INHIBITOR COMPOUNDS
Patent Information
- Authority / Receiving Office
- RU · RU
- Patent Type
- Applications
- Current Assignee / Owner
- STORM THERAPUTIKS LTD
- Filing Date
- 2024-10-31
- Publication Date
- 2026-07-02
AI Technical Summary
Current treatments for various diseases such as cancer, autoimmune disorders, neurological diseases, and infectious diseases often struggle with efficacy and specificity, particularly due to the involvement of METTL3 in multiple disease pathways.
Development of METTL3 inhibitors, which are compounds designed to specifically target and inhibit the activity of the METTL3 enzyme, thereby modulating m6A RNA methylation and affecting disease progression.
METTL3 inhibitors have shown potential in treating a wide range of diseases by disrupting METTL3-mediated pathways, leading to reduced proliferation in cancer cells, improved immune responses, and therapeutic benefits in neurodegenerative and autoimmune conditions.
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Abstract
Description
INHIBITORY COMPOUNDSFIELD OF THE INVENTION
[0001] The present invention relates to certain compounds that function as inhibitors of METTL3 (N6-adenosine-methyltransferase 70 kDa subunit) activity. The present invention also relates to processes for the preparation of these compounds, to pharmaceutical compositions comprising them, and to their use in the treatment of proliferative disorders, such as cancer, autoimmune, neurological, infectious and inflammatory diseases, as well as other diseases or conditions in which METTL3 activity is implicated.BACKGROUND OF THE INVENTION
[0002] A / 6-methyladenosine (m6A) is the most common and abundant covalent modification of messenger RNA, modulated by ‘writers’, ‘erasers’ and ‘readers’ of this mark (Meyer & Jaffrey 2014, Niu Y et al, 2013, Yue et al 2015). Approximately 0.1 to 0.5% of all mRNA adenosines are m6A modified (Li Y et al 2015). In vitro data have shown that m6A influences fundamental aspects of mRNA biology, mainly mRNA expression, splicing, stability, localisation and translation (Meyer et al, 2015; Sledz & Jinek 2016). M6A modifications are tissue specific and there is significant variability in their occurrence profiles in non-diseased tissues (eg brain, heart, kidney) and diseased tissues and cells (lung, renal, breast, and leukeamic cancer cells) (Meyer et al 2012).
[0003] The m6A modifications and its erasers and writers such as FTO, ALKBH5, methyltransferese like 3 (METTL3) and METTL14 are associated with major diseases such as solid organ cancers, leukaemia, type 2 diabetes, neuropsychiatric behavioural and depressive disorders (Chandola et al 2015; Koranda et al 2018).
[0004] The RNA methyltransferase, METTL3, is the major, but not the sole enzyme, that catalyses m6A modification of RNA. It exists as a hetero-trimeric complex with METTL14 (Liu et al 2014, Wang et al 2016) and Wilm’s Tumour Associated Protein (WTAP) (Ping et al 2014). Catalytic activity resides in METTL3, which transfers a methyl group from the co-factor S- adenosyl methionine to the substrate RNA and METTL14 facilitates substrate RNA binding. WTAP localises the complex in specific nuclear regions and also localises RNA substrates to the complex (Wang X et al 2016).
[0005] METTL3 has been reported to play a role in many aspects of the development of cancer (Fry et al 2018). Genetic knockdown of METTL3 in lung cancer cell lines (A549, H1299 and H1792) and HeLa cells leads to decreased growth, survival and invasion of human lung cancer cells (Lin S et al 2016). METTL3 is significantly up-regulated in human bladder cancer (Cheng et al 2019). Knockdown of METTL3 drastically reduced bladder cancer cell proliferation, invasion, and survival in vitro and tumorigenicity in vivo. AF4 / FMR2 familymember 4 (AFF4), two key regulators of NF-KB pathway (IKBKB and RELA) and MYC were further identified as direct targets of METTL3-mediated m6A modification. In renal carcinoma cell lines (CAK-1 , CAK-2 and ACHN), genetic knockdown reduced cell proliferation via the phosphatidinylinositol 3-kinase (PI3K) / AKT / mammalian target of rapamycin (mTOR) signalling pathway (Li X et al 2017).
[0006] Recently Barbieri et al (2017), defined a set of RNA-modifying enzymes that are necessary for acute myeloid leukaemia (AML) and identified a key leukaemic pathway for the METTL3 RNA methyltransferase. In this pathway, METTL3 is stably recruited by the CCAAT- box binding transcription factor CEBPZ to promoters of a specific set of active genes, resulting in m6A methylation of the respective mRNAs and increased translation. One important target is SP1, an oncogene in several cancers, which regulates c-MYC expression. Consistent with these findings, it has been reported that METTL3 can methylate its targets co-transcriptionally.
[0007] The pathway described by Barbieri et al., is critical for AML leukaemia, as three of its components are required for AML cell growth: (i) the m6A RNA methyltransferase METTL3; (ii) the transcription factor CEBPZ, which targets this enzyme to promoters; and (iii) SP1 , whose translation is dependent upon the m6A modification by METTL3. Together, the observations of Barbieri et al define METTL3 enzymatic activity as a new candidate target for the treatment of AML.
[0008] In separate, independent studies it has been reported that METTL3 plays an essential role in controlling myeloid differentiation of mammalian normal hematopoietic and leukemic cells (Vu et al 2017). Forced expression of wild type METTL3, but not a mutant METTL3 (with defect in catalytic activity), significantly promotes cell proliferation and inhibits cell differentiation of human cord blood-derived CD34+ haematopoietic stem / progenitor cells (HSPCs). Genetic knockdown of METTL3 has the opposite effects. METTL3 is highly expressed in AML compared to normal HSPCs or other types of cancers. Knockdown of METTL3 in human AML cell lines significantly induces cell differentiation and apoptosis and inhibits leukaemia progression in mice xeno-transplanted with MOLM-13 AML cells. The biological function of METTL3 is likely attributed to the promotion of translation of its mRNA targets such as MYC, BCL-2, and PTEN in an m6A-dependent manner.
[0009] Recently, METTL3 mediated m6A modification has been demonstrated to play an important role in T cell homeostasis and signal dependent induction of mRNA degradation in CD4 positive T cell lineages (Li et al 2017). Deletion of METTL3 in mouse T cells disrupts T cell homeostasis and differentiation. In a lymphopenic mouse adoptive transfer model, naive / Wetf / 3-deficient T cells failed to undergo homeostatic expansion and remained in the naive state for up to 12 weeks, thereby preventing colitis. Consistent with these observations, the mRNAs of SOCS family genes encoding the STAT signalling inhibitory proteins SOCS1 , SOCS3 and CISH were marked by m6A, exhibited slower mRNA decay and showed increasedmRNAs and levels of protein expression in / Wetf / 3-deficient naive T cells. This increased SOCS family activity consequently inhibited IL-7-mediated STAT5 activation and T cell homeostatic proliferation and differentiation. Thus METTL3 mediated m6A methylation has important roles for inducible degradation of Socs mRNAs in response to IL-7 signalling in order to reprogram naive T cells for proliferation and differentiation, pointing to a role in auto-immunity.
[0010] Recent studies have revealed that depletion of METTL3 leads to alterations in the propagation of diverse viruses (Winkler et al). Following viral infection or stimulation of cells with an inactivated virus, deletion of the m6A ‘writer’ METTL3 led to an increase in the induction of interferon-stimulated genes. Consequently, propagation of different viruses was suppressed in an interferon-signaling-dependent manner. Significantly, the mRNA of IFNB, was m6A modified and was stabilized following repression of METTL3. m6A serves as a negative regulator of interferon response by dictating the fast turnover of interferon mRNAs and consequently facilitating viral propagation.
[0011] METTL3 activity and deposition of the m6A modification have been linked to a number of brain cancers including Glioblastoma Multiforme (GBM) where it has been shown that silencing of METTL3 expression inhibits the transformation of astrocytes and also the growth of GBM cells in an orthotopic brain tumour model (Visvanathan et al, 2018). METTL3 activity has also been linked to chemoresistance in GBM where METTL3 was shown to promote temozolomide resistance by increasing expression of DNA damage repair genes such as MGMT which mediates 06-meG repair (Jia Shi et al, 2021) providing an additional therapeutic context in which METTL3 inhibition to overcome chemoresistance.
[0012] METTL3 inhibitors could therefore be of utility in a range of brain neoplasms including but not limited to Glioma, Glioblastoma Multiforme, Astrocytomas, Oligodendrogliomas, Ependyomas, Meningiomas or other brain neoplasms as classified by the WHO ICD-11 classification.
[0013] In addition, treatment with a METTL3 inhibitor may also prove to be of utility in treating secondary tumours of cancer that have metastasized to the brain.
[0014] Inhibition of METTL3 may also be of utility in diseases of the central nervous system (CNS).
[0015] METTL3 inhibitors are potentially useful therapeutics agents for treating diseases related to the re-activation of the silenced X-chromosome (Patil et al, Nature, 2016 Sep 15;537(7620):369-373). As such they are potentially effective therapeutic agents for the treatment of RETT syndrome.
[0016] METTL3 inhibitors have shown the ability to re-activate expression of genes from the silenced X-chromosome (WO2022086935A1 , which is incorporated herein by reference)which suggests that inhibition of METTL3 activity could be useful for a wide range of diseases where X-chromosome inactivation is involved.
[0017] WO2021111124 describes METTL3 inhibitors having the following structural formulas:
[0018] METTL3 activity and m6A modification of RNA has also been reported to be involved in the regulation of Tau oligomers which are thought to play a role in tauopathy diseases including Alzheimer’s (Lulu Jiang et al, 2021) and furthermore levels of m6A are elevated in the brains of Alzheimer’s patients suggesting that inhibition of METTL3 activity could be a useful therapeutic approach in Alzheimer’s. There are a range of tauopathy related diseases (see Zhang et al, 2022 for review) and inhibition of METTL3 activity may therefore have therapeutic potential in treating a range of tauopathies.
[0019] METTL3-dependent m6A on HBV and HCV viral genome regulates recognition of the viral genome by RIG-I RNA sensor. Depletion of METTL3 enhances viral dsRNA recognition and induces an anti-viral immune response (Kim et al.).
[0020] Therefore METTL3 inhibitors may provide a novel therapeutic approach to a range of infectious and inflammatory diseases. In particular, they provide a potential treatment for viral diseases (e.g. DNA and RNA viruses).
[0021] Furthermore, METTL3-dependent m6A on endogenous mRNAs regulates recognition of immunogenic RNA (such as, but not limited to, dsRNA) by MAVS-dependent RNA sensors. Depletion of METTL3 enhances endogenous dsRNA recognition and induces an auto-immune response (Gao et al.). This implies that an anti-tumour immune response might be enhanced by METTL3 inhibition.
[0022] Thus, METTL3 inhibitors may also provide a novel therapeutic approach to enhance an anti-tumour immune response.
[0023] Multidrug resistance in cancer chemotherapy remains a significant barrier to successful treatment and increased expression of human ABC efflux transporters, such asABCB1 (MDR1-P-gp), is a recognized mechanism by which cancer cells can develop resistance to treatment (Szakacs et al.). There is a need to provide METTL3 inhibitors which exhibit potent cellular antiproliferative effects, increased cellular permeability and reduced human P-glycoprotein (P-gp) efflux liability.
[0024] METTL3 has been demonstrated to be related to the pathogenesis of Amyotrophic Lateral Sclerosis (ALS), a constellation of neurodegenerative conditions that includes, but is not limited to, Lou Gehrig’s disease, frontotemporal dementia and Motor Neuron Disease. Disrupting RNA metabolism by removing METTL3, and by extension METTL3-dependent m6A, led to amelioration of the functional deficits in an ALS model (McMillan et al). This same report (McMillan et al) also measured an increase in m6A in ALS patient spinal cord tissue, suggesting that you could use m6A to diagnostically understand the clinical stages of ALS. Similar results have been obtained using other genetic models of ALS (Timoteo et al.) suggesting that a therapeutic utility of METTL3 inhibition could apply generally to ALS, and also to other conditions that are associated with aberrant formation of stress granules (Ries et al., Fu and Zhuang).
[0025] METTL3 has been linked to the pathogenesis of Alzheimer’s Disease, a disease characterised at the molecular level by the aggregation of amyloid and tau. A link to tau pathology has been noted above. This link to tauopathy could be linked to other named tauopathies including, but not limited to, Pick’s Disease, Frontotemporal Dementia, Corticobasal Degeneration, Progressive Supranuclear Palsy, Primary Age-related Tauopathy (PART) and Agyrophilic Grain Disease (AGD) (Oakley et el.) - METTL3 inhibition could be helpful in all of these cases.
[0026] METTL3 has been linked to Huntington’s Disease (HD), which is caused by the expansion of the CAG repeat in the huntingtin (HTT) gene. CAG expansion is thought to impair the interaction between HTT and RNA-binding proteins and contribute to pathogenesis of HD (Schilling et al.). Aberrant HTT transcripts were found to be m6A hypermethylated in the striatum of an HD mouse model, HD cell lines and human HD samples. METTL3 has been specifically implicated in HD as pharmacological inhibition of METTL3 reduced the m6A methylation and expression of aberrant HTT transcripts, but not full length HTT (Pupak et al.).
[0027] METTL3 has been linked to the APOE4 variant of apolipoprotein E, which is the strongest genetic risk factor for AD (Yamazaki et al.) and leads to vascular dysfunction, neurodegeneration and dementia (Montagne et al.). METTL3 expression was demonstrated to be higher in APOE4-positive AD brain samples compared to APOE4-negative samples (Du et al.). METTL3 inhibition elicits alterations in viral mimicry pathways and innate immune signalling (Guirguis et al.), and there is emerging evidence that links sporadic AD to viral infection, and subsequent dysfunction in host antiviral pathways (De Vlieger et al.). Byinference, this links inhibition of METTL3 to potential therapeutic utility in all forms of Alzheimer’s Disease, whether sporadic or familial in aetioolgy.
[0028] Cerebral vascular dysfunction contributes to early cognitive impairment and AD (Wardlaw et al. and Montagne et al.). M6A methylation and METTL3 have both been linked to vascular diseases. Expression of the m6A reader protein, HNRNPA2B1 , was shown to be elevated in AD and vascular dementia brain samples (Du et al.). Expression of METTL3 and ferroptosis markers were increased in vitro and in mouse models of intracranial hemorrhage, whereas silencing of METTL3 suppressed ferroptosis in vitro through downregulation of m6A, as well as led to reduced lesion size and neurological deficit following cerebral ischemic stroke in vivo (Zhang et al. and Wu et al.). These findings suggest that METTL3 inhibition could have therapeutic utility in all classes of dementia, including, but not limited to, vascular dementia and all forms of Alzheimer’s Disease.
[0029] Decreased m6A levels and increased FTO expression in the striatum are linked to dopaminergic neuron degeneration in Parkinson's Disease (PD), highlighting the role of m6A methylation, and thus METTL3, in PD pathogenesis (Chen et al., 2019). These findings suggest that METTL3 inhibition could have utility in this context, especially if the reduced m6A is part of a natural mechanism to reduce the severity of the symptoms of PD.
[0030] The deletion of METTL14 and overexpression of FTO in multiple sclerosis contribute to impaired oligodendrocyte maturation and myelination, emphasizing the role of m6A methylation in Multiple Sclerosis pathology, and indicating that targeting METTL3 activity might impact treatment outcomes. (Xu et al., 2020).
[0031] Altered m6A methylation by FTO and ALKBH5 is linked to epilepsy, with treatments targeting these pathways showing potential antiepileptic effects, thereby implicating METTL3 as a potential target for therapeutic intervention. (Wu et al., 2019).
[0032] The present invention was devised with the foregoing in mind.References• Barbieri I, Tzelepis K, Pandolfini L, Shi J, Millan-Zambrano G, Robson SC, Aspris D, Migliori V, Bannister AJ, Han N, De Braekeleer E, Ponstingl H, Hendrick A, Vakoc CR, Vassiliou GS, Kouzarides T. Nature. 2017 Dec 7;552(7683):126-131.• Chandola U, Das R, Panda B. Brief Funct Genomics. 2015 May; 14(3): 169-79.• Cheng M, Gao Q, Wu M, Liang Y, Zhu F, Zhang Y, Zhang X, Li Y, Sheng L, Zhang H, Xiong Q, Yuan Q, Oncogene (2019; e-publication ahead of print).Fry NJ, Law BA, llkayeva OR, Carraway KR, Holley CL, Mansfield KD. Oncotarget.2018 Jul 27;9(58):31231-31243.• Koranda JL, Dore L, Shi H, Patel MJ, Vaasjo LO, Rao MN, Chen K, Lu Z, Yi Y, Chi W, He C, Zhuang X. Neuron. 2018 July 25; 99(2): 283-292.• Li HB, Tong J, Zhu S, Batista PJ, Duffy EE, Zhao J, Bailis W, Cao G, Kroehling L, Chen Y, Wang G, Broughton JP, Chen YG, Kluger Y, Simon MD, Chang HY, Yin Z, Flavell RA. 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[0033] In one aspect, the present invention provides a compound as defined herein, or a pharmaceutically acceptable salt thereof.
[0034] In another aspect, the present invention provides a pharmaceutical composition as defined herein which comprises a compound as defined herein, or a pharmaceutically acceptable salt thereof, and one or more pharmaceutically acceptable excipients.
[0035] In another aspect, the present invention provides a compound as defined herein, or a pharmaceutically acceptable salt thereof, or a pharmaceutical composition as defined herein, for use in therapy.
[0036] In another aspect, the present invention provides a compound as defined herein, or a pharmaceutically acceptable salt thereof, or a pharmaceutical composition as defined herein, for use in the treatment of a proliferative condition.
[0037] In another aspect, the present invention provides a compound as defined herein, or a pharmaceutically acceptable salt thereof, or a pharmaceutical composition as defined herein, for use in the treatment of cancer. In a particular embodiment, the cancer is a human cancer.
[0038] In particular embodiment, the cancer is a cancer of the CNS. Cancers of the CNS include but are not limited to Glioma, Glioblastoma Multiforme (GBM), Astrocytomas, Oligodendrogliomas, Ependyomas, Meningiomas, other brain neoplasms or secondary tumours that have metastasized to the brain.
[0039] In another particular embodiment, the cancer is leukaemia (e.g. acute myeloid leukaemia (AML), acute lymphocytic leukaemia (ALL), chronic myeloid leukaemia or chronic lymphocytic leukaemia (CLL)).
[0040] In another aspect, the present invention provides a compound as defined herein, or a pharmaceutically acceptable salt thereof, or a pharmaceutical composition as defined herein, for use in the inhibition of METTL3 activity.
[0041] In another aspect, the present invention provides a compound as defined herein, or a pharmaceutically acceptable salt thereof, or a pharmaceutical composition as defined herein, for use in the treatment of disorder of the CNS.
[0042] The disorder of the CNS may be a neurodegenerative disorder, for example a tauopathy, a motor neuron disease (including ALS), a repeat expansion disease (such as Huntington’s Disease), dementia (including frontotemporal dementia, vascular dementia and dementia caused by a tauopathy, such as Alzheimer’s Disease), Parkinson’s Disease or multiple sclerosis.
[0043] The disorder of the CNS may be epilepsy.
[0044] Tauopathies are progressive neurodegenerative disorders that are pathologically defined by tau-positive deposits in the brain. Tauopathies include but are not limited to Alzheimer's disease, progressive supranuclear palsy, corticobasal syndrome, frontotemporal dementias, Pick’s disease, globular glial tauopathy, argyrophilic grain disease, aging-related tau astrogliopathy, primary age-related tauopathy and chronic traumatic encephalopathy.
[0045] Motor neuron diseases (MN Ds) are a group of progressive neurological disorders that destroy motor neurons, the cells that control skeletal muscle activity such as walking, breathing, speaking, and swallowing. This group includes diseases such as amyotrophic lateral sclerosis, progressive bulbar palsy, primary lateral sclerosis, progressive muscular atrophy, spinal muscular atrophy, Kennedy's disease, and post-polio syndrome. MNDs are also linked to frontotemporal dementia. The term “motor neuron disease” is often used interchangeably with amyotrophic lateral sclerosis because ALS is the most common adultonset presentation of this disease.
[0046] Suitably, the motor neuron disease is selected from amyotrophic lateral sclerosis, progressive bulbar palsy, primary lateral sclerosis, progressive muscular atrophy, spinal muscular atrophy, Kennedy's disease, and post-polio syndrome. In the context of the present invention, the treatment of a motor neuron disease also encompasses the treatment of fro ntotem peral dementia linked to motor neuron disease.
[0047] In another aspect, the present invention provides a compound as defined herein, or a pharmaceutically acceptable salt thereof, or a pharmaceutical composition as defined herein, for use in the treatment of a motor neuron disease (including ALS).
[0048] In another aspect, the present invention provides a compound as defined herein, or a pharmaceutically acceptable salt thereof, or a pharmaceutical composition as defined herein, for use in the treatment of a repeat expansion disease. Suitably, the repeat expansion disease is Huntington’s Disease.
[0049] In another aspect, the present invention provides a compound as defined herein, or a pharmaceutically acceptable salt thereof, or a pharmaceutical composition as defined herein, for use in the treatment of dementia. Suitably, the dementia is selected from frontotemporal dementia (including MND related frontotemporal dementia), vascular dementia and dementia caused by a tauopathy, such as Alzheimer’s Disease,
[0050] In another aspect, the present invention provides a compound as defined herein, or a pharmaceutically acceptable salt thereof, or a pharmaceutical composition as defined herein, for use in the treatment of Parkinson’s Disease
[0051] In another aspect, the present invention provides a compound as defined herein, or a pharmaceutically acceptable salt thereof, or a pharmaceutical composition as defined herein, for use in the treatment of multiple sclerosis.
[0052] In another aspect, the present invention provides a compound as defined herein, or a pharmaceutically acceptable salt thereof, or a pharmaceutical composition as defined herein, for use in the treatment of epilepsy.
[0053] In another aspect, the present invention provides a compound as defined herein, or a pharmaceutically acceptable salt thereof, or a pharmaceutical composition as defined herein, for use in the treatment of a disease related to the inactivation of the X-chromosome. Suitably, the disease related to the inactivation of the X-chromosome is selected from Adrenal hypoplasia; siderius X-linked mental retardation syndrome; Agammaglobulinaemia, Bruton type; Choroidoretinal degeneration; Choroidaemia; Albinism, ocular; Dent's disease 2; fragile X syndrome; Rett / Epileptic encephalopathy, early infantile, 2 (CDKL5 deficiency disorder); Albinism-deafness syndrome; paroxysmal nocturnal hemoglobinuria; Aldrich syndrome; Alport syndrome; Anaemia, hereditary hypochromic; Anemia, sideroblastic, with ataxia; Fabry disease; Spinal muscular atrophy 2; Cataract, congenital; Charcot-Marie-Tooth, peroneal; Spastic paraplegia; Colour blindness; Diabetes insipidus, nephrogenic; DDX3X syndrome; Dyskeratosis congenita; Ectodermal dysplasia, anhidrotic; Faciogenital dysplasia (Aarskog syndrome); Glucose-6-phosphate dehydrogenase deficiency; Glycogen storage disease type VIII; Gonadal dysgenesis (XY female type); Granul omatous disease (chronic); HaemophiliaA; Haemophilia B; Hydrocephalus (aqueduct stenosis); Hypophosphataemic rickets; Lesch- Nyhan syndrome (hypoxanthine-guanine-phosphoribosyl transferase deficiency); Incontinentia pigmenti; Kallmann syndrome; Keratosis follicularis spinulosa; Lowe (oculocerebrorenal) syndrome; Menkes syndrome; Renpenning Syndrome; Mental retardation, with or without fragile site (numerous specific types); Coffin-Lowry syndrome; Microphthalmia with multiple anomalies (Lenz syndrome); Muscular dystrophy (Becker, Duchenne and Emery-Dreifuss types); Myotubular myopathy; Night blindness, congenital stationary; Norrie's disease (pseudoglioma); Nystagmus, oculomotor or 'jerky'; Orofaciodigital syndrome (type I); Ornithine transcarbamylase deficiency (type I hyperammonaemia); Phosphoglycerate kinase deficiency; Phosphoribosylpyrophosphate synthetase deficiency; Retinitis pigmentosa; Retinoschisis; Rett syndrome; Muscular atrophy; Dihydrotestosterone receptor deficiency; Spinal muscular atrophy; Spondyloepiphyseal dysplasia tarda; Thrombocytopenia, hereditary; Thyroxine-binding globulin, absence; or McLeod syndrome. More suitably, the disease related to the inactivation of the X-chromosome is RETT syndrome.
[0054] In another aspect, the present invention provides a compound as defined herein, or a pharmaceutically acceptable salt thereof, or a pharmaceutical composition as defined herein, for use in reactivating expression of a silenced X-chromosome.
[0055] In another aspect, the present invention provides a compound as defined herein, or a pharmaceutically acceptable salt thereof, or a pharmaceutical composition as defined herein, for use in the treatment of RETT syndrome.
[0056] In another aspect, the present invention provides a compound as defined herein, or a pharmaceutically acceptable salt thereof, or a pharmaceutical composition as defined herein, for use in promoting an immune response (e.g. anti-viral or anti-tumour immune response).
[0057] In another aspect, the present invention provides a compound as defined herein, or a pharmaceutically acceptable salt thereof, or a pharmaceutical composition as defined herein, for use in increasing an innate immune response in a subject.
[0058] In another aspect, the present invention provides a compound as defined herein, or a pharmaceutically acceptable salt thereof, or a pharmaceutical composition as defined herein, for use in increasing or enhancing an anti-tumour immune response during immune-oncology therapy.
[0059] In another aspect, the present invention provides a compound as defined herein, or a pharmaceutically acceptable salt thereof, or a pharmaceutical composition as defined herein, for use in the treatment of an autoimmune disease.
[0060] In another aspect, the present invention provides a compound as defined herein, or a pharmaceutically acceptable salt thereof, or a pharmaceutical composition as defined herein, for use in the treatment of a neurological disease.
[0061] In another aspect, the present invention provides a compound as defined herein, or a pharmaceutically acceptable salt thereof, or a pharmaceutical composition as defined herein, for use in the treatment of an infectious disease.
[0062] In another aspect, the present invention provides a compound as defined herein, or a pharmaceutically acceptable salt thereof, or a pharmaceutical composition as defined herein, for use in the treatment of a viral infection. Suitably, the viral infection is a RNA viral infection. Suitably, the viral infection is human papillomavirus (HPV) or hepatitis.
[0063] In another aspect, the present invention provides a compound as defined herein, or a pharmaceutically acceptable salt thereof, or a pharmaceutical composition as defined herein, for use in the treatment of an inflammatory disease.
[0064] In another aspect, the present invention provides the use of a compound as defined herein, or a pharmaceutically acceptable salt thereof, in the manufacture of a medicament for use in the treatment of a proliferative condition.
[0065] In another aspect, the present invention provides the use of a compound as defined herein, or a pharmaceutically acceptable salt thereof, in the manufacture of a medicament for use in the treatment of cancer. In a particular embodiment, the medicament is for use in the treatment of human cancers. The cancer may be any of the cancers described herein.
[0066] In a particular embodiment, the medicament is for use in the treatment of a cancer of the CNS. Cancers of the CNS include but are not limited to Glioma, Glioblastoma Multiforme (GBM), Astrocytomas, Oligodendrogliomas, Ependyomas, Meningiomas, other brain neoplasms or secondary tumours that have metastasized to the brain.
[0067] In a particular embodiment, the medicament is for use in the treatment of a cancer of the CNS. leukaemia, (e.g. acute myeloid leukaemia (AML), acute lymphocytic leukaemia (ALL), chronic myeloid leukaemia, chronic lymphocytic leukaemia (CLL))
[0068] In another aspect, the present invention provides the use of a compound as defined herein, or a pharmaceutically acceptable salt thereof, in the manufacture of a medicament for the inhibition of METTL3 activity.
[0069] In another aspect, the present invention provides the use of a compound as defined herein, or a pharmaceutically acceptable salt thereof, in the manufacture of a medicament for use in the treatment of a neurodegenerative disorder, for example a tauopathy. The tauopathy may be selected from Alzheimer's disease, progressive supranuclear palsy, corticobasalsyndrome (also known as corticobasal degeneration), frontotemporal dementias, Pick’s disease, globular glial tauopathy, argyrophilic grain disease, aging-related tau astrogliopathy, primary age-related tauopathy (PART), Progressive supranuclear palsy, and chronic traumatic encephalopathy.
[0070] In another aspect, the present invention provides the use of a compound as defined herein, or a pharmaceutically acceptable salt thereof, in the manufacture of a medicament for use in the treatment of a motor neuron disease. Suitably, the motor neuron disease is selected from amyotrophic lateral sclerosis, progressive bulbar palsy, primary lateral sclerosis, progressive muscular atrophy, spinal muscular atrophy, Kennedy's disease, and post-polio syndrome. More suitably, the motor neuron disease is ALS.
[0071] In another aspect, the present invention provides the use of a compound as defined herein, or a pharmaceutically acceptable salt thereof, in the manufacture of a medicament for use in the treatment of a repeat expansion disease (such as Huntington’s Disease).
[0072] In another aspect, the present invention provides a compound as defined herein, or a pharmaceutically acceptable salt thereof, or a pharmaceutical composition as defined herein, for use in the treatment of dementia (including frontotemporal dementia, vascular dementia and dementia caused by a tauopathy, such as Alzheimer’s Disease),
[0073] In another aspect, the present invention provides a compound as defined herein, or a pharmaceutically acceptable salt thereof, or a pharmaceutical composition as defined herein, for use in the treatment of Alzheimer’s Disease.
[0074] In another aspect, the present invention provides a compound as defined herein, or a pharmaceutically acceptable salt thereof, or a pharmaceutical composition as defined herein, for use in the treatment of Parkinson’s Disease.
[0075] In another aspect, the present invention provides a compound as defined herein, or a pharmaceutically acceptable salt thereof, or a pharmaceutical composition as defined herein, for use in the treatment of multiple sclerosis.
[0076] In another aspect, the present invention provides a compound as defined herein, or a pharmaceutically acceptable salt thereof, or a pharmaceutical composition as defined herein, for use in the treatment of epilepsy.
[0077] In another aspect, the present invention provides the use of a compound as defined herein, or a pharmaceutically acceptable salt thereof, in the manufacture of a medicament for use in the treatment of a disease related to the inactivation of the X-chromosome.
[0078] In another aspect, the present invention provides the use of a compound as defined herein, or a pharmaceutically acceptable salt thereof, in the manufacture of a medicament for use in reactivating expression of a silenced X-chromosome.
[0079] In another aspect, the present invention provides the use of a compound as defined herein, or a pharmaceutically acceptable salt thereof, in the manufacture of a medicament for use in the treatment of RETT syndrome.
[0080] In another aspect, the present invention provides the use of a compound as defined herein, or a pharmaceutically acceptable salt thereof, in the manufacture of a medicament for promoting an immune response (e.g. anti-viral or anti-tumour immune response).
[0081] In another aspect, the present invention provides the use of a compound as defined herein, or a pharmaceutically acceptable salt thereof, in the manufacture of a medicament for for use in increasing an innate immune response in a subject.
[0082] In another aspect, the present invention provides the use of a compound as defined herein, or a pharmaceutically acceptable salt thereof, in the manufacture of a medicament for use in increasing or enhancing an anti-tumour immune response during immune-oncology therapy.
[0083] In another aspect, the present invention provides the use of a compound as defined herein, or a pharmaceutically acceptable salt thereof, in the manufacture of a medicament for use in the treatment of an autoimmune disease.
[0084] In another aspect, the present invention provides the use of a compound as defined herein, or a pharmaceutically acceptable salt thereof, in the manufacture of a medicament for use in the treatment of a disorder of the central nervous system.
[0085] In another aspect, the present invention provides the use of a compound as defined herein, or a pharmaceutically acceptable salt thereof, in the manufacture of a medicament for use in the treatment of a neurological disease.
[0086] In another aspect, the present invention provides the use of a compound as defined herein, or a pharmaceutically acceptable salt thereof, in the manufacture of a medicament for use in the treatment of an infectious disease.
[0087] In another aspect, the present invention provides the use of a compound as defined herein, or a pharmaceutically acceptable salt thereof, in the manufacture of a medicament for use in the treatment of a viral infection. Suitably, the viral infection is a RNA viral infection. Suitably, the viral infection is human papillomavirus (HPV) or hepatitis.
[0088] In another aspect, the present invention provides the use of a compound as defined herein, or a pharmaceutically acceptable salt thereof, in the manufacture of a medicament for use in the treatment of an inflammatory disease.
[0089] In another aspect, the present invention provides a method of inhibiting METTL3 activity in vitro or in vivo, said method comprising contacting a cell with an effective amount of a compound as defined herein, or a pharmaceutically acceptable salt thereof, or a pharmaceutical composition as defined herein.
[0090] In another aspect, the present invention provides a method of inhibiting cell proliferation in vitro or in vivo, said method comprising contacting a cell with an effective amount of a compound as defined herein, or a pharmaceutically acceptable salt, or a pharmaceutical composition as defined herein.
[0091] In another aspect, the present invention provides a method of inhibiting metastasis in vitro or in vivo, said method comprising contacting a cell with an effective amount of a compound as defined herein, or a pharmaceutically acceptable salt, or a pharmaceutical composition as defined herein.
[0092] In another aspect, the present invention provides a method of promoting an immune response (e.g. anti-viral or anti-tumour immune response) in a subject in need thereof, said method comprising administering to the subject a therapeutically effective amount of a compound as defined herein, or a pharmaceutically acceptable salt, or a pharmaceutical composition as defined herein.
[0093] In another aspect, the present invention provides a method of increasing an innate immune response in a subject in need thereof, said method comprising administering to the subject a therapeutically effective amount of a compound as defined herein, or a pharmaceutically acceptable salt, or a pharmaceutical composition as defined herein.
[0094] In another aspect, the present invention provides a method of increasing or enhancing an anti-tumour immune response during immune-oncology therapy, said method comprising administering to a subject in need thereof a therapeutically effective amount of a compound as defined herein, or a pharmaceutically acceptable salt, or a pharmaceutical composition as defined herein.
[0095] In another aspect, the present invention provides a method of treating a proliferative disorder, said method comprising administering to a subject in need thereof a therapeutically effective amount of a compound as defined herein, or a pharmaceutically acceptable salt, or a pharmaceutical composition as defined herein.
[0096] In another aspect, the present invention provides a method of treating cancer, said method comprising administering to a subject in need thereof a therapeutically effective amount of a compound as defined herein, or a pharmaceutically acceptable salt, or a pharmaceutical composition as defined herein. The cancer may be a human cancer. The cancer may be acancer of the CNS. Cancers of the CNS include but are not limited to Glioma, Glioblastoma Multiforme (GBM), Astrocytomas, Oligodendrogliomas, Ependyomas, Meningiomas, other brain neoplasms or secondary tumours that have metastasized to the brain.
[0097] In another aspect, the present invention provides a method of treating an autoimmune disease, said method comprising administering to a subject in need thereof a therapeutically effective amount of a compound as defined herein, or a pharmaceutically acceptable salt, or a pharmaceutical composition as defined herein.
[0098] In another aspect, the present invention provides a method of treating a disorder of the central nervous system, said method comprising administering to a subject in need thereof a therapeutically effective amount of a compound as defined herein, or a pharmaceutically acceptable salt, or a pharmaceutical composition as defined herein.
[0099] In another aspect, the present invention provides a method of treating a neurological disease, said method comprising administering to a subject in need thereof a therapeutically effective amount of a compound as defined herein, or a pharmaceutically acceptable salt, or a pharmaceutical composition as defined herein.
[0100] In another aspect, the present invention provides a method of treating an infectious disease, said method comprising administering to a subject in need thereof a therapeutically effective amount of a compound as defined herein, or a pharmaceutically acceptable salt, or a pharmaceutical composition as defined herein.
[0101] In another aspect, the present invention provides a method of treating a viral infection, said method comprising administering to a subject in need thereof a therapeutically effective amount of a compound as defined herein, or a pharmaceutically acceptable salt, or a pharmaceutical composition as defined herein. Suitably, the viral infection is a RNA viral infection. Suitably, the viral infection is human papillomavirus (HPV) or hepatitis.
[0102] In another aspect, the present invention provides a method of treating an inflammatory disease, said method comprising administering to a subject in need thereof a therapeutically effective amount of a compound as defined herein, or a pharmaceutically acceptable salt, or a pharmaceutical composition as defined herein.
[0103] In another aspect, the present invention provides a method of treating a neurodegenerative disorder, said method comprising administering to a subject in need thereof a therapeutically effective amount of a compound as defined herein, or a pharmaceutically acceptable salt, or a pharmaceutical composition as defined herein.
[0104] The neurodegenerative disorder may be selected from a tauopathy, such as Alzheimer's disease, progressive supranuclear palsy, corticobasal syndrome, frontotemporaldementias, Pick’s disease, globular glial tauopathy, argyrophilic grain disease, aging-related tau astrogliopathy, primary age-related tauopathy (PART), Progressive supranuclear palsy, and chronic traumatic encephalopathy; a motor neuron disease (including ALS); a repeat expansion disease (such as Huntington’s Disease), dementia (including frontotemporal dementia, vascular dementia and dementia caused by a tauopathy, such as Alzheimer’s Disease); multiple sclerosis; or Parkinson’s Disease.
[0105] Suitably, the neurodegenerative disorder may be a tauopathy, for example Alzheimer's disease, progressive supranuclear palsy, corticobasal syndrome, frontotemporal dementias or chronic traumatic encephalopathy.
[0106] In another aspect, the present invention provides a method for treating a motor neuron disease (including ALS), said method comprising administering to a subject in need thereof a therapeutically effective amount of a compound, or a pharmaceutically acceptable salt thereof, or a pharmaceutical composition as defined herein. Suitably, the motor neuron disease is selected from amyotrophic lateral sclerosis, progressive bulbar palsy, primary lateral sclerosis, progressive muscular atrophy, spinal muscular atrophy, Kennedy's disease, and post-polio syndrome. More suitably, the motor neuron disease is ALS.In another aspect, the present invention provides a method for treating a repeat expansion disease (such as Huntington’s Disease), said method comprising administering to a subject in need thereof a therapeutically effective amount of a compound, or a pharmaceutically acceptable salt thereof, or a pharmaceutical composition as defined herein.
[0107] In another aspect, the present invention provides a method for treating dementia (including frontotemporal dementia, vascular dementia and dementia caused by a tauopathy, such as Alzheimer’s Disease), said method comprising administering to a subject in need thereof a therapeutically effective amount of a compound, or a pharmaceutically acceptable salt thereof, or a pharmaceutical composition as defined herein.
[0108] In another aspect, the present invention provides a method for treating Alzheimer’s Disease, said method comprising administering to a subject in need thereof a therapeutically effective amount of a compound, or a pharmaceutically acceptable salt thereof, or a pharmaceutical composition as defined herein.
[0109] In another aspect, the present invention provides a method for treating Parkinson’s Disease, said method comprising administering to a subject in need thereof a therapeutically effective amount of a compound, or a pharmaceutically acceptable salt thereof, or a pharmaceutical composition as defined herein.
[0110] In another aspect, the present invention provides a method for treating multiple sclerosis, said method comprising administering to a subject in need thereof a therapeuticallyeffective amount of a compound, or a pharmaceutically acceptable salt thereof, or a pharmaceutical composition as defined herein.
[0111] In another aspect, the present invention provides a method for treating epilepsy said method comprising administering to a subject in need thereof a therapeutically effective amount of a compound, or a pharmaceutically acceptable salt thereof, or a pharmaceutical composition as defined herein.
[0112] In another aspect, the present invention provides a method for treating a disease related to the inactivation of the X-chromosome, said method comprising administering to a subject in need thereof a therapeutically effective amount of a compound, or a pharmaceutically acceptable salt thereof, or a pharmaceutical composition as defined herein.
[0113] In another aspect, the present invention provides a method for reactivating expression of a silenced X-chromosome said method comprising administering to a subject in need thereof a therapeutically effective amount of a compound, or a pharmaceutically acceptable salt thereof, or a pharmaceutical composition as defined herein.
[0114] In another aspect, the present invention provides a method of treating RETT syndrome, said method comprising administering to a subject in need thereof a therapeutically effective amount of a compound, or a pharmaceutically acceptable salt thereof, or a pharmaceutical composition as defined herein.
[0115] In one aspect, the present invention provides a combination comprising a compound as defined herein, or a pharmaceutically acceptable salt thereof, with one or more additional therapeutic agents.
[0116] The present invention further provides a method of synthesising a compound, or a pharmaceutically acceptable salt, as defined herein.
[0117] In another aspect, the present invention provides a compound as defined herein, or a pharmaceutically acceptable salt, obtainable by, or obtained by, or directly obtained by a method of synthesis as defined herein.
[0118] In another aspect, the present invention provides novel intermediates as defined herein which are suitable for use in any one of the synthetic methods as set out herein.
[0119] Preferred, suitable, and optional features of any one particular aspect of the present invention are also preferred, suitable, and optional features of any other aspect.DETAILED DESCRIPTION OF THE INVENTIONDefinitions
[0120] Unless otherwise stated, the following terms used in the specification and claims have the following meanings set out below.
[0121] It is to be appreciated that references to “treating” or “treatment” include prophylaxis as well as the alleviation of established symptoms of a condition. “Treating” or “treatment” of a state, disorder or condition therefore includes: (1) preventing or delaying the appearance of clinical symptoms of the state, disorder or condition developing in a human that may be afflicted with or predisposed to the state, disorder or condition but does not yet experience or display clinical or subclinical symptoms of the state, disorder or condition, (2) inhibiting the state, disorder or condition, i.e. , arresting, reducing or delaying the development of the disease or a relapse thereof (in case of maintenance treatment) or at least one clinical or subclinical symptom thereof, or (3) relieving or attenuating the disease, i.e., causing regression of the state, disorder or condition or at least one of its clinical or subclinical symptoms.
[0122] A “therapeutically effective amount” means the amount of a compound that, when administered to a mammal for treating a disease, is sufficient to effect such treatment for the disease. The "therapeutically effective amount" will vary depending on the compound, the disease and its severity and the age, weight, etc., of the mammal to be treated.
[0123] In this specification the term “alkyl” includes both straight and branched chain alkyl groups. References to individual alkyl groups such as “propyl” are specific for the straight chain version only and references to individual branched chain alkyl groups such as “isopropyl” are specific for the branched chain version only. For example, “Ci-ealkyl” includes Ci-4alkyl, Ci-salkyl, propyl, isopropyl and f-butyl. A similar convention applies to other radicals, for example “phenyl(Ci-6alkyl)” includes phenyl(Ci-4alkyl), benzyl, 1 -phenylethyl and 2-phenylethyl.
[0124] The term "(m-nC)" or “Cm-n”, or "(m-nC) group" or “Cm-n” used alone or as a prefix, refers to any group having m to n carbon atoms.
[0125] The term "alkenyl", as used herein, refers to an aliphatic group containing at least one double bond and is intended to include both "unsubstituted alkenyls" and "substituted alkenyls", the latter of which refers to alkenyl moieties having substituents replacing a hydrogen on one or more carbons of the alkenyl group. Such substituents may occur on one or more carbons that are included or not included in one or more double bonds. Moreover, such substituents include all those contemplated for alkyl groups, as discussed below, except where stability is prohibitive. For example, substitution of alkenyl groups by one or more alkyl, carbocyclyl, aryl, heterocyclyl, or heteroaryl groups is contemplated.
[0126] The term "alkynyl", as used herein, refers to an aliphatic group containing at least one triple bond and is intended to include both "unsubstituted alkynyls" and "substituted alkynyls", the latter of which refers to alkynyl moieties having substituents replacing a hydrogen on one or more carbons of the alkynyl group. Such substituents may occur on one or more carbons that are included or not included in one or more triple bonds. Moreover, such substituents include all those contemplated for alkyl groups, as discussed above, except where stability is prohibitive. For example, substitution of alkynyl groups by one or more alkyl, carbocyclyl, aryl, heterocyclyl, or heteroaryl groups is contemplated.
[0127] An “alkylene” group is an alkyl group that is positioned between and serves to connect two other chemical groups. Thus, “(1-3C)alkylene” means a linear saturated divalent hydrocarbon radical of one to three carbon atoms or a branched saturated divalent hydrocarbon radical of three atoms, for example, methylene, ethylene, propylene, and the like.
[0128] The term “(m-nC)cycloalkyl” means a hydrocarbon ring containing from m to n carbon atoms, for example “(3-6C)cycloalkyl” means a hydrocarbon ring containing from 3 to 6 carbon atoms, for example, cyclopropyl, cyclobutyl, cyclopentyl, cyclohexyl. The term “(m- nC)cycloalkyl” also encompasses non-aromatic saturated or partially saturated monocyclic, fused, bridged, or spiro bicyclic carbocyclic ring system(s), or polycyclic ring systems. The term “(m-nC)cycloalkyl” includes both monovalent species and divalent species. Monocyclic “(m-nC)cycloalkyl” rings contain from about 3 to 12 (suitably from 3 to 8, most suitably from 5 to 6) ring carbon atoms. Bicyclic “(m-nC)cycloalkyl” contain from 7 to 17 ring carbon atoms, suitably 7 to 12 ring carbon atoms. Bicyclic “(m-nC)cycloalkyl” rings may be fused, spiro (e.g. spiro[3,3]heptane), or bridged ring systems (e.g. bicyclo[2.2.1]hept-2-ene and bicyclo[1 .1.1 ]pentanyl).
[0129] The term “halo” or “halogeno” refers to fluoro, chloro, bromo and iodo.
[0130] The term “heterocyclyl”, “heterocyclic” or “heterocycle” means a non-aromatic saturated or partially saturated monocyclic, fused, bridged, or spiro bicyclic, or polycyclic heterocyclic ring system(s). The term heterocyclyl includes both monovalent species and divalent species. Monocyclic heterocyclic rings contain from about 3 to 12 (suitably from 3 to 7, most suitably from 5 to 6) ring atoms, with from 1 to 5 (suitably 1 , 2 or 3) heteroatoms selected from nitrogen, oxygen or sulfur in the ring. Bicyclic heterocycles contain from 7 to 17 member atoms, suitably 7 to 12 member atoms, in the ring. Bicyclic heterocycles contain from about 7 to about 17 ring atoms, suitably from 7 to 12 ring atoms. Bicyclic heterocyclic(s) rings may be fused, spiro, or bridged ring systems. Examples of heterocyclic groups include cyclic ethers such as oxiranyl, oxetanyl, tetrahydrofuranyl, dioxanyl, and substituted cyclic ethers. Heterocycles containing nitrogen include, for example, azetidinyl, pyrrolidinyl, piperidinyl,piperazinyl, tetrahydrotriazinyl, tetrahydropyrazolyl, and the like. Typical sulfur containing heterocycles include tetrahydrothienyl, dihydro-1 , 3-dithiol, tetrahydro-2 / 7-thiopyran, and hexahydrothiepine. Other heterocycles include dihydro-oxathiolyl, tetrahydro-oxazolyl, tetrahydro-oxadiazolyl, tetrahydrodioxazolyl, tetrahydro-oxathiazolyl, hexahydrotriazinyl, tetrahydro-oxazinyl, morpholinyl, thiomorpholinyl, tetrahydropyrimidinyl, dioxolinyl, octahydrobenzofuranyl, octahydrobenzimidazolyl, and octahydrobenzothiazolyl. For heterocycles containing sulfur, the oxidized sulfur heterocycles containing SO or SO2 groups are also included. Examples include the sulfoxide and sulfone forms of tetrahydrothienyl and thiomorpholinyl such as tetrahydrothiene 1 ,1 -dioxide and thiomorpholinyl 1 ,1 -dioxide. A suitable value for a heterocyclyl group which bears 1 or 2 oxo (=0) or thioxo (=S) substituents is, for example, 2-oxopyrrolidinyl, 2-thioxopyrrolidinyl, 2-oxoimidazolidinyl, 2-thioxoimidazolidinyl, 2-oxopiperidinyl, 2,5-dioxopyrrolidinyl, 2,5-dioxoimidazolidinyl or 2,6-dioxopiperidinyl. Particular heterocyclyl groups are saturated monocyclic 3 to 7 membered heterocyclyls containing 1 , 2 or 3 heteroatoms selected from nitrogen, oxygen or sulfur, for example azetidinyl, tetrahydrofuranyl, tetrahydropyranyl, pyrrolidinyl, morpholinyl, tetrahydrothienyl, tetrahydrothienyl 1 ,1 -dioxide, thiomorpholinyl, thiomorpholinyl 1 ,1 -dioxide, piperidinyl, homopiperidinyl, piperazinyl or homopiperazinyl. As the skilled person would appreciate, any heterocycle may be linked to another group via any suitable atom, such as via a carbon or nitrogen atom. However, reference herein to piperidino or morpholino refers to a piperidin-1-yl or morpholin-4-yl ring that is linked via the ring nitrogen.
[0131] By “bridged ring systems” is meant ring systems in which two rings share more than two atoms, see for example Advanced Organic Chemistry, by Jerry March, 4thEdition, Wiley Interscience, pages 131-133, 1992. Examples of bridged heterocyclyl ring systems include, aza-bicyclo[2.2.1]heptane, 2-oxa-5-azabicyclo[2.2.1]heptane, aza- bicyclo[2.2.2]octane, aza-bicyclo[3.2.1]octane, quinuclidine, 6-azabicyclo[3.1.1]heptane, 8- azabicyclo[3.2.1]octane, bicyclo[3.2.1]octane, 7-oxabicyclo[2.2.1]hept-2-ene and 3-oxa-8- azabicyclo[3.2.1]octane .
[0132] The term “heteroaryl” or “heteroaromatic” means an aromatic mono-, bi-, or polycyclic ring incorporating one or more (for example 1-4, particularly 1 , 2 or 3) heteroatoms selected from nitrogen, oxygen or sulfur. The term heteroaryl includes both monovalent species and divalent species. Examples of heteroaryl groups are monocyclic and bicyclic groups containing from five to twelve ring members, and more usually from five to ten ring members. The heteroaryl group can be, for example, a 5- or 6-membered monocyclic ring or a 9- or 10-membered bicyclic ring, for example a bicyclic structure formed from fused five and six membered rings or two fused six membered rings. Each ring may contain up to about four heteroatoms typically selected from nitrogen, sulfur and oxygen. Typically the heteroaryl ringwill contain up to 3 heteroatoms, more usually up to 2, for example a single heteroatom. In one embodiment, the heteroaryl ring contains at least one ring nitrogen atom. The nitrogen atoms in the heteroaryl rings can be basic, as in the case of an imidazole or pyridine, or essentially non-basic as in the case of an indole or pyrrole nitrogen. In general the number of basic nitrogen atoms present in the heteroaryl group, including any amino group substituents of the ring, will be less than five.
[0133] Examples of heteroaryl include furyl, pyrrolyl, thienyl, oxazolyl, isoxazolyl, imidazolyl, pyrazolyl, thiazolyl, isothiazolyl, oxadiazolyl, thiadiazolyl, triazolyl, tetrazolyl, pyridyl, pyridazinyl, pyrimidinyl, pyrazinyl, 1 ,3,5-triazenyl, benzofuranyl, indolyl, isoindolyl, benzothienyl, benzoxazolyl, benzimidazolyl, benzothiazolyl, benzothiazolyl, indazolyl, purinyl, benzofurazanyl, quinolyl, isoquinolyl, quinazolinyl, quinoxalinyl, cinnolinyl, pteridinyl, naphthyridinyl, carbazolyl, phenazinyl, benzisoquinolinyl, pyridopyrazinyl, thieno[2,3-b]furanyl, 2H-furo[3,2-b]-pyranyl, 5H-pyrido[2,3-d]-o-oxazinyl, 1 H-pyrazolo[4,3-d]-oxazolyl, 4H-imidazo[4,5-d]thiazolyl, pyrazino[2,3-d]pyridazinyl, imidazo[2,1-b]thiazolyl, imidazo[1 ,2-b][1 ,2,4]triazinyl. “Heteroaryl” also covers partially aromatic bi- or polycyclic ring systems wherein at least one ring is an aromatic ring and one or more of the other ring(s) is a non-aromatic, saturated or partially saturated ring, provided at least one ring contains one or more heteroatoms selected from nitrogen, oxygen or sulfur. Examples of partially aromatic heteroaryl groups include for example, tetrahydroisoquinolinyl, tetrahydroquinolinyl, 2-oxo-1.2.3.4-tetrahydroquinolinyl, dihydrobenzthienyl, dihydrobenzfuranyl, 2,3-dihydro- benzo[1 ,4]dioxinyl, benzo[1 ,3]dioxolyl, 2,2-dioxo-1 ,3-dihydro-2-benzothienyl, 4, 5,6,7- tetrahydrobenzofuranyl, indolinyl, 1 ,2,3,4-tetrahydro-1 ,8-naphthyridinyl,1 .2.3.4-tetrahydropyrido[2,3-b]pyrazinyl and 3,4-dihydro-2 / 7-pyrido[3,2-b][1 ,4]oxazinyl.
[0134] Examples of five membered heteroaryl groups include but are not limited to pyrrolyl, furanyl, thienyl, imidazolyl, furazanyl, oxazolyl, oxadiazolyl, oxatriazolyl, isoxazolyl, thiazolyl, isothiazolyl, pyrazolyl, triazolyl and tetrazolyl groups.
[0135] Examples of six membered heteroaryl groups include but are not limited to pyridyl, pyrazinyl, pyridazinyl, pyrimidinyl and triazinyl.
[0136] A bicyclic heteroaryl group may be, for example, a group selected from: a benzene ring fused to a 5- or 6-membered ring containing 1 , 2 or 3 ring heteroatoms; a pyridine ring fused to a 5- or 6-membered ring containing 1 , 2 or 3 ring heteroatoms; a pyrimidine ring fused to a 5- or 6-membered ring containing 1 or 2 ring heteroatoms; a pyrrole ring fused to a 5- or 6-membered ring containing 1 , 2 or 3 ring heteroatoms; a pyrazole ring fused to a 5- or 6-membered ring containing 1 or 2 ring heteroatoms;a pyrazine ring fused to a 5- or 6-membered ring containing 1 or 2 ring heteroatoms; an imidazole ring fused to a 5- or 6-membered ring containing 1 or 2 ring heteroatoms; an oxazole ring fused to a 5- or 6-membered ring containing 1 or 2 ring heteroatoms; an isoxazole ring fused to a 5- or 6-membered ring containing 1 or 2 ring heteroatoms; a thiazole ring fused to a 5- or 6-membered ring containing 1 or 2 ring heteroatoms; an isothiazole ring fused to a 5- or 6-membered ring containing 1 or 2 ring heteroatoms; a thiophene ring fused to a 5- or 6-membered ring containing 1 , 2 or 3 ring heteroatoms; a furan ring fused to a 5- or 6-membered ring containing 1 , 2 or 3 ring heteroatoms; a cyclohexyl ring fused to a 5- or 6-membered heteroaromatic ring containing 1 , 2 or 3 ring heteroatoms; and a cyclopentyl ring fused to a 5- or 6-membered heteroaromatic ring containing 1 , 2 or 3 ring heteroatoms.
[0137] Particular examples of bicyclic heteroaryl groups containing a six membered ring fused to a five membered ring include but are not limited to benzfuranyl, benzthiophenyl, benzimidazolyl, benzoxazolyl, benzisoxazolyl, benzthiazolyl, benzisothiazolyl, isobenzofuranyl, indolyl, isoindolyl, indolizinyl, indolinyl, isoindolinyl, purinyl (e.g., adeninyl, guaninyl), indazolyl, benzodioxolyl and pyrazolopyridinyl groups.
[0138] Particular examples of bicyclic heteroaryl groups containing two fused six membered rings include but are not limited to quinolinyl, isoquinolinyl, chromanyl, thiochromanyl, chromenyl, isochromenyl, chromanyl, isochromanyl, benzodioxanyl, quinolizinyl, benzoxazinyl, benzodiazinyl, pyridopyridinyl, quinoxalinyl, quinazolinyl, cinnolinyl, phthalazinyl, naphthyridinyl and pteridinyl groups.
[0139] The term “aryl” means a cyclic or polycyclic aromatic ring having from 5 to 12 carbon atoms. The term aryl includes both monovalent species and divalent species. Examples of aryl groups include, but are not limited to, phenyl, biphenyl, naphthyl and the like. In particular embodiment, an aryl is phenyl.
[0140] The term "optionally substituted" refers to either groups, structures, or molecules that are substituted and those that are not substituted.
[0141] Where optional substituents are chosen from “one or more” groups it is to be understood that this definition includes all substituents being chosen from one of the specified groups or the substituents being chosen from two or more of the specified groups.
[0142] The phrase “compound of the invention” means those compounds which are disclosed herein, both generically and specifically.Compounds of the invention
[0143] In one aspect, the present invention relates to compounds of the formula (I), or a pharmaceutically acceptable salt thereof:wherein: R1 is selected from hydrogen, chloro or fluoro;R2a is hydrogen or methyl; andR4a is hydrogen or methyl.
[0144] Suitably, only one of R2a and R4a may be methyl.
[0145] In certain embodiments, R1 is hydrogen.
[0146] In certain embodiments, R1 is fluoro.
[0147] In certain embodiments, R1 is chloro.
[0148] In certain embodiments, R2a is methyl. In other embodiments, R2a is hydrogen.
[0149] In certain embodiments, R4a is methyl. In other embodiments, R4a is hydrogen.
[0150] In the context of the present invention, “methyl” encompasses deuterated variants such as CDs. Thus, in certain embodiments, R2a is methyl and is deuterated, e.g. R2a is CDs, or R4a is methyl and is deuterated, e.g. R4a is CDs.
[0151] In a particular embodiment: R1 is selected from hydrogen, chloro or fluoro;R2a is selected from hydrogen or methyl; andR4a is hydrogen.
[0152] In a particular embodiment: R1 is selected from hydrogen, chloro or fluoro;R2a is hydrogen; andR4a is selected from hydrogen or methyl.
[0153] In a particular embodiment: R1 is hydrogen;R2a is selected from hydrogen or methyl; andR4a is hydrogen.
[0154] In a particular embodiment: R1 is chloro;R2a is selected from hydrogen or methyl; andR4a is hydrogen.
[0155] In a particular embodiment: R1 is fluoro;R2a is selected from hydrogen or methyl; andR4a is hydrogen.
[0156] In a particular embodiment: R1 is hydrogen;R2a is hydrogen; andR4a is selected from hydrogen or methyl.
[0157] In a particular embodiment: R1 is chloro;R2a is selected from hydrogen or methyl; andR4a is hydrogen or methyl.
[0158] In a particular embodiment: R1 is fluoro;R2a is hydrogen; andR4a is selected from hydrogen or methyl.
[0159] In a particular group of compounds of the invention, the compounds have the structural formula (Ila) below:wherein Ri, R2a and R4a each have any one of the meanings defined herein, or a pharmaceutically acceptable salt thereof.
[0160] In an embodiment of the compounds of Formula (Ila): R1 is hydrogen, chloro or fluoro;R2a is selected from hydrogen or methyl; andR4a is hydrogen.
[0161] In an embodiment of the compounds of Formula (Ila): R1 is hydrogen;R2a is selected from hydrogen or methyl; andR4a is hydrogen.
[0162] In an embodiment of the compounds of Formula (Ila): R1 is chloro;R2a is selected from hydrogen or methyl; andR4a is hydrogen.
[0163] In an embodiment of the compounds of Formula (Ila): R1 is fluoro;R2a is selected from hydrogen or methyl; andR4a is hydrogen.
[0164] In an embodiment of the compounds of Formula (Ila): R1 is selected from hydrogen, chloro or fluoro;R2a is hydrogen; andR4a is selected from hydrogen or methyl.
[0165] In an embodiment of the compounds of Formula (Ila): R1 is hydrogen;R2a is hydrogen; andR4a is selected from hydrogen or methyl.
[0166] In an embodiment of the compounds of Formula (Ila): R1 is selected from chloro or fluoro;R2a is hydrogen; andR4a is selected from hydrogen or methyl.
[0167] In an embodiment of the compounds of Formula (Ila): R1 is fluoro;R2a is hydrogen; andR4a is selected from hydrogen or methyl.
[0168] In a particular group of compounds of the invention, the compounds have the structural formula (lib) below:wherein Ri, R2a and R4a each have any one of the meanings defined herein, or a pharmaceutically acceptable salt thereof.
[0169] In an embodiment of the compounds of Formula (lib): R1 is selected from hydrogen, chloro or fluoro;R2a is selected from hydrogen or methyl; andR4a is hydrogen.
[0170] In an embodiment of the compounds of Formula (lib):R1 is hydrogen;R2a is selected from hydrogen or methyl; andR4a is hydrogen.
[0171] In an embodiment of the compounds of Formula (lib):R1 is chloro;R2a is selected from hydrogen or methyl; andR4a is hydrogen.
[0172] In an embodiment of the compounds of Formula (lib):R1 is fluoro;R2a is selected from hydrogen or methyl; andR4a is hydrogen.
[0173] In an embodiment of the compounds of Formula (lib):R1 is hydrogen, chloro or fluoro;R2a is hydrogen; andR4a is selected from hydrogen or methyl.
[0174] In an embodiment of the compounds of Formula (lib):R1 is hydrogen;R2a is hydrogen; andR4a is selected from hydrogen or methyl.
[0175] In an embodiment of the compounds of Formula (lib):R1 is chloro;R2a is hydrogen; andR4a is selected from hydrogen or methyl.
[0176] In an embodiment of the compounds of Formula (lib):R1 is fluoro;R2a is hydrogen; andR4a is selected from hydrogen or methyl.
[0177] In a particular group of compounds of the invention, the compounds have thewhereinR1 and R2a are as defined herein.
[0178] In an embodiment of the compounds of Formula (Illa): R1 is selected from hydrogen, chloro or fluoro; andR2a is hydrogen or methyl.
[0179] In an embodiment of the compounds of Formula (Illa): R1 is selected from hydrogen, chloro or fluoro; andR2a is hydrogen.
[0180] In an embodiment of the compounds of Formula (Illa): R1 is selected from hydrogen, chloro or fluoro; andR2a is methyl.
[0181] In a particular group of compounds of the invention, the compounds have the structural formula (I lib):whereinR1 and R2a are as defined herein.
[0182] In an embodiment of the compounds of Formula (Illb): R1 is selected from hydrogen, chloro or fluoro; andR2a is hydrogen or methyl.
[0183] In an embodiment of the compounds of Formula (Illb): R1 is selected from hydrogen, chloro or fluoro; andR2a is hydrogen.
[0184] In an embodiment of the compounds of Formula (Illb): R1 is selected from hydrogen, chloro or fluoro; andR2a is methyl.
[0185] In a particular group of compounds of the invention, the compounds have the structural formula (IVa):whereinR1 and R4a are as defined herein.
[0186] In an embodiment of the compounds of Formula (IVa): R1 is selected from hydrogen, chloro or fluoro; andR4a is selected from hydrogen or methyl.
[0187] In an embodiment of the compounds of Formula (IVa): R1 is selected from hydrogen, chloro or fluoro; andR4a is hydrogen.
[0188] In an embodiment of the compounds of Formula (IVa): R1 is selected from hydrogen, chloro or fluoro; andR4a is methyl.
[0189] In a particular group of compounds of the invention, the compounds have the structural formula (IVb):whereinR1 and R4a are as defined herein.
[0190] In an embodiment of the compounds of Formula (IVb): R1 is selected from hydrogen, chloro or fluoro; andR4a is selected from hydrogen or methyl.
[0191] In an embodiment of the compounds of Formula (IVb): R1 is selected from hydrogen, chloro or fluoro; andR4a is hydrogen.
[0192] In an embodiment of the compounds of Formula (IVb): R1 is selected from hydrogen, chloro or fluoro; andR4a is methyl.
[0193] In a particular group of compounds of the invention, the compounds have the structural formula (V) below:whereinR1 is as defined herein.
[0194] In a particular group of compounds of the invention, the compounds have the structural formula (VI) below:whereinR1 is as defined herein.
[0195] In a particular group of compounds of the invention, the compounds have the structural formula (VII) below:whereinR1 is as defined herein.
[0196] In a particular group of compounds of the invention, the compounds have the structural formula (Va) below:whereinR1 is as defined herein.
[0197] In a particular group of compounds of the invention, the compounds have the structural formula (Via) below:whereinR1 is as defined herein.
[0198] In a particular group of compounds of the invention, the compounds have the structural formula (Vila) below:whereinR1 is as defined herein.
[0199] In a particular group of compounds of the invention, the compounds have the structural formula (Va) below:wherein R1 is as defined herein.
[0200] In a particular group of compounds of the invention, the compounds have the structural formula (Via) below:whereinR1 is as defined herein.
[0201] In a particular group of compounds of the invention, the compounds have the structural formula (Vila) below:(VI lb) wherein R1 is as defined herein.
[0202] Particular compounds of the present invention include any of the compounds exemplified in the present application, or a pharmaceutically acceptable salt thereof, and, in particular, any of the following:N-((2-(((2R,4R)-2,4-dimethylpiperidin-1-yl)methyl)-1 H-indol-6-yl)methyl)-4-oxo-4H- pyrido[1,2-a]pyrimidine-2-carboxamide;N-((2-(((2S,4S)-2,4-dimethylpiperidin-1-yl)methyl)-1 H-indol-6-yl)methyl)-4-oxo-4H- pyrido[1,2-a]pyrimidine-2-carboxamide;(R)-4-oxo-N-((2-((2,2,4-trimethylpiperidin-1-yl)methyl)-1 H-indol-6-yl)methyl)-4H- pyrido[1,2-a]pyrimidine-2-carboxamide;(S)-4-oxo-N-((2-((2,2,4-trimethylpiperidin-1-yl)methyl)-1 H-indol-6-yl)methyl)-4H- pyrido[1,2-a]pyrimidine-2-carboxamide;N-((2-(((2R,4R)-4-methyl-2-(methyl-d3)piperidin-1-yl)methyl)-1 H-indol-6-yl)methyl)-4- oxo-4H-pyrido[1,2-a]pyrimidine-2-carboxamide;N-((2-(((2S,4S)-4-methyl-2-(methyl-d3)piperidin-1-yl)methyl)-1 H-indol-6-yl)methyl)-4- oxo-4H-pyrido[1,2-a]pyrimidine-2-carboxamide;(R)-4-oxo-N-((2-((2,4,4-trimethylpiperidin-1-yl)methyl)-1 H-indol-6-yl)methyl)-4H- pyrido[1,2-a]pyrimidine-2-carboxamide;(S)-4-oxo-N-((2-((2,4,4-trimethylpiperidin-1-yl)methyl)-1 H-indol-6-yl)methyl)-4H- pyrido[1,2-a]pyrimidine-2-carboxamide;N-((2-(((2R,4R)-2,4-dimethylpiperidin-1-yl)methyl)-5-fluoro-1 H-indol-6-yl)methyl)-4- oxo-4H-pyrido[1,2-a]pyrimidine-2-carboxamide;N-((2-(((2S,SR)-2,4-dimethylpiperidin-1-yl)methyl)-5-fluoro-1 H-indol-6-yl)methyl)-4- oxo-4H-pyrido[1,2-a]pyrimidine-2-carboxamide;(R)-N-((5-fluoro-2-((2,4,4-trimethylpiperidin-1 -yl)methyl)-1 H-indol-6-yl)methyl)-4-oxo- 4H-pyrido[1 ,2-a]pyrimidine-2-carboxamide;(S)-N-((5-fluoro-2-((2,4,4-trimethylpiperidin-1-yl)methyl)-1 H-indol-6-yl)methyl)-4-oxo- 4H-pyrido[1 ,2-a]pyrimidine-2-carboxamide;(S)-N-((5-fluoro-2-((2,2,4-trimethylpiperidin-1-yl)methyl)-1 H-indol-6-yl)methyl)-4-oxo- 4H-pyrido[1 ,2-a]pyrimidine-2-carboxamide;N-((2-(((2S,4S)-2,4-dimethylpiperidin-1-yl)methyl)-5-fluoro-1 H-indol-6-yl)methyl)-4- oxo-4H-pyrido[1 ,2-a]pyrimidine-2-carboxamide;(R)-N-((5-fluoro-2-((2,2,4-trimethylpiperidin-1-yl)methyl)-1 H-indol-6-yl)methyl)-4-oxo- 4H-pyrido[1 ,2-a]pyrimidine-2-carboxamide;N-((5-fluoro-2-(((2R,4R)-4-methyl-2-(methyl-d3)piperidin-1-yl)methyl)-1 H-indol-6- yl)methyl)-4-oxo-4H-pyrido[1 ,2-a]pyrimidine-2-carboxamide;N-((5-fluoro-2-(((2S,4S)-4-methyl-2-(methyl-d3)piperidin-1-yl)methyl)-1 H-indol-6- yl)methyl)-4-oxo-4H-pyrido[1 ,2-a]pyrimidine-2-carboxamide; or N-((5-chloro-2-(((2S,4S)-2,4-dimethylpiperidin-1-yl)methyl)-1 H-indol-6-yl)methyl)-4- oxo-4H-pyrido[1 ,2-a]pyrimidine-2-carboxamide.
[0203] .The various functional groups and substituents making up the compounds of the formula (I) are typically chosen such that the molecular weight of the compound of the formula (I) does not exceed 1000. More usually, the molecular weight of the compound will be less than 900, for example less than 800, or less than 750, or less than 700, or less than 650. More preferably, the molecular weight is less than 600 and, for example, is 550 or less.
[0204] A suitable pharmaceutically acceptable salt of a compound of the invention is, for example, an acid-addition salt of a compound of the invention which is sufficiently basic, for example, an acid-addition salt with, for example, an inorganic or organic acid, for example hydrochloric, hydrobromic, sulfuric, phosphoric, trifluoroacetic, formic, citric methane sulfonate or maleic acid. In addition, a suitable pharmaceutically acceptable salt of a compound of the invention which is sufficiently acidic is an alkali metal salt, for example a sodium or potassium salt, an alkaline earth metal salt, for example a calcium or magnesium salt, an ammonium salt or a salt with an organic base which affords a pharmaceutically acceptable cation, for example a salt with methylamine, dimethylamine, trimethylamine, piperidine, morpholine or tris-(2-hydroxyethyl)amine.
[0205] Compounds that have the same molecular formula but differ in the nature or sequence of bonding of their atoms or the arrangement of their atoms in space are termed “isomers”. Isomers that differ in the arrangement of their atoms in space are termed “stereoisomers”. Stereoisomers that are not mirror images of one another are termed“diastereomers” and those that are non-superimposable mirror images of each other are termed “enantiomers”. When a compound has an asymmetric center, for example, it is bonded to four different groups, a pair of enantiomers is possible. An enantiomer can be characterized by the absolute configuration of its asymmetric center and is described by the R- and S-sequencing rules of Cahn and Prelog, or by the manner in which the molecule rotates the plane of polarized light and designated as dextrorotatory or levorotatory (i.e., as (+) or (-)-isomers respectively). A chiral compound can exist as either individual enantiomer or as a mixture thereof. A mixture containing equal proportions of the enantiomers is called a “racemic mixture”.
[0206] The compounds of this invention may possess one or more asymmetric centers; such compounds can therefore be produced as individual (R)- or (S)-stereoisomers or as mixtures thereof. Unless indicated otherwise, the description or naming of a particular compound in the specification and claims is intended to include both individual enantiomers and mixtures, racemic or otherwise, thereof. The methods for the determination of stereochemistry and the separation of stereoisomers are well-known in the art (see discussion in Chapter 4 of “Advanced Organic Chemistry”, 4th edition J. March, John Wiley and Sons, New York, 2001), for example by synthesis from optically active starting materials or by resolution of a racemic form. Some of the compounds of the invention may have geometric isomeric centres (E- and Z- isomers). It is to be understood that the present invention encompasses all optical, diastereoisomers and geometric isomers and mixtures thereof that possess antiproliferative activity.
[0207] The present invention also encompasses compounds of the invention as defined herein which comprise one or more isotopic substitutions. For example, H may be in any isotopic form, including1H,2H(D), and3H (T); C may be in any isotopic form, including12C,13C, and14C; and O may be in any isotopic form, including16O and18O; and the like. In the context of the present invention, “methyl” encompasses isotopic variants such as CD3.
[0208] It is also to be understood that certain compounds of the formula (I) may exist in solvated as well as unsolvated forms such as, for example, hydrated forms. It is to be understood that the invention encompasses all such solvated forms that possess antiproliferative activity.
[0209] It is also to be understood that certain compounds of the formula (I) may exhibit polymorphism, and that the invention encompasses all such forms that possess antiproliferative activity.
[0210] Compounds of the formula (I) may exist in a number of different tautomeric forms and references to compounds of the formula (I) include all such forms. For the avoidance of doubt,where a compound can exist in one of several tautomeric forms, and only one is specifically described or shown, all others are nevertheless embraced by formula (I). Examples of tautomeric forms include keto-, enol-, and enolate-forms, as in, for example, the following tautomeric pairs: keto / enol (illustrated below), imine / enamine, amide / imino alcohol, amidine / amidine, nitroso / oxime, thioketone / enethiol, and nitro / aci-nitro.keto enol enolate
[0211] Compounds of the formula (I) containing an amine function may also form N-oxides. A reference herein to a compound of the formula (I) that contains an amine function also includes the N-oxide. Where a compound contains several amine functions, one or more than one nitrogen atom may be oxidised to form an N-oxide. Particular examples of N-oxides are the N-oxides of a tertiary amine or a nitrogen atom of a nitrogen-containing heterocycle. N- Oxides can be formed by treatment of the corresponding amine with an oxidizing agent such as hydrogen peroxide or a per-acid (e.g. a peroxycarboxylic acid), see for example Advanced Organic Chemistry, by Jerry March, 4thEdition, Wiley Interscience, pages. More particularly, N-oxides can be made by the procedure of L. W. Deady (Syn. Comm. 1977, 7, 509-514) in which the amine compound is reacted with m-chloroperoxybenzoic acid (mCPBA), for example, in an inert solvent such as dichloromethane.
[0212] The compounds of formula (I) may be administered in the form of a pro-drug which is broken down in the human or animal body to release a compound of the invention. A prodrug may be used to alter the physical properties and / or the pharmacokinetic properties of a compound of the invention. A pro-drug can be formed when the compound of the invention contains a suitable group or substituent to which a property-modifying group can be attached. Examples of pro-drugs include in vivo cleavable ester derivatives that may be formed at a carboxy group or a hydroxy group in a compound of the formula (I) and in-vivo cleavable amide derivatives that may be formed at a carboxy group or an amino group in a compound of the formula (I).
[0213] Accordingly, the present invention includes those compounds of the formula I as defined hereinbefore when made available by organic synthesis and when made available within the human or animal body by way of cleavage of a pro-drug thereof. Accordingly, the present invention includes those compounds of the formula (I) that are produced by organic synthetic means and also such compounds that are produced in the human or animal body by way of metabolism of a precursor compound, that is a compound of the formula (I) may be a synthetically-produced compound or a metabolically-produced compound.
[0214] A suitable pharmaceutically acceptable pro-drug of a compound of the formula (I) is one that is based on reasonable medical judgement as being suitable for administration to the human or animal body without undesirable pharmacological activities and without undue toxicity.
[0215] Various forms of pro-drug have been described, for example in the following documents :- a) Methods in Enzymology, Vol. 42, p. 309-396, edited by K. Widder, et al. (Academic Press, 1985); b) Design of Pro-drugs, edited by H. Bundgaard, (Elsevier, 1985); c) A Textbook of Drug Design and Development, edited by Krogsgaard-Larsen and H. Bundgaard, Chapter s “Design and Application of Pro-drugs”, by H. Bundgaard p. 113-191 (1991); d) H. Bundgaard, Advanced Drug Delivery Reviews, 8, 1-38 (1992); e) H. Bundgaard, et al., Journal of Pharmaceutical Sciences, 77, 285 (1988); f) N. Kakeya, et al., Chem. Pharm. Bull., 32, 692 (1984); g) T. Higuchi and V. Stella, “Pro-Drugs as Novel Delivery Systems”, A.C.S. Symposium Series, Volume 14; and h) E. Roche (editor), “Bioreversible Carriers in Drug Design”, Pergamon Press, 1987.
[0216] A suitable pharmaceutically acceptable pro-drug of a compound of the formula (I) that possesses a carboxy group is, for example, an in vivo cleavable ester thereof. An in vivo cleavable ester of a compound of the formula (I) containing a carboxy group is, for example, a pharmaceutically acceptable ester which is cleaved in the human or animal body to produce the parent acid. Suitable pharmaceutically acceptable esters for carboxy include Ci-ealkyl esters such as methyl, ethyl and terf-butyl, Ci-ealkoxymethyl esters such as methoxymethyl esters, Ci-ealkanoyloxymethyl esters such as pivaloyloxymethyl esters, 3-phthalidyl esters, Cs-scycloalkylcarbonyloxy- Ci-ealkyl esters such as cyclopentylcarbonyloxymethyl and 1 -cyclohexylcarbonyloxyethyl esters, 2-oxo-1 ,3-dioxolenylmethyl esters such as 5-methyl-2-oxo-1 ,3-dioxolen-4-ylmethyl esters and Ci-ealkoxycarbonyloxy- Ci-ealkyl esters such as methoxycarbonyloxymethyl and 1- methoxycarbonyloxyethyl esters.
[0217] A suitable pharmaceutically acceptable pro-drug of a compound of the formula (I) that possesses a hydroxy group is, for example, an in vivo cleavable ester or ether thereof. An in vivo cleavable ester or ether of a compound of the formula (I) containing a hydroxy groupis, for example, a pharmaceutically acceptable ester or ether which is cleaved in the human or animal body to produce the parent hydroxy compound. Suitable pharmaceutically acceptable ester forming groups for a hydroxy group include inorganic esters such as phosphate esters (including phosphoramidic cyclic esters). Further suitable pharmaceutically acceptable ester forming groups for a hydroxy group include Ci-walkanoyl groups such as acetyl, benzoyl, phenylacetyl and substituted benzoyl and phenylacetyl groups, Ci- walkoxycarbonyl groups such as ethoxycarbonyl, / V, / V-(Ci-6)2carbamoyl, 2-dialkylaminoacetyl and 2-carboxyacetyl groups. Examples of ring substituents on the phenylacetyl and benzoyl groups include aminomethyl, / V-alkylaminomethyl, / V, / V-dialkylaminomethyl, morpholinomethyl, piperazin-1 -ylmethyl and 4-(Ci-4alkyl)piperazin-1-ylmethyl. Suitable pharmaceutically acceptable ether forming groups for a hydroxy group include a-acyloxyalkyl groups such as acetoxymethyl and pivaloyloxymethyl groups.
[0218] A suitable pharmaceutically acceptable pro-drug of a compound of the formula (I) that possesses a carboxy group is, for example, an in vivo cleavable amide thereof, for example an amide formed with an amine such as ammonia, a Ci.4alkylamine such as methylamine, a (Ci.4alkyl)2amine such as dimethylamine, / V-ethyl- / V-methylamine or diethylamine, a Ci.4alkoxy- C^alkylamine such as 2-methoxyethylamine, a phenyl-Ci. 4alkylamine such as benzylamine and amino acids such as glycine or an ester thereof.
[0219] A suitable pharmaceutically acceptable pro-drug of a compound of the formula (I) that possesses an amino group is, for example, an in vivo cleavable amide derivative thereof. Suitable pharmaceutically acceptable amides from an amino group include, for example an amide formed with Ci-walkanoyl groups such as an acetyl, benzoyl, phenylacetyl and substituted benzoyl and phenylacetyl groups. Examples of ring substituents on the phenylacetyl and benzoyl groups include aminomethyl, / V-alkylaminomethyl, N,N- dialkylaminomethyl, morpholinomethyl, piperazin-1 -ylmethyl and4-(Ci-4alkyl)piperazin-1 -ylmethyl.
[0220] The in vivo effects of a compound of the formula (I) may be exerted in part by one or more metabolites that are formed within the human or animal body after administration of a compound of the formula (I). As stated hereinbefore, the in vivo effects of a compound of the formula (I) may also be exerted by way of metabolism of a precursor compound (a prodrug).
[0221] Though the present invention may relate to any compound or particular group of compounds defined herein by way of optional, preferred or suitable features or otherwise in terms of particular embodiments, the present invention may also relate to any compound or particular group of compounds that specifically excludes said optional, preferred or suitablefeatures or particular embodiments.
[0222] Suitably, the present invention excludes any individual compounds not possessing the biological activity defined herein.Synthesis
[0223] The compounds of the present invention can be prepared by any suitable technique known in the art. Particular processes for the preparation of these compounds are described further in the accompanying examples.
[0224] In the description of the synthetic methods described herein and in any referenced synthetic methods that are used to prepare the starting materials, it is to be understood that all proposed reaction conditions, including choice of solvent, reaction atmosphere, reaction temperature, duration of the experiment and workup procedures, can be selected by a person skilled in the art.
[0225] It is understood by one skilled in the art of organic synthesis that the functionality present on various portions of the molecule must be compatible with the reagents and reaction conditions utilised.
[0226] It will be appreciated that during the synthesis of the compounds of the invention in the processes defined herein, or during the synthesis of certain starting materials, it may be desirable to protect certain substituent groups to prevent their undesired reaction. The skilled chemist will appreciate when such protection is required, and how such protecting groups may be put in place, and later removed.
[0227] For examples of protecting groups see one of the many general texts on the subject, for example, ‘Protective Groups in Organic Synthesis’ by Theodora Green (publisher: John Wiley & Sons). Protecting groups may be removed by any convenient method described in the literature or known to the skilled chemist as appropriate for the removal of the protecting group in question, such methods being chosen so as to effect removal of the protecting group with the minimum disturbance of groups elsewhere in the molecule.
[0228] Thus, if reactants include, for example, groups such as amino, carboxy or hydroxy it may be desirable to protect the group in some of the reactions mentioned herein.
[0229] By way of example, a suitable protecting group for an amino or alkylamino group is, for example, an acyl group, for example an alkanoyl group such as acetyl, an alkoxycarbonyl group, for example a methoxycarbonyl, ethoxycarbonyl or t-butoxycarbonyl group, an arylmethoxycarbonyl group, for example benzyloxycarbonyl, or an aroyl group, for example benzoyl. The deprotection conditions for the above protecting groups necessarily vary with the choice of protecting group. Thus, for example, an acyl group such as an alkanoylor alkoxycarbonyl group or an aroyl group may be removed by, for example, hydrolysis with a suitable base such as an alkali metal hydroxide, for example lithium or sodium hydroxide. Alternatively an acyl group such as a terf-butoxycarbonyl group may be removed, for example, by treatment with a suitable acid as hydrochloric, sulfuric or phosphoric acid or trifluoroacetic acid and an arylmethoxycarbonyl group such as a benzyloxycarbonyl group may be removed, for example, by hydrogenation over a catalyst such as palladium-on-carbon, or by treatment with a Lewis acid for example boron tris(trifluoroacetate). A suitable alternative protecting group for a primary amino group is, for example, a phthaloyl group which may be removed by treatment with an alkylamine, for example dimethylaminopropylamine, or with hydrazine.
[0230] A suitable protecting group for a hydroxy group is, for example, an acyl group, for example an alkanoyl group such as acetyl, an aroyl group, for example benzoyl, or an arylmethyl group, for example benzyl. The deprotection conditions for the above protecting groups will necessarily vary with the choice of protecting group. Thus, for example, an acyl group such as an alkanoyl or an aroyl group may be removed, for example, by hydrolysis with a suitable base such as an alkali metal hydroxide, for example lithium, sodium hydroxide or ammonia. Alternatively an arylmethyl group such as a benzyl group may be removed, for example, by hydrogenation over a catalyst such as palladium-on-carbon.
[0231] A suitable protecting group for a carboxy group is, for example, an esterifying group, for example a methyl or an ethyl group which may be removed, for example, by hydrolysis with a base such as sodium hydroxide, or for example a f-butyl group which may be removed, for example, by treatment with an acid, for example an organic acid such as trifluoroacetic acid, or for example a benzyl group which may be removed, for example, by hydrogenation over a catalyst such as palladium-on-carbon.
[0232] Resins may also be used as a protecting group.
[0233] The methodology employed to synthesise a compound of formula I will vary depending on the nature of the variable groups. Suitable processes for their preparation are described further in the accompanying Examples.
[0234] Once a compound of formula I has been synthesised by any one of the processes defined herein, the processes may then further comprise the additional steps of:(i) removing any protecting groups present;(ii) converting the compound formula I into another compound of formula I;(iii) forming a pharmaceutically acceptable salt, hydrate or solvate thereof; and / or(iv) forming a prodrug thereof.
[0235] The resultant compounds of formula I can be isolated and purified using techniques well known in the art.Biological Activity
[0236] The METTL3 enzyme and cell assays described in accompanying Example section may be used to measure the pharmacological effects of the compounds of the present invention.
[0237] Although the pharmacological properties of the compounds of formula I vary with structural change, as expected, the compounds of the invention were found to be active in these METTL3 assays.
[0238] In general, the compounds of the invention demonstrate an IC50 of 10 pM or less in the METTL3 enzyme assay described herein, with preferred compounds of the invention demonstrating an IC50 of 5 pM or less and the most preferred compounds of the invention demonstrating an IC50 of 2 pM or less.
[0239] In the METTL3 cell assay described in the Example section, the compounds of formula (I) suitably possess an activity of less than 10 pM, with preferred compounds of the invention demonstrating an IC50 of 5 pM or less and the most preferred compounds demonstrating an activity of 2 pM or less.
[0240] In the MDCK-MDR1 permeability assay described in the Example section, the compounds of the present invention suitably have an efflux ratio less than 2, with more preferred compounds having an efflux ratio less than 1.5, and the most preferred compounds having an efflux ratio of less than or equal to 1 .Pharmaceutical Compositions
[0241] According to a further aspect of the invention there is provided a pharmaceutical composition which comprises a compound of the invention as defined hereinbefore, ora pharmaceutically acceptable salt thereof, and one or more pharmaceutically acceptable excipients.
[0242] The compositions of the invention may be in a form suitable for oral use (for example as tablets, lozenges, hard or soft capsules, aqueous or oily suspensions, emulsions, dispersible powders or granules, syrups or elixirs), for topical use (for example as creams, ointments, gels, or aqueous or oily solutions or suspensions), for administration by inhalation (for example as a finely divided powder or a liquid aerosol), for administration by insufflation (for example as a finely divided powder) or for parenteral administration (for example as a sterile aqueous or oily solution for intravenous, subcutaneous, intramuscular, intraperitoneal or intramuscular dosing or as a suppository for rectal dosing).
[0243] The compositions of the invention may be obtained by conventional procedures using conventional pharmaceutical excipients, well known in the art. Thus, compositions intended for oral use may contain, for example, one or more colouring, sweetening, flavouring and / or preservative agents.
[0244] An effective amount of a compound of the present invention for use in therapy is an amount sufficient to treat or prevent any of the conditions described herein, slow its progression and / or reduce the symptoms associated with the condition and / or disease.
[0245] The amount of active ingredient that is combined with one or more excipients to produce a single dosage form will necessarily vary depending upon the individual treated and the particular route of administration. For example, a formulation intended for oral administration to humans will generally contain, for example, from 0.5 mg to 0.5 g of active agent (more suitably from 0.5 to 100 mg, for example from 1 to 30 mg) compounded with an appropriate and convenient amount of excipients which may vary from about 5 to about 98 percent by weight of the total composition.
[0246] The size of the dose for therapeutic or prophylactic purposes of a compound of the formula (I) will naturally vary according to the nature and severity of the conditions, the age and sex of the animal or patient and the route of administration, according to well known principles of medicine.
[0247] In using a compound of the invention for therapeutic or prophylactic purposes it will generally be administered so that a daily dose in the range, for example, 0.1 mg / kg to 75 mg / kg body weight is received, given if required in divided doses. In general lower doses will be administered when a parenteral route is employed. Thus, for example, for intravenous or intraperitoneal administration, a dose in the range, for example, 0.1 mg / kg to 30 mg / kg body weight will generally be used. Similarly, for administration by inhalation, a dose in the range, for example, 0.05 mg / kg to 25 mg / kg body weight will be used. Oral administration may also be suitable, particularly in tablet form. Typically, unit dosage forms will contain about 0.5 mg to 0.5 g of a compound of this invention.Therapeutic Uses and Applications
[0248] The present invention provides compounds that function as inhibitors of METTL3 activity.
[0249] The compounds of the invention may find particular use in the treatment of a disease or disorder in which METTL3 activity is implicated.
[0250] The disease or disorder in which METTL3 activity is implicated may be a proliferative condition.
[0251] The disease or disorder in which METTL3 activity is implicated may be: a) cancer, e.g. lung cancer, colon cancer, breast cancer, ovarian cancer, prostate cancer, liver cancer, skin cancer, renal cancer, solid organ cancer, pancreatic cancer, a cancer of the central nervous system (CNS) (e.g. Glioma, Glioblastoma Multiforme (GBM), Astrocytomas, Oligodendrogliomas, Ependyomas, Meningiomas, and other brain neoplasms or secondary tumours that have metastasized to the brain), leukaemia, (e.g. acute myeloid leukaemia (AML), acute lymphocytic leukaemia (ALL), chronic myeloid leukaemia, chronic lymphocytic leukaemia (CLL)) small lymphocytic lymphoma (SLL) or myelodysplastic syndromes (MDS)); b) an autoimmune disease (e.g. colitis, multiple sclerosis, rheumatoid arthritis, lupus, cirrhosis, or dermatitis); c) a neurological disease; d) an inflammatory disease; e) an infectious disease; (e.g. a viral infection, such as an RNA viral infection; optionally selected from human papillomavirus (HPV) or hepatitis); f) type 2 diabetes; g) a disorder of the CNS; e.g. a neurodegenerative disorder, e.g. a tauopathy, such as Alzheimer's disease, progressive supranuclear palsy, corticobasal syndrome, frontotemporal dementias, Pick’s disease, globular glial tauopathy, argyrophilic grain disease, aging-related tau astrogliopathy, primary age-related tauopathy (PART), Progressive supranuclear palsy, and chronic traumatic encephalopathy; a motor neuron disease, a repeat expansion disease (such as Huntington’s Disease), dementia (including frontotemporal dementia, vascular dementia and dementia caused by a tauopathy, such as Alzheimer’s Disease) or Parkinson’s Disease; or epilepsy; h) a neuropsychiatric behavioural disorder; i) a depressive disorder; or j) a disease related to the inactivation of the X-chromosome, e.g. RETT syndrome.
[0252] The present invention therefore provides a method of inhibiting METTL3 activity in vitro or in vivo, said method comprising contacting a cell with an effective amount of a compound, or a pharmaceutically acceptable salt thereof, or a pharmaceutical composition as defined herein.
[0253] The present invention also provides a method of treating a disease or disorder in which METTL3 activity is implicated in a patient in need of such treatment, said method comprising administering to said patient a therapeutically effective amount of a compound, or a pharmaceutically acceptable salt thereof, or a pharmaceutical composition as defined herein. Suitably, the disease or disorder in which METTL3 activity is implicated is cancer, such as lung cancer, colon cancer, breast cancer, ovarian cancer, prostate cancer, liver cancer, skin cancer, renal cancer, solid organ cancer, pancreatic cancer, a cancer of the central nervous system (CNS) (e.g. Glioma, Glioblastoma Multiforme (GBM), Astrocytomas, Oligodendrogliomas, Ependyomas, Meningiomas, other brain neoplasms or secondary tumours that have metastasized to the brain), leukaemia, (e.g. acute myeloid leukaemia (AML), acute lymphocytic leukaemia (ALL), chronic myeloid leukaemia, chronic lymphocytic leukaemia (CLL)) small lymphocytic lymphoma (SLL) or myelodysplastic syndromes (MDS); an autoimmune disease (e.g. colitis, multiple sclerosis, rheumatoid arthritis, lupus, cirrhosis, or dermatitis); a neuropsychiatric behavioural disorder; a neurological disease; an inflammatory disease; an infection (e.g. viral infection); type 2 diabetes; a disorder of the CNS, such as a neurodegenerative disorder, for example a tauopathy (including but not limited to Alzheimer's disease, progressive supranuclear palsy, corticobasal syndrome (also known as corticobasal degeneration), frontotemporal dementias, Pick’s disease, globular glial tauopathy, argyrophilic grain disease, aging-related tau astrogliopathy, primary age-related tauopathy (PART), Progressive supranuclear palsy, and chronic traumatic encephalopathy); a motor neuron disease (including ALS); a repeat expansion disease (such as Huntington’s Disease); dementia (including frontotemporal dementia, vascular dementia and dementia caused by a tauopathy, such as Alzheimer’s Disease); Parkinson’s Disease; aneuropsychiatric behavioural disorder; a depressive disorder; a disease related to the inactivation of the X-chromosome (e.g. RETT syndrome); or a disease related to the inactivation of the X-chromosome (e.g. RETT syndrome); or epilepsy.
[0254] The present invention provides a method of inhibiting cell proliferation, in vitro or in vivo, said method comprising contacting a cell with an effective amount of a compound, or a pharmaceutically acceptable salt thereof, as defined herein.
[0255] The present invention provides a method of treating a proliferative disorder, said method comprising administering to a subject in need thereof a therapeutically effective amount of a compound, or a pharmaceutically acceptable salt thereof, or a pharmaceutical composition as defined herein.
[0256] The present invention provides a method of treating cancer, said method comprising administering to a subject in need thereof a therapeutically effective amount of a compound, or a pharmaceutically acceptable salt thereof, or a pharmaceutical composition asdefined herein. Suitably the cancer is selected from lung cancer, colon cancer, breast cancer, ovarian cancer, prostate cancer, liver cancer, skin cancer, renal cancer, solid organ cancer, pancreatic cancer, a cancer of the central nervous system (CNS) (e.g. Glioma, Glioblastoma Multiforme (GBM), Astrocytomas, Oligodendrogliomas, Ependyomas, Meningiomas, other brain neoplasms or secondary tumours that have metastasized to the brain), leukaemia, (e.g. acute myeloid leukaemia (AML), acute lymphocytic leukaemia (ALL), chronic myeloid leukaemia, chronic lymphocytic leukaemia (CLL)) small lymphocytic lymphoma (SLL) or myelodysplastic syndromes (MDS).
[0257] The cancer of the central nervous system may be selected from (e.g. Glioma, Glioblastoma Multiforme (GBM), Astrocytomas, Oligodendrogliomas, Ependyomas, Meningiomas, other brain neoplasms or secondary tumours that have metastasized to the brain).
[0258] The present invention provides a method of treating leukaemia (e.g. e.g. acute myeloid leukaemia (AML), acute lymphocytic leukaemia (ALL), chronic myeloid leukaemia, chronic lymphocytic leukaemia (CLL)) small lymphocytic lymphoma (SLL) or myelodysplastic syndromes (MDS)), said method comprising administering to a subject in need thereof a therapeutically effective amount of a compound, or a pharmaceutically acceptable salt thereof, or a pharmaceutical composition as defined herein.
[0259] The present invention provides a method of treating acute myeloid leukaemia (AML), said method comprising administering to a subject in need thereof a therapeutically effective amount of a compound, or a pharmaceutically acceptable salt thereof, or a pharmaceutical composition as defined herein.
[0260] The present invention provides a method of treating chronic myeloid leukaemia, said method comprising administering to a subject in need thereof a therapeutically effective amount of a compound, or a pharmaceutically acceptable salt thereof, or a pharmaceutical composition as defined herein.
[0261] The present invention provides a method of treating a cancer of the central nervous system (CNS), said method comprising administering to a subject in need thereof a therapeutically effective amount of a compound, or a pharmaceutically acceptable salt thereof, or a pharmaceutical composition as defined herein.
[0262] The present invention provides a method of treating an autoimmune disease, said method comprising administering to a subject in need thereof a therapeutically effective amount of a compound, or a pharmaceutically acceptable salt thereof, or a pharmaceutical composition as defined herein. Suitably the autoimmune disease is colitis, multiple sclerosis, rheumatoid arthritis, lupus, cirrhosis, or dermatitis.
[0263] The present invention provides a method of treating a disorder of the CNS, said method comprising administering to a subject in need thereof a therapeutically effective amount of a compound, or a pharmaceutically acceptable salt thereof, or a pharmaceutical composition as defined herein. Suitably the disorder of the CNS is a neurodegenerative disorder, for example a tauopathy (including but not limited to Alzheimer's disease, progressive supranuclear palsy, corticobasal syndrome, frontotemporal dementias, Pick’s disease, globular glial tauopathy, argyrophilic grain disease, aging-related tau astrogliopathy, primary age-related tauopathy and chronic traumatic encephalopathy), or a disease related to the inactivation of the X-chromosome (e.g. RETT syndrome)
[0264] The present invention provides a method of treating a neurological disease, said method comprising administering to a subject in need thereof a therapeutically effective amount of a compound, or a pharmaceutically acceptable salt thereof, or a pharmaceutical composition as defined herein.
[0265] The present invention provides a method of treating an infectious disease, said method comprising administering to a subject in need thereof a therapeutically effective amount of a compound, or a pharmaceutically acceptable salt thereof, or a pharmaceutical composition as defined herein.
[0266] The present invention provides a method of treating an inflammatory disease, said method comprising administering to a subject in need thereof a therapeutically effective amount of a compound, or a pharmaceutically acceptable salt thereof, or a pharmaceutical composition as defined herein.
[0267] The present invention provides a compound, or a pharmaceutically acceptable salt thereof, or a pharmaceutical composition as defined herein for use in therapy.
[0268] The present invention provides a compound, or a pharmaceutically acceptable salt thereof, or a pharmaceutical composition as defined herein for use in the treatment of a proliferative condition.
[0269] The present invention provides a compound, or a pharmaceutically acceptable salt thereof, or a pharmaceutical composition as defined herein for use in the treatment of cancer. In a particular embodiment, the cancer is human cancer. Suitably the cancer is selected from lung cancer, colon cancer, breast cancer, ovarian cancer, prostate cancer, liver cancer, skin cancer, renal cancer, solid organ cancer, pancreatic cancer, a cancer of the central nervous system (CNS) (e.g. Glioma, Glioblastoma Multiforme (GBM), Astrocytomas, Oligodendrogliomas, Ependyomas, Meningiomas, other brain neoplasms or secondary tumours that have metastasized to the brain), leukaemia, (e.g. acute myeloid leukaemia (AML), acute lymphocytic leukaemia (ALL), chronic myeloid leukaemia, chroniclymphocytic leukaemia (CLL)) small lymphocytic lymphoma (SLL) or myelodysplastic syndromes (MDS).
[0270] The present invention provides a compound, or a pharmaceutically acceptable salt thereof, or a pharmaceutical composition as defined herein for use in the treatment of leukaemia e.g. acute myeloid leukaemia (AML), acute lymphocytic leukaemia (ALL), chronic myeloid leukaemia, chronic lymphocytic leukaemia (CLL)) small lymphocytic lymphoma (SLL) or myelodysplastic syndromes (MDS).
[0271] The present invention provides a compound, or a pharmaceutically acceptable salt thereof, or a pharmaceutical composition as defined herein for use in the treatment of acute myeloid leukaemia (AML).
[0272] The present invention provides a compound, or a pharmaceutically acceptable salt thereof, or a pharmaceutical composition as defined herein for use in the treatment of chronic myeloid leukaemia.
[0273] The present invention provides a compound, or a pharmaceutically acceptable salt thereof, or a pharmaceutical composition as defined herein for use in the treatment of a cancer of the CNS. Cancers of the CNS include but are not limited to Glioma, Glioblastoma Multiforme (GBM), Astrocytomas, Oligodendrogliomas, Ependyomas, Meningiomas, other brain neoplasms or secondary tumours that have metastasized to the brain.
[0274] The present invention provides a compound, or a pharmaceutically acceptable salt thereof, or a pharmaceutical composition as defined herein for use in the inhibition of METTL3 activity.
[0275] The present invention provides a compound, or a pharmaceutically acceptable salt thereof, or a pharmaceutical composition as defined herein for use in the treatment of an autoimmune disease. Suitably the autoimmune disease is colitis, multiple sclerosis, rheumatoid arthritis, lupus, cirrhosis, or dermatitis.
[0276] The present invention provides a compound, or a pharmaceutically acceptable salt thereof, or a pharmaceutical composition as defined herein for use in the treatment of a disorder of the CNS. Suitably the disorder of the CNS is a neurodegenerative disorder, for example a tauopathy.
[0277] The present invention provides a compound, or a pharmaceutically acceptable salt thereof, or a pharmaceutical composition as defined herein for use in the treatment of a tauopathy. The tauopathy may be selected from Alzheimer's disease, progressive supranuclear palsy, corticobasal syndrome (also known as corticobasal degeneration), frontotemporal dementias, Pick’s disease, globular glial tauopathy, argyrophilic grain disease,aging-related tau astrogliopathy, primary age-related tauopathy (PART), Progressive supranuclear palsy, and chronic traumatic encephalopathy.
[0278] The present invention provides a compound, or a pharmaceutically acceptable salt thereof, or a pharmaceutical composition as defined herein for use in the treatment of a motor neuron disease (including ALS). Suitably, the motor neuron disease is selected from amyotrophic lateral sclerosis, progressive bulbar palsy, primary lateral sclerosis, progressive muscular atrophy, spinal muscular atrophy, Kennedy's disease, and post-polio syndrome. More suitably, the motor neuron disease is ALS.
[0279] The present invention provides a compound, or a pharmaceutically acceptable salt thereof, or a pharmaceutical composition as defined herein for use in the treatment of a repeat expansion disease (such as Huntington’s Disease)
[0280] The present invention provides a compound, or a pharmaceutically acceptable salt thereof, or a pharmaceutical composition as defined herein for use in the treatment of dementia (including frontotemporal dementia, vascular dementia and dementia caused by a tauopathy, such as Alzheimer’s Disease).
[0281] The present invention provides a compound, or a pharmaceutically acceptable salt thereof, or a pharmaceutical composition as defined herein for use in the treatment of Alzheimer's Disease.
[0282] The present invention provides a compound, or a pharmaceutically acceptable salt thereof, or a pharmaceutical composition as defined herein for use in the treatment of Parkinson’s Disease.
[0283] The present invention provides a compound, or a pharmaceutically acceptable salt thereof, or a pharmaceutical composition as defined herein for use in the treatment of multiple sclerosis.
[0284] The present invention provides a compound, or a pharmaceutically acceptable salt thereof, or a pharmaceutical composition as defined herein for use in the treatment of epilepsy.
[0285] The present invention provides a compound, or a pharmaceutically acceptable salt thereof, or a pharmaceutical composition as defined herein for use in the treatment of a disease related to the inactivation of the X-chromosome.
[0286] The present invention provides a compound, or a pharmaceutically acceptable salt thereof, or a pharmaceutical composition as defined herein for use in reactivating expression of a silenced X-chromosome
[0287] The present invention provides a compound, or a pharmaceutically acceptable salt thereof, or a pharmaceutical composition as defined herein for use in the treatment of RETT syndrome.
[0288] The present invention provides a compound, or a pharmaceutically acceptable salt thereof, or a pharmaceutical composition as defined herein for use in the treatment of a neurological disease.
[0289] The present invention provides a compound, or a pharmaceutically acceptable salt thereof, or a pharmaceutical composition as defined herein for use in the treatment of an infectious disease.
[0290] The present invention provides a compound, or a pharmaceutically acceptable salt thereof, or a pharmaceutical composition as defined herein for use in the treatment of an inflammatory disease.
[0291] The present invention provides a compound, or a pharmaceutically acceptable salt thereof, as defined herein for use in the treatment of a disease or disorder in which METTL3 activity is implicated.
[0292] Suitably, the disease or disorder in which METTL3 activity is implicated is a proliferative condition.
[0293] Suitably, the disease or disorder in which METTL3 activity is implicated is cancer. The cancer may be selected from lung cancer, colon cancer, breast cancer, ovarian cancer, prostate cancer, liver cancer, skin cancer, renal cancer, solid organ cancer, pancreatic cancer, a cancer of the central nervous system (CNS) (e.g. Glioma, Glioblastoma Multiforme (GBM), Astrocytomas, Oligodendrogliomas, Ependyomas, Meningiomas, other brain neoplasms or secondary tumours that have metastasized to the brain), leukaemia, (e.g. acute myeloid leukaemia (AML), acute lymphocytic leukaemia (ALL), chronic myeloid leukaemia, chronic lymphocytic leukaemia (CLL)) small lymphocytic lymphoma (SLL) or myelodysplastic syndromes (MDS). Suitably, the cancer is a cancer of the CNS.
[0294] Suitably, the disease or disorder in which METTL3 activity is implicated is an autoimmune disease (e.g. colitis, multiple sclerosis, rheumatoid arthritis, lupus, cirrhosis, or dermatitis)
[0295] Suitably, the disease or disorder in which METTL3 activity is implicated is a neurological disease.
[0296] Suitably, the disease or disorder in which METTL3 activity is implicated is an inflammatory disease.
[0297] Suitably, the disease or disorder in which METTL3 activity is implicated is an infectious disease; (e.g. a viral infection).
[0298] Suitably, the disease or disorder in which METTL3 activity is implicated is type 2 diabetes.
[0299] Suitably, the disease or disorder in which METTL3 activity is implicated is a neuropsychiatric behavioural disorder.
[0300] Suitably, the disease or disorder in which METTL3 activity is implicated is a depressive disorder.
[0301] Suitably, the disease or disorder in which METTL3 activity is implicated is a disorder of the CNS, such as a neurodegenerative disorder, for example a tauopathy (including but not limited to Alzheimer's disease, progressive supranuclear palsy, corticobasal syndrome (also known as corticobasal degeneration), frontotemporal dementias, Pick’s disease, globular glial tauopathy, argyrophilic grain disease, aging-related tau astrogliopathy, primary age-related tauopathy (PART), Progressive supranuclear palsy, and chronic traumatic encephalopathy), a motor neuron disease (including ALS), a repeat expansion disease (such as Huntington’s Disease), dementia (including frontotemporal dementia, vascular dementia and dementia caused by a tauopathy, such as Alzheimer’s Disease) or Parkinson’s Disease; aneuropsychiatric behavioural disorder; a depressive disorder; a disease related to the inactivation of the X-chromosome (e.g. RETT syndrome); or epilepsy.
[0302] Suitably, the disease or disorder in which METTL3 activity is implicated is a disease related to the inactivation of the X-chromosome (e.g. RETT syndrome). Such a disease may be treated by reactivating expression of the silenced gene by administering a METTL3 inhibitor as described herein.
[0303] Disorders related to the inactivation of the X-chromosome which may be treated by the compounds of the invention include those disclosed in Table 4 of WO2022 / 086935, such as Addison's disease with cerebral sclerosis; Adrenal hypoplasia; siderius X-linked mental retardation syndrome; Agammaglobulinaemia, Bruton type; Choroidoretinal degeneration; Choroidaemia; Albinism, ocular; Dent's disease 2; fragile X syndrome; Rett / Epileptic encephalopathy, early infantile, 2 (CDKL5 deficiency disorder); Albinism-deafness syndrome; paroxysmal nocturnal hemoglobinuria; Aldrich syndrome; Alport syndrome; Anaemia, hereditary hypochromic; Anemia, sideroblastic, with ataxia; Fabry disease; Spinal muscular atrophy 2; Cataract, congenital; Charcot-Marie-Tooth, peroneal; Spastic paraplegia; Colour blindness; Diabetes insipidus, nephrogenic; DDX3X syndrome; Dyskeratosis congenita; Ectodermal dysplasia, anhidrotic; Faciogenital dysplasia (Aarskog syndrome); Glucose-6-phosphate dehydrogenase deficiency; Glycogen storage disease type VIII;Gonadal dysgenesis (XY female type); Granul omatous disease (chronic); Haemophilia A; Haemophilia B; Hydrocephalus (aqueduct stenosis); Hypophosphataemic rickets; Lesch- Nyhan syndrome (hypoxanthine-guanine-phosphoribosyl transferase deficiency); Incontinentia pigmenti; Kallmann syndrome; Keratosis follicularis spinulosa; Lowe (oculocerebrorenal) syndrome; Menkes syndrome; Renpenning Syndrome; Mental retardation, with or without fragile site (numerous specific types); Coffin-Lowry syndrome; Microphthalmia with multiple anomalies (Lenz syndrome); Muscular dystrophy (Becker, Duchenne and Emery-Dreifuss types); Myotubular myopathy; Night blindness, congenital stationary; Norrie's disease (pseudoglioma); Nystagmus, oculomotor or 'jerky'; Orofaciodigital syndrome (type I); Ornithine transcarbamylase deficiency (type I hyperammonaemia); Phosphoglycerate kinase deficiency; Phosphoribosylpyrophosphate synthetase deficiency; Retinitis pigmentosa; Retinoschisis; Rett syndrome; Muscular atrophy; Dihydrotestosterone receptor deficiency; Spinal muscular atrophy; Spondyloepiphyseal dysplasia tarda; Thrombocytopenia, hereditary; Thyroxine-binding globulin, absence; and McLeod syndrome.
[0304] The present invention provides a use of a compound, or a pharmaceutically acceptable salt thereof, as defined herein in the manufacture of a medicament for the treatment of a proliferative condition.
[0305] The present invention provides a use of a compound, or a pharmaceutically acceptable salt thereof, as defined herein in the manufacture of a medicament for the treatment of cancer. Suitably, the medicament is for use in the treatment of human cancers. Suitably the cancer is lung cancer, colon cancer, breast cancer, ovarian cancer, prostate cancer, liver cancer, skin cancer, renal cancer, solid organ cancer, pancreatic cancer, a cancer of the central nervous system (CNS) (e.g. Glioma, Glioblastoma Multiforme (GBM), Astrocytomas, Oligodendrogliomas, Ependyomas, Meningiomas, other brain neoplasms or secondary tumours that have metastasized to the brain), leukaemia, (e.g. acute myeloid leukaemia (AML), acute lymphocytic leukaemia (ALL), chronic myeloid leukaemia, chronic lymphocytic leukaemia (CLL)) small lymphocytic lymphoma (SLL) or myelodysplastic syndromes (MDS) or leukaemia, suitably acute myeloid leukaemia (AML) or chronic myeloid leukaemia.
[0306] The present invention provides a use of a compound, or a pharmaceutically acceptable salt thereof, as defined herein in the manufacture of a medicament for the treatment of leukaemia, e.g. acute myeloid leukaemia (AML), acute lymphocytic leukaemia (ALL), chronic myeloid leukaemia, chronic lymphocytic leukaemia (CLL)) small lymphocytic lymphoma (SLL) or myelodysplastic syndromes (MDS).
[0307] The present invention provides a use of a compound, or a pharmaceutically acceptable salt thereof, as defined herein in the manufacture of a medicament for thetreatment of acute myeloid leukaemia (AML).
[0308] The present invention provides a use of a compound, or a pharmaceutically acceptable salt thereof, as defined herein in the manufacture of a medicament for the treatment of a cancer of the CNS. Cancers of the CNS include but are not limited to Glioma, Glioblastoma Multiforme (GBM), Astrocytomas, Oligodendrogliomas, Ependyomas, Meningiomas, other brain neoplasms or secondary tumours that have metastasized to the brain.
[0309] The present invention provides a use of a compound, or a pharmaceutically acceptable salt thereof, as defined herein in the manufacture of a medicament for the treatment of an autoimmune disease. Suitably the autoimmune disease is colitis, multiple sclerosis, rheumatoid arthritis, lupus, cirrhosis, or dermatitis.
[0310] The present invention provides a use of a compound, or a pharmaceutically acceptable salt thereof, as defined herein in the manufacture of a medicament for the treatment of a disorder of the CNS. Suitably the disorder of the CNS is a neurodegenerative disorder, for example a tauopathy.
[0311] The present invention provides a use of a compound, or a pharmaceutically acceptable salt thereof, as defined herein in the manufacture of a medicament for the treatment of a tauopathy. The tauopathy may be selected from Alzheimer's disease, progressive supranuclear palsy, corticobasal syndrome (also known as corticobasal degeneration), frontotemporal dementias, Pick’s disease, globular glial tauopathy, argyrophilic grain disease, aging-related tau astrogliopathy, primary age-related tauopathy (PART), Progressive supranuclear palsy, and chronic traumatic encephalopathy.
[0312] The present invention provides a use of a compound, or a pharmaceutically acceptable salt thereof, as defined herein in the manufacture of a medicament for the treatment of a motor neuron disease (including ALS). Suitably, the motor neuron disease is selected from amyotrophic lateral sclerosis, progressive bulbar palsy, primary lateral sclerosis, progressive muscular atrophy, spinal muscular atrophy, Kennedy's disease, and post-polio syndrome. More suitably, the motor neuron disease is ALS.
[0313] The present invention provides a use of a compound, or a pharmaceutically acceptable salt thereof, as defined herein in the manufacture of a medicament for the treatment of a repeat expansion disease (such as Huntington’s Disease).
[0314] The present invention provides a use of a compound, or a pharmaceutically acceptable salt thereof, as defined herein in the manufacture of a medicament for the treatment of dementia (including frontotemporal dementia, vascular dementia and dementiacaused by a tauopathy, such as Alzheimer’s Disease).
[0315] The present invention provides a use of a compound, or a pharmaceutically acceptable salt thereof, as defined herein in the manufacture of a medicament for the treatment of Alzheimer’s Disease.
[0316] The present invention provides a use of a compound, or a pharmaceutically acceptable salt thereof, as defined herein in the manufacture of a medicament for the treatment of Parkinson’s Disease.
[0317] The present invention provides a use of a compound, or a pharmaceutically acceptable salt thereof, as defined herein in the manufacture of a medicament for the treatment of multiple sclerosis.
[0318] The present invention provides a use of a compound, or a pharmaceutically acceptable salt thereof, as defined herein in the manufacture of a medicament for the treatment of epilepsy.
[0319] The present invention provides a use of a compound, or a pharmaceutically acceptable salt thereof, as defined herein in the manufacture of a medicament for the treatment of a disease related to the inactivation of the X-chromosome.
[0320] The present invention provides a use of a compound, or a pharmaceutically acceptable salt thereof, as defined herein in the manufacture of a medicament for reactivating expression of a silenced X-chromosome
[0321] The present invention provides a use of a compound, or a pharmaceutically acceptable salt thereof, as defined herein in the manufacture of a medicament for the treatment RETT syndrome.
[0322] The present invention provides a use of a compound, or a pharmaceutically acceptable salt thereof, as defined herein in the manufacture of a medicament for the treatment of a neurological disease.
[0323] The present invention provides a use of a compound, or a pharmaceutically acceptable salt thereof, as defined herein in the manufacture of a medicament for the treatment of an inflammatory disease.
[0324] The present invention provides a use of a compound, or a pharmaceutically acceptable salt thereof, as defined herein in the manufacture of a medicament for the treatment of an infectious disease.
[0325] The present invention provides a use of a compound, or a pharmaceutically acceptable salt thereof, as defined herein in the manufacture of a medicament for the inhibitionof METTL3 activity.
[0326] The present invention provides a use of a compound, or a pharmaceutically acceptable salt thereof, as defined herein in the manufacture of a medicament for the treatment of a disease or disorder in which METTL3 activity is implicated.
[0327] Suitably, the disease or disorder in which METTL3 activity is implicated is cancer, such as lung cancer, colon cancer, breast cancer, ovarian cancer, prostate cancer, liver cancer, skin cancer, renal cancer, solid organ cancer, pancreatic cancer, a cancer of the central nervous system (CNS) (e.g. Glioma, Glioblastoma Multiforme (GBM), Astrocytomas, Oligodendrogliomas, Ependyomas, Meningiomas, other brain neoplasms or secondary tumours that have metastasized to the brain), leukaemia, (e.g. acute myeloid leukaemia (AML), acute lymphocytic leukaemia (ALL), chronic myeloid leukaemia, chronic lymphocytic leukaemia (CLL)) small lymphocytic lymphoma (SLL) or myelodysplastic syndromes (MDS); an autoimmune disease (e.g. colitis, multiple sclerosis, rheumatoid arthritis, lupus, cirrhosis, or dermatitis); a neuropsychiatric behavioural disorder; an inflammatory disease; an infection (e.g. viral infection); type 2 diabetes; a disorder of the CNS, such as a neurodegenerative disorder, for example a tauopathy (including but not limited to Alzheimer's disease, progressive supranuclear palsy, corticobasal syndrome (also known as corticobasal degeneration), frontotemporal dementias, Pick’s disease, globular glial tauopathy, argyrophilic grain disease, aging-related tau astrogliopathy, primary age-related tauopathy (PART), Progressive supranuclear palsy, and chronic traumatic encephalopathy), a motor neuron disease (including ALS), a repeat expansion disease (such as Huntington’s Disease), dementia (including frontotemporal dementia, vascular dementia and dementia caused by a tauopathy, such as Alzheimer’s Disease) or Parkinson’s Disease; aneuropsychiatric behavioural disorder; a depressive disorder; a disease related to the inactivation of the X-chromosome (e.g. RETT syndrome); or epilepsy.
[0328] Suitably, the disease or disorder in which METTL3 activity is implicated is cancer, such as lung cancer, colon cancer, breast cancer, ovarian cancer, prostate cancer, liver cancer, skin cancer, renal cancer, solid organ cancer, pancreatic cancer, a cancer of the central nervous system (CNS) (e.g. Glioma, Glioblastoma Multiforme (GBM), Astrocytomas, Oligodendrogliomas, Ependyomas, Meningiomas, other brain neoplasms or secondary tumours that have metastasized to the brain), leukaemia, (e.g. acute myeloid leukaemia (AML), acute lymphocytic leukaemia (ALL), chronic myeloid leukaemia, chronic lymphocytic leukaemia (CLL)) small lymphocytic lymphoma (SLL) or myelodysplastic syndromes (MDS); an autoimmune disease (e.g. colitis, multiple sclerosis, rheumatoid arthritis, lupus, cirrhosis, or dermatitis); a neuropsychiatric behavioural disorder; a neurological disease; an inflammatory disease; an infection (e.g. viral infection); type 2 diabetes; a disorderof the CNS, such as a neurodegenerative disorder, for example a tauopathy (including but not limited to Alzheimer's disease, progressive supranuclear palsy, corticobasal syndrome, frontotemporal dementias, Pick’s disease, globular glial tauopathy, argyrophilic grain disease, aging-related tau astrogliopathy, primary age-related tauopathy and chronic traumatic encephalopathy); a neuropsychiatric behavioural disorder; a depressive disorder; or a disease related to the inactivation of the X-chromosome (e.g. RETT syndrome).
[0329] The term "proliferative disorder" are used herein pertains to an unwanted or uncontrolled cellular proliferation of excessive or abnormal cells which is undesired, such as, neoplastic or hyperplastic growth, whether in vitro or in vivo. Examples of proliferative conditions include, but are not limited to, pre-malignant and malignant cellular proliferation, including but not limited to, malignant neoplasms and tumours, cancers, leukaemias, psoriasis, bone diseases, fibroproliferative disorders (e.g., of connective tissues), and atherosclerosis. Any type of cell may be treated, including but not limited to, lung, colon, breast, ovarian, prostate, liver, pancreas, brain and skin.
[0330] The cancer to be treated may be lung cancer, colon cancer, breast cancer, ovarian cancer, prostate cancer, liver cancer, skin cancer, renal cancer, solid organ cancer, pancreatic cancer, a cancer of the CNS or leukaemia, (e.g. acute myeloid leukaemia (AML), acute lymphocytic leukaemia (ALL), chronic myeloid leukaemia, chronic lymphocytic leukaemia (CLL)) small lymphocytic lymphoma (SLL) or myelodysplastic syndromes (MDS)). Certain cancers of the CNS include, but are not limited to Glioma, Glioblastoma Multiforme (GBM), Astrocytomas, Oligodendrogliomas, Ependyomas, Meningiomas, other brain neoplasms or secondary tumours that have metastasized to the brain.
[0331] Certain disorders of the CNS include, but are not limited to neurodegenerative disorders, for example a tauopathy (including but not limited to Alzheimer's disease, progressive supranuclear palsy, corticobasal syndrome, frontotemporal dementias, Pick’s disease, globular glial tauopathy, argyrophilic grain disease, aging-related tau astrogliopathy, primary age-related tauopathy and chronic traumatic encephalopathy).
[0332] The anti-proliferative effects of the compounds of the present invention have particular application in the treatment of human cancers (by virtue of their inhibition of METTL3 activity).
[0333] The anti-cancer effect may arise through one or more mechanisms, including but not limited to, the regulation of cell proliferation, the inhibition of angiogenesis (the formation of new blood vessels), the inhibition of metastasis (the spread of a tumour from its origin), the inhibition of invasion (the spread of tumour cells into neighbouring normalstructures), or the promotion of apoptosis (programmed cell death).
[0334] In a particular embodiment of the invention, the proliferative condition to be treated is cancer.Routes of Administration
[0335] The compounds of the invention or pharmaceutical compositions comprising these compounds may be administered to a subject by any convenient route of administration, whether systemically / peripherally or topically (i.e. , at the site of desired action).
[0336] Routes of administration include, but are not limited to, oral (e.g, by ingestion); buccal; sublingual; transdermal (including, e.g., by a patch, plaster, etc.); transmucosal (including, e.g., by a patch, plaster, etc.); intranasal (e.g., by nasal spray); ocular (e.g., by eye drops); pulmonary (e.g., by inhalation or insufflation therapy using, e.g., via an aerosol, e.g., through the mouth or nose); rectal (e.g., by suppository or enema); vaginal (e.g., by pessary); parenteral, for example, by injection, including subcutaneous, intradermal, intramuscular, intravenous, intra-arterial, intracardiac, intrathecal, intraspinal, intracapsular, subcapsular, intraorbital, intraperitoneal, intratracheal, subcuticular, intraarticular, subarachnoid, and intrasternal; by implant of a depot or reservoir, for example, subcutaneously or intramuscularly.Combination Therapies
[0337] In one aspect, the present invention provides a combination comprising a compound as defined herein, or a pharmaceutically acceptable salt thereof, with one or more additional therapeutic agents.
[0338] In another aspect, the present invention relates to a pharmaceutical composition comprising a compound as defined herein, or a pharmaceutically acceptable salt thereof, with one or more additional therapeutic agents, and one or more pharmaceutically acceptable excipients.
[0339] In another aspect, the present invention relates to a combination as defined herein, or a pharmaceutical product as defined herein, or a pharmaceutical composition as defined herein for use in therapy.
[0340] In another aspect, the present invention relates to a combination as defined herein, or a pharmaceutical product as defined herein, or a pharmaceutical composition as defined herein for use in the treatment of cancer.
[0341] In another aspect, the present invention relates to a use of a combination as defined herein in the manufacture of a medicament for the treatment of cancer.
[0342] In another aspect, the present invention relates to a method of treating of cancer in a subject in need thereof comprising administering to said subject a therapeutically effective amount of a combination as defined herein.
[0343] Suitably, the cancer is any one of the cancers described herein. More suitably, the cancer is a cancer of the CNS.
[0344] The antiproliferative treatment defined hereinbefore may be applied as a sole therapy or may involve, in addition to the compound of the invention, conventional surgery or radiotherapy or chemotherapy. Such chemotherapy may include one or more of the following categories of anti-tumour agents:-(i) other antiproliferative / antineoplastic drugs and combinations thereof, as used in medical oncology, such as alkylating agents (for example cis-platin, oxaliplatin, carboplatin, cyclophosphamide, nitrogen mustard, melphalan, chlorambucil, busulphan, temozolamide and nitrosoureas); antimetabolites (for example gemcitabine and antifolates such as fluoropyrimidines like 5-fluorouracil and tegafur, raltitrexed, methotrexate, cytosine arabinoside, and hydroxyurea); antitumour antibiotics (for example anthracyclines like adriamycin, bleomycin, doxorubicin, daunomycin, epirubicin, idarubicin, mitomycin-C, dactinomycin and mithramycin); antimitotic agents (for example vinca alkaloids like vincristine, vinblastine, vindesine and vinorelbine and taxoids like taxol and taxotere and polokinase inhibitors); and topoisomerase inhibitors (for example epipodophyllotoxins like etoposide and teniposide, amsacrine, topotecan and camptothecin);(ii) cytostatic agents such as antioestrogens (for example tamoxifen, fulvestrant, toremifene, raloxifene, droloxifene and iodoxyfene), antiandrogens (for example bicalutamide, flutamide, nilutamide and cyproterone acetate), LHRH antagonists or LHRH agonists (for example goserelin, leuprorelin and buserelin), progestogens (for example megestrol acetate), aromatase inhibitors (for example as anastrozole, letrozole, vorazole and exemestane) and inhibitors of 5a-reductase such as finasteride;(iii) anti-invasion agents [for example c-Src kinase family inhibitors like 4-(6-chloro-2,3- methylenedioxyanilino)-7-[2-(4-methylpiperazin-1-yl)ethoxy]-5-tetrahydropyran-4- yloxyquinazoline (AZD0530; International Patent Application WO 01 / 94341), A / -(2-chloro-6- methylphenyl)-2-{6-[4-(2-hydroxyethyl)piperazin-1-yl]-2-methylpyrimidin-4-ylamino}thiazole- 5-carboxamide (dasatinib, BMS-354825; J. Med. Chem., 2004, 47, 6658-6661) and bosutinib (SKI-606), and metalloproteinase inhibitors like marimastat, inhibitors of urokinase plasminogen activator receptor function or antibodies to Heparanase];(iv) inhibitors of growth factor function: for example such inhibitors include growth factor antibodies and growth factor receptor antibodies (for example the anti-erbB2 antibody trastuzumab [Herceptin™], the anti-EGFR antibody panitumumab, the anti-erbB1 antibody cetuximab [Erbitux, C225] and any growth factor or growth factor receptor antibodies disclosed by Stern et al. (Critical reviews in oncology / haematology, 2005, Vol. 54, pp11-29); suchinhibitors also include tyrosine kinase inhibitors, for example inhibitors of the epidermal growth factor family (for example EGFR family tyrosine kinase inhibitors such as A / -(3-chloro-4- fluorophenyl)-7-methoxy-6-(3-morpholinopropoxy)quinazolin-4-amine (gefitinib, ZD1839), / V- (3-ethynylphenyl)-6,7-bis(2-methoxyethoxy)quinazolin-4-amine (erlotinib, OSI-774) and 6- acrylamido-A / -(3-chloro-4-fluorophenyl)-7-(3-morpholinopropoxy)-quinazolin-4-amine (Cl 1033), erbB2 tyrosine kinase inhibitors such as lapatinib); inhibitors of the hepatocyte growth factor family; inhibitors of the insulin growth factor family; inhibitors of the platelet-derived growth factor family such as imatinib and / or nilotinib (AMN107); inhibitors of serine / threonine kinases (for example Ras / Raf signalling inhibitors such as farnesyl transferase inhibitors, for example sorafenib (BAY 43-9006), tipifarnib (R115777) and lonafarnib (SCH66336)), inhibitors of cell signalling through MEK and / or AKT kinases, c-kit inhibitors, abl kinase inhibitors, PI3 kinase inhibitors, Plt3 kinase inhibitors, CSF-1 R kinase inhibitors, IGF receptor (insulin-like growth factor) kinase inhibitors; aurora kinase inhibitors (for example AZD1152, PH739358, VX-680, MLN8054, R763, MP235, MP529, VX-528 AND AX39459) and cyclin dependent kinase inhibitors such as CDK2 and / or CDK4 inhibitors;(v) antiangiogenic agents such as those which inhibit the effects of vascular endothelial growth factor, [for example the anti-vascular endothelial cell growth factor antibody bevacizumab (Avastin™) and for example, a VEGF receptor tyrosine kinase inhibitor such as vandetanib (ZD6474), vatalanib (PTK787), sunitinib (SU11248), axitinib (AG-013736), pazopanib (GW 786034) and 4-(4-fluoro-2-methylindol-5-yloxy)-6-methoxy-7-(3-pyrrolidin-1- ylpropoxy)quinazoline (AZD2171 ; Example 240 within WO 00 / 47212), compounds such as those disclosed in International Patent Applications WO97 / 22596, WO 97 / 30035, WO 97 / 32856 and WO 98 / 13354 and compounds that work by other mechanisms (for example linomide, inhibitors of integrin avp3 function and angiostatin)];(vi) vascular damaging agents such as Combretastatin A4 and compounds disclosed in International Patent Applications WO 99 / 02166, WO 00 / 40529, WO 00 / 41669, WO 01 / 92224, WO 02 / 04434 and WO 02 / 08213;(vii) an endothelin receptor antagonist, for example zibotentan (ZD4054) or atrasentan;(viii) antisense therapies, for example those which are directed to the targets listed above, such as ISIS 2503, an anti-ras antisense;(ix) gene therapy approaches, including for example approaches to replace aberrant genes such as aberrant p53 or aberrant BRCA1 or BRCA2, GDEPT (gene-directed enzyme pro-drug therapy) approaches such as those using cytosine deaminase, thymidine kinase or a bacterial nitroreductase enzyme and approaches to increase patient tolerance to chemotherapy or radiotherapy such as multi-drug resistance gene therapy;(x) immunotherapy approaches, including for example ex-vivo and in-vivo approaches to increase the immunogenicity of patient tumour cells, such as transfection with cytokines such as interleukin 2, interleukin 4 or granulocyte-macrophage colony stimulating factor, approaches to decrease T-cell anergy, approaches using transfected immune cells such as cytokine-transfected dendritic cells, approaches using cytokine-transfected tumour cell lines and approaches using anti-idiotypic antibodies; and(xi) Agents used to treat AML leukaemia, including for example, cytarabine, FLT3 inhibitors, BCL2 inhibitors or I DH 1 / 2 inhibitors.
[0345] In a particular embodiment, the antiproliferative treatment defined hereinbefore may involve, in addition to the compound of the invention, conventional surgery or radiotherapy or chemotherapy.
[0346] Such conjoint treatment may be achieved by way of the simultaneous, sequential or separate dosing of the individual components of the treatment. Such combination products employ the compounds of this invention within the dosage range described hereinbefore and the other pharmaceutically-active agent within its approved dosage range.
[0347] According to this aspect of the invention there is provided a combination for use in the treatment of a cancer (for example a cancer involving a solid tumour) comprising a compound of the invention as defined hereinbefore, or a pharmaceutically acceptable salt thereof, and another anti-tumour agent.
[0348] According to this aspect of the invention there is provided a combination for use in the treatment of a proliferative condition, such as cancer (for example a cancer involving a solid tumour), comprising a compound of the invention as defined hereinbefore, or a pharmaceutically acceptable salt thereof, and any one of the anti-tumour agents listed herein above.
[0349] In a further aspect of the invention there is provided a compound of the invention or a pharmaceutically acceptable salt thereof, for use in the treatment of cancer in combination with another anti-tumour agent, optionally selected from one listed herein above.
[0350] Herein, where the term “combination” is used it is to be understood that this refers to simultaneous, separate or sequential administration. In one aspect of the invention “combination” refers to simultaneous administration. In another aspect of the invention “combination” refers to separate administration. In a further aspect of the invention “combination” refers to sequential administration. Where the administration is sequential or separate, the delay in administering the second component should not be such as to lose thebeneficial effect of the combination.
[0351] According to a further aspect of the invention there is provided a pharmaceutical composition which comprises a compound of the invention, or a pharmaceutically acceptable salt thereof, in combination with an anti-tumour agent (optionally selected from one listed herein above), in association with a pharmaceutically acceptable diluent or carrier.
[0352] In another embodiment, the invention relates to a therapeutic combination comprising a compound as defined herein and another agent used to treat AML leukeamia e.g., cytarabine, FLT3 inhibitors, BCL2 inhibitors or I DH 1 / 2 inhibitors.
[0353] In another embodiment, the invention relates to a therapeutic combination comprising a compound as defined herein and a BCL2 inhibitor (e.g. venetoclax).
[0354] In another embodiment, the invention relates to a therapeutic combination comprising a compound as defined herein and an anthracycline topoisomerase 2 inhibitor (e.g. daunorubicin), cytarabine, hypomethylating agent (e.g. 5-azacitidine or decitabine) or FLT3 inhibitor (e.g. quizartinib).Combinations with immune oncology agent or therapy
[0355] In one aspect the present invention relates to a combination comprising a compound as defined herein, or a pharmaceutically acceptable salt thereof, and an immune checkpoint inhibitor, or a pharmaceutically acceptable salt thereof.
[0356] In another embodiment, the invention relates to a therapeutic combination comprising a compound as defined herein and an immune oncology agent or therapy (e.g. immune checkpoint inhibitors (e.g. a PD1 , PD-L1 inhibitor, LAG3, CTLA-4, TIGIT, TIM3, or VISTA inhibitor), STING agonists, TLR agonists, anti-CD137 antibodies, CD28 antibodies, 0X40 stimulators, CD40 antibodies, ICOS agonists, GITR agonists, A2AR antagonists, Bispecific T cell engagers (BiTE), oncolytic viruses, cancer vaccines, and / or CAR-T cell therapy).
[0357] In another embodiment, the invention relates to a therapeutic combination comprising a compound as defined herein and an immune oncology agent or therapy (e.g. immune checkpoint inhibitors (e.g. a PD1 , PD-L1 inhibitor, LAG3, CTLA-4, TIGIT, TIM3, or VISTA inhibitor).
[0358] In another embodiment, the invention relates to a therapeutic combination comprising a compound as defined herein and an immune checkpoint inhibitor.
[0359] Any immune checkpoint inhibitor may be used in the combination therapy defined herein.
[0360] In one embodiment, the immune checkpoint inhibitor is selected from a PD1 , PD- L1 inhibitor, a LAG3 inhibitor and a CTLA-4 inhibitor. In a particular embodiment, the immune checkpoint inhibitor is a PD1 or PD-L1 inhibitor.
[0361] PD-1 is a cell surface receptor protein present on T cells. PD-1 plays an important role in down-regulating the immune system and promoting self-tolerance by suppressing T cell inflammatory activity. The PD-1 protein is an immune checkpoint that guards against autoimmunity through a dual mechanism of promoting apoptosis (programmed cell death) in antigen specific T cells in lymph nodes, while simultaneously reducing apoptosis in regulatory T cells (anti-inflammatory suppressive T cells).
[0362] PD-1 therefore inhibits the immune system. This prevents autoimmune diseases, but it can also prevent the immune system from killing cancer cells.
[0363] PD1 binds two ligands, PD-L1 and PD-L2. PD-L1 is of particular interest as it is highly expressed in several cancers and hence the role of PD1 in cancer immune evasion is well established. Monoclonal antibodies targeting PD-1 that boost the immune system are being developed for the treatment of cancer. Many tumour cells express PD-L1 , an immunosuppressive PD-1 ligand; inhibition of the interaction between PD-1 and PD-L1 can enhance T-cell responses in vitro and mediate preclinical antitumour activity. This is known as immune checkpoint blockade.
[0364] Examples of drugs that target PD-1 include pembrolizumab (Keytruda) and nivolumab (Opdivo). These drugs have been shown to be effective in treating several types of cancer, including melanoma of the skin, non-small cell lung cancer, kidney cancer, bladder cancer, head and neck cancers, and Hodgkin lymphoma. They are also being studied for use against many other types of cancer. Examples of drugs in development include BMS-936559 (Bristol Myers Squibb), MGA012 (MacroGenics) and MEDI-0680 (Medlmmune).
[0365] Examples of drugs that inhibit PD-L1 include atezolizumab (Tecentriq), avelumab (Bavencio) and durvalumab (Imfinzi). These drugs have also been shown to be helpful in treating different types of cancer, including bladder cancer, non-small cell lung cancer, and Merkel cell skin cancer (Merkel cell carcinoma). They are also being studied for use against other types of cancer.
[0366] Examples of LAG3 inhibitors include BMS-986016 / Relatlimab, TSR-033, REGN3767, MGD013 (bispecific DART binding PD-1 and LAG-3), GSK2831781 and LAG525.
[0367] Examples of CTLA-4 inhibitors include MDX-010 / lpilimumab, AGEN1884, and CP-675, 206 / T remelimumab.
[0368] In one embodiment, the immune checkpoint inhibitor is selected from BMS- 986016 / Relatlimab, TSR-033, REGN3767, MGD013 (bispecific DART binding PD-1 and LAG-3), GSK2831781, LAG525, MDX-010 / lpilimumab, AGEN1884, and CP-675, 206 / Tremelimumab, pembrolizumab, nivolumab, atezolizumab, avelumab and durvalumab, or a pharmaceutically acceptable salt thereof.
[0369] In another embodiment, the immune checkpoint inhibitor is selected from BMS- 986016 / Relatlimab, MDX-010 / lpilimumab, CP-675, 206 / Tremelimumab, pembrolizumab, nivolumab, atezolizumab, avelumab, and durvalumab, or a pharmaceutically acceptable salt thereof.
[0370] In another embodiment, the immune checkpoint inhibitor is selected from pembrolizumab, nivolumab, atezolizumab, avelumab and durvalumab, or a pharmaceutically acceptable salt thereof.
[0371] In another embodiment, the immune checkpoint inhibitor is selected from pembrolizumab, nivolumab, atezolizumab, avelumab and durvalumab, or a pharmaceutically acceptable salt thereof.
[0372] In another embodiment, the immune checkpoint inhibitor is selected from pembrolizumab and avelumab, or a pharmaceutically acceptable salt thereof.Particular Aspects and Embodiments of the Invention
[0373] The following paragraphs serve to define particular aspects and embodiments of the invention.Paragraph 1. A compound of formula (I) shown below, or a pharmaceutically acceptable salt thereof:wherein: R1 is selected from hydrogen, chloro or fluoro;R2a is hydrogen or methyl; andR4a is hydrogen or methyl; wherein only one of R2a and R4a may be methyl.Paragraph 2. A compound according to paragraph 1 , or a pharmaceutically acceptable salt thereof, wherein isR1 hydrogen.Paragraph s. A compound according to according to paragraph 1, or a pharmaceutically acceptable salt thereof, wherein is fluoRr1o.Paragraph 4. A compound according to according to paragraph 1, or a pharmaceutically acceptable salt thereof, wherein is chlRo1ro.Paragraph 5. A compound according to any one of the preceding paragraphs, or a pharmaceutically acceptable salt thereof, wherein R2a is hydrogen.Paragraph 6. A compound according to any one of paragraphs 1 to 4, or a pharmaceutically acceptable salt thereof, wherein R2a is methyl.Paragraph 7. A compound according to any one of the preceding paragraphs, or a pharmaceutically acceptable salt thereof, wherein R4a is hydrogen.Paragraph 8. A compound according to any one of paragraphs 1 to 6, or a pharmaceutically acceptable salt thereof, wherein R4a is methyl.Paragraph 9. A compound according to paragraph 1, wherein: R1 is selected from hydrogen, chloro or fluoro;R2a is selected from hydrogen or methyl;R4a is hydrogen.Paragraph 10. A compound according to paragraph 1, wherein: R1 is selected from hydrogen, chloro or fluoro;R2a is hydrogen;R4a is selected from hydrogen or methyl.Paragraph 11. A compound according to paragraph 1, wherein:R1 is hydrogen;R2a is selected from hydrogen or methyl;R4a is hydrogen. Paragraph 12. A compound according to any one of the preceding paragraphs, or a pharmaceutically acceptable salt thereof, having a structural formula (Ila), (Illa) or (IVa) below:wherein Ri, R2a and R4a are as defined in any one of the preceding paragraphs.Paragraph 13. A compound according to any one of paragraphs 1 to 11 , or a pharmaceutically acceptable salt thereof, having a structural formula (lib), (lllb) or (IVb) below:wherein Ri, R2a and R4a are as defined in any one of the preceding paragraphs.Paragraph 14. A compound according to any one of paragraphs 1 to 12, or a pharmaceutically acceptable salt thereof, having a structural formula (V), (VI) or (VII) below:5wherein R1 is as defined in any one of the preceding paragraphs. Paragraph 15. A compound according to any one of paragraphs 1 to 12, ora pharmaceutically acceptable salt thereof, having a structural formula (Va), (Via) or (Vila) below:wherein R1 is as defined in any one of the preceding paragraphs.Paragraph 16. A compound according to any one of the preceding paragraphs, or a pharmaceutically acceptable salt thereof, having a structural formula (Vb), (Vlb) or (Vllb) below:5(VI lb) wherein R1 is as defined in any one of the preceding paragraphs.Paragraph 17. A compound, or a pharmaceutically acceptable salt thereof, selected from any one of the following:N-((2-(((2R,4R)-2,4-dimethylpiperidin-1-yl)methyl)-1 H-indol-6-yl)methyl)-4-oxo-4H- pyrido[1,2-a]pyrimidine-2-carboxamide;N-((2-(((2S,4S)-2,4-dimethylpiperidin-1-yl)methyl)-1 H-indol-6-yl)methyl)-4-oxo-4H- pyrido[1,2-a]pyrimidine-2-carboxamide;(R)-4-oxo-N-((2-((2,2,4-trimethylpiperidin-1-yl)methyl)-1 H-indol-6-yl)methyl)-4H- pyrido[1,2-a]pyrimidine-2-carboxamide;(S)-4-oxo-N-((2-((2,2,4-trimethylpiperidin-1-yl)methyl)-1 H-indol-6-yl)methyl)-4H- pyrido[1,2-a]pyrimidine-2-carboxamide;N-((2-(((2R,4R)-4-methyl-2-(methyl-d3)piperidin-1-yl)methyl)-1 H-indol-6-yl)methyl)-4- oxo-4H-pyrido[1,2-a]pyrimidine-2-carboxamide;N-((2-(((2S,4S)-4-methyl-2-(methyl-d3)piperidin-1-yl)methyl)-1 H-indol-6-yl)methyl)-4- oxo-4H-pyrido[1,2-a]pyrimidine-2-carboxamide;(R)-4-oxo-N-((2-((2,4,4-trimethylpiperidin-1-yl)methyl)-1 H-indol-6-yl)methyl)-4H- pyrido[1,2-a]pyrimidine-2-carboxamide;(S)-4-oxo-N-((2-((2,4,4-trimethylpiperidin-1-yl)methyl)-1 H-indol-6-yl)methyl)-4H- pyrido[1,2-a]pyrimidine-2-carboxamide;N-((2-(((2R,4R)-2,4-dimethylpiperidin-1-yl)methyl)-5-fluoro-1 H-indol-6-yl)methyl)-4- oxo-4H-pyrido[1,2-a]pyrimidine-2-carboxamide;N-((2-(((2S,SR)-2,4-dimethylpiperidin-1 -yl)methyl)-5-fluoro-1 H-indol-6-yl)methyl)-4- oxo-4H-pyrido[1 ,2-a]pyrimidine-2-carboxamide;(R)-N-((5-fluoro-2-((2,4,4-trimethylpiperidin-1-yl)methyl)-1 H-indol-6-yl)methyl)-4-oxo- 4H-pyrido[1 ,2-a]pyrimidine-2-carboxamide;(S)-N-((5-fluoro-2-((2,4,4-trimethylpiperidin-1-yl)methyl)-1 H-indol-6-yl)methyl)-4-oxo- 4H-pyrido[1 ,2-a]pyrimidine-2-carboxamide;(S)-N-((5-fluoro-2-((2,2,4-trimethylpiperidin-1-yl)methyl)-1 H-indol-6-yl)methyl)-4-oxo- 4H-pyrido[1 ,2-a]pyrimidine-2-carboxamide;N-((2-(((2S,4S)-2,4-dimethylpiperidin-1-yl)methyl)-5-fluoro-1 H-indol-6-yl)methyl)-4- oxo-4H-pyrido[1 ,2-a]pyrimidine-2-carboxamide;(R)-N-((5-fluoro-2-((2,2,4-trimethylpiperidin-1-yl)methyl)-1 H-indol-6-yl)methyl)-4-oxo- 4H-pyrido[1 ,2-a]pyrimidine-2-carboxamide;N-((5-fluoro-2-(((2R,4R)-4-methyl-2-(methyl-d3)piperidin-1-yl)methyl)-1 H-indol-6- yl)methyl)-4-oxo-4H-pyrido[1 ,2-a]pyrimidine-2-carboxamide;N-((5-fluoro-2-(((2S,4S)-4-methyl-2-(methyl-d3)piperidin-1-yl)methyl)-1 H-indol-6- yl)methyl)-4-oxo-4H-pyrido[1 ,2-a]pyrimidine-2-carboxamide; or N-((5-chloro-2-(((2S,4S)-2,4-dimethylpiperidin-1-yl)methyl)-1 H-indol-6-yl)methyl)-4- oxo-4H-pyrido[1 ,2-a]pyrimidine-2-carboxamide.Paragraph 18. A pharmaceutical composition comprising a compound according to any one of paragraph 1 to 17, or a pharmaceutically acceptable salt thereof, and one or more pharmaceutically acceptable excipients.Paragraph 19. A compound according to any one of paragraphs 1 to 17 or a pharmaceutically acceptable salt thereof, or a pharmaceutical composition according to paragraph 18, for use in therapy.Paragraph 20. A compound according to any one of paragraphs 1 to 17 or a pharmaceutically acceptable salt thereof, or a pharmaceutical composition according to paragraph 18, for use in the treatment of a proliferative condition; optionally for use in the treatment of cancer; further optionally for use in the treatment of: i. leukaemia, e.g. acute myeloid leukaemia (AML), acute lymphocytic leukaemia (ALL), chronic myeloid leukaemia, chronic lymphocytic leukaemia (CLL)) small lymphocytic lymphoma (SLL) or myelodysplastic syndromes (MDS);ii. a cancer of the CNS, e.g. Glioma, Glioblastoma Multiforme (GBM), Astrocytomas, Oligodendrogliomas, Ependyomas, Meningiomas, other brain neoplasms or secondary tumours that have metastasized to the brain.Paragraph 21. A compound according to any one of paragraphs 1 to 17 or a pharmaceutically acceptable salt thereof, or a pharmaceutical composition according to paragraph 18, for use in the treatment of: i. a neurodegenerative disorder, e.g. a tauopathy, such as Alzheimer's disease, progressive supranuclear palsy, corticobasal syndrome, frontotemporal dementias, Pick’s disease, globular glial tauopathy, argyrophilic grain disease, aging-related tau astrogliopathy, primary age-related tauopathy and chronic traumatic encephalopathy; ii. an autoimmune disease, a disorder of the CNS, a neurological disease, an inflammatory disease, an infectious disease, type 2 diabetes, a neuropsychiatric behavioural disorder, a depressive disorder or a disease related to the inactivation of the X- chromosome; iii. a disease related to the inactivation of the X-chromosome, e.g. Addison's disease with cerebral sclerosis; Adrenal hypoplasia; siderius X-linked mental retardation syndrome;Agammaglobulinaemia, Bruton type; Choroidoretinal degeneration; Choroidaemia; Albinism, ocular; Dent's disease 2; fragile X syndrome; Rett / Epileptic encephalopathy, early infantile, 2 (CDKL5 deficiency disorder); Albinism-deafness syndrome; paroxysmal nocturnal hemoglobinuria; Aldrich syndrome; Alport syndrome; Anaemia, hereditary hypochromic; Anemia, sideroblastic, with ataxia; Fabry disease; Spinal muscular atrophy 2; Cataract, congenital; Charcot-Marie-Tooth, peroneal; Spastic paraplegia; Colour blindness; Diabetes insipidus, nephrogenic; DDX3X syndrome; Dyskeratosis congenita; Ectodermal dysplasia, anhidrotic; Faciogenital dysplasia (Aarskog syndrome); Glucose-6- phosphate dehydrogenase deficiency; Glycogen storage disease type VIII; Gonadal dysgenesis (XY female type); Granul omatous disease (chronic); Haemophilia A; Haemophilia B; Hydrocephalus (aqueduct stenosis); Hypophosphataemic rickets; Lesch-Nyhan syndrome (hypoxanthine-guanine-phosphoribosyl transferasedeficiency); Incontinentia pigmenti; Kallmann syndrome; Keratosis follicularis spinulosa; Lowe (oculocerebrorenal) syndrome; Menkes syndrome; Renpenning Syndrome; Mental retardation, with or without fragile site (numerous specific types); Coffin-Lowry syndrome; Microphthalmia with multiple anomalies (Lenz syndrome); Muscular dystrophy (Becker, Duchenne and Emery- Dreifuss types); Myotubular myopathy; Night blindness, congenital stationary; Norrie's disease (pseudoglioma); Nystagmus, oculomotor or 'jerky'; Orofaciodigital syndrome (type I); Ornithine transcarbamylase deficiency (type I hyperammonaemia);Phosphoglycerate kinase deficiency; Phosphoribosylpyrophosphate synthetase deficiency; Retinitis pigmentosa; Retinoschisis; Rett syndrome; Muscular atrophy / Dihydrotestosterone receptor deficiency; Spinal muscular atrophy; Spondyloepiphyseal dysplasia tarda; Thrombocytopenia, hereditary; Thyroxine-binding globulin, absence; or McLeod syndrome.Paragraph 22. A compound according to any one of paragraphs 1 to 17 or a pharmaceutically acceptable salt thereof, or a pharmaceutical composition according to paragraph 18, for use in the inhibition of METTL3 activity.Paragraph 23. Use of a compound according to any one of paragraphs 1 to 17 or a pharmaceutically acceptable salt thereof, or a pharmaceutical composition according to paragraph 18, in the manufacture of a medicament for the treatment of a proliferative condition; optionally wherein the proliferative condition is cancer; further optionally wherein the cancer is selected from: i. leukaemia, e.g. acute myeloid leukaemia (AML), acute lymphocytic leukaemia (ALL) chronic myeloid leukaemia, chronic lymphocytic leukaemia (CLL)) small lymphocytic lymphoma (SLL) or myelodysplastic syndromes (MDS); or ii. a cancer of the CNS, e.g. Glioma, Glioblastoma Multiforme (GBM), Astrocytomas, Oligodendrogliomas, Ependyomas, Meningiomas, other brain neoplasms or secondary tumours that have metastasized to the brain.Paragraph 24. Use of a compound according to any one of paragraphs 1 to 17 or a pharmaceutically acceptable salt thereof, or a pharmaceutical composition according to paragraph 18, in the manufacture of a medicament for the treatment of: i. a neurodegenerative disorder (e.g. a tauopathy, such as Alzheimer's disease, progressive supranuclear palsy, corticobasal syndrome, frontotemporal dementias, Pick’s disease, globular glial tauopathy, argyrophilic grain disease, aging-related tau astrogliopathy, primary age-related tauopathy and chronic traumatic encephalopathy); or ii. a disease related to the inactivation of the X-chromosome, e.g. Addison's disease with cerebral sclerosis; Adrenal hypoplasia; siderius X-linked mental retardation syndrome;Agammaglobulinaemia, Bruton type; Choroidoretinal degeneration; Choroidaemia; Albinism, ocular; Dent's disease 2; fragile X syndrome; Rett / Epileptic encephalopathy, early infantile, 2 (CDKL5 deficiency disorder); Albinism-deafness syndrome; paroxysmal nocturnal hemoglobinuria; Aldrich syndrome; Alport syndrome; Anaemia, hereditary hypochromic; Anemia, sideroblastic, with ataxia; Fabry disease; Spinal muscular atrophy 2; Cataract, congenital; Charcot-Marie-Tooth, peroneal; Spastic paraplegia; Colour blindness; Diabetes insipidus, nephrogenic; DDX3X syndrome; Dyskeratosis congenita; Ectodermal dysplasia, anhidrotic; Faciogenital dysplasia (Aarskog syndrome); Glucose-6- phosphate dehydrogenase deficiency; Glycogen storage disease type VIII; Gonadal dysgenesis (XY female type); Granul omatous disease (chronic); Haemophilia A; Haemophilia B; Hydrocephalus (aqueduct stenosis); Hypophosphataemic rickets; Lesch-Nyhan syndrome (hypoxanthine-guanine-phosphoribosyl transferase deficiency); Incontinentia pigmenti; Kallmann syndrome; Keratosis follicularis spinulosa; Lowe (oculocerebrorenal) syndrome; Menkes syndrome; Renpenning Syndrome; Mental retardation, with or without fragile site (numerous specific types); Coffin-Lowry syndrome; Microphthalmia with multiple anomalies (Lenz syndrome); Muscular dystrophy (Becker, Duchenne and Emery- Dreifuss types); Myotubular myopathy; Night blindness, congenital stationary; Norrie's disease (pseudoglioma); Nystagmus, oculomotoror 'jerky'; Orofaciodigital syndrome (type I); Ornithine transcarbamylase deficiency (type I hyperammonaemia); Phosphoglycerate kinase deficiency; Phosphoribosylpyrophosphate synthetase deficiency; Retinitis pigmentosa; Retinoschisis; Rett syndrome; Muscular atrophy / Dihydrotestosterone receptor deficiency; Spinal muscular atrophy; Spondyloepiphyseal dysplasia tarda; Thrombocytopenia, hereditary; Thyroxine-binding globulin, absence; or McLeod syndrome; or iii. an autoimmune disease, a disorder of the CNS, a neurological disease, an inflammatory disease, an infectious disease, type 2 diabetes, a neuropsychiatric behavioural disorder, a depressive disorder or a disease related to the inactivation of the X- chromosome.Paragraph 25. Use of a compound according to any one of paragraphs 1 to 17 or a pharmaceutically acceptable salt thereof, or a pharmaceutical composition according to paragraph 18, in the manufacture of a medicament for the inhibition of METTL3 activity.Paragraph 26. A method of treating a proliferative disorder, said method comprising administering to a subject in need thereof a therapeutically effective amount of a compound according to any one of paragraphs 1 to 17 or a pharmaceutically acceptable salt thereof, or a pharmaceutical composition according to paragraph 18; optionally wherein the proliferative disorder is cancer; further optionally wherein the cancer is selected from: i. leukaemia, (e.g acute myeloid leukaemia (AML), acute lymphocytic leukaemia (ALL), chronic myeloid leukaemia, chronic lymphocytic leukaemia (CLL)) small lymphocytic lymphoma (SLL) or myelodysplastic syndromes (MDS)); ii. a cancer of the CNS (e.g. Glioma, Glioblastoma Multiforme (GBM), Astrocytomas, Oligodendrogliomas, Ependyomas, Meningiomas, other brain neoplasms or secondary tumours that have metastasized to the brain).Paragraph 27. A method of treating a neurodegenerative disorder (e.g. a tauopathy, such as Alzheimer's disease, progressive supranuclear palsy, corticobasal syndrome, frontotemporal dementias, Pick’s disease, globular glial tauopathy, argyrophilic grain disease, aging-related tau astrogliopathy, primary age-related tauopathy and chronic traumatic encephalopathy), said method comprising administering to a subject in need thereof a therapeutically effective amount of a compound according to any one of paragraphs 1 to 17 or a pharmaceutically acceptable salt thereof, or a pharmaceutical composition according to paragraph 18.Paragraph 28. A method of treating an autoimmune disease, a disorder of the CNS, a neurological disease, an inflammatory disease, an infectious disease, type 2 diabetes, a neuropsychiatric behavioural disorder, a depressive disorder or a disease related to the inactivation of the X-chromosome, said method comprising administering to a subject in need thereof a therapeutically effective amount of a compound according to any one of paragraphs 1 to 17 or a pharmaceutically acceptable salt thereof, or a pharmaceutical composition according to paragraph 18.Paragraph 29. A method of treating a disease related to the inactivation of the X- chromosome, said method comprising administering to a subject in need thereof a therapeutically effective amount of a compound according to any one of paragraphs 1 to 17 or a pharmaceutically acceptable salt thereof, or a pharmaceutical composition according to paragraph 18; optionally wherein the disease related to the inactivation of the X-chromosome is selected from: Addison's disease with cerebral sclerosis; Adrenal hypoplasia; siderius X-linked mental retardation syndrome; Agammaglobulinaemia, Bruton type; Choroidoretinal degeneration; Choroidaemia; Albinism, ocular; Dent's disease 2; fragile X syndrome; Rett / Epileptic encephalopathy, early infantile, 2 (CDKL5 deficiency disorder); Albinism-deafness syndrome; paroxysmal nocturnal hemoglobinuria; Aldrich syndrome; Alport syndrome; Anaemia, hereditary hypochromic; Anemia, sideroblastic, with ataxia; Fabry disease; Spinal muscular atrophy 2; Cataract, congenital; Charcot-Marie-Tooth, peroneal; Spastic paraplegia; Colour blindness; Diabetes insipidus, nephrogenic; DDX3X syndrome; Dyskeratosis congenita; Ectodermal dysplasia, anhidrotic; Faciogenital dysplasia (Aarskog syndrome); Glucose-6-phosphate dehydrogenase deficiency; Glycogen storage disease type VIII; Gonadal dysgenesis (XY female type); Granul omatous disease (chronic); Haemophilia A; Haemophilia B; Hydrocephalus (aqueduct stenosis);Hypophosphataemic rickets; Lesch-Nyhan syndrome (hypoxanthine-guanine- phosphoribosyl transferase deficiency); Incontinentia pigmenti; Kallmann syndrome; Keratosis follicularis spinulosa; Lowe (oculocerebrorenal) syndrome; Menkes syndrome; Renpenning Syndrome; Mental retardation, with or without fragile site (numerous specific types); Coffin-Lowry syndrome; Microphthalmia with multiple anomalies (Lenz syndrome); Muscular dystrophy (Becker, Duchenne and Emery- Dreifuss types); Myotubular myopathy; Night blindness, congenital stationary;Norrie's disease (pseudoglioma); Nystagmus, oculomotor or 'jerky'; Orofaciodigital syndrome (type I); Ornithine transcarbamylase deficiency (type I hyperammonaemia); Phosphoglycerate kinase deficiency; Phosphoribosylpyrophosphate synthetase deficiency; Retinitis pigmentosa; Retinoschisis; Rett syndrome; Muscular atrophy / Dihydrotestosterone receptor deficiency; Spinal muscular atrophy;Spondyloepiphyseal dysplasia tarda; Thrombocytopenia, hereditary; Thyroxine- binding globulin, absence; or McLeod syndrome.Paragraph 30. A method of inhibiting METTL3 activity in vitro or in vivo, said method comprising contacting a cell with an effective amount of a compound according to any one of paragraphs 1 to 17 or a pharmaceutically acceptable salt thereof, or a pharmaceutical composition according to paragraph 18.Paragraph 31 . A method of inhibiting metastasis in vitro or in vivo, said method comprising contacting a cell with an effective amount of a compound according to any one paragraphs 1 to 17 or a pharmaceutically acceptable salt thereof, or a pharmaceutical composition according to paragraph 18.Paragraph 32. A combination comprising a compound according to any one of paragraphs 1 to 17, or a pharmaceutically acceptable salt there, with one or more additional therapeutic agents.EXAMPLES
[0374] The following abbreviations have been used in the Examples:AbbreviationsDCE: 1 ,2-DichloroethaneDCM: DichloromethaneDEA: DiethylamineDI PEA: DiispropylethylamineDMF: DimethylformamideDMSO: Dimethyl sulfoxideNCS: N-ChlorosuccinimidePMA: Phosphomolybdic acidRT: Retention TimeSFC: Supercritical fluid chromatographySTAB: Sodium triacetoxyborohydrideTEA: TriethylamineTHF: TetrahydrofuranTMEDA: TetramethylethylenediamineThe following methodologies have been used in the Examples:Method A:
[0375] High pH reverse phase system using a Waters LIPLC® BEH C18 column (2.1 mm x 30 mm, 1.7 pm; temperature: 40 °C), with an injection volume of 1 pL at a flow rate of 1 mL / min and a gradient of 5 - 100% B over 0.75 min, then 100% B for 0.1 min, where A = 2 mM ammonium bicarbonate in water, buffered to pH 10, and B = acetonitrile. A second gradient of 100 - 5% B was then applied over 0.05 min and held for 0.1 min. UV spectra were recorded at 215 nm; spectrum range: 200 - 400 nm. Mass spectra were obtained using a Waters Quattro Premier XE detector; ionization mode: electrospray positive or negative. Data were integrated and reported using Waters MassLynx and OpenLynx software.Method B:
[0376] High pH reverse phase system using a Waters LIPLC® BEH C18 column (2.1 mm x 100 mm, 1.7 pm; temperature: 55 °C), with an injection volume of 1 pL and at a flow rate of 0.6 mL / min and a gradient of 5 - 100% B over 5.3 min, then 100% B for 0.5 min, where A = 2 mM ammonium bicarbonate in water, buffered to pH 10, and B = acetonitrile. A second gradient of 100 - 5% B was then applied over 0.02 min and held for 1.18 min. UV spectra were recorded at 215 nm; spectrum range: 200 - 400 nm. Mass spectra were obtained using a Waters Quattro Premier XE mass detector or a Waters SQD2; ionization mode: electrospray positive or negative. Data were integrated and reported using Waters MassLynx and OpenLynx software.Method C:
[0377] LCMS were performed in reverse phase using a Waters UPLC® BEH C18 (2.1 mm x 50 mm, 2.5 pm; temperature: Ambient), with an injection volume of 10 pL maximum at a flow rate of 0.8 mL / min and a gradient of 3-100% of water over 3.00 min at a flow rate of 0.8mL / min than 100 % B over 0.5min with 1 mL / min flow, where A = 0.1 % Formic Acid in water, and B = 0.1 % Formic Acid in Water: Acetonitrile (10:90). A second gradient of 100-3% was then applied over 0.01 min and hold for 0.49 min. UV spectra were recorded in spectrum range :200 -400 nm. Mass spectra were obtained using a Acquity Qda detector; ionization mode electrospray positive or negative. Data were integrated and reported using Waters Acquity LIPLC and Empower 3 software.Method D:
[0378] Waters acquity UPLC®H-Class equipped with PDA and attached with QDa detector, column: X-Bridge BEH C18, 50 x 2.1 mm, 2.5 micron, Column temperature: Ambient, Auto sampler temperature: 150C, Mobile Phase A : 2 mM ammonium acetate followed by 0.1 %Formic acid in water, Mobile Phase B : 0.1 % Formic Acid in Acetonitrile, Mobile phase gradient details: T = 0 min (95% A, 5% B) flow; T = 0.4 min (95% A, 5% B) ; gradient to T = 0.8 min (65% A, 35% B) ; gradient to T = 1.20 min (45% A, 55% B) ; T = 2.5 min (0% A, 100% B) ; gradient to T= 3.30 min (0% A, 100% B) ; gradient to T= 3.31 min to end of run at T = 4 min (95% A, 5% B), Flow rate: 0.55 mL / min, Run Time: 4 min. UV Detection Method: PDA Mass parameter: Probe: ESI.LCMS Method E:
[0379] Low pH reverse phase system using a Phenomenex Kinetex-XB C18 column (2.1 mm x 100 mm, 1.7 pm; temperature: 40 °C), with an injection volume of 1 pL at a flow rate of 0.6 mL / min and a gradient of 5 - 100% B over 5.3 min, then 100% B for 0.5 min, where A = 0.1% formic acid in water, and B = 0.1 % formic acid in acetonitrile. A second gradient of 100- 5% B was then applied over 0.02 min and held for 1.18 min. UV spectra were recorded at 215 nm; spectrum range: 200 - 400 nm. ELS data was collected on a Waters ELS detector when reported. Mass spectra were obtained using a Waters SQD or QDA detector; ionization mode: electrospray positive or negative. Data were integrated and reported using Waters MassLynx and OpenLynx software.LCMS Method F:
[0380] Low pH reverse phase system using a Phenomenex Kinetex-XB C18 column (2.1 mm x 100 mm, 1.7 pm; temperature: 40 °C), with an injection volume of 1 pL at a flow rate of 0.6 mL / min and a gradient of 5 - 100% B over 5.3 min, then 100% B for 0.5 min, where A = 0.1% formic acid in water, and B = 0.1 % formic acid in acetonitrile. A second gradient of 100- 5% B was then applied over 0.02 min and held for 1.18 min. UV spectra were recorded at 215 nm; spectrum range: 200 - 400 nm. ELS data was collected on a Waters ELS detector when reported. Mass spectra were obtained using a Waters SQD or QDA detector; ionizationmode: electrospray positive or negative. Data were integrated and reported using Waters MassLynx and OpenLynx software.Preparative HPLC methodsMethod A:
[0381] High pH purification reverse phase using a Waters Xbridge C18 column (30 mm x 100 mm, 5 pm; temperature: room temperature), with an injection volume of 1500 pL at a flow rate of 40 mL / min at 30% B for 2.0 min then a gradient of 30 - 95% B over 9.5 min and held for 2.0 min, where A = 0.2% ammonium hydroxide in water and B = 0.2% ammonium hydroxide in acetonitrile. A second gradient of 95 - 30% B was then applied over 0.3 min and held for 1.3 min. UV spectra were recorded at 215 nm.ExamplesReference CompoundsReference compound 1 Reference compound 2Reference compound 3Reference compounds 1 , 2 and 3 were prepared according to previously described procedures in WO 2021 / 111124, where references compounds 1 and 2 are examples 12 and 1 , respectively). Reference compound 3 is example 23 of WO 2021 / 111124, and is also known as STM3675.Example 1 : N-((2-(((2R.4R)-2.4-dimethvlpiperidin-1 -vl)methvl)-1 H-indol-6-vl)methvl)-4- oxo-4H-pyrido[1,2-a]pyrimidine-2-carboxamide & N-((2-(((2S,4S)-2,4-dimethylpiperidin- 1-yl)methyl)-1H-indol-6-yl)methyl)-4-oxo-4H-pyrido[1,2-a]pyrimidine-2-carboxamide
[0382] A mixture of STAB (918 mg, 4.33 mmol), 2,4-dimethylpiperidine (327 mg, 2.89 mmol) and N-[(2-formyl-1 H-indol-6-yl)methyl]-4-oxo-pyrido[1 ,2-a]pyrimidine-2-carboxamide (500 mg, 1.44 mmol, prepared according to previous report: WO 2021 / 111124, Example 2, step 1-4) in DCE (30 mL) was stirred at 50 °C overnight. LCMS (method A) showed 64% conversion to the major diastereomer of the product, and 18% conversion to the minor diastereomer with minimal starting material remaining. The reaction was worked up at this point.
[0383] The reaction mixture was quenched with water (30 mL) and extracted with DCM (40 mL). The pH of the aqueous layer was then adjusted to pH 10 by addition of 1.0 M NaOH solution, and the aqueous layer was then extracted with DCM (2 x 40 mL). The combined organic layers were dried over Na2SO4, filtered, and concentrated in vacuo.
[0384] The residue was purified by basic Biotage® reverse phase chromatography (60 g Sfar C18 column, eluting in 10-100% [0.2% NH3in MeCN] in [0.2% NH3in H2O]). The desired product containing fractions were combined, concentrated in vacuo and freeze dried overnight to give the racemic title compounds (177 mg, 28% yield) as an off-white solid.Method B: LCMS (electrospray): m / z = 445.5 (M+H)+, RT = 3.80 min, purity = 100%.Intermediate 1 : 2,2,4-Trimethylpiperidine;hydrochlorideStep 1 : tert-butyl 2,2-Dimethyl-4-methylene-piperidine-1 -carboxylate:
[0385] To a solution of tert-butyl 2,2-dimethyl-4-oxopiperidine-1-carboxylate (950 mg, 4.18 mmol) in anhydrous THF (20 mL) was added dropwise bis(cyclopentadienyl)-p-chloro- (dimethylaluminum)-p-methylenetitanium (0.5 M in toluene, 8.36 mL, 4.18 mmol) at -78 °Cunder a nitrogen atmosphere, and the mixture was left to stir while warming slowly to room temperature over 6 h.
[0386] TLC (20% EtOAc in heptane, PMA dip) showed a prominent product spot at Rf ~ 0.7, with a small spot of starting material remaining. The reaction was worked up at this point.
[0387] The mixture was cooled to 0 °C and slowly quenched with sat. aq. NH4CI solution (40 mL). The mixture was warmed to room temperature and diluted with EtOAc (40 mL), and the suspension was stirred vigorously for 1 h (orange suspension observed). The suspension was filtered through a pad of Celite®, and the Celite® was washed with EtOAc (approx. 100 mL) followed by H2O (approx. 100 mL). The phases of the filtrate were separated, and the aqueous layer was extracted with EtOAc (2 x 50 mL). The combined organic layers were washed with brine (50 mL), dried over Na2SO4, filtered and concentrated to dryness at reduced pressure.
[0388] The residue was purified by flash chromatography using a Biotage lsolera®(25 g Sfar Duo, eluting in 0-20% EtOAc in heptane). The product containing fraction was concentrated in vacuo to give tert-butyl 2,2-dimethyl-4-methylene-piperidine-1-carboxylate (280 mg, 29% yield) as a colorless oil.1H NMR (500 MHz, CDCI3) δ ppm: 4.79 - 4.72 (m, 2H), 3.53 - 3.46 (m, 2H), 2.35 - 2.28 (m, 2H), 2.21 (s, 2H), 1.40 (s, 9H), 1.31 (s, 6H).Step 2: tert-Butyl 2, 2, 4-trimethylpiperidine-1 -carboxylate
[0389] To a degassed solution of tert-butyl 2,2-dimethyl-4-methylene-piperidine-1- carboxylate (280 mg, 1.24 mmol) in ethanol (20 mL) was added palladium on charcoal (10% wt., 100 mg, 0.09 mmol) at room temperature. The reaction mixture was degassed again and stirred under an atmosphere of hydrogen for 3 h. The catalyst was removed by filtration (Celite®) and washed with ethanol (approximately 20 mL). The filtrate was concentrated under reduced pressure to afford tert-butyl 2, 2, 4-trimethylpiperidine-1 -carboxylate (290 mg, 92% yield) as a colourless oil. The product was used in the next step without further purification.1H NMR (400 MHz, DMSO) δ ppm: 3.75 - 3.66 (m, 1 H), 2.98 (ddd, J = 13.7, 10.6, 3.6 Hz, 1 H), 1.70 - 1.56 (m, 2H), 1.42 (s, 3H), 1.39 (s, 9H), 1.36 - 1.30 (m, 1 H), 1.18 (d, J = 5.3 Hz, 4H), 1 .08 - 0.94 (m, 1 H), 0.83 (d, J = 6.3 Hz, 3H).Step 3: 2,2,4-Trimethylpiperidine;hydrochloride
[0390] To a solution of tert-butyl 2, 2, 4-trimethylpiperidine-1 -carboxylate (210 mg, 0.88 mmol) in anhydrous 1 ,4-Dioxane (1 mL) was added 4.0 M HCI in dioxane (2 mL) at room temperature. The reaction mixture was stirred at room temperature for 3 h. TLC indicated the starting material was consumed. The solution was concentrated under reduced pressure to dryness. The residue was triturated with diethyl ether (5 mL) and the resulting solid was collected by vacuum filtration and dried in a vacuum oven at 40°C for 1 h to afford intermediate 1 2,2,4-trimethylpiperidine;hydrochloride (94 mg, 62% yield) as a white solid.1H NMR (500 MHz, DMSO) δ ppm: 8.92 (s, 2H), 3.33 (s, 2H), 3.06 - 2.92 (m, 2H), 1.78 (m, 1 H), 1.72 - 1.65 (m, 1 H), 1.62 - 1.54 (m, 1 H), 1.32 (s, 3H), 1.27 (s, 3H), 1.25 - 1.14 (m, 2H), 0.87 (d, J = 6.5 Hz, 3H).Example 2: (R)-4-oxo-N-((2-((2,2,4-trimethylpiperidin-1 -yl)methyl)-1 H-indol-6-yl)methyl)- 4H-pyrido[1,2-a]pyrimidine-2-carboxamide & (S)-4-oxo-N-((2-((2,2,4-trimethylpiperidin- 1-yl)methyl)-1 H-indol-6-yl)methyl)-4H-pyrido[1,2-a]pyrimidine-2-carboxamide
[0391] A pressure vial was charged with N-[(2-formyl-1 H-indol-6-yl)methyl]-4-oxo- pyrido[1 ,2-a]pyrimidine-2-carboxamide (200 mg, 0.549 mmol), 2,2,4- trimethylpiperidine;hydrochloride (intermediate 1) (108 mg, 0.658 mmol), DCE (10 mL), DIPEA (0.29 mL, 1.65 mmol) and STAB (349 mg, 1.65 mmol). The vial was sealed, and the mixture was stirred at 70 °C for 6 h. LCMS (method A) indicated partial conversion to the desired product. More STAB (349 mg, 1 .65 mmol) was added and the reaction was stirred for another 8 h at 70 °C. LCMS (method A) indicated ca. 60% conversion to the desired product. The reaction was stopped at this point. After cooling to room temperature, the reaction mixture was partitioned between DCM (50 mL) and sat. aq. Na2CO3 solution (30 mL). The organic layer was separated, and the aqueous layer was extracted with DCM (2 x 30 mL). The combined organic layers were washed with brine (20 mL), dried (Na2SO4), filtered and concentrated under reduced pressure. The residue was purified by flash chromatography on a BIOTAGE Selekt (Biotage® Star KP-Amino 28g, eluting with 0-100% EtOAc in heptane). Theproduct containing fractions were combined and concentrated to dryness. The residue was crystallized from acetonitrile (5 mL). The solid was collected by vacuum filtration and dried in a vacuum oven at 40 °C overnight to afford the racemic title compound (101 mg, 40% yield) as a white solid.Method B: LCMS (electrospray): m / z = 458.2 (M+H)+, RT = 4.06 min, purity = 99%.Example 3: (S*)-4-oxo-N-((2-((2,2,4-trimethylpiperidin-1 -yl)methyl)-1 H-indol-6- yl)methyl)-4H-pyrido[1,2-a]pyrimidine-2-carboxamide
[0392] Example 3 was prepared by SFC separation of enantiomers from racemic example 2. Briefly, 4-oxo-N-((2-((2,2,4-trimethylpiperidin-1-yl)methyl)-1 H-indol-6-yl)methyl)- 4H-pyrido[1 ,2-a]pyrimidine-2-carboxamide (80.0 mg, 0.17 mmol) was separated by SFC (column: CHIRALPAK AD-H(250 mm*20mm,5pm); flow rate: 10mL / min; mobile phase: [SCO2- EtOH: (0.2% DEA)] isocratic elution mode to give the separated enantiomers. Assignment is arbitrary and based on the retention time. Example 3 refers to the eutomer and was the enantiomer with a retention time of 18.11 mins (enantiomeric ratio 100:0, 30 mg, 37% yield) isolated as a yellow solid.Method B: LCMS (electrospray): m / z = 458.4 (M+H)+, RT = 3.95 min, purity = 100%. Intermediate 2: (±)-4-methyl-2-(methyl-d3)piperidine;hydrochlorideStep 1 : (±)-tert-butyl-4-methyl-2-(methyl-d3)piperidine-1 -carboxylate
[0393] TMEDA (1.5 mL, 10.0 mmol) was dissolved in diethyl ether (12 mL) and the mixture cooled to -78 °C. s-BuLi (1.4 M in cyclohexane, 8.0 ml, 11.2 mmol) was added slowly and the combination stirred under cooling for 20 mins. A solution of tert-butyl 4- methylpiperidine-1 -carboxylate (1.0 g, 5.02 mmol) in diethyl ether (5 mL) was added dropwise over 10 mins and the mixture stirred at -78° C for 6 h. Iodomethane-d3 (0.35 mL, 5.6 mmol) was added slowly and the mixture stirred at -78 °C for 20 mins, then at room temperature for 40 mins. The reaction mixture was quenched with water (20 mL) and diluted with EtOAc (30mL). The phases were separated, and the organic phase was washed with brine (20 mL), dried over sodium sulfate and evaporated under vacuum.
[0394] The resultant residue was purified by Biotage Isolera® chromatography (30 g C18 Ultra, eluting with acetonitrile + 0.2%NH3 / water+0.2%NH3 10-100%) and the productcontaining fractions extracted with DCM, dried over sodium sulfate and evaporated under vacuum to afford 591 mg (49% yield) of the title compound as a colourless oil.1H NMR (400 MHz, CDCI3) δ ppm: 3.90 - 3.83 (m, 1H), 3.65 (dddd, J = 13.8, 6.9, 3.5, 0.7 Hz, 1 H), 3.07 (ddd, J = 13.8, 10.1 , 5.7 Hz, 1H), 1.92 - 1.79 (m, 1H), 1.75 - 1.63 (m, 2H), 1.45 (s, 9H), 1.17 - 1.05 (m, 2H), 0.97 (d, J = 6.7 Hz, 3H).Step 2: (±)-4-methyl-2-(methyl-d3)piperidine;hydrochloride
[0395] (±)-tert-butyl-4-methyl-2-(methyl-d3)piperidine-1 -carboxylate (590 mg, 2.73mmol) was dissolved in methanol (5 mL) and 4 M HCI in dioxane (5 mL) and the mixture stirred at room temperature for 2h. TLC (40% EtOAc / heptane) showed full conversion to a baseline spot. The reaction mixture was evaporated under vacuum to afford 415mg (100% yield) of the title compound intermediate 2 as a white solid.
[0396] 1H NMR (500 MHz, CDCI3) δ ppm: 9.72 (s, 1 H), 9.13 (s, 1 H), 3.45 (dt, J = 12.8, 2.3 Hz, 1H), 3.07 (t, J = 11.6 Hz, 1H), 2.81 (dt, J = 11.3, 2.7 Hz, 1H), 1.83 - 1.74 (m, 2H), 1.62 (s, 2H), 1.44 - 1.35 (m, 1 H), 1.00 (d, J = 6.0 Hz, 3H).Example 4: N-((2-(((2R,4R)-4-methyl-2-(methyl-d3)piperidin-1 -yl)methyl)-1 H-indol-6- yl)methyl)-4-oxo-4H-pyrido[1,2-a]pyrimidine-2-carboxamide & N-((2-(((2S,4S)-4-methyl- 2-(methyl-d3)piperidin-1-yl)methyl)-1H-indol-6-yl)methyl)-4-oxo-4H-pyrido[1,2- a]pyrimidine-2-carboxamide
[0397] (±)-tert-butyl-4-methyl-2-(methyl-d3)piperidine-1 -carboxylate (65 mg, 0.42 mmol), N-[(2-formyl-1 H-indol-6-yl)methyl]-4-oxo-pyrido[1,2-a]pyrimidine-2-carboxamide (100 mg, 0.28 mmol), DIPEA (0.3 mL, 1.72 mmol) and STAB (120 mg, 0.57 mmol) were combined inDCE (2 mL) and the mixture heated at 50 °C for 7 h. LCMS (method A) showed full conversion to the desired product. The reaction mixture was cooled to room temperature and stood overnight. The reaction mixture was loaded onto a SCX-2 cartridge (10 g) and the system rinsed with DCM and MeOH, then eluted with 7M NHs / MeOH. The basic eluent was evaporated under vacuum. The resultant residue was purified by prep-HPLC (method B) to afford the racemic title compound (24 mg, 19% yield) as an off-white solid.Method B: LCMS (electrospray): m / z = 447.2 (M+H)+, RT = 3.82 min, purity = 99%.
[0398] The compounds in Table 1 were prepared in a similar manner as Examples 1-4 using commercial amines or described intermediates. Table 1Intermediate 3: N-((5-fluoro-2-formyl-1 H-indol-6-yl)methyl)-4-oxo-4H-pyrido[1,2- a]pyrimidine-2-carboxamideStep 1 : 5-amino-4-(3,3-diethoxyprop-1-vn-1-vl)-2-fluorobenzonitrile
[0399] To a stirred solution of 5-amino-4-bromo-2-fluorobenzonitrile (90.0 g, 420.5 mmol) in THF (900 mL) were added Pd(PPh3)2Cl2 (2.9 g, 4.2 mmol), TPP (2.2 g, 8.4 mmol), Cui (1.5 g, 8.4 mmol) and TEA (297.3 g, 2943.9 mmol) at room temperature. The resulting reaction mixture was degassed with nitrogen gas for 15 min. 3, 3-Diethoxy-1 -propyne (107.6 g, 841.1 mmol) was added and the resulting reaction mixture was stirred at 70 °C for 12 h. The reaction mixture was diluted with water (2000 mL) and extracted with ethyl acetate (1500 mL x 3). The combined organic layers were dried over anhydrous Na2SO4, filtered, and the filtrate concentrated under vacuum. The crude product was purified by column chromatography on silica 60-120 using 12% ethyl acetate in hexane to afford 5-amino-4-(3,3-diethoxyprop-1-yn- 1-yl)-2-fluorobenzonitrile (90.0 g, 82%) as a tan solid.1H NMR (400 MHz, DMSO-d6) δ ppm: 7.40 (d, J = 10.0 Hz, 1 H), 7.05 (d, J = 5.6 Hz, 1 H), 5.71 (s, 2H), 5.59 (s, 1 H), 3.69 - 3.65 (m, 2H), 3.62 - 3.54 (m, 2H), 1.16 (t, J = 7.2 Hz, 6H). Method C: LCMS (electrospray): m / z = 261.1 (M-H); RT = 2.23 min.Step2 : 2-(diethoxymethyl)-5-fluoro-1 H-indole-6-carbonitrile.
[0400] To a stirred solution of 5-amino-4-(3, 3-diethoxyprop-1-yn-1-yl)-2- fluorobenzonitrile (90 g, 343.5 mmol) in NMP (900 mL) were added KotBu (76.94 g, 687.0 mmol) at room temperature. The resulting reaction mixture was stirred at room temperature for 2 h then poured into cold water (1500 mL). The aqueous layer was extracted with ethyl acetate (1000 mL x 3). The combined organic layers were washed with brine solution and dried over anhydrous Na2SO4, filtered and the filtrate concentrated under vacuum. The crude product was purified by column chromatography on silica 60-120 using 8% ethyl acetate in hexane to give 2-(diethoxymethyl)-5-fluoro-1 H-indole-6-carbonitrile (50.0 g, 62.5%) as a yellow solid.1H NMR (400 MHz, DMSO-d6) δ ppm: 11.79 (s, 1 H), 7.80 (d, J = 5.6, Hz 1 H), 7.57 (d, J = 10.4 Hz, 1 H), 6.55 (d, J = 2.0 Hz, 1 H), 5.77 (s, 1 H), 3.62 - 3.55 (m, 4H), 1.18 (t, J = 7.2 Hz, 6H).Method D: LCMS (electrospray): m / z = 261.1 (M-H); RT = 2.30 min.Step 3: (2-(diethoxymethyl)-5-fluoro-1 H-indol-6-yl) methanamine
[0401] To a stirred mixture of 2-(diethoxymethyl)-5-fluoro-1 H-indole-6-carbonitrile (50.0 g, 190.8 mmol) in MeOH (500 mL) were added Raney Ni (81.7 g, 954.1 mmol) and aqueous NH3 (500 mL) into a hydrogenation vessel. The resulting reaction mixture was charged with H2 atmosphere (30 kg / cm2) and stir at 70°C for 3 h. The reaction mixture was filter through a Buchner funnel and washed with additional MeOH (1000 mL x 3). The combined organic layers were dried over anhydrous Na2SO4, filtered and concentrated under vacuum to afford (2-(diethoxymethyl)-5-fluoro-1 H-indol-6-yl)methanamine (52 g, quantitative) as a yellow solid, that was used in the subsequent step without further purification1H NMR (400 MHz, DMSO-d6) δ ppm: 11.11 (s, 1 H), 7.38 (d, J = 6.4, 1 H), 7.18 (d, J = 11.2 Hz, 1 H), 6.34 (d, J= 1.6 Hz, 1 H), 5.68 (s, 1 H), 3.78 (s, 1 H), 3.62 - 3.50 (m, 4H), 1.17 (t, J = 7.2 Hz, 6H).Step 4: N-((2-(diethoxymethyl)-5-fluoro-1 H-indol-6-yl) methyl)-4-oxo-4H-pyrido [1,2- a]pyrimidine-2-carboxamide
[0402] To a stirred solution of (2-(diethoxymethyl)-5-fluoro-1 H-indol-6-yl)methanamine (52.0 g, 195.4 mmol) and 4-oxo-4H-pyrido[1 ,2-a]pyrimidine-2-carboxylic acid (44.6 g, 234.5 mmol) in DMF (520 mL) were added DIPEA (75.65 g, 586.4 mmol) at room temperature. The resulting reaction mixture was stirred for 15 minutes and HATU (111.4 g, 293.2 mmol) was added into reaction mixture. The resulting reaction mixture was allowed to stir at room temperature for 4 h. The reaction mixture was poured into ice-cold water, and the precipitate that formed filtered and the solid dried under vacuum to afford N-((2-(diethoxymethyl)-1 H- indol-6-yl)methyl)-4-oxo-4H-pyrido[1 ,2-a]pyrimidine-2-carboxamide (52.0 g, 61 %) that was used in the subsequent step without further purification.Step 5: N-((5-fluoro-2-formyl-1 H-indol-6-yl)methyl)-4-oxo-4H-pyrido[1,2-a]pyrimidine-2- carboxamide
[0403] To a stirred solution of N-((2-(diethoxymethyl)-5-fluoro-1 H-indol-6-yl) methyl)-4- oxo-4H-pyrido[1 ,2-a]pyrimidine-2-carboxamide (52.0 g, 118.7 mmol) in THF (520 mL) was added glacial CH3COOH (52 mL). The resulting reaction mixture was stirred at room temperature for 1 h and then concentrated and diluted with ice cold water (2000 mL) with continuous stirring to obtain a solid precipitate. The precipitate that formed was filtered and the solid dried under vacuum. The crude solid was further purified by trituration with methanol. The solid was collected and dried under vacuum to afford N-((5-fluoro-2-formyl-1 H-indol-6- yl)methyl)-4-oxo-4H-pyrido[1 ,2-a]pyrimidine-2-carboxamide Intermediate 3 (40.0 g, 93%) as an off-white solid.1H NMR (400 MHz, DMSO-d6) δ ppm: 11.98 (s, 1 H), 9.82 (s, 1 H), 9.40 (t, J = 6.4 Hz, 1 H), 9.03 (d, J= 6.4 Hz, 1 H), 8.11 - 8.07 (m, 1 H), 7.81 (d, J = 8.8 Hz, 1 H), 7.55 (d, J = 10.8 Hz, 1 H), 7.49 - 7.43 (m, 2H), 7.36 (d, J = 1 .2 Hz, 1 H), 6.90 (s, 1 H), 4.64 (d, J = 6.0 Hz, 2H); Method D: LCMS (electrospray): m / z = 263.1 (M-H); RT = 1.82 min.Example 7: N-((2-(((2R,4R)-2,4-dimethylpiperidin-1-yl)methyl)-5-fluoro-1 H-indol-6- yl)methyl)-4-oxo-4H-pyrido[1,2-a]pyrimidine-2-carboxamide & N-((2-(((2S,4S)-2,4- dimethylpiperidin-1-yl)methyl)-5-fluoro-1 H-indol-6-yl)methyl)-4-oxo-4H-pyrido[1,2- a]pyrimidine-2-carboxamide
[0404] A pressure vial was charged with intermediate 3 N-[(5-fluoro-2-formyl-1 H-indol- 6-yl)methyl]-4-oxo-pyrido[1 ,2-a]pyrimidine-2-carboxamide (70 mg, 0.192 mmol), 2,4- dimethylpiperidine (33 mg, 0.288 mmol), DCE (4 mL), DIPEA (0.10 mL, 0.58 mmol) and STAB (122 mg, 0.576 mmol). The vial was sealed, and the mixture was stirred at 50 °C for 3 h. LCMS (method A) indicated complete conversion to the desired product.
[0405] After cooling to room temperature, the reaction mixture was partitioned between DCM (50 mL) and sat. aq. Na2CO3 solution (30 mL). The organic layer was separated, and the aqueous layer was extracted with DCM (30 mL). The combined organic layers were washed with brine (20 mL), dried (Na2SO4), filtered and concentrated under reduced pressure. The residue was purified by prep HPLC (method A). The product containing fractions were combined and concentrated under reduced pressure to dryness. The residue was recrystallized from acetonitrile, collected by vacuum filtration and dried in a vacuum oven at 40 °C to afford the racemic title material (45 mg, 50% yield) as an off-white solid.Method B: LCMS (electrospray): m / z = 462.3 (M+H)+, RT = 3.83 min, purity = 99%.The compounds in Table 2 were prepared in a similar manner as Examples 1-4 using commercial amines or described intermediates.Table 2ap!iuexoqjeo-z-au!P!iuuAd[e-z‘|,]opuAd-Hfr-oxo-fr-(|Aq)aiu(|A-9-|opui-HI,-(|AMpiu(|A-|,-u!puad!d|Amaiuu^‘g‘g))-g-ojon|;j-g))-N-US) -Z\ a|dwexa
[0406] Example 12 was prepared by SFC separation of enantiomers from racemic example 10. Briefly, N-((5-fluoro-2-((2,2,4-trimethylpiperidin-1-yl)methyl)-1 H-indol-6- yl)methyl)-4-oxo-4H-pyrido[1 ,2-a]pyrimidine-2-carboxamide (107 mg, 0.22 mmol) was separated by SFC (column: CHIRALPAK AD-H(250 mm*20mm,5|jm); flow rate: 10mL / min; mobile phase: [sCC>2-EtOH: (0.2% DEA)] isocratic elution mode to give the separated enantiomers. Assignment is arbitrary and based on the retention time. Example 12 refers to the eutomer and was the enantiomer with a retention time of 18.31 mins (enantiomeric ratio 100:0, 20 mg, 19% yield) isolated as a white solid.Method B: LCMS (electrospray): m / z = 476.3 (M+H)+, RT = 4.16 min, purity = 98%.Example 13: N-((5-chloro-2-(((2S,4S)-2,4-dimethylpiperidin-1-yl)methyl)-1 H-indol-6- yl)methyl)-4-oxo-4H-pyrido[1,2-a]pyrimidine-2-carboxamideStep 1 : Methyl 5-amino-2-chloro-4-iodo-benzoate
[0407] Methyl 3-amino-4-iodobenzoate (8.00 g, 28.9 mmol) and NCS (3.90 g, 29.2 mmol) were combined in anhydrous DMF (20 mL) and the mixture heated at 70°C for 3h. LCMS (method A) showed complete conversion to the target material. The reaction mixture was cooled to room temperature and diluted with water (150 ml) - partial precipitation. The mixture was extracted with Et20 (3 x 50mL) and the combined organic extracts were washed with brine (50ml), dried over sodium sulfate and evaporated under vacuum. The resultant residue was purified by Biotage Isolera® chromatography (100 g Sfar Duo, eluting with DCM / heptane 0-100%) to afford 3.28g (30% yield, 83% purity) of the title compound as an orange solid. LCMS and NMR show presence of a minor regioisomer.Method A: LCMS (electrospray): m / z = 309.8 / 311.0 (M-H); RT = 0.79 min, purity = 83%1H NMR (400 MHz, CDCI3) δ ppm: 7.72 (s, 1 H), 7.18 (s, 1 H), 4.24 - 4.16 (m, 2H), 3.90 (s, 3H) Step 2: Methyl 5-amino-2-chloro-4-iodo-benzoic acid
[0408] Methyl 5-amino-2-chloro-4-iodo-benzoate (1.15 g, 3.69 mmol) and lithium hydroxide (176 mg, 7.38 mmol) were combined in THF (10 mL) and water (2 mL) and the mixture stirred at room temperature. TLC (+30mins, DCM eluent) - mostly unconverted SM.The mixture was heated at 50 °C (External) TLC (+1 h) - formation of a baseline spot by SM remains in quantity. Further lithium hydroxide (205 mg, 8.60 mmol) was added, and heating continued. TLC (+2h) - similar profile. Further lithium hydroxide (620 mg, 26.0 mmol) was added and heating continued. LCMS (method A) showed complete conversion. The reaction mixture was cooled to room temperature and acidified using 37% HCI to ~pH1 and diluted with water (10ml). The mixture was extracted with 3:1 chloroform / isopropanol (3 x 30 mL) and the combined organic extracts dried over sodium sulfate and evaporated under vacuum to afford 1.08 g (90% yield) of the title compound as a beige solid that was used without further purification.Method A: LCMS (electrospray): m / z = 295.8 / 297.8 (M-H); RT = 0.21 min, purity = 91%.1H NMR (400 MHz, DMSO) δ ppm: 13.10 (s, 1 H), 7.66 (s, 1 H), 7.14 (s, 1 H), 5.56 (s, 2H).Step 3: 5-amino-2-chloro-4-iodobenzamide
[0409] 5-amino-2-chloro-4-iodo-benzoic acid (1.00 g, 3.36 mmol), diammonium carbonate (1.61 g, 17.1 mmol), di-tert-butyl dicarbonate (10.4 mmol) and pyridine (1.5 mL, 18.5 mmol) were combined in 1 ,4-dioxane (15 mL) and the mixture stirred at room temperature. Precipitate formation noted. After 18 h LCMS (method A) showed complete conversion to the desired product. The reaction mixture was diluted with water (20 mL) and 2.0 M HCI (aq) (5 mL), and extracted with DCM (20 mL) and 3:1 chloroform / isopropanol (3 x 20 mL). The combined organic extracts were dried over sodium sulfate and evaporated under vacuum. The resultant residue was purified by Biotage Isolera® chromatography (25g Sfar Duo, eluting with EtOAc / heptane 0-100% followed by MeOH / EtOAc 0-20%) to afford 409 mg (37% yield) of the title compound as a pale orange solid.Method A: LCMS (electrospray): m / z = 294.9 (M-H); RT = 0.51 min, purity = 89%.1H NMR (500 MHz, DMSO) δ ppm: 7.75 (s, 1 H), 7.58 (s, 1 H), 7.47 (s, 1 H), 6.77 (s, 1 H), 5.48(s, 2H).Step 4: N-(4-chloro-5-cyano-2-iodophenyl)-2,2,2-trifluoroacetamide
[0410] 5-amino-2-chloro-4-iodo-benzamide (400 mg, 1.35 mmol) and TEA (1.2 ml, 8.61 mmol) were combined in DCM (10 mL) and (2,2,2-trifluoroacetyl) 2,2,2-trifluoroacetate (0.80 mL, 0.58 mmol) was added, and the resulting solution stirred at room temperature for 1 h. LCMS (method A) showed conversion to the desired product. The reaction mixture was quenched with sat. NaHCCh (aq) (20 mL) and the phases separated. The aqueous phase was extracted with DCM (2 x 10 mL) and the combined organic layers were dried over sodium sulfate and evaporated under vacuum. The resultant residue was purified by Biotage Isolera® chromatography (25 g Sfar Duo, eluting with DCM / heptane 0-100%) to afford 422mg (72% yield) of the title compound as a white solid.Method A: LCMS (electrospray): m / z = 372.8 / 374.7 (M-H); RT = 0.36 min, purity = 86%.1H NMR (400 MHz, CDCI3) δ ppm: 7.79 (s, 1 H), 7.54 (s, 1 H), 7.26 (s, 1 H).Step 5:
[0411] N-(4-chloro-5-cyano-2-iodo-phenyl)-2,2,2-trifluoro-acetamide (420 mg, 1.12 mmol), propargylaldehyde diethyl acetal (0.24 mL, 1.68 mmol), Cui (21 mg, 0.11 mmol) and Pd(dppf) Ch (82 mg, 0.11 mmol) were combined TEA (4.0 mL) and the mixture sparged with nitrogen for 5 mins. The vessel was sealed, and the mixture heated at 75°C for 22 h. LCMS showed complete conversion to the desired product. The reaction mixture was cooled to room temperature and diluted with EtOAc (50 mL). The mixture was washed with sat. NH4CI (aq) (3 x 20 mL) and brine (20 mL), and the organic layer was dried over sodium sulfate and evaporated under vacuum. The resultant residue was purified by Biotage Isolea® chromatography (25 g Sfar Duo, eluting with TBME / heptane 0-100%) to afford 249mg (79% yield) of the title compound as a yellow oily solid.Method A: LCMS (electrospray): m / z = 277.1 / 279.1 (M-H); RT = 0.90 min, purity = 99%.Step 6: 5-chloro-2-formyl-1 H-indole-6-carbonitrile
[0412] 5-chloro-2-(diethoxymethyl)-1 H-indole-6-carbonitrile (249 mg, 0.89 mmol) and HCI (2.0 M aqueous, 0.5 ml, 1.0 mmol) were combined in acetone (5 mL) and the mixture stirred at room temperature for 1 h. LCMS (method A) -showed complete deprotection. The reaction mixture was quenched with sat. NaHCOs(aq) (20 mL) and extracted with DCM (3 x 10 ml). The combined organic extracts were dried over sodium sulfate and evaporated undervacuum. The resultant residue was purified by Biotage Isolera® chromatography (25 g Star Duo, eluting with TBME / heptane 0-100%) to afford 114 mg (63% yield) of the title compounds as a pale yellow solid.Method A: LCMS (electrospray): m / z = 203.0 (M-H); RT = 0.69 min, purity = 99%.Step 7: 5-chloro-2-(((2S,4S)-2,4-dimethylpiperidin-1-yl)methyl)-1 H-indole-6-carbonitrile
[0413] 5-chloro-2-formyl-1 H-indole-6-carbonitrile (110 mg, 0.54 mmol), (2S,4S)-2,4- dimethylpiperidine hydrochloride (89 mg, 0.59 mmol), DIPEA (0.2 mL, 1.15 mmol) and STAB (228 mg, 1.08 mmol) were combined in DCE (5ml) and the mixture heated at 50°C. After 2h LCMS (method A) showed- -50% conversion of starting material to the desired product. LCMS showed no further conversion after 4h. Further (2S,4S)-2,4-dimethylpiperidine hydrochloride (89 mg, 0.59 mmol), DI PEA (0.2 mL, 1.15 mmol) and STAB (228 mg, 1.08 mmol) were added, and heating continued. After 24 h, LCMS showed further conversion but some starting material remaining. The reaction mixture was cooled to room temperature and stood overnight. The reaction mixture was quenched with sat. NaHCOs (aq) (20 mL) and extracted with DCM (3 x 20 mL). The combined organic extracts were dried over sodium sulfate and evaporated under vacuum. The resultant residue was purified by Biotage Isolera® chromatography (10 g Sfar Amino Duo, eluting with EtOAc / heptane 0-100% followed by MeOH / EtOAc 0-20%) to afford 88 mg (54% yield) of the title compound as a pale yellow solid.Method A: LCMS (electrospray): m / z = 302.1 (M+H)+, RT = 1.01 min, purity = 98%.Step 8: tert-butyl ((5-chloro-2-(((2S,4S)-2,4-dimethylpiperidin-1-yl)methyl)-1 H-indol-6- yl)methyl)carbamate
[0414] 5-chloro-2-[[(2S,4S)-2,4-dimethyl-1-piperidyl]methyl]-1 H-indole-6-carbonitrile (88 mg, 0.29 mmol), tert-butoxycarbonyl tert-butyl carbonate (126 mg, 0.57 mmol) and nickel(ll) chloride (9.0 mg, 0.07 mmol) were combined in methanol (10 mL) and cooled in an ice / water bath. NaBFL (54 mg, 1.43 mmol) was added slowly (strong gas evolution and darkening of the reaction mixture) and the mixture stirred under cooling for 30 mins. LCMS (method A)showed partial conversion of the starting material to the desired product. Further NaBFU (54 mg, 1 .43 mmol) was added slowly and the mixture stirred under cooling for a further 1 h. LCMS showed complete conversion. The reaction mixture was quenched with NaHCOs(aq) (20 mL) and extracted with DCM (3 x 20 mL). The combined organic extracts were dried over sodium sulfate and evaporated under vacuum. The resultant residue was purified by Biotage Isolera® chromatography (11 g Sfar Amino Duo, eluting with EtOAc / heptane 0-100% followed by MeOH / EtOAc 0-20%) to afford 68 mg (40% yield) of the title compound as a colourless residue.Method A: LCMS (electrospray): m / z = 406.3 / 408.3 (M+H)+, RT = 1.08 min, purity = 69%.Step 9: (5-chloro-2-(((2S,4S)-2,4-dimethylpiperidin-1 -yl)methyl)-1 H-indol-6- yl)methanamine;dihydrochloride
[0415] Tert-butyl N-[[5-chloro-2-[[(2S,4S)-2,4-dimethyl-1-piperidyl]methyl]-1 H-indol-6- yl]methyl]carbamate (68mg, 0.17 mmol) was dissolved in methanol (1.0 mL) and 4.0 M HCI in dioxane (2.0 mL) and the mixture stirred at room temperature for 1 h. LCMS (method A) showed complete deprotection. The reaction mixture was evaporated under vacuum to afford 77 mg (89% yield) of the title compound as a pale pink residue.Method A: LCMS (electrospray): m / z = 306.1 (M+H)+, RT = 0.90 min, purity = 73%.Step 10: N-((5-chloro-2-(((2S,4S)-2,4-dimethylpiperidin-1-yl)methyl)-1 H-indol-6- yl)methyl)-4-oxo-4H-pyrido[1,2-a]pyrimidine-2-carboxamide
[0416] 5-chloro-2-[[(2S,4S)-2,4-dimethyl-1-piperidyl]methyl]-1 H-indol-6- yl]methanamine;dihydrochloride (63 mg, 0.17 mmol), 4-oxopyrido[1 ,2-a]pyrimidine-2- carboxylic acid (20 mg, 0.11 mmol) and TEA (0.1 mL, 0.72 mmolL were combined in DMF (2ml) and n-propanephosphonic acid anhydride (50% in EtOAc, 125 pL, 0.21 mmol) was added. The mixture was stirred at room temperature for 2h. LCMS (method A) showed complete conversion to the target material.
[0417] The reaction mixture was directly purified by Biotage Isolera® chromatography (30 g C18 Ultra, eluting with acetonitrile + 0.2% NH3 / water+0.2% NH3 10-100%) to afford 16 mg (32% yield) of the title compound as a white solid.Method F: LCMS (electrospray): m / z = 478.5 / 480.5 (M+H)+, RT = 2.12 min, purity = 100%.METTL3 / 14 methyltransferase assayBiochemical assay
[0418] The enzymatic assay was established to determine IC50 values for inhibition of RNA methyltransferase activity. More specifically, the enzymatic reaction was performed at room temperature in 384-well plates using a final reaction volume of 20 pL containing 20 mM TrisCi pH 7.6, 1 mM DTT, 0.01 % Tween-20. 5 nM final concentration of METTL3 / 14 was preincubated with various compound concentrations for 10 minutes, followed by addition of 0.2 pM final concentration ssRNA and 0.5 pM final concentration S-adenosyl-methionine (SAM). The reaction was incubated for further 60 minutes at room temperature, and then 40 pL 7.5% TCA with two internal product standards (D4-SAH and13Cw-SAH) was added to quench the reaction. After termination, plates were sealed, centrifuged and stored at 4°C until analysis.Mass spectrometry analysis
[0419] RNA methyltransferase activity was measured label free using the RapidFire™ mass spectrometry (RF / MS) platform. Stopped and stable assay plates were analyzed on the Agilent RF300 integrated autosampler / solid-phase extraction (SPE) system coupled to an ABSciex 4000 mass spectrometer for the generation of the product S-adenosyl homocysteine (SAH) and normalized to the ratio of signal of the two internal product standards, respectively. Solvent A was water containing 0.1% (v / v) TCA. Solvent B was acetonitrile / 0.1% TCA in water (8:2, v / v). More specifically, plates were centrifuged at 4350 rpm for 10 min, samples were aspirated under vacuum for 600 ms, then loaded onto a C18 solid-phase extraction cartridge and washed for 3 s with solvent A at a flow rate of 1 .5 mL / min. Retained product and internal standards were eluted with solvent B at a flow rate of 1 mL / min for 3 s and finally the cartridge was reequilibrated with solvent A for 500 ms. The mass transition for the product (SAH) was 384.9 / 135.9 Da. Transitions of the two internal product standards (IS1 : D4-SAH and IS2:13Cw- SAH) were 389.1 / 135.8 Da and 395.0 / 134.2 Da, respectively. Ratios of SAH / IS1 and SAH / IS2 were used for normalization of matrix effects. IC50 values were calculated based on dilution series of individual compounds. Potency of a compound was measured at varied inhibitor concentrations and normalized to control wells with full inhibition (w / o RNA) and no inhibition (DMSO only).CTG assay (Caov-3 cell line)
[0420] Cell culture: Caov-3 cells (HTB-75, Lot number: 70016791 , ATCC) were grown in DM EM (11960-04431053-028, Gibco) supplemented with 10% fetal bovine serum (HyClone™ 10309433, Fisher), 1 mM sodium pyruvate (11360-039, Gibco) and 2mM Glutamax (35050-038, Gibco) at 37°C with 5% CO2.
[0421] Cell treatment and cell growth assessment: 18 hours post-seeding in white 384-Viewplate (6007480, PerkinElmer) at 1500 cells / well, Caov-3 cells were treated for 120 hours with compounds inhibiting the METTL3 / 14 activity (10 serial semi-log dilutions, 30 pM as top concentration). Upon treatment, Caov-3 cells were incubated for 10 min at RT with the CellTiter-Glo reagent (G7571 , Promega). Measurement of the luminescence signal was performed on a microplate reader.MDCK-MDR1 Permeability Assay
[0422] Cell culture: MDR1-MDCK II cells (obtained from Piet Borst at the Netherlands Cancer Institute) were seeded onto Polycarbonate membranes (PC) in 96-well insert systems at 3.33 x 105cells / mL for 4-7 days until confluent cell monolayer formation.
[0423] Transport method: Test compounds were diluted with the transport buffer (HBSS with 10mM Hepes, pH7.4) from DMSO stock solution to a concentration of 2 pM (DMSO<1%) and applied to the apical or basolateral side of the cell monolayer. Permeation of the test compounds from A to B direction or B to A direction was determined in duplicate. P-gp substrate control compound Digoxin was tested at 10 pM from A to B direction or B to A direction as well, while nadolol (low permeability control compound) and metoprolol (high permeability control compound) were tested at 2 pM in A to B direction in duplicate. The plate was incubated for 2.5 hours in CO2 incubator at 37±1 °C, with 5% CO2 at saturated humidity without shaking. In addition, the efflux ratio of each compound was also determined. Test and reference compounds were quantified by LC / MS / MS analysis based on the peak area ratio of analyte / IS.
[0424] After the transport assay, the Lucifer yellow rejection assay was applied to determine the cell monolayer integrity. Buffers were removed from both apical and basolateral chambers, followed by the addition of 75 pL of 100 pM lucifer yellow in transport buffer and 250 pL transport buffer in apical and basolateral chambers, respectively. The plate was incubated for 30 minutes at 37 °C with 5% CO2 and 95% relative humidity without shaking. After 30 minutes incubation, 20 pL of Lucifer yellow samples were taken from the apical sides, followed by the addition of 60 pL of Transport Buffer, and then 80 pL of lucifer yellow samples were taken from the basolateral sides. The relative fluorescence unit (RFU) of Lucifer yellow was measured at 425 / 528 nm (excitation / emission) with an Envision plate reader.
[0425] Data analysis: The apparent permeability coefficient Papp (cm / s) was calculated using the equation:Papp = (dCr / dt) x Vr / (A x CO)
[0426] Where dCr / dt is the cumulative concentration of compound in the receiver chamber as a function of time (pM / s); Vr is the solution volume in the receiver chamber (0.075 mL on the apical side, 0.25 mL on the basolateral side); A is the surface area for the transport, i.e. 0.143 cm2for the area of the monolayer; CO is the initial concentration in the donor chamber (pM).
[0427] The efflux ratio was calculated using the equation:Efflux Ratio = Papp (BA) / Papp (AB) Results Table 1Adriamycin Resistance - Activity in A2780 vs A2780-ADR Cell LinesProtocol1. Cell Culture1.1. 15 mL of cell culture medium was placed into a T75 flask.1.2. The flask was placed in a humidified 37°C / 5% CO2 incubator for 15 minutes to allow medium to equilibrate to the proper pH and temperature.1.3. Frozen vials of cells were removed from liquid nitrogen and thawed rapidly by placing at 37°C in a water bath with gentle agitation for 1-2 minutes and then decontaminated by wiping with 70% ethanol before opening in a Class II biological safety cabinet.1.4. The vial contents were transferred dropwise into 10 mL of cell culture medium in a sterile 15 mL conical tube.1.5. The cells were centrifuged at 200 x g for 5 minutes.1.6. The supernatant was aspirated and the cell pellets were re-suspended in 1 mL of fresh cell culture medium and then transferred into a T75 flask containing cell culture medium.1.7. The cells were maintained with the addition of fresh medium or replacement of medium. The medium was renewed every 2-3 days.2. Cell seeding2.1. Cells were harvested from the flasks and cell number was counted.2.2. Cells were diluted with culture medium to designed densities and 90 uL of cell suspension was inoculated into each well of a 96-well cell culture plate.3. Compound preparation and treatment3.1. Reference compound 3 and example 6 were diluted starting from 10 mM, 3.165 mM, 1.00 mM, 0.317 mM, 0.1 mM, 0.032 mM, 0.010 mM, 0.0032 mM and 0.001 mM using DMSO, 9 test concentration points.3.2. The compounds were prepared in an intermediate plate (10X). Compounds were diluted using culture medium.3.3. 10 pl of the compound-medium of each well from the 10X compound intermediate plate was added to the cells in a 96-well assay plate. The final DMSO concentration was 0.1%. Compounds were tested in triplicate.3.4. 10 pl of the DMSO-medium was added into the DMSO wells. The final DMSO concentration was 0.1%.3.5. The plate was incubated at 37°C for 5 days, without changing medium during treatment.4. Detection4.1. After 5 days, the plate was removed from the incubator and equilibrated at room temperature for 15 minutes.4.2. The CellTiter Gio reagents were thawed and equilibrated to room temperature before the experiment.4.3. 100 pL of CellTiter-Glo reagent was added to each well to be detected. Plates were kept at room temperature for 20 min followed by reading on an EnVision plate reader.5. Data analysis5.1. The inhibition activity was calculated following the formula below:Inhibition (Vehicle: cell treated with 0.1% DMSOBlank: culture medium5.2. The IC50 was calculated by fitting the Curve using GraphPad Prism 8, equation:Y=100 / (1 +10A((LoglC50-X)*HillSlope))Results Table 2 - A2780 vs A2780-ADR CTG (5d)
[0428] The data shows that, unlike Reference Compound 3, Example 6 retains activity in the A2780-ADR cell line, a drug-resistant cell line exhibiting increased expression of efflux pump P-gp compared to the parent A2780 ovarian cancer cell line. Thus, elevated expression of this efflux pump, as in drug-resistant cell lines, leads to reduced potency Reference Compound 3, but not for Example 6. The comparison of potencies in parent and drug-resistant cell lines may be used as an indicator of likely efflux liability in the context of brain penetration.
Claims
1. A compound of formula (I) shown below, or a pharmaceutically acceptable salt thereof , Where R1 is selected from hydrogen, chlorine or fluorine; R 2a is hydrogen or methyl; and R 4a represents hydrogen or methyl; where only one of R 2a and R 4a may represent methyl.
2. The compound according to claim 1 or a pharmaceutically acceptable salt thereof, wherein R1 is hydrogen.
3. The compound according to claim 1 or a pharmaceutically acceptable salt thereof, wherein R1 is fluorine.
4. The compound according to claim 1 or a pharmaceutically acceptable salt thereof, wherein R1 is chlorine.
5. A compound according to any one of the preceding claims or a pharmaceutically acceptable salt thereof, wherein R 2a is hydrogen.
6. A compound according to any one of claims 1-4 or a pharmaceutically acceptable salt thereof, where R 2ais methyl.
7. A compound according to any one of the preceding claims or a pharmaceutically acceptable salt thereof, wherein R 4a is hydrogen.
8. A compound according to any one of claims 1-6 or a pharmaceutically acceptable salt thereof, where R 4a is methyl.
9. The connection according to item 1, where R1 is selected from hydrogen, chlorine or fluorine; R 2a selected from hydrogen or methyl; and R 4a is hydrogen.
10. The connection according to item 1, where R1 is selected from hydrogen, chlorine or fluorine; R 2a is hydrogen; and R 4a selected from hydrogen or methyl.
11. The connection according to item 1, where R1 represents hydrogen; R 2a selected from hydrogen or methyl; and R 4a is hydrogen.
12. A compound according to any one of the preceding claims, or a pharmaceutically acceptable salt thereof, having the structural formula (IIa), (IIIa) or (IVa) below where R1, R 2a and R 4a have the meanings as defined in any of the preceding paragraphs.
13. A compound according to any one of claims 1-11, or a pharmaceutically acceptable salt thereof, having the structural formula (IIb), (IIIb) or (IVb) given below where R1, R 2a and R 4a have the meanings as defined in any of the preceding paragraphs.
14. A compound according to any one of claims 1-12, or a pharmaceutically acceptable salt thereof, having the structural formula (V), (VI) or (VII) given below where R1 has the meaning as defined in any of the preceding paragraphs.
15. A compound according to any one of claims 1-12, or a pharmaceutically acceptable salt thereof, having the structural formula (Va), (VIa) or (VIIa) given below where R1 has the meaning as defined in any of the preceding paragraphs.
16. A compound according to any one of the preceding claims, or a pharmaceutically acceptable salt thereof, having the structural formula (Vb), (VIb) or (VIIb) below where R1 has the meaning as defined in any of the preceding paragraphs.
17. A compound or a pharmaceutically acceptable salt thereof selected from any one of the following: N-((2-(((2R,4R)-2,4-dimethylpiperidin-1-yl)methyl)-1H-indol-6-yl)methyl)-4-oxo-4H-pyrido[1,2-a]pyrimidine-2-carboxamide; N-((2-(((2S,4S)-2,4-dimethylpiperidin-1-yl)methyl)-1H-indol-6-yl)methyl)-4-oxo-4H-pyrido[1,2-a]pyrimidine-2-carboxamide; (R)-4-oxo-N-((2-((2,2,4-trimethylpiperidin-1-yl)methyl)-1H-indol-6-yl)methyl)-4H-pyrido[1,2-a]pyrimidine-2-carboxamide; (S)-4-oxo-N-((2-((2,2,4-trimethylpiperidin-1-yl)methyl)-1H-indol-6-yl)methyl)-4H-pyrido[1,2-a]pyrimidine-2-carboxamide; N-((2-(((2R,4R)-4-methyl-2-(methyl-d3)piperidin-1-yl)methyl)-1H-indol-6-yl)methyl)-4-oxo-4H-pyrido[1,2-a]pyrimidine-2-carboxamide; N-((2-(((2S,4S)-4-methyl-2-(methyl-d3)piperidin-1-yl)methyl)-1H-indol-6-yl)methyl)-4-oxo-4H-pyrido[1,2-a]pyrimidine-2-carboxamide; (R)-4-oxo-N-((2-((2,4,4-trimethylpiperidin-1-yl)methyl)-1H-indol-6-yl)methyl)-4H-pyrido[1,2-a]pyrimidine-2-carboxamide; (S)-4-oxo-N-((2-((2,4,4-trimethylpiperidin-1-yl)methyl)-1H-indol-6-yl)methyl)-4H-pyrido[1,2-a]pyrimidine-2-carboxamide; N-((2-(((2R,4R)-2,4-dimethylpiperidin-1-yl)methyl)-5-fluoro-1H-indol-6-yl)methyl)-4-oxo-4H-pyrido[1,2-a]pyrimidine-2-carboxamide; N-((2-(((2S,SR)-2,4-dimethylpiperidin-1-yl)methyl)-5-fluoro-1H-indol-6-yl)methyl)-4-oxo-4H-pyrido[1,2-a]pyrimidine-2-carboxamide; (R)-N-((5-fluoro-2-((2,4,4-trimethylpiperidin-1-yl)methyl)-1H-indol-6-yl)methyl)-4-oxo-4H-pyrido[1,2-a]pyrimidine-2-carboxamide; (S)-N-((5-fluoro-2-((2,4,4-trimethylpiperidin-1-yl)methyl)-1H-indol-6-yl)methyl)-4-oxo-4H-pyrido[1,2-a]pyrimidine-2-carboxamide; (S)-N-((5-fluoro-2-((2,2,4-trimethylpiperidin-1-yl)methyl)-1H-indol-6-yl)methyl)-4-oxo-4H-pyrido[1,2-a]pyrimidine-2-carboxamide; N-((2-(((2S,4S)-2,4-dimethylpiperidin-1-yl)methyl)-5-fluoro-1H-indol-6-yl)methyl)-4-oxo-4H-pyrido[1,2-a]pyrimidine-2-carboxamide; (R)-N-((5-fluoro-2-((2,2,4-trimethylpiperidin-1-yl)methyl)-1H-indol-6-yl)methyl)-4-oxo-4H-pyrido[1,2-a]pyrimidine-2-carboxamide; N-((5-fluoro-2-(((2R,4R)-4-methyl-2-(methyl-d3)piperidin-1-yl)methyl)-1H-indol-6-yl)methyl)-4-oxo-4H-pyrido[1,2-a]pyrimidine-2-carboxamide; N-((5-fluoro-2-(((2S,4S)-4-methyl-2-(methyl-d3)piperidin-1-yl)methyl)-1H-indol-6-yl)methyl)-4-oxo-4H-pyrido[1,2-a]pyrimidine-2-carboxamide; or N-((5-chloro-2-(((2S,4S)-2,4-dimethylpiperidin-1-yl)methyl)-1H-indol-6-yl)methyl)-4-oxo-4H-pyrido[1,2-a]pyrimidine-2-carboxamide.
18. A compound which is N-((2-(((2S,4S)-2,4-dimethylpiperidin-1-yl)methyl)-1H-indol-6-yl)methyl)-4-oxo-4H-pyrido[1,2-a]pyrimidine-2-carboxamide or a pharmaceutically acceptable salt thereof.
19. A pharmaceutical composition comprising a compound according to any one of claims 1-18 or a pharmaceutically acceptable salt thereof and one or more pharmaceutically acceptable excipients.
20. A compound according to any one of claims 1-18 or a pharmaceutically acceptable salt thereof, or a pharmaceutical composition according to claim 19 for use in therapy.
21. A compound according to any one of claims 1-18, or a pharmaceutically acceptable salt thereof, or a pharmaceutical composition according to claim 19, for use in the treatment of a proliferative disease.
22. A compound according to any one of claims 1-18, or a pharmaceutically acceptable salt thereof, or a pharmaceutical composition according to claim 19, for use in the treatment of cancer.
23. A compound for use according to claim 22, wherein the cancer is selected from: i. leukemia, such as acute myeloid leukemia (AML), acute lymphocytic leukemia (ALL), chronic myeloid leukemia, chronic lymphocytic leukemia (CLL), small lymphocytic lymphoma (SLL), or myelodysplastic syndromes (MDS); or ii. CNS cancers such as glioma, glioblastoma multiforme (GBM), astrocytomas, oligodendrogliomas, ependymomas, meningiomas, other brain neoplasms, or secondary tumors that have metastasized to the brain.
24. A compound according to any one of claims 1-18, or a pharmaceutically acceptable salt thereof, or a pharmaceutical composition according to claim 19 for use in the treatment of: i. a neurodegenerative disorder, such as a tauopathy such as Alzheimer's disease, progressive supranuclear palsy, corticobasal syndrome, frontotemporal dementia, Pick's disease, globular glial tauopathy, argyrophilic granule disease, aging-associated tau astrogliopathy, primary age-related tauopathy (PART), progressive supranuclear palsy, and chronic traumatic encephalopathy; motor neuron disease, repeat expansion disease (such as Huntington's disease), dementia (including frontotemporal dementia, vascular dementia, and dementia due to a tauopathy such as Alzheimer's disease), or Parkinson's disease; ii. an autoimmune disease, a CNS disorder, a neurological disease, an inflammatory disease, an infectious disease, type 2 diabetes mellitus, a neuropsychiatric behavioral disorder, a depressive disorder, or an X-linked inactivation disorder; or iii. X-linked inactivation disorder such as Addison's disease with cerebral sclerosis; adrenal hypoplasia; X-linked mental retardation syndrome, Siderius type; agammaglobulinemia, Bruton type; chorioretinal degeneration; choroideremia; ocular albinism; Dent's disease type 2; fragile X syndrome; Rett syndrome / early infantile epileptic encephalopathy 2 (CDKL5 deficiency disorder); albinism-deafness syndrome; paroxysmal nocturnal hemoglobinuria; Aldrich syndrome; Alport syndrome; hereditary hypochromic anemia; sideroblastic anemia with ataxia; Fabry disease; spinal muscular atrophy 2; congenital cataract; Charcot-Marie-Tooth disease, peroneal; spastic paraplegia; color blindness; nephrogenic diabetes insipidus; DDX3X syndrome; dyskeratosis congenita; anhidrotic ectodermal dysplasia; facieogenital dysplasia (Aarskog syndrome); glucose-6-phosphate dehydrogenase deficiency;Glycogen storage disease type VIII; Gonadal dysgenesis (XY female type); Granulomatous disease (chronic); Hemophilia A; Hemophilia B; Hydrocephalus (aqueductal stenosis); Hypophosphatemic rickets; Lesch-Nyhan syndrome (hypoxanthine-guanine phosphoribosyltransferase deficiency); Incontinentia pigmenti; Kallmann syndrome; Keratosis spinulosa follicularis; Lowe syndrome (oculocerebrorenal); Menkes syndrome; Renpenning syndrome; Intellectual disability with or without fragile site (numerous specific types); Coffin-Lowry syndrome; Microphthalmia with multiple anomalies (Lenz syndrome); Muscular dystrophy (Becker, Duchenne, and Emery-Dreifuss types); Myotubular myopathy; congenital stationary night blindness; Norrie disease (pseudoglioma); nystagmus, oculomotor or jerky; orofaciodigital syndrome (type I); omitin transcarbamylase deficiency (hyperammonemia type I); phosphoglycerate kinase deficiency; phosphoribosylpyrophosphate synthetase deficiency;retinitis pigmentosa; retinoschisis; Rett syndrome; muscular atrophy; dihydrotestosterone receptor deficiency; spinal muscular atrophy; spondyloepiphyseal dysplasia, late-onset; hereditary thrombocytopenia; thyroxine-binding globulin deficiency; or MacLeod syndrome.
25. A compound according to any one of claims 1-18, or a pharmaceutically acceptable salt thereof, or a pharmaceutical composition according to claim 19, for use in inhibiting METTL3 activity.
26. A combination comprising a compound according to any one of claims 1-18, or a pharmaceutically acceptable salt thereof, with one or more additional therapeutic agents.