - V may contain one or more stereocenters, and may be present as an racemic or diastereomeric mixture. One of skill in the art will also appreciate that there are many methods known in the art for the separation of isomers to obtain stereoenriched or stereopure isomers of those compounds, including but not limited to HPLC, chiral HPLC, fractional crystallization of diastereomeric salts, kinetic enzymatic resolution (e.g. by fungal-, bacterial-, or animal-derived lipases or esterases), and formation of covalent diastereomeric derivatives using an enantioenriched reagent.
[00268] One of skill in the art will appreciate that various functional groups present in compounds of the invention such as aliphatic groups, alcohols, carboxylic acids, esters, amides, aldehydes, halogens and nitriles can be interconverted by techniques well known in the art including, but not limited to reduction, oxidation, esterification, hydrolysis, partial oxidation, partial reduction, halogenation, dehydration, partial hydration, and hydration. “March’s Advanced Organic Chemistry”, 5th Ed., Ed.: Smith, M.B. and March, J., John Wiley & Sons, New York: 2001, the entirety of which is incorporated herein by reference. Such interconversions may require one or more of the aforementioned techniques, and certain methods for synthesizing compounds of the invention are described below in the Exemplification. 2025200232 13 Jan 2025 5. Uses, Formulation and Administration a. Pharmaceutically acceptable compositions
[00269] According to another embodiment, the invention provides a composition comprising a compound of this invention or a pharmaceutically acceptable derivative thereof and a pharmaceutically acceptable carrier, adjuvant, or vehicle. The amount of compound in compositions of this invention is such that is effective to measurably inhibit GCN2 protein kinase, or a mutant thereof, in a biological sample or in a patient. In certain embodiments, the amount of compound in compositions of this invention is such that is effective to measurably inhibit GCN2 protein kinase, or a mutant thereof, in a biological sample or in a patient. In certain embodiments, a composition of this invention is formulated for administration to a patient in need of such composition. In some embodiments, a composition of this invention is formulated for oral administration to a patient.
[00270] The term “patient,” as used herein, means an animal, preferably a mammal, and most preferably a human.
[00271] The term “pharmaceutically acceptable carrier, adjuvant, or vehicle” refers to a non-toxic carrier, adjuvant, or vehicle that does not destroy the pharmacological activity of the compound with which it is formulated. Pharmaceutically acceptable carriers, adjuvants or vehicles that may be used in the compositions of this invention include, but are not limited to, ion exchangers, alumina, aluminum stearate, lecithin, serum proteins, such as human serum albumin, buffer substances such as phosphates, glycine, sorbic acid, potassium sorbate, partial glyceride mixtures of saturated vegetable fatty acids, water, salts or electrolytes, such as protamine sulfate, disodium hydrogen phosphate, potassium hydrogen phosphate, sodium chloride, zinc salts, colloidal silica, magnesium trisilicate, polyvinyl pyrrolidone, cellulose-based substances, polyethylene glycol, sodium carboxymethylcellulose, polyacrylates, waxes, polyethylene-polyoxypropylene-block polymers, polyethylene glycol and wool fat.
[00272] A “pharmaceutically acceptable derivative” means any non-toxic salt, ester, salt of an ester or other derivative of a compound of this invention that, upon administration to a recipient, is capable of providing, either directly or indirectly, a compound of this invention or an inhibitorily active metabolite or residue thereof. 2025200232 13 Jan 2025
[00273] As used herein, the term "inhibitorily active metabolite or residue thereof means that a metabolite or residue thereof is also an inhibitor of GCN2 protein kinase, or a mutant thereof.
[00274] Compositions of the present invention may be administered orally, parenterally, by inhalation spray, topically, rectally, nasally, buccally, vaginally or via an implanted reservoir. The term "parenteral" as used herein includes subcutaneous, intravenous, intramuscular, intra-articular, intra-synovial, intrasternal, intrathecal, intrahepatic, intralesional and intracranial injection or infusion techniques. Preferably, the compositions are administered orally, intraperitoneally or intravenously. Sterile injectable forms of the compositions of this invention may be aqueous or oleaginous suspension. These suspensions may be formulated according to techniques known in the art using suitable dispersing or wetting agents and suspending agents. The sterile injectable preparation may also be a sterile injectable solution or suspension in a non-toxic parenterally acceptable diluent or solvent, for example as a solution in 1,3-butanediol. Among the acceptable vehicles and solvents that may be employed are water, Ringer's solution and isotonic sodium chloride solution. In addition, sterile, fixed oils are conventionally employed as a solvent or suspending medium.
[00275] For this purpose, any bland fixed oil may be employed including synthetic mono-or di-glycerides. Fatty acids, such as oleic acid and its glyceride derivatives are useful in the preparation of injectables, as are natural pharmaceutically-acceptable oils, such as olive oil or castor oil, especially in their polyoxy ethylated versions. These oil solutions or suspensions may also contain a long-chain alcohol diluent or dispersant, such as carboxymethyl cellulose or similar dispersing agents that are commonly used in the formulation of pharmaceutically acceptable dosage forms including emulsions and suspensions. Other commonly used surfactants, such as Tweens, Spans and other emulsifying agents or bioavailability enhancers which are commonly used in the manufacture of pharmaceutically acceptable solid, liquid, or other dosage forms may also be used for the purposes of formulation.
[00276] Pharmaceutically acceptable compositions of this invention may be orally administered in any orally acceptable dosage form including, but not limited to, capsules, tablets, aqueous suspensions or solutions. In the case of tablets for oral use, carriers commonly used include lactose and com starch. Lubricating agents, such as magnesium stearate, are also typically added. For oral administration in a capsule form, useful diluents include lactose and dried 2025200232 13 Jan 2025 cornstarch. When aqueous suspensions are required for oral use, the active ingredient is combined with emulsifying and suspending agents. If desired, certain sweetening, flavoring or coloring agents may also be added.
[00277] Alternatively, pharmaceutically acceptable compositions of this invention may be administered in the form of suppositories for rectal administration. These can be prepared by mixing the agent with a suitable non-irritating excipient that is solid at room temperature but liquid at rectal temperature and therefore will melt in the rectum to release the drug. Such materials include cocoa butter, beeswax and polyethylene glycols.
[00278] Pharmaceutically acceptable compositions of this invention may also be administered topically, especially when the target of treatment includes areas or organs readily accessible by topical application, including diseases of the eye, the skin, or the lower intestinal tract. Suitable topical formulations are readily prepared for each of these areas or organs.
[00279] Topical application for the lower intestinal tract can be effected in a rectal suppository formulation (see above) or in a suitable enema formulation. Topically-transdermal patches may also be used.
[00280] For topical applications, provided pharmaceutically acceptable compositions may be formulated in a suitable ointment containing the active component suspended or dissolved in one or more carriers. Carriers for topical administration of compounds of this invention include, but are not limited to, mineral oil, liquid petrolatum, white petrolatum, propylene glycol, polyoxyethylene, polyoxypropylene compound, emulsifying wax and water. Alternatively, provided pharmaceutically acceptable compositions can be formulated in a suitable lotion or cream containing the active components suspended or dissolved in one or more pharmaceutically acceptable carriers. Suitable carriers include, but are not limited to, mineral oil, sorbitan monostearate, polysorbate 60, cetyl esters wax, cetearyl alcohol, 2-octyldodecanol, benzyl alcohol and water.
[00281] For ophthalmic use, provided pharmaceutically acceptable compositions may be formulated as micronized suspensions in isotonic, pH adjusted sterile saline, or, preferably, as solutions in isotonic, pH adjusted sterile saline, either with or without a preservative such as benzylalkonium chloride. Alternatively, for ophthalmic uses, the pharmaceutically acceptable compositions may be formulated in an ointment such as petrolatum. 2025200232 13 Jan 2025
[00282] Pharmaceutically acceptable compositions of this invention may also be administered by nasal aerosol or inhalation. Such compositions are prepared according to techniques well-known in the art of pharmaceutical formulation and may be prepared as solutions in saline, employing benzyl alcohol or other suitable preservatives, absorption promoters to enhance bioavailability, fluorocarbons, and / or other conventional solubilizing or dispersing agents.
[00283] Most preferably, pharmaceutically acceptable compositions of this invention are formulated for oral administration. Such formulations may be administered with or without food. In some embodiments, pharmaceutically acceptable compositions of this invention are administered without food. In other embodiments, pharmaceutically acceptable compositions of this invention are administered with food.
[00284] The amount of compounds of the present invention that may be combined with the carrier materials to produce a composition in a single dosage form will vary depending upon the host treated, the particular mode of administration. Preferably, provided compositions should be formulated so that a dosage of between 0.01 - 100 mg / kg body weight / day of the inhibitor can be administered to a patient receiving these compositions.
[00285] It should also be understood that a specific dosage and treatment regimen for any particular patient will depend upon a variety of factors, including the activity of the specific compound employed, the age, body weight, general health, sex, diet, time of administration, rate of excretion, drug combination, and the judgment of the treating physician and the severity of the particular disease being treated. The amount of a compound of the present invention in the composition will also depend upon the particular compound in the composition. b. Uses of Compounds and Pharmaceutically Acceptable Compositions
[00286] Compounds and compositions described herein are generally useful for the inhibition of GCN2 kinase activity.
[00287] The activity of a compound utilized in this invention as an inhibitor of GCN2, or a mutant thereof, may be assayed in vitro, in vivo or in a cell line. In vitro assays include assays that determine inhibition of either the phosphorylation activity and / or the subsequent functional consequences, or ATPase activity of activated GCN2, or a mutant thereof. Alternate in vitro assays 2025200232 13 Jan 2025 quantitate the ability of the inhibitor to bind to GCN2. Inhibitor binding may be measured by radiolabeling the inhibitor prior to binding, isolating the inhibitor / GCN2 complex and determining the amount of radiolabel bound. Alternatively, inhibitor binding may be determined by running a competition experiment where new inhibitors are incubated with GCN2 bound to known radioligands. Detailed conditions for assaying a compound utilized in this invention as an inhibitor of GCN2, or a mutant thereof, are set forth in the Examples below.
[00288] As used herein, the terms “treatment,” “treat,” and “treating” refer to reversing, alleviating, delaying the onset of, or inhibiting the progress of a disease or disorder, or one or more symptoms thereof, as described herein. In some embodiments, treatment may be administered after one or more symptoms have developed. In other embodiments, treatment may be administered in the absence of symptoms. For example, treatment may be administered to a susceptible individual prior to the onset of symptoms (e.g., in light of a history of symptoms and / or in light of genetic or other susceptibility factors). Treatment may also be continued after symptoms have resolved, for example to prevent or delay their recurrence.
[00289] Provided compounds are inhibitors of one of more of GCN2 and are therefore useful for treating one or more disorders associated with activity of GCN2. Thus, in certain embodiments, the present invention provides a method for treating a GCN2-mediated disorder comprising the step of administering to a patient in need thereof a compound of the present invention, or pharmaceutically acceptable composition thereof.
[00290] As used herein, the terms “GCN2-mediated” disorders, diseases, and / or conditions as used herein means any disease or other deleterious condition in which GCN2, or a mutant thereof, are known to play a role. Accordingly, another embodiment of the present invention relates to treating or lessening the severity of one or more diseases in which GCN2, or a mutant thereof, are known to play a role.
[00291] In some embodiments, the present invention provides a method for treating one or more disorders, diseases, and / or conditions wherein the disorder, disease, or condition is selected from the group consisting of inflammatory conditions, immunological conditions, autoimmune conditions, allergic conditions, rheumatic conditions, thrombotic conditions, cancer, infections, neurodegenerative diseases, degenerative diseases, neuroinflammatory diseases, cardiovascular diseases, and metabolic conditions. 2025200232 13 Jan 2025
[00292] In some embodiments, the cancer to be treated is a solid tumor or a tumor of the blood and immune system.
[00293] In some embodiments, the cancer is a solid tumor, wherein the solid tumor originates from the group of tumors of the epithelium, the bladder, the stomach, the kidneys, of head and neck, the esophagus, the cervix, the thyroid, the intestine, the liver, the brain, the prostate, the uro-genital tract, the lymphatic system, the stomach, the larynx, the bones, including chondrosarcoma and Ewing sarcoma, germ cells, including embryonal tissue tumors, and / or the lung, from the group of monocytic leukemia, lung adenocarcinoma, small-cell lung carcinomas, pancreatic cancer, glioblastomas, neurofibroma, angiosarcoma, breast carcinoma and / or maligna melanoma.
[00294] In some embodiments, the autoimmune condition is rheumatoid arthritis, systemic lupus, multiple sclerosis, psoriasis, Sjogrens syndrome or transplant organ rejection.
[00295] In some embodiments, the metabolic condition is diabetes.
[00296] In some embodiments, the degenerative disease is osteoarthritis.
[00297] In some embodiments, the inflammatory condition is asthma, inflammatory bowel disease, or giant cell arteritis.
[00298] In some embodiments, the cardiovascular disease is an ischemic injury.
[00299] In some embodiments, the neurodegenerative disease is Alzheimer’s disease, Down’s syndrome, hereditary cerebral hemorrhage with amyloidosis-Dutch Type, cerebral amyloid angiopathy, Creutzfeldt-Jakob disease, frontotemporal dementias, Huntington’s disease, or Parkinson’s disease.
[00300] In some embodiments, the infection is caused by leishmania, mycobacteria, including M. leprae, M. tuberculosis and / or M. avium, plasmodium, human immunodeficiency virus, Epstein Barr virus, Herpes simplex virus, or hepatitis C virus.
[00301] Furthermore, the invention provides the use of a compound according to the definitions herein, or a pharmaceutically acceptable salt, or a hydrate or solvate thereof for the preparation of a medicament for the treatment of inflammatory conditions, immunological conditions, autoimmune conditions, allergic conditions, rheumatic conditions, thrombotic 2025200232 13 Jan 2025 conditions, cancer, infections, neurodegenerative diseases, degenerative diseases, neuroinflammatory diseases, cardiovascular diseases, or metabolic conditions. c. Combination Therapies
[00302] Depending upon the particular condition, or disease, to be treated, additional therapeutic agents, which are normally administered to treat that condition, may be administered in combination with compounds and compositions of this invention. As used herein, additional therapeutic agents that are normally administered to treat a particular disease, or condition, are known as “appropriate for the disease, or condition, being treated.”
[00303] In certain embodiments, a provided combination, or composition thereof, is administered in combination with another therapeutic agent.
[00304] Examples of agents the combinations of this invention may also be combined with include, without limitation: treatments for Alzheimer’s Disease such as Aricept® and Excel on®; treatments for HIV such as ritonavir; treatments for Parkinson’s Disease such as L-DOPA / carbidopa, entacapone, ropinrole, pramipexole, bromocriptine, pergolide, trihexephendyl, and amantadine; agents for treating Multiple Sclerosis (MS) such as beta interferon (e g., Avonex® and Rebif®), Copaxone®, and mitoxantrone; treatments for asthma such as albuterol and Singulair®; agents for treating schizophrenia such as zyprexa, risperdal, seroquel, and haloperidol; anti-inflammatory agents such as corticosteroids, TNF blockers, IL-1 RA, azathioprine, cyclophosphamide, and sulfasalazine; immunomodulatory and immunosuppressive agents such as cyclosporin, tacrolimus, rapamycin, mycophenolate mofetil, interferons, corticosteroids, cyclophophamide, azathioprine, and sulfasalazine; neurotrophic factors such as acetylcholinesterase inhibitors, MAO inhibitors, interferons, anti-convulsants, ion channel blockers, riluzole, and anti-Parkinsonian agents; agents for treating cardiovascular disease such as beta-blockers, ACE inhibitors, diuretics, nitrates, calcium channel blockers, and statins; agents for treating liver disease such as corticosteroids, cholestyramine, interferons, and anti-viral agents; agents for treating blood disorders such as corticosteroids, anti-leukemic agents, and growth factors; agents that prolong or improve pharmacokinetics such as cytochrome P450 inhibitors (i.e., inhibitors of metabolic breakdown) and CYP3 A4 inhibitors (e.g., ketokenozole and ritonavir), and agents for treating immunodeficiency disorders such as gamma globulin. 2025200232 13 Jan 2025
[00305] In certain embodiments, combination therapies of the present invention, or a pharmaceutically acceptable composition thereof, are administered in combination with a monoclonal antibody or an siRNA therapeutic.
[00306] Those additional agents may be administered separately from a provided combination therapy, as part of a multiple dosage regimen. Alternatively, those agents may be part of a single dosage form, mixed together with a compound of this invention in a single composition. If administered as part of a multiple dosage regime, the two active agents may be submitted simultaneously, sequentially or within a period of time from one another normally within five hours from one another.
[00307] As used herein, the term “combination,” “combined,” and related terms refers to the simultaneous or sequential administration of therapeutic agents in accordance with this invention. For example, a combination of the present invention may be administered with another therapeutic agent simultaneously or sequentially in separate unit dosage forms or together in a single unit dosage form.
[00308] The amount of additional therapeutic agent present in the compositions of this invention will be no more than the amount that would normally be administered in a composition comprising that therapeutic agent as the only active agent. Preferably the amount of additional therapeutic agent in the presently disclosed compositions will range from about 50% to 100% of the amount normally present in a composition comprising that agent as the only therapeutically active agent.
[00309] In one embodiment, the present invention provides a composition comprising a compound of formula I and one or more additional therapeutic agents. The therapeutic agent may be administered together with a compound of formula I, or may be administered prior to or following administration of a compound of formula I. Suitable therapeutic agents are described in further detail below. In certain embodiments, a compound of formula I may be administered up to 5 minutes, 10 minutes, 15 minutes, 30 minutes, 1 hour, 2 hours, 3 hours, 4 hours, 5, hours, 6 hours, 7 hours, 8 hours, 9 hours, 10 hours, 11 hours, 12 hours, 13 hours, 14 hours, 15 hours, 16 hours, 17 hours, or 18 hours before the therapeutic agent. In other embodiments, a compound of formula I may be administered up to 5 minutes, 10 minutes, 15 minutes, 30 minutes, 1 hour, 2 2025200232 13 Jan 2025 hours, 3 hours, 4 hours, 5, hours, 6 hours, 7 hours, 8 hours, 9 hours, 10 hours, 11 hours, 12 hours, 13 hours, 14 hours, 15 hours, 16 hours, 17 hours, or 18 hours following the therapeutic agent.
[00310] In another embodiment, the present invention provides a method of treating an inflammatory disease, disorder or condition by administering to a patient in need thereof a compound of formula I and one or more additional therapeutic agents. Such additional therapeutic agents may be small molecules or recombinant biologic agents and include, for example, acetaminophen, non-steroidal anti-inflammatory drugs (NSAIDS) such as aspirin, ibuprofen, naproxen, etodolac (Lodine®) and celecoxib, colchicine (Colcrys®), corticosteroids such as prednisone, prednisolone, methylprednisolone, hydrocortisone, and the like, probenecid, allopurinol, febuxostat (Uloric®), sulfasalazine (Azulfidine®), antimalarials such as hydroxychloroquine (Plaquenil®) and chloroquine (Aralen®), methotrexate (Rheumatrex®), gold salts such as gold thioglucose (Solganal®), gold thiomalate (Myochrysine®) and auranofin (Ridaura®), D-penicillamine (Depen® or Cuprimine®), azathioprine (Imuran®), cyclophosphamide (Cytoxan®), chlorambucil (Leukeran®), cyclosporine (Sandimmune®), leflunomide (Arava®) and “anti-TNF” agents such as etanercept (Enbrel®), infliximab (Remicade®), golimumab (Simponi®), certolizumab pegol (Cimzia®) and adalimumab (Humira®), “anti-IL-l” agents such as anakinra (Kineret®) and rilonacept (Arcalyst®), canakinumab (Haris®), anti-Jak inhibitors such as tofacitinib, antibodies such as rituximab (Rituxan®), “anti-T-cell” agents such as abatacept (Orencia®), “anti-IL-6” agents such as tocilizumab (Actemra®), diclofenac, cortisone, hyaluronic acid (Synvisc® or Hyalgan®), monoclonal antibodies such as tanezumab, anticoagulants such as heparin (Calcinparine® or Liquaemin®) and warfarin (Coumadin®), antidiarrheals such as diphenoxylate (Lomotil®) and loperamide (Imodium®), bile acid binding agents such as cholestyramine, alosetron (Lotronex®), lubiprostone (Amitiza®), laxatives such as Milk of Magnesia, polyethylene glycol (MiraLax®), Dulcolax®, Correctol® and Senokot®, anticholinergics or antispasmodics such as dicyclomine (Bentyl®), Singulair®, beta-2 agonists such as albuterol (Ventolin® HF A, Proventil® HF A), levalbuterol (Xopenex®), metaproterenol (Alupent®), pirbuterol acetate (Maxair®), terbutaline sulfate (Brethaire®), salmeterol xinafoate (Serevent®) and formoterol (Foradil®), anticholinergic agents such as ipratropium bromide (Atrovent®) and tiotropium (Spiriva®), inhaled corticosteroids such as beclomethasone dipropionate (Beclovent®, Qvar®, and Vanceril®), triamcinolone acetonide (Azmacort®), mometasone (Asthmanex®), budesonide (Pulmocort®), 2025200232 13 Jan 2025 and flunisolide (Aerobid®), Afviar®, Symbicort®, Dulera®, cromolyn sodium (Intal®), methylxanthines such as theophylline (Theo-Dur®, Theolair®, Slo-bid®, Uniphyl®, Theo-24®) and aminophylline, IgE antibodies such as omalizumab (Xolair®), nucleoside reverse transcriptase inhibitors such as zidovudine (Retrovir®), abacavir (Ziagen®), abacavir / lamivudine (Epzicom®), abacavir / lamivudine / zidovudine (Trizivir®), didanosine (Videx®), emtricitabine (Emtriva®), lamivudine (Epivir®), lamivudine / zidovudine (Combivir®), stavudine (Zerit®), and zalcitabine (Hivid®), non-nucleoside reverse transcriptase inhibitors such as delavirdine (Rescriptor®), efavirenz (Sustiva®), nevairapine (Viramune®) and etravirine (Intelence®), nucleotide reverse transcriptase inhibitors such as tenofovir (Viread®), protease inhibitors such as amprenavir (Agenerase®), atazanavir (Reyataz®), darunavir (Prezista®), fosamprenavir (Lexiva®), indinavir (Crixivan®), lopinavir and ritonavir (Kaletra®), nelfinavir (Viracept®), ritonavir (Norvir®), saquinavir (Fortovase® or Invirase®), and tipranavir (Aptivus®), entry inhibitors such as enfuvirtide (Fuzeon®) and maraviroc (Selzentry®), integrase inhibitors such as raltegravir (Isentress®), doxorubicin (Hydrodaunorubicin®), vincristine (Oncovin®), bortezomib (Velcade®), and dexamethasone (Decadron ®) in combination with lenalidomide (Revlimid ®), or any combination(s) thereof.
[00311] In another embodiment, the present invention provides a method of treating gout comprising administering to a patient in need thereof a compound of formula I and one or more additional therapeutic agents selected from non-steroidal anti-inflammatory drugs (NSAIDS) such as aspirin, ibuprofen, naproxen, etodolac (Lodine®) and celecoxib, colchicine (Colcrys®), corticosteroids such as prednisone, prednisolone, methylprednisolone, hydrocortisone, and the like, probenecid, allopurinol and febuxostat (Uloric®).
[00312] In another embodiment, the present invention provides a method of treating rheumatoid arthritis comprising administering to a patient in need thereof a compound of formula I and one or more additional therapeutic agents selected from non-steroidal anti-inflammatory drugs (NSAIDS) such as aspirin, ibuprofen, naproxen, etodolac (Lodine®) and celecoxib, corticosteroids such as prednisone, prednisolone, methylprednisolone, hydrocortisone, and the like, sulfasalazine (Azulfidine®), antimalarials such as hydroxychloroquine (Plaquenil®) and chloroquine (Aralen®), methotrexate (Rheumatrex®), gold salts such as gold thioglucose (Solganal®), gold thiomalate (Myochrysine®) and auranofin (Ridaura®), D-penicillamine (Depen® or Cuprimine®), azathioprine (Imuran®), cyclophosphamide (Cytoxan®), chlorambucil 2025200232 13 Jan 2025 (Leukeran®), cyclosporine (Sandimmune®), leflunomide (Arava®) and “anti-TNF” agents such as etanercept (Enbrel®), infliximab (Remicade®), golimumab (Simponi®), certolizumab pegol (Cimzia®) and adalimumab (Humira®), “anti-IL-1” agents such as anakinra (Kineret®) and rilonacept (Arcalyst®), antibodies such as rituximab (Rituxan®), “anti-T-cell” agents such as abatacept (Orencia®) and “anti-IL-6” agents such as tocilizumab (Actemra®).
[00313] In some embodiments, the present invention provides a method of treating osteoarthritis comprising administering to a patient in need thereof a compound of formula I and one or more additional therapeutic agents selected from acetaminophen, non-steroidal antiinflammatory drugs (NSAIDS) such as aspirin, ibuprofen, naproxen, etodolac (Lodine®) and celecoxib, diclofenac, cortisone, hyaluronic acid (Synvisc® or Hyalgan®) and monoclonal antibodies such as tanezumab.
[00314] In some embodiments, the present invention provides a method of treating lupus comprising administering to a patient in need thereof a compound of formula I and one or more additional therapeutic agents selected from acetaminophen, non-steroidal anti-inflammatory drugs (NSAIDS) such as aspirin, ibuprofen, naproxen, etodolac (Lodine®) and celecoxib, corticosteroids such as prednisone, prednisolone, methylprednisolone, hydrocortisone, and the like, antimalarials such as hydroxychloroquine (Plaquenil®) and chloroquine (Aralen®), cyclophosphamide (Cytoxan®), methotrexate (Rheumatrex®), azathioprine (Imuran®) and anticoagulants such as heparin (Calcinparine® or Liquaemin®) and warfarin (Coumadin®).
[00315] In some embodiments, the present invention provides a method of treating inflammatory bowel disease comprising administering to a patient in need thereof a compound of formula I and one or more additional therapeutic agents selected from mesalamine (Asacol®) sulfasalazine (Azulfidine®), antidiarrheals such as diphenoxylate (Lomotil®) and loperamide (Imodium®), bile acid binding agents such as cholestyramine, alosetron (Lotronex®), lubiprostone (Amitiza®), laxatives such as Milk of Magnesia, polyethylene glycol (MiraLax®), Dulcolax®, Correctol® and Senokot® and anticholinergics or antispasmodics such as dicyclomine (Bentyl®), anti-TNF therapies, steroids, and antibiotics such as Flagyl or ciprofloxacin.
[00316] In some embodiments, the present invention provides a method of treating asthma comprising administering to a patient in need thereof a compound of formula I and one or more additional therapeutic agents selected from Singulair®, beta-2 agonists such as albuterol 2025200232 13 Jan 2025 (Ventolin® HFA, Proventil® HFA), levalbuterol (Xopenex®), metaproterenol (Alupent®), pirbuterol acetate (Maxair®), terbutaline sulfate (Brethaire®), salmeterol xinafoate (Serevent®) and formoterol (Foradil®), anticholinergic agents such as ipratropium bromide (Atrovent®) and tiotropium (Spiriva®), inhaled corticosteroids such as prednisone, prednisolone, beclomethasone dipropionate (Beclovent®, Qvar®, and Vanceril®), triamcinolone acetonide (Azmacort®), mometasone (Asthmanex®), budesonide (Pulmocort®), flunisolide (Aerobid®), Afviar®, Symbicort®, and Dulera®, cromolyn sodium (Intal®), methylxanthines such as theophylline (Theo-Dur®, Theolair®, Slo-bid®, Uniphyl®, Theo-24®) and aminophylline, and IgE antibodies such as omalizumab (Xolair®).
[00317] In some embodiments, the present invention provides a method of treating COPD comprising administering to a patient in need thereof a compound of formula I and one or more additional therapeutic agents selected from beta-2 agonists such as albuterol (Ventolin® HFA, Proventil® HFA), levalbuterol (Xopenex®), metaproterenol (Alupent®), pirbuterol acetate (Maxair®), terbutaline sulfate (Brethaire®), salmeterol xinafoate (Serevent®) and formoterol (Foradil®), anticholinergic agents such as ipratropium bromide (Atrovent®) and tiotropium (Spiriva®), methylxanthines such as theophylline (Theo-Dur®, Theolair®, Slo-bid®, Uniphyl®, Theo-24®) and aminophylline, inhaled corticosteroids such as prednisone, prednisolone, beclomethasone dipropionate (Beclovent®, Qvar®, and Vanceril®), triamcinolone acetonide (Azmacort®), mometasone (Asthmanex®), budesonide (Pulmocort®), flunisolide (Aerobid®), Afviar®, Symbicort®, and Dulera®,
[00318] In some embodiments, the present invention provides a method of treating HIV comprising administering to a patient in need thereof a compound of formula I and one or more additional therapeutic agents selected from nucleoside reverse transcriptase inhibitors such as zidovudine (Retrovir®), abacavir (Ziagen®), abacavir / lamivudine (Epzicom®), abacavir / lamivudine / zidovudine (Trizivir®), didanosine (Videx®), emtricitabine (Emtriva®), lamivudine (Epivir®), lamivudine / zidovudine (Combivir®), stavudine (Zerit®), and zalcitabine (Hivid®), non-nucleoside reverse transcriptase inhibitors such as delavirdine (Rescriptor®), efavirenz (Sustiva®), nevairapine (Viramune®) and etravirine (Intelence®), nucleotide reverse transcriptase inhibitors such as tenofovir (Viread®), protease inhibitors such as amprenavir (Agenerase®), atazanavir (Reyataz®), darunavir (Prezista®), fosamprenavir (Lexiva®), indinavir (Crixivan®), lopinavir and ritonavir (Kaletra®), nelfinavir (Viracept®), ritonavir (Norvir®), 2025200232 13 Jan 2025 saquinavir (Fortovase® or Invirase®), and tipranavir (Aptivus®), entry inhibitors such as enfuvirtide (Fuzeon®) and maraviroc (Selzentry®), integrase inhibitors such as raltegravir (Isentress®), and combinations thereof.
[00319] In another embodiment, the present invention provides a method of treating a hematological malignancy comprising administering to a patient in need thereof a compound of formula I and one or more additional therapeutic agents selected from rituximab (Rituxan®), cyclophosphamide (Cytoxan®), doxorubicin (Hydrodaunorubicin®), vincristine (Oncovin®), prednisone, a hedgehog signaling inhibitor, a BTK inhibitor, a JAK / pan-JAK inhibitor, a TYK2 inhibitor, a PI3K inhibitor, a SYK inhibitor, and combinations thereof.
[00320] In another embodiment, the present invention provides a method of treating a solid tumor comprising administering to a patient in need thereof a compound of formula I and one or more additional therapeutic agents selected from rituximab (Rituxan®), cyclophosphamide (Cytoxan®), doxorubicin (Hydrodaunorubicin®), vincristine (Oncovin®), prednisone, a hedgehog signaling inhibitor, a BTK inhibitor, a JAK / pan-JAK inhibitor, a TYK2 inhibitor, a PI3K inhibitor, a SYK inhibitor, and combinations thereof.
[00321] In another embodiment, the present invention provides a method of treating a hematological malignancy comprising administering to a patient in need thereof a compound of formula I and a Hedgehog (Hh) signaling pathway inhibitor. In some embodiments, the hematological malignancy is DLBCL (Ramirez et al “Defining causative factors contributing in the activation of hedgehog signaling in diffuse large B-cell lymphoma” Leuk. Res. (2012), published online July 17, and incorporated herein by reference in its entirety).
[00322] In another embodiment, the present invention provides a method of treating diffuse large B-cell lymphoma (DLBCL) comprising administering to a patient in need thereof a compound of formula I and one or more additional therapeutic agents selected from rituximab (Rituxan®), cyclophosphamide (Cytoxan®), doxorubicin (Hydrodaunorubicin®), vincristine (Oncovin®), prednisone, a hedgehog signaling inhibitor, and combinations thereof.
[00323] In another embodiment, the present invention provides a method of treating multiple myeloma comprising administering to a patient in need thereof a compound of formula I and one or more additional therapeutic agents selected from bortezomib (Velcade®), and dexamethasone (Decadron®), a hedgehog signaling inhibitor, a BTK inhibitor, a JAK / pan-JAK 2025200232 13 Jan 2025 inhibitor, a TYK2 inhibitor, a PI3K inhibitor, a SYK inhibitor in combination with lenalidomide (Revlimid®).
[00324] In another embodiment, the present invention provides a method of treating Waldenstrom’s macroglobulinemia comprising administering to a patient in need thereof a compound of formula I and one or more additional therapeutic agents selected from chlorambucil (Leukeran®), cyclophosphamide (Cytoxan®, Neosar®), fludarabine (Fludara®), cladribine (Leustatin®), rituximab (Rituxan®), a hedgehog signaling inhibitor, a BTK inhibitor, a JAK / pan-JAK inhibitor, a TYK2 inhibitor, a PI3K inhibitor, and a SYK inhibitor.
[00325] In some embodiments, the present invention provides a method of treating Alzheimer’s disease comprising administering to a patient in need thereof a compound of formula I and one or more additional therapeutic agents selected from donepezil (Aricept®), rivastigmine (Excelon®), galantamine (Razadyne®), tacrine (Cognex®), and memantine (Namenda®).
[00326] In another embodiment, the present invention provides a method of treating organ transplant rejection or graft vs. host disease comprising administering to a patient in need thereof a compound of formula I and one or more additional therapeutic agents selected from a steroid, cyclosporin, FK506, rapamycin, a hedgehog signaling inhibitor, a BTK inhibitor, a JAK / pan-JAK inhibitor, a TYK2 inhibitor, a PI3K inhibitor, and a SYK inhibitor.
[00327] In another embodiment, the present invention provides a method of treating or lessening the severity of a disease comprising administering to a patient in need thereof a compound of formula I and a BTK inhibitor, wherein the disease is selected from inflammatory bowel disease, arthritis, systemic lupus erythematosus (SLE), vasculitis, idiopathic thrombocytopenic purpura (ITP), rheumatoid arthritis, psoriatic arthritis, osteoarthritis, Still’s disease, juvenile arthritis, diabetes, myasthenia gravis, Hashimoto’s thyroiditis, Ord’s thyroiditis, Graves’ disease, autoimmune thyroiditis, Sjogren’s syndrome, multiple sclerosis, systemic sclerosis, Lyme neuroborreliosis, Guillain-Barre syndrome, acute disseminated encephalomyelitis, Addison’s disease, opsoclonus-myoclonus syndrome, ankylosing spondylosis, antiphospholipid antibody syndrome, aplastic anemia, autoimmune hepatitis, autoimmune gastritis, pernicious anemia, celiac disease, Goodpasture’s syndrome, idiopathic thrombocytopenic purpura, optic neuritis, scleroderma, primary biliary cirrhosis, Reiter’s syndrome, Takayasu’s arteritis, temporal arteritis, warm autoimmune hemolytic anemia, Wegener’s granulomatosis, psoriasis, alopecia 2025200232 13 Jan 2025 universalis, Behcet’s disease, chronic fatigue, dysautonomia, membranous glomerulonephropathy, endometriosis, interstitial cystitis, pemphigus vulgaris, bullous pemphigoid, neuromyotonia, scleroderma, vulvodynia, a hyperproliferative disease, rejection of transplanted organs or tissues, Acquired Immunodeficiency Syndrome (AIDS, also known as HIV), type 1 diabetes, graft versus host disease, transplantation, transfusion, anaphylaxis, allergies (e.g., allergies to plant pollens, latex, drugs, foods, insect poisons, animal hair, animal dander, dust mites, or cockroach calyx), type I hypersensitivity, allergic conjunctivitis, allergic rhinitis, and atopic dermatitis, asthma, appendicitis, atopic dermatitis, asthma, allergy, blepharitis, bronchiolitis, bronchitis, bursitis, cervicitis, cholangitis, cholecystitis, chronic graft rejection, colitis, conjunctivitis, Crohn’s disease, cystitis, dacryoadenitis, dermatitis, dermatomyositis, encephalitis, endocarditis, endometritis, enteritis, enterocolitis, epicondylitis, epididymitis, fasciitis, fibrositis, gastritis, gastroenteritis, Henoch-Schonlein purpura, hepatitis, hidradenitis suppurativa, immunoglobulin A nephropathy, interstitial lung disease, laryngitis, mastitis, meningitis, myelitis myocarditis, myositis, nephritis, oophoritis, orchitis, osteitis, otitis, pancreatitis, parotitis, pericarditis, peritonitis, pharyngitis, pleuritis, phlebitis, pneumonitis, pneumonia, polymyositis, proctitis, prostatitis, pyelonephritis, rhinitis, salpingitis, sinusitis, stomatitis, synovitis, tendonitis, tonsillitis, ulcerative colitis, uveitis, vaginitis, vasculitis, or vulvitis, B-cell proliferative disorder, e.g., diffuse large B cell lymphoma, follicular lymphoma, chronic lymphocytic lymphoma, chronic lymphocytic leukemia, acute lymphocytic leukemia, B-cell prolymphocytic leukemia, lymphoplasmacytic lymphoma / Waldenstrom macroglobulinemia, splenic marginal zone lymphoma, multiple myeloma (also known as plasma cell myeloma), non-Hodgkin’s lymphoma, Hodgkin’s lymphoma, plasmacytoma, extranodal marginal zone B cell lymphoma, nodal marginal zone B cell lymphoma, mantle cell lymphoma, mediastinal (thymic) large B cell lymphoma, intravascular large B cell lymphoma, primary effusion lymphoma, Burkitt lymphoma / leukemia, or lymphomatoid granulomatosis, breast cancer, prostate cancer, or cancer of the mast cells (e.g., mastocytoma, mast cell leukemia, mast cell sarcoma, systemic mastocytosis), bone cancer, colorectal cancer, pancreatic cancer, diseases of the bone and joints including, without limitation, rheumatoid arthritis, seronegative spondyloarthropathies (including ankylosing spondylitis, psoriatic arthritis and Reiter’s disease), Behcet’s disease, Sjogren’s syndrome, systemic sclerosis, osteoporosis, bone cancer, bone metastasis, a thromboembolic disorder, (e.g., myocardial infarct, angina pectoris, reocclusion after angioplasty, restenosis after angioplasty, reocclusion after 2025200232 13 Jan 2025 aortocoronary bypass, restenosis after aortocoronary bypass, stroke, transitory ischemia, a peripheral arterial occlusive disorder, pulmonary embolism, deep venous thrombosis), inflammatory pelvic disease, urethritis, skin sunburn, sinusitis, pneumonitis, encephalitis, meningitis, myocarditis, nephritis, osteomyelitis, myositis, hepatitis, gastritis, enteritis, dermatitis, gingivitis, appendicitis, pancreatitis, cholocystitus, agammaglobulinemia, psoriasis, allergy, Crohn’s disease, irritable bowel syndrome, ulcerative colitis, Sjogren’s disease, tissue graft rejection, hyperacute rejection of transplanted organs, asthma, allergic rhinitis, chronic obstructive pulmonary disease (COPD), autoimmune polyglandular disease (also known as autoimmune polyglandular syndrome), autoimmune alopecia, pernicious anemia, glomerulonephritis, dermatomyositis, multiple sclerosis, scleroderma, vasculitis, autoimmune hemolytic and thrombocytopenic states, Goodpasture’s syndrome, atherosclerosis, Addison’s disease, Parkinson’s disease, Alzheimer’s disease, diabetes, septic shock, systemic lupus erythematosus (SLE), rheumatoid arthritis, psoriatic arthritis, juvenile arthritis, osteoarthritis, chronic idiopathic thrombocytopenic purpura, Waldenstrom macroglobulinemia, myasthenia gravis, Hashimoto’s thyroiditis, atopic dermatitis, degenerative joint disease, vitiligo, autoimmune hypopituitarism, Guillain-Barre syndrome, Behcet’s disease, scleraderma, mycosis fungoides, acute inflammatory responses (such as acute respiratory distress syndrome and ischemia / reperfusion injury), and Graves’ disease.
[00328] In another embodiment, the present invention provides a method of treating or lessening the severity of a disease comprising administering to a patient in need thereof a compound of formula I and a PI3K inhibitor, wherein the disease is selected from a cancer, a neurodegenative disorder, an angiogenic disorder, a viral disease, an autoimmune disease, an inflammatory disorder, a hormone-related disease, conditions associated with organ transplantation, immunodeficiency disorders, a destructive bone disorder, a proliferative disorder, an infectious disease, a condition associated with cell death, thrombin-induced platelet aggregation, chronic myelogenous leukemia (CML), chronic lymphocytic leukemia (CLL), liver disease, pathologic immune conditions involving T cell activation, a cardiovascular disorder, and a CNS disorder.
[00329] In another embodiment, the present invention provides a method of treating or lessening the severity of a disease comprising administering to a patient in need thereof a compound of formula I and a PI3K inhibitor, wherein the disease is selected from benign or 2025200232 13 Jan 2025 malignant tumor, carcinoma or solid tumor of the brain, kidney (e.g., renal cell carcinoma (RCC)), liver, adrenal gland, bladder, breast, stomach, gastric tumors, ovaries, colon, rectum, prostate, pancreas, lung, vagina, endometrium, cervix, testis, genitourinary tract, esophagus, larynx, skin, bone or thyroid, sarcoma, glioblastomas, neuroblastomas, multiple myeloma or gastrointestinal cancer, especially colon carcinoma or colorectal adenoma or a tumor of the neck and head, an epidermal hyperproliferation, psoriasis, prostate hyperplasia, a neoplasia, a neoplasia of epithelial character, adenoma, adenocarcinoma, keratoacanthoma, epidermoid carcinoma, large cell carcinoma, non-small-cell lung carcinoma, lymphomas, (including, for example, non-Hodgkin’s Lymphoma (NHL) and Hodgkin’s lymphoma (also termed Hodgkin’s or Hodgkin’s disease)), a mammary carcinoma, follicular carcinoma, undifferentiated carcinoma, papillary carcinoma, seminoma, melanoma, or a leukemia, diseases include Cowden syndrome, Lhermitte-Dudos disease and Bannayan-Zonana syndrome, or diseases in which the PI3K / PKB pathway is aberrantly activated, asthma of whatever type or genesis including both intrinsic (non-allergic) asthma and extrinsic (allergic) asthma, mild asthma, moderate asthma, severe asthma, bronchitic asthma, exercise-induced asthma, occupational asthma and asthma induced following bacterial infection, acute lung injury (ALI), adult / acute respiratory distress syndrome (ARDS), chronic obstructive pulmonary, airways or lung disease (COPD, COAD or COLD), including chronic bronchitis or dyspnea associated therewith, emphysema, as well as exacerbation of airways hyperreactivity consequent to other drug therapy, in particular other inhaled drug therapy, bronchitis of whatever type or genesis including, but not limited to, acute, arachidic, catarrhal, croupus, chronic or phthinoid bronchitis, pneumoconiosis (an inflammatory, commonly occupational, disease of the lungs, frequently accompanied by airways obstruction, whether chronic or acute, and occasioned by repeated inhalation of dusts) of whatever type or genesis, including, for example, aluminosis, anthracosis, asbestosis, chalicosis, ptilosis, siderosis, silicosis, tabacosis and byssinosis, Loffler's syndrome, eosinophilic, pneumonia, parasitic (in particular metazoan) infestation (including tropical eosinophilia), bronchopulmonary aspergillosis, polyarteritis nodosa (including Churg-Strauss syndrome), eosinophilic granuloma and eosinophil-related disorders affecting the airways occasioned by drug-reaction, psoriasis, contact dermatitis, atopic dermatitis, alopecia areata, erythema multiforma, dermatitis herpetiformis, scleroderma, vitiligo, hypersensitivity angiitis, urticaria, bullous pemphigoid, lupus erythematosus, pemphisus, epidermolysis bullosa acquisita, conjunctivitis, keratoconjunctivitis sicca, and vernal 2025200232 13 Jan 2025 conjunctivitis, diseases affecting the nose including allergic rhinitis, and inflammatory disease in which autoimmune reactions are implicated or having an autoimmune component or etiology, including autoimmune hematological disorders (e.g. hemolytic anemia, aplastic anemia, pure red cell anemia and idiopathic thrombocytopenia), systemic lupus erythematosus, rheumatoid arthritis, polychondritis, sclerodoma, Wegener granulamatosis, dermatomyositis, chronic active hepatitis, myasthenia gravis, Steven-Johnson syndrome, idiopathic sprue, autoimmune inflammatory bowel disease (e.g. ulcerative colitis and Crohn's disease), endocrine opthalmopathy, Grave's disease, sarcoidosis, alveolitis, chronic hypersensitivity pneumonitis, multiple sclerosis, primary biliary cirrhosis, uveitis (anterior and posterior), keratoconjunctivitis sicca and vernal keratoconjunctivitis, interstitial lung fibrosis, psoriatic arthritis and glomerulonephritis (with and without nephrotic syndrome, e.g. including idiopathic nephrotic syndrome or minal change nephropathy, restenosis, cardiomegaly, atherosclerosis, myocardial infarction, ischemic stroke and congestive heart failure, Alzheimer's disease, Parkinson's disease, amyotrophic lateral sclerosis, Huntington's disease, and cerebral ischemia, and neurodegenerative disease caused by traumatic injury, glutamate neurotoxicity and hypoxia.
[00330] The compounds and compositions, according to the method of the present invention, may be administered using any amount and any route of administration effective for treating or lessening the severity of a cancer, an autoimmune disorder, a proliferative disorder, an inflammatory disorder, a neurodegenerative or neurological disorder, schizophrenia, a bone-related disorder, liver disease, or a cardiac disorder. The exact amount required will vary from subject to subject, depending on the species, age, and general condition of the subject, the severity of the infection, the particular agent, its mode of administration, and the like. Compounds of the invention are preferably formulated in dosage unit form for ease of administration and uniformity of dosage. The expression "dosage unit form" as used herein refers to a physically discrete unit of agent appropriate for the patient to be treated. It will be understood, however, that the total daily usage of the compounds and compositions of the present invention will be decided by the attending physician within the scope of sound medical judgment. The specific effective dose level for any particular patient or organism will depend upon a variety of factors including the disorder being treated and the severity of the disorder; the activity of the specific compound employed; the specific composition employed; the age, body weight, general health, sex and diet of the patient; the time of administration, route of administration, and rate of excretion of the specific compound 2025200232 13 Jan 2025 employed; the duration of the treatment; drugs used in combination or coincidental with the specific compound employed, and like factors well known in the medical arts. The term “patient”, as used herein, means an animal, preferably a mammal, and most preferably a human.
[00331] Pharmaceutically acceptable compositions of this invention can be administered to humans and other animals orally, rectally, parenterally, intracisternally, intravaginally, intraperitoneally, topically (as by powders, ointments, or drops), bucally, as an oral or nasal spray, or the like, depending on the severity of the infection being treated. In certain embodiments, the compounds of the invention may be administered orally or parenterally at dosage levels of about 0.01 mg / kg to about 50 mg / kg and preferably from about 1 mg / kg to about 25 mg / kg, of subject body weight per day, one or more times a day, to obtain the desired therapeutic effect.
[00332] Liquid dosage forms for oral administration include, but are not limited to, pharmaceutically acceptable emulsions, microemulsions, solutions, suspensions, syrups and elixirs. In addition to the active compounds, the liquid dosage forms may contain inert diluents commonly used in the art such as, for example, water or other solvents, solubilizing agents and emulsifiers such as ethyl alcohol, isopropyl alcohol, ethyl carbonate, ethyl acetate, benzyl alcohol, benzyl benzoate, propylene glycol, 1,3-butylene glycol, dimethylformamide, oils (in particular, cottonseed, groundnut, corn, germ, olive, castor, and sesame oils), glycerol, tetrahydrofurfuryl alcohol, polyethylene glycols and fatty acid esters of sorbitan, and mixtures thereof. Besides inert diluents, the oral compositions can also include adjuvants such as wetting agents, emulsifying and suspending agents, sweetening, flavoring, and perfuming agents.
[00333] Injectable preparations, for example, sterile injectable aqueous or oleaginous suspensions may be formulated according to the known art using suitable dispersing or wetting agents and suspending agents. The sterile injectable preparation may also be a sterile injectable solution, suspension or emulsion in a nontoxic parenterally acceptable diluent or solvent, for example, as a solution in 1,3-butanediol. Among the acceptable vehicles and solvents that may be employed are water, Ringer's solution, U.S.P. and isotonic sodium chloride solution. In addition, sterile, fixed oils are conventionally employed as a solvent or suspending medium. For this purpose any bland fixed oil can be employed including synthetic mono- or diglycerides. In addition, fatty acids such as oleic acid are used in the preparation of injectables. 2025200232 13 Jan 2025
[00334] Injectable formulations can be sterilized, for example, by filtration through a bacterial-retaining filter, or by incorporating sterilizing agents in the form of sterile solid compositions which can be dissolved or dispersed in sterile water or other sterile injectable medium prior to use.
[00335] In order to prolong the effect of a compound of the present invention, it is often desirable to slow the absorption of the compound from subcutaneous or intramuscular injection. This may be accomplished by the use of a liquid suspension of crystalline or amorphous material with poor water solubility. The rate of absorption of the compound then depends upon its rate of dissolution that, in turn, may depend upon crystal size and crystalline form. Alternatively, delayed absorption of a parenterally administered compound form is accomplished by dissolving or suspending the compound in an oil vehicle. Injectable depot forms are made by forming microencapsule matrices of the compound in biodegradable polymers such as polylactidepolyglycolide. Depending upon the ratio of compound to polymer and the nature of the particular polymer employed, the rate of compound release can be controlled. Examples of other biodegradable polymers include poly(orthoesters) and poly(anhydrides). Depot injectable formulations are also prepared by entrapping the compound in liposomes or microemulsions that are compatible with body tissues.
[00336] Compositions for rectal or vaginal administration are preferably suppositories which can be prepared by mixing the compounds of this invention with suitable non-irritating excipients or carriers such as cocoa butter, polyethylene glycol or a suppository wax which are solid at ambient temperature but liquid at body temperature and therefore melt in the rectum or vaginal cavity and release the active compound.
[00337] Solid dosage forms for oral administration include capsules, tablets, pills, powders, and granules. In such solid dosage forms, the active compound is mixed with at least one inert, pharmaceutically acceptable excipient or carrier such as sodium citrate or dicalcium phosphate and / or a) fillers or extenders such as starches, lactose, sucrose, glucose, mannitol, and silicic acid, b) binders such as, for example, carboxymethylcellulose, alginates, gelatin, polyvinylpyrrolidinone, sucrose, and acacia, c) humectants such as glycerol, d) disintegrating agents such as agar-agar, calcium carbonate, potato or tapioca starch, alginic acid, certain silicates, and sodium carbonate, e) solution retarding agents such as paraffin, f) absorption 2025200232 13 Jan 2025 accelerators such as quaternary ammonium compounds, g) wetting agents such as, for example, cetyl alcohol and glycerol monostearate, h) absorbents such as kaolin and bentonite clay, and i) lubricants such as talc, calcium stearate, magnesium stearate, solid polyethylene glycols, sodium lauryl sulfate, and mixtures thereof. In the case of capsules, tablets and pills, the dosage form may also comprise buffering agents.
[00338] Solid compositions of a similar type may also be employed as fillers in soft and hard-filled gelatin capsules using such excipients as lactose or milk sugar as well as high molecular weight polyethylene glycols and the like. The solid dosage forms of tablets, dragees, capsules, pills, and granules can be prepared with coatings and shells such as enteric coatings and other coatings well known in the pharmaceutical formulating art. They may optionally contain opacifying agents and can also be of a composition that they release the active ingredient(s) only, or preferentially, in a certain part of the intestinal tract, optionally, in a delayed manner. Examples of embedding compositions that can be used include polymeric substances and waxes. Solid compositions of a similar type may also be employed as fillers in soft and hard-filled gelatin capsules using such excipients as lactose or milk sugar as well as high molecular weight polethylene glycols and the like.
[00339] The active compounds can also be in micro-encapsulated form with one or more excipients as noted above. The solid dosage forms of tablets, dragees, capsules, pills, and granules can be prepared with coatings and shells such as enteric coatings, release controlling coatings and other coatings well known in the pharmaceutical formulating art. In such solid dosage forms the active compound may be admixed with at least one inert diluent such as sucrose, lactose or starch. Such dosage forms may also comprise, as is normal practice, additional substances other than inert diluents, e.g., tableting lubricants and other tableting aids such a magnesium stearate and microcrystalline cellulose. In the case of capsules, tablets and pills, the dosage forms may also comprise buffering agents. They may optionally contain opacifying agents and can also be of a composition that they release the active ingredient(s) only, or preferentially, in a certain part of the intestinal tract, optionally, in a delayed manner. Examples of embedding compositions that can be used include polymeric substances and waxes.
[00340] Dosage forms for topical or transdermal administration of a compound of this invention include ointments, pastes, creams, lotions, gels, powders, solutions, sprays, inhalants or 2025200232 13 Jan 2025 patches. The active component is admixed under sterile conditions with a pharmaceutically acceptable carrier and any needed preservatives or buffers as may be required. Ophthalmic formulation, ear drops, and eye drops are also contemplated as being within the scope of this invention. Additionally, the present invention contemplates the use of transdermal patches, which have the added advantage of providing controlled delivery of a compound to the body. Such dosage forms can be made by dissolving or dispensing the compound in the proper medium. Absorption enhancers can also be used to increase the flux of the compound across the skin. The rate can be controlled by either providing a rate controlling membrane or by dispersing the compound in a polymer matrix or gel.
[00341] According to one embodiment, the invention relates to a method of inhibiting protein kinase activity in a biological sample comprising the step of contacting said biological sample with a compound of this invention, or a composition comprising said compound.
[00342] According to another embodiment, the invention relates to a method of inhibiting GCN2, or a mutant thereof, activity in a biological sample comprising the step of contacting said biological sample with a compound of this invention, or a composition comprising said compound.
[00343] The term “biological sample”, as used herein, includes, without limitation, cell cultures or extracts thereof; biopsied material obtained from a mammal or extracts thereof; and blood, saliva, urine, feces, semen, tears, or other body fluids or extracts thereof.
[00344] Inhibition of protein kinase, or a GCN2 protein kinase, or a mutant thereof, activity in a biological sample is useful for a variety of purposes that are known to one of skill in the art. Examples of such purposes include, but are not limited to, blood transfusion, organtransplantation, biological specimen storage, and biological assays.
[00345] Another embodiment of the present invention relates to a method of inhibiting protein kinase activity in a patient comprising the step of administering to said patient a compound of the present invention, or a composition comprising said compound.
[00346] According to another embodiment, the invention relates to a method of inhibiting GCN2, or a mutant thereof, activity in a patient comprising the step of administering to said patient a compound of the present invention, or a composition comprising said compound. In other embodiments, the present invention provides a method for treating a disorder mediated by GCN2, 2025200232 13 Jan 2025 or a mutant thereof, in a patient in need thereof, comprising the step of administering to said patient a compound according to the present invention or pharmaceutically acceptable composition thereof. Such disorders are described in detail herein.
[00347] Depending upon the particular condition, or disease, to be treated, additional therapeutic agents that are normally administered to treat that condition, may also be present in the compositions of this invention. As used herein, additional therapeutic agents that are normally administered to treat a particular disease, or condition, are known as “appropriate for the disease, or condition, being treated.”
[00348] A compound of the current invention may also be used to advantage in combination with other antiproliferative compounds. Such antiproliferative compounds include, but are not limited to aromatase inhibitors; antiestrogens; topoisomerase I inhibitors; topoisomerase II inhibitors; microtubule active compounds; alkylating compounds; histone deacetylase inhibitors; compounds which induce cell differentiation processes; cyclooxygenase inhibitors; MMP inhibitors; mTOR inhibitors; antineoplastic antimetabolites; platin compounds; compounds targeting / decreasing a protein or lipid kinase activity and further anti-angiogenic compounds; compounds which target, decrease or inhibit the activity of a protein or lipid phosphatase; gonadorelin agonists; anti-androgens; methionine aminopeptidase inhibitors; matrix metalloproteinase inhibitors; bisphosphonates; biological response modifiers; antiproliferative antibodies; heparanase inhibitors; inhibitors of Ras oncogenic isoforms; telomerase inhibitors; proteasome inhibitors; compounds used in the treatment of hematologic malignancies; compounds which target, decrease or inhibit the activity of Flt-3; Hsp90 inhibitors such as 17-AAG (17-allylaminogeldanamycin, NSC330507), 17-DMAG (17-dimethylaminoethylamino-17-demethoxy-geldanamycin, NSC707545), IPI-504, CNF 1010, CNF2024, CNF 1010 from Conforma Therapeutics; temozolomide (Temodal®); kinesin spindle protein inhibitors, such as SB715992 or SB743921 from GlaxoSmithKline, or pentamidine / chlorpromazine from CombinatoRx; MEK inhibitors such as ARRY142886 from Array BioPharma, AZD6244 from AstraZeneca, PD181461 from Pfizer and leucovorin. The term "aromatase inhibitor" as used herein relates to a compound which inhibits estrogen production, for instance, the conversion of the substrates androstenedione and testosterone to estrone and estradiol, respectively. The term includes, but is not limited to steroids, especially atamestane, exemestane and formestane and, in particular, non-steroids, especially aminoglutethimide, roglethimide, pyridoglutethimide, 2025200232 13 Jan 2025 trilostane, testolactone, ketokonazole, vorozole, fadrozole, anastrozole and letrozole. Exemestane is marketed under the trade name Aromasin™. Formestane is marketed under the trade name Lentaron™. Fadrozole is marketed under the trade name Afema™. Anastrozole is marketed under the trade name Arimidex™. Letrozole is marketed under the trade names Femara™ or Femar™. Aminoglutethimide is marketed under the trade name Orimeten™. A combination of the invention comprising a chemotherapeutic agent which is an aromatase inhibitor is particularly useful for the treatment of hormone receptor positive tumors, such as breast tumors.
[00349] The term "antiestrogen" as used herein relates to a compound which antagonizes the effect of estrogens at the estrogen receptor level. The term includes, but is not limited to tamoxifen, fulvestrant, raloxifene and raloxifene hydrochloride. Tamoxifen is marketed under the trade name Nolvadex™. Raloxifene hydrochloride is marketed under the trade name Evista™. Fulvestrant can be administered under the trade name Faslodex™. A combination of the invention comprising a chemotherapeutic agent which is an antiestrogen is particularly useful for the treatment of estrogen receptor positive tumors, such as breast tumors.
[00350] The term "anti-androgen" as used herein relates to any substance which is capable of inhibiting the biological effects of androgenic hormones and includes, but is not limited to, bicalutamide (Casodex™). The term "gonadorelin agonist" as used herein includes, but is not limited to abarelix, goserelin and goserelin acetate. Goserelin can be administered under the trade name Zoladex™.
[00351] In some embodiments, one or more other therapeutic agent is an androgen receptor inhibitor. Approved androgen receptor inhibitors useful in the present invention include enzalutamide (Xtandi®, Astellas / Medivation); approved inhibitors of androgen synthesis include abiraterone (Zytiga®, Centocor / Ortho); approved antagonist of gonadotropin-releasing hormone (GnRH) receptor (degaralix, Firmagon®, Ferring Pharmaceuticals).
[00352] In some embodiments, one or more other therapeutic agent is a selective estrogen receptor modulator (SERM), which interferes with the synthesis or activity of estrogens. Approved SERMs useful in the present invention include raloxifene (Evista®, Eli Lilly).
[00353] The term "topoisomerase I inhibitor" as used herein includes, but is not limited to topotecan, gimatecan, irinotecan, camptothecian and its analogues, 9-nitrocamptothecin and the macromolecular camptothecin conjugate PNU-166148. Irinotecan can be administered, e.g. in the 2025200232 13 Jan 2025 form as it is marketed, e.g. under the trademark Camptosar™. Topotecan is marketed under the trade name Hycamptin™.
[00354] The term "topoisomerase II inhibitor" as used herein includes, but is not limited to the anthracyclines such as doxorubicin (including liposomal formulation, such as Caelyx™), daunorubicin, epirubicin, idarubicin and nemorubicin, the anthraquinones mitoxantrone and losoxantrone, and the podophillotoxines etoposide and teniposide. Etoposide is marketed under the trade name Etopophos™. Teniposide is marketed under the trade name VM 26-Bristol Doxorubicin is marketed under the trade name Acriblastin ™ or Adriamycin™. Epirubicin is marketed under the trade name Farmorubicin™. Idarubicin is marketed, under the trade name Zavedos™. Mitoxantrone is marketed under the trade name Novantron.
[00355] The term "microtubule active agent" relates to microtubule stabilizing, microtubule destabilizing compounds and microtublin polymerization inhibitors including, but not limited to taxanes, such as paclitaxel and docetaxel; vinca alkaloids, such as vinblastine or vinblastine sulfate, vincristine or vincristine sulfate, and vinorelbine; discodermolides; cochicine and epothilones and derivatives thereof. Paclitaxel is marketed under the trade name Taxol™. Docetaxel is marketed under the trade name Taxotere™. Vinblastine sulfate is marketed under the trade name Vinblastin R.P™. Vincristine sulfate is marketed under the trade name Farmistin™.
[00356] The term "alkylating agent" as used herein includes, but is not limited to, cyclophosphamide, ifosfamide, melphalan or nitrosourea (BCNU or Gliadel). Cyclophosphamide is marketed under the trade name Cyclostin™. Ifosfamide is marketed under the trade name Holoxan™.
[00357] The term "histone deacetylase inhibitors" or "HDAC inhibitors" relates to compounds which inhibit the histone deacetylase and which possess antiproliferative activity. This includes, but is not limited to, suberoylanilide hydroxamic acid (SAHA).
[00358] The term "antineoplastic antimetabolite" includes, but is not limited to, 5-fluorouracil or 5-FU, capecitabine, gemcitabine, DNA demethylating compounds, such as 5-azacytidine and decitabine, methotrexate and edatrexate, and folic acid antagonists such as pemetrexed. Capecitabine is marketed under the trade name Xeloda™. Gemcitabine is marketed under the trade name Gemzar™. 2025200232 13 Jan 2025
[00359] The term "platin compound" as used herein includes, but is not limited to, carboplatin, cis-platin, cisplatinum and oxaliplatin. Carboplatin can be administered, e.g., in the form as it is marketed, e.g. under the trademark Carboplat™. Oxaliplatin can be administered, e.g., in the form as it is marketed, e.g. under the trademark Eloxatin™.
[00360] The term "compounds targeting / decreasing a protein or lipid kinase activity; or a protein or lipid phosphatase activity; or further anti-angiogenic compounds" as used herein includes, but is not limited to, protein tyrosine kinase and / or serine and / or threonine kinase inhibitors or lipid kinase inhibitors, such as a) compounds targeting, decreasing or inhibiting the activity of the platelet-derived growth factor-receptors (PDGFR), such as compounds which target, decrease or inhibit the activity of PDGFR, especially compounds which inhibit the PDGF receptor, such as an N-phenyl-2-pyrimidine-amine derivative, such as imatinib, SU101, SU6668 and GFB-111; b) compounds targeting, decreasing or inhibiting the activity of the fibroblast growth factorreceptors (FGFR); c) compounds targeting, decreasing or inhibiting the activity of the insulin-like growth factor receptor I (IGF-IR), such as compounds which target, decrease or inhibit the activity of IGF-IR, especially compounds which inhibit the kinase activity of IGF-I receptor, or antibodies that target the extracellular domain of IGF-I receptor or its growth factors; d) compounds targeting, decreasing or inhibiting the activity of the Trk receptor tyrosine kinase family, or ephrin B4 inhibitors; e) compounds targeting, decreasing or inhibiting the activity of the Axl receptor tyrosine kinase family; f) compounds targeting, decreasing or inhibiting the activity of the Ret receptor tyrosine kinase; g) compounds targeting, decreasing or inhibiting the activity of the Kit / SCFR receptor tyrosine kinase, such as imatinib; h) compounds targeting, decreasing or inhibiting the activity of the C-kit receptor tyrosine kinases, which are part of the PDGFR family, such as compounds which target, decrease or inhibit the activity of the c-Kit receptor tyrosine kinase family, especially compounds which inhibit the c-Kit receptor, such as imatinib; i) compounds targeting, decreasing or inhibiting the activity of members of the c-Abl family, their gene-fusion products (e.g. BCR-Abl kinase) and mutants, such as compounds which target decrease or inhibit the activity of c-Abl family members and their gene fusion products, such as an N-phenyl-2-pyrimidine-amine derivative, such as imatinib or nilotinib (AMN107); PD180970; AG957; NSC 680410; PD173955 from ParkeDavis; or dasatinib (BMS-354825); j) compounds targeting, decreasing or inhibiting the activity of members of the protein kinase C (PKC) and Raf family of serine / threonine kinases, members of the MEK, SRC, JAK / pan-JAK, FAK, PDK1, 2025200232 13 Jan 2025 PKB / Akt, Ras / MAPK, PI3K, SYK, TYK2, BTK and TEC family, and / or members of the cyclin-dependent kinase family (CDK) including staurosporine derivatives, such as midostaurin; examples of further compounds include UCN-01, safingol, BAY 43-9006, Bryostatin 1, Perifosine; llmofosine; RO 318220 and RO 320432; GO 6976; Isis 3521; LY333531 / LY379196; isochinoline compounds; FTIs; PD184352 or QAN697 (a P13K inhibitor) or AT7519 (CDK inhibitor); k) compounds targeting, decreasing or inhibiting the activity of protein-tyrosine kinase inhibitors, such as compounds which target, decrease or inhibit the activity of protein-tyrosine kinase inhibitors include imatinib mesylate (Gleevec™) or tyrphostin such as Tyrphostin A23 / RG-50810; AG 99; Tyrphostin AG 213; Tyrphostin AG 1748; Tyrphostin AG 490; Tyrphostin B44; Tyrphostin B44 (+) enantiomer; Tyrphostin AG 555; AG 494; Tyrphostin AG 556, AG957 and adaphostin (4-{[(2,5- dihydroxyphenyl)methyl]amino}-benzoic acid adamantyl ester; NSC 680410, adaphostin); 1) compounds targeting, decreasing or inhibiting the activity of the epidermal growth factor family of receptor tyrosine kinases (EGFRi ErbB2, ErbB3, ErbB4 as homo- or heterodimers) and their mutants, such as compounds which target, decrease or inhibit the activity of the epidermal growth factor receptor family are especially compounds, proteins or antibodies which inhibit members of the EGF receptor tyrosine kinase family, such as EGF receptor, ErbB2, ErbB3 and ErbB4 or bind to EGF or EGF related ligands, CP 358774, ZD 1839, ZM 105180; trastuzumab (Herceptin™), cetuximab (Erbitux™), Iressa, Tarceva, OSI-774, Cl-1033, EKB-569, GW-2016, El.l, E2.4, E2.5, E6.2, E6.4, E2.ll, E6.3 orE7.6.3, and 7H-pyrrolo-[2,3-d]pyrimidine derivatives; m) compounds targeting, decreasing or inhibiting the activity of the c-Met receptor, such as compounds which target, decrease or inhibit the activity of c-Met, especially compounds which inhibit the kinase activity of c-Met receptor, or antibodies that target the extracellular domain of c-Met or bind to HGF, n) compounds targeting, decreasing or inhibiting the kinase activity of one or more JAK family members (JAK1 / JAK2 / JAK3 / TYK2 and / or pan-JAK), including but not limited to PRT-062070, SB-1578, baricitinib, pacritinib, momelotinib, VX-509, AZD-1480, TG-101348, tofacitinib, and ruxolitinib; o) compounds targeting, decreasing or inhibiting the kinase activity of PI3 kinase (PI3K) including but not limited to ATU-027, SF-1126, DS-7423, PBI-05204, GSK-2126458, ZSTK-474, buparlisib, pictrelisib, PF-4691502, BYL-719, dactolisib, XL-147, XL-765, and idelalisib; and; and q) compounds targeting, decreasing or inhibiting the signaling effects of hedgehog protein (Hh) or smoothened receptor (SMO) pathways, 2025200232 13 Jan 2025 including but not limited to cyclopamine, vismodegib, itraconazole, erismodegib, and IPI-926 (saridegib).
[00361] The term “PI3K inhibitor” as used herein includes, but is not limited to compounds having inhibitory activity against one or more enzymes in the phosphatidylinositol-3-kinase family, including, but not limited to PI3Ka, PI3Ky, PI3K6, PI3Kp, PI3K-C2a, PI3K-C2p, PI3K-C2y, Vps34, pl 10-a, pl 10-p, pl 10-y, pl 10-6, p85-a, p85-P, p55-y, pl50, p 101, and p87. Examples of PI3K inhibitors useful in this invention include but are not limited to ATU-027, SF-1126, DS-7423, PBI-05204, GSK-2126458, ZSTK-474, buparlisib, pictrelisib, PF-4691502, BYL-719, dactolisib, XL-147, XL-765, and idelalisib.
[00362] The term “BTK inhibitor” as used herein includes, but is not limited to compounds having inhibitory activity against Bruton’s Tyrosine Kinase (BTK), including, but not limited to AVL-292 and ibrutinib.
[00363] The term “SYK inhibitor” as used herein includes, but is not limited to compounds having inhibitory activity against spleen tyrosine kinase (SYK), including but not limited to PRT-062070, R-343, R-333, Excellair, PRT-062607, and fostamatinib
[00364] Further examples of BTK inhibitory compounds, and conditions treatable by such compounds in combination with compounds of this invention can be found in WO2008039218 and WO2011090760, the entirety of which are incorporated herein by reference.
[00365] Further examples of SYK inhibitory compounds, and conditions treatable by such compounds in combination with compounds of this invention can be found in WO2003063794, WO2005007623, and WO2006078846, the entirety of which are incorporated herein by reference.
[00366] Further examples of PI3K inhibitory compounds, and conditions treatable by such compounds in combination with compounds of this invention can be found in WO2004019973, WO2004089925, WO2007016176, US8138347, WO2002088112, WO2007084786, WO2007129161, WO2006122806, WO2005113554, and WO2007044729 the entirety of which are incorporated herein by reference.
[00367] Further examples of JAK inhibitory compounds, and conditions treatable by such compounds in combination with compounds of this invention can be found in WO2009114512, 2025200232 13 Jan 2025 WO2008109943, WO2007053452, WO2000142246, and WO2007070514, the entirety of which are incorporated herein by reference.
[00368] Further anti-angiogenic compounds include compounds having another mechanism for their activity, e.g. unrelated to protein or lipid kinase inhibition e.g. thalidomide (Thalomid™) and TNP-470.
[00369] Examples of proteasome inhibitors useful for use in combination with compounds of the invention include, but are not limited to bortezomib, disulfiram, epigallocatechin-3-gallate (EGCG), salinosporamide A, carfilzomib, ONX-0912, CEP-18770, andMLN9708.
[00370] Compounds which target, decrease or inhibit the activity of a protein or lipid phosphatase are e.g. inhibitors of phosphatase 1, phosphatase 2A, or CDC25, such as okadaic acid or a derivative thereof.
[00371] Compounds which induce cell differentiation processes include, but are not limited to, retinoic acid, a- y- or 6- tocopherol or a- y- or 6-tocotrienol.
[00372] The term cyclooxygenase inhibitor as used herein includes, but is not limited to, Cox-2 inhibitors, 5-alkyl substituted 2-arylaminophenylacetic acid and derivatives, such as celecoxib (Celebrex™), rofecoxib (Vioxx™), etoricoxib, valdecoxib or a 5-alkyl-2-arylaminophenylacetic acid, such as 5-methyl-2-(2'-chloro-6'-fluoroanilino)phenyl acetic acid, lumiracoxib.
[00373] The term "bisphosphonates" as used herein includes, but is not limited to, etridonic, clodronic, tiludronic, pamidronic, alendronic, ibandronic, risedronic and zoledronic acid. Etridonic acid is marketed under the trade name Didronel™. Clodronic acid is marketed under the trade name Bonefos™. Tiludronic acid is marketed under the trade name Skelid™. Pamidronic acid is marketed under the trade name Aredia™. Alendronic acid is marketed under the trade name Fosamax™. Ibandronic acid is marketed under the trade name Bondranat™. Risedronic acid is marketed under the trade name Actonel™. Zoledronic acid is marketed under the trade name Zometa™. The term "mTOR inhibitors" relates to compounds which inhibit the mammalian target of rapamycin (mTOR) and which possess antiproliferative activity such as sirolimus (Rapamune®), everolimus (Certican™), CCI-779 and ABT578. 2025200232 13 Jan 2025
[00374] The term "heparanase inhibitor" as used herein refers to compounds which target, decrease or inhibit heparin sulfate degradation. The term includes, but is not limited to, PI-88. The term "biological response modifier" as used herein refers to a lymphokine or interferons.
[00375] The term "inhibitor of Ras oncogenic isoforms", such as H-Ras, K-Ras, or N-Ras, as used herein refers to compounds which target, decrease or inhibit the oncogenic activity of Ras; for example, a "famesyl transferase inhibitor" such as L-744832, DK8G557 or RI 15777 (Zamestra™). The term "telomerase inhibitor" as used herein refers to compounds which target, decrease or inhibit the activity of telomerase. Compounds which target, decrease or inhibit the activity of telomerase are especially compounds which inhibit the telomerase receptor, such as telomestatin.
[00376] The term "methionine aminopeptidase inhibitor" as used herein refers to compounds which target, decrease or inhibit the activity of methionine aminopeptidase. Compounds which target, decrease or inhibit the activity of methionine aminopeptidase include, but are not limited to, bengamide or a derivative thereof.
[00377] The term "proteasome inhibitor" as used herein refers to compounds which target, decrease or inhibit the activity of the proteasome. Compounds which target, decrease or inhibit the activity of the proteasome include, but are not limited to, Bortezomib (Velcade™) and MLN 341.
[00378] The term "matrix metalloproteinase inhibitor" or ("MMP" inhibitor) as used herein includes, but is not limited to, collagen peptidomimetic and nonpeptidomimetic inhibitors, tetracycline derivatives, e.g. hydroxamate peptidomimetic inhibitor batimastat and its orally bioavailable analogue marimastat (BB-2516), prinomastat (AG3340), metastat (NSC 683551) BMS-279251 , BAY 12-9566, TAA211 , MMI270B or AAJ996.
[00379] The term "compounds used in the treatment of hematologic malignancies" as used herein includes, but is not limited to, FMS-like tyrosine kinase inhibitors, which are compounds targeting, decreasing or inhibiting the activity of FMS-like tyrosine kinase receptors (Flt-3R); interferon, 1-P-D-arabinofuransylcytosine (ara-c) and bisulfan; and ALK inhibitors, which are compounds which target, decrease or inhibit anaplastic lymphoma kinase.
[00380] Compounds which target, decrease or inhibit the activity of FMS-like tyrosine kinase receptors (Flt-3R) are especially compounds, proteins or antibodies which inhibit members 2025200232 13 Jan 2025 of the Flt-3R receptor kinase family, such as PKC412, midostaurin, a staurosporine derivative, SUI 1248 andMLN518.
[00381] The term "HSP90 inhibitors" as used herein includes, but is not limited to, compounds targeting, decreasing or inhibiting the intrinsic ATPase activity of HSP90; degrading, targeting, decreasing or inhibiting the HSP90 client proteins via the ubiquitin proteosome pathway. Compounds targeting, decreasing or inhibiting the intrinsic ATPase activity of HSP90 are especially compounds, proteins or antibodies which inhibit the ATPase activity of HSP90, such as 17-allylamino,17-demethoxygeldanamycin (17AAG), a geldanamycin derivative; other geldanamycin related compounds; radicicol and HD AC inhibitors.
[00382] The term "antiproliferative antibodies" as used herein includes, but is not limited to, trastuzumab (Herceptin™), Trastuzumab-DMl, erbitux, bevacizumab (Avastin™), rituximab (Rituxan®), PRO64553 (anti-CD40) and 2C4 Antibody. By antibodies is meant intact monoclonal antibodies, polyclonal antibodies, multispecific antibodies formed from at least 2 intact antibodies, and antibodies fragments so long as they exhibit the desired biological activity.
[00383] For the treatment of acute myeloid leukemia (AML), compounds of the current invention can be used in combination with standard leukemia therapies, especially in combination with therapies used for the treatment of AML. In particular, compounds of the current invention can be administered in combination with, for example, farnesyl transferase inhibitors and / or other drugs useful for the treatment of AML, such as Daunorubicin, Adriamycin, Ara-C, VP-16, Teniposide, Mitoxantrone, Idarubicin, Carboplatinum and PKC412.
[00384] Other anti-leukemic compounds include, for example, Ara-C, a pyrimidine analog, which is the 2-alpha-hydroxy ribose (arabinoside) derivative of deoxycytidine. Also included is the purine analog of hypoxanthine, 6-mercaptopurine (6-MP) and fludarabine phosphate. Compounds which target, decrease or inhibit activity of histone deacetylase (HDAC) inhibitors such as sodium butyrate and suberoylanilide hydroxamic acid (SAHA) inhibit the activity of the enzymes known as histone deacetylases. Specific HDAC inhibitors include MS275, SAHA, FK228 (formerly FR901228), Trichostatin A and compounds disclosed in US 6,552,065 including, but not limited to, N-hydroxy-3-[4-[[[2-(2-methyl-lH-indol-3-yl)-ethyl]- amino]methyl]phenyl]-2E-2-propenamide, or a pharmaceutically acceptable salt thereof and N-hydroxy-3-[4-[(2-hydroxyethyl){2-(lH-indol-3-yl)ethyl]-amino]methyl]phenyl]-2E-2- propenamide, or a 2025200232 13 Jan 2025 pharmaceutically acceptable salt thereof, especially the lactate salt. Somatostatin receptor antagonists as used herein refer to compounds which target, treat or inhibit the somatostatin receptor such as octreotide, and SOM230. Tumor cell damaging approaches refer to approaches such as ionizing radiation. The term "ionizing radiation" referred to above and hereinafter means ionizing radiation that occurs as either electromagnetic rays (such as X-rays and gamma rays) or particles (such as alpha and beta particles). Ionizing radiation is provided in, but not limited to, radiation therapy and is known in the art. See Hellman, Principles of Radiation Therapy, Cancer, in Principles and Practice of Oncology, Devita et al., Eds., 4th Edition, Vol. 1, pp. 248-275 (1993).
[00385] Also included are EDG binders and ribonucleotide reductase inhibitors. The term “EDG binders” as used herein refers to a class of immunosuppressants that modulates lymphocyte recirculation, such as FTY720. The term “ribonucleotide reductase inhibitors” refers to pyrimidine or purine nucleoside analogs including, but not limited to, fludarabine and / or cytosine arabinoside (ara-C), 6-thioguanine, 5-fluorouracil, cladribine, 6-mercaptopurine (especially in combination with ara-C against ALL) and / or pentostatin. Ribonucleotide reductase inhibitors are especially hydroxyurea or 2-hydroxy-lH-isoindole-l ,3-dione derivatives.
[00386] Also included are in particular those compounds, proteins or monoclonal antibodies of VEGF such as l-(4-chloroanilino)-4-(4-pyridylmethyl)phthalazine or a pharmaceutically acceptable salt thereof, l-(4-chloroanilino)-4-(4-pyridylmethyl)phthalazine succinate; Angiostatin™; Endostatin™; anthranilic acid amides; ZD4190; ZD6474; SU5416; SU6668; bevacizumab; or anti-VEGF antibodies or anti-VEGF receptor antibodies, such as rhuMAb and RHUFab, VEGF aptamer such as Macugon; FLT-4 inhibitors, FLT-3 inhibitors, VEGFR-2 IgGI antibody, Angiozyme (RPI4610) and Bevacizumab (Avastin™).
[00387] Photodynamic therapy as used herein refers to therapy which uses certain chemicals known as photosensitizing compounds to treat or prevent cancers. Examples of photodynamic therapy include treatment with compounds, such as Visudyne™ and porfimer sodium.
[00388] Angiostatic steroids as used herein refers to compounds which block or inhibit angiogenesis, such as, e.g., anecortave, triamcinolone, hydrocortisone, 11-a-epihydrocotisol, cortex ol one, 17a-hydroxyprogesterone, corticosterone, desoxycorticosterone, testosterone, estrone and dexamethasone. 2025200232 13 Jan 2025
[00389] Implants containing corticosteroids refers to compounds, such as fluocinolone and dexamethasone.
[00390] Other chemotherapeutic compounds include, but are not limited to, plant alkaloids, hormonal compounds and antagonists; biological response modifiers, preferably lymphokines or interferons; antisense oligonucleotides or oligonucleotide derivatives; shRNA or siRNA; or miscellaneous compounds or compounds with other or unknown mechanism of action.
[00391] The compounds of the invention are also useful as co-therapeutic compounds for use in combination with other drug substances such as anti-inflammatory, bronchodilatory or antihistamine drug substances, particularly in the treatment of obstructive or inflammatory airways diseases such as those mentioned hereinbefore, for example as potentiators of therapeutic activity of such drugs or as a means of reducing required dosaging or potential side effects of such drugs. A compound of the invention may be mixed with the other drug substance in a fixed pharmaceutical composition or it may be administered separately, before, simultaneously with or after the other drug substance. Accordingly the invention includes a combination of a compound of the invention as hereinbefore described with an anti-inflammatory, bronchodilatory, antihistamine or anti-tussive drug substance, said compound of the invention and said drug substance being in the same or different pharmaceutical composition.
[00392] Suitable anti-inflammatory drugs include steroids, in particular glucocorticosteroids such as budesonide, beclamethasone dipropionate, fluticasone propionate, ciclesonide or mometasone furoate; non-steroidal glucocorticoid receptor agonists; LTB4 antagonists such LY293111, CGS025019C, CP-195543, SC-53228, BIIL 284, ONO 4057, SB 209247; LTD4 antagonists such as montelukast and zafirlukast; PDE4 inhibitors such cilomilast (Ariflo® GlaxoSmithKline), Roflumilast (Byk Gulden),V-l 1294A (Napp), BAY19-8004 (Bayer), SCH-351591 (Schering- Plough), Arofylline (Almirall Prodesfarma), PD189659 / PD168787 (Parke-Davis), AWD-12- 281 (Asta Medica), CDC-801 (Celgene), SelCID(TM) CC-10004 (Celgene), VM554 / UM565 (Vernalis), T-440 (Tanabe), KW-4490 (Kyowa Hakko Kogyo); A2a agonists; A2b antagonists; and beta-2 adrenoceptor agonists such as albuterol (salbutamol), metaproterenol, terbutaline, salmeterol fenoterol, procaterol, and especially, formoterol and pharmaceutically acceptable salts thereof. Suitable bronchodilatory drugs include anticholinergic 2025200232 13 Jan 2025 or antimuscarinic compounds, in particular ipratropium bromide, oxitropium bromide, tiotropium salts and CHF 4226 (Chiesi), and glycopyrrolate.
[00393] Suitable antihistamine drug substances include cetirizine hydrochloride, acetaminophen, clemastine fumarate, promethazine, loratidine, desloratidine, diphenhydramine and fexofenadine hydrochloride, activastine, astemizole, azelastine, ebastine, epinastine, mizolastine and tefenadine.
[00394] Other useful combinations of compounds of the invention with anti-inflammatory drugs are those with antagonists of chemokine receptors, e.g. CCR-1 , CCR-2, CCR-3, CCR-4, CCR-5, CCR-6, CCR-7, CCR-8, CCR-9 and CCR10, CXCR1 , CXCR2, CXCR3, CXCR4, CXCR5, particularly CCR-5 antagonists such as Schering-Plough antagonists SC-351125, SCH-55700 and SCH-D, and Takeda antagonists such as N-[[4-[[[6,7-dihydro-2-(4-methylphenyl)-5H-benzo-cyclohepten-8-yl]carbonyl]amino]phenyl]-methyl]tetrahydro-N,N-dimethyl-2H-pyran-4-aminium chloride (TAK-770).
[00395] In some embodiments, one or more other therapeutic agent is a Poly ADP ribose polymerase (PARP) inhibitor. In some embodiments, a PARP inhibitor is selected from olaparib (Lynparza®, AstraZeneca); rucaparib (Rubraca®, Clovis Oncology); niraparib (Zejula®, Tesaro); talazoparib (MDV3800 / BMN 673 / LT00673, Medivation / Pfizer / Biomarin); veliparib (ABT-888, Abb Vie); and BGB-290 (BeiGene, Inc.).
[00396] The term “Bcl-2 inhibitor” as used herein includes, but is not limited to compounds having inhibitory activity against B-cell lymphoma 2 protein (Bcl-2), including but not limited to ABT-199, ABT-731, ABT-737, apogossypol, Ascenta’s pan-Bcl-2 inhibitors, curcumin (and analogs thereof), dual Bcl-2 / Bcl-xL inhibitors (Infinity Pharmaceuticals / Novartis Pharmaceuticals), Genasense (G3139), HA14-1 (and analogs thereof; see WO2008118802), navitoclax (and analogs thereof, see US7390799), NH-1 (Shenayng Pharmaceutical University), obatoclax (and analogs thereof, see WO2004106328), S-001 (Gloria Pharmaceuticals), TW series compounds (Univ, of Michigan), and venetoclax. In some embodiments the Bcl-2 inhibitor is a small molecule therapeutic. In some embodiments the Bcl-2 inhibitor is a peptidomimetic.
[00397] In some embodiments, one or more other therapeutic agent is an inhibitor of anti-apoptotic proteins, such as BCL-2. Approved anti-apoptotics which may be used in the present invention include venetoclax (Venclexta®, AbbVie / Genentech); and blinatumomab (Blincyto®, 2025200232 13 Jan 2025 Amgen). Other therapeutic agents targeting apoptotic proteins which have undergone clinical testing and may be used in the present invention include navitoclax (ABT-263, Abbott), a BCL-2 inhibitor (NCT02079740).
[00398] The structure of the active compounds identified by code numbers, generic or trade names may be taken from the actual edition of the standard compendium "The Merck Index" or from databases, e.g. Patents International (e.g. IMS World Publications).
[00399] A compound of the current invention may also be used in combination with known therapeutic processes, for example, the administration of hormones or radiation. In certain embodiments, a provided compound is used as a radiosensitizer, especially for the treatment of tumors which exhibit poor sensitivity to radiotherapy.
[00400] A compound of the current invention can be administered alone or in combination with one or more other therapeutic compounds, possible combination therapy taking the form of fixed combinations or the administration of a compound of the invention and one or more other therapeutic compounds being staggered or given independently of one another, or the combined administration of fixed combinations and one or more other therapeutic compounds. A compound of the current invention can besides or in addition be administered especially for tumor therapy in combination with chemotherapy, radiotherapy, immunotherapy, phototherapy, surgical intervention, or a combination of these. Long-term therapy is equally possible as is adjuvant therapy in the context of other treatment strategies, as described above. Other possible treatments are therapy to maintain the patient's status after tumor regression, or even chemopreventive therapy, for example in patients at risk.
[00401] Those additional agents may be administered separately from an inventive compound-containing composition, as part of a multiple dosage regimen. Alternatively, those agents may be part of a single dosage form, mixed together with a compound of this invention in a single composition. If administered as part of a multiple dosage regime, the two active agents may be submitted simultaneously, sequentially or within a period of time from one another normally within five hours from one another.
[00402] As used herein, the term “combination,” “combined,” and related terms refers to the simultaneous or sequential administration of therapeutic agents in accordance with this invention. For example, a compound of the present invention may be administered with another 2025200232 13 Jan 2025 therapeutic agent simultaneously or sequentially in separate unit dosage forms or together in a single unit dosage form. Accordingly, the present invention provides a single unit dosage form comprising a compound of the current invention, an additional therapeutic agent, and a pharmaceutically acceptable carrier, adjuvant, or vehicle.
[00403] The amount of both an inventive compound and additional therapeutic agent (in those compositions which comprise an additional therapeutic agent as described above) that may be combined with the carrier materials to produce a single dosage form will vary depending upon the host treated and the particular mode of administration. Preferably, compositions of this invention should be formulated so that a dosage of between 0.01 - 100 mg / kg body weight / day of an inventive compound can be administered.
[00404] In those compositions which comprise an additional therapeutic agent, that additional therapeutic agent and the compound of this invention may act synergistically. Therefore, the amount of additional therapeutic agent in such compositions will be less than that required in a monotherapy utilizing only that therapeutic agent. In such compositions a dosage of between 0.01 - 1,000 pg / kg body weight / day of the additional therapeutic agent can be administered.
[00405] The amount of additional therapeutic agent present in the compositions of this invention will be no more than the amount that would normally be administered in a composition comprising that therapeutic agent as the only active agent. Preferably the amount of additional therapeutic agent in the presently disclosed compositions will range from about 50% to 100% of the amount normally present in a composition comprising that agent as the only therapeutically active agent.
[00406] The compounds of this invention, or pharmaceutical compositions thereof, may also be incorporated into compositions for coating an implantable medical device, such as prostheses, artificial valves, vascular grafts, stents and catheters. Vascular stents, for example, have been used to overcome restenosis (re-narrowing of the vessel wall after injury). However, patients using stents or other implantable devices risk clot formation or platelet activation. These unwanted effects may be prevented or mitigated by pre-coating the device with a pharmaceutically acceptable composition comprising a kinase inhibitor. Implantable devices coated with a compound of this invention are another embodiment of the present invention. 2025200232 13 Jan 2025 Exemplary Immuno-Oncology agents
[00407] In some embodiments, one or more other therapeutic agent is an immuno-oncology agent. As used herein, the term “an immuno-oncology agent” refers to an agent which is effective to enhance, stimulate, and / or up-regulate immune responses in a subject. In some embodiments, the administration of an immuno-oncology agent with a compound of the invention has a synergic effect in treating a cancer.
[00408] An immuno-oncology agent can be, for example, a small molecule drug, an antibody, or a biologic or small molecule. Examples of biologic immuno-oncology agents include, but are not limited to, cancer vaccines, antibodies, and cytokines. In some embodiments, an antibody is a monoclonal antibody. In some embodiments, a monoclonal antibody is humanized or human.
[00409] In some embodiments, an immuno-oncology agent is (i) an agonist of a stimulatory (including a co-stimulatory) receptor or (ii) an antagonist of an inhibitory (including a co-inhibitory) signal on T cells, both of which result in amplifying antigen-specific T cell responses.
[00410] Certain of the stimulatory and inhibitory molecules are members of the immunoglobulin super family (IgSF). One important family of membrane-bound ligands that bind to co-stimulatory or co-inhibitory receptors is the B7 family, which includes B7-1, B7-2, B7-H1 (PD-L1), B7-DC (PD-L2), B7-H2 (ICOS-L), B7-H3, B7-H4, B7-H5 (VISTA), and B7-H6. Another family of membrane bound ligands that bind to co-stimulatory or co-inhibitory receptors is the TNF family of molecules that bind to cognate TNF receptor family members, which includes CD40 and CD40L, OX-40, OX-40L, CD70, CD27L, CD30, CD30L, 4-1 BBL, CD 137 (4-IBB), TRAIL / Apo2-L, TRAILR1 / DR4, TRAILR2 / DR5, TRAILR3, TRAILR4, OPG, RANK, RANKL, TWEAKR / Fnl4, TWEAK, BAFFR, EDAR, XEDAR, TACI, APRIL, BCMA, LTpR, LIGHT, DcR3, HVEM, VEGI / TLIA, TRAMP / DR3, EDAR, EDAI, XEDAR, EDA2, TNFR1, Lymphotoxin a / TNFP, TNFR2, TNFa, LTpR, Lymphotoxin aip2, FAS, FASL, RELT, DR6, TROY, NGFR.
[00411] In some embodiments, an immuno-oncology agent is a cytokine that inhibits T cell activation (e.g., IL-6, IL-10, TGF-P, VEGF, and other immunosuppressive cytokines) or a cytokine that stimulates T cell activation, for stimulating an immune response. 2025200232 13 Jan 2025
[00412] In some embodiments, a combination of a compound of the invention and an immuno-oncology agent can stimulate T cell responses. In some embodiments, an immunooncology agent is: (i) an antagonist of a protein that inhibits T cell activation (e.g., immune checkpoint inhibitors) such as CTLA-4, PD-1, PD-L1, PD-L2, LAG-3, TIM-3, Galectin 9, CEACAM-1, BTLA, CD69, Galectin-1, TIGIT, CD113, GPR56, VISTA, 2B4, CD48, GARP, PD1H, LAIR1, TIM-1, and TIM-4; or (ii) an agonist of a protein that stimulates T cell activation such as B7-1, B7-2, CD28, 4-1BB (CD137), 4-1BBL, ICOS, ICOS-L, OX40, OX40L, GITR, GITRL, CD70, CD27, CD40, DR3 and CD28H.
[00413] In some embodiments, an immuno-oncology agent is an antagonist of inhibitory receptors on NK cells or an agonists of activating receptors on NK cells. In some embodiments, an immuno-oncology agent is an antagonists of KIR, such as lirilumab.
[00414] In some embodiments, an immuno-oncology agent is an agent that inhibits or depletes macrophages or monocytes, including but not limited to CSF-1R antagonists such as CSF-1R antagonist antibodies including RG7155 (WO11 / 70024, WO11 / 107553, WO11 / 131407, WO13 / 87699, WO13 / 119716, WO13 / 132044) or FPA-008 (WO11 / 140249; WO13169264; WO14 / 036357).
[00415] In some embodiments, an immuno-oncology agent is selected from agonistic agents that ligate positive costimulatory receptors, blocking agents that attenuate signaling through inhibitory receptors, antagonists, and one or more agents that increase systemically the frequency of anti-tumor T cells, agents that overcome distinct immune suppressive pathways within the tumor microenvironment (e.g., block inhibitory receptor engagement (e.g., PD-L1 / PD-1 interactions), deplete or inhibit Tregs (e.g., using an anti-CD25 monoclonal antibody (e.g., daclizumab) or by ex vivo anti-CD25 bead depletion), inhibit metabolic enzymes such as IDO, or reverse / prevent T cell energy or exhaustion) and agents that trigger innate immune activation and / or inflammation at tumor sites.
[00416] In some embodiments, an immuno-oncology agent is a CTLA-4 antagonist. In some embodiments, a CTLA-4 antagonist is an antagonistic CTLA-4 antibody. In some embodiments, an antagonistic CTLA-4 antibody is YERVOY (ipilimumab) or tremelimumab.
[00417] In some embodiments, an immuno-oncology agent is a PD-1 antagonist. In some embodiments, a PD-1 antagonist is administered by infusion. In some embodiments, an immuno- 2025200232 13 Jan 2025 oncology agent is an antibody or an antigen-binding portion thereof that binds specifically to a Programmed Death-1 (PD-1) receptor and inhibits PD-1 activity. In some embodiments, a PD-1 antagonist is an antagonistic PD-1 antibody. In some embodiments, an antagonistic PD-1 antibody is OPDIVO (nivolumab), KEYTRUDA (pembrolizumab), or MED1-0680 (AMP-514; WO2012 / 145493). In some embodiments, an immuno-oncology agent may be pidilizumab (CT-011). In some embodiments, an immuno-oncology agent is a recombinant protein composed of the extracellular domain of PD-L2 (B7-DC) fused to the Fc portion of IgGl, called AMP-224.
[00418] In some embodiments, an immuno-oncology agent is a PD-L1 antagonist. In some embodiments, a PD-L1 antagonist is an antagonistic PD-L1 antibody. In some embodiments, a PD-L1 antibody is MPDL3280A (RG7446; WO2010 / 077634), durvalumab (MEDI4736), BMS-936559 (WO2007 / 005874), and MSB0010718C (WO2013 / 79174).
[00419] In some embodiments, an immuno-oncology agent is a LAG-3 antagonist. In some embodiments, a LAG-3 antagonist is an antagonistic LAG-3 antibody. In some embodiments, a LAG3 antibody is BMS-986016 (WO10 / 19570, WO14 / 08218), or IMP-731 or IMP-321 (WO08 / 132601, WO009 / 44273).
[00420] In some embodiments, an immuno-oncology agent is a CD137 (4-1BB) agonist. In some embodiments, a CD137 (4-1BB) agonist is an agonistic CD137 antibody. In some embodiments, a CD137 antibody is urelumab or PF-05082566 (WO12 / 32433).
[00421] In some embodiments, an immuno-oncology agent is a GITR agonist. In some embodiments, a GITR agonist is an agonistic GITR antibody. In some embodiments, a GITR antibody is BMS-986153, BMS-986156, TRX-518 (WO006 / 105021, WO009 / 009116), or MK-4166 (WO11 / 028683).
[00422] In some embodiments, an immuno-oncology agent is an indoleamine (2,3)-dioxygenase (IDO) antagonist. In some embodiments, an IDO antagonist is selected from epacadostat (INCB024360, Incyte); indoximod (NLG-8189, NewLink Genetics Corporation); capmanitib (INC280, Novartis); GDC-0919 (Genentech / Roche); PF-06840003 (Pfizer); BMS:F001287 (Bristol-Myers Squibb); Phy906 / KD108 (Phytoceutica); an enzyme that breaks down kynurenine (Kynase, Kyn Therapeutics); and NLG-919 (WO09 / 73620, WO009 / 1156652, WO11 / 56652, WO12 / 142237). 2025200232 13 Jan 2025
[00423] In some embodiments, an immuno-oncology agent is an OX40 agonist. In some embodiments, an OX40 agonist is an agonistic OX40 antibody. In some embodiments, an OX40 antibody is MEDI-6383 or MED1-6469.
[00424] In some embodiments, an immuno-oncology agent is an OX40L antagonist. In some embodiments, an OX40L antagonist is an antagonistic OX40 antibody. In some embodiments, an OX40L antagonist is RG-7888 (WO06 / 029879).
[00425] In some embodiments, an immuno-oncology agent is a CD40 agonist. In some embodiments, a CD40 agonist is an agonistic CD40 antibody. In some embodiments, an immunooncology agent is a CD40 antagonist. In some embodiments, a CD40 antagonist is an antagonistic CD40 antibody. In some embodiments, a CD40 antibody is lucatumumab or dacetuzumab.
[00426] In some embodiments, an immuno-oncology agent is a CD27 agonist. In some embodiments, a CD27 agonist is an agonistic CD27 antibody. In some embodiments, a CD27 antibody is varlilumab.
[00427] In some embodiments, an immuno-oncology agent is MGA271 (to B7H3) (WO 11 / 109400).
[00428] In some embodiments, an immuno-oncology agent is abagovomab, adecatumumab, afutuzumab, alemtuzumab, anatumomab mafenatox, apolizumab, atezolimab, avelumab, blinatumomab, BMS-936559, catumaxomab, durvalumab, epacadostat, epratuzumab, indoximod, inotuzumab ozogamicin, intelumumab, ipilimumab, isatuximab, lambrolizumab, MED14736, MPDL3280A, nivolumab, obinutuzumab, ocaratuzumab, ofatumumab, olatatumab, pembrolizumab, pidilizumab, rituximab, ticilimumab, samalizumab, or tremelimumab.
[00429] In some embodiments, an immuno-oncology agent is an immunostimulatory agent. For example, antibodies blocking the PD-1 and PD-L1 inhibitory axis can unleash activated tumor-reactive T cells and have been shown in clinical trials to induce durable anti-tumor responses in increasing numbers of tumor histologies, including some tumor types that conventionally have not been considered immunotherapy sensitive. See, e.g., Okazaki, T. et al. (2013) Nat. Immunol. 14, 1212-1218; Zou et al. (2016) Sci. Transl. Med. 8. The anti-PD-1 antibody nivolumab (Opdivo®, Bristol-Myers Squibb, also known as ONO-4538, MDX1106 and BMS-936558), has shown 2025200232 13 Jan 2025 potential to improve the overall survival in patients with RCC who had experienced disease progression during or after prior anti-angiogenic therapy.
[00430] In some embodiments, the immunomodulatory therapeutic specifically induces apoptosis of tumor cells. Approved immunomodulatory therapeutics which may be used in the present invention include pomalidomide (Pomalyst®, Celgene); lenalidomide (Revlimid®, Celgene); ingenol mebutate (Picato®, LEO Pharma).
[00431] In some embodiments, an immuno-oncology agent is a cancer vaccine. In some embodiments, the cancer vaccine is selected from sipuleucel-T (Provenge®, Dendreon / Valeant Pharmaceuticals), which has been approved for treatment of asymptomatic, or minimally symptomatic metastatic castrate-resistant (hormone-refractory) prostate cancer; and talimogene laherparepvec (Imlygic®, BioVex / Amgen, previously known as T-VEC), a genetically modified oncolytic viral therapy approved for treatment of unresectable cutaneous, subcutaneous and nodal lesions in melanoma. In some embodiments, an immuno-oncology agent is selected from an oncolytic viral therapy such as pexastimogene devacirepvec (PexaVec / JX-594, SillaJen / formerly Jennerex Biotherapeutics), a thymidine kinase- (TK-) deficient vaccinia virus engineered to express GM-CSF, for hepatocellular carcinoma (NCT02562755) and melanoma (NCT00429312); pelareorep (Reolysin®, Oncolytics Biotech), a variant of respiratory enteric orphan virus (reovirus) which does not replicate in cells that are not RAS-activated, in numerous cancers, including colorectal cancer (NCT01622543); prostate cancer (NCT01619813); head and neck squamous cell cancer (NCT01166542); pancreatic adenocarcinoma (NCT00998322); and nonsmall cell lung cancer (NSCLC) (NCT 00861627); enadenotucirev (NG-348, PsiOxus, formerly known as ColoAdl), an adenovirus engineered to express a full length CD80 and an antibody fragment specific for the T-cell receptor CD3 protein, in ovarian cancer (NCT02028117); metastatic or advanced epithelial tumors such as in colorectal cancer, bladder cancer, head and neck squamous cell carcinoma and salivary gland cancer (NCT02636036); ONCOS-102 (Targovax / formerly Oncos), an adenovirus engineered to express GM-CSF, in melanoma (NCT03003676); and peritoneal disease, colorectal cancer or ovarian cancer (NCT02963831); GL-ONC1 (GLV-lh68 / GLV-lhl53, Genelux GmbH), vaccinia viruses engineered to express betagalactosidase (beta-gal) / beta-glucoronidase or beta-gal / human sodium iodide symporter (hNIS), respectively, were studied in peritoneal carcinomatosis (NCT01443260); fallopian tube cancer, 2025200232 13 Jan 2025 ovarian cancer (NCT 02759588); or CG0070 (Cold Genesys), an adenovirus engineered to express GM-CSF, in bladder cancer (NCT02365818).
[00432] In some embodiments, an immuno-oncology agent is selected from JX-929 (SillaJen / formerly Jennerex Biotherapeutics), a TK- and vaccinia growth factor-deficient vaccinia virus engineered to express cytosine deaminase, which is able to convert the prodrug 5-fluorocytosine to the cytotoxic drug 5-fluorouracil; TG01 and TG02 (Targovax / formerly Oncos), peptide-based immunotherapy agents targeted for difficult-to-treat RAS mutations; and TILT-123 (TILT Biotherapeutics), an engineered adenovirus designated: Ad5 / 3-E2F-delta24-hTNFa-IRES-hIL20; and VSV-GP (ViraTherapeutics) a vesicular stomatitis virus (VSV) engineered to express the glycoprotein (GP) of lymphocytic choriomeningitis virus (LCMV), which can be further engineered to express antigens designed to raise an antigen-specific CD8+ T cell response.
[00433] In some embodiments, an immuno-oncology agent is a T-cell engineered to express a chimeric antigen receptor, or CAR. The T-cells engineered to express such chimeric antigen receptor are referred to as a CAR-T cells.
[00434] CARs have been constructed that consist of binding domains, which may be derived from natural ligands, single chain variable fragments (scFv) derived from monoclonal antibodies specific for cell-surface antigens, fused to endodomains that are the functional end of the T-cell receptor (TCR), such as the CD3-zeta signaling domain from TCRs, which is capable of generating an activation signal in T lymphocytes. Upon antigen binding, such CARs link to endogenous signaling pathways in the effector cell and generate activating signals similar to those initiated by the TCR complex.
[00435] For example, in some embodiments the CAR-T cell is one of those described in U.S. Patent 8,906,682 (June; hereby incorporated by reference in its entirety), which discloses CAR-T cells engineered to comprise an extracellular domain having an antigen binding domain (such as a domain that binds to CD 19), fused to an intracellular signaling domain of the T cell antigen receptor complex zeta chain (such as CD3 zeta). When expressed in the T cell, the CAR is able to redirect antigen recognition based on the antigen binding specificity. In the case of CD 19, the antigen is expressed on malignant B cells. Over 200 clinical trials are currently in progress employing CAR-T in a wide range of indications. [https: / / clinicaltrials.gov / ct2 / results?term=chimeric+antigen+receptors&pg=l]. 2025200232 13 Jan 2025
[00436] In some embodiments, an immunostimulatory agent is an activator of retinoic acid receptor-related orphan receptor y (RORyt). RORyt is a transcription factor with key roles in the differentiation and maintenance of Type 17 effector subsets of CD4+ (Thl7) and CD8+ (Tcl7) T cells, as well as the differentiation of IL-17 expressing innate immune cell subpopulations such as NK cells. In some embodiments, an activator of RORyt is LYC-55716 (Lycera), which is currently being evaluated in clinical trials for the treatment of solid tumors (NCT02929862).
[00437] In some embodiments, an immunostimulatory agent is an agonist or activator of a toll-like receptor (TLR). Suitable activators of TLRs include an agonist or activator of TLR9 such as SD-101 (Dynavax). SD-101 is an immunostimulatory CpG which is being studied for B-cell, follicular and other lymphomas (NCT02254772). Agonists or activators of TLR8 which may be used in the present invention include motolimod (VTX-2337, VentiRx Pharmaceuticals) which is being studied for squamous cell cancer of the head and neck (NCT02124850) and ovarian cancer (NCT02431559).
[00438] Other immuno-oncology agents that may be used in the present invention include urelumab (BMS-663513, Bristol-Myers Squibb), an anti-CD137 monoclonal antibody; varlilumab (CDX-1127, Celldex Therapeutics), an anti-CD27 monoclonal antibody; BMS-986178 (Bristol-Myers Squibb), an anti-OX40 monoclonal antibody; lirilumab (IPH2102 / BMS-986015, Innate Pharma, Bristol-Myers Squibb), an anti-KIR monoclonal antibody; monalizumab (IPH2201, Innate Pharma, AstraZeneca) an anti-NKG2A monoclonal antibody; andecaliximab (GS-5745, Gilead Sciences), an anti-MMP9 antibody; MK-4166 (Merck & Co.), an anti-GITR monoclonal antibody.
[00439] In some embodiments, an immunostimulatory agent is selected from elotuzumab, mifamurtide, an agonist or activator of a toll-like receptor, and an activator of RORyt.
[00440] In some embodiments, an immunostimulatory therapeutic is recombinant human interleukin 15 (rhIL-15). rhIL-15 has been tested in the clinic as a therapy for melanoma and renal cell carcinoma (NCT01021059 and NCT01369888) and leukemias (NCT02689453). In some embodiments, an immunostimulatory agent is recombinant human interleukin 12 (rhIL-12). In some embodiments, an IL-15 based immunotherapeutic is heterodimeric IL-15 (hetIL-15, Novartis / Admune), a fusion complex composed of a synthetic form of endogenous IL-15 complexed to the soluble IL-15 binding protein IL-15 receptor alpha chain (IL15:sIL-15RA), 2025200232 13 Jan 2025 which has been tested in Phase 1 clinical trials for melanoma, renal cell carcinoma, non-small cell lung cancer and head and neck squamous cell carcinoma (NCT02452268). In some embodiments, a recombinant human interleukin 12 (rhIL-12) is NM-IL-12 (Neumedicines, Inc.), NCT02544724, or NCT02542124.
[00441] In some embodiments, an immuno-oncology agent is selected from those described in Jerry L. Adams et al., “Big opportunities for small molecules in immuno-oncology,” Cancer Therapy 2015, Vol. 14, pages 603-622, the content of which is incorporated herein by reference in its entirety. In some embodiments, an immuno-oncology agent is selected from the examples described in Table 1 of Jerry L. Adams et al. In some embodiments, an immuno-oncology agent is a small molecule targeting an immuno-oncology target selected from those listed in Table 2 of Jerry L. Adams et al. In some embodiments, an immuno-oncology agent is a small molecule agent selected from those listed in Table 2 of Jerry L. Adams et al.
[00442] In some embodiments, an immuno-oncology agent is selected from the small molecule immuno-oncology agents described in Peter L. Toogood, “Small molecule immunooncology therapeutic agents,” Bioorganic & Medicinal Chemistry Letters 2018, Vol. 28, pages 319-329, the content of which is incorporated herein by refenrece in its entirety. In some embodiments, an immuno-oncology agent is an agent targeting the pathways as described in Peter L. Toogood.
[00443] In some embodiments, an immuno-oncology agent is selected from those described in Sandra L. Ross et al., “Bispecific T cell engager (BiTE® ) antibody constructs can mediate bystander tumor cell killing”, PLoS ONE 12(8): e0183390, the conten of which is incorporated herein by reference in its entirety. In some embodiments, an immuno-oncology agent is a bispecific T cell engager (BiTE®) antibody construct. In some embodimens, a bispecific T cell engager (BiTE®) antibody construct is a CD19 / CD3 bispecific antibody construct. In some embodimens, a bispecific T cell engager (BiTE®) antibody construct is an EGFR / CD3 bispecific antibody construct. In some embodimens, a bispecific T cell engager (BiTE®) antibody construct activates T cells. In some embodimens, a bispecific T cell engager (BiTE®) antibody construct activates T cells, which release cytokines inducing upregulation of intercellular adhesion molecule 1 (ICAM-1) and FAS on bystander cells. In some embodimens, a bispecific T cell engager (BiTE®) antibody construct activates T cells which result in induced bystander cell lysis. In some 2025200232 13 Jan 2025 embodiments, the bystander cells are in solid tumors. In some embodiments, the bystander cells being lysed are in proximity to the BiTE®-acticvated T cells. In some embodiment, the bystander cells comprises tumor-associated antigen (TAA) negatgive cancer cells. In some embodiment, the bystander cells comprise EGFR-negative cancer cells. In some embodiments, an immunooncology agent is an antibody which blocks the PD-L1 / PD1 axis and / or CTLA4. In some embodiments, an immuno-oncology agent is an ex-vivo expanded tumor-infiltrating T cell. In some embodiments, an immuno-oncology agent is a bispecific antibody construct or chimeric antigen receptors (CARs) that directly connect T cells with tumor-associated surface antigens (TAAs). Exemplary Immune Checkpoint Inhibitors
[00444] In some embodiments, an immuno-oncology agent is an immune checkpoint inhibitor as described herein.
[00445] The term “checkpoint inhibitor” as used herein relates to agents useful in preventing cancer cells from avoiding the immune system of the patient. One of the major mechanisms of anti-tumor immunity subversion is known as “T-cell exhaustion,” which results from chronic exposure to antigens that has led to up-regulation of inhibitory receptors. These inhibitory receptors serve as immune checkpoints in order to prevent uncontrolled immune reactions.
[00446] PD-1 and co-inhibitory receptors such as cytotoxic T-lymphocyte antigen 4 (CTLA-4, B and T Lymphocyte Attenuator (BTLA; CD272), T cell Immunoglobulin and Mucin domain-3 (Tim-3), Lymphocyte Activation Gene-3 (Lag-3; CD223), and others are often referred to as a checkpoint regulators. They act as molecular “gatekeepers” that allow extracellular information to dictate whether cell cycle progression and other intracellular signaling processes should proceed.
[00447] In some embodiments, an immune checkpoint inhibitor is an antibody to PD-1. PD-1 binds to the programmed cell death 1 receptor (PD-1) to prevent the receptor from binding to the inhibitory ligand PDL-1, thus overriding the ability of tumors to suppress the host anti-turn or immune response.
[00448] In one aspect, the checkpoint inhibitor is a biologic therapeutic or a small molecule. In another aspect, the checkpoint inhibitor is a monoclonal antibody, a humanized antibody, a fully 2025200232 13 Jan 2025 human antibody, a fusion protein or a combination thereof. In a further aspect, the checkpoint inhibitor inhibits a checkpoint protein selected from CTLA-4, PDL1, PDL2, PD1, B7-H3, B7-H4, BTLA, HVEM, TIM3, GAL9, LAG3, VISTA, KIR, 2B4, CD160, CGEN-15049, CHK 1, CHK2, A2aR, B-7 family ligands or a combination thereof. In an additional aspect, the checkpoint inhibitor interacts with a ligand of a checkpoint protein selected from CTLA-4, PDL1, PDL2, PD1, B7-H3, B7-H4, BTLA, HVEM, TIM3, GAL9, LAG3, VISTA, KIR, 2B4, CD160, CGEN-15049, CHK 1, CHK2, A2aR, B-7 family ligands or a combination thereof. In an aspect, the checkpoint inhibitor is an immunostimulatory agent, a T cell growth factor, an interleukin, an antibody, a vaccine or a combination thereof. In a further aspect, the interleukin is IL-7 or IL-15. In a specific aspect, the interleukin is glycosylated IL-7. In an additional aspect, the vaccine is a dendritic cell (DC) vaccine.
[00449] Checkpoint inhibitors include any agent that blocks or inhibits in a statistically significant manner, the inhibitory pathways of the immune system. Such inhibitors may include small molecule inhibitors or may include antibodies, or antigen binding fragments thereof, that bind to and block or inhibit immune checkpoint receptors or antibodies that bind to and block or inhibit immune checkpoint receptor ligands. Illustrative checkpoint molecules that may be targeted for blocking or inhibition include, but are not limited to, CTLA-4, PDL1, PDL2, PD1, B7-H3, B7-H4, BTLA, HVEM, GAL9, LAG3, TIM3, VISTA, KIR, 2B4 (belongs to the CD2 family of molecules and is expressed on all NK, y5, and memory CD8+ (aP) T cells), CD160 (also referred to as BY55), CGEN-15049, CHK 1 and CHK2 kinases, A2aR, and various B-7 family ligands. B7 family ligands include, but are not limited to, B7- 1, B7-2, B7-DC, B7-H1, B7-H2, B7-H3, B7-H4, B7-H5, B7-H6 and B7-H7. Checkpoint inhibitors include antibodies, or antigen binding fragments thereof, other binding proteins, biologic therapeutics, or small molecules, that bind to and block or inhibit the activity of one or more of CTLA-4, PDL1, PDL2, PD1, BTLA, HVEM, TIM3, GAL9, LAG3, VISTA, KIR, 2B4, CD 160 and CGEN-15049. Illustrative immune checkpoint inhibitors include Tremelimumab (CTLA-4 blocking antibody), anti-OX40, PD-L1 monoclonal Antibody (Anti-B7-Hl; MEDI4736), MK-3475 (PD-1 blocker), Nivolumab (anti-PDl antibody), CT-011 (anti-PDl antibody), BY55 monoclonal antibody, AMP224 (anti-PDLl antibody), BMS- 936559 (anti-PDLl antibody), MPLDL3280A (anti-PDLl antibody), MSB0010718C (anti-PDLl antibody), and ipilimumab (anti-CTLA-4 checkpoint inhibitor). 2025200232 13 Jan 2025 Checkpoint protein ligands include, but are not limited to PD-L1, PD-L2, B7-H3, B7-H4, CD28, CD86 and TIM-3.
[00450] In certain embodiments, the immune checkpoint inhibitor is selected from a PD-1 antagonist, a PD-L1 antagonist, and a CTLA-4 antagonist. In some embodiments, the checkpoint inhibitor is selected from the group consisting of nivolumab (Opdivo®), ipilimumab (Yervoy®), and pembrolizumab (Keytruda®). In some embodiments, the checkpoint inhibitor is selected from nivolumab (anti-PD-1 antibody, Opdivo®, Bristol-Myers Squibb); pembrolizumab (anti-PD-1 antibody, Keytruda®, Merck); ipilimumab (anti-CTLA-4 antibody, Yervoy®, Bristol-Myers Squibb); durvalumab (anti-PD-Ll antibody, Imfinzi®, AstraZeneca); and atezolizumab (anti-PD-L1 antibody, Tecentriq®, Genentech).
[00451] In some embodiments, the checkpoint inhibitor is selected from the group consisting of lambrolizumab (MK-3475), nivolumab (BMS-936558), pidilizumab (CT-011), AMP-224, MDX-1105, MEDI4736, MPDL3280A, BMS-936559, ipilimumab, lirlumab, IPH2101, pembrolizumab (Keytruda®), and tremelimumab.
[00452] In some embodiments, an immune checkpoint inhibitor is REGN2810 (Regeneron), an anti-PD-1 antibody tested in patients with basal cell carcinoma (NCT03132636); NSCLC (NCT03088540); cutaneous squamous cell carcinoma (NCT02760498); lymphoma (NCT02651662); and melanoma (NCT03002376); pidilizumab (CureTech), also known as CT-011, an antibody that binds to PD-1, in clinical trials for diffuse large B-cell lymphoma and multiple myeloma; avelumab (Bavencio®, Pfizer / Merck KGaA), also known as MSB0010718C), a fully human IgGl anti-PD-Ll antibody, in clinical trials for non-small cell lung cancer, Merkel cell carcinoma, mesothelioma, solid tumors, renal cancer, ovarian cancer, bladder cancer, head and neck cancer, and gastric cancer; or PDR001 (Novartis), an inhibitory antibody that binds to PD-1, in clinical trials for non-small cell lung cancer, melanoma, triple negative breast cancer and advanced or metastatic solid tumors. Tremelimumab (CP-675,206; Astrazeneca) is a fully human monoclonal antibody against CTLA-4 that has been in studied in clinical trials for a number of indications, including: mesothelioma, colorectal cancer, kidney cancer, breast cancer, lung cancer and non-small cell lung cancer, pancreatic ductal adenocarcinoma, pancreatic cancer, germ cell cancer, squamous cell cancer of the head and neck, hepatocellular carcinoma, prostate cancer, endometrial cancer, metastatic cancer in the liver, liver cancer, large B-cell lymphoma, ovarian 2025200232 13 Jan 2025 cancer, cervical cancer, metastatic anaplastic thyroid cancer, urothelial cancer, fallopian tube cancer, multiple myeloma, bladder cancer, soft tissue sarcoma, and melanoma. AGEN-1884 (Agenus) is an anti-CTLA4 antibody that is being studied in Phase 1 clinical trials for advanced solid tumors (NCT02694822).
[00453] In some embodiments, a checkpoint inhibitor is an inhibitor of T-cell immunoglobulin mucin containing protein-3 (TIM-3). TIM-3 inhibitors that may be used in the present invention include TSR-022, LY3321367 and MBG453. TSR-022 (Tesaro) is an anti-TIM-3 antibody which is being studied in solid tumors (NCT02817633). LY3321367 (Eli Lilly) is an anti-TIM-3 antibody which is being studied in solid tumors (NCT03099109). MBG453 (Novartis) is an anti-TIM-3 antibody which is being studied in advanced malignancies (NCT02608268).
[00454] In some embodiments, a checkpoint inhibitor is an inhibitor of T cell immunoreceptor with Ig and ITIM domains, or TIGIT, an immune receptor on certain T cells and NK cells. TIGIT inhibitors that may be used in the present invention include BMS-986207 (Bristol-Myers Squibb), an anti-TIGIT monoclonal antibody (NCT02913313); OMP-313M32 (Oncomed); and anti-TIGIT monoclonal antibody (NCT03119428).
[00455] In some embodiments, a checkpoint inhibitor is an inhibitor of Lymphocyte Activation Gene-3 (LAG-3). LAG-3 inhibitors that may be used in the present invention include BMS-986016 and REGN3767 and IMP321. BMS-986016 (Bristol-Myers Squibb), an anti-LAG-3 antibody, is being studied in glioblastoma and gliosarcoma (NCT02658981). REGN3767 (Regeneron), is also an anti-LAG-3 antibody, and is being studied in malignancies (NCT03005782). IMP321 (Immutep S.A.) is an LAG-3-Ig fusion protein, being studied in melanoma (NCT02676869); adenocarcinoma (NCT02614833); and metastatic breast cancer (NCT00349934).
[00456] Checkpoint inhibitors that may be used in the present invention include OX40 agonists. OX40 agonists that are being studied in clinical trials include PF-04518600 / PF-8600 (Pfizer), an agonistic anti-OX40 antibody, in metastatic kidney cancer (NCT03092856) and advanced cancers and neoplasms (NCT02554812; NCT05082566); GSK3174998 (Merck), an agonistic anti-OX40 antibody, in Phase 1 cancer trials (NCT02528357); MED10562 (Medimmune / AstraZeneca), an agonistic anti-OX40 antibody, in advanced solid tumors (NCT02318394 and NCT02705482); MEDI6469, an agonistic anti-OX40 antibody 2025200232 13 Jan 2025 (Medimmune / AstraZeneca), in patients with colorectal cancer (NCT02559024), breast cancer (NCTO1862900), head and neck cancer (NCT02274155) and metastatic prostate cancer (NCT01303705); and BMS-986178 (Bristol-Myers Squibb) an agonistic anti-OX40 antibody, in advanced cancers (NCT02737475).
[00457] Checkpoint inhibitors that may be used in the present invention include CD137 (also called 4-1BB) agonists. CD137 agonists that are being studied in clinical trials include utomilumab (PF-05082566, Pfizer) an agonistic anti-CD137 antibody, in diffuse large B-cell lymphoma (NCT02951156) and in advanced cancers and neoplasms (NCT02554812 and NCT05082566); urelumab (BMS-663513, Bristol-Myers Squibb), an agonistic anti-CD137 antibody, in melanoma and skin cancer (NCT02652455) and glioblastoma and gliosarcoma (NCT02658981).
[00458] Checkpoint inhibitors that may be used in the present invention include CD27 agonists. CD27 agonists that are being studied in clinical trials include varlilumab (CDX-1127, Celldex Therapeutics) an agonistic anti-CD27 antibody, in squamous cell head and neck cancer, ovarian carcinoma, colorectal cancer, renal cell cancer, and glioblastoma (NCT02335918); lymphomas (NCT01460134); and glioma and astrocytoma (NCT02924038).
[00459] Checkpoint inhibitors that may be used in the present invention include glucocorticoid-induced tumor necrosis factor receptor (GITR) agonists. GITR agonists that are being studied in clinical trials include TRX518 (Leap Therapeutics), an agonistic anti-GITR antibody, in malignant melanoma and other malignant solid tumors (NCT01239134 and NCT02628574); GWN323 (Novartis), an agonistic anti-GITR antibody, in solid tumors and lymphoma (NCT 02740270); INCAGN01876 (Incyte / Agenus), an agonistic anti-GITR antibody, in advanced cancers (NCT02697591 and NCT03126110); MK-4166 (Merck), an agonistic anti-GITR antibody, in solid tumors (NCT02132754) and MEDI1873 (Medimmune / AstraZeneca), an agonistic hexameric GITR-ligand molecule with a human IgGl Fc domain, in advanced solid tumors (NCT02583165).
[00460] Checkpoint inhibitors that may be used in the present invention include inducible T-cell co-stimulator (ICOS, also known as CD278) agonists. ICOS agonists that are being studied in clinical trials include MEDI-570 (Medimmune), an agonistic anti-ICOS antibody, in lymphomas (NCT02520791); GSK3359609 (Merck), an agonistic anti-ICOS antibody, in Phase 1 2025200232 13 Jan 2025 (NCT02723955); JTX-2011 (Jounce Therapeutics), an agonistic anti-ICOS antibody, in Phase 1 (NCT02904226).
[00461] Checkpoint inhibitors that may be used in the present invention include killer IgG-like receptor (KIR) inhibitors. KIR inhibitors that are being studied in clinical trials include lirilumab (IPH2102 / BMS-986015, Innate Pharma / Bristol -Myers Squibb), an anti-KIR antibody, in leukemias (NCT01687387, NCT02399917, NCT02481297, NCT02599649), multiple myeloma (NCT02252263), and lymphoma (NCT01592370); IPH2101 (1-7F9, Innate Pharma) in myeloma (NCT01222286 and NCT01217203); and IPH4102 (Innate Pharma), an anti-KIR antibody that binds to three domains of the long cytoplasmic tail (KIR3DL2), in lymphoma (NCT02593045).
[00462] Checkpoint inhibitors that may be used in the present invention include CD47 inhibitors of interaction between CD47 and signal regulatory protein alpha (SIRPa). CD47 / SIRPa inhibitors that are being studied in clinical trials include ALX-148 (Alexo Therapeutics), an antagonistic variant of (SIRPa) that binds to CD47 and prevents CD47 / SIRPa-mediated signaling, in phase 1 (NCT03013218); TTI-621 (SIRPa-Fc, Trillium Therapeutics), a soluble recombinant fusion protein created by linking the N-terminal CD47-binding domain of SIRPa with the Fc domain of human IgGl, acts by binding human CD47, and preventing it from delivering its “do not eat” signal to macrophages, is in clinical trials in Phase 1 (NCT02890368 andNCT02663518); CC-90002 (Celgene), an anti-CD47 antibody, in leukemias (NCT02641002); and Hu5F9-G4 (Forty Seven, Inc.), in colorectal neoplasms and solid tumors (NCT02953782), acute myeloid leukemia (NCT02678338) and lymphoma (NCT02953509).
[00463] Checkpoint inhibitors that may be used in the present invention include CD73 inhibitors. CD73 inhibitors that are being studied in clinical trials include MEDI9447 (Medimmune), an anti-CD73 antibody, in solid tumors (NCT02503774); and BMS-986179 (Bristol-Myers Squibb), an anti-CD73 antibody, in solid tumors (NCT02754141).
[00464] Checkpoint inhibitors that may be used in the present invention include agonists of stimulator of interferon genes protein (STING, also known as transmembrane protein 173, or TMEM173). Agonists of STING that are being studied in clinical trials include MK-1454 (Merck), an agonistic synthetic cyclic dinucleotide, in lymphoma (NCT03010176); and ADU-S100 (MIW815, Aduro Biotech / Novartis), an agonistic synthetic cyclic dinucleotide, in Phase 1 (NCT02675439 and NCT03172936). 2025200232 13 Jan 2025
[00465] Checkpoint inhibitors that may be used in the present invention include CSF1R inhibitors. CSF1R inhibitors that are being studied in clinical trials include pexidartinib (PLX3397, Plexxikon), a CSF1R small molecule inhibitor, in colorectal cancer, pancreatic cancer, metastatic and advanced cancers (NCT02777710) and melanoma, non-small cell lung cancer, squamous cell head and neck cancer, gastrointestinal stromal tumor (GIST) and ovarian cancer (NCT02452424); and IMC-CS4 (LY3022855, Lilly), an anti-CSF-lR antibody, in pancreatic cancer (NCT03153410), melanoma (NCT03101254), and solid tumors (NCT02718911); and BLZ945 (4-[2((lR,2R)-2-hydroxycyclohexylamino)-benzothiazol-6-yloxyl]-pyridine-2- carboxylic acid methylamide, Novartis), an orally available inhibitor of CSF1R, in advanced solid tumors (NCT02829723).
[00466] Checkpoint inhibitors that may be used in the present invention include NKG2A receptor inhibitors. NKG2A receptor inhibitors that are being studied in clinical trials include monalizumab (IPH2201, Innate Pharma), an anti-NKG2A antibody, in head and neck neoplasms (NCT02643550) and chronic lymphocytic leukemia (NCT02557516).
[00467] In some embodiments, the immune checkpoint inhibitor is selected from nivolumab, pembrolizumab, ipilimumab, avelumab, durvalumab, atezolizumab, or pidilizumab. EXEMPLIFICATION
[00468] As depicted in the Examples below, in certain exemplary embodiments, compounds are prepared according to the following general procedures. It will be appreciated that, although the general methods depict the synthesis of certain compounds of the present invention, the following general methods, and other methods known to one of ordinary skill in the art, can be applied to all compounds and subclasses and species of each of these compounds, as described herein.
[00469] Preparation 1: 2-(l / 7-Pyrazol-4-yl)morpholine Al. A1 2025200232 13 Jan 2025
[00470] A mixture of tert-butyl 2-(2-oxoethyl)morpholine-4-carboxylate (5.77 g, 25 mmol) and DMF-DMA (6.7 mL, 50 mmol) in DMF (50 mL) was stirred at 80 °C for 17 hours. The reaction mixture was cooled to ambient temperature and the solvent removed in vacuo. The residue was taken up in EtOH (100 mL) and hydrazine hydrate (1.3 mL, 26.5 mmol) was added with stirring at ambient temperature. After 3 hours, the solvent was removed in vacuo and the residue purified by column chromatography (silica, PE / EtOAc gradient elution), to give tert-butyl 2-(1 / / -pyrazol-4-yl)morpholine-4-carboxylate (2.35 g, 37%) as a yellow solid; 'H NMR (500 MHz, Chloroform-d) 8 7.63 (s, 2H), 4.52 (dd, 1H), 4.12 (br s, 1H), 3.97 - 3.90 (m, 2H), 3.68 (td, 1H), 3.05 (d, 2H), 1.51 (s, 9H); MS m / z'. 254.1 (M+H)+.
[00471] 3M HC1 in MeOH (45 mL of 3 M, 135 mmol) was added to a stirred solution of tert-butyl 2-(l / / -pyrazol-4-yl)morpholine-4-carboxylate (2.35 g, 9.3 mmol) in DCM (75 mL) and the reaction heated under reflux for 5 hours. The reaction was cooled to ambient temperature and the solvent removed in vacuo. The residue was dissolved in the minimum amount of DCM / MeOH and loaded on to an ion-exchange cartridge. The cartridge was washed with MeOH / DCM mixtures, which were discarded. The product was eluted by washing with 2 M NH3 in MeOH / DCM. Solvent was removed in vacuo to give 2-(l / / -pyrazol-4-yl)morpholine Al (1.27 g, 89%) as an orange solid, which was taken on to the next reaction without further purification; 'H NMR (500 MHz, Chloroform-d) 8 7.60 (s, 2H), 4.56 (dd, 1H), 3.98 (ddd, 1H), 3.77 (td, 1H), 3.11 (dd, 1H), 3.00 (td, 1H), 2.93 - 2.88 (m, 2H); MS m / z'. 154.2 (M+H)+.
[00472] Preparation 2: A-((6-Methylmorpholin-2-yl)methyl)methanesulfonamide A2. H Boc H .N i) Boc2O i)BocNHSO2Me / N ii)TFA ^JxQ / ^NHSOgMe A2
[00473] Di-terLbutyl dicarbonate (600 mg, 2.75 mmol) was added to a stirred solution of (6-methylmorpholin-2-yl)methanol (300 mg, 2.3 mmol) and EtsN (835 pL, 6 mmol) in DCM (5 mL) at ambient temperature and the reaction stirred for 2 hours. The reaction mixture was washed with 0.5 M HC1 (x 1), water (x 2) and brine (x 1). The combined organics were dried (MgSO4) and concentrated in vacuo. The residue was purified by column chromatography (silica, PE / EtOAc gradient elution) to give cis-te / 7-butyl 2-(hydroxymethyl)-6-methyl-morpholine-4-carboxylate 2025200232 13 Jan 2025 (225 mg, 42%) as a colourless oil, ^NMR (500 MHz, Chloroform-d) 8 3.90 (s, 2H), 3.73 - 3.68 (m, 1H), 3.64 - 3.55 (m, 3H), 2.67 (s, 1H), 2.49 (s, 1H), 1.94 (dd, 1H), 1.49 (s, 9H), 1.21 (d, 3H), and trans-te / 7-butyl 2-(hydroxymethyl)-6-methyl-morpholine-4-carboxylate (170 mg, 32%) as a colourless oil; 'H NMR (500 MHz, Chloroform-d) 8 4.00 - 3.96 (m, 1H), 3.90 (s, 1H), 3.72 (s, 1H), 3.66 - 3.49 (m, 3H), 3.38 (ddd, 1H), 3.15 (s, 1H), 1.98 - 1.82 (m, 1H), 1.49 (s, 9H), 1.23 (d, 3H).
[00474] To a solution of cis-tert-butyl 2-(hydroxymethyl)-6-methyl-morpholine-4-carboxylate (225 mg, 1 mmol), tert-butyl A-methyl sulfonyl carbarn ate (280 mg, 1.4 mmol) and PPhs (760 mg, 3 mmol) in THF (10 mL) was added DEAD (330 pL, 2 mmol) dropwise and the reaction mixture stirred at ambient temperature under N2 for 18 hours. The reaction mixture was concentrated in vacuo and purified by column chromatography to give cis-tert-butyl butoxycarbonyl (methylsulfonyl)amino]methyl]-6-methyl-morpholine-4-carboxylate as a colourless oil. This material was taken up in DCM (10 mL) and TFA (2 mL, 26 mmol) was added at ambient temperature. After 3 hours the solvent was removed in vacuo and the residue azeotroped with DCM (x 2) and diethyl ether (x 2). The residue was taken up in MeOH and passed through an ion-exchange cartridge, washing with MeOH / DCM mixtures. The product was eluted with 2 M NH3 in MeOH / DCM. The solvent was removed in vacuo to give cA-7V-[(6-methylmorpholin-2-yl)methyl]methanesulfonamide A2 (173 mg, 85%) as a white solid, which was taken on to the next reaction without further purification; 'H NMR (500 MHz, Chloroform-d) 8 4.66 (br s, 1H), 3.59 -3.49 (m, 2H), 3.17 (dd, 1H), 2.99 (dd, 1H), 2.90 (s, 3H), 2.78 (dd, 2H), 2.47 (dd, 1H), 2.35 (dd, 1H), 1.05 (d, 3H); MS m / z\ 209 (M+H)+.
[00475] Preparation 3: 7V-((4,4-Difluoropiperidin-3-yl)methyl)methanesulfonamide A3. Boc H i) MsCI ^^NH2 ii)TFA * ^X^NHSO2Me F F F F A3
[00476] Methanesulfonyl chloride (200 pL, 2.6 mmol) was added to a solution of tert-butyl 3-(aminomethyl)-4,4-difluoro-piperidine-l-carboxylate (500 mg, 1.8 mmol) and EtsN (400 pL, 2.9 mmol) in THF (11 mL) under N2. The reaction mixture was stirred at ambient temperature for 3 hours then diluted with DCM and saturated aqueous NaHCO, solution. The mixture was stirred 2025200232 13 Jan 2025 for 10 minutes then passed through a phase separator cartridge. The organic phase was concentrated and the residue taken up in DCM / TFA (2 mL / 2 mL), stirred for 2 hours then concentrated. The residue was taken up in MeOH and passed through an ion-exchange cartridge, washing with methanol and eluting the product with 2 M methanolic ammonia solution. The solution was concentrated in vacuo to give a white solid of A-((4,4-difluoropiperidin-3-yl)methyl) methanesulfonamide A3 (450mg), which was taken on to the next reaction without further purification; ^NMR (500 MHz, DMSO-d6) 6 7.10 (t, 1H), 3.27 (ddd, 2H), 3.11 - 3.01 (m, 1H), 2.91-2.85 (m, 5H), 2.69 - 2.56 (m, 1H), 2.40 (dd, 1H), 2.08 - 1.86 (m, 2H), 1.84 - 1.66 (m, 1H).
[00477] Preparation 4: (5)-A-((6-Oxopiperazin-2-yl)methyl)methanesulfonamide A4. i) CbzCI i) MsCI n ii) Pthalimide n^M-^ / NH2 ") Et3SiH r.X..X^NHSO2Me iii) N2H4 ° [j Pd(OAc)2 ° A4
[00478] Benzyl chloroformate (1.2 mL, 8.5 mmol) was added to an ice cold solution of (65)-6-(hydroxymethyl)piperazin-2-one (800 mg, 6.15 mmol) and K2CO3 (5.95 g, 43 mmol) in EtOAc (20 mL) / H2O (20 mL). The reaction mixture was stirred for 18 hours at ambient temperature. The reaction mixture was diluted with EtOAc, washed with saturated aqueous sodium bicarbonate solution and brine. The organic phase was dried (Na2SO4), filtered and concentrated in vacuo. The residue was purified by column chromatography to give benzyl (35)-3-(hydroxymethyl)-5-oxo-piperazine-1-carboxylate as a colourless oil (700 mg, 43%); MS m / z: 265 (M+H)+.
[00479] DIAD (1.5 mL, 7.6 mmol) was added to an ice cold solution of phthalimide (1.11 g, 7.6 mmol) and PPI13 (1.75 mL, 7.6 mmol) in DCM (10 mL) under N2. The solution was stirred for 10 minutes, then benzyl (35)-3-(hydroxymethyl)-5-oxo-piperazine-l-carboxylate (500 mg, 1.9 mmol) was added. The solution was stirred for 18 hours, gradually warming to ambient temperature. The solution was diluted with a saturated aqueous NaHCOs solution. After 5 minutes stirring, the layers were separated using a phase separator cartridge. The organic phase was concentrated in vacuo and the residue purified by column chromatography (silica, PE / EtOAc gradient elution to give benzyl (37?)-3-[(l,3-dioxoisoindolin-2-yl)methyl]-5-oxo-piperazine-l-carboxylate as an oil (700 mg, -60% pure), which was taken directly on to the next step; MS m / z: 394 (M+H)+. 2025200232 13 Jan 2025
[00480] A mixture of benzyl (37?)-3-[(l,3-dioxoisoindolin-2-yl)methyl]-5-oxo-piperazine-1-carboxylate (700 mg, 1.068 mmol) and hydrazine hydrate (100 pL, 2.04 mmol) in ethanol (5 mL) was heated under reflux for 5 hours. The resulting suspension was filtered and the white solid was washed thoroughly with ethanol. The ethanolic solution was added to an ion-exchange cartridge washing with methanol, then eluting the product with a 2 M methanolic NH3 solution. The filtrate was concentrated to give (R)-benzyl 3-(aminomethyl)-5-oxopiperazine-l-carboxylate as a colourless oil which was taken directly on to the next step (240mg, 85%); MS m / z: 264 (M+H)+.
[00481] Methanesulfonyl chloride (100 pL, 1.3 mmol) was added to an ice cold solution of benzyl (37?)-3-(aminomethyl)-5-oxo-piperazine-l-carboxylate (240 mg, 1 mmol) and EtsN (200 pL, 1.4 mmol) in DCM (5 mL) under N2. The solution was stirred for 3 hours, gradually warming to ambient temperature. The reaction mixture was diluted with DCM and a saturated aqueous NaHCOs solution. After 5 minutes, the organic phase was isolated using a phase separator cartridge, then concentrated in vacuo. The residue was purified by column chromatography (silica, PE / EtOAc gradient elution) to give benzyl (3k)-3-(methanesulfonamidomethyl)-5-oxo-piperazine-1-carboxylate as a white foam (233 mg, 75%) that was taken directly on to the next step; MS m / z: 342 (M+H)+.
[00482] A mixture of benzyl (35)-3-(methanesulfonamidomethyl)-5-oxo-piperazine-l-carboxylate (230 mg, 0.7 mmol), Pd(OAc)2 (60 mg, 0.3 mmol), EtsSiH (500 pL, 3 mmol) and EtsN (300 pL, 2 mmol) in DCM (5 mL) was stirred at ambient temperature for 2 hours under N2. The residue was passed through an ion-exchange cartridge washing with MeOH / DCM mixtures and eluting the product with 2 M NH3 in MeOH / DCM mixtures. The solvent was removed in vacuo to give (5)-A-((6-oxopiperazin-2-yl)methyl)methanesulfonamide, A4 as a white solid (130mg, 93%), which was taken on to the next reaction without further purification; MS m / z: 208 (M+H)+.
[00483] Preparation 5: (5)-Dimethyl((morpholin-2-ylmethyl)imino)-k6-sulfanone A5. H Boc .N A] 0 i) NaBH(OAc)3 3 HN' \ ")TFA / \ A5 2025200232 13 Jan 2025
[00484] Sodium triacetoxyborohydride (1.26 g, 5.95 mmol) was added to a mixture of tertbutyl (28)-2-formylmorpholine-4-carboxylate (320 mg, 1.5 mmol) and (methylsulfonimidoyl)methane (165 mg, 1.8 mmol) in DCE (20 mL) and the reaction stirred at ambient temperature for 60 hours. The mixture was diluted with DCM and saturated aqueous NaHCOs and stirred for 30 minutes. The layers were separated and the organic layer washed with saturated aqueous NaHCOs (x 2), brine, dried (MgSO4), filtered and concentrated in vacuo to give tert-butyl (5)-2-(((dimethyl(oxo)-X6-sulfanylidene)amino)methyl)morpholine-4-carboxylate (343 mg); MS m / z: 293 (M+H)+.
[00485] The residue was taken up in DCM (10 mL) and TFA (5 mL) was added at ambient temperature. The mixture was stirred at ambient temperature for 17 hours. The solvent was removed in vacuo and the residue azeotroped with DCM (x 2) and diethyl ether (x 2). The residue was passed through an ion-exchange cartridge washing with MeOH / DCM mixtures and eluting the product with 2 M NFL in MeOH / DCM mixtures. The solvent was removed in vacuo to give (8)-dimethyl((morpholin-2-ylmethyl)imino)-k6-sulfanone A5 as a pale yellow oil (140mg, 63%), which was taken on to the next reaction without further purification; 'H NMR (500 MHz, DMSO-d6) 8 4.54 (s, 1H), 3.69 (ddd, 2H), 3.40 (td, 1H), 3.33 - 3.26 (m, 2H), 3.25 -3.23 (m, 1H), 2.96 (s, 3H), 2.81 -2.77 (m, 1H), 2.66 - 2.57 (m, 3H), 2.32 (dd, 1H); MS m / z: 193 (M+H)+.
[00486] Preparation 6: A-((5-Ethyl-4,4-difluoropiperidin-3-yl)methyl)methanesulfonamide A6 NHSOjMe A6
[00487] LiHMDS (5 mL of IM solution, 5.0 mmol) was added dropwise to a solution of benzyl 3-ethyl-4-oxo-piperidine-l-carboxylate (1 g, 3.8 mmol) in THF (14 mL) cooled to -78 °C under N2. 90 minutes later, a solution of 2-(chloromethyl)isoindoline-l,3-dione (1.0 g, 5.1 mmol) in THF (2 mL) was added. The solution was stirred at -78 °C for 1 hour then at 0 °C for 1 hour, then quenched by adding saturated aqueous NH4CI solution (~2 mL). The reaction mixture was diluted with EtOAc, washed with a saturated aqueous sodium bicarbonate solution and brine. The organic phase was dried (Na2SO4), filtered and concentrated in vacuo. The residue was purified by column chromatography (silica, PEZEtOAc gradient elution) to give benzyl 3-[(l,3- 2025200232 13 Jan 2025 dioxoisoindolin-2-yl)methyl]-5-ethyl-4-oxo-piperidine-l-carboxylate as a colourless gum (1.1 g), which was taken directly on to the next step; MS m / z: 421 (M+H)+.
[00488] A mixture of benzyl 3-[(l,3-dioxoisoindolin-2-yl)methyl]-5-e...
Claims
1. A compound of formula I:or a pharmaceutically acceptable salt thereof, wherein:Ring A is selected from a 3-8 membered saturated or partially unsaturated monocyclic carbocyclic ring, phenyl, a 4-8 membered partially unsaturated monocyclic heterocyclic ring having 12 heteroatoms independently selected from nitrogen, oxygen, or sulfur optionally fused to a 5-6 membered aromatic ring having 0-4 heteroatoms independently selected from nitrogen, oxygen, or sulfur, a 7-12 membered partially unsaturated spirocyclic heterocyclic ring having 1-2 heteroatoms independently selected from nitrogen, oxygen, or sulfur, a 7-12 membered partially unsaturated bicyclic heterocyclic ring having 1-4 heteroatoms independently selected from nitrogen, oxygen, or sulfur, a 5-6 membered monocyclic heteroaromatic ring having 1-4 heteroatoms independently selected from nitrogen, oxygen, or sulfur, an 8-10 membered bicyclic heteroaromatic ring having 1-5 heteroatoms independently selected from nitrogen, oxygen, or sulfur, orHet, wherein Het is a 4-8 membered saturated monocyclic heterocyclic ring having 1-2 heteroatoms independently selected from nitrogen, oxygen, or sulfur, a 7-12 membered saturated spirocyclic heterocyclic ring having 1-4 heteroatoms independently selected from nitrogen, oxygen, or sulfur, a 7-12 membered saturated bicyclic heterocyclic ring having 1-3 heteroatoms independently selected from nitrogen, oxygen, or sulfur, or a 7-12 membered saturated bridged bicyclic heterocyclic ring having 1-2 heteroatoms independently selected from nitrogen, oxygen, or sulfur;2025200232 13 Mar 2025Ring C is;R is hydrogen or C1-6 aliphatic;each of R1 is independently fluoro, chloro, methyl, ethyl, -OH, -OCH3, -CH2OH, -CH2CN, -CF3,-CH2NH2, -COOH, -NH2,,NH2,,,D DO 0,,,,,,2025200232 13 Mar 202511491150,; or:,,,,9,2025200232 13 Mar 2025two R1 groups are taken together to form =O, =NH or =NS(O)2R;each of R2 is independently fluoro, chloro, bromo, methyl, ethyl, -CF3,R3 is hydrogen;R4 is hydrogen;m is 0, 1, 2, 3, 4 or 5;n is 0, 1, or 2;p is 0 or 1; and q is 0 or 1.
2. The compound of claim 1, wherein Ring A is Het.2025200232 13 Mar 20253. The compound of claim 1 or 2, which is a compound of formula XVII-a, XVII-b, or XVII-c:XVII-aXVII-bXVII-cor a pharmaceutically acceptable salt thereof.
4. The compound of any one of claims 1 to 3, of one of formula XXIX-a, XXIX-b, or XXIX-c:2025200232 13 Mar 2025XXIX-cor a pharmaceutically acceptable salt thereof.
5. The compound of claim 1 or 2, wherein Ring A is a 4-8 membered saturated monocyclic heterocyclic ring having 1-2 heteroatoms independently selected from nitrogen, oxygen, or sulfur, or a 5-7 membered saturated monocyclic heterocyclic ring having 1-2 heteroatoms independently selected from nitrogen, oxygen, or sulfur.
6. The compound of claim 1 or 2, wherein Ring A is:11542025200232 13 Mar 2025,,The compound of claim 1 or 2, wherein Ring A is7..2025200232 13 Mar 20258. The compound of any one of claims 1 to 7, wherein each R1 is independently fluoro,methyl, ethyl, -OH,methoxy, -CH2OH,11572025200232 13 Mar 2025o, oO NHO Omethyl,9. The compound of any one of claims 1 to 8, wherein each R1 is independently fluoro,,,,,,,,Q O 0,,,, -CHF2, or -PO(CH3)2.,,,,10 The compound of any one of claims 1 to 9, wherein each R1 is independently fluoro,methyl,0 0XN x HN^SC> ON'S HOv NH }s' N x HO O 'sC < NH2,2025200232 13 Mar 2025, or -CHF2.
11. The compound of any one of claims 1 to 10, wherein each R2 is independently -Cl, -CHF2,-CH2CH3,, -CF3, -CF2CH3, -CH3,OH-CN,NH2or F12. The compound of any one of claims 1 to 11, wherein m is 1, 2, 3, 4 or 5, in particular 1, 2or 3.
13. The compound of any one of claims 1 to 12, wherein n is 1.
14. A compound selected from the group consisting of:2025200232 13 Mar 2025IV-1IV-3IV-4IV-5IV-6single stereoisomersingle stereoisomersingle stereoisomerIV-7IV-8IV-9single diastereoisomer (two enantiomers)single diastereoisomer (two enantiomers)IV-10IV-11IV-12single stereoisomersingle stereoisomersingle stereoisomerIV-13IV-14IV-152025200232 13 Mar 2025IV-16IV-19IV-22IV-25FIV-28IV-17IV-20IV-23HOIV-26FIV-29IV-18FIV-21IV-24IV-27IV-302025200232 13 Mar 2025IV-31BrIV-32IV-33IV-35IV-36IV-37IV-38IV-39IV-41FIV-42IV-44IV-452025200232 13 Mar 2025IV-46IV-47IV-48IV-49FIV-50IV-51IV-52 IV-53 IV-54F FIV-55 IV-56IV-57IV-58IV-59IV-60FIV-61FIV-62IV-632025200232 13 Mar 2025IV-64FIV-67FIV-70IV-73IV-76IV-65IV-71FIV-74FIV-77NOHN-S~OIV-66FIV-69FIV-72IV-75IV-782025200232 13 Mar 2025IV-79IV-82IV-85OHIV-88IV-80FIV-83IV-81FIV-84IV-86NH2IV-89IV-87IV-90OHIV-91IV-92IV-93IV-942NHN —FIV-95NIV-962025200232 13 Mar 2025FIV-97FIV-100FIV-103single diastereoisomer (two enantiomers)FIV-106single diastereoisomer (two enantiomers)NH2IV-109IV-98IV-101IV-104IV-107single diastereoisomer (two enantiomers)FIV-110IV-99IV-102IV-105IV-108FIV-1112025200232 13 Mar 2025IV-112IV-115IV-113IV-116FIV-114IV-117IV-118 IV-119 IV-120FIV-121IV-122IV-123FIV-124FIV-125FIV-1262025200232 13 Mar 2025NNHSO2MeIV-127FIV-128FIV-129FIV-130IV-131IV-132IV-133IV-135FIV-134FIV-136IV-137IV-138IV-139IV-140IV-1412025200232 13 Mar 2025IV-142IV-143IV-144NHSO2MeIV-145 IV-146 IV-147IV-148 IV-149 IV-150IV-151IV-152IV-153FIV-154IV-155FIV-1562025200232 13 Mar 2025IV-157FIV-158IV-159IV-160IV-161IV-162IV-163IV-164IV-165FIV-166IV-167IV-168IV-169IV-170IV-1712025200232 13 Mar 2025IV-172,SO2MeNIV-173IV-174IV-176single stereoisomerIV-177IV-178FIV-179FIV-181IV-182IV-183single stereoisomerIV-184IV-185IV-1862025200232 13 Mar 2025IV-188single diastereomer (two enantiomers)IV-189single diastereomer (two enantiomers)IV-191IV-192single diastereoisomer (two enantiomers)IV-193IV-194IV-195OIV-196IV-197IV-1982025200232 13 Mar 2025IV-199IV-200IV-201single stereoisomerIV-202IV-203IV-204single diastereoisomer (two enantiomers)single diastereoisomer (two enantiomers)OIV-205IV-206IV-207N-NHIV-208IV-209IV-211IV-2132025200232 13 Mar 2025single stereoisomerIV-214single stereoisomerIV-217IV-220single stereoisomerIV-223single diastereoisomer (two enantiomers)IV-215single diastereoisomer (two enantiomers)IV-218single stereoisomerIV-224single stereoisomerIV-216IV-219IV-222IV-2252025200232 13 Mar 2025single diastereoisomer (two enantiomers)single diastereoisomer (two enantiomers)single stereoisomerIV-229IV-230IV-231single stereoisomerIV-232IV-233single diastereoisomer (two enantiomers)single diastereoisomer (two enantiomers)single stereoisomerIV-235IV-236IV-237single stereoisomer2025200232 13 Mar 2025IV-238h2nIV-241IV-239IV-242IV-240IV-243single stereoisomerIV-244single stereoisomerIV-245single stereoisomerIV-246single stereoisomerIV-247OIV-248IV-249IV-250IV-251IV-252IV-253IV-254IV-2552025200232 13 Mar 2025IV-256oIV-257oIV-258IV-259IV-260IV-261oIV-262IV-263 IV-264oIV-265oIV-266oIV-2670IV-268IV-269IV-2702025200232 13 Mar 2025single stereoisomerIV-274single diastereoisomer (two enantiomers)IV-280single stereoisomerIV-283single stereoisomerIV-275single diastereoisomer (two enantiomers)IV-278single diastereoisomer (two enantiomers)IV-281single diastereoisomer (two enantiomers)IV-279single stereoisomerIV-282IV-2852025200232 13 Mar 2025IV-286IV-289single diastereoisomer (two enantiomers)IV-292single stereoisomerIV-295IV-287single stereoisomerIV-290single stereoisomerIV-293single stereoisomerIV-296IV-288single stereoisomerIV-291single stereoisomerIV-294IV-2972025200232 13 Mar 2025IV-298IV-301single diastereoisomer (two enantiomers)IV-299single diastereoisomer (two enantiomers)IV-300single diastereoisomer (two enantiomers)IV-304IV-305IV-306IV-307IV-309single diastereoisomer (two enantiomers)single stereoisomerIV-310IV-311IV-3122025200232 13 Mar 2025single stereoisomerIV-313single stereoisomerIV-316IV-319IV-322single stereoisomerIV-314IV-317IV-320single diastereoisomer (two enantiomers)IV-323single stereoisomerIV-315single stereoisomerIV-318IV-321single diastereomer (two enantiomers)IV-3242025200232 13 Mar 2025IV-325single stereoisomerIV-328IV-331single diastereomer (two enantiomers)IV-326IV-329IV-332single diastereomer (two enantiomers)single stereoisomerIV-338IV-327single diastereoisomer (two enantiomers)IV-330single diastereomer (two enantiomers)single stereoisomerIV-339N-NH2025200232 13 Mar 2025IV-340single diastereoisomer (two enantiomers)IV-341single diastereoisomer (two enantiomers)IV-342single diastereoisomer (two enantiomers)IV-343IV-344IV-345IV-346IV-347IV-348single stereoisomersingle stereoisomerIV-349IV-350IV-351IV-352IV-353IV-3542025200232 13 Mar 2025IV-355single stereoisomerIV-358single stereoisomerIV-361single stereoisomerIV-364single stereoisomerIV-356IV-357single stereoisomerIV-359IV-360single stereoisomersingle stereoisomerIV-362IV-363single stereoisomerIV-3652025200232 13 Mar 2025IV-370single diastereoisomer (two enantiomers)IV-373single stereoisomerIV-376IV-371single stereoisomerIV-374single stereoisomerIV-377IV-369single diastereoisomer (two enantiomers)IV-372single stereoisomerIV-375IV-3782025200232 13 Mar 2025single diastereoisomer (two enantiomers)IV-379IV-382IV-385IV-388single diastereoisomer (two enantiomers)N-NHsingle diastereoisomer (two enantiomers)IV-380IV-381IV-383IV-386IV-389single diastereoisomer (two enantiomers)IV-384IV-387single diastereoisomer (two enantiomers)IV-390single diastereoisomer (two enantiomers)2025200232 13 Mar 2025IV-391IV-392IV-393single diastereoisomer (two enantiomers)single diastereoisomer (two enantiomers)IV-394IV-395IV-396single diastereoisomer (two enantiomers)IV-397IV-398IV-399single stereoisomersingle stereoisomerIV-400IV-401IV-402single stereoisomersingle stereoisomersingle stereoisomerIV-403IV-404IV-4052025200232 13 Mar 2025IV-406IV-409n-nhIV-412IV-415IV-407IV-410single stereoisomerIV-413IV-416IV-408single diastereoisomer (two enantiomers)IV-411single stereoisomerIV-414single diastereoisomer (two enantiomers)IV-4172025200232 13 Mar 2025single diastereoisomer (two enantiomers)IV-418single diastereoisomer (two enantiomers)IV-421IV-424IV-427IV-430IV-419 IV-420single diastereoisomer (two enantiomers)IV-422IV-423OIV-425 IV-426IV-428IV-429IV-431IV-4322025200232 13 Mar 2025IV-433IV-436IV-439IV-434IV-437IV-440IV-435HOIV-438IV-441IV-442 IV-443 IV-444HOIV-445IV-446IV-4472025200232 13 Mar 2025single stereoisomerIV-451single diastereoisomer (two enantiomers)IV-454IV-457IV-452single diastereoisomerIV-455single stereoisomerIV-458IV-450single diastereoisomer (two enantiomers)IV-453IV-456single stereoisomerIV-4592025200232 13 Mar 2025single stereoisomerIV-460single stereoisomerIV-463single diastereoisomer (two enantiomers)IV-466single stereoisomerIV-469single diastereoisomer (two enantiomers)single stereoisomerIV-461single diastereoisomerIV-464single stereoisomerIV-467single stereoisomerIV-470IV-462single stereoisomerIV-465single stereoisomerIV-468single stereoisomerIV-471single stereoisomer2025200232 13 Mar 2025IV-472IV-473IV-474single stereoisomersingle stereoisomerIV-476single stereoisomerIV-477IV-478IV-479IV-480single stereoisomerIV-481IV-482IV-483IV-484single diastereoisomer (two enantiomers)IV-485IV-4862025200232 13 Mar 2025IV-487IV-488IV-489IV-490single stereoisomerIV-491single stereoisomerIV-492IV-493IV-494IV-495IV-496IV-497single diastereoisomerIV-498single diastereoisomerIV-499single diastereoisomerIV-500single diastereoisomerIV-5012025200232 13 Mar 2025single diastereoisomer (two enantiomers)IV-502IV-505IV-508IV-511IV-514single diastereoisomer (two enantiomers)IV-503IV-506IV-509IV-512IV-504IV-507IV-510IV-513IV-5162025200232 13 Mar 2025IV-517IV-520IV-523IV-526IV-529IV-518 IV-519single stereoisomerIV-521IV-524IV-527IV-530IV-522single diastereoisomer (two enantiomers)IV-525IV-528IV-5312025200232 13 Mar 2025IV-535single stereoisomerIV-538single stereoisomerIV-541single diastereoisomer (two enantiomers)IV-544IV-533IV-536IV-539IV-542IV-545IV-534IV-537single stereoisomerIV-540single diastereoisomer (two enantiomers)IV-543single stereoisomerIV-5462025200232 13 Mar 2025IV-547single stereoisomerIV-548 IV-549IV-550single stereoisomerIV-551IV-552IV-553IV-554 IV-555IV-556IV-557IV-558IV-559IV-560IV-5612025200232 13 Mar 2025IV-562IV-563IV-564IV-565IV-566single diastereoisomer (two enantiomers)IV-568single diastereoisomer (two enantiomers)IV-569IV-570IV-571IV-572IV-573IV-574IV-575IV-5762025200232 13 Mar 2025single diastereoisomer (two enantiomers)IV-580single diastereoisomer (two enantiomers)IV-583single diastereoisomer (two enantiomers)single diastereoisomer (two enantiomers)IV-581IV-584single diastereoisomer (two enantiomers)IV-587IV-579IV-582IV-585IV-5882025200232 13 Mar 2025IV-589single diastereoisomer (two enantiomers)IV-592IV-595IV-598IV-601IV-590IV-591single diastereoisomer (two enantiomers)IV-593IV-594IV-596IV-599IV-602IV-605single stereoisomerIV-597single stereoisomerIV-600IV-603IV-6062025200232 13 Mar 2025single diastereoisomer (two enantiomers)IV-607IV-610single diastereoisomer (two enantiomers)IV-608IV-611single diastereoisomer (two enantiomers)IV-609IV-612single stereoisomersingle stereoisomerIV-613IV-614IV-615IV-616IV-617IV-618single stereoisomerIV-619IV-620IV-6212025200232 13 Mar 2025single stereoisomerIV-622IV-625single stereoisomerIV-628IV-631single stereoisomerIV-623IV-626single stereoisomerIV-629single stereoisomerIV-632single stereoisomerIV-624single diastereoisomer (two enantiomers)IV-627IV-630single stereoisomerIV-6332025200232 13 Mar 2025IV-634single diastereoisomer (two enantiomers)IV-637single diastereoisomerIV-640IV-635single stereoisomerIV-638IV-641IV-644IV-636single stereoisomerIV-639IV-642IV-6452025200232 13 Mar 2025IV-646single stereoisomerIV-649single stereoisomerIV-655IV-647single stereoisomerIV-650IV-648single stereoisomerIV-653 IV-654IV-656IV-6572025200232 13 Mar 2025IV-658IV-659IV-660IV-661QF3IV-664single diastereoisomer (two enantiomers)IV-667single stereoisomerIV-670IV-662 IV-663IV-665IV-668IV-671single diastereoisomer (two enantiomers)IV-666single stereoisomerIV-669single diastereoisomer (two enantiomers)IV-6722025200232 13 Mar 2025single stereoisomerIV-673single diastereoisomer (two enantiomers)IV-679single stereoisomerIV-682single stereoisomersingle stereoisomerIV-674 IV-675single diastereoisomer (two enantiomers)IV-677IV-680single stereoisomerIV-683IV-678IV-681single stereoisomerIV-684single diastereoisomer (two enantiomers)2025200232 13 Mar 2025IV-685single diastereoisomer (two enantiomers)IV-688IV-686single diastereoisomer (two enantiomers)IV-689IV-687single diastereoisomer (two enantiomers)IV-690single diastereoisomer (two enantiomers)IV-691IV-692IV-693IV-694IV-695IV-696single diastereoisomer (two enantiomers)IV-697IV-698IV-7032025200232 13 Mar 2025IV-704IV-702IV-705IV-706IV-707 IV-708IV-709 IV-710 IV-7112025200232 13 Mar 2025IV-712 IV-713 IV-714IV-715 IV-716 IV-717IV-718 IV-719 IV-720IV-721IV-722IV-7232025200232 13 Mar 2025IV-724 IV-725 IV-726IV-727 IV-728 IV-729IV-730 IV-731 IV-732IV-733 IV-734 IV-7352025200232 13 Mar 2025IV-736 IV-737 IV-738IV-739 IV-740 IV-741IV-742 IV-743 IV-7442025200232 13 Mar 2025IV-745 IV-746 IV-747IV-748 IV-749 IV-7502025200232 13 Mar 2025IV-754IV-755IV-756NIV-757IV-760IV-758IV-761IV-759IV-762IV-763IV-764IV-765IV-766IV-767IV-7682025200232 13 Mar 2025IV-769IV-770IV-771IV-772IV-773IV-774IV-775IV-776IV-777IV-778IV-779, or a pharmaceutically acceptable salt thereof.
15. A pharmaceutical composition comprising a compound according to any one of claims 1 to 14, or a pharmaceutically acceptable salt thereof, and a pharmaceutically acceptable carrier, adjuvant, or vehicle.2025200232 13 Mar 202516. A method of inhibiting GCN2 in a patient or biological sample comprising administering to said patient, or contacting said biological sample with a compound according to any one of claims 1 to 14, or a pharmaceutically acceptable salt thereof, or a pharmaceutical composition thereof.
17. A method of treating a GCN2-mediated disorder, disease, or condition in a patient comprising administering to said patient a compound according to any one of claims 1 to 14, or a pharmaceutically acceptable salt thereof, or a pharmaceutical composition thereof.
18. The method of claim 17, wherein the GCN2-mediated disorder, disease or condition is selected from the group consisting of inflammatory conditions, immunological conditions, autoimmune conditions, allergic conditions, rheumatic conditions, thrombotic conditions, cancer, infections, neurodegenerative diseases, degenerative diseases, neuroinflammatory diseases, cardiovascular diseases, and metabolic conditions, optionally:(i) wherein the cancer is selected the group consisting of a solid tumor, wherein the solid tumor originates from the group of tumors of the epithelium, the bladder, the stomach, the kidneys, of head and neck, the esophagus, the cervix, the thyroid, the intestine, the liver, the brain, the prostate, the uro-genital tract, the lymphatic system, the stomach, the larynx, the bones, including chondrosarcoma and Ewing sarcoma, germ cells, including embryonal tissue tumors, and / or the lung, from the group of monocytic leukemia, lung adenocarcinoma, small-cell lung carcinomas, pancreatic cancer, glioblastomas, neurofibroma, angiosarcoma, breast carcinoma and / or maligna melanoma, and a tumor of the blood and immune system;(ii) wherein the autoimmune condition is rheumatoid arthritis, systemic lupus, multiple sclerosis, psoriasis, Sjogrens syndrome or transplant organ rejection;(iii) wherein the metabolic condition is diabetes;(iv) wherein the degenerative disease is osteoarthritis;2025200232 13 Mar 2025(v) wherein the inflammatory condition is asthma, inflammatory bowel disease, or giant cell arteritis;(vi) wherein the cardiovascular disease is an ischemic injury;(vii) wherein the neurodegenerative disease is Alzheimer’s disease, Down’s syndrome, hereditary cerebral hemorrhage with amyloidosis-Dutch Type, cerebral amyloid angiopathy, Creutzfeldt-Jakob disease, frontotemporal dementias, Huntington’s disease, or Parkinson’s disease; and(vii) wherein the infection is caused by leishmania, mycobacteria, including M. leprae, M. tuberculosis and / or M. avium, plasmodium, human immunodeficiency virus, Epstein Barr virus, Herpes simplex virus, or hepatitis C virus.
19. The method of claim 17, wherein the GCN2-mediated disorder, disease, or condition is a cancer and the method further comprises administering a second agent for the treatment of cancer.
20. Use of a compound according to any one of claims 1 to 14, or a pharmaceutically acceptable salt thereof, in the manufacture of a medicament for treating a GCN2-mediated disorder, disease, or condition.
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Patent Citations
Furopyridine derivatives
WO2013124025A1