Compounds having (3-nitrophenyl)acetamide as BCL-2 inhibitors

Compounds of Formula (I) address therapeutic resistance in BCL-2 inhibition by effectively inhibiting BCL-2 proteins, enhancing cancer treatment efficacy and safety.

WO2026019442A1PCT designated stage Publication Date: 2026-01-22EIL THERAPEUTICS INC
View PDF 3 Cites 0 Cited by

Patent Information

Application Number
PCT/US2024/046228
Authority / Receiving Office
WO · WO
Patent Type
Applications
Current Assignee / Owner
Priority Date
2024-07-14
Filing Date
2024-09-11
Publication Date
2026-01-22

AI Technical Summary

Technical Problem

Current BCL-2 inhibition therapies face challenges due to cancer cells upregulating other anti-apoptotic proteins, leading to therapeutic resistance, necessitating the development of agents that can effectively induce cell death in tumors with increased BCL-2 expression.

Method used

Development of compounds of Formula (I) that inhibit BCL-2 proteins, including Isoform 1 and Isoform 2, by modulating their activity to induce apoptosis in cancer cells, thereby overcoming resistance.

Benefits of technology

The compounds provide improved efficacy and safety profiles in treating cancer and metastasis by inhibiting BCL-2 proteins, suppressing tumor growth, and reducing drug resistance.

✦ Generated by Eureka AI based on patent content.

Smart Images

  • Figure US2024046228_22012026_PF_FP_ABST
    Figure US2024046228_22012026_PF_FP_ABST
Patent Text Reader

Abstract

The present invention is generally directed to inhibitors of BCL-2 proteins useful in the treatment of diseases and disorders modulated by said enzyme and having the Formula (I):
Need to check novelty before this filing date? Find Prior Art

Description

Eil.23.0003 COMPOUNDS HAVING ((3-NITROPHENYL)SULFONYL)ACETAMIDE AS BCL-2 INHIBITORS Cross-Reference to Related Inventions

[0001] This application is a Continuation-In-Part under 35 USC § 120 of U.S. application Ser. No. 17 / 698,956 filed Mar. 18, 2022 and entitled “Compounds Having ((3- Nitrophenyl)sulfonylacetamide as BCL-2 Inhibitors,” which claims priority to, and the benefit of, U.S. Provisional Application Ser. No. 63 / 163,326 filed Mar. 19, 2021 and entitled “Compounds Having ((3-Nitropheny])sulfonylacetamide as BCL-2 Inhibitors,” the entire contents of both of which applications are incorporated by reference herein, for all purposes. Field of Invention

[0002] The present invention is directed to inhibitors of B-cell lymphoma 2 (BCL-2) proteins. The inhibitors described herein can be useful in the treatment of diseases or disorders associated with BCL-2. In particular, the invention is concerned with compounds and pharmaceutical compositions inhibiting BCL-2, methods of treating diseases or disorders associated with BCL-2, and methods of synthesizing these compounds. Background of the Invention

[0003] Apoptosis, or programmed cell death, is a physiological process that is crucial for embryonic development and maintenance of tissue homeostasis.

[0004] Deregulation of apoptosis is involved in certain pathologies. Increased apoptosis is associated with neurodegenerative diseases such as Parkinson's disease, Alzheimer's disease and ischaemia. Conversely, deficits in the implementation of apoptosis play a significant role in the development of cancers and their chemoresistance, in auto-immune diseases, inflammatory diseases and viral infections. Accordingly, absence of apoptosis is one of the phenotypic signatures of cancer (Hanahan, D. et al., Cell, 2000, 100, 57–70).

[0005] The BCL-2 family of proteins plays a major role in tumorogenesis. BCL-2 proteins are characterized based on the presence of BCL-2 homology (BH) domains. The anti- apoptotic proteins contain all the BH1-4 domains; the pro-apoptotic proteins contain either the BH3 domainEil.23.0003 only or multiple BH domains. The BH3 domain is necessary in executing the pro apoptotic function of these proteins. In anti-apoptotic proteins, the BH3 domain remains hidden or buried inside other BH domains and hence they exclusively function as protectors of cell survival. The BCL-2 proteins use BH domains to interact with each other. The anti-apoptotic BCL-2 proteins interact with pro-apoptotic members and inhibit their function to maintain cellular homeostasis. It is the shift in balance between anti-apoptotic and pro-apoptotic BCL-2 proteins that may decide the fate of cancer cells.

[0006] Cancer therapeutics targeting the BCL-2 family mainly have focused on neutralizing one or more anti-apoptotic members by inhibiting their function using small molecule inhibitors or by suppressing their expression utilizing anti-sense oligonucleotides. The concept was to inhibit the anti-apoptotic BCL-2 members' function and thus allowing pro-apoptotic members to induce cell death in cancer cells. However, cancer cells treated with BCL-2 inhibitors were found to upregulate other anti-apoptotic BCL-2 or non-BCL-2 family proteins involved in cell survival, resulting in therapeutic resistance.

[0007] There is a need for therapeutic agents that can induce cell death in tumors or cancers with increased expression of BCL-2. This invention is intended to fill this unmet needs associated with current BCL-2 inhibition therapy. Summary of the Invention

[0008] A first aspect of the invention relates to compounds of Formula (I): , andthereof, wherein: X is selected from N and CH; L is selected from bond, C1–C6alkylenyl, C2–C6alkenylenyl, C2–C6alkynylenyl, –C(O)– , –C(O)O–, –C(O)NRL–, –NRL–, and –O–;Eil.23.0003 RLis selected from H and C1–C3alkyl; R1 is selected from C1–C6 alkyl, –N(R6)2, C3–C10 cycloalkyl, aryl, 3- to 10-membered heterocyclyl, and heteroaryl, wherein the alkyl, cycloalkyl, aryl, heterocyclyl, and heteroaryl are optionally substituted with one or more R6, wherein when R1is –N(R6)2, then L is not –NRL– or – O–; R2 is selected from C3–C10 cycloalkyl, C3–C10 cycloalkenyl, aryl, 3- to 15-membered heterocyclyl, and heteroaryl, wherein the cycloalkyl, cycloalkenyl, aryl, heterocyclyl, and heteroaryl are optionally substituted with one or more R7; R3 is selected from H, C1–C6 alkyl, and aryl, wherein the aryl is optionally substituted with one or more R8; or R2and R3, together with the atom to which they are attached, come together to form C6– C16 aryl optionally substituted with one or more R7; R4 is selected from H and –OH; R5is selected from aryl and 5- to 10-membered heteroaryl, wherein the aryl or heteroaryl is optionally substituted with one or more R9; each R6 is independently selected from halogen, C1–C6 alkyl, C2–C6 alkenyl, C2–C6 alkynyl, C1–C6alkoxy, C1–C6haloalkyl, C1–C6haloalkoxy, –OR15, oxo, –CN, –C(O)R12, – C(O)N(R12)2, –(CH2)oOR12, –N(R12)2, –NHC(O)R12, –NHS(O)2R12, –S(O)2N(R12)2, –S(O)2R12, C3–C10 cycloalkyl, aryl, 3- to 10-membered heterocyclyl, and heteroaryl, wherein the alkyl, alkoxy, alkenyl, alkynyl, aryl, cycloalkyl, heteroaryl, and heterocyclyl is optionally substituted with one or more halogen, C1–C6alkyl, C2–C6alkenyl, C2–C6alkynyl, C1–C6alkoxy, C1–C6haloalkyl, C1–C6 haloalkoxy, amino, alkylamino, dialkylamino, –OH, oxo, –CN, C3–C10 cycloalkyl, aryl, 3- to 10-membered heterocyclyl, and heteroaryl; each R7is independently selected from halogen, C1–C6alkyl, C1–C6haloalkyl, –OH, oxo, –C(O)R10, aryl, and heteroaryl, wherein the aryl and heteroaryl are optionally substituted with one or more R11; each R8is independently selected from halogen, C1–C6alkyl, and –OH; each R9 is independently selected from halogen, C1–C6 alkyl, C2–C6 alkenyl, C2–C6 alkynyl, C1–C6 haloalkyl, –CN, –C(O)N(R12)2, –C(O)OR12, –(CH2)oOR12, –OH, oxo, –N(R12)2, – NHC(O)R12, –NHS(O)2R12, and –S(O)2N(R12)2;Eil.23.0003 each R10is independently selected from C1–C6alkyl, C1–C6haloalkyl, –(CH2)p–N(R13)2, C3–C10 cycloalkyl, aryl, 3- to 10-membered heterocyclyl, and heteroaryl, wherein the cycloalkyl, aryl, heterocyclyl, and heteroaryl are optionally substituted with one or more R14; each R11is independently selected from halogen, C1–C6alkyl, C2–C6alkenyl, C2–C6alkynyl, C1–C6 alkoxy, C1–C6 haloalkyl, C1–C6 haloalkoxy, C3–C10 cycloalkyl, –OR15, aryl, 3- to 10-membered heterocyclyl, and heteroaryl; each R12is independently selected from H, halogen, C1–C6alkyl, C2–C6alkenyl, C2–C6alkynyl, C1–C6 alkoxy, C1–C6 haloalkyl, C1–C6 haloalkoxy, C3–C10 cycloalkyl, aryl, 3- to 10- membered heterocyclyl, and heteroaryl; each R13is selected from H, halogen, C1–C6alkyl, C2–C6alkenyl, C2–C6alkynyl, C1–C6alkoxy, C1–C6haloalkyl, C1–C6haloalkoxy, C3–C10cycloalkyl, aryl, 3- to 10-membered heterocyclyl, and heteroaryl; each R14 is selected from halogen, C1–C6 alkyl, C2–C6 alkenyl, C2–C6 alkynyl, C1–C6 alkoxy, C1–C6haloalkyl, C1–C6haloalkoxy, C3–C10cycloalkyl, aryl, 3- to 10-membered heterocyclyl, and heteroaryl; each R15 is independently selected from halogen, C1–C6 alkyl, C2–C6 alkenyl, C2–C6 alkynyl, C1–C6alkoxy, C1–C6haloalkyl, C1–C6haloalkoxy, C3–C10cycloalkyl, –(CH2)q–aryl, 3- to 10-membered heterocyclyl, and heteroaryl; and each n, o, p, and q is an integer independently selected from 0, 1, and 2.

[0009] Another aspect of the invention is directed to pharmaceutical compositions comprising a compound of Formula (I), or a pharmaceutically acceptable salt, hydrate, solvate, prodrug, stereoisomer, or tautomer thereof and a pharmaceutically acceptable carrier. The pharmaceutical acceptable carrier may further include an excipient, diluent, or surfactant.

[0010] Another aspect of the invention relates to a method of treating a disease or disorder associated with modulation of BCL-2 proteins, such as Isoform 1 and Isoform 2. The method comprises administering to a patient in need of a treatment for diseases or disorders associated with modulation of BCL-2 proteins an effective amount of a compound of Formula (I), or a pharmaceutically acceptable salt, hydrate, solvate, prodrug, stereoisomer, tautomer, or pharmaceutical composition thereof.Eil.23.0003

[0011] Another aspect of the invention is directed to a method of inhibiting BCL-2 proteins including, but not limited to Isoform 1 and Isoform 2. The method involves administering to a patient in need thereof an effective amount of a compound of Formula (I), or a pharmaceutically acceptable salt, hydrate, solvate, prodrug, stereoisomer, tautomer, or pharmaceutical composition thereof.

[0012] Another aspect of the invention is directed to a method of treating or preventing a disease or disorder disclosed herein in a subject in need thereof. The method involves administering to a patient in need thereof an effective amount of a compound of Formula (I), or a pharmaceutically acceptable salt, hydrate, solvate, prodrug, stereoisomer, tautomer, or pharmaceutical composition thereof.

[0013] Another aspect of the present invention relates to compounds of Formula (I), and pharmaceutically acceptable salts, hydrates, solvates, prodrugs, stereoisomers, tautomers, or pharmaceutical compositions thereof, for use in the manufacture of a medicament for inhibiting BCL-2 proteins, such as Isoform 1 and Isoform 2.

[0014] Another aspect of the present invention relates to compounds of Formula (I), and pharmaceutically acceptable salts, hydrates, solvates, prodrugs, stereoisomers, tautomers, or pharmaceutical compositions thereof, for use in the manufacture of a medicament for treating or preventing a disease or disorder disclosed herein.

[0015] Another aspect of the present invention relates to the use of a compound of Formula (I), or a pharmaceutically acceptable salt, hydrate, solvate, prodrug, stereoisomer, tautomer, or pharmaceutical composition thereof, in the treatment of a disease associated with inhibiting BCL- 2 proteins, such as Isoform 1 and Isoform 2.

[0016] Another aspect of the present invention relates to the use of a compound of Formula (I), or a pharmaceutically acceptable salt, hydrate, solvate, prodrug, stereoisomer, tautomer, or pharmaceutical composition thereof, in the treatment of a disease or disorder disclosed herein.

[0017] The present invention further provides methods of treating a disease or disorder associated with modulation of BCL-2 proteins including, cancer and metastasis, comprising administering to a patient suffering from at least one of said diseases or disorders a compound of Formula (I), or a pharmaceutically acceptable salt, hydrate, solvate, prodrug, stereoisomer, tautomer, or pharmaceutical composition thereof.Eil.23.0003

[0018] The present invention provides inhibitors of BCL-2 proteins that are therapeutic agents in the treatment of diseases such as cancer and metastasis.

[0019] The present invention further provides compounds and compositions with an improved efficacy and safety profile relative to known BCL-2 protein inhibitors. The present disclosure also provides agents with novel mechanisms of action toward BCL-2 protein in the treatment of various types of diseases including cancer and metastasis.

[0020] In some aspects, the present disclosure provides a compound obtainable by, or obtained by, a method for preparing compounds described herein (e.g., a method comprising one or more steps described in General Schemes A–F).

[0021] In some aspects, the present disclosure provides an intermediate as described herein, being suitable for use in a method for preparing a compound as described herein (e.g., the intermediate is selected from the intermediates described in Examples 1–15).

[0022] In some aspects, the present disclosure provides a method of preparing a compound of the present disclosure.

[0023] In some aspects, the present disclosure provides a method of preparing a compound, comprising one or more steps described herein.

[0024] Unless otherwise defined, all technical and scientific terms used herein have the same meaning as commonly understood by one of ordinary skill in the art to which this disclosure belongs. In the specification, the singular forms also include the plural unless the context clearly dictates otherwise. Although methods and materials similar or equivalent to those described herein can be used in the practice or testing of the present disclosure, suitable methods and materials are described below. All publications, patent applications, patents and other references mentioned herein are incorporated by reference. The references cited herein are not admitted to be prior art to the claimed invention. In the case of conflict, the present specification, including definitions, will control. In addition, the materials, methods and examples are illustrative only and are not intended to be limiting. In the case of conflict between the chemical structures and names of the compounds disclosed herein, the chemical structures will control.

[0025] Other features and advantages of the disclosure will be apparent from the following detailed description and claims Detailed Description of the InventionEil.23.0003

[0026] The present disclosure relates to compounds and compositions that are capable of inhibiting the activity BCL-2 proteins including, but not limited to Isoform 1 and Isoform 2. The disclosure features methods of treating, preventing or ameliorating a disease or disorder in which BCL-2 plays a role by administering to a patient in need thereof a therapeutically effective amount of a compound of Formula (I), or a pharmaceutically acceptable salt, hydrate, solvate, prodrug, stereoisomer, or tautomer thereof. The methods of the present invention can be used in the treatment of a variety of BCL-2 mediated diseases and disorders by inhibiting the activity of BCL- 2 proteins. Inhibition of BCL-2 can be an effective approach to the treatment, prevention, or amelioration of diseases including, but not limited to, cancer and metastasis. Decreasing BCL-2 activity can suppress cancer mutagenesis, dampen tumor evolution, and / or decrease the probability of adverse outcomes, such as drug resistance and / or metastases.

[0027] In a first aspect of the invention, the compounds of Formula (I) are described: , andand tautomers thereof, wherein X, L, R1, R2, R3, R4, R5, and n are described herein.

[0028] The details of the invention are set forth in the accompanying description below. Although methods and materials similar or equivalent to those described herein can be used in the practice or testing of the present invention, illustrative methods and materials are now described. Other features, objects, and advantages of the invention will be apparent from the description and from the claims. In the specification and the appended claims, the singular forms also include the plural unless the context clearly dictates otherwise. Unless defined otherwise, all technical and scientific terms used herein have the same meaning as commonly understood by one of ordinary skill in the art to which this invention belongs. All patents and publications cited in this specification are incorporated herein by reference in their entireties. DefinitionsEil.23.0003

[0029] The articles "a" and "an" are used in this disclosure to refer to one or more than one (i.e., to at least one) of the grammatical object of the article. By way of example, "an element" means one element or more than one element.

[0030] The term "and / or" is used in this disclosure to mean either "and" or "or" unless indicated otherwise.

[0031] The term “optionally substituted” is understood to mean that a given chemical moiety (e.g., an alkyl group) can (but is not required to) be bonded other substituents (e.g., heteroatoms). For instance, an alkyl group that is optionally substituted can be a fully saturated alkyl chain (i.e., a pure hydrocarbon). Alternatively, the same optionally substituted alkyl group can have substituents different from hydrogen. For instance, it can, at any point along the chain be bounded to a halogen atom, a hydroxyl group, or any other substituent described herein. Thus the term “optionally substituted” means that a given chemical moiety has the potential to contain other functional groups, but does not necessarily have any further functional groups. Suitable substituents used in the optional substitution of the described groups include, without limitation, halogen, oxo, -OH, -CN, -COOH, -CH2CN, -O-(C1-C6) alkyl, (C1-C6) alkyl, (C1-C6) alkoxy, (C1- C6) haloalkyl, (C1-C6) haloalkoxy, -O-(C2-C6) alkenyl, -O-(C2-C6) alkynyl, (C2-C6) alkenyl, (C2- C6) alkynyl, -OH, -OP(O)(OH)2, -OC(O)(C1-C6) alkyl, -C(O)(C1-C6) alkyl, -OC(O)O(C1-C6) alkyl, -NH2, -NH((C1-C6) alkyl), -N((C1-C6) alkyl)2, -NHC(O)(C1-C6) alkyl, -C(O)NH(C1-C6) alkyl, -S(O)2(C1-C6) alkyl, -S(O)NH(C1-C6) alkyl, and S(O)N((C1-C6) alkyl)2. The substituents can themselves be optionally substituted. “Optionally substituted” as used herein also refers to substituted or unsubstituted whose meaning is described below.

[0032] As used herein, the term “substituted” means that the specified group or moiety bears one or more suitable substituents wherein the substituents may connect to the specified group or moiety at one or more positions. For example, an aryl substituted with a cycloalkyl may indicate that the cycloalkyl connects to one atom of the aryl with a bond or by fusing with the aryl and sharing two or more common atoms.

[0033] As used herein, the term “unsubstituted” means that the specified group bears no substituents.

[0034] Unless otherwise specifically defined, the term "aryl" refers to cyclic, aromatic hydrocarbon groups that have 1 to 3 aromatic rings, including monocyclic or bicyclic groups suchEil.23.0003 as phenyl, biphenyl, or naphthyl. Where containing two aromatic rings (bicyclic, etc.), the aromatic rings of the aryl group may be joined at a single point (e.g., biphenyl), or fused (e.g., naphthyl). The aryl group may be optionally substituted by one or more substituents, e.g., 1 to 5 substituents, at any point of attachment. Exemplary substituents include, but are not limited to, - H, -halogen, -O-(C1-C6) alkyl, (C1-C6) alkyl, -O-(C2-C6) alkenyl, -O-(C2-C6) alkynyl, (C2-C6) alkenyl, (C2-C6) alkynyl, -OH, -OP(O)(OH)2, -OC(O)(C1-C6) alkyl, -C(O)(C1-C6) alkyl, - OC(O)O(C1-C6) alkyl, -NH2, NH((C1-C6) alkyl), N((C1-C6) alkyl)2, -S(O)2-(C1-C6) alkyl, - S(O)NH(C1-C6) alkyl, and -S(O)N((C1-C6) alkyl)2. The substituents can themselves be optionally substituted. Furthermore, when containing two or more fused rings, the aryl groups herein defined may have a saturated or partially unsaturated ring fused with a fully unsaturated aromatic ring. Exemplary ring systems of these aryl groups include, but are not limited to, phenyl, biphenyl, naphthyl, anthracenyl, phenalenyl, phenanthrenyl, indanyl, indenyl, tetrahydronaphthalenyl, tetrahydrobenzoannulenyl, 10,11-dihydro-5H-dibenzo[a,d][7]annulenyl, and the like.

[0035] Unless otherwise specifically defined, "heteroaryl" means a monovalent monocyclic or polycyclic aromatic radical of 5 to 24 ring atoms, containing one or more ring heteroatoms selected from N, O, S, P, Se, or B, the remaining ring atoms being C. Heteroaryl as herein defined also means a bicyclic heteroaromatic group wherein the heteroatom is selected from N, O, S, P, Se, or B. Heteroaryl as herein defined also means a tricyclic heteroaromatic group containing one or more ring heteroatoms selected from N, O, S, P, Se, or B. The aromatic radical is optionally substituted independently with one or more substituents described herein. Examples include, but are not limited to, furyl, thienyl, pyrrolyl, pyridyl, pyrazolyl, pyrimidinyl, imidazolyl, isoxazolyl, oxazolyl, oxadiazolyl, pyrazinyl, indolyl, thiophen-2-yl, quinolinyl, benzopyranyl, isothiazolyl, thiazolyl, thiadiazole, indazole, benzimidazolyl, thieno[3,2-b]thiophene, triazolyl, triazinyl, imidazo[1,2-b]pyrazolyl, furo[2,3-c]pyridinyl, imidazo[1,2-a]pyridinyl, indazolyl, pyrrolo[2,3- c]pyridinyl, pyrrolo[3,2-c]pyridinyl, pyrazolo[3,4-c]pyridinyl, thieno[3,2-c]pyridinyl, thieno[2,3- c]pyridinyl, thieno[2,3-b]pyridinyl, benzothiazolyl, indolyl, indolinyl, indolinonyl, dihydrobenzothiophenyl, dihydrobenzofuranyl, benzofuran, chromanyl, thiochromanyl, tetrahydroquinolinyl, dihydrobenzothiazine, quinolinyl, isoquinolinyl, 1,6-naphthyridinyl, benzo[de]isoquinolinyl, pyrido[4,3-b][1,6]naphthyridinyl, thieno[2,3-b]pyrazinyl, quinazolinyl, tetrazolo[1,5-a]pyridinyl, [1,2,4]triazolo[4,3-a]pyridinyl, isoindolyl, pyrrolo[2,3-b]pyridinyl,Eil.23.0003 pyrrolo[3,4-b]pyridinyl, pyrrolo[3,2-b]pyridinyl, imidazo[5,4-b]pyridinyl, pyrrolo[1,2- a]pyrimidinyl, tetrahydro pyrrolo[1,2-a]pyrimidinyl, 3,4-dihydro-2H-1λ2-pyrrolo[2,1- b]pyrimidine, dibenzo[b,d] thiophene, pyridin-2-one, furo[3,2-c]pyridinyl, furo[2,3-c]pyridinyl, 1H-pyrido[3,4-b][1,4] thiazinyl, benzoxazolyl, benzisoxazolyl, furo[2,3-b]pyridinyl, benzothiophenyl, 1,5-naphthyridinyl, furo[3,2-b]pyridine, [1,2,4]triazolo[1,5-a]pyridinyl, benzo [1,2,3]triazolyl, imidazo[1,2-a]pyrimidinyl, [1,2,4]triazolo[4,3-b]pyridazinyl, benzo[c][1,2,5]thiadiazolyl, benzo[c][1,2,5]oxadiazole, 1,3-dihydro-2H-benzo[d]imidazol-2-one, 3,4-dihydro-2H-pyrazolo [1,5-b][1,2]oxazinyl, 4,5,6,7-tetrahydropyrazolo[1,5-a]pyridinyl, thiazolo[5,4-d]thiazolyl, imidazo[2,1-b][1,3,4]thiadiazolyl, thieno[2,3-b]pyrrolyl, 3H-indolyl, and derivatives thereof. Furthermore, when containing two or more fused rings, the heteroaryl groups defined herein may have one or more saturated or partially unsaturated ring fused with a fully unsaturated aromatic ring, e.g., a 5-membered heteroaromatic ring containing 1 to 3 heteroatoms selected from N, O, S, P, Se, or B, or a 6-membered heteroaromatic ring containing 1 to 3 nitrogens, wherein the saturated or partially unsaturated ring includes 0 to 4 heteroatoms selected from N, O, S, P, Se, or B, and is optionally substituted with one or more oxo. In heteroaryl ring systems containing more than two fused rings, a saturated or partially unsaturated ring may further be fused with a saturated or partially unsaturated ring described herein. Exemplary ring systems of these heteroaryl groups include, for example, indolinyl, indolinonyl, dihydrobenzothiophenyl, dihydrobenzofuran, chromanyl, thiochromanyl, tetrahydroquinolinyl, dihydrobenzothiazine, 3,4- dihydro-1H-isoquinolinyl, 2,3-dihydrobenzofuranyl, benzofuranonyl, indolinyl, oxindolyl, indolyl, 1,6-dihydro-7H-pyrazolo[3,4-c]pyridin-7-onyl, 7,8-dihydro-6H-pyrido[3,2- b]pyrrolizinyl, 8H-pyrido[3,2-b]pyrrolizinyl, 1,5,6,7-tetrahydrocyclopenta[b]pyrazolo[4,3- e]pyridinyl, 7,8-dihydro-6H-pyrido[3,2-b]pyrrolizine, pyrazolo[1,5-a]pyrimidin-7(4H)-only, 3,4- dihydropyrazino[1,2-a]indol-1(2H)-onyl, or benzo[c][1,2]oxaborol-1(3H)-olyl.

[0036] “Halogen” or “halo” refers to fluorine, chlorine, bromine, or iodine.

[0037] “Alkyl” refers to a straight or branched chain saturated hydrocarbon containing 1–12 carbon atoms. Examples of a (C1–C6) alkyl group include, but are not limited to, methyl, ethyl, propyl, butyl, pentyl, hexyl, isopropyl, isobutyl, sec-butyl, tert-butyl, isopentyl, neopentyl, and isohexyl.Eil.23.0003

[0038] “Alkoxy” refers to a straight or branched chain saturated hydrocarbon containing 1–12 carbon atoms containing a terminal “O” in the chain, i.e., -O(alkyl). Examples of alkoxy groups include without limitation, methoxy, ethoxy, propoxy, butoxy, t-butoxy, or pentoxy groups.

[0039] “Alkenyl” refers to a straight or branched chain unsaturated hydrocarbon containing 2–12 carbon atoms. The “alkenyl” group contains at least one double bond in the chain. The double bond of an alkenyl group can be unconjugated or conjugated to another unsaturated group. Examples of alkenyl groups include ethenyl, propenyl, n-butenyl, iso-butenyl, pentenyl, or hexenyl. An alkenyl group can be unsubstituted or substituted. Alkenyl, as herein defined, may be straight or branched.

[0040] “Alkynyl” refers to a straight or branched chain unsaturated hydrocarbon containing 2–12 carbon atoms. The “alkynyl” group contains at least one triple bond in the chain. Examples of alkenyl groups include ethynyl, propargyl, n-butynyl, iso-butynyl, pentynyl, or hexynyl. An alkynyl group can be unsubstituted or substituted.

[0041] The term “alkylene” or “alkylenyl” refers to a divalent alkyl radical. Any of the above- mentioned monovalent alkyl groups may be an alkylene by abstraction of a second hydrogen atom from the alkyl. As herein defined, alkylene may also be a C1–C6 alkylene. An alkylene may further be a C1–C4alkylene. Typical alkylene groups include, but are not limited to, -CH2-, -CH(CH3)-, - C(CH3)2-, -CH2CH2-, -CH2CH(CH3)-, -CH2C(CH3)2-, -CH2CH2CH2-, -CH2CH2CH2CH2-, and the like.

[0042] The term “alkenylene” or “alkenylenyl” refers to a divalent alkenyl radical. Any of the above-mentioned monovalent alkenyl groups may be an alkylene by abstraction of a second hydrogen atom from the alkenyl. As herein defined, alkenylene may also be a C2–C6 alkenylene. An alkenylene may further be a C2–C4 alkenylene. Typical alkenylene groups include, but are not limited to, -CH=CH-, -C(CH3)=CH-, -C(CH3)=C(CH3)-, -CH2CH=CH-, -CH2CH=C(CH3)-, - CH2CH=CHCH2-, and the like.

[0043] The term “alkynylene” or “alkynylenyl” refers to a divalent alkynyl radical. Any of the above-mentioned monovalent alkynyl groups may be an alkylene by abstraction of a second hydrogen atom from the alkynyl. As herein defined, alkynylene may also be a C2–C6 alkynylene. An alkynylene may further be a C2–C4 alkynylene. Typical alkenylene groups include, but are not limited to, -C≡C-, -CH2C≡C-, -C≡C-CH(CH3)-, -CH2-CH2-C≡C-, and the like.Eil.23.0003

[0044] “Cycloalkyl” means a saturated or partially unsaturated hydrocarbon monocyclic or polycyclic (e.g., fused, bridged, or spiro rings) system having 3 to 30 carbon atoms (e.g., C3-C12, C3-C10, or C3-C8). Examples of cycloalkyl groups include, without limitations, cyclopropyl, cyclobutyl, cyclopentyl, cyclohexyl, cycloheptanyl, cyclooctanyl, norboranyl, norborenyl, bicyclo[2.2.2]octanyl, bicyclo[2.2.2]octenyl, decahydronaphthalenyl, octahydro-1H-indenyl, cyclopentenyl, cyclohexenyl, cyclohexa-1,4-dienyl, cyclohexa-1,3-dienyl, 1,2,3,4- tetrahydronaphthalenyl, octahydropentalenyl, 3a,4,5,6,7,7a-hexahydro-1H-indenyl, 1,2,3,3a- tetrahydropentalenyl, bicyclo[3.1.0]hexanyl, bicyclo[2.1.0]pentanyl, spiro[3.3]heptanyl, bicyclo[2.2.1]heptanyl, bicyclo[2.2.1]hept-2-enyl, bicyclo[2.2.2]octanyl, 6- methylbicyclo[3.1.1]heptanyl, 2,6,6-trimethylbicyclo[3.1.1]heptanyl, adamantyl, and derivatives thereof. In the case of polycyclic cycloalkyl, only one of the rings in the cycloalkyl needs to be non-aromatic.

[0045] “Heterocyclyl”, “heterocycle” or “heterocycloalkyl” refers to a saturated or partially unsaturated 3–10 membered monocyclic, 7–12 membered bicyclic (fused, bridged, or spiro rings), or 11–14 membered tricyclic ring system (fused, bridged, or spiro rings) having one or more heteroatoms (such as O, N, S, P, Se, or B), e.g., 1 or 1-2 or 1-3 or 1-4 or 1-5 or 1-6 heteroatoms,or e.g. ̧1, 2, 3, 4, 5, or 6 heteroatoms, independently selected from the group consisting of nitrogen,oxygen and sulfur, unless specified otherwise. Examples of heterocycloalkyl groups include, but are not limited to, piperidinyl, piperazinyl, pyrrolidinyl, dioxanyl, tetrahydrofuranyl, isoindolinyl, indolinyl, imidazolidinyl, pyrazolidinyl, oxazolidinyl, isoxazolidinyl, triazolidinyl, oxiranyl, azetidinyl, oxetanyl, thietanyl, 1,2,3,6-tetrahydropyridinyl, tetrahydropyranyl, dihydropyranyl, pyranyl, morpholinyl, tetrahydrothiopyranyl, 1,4-diazepanyl, 1,4-oxazepanyl, 2-oxa-5- azabicyclo[2.2.1]heptanyl, 2,5-diazabicyclo[2.2.1]heptanyl, 2-oxa-6-azaspiro[3.3]heptanyl, 2,6- diazaspiro[3.3]heptanyl, 2-azaspiro[3.4]octan-1-onyl, 2-azaspiro[3.4]octanyl, 1,4-dioxa-8- azaspiro[4.5]decanyl, 1,4-dioxaspiro[4.5]decanyl, 1-oxaspiro[4.5]decanyl, 1- azaspiro[4.5]decanyl, 3'H-spiro[cyclohexane-1,1'-isobenzofuran]-yl, 7'H-spiro[cyclohexane-1,5'- furo[3,4-b]pyridin]-yl, 3'H-spiro[cyclohexane-1,1'-furo[3,4-c]pyridin]-yl, 3- azabicyclo[3.1.0]hexanyl, 3-azabicyclo[3.1.0]hexan-3-yl, 1,4,5,6-tetrahydropyrrolo[3,4- c]pyrazolyl, 1,2,3,4-tetrahydroisoquinolinyl, 3,4,5,6,7,8-hexahydropyrido[4,3-d]pyrimidinyl, 4,5,6,7-tetrahydro-1H-pyrazolo[3,4-c]pyridinyl, 5,6,7,8-tetrahydropyrido[4,3-d]pyrimidinyl, 2-Eil.23.0003 azaspiro[3.3]heptanyl, 2-methyl-2-azaspiro[3.3]heptanyl, 2-azaspiro[3.5]nonanyl, 2-methyl-2- azaspiro[3.5]nonanyl, 2-azaspiro[4.5]decanyl, 2-methyl-2-azaspiro[4.5]decanyl, 2-oxa- azaspiro[3.4]octanyl, 2-oxa-azaspiro[3.4]octan-6-yl, and the like.

[0046] The term “haloalkyl” as used herein refers to an alkyl group, as defined herein, which is substituted one or more halogen. Examples of haloalkyl groups include, but are not limited to, trifluoromethyl, difluoromethyl, pentafluoroethyl, trichloromethyl, etc.

[0047] The term “haloalkoxy” as used herein refers to an alkoxy group, as defined herein, which is substituted one or more halogen. Examples of haloalkoxy groups include, but are not limited to, trifluoromethoxy, difluoromethoxy, pentafluoroethoxy, trichloromethoxy, etc.

[0048] The term “cyano” as used herein means a substituent having a carbon atom joined to a nitrogen atom by a triple bond, i.e., C≡N.

[0049] The term “amine” as used herein refers to primary (R-NH2, R ^ H), secondary (R2-NH, R2 ^ H) and tertiary (R3-N, R ^ H) amines. A substituted amine is intended to mean an amine where at least one of the hydrogen atoms has been replaced by the substituent.

[0050] The term “amino” as used herein means a substituent containing at least one nitrogen atom. Specifically, -NH2, -NH(alkyl) or alkylamino, -N(alkyl)2or dialkylamino, amide-, carbamide-, urea, and sulfamide substituents are included in the term “amino”.

[0051] The term "solvate" refers to a complex of variable stoichiometry formed by a solute and solvent. Such solvents for the purpose of the invention may not interfere with the biological activity of the solute. Examples of suitable solvents include, but are not limited to, water, MeOH, EtOH, and AcOH. Solvates wherein water is the solvent molecule are typically referred to as hydrates. Hydrates include compositions containing stoichiometric amounts of water, as well as compositions containing variable amounts of water.

[0052] The term "isomer" refers to compounds that have the same composition and molecular weight but differ in physical and / or chemical properties. The structural difference may be in constitution (geometric isomers) or in the ability to rotate the plane of polarized light (stereoisomers). With regard to stereoisomers, the compounds of Formula (I) may have one or more asymmetric carbon atom and may occur as racemates, racemic mixtures and as individual enantiomers or diastereomers.Eil.23.0003

[0053] The present invention also contemplates isotopically-labelled compounds of Formula I (e.g., those labeled with2H and14C). Deuterated (i.e.,2H or D) and carbon-14 (i.e.,14C) isotopes are particularly preferred for their ease of preparation and detectability. Further, substitution with heavier isotopes such as deuterium may afford certain therapeutic advantages resulting from greater metabolic stability (e.g., increased in vivo half-life or reduced dosage requirements) and hence may be preferred in some circumstances. Isotopically labelled compounds of Formula I can generally be prepared by following procedures analogous to those disclosed in the Schemes and / or in the Examples herein below, by substituting an appropriate isotopically labelled reagent for a non-isotopically labelled reagent.

[0054] The disclosure also includes pharmaceutical compositions comprising an effective amount of a disclosed compound and a pharmaceutically acceptable carrier. Representative "pharmaceutically acceptable salts" include, e.g., water-soluble and water-insoluble salts, such as the acetate, amsonate (4,4-diaminostilbene-2,2-disulfonate), benzenesulfonate, benzonate, bicarbonate, bisulfate, bitartrate, borate, bromide, butyrate, calcium, calcium edetate, camsylate, carbonate, chloride, citrate, clavulariate, dihydrochloride, edetate, edisylate, estolate, esylate, fumerate, fiunarate, gluceptate, gluconate, glutamate, glycollylarsanilate, hexafluorophosphate, hexylresorcinate, hydrabamine, hydrobromide, hydrochloride, hydroxynaphthoate, iodide, isothionate, lactate, lactobionate, laurate, magnesium, malate, maleate, mandelate, mesylate, methylbromide, methylnitrate, methylsulfate, mucate, napsylate, nitrate, N-methylglucamine ammonium salt, 3-hydroxy-2-naphthoate, oleate, oxalate, palmitate, pamoate (1,1-methene-bis-2- hydroxy-3-naphthoate, einbonate), pantothenate, phosphate / diphosphate, picrate, polygalacturonate, propionate, p-toluenesulfonate, salicylate, stearate, subacetate, succinate, sulfate, sulfosalicylate, suramate, tannate, tartrate, teoclate, tosylate, triethiodide, and valerate salts.

[0055] A "patient" or “subject” is a mammal, e.g., a human, mouse, rat, guinea pig, dog, cat, horse, cow, pig, or non-human primate, such as a monkey, chimpanzee, baboon or rhesus.

[0056] An "effective amount" when used in connection with a compound is an amount effective for treating or preventing a disease or disorder in a subject as described herein.

[0057] The term "carrier", as used in this disclosure, encompasses carriers, excipients, and diluents and means a material, composition or vehicle, such as a liquid or solid filler, diluent, excipient,Eil.23.0003 solvent or encapsulating material, involved in carrying or transporting a pharmaceutical agent from one organ, or portion of the body, to another organ, or portion of the body of a subject.

[0058] The term "treating" with regard to a subject, refers to improving at least one symptom of the subject's disorder. Treating includes curing, improving, or at least partially ameliorating the disorder.

[0059] The term "disorder" is used in this disclosure to mean, and is used interchangeably with, the terms disease, condition, or illness, unless otherwise indicated.

[0060] The term "administer", "administering", or "administration" as used in this disclosure refers to either directly administering a disclosed compound or pharmaceutically acceptable salt of the disclosed compound or a composition to a subject, or administering a prodrug derivative or analog of the compound or pharmaceutically acceptable salt of the compound or composition to the subject, which can form an equivalent amount of active compound within the subject's body.

[0061] The term "prodrug," as used in this disclosure, means a compound which is convertible in vivo by metabolic means (e.g., by hydrolysis) to a disclosed compound.

[0062] The present invention relates to compounds or pharmaceutically acceptable salts, hydrates, solvates, prodrugs, stereoisomers, or tautomers thereof, capable of inhibiting BCL-2 proteins, such as Isoform 1 and Isoform 2, which are useful for the treatment of diseases and disorders associated with modulation of an BCL-2 protein. The invention further relates to compounds, or pharmaceutically acceptable salts, hydrates, solvates, prodrugs, stereoisomers, or tautomers thereof, which can be useful for inhibiting BCL-2.

[0063] In some embodiments, the compounds of Formula (I) have the structure of Formula (I-A): ,and whereinEil.23.0003 X’ is selected from N and CH; W is selected from H, –OH, –N(R12)2, and –NHC(O)R12; Y is selected from H, halogen, C1–C6 alkyl, C2–C6 alkenyl, C2–C6 alkynyl, C1–C6 haloalkyl, and –CN; or W and Y, together with the atoms to which they are attached, come together to form 5- or 6-membered heteroaryl; and r is an integer selected from 0, 1, 2, 3, 4, and 5.

[0064] In some embodiments, X’ is N. In some embodiments, X’ is CH.

[0065] In some embodiments, W is H. In some embodiments, W is –OH. In some embodiments, W is –NHR16.

[0066] In some embodiments, Y is H. In some embodiments, Y is halogen. In some embodiments, Y is C1–C6 alkyl. In some embodiments, Y is C2–C6 alkenyl. In some embodiments, Y is C2–C6 alkynyl. In some embodiments, Y is C1–C6 haloalkyl. In some embodiments, Y is –CN.

[0067] In some embodiments, W and Y, together with the atoms to which they are attached, come together to form 5-membered heteroaryl.

[0068] In some embodiments, W and Y, together with the atoms to which they are attached, come together to form 6-membered heteroaryl.

[0069] In some embodiments, r is 0. In some embodiments, r is 1. In some embodiments, r is 2. In some embodiments, r is 3. In some embodiments, r is 4. In some embodiments, r is 5.

[0070] In some embodiments, the compounds of Formula (I) have the structure of Formula (I-A- 1), (I-A-2), or (I-A-3): 1);Eil.23.0003 or ;thereof.

[0071] In some embodiments, the compounds of Formula (I) have the structure of Formula (I-A- 1).

[0072] In some embodiments, the compounds of Formula (I) have the structure of Formula (I-A- 2).

[0073] In some embodiments, the compounds of Formula (I) have the structure of Formula (I-A- 3).

[0074] In some embodiments, the compounds of Formula (I) have the structure of Formula (I-B- 1) or (I-B-2): orEil.23.0003 2); and

[0075] In (I-B- 1).

[0076] In some embodiments, the compounds of Formula (I) have the structure of Formula (I-B- 2).

[0077] In some embodiments, the compounds of Formula (I) have the structure of Formula (I-C- 1) or (I-C-2): or ; and

[0078] In some embodiments, the compounds of Formula (I) have the structure of Formula (I-C- 1).

[0079] In some embodiments, the compounds of Formula (I) have the structure of Formula (I-C- 2).

[0080] In some embodiments, the compounds of Formula (I) have the structure of Formula (I-D- 1), (I-D-2), (I-D-3), (I-D-4), (I-D-5), (I-D-6), or (I-D-7):Eil.23.0003 ); ); );Eil.23.0003 5); 7); andwherein X’ is selected from N and CH, and r, s, and t are integers each independently, at each occurrence, selected from 0, 1, 2, 3, 4, and 5.

[0081] In some embodiments, the compounds of Formula (I) have the structure of Formula (I-D- 1).Eil.23.0003

[0082] In some embodiments, the compounds of Formula (I) have the structure of Formula (I-D- 2).

[0083] In some embodiments, the compounds of Formula (I) have the structure of Formula (I-D- 3).

[0084] In some embodiments, the compounds of Formula (I) have the structure of Formula (I-D- 4).

[0085] In some embodiments, the compounds of Formula (I) have the structure of Formula (I-D- 5).

[0086] In some embodiments, the compounds of Formula (I) have the structure of Formula (I-D- 6).

[0087] In some embodiments, the compounds of Formula (I) have the structure of Formula (I-D- 7).

[0088] In some embodiments, the compound of Formula (I) have the structure of Formula (I-D-2- A): H N X' , and

[0089] In some embodiments, the compound of Formula (I) have the structure of Formula (I-D-2- A-1):Eil.23.0003 H N X' 1), and

[0090] In some embodiments, the compound of Formula (I) have the structure of Formula (I-D-2- A-2): 2), and

[0091] In some embodiments, the compound of Formula (I) have the structure of Formula (I-D-3- A):Eil.23.0003 ; andsome (I-D-3- A-1): 1);

[0093] In some embodiments, the compound of Formula (I) have the structure of Formula (I-D-3- A-2): 2);

[0094] In some embodiments, X’ is N. In some embodiments, X’ is CH.Eil.23.0003

[0095] In some embodiments, r is 0. In some embodiments, r is 1. In some embodiments, r is 2. In some embodiments, r is 3. In some embodiments, r is 4. In some embodiments, r is 5.

[0096] In some embodiments, s is 0. In some embodiments, s is 1. In some embodiments, s is 2. In some embodiments, s is 3. In some embodiments, s is 4. In some embodiments, s is 5.

[0097] In some embodiments, t is 0. In some embodiments, t is 1. In some embodiments, t is 2. In some embodiments, t is 3. In some embodiments, t is 4. In some embodiments, t is 5.

[0098] In some embodiments, the compounds of Formula (I) have the structure of Formula (I-E- 1), (I-E-2), (I-E-3), (I-E-4), (I-E-5), (I-E-6), (I-E-7), (I-E-8), (I-E-9), or (I-E-10): OR5R4O 1); ;Eil.23.0003 ;; 8);Eil.23.0003 ; andwherein X’ is selected from N and CH, and r, u, and v are integers, at each occurrence, each independently selected from 0, 1, 2, 3, 4, and 5.

[0099] In some embodiments, the compounds of Formula (I) have the structure of Formula (I-E- 1).

[0100] In some embodiments, the compounds of Formula (I) have the structure of Formula (I-E- 2).

[0101] In some embodiments, the compounds of Formula (I) have the structure of Formula (I-E- 3).

[0102] In some embodiments, the compounds of Formula (I) have the structure of Formula (I-E- 4).Eil.23.0003

[0103] In some embodiments, the compounds of Formula (I) have the structure of Formula (I-E- 5).

[0104] In some embodiments, the compounds of Formula (I) have the structure of Formula (I-E- 6).

[0105] In some embodiments, the compounds of Formula (I) have the structure of Formula (I-E- 7).

[0106] In some embodiments, the compounds of Formula (I) have the structure of Formula (I-E- 8).

[0107] In some embodiments, the compounds of Formula (I) have the structure of Formula (I-E- 9).

[0108] In some embodiments, the compounds of Formula (I) have the structure of Formula (I-E- 10).

[0109] In some embodiments, X’ is N. In some embodiments, X’ is CH.

[0110] In some embodiments, r is 0. In some embodiments, r is 1. In some embodiments, r is 2. In some embodiments, r is 3. In some embodiments, r is 4. In some embodiments, r is 5.

[0111] In some embodiments, u is 0. In some embodiments, u is 1. In some embodiments, u is 2. In some embodiments, u is 3. In some embodiments, u is 4. In some embodiments, u is 5.

[0112] In some embodiments, v is 0. In some embodiments, v is 1. In some embodiments, v is 2. In some embodiments, v is 3. In some embodiments, v is 4. In some embodiments, v is 5.

[0113] In some embodiments, the compounds of Formula (I) have the structure of Formula (I-F- 1), (I-F-2), (I-F-3), (I-F-4), (I-F-5), (I-F-6), (I-F-7), (I-F-8), or (I-F-9): 1);Eil.23.0003 2); 5);;Eil.23.0003 9);X’ is selected from N and CH, r, w, and t are integers, at each occurrence, each independentlyEil.23.0003 selected from 0, 1, 2, 3, 4, and 5, and Ring A is selected from C3–C10cycloalkyl, aryl, 3- to 10- membered heterocyclyl, and heteroaryl.

[0114] In some embodiments, the compounds of Formula (I) have the structure of Formula (I-F- 1).

[0115] In some embodiments, the compounds of Formula (I) have the structure of Formula (I-F- 2).

[0116] In some embodiments, the compounds of Formula (I) have the structure of Formula (I-F- 3).

[0117] In some embodiments, the compounds of Formula (I) have the structure of Formula (I-F- 4).

[0118] In some embodiments, the compounds of Formula (I) have the structure of Formula (I-F- 5).

[0119] In some embodiments, the compounds of Formula (I) have the structure of Formula (I-F- 6).

[0120] In some embodiments, the compounds of Formula (I) have the structure of Formula (I-F- 7).

[0121] In some embodiments, the compounds of Formula (I) have the structure of Formula (I-F- 8).

[0122] In some embodiments, the compounds of Formula (I) have the structure of Formula (I-F- 9).

[0123] In some embodiments, X’ is N. In some embodiments, X’ is CH.

[0124] In some embodiments, r is 0. In some embodiments, r is 1. In some embodiments, r is 2. In some embodiments, r is 3. In some embodiments, r is 4. In some embodiments, r is 5.

[0125] In some embodiments, w is 0. In some embodiments, w is 1. In some embodiments, w is 2. In some embodiments, w is 3. In some embodiments, w is 4. In some embodiments, w is 5.

[0126] In some embodiments, x is 0. In some embodiments, x is 1. In some embodiments, x is 2. In some embodiments, x is 3. In some embodiments, x is 4. In some embodiments, x is 5.

[0127] In some embodiments, the compounds of Formula (I) have the structure of Formula (I-G- 1), (I-G-2), (I-G-3), or (I-G-4):Eil.23.0003 or andsome (I-G- 1).

[0129] In some embodiments, the compounds of Formula (I) have the structure of Formula (I-G- 2).

[0130] In some embodiments, the compounds of Formula (I) have the structure of Formula (I-G- 3).

[0131] In some embodiments, the compounds of Formula (I) have the structure of Formula (I-G- 4).

[0132] In some embodiments, the compounds of Formula (I) have the structure of Formula (I-H):Eil.23.0003 , and whereing is an an and all other variables are as described herein.

[0133] In some embodiments, the compounds of Formula (I) have the structure of Formula (I-H- 1): 1), and whereinh is an are as

[0134] In some embodiments, the compounds of Formula (I) have the structure of Formula (I-H- 2): 2), andwherein h is an integer selected from 0, 1, 2 and 3, and all other variables are as described herein.Eil.23.0003

[0135] In some embodiments, the compounds of Formula (I) have the structure of Formula (I-H- 3): O R5Cl O 3), and wherein h is an

[0136] In some embodiments, the compounds of Formula (I) have the structure of Formula (I-H- A): Cl O R5O , andwherein g is an integer selected from 1, 2, 3, and 4; h is an integer selected from 0, 1, 2 and 3; and all other variables are as described herein.

[0137] In some embodiments, the compounds of Formula (I) have the structure of Formula (I-H- B):Eil.23.0003 , and whereing is an an all other variables are as described herein.

[0138] In some embodiments, the compounds of Formula (I) have the structure of Formula (I-H- C): O Cl O R5, andwherein g is an integer selected from 1, 2, 3, and 4; h is an integer selected from 0, 1, 2 and 3; and all other variables are as described herein.

[0139] In some embodiments, the compounds of Formula (I) have the structure of Formula (I-H- D): ,Eil.23.0003 and pharmaceutically acceptable salts, isomers, solvates, prodrugs, or tautomers thereof, wherein g is an integer selected from 1, 2, 3, and 4; h is an integer selected from 0, 1, 2 and 3; and all other variables are as described herein.

[0140] In some embodiments, the compounds of Formula (I) have the structure of Formula (I-H- E): Cl O R5O E), and whereing is an integer selected from 1, 2, 3, and 4; h is an integer selected from 0, 1, 2 and 3; and all other variables are as described herein.

[0141] In some embodiments, the compounds of Formula (I) have the structure of Formula (I-H- I):variables are as described herein.Eil.23.0003

[0142] In some embodiments, the compounds of Formula (I) have the structure of Formula (I-H- II): , and whereing is an integer selected from 1, 2, 3, and 4; h is an integer selected from 0, 1, 2 and 3; and all other variables are as described herein.

[0143] In some embodiments, the compounds of Formula (I) have the structure of Formula (I-H- III): , andwherein g is an integer selected from 1, 2, 3, and 4; h is an integer selected from 0, 1, 2 and 3; and all other variables are as described herein.

[0144] In some embodiments, the compounds of Formula (I) have the structure of Formula (I-H- IV):Eil.23.0003 NN, and whereing is an integer selected from 1, 2, 3, and 4; h is an integer selected from 0, 1, 2 and 3; and all other variables are as described herein.

[0145] In some embodiments, the compounds of Formula (I) have the structure of Formula (I-H- V): , andwherein g is an integer selected from 1, 2, 3, and 4; h is an integer selected from 0, 1, 2 and 3; and all other variables are as described herein.

[0146] In some embodiments, the compounds of Formula (I) have the structure of Formula (I-H- VI):Eil.23.0003 , and whereing is an integer selected from 1, 2, 3, and 4; h is an integer selected from 0, 1, 2 and 3; and all other variables are as described herein.

[0147] In some embodiments, the compounds of Formula (I) have the structure of Formula (I-H- VII): O N , andwherein g is an integer selected from 1, 2, 3, and 4; h is an integer selected from 0, 1, 2 and 3; and all other variables are as described herein.

[0148] In some embodiments, the compounds of Formula (I) have the structure of Formula (I-J):Eil.23.0003 J), and whereing is an an and all other variables are as described herein.

[0149] In some embodiments, the compounds of Formula (I) have the structure of Formula (I-J- 1): 1), andwherein g is an integer selected from 1, 2, 3, and 4; h is an integer selected from 0, 1, 2 and 3; and all other variables are as described herein.

[0150] In some embodiments, X is N. In some embodiments, X is CH.

[0151] In some embodiments, L is bond. In some embodiments, L is C1–C6 alkylenyl. In some embodiments, L is methylenyl. In some embodiments, L is ethylenyl. In some embodiments, L is propylenyl. In some embodiments, L is –CH2C(CH3)2CH2–. In some embodiments, L is C2–C6alkenylenyl. In some embodiments, L is C2–C6alkynylenyl. In some embodiments, L is –C(O)– . In some embodiments, L is –C(O)O–. In some embodiments, L is –C(O)NRL–. In some embodiments, L is –NRL–. In some embodiments, L is –O–.Eil.23.0003

[0152] In some embodiments, RLis H. In some embodiments, RLis C1–C3alkyl. In some embodiments, RL is methyl. In some embodiments, RL is ethyl. In some embodiments, RL is propyl.

[0153] In some embodiments, R1is C1–C6alkyl. In some embodiments, R1is methyl. In some embodiments, R1 is ethyl. In some embodiments, R1 is propyl. In some embodiments, R1 is butyl. In some embodiments, R1 is pentyl. In some embodiments, R1 is hexyl. In some embodiments, R1is isopropyl. In some embodiments, R1is isobutyl. In some embodiments, R1is tert-butyl. In some embodiments, R1 is –N(R6)2 and L is not –NRL– or –O–. In some embodiments, R1 is C3– C10 cycloalkyl. In some embodiments, R1 is C3–C10 cycloalkyl substituted with one or more R6. In some embodiments, R1is aryl. In some embodiments, R1is aryl substituted with one or more R6. In some embodiments, R1is 3- to 10-membered heterocyclyl. In some embodiments, R1is 3- to 10-membered heterocyclyl substituted with one or more R6. In some embodiments, R1 is 6- membered heterocyclyl. In some embodiments, R1 is 6-membered heterocyclyl substituted with one or more R6. In some embodiments, R1is 6-membered heterocyclyl comprising at least one O atom. In some embodiments, R1 is 6-membered heterocyclyl comprising at least one O atom substituted with one or more R6. In some embodiments, R1 is pyranyl. In some embodiments, R1 is pyranyl substituted with one or more R6. In some embodiments, R1is dioxanyl. In some embodiments, R1 is dioxanyl substituted with one or more R6. In some embodiments, R1 is piperidinyl. In some embodiments, R1 is piperidinyl substituted with one or more R6. In some embodiments, R1is pyrrolidinyl. In some embodiments, R1is pyrrolidinyl substituted with one or more R6. In some embodiments, R1is piperazinyl. In some embodiments, R1is piperazinyl substituted with one or more R6. In some embodiments, R1 is morpholinyl. In some embodiments, R1 is morpholinyl substituted with one or more R6. In some embodiments, R1 is heteroaryl. In some embodiments, R1is heteroaryl substituted with one or more R6.Eil.23.0003 , , ,,, ,,Eil.23.0003 , , , , , , , ,Eil.23.0003 , , , , , ,Eil.23.0003 O

[0156] In some .

[0157] In some .

[0158] In some In some embodiments, R2 is C3–C10cycloalkyl substituted with one or more some embodiments, R2 is C6 cycloalkyl. In some embodiments, R2is C6cycloalkyl substituted with one or more R7.In some embodiments, R2is C3–C10 cycloalkenyl. In some embodiments, R2 is C3–C10 cycloalkenyl substituted with one or more R7. In some embodiments, R2 is C6 cycloalkenyl. In some embodiments, R2 is C6 cycloalkenyl substituted with one or more R7.In some embodiments, R2is aryl. In some embodiments, R2is aryl substituted with one or more R7.In some embodiments, R2is phenyl. In some embodiments, R2 is phenyl substituted with one or more R7. In some embodiments, R2 is 3- to 10-membered heterocyclyl. In some embodiments, R2 is 3- to 15-membered heterocyclyl substituted with one or more R7.In some embodiments, R2is 3- to 15-membered heterocyclyl, wherein the heterocyclyl is bicyclic. In some embodiments, R2 is 3- to 15-membered heterocyclyl, wherein the heterocyclyl is spirocyclic. In some embodiments, R2 is 8-membered heterocyclyl. In some embodiments, R2is 8-membered heterocyclyl substituted with one or more R7.In some embodiments, R2 is 8-membered heterocyclyl, wherein the heterocyclyl is bicyclic and spirocyclic. In some embodiments, R2 is 13-membered heterocyclyl. In some embodiments, R2 is 13- membered heterocyclyl substituted with one or more R7.In some embodiments, R2is 13- membered heterocyclyl, wherein the heterocyclyl is tricyclic and spirocyclic. In some embodiments, R2 is 3- to 15-membered heterocyclyl and least one R7 is oxo. In some embodiments, R2is 3- to 15-membered heterocyclyl and at least one R7is aryl. In some embodiments, R2is 3- to 15-membered heterocyclyl and at least two R7are aryl. In some embodiments, R2 is heteroaryl. In some embodiments, R2 is heteroaryl substituted with one or more R7. In some embodiments, R2 is 10-membered heteroaryl. In some embodiments, R2 is bicyclic heteroaryl. In some embodiments, R2is 13-membered heteroaryl. In some embodiments, R2 is tricyclic heteroaryl.Eil.23.0003 , , , , ,Eil.23.0003 , , , ,Eil.23.0003Eil.23.0003

[0160] In some embodiments, R3is H. In some embodiments, R3is C1–C6alkyl. In some embodiments, R3 is methyl. In some embodiments, R3 is ethyl. In some embodiments, R3 is propyl. In some embodiments, R3 is butyl. In some embodiments, R3 is pentyl. In some embodiments, R3is hexyl. In some embodiments, R3is isopropyl. In some embodiments, R3is isobutyl. In some embodiments, R3 is tert-butyl. In some embodiments, R3 is aryl. In some embodiments, R3 is aryl substituted with one or more R8. In some embodiments, R3 is phenyl. In some embodiments, R3is phenyl substituted with one or more R8.

[0161] In some embodiments, R2 and R3, together with the atom to which they are attached, come together to form C6–C16 aryl optionally substituted with one or more R7.

[0162] In some embodiments, R2and R3, together with the atom to which they are attached, come together to form C15aryl.

[0163] In some embodiments, R2 and R3, together with the atom to which they are attached, come together to .

[0164] In someand R3are each aryl.

[0165] In some embodiments, R4 is H. In some embodiments, R4 is –OH.

[0166] In some embodiments, R3and R4are H.

[0167] In some embodiments, R5is aryl. In some embodiments, R5is aryl substituted with one or more R9. In some embodiments, R5 is phenyl. In some embodiments, R5 is phenyl substituted with one or more R9. In some embodiments, R5 is 5- to 10-membered heteroaryl. In some embodiments, R5is 5- to 10-membered heteroarylsubstituted with one or more R9. In some embodiments, R5 is 6-membered heteroaryl. In some embodiments, R5 is 9-membered heteroaryl. In some embodiments, R5 is bicyclic heteroaryl.Eil.23.0003 , , , , 1,Eil.23.0003,, , , , ,Eil.23.0003 , , ,

[0170] In some embodiments, R5 is selected ,, ,Eil.23.0003 , ,is fluoro. In some embodiments, at least one R6 is chloro. In some embodiments, at least one R6 is bromo. In some embodiments, at least one R6is iodo. In some embodiments, at least one R6is C1–C6alkyl. In some embodiments, at least one R6is methyl. In some embodiments, at least one R6 is ethyl. In some embodiments, at least one R6 is propyl. In some embodiments, at least one R6is butyl. In some embodiments, at least one R6is pentyl. In some embodiments, at least one R6is hexyl. In some embodiments, at least one R6is isopropyl. In some embodiments, at least one R6 is isobutyl. In some embodiments, at least one R6 is tert-butyl. In some embodiments, atEil.23.0003 least one R6is C2–C6alkenyl. In some embodiments, at least one R6is C2–C6alkynyl. In some embodiments, at least one R6 is C1–C6 alkoxy. In some embodiments, at least one R6 is C1–C6 haloalkyl. In some embodiments, at least one R6 is –CF3. In some embodiments, at least one R6 is –CH2CH2F. In some embodiments, at least one R6is –CH2CHF2. In some embodiments, at least one R6 is –CH(CH2F)2. In some embodiments, at least one R6 is C1–C6 haloalkoxyl. In some embodiments, at least one R6 is –OR15. In some embodiments, at least one R6 is oxo. In some embodiments, at least one R6is –CN. In some embodiments, at least one R6is –C(O)R12. In some embodiments, at least one R6 is –C(O)N(R12)2. In some embodiments, at least one R6 is – (CH2)oOR12. In some embodiments, at least one R6 is –N(R12)2. In some embodiments, at least one R6is –NHC(O)R12. In some embodiments, at least one R6is –NHS(O)2R12. In some embodiments, at least one R6is –S(O)2N(R12)2. In some embodiments, at least one R6is –S(O)2R12.In some embodiments, at least one R6 is C3–C10 cycloalkyl. In some embodiments, at least one R6 is cyclopropyl. In some embodiments, at least one R6 is aryl. In some embodiments, at least one R6is 3- to 10-membered heterocyclyl. In some embodiments, at least one R6is pyranyl. In some embodiments, at least one R6 is heteroaryl. In some embodiments, at least one R6 is C1–C6 alkyl substituted with one or more C3–C10 cycloalkyl. In some embodiments, at least one R6 is C1–C6 alkyl substituted with cyclopropyl. In some embodiments, at least one R6is C1–C6alkyl substituted with one or more aryl. In some embodiments, at least one R6 is C1–C6 alkyl substituted with one or more 3- to 10-membered heterocyclyl. In some embodiments, at least one R6 is C1– C6alkyl substituted with one or more heteroaryl. In some embodiments, at least one R6is C1–C6alkyl substituted with one or more thiophenyl.

[0174] In some embodiments, at least one R7 is halogen. In some embodiments, at least one R7 is fluoro. In some embodiments, at least one R7 is chloro. In some embodiments, at least one R7 is bromo. In some embodiments, at least one R7is iodo. In some embodiments, at least one R7is C1–C6 alkyl. In some embodiments, at least one R7 is methyl. In some embodiments, at least one R7 is ethyl. In some embodiments, at least one R7 is propyl. In some embodiments, at least one R7is butyl. In some embodiments, at least one R7is pentyl. In some embodiments, at least one R7 is hexyl. In some embodiments, at least one R7 is isopropyl. In some embodiments, at least one R7 is isobutyl. In some embodiments, at least one R7 is tert-butyl. In some embodiments, at least one R7is C1–C6haloalkyl. In some embodiments, at least one R7is –OH. In someEil.23.0003 embodiments, at least one R7is oxo. In some embodiments, at least one R7is –C(O)R10.In some embodiments, at least one R7 is aryl. In some embodiments, at least one R7 is aryl substituted with one or more R11. In some embodiments, at least one R7 is heteroaryl. In some embodiments, at least one R7is heteroaryl substituted with one or more R11. , isfluoro. In some embodiments, at least one R8is chloro. In some embodiments, at least one R8is bromo. In some embodiments, at least one R8is iodo. In some embodiments, at least one R8is C1–C6 alkyl. In some embodiments, at least one R8 is methyl. In some embodiments, at least one R8is ethyl. In some embodiments, at least one R8is propyl. In some embodiments, at least one R8is butyl. In some embodiments, at least one R8is pentyl. In some embodiments, at least one R8 is hexyl. In some embodiments, at least one R8 is isopropyl. In some embodiments, at least one R8 is isobutyl. In some embodiments, at least one R8 is tert-butyl. In some embodiments, at least one R8is –OH.

[0177] In some embodiments, at least one R9is halogen. In some embodiments, at least one R9is fluoro. In some embodiments, at least one R9 is chloro. In some embodiments, at least one R9 is bromo. In some embodiments, at least one R9is iodo. In some embodiments, at least one R9is C1–C6alkyl. In some embodiments, at least one R9is methyl. In some embodiments, at least one R9 is ethyl. In some embodiments, at least one R9 is propyl. In some embodiments, at least one R9is butyl. In some embodiments, at least one R9is pentyl. In some embodiments, at least one R9is hexyl. In some embodiments, at least one R9is isopropyl. In some embodiments, at least one R9 is isobutyl. In some embodiments, at least one R9 is tert-butyl. In some embodiments, at least one R9 is C2–C6 alkenyl. In some embodiments, at least one R9 is C2–C6 alkynyl. In someEil.23.0003 embodiments, at least one R9is C1–C6haloalkyl. In some embodiments, at least one R9is –CN. In some embodiments, at least one R9 is –C(O)N(R12)2. In some embodiments, at least one R9 is – C(O)OR12. In some embodiments, at least one R9 is –(CH2)oOR12. In some embodiments, at least one R9is –OH. In some embodiments, at least one R9is oxo. In some embodiments, at least one R9 is –N(R12)2. In some embodiments, at least one R9 is –NHC(O)R12. In some embodiments, at least one R9 is –NHS(O)2R12. In some embodiments, at least one R9 is –S(O)2N(R12)2.

[0178] In some embodiments, at least one R10is C1–C6alkyl. In some embodiments, at least one R10 is methyl. In some embodiments, at least one R10 is ethyl. In some embodiments, at least one R10 is propyl. In some embodiments, at least one R10 is butyl. In some embodiments, at least one R10is pentyl. In some embodiments, at least one R10is hexyl. In some embodiments, at least one R10is isopropyl. In some embodiments, at least one R10is isobutyl. In some embodiments, at least one R10 is tert-butyl. In some embodiments, at least one R10 is C1–C6 haloalkyl. In some embodiments, at least one R10 is –(CH2)p–N(R13)2. In some embodiments, at least one R10 is C3– C10cycloalkyl. In some embodiments, at least one R10is C3–C10cycloalkyl substituted with one or more R14. In some embodiments, at least one R10 is aryl. In some embodiments, at least one R10 is aryl substituted with one or more R14. In some embodiments, at least one R10 is 3- to 10- membered heterocyclyl. In some embodiments, at least one R10is 3- to 10-membered heterocyclyl substituted with one or more R14. In some embodiments, at least one R10 is heteroaryl. In some embodiments, at least one R10 is heteroaryl substituted with one or more R14.

[0179] In some embodiments, at least one R11is halogen. In some embodiments, at least one R11is fluoro. In some embodiments, at least one R11is chloro. In some embodiments, at least one R11is bromo. In some embodiments, at least one R11 is iodo. In some embodiments, at least one R11 is C1–C6 alkyl. In some embodiments, at least one R11 is methyl. In some embodiments, at least one R11is ethyl. In some embodiments, at least one R11is propyl. In some embodiments, at least one R11 is butyl. In some embodiments, at least one R11 is pentyl. In some embodiments, at least one R11 is hexyl. In some embodiments, at least one R11 is isopropyl. In some embodiments, at least one R11is isobutyl. In some embodiments, at least one R11is tert-butyl. In some embodiments, at least one R11 is C1–C6 alkenyl. In some embodiments, at least one R11 is C1–C6 alkynyl. In some embodiments, at least one R11 is C1–C6 alkoxy. In some embodiments, at least one R11is C1–C6haloalkyl. In some embodiments, at least one R11is C1–C6haloalkoxy. In someEil.23.0003 embodiments, at least one R11is –OR15. In some embodiments, at least one R11is C3–C10cycloalkyl. In some embodiments, at least one R11 is aryl. In some embodiments, at least one R11 is 3- to 10-membered heterocyclyl. In some embodiments, at least one R11 is heteroaryl.

[0180] In some embodiments, at least one R12is H. In some embodiments, at least one R12is halogen. In some embodiments, at least one R12 is fluoro. In some embodiments, at least one R12 is chloro. In some embodiments, at least one R12 is bromo. In some embodiments, at least one R12is iodo. In some embodiments, at least one R12is C1–C6alkyl. In some embodiments, at least one R12 is methyl. In some embodiments, at least one R12 is ethyl. In some embodiments, at least one R12 is propyl. In some embodiments, at least one R12 is butyl. In some embodiments, at least one R12is pentyl. In some embodiments, at least one R12is hexyl. In some embodiments, at least one R12is isopropyl. In some embodiments, at least one R12is isobutyl. In some embodiments, at least one R12 is tert-butyl. In some embodiments, at least one R12 is C1–C6 alkenyl. In some embodiments, at least one R12 is C1–C6 alkynyl. In some embodiments, at least one R12 is C1–C6 alkoxy. In some embodiments, at least one R12is C1–C6haloalkyl. In some embodiments, at least one R12 is –CH2CF3. In some embodiments, at least one R12 is C1–C6 haloalkoxy. In some embodiments, at least one R12 is C3–C10 cycloalkyl. In some embodiments, at least one R12 is aryl. In some embodiments, at least one R12is 3- to 10-membered heterocyclyl. In some embodiments, at least one R12 is heteroaryl.

[0181] In some embodiments, at least one R13 is H. In some embodiments, at least one R13 is halogen. In some embodiments, at least one R13is fluoro. In some embodiments, at least one R13is chloro. In some embodiments, at least one R13is bromo. In some embodiments, at least one R13 is iodo. In some embodiments, at least one R13 is C1–C6 alkyl. In some embodiments, at least one R13 is methyl. In some embodiments, at least one R13 is ethyl. In some embodiments, at least one R13is propyl. In some embodiments, at least one R13is butyl. In some embodiments, at least one R13 is pentyl. In some embodiments, at least one R13 is hexyl. In some embodiments, at least one R13 is isopropyl. In some embodiments, at least one R13 is isobutyl. In some embodiments, at least one R13is tert-butyl. In some embodiments, at least one R13is C1–C6alkenyl. In some embodiments, at least one R13 is C1–C6 alkynyl. In some embodiments, at least one R13 is C1–C6 alkoxy. In some embodiments, at least one R13 is C1–C6 haloalkyl. In some embodiments, at least one R13is C1–C6haloalkoxy. In some embodiments, at least one R13is C3–C10cycloalkyl. InEil.23.0003 some embodiments, at least one R13is aryl. In some embodiments, at least one R13is 3- to 10- membered heterocyclyl. In some embodiments, at least one R13 is heteroaryl.

[0182] In some embodiments, at least one R14 is halogen. In some embodiments, at least one R14 is fluoro. In some embodiments, at least one R14is chloro. In some embodiments, at least one R14is bromo. In some embodiments, at least one R14 is iodo. In some embodiments, at least one R14 is C1–C6 alkyl. In some embodiments, at least one R14 is methyl. In some embodiments, at least one R14is ethyl. In some embodiments, at least one R14is propyl. In some embodiments, at least one R14 is butyl. In some embodiments, at least one R14 is pentyl. In some embodiments, at least one R14 is hexyl. In some embodiments, at least one R14 is isopropyl. In some embodiments, at least one R14is isobutyl. In some embodiments, at least one R14is tert-butyl. In some embodiments, at least one R14is C1–C6alkenyl. In some embodiments, at least one R14is C1–C6alkynyl. In some embodiments, at least one R14 is C1–C6 alkoxy. In some embodiments, at least one R14 is C1–C6 haloalkyl. In some embodiments, at least one R14 is C1–C6 haloalkoxy. In some embodiments, at least one R14is C3–C10cycloalkyl. In some embodiments, at least one R14is aryl. In some embodiments, at least one R14 is 3- to 10-membered heterocyclyl. In some embodiments, at least one R14 is heteroaryl.

[0183] In some embodiments, at least one R15is H. In some embodiments, at least one R15is halogen. In some embodiments, at least one R15 is fluoro. In some embodiments, at least one R15 is chloro. In some embodiments, at least one R15 is bromo. In some embodiments, at least one R15is iodo. In some embodiments, at least one R15is C1–C6alkyl. In some embodiments, at least one R15is methyl. In some embodiments, at least one R15is ethyl. In some embodiments, at least one R15 is propyl. In some embodiments, at least one R15 is butyl. In some embodiments, at least one R15 is pentyl. In some embodiments, at least one R15 is hexyl. In some embodiments, at least one R15is isopropyl. In some embodiments, at least one R15is isobutyl. In some embodiments, at least one R15 is tert-butyl. In some embodiments, at least one R15 is C1–C6 alkenyl. In some embodiments, at least one R15 is C1–C6 alkynyl. In some embodiments, at least one R15 is C1–C6 alkoxy. In some embodiments, at least one R15is C1–C6haloalkyl. In some embodiments, at least one R15 is C1–C6 haloalkoxy. In some embodiments, at least one R15 is C3–C10 cycloalkyl. In some embodiments, at least one R15 is –(CH2)q–aryl. In some embodiments, at least one R15 is 3- to 10-membered heterocyclyl. In some embodiments, at least one R15is heteroaryl.Eil.23.0003

[0184] In some embodiments, n is 0. In some embodiments, n is 1. In some embodiments, n is 2.

[0185] In some embodiments, o is 0. In some embodiments, o is 1. In some embodiments, o is 2.

[0186] In some embodiments, p is 0. In some embodiments, p is 1. In some embodiments, p is 2.

[0187] In some embodiments, q is 0. In some embodiments, q is 1. In some embodiments, q is 2.

[0188] Non-limiting illustrative compounds of the present disclosure include: Cmpd Structure Name 2- 1- 2- - 4- 1- 1- 2-Eil.23.0003 4-[4-(2,2-diphenylethyl)piperazin- 2- 2- - 2- n- 4- 2-Eil.23.0003 - 2- o- 2- 2- 1- - - - n- 2-Eil.23.0003 4-[4-[(4-fluorophenyl)-phenyl- - 3- 2- - - - - -Eil.23.0003 - 2- - 4- - - - 2-Eil.23.0003 4-[4-[[7-chloro-2-(pyrrolidine-3- carbonyl)-34-dihydro-1H- n- 2- 2- - n- 2- - - 2- n- 2-Eil.23.0003 - - - - 4- 1- )- - l- )- - l-Eil.23.0003 l)- - - 2- )- 2- - 2-Eil.23.0003 N-[3-nitro-4-(tetrahydropyran-4- 2- 2- n- - n- 2- - 2- 3- n- H- n- 2-Eil.23.0003 - 2- - 2- H- n- 2-Eil.23.0003 N-[3-nitro-4-(tetrahydropyran-4- 4- 2- n- 2- - 2- H- n- 2-Eil.23.0003 N-[3-nitro-4-(tetrahydropyran-4- ylmethylamino)phenyl]sulfonyl-2- - 2- H- n- 2- - 2- - 2-Eil.23.0003 4-[4-[[2-(4- chlorophenyl)imidazo[4,5- 2- - l- - l- x- - - 2-Eil.23.0003 4-[4-[[(1R,4R,5R)-4-(4- o- 2- - o- 2- H- n- 2- 2-Eil.23.0003 N-[3-nitro-4-(tetrahydropyran-4- 2- 3- n- x- - - 2- - o- - - -Eil.23.0003 - - - - - - - 2-Eil.23.0003 4-[4-[[2-(4- 2- - 2- ]- - 2- )- - - 2- )- 2-Eil.23.0003 -[4-[[(2S,3R)-2-(4-chlorophenyl)- - - 2- - - - l- )- 2-Eil.23.0003 4-[4-[[(1R,6R)-6-(4- chlorophenyl)-3-oxo-norcaran-1- 2- - 4- n- n- - 3- 2-Eil.23.0003 4-[4-[[(2S)-1-(4-chlorophenyl)- 2- o- 2- - - - - e - - - - - -Eil.23.0003 4-[4-[[(2S)-2-(4-chlorophenyl)-1- piperidyl]methyl]-1-piperidyl]-2- ]- )- de - - ]- - -

[0089] n some embod men s, e compound s a p armaceu ca y accep ab e sa . n some embodiments, the compound is a hydrochloride salt.

[0190] It should be understood that all isomeric forms are included within the present invention, including mixtures thereof. If the compound contains a double bond, the substituent may be in the E or Z configuration. If the compound contains a disubstituted cycloalkyl, the cycloalkyl substituent may have a cis- or trans configuration. All tautomeric forms are also intended to be included.

[0191] Compounds of the invention, and pharmaceutically acceptable salts, hydrates, solvates, stereoisomers and prodrugs thereof may exist in their tautomeric form (for example, as an amide or imino ether). All such tautomeric forms are contemplated herein as part of the present invention.

[0192] The compounds of the invention may contain asymmetric or chiral centers, and, therefore, exist in different stereoisomeric forms. It is intended that all stereoisomeric forms of the compounds of the invention as well as mixtures thereof, including racemic mixtures, form part of the present invention. In addition, the present invention embraces all geometric and positional isomers. For example, if a compound of the invention incorporates a double bond or a fused ring, both the cis- and trans-forms, as well as mixtures, are embraced within the scope of the invention. each compound herein disclosed includes all the enantiomers that conform to the general structure of the compound. The compounds may be in a racemic or enantiomerically pure form, or any otherEil.23.0003 form in terms of stereochemistry. The assay results may reflect the data collected for the racemic form, the enantiomerically pure form, or any other form in terms of stereochemistry.

[0193] Diastereomeric mixtures can be separated into their individual diastereomers on the basis of their physical chemical differences by methods well known to those skilled in the art, such as, for example, by chromatography and / or fractional crystallization. Enantiomers can be separated by converting the enantiomeric mixture into a diastereomeric mixture by reaction with an appropriate optically active compound (e.g., chiral auxiliary such as a chiral alcohol or Mosher's acid chloride), separating the diastereomers and converting (e.g., hydrolyzing) the individual diastereomers to the corresponding pure enantiomers. Also, some of the compounds of the invention may be atropisomers (e.g., substituted biaryls) and are considered as part of this invention. Enantiomers can also be separated by use of a chiral HPLC column.

[0194] It is also possible that the compounds of the invention may exist in different tautomeric forms, and all such forms are embraced within the scope of the invention. Also, for example, all keto-enol and imine-enamine forms of the compounds are included in the invention.

[0195] All stereoisomers (for example, geometric isomers, optical isomers and the like) of the present compounds (including those of the salts, solvates, esters and prodrugs of the compounds as well as the salts, solvates and esters of the prodrugs), such as those which may exist due to asymmetric carbons on various substituents, including enantiomeric forms (which may exist even in the absence of asymmetric carbons), rotameric forms, atropisomers, and diastereomeric forms, are contemplated within the scope of this invention, as are positional isomers (such as, for example, 4-pyridyl and 3-pyridyl). (For example, if a compound of Formula (I)incorporates a double bond or a fused ring, both the cis- and trans-forms, as well as mixtures, are embraced within the scope of the invention. Also, for example, all keto-enol and imine-enamine forms of the compounds are included in the invention.) Individual stereoisomers of the compounds of the invention may, for example, be substantially free of other isomers, or may be admixed, for example, as racemates or with all other, or other selected, stereoisomers. The chiral centers of the present invention can have the S or R configuration as defined by the IUPAC 1974 Recommendations. The use of the terms “salt”, “solvate”, “ester,” “prodrug” and the like, is intended to equally apply to the salt, solvate, ester and prodrug of enantiomers, stereoisomers, rotamers, tautomers, positional isomers, racemates or prodrugs of the inventive compounds.Eil.23.0003

[0196] The compounds of Formula I may form salts which are also within the scope of this invention. Reference to a compound of the Formula herein is understood to include reference to salts thereof, unless otherwise indicated.

[0197] The present invention relates to compounds which are modulators of BCL-2 proteins. In one embodiment, the compounds of the present invention are inhibitors of BCL-2 proteins. In another embodiment, the BCL-2 proteins is Isoform 1. In another embodiment, the BCL-2 proteins is Isoform 2.

[0198] In some embodiments, the compounds of Formula I are selective inhibitors of BCL-2 proteins.

[0199] In some embodiments, the compounds of Formula I are dual inhibitors of BCL-2 / BCL-xL proteins.

[0200] The invention is directed to compounds as described herein and pharmaceutically acceptable salts, hydrates, solvates, prodrugs, stereoisomers, or tautomers thereof, and pharmaceutical compositions comprising one or more compounds as described herein, or pharmaceutically acceptable salts, hydrates, solvates, prodrugs, stereoisomers, or tautomers thereof. Method of Synthesizing the Compounds

[0201] The compounds of the present invention may be made by a variety of methods, including standard chemistry. Suitable synthetic routes are depicted in the Schemes given below.

[0202] The compounds of Formula (I) may be prepared by methods known in the art of organic synthesis as set forth in part by the following synthetic schemes. In the schemes described below, it is well understood that protecting groups for sensitive or reactive groups are employed where necessary in accordance with general principles or chemistry. Protecting groups are manipulated according to standard methods of organic synthesis (T. W. Greene and P. G. M. Wuts, "Protective Groups in Organic Synthesis", Third edition, Wiley, New York 1999). These groups are removed at a convenient stage of the compound synthesis using methods that are readily apparent to those skilled in the art. The selection processes, as well as the reaction conditions and order of those skilled in the art will recognize if a stereocenter exists in the compounds of Formula (I). Accordingly, the present invention includes both possible stereoisomers (unless specified in the synthesis) and includes not only racemic compounds but the individual enantiomers and / orEil.23.0003 diastereomers as well. When a compound is desired as a single enantiomer or diastereomer, it may be obtained by stereospecific synthesis or by resolution of the final product or any convenient intermediate. Resolution of the final product, an intermediate, or a starting material may be affected by any suitable method known in the art. See, for example, "Stereochemistry of Organic Compounds" by E. L. Eliel, S. H. Wilen, and L. N. Mander (Wiley-lnterscience, 1994).

[0203] The compounds described herein may be made from commercially available starting materials or synthesized using known organic, inorganic, and / or enzymatic processes. Preparation of Compounds

[0204] The compounds of the present invention can be prepared in a number of ways well known to those skilled in the art of organic synthesis. By way of example, compounds of the present invention can be synthesized using the methods described below, together with synthetic methods known in the art of synthetic organic chemistry, or variations thereon as appreciated by those skilled in the art. Preferred methods include but are not limited to those methods described below. Compounds of the present invention can be synthesized by following the steps outlined in General Schemes A–F which comprise different sequences of assembling intermediates or compounds of Formulae I and I’. Starting materials are either commercially available or made by known procedures in the reported literature or as illustrated below. Scheme AEil.23.0003Eil.23.0003Scheme FEil.23.0003

[0205] Another aspect of the invention relates to a method of treating a disease or disorder associated with modulation of BCL-2 proteins. The method comprises administering to a patient in need of a treatment for diseases or disorders associated with modulation of BCL-2 proteins an effective amount the compositions and compounds of Formula (I).

[0206] In another aspect, the present invention is directed to a method of inhibiting BCL-2 proteins. The method involves administering to a patient in need thereof an effective amount of a compound of Formula (I).

[0207] Another aspect of the present invention relates to a method of treating, preventing, inhibiting or eliminating a disease or disorder in a patient associated with the inhibition of BCL-2 proteins, the method comprising administering to a patient in need thereof an effective amount ofEil.23.0003 a compound of Formula (I). In one embodiment, the disease may be, but not limited to, cancer and metastasis.

[0208] The present invention also relates to the use of an inhibitor of BCL-2 proteins for the preparation of a medicament used in the treatment, prevention, inhibition or elimination of a disease or condition mediated by BCL-2 proteins, wherein the medicament comprises a compound of Formula (I).

[0209] In another aspect, the present invention relates to a method for the manufacture of a medicament for treating, preventing, inhibiting, or eliminating a disease or condition mediated by BCL-2 proteins, wherein the medicament comprises a compound of Formula (I).

[0210] Another aspect of the present invention relates to a compound of Formula (I) for use in the manufacture of a medicament for treating a disease associated with inhibiting BCL-2 proteins.

[0211] In another aspect, the present invention relates to the use of a compound of Formula (I) in the treatment of a disease associated with inhibiting BCL-2 proteins.

[0212] Another aspect of the invention relates to a method of treating cancer. The method comprises administering to a patient in need thereof an effective amount of a compound of Formula (I).

[0213] Another aspect of the invention relates to a method of treating or preventing cancer. The method comprises administering to a patient in need thereof an effective amount of a compound of Formula (I).

[0214] In one embodiment, the present invention relates to the use of an inhibitor of BCL-2 proteins for the preparation of a medicament used in treatment, prevention, inhibition or elimination of a disease or disorder associated with cancer.

[0215] In another embodiment, the present invention relates to a compound of Formula (I) or a pharmaceutical composition comprising a compound of the present invention and a pharmaceutically acceptable carrier used for the treatment of cancers including, but not limited to, bladder cancer, bone cancer, brain cancer, breast cancer, cardiac cancer, cervical cancer, colon cancer, colorectal cancer, esophageal cancer, fibrosarcoma, gastric cancer, gastrointestinal cancer, head, spine and neck cancer, Kaposi's sarcoma, kidney cancer, leukemia, liver cancer, lymphoma, melanoma, multiple myeloma, pancreatic cancer, penile cancer, testicular germ cell cancer, thymoma carcinoma, thymic carcinoma, lung cancer, ovarian cancer, prostate cancer, marginalEil.23.0003 zone lymphoma (MZL), follicular lymphoma (FL), diffuse large B-cell lymphoma (DLBCL) and chronic lymphocytic leukemia / small lymphocytic lymphoma (CLL / SLL).

[0216] In another embodiment, the present invention relates to a compound of Formula (I) or a pharmaceutical composition comprising a compound of the present invention and a pharmaceutically acceptable carrier used for the treatment of cancers including, but not limited to, marginal zone lymphoma (MZL), follicular lymphoma (FL), diffuse large B-cell lymphoma (DLBCL) and chronic lymphocytic leukemia / small lymphocytic lymphoma (CLL / SLL).

[0217] Another aspect of the invention is directed to pharmaceutical compositions comprising a compound of Formula (I) and a pharmaceutically acceptable carrier. The pharmaceutical acceptable carrier may further include an excipient, diluent, or surfactant.

[0218] In one embodiment, are provided methods of treating a disease or disorder associated with modulation of BCL-2 proteins including, cancer or cell proliferative disorder, comprising administering to a patient suffering from at least one of said diseases or disorder a compound of Formula (I).

[0219] One therapeutic use of the compounds or compositions of the present invention which inhibit BCL-2 proteins is to provide treatment to patients or subjects suffering from a cancer or cell proliferative disorder.

[0220] The disclosed compounds of the invention can be administered in effective amounts to treat or prevent a disorder and / or prevent the development thereof in subjects.

[0221] Administration of the disclosed compounds can be accomplished via any mode of administration for therapeutic agents. These modes include systemic or local administration such as oral, nasal, parenteral, transdermal, subcutaneous, vaginal, buccal, rectal or topical administration modes.

[0222] Depending on the intended mode of administration, the disclosed compositions can be in solid, semi-solid or liquid dosage form, such as, for example, injectables, tablets, suppositories, pills, time-release capsules, elixirs, tinctures, emulsions, syrups, powders, liquids, suspensions, or the like, sometimes in unit dosages and consistent with conventional pharmaceutical practices. Likewise, they can also be administered in intravenous (both bolus and infusion), intraperitoneal, subcutaneous or intramuscular form, and all using forms well known to those skilled in the pharmaceutical arts.Eil.23.0003

[0223] Illustrative pharmaceutical compositions are tablets and gelatin capsules comprising a Compound of the Invention and a pharmaceutically acceptable carrier, such as a) a diluent, e.g., purified water, triglyceride oils, such as hydrogenated or partially hydrogenated vegetable oil, or mixtures thereof, corn oil, olive oil, sunflower oil, safflower oil, fish oils, such as EPA or DHA, or their esters or triglycerides or mixtures thereof, omega-3 fatty acids or derivatives thereof, lactose, dextrose, sucrose, mannitol, sorbitol, cellulose, sodium, saccharin, glucose and / or glycine; b) a lubricant, e.g., silica, talcum, stearic acid, its magnesium or calcium salt, sodium oleate, sodium stearate, magnesium stearate, sodium benzoate, sodium acetate, sodium chloride and / or polyethylene glycol; for tablets also; c) a binder, e.g., magnesium aluminum silicate, starch paste, gelatin, tragacanth, methylcellulose, sodium carboxymethylcellulose, magnesium carbonate, natural sugars such as glucose or beta-lactose, corn sweeteners, natural and synthetic gums such as acacia, tragacanth or sodium alginate, waxes and / or polyvinylpyrrolidone, if desired; d) a disintegrant, e.g., starches, agar, methyl cellulose, bentonite, xanthan gum, algic acid or its sodium salt, or effervescent mixtures; e) absorbent, colorant, flavorant and sweetener; f) an emulsifier or dispersing agent, such as Tween 80, Labrasol, HPMC, DOSS, caproyl 909, labrafac, labrafil, peceol, transcutol, capmul MCM, capmul PG-12, captex 355, gelucire, vitamin E TGPS or other acceptable emulsifier; and / or g) an agent that enhances absorption of the compound such as cyclodextrin, hydroxypropyl-cyclodextrin, PEG400, PEG200.

[0224] Liquid, particularly injectable, compositions can, for example, be prepared by dissolution, dispersion, etc. For example, the disclosed compound is dissolved in or mixed with a pharmaceutically acceptable solvent such as, for example, water, saline, aqueous dextrose, glycerol, ethanol, and the like, to thereby form an injectable isotonic solution or suspension. Proteins such as albumin, chylomicron particles, or serum proteins can be used to solubilize the disclosed compounds.

[0225] The disclosed compounds can be also formulated as a suppository that can be prepared from fatty emulsions or suspensions; using polyalkylene glycols such as propylene glycol, as the carrier.

[0226] The disclosed compounds can also be administered in the form of liposome delivery systems, such as small unilamellar vesicles, large unilamellar vesicles and multilamellar vesicles. Liposomes can be formed from a variety of phospholipids, containing cholesterol, stearylamine orEil.23.0003 phosphatidylcholines. In some embodiments, a film of lipid components is hydrated with an aqueous solution of drug to a form lipid layer encapsulating the drug, as described in U.S. Pat. No. 5,262,564 which is hereby incorporated by reference in its entirety.

[0227] Disclosed compounds can also be delivered by the use of monoclonal antibodies as individual carriers to which the disclosed compounds are coupled. The disclosed compounds can also be coupled with soluble polymers as targetable drug carriers. Such polymers can include polyvinylpyrrolidone, pyran copolymer, polyhydroxypropylmethacrylamide-phenol, polyhydroxyethylaspanamidephenol, or polyethyleneoxidepolylysine substituted with palmitoyl residues. Furthermore, the Disclosed compounds can be coupled to a class of biodegradable polymers useful in achieving controlled release of a drug, for example, polylactic acid, polyepsilon caprolactone, polyhydroxy butyric acid, polyorthoesters, polyacetals, polydihydropyrans, polycyanoacrylates and cross-linked or amphipathic block copolymers of hydrogels. In one embodiment, disclosed compounds are not covalently bound to a polymer, e.g., a polycarboxylic acid polymer, or a polyacrylate.

[0228] Parenteral injectable administration is generally used for subcutaneous, intramuscular or intravenous injections and infusions. Injectables can be prepared in conventional forms, either as liquid solutions or suspensions or solid forms suitable for dissolving in liquid prior to injection.

[0229] Another aspect of the invention is directed to pharmaceutical compositions comprising a compound of Formula (I) and a pharmaceutically acceptable carrier. The pharmaceutical acceptable carrier may further include an excipient, diluent, or surfactant. In some embodiments, the pharmaceutical composition can further comprise an additional pharmaceutically active agent.

[0230] Compositions can be prepared according to conventional mixing, granulating or coating methods, respectively, and the present pharmaceutical compositions can contain from about 0.1% to about 99%, from about 5% to about 90%, or from about 1% to about 20% of the disclosed compound by weight or volume.

[0231] The dosage regimen utilizing the disclosed compound is selected in accordance with a variety of factors including type, species, age, weight, sex and medical condition of the patient; the severity of the condition to be treated; the route of administration; the renal or hepatic function of the patient; and the particular disclosed compound employed. A physician or veterinarian ofEil.23.0003 ordinary skill in the art can readily determine and prescribe the effective amount of the drug required to prevent, counter or arrest the progress of the condition.

[0232] Effective dosage amounts of the disclosed compounds, when used for the indicated effects, range from about 0.5 mg to about 5000 mg of the disclosed compound as needed to treat the condition. Compositions for in vivo or in vitro use can contain about 0.5, 5, 20, 50, 75, 100, 150, 250, 500, 750, 1000, 1250, 2500, 3500, or 5000 mg of the disclosed compound, or, in a range of from one amount to another amount in the list of doses. In one embodiment, the compositions are in the form of a tablet that can be scored. EXAMPLES

[0233] The disclosure is further illustrated by the following examples and synthesis schemes, which are not to be construed as limiting this disclosure in scope or spirit to the specific procedures herein described. It is to be understood that the examples are provided to illustrate certain embodiments and that no limitation to the scope of the disclosure is intended thereby. It is to be further understood that resort may be had to various other embodiments, modifications, and equivalents thereof which may suggest themselves to those skilled in the art without departing from the spirit of the present disclosure and / or scope of the appended claims.

[0234] Abbreviations used in the following examples and elsewhere herein are: br broad anh. anhydrous aq. aqueous DCM dichloromethane (i.e. CH2Cl2) DMAP N,N-dimethylpyridin-4-amine DMF N,N-dimethyl formamide DMSO dimethyl sulfoxide EDCI 1-(3-Dimethylaminopropyl)-3-ethylcarbodiimide ESI electrospray ionization EtOAc ethyl acetate EtOH ethanol h hour(s) Hal halogenEil.23.0003 HPLC high pressure (or performance) liquid chromatography LCMS liquid chromatography mass spectrometry m multiplet M molar MeOH methanol MHz megahertz min minutes NMR nuclear magnetic resonance ppm parts per million rt room temperature RT retention time TFA trifluoroacetic acid THF tetrahydrofuran

[0235] Purity and identity of all synthesized compounds was confirmed by LC-MS analysis performed on Shimadzu Analytical 10Avp equipped with PE SCIEX API 165 mass, Sedex 75 ELSD, and Shimadzu UV (254 and 215) detectors. Separation was achieved with C18 column 100 ^ 4.6 mm, 5.0 µm, pore size 100 Å, water-acetonitrile+0.1% trifluoroacetic acid, gradient 5 to 87% for 10 min.

[0236] Preparative HPLC purification was carried out on Shimadzu instrument equipped with SPD-10Avp detector and FRC-10A fraction collector. Separation was achieved with a column YMC-Pack ODS-AQ 250×20 mml, S-10 µm, 12 nm, gradient solution А – solution B (A: 1000 mL water-226µL trifluoroacetic acid; B: 1000 mL acetonitrile-226 µL trifluoroacetic acid).

[0237] 3-Nitro-4-[(tetrahydro-2H-pyran-4-ylmethyl)amino]benzenesulfonamide and tert-butyl 4- bromo-2-(1H-pyrrolo[2,3-b]pyridin-5-yloxy)benzoate were synthesized according to reported procedure (US2014 / 275540). Synthesis of Intermediates Preparation 1: tert-butyl 5-(5-bromo-2-(ethoxycarbonyl)phenoxy)-1H-indole-1-carboxylateEil.23.0003 Br O Br OO O H N, g, 0.038 mol) and K2CO3 (6.71 g, 48 mmol), and DMF (100 mL) was stirred at 80°C overnight, cooled to ambient temperature, diluted with water (100 mL) and extracted twice with EtOAc. Combined organic layers were dried over Na2SO4and concentrated under reduced temperature. The residue was purified by silica flash chromatography eluting with a mixture (5 → 50%) EtOAc and DCM to afford 9.4 g (81 %) of the title compound.

[0240] Step 2: Synthesis of tert-butyl 5-[5-bromo-2-(ethoxycarbonyl)phenoxy]-1H-indole-1- carboxylate

[0241] A mixture of ethyl 4-bromo-2-(1H-indol-5-yloxy)benzoate obtained at Step 1 (9.4 g, 26 mmol), Boc2O (6.83 g, 31.2 mmol), DMAP (3.82 g, 31.2 mmol), and DCM (100 ml) was stirred overnight at ambient temperature, washed twice with water, and concentrated under reduced pressure. The residue was purified by silica flash chromatography eluting with a mixture (5 → 20%) EtOAc to afford 11.0 g (91 %) of the title compound. Preparation 2: tert-Butyl 5-[5-bromo-2-(tert-butoxycarbonyl)phenoxy]-1H-pyrrolo[2,3- b]pyridine-1-carboxylate

[0242] Abenzoate (4.5 g, 11.6 mmol), Boc2O (2.65 g. 12 mmol), DMAP (67 mg, 0.55 mmol), and DCM (100 mL) wasEil.23.0003 stirred overnight at ambient temperature, washed with water, dried over Na2SO4, and concentrated under reduced pressure to afford crude product that was used for the next step without further purification. Preparation 3: 3-(4-chlorophenyl)-2-(piperidin-4-ylmethyl)-2-azaspiro[3.4]octan-1-one O Cl Cl NH O O (4-

[0244] A mixture of 4-chlorobenzaldehyde (5.7 g, 41 mmol), tert-butyl 4- (aminomethyl)piperidine-1-carboxylate (8.7 g, 41 mmol), anh. Na2SO4(15.3 g, 123 mmol), and CHCl3 (100 mL) was stirred at ambient temperature overnight. Solid was filtered off and washed with CHCl3, and the combined filtrate was concentrated under reduced pressure to afford crude product that was used in the next step without further purification.

[0245] Step 2: Synthesis of tert-Butyl 4-[1-(4-chlorophenyl)-3-oxo-2-azaspiro[3.4]oct-2- yl]methyltetrahydro-1(2H)-pyridinecarboxylate

[0246] A solution of cyclopentanecarbonyl chloride (2.19 g, 16.5 mmol) in CHCl3(20 mL) was added dropwise to a stirred boiling solution of the crude product obtained at Step 1 and Et3N (6.9 mL, 49 mmol) in CHCl3 (60 mL) over a period of 1 h. The reaction mixture was stirred at reflux overnight, cooled to ambient temperature, and quenched with a 5 mL of MeOH, and then with 5 % aq. solution of citric acid (80 mL). The organic layer was separated, and the aqueous layer was extracted with CHCl3. The combined organic layers were dried over Na2SO4 and concentrated under reduced pressure. The residue was purified by silica flash chromatography eluting with a mixture (2 → 10%) EtOAc and hexane to afford 3.3 g (46 %) of the title compound.

[0247] Step 3: Synthesis of 3-(4-chlorophenyl)-2-(4-piperidylmethyl)-2-azaspiro[3.4]octan-1-oneEil.23.0003

[0248] TFA (10 mL) was added portion wise to a stirred solution of the compound obtained at Step 2 (3.3 g, 7 mmol) in DCM (30 mL). The resultant mixture was stirred overnight at ambient temperature and then concentrated under reduced pressure. The residue was partitioned between water (50 mL) and Et2O (60 mL). The organic layer was discarded, and the aqueous layer was washed twice with Et2O, basified with 50% NaOH to pH 12, and extracted twice with CHCl3. Combined organic layers were dried over Na2SO4 and evaporated under reduced pressure to provide 2.5 g (98 %) of the title compound that was used for the next step without additional purification. Preparation 4: 3-phenyl-2-(piperidin-4-ylmethyl)-2-azaspiro[3.4]octan-1-one

[0249] The procedure was as in3 using benzaldehyde instead of 4- chlorobenzaldehyde as a starting material. Preparation 5: 3-(4-chloro-2-methylphenyl)-2-(piperidin-4-ylmethyl)-2-azaspiro[3.4]octan-1- one O

[0250] The procedure was asPreparation 3, using 4-chloro-2- methylbenzaldehyde instead of 4-chlorobenzaldehyde as a starting material. Preparation 6: 3-(5-chloropyridin-3-yl)-2-(piperidin-4-ylmethyl)-2-azaspiro[3.4]octan-1-oneEil.23.0003 Cl

[0251] The procedure was as in 3, using 5-chloropyridine-3-carbaldehyde instead of 4-chlorobenzaldehyde as a starting material. Preparation 7: 3-[3-(benzyloxy)phenyl]-2-(piperidin-4-ylmethyl)-2-azaspiro[3.4]octan-1-one

[0252] The procedure was asusing 3-benzyloxybenzaldehyde instead of 4-chlorobenzaldehyde as a starting material. Preparation 8: 4-(4-{[1-(4-chlorophenyl)-3-oxo-2-azaspiro[3.4]oct-2-yl]methyl}piperidin-1-yl)- 2-(1H-indol-5-yloxy)benzoic acid

[0253] Step 1: Synthesis of tert-butyl 5-[5-(4-{[1-(4-chlorophenyl)-3-oxo-2-azaspiro[3.4]oct-2- yl]methyl}piperidin-1-yl)-2-(ethoxycarbonyl)phenoxy]-1H-indole-1-carboxylate

[0254] A mixture of tert-butyl 5-[5-bromo-2-(ethoxycarbonyl)phenoxy]-1H-indole-1-carboxylate (See Preparation 1) (1.1 g, 2.4 mmol), 3-(4-chlorophenyl)-2-(piperidin-4-ylmethyl)-2-Eil.23.0003 azaspiro[3.4]octan-1-one (See Preparation 3) (0.8 g, 2.4 mmol), palladium diacetate (0.054 g, 0.24 mmol), (±)-2,2'-bis(diphenylphosphino)-1,1'-binaphthalene (0.22 g, 0.36 mmol), and cesium carbonate (0.97 g, 3 mmol) in toluene (20 mL) was heated under nitrogen at 60°C for 20 h, cooled to ambient temperature, and concentrated under reduced pressure. The residue was dissolved in DCM (30 mL), the obtained solution was filtered through Celite pad, and filtrate was washed with water, and then with brine. The organic layer was dried over Na2SO4 and concentrated under reduced pressure. The residue was subjected to silica flash chromatography eluting with a mixture of EtOAc (10 → 30 %) and hexane to afford 0.6 g (35 %) of the title compound.

[0255] Step 2: Synthesis of 4-(4-[1-(4-chlorophenyl)-3-oxo-2-azaspiro[3.4]oct-2- yl]methylpiperidino)-2-(1H-indol-5-yloxy)benzoic acid

[0256] A mixture of the compound obtained at Step 1 (0.4 g, 0.56 mmol), NaOH (0.045 g, 1.1 mmol), THF (2 mL), EtOH (2 mL), and H2O (2 mL) was stirred at 50°C for 20 h, cooled to ambient temperature, and acidified with aq. HCl. The precipitate that formed was filtered off, washed twice with water, dried, and purified by prep. HPLC to afford 0.02 g (6%) of the title compound. Preparation 9: 4-(4-{[1-(4-chlorophenyl)-3-oxo-2-azaspiro[3.4]oct-2-yl]methyl}piperidin-1-yl)- 2-(1H-pyrrolo[2,3-b]pyridin-5-yloxy)benzoic acid- -3- oxo-2-azaspiro[3.4]oct-2-yl]methyl}piperidin-1-yl)phenoxy]-1H-pyrrolo[2,3-b]pyridine-1- carboxylate

[0258] A mixture of tert-Butyl 5-[5-bromo-2-(tert-butoxycarbonyl)phenoxy]-1H-pyrrolo[2,3- b]pyridine-1-carboxylate (see Preparation 2) (0.22 g, 0.451 mmol), 3-(4-chlorophenyl)-2- (piperidin-4-ylmethyl)-2-azaspiro[3.4]octan-1-one (see Preparation 3) (0.15 g, 0.21 mmol),Eil.23.0003 palladium diacetate (0.003 g, 0.013 mmol), (±)-2,2'-bis(diphenylphosphino)-1,1'-binaphthalene (0.016 g, 0.026 mmol), cesium carbonate (0.735 g, 2.25 mmol), and toluene (25 mL) was stirred and heated under nitrogen at 80°C for 12 h, cooled to ambient temperature, and concentrated under reduced pressure. The residue was dissolved in EtOAc (25 mL), the obtained solution was filtered through Celite pad, and the filtrate was washed with water and then with brine. The organic layer was dried over Na2SO4 and concentrated under reduced pressure. The residue was subjected to silica flash chromatography eluting with a mixture of EtOAc (20 → 50 %) and hexane to afford 0.157 g (47 %) of the title compound.

[0259] Step 2: Synthesis of 4-(4-{[1-(4-chlorophenyl)-3-oxo-2-azaspiro[3.4]oct-2- yl]methyl}piperidin-1-yl)-2-(1H-pyrrolo[2,3-b]pyridin-5-yloxy)benzoic acid

[0260] CF3COOH (3 mL) was added to a stirred solution of compound obtained at Step 1 in DCM (15 mL), the mixture was stirred at room temperature for 12 h, then volatiles were removed under reduced pressure, the residue was partitioned between DCM (20 mL) and saturated aqueous solution of NaHCO3(20 mL). The organic layer was separated, and the aqueous layer extracted with DCM. Combined organic layers were dried over Na2SO4 and concentrated under reduced pressure to provide 0.124 g (100%) of the title compound that was used for the next step without further purification. Preparation 10: 4-{4-[(1-oxo-3-phenyl-2-azaspiro[3.4]oct-2-yl)methyl]piperidin-1-yl}-2-(1H- pyrrolo[2,3-b]pyridin-5-yloxy)benzoic acid H N N

[0261] The procedure was as process 9 using 3-phenyl-2-(piperidin-4- ylmethyl)-2-azaspiro[3.4]octan-1-one (See Preparation 4) instead of 3-(4-chlorophenyl)-2- (piperidin-4-ylmethyl)-2-azaspiro[3.4]octan-1-one as a starting material.Eil.23.0003 Preparation 11: 4-(4-{[1-(4-chloro-2-methylphenyl)-3-oxo-2-azaspiro[3.4]oct-2- yl]methyl}piperidin-1-yl)-2-(1H-pyrrolo[2,3-b]pyridin-5-yloxy)benzoic acid H N 2-methylphenyl)-- 5) instead of 3-(4- chlorophenyl)-2-(piperidin-4-ylmethyl)-2-azaspiro[3.4]octan-1-one as a starting material. Preparation 12: 4-(4-{[1-(5-chloropyridin-3-yl)-3-oxo-2-azaspiro[3.4]oct-2-yl]methyl}piperidin- 1-yl)-2-(1H-pyrrolo[2,3-b]pyridin-5-yloxy)benzoic acid H using 3-(5-chloropyridin-3-yl)-2-(piperidin-4-ylmethyl)-2-azaspiro[3.4]octan-1-one (See Preparation 6) instead of 3-(4- chlorophenyl)-2-(piperidin-4-ylmethyl)-2-azaspiro[3.4]octan-1-one as a starting material. Preparation 13: 4-[4-({1-[3-(benzyloxy)phenyl]-3-oxo-2-azaspiro[3.4]oct-2-yl}methyl)piperidin- 1-yl]-2-(1H-indol-5-yloxy)benzoic acidEil.23.0003

[0264] The procedure wasusing 3-[3-(benzyloxy)phenyl]-2- (piperidin-4-ylmethyl)-2-azaspiro[3.4]octan-1-one (See Preparation 7) instead of 3-(4- chlorophenyl)-2-(piperidin-4-ylmethyl)-2-azaspiro[3.4]octan-1-one as a starting material. Preparation 14: 2-(1H-pyrrolo[2,3-b]pyridin-5-yloxy)-4-(4-((1-phenyl-2-azaspiro[3.4]octan-2- yl)methyl)piperidin-1-yl)benzoic acid

[0265] Step 1: Synthesis of 1-phenyl-2-(piperidin-4-ylmethyl)-2-azaspiro[3.4]octaneEil.23.0003

[0266] A solution of AlCl3(2.8 g, 21 mmol) in Et2O (30 mL) was added dropwise to a stirred suspension of LiAlH4 (0.8 g, 21 mmol) in Et2O (20 mL) under argon atmosphere. The resultant mixture was stirred and heated under reflux for 1 h, and subsequently cooled down to ambient temperature. A solution of 3-phenyl-2-(piperidin-4-ylmethyl)-2-azaspiro[3.4]octan-1-one (See Preparation 4) (2 g, 7 mmol) in DCM was added dropwise. The reaction mixture was stirred overnight at ambient temperature, then 10 % aq. solution of NaOH (20 mL) was added dropwise. Layers were separated, organic layer was washed with brine, dried over Na2SO4, and concentrated under reduced pressure to afford 1.2 g (60%) of the title compound that was used for the next step without additional purification.

[0267] Step 2: Synthesis of tert-butyl 5-(2-(tert-butoxycarbonyl)-5-(4-((1-phenyl-2- azaspiro[3.4]octan-2-yl)methyl)piperidin-1-yl)phenoxy)-1H-pyrrolo[2,3-b]pyridine-1- carboxylate

[0268] A mixture of the compound obtained at the Step 1 (1.2 g, 4 mmol), tert-butyl 5-[5-bromo- 2-(tert-butoxycarbonyl)phenoxy]-1H-pyrrolo[2,3-b]pyridine-1-carboxylate (See Preparation 2) (1.9 g, 4 mmol), palladium diacetate (0.009 g, 0.04 mmol), (±)-2,2'-bis(diphenylphosphino)-1,1'- binaphthalene (0.62 g, 0.08 mmol), Cs2CO3, (2.6 g, 8 mmol), and toluene (30 mL) was stirred and heated at 80°C under nitrogen for 20 h, subsequently cooled down to ambient temperature, and concentrated under reduced pressure. The residue was partitioned between water (50 mL) and DCM (50 mL), the organic layer was separated, washed with water, brine, dried over Na2SO4, and concentrated under reduced pressure. The residue was subjected to silica flash chromatography eluting with a mixture of (20 → 50 %) of EtOAc and hexane to afford 0.8 g (29 %) of the title compound.

[0269] Step 3: Synthesis of 2-(1H-pyrrolo[2,3-b]pyridin-5-yloxy)-4-(4-((1-phenyl-2- azaspiro[3.4]octan-2-yl)methyl)piperidin-1-yl)benzoic acid

[0270] TFA (2 ml) was added portion wise to a stirred solution of tert-butyl 5-(2-(tert- butoxycarbonyl)-5-{4-[(1-phenyl-2-azaspiro[3.4]oct-2-yl)methyl]piperidin-1-yl}phenoxy)-1H- pyrrolo[2,3-b]pyridine-1-carboxylate (0.8 g, 1 mmol) in DCM (15 mL). The mixture was stirred at ambient temperature for 12 h, then volatiles were removed under reduced pressure. The residue was dissolved in Et2O (20 mL), and 6M solution of HCl in dioxane (5 mL) was added. The formedEil.23.0003 precipitate was filtered off, washed with Et2O (20 mL), and dried to afford 0.5 g (93 %) of the title compound. Preparation 15: 4-(3-chloro-4-methylphenylamino)-3-nitrobenzenesulfonamide OO OO O O+ NH2 S N O

[0271] 3-chloro-4- methylaniline (4.54 g, 32 mmol) was stirred at 90°C overnight, subsequently cooled down to ambient temperature, and subjected to silica flash chromatography eluting with a mixture of (5 → 50 %) EtOAc and DCM to afford 0.85 g (39 %) of the title compound. A neat mixture of the compounds was stirred at 90°C overnight.

[0272] 3-Nitro-4-[(tetrahydro-2H-pyran-4-ylmethyl)amino]benzenesulfonamide and tert-butyl 4- bromo-2-(1H-pyrrolo[2,3-b]pyridin-5-yloxy)benzoate were synthesized according to reported procedure (US2014 / 275540). Preparation 16: tert-Butyl 4-[(3S)-1,2,3,4-tetrahydroisoquinolin-3-ylmethyl]piperazine-1- carboxylate- - (1H)- carboxylate

[0274] Cbz-Cl (11.6g, 68 mmol) was added dropwise to a stirred solution of solution of (3S)- 1,2,3,4-tetrahydroisoquinolin-3-ylmethanol (10.1g, 62 mmol) and Et3N (12.5 g, 123 mmol) inEil.23.0003 DCM (150 mL) maintaining internal temperature below -10°C. The mixture was allowed to warm to ambient temperature and stirred overnight. A saturated aqueous solution of NaHCO3 (100 mL) was added to reaction mixture. The organic layer was separated, and the aqueous layer was extracted with DCM (3 x 100 mL). The combined organic layers were washed with brine, dried over anh. MgS04, and concentrated under reduced pressure. The residue was purified by silica chromatography eluting with a CH2Cl2 to afford 12.6 g (68.5 %) of the title compound.

[0275] Step 2: Synthesis of benzyl (3S)-3-formyl-3,4-dihydroisoquinoline-2(1H)-carboxylate

[0276] A solution of Dess-Martin periodinate (28.7 g, 64 mmol) in DCM (200 mL) was added dropwise to a stirred solution of the alcohol obtained at Step 1 (12.6 g, 42 mmol) in DCM (150 mL) maintaining an internal temperature below 0°C. The reaction mixture was allowed to warm to ambient temperature, stirred overnight at ambient temperature, then quenched with a saturated aqueous solution of a mixture of NaHCO3 and Na2S2O3 (1:1, 100 mL) and stirred additionally for 10 min. The organic layer was separated, dried over MgSO4, filtered, and concentrated under reduced pressure. The resulting residue was purified by silica flash chromatography eluting with a mixture of EtOAc (0 → 20%) and hexane to afford 5.1 g (41 %) of the title compound.

[0277] Step 3: Synthesis of benzyl (3S)-3-{[4-(tert-butoxycarbonyl)piperazin-1-yl]methyl}-3,4- dihydroisoquinoline-2(1H)-carboxylate

[0278] A mixture of aldehyde obtained at the step 2 (5.1 g, 17 mmol), N-Boc-piperazine (3.86 g, 21 mmol), sodium triacetoxyborohydride (11 g, 51 mmol), and DCM (75 mL) was stirred at ambient temperature overnight. A saturated aqueous solution of NH4Cl (100 mL) was added, the organic layer was separated, and the aqueous layer was extracted with DCM (3 x 100 mL). The combined organic layers were dried over anh. MgS04 and concentrated. The crude product was purified by silica flash chromatography eluting with a mixture of EtOAc (0 → 20%) and DCM to afford 5.8 g (72 %) of the title compound.

[0279] Step 4: Synthesis of tert-Butyl 4-[(3S)-1,2,3,4-tetrahydroisoquinolin-3- ylmethyl]piperazine-1-carboxylate

[0280] A mixture of the compound obtained at Step 3 (5.8 g, 12.5 mmol), 10 % palladium on charcoal (0.6 g), and methanol (100 mL) was vigorously stirred under H2 atmosphere overnight, filtered through a Celite pad, and filtrate was evaporated to dryness to afford 4.1 g (99%) of the title compound that was used for the next step without purification.Eil.23.0003 Preparation 17: tert-Butyl 4-[(3R)-1,2,3,4-tetrahydroisoquinolin-3-ylmethyl]piperazine-1- carboxylate N NHNO

[0281] The procedure was as 16 using (3R)-1,2,3,4-tetrahydroisoquinolin-3-ylmethanol instead of (3S)-1,2,3,4-tetrahydroisoquinolin-3-ylmethanol. Preparation 18: (3S)-3-(piperazin-1-ylmethyl)-2-(thiophen-2-ylcarbonyl)-1,2,3,4- tetrahydroisoquinoline O O O O O S

[0282] -1,2,3,4- tetrahydroisoquinolin-3-yl]methyl}piperazine-1-carboxylate

[0283] Thiophene-2-carbonyl chloride (0.1 g, 0.68 mmol) was added to a stirred solution of tert- butyl 4-[(3S)-1,2,3,4-tetrahydroisoquinolin-3-ylmethyl]piperazine-1-carboxylate (See preparation 16) (0.2 g, 0.6 mmol) and Et3N (0.1 g, 1 mmol) in DCM (10 mL) maintaining internal temperature below 10°C. The mixture was allowed to warm to ambient temperature and stirred overnight. A saturated aqueous solution of NaHCO3 (10 mL) was added to the reaction mixture portion wise. The organic layer was separated, and the aqueous layer was extracted with DCM (3 x 5 mL). The combined organic layers were washed with brine, dried over anh. MgS04, and concentrated under reduced pressure. The residue was treated with ether, the formed precipitate was filtered off, washed with ether, and dried to afford 0.14 g (53 %) of the title compound.Eil.23.0003

[0284] Step 2: Synthesis of (3S)-3-(piperazin-1-ylmethyl)-2-(thiophen-2-ylcarbonyl)-1,2,3,4- tetrahydroisoquinoline

[0285] A 3M solution of HCl in dioxane (1.76 mL, 3.2 mmol) was added to a stirred solution of the compound prepared at Step 1 (0.14 g, 0.32 mmol) in DCM (2 mL). The resultant mixture was stirred overnight at ambient temperature and then diluted with ether (10 ml). The formed precipitate was filtered off, washed with ether, dried, and dissolved in water. The obtained solution was basified with 50% NaOH to pH 12 and extracted twice with DCM. Combined organic layers were dried over Na2SO4 and evaporated under reduced pressure to provide 86 mg (79 %) of the title compound that was used for the next step without additional purification.

[0286] Preparation 19: (3S)-2-(2-methylpropanoyl)-3-(piperazin-1-ylmethyl)-1,2,3,4- tetrahydroisoquinoline H N O

[0287] The procedure was as in the18 using 2-methylpropanoyl chloride instead of thiophene-2-carbonyl chloride. Preparation 20: (S)-cyclopropyl(3-(piperazin-1-ylmethyl)-3,4-dihydroisoquinolin-2(1H)- yl)methanone H N O

[0288] The procedure was as in the18 using cyclopropanecarbonyl chloride instead of thiophene-2-carbonyl chloride.Eil.23.0003 Preparation 21: 2-(1H-pyrrolo[2,3-b]pyridin-5-yloxy)-4-(4-{[(3S)-2-(thiophen-2-ylcarbonyl)- 1,2,3,4-tetrahydroisoquinolin-3-yl]methyl}piperazin-1-yl)benzoic acid O O HO O O H N H 2-- - b]pyridine-1-carboxylate

[0290] A mixture of tert-butyl 5-[5-bromo-2-(ethoxycarbonyl)phenoxy]-1H-indole-1-carboxylate (See Preparation 2) (0.123 g, 0.25 mmol), (3S)-3-(piperazin-1-ylmethyl)-2-(2-thienylcarbonyl)- 1,2,3,4-tetrahydroisoquinoline (See Preparation 18) (0.086 g, 0.25 mmol), Pd(OCOCH3)2(5.6 mg, 0.025 mmol), 2,2'-bis(diphenylphosphino)-1,1'-binaphthalene (15 mg, 0.025 mmol), Cs2CO3 (105 mg, 0.32 mmol) and toluene (2 mL) was heated under Argon at 80°C for 20 h, cooled to ambient temperature, and concentrated under reduced pressure. The residue was dissolved in DCM (30 mL), and the obtained solution was filtered through a Celite pad. The filtrate was washed with water, and then with brine. The organic layer was dried over Na2SO4 and concentrated under reduced pressure. The residue was subjected to silica flash chromatography eluting with a mixture of EtOAc (5 → 50 %) and DCM to afford 0.1 g (53 %) of the title compound.

[0291] Step 2: Synthesis of 2-(1H-pyrrolo[2,3-b]pyridin-5-yloxy)-4-(4-{[(3S)-2-(thiophen-2- ylcarbonyl)-1,2,3,4-tetrahydroisoquinolin-3-yl]methyl}piperazin-1-yl)benzoic acid

[0292] CF3COOH (0.24 g, 2 mmol) was added to a stirred solution of tert-butyl 5-[2-(tert- butoxycarbonyl)-5-(4-{[(3S)-2-(thiophen-2-ylcarbonyl)-1,2,3,4-tetrahydroisoquinolin-3- yl]methyl}piperazin-1-yl)phenoxy]-1H-pyrrolo[2,3-b]pyridine-1-carboxylate (0.1 g, (0.13 mmol) in DCM (1 mL). The mixture was stirred at room temperature for 12 h, then volatiles were removed under reduced pressure. The residue was treated with ether, the formed precipitate was filtered off,Eil.23.0003 washed with ether, and dried to afford 0.85 mg (92 %) of the title compound as trifluoro acetic salt that was used for the next step without further purification. Preparation 22: 4-(4-{[(3S)-2-(2-methylpropanoyl)-1,2,3,4-tetrahydroisoquinolin-3- yl]methyl}piperazin-1-yl)-2-(1H-pyrrolo[2,3-b]pyridin-5-yloxy)benzoic acid HO O(2-methylpropanoyl)- 3-(piperazin-1-ylmethyl)-1,2,3,4-tetrahydroisoquinoline (See Preparation 19) instead of (3S)-3- (piperazin-1-ylmethyl)-2-(2-thienylcarbonyl)-1,2,3,4-tetrahydroisoquinoline. Preparation 23: 4-(4-{[(3S)-2-(cyclopropylcarbonyl)-1,2,3,4-tetrahydroisoquinolin-3- yl]methyl}piperazin-1-yl)-2-(1H-pyrrolo[2,3-b]pyridin-5-yloxy)benzoic acid(2-methylpropanoyl)- 3-(piperazin-1-ylmethyl)-1,2,3,4-tetrahydroisoquinoline (See Preparation 20) instead of (3S)-3- (piperazin-1-ylmethyl)-2-(2-thienylcarbonyl)-1,2,3,4-tetrahydroisoquinoline.Eil.23.0003 Preparation 24: (3R)-3-(piperazin-1-ylmethyl)-2-(thiophen-2-ylcarbonyl)-1,2,3,4- tetrahydroisoquinoline O O O O H O S

[0295] The[(3R)-1,2,3,4- tetrahydroisoquinolin-3-ylmethyl]piperazine-1-carboxylate (See Preparation 17) instead of tert- butyl 4-[(3S)-1,2,3,4-tetrahydroisoquinolin-3-ylmethyl]piperazine-1-carboxylate. Preparation 25: (3R)-2-(2-methylpropanoyl)-3-(piperazin-1-ylmethyl)-1,2,3,4- tetrahydroisoquinoline H N O

[0296] The procedure was as in the 24 using 2-methylpropanoyl chloride instead of thiophene-2-carbonyl chloride. Preparation 26: ((3R)-2-(cyclopropylcarbonyl)-3-(piperazin-1-ylmethyl)-1,2,3,4- tetrahydroisoquinolineEil.23.0003 H N O

[0297] The procedure was as in the24 using cyclopropanecarbonyl chloride instead of thiophene-2-carbonyl chloride. Preparation 27: 2-(1H-pyrrolo[2,3-b]pyridin-5-yloxy)-4-(4-{[(3R)-2-(thiophen-2-ylcarbonyl)- 1,2,3,4-tetrahydroisoquinolin-3-yl]methyl}piperazin-1-yl)benzoic acid HO O-3-(piperazin-1-ylmethyl)- 2-(thiophen-2-ylcarbonyl)-1,2,3,4-tetrahydroisoquinoline (See Preparation 25) instead of (3S)-3- (piperazin-1-ylmethyl)-2-(thiophen-2-ylcarbonyl)-1,2,3,4-tetrahydroisoquinoline. Preparation 28: 4-(4-{[(3R)-2-(2-methylpropanoyl)-1,2,3,4-tetrahydroisoquinolin-3- yl]methyl}piperazin-1-yl)-2-(1H-pyrrolo[2,3-b]pyridin-5-yloxy)benzoic acidEil.23.0003 HO O O N H

[0299] The procedure was as in using (3R)-2-(2-methylpropanoyl)-3-(piperazin-1-ylmethyl)-1,2,3,4-tetrahydroisoquinoline (See Preparation 25) instead of (3R)-3- (piperazin-1-ylmethyl)-2-(thiophen-2-ylcarbonyl)-1,2,3,4-tetrahydroisoquinoline. Preparation 29: 4-(4-{[(3R)-2-(cyclopropylcarbonyl)-1,2,3,4-tetrahydroisoquinolin-3- yl]methyl}piperazin-1-yl)-2-(1H-pyrrolo[2,3-b]pyridin-5-yloxy)benzoic acid HO O O N H

[0300] The procedure wasPreparation 27 using ((3R)-2- (cyclopropylcarbonyl)-3-(piperazin-1-ylmethyl)-1,2,3,4-tetrahydroisoquinoline (See Preparation 26) instead of (3R)-3-(piperazin-1-ylmethyl)-2-(thiophen-2-ylcarbonyl)-1,2,3,4- tetrahydroisoquinoline. Example 1: 4-[4-[[1-(4-chlorophenyl)-3-oxo-2-azaspiro[3.4]octan-2-yl]methyl]-1-piperidyl]- 2-(1H-indol-5-yloxy)-N-[3-nitro-4-(tetrahydropyran-4-ylmethylamino)phenyl]sulfonyl- benzamide (Compound 10)Eil.23.0003 NH2 H N O1-yl)-2-(1H-indol-5-yloxy)benzoic acid (See Preparation 8) (0.02g, 0.034 mmol), 3-nitro-4- [(tetrahydro-2H-pyran-4-ylmethyl)amino]benzenesulfonamide (0.01 g, 0.034 mmol), EDCI (0.007 g, 0.037 mmol), DMAP (0.004 g, 0.037 mmol) and DCM (1 mL) was stirred at ambient temperature for 20 h and partitioned between water (2 mL) and DCM (2 mL). The organic layer was separated, dried over Na2SO4, and concentrated under reduced pressure. The residue was subjected to HPLC to afford 0.012 g (40 %) of the title compound. Example 2: 4-[4-[[1-(4-chlorophenyl)-3-oxo-2-azaspiro[3.4]octan-2-yl]methyl]-1-piperidyl]- N-[3-nitro-4-(tetrahydropyran-4-ylmethylamino)phenyl]sulfonyl-2-(1H-pyrrolo[2,3- b]pyridin-5-yloxy)benzamide (Compound 1) H N Cl

[0302] A mixture of 4-(4-{[3.4]oct-2-yl]methyl}piperidin- 1-yl)-2-(1H-pyrrolo[2,3-b]pyridin-5-yloxy)benzoic acid (See Preparation 9) (0.124 g, 0.21 mmol), 3-nitro-4-[(tetrahydro-2H-pyran-4-ylmethyl)amino]benzenesulfonamide (0.067 g, 0.21 mmol), EDCI (0.122 g, 0.63 mmol), DMAP (0.052 g, 0.42 mmol), Et3N (0.3 ml, 2.1 mmol), and DCM (15Eil.23.0003 mL) was stirred at ambient temperature for 12 h, washed with water, the organic layer was dried over Na2SO4, and concentrated under reduced pressure. The residue was subjected to HPLC purification to provide 0.023 g (12%) of the title compound. Example 3: N-[3-nitro-4-(tetrahydropyran-4-ylmethylamino)phenyl]sulfonyl-4-[4-[(3-oxo- 1-phenyl-2-azaspiro[3.4]octan-2-yl)methyl]-1-piperidyl]-2-(1H-pyrrolo[2,3-b]pyridin-5- yloxy)benzamide (Compound 2) H N O

[0303] The procedure was as2 using 4-{4-[(1-oxo-3-phenyl-2- azaspiro[3.4]oct-2-yl)methyl]piperidin-1-yl}-2-(1H-pyrrolo[2,3-b]pyridin-5-yloxy)benzoic acid (See Preparation 10) instead of 4-(4-{[1-(4-chlorophenyl)-3-oxo-2-azaspiro[3.4]oct-2- yl]methyl}piperidin-1-yl)-2-(1H-pyrrolo[2,3-b]pyridin-5-yloxy)benzoic acid. Example 4: 4-[4-[[1-(4-chloro-2-methyl-phenyl)-3-oxo-2-azaspiro[3.4]octan-2-yl]methyl]-1- piperidyl]-N-[3-nitro-4-(tetrahydropyran-4-ylmethylamino)phenyl]sulfonyl-2-(1H- pyrrolo[2,3-b]pyridin-5-yloxy)benzamide (Compound 3) O OEil.23.0003

[0304] The procedure was as in the process of Example 2 using 4-(4-{[1-(4-chloro-2- methylphenyl)-3-oxo-2-azaspiro[3.4]oct-2-yl]methyl}piperidin-1-yl)-2-(1H-pyrrolo[2,3- b]pyridin-5-yloxy)benzoic acid (See Preparation 11) instead of 4-(4-{[1-(4-chlorophenyl)-3-oxo- 2-azaspiro[3.4]oct-2-yl]methyl}piperidin-1-yl)-2-(1H-pyrrolo[2,3-b]pyridin-5-yloxy)benzoic acid. Example 5: 4-[4-[[1-(5-chloro-3-pyridyl)-3-oxo-2-azaspiro[3.4]octan-2-yl]methyl]-1- piperidyl]-N-[3-nitro-4-(tetrahydropyran-4-ylmethylamino)phenyl]sulfonyl-2-(1H- pyrrolo[2,3-b]pyridin-5-yloxy)benzamide (Compound 9) H N Cl O

[0305] The procedure{[1-(5-chloropyridin-3-yl)- 3-oxo-2-azaspiro[3.4]oct-2-yl]methyl}piperidin-1-yl)-2-(1H-pyrrolo[2,3-b]pyridin-5- yloxy)benzoic acid (See Preparation 12) instead of 4-(4-{[1-(4-chlorophenyl)-3-oxo-2- azaspiro[3.4]oct-2-yl]methyl}piperidin-1-yl)-2-(1H-pyrrolo[2,3-b]pyridin-5-yloxy)benzoic acid. Example 6: N-(4-anilino-3-nitro-phenyl)sulfonyl-4-(4-benzhydrylpiperazin-1-yl)-2-(1H- indol-5-yloxy)benzamide (Compound 26) H N OEil.23.0003

[0306] The procedure was as in the process of Example 2 using 4-[4-({1-[3-(benzyloxy)phenyl]- 3-oxo-2-azaspiro[3.4]oct-2-yl}methyl)piperidin-1-yl]-2-(1H-indol-5-yloxy)benzoic acid (See Preparation 13) instead of 4-(4-{[1-(4-chlorophenyl)-3-oxo-2-azaspiro[3.4]oct-2- yl]methyl}piperidin-1-yl)-2-(1H-pyrrolo[2,3-b]pyridin-5-yloxy)benzoic acid and 4-(3-chloro-4- methylphenylamino)-3-nitrobenzenesulfonamide (See Preparation 15) instead of 3-nitro-4- [(tetrahydro-2H-pyran-4-ylmethyl)amino]benzenesulfonamide. Example 7: N-[3-nitro-4-(tetrahydropyran-4-ylmethylamino)phenyl]sulfonyl-4-[4-[(3- phenyl-2-azaspiro[3.4]octan-2-yl)methyl]-1-piperidyl]-2-(1H-pyrrolo[2,3-b]pyridin-5- yloxy)benzamide (Compound 27) H N

[0307] The procedure was as2-(1H-pyrrolo[2,3-b]pyridin-5- yloxy)-4-(4-((1-phenyl-2-azaspiro[3.4]octan-2-yl)methyl)piperidin-1-yl)benzoic acid (See Preparation 14) instead of 4-(4-{[1-(4-chlorophenyl)-3-oxo-2-azaspiro[3.4]oct-2- yl]methyl}piperidin-1-yl)-2-(1H-pyrrolo[2,3-b]pyridin-5-yloxy)benzoic acid. Thus, obtained free base was converted to hydrochloride by treatment of its solution in acetonitrile with an excess of 6M solution of HCl in dioxane followed by removal of volatiles under reduced pressure and washing of the residue with Et2O. Example 8. N-[3-nitro-4-(tetrahydropyran-4-ylmethylamino)phenyl]sulfonyl-2-(1H- pyrrolo[2,3-b]pyridin-5-yloxy)-4-[4-[[2-(thiophene-2-carbonyl)-3,4-dihydro-1H-isoquinolin- 3-yl]methyl]piperazin-1-yl]benzamide (Compound 6)Eil.23.0003 HO O O O H O N S N O H N H2- ylcarbonyl)-1,2,3,4-tetrahydroisoquinolin-3-yl]methyl}piperazin-1-yl)benzoic acid (See Preparation 21) (0.85 g, 0.12 mmol), 3-nitro-4-[(tetrahydro-2H-pyran-4- ylmethyl)amino]benzenesulfonamide (45 mg, 0.0143 mmol), EDCI (35 mg, 0.18 mmol), DMAP (0.29 g, 0.24 mmol), Et3N (0.24 g, 0.24 mmol), and DCM (10 mL) was stirred at ambient temperature for 20 h and then partitioned between water (2 mL) and DCM (4 mL). The organic layer was separated, dried over Na2SO4, and concentrated under reduced pressure. The residue was purified by silica flash-chromatography eluting with a mixture of methanol (1 → 5%) and DCM to afford 40 mg (37 %) of the title compound. Example 9. 4-[4-[[2-(2-methylpropanoyl)-3,4-dihydro-1H-isoquinolin-3- yl]methyl]piperazin-1-yl]-N-[3-nitro-4-(tetrahydropyran-4-ylmethylamino)phenyl]sulfonyl- 2-(1H-pyrrolo[2,3-b]pyridin-5-yloxy)benzamide (Compound 8) O O H N HEil.23.0003

[0309] The procedure was as in the process of Example 8 using 4-(4-{[(3S)-2-(2- methylpropanoyl)-1,2,3,4-tetrahydroisoquinolin-3-yl]methyl}piperazin-1-yl)-2-(1H-pyrrolo[2,3- b]pyridin-5-yloxy)benzoic acid (See Preparation 22) instead of 2-(1H-pyrrolo[2,3-b]pyridin-5- yloxy)-4-(4-{[(3S)-2-(thiophen-2-ylcarbonyl)-1,2,3,4-tetrahydroisoquinolin-3- yl]methyl}piperazin-1-yl)benzoic acid. Example 10. 4-[4-[[(3S)-2-(cyclopropanecarbonyl)-3,4-dihydro-1H-isoquinolin-3- yl]methyl]piperazin-1-yl]-N-[3-nitro-4-(tetrahydropyran-4-ylmethylamino)phenyl]sulfonyl- 2-(1H-pyrrolo[2,3-b]pyridin-5-yloxy)benzamide (Compound 5) O O H N S N O N H

[0310] The procedure 8 using 4-(4-{[(3S)-2-(cyclopropylcarbonyl)-1,2,3,4-tetrahydroisoquinolin-3-yl]methyl}piperazin-1-yl)-2-(1H- pyrrolo[2,3-b]pyridin-5-yloxy)benzoic acid (See Preparation 23) instead of 2-(1H-pyrrolo[2,3- b]pyridin-5-yloxy)-4-(4-{[(3S)-2-(thiophen-2-ylcarbonyl)-1,2,3,4-tetrahydroisoquinolin-3- yl]methyl}piperazin-1-yl)benzoic acid. Example 11. N-[3-nitro-4-(tetrahydropyran-4-ylmethylamino)phenyl]sulfonyl-2-(1H- pyrrolo[2,3-b]pyridin-5-yloxy)-4-[4-[[(3R)-2-(thiophene-2-carbonyl)-3,4-dihydro-1H- isoquinolin-3-yl]methyl]piperazin-1-yl]benzamide (Compound 34)Eil.23.0003 O O H N S N O H N H

[0311] The procedure was2-(1H-pyrrolo[2,3-b]pyridin-5- yloxy)-4-(4-{[(3R)-2-(thiophen-2-ylcarbonyl)-1,2,3,4-tetrahydroisoquinolin-3- yl]methyl}piperazin-1-yl)benzoic acid (See Preparation 27) instead of 2-(1H-pyrrolo[2,3- b]pyridin-5-yloxy)-4-(4-{[(3S)-2-(thiophen-2-ylcarbonyl)-1,2,3,4-tetrahydroisoquinolin-3- yl]methyl}piperazin-1-yl)benzoic acid. Example 12. 4-[4-[[(3R)-2-(cyclopropanecarbonyl)-3,4-dihydro-1H-isoquinolin-3- yl]methyl]piperazin-1-yl]-N-[3-nitro-4-(tetrahydropyran-4-ylmethylamino)phenyl]sulfonyl- 2-(1H-pyrrolo[2,3-b]pyridin-5-yloxy)benzamide (Compound 33) O O H N H

[0312] The procedure was as in the process of Example 8 using 4-(4-{[(3R)-2- (cyclopropylcarbonyl)-1,2,3,4-tetrahydroisoquinolin-3-yl]methyl}piperazin-1-yl)-2-(1H- pyrrolo[2,3-b]pyridin-5-yloxy)benzoic acid (See Preparation 29) instead of 2-(1H-pyrrolo[2,3- b]pyridin-5-yloxy)-4-(4-{[(3S)-2-(thiophen-2-ylcarbonyl)-1,2,3,4-tetrahydroisoquinolin-3- yl]methyl}piperazin-1-yl)benzoic acid.Eil.23.0003 Table 1. Analytical data. Cmpd MS (ESI) Purity, % Exam le Name MW RT 4 m A AEil.23.0003 Cmpd MS (ESI) Purity, % Exam le Name MW RT 4 mEil.23.0003 Cmpd MS (ESI) Purity, % Exam le Name MW RT 4 mEil.23.0003 Cmpd MS (ESI) Purity, % Exam le Name MW RT 4 m [know in the Art were prepared further compounds, presented in the Table 2 below.Eil.23.0003 Table 2: Further Compounds of the Disclosure Cmpd Structure1H-NMR No. , J z, 9 J .0 .3 m, , , .7 = , .2 z, 5 ), s, , d, J , , , =Eil.23.0003 1H NMR (400 MHz, DMSO-d6), δ: 11.66 (s, 1H), 11.49 (s, 1H), .0 z, 6 , 6 4 8 , = J , , 8 9 ,Eil.23.0003 (s, 2H), 3.26 (m, 3H), 2.74 (t, J = 12.4 Hz, 2H), 2.31 (m, 4H), 1.87 , ), , z, = , 1 z, z, , 0 = 4 z, 7Eil.23.0003 1H NMR (400 MHz, DMSO-d6), δ: 11.63 (s, 1H), 8.60 (s, 1H), 8.43 1 , t, 3 , , 8 ), 5 = 8 .4 ),Eil.23.0003 N N1H NMR (400 MHz, DMSO-d6 O ), = , , , m, , , 9 H) 1 8 J , = 5 ,Eil.23.0003 1H), 7.27 (d, J = 8.4 Hz, 2H), 7.21 (m, 2H), 7.12 (d, J = 9.4 Hz, 1H), , 8 , ), , , , 1 ), , 4 , , 8 , s, ),Eil.23.0003 1H NMR (400 MHz, DMSO-d6), δ: 11.69 (s, 1H), 11.42 (s, 1H), , 3 , J z, 1 4 0 4 , , .1 , JEil.23.0003 1H NMR (400 MHz, DMSO-d6), δ: 11.67 (s, 1H), 11.39 (s, 1H), , 1 , , ), , ), , , 5 = s, , 5 ),Example 13. Primary PPI inhibition assays.

[0314] BCL-2 TR-FRET Assay (BPS Bioscience, #50222) Assay Condition: The following assay concentrations and times were used: 3 ng BCL-2, 5ul of 1:100 anti-His Tb-labeled donor, 5ul of 1:100 Dye-labeled acceptor, 5ul of 1:40 BCL-2 Peptide Ligand, and 2ul of test compound, with 60 min incubation time. The results of the assay were read using a Clariostar (BMG Labtech) plate reader with the following parameters: TR FRET, 340ex / 620 and 665em; 60 µsec Delay; and 500 µsec integration.Eil.23.0003

[0315] BCL-XL TR-FRET Assay (BPS Bioscience, #50223) Assay Condition: The following assay concentrations and times were used: 10.5 ng BCL-XL, 5ul of 1:100 anti-His Tb-labeled donor, 5ul of 1:100 Dye-labeled acceptor, 5ul of 1:80 BCL-XL Peptide Ligand, and 2ul of test compound, with 60 min incubation time. The results of the assay were read using a Clariostar (BMG Labtech) plate reader with the following parameters: TR FRET, 340ex / 620 and 665em; 60 µsec Delay; and 500 µsec integration.

[0316] MCL-1 TR-FRET Assay (BPS Bioscience, #79506) Assay Condition: The following assay concentrations and times were used: 10 ng MCL-1, 5ul of 1:200 anti-His Tb-labeled donor, 5ul of 1:200 Dye-labeled acceptor, 5ul of 1:10 MCL-1 Peptide Ligand, and 2ul of test compound, with 60 min incubation time. The results of the assay were read using a Clariostar (BMG Labtech) plate reader with the following parameters: TR FRET, 340ex / 620 and 665em; 60 µsec Delay; and 500 µsec integration.

[0317] Table A assigns a code for potency for BCL-2 TR-FRET Assay: A, B, C, or D. According to the code, A represents an IC50value ≤5 nM; B represents IC50>5 nM and ≤10 nM; C represents IC50>10 nM and ≤50 nM D represents IC50>50 nM.

[0318] Table A assigns a code for potency for BCL-XL TR-FRET Assay: A, B, or C. According to the code, A represents IC50value ≤2,000 nM; B represents IC50values >2,000 nM and ≤4,000 nM; C represents IC50 values >4,000 nM. Table A. Primary PPI inhibition Table A. Primary PPI inhibition Compound BCL2 BCLxLEil.23.0003 Compound BCL2 BCLxL No.Eil.23.0003 Compound BCL2 BCLxL No.Eil.23.0003 Compound BCL2 BCLxL No. Example 14. Cell Viabili, , MOLT-4)

[0319] Assay Condition: Used culture medium for HEK293 – DMEM (PanEco, Cat# С420), for the rest of the cell lines - culture medium RPMI-1640 (PanEco, Cat# С363).

[0320] Assay Procedure: Compounds were prepared as 200x stocks with serial dilution in 100% DMSO with a final concentration of 1x. Dispersed 40 μl in 384-well plates at a concentration of 2000 cells per well for HEK293 and at a concentration of 4000 cells per well for the rest of the cell lines using a robotic station Biomek (Beckman). Before adding compounds, the cells were incubated at 37 °C (HEK293 were incubated for a day before adding compounds).

[0321] A dilution plate was prepared by pouring 78 μl of the appropriate culture medium using a robotic station Biomek (Beckman). Sequentially, using a robotic station, 2 μl of substances were taken and added to 78 μl of culture medium (dilution of compounds 40x). Took from there 10 μl and added to the plates to the cells (dilution of compounds 5x). The plates were incubated for 3Eil.23.0003 days at a temperature 37°С. After 3 days, 10 μl of CellTiter-Glo (Promega) was added to the cells and the luminescence was measured.

[0322] Table B assigns a code for potency for RS4-11 Assay: A, B, or C. According to the code, A represents an CC50value ≤0.1 µM; B represents CC50>0.1 µM and ≤0.2 µM; C represents CC50>0.2 µM.

[0323] Table B assigns a code for potency for MOLT-4 Assay: A, B, or C. According to the code, A represents an CC50 value ≤2 µM; B represents CC50>2 µM and ≤10 µM; C represents CC50>10 µM.

[0324] Table B assigns a code for potency for HEK293 Assay: A, B, or C. According to the code, A represents an CC50 value ≤10 µM; B represents CC50>10 µM and ≤25 µM; C represents CC50>25 µM. Table B. Cellular models efficacy and cytotoxicity. Compound RS4-11 MOLT-4 HEK293Eil.23.0003 Compound RS4-11 MOLT-4 HEK293 No.Eil.23.0003 Compound RS4-11 MOLT-4 HEK293 No.Example 15. Cas-3 / 7 activationEil.23.0003

[0325] Assay Principle: The Caspase-Glo 3 / 7 Assay is homogeneous, luminescent assay that measures caspase-3 and -7 activities. The assay provides a luminogenic caspase-3 / 7 substrate, which contains the tetrapeptide sequence DEVD, in a reagent optimized for caspase activity.

[0326] Assay Procedure: Incubate RS4-11 cells with varying concentrations of test compounds for 3.5 h in a humidified incubator at 37oC and 5 % CO2 and 30 min at r.t. Add 15 µl Caspase- Glo reagent to each well and incubate the plate for 30 min at r.t. Read on ClarioStar Plus instrument.

[0327] Materials: Promega Caspase-Glo (Promega, #8212); Frozen RS4-11 cells; 384-well white plate (Corning, #3570).

[0328] Instrumentation: ClarioStar Plus; Biomek FX for liquid handling (Beckman Coulter).

[0329] Table C assigns a code for potency for Cas-3 / 7 Assay: A, B, or C. According to the code, A represents an EC50 value ≤0.1 µM; B represents EC50>0.1 µM and ≤0.25 µM; C represents EC50>0.25 µM. Table C. Caspase-3 / 7 activation. Compound No. Cas-3 / 7Eil.23.0003 Compound No. Cas-3 / 7 30 CEil.23.0003 Compound No. Cas-3 / 7 61 CEquivalents

[0330] Those skilled in the art will recognize, or be able to ascertain, using no more than routine experimentation, numerous equivalents to the specific embodiments described specifically herein. Such equivalents are intended to be encompassed in the scope of the following claims.

Claims

Eil.23.0003 What is claimed is:

1. A compound of Formula (I): , andthereof, wherein: X is selected from N and CH; L is selected from bond, C1–C6alkylenyl, C2–C6alkenylenyl, C2–C6alkynylenyl, –C(O)– , –C(O)O–, –C(O)NRL–, –NRL–, and –O–; RL is selected from H and C1–C3 alkyl; R1 is selected from C1–C6 alkyl, –N(R6)2, C3–C10 cycloalkyl, aryl, 3- to 10-membered heterocyclyl, and heteroaryl, wherein the alkyl, cycloalkyl, aryl, heterocyclyl, and heteroaryl are optionally substituted with one or more R6, wherein when R1is –N(R6)2, then L is not –NRL– or – O–; R2 is selected from C3–C10 cycloalkyl, C3–C10 cycloalkenyl, aryl, 3- to 15-membered heterocyclyl, and heteroaryl, wherein the cycloalkyl, cycloalkenyl, aryl, heterocyclyl, and heteroaryl are optionally substituted with one or more R7; R3 is selected from H, C1–C6 alkyl, and aryl, wherein the aryl is optionally substituted with one or more R8; or R2and R3, together with the atom to which they are attached, come together to form C6– C16 aryl optionally substituted with one or more R7; R4is selected from H and –OH; R5is selected from aryl and 5- to 10-membered heteroaryl, wherein the aryl or heteroaryl is optionally substituted with one or more R9;Eil.23.0003 each R6is independently selected from halogen, C1–C6alkyl, C2–C6alkenyl, C2–C6alkynyl, C1–C6 alkoxy, C1–C6 haloalkyl, C1–C6 haloalkoxy, –OR15, oxo, –CN, –C(O)R12, – C(O)N(R12)2, –(CH2)oOR12, –N(R12)2, –NHC(O)R12, –NHS(O)2R12, –S(O)2N(R12)2, –S(O)2R12, C3–C10cycloalkyl, aryl, 3- to 10-membered heterocyclyl, and heteroaryl, wherein the alkyl, alkoxy, alkenyl, alkynyl, aryl, cycloalkyl, heteroaryl, and heterocyclyl is optionally substituted with one or more halogen, C1–C6 alkyl, C2–C6 alkenyl, C2–C6 alkynyl, C1–C6 alkoxy, C1–C6 haloalkyl, C1–C6haloalkoxy, amino, alkylamino, dialkylamino, –OH, oxo, –CN, C3–C10cycloalkyl, aryl, 3- to 10-membered heterocyclyl, and heteroaryl; each R7 is independently selected from halogen, C1–C6 alkyl, C1–C6 haloalkyl, –OH, oxo, –C(O)R10, aryl, and heteroaryl, wherein the aryl and heteroaryl are optionally substituted with one or more R11; each R8 is independently selected from halogen, C1–C6 alkyl, and –OH; each R9 is independently selected from halogen, C1–C6 alkyl, C2–C6 alkenyl, C2–C6 alkynyl, C1–C6haloalkyl, –CN, –C(O)N(R12)2, –C(O)OR12, –(CH2)oOR12, –OH, oxo, –N(R12)2, – NHC(O)R12, –NHS(O)2R12, and –S(O)2N(R12)2; each R10 is independently selected from C1–C6 alkyl, C1–C6 haloalkyl, –(CH2)p–N(R13)2, C3–C10cycloalkyl, aryl, 3- to 10-membered heterocyclyl, and heteroaryl, wherein the cycloalkyl, aryl, heterocyclyl, and heteroaryl are optionally substituted with one or more R14; each R11 is independently selected from halogen, C1–C6 alkyl, C2–C6 alkenyl, C2–C6 alkynyl, C1–C6alkoxy, C1–C6haloalkyl, C1–C6haloalkoxy, C3–C10cycloalkyl, –OR15, aryl, 3- to 10-membered heterocyclyl, and heteroaryl; each R12 is independently selected from H, halogen, C1–C6 alkyl, C2–C6 alkenyl, C2–C6 alkynyl, C1–C6 alkoxy, C1–C6 haloalkyl, C1–C6 haloalkoxy, C3–C10 cycloalkyl, aryl, 3- to 10- membered heterocyclyl, and heteroaryl; each R13 is selected from H, halogen, C1–C6 alkyl, C2–C6 alkenyl, C2–C6 alkynyl, C1–C6 alkoxy, C1–C6 haloalkyl, C1–C6 haloalkoxy, C3–C10 cycloalkyl, aryl, 3- to 10-membered heterocyclyl, and heteroaryl;Eil.23.0003 each R14is selected from halogen, C1–C6alkyl, C2–C6alkenyl, C2–C6alkynyl, C1–C6alkoxy, C1–C6 haloalkyl, C1–C6 haloalkoxy, C3–C10 cycloalkyl, aryl, 3- to 10-membered heterocyclyl, and heteroaryl; each R15is independently selected from halogen, C1–C6alkyl, C2–C6alkenyl, C2–C6alkynyl, C1–C6 alkoxy, C1–C6 haloalkyl, C1–C6 haloalkoxy, C3–C10 cycloalkyl, –(CH2)q–aryl, 3- to 10-membered heterocyclyl, and heteroaryl; and each n, o, p, and q is an integer independently selected from 0, 1, and 2.

2. The compound of claim 1, wherein Formula (I) is a compound of Formula (I-A): ,or tautomer thereof, wherein X’ is selected from N and CH; W is selected from H, –OH, –N(R12)2, and –NHC(O)R12; Y is selected from H, halogen, C1–C6alkyl, C2–C6alkenyl, C2–C6alkynyl, C1–C6haloalkyl, and –CN; or W and Y, together with the atoms to which they are attached, come together to form 5- or 6-membered heteroaryl; r is an integer selected from 0, 1, 2, 3, 4, and 5.

3. The compound of claim 2, wherein Formula (I) is a compound of Formula (I-A-1), (I-A- 2), or (I-A-3):Eil.23.0003 ; or ;4. The compound of claim 1, wherein Formula (I) is a compound of Formula (I-B-1) or (I- B-2):Eil.23.0003 or ;5. The compound of claim 1, wherein Formula (I) is a compound of Formula (I-C-1) or (I-C- 2): or ; or a6. The compound of claim 1, wherein Formula (I) is a compound of Formula (I-D-1), (I-D- 2), (I-D-3), (I-D-4), (I-D-5), (I-D-6), or (I-D-7):Eil.23.0003 ; ; ;Eil.23.0003 5); 7);wherein X’ is selected from N and CH, and r, s, and t are integers each independently, at each occurrence, selected from 0, 1, 2, 3, 4, and 5.

7. The compound of claim 1, wherein Formula (I) is a compound of Formula (I-E-1), (I-E- 2), (I-E-3), (I-E-4), (I-E-5), (I-E-6), (I-E-7), (I-E-8), (I-E-9), or (I-E-10):Eil.23.0003 OR5R4O ; ; 4); ;Eil.23.0003 OR5O 8);Eil.23.0003 ;wherein X’ is selected from N and CH, and r, u, and v are integers, at each occurrence, each independently selected from 0, 1, 2, 3, 4, and 5.

8. The compound of claim 1, wherein Formula (I) is a compound of Formula (I-F-1), (I-F- 2), (I-F-3), (I-F-4), (I-F-5), (I-F-6), (I-F-7), (I-F-8), or (I-F-9): ; 2);Eil.23.0003 ;Eil.23.0003 9);X’ is selected from N and CH, r, w, and t are integers, at each occurrence, each independentlyEil.23.0003 selected from 0, 1, 2, 3, 4, and 5, and Ring A is selected from C3–C10cycloalkyl, aryl, 3- to 10- membered heterocyclyl, and heteroaryl.

9. The compound of claim 1, wherein Formula (I) is a compound of Formula (I-G-1), (I-G- 2), (I-G-3), or (I-G-4): or or a10. The compound of claim 1, wherein Formula (I) is a compound of Formula (I-H-1), (I-H- 2), or (I-H-3):Eil.23.0003 , or , or a integerare as 11. The compound of claim 1, wherein Formula (I) is a compound of Formula (I-J-1): 1), or ais an integer selected from 0, 1, 2 and 3; and all other variables are as described herein.Eil.23.0003 12. A compound selected from: Compound Structure Name No -oxo- ethyl]- 4- nyl-2- n-5- an-4- nyl-4- - hyl]-1- 2,3- ide hyl- hyl]-1- - nyl-2- n-5- razin- nyl-2- n-5-Eil.23.0003 4-[4-[[(3S)-2- (cyclopropanecarbonyl)-3,4- 3- N-[3- -4- nyl-2- n-5- an-4- nyl-2- n-5- e-2- H- erazin- nyl- itro-4- nyl-2- n-5- l)-3,4- 3- N-[3- -4- nyl-2- n-5-Eil.23.0003 4-[4-[[1-(5-chloro-3-pyridyl)-3- -2- -[3- -4- nyl-2- -5- -oxo- ethyl]- loxy)- an-4- onyl- l)-2- razin- nyl-2- -5- nyl- 1H- -4- onyl- l)-2- -N-[3- -4- nyl-2- -5-Eil.23.0003 4-[4-[(4-chlorophenyl)-phenyl- (1H- o-4- fonyl- zin-1- N-[3- -4- fonyl- zin-1- N-[3- -4- fonyl- -yl)-N- an-4- onyl-2- n-5-Eil.23.0003 H N -nitro- onyl-4- eca- - -yl)-2- itro-4- fonyl- 3,4- -3- N-[3- -4- onyl-2- n-5- ine-3- H- erazin- onyl-2- n-5-Eil.23.0003 4-[4-[[6-chloro-2- (cyclopropanecarbonyl)-3,4- dihydro-1H-isoquinolin-3- -N-[3- n-4- fonyl-2- in-5- nyl)-7- H- perazin- fonyl-2- in-5- bonyl)- lo[4,5- -N-[3- n-4- fonyl-2- in-5- ne-3- 1H- perazin- fonyl-2- in-5-Eil.23.0003 l)-3- 2- -(3- itro- l-5- n-4- yl-4- yl]-1- ,3- ide enyl)- n-1- yran- onyl- n-5- enyl)- n-1- yran- onyl- n-5-Eil.23.0003 enyl)- idin- N-[3- 4- nyl-2- -5- enyl)- 1- -[3- 4- nyl-2- -5- (1H- e ,4- 3- -[3- 4- nyl-2- -5-Eil.23.0003 N-[3-nitro-4-(tetrahydropyran-4- onyl-2- n-5- hene-2- H- erazin- phene- 1H- erazin- onyl-2- n-5- ran-4- onyl-2- n-5- hene-3- H- erazin- ydro- N-[3- -4- onyl-2- n-5-Eil.23.0003 - hyl]- - nyl-2- -5- - hyl]- - nyl-2- -5- 2- dro- -[3- 4- nyl-2- -5-Eil.23.0003 N-[3-nitro-4-(tetrahydropyran-4- onyl-4- -1H- ]-1- [2,3- mide - 3,4- -3- N-[3- -4- onyl-2- n-5- )-2- erazin- onyl-2- n-5- zepan- N-[3- -4- onyl-2- n-5- (2- ydro- N-[3- -4- onyl-2- n-5-Eil.23.0003 N-[3-nitro-4-(tetrahydropyran-4- ylmethylamino)phenyl]sulfonyl-2- -5- '- -1- -1- yl]-N- n-4- nyl-2- -5- 2- dro- N-[3- 4- nyl-2- -5- uoro- n-3- N-[3- 4- nyl-2- -5- uoro- n-3- N-[3- 4- nyl-2- -5-Eil.23.0003 4-[4-[[2-(4- chlorophenyl)imidazo[4,5- b] ridin-3- l]mth l]-1- - nyl-2- n-5- -4- in-1- pyran- fonyl- in-5- -5- in-1- pyran- fonyl- in-5- lohex- 1-yl]- an-4- nyl-2- n-5-Eil.23.0003 4-[4-[[(1R,4R,5R)-4-(4- 3- -3- -[3- -4- nyl-2- -5- -oxo- -2- -[3- -4- nyl-2- -5- 2- dro- N-[3- -4- nyl-2- -5- n-3- N-[3- -4- nyl-2- -5-Eil.23.0003 N-[3-nitro-4-(tetrahydropyran-4- l th l i h l lfonyl-2- n-5- ene-3- H- erazin- lohex- -1-yl]- ran-4- nyl-2- n-5- )-1- yl]-N- -nitro- - - )-1- yl]-2- tro-4- onyl-Eil.23.0003 )-1- yl]-N- n-3- -(1H- 5- )-1- yl]-2- - -4- fonyl- )-1- yl]-2- n-4- fonyl- yl)-4- N-[3- -4- onyl-2- n-5-Eil.23.0003 en-1- N-[3- n-4- onyl-2- n-5- -(4- - ]-N-[3- n-4- onyl-2- n-5- [(4- pentyl]- 3-nitro- - onyl-2- n-5- 3- -1-yl]- ran-4- onyl-2- n-5- clohex- -1-yl]- ran-4- onyl-2- n-5-Eil.23.0003 4-[4-[[(2S,3R)-2-(4- xo-3- 1-yl]- an-4- nyl-2- -5- -1- yl]-N- no)-3- H- - -4- in-1- pyran- fonyl- n-5- enyl)- n-1- N-[3- 4- nyl-2- -5-Eil.23.0003 4-[4-[[(1R,6R)-6-(4- chlorophenyl)-3-oxo-norcaran-1- N-[3- -4- onyl-2- n-5- ran-4- onyl-4- -3- H- erazin- yridin- )-1- yl]-N- ino]-3- 1H- 5- )-3- N-[3- -4- onyl-2- n-5-Eil.23.0003 4-[4-[[(2S)-1-(4-chlorophenyl)- 2- N-[3- -4- onyl-2- n-5- - -3- n-3- -[3- -4- onyl-2- n-5- yl)-1- yl]-2- xy-N- no)-3- amide yl)-1- yl]-2- 3- -4- fonyl- yl)-1- yl]-2- 3- -nitro- ideEil.23.0003 4-[4-[[(2S)-2-(4-chlorophenyl)-1- i rid l]m th l]-1- i ridyl]-2- nitro- de l)-1- l]-2- 4- nyl-13. A pharmaceutical composition comprising the compound and pharmaceutically acceptable salts, prodrugs, solvates, hydrates, isomers, or tautomers thereof of any one of claim 1, and a pharmaceutically acceptable carrier.

14. The pharmaceutical composition of claim 13, further comprising an additional pharmaceutically active agent.

15. A method of inhibiting BCL-2, comprising of administering to a subject in need of a treatment for cancer a compound of claim 1.

16. A method of treating a disease or disorder associated with the inhibition of BCL-2, comprising of administering to a subject in need of a treatment for cancer a compound of claim 1.

17. A method of treating cancer, comprising of administering to a subject in need of a treatment for cancer a compound of claim 1.

18. The method of claim 17, wherein the cancer is selected from bladder cancer, bone cancer, brain cancer, breast cancer, cardiac cancer, cervical cancer, colon cancer, colorectal cancer, esophageal cancer, fibrosarcoma, gastric cancer, gastrointestinal cancer, head, spine and neck cancer, Kaposi's sarcoma, kidney cancer, leukemia, liver cancer, lymphoma, melanoma, multiple myeloma, pancreatic cancer, penile cancer, testicular germ cell cancer, thymoma carcinoma, thymic carcinoma, lung cancer, ovarian cancer, prostate cancer, marginal zone lymphoma (MZL),Eil.23.0003 follicular lymphoma (FL), diffuse large B-cell lymphoma (DLBCL) and chronic lymphocytic leukemia / small lymphocytic lymphoma (CLL / SLL).

19. The method of claim 18, wherein the cancer is selected from marginal zone lymphoma (MZL), follicular lymphoma (FL), diffuse large B-cell lymphoma (DLBCL) and chronic lymphocytic leukemia / small lymphocytic lymphoma (CLL / SLL).

20. The method of claim 15, wherein the subject is a mammal.

21. The method of claim 20, wherein the subject is a human.

22. The method of claim 15, wherein the BCL-2 protein is Isoform 1.

23. The method of claim 15, wherein the BCL-2 protein is Isoform 2.

Citation Information

Patent Citations

  • Apoptosis inducing agents for the treatment of cancer and immune and autoimmune diseases

    US20100305122A1

  • BCL-2 inhibitors

    US20210269433A1

  • Compounds having ((3-nitrophenyl)sulfonyl)acetamide as BCL-2 inhibitors

    US20220306625A1