Compounds having activity as modulators of
AMPK are provided. The compounds have Structure (I), (II), (III), or (IV): (I) (II) (III) (IV) or a pharmaceutically acceptable salt, stereoisomer, or
tautomer thereof, wherein R1a, R2, R3, W, X, Y, R4, R5, R6, X1, X2, X3, n, R8, R9, R10a, R10b, X4, ring A, R11, R12, R13a, R13b, and X5 are as defined herein. Methods associated with preparation and use of such compounds, pharmaceutical compositions comprising such compounds and methods to modulate the activity of
AMPK are also provided.