N-(hydroxyalkyl(hetero)aryl)tetrahydrofurancarboxamide analogues as modulators of sodium channels

Abstract

Provided are compounds of formula (I) and pharma- ceutically acceptable salts thereof that are useful as inhibitors of sodium channels.Also provided are pharmaceutical compositions comprising the compounds or pharma- ceutically acceptable salts, and methods of using the compounds, pharma- ceutically acceptable salts, and pharmaceutical compositions in the treatment of various disorders, including pain.In yet another aspect, the invention relates to a method of inhibiting voltage-gated sodium channels in a subject by administering a compound, a pharma- ceutically acceptable salt, or a pharmaceutical composition to the subject. JPEG2024520646000111.jpg6174

Description

[Technical field]

[0001] CROSS-REFERENCE TO RELATED APPLICATIONS This application claims the benefit of priority to U.S. Provisional Patent Application No. 63 / 196,970, filed June 4, 2021, which is incorporated by reference in its entirety. [Background technology]

[0002] Pain is a protective mechanism that allows healthy animals to avoid tissue damage and prevent further damage to damaged tissue. Nevertheless, there are many conditions in which pain persists beyond its usefulness or in which patients would benefit from pain inhibition. Neuropathic pain is a form of chronic pain caused by damage to sensory nerves (Dieleman, JP, et al., Incidence rates and treatment of neuropathic pain conditions in the general population. Pain, 2008. 137(3): p. 681-8). Neuropathic pain can be divided into two categories: pain caused by systemic metabolic damage to the nerve and pain caused by discrete nerve damage. Metabolic neuropathies include postherpetic neuropathy, diabetic neuropathy, and drug-induced neuropathy. Indications for discrete nerve damage include nerve entrapment injury, such as pain after amputation surgery, postoperative nerve injury pain, and neuropathic back pain. Neuropathic pain is a major cause of disability worldwide, negatively impacting patients' sleep, mood, and function. Clin.Ther.,2018 40(6):p.828-49.

[0003] Voltage-gated sodium channels (Na V ) is involved in pain signaling. VNav1.8 mediates the rapid upstroke of action potentials in many excitable cell types (e.g., neurons, skeletal muscle cells, cardiac muscle cells) and is therefore involved in the initiation of electrical signaling in those cells (Hille, Bertil, Ion Channels of Excitable Membranes, Third ed. (Sinauer Associates, Inc., Sunderland, MA, 2001)). Support for the claim that Nav plays an important and central role in pain signaling comes from (1) evaluation of the role that Nav plays in normal physiology, (2) pathological conditions resulting from mutations in the Nav1.8 gene (SCN10A), (3) preclinical studies in animal models, and (4) the pharmacological actions of known Nav1.8 modulators. Furthermore, because Nav1.8 expression is restricted to peripheral neurons, particularly those that sense pain (e.g., dorsal root ganglion), Nav1.8 inhibitors are unlikely to be associated with the side effects commonly observed with other sodium channel modulators and the abuse liability associated with opioid therapy. Thus, targeting the biology underlying pain through selective Nav1.8 inhibition represents a novel approach to analgesic development that may address the urgent unmet need for safe and effective acute and chronic pain therapies. (Rush, AM and TRCummins, Painful Research: Identification of a Small-Molecule Inhibitor that Selectively Targets Na V1.8 Sodium Channels. Mol. Interv., 2007.7(4):p.192-5), England, S., Voltage-gated sodium channels: the search for subtype-selective analgesics. Expert Opin. Investig. Drugs 17(12), p.1849-64(2008), Krafte, DS and Bannon, AW, Sodium channels and nociception: recent concepts and therapeutic opportunities. Curr. Opin. Pharmacol. 8(1), p.50-56 (2008). V Due to the role played by Na V Antagonists that reduce the current can prevent or reduce nerve signaling. V It has been suggested that voltage-gated sodium channels may potentially reduce pain in conditions where hyperexcitability is observed (Chahine, M., Chatelier, A., Babich, O., and Krupp, JJ, Voltage-gated sodium channels in neurological disorders. CNS Neurol. Disord. Drug Targets 7 (2), p. 144-58 (2008)). Several clinically useful painkillers are V Local anesthetics such as lidocaine have been identified as inhibitors of the Na channel. V Other compounds that block pain by inhibiting the channel, such as carbamazepine, lamotrigine, and tricyclic antidepressants, which have been shown to be effective in reducing pain, have also been suggested to act by blocking sodium channels (Soderpalm, B., Anticonvulsants: aspects of their mechanisms of action. Eur. J. Pain 6 Suppl. A, p. 3-9 (2002); Wang, GK, Mitchell, J., and Wang, SY, Block of persistent late Na+ currents by antidepressant sertraline and paroxetine.J.Membr.Biol.222(2),p.79-90(2008)).

[0004] Na V form a subfamily of voltage-gated ion channels that mediate the regulation of Na V 1.1~Na V It contains nine isoforms designated 1.9. The tissue localization of the nine isoforms varies. V 1.4 is the primary sodium channel in skeletal muscle and is V 1.5 is the primary sodium channel in cardiac myocytes. Na V 1.7, 1.8, and 1.9 are primarily localized in the peripheral nervous system and V 1.1, 1.2, 1.3, and 1.6 are neuronal channels found in both the central and peripheral nervous systems. The functional behavior of the nine isoforms is similar, but distinct in the details of their voltage-dependence and kinetic behavior (Catterall, WA, Goldin, AL, and Waxman, SG, International Union of Pharmacology. XLVII. Nomenclature and structure-function relationships of voltage-gated sodium channels. Pharmacol. Rev. 57(4), p. 397 (2005)).

[0005] At the time of their discovery, Na V The 1.8 channel was identified as a likely target for analgesia (Akopian, AN, L. Sivilotti, and JN Wood, A tetrodotoxin-resistant voltage-gated sodium channel expressed by sensory neurons. Nature, 1996. 379(6562):p.257-62). V1.8 has been shown to be a carrier of the sodium current that sustains action potential firing in small dorsal root ganglion (DRG) neurons in the action potentials of nociceptive sensory neurons (Blair, NT and BP Bean, Roles of tetrodotoxin (TTX)-sensitive Na+ current, TTX-resistant Na+ current, + current,and Ca 2+ current in the action potentials of nociceptive sensory neurons.J.Neurosci.,2002.22(23):p.10277-90). Na V 1.8 is involved in spontaneous firing in injured neurons, such as those that cause neuropathic pain (Roza, C., et al., The tetrodotoxin-resistant Na + Channel Na V 1.8 is essential for the expression of spontaneous activity in damaged sensory axons of mice.J.Physiol.,2003.550(Pt 3):p.921-6, Jarvis,MF,et al.,A-803467,a potent and selective Na V 1.8 sodium channel blocker, attenuates neuropathic and inflammatory pain in the rat.Proc.Natl.Acad.Sci.USA,2007.104(20):p.8520-5, Joshi,SK,et al.,Involvement of the TTX-resistant sodium channel Na V1.8 in inflammatory and neuropathic,but not post-operative,pain states.Pain,2006.123(1-2):pp.75-82、Lai,J.,et al.,Inhibition of neuropathic pain by decreased expression of the tetrodotoxin-resistant sodium channel,Na V 1.8.Pain,2002.95(1-2):p.143-52、Dong,X.W.,et al.,Small interfering RNA-mediated selective knockdown of Na V1.8 tetrodotoxin-resistant sodium channel reverses mechanical allodynia in neuropathic rats.Neuroscience,2007.146(2):p.812-21, Huang, HL, et al., Proteomic profiling of neuromas reveals alterations in protein composition and local protein synthesis in hyper-excitable nerves.Mol.Pain,2008.4:p.33, Black, JA, et al. al.,Multiple sodium channel isoforms and mitogen-activated protein kinases are present in painful human neuromas.Ann.Neurol.,2008.64(6):p.644-53, Coward,K.,et al.,Immunolocalization of SNS / PN3 and NaN / SNS2 sodium channels in human pain states.Pain,2000.85(1-2):p.41-50, Yiangou,Y.,et al.,SNS / PN3 and SNS2 / NaN sodium channel-like immunoreactivity in human adult and neonate injured sensory nerves.FEBS Lett.,2000.467(2-3):p.249-52, Ruangsri,S.,et al.,Relationship of axonal voltage-gated sodium channel 1.8(Na V 1.8) mRNA accumulation to sciatic nerve injury-induced painful neuropathy in rats.J.Biol.Chem.286(46):p.39836-47). Na V The small DRG neurons in which Na1.8 is expressed contain nociceptors involved in pain signaling.V 1.8 mediates large amplitude action potentials in small neurons of the dorsal root ganglion (Blair, NT and BP Bean, Roles of tetrodotoxin (TTX)-sensitive Na + Current, TTX-resistant Na + current,and Ca 2+ current in the action potentials of nociceptive sensory neurons.J.Neurosci.,2002.22(23):p.10277-90). Na V 1.8 is required for rapid repetitive action potentials in nociceptors and for spontaneous activity of injured neurons (Choi, JS and SG Waxman, Physiological interactions between Na V 1.7 and Na V 1.8 sodium channels: a computer simulation study.J.Neurophysiol.106(6):p.3173-84, Renganathan, M., TRCummins, and SGWaxman, Contribution of Na( V )1.8 sodium channels to action potential electrogenesis in DRG neurons.J.Neurophysiol.,2001.86(2):p.629-40, Roza,C.,et al.,The tetrodotoxin-resistant Na + Channel Na V 1.8 is essential for the expression of spontaneous activity in damaged sensory axons of mice. J. Physiol., 2003.550(Pt 3):p.921-6). V1.8 appears to be a driver of hyperexcitability (Rush, AM, et al., A single sodium channel mutation produces hyper- or hypoexcitability in different types of neurons. Proc. Natl. Acad. Sci. USA, 2006. 103(21):p.8245-50). In some animal pain models, sodium V 1.8 mRNA expression levels have been shown to increase in DRG (Sun, W., et al., Reduced conduction failure of the main axon of polymodal nociceptive C-fibers contributes to painful diabetic neuropathy in rats. Brain, 135(Pt 2): p.359-75, Strickland, IT, et al., Changes in the expression of Na V 1.7,Na V 1.8 and Na V 1.9 in a distinct population of dorsal root ganglia innervating the rat knee joint in a model of chronic inflammatory joint pain.Eur.J.Pain,2008.12(5):p.564-72, Qiu,F.,et al.,Increased expression of tetrodotoxin-resistant sodium channels Na V 1.8 and Na V 1.9 within dorsal root ganglia in a rat model of bone cancer pain.Neurosci.Lett.,512(2):p.61-6). The inventors have found that some voltage-gated sodium channel inhibitors, for example, have a poor therapeutic window (e.g., Na VWe have found that selective NaCl has limitations as a therapeutic agent due to its lack of isoform selectivity, low efficacy, and / or other reasons. V There remains a need to develop selective voltage-gated sodium channel inhibitors, such as 1.8 inhibitors. [Prior art documents] [Non-patent literature]

[0006] [Non-Patent Document 1] Dieleman,JP,et al.,Incidence rates and treatment of neuropathic pain conditions in the general population.Pain,2008.137(3):p.681-8 [Non-Patent Document 2] Clin.Ther.,2018 40(6):p.828-49 [Non-Patent Document 3] Hille, Bertil, Ion Channels of Excitable Membranes, Third ed. (Sinauer Associates, Inc., Sunderland, MA, 2001) [Non-Patent Document 4] Rush, AMand TRCummins,Painful Research:Identification of a Small-Molecule Inhibitor that Selectively Targets NaV1.8 Sodium Channels.Mol.Interv.,2007.7(4):p.192-5) [Non-Patent Document 5] England, S., Voltage-gated sodium channels: the search for subtype-selective analgesics.Expert Opin.Investig.Drugs 17(12), p.1849-64(2008) [Non-Patent Document 6] Krafte, DSand Bannon, AW, Sodium channels and nociception: recent concepts and therapeutic opportunities. Curr. Opin. Pharmacol. 8(1), p. 50-56 (2008) [Non-Patent Document 7] Chahine, M., Chatelier, A., Babich, O., and Krupp, JJ, Voltage-gated sodium channels in neurological disorders.CNS Neurol.Disord.Drug Targets 7 (2), p.144-58(2008) [Non-Patent Document 8] Soderpalm,B.,Anticonvulsants:aspects of their mechanisms of action.Eur.J.Pain 6 Suppl.A,p.3-9(2002) [Non-Patent Document 9] Wang, GK, Mitchell, J., and Wang, SY, Block of persistent late Na+ currents by antidepressant sertraline and paroxetine.J.Membr.Biol.222(2),p.79-90(2008) [Non-Patent Document 10] Catterall, WA, Goldin, AL, and Waxman, SG, International Union of Pharmacology.XLVII.Nomenclature and structure-function relationships of voltage-gated sodium channels.Pharmacol.Rev.57(4), p.397(2005) [Non-Patent Document 11] Akopian, A.N., L. Sivilotti, and J.N. Wood, A tetrodotoxin-resistant voltage-gated sodium channel expressed by sensory neurons. Nature, 1996. 379(6562): p. 257-62 Non-Patent Document 12 Blair, N.T. and B.P. Bean, Roles of tetrodotoxin (TTX)-sensitive Na+ current, TTX-resistant Na+ current, and Ca2+ current in the action potentials of nociceptive sensory neurons. J. Neurosci., 2002. 22(23): p. 10277-90 Non-Patent Document 13 Roza, C., et al., The tetrodotoxin-resistant Na+ channel NaV1.8 is essential for the expression of spontaneous activity in damaged sensory axons of mice. J. Physiol., 2003. 550(Pt 3): p. 921-6 Non-Patent Document 14 Jarvis, M.F., et al., A-803467, a potent and selective NaV1.8 sodium channel blocker, attenuates neuropathic and inflammatory pain in the rat. Proc. Natl. Acad. Sci. U S A, 2007. 104(20): p. 8520-5 Non-Patent Document 15 Joshi, S.K., et al., Involvement of the TTX-resistant sodium channel NaV1.8 in inflammatory and neuropathic, but not post-operative, pain states. Pain, 2006. 123(1-2): pp. 75-82

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[0007] In one aspect, the invention relates to a compound described herein, or a pharma- ceutically acceptable salt thereof.

[0008] In another aspect, the invention relates to pharmaceutical compositions comprising a compound, or a pharma- ceutically acceptable salt thereof, and one or more pharma- ceutically acceptable carriers or vehicles.

[0009] In yet another aspect, the invention relates to a method of inhibiting voltage-gated sodium channels in a subject by administering to the subject a compound, a pharma- ceutically acceptable salt, or a pharmaceutical composition.

[0010] In yet another aspect, the invention relates to a method of treating or reducing the severity in a subject of various diseases, disorders, or conditions, including, but not limited to, chronic pain, intestinal pain, neuropathic pain, musculoskeletal pain, acute pain, inflammatory pain, cancer pain, idiopathic pain, post-operative pain (e.g., bunionectomy pain, herniorrhaphy pain, or abdominoplasty pain), visceral pain, multiple sclerosis, Charcot-Marie-Tooth disease, incontinence, pathological cough, or cardiac arrhythmias, by administering a compound, pharma- ceutically acceptable salt, or pharmaceutical composition to the subject. [Brief description of the drawings]

[0011] [Figure 1] 1 shows an XRPD pattern characteristic of amorphous compound 17. [Diagram 2] 1 shows an XRPD pattern characteristic of amorphous compound 25. DETAILED DESCRIPTION OF THE PREFERRED EMBODIMENTS

[0012] In one aspect, the present invention provides a compound of formula (I): [ka] , or a pharma- ceutically acceptable salt thereof, X 2a is N,N + -O - , or CR 2a and X 3a is N or N + -O - and X 5a is N,N + -O - , or CR 5a and X 6a is N,N + -O - , or CR 6a and R d is (CH2) m (CHR e )n (CH2) p H, m, n, and p are each independently 0 or 1; R e is H, OH, halo, C1-C6 alkoxy, or C1-C6 haloalkoxy; R 2a and R 6a are each independently H, halo, C1-C6 alkyl, or C1-C6 haloalkyl; R 5a is H, halo, CHOH, C-C alkyl, C-C haloalkyl, or R 5a and R d is R 5a and R d forms a CH2CH2 chain connecting the C atom to which R is bonded, 5a may be replaced by O; R 4b1 and R 4b2 are each independently H, C1-C6 alkyl, C3-C6 cycloalkyl, or C1-C6 haloalkyl; R 5b1 and R 5b2 are each independently H, C1-C6 alkyl, C3-C6 cycloalkyl, or C1-C6 haloalkyl; X 3c is N or CR 3c and X 4c is N or CR 4c and X 5c is N or CR 5c and X 6c is N or CR 6c and R 2c is H, OH, halo, C1-C6 alkyl, C2-C6 alkenyl, C1-C6 haloalkyl, C1-C6 alkoxy, C1-C6 haloalkoxy, O-CH2-C(R 2c1 )(R 2c2 )(R 2c3 ), O-CH(R 2c4 )(R2c5 ), or -L 1 -L 2 -(C3-C6 cycloalkyl), wherein the cycloalkyl is optionally substituted with 1 to 2 halo; R 2c1 and R 2c2 are each independently H or C1-C6 alkyl, or R 2c1 and R 2c2 form C=O together with the C atom to which they are attached, R 2c3 is OH, C1-C6 alkoxy, C1-C6 haloalkoxy, or N(R 2c6 )(R 2c7 ) or R 2c2 and R 2c3 together with the C atom to which they are attached form a 3- to 7-membered heterocycloalkyl, R 2c4 and R 2c5 together with the C atom to which they are attached form a 3- to 7-membered heterocycloalkyl, R 2c6 and R 2c7 are each C1-C6 alkyl, or R 2c6 and R 2c7 together with the N atom to which they are attached form a 3- to 8-membered heterocycloalkyl; L 1 is a bond or O, L 2 is a bond or C1-C6 alkylene; R 3c is H, halo, C1-C6 alkyl, or C1-C6 haloalkyl, or X 3c But, CR 3c and R 2c and R 3c together with the carbon atoms to which they are attached form a ring of the formula: [ka] ; Z1 and Z2 are each independently O or CH2; each R is independently H or halo; R 4c is H, halo, C1-C6 alkyl, C1-C6 haloalkyl, C1-C6 alkoxy, or C1-C6 haloalkoxy; R 5c is H, halo, C1-C6 alkyl, or C1-C6 haloalkyl; R 6c is H, halo, C1-C6 alkyl, or C1-C6 haloalkyl; However, X 2a , X 3a , X 5a , and X 6a Two or less of the following are N or N + -O - Provided that, However, X 3c , X 4c , X 5c , and X 6c , provided that at most one of is N, however, R 5a and R d But R 5a and R d forms a CH2CH2 chain connecting the C atom to which R is bonded, 5a may be replaced by O; or R 2c O-CH2-C(R 2c1 )(R 2c2 )(R 2c3 ) or O-CH(R 2c4 )(R 2c5 ) is the condition.

[0013] For the purposes of this invention, chemical elements are defined as defined in the Periodic Table of the Elements, CAS version, Handbook of Chemistry and Physics, 75 thFurther, general principles of organic chemistry are identified in “Organic Chemistry,” Thomas Sorrell, University Science Books, Sausalito: 1999, and “March's Advanced Organic Chemistry,” 5 th Ed., Ed.: Smith, M. B. and March, J., John Wiley & Sons, New York: 2001, the entire contents of which are incorporated herein by reference.

[0014] As used herein, the term "compounds of the invention" refers to compounds of formula (I) described herein, and all of its embodiments (e.g., formulas (IA), (IA-1), (IA-2), (IA-3), (IB), (IB-1), (IB-2), (IB-3), (IC), (IC-1), (IC-2), (IC-3), (ID), (ID-1), (ID-2), (ID-3), and (ID-4), etc.), and compounds identified in Table A.

[0015] As described herein, the compounds of the present invention may include a number of variable groups (e.g., R 5b1 , X 3a , R d As one of skill in the art would recognize, the combinations of groups contemplated by the present invention are those that result in the formation of a stable or chemically feasible compound. The term "stable" in this context refers to compounds that do not change substantially when subjected to conditions that allow for their production, detection, and, optionally, their recovery, purification, and use for one or more of the purposes disclosed herein. In some embodiments, a stable compound or a chemically feasible compound is one that does not change substantially when kept at a temperature of 40° C. or less for at least one week in the absence of moisture or other chemically reactive conditions.

[0016] The chemical structures depicted herein are intended to be understood as they would be understood by one of ordinary skill in the art. For example, with respect to formulas (I), (IA), (IB), (IC), and (ID), X 2a and X 3a are linked by a single bond, and X 5a and X 6a are linked by a double bond, and X 4c and X 5c are connected by a single bond, but the bond between these groups may be hidden by atom labels in the chemical structure. For example, using a different style, formula (I) may be drawn as follows to show the bond in question: [ka] .

[0017] Additionally, a substituent designated in a chemical structure as "CF3" or "F3C" refers to a trifluoromethyl substituent, regardless of whether that depiction appears in the chemical structure.

[0018] As used herein, the term “halo” means F, Cl, Br, or I.

[0019] As used herein, the term "alkyl" refers to a straight or branched hydrocarbon chain radical group consisting solely of carbon and hydrogen atoms, without unsaturation and having a specified number of carbon atoms, which is attached to the remainder of the molecule by a single bond. For example, a "C1-C6 alkyl" group is an alkyl group having from 1 to 6 carbon atoms.

[0020] As used herein, the term "alkenyl" refers to a straight or branched hydrocarbon chain radical group consisting solely of carbon and hydrogen atoms containing one or more carbon-carbon double bonds and having a specified number of carbon atoms, which is attached to the remainder of the molecule by a single bond. For example, a "C2-C6 alkenyl" group is an alkenyl group having from 2 to 6 carbon atoms.

[0021] As used herein, the term "cycloalkyl" refers to a stable non-aromatic monocyclic or bicyclic (fused, bridged, or spiro) saturated hydrocarbon radical consisting solely of carbon and hydrogen atoms having the specified number of carbon ring atoms, which is attached to the remainder of the molecule by a single bond. For example, a "C3-C8 cycloalkyl" group is a cycloalkyl group having from 3 to 8 carbon atoms.

[0022] As used herein, the term "haloalkyl" refers to an alkoxy group having a specified number of carbon atoms, in which one or more of the alkyl group's hydrogen atoms are replaced by a halo group. For example, a "C1-C6 haloalkyl" group is an alkyl group having 1 to 6 carbon atoms, in which one or more of the alkyl group's hydrogen atoms are replaced by a halo group.

[0023] As used herein, the term "alkoxy" refers to a group of the formula -OR a where R a is an alkyl group having the specified number of carbon atoms. For example, a "C1-C6 alkoxy" group is of the formula -OR a where R a is an alkyl group having 1 to 6 carbon atoms.

[0024] As used herein, the term "haloalkoxy" refers to an alkoxy group having the specified number of carbon atoms in which one or more of the alkyl group's hydrogen atoms is replaced by a halo group.

[0025] As used herein, the term "alkylene" refers to a divalent straight or branched hydrocarbon chain radical group consisting solely of carbon and hydrogen atoms, without unsaturation and having a specified number of carbon atoms, which is attached to the remainder of the molecule by two single bonds. For example, a "C1-C6 alkylene" group is an alkylene group having from 1 to 6 carbon atoms.

[0026] As used herein, the term "optionally substituted" refers to a group that is unsubstituted or substituted with the substituent specified thereafter. For example, an "optionally substituted group with 1 to 2 halo" is either unsubstituted, substituted with one halo group, or substituted with two halo groups.

[0027] As used herein, labels such as "*2" and "*3" such as those shown in the structures below refer to the corresponding R group (in this case R 2c Groups and R 3c This indicates the atom to which the alkyl group is bonded. [ka]

[0028] Unless otherwise specified, the compounds of the invention, whether identified by chemical name or chemical structure, include all stereoisomers (e.g., enantiomers and diastereomers), double bond isomers (e.g., (Z) and (E)), conformational isomers, and tautomers of the compounds identified by the chemical names and chemical structures provided herein. Additionally, single stereoisomers, double bond isomers, conformational isomers, and tautomers, as well as mixtures of stereoisomers, double bond isomers, conformational isomers, and tautomers, are within the scope of the invention.

[0029] As used herein, in any chemical structure or formula, a straight, non-bold bond attached to a stereocenter of a compound, such as in the formula: [ka] , Indicates that the configuration of a stereocenter is unspecified. The compound may have any configuration, or a mixture of configurations, at the stereocenter.

[0030] As used herein, in any chemical structure or formula, a bold or dashed straight bond attached to a stereocenter of a compound, such as in the formula: [ka] , A bold or dashed linear bond indicates the relative stereochemistry of a chiral center relative to the other stereocenter to which it is attached.

[0031] As used herein, in any chemical structure or formula, a bold or dashed wedge shaped bond attached to a stereocenter of a compound, such as in the formula: [ka] , A bold or dashed wedge shaped bond indicates the absolute stereochemistry of a stereocenter relative to the other stereocenter to which it is attached, as well as the relative stereochemistry of the stereocenter.

[0032] As used herein, the prefix "rac-" when used in reference to a chiral compound refers to a racemic mixture of the compound. In compounds bearing the "rac-" prefix, the (R)- and (S)-designators in the chemical name reflect the relative stereochemistry of the compounds.

[0033] As used herein, the prefix "rel-" when used in reference to a chiral compound refers to a single enantiomer of unknown absolute configuration. In compounds having the "rel-" prefix, the (R) and (S)- designators in the chemical name reflect the relative stereochemistry of the compound, but not necessarily the absolute stereochemistry of the compound. If the relative stereochemistry of a given stereocenter is unknown, no stereochemical designator is provided. In some instances, the absolute configuration of some stereocenters is known, while only the relative configuration of other stereocenters is known. In these instances, the stereochemical designators associated with stereocenters of known absolute configuration are marked with an asterisk (*), e.g., (R*)- and (S*)-, while the stereochemical designators associated with stereocenters of unknown absolute configuration are not so marked. Unmarked stereochemical designators associated with stereocenters of unknown absolute configuration reflect the relative stereochemistry of those stereocenters relative to other stereocenters of unknown absolute configuration, but not necessarily relative stereochemistry to stereocenters of known absolute configuration.

[0034] As used herein, the term "compound" refers to a collection of molecules having the same chemical structure, except that there may be isotopic variations between the constituent atoms of the molecule, when referring to a compound of the present invention. The term "compound" includes a collection of such molecules, regardless of the purity of a given sample that contains the collection of molecules. Thus, the term "compound" includes a collection of such molecules in pure form, in a mixture with one or more other substances (e.g., a solution, suspension, colloid, or pharmaceutical composition or dosage form), or in the form of a hydrate, solvate, or co-crystal.

[0035] As used herein, the term "amorphous" refers to a solid material that does not have long-range order in the position of its molecules. Amorphous solids are generally glasses or supercooled liquids in which the molecules are randomly arranged such that there is no well-defined arrangement, e.g., no molecular packing, and no long-range order. Amorphous solids are generally rather isotropic, i.e., they exhibit similar properties in all directions, and do not have a distinct melting point. Instead, they typically exhibit a glass transition temperature that indicates a transition from a glassy amorphous state to a supercooled liquid amorphous state upon heating. For example, an amorphous material is a solid material that does not have sharp characteristic crystalline peaks in its X-ray powder diffraction (XRPD) pattern (i.e., is not crystalline as determined by XRPD). Instead, one or several broad peaks (e.g., halos) are seen in its XRPD pattern. Broad peaks are characteristic of amorphous solids. For a comparison of XRPD of amorphous and crystalline materials, see US2004 / 0006237. In some embodiments, the solid material may include an amorphous compound, e.g., the solid material may be characterized by the lack of sharp characteristic crystalline peaks in its XRPD spectrum (i.e., the solid material is not crystalline but is amorphous as determined by XRPD). Instead, one or several broad peaks (e.g., halos) may be seen in the XRPD pattern of the solid material. For a representative comparison of XRPD of amorphous and crystalline materials, see US2004 / 0006237. A solid material including an amorphous compound may be characterized, e.g., by a broader temperature range of melting of the solid material compared to the range of melting of a pure crystalline solid. Other techniques, such as, e.g., solid state NMR, may be used to characterize the crystalline or amorphous form.

[0036] In this specification and claims, unless otherwise specified, any atom not specifically designated as a specific isotope of any compound of the present invention is intended to represent any stable isotope of the specified element. In the examples, if an atom is not specifically designated as a specific isotope of any compound of the present invention, no effort was made to enrich that atom in a specific isotope, and therefore, one skilled in the art will understand that such atom was likely present in about the natural abundance isotopic composition of the specified element.

[0037] As used herein, the term "stable" when referring to an isotope means that the isotope is not known to undergo spontaneous radioactive decay. Stable isotopes include, but are not limited to, isotopes whose decay mode is not specified in V.S. Shirley & C.M. Lederer, Isotopes Project, Nuclear Science Division, Lawrence Berkeley Laboratory, Table of Nuclides (January 1980).

[0038] As used herein in the specification and claims, "H" refers to hydrogen and includes any stable isotope of hydrogen, i.e. 1 Includes H and D. In the examples, when an atom is designated as "H," no attempt has been made to enrich that atom in a particular isotope of hydrogen, and thus, one of skill in the art will understand that such hydrogen atom was likely present in about the natural abundance isotopic composition of hydrogen.

[0039] As used herein, " 1 "H" refers to protium. When an atom in a compound of the invention, or a pharma- ceutically acceptable salt thereof, is designated as protium, protium is present at the designated position at least at the natural abundance concentration of protium.

[0040] As used herein, "D", "d", and " 2 "H" refers to deuterium.

[0041] In some embodiments, the compounds of the invention and pharma- ceutically acceptable salts thereof contain each constituent atom at about the natural abundance isotopic composition of the designated element.

[0042] In some embodiments, the compounds of the invention and their pharma- ceutically acceptable salts contain one or more atoms having an atomic mass or mass number different from the atomic mass or mass number of the most abundant isotope of the designated element ("isotopically labeled" compounds and salts). Examples of stable isotopes that are commercially available and suitable for the present invention include isotopes of hydrogen, carbon, nitrogen, oxygen, and phosphorus, e.g., 2 H, 13 C. 15 N, 18 O. 17 O, and 31 These include, but are not limited to, P.

[0043] The isotopically labeled compounds and salts can be used in a number of beneficial ways, including as medicines. In some embodiments, the isotopically labeled compounds and salts contain deuterium ( 2 H) labeled. 2 H) The labeled compounds and salts are therapeutically useful and non- 2 3H-labeled compounds have potential therapeutic advantages over H-labeled compounds. 2 H) Labeled compounds and salts may have higher metabolic stability compared to non-isotopically labeled ones due to the kinetic isotope effect described below. Higher metabolic stability translates directly into increased in vivo half-life or lower dosage, which represents a preferred embodiment of the present invention under most circumstances. Isotopically labeled compounds and salts can be generally prepared by carrying out the procedures disclosed in the synthesis schemes, examples, and related descriptions, substituting readily available isotopically labeled reactants for non-isotopically labeled reactants.

[0044] deuterium( 2H) labeled compounds and salts can manipulate the rate of oxidative metabolism of a compound through the primary kinetic isotope effect, which is the change in the rate of a chemical reaction resulting from the exchange of an isotope nucleus, which in turn is caused by a change in the ground state energy of the covalent bonds involved in the reaction. The exchange of a heavier isotope usually results in a lowering of the ground state energy of the chemical bond and therefore a decrease in the rate-limiting bond cleavage. If the bond cleavage occurs in or near a saddle point region along the configuration of a multi-product reaction, the product distribution ratio can change significantly. For example, if deuterium is attached to a carbon atom in a non-exchangeable position, k H / k D A rate difference of 2 to 7 is typical. For further discussion, see S.L. Harbeson and R.D. Tung, Deuterium In Drug Discovery and Development, Ann. Rep. Med. Chem. 2011, 46, 403-417, which is incorporated by reference in its entirety.

[0045] The concentration of an isotope (e.g., deuterium) incorporated at a given position in an isotopically labeled compound of the present invention or a pharma- ceutically acceptable salt thereof can be defined by the isotopic enrichment factor. As used herein, the term "isotopic enrichment factor" refers to the ratio between the abundance of an isotope at a given position in an isotopically labeled compound (or salt) and the natural abundance of the isotope.

[0046] When an atom in a compound of the invention or a pharma- ceutically acceptable salt thereof is designated as deuterium, such compound (or salt) has an isotopic enrichment factor for such atom of at least 3000 (about 45% deuterium incorporation). In some embodiments, the isotopic enrichment factor is at least 3500 (about 52.5% deuterium incorporation), at least 4000 (about 60% deuterium incorporation), at least 4500 (about 67.5% deuterium incorporation), at least 5000 (about 75% deuterium incorporation), at least 5500 (about 82.5% deuterium incorporation), at least 6000 (about 90% deuterium incorporation), at least 6333.3 (about 95% deuterium incorporation), at least 6466.7 (about 97% deuterium incorporation), at least 6600 (about 99% deuterium incorporation), or at least 6633.3 (about 99.5% deuterium incorporation).

[0047] In some embodiments, the present invention provides a compound of formula (IA): [ka] , or a pharma- ceutically acceptable salt thereof, 2a , X 3a , X 5a , X 6a , R d , R 4b1 , R 4b2 , R 5b1 , R 5b2 , X 3c , X 4c , X 5c , X 6c , and R 2c is defined as set out above in relation to formula (I).

[0048] In some embodiments, the present invention provides a compound of formula (IA-1): [ka] , or a pharma- ceutically acceptable salt thereof, d , R 4b1 , R 4b2, R 5b1 , R 5b2 , R 2c , R 3c , and R 4c is defined as set out above in relation to formula (I).

[0049] In some embodiments, the present invention provides a compound of formula (IA-2): [ka] , or a pharma- ceutically acceptable salt thereof, d , R 4b1 , R 4b2 , R 5b1 , R 5b2 , R 2c , R 3c , and R 4c is defined as set out above in relation to formula (I).

[0050] In some embodiments, the present invention provides a compound of formula (IA-3): [ka] , or a pharma- ceutically acceptable salt thereof, wherein R d , R 4b2 , R 2c , R 3c , and R 4c is defined as set out above in relation to formula (I).

[0051] In some embodiments, the present invention provides a compound of formula (IB): [ka] , or a pharma- ceutically acceptable salt thereof, 2a , X 3a , X 5a , X 6a , R d , R 4b1 , R 4b2 , R 5b1 , R 5b2, X 3c , X 4c , X 5c , X 6c , and R 2c is defined as set out above in relation to formula (I).

[0052] In some embodiments, the present invention provides a compound of formula (IB-1): [ka] , or a pharma- ceutically acceptable salt thereof, d , R 4b1 , R 4b2 , R 5b1 , R 5b2 , R 2c , R 3c , and R 4c is defined as set out above in relation to formula (I).

[0053] In some embodiments, the present invention provides a compound of formula (IB-2): [ka] , or a pharma- ceutically acceptable salt thereof, d , R 4b1 , R 4b2 , R 5b1 , R 5b2 , R 2c , R 3c , and R 4c is defined as set out above in relation to formula (I).

[0054] In some embodiments, the present invention provides a compound of formula (IB-3): [ka] , or a pharma- ceutically acceptable salt thereof, wherein R d , R 4b2 , R 2c , R 3c , and R 4cis defined as set out above in relation to formula (I).

[0055] In some embodiments, the present invention provides a compound of formula (IC): [ka] , or a pharma- ceutically acceptable salt thereof, 2a , X 3a , X 5a , X 6a , R d , R 4b1 , R 4b2 , R 5b1 , R 5b2 , X 3c , X 4c , X 5c , X 6c , and R 2c is defined as set out above in relation to formula (I).

[0056] In some embodiments, the present invention provides a compound of formula (IC-1): [ka] , or a pharma- ceutically acceptable salt thereof, d , R 4b1 , R 4b2 , R 5b1 , R 5b2 , R 2c , R 3c , and R 4c is defined as set out above in relation to formula (I).

[0057] In some embodiments, the present invention provides a compound of formula (IC-2): [ka] , or a pharma- ceutically acceptable salt thereof, d , R 4b1 , R 4b2 , R 5b1 , R 5b2 , R2c , R 3c , and R 4c is defined as set out above in relation to formula (I).

[0058] In some embodiments, the present invention provides a compound of formula (IC-3): [ka] , or a pharma- ceutically acceptable salt thereof, wherein R d , R 4b2 , R 2c , R 3c , and R 4c is defined as set out above in relation to formula (I).

[0059] In some embodiments, the present invention provides a compound of formula (ID): [ka] , or a pharma- ceutically acceptable salt thereof, 2a , X 3a , X 5a , X 6a , R d , R 4b1 , R 4b2 , R 5b1 , R 5b2 , X 3c , X 4c , X 5c , X 6c , and R 2c is defined as set out above in relation to formula (I).

[0060] In some embodiments, the present invention provides a compound of formula (ID-1): [ka] , or a pharma- ceutically acceptable salt thereof, d , R 4b1 , R 4b2 , R 5b1 , R 5b2 , R2c , R 3c , and R 4c is defined as set out above in relation to formula (I).

[0061] In some embodiments, the present invention provides a compound of formula (ID-2): [ka] , or a pharma- ceutically acceptable salt thereof, d , R 4b1 , R 4b2 , R 5b1 , R 5b2 , R 2c , R 3c , and R 4c is defined as set out above in relation to formula (I).

[0062] In some embodiments, the present invention provides a compound of formula (ID-3): [ka] , or a pharma- ceutically acceptable salt thereof, wherein R d , R 4b2 , R 2c , R 3c , and R 4c is defined as set out above in relation to formula (I).

[0063] In some embodiments, the present invention provides a compound of formula (ID-4): [ka] , or a pharma- ceutically acceptable salt thereof, wherein R d , R 4b2 , R 2c , R 3c , and R 4c is defined as set out above in relation to formula (I).

[0064] In some embodiments, the present invention relates to a compound of any one of formulas (I), (IA), (IB), (IC), and (ID), or a pharma- ceutically acceptable salt thereof, wherein X 2a CR 2a In another embodiment, X 2a CR 2a and R 2a is H.

[0065] In some embodiments, the present invention relates to a compound of any one of formulas (I), (IA), (IB), (IC), and (ID), or a pharma- ceutically acceptable salt thereof, wherein X 3a is N.

[0066] In some embodiments, the present invention relates to a compound of any one of formulas (I), (IA), (IB), (IC), and (ID), or a pharma- ceutically acceptable salt thereof, wherein X 2a CR 2a and R 2a is H.

[0067] In some embodiments, the present invention relates to a compound of any one of formulas (I), (IA), (IB), (IC), and (ID), or a pharma- ceutically acceptable salt thereof, wherein X 3a is N.

[0068] In some embodiments, the present invention relates to a compound of any one of formulas (I), (IA), (IB), (IC), and (ID), or a pharma- ceutically acceptable salt thereof, wherein X 5a is N. In other embodiments, X 5a CR 5a In another embodiment, X 5a CR 5a and R 5a is H.

[0069] In some embodiments, the present invention relates to a compound of any one of formulas (I), (IA), (IB), (IC), and (ID), or a pharma- ceutically acceptable salt thereof, wherein X 6a CR 6a In another embodiment, X 6a CR 6a and R 6a is H.

[0070] In some embodiments, the present invention relates to a compound of any one of formulas (I), (IA), (IA-1), (IA-2), (IA-3), (IB), (IB-1), (IB-2), (IB-3), (IC), (IC-1), (IC-2), (IC-3), (ID), (ID-1), (ID-2), (ID-3), and (ID-4), or a pharma- ceutically acceptable salt thereof, wherein R e is H. In other embodiments, R e is OH. In other embodiments, R e is C1-C6 alkoxy. In other embodiments, R e is methoxy.

[0071] In some embodiments, the present invention relates to a compound of any one of formulas (I), (IA), (IA-1), (IA-2), (IA-3), (IB), (IB-1), (IB-2), (IB-3), (IC), (IC-1), (IC-2), (IC-3), (ID), (ID-1), (ID-2), (ID-3), and (ID-4), or a pharma- ceutically acceptable salt thereof, wherein R d is H, CH2OH, or CH2OCH3.

[0072] In some embodiments, the present invention relates to a compound of any one of formulas (I), (IA), (IB), (IC), and (ID), or a pharma- ceutically acceptable salt thereof, wherein X 5a CR 5a and R 5a and R d is R 5aand R d forms a CH2CH2 chain connecting the C atom to which R is bonded, 5a The CH2 group bonded to the C atom to which is bonded may be replaced by O.

[0073] In some embodiments, the present invention relates to a compound of any one of formulas (I), (IA), (IA-1), (IA-2), (IB), (IB-1), (IB-2), (IC), (IC-1), (IC-2), (ID), (ID-1), and (ID-2), or a pharma- ceutically acceptable salt thereof, wherein R 4b1 is H. In other embodiments, R 4b1 is C1-C6 alkyl. In other embodiments, R 4b1 is CH3.

[0074] In some embodiments, the present invention relates to a compound of any one of formulas (I), (IA), (IA-1), (IA-2), (IA-3), (IB), (IB-1), (IB-2), (IB-3), (IC), (IC-1), (IC-2), (IC-3), (ID), (ID-1), (ID-2), (ID-3), and (ID-4), or a pharma- ceutically acceptable salt thereof, wherein R 4b2 is H. In other embodiments, R 4b2 is C1-C6 alkyl. In other embodiments, R 4b2 is CH3.

[0075] In some embodiments, the present invention relates to a compound of any one of formulas (I), (IA), (IA-1), (IA-2), (IB), (IB-1), (IB-2), (IC), (IC-1), (IC-2), (ID), (ID-1), and (ID-2), or a pharma- ceutically acceptable salt thereof, wherein R 5b1 is C1-C6 alkyl. In other embodiments, R 5b1 is CH3. In other embodiments, R 5b1 is C1-C6 haloalkyl. In other embodiments, R 5b1 is CF3.

[0076] In some embodiments, the present invention relates to a compound of any one of formulas (I), (IA), (IA-1), (IA-2), (IB), (IB-1), (IB-2), (IC), (IC-1), (IC-2), (ID), (ID-1), and (ID-2), or a pharma- ceutically acceptable salt thereof, wherein R 5b2 is C1-C6 alkyl. In other embodiments, R 5b2 is CH3. In other embodiments, R 5b2 is C1-C6 haloalkyl. In other embodiments, R 5b2 is CF3.

[0077] In some embodiments, the present invention relates to a compound of any one of formulas (I), (IA), (IA-1), (IA-2), (IA-3), (IB), (IB-1), (IB-2), (IB-3), (IC), (IC-1), (IC-2), (IC-3), (ID), (ID-1), (ID-2), (ID-3), and (ID-4), or a pharma- ceutically acceptable salt thereof, wherein R 2c is C1-C6 alkoxy. In other embodiments, R 2c is O-CH2-C(R 2c1 )(R 2c2 )(R 2c3 In another embodiment, R 2c is OCH2CH2R 2c3 In another embodiment, R 2c is OCH2CH2N(R 2c6 )(R 2c7 In another embodiment, R 2c teeth, [ka] In another embodiment, R 2c is OCH2CH2OH, OCH2CH2OCH3, or OCH2CH2OCHF2. In other embodiments, R 2c is OCH2CH(CH3)R 2c3 In another embodiment, R2c is OCH2CH(CH3)OCH3. In other embodiments, R 2c is OCH2C(O)R 2c3 In another embodiment, R 2c is OCH2C(O)N(R 2c6 )(R 2c7 In another embodiment, R 2c is OCH2C(O)N(CH3)2. In other embodiments, R 2c is OCH2CH(R 2c2 )(R 2c3 In another embodiment, R 2c teeth, [ka] In another embodiment, R 2c is O-CH(R 2c4 )(R 2c5 In another embodiment, R 2c teeth, [ka] It is.

[0078] In some embodiments, the present invention relates to a compound of any one of formulas (I), (IA), (IB), (IC), and (ID), or a pharma- ceutically acceptable salt thereof, wherein X 3c CR 3c In another embodiment, X 3c CR 3c and R 3c In another embodiment, X is halo. 3c CR 3c and R 3c is F. In other embodiments, X 3c CR 3c and R 3c is C1-C6 alkyl. In other embodiments, X 3c CR 3c and R 3c is CH3.

[0079] In some embodiments, the present invention relates to a compound of any one of formulas (IA-1), (IA-2), (IA-3), (IB-1), (IB-2), (IB-3), (IC-1), (IC-2), (IC-3), (ID-1), (ID-2), (ID-3), and (ID-4), or a pharma- ceutically acceptable salt thereof, wherein R 3c is halo. In other embodiments, R 3c is F. In other embodiments, R 3c is C1-C6 alkyl. In other embodiments, R 3c is CH3.

[0080] In some embodiments, the present invention relates to a compound of any one of formulas (I), (IA), (IB), (IC), and (ID), or a pharma- ceutically acceptable salt thereof, wherein X 4c CR 4c In another embodiment, X 4c CR 4c and R 4c In another embodiment, X is halo. 4c CR 4c and R 4c is F.

[0081] In some embodiments, the present invention relates to a compound of any one of formulas (IA-1), (IA-2), (IA-3), (IB-1), (IB-2), (IB-3), (IC-1), (IC-2), (IC-3), (ID-1), (ID-2), (ID-3), and (ID-4), or a pharma- ceutically acceptable salt thereof, wherein R 4c is halo. In other embodiments, R 4c is F.

[0082] In some embodiments, the present invention relates to a compound of any one of formulas (I), (IA), (IB), (IC), and (ID), or a pharma- ceutically acceptable salt thereof, wherein X 5c CR 5c In another embodiment, X 5cCR 5c and R 5c is H.

[0083] In some embodiments, the present invention relates to a compound of any one of formulas (I), (IA), (IB), (IC), and (ID), or a pharma- ceutically acceptable salt thereof, wherein X 6c CR 6c In another embodiment, X 6c CR 6c and R 6c is H.

[0084] In some embodiments, the present invention relates to a compound of any one of formulas (I), (IA), (IA-1), (IA-2), (IA-3), (IB), (IB-1), (IB-2), (IB-3), (IC), (IC-1), (IC-2), (IC-3), (ID), (ID-1), (ID-2), (ID-3), and (ID-4), or any embodiment thereof, i.e., a non-salt form of the compound.

[0085] In some embodiments, the invention relates to a compound selected from Table A, or a pharma- ceutically acceptable salt thereof. In other embodiments, the invention relates to a compound selected from Table A, i.e., the compound in non-salt form. [Table 1-1] [Table 1-2] [Table 1-3] [Table 1-4] [Table 1-5]

[0086] In some embodiments, the present invention provides a compound of the formula: [ka] , or a pharma- ceutically acceptable salt thereof. In another embodiment, the invention relates to the aforementioned compounds in non-salt form. Such compounds are considered to be "compounds of the invention" as that term is used herein.

[0087] In some embodiments, the present invention provides a compound of the formula: [ka] , or a pharma- ceutically acceptable salt thereof. In another embodiment, the invention relates to the aforementioned compounds in non-salt form. Such compounds are considered to be "compounds of the invention" as that term is used herein.

[0088] In some embodiments, the present invention provides a compound of the formula: [ka] , or a pharma- ceutically acceptable salt thereof. In another embodiment, the invention relates to the aforementioned compounds in non-salt form. Such compounds are considered to be "compounds of the invention" as that term is used herein.

[0089] In some embodiments, the present invention provides a compound of the formula: [ka] , or a pharma- ceutically acceptable salt thereof. In another embodiment, the invention relates to the aforementioned compounds in non-salt form. Such compounds are considered to be "compounds of the invention" as that term is used herein.

[0090] In some embodiments, the present invention provides a compound of the formula: [ka] , or a pharma- ceutically acceptable salt thereof. In another embodiment, the invention relates to the aforementioned compounds in non-salt form. Such compounds are considered to be "compounds of the invention" as that term is used herein.

[0091] In some embodiments, the present invention provides a compound of the formula: [ka] , or a pharma- ceutically acceptable salt thereof. In another embodiment, the invention relates to the aforementioned compounds in non-salt form. Such compounds are considered to be "compounds of the invention" as that term is used herein.

[0092] In some embodiments, the present invention provides a compound of the formula: [ka] , or a pharma- ceutically acceptable salt thereof. In another embodiment, the invention relates to the aforementioned compounds in non-salt form. Such compounds are considered to be "compounds of the invention" as that term is used herein.

[0093] In some embodiments, the present invention provides a compound of the formula: [ka] , or a pharma- ceutically acceptable salt thereof. In another embodiment, the invention relates to the aforementioned compounds in non-salt form. Such compounds are considered to be "compounds of the invention" as that term is used herein.

[0094] In some embodiments, the present invention provides a compound of the formula: [ka] , or a pharma- ceutically acceptable salt thereof. In another embodiment, the invention relates to the aforementioned compounds in non-salt form. Such compounds are considered to be "compounds of the invention" as that term is used herein.

[0095] In some embodiments, the present invention provides a compound of the formula: [ka] , or a pharma- ceutically acceptable salt thereof. In another embodiment, the invention relates to the aforementioned compounds in non-salt form. Such compounds are considered to be "compounds of the invention" as that term is used herein.

[0096] In some embodiments, the present invention provides a compound of the formula: [ka] , or a pharma- ceutically acceptable salt thereof. In another embodiment, the invention relates to the aforementioned compounds in non-salt form. Such compounds are considered to be "compounds of the invention" as that term is used herein.

[0097] In some embodiments, the present invention provides a compound of the formula: [ka] , or a pharma- ceutically acceptable salt thereof. In another embodiment, the invention relates to the aforementioned compounds in non-salt form. Such compounds are considered to be "compounds of the invention" as that term is used herein.

[0098] In some embodiments, the present invention provides a compound of the formula: [ka] , or a pharma- ceutically acceptable salt thereof. In another embodiment, the invention relates to the aforementioned compounds in non-salt form. Such compounds are considered to be "compounds of the invention" as that term is used herein.

[0099] In some embodiments, the present invention provides a compound of the formula: [ka] , or a pharma- ceutically acceptable salt thereof. In another embodiment, the invention relates to the aforementioned compounds in non-salt form. Such compounds are considered to be "compounds of the invention" as that term is used herein.

[0100] In some embodiments, the present invention provides a compound of the formula: [ka] , or a pharma- ceutically acceptable salt thereof. In another embodiment, the invention relates to the aforementioned compounds in non-salt form. Such compounds are considered to be "compounds of the invention" as that term is used herein.

[0101] In some embodiments, the present invention provides a compound of the formula: [ka] , or a pharma- ceutically acceptable salt thereof. In another embodiment, the invention relates to the aforementioned compounds in non-salt form. Such compounds are considered to be "compounds of the invention" as that term is used herein.

[0102] In some embodiments, the present invention provides a compound of the formula: [ka] , or a pharma- ceutically acceptable salt thereof. In another embodiment, the invention relates to the aforementioned compounds in non-salt form. Such compounds are considered to be "compounds of the invention" as that term is used herein.

[0103] In some embodiments, the present invention provides a compound of the formula: [ka] , or a pharma- ceutically acceptable salt thereof, the compound has the absolute and relative stereochemistry corresponding to the second eluting isomer when the two diastereoisomers of (2R,3S,4S,5R)-N-(7-((tert-butyldimethylsilyl)oxy)-6,7-dihydro-5H-cyclopenta[b]pyridin-3-yl)-3-(3,4-difluoro-2-methoxyphenyl)-4,5-dimethyl-5-(trifluoromethyl)tetrahydrofuran-2-carboxamide are separated by SFC as described in step 2 of Example 2. In another embodiment, the present invention relates to the aforementioned compound in a non-salt form. Such compounds are considered to be "compounds of the invention" as that term is used herein.

[0104] Salts, Compositions, Uses, Formulations, Administration, and Additional Agents Pharmaceutically Acceptable Salts and Compositions As discussed herein, the present invention provides compounds and pharma- ceutically acceptable salts thereof that are inhibitors of voltage-gated sodium channels, and thus the compounds and pharma- ceutically acceptable salts thereof are useful for treating diseases, disorders, and conditions, including, but not limited to, chronic pain, intestinal pain, neuropathic pain, musculoskeletal pain, acute pain, inflammatory pain, cancer pain, idiopathic pain, post-operative pain (e.g., bunionectomy pain, herniorrhaphy pain, or abdominoplasty pain), visceral pain, multiple sclerosis, Charcot-Marie-Tooth disease, incontinence, pathological cough, or cardiac arrhythmia. Thus, in another aspect of the present invention, pharmaceutical compositions are provided, which comprise a compound as described herein, or a pharma- ceutically acceptable salt thereof, and optionally include a pharma- ceutically acceptable carrier, adjuvant, or vehicle. In certain embodiments, these compositions optionally further comprise one or more additional therapeutic agents. In some embodiments, the additional therapeutic agent is a sodium channel inhibitor.

[0105] As used herein, the term "pharmaceutically acceptable" refers to a salt that is suitable for use in contact with the tissues of humans and lower animals without undue toxicity, irritation, allergic reaction, etc., within the scope of sound medical judgment, and commensurate with a reasonable benefit / risk ratio. A "pharmaceutically acceptable salt" of a compound of the invention includes any non-toxic salt that, upon administration to a recipient, is capable of providing, either directly or indirectly, a compound of the present disclosure or an inhibitory active metabolite or residue thereof. The salt may be in pure form, in admixture with one or more other substances (e.g., solution, suspension, or colloid), or in the form of a hydrate, solvate, or co-crystal. As used herein, the term "inhibitorily active metabolite or residue thereof" means that the metabolite or residue thereof is also an inhibitor of voltage-gated sodium channels.

[0106] Pharmaceutically acceptable salts are well known in the art. For example, S.M. Berge, et al. describes pharmaceutically acceptable salts in detail in J.Pharmaceutical Sciences, 1977, 66, 1-19, which is incorporated herein by reference. The pharmaceutically acceptable salts of the compounds of the present invention include those derived from suitable inorganic and organic acids and bases. Examples of pharmaceutically acceptable non-toxic acid addition salts are the salts of amino groups formed with inorganic acids such as hydrochloric acid, hydrobromic acid, phosphoric acid, sulfuric acid and perchloric acid, or 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 pharma- ceutically acceptable salts include adipate, alginate, ascorbate, aspartate, benzenesulfonate, benzoate, bisulfate, borate, butyrate, camphorate, camphorsulfonate, citrate, cyclopentanepropionate, digluconate, dodecyl sulfate, ethanesulfonate, formate, fumarate, glucoheptonate, glycerophosphate, gluconate, hemisulfate, heptanoate, hexanoate, hydroiodide, 2-hydroxy-ethanesulfonate, and the like. Salts derived from appropriate bases include alkali metal, alkaline earth metal, ammonium, and N-type salts such as sulfonate, lactobionate, lactate, laurate, lauryl sulfate, malate, maleate, malonate, methanesulfonate, 2-naphthalenesulfonate, nicotinate, nitrate, oleate, oxalate, palmitate, pamoate, pectinate, persulfate, 3-phenylpropionate, phosphate, picrate, pivalate, propionate, stearate, succinate, sulfate, tartrate, thiocyanate, p-toluenesulfonate, undecanoate, valerate, and the like. + (C 1-4Representative alkali or alkaline earth metal salts include sodium, lithium, potassium, calcium, magnesium, etc. Further pharma- ceutically acceptable salts include non-toxic ammonium, quaternary ammonium, and amine cations formed, where appropriate, using counterions such as halides, hydroxides, carboxylates, sulfates, phosphates, nitrates, lower alkyl sulfonates, and aryl sulfonates.

[0107] As used herein, the pharma- ceutically acceptable compositions of the present invention additionally include pharma- ceutically acceptable carriers, adjuvants, or vehicles, including any and all solvents, diluents, or other liquid vehicles, dispersing or suspending aids, surface active agents, isotonicity agents, thickening or emulsifying agents, preservatives, solid binders, lubricants, and the like, appropriate for the particular dosage form desired, as used herein. Remington's Pharmaceutical Sciences, Sixteenth Edition, EW Martin (Mack Publishing Co., Easton, Pa., 1980) discloses various carriers used in formulating pharma- ceutical acceptable compositions and known techniques for their preparation. The use of any conventional carrier medium is contemplated within the scope of the present disclosure, except insofar as it is incompatible with the compounds of the present invention, for example, by causing any undesirable biological effects or otherwise interacting in a deleterious manner with any other component of the pharma- ceutical acceptable composition.Some examples of materials that may serve as pharma- ceutically acceptable carriers include, but are not limited to, ion exchangers, alumina, aluminum stearate, lecithin, serum proteins (e.g., human serum albumin), buffer substances (e.g., phosphates, glycine, sorbic acid, and potassium sorbate, etc.), partial glyceride mixtures of saturated vegetable fatty acids, water, salts, or electrolytes (e.g., protamine sulfate, disodium hydrogen phosphate, potassium hydrogen phosphate, sodium chloride, zinc salts), colloidal silica, magnesium trisilicate, polyvinylpyrrolidone, polyacrylates, waxes, polyethylene-polyoxypropylene-block polymers, wool fat, sugars (e.g., lactose, glucose, and sucrose), starches (e.g., corn starch and potato starch), cellulose and its derivatives (e.g., carboxymethylcellulose, cellulose esters ... sodium, ethylcellulose, and cellulose acetate), powdered tragacanth, malt, gelatin, talc, excipients (e.g., cocoa butter and suppository wax), oils (e.g., peanut oil, cottonseed oil, safflower oil, sesame oil, olive oil, corn oil, and soybean oil), glycols (e.g., propylene glycol and polyethylene glycol), esters (e.g., ethyl oleate and ethyl laurate), agar, buffers (e.g., magnesium hydroxide and aluminum hydroxide), alginic acid, pyrogen-free water, isotonic saline, Ringer's solution, ethyl alcohol, phosphate buffer solutions, and other non-toxic compatible lubricants (e.g., sodium lauryl sulfate and magnesium stearate), as well as coloring agents, releasing agents, coating agents, sweetening, flavoring, and perfuming agents; preservatives and antioxidants can also be present in the composition according to the judgment of the formulator.

[0108] In another aspect, the invention features a pharmaceutical composition including a compound of the invention, or a pharma- ceutically acceptable salt thereof, and a pharma- ceutically acceptable carrier.

[0109] In another aspect, the invention features a pharmaceutical composition that includes a therapeutically effective amount of a compound, or a pharma- ceutically acceptable salt thereof, and one or more pharma- ceutically acceptable carriers or vehicles.

[0110] Uses of the Compounds and Pharmaceutically Acceptable Salts and Compositions In another aspect, the invention features a method of inhibiting a voltage-gated sodium channel in a subject, the method including administering to the subject a compound of the invention, or a pharma- ceutically acceptable salt thereof, or a pharmaceutical composition thereof. V It's 1.8.

[0111] In yet another aspect, the invention features a method of treating or lessening the severity in a subject of chronic pain, intestinal pain, neuropathic pain, musculoskeletal pain, acute pain, inflammatory pain, cancer pain, idiopathic pain, post-operative pain (e.g., bunionectomy pain, herniorrhaphy pain, or abdominoplasty pain), visceral pain, multiple sclerosis, Charcot-Marie-Tooth disease, incontinence, pathological cough, or cardiac arrhythmia, the method includes administering an effective amount of a compound, a pharma- ceutically acceptable salt thereof, or a pharmaceutical composition thereof.

[0112] In yet another aspect, the invention features a method of treating or lessening the severity of chronic pain, intestinal pain, neuropathic pain, musculoskeletal pain, acute pain, inflammatory pain, cancer pain, idiopathic pain, post-operative pain, herniorrhaphy pain, bunionectomy pain, multiple sclerosis, Charcot-Marie-Tooth disease, incontinence, or cardiac arrhythmia in a subject, the method includes administering an effective amount of a compound, a pharmacologic salt thereof, or a pharmaceutical composition thereof.

[0113] In yet another aspect, the invention features a method of treating or lessening the severity of intestinal pain in a subject, where intestinal pain includes inflammatory bowel disease pain, Crohn's disease pain, or interstitial cystitis pain, the method includes administering an effective amount of a compound of the invention, a pharmacologic acceptable salt thereof, or a pharmaceutical composition thereof.

[0114] In yet another aspect, the invention features a method for treating or reducing the severity of neuropathic pain in a subject, comprising administering an effective amount of a compound of the invention, a pharma- ceutically acceptable salt thereof, or a pharmaceutical composition thereof. In some aspects, the neuropathic pain comprises postherpetic neuralgia, small fiber neuropathy, diabetic neuropathy, or idiopathic small fiber neuropathy. In some aspects, the neuropathic pain comprises diabetic neuropathy (e.g., diabetic peripheral neuropathy). As used herein, the phrase "idiopathic small fiber neuropathy" shall be understood to include any small fiber neuropathy.

[0115] In yet another aspect, the invention features a method of treating or lessening the severity of neuropathic pain in a subject, including post-herpetic neuralgia, diabetic neuropathy, painful HIV-associated sensory neuropathy, trigeminal neuralgia, burning mouth syndrome, pain after amputation surgery, phantom limb pain, painful neuroma; traumatic neuroma; Morton's neuroma; nerve entrapment injury, spinal stenosis, carpal tunnel syndrome, radicular pain, sciatica; nerve avulsion injury, brachial plexus avulsion injury; complex regional pain syndrome, medication-induced neuropathy, cancer chemotherapy-induced neuropathy, antiretroviral therapy-induced neuropathy; pain after spinal cord injury, small fiber neuropathy, idiopathic small fiber neuropathy, idiopathic sensory neuropathy, or trigeminal-autonomic headache, the method comprising administering an effective amount of a compound of the invention, a pharmacologic acceptable salt thereof, or a pharmaceutical composition thereof.

[0116] In yet another aspect, the invention features a method of treating or reducing the severity of musculoskeletal pain in a subject comprising administering an effective amount of a compound of the invention, a pharma- ceutically acceptable salt thereof, or a pharmaceutical composition thereof, hi some aspects, the musculoskeletal pain comprises osteoarthritis.

[0117] In yet another aspect, the invention features a method of treating or lessening the severity of musculoskeletal pain in a subject, including osteoarthritis, back pain, cold pain, burn pain, or dental pain, the method includes administering an effective amount of a compound of the invention, a pharma- ceutically acceptable salt thereof, or a pharmaceutical composition thereof.

[0118] In yet another aspect, the invention features a method of treating or lessening the severity of inflammatory pain in a subject, including rheumatoid arthritis pain or vulvodynia, the method including administering an effective amount of a compound of the invention, a pharma- ceutical acceptable salt thereof, or a pharmaceutical composition thereof.

[0119] In yet another aspect, the invention features a method of treating or lessening the severity of inflammatory pain in a subject, including rheumatoid arthritis pain, the method including administering an effective amount of a compound of the invention, a pharmacologic acceptable salt thereof, or a pharmaceutical composition thereof.

[0120] In yet another aspect, the invention features a method of treating or lessening the severity of idiopathic pain in a subject, including fibromyalgia pain, the method including administering an effective amount of a compound of the invention, a pharma- ceutically acceptable salt thereof, or a pharmaceutical composition thereof.

[0121] In yet another aspect, the invention features a method of treating or reducing the severity of pathological cough in a subject, the method comprising administering an effective amount of a compound of the invention, a pharma- ceutically acceptable salt thereof, or a pharmaceutical composition thereof.

[0122] In yet another aspect, the invention features a method of treating or reducing the severity of acute pain in a subject comprising administering an effective amount of a compound of the invention, a pharma- ceutically acceptable salt thereof, or a pharmaceutical composition thereof, hi some aspects, the acute pain comprises acute post-operative pain.

[0123] In yet another aspect, the invention features a method of treating or reducing the severity of post-operative pain (e.g., joint replacement pain, soft tissue surgery pain, herniorrhaphy pain, bunionectomy pain, or abdominoplasty pain) in a subject comprising administering an effective amount of a compound of the invention, a pharmacologic salt thereof, or a pharmaceutical composition thereof.

[0124] In yet another aspect, the invention features a method of treating or reducing the severity of pain from a bunionectomy in a subject comprising administering an effective amount of a compound of the invention, a pharmacologic salt thereof, or a pharmaceutical composition thereof.

[0125] In yet another aspect, the invention features a method of treating herniorrhaphy or reducing the severity of its pain in a subject comprising administering an effective amount of a compound of the invention, a pharmacologic salt thereof, or a pharmaceutical composition thereof.

[0126] In yet another aspect, the invention features a method of treating or reducing the severity of abdominoplasty pain in a subject comprising administering an effective amount of a compound of the invention, a pharma- ceutically acceptable salt thereof, or a pharmaceutical composition thereof.

[0127] In yet another aspect, the invention features a method of treating or lessening the severity of visceral pain in a subject comprising administering an effective amount of a compound of the invention, a pharma- ceutically acceptable salt thereof, or a pharmaceutical composition thereof, hi some aspects, the visceral pain comprises abdominoplasty visceral pain.

[0128] In yet another aspect, the invention features a method of treating or reducing the severity of a neurodegenerative disease in a subject, comprising administering an effective amount of a compound of the invention, a pharma- ceutically acceptable salt thereof, or a pharmaceutical composition thereof. In some aspects, the neurodegenerative disease comprises multiple sclerosis. In some aspects, the neurodegenerative disease comprises Pitt-Hopkins syndrome (PTHS).

[0129] In yet another aspect, the invention features a method in which a subject is treated with one or more additional therapeutic agents administered simultaneously with, prior to, or following treatment with an effective amount of a compound, pharma- ceutically acceptable salt, or pharmaceutical composition, hi some embodiments, the additional therapeutic agent is a sodium channel inhibitor.

[0130] In another aspect, the invention features a method of inhibiting a voltage-gated sodium channel in a biological sample, the method including contacting the biological sample with an effective amount of a compound of the invention, a pharma- ceutically acceptable salt thereof, or a pharmaceutical composition thereof. V It's 1.8.

[0131] In another aspect, the present invention provides a method for treating acute pain, subacute and chronic pain, nociceptive pain, neuropathic pain, inflammatory pain, algesic pain, arthritis, migraine, cluster headache, trigeminal neuralgia, herpetic neuralgia, general neuralgia, epilepsy, epileptic conditions, neurodegenerative disorders, psychiatric disorders, anxiety, depression, bipolar disorder, myotonia, arrhythmias, movement disorders, neuroendocrine disorders, ataxia, central neuropathic pain in multiple sclerosis and irritable bowel syndrome, incontinence, pathological cough, visceral pain, osteoarthritis, post-herpetic neuralgia, diabetic neuropathy. pain, radicular pain, sciatica, back pain, unspecified chronic back pain, headache, neck pain, moderate pain, severe pain, intractable pain, nociceptive pain, breakthrough pain, post-operative pain (e.g., joint replacement pain, soft tissue surgery pain, herniorrhaphy pain, bunionectomy pain, or abdominoplasty pain), cancer pain including chronic cancer pain and cancer breakthrough pain, stroke (e.g., central neuropathic pain after stroke), traumatic neck syndrome, fragility fractures, spinal fractures, ankylosing spondylitis, pemphigus, Raynaud's disease, scleroderma, systemic lupus erythematosus , epidermolysis bullosa, gout, juvenile idiopathic arthritis, osteoporosis, polymyalgia rheumatica, pyoderma gangrenosum, chronic widespread pain, diffuse idiopathic osteophytosis, degenerative / herniated disc pain, radiculopathy, facet joint syndrome, failed spinal surgery syndrome, burns, carpal tunnel syndrome, Paget's disease pain, spinal stenosis, spondylodiscitis, transverse myelitis, Ehlers-Danlos syndrome, Fabry disease, mastocytosis, neurofibromatosis, ophthalmopathic pain, sarcoidosis, spondylolysis, spondylolisthesis, chemotherapy-induced oral The present invention features a method of treating or reducing the severity in a subject of mucositis, Charcot arthropathy, temporomandibular joint disorders, painful knee replacement surgery, non-cardiac chest pain, pubic pain, renal colic, biliary tract disease, vascular leg ulcers, pain in Parkinson's disease, pain in Alzheimer's disease, cerebral ischemia, traumatic brain injury, amyotrophic lateral sclerosis, stress induced angina, exercise induced angina, palpitations, hypertension, or abnormal gastrointestinal motility, comprising administering an effective amount of a compound of the present invention, a pharmacologic acceptable salt thereof, or a pharmaceutical composition thereof.

[0132] In another aspect, the present invention provides a method for treating femoral cancer pain; non-malignant chronic bone pain; rheumatoid arthritis; osteoarthritis; spinal stenosis; neuropathic low back pain; myofascial pain syndrome; fibromyalgia; temporomandibular joint pain; chronic visceral pain, abdominal pain; splenic pain; IBS pain; chronic and acute headache pain; migraine; tension headache; cluster headache; chronic and acute neuropathic pain, post-herpetic neuralgia; diabetic neuropathy; HIV-associated neuropathy; trigeminal neuralgia; Charcot-Marie-Tooth neuropathy; hereditary sensory neuropathy; peripheral nerve injury; painful Pelvic neuroma;ectopic proximal and distal discharges;radiculopathy;chemotherapy-induced neuropathic pain;radiotherapy-induced neuropathic pain;persistent / chronic post-operative pain (e.g., after amputation, thoracotomy, cardiac surgery), post-mastectomy pain;central pain;spinal cord injury pain;post-stroke pain;thalamic pain;phantom limb pain (e.g., after lower limb, upper limb, breast removal);intractable pain;acute pain, acute post-operative pain;acute musculoskeletal pain;arthritic pain;mechanical low back pain;neck pain;tendonitis;injury pain;motor pain;acute visceral pain;pyelonephritis;insects Appendicitis;Cholecystitis;Intestinal obstruction;Hernia;Chest pain, cardiac pain;Pelvic pain, renal colic pain, acute obstetric pain, labour pain;Caesarean section pain;Acute inflammatory pain, burn pain, traumatic pain;Acute intermittent pain, endometriosis;Acute shingles pain;Sickle cell disease;Acute pancreatitis;Breakthrough pain;Oro-facial pain;Sinusitis pain;Toothache;Multiple sclerosis (MS) pain;Pain in depression;Pain in leprosy;Pain in Behcet's disease;Adiposity pain;Pain in phlebitis;Pain in Guillain-Barré syndrome;Painful legs and moving toes;Haglund syndrome ; erythromelalgia pain; Fabry disease pain; bladder and genitourinary disorders; urinary incontinence, pathological cough; overactive bladder; bladder pain syndrome; interstitial cystitis (IC); prostatitis; regional pain syndrome (CRPS) type I, complex regional pain syndrome (CRPS) type II; widespread pain, paroxysmal severe pain, pruritus, tinnitus, or angina induced pain in a subject, the method comprising administering an effective amount of a compound of the present invention, a pharmacologic acceptable salt thereof, or a pharmaceutical composition thereof.

[0133] Compounds, Pharmacologically Acceptable Salts, and Compositions for Use - Patent application In another aspect, the invention features a compound of the invention, or a pharma- ceutically acceptable salt, or pharmaceutical composition thereof, for use as a medicament.

[0134] In another aspect, the invention features a compound of the invention, or a pharma- ceutically acceptable salt or pharmaceutical composition thereof, for use in a method of inhibiting a voltage-gated sodium channel in a subject. V It's 1.8.

[0135] In another aspect, the invention features a compound of the invention, or a pharma- ceutically acceptable salt thereof, or a pharmaceutical composition thereof, for use in a method of treating or reducing the severity in a subject of chronic pain, intestinal pain, neuropathic pain, musculoskeletal pain, acute pain, inflammatory pain, cancer pain, idiopathic pain, post-operative pain (e.g., herniorrhaphy pain, bunionectomy pain, or abdominoplasty pain), visceral pain, multiple sclerosis, Charcot-Marie-Tooth disease, incontinence, pathological cough, or cardiac arrhythmia.

[0136] In another aspect, the invention features a compound of the invention, or a pharma- ceutically acceptable salt thereof, or a pharmaceutical composition thereof, for use in a method of treating or lessening the severity in a subject of chronic pain, intestinal pain, neuropathic pain, musculoskeletal pain, acute pain, inflammatory pain, cancer pain, idiopathic pain, post-operative pain, herniorrhaphy pain, bunionectomy pain, multiple sclerosis, Charcot-Marie-Tooth disease, incontinence, or cardiac arrhythmia.

[0137] In another aspect, the invention features a compound of the invention, or a pharma- ceutically acceptable salt, or pharmaceutical composition thereof, for use in a method of treating or reducing the severity of intestinal pain in a subject, wherein intestinal pain includes inflammatory bowel disease pain, Crohn's disease pain, or interstitial cystitis pain.

[0138] In another aspect, the invention features a compound of the invention, or a pharma- ceutically acceptable salt or pharmaceutical composition thereof, for use in a method for treating or reducing the severity of neuropathic pain in a subject. In some aspects, the neuropathic pain includes postherpetic neuralgia, small fiber neuropathy, diabetic neuropathy, or idiopathic small fiber neuropathy. In some aspects, the neuropathic pain includes diabetic neuropathy (e.g., diabetic peripheral neuropathy). As used herein, the phrase "idiopathic small fiber neuropathy" is understood to include any small fiber neuropathy.

[0139] In another aspect, the invention features a compound of the invention, or a pharma- ceutically acceptable salt thereof, or a pharmaceutical composition thereof, for use in a method of treating or lessening the severity of neuropathic pain in a subject, where neuropathic pain includes post-herpetic neuralgia, diabetic neuropathy, painful HIV-associated sensory neuropathy, trigeminal neuralgia, burning mouth syndrome, pain after amputation surgery, phantom limb pain, painful neuroma; traumatic neuroma; Morton's neuroma; nerve entrapment injury, spinal stenosis, carpal tunnel syndrome, radicular pain, sciatica; nerve avulsion injury, brachial plexus avulsion injury; complex regional pain syndrome, medication-induced neuropathy, cancer chemotherapy-induced neuropathy, antiretroviral therapy-induced neuropathy; pain after spinal cord injury, small fiber neuropathy, idiopathic small fiber neuropathy, idiopathic sensory neuropathy, or trigeminal-autonomic cephalopathy.

[0140] In another aspect, the invention features a compound of the invention, or a pharma- ceutically acceptable salt or pharmaceutical composition thereof, for use in a method for treating or reducing the severity of musculoskeletal pain in a subject, hi some aspects, the musculoskeletal pain comprises osteoarthritis.

[0141] In another aspect, the invention features a compound of the invention, or a pharma- ceutically acceptable salt, or pharmaceutical composition thereof, for use in a method of treating or reducing the severity of musculoskeletal pain in a subject, wherein musculoskeletal pain includes osteoarthritis, back pain, cold pain, burn pain, or dental pain.

[0142] In another aspect, the invention features a compound of the invention, or a pharma- ceutically acceptable salt, or pharmaceutical composition thereof, for use in a method of treating or reducing the severity of inflammatory pain in a subject, where inflammatory pain includes rheumatoid arthritis pain or vulvodynia.

[0143] In another aspect, the invention features a compound of the invention, or a pharma- ceutically acceptable salt, or pharmaceutical composition thereof, for use in a method of treating or reducing the severity of inflammatory pain in a subject, where inflammatory pain includes rheumatoid arthritis pain.

[0144] In another aspect, the invention features a compound of the invention, or a pharma- ceutically acceptable salt, or pharmaceutical composition thereof, for use in a method of treating or reducing the severity of idiopathic pain in a subject, wherein idiopathic pain includes fibromyalgia pain.

[0145] In another aspect, the invention features a compound of the invention, or a pharma- ceutically acceptable salt, or pharmaceutical composition thereof, for use in a method for treating or reducing the severity of pathological cough in a subject.

[0146] In another aspect, the invention features a compound of the invention, or a pharma- ceutically acceptable salt or pharmaceutical composition thereof, for use in a method for treating or reducing the severity of acute pain in a subject, hi some aspects, the acute pain comprises acute post-operative pain.

[0147] In another aspect, the invention features a compound of the invention, or a pharma- ceutically acceptable salt thereof, or a pharmaceutical composition thereof, for use in a method for treating or reducing the severity of post-operative pain (e.g., joint replacement pain, soft tissue surgery pain, herniorrhaphy pain, bunionectomy pain, or abdominoplasty pain) in a subject.

[0148] In another aspect, the invention features a compound of the invention, or a pharma- ceutically acceptable salt, or pharmaceutical composition thereof, for use in a method for treating or reducing the severity of bunionectomy pain in a subject.

[0149] In another aspect, the invention features a compound of the invention, or a pharma- ceutically acceptable salt, or pharmaceutical composition thereof, for use in a method for treating herniorrhaphy pain or reducing its severity in a subject.

[0150] In another aspect, the invention features a compound of the invention, or a pharma- ceutically acceptable salt, or pharmaceutical composition thereof, for use in a method for treating or reducing the severity of abdominoplasty pain in a subject.

[0151] In another aspect, the invention features a compound of the invention, or a pharma- ceutically acceptable salt, or pharmaceutical composition thereof, for use in a method for treating or reducing the severity of visceral pain in a subject, hi some aspects, the visceral pain includes abdominoplasty visceral pain.

[0152] In another aspect, the invention features a compound of the invention, or a pharma- ceutically acceptable salt or pharmaceutical composition thereof, for use in a method for treating or reducing the severity of a neurodegenerative disease in a subject. In some aspects, the neurodegenerative disease comprises multiple sclerosis. In some aspects, the neurodegenerative disease comprises Pitt-Hopkins syndrome (PTHS).

[0153] In another aspect, the invention features a compound of the invention, or a pharma- ceutically acceptable salt thereof, or a pharmaceutical composition thereof, for use in a method in which a subject is treated with an effective amount of one or more additional therapeutic agents administered simultaneously with, prior to, or following treatment with the compound, pharma- ceutically acceptable salt, or pharmaceutical composition. In some embodiments, the additional therapeutic agent is a sodium channel inhibitor.

[0154] In another aspect, the invention features a compound of the invention, or a pharma- ceutically acceptable salt or pharmaceutical composition thereof, for use in a method of inhibiting a voltage-gated sodium channel in a biological sample, the method comprising contacting the biological sample with an effective amount of a compound of the invention, or a pharma- ceutically acceptable salt or pharmaceutical composition thereof. V It's 1.8.

[0155] In another aspect, the present invention provides a method for treating acute pain, subacute and chronic pain, nociceptive pain, neuropathic pain, inflammatory pain, algesic pain, arthritis, migraine, cluster headache, trigeminal neuralgia, herpetic neuralgia, general neuralgia, epilepsy, epileptic conditions, neurodegenerative disorders, psychiatric disorders, anxiety, depression, bipolar disorder, myotonia, arrhythmias, movement disorders, neuroendocrine disorders, ataxia, central neuropathic pain in multiple sclerosis and irritable bowel syndrome, incontinence, pathological cough, visceral pain, osteoarthritis, post-herpetic neuralgia, diabetic neuropathy, rheumatoid arthritis ... meridian disorders, radicular pain, sciatica, back pain, unspecified chronic back pain, headache, neck pain, moderate pain, severe pain, intractable pain, nociceptive pain, breakthrough pain, post-operative pain (e.g., joint replacement pain, soft tissue surgery pain, herniorrhaphy pain, bunionectomy pain, or abdominoplasty pain), cancer pain including chronic cancer pain and cancer breakthrough pain, stroke (e.g., central neuropathic pain after stroke), traumatic neck syndrome, fragility fractures, spinal fractures, ankylosing spondylitis, pemphigus, Raynaud's disease, scleroderma, systemic encephalopathy, erythematosus, epidermolysis bullosa, gout, juvenile idiopathic arthritis, osteoporosis, polymyalgia rheumatica, pyoderma gangrenosum, chronic widespread pain, diffuse idiopathic osteophytosis, degenerative / herniated disc pain, radiculopathy, facet joint syndrome, failed spinal surgery syndrome, burns, carpal tunnel syndrome, Paget's disease pain, spinal stenosis, spondylodiscitis, transverse myelitis, Ehlers-Danlos syndrome, Fabry disease, mastocytosis, neurofibromatosis, ophthalmopathic pain, sarcoidosis, spondylolysis, spondylolisthesis, chemotherapy The present invention features a compound of the present invention, or a pharma- ceutically acceptable salt or pharmaceutical composition thereof, for use in a method of treating or reducing the severity in a subject of: osteoarthritis, Charcot arthropathy, temporomandibular joint disorders, painful knee replacement surgery, non-cardiac chest pain, pubic area, renal colic, biliary tract disease, vascular leg ulcers, pain in Parkinson's disease, pain in Alzheimer's disease, cerebral ischemia, traumatic brain injury, amyotrophic lateral sclerosis, stress-induced angina, exercise-induced angina, palpitations, hypertension, or abnormal gastrointestinal motility.

[0156] In another aspect, the present invention provides a method for treating femoral cancer pain; non-malignant chronic bone pain; rheumatoid arthritis; osteoarthritis; spinal stenosis; neuropathic low back pain; myofascial pain syndrome; fibromyalgia; temporomandibular joint pain; chronic visceral pain, abdominal pain; splenic pain; IBS pain; chronic and acute headache pain; migraine; tension headache; cluster headache; chronic and acute neuropathic pain, post-herpetic neuralgia; diabetic neuropathy; HIV-associated neuropathy; trigeminal neuralgia; Charcot-Marie-Tooth neuropathy; hereditary sensory neuropathy; peripheral nerve injury; pain Neuromas with ulcers;Ectopic proximal and distal discharges;Radiculopathy;Chemotherapy-induced neuropathic pain;Radiation therapy-induced neuropathic pain;Persistent / chronic post-operative pain (e.g., after amputation, thoracotomy, cardiac surgery), post-mastectomy pain;Central pain;Spinal cord injury pain;Post-stroke pain;Thalamic pain;Phantom limb pain (e.g., after lower limb, upper limb, breast removal);Intractable pain;Acute pain, acute post-operative pain;Acute musculoskeletal pain;Arthral pain;Mechanical low back pain;Neck pain;Tendonitis;Injury pain;Movement pain;Acute visceral pain;Pelvic-renal pain inflammation;appendicitis;cholecystitis;intestinal obstruction;hernia;chest pain, cardiac pain;pelvic pain, renal colic pain, acute obstetric pain, labour pain;cesarean section pain;acute inflammatory pain, burn pain, traumatic pain;acute intermittent pain, endometriosis;acute shingles pain;sickle cell disease;acute pancreatitis;breakthrough pain;orofacial pain;sinusitis pain;toothache;multiple sclerosis (MS) pain;pain in depression;leprosy pain;Behcet's disease pain;painful adiposity;phlebitis pain;Guillain-Barre syndrome pain;painful legs and moving toes;huggles The present invention features a compound of the present invention, or a pharmacologic acceptable salt or pharmaceutical composition thereof, for use in a method for treating or reducing the severity in a subject of: chronic urinary incontinence; ...

[0157] In another aspect, the invention features a compound of the invention, or a pharma- ceutically acceptable salt, or pharmaceutical composition thereof, for use in a method of treating or reducing the severity in a subject of trigeminal neuralgia, migraine treated with Botox, cervical spondylotic radiculopathy, occipital neuralgia, axillary neuropathy, radial neuropathy, ulnar neuropathy, brachial plexus pathology, thoracic radiculopathy, intercostal neuralgia, lumbosacral radiculopathy, ilioinguinal neuralgia, pudendal neuralgia, femoral neuropathy, dysesthesias of the thigh, saphenous neuropathy, sciatic neuropathy, peroneal neuropathy, tibial neuropathy, lumbosacral plexus pathology, traumatic neuroma stump pain, or pain following amputation surgery.

[0158] Drug manufacturing In another aspect, the present invention provides the use of a compound of the invention, or a pharma- ceutically acceptable salt, or a pharmaceutical composition thereof, for the manufacture of a medicament.

[0159] In another aspect, the present invention provides the use of a compound of the present invention, a pharma- ceutically acceptable salt thereof, or a pharmaceutical composition thereof, for the manufacture of a medicament for use in inhibiting a voltage-gated sodium channel. V It's 1.8.

[0160] In yet another aspect, the present invention provides use of a compound of the present invention, a pharma- ceutically acceptable salt thereof, or a pharmaceutical composition thereof, for the manufacture of a medicament for use in the treatment or reduction of the severity in a subject of chronic pain, intestinal pain, neuropathic pain, musculoskeletal pain, acute pain, inflammatory pain, cancer pain, idiopathic pain, post-operative pain (e.g., herniorrhaphy pain, bunionectomy pain, or abdominoplasty pain), visceral pain, multiple sclerosis, Charcot-Marie-Tooth disease, incontinence, pathological cough, or cardiac arrhythmia.

[0161] In yet another aspect, the present invention provides use of a compound of the present invention, a pharma- ceutically acceptable salt thereof, or a pharmaceutical composition thereof, for the manufacture of a medicament for use in treating or reducing the severity in a subject of chronic pain, intestinal pain, neuropathic pain, musculoskeletal pain, acute pain, inflammatory pain, cancer pain, idiopathic pain, post-operative pain, herniorrhaphy pain, bunionectomy pain, multiple sclerosis, Charcot-Marie-Tooth disease, incontinence, or cardiac arrhythmia.

[0162] In yet another aspect, the invention provides the use of a compound, pharma- ceutically acceptable salt, or pharmaceutical composition as described herein for the manufacture of a medicament for use in treating or reducing the severity of intestinal pain in a subject, wherein intestinal pain includes inflammatory bowel disease pain, Crohn's disease pain, or interstitial cystitis pain.

[0163] In yet another aspect, the present invention provides a compound of the present invention, a pharma- ceutically acceptable salt thereof, or a pharmaceutical composition thereof, for the manufacture of a medicament for use in treating or reducing the severity of neuropathic pain in a subject. In some aspects, the neuropathic pain includes postherpetic neuralgia, small fiber neuropathy, diabetic neuropathy, or idiopathic small fiber neuropathy. In some aspects, the neuropathic pain includes diabetic neuropathy (e.g., diabetic peripheral neuropathy).

[0164] In yet another aspect, the invention provides use of a compound of the invention, a pharma- ceutically acceptable salt thereof, or a pharmaceutical composition thereof, for the manufacture of a medicament for use in treating or reducing the severity of neuropathic pain in a subject, wherein the neuropathic pain includes post-herpetic neuralgia, diabetic neuropathy, painful HIV-associated sensory neuropathy, trigeminal neuralgia, burning mouth syndrome, pain after amputation surgery, phantom limb pain, painful neuroma; traumatic neuroma; Morton's neuroma; nerve entrapment injury, spinal stenosis, carpal tunnel syndrome, radicular pain, sciatica; nerve avulsion injury, brachial plexus avulsion injury; complex regional pain syndrome, medication-induced neuropathy, cancer chemotherapy-induced neuropathy, antiretroviral therapy-induced neuropathy; pain after spinal cord injury, small fiber neuropathy, idiopathic small fiber neuropathy, idiopathic sensory neuropathy, or trigeminal-autonomic neuropathy.

[0165] In yet another aspect, the present invention provides the use of a compound of the present invention, a pharma- ceutically acceptable salt thereof, or a pharmaceutical composition thereof, for the manufacture of a medicament for use in treating or reducing the severity of musculoskeletal pain in a subject, hi some aspects, the musculoskeletal pain comprises osteoarthritis.

[0166] In yet another aspect, the present invention provides the use of a compound of the present invention, a pharma- ceutically acceptable salt thereof, or a pharmaceutical composition thereof, for the manufacture of a medicament for use in treating or reducing the severity of musculoskeletal pain in a subject, wherein musculoskeletal pain includes osteoarthritis, back pain, cold pain, burn pain, or dental pain.

[0167] In yet another aspect, the present invention provides the use of a compound of the present invention, a pharma- ceutically acceptable salt thereof, or a pharmaceutical composition thereof, for the manufacture of a medicament for use in treating or reducing the severity of inflammatory pain in a subject, wherein inflammatory pain includes rheumatoid arthritis pain or vulvodynia.

[0168] In yet another aspect, the present invention provides the use of a compound of the present invention, a pharma- ceutically acceptable salt thereof, or a pharmaceutical composition thereof, for the manufacture of a medicament for use in treating or reducing the severity of inflammatory pain in a subject, wherein inflammatory pain includes rheumatoid arthritis pain.

[0169] In yet another aspect, the present invention provides the use of a compound of the present invention, a pharma- ceutically acceptable salt thereof, or a pharmaceutical composition thereof, for the manufacture of a medicament for use in treating or reducing the severity of idiopathic pain in a subject, wherein idiopathic pain includes fibromyalgia pain.

[0170] In yet another aspect, the present invention provides the use of a compound of the present invention, a pharma- ceutically acceptable salt thereof, or a pharmaceutical composition thereof, for the manufacture of a medicament for use in treating or reducing the severity of pathological cough in a subject.

[0171] In yet another aspect, the present invention provides the use of a compound of the present invention, a pharma- ceutically acceptable salt thereof, or a pharmaceutical composition thereof, for the manufacture of a medicament for use in treating or reducing the severity of acute pain in a subject, hi some aspects, acute pain comprises acute post-operative pain.

[0172] In yet another aspect, the present invention provides use of a compound of the present invention, a pharma- ceutically acceptable salt thereof, or a pharmaceutical composition thereof, for the manufacture of a medicament for use in treating or reducing the severity of post-operative pain in a subject (e.g., joint replacement pain, soft tissue surgery pain, herniorrhaphy pain, bunionectomy pain, or abdominoplasty pain).

[0173] In yet another aspect, the present invention provides the use of a compound of the present invention, a pharma- ceutically acceptable salt thereof, or a pharmaceutical composition thereof, for the manufacture of a medicament for use in treating herniorrhaphy pain or reducing the severity thereof in a subject.

[0174] In yet another aspect, the present invention provides the use of a compound of the present invention, a pharma- ceutically acceptable salt thereof, or a pharmaceutical composition thereof, for the manufacture of a medicament for use in treating or reducing the severity of bunionectomy pain in a subject.

[0175] In yet another aspect, the present invention provides the use of a compound of the present invention, a pharma- ceutically acceptable salt thereof, or a pharmaceutical composition thereof, for the manufacture of a medicament for use in treating or reducing the severity of abdominoplasty pain in a subject.

[0176] In yet another aspect, the invention provides the use of a compound of the invention, a pharma- ceutically acceptable salt thereof, or a pharmaceutical composition thereof, for the manufacture of a medicament for use in treating or reducing the severity of visceral pain in a subject, hi some aspects, the visceral pain comprises visceral pain due to abdominoplasty.

[0177] In another aspect, the invention features a compound of the invention, or a pharma- ceutically acceptable salt or pharmaceutical composition thereof, for the manufacture of a medicament for use in treating or reducing the severity of a neurodegenerative disease in a subject. In some aspects, the neurodegenerative disease comprises multiple sclerosis. In some aspects, the neurodegenerative disease comprises Pitt-Hopkins syndrome (PTHS).

[0178] In yet another aspect, the invention provides the use of a compound of the invention, a pharma- ceutically acceptable salt thereof, or a pharmaceutical composition thereof, for the manufacture of a medicament for use in combination with one or more additional therapeutic agents administered concomitantly, prior to, or following treatment with the compound or pharmaceutical composition, hi some embodiments, the additional therapeutic agent is a sodium channel inhibitor.

[0179] In another aspect, the present invention provides a method for treating acute pain, subacute and chronic pain, nociceptive pain, neuropathic pain, inflammatory pain, algesic pain, arthritis, migraine, cluster headache, trigeminal neuralgia, herpetic neuralgia, general neuralgia, epilepsy, epileptic conditions, neurodegenerative disorders, psychiatric disorders, anxiety, depression, bipolar disorder, myotonia, arrhythmias, movement disorders, neuroendocrine disorders, ataxia, central neuropathic pain in multiple sclerosis and irritable bowel syndrome, incontinence, pathological cough, visceral pain, osteoarthritis, post-herpetic neuralgia, diabetic Neuropathy, radicular pain, sciatica, back pain, unspecified chronic back pain, headache, neck pain, moderate pain, severe pain, intractable pain, nociceptive pain, breakthrough pain, post-operative pain (e.g., joint replacement pain, soft tissue surgery pain, herniorrhaphy pain, bunionectomy pain, or abdominoplasty pain), cancer pain including chronic cancer pain and cancer breakthrough pain, stroke (e.g., central neuropathic pain after stroke), traumatic neck syndrome, fragility fractures, spinal fractures, ankylosing spondylitis, pemphigus, Raynaud's disease, scleroderma, systemic Lupus erythematosus, epidermolysis bullosa, gout, juvenile idiopathic arthritis, osteoporosis, polymyalgia rheumatica, pyoderma gangrenosum, chronic widespread pain, diffuse idiopathic osteophytosis, degenerative / herniated disc pain, radiculopathy, facet joint syndrome, failed spinal surgery syndrome, burns, carpal tunnel syndrome, Paget's disease pain, spinal stenosis, spondylodiscitis, transverse myelitis, Ehlers-Danlos syndrome, Fabry disease, mastocytosis, neurofibromatosis, ophthalmopathic pain, sarcoidosis, spondylolysis, spondylolisthesis, chemical The present invention provides a use of a compound of the present invention, a pharma- ceutically acceptable salt thereof, or a pharmaceutical composition thereof, for the manufacture of a medicament for use in the treatment or lessening the severity of therapy-induced oral mucositis, Charcot arthropathy, temporomandibular joint disorders, painful knee replacement surgery, non-cardiac chest pain, pubic area, renal colic, biliary tract disease, vascular leg ulcers, pain in Parkinson's disease, pain in Alzheimer's disease, cerebral ischemia, traumatic brain injury, amyotrophic lateral sclerosis, stress-induced angina, exercise-induced angina, palpitations, hypertension, or abnormal gastrointestinal motility.

[0180] In another aspect, the present invention provides a method for treating femoral cancer pain; non-malignant chronic bone pain; rheumatoid arthritis; osteoarthritis; spinal stenosis; neuropathic low back pain; myofascial pain syndrome; fibromyalgia; temporomandibular joint pain; chronic visceral pain, abdominal pain; splenic pain; IBS pain; chronic and acute headache pain; migraine; tension headache; cluster headache; chronic and acute neuropathic pain, post-herpetic neuralgia; diabetic neuropathy; HIV-associated neuropathy; trigeminal neuralgia; Charcot-Marie-Tooth neuropathy; hereditary sensory neuropathy; peripheral nerve injury; pain with ectopic proximal and distal discharges;radiculopathy;chemotherapy-induced neuropathic pain;radiotherapy-induced neuropathic pain;persistent / chronic post-operative pain (e.g., after amputation, thoracotomy, cardiac surgery), post-mastectomy pain;central pain;spinal cord injury pain;post-stroke pain;thalamic pain;phantom limb pain (e.g., after lower limb, upper limb, breast removal);intractable pain;acute pain, acute post-operative pain;acute musculoskeletal pain;arthritic pain;mechanical low back pain;neck pain;tendonitis;injury pain;motor pain;acute visceral pain;renal pelvis Nephritis; appendicitis; cholecystitis; intestinal obstruction; hernia; chest pain, cardiac pain; pelvic pain, renal colic pain, acute obstetric pain, labour pain; caesarean section pain; acute inflammatory pain, burn pain, traumatic pain; acute intermittent pain, endometriosis; acute shingles pain; sickle cell disease; acute pancreatitis; breakthrough pain; orofacial pain; sinusitis pain; toothache; multiple sclerosis (MS) pain; depression pain; leprosy pain; Behcet's disease pain; painful adiposity; phlebitis pain; Guillain-Barre syndrome pain; sore legs and moving toes; ha The present invention provides a use of a compound of the present invention, a pharma- ceutically acceptable salt thereof, or a pharmaceutical composition thereof for the manufacture of a medicament for use in the treatment or reduction of the severity of Grund's syndrome; erythromelalgia pain; Fabry's disease pain; bladder and genitourinary disorders; urinary incontinence, pathological cough; overactive bladder; bladder pain syndrome; interstitial cystitis (IC); prostatitis; CRPS type I, complex regional pain syndrome (CRPS) type II; widespread pain, paroxysmal severe pain, pruritus, tinnitus, or angina-induced pain.

[0181] In another aspect, the present invention provides use of a compound of the present invention, a pharma- ceutically acceptable salt thereof, or a pharmaceutical composition thereof, for the manufacture of a medicament for use in the treatment or reduction of the severity of trigeminal neuralgia, migraine treated with Botox, cervical spondylotic radiculopathy, occipital neuralgia, axillary neuropathy, radial neuropathy, ulnar neuropathy, brachial plexus pathology, thoracic radiculopathy, intercostal neuralgia, lumbosacral radiculopathy, ilioinguinal neuralgia, pudendal neuralgia, femoral neuropathy, dysesthesias of the thigh, saphenous neuropathy, sciatic neuropathy, peroneal neuropathy, tibial neuropathy, lumbosacral plexus pathology, traumatic neuroma stump pain, or following amputation surgery.

[0182] Administration of Compounds, Pharmaceutically Acceptable Salts, and Compositions In certain embodiments of the present invention, an "effective amount" of a compound of the present invention, a pharma- ceutically acceptable salt thereof, or a pharmaceutical composition thereof is that amount effective to treat or reduce the severity of one or more of the conditions listed above.

[0183] The compounds, salts, 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 reducing the severity of one or more of the pain or non-pain disorders listed herein. The exact amount required will vary between subjects, depending on the species, age, and general condition of the subject, the severity of the condition, the specific drug, its mode of administration, and the like. The compounds, salts, and compositions of the present invention are optionally formulated in unit dosage form for ease of administration and uniformity of dosage. As used herein, the expression "unit dosage form" refers to a physically discrete pharmaceutical unit appropriate for the subject to be treated. However, it will be understood that the total daily usage of the compounds, salts, and compositions of the present invention will be determined by the attending physician within the scope of sound medical judgment. The particular effective dosage level for any particular subject or organism will depend on a variety of factors, including the disorder being treated and the severity of the disorder; the activity of the particular compound or salt used; the particular composition used; the age, weight, general health, sex, and diet of the subject; the time of administration, route of administration, and rate of excretion of the particular compound or salt used; duration of treatment; drugs used in combination with or concomitantly with the particular compound or salt used, and similar factors well known in the medical arts. As used herein, the term "subject" or "patient" means an animal, preferably a mammal, and most preferably a human.

[0184] The pharma- ceutically acceptable compositions of the invention can be administered to humans and other animals orally, rectally, parenterally, intracisternally, intravaginally, intraperitoneally, topically (by powder, ointment, or drops), bucally as an oral or nasal spray, etc., depending on the severity of the condition being treated. In certain embodiments, the compounds, salts, and compositions of the invention may be administered orally or parenterally, one or more times daily, at dosage levels of about 0.001 mg / kg to about 1000 mg / kg that are effective to obtain the desired therapeutic effect.

[0185] Liquid dosage forms for oral administration include, but are not limited to, pharma- ceutically acceptable emulsions, microemulsions, solutions, suspensions, syrups, and elixirs.In addition to the active compound or salt, liquid dosage forms may contain inert diluents commonly used in the art, such as water or other solvents, solubilizers and emulsifiers, such as ethyl alcohol, isopropyl alcohol, ethyl carbonate, ethyl acetate, benzyl alcohol, benzyl benzoate, propylene glycol, 1,3-butylene glycol, dimethylformamide, oils (especially cottonseed oil, peanut oil, corn oil, germ oil, olive oil, castor oil, and sesame oil), glycerol, tetrahydrofurfuryl alcohol, polyethylene glycol, and fatty acid esters of sorbitan, and mixtures thereof.In addition to inert diluents, oral compositions may also contain adjuvants, such as wetting agents, emulsifying and suspending agents, sweeteners, flavoring agents, and aromatic agents.

[0186] Injectable preparations, for example, sterile injectable aqueous or oleaginous suspensions, may be formulated according to known techniques using suitable dispersing or wetting agents and suspending agents. Sterile injectable preparations may also be sterile injectable solutions, suspensions, or emulsions in non-toxic parenterally acceptable diluents or solvents, for example, as a solution in 1,3-butanediol. Among the acceptable vehicles and solvents that may be used are water, Ringer's solution (USP), and isotonic sodium chloride solution. In addition, sterile fixed oils are conventionally used as solvents or suspending media. For this purpose, any non-irritating fixed oil may be used, including synthetic mono- or diglycerides. In addition, fatty acids such as oleic acid are used in the preparation of injectables.

[0187] Injectable preparations 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.

[0188] In order to prolong the effect of the compounds of the present invention, it is often desirable to slow the absorption of the compound from subcutaneous or intramuscular injection. This can be accomplished by using a liquid suspension of crystalline or amorphous material with poor water solubility. The rate of absorption of the compound then depends on its rate of dissolution, which in turn may depend on 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 microencapsulated matrices of the compound in biodegradable polymers such as polylactide-polyglycolide. Depending on the ratio of compound to polymer and the nature of the particular polymer used, 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.

[0189] Compositions for rectal or vaginal administration are preferably suppositories which may be prepared by mixing a compound or salt of the invention with a suitable non-irritating excipient or carrier such as cocoa butter, polyethylene glycol or a suppository wax which is solid at ambient temperature but liquid at body temperature and therefore will melt in the rectum or vaginal cavity and release the active compound.

[0190] Solid dosage forms for oral administration include capsules, tablets, pills, powders, and granules. In such solid dosage forms, the active compound or salt is mixed with at least one inert pharma- ceutically acceptable excipient or carrier, such as sodium citrate or dicalcium phosphate, and / or a) fillers or extenders, such as starch, lactose, sucrose, glucose, mannitol, and silicic acid, b) binders, such as carboxymethylcellulose, alginate, gelatin, polyvinylpyrrolidinone, sucrose, and acacia, c) humectants, such as glycerol, d) disintegrants, such as agar, carbonate, glycerol, d) glycerol, e) glycerol, f) glycerol, g ... Calcium, potato or tapioca starch, alginic acid, certain silicates, and sodium carbonate, e) solution retarders such as paraffin, f) absorption accelerators such as quaternary ammonium compounds, g) wetting agents such as cetyl alcohol and glycerol monostearate, h) absorbents such as kaolin and bentonite clay, 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 contain buffering agents.

[0191] Solid compositions of a similar type may also be used as fillers in soft and hard filled gelatin capsules using excipients such as lactose or milk sugar and high molecular weight polyethylene glycols. 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 formulation art. They may optionally contain opacifying agents, and may be of a composition that releases the active ingredient 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 used as fillers in soft and hard filled gelatin capsules using excipients such as lactose or milk sugar and high molecular weight polyethylene glycols.

[0192] The active compound or salt may also be in microencapsulated form with one or more of the excipients mentioned 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 formulation art. In such solid dosage forms, the active compound or salt may be mixed with at least one inert diluent, such as sucrose, lactose, or starch. Such dosage forms may also contain additional substances other than the inert diluent, such as tableting lubricants and other tableting aids, such as magnesium stearate and microcrystalline cellulose, as is normal practice. In the case of capsules, tablets, and pills, the dosage forms may also contain buffering agents. They may optionally contain opacifying agents, and may be of a composition that releases the active ingredient only, or preferentially, in a delayed manner, in a certain part of the intestinal tract. Examples of embedding compositions that may be used include polymeric substances and waxes.

[0193] Dosage forms for topical or transdermal administration of the compounds or salts of the present invention include ointments, pastes, creams, lotions, gels, powders, solutions, sprays, inhalants, or patches. The active ingredient is mixed under sterile conditions with a pharma- ceutically acceptable carrier and any necessary preservatives or buffers, as may be required. Ophthalmic formulations, ear drops, and eye drops are also contemplated as being within the scope of the present invention. Furthermore, the present invention contemplates the use of transdermal patches, which have the added advantage of providing controlled delivery of the compound into the body. Such dosage forms are prepared by dissolving or dispersing the compound in a suitable medium. Absorption enhancers can also be used to increase the flux of the compound across the skin. The rate can be controlled by providing a rate-controlling membrane or by dispersing the compound in a polymer matrix or gel.

[0194] As generally described above, the compounds of the present invention are useful as inhibitors of voltage-gated sodium channels. In one embodiment, the compounds are V1.8 and therefore, without wishing to be bound by any particular theory, the compounds, salts and compositions are inhibitors of Na V It is particularly useful for treating or lessening the severity of a disease, condition, or disorder in which activation or overactivity of Na 1.8 is implicated in the disease, condition, or disorder. V Where activation or overactivity of 1.8 is implicated in a particular disease, condition, or disorder, the disease, condition, or disorder may also be associated with Na V 1.8-mediated disease, condition, or disorder. V The present invention provides a method for treating or lessening the severity of a disease, condition, or disorder where activation or overactivity of 1.8 contributes to the disease state.

[0195] Na V The activity of the compounds utilized in this invention as inhibitors of 1.8 may be assayed according to the methods generally described in WO 2014 / 120808A9 and U.S. 2014 / 0213616A1 (both of which are incorporated by reference in their entireties), the methods described herein, as well as other methods known and available to those of skill in the art.

[0196] Additional medications It will also be understood that the compounds, salts, and pharma- ceutically acceptable compositions of the present invention can be used in combination therapy, i.e., the compounds, salts, and pharma- ceutically acceptable compositions can be administered simultaneously with, prior to, or after one or more other desired therapies or medical treatments. The particular combination of therapies (treatments or procedures) used in a combination regimen will take into account the compatibility of the desired therapeutic agent and / or treatment, and the desired therapeutic effect to be achieved. It will also be understood that the therapies used can achieve the desired effect for the same disorder (e.g., the compounds of the present invention can be administered simultaneously with another agent used to treat the same disorder), or can achieve a different effect (e.g., control of any adverse effects). As used herein, additional therapeutic agents that are normally administered to treat or prevent a particular disease or condition are referred to as "therapeutic agents known to be appropriate for the disease or condition being treated. For example, exemplary additional therapeutic agents include, but are not limited to, non-opioid analgesics (indoles, e.g., etodolac, indomethacin, sulindac, tolmetin; naphthyl alkanones, e.g., nabumetone; oxicams, e.g., piroxicam; para-aminophenol derivatives, e.g., acetaminophen; propionic acids, e.g., fenoprofen, flurbiprofen, ibuprofen, ketoprofen, naproxen, naproxen sodium, oxaprozin; salicylates, e.g., aspirin, choline magnesium trisalicylate, diflunisal; fenamates, e.g., , meclofenamic acid, mefenamic acid; and pyrazoles, e.g., phenylbutazone), or opioid (anesthetic) agonists (e.g., codeine, fentanyl, hydromorphone, levorphanol, meperidine, methadone, morphine, oxycodone, oxymorphone, propoxyphene, buprenorphine, butorphanol, dezocine, nalbuphine, and pentazocine). In addition, non-pharmacological analgesic approaches may be utilized in conjunction with the administration of one or more compounds of the present invention. For example, anesthesiology (spinal injection, nerve block), neurosurgery (neuroablation of CNS pathways), neurostimulation (transcutaneous electrical nerve stimulation, spinal cord dorsal column stimulation), physical therapy (physiotherapy, orthotics, diathermy), or psychology (cognitive methods - hypnosis, biofeedback, or behavioral methods) approaches may also be utilized.Additional suitable therapeutic agents or approaches are generally described in The Merck Manual, Nineteenth Edition, Ed. Robert S. Porter and Justin L. Kaplan, Merck Sharp & Dohme Corp. (a subsidiary of Merck & Co., Inc.) 2011, and the Food and Drug Administration (website at www.fda.gov), the entire contents of which are incorporated herein by reference.

[0197] In another embodiment, the additional suitable therapeutic agent is selected from the following: (1) an opioid analgesic, such as morphine, heroin, hydromorphone, oxymorphone, levorphanol, levallorphan, methadone, meperidine, fentanyl, cocaine, codeine, dihydrocodeine, oxycodone, hydrocodone, propoxyphene, nalmefene, nalorphine, naloxone, naltrexone, buprenorphine, butorphanol, nalbuphine, pentazocine, or difelikefalin; (2) nonsteroidal anti-inflammatory drugs (NSAIDs), such as aspirin, diclofenac, diflunisal, etodolac, fenbufen, fenoprofen, flufenisal, flurbiprofen, ibuprofen (including but not limited to intravenous ibuprofen (e.g., Caldolor®)), indomethacin, ketoprofen, ketorolac (including but not limited to ketorolac tromethamine (e.g., Toradol®)), meclofenamic acid, mefenamic acid, meloxicam, IV meloxicam (e.g., Anjeso®), nabumetone, naproxen, nimesulide, nitroflurbiprofen, olsalazine, oxaprozin, phenylbutazone, piroxicam, sulfasalazine, sulindac, tolmetin, or zomepirac; (3) Barbiturates, such as amobarbital, aprobarbital, butabarbital, butalbital, mephobarbital, metharbital, methohexital, pentobarbital, phenobarbital, secobarbital, talbutal, thiamylal, or thiopental; (4) benzodiazepines with sedative effects, such as chlordiazepoxide, clorazepate, diazepam, flazepam, lorazepam, oxazepam, temazepam, or triazolam; (5) Sedating histamine (H1) antagonists, such as diphenhydramine, pyrilamine, promethazine, chlorpheniramine, or chlorcyclizine; (6) Sedatives, such as glutethimide, meprobamate, methaqualone, or dichloralphenazone; (7) Skeletal muscle relaxants, such as baclofen, carisoprodol, chlorzoxazone, cyclobenzaprine, methocarbamol, or orphenadrine; (8) NMDA receptor antagonists, such as dextromethorphan ((+)-3-hydroxy-N-methylmorphinan) or its metabolite dextrorphan ((+)-3-hydroxy-N-methylmorphinan), ketamine, memantine, pyrroloquinoline quinine, cis-4-(phosphonomethyl)-2-piperidine carboxylic acid, budipine, EN-3231 (MorphiDex®), a combination formulation of morphine and dextromethorphan), topiramate, neramexane, or perzinfotel (including NR2B antagonists, such as ifenprodil, traxoprodil, or (-)-(R)-6-{2-[4-(3-fluorophenyl)-4-hydroxy-l-piperidinyl]-l-hydroxyethyl-3,4-dihydro-2(lH)-quinolinone); (9) Alpha-adrenergic agonists, such as doxazosin, tamsulosin, clonidine, guanfacine, dexmedetomidine, modafinil, or 4-amino-6,7-dimethoxy-2-(5-methane-sulfonamido-1,2,3,4-tetrahydroisoquinolin-2-yl)-5-(2-pyridyl)quinazoline; (10) Tricyclic antidepressants, such as desipramine, imipramine, amitriptyline, or nortriptyline; (11) Anticonvulsants, such as carbamazepine (Tegretol®), lamotrigine, topiramate, lacosamide (Vimpat®), or valproate; (12) Tachykinin (NK) antagonists, in particular NK-3, NK-2, or NK-1 antagonists, such as (alphaR,9R)-7-[3,5-bis(trifluoromethyl)benzyl]-8,9,10,11-tetrahydro-9-methyl-5-(4-methylphenyl)-7H-[l,4]diazocino[2,1-g][1,7]-naphthyridine-6-13-dione (TAK-637), 5-[[(2R,3S) -2-[(1R)-1-[3,5-bis(trifluoromethyl)phenyl]ethoxy-3-(4-fluorophenyl)-4-morpholinyl]-methyl]-l,2-dihydro-3H-1,2,4-triazol-3-one (MK-869), aprepitant, lanepitant, dapitant, or 3-[[2-methoxy-5-(trifluoromethoxy)phenyl]-methylamino]-2-phenylpiperidine (2S,3S); (13) Muscarinic antagonists, such as oxybutynin, tolterodine, propiverine, tropium chloride, darifenacin, solifenacin, temiverine, and ipratropium; (14) COX-2 selective inhibitors, such as celecoxib, rofecoxib, parecoxib, valdecoxib, deracoxib, etoricoxib, or lumiracoxib; (15) Coal-tar painkillers, especially paracetamol; (16) Neuroleptics, such as droperidol, chlorpromazine, haloperidol, perphenazine, thioridazine, mesoridazine, trifluoperazine, fluphenazine, clozapine, olanzapine, risperidone, ziprasidone, quetiapine, sertindole, aripiprazole, sonepiprazole, blonanserin, iloperidone, perospirone, raclopride, zotepine, bifeprunox, asenapine, lurasidone, amisulpride, balaperidone, palindore, eplivanserin, osanetant, rimonabant, meclineltant, Miraxion®, or sarizotan; (17) vanilloid receptor agonists (e.g., resiniferatoxin or civamide) or antagonists (e.g., capsazepine, GRC-15300); (18) beta-adrenergics, such as propranolol; (19) Local anesthetics, such as mexiletine; (20) Corticosteroids, e.g., dexamethasone; (21) 5-HT receptor agonists or antagonists, in particular 5-HT 1B / 1D Agonists such as eletriptan, sumatriptan, naratriptan, zolmitriptan, or rizatriptan; (22)5-HT 2A Receptor antagonists, such as R(+)-alpha-(2,3-dimethoxy-phenyl)-1-[2-(4-fluorophenylethyl)]-4-piperidinemethanol (MDL-100907); (23) Cholinergic (nicotinic) analgesics, such as isoprenicline (TC-1734), (E)-N-methyl-4-(3-pyridinyl)-3-buten-1-amine (RJR-2403), (R)-5-(2-azetidinylmethoxy)-2-chloropyridine (ABT-594), or nicotine; (24) Tramadol®, tramadol ER (Ultram ER®), IV tramadol, tapentadol ER (Nucynta®); (25) PDE5 inhibitors, such as 5-[2-ethoxy-5-(4-methyl-1-piperazinyl-sulfonyl)phenyl]-1-methyl-3-n-propyl-1,6-dihydro-7H-pyrazolo[4,3-d]pyrimidin-7-one (sildenafil), (6R,12aR)-2,3,6,7,12,12a-hexahydro-2-methyl-6-(3,4-methylenedioxyphenyl)-pyrazino[2',1':6,1]-pyrido[3,4-b ]indole-l,4-dione (IC-351 or tadalafil), 2-[2-ethoxy-5-(4-ethyl-piperazin-1-yl-1-sulfonyl)-phenyl]-5-methyl-7-propyl-3H-imidazo[5,1-f][1,2,4]triazin-4-one (vardenafil), 5-(5-acetyl-2-butoxy-3-pyridinyl)-3-ethyl-2-(1-ethyl-3-azetidinyl)-2,6-dihydro-7H-pyrazolo[4 ,3-d]pyrimidin-7-one, 5-(5-acetyl-2-propoxy-3-pyridinyl)-3-ethyl-2-(l-isopropyl-3-azetidinyl)-2,6-dihydro-7H-pyrazolo[4,3-d]pyrimidin-7-one, 5-[2-ethoxy-5-(4-ethylpiperazin-1-ylsulfonyl)pyridin-3-yl]-3-ethyl-2-[2-methoxyethyl]-2,6-dihydro-7H-pyrazolo[4,3-d]pyrimidin- 7-one, 4-[(3-chloro-4-methoxybenzyl)amino]-2-[(2S)-2-(hydroxymethyl)pyrrolidin-1-yl]-N-(pyrimidin-2-ylmethyl)pyrimidine-5-carboxamide, 3-(l-methyl-7-oxo-3-propyl-6,7-dihydro-1H-pyrazolo[4,3-d]pyrimidin-5-yl)-N-[2-(l-methylpyrrolidin-2-yl)ethyl]-4-propoxybenzenesulfonamide; (26) Alpha-2-delta ligands, such as gabapentin (Neurontin®), gabapentin GR (Gralise®), gabapentin, enacarbil (Horizant®), pregabalin (Lyrica®), 3-methylgabapentin, (1[alpha],3[alpha],5[alpha])(3-amino-methyl-bicyclo[3.2.0]hept-3-yl)-acetic acid, (3S,5R)-3-aminomethyl-5-methyl-heptanoic acid, (3S,5R)-3-amino-5-methyl-heptanoic acid, (3S,5R)-3-amino-5-methyl-octanoic acid, (2S,4S)-4-(3-chlorophenoxy)proline, (2S,4S)-4-(3-fluorobenzyl)- Proline, [(lR,5R,6S)-6-(aminomethyl)bicyclo[3.2.0]hept-6-yl]acetic acid, 3-(l-aminomethyl-cyclohexylmethyl)-4H-[1,2,4]oxadiazol-5-one, C-[1-(1H-tetrazol-5-ylmethyl)-cycloheptyl]-methylamine, (3S,4S)-(l-aminomethyl-3,4-dimethyl-cyclopentyl)-acetic acid, (3S,5R)-3-aminomethyl-5-methyl-octanoic acid, (3S,5R)-3-amino-5-methyl-nonanoic acid, (3S,5R)-3-amino-5-methyl-octanoic acid, (3R,4R,5R)-3-amino-4,5-dimethyl-heptanoic acid, and (3R,4R,5R)-3-amino-4,5-dimethyl-octanoic acid; (27) Cannabinoids, such as KHK-6188; (28) metabotropic glutamate subtype 1 receptor (mGluRl) antagonists; (29) Serotonin reuptake inhibitors, such as sertraline, sertraline metabolite demethylsertraline, fluoxetine, norfluoxetine (fluoxetine desmethyl metabolite), fluvoxamine, paroxetine, citalopram, citalopram metabolite desmethylcitalopram, escitalopram, d,l-fenfluramine, femoxetine, ioxetine, cyanodothiepin, ritoxetine, dapoxetine, nefazodone, cericlamine, and trazodone; (30) noradrenaline (norepinephrine) reuptake inhibitors, such as maprotiline, lofepramine, mirtazepine, oxaprotiline, fezolamine, tomoxetine, mianserin, bupropion, the bupropion metabolite hydroxybupropion, nomifensine, and viloxazine (Vivalan®), in particular selective noradrenaline reuptake inhibitors, such as reboxetine, in particular (S,S)-reboxetine; (31) Dual serotonin-norepinephrine reuptake inhibitors, such as venlafaxine, venlafaxine metabolite O-desmethylvenlafaxine, clomipramine, clomipramine metabolite desmethylclomipramine, duloxetine (Cymbalta®), milnacipran, and imipramine; (32) Inducible nitric oxide synthase (iNOS) inhibitors, such as S-[2-[(l-iminoethyl)amino]ethyl]-L-homocysteine, S-[2-[(l-iminoethyl)-amino]ethyl]-4,4-dioxo-L-cysteine, S-[2-[(l-iminoethyl)amino]ethyl]-2-methyl-L-cysteine, (2S,5Z)-2-amino-2-methyl-7-[(l-iminoethyl)amino]-5-heptenoic acid, 2-[[(lR,3S)-3-amino-4-hydroxy-l-(5-thiazolyl)-butyl]thio]-S-chloro-S-pyridinecarbonitrile; 2-[[(lR,3S)-3-amino-4-hydroxy-l-(5- thiazolyl)butyl]thio]-4-chlorobenzonitrile, (2S,4R)-2-amino-4-[[2-chloro-5-(trifluoromethyl)phenyl]thio]-5-thiazolebutanol, 2-[[(lR,3S)-3-amino-4-hydroxy-l-(5-thiazolyl)butyl]thio]-6-(trifluoromethyl)-3-pyridinecarbonitrile, 2-[[(lR,3S)-3-amino-4-hydroxy-1-(5-thiazolyl)butyl]thio]-5-chlorobenzonitrile, N-[4-[2-(3-chlorobenzylamino)ethyl]phenyl]thiophene-2-carboxamidine, NXN-462, or guanidinoethyl disulfide; (33) Acetylcholinesterase inhibitors, for example, donepezil; (34) Prostaglandin E2 subtype 4 (EP4) antagonists, such as N-[({2-[4-(2-ethyl-4,6-dimethyl-lH-imidazo[4,5-c]pyridin-l-yl)phenyl]ethyl}amino)-carbonyl]-4-methylbenzenesulfonamide or 4-[(15)-l-({[5-chloro-2-(3-fluorophenoxy)pyridin-3-yl]carbonyl}amino)ethyl]benzoic acid; (35) Leukotriene B4 antagonists, such as l-(3-biphenyl-4-ylmethyl-4-hydroxy-chroman-7-yl)-cyclopentanecarboxylic acid (CP-105696), 5-[2-(2-carboxyethyl)-3-[6-(4-methoxyphenyl)-5E-hexenyl]oxyphenoxy]-valeric acid (ONO-4057), or DPC-11870; (36) 5-lipoxygenase inhibitors, such as zileuton, 6-[(3-fluoro-5-[4-methoxy-3,4,5,6-tetrahydro-2H-pyran-4-yl])phenoxy-methyl]-1-methyl-2-quinolone (ZD-2138), or 2,3,5-trimethyl-6-(3-pyridylmethyl)-1,4-benzoquinone (CV-6504); (37) Sodium channel blockers, such as lidocaine, lidocaine + tetracaine cream (ZRS-201), or eslicarbazepine acetate; (38)Na V1.7 Blockers such as XEN-402, XEN403, TV-45070, PF-05089771, CNV1014802, GDC-0276, RG7893 BIIB-074 (Vixotrigine), BIIB-095, ASP-1807, DSP-3905, OLP-1002, RQ-00432979, FX-301, DWP-1706, DWP-17061, IMB-110, IMB-111, IMB-112 and WO2011 / 140425 (US2011 / 306607); WO2012 / 106499 (US2012 / 196869); WO2012 / 112743 (US2012 / 245 136); those disclosed in WO2012 / 125613 (US2012 / 264749), WO2012 / 116440 (US2014 / 187533), WO2011 / 026240 (US2012 / 220605), US8883840, US8466188, WO2013 / 109521 (US2015 / 005304), WO2020 / 117626, and CN111217776, the entire contents of each of which are incorporated herein by reference; (38a)Na V1.7 Blockers, such as (2-benzylspiro[3,4-dihydropyrrolo[1,2-a]pyrazine-1,4'-piperidine]-1'-yl)-(4-isopropoxy-3-methyl-phenyl)methanone, 2,2,2-trifluoro-1-[1'-[3-methoxy-4-[2-(trifluoromethoxy)ethoxy]benzoyl]-2,4-dimethyl-spiro[3,4-dihydropyrrolo[1,2-a]pyrazine-1,4'-piperidine]-6-yl]ethanone, [8-fluoro-2-methyl-6-(trifluoromethyl)spiro[3,4-dihydro 1-(4-benzhydrylpiperazin-1-yl)-3-[2-(3,4-dimethylphenoxy)ethoxy]propan-2-ol, (4-butoxy-3-methoxy-phenyl)-[2-methyl-6-(trifluoromethyl)spiro[3,4-dihydropyrrolo[1,2-a]pyrazine-1,4'-piperidine]-1'-yl]methanone, [8-fluoro-2-methyl-6-(trifluoromethyl)spiro[ 3,4-Dihydropyrrolo[1,2-a]pyrazine-1,4'-piperidine]-1'-yl]-(5-isopropoxy-6-methyl-2-pyridyl)methanone, (4-isopropoxy-3-methyl-phenyl)-[2-methyl-6-(1,1,2,2,2-pentafluoroethyl)spiro[3,4-dihydropyrrolo[1,2-a]pyrazine-1,4'-piperidine]-1'-yl]methanone, 5-[2-methyl-4-[2-methyl-6-(2,2,2-trifluoroacetyl)spiro[3,4-dihydropyrrolo[1,2-a]pyrazine-1,4 '-piperidine]-1'-carbonyl]phenyl]pyridine-2-carbonitrile, (4-isopropoxy-3-methyl-phenyl)-[6-(trifluoromethyl)spiro[3,4-dihydro-2H-pyrrolo[1,2-a]pyrazine-1,4'-piperidine]-1'-yl]methanone, 2,2,2-trifluoro-1-[1'-[3-methoxy-4-[2-(trifluoromethoxy)ethoxy]benzoyl]-2-methyl-spiro[3,4-dihydropyrrolo[1,2-a]pyrazine-1,4'-piperidine]-6-yl]ethanone, 2,2,2-Trifluoro-1-[1'-(5-isopropoxy-6-methyl-pyridine-2-carbonyl)-3,3-dimethyl-spiro[2,4-dihydropyrrolo[1,2-a]pyrazine-1,4'-piperidine]-6-yl]ethanone, 2,2,2-trifluoro-1-[1'-(5-isopentyloxypyridine-2-carbonyl)-2-methyl-spiro[3,4-dihydropyrrolo[1,2-a]pyrazine-1,4'-piperidine]-6-yl]ethanone, (4-isopropoxy-3-methoxy-phenyl)-[2-methyl-6-(trifluoromethyl 1-[(3S)-2,3-dimethyl-1'-[4-(3,3,3-trifluoropropoxymethyl)benzoyl]spiro[3,4-dihydropyrrolo[1,2-a]pyrazine-1,4'-piperidine]-6-yl]ethanone, 2,2,2-trifluoro-1-[1'-(5-isopentyloxypyridine-2-carbonyl)-2,4-dimethyl-spiro[3,4-dihydropyrrolo[1,2-a]pyrazine-1,4'-piperidine]-6-yl]ethanone, 1-[(3S)-2,3-dimethyl-1'-[4-(3,3,3-trifluoropropoxymethyl)benzoyl]spiro[3,4-dihydropyrrolo[1,2-a]pyrazine-1,4'-piperidine]-6-yl]ethanone, yl]-2,2,2-trifluoro-ethanone, [8-fluoro-2-methyl-6-(trifluoromethyl)spiro[3,4-dihydropyrrolo[1,2-a]pyrazine-1,4'-piperidine]-1'-yl]-[3-methoxy-4-[(1R)-1-methylpropoxy]phenyl]methanone, 2,2,2-trifluoro-1-[1'-(5-isopropoxy-6-methyl-pyridine-2-carbonyl)-2,4-dimethyl-spiro[3,4-dihydropyrrolo[1,2-a]pyrazine-1,4'-piperidine]-6-yl]ethanone, 1-[1'-[ 4-Methoxy-3-(trifluoromethyl)benzoyl]-2-methyl-spiro[3,4-dihydropyrrolo[1,2-a]pyrazine-1,4'-piperidine]-6-yl]-2,2-dimethyl-propan-1-one, (4-isopropoxy-3-methyl-phenyl)-[2-methyl-6-(trifluoromethyl)spiro[3,4-dihydropyrrolo[1,2-a]pyrazine-1,4'-piperidine]-1'-yl]methanone, [2-methyl-6-(1-methylcyclopropanecarbonyl)spiro[3,4-dihydropyrrolo[1,2-a]pyrazine-1,4'-Piperidinyl]-1'-yl]-[4-(3,3,3-trifluoropropoxymethyl)phenyl]methanone, 4-bromo-N-(4-bromophenyl)-3-[(1-methyl-2-oxo-4-piperidyl)sulfamoyl]benzamide, or (3-chloro-4-isopropoxy-phenyl)-[2-methyl-6-(1,1,2,2,2-pentafluoroethyl)spiro[3,4-dihydropyrrolo[1,2-a]pyrazine-1,4'-piperidine]-1'-yl]methanone. (39)Na V 1.8 blockers, such as PF-04531083, PF-06372865, as well as, for example, WO2008 / 135826 (US2009048306), WO2006 / 011050 (US2008312235), WO2013 / 061205 (US2014296313), US2013 / 0303535, WO2013 / 131018, US8466188, WO2013 / 114250(US2013 / 274243), WO2014 / 120808(US2014 / 213616), WO2014 / 120815(US2014 / 228371), WO20 14 / 120820(US2014 / 221435), WO2015 / 010065(US20160152561), WO2015 / 089361(US20150166589), WO2 019 / 014352(US2019 / 0016671), WO2018 / 213426, WO2020 / 146682, WO2020 / 146612, WO2020 / 014243, WO 2020 / 014246, WO2020 / 092187, WO2020 / 092667(US2020140411), WO2020 / 261114, WO2020 / 140959, WO20 those disclosed in WO2021 / 032074, CN112390745, CN111808019, CN112225695, CN112457294, CN112300051, CN112300069, CN112441969, and CN112479996 (WO2021 / 047622), the entire contents of each of which are incorporated herein by reference; (39a)Na V1.8 Blockers, such as 4,5-dichloro-2-(4-fluoro-2-methoxyphenoxy)-N-(2-oxo-1,2-dihydropyridin-4-yl)benzamide, 2-(4-fluoro-2-methoxyphenoxy)-N-(2-oxo-1,2-dihydropyridin-4-yl)-4-(perfluoroethyl)benzamide, 4,5-dichloro-2-(4-fluorophenoxy)-N-(2-oxo-1,2-dihydropyridin-4-yl)benzamide, 4,5-dichloro-2-(3-fluoro-4-methoxyphenoxy)-N-(2-oxo-1,2-dihydropyridin-4-yl)benzamide, 2-(4-fluoro-2-methoxyphenoxy)-N-(2-oxo-1,2-dihydropyridin-4-yl)-5-(trifluoromethyl)benzamide, N-(2-oxo-1,2-dihydropyridin-4-yl)-2-(4-(trifluoromethoxy)phenoxy)-4-(trifluoromethyl)benzamide, 2-(4-fluorophenoxy)-N-(2-oxo-1,2-dihydropyridin-4-yl)-4-(perfluoroethyl)benzamide, 5-chloro-2-(4 -fluoro-2-methoxyphenoxy)-N-(2-oxo-1,2-dihydropyridin-4-yl)benzamide, N-(2-oxo-1,2-dihydropyridin-4-yl)-2-(4-(trifluoromethoxy)phenoxy)-5-(trifluoromethyl)benzamide, 2-(4-fluoro-2-methylphenoxy)-N-(2-oxo-1,2-dihydropyridin-4-yl)-5-(trifluoromethyl)benzamide, 2-(2-chloro-4-fluorophenoxy)-N-(2-oxo-1,2-dihydropyridin-4-yl)- 5-(trifluoromethyl)benzamide, 5-chloro-2-(4-fluoro-2-methylphenoxy)-N-(2-oxo-1,2-dihydropyridin-4-yl)benzamide, 4-chloro-2-(4-fluoro-2-methylphenoxy)-N-(2-oxo-1,2-dihydropyridin-4-yl)benzamide, 5-chloro-2-(2-chloro-4-fluorophenoxy)-N-(2-oxo-1,2-dihydropyridin-4-yl)benzamide, 2-((5-fluoro-2-hydroxybenzyl)oxy)-N-(2-oxo-1,2-Dihydropyridin-4-yl)-4-(trifluoromethyl)benzamide, N-(2-oxo-1,2-dihydropyridin-4-yl)-2-(o-tolyloxy)-5-(trifluoromethyl)benzamide, 2-(2,4-difluorophenoxy)-N-(2-oxo-1,2-dihydropyridin-4-yl)-4-(trifluoromethyl)benzamide, N-(2-oxo-1,2-dihydropyridin-4-yl)-2-(2-(trifluoromethoxy)phenoxy)-5-(trifluoromethyl)benzamide, 2-(4-fluoro phenoxy)-N-(2-oxo-1,2-dihydropyridin-4-yl)-5-(trifluoromethyl)benzamide, 2-(4-fluoro-2-methyl-phenoxy)-N-(2-oxo-1H-pyridin-4-yl)-4-(trifluoromethyl)benzamide, [4-[[2-(4-fluoro-2-methyl-phenoxy)-4-(trifluoromethyl)benzoyl]amino]-2-oxo-1-pyridyl]methyl dihydrogen phosphate, 2-(4-fluoro-2-(methyl-d3)phenoxy)-N-(2-oxo-1,2-dihydropyridine-4-yl (4-(2-(4-fluoro-2-(methyl-d3)phenoxy)-4-(trifluoromethyl)benzamide)-2-oxopyridin-1(2H)-yl)methyl dihydrogen phosphate, 3-(4-fluoro-2-methoxyphenoxy)-N-(3-(methylsulfonyl)phenyl)quinoxaline-2-carboxamide, 3-(2-chloro-4-fluorophenoxy)-N-(3-sulfamoylphenyl)quinoxaline-2-carboxamide, 3-(2-chloro-4-methoxyphenoxy)-N-( 3-sulfamoylphenyl)quinoxaline-2-carboxamide, 3-(4-chloro-2-methoxyphenoxy)-N-(3-sulfamoylphenyl)quinoxaline-2-carboxamide, 4-(3-(4-(trifluoromethoxy)phenoxy)quinoxaline-2-carboxamide)picolinic acid, 2-(2,4-difluorophenoxy)-N-(3-sulfamoylphenyl)quinoline-3-carboxamide, 2-(4-fluoro-2-methoxyphenoxy)-N-(3-sulfamoylphenyl)quinoline-3-carboxamide, 3-(2,4-difluorophenoxy)-N-(3-sulfamoylphenyl)quinoxaline-2-carboxamide, N-(3-sulfamoylphenyl)-2-(4-(trifluoromethoxy)phenoxy)quinoline-3-carboxamide, N-(3-sulfamoylphenyl)-3-(4-(trifluoromethoxy)phenoxy)quinoxaline-2-carboxamide, 3-(4-chloro-2-methylphenoxy)-N-(3-sulfamoylphenyl)quinoxaline- 2-carboxamide, 5-(3-(4-(trifluoromethoxy)phenoxy)quinoxaline-2-carboxamide)picolinic acid, 3-(4-fluoro-2-methoxyphenoxy)-N-(2-oxo-2,3-dihydro-1H-benzo[d]imidazol-5-yl)quinoxaline-2-carboxamide, 3-(4-fluoro-2-methoxyphenoxy)-N-(pyridin-4-yl)quinoxaline-2-carboxamide, 3-(4-fluorophenoxy)-N -(3-sulfamoylphenyl)quinoxaline-2-carboxamide, N-(3-cyanophenyl)-3-(4-fluoro-2-methoxyphenoxy)quinoxaline-2-carboxamide, N-(4-carbamoylphenyl)-3-(4-fluoro-2-methoxyphenoxy)quinoxaline-2-carboxamide, 4-(3-(4-(trifluoromethoxy)phenoxy)quinoxaline-2-carboxamide)benzoic acid, N-(4-cyanophenyl)-3-(4 -fluoro-2-methoxyphenoxy)quinoxaline-2-carboxamide, 5-(4,5-dichloro-2-(4-fluoro-2-methoxyphenoxy)benzamide)picolinic acid, 5-(2-(2,4-dimethoxyphenoxy)-4,6-bis(trifluoromethyl)benzamide)picolinic acid, 4-(4,5-dichloro-2-(4-fluoro-2-methoxyphenoxy)benzamide)benzoic acid, 5-(2-(4-fluoro-2-methoxyphenoxy)-4,6-Bis(trifluoromethyl)benzamido)picolinic acid, 4-(2-(4-fluoro-2-methoxyphenoxy)-4-(perfluoroethyl)benzamido)benzoic acid, 5-(2-(4-fluoro-2-methoxyphenoxy)-4-(perfluoroethyl)benzamido)picolinic acid, 4-(2-(4-fluoro-2-methylphenoxy)-4-(trifluoromethyl)benzamido)benzoic acid, 5-(4,5-dic 4-(2-(2-chloro-4-fluorophenoxy)-4-(perfluoroethyl)benzamido)benzoic acid, 4-(2-(4-fluoro-2-methylphenoxy)-4-(perfluoroethyl)benzamido)benzoic acid, 4-(4,5-dichloro-2-(4-(trifluoromethoxy)phenoxy)benzamido)benzoic acid, 4-(4, 5-dichloro-2-(4-chloro-2-methylphenoxy)benzamido)benzoic acid, 5-(4-(tert-butyl)-2-(4-fluoro-2-methoxyphenoxy)benzamido)picolinic acid, 5-(4,5-dichloro-2-(4-(trifluoromethoxy)phenoxy)benzamido)picolinic acid, 4-(4,5-dichloro-2-(4-fluoro-2-methylphenoxy)benzamido)benzoic acid, 5-(4,5- Dichloro-2-(2,4-dimethoxyphenoxy)benzamide)picolinic acid, 5-(4,5-dichloro-2-(2-chloro-4-fluorophenoxy)benzamide)picolinic acid, 5-(4,5-dichloro-2-(4-fluoro-2-methylphenoxy)benzamide)picolinic acid, 4-(4,5-dichloro-2-(4-chloro-2-methoxyphenoxy)benzamide)benzoic acid, 5-(4,5-dichloro-2-(2,4-Difluorophenoxy)benzamido)picolinic acid, 2-(4-fluorophenoxy)-N-(3-sulfamoylphenyl)-5-(trifluoromethyl)benzamide, 2-(4-fluorophenoxy)-N-(3-sulfamoylphenyl)-4-(trifluoromethyl)benzamide, 2-(2-chloro-4-fluorophenoxy)-N-(3-sulfamoylphenyl)-5-(trifluoromethyl)benzamide, 2-(4-fluorophenoxy)-N-(3-sulfamoylphenyl)-5-(trifluoromethyl)benzamide, 2-(2-chloro-4-fluorophenoxy)-N-(3-sulfamoylphenyl)-4-(trifluoromethyl)benzamide, 2-(2-chloro-4-fluorophenoxy)-N-(3-sulfamoylphenyl)-6-(trifluoromethyl)benzamide, 2-(2-chloro-4-fluorophenoxy)-5-(difluoromethyl)-N-(3-sulfamoylphenyl)benzamide, 2-(4-fluorophenoxy)-4-(perfluoroethyl)-N-(3-sulfamoylphenyl)benzamide, 2-(4-chloro-2-methylphenyl)benzamide, 2-(4-fluoro-2-methoxyphenoxy)-N-(3-sulfamoylphenyl)-5-(trifluoromethyl)benzamide, 5-chloro-2-(4-fluoro-2-methylphenoxy)-N-(3-sulfamoylphenyl)benzamide, 4,5-dichloro-2-(4-fluoro-2-methoxyphenoxy)-N-(3-sulfamoylphenyl)benzamide, 2,4-dichloro-6-(4-chloro-2-methoxyphenoxy)-N-(3-sulfamoylphenyl)benzamide, 2,4-dichloro-6-(4-fluoro-2-methylphenoxy)-N-(3-sulfamoylphenyl)benzamide, 2-(4-fluoro-2-methoxyphenoxy)-N-(3-sulfamoylphenyl)-4,6-bis(trifluoromethyl)benzamide, 2-(4-fluoro-2-methylphenoxy)-N-(3-sulfamoylphenyl)-4,6-Bis(trifluoromethyl)benzamide, 5-chloro-2-(2-chloro-4-fluorophenoxy)-N-(3-sulfamoylphenyl)benzamide, 2-(4-fluoro-2-methoxyphenoxy)-N-(3-sulfamoylphenyl)-4-(trifluoromethoxy)benzamide, 2-(4-fluoro-2-methoxyphenoxy)-N-(3-sulfamoylphenyl)-4-(trifluoromethyl)benzamide, 4,5-dichloro-2-(4-fluorophenoxy)-N-(3-sulfamoylphenyl)benzamide, 2-(4-fluoro-2-methoxyphenoxy)-4-(perfluoroethyl)-N-(3-sulfamoylphenyl)benzamide, 5-fluoro-2-(4-fluoro-2-methylphenoxy)- N-(3-sulfamoylphenyl)benzamide, 2-(2-chloro-4-fluorophenoxy)-4-cyano-N-(3-sulfamoylphenyl)benzamide, N-(3-sulfamoylphenyl)-2-(4-(trifluoromethoxy)phenoxy)-4-(trifluoromethyl)benzamide, N-(3-carbamoyl-4-fluoro-phenyl)-2-fluoro-6-[2-(trideuteromethoxy)-4-(trifluoromethoxy)phenoxy]-3-(trifluoromethyl)benzamide, N-(3-carbamoyl-4-fluoro-phenyl)-2-fluoro-6-[2-methoxy-4-(trifluoromethoxy)phenoxy]-3-(trifluoromethyl)benzamide, N-(3-carbamoyl-4-fluoro-phenyl), N-(3-carbamoyl-4-fluorophenyl)-3-(trifluoromethoxy)benzamide, 4-[[2-fluoro-6-[2-methoxy-4-(trifluoromethoxy)phenoxy]-3-(trifluoromethyl)benzoyl]amino]pyridine-2-carboxamide, 4-[[3-chloro-2-fluoro-6-[2-methoxy-4-(trifluoromethoxy)phenoxy]benzoyl]amino]pyridine-2-carboxamide, 4-[[2-fluoro-6-[2-(trideuteromethoxy)-4-(trifluoromethoxy)phenoxy]-3-(trifluoromethyl)benzoyl]amino]pyridine-2-carboxamide, N-(3-carbamoyl-4-fluorophenyl)-3-(trifluoromethoxy)benzamide, -(difluoromethyl)-2-fluoro-6-[2-methoxy-4-(trifluoromethoxy)phenoxy]benzamide, 4-[[2-fluoro-6-[2-(trideuteromethoxy)-4-(trifluoromethoxy)phenoxy]-3-(trifluoromethoxy)benzoyl]amino]pyridine-2-carboxamide, N-(3-carbamoyl-4-fluoro-phenyl)-6-[2-chloro-4-(trifluoromethoxy)phenoxy]-2-fluoro-3-(trifluoromethyl)benzamide, N-(3-carbamoyl-4-fluoro-phenyl)-2-fluoro-6-[2-methyl-4-(trifluoromethoxy)phenoxy]-3-(trifluoromethyl)benzamide, N-(3-carbamoyl-4-fluoro-phenyl)-2,3,4-trifluoro-6-[2-methoxy-4-(trifluoromethoxy)phenoxy]benzamide, N-(2-carbamoyl-4-pyridyl)-3-fluoro-5-[2-methoxy-4-(trifluoromethoxy)phenoxy]-2-(trifluoromethyl)pyridine-4-carboxamide, 4-[[6-[2-(difluoromethoxy)-4-(trifluoromethoxy)phenoxy]-2-fluoro-3-(trifluoromethyl)benzoyl]amino]pyridine-2-carboxamide, N-(3-carbamoyl-4-fluoro-phenyl)-6-[3-chloro-4-(trifluoromethoxy)phenoxy]-2-fluoro-3-(trifluoromethyl)benzamide, N-(3-carbamoyl-4-fluoro-phenyl)-2-fluoro-6-[4-(trifluoromethoxy) )phenoxy]-3-(trifluoromethyl)benzamide, N-(4-carbamoyl-3-fluoro-phenyl)-2-fluoro-6-[2-methoxy-4-(trifluoromethoxy)phenoxy]-3-(trifluoromethyl)benzamide, 4-[[2-fluoro-6-[2-(trideuteromethoxy)-4-(trifluoromethoxy)phenoxy]-4-(trifluoromethyl)benzoyl]amino]pyridine-2-carboxamide, N-(3-carbamoyl-4-fluoro-phenyl)-2-fluoro-6-[3-fluoro-4-(trifluoromethoxy)phenoxy]-3-(trifluoromethyl)benzamide, N-(3-carbamoyl-4-fluoro-phenyl)-2-[2-methoxy-4-(trifluoromethoxy)phenoxy]-5-(1,1,2,2,2-pentafluoroethyl)benzamide, 4-[[4-(difluoromethoxy)-2-fluoro-6-[2-methoxy-4-(trifluoromethoxy)phenoxy]benzoyl]amino]pyridine-2-carboxamide, N-(3-carbamoyl-4-fluoro-phenyl)-2-fluoro-6-[2-fluoro-4-(trifluoromethoxy)phenoxy]-3-(trifluoromethyl)benzamide, 4-[[4-cyclopropyl-2-fluoro-6-[2-methoxy-4-(trifluoromethoxy)phenoxy]benzoyl]amino]pyridine-2-carboxamide, N-(3-carbamoyl-4-fluoro-phenyl)-5-fluoro-2-[2-methoxy-4-(trifluoromethoxy)phenoxy]-4-(trifluoro N-(3-carbamoyl-4-fluoro-phenyl)-2-fluoro-6-(4-fluorophenoxy)-3-(trifluoromethyl)benzamide, 4-(2-fluoro-6-(2-methoxy-4-(trifluoromethoxy)phenoxy)-3-(trifluoromethyl)benzamido)picolinamide, or 4-[[2-fluoro-6-[3-fluoro-2-methoxy-4-(trifluoromethoxy)phenoxy]-3-(trifluoromethyl)benzoyl]amino]pyridine-2-carboxamide; (40) Combined Na V 1.7 and Na V 1.8 Blockers, such as DSP-2230, Lohocla201, or BL-1021; (41) 5-HT3 antagonists, such as ondansetron; (42) TPRV1 receptor agonists, such as capsaicin (NeurogesX®, Qutenza®), and pharma- ceutically acceptable salts and solvates thereof; (43) Nicotinic receptor antagonists, such as varenicline; (44) N-type calcium channel antagonists, such as Z-160; (45) Nerve growth factor antagonists, such as tanezumab; (46) Endopeptidase stimulators, such as senrebotase; (47) Angiotensin II antagonists, such as EMA-401; (48) Acetaminophen (including but not limited to intravenous acetaminophen (e.g., Ofirmev®)); (49) Bupivacaine (including but not limited to bupivacaine liposomal injectable suspension (e.g., Exparel®), bupivacaine ER (Posimir), bupivacaine collagen (Xaracoll), and transdermal bupivacaine (Eladur®)); and (50) Combination of bupivacaine and meloxicam (e.g., HTX-011).

[0198] In one embodiment, the additional suitable therapeutic agent is selected from V-116517, pregabalin, extended release pregabalin, ezogabine (Potiga®), ketamine / amitriptyline topical cream (Amiket®), AVP-923, perampanel (E-2007), ralfinamide, transdermal bupivacaine (Eladur®), CNV1014802, JNJ-10234094 (Carisbamate), BMS-954561, or ARC-4558.

[0199] In another embodiment, the additional suitable therapeutic agent is selected from N-(6-amino-5-(2,3,5-trichlorophenyl)pyridin-2-yl)acetamide; N-(6-amino-5-(2-chloro-5-methoxyphenyl)pyridin-2-yl)-1-methyl-1H-pyrazole-5-carboxamide; or 3-((4-(4-(trifluoromethoxy)phenyl)-1H-imidazol-2-yl)methyl)oxetan-3-amine.

[0200] In another embodiment, the additional therapeutic agent is selected from a GlyT2 / 5HT2 inhibitor, e.g., Operanserin (VVZ149), a TRPV modulator, e.g., CA008, CMX-020, NEO6860, FTABS, CNTX4975, MCP101, MDR16523, or MDR652, an EGR1 inhibitor, e.g., Brivoglide (AYX1), an NGF inhibitor, e.g., Tanezumab, Fasinumab, ASP6294, MEDI7352, a Mu opioid agonist, e.g., Cebranopadol, NKTR181 (Oxycodegol), a CB-1 agonist, e.g., NEO1940 (AZN1940), an imidazoline 12 agonist, e.g., CR4056, or a p75NTR-Fc modulator, e.g., LEVI-04.

[0201] In another embodiment, the additional therapeutic agent is oliceridine or ropivacaine (TLC590).

[0202] In another embodiment, the additional therapeutic agent is Na V 1.7 blockers, such as ST-2427 or ST-2578, and those disclosed in WO2010 / 129864, WO2015 / 157559, WO2017 / 059385, WO2018 / 183781, WO2018 / 183782, WO2020 / 072835, and WO2022 / 036297, the entire contents of each of which are incorporated herein by reference. In some embodiments, the additional therapeutic agent is a Na V In some embodiments, the additional therapeutic agent is a Na 1.7 blocker as disclosed in WO2022 / 036297. V It is a 1.7 blocker.

[0203] In another embodiment, the additional therapeutic agent is selected from the group consisting of ASP18071, CC-8464, ANP-230, ANP-231, NOC-100, NTX-1175, ASN008, NW3509, AM-6120, AM-8145, AM-0422, BL-017881, NTM-006, opiranserin (Unafra™), bribolidide, SR419, NRD.E1, LX9211, LY3016859, ISC-17536, NFX-88, LAT-8881, AP-235, NYX 2925, CNTX-6016, S-600918, S-637880, RQ-00434739, KLS-2031, MEDI 7352, or XT-150.

[0204] In another embodiment, the additional therapeutic agent is Olinvyk, Zynrelef, Seglentis, Neumentum, Nevakar, HTX-034, CPL-01, ACP-044, HRS-4800, Tarlige, BAY2395840, LY3526318, Eliapixant, TRV045, RTA901, NRD1355-E1, MT-8554, LY3556050, AP-325, tetrodotoxin, Otenaproxesul, CFTX-1554, Funapide, iN1011-N17, JMKX000623, ETX-801, or ACD440.

[0205] In another embodiment, the additional therapeutic agent is one or more of the following: WO2021 / 257490, WO2021 / 257420, WO2021 / 257418, WO2020 / 014246, WO2020 / 092187, WO2020 / 092667, WO2020 / 261114, CN112457294, CN112225695, CN111808019, WO2021 / 032074, WO2020 / 151728, WO2020 / 140959, WO2022 / 037641, WO2022 / 037647, CN112300051, CN112300069, WO2014 / 120808, WO2015 / 089361, WO2019 / 014352, WO2021 / 113627, WO2013 / 086229, WO2013 / 134518, WO2014 / 211173, WO2014 / 201206, WO2016 / 141035, WO2021 / 252818, WO2021 / 252822, and WO2021 / 252820.

[0206] In some embodiments, the additional therapeutic agent is a compound disclosed in WO2013 / 086229. In some embodiments, the additional therapeutic agent is a compound disclosed in WO2013 / 134518. In some embodiments, the additional therapeutic agent is a compound disclosed in WO2014 / 211173. In some embodiments, the additional therapeutic agent is a compound disclosed in WO2014 / 201206. In some embodiments, the additional therapeutic agent is a compound disclosed in WO2016 / 141035. In some embodiments, the additional therapeutic agent is a compound disclosed in WO2021 / 252818. In some embodiments, the additional therapeutic agent is a compound disclosed in WO2021 / 252822. In some embodiments, the additional therapeutic agent is a compound disclosed in WO2021 / 252820. In some embodiments, the additional therapeutic agent is a compound disclosed in WO2020 / 072835. In some embodiments, the additional therapeutic agent is a compound disclosed in WO2022 / 036297.

[0207] In another embodiment, the additional therapeutic agent is a NaV 1.7 and Na V Sodium channel inhibitors (also known as sodium channel blockers), such as 1.8 blockers.

[0208] The amount of additional therapeutic agent present in the compositions of the invention may be up to the amount that would normally be administered in a composition comprising that therapeutic agent as the only active agent. The amount of additional therapeutic agent present in the presently disclosed compositions may range from about 10% to 100% of the amount that would normally be present in a composition comprising that agent as the only therapeutically active agent.

[0209] The compounds and salts of the present invention or pharma- ceutically acceptable compositions thereof may also be incorporated into compositions for coating implantable medical devices, such as prostheses, artificial valves, vascular grafts, stents, and catheters. Thus, in another aspect, the present invention includes compositions for coating implantable devices, comprising the compounds or salts of the present invention generally as described above, and the classes and subclasses herein, and a carrier suitable for coating the implantable device. In yet another aspect, the present invention includes an implantable device coated with a composition comprising the compounds or salts of the present invention generally as described above, and the classes and subclasses herein, and a carrier suitable for coating the implantable device. Suitable coatings and the general preparation of coated implantable devices are described in U.S. Patent Nos. 6,099,562, 5,886,026, and 5,304,121. The coating is typically a biocompatible polymeric material, such as a hydrogel polymer, polymethyldisiloxane, polycaprolactone, polyethylene glycol, polylactic acid, ethylene vinyl acetate, and mixtures thereof. The coatings may optionally be further covered by a suitable topcoat of fluorosilicone, polysaccharides, polyethylene glycol, phospholipids or combinations thereof to impart sustained release characteristics in the composition.

[0210] Another aspect of the invention is to detect Na in a biological sample or subject. VWith respect to inhibiting 1.8 activity, the method includes administering to a subject or contacting the biological sample with a compound of the present invention, a pharma- ceutically acceptable salt thereof, or a pharmaceutical composition thereof. As used herein, the term "biological sample" includes, but is not limited to, cell cultures or extracts thereof, biopsies obtained from mammals or extracts thereof, as well as blood, saliva, urine, feces, semen, tears, or other bodily fluids or extracts thereof.

[0211] Na in biological samples V Inhibition of 1.8 activity is useful for a variety of purposes known to those of skill in the art, including, but not limited to, the study of sodium channels in biological and pathological phenomena and the comparative evaluation of new sodium channel inhibitors.

[0212] Synthesis of Compounds of the Invention The compounds of the present invention can be prepared from known materials by the methods described in the Examples, other similar methods, and other methods known to those skilled in the art. As will be understood by those skilled in the art, the functional groups of intermediate compounds in the methods described below may need to be protected by suitable protecting groups. Protecting groups may be added or removed according to standard techniques well known to those skilled in the art. The use of protecting groups is described in detail in TGM Huts et al., Greene's Protective Groups in Organic Synthesis (4th ed.2006).

[0213] Radiolabeled Analogues of the Compounds of the Invention In another aspect, the present invention relates to radiolabeled analogues of the compounds of the present invention.As used herein, the term "radiolabeled analogues of the compounds of the present invention" refers to compounds that are identical to the compounds of the present invention described herein, including all embodiments thereof, except that one or more atoms are replaced with radioisotopes of the atoms present in the compounds of the present invention.

[0214] As used herein, the term "radioisotope" refers to an isotope of an element that is known to undergo spontaneous radioactive decay. Examples of radioisotopes include: 3 H, 14 C. 32 P, 35 S, 18 F, 36 Cl, as well as isotopes whose decay modes are identified in V.S. Shirley & C.M. Lederer, Isotopes Project, Nuclear Science Division, Lawrence Berkeley Laboratory, Table of Nuclides (January 1980).

[0215] Radiolabeled analogs can be used in a number of beneficial ways, including various types of assays such as substrate tissue distribution assays. For example, tritium ( 3 H) labeling and / or carbon-14 ( 14 C) Labeled compounds can be useful in various types of assays, such as substrate tissue distribution assays, due to their relatively simple preparation and excellent detectability.

[0216] In another aspect, the invention relates to a pharma- ceutically acceptable salt of a radiolabeled analog according to any of the embodiments described herein in relation to the compounds of the invention.

[0217] In another aspect, the invention relates to a pharmaceutical composition comprising a radiolabeled analog or a pharma- ceutically acceptable salt thereof according to any of the embodiments described herein in relation to the compounds of the invention, and a pharma- ceutically acceptable carrier, adjuvant, or vehicle.

[0218] In another aspect, the invention relates to methods of inhibiting voltage-gated sodium channels in a subject, and methods of treating or lessening the severity of various diseases and disorders, including pain, comprising administering an effective amount of a radiolabeled analogue, pharma- ceutically acceptable salts thereof, and pharmaceutical compositions thereof, according to any of the embodiments described herein in connection with the compounds of the invention.

[0219] In another aspect, the invention relates to radiolabeled analogs, pharma- ceutically acceptable salts thereof, and pharmaceutical compositions thereof, for use according to any of the embodiments described herein in connection with the compounds of the invention.

[0220] In another aspect, the invention relates to the use of a radiolabeled analogue, or a pharma- ceutically acceptable salt thereof, according to any of the embodiments described herein in relation to the compounds of the invention, for the manufacture of a medicament, and pharmaceutical compositions thereof.

[0221] In another aspect, the radiolabeled analogs, their pharma- ceutically acceptable salts, and pharmaceutical compositions thereof, may be used in combination therapy according to any of the embodiments described herein in connection with the compounds of the invention.

[0222] Enumerated Embodiments Additional embodiments, features, and advantages of the present disclosure will become apparent from the following detailed description and by practice of the disclosure. The compounds and methods of the present disclosure can be described as embodiments of any of the following recited clauses. Any of the embodiments described herein can be used in conjunction with any other embodiment described herein to the extent that the embodiments are not mutually exclusive.

[0223] 1. A compound of formula (I), [ka] , or a pharma- ceutically acceptable salt thereof, X 2a But, N, N + -O- , or CR 2a and X 3a But N or N + -O - and X 5a But, N, N + -O - , or CR 5a and X 6a But, N, N + -O - , or CR 6a and R d But (CH2) m (CHR e ) n (CH2) p H, m, n, and p are each independently 0 or 1; R e is H, OH, halo, C1-C6 alkoxy, or C1-C6 haloalkoxy; R 2a and R 6a are each independently H, halo, C1-C6 alkyl, or C1-C6 haloalkyl; R 5a is H, halo, CHOH, C-C alkyl, C-C haloalkyl, or R 5a and R d But R 5a and R d forms a CH2CH2 chain connecting the C atom to which R is bonded, 5a may be replaced by O; R 4b1 and R 4b2 are each independently H, C1-C6 alkyl, C3-C6 cycloalkyl, or C1-C6 haloalkyl; R 5b1 and R 5b2 are each independently H, C1-C6 alkyl, C3-C6 cycloalkyl, or C1-C6 haloalkyl; X 3c But N or CR 3c and X 4c But N or CR 4c and X 5c But N or CR 5c and X 6c But N or CR 6c and R 2c is H, OH, halo, C1-C6 alkyl, C2-C6 alkenyl, C1-C6 haloalkyl, C1-C6 alkoxy, C1-C6 haloalkoxy, O-CH2-C(R 2c1 )(R 2c2 )(R 2c3 ), O-CH(R 2c4 )(R 2c5 ), or -L 1 -L 2 -(C3-C6 cycloalkyl), wherein the cycloalkyl is optionally substituted with 1 to 2 halo; R 2c1 and R 2c2 are each independently H or C1-C6 alkyl, or R 2c1 and R 2c2 form C=O together with the C atom to which they are attached, R 2c3 is OH, C1-C6 alkoxy, C1-C6 haloalkoxy, or N(R 2c6 )(R 2c7 ) or R 2c2 and R 2c3 together with the C atom to which they are attached form a 3- to 7-membered heterocycloalkyl; R 2c4 and R 2c5 together with the C atom to which they are attached form a 3- to 7-membered heterocycloalkyl; R 2c6 and R 2c7 are each C1-C6 alkyl, or R 2c6 and R 2c7 together with the N atom to which they are attached form a 3- to 8-membered heterocycloalkyl; L 1 is a bond or O, L 2 is a bond or C1-C6 alkylene; R 3c is H, halo, C1-C6 alkyl, or C1-C6 haloalkyl, or X 3c But, CR 3c and R 2c and R 3c together with the carbon atoms to which they are attached form a ring of the formula: [ka] ; Z1 and Z2 are each independently O or CH2; each R is independently H or halo; R 4c is H, halo, C1-C6 alkyl, C1-C6 haloalkyl, C1-C6 alkoxy, or C1-C6 haloalkoxy; R 5c is H, halo, C1-C6 alkyl, or C1-C6 haloalkyl; R 6c is H, halo, C1-C6 alkyl, or C1-C6 haloalkyl; However, X 2a , X 3a , X 5a , and X 6a Two or less of the following are N or N + -O - Provided that, However, X 3c , X 4c , X 5c , and X 6c , provided that at most one of is N, however, R 5a and R d But R 5a and R d forms a CH2CH2 chain connecting the C atom to which R is bonded, 5a may be replaced by O; or R 2c O-CH2-C(R 2c1 )(R2c2 )(R 2c3 ) or O-CH(R 2c4 )(R 2c5 ) a compound of formula (I), or a pharma- ceutically acceptable salt thereof.

[0224] 2. The compound has the formula (IA) [ka] , 2. The compound according to clause 1, having the formula:

[0225] 3. The compound has the formula (IA-1) [ka] , 2. The compound according to clause 1, having the formula:

[0226] 4. The compound has the formula (IA-2) [ka] , 2. The compound according to clause 1, having the formula:

[0227] 5. The compound has the formula (IA-3) [ka] , 2. The compound according to clause 1, having the formula:

[0228] 6. The compound has the formula (IB) [ka] , 2. The compound according to clause 1, having the formula:

[0229] 7. The compound has the formula (IB-1) [ka] , 2. The compound according to clause 1, having the formula:

[0230] 8. The compound has the formula (IB-2) [ka] , 2. The compound according to clause 1, having the formula:

[0231] 9. The compound is represented by the formula (IB-3) [ka] , 2. The compound according to clause 1, having the formula:

[0232] 10. The compound has the formula (IC) [ka] , 2. The compound according to clause 1, having the formula:

[0233] 11. The compound represented by formula (IC-1) [ka] , 2. The compound according to clause 1, having the formula:

[0234] 12. The compound has the formula (IC-2) [ka] , 2. The compound according to clause 1, having the formula:

[0235] 13. The compound represented by formula (IC-3) [ka] , 2. The compound according to clause 1, having the formula:

[0236] 14. The compound has the formula (ID) [ka] , 2. The compound according to clause 1, having the formula:

[0237] 15. The compound represented by the formula (ID-1) [ka] , 2. The compound according to clause 1, having the formula:

[0238] 16. The compound has the formula (ID-2) [ka] , 2. The compound according to clause 1, having the formula:

[0239] 17. The compound has the formula (ID-3) [ka] , 2. The compound according to clause 1, having the formula:

[0240] 18. The compound has the formula (ID-4) [ka] , 2. The compound according to clause 1, having the formula:

[0241] 19.X2a But, CR 2a and R 2a A compound according to any one of clauses 1, 2, 6, 10 or 14, wherein is H, or a pharma- ceutically acceptable salt thereof.

[0242] 20.X 3a is N; or a pharma- ceutically acceptable salt thereof.

[0243] 21.X 5a is N; or a pharma- ceutically acceptable salt thereof.

[0244] 22.X 5a But, CR 5a and R 5a A compound according to any one of clauses 1, 2, 6, 10 or 14, wherein is H, or a pharma- ceutically acceptable salt thereof.

[0245] 23.X 6a But, CR 6a and R 6a A compound according to any one of clauses 1, 2, 6, 10 or 14, wherein is H, or a pharma- ceutically acceptable salt thereof.

[0246] 24.R e is H; or a pharma- ceutically acceptable salt thereof.

[0247] 25.R e 24. The compound according to any one of clauses 1 to 23, wherein is OH, or a pharma- ceutically acceptable salt thereof.

[0248] 26.R e or a pharma- ceutically acceptable salt thereof. The compound according to any one of clauses 1 to 23, wherein is C1-C6 alkoxy; or

[0249] 27.R 4b1is H; or a pharma- ceutically acceptable salt thereof.

[0250] 28.R 4b1 is C1-C6 alkyl; or a pharma- ceutically acceptable salt thereof.

[0251] 29.R 4b1 or a pharma- ceutically acceptable salt thereof. The compound according to any one of clauses 1 to 4, 6 to 8, 10 to 12, 14 to 16, or 19 to 26, wherein is CH3.

[0252] 30.R 4b2 30. The compound according to any one of clauses 1 to 29, wherein is H, or a pharma- ceutically acceptable salt thereof.

[0253] 31.R 4b2 is C1-C6 alkyl; or a pharma- ceutically acceptable salt thereof.

[0254] 32.R 4b2 30. The compound according to any one of clauses 1 to 29, or a pharma- ceutically acceptable salt thereof, wherein is CH3.

[0255] 33.R 5b1 is C1-C6 alkyl; or a pharma- ceutically acceptable salt thereof.

[0256] 34.R 5b1 is CH3, or a pharma- ceutically acceptable salt thereof.

[0257] 35.R 5b1 or a pharma- ceutically acceptable salt thereof. The compound according to any one of clauses 1 to 4, 6 to 8, 10 to 12, 14 to 16, or 19 to 32, wherein is C1-C6 haloalkyl; or a pharma- ceutically acceptable salt thereof.

[0258] 36.R 5b1 is CF3, or a pharma- ceutically acceptable salt thereof.

[0259] 37.R 5b2 is C1-C6 alkyl; or a pharma- ceutically acceptable salt thereof.

[0260] 38.R 5b2 or a pharma- ceutically acceptable salt thereof. The compound according to any one of clauses 1 to 4, 6 to 8, 10 to 12, 14 to 16, or 19 to 36, wherein is CH3; or a pharma- ceutically acceptable salt thereof.

[0261] 39.R 5b2 or a pharma- ceutically acceptable salt thereof. The compound according to any one of clauses 1 to 4, 6 to 8, 10 to 12, 14 to 16, or 19 to 36, wherein is C1-C6 haloalkyl; or a pharma- ceutically acceptable salt thereof.

[0262] 40.R 5b2 or a pharma- ceutically acceptable salt thereof. The compound according to any one of clauses 1 to 4, 6 to 8, 10 to 12, 14 to 16, or 19 to 36, wherein

[0263] 41.R 2c or a pharma- ceutically acceptable salt thereof. The compound according to any one of clauses 1 to 40, wherein is C1-C6 alkoxy; or

[0264] 42.R 2c O-CH2-C(R 2c1 )(R 2c2 )(R 2c3 41. The compound according to any one of claims 1 to 40, or a pharma- ceutically acceptable salt thereof, wherein

[0265] 43.R 2c But O-CH(R 2c4 )(R 2c541. The compound according to any one of claims 1 to 40, or a pharma- ceutically acceptable salt thereof, wherein

[0266] 44.X 3c But, CR 3c and R 3c is halo; or a pharma- ceutically acceptable salt thereof.

[0267] 45.R 3c is F, or a pharma- ceutically acceptable salt thereof.

[0268] 45.X 3c But, CR 3c and R 3c or a pharma- ceutically acceptable salt thereof. The compound according to any one of clauses 1-2, 6, 10, 14, or 19-43, wherein is C1-C6 alkyl.

[0269] 46.R 3c is CH3; or a pharma- ceutically acceptable salt thereof.

[0270] 47.X 4c But, CR 4c and R 4c or a pharma- ceutically acceptable salt thereof. The compound according to any one of clauses 1-2, 6, 10, 14, or 19-46, wherein is halo.

[0271] 48.R 4c is F; or a pharma- ceutically acceptable salt thereof.

[0272] 49.X 5c But, CR 5c and R 5c is H; or a pharma- ceutically acceptable salt thereof.

[0273] 50.X 6c But, CR6c and R 6c is H; or a pharma- ceutically acceptable salt thereof.

[0274] 51. A compound selected from Table A, or a pharma- ceutically acceptable salt thereof.

[0275] 52. The compound according to any one of clauses 1 to 51, in a non-salt form.

[0276] 53. A pharmaceutical composition comprising a therapeutically effective amount of a compound according to any one of clauses 1 to 51 or a pharma- ceutically acceptable salt thereof, or a compound according to clause 52, and one or more pharma- ceutically acceptable carriers or vehicles.

[0277] 54. A pharmaceutical composition comprising a compound according to any one of clauses 1 to 51 or a pharma- ceutically acceptable salt thereof, or a compound according to clause 52, and one or more pharma- ceutically acceptable carriers or vehicles.

[0278] 55. A method for inhibiting voltage-gated sodium channels in a subject, the method comprising administering to the subject a compound according to any one of clauses 1 to 51 or a pharma- ceutically acceptable salt thereof, a compound according to clause 52, or a pharmaceutical composition according to clause 53 or 54.

[0279] 56. Voltage-gated sodium channels are V 1.8. The method according to clause 55.

[0280] 57. A method for treating or reducing the severity in a subject of chronic pain, intestinal pain, neuropathic pain, musculoskeletal pain, acute pain, inflammatory pain, cancer pain, idiopathic pain, post-operative pain, visceral pain, multiple sclerosis, Charcot-Marie-Tooth disease, incontinence, pathological cough, or cardiac arrhythmia, comprising administering to the subject an effective amount of a compound according to any one of clauses 1 to 51 or a pharma- ceutically acceptable salt thereof, a compound according to clause 52, or a pharmaceutical composition according to clause 53 or 54.

[0281] 58. The method of clause 57, wherein the method comprises treating or reducing the severity of neuropathic pain in a subject.

[0282] 59. The method according to clause 58, wherein the neuropathic pain comprises postherpetic neuralgia.

[0283] 60. The method of clause 58, wherein the neuropathic pain comprises small fiber neuropathy.

[0284] 61. The method of claim 58, wherein the neuropathic pain comprises idiopathic small fiber neuropathy.

[0285] 62. The method according to clause 58, wherein the neuropathic pain includes diabetic neuropathy.

[0286] 63. The method according to clause 62, wherein the diabetic neuropathy includes diabetic peripheral neuropathy.

[0287] 64. The method of clause 57, wherein the method comprises treating or reducing the severity of musculoskeletal pain in a subject.

[0288] 65. The method according to clause 64, wherein the musculoskeletal pain comprises osteoarthritis pain.

[0289] 66. The method of clause 57, wherein the method comprises treating or reducing the severity of acute pain in a subject.

[0290] 67. The method according to item 66, wherein the acute pain comprises acute postoperative pain.

[0291] 68. The method of clause 57, wherein the method comprises treating or reducing the severity of post-operative pain in a subject.

[0292] 69. The method of claim 68, wherein the post-operative pain comprises bunionectomy pain.

[0293] 70. The method according to clause 68, wherein the postoperative pain comprises abdominoplasty pain.

[0294] 71. The method according to clause 68, wherein the postoperative pain comprises herniorrhaphy pain.

[0295] 72. The method of clause 57, wherein the method comprises treating or reducing the severity of visceral pain in a subject.

[0296] 73. The method of any one of clauses 55-72, wherein the subject is treated with one or more additional therapeutic agents administered simultaneously with, prior to, or following treatment with the compound, pharma- ceutically acceptable salt, or pharmaceutical composition.

[0297] 74. Use of a compound according to any one of clauses 1 to 51 or a pharma- ceutically acceptable salt thereof, a compound according to clause 52, or a pharmaceutical composition according to clause 53 or 54, as a medicament. EXAMPLES

[0298] Common method. 1 1 H NMR spectra were obtained as solutions in a suitable deuterated solvent such as dimethylsulfoxide-d6 (DMSO-d6).

[0299] Compound purity, retention times, and electrospray mass spectrometry (ESI-MS) data were determined by LC / MS analysis using Method A or Method B described below.

[0300] Method A. LC / MS analysis was performed using a Waters Acquity UPLC BEH C8 column (50 x 2.1 mm, 1.7 μm particles) (pn: 186002877) with a (2.1 x 5 mm, 1.7 μm particles) guard column (pn: 186003978) and a dual gradient run of 2 to 98% mobile phase B over 4.45 min. Mobile phase A = HO (10 mM ammonium formate with 0.05% ammonium hydroxide). Mobile phase B = acetonitrile. Flow rate = 0.6 mL / min, injection volume = 2 μL, and column temperature = 45 °C.

[0301] Method B. LC / MS analysis was performed using a Waters BEH C18 2.5 μm, 2.1 × 50 mm, UPLC, 4.6 min run, 2–95% ACN in water (0.1% NH3 modifier), 0.8 mL / min, 40 °C.

[0302] X-ray Powder Diffraction Analysis: X-ray powder diffraction (XRPD) analysis was performed at room temperature in transmission mode using a PANalytical Empyrean system equipped with a sealed tube source and a PIXcel 3D Medipix-3 detector (Malvern PANalytical Inc, Westborough, Massachusetts). The X-ray generator was operated with copper radiation (1.54060 Å) at a voltage of 45 kV and a current of 40 mA. Powder samples were placed on a 96-well sample holder with mylar film and loaded into the instrument. Samples were scanned over the range of about 3° to about 40° 2θ with a step size of 0.0131303° and 49 seconds per step.

[0303] Abbreviation Unless otherwise indicated, or if the context dictates otherwise, the following abbreviations shall be understood to have the following meanings: [Table 2-1] [Table 2-2]

[0304] Example 1 rel-(2R*,3S*,4S*,5R*)-3-(3,4-difluoro-2-methoxyphenyl)-N-(3-hydroxy-2,3-dihydrofuro[3,2-b]pyridin-6-yl)-4,5-dimethyl-5-(trifluoromethyl)tetrahydrofuran-2-carboxamide (1) and rel-(2R*,3S*,4S*,5R*)-3-(3,4-difluoro-2-methoxyphenyl)-N-(3-hydroxy-2,3-dihydrofuro[3,2-b]pyridin-6-yl)-4,5-dimethyl-5-(trifluoromethyl)tetrahydrofuran-2-carboxamide (2) [ka] Step 1: NEt3 (7.7 mL, 55.2 mmol) was added to a solution of ethyl 2-diazo-3-oxo-pentanoate (6.69 g, 39.3 mmol) in DCM (80 mL) under nitrogen with stirring at 0° C. Trimethylsilyl trifluoromethanesulfonate (8.5 mL, 47.0 mmol) was added dropwise over 5 min and the mixture was stirred at 0° C. for 30 min. The reaction mixture was diluted with pentane (100 mL), the layers were separated and the organic phase was washed with dilute aqueous sodium bicarbonate (100 mL) followed by brine (100 mL). The organic layer was dried (MgSO4), filtered and concentrated in vacuo to give ethyl (Z)-2-diazo-3-trimethylsilyloxy-pent-3-enoate (9.4 g, 99%) as a red oil. 1 H NMR (500 MHz, chloroform-d) δ 5.33 (q, J = 7.0 Hz, 1H), 4.25 (q, J = 7.1 Hz, 2H), 1.67 (d, J = 7.0 Hz, 3H), 1.29 (t, J = 7.1 Hz, 3H), 0.22 (s, 9H) ppm.

[0305] Step 2: To a solution of 1,1,1-trifluoropropan-2-one (8 mL, 89.4 mmol) in DCM (80 mL) at -78°C was added TiCl4 (70 mL of 1 M in DCM, 70.00 mmol) via cannula. A solution of ethyl (Z)-2-diazo-3-trimethylsilyloxy-pent-3-enoate (36.1 g of 31.3% w / w, 46.6 mmol) in DCM (40 mL) was added dropwise over 15 min. After stirring for 100 min, the reaction was quenched with water, the temperature was slowly raised, and extracted with DCM. The combined organic extracts were dried (MgSO4), filtered, and concentrated in vacuo. Purification by silica gel chromatography (330 g SiO, 0-20% EtOAc in heptane) gave ethyl rac-(4R,5R)-2-diazo-6,6,6-trifluoro-5-hydroxy-4,5-dimethyl-3-oxohexanoate (8.82 g, 67%) as the major diastereoisomer, which was stored as a solution in toluene. 1 H NMR (500 MHz,chloroform-d) δ 4.33 (q, J = 7.1 Hz, 2H), 4.14 (q, J = 7.0 Hz, 1H), 3.98 (s, 1H), 1.43 (q, J = 1.2 Hz, 3H), 1.35 (t, J = 7.1 Hz, 3H), 1.31 (dq, J = 7.0, 1.4 Hz, 3H) ppm.ESI-MS m / z Calculated value 282.08273, Actual value 283.1 (M+1) + ; 281.0 (M-1) - ;Retention time: 0.76 minutes.

[0306] Step 3: A solution of rhodium tetraacetate (245 mg, 0.55 mmol) in benzene (32 mL) was heated at reflux for 10 min, after which a solution of ethyl rac-(4R,5R)-2-diazo-6,6,6-trifluoro-5-hydroxy-4,5-dimethyl-3-oxohexanoate (10 g, 35.4 mmol) in benzene (13 mL) was added slowly at reflux for 60 min. The mixture was concentrated in vacuo to give ethyl rac-(4R,5R)-4,5-dimethyl-3-oxo-5-(trifluoromethyl)tetrahydrofuran-2-carboxylate (9.0 g, 100%) as a green residue and as a mixture of epimers at the position next to the ester. 1 H NMR (500 MHz, chloroform-d) δ 4.83 - 4.57 (m, 1H), 4.38 - 4.16 (m, 2H), 2.60 (dddd, J = 9.3, 8.2, 5.6, 1.4 Hz, 1H), 1.73 - 1.63 (m, 3H), 1.30 (t, J = 7.1 Hz, 3H), 1.24 (ddq, J = 6.4, 4.1, 1.9 Hz, 3H) ppm.

[0307] Step 4: To a solution of ethyl rac-(4R,5R)-4,5-dimethyl-3-oxo-5-(trifluoromethyl)tetrahydrofuran-2-carboxylate (48 g, 188.83 mmol) in DCM (400 mL) cooled to -78°C was added DIPEA (29.680 g, 40 mL, 229.64 mmol). A solution of trifluoromethylsulfonyl trifluoromethanesulfonate (53.440 g, 32 mL, 189.41 mmol) in DCM (200 mL) was added to the reaction mixture at -78°C over 1 h. The reaction mixture was stirred at 0°C for 30 min and then quenched with saturated aqueous NaHCO3 (100 mL). The organic layer was separated and the aqueous layer was extracted with DCM (160 mL). The combined organic layers were dried (MgSO4) and concentrated in vacuo to give ethyl rac-(4R,5R)-2,3-dimethyl-2-(trifluoromethyl)-4-(trifluoromethylsulfonyloxy)-3H-furan-5-carboxylate (71 g, 97%).1 H NMR (400 MHz, chloroform-d) δ 4.38 - 4.32 (m, 2H), 3.29 - 3.23 (m, 1H), 1.64 (s, 3H), 1.37 - 1.33 (m, 6H) ppm.

[0308] Step 5: To a stirred solution of ethyl rac-(4R,5R)-2,3-dimethyl-2-(trifluoromethyl)-4-(trifluoromethylsulfonyloxy)-3H-furan-5-carboxylate (26 g, 67.31 mmol) in toluene (130 mL) was added (3,4-difluoro-2-methoxy-phenyl)boronic acid (14 g, 74.5 mmol) under argon atmosphere, followed by K3PO4 (100 mL of 2M, 200 mmol) and tetrakis(triphenylphosphine)palladium(0) (4 g, 3.46 mmol) and the reaction mixture was heated at 100° C. for 2 h. The reaction mixture was diluted with water and the aqueous layer was extracted with EtOAc (2×100 mL). The combined organic layers were concentrated in vacuo. Purification by silica gel chromatography (SiO2, 0-10% EtOAc in heptane) gave ethyl 4-(3,4-difluoro-2-methoxy-phenyl)-2,3-dimethyl-2-(trifluoromethyl)-3H-furan-5-carboxylate (24.4 g, 93%) as a 6:1 diastereomeric mixture, with the major isomer believed to be ethyl rac-(4S,5R)-4-(3,4-difluoro-2-methoxyphenyl)-2,3-dimethyl-2-(trifluoromethyl)-3H-furan-5-carboxylate. Major isomer: 1 H NMR (400 MHz,chloroform-d) δ 6.88 - 6.79 (m, 2H), 4.17 - 4.09 (m, 2H), 3.90 (s, 3H), 3.46 (q, J = 7.4 Hz, 1H), 1.67 (s, 3H), 1.12 (t, J = 7.4 Hz, 3H), 1.06 (dd, J = 5.4, 2.7 Hz, 3H) ppm.Trace isomers: 1H NMR (400 MHz, cross-hol-d) δ 6.88 - 6.79 (m, 2H), 4.17 - 4.09 (m, 2H), 3.88 (s, 3H), 3.76 - 3.71 (m, 1H), 1.51 (s, 3H), 1.12 (t, J = 7.4 Hz, 3H), 0.99 (dd, J = 5.4, 2.7 Hz, 3H) ppm.ESI-MS m / z calcd. 380.1047, found 381.02 (M+1) + .

[0309] ステップ6: To an ice-cold solution of ethyl rac-(4S,5R)-4-(3,4-difluoro-2-methoxyphenyl)-2,3-dimethyl-2-(trifluoromethyl)-3H-furan-5-carboxylate (110 g, 243.0 mmol) in DCM (360 mL) was added BBr3 (370 mL of 1 M, 370.0 mmol) dropwise. The mixture was quenched by the addition of aqueous sodium bicarbonate. The aqueous layer was extracted with DCM and the combined organic extracts were dried (MgSO4), filtered and concentrated in vacuo. The residue was dissolved in DCM (430 mL) followed by the addition of TFA (40 mL, 519.2 mmol). The reaction mixture was heated to 45° C. Upon completion of the reaction, the mixture was quenched by the addition of aqueous sodium bicarbonate and extracted with DCM. The combined organic extracts were dried (MgSO4), filtered, and concentrated in vacuo to give the desired product in a 5:1 mixture of diastereomers. Recrystallization was performed by solubilizing the crude material in the minimum amount of DCM possible and adding a layer of heptane on top of this solution (liquid-liquid diffusion). After 1 hour, 56.5 g (dr 97:3 syn:anti) was obtained from the first and second crystallizations, and an additional 4.6 g (dr 96:4 syn:anti) was obtained from the third crystallization. The first, second and third recrystallization batches were combined to give 6,7-difluoro-1,2-dimethyl-2-(trifluoromethyl)-1H-furo[2,3-c]chromen-4-one (61 g, 78%), with the major isomer believed to be rac-(1S,2R)-6,7-difluoro-1,2-dimethyl-2-(trifluoromethyl)-1,2-dihydro-4H-furo[2,3-c]chromen-4-one. ESI-MS m / z calculated 320.04718, found 321.5 (M+1). + ; 319.6 (M-1) - .

[0310] Step 7: rac-(1S,2R)-6,7-difluoro-1,2-dimethyl-2-(trifluoromethyl)-1,2-dihydro-4H-furo[2,3-c]chromen-4-one (1348 g, 4.366 mol) was separated by chiral SFC using a (R,R)-Whelk-O1 column, 5 μm particle size, 15 cm×3 cm from Regis Technologies on a MultiGram III SFC instrument from Berger Instruments:

[0311] First eluting isomer (retention time = 1.85 min): (1R,2S)-6,7-difluoro-1,2-dimethyl-2-(trifluoromethyl)-1,2-dihydro-4H-furo[2,3-c]chromen-4-one (only analytical sample was collected). 1 H NMR (400 MHz, DMSO-d6) δ 7.57 (ddd, J = 9.0, 5.5, 2.0 Hz, 1H), 7.51 (ddd, J = 10.3, 9.0, 7.0 Hz, 1H), 4.03 (q, J = 7.2 Hz, 1H), 1.65 (s, 3H), 1.45 (dt, J = 6.9, 2.2 Hz, 3H) ppm.ESI-MS m / z Calculated value 320.04718, Actual value 321.3 (M+1) + ; 319.4 (M-1) - .

[0312] Second eluting isomer (retention time = 2.38 min): (1S,2R)-6,7-difluoro-1,2-dimethyl-2-(trifluoromethyl)-1,2-dihydro-4H-furo[2,3-c]chromen-4-one (366.99 g, 26%). 1H NMR (400 MHz, DMSO-d6) δ 7.57 (ddd, J = 9.0, 5.5, 2.0 Hz, 1H), 7.50 (ddd, J = 10.3, 9.0, 7.0 Hz, 1H), 4.03 (q, J = 7.2 Hz, 1H), 1.65 (s, 3H), 1.45 (dt, J = 6.9, 2.2 Hz, 3H) ppm.ESI-MS m / z Calculated value 320.04518, Actual value 321.4 (M+1) + ; 319.4 (M-1) - .

[0313] Step 8: A solution of (1S,2R)-6,7-difluoro-1,2-dimethyl-2-(trifluoromethyl)-1,2-dihydro-4H-furo[2,3-c]chromen-4-one (0.89 kg, 2.78 mol) and palladium hydroxide on carbon (50% wet, 0.39 kg of 20% weight loading, 0.278 mol) in MeOH (12 L) was stirred under 40 psi pressure of hydrogen overnight. After overnight reaction, the reaction temperature was observed to increase to 37° C. and the mixture was cooled to 24° C. Hydrogenation was continued for a total of 48 hours. The mixture was filtered through Celite, washing with MeOH (20 L) and the filtrate was concentrated in vacuo. The residue was dissolved in toluene (4 L), concentrated in vacuo and the process was repeated. The residue was dried under vacuum at 40° C. overnight to give methyl (2S,3S,4S,5R)-3-(3,4-difluoro-2-hydroxyphenyl)-4,5-dimethyl-5-(trifluoromethyl)tetrahydrofuran-2-carboxylate (1.0 kg at 91% purity, 100%) as a beige solid. 1H NMR (400 MHz, DMSO-d6) 10.20 (br s, 1H), 6.94 (br t, J = 7.4 Hz, 1H), 6.79-6.69 (m, 1H), 5.10 (d, J = 6.0 Hz, 1H), 4.20 (dd, J = 6.1, 8.2 Hz, 1H), 3.43 (s, 3H), 2.94 (quin, J = 7.7 Hz, 1H), 1.46 (s, 3H), 0.77 (br d, J = 6.8 Hz, 3H) ppm.

[0314] Step 9: Potassium carbonate (2.0 kg, 14.4 mol) and iodomethane (800 mL, 12.8 mol) were added sequentially to a solution of methyl (2S,3S,4S,5R)-3-(3,4-difluoro-2-hydroxyphenyl)-4,5-dimethyl-5-(trifluoromethyl)tetrahydrofuran-2-carboxylate (1.0 kg, 2.82 mol) in acetonitrile (10 L) at ambient temperature under nitrogen. After stirring overnight, additional iodomethane (120 mL, 2 mmol) was added. After stirring overnight, additional iodomethane (60 mL, 0.85 mmol) was added and the mixture was stirred for an additional 3 days. The reaction mixture was diluted with MTBE (30 L), treated with Celite (1 kg), and filtered through a bed of Celite (1 kg), washing with MTBE (10 L). The filtrate was filtered a second time through Celite (1 kg), washing with MTBE (4 L), and the filtrate was concentrated in vacuo. The residue was dissolved in toluene (4 L) and concentrated in vacuo, and the process was repeated. The residue was dried under vacuum at 40° C. overnight to give methyl (2S,3S,4S,5R)-3-(3,4-difluoro-2-methoxyphenyl)-4,5-dimethyl-5-(trifluoromethyl)tetrahydrofuran-2-carboxylate (0.99 kg at 90% purity, 95%) as a brown solid. 1H NMR (400 MHz, DMSO-d6) 7.14-7.00 (m, 2H), 5.14 (d, J = 6.0 Hz, 1H), 4.15 (dd, J = 6.2, 8.4 Hz, 1H), 3.88 (d, J = 1.7 Hz, 3H), 2.97 (quin, J = 7.8 Hz, 1H), 1.48 (s, 3H), 0.72 (br d, J = 6.6 Hz, 3H) ppm.

[0315] Steps 10 and 11: To a solution of methyl (2S,3S,4S,5R)-3-(3,4-difluoro-2-methoxyphenyl)-4,5-dimethyl-5-(trifluoromethyl)tetrahydrofuran-2-carboxylate (0.98 kg, 2.66 mol) in THF (10 L) was added sodium methoxide (25% w / w in methanol, 65 mL, 0.28 mol) at ambient temperature and the reaction was stirred for 5 h. MeOH (1 L), water (1 L), and lithium hydroxide monohydrate (0.168 kg, 4.0 mol) were added sequentially and the mixture was stirred overnight. The reaction mixture was poured into 1M HCl (4.4 L, 4.4 mol) and then extracted with MTBE (20 L) followed by MTBE (2×5 L). The combined organic extracts were washed with brine (2 L), dried (Na2SO4), filtered, and then treated with activated charcoal (50 g, 5% w / w) with stirring for 1 h. The mixture was filtered through Celite, washing with MTBE (2×4 L), and the filtrate was concentrated in vacuo. The residue was dissolved in toluene (4 L), concentrated in vacuo, then dissolved in MTBE (4 L) and concentrated in vacuo again to give (2R,3S,4S,5R)-3-(3,4-difluoro-2-methoxyphenyl)-4,5-dimethyl-5-(trifluoromethyl)tetrahydrofuran-2-carboxylic acid (1.06 kg at 77.7% purity) as an amber oil, which was used without further purification.

[0316] Step 12: (2R,3S,4S,5R)-3-(3,4-difluoro-2-methoxyphenyl)-4,5-dimethyl-5-(trifluoromethyl)tetrahydrofuran-2-carboxylic acid (2.09 kg, 4.54 mol at 77% purity) was dissolved in MTBE (25 L) in a 100 L Chemglass reactor and then stirred at 84 rpm at ambient temperature. A mixture of (R)-1-phenylethylamine (0.704 kg, 5.81 mol) and MTBE (2 L) was added to the reactor followed by additional MTBE to give a total volume of 30 L in the reactor. After 2 hours, additional MTBE (2 L) was added to the reaction. After a total of 3.5 hours, the mixture was filtered, washing with MTBE (2 L). The reactor was rinsed with MTBE (4 L) which was used to rinse the solids which were then pressed and dried on a Buchner funnel for 2 hours. The solid product cake was loosened and then dried overnight on a Buchner funnel under nitrogen flow and vacuum. The isolated solid was dried in a convection oven at 40° C. for 24 hours to give (2R,3S,4S,5R)-3-(3,4-difluoro-2-methoxyphenyl)-4,5-dimethyl-5-(trifluoromethyl)tetrahydrofuran-2-carboxylic acid (R)-1-phenylethan-1-amine salt (1.86 kg at 95.7% purity, 74% for 3 steps) as an off-white solid. 1 H NMR, 400 MHz, DMSO-d6) 8.34 (br s, 2H), 7.46-7.41 (m, 2H), 7.36-7.27 (m, 3H), 7.16-7.11 (m, 1H), 7.10-7.03 (m, 1H), 4.58 (d, J = 9.9 Hz, 1H), 4.23 (q, J = 6.7 Hz, 1H), 3.99 (dd, J = 7.8, 9.8 Hz, 1H), 3.90 (d, J = 2.0 Hz, 3H), 2.60 (quin, J = 7.5 Hz, 1H), 1.50 (s, 3H), 1.40 (d, J = 6.7 Hz, 3H), 0.71-0.59 (m, 3H) ppm.

[0317] Step 13: To a suspension of (2R,3S,4S,5R)-3-(3,4-difluoro-2-methoxy-phenyl)-4,5-dimethyl-5-(trifluoromethyl)tetrahydrofuran-2-carboxylic acid (1R)-1-phenylethanamine salt (10.6 g, 22.29 mmol) in MTBE (250 mL) was added HCl (200 mL of 2 M, 400.0 mmol). The layers were separated and the organic layer was washed with water (200 mL), dried (MgSO4), filtered and concentrated in vacuo to give (2R,3S,4S,5R)-3-(3,4-difluoro-2-methoxy-phenyl)-4,5-dimethyl-5-(trifluoromethyl)tetrahydrofuran-2-carboxylic acid (8.4 g, 99%) as an oil. 1 H NMR (400 MHz,chloroform-d) δ 6.96 (ddd, J = 7.9, 5.6, 2.0 Hz, 1H), 6.88 (td, J = 9.2, 7.3 Hz, 1H), 4.96 (d, J = 10.5 Hz, 1H), 4.15 (dd, J = 10.5, 8.0 Hz, 1H), 4.02 (d, J = 2.8 Hz, 3H), 2.74 (p, J = 7.6 Hz, 1H), 1.64 (t, J = 1.2 Hz, 3H), 0.79 (dq, J = 7.4, 2.3 Hz, 3H) ppm.

[0318] Step 14: To an ice-cold solution of (2R,3S,4S,5R)-3-(3,4-difluoro-2-methoxy-phenyl)-4,5-dimethyl-5-(trifluoromethyl)tetrahydrofuran-2-carboxylic acid (2.50 g, 7.057 mmol) in DCM (12 mL) was added DMF (1 drop) followed by careful addition of oxalyl chloride (1.25 mL, 14.33 mmol). The reaction mixture was allowed to warm to ambient temperature and stirred for 60 min. The reaction mixture was concentrated in vacuo and the residue was dissolved in DCM (10 mL). This solution was treated with ammonium hydroxide (2.50 mL of 25% w / v, 36.70 mmol) and the reaction mixture was stirred at ambient temperature overnight. The reaction mixture was diluted with DCM (20 mL) and poured into saturated aqueous NaHCO3 (30 mL). The organic layer was separated and the aqueous layer was extracted with DCM (2 x 30 mL). The organic layers were combined, washed with brine (50 mL), dried over MgSO4, filtered and concentrated in vacuo to give a yellow oil which was purified by flash chromatography (SiO2, 0-100% EtOAc in heptane) to give (2R,3S,4S,5R)-3-(3,4-difluoro-2-methoxy-phenyl)-4,5-dimethyl-5-(trifluoromethyl)tetrahydrofuran-2-carboxamide (2.132 g, 86%) as a white solid. 1 H NMR (500 MHz, DMSO-d6) δ 7.50 (s, 1H), 7.32 (s, 1H), 7.17 - 7.09 (m, 2H), 4.82 (d, J = 10.6 Hz, 1H), 4.04 (dd, J = 10.6, 7.5 Hz, 1H), 3.93 (d, J = 2.0 Hz, 3H), 2.65 (dq, J = 7.5, 7.5 Hz, 1H), 1.55 (s, 3H), 0.67 (d, J = 6.3 Hz, 3H) ppm. 19 F NMR (471 MHz, DMSO-d6) δ -73.5 (s, 3F), -138.67 (s, 1F), -155.48 (s, 1F) ppm.ESI-MS m / z calculated value 353.10504, measured value 354.4 (M+1) + ; 352.4 (M-1) - ;Retention time: 3.11 minutes.

[0319] Step 15: To a mixture of (2R,3S,4S,5R)-3-(3,4-difluoro-2-methoxy-phenyl)-4,5-dimethyl-5-(trifluoromethyl)tetrahydrofuran-2-carboxamide (300 mg, 0.849 mmol), BrettPhos Pd G3 (150 mg, 0.165 mmol), and K2CO3 (240 mg, 1.73 mmol) under nitrogen was added a solution of 6-bromo-2,3-dihydrofuro[3,2-b]pyridin-3-ol (217 mg, 1.004 mmol) in 1,4-dioxane (5.0 mL). The mixture was sparged with nitrogen for 2 minutes and stirred at 90° C. overnight. The reaction mixture was concentrated in vacuo. Purification by flash chromatography (SiO2, 15-100% EtOAc in hexanes) gave (2R,3S,4S,5R)-3-(3,4-difluoro-2-methoxy-phenyl)-N-(3-hydroxy-2,3-dihydrofuro[3,2-b]pyridin-6-yl)-4,5-dimethyl-5-(trifluoromethyl)tetrahydrofuran-2-carboxamide (63 mg, 15%) as an orange oil. ESI-MS m / z calculated 488.13705, found 489.5 (M+1). + ; 487.4 (M-1) - ;Retention time: 3.23 minutes.

[0320] Step 16: The diastereomers of (2R,3S,4S,5R)-3-(3,4-difluoro-2-methoxyphenyl)-N-(3-hydroxy-2,3-dihydrofuro[2,3-b]pyridin-6-yl)-4,5-dimethyl-5-(trifluoromethyl)tetrahydrofuran-2-carboxamide (62 mg, 0.12 mmol) were separated by chiral SFC using a Chiralpak IC column, 5 μm particle size, 25 cm×20 mm from Daicel Corporation on a Prep-100 SFC instrument from Waters:

[0321] First eluting isomer (retention time = 1.35 min): rel-(2R*,3S*,4S*,5R*)-3-(3,4-difluoro-2-methoxyphenyl)-N-(3-hydroxy-2,3-dihydrofuro[3,2-b]pyridin-6-yl)-4,5-dimethyl-5-(trifluoromethyl)tetrahydrofuran-2-carboxamide (1, 17 mg, 56%). 1 H NMR (400 MHz, DMSO-d6) δ 10.41 (s, 1H), 8.27 (d, J = 2.0 Hz, 1H), 7.58 (d, J = 2.0 Hz, 1H), 7.21 - 7.10 (m, 2H), 5.78 (d, J = 4.6 Hz, 1H), 5.13 - 5.10 (m, 1H), 5.08 (d, J = 10.3 Hz, 1H), 4.62 (dd, J = 10.4, 6.9 Hz, 1H), 4.31 (dd, J = 10.4, 2.9 Hz, 1H), 4.23 (dd, J = 10.3, 7.5 Hz, 1H), 3.94 (d, J = 2.2 Hz, 3H), 2.76 (dq, J = 7.5, 7.5 Hz, 1H), 1.59 (s, 3H), 0.75 - 0.70 (m, 3H) ppm. 19 F NMR (471 MHz, DMSO-d6) δ -73.36 (s, 3F), -138.16 (s, 1F), -154.97 (s, 1F) ppm.ESI-MS m / z calculated value 488.13705, measured value 489.5 (M+1) + ; 487.4 (M-1) - ;Retention time: 3.23 minutes.

[0322] Second eluting isomer (retention time = 1.44 min): rel-(2R*,3S*,4S*,5R*)-3-(3,4-difluoro-2-methoxyphenyl)-N-(3-hydroxy-2,3-dihydrofuro[3,2-b]pyridin-6-yl)-4,5-dimethyl-5-(trifluoromethyl)tetrahydrofuran-2-carboxamide (2, 21 mg, 66%). 1H NMR (400 MHz, DMSO-d6) δ 10.43 (s, 1H), 8.27 (d, J = 2.0 Hz, 1H), 7.58 (d, J = 2.0 Hz, 1H), 7.21 - 7.11 (m, 2H), 5.80 (s, 1H), 5.12 - 5.09 (m, 1H), 5.08 (d, J = 10.3 Hz, 1H), 4.61 (dd, J = 10.4, 6.9 Hz, 1H), 4.31 (dd, J = 10.4, 2.9 Hz, 1H), 4.23 (dd, J = 10.3, 7.6 Hz, 1H), 3.94 (d, J = 2.2 Hz, 3H), 2.76 (dq, J = 7.5, 7.5 Hz, 1H), 1.59 (s, 3H), 0.75 - 0.69 (m, 3H) ppm. 19 F NMR (471 MHz, DMSO-d6) δ -73.34 (s, 3F), -138.17 (s, 1F), -154.99 (s, 1F) ppm.ESI-MS m / z calculated value 488.13705, measured value 489.5 (M+1) + ; 487.4 (M-1) - ;Retention time: 3.23 minutes.

[0323] Example 2 rel-(2R*,3S*,4S*,5R*)-3-(3,4-difluoro-2-methoxyphenyl)-N-(7-hydroxy-6,7-dihydro-5H-cyclopenta[b]pyridin-3-yl)-4,5-dimethyl-5-(trifluoromethyl)tetrahydrofuran-2-carboxamide (3) and rel-(2R*,3S*,4S*,5R*)-3-(3,4-difluoro-2-methoxyphenyl)-N-(7-hydroxy-6,7-dihydro-5H-cyclopenta[b]pyridin-3-yl)-4,5-dimethyl-5-(trifluoromethyl)tetrahydrofuran-2-carboxamide (4) [ka] Step 1: To a solution of (2R,3S,4S,5R)-3-(3,4-difluoro-2-methoxy-phenyl)-4,5-dimethyl-5-(trifluoromethyl)tetrahydrofuran-2-carboxamide (130 mg, 0.368 mmol) in 1,4-dioxane (3.6 mL) was added Xantphos (21 mg, 0.036 mmol), Cs2CO3 (240 mg, 0.736 mmol), Pd(OAc)2 (4.1 mg, 0.018 mmol), and rac-(3-bromo-6,7-dihydro-5H-cyclopenta[b]pyridin-7-yl)oxy-tert-butyl-dimethyl-silane (136 mg, 0.414 mmol). The reaction mixture was degassed with nitrogen / vacuum cycles and then sealed and heated at 80 °C overnight. The reaction mixture was diluted with EtOAc (20 mL) and poured into saturated aqueous NaHCO3 (20 mL). The organic layer was separated and the aqueous layer was extracted with EtOAc (2 x 20 mL). The organic layers were combined, washed with brine (20 mL), dried over MgSO4, filtered, and concentrated in vacuo to give a yellow oil. Purification by flash chromatography (SiO2, 0-90% EtOAc in heptane) afforded (2R,3S,4S,5R)-N-[7-[tert-butyl(dimethyl)silyl]oxy-6,7-dihydro-5H-cyclopenta[b]pyridin-3-yl]-3-(3,4-difluoro-2-methoxy-phenyl)-4,5-dimethyl-5-(trifluoromethyl)tetrahydrofuran-2-carboxamide (63 mg, 28%) as a mixture of diastereomers at the tert-butyl(dimethyl)silyloxy position as a colorless oil. 1H NMR (500 MHz,chloroform-d) δ 8.39 (s, 1H), 8.36 - 8.29 (m, 1H), 8.12 - 8.04 (m, 1H), 7.11 - 7.06 (m, 1H), 6.92 - 6.85 (m, 1H), 5.12 (dd, J = 6.8, 4.6 Hz, 1H), 5.01 (dd, J = 10.9, 2.5 Hz, 1H), 4.09 (dd, J = 10.9, 8.0 Hz, 1H), 3.99 (t, J = 2.5 Hz, 3H), 3.03 - 2.96 (m, 1H), 2.78 - 2.67 (m, 2H), 2.42 - 2.34 (m, 1H), 2.05 - 1.97 (m, 1H), 1.67 (s, 3H), 0.91 (d, J = 1.3 Hz, 9H), 0.80 - 0.77 (m, 3H), 0.18 (s, 3H), 0.13 (s, 3H) ppm. 19 F NMR (471 MHz, DMSO-d6) δ -74.56 (s, 3F), -137.29 (s, 1F), -154.68 (s, 1F) ppm.ESI-MS m / z calculated value 600.24426, measured value 601.7 (M+1) + ; 599.7 (M-1) - ;Retention time: 4.52 minutes.

[0324] Step 2: The diastereomers of (2R,3S,4S,5R)-N-[7-[tert-butyl(dimethyl)silyl]oxy-6,7-dihydro-5H-cyclopenta[b]pyridin-3-yl]-3-(3,4-difluoro-2-methoxy-phenyl)-4,5-dimethyl-5-(trifluoromethyl)tetrahydrofuran-2-carboxamide (63 mg, 0.105 mmol) were separated by chiral SFC using a Chiralpak IB column, 5 μm particle size, 25 cm×20 mm from Daicel Corporation on a Prep-100 SFC instrument from Waters:

[0325] First eluting isomer (retention time = 3.59 min): rel-(2R*,3S*,4S*,5R*)-N-(7-((tert-butyldimethylsilyl)oxy)-6,7-dihydro-5H-cyclopenta[b]pyridin-3-yl)-3-(3,4-difluoro-2-methoxyphenyl)-4,5-dimethyl-5-(trifluoromethyl)tetrahydrofuran-2-carboxamide (20.5 mg, 65%). ESI-MS m / z calculated 600.24426, found 601.2 (M+1). + ; 599.3 (M-1) - ;Retention time: 4.44 minutes.

[0326] Second eluting isomer (retention time = 4.47 min): rel-(2R*,3S*,4S*,5R*)-N-(7-((tert-butyldimethylsilyl)oxy)-6,7-dihydro-5H-cyclopenta[b]pyridin-3-yl)-3-(3,4-difluoro-2-methoxyphenyl)-4,5-dimethyl-5-(trifluoromethyl)tetrahydrofuran-2-carboxamide (13.5 mg, 43%). ESI-MS m / z calculated 600.24426, found 601.2 (M+1). + ; 599.3 (M-1) - ;Retention time: 4.44 minutes.

[0327] Step 3: TFA (200 μL, 2.596 mmol) was added to a solution of rel-(2R*,3S*,4S*,5R*)-N-(7-((tert-butyldimethylsilyl)oxy)-6,7-dihydro-5H-cyclopenta[b]pyridin-3-yl)-3-(3,4-difluoro-2-methoxyphenyl)-4,5-dimethyl-5-(trifluoromethyl)tetrahydrofuran-2-carboxamide (20.5 mg, 0.03413 mmol, first eluting isomer from step 2) in DCM (1.0 mL) and water (100 μL). The resulting mixture was stirred at ambient temperature over the weekend. The reaction mixture was concentrated in vacuo and azeotroped with MeOH to remove excess TFA. Purification by reverse-phase HPLC-MS using an X-bridge C18 column (150 × 19 mm, 5 μm particle size) from Waters gave rel-(2R*,3S*,4S*,5R*)-3-(3,4-difluoro-2-methoxyphenyl)-N-(7-hydroxy-6,7-dihydro-5H-cyclopenta[b]pyridin-3-yl)-4,5-dimethyl-5-(trifluoromethyl)tetrahydrofuran-2-carboxamide (3, 12.4 mg, 74%). 1 H NMR (500 MHz, DMSO-d6) δ 10.36 (s, 1H), 8.55 (d, J = 2.2 Hz, 1H), 7.93 (d, J = 2.2 Hz, 1H), 7.21 - 7.11 (m, 2H), 5.09 (d, J = 10.3 Hz, 1H), 4.89 (dd, J = 7.2, 5.1 Hz, 1H), 4.24 (dd, J = 10.3, 7.6 Hz, 1H), 3.94 (d, J = 2.0 Hz, 3H), 2.95 - 2.87 (m, 1H), 2.79 - 2.65 (m, 2H), 2.38 - 2.28 (m, 1H), 1.87 - 1.77 (m, 1H), 1.60 (s, 3H), 0.73 (d, J = 6.8 Hz, 3H) ppm. 19F NMR (471 MHz, DMSO-d6) δ -73.36 (s, 3F), -138.19 (s, 1F), -155.00 (s, 1F) ppm (no alcohol OH observed). ESI-MS m / z calculated 486.1578, found 487.6 (M+1). + ; 485.5 (M-1) - ;Retention time: 3.26 minutes.

[0328] rel-(2R*,3S*,4S*,5R*)-N-(7-((tert-butyldimethylsilyl)oxy)-6,7-dihydro-5H-cyclopenta[b]pyridin-3-yl)-3-(3,4-difluoro-2-methoxyphenyl)-4,5-dimethyl-5-(trifluoromethyl)tetrahydrofuran-2-carboxamide (13.5 mg, 0.022 mmol, 2nd eluate from step 2) The eluting isomer of 2R,3S,4S,5R) was treated in the same manner to give rel-(2R,3S,4S,5R)-3-(3,4-difluoro-2-methoxyphenyl)-N-(7-hydroxy-6,7-dihydro-5H-cyclopenta[b]pyridin-3-yl)-4,5-dimethyl-5-(trifluoromethyl)tetrahydrofuran-2-carboxamide (4, 12.4 mg, 74%) as a white solid. 1 H NMR (500 MHz, DMSO-d6) δ 10.32 (s, 1H), 8.54 (d, J = 2.2 Hz, 1H), 7.89 (d, J = 2.2 Hz, 1H), 7.20 - 7.11 (m, 2H), 5.25 (d, J = 5.5 Hz, 1H), 5.08 (d, J = 10.3 Hz, 1H), 4.89 - 4.84 (m, 1H), 4.23 (dd, J = 10.3, 7.7 Hz, 1H), 3.94 (d, J = 2.0 Hz, 3H), 2.94 - 2.86 (m, 1H), 2.79 - 2.66 (m, 2H), 2.37 - 2.28 (m, 1H), 1.85 - 1.77 (m, 1H), 1.60 (s, 3H), 0.73 (d, J = 6.3 Hz, 3H) ppm. 19F NMR (471 MHz, DMSO-d6) δ -73.36 (s, 3F), -138.20 (s, 1F), -155.00 (s, 1F) ppm.ESI-MS m / z calculated value 486.1578, measured value 487.6 (M+1) + ; 485.5 (M-1) - ;Holding time: 3.25 minutes.

[0329] Example 3: (2R,3S,4S,5R)-3-(3,4-difluoro-2-((S)-2-methoxypropoxy)phenyl)-N-(6-(hydroxymethyl)pyridin-3-yl)-4,5-dimethyl-5-(trifluoromethyl)tetrahydrofuran-2-carboxamide (5) [ka] Step 1: Benzyl bromide (1.078 g, 0.75 mL, 6.30 mmol) was added to a stirred mixture of methyl (2S,3S,4S,5R)-3-(3,4-difluoro-2-hydroxy-phenyl)-4,5-dimethyl-5-(trifluoromethyl)tetrahydrofuran-2-carboxylate (1.5 g, 4.234 mmol) and K2CO3 (760 mg, 5.49 mmol) in DMF (7.5 mL). The reaction mixture was stirred at 50° C. for 3 h and then at ambient temperature overnight. The reaction mixture was diluted with water (10 mL) and extracted with diethyl ether (3×10 mL). The combined organic extracts were washed with brine (5 mL), dried (MgSO4), filtered and concentrated in vacuo. Purification by flash chromatography (SiO2, 0-10% EtOAc in heptane) gave methyl (2S,3S,4S,5R)-3-(2-benzyloxy-3,4-difluoro-phenyl)-4,5-dimethyl-5-(trifluoromethyl)tetrahydrofuran-2-carboxylate (814 mg, 39%) as a yellow oil that solidified to a white solid. 1H NMR (400 MHz,chloroform-d) δ 7.51-7.31 (m, 5H), 7.24-7.12 (m, 1H), 6.81 (td, J = 9.4, 7.6 Hz, 1H), 5.20 (d, J = 11.0 Hz, 1H), 5.02 (d, J = 11.4 Hz, 1H), 4.82 (d, J = 6.4 Hz, 1H), 4.23 (dd, J = 8.5, 6.2 Hz, 1H), 3.52 (s, 3H), 2.76-2.68 (m, 1H), 1.48 (d, J = 0.9 Hz, 3H), 0.82 (dd, J = 7.3, 1.8 Hz, 3H) ppm.ESI-MS m / z calculated 444.136, found 443.08 (M-1) - ;Retention time: 1.13 minutes.

[0330] Step 2: KO-t-Bu (540 mg, 0.59 mL, 4.81 mmol) was added to a solution of methyl (2S,3S,4S,5R)-3-(2-benzyloxy-3,4-difluoro-phenyl)-4,5-dimethyl-5-(trifluoromethyl)tetrahydrofuran-2-carboxylate (0.8 g, 1.620 mmol) in 2-MeTHF (2.5 mL) under argon at 0° C. The reaction mixture was stirred at 0° C. for 30 min and at ambient temperature for 15 min. The reaction mixture was diluted with diethyl ether (5 mL) and acidified with 1 M HCl (ca. 4 mL). The combined organic extracts were washed with brine (5 mL), dried (Na2SO4), filtered and concentrated in vacuo to give (2R,3S,4S,5R)-3-(2-benzyloxy-3,4-difluoro-phenyl)-4,5-dimethyl-5-(trifluoromethyl)tetrahydrofuran-2-carboxylic acid (690 mg, 73%) as a yellow oil. 1H NMR (400 MHz, chloroform-d) δ 7.46-7.34 (m, 5H), 6.95-6.84 (m, 2H), 5.25-5.22 (m, 1H), 5.09-5.06 (m, 1H), 4.85 (d, J = 10.7 Hz, 1H), 3.71 (dt, J = 15.0, 7.1 Hz, 1H), 2.50-2.42 (m, 1H), 1.37 (d, J = 9.2 Hz, 3H), 0.68-0.66 (m, 3H) ppm; no OH acid observed. 19 F-NMR (376 MHz, chloroform-d) δ -74.7 (s, 3F), -136.6 (ddd, J = 19.8, 9.0, 5.9 Hz, 1F), -152.6 (dd, J = 19.9, 6.3 Hz, 1F) ppm. ESI-MS m / z calculated 430.1204, found 429.08 (M-1). - ;Retention time: 0.58 minutes.

[0331] Step 3: A 50% solution of T3P in EtOAc (1.603 g, 3 mL, 2.51 mmol) was added to a solution of (2R,3S,4S,5R)-3-(2-benzyloxy-3,4-difluoro-phenyl)-4,5-dimethyl-5-(trifluoromethyl)tetrahydrofuran-2-carboxylic acid (600 mg, 1.021 mmol, 6-[[tert-butyl(dimethyl)silyl]oxymethyl]pyridin-3-amine (270 mg, 1.132 mmol) and Et3N (217.80 mg, 0.3 mL, 2.152 mmol) in EtOAc (8 mL). The reaction mixture was stirred at ambient temperature for 4 h. The reaction mixture was partitioned between EtOAc (50 mL) and water (10 ml). The organic layer was dried (Na2SO4), filtered and concentrated in vacuo to give an oil. Purification by flash chromatography (SiO2, 0-25% EtOAc in heptane) afforded (2R,3S,4S,5R)-3-(2-benzyloxy-3,4-difluoro-phenyl)-N-[6-[[tert-butyl(dimethyl)silyl]oxymethyl]-3-pyridyl]-4,5-dimethyl-5-(trifluoromethyl)tetrahydrofuran-2-carboxamide (630 mg, 60%) as a yellow oil. ESI-MS m / z calculated 650.25995, found 651.34 (M+1). + ; 649.3 (M-1) - ;Retention time: 3.84 minutes.

[0332] Step 4: A mixture of (2R,3S,4S,5R)-3-(2-benzyloxy-3,4-difluoro-phenyl)-N-[6-[[tert-butyl(dimethyl)silyl]oxymethyl]-3-pyridyl]-4,5-dimethyl-5-(trifluoromethyl)tetrahydrofuran-2-carboxamide (800 mg, 1.207 mmol) and palladium on carbon (50 mg of 10 wt.% loading, 0.469 mmol) in EtOH (20 mL) was stirred under a hydrogen atmosphere (1 atm) at ambient temperature for 5 h. The reaction mixture was filtered through a 0.45 μm cellulose membrane. The filtrate was concentrated in vacuo to give (2R,3S,4S,5R)-N-[6-[[tert-butyl(dimethyl)silyl]oxymethyl]-3-pyridyl]-3-(3,4-difluoro-2-hydroxy-phenyl)-4,5-dimethyl-5-(trifluoromethyl)tetrahydrofuran-2-carboxamide (630 mg, 91%) as a white solid. 1 H NMR (400 MHz,chloroform-d) δ 8.53 (s, 1H), 8.38 (d, J = 5.5 Hz, 1H), 7.67 (d, J = 5.5 Hz, 1H), 7.42 (s, 1H), 7.07 (t, J = 6.2 Hz, 1H), 6.76 (dd, J = 17.2, 9.4 Hz, 1H), 6.38-6.61 (br s,1H), 5.07 (d, J = 10.5 Hz, 1H), 4.82 (s, 2H), 4.15 (dd, J = 10.8, 8.0 Hz, 1H), 2.85 (t, J = 7.8 Hz, 1H), 1.68 (s, 3H), 0.94 (dd, J = 5.4, 1.9 Hz, 9H), 0.83-0.78 (m, 3H), 0.11 (t, J = 2.5 Hz, 6H) ppm. 19 F NMR (376 MHz, chloroform-d) δ -74.5 (s, 3F), -137.9 (d, J = 19.4 Hz, 1F), -162.5 - -162.5 (m, 1F) ppm. ESI-MS m / z calculated 560.213, found 561.2 (M+1). + ; 559.1 (M-1) - ;Retention time: 2.13 minutes.

[0333] Step 5: [(2S)-2-Methoxypropyl]methanesulfonate (40 mg, 0.214 mmol) was added to a suspension of (2R,3S,4S,5R)-N-[6-[[tert-butyl(dimethyl)silyl]oxymethyl]-3-pyridyl]-3-(3,4-difluoro-2-hydroxy-phenyl)-4,5-dimethyl-5-(trifluoromethyl)tetrahydrofuran-2-carboxamide (40 mg, 0.056 mmol) and K2CO3 (30 mg, 0.217 mmol) in DMSO (1 mL). The reaction mixture was stirred at 60° C. for 7 h. The reaction mixture was partitioned between EtOAc (20 mL) and water (6 mL). The organic layer was dried (MgSO4), filtered, and concentrated in vacuo to give an oil. Purification by reverse phase chromatography (SiO2, 10-80% water with 0.1% NH4OH in MeCN) gave (2R,3S,4S,5R)-N-[6-[[tert-butyl(dimethyl)silyl]oxymethyl]-3-pyridyl]-3-[3,4-difluoro-2-[(2S)-2-methoxypropoxy]phenyl]-4,5-dimethyl-5-(trifluoromethyl)tetrahydrofuran-2-carboxamide (23 mg, 61%) as a colorless oil. ESI-MS m / z calculated 632.2705, found 633.76 (M+1). + ; 631.66 (M-1) - ;Retention time: 3.68 minutes.

[0334] Step 6: A 1M solution of TBAF in THF (44.3 mg, 50 μL, 0.16 mmol) was added to a solution of (2R,3S,4S,5R)-N-(6-(((tert-butyldimethylsilyl)oxy)methyl)pyridin-3-yl)-3-(3,4-difluoro-2-((S)-2-methoxypropoxy)phenyl)-4,5-dimethyl-5-(trifluoromethyl)tetrahydrofuran-2-carboxamide (23 mg, 0.0345 mmol) in THF (2 mL) at 0° C. The reaction was stirred at ambient temperature for 2 h. The reaction was partitioned between EtOAc (15 mL) and water (4 mL). The organic layer was dried (MgSO4), filtered, and concentrated in vacuo to give an oil. Purification by reverse phase chromatography (SiO, 10-80% water with 0.1% NHOH in MeCN) afforded (2R,3S,4S,5R)-3-(3,4-difluoro-2-((S)-2-methoxypropoxy)phenyl)-N-(6-(hydroxymethyl)pyridin-3-yl)-4,5-dimethyl-5-(trifluoromethyl)tetrahydrofuran-2-carboxamide (5, 13 mg, 72%) as a white solid. 1 H NMR (400 MHz,chloroform-d) δ 8.64 (d, J = 2.3 Hz, 1H), 8.57 (s, 1H), 8.16 (dd, J = 8.5, 2.5 Hz, 1H), 7.28-7.25 (br s, 1H), 7.12-7.09 (m, 1H), 6.91 (dd, J = 16.5, 9.2 Hz, 1H), 5.05 (d, J = 11.4 Hz, 1H), 4.74 (s, 2H), 4.32 (dd, J = 11.4, 7.3 Hz, 1H), 4.18-4.09 (m, 2H), 3.57 (td, J = 6.0, 2.7 Hz, 1H), 3.22 (s, 3H), 2.82 (t, J = 7.6 Hz, 1H), 2.02-2.45 (1H), 1.70 (s, 3H), 1.23 (d, J = 6.4 Hz, 3H), 0.79-0.77 (m, 3H) ppm. One proton is hidden under the CHCl3 signal. 19F NMR (376 MHz, chloroform-d) δ -74.4 (d, J = 37.5 Hz, 3F), -137.1 - -137.3 (m, 1F), -153.7 (dd, J = 18.9, 6.0 Hz, 1F) ppm. ESI-MS m / z calculated 518.184, found 519.52 (M+1). + ; 517.4 (M-1) - ;Retention time: 2.51 minutes.

[0335] The following compounds were made using the methods described in Example 3, except that different coupling partners were used in step 5: [Table 3-1] [Table 3-2] [Table 3-3] [Table 3-4]

[0336] Example 4: (2R,3S,4S,5R)-3-(3,4-difluoro-2-(2-methoxyethoxy)phenyl)-N-(6-((R)-1,2-dihydroxyethyl)pyridin-3-yl)-4,5-dimethyl-5-(trifluoromethyl)tetrahydrofuran-2-carboxamide (10) [ka] Steps 1 and 2: Oxalyl chloride (738 μL, 8.460 mmol) was added dropwise to a solution of (2R,3S,4S,5R)-3-(3,4-difluoro-2-methoxy-phenyl)-4,5-dimethyl-5-(trifluoromethyl)tetrahydrofuran-2-carboxylic acid (1.5 g, 4.234 mmol) and DMF (31 μL, 0.4004 mmol) in dichloromethane (10 mL). After stirring at ambient temperature for 30 min, the solution was concentrated in vacuo. A mixture of rac-6-(2,2-dimethyl-1,3-dioxolan-4-yl)pyridin-3-amine (904 mg, 4.654 mmol) and Et3N (706 μL, 5.065 mmol) was added to the residue redissolved in dichloromethane (10 mL). The mixture was stirred at ambient temperature for 1 h. The reaction mixture was partitioned between EtOAc (30 mL) and water (30 mL). The aqueous layer was further extracted with EtOAc (50 mL). The combined organic extracts were washed with brine (1×20 mL), dried (MgSO4), filtered, and concentrated in vacuo. Purification by reverse-phase preparative HPLC (Waters Sunfire C18, 10 μM, 100 Å column, 0% to 100% MeCN in water with 0.1% ammonia) afforded, after lyophilization, a mixture of two diastereoisomers of (2R,3S,4S,5R)-3-(3,4-difluoro-2-methoxyphenyl)-N-(6-(2,2-dimethyl-1,3-dioxolan-4-yl)pyridin-3-yl)-4,5-dimethyl-5-(trifluoromethyl)tetrahydrofuran-2-carboxamide.

[0337] A mixture of two diastereomers of (2R,3S,4S,5R)-3-(3,4-difluoro-2-methoxyphenyl)-N-(6-(2,2-dimethyl-1,3-dioxolan-4-yl)pyridin-3-yl)-4,5-dimethyl-5-(trifluoromethyl)tetrahydrofuran-2-carboxamide was separated by chiral SFC using a Chiralcel OJ-H column, 5 μm particle size, 25 cm×10 mm from Daicel on a Minigram SFC instrument from Berger Instruments:

[0338] First eluting isomer (retention time = 2.99 min): (2R,3S,4S,5R)-3-(3,4-difluoro-2-methoxyphenyl)-N-(6-((R)-2,2-dimethyl-1,3-dioxolan-4-yl)pyridin-3-yl)-4,5-dimethyl-5-(trifluoromethyl)tetrahydrofuran-2-carboxamide (700 mg, 60%). ESI-MS m / z calculated 530.184, found 531.2 (M+1). + ;Retention time: 3.56 minutes.

[0339] Second eluting isomer (retention time = 3.63 min): (2R,3S,4S,5R)-3-(3,4-difluoro-2-methoxyphenyl)-N-(6-((S)-2,2-dimethyl-1,3-dioxolan-4-yl)pyridin-3-yl)-4,5-dimethyl-5-(trifluoromethyl)tetrahydrofuran-2-carboxamide (700 mg, 60%). ESI-MS m / z calculated 530.184, found 531.2 (M+1). + ;Retention time: 3.56 minutes.

[0340] Step 3: TFA (1.743 mL, 22.62 mmol) was added to a solution of (2R,3S,4S,5R)-3-(3,4-difluoro-2-methoxyphenyl)-N-(6-((R)-2,2-dimethyl-1,3-dioxolan-4-yl)pyridin-3-yl)-4,5-dimethyl-5-(trifluoromethyl)tetrahydrofuran-2-carboxamide (600 mg, 1.112 mmol) (first eluting isomer from SFC separation) in DCM (20 mL) and the mixture was stirred at ambient temperature for 2 h. The mixture was concentrated in vacuo and lyophilized from MeCN and water to give a white solid. Purification by reverse phase preparative HPLC (Waters Sunfire C18, 10 μM, 100 Å column, 0% to 100% MeCN in water with 0.1% ammonia) gave, after lyophilization, (2R,3S,4S,5R)-3-(3,4-difluoro-2-methoxyphenyl)-N-(6-((R)-1,2-dihydroxyethyl)pyridin-3-yl)-4,5-dimethyl-5-(trifluoromethyl)tetrahydrofuran-2-carboxamide (304 mg, 55%). 1 H NMR (500 MHz, DMSO-d6) δ 10.48 (s, 1H), 8.73 (s, 1H), 8.10 (d, J = 8.4 Hz, 1H), 7.52 (d, J = 8.6 Hz, 1H), 7.23 - 7.13 (m, 2H), 5.11 (d, J = 10.3 Hz, 1H), 4.61 (s, 1H), 4.25 (dd, J = 10.3, 7.6 Hz, 1H), 3.95 (d, J = 2.1 Hz, 3H), 3.63 (dd, J = 11.0, 4.4 Hz, 2H), 3.48 (dd, J = 11.0, 6.5 Hz, 2H), 2.77 (p, J = 7.6 Hz, 1H), 1.61 (s, 3H), 0.79 - 0.69 (m, 3H) ppm.ESI-MS m / z Calculated value 490.1527, Actual value 491.6 (M+1) + ;Retention time: 2.98 minutes.

[0341] Step 4: Tribromoborane (500 μL of a 1 M solution in DCM, 0.5 mmol) was added to a solution of (2R,3S,4S,5R)-3-(3,4-difluoro-2-methoxy-phenyl)-N-[6-((R)-1,2-dihydroxyethyl)-3-pyridyl]-4,5-dimethyl-5-(trifluoromethyl)tetrahydrofuran-2-carboxamide (80 mg, 0.1631 mmol) in DCM (3 mL) at 0° C. and stirred for 15 min. The reaction mixture was quenched with MeOH (2 mL) and then concentrated in vacuo. The residue was dissolved in MeOH (3 mL) and the pH was adjusted to pH 9 with 2 M aqueous sodium hydroxide solution. The mixture was stirred for 10 min. Purification by reversed-phase HPLC-MS using an X-bridge C18 column (150×19 mm, 5 μm particle size) from Waters gave rel-(2R,3S,4S,5R)-3-(3,4-difluoro-2-hydroxy-phenyl)-N-[6-((R)-1,2-dihydroxyethyl)-3-pyridyl]-4,5-dimethyl-5-(trifluoromethyl)tetrahydrofuran-2-carboxamide (75.5 mg, 93%). 1 H NMR (500 MHz, DMSO-d6) δ 12.78 (s, 1H), 8.48 (d, J = 2.5 Hz, 1H), 7.92 (dd, J = 8.5, 2.5 Hz, 1H), 7.36 (d, J = 8.5 Hz, 1H), 6.54 - 6.43 (m, 1H), 5.83 (q, J = 8.6 Hz, 1H), 5.72 (d, J = 11.3 Hz, 1H), 5.27 (s, 1H), 4.61 (s, 1H), 4.50 (s, 1H), 3.69 (dd, J = 11.3, 6.9 Hz, 1H), 3.59 (dd, J = 10.5, 5.1 Hz, 1H), 3.47 - 3.37 (m, 1H), 2.56 (t, J = 7.2 Hz, 1H), 1.52 (s, 3H), 0.81 - 0.76 (m, 4H) ppm.ESI-MS m / z Calculated value 476.13705, Actual value 477.3 (M+1) + ; 475.2 (M-1) - ;Retention time: 2.46 minutes.

[0342] Step 5: 1-Bromo-2-methoxy-ethane (2 μL, 0.021 mmol) was added to a solution of (2R,3S,4S,5R)-3-(3,4-difluoro-2-hydroxy-phenyl)-N-[6-((R)-1,2-dihydroxyethyl)-3-pyridyl]-4,5-dimethyl-5-(trifluoromethyl)tetrahydrofuran-2-carboxamide (10 mg, 0.02 mmol) and K2CO3 (3.2 mg, 0.023 mmol) in DMF (400 μL). The mixture was stirred at ambient temperature and then at 60° C. Purification by reverse-phase HPLC-MS using an X-bridge C18 column (150×19 mm, 5 μm particle size) from Waters gave (2R,3S,4S,5R)-3-(3,4-difluoro-2-(2-methoxyethoxy)phenyl)-N-(6-((R)-1,2-dihydroxyethyl)pyridin-3-yl)-4,5-dimethyl-5-(trifluoromethyl)tetrahydrofuran-2-carboxamide (10, 5.3 mg, 45%). 1 H NMR (500 MHz, DMSO-d6) δ 10.34 (s, 1H), 8.65 (d, J = 2.5 Hz, 1H), 8.00 (dd, J = 8.5, 2.5 Hz, 1H), 7.42 (d, J = 8.5 Hz, 1H), 7.17 (dd, J = 8.6, 4.4 Hz, 2H), 5.33 (s, 1H), 5.11 (d, J = 10.7 Hz, 1H), 4.63 (s, 1H), 4.54 (dd, J = 6.8, 4.2 Hz, 1H), 4.34 (dd, J = 10.8, 7.2 Hz, 1H), 4.30 - 4.22 (m, 1H), 4.21 (s, 1H), 3.70 - 3.55 (m, 3H), 3.44 (dd, J = 10.9, 6.8 Hz, 1H), 3.29 (s, 3H), 2.84 (t, J = 7.4 Hz, 1H), 1.61 (s, 3H), 0.71 (d, J = 6.7 Hz, 3H) ppm.ESI-MS m / z calculated value 534.17896, measured value 535.3 (M+1) +; 533.0 (M-1) - ;Retention time: 3.02 minutes.

[0343] The following compounds were made using a method similar to that described in Example 4, except that a different halide was used in step 5: [Table 4]

[0344] Example 5: rel-(2S,3S,4S,5R)-N-(2-(1,2-dihydroxyethyl)pyrimidin-5-yl)-3-(4-fluoro-2-(2-methoxyethoxy)-3-methylphenyl)-4,5-dimethyl-5-(trifluoromethyl)tetrahydrofuran-2-carboxamide (16) and rel-(2R,3R,4R,5S)-N-(2-(1,2-dihydroxyethyl)pyrimidin-5-yl)-3-(4-fluoro-2-(2-methoxyethoxy)-3-methylphenyl)-4,5-dimethyl-5-(trifluoromethyl)tetrahydrofuran-2-carboxamide (15) and rel-(2S,3R,4R,5S)-N-(2-(1,2-dihydroxyethyl)pyrimidin-5-yl)-3-(4-fluoro-2-(2-methoxyethoxy)-3-methylphenyl)-4,5-dimethyl-5-(trifluoromethyl)tetrahydrofuran-2-carboxamide (13) and rel-(2R,3S,4S,5R)-N-(2-(1,2-dihydroxyethyl)pyrimidin-5-yl)-3-(4-fluoro-2-(2-methoxyethoxy)-3-methylphenyl)-4,5-dimethyl-5-(trifluoromethyl)tetrahydrofuran-2-carboxamide (14) [ka] Step 1: A mixture of ethyl rac-(4R,5R)-4,5-dimethyl-5-(trifluoromethyl)-3-(((trifluoromethyl)sulfonyl)oxy)-4,5-dihydrofuran-2-carboxylate (39.05 g, 101.1 mmol), (4-fluoro-2-methoxy-3-methyl-phenyl)boronic acid (20.4 g, 110.9 mmol), PdCl2(PPh3)2 (1.4 g, 1.995 mmol), and NaHCO3 (120 mL) in 1,4-dioxane (400 mL) was added to a 2 L, 3-necked round-bottom flask equipped with a side-mounted thermometer. The orange mixture was heated at 50° C. for 20 min. The reaction mixture was cooled to ambient temperature and diluted with EtOAc (100 mL) and water (100 mL). The layers were separated and the aqueous phase was extracted with EtOAc (4×100 mL). The combined organic extracts were washed with brine (1×50 mL), dried (MgSO4), filtered, and concentrated in vacuo to 100 mL. Charcoal (10 g) was added and the mixture was stirred for 2 h. The mixture was filtered, washing with EtOAc. The filtrate was concentrated in vacuo to give 50 g of crude product. Purification by flash chromatography (330 g SiO2, 0-35% EtOAc in heptane) afforded ethyl rac-(4S,5R)-3-(4-fluoro-2-methoxy-3-methylphenyl)-4,5-dimethyl-5-(trifluoromethyl)-4,5-dihydrofuran-2-carboxylate (27.3 g, 72%) as a pale yellow oil. 1 H NMR (500 MHz,chloroform-d) δ 6.98 - 6.88 (m, 1H), 6.81 (t, J = 8.7 Hz, 1H), 4.20 - 4.07 (m, 2H), 3.66 (s, 3H), 3.58 - 3.49 (m, 1H), 2.21 (d, J = 2.1 Hz, 3H), 1.7 (s, 3H), 1.12 (t, J = 7.1 Hz, 3H), 1.06 (dq, J = 7.2, 2.3 Hz, 3H) ppm.ESI-MS m / z calculated value 376.12976, measured value 377.5 (M+1) + ;Retention time: 1.09 minutes.

[0345] Step 2: To a 1 L 3-neck flask equipped with a thermometer next to it was added ethyl rac-(4S,5R)-3-(4-fluoro-2-methoxy-3-methylphenyl)-4,5-dimethyl-5-(trifluoromethyl)-4,5-dihydrofuran-2-carboxylate (27.35 g, 72.67 mmol) followed by DCM (200 mL). The mixture was cooled to 5° C. in an ice bath. Boron tribromide (112 mL of a 1 M solution in DCM, 112.0 mmol) was added over 30 min at 5° C. and the reaction mixture was stirred for 1 h. Upon completion, the mixture was quenched slowly with water (caution foaming) (100 mL). NaHCO3 solution (100 mL) was added and the mixture was stirred for 30 min. The aqueous phase was extracted with DCM (3×50 mL) and the organic layer was washed with NaHCO3 (5×100 mL). The combined organic phases were dried over MgSO4, filtered and concentrated in vacuo. To a solution of this solid in EtOAc (100 mL) was added charcoal (15 g) and the mixture was stirred at ambient temperature overnight. The reaction mixture was filtered through Celite and the filtrate was concentrated in vacuo to give ethyl rac-(4S,5R)-3-(4-fluoro-2-hydroxy-3-methylphenyl)-4,5-dimethyl-5-(trifluoromethyl)-4,5-dihydrofuran-2-carboxylate (27.7 g, 100%) as a yellow waxy solid. ESI-MS m / z calculated 362.11414, found 363.5 (M+1). + ; 361.5 (M-1) - ;Retention time: 0.99 minutes.

[0346] Step 3: TFA (9.8 mL, 127.2 mmol) was added to a solution of ethyl rac-(4S,5R)-3-(4-fluoro-2-hydroxy-3-methylphenyl)-4,5-dimethyl-5-(trifluoromethyl)-4,5-dihydrofuran-2-carboxylate (27.7 g, 76.45 mmol) in DCM (200 mL) with stirring at ambient temperature. The reaction mixture was heated to reflux and stirred at this temperature for 2.5 h. The reaction mixture was cooled to ambient temperature, quenched with saturated aqueous NaHCO3 (100 mL) and the layers separated. The DCM layer was washed with saturated aqueous NaHCO3 (4 x 100 mL). The organic extract was dried (Na2SO4) and concentrated in vacuo to give a waxy solid. The solid was redissolved in ethyl acetate (200 mL). Activated charcoal (10 g) was added and the mixture was stirred at ambient temperature overnight. The mixture was filtered through a Celite cartridge, washing with ethyl acetate (3×100 ml). The filtrate was concentrated in vacuo to give rac-(1S,2R)-7-fluoro-1,2,6-trimethyl-2-(trifluoromethyl)-1,2-dihydro-4H-furo[2,3-c]chromen-4-one (24.18 g, 100%) as a waxy solid. ESI-MS m / z calculated 316.07227, found 317.4 (M+1). + ; 315.4 (M-1) - ;Holding time: 0.94 minutes

[0347] Step 4: A solution of rac-(1S,2R)-7-fluoro-1,2,6-trimethyl-2-(trifluoromethyl)-1,2-dihydro-4H-furo[2,3-c]chromen-4-one (24.77 g, 78.32 mmol) in MeOH (700 mL) was added to a 1 L Parr hydrogenation flask containing palladium hydroxide on carbon (22 g of 20 wt % loading, 31.33 mmol). The reaction mixture was evacuated and back-filled with nitrogen (x3), then evacuated and back-filled with hydrogen (x3) and stirred under a hydrogen atmosphere at 60 psi for 116 h. The reaction mixture was filtered through Celite, washing with MeOH (1 L) and EtOAc (500 ml). The filtrate was concentrated in vacuo to give methyl rac-(2S,3S,4S,5R)-3-(4-fluoro-2-hydroxy-3-methylphenyl)-4,5-dimethyl-5-(trifluoromethyl)tetrahydrofuran-2-carboxylate (8.896 g, 32%) as an off-white solid. 1 H NMR (500 MHz,chloroform-d) δ 7.20 (t, J = 7.7 Hz, 1H), 6.57 (t, J = 8.9 Hz, 1H), 4.88 (d, J = 6.4 Hz, 2H), 4.28 (dd, J = 8.4, 6.1 Hz, 1H), 3.56 (s, 3H), 2.81 (p, J = 7.7 Hz, 1H), 2.14 (d, J = 1.7 Hz, 3H), 1.52 (d, J = 1.2 Hz, 3H), 0.92 (dq, J = 7.4, 1.9 Hz, 3H).ESI-MS m / z Calculated value 350.11414, actual value 349.4 (M-1) - ;Retention time: 0.96 minutes.

[0348] Step 5: KO-t-Bu (11.40 g, 101.6 mmol) was added to a stirred solution of rac-(2S,3S,4S,5R)-methyl-3-(4-fluoro-2-hydroxy-3-methylphenyl)-4,5-dimethyl-5-(trifluoromethyl)tetrahydrofuran-2-carboxylate (8.896 g, 25.39 mmol) in THF (125 mL) at 0° C. and the reaction mixture was stirred for 15 min. 1M HCl (350 mL), brine (100 mL), and DCM (100 mL) were added to the reaction mixture and the layers were separated. The aqueous layer was extracted with DCM (3×100 mL) and the combined organic extracts were dried (MgSO4), filtered, and concentrated in vacuo. The residue was redissolved in DCM (71.17 mL) and treated with TFA (26.62 g, 17.99 mL, 233.5 mmol). The reaction was stirred at ambient temperature for 2 h. The solvent was removed in vacuo and the residue was azeotroped with DCM (2×50 mL). The residue was partitioned between DCM (100 mL) and water (50 mL) and the layers were separated. The organic layer was washed with water (3×50 mL) and the organic extract was dried (MgSO4), filtered and concentrated in vacuo to give 3-(4-fluoro-2-hydroxy-3-methylphenyl)-4,5-dimethyl-5-(trifluoromethyl)tetrahydrofuran-2-carboxylic acid (9.753 g, 100%) as a brown oil, a mixture of four stereoisomers ((2S,3S,4S,5R), (2R,3R,4R,5S), (2R,3S,4S,5R), and (2S,3R,4R,5S)). ESI-MS m / z calculated 336.09848, found 335.5 (M-1). - ;Retention time: 0.56 minutes.

[0349] Step 6: To a solution of the mixture of stereoisomers of 3-(4-fluoro-2-hydroxy-3-methylphenyl)-4,5-dimethyl-5-(trifluoromethyl)tetrahydrofuran-2-carboxylic acid from step 5 (1 g, 2.974 mmol) in MeCN (10 mL) was added K2CO3 (1.65 g, 11.94 mmol) and 1-bromo-2-methoxy-ethane (1.2 mL, 12.77 mmol) and the mixture was heated at 80° C. overnight. The reaction mixture was cooled to ambient temperature, diluted with DCM and filtered. The filtrate was concentrated in vacuo to give 2-methoxyethyl-3-(4-fluoro-2-(2-methoxyethoxy)-3-methylphenyl)-4,5-dimethyl-5-(trifluoromethyl)tetrahydrofuran-2-carboxylate (1.095 g, 81%) as a yellow oil, a mixture of four stereoisomers ((2S,3S,4S,5R), (2R,3R,4R,5S), (2R,3S,4S,5R), and (2S,3R,4R,5S)). ESI-MS m / z calculated 452.1822, found 453.6 (M+1). + ;Retention time: 1.04 minutes.

[0350] Step 7: LiOH (3 mL of 2 M aqueous solution, 6.0 mmol) was added to a solution of a mixture of stereoisomers of 2-methoxyethyl-3-(4-fluoro-2-(2-methoxyethoxy)-3-methylphenyl)-4,5-dimethyl-5-(trifluoromethyl)tetrahydrofuran-2-carboxylate (1.095 g, 2.420 mmol) from step 6 in MeOH (15 mL) / water (3 mL) and the mixture was stirred at ambient temperature for 15 min. The reaction was concentrated in vacuo and quenched with 1 M HCl. The layers were separated and the aqueous layer was extracted with DCM (2×5 mL). The combined organic extracts were dried by passing through a phase separation cartridge, filtered, and concentrated in vacuo to give 3-(4-fluoro-2-(2-methoxyethoxy)-3-methylphenyl)-4,5-dimethyl-5-(trifluoromethyl)tetrahydrofuran-2-carboxylic acid (714.6 mg, 60%) as a mixture of four stereoisomers ((2S,3S,4S,5R), (2R,3R,4R,5S), (2R,3S,4S,5R), and (2S,3R,4R,5S)). ESI-MS m / z calculated 394.14035, found 395.5 (M+1). + ;Retention time: 0.47 minutes.

[0351] Step 8: To an ice-cold solution of the mixture of stereoisomers of 3-(4-fluoro-2-(2-methoxyethoxy)-3-methylphenyl)-4,5-dimethyl-5-(trifluoromethyl)tetrahydrofuran-2-carboxylic acid from step 7 (400 mg, 0.91 mmol) in 2-MeTHF (8 mL) was added DMF (30 μL of a 0.86 M solution in 2-MeTHF, 0.025 mmol) followed by oxalyl chloride (170 μL, 1.949 mmol). The mixture was stirred and allowed to warm to ambient temperature over 1 h. The reaction mixture was concentrated in vacuo to give 3-(4-fluoro-2-(2-methoxyethoxy)-3-methylphenyl)-4,5-dimethyl-5-(trifluoromethyl)tetrahydrofuran-2-carbonyl chloride (410 mg, 49%) as a mixture of four stereoisomers ((2S,3S,4S,5R), (2R,3R,4R,5S), (2R,3S,4S,5R), and (2S,3R,4R,5S)). ESI-MS m / z calculated 412.10645, found 409.0 (M+1). + ;Retention time: 1.07 minutes.

[0352] Step 9: A solution of the mixture of stereoisomers of 3-(4-fluoro-2-(2-methoxyethoxy)-3-methylphenyl)-4,5-dimethyl-5-(trifluoromethyl)tetrahydrofuran-2-carbonyl chloride (300 mg, 0.3270 mmol) in 2-MeTHF (8 mL) obtained from step 8 was added to an ice-cold solution of rel-2-(2,2-dimethyl-1,3-dioxolan-4-yl)pyrimidin-5-amine (105 mg, 0.5379 mmol) (second eluting isomer, intermediate E) and Et3N (285 μL, 2.045 mmol) in 2-MeTHF (8 mL) and NMP (1 mL). The reaction mixture was allowed to warm to ambient temperature and stirred overnight. The reaction mixture was quenched with water (2 mL) and the layers were separated. The aqueous layer was extracted with EtOAc (2×5 mL). The combined organic extracts were washed with brine (2×5 mL), dried (MgSO), filtered and concentrated in vacuo. Purification by flash chromatography (SiO, 0-25% EtOAc in heptane) afforded a mixture of two isomers:

[0353] First eluting isomer: (2S,3S,4S,5R)-N-(2-(2,2-dimethyl-1,3-dioxolan-4-yl)pyrimidin-5-yl)-3-(4-fluoro-2-(2-methoxyethoxy)-3-methylphenyl)-4,5-dimethyl-5-(trifluoromethyl)tetrahydrofuran-2-carboxamide and (2R,3R,4R,5S)-N-(2-(2,2-dimethyl-1,3-dioxolan-4-yl)pyrimidin-5-yl)-3-(4-fluoro-2-(2-methoxyethoxy)-3-methylphenyl)-4,5-dimethyl-5-(trifluoromethyl)tetrahydrofuran-2-carboxamide (115.6 mg, 62%). 1 H NMR (500 MHz,chloroform-d) δ 9.00 (s, 2H), 8.45 (s, 1H), 7.20 (dd, J = 8.6, 6.3 Hz, 1H), 6.90 (t, J = 8.7 Hz, 1H), 5.28 (t, J = 6.7 Hz, 1H), 5.02 (d, J = 11.5 Hz, 1H), 4.45 (dd, J = 8.3, 6.7 Hz, 1H), 4.38 (dd, J = 11.5, 7.5 Hz, 1H), 4.21 (ddd, J = 8.3, 6.7, 1.6 Hz, 1H), 4.05 (ddd, J = 10.8, 5.1, 2.1 Hz, 1H), 3.85 - 3.69 (m, 2H), 3.59 (ddd, J = 11.0, 5.1, 2.1 Hz, 1H), 3.36 (s, 3H), 2.81 (p, J = 7.6 Hz, 1H), 2.23 (d, J = 2.0 Hz, 3H), 1.72 (s, 3H), 1.55 (s, 3H), 1.51 (s, 3H), 0.80 (dq, J = 7.6, 2.3 Hz, 3H) ppm.ESI-MS m / z calculated value 571.2305, measured value 572.4 (M+1) + ; 570.3 (M-1) - ;Retention time: 1.04 minutes.

[0354] Second eluting isomer: (2R,3S,4S,5R)-N-(2-(2,2-dimethyl-1,3-dioxolan-4-yl)pyrimidin-5-yl)-3-(4-fluoro-2-(2-methoxyethoxy)-3-methylphenyl)-4,5-dimethyl-5-(trifluoromethyl)tetrahydrofuran-2-carboxamide and (2S,3R,4R,5S)-N-(2-(2,2-dimethyl-1,3-dioxolan-4-yl)pyrimidin-5-yl)-3-(4-fluoro-2-(2-methoxyethoxy)-3-methylphenyl)-4,5-dimethyl-5-(trifluoromethyl)tetrahydrofuran-2-carboxamide (30 mg, 15%). 1 H NMR (500 MHz, DMSO-d6) δ 8.81 (d, J = 1.0 Hz, 2H), 8.24 (d, J = 2.0 Hz, 1H), 7.09 (t, J = 7.6 Hz, 1H), 6.64 (t, J = 8.7 Hz, 1H), 5.24 (t, J = 6.7 Hz, 1H), 4.93 (d, J = 6.8 Hz, 1H), 4.61 - 4.51 (m, 1H), 4.42 (dd, J = 8.3, 6.7 Hz, 1H), 4.19 - 4.09 (m, 1H), 4.00 (t, J = 4.4 Hz, 2H), 3.79 - 3.61 (m, 2H), 3.48 (s, 3H), 2.88 (p, J = 7.8 Hz, 1H), 2.27 - 2.16 (m, 3H), 1.59 (s, 3H), 1.53 (d, J = 2.2 Hz, 3H), 1.49 (s, 3H), 0.89 - 0.79 (m, 3H) ppm.ESI-MS m / z calculated value 571.2305, measured value 572.2 (M+1) + ; 570.3 (M-1) - ;Holding time: 1.0 min.

[0355] Step 10: The second eluting isomer from step 9 was separated by chiral SFC using a (R,R)-Whelk-O1 column, 5 μm particle size, 25 cm×21.2 mm from Regis Technologies on a Minigram SFC instrument from Berger Instruments to give two single isomers of unknown absolute configuration:

[0356] First eluting isomer (retention time = 1.88 min): rel-(2S,3R,4R,5S)-N-(2-(2,2-dimethyl-1,3-dioxolan-4-yl)pyrimidin-5-yl)-3-(4-fluoro-2-(2-methoxyethoxy)-3-methylphenyl)-4,5-dimethyl-5-(trifluoromethyl)tetrahydrofuran-2-carboxamide (58 mg, 97%). ESI-MS m / z calculated 571.2305, found 572.0 (M+1). + ; 570.1 (M-1) - ;Retention time: 3.58 minutes.

[0357] Second eluting isomer (retention time = 3.05 min): rel-(2R,3S,4S,5R)-N-(2-(2,2-dimethyl-1,3-dioxolan-4-yl)pyrimidin-5-yl)-3-(4-fluoro-2-(2-methoxyethoxy)-3-methylphenyl)-4,5-dimethyl-5-(trifluoromethyl)tetrahydrofuran-2-carboxamide (53.5 mg, 88%). ESI-MS m / z calculated 571.2305, found 572.0 (M+1). + ; 570.1 (M-1) - ;Retention time: 3.57 minutes.

[0358] Step 11: TFA (390 μL, 5.062 mmol) was added to a stirred solution of rel-(2S,3R,4R,5S)-N-(2-(2,2-dimethyl-1,3-dioxolan-4-yl)pyrimidin-5-yl)-3-(4-fluoro-2-(2-methoxyethoxy)-3-methylphenyl)-4,5-dimethyl-5-(trifluoromethyl)tetrahydrofuran-2-carboxamide (58 mg, 0.1015 mmol, first eluting isomer from step 10) in DCM (7 mL) and the reaction mixture was stirred at ambient temperature for 18 h. The solvent was removed in vacuo and the residue azeotroped with DCM (×2). Purification by reverse-phase HPLC-MS using an X-bridge C18 column (150×19 mm, 5 μm particle size) from Waters gave rel-(2S,3R,4R,5S)-N-(2-(1,2-dihydroxyethyl)pyrimidin-5-yl)-3-(4-fluoro-2-(2-methoxyethoxy)-3-methylphenyl)-4,5-dimethyl-5-(trifluoromethyl)tetrahydrofuran-2-carboxamide (13, 31 mg, 57%). 1 H NMR (500 MHz, DMSO-d6) δ 10.44 (s, 1H), 8.98 (s, 2H), 7.24 (dd, J = 8.8, 6.5 Hz, 1H), 6.97 (t, J = 8.8 Hz, 1H), 5.16 (d, J = 6.0 Hz, 1H), 5.11 (d, J = 10.9 Hz, 1H), 4.66 - 4.50 (m, 2H), 4.37 (dd, J = 10.9, 7.3 Hz, 1H), 3.99 (ddd, J = 10.8, 5.6, 2.4 Hz, 1H), 3.85 (ddd, J = 10.8, 6.6, 2.4Hz, 1H), 3.77 - 3.51 (m, 4H), 3.31 (s, 3H), 2.76 (p, J = 7.4 Hz, 1H), 2.16 (d, J = 1.9 Hz, 3H), 1.64 (s, 3H), 0.75 - 0.60 (m, 3H) ppm.ESI-MS m / z Calculated value 531.1992, actual value 532.3 (M+1) + ; 530.2 (M-1) -;Retention time: 3.03 min (as a white solid).

[0359] rel-(2R,3S,4S,5R)-N-(2-(2,2-dimethyl-1,3-dioxolan-4-yl)pyrimidin-5-yl)-3-(4-fluoro-2-(2-methoxyethoxy)-3-methylphenyl)-4,5-dimethyl-5-(trifluoromethyl)tetrahydrofuran-2-carboxamide (53 mg, 0.09273 mmol, second eluting isomer from step 10) was treated in the same manner to give rel-(2R,3S,4S,5R)-N-(2-(1,2-dihydroxyethyl)pyrimidin-5-yl)-3-(4-fluoro-2-(2-methoxyethoxy)-3-methylphenyl)-4,5-dimethyl-5-(trifluoromethyl)tetrahydrofuran-2-carboxamide (14, 29 mg, 58%) after reverse phase HPLC-MS chromatography. 1 H NMR (500 MHz, DMSO-d6) δ 10.32 (s, 1H), 8.98 (s, 2H), 7.25 (dd, J = 8.7, 6.5 Hz, 1H), 6.97 (t, J = 8.8 Hz, 1H), 5.16 (s, 1H), 5.11 (d, J = 10.9 Hz, 1H), 4.59 (q, J = 7.7, 6.7 Hz, 2H), 4.37 (dd, J = 10.9, 7.3 Hz, 1H), 3.99 (ddd, J = 10.8, 5.6, 2.4 Hz, 1H), 3.87 - 3.79 (m, 1H), 3.77 - 3.55 (m, 4H), 3.32 (s, 3H), 2.76 (p, J = 7.4 Hz, 1H), 2.16 (d, J = 1.9 Hz, 3H), 1.64 (s, 3H), 0.70 (dd, J = 7.3, 2.5 Hz, 3H) ppm.ESI-MS m / z Calculated value 531.1992, actual value 532.3 (M+1) + ; 530.2 (M-1) - ;Retention time: 3.02 minutes (as a white solid).

[0360] The following compounds were made using the method described in Example 5, except that the starting material for Step 10 was the first eluting isomer from Step 9: [Table 5]

[0361] Example 6 rel-(2S,3S,4S,5R)-N-(2-(1,2-dihydroxyethyl)pyrimidin-5-yl)-3-(4-fluoro-2-(2-methoxyethoxy)-3-methylphenyl)-4,5-dimethyl-5-(trifluoromethyl)tetrahydrofuran-2-carboxamide (19) and rel-(2R,3R,4R,5S)-N-(2-(1,2-dihydroxyethyl)pyrimidin-5-yl)-3-(4-fluoro-2-(2-methoxyethoxy)-3-methylphenyl)-4,5-dimethyl-5-(trifluoromethyl)tetrahydrofuran-2-carboxamide (20) and rel-(2R,3S,4S,5R)-N-(2-(1,2-dihydroxyethyl)pyrimidin-5-yl)-3-(4-fluoro-2-(2-methoxyethoxy)-3-methylphenyl)-4,5-dimethyl-5-(trifluoromethyl)tetrahydrofuran-2-carboxamide (17) and rel-(2S,3R,4R,5S)-N-(2-(1,2-dihydroxyethyl)pyrimidin-5-yl)-3-(4-fluoro-2-(2-methoxyethoxy)-3-methylphenyl)-4,5-dimethyl-5-(trifluoromethyl)tetrahydrofuran-2-carboxamide (18) [ka] Step 1: A solution of the mixture of isomers of 3-(4-fluoro-2-(2-methoxyethoxy)-3-methylphenyl)-4,5-dimethyl-5-(trifluoromethyl)tetrahydrofuran-2-carbonyl chloride (300 mg, 0.3270 mmol) in 2-MeTHF (8 mL) from step 8 of Example 5 was added to an ice-cold solution of rel-2-(2,2-dimethyl-1,3-dioxolan-4-yl)pyrimidin-5-amine (105 mg, 0.5379 mmol) (first eluting isomer, intermediate E) and Et3N (285 μL, 2.045 mmol) in 2-MeTHF (8 mL) and NMP (1 mL). The reaction mixture was allowed to warm to ambient temperature and stirred overnight. The reaction mixture was quenched with water (2 mL) and the layers were separated. The aqueous layer was extracted with EtOAc (2×5 mL) and the combined organic extracts were washed with brine (2×5 mL), dried (MgSO4), filtered and concentrated in vacuo. Purification by flash chromatography (SiO2, 0-25% EtOAc in heptane) afforded a mixture of two isomers:

[0362] First eluting isomer: (2S,3S,4S,5R)-N-(2-(2,2-dimethyl-1,3-dioxolan-4-yl)pyrimidin-5-yl)-3-(4-fluoro-2-(2-methoxyethoxy)-3-methylphenyl)-4,5-dimethyl-5-(trifluoromethyl)tetrahydrofuran-2-carboxamide and (2R,3R,4R,5S)-N-(2-(2,2-dimethyl-1,3-dioxolan-4-yl)pyrimidin-5-yl)-3-(4-fluoro-2-(2-methoxyethoxy)-3-methylphenyl)-4,5-dimethyl-5-(trifluoromethyl)tetrahydrofuran-2-carboxamide (115.6 mg, 62%). 1H NMR (500 MHz,chloroform-d) δ 9.00 (s, 2H), 8.45 (s, 1H), 7.20 (dd, J = 8.6, 6.3 Hz, 1H), 6.90 (t, J = 8.7 Hz, 1H), 5.28 (t, J = 6.7 Hz, 1H), 5.02 (d, J = 11.5 Hz, 1H), 4.45 (dd, J = 8.3, 6.7 Hz, 1H), 4.38 (dd, J = 11.5, 7.5 Hz, 1H), 4.21 (ddd, J = 8.3, 6.7, 1.6 Hz, 1H), 4.05 (ddd, J = 10.8, 5.1, 2.1 Hz, 1H), 3.85 - 3.69 (m, 2H), 3.59 (ddd, J = 11.0, 5.1, 2.1 Hz, 1H), 3.36 (s, 3H), 2.81 (p, J = 7.6 Hz, 1H), 2.23 (d, J = 2.0 Hz, 3H), 1.72 (s, 3H), 1.55 (s, 3H), 1.51 (s, 3H), 0.80 (dq, J = 7.6, 2.3 Hz, 3H) ppm.ESI-MS m / z calculated value 571.2305, measured value 572.4 (M+1) + ; 570.3 (M-1) - ;Retention time: 1.04 minutes.

[0363] Second eluting isomer: (2R,3S,4S,5R)-N-(2-(2,2-dimethyl-1,3-dioxolan-4-yl)pyrimidin-5-yl)-3-(4-fluoro-2-(2-methoxyethoxy)-3-methylphenyl)-4,5-dimethyl-5-(trifluoromethyl)tetrahydrofuran-2-carboxamide and (2S,3R,4R,5S)-N-(2-(2,2-dimethyl-1,3-dioxolan-4-yl)pyrimidin-5-yl)-3-(4-fluoro-2-(2-methoxyethoxy)-3-methylphenyl)-4,5-dimethyl-5-(trifluoromethyl)tetrahydrofuran-2-carboxamide (30 mg, 15%). 1H NMR (500 MHz, DMSO-d6) δ 8.81 (d, J = 1.0 Hz, 2H), 8.24 (d, J = 2.0 Hz, 1H), 7.09 (t, J = 7.6 Hz, 1H), 6.64 (t, J = 8.7 Hz, 1H), 5.24 (t, J = 6.7 Hz, 1H), 4.93 (d, J = 6.8 Hz, 1H), 4.61 - 4.51 (m, 1H), 4.42 (dd, J = 8.3, 6.7 Hz, 1H), 4.19 - 4.09 (m, 1H), 4.00 (t, J = 4.4 Hz, 2H), 3.79 - 3.61 (m, 2H), 3.48 (s, 3H), 2.88 (p, J = 7.8 Hz, 1H), 2.27 - 2.16 (m, 3H), 1.59 (s, 3H), 1.53 (d, J = 2.2 Hz, 3H), 1.49 (s, 3H), 0.89 - 0.79 (m, 3H) ppm.ESI-MS m / z calculated value 571.2305, measured value 572.2 (M+1) + ; 570.3 (M-1) - ;Holding time: 1.0 min.

[0364] Step 2: The second eluting isomer from step 1 was separated by chiral SFC using a (R,R)-Whelk-O1 column, 5 μm particle size, 25 cm×21.2 mm from Regis Technologies on a Minigram SFC instrument from Berger Instruments to give two single isomers of unknown absolute configuration:

[0365] First eluting isomer (retention time = 1.20 min): rel-(2R,3S,4S,5R)-N-(2-(2,2-dimethyl-1,3-dioxolan-4-yl)pyrimidin-5-yl)-3-(4-fluoro-2-(2-methoxyethoxy)-3-methylphenyl)-4,5-dimethyl-5-(trifluoromethyl)tetrahydrofuran-2-carboxamide (15.1 mg, 56%). ESI-MS m / z calculated 571.2305, found 572.2 (M+1).+ ; 570.3 (M-1) - ;Retention time: 3.37 minutes.

[0366] Second eluting isomer (retention time = 1.48 min): rel-(2S,3R,4R,5S)-N-(2-(2,2-dimethyl-1,3-dioxolan-4-yl)pyrimidin-5-yl)-3-(4-fluoro-2-(2-methoxyethoxy)-3-methylphenyl)-4,5-dimethyl-5-(trifluoromethyl)tetrahydrofuran-2-carboxamide (15.3 mg, 56%). ESI-MS m / z calculated 571.2305, found 572.2 (M+1). + ; 570.3 (M-1) - ;Retention time: 3.37 minutes.

[0367] Step 3: TFA (390 μL, 5.062 mmol) was added to a stirred solution of rel-(2R,3S,4S,5R)-N-(2-(2,2-dimethyl-1,3-dioxolan-4-yl)pyrimidin-5-yl)-3-(4-fluoro-2-(2-methoxyethoxy)-3-methylphenyl)-4,5-dimethyl-5-(trifluoromethyl)tetrahydrofuran-2-carboxamide (15 mg, 0.026 mmol, first eluting isomer from step 2) in DCM (3 mL) and the reaction mixture was stirred at ambient temperature for 18 h. The solvent was removed in vacuo and the residue azeotroped with DCM (×2). Purification by reverse-phase HPLC-MS using an X-bridge C18 column (150×19 mm, 5 μm particle size) from Waters gave rel-(2R,3S,4S,5R)-N-(2-(1,2-dihydroxyethyl)pyrimidin-5-yl)-3-(4-fluoro-2-(2-methoxyethoxy)-3-methylphenyl)-4,5-dimethyl-5-(trifluoromethyl)tetrahydrofuran-2-carboxamide (17, 43 mg, 58%). 1H NMR (500 MHz, DMSO-d6) δ 10.47 (s, 1H), 8.98 (s, 2H), 7.24 (dd, J = 8.7, 6.5 Hz, 1H), 6.97 (t, J = 8.8 Hz, 1H), 5.17 (d, J = 6.0 Hz, 1H), 5.11 (d, J = 10.9 Hz, 1H), 4.59 (dt, J = 10.6, 5.9 Hz, 2H), 4.37 (dd, J = 10.9, 7.3 Hz, 1H), 3.99 (ddd, J = 10.9, 5.5, 2.3 Hz, 1H), 3.85 (ddd, J = 10.7, 6.6, 2.4 Hz, 1H), 3.75 - 3.54 (m, 4H), 3.31 (s, 3H), 2.76 (p, J = 7.4 Hz, 1H), 2.16 (d, J = 2.0 Hz, 3H), 1.64 (s, 3H), 0.76 - 0.61 (m, 3H) ppm; ESI-MS m / z calculated value 531.1992, measured value 532.3 (M+1) + ; 530.2 (M-1) - ;Retention time: 3.02 minutes.

[0368] rel-(2S,3R,4R,5S)-N-(2-(2,2-dimethyl-1,3-dioxolan-4-yl)pyrimidin-5-yl)-3-(4-fluoro-2-(2-methoxyethoxy)-3-methylphenyl)-4,5-dimethyl-5-(trifluoromethyl)tetrahydrofuran-2-carboxamide (53 mg, 0.09273 mmol) (second eluting isomer from the SFC separation in step 2) The 4,5-dimethyl-5-(trifluoromethyl)tetrahydrofuran-2-carboxamide (18, 45 mg, 16%) was treated in the same manner to give, after reverse phase HPLC-MS chromatography, rel-(2S,3R,4R,5S)-N-(2-(1,2-dihydroxyethyl)pyrimidin-5-yl)-3-(4-fluoro-2-(2-methoxyethoxy)-3-methylphenyl)-4,5-dimethyl-5-(trifluoromethyl)tetrahydrofuran-2-carboxamide (18, 45 mg, 16%). 1H NMR (500 MHz, DMSO-d6) δ 10.47 (s, 1H), 8.98 (s, 2H), 7.24 (dd, J = 8.7, 6.5 Hz, 1H), 6.97 (t, J = 8.8 Hz, 1H), 5.16 (d, J = 6.0 Hz, 1H), 5.11 (d, J = 10.9 Hz, 1H), 4.64 - 4.50 (m, 2H), 4.37 (dd, J = 10.9, 7.3 Hz, 1H), 3.99 (ddd, J = 10.9, 5.6, 2.4 Hz, 1H), 3.85 (ddd, J = 10.9, 6.6, 2.4 Hz, 1H), 3.79 - 3.53 (m, 4H), 3.32 (s, 3H), 2.76 (p, J = 7.5 Hz, 1H), 2.16 (d, J = 2.0 Hz, 3H), 1.64 (s, 3H), 0.77 - 0.62 (m, 3H) ppm.ESI-MS m / z Calculated value 531.1992, actual value 532.3 (M+1) + ; 530.2 (M-1) - ;Retention time: 3.02 minutes.

[0369] Compound 17 was analyzed by X-ray powder diffraction and determined to be amorphous (see FIG. 1).

[0370] The following compounds were made using the method described in Example 6, except that the starting material for Step 2 was the first eluting isomer from Step 1: [Table 6]

[0371] Example 7 rel-(2R*,3S*,4S*,5R*)-3-(3,4-difluoro-2-(2-methoxyethoxy)phenyl)-N-(6-(1-hydroxy-2-methoxyethyl)pyridin-3-yl)-4,5-dimethyl-5-(trifluoromethyl)tetrahydrofuran-2-carboxamide (21) and rel-(2R*,3S*,4S*,5R*)-3-(3,4-difluoro-2-(2-methoxyethoxy)phenyl)-N-(6-(1-hydroxy-2-methoxyethyl)pyridin-3-yl)-4,5-dimethyl-5-(trifluoromethyl)tetrahydrofuran-2-carboxamide (22) [ka] Step 1: To a solution of methyl (2S,3S,4S,5R)-3-(3,4-difluoro-2-hydroxy-phenyl)-4,5-dimethyl-5-(trifluoromethyl)tetrahydrofuran-2-carboxylate (3.72 g, 10.50 mmol) and K2CO3 (4.4 g, 31.84 mmol) in MeCN (75 mL), 1-bromo-2-methoxy-ethane (3 mL, 31.92 mmol) was added and the reaction mixture was heated at 70° C. for 5 h. The reaction mixture was transferred to a tube and 1-bromo-2-methoxy-ethane (3 mL, 31.92 mmol) was added. The tube was sealed and heated at 90° C. The reaction mixture was concentrated in vacuo and partitioned between water and EtOAc. The aqueous layer was extracted with EtOAc. The combined organic extracts were washed with brine, dried (MgSO4), filtered and concentrated in vacuo to give 2-methoxyethyl (3S,4S,5R)-3-[3,4-difluoro-2-(2-methoxyethoxy)phenyl]-4,5-dimethyl-5-(trifluoromethyl)tetrahydrofuran-2-carboxylate (4 g, 83%). ESI-MS m / z calculated 456.15714, found 457.2 (M+1). + ;Holding time: 1.01 minutes.

[0372] Step 2: KO-t-Bu (2.96 g, 26.38 mmol) was added to a solution of 2-methoxyethyl (3S,4S,5R)-3-[3,4-difluoro-2-(2-methoxyethoxy)phenyl]-4,5-dimethyl-5-(trifluoromethyl)tetrahydrofuran-2-carboxylate (4 g, 8.764 mmol) in 2-MeTHF (100 mL) at 0° C. The reaction mixture was stirred under nitrogen. The reaction mixture was acidified with HCl (15 mL of 2M, 30.0 mmol) and extracted into EtOAc. The organic layer was separated, dried (MgSO4), filtered, and concentrated in vacuo to give (2R,3S,4S,5R)-3-[3,4-difluoro-2-(2-methoxyethoxy)phenyl]-4,5-dimethyl-5-(trifluoromethyl)tetrahydrofuran-2-carboxylic acid (3.1 g, 89%), which was used directly in the next step. ESI-MS m / z calculated 398.11526, found 397.1 (M+1) - ;Retention time: 0.59 minutes.

[0373] Step 3: Oxalyl chloride (350 μL, 4.012 mmol) was added to a solution of (2R,3S,4S,5R)-3-[3,4-difluoro-2-(2-methoxyethoxy)phenyl]-4,5-dimethyl-5-(trifluoromethyl)tetrahydrofuran-2-carboxylic acid (435 mg, 1.092 mmol) and DMF (1 drop) in DCM (5 mL). The reaction mixture was stirred at ambient temperature for 30 min. The organic layer was concentrated in vacuo, then dissolved in DCM (5 mL) and treated with EtN (330 μL, 2.368 mmol) and 6-[1-[tert-butyl(dimethyl)silyl]oxy-2-methoxy-ethyl]pyridin-3-amine (308.3 mg, 1.092 mmol). The reaction mixture was stirred at ambient temperature and then concentrated in vacuo. Purification by reverse-phase HPLC-MS using an X-bridge C18 column (150×19 mm, 5 μm particle size) from Waters gave (2R,3S,4S,5R)—N-(6-(1-((tert-butyldimethylsilyl)oxy)-2-methoxyethyl)pyridin-3-yl)-3-(3,4-difluoro-2-(2-methoxyethoxy)phenyl)-4,5-dimethyl-5-(trifluoromethyl)tetrahydrofuran-2-carboxamide as a mixture of diastereomers at the tert-butyl(dimethyl)silyloxy position. ESI-MS m / z calculated 662.3, found 663.4 (M+1) + ; 661.3 (M-1) - ;Holding time: 1.28 minutes.

[0374] Step 4: The diastereomers of (2R,3S,4S,5R)-N-(6-(1-((tert-butyldimethylsilyl)oxy)-2-methoxyethyl)pyridin-3-yl)-3-(3,4-difluoro-2-(2-methoxyethoxy)phenyl)-4,5-dimethyl-5-(trifluoromethyl)tetrahydrofuran-2-carboxamide were separated by chiral SFC using a Chiralpak IB column, 5 μm particle size, 25 cm×20 mm from Daicel Corporation on a Prep-100 SFC instrument from Waters:

[0375] First eluting isomer (retention time = 2.46 min): rel-(2R*,3S*,4S*,5R*)-N-(6-(1-((tert-butyldimethylsilyl)oxy)-2-methoxyethyl)pyridin-3-yl)-3-(3,4-difluoro-2-(2-methoxyethoxy)phenyl)-4,5-dimethyl-5-(trifluoromethyl)tetrahydrofuran-2-carboxamide. ESI-MS m / z calculated 662.2811, found 663.4 (M+1). + ; 661.3 (M-1) - ;Retention time: 4.28 minutes.

[0376] Second eluting isomer (retention time = 3.65 min): rel-(2R*,3S*,4S*,5R*)-N-(6-(1-((tert-butyldimethylsilyl)oxy)-2-methoxyethyl)pyridin-3-yl)-3-(3,4-difluoro-2-(2-methoxyethoxy)phenyl)-4,5-dimethyl-5-(trifluoromethyl)tetrahydrofuran-2-carboxamide. ESI-MS m / z calculated 662.2811, found 663.4 (M+1). + ; 661.4 (M-1) - ;Retention time: 4.28 minutes.

[0377] Step 5: Concentrated HCl (900 μl) was added to a solution of rel-(2R*,3S*,4S*,5R*)-N-(6-(1-((tert-butyldimethylsilyl)oxy)-2-methoxyethyl)pyridin-3-yl)-3-(3,4-difluoro-2-(2-methoxyethoxy)phenyl)-4,5-dimethyl-5-(trifluoromethyl)tetrahydrofuran-2-carboxamide (first eluting isomer from step 4) in MeOH (5 mL). The reaction mixture was stirred at ambient temperature for 15 h and then concentrated in vacuo. Purification by reverse-phase HPLC-MS using an X-bridge C18 column (150 × 19 mm, 5 μm particle size) from Waters gave rel-(2R*,3S*,4S*,5R*)-3-(3,4-difluoro-2-(2-methoxyethoxy)phenyl)-N-(6-(1-hydroxy-2-methoxyethyl)pyridin-3-yl)-4,5-dimethyl-5-(trifluoromethyl)tetrahydrofuran-2-carboxamide (21, 17.8 mg, 5.9%). 1H NMR (500 MHz, methanol-d4) δ 8.71 (dd, J = 2.5, 0.8 Hz, 1H), 8.08 (dd, J = 8.6, 2.6 Hz, 1H), 7.55 (dt, J = 8.7, 0.7 Hz, 1H), 7.18 (ddd, J = 8.1, 5.5, 2.1 Hz, 1H), 7.01 (ddd, J = 9.9, 8.9, 7.6 Hz, 1H), 5.10 (d, J = 10.9 Hz, 1H), 4.47 (dd, J = 10.9, 7.6 Hz, 1H), 4.37 (dddd, J = 11.1, 5.9, 2.4, 1.1Hz, 1H), 4.23 (dddd, J = 11.2, 6.0, 2.6, 1.2 Hz, 1H), 3.74 - 3.62 (m, 3H), 3.57 (dd, J = 10.1, 7.0 Hz, 1H), 3.37 (s, 3H), 3.36 (s, 3H), 2.88 (q, J = 7.5 Hz, 1H), 1.71 (d, J = 1.1 Hz, 3H), 0.82 (dq, J = 7.4, 2.3 Hz, 3H) ppm.ESI-MS m / z calculated value 548.1946, measured value 549.3 (M+1) + ; 547.2 (M-1) - ;Retention time: 3.19 minutes.

[0378] The rel-(2R*,3S*,4S*,5R*)-N-(6-(1-((tert-butyldimethylsilyl)oxy)-2-methoxyethyl)pyridin-3-yl)-3-(3,4-difluoro-2-(2-methoxyethoxy)phenyl)-4,5-dimethyl-5-(trifluoromethyl)tetrahydrofuran-2-carboxamide (second eluting isomer from step 4) was treated in the same manner to give rel-(2R*,3S*,4S*,5R*)-3-[3,4-difluoro-2-(2-methoxyethoxy)phenyl]-N-[6-(1-hydroxy-2-methoxy-ethyl)-3-pyridyl]-4,5-dimethyl-5-(trifluoromethyl)tetrahydrofuran-2-carboxamide (22, 19.8 mg, 6.6%) after reversed-phase HPLC-MS chromatography.1 H NMR (500 MHz, methanol-d4) δ 8.72 (dd, J = 2.6, 0.7 Hz, 1H), 8.07 (dd, J = 8.5, 2.5 Hz, 1H), 7.55 (dt, J = 8.6, 0.6 Hz, 1H), 7.18 (ddd, J = 8.3, 5.6, 2.0 Hz, 1H), 7.01 (ddd, J = 9.9, 8.9, 7.6 Hz, 1H), 5.10 (d, J = 10.9 Hz, 1H), 4.47 (dd, J = 10.9, 7.6 Hz, 1H), 4.37 (dddd, J = 11.2, 6.0, 2.5, 1.2Hz, 1H), 4.23 (dddd, J = 11.2, 6.0, 2.5, 1.2 Hz, 1H), 3.73 - 3.64 (m, 3H), 3.57 (dd, J = 10.1, 7.1 Hz, 1H), 3.37 (s, 3H), 3.36 (s, 3H), 2.88 (p, J = 7.5 Hz, 1H), 1.71 (d, J = 1.2 Hz, 3H), 0.82 (dq, J = 7.4, 2.3 Hz, 3H) ppm.ESI-MS m / z Calculated value 548.1946, Actual value 549.2 (M+1) + ; 547.2 (M-1) - ;Retention time: 3.19 minutes.

[0379] Example 8 (2R,3S,4S,5R)-3-(3,4-difluoro-2-(2-hydroxyethoxy)phenyl)-N-(6-(hydroxymethyl)pyridin-3-yl)-4,5-dimethyl-5-(trifluoromethyl)tetrahydrofuran-2-carboxamide (23) [ka] Step 1: 2-Bromoethoxy-tert-butyl-dimethyl-silane (5.5 mL, 25.63 mmol) was added to a mixture of methyl (2S,3S,4S,5R)-3-(3,4-difluoro-2-hydroxy-phenyl)-4,5-dimethyl-5-(trifluoromethyl)tetrahydrofuran-2-carboxylate (3 g, 8.468 mmol) and K2CO3 (3.7 g, 26.77 mmol) in MeCN (30 mL). The reaction mixture was heated at about 73° C. overnight under nitrogen. Additional K2CO3 (3.7 g, 26.77 mmol) and 2-bromoethoxy-tert-butyl-dimethyl-silane (5.5 mL, 25.63 mmol) were added and the reaction mixture was stirred at 70° C. for 2 days. The reaction mixture was cooled to ambient temperature and then filtered through a pre-packaged Celite cartridge. The filtrate was concentrated in vacuo, then dissolved in MTBE, partitioned between MTBE and water, and the organic phase separated. The organic layer was further washed with water (2x) and brine (1x). The organic phase was dried (Na2SO4), filtered, and concentrated in vacuo to leave 20 g of a yellow oil. Purification by flash chromatography (SiO2, 0-25% EtOAc in heptane) afforded 2-[tert-butyl(dimethyl)silyl]oxyethyl (2R,3S,4S,5R)-3-[2-[2-[tert-butyl(dimethyl)silyl]oxyethoxy]-3,4-difluoro-phenyl]-4,5-dimethyl-5-(trifluoromethyl)tetrahydrofuran-2-carboxylate (3.9 g, 70%). 1H NMR (500 MHz, DMSO-d6) δ 7.18 (ddd, J = 8.0, 5.8, 1.8 Hz, 1H), 7.10 (dt, J = 9.8, 8.3 Hz, 1H), 5.12 (d, J = 10.4 Hz, 1H), 4.25 - 4.13 (m, 3H), 4.10 - 4.04 (m, 2H), 3.93 - 3.86 (m, 2H), 3.70 - 3.62 (m, 2H), 2.73 (q, J = 7.5 Hz, 1H), 1.53 (s, 3H), 0.86 (s, 9H), 0.80 (s, 9H), 0.69 (dt, J = 8.5, 4.3 Hz, 3H), 0.06 (s, 6H), -0.02 (d, J = 2.2 Hz, 6H) ppm.

[0380] Step 2: Sodium methanolate (120.5 μL of 25% w / v in MeOH as a solution, 0.55 mmol) was added to a solution of 2-[tert-butyl(dimethyl)silyl]oxyethyl (2R,3S,4S,5R)-3-[2-[2-[tert-butyl(dimethyl)silyl]oxyethoxy]-3,4-difluoro-phenyl]-4,5-dimethyl-5-(trifluoromethyl)tetrahydrofuran-2-carboxylate (3.9 g, 5.93 mmol) in THF (30 mL) under nitrogen at ambient temperature. The reaction mixture was stirred for 5 h. MeOH (30 mL) and LiOH (3.614 mL of 2 M aqueous solution, 7.228 mmol) were added and the reaction mixture was stirred at ambient temperature overnight. The reaction mixture was poured into 1 M HCl and then extracted with MTBE (2×30 ml). The combined organic layers were washed with brine, dried (Na2SO4), filtered and concentrated in vacuo to give (2R,3S,4S,5R)-3-[2-[2-[tert-butyl(dimethyl)silyl]oxyethoxy]-3,4-difluoro-phenyl]-4,5-dimethyl-5-(trifluoromethyl)tetrahydrofuran-2-carboxylic acid (2.89 g, 98%). ESI-MS m / z calculated 498.1861, found 499.6 (M+1). + ; 497.6 (M-1) -;Retention time: 0.82 minutes.

[0381] Step 3: To a solution of (2R,3S,4S,5R)-3-[2-[2-[tert-butyl(dimethyl)silyl]oxyethoxy]-3,4-difluoro-phenyl]-4,5-dimethyl-5-(trifluoromethyl)tetrahydrofuran-2-carboxylic acid (175 mg, 0.3510 mmol) in MeCN (5 mL) was added [chloro(dimethylamino)methylene]-dimethyl-ammonium (118 mg, 0.4206 mmol), 1-methylimidazole (84 mg, 1.023 mmol), and 6-[[tert-butyl(dimethyl)silyl]oxymethyl]pyridin-3-amine (92 mg, 0.3859 mmol) and the reaction mixture was stirred at ambient temperature overnight. The reaction mixture was poured into water (15 mL) and EtOAc (15 mL) and the layers were separated. The organic layer was washed with brine (5 mL), dried (MgSO4), filtered, and concentrated in vacuo. Purification by flash chromatography (SiO2, 0-25% EtOAc in heptane) gave (2R,3S,4S,5R)-3-[2-[2-[tert-butyl(dimethyl)silyl]oxyethoxy]-3,4-difluoro-phenyl]-N-[6-[[tert-butyl(dimethyl)silyl]oxymethyl]-3-pyridyl]-4,5-dimethyl-5-(trifluoromethyl)tetrahydrofuran-2-carboxamide (150 mg, 59%). ESI-MS m / z calculated 718.3257, found 719.9 (M+1). + ;Retention time: 1.44 minutes.

[0382] Step 4: To a solution of (2R,3S,4S,5R)-3-[2-[2-[tert-butyl(dimethyl)silyl]oxyethoxy]-3,4-difluoro-phenyl]-N-[6-[[tert-butyl(dimethyl)silyl]oxymethyl]-3-pyridyl]-4,5-dimethyl-5-(trifluoromethyl)tetrahydrofuran-2-carboxamide (130 mg, 0.180 mmol) in THF (2 mL) was added TBAF (542 μL of 1 M, 0.542 mmol) and the mixture was stirred at ambient temperature for 2 h. The reaction mixture was concentrated in vacuo. Purification by reverse-phase HPLC-MS using an X-bridge C18 column (150×19 mm, 5 μm particle size) from Waters gave (2R,3S,4S,5R)-3-(3,4-difluoro-2-(2-hydroxyethoxy)phenyl)-N-(6-(hydroxymethyl)pyridin-3-yl)-4,5-dimethyl-5-(trifluoromethyl)tetrahydrofuran-2-carboxamide (23, 48 mg, 52%). 1 H NMR (500 MHz, DMSO-d6) δ 10.33 (s, 1H), 8.70 (dd, J = 2.6, 0.7 Hz, 1H), 8.04 (dd, J = 8.5, 2.6 Hz, 1H), 7.44 (dd, J = 8.4, 0.9 Hz, 1H), 7.20 (dd, J = 8.4, 3.7 Hz, 2H), 5.37 (t, J = 5.8 Hz, 1H), 5.13 (d, J = 10.8 Hz, 1H), 5.00 (s, 1H), 4.54 (d, J = 5.7 Hz, 2H), 4.43 (dd, J = 10.8, 7.3 Hz, 1H), 4.25 - 4.06 (m, 2H), 3.75 (d, J = 4.3 Hz, 2H), 3.32 (s, 3H), 2.95 (q, J = 7.4 Hz, 1H), 1.65 (s, 3H) ppm.ESI-MS m / z calculated value 490.1527, measured value 491.6 (M+1) + ; 489.6 (M-1) - ;Retention time: 2.77 minutes.

[0383] Example 9 (2R,3S,4S,5R)-3-(3,4-difluoro-2-(oxetan-3-ylmethoxy)phenyl)-N-(6-(hydroxymethyl)pyridin-3-yl)-4,5-dimethyl-5-(trifluoromethyl)tetrahydrofuran-2-carboxamide (24) [ka] Step 1: 3-(Bromomethyl)oxetane (526 mg, 3.483 mmol) was added to a mixture of methyl (2S,3S,4S,5R)-3-(3,4-difluoro-2-hydroxy-phenyl)-4,5-dimethyl-5-(trifluoromethyl)tetrahydrofuran-2-carboxylate (505 mg, 1.425 mmol) and K2CO3 (589 mg, 4.262 mmol) in MeCN (10 mL) and the reaction mixture was stirred at 80° C. for 5 h. An additional 100 mg of 3-(bromomethyl)oxetane was added and the reaction mixture was stirred at 80° C. overnight. The reaction mixture was partitioned between water and EtOAc. The aqueous layer was extracted with EtOAc. The combined organic layers were washed with brine, dried (MgSO4), filtered and concentrated in vacuo to give oxetan-3-ylmethyl (3S,4S,5R)-3-[3,4-difluoro-2-(oxetan-3-ylmethoxy)phenyl]-4,5-dimethyl-5-(trifluoromethyl)tetrahydrofuran-2-carboxylate (770 mg, 96%). ESI-MS m / z calculated 480.15714, retention time: 0.89 min.

[0384] Step 2: KO-t-Bu (328 mg, 2.923 mmol) was added to a solution of oxetan-3-ylmethyl (3S,4S,5R)-3-[3,4-difluoro-2-(oxetan-3-ylmethoxy)phenyl]-4,5-dimethyl-5-(trifluoromethyl)tetrahydrofuran-2-carboxylate (770 mg, 1.362 mmol) in 2-MeTHF (10 mL) cooled to 0° C., and the reaction mixture was stirred for 1 h. The reaction mixture was quenched with dilute HCl solution. The aqueous layer was extracted with EtOAc. The combined organic layers were dried (MgSO4), filtered, and concentrated in vacuo to give (2R,3S,4S,5R)-3-[3,4-difluoro-2-(oxetan-3-ylmethoxy)phenyl]-4,5-dimethyl-5-(trifluoromethyl)tetrahydrofuran-2-carboxylic acid (680 mg, 100%) as a yellow oil. 1 H NMR (400 MHz,chloroform-d) δ 7.02 - 6.95 (m, 1H), 6.90 (td, J = 9.2, 7.3 Hz, 1H), 4.93 (d, J = 10.5 Hz, 1H), 4.89 (ddd, J = 7.9, 6.3, 2.4 Hz, 2H), 4.81 (ddd, J = 12.4, 7.7, 6.4 Hz, 0H), 4.58 (dt, J = 11.0, 6.1 Hz, 2H), 4.51 (ddd, J = 10.1, 6.2, 2.1 Hz, 1H), 4.29 (ddd, J = 10.0, 6.3, 1.6Hz, 1H), 4.18 - 4.12 (m, 1H), 3.40 (dt, J = 14.1, 7.5 Hz, 1H), 2.70 (p, J = 7.6 Hz, 1H), 1.63 - 1.59 (m, 3H), 0.81 - 0.72 (m, 3H) ppm.ESI-MS m / z Calculated value 410.11526, actual value 409.2 (M-1) - ;Retention time: 0.56 minutes.

[0385] Step 3: T3P (450 μL of 50% w / w, 0.755 mmol) and Et3N (210 μL, 1.5 mmol) were added in sequence to a solution of (2R,3S,4S,5R)-3-[3,4-difluoro-2-(oxetan-3-ylmethoxy)phenyl]-4,5-dimethyl-5-(trifluoromethyl)tetrahydrofuran-2-carboxylic acid (250 mg, 0.49 mmol) and methyl 5-aminopyridine-2-carboxylate (102 mg, 0.67 mmol) in EtOAc (5 mL). The reaction was stirred at ambient temperature for 1.5 h. An additional 30 μl of T3P was added and the reaction mixture was stirred at ambient temperature for 1 h. The reaction mixture was partitioned between water and EtOAc. The aqueous layer was extracted with EtOAc. The combined organic layers were washed with brine, dried (MgSO4), filtered and concentrated in vacuo. Purification by flash chromatography (SiO, 0-100% EtOAc in heptane) afforded methyl 5-[[(2R,3S,4S,5R)-3-[3,4-difluoro-2-(oxetan-3-ylmethoxy)phenyl]-4,5-dimethyl-5-(trifluoromethyl)tetrahydrofuran-2-carbonyl]amino]pyridine-2-carboxylate (95 mg, 35%) as a white solid. 1H NMR (400 MHz, クロロホルム-d) δ 8.68 (dd, J = 2.6, 0.7 Hz, 1H), 8.53 (s, 1H), 8.33 (dd, J = 8.6, 2.6 Hz, 1H), 8.11 (d, J = 8.6 Hz, 1H), 7.11 (ddd, J = 8.1, 5.5, 2.1 Hz, 1H), 6.94 (td, J = 9.2, 7.5 Hz, 1H), 5.03 (d, J = 11.1 Hz, 1H), 4.82 (ddd, J = 28.7, 8.0, 6.2 Hz, 2H), 4.61 (t, J = 6.0 Hz, 1H), 4.55 - 4.45 (m, 2H), 4.29 (ddd, J = 10.3, 5.4, 2.0 Hz, 1H), 4.24 (dd, J = 11.1, 8.0 Hz, 1H), 3.99 (s, 3H), 3.35 (ddd, J = 13.7, 7.9, 5.7 Hz, 1H), 2.76 (p, J = 7.6 Hz, 1H), 1.69 (d, J = 1.2 Hz, 3H), 0.84 - 0.72 (m, 3H) ppm.ESI-MS m / z calcd. 544.16327, found 545.2 (M+1) + ; 543.2 (M-1) - ; Holding time: 0.92 minutes.

[0386] ステップ4: NaBH4 (6 mg, 0.15 mmol) was added to a solution of methyl 5-[[(2R,3S,4S,5R)-3-[3,4-difluoro-2-(oxetan-3-ylmethoxy)phenyl]-4,5-dimethyl-5-(trifluoromethyl)tetrahydrofuran-2-carbonyl]amino]pyridine-2-carboxylate (11 mg, 0.02 mmol) in MeOH (1 mL) and the reaction mixture was stirred at 50° C. for 6 h. The reaction mixture was stirred at 40° C. overnight. The reaction mixture was quenched with AcOH and diluted with MeCN, water, and MeOH. Purification by reverse-phase HPLC-MS using an X-bridge C18 column (150×19 mm, 5 μm particle size) from Waters gave (2R,3S,4S,5R)-3-(3,4-difluoro-2-(oxetan-3-ylmethoxy)phenyl)-N-(6-(hydroxymethyl)pyridin-3-yl)-4,5-dimethyl-5-(trifluoromethyl)tetrahydrofuran-2-carboxamide (trifluoroacetate) (24, 2.9 mg, 22%). 1 H NMR (400 MHz, methanol-d4) δ 8.74 (d, J = 2.4 Hz, 1H), 8.13 (dd, J = 8.5, 2.5 Hz, 1H), 7.54 (d, J = 8.6 Hz, 1H), 7.20 - 7.13 (m, 1H), 7.05 - 6.96 (m, 1H), 5.09 (d, J = 10.6 Hz, 1H), 4.90 - 4.85 (m, 2H), 4.67 (s, 2H), 4.63 (dt, J = 10.6, 6.1 Hz, 2H), 4.50 (ddd, J = 10.0, 5.9, 1.8 Hz, 1H), 4.37 (dd, J = 10.6, 8.0 Hz, 1H), 4.31 (dd, J = 9.6, 6.2 Hz, 1H), 3.51 - 3.40 (m, 1H), 2.79 (p, J = 7.4 Hz, 1H), 1.68 - 1.64 (m, 3H), 0.86 - 0.79 (m, 3H) ppm.ESI-MS m / z calculated value 516.16833, measured value 516.9 (M+1) + ; 515.0 (M-1) - ;Retention time: 3.69 minutes.

[0387] Example 10 (2R,3S,4S,5R)-3-(3,4-difluoro-2-(2-morpholinoethoxy)phenyl)-N-(6-(hydroxymethyl)pyridin-3-yl)-4,5-dimethyl-5-(trifluoromethyl)tetrahydrofuran-2-carboxamide (25) [ka] Step 1: To a solution of methyl (2S,3S,4S,5R)-3-(3,4-difluoro-2-hydroxy-phenyl)-4,5-dimethyl-5-(trifluoromethyl)tetrahydrofuran-2-carboxylate (5 g, 14.11 mmol) in MeOH (20 mL) cooled on an ice bath was added a solution of NaOMe (9.14 mL of 25% w / v as a solution in MeOH, 42.30 mmol) dropwise over 10 min. The reaction mixture was stirred at 0° C. for 1 h and then at 45° C. overnight. To the reaction mixture was added water (1.52 mL, 84.37 mmol) and the reaction mixture was stirred at 45° C. for 1 h. The reaction mixture was concentrated in vacuo and then partitioned between 2-MeTHF (50 mL) and water (25 mL). The aqueous phase was acidified to pH 1 with HCl and the layers were separated. The aqueous layer was extracted with 2-MeTHF (10 mL) and the combined organic layers were dried (Na2SO4), filtered and concentrated in vacuo to give (2R,3S,4S,5R)-3-(3,4-difluoro-2-hydroxy-phenyl)-4,5-dimethyl-5-(trifluoromethyl)tetrahydrofuran-2-carboxylic acid (3.9 g, 61%). ESI-MS m / z calculated 340.0734, found 339.1 (M-1). - ;Retention time: 0.46 minutes.

[0388] Step 2: To a solution of (2R,3S,4S,5R)-3-(3,4-difluoro-2-hydroxy-phenyl)-4,5-dimethyl-5-(trifluoromethyl)tetrahydrofuran-2-carboxylic acid (4 g, 11.76 mmol) in acetone (30 mL) was added 4-(2-chloroethyl)morpholine (hydrochloride salt) (6.56 g, 35.25 mmol), NaI (1.76 g, 11.74 mmol), and K2CO3 (8.12 g, 58.75 mmol) and the reaction mixture was heated at 60° C. for 24 h. The reaction mixture was allowed to cool and partitioned between MTBE (100 mL) and water (100 mL). The aqueous layer was further extracted with MTBE (30 mL). The combined organic fractions were washed with brine (1×10 mL), dried (MgSO4), filtered, and concentrated in vacuo. Purification by flash chromatography (SiO2, 25% MeOH in DCM) gave 2-morpholinoethyl (2R,3S,4S,5R)-3-[3,4-difluoro-2-(2-morpholinoethoxy)phenyl]-4,5-dimethyl-5-(trifluoromethyl)tetrahydrofuran-2-carboxylate (4.8 g, 43%). ESI-MS m / z calculated 566.2415, found 567.3 (M+1). + ;Retention time: 0.96 minutes.

[0389] Step 3: KOH (990 mg, 17.65 mmol) was added to a solution of 2-morpholinoethyl (2R,3S,4S,5R)-3-[3,4-difluoro-2-(2-morpholinoethoxy)phenyl]-4,5-dimethyl-5-(trifluoromethyl)tetrahydrofuran-2-carboxylate (4 g, 7.060 mmol) in MeOH (20 mL) and the reaction mixture was stirred at 35° C. until completion. Water (20 mL) was added to the reaction mixture and MeOH was removed in vacuo. The aqueous crude was basified to pH 14 with 1 M NaOH solution and washed with MTBE (20 mL) to remove ethylmorpholine. The organic phase was extracted with water (×2). The combined aqueous phase was then acidified to pH 4.6 with 6 N HCl and extracted with EtOAc (×3). The combined organic phases were dried (MgSO4), filtered and concentrated in vacuo to give (2R,3S,4S,5R)-3-[3,4-difluoro-2-(2-morpholinoethoxy)phenyl]-4,5-dimethyl-5-(trifluoromethyl)tetrahydrofuran-2-carboxylic acid (2.7 g, 82%). 1 H NMR (500 MHz, DMSO-d6) δ 7.19 (ddd, J = 7.9, 5.8, 1.7 Hz, 1H), 7.12 (td, J = 9.4, 7.5 Hz, 1H), 5.01 (d, J = 10.7 Hz, 1H), 4.39 - 4.29 (m, 1H), 4.22 (ddd, J = 17.1, 10.8, 6.0 Hz, 2H), 3.57 (t, J = 4.7 Hz, 4H), 2.83 - 2.61 (m, 3H), 2.45 (s, 4H), 1.56 (s, 3H), 0.67 (dt, J = 7.3, 2.3Hz, 3H) ppm.ESI-MS m / z calculated 453.1574, found 454.4 (M+1) + ; 452.2 (M-1) - ;Holding time: 0.55 minutes.

[0390] Step 4: To a solution of (2R,3S,4S,5R)-3-[3,4-difluoro-2-(2-morpholinoethoxy)phenyl]-4,5-dimethyl-5-(trifluoromethyl)tetrahydrofuran-2-carboxylic acid (70 mg, 0.149 mmol) in EtOAc (2 mL) was added 6-[[tert-butyl(dimethyl)silyl]oxymethyl]pyridin-3-amine (71 mg, 0.29 mmol), Et3N (75 μL, 0.53 mmol), and T3P (130 μL, 0.437 mmol) and the reaction mixture was stirred at ambient temperature for 4 h. The reaction mixture was partitioned between EtOAc (10 mL) and water (10 mL). The organic layer was washed again with water (10 mL). The organic phase was washed with brine (1×10 mL), dried (MgSO4), filtered and concentrated in vacuo to give (2R,3S,4S,5R)-N-[6-[[tert-butyl(dimethyl)silyl]oxymethyl]-3-pyridyl]-3-[3,4-difluoro-2-(2-morpholinoethoxy)phenyl]-4,5-dimethyl-5-(trifluoromethyl)tetrahydrofuran-2-carboxamide (60 mg, 32%). ESI-MS m / z calculated 673.297, found 674.3 (M+1). + ; 672.4 (M-1) - ;Retention time: 1.27 minutes.

[0391] Step 5: TBAF (100 μL of 1 M, 0.1 mmol) was added to a solution of (2R,3S,4S,5R)-N-[6-[[tert-butyl(dimethyl)silyl]oxymethyl]-3-pyridyl]-3-[3,4-difluoro-2-(2-morpholinoethoxy)phenyl]-4,5-dimethyl-5-(trifluoromethyl)tetrahydrofuran-2-carboxamide (80 mg, 0.062 mmol) in THF (2 mL) and the reaction mixture was stirred at ambient temperature overnight. The reaction mixture was concentrated in vacuo. Purification by reverse-phase HPLC-MS using an X-bridge C18 column (150×19 mm, 5 μm particle size) from Waters gave (2R,3S,4S,5R)-3-(3-fluoro-2-(2-morpholinoethoxy)phenyl)-N-(6-(hydroxymethyl)pyridin-3-yl)-4,5-dimethyl-5-(trifluoromethyl)tetrahydrofuran-2-carboxamide (25, 31 mg, 86%). 1 H NMR (500 MHz, DMSO-d6) δ 10.35 (s, 1H), 8.67 (d, J = 2.5 Hz, 1H), 8.03 (td, J = 8.3, 2.5 Hz, 1H), 7.40 (d, J = 8.5 Hz, 1H), 7.21 - 7.09 (m, 2H), 5.35 (s, 1H), 5.12 (d, J = 10.6 Hz, 1H), 4.50 (s, 2H), 4.38 - 4.28 (m, 3H), 4.26 - 4.18 (m, 2H), 3.57 - 3.45 (m, 4H), 2.88 (p, J = 7.5 Hz, 1H), 2.40 (t, J = 4.8 Hz, 4H), 1.64 (s, 3H), 0.74 - 0.68 (m, 3H) ppm.ESI-MS m / z Calculated value 559.2106, Actual value 560.3 (M+1) + ; 558.3 ​​(M-1) - ;Holding time: 3.0 minutes.

[0392] Compound 25 was analyzed by X-ray powder diffraction and determined to be amorphous (see FIG. 2).

[0393] Example 11 (2R,3S,4S,5R)-3-(3,4-difluoro-2-(2-((3aR,6aS)-tetrahydro-1H-furo[3,4-c]pyrrol-5(3H)-yl)ethoxy)phenyl)-N-(2-(hydroxymethyl)pyrimidin-5-yl)-4,5-dimethyl-5-(trifluoromethyl)tetrahydrofuran-2-carboxamide (26) [ka] Step 1: NaI (258 mg, 1.721 mmol), K2CO3 (952 mg, 6.888 mmol), and (3aS,6aR)-5-(2-chloroethyl)-1,3,3a,4,6,6a-hexahydrofuro[3,4-c]pyrrole (908 mg, 5.169 mmol) were added to a solution of (2R,3S,4S,5R)-3-(3,4-difluoro-2-hydroxy-phenyl)-4,5-dimethyl-5-(trifluoromethyl)tetrahydrofuran-2-carboxylic acid (586 mg, 1.722 mmol) in acetone (9 mL). The reaction mixture was stirred at 70° C. overnight. The reaction mixture was filtered and concentrated in vacuo. Purification by flash chromatography (SiO, 0–100% heptane, 3:1 EtOAc:EtOH with 0.5% NHOH) afforded 2-[(3aS,6aR)-1,3,3a,4,6,6a-hexahydrofuro[3,4-c]pyrrol-5-yl]ethyl (2R,3S,4S,5R)-3-[2-[2-[(3aS,6aR)-1,3,3a,4,6,6a-hexahydrofuro[3,4-c]pyrrol-5-yl]ethoxy]-3,4-difluoro-phenyl]-4,5-dimethyl-5-(trifluoromethyl)tetrahydrofuran-2-carboxylate (678 mg, 64%) as a pale yellow oil. 1H NMR (500 MHz, DMSO-d6) δ 7.23 - 7.18 (m, 1H), 7.14 - 7.08 (m, 1H), 5.13 (d, J = 10.7 Hz, 1H), 4.29 - 4.24 (m, 1H), 4.22 (dd, J = 10.7, 7.4 Hz, 1H), 4.18 - 4.12 (m, 2H), 4.11 - 4.06 (m, 1H), 3.70 - 3.62 (m, 4H), 3.41 - 3.37 (m, 2H), 3.25 - 3.20 (m, 2H), 2.78 - 2.67 (m, 7H), 2.60 - 2.54 (m, 3H), 2.47 (t, J = 5.5 Hz, 2H), 2.38 - 2.32 (m, 2H), 2.25 - 2.19 (m, 3H), 2.16 (dd, J = 9.1, 2.8 Hz, 1H), 1.54 (s, 3H), 0.68 (d, J = 6.4 Hz, 3H) ppm.ESI-MS m / z calcd. 618.2728, found 619.0 (M+1) + ; Holding time: 3.37 minutes.

[0394] ステップ2: KOH (142 mg, 2.531 mmol) was added to a solution of 2-[(3aS,6aR)-1,3,3a,4,6,6a-hexahydrofuro[3,4-c]pyrrol-5-yl]ethyl (2R,3S,4S,5R)-3-[2-[2-[(3aS,6aR)-1,3,3a,4,6,6a-hexahydrofuro[3,4-c]pyrrol-5-yl]ethoxy]-3,4-difluoro-phenyl]-4,5-dimethyl-5-(trifluoromethyl)tetrahydrofuran-2-carboxylate (640 mg, 1.035 mmol) in MeOH (2.6 mL). The reaction mixture was stirred at 40° C. for 40 min. The reaction mixture was diluted with 1 M NaOH (50 mL) and extracted with MTBE (50 mL). The organic phase was back extracted with water (20 mL). The combined aqueous phase was then acidified to pH 5.24 with 0.1 M HCl and the product was extracted with EtOAc (5 x 50 mL). The combined organic phase was dried (MgSO4), filtered and concentrated in vacuo to give (2R,3S,4S,5R)-3-[2-[2-[(3aS,6aR)-1,3,3a,4,6,6a-hexahydrofuro[3,4-c]pyrrol-5-yl]ethoxy]-3,4-difluoro-phenyl]-4,5-dimethyl-5-(trifluoromethyl)tetrahydrofuran-2-carboxylic acid (428 mg, 86%) as an off-white solid. 1 H NMR (500 MHz, DMSO-d6) δ 7.21 - 7.17 (m, 1H), 7.15 - 7.09 (m, 1H), 4.98 (d, J = 10.7 Hz, 1H), 4.31 - 4.26 (m, 1H), 4.23 (dd, J = 10.7, 7.4 Hz, 1H), 4.18 - 4.13 (m, 1H), 3.65 - 3.60 (m, 2H), 3.44 - 3.38 (m, 2H), 2.79 - 2.69 (m, 5H), 2.27 - 2.20 (m, 2H), 1.54 (s, 3H), 1.30 - 1.23 (m, 2H), 0.87 (t, J = 6.8 Hz, 1H), 0.67 (d, J = 6.4 Hz, 3H) ppm.ESI-MS m / z Calculated value 479.1731, Actual value 480.0 (M+1) +; 478.1 (M-1) - ;Holding time: 2.25 minutes.

[0395] Step 3: To a solution of (2R,3S,4S,5R)-3-[2-[2-[(3aS,6aR)-1,3,3a,4,6,6a-hexahydrofuro[3,4-c]pyrrol-5-yl]ethoxy]-3,4-difluoro-phenyl]-4,5-dimethyl-5-(trifluoromethyl)tetrahydrofuran-2-carboxylic acid (100 mg, 0.208 mmol) in EtOAc (1.5 mL) was added methyl 5-aminopyrimidine-2-carboxylate (96 mg, 0.626 mmol), followed by Et3N (170 μL, 1.22 mmol). The resulting mixture was cooled to 0° C. and T3P (500 μL, 0.84 mmol) was added dropwise. The reaction mixture was stirred at ambient temperature for 1 h. The reaction mixture was diluted with EtOAc (10 mL) and poured into saturated aqueous NaHCO3 (15 mL). The organic layer was separated and the aqueous layer was extracted with EtOAc (2×10 mL). The organic layers were combined, washed with brine (20 mL), dried (MgSO4), and concentrated in vacuo. Purification by flash chromatography (SiO2, 0-100% heptane in 3:1 EtOAc:EtOH with 0.5% NH4OH) afforded methyl 5-[[(2R,3S,4S,5R)-3-[2-[2-[(3aS,6aR)-1,3,3a,4,6,6a-hexahydrofuro[3,4-c]pyrrol-5-yl]ethoxy]-3,4-difluoro-phenyl]-4,5-dimethyl-5-(trifluoromethyl)tetrahydrofuran-2-carbonyl]amino]pyrimidine-2-carboxylate (113 mg, 88%) as a colorless oil. ESI-MS m / z calculated 614.2164, found 615.1 (M+1) + ; 613.2 (M-1) - ;Retention time: 0.92 minutes.

[0396] Step 4: NaBH4 (20 mg, 0.5286 mmol) was added to a solution of methyl 5-[[(2R,3S,4S,5R)-3-[2-[2-[(3aS,6aR)-1,3,3a,4,6,6a-hexahydrofuro[3,4-c]pyrrol-5-yl]ethoxy]-3,4-difluoro-phenyl]-4,5-dimethyl-5-(trifluoromethyl)tetrahydrofuran-2-carbonyl]amino]pyrimidine-2-carboxylate (111 mg, 0.18 mmol) in MeOH (1.0 mL) cooled to 0° C. The reaction mixture was stirred at ambient temperature for 90 min, then quenched with water (2 mL) and stirred for 20 min. The reaction mixture was diluted with MeOH (5 mL). Purification by reverse-phase HPLC-MS using an X-bridge C18 column (150×19 mm, 5 μm particle size) from Waters gave (2R,3S,4S,5R)-3-(3,4-difluoro-2-(2-((3aR,6aS)-tetrahydro-1H-furo[3,4-c]pyrrol-5(3H)-yl)ethoxy)phenyl)-N-(2-(hydroxymethyl)pyrimidin-5-yl)-4,5-dimethyl-5-(trifluoromethyl)tetrahydrofuran-2-carboxamide (26, 27.6 mg, 26%) as a white solid. 1H NMR (500 MHz, DMSO-d6) δ 10.43 (s, 1H), 9.00 (s, 2H), 7.21 - 7.17 (m, 1H), 7.16 - 7.10 (m, 1H), 5.25 (t, J = 6.3 Hz, 1H), 5.16 (d, J = 10.6 Hz, 1H), 4.55 (d, J = 6.3 Hz, 2H), 4.35 (dd, J = 10.6, 7.4 Hz, 1H), 4.30 - 4.25 (m, 1H), 4.18 - 4.13 (m, 1H), 3.57 (dd, J = 8.6, 6.3 Hz, 1H), 3.50 (dd, J = 8.7, 6.2 Hz, 1H), 3.35 (dd, J = 8.9, 3.3 Hz, 1H), 3.27 (dd, J = 8.7, 3.2 Hz, 1H), 2.81 (dq, J = 7.5, 7.5 Hz, 1H), 2.73 - 2.67 (m, 3H), 2.66 - 2.59 (m, 3H), 2.19 (dd, J = 8.8, 3.9 Hz, 1H), 2.15 (dd, J = 8.5, 3.9 Hz, 1H), 1.63 (s, 3H), 0.70 (d, J = 6.6 Hz, 3H) ppm.ESI-MS m / z Calculated value 586.22144, measured value 587.5 (M+1) + ; 585.4 (M-1) - ; Holding time: 3.04 minutes.

[0397] Modulation of intermediates Intermediate A rac-6-ブロモ-2,3-ジヒドロフロ[3,2-b]ピリジン-3-オール

change

[0398] Intermediate B rac-3-Bromo-7-((tert-butyldimethylsilyl)oxy)-6,7-dihydro-5H-cyclopenta[b]pyridine [ka] Step 1: TBSCl (141 mg, 0.93 mmol) and DMAP (11 mg, 0.09 mmol) were added to a solution of rac-3-bromo-6,7-dihydro-5H-cyclopenta[b]pyridin-7-ol (100 mg, 0.467 mmol) and Et3N (130 μL, 0.93 mmol) in DCM (2.0 mL). The reaction mixture was allowed to stir at ambient temperature for 3 h. The reaction mixture was diluted with DCM (20 mL) and poured into saturated aqueous NaHCO3 (20 mL). The organic layer was separated and the aqueous layer was extracted with DCM (2×15 mL). The organic layers were combined, washed with brine (20 mL), dried (MgSO4), filtered and concentrated in vacuo. Purification by flash chromatography (SiO2, 0-100% EtOAc in heptane) afforded rac-(3-bromo-6,7-dihydro-5H-cyclopenta[b]pyridin-7-yl)oxy-tert-butyl-dimethyl-silane (140.0 mg, 91%) as a colorless oil. 1 H NMR (500 MHz,chloroform-d) δ 8.50 - 8.49 (m, 1H), 7.65 - 7.64 (m, 1H), 5.10 (dd, J = 6.9, 4.9 Hz, 1H), 3.07 - 2.99 (m, 1H), 2.79 - 2.71 (m, 1H), 2.44 - 2.37 (m, 1H), 2.06 - 1.99 (m, 1H), 0.92 (s, 9H), 0.20 (s, 3H), 0.15 (s, 3H) ppm.ESI-MS m / z calculated value 327.0654, measured value 328.4 (M+1) + ;Holding time: 4.15 minutes.

[0399] Intermediate C 6-(((tert-butyldimethylsilyl)oxy)methyl)pyridin-3-amine [ka] Step 1: Lithium aluminum hydride (120 mL of 2M in toluene, 240 mmol) was added to a stirred suspension of methyl 5-aminopicolinate (21.05 g, 138.35 mmol) in THF (400 mL) under argon at 0° C. The reaction mixture was stirred overnight at ambient temperature and then heated at 90° C. for 6 h. The reaction was then cooled back to 0° C. The reaction mixture was quenched by sequentially adding water (9.3 mL, dropwise), 15% NaOH in water (9.3 mL), and then more water (28 mL). The white precipitate was filtered off, washing with additional THF (300 mL). The filtrate was concentrated in vacuo to give (5-aminopyridin-2-yl)methanol (16.1 g, 75%) as a brown oil, which was used in the next step without further purification. 1 H NMR (400 MHz, DMSO-d6) δ 7.81 (d, J = 2.7 Hz, 1H), 7.06 (d, J = 8.2 Hz, 1H), 6.89 (dd, J = 8.5, 2.5 Hz, 1H), 5.11 (s, 2H), 4.34 (s, 2H) ppm; no alcohol OH observed.

[0400] Step 2: Imidazole (1.97 g, 28.938 mmol) and tert-butylchlorodimethylsilane (3.41 g, 22.624 mmol) were added to a solution of (5-aminopyridin-2-yl)methanol (3.65 g, 18.641 mmol) in THF (60 mL). The reaction mixture was stirred at ambient temperature for 17 h. The THF layer was decanted and the oily lower phase was dissolved in water (20 mL) and extracted with EtOAc (2×20 mL). The combined organic phases were washed with brine (10 mL), dried (Na2SO4), filtered and concentrated in vacuo. The oily residue (5.8 g) was taken up in a 1:1 mixture of EtOAc and heptane (30 mL). The precipitate was removed by filtration. The filtrate was concentrated in vacuo. Purification by flash chromatography (SiO 2 , 25-75% EtOAc in heptane) afforded 6-(((tert-butyldimethylsilyl)oxy)methyl)pyridin-3-amine (3.92 g, 81%) as a low melting white solid.1 H NMR (400 MHz, chloroform-d) δ 8.00 (d, J = 2.7 Hz, 1H), 7.27-7.25 (d, 1H), 7.02 (d, J = 2.7 Hz, 1H), 4.72 (s, 2H), 3.82-2.92 (br s, 2H), 0.93 (s, 9H), 0.08 (s, 6H) ppm. ESI-MS m / z calculated 238.1501, found 239.5 (M+1). + ;Retention time: 0.86 minutes.

[0401] Intermediate D [(2S)-2-Methoxypropyl]methanesulfonate [ka] Step 1: Mesyl chloride (444 mg, 0.3 mL, 3.876 mmol) was added slowly to a solution of (2S)-2-methoxypropan-1-ol (250 mg, 2.7740 mmol) and EtN (435 mg, 0.6 mL, 4.305 mmol) in DCM (4 mL) at 0° C. The reaction mixture was stirred at 10° C. for 1 h and then partitioned between DCM (15 mL) and water (5 mL). The organic layer was dried (MgSO), filtered and concentrated in vacuo to give [(2S)-2-methoxypropyl]methanesulfonate (285 mg, 55%) as a yellow oil. 1 H NMR (400 MHz,chloroform-d) δ 4.21 (dd, J = 10.8, 3.4 Hz, 1H), 4.12 (q, J = 5.6 Hz, 1H), 3.62 (td, J = 6.3, 3.5 Hz, 1H), 3.39 (s, 3H), 3.04 (s, 3H), 1.19 (d, J = 6.4 Hz, 3H) ppm.

[0402] The following intermediates were prepared using the method described for Intermediate D, Step 1, except that (R)-2-methoxypropan-1-ol was used as the starting material: [Table 7]

[0403] The following intermediates were prepared using the method described for Intermediate D, Step 1, except that 2-oxaspiro[3.3]heptan-6-ol was used as the starting material: [Table 8]

[0404] Intermediate E rel-2-(2,2-dimethyl-1,3-dioxolan-4-yl)pyrimidin-5-amine and rel-2-(2,2-dimethyl-1,3-dioxolan-4-yl)pyrimidin-5-amine [ka] Step 1: Benzyl chloroformate (50.820 g, 42 mL, 297.90 mmol) was added via addition funnel to a solution of 2-chloropyrimidin-5-amine (50 g, 385.96 mmol) and Na2CO3 (120 g, 1.1322 mol) in THF (1 L) cooled to 0 °C. The reaction mixture was stirred at ambient temperature overnight. The reaction mixture was concentrated and diluted with EtOAc (300 mL) and water (500 mL). The layers were separated and the aqueous phase was extracted with EtOAc (3 x 300 mL). The combined organic phase was dried (Na2SO4), filtered and concentrated in vacuo. The residue was triturated with 20% DCM in hexanes. The solid was filtered and dried in vacuo to give benzyl N-(2-chloropyrimidin-5-yl)carbamate (75.9 g, 75%) as a yellowish solid. ESI-MS m / z calculated 263.0462, found 264.1 (M+1) + ;Retention time: 3.6 minutes.

[0405] Step 2: A two-necked round-bottom flask was charged with a mixture of benzyl N-(2-chloropyrimidin-5-yl)carbamate (10 g, 37.925 mmol), potassium vinyltrifluoroborate (7.6 g, 56.738 mmol), and Cs2CO3 (37 g, 113.56 mmol) in 1,4-dioxane (60 mL) and water (60 mL). A reflux condenser was added, the setup degassed, and purged with nitrogen gas. Nitrogen was bubbled through the mixture for 5 minutes, and then bis(triphenylphosphine)palladium(II) chloride (2.7 g, 3.8467 mmol) was added. The reaction mixture was heated at 110° C. overnight. The reaction mixture was concentrated in vacuo and then partitioned between EtOAc and water. The layers were separated and the aqueous phase was extracted with EtOAc. The combined organic phase was dried (Na2SO4), filtered, and concentrated in vacuo. Purification by flash chromatography (330 g SiO2, 0-35% EtOAc in heptane) afforded benzyl N-(2-vinylpyrimidin-5-yl)carbamate (6.75 g, 63%) as a beige solid. ESI-MS m / z calculated 255.1008, found 256.4 (M+1). + ;Retention time: 2.38 minutes.

[0406] Step 3: To a solution of benzyl N-(2-vinylpyrimidin-5-yl)carbamate (15.61 g, 61.150 mmol) in acetone (950 mL) and water (150 mL) were added N-methylmorpholine N-oxide (8 g, 68.29 mmol) and osmium tetroxide (14 mL of 2.5% w / w, 1.376 mmol) in tert-butanol in sequence. The reaction mixture was stirred at ambient temperature overnight. The reaction mixture was concentrated in vacuo to remove acetone and the residue was poured into saturated aqueous NH4Cl (200 mL) and extracted with EtOAc (3 x 200 mL). The combined organic layers were washed with brine, dried (Na2SO4), filtered and concentrated in vacuo. The residue was dissolved in DCM and the precipitate was filtered and concentrated in vacuo to give benzyl N-[2-(1,2-dihydroxyethyl)pyrimidin-5-yl]carbamate (12.73 g, 72%) as a grey solid. ESI-MS m / z calculated 289.1063, found 289.8 (M+1). + ;Retention time: 2.53 minutes.

[0407] Step 4: Pyridinium p-toluenesulfonate (2.23 g, 8.8738 mmol) was added to a mixture of benzyl N-[2-(1,2-dihydroxyethyl)pyrimidin-5-yl]carbamate (12.72 g, 43.970 mmol) and 2,2-dimethoxypropane (80.465 g, 95 mL, 772.60 mmol) and the reaction mixture was stirred at 60° C. for 24 h. The reaction mixture was diluted with water (200 mL) and extracted with EtOAc (3×150 mL). The combined organic phases were dried (Na2SO4), filtered and concentrated in vacuo. Purification by flash chromatography (80 g SiO2, 0-35% EtOAc in heptane) afforded benzyl rac-N-[2-(2,2-dimethyl-1,3-dioxolan-4-yl)pyrimidin-5-yl]carbamate (12.72 g, 88%) as a white solid. ESI-MS m / z calculated 329.1376, found 330.1 (M+1). + ;Retention time: 2.42 minutes.

[0408] Step 5: 10% Pd / C (4.13 g, 3.88 mol) was added to a solution of benzyl rac-N-[2-(4,4-dimethyl-1,3-dioxolan-2-yl)pyrimidin-5-yl]carbamate (12.72 g, 38.622 mmol) in EtOH (500 mL) under nitrogen. The reaction flask was degassed and purged with nitrogen. The reaction was stirred under a hydrogen atmosphere for 5 h. The reaction mixture was then filtered through a pad of Celite and the filtrate was concentrated in vacuo. The white solid was washed with excess diethyl ether and dried in vacuo to give rac-2-(2,2-dimethyl-1,3-dioxolan-4-yl)pyrimidin-5-amine (4.4 g, 54%). 1 H NMR (500 MHz, DMSO-d6) δ 8.10 (s, 2H), 5.61 (s, 2H), 4.96 (dd, J = 7.7, 6.4 Hz, 1H), 4.22 (dd, J = 7.9, 6.5 Hz, 1H), 4.07 (t, J = 7.8 Hz, 1H), 1.38 (s, 3H), 1.36 (s, 3H).ESI-MS m / z calculated value 195.1008, measured value 196.3 (M+1) + ;Holding time: 0.7 minutes.

[0409] Step 6: The enantiomers of rac-2-(2,2-dimethyl-1,3-dioxolan-4-yl)pyrimidin-5-amine (780 mg, 3.996 mmol) were separated by chiral SFC using a Chiralpak IB column, 5 μm particle size, 25 cm×20 mm from Daicel Corporation on a Prep-100 SFC instrument from Waters to give two isomers:

[0410] First eluting isomer (retention time = 2.01 min): rel-2-(2,2-dimethyl-1,3-dioxolan-4-yl)pyrimidin-5-amine (321.9 mg, 41%). ESI-MS m / z calculated 195.10078, found 196.1 (M+1). + ;Holding time: 0.35 minutes.

[0411] Second eluting isomer (retention time = 2.25 min): rel-2-(2,2-dimethyl-1,3-dioxolan-4-yl)pyrimidin-5-amine (381.3 mg, 49%). ESI-MS m / z calculated 195.10078, found 196.1 (M+1). + ;Holding time: 0.35 minutes.

[0412] Intermediate F rac-6-(1-((tert-butyldimethylsilyl)oxy)-2-methoxyethyl)pyridin-3-amine [ka] Step 1: n-BuLi (50 mL of 2M, 100.00 mmol) was added to a stirred solution of 2,5-dibromopyridine (20 g, 84.427 mmol) in toluene (600 mL) at -78 °C and the reaction mixture was stirred at -78 °C for 45 min. A solution of N,2-dimethoxy-N-methyl-acetamide (13.5 g, 101.39 mmol) in toluene (100 mL) was added to the reaction mixture at -78 °C. The mixture was stirred at -78 °C for 30 min. The reaction mixture was then poured into saturated aqueous NH4Cl (300 mL) and extracted with EtOAc (2 x 500 mL). The combined organic layers were washed with brine (300 mL), dried (Na2SO4), filtered and concentrated in vacuo. Purification by flash chromatography (80 g SiO2, 10-15% EtOAc in heptane) afforded 1-(5-bromo-2-pyridyl)-2-methoxy-ethanone (9.1 g, 47%). 1 H NMR (400 MHz, DMSO-d6) δ 8.84 (s, 1H), 8.30 - 8.28 (m, 1H), 7.88 (d, J = 8.3 Hz, 1H), 4.94 (s, 2H), 3.38 (s, 3H) ppm.ESI-MS m / z Calculated value 228.9738, actual value 200.0 (M-30) + ;Retention time: 1.63 minutes.

[0413] Step 2: Sodium borohydride (1.5 g, 39.648 mmol) was added to a stirred solution of 1-(5-bromo-2-pyridyl)-2-methoxy-ethanone (9 g, 39.120 mmol) in MeOH (100 mL) cooled to 0 °C and the reaction mixture was stirred at ambient temperature for 30 min. The reaction mixture was quenched with water (100 mL) and concentrated in vacuo. The residue was diluted with water (100 mL) and extracted with EtOAc (2 x 200 mL). The combined extracts were washed with brine (100 mL), dried (Na2SO4), filtered and concentrated in vacuo. Purification by flash chromatography (80 g SiO2, 40-60% EtOAc in heptane) afforded rac-1-(5-bromo-2-pyridyl)-2-methoxy-ethanol (7.5 g, 83%) as a pale yellow liquid. 1 H NMR (400 MHz, DMSO-d6) δ 8.61 (s, 1H), 8.02 (d, J = 7.6 Hz, 1H), 7.48 (d, J = 7.8 Hz, 1H), 5.64 (s, 1H), 4.71 (s, 1H), 3.61 - 3.59 (m, 1H), 3.50 - 3.49 (m, 1H), 3.24 (s, 3H) ppm.ESI-MS m / z calculated value 230.9895, measured value 233.9 (M+2) + ;Retention time: 1.46 minutes.

[0414] Step 3: To a stirred solution of rac-1-(5-bromo-2-pyridyl)-2-methoxy-ethanol (7 g, 30.163 mmol) in DMF (50 mL) was added tert-butyldimethylsilyl chloride (7 g, 46.443 mmol), imidazole (6 g, 88.135 mmol), and DMAP (730 mg, 5.9754 mmol) and the reaction mixture was heated at 60° C. for 16 h. The reaction mixture was quenched with ice-cold water (500 mL) and extracted with EtOAc (2×300 mL). The combined organic extracts were washed with water (2×100 mL) followed by brine (100 mL), dried (Na2SO4), filtered, and concentrated in vacuo. Purification by flash chromatography (80 g SiO2, 5-10% EtOAc in heptane) gave rac-[1-(5-bromo-2-pyridyl)-2-methoxy-ethoxy]-tert-butyl-dimethyl-silane (9.1 g, 87%). 1 H NMR (400 MHz, DMSO-d6) δ 8.61 (s, 1H), 8.63 (d, J = 2.2 Hz, 1H), 8.07 (dd, J = 2.3 Hz, 8.4 Hz, 1H), 7.45 (d, J = 8.4 Hz, 1H), 4.88 - 4.85 (m, 1H), 3.58 - 3.54 (m, 1H), 3.48 - 3.44 (m, 1H), 3.25 (s, 3H), 0.85 (d, J = 8.9 Hz, 9H), 0.07 (s, 3H), -0.02 (s, 3H) ppm.ESI-MS m / z Calculated value 345.076, actual value 348.0 (M+2) + ;Retention time: 2.27 minutes.

[0415] Step 4: To a stirred solution of rac-[1-(5-bromo-2-pyridyl)-2-methoxy-ethoxy]-tert-butyl-dimethyl-silane (9 g, 25.986 mmol) in DMSO (50 mL) in a sealed tube was added K2CO3 (5.5 g, 39.79 mmol), L-proline (1.2 g, 10.42 mmol), CuI (1 g, 5.25 mmol), and NH4OH (25%) (2 mL of 25% w / v aqueous solution, 14.2 mmol). The reaction mixture was heated at 100° C. for 16 h. The reaction mixture was then quenched with cold water (500 mL) and extracted with EtOAc (2×200 mL). The combined organic extracts were washed with water (2×100 mL) followed by brine (100 mL), dried (Na2SO4), filtered, and concentrated in vacuo. Purification by flash chromatography (SiO2, 5-10% EtOAc in heptane) afforded rac-6-[1-[tert-butyl(dimethyl)silyl]oxy-2-methoxy-ethyl]pyridin-3-amine (4.07 g, 55%) as a brown sticky solid. 1 H NMR (400 MHz, DMSO-d6) δ 7.83 (d, J = 2.5, 1H), 7.10 - 7.08 (m, 1H), 6.92 - 6.89 (m, 1H), 5.20 - 5.18 (m, 2H), 4.72 - 4.69 (m, 1H), 3.49 - 3.46 (m, 1H), 3.37 - 3.33 (m, 1H), 3.25 (s, 3H), 0.84 (s, 9H), 0.02 (s, 3H), -0.07 (s, 3H) ppm.ESI-MS m / z Calculated value 282.1764, actual value 283.2 (M+1) + ;Retention time: 2.21 minutes.

[0416] Example 12 Na V E-VIPR Assay to Detect and Measure Inhibitory Properties Sodium ion channels are voltage-gated proteins that can be activated by inducing membrane voltage changes by applying an electric field. An electrical stimulation instrument, called E-VIPR, and methods of use are described in WO 2002 / 008748 A3 and C.-J. Huang et al. Characterization of voltage-gated sodium channel blockers by electrical stimulation and fluorescence detection of membrane potential, 24 Nature Biotech. 439-46 (2006), both of which are incorporated by reference in their entirety. The instrument comprises a microtiter plate handler, optics for exciting the coumarin dye while simultaneously recording coumarin and oxonol emission, a waveform generator, a current or voltage controlled amplifier, and a pair of parallel electrodes that are inserted into the assay plate wells. Under integrated computer control, the instrument delivers user-programmed electrical stimulation protocols to cells within the wells of the microtiter plate.

[0417] 16–20 h before performing the assay for E-VIPR, culture human NaCl with intact channel activity. V HEK cells expressing a truncated form of KIR2.1.8 were seeded in microtiter 384-well plates pre-coated with Matrigel at a density of 25,000 cells per well. 2.5-5% KIR2.1 Bacmam virus was added to the final cell suspension before seeding into the cell plates. HEK cells were grown in Dulbecco's Modified Eagle Medium (DMEM) supplemented with 10% FBS (fetal bovine serum, qualified; Sigma #F4135), 1% NEAA (non-essential amino acids, Gibco #11140), 1% HEPES (Gibco #15630), 1% Pen-Strep (penicillin-streptomycin; Gibco #15140), and 5 μg / ml blasticidin (Gibco #R210-01). Cells were grown in vented cap cell culture flasks at 90-95% humidity and 5% CO2.

[0418] Reagents and stock solutions: Pluronic® F-127 (Sigma #P2443) at 100 mg / mL in dry DMSO Compound Plate: Corning 384-well polypropylene round bottom #3656 Cell plates: 384-well tissue culture treated plates (Greiner #781091-2B) 2.5-5% KIR 2.1 Bacmam virus (produced in-house), prepared as described in section 3.3 of JAFornwald et al., Gene Expression in Mammalian Cells Using BacMam, a Modified Baculovirus System, 1350 Methods in Molecular Biology 95-116 (2016), the entire contents of which are incorporated by reference. The concentration used may depend on the virus titer of each batch.

[0419] 5 mM DiSBAC6(3), voltage-sensitive oxonol receptor (CAS number 169211-44-3, 5-[3-(1,3-dihexylhexahydro-4,6-dioxo-2-thioxo-5-pyrimidinyl)-2-propen-1-ylidene]-1,3-dihexyldihydro-2-thioxo-4,6(1H,5H)-pyrimidinedione) in dry DMSO. The preparation of DiSBAC6(3) is similar to that of DiSBAC4(3) described in Voltage Sensing by Fluorescence Resonance Energy Transfer in Single Cells, Gonzalez, JE and Tsien, RY (1995) Biophys. J. 69, 1272-1280.

[0420] A commercially available membrane-bound coumarin lipid FRET donor, CC2-DMPE (ThermoFisher Scientific, Cat. No. K1017, CAS No. 393782-57-5; tetradecanoic acid, 1,1'-[(1R)-1-[8-(6-chloro-7-hydroxy-2-oxo-2H-1-benzopyran-3-yl)-3-hydroxy-3-oxide-8-oxo-2,4-dioxa-7-aza-3-phosphaoct-1-yl]-1,2-ethanediyl] ester), was prepared at 5 mM in dry DMSO. See also Improved Indicator of Cell Membrane Potential Using Fluorescence Resonance Energy Transfer, Gonzalez, JE and Tsien, RY (1997) Chem. Biol. 4, 269-277.

[0421] Prepare voltage assay background suppressing compound (VABSC-1) in HO (89-363 mM, range used to maintain solubility) Human serum (HS, Millipore #S1P1-01KL, or Sigma SLBR5469V and SLBR5470V as a 50% / 50% mixture at 25% assay final concentration) Bath 1 buffer: Sodium chloride, 160 mM (9.35 g / L), potassium chloride, 4.5 mM (0.335 g / L), glucose 10 mM (1.8 g / L), magnesium chloride (anhydrous) 1 mM (0.095 g / L), calcium chloride 2 mM (0.222 g / L), HEPES 10 mM (2.38 g / L) in water.

[0422] Bath 1 of Na / TMACl buffer: Sodium chloride 96 mM (5.61 g / L), potassium chloride, 4.5 mM (0.335 g / L), tetramethylammonium (TMA)-Cl 64 mM (7.01 g / L), glucose 10 mM (1.8 g / L), magnesium chloride (anhydrous) 1 mM (0.095 g / L), calcium chloride 2 mM (0.222 g / L), HEPES 10 mM (2.38 g / L) in water.

[0423] Hexyl dye solution (2x concentration): Bath 1 buffer containing 0.5% β-cyclodextrin (made fresh before each use, Sigma #C4767), 8 μM CC2-DMPE, and 2 μM DiSBAC6(3). The solution was made by adding 10% Pluronic® F127 stock in a volume equal to the combined volume of CC2-DMPE and DiSBAC6(3). The order of preparation was to first mix Pluronic® and CC2-DMPE, then add DiSBAC6(3), then add Bath 1 / β-cyclodextrin while mixing.

[0424] Compound loading buffer (2x concentration): Na / TMA Cl bath 1 buffer containing HS (omitted for experiments performed in the absence of human serum (HS)) 50%, VABSC-1 1 mM, BSA 0.2 mg / ml (bath 1), KCl 9 mM, DMSO 0.625%.

[0425] Assay protocol (7 critical steps): 1) 375 nL of each compound was pre-spotted (in pure DMSO) onto polypropylene compound plates at 240x the desired final concentration from an intermediate stock concentration of 0.075 mM in an 11-point dose response, 3-fold dilution to reach a final concentration in each well, resulting in the highest dose at 300 nM final concentration in the cell plate. A vehicle control (pure DMSO), and a positive control (established Na V 1.8 inhibitors (25 μM final in assay in DMSO) were manually added to the outermost column of each plate, respectively. The compound plate was back-loaded with 45 μL compound loading buffer per well, resulting in a 240-fold dilution of compound after 1:1 compound transfer to the cell plate (see step 6). The final DMSO concentration of all wells in the assay was 0.625% (for a final DMSO concentration of 0.625%, compound loading buffer was supplemented with 0.75% DMSO). This assay dilution protocol was adjusted to allow for testing of a higher dose range in the presence of HS or if the final assay volume was changed.

[0426] 2) A hexyl dye solution was prepared.

[0427] 3) Cell plates were prepared: On the day of the assay, media was aspirated and cells were washed 3 times with 80 μL of Bath 1 buffer, maintaining a residual volume of 25 μL in each well.

[0428] 4) 25 μL of the hexyl dye solution was dispensed per well into the cell plate. The cells were incubated in the dark at room temperature or ambient conditions for 20 minutes.

[0429] 5) 45 μL per well of compound loading buffer was dispensed into the compound plate.

[0430] 6) The cell plate was washed 3 times with 80 μL per well of Bath 1 buffer, leaving a residual volume of 25 μL. 25 μL per well was then transferred from the compound plate to each cell plate. The mixture was incubated at room temperature / ambient conditions for 30 minutes.

[0431] 7) Cell plates containing compounds were read on the E-VIPR using a current-controlled amplifier to deliver stimulus wave pulses using a symmetric biphasic waveform. The user-programmed electrical stimulation protocol was 1.25-4 amps with a 4 ms pulse width (depending on electrode composition) delivered at 10 Hz for 10 seconds. Pre-stimulus recordings were performed for 0.5 seconds for each well to obtain a non-stimulus intensity baseline. The stimulus waveform was followed by a 0.5 second post-stimulus recording to examine relaxation to the resting state. All E-VIPR responses were measured at an acquisition rate of 200 Hz.

[0432] Data Analysis: Data was analyzed and reported as a normalized ratio of emission intensities measured in the 460 nm and 580 nm channels. Responses as a function of time were reported as ratios obtained using the following formula: (strength 460nm ) R(t)=-------- (strength 580nm )

[0433] The data is the initial (R i ) and the final (Rf ) ratios. These were the average ratio values ​​between sample points during some or all of the pre-stimulation period and during the stimulation period. The fluorescence ratios (R f / R i ) was calculated and reported as a function of time.

[0434] Control responses were obtained by performing the assay in the presence of a positive control and in the absence of a pharmacological agent (DMSO vehicle negative control). Responses to the negative (N) and positive (P) controls were calculated as above. Compound antagonist activity A% was then defined as:

number

[0435] Measured IC of less than 0.01 μM in the E-VIPR assay described above 50 Compounds having values ​​include 10.

[0436] Measured IC of less than 0.1 μM and greater than or equal to 0.01 μM in the E-VIPR assay described above 50 Compounds having values ​​include 1, 4, 5, 6, 7, 9, 11, 12, 14, 17, 21, 22, 23, 24, and 25.

[0437] Measured IC of less than 1 μM and greater than or equal to 0.1 μM in the E-VIPR assay described above 50 Compounds with values ​​include 2, 3, 8, and 26.

[0438] Measured IC of 1 μM or greater in the E-VIPR assay described above 50 Compounds having values ​​include 13, 15, 16, 18, 19, and 20.

[0439] As will be apparent to those skilled in the art, many modifications and variations of the embodiments described herein may be made without departing from the scope thereof. The specific embodiments described herein are offered by way of example only.

Claims

1. A compound of formula (I), 【Chemical 1】 ， or a pharmaceutically acceptable salt thereof, wherein X ２ａ is N, N ＋ -O － or C-R ２ａ wherein X ３ａ is N or N ＋ -O － and X ５ａ is N, N ＋ -O － or C-R ５ａ and X ６ａ is N, N ＋ -O － or C-R ６ａ wherein R ｄ is (CH ２ ) ｍ (CHR ｅ ) ｎ (CH ２ ) ｐ H, and m, n, and p are each independently 0 or 1, R ｅ is H, OH, halo, C １ -C ６ alkoxy, or C １ -C ６ haloalkoxy, and R ２ａ and R ６ａ are each independently H, halo, C １ -C ６ -alkyl, or C １ -C ６ -haloalkyl, and R ５ａ is H, halo, CH ２ OH, C １ -C ６ alkyl, C １ -C ６ haloalkyl, or R ５ａ and R ｄ are such that R ５ａ and R ｄ are attached to the C atom to which they are attached to form a CH ２ CH ２ chain, and the CH ５ａ group attached to the C atom to which R ２ is attached may be replaced by O, R ４ｂ１ and R ４ｂ２ are each independently H, C １ -C ６ alkyl, C ３ -C ６ cycloalkyl, or C １ -C ６ haloalkyl, and R ５ｂ１ and R ５ｂ２ are each independently H, C １ -C ６ alkyl, C ３ -C ６ cycloalkyl, or C １ -C ６ haloalkyl, and X ３ｃ is N or C—R ３ｃ and X ４ｃ is N or C—R ４ｃ wherein X ５ｃ is N or C—R ５ｃ and X ６ｃ is N or C—R ６ｃ and R ２ｃ is H, OH, halo, C １ -C ６ -alkyl, C ２ -C ６ -alkenyl, C １ -C ６ -haloalkyl, C １ -C ６ -alkoxy, C １ -C ６ -haloalkoxy, O-CH ２ -(R ２ｃ１ )(R ２ｃ２ )(R ２ｃ３ ), O-CH(R ２ｃ４ )(R ２ｃ５ ), or -L １ -L ２ -(C ３ -C ６ -cycloalkyl), where the cycloalkyl is optionally substituted with 1 to 2 halos, R ２ｃ１ and R ２ｃ２ are each independently H or C １ -C ６ alkyl, or R ２ｃ１ and R ２ｃ２ together with the C atom to which they are attached form C=O, R ２ｃ３ is OH, C １ -C ６ alkoxy, C １ -C ６ haloalkoxy, or N(R ２ｃ６ )(R ２ｃ７ ), or R ２ｃ２ and R ２ｃ３ together with the C atom to which they are attached form a 3- to 7-membered heterocycloalkyl, R ２ｃ４ and R ２ｃ５ together with the C atom to which they are attached form a 3- to 7-membered heterocycloalkyl, R ２ｃ６ and R ２ｃ７ are each C １ -C ６ alkyl, or R ２ｃ６ and R ２ｃ７ together with the N atom to which they are attached form a 3- to 8-membered heterocycloalkyl, L １ is either a bond or O, L ２ is a linking or C １ -C ６ alkylene, and R ３ｃ is H, halo, C １ -C ６ alkyl, or C １ -C ６ haloalkyl, or X ３ｃ is C-R ３ｃ where R ２ｃ and R ３ｃ together with the carbon atom to which they are attached form a ring of the following formula, 【Chemical Formula 2】 ； Z １ and Z ２ each independently is O or CH ２ and each R is independently H or halo, provided that R ４ｃ is H, halo, C １ -C ６ alkyl, C １ -C ６ haloalkyl, C １ -C ６ alkoxy, or C １ -C ６ haloalkoxy, and R ５ｃ is H, halo, C １ -C ６ -alkyl, or C １ -C ６ -haloalkyl, and R ６ｃ is H, halo, C １ -C ６ alkyl, or C １ -C ６ haloalkyl, and However, X ２ａ X ３ａ X ５ａ and X ６ａ Among them, two or less are N or N ＋ -O － on the condition that However, X ３ｃ X ４ｃ X ５ｃ and X ６ｃ are subject to the condition that one or less of them is N however, R ５ａ and R ｄ wherein R ５ａ and R ｄ are bonded to the C atom to which R ２ CH ２ forms a chain, and the CH ５ａ group bonded to the C atom to which R ２ is bonded may be replaced by O, or R ２ｃ is O-CH ２ -C(R ２ｃ１ )(R ２ｃ２ )(R ２ｃ３ ) or O-CH(R ２ｃ４ )(R ２ｃ５ ), provided that the compound of formula (I), or a pharmaceutically acceptable salt thereof.

2. the compound has formula (I-A) or (I-D), [Chemical Formula 3] The compound according to claim 1, or a pharmaceutically acceptable salt thereof.

3. the compound has formula (I-A-1) or (I-D-1), 【Chemical Formula 4】 The compound according to claim 1, or a pharmaceutically acceptable salt thereof.

4. the compound has formula (I-A-2) or (I-D-2), 【Chemical Formula 5】 The compound according to claim 1, or a pharmaceutically acceptable salt thereof.

5. the compound has formula (I-A-3) or (I-D-3), 【Chemical Formula 6】 The compound according to claim 1, or a pharmaceutically acceptable salt thereof.

6. the compound has formula (I-B) or (I-C), 【Chemical Formula 7】 The compound according to claim 1, or a pharmaceutically acceptable salt thereof.

7. the compound has formula (I-B-1) or (I-C-1), [Chemical 8] The compound according to claim 1, or a pharmaceutically acceptable salt thereof.

8. the compound has formula (I-B-2) or (I-C-2), 【Chemical Formula 9】 The compound according to claim 1, or a pharmaceutically acceptable salt thereof.

9. the compound has formula (I-B-3) or (I-C-3), 【Chemical Formula 10】 The compound according to claim 1, or a pharmaceutically acceptable salt thereof.

10. the compound has formula (I-D-4), 【Chemical 11】 ， The compound according to claim 1, or a pharmaceutically acceptable salt thereof.

11. X ２ａ is C-R ２ａ and R ２ａ is H, the compound according to claim 1, or a pharmaceutically acceptable salt thereof.

12. X ３ａ The compound according to claim 1, or a pharmaceutically acceptable salt thereof, wherein X is N.

13. X ５ａ The compound according to claim 1, or a pharmaceutically acceptable salt thereof, wherein X is N.

14. X ５ａ is C—R ５ａ wherein R ５ａ is H, the compound according to claim 1, or a pharmaceutically acceptable salt thereof.

15. X ６ａ is C—R ６ａ wherein R ６ａ is H, the compound according to claim 1, or a pharmaceutically acceptable salt thereof.

16. R ｅ is H, OH, or C １ -C ６ alkoxy, the compound according to claim 1, or a pharmaceutically acceptable salt thereof.

17. R ４ｂ１ is H or C １ -C ６ alkyl, optionally CH ３ The compound according to claim 1, or a pharmaceutically acceptable salt thereof, wherein is

18. R ４ｂ２ is H or C １ -C ６ alkyl, optionally CH ３ The compound according to claim 1, or a pharmaceutically acceptable salt thereof, wherein

19. R ５ｂ１ is C １ -C ６ alkyl, optionally CH ３ , or C １ -C ６ haloalkyl, optionally CF ３ The compound according to claim 1, or a pharmaceutically acceptable salt thereof.

20. R ５ｂ２ is C １ -C ６ alkyl, optionally CH ３ , or C １ -C ６ haloalkyl, optionally CF ３ The compound according to claim 1, or a pharmaceutically acceptable salt thereof.

21. R ２ｃ is C １ -C ６ alkoxy, and optionally O-CH ２ -C(R ２ｃ１ )(R ２ｃ２ )(R ２ｃ３ ) or O-CH(R ２ｃ４ )(R ２ｃ５ ), the compound according to claim 1, or a pharmaceutically acceptable salt thereof.

22. X ３ｃ is C—R ３ｃ wherein R ３ｃ is halo, optionally F, or C １ —C ６ alkyl, optionally CH ３ and the compound according to claim 1 or a pharmaceutically acceptable salt thereof.

23. X ４ｃ is C-R ４ｃ where R ４ｃ is halo, and optionally F, the compound according to claim 1, or a pharmaceutically acceptable salt thereof.

24. X ５ｃ is C-R ５ｃ and R ５ｃ is H, the compound according to claim 1, or a pharmaceutically acceptable salt thereof.

25. X ６ｃ is C-R ６ｃ and R ６ｃ is H, the compound according to claim 1, or a pharmaceutically acceptable salt thereof.

26. 【Table 1-1】 【Table 1-2】 【Table 1-3】 【Table 1-4】 【Table 1-5】 a compound selected from, or a pharmaceutically acceptable salt thereof.

27. The compound according to any one of claims 1 to 26 in non-salt form.

28. A pharmaceutical composition comprising a therapeutically effective amount of the compound according to claim 1 or a pharmaceutically acceptable salt thereof and one or more pharmaceutically acceptable carriers or vehicles.

29. A pharmaceutical composition comprising the compound according to claim 1 or a pharmaceutically acceptable salt thereof and one or more pharmaceutically acceptable carriers or vehicles.

30. A composition for use in a method of inhibiting voltage-dependent sodium channels in a subject, the composition comprising the compound according to claim 1 or a pharmaceutically acceptable salt thereof.

31. wherein the voltage-dependent sodium channel is Na Ｖ The composition according to claim 30, wherein it is 1.

8.

32. A composition for use in a method of treating chronic pain, intestinal pain, neuropathic pain, musculoskeletal pain, acute pain, inflammatory pain, cancer pain, idiopathic pain, postoperative pain, visceral pain, multiple sclerosis, Charcot-Marie-Tooth disease, incontinence, pathological cough, or cardiac arrhythmia or reducing the severity thereof in a subject, the composition comprising the compound according to claim 1 or a pharmaceutically acceptable salt thereof.

33. The composition according to claim 32, wherein the method comprises treating one or more of neuropathic pain, optionally postherpetic neuralgia, small fiber neuropathy, idiopathic small fiber neuropathy, or diabetic neuropathy; musculoskeletal pain, optionally pain of osteoarthritis; acute pain, acute postoperative pain; postoperative pain, optionally pain of aponeurotoma resection, abdominoplasty, or hernia suture; or one or more of visceral pain or reducing the severity thereof in the subject.

34. The composition according to claim 33, wherein the diabetic neuropathy comprises diabetic peripheral neuropathy.

35. The composition according to claim 30, wherein the subject is treated with one or more additional therapeutic agents administered concurrently with, prior to, or after treatment with the composition.

36. A composition for use as a medicament, the composition comprising the compound according to claim 1 or a pharmaceutically acceptable salt thereof.

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