MELANOCORTIN SUBTYPE-2 RECEPTOR (MC2R) ANTAGONISTS AND USES THEREOF

Abstract

Described herein are compounds that are melanocortin subtype-2 receptor (MC2R) modulators, methods of making such compounds, pharmaceutical compositions and formulations containing such compounds, and methods of using such compounds in the treatment of diseases, disorders, or conditions that would benefit from modulation of MC2R activity.

Description

[Technical field]

[0001] CROSS-REFERENCE TO RELATED APPLICATIONS This application claims the benefit of U.S. Provisional Patent Application No. 62 / 932,306, filed November 7, 2019, which is incorporated by reference in its entirety.

[0002] Described herein are compounds that modulate the activity of one or more melanocortin receptors, methods of making such compounds, pharmaceutical compositions and formulations containing such compounds, and methods of using such compounds in the treatment of diseases, disorders, or conditions that would benefit from modulating melanocortin subtype-2 receptor (MC2R) activity. [Background technology]

[0003] Melanocortin receptors form a family of G protein-coupled receptors (GPCRs) (MC1R, MC2R, MC3R, MC4R, and MC5R) that are selectively activated by the different melanocortin peptides adrenocorticotropic hormone (ACTH) and the proopiomelanocortin hormones, i.e., the melanocortin peptides α-, β-, and γ-melanocyte-stimulating hormone (α-MSH, β-MSH, and γ-MSH), which are proteolytically derived from POMC. ACTH is a 39 amino acid peptide that is the primary regulator of adrenal glucocorticoid synthesis and secretion and has affinity only for MC2R. As a central player in this hypothalamic-pituitary-adrenal (HPA) axis, ACTH is secreted from the pituitary gland in response to stress stimuli and acts in the adrenal gland to promote cortisol synthesis and secretion. Modulation of MC2R is attractive for the treatment of conditions, diseases, or disorders that would benefit from modulating the activity of melanocortin receptors. Summary of the Invention

[0004] The compounds described herein are melanocortin receptor modulator compounds.In some embodiments, the compounds described herein modulate one or more of the proteins of melanocortin receptor subtypes.In some embodiments, the compounds described herein modulate two or more of the proteins of melanocortin receptor subtypes.In some embodiments, the compounds described herein modulate MC2R.

[0005] In one embodiment, the compound of formula (I) or a pharma- ceutically acceptable salt or solvate thereof is described herein:

[0006] [ka] During the ceremony, R A is unsubstituted or substituted phenyl or unsubstituted or substituted monocyclic heteroaryl, where R A If is substituted, R A is R a , R b , and R c is replaced by R a , R b , and R c are independently hydrogen, halogen, -OR 5 , -CN, -N(R 5 )2, unsubstituted or substituted C1-C6 alkyl, unsubstituted or substituted C1-C6 fluoroalkyl, unsubstituted or substituted C1-C6 heteroalkyl, unsubstituted or substituted C3-C6 cycloalkyl, unsubstituted or substituted C2-C7 heterocycloalkyl, unsubstituted or substituted phenyl, and unsubstituted or substituted monocyclic heteroaryl; R a , R b , and R c Any substituted group may be selected from one or more R 7 is substituted with a group, L is -O-, -C(=O)-, -C(=O)NR 4 -, -S-, -SO2-, -S(=O)2NR 4-, a 5-membered heterocycle, or a bond; M is -O-, -C(=O)-, -C(=O)NR 4 -, -S-, -SO2-, -S(=O)2NR 4 -, a 5-membered heterocycle, or a bond; R B is an unsubstituted or substituted carbocycle, an unsubstituted or substituted heterocycle, an unsubstituted or substituted C1-C7 alkyl, an unsubstituted or substituted C1-C7 fluoroalkyl, or an unsubstituted or substituted C1-C6 heteroalkyl, where R B If is substituted, R B is R d , R e , and R f is replaced by Or, R B and R 4 together with the nitrogen atom to which they are attached form an unsubstituted or substituted 3- to 7-membered heterocycle, where if the 3- to 7-membered heterocycle is substituted, the 3- to 7-membered heterocycle is R d , R e , and R f is replaced by R d , R e , and R f are independently hydrogen, halogen, -OR 5 , -CN, -N(R 5 )2, unsubstituted or substituted C1-C6 alkyl, unsubstituted or substituted C1-C6 fluoroalkyl, unsubstituted or substituted C1-C6 heteroalkyl, unsubstituted or substituted C3-C6 cycloalkyl, unsubstituted or substituted C2-C7 heterocycloalkyl, unsubstituted or substituted phenyl, and unsubstituted or substituted monocyclic heteroaryl, wherein R d , R e , and R f Any substituted group may be selected from one or more R 7 is substituted with a group, Y is CR 3 or N, where when Y is N, L is -C(=O)-, -C(=O)NR 4 -, -SO2-, -S(=O)2NR 4-, a 5-membered heterocycle, or a bond; Z is CR 3 or N, R 1 is unsubstituted or substituted C1-C6 alkyl or unsubstituted or substituted C3-C6 cycloalkyl, where R 1 If is substituted, R 1 is hydrogen, -OR 6 , halogen, -N(R 5 )2, or -CN, R 2 is hydrogen, unsubstituted or substituted C1-C6 alkyl, unsubstituted or substituted monocyclic carbocycle, unsubstituted or substituted bridged carbocycle, unsubstituted or substituted spirocyclic carbocycle, unsubstituted or substituted monocyclic heterocycle, unsubstituted or substituted bridged heterocycle, unsubstituted or substituted spirocyclic heterocycle, unsubstituted or substituted -(C1-C6 alkyl)-carbocycle, or unsubstituted or substituted -(C1-C6 alkyl)-heterocycle, where R 2 The optional substituted groups in the formula (I) are selected from the group consisting of one or more of halogen, unsubstituted or substituted C1-C6 alkyl, unsubstituted or substituted monocyclic heterocycle, -N(R 5 )2, -OR 6 , -CN, -CO2R 6 , -C(=O)N(R 5 )2, -SR 6 , -S(=O)R 8 , -S(=O)2R 8 , -NR 5 C(=O)R 6 , -NR 5 SO2R 8 , -SO2R 8 , or -SO2N(R 5 )2, R 3 each independently represents hydrogen, halogen, unsubstituted or substituted C1-C6 alkyl, unsubstituted or substituted C3-C6 cycloalkyl, unsubstituted or substituted C1-C6 fluoroalkyl, -CN, -OR 6 , -SR 6 , -CO2R 6 , -C(=O)N(R 5 )2, or -N(R 5 )2, R 4 is hydrogen, substituted C1-C6 alkyl, unsubstituted or substituted C3-C6 cycloalkyl, unsubstituted or substituted C1-C6 fluoroalkyl, unsubstituted or substituted aryl, or unsubstituted or substituted heteroaryl; R 5 are each independently hydrogen, substituted C1-C6 alkyl, unsubstituted or substituted C3-C6 cycloalkyl, unsubstituted or substituted C1-C6 fluoroalkyl, unsubstituted or substituted aryl, or unsubstituted or substituted heteroaryl; Alternatively, two R on the same nitrogen atom 5 together with the nitrogen atom to which they are attached form an unsubstituted or substituted 3- to 6-membered monocyclic heterocycle; R 6 are each independently hydrogen, substituted C1-C6 alkyl, unsubstituted or substituted C3-C6 cycloalkyl, unsubstituted or substituted C1-C6 fluoroalkyl, unsubstituted or substituted aryl, or unsubstituted or substituted heteroaryl; R 7 are each independently hydrogen, halogen, unsubstituted or substituted C1-C4 alkyl, unsubstituted or substituted C1-C4 alkoxy, unsubstituted or substituted C1-C4 fluoroalkyl, unsubstituted or substituted C1-C4 fluoroalkoxy, unsubstituted or substituted monocyclic carbocycle, unsubstituted or substituted monocyclic heterocycle, -CN, -OH, -COR 6 , -CH2CO2R 6 , -C(=O)N(R 5 )2, -C(=O)N(R 5 ) OR 6 , -CH2C(=O)N(R 5 )2, -N(R 5 )2, -CH2N(R 5 )2, -C(R 6 )2N(R 5 )2, -NR 5 C(=O)R 6 , -CH2NR 5 C(=O)R 6 , -NR 5 C(=O)N(R 6 )2, -NR5 C(=O)N(R 6 )2, C(R 6 )=N(R 5 )-OR 6 , -SR 6 , -S(=O)R 8 , -SO2R 8 , or -SO2N(R 5 )2, R 8 are each independently substituted C1-C6 alkyl, unsubstituted or substituted C3-C6 cycloalkyl, unsubstituted or substituted C1-C6 fluoroalkyl, unsubstituted or substituted phenyl, or unsubstituted or substituted heteroaryl.

[0007] Also described herein is a pharmaceutical composition comprising a compound described herein, or a pharma- ceutically acceptable salt or solvate thereof, and at least one pharma- ceutically acceptable excipient.In some embodiments, the pharmaceutical composition is formulated for administration to a mammal by intravenous, subcutaneous, oral, inhalation, nasal, dermal, or ocular administration.In some embodiments, the pharmaceutical composition is formulated for administration to a mammal by oral administration.In some embodiments, the pharmaceutical composition is in the form of a tablet, pill, capsule, liquid, suspension, gel, dispersion, solution, emulsion, ointment, or lotion.In some embodiments, the pharmaceutical composition is in the form of a tablet, pill, or capsule.

[0008] In any of the foregoing aspects, in further embodiments, an effective amount of a compound of formula (I), or a pharma- ceutically acceptable salt thereof, is (a) administered systemically to a mammal, and / or (b) administered orally to a mammal, and / or (c) administered intravenously to a mammal, and / or (d) administered by inhalation, and / or (e) administered intranasally, or, and / or (f) administered by injection to a mammal, and / or (g) administered topically to a mammal, and / or (h) administered by eye drops, and / or (i) administered rectally to a mammal, and / or (j) administered non-systemically or topically to a mammal.

[0009] In any of the above aspects, further embodiments comprising a single administration of an effective amount of the compound include further embodiments in which the compound is administered to the mammal once per day, or in which the compound is administered to the mammal multiple times during the day. In some embodiments, the compound is administered on a continuous dosing schedule. In some embodiments, the compound is administered on a continuous daily dosing schedule.

[0010] In any of the embodiments disclosed herein, the mammal is a human.

[0011] In some embodiments, the compounds provided herein are administered orally to a human.

[0012] An article of manufacture is provided that includes packaging material, a compound of Formula (I) or a pharma- ceutically acceptable salt thereof within the packaging material, and a label indicating that the compound or composition, or a pharma- ceutically acceptable salt, tautomer, pharma- ceutically acceptable N-oxide, pharma- ceutically acceptable active metabolite, pharma- ceutically acceptable prodrug, or pharma- ceutically acceptable solvate thereof, is used for modulating one or more melanocortin receptor subtype proteins or for the treatment, prevention, or amelioration of one or more symptoms of a disease or disorder that would benefit from modulation of one or more melanocortin receptor subtype proteins.

[0013] Other objectives, features, and advantages of the compounds, methods, and compositions described herein will become apparent from the following detailed description, however, it will be understood that the detailed description and specific examples, while illustrating specific embodiments, are given by way of example only, since various changes and modifications within the spirit and scope of the disclosure will become apparent to those skilled in the art from the detailed description. DETAILED DESCRIPTION OF THE PREFERRED EMBODIMENTS

[0014] Adrenocorticotropic hormone (ACTH) is a 39 amino acid peptide synthesized in the corticotrophic cells of the anterior pituitary gland by proteolysis of proopiomelanocortin hormone (POMC). ACTH is the major regulator of adrenal glucocorticoid (GC; cortisol in humans and most other species, corticosterone in rodents) synthesis and secretion. As a central player in this hypothalamic-pituitary-adrenal (HPA) axis, ACTH is secreted from the pituitary gland in response to stress stimuli and acts in the adrenal glands to promote cortisol synthesis and secretion. This stimulation is mediated by a highly specific G protein-coupled receptor (GPCR) that is almost uniquely expressed in the adrenal cortex. This receptor is the melanocortin 2 receptor (MC2R), which, together with ACTH, is part of the larger melanocortin system.

[0015] The melanocortin system includes a family of five GPCRs (MC1R, MC2R, MC3R, MC4R, and MC5R); their natural agonists, the melanocortin peptides α-, β-, and γ-melanocyte-stimulating hormone (α-MSH, β-MSH, and γ-MSH), and ACTH; and the endogenous melanocortin antagonists agouti and agouti-related protein (AGRP). Melanocortin receptors (MCRs) have different selectivities for endogenous agonist and antagonist peptides and are expressed in diverse tissues where they are responsible for a variety of distinct physiological functions. (Gantz, I. and TMFong, Am. J. Physiol. Endocrinol. Metab., 284:E468-E474, 2003).

[0016] It is possible to selectively regulate any one of MCRs or combinations thereof. In some embodiments, selectively regulating any one of MCRs or combinations thereof relative to other MCRs is useful in various clinical applications. In some embodiments, selectively regulating any one of MCRs or combinations thereof relative to other MCRs reduces undesirable side effects in various clinical applications. In one aspect, the compounds described herein are antagonists of MC2R. In some embodiments, the compounds described herein are selective antagonists of MC2R analogs or other MCRs.

[0017] MC2R is a highly selective receptor for ACTH. Although ACTH can activate all five MCRs, at physiological levels, the sensitivity of the other receptors is not high enough to activate them, and ACTH selectively activates MC2R. Importantly, other naturally occurring agonists, α-MSH, β-MSH, and γ-MSH, do not have any affinity for MC2R (Gantz, I. and TMFong, Am. J. Physiol. Endocrinol. Metab., 284:E468-E474, 2003). The main function of MC2R is to stimulate fasciculata cells of the adrenal cortex to synthesize and secrete cortisol. MC2R requires the GPCR accessory protein, MRAP (melanocortin 2 receptor protein), to be secreted to the cell surface and function successfully. MRAP is a small protein with one transmembrane domain that forms a stable complex with MC2R and is required for both the cell surface expression of MC2R and its ability to bind ACTH. Although MRAP can bind to and affect the activity of any MCR, it is essential only for the activity of MC2R. Binding of ACTH to the MC2R / MRAP complex in adrenal cortical cells activates GS, increasing intracellular cAMP levels, which in turn promotes cortisol synthesis and secretion by regulating multiple steps in the steroidogenic pathway.

[0018] Cushing's syndrome is a rare disease characterized by chronic glucocorticoid overexposure. Clinical symptoms of Cushing's syndrome include growth of fat pads (on the clavicle, back of the neck, face, and trunk), excessive sweating, dilated capillaries, thinning of the skin, muscle weakness, hirsutism, depression / anxiety, hypertension, osteoporosis, insulin resistance, hyperglycemia, heart disease, and various other metabolic abnormalities that result in high morbidity. Cushing's syndrome is associated with high mortality when severe and poorly controlled. Glucocorticoid excess is often ACTH-independent, for example, from hyperactive adrenal adenomas, cancer, and excess autonomous secretion of cortisol from steroid abuse, but approximately 60-80% of all cases are ACTH-dependent Cushing's syndrome, known as Cushing's disease. Cushing's disease is caused by microadenomas of pituitary corticotropin-producing cells that secrete ACTH in excess. Corticotroph adenomas are small, usually slow-growing, benign tumors that usually become clinically noticeable as a result of the effects of glucocorticoid excess, rather than the physical effects of tumor expansion. The first-line treatment for Cushing's disease is surgery, which involves removal of the ACTH-secreting tumor in the pituitary gland or the adrenal gland itself. Medical treatment is required for these patients, as surgery is often unsuccessful, contraindicated, or delayed. Current treatment options include inhibitors of steroid synthesis enzymes that can prevent the production of cortisol and improve symptoms, but these treatments also induce many undesirable side effects due to the accumulation of other steroid products. In one aspect, MC2R antagonists are used in the treatment of Cushing's syndrome. In some embodiments, MC2R antagonists are used in the treatment of Cushing's disease. In some embodiments, the glucocorticoid excess is ACTH-independent. In some embodiments, the glucocorticoid excess is ACTH-dependent.

[0019] Ectopic ACTH syndrome or ectopic Cushing's syndrome or disease is essentially the same as Cushing's disease, except that the underlying tumor expressing ACTH is outside the pituitary gland.In some embodiments, the tumor is a small carcinoid tumor that occurs anywhere in the lung or gastrointestinal tract.In some embodiments, MC2R antagonists are used in the treatment of ectopic ACTH syndrome.

[0020] Congenital adrenal hyperplasia (CAH) is characterized by reduced or lost cortisol synthesis and excess ACTH and corticotropin releasing hormone. CAH can result from various genetic defects in the adrenal steroid biosynthetic pathway. In some embodiments, CAH results from a mutation in 21β-hydroxylase. Lack of cortisol removes the negative feedback to the pituitary gland, leading to hypersecretion of ACTH. As a result, the adrenal glands are overstimulated, causing overproduction of steroid precursors, which also have adverse effects (e.g., hyperandrogenemia, etc.). Administration of replacement glucocorticoids typically cannot adequately suppress ACTH without also causing Cushing-like symptoms. In some embodiments, MC2R antagonists are used in the treatment of CAH.

[0021] In addition to Cushing's disease and CAH, there is also a hypothesis that MC2R antagonists may have a role in the treatment of depression and septic shock. In some embodiments, MC2R antagonists are used in the treatment of depression. In some embodiments, MC2R antagonists are used in the treatment of septic shock.

[0022] In some embodiments, the compounds described herein are amenable to administration to a mammal in need of treatment with an MC2R antagonist.

[0023] compound The compounds of formula (A) or formula (I), including its pharmaceutically acceptable salts, prodrugs, active metabolites, and pharmaceutically acceptable solvates, are melanocortin receptor modulators. In some embodiments, the compounds of formula (A) or formula (I), including its pharmaceutically acceptable salts, prodrugs, active metabolites, and pharmaceutically acceptable solvates, are MC2R modulators. In some embodiments, the MC2R modulators are MC2R antagonists.

[0024] In one aspect, provided herein is a compound of formula (A), or a pharma- ceutically acceptable salt or solvate thereof:

[0025] [ka] During the ceremony, R A is -CF3, unsubstituted or substituted phenyl, or unsubstituted or substituted monocyclic heteroaryl, where R A If is substituted, R A is R a , R b , and R c is replaced by R a , R b , and R c are independently hydrogen, halogen, -OR 6 , -CN, -N(R 5 )2, unsubstituted or substituted C1-C6 alkyl, unsubstituted or substituted C1-C6 fluoroalkyl, unsubstituted or substituted C1-C6 heteroalkyl, unsubstituted or substituted C3-C6 cycloalkyl, unsubstituted or substituted C2-C7 heterocycloalkyl, unsubstituted or substituted phenyl, and unsubstituted or substituted monocyclic heteroaryl; R a , R b , and R c Any substituted group may be selected from one or more R 7 is substituted with a group, L is -O-, -C(=O)-, -C(=O)NR 4 -, -S-, -SO2-, -S(=O)2NR4 -, a 5-membered heterocycle, or a bond; M is -O-, -C(=O)-, -C(=O)NR 4 -, -S-, -SO2-, -S(=O)2NR 4 -, a 5-membered heterocycle, or a bond; R B is an unsubstituted or substituted carbocycle, an unsubstituted or substituted heterocycle, an unsubstituted or substituted C1-C7 alkyl, an unsubstituted or substituted C1-C7 fluoroalkyl, or an unsubstituted or substituted C1-C6 heteroalkyl, where R B If is substituted, R B is R d , R e , and R f is replaced by Or, R B and R 4 together with the nitrogen atom to which they are attached form an unsubstituted or substituted 3- to 7-membered heterocycle, where if the 3- to 7-membered heterocycle is substituted, the 3- to 7-membered heterocycle is R d , R e , and R f is replaced by R d , R e , and R f are independently hydrogen, halogen, -OR 6 , -CN, -N(R 5 )2, unsubstituted or substituted C1-C6 alkyl, unsubstituted or substituted C1-C6 fluoroalkyl, unsubstituted or substituted C1-C6 heteroalkyl, unsubstituted or substituted C3-C6 cycloalkyl, unsubstituted or substituted C2-C7 heterocycloalkyl, unsubstituted or substituted phenyl, and unsubstituted or substituted monocyclic heteroaryl, wherein R d , R e , and R f Any substituted group may be selected from one or more R 7 is substituted with a group, X is CR 3 or N, Y is CR 3 or N, Z is CR 3or N, R 1 is hydrogen, unsubstituted or substituted C1-C6 alkyl, or unsubstituted or substituted C3-C6 cycloalkyl, where R 1 If is substituted, R 1 is hydrogen, -OR 6 , halogen, -N(R 5 )2, or -CN, R 2 is hydrogen, unsubstituted or substituted C1-C6 alkyl, unsubstituted or substituted monocyclic carbocycle, unsubstituted or substituted bridged carbocycle, unsubstituted or substituted spirocyclic carbocycle, unsubstituted or substituted monocyclic heterocycle, unsubstituted or substituted bridged heterocycle, unsubstituted or substituted spirocyclic heterocycle, unsubstituted or substituted -(C1-C6 alkyl)-carbocycle, or unsubstituted or substituted -(C1-C6 alkyl)-heterocycle, where R 2 The optional substituted groups in the formula (I) are selected from the group consisting of one or more of halogen, unsubstituted or substituted C1-C6 alkyl, unsubstituted or substituted monocyclic heterocycle, -N(R 5 )2, -OR 6 , -CN, -CO2R 6 , -C(=O)N(R 5 )2, -SR 6 , -S(=O)R 8 , -S(=O)2R 8 , -NR 5 C(=O)R 6 , -NR 5 SO2R 8 , -SO2R 8 , or -SO2N(R 5 )2, R 3 each independently represents hydrogen, halogen, unsubstituted or substituted C1-C6 alkyl, unsubstituted or substituted C3-C6 cycloalkyl, unsubstituted or substituted C1-C6 fluoroalkyl, -CN, -OR 6 , -SR 6 , -CO2R 6 , -C(=O)N(R 5 )2, or -N(R 5 )2, R 4is hydrogen, substituted C1-C6 alkyl, unsubstituted or substituted C3-C6 cycloalkyl, unsubstituted or substituted C1-C6 fluoroalkyl, unsubstituted or substituted aryl, or unsubstituted or substituted heteroaryl; R 5 are each independently hydrogen, substituted C1-C6 alkyl, unsubstituted or substituted C3-C6 cycloalkyl, unsubstituted or substituted C1-C6 fluoroalkyl, unsubstituted or substituted aryl, or unsubstituted or substituted heteroaryl; Alternatively, two R on the same nitrogen atom 5 together with the nitrogen atom to which they are attached form an unsubstituted or substituted 3- to 6-membered monocyclic heterocycle; R 6 are each independently hydrogen, substituted C1-C6 alkyl, unsubstituted or substituted C3-C6 cycloalkyl, unsubstituted or substituted C1-C6 fluoroalkyl, unsubstituted or substituted aryl, or unsubstituted or substituted heteroaryl; R 7 are each independently hydrogen, halogen, unsubstituted or substituted C1-C4 alkyl, unsubstituted or substituted C1-C4 alkoxy, unsubstituted or substituted C1-C4 fluoroalkyl, unsubstituted or substituted C1-C4 fluoroalkoxy, unsubstituted or substituted monocyclic carbocycle, unsubstituted or substituted monocyclic heterocycle, -CN, -OH, -COR 6 , -CH2CO2R 6 , -C(=O)N(R 5 )2, -C(=O)N(R 5 ) OR 6 , -CH2C(=O)N(R 5 )2, -N(R 5 )2, -CH2N(R 5 )2, -C(R 6 )2N(R 5 )2, -NR 5 C(=O)R 6 , -CH2NR 5 C(=O)R 6 , -NR 5 C(=O)N(R 6 )2, -NR 5 C(=O)N(R6 )2, C(R 6 )=N(R 5 )-OR 6 , -SR 6 , -S(=O)R 8 , -SO2R 8 , or -SO2N(R 5 )2, R 8 are each independently substituted C1-C6 alkyl, unsubstituted or substituted C3-C6 cycloalkyl, unsubstituted or substituted C1-C6 fluoroalkyl, unsubstituted or substituted phenyl, or unsubstituted or substituted heteroaryl.

[0026] In some embodiments, at least one of L and M is --O--.

[0027] In some embodiments, X is CR 3 In some embodiments, X is CR 3 and R 3 is hydrogen, halogen, unsubstituted or substituted C1-C6 alkyl, unsubstituted or substituted C1-C6 fluoroalkyl, -CN, or -OR 8 In some embodiments, X is CR 3 and R 3 is hydrogen, halogen, or unsubstituted or substituted C1-C6 alkyl. In some embodiments, X is CR 3 and R 3 is hydrogen or halogen. In some embodiments, X is CR 3 and R 3 is hydrogen or fluorine. In some embodiments, X is CH or CF. In some embodiments, X is CH. In some embodiments, X is CF.

[0028] In some embodiments, X is N.

[0029] In some embodiments, R 1is -H, -CH, -CHCH, -CHCHCH, -CH(CH), -CHCHCHCHCH, -CH(CH), -CHCHCHCHCH, -CH(CH)(CHCH), -C(CH), -CHOH, -CHCN, -CHF, -CHF, -CF, -CHCHOH, -CHCHCN, -CHCHF, -CHCHF, -CHCF, -CHOCH, -CHCHOCH, -CHNH, -CHNHCH, -CHN(CH), -CHCHNH, -CHCHNHCH, -CHCHN(CH), cyclopropyl, cyclobutyl, cyclopentyl, or cyclohexyl. 1 is -H, -CH, -CHCH, or -CHCHCH. In some embodiments, R 1 is -H.

[0030] In some embodiments, R 1 is unsubstituted or substituted C1-C6 alkyl or unsubstituted or substituted C3-C6 cycloalkyl, where R 1 If is substituted, R 1 is hydrogen, -OR 6 , halogen, -N(R 5 )2, or -CN.

[0031] In some embodiments, R A is -CF3, unsubstituted or substituted phenyl, unsubstituted or substituted monocyclic 6-membered heteroaryl, unsubstituted or substituted monocyclic 5-membered heteroaryl, where R A If is substituted, R A is R a , R b , and R c is replaced by.

[0032] In some embodiments, R Ais -CF3, unsubstituted or substituted phenyl, unsubstituted or substituted pyridinyl, unsubstituted or substituted pyrimidinyl, unsubstituted or substituted pyrazinyl, unsubstituted or substituted pyridazinyl, unsubstituted or substituted triazinyl, unsubstituted or substituted furanyl, unsubstituted or substituted thienyl, unsubstituted or substituted pyrrolyl, unsubstituted or substituted oxazolyl, unsubstituted or substituted thiazolyl, unsubstituted or substituted imidazolyl, unsubstituted or substituted pyrazolyl, unsubstituted or substituted triazolyl, unsubstituted or substituted tetrazolyl, unsubstituted or substituted isoxazolyl, unsubstituted or substituted isothiazolyl, unsubstituted or substituted oxadiazolyl, or unsubstituted or substituted thiadiazolyl, where R A If is substituted, R A is R a , R b , and R c is replaced by.

[0033] In some embodiments, R A is -CF3, unsubstituted or substituted phenyl, unsubstituted or substituted pyridinyl, unsubstituted or substituted pyrimidinyl, unsubstituted or substituted pyrazinyl, or unsubstituted or substituted pyridazinyl, where R A If is substituted, R A is R a , R b , and R c is replaced by.

[0034] In some embodiments, R A is -CF3, unsubstituted or substituted phenyl, or unsubstituted or substituted pyridinyl, where R A If is substituted, R A is R a , R b , and R c is replaced by.

[0035] In some embodiments, R A is unsubstituted or substituted phenyl, or unsubstituted or substituted monocyclic heteroaryl, where R AIf is substituted, R A is R a , R b , and R c is replaced by.

[0036] In some embodiments, R A is unsubstituted or substituted phenyl, or unsubstituted or substituted monocyclic heteroaryl, where R A If is substituted, R A is R a , R b , and R c and X is N and R 1 is unsubstituted or substituted C1-C6 alkyl or unsubstituted or substituted C3-C6 cycloalkyl, where R 1 If is substituted, R 1 is hydrogen, -OR 6 , halogen, -N(R 5 )2, or -CN.

[0037] In some embodiments, the compound has the structure of formula (I):

[0038] [ka] During the ceremony, R A is unsubstituted or substituted phenyl or unsubstituted or substituted monocyclic heteroaryl, where R A If is substituted, R A is R a , R b , and R c is replaced by R a , R b , and R c are independently hydrogen, halogen, -OR 5 , -CN, -N(R 5)2, unsubstituted or substituted C1-C6 alkyl, unsubstituted or substituted C1-C6 fluoroalkyl, unsubstituted or substituted C1-C6 heteroalkyl, unsubstituted or substituted C3-C6 cycloalkyl, unsubstituted or substituted C2-C7 heterocycloalkyl, unsubstituted or substituted phenyl, and unsubstituted or substituted monocyclic heteroaryl; R a , R b , and R c Any substituted group may be selected from one or more R 7 is substituted with a group, L is -O-, -C(=O)-, -C(=O)NR 4 -, -S-, -SO2-, -S(=O)2NR 4 -, a 5-membered heterocycle, or a bond; M is -O-, -C(=O)-, -C(=O)NR 4 -, -S-, -SO2-, -S(=O)2NR 4 -, a 5-membered heterocycle, or a bond; R B is an unsubstituted or substituted carbocycle, an unsubstituted or substituted heterocycle, an unsubstituted or substituted C1-C7 alkyl, an unsubstituted or substituted C1-C7 fluoroalkyl, or an unsubstituted or substituted C1-C6 heteroalkyl, where R B If is substituted, R B is R d , R e , and R f is replaced by Or, R B and R 4 together with the nitrogen atom to which they are attached form an unsubstituted or substituted 3- to 7-membered heterocycle, where if the 3- to 7-membered heterocycle is substituted, the 3- to 7-membered heterocycle is R d , R e , and R f is replaced by R d , R e , and R f are independently hydrogen, halogen, -OR 5 , -CN, -N(R 5)2, unsubstituted or substituted C1-C6 alkyl, unsubstituted or substituted C1-C6 fluoroalkyl, unsubstituted or substituted C1-C6 heteroalkyl, unsubstituted or substituted C3-C6 cycloalkyl, unsubstituted or substituted C2-C7 heterocycloalkyl, unsubstituted or substituted phenyl, and unsubstituted or substituted monocyclic heteroaryl, wherein R d , R e , and R f Any substituted group may be selected from one or more R 7 is substituted with a group, Y is CR 3 or N, Z is CR 3 or N, R 1 is unsubstituted or substituted C1-C6 alkyl or unsubstituted or substituted C3-C6 cycloalkyl, where R 1 If is substituted, R 1 is hydrogen, -OR 6 , halogen, -N(R 5 )2, or -CN, R 2 is hydrogen, unsubstituted or substituted C1-C6 alkyl, unsubstituted or substituted monocyclic carbocycle, unsubstituted or substituted bridged carbocycle, unsubstituted or substituted spirocyclic carbocycle, unsubstituted or substituted monocyclic heterocycle, unsubstituted or substituted bridged heterocycle, unsubstituted or substituted spirocyclic heterocycle, unsubstituted or substituted -(C1-C6 alkyl)-carbocycle, or unsubstituted or substituted -(C1-C6 alkyl)-heterocycle, where R 2 The optional substituted groups in the formula (I) are selected from the group consisting of one or more of halogen, unsubstituted or substituted C1-C6 alkyl, unsubstituted or substituted monocyclic heterocycle, -N(R 5 )2, -OR 6 , -CN, -CO2R 6 , -C(=O)N(R 5 )2, -SR 6 , -S(=O)R 8 , -S(=O)2R 8 , -NR 5 C(=O)R 6 , -NR 5 SO2R 8, -SO2R 8 , or -SO2N(R 5 )2, R 3 each independently represents hydrogen, halogen, unsubstituted or substituted C1-C6 alkyl, unsubstituted or substituted C3-C6 cycloalkyl, unsubstituted or substituted C1-C6 fluoroalkyl, -CN, -OR 6 , -SR 6 , -CO2R 6 , -C(=O)N(R 5 )2, or -N(R 5 )2, R 4 is hydrogen, substituted C1-C6 alkyl, unsubstituted or substituted C3-C6 cycloalkyl, unsubstituted or substituted C1-C6 fluoroalkyl, unsubstituted or substituted aryl, or unsubstituted or substituted heteroaryl; R 5 are each independently hydrogen, substituted C1-C6 alkyl, unsubstituted or substituted C3-C6 cycloalkyl, unsubstituted or substituted C1-C6 fluoroalkyl, unsubstituted or substituted aryl, or unsubstituted or substituted heteroaryl; Alternatively, two R on the same nitrogen atom 5 together with the nitrogen atom to which they are attached form an unsubstituted or substituted 3- to 6-membered monocyclic heterocycle; R 6 are each independently hydrogen, substituted C1-C6 alkyl, unsubstituted or substituted C3-C6 cycloalkyl, unsubstituted or substituted C1-C6 fluoroalkyl, unsubstituted or substituted aryl, or unsubstituted or substituted heteroaryl; R 7 are each independently hydrogen, halogen, unsubstituted or substituted C1-C4 alkyl, unsubstituted or substituted C1-C4 alkoxy, unsubstituted or substituted C1-C4 fluoroalkyl, unsubstituted or substituted C1-C4 fluoroalkoxy, unsubstituted or substituted monocyclic carbocycle, unsubstituted or substituted monocyclic heterocycle, -CN, -OH, -COR 6 , -CH2CO2R 6 , -C(=O)N(R 5)2, -C(=O)N(R 5 ) OR 6 , -CH2C(=O)N(R 5 )2, -N(R 5 )2, -CH2N(R 5 )2, -C(R 6 )2N(R 5 )2, -NR 5 C(=O)R 6 , -CH2NR 5 C(=O)R 6 , -NR 5 C(=O)N(R 6 )2, -NR 5 C(=O)N(R 6 )2, C(R 6 )=N(R 5 )-OR 6 , -SR 6 , -S(=O)R 8 , -SO2R 8 , or -SO2N(R 5 )2, R 8 are each independently substituted C1-C6 alkyl, unsubstituted or substituted C3-C6 cycloalkyl, unsubstituted or substituted C1-C6 fluoroalkyl, unsubstituted or substituted phenyl, or unsubstituted or substituted heteroaryl.

[0039] In some embodiments, L is -O-, -C(=O)-, -C(=O)NR 4 -, -S-, -SO2-, -S(=O)2NR 4 In some embodiments, L is -O-, -C(=O)-, -C(=O)NR 4 -, -S-, -SO2-, -S(=O)2NR 4 In some embodiments, L is -O-, -C(=O)-, -C(=O)NR 4 -, -S-, -SO2-, -S(=O)2NR 4 -, or 5-membered heteroaryl.

[0040] In some embodiments, L is -O-, -C(=O)-, -S-, -SO2-, a 5-membered heteroaryl, or a bond. In some embodiments, L is -O-, -C(=O)-, a 5-membered heteroaryl, or a bond. In some embodiments, L is -O- or a 5-membered heteroaryl. In some embodiments, L is -O-, -C(=O)-, furanyl, thienyl, pyrrolyl, oxazolyl, thiazolyl, imidazolyl, pyrazolyl, triazolyl, isoxazolyl, isothiazolyl, oxadiazolyl, thiadiazolyl, or a bond. In some embodiments, L is -O-, furanyl, thienyl, pyrrolyl, oxazolyl, thiazolyl, imidazolyl, pyrazolyl, triazolyl, isoxazolyl, isothiazolyl, oxadiazolyl, or thiadiazolyl. In some embodiments, L is -O-, -C(=O)-, imidazolyl, oxadiazolyl, or a bond. In some embodiments, L is -O-, imidazolyl, or oxadiazolyl.

[0041] In some embodiments, L is -O-, -S-, or -SO2-. In some embodiments, L is -S- or -SO2-. In some embodiments, L is -S-. In some embodiments, L is -SO2-. In some embodiments, L is -O-.

[0042] In some embodiments, L is -C(=O)-.

[0043] In some embodiments, L is -C(=O)NR 4 - or -S(=O)NR 4 In some embodiments, L is -C(=O)NR 4 In some embodiments, L is -S(=O)NR 4 -It is.

[0044] In some embodiments, L is a 5-membered heterocycle. In some embodiments, L is a 5-membered heteroaryl. In some embodiments, A is furanyl, thienyl, pyrrolyl, oxazolyl, thiazolyl, imidazolyl, pyrazolyl, triazolyl, isoxazolyl, isothiazolyl, oxadiazolyl, or thiadiazolyl. In some embodiments, L is imidazolyl or oxadiazolyl.

[0045] In some embodiments, L is a bond.

[0046] In some embodiments, M is -C(=O)NR 4 When Z and Y are each N, L is -C(=O)-, SO2, -C(=O)NR 4 In some embodiments, M is not - or a bond. 4 When Z and Y are each N, L is -O-, -S-, -S(=O)NR 4 -, or a 5-membered heterocycle. In some embodiments, M is -C(=O)NR 4 When Z and Y are each N, L is -O-, -S-, -S(=O)NR 4 -, or 5-membered heteroaryl. In some embodiments, M is -C(=O)NR 4 - and when Z and Y are each N, L is -O- or -S-. In some embodiments, M is -C(=O)NR 4 When Z and Y are each N, L is -O-. In some embodiments, M is -C(=O)NR 4 - and Z and Y are each N, then L is -S-. In some embodiments, M is -C(=O)NR 4 -, and when Z and Y are each N, L is -S(=O)NR 4 In some embodiments, M is -C(=O)NR 4 When Z and Y are each N, L is a 5-membered heterocycle. In some embodiments, M is -C(=O)NR 4When Z and Y are each N, then L is a 5-membered heteroaryl.

[0047] In some embodiments, M is -O-, -C(=O)-, -C(=O)NR 4 -, -S-, -SO2-, -S(=O)2NR 4 In some embodiments, M is -O-, -C(=O)-, -C(=O)NR 4 -, -S-, -SO2-, -S(=O)2NR 4 In some embodiments, M is -O-, -C(=O)-, -C(=O)NR 4 -, -S-, -SO2-, -S(=O)2NR 4 -, or 5-membered heteroaryl.

[0048] In some embodiments, M is -O-, -C(=O)NR 4 -, -S-, -SO2-, -S(=O)2NR 4 In some embodiments, M is -, -C(=O)NR 4 -, -S-, -SO2, -S(=O)2NR 4 In some embodiments, M is -S-, -SO2-, -S(=O)2NR 4 In some embodiments, M is -, -SO2-, -S(=O)2NR 4 In some embodiments, M is -, -S-, -SO2-, -S(=O)2NR 4 -, oxazolyl, imidazolyl, triazolyl, or a bond.

[0049] In some embodiments, M is -O-, -S-, or -SO2-. In some embodiments, M is -S- or -SO2-. In some embodiments, M is -S-. In some embodiments, M is -SO2-. In some embodiments, M is -O-.

[0050] In some embodiments, M is -C(=O)-.

[0051] In some embodiments, M is -C(=O)NR 4 - or -S(=O)NR 4 In some embodiments, M is -C(=O)NR 4 In some embodiments, M is -S(=O)NR 4 -It is.

[0052] In some embodiments, M is a 5-membered heterocycle. In some embodiments, M is a 5-membered heteroaryl. In some embodiments, M is furanyl, thienyl, pyrrolyl, oxazolyl, thiazolyl, imidazolyl, pyrazolyl, triazolyl, isoxazolyl, isothiazolyl, oxadiazolyl, or thiadiazolyl. In some embodiments, M is oxazolyl, imidazolyl, or triazolyl.

[0053] In some embodiments, M is a bond.

[0054] In some embodiments, at least one of L and M is -O-. In some embodiments, L is -O-. In some embodiments, M is -O-.

[0055] In some embodiments, L is -O-, -C(=O)-, -S-, -SO2-, a 5-membered heteroaryl, or a bond; and M is -O-, -C(=O)NR 4 -, -S-, -SO2-, -S(=O)2NR 4 -, a 5-membered heteroaryl, or a bond.

[0056] In some embodiments, L is -O-, -C(=O)-, a 5-membered heteroaryl, or a bond and M is -O-. In some embodiments, L is -O-, -C(=O)-, furanyl, thienyl, pyrrolyl, oxazolyl, thiazolyl, imidazolyl, pyrazolyl, triazolyl, isoxazolyl, isothiazolyl, oxadiazolyl, thiadiazolyl, or a bond and M is -O-. In some embodiments, L is -O-, -C(=O)-, imidazolyl, oxadiazolyl, or a bond and M is -O-.

[0057] In some embodiments, L is -C(=O)- and M is -O-. In some embodiments, L is -C(=O)-, M is -O-, Y is N, and Z is N.

[0058] In some embodiments, L is -O- or a 5-membered heteroaryl and M is -O-. In some embodiments, L is -O-, imidazolyl, or oxadiazolyl and M is -O-. In some embodiments, L is -O- or a 5-membered heteroaryl, M is -O-, and Y is CR. 3 and Z is N. In some embodiments, L is -O-, imidazolyl, or oxadiazolyl, M is -O-, and Y is CR 3 and Z is N.

[0059] In some embodiments, L is a bond and M is -O-. In some embodiments, L is a bond, M is -O-, Y is N, and Z is CR 3 It is.

[0060] In some embodiments, L is -O- and M is -C(=O)NR 4 In some embodiments, L is -O- and M is -C(=O)NR 4 - and Y is CR 3 and Z is N.

[0061] In some embodiments, L is -C(=O)- and M is -S-, -SO2-, -S(=O)2NR 4 In some embodiments, L is -C(=O)- and M is -S-, -SO2-, -S(=O)2NR 4 In some embodiments, L is -C(=O)- and M is -S-, -SO2-, -S(=O)2NR2, or a bond. 4 In some embodiments, L is -C(=O)- and M is -S-, -SO2-, -S(=O)2NR 4 -, 5-membered heteroaryl, or a bond, Y is N, and Z is N. In some embodiments, L is -C(=O)- and M is -S-, -SO2-, -S(=O)2NR 4 -, furanyl, thienyl, pyrrolyl, oxazolyl, thiazolyl, imidazolyl, pyrazolyl, triazolyl, isoxazolyl, isothiazolyl, oxadiazolyl, thiadiazolyl, or a bond; Y is N; and Z is N. In some embodiments, L is -C(=O)-; M is -S-, -SO2-, -S(=O)2NR 4 -, oxazolyl, imidazolyl, triazolyl, or a bond, Y is N, and Z is N.

[0062] In some embodiments, L is -S- or -SO2- and M is -C(=O)NR 4 In some embodiments, L is -S- or -SO2- and M is -C(=O)NR 4 - and Y is CR 3 and Z is N.

[0063] In some embodiments, Y is N. In some embodiments, Y is CR 3 In some embodiments, when Y is N, L is -C(=O)-, -C(=O)NR 4 -, -SO2-, -S(=O)2NR 4 In some embodiments, when Y is N, L is -C(=O)-, -SO2-, a 5-membered heterocycle, or a bond. In some embodiments, when Y is N, L is -C(=O)- or a bond. In some embodiments, when Y is N, L is -C(=O)-. In some embodiments, when Y is N, L is a bond.

[0064] In some embodiments, Z is N. In some embodiments, Z is CR 3 It is.

[0065] In some embodiments, Y is N and Z is N. In some embodiments, Y is CR 3 and Z is N. In some embodiments, Y is N and Z is CR 3 In some embodiments, Y is CR 3 and Z is CR 3 It is.

[0066] In some embodiments, R 3 each independently represents hydrogen, halogen, unsubstituted or substituted C1-C6 alkyl, unsubstituted or substituted C1-C6 fluoroalkyl, -CN, or -OR 8 In some embodiments, R 3 each independently represents hydrogen, unsubstituted or substituted C1-C6 alkyl, unsubstituted or substituted C1-C6 fluoroalkyl, -CN, or -OR 8 In some embodiments, R 3 are each independently hydrogen, halogen, unsubstituted or substituted C-C alkyl, or unsubstituted or substituted C-C fluoroalkyl. 3are each independently hydrogen, unsubstituted or substituted C-C alkyl, or unsubstituted or substituted C-C fluoroalkyl. 3 are each independently hydrogen, halogen, or unsubstituted or substituted C-C alkyl. 3 are each independently hydrogen or unsubstituted or substituted C1-C6 alkyl. In some embodiments, R 3 are each independently hydrogen or halogen. In some embodiments, R 3 are each independently hydrogen or fluorine. In some embodiments, R 3 are hydrogen.

[0067] In some embodiments, R A is unsubstituted or substituted phenyl, unsubstituted or substituted monocyclic 6-membered heteroaryl, unsubstituted or substituted monocyclic 5-membered heteroaryl, where R A If is substituted, R A is R a , R b , and R c is replaced by.

[0068] In some embodiments, R A is unsubstituted or substituted phenyl, unsubstituted or substituted pyridinyl, unsubstituted or substituted pyrimidinyl, unsubstituted or substituted pyrazinyl, unsubstituted or substituted pyridazinyl, unsubstituted or substituted triazinyl, unsubstituted or substituted furanyl, unsubstituted or substituted thienyl, unsubstituted or substituted pyrrolyl, unsubstituted or substituted oxazolyl, unsubstituted or substituted thiazolyl, unsubstituted or substituted imidazolyl, unsubstituted or substituted pyrazolyl, unsubstituted or substituted triazolyl, unsubstituted or substituted tetrazolyl, unsubstituted or substituted isoxazolyl, unsubstituted or substituted isothiazolyl, unsubstituted or substituted oxadiazolyl, or unsubstituted or substituted thiadiazolyl, wherein R A If is substituted, R A is R a , R b, and R c is replaced by.

[0069] In some embodiments, R A is unsubstituted or substituted phenyl, unsubstituted or substituted pyridinyl, unsubstituted or substituted pyrimidinyl, unsubstituted or substituted pyrazinyl, or unsubstituted or substituted pyridazinyl, where R A If is substituted, R A is R a , R b , and R c is replaced by.

[0070] In some embodiments, R A is unsubstituted or substituted phenyl or unsubstituted or substituted pyridinyl, where R A If is substituted, R A is R a , R b , and R c is replaced by.

[0071] In some embodiments, R A teeth,

[0072] [ka] It is.

[0073] In some embodiments, R A teeth,

[0074] [ka] In some embodiments, R A teeth,

[0075] [ka] In some embodiments, R A teeth,

[0076] [ka] It is.

[0077] In some embodiments, R A teeth,

[0078] [ka] and V is CH or N.

[0079] In some embodiments, R A teeth,

[0080] [ka] and V is CH or N. In some embodiments, R A teeth,

[0081] [ka] In some embodiments, R A teeth,

[0082] [ka] It is.

[0083] In some embodiments, the compound has the structure of formula (A2):

[0084] [ka] V is CH or N, and X is CR 3 Or N.

[0085] In some embodiments, the compound has the structure of formula (A2a):

[0086] [ka] V is CH or N.

[0087] In some embodiments, the compound has the structure of formula (A2b):

[0088] [ka] V is CH or N.

[0089] In some embodiments, the compound has the structure of formula (II):

[0090] [ka] V is CH or N.

[0091] In some embodiments, the compound has the structure of Formula (IIa):

[0092] [ka] V is CH or N.

[0093] In some embodiments, the compound has the structure of Formula (IIb):

[0094] [ka] V is CH or N.

[0095] In some embodiments, the compound has the structure of Formula (IIc):

[0096] [ka] V is CH or N.

[0097] In some embodiments, the compound has the structure of Formula (IId):

[0098] [ka] V is CH or N, and L is --O- or a 5-membered heteroaryl.

[0099] In some embodiments, the compound has the structure of Formula (IIe):

[0100] [ka] V is CH or N, and M is -S-, -SO2-, -S(=O)2NR 4 -, a 5-membered heteroaryl, or a bond.

[0101] In some embodiments, the compound has the structure of formula (IIf):

[0102] [ka] V is CH or N, and L is -S- or -SO2-.

[0103] In some embodiments, R B is an unsubstituted or substituted monocyclic carbocycle, an unsubstituted or substituted bicyclic carbocycle, an unsubstituted or substituted polycyclic carbocycle, an unsubstituted or substituted monocyclic heterocycle, an unsubstituted or substituted bicyclic heterocycle, an unsubstituted or substituted polycyclic heterocycle, where R B If is substituted, RB is R d , R e , and R f is replaced by.

[0104] In some embodiments, R B is an unsubstituted or substituted monocyclic carbocycle, an unsubstituted or substituted bridged carbocycle, an unsubstituted or substituted spiro carbocycle, an unsubstituted or substituted monocyclic heterocycle, an unsubstituted or substituted bridged heterocycle, or an unsubstituted or substituted spiro heterocycle, where R B If is substituted, R B is R d , R e , and R f is replaced by.

[0105] In some embodiments, R B is unsubstituted or substituted phenyl, unsubstituted or substituted naphthyl, unsubstituted or substituted monocyclic 6-membered heteroaryl, unsubstituted or substituted monocyclic 5-membered heteroaryl, unsubstituted or substituted bicyclic heteroaryl, monocyclic C3-C8 cycloalkyl, unsubstituted or substituted bridged C5-C 10 Cycloalkyl, unsubstituted or substituted spiro C5-C 10 Cycloalkyl, unsubstituted or substituted monocyclic C2-C8 heterocycloalkyl, unsubstituted or substituted bridged C5-C 10 Heterocycloalkyl or unsubstituted or substituted spiro C5-C 10 heterocycloalkyl, where R B If is substituted, R B is R d , R e , and R f is replaced by.

[0106] In some embodiments, R Bis unsubstituted or substituted phenyl, unsubstituted or substituted naphthyl, unsubstituted or substituted indanyl, unsubstituted or substituted indenyl, unsubstituted or substituted tetrahydronaphthyl, unsubstituted or substituted cyclopropyl, unsubstituted or substituted cyclobutyl, unsubstituted or substituted cyclopentyl, unsubstituted or substituted cyclopentenyl, unsubstituted or substituted cyclohexyl, unsubstituted or substituted cyclohexenyl, unsubstituted or substituted cycloheptyl, unsubstituted or substituted cyclooctyl, and unsubstituted or substituted carbocycles which are substituted or substituted spiro[2.2]pentyl, unsubstituted or substituted spiro[3.3]heptyl, unsubstituted or substituted spiro[3.5]nonyl, unsubstituted or substituted spiro[4.4]nonyl, unsubstituted or substituted spiro[4.5]decyl, unsubstituted or substituted norbornyl, unsubstituted or substituted norbornenyl, unsubstituted or substituted bicyclo[1.1.1]pentyl, unsubstituted or substituted adamantyl, or unsubstituted or substituted decalinyl.

[0107] In some embodiments, R Bis unsubstituted or substituted furanyl, unsubstituted or substituted thienyl, unsubstituted or substituted pyrrolyl, unsubstituted or substituted oxazolyl, unsubstituted or substituted thiazolyl, unsubstituted or substituted imidazolyl, unsubstituted or substituted pyrazolyl, unsubstituted or substituted triazolyl, unsubstituted or substituted tetrazolyl, unsubstituted or substituted isoxazolyl, unsubstituted or substituted isothiazolyl, unsubstituted or substituted oxadiazolyl, unsubstituted or substituted thiadiazolyl, zolyl, unsubstituted or substituted pyridinyl, unsubstituted or substituted pyrimidinyl, unsubstituted or substituted pyrazinyl, unsubstituted or substituted pyridazinyl, unsubstituted or substituted triazinyl, unsubstituted or substituted quinolinyl, unsubstituted or substituted isoquinolinyl, unsubstituted or substituted cinnolinyl, unsubstituted or substituted phthalazinyl, unsubstituted or substituted quinazolinyl, unsubstituted or substituted quinoxalinyl, unsubstituted or substituted naphthyridinyl, unsubstituted or substituted unsubstituted or substituted pteridinyl, unsubstituted or substituted indolizinyl, unsubstituted or substituted azaindolyl, unsubstituted or substituted indolyl, unsubstituted or substituted azaindolyl, unsubstituted or substituted indazolyl, unsubstituted or substituted azaindazolyl, unsubstituted or substituted benzimidazolyl, unsubstituted or substituted azabenzimidazolyl, unsubstituted or substituted benzotriazolyl, unsubstituted or substituted azabenzotriazolyl, unsubstituted or substituted benzoxazolyl, unsubstituted or substituted azabenzoxazolyl, unsubstituted or substituted benzisoxazolyl, unsubstituted or substituted azabenzisoxazolyl, unsubstituted or substituted benzofuranyl, unsubstituted or substituted azabenzofuranyl, unsubstituted or substituted benzothienyl, unsubstituted or substituted azabenzothienyl, unsubstituted or substituted benzothiazolyl, unsubstituted or substituted azabenzothiazolyl, or unsubstituted or substituted purinyl. In some embodiments, R B is an unsubstituted or substituted indolyl, where R B If is substituted, R B is R d , R e , and R f is replaced by.

[0108] In some embodiments, R B is unsubstituted or substituted aziridinyl, unsubstituted or substituted azetidinyl, unsubstituted or substituted oxetanyl, unsubstituted or substituted thietanyl, unsubstituted or substituted pyrrolidinyl, unsubstituted or substituted tetrahydrofuranyl, unsubstituted or substituted tetrahydrothienyl, unsubstituted or substituted oxazolidinonyl, unsubstituted or substituted tetrahydropyranyl, unsubstituted or substituted piperidinyl, unsubstituted or substituted morpholinyl, unsubstituted or substituted thiomorpholinyl, unsubstituted or substituted aryl, unsubstituted or substituted aryl, unsubstituted or substituted aryl, unsubstituted or substituted aryl, unsubstituted or substituted aryl, unsubstituted or substituted aryl, unsubstituted or substituted aryl is substituted piperazinyl, unsubstituted or substituted homopiperidinyl, unsubstituted or substituted oxepanyl, unsubstituted or substituted thiepanyl, unsubstituted or substituted oxazepinyl, unsubstituted or substituted diazepinyl, unsubstituted or substituted thiazepinyl, unsubstituted or substituted azaspiro[3.3]heptanyl, unsubstituted or substituted azaspiro[3.4]octanyl, unsubstituted or substituted azaspiro[3.4]octanyl, or unsubstituted or substituted azaspiro[4.4]nonyl.

[0109] In some embodiments, R B is unsubstituted or substituted phenyl, unsubstituted or substituted pyridinyl, unsubstituted or substituted pyrimidinyl, unsubstituted or substituted pyrazinyl, or unsubstituted or substituted pyridazinyl, where R B If is substituted, R B is R d , R e , and R f is replaced by.

[0110] In some embodiments, R B is unsubstituted or substituted cyclopropyl, unsubstituted or substituted cyclobutyl, unsubstituted or substituted cyclopentyl, unsubstituted or substituted cyclopentenyl, or unsubstituted or substituted cyclohexyl, where R B If is substituted, R B is R d , R e , and R f In some embodiments, R Bis unsubstituted or substituted cyclobutyl, where R B If is substituted, R B is R d , R e , and R f is replaced by.

[0111] In some embodiments, R B is unsubstituted or substituted aziridinyl, unsubstituted or substituted azetidinyl, unsubstituted or substituted oxetanyl, unsubstituted or substituted thietanyl, unsubstituted or substituted pyrrolidinyl, unsubstituted or substituted tetrahydrofuranyl, unsubstituted or substituted tetrahydrothienyl, unsubstituted or substituted oxazolidinonyl, unsubstituted or substituted tetrahydropyranyl, unsubstituted or substituted piperidinyl, unsubstituted or substituted morpholinyl, unsubstituted or substituted thiomorpholinyl, or unsubstituted or substituted piperazinyl, where R B If is substituted, R B is R d , R e , and R f In some embodiments, R B is unsubstituted or substituted aziridinyl, unsubstituted or substituted azetidinyl, unsubstituted or substituted pyrrolidinyl, unsubstituted or substituted piperidinyl, unsubstituted or substituted morpholinyl, unsubstituted or substituted thiomorpholinyl, or unsubstituted or substituted piperazinyl, where R B If is substituted, R B is R d , R e , and R f In some embodiments, R B is unsubstituted or substituted pyrrolidinyl, where R B If is substituted, R B is R d , R e , and R f is replaced by.

[0112] In some embodiments, R B teeth,

[0113] [ka] and m is 0, 1, 2, or 3. In some embodiments, m is 2 or 3. In some embodiments, m is 0. In some embodiments, m is 1. In some embodiments, m is 2. In some embodiments, m is 3.

[0114] In some embodiments, R B is unsubstituted or substituted phenyl or unsubstituted or substituted pyridinyl, where R B If is substituted, R B is R d , R e , and R f is replaced by.

[0115] In some embodiments, R B teeth,

[0116] [ka] In some embodiments, R B teeth,

[0117] [ka] In some embodiments, R B teeth,

[0118] [ka] In some embodiments, R B teeth,

[0119] [ka] It is.

[0120] In some embodiments, R B teeth,

[0121] [ka] and W is CH or N. In some embodiments, R B teeth,

[0122] [ka] and W is CH or N.

[0123] In some embodiments, the compound has the structure of formula (A3):

[0124] [ka] V is CH or N and W is CH or N.

[0125] In some embodiments, the compound has the structure of Formula (A3a):

[0126] [ka] V is CH or N and W is CH or N.

[0127] In some embodiments, the compound has the structure of Formula (A3b):

[0128] [ka] V is CH or N and W is CH or N.

[0129] In some embodiments, the compound has the structure of formula (III): or a pharma- ceutically acceptable salt or solvate thereof.

[0130] [ka] V is CH or N and W is CH or N.

[0131] In some embodiments, the compound has the structure of Formula (IIIa):

[0132] [ka] V is CH or N and W is CH or N.

[0133] In some embodiments, the compound has the structure of Formula (IIIb):

[0134] [ka] V is CH or N and W is CH or N.

[0135] In some embodiments, the compound has the structure of Formula (IIIc):

[0136] [ka] V is CH or N and W is CH or N.

[0137] In some embodiments, the compound has the structure of formula (IIId):

[0138] [ka] V is CH or N, W is CH or N, and L is -O- or a 5-membered heteroaryl.

[0139] In some embodiments, the compound has the structure of Formula (IIIe):

[0140] [ka] V is CH or N, W is CH or N, and M is -S-, -SO2-, -S(=O)2NR 4 -, a 5-membered heteroaryl, or a bond.

[0141] In some embodiments, the compound has the structure of formula (IIIf):

[0142] [ka] V is CH or N, W is CH or N, and L is -S- or -SO2-.

[0143] In some embodiments, the compound has the structure of formula (A4):

[0144] [ka] V is CH or N and W is CH or N.

[0145] In some embodiments, the compound has the structure of formula (A4a):

[0146] [ka] V is CH or N and W is CH or N.

[0147] In some embodiments, the compound has the structure of formula (A4b):

[0148] [ka] V is CH or N and W is CH or N.

[0149] In some embodiments, the compound has the structure of formula (IV):

[0150] [ka] V is CH or N and W is CH or N.

[0151] In some embodiments, the compound has the structure of formula (IVa):

[0152] [ka] V is CH or N and W is CH or N.

[0153] In some embodiments, the compound has the structure of Formula (IVb):

[0154] [ka] V is CH or N and W is CH or N.

[0155] In some embodiments, the compound has the structure of formula (IVc):

[0156] [ka] V is CH or N and W is CH or N.

[0157] In some embodiments, the compound has the structure of formula (IVd):

[0158] [ka] V is CH or N, W is CH or N, and L is -O- or a 5-membered heteroaryl.

[0159] In some embodiments, the compound has the structure of formula (IVe):

[0160] [ka] V is CH or N, W is CH or N, and M is -S-, -SO2-, -S(=O)2NR 4 -, a 5-membered heteroaryl, or a bond.

[0161] In some embodiments, the compound has the structure of formula (IVf):

[0162] [ka] V is CH or N, W is CH or N, and L is -S- or -SO2-.

[0163] In some embodiments, the compound has the structure of formula (A5):

[0164] [ka] V is CH or N.

[0165] In some embodiments, the compound has the structure of formula (A5a):

[0166] [ka] V is CH or N.

[0167] In some embodiments, the compound has the structure of formula (A5b):

[0168] [ka] V is CH or N.

[0169] In some embodiments, the compound has the structure of formula (V):

[0170] [ka] V is CH or N.

[0171] In some embodiments, the compound has the structure of Formula (Va):

[0172] [ka] V is CH or N.

[0173] In some embodiments, the compound has the structure of Formula (Vb):

[0174] [ka] V is CH or N.

[0175] In some embodiments, the compound has the structure of formula (Vc):

[0176] [ka] V is CH or N.

[0177] In some embodiments, the compound has the structure of Formula (Vd):

[0178] [ka] V is CH or N, and L is --O- or a 5-membered heteroaryl.

[0179] In some embodiments, the compound has the structure of formula (Ve):

[0180] [ka] V is CH or N, and M is -S-, -SO2-, -S(=O)2NR 4 -, a 5-membered heteroaryl, or a bond.

[0181] In some embodiments, the compound has the structure of formula (Vf):

[0182] [ka] V is CH or N, and L is -S- or -SO2-.

[0183] In some embodiments, R 1is -CH3, -CH2CH3, -CH2CH2CH3, -CH(CH3)2, -CH2CH2CH2CH3, -CH2CH(CH3)2, -CH(CH3)(CH2CH3), -C(CH3)3, -CH2OH, -CH2CN, -CH2F, -CHF2, -CF3, -CH2CH2OH, -CH2CH2CN, -CH2CH2F, -CH2CHF2, -CH2CF3, -CH2OCH3, -CH2CH2OCH3, -CH2NH2, -CH2NHCH3, -CH2N(CH3)2, -CH2CH2NH2, -CH2CH2NHCH3, -CH2CH2N(CH3)2, cyclopropyl, cyclobutyl, cyclopentyl, or cyclohexyl. 1 is -CH3, -CH2CH3, or -CH2CH2CH3.

[0184] In some embodiments, R 4 is hydrogen or C1-C6 alkyl. In some embodiments, R 4 is hydrogen, -CH, -CHCH, or -CHCHCH. In some embodiments, R 4 is hydrogen. In some embodiments, R 4 is -CH3.

[0185] In some embodiments, R 2 is unsubstituted or substituted C1-C6 alkyl, unsubstituted or substituted monocyclic carbocycle, unsubstituted or substituted bridged carbocycle, unsubstituted or substituted spirocyclic carbocycle, unsubstituted or substituted monocyclic heterocycle, unsubstituted or substituted bridged heterocycle, unsubstituted or substituted spirocyclic heterocycle, unsubstituted or substituted -(C1-C6 alkyl)-carbocycle, or unsubstituted or substituted -(C1-C6 alkyl)-heterocycle, where R 2 The optional substituted groups in the formula (I) are selected from the group consisting of one or more of halogen, unsubstituted or substituted C1-C6 alkyl, unsubstituted or substituted monocyclic heterocycle, -N(R 5 )2, -OR 6 , -CN, -CO2R 6 , -C(=O)N(R 5 )2, -SR 6 , -S(=O)R 8, -S(=O)2R 8 , -NR 5 C(=O)R 6 , -NR 5 SO2R 8 , -SO2R 8 , or -SO2N(R 5 )2.

[0186] In some embodiments, R 2 is an unsubstituted or substituted C1-C6 alkyl, an unsubstituted or substituted monocyclic carbocycle, or an unsubstituted or substituted monocyclic 4-, 5-, or 6-membered heterocycle containing 1-4 N atoms and 0 or 1 O or S atom, where R 2 The optional substituted groups in the formula (I) are selected from the group consisting of one or more of halogen, unsubstituted or substituted C1-C6 alkyl, unsubstituted or substituted monocyclic heterocycle, -N(R 5 )2, -OR 6 , -CN, -CO2R 6 , -C(=O)N(R 5 )2, -SR 6 , -S(=O)R 8 , -S(=O)2R 8 , -NR 5 C(=O)R 6 , -NR 5 SO2R 8 , -SO2R 8 , or -SO2N(R 5 )2.

[0187] In some embodiments, R 2 contains a basic amine group.

[0188] In some embodiments, R 2 is a substituted C1-C6 alkyl, an unsubstituted or substituted monocyclic 4-, 5-, or 6-membered heterocycle containing 1-4 N atoms and 0 or 1 O or S atom, an unsubstituted or substituted bridged heterocycle, or an unsubstituted or substituted -(C1-C6 alkyl)-heterocycle, where R 2The optional substituted groups in the formula (I) are selected from the group consisting of one or more of halogen, unsubstituted or substituted C1-C6 alkyl, unsubstituted or substituted monocyclic heterocycle, -N(R 5 )2, -OR 6 , -CN, -CO2R 6 , -C(=O)N(R 5 )2, -SR 6 , -S(=O)R 8 , -S(=O)2R 8 , -NR 5 C(=O)R 6 , -NR 5 SO2R 8 , -SO2R 8 , or -SO2N(R 5 )2, where R 2 contains a basic amine group.

[0189] In some embodiments, R 2 is one -N(R 5 )2 groups, and further comprising zero or more halogen, unsubstituted or substituted C1-C6 alkyl, unsubstituted or substituted monocyclic heterocycle, -N(R 5 )2, -OR 6 , -CN, -CO2R 6 , -C(=O)N(R 5 )2, -SR 6 , -S(=O)R 8 , -S(=O)2R 8 , -NR 5 C(=O)R 6 , -NR 5 SO2R 8 , -SO2R 8 , or -SO2N(R 5 )2 or R 2 is an unsubstituted or substituted monocyclic 4-, 5-, or 6-membered heterocycle containing 1-4 N atoms and 0 or 1 O or S atom, or R 2 is an unsubstituted or substituted bridged heterocycle containing 1-4 N atoms and 0 or 1 O or S atom, or R 2is a -(C1-C6 alkyl)-heterocycle, where the heterocycle is an unsubstituted or substituted monocyclic 4-, 5-, or 6-membered heterocycle containing 1-4 N atoms and 0 or 1 O or S atom.

[0190] In some embodiments, R 2 is -N(R 5 ) 2 groups; or R 2 is an unsubstituted or substituted monocyclic 4-, 5-, or 6-membered heterocycle containing 1-4 N atoms and 0 or 1 O or S atom, or R 2 is a -(C1-C6 alkyl)-heterocycle, where the heterocycle is an unsubstituted or substituted monocyclic 4-, 5-, or 6-membered heterocycle containing 1-4 N atoms and 0 or 1 O or S atom.

[0191] In some embodiments, R 2 is unsubstituted or substituted C1-C6 alkyl. In some embodiments, R 2 is a substituted C1-C6 alkyl. In some embodiments, R 2 is one -N(R 5 )2 groups, further comprising zero or more halogen, unsubstituted or substituted C1-C6 alkyl, unsubstituted or substituted monocyclic heterocycle, -N(R 5 )2, -OR 6 , -CN, -CO2R 6 , -C(=O)N(R 5 )2, -SR 6 , -S(=O)R 8 , -S(=O)2R 8 , -NR 5 C(=O)R 6 , -NR 5 SO2R 8 , -SO2R 8 , or -SO2N(R 5 In some embodiments, R 2 is -N(R 5 ) C1-C6 alkyl substituted by 2 groups.

[0192] In some embodiments, R 2 is an unsubstituted or substituted monocyclic heterocycle, an unsubstituted or substituted bridged heterocycle, or an unsubstituted or substituted spirocyclic heterocycle. 2 is an unsubstituted or substituted monocyclic heterocycle. In some embodiments, R 2 is an unsubstituted or substituted monocyclic 4-, 5-, or 6-membered heterocycle containing 1-4 N atoms and 0 or 1 O or S atom. 2 is an unsubstituted or substituted bridged heterocycle. In some embodiments, R 2 is an unsubstituted or substituted bridged heterocycle containing 1-4 N atoms and 0 or 1 O or S atom. In some embodiments, R 2 is an unsubstituted or substituted spirocyclic heterocycle.

[0193] In some embodiments, R 2 is an unsubstituted or substituted -(C1-C6 alkyl)-heterocycle. In some embodiments, R 2 is a -(C1-C6 alkyl)-heterocycle, where the heterocycle is an unsubstituted or substituted monocyclic 4-, 5-, or 6-membered heterocycle containing 1-4 N atoms and 0 or 1 O or S atom.

[0194] In some embodiments, R 2 is hydrogen.

[0195] In some embodiments, the compound has the structure of formula (A6):

[0196] [ka] V is CH or N and W is CH or N.

[0197] In some embodiments, the compound has the structure of formula (A6a):

[0198] [ka] V is CH or N and W is CH or N.

[0199] In some embodiments, the compound has the structure of formula (A6b):

[0200] [ka] V is CH or N and W is CH or N.

[0201] In some embodiments, the compound has the structure of formula (VI):

[0202] [ka] V is CH or N and W is CH or N.

[0203] In some embodiments, the compound has the structure of Formula (VIa):

[0204] [ka] V is CH or N and W is CH or N.

[0205] In some embodiments, the compound has the structure of Formula (VIb):

[0206] [ka] V is CH or N and W is CH or N.

[0207] In some embodiments, the compound has the structure of Formula (VIc):

[0208] [ka] V is CH or N and W is CH or N.

[0209] In some embodiments, the compound has the structure of Formula (VId):

[0210] [ka] V is CH or N, W is CH or N, and L is -O- or a 5-membered heteroaryl.

[0211] In some embodiments, the compound has the structure of Formula (VIe):

[0212] [ka] V is CH or N, W is CH or N, and M is -S-, -SO2-, -S(=O)2NR 4 -, a 5-membered heteroaryl, or a bond.

[0213] In some embodiments, the compound has the structure of formula (VIf), or a pharma- ceutically acceptable salt or solvate thereof:

[0214] [ka] V is CH or N, W is CH or N, and L is -S- or -SO2-.

[0215] In some embodiments, the compound has the structure of formula (VII):

[0216] [ka] During the ceremony, R A is unsubstituted or substituted phenyl, or unsubstituted or substituted pyridinyl, where R A If is substituted, R A is R a , R b , and R c is replaced by L is -C(=O)-, M is -O-, Y is N, and Z is N; or L is -O- and M is -C(=O)NR 4 -, Y is CH and Z is N, and R B is an unsubstituted or substituted carbocycle or an unsubstituted or substituted heterocycle, where R B If is substituted, R B is R d , R e , and R f is replaced by.

[0217] In some embodiments, the compound has the structure of Formula (VIIa):

[0218] [ka] During the ceremony, R A is unsubstituted or substituted phenyl, or unsubstituted or substituted pyridinyl, where R A If is substituted, R A is R a , R b , and R c and R B is an unsubstituted or substituted carbocycle or an unsubstituted or substituted heterocycle, where R B If is substituted, R B is R d , R e , and R f is replaced by.

[0219] In some embodiments, the compound has the structure of Formula (VIIb):

[0220] [ka] During the ceremony, R A is unsubstituted or substituted phenyl, or unsubstituted or substituted pyridinyl, where R A If is substituted, R A is R a , R b , and R c and R B is an unsubstituted or substituted carbocycle or an unsubstituted or substituted heterocycle, where R B If is substituted, R B is R d , R e , and R f is replaced by.

[0221] In some embodiments, R A teeth,

[0222] [ka] It is.

[0223] In some embodiments, R A teeth,

[0224] [ka] In some embodiments, R A teeth,

[0225] [ka] It is.

[0226] In some embodiments, R a is hydrogen, halogen, -OR 6 , -CN, -N(R 5 2, unsubstituted or substituted C1-C6 alkyl, unsubstituted or substituted C1-C6 fluoroalkyl, unsubstituted or substituted C1-C6 heteroalkyl, and unsubstituted or substituted C3-C6 cycloalkyl; R a Any substituted group may be selected from one or more R 7 group, and R b and R c are independently hydrogen, halogen, -OR 6 , -CN, -N(R 5 2, unsubstituted or substituted C1-C6 alkyl, unsubstituted or substituted C1-C6 fluoroalkyl, and unsubstituted or substituted C1-C6 heteroalkyl; R b and R c Any substituted group may be selected from one or more R 7 The group is substituted.

[0227] In some embodiments, R ais selected from the group consisting of hydrogen, Cl, Br, -CN, -OH, -OCH3, -OCH2CH3, -CH3, -CH2CH3, -CH2CH2CH3, -CH(CH3)2, -CH2CH2CH2CH3, -CH2CH(CH3)2, -CH(CH3)(CH2CH3), -C(CH3)3, -CH2OH, -CH2CN, -CH2F, -CHF2, -CF3, -CH2CH2OH, -CH2CH2CN, -CH2CH2F, -CH2CHF2, -CH2CF3, -CH2OCH3, -CH2CH2OCH3, -CH2NH2, -CH2NHCH3, -CH2N(CH3)2, -CH2CH2NH2, -CH2CH2NHCH3, -CH2CH2N(CH3)2, cyclopropyl, cyclobutyl, cyclopentyl, and cyclohexyl; and R b and R c is independently selected from the group consisting of hydrogen, Cl, Br, -CN, -OH, -OCH3, -OCH2CH3, -CH3, -CH2CH3, -CH2CH2CH3, -CH(CH3)2, -CH2CH2CH2CH3, -CH2CH(CH3)2, -CH(CH3)(CH2CH3), -C(CH3)3, -CH2OH, -CH2CN, -CH2F, -CHF2, -CF3, -CH2CH2OH, -CH2CH2CN, -CH2CH2F, -CH2CHF2, -CH2CF3, -CH2OCH3, -CH2CH2OCH3, -CH2NH2, -CH2NHCH3, -CH2N(CH3)2, -CH2CH2NH2, -CH2CH2NHCH3, and -CH2CH2N(CH3)2.

[0228] In some embodiments, R d is hydrogen, halogen, -OR 6 , -CN, -N(R 5 )2, unsubstituted or substituted C1-C6 alkyl, unsubstituted or substituted C1-C6 fluoroalkyl, unsubstituted or substituted C1-C6 heteroalkyl, unsubstituted or substituted C3-C6 cycloalkyl, unsubstituted or substituted C2-C7 heterocycloalkyl, unsubstituted or substituted phenyl, and unsubstituted or substituted monocyclic heteroaryl; R d Any substituted group may be selected from one or more R 7group, and R e and R f are independently hydrogen, halogen, -OR 6 , -CN, -N(R 5 )2, unsubstituted or substituted C1-C6 alkyl, unsubstituted or substituted C1-C6 fluoroalkyl, and unsubstituted or substituted C1-C6 heteroalkyl.

[0229] In some embodiments, R d is hydrogen, Cl, Br, -CN, -OH, -OCH3, -OCH2CH3, -CH3, -CH2CH3, -CH2CH2CH3, -CH(CH3)2, -CH2CH2CH2CH3, -CH2CH(CH3)2, -CH(CH3)(CH2 CH3), -C(CH3)3, -CH2OH, -CH2CN, -CH2F, -CHF2, -CF3, -CH2CH2OH, -CH2CH2CN, -CH2CH2F, -CH2CHF2, -CH2CF3, -CH2OCH3, -CH2CH2 OCH3, -CH2NH2, -CH2NHCH3, -CH2N(CH3)2, -CH2CH2NH2, -CH2CH2NHCH3, -CH2CH2N(CH3)2, unsubstituted or substituted cyclopropyl, unsubstituted or substituted cyclobutyl, unsubstituted or substituted cyclopentyl, unsubstituted or substituted cyclohexyl, unsubstituted or substituted C2-C7 heterocycloalkyl, unsubstituted or substituted phenyl, and unsubstituted or substituted monocyclic heteroaryl; R d Any substituted group may be selected from one or more R 7 group, and R e and R f is independently selected from the group consisting of F, Cl, Br, -CH3, -CH2CH3, -CH2CH2CH3, -CH(CH3)2, -CH2CH2CH2CH3, -CH2CH(CH3)2, -CH(CH3)(CH2CH3), -C(CH3)3, -CH2OH, -CH2CN, -CH2F, -CHF2, -CF3, -CN, -OH, -OCH3, and -OCH2CH3.

[0230] In some embodiments, the compounds described herein have the structure:

[0231] [ka]

[0232] In some embodiments, R a , R b , and R 2 is as described herein.

[0233] In some embodiments, R a , R b , and R 2 is as listed in Table 1.

[0234] In some embodiments, the compounds described herein have the structure:

[0235] [ka]

[0236] In some embodiments, R a , R b , R 1 , and R 2 is as described herein.

[0237] In some embodiments, R a , R b , R 1 , and R 2 is as listed in Table 2.

[0238] In some embodiments, the compounds described herein have the structure:

[0239] [ka]

[0240] In some embodiments, R a , R b , R1 , R 2 , Z, Y, and L are as described herein.

[0241] In some embodiments, R a , R b , R 1 , R 2 , Z, Y, and L are as described in Table 3.

[0242] In some embodiments, the compounds described herein have the structure:

[0243] [ka]

[0244] In some embodiments, R a , R b , R 2 , X, and M are as described herein.

[0245] In some embodiments, R a , R b , R 2 , X, and M are as described in Table 4.

[0246] In some embodiments, the compounds described herein have the structure:

[0247] [ka]

[0248] In some embodiments, R a , R b , R 2 and L is as described herein.

[0249] In some embodiments, R a , R b , R 2 , and L is as described in Table 5.

[0250] Any combination of the above groups for the various variables is contemplated herein. Throughout the specification, groups and substituents thereof will be chosen by one of ordinary skill in the art to provide stable moieties and compounds.

[0251] Exemplary compounds of formula (A) or formula (I) include those set forth in the following table:

[0252] [Table 1-1]

[0253] [Table 1-2]

[0254] [Table 1-3]

[0255] The compounds in Table 1 are named as follows: 1-2: 5-[(2R)-4-[4-chloro-2-(trifluoromethyl)benzoyl]-2-ethylpiperazin-1-yl]-2'-ethoxy-6-{[(3R)-1-methylpyrrolidin-3-yl]oxy}-2,3'-bipyridine, 1-3: 2'-ethoxy-5-[(2R)-2-ethyl-4-[1-(trifluoromethyl)cyclopentanecarbonyl]piperazin-1-yl]-6-{[(3R)-1-methylpyrrolidin-3-yl]oxy}-2,3'-bipyridine, 1-4: 2'-ethoxy-5-[(2R)-2-ethyl-4-[(2S)-2-(trifluoromethyl)pyrrolidine-1-carbonyl]piperazin-1-yl]-6-{[(3R)-1-methylpyrrolidin-3-yl]oxy}-2,3'-bipyridine, 1-5: 2'-ethoxy-5-[(2R)-4-[6-ethoxy-2-(trifluoromethyl)pyridine-3-carbonyl]-2-ethylpiperazin-1-yl]-6-[(3R)-pyrrolidin-3-yloxy]-2,3'-bipyridine, 1-6: 5-[(2R)-4-[2-(difluoromethyl)-4-fluorobenzoyl]-2-ethylpiperazin-1-yl]-2'-ethoxy-6-[(3R)-pyrrolidin-3-yloxy]-2,3'-bipyridine, 1-7: 5-[(2R)-4-[4-chloro-2-(trifluoromethyl)benzoyl]-2-ethylpiperazin-1-yl]-2'-ethoxy-6-[(3R)-pyrrolidin-3-yloxy]-2,3'-bipyridine, 1-8: 2'-ethoxy-5-[(2R)-2-ethyl-4-[(2S)-2-(trifluoromethyl)pyrrolidine-1-carbonyl]piperazin-1-yl]-6-[(3R)-pyrrolidin-3-yloxy]-2,3'-bipyridine, 1-9: [2-({2'-ethoxy-5-[(2R)-4-[6-ethoxy-2-(trifluoromethyl)pyridine-3-carbonyl]-2-ethylpiperazin-1-yl]-[2,3'-bipyridine]-6-yl}oxy)ethyl](methyl)amine, 1-10: [2-({5-[(2R)-4-[2-(difluoromethyl)-4-fluorobenzoyl]-2-ethylpiperazin-1-yl]-2'-ethoxy-[2,3'-bipyridin]-6-yl}oxy)ethyl](methyl)amine, 1-11: [2-({2'-ethoxy-5-[(2R)-2-ethyl-4-[(2S)-2-(trifluoromethyl)pyrrolidine-1-carbonyl]piperazin-1-yl]-[2,3'-bipyridin]-6-yl}oxy)ethyl](methyl)amine, 1-12: 2-({2'-ethoxy-5-[(2R)-4-[6-ethoxy-2-(trifluoromethyl)pyridine-3-carbonyl]-2-ethylpiperazin-1-yl]-[2,3'-bipyridin]-6-yl}oxy)ethan-1-amine, 1-13: 2-({5-[(2R)-4-[2-(difluoromethyl)-4-fluorobenzoyl]-2-ethylpiperazin-1-yl]-2'-ethoxy-[2,3'-bipyridin]-6-yl}oxy)ethan-1-amine, 1-14: 2-({2'-ethoxy-5-[(2R)-2-ethyl-4-[(2S)-2-(trifluoromethyl)pyrrolidine-1-carbonyl]piperazin-1-yl]-[2,3'-bipyridin]-6-yl}oxy)ethan-1-amine, 1-15: [2-({5-[(2R)-4-[4-chloro-2-(trifluoromethyl)benzoyl]-2-ethylpiperazin-1-yl]-2'-ethoxy-[2,3'-bipyridin]-6-yl}oxy)ethyl](methyl)amine, 1-16: 2-({5-[(2R)-4-[4-chloro-2-(trifluoromethyl)benzoyl]-2-ethylpiperazin-1-yl]-2'-ethoxy-[2,3'-bipyridin]-6-yl}oxy)ethan-1-amine, 1-17: [2-({2'-ethoxy-5-[(2R)-4-[6-ethoxy-2-(trifluoromethyl)pyridine-3-carbonyl]-2-ethylpiperazin-1-yl]-[2,3'-bipyridine]-6-yl}oxy)ethyl]dimethylamine, 1-18: 2'-ethoxy-5-[(2R)-4-[6-ethoxy-2-(trifluoromethyl)pyridine-3-carbonyl]-2-ethylpiperazin-1-yl]-6-[(3S)-pyrrolidin-3-yloxy]-2,3'-bipyridine, 1-19: (2R)-1-({2'-ethoxy-5-[(2R)-4-[6-ethoxy-2-(trifluoromethyl)pyridine-3-carbonyl]-2-ethylpiperazin-1-yl]-[2,3'-bipyridine]-6-yl}oxy)propan-2-amine, 1-20: (2S)-1-({2'-ethoxy-5-[(2R)-4-[6-ethoxy-2-(trifluoromethyl)pyridine-3-carbonyl]-2-ethylpiperazin-1-yl]-[2,3'-bipyridin]-6-yl}oxy)propan-2-amine, 1-21: (2R)-2-({2'-ethoxy-5-[(2R)-4-[6-ethoxy-2-(trifluoromethyl)pyridine-3-carbonyl]-2-ethylpiperazin-1-yl]-[2,3'-bipyridine]-6-yl}oxy)propan-1-amine, 1-22: (2S)-2-({2'-ethoxy-5-[(2R)-4-[6-ethoxy-2-(trifluoromethyl)pyridine-3-carbonyl]-2-ethylpiperazin-1-yl]-[2,3'-bipyridine]-6-yl}oxy)propan-1-amine, 1-23: 1-[(3R)-4-{2'-ethoxy-6-[2-(methylamino)ethoxy]-[2,3'-bipyridine]-5-yl}-3-ethylpiperazine-1-carbonyl]-2,3-dihydro-1H-indole-7-carbonitrile, 1-24: 1-[(3R)-4-[6-(2-aminoethoxy)-2'-ethoxy-[2,3'-bipyridin]-5-yl]-3-ethylpiperazine-1-carbonyl]-2,3-dihydro-1H-indole-7-carbonitrile, 1-25: 1-[(3R)-4-[6-(2-aminoethoxy)-2'-ethoxy-[2,3'-bipyridin]-5-yl]-3-ethylpiperazine-1-carbonyl]-5-chloro-2,3-dihydro-1H-indole-7-carbonitrile, 1-26: 5-chloro-1-[(3R)-4-{2'-ethoxy-6-[2-(methylamino)ethoxy]-[2,3'-bipyridine]-5-yl}-3-ethylpiperazine-1-carbonyl]-2,3-dihydro-1H-indole-7-carbonitrile, 1-27: [2-({2'-ethoxy-5-[(2R)-2-ethyl-4-[4-fluoro-2-(trifluoromethyl)benzoyl]piperazin-1-yl]-[2,3'-bipyridin]-6-yl}oxy)ethyl](methyl)amine, 1-28: [2-({5-[(2R)-4-(2,4-dichlorobenzoyl)-2-ethylpiperazin-1-yl]-2'-ethoxy-[2,3'-bipyridin]-6-yl}oxy)ethyl](methyl)amine, 1-29: [2-({5-[(2R)-4-(2-chloro-4-fluorobenzoyl)-2-ethylpiperazin-1-yl]-2'-ethoxy-[2,3'-bipyridin]-6-yl}oxy)ethyl](methyl)amine, and 1-30: [2-({2'-ethoxy-5-[(2R)-2-ethyl-4-[6-methoxy-2-(trifluoromethyl)pyridine-3-carbonyl]piperazin-1-yl]-[2,3'-bipyridin]-6-yl}oxy)ethyl](methyl)amine.

[0256] [Table 2-1]

[0257] [Table 2-2]

[0258] [Table 2-3]

[0259] [Table 2-4]

[0260] The compounds in Table 2 are named as follows: 2-1: N-(3-aminopropyl)-4-{4-[2-cyano-4-(trifluoromethyl)phenoxy]piperidin-1-yl}-2'-ethoxy-[1,1'-biphenyl]-3-carboxamide, 2-2: 5-{cis-4-[2-cyano-4-(trifluoromethyl)phenoxy]-2-ethylpiperidin-1-yl}-2'-ethoxy-N-[(3R)-1-methylpyrrolidin-3-yl]-[2,3'-bipyridine]-6-carboxamide, 2-3: 5-{trans-4-[2-cyano-4-(trifluoromethyl)phenoxy]-2-cyclopropylpiperidin-1-yl}-2'-ethoxy-N-[(3R)-pyrrolidin-3-yl]-[2,3'-bipyridine]-6-carboxamide, 2-4: 5-{trans-4-[2-cyano-4-(trifluoromethyl)phenoxy]-2-cyclopropylpiperidin-1-yl}-2'-ethoxy-N-[(3R)-1-methylpyrrolidin-3-yl]-[2,3'-bipyridine]-6-carboxamide, 2-5: 5-{cis-4-[2-cyano-4-(trifluoromethyl)phenoxy]-2-cyclopropylpiperidin-1-yl}-2'-ethoxy-N-[(3R)-pyrrolidin-3-yl]-[2,3'-bipyridine]-6-carboxamide, 2-6: 5-{cis-4-[2-cyano-4-(trifluoromethyl)phenoxy]-2-cyclopropylpiperidin-1-yl}-2'-ethoxy-N-[(3R)-1-methylpyrrolidin-3-yl]-[2,3'-bipyridine]-6-carboxamide, 2-7: 5-{cis-4-[4-chloro-2-(difluoromethyl)phenoxy]-2-cyclopropylpiperidin-1-yl}-2'-ethoxy-N-[(3R)-1-methylpyrrolidin-3-yl]-[2,3'-bipyridine]-6-carboxamide, 2-8: 5-cis-(4-{[6-chloro-2-(trifluoromethyl)pyridin-3-yl]oxy}-2-cyclopropylpiperidin-1-yl)-2'-ethoxy-N-[(3R)-1-methylpyrrolidin-3-yl]-[2,3'-bipyridine]-6-carboxamide, 2-9: 5-[(2R,4R)-4-[4-chloro-2-(trifluoromethyl)phenoxy]-2-ethylpiperidin-1-yl]-2'-ethoxy-N-[(3R)-1-methylpyrrolidin-3-yl]-[2,3'-bipyridine]-6-carboxamide, 2-10: 5-[(2S,4S)-4-[4-chloro-2-(trifluoromethyl)phenoxy]-2-ethylpiperidin-1-yl]-2'-ethoxy-N-[(3R)-1-methylpyrrolidin-3-yl]-[2,3'-bipyridine]-6-carboxamide, 2-11: 5-[(2R,4R)-4-[2-cyano-4-(trifluoromethyl)phenoxy]-2-ethylpiperidin-1-yl]-2'-ethoxy-N-[(3R)-1-methylpyrrolidin-3-yl]-[2,3'-bipyridine]-6-carboxamide, 2-12: 5-[(2S,4S)-4-[2-cyano-4-(trifluoromethyl)phenoxy]-2-ethylpiperidin-1-yl]-2'-ethoxy-N-[(3R)-1-methylpyrrolidin-3-yl]-[2,3'-bipyridine]-6-carboxamide, 2-13: 5-(cis-2-cyclopropyl-4-{[6-ethoxy-2-(trifluoromethyl)pyridin-3-yl]oxy}piperidin-1-yl)-2'-ethoxy-N-[(3R)-1-methylpyrrolidin-3-yl]-[2,3'-bipyridine]-6-carboxamide, 2-14: 5-(cis-4-{[2-cyano-6-(trifluoromethyl)pyridin-3-yl]oxy}-2-cyclopropylpiperidin-1-yl)-2'-ethoxy-N-[(3R)-1-methylpyrrolidin-3-yl]-[2,3'-bipyridine]-6-carboxamide, 2-15: 5-(cis-4-{[2-cyano-6-(trifluoromethyl)pyridin-3-yl]oxy}-2-ethylpiperidin-1-yl)-2'-ethoxy-N-[(3R)-1-methylpyrrolidin-3-yl]-[2,3'-bipyridine]-6-carboxamide, 2-16: 5-[cis-4-(2-cyano-4-methylphenoxy)-2-cyclopropylpiperidin-1-yl]-2'-ethoxy-N-[(3R)-1-methylpyrrolidin-3-yl]-[2,3'-bipyridine]-6-carboxamide, 2-17: 5-[cis-4-(2-cyano-4-methylphenoxy)-2-ethylpiperidin-1-yl]-2'-ethoxy-N-[(3R)-1-methylpyrrolidin-3-yl]-[2,3'-bipyridine]-6-carboxamide, 2-18: 5-[(2R,4R)-4-{[2-cyano-6-(trifluoromethyl)pyridin-3-yl]oxy}-2-ethylpiperidin-1-yl]-2'-ethoxy-N-[(3R)-1-methylpyrrolidin-3-yl]-[2,3'-bipyridine]-6-carboxamide, 2-19: N-[(3S)-1-azabicyclo[2.2.2]octan-3-yl]-5-(cis-4-{[2-cyano-6-(trifluoromethyl)pyridin-3-yl]oxy}-2-ethylpiperidin-1-yl)-2'-ethoxy-[2,3'-bipyridine]-6-carboxamide, 2-20: N-[(3S)-1-azabicyclo[2.2.2]octan-3-yl]-5-{cis-4-[2-cyano-4-(trifluoromethyl)phenoxy]-2-ethylpiperidin-1-yl}-2'-ethoxy-[2,3'-bipyridine]-6-carboxamide, 2-21: 5-[(2R,4R)-4-(4-chloro-2-cyanophenoxy)-2-ethylpiperidin-1-yl]-2'-ethoxy-N-[(3R)-1-methylpyrrolidin-3-yl]-[2,3'-bipyridine]-6-carboxamide, 2-22: 5-[(2R,4R)-4-{[2-cyano-6-(trifluoromethyl)pyridin-3-yl]oxy}-2-ethylpiperidin-1-yl]-2'-ethoxy-N-[(3S)-1-methylpyrrolidin-3-yl]-[2,3'-bipyridine]-6-carboxamide, 2-23: 3-(cis-4-{[2-cyano-6-(trifluoromethyl)pyridin-3-yl]oxy}-2-methylpiperidin-1-yl)-6-(2-ethoxyphenyl)-N-[(3R)-1-methylpyrrolidin-3-yl]pyridine-2-carboxamide, 2-24: 3-[cis-4-(4-chloro-2-cyanophenoxy)-2-methylpiperidin-1-yl]-6-(2-ethoxyphenyl)-N-[(3R)-1-methylpyrrolidin-3-yl]pyridine-2-carboxamide, and 2-25: 5-[cis-4-(2-cyano-4-fluorophenoxy)-2-cyclopropylpiperidin-1-yl]-2'-ethoxy-N-[(3R)-1-methylpyrrolidin-3-yl]-[2,3'-bipyridine]-6-carboxamide.

[0261] [Table 3-1]

[0262] [Table 3-2]

[0263] The compounds in Table 3 are named as follows: 3-1: 2-(4-{2'-ethoxy-6-[2-(methylamino)ethoxy]-[2,3'-bipyridine]-5-yl}piperidin-1-yl)-5-(trifluoromethyl)benzonitrile, 3-2: 3-(4-{2'-ethoxy-6-[2-(methylamino)ethoxy]-[2,3'-bipyridin]-5-yl}piperidin-1-yl)-6-(trifluoromethyl)pyridine-2-carbonitrile, 3-3: 2-{[(2R)-1-{2'-ethoxy-6-[2-(methylamino)ethoxy]-[2,3'-bipyridine]-5-yl}-2-ethylpiperidin-4-yl]oxy}-5-(trifluoromethyl)benzonitrile, 3-4: [2-({2'-ethoxy-5-[(2R)-2-ethyl-4-{1-[4-fluoro-2-(trifluoromethyl)phenyl]-1H-imidazol-2-yl}piperidin-1-yl]-[2,3'-bipyridin]-6-yl}oxy)ethyl](methyl)amine, 3-5: [2-({2'-ethoxy-5-[(2R)-2-ethyl-4-{1-[1-(trifluoromethyl)cyclobutyl]-1H-imidazol-2-yl}piperidin-1-yl]-[2,3'-bipyridin]-6-yl}oxy)ethyl](methyl)amine, 3-6: [2-({2'-ethoxy-5-[(2R)-2-ethyl-4-{5-[1-(trifluoromethyl)cyclobutyl]-4H-1λ 3 ,2,4-oxadiazol-3-yl}piperidin-1-yl]-[2,3'-bipyridin]-6-yl}oxy)ethyl](methyl)amine, 3-7: [2-({2'-ethoxy-5-[(2R)-2-ethyl-4-{3-[1-(trifluoromethyl)cyclobutyl]-4H-1λ 3 ,2,4-oxadiazol-5-yl}piperidin-1-yl]-[2,3'-bipyridin]-6-yl}oxy)ethyl](methyl)amine, 3-8: 2-{[rac-(2R,4R)-1-(2'-ethoxy-6-{[(3R)-1-methylpyrrolidin-3-yl]oxy}-[2,3'-bipyridine]-5-yl)-2-ethylpiperidin-4-yl]oxy}-5-(trifluoromethyl)benzonitrile, and 3-9: 5-[rac-(2R,4R)-4-[4-chloro-2-(trifluoromethyl)phenoxy]-2-ethylpiperidin-1-yl]-2'-ethoxy-6-{[(3R)-1-methylpyrrolidin-3-yl]oxy}-2,3'-bipyridine.

[0264] [Table 4-1]

[0265] [Table 4-2]

[0266] The compounds in Table 4 are named as follows: 4-1: 1-(2-{5-[(2R)-4-(2-chloro-4-fluorobenzoyl)-2-ethylpiperazin-1-yl]-2'-ethoxy-[2,3'-bipyridin]-6-yl}-1H-imidazol-4-yl)methanamine, 4-2: 1-(5-{5-[(2R)-4-(2-chloro-4-fluorobenzoyl)-2-ethylpiperazin-1-yl]-2'-ethoxy-[2,3'-bipyridin]-6-yl}-4H-1,2,4-triazol-3-yl)methanamine, 4-3: 5-{5-[(2R)-4-(2-chloro-4-fluorobenzoyl)-2-ethylpiperazin-1-yl]-2'-ethoxy-[2,3'-bipyridin]-6-yl}-4H-1,2,4-triazol-3-amine, 4-4: 5-{5-[(2R)-4-(4-fluoro-2-trifluoro-benzoyl)-2-ethylpiperazin-1-yl]-2'-ethoxy-[2,3'-bipyridin]-6-yl}-1H-1,2,4-triazol-3-amine, 4-5: 2-(5-{3-[(2R)-4-(2,4-dichlorobenzoyl)-2-ethylpiperazin-1-yl]-6-(2-ethoxyphenyl)pyridin-2-yl}-1H-1,2,4-triazol-1-yl)ethan-1-amine, 4-6: 2-(2-{2-[(2R)-4-[4-chloro-2-(trifluoromethyl)benzoyl]-2-ethylpiperazin-1-yl]-5-(2-ethoxypyridin-3-yl)phenyl}-1H-imidazol-1-yl)ethan-1-amine, 4-7: 2-(5-{5-[(2R)-4-(2-chloro-4-fluorobenzoyl)-2-ethylpiperazin-1-yl]-2'-ethoxy-[2,3'-bipyridin]-6-yl}-1,3-oxazol-4-yl)ethan-1-amine, 4-8: N-(2-aminoethyl)-3-[(2R)-4-(2-chloro-4-fluorobenzoyl)-2-ethylpiperazin-1-yl]-6-(2-ethoxyphenyl)pyridine-2-sulfonamide, 4-9: N-(2-aminoethyl)-2'-ethoxy-5-[(2R)-2-ethyl-4-[4-fluoro-2-(trifluoromethyl)benzoyl]piperazin-1-yl]-[2,3'-bipyridine]-6-sulfonamide, 4-10: 2-[(2R)-4-(2-chloro-4-fluorobenzoyl)-2-ethylpiperazin-1-yl]-5-(2-ethoxypyridin-3-yl)-N-[(3R)-1-methylpyrrolidin-3-yl]benzene-1-sulfonamide, 4-11: 5-[(2R)-4-(2-chloro-4-fluorobenzoyl)-2-ethylpiperazin-1-yl]-2'-ethoxy-N-[(3R)-1-methylpyrrolidin-3-yl]-[2,3'-bipyridine]-6-sulfonamide, 4-12: [2-({5-[(2R)-4-[4-chloro-2-(trifluoromethyl)benzoyl]-2-ethylpiperazin-1-yl]-2'-ethoxy-[2,3'-bipyridin]-6-yl}sulfanyl)ethyl]dimethylamine, and 4-13: [2-({5-[(2R)-4-[4-chloro-2-(trifluoromethyl)benzoyl]-2-ethylpiperazin-1-yl]-2'-ethoxy-[2,3'-bipyridin]-6-yl}sulfonyl)ethyl]dimethylamine.

[0267] [Table 5]

[0268] The compounds in Table 5 are named as follows: 5-1: rac-2'-ethoxy-5-[(2R,4S)-2-ethyl-4-{[2-(trifluoromethyl)phenyl]sulfanyl}piperidin-1-yl]-N-[(3R)-1-methylpyrrolidin-3-yl]-[2,3'-bipyridine]-6-carboxamide, 5-2: rac-2'-ethoxy-5-[(2R,4S)-2-ethyl-4-[2-(trifluoromethyl)benzenesulfonyl]piperidin-1-yl]-N-[(3R)-1-methylpyrrolidin-3-yl]-[2,3'-bipyridine]-6-carboxamide, and 5-3: 2'-ethoxy-5-[(2R)-2-ethyl-4-[4-fluoro-2-(trifluoromethyl)benzenesulfonyl]piperidin-1-yl]-N-[(3R)-1-methylpyrrolidin-3-yl]-[2,3'-bipyridine]-6-carboxamide.

[0269] In one embodiment, the compounds described herein are in the form of pharmaceutically acceptable salts.Similarly, the active metabolites of these compounds with the same type of activity are included within the scope of the present disclosure.In addition, the compounds described herein can exist not only in unsolvated form, but also in solvated form, including pharmaceutically acceptable solvents such as water, ethanol, etc.The solvated form of the compounds presented herein is also considered to be disclosed herein.

[0270] "Pharmaceutically acceptable," as used herein, refers to a material, such as a carrier or diluent, that does not abrogate the biological activity or properties of the compound and is relatively non-toxic, i.e., the material may be administered to an individual without causing undesired biological effects or interacting in a deleterious manner with any of the components of the composition in which it is contained.

[0271] The term "pharmaceutical acceptable salt" refers to a form of a therapeutically active agent that is composed of the cationic form of the therapeutically active agent combined with a suitable anion, or in an alternative embodiment, the anionic form of the therapeutically active agent combined with a suitable cation. Handbook of Pharmaceutical Salts: Properties, Selection and Use. International Union of Pure and Applied Chemistry, Wiley-VCH 2002. S.M.Berge, L.D.Bighley, D.C.Monkhouse, J.Pharm.Sci.1977,66,1-19. P.H.Stahl and C.G.Wermuth, editors, Handbook of Pharmaceutical Salts: Properties, Selection and Use, Weinheim / Zurich: Wiley-VCH / VHCA,2002. Pharmaceutical salts are typically more soluble than non-ionic species and are rapidly soluble in gastric and intestinal fluids, making them useful in solid dosage forms. Furthermore, their solubility is often correlated with pH, ​​allowing selective dissolution in any part of the gastrointestinal tract, an ability that can be manipulated as an aspect of delayed and sustained release behavior.Furthermore, salt-forming molecules can be in equilibrium with neutral forms, allowing for regulated passage through biological membranes.

[0272] In some embodiments, pharma- ceutically acceptable salts are obtained by reacting a compound of Formula (A) or Formula (I) with an acid. In some embodiments, a compound of Formula (A) or Formula (I) (i.e., in free base form) is basic and is reacted with an organic or inorganic acid. Inorganic acids include, but are not limited to, hydrochloric acid, hydrobromic acid, sulfuric acid, phosphoric acid, nitric acid, and metaphosphoric acid. Organic acids include, but are not limited to, 1-hydroxy-2-naphthoic acid; 2,2-dichloroacetic acid; 2-hydroxyethanesulfonic acid; 2-oxoglutaric acid; 4-acetamidobenzoic acid; 4-aminosalicylic acid; acetic acid; adipic acid; ascorbic acid (L); aspartic acid (L); benzenesulfonic acid; benzoic acid; camphoric acid (+); camphor-10-sulfonic acid (+); capric acid (decanoic acid); caproic acid (hexanoic acid); caprylic acid (octanoic acid); carbonic acid; cinnamic acid; citric acid; cyclamic acid; dodecylsulfuric acid; ethane-1,2-disulfonic acid; ethanesulfonic acid; formic acid; fumaric acid; galactaric acid; gentisic acid; glucohedric acid; Protonic acid (D); gluconic acid (D); glucuronic acid (D); glutamic acid; glutaric acid; glycerophosphoric acid; glycolic acid; hippuric acid; isobutyric acid; lactic acid (DL); lactobionic acid; lauric acid; maleic acid; malic acid (-L); malonic acid; mandelic acid (DL); methanesulfonic acid; naphthalene-1,5-disulfonic acid; naphthalene-2-sulfonic acid; nicotinic acid; oleic acid; oxalic acid; palmitic acid; pamoic acid; phosphoric acid; propionic acid; pyroglutamic acid (-L); salicylic acid; sebacic acid; stearic acid; succinic acid; sulfuric acid; tartaric acid (+L); thiocyanic acid; toluenesulfonic acid (p); and undecylenic acid.

[0273] In some embodiments, the compound of Formula (A) or Formula (I) is prepared as a chloride, sulfate, bromide, mesylate, maleate, citrate, or phosphate salt.

[0274] In some embodiments, pharma- ceutically acceptable salts are obtained by reacting a compound of formula (A) or formula (I) with a base. In some embodiments, a compound of formula (A) or formula (I) is acidic and is reacted with a base. In such a situation, the acidic proton of a compound of formula (A) or formula (I) is replaced with a metal ion, for example, an ion of lithium, sodium, potassium, magnesium, calcium, or aluminum. In some cases, the compounds described herein cooperate with organic bases, such as, but not limited to, ethanolamine, diethanolamine, triethanolamine, tromethamine, meglumine, N-methylglucamine, dicyclohexylamine, tris(hydroxymethyl)methylamine, and the like. In other cases, the compounds described herein form salts with amino acids, such as, but not limited to, arginine, lysine, and the like. Acceptable inorganic bases used to form salts with compounds containing acidic protons include, but are not limited to, aluminum hydroxide, calcium hydroxide, potassium hydroxide, sodium carbonate, potassium carbonate, sodium hydroxide, lithium hydroxide, and the like. In some embodiments, the compounds provided herein are prepared as sodium, calcium, potassium, magnesium, meglumine, N-methylglucamine, or ammonium salts.

[0275] It should be understood that the reference to pharmaceutically acceptable salt includes solvent addition forms.In some embodiments, solvates contain either stoichiometric or non-stoichiometric amounts of solvent, and are formed during the process of crystallization with pharmaceutically acceptable solvents such as water and ethanol.When the solvent is water, hydrates are formed, and when the solvent is alcohol, alcoholates are formed.Solvates of the compounds described herein are conveniently prepared or formed during the process described herein.In addition, the compounds provided herein optionally exist in solvated as well as unsolvated form.

[0276] The methods and formulations described herein also include the use of N-oxides (where appropriate) or pharma- ceutically acceptable salts of compounds having the structure of Formula (A) or Formula (I), as well as active metabolites of these compounds that have the same type of activity.

[0277] In some embodiments, sites on the organic radicals (e.g., alkyl groups, aromatic rings) of the compounds of Formula (A) or Formula (I) are susceptible to various metabolic reactions. By incorporating appropriate substituents into the organic radicals, this metabolic pathway is reduced, minimized, or eliminated. In certain embodiments, suitable substituents for reducing or eliminating the susceptibility of aromatic rings to metabolic reactions are, by way of example only, halogens, deuterium, alkyl groups, haloalkyl groups, or deuterated alkyl groups.

[0278] In another embodiment, the compounds described herein are isotopically labeled (e.g., with a radioisotope) or labeled by other means, including but not limited to, the use of chromophores or fluorescent moieties, bioluminescent labels, or chemiluminescent labels.

[0279] The compounds described herein include isotopically labeled compounds, which are identical to the compounds detailed in the various formulas and structures presented herein except for the fact that one or more atoms are replaced with an atom having an atomic mass or mass number different from the atomic mass or mass number normally found in nature. Examples of isotopes that can be incorporated into the present compounds include, for example, 2 H, 3 H, 13 C. 14 C. 15 N, 18 O. 17 O. 35 S, 18 F, 36 Cl, 123 I, 124 I, 125 I, 131 I, 32 P, and 33Isotopes of hydrogen, carbon, nitrogen, oxygen, sulfur, fluorine, chlorine, iodine, phosphorus, etc., such as P. In one embodiment, the isotopically labeled compounds described herein, e.g. 3 H and 14 Compounds incorporating a radioactive isotope such as C are useful in drug and / or substrate tissue distribution assays. In one aspect, substitution with isotopes such as deuterium provides certain therapeutic advantages due to greater metabolic stability, such as, for example, increased in vivo half-life or reduced dosage requirements.

[0280] In some embodiments, the compounds of formula (A) or formula (I) have one or more stereocenters, and each stereocenter exists independently in either the R or S configuration. In some embodiments, the compounds of formula (A) or formula (I) exist in the R configuration. In some embodiments, the compounds of formula (A) or formula (I) exist in the S configuration. The compounds provided herein include all diastereomeric, individual enantiomeric, atropisomeric, and epimeric forms, and the appropriate mixtures thereof. The compounds and methods provided herein include all cis, trans, syn, anti, entgegen (E), and zusammen (Z) isomers, and the appropriate mixtures thereof.

[0281] The individual stereoisomers are obtained, as appropriate, by methods such as stereoselective synthesis and / or separation of stereoisomers by chiral chromatographic columns, or separation of diastereomers by non-chiral or chiral chromatographic columns, or crystallization and recrystallization in a suitable solvent or mixture of solvents. In certain embodiments, the compounds of formula (A) or formula (I) are prepared as their individual stereoisomers by reacting a racemic mixture of the compound with an optically active resolving agent to form a pair of diastereoisomeric compounds / salts, separating the diastereomers, and recovering the optically pure individual enantiomers. In some embodiments, resolution of the individual enantiomers is carried out using covalent diastereomeric derivatives of the compounds described herein. In another embodiment, the diastereomers are separated by separation / resolution techniques based on differences in solubility. In other embodiments, separation of the stereoisomers is carried out by chromatography, or by forming diastereomeric salts and separating them by recrystallization or chromatography, or any combination thereof. Jean Jacques, Andre Collet, Samuel H. Wilen, "Enantiomers, Racemates and Resolutions", John Wiley and Sons, Inc., 1981. In some embodiments, stereoisomers are obtained by stereoselective synthesis.

[0282] In some embodiments, the compounds described herein are prepared as prodrugs. A "prodrug" refers to an agent that is converted to the parent drug in vivo. Prodrugs are often useful because they are easier to administer than the parent drug in some situations. Prodrugs are, for example, bioavailable by oral administration, whereas the parent drug is not. Additionally or alternatively, the prodrug has improved solubility in pharmaceutical compositions compared to the parent drug. In some embodiments, the design of the prodrug increases the effective water solubility. An example of a prodrug is, without limitation, a compound described herein that is administered as an ester ("prodrug"), but is subsequently metabolically hydrolyzed to provide the active entity. A further example of a prodrug is a short peptide (polyamino acid) that is bonded to an acid group, and the peptide is metabolized to expose the active moiety. In some embodiments, after in vivo administration, the prodrug is chemically converted to the biologically, pharma- ceutical, or therapeutically active form of the compound. In some embodiments, the prodrug is enzymatically metabolized by one or more steps or processes to the biologically, pharma- ceutical, or therapeutically active form of the compound.

[0283] Prodrugs of the compounds described herein include, but are not limited to, esters, ethers, carbonates, thiocarbonates, N-acyl derivatives, N-acyloxyalkyl derivatives, N-alkyloxyacyl derivatives, quaternary derivatives of tertiary amines, N-Mannich bases, Schiff bases, amino acid conjugates, phosphate esters, and sulfonate esters. See, for example, Design of Prodrugs, Bundgaard, A. Ed., Elseview, 1985 and Method in Enzymology, Widder, K. et al., Ed.; Academic, 1985, vol. 42, p. 309-396; Bundgaard, H. "Design and Application of Prodrugs" in A Textbook of Drug Design and Development, Krosgaard-Larsen and H. Bundgaard, Ed., 1991, Chapter 5, p. 113-191; and Bundgaard, H., Advanced Drug Delivery Review, 1992, 8, 1-38 (each of which is incorporated herein by reference). In some embodiments, the hydroxyl group of the compounds disclosed herein is used to form a prodrug, where the hydroxyl group is incorporated into an acyloxyalkyl ester, an alkoxycarbonyloxyalkyl ester, an alkyl ester, an aryl ester, a phosphate ester, a sugar ester, an ether, and the like. In some embodiments, the hydroxyl group in the compounds disclosed herein is a prodrug, where the hydroxyl is metabolized in vivo to provide a carboxylic acid group. In some embodiments, the carboxyl group is used to provide an ester or amide (i.e., a prodrug), which is then metabolized in vivo to provide a carboxylic acid group. In some embodiments, the compounds described herein are prepared as alkyl ester prodrugs.

[0284] Prodrug forms of the compounds described herein that are metabolized in vivo to produce a compound of Formula (A) or Formula (I) are included within the scope of the claims. In some cases, some of the compounds described herein are prodrugs of another derivative or active compound.

[0285] In some embodiments, any one of the hydroxyl, amino, and / or carboxylic acid groups is functionalized in a suitable manner to provide a prodrug moiety, in some embodiments, the prodrug moiety is as described above.

[0286] In additional or further embodiments, the compounds described herein are metabolized upon administration to an organism to produce metabolic products which are then used to provide a desired effect, including a desired therapeutic effect.

[0287] A "metabolite" of a compound disclosed herein is a derivative of said compound that is formed when the compound is metabolized. The term "active metabolite" refers to a biologically active derivative of said compound that is formed when the compound is metabolized. The term "metabolized" as used herein refers to the totality of processes by which a particular substance is changed by an organism, including but not limited to hydrolysis reactions and reactions catalyzed by enzymes. Thus, enzymes can produce specific structural changes to a compound. For example, cytochrome P450 catalyzes various oxidation and reduction reactions, while uridine diphosphate glucuronyltransferase catalyzes the transfer of activated glucuronic acid molecules to aromatic alcohols, aliphatic alcohols, carboxylic acids, amines, and free sulfhydryl groups. Metabolites of the compounds disclosed herein are optionally identified by administering the compound to a host and analyzing tissue samples from the host, or by incubating the compound with liver cells in vitro and analyzing the resulting compounds.

[0288] Synthesis of compounds Compounds of formula (A) or formula (I) are synthesized using standard synthetic techniques in combination with the methods described herein, or using methods known in the art.

[0289] Unless otherwise indicated, conventional methods of mass spectrometry, NMR, HPLC, protein chemistry, biochemistry, recombinant DNA techniques and pharmacology are employed.

[0290] The compounds are prepared using standard organic chemistry techniques, for example, as described in March's Advanced Organic Chemistry, 6th Edition, John Wiley and Sons, Inc. Alternative reaction conditions for the synthetic transformations described herein may be used, such as variations in solvents, reaction temperatures, reaction times, and different chemical reagents, as well as other reaction conditions.

[0291] In some embodiments, the compounds described herein are prepared as depicted in Scheme A.

[0292] [ka]

[0293] Compound I is obtained by heating 3-fluoro-2-nitropyridine with a monoprotected substituted piperazine in the presence of an organic base such as N,N-diisopropylethylamine. N The 2 reaction produces pyridinyl ethers, which are then converted to chloropyridines (II) by treatment with NCS. Compound II can be prepared by the reaction of R A The resulting product is then subjected to an organometallic coupling reaction such as the Suzuki-Miyaura reaction with -B(OH)2 or its corresponding ester, followed by standard deprotection to generate compound III. Compound III is then converted to the final product (IV) via a HATU-activated amide coupling. In some cases, R 2A further deprotection step from the group is required.

[0294] In some embodiments, the compounds described herein are prepared as depicted in Scheme B.

[0295] [ka]

[0296] Compound III can be prepared by the reaction of triphosgene and NHR in the presence of DIEA. 4 R 5 Optionally, to obtain compound V after urea formation, R 2 A further deprotection step is required.

[0297] In some embodiments, the compounds described herein are prepared as depicted in Scheme C.

[0298] [ka]

[0299] 6-Bromo-3-fluoropicolinonitrile is reacted with 2-R 1 When heated with -piperidin-4-ol (cis or trans racemic), compound VI is formed, which is A This is then subjected to an organometallic coupling reaction such as the Suzuki-Miyaura reaction with -B(OH)2 or its corresponding ester to give compound VII. This is followed by hydrolysis of the cyano to the acid and subsequent reaction with R 2 Standard HATU amide coupling with -NH2 affords compound VIII. The alkoxide of VIII is coupled to an electrophilic aryl halide (R B -X) to form an ether to produce compound IX. 2If contains a protecting group, a further deprotection step is carried out to generate IX.

[0300] In some embodiments, the compounds described herein are prepared as depicted in Scheme D.

[0301] [ka]

[0302] The cis-racemate VII is subjected to chiral separation by chiral preparative HPLC to produce two optically pure cis-isomers, X and XI, whose absolute stereochemistry has not yet been determined. Compound X is hydrolyzed with NaOH to produce an acid intermediate, which is converted to compound XII via HATU-mediated amide coupling. Conversion to XIII is achieved in a manner similar to that described by steps e and f of Scheme C. The alternative stereoisomers from XI can be obtained by the same route. R 2 If contains a protecting group, a further deprotection step is carried out to generate XIII.

[0303] In some embodiments, the compounds described herein are prepared as depicted in Scheme E.

[0304] [ka]

[0305] Compound XIV is prepared by Suzuki-Miyaura coupling reaction with N-Boc-1,2,3,6-tetrahydropyridine-4-boronic acid pinacol ester, which reacts with an alkoxide to give XV. A Suzuki-Miyaura coupling reaction with -B(OH)2 or R A -R by Stille coupling with SnBu3 AThe introduction of R followed by reduction of the tetrahydropyridine gives compound XVI. The Boc group is removed with acid and the final compound XVII can be obtained by reaction of R with an organic base such as DIEA. B -X and standard S N It is formed via the reaction: R 2 If contains a protecting group, a further deprotection step is carried out to generate XVII.

[0306] In some embodiments, the compounds described herein are prepared as depicted in Scheme F.

[0307] [ka]

[0308] HATU-mediated coupling reaction of XVIII produces an amide intermediate, which is then subjected to mesylation of the hydroxyl group with MsCl in the presence of an organic base such as TEA to produce compound XIX. The mesylate can be converted to S-formylation with a nucleophile. N It undergoes stereochemical inversion to compound XX via reaction 2. 2 If contains a protecting group, a further deprotection step is carried out to yield XX.

[0309] In some embodiments, the compounds described herein are synthesized as outlined in the Examples.

[0310] Specific Terms Definitions of the following terms used in this application are provided below unless otherwise specified. Use of the term "including" and other forms such as "include," "includes," and "included" are not limiting. The paragraph headings used herein are for organizational purposes only and should not be construed as limiting the subject matter described.

[0311] As used herein, C1-C xis C1-C2, C1-C3...C1-C x By way of example only, a group designated as "C1-C6" indicates that there are from 1 to 6 carbon atoms in the moiety, i.e., the group contains 1 carbon atom, 2 carbon atoms, 3 carbon atoms, or 4 carbon atoms. Thus, by way of example only, "C1-C4 alkyl" indicates that there are from 1 to 4 carbon atoms in the alkyl group, i.e., the alkyl group is selected from methyl, ethyl, propyl, iso-propyl, n-butyl, iso-butyl, sec-butyl, and t-butyl.

[0312] An "alkyl" group refers to an aliphatic hydrocarbon group. An alkyl group can be branched or straight chain. In some embodiments, an "alkyl" group can contain from 1 to 10 carbon atoms, i.e., C1-C 10 The alkyl group has an alkyl group. A number range such as "1-10" whenever it appears herein refers to each integer within the given range. For example, "1-10 carbon atoms" means that the alkyl group consists of 1 carbon atom, 2 carbon atoms, 3 carbon atoms, etc., up to 10 carbon atoms, but the definition also encompasses occurrences of the term "alkyl" without a number range specified. In some embodiments, the alkyl group is a C1-C6 alkyl group. In one aspect, the alkyl group is methyl, ethyl, propyl, iso-propyl, n-butyl, iso-butyl, sec-butyl, or t-butyl. Exemplary alkyl groups include, but are not limited to, methyl, ethyl, propyl, isopropyl, butyl, isobutyl, sec-butyl, tertiary butyl, pentyl, neopentyl, or hexyl.

[0313] An "alkylene" group refers to a divalent alkyl radical. Any of the above monovalent alkyl groups may be an alkylene by removal of a second hydrogen atom from the alkyl. In some embodiments, the alkylene is a C1-C6 alkylene. In other embodiments, the alkylene is a C1-C4 alkylene. Typical alkylene groups include, but are not limited to, -CH2-, -CH2CH2-, -CH2CH2CH2-, -CH2CH2CH2CH2-, and the like. In some embodiments, the alkylene is -CH2-.

[0314] An "alkoxy" group refers to a (alkyl)O- group, where alkyl is as defined herein.

[0315] The term "alkylamine" refers to an -N(alkyl) x H y It refers to the group where x is 0 and y is 2, or x is 1 and y is 1, or x is 2 and y is 0.

[0316] "Hydroxyalkyl" refers to an alkyl in which one hydrogen atom is replaced with hydroxyl. In some embodiments, the hydroxyalkyl is a C1-C4 hydroxyalkyl. Exemplary hydroxyalkyl groups include, but are not limited to, -CH2OH, -CH2CH2OH, -CH2CH2CH2OH, -CH2CH2CH2CH2OH, and the like.

[0317] "Aminoalkyl" refers to an alkyl in which one hydrogen atom is replaced with amino. In some embodiments, the aminoalkyl is a C1-C4 aminoalkyl. Exemplary aminoalkyl groups include, but are not limited to, -CH2NH2, -CH2CH2NH2, -CH2CH2CH2NH2, -CH2CH2CH2CH2NH2, and the like.

[0318] The term "alkenyl" refers to a type of alkyl group in which at least one carbon-carbon double bond is present. In one embodiment, an alkenyl group has the formula -C(R)=CR2, where R refers to the remainder of the alkenyl group, which may be the same or different. In some embodiments, R is H or an alkyl. In some embodiments, an alkenyl is selected from ethenyl (i.e., vinyl), propenyl (i.e., allyl), butenyl, pentenyl, pentadienyl, and the like. Non-limiting examples of alkenyl groups include -CH=CH2, -C(CH3)=CH2, -CH=CHCH3, -C(CH3)=CHCH3, and -CH2CH=CH2.

[0319] The term "alkynyl" refers to a type of alkyl group in which at least one carbon-carbon triple bond is present. In one embodiment, an alkenyl group has the formula -C≡CR, where R refers to the remainder of the alkynyl group. In some embodiments, R is H or an alkyl. In some embodiments, an alkynyl is selected from ethynyl, propynyl, butynyl, pentynyl, hexynyl, and the like. Non-limiting examples of alkynyl groups include -C≡CH, -C≡CCH3, -C≡CCH2CH3, -CH2C≡CH.

[0320] The term "heteroalkyl" refers to an alkyl group in which one or more skeletal atoms of the alkyl are selected from atoms other than carbon, such as oxygen, nitrogen (e.g., -NH-, -N(alkyl)-), sulfur, or combinations thereof. The heteroalkyl is attached to the remainder of the molecule at a carbon atom of the heteroalkyl. In one aspect, the heteroalkyl is a C1-C6 heteroalkyl.

[0321] The term "aromatic" refers to a planar ring having a delocalized π-electron system containing 4n+2 π electrons, where n is an integer. The term "aromatic" includes both carbocyclic aryl ("aryl", e.g., phenyl) and heterocyclic aryl (or "heteroaryl" or "heteroaromatic") groups (e.g., pyridine). The term includes monocyclic or fused-ring polycyclic (i.e., rings which share adjacent pairs of carbon atoms) groups.

[0322] The term "carbocyclic" or "carbocycle" refers to a ring or ring system in which the atoms forming the backbone of the ring are all carbon atoms. Thus, the term distinguishes carbocycle from "heterocyclic" or "heterocycle" in which the ring backbone contains at least one atom different from carbon. In some embodiments, the carbocycle is a monocyclic carbocycle or a bicyclic carbocycle. In some embodiments, the carbocycle is a monocyclic carbocycle. The carbocycle is non-aromatic or aromatic. The non-aromatic carbocycle is saturated or partially unsaturated. In some embodiments, the carbocycle is a bicyclic carbocycle. In some embodiments, at least one of the two rings of the bicyclic carbocycle is aromatic. In some embodiments, both rings of the bicyclic carbocycle are aromatic. Carbocycles include aryl and cycloalkyl.

[0323] As used herein, the term "aryl" refers to an aromatic ring in which each of the atoms forming the ring is a carbon atom. In one aspect, an aryl is phenyl or naphthyl. In some embodiments, an aryl is phenyl. In some embodiments, an aryl is phenyl, naphthyl, indanyl, indenyl, or tetrahydronaphthyl. In some embodiments, an aryl is a C6-C 10 Depending on the structure, the aryl group may be a monoradical or a diradical (i.e., an arylene group).

[0324] The term "cycloalkyl" refers to a monocyclic, bicyclic, or polycyclic aliphatic non-aromatic radical, where each of the atoms forming the ring (i.e., skeletal atoms) is a carbon atom. In some embodiments, the cycloalkyl is a spirocyclic or bridged compound. In some embodiments, the cycloalkyl is optionally fused with an aromatic ring, and the point of attachment is at a carbon that is not an aromatic ring carbon atom. Cycloalkyl groups include groups having 3 to 10 ring atoms. In some embodiments, the cycloalkyl group is selected from among cyclopropyl, cyclobutyl, cyclopentyl, cyclopentenyl, cyclohexyl, cyclohexenyl, cycloheptyl, cyclooctyl, spiro[2.2]pentyl, norbornyl, norbornenyl, bicyclo[1.1.1]pentyl, adamantyl, norbornyl, norbornenyl, decalinyl, or 7,7-dimethyl-bicyclo[2.2.1]heptanyl. In some embodiments, the cycloalkyl is a C3-C6 cycloalkyl. In some embodiments, the cycloalkyl is a monocyclic cycloalkyl. Monocyclic cycloalkyls include, but are not limited to, cyclopropyl, cyclobutyl, cyclopentyl, cyclohexyl, cycloheptyl, and cyclooctyl. Polycyclic cycloalkyls include, for example, adamantyl, norbornyl (i.e., bicyclo[2.2.1]heptanyl), norbornenyl, decalinyl, 7,7-dimethyl-bicyclo[2.2.1]heptanyl, and the like.

[0325] The term "halo", or alternatively "halogen" or "halide", means fluoro, chloro, bromo, or iodo. In some embodiments, halo is fluoro, chloro, or bromo.

[0326] The term "fluoroalkyl" refers to an alkyl in which one or more hydrogen atoms are replaced with a fluorine atom. In one aspect, the fluoroalkyl is a C1-C6 fluoroalkyl.

[0327] The term "heterocycle" or "heterocyclic" refers to aromatic heterocycles (also known as heteroaryls) and heterocycloalkyl rings containing one to four heteroatoms in the ring, where each heteroatom in the ring is selected from O, S, and N, and where each heterocycle group has from 3 to 10 atoms in its ring system, with the proviso that no ring contains two adjacent O or S atoms. Non-aromatic heterocycle groups (also known as heterocycloalkyls) include rings having from 3 to 10 atoms in their ring system, and aromatic heterocycle groups include rings having from 5 to 10 atoms in their ring system. Heterocyclic groups include benzo-fused ring systems. Examples of non-aromatic heterocyclic groups are pyrrolidinyl, tetrahydrofuranyl, dihydrofuranyl, tetrahydrothienyl, oxazolidinonyl, tetrahydropyranyl, dihydropyranyl, tetrahydrothiopyranyl, piperidinyl, morpholinyl, thiomorpholinyl, thioxanyl, piperazinyl, aziridinyl, azetidinyl, oxetanyl, thietanyl, homopiperidinyl, oxepanyl, thiepanyl, oxazepinyl, diazepinyl, thiazepinyl, 1,2,3,6-tetrahydropyridinyl, pyrrolin-2-yl, pyrrolin-3-yl, indolinyl, 2H-pyranyl, 4H-pyranyl, dioxanyl, 1,3-dioxolanyl, pyrazolinyl, dithianyl, dithio ranyl, dihydropyranyl, dihydrothienyl, dihydrofuranyl, pyrazolidinyl, imidazolinyl, imidazolidinyl, 3-azabicyclo[3.1.0]hexanyl, 3-azabicyclo[4.1.0]heptanyl, 3H-indolyl, indolin-2-onyl, isoindolin-1-onyl, isoindolin-1,3-dionyl, 3,4-dihydroisoquinolin-1(2H)-onyl, 3,4-dihydroquinolin-2(1H)-onyl, isoindolin-1,3-dithionyl, benzo[d]oxazol-2(3H)-onyl, 1H-benzo[d]imidazol-2(3H)-onyl, and benzo[d]thiazol-2(3H)-onyl, and quinolizinyl.Examples of aromatic heterocyclic groups are pyridinyl, imidazolyl, pyrimidinyl, pyrazolyl, triazolyl, pyrazinyl, tetrazolyl, furyl, thienyl, isoxazolyl, thiazolyl, oxazolyl, isothiazolyl, pyrrolyl, quinolinyl, isoquinolinyl, indolyl, benzimidazolyl, benzofuranyl, cinnolinyl, indazolyl, indolizinyl, phthalazinyl, pyridazinyl, triazinyl, isoindolyl, pteridinyl, purinyl, oxadiazolyl, thiadiazolyl, furazanyl, benzofurazanyl, benzothiophenyl, benzothiazolyl, benzoxazolyl, quinazolinyl, quinoxalinyl, naphthyridinyl, and furopyridinyl. The foregoing groups are C-linked (or C-linked) or N-linked where possible. For example, groups derived from pyrrole include pyrrol-1-yl (N-linked) or pyrrol-3-yl (C-linked). Additionally, groups derived from imidazole include imidazol-1-yl or imidazol-3-yl (both N-linked) or imidazol-2-yl, imidazol-4-yl or imidazol-5-yl (all C-linked). Heterocyclic groups include benzo-fused ring systems. Non-aromatic heterocycles are optionally substituted with one or two oxo (=O) moieties, such as pyrrolidin-2-one. In some embodiments, at least one of the two rings of the bicyclic heterocycle is aromatic. In some embodiments, both rings of the bicyclic heterocycle are aromatic.

[0328] The term "heteroaryl" or, alternatively, "heteroaromatic" refers to an aryl group containing one or more ring heteroatoms selected from nitrogen, oxygen, and sulfur. Illustrative examples of heteroaryl groups include monocyclic heteroaryls and bicyclic heteroaryls. Monocyclic heteroaryls include pyridinyl, imidazolyl, pyrimidinyl, pyrazolyl, triazolyl, pyrazinyl, tetrazolyl, furyl, thienyl, isoxazolyl, thiazolyl, oxazolyl, isothiazolyl, pyrrolyl, pyridazinyl, triazinyl, oxadiazolyl, thiadiazolyl, and furazanyl. Monocyclic heteroaryls include indolizine, indole, benzofuran, benzothiophene, indazole, benzimidazole, purine, quinolizine, quinoline, isoquinoline, cinnoline, phthalazine, quinazoline, quinoxaline, 1,8-naphthyridine, and pteridine. In some embodiments, the heteroaryl contains 0-4 N atoms in the ring. In some embodiments, the heteroaryl contains 1-4 N atoms in the ring. In some embodiments, the heteroaryl contains 0-4 N atoms, 0-1 O atoms, and 0-1 S atoms in the ring. In some embodiments, the heteroaryl contains 1-4 N atoms, 0-1 O atoms, and 0-1 S atoms in the ring. In some embodiments, the heteroaryl is a C1-C9 heteroaryl. In some embodiments, the monocyclic heteroaryl is a C1-C5 heteroaryl. In some embodiments, the monocyclic heteroaryl is a 5- or 6-membered heteroaryl. In some embodiments, the bicyclic heteroaryl is a C6-C9 heteroaryl.

[0329] A "heterocycloalkyl" group refers to a cycloalkyl group containing at least one heteroatom selected from nitrogen, oxygen, and sulfur. In some embodiments, the heterocycloalkyl is fused with an aryl or heteroaryl. In some embodiments, the heterocycloalkyl is oxazolidinonyl, pyrrolidinyl, tetrahydrofuranyl, tetrahydrothienyl, tetrahydropyranyl, tetrahydrothiopyranyl, piperidinyl, morpholinyl, thiomorpholinyl, piperazinyl, piperidin-2-onyl, pyrrolidine-2,5-dithionyl, pyrrolidine-2,5-dionyl, pyrrolidinonyl, imidazolidinyl, imidazolidin-2-onyl, or thiazolidin-2-onyl. The term "heterocycloalkyl" also includes all cyclic forms of carbohydrates, including, but not limited to, monosaccharides, disaccharides, and oligosaccharides. In one aspect, the heterocycloalkyl is a C2-C 10 In another embodiment, the heterocycloalkyl is a C4-C 10 Heterocycloalkyl. In some embodiments, a heterocycloalkyl contains 0-2 N atoms in the ring. In some embodiments, a heterocycloalkyl contains 0-2 N atoms, 0-2 O atoms, and 0-1 S atoms in the ring.

[0330] The term "bond" or "single bond" refers to a chemical bond between two atoms or two moieties where the atoms joined by the bond are considered to be part of a larger substructure. In one aspect, when a group described herein is a single bond, the reference group is not present, thereby allowing for the formation of a single bond between the remaining specified groups.

[0331] The term "moiety" refers to a specific segment or functional group of a molecule. A chemical moiety is often recognized as a chemical substance that is embedded in or appended to a molecule.

[0332] The term "optionally substituted" or "substituted" means that the referenced group is optionally substituted with one or more additional groups individually and independently selected from halogen, -CN, -NH, -NH(alkyl), -N(alkyl), -OH, -COH, -COalkyl, -C(=O)NH, -C(=O)NH(alkyl), -C(=O)N(alkyl), -S(=O)NH, -S(=O)NH(alkyl), -S(=O)N(alkyl), alkyl, cycloalkyl, fluoroalkyl, heteroalkyl, alkoxy, fluoroalkoxy, heterocycloalkyl, aryl, heteroaryl, aryloxy, alkylthio, arylthio, alkylsulfoxide, arylsulfoxide, alkylsulfone, and arylsulfone. In some other embodiments, the optional substituents are independently selected from halogen, -CN, -NH, -NH(CH), -N(CH), -OH, -COH, -CO(C-C alkyl), -C(=O)NH, -C(=O)NH(C-C alkyl), -C(=O)N(C-C alkyl), -S(=O)NH, -S(=O)NH(C-C alkyl), -S(=O)N(C-C alkyl), C-C alkyl, C-C cycloalkyl, C-C fluoroalkyl, C-C heteroalkyl, C-C alkoxy, C-C fluoroalkoxy, -SC-C alkyl, -S(=O)C-C alkyl, and -S(=O)C-C alkyl. In some other embodiments, the optional substituents are independently selected from halogen, -CN, -NH, -NH(CH), -N(CH), -OH, -COH, -CO(C-C alkyl), -C(=O)NH, -C(=O)NH(C-C alkyl), -C(=O)N(C-C alkyl), -S(=O)NH, -S(=O)NH(C-C alkyl), -S(=O)N(C-C alkyl), C-C alkyl, C-C cycloalkyl, C-C heterocycloalkyl, C-C fluoroalkyl, C-C heteroalkyl, C-C alkoxy, C-C fluoroalkoxy, -SC-C alkyl, -S(=O)C-C alkyl, and -S(=O)C-C alkyl.In some embodiments, optional substituents are independently selected from halogen, -CN, -NH2, -OH, -NH(CH3), -N(CH3)2, -CH3, -CH2CH3, -CF3, -OCH3, and -OCF3. In some embodiments, substituents are substituted with one or two of the foregoing groups. In some embodiments, optional substituents on an aliphatic carbon atom (acyclic or cyclic) include oxo (=O).

[0333] As used herein, the term "acceptable" with respect to a formulation, composition, or ingredient means having no lasting deleterious effects on the health status of the subject being treated.

[0334] As used herein, the term "modulate" means to interact with a target directly or indirectly to alter the activity of the target, which includes, by way of example only, enhancing the activity of the target, inhibiting the activity of the target, limiting the activity of the target, or expanding the activity of the target.

[0335] As used herein, the term "modulator" refers to a molecule that interacts with a target directly or indirectly. The interaction includes, but is not limited to, that of an agonist, partial agonist, inverse agonist, antagonist, degrader, or combinations thereof. In some embodiments, the modulator is an agonist.

[0336] As used herein, the terms "administer", "administering", "administration" and the like refer to methods that can be used to enable delivery of a compound or composition to a desired site of biological action. These methods include, but are not limited to, oral routes, intraduodenal routes, parenteral injection (including intravenous, subcutaneous, intraperitoneal, intramuscular, intravascular, or infusion), topical administration, and rectal administration. Those skilled in the art are familiar with administration techniques that can be used with the compounds and methods described herein. In some embodiments, the compounds and compositions described herein are administered orally.

[0337] "Concomitant administration," and like terms, as used herein, are meant to encompass the administration of selected therapeutic agents to a single patient, and are intended to include therapeutic regimens in which agents are administered by the same or different routes of administration or at the same or different times.

[0338] The term "effective amount" or "therapeutically effective amount" as used herein refers to a sufficient amount of an agent or compound being administered to relieve to some extent one or more of the symptoms of the disease or disorder being treated. The result includes reduction and / or alleviation of the signs, symptoms, or causes of the disease, or other desired changes in a biological system. For example, an "effective amount" for therapeutic use is the amount of a composition containing a compound disclosed herein that is required to clinically significantly reduce a disease symptom. An appropriate "effective" amount in an individual case is optionally determined using techniques such as dose escalation studies.

[0339] The terms "enhance" or "enhancing," as used herein, mean to increase or prolong, either in potency or duration, a desired effect. Thus, in regard to enhancing the effect of therapeutic agents, the term "enhancing" refers to the ability to increase or prolong, either in potency or duration, the effect of other therapeutic agents on a system. As used herein, an "enhancing-effective amount" refers to an amount sufficient to enhance the effect of another therapeutic agent in a desired system.

[0340] As used herein, the term "pharmaceutical combination" refers to a product resulting from the mixing or combination of more than one active ingredient, and includes fixed and non-fixed combinations of active ingredients. The term "fixed combination" refers to the active ingredients, for example, the compound of formula (A) or formula (I), or its pharmaceutically acceptable salt, and auxiliary agents, both administered simultaneously to a patient in the form of a single entity or dosage. The term "non-fixed combination" refers to the active ingredients, for example, the compound of formula (A) or formula (I), or its pharmaceutically acceptable salt, and auxiliary agents, administered simultaneously, simultaneously, or sequentially to a patient as separate entities without any specific intervening time limit, where such administration provides effective levels of the two compounds in the patient's body. The latter term also applies to cocktail therapy, for example, the administration of three or more active ingredients.

[0341] The terms "article of manufacture" and "kit" are used synonymously.

[0342] The term "subject" or "patient" includes mammals. Examples of mammals include, but are not limited to, members of the following classes of mammals: humans, non-human primates such as chimpanzees, and other apes and monkeys, farm animals such as cows, horses, sheep, goats, pigs, domestic animals such as rabbits, dogs, and cats, and laboratory animals including rodents, such as rats, mice, and guinea pigs. In one embodiment, the mammal is a human.

[0343] The terms "treat", "treating" or "treatment" as used herein include alleviating, relieving or ameliorating at least one symptom of a disease or condition, preventing additional symptoms, inhibiting a disease or condition, e.g., suppressing the onset of a disease or condition, relieving a disease or condition, causing regression of a disease or condition, alleviating a condition caused by a disease or condition, or prophylactically and / or therapeutically arresting a symptom of a disease or condition.

[0344] Pharmaceutical Compositions In some embodiments, the compounds described herein are formulated into pharmaceutical compositions. Pharmaceutical compositions are formulated in a conventional manner using one or more pharma- ceutical acceptable inactive ingredients that facilitate the processing of active compounds into pharmaceutical preparations. Appropriate formulations depend on the route of administration selected. Summary of pharmaceutical compositions described herein can be found, for example, in Remington: The Science and Practice of Pharmacy, Nineteenth Ed (Easton, Pa.: Mack Publishing Company, 1995); Hoover, John E., Remington's Pharmaceutical Sciences, Mack Publishing Co., Easton, Pennsylvania 1975; Liberman, HA and Lachman, L., Eds., Pharmaceutical Dosage Forms, Marcel Decker, New York, NY, 1980; and Pharmaceutical Dosage Forms and Drug Delivery Systems, Seventh Ed. (Lippincott Williams & Wilkins 1999), which are incorporated herein by reference for such disclosure.

[0345] In some embodiments, the compounds described herein are administered alone or in combination with pharma- ceutically acceptable carriers, excipients, or diluents in pharmaceutical compositions. Administration of the compounds and compositions described herein can be accomplished by any method that allows delivery of the compound to the site of action. These methods include, but are not limited to, delivery via enteral routes (including oral, gastric or duodenal feeding tubes, rectal suppositories, and rectal enemas), parenteral routes (injection or infusion, including intraarterial, intracardiac, intradermal, intraduodenal, intramedullary, intramuscular, intraosseous, intraperitoneal, intrathecal, intravascular, intravenous, intravitreal, epidural, and subcutaneous), inhalation, transdermal, transmucosal, sublingual, buccal, and topical (including epithelial, dermal, enema, eye drops, ear drops, intranasal, vaginal) administration, although the most appropriate route may depend, for example, on the disease or disorder of the recipient. By way of example only, the compounds described herein may be administered locally to the area in need of treatment, for example, by local infusion during surgery, topical application such as a cream or ointment, injection, catheter, or implantation. Administration may also be by direct injection at the site of the diseased tissue or organ.

[0346] In some embodiments, pharmaceutical compositions suitable for oral administration are presented as discrete units such as capsules, cachets, or tablets, each containing a predetermined amount of the active ingredient; as a powder or granules; as a solution or suspension in an aqueous or non-aqueous liquid; or as an oil-in-water emulsion or a water-in-oil emulsion in an oil liquid. In some embodiments, the active ingredient is provided as a bolus, electuary, or paste.

[0347] Pharmaceutical compositions that can be used orally include tablets, push-fit capsules made of gelatin, and sealed soft capsules made of gelatin and a plasticizer such as glycerol or sorbitol. Tablets may be made by compression or molding, optionally with one or more accessory ingredients. Compressed tablets can be prepared by compressing in a suitable machine the active ingredient in a free-flowing form such as powder or granules, optionally mixed with a binder, inert diluent, or lubricant, surface active agent, or dispersing agent. Molded tablets can be made by molding in a suitable machine a mixture of the powdered compound moistened with an inert liquid diluent. In some embodiments, the tablets are coated or scored and are formulated to provide a delayed or controlled release of the active ingredient. All preparations for oral administration should be in a quantity suitable for such administration. Push-fit capsules can contain the active ingredient in combination with a filler such as lactose, a binder such as starch, and / or a lubricant such as talc or magnesium stearate, and optionally stabilizers. In soft capsules, the active compound may be dissolved or suspended in a suitable liquid, such as fatty oils, liquid paraffin, or liquid polyethylene glycol. In some embodiments, stabilizers are added. Dragee cores are provided with suitable coatings. For this purpose, concentrated sugar solutions may be used, which may optionally contain gum arabic, talc, polyvinylpyrrolidone, carbopol gel, polyethylene glycol, and / or titanium dioxide, lacquer solutions, and suitable organic solvents or solvent mixtures. Dyes or pigments may be added to the tablets or dragee coatings for identification or to characterize various combinations of doses of the active compound.

[0348] In some embodiments, the pharmaceutical composition is formulated for parenteral administration by injection, for example, bolus injection or continuous infusion. The preparation for injection may be provided in unit dosage form, for example, in ampoules or multi-dose containers, together with additional preservatives. The composition may take the form of a suspension, solution, or emulsion in an oily or aqueous vehicle, and may contain formulating agents such as suspending, stabilizing, and / or dispersing agents. The composition may be provided in unit or multi-dose containers, for example, sealed ampoules and vials, and may be stored in powder form or in a freeze-dried (lyophilized) condition requiring only the addition of a sterile liquid carrier, for example, saline or pyrogen-free distilled water, immediately prior to use. Extemporaneous injection solutions and suspensions may be prepared from sterile powders, granules, and tablets of the kind described above.

[0349] Pharmaceutical compositions for parenteral administration include aqueous and non-aqueous (oily) sterile injection solutions of the active compound, which may contain antioxidants, buffers, bacteriostats, and solutes that render the formulation isotonic with the blood of the desired recipient; aqueous and non-aqueous sterile suspensions, which may contain suspending agents and thickening agents. Suitable lipophilic solvents or vehicles include fatty oils such as sesame oil, synthetic fatty acid esters such as ethyl oleate or triglycerides, or liposomes. Aqueous injection suspensions may contain substances that increase the viscosity of the suspension, such as sodium carboxymethylcellulose, sorbitol, or dextran. Optionally, the suspension may also contain suitable stabilizers or agents that increase the solubility of the compound to allow for the preparation of highly concentrated solutions.

[0350] Pharmaceutical compositions can also be formulated as depot preparations. Such long-acting preparations can be administered by implantation (e.g., subcutaneously or intramuscularly) or intramuscular injection.Thus, for example, the compound can be formulated with suitable polymeric or hydrophobic materials (e.g., as an emulsion in an acceptable oil) or ion exchange resins, or as sparingly soluble derivatives, for example, as sparingly soluble salts.

[0351] For buccal or sublingual administration, the compositions may take the form of tablets, lozenges, pastilles, or gels formulated in a conventional manner. Such compositions may contain the active ingredient in a flavored base, such as sucrose and acacia or tragacanth.

[0352] Pharmaceutical compositions can be administered topically, i.e., by non-systemic administration. This includes applying the compounds of the present invention to the epidermis or external buccal cavity, and dropping the compounds into the ears, eyes, and nose, so that the compounds do not enter the bloodstream in large amounts. In contrast, systemic administration refers to oral, intravenous, intraperitoneal, and intramuscular administration.

[0353] Pharmaceutical compositions suitable for topical administration include liquid or semi-liquid formulations suitable for penetration through the skin to the site of inflammation, such as gels, liniments, lotions, creams, ointments or pastes, and drops suitable for administration to the eye, ear or nose. The active ingredient may comprise from 0.001% w / w to 10% w / w, for example 1% to 2% by weight, of the formulation for topical administration.

[0354] Pharmaceutical compositions for administration by inhalation are conveniently delivered from an insufflator, nebulizer, pressurized pack, or other convenient means of delivering an aerosol spray. Pressurized packs can contain a suitable propellant, such as dichlorodifluoromethane, trichlorofluoromethane, dichlorotetrafluoroethane, carbon dioxide, or other suitable gas. In the case of a pressurized aerosol, the dosage unit can be determined by providing a valve to deliver a measured amount. Alternatively, for administration by inhalation or insufflation, the formulation can take the form of a dry powder composition, for example a powder mix of the compound and a suitable powder base, such as lactose or starch. The powder composition can be presented in unit dosage form, for example capsules, cartridges, gelatin, or blister packs, from which the powder can be administered using an inhaler or insufflator.

[0355] For example, in addition to the ingredients specifically mentioned above, it will be understood that the compounds and compositions described herein may include other agents conventional in the art having regard to the type of formulation in question; for example, those suitable for oral administration may include flavoring agents.

[0356] Dosage and treatment regimens In one embodiment, a compound of Formula (A) or Formula (I), or a pharma- ceutically acceptable salt thereof, is used in the preparation of a medicament for the treatment of a disease or condition in a mammal that would benefit from modulation of melanocortin receptor activity. A method for treating any of the diseases or conditions described herein in a mammal in need of such treatment comprises administering to the mammal a therapeutically effective amount of at least one compound of Formula (A) or Formula (I), or a pharma- ceutically acceptable salt, active metabolite, prodrug, or pharma- ceutically acceptable solvate thereof.

[0357] In some embodiments, the compositions comprising the compounds described herein are administered for preventive and / or therapeutic treatment. In some therapeutic applications, the compositions are administered to a patient already suffering from a disease or condition in an amount sufficient to cure or at least partially prevent at least one of the symptoms of the disease or condition. The amount effective for this use depends on the severity and course of the disease or condition, previous treatments, the patient's health status, weight, and response to the drug, and the judgment of the treating physician. Therapeutically effective amounts are optionally determined by methods including, but not limited to, dose escalation and / or dose ranging clinical trials.

[0358] In prophylactic applications, compositions containing the compounds described herein are administered to patients susceptible to or at risk of a particular disease, disorder, or condition. Such an amount is defined as a "prophylactically effective amount or dosage." In this application, the exact amount will vary depending on the patient's health, weight, and the like. When used in patients, the effective amount for this use will depend on the severity and course of the disease, disorder, or condition, previous treatments, the patient's health and response to the drugs, and the judgment of the treating physician. In one embodiment, prophylactic treatment involves administering a compound of Formula (A) or Formula (I), or a pharma- ceutically acceptable salt thereof, to a mammal that has previously experienced at least one symptom of the disease being treated and is now in remission, to prevent the recurrence of the disease or condition.

[0359] In certain embodiments where the patient's condition does not improve, at the physician's discretion, administration of the compound is administered chronically, i.e., for an extended period of time, including for the patient's lifetime, to ameliorate or otherwise inhibit or limit the symptoms of the patient's disease or disorder.

[0360] Once the patient's condition has improved, a maintenance dose is administered as needed. Thereafter, in certain embodiments, the dosage or frequency of administration, or both, depending on the symptoms, is reduced to a level at which the improved disease, disorder, or condition is maintained. In certain embodiments, however, patients require intermittent treatment on a long-term basis upon recurrence of symptoms.

[0361] The amount of a given drug that corresponds to such an amount will vary depending on factors such as the particular compound, the disease state and its severity, the identity of the subject or host requiring treatment (e.g., weight, sex), etc., but will nevertheless be determined according to the particular circumstances surrounding the case, including, for example, the particular drug being administered, the route of administration, the disease being treated, and the subject or host being treated.

[0362] In general, however, dosages used in adult human treatment will typically be in the range of 0.01 mg to 2000 mg per day. In one embodiment, the desired dosage is suitably provided in a single dose or in divided doses administered simultaneously or at appropriate intervals, for example, as two, three, four or more subdoses per day.

[0363] In one embodiment, a suitable daily dosage for a compound of formula (A) or formula (I), or a pharma- ceutically acceptable salt thereof, is about 0.01 to about 50 mg / kg of body weight. In some embodiments, the daily dosage or effective amount of the active ingredient in the dosage form will be less than or greater than the ranges set forth herein, based on many variables related to the individual treatment regimen. In various embodiments, the daily dosage and unit dose will vary depending on many variables, including, but not limited to, the activity of the compound used, the disease or condition being treated, the mode of administration, the requirements of the individual subject, the severity of the disease or condition being treated, and the judgment of the physician.

[0364] The toxicity and therapeutic efficacy of such treatment regimens may include, but are not limited to, LD 50 and ED 50 The dose ratio between toxic and therapeutic effects is the therapeutic index, which is defined as the LD 50 and ED 50 In some embodiments, the data obtained from cell culture assays and animal studies are used to formulate a therapeutically effective daily dosage range and / or therapeutically effective unit dose for use in mammals, including humans. In some embodiments, the daily dosage of the compounds described herein is at or near the ED with minimal toxicity. 50 In certain embodiments, the daily dosage range and / or unit dose varies within this range depending on the dosage form employed and the route of administration utilized.

[0365] In any of the foregoing aspects, there are further embodiments in which an effective amount of a compound of Formula (A) or Formula (I), or a pharma- ceutically acceptable salt thereof, is (a) administered systemically to a mammal, and / or (b) administered orally to a mammal, and / or (c) administered intravenously to a mammal, and / or (d) administered by injection to a mammal, and / or (e) administered locally to a mammal, and / or (f) administered non-systemically or locally to a mammal.

[0366] In any of the foregoing aspects, there are further embodiments comprising a single administration of an effective amount of the compound, including further embodiments in which (i) the compound is administered once daily, or (ii) the compound is administered multiple times to the mammal over the course of a day.

[0367] In any of the foregoing aspects, there are further embodiments comprising multiple administrations of an effective amount of the compound, including further embodiments in which (i) the compound is administered continuously or intermittently, as in a single dose; (ii) the interval between multiple doses is every 6 hours; (iii) the compound is administered to the mammal every 8 hours; (iv) the compound is administered to the mammal every 12 hours; and (v) the compound is administered to the mammal every 24 hours. In further or alternative embodiments, the method includes a drug holiday, where administration of the compound is temporarily suspended or the amount of compound being administered is temporarily reduced, and at the end of the drug holiday, administration of the compound is resumed. In one embodiment, the length of the drug holiday varies from 2 days to 1 year.

[0368] Combination treatment In certain instances, it will be appropriate to administer at least one compound of Formula (A) or Formula (I), or a pharma- ceutically acceptable salt thereof, in combination with one or more other therapeutic agents.

[0369] In one embodiment, the therapeutic effectiveness of one of the compounds described herein is enhanced by administration of an adjuvant (i.e., the adjuvant has minimal therapeutic effect by itself, but when combined with another therapeutic agent, enhances the overall therapeutic effect on the patient). Alternatively, in some embodiments, the effect experienced by the patient is increased by administering one of the compounds described herein with another agent (including a treatment regimen) that also has a therapeutic effect.

[0370] In certain embodiments, a compound of Formula (A) or Formula (I), or a pharma- ceutically acceptable salt thereof, is co-administered with a second therapeutic agent, where the compound of Formula (A) or Formula (I), or a pharma- ceutically acceptable salt thereof, and the second therapeutic agent modulate different aspects of the disease, disorder, or condition being treated, thereby providing a greater overall effect than if either therapeutic agent were administered alone.

[0371] In all cases, regardless of the disease, disorder, or condition being treated, the overall effect experienced by the patient is simply additive of the two therapeutic agents or, alternatively, the patient experiences a synergistic effect.

[0372] For the combination therapies described herein, the dosage of the co-administered compounds will vary depending on the particular co-medication used, the particular drug used, the disease or condition being treated, etc. In additional embodiments, when co-administered with one or more other therapeutic agents, the compounds provided herein are administered simultaneously with the one or more other therapeutic agents, or sequentially.

[0373] In combination therapy, the multiple therapeutic agents (one of which is one of the compounds described herein) are administered in any order, or even simultaneously. When administration is simultaneous, the multiple therapeutic agents can be provided in a single, unified form, or in multiple forms (e.g., as a single pill, or as two separate pills), by way of example only.

[0374] In conjunction with the combination therapy, the compound of formula (A) or formula (I), or a pharma- ceutically acceptable salt thereof, is administered before, during, or after the onset of a disease or condition, and the timing of administering the composition comprising the compound may vary. Thus, in one embodiment, the compounds described herein are used as prophylactics and are administered continuously to subjects prone to disease or condition to prevent the onset of disease or condition. In another embodiment, the compounds and compositions are administered to subjects during or as soon as possible after the onset of symptoms. In certain embodiments, the compounds described herein are administered as soon as practicable after the onset of a disease or condition is detected or suspected, and for the period required to treat the condition. In some embodiments, the period required for treatment may vary, and the treatment period is adjusted to the specific needs of each subject. EXAMPLES

[0375] The following examples are provided for illustrative purposes only and are not intended to limit the scope of the claims provided herein. Abbreviation DIEA: N,N-diisopropylethylamine, DMA: N,N-dimethylacetamide, EtOAc: ethyl acetate DMSO: dimethyl sulfoxide; Pd(PPh3)4: Tetrakis(triphenylphosphine)palladium(0), Pd(dppf)Cl2: [1,1'-bis(diphenylphosphino)ferrocene]palladium(II) dichloride, CuI: copper(I) iodide; PdAMphos: bis(di-tert-butyl(4-dimethylaminophenyl)phosphine)dichloropalladium(II); TBAF: tetra-n-butylammonium fluoride; P(t-Bu)3: tri-tert-butylphosphine, HBF4: tetrafluoroboric acid; DBU: 1,8-diazabicyclo[5.4.0]undec-7-ene, Preparative HPLC: Preparative High Performance Liquid Chromatography; TFA: trifluoroacetic acid; CH3CN: acetonitrile, MeOD: deuterated methanol; CDCl3: Deuterated chloroform DME: 1,2-dimethoxyethane; H2O: water, KOAc: Potassium acetate; NaOAc: sodium acetate; Cs2CO3: Cesium carbonate P-TsOH: p-toluenesulfonic acid, NaNO2: sodium nitrate, THF: tetrahydrofuran; DCM: dichloromethane, NBS: N-bromosuccinimide, NCS: N-chlorosuccinimide; Br2: Bromine, AgF: silver fluoride; LiAlH4: lithium aluminum hydride; IBX: 2-iodoxybenzoic acid; TEA: Trimethylamine; HOBT: hydroxybenzotriazole; EDCI: 1-ethyl-3-(3-dimethylaminopropyl)carbodiimide; Pd(PPh3)2Cl2: bis(triphenylphosphine) palladium(II) dichloride, Pd(dppf)Cl2: [1,1'-bis(diphenylphosphino)ferrocene]dichloropalladium(II), PdAmphos or Pd(amphos)Cl2 or: Bis(di-tert-butyl(4-dimethylaminophenyl)phosphine)dichloropalladium(II), Pd(DTBPF)Cl2: [1,1'-bis(di-tert-butylphosphino)ferrocene]dichloropalladium(II), rt: room temperature, h: time, CC: column chromatography.

[0376] Synthesis of compounds

[0377] Example 1: 5-[(2R)-4-[4-chloro-2-(trifluoromethyl)benzoyl]-2-ethylpiperazin-1-yl]-2'-ethoxy-6-{[(3R)-1-methylpyrrolidin-3-yl]oxy}-2,3'-bipyridine (cpd 1-2)

[0378] [ka]

[0379] Step 1-1, Preparation of tert-butyl (3R)-3-ethyl-4-(2-nitropyridin-3-yl)piperazine-1-carboxylate: A 250 mL round bottom flask purged and maintained with an inert atmosphere of nitrogen was charged with 3-fluoro-2-nitropyridine (5.0 g, 35 mmol), tert-butyl (R)-3-ethylpiperazine-1-carboxylate (9.3 g, 43 mmol), DIEA (14 g, 110 mmol), and DMA (50 mL). The resulting solution was stirred at 90° C. for 16 h, cooled to room temperature, and diluted with water (100 ml). The resulting solution was extracted with EtOAc (3×). The combined organic layers were washed with brine, dried over anhydrous sodium sulfate, and concentrated. The residue was applied onto a silica gel column with ethyl acetate / petroleum ether (1:3). This resulted in the title compound (7.5 g, 63%) as a yellow solid. LCMS(M+H) + =337.2.

[0380] Step 1-2, Preparation of tert-butyl (3R)-3-ethyl-4-(2-{[(3R)-1-methylpyrrolidin-3-yl]oxy}pyridin-3-yl)piperazine-1-carboxylate: A 100 mL round bottom flask purged and maintained with an inert atmosphere of nitrogen was charged with (R)-1-methylpyrrolidin-3-ol (293 mg, 2.9 mmol) and DMF (4 mL). The resulting solution was treated with NaH (0.15 g, 3.86 mmol) and stirred at 0° C. for 20 min. The reaction was treated with tert-butyl (3R)-3-ethyl-4-(2-nitropyridin-3-yl)piperazine-1-carboxylate (650 mg, 1.93 mmol) in DMF (6 mL) and then stirred at room temperature for 16 h. The reaction was then quenched with water (20 mL) and extracted with EtOAc (3x). The combined organic layers were washed with brine, dried over anhydrous sodium sulfate and concentrated. The filtrate was applied to a silica gel column with DCM / MeOH (10:1). This resulted in the title compound (400 mg, 53%) as a yellow oil. LCMS (M+H) + =391.3.

[0381] Step 1-3, preparation of tert-butyl (3R)-4-(6-chloro-2-{[(3R)-1-methylpyrrolidin-3-yl]oxy}pyridin-3-yl)-3-ethylpiperazine-1-carboxylate: A 50 mL round-bottom flask purged and maintained with an inert atmosphere of nitrogen was charged with tert-butyl (3R)-3-ethyl-4-(2-{[(3R)-1-methylpyrrolidin-3-yl]oxy}pyridin-3-yl)piperazine-1-carboxylate (1.0 g, 2.6 mmol) and DMF (8 mL). The resulting solution was treated with NCS (980 mg, 7.34 mmol) in DMF (5 mL) at 17° C., then stirred at 40° C. for 2 hours. The crude product was purified by flash preparative HPLC under the following conditions (IntelFlash-1): column, C18 silica gel; mobile phase, water (0.1% TFA) and CH3CN (10% CH3CN to 56% in 6 min); detector, UV 254 & 220 nm. This resulted in the title compound (500 mg, 46%) as a yellow oil. LCMS (M+H) + =425.2.

[0382] Step 1-4, Preparation of tert-butyl (3R)-4-(2'-ethoxy-6-{[(3R)-1-methylpyrrolidin-3-yl]oxy}-[2,3'-bipyridin]-5-yl)-3-ethylpiperazine-1-carboxylate: In a 50 mL round bottom flask purged and maintained with an inert atmosphere of nitrogen, add tert-butyl (3R)-4-(6-chloro-2-{[(3R)-1-methylpyrrolidin-3-yl]oxy}-[2,3'-bipyridin]-5-yl)-3-ethylpiperazine-1-carboxylate. 2-Ethylpiperazine-1-carboxylate (500 mg, 1.18 mmol), 2-ethoxypyridin-3-yl)boronic acid (590 mg, 3.53 mmol), potassium carbonate (500 mg, 3.62 mmol), PdAMPHOS (50 mg, 0.07 mmol), and dioxane (6 mL) / H2O (0.6 mL) were added. The resulting solution was degassed with N2 for 10 min and stirred at 80 °C for 8 h. The reaction was cooled to room temperature and the inorganic solids were filtered off. The filtrate was concentrated under vacuum. The residue was applied onto a silica gel column with dichloromethane / MeOH (10:1). This gave the title compound (300 mg, 50%) as a yellow solid. LCMS (M+H) + =512.5.

[0383] Step 1-5, Preparation of 2'-ethoxy-5-[(2R)-2-ethylpiperazin-1-yl]-6-{[(3R)-1-methylpyrrolidin-3-yl]oxy}-2,3'-bipyridine trihydrochloride: A 50 mL round bottom flask was charged with tert-butyl (3R)-4-(2'-ethoxy-6-{[(3R)-1-methylpyrrolidin-3-yl]oxy}-[2,3'-bipyridine]-5-yl)-3-ethylpiperazine-1-carboxylate (300 mg, 0.586 mmol) and DCM (2 mL). The resulting solution was treated with 4N-HCl in 1,4-dioxane (2 mL). The resulting solution was stirred at room temperature for 1 h and concentrated. This resulted in the title compound (330 mg, 94%) as a yellow solid. LCMS (M+H) + =412.3.

[0384] Step 1-6, Preparation of 5-[(2R)-4-[4-chloro-2-(trifluoromethyl)benzoyl]-2-ethylpiperazin-1-yl]-2'-ethoxy-6-{[(3R)-1-methylpyrrolidin-3-yl]oxy}-2,3'-bipyridine formate: A purged 50 mL round bottom flask was charged with 4-chloro-2-(trifluoromethyl)benzoic acid (36 mg, 0.16 mmol), DMF (2 mL), HATU (70 mg, 0.18 mmol), DIEA (75 mg, 0.58 mmol), and 2'-ethoxy-5-[(2R)-2-ethylpiperazin-1-yl]-6-{[(3R)-1-methylpyrrolidin-3-yl]oxy}-2,3'-bipyridine trihydrochloride (80 mg, 0.13 mmol). The resulting solution was stirred at room temperature for 1 hour. The crude product was purified using the following conditions (Waters I): column, SunFire Prep C18 OBD column, 5um, 19 * Purified by preparative HPLC at 150 mm; mobile phase, water (0.05% FA) and CH3CN (16% CH3CN to 34% in 10 min); detector, UV 220 & 254 nm. This resulted in the title compound (35 mg, 39%) as an off-white solid. LCMS (M+H) + =618.3.

[0385] The following compounds were prepared similarly to Example 1, using the appropriate substitution reagents and substrates at various steps. Some examples may require further deprotection to the final product.

[0386] [Table 6]

[0387] Example 2: [2-({5-[(2R)-4-[4-chloro-2-(trifluoromethyl)benzoyl]-2-ethylpiperazin-1-yl]-2'-ethoxy-[2,3'-bipyridin]-6-yl}oxy)ethyl](methyl)amine (cpd 1-15)

[0388] [ka]

[0389] Step 2-1, Preparation of tert-butyl (3R)-4-(2-{2-[benzyl(methyl)amino]ethoxy}pyridin-3-yl)-3-ethylpiperazine-1-carboxylate: A 50 mL three-neck round bottom flask purged and maintained with an inert atmosphere of nitrogen was charged with 2-(benzyl(methyl)aminoethan-1-ol (836 mg, 5.06 mmol) and DMF (15 mL). The solution was treated with NaH (181 mg, 7.54 mmol) at 0° C. and then stirred at 0° C. for 20 min. The reaction was diluted with tert-butyl (3R)-4-(2-{2-[benzyl(methyl)amino]ethoxy}pyridin-3-yl)-3-ethylpiperazine-1-carboxylate in DMF (15 mL). The mixture was treated with 3R-3-ethyl-4-(2-nitropyridin-3-yl)piperazine-1-carboxylate (850 mg, 2.53 mmol). The resulting solution was stirred at room temperature for 2 h, quenched with water (50 mL) and extracted with EtOAc (3×). The combined organic layers were washed with brine, dried over anhydrous sodium sulfate and concentrated. The filtrate was applied to a silica gel column with DCM / MeOH (10:1). This resulted in the title compound (910 mg, 79%) as a white solid. LCMS (M+H) + =455.3.

[0390] Step 2-2, preparation of tert-butyl (3R)-4-(2-{2-[benzyl(methyl)amino]ethoxy}-6-chloropyridin-3-yl)-3-ethylpiperazine-1-carboxylate: A 50 mL round bottom flask purged and maintained with an inert atmosphere of nitrogen was charged with tert-butyl (3R)-4-(2-{2-[benzyl(methyl)amino]ethoxy}pyridin-3-yl)-3-ethylpiperazine-1-carboxylate (910 mg, 2.0 mmol) and DMF (15 mL). The solution was treated with NCS (267 mg, 2.0 mmol) at room temperature and then stirred at 60° C. for 5 hours. Additional NCS (1.0 equiv.) was added to the reaction during the reaction. The crude product was purified by flash preparative HPLC under the following conditions (IntelFlash-1): column, C18 silica gel; mobile phase, water (0.1% TFA) and CH3CN (10% CH3CN to 56% in 6 min); detector, UV 254 & 220 nm. This resulted in the title compound (350 mg, 36%) as a yellow oil. LCMS (M+H) + =489.3.

[0391] Step 2-3, Preparation of tert-butyl (3R)-4-(6-{2-[benzyl(methyl)amino]ethoxy}-2'-ethoxy-[2,3'-bipyridin]-5-yl)-3-ethylpiperazine-1-carboxylate: Into a 50 mL round bottom flask purged and maintained with an inert atmosphere of nitrogen was placed tert-butyl (3R)-4-(2-{2-[benzyl(methyl)amino]ethoxy}-6-chloropyridin-3-yl)-3-ethylpiperazine-1-carboxylate (350 mg, 0.72 mmol) and dioxane / HO (6 mL / 0.6 mL). To the resulting solution was added (2-ethoxypyridin-3-yl)boronic acid (240 mg, 1.4 mmol), PdAMPHOS (50 mg, 0.1 equiv), and potassium carbonate (300 mg, 2.17 mmol). The resulting solution was degassed with N2 for 5 min and stirred at 80° C. under N2 for 1 h. The reaction was cooled to room temperature and the inorganic solids were filtered. The filtrate was concentrated under vacuum. The residue was purified by silica gel column eluted with dichloromethane / MeOH (10:1) to give the title compound (320 mg, 78%) as a yellow solid. LCMS (M+H) + =576.3.

[0392] Step 2-4, preparation of tert-butyl (3R)-4-{2'-ethoxy-6-[2-(methylamino)ethoxy]-[2,3'-bipyridin]-5-yl}-3-ethylpiperazine-1-carboxylate: A 50 mL autoclave was charged with tert-butyl (3R)-4-(6-{2-[benzyl(methyl)amino]ethoxy}-2'-ethoxy-[2,3'-bipyridin]-5-yl)-3-ethylpiperazine-1-carboxylate (90 mg, 0.16 mmol), MeOH (2 mL), and palladium hydroxide (5 mg, 0.2 equiv). The flask was evacuated and flushed with nitrogen three times, then flushed with hydrogen. The mixture was stirred under 10 atm hydrogen at room temperature for 2 h. The solid was filtered through a pad of Celite. The filtrate was concentrated in vacuo to give the title compound (77 mg, 100%). LCMS (M+H) + =486.6.

[0393] Step 2-5, Preparation of tert-butyl (3R)-4-[6-(2-{[(benzyloxy)carbonyl](methyl)amino}ethoxy)-2'-ethoxy-[2,3'-bipyridin]-5-yl]-3-ethylpiperazine-1-carboxylate: In an 8 mL vial, tert-butyl (3R)-4-{2'-ethoxy-6-[2-(methylamino)ethoxy]-[2,3'-bipyridin]-5-yl}-3-ethylpiperazine-1-carboxylate (70 mg, 0.14 mmol), TEA (50 mg, 0.49 mmol), DCM (1 mL) were added. The resulting was treated with CbzCl (50 mg, 0.29 mmol) at 0 °C and stirred at the same temperature for 2 h. The reaction mixture was diluted with water (5 mL) and then extracted with CHCl (2x). The combined organic layers were washed with brine, dried and concentrated in vacuo. This resulted in the title compound (90 mg, 100%), which was used in the next step without further purification. LCMS (M+H) + =620.3.

[0394] Step 2-6, Preparation of benzyl N-[2-({2'-ethoxy-5-[(2R)-2-ethylpiperazin-1-yl]-[2,3'-bipyridin]-6-yl}oxy)ethyl]-N-methylcarbamate: An 8 mL vial was charged with tert-butyl (3R)-4-[6-(2-{[(benzyloxy)carbonyl](methyl)amino}ethoxy)-2'-ethoxy-[2,3'-bipyridin]-5-yl]-3-ethylpiperazine-1-carboxylate (90 mg, 0.15 mmol), TFA (0.2 mL), and DCM (1 mL). The resulting solution was stirred at room temperature for 2 h and concentrated under vacuum. The residue was dissolved in DCM (5 mL) and washed with saturated sodium bicarbonate solution (5 mL). The organic layer was washed with brine, dried, and concentrated under vacuum. This resulted in the title compound (70 mg, 93%) as a yellow oil. LCMS (M+H) + =520.3.

[0395] Step 2-7, Preparation of benzyl N-[2-({5-[(2R)-4-[4-chloro-2-(trifluoromethyl)benzoyl]-2-ethylpiperazin-1-yl]-2'-ethoxy-[2,3'-bipyridine]-6-yl}oxy)ethyl]-N-methylcarbamate: In an 8 mL vial was placed 4-chloro-2-(trifluoromethyl)benzoic acid (31 mg, 0.14 mmol), HATU (52 mg, 0.14 mmol), DIEA (55 mg, 0.43 mmol), and DMF (1 mL). After stirring at room temperature for 10 min, the resulting solution was treated with benzyl N-[2-({2'-ethoxy-5-[(2R)-2-ethylpiperazin-1-yl]-[2,3'-bipyridin]-6-yl}oxy)ethyl]-N-methylcarbamate (70 mg, 0.13 mmol). The reaction was stirred at room temperature for 1 h, diluted with water (5 mL) and then extracted with CHCl (2x). The combined organic layers were washed with brine, dried and concentrated under vacuum. The residue was applied onto a silica gel column with ethyl acetate / petroleum ether (8:92). This resulted in the title compound (45 mg, 46%) as a yellow oil. LCMS (M+H) + =726.3.

[0396] Step 2-8, Preparation of [2-({5-[(2R)-4-[4-chloro-2-(trifluoromethyl)benzoyl]-2-ethylpiperazin-1-yl]-2'-ethoxy-[2,3'-bipyridine]-6-yl}oxy)ethyl]-N-methylcarbamate: In an 8 mL vial, benzyl N-[2-({5-[(2R)-4-[4-chloro-2-(trifluoromethyl)benzoyl]-2-ethylpiperazin-1-yl]-2'-ethoxy-[2,3'-bipyridine]-6-yl}oxy)ethyl]-N-methylcarbamate (45 mg, 0.062 mmol) and TFA (1 mL) were added. The resulting mixture was stirred at room temperature for 1 hour. The mixture was concentrated under vacuum and the residue was purified using the following conditions (Waters I): Column, SunFire Prep C18 OBD column, 5 um, 19 *Purification by preparative HPLC at 150 mm; mobile phase, water (0.05% FA) and CH3CN (16% CH3CN to 34% in 10 min); detector, UV 220 & 254 nm. This resulted in the title compound (25 mg, 62%) as a white solid. LCMS (M+H) + =638.2.

[0397] The following compounds were prepared similarly to Example 2 using the appropriate substitution reagents and substrates at the various steps:

[0398] [Table 7]

[0399] Example 3: [2-({2'-ethoxy-5-[(2R)-2-ethyl-4-[(2S)-2-(trifluoromethyl)pyrrolidine-1-carbonyl]piperazin-1-yl]-[2,3'-bipyridin]-6-yl}oxy)ethyl](methyl)amine (cpd 1-11)

[0400] [ka]

[0401] Step 3-1, Preparation of (2S)-2-(trifluoromethyl)pyrrolidine-1-carbonyl chloride: An 8 mL vial was charged with DCM (1 mL), DIEA (60 mg, 0.6 mmol), (2S)-2-(trifluoromethyl)pyrrolidine (22 mg, 0.16 mmol), and bis(trichloromethyl)carbonate (16 mg, 0.054 mmol) at 0° C. The resulting solution was stirred at 0° C. for 3 h, diluted with HO (5 mL), and extracted with DCM (2×). The combined organic layers were washed with brine, dried, and concentrated under vacuum. This resulted in the title compound (30 mg, 94%) as a yellow oil.

[0402] Step 3-2, Preparation of benzyl[2-({2'-ethoxy-5-[(2R)-2-ethylpiperazin-1-yl]-[2,3'-bipyridine]-6-yl}oxy)ethyl]methylamine: An 8 mL vial was charged with tert-butyl (3R)-4-(6-{2-[benzyl(methyl)amino]ethoxy}-2'-ethoxy-[2,3'-bipyridine]-5-yl)-3-ethylpiperazine-1-carboxylate (220 mg, 0.38 mmol) from step 3 of Example 2, DCM (2 mL), and TFA (0.4 mL). The resulting solution was stirred at room temperature for 1 h and concentrated. The residue was dissolved in DCM (5 mL) and washed with saturated NaHCO3. The organic layer was washed with brine, dried, and concentrated to give the title compound (180 mg, 99%). LCMS (M+H) + =476.3.

[0403] Step 3-3, preparation of benzyl[2-({2'-ethoxy-5-[(2R)-2-ethyl-4-[(2S)-2-(trifluoromethyl)pyrrolidine-1-carbonyl]piperazin-1-yl]-[2,3'-bipyridine]-6-yl}oxy)ethyl]methylamine: Into an 8 mL vial was placed benzyl[2-({2'-ethoxy-5-[(2R)-2-ethylpiperazin-1-yl]-[2,3'-bipyridine]-6-yl}oxy)ethyl]methylamine (50 mg, 0.11 mmol), (2S)-2-(trifluoromethyl)pyrrolidine-1-carbonyl chloride (30 mg, 0.15 mmol), KCO (42 mg, 0.30 mmol), and ACN (1 mL). The resulting solution was stirred at 30° C. for 3 h, diluted with H2O (5 mL) and extracted with DCM (2×). The combined organic layers were washed with brine, dried and concentrated under vacuum. The residue was applied onto a silica gel column with ethyl acetate / petroleum ether (15:85). This resulted in the title compound (46 mg, 68%) as a yellow oil. LCMS (M+H) + =641.3.

[0404] Step 3-4, Preparation of [2-({2'-ethoxy-5-[(2R)-2-ethyl-4-[(2S)-2-(trifluoromethyl)pyrrolidine-1-carbonyl]piperazin-1-yl]-[2,3'-bipyridine]-6-yl}oxy)ethyl](methyl)amine formate: A 50 mL autoclave was charged with benzyl[2-({2'-ethoxy-5-[(2R)-2-ethyl-4-[(2S)-2-(trifluoromethyl)pyrrolidine-1-carbonyl]piperazin-1-yl]-[2,3'-bipyridine]-6-yl}oxy)ethyl]methylamine (46 mg, 0.072 mmol), MeOH (5 mL), and palladium hydroxide (10 mg, 0.072 mmol). The flask was evacuated and flushed with nitrogen three times and then flushed with hydrogen. The mixture was stirred at room temperature under 10 atm of hydrogen for 1 h. The solid was filtered through a pad of celite and the filtrate was concentrated under vacuum. The residue was purified using the following conditions (Prep HPLC-013): Column, SunFire Prep C18 OBD Column, 19 * Purified by preparative HPLC on a 150 mm 5 um 10 nm; mobile phase, water (0.1% FA) and ACN- (15% B phase to 80% in 8 min), total flow rate 20 mL / min, detector UV 220 nm. This resulted in the title compound (20 mg, 46%) as a white solid. LCMS (M+H) + =551.3.

[0405] The following compounds were prepared similarly to Example 3 using appropriate substitution reagents and substrates at various steps. In some cases, further functional group exchange may be required to introduce appropriate substituents on the aryl ring. In some cases, a final deprotection step may not be required.

[0406] [Table 8]

[0407] Example 4: 5-[(2R,4R) *-4-[4-chloro-2-(trifluoromethyl)phenoxy]-2-ethylpiperidin-1-yl]-2'-ethoxy-N-[(3R)-1-methylpyrrolidin-3-yl]-[2,3'-bipyridine]-6-carboxamide[ * Absolute stereochemistry not determined] (cpd 2-9)

[0408] [ka]

[0409] Step 4-1, Preparation of rac-6-bromo-3-[(2R,4R)-2-ethyl-4-hydroxypiperidin-1-yl]pyridine-2-carbonitrile: To a solution of 6-bromo-3-fluoropyridine-2-carbonitrile (500 mg, 2.49 mmol) and rac-(2R,4R)-2-ethylpiperidin-4-ol hydrochloride (495 mg, 2.99 mmol) in DMSO (2 mL) in a sealed tube, DIEA (1.08 mL, 6.22 mmol) was added. The mixture was heated at 130° C. for 3.5 h. The mixture was purified by reverse phase CC to give the title compound (429 mg, 55.6% yield) as a medium brown gum. LCMS (M+H) + =310.2.

[0410] Step 4-2, Preparation of rac-2'-ethoxy-5-[(2R,4R)-2-ethyl-4-hydroxypiperidin-1-yl]-[2,3'-bipyridine]-6-carbonitrile: To a mixture of rac-6-bromo-3-[(2R,4R)-2-ethyl-4-hydroxypiperidin-1-yl]pyridine-2-carbonitrile (429 mg, 1.38 mmol), (2-ethoxypyridin-3-yl)boronic acid (346 mg, 2.07 mmol), Pd(amphos)Cl2 (97.9 mg, 0.138 mmol), and potassium carbonate (382 mg, 2.77 mmol) in a sealed tube, 1,4-dioxane (5 mL) and water (0.5 mL) were added. The mixture was charged with N2(g) and heated at 100 °C for 1 h. The mixture was charged with water and extracted with EtOAc (2x). The combined organics were concentrated to dryness and the residue was purified by reverse phase CC to give the title compound (390 mg, 80.1% yield) as a brown gum. LCMS (M+H) + =353.4.

[0411] Step 4-3, 2'-ethoxy-5-[(2S,4S) * -2-Ethyl-4-hydroxypiperidin-1-yl]-[2,3'-bipyridine]-6-carbonitrile and 2'-ethoxy-5-[(2R,4R) * Separation of 2-ethyl-4-hydroxypiperidin-1-yl]-[2,3'-bipyridine]-6-carbonitrile: Racemic 2'-ethoxy-5-[(2R,4R)-2-ethyl-4-hydroxypiperidin-1-yl]-[2,3'-bipyridine]-6-carbonitrile (1.10 g) was purified by chiral preparative HPLC under the following conditions to give the first enantiomer (480 mg) and the second enantiomer (470 mg). Equipment name: SHIMADZU LC-09 Column: normal phase Diacel Chiralpak IC column, 4.6 mm IDX50 mm L, 3 μm particle size Column temperature: 25℃ Wavelength: 220nm Gradient: isocratic 10% EtOH in hexane Flow rate: 20mL / min Retention times: 1st enantiomer: 1.98 min; 2nd enantiomer: 2.74 min.

[0412] Step 4-4, 2'-ethoxy-5-[(2R,4R) * Preparation of 2-ethyl-4-hydroxypiperidin-1-yl]-[2,3'-bipyridine]-6-carboxylic acid: Preparation of the second enantiomer, 2'-ethoxy-5-[(2R,4R) * To a suspension of [-2-ethyl-4-hydroxypiperidin-1-yl]-[2,3'-bipyridine]-6-carbonitrile (210 mg, 0.596 mmol) was added potassium hydroxide (334 mg, 5.95 mmol). The mixture was heated at 100 °C for 16 h. The mixture was adjusted to pH 6-7 with 3N HCl (aq). The resulting mixture was extracted with DCM / MeOH (10:1) (3 x 20 mL). The combined organics were dried over anhydrous Na2SO4 and concentrated to dryness to give the title compound (208 mg, 94.0% yield) as a yellow solid. LCMS (M+H) + =372.2.

[0413] Step 4-5, 2'-ethoxy-5-[(2R,4R) * Preparation of 2'-ethoxy-5-[(2R,4R)-2-ethyl-4-hydroxypiperidin-1-yl]-N-[(3R)-1-methylpyrrolidin-3-yl]-[2,3'-bipyridine]-6-carboxamide in DMF (0.6 mL) * To a solution of -2-ethyl-4-hydroxypiperidin-1-yl]-[2,3'-bipyridine]-6-carboxylic acid (50 mg, 0.13 mmol) and HATU (61 mg, 0.16 mmol) was added DIEA (0.10 g, 0.77 mmol). After stirring at room temperature for 5 min, (3R)-1-methylpyrrolidin-3-amine (16 mg, 0.16 mmol) was added to the above HATU activated solution. The mixture was stirred at room temperature for 1 h. The mixture was purified by reverse phase CC to give the title compound (45 mg, 74% yield) as a yellow solid. LCMS (M+H) + =454.3.

[0414] Step 4-6, 5-[(2R,4R) * Preparation of -4-[4-chloro-2-(trifluoromethyl)phenoxy]-2-ethylpiperidin-1-yl]-2'-ethoxy-N-[(3R)-1-methylpyrrolidin-3-yl]-[2,3'-bipyridine]-6-carboxamide: 2'-ethoxy-5-[(2R,4R) * To a solution of N-[(3R)-2-ethyl-4-hydroxypiperidin-1-yl]-N-[(3R)-1-methylpyrrolidin-3-yl]-[2,3'-bipyridine]-6-carboxamide (80 mg, 0.18 mmol) was added 60% sodium hydride in mineral oil (25 mg, 0.63 mmol) in portions. After stirring at room temperature for 10 min, 4-chloro-1-fluoro-2-(trifluoromethyl)benzene (42 mg, 0.21 mmol) was added. The mixture was heated at 90°C for 2 h. The mixture was quenched with saturated NH4Cl(aq) and extracted with DCM / MeOH (10:1) (3 x 10 mL). The combined organics were washed with brine, dried over anhydrous Na2SO4, and concentrated to dryness to give the formate salt of the title compound as a yellow solid. LCMS (M+H) + =632.3.

[0415] The following compounds were prepared in a similar manner to Example 4 using the appropriate substitution reagents and substrates at various steps. The absolute stereochemistry of each compound has not been determined.

[0416] [Table 9]

[0417] Example 5: 5-[(2S,4S) * -4-[4-chloro-2-(trifluoromethyl)phenoxy]-2-ethylpiperidin-1-yl]-2'-ethoxy-N-[(3R)-1-methylpyrrolidin-3-yl]-[2,3'-bipyridine]-6-carboxamide[ * Absolute stereochemistry not determined] (cpd 2-10)

[0418] [ka]

[0419] Step 5-1, 2'-ethoxy-5-[(2S,4S) * Preparation of -2-ethyl-4-hydroxypiperidin-1-yl]-[2,3'-bipyridine]-6-carboxylic acid: the first enantiomer, 2'-ethoxy-5-[(2S,4S) * To a suspension of [-2-ethyl-4-hydroxypiperidin-1-yl]-[2,3'-bipyridine]-6-carbonitrile (0.21 g, 0.60 mmol) was added potassium hydroxide (341 mg, 6.08 mmol). The mixture was heated at 100°C for 16 h. The mixture was adjusted to pH 6 with 2N HCl (aq). The resulting mixture was extracted with EtOAc (2 x 5 mL). The combined organics were dried over anhydrous Na2SO4 and concentrated to dryness to give the title compound (0.20 g, 90% yield) as a yellow solid. LCMS (M+H) + =372.1.

[0420] Step 5-2, 2'-ethoxy-5-[(2S,4S) * Preparation of 2'-ethoxy-5-[(2S,4S)-2-ethyl-4-hydroxypiperidin-1-yl]-N-[(3R)-1-methylpyrrolidin-3-yl]-[2,3'-bipyridine]-6-carboxamide in DMF (2 mL) * To a solution of -2-ethyl-4-hydroxypiperidin-1-yl]-[2,3'-bipyridine]-6-carboxylic acid (0.2 g, 0.5 mmol) and HATU (0.25 g, 0.66 mmol) was added DIEA (0.50 mL, 2.9 mmol). After stirring at room temperature for 5 min, (3R)-1-methylpyrrolidin-3-amine (0.11 g, 1.1 mmol) was added to the above HATU activated solution. The mixture was stirred at room temperature for 1 h. The mixture was purified by reverse phase CC to give the title compound (0.20 g, 80% yield) as a pale yellow solid. LCMS (M+H)+ =454.3.

[0421] Process 5-3, 5-((2S,4S) * Preparation of 2'-ethoxy-5-[(2S,4S)-4-[4-chloro-2-(trifluoromethyl)phenoxy]-2-ethylpiperidin-1-yl]-2'-ethoxy-N-[(3R)-1-methylpyrrolidin-3-yl]-[2,3'-bipyridine]-6-carboxamide: 2'-ethoxy-5-[(2S,4S) * To a solution of N-[(3R)-2-ethyl-4-hydroxypiperidin-1-yl]-N-[(3R)-1-methylpyrrolidin-3-yl]-[2,3'-bipyridine]-6-carboxamide (80 mg, 0.20 mmol) was added 60% sodium hydride in mineral oil (31 mg, 0.77 mmol) in portions. After stirring at room temperature for 10 min, 4-chloro-1-fluoro-2-(trifluoromethyl)benzene (54.2 mg, 0.273 mmol) was added. The mixture was heated at 90°C for 2 h. The mixture was quenched with saturated NH4Cl(aq) and extracted with DCM / MeOH (10:1) (3 x 10 mL). The combined organics were washed with brine, dried over anhydrous Na2SO4, and concentrated to dryness. The residue was purified by reverse phase CC to give the formate salt of the title compound as a pale yellow solid (31.7 mg, 30.0% yield). LCMS (M+H) + =632.3.

[0422] The following compounds were prepared in a similar manner to Example 5 using the appropriate substitution reagents and substrates at various steps. The absolute stereochemistry of each compound has not been determined.

[0423] [Table 10]

[0424] Example 6: 5-[(2R,4R) *-4-[4-chloro-2-(trifluoromethyl)phenoxy]-2-ethylpiperidin-1-yl]-2'-ethoxy-N-[(3S)-1-methylpyrrolidin-3-yl]-[2,3'-bipyridine]-6-carboxamide[ * Absolute stereochemistry not determined] (cpd 2-22)

[0425] [ka]

[0426] Step 6-1, 2'-ethoxy-5-[(2R,4R) * Preparation of 2'-ethoxy-5-[(2R,4R)-2-ethyl-4-hydroxypiperidin-1-yl]-N-[(3S)-1-methylpyrrolidin-3-yl]-[2,3'-bipyridine]-6-carboxamide from steps 1-4 in DMF (0.3 mL) * To a solution of -2-ethyl-4-hydroxypiperidin-1-yl]-[2,3'-bipyridine]-6-carboxylic acid (50.0 mg, 0.135 mmol) and HATU (71.7 mg, 0.188 mmol) was added DIEA (0.070 mL, 0.40 mmol). After stirring at room temperature for 5 min, (3S)-1-methylpyrrolidin-3-amine (21.6 mg, 0.215 mmol) was added to the above HATU activated solution. The mixture was stirred at room temperature for 10 min. The mixture was purified by reverse phase CC to give the title compound (51.3 mg, 84.0% yield) as a pale yellow solid. LCMS (M+H) + =454.6.

[0427] Step 6-2, 5-[(2R,4R) * Preparation of -4-[4-chloro-2-(trifluoromethyl)phenoxy]-2-ethylpiperidin-1-yl]-2'-ethoxy-N-[(3S)-1-methylpyrrolidin-3-yl]-[2,3'-bipyridine]-6-carboxamide: 2'-ethoxy-5-[(2R,4R) *To a solution of N-[(3S)-1-methylpyrrolidin-3-yl]-[2,3'-bipyridine]-6-carboxamide (25.2 mg, 0.0556 mmol) and 3-fluoro-6-(trifluoromethyl)pyridine-2-carbonitrile (52.8 mg, 0.278 mmol) was added 60% sodium hydride in mineral oil (22 mg, 0.56 mmol) in portions. The mixture was stirred at room temperature for 30 minutes. The mixture was quenched with ice water and purified by reverse phase CC to give the title compound (24.2 mg, 69.8% yield) as a pale yellow solid. LCMS (M+H) + =624.4.

[0428] Example 7: 5-[(cis * -4-[2-cyano-4-(trifluoromethyl)phenoxy]-2-ethylpiperidin-1-yl]-2'-ethoxy-N-[(3R)-1-methylpyrrolidin-3-yl]-[2,3'-bipyridine]-6-carboxamide[ * Racemic form] (cpd 2-2)

[0429] [ka]

[0430] Step 7-1, Preparation of rac-2'-ethoxy-5-[cis-2-ethyl-4-hydroxypiperidin-1-yl]-[2,3'-bipyridine]-6-carboxylic acid: To a suspension of rac-2'-ethoxy-5-[cis-2-ethyl-4-hydroxypiperidin-1-yl]-[2,3'-bipyridine]-6-carbonitrile (100 mg, 0.284 mmol) from step 1-2 in a mixed solvent of EtOH (1 mL) and water (1 mL) was added potassium hydroxide (159 mg, 2.84 mmol). The mixture was heated at 100 °C for 16 h. The mixture was concentrated to remove EtOH and the aqueous residue was diluted with ice water and acidified to pH 2-3 with 1N HCl (aq). The mixture was extracted with DCM (5x) and the combined organics were dried over anhydrous Na2SO4 and concentrated to dryness to give the title compound (110 mg, 100% yield) as a brown gum. LCMS (M+H) + =372.2.

[0431] Step 7-2, Preparation of 2'-ethoxy-5-[cis-2-ethyl-4-hydroxypiperidin-1-yl]-N-[(3R)-1-methylpyrrolidin-3-yl]-[2,3'-bipyridine]-6-carboxamide: To a solution of rac-2'-ethoxy-5-[cis-2-ethyl-4-hydroxypiperidin-1-yl]-[2,3'-bipyridine]-6-carboxylic acid (0.11 g, 0.28 mmol) and HATU (0.16 g, 0.43 mmol) in DMF (1 mL), DIEA (0.15 mL, 0.85 mmol) was added. After stirring at room temperature for 5 minutes, (3R)-1-methylpyrrolidin-3-amine (51 mg, 0.51 mmol) was added to the above HATU activated solution. The mixture was stirred at room temperature for 10 minutes. The mixture was purified by reverse phase CC to give the title compound (83.0 mg, 64.0% yield) as a brown gum. LCMS (M+H) + =454.4.

[0432] Step 7-3, Preparation of 5-[cis-4-[2-cyano-4-(trifluoromethyl)phenoxy]-2-ethylpiperidin-1-yl]-2'-ethoxy-N-[(3R)-1-methylpyrrolidin-3-yl]-[2,3'-bipyridine]-6-carboxamide: To a solution of 2'-ethoxy-5-[cis-2-ethyl-4-hydroxypiperidin-1-yl]-N-[(3R)-1-methylpyrrolidin-3-yl]-[2,3'-bipyridine]-6-carboxamide (30 mg, 0.066 mmol) and 2-fluoro-5-(trifluoromethyl)benzonitrile (15 mg, 0.079 mmol) in DMF (1 mL) at 0°C, 60% sodium hydride in mineral oil (26 mg, 0.66 mmol) was added in portions. The mixture was stirred at 0° C. for 10 min. The mixture was quenched with ice and purified by reverse phase CC to give the title compound (29.2 mg, 70.9% yield) as a white solid. LCMS (M+H) + =623.3.

[0433] The following compounds were prepared similarly to Example 7 using the appropriate substitution reagents and substrates at the various steps. The final compounds are racemates of the cis isomer.

[0434] [Table 11]

[0435] Example 8: N-[(3S)-1-azabicyclo[2.2.2]octan-3-yl]-5-[cis * -4-[2-cyano-4-(trifluoromethyl)phenoxy]-2-ethylpiperidin-1-yl]-2'-ethoxy-[2,3'-bipyridine]-6-carboxamide[ * Racemic form] (cpd 2-20)

[0436] [ka]

[0437] Step 8-1, preparation of N-[(3S)-1-azabicyclo[2.2.2]octan-3-yl]-2'-ethoxy-5-[cis-2-ethyl-4-hydroxypiperidin-1-yl]-[2,3'-bipyridine]-6-carboxamide: To a solution of 2'-ethoxy-5-[cis-2-ethyl-4-hydroxypiperidin-1-yl]-[2,3'-bipyridine]-6-carboxylic acid (50.0 mg, 0.135 mmol) from step 7-1 of Example 7 and HATU (71.7 mg, 0.188 mmol) in DMF (0.3 mL), DIEA (0.082 mL, 0.47 mmol) was added. After stirring at room temperature for 5 min, (3S)-1-azabicyclo[2.2.2]octan-3-amine (42.9 mg, 0.215 mmol) was added to the above HATU activated solution. The mixture was stirred at room temperature for 10 min. The mixture was purified by reverse phase CC to give the title compound (50.0 mg, 77.4% yield) as a brown gum. LCMS (M+H) + =480.4.

[0438] Step 8-2, Preparation of N-[(3S)-1-azabicyclo[2.2.2]octan-3-yl]-5-[cis-4-[2-cyano-4-(trifluoromethyl)phenoxy]-2-ethylpiperidin-1-yl]-2'-ethoxy-[2,3'-bipyridine]-6-carboxamide: N-[(3S)-1-azabicyclo[2.2.2]octan-3-yl] To a solution of 2'-ethoxy-5-[cis-2-ethyl-4-hydroxypiperidin-1-yl]-[2,3'-bipyridine]-6-carboxamide (25 mg, 0.052 mmol) and 2-fluoro-5-(trifluoromethyl)benzonitrile (49.3 mg, 0.261 mmol) was added 60% sodium hydride in mineral oil (21 mg, 0.52 mmol) in portions. The mixture was stirred at room temperature for 30 min. The mixture was quenched with ice and purified by reverse phase CC to give the title compound (5.3 mg, 16% yield) as a light brown solid. LCMS (M+H) + =649.6.

[0439] The following compounds were prepared similarly to Example 8, using the appropriate substitution reagents and substrates at the various steps. The final compounds are racemic of the cis isomer.

[0440] [Table 12]

[0441] Example 9: 5-[cis * -4-{[6-chloro-2-(trifluoromethyl)pyridin-3-yl]oxy}-2-cyclopropylpiperidin-1-yl]-2'-ethoxy-N-[(3R)-1-methylpyrrolidin-3-yl]-[2,3'-bipyridine]-6-carboxamide[ * Racemic form] (cpd 2-8)

[0442] [ka]

[0443] Step 9-1, Preparation of rac-6-bromo-3-[cis-2-cyclopropyl-4-hydroxypiperidin-1-yl]pyridine-2-carbonitrile: To a solution of 6-bromo-3-fluoropyridine-2-carbonitrile (545 mg, 2.71 mmol) and rac-cis-2-cyclopropylpiperidin-4-ol hydrochloride (482 mg, 2.71 mmol) in DMSO (2 mL) in a sealed tube, DIEA (1.18 mL, 6.80 mmol) was added. The mixture was heated at 130° C. for 16 h. The mixture was purified by reverse phase CC to give the title compound (379 mg, 43.4% yield) as a medium brown gum. LCMS (M+H) + =322.3.

[0444] Step 9-2, Preparation of rac-5-[cis-2-cyclopropyl-4-hydroxypiperidin-1-yl]-2'-ethoxy-[2,3'-bipyridine]-6-carbonitrile: To a mixture of rac-6-bromo-3-[cis-2-cyclopropyl-4-hydroxypiperidin-1-yl]pyridine-2-carbonitrile (379 mg, 1.18 mmol), (2-ethoxypyridin-3-yl)boronic acid (295 mg, 1.76 mmol), Pd(amphos)Cl2 (83.3 mg, 0.118 mmol), and potassium carbonate (325 mg, 2.35 mmol) in a sealed tube was added 1,4-dioxane (0.5 mL) and water (0.5 mL). The mixture was charged with N2(g) and heated at 100 °C for 1 h. The mixture was charged with water and extracted with EtOAc (2x). The combined organics were concentrated to dryness and the residue was purified by reverse phase CC to give the title compound (429 mg, 100% yield) as a brown gum. LCMS (M+H) + =365.2.

[0445] Step 9-3, Preparation of rac-5-[cis-2-cyclopropyl-4-hydroxypiperidin-1-yl]-2'-ethoxy-[2,3'-bipyridine]-6-carboxylic acid: To a suspension of rac-5-[cis-2-cyclopropyl-4-hydroxypiperidin-1-yl]-2'-ethoxy-[2,3'-bipyridine]-6-carbonitrile (429 mg, 1.18 mmol) in a mixed solvent of EtOH (2 mL) and water (2 mL), potassium hydroxide (660 mg, 11.8 mmol) was added. The mixture was heated at 100 °C for 16 h. The mixture was concentrated to remove EtOH, and the aqueous residue was diluted with ice water and acidified to pH 2-3 with 1N HCl (aq). The mixture was extracted with DCM (5x) and the combined organics were dried over anhydrous Na2SO4 and concentrated to dryness to give the title compound (327 mg, 72.5% yield) as a yellow solid. LCMS (M+H) + =384.1.

[0446] Step 9-4, Preparation of 5-[cis-2-cyclopropyl-4-hydroxypiperidin-1-yl]-2'-ethoxy-N-[(3R)-1-methylpyrrolidin-3-yl]-[2,3'-bipyridine]-6-carboxamide: To a solution of rac-5-[cis-2-cyclopropyl-4-hydroxypiperidin-1-yl]-2'-ethoxy-[2,3'-bipyridine]-6-carboxylic acid (327 mg, 0.853 mmol) and HATU (486 mg, 1.28 mmol) in DMF (1 mL), DIEA (0.45 mL, 2.6 mmol) was added. After stirring at room temperature for 5 minutes, (3R)-1-methylpyrrolidin-3-amine (154 mg, 1.54 mmol) was added to the above HATU activated solution. The mixture was stirred at room temperature for 10 minutes. The mixture was purified by reverse phase CC to give the title compound (264 mg, 66.5% yield) as a brown solid. LCMS (M+H) + =466.3.

[0447] Step 9-5, Preparation of 5-[cis-4-{[6-chloro-2-(trifluoromethyl)pyridin-3-yl]oxy}-2-cyclopropylpiperidin-1-yl]-2'-ethoxy-N-[(3R)-1-methylpyrrolidin-3-yl]-[2,3'-bipyridine]-6-carboxamide: 5-[cis-2-cyclopropyl-4-hydroxypiperidin-1-yl] in DMF (1 mL) at 0°C. To a solution of 6-chloro-3-fluoro-2-(trifluoromethyl)pyridine (25.7 mg, 0.129 mmol) and 6-chloro-3-fluoro-2-(trifluoromethyl)pyridine (30.0 mg, 0.0644 mmol) was added 60% sodium hydride (26 mg, 0.64 mmol) in mineral oil in portions. The mixture was stirred at room temperature for 1 h. The mixture was quenched with ice and purified by reverse phase CC to give the title compound (40.0 mg, 96.2% yield) as an off-white solid. LCMS (M+H) + =645.4.

[0448] The following compounds were prepared similarly to Example 9, using the appropriate substitution reagents and substrates at the various steps. The final compounds are racemic of the cis isomer.

[0449] [Table 13]

[0450] Example 10: 5-[cis * -2-Cyclopropyl-4-{[6-ethoxy-2-(trifluoromethyl)pyridin-3-yl]oxy}piperidin-1-yl]-2'-ethoxy-N-[(3R)-1-methylpyrrolidin-3-yl]-[2,3'-bipyridine]-6-carboxamide[ * Racemic form] (cpd 2-13)

[0451] [ka]

[0452] Step 10-1, Preparation of 5-[cis-2-cyclopropyl-4-{[6-ethoxy-2-(trifluoromethyl)pyridin-3-yl]oxy}piperidin-1-yl]-2'-ethoxy-N-[(3R)-1-methylpyrrolidin-3-yl]-[2,3'-bipyridine]-6-carboxamide: 5-[cis-4-{[6-chloro-2-(trifluoromethyl)pyridin-3-yl]oxy}piperidin-1-yl]-2'-ethoxy-N-[(3R)-1-methylpyrrolidin-3-yl]-[2,3'-bipyridine]-6-carboxamide] in EtOH (1 mL) at 0°C. To a solution of N-[(3R)-1-methylpyrrolidin-3-yl]oxy]-2'-ethoxy-N-[(3R)-1-methylpyrrolidin-3-yl]-[2,3'-bipyridine]-6-carboxamide (39.0 mg, 0.0605 mmol) was added 21 wt% sodium ethoxide in ethanol (0.11 mL, 0.30 mmol). The mixture was heated at 100° C. for 6 h. The reaction was not complete, therefore more sodium ethoxide (0.11 mL) was added and the reaction was continued to heat for 16 h. The mixture was quenched with ice water and extracted with DCM (2×). The combined organics were concentrated to dryness and the residue was purified by reverse phase CC to give the title compound (21.3 mg, 53.8% yield) as a white solid. LCMS (M+H) + =655.6.

[0453] Example 11: 5-[cis * -4-[2-cyano-4-(trifluoromethyl)phenoxy]-2-cyclopropylpiperidin-1-yl]-2'-ethoxy-N-[(3R)-pyrrolidin-3-yl]-[2,3'-bipyridine]-6-carboxamide[ * Racemic form] (cpd 2-5)

[0454] [ka]

[0455] Step 11-1, preparation of 5-[cis-2-cyclopropyl-4-hydroxypiperidin-1-yl]-2'-ethoxy-N-[(3R)-1-methylpyrrolidin-3-yl]-[2,3'-bipyridine]-6-carboxamide: To a solution of 5-[cis-2-cyclopropyl-4-hydroxypiperidin-1-yl]-2'-ethoxy-[2,3'-bipyridine]-6-carboxylic acid (150 mg, 0.391 mmol) from step 9-3 of Example 9 and HATU (223 mg, 0.587 mmol) in DMF (1 mL), DIEA (0.20 mL, 1.2 mmol) was added. After stirring at room temperature for 5 minutes, benzyl (3R)-3-aminopyrrolidine-1-carboxylate (155 mg, 0.704 mmol) was added to the above HATU activated solution. The mixture was stirred at room temperature for 10 min. The mixture was purified by reverse phase CC to give the title compound (164 mg, 71.7% yield) as a light brown solid. LCMS (M+H) + =586.2.

[0456] Step 11-2, preparation of benzyl (3R)-3-{5-[cis-4-[2-cyano-4-(trifluoromethyl)phenoxy]-2-cyclopropylpiperidin-1-yl]-2'-ethoxy-[2,3'-bipyridine]-6-amido}pyrrolidine-1-carboxylate: To a solution of benzyl (3R)-3-{5-[cis-2-cyclopropyl-4-hydroxypiperidin-1-yl]-2'-ethoxy-[2,3'-bipyridine]-6-amido}pyrrolidine-1-carboxylate (100 mg, 0.171 mmol) and 2-fluoro-5-(trifluoromethyl)benzonitrile (38.7 mg, 0.205 mmol) in DMF (1 mL) at 0° C., 60% sodium hydride in mineral oil (55 mg, 1.4 mmol) was added in portions. The mixture was stirred at room temperature for 30 minutes. The mixture was quenched with ice and purified by reverse phase CC to give the title compound (74.4 mg, 57.7% yield) as a pale yellow solid. LCMS (M+H) + =755.6.

[0457] Step 11-3, Preparation of 5-[cis-4-[2-cyano-4-(trifluoromethyl)phenoxy]-2-cyclopropylpiperidin-1-yl]-2'-ethoxy-N-[(3R)-pyrrolidin-3-yl]-[2,3'-bipyridine]-6-carboxamide: To benzyl (3R)-3-{5-[cis-4-[2-cyano-4-(trifluoromethyl)phenoxy]-2-cyclopropylpiperidin-1-yl]-2'-ethoxy-[2,3'-bipyridine]-6-amide}pyrrolidine-1-carboxylate (74.4 mg, 0.0986 mmol) was added (methylsulfanyl)benzene (0.030 mL, 0.26 mmol) and TFA (0.15 mL, 2.0 mmol). The mixture was heated at 60° C. for 30 minutes. The mixture was purified by reverse phase CC to give the title compound (40.1 mg, 65.5% yield) as a white solid. LCMS (M+H) + =621.5.

[0458] Example 12: 5-[Trans * -4-[2-cyano-4-(trifluoromethyl)phenoxy]-2-cyclopropylpiperidin-1-yl]-2'-ethoxy-N-[(3R)-pyrrolidin-3-yl]-[2,3'-bipyridine]-6-carboxamide[ * Racemic form] (cpd 2-3)

[0459] [ka]

[0460] Step 12-1, Preparation of rac-6-bromo-3-[trans-2-cyclopropyl-4-hydroxypiperidin-1-yl]pyridine-2-carbonitrile: To a solution of 6-bromo-3-fluoropyridine-2-carbonitrile (500 mg, 2.49 mmol) and rac-trans-2-cyclopropylpiperidin-4-ol hydrochloride (530 mg, 2.99 mmol) in DMSO (2 mL) in a sealed tube, DIEA (1.08 mL, 6.22 mmol) was added. The mixture was heated at 130° C. for 16 h. The mixture was purified by reverse phase CC to give the title compound (433 mg, 54.0% yield) as a medium brown gum. LCMS (M+H) + =322.3.

[0461] Step 12-2, Preparation of rac-5-[trans-2-cyclopropyl-4-hydroxypiperidin-1-yl]-2'-ethoxy-[2,3'-bipyridine]-6-carbonitrile: To a mixture of rac-6-bromo-3-[trans-2-cyclopropyl-4-hydroxypiperidin-1-yl]pyridine-2-carbonitrile (433 mg, 1.34 mmol), (2-ethoxypyridin-3-yl)boronic acid (337 mg, 2.02 mmol), Pd(amphos)Cl2 (95.2 mg, 0.134 mmol), and potassium carbonate (371 mg, 2.69 mmol) in a sealed tube was added 1,4-dioxane (5 mL) and water (0.5 mL). The mixture was charged with N2(g) and heated at 100 °C for 1 h. The mixture was charged with water and extracted with EtOAc (2x). The combined organics were concentrated to dryness and the residue was purified by reverse phase CC to give the title compound (386 mg, 78.8% yield) as a brown gum. LCMS (M+H) + =365.2.

[0462] Step 12-3, Preparation of rac-5-[trans-2-cyclopropyl-4-hydroxypiperidin-1-yl]-2'-ethoxy-[2,3'-bipyridine]-6-carboxylic acid: To a suspension of rac-5-[trans-2-cyclopropyl-4-hydroxypiperidin-1-yl]-2'-ethoxy-[2,3'-bipyridine]-6-carbonitrile (386 mg, 1.06 mmol) in a mixed solvent of EtOH (5 mL) and water (5 mL), potassium hydroxide (594 mg, 10.6 mmol) was added. The mixture was heated at 100° C. for 1 day. The mixture was concentrated to remove EtOH, and the aqueous residue was diluted with ice water and acidified to pH 2-3 with 1N HCl (aq). The mixture was extracted with DCM (5x) and the combined organics were dried over anhydrous Na2SO4 and concentrated to dryness to give the title compound (364 mg, 89.5% yield) as a yellow solid. LCMS (M+H) + =384.2.

[0463] Step 12-4, preparation of benzyl (3R)-3-{5-[trans-2-cyclopropyl-4-hydroxypiperidin-1-yl]-2'-ethoxy-[2,3'-bipyridine]-6-amido}pyrrolidine-1-carboxylate: To a solution of rac-5-[trans-2-cyclopropyl-4-hydroxypiperidin-1-yl]-2'-ethoxy-[2,3'-bipyridine]-6-carboxylic acid (150 mg, 0.391 mmol) and HATU (223 mg, 0.587 mmol) in DMF (1 mL), DIEA (0.20 mL, 1.2 mmol) was added. After stirring at room temperature for 5 minutes, benzyl (3R)-3-aminopyrrolidine-1-carboxylate (155 mg, 0.704 mmol) was added to the above HATU activated solution. The mixture was stirred at room temperature for 10 minutes. The mixture was purified by reverse phase CC to give the title compound (189 mg, 82.3% yield) as a brown solid. LCMS (M+H) + =586.2.

[0464] Step 12-5, preparation of benzyl (3R)-3-{5-[trans-4-[2-cyano-4-(trifluoromethyl)phenoxy]-2-cyclopropylpiperidin-1-yl]-2'-ethoxy-[2,3'-bipyridine]-6-amido}pyrrolidine-1-carboxylate: To a solution of benzyl (3R)-3-{5-[trans-2-cyclopropyl-4-hydroxypiperidin-1-yl]-2'-ethoxy-[2,3'-bipyridine]-6-amido}pyrrolidine-1-carboxylate (100 mg, 0.171 mmol) and 2-fluoro-5-(trifluoromethyl)benzonitrile (38.7 mg, 0.205 mmol) in DMF (1 mL) at 0° C., 60% sodium hydride in mineral oil (68 mg, 1.7 mmol) was added in portions. The mixture was stirred at room temperature for 30 minutes. The mixture was quenched with ice and purified by reverse phase CC to give the title compound (94.3 mg, 73.2% yield) as a light brown solid. LCMS (M+H) + =755.4.

[0465] Step 12-6, Preparation of 5-[trans-4-[2-cyano-4-(trifluoromethyl)phenoxy]-2-cyclopropylpiperidin-1-yl]-2'-ethoxy-N-[(3R)-pyrrolidin-3-yl]-[2,3'-bipyridine]-6-carboxamide: To benzyl (3R)-3-{5-[trans-4-[2-cyano-4-(trifluoromethyl)phenoxy]-2-cyclopropylpiperidin-1-yl]-2'-ethoxy-[2,3'-bipyridine]-6-amide}pyrrolidine-1-carboxylate (94.3 mg, 0.125 mmol) was added (methylsulfanyl)benzene (0.030 mL, 0.26 mmol) and TFA (0.15 mL, 2.0 mmol). The mixture was heated at 60° C. for 30 minutes. The mixture was purified by reverse phase CC to give the title compound (57.1 mg, 73.6% yield) as a pale yellow solid. LCMS (M+H) + =621.5.

[0466] The following compounds were prepared similarly to Example 12 using the appropriate substituting reagents and substrates at various steps.

[0467] [Table 14]

[0468] Example 13: 5-[Trans * -4-[2-cyano-4-(trifluoromethyl)phenoxy]-2-cyclopropylpiperidin-1-yl]-2'-ethoxy-N-[(3R)-1-methylpyrrolidin-3-yl]-[2,3'-bipyridine]-6-carboxamide[ * Racemic form] (cpd 2-4)

[0469] [ka]

[0470] Step 13-1, Preparation of 5-[trans-4-[2-cyano-4-(trifluoromethyl)phenoxy]-2-cyclopropylpiperidin-1-yl]-2'-ethoxy-N-[(3R)-1-methylpyrrolidin-3-yl]-[2,3'-bipyridine]-6-carboxamide: To a solution of 5-[trans-4-[2-cyano-4-(trifluoromethyl)phenoxy]-2-cyclopropylpiperidin-1-yl]-2'-ethoxy-N-[(3R)-pyrrolidin-3-yl]-[2,3'-bipyridine]-6-carboxamide (42.0 mg, 0.0677 mmol) in MeOH (3 mL), paraformaldehyde (42.5 mg) and NaBH3CN (42.5 mg, 0.677 mmol) were added. The mixture was stirred at room temperature for 1 h. The mixture was quenched with TFA (0.1 mL) and rebasified with saturated NaHCO3(aq). The mixture was extracted with DCM (2x) and the combined organics were concentrated to dryness. The residue was purified by reverse phase CC to give the title compound (26.7 mg, 62.2% yield) as a white solid. LCMS (M+H) + =635.2.

[0471] Example 14: 3-(cis *-4-{[2-cyano-6-(trifluoromethyl)pyridin-3-yl]oxy}-2-methylpiperidin-1-yl)-6-(2-ethoxyphenyl)-N-[(3R)-1-methylpyrrolidin-3-yl]pyridine-2-carboxamide[ * Racemic form] (cpd 2-23)

[0472] [ka]

[0473] Step 14-1, Preparation of rac-6-bromo-3-[cis-4-hydrox-2-methylypiperidine-1-yl]pyridine-2-carbonitrile: To a solution of 6-bromo-3-fluoropyridine-2-carbonitrile (600 mg, 2.99 mmol) and rac-cis-2-methylpiperidin-4-ol hydrochloride (543 mg, 3.58 mmol) in DMSO (2 mL) in a sealed tube was added DIEA (1.30 mL, 7.46 mmol). The mixture was heated at 130° C. for 3.5 h. The mixture was purified by reverse phase CC to give the title compound (555 mg, 62.8% yield) as a yellow gum. LCMS (M+H) + =296.3.

[0474] Step 14-2, Preparation of rac-6-(2-ethoxyphenyl)-3-[cis-4-hydroxy-2-methylpiperidin-1-yl]pyridine-2-carbonitrile: To a mixture of rac-6-bromo-3-[cis-4-hydroxy-2-methylpiperidin-1-yl]pyridine-2-carbonitrile (277 mg, 0.935 mmol), (2-ethoxyphenyl)boronic acid (233 mg, 1.40 mmol), Pd(amphos)Cl2 (66.2 mg, 0.0935 mmol), and potassium carbonate (259 mg, 1.87 mmol) in a sealed tube was added 1,4-dioxane (4 mL) and water (0.4 mL). The mixture was charged with N2(g) and heated at 100 °C for 1 h. The mixture was charged with water and extracted with EtOAc (2x). The combined organics were concentrated to dryness and the residue was purified by reverse phase CC to give the title compound (316 mg, 100% yield) as a brown gum. LCMS (M+H) + =338.2.

[0475] Step 14-3, Preparation of rac-6-(2-ethoxyphenyl)-3-[cis-4-hydroxy-2-methylpiperidin-1-yl]pyridine-2-carboxylic acid: To a suspension of rac-6-(2-ethoxyphenyl)-3-[(2R,4R)-4-hydroxy-2-methylpiperidin-1-yl]pyridine-2-carbonitrile (317 mg, 0.939 mmol) in a mixed solvent of EtOH (2 mL) and water (2 mL), potassium hydroxide (527 mg, 9.39 mmol) was added. The mixture was heated at 100° C. for 16 h. The mixture was concentrated to remove EtOH, and the aqueous residue was diluted with ice water and acidified to pH 2-3 with 1N HCl (aq). The mixture was extracted with DCM (5x) and the combined organics were dried over anhydrous Na2SO4 and concentrated to dryness to give the title compound (286 mg, 85.6% yield) as a light brown solid. LCMS (M+H) + =357.6.

[0476] Step 14-4, Preparation of 6-(2-ethoxyphenyl)-3-[cis-4-hydroxy-2-methylpiperidin-1-yl]-N-[(3R)-1-methylpyrrolidin-3-yl]pyridine-2-carboxamide: To a solution of rac-6-(2-ethoxyphenyl)-3-[cis-4-hydroxy-2-methylpiperidin-1-yl]pyridine-2-carboxylic acid (50.0 mg, 0.140 mmol) and HATU (74.7 mg, 0.196 mmol) in DMF (0.3 mL), DIEA (0.073 mL, 0.42 mmol) was added. After stirring at room temperature for 5 minutes, (3R)-1-methylpyrrolidin-3-amine (22.5 mg, 0.224 mmol) was added to the above HATU activated solution. The mixture was stirred at room temperature for 10 minutes. The mixture was purified by reverse phase CC to give the title compound (40.4 mg, 65.7% yield) as a brown gum. LCMS (M+H) + =439.0.

[0477] Step 14-5. Preparation of 3-(cis-4-{[2-cyano-6-(trifluoromethyl)pyridin-3-yl]oxy}-2-methylpiperidin-1-yl)-6-(2-ethoxyphenyl)-N-[(3R)-1-methylpyrrolidin-3-yl]pyridine-2-carboxamide: 6-(2-ethoxyphenyl)-3-[cis-4-hydroxy-2-methyl]pyridine-3-yl]oxy in DMF (0.5 mL) at 0° C. To a solution of [(3R)-1-methylpyrrolidin-3-yl]pyridine-2-carboxamide (20.0 mg, 0.0461 mmol) and 3-fluoro-6-(trifluoromethyl)pyridine-2-carbonitrile (17 mg, 0.091 mmol) was added 60% sodium hydride in mineral oil (9.1 mg, 0.23 mmol) in portions. The mixture was stirred at room temperature for 30 min. The mixture was quenched with ice and purified by reverse phase CC to give the title compound (7.2 mg, 26% yield) as a white solid. LCMS (M+H) + =609.4.

[0478] The following compounds were prepared similarly to Example 14 using the appropriate substituting reagents and substrates at various steps.

[0479] [Table 15]

[0480] Example 15: 2-(4-(2'-ethoxy-6-(2-(methylamino)ethoxy)-[2,3'-bipyridin]-5-yl)piperidin-1-yl)-5-(trifluoromethyl)benzonitrile (cpd 3-1)

[0481] [ka]

[0482] Step 15-1, preparation of tert-butyl 6-chloro-2-fluoro-3',6'-dihydro-[3,4'-bipyridine]-1'(2'H)-carboxylate: To a mixture of 3-bromo-6-chloro-2-fluoropyridine (2.0 g, 9.5 mmol), potassium carbonate (3.9 g, 28 mmol), tert-butyl 4-(4,4,5,5-tetramethyl-1,3,2-dioxaborolan-2-yl)-3,6-dihydropyridine-1(2H)-carboxylate (3.2 g, 10 mmol), and Pd(dppf)Cl2 (0.31 g, 0.38 mmol) under nitrogen, 1,4-dioxane (20 mL) and H2O (2 mL) were added. The resulting mixture was heated at 100 °C for 2 h. The mixture was concentrated in vacuo and the residue was purified by silica gel CC to give the title compound (2.5 g, 84%) as a yellow solid. LCMS (M+H) + =298.1.

[0483] Step 15-2, preparation of tert-butyl 2-(2-((tert-butoxycarbonyl)(methyl)amino)ethoxy)-6-chloro-3',6'-dihydro-[3,4'-bipyridine]-1'(2'H)-carboxylate: To a solution of tert-butyl (2-hydroxyethyl)(methyl)carbamate (234 mg, 1.34 mmol) in DMF (5 mL) under nitrogen, 60 wt% sodium hydride in mineral oil (78 mg, 2.0 mmol) was added. The resulting solution was stirred at 0° C. for 0.5 h. To this, tert-butyl 6-chloro-2-fluoro-3',6'-dihydro-[3,4'-bipyridine]-1'(2'H)-carboxylate (380 mg, 1.21 mmol) was added, and the resulting solution was stirred at room temperature for 2 h. The crude product was purified by reverse phase CC to give the title compound (250 mg, 44.0%) as a yellow solid. LCMS (M+H) + =490.3.

[0484] Step 15-3, Preparation of tert-butyl 6'-(2-((tert-butoxycarbonyl)(methyl)amino)ethoxy)-2-ethoxy-3'',6''-dihydro-[3,2':5',4''-terpyridine]-1''(2''H)-carboxylate: Preparation of tert-butyl 2-(2-((tert-butoxycarbonyl)(methyl)amino)ethoxy)-6-chloro-3',6'-dihydro under nitrogen To a mixture of rho-[3,4'-bipyridine]-1'(2'H)-carboxylate-(249 mg, 532 μmol), (2-ethoxypyridin-3-yl)boronic acid (133 mg, 797 μmol), Pd(amphos)Cl2 (18.8 mg, 26.6 μmol), and potassium carbonate (221 mg, 1.60 mmol) was added 1,4-dioxane (4 mL) and H2O (0.4 mL). The resulting mixture was heated at 100° C. for 1.5 h. The crude mixture was concentrated in vacuo and the residue was purified by silica gel CC to give the title compound (210 mg, 71.2%) as a yellow solid. LCMS (M+H) + =555.4.

[0485] Step 15-4, preparation of tert-butyl 4-(6-(2-((tert-butoxycarbonyl)(methyl)amino)ethoxy)-2'-ethoxy-[2,3'-bipyridin]-5-yl)piperidine-1-carboxylate: To a solution of tert-butyl 6'-(2-((tert-butoxycarbonyl)(methyl)amino)ethoxy)-2-ethoxy-3'',6''-dihydro-[3,2':5',4''-terpyridine]-1''(2''H)-carboxylate (210 mg, 379 μmol) in MeOH under nitrogen, 10% wet palladium on carbon (20 mg) and Pd(OH)2 (20 mg) were added. The reaction mixture was then charged with hydrogen. The resulting solution was stirred at room temperature for 4 h. The solid was filtered and the filtrate was concentrated to dryness in vacuo to give the title compound (190 mg, 90.1%) as a yellow solid. LCMS (M+H) + =557.4.

[0486] Step 15-5, Preparation of 2-((2'-ethoxy-5-(piperidin-4-yl)-[2,3'-bipyridin]-6-yl)oxy)-N-methylethan-1-amine bis(2,2,2-trifluoroacetate): To a solution of tert-butyl 4-(6-(2-((tert-butoxycarbonyl)(methyl)amino)ethoxy)-2'-ethoxy-[2,3'-bipyridin]-5-yl)piperidine-1-carboxylate (190 mg, 341 μmol) in DCM (2 mL) was added TFA (0.4 mL). The resulting solution was stirred at room temperature for 1 h. The mixture was concentrated to dryness to give the title compound (190 mg, 95.2%) as a yellow oil. LCMS (M+H) + =357.2.

[0487] Step 15-6, preparation of 2-(4-(2'-ethoxy-6-(2-(methylamino)ethoxy)-[2,3'-bipyridine]-5-yl)piperidin-1-yl)-5-(trifluoromethyl)benzonitrile bis(2,2,2-trifluoroacetate): To a solution of 2-((2'-ethoxy-5-(piperidin-4-yl)-[2,3'-bipyridine]-6-yl)oxy)-N-methylethan-1-amine bis(2,2,2-trifluoroacetate) (60 mg, 0.10 mmol) in DMF (0.3 mL), DIEA (80 mg, 0.62 mmol) and 2-fluoro-5-(trifluoromethyl)benzonitrile (12 mg, 63 μmol) were added. The resulting solution was heated at 60° C. for 19 hours. The crude product was purified by reverse phase CC to give the title compound (22 mg, 28%) as a yellow solid. LCMS (M+H) + =526.3.

[0488] The following compounds were prepared similarly to Example 15 using the appropriate substituting reagents and substrates at various steps.

[0489] [Table 16]

[0490] Example 16: 5-[rac-(2R,4R)-4-[4-chloro-2-(trifluoromethyl)phenoxy]-2-ethylpiperidin-1-yl]-2'-ethoxy-6-{[(3R)-1-methylpyrrolidin-3-yl]oxy}-2,3'-bipyridine (cpd 3-9)

[0491] [ka]

[0492] Step 16-1, Preparation of rac-2-ethyl-1-(2-nitropyridin-3-yl)piperidin-4-ol: To a solution of rac-2-ethylpiperidin-4-ol hydrochloride (700 mg, 4.23 mmol) and 3-fluoro-2-nitropyridine (1.3 g, 9.1 mmol) in DMSO (10 mL) was added DIEA (3.4 mL, 19 mmol). The mixture was heated at 90° C. for 30 h. The resulting solution was diluted with water (30 mL) and extracted with EtOAc (3×). The combined organic layers were washed with brine, dried over anhydrous sodium sulfate, and evaporated to dryness. The residue was purified by silica gel CC to give the title compound (950 mg, 89.5%) as a colorless oil. LCMS (M+H) + =252.2.

[0493] Step 16-2, Preparation of 3-(rac-(2R,4R)-4-(4-chloro-2-(trifluoromethyl)phenoxy)-2-ethylpiperidin-1-yl)-2-nitropyridine: To a solution of rac-2-ethyl-1-(2-nitropyridin-3-yl)piperidin-4-ol (50 mg, 0.20 mmol) and 4-chloro-1-fluoro-2-(trifluoromethyl)benzene (50 mg, 0.25 mmol) in DMF (3 mL) at 0° C. was added 60 wt % sodium hydride in mineral oil (25 mg, 0.63 mmol). The mixture was stirred at room temperature for 1 h. The crude mixture was used in the next step. LCMS (M+H) + =430.2.

[0494] Step 16-3, preparation of 3-(rac-(2R,4R)-4-(4-chloro-2-(trifluoromethyl)phenoxy)-2-ethylpiperidin-1-yl)-2-(((R)-1-methylpyrrolidin-3-yl)oxy)pyridine: To a solution of (R)-1-methylpyrrolidin-3-ol (60 mg, 0.59 mmol) in DMF (2 mL) at 0° C. was added 60 wt % sodium hydride in mineral oil (25 mg, 0.63 mmol). The mixture was stirred at 0° C. for 0.5 h and then added to the reaction solution of 3-(rac-(2R,4R)-4-(4-chloro-2-(trifluoromethyl)phenoxy)-2-ethylpiperidin-1-yl)-2-nitropyridine (86 mg, 0.20 mmol) from step 16-1. The mixture was stirred at room temperature for 1 h. The resulting solution was quenched with NH4Cl(aq) (20 mL) and extracted with EtOAc (3x). The combined organic layers were washed with brine, dried over anhydrous sodium sulfate and evaporated to dryness. The crude product was purified by reverse phase CC to give the title (65 mg, 67%) as a yellow solid. LCMS (M+H) + =484.2.

[0495] Step 16-4, Preparation of 6-bromo-3-(rac-(2R,4R)-4-(4-chloro-2-(trifluoromethyl)phenoxy)-2-ethylpiperidin-1-yl)-2-(((R)-1-methylpyrrolidin-3-yl)oxy)pyridine: To a solution of 3-(rac-(2R,4R)-4-(4-chloro-2-(trifluoromethyl)phenoxy)-2-ethylpiperidin-1-yl)-2-(((R)-1-methylpyrrolidin-3-yl)oxy)pyridine (50 mg, 0.10 mmol) in DMF (2 mL) was added NBS (22 mg, 0.12 mmol). The mixture was stirred at room temperature for 1 h. The crude product was purified by reverse phase CC to give the title compound (50 mg, 86%) as a yellow solid. LCMS (M+H) + =562.1.

[0496] Step 16-5. Preparation of 5-[rac-(2R,4R)-4-[4-chloro-2-(trifluoromethyl)phenoxy]-2-ethylpiperidin-1-yl]-2'-ethoxy-6-{[(3R)-1-methylpyrrolidin-3-yl]oxy}-2,3'-bipyridine: Preparation of 6-bromo-3-(rac-(2R,4R)-4-(4-chloro-2-(trifluoromethyl)phenoxy)-2-ethylpiperidin-1-yl) under nitrogen To a mixture of (2-ethoxypyridin-1-yl)-2-(((R)-1-methylpyrrolidin-3-yl)oxy)pyridine (45 mg, 80 μmol), (2-ethoxypyridin-3-yl)boronic acid (18 mg, 0.11 mmol), K2CO3 (35 mg, 0.25 mmol), Pd(DTBPF)Cl2 (6.0 mg, 9.2 μmol) was added 1,4-dioxane (1.5 mL) and H2O (0.15 mL). The resulting solution was heated at 70 °C for 2 h. The reaction mixture was concentrated in vacuo and the residue was purified by reverse phase CC to give the title compound (10.3 mg, 15%) as an off-white compound. LCMS (M+H) + =605.2.

[0497] The following compounds were prepared similarly to Example 16 using the appropriate substitution reagents and substrates at various steps:

[0498] [Table 17]

[0499] Example 17: 1-(5-{5-[(2R)-4-(2-chloro-4-fluorobenzoyl)-2-ethylpiperazin-1-yl]-2'-ethoxy-[2,3'-bipyridin]-6-yl}-4H-1,2,4-triazol-3-yl)methanamine (cpd 4-2)

[0500] [ka]

[0501] Step 17-1, Preparation of tert-butyl (R)-4-(6-bromo-2-cyanopyridin-3-yl)-3-ethylpiperazine-1-carboxylate: To a solution of 6-bromo-3-fluoropicolinonitrile (50 g, 0.25 mmol) and tert-butyl (R)-3-ethylpiperazine-1-caboxlate (53 g, 0.25 mol) in DMSO (500 mL) was added N-ethyl-N-isopropylpropan-2-amine (96 g, 0.74 mol). The mixture was heated at 90° C. for 24 h. The mixture was quenched with water (500 mL) and extracted with EtOAc (3×). The combined organics were washed with brine, dried over anhydrous sodium sulfate, and concentrated to dryness in vacuo to give the title compound (88 g, 89% yield) as a yellow oil. LCMS (M+H) + =460.1.

[0502] Step 17-2, preparation of tert-butyl (R)-4-(6-cyano-2'-ethoxy-[2,3'-bipyridin]-5-yl)-3-ethylpiperazine-1-carboxylate: To a mixture of tert-butyl (R)-4-(6-bromo-2-cyanopyridin-3-yl)-3-ethylpiperazine-1-carboxylate (54 g, 0.14 mol), (2-ethoxypyridin-3-yl)boronic acid (46 g, 0.28 mol), K2CO3 (57 g, 0.41 mol), and Pd(DTBPF)Cl2 (8.9 g, 14 mmol) under nitrogen, dioxane (500 mL) and water (50 mL) were added. The resulting mixture was heated at 70°C for 1 h. The mixture was diluted with water (500 mL) and extracted with DCM (1000 mL). The organic layer was concentrated to dryness in vacuo and the residue was purified by silica gel CC to give the title compound (26 g, 43% yield) as a yellow oil. LCMS (M+H) + =438.3.

[0503] Step 17-3, Preparation of (R)-5-(4-(tert-butoxycarbonyl)-2-ethylpiperazin-1-yl)-2'-ethoxy-[2,3'-bipyridine]-6-carboxylic acid: To a solution of tert-butyl (R)-4-(6-cyano-2'-ethoxy-[2,3'-bipyridine]-5-yl)-3-ethylpiperazine-1-carboxylate (15 g, 34 mmol) in EtOH (80 mL) was added potassium hydroxide (19 g, 0.34 mol) and water (80 mL). The resulting mixture was heated at 100° C. for 18 h. The mixture was concentrated in vacuo to remove EtOH, and the residue was diluted with water (100 mL), acidified to pH 3 with 1N HCl (aq), and extracted with EtOAc (3×). The combined organics were washed with brine, dried over anhydrous sodium sulfate and concentrated to dryness in vacuo to give the title compound (14 g, 89% yield) as a yellow oil. LCMS (M+H) + =457.3.

[0504] Step 17-4, Preparation of methyl (R)-2'-ethoxy-5-(2-ethylpiperazin-1-yl)-[2,3'-bipyridine]-6-carboxylate: To a solution of methyl (R)-5-(4-(tert-butoxycarbonyl)-2-ethylpiperazin-1-yl)-2'-ethoxy-[2,3'-bipyridine]-6-carboxylate (400 mg, 850 μmol) in DCM (6 mL) was added TFA (1 mL). The resulting solution was stirred at room temperature for 2 h. The mixture was concentrated in vacuo, diluted with water (20 mL), and neutralized with saturated NaHCO3(aq). The resulting mixture was extracted with EtOAc (3x) and the combined organics were washed with brine, dried over anhydrous sodium sulfate, and concentrated to dryness in vacuo to give the title compound (304 mg, 96.5% yield) as a yellow solid. LCMS(M+H) + =371.0.

[0505] Step 17-5, Preparation of methyl (R)-5-(4-(2-chloro-4-fluorobenzoyl)-2-ethylpiperazin-1-yl)-2'-ethoxy-[2,3'-bipyridine]-6-carboxylate: To a solution of methyl (R)-2'-ethoxy-5-(2-ethylpiperazin-1-yl)-[2,3'-bipyridine]-6-carboxylate (304 mg, 821 μmol) in DMF (5 mL) under nitrogen, HATU (374 mg, 984 μmol), N-ethyl-N-isopropylpropan-2-amine (318 mg, 2.46 mmol), and 2-chloro-4-fluorobenzoic acid (150 mg, 859 μmol) were added. The resulting solution was stirred at room temperature for 1 h. The mixture was quenched with water (20 mL) and extracted with EtOAc (3×). The combined organics were washed with brine, dried over anhydrous sodium sulfate and concentrated to dryness in vacuo. The residue was purified by reverse phase CC to give the title compound (350 mg, 80.9% yield) as a yellow solid. LCMS (M+H) + =527.1.

[0506] Step 17-6, Preparation of (R)-5-(4-(2-chloro-4-fluorobenzoyl)-2-ethylpiperazin-1-yl)-2'-ethoxy-[2,3'-bipyridine]-6-carbohydrazide: To a solution of methyl (R)-5-(4-(2-chloro-4-fluorobenzoyl)-2-ethylpiperazin-1-yl)-2'-ethoxy-[2,3'-bipyridine]-6-carboxylate (200 mg, 380 μmol) in EtOH (2 mL) was added hydrazine hydrate (190 mg, 3.80 mmol). The resulting solution was heated at 70° C. for 2 h. The mixture was quenched with water (20 mL) and extracted with EtOAc (3×). The combined organics were washed with brine, dried over anhydrous sodium sulfate and concentrated to dryness in vacuo to give the title compound (200 mg, 100% yield) as a yellow solid. LCMS (M+H) + =526.9.

[0507] Step 17-7, Preparation of tert-butyl (R)-((5-(5-(4-(2-chloro-4-fluorobenzoyl)-2-ethylpiperazin-1-yl)-2'-ethoxy-[2,3'-bipyridine]-6-yl)-4H-1,2,4-triazol-3-yl)methyl)carbamate: (R)-5-(4-(2-chloro-4-fluorobenzoyl)-2-ethylpiperazin-1-yl)-2'-ethoxy-[2,3'-bipyridine]-6-yl)-4H-1,2,4-triazol-3-yl)methyl)carbamate in toluene (1.2 mL) and DMF (0.2 mL) under nitrogen. To a solution of N-ethylpiperazin-1-yl)-2'-ethoxy-[2,3'-bipyridine]-6-carbohydrazide (90 mg, 0.17 mmol) was added N-ethyl-N-isopropylpropan-2-amine (0.13 g, 1.0 mmol) and methyl 2-((tert-butoxycarbonyl)amino)ethanimidioate hydroiodide (0.11 g, 0.33 mmol). The resulting solution was heated at 80° C. for 40 h. The crude mixture was purified by reverse phase CC to give the title compound (54 mg, 48% yield) as a yellow solid. LCMS (M+H) + =664.9.

[0508] Step 17-8, Preparation of methyl 2-((tertbutoxycarbonyl)amino)ethanimidothioate: To a solution of tert-butyl (2-amino-2-thioxoethyl)carbamate (500 mg, 2.63 mmol) in acetone (6 mL) was added iodomethane (560 mg, 3.95 mmol). The resulting solution was stirred at room temperature for 18 h. The mixture was diluted with ether (6 mL) and the solid was collected by vacuum filtration to give the title compound (610 mg, 69.9% yield) as a white solid. LCMS (M+H) + =205.1.

[0509] Step 17-9, Preparation of (R)-(4-(6-(5-(aminomethyl)-4H-1,2,4-triazol-3-yl)-2'-ethoxy-[2,3'-bipyridine]-5-yl)-3-ethylpiperazin-1-yl)(2-chloro-4-fluorophenyl)methanoneformate: To a solution of tert-butyl (R)-((5-(5-(4-(2-chloro-4-fluorobenzoyl)-2-ethylpiperazin-1-yl)-2'-ethoxy-[2,3'-bipyridine]-6-yl)-4H-1,2,4-triazol-3-yl)methyl)carbamate (50 mg, 75 μmol) in DCM (2 mL) was added dropwise TFA (0.4 mL). The mixture was stirred at room temperature for 1 h. The mixture was concentrated in vacuo and the residue was diluted with water (10 mL), neutralized with saturated NaHCO3(aq) and extracted with EtOAc (3x). The combined organics were washed with brine, dried over anhydrous sodium sulfate and concentrated to dryness in vacuo. The residue was purified by reverse phase CC to give the title compound (35 mg, 76% yield) as a white solid. LCMS (M+H) + =565.2.

[0510] Example 18: (R)-(4-(6-(5-amino-4H-1,2,4-triazol-3-yl)-2'-ethoxy-[2,3'-bipyridin]-5-yl)-3-ethylpiperazin-1-yl)(2-chloro-4-fluorophenyl)methanone (cpd 4-3)

[0511] [ka]

[0512] Step 18-1, Preparation of (R)-2-(5-(4-(2-chloro-4-fluorobenzoyl)-2-ethylpiperazin-1-yl)-2'-ethoxy-[2,3'-bipyridine]-6-carbonyl)hydrazine-1-carboximidamide: To a mixture of (R)-5-(4-(2-chloro-4-fluorobenzoyl)-2-ethylpiperazin-1-yl)-2'-ethoxy-[2,3'-bipyridine]-6-carbohydrazide (100 mg, 190 μmol) from step 17-6 and methylcarbamimidothioate hydrochloride (72 mg, 0.57 mmol) was added pyridine (2 mL). The resulting mixture was heated at 80° C. for 16 h and then concentrated in vacuo. The crude product was used in the next step without purification. LCMS (M+H) + =569.2.

[0513] Step 18-2, Preparation of (R)-(4-(6-(5-amino-4H-1,2,4-triazol-3-yl)-2'-ethoxy-[2,3'-bipyridine]-5-yl)-3-ethylpiperazin-1-yl)(2-chloro-(4-fluorophenyl)methanone bis(2,2,2-trifluoroacetate): Preparation of (R)-2-(5-(4-(2-chlorophenyl)methanone)bis(2,2,2-trifluoroacetate) in DMF (1 mL) and water (1 mL). A solution of 100 mg, 176 μmol of 1-(4-fluorobenzoyl)-2-ethylpiperazin-1-yl-2'-ethoxy-[2,3'-bipyridine]-6-carbonyl)hydrazine-1-carboximidamide was heated at 120° C. for 16 hours. The mixture was purified by reverse phase CC to give the title compound (25.8 mg, 18.8%) as a white solid. LCMS (M+H) + =551.2.

[0514] Example 19: rac-2'-ethoxy-5-((2R,4S)-2-ethyl-4-((2-(trifluoromethyl)phenyl)thio)piperidin-1-yl)-N-((R)-1-methylpyrrolidin-3-yl)-[2,3'-bipyridine]-6-carboxamide (cpd 4-2)

[0515] [ka]

[0516] Step 19-1, preparation of rac-(2R,4R)-1-(2'-ethoxy-6-(((R)-1-methylpyrrolidin-3-yl)carbamoyl)-[2,3'-bipyridine]-5-yl)-2-ethylpiperidin-4-yl methanesulfonate: To a solution of rac-2'-ethoxy-5-((2R,4R)-2-ethyl-4-hydroxypiperidin-1-yl)-N-((R)-1-methylpyrrolidin-3-yl)-[2,3'-bipyridine]-6-carboxamide (90 mg, 0.20 mmol) from step 7-2 in DCM (2 mL) was added triethylamine (60 mg, 0.59 mmol) and methanesulfonyl chloride (27 mg, 0.24 mmol). The resulting solution was stirred at room temperature for 2 hours. The mixture was quenched with water (20 mL) and extracted with DCM (3x). The combined organics were washed with brine, dried over anhydrous sodium sulfate and concentrated to dryness in vacuo to give the title compound (90 mg, 85% yield) as a yellow solid. LCMS (M+H) + =532.0.

[0517] Step 19-2, Preparation of rac-2'-ethoxy-5-((2R,4S)-2-ethyl-4-((2-(trifluoromethyl)phenyl)thio)piperidin-1-yl)-N-((R)-1-methylpyrrolidin-3-yl)-[2,3'-bipyridine]-6-carboxamide formate: Preparation of rac-(2R,4R)-1-(2'-ethoxy-6-((( To a solution of R)-1-methylpyrrolidin-3-yl)carbamoyl)-[2,3'-bipyridin]-5-yl)-2-ethylpiperidin-4-yl methanesulfonate (60 mg, 0.11 mmol) was added 6-(trifluoromethyl)cyclohexa-2,4-diene-1-thiol (31 mg, .17 mmol) and potassium carbonate (47 mg, 0.34 mmol). The resulting mixture was heated at 80° C. for 5 h. The crude mixture was purified by reverse phase CC to give the title compound (10 mg, 13% yield) as a pale yellow solid. LCMS (M+H) +=614.2.

[0518] Example 20: rac-2'-ethoxy-5-((2R,4S)-2-ethyl-4-((2-(trifluoromethyl)phenyl)sulfonyl)piperidin-1-yl)-N-((R)-1-methylpyrrolidin-3-yl)-[2,3'-bipyridine]-6-carboxamide (cpd 4-3)

[0519] [ka] Step 20-1, preparation of rac-2'-ethoxy-5-((2R,4S)-2-ethyl-4-((2-(trifluoromethyl)phenyl)sulfonyl)piperidin-1-yl)-N-((R)-1-methylpyrrolidin-3-yl)-[2,3'-bipyridine]-6-carboxamide: To a solution of rac-2'-ethoxy-5-((2R,4S)-2-ethyl-4-((2-(trifluoromethyl)phenyl)thio)piperidin-1-yl)-N-((R)-1-methylpyrrolidin-3-yl)-[2,3'-bipyridine]-6-carboxamide (65 mg, 0.11 mmol) from step 19-2 in DCM (2 mL) was added mCPBA (27 mg, 0.16 mmol). The resulting solution was stirred at room temperature for 2 hours. The crude mixture was purified by reverse phase CC to give the title compound (12.0 mg, 18% yield) as a pale yellow solid. LCMS (M+H) + =646.2.

[0520] Example A-1: ​​Parenteral pharmaceutical composition To prepare a parenteral pharmaceutical composition suitable for administration by injection (subcutaneous, intravenous), 1-100 mg of a water-soluble salt of the compound of formula (I), or a pharma- ceutically acceptable salt or solvate thereof, is dissolved in sterile water and then mixed with 10 mL of 0.9% sterile saline. An appropriate buffer, and an optional acid or base, are optionally added to adjust the pH. The mixture is incorporated into a unit dosage form suitable for administration by injection.

[0521] Example A-2: Oral Solution To prepare a pharmaceutical composition for oral delivery, a sufficient amount of a compound of formula (I), or a pharma- ceutically acceptable salt thereof, is added to water (along with optional solubilizers, optional buffers, and taste-masking excipients) to obtain a 20 mg / mL solution.

[0522] Example A-3: Oral Tablet Prepare tablets by mixing 20-50% by weight of a compound of formula (I), or a pharma- ceutically acceptable salt thereof, 20-50% by weight of microcrystalline cellulose, 1-10% by weight of low-substituted hydroxypropyl cellulose, and 1-10% by weight of magnesium stearate, or other suitable excipients. Prepare tablets by direct compression. Maintain the total weight of the compressed tablets at 100-500 mg.

[0523] Example A-4: Oral Capsules To prepare a pharmaceutical composition for oral delivery, 10-500 mg of a compound of formula (I), or a pharma- ceutically acceptable salt thereof, is mixed with starch or other suitable powder mixture, and the mixture is incorporated into an oral dosage unit, such as a hard gelatin capsule, suitable for oral administration.

[0524] In another embodiment, 10 to 500 mg of a compound of formula (I), or a pharma- ceutically acceptable salt thereof, is placed into a size 4 capsule, or a size 1 capsule (hypromellose or hard gelatin), and the capsule is closed.

[0525] Example A-5: Topical gel composition To prepare a pharmaceutical topical gel composition, the compound of formula (I), or a pharma- ceutically acceptable salt thereof, is mixed with hydroxypropylcellulose, propylene glycol, isopropyl myristate, and purified alcohol USP. The resulting gel mixture is then incorporated into a container, such as a tube, suitable for topical administration.

[0526] Example B-1: MC2R Assay Membrane preparation: Crude membrane fractions are prepared from CRE-bla-CHO-K1 cells stably expressing the hMC2 receptor and hMRAP accessory proteins (Thermo Fisher). Cells are grown to 85-100% confluence on standard tissue culture dishes in GlutaMax DMEM growth medium (Gibco) containing the following supplements: 10% dialyzed FBS (Gemini), 0.1 mM NEAA (Gibco), 25 mM HEPES (Gibco), 5 μg / mL blasticidin (Goldbio), 100 μg / mL zeocin (Invitrogen), 600 μg / mL hygromycin (Goldbio). To prepare cell membranes, cells are scraped and collected in 1X Dulbecco's Phosphate Buffered Saline (Corning), then pelleted at 1000 RPM. The cell pellet is reconstituted in membrane prep buffer (20 mM HEPES, 6 mM MgCl2, and 1 mM EGTA, protease inhibitor tablets (Pierce) adjusted to pH 7.4), homogenized using a dounce homogenizer, and the resulting membrane fraction is pelleted by centrifugation at 12,000 RPM. The membrane pellet is resuspended in membrane prep buffer, flash frozen, and stored at -80°C for later use.

[0527] Binding assay for hMC2 antagonists: The hMC2 membrane binding assay consisted of the following components: radiolabeled [ 125 We utilize [I]ACTH(1-39)Tyr23 (PerkinElmer), wheatgerm agglutinin coated PVT SPA beads (PerkinElmer), crude hMC2R membranes, and compounds. Briefly, hMC2R membranes are incubated with SPA beads in binding assay buffer (50 mM HEPES, 5 mM MgCl2, 1 mM CaCl2, 0.2% BSA, protease inhibitor tablets (Pierce) adjusted to pH 7.4) prior to assay initiation. Compound (final concentrations of compound are typically 0-10,000 nM), SPA membrane, and a final concentration of [I]ACTH(1-39)Tyr23 of 0.2 nM are added. 125Dose reactions of [I]ACTH(1-39)Tyr23 are plated into 96-well assay plates and incubated at room temperature for 1.5 hours. The assay plates are read using Top Count NXT and the K values ​​of compounds are calculated using nonlinear regression analysis in GraphPad Prism 6. i Determine the value.

[0528] Exemplary binding affinities of selective compounds are listed in Table A. Potency is divided into four criteria: + is K i means that the K is between 1,000nM and 10,000nM, and ++ means that the K i means that the K is between 100 nM and 1,000 nM, and +++ means that the K i means that the K is between 10 nM and 100 nM, and ++++ means that the K i This means that the concentration is less than 10 nM.

[0529] [Table 18]

[0530] The examples and embodiments described herein are for illustrative purposes only, and various modifications or changes suggested to those skilled in the art are intended to be included within the spirit and scope of this specification and the scope of the appended claims.

Claims

1. A compound of formula (III) or a pharma- ceutically acceptable salt or solvate thereof, 【Chemistry 1】 During the ceremony, V is CH or N and W is CH or N; R a is selected from the group consisting of hydrogen, -OH, -OCH 3 , -OCH 2 CH 3 -CH 2 OH, -CH 2 CH 2 OH, -CH 2 OCH 3 , -CH 2 CH 2 OCH 3 , -CH 2 NH 2 , -CH 2 NHCH 3 , -CH 2 N(CH 3 ) 2 , -CH 2 CH 2 NH 2 , -CH 2 CH 2 NHCH 3 , and -CH 2 CH 2 N(CH 3 ) 2 ; R b and R c are each hydrogen; L is -O-, -C(=O)-, -C(=O)NR ４ -, -S-, -SO ２ -, -S(=O) ２ N.R. ４ -, a 5-membered heterocycle, or a bond; M is -O-, -C(=O)-, -C(=O)NR ４ -, -S-, -SO ２ -, -S(=O) ２ N.R. ４ -, a 5-membered heterocycle, or a bond; R ｄ , R ｅ , and R ｆ are independently hydrogen, halogen, -OR ５ , -CN, , unsubstituted or substituted C １ -C ６ Alkyl, and unsubstituted or substituted C １ -C ６ fluoroalkyl; Y is CH or N, and when Y is N, L is -C(=O)-, -C(=O)NR ４ -, -SO ２ -, -S(=O) ２ N.R. ４ -, a 5-membered heterocycle, or a bond; Z is CH or N; R １ is unsubstituted C １ -C ６ Alkyl or unsubstituted C ３ -C ６ is cycloalkyl, R 2 is C 1 -C 6 alkyl substituted by one —N(R 5 ) 2 group, which is further substituted by zero or more unsubstituted or substituted C 1 -C 6 alkyl; Alternatively, R 2 is an unsubstituted or substituted monocyclic 4-, 5-, or 6-membered heterocycle containing 1-4 N atoms and 0 or 1 O or S atom; Alternatively, R 2 is an unsubstituted or substituted bridged heterocycle containing 1-4 N atoms and 0 or 1 O or S atom; R ４ is hydrogen or C １ -C ６ is alkyl, R ５ each independently represents hydrogen, unsubstituted or substituted C １ -C ６ Alkyl, or unsubstituted or substituted C ３ -C ６ is cycloalkyl, Alternatively, two R on the same nitrogen atom ５ together with the nitrogen atom to which they are attached form an unsubstituted or substituted 3- to 6-membered monocyclic heterocycle; and At least one of L and M is -O-; The compound, or a pharma- ceutically acceptable salt or solvate thereof.

2. L is -O-, -C(=O)-, -S-, -SO ２ -, a 5-membered heteroaryl, or a bond, and M is -O-, -C(=O)NR ４ -, -S-, -SO ２ -, -S(=O) ２ N.R. ４ 2. The compound of claim 1, wherein R is -, 5-membered heteroaryl, or a bond, or a pharma- ceutically acceptable salt or solvate thereof.

3. L is -O-, -C(=O)-, a 5-membered heteroaryl, or a bond and M is -O-; Alternatively, L is -C(=O)-, M is -O-, Y is N, and Z is N; Alternatively, L is -O- or a 5-membered heteroaryl, M is -O-, Y is CH and Z is N; Alternatively, L is a bond, M is -O-, Y is N, and Z is CH; Alternatively, L is -O- and M is -C(=O)NR ４ -, Y is CH and Z is N; 2. A compound according to claim 1, or a pharma- ceutically acceptable salt or solvate thereof.

4. 4. The compound of any one of claims 1-3, wherein the compound has the structure of Formula (IVa) or Formula (IVb), or a pharma- ceutically acceptable salt or solvate thereof: 【Chemistry 2】

5. R １ is -CH ３ , -CH ２ CH ３ , -CH ２ CH ２ CH ３ , -CH(CH ３ ) ２ , -CH ２ CH ２ CH ２ CH ３ , -CH ２ CH (CH ３ ) ２ , -CH(CH ３ ) (CH ２ CH ３ ), -C(CH ３ ) ３ 5. The compound of claim 1, wherein R is 1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16, 17, 18, 19, 20, 21, 22, 23, 24, 25, 26, 27, 28, 29, 30, 31

6. R ２ is -N(R ５ ) ２ C substituted by a group １ -C ６ 6. The compound of any one of claims 1-5, or a pharma- ceutically acceptable salt or solvate thereof, wherein R is 1 or 2;

7. 7. The compound of any one of claims 1-6, wherein the compound has the structure of Formula (VIa) or Formula (VIb), or a pharma- ceutically acceptable salt or solvate thereof: 【Chemistry 3】

8. 1-2: 5-[(2R)-4-[4-chloro-2-(trifluoromethyl)benzoyl]-2-ethylpiperazin-1-yl]-2'-ethoxy-6-{[(3R)-1-methylpyrrolidin-3-yl]oxy}-2,3'-bipyridine, 1-3: 2'-ethoxy-5-[(2R)-2-ethyl-4-[1-(trifluoromethyl)cyclopentanecarbonyl]piperazin-1-yl]-6-{[(3R)-1-methylpyrrolidin-3-yl]oxy}-2,3'-bipyridine, 1-4: 2'-ethoxy-5-[(2R)-2-ethyl-4-[(2S)-2-(trifluoromethyl)pyrrolidine-1-carbonyl]piperazin-1-yl]-6-{[(3R)-1-methylpyrrolidin-3-yl]oxy}-2,3'-bipyridine, 1-5: 2'-ethoxy-5-[(2R)-4-[6-ethoxy-2-(trifluoromethyl)pyridine-3-carbonyl]-2-ethylpiperazin-1-yl]-6-[(3R)-pyrrolidin-3-yloxy]-2,3'-bipyridine, 1-6: 5-[(2R)-4-[2-(difluoromethyl)-4-fluorobenzoyl]-2-ethylpiperazin-1-yl]-2'-ethoxy-6-[(3R)-pyrrolidin-3-yloxy]-2,3'-bipyridine, 1-7: 5-[(2R)-4-[4-chloro-2-(trifluoromethyl)benzoyl]-2-ethylpiperazin-1-yl]-2'-ethoxy-6-[(3R)-pyrrolidin-3-yloxy]-2,3'-bipyridine, 1-8: 2'-ethoxy-5-[(2R)-2-ethyl-4-[(2S)-2-(trifluoromethyl)pyrrolidine-1-carbonyl]piperazin-1-yl]-6-[(3R)-pyrrolidin-3-yloxy]-2,3'-bipyridine, 1-9: [2-({2'-ethoxy-5-[(2R)-4-[6-ethoxy-2-(trifluoromethyl)pyridine-3-carbonyl]-2-ethylpiperazin-1-yl]-[2,3'-bipyridine]-6-yl}oxy)ethyl](methyl)amine, 1-10: [2-({5-[(2R)-4-[2-(difluoromethyl)-4-fluorobenzoyl]-2-ethylpiperazin-1-yl]-2'-ethoxy-[2,3'-bipyridin]-6-yl}oxy)ethyl](methyl)amine, 1-11: [2-({2'-ethoxy-5-[(2R)-2-ethyl-4-[(2S)-2-(trifluoromethyl)pyrrolidine-1-carbonyl]piperazin-1-yl]-[2,3'-bipyridin]-6-yl}oxy)ethyl](methyl)amine, 1-12: 2-({2'-ethoxy-5-[(2R)-4-[6-ethoxy-2-(trifluoromethyl)pyridine-3-carbonyl]-2-ethylpiperazin-1-yl]-[2,3'-bipyridine]-6-yl}oxy)ethan-1-amine, 1-13: 2-({5-[(2R)-4-[2-(difluoromethyl)-4-fluorobenzoyl]-2-ethylpiperazin-1-yl]-2'-ethoxy-[2,3'-bipyridin]-6-yl}oxy)ethan-1-amine, 1-14: 2-({2'-ethoxy-5-[(2R)-2-ethyl-4-[(2S)-2-(trifluoromethyl)pyrrolidine-1-carbonyl]piperazin-1-yl]-[2,3'-bipyridin]-6-yl}oxy)ethan-1-amine, 1-15: [2-({5-[(2R)-4-[4-chloro-2-(trifluoromethyl)benzoyl]-2-ethylpiperazin-1-yl]-2'-ethoxy-[2,3'-bipyridin]-6-yl}oxy)ethyl](methyl)amine, 1-16: 2-({5-[(2R)-4-[4-chloro-2-(trifluoromethyl)benzoyl]-2-ethylpiperazin-1-yl]-2'-ethoxy-[2,3'-bipyridin]-6-yl}oxy)ethan-1-amine, 1-17: [2-({2'-ethoxy-5-[(2R)-4-[6-ethoxy-2-(trifluoromethyl)pyridine-3-carbonyl]-2-ethylpiperazin-1-yl]-[2,3'-bipyridine]-6-yl}oxy)ethyl]dimethylamine, 1-18: 2'-ethoxy-5-[(2R)-4-[6-ethoxy-2-(trifluoromethyl)pyridine-3-carbonyl]-2-ethylpiperazin-1-yl]-6-[(3S)-pyrrolidin-3-yloxy]-2,3'-bipyridine, 1-19: (2R)-1-({2'-ethoxy-5-[(2R)-4-[6-ethoxy-2-(trifluoromethyl)pyridine-3-carbonyl]-2-ethylpiperazin-1-yl]-[2,3'-bipyridine]-6-yl}oxy)propan-2-amine, 1-20: (2S)-1-({2'-ethoxy-5-[(2R)-4-[6-ethoxy-2-(trifluoromethyl)pyridine-3-carbonyl]-2-ethylpiperazin-1-yl]-[2,3'-bipyridine]-6-yl}oxy)propan-2-amine, 1-21: (2R)-2-({2'-ethoxy-5-[(2R)-4-[6-ethoxy-2-(trifluoromethyl)pyridine-3-carbonyl]-2-ethylpiperazin-1-yl]-[2,3'-bipyridine]-6-yl}oxy)propan-1-amine, 1-22: (2S)-2-({2'-ethoxy-5-[(2R)-4-[6-ethoxy-2-(trifluoromethyl)pyridine-3-carbonyl]-2-ethylpiperazin-1-yl]-[2,3'-bipyridine]-6-yl}oxy)propan-1-amine, 1-23: 1-[(3R)-4-{2'-ethoxy-6-[2-(methylamino)ethoxy]-[2,3'-bipyridine]-5-yl}-3-ethylpiperazine-1-carbonyl]-2,3-dihydro-1H-indole-7-carbonitrile, 1-24: 1-[(3R)-4-[6-(2-aminoethoxy)-2'-ethoxy-[2,3'-bipyridine]-5-yl]-3-ethylpiperazine-1-carbonyl]-2,3-dihydro-1H-indole-7-carbonitrile, 1-25: 1-[(3R)-4-[6-(2-aminoethoxy)-2'-ethoxy-[2,3'-bipyridine]-5-yl]-3-ethylpiperazine-1-carbonyl]-5-chloro-2,3-dihydro-1H-indole-7-carbonitrile, 1-26: 5-chloro-1-[(3R)-4-{2'-ethoxy-6-[2-(methylamino)ethoxy]-[2,3'-bipyridine]-5-yl}-3-ethylpiperazine-1-carbonyl]-2,3-dihydro-1H-indole-7-carbonitrile, 1-27: [2-({2'-ethoxy-5-[(2R)-2-ethyl-4-[4-fluoro-2-(trifluoromethyl)benzoyl]piperazin-1-yl]-[2,3'-bipyridine]-6-yl}oxy)ethyl](methyl)amine, 1-28: [2-({5-[(2R)-4-(2,4-dichlorobenzoyl)-2-ethylpiperazin-1-yl]-2'-ethoxy-[2,3'-bipyridine]-6-yl}oxy)ethyl](methyl)amine, 1-29: [2-({5-[(2R)-4-(2-chloro-4-fluorobenzoyl)-2-ethylpiperazin-1-yl]-2'-ethoxy-[2,3'-bipyridine]-6-yl}oxy)ethyl](methyl)amine, 1-30: [2-({2'-ethoxy-5-[(2R)-2-ethyl-4-[6-methoxy-2-(trifluoromethyl)pyridine-3-carbonyl]piperazin-1-yl]-[2,3'-bipyridine]-6-yl}oxy)ethyl](methyl)amine, 2-1: N-(3-aminopropyl)-4-{4-[2-cyano-4-(trifluoromethyl)phenoxy]piperidin-1-yl}-2'-ethoxy-[1,1'-biphenyl]-3-carboxamide, 2-2: 5-{cis-4-[2-cyano-4-(trifluoromethyl)phenoxy]-2-ethylpiperidin-1-yl}-2'-ethoxy-N-[(3R)-1-methylpyrrolidin-3-yl]-[2,3'-bipyridine]-6-carboxamide, 2-3: 5-{trans-4-[2-cyano-4-(trifluoromethyl)phenoxy]-2-cyclopropylpiperidin-1-yl}-2'-ethoxy-N-[(3R)-pyrrolidin-3-yl]-[2,3'-bipyridine]-6-carboxamide, 2-4: 5-{trans-4-[2-cyano-4-(trifluoromethyl)phenoxy]-2-cyclopropylpiperidin-1-yl}-2'-ethoxy-N-[(3R)-1-methylpyrrolidin-3-yl]-[2,3'-bipyridine]-6-carboxamide, 2-5: 5-{cis-4-[2-cyano-4-(trifluoromethyl)phenoxy]-2-cyclopropylpiperidin-1-yl}-2'-ethoxy-N-[(3R)-pyrrolidin-3-yl]-[2,3'-bipyridine]-6-carboxamide, 2-6: 5-{cis-4-[2-cyano-4-(trifluoromethyl)phenoxy]-2-cyclopropylpiperidin-1-yl}-2'-ethoxy-N-[(3R)-1-methylpyrrolidin-3-yl]-[2,3'-bipyridine]-6-carboxamide, 2-7: 5-{cis-4-[4-chloro-2-(difluoromethyl)phenoxy]-2-cyclopropylpiperidin-1-yl}-2'-ethoxy-N-[(3R)-1-methylpyrrolidin-3-yl]-[2,3'-bipyridine]-6-carboxamide, 2-8: 5-cis-(4-{[6-chloro-2-(trifluoromethyl)pyridin-3-yl]oxy}-2-cyclopropylpiperidin-1-yl)-2'-ethoxy-N-[(3R)-1-methylpyrrolidin-3-yl]-[2,3'-bipyridine]-6-carboxamide, 2-9: 5-[(2R,4R)-4-[4-chloro-2-(trifluoromethyl)phenoxy]-2-ethylpiperidin-1-yl]-2'-ethoxy-N-[(3R)-1-methylpyrrolidin-3-yl]-[2,3'-bipyridine]-6-carboxamide, 2-10: 5-[(2S,4S)-4-[4-chloro-2-(trifluoromethyl)phenoxy]-2-ethylpiperidin-1-yl]-2'-ethoxy-N-[(3R)-1-methylpyrrolidin-3-yl]-[2,3'-bipyridine]-6-carboxamide, 2-11: 5-[(2R,4R)-4-[2-cyano-4-(trifluoromethyl)phenoxy]-2-ethylpiperidin-1-yl]-2'-ethoxy-N-[(3R)-1-methylpyrrolidin-3-yl]-[2,3'-bipyridine]-6-carboxamide, 2-12: 5-[(2S,4S)-4-[2-cyano-4-(trifluoromethyl)phenoxy]-2-ethylpiperidin-1-yl]-2'-ethoxy-N-[(3R)-1-methylpyrrolidin-3-yl]-[2,3'-bipyridine]-6-carboxamide, 2-13: 5-(cis-2-cyclopropyl-4-{[6-ethoxy-2-(trifluoromethyl)pyridin-3-yl]oxy}piperidin-1-yl)-2'-ethoxy-N-[(3R)-1-methylpyrrolidin-3-yl]-[2,3'-bipyridine]-6-carboxamide, 2-14: 5-(cis-4-{[2-cyano-6-(trifluoromethyl)pyridin-3-yl]oxy}-2-cyclopropylpiperidin-1-yl)-2'-ethoxy-N-[(3R)-1-methylpyrrolidin-3-yl]-[2,3'-bipyridine]-6-carboxamide, 2-15: 5-(cis-4-{[2-cyano-6-(trifluoromethyl)pyridin-3-yl]oxy}-2-ethylpiperidin-1-yl)-2'-ethoxy-N-[(3R)-1-methylpyrrolidin-3-yl]-[2,3'-bipyridine]-6-carboxamide, 2-16: 5-[cis-4-(2-cyano-4-methylphenoxy)-2-cyclopropylpiperidin-1-yl]-2'-ethoxy-N-[(3R)-1-methylpyrrolidin-3-yl]-[2,3'-bipyridine]-6-carboxamide, 2-17: 5-[cis-4-(2-cyano-4-methylphenoxy)-2-ethylpiperidin-1-yl]-2'-ethoxy-N-[(3R)-1-methylpyrrolidin-3-yl]-[2,3'-bipyridine]-6-carboxamide, 2-18: 5-[(2R,4R)-4-{[2-cyano-6-(trifluoromethyl)pyridin-3-yl]oxy}-2-ethylpiperidin-1-yl]-2'-ethoxy-N-[(3R)-1-methylpyrrolidin-3-yl]-[2,3'-bipyridine]-6-carboxamide, 2-19: N-[(3S)-1-azabicyclo[2.2.2]octan-3-yl]-5-(cis-4-{[2-cyano-6-(trifluoromethyl)pyridin-3-yl]oxy}-2-ethylpiperidin-1-yl)-2'-ethoxy-[2,3'-bipyridine]-6-carboxamide, 2-20: N-[(3S)-1-azabicyclo[2.2.2]octan-3-yl]-5-{cis-4-[2-cyano-4-(trifluoromethyl)phenoxy]-2-ethylpiperidin-1-yl}-2'-ethoxy-[2,3'-bipyridine]-6-carboxamide, 2-21: 5-[(2R,4R)-4-(4-chloro-2-cyanophenoxy)-2-ethylpiperidin-1-yl]-2'-ethoxy-N-[(3R)-1-methylpyrrolidin-3-yl]-[2,3'-bipyridine]-6-carboxamide, 2-22: 5-[(2R,4R)-4-{[2-cyano-6-(trifluoromethyl)pyridin-3-yl]oxy}-2-ethylpiperidin-1-yl]-2'-ethoxy-N-[(3S)-1-methylpyrrolidin-3-yl]-[2,3'-bipyridine]-6-carboxamide, 2-23: 3-(cis-4-{[2-cyano-6-(trifluoromethyl)pyridin-3-yl]oxy}-2-methylpiperidin-1-yl)-6-(2-ethoxyphenyl)-N-[(3R)-1-methylpyrrolidin-3-yl]pyridine-2-carboxamide, 2-24: 3-[cis-4-(4-chloro-2-cyanophenoxy)-2-methylpiperidin-1-yl]-6-(2-ethoxyphenyl)-N-[(3R)-1-methylpyrrolidin-3-yl]pyridine-2-carboxamide, 2-25: 5-[cis-4-(2-cyano-4-fluorophenoxy)-2-cyclopropylpiperidin-1-yl]-2'-ethoxy-N-[(3R)-1-methylpyrrolidin-3-yl]-[2,3'-bipyridine]-6-carboxamide, 3-1: 2-(4-(2'-ethoxy-6-(2-(methylamino)ethoxy)-[2,3'-bipyridine]-5-yl)piperidin-1-yl)-5-(trifluoromethyl)benzonitrile, 3-2: 3-(4-{2'-ethoxy-6-[2-(methylamino)ethoxy]-[2,3'-bipyridin]-5-yl}piperidin-1-yl)-6-(trifluoromethyl)pyridine-2-carbonitrile, 3-3: 2-{[(2R)-1-{2'-ethoxy-6-[2-(methylamino)ethoxy]-[2,3'-bipyridine]-5-yl}-2-ethylpiperidin-4-yl]oxy}-5-(trifluoromethyl)benzonitrile, 3-4: [2-({2'-ethoxy-5-[(2R)-2-ethyl-4-{1-[4-fluoro-2-(trifluoromethyl)phenyl]-1H-imidazol-2-yl}piperidin-1-yl]-[2,3'-bipyridin]-6-yl}oxy)ethyl](methyl)amine, 3-5: [2-({2'-ethoxy-5-[(2R)-2-ethyl-4-{1-[1-(trifluoromethyl)cyclobutyl]-1H-imidazol-2-yl}piperidin-1-yl]-[2,3'-bipyridin]-6-yl}oxy)ethyl](methyl)amine, 3-6: [2-({2'-ethoxy-5-[(2R)-2-ethyl-4-{5-[1-(trifluoromethyl)cyclobutyl]-4H-1λ ３ ,2,4-oxadiazol-3-yl}piperidin-1-yl]-[2,3′-bipyridin]-6-yl}oxy)ethyl](methyl)amine, 3-7: [2-({2'-ethoxy-5-[(2R)-2-ethyl-4-{3-[1-(trifluoromethyl)cyclobutyl]-4H-1λ ３ ,2,4-oxadiazol-5-yl}piperidin-1-yl]-[2,3′-bipyridin]-6-yl}oxy)ethyl](methyl)amine, 3-8: 2-{[rac-(2R,4R)-1-(2'-ethoxy-6-{[(3R)-1-methylpyrrolidin-3-yl]oxy}-[2,3'-bipyridine]-5-yl)-2-ethylpiperidin-4-yl]oxy}-5-(trifluoromethyl)benzonitrile, 3-9: 5-[rac-(2R,4R)-4-[4-chloro-2-(trifluoromethyl)phenoxy]-2-ethylpiperidin-1-yl]-2'-ethoxy-6-{[(3R)-1-methylpyrrolidin-3-yl]oxy}-2,3'-bipyridine, 4-1: 1-(2-{5-[(2R)-4-(2-chloro-4-fluorobenzoyl)-2-ethylpiperazin-1-yl]-2'-ethoxy-[2,3'-bipyridine]-6-yl}-1H-imidazol-4-yl)methanamine, 4-2: 1-(5-{5-[(2R)-4-(2-chloro-4-fluorobenzoyl)-2-ethylpiperazin-1-yl]-2'-ethoxy-[2,3'-bipyridin]-6-yl}-4H-1,2,4-triazol-3-yl)methanamine, 4-3: 5-{5-[(2R)-4-(2-chloro-4-fluorobenzoyl)-2-ethylpiperazin-1-yl]-2'-ethoxy-[2,3'-bipyridin]-6-yl}-4H-1,2,4-triazol-3-amine, 4-4: 5-{5-[(2R)-4-(4-fluoro-2-trifluoro-benzoyl)-2-ethylpiperazin-1-yl]-2'-ethoxy-[2,3'-bipyridin]-6-yl}-1H-1,2,4-triazol-3-amine, 4-5: 2-(5-{3-[(2R)-4-(2,4-dichlorobenzoyl)-2-ethylpiperazin-1-yl]-6-(2-ethoxyphenyl)pyridin-2-yl}-1H-1,2,4-triazol-1-yl)ethan-1-amine, 4-6: 2-(2-{2-[(2R)-4-[4-chloro-2-(trifluoromethyl)benzoyl]-2-ethylpiperazin-1-yl]-5-(2-ethoxypyridin-3-yl)phenyl}-1H-imidazol-1-yl)ethan-1-amine, 4-7: 2-(5-{5-[(2R)-4-(2-chloro-4-fluorobenzoyl)-2-ethylpiperazin-1-yl]-2'-ethoxy-[2,3'-bipyridine]-6-yl}-1,3-oxazol-4-yl)ethan-1-amine, 4-8: N-(2-aminoethyl)-3-[(2R)-4-(2-chloro-4-fluorobenzoyl)-2-ethylpiperazin-1-yl]-6-(2-ethoxyphenyl)pyridine-2-sulfonamide, 4-9: N-(2-aminoethyl)-2'-ethoxy-5-[(2R)-2-ethyl-4-[4-fluoro-2-(trifluoromethyl)benzoyl]piperazin-1-yl]-[2,3'-bipyridine]-6-sulfonamide, 4-10: 2-[(2R)-4-(2-chloro-4-fluorobenzoyl)-2-ethylpiperazin-1-yl]-5-(2-ethoxypyridin-3-yl)-N-[(3R)-1-methylpyrrolidin-3-yl]benzene-1-sulfonamide, 4-11: 5-[(2R)-4-(2-chloro-4-fluorobenzoyl)-2-ethylpiperazin-1-yl]-2'-ethoxy-N-[(3R)-1-methylpyrrolidin-3-yl]-[2,3'-bipyridine]-6-sulfonamide, 4-12: [2-({5-[(2R)-4-[4-chloro-2-(trifluoromethyl)benzoyl]-2-ethylpiperazin-1-yl]-2'-ethoxy-[2,3'-bipyridine]-6-yl}sulfanyl)ethyl]dimethylamine, 4-13: [2-({5-[(2R)-4-[4-chloro-2-(trifluoromethyl)benzoyl]-2-ethylpiperazin-1-yl]-2'-ethoxy-[2,3'-bipyridine]-6-yl}sulfonyl)ethyl]dimethylamine, 5-1: rac-2'-ethoxy-5-[(2R,4S)-2-ethyl-4-{[2-(trifluoromethyl)phenyl]sulfanyl}piperidin-1-yl]-N-[(3R)-1-methylpyrrolidin-3-yl]-[2,3'-bipyridine]-6-carboxamide, 5-2: rac-2'-ethoxy-5-[(2R,4S)-2-ethyl-4-[2-(trifluoromethyl)benzenesulfonyl]piperidin-1-yl]-N-[(3R)-1-methylpyrrolidin-3-yl]-[2,3'-bipyridine]-6-carboxamide, and 5-3: 2'-ethoxy-5-[(2R)-2-ethyl-4-[4-fluoro-2-(trifluoromethyl)benzenesulfonyl]piperidin-1-yl]-N-[(3R)-1-methylpyrrolidin-3-yl]-[2,3'-bipyridine]-6-carboxamide, or a pharma- ceutically acceptable salt or solvate thereof.

9. A pharmaceutical composition comprising a compound according to any one of claims 1-8, or a pharma- ceutically acceptable salt or solvate thereof, and at least one pharma- ceutically acceptable excipient.

10. 2. Use of a compound of claim 1, or a pharma- ceutically acceptable salt or solvate thereof, in the manufacture of a medicament for use in a method for treating Cushing's syndrome, ectopic Cushing's syndrome, or congenital adrenal hyperplasia (CAH) in a mammal.

11. 13. Use of a compound of claim 1, or a pharma- ceutically acceptable salt or solvate thereof, in the manufacture of a medicament for use in a method of decreasing secretion of adrenocorticotropic hormone (ACTH) in a mammal.

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