Pyridazinyl amino derivatives as ALK5 inhibitors
Pyridazinyl amino derivatives with specific structural features address the challenges of ALK5 inhibition by providing potent, inhalation-effective, and safely tolerated compounds for treating idiopathic pulmonary fibrosis and other fibrotic diseases.
Patent Information
- Application Number
- PCT/EP2024/086938
- Authority / Receiving Office
- WO · WO
- Patent Type
- Applications
- Current Assignee / Owner
- Priority Date
- 2023-12-18
- Filing Date
- 2024-12-17
- Publication Date
- 2025-06-26
AI Technical Summary
Current ALK5 inhibitors face challenges in achieving potent inhibition with good inhalatory profile, low systemic exposure, and improved safety and tolerability, particularly for treating idiopathic pulmonary fibrosis (IPF) via the inhalation route.
Development of pyridazinyl amino derivatives with a specific general formula (I), which exhibit potent ALK5 inhibitory activity, low microsomal stability, and good selectivity across the kinome, allowing for effective treatment of fibrosis, including IPF, with minimized systemic exposure.
The compounds demonstrate high potency (pKi > 9.8) and low microsomal half-life (t1/2 < 5 minutes), ensuring effective ALK5 inhibition with reduced systemic exposure, thereby improving safety and tolerability for the treatment of fibrotic diseases like IPF.
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Figure EP2024086938_26062025_PF_FP_ABST
Abstract
Description
[0001] PYRIDAZINYL AMINO DERIVATIVES AS ALK5 INHIBITORS
[0002] FIELD OF THE INVENTION
[0003] The present invention generally relates to compounds inhibiting the transforming growth factor P (TGF P) type I receptor (ALK5) (hereinafter ALK5 inhibitors), methods of preparing such compounds, pharmaceutical compositions containing them and therapeutic uses thereof; the compounds of the invention may be useful for instance in the treatment of many disease, disorder, or condition associated with ALK5 signaling pathway.
[0004] BACKGROUND OF THE INVENTION
[0005] The Transforming Growth Factor P (TGFP) is a protein belonging to the TGFP superfamily. It is involved in several processes, both cellular, such as proliferation, migration and differentiation, and biological, including wound healing, immunesuppression, cancerogenesis and extracellular matrix production.
[0006] The TGFP superfamily also includes, among others, other members known as activins (Acts) (see e.g. Hinck AP, FEBS Letters 586 (2012); 1860-1870). The binding of the peptide initiates the TGFP signalling cascade through the formation of a heterotetrameric complex composed of two different serine / threonine kinases receptors: type 1 (TGFPR1 / ALK5) and type 2 (TGFPR2). TGFPR1 / ALK5 is recruited and activated through the phosphorylation of its intracellular domain by TGFPR2, leading in turn to the phosphorylation of the receptor-activated (R)-Smad family, resulting in the activation of target gene transcription (see e.g. Sheppard D., Proc Am Thorac Soc. (2006);(3):413-417).
[0007] Similarly to the TGFP signaling, the type I receptor for activin, ALK4, leads to the activation of target gene transcription (see e.g. Heldin CH et al., Cold Spring Harb Perspect Biol. (2016) Aug 1;8(8)).
[0008] Several studies have linked an excessive and / or dysregulated TGFP activity with many diseases including cancer and fibrosis (see e.g. Syed V, J Cell Biochem. (2016) Jun; 117(6): 1279- 87; Jakowlew SB. Cancer Metastasis Rev. (2006) Sep;25(3):435-57). Among fibrotic disorders, a crucial role of TGFP has been shown in organs such as lung, heart, liver, and kidney (see e.g. Alhamad EH, J Thorac Dis. (2015);7(3):386-93). In particular, TGFP expression is increased in fibrotic lung diseases, such as idiopathic pulmonary fibrosis (IPF), and in chronic inflammatory conditions, such as chronic obstructive pulmonary disease and asthma (see e.g. Thomas BJ et al., Am JRespir Cell Mol Biol. (2016);(55):759-766). In lung, TGFP is expressed in several cell types, like epithelial cells, endothelial cells, connective tissue cells, macrophages and fibroblasts. These cell populations may produce excess of TGFP in IPF human lung tissue. Moreover, high levels of TGFP have been detected in lung tissue and BAL of IPF patients (see e.g. Bergeron A et al., Eur Respir J (2003);22:69-76).
[0009] TGFP gene expression and TGFP protein production have been observed to increase in a variety of animal models of pulmonary fibrosis caused by bleomycin, silica, asbestos, and radiation (see e.g. Wei F et al., Int Immunopharmacol. (2017) Jul;48:67-75; Choe JY et al., Inflamm Res. (2010) Mar;59(3): 177-88; Wang X et al., Respir Res (2009); 10, 36) and it has also been reported how the TGFp expression is sufficient to induce progressive fibrosis in rodents (see e.g. Sime PJ et al., J Clin Invest (1997); 100:768-776; Kim KK et al.). Contrarily, TGFP signalling inhibition obtained by employing knockout (KO) animals can inhibit fibrosis development through TGFP-linked mechanisms (see e.g. Bonniaud P et al., Am J Respir Crit Care Med (2005); 171 ^SOSOS; 34). Similar results have been achieved with inhibition of TGFpRl in mouse bleomycin disease model (see e.g. Wei Y et al., J Clin Invest. (2017);127(10):3675-3688).
[0010] Activin signalling dysregulation, similarly to TGFP, is associated to fibroblasts proliferation, myofibroblasts differentiation and accumulation of extracellular matrix (ECM) (see e.g. Yamashita et al., J. Am. Soc. Nephrol. (2004) 15, 91-101). Moreover, overexpression of activin has been linked to pathological conditions and fibrosis development in different organs, such as liver (see e.g. Patella et al., Am. J. Physiol. Gastrointest. Liver Physiol. (2006) 290, G137-G144), kidney (see e.g. Agapova et al., Kidney Int. (2016) 89, 1231-1243), heart (see e.g. Yndestad et al., Circulation (2004) 109,1379-1385), and lung (see e.g. de Kretser et al., Crit.Care (2013) 17:R263).
[0011] Taken together these data suggest the importance of targeting ALK5 to treat pharmacologically the aforementioned diseases, linked to the dysregulated TGF signaling pathway. The TGFP signaling is strongly involved in the cardiovascular homeostasis (see e.g. van Meeteren LA et al., Springer (2013)). Several studies in humans and mice have shown the main role of TGFP in angiogenesis and vascular morphogenesis. Moreover, TGFP plays a key role in the development and functionality of cardiac valves.
[0012] It is therefore clear the importance of a selective regulation of TGFp pathway to target the pathological effects avoiding the suppression of the signaling needed for a correct homeostasis. The answer to this crucial point could be addressed by using the inhalation route to deliver an antiTGFp drug. The inhalatory route would allow the treatment of the affected lung compartment bypassing the issue of the heart exposure.
[0013] Various compounds have been described in the literature as ALK5 and / or ALK4 receptor inhibitors. Pyridazinyl amino derivatives have been disclosed in international applications No. WO 2022 / 013307, WO 2023 / 046698 and in WO 2023 / 135107, in the name of the Applicant, as potent ALK5 inhibitors.
[0014] Of note, inhibition of ALK5 receptor may be useful for the treatment of fibrosis and disease, disorder and conditions that result from fibrosis.
[0015] Several efforts have been done in the past years to develop novel ALK5 receptor inhibitors useful for the treatment of several diseases and some of those compounds have shown efficacy also in humans.
[0016] However, there remains a potential for developing inhibitors of receptors ALK5 characterized by good potency, useful for the treatment of diseases or conditions associated with a dysregulation of ALK5 signaling pathway, in particular fibrosis. In particular, there remains a potential for developing inhibitors of receptors ALK5 useful for the treatment of diseases or conditions associated with a dysregulation of ALK5 signaling in the respiratory field, in particular idiopathic pulmonary fibrosis (IPF), to be administered by the inhalation route and characterized by a good inhalatory profile, that corresponds to a good activity on the lung and a good lung retention, and endowed with low microsomal stability, low plasma stability, in order to minimize the systemic exposure and correlated safety issues.
[0017] In this direction, we have surprisingly found a new series of compounds of general formula (I) that solves the problem of providing potent inhibitors of ALK5 receptor for administration by inhalation, that shows, at the same time, a good inhalatory profile, low microsomal stability, low systemic exposure, improved safety and tolerability, and good selectivity across the kinome.
[0018] SUMMARY OF THE INVENTION
[0019] In a first aspect the present invention relates to compounds of formula (I) wherein Ri is selected from the group consisting of -(C3-C6)cycloalkylene-(C3- C6)heterocycloalkyl, wherein said -(C3-C6)heterocycloalkyl is optionally substituted by one or more of -C(O)O-(Ci-Ce)alkyl, or -(Ci-Ce)alkyl; -(Ci-C6)alkylene-(C3-C6)heterocycloalkyl, wherein said -(C3-C6)heterocycloalkyl is optionally substituted by one or more -(Ci-Ce)alkyl; and -(C3-C6)cycloalkylene-(Ci-C6)alkylene-(C3-C6)heterocycloalkyl, wherein said -(C3- C6)heterocycloalkyl is optionally substituted by one or more -(Ci-Ce)alkyl; and pharmaceutically acceptable salts thereof.
[0020] In a second aspect, the invention refers to a pharmaceutical composition comprising a compound of formula (I) and pharmaceutically acceptable salts thereof in admixture with one or more pharmaceutically acceptable carrier or excipient.
[0021] In a third aspect, the invention refers to a compound of formula (I) and pharmaceutically acceptable salts, or to a pharmaceutical composition comprising a compound of formula (I) and pharmaceutically acceptable salts thereof, for use as a medicament.
[0022] In a further aspect, the invention refers to a compound of formula (I) and pharmaceutically acceptable salts thereof, or to a pharmaceutical composition comprising a compound of formula (I) and pharmaceutically acceptable salts thereof, for use in preventing and / or treating a disease, disorder or condition mediated by ALK5 receptor in a mammal.
[0023] In a further aspect, the invention refers to a compound of formula (I) and pharmaceutically acceptable salts thereof, or to a pharmaceutical composition comprising a compound of formula (I) and pharmaceutically acceptable salts thereof, for use in the prevention and / or treatment of fibrosis and / or diseases, disorders, or conditions that involve fibrosis.
[0024] In a further aspect, the invention refers to a compound of formula (I) and pharmaceutically acceptable salts thereof, or to a pharmaceutical composition comprising a compound of formula (I) and pharmaceutically acceptable salts thereof, for use in the prevention and / or treatment idiopathic pulmonary fibrosis (IPF).
[0025] DETAILED DESCRIPTION OF THE INVENTION
[0026] Definitions
[0027] Unless otherwise specified, the compound of formula (I) of the present invention is intended to include also stereoisomers, tautomers or pharmaceutically acceptable salts or solvates thereof.
[0028] The term “pharmaceutically acceptable salts”, as used herein, refers to derivatives of compounds of formula (I) wherein the parent compound is suitably modified by converting any of the free acid or basic group, if present, into the corresponding addition salt with any base or acid conventionally intended as being pharmaceutically acceptable.
[0029] Suitable examples of said salts may thus include mineral or organic acid addition salts of basic residues such as amino groups, as well as mineral or organic basic addition salts of acid residues such as carboxylic groups.
[0030] Cations of inorganic bases which can be suitably used to prepare salts comprise ions of alkali or alkaline earth metals such as potassium, sodium, calcium or magnesium.
[0031] Those obtained by reacting the main compound, functioning as a base, with an inorganic or organic acid to form a salt comprise, for example, salts of hydrochloric acid, hydrobromic acid, sulfuric acid, phosphoric acid, methane sulfonic acid, camphor sulfonic acid, acetic acid, oxalic acid, maleic acid, fumaric acid, succinic acid and citric acid.
[0032] The term "stereoisomer" refers to isomers of identical constitution that differ in the arrangement of their atoms in space. Enantiomers and diastereomers are examples of stereoisomers.
[0033] The term "enantiomer" refers to one of a pair of molecular species that are mirror images of each other and are not superimposable.
[0034] The term "diastereomer" refers to stereoisomers that are not mirror images.
[0035] The term "racemate" or "racemic mixture" refers to a composition composed of equimolar quantities of two enantiomeric species, wherein the composition is devoid of optical activity.
[0036] The symbols "R" and "S" represent the configuration of substituents around a chiral carbon atom(s). The isomeric descriptors "R" and "S" are used as described herein for indicating atom configuration(s) relative to a core molecule and are intended to be used as defined in the literature (IUPAC Recommendations 1996, Pure and Applied Chemistry, 68:2193-2222 (1996)).
[0037] The term "(Cx-Cy)alkyl", wherein x and y are integers, refers to a straight or branched chain alkyl group having from x to y carbon atoms. Thus, when x is 1 and y is 6, for example, the term includes methyl, ethyl, n-propyl, isopropyl, n-butyl, isobutyl, sec-butyl, t-butyl, n-pentyl and n- hexyl.
[0038] The term "(Cx-Cy)alkylene" wherein x and y are integers, refers to a (Cx-Cy)alkyl radical having in total two unsatisfied valencies, such as a divalent methylene radical.
[0039] The term “(Cx-Cy)cycloalkyl” wherein x and y are integers, refers to saturated monocyclic or polycyclic hydrocarbon groups containing the indicated number of ring carbon atoms. Examples include cyclopropyl, cyclobutyl, cyclopentyl, cyclohexyl, cycloheptyl.
[0040] The term “(Cx-Cy)heterocycloalkyl” wherein x and y are integers, refers to saturated or partially unsaturated monocyclic or polycyclic groups containing the indicated number of ring carbon atoms in which at least one ring carbon atom is replaced by at least one heteroatom or hetero-group (e.g. N, NH, S or O) or may bear an oxo (=0) substituent group. The said heterocycloalkyl (i.e. heterocyclic radical or group) might be further optionally substituted on the available positions in the ring, namely on a carbon atom, or on a heteroatom or hetero-group available for substitution. Substitution on a carbon atom includes spiro di -substitution as well as substitution on two adjacent carbon atoms, in both cases thus forming an additional condensed 5- to 6-membered heterocyclic ring.
[0041] Throughout the specification the use of an asterisk in the definition of a structural formula, indicates the point of attachment for the radical group to the rest of the molecule.
[0042] A dash (“-”) that is not between two letters or symbols is meant to represent the point of attachment for a substituent.
[0043] The carbonyl group is herein preferably represented as -C(O)- as an alternative to the other common representations such as -CO-, -(CO)- or -C(=O)-.
[0044] In general, the bracketed group is a lateral group, not included into the chain, and brackets are used, when deemed useful, to help disambiguating linear chemical formulas; e.g. the sulfonyl group -SO2- might be also represented as -S(O)2- to disambiguate e.g. with respect to the sulfinic group -S(O)O-
[0045] The present invention relates to novel compounds differing from the structures disclosed in the art at least for a common new core scaffold. In fact the invention relates to compounds that are (pyridazine-4-yl)amino pyrimidin-4-yl derivatives, bearing a thiomethyleneoxopyranyl substitution on the pyridazine ring. The compounds according to the invention are active as inhibitors of receptor ALK5, having therefore therapeutically desirable characteristics, particularly promising for some fibrosis, including idiopathic pulmonary fibrosis (IPF).
[0046] In this respect, the state of the art does not describe or suggest (pyridazin-4-yl)amino pyrimidin-4-yl derivatives of general formula (I), advantageously characterized by good potency and low microsomial stability in human, which represents a solution to the aforementioned need.
[0047] In more details, the present invention refers to a series of compounds represented by the general formula (I), which are endowed with inhibitory activity on ALK5 receptor and low microsomal stability, and furthermore characterized by low systemic exposure; improved safety and tolerability; and good selectivity across the kinome. Advantageously, the inhibitory action on ALK5 receptor can be effective in the treatment of those diseases where this receptor plays a relevant role in the pathogenesis such as fibrosis and disease, disorder and condition that involve fibrosis.
[0048] Differently from similar compounds of the prior art, the compounds of formula (I) of the present invention are able to act as antagonists of ALK5 receptor, particularly appreciated by the skilled person when looking at a suitable and efficacious compounds useful for the treatment of fibrosis, in particular idiopathic pulmonary fibrosis.
[0049] As indicated in the experimental part, in particular in Table 6, the compounds of formula (I) of the present invention show a microsomal half-life (ti / 2) in human below 5 minutes; due to this microsomial half-life, the compounds allow to minimize the systemic exposure and correlated safety issues.
[0050] Referring to the results outlined in Table 5, the compounds of the present invention are endowed by a very high potency, corresponding to a pKi > 9.8; due to their potency, the compounds according to the invention could be administered in human at a lower dosage compared to the compounds of the prior art, thus reducing the adverse events that typically occur administering higher dosages of drug.
[0051] In addition to being notably potent with respect to their inhibitory activity on receptor ALK5, the compounds of the present invention are also characterized by a good inhalatory profile, that permits to act effectively on the lung compartment, and have, at the same time, a low metabolic stability, that allows to minimize the drawbacks associated with the systemic exposure, such as safety and tolerability issues.
[0052] Therefore, the compounds of the present invention are particularly appreciated by the skilled person when looking at a suitable and efficacious compounds useful for the treatment of fibrosis, in particular idiopathic pulmonary fibrosis, administered by the inhalation route and characterized by a good inhalatory profile, that corresponds to a good activity on the lung, a good lung retention and to a low metabolic stability, that minimizes the systemic exposure and correlated safety issues.
[0053] In one aspect the present invention relates to a compound of general formula (I) wherein Ri is selected from the group consisting of -(C3-C6)cycloalkylene-(C3- C6)heterocycloalkyl, wherein said -(C3-C6)heterocycloalkyl is optionally substituted by one or more of -C(O)O-(Ci-Ce)alky 1, or -(Ci-Ce)alkyl; -(Ci-C6)alkylene-(C3-C6)heterocycloalkyl, wherein said -(C3-C6)heterocycloalkyl is optionally substituted by one or more -(Ci-Ce)alkyl; and -(C3-C6)cycloalkylene-(Ci-C6))alkylene-(C3-C6))heterocycloalkyl, wherein said -(C3- C6)heterocycloalkyl is optionally substituted by one or more -(Ci-Ce)alkyl; and pharmaceutically acceptable salts thereof
[0054] According to a preferred embodiment, the invention refers to at least one of the compounds of Formula (I) listed in Table 1 and pharmaceutically acceptable salts thereof. These compounds are active on receptor ALK5, as shown in Table 5, and have good microsomal stability (ti / 2), as shown in Table 6.
[0055] Table 1: List of preferred compounds of Formula (I) According to a preferred embodiment, the present invention refers to a compound of Formula (I) or pharmaceutically acceptable salts thereof, wherein Ri is selected from the group consisting of 3-(4-(tert-butoxycarbonyl)piperidin-l-yl)cyclobutyl, ((4- methylpiperazin- 1 -yl)methyl)bicyclo[ 1 .1.1 ]pentan- 1 -yl, (3 , 5-dimethylpiperazin- 1 - yl)cyclobutyl, (4-methylpiperazin-l-yl)cyclobutyl and (3,5-dimethylpiperazin-l-yl)ethyl.
[0056] The compounds of the invention, including all the compounds here above listed, can be prepared from readily available starting materials using the following general methods and procedures outlined in detail below, or by using slightly modified processes readily available to those of ordinary skill in the art. Although a particular embodiment of the present invention may be shown or described herein, those skilled in the art will recognize that all embodiments or aspects of the present invention can be obtained using the methods described herein or by using other known methods, reagents and starting materials.
[0057] When typical or preferred process conditions (i.e. reaction temperatures, times, mole ratios of reactants, solvents, pressures, etc.) are given, other process conditions can also be used unless otherwise stated. While the optimum reaction conditions may vary depending on the particular reactants or solvent used, such conditions can be readily determined by those skilled in the art by routine optimization procedures. Thus, processes described below should not be viewed as limiting the scope of the synthetic methods available for the preparation of the compounds of the invention.
[0058] In some cases, a step is needed in order to mask or protect sensitive or reactive moieties, generally known protective groups (PG) could be employed, in accordance to general principles of chemistry (Protective group in organic syntheses, 3rd ed. T. W. Greene, P. G. M. Wuts).
[0059] The compounds of formula (I) of the present invention have surprisingly been found to effectively inhibit the receptor ALK5. Advantageously, the inhibition of ALK5 may result in efficacious treatment of the diseases or condition wherein the ALK5 receptor is involved.
[0060] In this respect, it has now been found that the compounds of formula (I) of the present invention have an inhibitory drug potency, measured as pICso (negative logarithm of ICso, half maximal inhibitory concentration) and subsequently converted to pKi (negative logarithm of dissociate function Ki), equal or higher than 9.8 on ALK5, as shown in the experimental part, Table 5.
[0061] In one aspect, the present invention refers to a compound of formula (I) or a pharmaceutically acceptable salt thereof, for use as a medicament. Thus, the invention refers to a compound of formula (I) in the preparation of a medicament, preferably for use in the prevention and / or treatment of a disease, disorder or condition associated with ALK5 signaling pathway.
[0062] In a preferred embodiment, the invention refers to a compound of formula (I) or a pharmaceutically acceptable salt thereof, for use in the prevention and / or treatment of a disease, disorder or condition associated with ALK5 signaling pathway.
[0063] In one embodiment, the present invention refers to a compound of formula (I) useful for the prevention and / or treatment of fibrosis and / or diseases, disorders, or conditions that involve fibrosis. The terms "fibrosis" or "fibrosing disorder" as used herein, refers to conditions that are associated with the abnormal accumulation of cells and / or fibronectin and / or collagen and / or increased fibroblast recruitment and include but are not limited to fibrosis of individual organs or tissues such as the heart, kidney, liver, joints, lung, pleural tissue, peritoneal tissue, skin, cornea, retina, musculoskeletal and digestive tract.
[0064] Preferably, the compounds of formula (I) of the present invention, or a pharmaceutical composition comprising a compound of formula (I) are useful for the treatment and / or prevention of fibrosis such as pulmonary fibrosis, idiopathic pulmonary fibrosis (IPF), hepatic fibrosis, renal fibrosis, ocular fibrosis, cardiac fibrosis, arterial fibrosis and systemic sclerosis.
[0065] More preferably, the compounds of formula (I) of the present invention, or a pharmaceutical composition comprising a compound of formula (I), are useful for the treatment of idiopathic pulmonary fibrosis (IPF).
[0066] As used herein, "safe and effective amount" in reference to a compound of formula (I) or a pharmaceutically acceptable salt thereof or other pharmaceutically active agent means an amount of the compound sufficient to treat the patient's condition but low enough to avoid serious side effects and it can nevertheless be routinely determined by the skilled artisan.
[0067] The compounds of formula (I) may be administered once or according to a dosing regimen, wherein a number of doses are administered at varying intervals of time for a given period of time. Typical daily dosages may vary depending upon the route of administration chosen.
[0068] The present invention also refers to a pharmaceutical composition comprising a compound of formula (I) in admixture with at least one or more pharmaceutically acceptable carrier or excipient.
[0069] In one embodiment, the invention refers to a pharmaceutical composition including at least one of the compounds of formula (I) in admixture with one or more pharmaceutically acceptable carrier or excipient, for example those described in Remington’s Pharmaceutical Sciences Handbook, XVII Ed., Mack Pub., N.Y., U.S.A.
[0070] Administration of the compounds of the invention and their pharmaceutical compositions may be accomplished according to patient needs, for example, orally, nasally, parenterally (subcutaneously, intravenously, intramuscularly, intrasternally and by infusion) and by inhalation. Preferably, the compounds of the present invention are administered orally or by inhalation. More preferably, the compounds of the present invention are administered by inhalation.
[0071] In one preferred embodiment, the pharmaceutical composition comprising the compound of formula (I) is a solid oral dosage form such as tablets, gelcaps, capsules, caplets, granules, lozenges and bulk powders.
[0072] In one embodiment, the pharmaceutical composition comprising the compound of formula (I) is a tablet.
[0073] The compounds of the invention can be administered alone or combined with various pharmaceutically acceptable carriers, diluents (such as sucrose, mannitol, lactose, starches) and known excipients, including suspending agents, solubilizers, buffering agents, binders, disintegrants, preservatives, colorants, flavorants, lubricants and the like. In a further embodiment, the pharmaceutical composition comprising a compound of formula (I) is a liquid oral dosage forms such as aqueous and non-aqueous solutions, emulsions and suspensions. Such liquid dosage forms can also contain suitable known inert diluents such as water and suitable known excipients such as preservatives, wetting agents, sweeteners, flavorants, as well as agents for emulsifying and / or suspending the compounds of the invention.
[0074] In a further embodiment, the pharmaceutical composition comprising the compound of formula (I) is an inhalable preparation such as inhalable powders, propellant-containing metering aerosols or propellant-free inhalable formulations.
[0075] For administration as a dry powder, single- or multi-dose inhalers known from the prior art may be utilized. In that case the powder may be filled in gelatine, plastic or other capsules, cartridges or blister packs or in a reservoir.
[0076] A diluent or carrier chemically inert to the compounds of the invention, e.g. lactose or any other additive suitable for improving the respirable fraction may be added to the powdered compounds of the invention.
[0077] Inhalation aerosols containing propellant gas such as hydrofluoroalkanes may contain the compounds of the invention either in solution or in dispersed form. The propellant-driven formulations may also contain other ingredients such as co-solvents, stabilizers and optionally other excipients.
[0078] The propellant-free inhalable formulations comprising the compounds of the invention may be in form of solutions or suspensions in an aqueous, alcoholic or hydroalcoholic medium and they may be delivered by j et or ultrasonic nebulizers known from the prior art or by soft-mist nebulizers.
[0079] The compounds of the invention can be administered as the sole active agent or in combination with other pharmaceutical active ingredients.
[0080] The dosages of the compounds of the invention depend upon a variety of factors including among others the particular disease to be treated, the severity of the symptoms, the route of administration and the like.
[0081] The invention is also directed to a device comprising a pharmaceutical composition comprising a compound of formula (I) according to the invention, in form of a single- or multidose dry powder inhaler or a metered dose inhaler.
[0082] All preferred groups or embodiments described above for compounds of formula (I) may be combined with each other and apply as well mutatis mutandis.
[0083] The compounds of formula (I) including all the compounds or at least one of the here above listed can be generally prepared according to the procedure outlined in detail in the Scheme 1 shown below, using generally known methods. Scheme 1
[0084] Scheme 1 provides a possible synthetic route for the preparation of a compound of formula (I). A compound of formula (IV) might be obtained by reacting a compound of formula (II) and a suitable halide (III) under standard Buchwald-Hartwig amination conditions. Typical Buchwald-Hartwig conditions involve the presence of an appropriate base, such as tripotassium phosphate, a suitable ligand reagent, such as Xantphos, and a suitable catalyst such as Pd2(dba)3, in an appropriate solvent such as 1,2-dimethoxy ethane and at an appropriate temperature, such as, for example, 100 °C. S-deprotection of compound (IV) under standard literature conditions such as by reaction with tetrabutyl ammonium fluoride (TBAF), in a suitable solvent such as THF at an appropriate temperature, such as room temperature, afforded compound (V). Finally, a compound of formula (I) might be prepared from a compound of formula (V) by means of a suitable alkylating agent, such as 6- (bromomethyl)-2H-pyran-2-one, in a suitable solvent, such as MeCN or DMF at an appropriate temperature, such as room temperature.
[0085] Compound of formula (III) might be obtained as described in Scheme 2.
[0086] Scheme 2 Compounds of formula (III) may be obtained, for example, reacting the opportune ester (VI) and the commercially available 4-amino 6-chloropyrimidine (VII). Typical conditions involve the presence of an appropriate base, such as n-BuLi, in an appropriate solvent, such as THF, and at an appropriate temperature, such as, from -78 °C to room temperature.
[0087] All the Intermediates and the Examples reported were analytically characterized by LC-MS and / or ' H-NMR as described herewith. The optimal proton frequency and solvent conditions may vary and can be readily determined by those skilled in the art by routine optimization procedures. In some cases, signals NH from amide bond or amine bond (Exchangeable protons) are not visible. In a few cases, some signals could be hidden under the signal of water or under the signal of DMSO or other residual solvents.
[0088] PREPARATIONS OF INTERMEDIATES AND EXAMPLES
[0089] Chemical Names of the compounds were generated with Structure To Name function of ChemDraw 22.0.W All reagents, for which the synthesis is not described in the experimental part, are either commercially available, or are known compounds or may be formed from known compounds by known methods by a person skilled in the art.
[0090] Abbreviation - meaning cHex= Cyclohexane; EtOAc= Ethyl acetate; DAD= Diode-array detection; DCM= Dichloromethane; DME= 1,2-Dimeth oxy ethane; DMF= N,N-Dimethylformamide; FCC= flash column chromatography; h= hour; hrs= hours; K3PO4= Potassium phosphate tribasic; UPLC = Ultra high-performance liquid chromatography; MS= mass spectrometry; LC-MS= liquid chromatography-mass spectrometry; MeCN= Acetonitrile; MeOH= Methanol; Na2SO4= Sodium sulfate; NaHCO3= Sodium bicarbonate; Pd2(dba)3= Tris(dibenzylideneacetone)dipalladium (0); RT= room temperature; STAB= Sodium triacetoxyborohydride; TBAF= Tetrabutylammonium fluoride; TFA= Trifluoroacetic acid; THF= Tetrahydrofuran; tz? = retention time; xanthphos = 4,5-Bis(diphenylphosphino)-9,9- dimethylxanthene.
[0091] General Experimental Details and methods
[0092] Analytical methods
[0093] Instruments, materials and methods employed for analyses
[0094] 'H-NMR spectra were performed on a Varian MR-400 spectrometer operating at 400 MHZ (proton frequency), equipped with: a self-shielded Z-gradient coil 5 mm IH / nX broadband probe head for reverse detection, deuterium digital lock channel unit, quadrature digital detection unit with transmitter offset frequency shift, or on Agilent VNMRS-500 or on a Bruker Avance 400 spectrometers. Chemical shifts are reported as 6 values in ppm relative to trimethylsilane (TMS) as an internal standard. Coupling constants (J values) are given in hertz (Hz) and multiplicities are reported using the following abbreviation (s= singlet, d= doublet, t= triplet, q= quartet, quin= quintuplet), m= multiplet, br. s.= broad singlet, dd= double-doublet, ddd= double-double-doublet.
[0095] LC / UV / MS Analytical Methods LC / MS retention times are estimated to be affected by an experimental error of +0.5 min. LCMS may be recorded under the following conditions: diode array DAD chromatographic traces, mass chromatograms and mass spectra may be taken on UPLC / PDA / MS AcquityTM system coupled with Micromass ZQTM or Waters SQD single quadrupole mass spectrometer operated in positive and / or negative electron spray ES ionization mode and / or Fractionlynx system used in analytical mode coupled with ZQTM single quadrupole operated in positive and / or negative ES ionisation mode. Quality Control methods used operated under low pH conditions or under high pH conditions:
[0096] Method 1, low pH conditions column: Acquity CSH C18 2.1x50mm 1.7pm, the column temperature was 40 °C; mobile phase solvent A was milliQ water+0.1% HCOOH, mobile phase solvent B MeCN+0.1% HCOOH. The flow rate was 0.9 mL / min. The gradient table was t= 0 min 97% A 3% B, t= 1.4 min 0.1% A 99.9% B, t= 1.9 min 0.1% A 99.9% B and t= 2 min 97% A 3% B. The UV detection range was 210-350 nm and ES+ZES- range was 100 to 1000 AMU.
[0097] Method 2, high pH conditions: column: Acquity Kinetex 1.7 um EVO C18 100A, 2.1x50mm, the column temperature was 40 °C; mobile phase solvent A was 10 mM aqueous solution of NH4HCO3 adjusted to pH= 10 with ammonia, mobile phase solvent B MeCN. The flow rate was 0.9 mL / min. The gradient table was t= 0 min 97% A 3% B, t= 1.4 min 0.1% A 99.9% B, t= 1.9 min 0.1% A 99.9% B and t= 2 min 97% A 3% B. The UV detection range was 210-350 nm and ES+ZES- range was 100 to 1000 AMU.
[0098] Purification methods
[0099] Chiral semipreparative HPLC. The purification was performed using Chiralpak AD-H (25 x 2.0 cm), 5 pm column with n-Hexane / (Ethanol + 0.1 % isopropylamine) 40 / 60 % v / v as eluent at flow rate = 17 ml / min, and DAD at 220 nm
[0100] Semipreparative HPLC. The purification was performed using XSelect CSH Prep. C 18 5 pm column with (H2O + 0.1% formic acid) / acetonitrile from 97 / 3 % at t= 0 min to 50 / 50 % at 10 min, then 0 / 100 % at 10.5 min till 14.5 min, then 97 / 3 % at 15 min, flow rate = 40 ml / min
[0101] FCC. The purification was performed on Biotage silica or NH cartridge using appropriate eluents as detailed in the experimental part.
[0102] General Synthetic procedures
[0103] Intermediate 1 : tert-butyl l-((ls,3s)-3-(ethoxycarbonyl)cyclobutyl)piperidine-4-carboxylate
[0104] To a mixture of ethyl 3 -oxocyclobutane- 1 -carboxyl ate (2.47 g, 17.4 mmol) and tert- butyl piperidine-4-carboxylate hydrochloride (3.66 g, 16.5 mmol) in DCM (43 mL), STAB (5.68 g, 26.8 mmol) was added portion-wise and the resulting reaction mixture was stirred at RT for 5 hrs. The mixture was concentrated under reduced pressure, then MeOH (30 mL) was added and the mixture was concentrated under reduced pressure. The residue was dissolved in DCM and washed with sat. aq. NaHCCh. The organic phase was dried with Na2SO4, filtered and concentrated under reduced pressure. The crude material was purified by FCC on silica cartridge (from cHex to 50% EtOAc) to give title compound (2.68 g, 8.6 mmol, 49% yield).
[0105] LCMS Method 2: ty? 1.00 min, MS (ESI) m / z = 311.9 [M+H]+
[0106] ’H NMR (400 MHz, CDCls) 5 4.11 (q, J = 7.2 Hz, 2H), 2.82 - 2.58 (m, 4H), 2.36 - 2.26 (m, 2H), 2.19-2.11 (m, 3H), 1.85 (d, J= 12.7 Hz, 4H), 1.71 (t, J= 11.3 Hz, 1H), 1.61 (s, 1H), 1.43 (s, 9H), 1.24 (t, J= 7.1 Hz, 3H).
[0107] Intermediate 2: tert-butyl 1 -((1 s,3 s)-3 -((6-chloropyrimidin-4- vDcarbamovDcyclobutvDpiperidine 4-carboxylate.
[0108] To a stirred solution of 4,6-dichloropyrimidine (711 mg, 5.49 mmol) in THF (30 mL), at -78 °C and under a N2 atmosphere, n-butyllithium 2.5 N / hexanes (2.3 mL, 5.75 mmol) was added portion wise over 10 min, then the reaction mixture was stirred at -78 °C for 50 min. A solution of Intermediate 1 (776 mg, 3.43 mmol) in THF (9 mL) was added portion wise over 5 min at -78 °C. After 5 min the cooling bath was removed, and the resulting reaction mixture was allowed to reach RT and stirred for 20 hrs. The mixture was diluted with EtOAc and washed with brine. The organic phase was dried with Na2SO4, filtered, and concentrated under reduced pressure. The crude material was taken-up with DCM, solids were filtered, and the obtained solution concentrated under reduced pressure. The crude product was purified by flash chromatography on Biotage silica cartridge (from cHex to 100% EtOAc) to give the title compound (2.04 mg, 5.17 mmol, 60 % yield). The product was stored at -20 °C.
[0109] LCMS method 2: tz? 1.03 min, MS (ESI) m / z = 393.2 [M+H]+
[0110] ’H NMR (400 MHz, CDCls) 5 11.31 (s, 1H), 8.60 (s, 1H), 8.21 (d, J = 1.0 Hz, 1H), 3.07 - 2.98 (m, 1H), 2.95 (s, 2H), 2.79 (s, 1H), 2.61 - 2.51 (m, 2H), 2.24 (dd, J= 32.0, 7.4 Hz, 2H), 2.04 - 1.90 (m, 5H), 1.62 (s, 2H), 1.46 (s, 9H).
[0111] Intermediate 3: tert-butyl l-((ls,3s)-3-((6-((6-(5-chloro-2-fluorophenyl)-3-((2- (trimethylsilyl)ethyl)thio)pyridazin-4-yl)amino)pyrimidin-4-yl)carbamoyl)cyclobutyl)piperidine- 4-carboxylate
[0112] In a vial, a mixture of 6-(5-chloro-2-fluorophenyl)-3-((2- (trimethylsilyl)ethyl)thio)pyridazin-4-amine (synthesised as reported in WO2023046698 Intermediate 313) (200 mg, 0.56 mmol), Intermediate 2 (233 mg, 0.59 mmol), xanthphos (49 mg, 0.08 mmol), Pd2(dba)s (52 mg, 0.06 mmol), K3PO4 (243 mg, 1.13 mmol) was suspended in DME (5.6 mL). The vial was sealed and the solvent was degassed (N2 / vacuum) then heated at 100 °C for 2 hrs. The mixture was diluted with EtOAc and filtered. The solvents were removed under reduced pressure and the crude material was purified by flash chromatography on Biotage silica cartridge (from cHex to 88% EtOAc) affording the title compound (224 mg, 0.31 mmol, 56% yield).
[0113] LCMS method 2: ty? 1.41 min, MS (ESI) m / z = 716.4 [M+H]+
[0114] The Intermediates in the following Table 2 were prepared from the suitable reagents in analogy to the procedures followed for Intermediate 3 using 6-(5-chloro-2-fluorophenyl)-3- ((2-(trimethylsilyl)ethyl)thio)pyridazin-4-amine and the suitable aryl chloride intermediates synthesised as described in WO2023046698.
[0115] Intermediates 4-7: Table 2
[0116] Intermediate 8; (ls,3s)-N-(6-((6-(5-chloro-2-fluoroDhenyl)-3-((2-
[0117] (trimethylsilyl)ethyl)thio)pyridazin-4-yl)amino)pyrimidin-4-yl)-3-((3R,5S)-3,5- dimethylpiperazin- 1 -yDcyclobutane- 1 -carboxamide
[0118] To a solution of Intermediate 5 (403 mg, 0.54 mmol) in DCM (3 mL), at RT, TFA (0.8 mL, 10.45 mmol) was added dropwise and the resulting reaction mixture was stirred at RT for 2.5 hrs. The mixture was concentrated under reduced pressure, the residue was dissolved in DCM and the solution was treated with a saturated solution of NaHCCh. The mixture was separated by using a phase separator cartridge, the organic phase was concentrated under reduced pressure to give the title compound (358 mg, 0.54 mmol, recovery assumed quantitative). LCMS method 2: ty? 1.34 min, MS (ESI) m / z = 645.3 [M+H]+
[0119] The Intermediates listed in Table 3 were prepared from the specified reagents in analogy to the procedures followed for Intermediate 8.
[0120] Intermediate 9: Table 3
[0121] Example 1: tert-butyl l-((ls,3s)-3-((6-((6-(5-chloro-2-fluorophenyl)-3-(((2-oxo-2H-pyran- 6-yl)methyl)thio)pyridazin-4-yl)amino)pyrimidin-4-yl)carbamoyl)cvclobutyl)piperidine-4- carboxylate
[0122] To a stirred solution of Intermediate 3 (224 mg, 0.31 mmol) in THF (3 mL), at RT, TBAF IM in THF (0.4 mL, 0.40 mmol) was added dropwise and the resulting reaction mixture was stirred overnight at RT. Further TBAF IM in THF (0.4 mL, 0.40 mmol) was added and the reaction was stirred at RT for additional 24 hrs. The mixture was concentrated under reduced pressure and the residue was dissolved in MeCN (2 mL), then a solution of 6- (bromomethyl)-2H-pyran-2-one (synthesised as described in European Journal of Organic Chemistry (2013), 2013(14), 2906-2913) (60 mg, 0.32 mmol) in MeCN (0.50 mL) was added portion-wise and the resulting reaction mixture was stirred at RT for 2 hrs. The mixture was concentrated under reduced pressure and the residue was taken up with DCM and saturated solution of NaHCCh. The organic phase was washed with water, dried over Na2SO4 and the solvent removed under vacuum. The crude material was purified by FCC on Biotage silica cartridge (from cHex to 100% EtOAc, then from 100% EtOAc to 20% of EtOAc / EtOH 3 / 1), proper fractions were collected and further purified by flash chromatography on Biotage silica cartridge (from cHex to 45% of EtOAc / EtOH 3 / 1) affording the title compound (90 mg, 0.12 mmol, 40% yield).
[0123] LCMS method 2: ty? 1.28 min, MS (ESI) m / z = 722.3 [M+H]+
[0124] >H NMR (500 MHz, CDCls) 5 10.32 (br. s. 1 H), 8.94 (d, J= 1.4 Hz, 1 H), 8.55 (d, J = 0.8 Hz, 1 H), 8.11 (dd, J= 6.6, 2.7 Hz, 1 H), 7.80 (d, J = 0.8 Hz, 1 H), 7.42 (ddd, J = 8.7,
[0125] 4.2, 2.7 Hz, 1 H), 7.24 (dd, J= 9.3, 6.6 Hz, 1 H), 7.17 (dd, J = 10.3, 8.8 Hz, 1 H), 6.97 (s, 1 H), 6.43 (d, J= 6.4 Hz, 1 H), 6.22 (d, J= 9.3 Hz, 1 H), 4.55 (s, 2 H), 2.96 - 3.05 (m, 1 H), 2.85 - 2.96 (m, 2 H), 2.73 - 2.83 (m, 1 H), 2.47 - 2.58 (m, 2 H), 2.17 - 2.34 (m, 3 H), 1.86 - 2.04 (m, 6 H), 1.47 (s, 9 H). The Examples in Table 4 were prepared from the specified reagents in analogy to the procedures followed for Example 1. In some cases, where modification involved solvent or equivalents, such changes were reported in the table.
[0126] Examples 2-5: Table 4
[0127] PHARMACOLOGICAL ACTIVITY OF THE COMPOUNDS OF THE INVENTION In vitro Assay
[0128] The enzymatic activity of compounds of the present invention was monitored measuring the formation of ADP using the ADP-GLO Kinases assay. Following the incubation of the purified enzyme, a substrate and ATP, the produced ADP was converted into ATP, which in turn was converted into light by Ultra-Gio Luciferase. The luminescent signal positively correlated with ADP amount and kinase activity. Briefly, the kinase reaction was performed by incubating 2.6 nM of the purified, commercially available human ALK5 (recombinant TGF pi N-term GST-tagged, 80-end), a final concentration of TGFpi peptide 94.5 pM (Promega, T36-58) and ultra-pure ATP (Promega V915B). The ATP concentration was set at the Km value (concentration of substrate which permits the enzyme to achieve half maximal velocity (Vmax)) of ALK5 (0.5pM). Compound and ALK5 kinase were mixed and incubated for 15 minutes. Reactions were initiated by addition of ATP at a final concentration in the assay of 0.83 pM. After an incubation of 120 minutes, the reaction was stopped, and ADP production detected with ADP-Glo kit according to manufacturer’s indications. All reaction and incubation steps were performed at 25 °C and the assays were performed in 384-well format and validated using a selection of reference compounds tested in 11 -point concentration-response curve. The results for individual compounds are provided below in Table 5 wherein the compounds are classified in term of potency with respect to their inhibitory activity on ALK5 receptor. Results were expressed as pICso (negative logarithm of ICso) and subsequently converted to pKi (negative logarithm of dissociate function Ki) using the Cheng-Prusoff equation. The higher the value of pKi, the greater the inhibition of ALK5 activity. As it can be appreciated, all the compounds of Table 5 show pKi values equal or greater than 9.8 when tested in the biochemical ALK5 assay.
[0129] Table 5
[0130] Determination of Microsomes Stability
[0131] Test compound was incubated, in duplicate, at the concentration of 0.5 pM with liver microsomes (0.5 mg protein / mL) in phosphate buffer (pH 7.4) at 37 °C in the presence of NADPH regenerating system. At different time points (0, 3, 10, 15, 30, and 45 min), 50pl- aliquots were taken and acetonitrile containing internal standard (150pl) was added to stop the reaction. Samples were centrifuged (3000 rpm, lOmin) and the supernatants were analyzed by LC-MS / MS monitoring the test items and the internal standards. Dextromethorphan and Verapamil at the concentration of 0.5 pM were used as positive control. Rate constant (k) for parent degradation was calculated by determining the slope of the graph line of the natural log of the percentage parent remaining versus incubation time. Half-life (ti / 2) of the test item, which represents the time required for the parent compound abundance to decrease to one-half its initial value, was calculated as follow: ti / 2 = 0.693 / k.
[0132] The results for individual compounds are provided below in Table 6, wherein the compounds are classified in term of microsomal stability in human and in mouse. Results were expressed as half-life (ti / 2, min). The lower the ti / 2, the higher the hepatic metabolism of the tested compound.
[0133] As it can be appreciated, all the compounds of Table 6 show a half-life (ti / 2) below 5 minutes, in human.
[0134] Table 6
Claims
CLAIMSA compound of formula (I)wherein Ri is selected from the group consisting of -(C3-C6)cycloalkylene-(C3- C6)heterocycloalkyl, wherein said -(C3-C6)heterocycloalkyl is optionally substituted by one or more of -C(O)O-(Ci-Ce)alkyl, or -(Ci-Ce)alkyl; -(Ci-Ce)alkylene-(C3- C6)heterocycloalkyl, wherein said -(C3-C6)heterocycloalkyl is optionally substituted by one or more -(Ci-Ce)alkyl; and -(C3-C6)cycloalkylene-(Ci-C6)alkylene-(C3- C6)heterocycloalkyl, wherein said -(C3-C6)heterocycloalkyl is optionally substituted by one or more -(Ci-Ce)alkyl; or pharmaceutically acceptable salts thereof.
2. The compound of formula (I) according to claim 1 or 2, wherein Ri is selected from the group consisting of 3-(4-(tert-butoxycarbonyl)piperidin-l-yl)cyclobutyl; ((4- methylpiperazin- 1 -yl)methyl)bicyclo[ 1.1.1 ]pentan- 1 -yl; (3 , 5-dimethylpiperazin- 1 - yl)cyclobutyl; (4-methylpiperazin-l-yl)cyclobutyl; (3,5-dimethylpiperazin-l-yl)ethyl.
3. The compound of formula (I) according to claim 1 or 2 selected from at least one of the following: tert-butyl 1 -(( 1 s,3 s)-3 -((6-((6-(5-chloro-2-fluorophenyl)-3-(((2-oxo-2H-pyran-6- yl)methyl)thio)pyridazin-4-yl)amino)pyrimidin-4-yl)carbamoyl)cyclobutyl)piperidine-4- carboxylate;N-(6-((6-(5-chloro-2-fluorophenyl)-3-(((2-oxo-2H-pyran-6-yl)methyl)thio)pyridazin- 4-yl)amino)pyrimidin-4-yl)-3-((4-methylpiperazin-l -yl)methyl)bicyclo[ 1.1.1 ]pentane-l- carboxamide;(ls,3s)-N-(6-((6-(5-chloro-2-fluorophenyl)-3-(((2-oxo-2H-pyran-6- yl)methyl)thio)pyridazin-4-yl)amino)pyrimidin-4-yl)-3-((3S,5R)-3, 5-dimethylpiperazin- 1- yl)cyclobutane- 1 -carboxamide(ls,3s)-N-(6-((6-(5-chloro-2-fluorophenyl)-3-(((2-oxo-2H-pyran-6- yl)methyl)thio)pyridazin-4-yl)amino)pyrimidin-4-yl)-3-(4-methylpiperazin-l- yl)cyclobutane- 1 -carboxamide;N-(6-((6-(5-chloro-2-fluorophenyl)-3-(((2-oxo-2H-pyran-6-yl)methyl)thio)pyridazin- 4-yl)amino)pyrimidin-4-yl)-3-((3S,5R)-3,5-dimethylpiperazin-l-yl)propanamide.
4. A pharmaceutical composition comprising a compound of formula (I) according to any one of claims from 1 to 3, in admixture with one or more pharmaceutically acceptable carrier or excipient.
5. The pharmaceutical composition according to claim 4 for administration by inhalation.
6. The compound of formula (I) according to any one of claims from 1 to 3 or the pharmaceutical composition according to claim 5 or 6, for use as a medicament.
7. The compound of formula (I) or the pharmaceutical composition for use according to claim 6 in the prevention and / or treatment of a disease, disorder or condition mediated by ALK5 signaling pathway in mammals.
8. The compound of formula (I) or the pharmaceutical composition for use according to claim 6 or 7 in the prevention and / or treatment of fibrosis and / or diseases, disorders, or conditions that involve fibrosis.
9. The compound of formula (I) or the pharmaceutical composition for use according to claim 8, in the prevention and / or treatment of fibrosis including pulmonary fibrosis, idiopathic pulmonary fibrosis (IPF), hepatic fibrosis, renal fibrosis, ocular fibrosis, cardiac fibrosis, arterial fibrosis and systemic sclerosis.
10. The compound of formula (I) or the pharmaceutical composition for use according to claim 9 in the prevention and / or treatment idiopathic pulmonary fibrosis (IPF).
Citation Information
Patent Citations
Pyridazinyl amino derivatives as ALK5 inhibitors
WO2022013307A1
Pyridazinyl amino derivatives as ALK5 inhibitors
WO2023135107A1
Pyridazinyl amino derivatives as ALK5 inhibitors
WO2023046698A1