Method of enhanced absorption of quinoxaline type iii receptor tyrosine kinase inhibitors
Patent Information
- Application Number
- PCT/US2024/038448
- Authority / Receiving Office
- WO · WO
- Patent Type
- Applications
- Current Assignee / Owner
- Priority Date
- 2023-07-18
- Filing Date
- 2024-07-18
- Publication Date
- 2025-03-27
AI Technical Summary
There is a need for improved delivery methods of quinoxaline compounds that act as type III receptor tyrosine kinase inhibitors, such as CSF-1R, PDGFR, FLT-3, and c-KIT inhibitors, to enhance their therapeutic efficacy in treating cancers, autoimmune diseases, bone resorptive diseases, and neurodegenerative diseases.
The method involves administering a medicament containing a quinoxaline compound of formula (I) or its stereoisomer, tautomer, prodrug, or pharmaceutically acceptable salt in a non-fasting state, preferably orally, to improve pharmacokinetics by increasing maximum plasma concentration (Cmax) and bioavailability (AUC).
This approach leads to enhanced absorption and bioavailability of the quinoxaline compounds, thereby improving their therapeutic effects in treating diseases mediated by type III receptor tyrosine kinases.
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Abstract
Description
METHOD OF ENHANCED ABSORPTION OF QUINOXALINE TYPE III RECEPTOR TYROSINE KINASE INHIBITORSCROSS-REFERENCE TO RELATED APPLICATIONS
[0001] The present disclosure claims priority to U.S. Provisional Application Serial No. 63 / 514,214 filed on July 18, 2023, the entirety of which is hereby incorporated by reference herein for all purposes.FIELD OF INVENTION
[0002] The present invention relates to a method to deliver quinoxaline compounds which can function as type III receptor tyrosine kinase inhibitors into animals and / or human.BACKGROUND OF INVENTION
[0003] Receptor tyrosine kinases (RTKs) are a sub-family of protein kinases Type Ill RTKs, including Colony-stimulating factor- 1 receptor (CSF-1R), Platelet-derived growth factor receptor a (PDGFRa), PDGFR[3, Fms-like tyrosine kinase 3 (FLT3) and c-KIT, are implicated in various proliferative, inflammatory, and autoimmune diseases. Small molecule inhibitors of type III RTKs provide a rational approach to treatments of these diseases.
[0004] CSF-1R, also known as macrophage colony-stimulating factor receptor (M-CSFR), is a receptor for the macrophage colony stimulating factor (M-CSF or CSF-1). Binding of M- CSF to its receptor activates signal transduction pathways, including PI3K / Akt and MAPK pathways, resulting in proliferation, survival, motility, and differentiation of cells of the monocyte / macrophage lineage, include the microglia. Elevated expression or activation of CSF-IR and / or its ligand have been found in a variety of cancers and elevated levels of M-CSF is associated with poor prognosis in certain cancers. M-CSF is one of several cytokinesimplicated in the recruitment of tumor-associated macrophages (TAMs) that contribute to tumor angiogenesis and tumor progression to metastasis. Activation of CSF-IR also leads to proliferation and differentiation of osteoclast precursors, thereby mediating the process of bone resorption. Inhibition of CSF-IR therefore provides treatments of cancers, especially cancer invasion, angiogenesis, metastasis, immunotolerance, and bone metastases. Because of its role in osteoclast biology, CSF-IR is also an important therapeutic target for osteoporosis, inflammatory arthritis, and other inflammatory bone erosion.
[0005] Receptor tyrosine kinase of the Platelet growth factor receptor (PDGFR) kinases are implicated in various proliferative disorders, such as gliomas, sarcomas, chronic myelo- monocytic leukemia (CML), and gastrointestinal, making them potential targets for anti-tumor therapy.
[0006] FLT3 plays an important role in the proliferation and differentiation of hematopoietic stem cells. More than a dozen FLT3 inhibitors are being developed, some of which have shown promising clinical effects against acute myeloid leukemia (AML). FLT3 receptor is also expressed in dendritic cell progenitors and inhibition of FLT3 down-regulates dendritic cell (DC)-mediated inflammatory and autoimmune responses.
[0007] c-KIT (or stem cell growth factor receptor (SCFR)) is another member of the PDGFR family, and c-KIT mutations are associated with gastrointestinal stromal tumors (GIST), mast cell / myeloid leukemia, seminomas / dysgerminomas, and melanomas. Gleevec® gained FDA- approval for c-KIT-mediated GIST in 2002.
[0008] Although various tyrosine kinase inhibitors are shown to be useful therapeutics, there is still a need for type III kinase inhibitors.SUMMARY OF INVENTION
[0009] The present invention relates to methods of delivery of quinoxaline compounds as activity inhibitors of kinases, such as CSF-IR, PDGFR, FLT-3 and / or c-KIT, into animalsand / or human for treating diseases mediated by such kinases, such as cancers, autoimmune diseases, bone resorptive diseases, and neurodegenerative diseases.
[0010] The present invention provides a method of improving pharmacokinetics of a compound of formula (I), including administering a medicament including the compound of formula (I), or a stereoisomer, tautomer, prodrug or pharmaceutically acceptable salt thereof to a subject in need thereof in a non-fasting state,Formula (I) wherein X, U, Z, G, R1, R2and R3are as defined herein.
[0011] Preferably, the compound of formula (I) is administered orally.
[0012] Preferably, the improving pharmacokinetics includes increasing the maximum plasma concentration (Cmax) and / or bioavailability (AUC).
[0013] Preferably, the medicament further includes a carrier, diluent or excipient.
[0014] Preferably, the excipient includes a surfactant, a binder, a disintegrant and / or a lubricant.
[0015] Efficient delivery of drug compounds into the animal and / or the human body is critical to the therapeutic applications of the compounds. The better the delivery, the more therapeutic effects are expected from the drug compounds in the therapeutic treatments for the targeted diseases.
[0016] Embodiments of the invention are based on unexpected findings that delivery of said quinoxaline compounds that have low solubility in water but have high solubility in acidic buffers can be delivered more efficiently into biological bodies after / with food ingestion.BRIEF DESCRIPTION OF THE DRAWINGS
[0017] FIG. 1 illustrates pH changes in stomach before / after a meal in the prior art.
[0018] FIG. 2 illustrates DCBCO1701-DS concentrations time course in blood samples of study 2 in accordance with an embodiment of the present invention.
[0019] FIGs. 3 A and 3B illustrate pharmacokinetics of EI-1071 tablet in Beagle dogs about Cmax and AUC, respectively, in accordance with an embodiment of the present invention.DETAILED DESCRIPTION
[0020] While enumerated embodiments will be described, it will be understood that they are not intended to limit the invention to those embodiments. On the contrary, the invention is intended to cover all alternatives, modifications, and equivalents, which may be included within the scope of the present invention as defined by the claims.
[0021] Definitions
[0022] For convenience, certain terms employed in the context of the present disclosure are collected here. Unless defined otherwise, all technical and scientific terms used herein have the same meaning as commonly understood by one of the ordinary skill in the art to which this invention belongs.
[0023] The term “non-fasting” or “postprandial” as used herein means that the animals, such as dogs, receive a nutritionally balanced daily ration during the pre-test period and the whole test period.
[0024] The term “AUC” means “Area Under the Curve” and is used in its normal meaning, i.e. as the area under the plasma concentration-time curve from 0 to 24 hours, where the dosage form has been administered orally to animals, such as rats and dogs (beagle), under fasting or non-fasting conditions in the embodiments. The AUC has units of concentration times time. Once the experimental concentration-time points have been determined, the AUC may conveniently be calculated, e.g., by a computer program or by the trapezoidal method.
[0025] As used herein, improved pharmacokinetics refers to improved Cmax (the maximum plasma level), Tinax (time to maximum plasma level), AUC or plasma half-life of the drug, or improved level of the drug in blood, liver or another tissue. Non-limiting examples of drugs whose pharmacokinetics can be improved by the compound of formula (I). In general, the amount of the compound of formula (I) in the tablet is sufficient to boost the in vivo pharmacokinetics of the co-formulated drug(s).
[0026] The term “alkyl” refers to a straight or branched monovalent saturated hydrocarbon containing, unless otherwise stated, 1-20 carbon atoms. The numerical ranges in this description are intended to include any number(s) in the defined range, as if the individual numbers have been separately disclosed. For example, an alkyl group of 1-20 carbons would include Ci, C2, ...C20, as well as C1-C20, C1-C15, C1-C10, C1-C6, C1-C4, etc. Examples of alkyl include methyl, ethyl, n-propyl, z-propyl, zz-butyl, z-butyl, and / -butyl.
[0027] The term “alkenyl” refers to a straight or branched monovalent hydrocarbon containing 2-20 carbon atoms (e.g., C2-C10) and one or more double bonds. Examples of alkenyl include ethenyl, propenyl, allyl, and 1 ,4-butadienyl.
[0028] The term “alkynyl” refers to a straight or branched monovalent hydrocarbon containing 2-20 carbon atoms (e.g., C2-C10) and one or more triple bonds. Examples of alkynyl include ethynyl, 1 -propynyl, 1 - and 2-butynyl, and l-methyl-2-butynyl.
[0029] The term “alkoxy” refers to an -O-alkyl radical, wherein the alkyl portion is as defined above. Examples of alkoxy include methoxy, ethoxy, n-propoxy, z-propoxy, z?-butoxy, i- butoxy, x-butoxy, and / -butoxy.
[0030] The term “acyloxy” refers to an -O-C(O)-R radical in which R can be H, alkyl, alkenyl, alkynyl, cycloalkyl, cycloalkenyl, heterocycloalkyl, heterocycloalkenyl, aryl, or heteroaryl as defined herein.
[0031] The term “amino” refers to NH2. The term “alkylamino” refers to an -N(R)-alkyl radical, in which “alkyl” is as defined above and R can be H, alkyl, alkenyl, alkynyl, cycloalkyl, cycloalkenyl, heterocycloalkyl, heterocycloalkenyl, aryl, or heteroaryl.
[0032] The term “cycloalkyl” refers to a monovalent saturated hydrocarbon ring system having 3 to 30 carbon atoms (e.g., C3-C6 or C3-C12). Examples of cycloalkyl include cyclopropyl, cyclobutyl, cyclopentyl, cyclohexyl, cycloheptyl, cyclooctyl, and adamantanyl.
[0033] The term “cycloalkenyl” refers to a monovalent non-aromatic hydrocarbon ring system having 3 to 30 carbons (e.g., C3C6or C3-C12) and one or more double bonds. Examples include cyclopentenyl, cyclohexenyl, and cycloheptenyl.
[0034] The term "heterocycloalkyl" refers to a monovalent nonaromatic 5-8 membered monocyclic, 8-12 membered bicyclic, or 11-14 membered tricyclic ring system having one or more heteroatoms (such as O, N, S, or Se). Examples of heterocycloalkyl groups include piperazinyl, pyrrolidinyl, piperidinyl, dioxanyl, morpholinyl, and tetrahydrofuranyl.
[0035] The term "heterocycloalkenyl" refers to a monovalent nonaromatic 5-8 membered monocyclic, 8-12 membered bicyclic, or 11-14 membered tricyclic ring system having one or more heteroatoms (such as O, N, S, or Se) and one or more double bonds.
[0036] The term “aryl” refers to a monovalent 6-carbon monocyclic, 10-carbon bicyclic, or 14-carbon tricyclic aromatic ring system. Examples of aryl groups include phenyl, naphthyl, and anthracenyl.
[0037] The term “aryloxyl” refers to an -O-aryl, wherein “aryl” is as defined above. The term “arylamino” refers to an -N(R)-aryl, wherein “aryl” is as defined above and R can be H, alkyl, alkenyl, alkynyl, cycloalkyl, cycloalkenyl, heterocycloalkyl, heterocycloalkenyl, aryl, or heteroaryl. The term “heteroaryl” refers to a monovalent aromatic 5-8 membered monocyclic, 8-12 membered bicyclic, or 11-14 membered tricyclic ring system having one or more heteroatoms (such as O, N, S, or Se). Examples of heteroaryl groups include pyridyl, furyl, imidazolyl, benzimidazolyl, pyrimidinyl, thienyl, quinolinyl, indolyl, thiazolyl, pyrrolyl,isoquinolinyl, purinyl, oxazolyl, pyrazolyl, and carbazolyl. In all these terms, “aryl” portion is as defined above.
[0038] The above-described alkyl, alkenyl, alkynyl, cycloalkyl, heterocycloalkyl, cycloalkenyl, heterocycloalkenyl, amino, alkylamino, arylamino, alkoxy, aryloxy, aryl, and heteroaryl may be substituted or unsubstituted moieties. Possible substituents on amino, alkylamino, arylamino, alkoxy, aryloxy, cycloalkyl, heterocycloalkyl, cycloalkenyl, heterocycloalkenyl, aryl, and heteroaryl include C1-C10 alkyl, C2-C10 alkenyl, C2-C10 alkynyl, C3-C20 cycloalkyl, C3-C20 cycloalkenyl, C1-C20 heterocycloalkyl, C1-C20 heterocycloalkenyl, C1-C10 alkoxy, aryl, aryloxy, heteroaryl, heteroaryloxy, amino, C1-C10 alkylamino, arylamino, hydroxy, halo, oxo (O=), thioxo (S=), thio, C1-C10 alkylthio, arylthio, C1-C10 alkylsulfonyl, arylsulfonyl, acylamino, aminoacyl, aminothioacyl, amidino, mercapto, amido, thioureido, thiocyanato, sulfonamide, guanidine, ureido, cyano, nitro, acyl, thioacyl, acyloxy, carbamide, carbamyl (-C(O)NH2), carboxyl (-COOH), and carboxylic ester. Possible substituents on alkyl, alkenyl, or alkynyl include all of the above-recited substituents except C1-C10 alkyl. Cycloalkyl, cycloalkenyl, heterocycloalkyl, heterocycloalkenyl, aryl, and heteroaryl can also be fused with each other.
[0039] Embodiments of the invention relate to a method of improving pharmacokinetics of a compound of formula (T), comprising administering a medicament comprising the compound of formula (I) to a subject in need thereof in a non-fasting state, wherein the compound of formula (I) has a structure of:Formula (I) or a stereoisomer, tautomer, prodrug, or pharmaceutically acceptable salt thereof, wherein:X is selected from the group consisting of CR4R5, NR6, O and S;Z is selected from the group consisting of -NR7- and-O-;U is N or CR8;G is selected from the group consisting of aryl, heteroaryl, cycloalkyl, heterocycle, alkene and alkyne;R1s selected from the group consisting of hydrogen, deuterium, halogen, amino, hydroxyl, Ci-C6alkyl, C2-C6 alkenyl, C2-C6 alkynyl, C3-C6 cycloalkyl, C5-C6 cycloalkenyl, Ci- Ce alkylamino, C1-C6dialkylamino, C3-C6 cycloalkylamino, C1-C6alkoxy, C3-C6 cycloalkoxy, aryl, a 3-to-6 membered heterocyclyl, and a 5-to-6 membered heteroaryl, wherein the alkylamino, dialkylamino, alkoxy, alkyl, alkenyl, alkynyl, cycloalkyl, cycloalkenyl, cycloalkylamino, cycloalkoxy, heterocyclyl, aryl and heteroaryl are optionally substituted with halogen, amino, hydroxyl, cyano, nitro, acyl, acyloxy, Ci- C4 alkyl, hydroxyl C1-C4 alkyl, alkoxy C1-C4 alkyl, acyloxy C1-C4 alkyl, C1-C4 alkoxy, C1-C4 dialkylamino, C3-C6 cycloalkyl, a 3-to-6 membered heterocyclyl, aryl, and a 5- to-6 membered heteroaryl;R2is selected from the group consisting of hydrogen, deuterium, halogen, nitro, cyano, trifluoromethyl, C1-C6alkylamino, C1-C6dialkylamino, C1-C6alkoxy, carboxylic acid, C1-C6alkyl carbonyl, C2-C6 alkenyl carbonyl, C1-C6alkoxy carbonyl, amino carbonyl, C1-C6alkylamino carbonyl and C1-C6dialkylamino carbonyl;R3is selected from the group consisting of hydrogen, deuterium, halogen, hydroxyl, amino, cyano, trifluoromethyl, Ci-G> alkyl, C1-C6alkoxy, C1-C6alkylamino and C1-C6dialkylamino;R4is selected from the group consisting of hydrogen, deuterium, halogen, hydroxyl, amino, C1-C6alkyl, C1-C6haloalkyl, C1-C6alkoxy and aryl;Rsis selected from the group consisting of hydrogen, deuterium, Ci-G, alkyl and C1-C6haloalkyl;R6is selected from the group consisting of hydrogen, Ci-G> alkyl and Ci-G> haloalkyl;R7is selected from the group consisting of hydrogen, C1-C6alkyl and C1-C6haloalkyl; and R8is selected from the group consisting of hydrogen, deuterium, halogen, hydroxyl, amino, cyano, trifluoromethyl, G-Galkyl, C1-C6 alkoxy, C1-C6 alkylamino and C1-C6 dialkylamino.
[0040] In some embodiments, G in a compound of Formula 1 may be selected from:whereinR9is selected from the group consisting of hydrogen, deuterium, halogen, nitro, cyano, trifluoromethyl, trifluoromethoxy, C1-C6 alkyl, C1-C6 haloalkyl, C1-C6 alkylaminoC1-C6 alkyl, C1-C6 dialkylaminoC1-C6 alkyl, C1-C6 alkylamino, C1-C6- alkoxy C1-C6 alkyl, C1-C6 dialkylamino, C1-C6alkoxy, carboxylic acid, carbonyl C1-C6 alkoxy, carbonyl C1-C6 alkylamino, and carbonyl C1-C6 dialkylamino;R10is selected from the group consisting of hydrogen, G-G> alkyl and G-G, haloalkyl; and each n is individually and independently 0, 1, 2, or 3.
[0041] In some embodiments, G in a compound of Formula 1 may be selected from:whereinR11is selected from the group consisting of hydrogen, deuterium, halogen, nitro, cyano, trifluoromethyl, C1-C6alkyl, C1-C6haloalkyl, C3-C6 cycloalkyl, C3-C6 cycloalkyl Ci- Ce alkyl, C1-C6alkylamino, C1-C6dialkylamino, C1-C6alkoxy, C1-C6alkoxy C1-C6alkyl, carboxylic acid, carbonyl C1-C6alkoxy, carbonyl C1-C6alkylamino and carbonyl C1-C6dialkylamino;R12is selected from the group consisting of hydrogen, C -Ce alkyl and Ci -G> haloalkyl; and each n is individually and independently 0, 1, 2, or 3.
[0042] In some embodiments, G in a compound of Formula 1 may be selected from:whereinR13is selected from the group consisting of hydrogen, deuterium, halogen, nitro, cyano, trifluoromethyl, C1-C6alkyl, C1-C6haloalkyl, C1-C6alkylamino, C1-C6dialkylamino, C1-C6alkoxy, carboxylic acid, C1-C6alkoxycarbonyl, C1-C6alkylaminocarbonyl and C1-C6dialkylaminocarbonyl; and each n is individually and independently 0, 1, 2, or 3.
[0043] In some embodiments, G in a compound of Formula 1 may be selected from:whereinR14is selected from the group consisting of hydrogen, deuterium, halogen, nitro, cyano, trifluoromethyl, C1-C6alkyl, C1-C6haloalkyl, C1-C6alkylamino, Ci-G, dialkylamino, C1-C6alkoxy, carboxylic acid, C1-C6alkoxycarbonyl, C1-C6alkylaminocarbonyl and C1-C6dialkylaminocarbonyl;Q is selected from NR15, O, and S, wherein R15is selected from the group consisting of hydrogen, C1-C6alkyl and C1-C6haloalkyl; and each n is individually and independently 0, 1, 2, or 3.
[0044] In some embodiments, G in a compound of Formula 1 may be selected from:wherein R16is selected from the group consisting of hydrogen, deuterium, C1-C6alkyl, Ci-Ce haloalkyl, 3-to-6 membered heterocyclyl, 5-to-6 membered heteroaryl, C1-C6alkoxycarbonyl, C1-C6alkylaminocarbonyl and C1-C6dialkylaminocarbonyl..
[0045] One skilled in the art would appreciate that in the above formula (I), all possible combinations or permutations of different substituents are within the scope of the invention. Exemplary quinoxaline compounds of the present invention are listed in Table 1.
[0046] Table 1. Quinoxaline compoundsCompound No. Structure3-methoxy-6-((6-(((6-(trifluoromethyl)pyridin-3-yl)methyl) amino)pyridin-3-yl)amino)quinoxaline-5-carbonitrile(trifluoromethyl)pyridin-3-yl)methyl)pyridine-2,5-diamine3-methoxy-6-((3-methoxy-4-((4-methoxybenzyl) oxy)phenyl)amino)quinoxaline-5-carbonitrile3-methoxy-6-((6-((4-(trifluoromethyl)benzyl)amino) pyridin-3-yl)amino)quinoxaline-5-carbonitrile3-methoxy-A / -(3-methoxy-4-((4- methoxybenzyl)oxy)phenyl)quinoxalin-6-amine3-methoxy-6-((6-(pyridin-3-ylmethoxy) pyridin-3-yl)amino)quinoxaline-5-carbonitrile-(dimethylamino)-6-((3-methoxy-4-((4-methoxybenzyl) oxy)phenyl)amino)quinoxaline-5-carbonitrile3-methoxy-6-((3-methoxy-4-(pyridin-3- ylmethoxy)phenyl)amino)quinoxaline-5-carbonitrile3-methoxy-6-((6-((4-methoxybenzyl)oxy)pyridin-3-yl)amino)quinoxaline-5-carbonitrile3-methoxy-6-(3-methoxy-4-((4-methoxybenzyl) oxy)phenoxy)quinoxaline-5-carbonitrile6-((3,4-dimethoxyphenyl)amino)-3- methoxyquinoxaline-5-carbonitrile6-((3-methoxy-4-((4-methoxybenzyl)oxy)phenyl)amino)-3-(methylamino)quinoxaline-5-carbonitrile3-(2-(dimethylamino)ethoxy)-6-((3-methoxy-4-((4- methoxybenzyl)oxy)phenyl)amino)quinoxaline-5-carbonitrile3-methoxy-6-((3-methoxy-4-((4-methoxybenzyl) amino)phenyl)amino)quinoxaline-5-carbonitrile3-methoxy-6-((4-((4-methoxybenzyl) oxy)phenyl)amino)quinoxaline-5-carbonitrile6-((3-methoxy-4-((4-methoxybenzyl)oxy)phenyl)amino)-3-morpholinoquinoxaline-5-carbonitrile3-(isopropylamino)-6-((3-methoxy-4-((4-methoxybenzyl) oxy)phenyl)amino)quinoxaline-5-carbonitrile6-((2-fluoro-4-((4-methoxybenzyl)oxy)phenyl)amino)-3-methoxyquinoxaline-5-carbonitrile3-(dimethylamino)-6-(3-methoxy-4-((4- methoxybenzyl)oxy)phenoxy)quinoxaline-5-carbonitrile6-((4-((4-ethoxybenzyl)oxy)-3-methoxyphenyl)amino)-3-methoxyquinoxaline-5-carbonitrile3-methoxy-6-((3-methoxy-4-((4-(trifluoromethoxy) benzyl)oxy)phenyl)amino)quinoxaline-5-carbonitrile6-((3-fluoro-4-((4-methoxybenzyl)oxy)phenyl)amino)-3-methoxyquinoxaline-5-carbonitrile6-((4-( benzyloxy )-3-methoxypheny l)amino)- 3-methoxyquinoxaline-5-carbonitrile / V-(3-methoxy-4-((4-methoxybenzyl)oxy)phenyl)-3- morpholinoquinoxalin-6-amineA / 7-(3-methoxy-4-((4-methoxybenzyl)oxy)phenyl)-A / 2-methylquinoxaline-2,7-diamine3-methoxy-6-(3-methoxy-4-((4- methoxybenzyl)oxy)phenoxy)quinoxaline-5-carbonitrile6-(3-methoxy-4-((4-methoxybenzyl)oxy)phenoxy)-3- morpholinoquinoxaline-5-carbonitrile6-(4-((4-chlorobenzyl)oxy)-3-methoxyphenoxy)-3-methoxyquinoxaline-5-carbonitrile-((4-((4-isopropylbenzyl)amino)-3-methoxyphenyl)amino)-3- methoxyquinoxaline-5-carbonitrile6-(3-ethoxy-4-((4-methoxybenzyl)oxy)phenoxy)-3- methoxyquinoxaline-5-carbonitrile-((3-methoxy-4-((4-methoxybenzyl)oxy)phenyl)amino)-3-(4-methylpiperazin-1-yl)quinoxaline-5-carbonitrile-((3-methoxy-4-((4-(trifluoromethoxy)benzyl)oxy)phenyl) amino)-3-morpholinoquinoxaline-5-carbonitrile6-((4-((4-ethylbenzyl)oxy)-3-methoxyphenyl)amino)-3- morpholinoquinoxaline-5-carbonitrile6-((4-((4-fluorobenzyl)oxy)-3-methoxyphenyl)amino)-3-methoxyquinoxaline-5-carbonitrile-((4-((4-ethoxybenzyl)oxy)-3-methoxyphenyl)amino)-3- morpholinoquinoxaline-5-carbonitrile6-((4-(cyclopropylmethoxy)-3-methoxyphenyl)amino)-3- morpholinoquinoxaline-5-carbonitrile-((5-methoxy-6-((4-methoxybenzyl)oxy)pyridin-3-yl)amino)-3- morpholinoquinoxaline-5-carbonitrile6-((4-((4-methoxybenzyl)oxy)phenyl)amino)-3- morpholinoquinoxaline-5-carbonitrile6-((3-methoxy-4-((4-methoxybenzyl)amino)phenyl)amino)-3-morpholinoquinoxaline-5-carbonitrile6-((4-((4-fluorobenzyl)oxy)-3-methoxyphenyl)amino)-3- morpholinoquinoxaline-5-carbonitrile6-((3-methoxy-4-((3-methyloxetan-3-yl)methoxy) phenyl)amino)-3-morpholinoquinoxaline-5-carbonitrile6-((3-methoxy-4-((1-methylpiperidin-4-yl)methoxy)phenyl) amino)-3-morpholinoquinoxaline-5-carbonitrile6-((3-methoxy-4-(pyridin-3-ylmethoxy)phenyl)amino)-3-morpholinoquinoxaline-5-carbonitrile6-((4-(cyclopentylmethoxy)-3-methoxyphenyl)amino)-3-morpholinoquinoxaline-5-carbonitrile-((4-((2,3-dihydrobenzofuran-5-yl)methoxy)-3-methoxyphenyl) amino)-3-morpholinoquinoxaline-5-carbonitrile6-((3-methoxy-4-(pyridin-4-ylmethoxy)phenyl)amino)-3-morpholinoquinoxaline-5-carbonitrile6-((3-ethoxy-4-(pyridin-4-ylmethoxy)phenyl)amino)-3-morpholinoquinoxaline-5-carbonitrile6-((3-methoxy-4-((1-methyl-1H-imidazol-2-yl)methoxy) phenyl)amino)-3-morpholinoquinoxaline-5-carbonitrile6-((4-((4-chlorobenzyl)oxy)-3-methoxyphenyl)amino)-3-morpholinoquinoxaline-5-carbonitrile-((3-methoxy-4-((6-methoxypyridin-3-yl)methoxy)phenyl) amino)-3-morpholinoquinoxaline-5-carbonitrile6-((3-methoxy-4-(pyrazin-2-ylmethoxy)phenyl)amino)-3-morpholinoquinoxaline-5-carbonitrile6-((6-((4-methoxybenzyl)oxy)pyridin-3-yl)amino)-3-morpholinoquinoxaline-5-carbonitrile6-((2-fluoro-4-((4-methoxybenzyl)oxy)phenyl)amino)-3- morpholinoquinoxaline-5-carbonitrile-((3-methoxy-4-((6-methylpyridin-3-yl)methoxy)phenyl) amino)-3-morpholinoquinoxaline-5-carbonitrile6-((3-methoxy-4-((1-methyl-1 / 7-imidazol-5-yl)methoxy) phenyl)amino)-3-morpholinoquinoxaline-5-carbonitrile6-((3-methoxy-4-(pyridin-2-ylmethoxy)phenyl)amino)-3-morpholinoquinoxaline-5-carbonitrile-((4-((3,4-dimethoxybenzyl)oxy)-3-methoxyphenyl)amino)-3-morpholinoquinoxaline-5-carbonitrile-((3-methoxy-4-((6-methoxypyridin-3-yl)methoxy)phenyl) amino)-3-(piperazin-1-yl)quinoxaline-5-carbonitrile-((3-methoxy-4-((4-methoxybenzyl)oxy)phenyl)(methyl) amino)-3-morpholinoquinoxaline-5-carbonitrile-((3-methoxy-4-((5-methylisoxazol-3-yl)methoxy)phenyl) amino)-3-morpholinoquinoxaline-5-carbonitrile-((3-methoxy-4-((4-methoxybenzyl)oxy)phenyl)amino)-3-(pyrrolidin-1-yl)quinoxaline-5-carbonitrile6-((4-((4-cyanobenzyl)oxy)-3-methoxyphenyl)amino)-3- morpholinoquinoxaline-5-carbonitrile6-((4-((3-cyanobenzyl)oxy)-3-methoxyphenyl)amino)-3- morpholinoquinoxaline-5-carbonitrile3-(4-(2-hydroxyethyl)piperazin-1-yl)-6-((3-methoxy-4-((4- methoxybenzyl)oxy)phenyl)amino)quinoxaline-5-carbonitrile-((3-methoxy-4-((6-methylpyridin-3-yl)methoxy)phenyl)amino)-3-(piperazin-1-yl)quinoxaline-5-carbonitrile-(8-cyano-7-((3-methoxy-4-((4-methoxybenzyl)oxy)phenyl)amino) quinoxalin-2-yl)piperidin-4-yl acetate-((3-methoxy-4-((6-methoxypyridin-3-yl)methoxy)phenyl)amino)-3-(4-methylpiperidin-1-yl)quinoxaline-5-carbonitrile3-(1 H-imidazol-1 -yl)-6-((3-methoxy-4-((6-methoxypyridin-3-yl) methoxy)phenyl)amino)quinoxaline-5-carbonitrile(1-(8-cyano-7-((3-methoxy-4-((4-methoxybenzyl)oxy)phenyl) amino)quinoxalin-2-yl)piperidin-4-yl)methyl acetate3-(4-acetylpiperazin-1-yl)-6-((3-methoxy-4-((4- methoxybenzyl)oxy)phenyl)amino)quinoxaline-5-carbonitrile6-((3-methoxy-4-((6-(trifluoromethyl)pyridin-3-yl)methoxy) phenyl)amino)-3-morpholinoquinoxaline-5-carbonitrile6-((3-methoxy-4-((4-methoxybenzyl)oxy)phenyl)amino)-3-((2- morpholinoethyl)amino)quinoxaline-5-carbonitrile6-((4-((3-cyanobenzyl)oxy)-3-methoxyphenyl)amino)-3-(4-methylpiperazin-1-yl)quinoxaline-5-carbonitrile6-((3-methoxy-4-((6-methoxypyridin-3-yl)methoxy)phenyl)amino)-3-(pyrrolidin-1 -yl)quinoxaline-5-carbonitrile3-(4-isopropylpiperazin-1-yl)-6-((3-methoxy-4-((4- methoxybenzyl)oxy)phenyl)amino)quinoxaline-5- carbonitrile6-((4-(benzo[d][1 ,3]dioxol-5-ylmethoxy)-3-methoxyphenyl) amino)-3-morpholinoquinoxaline-5-carbonitrile3-(4-(dimethylamino)piperidin-1-yl)-6-((3-methoxy-4-((6-methoxy pyridin-3-yl)methoxy)phenyl)amino)quinoxaline-5-carbonitrile3-(azetidin-1-yl)-6-((3-methoxy-4-((4-methoxybenzyl) oxy)phenyl)amino)quinoxaline-5-carbonitrile-((4-((3-cyanobenzyl)oxy)-3-methoxyphenyl)amino)-3-(4-(dimethylamino)piperidin-l -yl)quinoxaline-5-carbonitrile3-(4-(dimethylamino)piperidin-1-yl)-6-((4-((3-fluoro-4-methoxy benzyl)oxy)-3-methoxyphenyl)amino)quinoxaline-5-carbonitrile3-(azetidin-1-yl)-6-((3-methoxy-4-((6-methoxypyridin-3-yl)methoxy)phenyl)amino)quinoxaline-5-carbonitrile3-(azetidin-1-yl)-6-((4-((3-cyanobenzyl)oxy)-3- methoxyphenyl)amino)quinoxaline-5-carbonitrile6-((4-(benzyloxy)-3-methoxyphenyl)amino)-3-morpholinoquinoxaline-5-carbonitrile6-((3-methoxy-4-((6-methoxypyridin-3-yl)methoxy)phenyl) amino)-3-(4-methylpiperazin-1-yl)quinoxaline-5-carbonitrile6-((4-((6-ethylpyridin-3-yl)methoxy)-3-methoxyphenyl)amino)-3-morpholinoquinoxaline-5-carbonitrile-((3-methoxy-4-((6-methoxypyridin-3-yl)methoxy)phenyl)amino)-3-(4-morpholinopiperidin-1-yl)quinoxaline-5-carbonitrile6-((4-((6-isopropylpyridin-3-yl)methoxy)-3-methoxyphenyl) amino)-3-morpholinoquinoxaline-5-carbonitrile6-((4-((6-(dimethylamino)pyridin-3-yl)rnethoxy)-3-methoxyphenyl) amino)-3-morpholinoquinoxaline-5-carbonitrile6-((3-methoxy-4-((1-methyl-1 H-pyrazol-4-yl)methoxy)phenyl) amino)-3-morpholinoquinoxaline-5-carbonitrileN-(3-methoxy-4-((4-methoxybenzyl)oxy) phenyl)-3-(prop-1-en-2-yl)quinoxalin-6-amine6-((3-methoxy-4-((4-methoxybenzyl)oxy)phenyl) amino)-3-(prop-1-en-2-yl)quinoxaline-5-carbonitrile3-isopropoxy-6-((3-methoxy-4-((6-methoxypyridin-3- yl)methoxy)phenyl)amino)quinoxaline-5-carbonitrile6-((4-((6-cyclopropylpyridin-3-yl)methoxy)-3-methoxy phenyl)amino)-3-morpholinoquinoxaline-5-carbonitrile6-((4-(furan-3-ylmethoxy)-3-methoxyphenyl)amino)-3-morpholinoquinoxaline-5-carbonitrile6-((4-(furan-2-ylmethoxy)-3-methoxyphenyl) amino)-3-morpholinoquinoxaline-5-carbonitrile6-((3-methoxy-4-((tetrahydrofuran-2-yl)methoxy) phenyl)amino)-3-morpholinoquinoxaline-5-carbonitrile6-((3-methoxy-4-((5-methylthiophen-2-yl)methoxy) phenyl)amino)-3-morpholinoquinoxaline-5-carbonitrile-((3-methoxy-4-((5-(methoxymethyl)pyridin-2-yl)methoxy) phenyl)amino)-3-morpholinoquinoxaline-5-carbonitrile6-((3-methoxy-4-(thiophen-3-ylmethoxy)phenyl) amino)-3-morpholinoquinoxaline-5-carbonitrile6-((3-methoxy-4-(thiophen-2-ylmethoxy)phenyl) amino)-3-morpholinoquinoxaline-5-carbonitrile6-((3-methoxy-4-((2-methylpyrimidin-5-yl)methoxy) phenyl)amino)-3-morpholinoquinoxaline-5-carbonitrile6-((3-methoxy-4-((6-methylpyridin-3-yl)methoxy)phenyl)(methyl)amino)-3-morpholinoquinoxaline-5-carbonitrile-((4-((6-cyclopropylpyridin-3-yl)methoxy)-3-methoxyphenyl)(methyl)amino)-3-morpholinoquinoxaline-5-carbonitrile6-((4-((1-(2-fluoroethyl)-1 H-pyrazol-4-yl)methoxy)-3- methoxyphenyl)amino)-3-morpholinoquinoxaline-5-carbonitrile6-((3-methoxy-4-((5-methoxypyridin-2-yl)methoxy) phenyl)amino)-3-morpholinoquinoxaline-5-carbonitrile3-(dimethylamino)-6-((3-methoxy-4-((6-methylpyridin-3- yl)methoxy)phenyl)amino)quinoxaline-5-carbonitrile6-((4-((1-cyclopropyl-1 H-pyrazol-4-yl)methoxy)-3-methoxy phenyl)amino)-3-morpholinoquinoxaline-5-carbonitrile6-((3-methoxy-4-((6-methylpyridin-3-yl)methoxy)phenyl) amino)-3-morpholinoquinoxaline-5-carboxamide-(3-(dimethylamino)azetidin-1-yl)-6-((3-methoxy-4-((6-methylpyridin-3-yl)methoxy)phenyl)amino)quinoxaline-5-carbonitrile3-(dimethylamino)-6-((3-methoxy-4-((6-methoxypyridin-3- yl)methoxy)phenyl)amino)quinoxaline-5-carbonitrile-(3-methoxy-3-methylazetidin-1-yl)-6-((3-methoxy-4-((6-methyl pyridin-3-yl)methoxy)phenyl)amino)quinoxaline-5-carbonitrile6-((4-((3-cyano-4-methoxybenzyl)oxy)-3-methoxyphenyl) amino)-3-(dimethylamino)quinoxaline-5-carbonitrile6-((4-((1 -(cyclopropylmethyl)-l H-pyrazol-4-yl)methoxy)--methoxyphenyl)amino)-3-morpholinoquinoxaline-5-carbonitrile-((5-methoxy-6-((6-methylpyridin-3-yl)methoxy)pyridin-3-yl)amino)-3-morpholinoquinoxaline-5-carbonitrile6-((5-methoxy-6-((6-methoxypyridin-3-yl)methoxy)pyridin-3-yl)amino)-3-morpholinoquinoxaline-5-carbonitrile3-((2S,6R)-2,6-dimethylmorpholino)-6-((3-methoxy-4-((6-methyl pyridin-3-yl)methoxy)phenyl)amino)quinoxaline-5-carbonitrile6-((3-methoxy-4-((6-methyl-1-( A,1-oxidaneyl)-1 X4-pyrid in-3-yl) methoxy)phenyl)amino)-3-morpholinoquinoxaline-5-carbonitrile
[0047] Provided herein are compounds, and pharmaceutical compositions thereof, that are useful in the treatment or prevention of diseases, conditions and / or disorders modulated / mediated by (or associated with) a protein tyrosine kinase, such as CSF-1R, PDGFR, FLT-3 and / or c-KIT.
[0048] In an embodiment, the compound of formula (I) described above is administered orally. The medicament is in a form of tablet with 150 mg of the compound of formula (I). The compound of formula (i) shows a dose-adjusted AUC of the compound of formula (I) plasma concentration in dogs, under non-fasting conditions, of at least 170 kg*ng*hr / mL / mg. The compound of formula (I) shows a dose-adjusted Cmax in dogs, under non-fasting conditions, of at least 20 kg*ng / mL / mg. The improving pharmacokinetics includes increasing the maximum plasma concentration (Cmax) and / or bioavailahility (AUC).
[0049] In an embodiment, the medicament further includes a carrier, diluent or excipient. The excipient may include a surfactant, a binder, a disintegrant and / or a lubricant.
[0050] The surfactant includes but are not limited to: betain, quaternary ammonium salts, polysorbates, sorbitan erters, a poloxamer and povidone® K-90. In one embodiment, the surfactant is povidone K-90.
[0051] The binder includes but are not limited to: starches, e.g., potato, wheat or corn starch; microcrystalline cellulose, hydroxyethyl cellulose, hydroxypropyl cellulose, hydroxypropylmethyl cellulose, hypromellose, and polyvinylpyrrolidone (e.g., Povidone® K- 90). In one embodiment, polyvinylpyrrolidone is used, preferably Povidone® K-90.
[0052] The disintegrant includes but are not limited to: maize starch, CMC-Ca, CMC-Na, microcrystalline cellulose, cross-linked polyvinylpyrrolidone (PVP), alginic acid, sodium alginate, and sodium starch glycolate e.g., sodium starch glycolate type A). In one embodiment, sodium starch glycolate, e.g., sodium starch glycolate type A is used.
[0053] The lubricant includes but are not limited to: magnesium stearate, sodium stearyl fumarate, calcium stearate, zinc stearate, sodium stearate, stearic acid, aluminum stearate, leucine, behenate glyceryl esters, hydrogenated vegetable oils. In one embodiment, magnesium stearate is used.
[0054] In some embodiments, the compound of formula (I) is formed as amorphous solid dispersions (ASDs) with but are not limited to: povidone®, polymethaacrylate derivatives, hydroxypropyl methyl cellulose (HPMC) and hydroxypropyl methylcellulose acetate succinate derivatives. In one embodiment, the compound of formula (I) is formed as ASDs with hydroxypropyl methylcellulose acetate succinate (HPMCAS) (named as “DCBCO1701-SP01” hereinafter).
[0055] In one embodiment, the compound of formula (I) is used to manufacture a medicament tablet with HPMCAS, povidone K-90, sodium starch glycolate type A and / or magnesium stearate (named as “El- 1071 tablet” hereinafter).
[0056] Enhancement of absorption of quinoxaline type III receptor tyrosine kinase inhibitors
[0057] Food effects on drug compounds delivery
[0058] Certain drugs that exhibit higher solubility in low pH environments may experience reduced maximum concentration (Cmax) and area under the curve (AUC) following a meal. This phenomenon occurs because, under fasted conditions, the stomach environment in healthy individuals typically is around pH 1. However, after food consumption, gastric pH transiently increases a higher pH ranging from pH 4.5 to pH 4.98, and remaining elevated for up to 4.5 hours. As illustrated in FIG. 1[1], the pH changes in stomach before and after a meal is illustrated. At baseline, median gastric pH was about pH 1, increased to pH 4.5 or higher with ingestion of a meal, and then returned to approximately pH 1 about 3-4 hours after the start of the meal. Consequently, it is expected that solubility of drugs with higher solubility in acidic environment may decrease if they are administered post-food consumption, therefore leading to reduced absorption of the drugs. Furthermore, relative to the fasted state, concomitant oral drug administration after food ingestion can severely impact systemic bioavailability due to changes in gastrointestinal physiology, which affect the drug’s transit time, luminal dissolution, and permeability.
[0059] Known examples in prior arts[2]:
[0060] Repaglinide: it exhibits higher solubility under low pH conditions. When administered with food, the mean Tmaxremains unchanged, while the mean Cmax and AUC decrease by 20% and 12.4%, respectively.[3]
[0061] Telmisartan: it exhibits higher solubility under low pH conditions. When administered in a non- fasted state, both mean Cmax and AUC decrease.[4]
[0062] The compound of formula (I) is administered to the subject in need in the non-fasting state. Non-fasting state (or fed state) means in particular that the patient is not fasted. Particularly this means that active agents are administered together with or after food intake, e.g., a meal, such as breakfast, lunch and / or dinner, more particularly together with or after breakfast and / or dinner. In particular, the compound of formula (I) (and optionally an orallyavailable) is administered within 5 hours, more particularly within 4 hours, even more particularly within 3 hours, yet even more particularly within 2.5 hours, yet even more particularly within 2 hours, yet even more particularly within 60 minutes, yet even more particularly within 30 minutes after food intake, particularly a meal, more particularly a light meal, in particular a light breakfast and / or dinner. A recommendation by the physician for a light meal could be a small to medium portion of 1 or 2 of the following: fruit, yogurt, cereal, toast, croissant, bread, cold meat, cheese, or salad, with coffee, tea, juice, or milk or similar amounts of food, which typically amounts to around 150-300 kcal, while however the numbers and amounts may vary to some extent in the actual treatment setting, taking into account that the patients are typically treated ambulatory and thus for the most part determine their diet themselves.
[0063] In the case of twice daily administration of the compound of formula (I), the first administration may be within the time frames in relation to a breakfast or light breakfast as detailed above and particularly within 30 minutes after said breakfast or light breakfast; and the second administration may be within the time frames in relation to a dinner or light dinner as detailed above and particularly within 30 minutes after said dinner or light dinner. For the sake of completeness, food intake, meal, etc. logically refer to food intake, meal, etc. of the patient receiving the administration of the aforementioned agents.
[0064] Experimental materials and methods
[0065] The compound “DCBCO1701-DS:
[0066] Chemical name: 6-((3-methoxy-4-((6-methylpyridin-3-yl)methoxy)phenyl)amino)-3- morpholinoquinoxaline- 5 -carbonitrile ;
[0067] CAS Index name: 5-Quinoxalinecarbonitrile, 6-[[3-methoxy-4-[(6-methyl-3- pyridinyl)methoxy]phenyl]amino]-3-(4-morpholinyl)-;
[0068] CAS RN: 2222689-47-4; and
[0069] Structure:
[0070] The ASDs “DCBC01701-SP01”:
[0071] A yellow powder contains DCBCO1701-DS, 20-40% w / w, and hydroxypropyl methylcellulose acetate succinate (HPMCAS), 60-80% w / w.
[0072] The medicament “EI-1071 tablet”:
[0073] Each EI-1071 tablet (750 mg / tablet) contains DCBCO1701-SP01 (60-70% w / w), povidone K-90 (4-8% w / w), sodium starch glycolate type A (25-30% w / w), and magnesium stearate (0.2-1% w / w).
[0074] Chemical properties of the quinoxaline compound DCBCO1701-DS
[0075] Solubility of DCBCO1701-DS and DCBCO1701-SP01 in water and buffers of various pH
[0076] As shown in Table 2, the solubility of DCBCO1701-DS was determined in pure water and buffers of various pH conditions: pH 1.2, pH 4.0, pH 6.8, and pH 7.4. DCBCO1701-DS is barely soluble in pure water and was determined as <1 pg / mL. However, the solubility thereof was measured 493.33 ± 125.70 pg / mL in pH 1.2 buffer and dropped significantly to become barely detectable 1.86 ± 0.1 1 pg / mL in pH 4.0 and < 1 pg / mL in pH 6.8 and pH 7.4. The solubility is significantly higher in an acidic buffer of pH 1.2.
[0077] Table 2. DCBCO1701-DS Solubility
[0078] As shown in Table 3, the solubility of DCBCO1701-SP01 was determined in pure water and buffers of various pH conditions: pH 1.2, pH 4.0, and pH 6.8. Solubility of DCBC01701-SP01 was barely soluble in pure water and was determined as 4.38 + 0.05 pg / mL. The solubility of DCBCO1701-SP01 was measured 441.46 + 76.06 pg / mL in pH 1.2, which was similar to that of DCBCO1701-DS in pH 1.2. The solubility dropped significantly to barely detectable levels of 2.08 ± 0.70 pg / mL in pH 4.5 and 7.52 ± 2.08 pg / mL in pH 6.8, which was similar to that of pure water and was also similar to that of DCBCO1701-DS in similar pH conditions.
[0079] Table 3. DCBC01701-SP01 Solubility
[0080] HPMCAS-based ASDs have become well established in commercially available products and are widely utilized as a solubility enhancer to improve the solubility of poorly soluble drugs or as a precipitation inhibitor or stabilizer to achieve supersaturation and inhibit crystallization of drugs in the gastrointestinal tract. However, the results indicated that the solubility of DCBCO1701-DS in pure water and in various pH conditions is not significantly affected by other ingredients, HPMCAS, in DCBC01701-SP01.
[0081] Effects of food on absorption of DCBCO1701-DS compound in animals
[0082] Study 1
[0083] Pharmacokinetics (PK) and bioavailability of DCBCO1701-DS in healthy Sprague Dawley male rats was studied in two formulations: DCBCO1701-DS and DCBCO1701-SP01,of which each was suspended in 0.5% methylcellulose (0.5% MC) and was administered orally, also often mentioned as per os (PO), to rats which had been fasted for at least 10 hours, at a dose level, or at an equivalent dose level in case of DCBCO1701-SP01, of 10 mg / kg of DCBCO1701-DS once via jugular gavage. Blood samples were collected selected time points post dosing: pre-dose, 0.08, 0.25, 0.5, 1, 2, 4, 6, 8, 10, 24 hours. The concentration of DCBCO1701-DS in each blood sample was determined by liquid chromatography-tandem spectrometry (LC-MS / MS). Parameters of PK, including Cmax and AUC were calculated as illustrated in Table 4.
[0084] Table 4. Pharmacokinetic study 1 in Sprague Dawley Rats (fasting)1. EQ DCBCO1701-DS: equivalent DCBCO1701-DS amount2. Cmax: maximum observed concentration3. AUC(o-oo): area under the concentration-time curve from time 0 to the last measurable concentration4. Per os (by mouth)
[0085] The results indicated that the absorption of the DCBCO1701-DS in rats was significantly higher in the form of DCBCO1701-SP01 than in the form of DCBCO1701-DS (e.g., the AUC / Dose values SP01 vs DS = 169.2 vs 45.2).
[0086] Given that DCBCO1701 is highly soluble in low pH but barely soluble in other pH conditions, it may, like other drugs with similar physical properties, experience reduced Cmax and AUC following a meal. To gain a comprehensive understanding the impacts of food on the PK profile of DBCCO1701-DS, two PK studies, study 2 and study 3, were conducted in Beagle dogs. The results are summarized in Table 5 (study 2) and Tables 6 and 7 (study 3) below.
[0087] All AUC data herein were dose adjusted to the 1 mg dose level. For the purposes herein, the AUC is determined within a dose range where the AUC increases proportionally with dose. Administration of 150 mg of the compound of formula (I), e.g., El- 1071 tablet, to dogs is considered suitable for determining the AUC values as used herein. Protocol for the oral bioavailability studies in beagle dogs and the AUC calculations are described in U.S. Patent Application Publication No. 20050084529, the entire content of which is incorporated herein by reference.
[0088] Study 2
[0089] Dogs, fasted or non-fasting (postprandial), were administered El- 1071 tablets PO once at a dose level equivalent to 55 mg / kg of DCBCO1701-DS. Blood samples were collected at selected time points post dosing: pre-dose, 0.5, 1, 2, 4, 8, 12, 24 hours. Concentration of DCBCO1701-DS in each sample was determined by LC-MS / MS. The parameters of PK were calculated as shown in Table 5 below:
[0090] Table 5. Pharmacokinetic study 2 in Beagle Dogs (fasting vs non-fasting)1. EQ DCBCO1701-DS: Equivalent DCBCO1701-DS amount2. Cmax: Maximum observed concentration3. AUC: Area under the concentration-time curve4. Per os (by mouth)
[0091] The results in Table 5 indicated that the absorption of DCBCO1701-DS in animals was significantly higher if El- 1071 tablets were administered in non-fasting condition as shown bythe “AUC / Dose” values of non-fasting 175.7 vs fasting 117.5 and by the DCBCO1701-DS concentrations in blood samples time course in FIG. 2.
[0092] Study 3
[0093] A similar study as the study 2, but testing more dosing levels, was conducted in the study 3. The results were summarized in Tables 6 and 7 and FIGs. 3A and 3B and indicated that the absorption of DCBCO1701-DS in animals was significantly higher if EI-1071 tablets were administered in non-fasting (or postprandial) condition in all three dosing amounts: 75 mg / 10 kg, 150 mg / 10 kg, 300 mg / 10 kg, as shown by the “AUC / Dose” values of fasting vs postprandial conditions listed in FIG. 3B.
[0094] Table 6# EQ DCBCO1701-DS: Equivalent DCBCO1701-DS amount
[0095] Table 7# EQ DCBCO1701-DS: Equivalent DCBCO1701-DS amount
[0096] Results from study 2 and study 3 concluded that, unlike those drugs Repaglinide, Nevirapine, and Telmisartan described earlier, food ingestion before dosing EI-1071 tablets significantly increased the absorption of DCBCO1701-DS in dogs.
[0097] Conclusion
[0098] The present invention provides unexpected findings that delivery of the quinoxaline compounds in the present invention that have low solubility in water but have high solubilityin acidic buffers can be delivered more efficiently into biological bodies after / with food ingestion to improve the treatment of diseases mediated by such kinases, such as cancers, autoimmune diseases, bone resorptive diseases, and neurodegenerative diseases.
[0099] Unless defined otherwise, all technical and scientific terms and any acronyms used herein have the same meanings as commonly understood by one of ordinary skill in the art in the field of this invention. Although any compositions, methods, kits, and means for communicating information similar or equivalent to those described herein can be used to practice this invention, the preferred compositions, methods, kits, and means for communicating information are described herein.REFERENCES1. Gardner, J. D., Ciociola, A. A. & Robinson, M. (2002). Measurement of meal-stimulated gastric acid secretion by in vivo gastric autotitration. Journal of Applied Physiology, 92(2), 427-434.92, 427-434 (2002).2. Sieger, P., Cui, Y., & Scheuerer, S. (2017). pH-dependent solubility and permeability profiles: A useful tool for prediction of oral bioavailability. European Journal of Pharmaceutical Sciences, 105, 82-90.3. US FDA drug label (Reference ID 4052550). . Burrell, L. M., & Johnston, C. I. (1997). Angiotensin II receptor antagonists. Potential in elderly patients with cardiovascular disease. Drugs Aging, 10(6), 421-434.
Claims
WHAT IS CLAIMED IS:
1. A method of improving pharmacokinetics of a compound of formula (I), comprising administering a medicament comprising the compound of formula (I) to a subject in need thereof in a non-fasting state, wherein the compound of formula (I) has a structure of:Formula (I) or a stereoisomer, tautomer, prodrug, or pharmaceutically acceptable salt thereof, wherein:X is selected from the group consisting of CR4R5, NR6, O and S;Z is selected from the group consisting of -NR7- and-O-;U is N or CR8;G is selected from the group consisting of aryl, heteroaryl, cycloalkyl, heterocycle and alkyne.R1is selected from the group consisting of hydrogen, deuterium, halogen, amino, hydroxyl, Ci- Ce alkyl, C2-C6 alkenyl, C2-C6 alkynyl, C3-C6 cycloalkyl, Cs-Ce cycloalkenyl, C1-C6alkylamino, C1-C6dialkylamino, C3-C6 cycloalkylamino, C1-C6alkoxy, C3-C6 cycloalkoxy, aryl, a 3-to-6 membered heterocyclyl, and a 5-to-6 membered heteroaryl, wherein the alkylamino, dialkylamino, alkoxy, alkyl, alkenyl, alkynyl, cycloalkyl, cycloalkenyl, cycloalkylamino, cycloalkoxy, heterocyclyl, aryl and heteroaryl are optionally substituted with halogen, amino, hydroxyl, cyano, nitro, acyl, acyloxy, C1-C4 alkyl, hydroxyl C1-C4 alkyl, alkoxy C1-C4 alkyl, acyloxy C1-C4 alkyl, C1-C4 alkoxy, C1-C4 dialkylamino, C3-C6 cycloalkyl, a 3-to-6 membered heterocyclyl, aryl, and a 5-to-6 membered heteroaryl;R2is selected from the group consisting of hydrogen, deuterium, halogen, nitro, cyano, trifluoromethyl, C1-C6alkylamino, C1-C6dialkylamino, C1-C6alkoxy, carboxylic acid, Ci- Ce alkyl carbonyl, C2-C6 alkenyl carbonyl, C1-C6alkoxy carbonyl, amino carbonyl, C1-C6alkylamino carbonyl and C1-C6dialkylamino carbonyl;R3is selected from the group consisting of hydrogen, deuterium, halogen, hydroxyl, amino, cyano, trifluoromethyl, Ci-Cs alkyl, C1-C6alkoxy, C1-C6alkylamino and C1-C6dialkylamino;R4is selected from the group consisting of hydrogen, deuterium, halogen, hydroxyl, amino, Ci- Ce alkyl, C1-C6haloalkyl, C1-C6alkoxy and aryl;R5is selected from the group consisting of hydrogen, deuterium, C1-C6alkyl and C1-C6haloalkyl;R6is selected from the group consisting of hydrogen, C1-C6alkyl and C1-C6haloalkyl;R7is selected from the group consisting of hydrogen, C1-C6alkyl and C1-C6haloalkyl; andR8is selected from the group consisting of hydrogen, deuterium, halogen, hydroxyl, amino, cyano, trifluoromethyl, C1-C6alkyl, C1-C6alkoxy, C1-C6alkylamino and C1-C6dialkylamino.
2. The method of Claim 1, wherein G is selected from:whereinR9is selected from the group consisting of hydrogen, deuterium, halogen, nitro, cyano, trifluoromethyl, trifluoromethoxy, C1-C6alkyl, C1-C6haloalkyl, C1-C6alkylaminoC1-C6alkyl, C1-C6 dialkylaminoC1-C6 alkyl, C1-C6alkylamino, C1-C6-alkoxy C1-C6alkyl, C1-C6dialkylamino, C1-C6alkoxy, carboxylic acid, carbonyl C1-C6alkoxy, carbonyl C1-C6alkylamino, and carbonyl C1-C6dialkylamino;R10is selected from the group consisting of hydrogen, C1-C6alkyl and C1-C6haloalkyl; and each n is individually and independently 0, 1, 2, or 3.
3. The method of Claim 1, wherein G is selected from:whereinR11is selected from the group consisting of hydrogen, deuterium, halogen, nitro, cyano, trifluoromethyl, C1-C6alkyl, C1-C6haloalkyl, C3-C6 cycloalkyl, C3-C6 cycloalkyl C1-C6alkyl, C1-C6alkylamino, C1-C6dialkylamino, C1-C6alkoxy, C1-C6alkoxy C1-C6alkyl, carboxylic acid, carbonyl C1-C6alkoxy, carbonyl C1-C6alkylamino and carbonyl C1-C6dialkylamino;R12is selected from the group consisting of hydrogen, C1-C6alkyl and C1-C6haloalkyl; and each n is individually and independently 0, 1, 2, or 3.
4. The method of Claim 1 , wherein G is selected from:whereinR13is selected from the group consisting of hydrogen, deuterium, halogen, nitro, cyano, trifluoromethyl, G-G> alkyl, C1-C6haloalkyl, C1-C6alkylamino, C1-C6dialkylamino, Ci- Ce alkoxy, carboxylic acid, C1-C6alkoxycarbonyl, C1-C6alkylaminocarbonyl and C1-C6dialkylaminocarbonyl; and each n is individually and independently 0, 1, 2, or 3.
5. The method of Claim 1, wherein G is selected from:whereinR14is selected from the group consisting of hydrogen, deuterium, halogen, nitro, cyano, trifluoromethyl, G-G> alkyl, C1-C6haloalkyl, C1-C6alkylamino, C1-C6dialkylamino, Ci- Ce alkoxy, carboxylic acid, G-G> alkoxycarbonyl, C1-C6alkylaminocarbonyl and C1-C6dialkylaminocarbonyl;Q is selected from NR15, O, and S, wherein R1Sis selected from the group consisting of hydrogen, C1-C6alkyl and C1-C6haloalkyl; and each n is individually and independently 0, 1, 2, or 3.
6. The method of Claim 1 , wherein G is:wherein R16is selected from the group consisting of hydrogen, deuterium, C1-C6alkyl, C1-C6haloalkyl, 3-to-6 membered heterocyclyl, 5-to-6 membered heteroaryl, C1-C6alkoxycarbonyl, Ci-Cs alkylaminocarbonyl and C1-C6 dialkylaminocarbonyl.
7. The method of claim 1 , wherein X is NH.
8. The method of claim 1 , wherein Z is -0-.
9. The method of claim 1, where the compound of formula (I) is:3-methoxy-6-((6-(((6-(trifluoromethyl)pyridin-3-yl)methyl)amino)pyridin-3- yl)amino)quinoxaline-5-carbonitrile;N5-(3-methoxyquinoxalin-6-yl)-N2-((6-(trifluoromethyl)pyridin-3-yl)methyl)pyridine-2,5- diamine;3-methoxy-6-((3-methoxy-4-((4-methoxybenzyl)oxy)phenyl)amino)quinoxaline-5-carbonitrile;3-methoxy-6-((6-((4-(trifluoromethyl)benzyl)amino)pyridin-3-yl)amino)quinoxaline-5- carbonitrile;3-methoxy-N-(3-methoxy-4-((4-methoxybenzyl)oxy)phenyl)quinoxalin-6-amine;3-methoxy-6-((6-(pyridin-3-ylmethoxy)pyridin-3-yl)amino)quinoxaline-5-carbonitrile;3-(dimethylamino)-6-((3-methoxy-4-((4-methoxybenzyl)oxy)phenyl)amino)quinoxaline-5- carbonitrile;3-methoxy-6-((3-methoxy-4-(pyridin-3-ylmethoxy)phenyl)amino)quinoxaline-5- carbonitrile;3-methoxy-6-((6-((4-methoxybenzyl)oxy)pyridin-3-yl)amino)quinoxaline-5-carbonitrile;3-methoxy-6-(3-methoxy-4-((4-methoxybenzyl)oxy)phenoxy)quinoxaline-5-carbonitrile;6-((3,4-dimethylphenyl)amino)-3-methoxyquinoxaline-5-carbonitrile;6-((3-methoxy-4-(4-methoxybenzyloxy)phenyl)amino)-3-(methylamino)quinoxaline-5- carbonitrile;3-(2-(dimethylamino)ethoxy)-6-(3-methoxy-4-(4-methoxybenzyloxy)phenylamino)- quinoxaline-5-carbonitrile;3-methoxy-6-(3-methoxy-4-(4-methoxybenzylamino)phenylamino)quinoxaline-5-carbonitrile;3-methoxy-6-(4-(4-methoxybenzyloxy)phenylamino)quinoxaline-5-carbonitrile;6-(3-methoxy-4-(4-methoxybenzyloxy)phenylamino)-3-morpholinoquinoxaline-5-carbonitrile;3-(isopropylamino)-6-(3-methoxy-4-(4-methoxybenzyloxy)phenylamino)quinoxaline-5- carbonitrile;6-(2-fluoro-4-(4-methoxybenzyloxy)phenylamino)-3-methoxyquinoxaline-5-carbonitrile;3-(dimethylamino)-6-(3-methoxy-4-(4-methoxybenzyloxy)phenoxy)quinoxaline-5-carbonitrile;6-(4-(4-ethoxybenzyloxy)-3-methoxyphenylamino)-3-methoxyquinoxaline-5-carbonitrile;3-methoxy-6-(3-methoxy-4-(4- (trifluoromethoxy)benzyloxy)phenylamino)quinoxaline-5- carbonitrile;6-(3-fluoro-4-(4-methoxybenzyloxy)phenylamino)-3-methoxyquinoxaline-5-carbonitrile;6-(4-(benzyloxy)-3-methoxyphenylamino)-3-methoxyquinoxaline-5-carbonitrile;N-(3-methoxy-4-(4-methoxybenzyloxy)phenyl)-3-morpholinoquinoxalin-6-amine;N7-(3-methoxy-4-(4-methoxybenzyloxy)phenyl)-N2-methylquinoxaline-2,7-diamine;3-methoxy-6-(3-methoxy-4-(4-methoxybenzyloxy)phenoxy)quinoxaline-5-carbonitrile;6-(3-methoxy-4-(4-methoxybenzyloxy)phenoxy)-3-morpholinoquinoxaline-5-carbonitrile;6-(4-(4-chlorobenzyloxy)-3-methoxyphenoxy)-3-methoxyquinoxaline-5-carbonitrile;6-(4-(4-isopropylbenzylamino)-3-methoxyphenylamino)-3-methoxyquinoxaline-5-carbonitrile;6-(3-ethoxy-4-(4-methoxybenzyloxy)phenoxy)-3-methoxyquinoxaline-5-carbonitrile;6-(3-methoxy-4-(4-methoxybenzyloxy)phenylamino)-3-(4-methylpiperazin-l-yl)quinoxaline-5- carbonitrile;6-(3-methoxy-4-(4-(trifluoromethoxy)benzyloxy)phenylamino)-3-morpholinoquinoxaline-5- carbonitrile;6-(4-(4-ethylbenzyloxy)-3-methoxyphenylamino)-3-morpholinoquinoxaline-5-carbonitrile;6-(4-(4-fluorobenzyloxy)-3-methoxyphenylamino)-3-methoxyquinoxaline-5-carbonitrile;6-(4-(4-ethoxybenzyloxy)-3-methoxyphenylamino)-3-morpholinoquinoxaline-5-carbonitrile;6-(4-(cyclopropylmethoxy)-3-methoxyphenylamino)-3-morpholinoquinoxaline-5-carbonitrile;6-(5-methoxy-6-(4-methoxybenzyloxy)pyridin-3-ylamino)-3-morpholinoquinoxaline-5- carbonitrile;6-(4-(4-methoxybenzyloxy)phenylamino)-3-morpholinoquinoxaline-5-carbonitrile;6-(3-methoxy-4-(4-methoxybenzylamino)phenylamino)-3-morpholinoquinoxaline-5- carbonitrile6-(4-(4-fluorobenzyloxy)-3-methoxyphenylamino)-3-morpholinoquinoxaline-5-carbonitrile;6-(3-methoxy-4-((3-methyloxetan-3-yl)methoxy)phenylamino)-3-morpholinoquinoxaline-5- carbonitrile;6-(3-methoxy-4-((l-methylpiperidin-4-yl)methoxy)phenylamino)-3-morpholino-quinoxaline-5- carbonitrile;6-(3-methoxy-4-(pyridin-3-ylmethoxy)phenylamino)-3-morpholinoquinoxaline-5-carbonitrile;6-(4-(cyclopentylmethoxy)-3-methoxyphenylamino)-3-morpholinoquinoxaline-5-carbonitrile;6-(4-((2,3-dihydrobenzofuran-5-yl)methoxy)-3-methoxyphenylamino)-3-morpholino- quinoxaline-5-carbonitrile;6-(3-methoxy-4-(pyridin-4-ylmethoxy)phenylamino)-3-morpholinoquinoxaline-5-carbonitrile;6-(3-ethoxy-4-(pyridin-4-ylmethoxy)phenylamino)-3-morpholinoquinoxaline-5-carbonitrile;6-((3-methoxy-4-((l -methyl- lH-imidazol-2-yl)methoxy)phenylamino)-3-morpholino- quinoxaline-5-carbonitrile;6-((4-(4-chlorobenzyloxy)-3-methoxyphenylamino)-3-morpholinoquinoxaline-5-carbonitrile;6-((3-methoxy-4-((6-methoxypyridin-3-yl)methoxy)phenylamino)-3-morpholino-quinoxaline-5- carbonitrile;6-((3-methoxy-4-(pyrazin-2-ylmethoxy)phenylamino)-3-morpholinoquinoxaline-5-carbonitrile;6-((6-(4-methoxybenzyloxy)pyridin-3-ylamino)-3-morpholinoquinoxaline-5-carbonitrile;6-((2-fluoro-4-(4-methoxybenzyloxy)phenylamino)-3-morpholinoquinoxaline-5-carbonitrile;6-((3-methoxy-4-((6-methylpyridin-3-yl)methoxy)phenyl)amino)-3-morpholinoquinoxaline-5- carbonitrile;6-((3-methoxy-4-((l -methyl- lH-imidazol-5-yl)methoxy)phenylamino)-3-morpholino- quinoxaline-5-carbonitrile;6-(3-fluoro-4-(4-methoxybenzyloxy)phenylamino)-3-morpholinoquinoxaline-5-carbonitrile;6-(3-methoxy-4-(pyridin-2-ylmethoxy)phenylamino)-3-morpholinoquinoxaline-5-carbonitrile;6-(4-(3,4-dimethoxybenzyloxy)-3-methoxyphenylamino)-3-morpholinoquinoxaline-5- carbonitrile;6-(3-methoxy-4-((6-methoxypyridin-3-yl)methoxy)phenylamino)-3-(piperazin-l- yl)quinoxaline-5-carbonitrile;6-((3-methoxy-4-((4-methoxybenzyl)oxy)phenyl)(methyl)amino)-3-morpholino-quinoxaline-5- carbonitrile;6-((3-methoxy-4-((5-methylisoxazol-3-yl)methoxy)phenyl)amino)-3-morpholino-quinoxaline-5-carbonitrile;6-((3-methoxy-4-((4-methoxybenzyl)oxy)phenyl)amino)-3-(pyrrolidin-l-yl)quinoxaline-5- carbonitrile;6-((3-chloro-4-((4-methoxybenzyl)oxy)phenyl)amino)-3-morpholinoquinoxaline-5-carbonitrile;6-((4-((4-cyanobenzyl)oxy)-3-methoxyphenyl)amino)-3-morpholinoquinoxaline-5-carbonitrile;6-((4-((3-cyanobenzyl)oxy)-3-methoxyphenyl)amino)-3-morpholinoquinoxaline-5-carbonitrile;3-(4-(2-hydroxyethyl)piperazin-l-yl)-6-((3-methoxy-4-((4-methoxybenzyl)oxy)phenyl) amino)quinoxaline-5-carbonitrile;6-((3-methoxy-4-((6-methylpyridin-3-yl)methoxy)phenyl)amino)-3-(piperazin-l- yl)quinoxaline-5-carbonitrile;1-(8-cyano-7-((3-methoxy-4-((4-methoxybenzyl)oxy)phenyl)amino)quinoxalin-2-yl)piperidin-4-yl acetate;6-((3-methoxy-4-((6-methoxypyridin-3-yl)methoxy)phenyl)amino)-3-(4-methylpiperidin-l- yl)quinoxaline-5-carbonitrile;3-(lH-imidazol-l-yl)-6-((3-methoxy-4-((6-methoxypyridin-3- yl)methoxy)phenyl)amino)quinoxaline-5-carbonitrile;(l-(8-cyano-7-((3-methoxy-4-((4-methoxybenzyl)oxy)phenyl)amino)quinoxalin-2-yl)piperidin-4-yl)methyl acetate;3-(4-acetylpiperazin-l-yl)-6-((3-methoxy-4-((4-methoxybenzyl)oxy)phenyl)amino)quinoxaline-5-carbonitrile;6-((3-methoxy-4-((6-(trifluoromethyl)pyridin-3-yl)methoxy)phenyl)amino)-3- morpholinoquinoxaline-5-carbonitrile;2-(4-(8-cyano-7-((3-methoxy-4-((6-methoxypyridin-3-yl)methoxy)phenyl)amino)quinoxalin-2- yl)piperazin- 1 -yl)ethyl acetate;3-(4-(2-hydroxyethyl)piperazin-l-yl)-6-((3-methoxy-4-((6-methoxypyridin-3-yl) methoxy )phenyl) amino) quinox aline-5 -c arbonitrile ;6-((3-methoxy-4-((4-methoxybenzyl)oxy)phenyl)amino)-3-((2- morpholinoethyl)amino)quinoxaline-5-carbonitrile;3-((l-benzylpiperidin-4-yl)-6-((3-methoxy-4-((4- methoxybenzyl)oxy)phenyl)amino)quinoxaline-5-carbonitrile;6-((4-((3-cyanobenzyl)oxy)-3-methoxyphenyl)amino)-3-(4-methylpiperazin-l-yl)quinoxaline-5- carbonitrile;6-((3-methoxy-4-((6-methoxypyridin-3-yl)methoxy)phenyl)amino)-3-(pyrrolidin-l- yl)quinoxaline-5-carbonitrile;3-(4-isopropylpiperazin- 1 -yl)-6-((3-methoxy-4-((4- methoxybenzyl)oxy)phenyl)amino)quinoxaline-5-carbonitrile;6-((4-(benzo[d][l,3]dioxol-5-ylmethoxy)-3-methoxyphenyl)amino)-3-morpholino-quinoxaline-5-carbonitrile;3-(4-(dimethylamino)piperidin-l-yl)-6-((3-methoxy-4-((6-methoxypyridin-3- yl)methoxy)phenyl)amino)quinoxaline-5-carbonitrile;3-(azetidin-l-yl)-6-((3-methoxy-4-((4-methoxybenzyl)oxy)phenyl)amino)quinoxaline-5- carbonitrile;6-((4-((3-cyanobenzyl)oxy)-3-methoxyphenyl)amino)-3-(4-(dimethylamino)piperidin-l- yl)quinoxaline- 5 -carbonitrile ;3-(4-(dimethylamino)piperidin-l-yl)-6-((4-((3-fluoro-4-methoxybenzyl)oxy)-3- methoxyphenyl)amino)quinoxaline-5-carbonitrile;3-(azetidin-l-yl)-6-((3-methoxy-4-((6-methoxypyridin-3- yl)methoxy )phenyl) amino )quinoxaline- 5 -carbonitrile ;3-(azetidin-l-yl)-6-((4-((3-cyanobenzyl)oxy)-3-methoxyphenyl)amino)quinoxaline-5- carbonitrile;6-((4-(benzyloxy)-3-methoxyphenyl)amino)-3-morpholinoquinoxaline-5-carbonitrile;3-(4-(dimethylamino)piperidin-l-yl)-6-((4-((3-fluorobenzyl)oxy)-3-methoxyphenyl) amino)quinoxaline-5-carbonitrile;6-((3-methoxy-4-((4-methoxybenzyl)oxy)phenyl)amino)-3-(piperazin-l-yl)quinoxaline-5- carbonitrile;6-((4-((3-fluorobenzyl)oxy)-3-methoxyphenyl)amino)-3-morpholinoquinoxaline-5-carbonitrile;6-((3-methoxy-4-(prop-2-yn-l-yloxy)phenyl)amino)-3-morpholinoquinoxaline-5-carbonitrile;6-((4-((3-fluoro-4-methoxybenzyl)oxy)-3-methoxyphenyl)amino)-3-morpholino-quinoxaline-5- carbonitrile;6-((4-((2-fluoro-4-methoxybenzyl)oxy)-3-methoxyphenyl)amino)-3-morpholino-quinoxaline-5- carbonitrile;6-((3-methoxy-4-((6-methoxypyridin-3-yl)methoxy)phenyl)amino)-3-(4-methyl- piperazin-1- yl)quinoxaline- 5 -carbonitrile ;6-((4-((3-cyano-4-methoxybenzyl)oxy)-3-methoxyphenyl)amino)-3-morpholino-quinoxaline-5- carbonitrile;6-((3-methoxy-4-((6-methoxypyridin-3-yl)methoxy)phenyl)amino)-3-(4-(2- methoxyethyl)piperazin-l-yl)quinoxaline-5-carbonitrile;6-((3-methoxy-4-((6-propylpyridin-3-yl)methoxy)phenyl)amino)-3-morpholino-quinoxaline-5- carbonitrile;6-((4-((3,4-difluorobenzyl)oxy)-3-methoxyphenyl)amino)-3-morpholinoquinoxaline-5- carbonitrile;6-((3-methoxy-4-((6-methylpyridin-3-yl)methoxy)phenyl)amino)-3-(4-(2- methoxyethyl)piperazin- 1 -yl)quinoxaline-5-carbonitrile;6-((4-((6-ethylpyridin-3-yl)methoxy)-3-methoxyphenyl)amino)-3-morpholino-quinoxaline-5- carbonitrile;6-((3-methoxy-4-((6-methoxypyridin-3-yl)methoxy)phenyl)amino)-3-(4-morpholino-piperidin- l-yl)quinoxaline-5-carbonitrile;6-((4-((6-isopropylpyridin-3-yl)methoxy)-3-methoxyphenyl)amino)-3-morpholino-quinoxaline-5-carbonitrile;6-((4-((6-(dimethylamino)pyridin-3-yl)methoxy)-3-methoxyphenyl)amino)-3- morpholinoquinoxaline-5-carbonitrile;6-((3-methoxy-4-((l -methyl- lH-pyrazol-4-yl)methoxy)phenyl)amino)-3-morpholino- quinoxaline-5-carbonitrile;N-(3-methoxy-4-((4-methoxybenzyl)oxy)phenyl)-3-(prop-l-en-2-yl)quinoxalin-6- amine;6-((3-methoxy-4-((6-(methoxymethyl)pyridin-3-yl)methoxy)phenyl)amino)-3- morpholinoquinoxaline-5-carbonitrile;6-((3-methoxy-4-((4-methoxybenzyl)oxy)phenyl)amino)-3-(prop-l-en-2-yl)quinoxaline-5- carbonitrile;3-isopropyl-6-((3-methoxy-4-((4-methoxybenzyl)oxy)phenyl)amino)quinoxaline-5-carbonitrile;6-((4-((6-(fluoromethyl)pyridin-3-yl)methoxy)-3-methoxyphenyl)amino)-3-morpholino- quinoxaline-5-carbonitrile;6-((4-((6-(difluoromethyl)pyridin-3-yl)methoxy)-3-methoxyphenyl)amino)-3- morpholinoquinoxaline-5-carbonitrile;6-((4-((6-ethoxypyridin-3-yl)methoxy)-3-methoxyphenyl)amino)-3-morpholino-quinoxaline-5- carbonitrile;3-(3,6-dihydro-2H-pyran-4-yl)-6-((3-methoxy-4-((6-methylpyridin-3- yl)methoxy (phenyl) amino)quinox aline- 5 -carbonitrile ;6-((3-methoxy-4-((6-methylpyridin-3-yl)methoxy)phenyl)amino)-3-(tetrahydro-2H- pyran-4- yl)quinoxaline-5-carbonitrile;6-((4-((6-((dimethylamino)methyl)pyridin-3-yl)methoxy)-3-methoxyphenyl)amino)-3- morpholinoquinoxaline-5-carbonitrile;6-((3-methoxy-4-((l -ethyl- lH-pyrazol-4-yl)methoxy)phenyl)amino)-3-morpholino-quinoxaline-5-carbonitrile;6-((3-methoxy-4-(( 1 -propyl- lH-pyrazol-4-yl)methoxy)phenyl)amino)-3-morpholino- quinoxaline-5-carbonitrile;3-(4-cyclopropylpiperazin-l-yl)-6-((3-methoxy-4-((6-methoxypyridin-3- yl)methoxy)phenyl)amino)quinoxaline-5-carbonitrile;3-isopropoxy-6-((3-methoxy-4-((6-methoxypyridin-3-yl)methoxy)phenyl)amino)quinoxaline-5- carbonitrile;6-((4-((6-cyclopropylpyridin-3-yl)methoxy)-3-methoxyphenyl)amino)-3-morpholino- quinoxaline-5-carbonitrile;6-((4-(furan-3-ylmethoxy)-3-methoxyphenyl)amino)-3-morpholinoquinoxaline-5-carbonitrile;6-((4-(furan-2-ylmethoxy)-3-methoxyphenyl)amino)-3-morpholinoquinoxaline-5-carbonitrile;6-((3-methoxy-4-((tetrahydrofuran-2-yl)methoxy)phenyl)amino)-3-morpholino-quinoxaline-5- carbonitrile;6-((3-methoxy-4-((5-methylthiophen-2-yl)methoxy)phenyl)amino)-3-morpholino-quinoxaline-5-carbonitrile;6-((3-methoxy-4-((5-(methoxymethyl)pyridin-2-yl)methoxy)phenyl)amino)-3- morpholinoquinoxaline-5-carbonitrile;6-((3-methoxy-4-(thiophen-3-ylmethoxy)phenyl)amino)-3-morpholinoquinoxaline-5- carbonitrile;6-((3-methoxy-4-(thiophen-2-ylmethoxy)phenyl)amino)-3-morpholinoquinoxaline-5- carbonitrile;6-((3-methoxy-4-((2-methylpyrimidin-5-yl)methoxy)phenyl)amino)-3-morpholino-quinoxaline-5-carbonitrile;6-((3-methoxy-4-((6-methylpyridin-3-yl)methoxy)phenyl)(methyl)amino)-3-morpholino- quinoxaline-5-carbonitrile;6-((4-((6-cyclopropylpyridin-3-yl)methoxy)-3-methoxyphenyl)(methyl)amino)-3- morpholinoquinoxaline- 5 -carbonitrile;6-((4-((l-(2-fluoroethyl)-lH-pyrazol-4-yl)methoxy)-3-methoxyphenyl)amino)-3- morpholinoquinoxaline-5-carbonitrile;6-((3-methoxy-4-((5-methoxypyridin-2-yl)methoxy)phenyl)amino)-3-morpholino-quinoxaline-5-carbonitrile;3-(dimethylamino)-6-((3-methoxy-4-((6-methylpyridin-3- yl)methoxy Iphenyl) amino )quinoxaline- 5-carbonitrile ;6-((4-((l-cyclopropyl-lH-pyrazol-4-yl)methoxy)-3-methoxyphenyl)amino)-3- morpholinoquinoxaline-5-carbonitrile;6-((3-methoxy-4-((6-methylpyridin-3-yl)methoxy)phenyl)aniino)-3- morpholinoquinoxaline- 5 -carbox amide ;3-(3-(dimethylamino)azetidin-l-yl)-6-((3-methoxy-4-((6-methylpyridin-3- yl)methoxy)phenyl)amino)quinoxaline-5-carbonitrile;3-(dimethylamino)-6-((3-methoxy-4-((6-methoxypyridin-3- yl)methoxy)phenyl)amino)quinoxaline-5-carbonitrile;3-(3-methoxy-3-methylazetidin-l-yl)-6-((3-methoxy-4-((6-methylpyridin-3- yl)methoxy)phenyl)amino)quinoxaline-5-carbonitrile;6-((4-((3-cyano-4-methoxybenzyl)oxy)-3-methoxyphenyl)amino)-3-(dimethylamino)quinoxaline-5-carbonitrile;6-((4-((3-cyano-4-methoxybenzyl)oxy)-3-methoxyphenyl)amino)-3-methoxyquinoxaline-5- carbonitrile;6-((4-((l -(cyclopropylmethyl)- lH-pyrazol-4-yl)methoxy)-3-methoxyphenyl)amino)-3- morpholinoquinoxaline-5-carbonitrile;3-morpholino-6-((6-((4-(trifluoromethyl)benzyl)amino)pyridin-3-yl)amino)quinoxaline-5- carbonitrile;6-((5-methoxy-6-((6-methylpyridin-3-yl)methoxy)pyridin-3-yl)amino)-3- morpholinoquinoxaline-5-carbonitrile;6-((5-methoxy-6-((6-methoxypyridin-3-yl)methoxy)pyridin-3-yl)amino)-3- morpholinoquinoxaline-5-carbonitrile;3-((2S,6R)-2,6-dimethylmorpholino)-6-((3-methoxy-4-((6-methylpyridin-3- yl)methoxy)phenyl)amino)quinoxaline-5-carbonitrile; or6-((3-methoxy-4-((6-methyl-l-(k1-oxidaneyl)-lk4-pyridin-3-yl)methoxy)phenyl)amino)-3- morpholinoquinoxaline-5-carbonitrile.
10. The method of claim 1, wherein the compound of formula (I) is11. The method of claim 1, wherein the compound of formula (I) is administered orally.
12. The method of claim 1, wherein the improving pharmacokinetics comprising increasing the maximum plasma concentration (Cmax) and / or bioavailability (AUC).
13. The method of claim 1, wherein the medicament further comprises a carrier, diluent or excipient.
14. The method of claim 13, wherein the excipient comprises a surfactant, a binder, a disintegrant and / or a lubricant.
Citation Information
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