TW202342014A - 1,3-benzodioxole derivatives - Google Patents

1,3-benzodioxole derivatives Download PDF

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TW202342014A
TW202342014A TW112104838A TW112104838A TW202342014A TW 202342014 A TW202342014 A TW 202342014A TW 112104838 A TW112104838 A TW 112104838A TW 112104838 A TW112104838 A TW 112104838A TW 202342014 A TW202342014 A TW 202342014A
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methyl
alkyl
oxetan
fluorophenyl
dioxolane
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馬丁 艾倫
馬修 卡森
湯瑪斯 卡亞
提茲那 法茲
特洛伊 史密斯
連勝 蘇
麗華 楊
張萍
錢明
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瑞士商諾華公司
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Abstract

The present invention relates to compounds of formula (I):

Description

1,3-苯并二氧戊環衍生物1,3-Benzodioxolane derivatives

本發明關於1,3-苯并二氧戊環衍生物、其製備、包含其的藥物組成物以及其在治療可藉由活化類升糖素肽1受體(GLP1R)治療的病症、疾病和障礙中之用途。The present invention relates to 1,3-benzodioxolane derivatives, their preparation, pharmaceutical compositions containing them and their use in the treatment of conditions, diseases and Use in Obstacles.

類升糖素肽1受體(GLP1R)屬於G蛋白偶聯受體(GPCR)的B1家族並且在包括胰腺、心臟、腸道和腦的許多組織中都有表現(Kieffer T. J.和Habener, J. F. Endocrin.Rev [內分泌評論]. 20:876-913 (1999);Drucker, D. J., Endocrinology [內分泌學] 142:521-7 (2001);Hoist, J. J., Diabetes Metab. Res. Rev. [糖尿病代謝研究與評論] 18:430-41 (2002);Regard J.B., Cell [細胞] 135:561-71 (2008))。GLP1R天然促效劑配體係GLP-1(7-36,30 aa)和胃泌酸調節素(OXM,37 aa),兩者均衍生自升糖素原。活化後,GLP1R與G αs蛋白偶聯,隨後腺苷酸環化酶活化且細胞內cAMP水平升高,從而增強作用於胰腺β細胞的葡萄糖刺激的胰島素分泌。因此,GLP1R係降低糖尿病患者血糖的有吸引力的治療性靶標。正在開發若干種GLP1R促效劑肽(例如,利拉魯肽(liraglutide)、阿必魯肽(albiglutide)、艾塞那肽(exenatide)、利西拉肽(lixisenatide)、度拉糖肽(dulaglutide)、索馬魯肽(semaglutide))以治療患有糖尿病、NASH和/或肥胖症的患者。 The glucagon-like peptide 1 receptor (GLP1R) belongs to the B1 family of G protein-coupled receptors (GPCRs) and is expressed in many tissues including the pancreas, heart, intestine, and brain (Kieffer TJ and Habener, JF Endocrin .Rev [Endocrinology Reviews]. 20:876-913 (1999); Drucker, DJ, Endocrinology [Endocrinology] 142:521-7 (2001); Hoist, JJ, Diabetes Metab. Res. Rev. [Diabetes Metab. Reviews] 18:430-41 (2002); Regard JB, Cell 135:561-71 (2008)). The GLP1R natural agonist ligands GLP-1 (7-36, 30 aa) and oxyntomodulin (OXM, 37 aa), both derived from proglucagon. Upon activation, GLP1R couples to G αs protein, followed by adenylyl cyclase activation and increased intracellular cAMP levels, thereby enhancing glucose-stimulated insulin secretion in pancreatic β-cells. Therefore, GLP1R is an attractive therapeutic target for lowering blood glucose in diabetic patients. Several GLP1R agonist peptides are under development (e.g., liraglutide, albiglutide, exenatide, lixisenatide, dulaglutide ), semaglutide) to treat patients with diabetes, NASH, and/or obesity.

肥胖症係現代社會中高度流行的慢性疾病,並與許多合併症相關,該等合併症包括高血壓、高膽固醇血症和冠心病。其進一步與2型糖尿病(T2DM)和胰島素抗性高度相關,其中後者通常伴有高胰島素血症或高血糖、或兩者。此外,T2DM與冠狀動脈疾病的風險增加兩倍至四倍相關。目前,最有效的肥胖症治療係肥胖症治療外科手術,然而,這對患者來說既昂貴又具有風險。因此,肥胖症治療外科手術的藥理學替代係有吸引力的替代方案。即便如此,用於治療肥胖症的藥理學干預已證明不如肥胖症治療外科手術有效,並且也與副作用相關。在已上市的GLP1R促效劑肽中,利拉魯肽已被批准為用於肥胖症的每日一次的治療。索馬魯肽目前作為用於肥胖症的每週一次的治療正處於3期臨床試驗中。目前,對於因胰島素抗性而不能利用抗糖尿病藥和/或胰島素維持正常的血糖控制的成人的2型糖尿病的緩解,無獲批的藥物療法,並且對於射血分數保留的心臟衰竭(HFpEF),無獲批的藥物療法。替代性地,GLP1R促效劑可以是用於T2DM緩解的有效療法。GLP1R受體促效劑可降低慢性HFpEF患者的心血管死亡和住院的風險。Obesity is a highly prevalent chronic disease in modern society and is associated with many comorbidities, including hypertension, hypercholesterolemia, and coronary heart disease. It is further highly associated with type 2 diabetes mellitus (T2DM) and insulin resistance, the latter of which is often accompanied by hyperinsulinemia or hyperglycemia, or both. Additionally, T2DM is associated with a twofold to fourfold increased risk of coronary artery disease. Currently, the most effective treatment for obesity is bariatric surgery, however, this is expensive and risky for patients. Therefore, pharmacological alternatives to surgery for obesity treatment are attractive alternatives. Even so, pharmacological interventions used to treat obesity have proven less effective than surgical obesity treatments and are also associated with side effects. Among the marketed GLP1R agonist peptides, liraglutide has been approved as a once-daily treatment for obesity. Semaglutide is currently in Phase 3 clinical trials as a once-weekly treatment for obesity. Currently, there are no approved pharmacologic therapies for the remission of type 2 diabetes in adults who are unable to maintain normal glycemic control with antidiabetic agents and/or insulin due to insulin resistance, and for heart failure with preserved ejection fraction (HFpEF) , there are no approved drug treatments. Alternatively, GLP1R agonists may be effective therapies for T2DM remission. GLP1R receptor agonists reduce the risk of cardiovascular death and hospitalization in patients with chronic HFpEF.

因此,代謝失調潛在地可以用GLP1R的小分子促效劑治療。Therefore, metabolic disorders can potentially be treated with small molecule agonists of GLP1R.

本發明尤其提供了具有式 (I) 的化合物: 或其藥學上可接受的鹽,其中組分成員係如本文所定義的。 In particular, the present invention provides compounds of formula (I): or a pharmaceutically acceptable salt thereof, wherein the component members are as defined herein.

如本文所定義的,具有式 (I) 的化合物及其藥學上可接受的鹽係GLP1R促效劑。因此,該等化合物可用於治療代謝疾病、障礙和病症,如肥胖症、2型糖尿病、胰島素抗性、高胰島素血症、葡萄糖耐受不良、高血糖、一種或多種糖尿病併發症(包括但不限於慢性腎臟疾病)、糖尿病腎病、血脂異常和心血管疾病。該等化合物還可用於治療進行性肝病和神經病變。As defined herein, compounds of formula (I) and pharmaceutically acceptable salts thereof are GLP1R agonists. Accordingly, the compounds are useful in the treatment of metabolic diseases, disorders and conditions, such as obesity, type 2 diabetes, insulin resistance, hyperinsulinemia, glucose intolerance, hyperglycemia, one or more complications of diabetes, including but not Limited to chronic kidney disease), diabetic nephropathy, dyslipidemia, and cardiovascular disease. The compounds may also be used to treat progressive liver disease and neuropathy.

本文還提供了藥物組成物,該等藥物組成物包含具有式 (I) 的化合物或其藥學上可接受的鹽、以及一種或多種藥學上可接受的載劑。Also provided herein are pharmaceutical compositions comprising a compound of formula (I) or a pharmaceutically acceptable salt thereof, and one or more pharmaceutically acceptable carriers.

本文提供了激動或活化類升糖素肽1受體(GLP1R)之方法,所述方法包括使該GLP1R與具有式 (I) 的化合物或其藥學上可接受的鹽接觸。Provided herein are methods of agonizing or activating the glucagon-like peptide 1 receptor (GLP1R), comprising contacting the GLP1R with a compound of formula (I) or a pharmaceutically acceptable salt thereof.

本文提供了治療、預防、或改善可藉由活化或激動患者中的GLP1R治療的病症、疾病、或障礙之方法,所述方法包括向該患者施用(例如治療有效量的)具有式 (I) 的化合物或其藥學上可接受的鹽。Provided herein are methods of treating, preventing, or ameliorating a condition, disease, or disorder treatable by activating or agonizing GLP1R in a patient, comprising administering to the patient (e.g., a therapeutically effective amount of) a compound of Formula (I) compound or a pharmaceutically acceptable salt thereof.

本文提供了治療、預防、或改善患者中疾病、障礙、或病症之方法,該等疾病、障礙、或病症選自代謝和相關的障礙,包括肥胖症和2型糖尿病、心血管疾病如心臟衰竭(例如射血分數保留的心臟衰竭(HFpEF))、和非酒精性脂肪性肝炎(NASH),所述方法包括向該患者施用(例如治療有效量的)具有式 (I) 的化合物或其藥學上可接受的鹽。Provided herein are methods of treating, preventing, or ameliorating a disease, disorder, or condition in a patient selected from the group consisting of metabolic and related disorders, including obesity and type 2 diabetes, cardiovascular disease, such as heart failure (e.g., heart failure with preserved ejection fraction (HFpEF)), and non-alcoholic steatohepatitis (NASH), the method comprising administering (e.g., a therapeutically effective amount) of a compound of formula (I) or a pharmaceutical thereof to the patient. with an acceptable salt.

本文還提供了具有式 (I) 的化合物或其藥學上可接受的鹽,用於在本文所述之任一方法中使用。Also provided herein are compounds of formula (I), or pharmaceutically acceptable salts thereof, for use in any of the methods described herein.

本文還提供了具有式 (I) 的化合物或其藥學上可接受的鹽用於製備藥物之用途,該藥物用於在本文所述之任一方法中使用。Also provided herein is the use of a compound of formula (I) or a pharmaceutically acceptable salt thereof for the preparation of a medicament for use in any of the methods described herein.

本發明的化合物可以展現出有利的ADME(吸收、分佈、代謝和排泄)特性,例如, 體內暴露(特別地,當口服給藥時),例如,如藉由測量某些藥物動力學參數如血漿中最高濃度(C max)和/或總暴露(曲線下面積(AUC)值)而展示的。 The compounds of the invention may exhibit favorable ADME (absorption, distribution, metabolism and excretion) properties, e.g., in vivo exposure (in particular, when administered orally), e.g., by measuring certain pharmacokinetic parameters such as plasma It is presented for the highest concentration (C max ) and/or total exposure (area under the curve (AUC) value).

本文描述了本發明的各個方面和實施方式。將認識到的是,為了清楚(和/或簡潔),在單獨的實施方式的上下文中指定了某些特徵,然而,此類實施方式可以與其他指定的特徵組合(例如,以任何合適的子組合)以提供本發明的另外的實施方式。Various aspects and embodiments of the invention are described herein. It will be appreciated that, for clarity (and/or brevity), certain features are specified in the context of individual embodiments, however, such embodiments may be combined with other specified features (e.g., in any suitable sub- combination) to provide additional embodiments of the invention.

取代基的定義適用於本文提供的具有任何式,例如式 (Ia)、(II)、(IIa)、(III)、(IIIa)、(IIIb)、(IV)、(IVa)、(IVb)、(V)、(Va) 和 (Vb) 的化合物(視情況而定)。取代基的定義適用於最終產物以及相應的中間體(視情況而定)。The definitions of substituents apply to substituents provided herein having any formula, for example, formula (Ia), (II), (IIa), (III), (IIIa), (IIIb), (IV), (IVa), (IVb) , (V), (Va) and (Vb) compounds (as appropriate). The definition of substituents applies to the final product as well as to the corresponding intermediates (as appropriate).

在一方面,本文提供了具有式 (I) 的化合物: (I), 或其藥學上可接受的鹽,其中, 係單鍵或雙鍵; , 其中 指示與該分子的其餘部分的附接點; W係O或CH 2; X係O或CH 2; R 1和R 2各自獨立地選自H、C 1-3-烷基、鹵素和CN; R 3選自H和C 1-3-烷基; R 4(a) 選自H、C 1-6-烷基、C 2-6烯基、C 2-6炔基、C 3-6-環烷基、4-10員雜環烷基、苯基、C 3-6-環烷基-C 1-3-烷基-、(4-10員雜環烷基)-C 1-3-烷基-、苯基-C 1-3-烷基-、鹵素、CN、NO 2、OR 4a、SR 4a、C(O)R 4b、C(O)NR 4cR 4d、C(O)NR 4c(OR 4a)、C(O)NR 4c(S(O) 2R 4b)、C(O)NR 4c(S(O) 2NR 4cR 4d)、NR 4cOR 4a、NR 4cR 4d、NR 4c(C(O)R 4b)、NR 4c(C(O)OR 4a)、N(OR 4a)(C(O)R 4b)、NR 4c(C(O)NR 4cR 4d)、NR 4c(C(O)NR 4c(C(O)R 4b))、NR 4c(S(O) 2R 4b)、NR 4c(S(O) 2NR 4cR 4d)、NR 4c(C(O)NR 4c(S(O) 2R 4b))、OC(O)R 4b、OC(O)NR 4cR 4d、ONR 4c(C(O)R 4b)、OS(O) 2R 4b、OP(O)(OR 4e)(OR 4f)、S(O)OR 4a、S(O)R 4b、S(O) 2R 4b、S(O) 2NR 4cR 4d、S(O) 2OR 4a、S(=NR 4g)(O)R 4b、S(=NR 4g)(O)NR 4cNR 4d、P(O)(OR 4e)(OR 4f)、和P(O)(OR 4e)(R 4f),其中R 4的C 1-6-烷基、C 2-6烯基、C 2-6炔基、C 3-6-環烷基、4-10員雜環烷基、苯基、C 3-6-環烷基-C 1-3-烷基-、(4-10員雜環烷基)-C 1-3-烷基-、和苯基-C 1-3-烷基-各自視需要被1、2、或3個獨立地選自以下的基團取代:鹵素、CN、NO 2、OR 4A、SR 4A、C(O)R 4B、C(O)NR 4CR 4D、C(O)NR 4C(OR 4A)、C(O)NR 4C(S(O) 2R 4B)、C(O)NR 4C(S(O) 2NR 4CR 4D)、NR 4COR 4A、NR 4CR 4D、NR 4C(C(O)R 4B)、NR 4C(C(O)OR 4A)、N(OR 4A)(C(O)R 4B)、NR 4C(C(O)NR 4CR 4D)、NR 4C(C(O)NR 4C(C(O)R 4B))、NR 4C(S(O) 2R 4B)、NR 4C(S(O) 2NR 4CR 4D)、NR 4C(C(O)NR 4C(S(O) 2R 4B))、OC(O)R 4B、OC(O)NR 4CR 4D、ONR 4C(C(O)R 4B)、OS(O) 2R 4B、OP(O)(OR 4E)(OR 4F)、S(O)OR 4A、S(O)R 4B、S(O) 2R 4B、S(O) 2NR 4CR 4D、S(O) 2OR 4A、S(=NR 4G)(O)R 4B、S(=NR 4G)(O)NR 4CNR 4D、P(O)(OR 4E)(OR 4F)、和P(O)(OR 4E)(R 4F),或者 R 4係 (b) 5-10員雜芳基或(5-10員雜芳基)-C 1-3-烷基-,其中該5-10員雜芳基和(5-10員雜芳基)-C 1-3-烷基-各自被C(O)OR 4A或被羧酸電子等排體並且視需要被1、2、或3個獨立地選自以下的基團取代:鹵素,CN,NO 2,OR 4A,SR 4A,C 1-3-烷基,被1、2或3個鹵素取代的C 1-3-烷基,C(O)R 4B,C(O)NR 4CR 4D,C(O)NR 4C(OR 4A),C(O)NR 4C(S(O) 2R 4B),C(O)NR 4C(S(O) 2NR 4CR 4D),NR 4COR 4A,NR 4CR 4D,NR 4C(C(O)R 4B),NR 4C(C(O)OR 4A),N(OR 4A)(C(O)R 4B),NR 4C(C(O)NR 4CR 4D),NR 4C(C(O)NR 4C(C(O)R 4B)),NR 4C(S(O) 2R 4B),NR 4C(S(O) 2NR 4CR 4D),NR 4C(C(O)NR 4C(S(O) 2R 4B)),OC(O)R 4B,OC(O)NR 4CR 4D,ONR 4C(C(O)R 4B),OS(O) 2R 4B,OP(O)(OR 4E)(OR 4F),S(O)OR 4A,S(O)R 4B,S(O) 2R 4B,S(O) 2NR 4CR 4D,S(O) 2OR 4A,S(=NR 4G)(O)R 4B,S(=NR 4G)(O)NR 4CNR 4D,P(O)(OR 4E)(OR 4F),和P(O)(OR 4E)(R 4F); R 5(a) 選自H、C 1-6-烷基、C 2-6烯基、C 2-6炔基、C 3-6-環烷基、4-10員雜環烷基、苯基、C 3-6-環烷基-C 1-3-烷基、(4-10員雜環烷基)-C 1-3-烷基-、苯基-C 1-3-烷基-、鹵素、CN、NO 2、OR 5a、SR 5a、C(O)R 5b、C(O)NR 5cR 5d、C(O)NR 5c(OR 5a)、C(O)NR 5c(S(O) 2R 5b)、C(O)NR 5c(S(O) 2NR 5cR 5d)、NR 5cOR 5a、NR 5cR 5d、NR 5c(C(O)R 5b)、NR 5c(C(O)OR 5a)、N(OR 5a)(C(O)R 5b)、NR 5c(C(O)NR 5cR 5d)、NR 5c(C(O)NR 5c(C(O)R 5b))、NR 5c(S(O) 2R 5b)、NR 5c(S(O) 2NR 5cR 5d)、NR 5c(C(O)NR 5c(S(O) 2R 5b))、OC(O)R 5b、OC(O)NR 5cR 5d、ONR 5c(C(O)R 5b)、OS(O) 2R 5b、OP(O)(OR 5e)(OR 5f)、S(O)OR 5a、S(O)R 5b、S(O) 2R 5b、S(O) 2NR 5cR 5d、S(O) 2OR 5a、S(=NR 5g)(O)R 5b、S(=NR 5g)(O)NR 5cNR 5d、P(O)(OR 5e)(OR 5f)、和P(O)(OR 5e)(R 5f),其中R 5的C 1-6-烷基、C 2-6烯基、C 2-6炔基、C 3-6-環烷基、4-10員雜環烷基、苯基、C 3-6-環烷基-C 1-3-烷基-、(4-10員雜環烷基)-C 1-3-烷基-、和苯基-C 1-3-烷基-各自視需要被1、2、或3個獨立地選自以下的基團取代:鹵素、CN、NO 2、OR 5A、SR 5A、C(O)R 5B、C(O)NR 5CR 5D、C(O)NR 5C(OR 5A)、C(O)NR 5C(S(O) 2R 5B)、C(O)NR 5C(S(O) 2NR 5CR 5D)、NR 5COR 5A、NR 5CR 5D、NR 5C(C(O)R 5B)、NR 5C(C(O)OR 5A)、N(OR 5A)(C(O)R 5B)、NR 5C(C(O)NR 5CR 5D)、NR 5C(C(O)NR 5C(C(O)R 5B))、NR 5C(S(O) 2R 5B)、NR 5C(S(O) 2NR 5CR 5D)、NR 5C(C(O)NR 5C(S(O) 2R 5B))、OC(O)R 5B、OC(O)NR 5CR 5D、ONR 5C(C(O)R 5B)、OS(O) 2R 5B、OP(O)(OR 5E)(OR 5F)、S(O)OR 5A、S(O)R 5B、S(O) 2R 5B、S(O) 2NR 5CR 5D、S(O) 2OR 5A、S(=NR 5G)(O)R 5B、S(=NR 5G)(O)NR 5CNR 5D、P(O)(OR 5E)(OR 5F)、和P(O)(OR 5E)(R 5F),或者 R 5係 (b) 5-10員雜芳基或(5-10員雜芳基)-C 1-3-烷基-,其中該5-10員雜芳基和(5-10員雜芳基)-C 1-3-烷基-各自被C(O)OR 5A或被羧酸電子等排體並且視需要被1、2、或3個獨立地選自以下的基團取代:鹵素,CN,NO 2,OR 5A,SR 5A,C 1-3-烷基,被1、2或3個鹵素取代的C 1-3-烷基,C(O)R 5B,C(O)NR 5CR 5D,C(O)NR 5C(OR 5A),C(O)NR 5C(S(O) 2R 5B),C(O)NR 5C(S(O) 2NR 5CR 5D),NR 5COR 5A,NR 5CR 5D,NR 5C(C(O)R 5B),NR 5C(C(O)OR 5A),N(OR 5A)(C(O)R 5B),NR 5C(C(O)NR 5CR 5D),NR 5C(C(O)NR 5C(C(O)R 5B)),NR 5C(S(O) 2R 5B),NR 5C(S(O) 2NR 5CR 5D),NR 5C(C(O)NR 5C(S(O) 2R 5B)),OC(O)R 5B,OC(O)NR 5CR 5D,ONR 5C(C(O)R 5B),OS(O) 2R 5B,OP(O)(OR 5E)(OR 5F),S(O)OR 5A,S(O)R 5B,S(O) 2R 5B,S(O) 2NR 5CR 5D,S(O) 2OR 5A,S(=NR 5G)(O)R 5B,S(=NR 5G)(O)NR 5CNR 5D,P(O)(OR 5E)(OR 5F),和P(O)(OR 5E)(R 5F); R 6選自(4-10員雜環烷基)-C 1-3-烷基-和(5-10員雜芳基)-C 1-3-烷基-,其中R 6的(4-10員雜環烷基)-C 1-3-烷基-和(5-10員雜芳基)-C 1-3-烷基-各自視需要被1、2、或3個獨立地選自C 1-6-烷基、-OH、和鹵素的基團取代; R 4a、R 4b、R 4c、和R 4d各自獨立地選自H、C 1-6-烷基、C 2-6烯基、C 2-6炔基、C 3-6-環烷基、4-10員雜環烷基、5-10員雜芳基、和苯基,其中R 4a、R 4b、R 4c、和R 4d的C 1-6-烷基、C 2-6烯基、和C 2-6炔基各自視需要被1、2、或3個獨立地選自-OH和鹵素的基團取代;並且R 4a、R 4b、R 4c、和R 4d的C 3-6-環烷基、4-10員雜環烷基、5-10員雜芳基、和苯基各自視需要被1、2、或3個獨立地選自C 1-6-烷基、-OH、和鹵素的基團取代; R 4e、R 4f、和R 4g各自獨立地選自H和C 1-6-烷基; R 4A、R 4B、R 4C、和R 4D各自獨立地選自H、C 1-6烷基、C 2-6烯基、C 2-6炔基、C 3-6-環烷基、4-10員雜環烷基、4-10員雜環烷基-C 1-3-烷基-、5-10員雜芳基、和苯基,其中R 4A、R 4B、R 4C、和R 4D的C 1-6-烷基、C 2-6烯基、和C 2-6炔基各自視需要被1、2、或3個獨立地選自-OH、鹵素和-OC(O)-C 1-15-烷基的基團取代;並且R 4A、R 4B、R 4C、和R 4D的C 3-6-環烷基、4-10員雜環烷基、4-10員雜環烷基-C 1-3-烷基-、5-10員雜芳基、和苯基各自視需要被1、2、或3個獨立地選自C 1-6-烷基、-OH、和鹵素的基團取代; R 4E、R 4F、和R 4G各自獨立地選自H和C 1-6-烷基; R 5a、R 5b、R 5c、和R 5d各自獨立地選自H、C 1-6-烷基、C 2-6烯基、C 2-6炔基、C 3-6-環烷基、4-10員雜環烷基、5-10員雜芳基、和苯基,其中R 5a、R 5b、R 5c、和R 5d的C 1-6-烷基、C 2-6烯基、和C 2-6炔基各自視需要被1、2、或3個獨立地選自-OH和鹵素的基團取代;並且R 5a、R 5b、R 5c、和R 5d的C 3-6-環烷基、4-10員雜環烷基、5-10員雜芳基、和苯基各自視需要被1、2、或3個獨立地選自C 1-6-烷基、-OH、和鹵素的基團取代; R 5e、R 5f、和R 5g各自獨立地選自H和C 1-6-烷基; R 5A、R 5B、R 5C、和R 5D各自獨立地選自H、C 1-6烷基、C 2-6烯基、C 2-6炔基、C 3-6-環烷基、4-10員雜環烷基、4-10員雜環烷基-C 1-3-烷基-、5-10員雜芳基、和苯基,其中R 5A、R 5B、R 5C、和R 5D的C 1-6-烷基、C 2-6烯基、和C 2-6炔基各自視需要被1、2、或3個獨立地選自-OH、鹵素和-OC(O)-C 1-15-烷基的基團取代;並且R 5A、R 5B、R 5C、和R 5D的C 3-6-環烷基、4-10員雜環烷基、4-10員雜環烷基-C 1-3-烷基-、5-10員雜芳基、和苯基各自視需要被1、2、或3個獨立地選自C 1-6-烷基、-OH、和鹵素的基團取代;並且 R 5E、R 5F、和R 5G各自獨立地選自H和C 1-6-烷基。 In one aspect, provided herein are compounds of formula (I): (I), or a pharmaceutically acceptable salt thereof, wherein, It is a single bond or a double bond; department , in indicates the point of attachment to the rest of the molecule; W is O or CH2 ; X is O or CH2 ; R1 and R2 are each independently selected from H, C1-3 -alkyl, halogen and CN; R 3 is selected from H and C 1-3 -alkyl; R 4 (a) is selected from H, C 1-6 -alkyl, C 2-6 alkenyl, C 2-6 alkynyl, C 3-6 - Cycloalkyl, 4-10 membered heterocycloalkyl, phenyl, C 3-6 -cycloalkyl-C 1-3 -alkyl-, (4-10 membered heterocycloalkyl)-C 1-3 - Alkyl-, phenyl-C 1-3 -alkyl-, halogen, CN, NO 2 , OR 4a , SR 4a , C(O)R 4b , C(O)NR 4c R 4d , C(O)NR 4c (OR 4a ), C(O)NR 4c (S(O) 2 R 4b ), C(O)NR 4c (S(O) 2 NR 4c R 4d ), NR 4c OR 4a , NR 4c R 4d , NR 4c (C(O)R 4b ), NR 4c (C(O)OR 4a ), N(OR 4a ) (C(O)R 4b ), NR 4c (C(O)NR 4c R 4d ), NR 4c (C(O)NR 4c (C(O)R 4b )), NR 4c (S(O) 2 R 4b ), NR 4c (S(O) 2 NR 4c R 4d ), NR 4c (C(O) )NR 4c (S(O) 2 R 4b )), OC(O)R 4b , OC(O)NR 4c R 4d , ONR 4c (C(O)R 4b ), OS(O) 2 R 4b , OP (O)(OR 4e )(OR 4f )、S(O)OR 4a 、S(O)R 4b 、S(O) 2 R 4b 、S(O) 2 NR 4c R 4d 、S(O) 2 OR 4a , S(=NR 4g )(O)R 4b , S(=NR 4g )(O)NR 4c NR 4d , P(O)(OR 4e )(OR 4f ), and P(O)(OR 4e ) (R 4f ), wherein R 4 is C 1-6 -alkyl, C 2-6 alkenyl, C 2-6 alkynyl, C 3-6 -cycloalkyl, 4-10 membered heterocycloalkyl, benzene base, C 3-6 -cycloalkyl-C 1-3 -alkyl-, (4-10 membered heterocycloalkyl)-C 1-3 -alkyl-, and phenyl-C 1-3 -alkyl Groups - each optionally substituted with 1, 2, or 3 groups independently selected from: halogen, CN, NO 2 , OR 4A , SR 4A , C(O)R 4B , C(O)NR 4C R 4D , C(O)NR 4C (OR 4A ), C(O)NR 4C (S(O) 2 R 4B ), C(O)NR 4C (S(O) 2 NR 4C R 4D ), NR 4C OR 4A , NR 4C R 4D , NR 4C (C(O)R 4B ), NR 4C (C(O)OR 4A ), N(OR 4A ) (C(O)R 4B ), NR 4C (C(O) NR 4C R 4D ), NR 4C (C(O)NR 4C (C(O)R 4B )), NR 4C (S(O) 2 R 4B ), NR 4C (S(O) 2 NR 4C R 4D ) , NR 4C (C(O)NR 4C (S(O) 2 R 4B )), OC(O)R 4B , OC(O)NR 4C R 4D , ONR 4C (C(O)R 4B ), OS( O) 2 R 4B 、OP(O)(OR 4E )(OR 4F )、S(O)OR 4A 、S(O)R 4B 、S(O) 2 R 4B 、S(O) 2 NR 4C R 4D , S(O) 2 OR 4A , S(=NR 4G )(O)R 4B , S(=NR 4G )(O)NR 4C NR 4D , P(O)(OR 4E )(OR 4F ), and P (O)(OR 4E )(R 4F ), or R 4 is (b) 5-10 membered heteroaryl or (5-10 membered heteroaryl)-C 1-3 -alkyl-, wherein the 5- 10-membered heteroaryl and (5-10 membered heteroaryl)-C 1-3 -alkyl-are each replaced by C(O)OR 4A or by a carboxylic acid isostere and optionally by 1, 2, or 3 substituted with a group independently selected from: halogen, CN, NO 2 , OR 4A , SR 4A , C 1-3 -alkyl, C 1-3 -alkyl substituted by 1, 2 or 3 halogens, C(O)R 4B , C(O)NR 4C R 4D , C(O)NR 4C (OR 4A ), C(O)NR 4C (S(O) 2 R 4B ), C(O)NR 4C ( S(O) 2 NR 4C R 4D ), NR 4C OR 4A , NR 4C R 4D , NR 4C (C(O)R 4B ), NR 4C (C(O)OR 4A ), N(OR 4A )(C (O)R 4B ), NR 4C (C(O)NR 4C R 4D ), NR 4C (C(O)NR 4C (C(O)R 4B )), NR 4C (S(O) 2 R 4B ) , NR 4C (S(O) 2 NR 4C R 4D ), NR 4C (C(O)NR 4C (S(O) 2 R 4B )), OC(O)R 4B , OC(O)NR 4C R 4D , ONR 4C (C(O)R 4B ), OS(O) 2 R 4B , OP(O)(OR 4E )(OR 4F ), S(O)OR 4A , S(O)R 4B , S(O ) 2 R 4B , S(O) 2 NR 4C R 4D , S(O) 2 OR 4A , S(=NR 4G )(O)R 4B , S(=NR 4G )(O)NR 4C NR 4D ,P (O)(OR 4E )(OR 4F ), and P(O)(OR 4E )(R 4F ); R 5 (a) is selected from H, C 1-6 -alkyl, C 2-6 alkenyl, C 2-6 alkynyl, C 3-6 -cycloalkyl, 4-10 membered heterocycloalkyl, phenyl, C 3-6 -cycloalkyl-C 1-3 -alkyl, (4-10 membered Heterocycloalkyl)-C 1-3 -alkyl-, phenyl-C 1-3 -alkyl-, halogen, CN, NO 2 , OR 5a , SR 5a , C(O)R 5b , C(O )NR 5c R 5d 、C(O)NR 5c (OR 5a )、C(O)NR 5c (S(O) 2 R 5b )、C(O)NR 5c (S(O) 2 NR 5c R 5d ) , NR 5c OR 5a , NR 5c R 5d , NR 5c (C(O)R 5b ), NR 5c (C(O)OR 5a ), N(OR 5a ) (C(O)R 5b ), NR 5c ( C(O)NR 5c R 5d ), NR 5c (C(O)NR 5c (C(O)R 5b )), NR 5c (S(O) 2 R 5b ), NR 5c (S(O) 2 NR 5c R 5d ), NR 5c (C(O)NR 5c (S(O) 2 R 5b )), OC(O)R 5b , OC(O)NR 5c R 5d , ONR 5c (C(O)R 5b ), OS(O) 2 R 5b , OP(O)(OR 5e )(OR 5f ), S(O)OR 5a , S(O)R 5b , S(O) 2 R 5b , S(O) 2 NR 5c R 5d 、S(O) 2 OR 5a 、S(=NR 5g )(O)R 5b 、S(=NR 5g )(O)NR 5c NR 5d 、P(O)(OR 5e )(OR 5f ), and P(O)(OR 5e )(R 5f ), wherein R 5 is C 1-6 -alkyl, C 2-6 alkenyl, C 2-6 alkynyl, C 3-6 -cycloalkyl , 4-10 membered heterocycloalkyl, phenyl, C 3-6 -cycloalkyl-C 1-3 -alkyl-, (4-10 membered heterocycloalkyl)-C 1-3 -alkyl- , and phenyl-C 1-3 -alkyl- are each optionally substituted with 1, 2, or 3 groups independently selected from: halogen, CN, NO 2 , OR 5A , SR 5A , C(O )R 5B 、C(O)NR 5C R 5D 、C(O)NR 5C (OR 5A )、C(O)NR 5C (S(O) 2 R 5B )、C(O)NR 5C (S(O ) 2 NR 5C R 5D ), NR 5C OR 5A , NR 5C R 5D , NR 5C (C(O)R 5B ), NR 5C (C(O)OR 5A ), N(OR 5A )(C(O) R 5B ), NR 5C (C(O)NR 5C R 5D ), NR 5C (C(O)NR 5C (C(O)R 5B )), NR 5C (S(O) 2 R 5B ), NR 5C (S(O) 2 NR 5C R 5D ), NR 5C (C(O)NR 5C (S(O) 2 R 5B )), OC(O)R 5B , OC(O)NR 5C R 5D , ONR 5C (C(O)R 5B ), OS(O) 2 R 5B , OP(O)(OR 5E )(OR 5F ), S(O)OR 5A , S(O)R 5B , S(O) 2 R 5B 、S(O) 2 NR 5C R 5D 、S(O) 2 OR 5A 、S(=NR 5G )(O)R 5B 、S(=NR 5G )(O)NR 5C NR 5D 、P(O) (OR 5E )(OR 5F ), and P(O)(OR 5E )(R 5F ), or R 5 is (b) 5-10 membered heteroaryl or (5-10 membered heteroaryl)-C 1 -3 -alkyl-, wherein the 5-10-membered heteroaryl and (5-10-membered heteroaryl)-C 1-3 -alkyl- are each isoselected by C(O)OR 5A or carboxylic acid body and optionally substituted by 1, 2, or 3 groups independently selected from the following: halogen, CN, NO 2 , OR 5A , SR 5A , C 1-3 -alkyl, by 1, 2 or 3 Halogen-substituted C 1-3 -alkyl, C(O)R 5B , C(O)NR 5C R 5D , C(O)NR 5C (OR 5A ), C(O)NR 5C (S(O) 2 R 5B ), C(O)NR 5C (S(O) 2 NR 5C R 5D ), NR 5C OR 5A , NR 5C R 5D , NR 5C (C(O)R 5B ), NR 5C (C(O) OR 5A ), N(OR 5A )(C(O)R 5B ), NR 5C (C(O)NR 5C R 5D ), NR 5C (C(O)NR 5C (C(O)R 5B )), NR 5C (S(O) 2 R 5B ), NR 5C (S(O) 2 NR 5C R 5D ), NR 5C (C(O)NR 5C (S(O) 2 R 5B )), OC(O) R 5B , OC(O)NR 5C R 5D , ONR 5C (C(O)R 5B ) , OS(O) 2 R 5B , OP(O)(OR 5E )(OR 5F ) , S(O)OR 5A ,S(O)R 5B ,S(O) 2 R 5B ,S(O) 2 NR 5C R 5D ,S(O) 2 OR 5A ,S(=NR 5G )(O)R 5B ,S(=NR 5G )(O)NR 5C NR 5D , P(O)(OR 5E )(OR 5F ), and P(O)(OR 5E )(R 5F ); R 6 is selected from (4-10 membered heterocycloalkyl) )-C 1-3 -alkyl- and (5-10 membered heteroaryl)-C 1-3 -alkyl-, wherein R 6 is (4-10 membered heterocycloalkyl)-C 1-3 - Alkyl- and (5-10 membered heteroaryl)-C 1-3 -alkyl- are each independently selected from 1, 2, or 3, as appropriate, from C 1-6 -alkyl, -OH, and halogen Substituted with a group; R 4a , R 4b , R 4c , and R 4d are each independently selected from H, C 1-6 alkyl, C 2-6 alkenyl, C 2-6 alkynyl, C 3-6 -Cycloalkyl, 4-10 membered heterocycloalkyl, 5-10 membered heteroaryl, and phenyl, wherein R 4a , R 4b , R 4c , and R 4d are C 1-6 -alkyl, C 2 -6 alkenyl, and C 2-6 alkynyl are each optionally substituted with 1, 2, or 3 groups independently selected from -OH and halogen; and R 4a , R 4b , R 4c , and R 4d Each of C 3-6 -cycloalkyl, 4-10 membered heterocycloalkyl, 5-10 membered heteroaryl, and phenyl is optionally independently selected from C 1-6 -alkanes. Substituted with radicals, -OH, and halogen; R 4e , R 4f , and R 4g are each independently selected from H and C 1-6 -alkyl; R 4A , R 4B , R 4C , and R 4D are each independently selected is selected from H, C 1-6 alkyl, C 2-6 alkenyl, C 2-6 alkynyl, C 3-6 -cycloalkyl, 4-10 membered heterocycloalkyl, 4-10 membered heterocycle Alkyl-C 1-3 -alkyl-, 5-10 membered heteroaryl, and phenyl, wherein R 4A , R 4B , R 4C , and R 4D are C 1-6 -alkyl, C 2-6 Alkenyl, and C 2-6 alkynyl are each optionally substituted with 1, 2, or 3 groups independently selected from -OH, halogen, and -OC(O)-C 1-15 -alkyl; and R C 3-6 -cycloalkyl, 4-10-membered heterocycloalkyl, 4-10-membered heterocycloalkyl-C 1-3 -alkyl-, 5- of 4A , R 4B , R 4C , and R 4D 10-membered heteroaryl, and phenyl are each optionally substituted with 1, 2, or 3 groups independently selected from C 1-6 -alkyl, -OH, and halogen; R 4E , R 4F , and R 4G is each independently selected from H and C 1-6 -alkyl; R 5a , R 5b , R 5c , and R 5d are each independently selected from H, C 1-6 -alkyl, C 2-6 alkenyl, C 2-6 alkynyl, C 3-6 -cycloalkyl, 4-10 membered heterocycloalkyl, 5-10 membered heteroaryl, and phenyl, wherein R 5a , R 5b , R 5c , and R 5d The C 1-6 -alkyl, C 2-6 alkenyl, and C 2-6 alkynyl groups are each optionally substituted with 1, 2, or 3 groups independently selected from -OH and halogen; and R 5a , R 5b , R 5c , and R 5d , C 3-6 -cycloalkyl, 4-10 membered heterocycloalkyl, 5-10 membered heteroaryl, and phenyl are each optionally replaced by 1, 2, or 3 Substituted with a group independently selected from C 1-6 -alkyl, -OH, and halogen; R 5e , R 5f , and R 5g are each independently selected from H and C 1-6 -alkyl; R 5A , R 5B , R 5C , and R 5D are each independently selected from H, C 1-6 alkyl, C 2-6 alkenyl, C 2-6 alkynyl, C 3-6 -cycloalkyl, 4-10 membered Heterocycloalkyl, 4-10 membered heterocycloalkyl-C 1-3 -alkyl-, 5-10 membered heteroaryl, and phenyl, wherein C of R 5A , R 5B , R 5C , and R 5D 1-6 -alkyl, C 2-6 alkenyl, and C 2-6 alkynyl are each independently selected from -OH, halogen, and -OC(O)-C 1- by 1, 2, or 3 as appropriate. 15 -alkyl group substitution; and C 3-6 -cycloalkyl, 4-10 membered heterocycloalkyl, 4-10 membered heterocycloalkyl for R 5A , R 5B , R 5C , and R 5D - Each of C 1-3 -alkyl-, 5-10 membered heteroaryl, and phenyl is optionally selected from 1, 2, or 3 groups independently selected from C 1-6 -alkyl, -OH, and halogen. group substitution; and R 5E , R 5F , and R 5G are each independently selected from H and C 1-6 -alkyl.

在本發明的較佳的實施方式中,本文提供了一種具有式 (I) 的化合物: (I), 或其藥學上可接受的鹽,其中, 係單鍵或雙鍵; , 其中 指示與該分子的其餘部分的附接點; W係O或CH 2; X係O或CH 2; R 1和R 2各自獨立地選自H、C 1-3-烷基、鹵素和CN; R 3選自H和C 1-3-烷基; R 4和R 5選自: (aa) R 4選自H、C 1-6-烷基、C 2-6烯基、C 2-6炔基、C 3-6-環烷基、4-10員雜環烷基、苯基、C 3-6-環烷基-C 1-3-烷基-、(4-10員雜環烷基)-C 1-3-烷基-、苯基-C 1-3-烷基-、鹵素、CN、NO 2、OR 4a、SR 4a、C(O)R 4b、C(O)NR 4cR 4d、C(O)NR 4c(OR 4a)、C(O)NR 4c(S(O) 2R 4b)、C(O)NR 4c(S(O) 2NR 4cR 4d)、NR 4cOR 4a、NR 4cR 4d、NR 4c(C(O)R 4b)、NR 4c(C(O)OR 4a)、N(OR 4a)(C(O)R 4b)、NR 4c(C(O)NR 4cR 4d)、NR 4c(C(O)NR 4c(C(O)R 4b))、NR 4c(S(O) 2R 4b)、NR 4c(S(O) 2NR 4cR 4d)、NR 4c(C(O)NR 4c(S(O) 2R 4b))、OC(O)R 4b、OC(O)NR 4cR 4d、ONR 4c(C(O)R 4b)、OS(O) 2R 4b、OP(O)(OR 4e)(OR 4f)、S(O)OR 4a、S(O)R 4b、S(O) 2R 4b、S(O) 2NR 4cR 4d、S(O) 2OR 4a、S(=NR 4g)(O)R 4b、S(=NR 4g)(O)NR 4cNR 4d、P(O)(OR 4e)(OR 4f)、和P(O)(OR 4e)(R 4f),其中R 4的C 1-6-烷基、C 2-6烯基、C 2-6炔基、C 3-6-環烷基、4-10員雜環烷基、苯基、C 3-6-環烷基-C 1-3-烷基-、(4-10員雜環烷基)-C 1-3-烷基-、和苯基-C 1-3-烷基-各自視需要被1、2、或3個獨立地選自以下的基團取代:鹵素、CN、NO 2、OR 4A、SR 4A、C(O)R 4B、C(O)NR 4CR 4D、C(O)NR 4C(OR 4A)、C(O)NR 4C(S(O) 2R 4B)、C(O)NR 4C(S(O) 2NR 4CR 4D)、NR 4COR 4A、NR 4CR 4D、NR 4C(C(O)R 4B)、NR 4C(C(O)OR 4A)、N(OR 4A)(C(O)R 4B)、NR 4C(C(O)NR 4CR 4D)、NR 4C(C(O)NR 4C(C(O)R 4B))、NR 4C(S(O) 2R 4B)、NR 4C(S(O) 2NR 4CR 4D)、NR 4C(C(O)NR 4C(S(O) 2R 4B))、OC(O)R 4B、OC(O)NR 4CR 4D、ONR 4C(C(O)R 4B)、OS(O) 2R 4B、OP(O)(OR 4E)(OR 4F)、S(O)OR 4A、S(O)R 4B、S(O) 2R 4B、S(O) 2NR 4CR 4D、S(O) 2OR 4A、S(=NR 4G)(O)R 4B、S(=NR 4G)(O)NR 4CNR 4D、P(O)(OR 4E)(OR 4F)、和P(O)(OR 4E)(R 4F),並且 R 5係5-10員雜芳基或(5-10員雜芳基)-C 1-3-烷基-,其中該5-10員雜芳基和(5-10員雜芳基)-C 1-3-烷基-各自被C(O)OR 5A或被羧酸電子等排體並且視需要被1、2、或3個獨立地選自以下的基團取代:鹵素,CN,NO 2,OR 5A,SR 5A,C 1-3-烷基,被1、2或3個鹵素取代的C 1-3-烷基,C(O)R 5B,C(O)NR 5CR 5D,C(O)NR 5C(OR 5A),C(O)NR 5C(S(O) 2R 5B),C(O)NR 5C(S(O) 2NR 5CR 5D),NR 5COR 5A,NR 5CR 5D,NR 5C(C(O)R 5B),NR 5C(C(O)OR 5A),N(OR 5A)(C(O)R 5B),NR 5C(C(O)NR 5CR 5D),NR 5C(C(O)NR 5C(C(O)R 5B)),NR 5C(S(O) 2R 5B),NR 5C(S(O) 2NR 5CR 5D),NR 5C(C(O)NR 5C(S(O) 2R 5B)),OC(O)R 5B,OC(O)NR 5CR 5D,ONR 5C(C(O)R 5B),OS(O) 2R 5B,OP(O)(OR 5E)(OR 5F),S(O)OR 5A,S(O)R 5B,S(O) 2R 5B,S(O) 2NR 5CR 5D,S(O) 2OR 5A,S(=NR 5G)(O)R 5B,S(=NR 5G)(O)NR 5CNR 5D,P(O)(OR 5E)(OR 5F),和P(O)(OR 5E)(R 5F);或者 (bb) R 4係5-10員雜芳基或(5-10員雜芳基)-C 1-3-烷基-,其中該5-10員雜芳基和(5-10員雜芳基)-C 1-3-烷基-各自被C(O)OR 4A或被羧酸電子等排體並且視需要被1、2、或3個獨立地選自以下的基團取代:鹵素,CN,NO 2,OR 4A,SR 4A,C 1-3-烷基,被1、2或3個鹵素取代的C 1-3-烷基,C(O)R 4B,C(O)NR 4CR 4D,C(O)NR 4C(OR 4A),C(O)NR 4C(S(O) 2R 4B),C(O)NR 4C(S(O) 2NR 4CR 4D),NR 4COR 4A,NR 4CR 4D,NR 4C(C(O)R 4B),NR 4C(C(O)OR 4A),N(OR 4A)(C(O)R 4B),NR 4C(C(O)NR 4CR 4D),NR 4C(C(O)NR 4C(C(O)R 4B)),NR 4C(S(O) 2R 4B),NR 4C(S(O) 2NR 4CR 4D),NR 4C(C(O)NR 4C(S(O) 2R 4B)),OC(O)R 4B,OC(O)NR 4CR 4D,ONR 4C(C(O)R 4B),OS(O) 2R 4B,OP(O)(OR 4E)(OR 4F),S(O)OR 4A,S(O)R 4B,S(O) 2R 4B,S(O) 2NR 4CR 4D,S(O) 2OR 4A,S(=NR 4G)(O)R 4B,S(=NR 4G)(O)NR 4CNR 4D,P(O)(OR 4E)(OR 4F),和P(O)(OR 4E)(R 4F),並且 R 5選自H、C 1-6-烷基、C 2-6烯基、C 2-6炔基、C 3-6-環烷基、4-10員雜環烷基、苯基、C 3-6-環烷基-C 1-3-烷基、(4-10員雜環烷基)-C 1-3-烷基-、苯基-C 1-3-烷基-、鹵素、CN、NO 2、OR 5a、SR 5a、C(O)R 5b、C(O)NR 5cR 5d、C(O)NR 5c(OR 5a)、C(O)NR 5c(S(O) 2R 5b)、C(O)NR 5c(S(O) 2NR 5cR 5d)、NR 5cOR 5a、NR 5cR 5d、NR 5c(C(O)R 5b)、NR 5c(C(O)OR 5a)、N(OR 5a)(C(O)R 5b)、NR 5c(C(O)NR 5cR 5d)、NR 5c(C(O)NR 5c(C(O)R 5b))、NR 5c(S(O) 2R 5b)、NR 5c(S(O) 2NR 5cR 5d)、NR 5c(C(O)NR 5c(S(O) 2R 5b))、OC(O)R 5b、OC(O)NR 5cR 5d、ONR 5c(C(O)R 5b)、OS(O) 2R 5b、OP(O)(OR 5e)(OR 5f)、S(O)OR 5a、S(O)R 5b、S(O) 2R 5b、S(O) 2NR 5cR 5d、S(O) 2OR 5a、S(=NR 5g)(O)R 5b、S(=NR 5g)(O)NR 5cNR 5d、P(O)(OR 5e)(OR 5f)、和P(O)(OR 5e)(R 5f),其中R 5的C 1-6-烷基、C 2-6烯基、C 2-6炔基、C 3-6-環烷基、4-10員雜環烷基、苯基、C 3-6-環烷基-C 1-3-烷基-、(4-10員雜環烷基)-C 1-3-烷基-、和苯基-C 1-3-烷基-各自視需要被1、2、或3個獨立地選自以下的基團取代:鹵素、CN、NO 2、OR 5A、SR 5A、C(O)R 5B、C(O)NR 5CR 5D、C(O)NR 5C(OR 5A)、C(O)NR 5C(S(O) 2R 5B)、C(O)NR 5C(S(O) 2NR 5CR 5D)、NR 5COR 5A、NR 5CR 5D、NR 5C(C(O)R 5B)、NR 5C(C(O)OR 5A)、N(OR 5A)(C(O)R 5B)、NR 5C(C(O)NR 5CR 5D)、NR 5C(C(O)NR 5C(C(O)R 5B))、NR 5C(S(O) 2R 5B)、NR 5C(S(O) 2NR 5CR 5D)、NR 5C(C(O)NR 5C(S(O) 2R 5B))、OC(O)R 5B、OC(O)NR 5CR 5D、ONR 5C(C(O)R 5B)、OS(O) 2R 5B、OP(O)(OR 5E)(OR 5F)、S(O)OR 5A、S(O)R 5B、S(O) 2R 5B、S(O) 2NR 5CR 5D、S(O) 2OR 5A、S(=NR 5G)(O)R 5B、S(=NR 5G)(O)NR 5CNR 5D、P(O)(OR 5E)(OR 5F)、和P(O)(OR 5E)(R 5F); R 6選自(4-10員雜環烷基)-C 1-3-烷基-和(5-10員雜芳基)-C 1-3-烷基-,其中R 6的(4-10員雜環烷基)-C 1-3-烷基-和(5-10員雜芳基)-C 1-3-烷基-各自視需要被1、2、或3個獨立地選自C 1-6-烷基、-OH、和鹵素的基團取代; R 4a、R 4b、R 4c、和R 4d各自獨立地選自H、C 1-6-烷基、C 2-6烯基、C 2-6炔基、C 3-6-環烷基、4-10員雜環烷基、5-10員雜芳基、和苯基,其中R 4a、R 4b、R 4c、和R 4d的C 1-6-烷基、C 2-6烯基、和C 2-6炔基各自視需要被1、2、或3個獨立地選自-OH和鹵素的基團取代;並且R 4a、R 4b、R 4c、和R 4d的C 3-6-環烷基、4-10員雜環烷基、5-10員雜芳基、和苯基各自視需要被1、2、或3個獨立地選自C 1-6-烷基、-OH、和鹵素的基團取代; R 4e、R 4f、和R 4g各自獨立地選自H和C 1-6-烷基; R 4A、R 4B、R 4C、和R 4D各自獨立地選自H、C 1-6烷基、C 2-6烯基、C 2-6炔基、C 3-6-環烷基、4-10員雜環烷基、4-10員雜環烷基-C 1-3-烷基-、5-10員雜芳基、和苯基,其中R 4A、R 4B、R 4C、和R 4D的C 1-6-烷基、C 2-6烯基、和C 2-6炔基各自視需要被1、2、或3個獨立地選自-OH、鹵素和-OC(O)-C 1-15-烷基的基團取代;並且R 4A、R 4B、R 4C、和R 4D的C 3-6-環烷基、4-10員雜環烷基、4-10員雜環烷基-C 1-3-烷基-、5-10員雜芳基、和苯基各自視需要被1、2、或3個獨立地選自C 1-6-烷基、-OH、和鹵素的基團取代; R 4E、R 4F、和R 4G各自獨立地選自H和C 1-6-烷基; R 5a、R 5b、R 5c、和R 5d各自獨立地選自H、C 1-6-烷基、C 2-6烯基、C 2-6炔基、C 3-6-環烷基、4-10員雜環烷基、5-10員雜芳基、和苯基,其中R 5a、R 5b、R 5c、和R 5d的C 1-6-烷基、C 2-6烯基、和C 2-6炔基各自視需要被1、2、或3個獨立地選自-OH和鹵素的基團取代;並且R 5a、R 5b、R 5c、和R 5d的C 3-6-環烷基、4-10員雜環烷基、5-10員雜芳基、和苯基各自視需要被1、2、或3個獨立地選自C 1-6-烷基、-OH、和鹵素的基團取代; R 5e、R 5f、和R 5g各自獨立地選自H和C 1-6-烷基; R 5A、R 5B、R 5C、和R 5D各自獨立地選自H、C 1-6烷基、C 2-6烯基、C 2-6炔基、C 3-6-環烷基、4-10員雜環烷基、4-10員雜環烷基-C 1-3-烷基-、5-10員雜芳基、和苯基,其中R 5A、R 5B、R 5C、和R 5D的C 1-6-烷基、C 2-6烯基、和C 2-6炔基各自視需要被1、2、或3個獨立地選自-OH、鹵素和-OC(O)-C 1-15-烷基的基團取代;並且R 5A、R 5B、R 5C、和R 5D的C 3-6-環烷基、4-10員雜環烷基、4-10員雜環烷基-C 1-3-烷基-、5-10員雜芳基、和苯基各自視需要被1、2、或3個獨立地選自C 1-6-烷基、-OH、和鹵素的基團取代;並且 R 5E、R 5F、和R 5G各自獨立地選自H和C 1-6-烷基。 In a preferred embodiment of the invention, this article provides a compound of formula (I): (I), or a pharmaceutically acceptable salt thereof, wherein, It is a single bond or a double bond; department , in indicates the point of attachment to the rest of the molecule; W is O or CH2 ; X is O or CH2 ; R1 and R2 are each independently selected from H, C1-3 -alkyl, halogen and CN; R 3 is selected from H and C 1-3 -alkyl; R 4 and R 5 are selected from: (aa) R 4 is selected from H, C 1-6 -alkyl, C 2-6 alkenyl, C 2-6 Alkynyl, C 3-6 -cycloalkyl, 4-10 membered heterocycloalkyl, phenyl, C 3-6 -cycloalkyl-C 1-3 -alkyl-, (4-10 membered heterocycloalkyl base)-C 1-3 -alkyl-, phenyl-C 1-3 -alkyl-, halogen, CN, NO 2 , OR 4a , SR 4a , C(O)R 4b , C(O)NR 4c R 4d , C(O)NR 4c (OR 4a ), C(O)NR 4c (S(O) 2 R 4b ), C(O)NR 4c (S(O) 2 NR 4c R 4d ), NR 4c OR 4a , NR 4c R 4d , NR 4c (C(O)R 4b ), NR 4c (C(O)OR 4a ), N(OR 4a )(C(O)R 4b ), NR 4c (C(O) )NR 4c R 4d ), NR 4c (C(O)NR 4c (C(O)R 4b )), NR 4c (S(O) 2 R 4b ), NR 4c (S(O) 2 NR 4c R 4d ), NR 4c (C(O)NR 4c (S(O) 2 R 4b )), OC(O)R 4b , OC(O)NR 4c R 4d , ONR 4c (C(O)R 4b ), OS (O) 2 R 4b 、OP(O)(OR 4e )(OR 4f )、S(O)OR 4a 、S(O)R 4b 、S(O) 2 R 4b 、S(O) 2 NR 4c R 4d , S(O) 2 OR 4a , S(=NR 4g )(O)R 4b , S(=NR 4g )(O)NR 4c NR 4d , P(O)(OR 4e )(OR 4f ), and P(O)(OR 4e )(R 4f ), wherein R 4 is C 1-6 -alkyl, C 2-6 alkenyl, C 2-6 alkynyl, C 3-6 -cycloalkyl, 4- 10-membered heterocycloalkyl, phenyl, C 3-6 -cycloalkyl-C 1-3 -alkyl-, (4-10-membered heterocycloalkyl)-C 1-3 -alkyl-, and benzene The radicals - C 1-3 -alkyl - are each optionally substituted with 1, 2, or 3 groups independently selected from: halogen, CN, NO 2 , OR 4A , SR 4A , C(O)R 4B , C(O)NR 4C R 4D , C(O)NR 4C (OR 4A ), C(O)NR 4C (S(O) 2 R 4B ), C(O)NR 4C (S(O) 2 NR 4C R 4D ), NR 4C OR 4A , NR 4C R 4D , NR 4C (C(O)R 4B ), NR 4C (C(O)OR 4A ), N(OR 4A )(C(O)R 4B ) , NR 4C (C(O)NR 4C R 4D ), NR 4C (C(O)NR 4C (C(O)R 4B )), NR 4C (S(O) 2 R 4B ), NR 4C (S( O) 2 NR 4C R 4D ), NR 4C (C(O)NR 4C (S(O) 2 R 4B )), OC(O)R 4B , OC(O)NR 4C R 4D , ONR 4C (C( O)R 4B )、OS(O) 2 R 4B 、OP(O)(OR 4E )(OR 4F )、S(O)OR 4A 、S(O)R 4B 、S(O) 2 R 4B 、S (O) 2 NR 4C R 4D 、S(O) 2 OR 4A 、S(=NR 4G )(O)R 4B 、S(=NR 4G )(O)NR 4C NR 4D 、P(O)(OR 4E )(OR 4F ), and P(O)(OR 4E )(R 4F ), and R 5 is 5-10 membered heteroaryl or (5-10 membered heteroaryl)-C 1-3 -alkyl- , wherein the 5-10 membered heteroaryl and (5-10 membered heteroaryl)-C 1-3 -alkyl- are each replaced by C(O)OR 5A or by a carboxylic acid isostere and optionally by 1 , 2, or 3 substituted groups independently selected from the following: halogen, CN, NO 2 , OR 5A , SR 5A , C 1-3 -alkyl, C 1- substituted by 1, 2 or 3 halogens 3 -Alkyl, C(O)R 5B , C(O)NR 5C R 5D , C(O)NR 5C (OR 5A ), C(O)NR 5C (S(O) 2 R 5B ), C( O)NR 5C (S(O) 2 NR 5C R 5D ), NR 5C OR 5A , NR 5C R 5D , NR 5C (C(O)R 5B ), NR 5C (C(O)OR 5A ), N( OR 5A )(C(O)R 5B ), NR 5C (C(O)NR 5C R 5D ), NR 5C (C(O)NR 5C (C(O)R 5B )), NR 5C (S(O ) 2 R 5B ), NR 5C (S(O) 2 NR 5C R 5D ), NR 5C (C(O)NR 5C (S(O) 2 R 5B )), OC(O)R 5B , OC(O )NR 5C R 5D , ONR 5C (C(O)R 5B ) , OS(O) 2 R 5B , OP(O)(OR 5E )(OR 5F ) , S(O)OR 5A , S(O)R 5B , S(O) 2 R 5B , S(O) 2 NR 5C R 5D , S(O) 2 OR 5A , S(=NR 5G )(O)R 5B , S(=NR 5G )(O)NR 5C NR 5D , P(O)(OR 5E )(OR 5F ), and P(O)(OR 5E )(R 5F ); or (bb) R 4 is a 5-10 membered heteroaryl or (5-10 ((5-10-membered heteroaryl)-C 1-3 -alkyl-, wherein the 5-10-membered heteroaryl and (5-10-membered heteroaryl)-C 1-3 -alkyl- are each replaced by C(O)OR 4A may be substituted by a carboxylic acid isostere and optionally substituted by 1, 2, or 3 groups independently selected from: halogen, CN, NO 2 , OR 4A , SR 4A , C 1-3 -alkyl , C 1-3 -alkyl substituted by 1, 2 or 3 halogens, C(O)R 4B , C(O)NR 4C R 4D , C(O)NR 4C (OR 4A ), C(O) NR 4C (S(O) 2 R 4B ), C(O)NR 4C (S(O) 2 NR 4C R 4D ), NR 4C OR 4A , NR 4C R 4D , NR 4C (C(O)R 4B ) ,NR 4C (C(O)OR 4A ), N(OR 4A )(C(O)R 4B ), NR 4C (C(O)NR 4C R 4D ), NR 4C (C(O)NR 4C (C (O)R 4B )), NR 4C (S(O) 2 R 4B ), NR 4C (S(O) 2 NR 4C R 4D ), NR 4C (C(O)NR 4C (S(O) 2 R 4B )), OC(O)R 4B , OC(O)NR 4C R 4D , ONR 4C (C(O)R 4B ), OS(O) 2 R 4B , OP(O)(OR 4E )(OR 4F ), S(O)OR 4A , S(O)R 4B , S(O) 2 R 4B , S(O) 2 NR 4C R 4D , S(O) 2 OR 4A , S(=NR 4G )(O )R 4B , S(=NR 4G )(O)NR 4C NR 4D , P(O)(OR 4E )(OR 4F ), and P(O)(OR 4E )(R 4F ), and R 5 is selected from H, C 1-6 -alkyl, C 2-6 alkenyl, C 2-6 alkynyl, C 3-6 -cycloalkyl, 4-10 membered heterocycloalkyl, phenyl, C 3-6 - Cycloalkyl-C 1-3 -alkyl, (4-10 membered heterocycloalkyl)-C 1-3 -alkyl-, phenyl-C 1-3 -alkyl-, halogen, CN, NO 2 , OR 5a , SR 5a , C(O)R 5b , C(O)NR 5c R 5d , C(O)NR 5c (OR 5a ), C(O)NR 5c (S(O) 2 R 5b ), C(O)NR 5c (S(O) 2 NR 5c R 5d ), NR 5c OR 5a , NR 5c R 5d , NR 5c (C(O)R 5b ), NR 5c (C(O)OR 5a ), N(OR 5a )(C(O)R 5b ), NR 5c (C(O)NR 5c R 5d ), NR 5c (C(O)NR 5c (C(O)R 5b )), NR 5c (S (O) 2 R 5b ), NR 5c (S(O) 2 NR 5c R 5d ), NR 5c (C(O)NR 5c (S(O) 2 R 5b )), OC(O)R 5b , OC (O)NR 5c R 5d 、ONR 5c (C(O)R 5b )、OS(O) 2 R 5b 、OP(O)(OR 5e )(OR 5f )、S(O)OR 5a 、S(O )R 5b , S(O) 2 R 5b , S(O) 2 NR 5c R 5d , S(O) 2 OR 5a , S(=NR 5g )(O)R 5b , S(=NR 5g )(O )NR 5c NR 5d , P(O)(OR 5e )(OR 5f ), and P(O)(OR 5e )(R 5f ), where R 5 is C 1-6 alkyl, C 2-6 alkene Base, C 2-6 alkynyl, C 3-6 -cycloalkyl, 4-10 membered heterocycloalkyl, phenyl, C 3-6 -cycloalkyl-C 1-3 -alkyl-, (4 -10-membered heterocycloalkyl)-C 1-3 -alkyl-, and phenyl-C 1-3 -alkyl- are each optionally substituted with 1, 2, or 3 groups independently selected from the following : Halogen, CN, NO 2 , OR 5A , SR 5A , C(O)R 5B , C(O)NR 5C R 5D , C(O)NR 5C (OR 5A ), C(O)NR 5C (S( O) 2 R 5B ), C(O)NR 5C (S(O) 2 NR 5C R 5D ), NR 5C OR 5A , NR 5C R 5D , NR 5C (C(O)R 5B ), NR 5C (C (O)OR 5A ), N(OR 5A ) (C(O)R 5B ), NR 5C (C(O)NR 5C R 5D ), NR 5C (C(O)NR 5C (C(O)R 5B )), NR 5C (S(O) 2 R 5B ), NR 5C (S(O) 2 NR 5C R 5D ), NR 5C (C(O)NR 5C (S(O) 2 R 5B )), OC (O)R 5B 、OC(O)NR 5C R 5D 、ONR 5C (C(O)R 5B )、OS(O) 2 R 5B 、OP(O)(OR 5E )(OR 5F )、S(O )OR 5A 、S(O)R 5B 、S(O) 2 R 5B 、S(O) 2 NR 5C R 5D 、S(O) 2 OR 5A 、S(=NR 5G )(O)R 5B 、S (=NR 5G )(O)NR 5C NR 5D , P(O)(OR 5E )(OR 5F ), and P(O)(OR 5E )(R 5F ); R 6 is selected from (4-10 members Cycloalkyl)-C 1-3 -alkyl- and (5-10 membered heteroaryl)-C 1-3 -alkyl-, where R 6 is (4-10 membered heterocycloalkyl)-C 1 -3 -alkyl- and (5-10 membered heteroaryl)-C 1-3 -alkyl- are each independently selected from 1, 2, or 3 C 1-6 -alkyl, -OH as appropriate , and halogen group substitution; R 4a , R 4b , R 4c , and R 4d are each independently selected from H, C 1-6 -alkyl, C 2-6 alkenyl, C 2-6 alkynyl, C 3-6 -cycloalkyl, 4-10-membered heterocycloalkyl, 5-10-membered heteroaryl, and phenyl, wherein R 4a , R 4b , R 4c , and R 4d are C 1-6 -alkyl , C 2-6 alkenyl, and C 2-6 alkynyl are each optionally substituted with 1, 2, or 3 groups independently selected from -OH and halogen; and R 4a , R 4b , R 4c , and Each of the C 3-6 -cycloalkyl, 4-10-membered heterocycloalkyl, 5-10-membered heteroaryl, and phenyl groups of R 4d is independently selected from C 1- Group substitution of 6 -alkyl, -OH, and halogen; R 4e , R 4f , and R 4g are each independently selected from H and C 1-6 -alkyl; R 4A , R 4B , R 4C , and R 4D is each independently selected from H, C 1-6 alkyl , C 2-6 alkenyl, C 2-6 alkynyl , C 3-6 -cycloalkyl, 4-10 membered heterocycloalkyl, 4-10 Membered heterocycloalkyl-C 1-3 -alkyl-, 5-10 membered heteroaryl, and phenyl, wherein R 4A , R 4B , R 4C , and R 4D are C 1-6 -alkyl, C 2-6 alkenyl, and C 2-6 alkynyl are each optionally substituted with 1, 2, or 3 groups independently selected from -OH, halogen, and -OC(O)-C 1-15 -alkyl ; And R 4A , R 4B , R 4C , and R 4D are C 3-6 -cycloalkyl, 4-10 membered heterocycloalkyl, 4-10 membered heterocycloalkyl-C 1-3 -alkyl- , 5-10 membered heteroaryl, and phenyl are each optionally substituted with 1, 2, or 3 groups independently selected from C 1-6 -alkyl, -OH, and halogen; R 4E , R 4F , and R 4G are each independently selected from H and C 1-6 -alkyl; R 5a , R 5b , R 5c , and R 5d are each independently selected from H, C 1-6 -alkyl, C 2-6 Alkenyl, C 2-6 alkynyl, C 3-6 -cycloalkyl, 4-10 membered heterocycloalkyl, 5-10 membered heteroaryl, and phenyl, wherein R 5a , R 5b , R 5c , and R 5d 's C 1-6 -alkyl, C 2-6 alkenyl, and C 2-6 alkynyl groups are each optionally substituted with 1, 2, or 3 groups independently selected from -OH and halogen; And the C 3-6 -cycloalkyl group, 4-10-membered heterocycloalkyl group, 5-10-membered heteroaryl group, and phenyl group of R 5a , R 5b , R 5c , and R 5d are each optionally replaced by 1 or 2 , or substituted by 3 groups independently selected from C 1-6 -alkyl, -OH, and halogen; R 5e , R 5f , and R 5g are each independently selected from H and C 1-6 -alkyl; R 5A , R 5B , R 5C , and R 5D are each independently selected from H, C 1-6 alkyl, C 2-6 alkenyl, C 2-6 alkynyl, C 3-6 -cycloalkyl, 4 -10-membered heterocycloalkyl, 4-10-membered heterocycloalkyl-C 1-3 -alkyl-, 5-10-membered heteroaryl, and phenyl, wherein R 5A , R 5B , R 5C , and R The C 1-6 -alkyl, C 2-6 alkenyl, and C 2-6 alkynyl groups of 5D are each independently selected from -OH, halogen, and -OC(O)- by 1, 2, or 3 as needed. C 1-15 -alkyl group substitution; and R 5A , R 5B , R 5C , and R 5D are C 3-6 -cycloalkyl, 4-10 membered heterocycloalkyl, 4-10 membered heterocycle Alkyl-C 1-3 -alkyl-, 5-10 membered heteroaryl, and phenyl are each optionally independently selected from 1, 2, or 3 C 1-6 -alkyl, -OH, and The group of halogen is substituted; and R 5E , R 5F , and R 5G are each independently selected from H and C 1-6 -alkyl.

在具有式 (I) 的化合物或其藥學上可接受的鹽的實施方式中,R 1係鹵素。 In embodiments of compounds of formula (I), or a pharmaceutically acceptable salt thereof, R1 is halogen.

在具有式 (I) 的化合物或其藥學上可接受的鹽的實施方式中,R 1係CN。 In embodiments of a compound of formula (I), or a pharmaceutically acceptable salt thereof, R1 is CN.

在具有式 (I) 的化合物或其藥學上可接受的鹽的實施方式中,R 2係鹵素。 In embodiments of compounds of formula (I), or a pharmaceutically acceptable salt thereof, R2 is halogen.

在具有式 (I) 的化合物或其藥學上可接受的鹽的實施方式中,R 1係氯、氟或CN;並且R 2係氯或氟。 In embodiments of compounds of Formula (I), or a pharmaceutically acceptable salt thereof, R1 is chlorine, fluorine, or CN; and R2 is chlorine or fluorine.

在具有式 (I) 的化合物或其藥學上可接受的鹽的實施方式中,R 1係氯;並且R 2係氟。 In embodiments of a compound of Formula (I), or a pharmaceutically acceptable salt thereof, R 1 is chlorine; and R 2 is fluoro.

在具有式 (I) 的化合物或其藥學上可接受的鹽的實施方式中,R 1係CN;並且R 2係氯或氟。 In embodiments of compounds of Formula (I), or a pharmaceutically acceptable salt thereof, R1 is CN; and R2 is chlorine or fluoro.

在具有式 (I) 的化合物或其藥學上可接受的鹽的實施方式中,R 1係CN;並且R 2係氟。 In embodiments of a compound of Formula (I), or a pharmaceutically acceptable salt thereof, R1 is CN; and R2 is fluoro.

在具有式 (I) 的化合物或其藥學上可接受的鹽的實施方式中,R 3係H或-CH 3In embodiments of compounds of formula (I), or a pharmaceutically acceptable salt thereof, R3 is H or -CH3 .

在具有式 (I) 的化合物或其藥學上可接受的鹽的實施方式中,R 3係-CH 3In embodiments of the compound of formula (I), or a pharmaceutically acceptable salt thereof, R3 is -CH3 .

在具有式 (I) 的化合物或其藥學上可接受的鹽的實施方式中,R 4(a) 選自C 1-6-烷基、C 2-6烯基、C 2-6炔基、C 3-6-環烷基、4-10員雜環烷基、苯基、C 3-6-環烷基-C 1-3-烷基-、(4-10員雜環烷基)-C 1-3-烷基-、苯基-C 1-3-烷基-、鹵素、CN、NO 2、OR 4a、SR 4a、C(O)R 4b、C(O)NR 4cR 4d、C(O)NR 4c(OR 4a)、C(O)NR 4c(S(O) 2R 4b)、C(O)NR 4c(S(O) 2NR 4cR 4d)、NR 4cOR 4a、NR 4cR 4d、NR 4c(C(O)R 4b)、NR 4c(C(O)OR 4a)、N(OR 4a)(C(O)R 4b)、NR 4c(C(O)NR 4cR 4d)、NR 4c(C(O)NR 4c(C(O)R 4b))、NR 4c(S(O) 2R 4b)、NR 4c(S(O) 2NR 4cR 4d)、NR 4c(C(O)NR 4c(S(O) 2R 4b))、OC(O)R 4b、OC(O)NR 4cR 4d、ONR 4c(C(O)R 4b)、OS(O) 2R 4b、OP(O)(OR 4e)(OR 4f)、S(O)OR 4a、S(O)R 4b、S(O) 2R 4b、S(O) 2NR 4cR 4d、S(O) 2OR 4a、S(=NR 4g)(O)R 4b、S(=NR 4g)(O)NR 4cNR 4d、P(O)(OR 4e)(OR 4f)、和P(O)(OR 4e)(R 4f),其中R 4的C 1-6-烷基、C 2-6烯基、C 2-6炔基、C 3-6-環烷基、4-10員雜環烷基、苯基、C 3-6-環烷基-C 1-3-烷基-、(4-10員雜環烷基)-C 1-3-烷基-、和苯基-C 1-3-烷基-各自視需要被1、2、或3個獨立地選自以下的基團取代:鹵素、CN、NO 2、OR 4A、SR 4A、C(O)R 4B、C(O)NR 4CR 4D、C(O)NR 4C(OR 4A)、C(O)NR 4C(S(O) 2R 4B)、C(O)NR 4C(S(O) 2NR 4CR 4D)、NR 4COR 4A、NR 4CR 4D、NR 4C(C(O)R 4B)、NR 4C(C(O)OR 4A)、N(OR 4A)(C(O)R 4B)、NR 4C(C(O)NR 4CR 4D)、NR 4C(C(O)NR 4C(C(O)R 4B))、NR 4C(S(O) 2R 4B)、NR 4C(S(O) 2NR 4CR 4D)、NR 4C(C(O)NR 4C(S(O) 2R 4B))、OC(O)R 4B、OC(O)NR 4CR 4D、ONR 4C(C(O)R 4B)、OS(O) 2R 4B、OP(O)(OR 4E)(OR 4F)、S(O)OR 4A、S(O)R 4B、S(O) 2R 4B、S(O) 2NR 4CR 4D、S(O) 2OR 4A、S(=NR 4G)(O)R 4B、S(=NR 4G)(O)NR 4CNR 4D、P(O)(OR 4E)(OR 4F)、和P(O)(OR 4E)(R 4F),或者R 4係 (b) 5-10員雜芳基或(5-10員雜芳基)-C 1-3-烷基-,其中該5-10員雜芳基和(5-10員雜芳基)-C 1-3-烷基-各自被C(O)OR 4A或被羧酸電子等排體並且視需要被1、2、或3個獨立地選自以下的基團取代:鹵素,CN,NO 2,OR 4A,SR 4A,C 1-3-烷基,被1、2或3個鹵素取代的C 1-3-烷基,C(O)R 4B,C(O)NR 4CR 4D,C(O)NR 4C(OR 4A),C(O)NR 4C(S(O) 2R 4B),C(O)NR 4C(S(O) 2NR 4CR 4D),NR 4COR 4A,NR 4CR 4D,NR 4C(C(O)R 4B),NR 4C(C(O)OR 4A),N(OR 4A)(C(O)R 4B),NR 4C(C(O)NR 4CR 4D),NR 4C(C(O)NR 4C(C(O)R 4B)),NR 4C(S(O) 2R 4B),NR 4C(S(O) 2NR 4CR 4D),NR 4C(C(O)NR 4C(S(O) 2R 4B)),OC(O)R 4B,OC(O)NR 4CR 4D,ONR 4C(C(O)R 4B),OS(O) 2R 4B,OP(O)(OR 4E)(OR 4F),S(O)OR 4A,S(O)R 4B,S(O) 2R 4B,S(O) 2NR 4CR 4D,S(O) 2OR 4A,S(=NR 4G)(O)R 4B,S(=NR 4G)(O)NR 4CNR 4D,P(O)(OR 4E)(OR 4F),和P(O)(OR 4E)(R 4F), 其中R 4a、R 4b、R 4c、R 4d、R 4e、R 4f、R 4g、R 4A、R 4B、R 4C、R 4D、R 4E、R 4F和R 4G係如本文所定義的。 In embodiments of the compound of formula (I) or a pharmaceutically acceptable salt thereof, R 4 (a) is selected from C 1-6 -alkyl, C 2-6 alkenyl, C 2-6 alkynyl, C 3-6 -cycloalkyl, 4-10 membered heterocycloalkyl, phenyl, C 3-6 -cycloalkyl-C 1-3 -alkyl-, (4-10 membered heterocycloalkyl)- C 1-3 -alkyl-, phenyl-C 1-3 -alkyl-, halogen, CN, NO 2 , OR 4a , SR 4a , C(O)R 4b , C(O)NR 4c R 4d , C(O)NR 4c (OR 4a ), C(O)NR 4c (S(O) 2 R 4b ), C(O)NR 4c (S(O) 2 NR 4c R 4d ), NR 4c OR 4a , NR 4c R 4d 、NR 4c (C(O)R 4b )、NR 4c (C(O)OR 4a )、N(OR 4a )(C(O)R 4b )、NR 4c (C(O)NR 4c R 4d ), NR 4c (C(O)NR 4c (C(O)R 4b )), NR 4c (S(O) 2 R 4b ), NR 4c (S(O) 2 NR 4c R 4d ), NR 4c (C(O)NR 4c (S(O) 2 R 4b )), OC(O)R 4b , OC(O)NR 4c R 4d , ONR 4c (C(O)R 4b ), OS(O) 2 R 4b 、OP(O)(OR 4e )(OR 4f )、S(O)OR 4a 、S(O)R 4b 、S(O) 2 R 4b 、S(O) 2 NR 4c R 4d 、S (O) 2 OR 4a , S(=NR 4g )(O)R 4b , S(=NR 4g )(O)NR 4c NR 4d , P(O)(OR 4e )(OR 4f ), and P(O )(OR 4e )(R 4f ), wherein R 4 is C 1-6 -alkyl, C 2-6 alkenyl, C 2-6 alkynyl, C 3-6 -cycloalkyl, 4-10 membered hetero Cycloalkyl, phenyl, C 3-6 -cycloalkyl-C 1-3 -alkyl-, (4-10 membered heterocycloalkyl)-C 1-3 -alkyl-, and phenyl-C 1-3 -Alkyl- each optionally substituted with 1, 2, or 3 groups independently selected from: halogen, CN, NO 2 , OR 4A , SR 4A , C(O)R 4B , C( O)NR 4C R 4D 、C(O)NR 4C (OR 4A )、C(O)NR 4C (S(O) 2 R 4B )、C(O)NR 4C (S(O) 2 NR 4C R 4D ), NR 4C OR 4A , NR 4C R 4D , NR 4C (C(O)R 4B ), NR 4C (C(O)OR 4A ), N(OR 4A ) (C(O)R 4B ), NR 4C (C(O)NR 4C R 4D ), NR 4C (C(O)NR 4C (C(O)R 4B )), NR 4C (S(O) 2 R 4B ), NR 4C (S(O) 2 NR 4C R 4D ), NR 4C (C(O)NR 4C (S(O) 2 R 4B )), OC(O)R 4B , OC(O)NR 4C R 4D , ONR 4C (C(O)R 4B ), OS(O) 2 R 4B , OP(O)(OR 4E )(OR 4F ), S(O)OR 4A , S(O)R 4B , S(O) 2 R 4B , S(O) 2 NR 4C R 4D 、S(O) 2 OR 4A 、S(=NR 4G )(O)R 4B 、S(=NR 4G )(O)NR 4C NR 4D 、P(O)(OR 4E )(OR 4F ), and P(O)(OR 4E )(R 4F ), or R 4 is (b) 5-10 membered heteroaryl or (5-10 membered heteroaryl)-C 1-3 -alkyl- , wherein the 5-10 membered heteroaryl and (5-10 membered heteroaryl)-C 1-3 -alkyl- are each replaced by C(O)OR 4A or by a carboxylic acid isostere and optionally by 1 , 2, or 3 substituted groups independently selected from the following: halogen, CN, NO 2 , OR 4A , SR 4A , C 1-3 -alkyl, C 1- substituted by 1, 2 or 3 halogens 3 -Alkyl, C(O)R 4B , C(O)NR 4C R 4D , C(O)NR 4C (OR 4A ), C(O)NR 4C (S(O) 2 R 4B ), C( O)NR 4C (S(O) 2 NR 4C R 4D ), NR 4C OR 4A , NR 4C R 4D , NR 4C (C(O)R 4B ), NR 4C (C(O)OR 4A ), N( OR 4A )(C(O)R 4B ), NR 4C (C(O)NR 4C R 4D ), NR 4C (C(O)NR 4C (C(O)R 4B )), NR 4C (S(O ) 2 R 4B ), NR 4C (S(O) 2 NR 4C R 4D ), NR 4C (C(O)NR 4C (S(O) 2 R 4B )), OC(O)R 4B , OC(O )NR 4C R 4D , ONR 4C (C(O)R 4B ) , OS(O) 2 R 4B , OP(O)(OR 4E )(OR 4F ) , S(O)OR 4A , S(O)R 4B , S(O) 2 R 4B , S(O) 2 NR 4C R 4D , S(O) 2 OR 4A , S(=NR 4G )(O)R 4B , S(=NR 4G )(O)NR 4C NR 4D , P(O)(OR 4E )(OR 4F ), and P(O)(OR 4E )(R 4F ), where R 4a , R 4b , R 4c , R 4d , R 4e , R 4f , R 4g , R 4A , R 4B , R 4C , R 4D , R 4E , R 4F and R 4G are as defined herein.

在具有式 (I) 的化合物或其藥學上可接受的鹽的實施方式中,R 4(a) 選自C 1-3-烷基、C 2-4烯基、C 2-4炔基、C 3-6-環烷基、4-10員雜環烷基、苯基、和鹵素,其中R 4的C 1-3-烷基、C 2-4烯基、C 2-4炔基、C 3-6-環烷基、4-10員雜環烷基、和苯基各自視需要被1、2、或3個獨立地選自鹵素和C 1-3-烷基的基團取代,或者R 4係 (b) 5-10員雜芳基或(5-10員雜芳基)-C 1-3-烷基-,其中該5-10員雜芳基和(5-10員雜芳基)-C 1-3-烷基-各自被C(O)OR 4A或被羧酸電子等排體並且視需要被1、2、或3個獨立地選自以下的基團取代:鹵素,C 1-3-烷基和被1、2或3個鹵素取代的C 1-3-烷基;其中R 4A選自H和C 1-3-烷基。 In embodiments of the compound of formula (I) or a pharmaceutically acceptable salt thereof, R 4 (a) is selected from C 1-3 -alkyl, C 2-4 alkenyl, C 2-4 alkynyl, C 3-6 -cycloalkyl, 4-10 membered heterocycloalkyl, phenyl, and halogen, wherein R 4 is C 1-3 -alkyl, C 2-4 alkenyl, C 2-4 alkynyl, Each of C 3-6 -cycloalkyl, 4-10 membered heterocycloalkyl, and phenyl is optionally substituted with 1, 2, or 3 groups independently selected from halogen and C 1-3 -alkyl, Or R 4 is (b) 5-10 membered heteroaryl or (5-10 membered heteroaryl)-C 1-3 -alkyl-, wherein the 5-10 membered heteroaryl and (5-10 membered heteroaryl Aryl) -C 1-3 -alkyl - each substituted by C(O)OR 4A or by a carboxylic acid isostere and optionally by 1, 2, or 3 groups independently selected from: Halogen , C 1-3 -alkyl and C 1-3 -alkyl substituted by 1, 2 or 3 halogens; wherein R 4A is selected from H and C 1-3 -alkyl.

在具有式 (I) 的化合物或其藥學上可接受的鹽的實施方式中,R 4係C 1-3-烷基或被1、2或3個鹵素取代的C 1-3-烷基,例如甲基、乙基或三氟甲基。 In embodiments of the compound of formula (I) or a pharmaceutically acceptable salt thereof, R 4 is C 1-3 -alkyl or C 1-3 -alkyl substituted by 1, 2 or 3 halogens, For example methyl, ethyl or trifluoromethyl.

在具有式 (I) 的化合物或其藥學上可接受的鹽的實施方式中,R 4係5-10員雜芳基或(5-10員雜芳基)-C 1-3-烷基-,其中該5-10員雜芳基和(5-10員雜芳基)-C 1-3-烷基-各自被C(O)OR 4A或被羧酸電子等排體並且視需要被1、2或3個獨立地選自以下的基團取代:鹵素,CN,NO 2,OR 4A,SR 4A,C 1-3-烷基,被1、2或3個鹵素取代的C 1-3-烷基,C(O)R 4B,C(O)NR 4CR 4D,C(O)NR 4C(OR 4A),C(O)NR 4C(S(O) 2R 4B),C(O)NR 4C(S(O) 2NR 4CR 4D),NR 4COR 4A,NR 4CR 4D,NR 4C(C(O)R 4B),NR 4C(C(O)OR 4A),N(OR 4A)(C(O)R 4B),NR 4C(C(O)NR 4CR 4D),NR 4C(C(O)NR 4C(C(O)R 4B)),NR 4C(S(O) 2R 4B),NR 4C(S(O) 2NR 4CR 4D),NR 4C(C(O)NR 4C(S(O) 2R 4B)),OC(O)R 4B,OC(O)NR 4CR 4D,ONR 4C(C(O)R 4B),OS(O) 2R 4B,OP(O)(OR 4E)(OR 4F),S(O)OR 4A,S(O)R 4B,S(O) 2R 4B,S(O) 2NR 4CR 4D,S(O) 2OR 4A,S(=NR 4G)(O)R 4B,S(=NR 4G)(O)NR 4CNR 4D,P(O)(OR 4E)(OR 4F),和P(O)(OR 4E)(R 4F),其中R 4A、R 4B、R 4C、R 4D、R 4E、R 4F和R 4G係如本文所定義的。 In embodiments of the compound of formula (I) or a pharmaceutically acceptable salt thereof, R 4 is 5-10 membered heteroaryl or (5-10 membered heteroaryl)-C 1-3 -alkyl- , wherein the 5-10 membered heteroaryl and (5-10 membered heteroaryl)-C 1-3 -alkyl- are each replaced by C(O)OR 4A or by a carboxylic acid isostere and optionally by 1 , 2 or 3 substituted groups independently selected from the following: halogen, CN, NO 2 , OR 4A , SR 4A , C 1-3 -alkyl, C 1-3 substituted by 1, 2 or 3 halogens -Alkyl, C(O)R 4B , C(O)NR 4C R 4D , C(O)NR 4C (OR 4A ), C(O)NR 4C (S(O) 2 R 4B ), C(O )NR 4C (S(O) 2 NR 4C R 4D ), NR 4C OR 4A , NR 4C R 4D , NR 4C (C(O)R 4B ), NR 4C (C(O)OR 4A ), N(OR 4A )(C(O)R 4B ), NR 4C (C(O)NR 4C R 4D ), NR 4C (C(O)NR 4C (C(O)R 4B )), NR 4C (S(O) 2 R 4B ), NR 4C (S(O) 2 NR 4C R 4D ), NR 4C (C(O)NR 4C (S(O) 2 R 4B )), OC(O)R 4B , OC(O) NR 4C R 4D , ONR 4C (C(O)R 4B ) , OS(O) 2 R 4B , OP(O)(OR 4E )(OR 4F ) , S(O)OR 4A , S(O)R 4B ,S(O) 2 R 4B ,S(O) 2 NR 4C R 4D ,S(O) 2 OR 4A ,S(=NR 4G )(O)R 4B ,S(=NR 4G )(O)NR 4C NR 4D , P(O)(OR 4E )(OR 4F ), and P(O)(OR 4E )(R 4F ), where R 4A , R 4B , R 4C , R 4D , R 4E , R 4F and R 4G is as defined herein.

在具有式 (I) 的化合物或其藥學上可接受的鹽的實施方式中,R 4係5-10員雜芳基或(5-10員雜芳基)-C 1-3-烷基-,其中該5-10員雜芳基和(5-10員雜芳基)-C 1-3-烷基-各自被C(O)OR 4A或被羧酸電子等排體並且視需要被1、2、或3個獨立地選自以下的基團取代:鹵素,C 1-3-烷基和被1、2或3個鹵素取代的C 1-3-烷基;其中R 4A選自H和C 1-3-烷基。 In embodiments of the compound of formula (I) or a pharmaceutically acceptable salt thereof, R 4 is 5-10 membered heteroaryl or (5-10 membered heteroaryl)-C 1-3 -alkyl- , wherein the 5-10 membered heteroaryl and (5-10 membered heteroaryl)-C 1-3 -alkyl- are each replaced by C(O)OR 4A or by a carboxylic acid isostere and optionally by 1 , 2, or 3 substituted with groups independently selected from: halogen, C 1-3 -alkyl and C 1-3 -alkyl substituted by 1, 2 or 3 halogens; wherein R 4A is selected from H and C 1-3 -alkyl.

在具有式 (I) 的化合物或其藥學上可接受的鹽的實施方式中,R 4具有式H1或H2的結構: 其中: X 1係C或N,並且X 2、X 3、X 4、X 5、和X 6中的每一者獨立地是C=O、CR 4h、NR 4i、O、或S; W係C(O)OR 4A或羧酸電子等排體; 每個 係單鍵或雙鍵; 每個R 4h獨立地選自H、C 1-6-烷基、C 2-6烯基、C 2-6炔基、C 3-6-環烷基、4-10員雜環烷基、5-10員雜芳基、苯基、C 3-6-環烷基-C 1-3-烷基-、(4-10員雜環烷基)-C 1-3-烷基-、(5-10員雜芳基)-C 1-3-烷基-、苯基-C 1-3-烷基-、鹵素、CN、NO 2、OR 4a、SR 4a、C(O)OR 4a、C(O)R 4b、C(O)NR 4cR 4d、C(O)NR 4c(OR 4a)、C(O)NR 4c(S(O) 2R 4b)、C(O)NR 4c(S(O) 2NR 4cR 4d)、NR 4cOR 4a、NR 4cR 4d、NR 4c(C(O)R 4b)、NR 4c(C(O)OR 4a)、N(OR 4a)(C(O)R 4b)、NR 4c(C(O)NR 4cR 4d)、NR 4c(C(O)NR 4c(C(O)R 4b))、NR 4c(S(O) 2R 4b)、NR 4c(S(O) 2NR 4cR 4d)、NR 4c(C(O)NR 4c(S(O) 2R 4b))、OC(O)R 4b、OC(O)NR 4cR 4d、ONR 4c(C(O)R 4b)、OS(O) 2R 4b、OP(O)(OR 4e)(OR 4f)、S(O)OR 4a、S(O)R 4b、S(O) 2R 4b、S(O) 2NR 4cR 4d、S(O) 2OR 4a、S(=NR 4g)(O)R 4b、S(=NR 4g)(O)NR 4cNR 4d、P(O)(OR 4e)(OR 4f)、和P(O)(OR 4e)(R 4f),其中該C 1-6-烷基、C 2-6烯基、C 2-6炔基、C 3-6-環烷基、4-10員雜環烷基、5-10員雜芳基、苯基、C 3-6-環烷基-C 1-3-烷基-、(4-10員雜環烷基)-C 1-3-烷基-、(5-10員雜芳基)-C 1-3-烷基-、和苯基-C 1-3-烷基-各自視需要被1、2、或3個獨立地選自以下的基團取代:鹵素,CN,NO 2,OR 4A,SR 4A,C 1-3-烷基,被1、2或3個鹵素取代的C 1-3-烷基,C(O)OR 4A,C(O)R 4B,C(O)NR 4CR 4D,C(O)NR 4C(OR 4A),C(O)NR 4C(S(O) 2R 4B),C(O)NR 4C(S(O) 2NR 4CR 4D),NR 4COR 4A,NR 4CR 4D、NR 4C(C(O)R 4B),NR 4C(C(O)OR 4A),N(OR 4A)(C(O)R 4B),NR 4C(C(O)NR 4CR 4D),NR 4C(C(O)NR 4C(C(O)R 4B)),NR 4C(S(O) 2R 4B),NR 4C(S(O) 2NR 4CR 4D),NR 4C(C(O)NR 4C(S(O) 2R 4B)),OC(O)R 4B,OC(O)NR 4CR 4D,ONR 4C(C(O)R 4B),OS(O) 2R 4B,OP(O)(OR 4E)(OR 4F),S(O)OR 4A,S(O)R 4B,S(O) 2R 4B,S(O) 2NR 4CR 4D,S(O) 2OR 4A,S(=NR 4G)(O)R 4B,S(=NR 4G)(O)NR 4CNR 4D,P(O)(OR 4E)(OR 4F),和P(O)(OR 4E)(R 4F); 每個R 4i獨立地選自H、C 1-6-烷基、C 2-6烯基、C 2-6炔基、C 3-6-環烷基、4-10員雜環烷基、5-10員雜芳基、苯基、C 3-6-環烷基-C 1-3-烷基-、(4-10員雜環烷基)-C 1-3-烷基-、(5-10員雜芳基)-C 1-3-烷基-、苯基-C 1-3-烷基-、CN、C(O)OR 4a、C(O)R 4b、C(O)NR 4cR 4d、C(O)NR 4c(OR 4a)、C(O)NR 4c(S(O) 2R 4b)、和C(O)NR 4c(S(O) 2NR 4cR 4d),其中該C 1-6-烷基、C 2-6烯基、C 2-6炔基、C 3-6-環烷基、4-10員雜環烷基、5-10員雜芳基、苯基、C 3-6-環烷基-C 1-3-烷基-、(4-10員雜環烷基)-C 1-3-烷基-、(5-10員雜芳基)-C 1-3-烷基-、和苯基-C 1-3-烷基-各自視需要被1、2、或3個獨立地選自以下的基團取代:鹵素、CN、NO 2、OR 4A、SR 4A、C(O)OR 4A、C(O)R 4B、C(O)NR 4CR 4D、C(O)NR 4C(OR 4A)、C(O)NR 4C(S(O) 2R 4B)、C(O)NR 4C(S(O) 2NR 4CR 4D)、NR 4COR 4A、NR 4CR 4D、NR 4C(C(O)R 4B)、NR 4C(C(O)OR 4A)、N(OR 4A)(C(O)R 4B)、NR 4C(C(O)NR 4CR 4D)、NR 4C(C(O)NR 4C(C(O)R 4B))、NR 4C(S(O) 2R 4B)、NR 4C(S(O) 2NR 4CR 4D)、NR 4C(C(O)NR 4C(S(O) 2R 4B))、OC(O)R 4B、OC(O)NR 4CR 4D、ONR 4C(C(O)R 4B)、OS(O) 2R 4B、OP(O)(OR 4E)(OR 4F)、S(O)OR 4A、S(O)R 4B、S(O) 2R 4B、S(O) 2NR 4CR 4D、S(O) 2OR 4A、S(=NR 4G)(O)R 4B、S(=NR 4G)(O)NR 4CNR 4D、P(O)(OR 4E)(OR 4F)、和P(O)(OR 4E)(R 4F);或者 R 4h和R 4i可以一起形成C 3-6-環烷基、苯基、4-10員雜環烷基、或5-10員雜芳基,其可以進一步被獨立地選自C 1-6-烷基、-OH、和鹵素的基團取代, 其中R 4a、R 4b、R 4c、R 4d、R 4e、R 4f、R 4g、R 4A、R 4B、R 4C、R 4D、R 4E、R 4F和R 4G係如本文所定義的。 In embodiments having a compound of formula (I) or a pharmaceutically acceptable salt thereof, R has the structure of formula H1 or H2: where: X1 is C or N, and each of X2 , X3 , X4 , X5 , and X6 is independently C=O, CR4h , NR4i , O, or S; C(O)OR 4A or carboxylic acid isostere; each is a single bond or a double bond; each R 4h is independently selected from H, C 1-6 -alkyl, C 2-6 alkenyl, C 2-6 alkynyl, C 3-6 -cycloalkyl, 4- 10-membered heterocycloalkyl, 5-10-membered heteroaryl, phenyl, C 3-6 -cycloalkyl-C 1-3 -alkyl-, (4-10-membered heterocycloalkyl)-C 1- 3 -alkyl-, (5-10 membered heteroaryl)-C 1-3 -alkyl-, phenyl-C 1-3 -alkyl-, halogen, CN, NO 2 , OR 4a , SR 4a , C(O)OR 4a , C(O)R 4b , C(O)NR 4c R 4d , C(O)NR 4c (OR 4a ), C(O)NR 4c (S(O) 2 R 4b ), C(O)NR 4c (S(O) 2 NR 4c R 4d ), NR 4c OR 4a , NR 4c R 4d , NR 4c (C(O)R 4b ), NR 4c (C(O)OR 4a ), N(OR 4a )(C(O)R 4b ), NR 4c (C(O)NR 4c R 4d ), NR 4c (C(O)NR 4c (C(O)R 4b )), NR 4c (S (O) 2 R 4b ), NR 4c (S(O) 2 NR 4c R 4d ), NR 4c (C(O)NR 4c (S(O) 2 R 4b )), OC(O)R 4b , OC (O)NR 4c R 4d 、ONR 4c (C(O)R 4b )、OS(O) 2 R 4b 、OP(O)(OR 4e )(OR 4f )、S(O)OR 4a 、S(O )R 4b , S(O) 2 R 4b , S(O) 2 NR 4c R 4d , S(O) 2 OR 4a , S(=NR 4g )(O)R 4b , S(=NR 4g )(O )NR 4c NR 4d , P(O)(OR 4e )(OR 4f ), and P(O)(OR 4e )(R 4f ), wherein the C 1-6 -alkyl, C 2-6 alkenyl, C 2-6 alkynyl, C 3-6 -cycloalkyl, 4-10 membered heterocycloalkyl, 5-10 membered heteroaryl, phenyl, C 3-6 -cycloalkyl-C 1-3 - Alkyl-, (4-10 membered heterocycloalkyl)-C 1-3 -alkyl-, (5-10 membered heteroaryl)-C 1-3 -alkyl-, and phenyl-C 1- 3 -alkyl-each optionally substituted by 1, 2, or 3 groups independently selected from: halogen, CN, NO2 , OR4A , SR4A , C1-3 -alkyl, by 1, 2 or 3 halogen-substituted C 1-3 -alkyl, C(O)OR 4A , C(O)R 4B , C(O)NR 4C R 4D , C(O)NR 4C (OR 4A ), C (O)NR 4C (S(O) 2 R 4B ), C(O)NR 4C (S(O) 2 NR 4C R 4D ), NR 4C OR 4A , NR 4C R 4D , NR 4C (C(O) R 4B ), NR 4C (C(O)OR 4A ), N(OR 4A ) (C(O)R 4B ), NR 4C (C(O)NR 4C R 4D ), NR 4C (C(O)NR 4C (C(O)R 4B )), NR 4C (S(O) 2 R 4B ), NR 4C (S(O) 2 NR 4C R 4D ), NR 4C (C(O)NR 4C (S(O) ) 2 R 4B )), OC(O)R 4B , OC(O)NR 4C R 4D , ONR 4C (C(O)R 4B ) , OS(O) 2 R 4B , OP(O)(OR 4E ) (OR 4F ), S(O)OR 4A , S(O)R 4B , S(O) 2 R 4B , S(O) 2 NR 4C R 4D , S(O) 2 OR 4A , S(=NR 4G )(O)R 4B , S(=NR 4G )(O)NR 4C NR 4D , P(O)(OR 4E )(OR 4F ), and P(O)(OR 4E )(R 4F ); each R 4i is independently selected from H, C 1-6 -alkyl, C 2-6 alkenyl, C 2-6 alkynyl, C 3-6 -cycloalkyl, 4-10 membered heterocycloalkyl, 5- 10-membered heteroaryl, phenyl, C 3-6 -cycloalkyl-C 1-3 -alkyl-, (4-10-membered heterocycloalkyl)-C 1-3 -alkyl-, (5- 10-membered heteroaryl)-C 1-3 -alkyl-, phenyl-C 1-3 -alkyl-, CN, C(O)OR 4a , C(O)R 4b , C(O)NR 4c R 4d , C(O)NR 4c (OR 4a ), C(O)NR 4c (S(O) 2 R 4b ), and C(O)NR 4c (S(O) 2 NR 4c R 4d ), where The C 1-6 -alkyl, C 2-6 alkenyl, C 2-6 alkynyl, C 3-6 -cycloalkyl, 4-10 membered heterocycloalkyl, 5-10 membered heteroaryl, benzene Base, C 3-6 -cycloalkyl-C 1-3 -alkyl-, (4-10 membered heterocycloalkyl)-C 1-3 -alkyl-, (5-10 membered heteroaryl)- Each of C 1-3 -alkyl-, and phenyl-C 1-3 -alkyl- is optionally substituted with 1, 2, or 3 groups independently selected from: halogen, CN, NO 2 , OR 4A , SR 4A , C(O)OR 4A , C(O)R 4B , C(O)NR 4C R 4D , C(O)NR 4C (OR 4A ), C(O)NR 4C (S(O) 2 R 4B ), C(O)NR 4C (S(O) 2 NR 4C R 4D ), NR 4C OR 4A , NR 4C R 4D , NR 4C (C(O)R 4B ), NR 4C (C(O )OR 4A ), N(OR 4A )(C(O)R 4B ), NR 4C (C(O)NR 4C R 4D ), NR 4C (C(O)NR 4C (C(O)R 4B )) , NR 4C (S(O) 2 R 4B ), NR 4C (S(O) 2 NR 4C R 4D ), NR 4C (C(O)NR 4C (S(O) 2 R 4B )), OC(O )R 4B 、OC(O)NR 4C R 4D 、ONR 4C (C(O)R 4B )、OS(O) 2 R 4B 、OP(O)(OR 4E )(OR 4F )、S(O)OR 4A 、S(O)R 4B 、S(O) 2 R 4B 、S(O) 2 NR 4C R 4D 、S(O) 2 OR 4A 、S(=NR 4G )(O)R 4B 、S(= NR 4G )(O)NR 4C NR 4D , P(O)(OR 4E )(OR 4F ), and P(O)(OR 4E )(R 4F ); or R 4h and R 4i can together form C 3- 6 -cycloalkyl, phenyl, 4-10 membered heterocycloalkyl, or 5-10 membered heteroaryl, which may be further independently selected from the group consisting of C 1-6 -alkyl, -OH, and halogen. group substitution, wherein R 4a , R 4b , R 4c , R 4d , R 4e , R 4f , R 4g , R 4A , R 4B , R 4C , R 4D , R 4E , R 4F and R 4G are as defined herein. of.

在具有式 (I) 的化合物或其藥學上可接受的鹽的實施方式中,R 4具有式H1a或H2a的結構: 其中該環係芳香族的;其中 X 1係C,並且X 2、X 3、X 4、X 5、和X 6中的每一者獨立地是C=O、CR 4h、NR 4i、O、或S,其中X 2-X 6中的至少一者係N、O、或S; R 4A選自H和C 1-3-烷基;並且 如果存在,則R 4h係鹵素,C 1-3-烷基或被1、2或3個鹵素取代的C 1-3-烷基,並且R 4i係C 1-3-烷基。 In embodiments having a compound of formula (I) or a pharmaceutically acceptable salt thereof, R has the structure of formula H1a or H2a: wherein the ring system is aromatic; wherein X1 is C, and each of X2 , X3 , X4 , X5 , and X6 is independently C=O, CR4h , NR4i , O, or S , wherein at least one of -alkyl or C 1-3 -alkyl substituted by 1, 2 or 3 halogens, and R 4i is C 1-3 -alkyl.

在具有式 (I) 的化合物或其藥學上可接受的鹽的實施方式中,R 4選自由以下組成之群組: 、和 , 其中Ra、Rb和Rc獨立地選自H,C 1-3-烷基和被1、2或3個鹵素取代的C 1-3-烷基,並且R 4A選自H和C 1-3-烷基。 在具有式 (I) 的化合物或其藥學上可接受的鹽的實施方式中,R 5(a) 選自C 1-6-烷基、C 2-6烯基、C 2-6炔基、C 3-6-環烷基、4-10員雜環烷基、苯基、C 3-6-環烷基-C 1-3-烷基、(4-10員雜環烷基)-C 1-3-烷基-、苯基-C 1-3-烷基-、鹵素、CN、NO 2、OR 5a、SR 5a、C(O)R 5b、C(O)NR 5cR 5d、C(O)NR 5c(OR 5a)、C(O)NR 5c(S(O) 2R 5b)、C(O)NR 5c(S(O) 2NR 5cR 5d)、NR 5cOR 5a、NR 5cR 5d、NR 5c(C(O)R 5b)、NR 5c(C(O)OR 5a)、N(OR 5a)(C(O)R 5b)、NR 5c(C(O)NR 5cR 5d)、NR 5c(C(O)NR 5c(C(O)R 5b))、NR 5c(S(O) 2R 5b)、NR 5c(S(O) 2NR 5cR 5d)、NR 5c(C(O)NR 5c(S(O) 2R 5b))、OC(O)R 5b、OC(O)NR 5cR 5d、ONR 5c(C(O)R 5b)、OS(O) 2R 5b、OP(O)(OR 5e)(OR 5f)、S(O)OR 5a、S(O)R 5b、S(O) 2R 5b、S(O) 2NR 5cR 5d、S(O) 2OR 5a、S(=NR 5g)(O)R 5b、S(=NR 5g)(O)NR 5cNR 5d、P(O)(OR 5e)(OR 5f)、和P(O)(OR 5e)(R 5f),其中R 5的C 1-6-烷基、C 2-6烯基、C 2-6炔基、C 3-6-環烷基、4-10員雜環烷基、苯基、C 3-6-環烷基-C 1-3-烷基-、(4-10員雜環烷基)-C 1-3-烷基-、和苯基-C 1-3-烷基-各自視需要被1、2、或3個獨立地選自以下的基團取代:鹵素、CN、NO 2、OR 5A、SR 5A、C(O)R 5B、C(O)NR 5CR 5D、C(O)NR 5C(OR 5A)、C(O)NR 5C(S(O) 2R 5B)、C(O)NR 5C(S(O) 2NR 5CR 5D)、NR 5COR 5A、NR 5CR 5D、NR 5C(C(O)R 5B)、NR 5C(C(O)OR 5A)、N(OR 5A)(C(O)R 5B)、NR 5C(C(O)NR 5CR 5D)、NR 5C(C(O)NR 5C(C(O)R 5B))、NR 5C(S(O) 2R 5B)、NR 5C(S(O) 2NR 5CR 5D)、NR 5C(C(O)NR 5C(S(O) 2R 5B))、OC(O)R 5B、OC(O)NR 5CR 5D、ONR 5C(C(O)R 5B)、OS(O) 2R 5B、OP(O)(OR 5E)(OR 5F)、S(O)OR 5A、S(O)R 5B、S(O) 2R 5B、S(O) 2NR 5CR 5D、S(O) 2OR 5A、S(=NR 5G)(O)R 5B、S(=NR 5G)(O)NR 5CNR 5D、P(O)(OR 5E)(OR 5F)、和P(O)(OR 5E)(R 5F),或者R 5係 (b) 5-10員雜芳基或(5-10員雜芳基)-C 1-3-烷基-,其中該5-10員雜芳基和(5-10員雜芳基)-C 1-3-烷基-各自被C(O)OR 5A或被羧酸電子等排體並且視需要被1、2、或3個獨立地選自以下的基團取代:鹵素,CN,NO 2,OR 5A,SR 5A,C 1-3-烷基,被1、2或3個鹵素取代的C 1-3-烷基,C(O)R 5B,C(O)NR 5CR 5D,C(O)NR 5C(OR 5A),C(O)NR 5C(S(O) 2R 5B),C(O)NR 5C(S(O) 2NR 5CR 5D),NR 5COR 5A,NR 5CR 5D,NR 5C(C(O)R 5B),NR 5C(C(O)OR 5A),N(OR 5A)(C(O)R 5B),NR 5C(C(O)NR 5CR 5D),NR 5C(C(O)NR 5C(C(O)R 5B)),NR 5C(S(O) 2R 5B),NR 5C(S(O) 2NR 5CR 5D),NR 5C(C(O)NR 5C(S(O) 2R 5B)),OC(O)R 5B,OC(O)NR 5CR 5D,ONR 5C(C(O)R 5B),OS(O) 2R 5B,OP(O)(OR 5E)(OR 5F),S(O)OR 5A,S(O)R 5B,S(O) 2R 5B,S(O) 2NR 5CR 5D,S(O) 2OR 5A,S(=NR 5G)(O)R 5B,S(=NR 5G)(O)NR 5CNR 5D,P(O)(OR 5E)(OR 5F),和P(O)(OR 5E)(R 5F), 其中R 5a、R 5b、R 5c、R 5d、R 5e、R 5f、R 5g、R 5A、R 5B、R 5C、R 5D、R 5E、R 5F和R 5G係如本文所定義的。 In embodiments of compounds of formula (I), or a pharmaceutically acceptable salt thereof, R is selected from the group consisting of: , , , , , , , , , , ,and , wherein Ra, Rb and Rc are independently selected from H, C 1-3 -alkyl and C 1-3 -alkyl substituted by 1, 2 or 3 halogens, and R 4A is selected from H and C 1-3 -alkyl. In embodiments of the compound of formula (I) or a pharmaceutically acceptable salt thereof, R 5 (a) is selected from C 1-6 -alkyl, C 2-6 alkenyl, C 2-6 alkynyl, C 3-6 -cycloalkyl, 4-10 membered heterocycloalkyl, phenyl, C 3-6 -cycloalkyl-C 1-3 -alkyl, (4-10 membered heterocycloalkyl)-C 1-3 -alkyl-, phenyl-C 1-3 -alkyl-, halogen, CN, NO 2 , OR 5a , SR 5a , C(O)R 5b , C(O)NR 5c R 5d , C (O)NR 5c (OR 5a ), C(O)NR 5c (S(O) 2 R 5b ), C(O)NR 5c (S(O) 2 NR 5c R 5d ), NR 5c OR 5a , NR 5c R 5d 、NR 5c (C(O)R 5b )、NR 5c (C(O)OR 5a )、N(OR 5a )(C(O)R 5b )、NR 5c (C(O)NR 5c R 5d ), NR 5c (C(O)NR 5c (C(O)R 5b )), NR 5c (S(O) 2 R 5b ), NR 5c (S(O) 2 NR 5c R 5d ), NR 5c (C(O)NR 5c (S(O) 2 R 5b )), OC(O)R 5b , OC(O)NR 5c R 5d , ONR 5c (C(O)R 5b ), OS(O) 2 R 5b 、OP(O)(OR 5e )(OR 5f )、S(O)OR 5a 、S(O)R 5b 、S(O) 2 R 5b 、S(O) 2 NR 5c R 5d 、S( O) 2 OR 5a , S(=NR 5g )(O)R 5b , S(=NR 5g )(O)NR 5c NR 5d , P(O)(OR 5e )(OR 5f ), and P(O) (OR 5e )(R 5f ), wherein R 5 is C 1-6 -alkyl, C 2-6 alkenyl, C 2-6 alkynyl, C 3-6 -cycloalkyl, 4-10 membered heterocycle Alkyl, phenyl, C 3-6 -cycloalkyl-C 1-3 -alkyl-, (4-10 membered heterocycloalkyl)-C 1-3 -alkyl-, and phenyl-C 1 -3 -alkyl- each optionally substituted with 1, 2, or 3 groups independently selected from: halogen, CN, NO 2 , OR 5A , SR 5A , C(O)R 5B , C(O )NR 5C R 5D 、C(O)NR 5C (OR 5A )、C(O)NR 5C (S(O) 2 R 5B )、C(O)NR 5C (S(O) 2 NR 5C R 5D ) , NR 5C OR 5A , NR 5C R 5D , NR 5C (C(O)R 5B ), NR 5C (C(O)OR 5A ), N(OR 5A ) (C(O)R 5B ), NR 5C ( C(O)NR 5C R 5D ), NR 5C (C(O)NR 5C (C(O)R 5B )), NR 5C (S(O) 2 R 5B ), NR 5C (S(O) 2 NR 5C R 5D ), NR 5C (C(O)NR 5C (S(O) 2 R 5B )), OC(O)R 5B , OC(O)NR 5C R 5D , ONR 5C (C(O)R 5B ), OS(O) 2 R 5B , OP(O)(OR 5E )(OR 5F ), S(O)OR 5A , S(O)R 5B , S(O) 2 R 5B , S(O) 2 NR 5C R 5D 、S(O) 2 OR 5A 、S(=NR 5G )(O)R 5B 、S(=NR 5G )(O)NR 5C NR 5D 、P(O)(OR 5E )(OR 5F ), and P(O)(OR 5E )(R 5F ), or R 5 is (b) 5-10 membered heteroaryl or (5-10 membered heteroaryl)-C 1-3 -alkyl-, wherein the 5-10-membered heteroaryl and (5-10-membered heteroaryl)-C 1-3 -alkyl- are each replaced by C(O)OR 5A or carboxylic acid isosteres and optionally 1, 2, or 3 substituted groups independently selected from the following: halogen, CN, NO 2 , OR 5A , SR 5A , C 1-3 -alkyl, C 1-3 substituted by 1, 2 or 3 halogens -Alkyl, C(O)R 5B , C(O)NR 5C R 5D , C(O)NR 5C (OR 5A ), C(O)NR 5C (S(O) 2 R 5B ), C(O )NR 5C (S(O) 2 NR 5C R 5D ), NR 5C OR 5A , NR 5C R 5D , NR 5C (C(O)R 5B ), NR 5C (C(O)OR 5A ), N(OR 5A )(C(O)R 5B ), NR 5C (C(O)NR 5C R 5D ), NR 5C (C(O)NR 5C (C(O)R 5B )), NR 5C (S(O) 2 R 5B ), NR 5C (S(O) 2 NR 5C R 5D ), NR 5C (C(O)NR 5C (S(O) 2 R 5B )), OC(O)R 5B , OC(O) NR 5C R 5D , ONR 5C (C(O)R 5B ) , OS(O) 2 R 5B , OP(O)(OR 5E )(OR 5F ) , S(O)OR 5A , S(O)R 5B ,S(O) 2 R 5B ,S(O) 2 NR 5C R 5D ,S(O) 2 OR 5A ,S(=NR 5G )(O)R 5B ,S(=NR 5G )(O)NR 5C NR 5D , P(O)(OR 5E )(OR 5F ), and P(O)(OR 5E )(R 5F ), where R 5a , R 5b , R 5c , R 5d , R 5e , R 5f , R 5g , R 5A , R 5B , R 5C , R 5D , R 5E , R 5F and R 5G are as defined herein.

在具有式 (I) 的化合物或其藥學上可接受的鹽的實施方式中,R 5(a) 選自C 1-3-烷基、C 2-4烯基、C 2-4炔基、C 3-6-環烷基、4-10員雜環烷基、苯基、和鹵素,其中該C 1-3-烷基、C 2-4烯基、C 2-4炔基、C 3-6-環烷基、4-10員雜環烷基、和苯基各自視需要被1、2、或3個獨立地選自鹵素和C 1-3-烷基的基團取代,或者R 5係 (b) 5-10員雜芳基或(5-10員雜芳基)-C 1-3-烷基-,其中該5-10員雜芳基和(5-10員雜芳基)-C 1-3-烷基-各自被C(O)OR 5A或被羧酸電子等排體並且視需要被1、2、或3個獨立地選自以下的基團取代:鹵素,C 1-3-烷基和被1、2或3個鹵素取代的C 1-3-烷基;其中R 5A選自H和C 1-3-烷基。 In embodiments of the compound of formula (I) or a pharmaceutically acceptable salt thereof, R 5 (a) is selected from C 1-3 -alkyl, C 2-4 alkenyl, C 2-4 alkynyl, C 3-6 -cycloalkyl, 4-10 membered heterocycloalkyl, phenyl, and halogen, wherein the C 1-3 -alkyl, C 2-4 alkenyl, C 2-4 alkynyl, C 3 -6 -Cycloalkyl, 4-10 membered heterocycloalkyl, and phenyl are each optionally substituted with 1, 2, or 3 groups independently selected from halogen and C 1-3 -alkyl, or R 5 system (b) 5-10 membered heteroaryl or (5-10 membered heteroaryl)-C 1-3 -alkyl-, wherein the 5-10 membered heteroaryl and (5-10 membered heteroaryl )-C 1-3 -alkyl-each substituted by C(O)OR 5A or by a carboxylic acid isostere and optionally by 1, 2, or 3 groups independently selected from: halogen, C 1-3 -alkyl and C 1-3 -alkyl substituted by 1, 2 or 3 halogens; wherein R 5A is selected from H and C 1-3 -alkyl.

在具有式 (I) 的化合物或其藥學上可接受的鹽的實施方式中,R 5選自鹵素、C 1-3-烷基、和苯基,其中該C 1-3-烷基和苯基各自視需要被1、2、或3個鹵素取代。 In embodiments of the compound of formula (I), or a pharmaceutically acceptable salt thereof, R5 is selected from halogen, C1-3 -alkyl, and phenyl, wherein the C1-3 -alkyl and phenyl Each group is optionally substituted with 1, 2, or 3 halogens.

在具有式 (I) 的化合物或其藥學上可接受的鹽的實施方式中,R 5選自C 1-3-烷基、C 2-4烯基、和C 3-6-環烷基,其中R 5的C 1-3-烷基、C 2-4烯基、和C 3-6-環烷基各自視需要被1、2、或3個鹵素取代。 In embodiments of the compound of formula (I) or a pharmaceutically acceptable salt thereof, R5 is selected from C 1-3 -alkyl, C 2-4 alkenyl, and C 3-6 -cycloalkyl, Wherein, the C 1-3 -alkyl, C 2-4 alkenyl, and C 3-6 -cycloalkyl groups of R 5 are each optionally substituted with 1, 2, or 3 halogens.

在具有式 (I) 的化合物或其藥學上可接受的鹽的實施方式中,R 5選自-CH 3、-CF 3、F、-CH 2CH 3、和 In embodiments of the compound of Formula (I), or a pharmaceutically acceptable salt thereof, R5 is selected from -CH3 , -CF3 , F, -CH2CH3 , and .

在具有式 (I) 的化合物或其藥學上可接受的鹽的實施方式中,R 5係C 1-3-烷基或被1、2或3個鹵素取代的C 1-3-烷基,例如甲基、乙基或三氟甲基。 In embodiments of the compound of formula (I) or a pharmaceutically acceptable salt thereof, R 5 is C 1-3 -alkyl or C 1-3 -alkyl substituted by 1, 2 or 3 halogens, For example methyl, ethyl or trifluoromethyl.

在具有式 (I) 的化合物或其藥學上可接受的鹽的實施方式中,R 5係5-10員雜芳基或(5-10員雜芳基)-C 1-3-烷基-,其中該5-10員雜芳基和(5-10員雜芳基)-C 1-3-烷基-各自被C(O)OR 5A或被羧酸電子等排體、視需要被1、2、或3個獨立地選自以下的基團取代:鹵素,CN,NO 2,OR 5A,SR 5A,C 1-3-烷基,被1、2或3個鹵素取代的C 1-3-烷基,C(O)R 5B,C(O)NR 5CR 5D,C(O)NR 5C(OR 5A),C(O)NR 5C(S(O) 2R 5B),C(O)NR 5C(S(O) 2NR 5CR 5D),NR 5COR 5A,NR 5CR 5D,NR 5C(C(O)R 5B),NR 5C(C(O)OR 5A),N(OR 5A)(C(O)R 5B),NR 5C(C(O)NR 5CR 5D),NR 5C(C(O)NR 5C(C(O)R 5B)),NR 5C(S(O) 2R 5B),NR 5C(S(O) 2NR 5CR 5D),NR 5C(C(O)NR 5C(S(O) 2R 5B)),OC(O)R 5B,OC(O)NR 5CR 5D,ONR 5C(C(O)R 5B),OS(O) 2R 5B,OP(O)(OR 5E)(OR 5F),S(O)OR 5A,S(O)R 5B,S(O) 2R 5B,S(O) 2NR 5CR 5D,S(O) 2OR 5A,S(=NR 5G)(O)R 5B,S(=NR 5G)(O)NR 5CNR 5D,P(O)(OR 5E)(OR 5F),和P(O)(OR 5E)(R 5F),其中R 5A、R 5B、R 5C、R 5D、R 5E、R 5F和R 5G係如本文所定義的。 In embodiments of the compound of formula (I) or a pharmaceutically acceptable salt thereof, R 5 is 5-10 membered heteroaryl or (5-10 membered heteroaryl)-C 1-3 -alkyl- , wherein the 5-10-membered heteroaryl and (5-10-membered heteroaryl)-C 1-3 -alkyl-are each replaced by C(O)OR 5A or carboxylic acid isostere, optionally 1 , 2, or 3 substituted groups independently selected from the following: halogen, CN, NO 2 , OR 5A , SR 5A , C 1-3 -alkyl, C 1- substituted by 1, 2 or 3 halogens 3 -Alkyl, C(O)R 5B , C(O)NR 5C R 5D , C(O)NR 5C (OR 5A ), C(O)NR 5C (S(O) 2 R 5B ), C( O)NR 5C (S(O) 2 NR 5C R 5D ), NR 5C OR 5A , NR 5C R 5D , NR 5C (C(O)R 5B ), NR 5C (C(O)OR 5A ), N( OR 5A )(C(O)R 5B ), NR 5C (C(O)NR 5C R 5D ), NR 5C (C(O)NR 5C (C(O)R 5B )), NR 5C (S(O ) 2 R 5B ), NR 5C (S(O) 2 NR 5C R 5D ), NR 5C (C(O)NR 5C (S(O) 2 R 5B )), OC(O)R 5B , OC(O )NR 5C R 5D , ONR 5C (C(O)R 5B ) , OS(O) 2 R 5B , OP(O)(OR 5E )(OR 5F ) , S(O)OR 5A , S(O)R 5B , S(O) 2 R 5B , S(O) 2 NR 5C R 5D , S(O) 2 OR 5A , S(=NR 5G )(O)R 5B , S(=NR 5G )(O)NR 5C NR 5D , P(O)(OR 5E )(OR 5F ), and P(O)(OR 5E )(R 5F ), where R 5A , R 5B , R 5C , R 5D , R 5E , R 5F and R 5G is as defined herein.

在具有式 (I) 的化合物或其藥學上可接受的鹽的實施方式中,R 5具有式H11或H12的結構: 其中: X 1係C或N,並且X 2、X 3、X 4、X 5、和X 6中的每一者獨立地是C=O、CR 5h、NR 5i、O、或S; W係C(O)OR 5A或羧酸電子等排體; 每個 係單鍵或雙鍵; 每個R 5h獨立地選自H、C 1-6-烷基、C 2-6烯基、C 2-6炔基、C 3-6-環烷基、4-10員雜環烷基、5-10員雜芳基、苯基、C 3-6-環烷基-C 1-3-烷基、(4-10員雜環烷基)-C 1-3-烷基-、(5-10員雜芳基)-C 1-3-烷基-、苯基-C 1-3-烷基-、鹵素、CN、NO 2、OR 5a、SR 5a、C(O)OR 5a、C(O)R 5b、C(O)NR 5cR 5d、C(O)NR 5c(OR 5a)、C(O)NR 5c(S(O) 2R 5b)、C(O)NR 5c(S(O) 2NR 5cR 5d)、NR 5cOR 5a、NR 5cR 5d、NR 5c(C(O)R 5b)、NR 5c(C(O)OR 5a)、N(OR 5a)(C(O)R 5b)、NR 5c(C(O)NR 5cR 5d)、NR 5c(C(O)NR 5c(C(O)R 5b))、NR 5c(S(O) 2R 5b)、NR 5c(S(O) 2NR 5cR 5d)、NR 5c(C(O)NR 5c(S(O) 2R 5b))、OC(O)R 5b、OC(O)NR 5cR 5d、ONR 5c(C(O)R 5b)、OS(O) 2R 5b、OP(O)(OR 5e)(OR 5f)、S(O)OR 5a、S(O)R 5b、S(O) 2R 5b、S(O) 2NR 5cR 5d、S(O) 2OR 5a、S(=NR 5g)(O)R 5b、S(=NR 5g)(O)NR 5cNR 5d、P(O)(OR 5e)(OR 5f)、和P(O)(OR 5e)(R 5f),其中該C 1-6-烷基、C 2-6烯基、C 2-6炔基、C 3-6-環烷基、4-10員雜環烷基、5-10員雜芳基、苯基、C 3-6-環烷基-C 1-3-烷基-、(4-10員雜環烷基)-C 1-3-烷基-、(5-10員雜芳基)-C 1-3-烷基-、和苯基-C 1-3-烷基-各自視需要被1、2、或3個獨立地選自以下的基團取代:鹵素,CN,NO 2,OR 5A,SR 5A,C 1-3-烷基,被1、2或3個鹵素取代的C 1-3-烷基,C(O)OR 5A,C(O)R 5B,C(O)NR 5CR 5D,C(O)NR 5C(OR 5A),C(O)NR 5C(S(O) 2R 5B),C(O)NR 5C(S(O) 2NR 5CR 5D),NR 5COR 5A,NR 5CR 5D,NR 5C(C(O)R 5B),NR 5C(C(O)OR 5A),N(OR 5A)(C(O)R 5B),NR 5C(C(O)NR 5CR 5D),NR 5C(C(O)NR 5C(C(O)R 5B)),NR 5C(S(O) 2R 5B),NR 5C(S(O) 2NR 5CR 5D),NR 5C(C(O)NR 5C(S(O) 2R 5B)),OC(O)R 5B,OC(O)NR 5CR 5D,ONR 5C(C(O)R 5B),OS(O) 2R 5B,OP(O)(OR 5E)(OR 5F),S(O)OR 5A,S(O)R 5B,S(O) 2R 5B,S(O) 2NR 5CR 5D,S(O) 2OR 5A,S(=NR 5G)(O)R 5B,S(=NR 5G)(O)NR 5CNR 5D,P(O)(OR 5E)(OR 5F),和P(O)(OR 5E)(R 5F); 每個R 5i獨立地選自H、C 1-6-烷基、C 2-6烯基、C 2-6炔基、C 3-6-環烷基、4-10員雜環烷基、5-10員雜芳基、苯基、C 3-6-環烷基-C 1-3-烷基、(4-10員雜環烷基)-C 1-3-烷基-、(5-10員雜芳基)-C 1-3-烷基-、苯基-C 1-3-烷基-、CN、C(O)OR 5a、C(O)R 5b、C(O)NR 5cR 5d、C(O)NR 5c(OR 5a)、C(O)NR 5c(S(O) 2R 5b)、C(O)NR 5c(S(O) 2NR 5cR 5d),其中該C 1-6-烷基、C 2-6烯基、C 2-6炔基、C 3-6-環烷基、4-10員雜環烷基、5-10員雜芳基、苯基、C 3-6-環烷基-C 1-3-烷基-、(4-10員雜環烷基)-C 1-3-烷基-、(5-10員雜芳基)-C 1-3-烷基-、和苯基-C 1-3-烷基-各自視需要被1、2、或3個獨立地選自以下的基團取代:鹵素、CN、NO 2、OR 5A、SR 5A、C(O)OR 5A、C(O)R 5B、C(O)NR 5CR 5D、C(O)NR 5C(OR 5A)、C(O)NR 5C(S(O) 2R 5B)、C(O)NR 5C(S(O) 2NR 5CR 5D)、NR 5COR 5A、NR 5CR 5D、NR 5C(C(O)R 5B)、NR 5C(C(O)OR 5A)、N(OR 5A)(C(O)R 5B)、NR 5C(C(O)NR 5CR 5D)、NR 5C(C(O)NR 5C(C(O)R 5B))、NR 5C(S(O) 2R 5B)、NR 5C(S(O) 2NR 5CR 5D)、NR 5C(C(O)NR 5C(S(O) 2R 5B))、OC(O)R 5B、OC(O)NR 5CR 5D、ONR 5C(C(O)R 5B)、OS(O) 2R 5B、OP(O)(OR 5E)(OR 5F)、S(O)OR 5A、S(O)R 5B、S(O) 2R 5B、S(O) 2NR 5CR 5D、S(O) 2OR 5A、S(=NR 5G)(O)R 5B、S(=NR 5G)(O)NR 5CNR 5D、P(O)(OR 5E)(OR 5F)、和P(O)(OR 5E)(R 5F);或者R 5h和R 5i可以一起形成C 3-6-環烷基、苯基、4-10員雜環烷基、或5-10員雜芳基,其可以進一步被獨立地選自C 1-6-烷基、-OH、和鹵素的基團取代, 其中R 5a、R 5b、R 5c、R 5d、R 5e、R 5f和R 5g、R 5A、R 5B、R 5C、R 5D、R 5E、R 5F和R 5G係如本文所定義的。 In embodiments having a compound of formula (I) or a pharmaceutically acceptable salt thereof, R has the structure of formula H11 or H12: where: X1 is C or N, and each of X2 , X3 , X4 , X5 , and X6 is independently C=O, CR5h , NR5i , O, or S; C(O)OR 5A or carboxylic acid isostere; each is a single bond or a double bond; each R 5h is independently selected from H, C 1-6 -alkyl, C 2-6 alkenyl, C 2-6 alkynyl, C 3-6 -cycloalkyl, 4- 10-membered heterocycloalkyl, 5-10 membered heteroaryl, phenyl, C 3-6 -cycloalkyl-C 1-3 -alkyl, (4-10 membered heterocycloalkyl)-C 1-3 -Alkyl-, (5-10 membered heteroaryl)-C 1-3 -alkyl-, phenyl-C 1-3 -alkyl-, halogen, CN, NO 2 , OR 5a , SR 5a , C (O)OR 5a , C(O)R 5b , C(O)NR 5c R 5d , C(O)NR 5c (OR 5a ) , C(O)NR 5c (S(O) 2 R 5b ), C (O)NR 5c (S(O) 2 NR 5c R 5d ), NR 5c OR 5a , NR 5c R 5d , NR 5c (C(O)R 5b ), NR 5c (C(O)OR 5a ), N (OR 5a )(C(O)R 5b ), NR 5c (C(O)NR 5c R 5d ), NR 5c (C(O)NR 5c (C(O)R 5b )), NR 5c (S( O) 2 R 5b ), NR 5c (S(O) 2 NR 5c R 5d ), NR 5c (C(O)NR 5c (S(O) 2 R 5b )), OC(O)R 5b , OC( O)NR 5c R 5d 、ONR 5c (C(O)R 5b )、OS(O) 2 R 5b 、OP(O)(OR 5e )(OR 5f )、S(O)OR 5a 、S(O) R 5b , S(O) 2 R 5b , S(O) 2 NR 5c R 5d , S(O) 2 OR 5a , S(=NR 5g )(O)R 5b , S(=NR 5g )(O) NR 5c NR 5d , P(O)(OR 5e )(OR 5f ), and P(O)(OR 5e )(R 5f ), wherein the C 1-6 -alkyl, C 2-6 alkenyl, C 2-6 alkynyl, C 3-6 -cycloalkyl, 4-10 membered heterocycloalkyl, 5-10 membered heteroaryl, phenyl, C 3-6 -cycloalkyl-C 1-3 -alkyl base-, (4-10 membered heterocycloalkyl)-C 1-3 -alkyl-, (5-10 membered heteroaryl)-C 1-3 -alkyl-, and phenyl-C 1-3 -Alkyl-each optionally substituted by 1, 2, or 3 groups independently selected from: halogen, CN, NO2 , OR5A , SR5A , C1-3 -Alkyl, by 1,2 Or 3 halogen-substituted C 1-3 -alkyl, C(O)OR 5A , C(O)R 5B , C(O)NR 5C R 5D , C(O)NR 5C (OR 5A ), C( O)NR 5C (S(O) 2 R 5B ), C(O)NR 5C (S(O) 2 NR 5C R 5D ), NR 5C OR 5A , NR 5C R 5D , NR 5C (C(O)R 5B ), NR 5C (C(O)OR 5A ), N(OR 5A ) (C(O)R 5B ), NR 5C (C(O)NR 5C R 5D ), NR 5C (C(O)NR 5C (C(O)R 5B )), NR 5C (S(O) 2 R 5B ), NR 5C (S(O) 2 NR 5C R 5D ), NR 5C (C(O)NR 5C (S(O) 2 R 5B )), OC(O)R 5B , OC(O)NR 5C R 5D , ONR 5C (C(O)R 5B ), OS(O) 2 R 5B , OP(O)(OR 5E )( OR 5F ), S(O)OR 5A , S(O)R 5B , S(O) 2 R 5B , S(O) 2 NR 5C R 5D , S(O) 2 OR 5A , S(=NR 5G ) (O)R 5B , S(=NR 5G )(O)NR 5C NR 5D , P(O)(OR 5E )(OR 5F ), and P(O)(OR 5E )(R 5F ); each R 5i is independently selected from H, C 1-6 -alkyl, C 2-6 alkenyl, C 2-6 alkynyl, C 3-6 -cycloalkyl, 4-10 membered heterocycloalkyl, 5-10 Heteroaryl, phenyl, C 3-6 -cycloalkyl-C 1-3 -alkyl, (4-10-membered heterocycloalkyl)-C 1-3 -alkyl-, (5-10-membered Heteroaryl)-C 1-3 -alkyl-, phenyl-C 1-3 -alkyl-, CN, C(O)OR 5a , C(O)R 5b , C(O)NR 5c R 5d , C(O)NR 5c (OR 5a ), C(O)NR 5c (S(O) 2 R 5b ), C(O)NR 5c (S(O) 2 NR 5c R 5d ), where the C 1 -6 -alkyl, C 2-6 alkenyl, C 2-6 alkynyl, C 3-6 cycloalkyl, 4-10 membered heterocycloalkyl, 5-10 membered heteroaryl, phenyl, C 3-6 -cycloalkyl-C 1-3 -alkyl-, (4-10 membered heterocycloalkyl)-C 1-3 -alkyl-, (5-10 membered heteroaryl)-C 1- 3 -alkyl-, and phenyl-C 1-3 -alkyl- are each optionally substituted with 1, 2, or 3 groups independently selected from: halogen, CN, NO 2 , OR 5A , SR 5A , C(O)OR 5A , C(O)R 5B , C(O)NR 5C R 5D , C(O)NR 5C (OR 5A ), C(O)NR 5C (S(O) 2 R 5B ), C(O)NR 5C (S(O) 2 NR 5C R 5D ), NR 5C OR 5A , NR 5C R 5D , NR 5C (C(O)R 5B ), NR 5C (C(O)OR 5A ), N(OR 5A )(C(O)R 5B ), NR 5C (C(O)NR 5C R 5D ), NR 5C (C(O)NR 5C (C(O)R 5B )), NR 5C (S(O) 2 R 5B ), NR 5C (S(O) 2 NR 5C R 5D ), NR 5C (C(O)NR 5C (S(O) 2 R 5B )), OC(O)R 5B ,OC(O)NR 5C R 5D ,ONR 5C (C(O)R 5B ),OS(O) 2 R 5B ,OP(O)(OR 5E )(OR 5F ) ,S(O)OR 5A ,S (O)R 5B 、S(O) 2 R 5B 、S(O) 2 NR 5C R 5D 、S(O) 2 OR 5A 、S(=NR 5G )(O)R 5B 、S(=NR 5G ) (O)NR 5C NR 5D , P(O)(OR 5E )(OR 5F ), and P(O)(OR 5E )(R 5F ); or R 5h and R 5i can together form a C 3-6 -ring Alkyl, phenyl, 4-10 membered heterocycloalkyl, or 5-10 membered heteroaryl, which may be further substituted by a group independently selected from C 1-6 -alkyl, -OH, and halogen, wherein R 5a , R 5b , R 5c , R 5d , R 5e , R 5f and R 5g , R 5A , R 5B , R 5C , R 5D , R 5E , R 5F and R 5G are as defined herein.

在具有式 (I) 的化合物或其藥學上可接受的鹽的實施方式中,R 5具有式H11a或H12a的結構: 其中該環係芳香族的;其中 X 1係C,並且X 2、X 3、X 4、X 5、和X 6中的每一者獨立地是C=O、CR 5h、NR 5i、O、或S,其中X 2-X 6中的至少一者係N、O、或S; R 5A選自H和C 1-3-烷基;並且 如果存在,則R 5h係鹵素,C 1-3-烷基或被1、2或3個鹵素取代的C 1-3-烷基,並且R 5i係C 1-3-烷基。 In embodiments having a compound of formula (I) or a pharmaceutically acceptable salt thereof, R has the structure of formula H11a or H12a: wherein the ring system is aromatic; wherein X1 is C, and each of X2 , X3 , X4 , X5 , and X6 is independently C=O, CR5h , NR5i , O, or S , wherein at least one of -alkyl or C 1-3 -alkyl substituted by 1, 2 or 3 halogens, and R 5i is C 1-3 -alkyl.

在具有式 (I) 的化合物或其藥學上可接受的鹽的實施方式中,R 5具有式H11a的結構,例如其中R 5選自由以下組成之群組: 、和 , 其中Ra、Rb和Rc獨立地選自H,C 1-3-烷基和被1、2或3個鹵素取代的C 1-3-烷基,並且R 5A選自H和C 1-3-烷基。 In embodiments of compounds having formula (I), or a pharmaceutically acceptable salt thereof, R5 has the structure of formula H11a, for example, wherein R5 is selected from the group consisting of: , , , , , , , , , , ,and , wherein Ra, Rb and Rc are independently selected from H, C 1-3 -alkyl and C 1-3 -alkyl substituted by 1, 2 or 3 halogens, and R 5A is selected from H and C 1-3 -alkyl.

在具有式 (I) 的化合物或其藥學上可接受的鹽的實施方式中,R 6選自(4-6員雜環烷基)-CH 2-和(5-6員雜芳基)-CH 2-,其中R 6的該(4-6員雜環烷基)-CH 2-和(5-6員雜芳基)-CH 2-各自視需要被1、2、或3個獨立地選自C 1-6-烷基、-OH、和鹵素的基團取代。 In embodiments of the compound of formula (I) or a pharmaceutically acceptable salt thereof, R6 is selected from (4-6 membered heterocycloalkyl) -CH2- and (5-6 membered heteroaryl)- CH 2 -, wherein the (4-6 membered heterocycloalkyl)-CH 2 - and (5-6 membered heteroaryl)-CH 2 - of R 6 are each independently replaced by 1, 2, or 3 as appropriate. Substituted with a group selected from C 1-6 -alkyl, -OH, and halogen.

在具有式 (I) 的化合物或其藥學上可接受的鹽的實施方式中,R 6選自由以下組成之群組: 、和 , 其中 指示與該分子的其餘部分的附接點。 In embodiments of compounds of formula (I), or a pharmaceutically acceptable salt thereof, R is selected from the group consisting of: , , , , , , ,and , in Indicates the point of attachment to the rest of the molecule.

在具有式 (I) 的化合物或其藥學上可接受的鹽的實施方式中,R 6具有下式: , 其中 指示與該分子的其餘部分的附接點。 In embodiments of compounds of formula (I), or a pharmaceutically acceptable salt thereof, R has the formula: , in Indicates the point of attachment to the rest of the molecule.

在具有式 (I) 的化合物或其藥學上可接受的鹽的實施方式中,R 6具有下式: , 其中 指示與該分子的其餘部分的附接點。 In embodiments of compounds of formula (I), or a pharmaceutically acceptable salt thereof, R has the formula: , in Indicates the point of attachment to the rest of the molecule.

在具有式 (I) 的化合物或其藥學上可接受的鹽的實施方式中,X係O。In embodiments of the compound of formula (I), or a pharmaceutically acceptable salt thereof, X is O.

在具有式 (I) 的化合物或其藥學上可接受的鹽的實施方式中,W係O。In embodiments of the compound of formula (I), or a pharmaceutically acceptable salt thereof, W is O.

在具有式 (I) 的化合物或其藥學上可接受的鹽的實施方式中, 係單鍵。 In embodiments having a compound of Formula (I) or a pharmaceutically acceptable salt thereof, It is a single key.

在實施方式中,具有式 (I) 的化合物或其藥學上可接受的鹽係具有式 (Ia) 的化合物: (Ia), 其中A、W、X、R 1、R 2和R 3係如本文所定義的,或其藥學上可接受的鹽。 In embodiments, a compound of formula (I) or a pharmaceutically acceptable salt thereof is a compound of formula (Ia): (Ia), wherein A, W, X, R1 , R2 and R3 are as defined herein, or a pharmaceutically acceptable salt thereof.

在實施方式中,具有式 (I) 的化合物或其藥學上可接受的鹽係具有式 (II) 的化合物: (II), 其中A、R 1、R 2和R 3係如本文所定義的,或其藥學上可接受的鹽。 In embodiments, a compound of formula (I) or a pharmaceutically acceptable salt thereof is a compound of formula (II): (II), wherein A, R 1 , R 2 and R 3 are as defined herein, or a pharmaceutically acceptable salt thereof.

在實施方式中,具有式 (I) 的化合物或其藥學上可接受的鹽係具有式 (IIa) 的化合物: (IIa), 其中A、R 1、R 2和R 3係如本文所定義的,或其藥學上可接受的鹽。 In embodiments, a compound of formula (I) or a pharmaceutically acceptable salt thereof is a compound of formula (IIa): (IIa), wherein A, R 1 , R 2 and R 3 are as defined herein, or a pharmaceutically acceptable salt thereof.

在實施方式中,具有式 (I) 的化合物或其藥學上可接受的鹽係具有式 (III) 的化合物: (III), 其中R 1、R 2、R 3、R 4和R 5係如本文所定義的,或其藥學上可接受的鹽。 In embodiments, a compound of formula (I) or a pharmaceutically acceptable salt thereof is a compound of formula (III): (III), wherein R 1 , R 2 , R 3 , R 4 and R 5 are as defined herein, or a pharmaceutically acceptable salt thereof.

在實施方式中,具有式 (I) 的化合物或其藥學上可接受的鹽係具有式 (IIIa) 的化合物: (IIIa), 其中R 1、R 2、R 3、R 4和R 5係如本文所定義的,或其藥學上可接受的鹽。 In embodiments, a compound of formula (I) or a pharmaceutically acceptable salt thereof is a compound of formula (IIIa): (IIIa), wherein R 1 , R 2 , R 3 , R 4 and R 5 are as defined herein, or a pharmaceutically acceptable salt thereof.

在實施方式中,具有式 (I) 的化合物或其藥學上可接受的鹽係具有式 (IIIb) 的化合物: (IIIb), 其中R 1、R 2、R 3、R 4和R 5係如本文所定義的,或其藥學上可接受的鹽。 In embodiments, a compound of formula (I) or a pharmaceutically acceptable salt thereof is a compound of formula (IIIb): (IIIb), wherein R 1 , R 2 , R 3 , R 4 and R 5 are as defined herein, or a pharmaceutically acceptable salt thereof.

在實施方式中,具有式 (I) 的化合物或其藥學上可接受的鹽係具有式 (IV) 的化合物: (IV), 其中R 1係氯或CN,並且R 3、R 4和R 5係如本文所定義的,或其藥學上可接受的鹽。 In embodiments, a compound of formula (I) or a pharmaceutically acceptable salt thereof is a compound of formula (IV): (IV), wherein R 1 is chlorine or CN, and R 3 , R 4 and R 5 are as defined herein, or a pharmaceutically acceptable salt thereof.

在實施方式中,具有式 (I) 的化合物或其藥學上可接受的鹽係具有式 (IVa) 的化合物: (IVa), 其中R 1係氯或CN,並且R 3、R 4和R 5係如本文所定義的,或其藥學上可接受的鹽。 In embodiments, a compound of formula (I) or a pharmaceutically acceptable salt thereof is a compound of formula (IVa): (IVa), wherein R 1 is chlorine or CN, and R 3 , R 4 and R 5 are as defined herein, or a pharmaceutically acceptable salt thereof.

在實施方式中,具有式 (I) 的化合物或其藥學上可接受的鹽係具有式 (IVb) 的化合物: (IVb), 其中R 1係氯或CN,並且R 3、R 4和R 5係如本文所定義的,或其藥學上可接受的鹽。 In embodiments, a compound of formula (I) or a pharmaceutically acceptable salt thereof is a compound of formula (IVb): (IVb), wherein R 1 is chlorine or CN, and R 3 , R 4 and R 5 are as defined herein, or a pharmaceutically acceptable salt thereof.

在實施方式中,具有式 (I) 的化合物或其藥學上可接受的鹽係具有式 (V) 的化合物: (V), 其中R 1係氯或CN,並且R 4和R 5係如本文所定義的,或其藥學上可接受的鹽。 In embodiments, a compound of formula (I) or a pharmaceutically acceptable salt thereof is a compound of formula (V): (V), wherein R 1 is chlorine or CN, and R 4 and R 5 are as defined herein, or a pharmaceutically acceptable salt thereof.

在實施方式中,具有式 (I) 的化合物或其藥學上可接受的鹽係具有式 (Va) 的化合物: (Va), 其中R 1係氯或CN,並且R 4和R 5係如本文所定義的,或其藥學上可接受的鹽。 In embodiments, a compound of formula (I) or a pharmaceutically acceptable salt thereof is a compound of formula (Va): (Va), wherein R 1 is chlorine or CN, and R 4 and R 5 are as defined herein, or a pharmaceutically acceptable salt thereof.

在實施方式中,具有式 (I) 的化合物或其藥學上可接受的鹽係具有式 (Vb) 的化合物: (Vb), 其中R 1係氯或CN,並且R 4和R 5係如本文所定義的,或其藥學上可接受的鹽。 In embodiments, a compound of formula (I) or a pharmaceutically acceptable salt thereof is a compound of formula (Vb): (Vb), wherein R 1 is chlorine or CN, and R 4 and R 5 are as defined herein, or a pharmaceutically acceptable salt thereof.

在具有式 (Ia)、(II)、(IIa)、(III)、(IIIa)、(IIIb)、(IV)、(IVa)、(IVb)、(V)、(Va) 和 (Vb) 的任一化合物或其藥學上可接受的鹽的實施方式中,R 4係如本文所定義的。 In formulas (Ia), (II), (IIa), (III), (IIIa), (IIIb), (IV), (IVa), (IVb), (V), (Va) and (Vb) In embodiments of any compound, or a pharmaceutically acceptable salt thereof, R 4 is as defined herein.

在具有式 (Ia)、(II)、(IIa)、(III)、(IIIa)、(IIIb)、(IV)、(IVa)、(IVb)、(V)、(Va) 和 (Vb) 的任一化合物或其藥學上可接受的鹽的實施方式中,R 5係如本文所定義的。 In formulas (Ia), (II), (IIa), (III), (IIIa), (IIIb), (IV), (IVa), (IVb), (V), (Va) and (Vb) In embodiments of any compound, or a pharmaceutically acceptable salt thereof, R is as defined herein.

在具有式 (Ia)、(II)、(IIa)、(III)、(IIIa)、(IIIb)、(IV)、(IVa)、(IVb)、(V)、(Va) 和 (Vb) 的任一化合物或其藥學上可接受的鹽的實施方式中, R 4係5-10員雜芳基或(5-10員雜芳基)-C 1-3-烷基-,其中該5-10員雜芳基和(5-10員雜芳基)-C 1-3-烷基-各自被C(O)OR 4A或被羧酸電子等排體並且視需要被1、2、或3個獨立地選自以下的基團取代:鹵素,C 1-3-烷基和被1、2或3個鹵素取代的C 1-3-烷基;其中R 4A選自H和C 1-3-烷基;並且 R 5係C 1-3-烷基或被1、2或3個鹵素取代的C 1-3-烷基,例如甲基、乙基或三氟甲基。 In formulas (Ia), (II), (IIa), (III), (IIIa), (IIIb), (IV), (IVa), (IVb), (V), (Va) and (Vb) In embodiments of any compound or a pharmaceutically acceptable salt thereof, R 4 is 5-10 membered heteroaryl or (5-10 membered heteroaryl)-C 1-3 -alkyl-, wherein the 5 -10-membered heteroaryl and (5-10-membered heteroaryl)-C 1-3 -alkyl-are each replaced by C(O)OR 4A or by a carboxylic acid isostere and optionally by 1, 2, or 3 substituted groups independently selected from: halogen, C 1-3 -alkyl and C 1-3 -alkyl substituted by 1, 2 or 3 halogens; wherein R 4A is selected from H and C 1- 3 -alkyl; and R 5 is C 1-3 -alkyl or C 1-3 -alkyl substituted by 1, 2 or 3 halogens, such as methyl, ethyl or trifluoromethyl.

在具有式 (Ia)、(II)、(IIa)、(III)、(IIIa)、(IIIb)、(IV)、(IVa)、(IVb)、(V)、(Va) 和 (Vb) 的任一化合物或其藥學上可接受的鹽的實施方式中, R 4具有如本文所定義的式H1或H2的結構;並且 R 5係C 1-3-烷基或被1、2或3個鹵素取代的C 1-3-烷基,例如甲基、乙基或三氟甲基。 In formulas (Ia), (II), (IIa), (III), (IIIa), (IIIb), (IV), (IVa), (IVb), (V), (Va) and (Vb) In embodiments of any compound or a pharmaceutically acceptable salt thereof, R 4 has a structure of formula H1 or H2 as defined herein; and R 5 is C 1-3 -alkyl or substituted by 1, 2 or 3 A halogen-substituted C 1-3 -alkyl group, such as methyl, ethyl or trifluoromethyl.

在具有式 (Ia)、(II)、(IIa)、(III)、(IIIa)、(IIIb)、(IV)、(IVa)、(IVb)、(V)、(Va) 和 (Vb) 的任一化合物或其藥學上可接受的鹽的實施方式中, R 4具有如本文所定義的式H1a或H2a的結構;並且 R 5係C 1-3-烷基或被1、2或3個鹵素取代的C 1-3-烷基,例如甲基、乙基或三氟甲基。 In formulas (Ia), (II), (IIa), (III), (IIIa), (IIIb), (IV), (IVa), (IVb), (V), (Va) and (Vb) In embodiments of any compound or a pharmaceutically acceptable salt thereof, R 4 has a structure of formula H1a or H2a as defined herein; and R 5 is C 1-3 -alkyl or substituted by 1, 2 or 3 A halogen-substituted C 1-3 -alkyl group, such as methyl, ethyl or trifluoromethyl.

在具有式 (Ia)、(II)、(IIa)、(III)、(IIIa)、(IIIb)、(IV)、(IVa)、(IVb)、(V)、(Va) 和 (Vb) 的任一化合物或其藥學上可接受的鹽的實施方式中, R 4選自由以下組成之群組: 、和 , 其中Ra、Rb和Rc獨立地選自H,C 1-3-烷基和被1、2或3個鹵素取代的C 1-3-烷基,並且R 4A選自H和C 1-3-烷基,並且 R 5係C 1-3-烷基或被1、2或3個鹵素取代的C 1-3-烷基,例如甲基、乙基或三氟甲基。 In formulas (Ia), (II), (IIa), (III), (IIIa), (IIIb), (IV), (IVa), (IVb), (V), (Va) and (Vb) In the embodiment of any compound or a pharmaceutically acceptable salt thereof, R 4 is selected from the group consisting of: , , , , , , , , , , ,and , wherein Ra, Rb and Rc are independently selected from H, C 1-3 -alkyl and C 1-3 -alkyl substituted by 1, 2 or 3 halogens, and R 4A is selected from H and C 1-3 -alkyl, and R 5 is C 1-3 -alkyl or C 1-3 -alkyl substituted by 1, 2 or 3 halogens, such as methyl, ethyl or trifluoromethyl.

在具有式 (Ia)、(II)、(IIa)、(III)、(IIIa)、(IIIb)、(IV)、(IVa)、(IVb)、(V)、(Va) 和 (Vb) 的任一化合物或其藥學上可接受的鹽的實施方式中, R 4係C 1-3-烷基或被1、2或3個鹵素取代的C 1-3-烷基,例如甲基、乙基或三氟甲基,並且 R 5係5-10員雜芳基或(5-10員雜芳基)-C 1-3-烷基-,其中該5-10員雜芳基和(5-10員雜芳基)-C 1-3-烷基-各自被C(O)OR 5A或被羧酸電子等排體並且視需要被1、2、或3個獨立地選自以下的基團取代:鹵素,C 1-3-烷基和被1、2或3個鹵素取代的C 1-3-烷基;其中R 5A選自H和C 1-3-烷基。 In formulas (Ia), (II), (IIa), (III), (IIIa), (IIIb), (IV), (IVa), (IVb), (V), (Va) and (Vb) In the embodiment of any compound or a pharmaceutically acceptable salt thereof, R 4 is C 1-3 -alkyl or C 1-3 -alkyl substituted by 1, 2 or 3 halogens, such as methyl, Ethyl or trifluoromethyl, and R 5 is a 5-10 membered heteroaryl or (5-10 membered heteroaryl)-C 1-3 -alkyl-, wherein the 5-10 membered heteroaryl and ( 5-10 membered heteroaryl)-C 1-3 -alkyl-each is C(O)OR 5A or a carboxylic acid isostere and optionally 1, 2, or 3 independently selected from the following Group substitution: halogen, C 1-3 -alkyl and C 1-3 -alkyl substituted by 1, 2 or 3 halogens; wherein R 5A is selected from H and C 1-3 -alkyl.

在具有式 (Ia)、(II)、(IIa)、(III)、(IIIa)、(IIIb)、(IV)、(IVa)、(IVb)、(V)、(Va) 和 (Vb) 的任一化合物或其藥學上可接受的鹽的實施方式中, R 4係C 1-3-烷基或被1、2或3個鹵素取代的C 1-3-烷基,例如甲基、乙基或三氟甲基,並且 R 5具有如本文所定義的式H11或H12的結構。 In formulas (Ia), (II), (IIa), (III), (IIIa), (IIIb), (IV), (IVa), (IVb), (V), (Va) and (Vb) In the embodiment of any compound or a pharmaceutically acceptable salt thereof, R 4 is C 1-3 -alkyl or C 1-3 -alkyl substituted by 1, 2 or 3 halogens, such as methyl, ethyl or trifluoromethyl, and R has the structure of formula H11 or H12 as defined herein.

在具有式 (Ia)、(II)、(IIa)、(III)、(IIIa)、(IIIb)、(IV)、(IVa)、(IVb)、(V)、(Va) 和 (Vb) 的任一化合物或其藥學上可接受的鹽的實施方式中, R 4係C 1-3-烷基或被1、2或3個鹵素取代的C 1-3-烷基,例如甲基、乙基或三氟甲基,並且 R 5具有如本文所定義的式H11a或H12a的結構。 In formulas (Ia), (II), (IIa), (III), (IIIa), (IIIb), (IV), (IVa), (IVb), (V), (Va) and (Vb) In the embodiment of any compound or a pharmaceutically acceptable salt thereof, R 4 is C 1-3 -alkyl or C 1-3 -alkyl substituted by 1, 2 or 3 halogens, such as methyl, ethyl or trifluoromethyl, and R has the structure of formula H11a or H12a as defined herein.

在具有式 (Ia)、(II)、(IIa)、(III)、(IIIa)、(IIIb)、(IV)、(IVa)、(IVb)、(V)、(Va) 和 (Vb) 的任一化合物或其藥學上可接受的鹽的實施方式中, R 4係C 1-3-烷基或被1、2或3個鹵素取代的C 1-3-烷基,例如甲基、乙基或三氟甲基,並且 R 5選自由以下組成之群組: 、和 , 其中Ra、Rb和Rc獨立地選自H,C 1-3-烷基和被1、2或3個鹵素取代的C 1-3-烷基,並且R 5A選自H和C 1-3-烷基。 In formulas (Ia), (II), (IIa), (III), (IIIa), (IIIb), (IV), (IVa), (IVb), (V), (Va) and (Vb) In the embodiment of any compound or a pharmaceutically acceptable salt thereof, R 4 is C 1-3 -alkyl or C 1-3 -alkyl substituted by 1, 2 or 3 halogens, such as methyl, ethyl or trifluoromethyl, and R 5 is selected from the group consisting of: , , , , , , , , , , ,and , wherein Ra, Rb and Rc are independently selected from H, C 1-3 -alkyl and C 1-3 -alkyl substituted by 1, 2 or 3 halogens, and R 5A is selected from H and C 1-3 -alkyl.

在實施方式中,具有式 (I) 的化合物選自由以下組成之群組: 、和 , 或其藥學上可接受的鹽。 In embodiments, the compound of formula (I) is selected from the group consisting of: , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , ,and , or its pharmaceutically acceptable salt.

在實施方式中,具有式 (I) 的化合物選自由以下組成之群組: 2-(2-((4-((S)-2-(4-氯-2-氟苯基)-2-甲基苯并[d][1,3]二氧戊環-4-基)哌啶-1-基)甲基)-4-甲基-1-(((S)-氧雜環丁烷-2-基)甲基)-1H-咪唑-5-基)-5-甲基㗁唑-4-甲酸, 2-(2-((4-((S)-2-(4-氯-2-氟苯基)-2-甲基苯并[d][1,3]二氧戊環-4-基)哌啶-1-基)甲基)-4-甲基-1-(((R)-氧雜環丁烷-2-基)甲基)-1H-咪唑-5-基)㗁唑-5-甲酸, 2-(2-((4-((S)-2-(4-氯-2-氟苯基)-2-甲基苯并[d][1,3]二氧戊環-4-基)哌啶-1-基)甲基)-4-甲基-1-(((R)-氧雜環丁烷-2-基)甲基)-1H-咪唑-5-基)㗁唑-4-甲酸, 2-(2-((4-((S)-2-(4-氯-2-氟苯基)-2-甲基苯并[d][1,3]二氧戊環-4-基)哌啶-1-基)甲基)-1-(((S)-氧雜環丁烷-2-基)甲基)-4-(三氟甲基)-1H-咪唑-5-基)㗁唑-4-甲酸, 2-(2-((4-((S)-2-(4-氯-2-氟苯基)-2-甲基苯并[d][1,3]二氧戊環-4-基)哌啶-1-基)甲基)-4-乙基-1-(((S)-氧雜環丁烷-2-基)甲基)-1H-咪唑-5-基)㗁唑-4-甲酸, 2-(2-((4-((S)-2-(4-氯-2-氟苯基)-2-甲基苯并[d][1,3]二氧戊環-4-基)哌啶-1-基)甲基)-4-乙基-1-(((S)-氧雜環丁烷-2-基)甲基)-1H-咪唑-5-基)㗁唑-5-甲酸, 2-(2-((4-((S)-2-(4-氯-2-氟苯基)-2-甲基苯并[d][1,3]二氧戊環-4-基)哌啶-1-基)甲基)-4-乙基-1-(((R)-氧雜環丁烷-2-基)甲基)-1H-咪唑-5-基)㗁唑-4-甲酸, 2-(2-((4-((S)-2-(4-氯-2-氟苯基)-2-甲基苯并[d][1,3]二氧戊環-4-基)哌啶-1-基)甲基)-4-乙基-1-(((R)-氧雜環丁烷-2-基)甲基)-1H-咪唑-5-基)㗁唑-5-甲酸, 2-(2-((4-((S)-2-(4-氯-2-氟苯基)-2-甲基苯并[d][1,3]二氧戊環-4-基)哌啶-1-基)甲基)-4-甲基-1-(((S)-氧雜環丁烷-2-基)甲基)-1H-咪唑-5-基)㗁唑-4-甲酸, 2-(2-((4-((S)-2-(4-氯-2-氟苯基)-2-甲基苯并[d][1,3]二氧戊環-4-基)哌啶-1-基)甲基)-4-甲基-1-(((S)-氧雜環丁烷-2-基)甲基)-1H-咪唑-5-基)-5-乙基㗁唑-4-甲酸, 2-(2-((4-((S)-2-(4-氰基-2-氟苯基)-2-甲基苯并[d][1,3]二氧戊環-4-基)哌啶-1-基)甲基)-4-甲基-1-(((S)-氧雜環丁烷-2-基)甲基)-1H-咪唑-5-基)-5-甲基㗁唑-4-甲酸, 2-(2-((4-((S)-2-(4-氯-2-氟苯基)-2-甲基苯并[d][1,3]二氧戊環-4-基)哌啶-1-基)甲基)-5-甲基-1-(((S)-氧雜環丁烷-2-基)甲基)-1H-咪唑-4-基)-5-甲基㗁唑-4-甲酸, 2-(2-((4-((S)-2-(4-氯-2-氟苯基)-2-甲基苯并[d][1,3]二氧戊環-4-基)哌啶-1-基)甲基)-5-甲基-1-(((S)-氧雜環丁烷-2-基)甲基)-1H-咪唑-4-基)㗁唑-4-甲酸, 2-(2-((4-((S)-2-(4-氯-2-氟苯基)-2-甲基苯并[d][1,3]二氧戊環-4-基)哌啶-1-基)甲基)-5-甲基-1-(((S)-氧雜環丁烷-2-基)甲基)-1H-咪唑-4-基)-4-(三氟甲基)㗁唑-5-甲酸, 2-(2-((4-((S)-2-(4-氯-2-氟苯基)-2-甲基苯并[d][1,3]二氧戊環-4-基)哌啶-1-基)甲基)-5-甲基-1-(((S)-氧雜環丁烷-2-基)甲基)-1H-咪唑-4-基)-4-甲基㗁唑-5-甲酸, 5-(2-((4-((S)-2-(4-氯-2-氟苯基)-2-甲基苯并[d][1,3]二氧戊環-4-基)哌啶-1-基)甲基)-5-甲基-1-(((S)-氧雜環丁烷-2-基)甲基)-1H-咪唑-4-基)㗁唑-2-甲酸, 3-(2-((4-((S)-2-(4-氯-2-氟苯基)-2-甲基苯并[d][1,3]二氧戊環-4-基)哌啶-1-基)甲基)-5-甲基-1-(((S)-氧雜環丁烷-2-基)甲基)-1H-咪唑-4-基)-1-甲基-1H-吡唑-5-甲酸, 4-(2-((4-((S)-2-(4-氯-2-氟苯基)-2-甲基苯并[d][1,3]二氧戊環-4-基)哌啶-1-基)甲基)-5-甲基-1-(((S)-氧雜環丁烷-2-基)甲基)-1H-咪唑-4-基)㗁唑-2-甲酸, 5-(2-((4-((S)-2-(4-氯-2-氟苯基)-2-甲基苯并[d][1,3]二氧戊環-4-基)哌啶-1-基)甲基)-5-甲基-1-(((S)-氧雜環丁烷-2-基)甲基)-1H-咪唑-4-基)-3-甲基呋喃-2-甲酸, 4-(2-((4-((S)-2-(4-氯-2-氟苯基)-2-甲基苯并[d][1,3]二氧戊環-4-基)哌啶-1-基)甲基)-4-甲基-1-(((S)-氧雜環丁烷-2-基)甲基)-1H-咪唑-5-基)㗁唑-2-甲酸, 3-(2-((4-((S)-2-(4-氯-2-氟苯基)-2-甲基苯并[d][1,3]二氧戊環-4-基)哌啶-1-基)甲基)-4-甲基-1-(((S)-氧雜環丁烷-2-基)甲基)-1H-咪唑-5-基)-1-甲基-1H-吡唑-5-甲酸, 5-(2-((4-((S)-2-(4-氯-2-氟苯基)-2-甲基苯并[d][1,3]二氧戊環-4-基)哌啶-1-基)甲基)-4-甲基-1-(((S)-氧雜環丁烷-2-基)甲基)-1H-咪唑-5-基)呋喃-2-甲酸, 5-(2-((4-((S)-2-(4-氯-2-氟苯基)-2-甲基苯并[d][1,3]二氧戊環-4-基)哌啶-1-基)甲基)-5-甲基-1-(((S)-氧雜環丁烷-2-基)甲基)-1H-咪唑-4-基)酸, 5-(2-((4-((S)-2-(4-氯-2-氟苯基)-2-甲基苯并[d][1,3]二氧戊環-4-基)哌啶-1-基)甲基)-5-甲基-1-(((S)-氧雜環丁烷-2-基)甲基)-1H-咪唑-4-基)呋喃-2-甲酸, 2-(2-((4-((S)-2-(4-氯-2-氟苯基)-2-甲基苯并[d][1,3]二氧戊環-4-基)哌啶-1-基)甲基)-5-甲基-1-(((S)-氧雜環丁烷-2-基)甲基)-1H-咪唑-4-基)㗁唑-5-甲酸, 5-(2-((4-((S)-2-(4-氯-2-氟苯基)-2-甲基苯并[d][1,3]二氧戊環-4-基)哌啶-1-基)甲基)-5-甲基-1-(((S)-氧雜環丁烷-2-基)甲基)-1H-咪唑-4-基)-1,3,4-㗁二唑-2-甲酸, 5-(2-((4-((S)-2-(4-氯-2-氟苯基)-2-甲基苯并[d][1,3]二氧戊環-4-基)哌啶-1-基)甲基)-5-甲基-1-(((S)-氧雜環丁烷-2-基)甲基)-1H-咪唑-4-基)異㗁唑-3-甲酸, 3-(2-((4-((S)-2-(4-氯-2-氟苯基)-2-甲基苯并[d][1,3]二氧戊環-4-基)哌啶-1-基)甲基)-5-甲基-1-(((S)-氧雜環丁烷-2-基)甲基)-1H-咪唑-4-基)異㗁唑-5-甲酸, 5-(2-((4-((S)-2-(4-氯-2-氟苯基)-2-甲基苯并[d][1,3]二氧戊環-4-基)哌啶-1-基)甲基)-5-甲基-1-(((S)-氧雜環丁烷-2-基)甲基)-1H-咪唑-4-基)-1-甲基-1H-吡唑-3-甲酸, 5-(2-((4-((S)-2-(4-氯-2-氟苯基)-2-甲基苯并[d][1,3]二氧戊環-4-基)哌啶-1-基)甲基)-4-甲基-1-(((S)-氧雜環丁烷-2-基)甲基)-1H-咪唑-5-基)酸, 4-(2-((4-((S)-2-(4-氯-2-氟苯基)-2-甲基苯并[d][1,3]二氧戊環-4-基)哌啶-1-基)甲基)-4-甲基-1-(((S)-氧雜環丁烷-2-基)甲基)-1H-咪唑-5-基)噻唑-2-甲酸, 2-(2-((4-((S)-2-(4-氯-2-氟苯基)-2-甲基苯并[d][1,3]二氧戊環-4-基)哌啶-1-基)甲基)-4-甲基-1-(((S)-氧雜環丁烷-2-基)甲基)-1H-咪唑-5-基)㗁唑-5-甲酸,以及 2-(2-((4-((S)-2-(4-氰基-2-氟苯基)-2-甲基苯并[d][1,3]二氧戊環-4-基)哌啶-1-基)甲基)-4-甲基-1-(((S)-氧雜環丁烷-2-基)甲基)-1H-咪唑-5-基)-5-甲基㗁唑-4-甲酸乙酯, 或其藥學上可接受的鹽。 In embodiments, the compound of formula (I) is selected from the group consisting of: 2-(2-((4-((S)-2-(4-chloro-2-fluorophenyl)-2-methylbenzo[d][1,3]dioxolane-4-yl )piperidin-1-yl)methyl)-4-methyl-1-(((S)-oxetan-2-yl)methyl)-1H-imidazol-5-yl)-5- Methylethazole-4-carboxylic acid, 2-(2-((4-((S)-2-(4-chloro-2-fluorophenyl)-2-methylbenzo[d][1,3]dioxolane-4-yl )piperidin-1-yl)methyl)-4-methyl-1-(((R)-oxetan-2-yl)methyl)-1H-imidazol-5-yl)ethazole- 5-Formic acid, 2-(2-((4-((S)-2-(4-chloro-2-fluorophenyl)-2-methylbenzo[d][1,3]dioxolane-4-yl )piperidin-1-yl)methyl)-4-methyl-1-(((R)-oxetan-2-yl)methyl)-1H-imidazol-5-yl)ethazole- 4-Formic acid, 2-(2-((4-((S)-2-(4-chloro-2-fluorophenyl)-2-methylbenzo[d][1,3]dioxolane-4-yl )piperidin-1-yl)methyl)-1-(((S)-oxetan-2-yl)methyl)-4-(trifluoromethyl)-1H-imidazol-5-yl )ethazole-4-carboxylic acid, 2-(2-((4-((S)-2-(4-chloro-2-fluorophenyl)-2-methylbenzo[d][1,3]dioxolane-4-yl )piperidin-1-yl)methyl)-4-ethyl-1-(((S)-oxetan-2-yl)methyl)-1H-imidazol-5-yl)ethazole- 4-Formic acid, 2-(2-((4-((S)-2-(4-chloro-2-fluorophenyl)-2-methylbenzo[d][1,3]dioxolane-4-yl )piperidin-1-yl)methyl)-4-ethyl-1-(((S)-oxetan-2-yl)methyl)-1H-imidazol-5-yl)ethazole- 5-Formic acid, 2-(2-((4-((S)-2-(4-chloro-2-fluorophenyl)-2-methylbenzo[d][1,3]dioxolane-4-yl )piperidin-1-yl)methyl)-4-ethyl-1-(((R)-oxetan-2-yl)methyl)-1H-imidazol-5-yl)ethyl- 4-Formic acid, 2-(2-((4-((S)-2-(4-chloro-2-fluorophenyl)-2-methylbenzo[d][1,3]dioxolane-4-yl )piperidin-1-yl)methyl)-4-ethyl-1-(((R)-oxetan-2-yl)methyl)-1H-imidazol-5-yl)ethyl- 5-Formic acid, 2-(2-((4-((S)-2-(4-chloro-2-fluorophenyl)-2-methylbenzo[d][1,3]dioxolane-4-yl )piperidin-1-yl)methyl)-4-methyl-1-(((S)-oxetan-2-yl)methyl)-1H-imidazol-5-yl)ethazole- 4-Formic acid, 2-(2-((4-((S)-2-(4-chloro-2-fluorophenyl)-2-methylbenzo[d][1,3]dioxolane-4-yl )piperidin-1-yl)methyl)-4-methyl-1-(((S)-oxetan-2-yl)methyl)-1H-imidazol-5-yl)-5- Ethyl ethyl ethazole-4-carboxylic acid, 2-(2-((4-((S)-2-(4-cyano-2-fluorophenyl)-2-methylbenzo[d][1,3]dioxolane-4- yl)piperidin-1-yl)methyl)-4-methyl-1-(((S)-oxetan-2-yl)methyl)-1H-imidazol-5-yl)-5 -Methyl ethazole-4-carboxylic acid, 2-(2-((4-((S)-2-(4-chloro-2-fluorophenyl)-2-methylbenzo[d][1,3]dioxolane-4-yl )piperidin-1-yl)methyl)-5-methyl-1-(((S)-oxetan-2-yl)methyl)-1H-imidazol-4-yl)-5- Methylethazole-4-carboxylic acid, 2-(2-((4-((S)-2-(4-chloro-2-fluorophenyl)-2-methylbenzo[d][1,3]dioxolane-4-yl )piperidin-1-yl)methyl)-5-methyl-1-(((S)-oxetan-2-yl)methyl)-1H-imidazol-4-yl)ethazole- 4-Formic acid, 2-(2-((4-((S)-2-(4-chloro-2-fluorophenyl)-2-methylbenzo[d][1,3]dioxolane-4-yl )piperidin-1-yl)methyl)-5-methyl-1-(((S)-oxetan-2-yl)methyl)-1H-imidazol-4-yl)-4- (Trifluoromethyl)ethazole-5-carboxylic acid, 2-(2-((4-((S)-2-(4-chloro-2-fluorophenyl)-2-methylbenzo[d][1,3]dioxolane-4-yl )piperidin-1-yl)methyl)-5-methyl-1-(((S)-oxetan-2-yl)methyl)-1H-imidazol-4-yl)-4- Methylethazole-5-carboxylic acid, 5-(2-((4-((S)-2-(4-chloro-2-fluorophenyl)-2-methylbenzo[d][1,3]dioxolane-4-yl )piperidin-1-yl)methyl)-5-methyl-1-(((S)-oxetan-2-yl)methyl)-1H-imidazol-4-yl)ethazole- 2-Formic acid, 3-(2-((4-((S)-2-(4-chloro-2-fluorophenyl)-2-methylbenzo[d][1,3]dioxolane-4-yl )piperidin-1-yl)methyl)-5-methyl-1-(((S)-oxetan-2-yl)methyl)-1H-imidazol-4-yl)-1- Methyl-1H-pyrazole-5-carboxylic acid, 4-(2-((4-((S)-2-(4-chloro-2-fluorophenyl)-2-methylbenzo[d][1,3]dioxolane-4-yl )piperidin-1-yl)methyl)-5-methyl-1-(((S)-oxetan-2-yl)methyl)-1H-imidazol-4-yl)ethazole- 2-Formic acid, 5-(2-((4-((S)-2-(4-chloro-2-fluorophenyl)-2-methylbenzo[d][1,3]dioxolane-4-yl )piperidin-1-yl)methyl)-5-methyl-1-(((S)-oxetan-2-yl)methyl)-1H-imidazol-4-yl)-3- Methylfuran-2-carboxylic acid, 4-(2-((4-((S)-2-(4-chloro-2-fluorophenyl)-2-methylbenzo[d][1,3]dioxolane-4-yl )piperidin-1-yl)methyl)-4-methyl-1-(((S)-oxetan-2-yl)methyl)-1H-imidazol-5-yl)ethazole- 2-Formic acid, 3-(2-((4-((S)-2-(4-chloro-2-fluorophenyl)-2-methylbenzo[d][1,3]dioxolane-4-yl )piperidin-1-yl)methyl)-4-methyl-1-(((S)-oxetan-2-yl)methyl)-1H-imidazol-5-yl)-1- Methyl-1H-pyrazole-5-carboxylic acid, 5-(2-((4-((S)-2-(4-chloro-2-fluorophenyl)-2-methylbenzo[d][1,3]dioxolane-4-yl )piperidin-1-yl)methyl)-4-methyl-1-(((S)-oxetan-2-yl)methyl)-1H-imidazol-5-yl)furan-2 -Formic acid, 5-(2-((4-((S)-2-(4-chloro-2-fluorophenyl)-2-methylbenzo[d][1,3]dioxolane-4-yl )piperidin-1-yl)methyl)-5-methyl-1-(((S)-oxetan-2-yl)methyl)-1H-imidazol-4-yl) acid, 5-(2-((4-((S)-2-(4-chloro-2-fluorophenyl)-2-methylbenzo[d][1,3]dioxolane-4-yl )piperidin-1-yl)methyl)-5-methyl-1-(((S)-oxetan-2-yl)methyl)-1H-imidazol-4-yl)furan-2 -Formic acid, 2-(2-((4-((S)-2-(4-chloro-2-fluorophenyl)-2-methylbenzo[d][1,3]dioxolane-4-yl )piperidin-1-yl)methyl)-5-methyl-1-(((S)-oxetan-2-yl)methyl)-1H-imidazol-4-yl)ethazole- 5-Formic acid, 5-(2-((4-((S)-2-(4-chloro-2-fluorophenyl)-2-methylbenzo[d][1,3]dioxolane-4-yl )piperidin-1-yl)methyl)-5-methyl-1-(((S)-oxetan-2-yl)methyl)-1H-imidazol-4-yl)-1, 3,4-Diazole-2-carboxylic acid, 5-(2-((4-((S)-2-(4-chloro-2-fluorophenyl)-2-methylbenzo[d][1,3]dioxolane-4-yl )piperidin-1-yl)methyl)-5-methyl-1-(((S)-oxetan-2-yl)methyl)-1H-imidazol-4-yl)isoethazole -3-Formic acid, 3-(2-((4-((S)-2-(4-chloro-2-fluorophenyl)-2-methylbenzo[d][1,3]dioxolane-4-yl )piperidin-1-yl)methyl)-5-methyl-1-(((S)-oxetan-2-yl)methyl)-1H-imidazol-4-yl)isoethazole -5-Formic acid, 5-(2-((4-((S)-2-(4-chloro-2-fluorophenyl)-2-methylbenzo[d][1,3]dioxolane-4-yl )piperidin-1-yl)methyl)-5-methyl-1-(((S)-oxetan-2-yl)methyl)-1H-imidazol-4-yl)-1- Methyl-1H-pyrazole-3-carboxylic acid, 5-(2-((4-((S)-2-(4-chloro-2-fluorophenyl)-2-methylbenzo[d][1,3]dioxolane-4-yl )piperidin-1-yl)methyl)-4-methyl-1-(((S)-oxetan-2-yl)methyl)-1H-imidazol-5-yl) acid, 4-(2-((4-((S)-2-(4-chloro-2-fluorophenyl)-2-methylbenzo[d][1,3]dioxolane-4-yl )piperidin-1-yl)methyl)-4-methyl-1-(((S)-oxetan-2-yl)methyl)-1H-imidazol-5-yl)thiazole-2 -Formic acid, 2-(2-((4-((S)-2-(4-chloro-2-fluorophenyl)-2-methylbenzo[d][1,3]dioxolane-4-yl )piperidin-1-yl)methyl)-4-methyl-1-(((S)-oxetan-2-yl)methyl)-1H-imidazol-5-yl)ethazole- 5-formic acid, and 2-(2-((4-((S)-2-(4-cyano-2-fluorophenyl)-2-methylbenzo[d][1,3]dioxolane-4- yl)piperidin-1-yl)methyl)-4-methyl-1-(((S)-oxetan-2-yl)methyl)-1H-imidazol-5-yl)-5 -Ethyl methylethazole-4-carboxylate, or a pharmaceutically acceptable salt thereof.

在實施方式中,具有式 (I) 的化合物或其藥學上可接受的鹽選自表A: [ A] 編號 化合物 名稱 C-1 2-(2-((4-((S)-2-(4-氯-2-氟苯基)-2-甲基苯并[d][1,3]二氧戊環-4-基)哌啶-1-基)甲基)-4-甲基-1-(((S)-氧雜環丁烷-2-基)甲基)-1H-咪唑-5-基)-5-甲基㗁唑-4-甲酸 C-2 2-(2-((4-((S)-2-(4-氯-2-氟苯基)-2-甲基苯并[d][1,3]二氧戊環-4-基)哌啶-1-基)甲基)-4-甲基-1-(((R)-氧雜環丁烷-2-基)甲基)-1H-咪唑-5-基)㗁唑-5-甲酸 C-3 2-(2-((4-((S)-2-(4-氯-2-氟苯基)-2-甲基苯并[d][1,3]二氧戊環-4-基)哌啶-1-基)甲基)-4-甲基-1-(((R)-氧雜環丁烷-2-基)甲基)-1H-咪唑-5-基)㗁唑-4-甲酸 C-4 2-(2-((4-((S)-2-(4-氯-2-氟苯基)-2-甲基苯并[d][1,3]二氧戊環-4-基)哌啶-1-基)甲基)-1-(((S)-氧雜環丁烷-2-基)甲基)-4-(三氟甲基)-1H-咪唑-5-基)㗁唑-4-甲酸 C-5 2-(2-((4-((S)-2-(4-氯-2-氟苯基)-2-甲基苯并[d][1,3]二氧戊環-4-基)哌啶-1-基)甲基)-4-乙基-1-(((S)-氧雜環丁烷-2-基)甲基)-1H-咪唑-5-基)㗁唑-4-甲酸 C-6 2-(2-((4-((S)-2-(4-氯-2-氟苯基)-2-甲基苯并[d][1,3]二氧戊環-4-基)哌啶-1-基)甲基)-4-乙基-1-(((S)-氧雜環丁烷-2-基)甲基)-1H-咪唑-5-基)㗁唑-5-甲酸 C-7 2-(2-((4-((S)-2-(4-氯-2-氟苯基)-2-甲基苯并[d][1,3]二氧戊環-4-基)哌啶-1-基)甲基)-4-乙基-1-(((R)-氧雜環丁烷-2-基)甲基)-1H-咪唑-5-基)㗁唑-4-甲酸 C-8 2-(2-((4-((S)-2-(4-氯-2-氟苯基)-2-甲基苯并[d][1,3]二氧戊環-4-基)哌啶-1-基)甲基)-4-乙基-1-(((R)-氧雜環丁烷-2-基)甲基)-1H-咪唑-5-基)㗁唑-5-甲酸 C-9 2-(2-((4-((S)-2-(4-氯-2-氟苯基)-2-甲基苯并[d][1,3]二氧戊環-4-基)哌啶-1-基)甲基)-4-甲基-1-(((S)-氧雜環丁烷-2-基)甲基)-1H-咪唑-5-基)㗁唑-4-甲酸 C-10 2-(2-((4-((S)-2-(4-氯-2-氟苯基)-2-甲基苯并[d][1,3]二氧戊環-4-基)哌啶-1-基)甲基)-4-甲基-1-(((S)-氧雜環丁烷-2-基)甲基)-1H-咪唑-5-基)-5-乙基㗁唑-4-甲酸 C-11 2-(2-((4-((S)-2-(4-氰基-2-氟苯基)-2-甲基苯并[d][1,3]二氧戊環-4-基)哌啶-1-基)甲基)-4-甲基-1-(((S)-氧雜環丁烷-2-基)甲基)-1H-咪唑-5-基)-5-甲基㗁唑-4-甲酸 C-12 2-(2-((4-((S)-2-(4-氯-2-氟苯基)-2-甲基苯并[d][1,3]二氧戊環-4-基)哌啶-1-基)甲基)-5-甲基-1-(((S)-氧雜環丁烷-2-基)甲基)-1H-咪唑-4-基)-5-甲基㗁唑-4-甲酸 C-13 2-(2-((4-((S)-2-(4-氯-2-氟苯基)-2-甲基苯并[d][1,3]二氧戊環-4-基)哌啶-1-基)甲基)-5-甲基-1-(((S)-氧雜環丁烷-2-基)甲基)-1H-咪唑-4-基)㗁唑-4-甲酸 C-14 2-(2-((4-((S)-2-(4-氯-2-氟苯基)-2-甲基苯并[d][1,3]二氧戊環-4-基)哌啶-1-基)甲基)-5-甲基-1-(((S)-氧雜環丁烷-2-基)甲基)-1H-咪唑-4-基)-4-(三氟甲基)㗁唑-5-甲酸 C-15 2-(2-((4-((S)-2-(4-氯-2-氟苯基)-2-甲基苯并[d][1,3]二氧戊環-4-基)哌啶-1-基)甲基)-5-甲基-1-(((S)-氧雜環丁烷-2-基)甲基)-1H-咪唑-4-基)-4-甲基㗁唑-5-甲酸 C-16 5-(2-((4-((S)-2-(4-氯-2-氟苯基)-2-甲基苯并[d][1,3]二氧戊環-4-基)哌啶-1-基)甲基)-5-甲基-1-(((S)-氧雜環丁烷-2-基)甲基)-1H-咪唑-4-基)㗁唑-2-甲酸 C-17 3-(2-((4-((S)-2-(4-氯-2-氟苯基)-2-甲基苯并[d][1,3]二氧戊環-4-基)哌啶-1-基)甲基)-5-甲基-1-(((S)-氧雜環丁烷-2-基)甲基)-1H-咪唑-4-基)-1-甲基-1H-吡唑-5-甲酸 C-18 4-(2-((4-((S)-2-(4-氯-2-氟苯基)-2-甲基苯并[d][1,3]二氧戊環-4-基)哌啶-1-基)甲基)-5-甲基-1-(((S)-氧雜環丁烷-2-基)甲基)-1H-咪唑-4-基)㗁唑-2-甲酸 C-19 5-(2-((4-((S)-2-(4-氯-2-氟苯基)-2-甲基苯并[d][1,3]二氧戊環-4-基)哌啶-1-基)甲基)-5-甲基-1-(((S)-氧雜環丁烷-2-基)甲基)-1H-咪唑-4-基)-3-甲基呋喃-2-甲酸 C-20 4-(2-((4-((S)-2-(4-氯-2-氟苯基)-2-甲基苯并[d][1,3]二氧戊環-4-基)哌啶-1-基)甲基)-4-甲基-1-(((S)-氧雜環丁烷-2-基)甲基)-1H-咪唑-5-基)㗁唑-2-甲酸 C-21 3-(2-((4-((S)-2-(4-氯-2-氟苯基)-2-甲基苯并[d][1,3]二氧戊環-4-基)哌啶-1-基)甲基)-4-甲基-1-(((S)-氧雜環丁烷-2-基)甲基)-1H-咪唑-5-基)-1-甲基-1H-吡唑-5-甲酸    C-22 5-(2-((4-((S)-2-(4-氯-2-氟苯基)-2-甲基苯并[d][1,3]二氧戊環-4-基)哌啶-1-基)甲基)-4-甲基-1-(((S)-氧雜環丁烷-2-基)甲基)-1H-咪唑-5-基)呋喃-2-甲酸 C-23 5-(2-((4-((S)-2-(4-氯-2-氟苯基)-2-甲基苯并[d][1,3]二氧戊環-4-基)哌啶-1-基)甲基)-5-甲基-1-(((S)-氧雜環丁烷-2-基)甲基)-1H-咪唑-4-基)酸 C-24 5-(2-((4-((S)-2-(4-氯-2-氟苯基)-2-甲基苯并[d][1,3]二氧戊環-4-基)哌啶-1-基)甲基)-5-甲基-1-(((S)-氧雜環丁烷-2-基)甲基)-1H-咪唑-4-基)呋喃-2-甲酸 C-25 2-(2-((4-((S)-2-(4-氯-2-氟苯基)-2-甲基苯并[d][1,3]二氧戊環-4-基)哌啶-1-基)甲基)-5-甲基-1-(((S)-氧雜環丁烷-2-基)甲基)-1H-咪唑-4-基)㗁唑-5-甲酸 C-26 5-(2-((4-((S)-2-(4-氯-2-氟苯基)-2-甲基苯并[d][1,3]二氧戊環-4-基)哌啶-1-基)甲基)-5-甲基-1-(((S)-氧雜環丁烷-2-基)甲基)-1H-咪唑-4-基)-1,3,4-㗁二唑-2-甲酸 C-27 5-(2-((4-((S)-2-(4-氯-2-氟苯基)-2-甲基苯并[d][1,3]二氧戊環-4-基)哌啶-1-基)甲基)-5-甲基-1-(((S)-氧雜環丁烷-2-基)甲基)-1H-咪唑-4-基)異㗁唑-3-甲酸 C-28 3-(2-((4-((S)-2-(4-氯-2-氟苯基)-2-甲基苯并[d][1,3]二氧戊環-4-基)哌啶-1-基)甲基)-5-甲基-1-(((S)-氧雜環丁烷-2-基)甲基)-1H-咪唑-4-基)異㗁唑-5-甲酸 C-29 5-(2-((4-((S)-2-(4-氯-2-氟苯基)-2-甲基苯并[d][1,3]二氧戊環-4-基)哌啶-1-基)甲基)-5-甲基-1-(((S)-氧雜環丁烷-2-基)甲基)-1H-咪唑-4-基)-1-甲基-1H-吡唑-3-甲酸 C-30 5-(2-((4-((S)-2-(4-氯-2-氟苯基)-2-甲基苯并[d][1,3]二氧戊環-4-基)哌啶-1-基)甲基)-4-甲基-1-(((S)-氧雜環丁烷-2-基)甲基)-1H-咪唑-5-基)酸 C-31 4-(2-((4-((S)-2-(4-氯-2-氟苯基)-2-甲基苯并[d][1,3]二氧戊環-4-基)哌啶-1-基)甲基)-4-甲基-1-(((S)-氧雜環丁烷-2-基)甲基)-1H-咪唑-5-基)噻唑-2-甲酸 C-32 2-(2-((4-((S)-2-(4-氯-2-氟苯基)-2-甲基苯并[d][1,3]二氧戊環-4-基)哌啶-1-基)甲基)-4-甲基-1-(((S)-氧雜環丁烷-2-基)甲基)-1H-咪唑-5-基)㗁唑-5-甲酸 C-33 2-(2-((4-((S)-2-(4-氰基-2-氟苯基)-2-甲基苯并[d][1,3]二氧戊環-4-基)哌啶-1-基)甲基)-4-甲基-1-(((S)-氧雜環丁烷-2-基)甲基)-1H-咪唑-5-基)-5-甲基㗁唑-4-甲酸乙酯 In embodiments, the compound of formula (I) or a pharmaceutically acceptable salt thereof is selected from Table A: [ Table A] No. compound Name C-1 2-(2-((4-((S)-2-(4-chloro-2-fluorophenyl)-2-methylbenzo[d][1,3]dioxolane-4-yl )piperidin-1-yl)methyl)-4-methyl-1-(((S)-oxetan-2-yl)methyl)-1H-imidazol-5-yl)-5- Methylethazole-4-carboxylic acid C-2 2-(2-((4-((S)-2-(4-chloro-2-fluorophenyl)-2-methylbenzo[d][1,3]dioxolane-4-yl )piperidin-1-yl)methyl)-4-methyl-1-(((R)-oxetan-2-yl)methyl)-1H-imidazol-5-yl)ethazole- 5-Formic acid C-3 2-(2-((4-((S)-2-(4-chloro-2-fluorophenyl)-2-methylbenzo[d][1,3]dioxolane-4-yl )piperidin-1-yl)methyl)-4-methyl-1-(((R)-oxetan-2-yl)methyl)-1H-imidazol-5-yl)ethazole- 4-Formic acid C-4 2-(2-((4-((S)-2-(4-chloro-2-fluorophenyl)-2-methylbenzo[d][1,3]dioxolane-4-yl )piperidin-1-yl)methyl)-1-(((S)-oxetan-2-yl)methyl)-4-(trifluoromethyl)-1H-imidazol-5-yl )ethazole-4-carboxylic acid C-5 2-(2-((4-((S)-2-(4-chloro-2-fluorophenyl)-2-methylbenzo[d][1,3]dioxolane-4-yl )piperidin-1-yl)methyl)-4-ethyl-1-(((S)-oxetan-2-yl)methyl)-1H-imidazol-5-yl)ethazole- 4-Formic acid C-6 2-(2-((4-((S)-2-(4-chloro-2-fluorophenyl)-2-methylbenzo[d][1,3]dioxolane-4-yl )piperidin-1-yl)methyl)-4-ethyl-1-(((S)-oxetan-2-yl)methyl)-1H-imidazol-5-yl)ethazole- 5-Formic acid C-7 2-(2-((4-((S)-2-(4-chloro-2-fluorophenyl)-2-methylbenzo[d][1,3]dioxolane-4-yl )piperidin-1-yl)methyl)-4-ethyl-1-(((R)-oxetan-2-yl)methyl)-1H-imidazol-5-yl)ethyl- 4-Formic acid C-8 2-(2-((4-((S)-2-(4-chloro-2-fluorophenyl)-2-methylbenzo[d][1,3]dioxolane-4-yl )piperidin-1-yl)methyl)-4-ethyl-1-(((R)-oxetan-2-yl)methyl)-1H-imidazol-5-yl)ethyl- 5-Formic acid C-9 2-(2-((4-((S)-2-(4-chloro-2-fluorophenyl)-2-methylbenzo[d][1,3]dioxolane-4-yl )piperidin-1-yl)methyl)-4-methyl-1-(((S)-oxetan-2-yl)methyl)-1H-imidazol-5-yl)ethazole- 4-Formic acid C-10 2-(2-((4-((S)-2-(4-chloro-2-fluorophenyl)-2-methylbenzo[d][1,3]dioxolane-4-yl )piperidin-1-yl)methyl)-4-methyl-1-(((S)-oxetan-2-yl)methyl)-1H-imidazol-5-yl)-5- Ethylethazole-4-carboxylic acid C-11 2-(2-((4-((S)-2-(4-cyano-2-fluorophenyl)-2-methylbenzo[d][1,3]dioxolane-4- yl)piperidin-1-yl)methyl)-4-methyl-1-(((S)-oxetan-2-yl)methyl)-1H-imidazol-5-yl)-5 -Methylethazole-4-carboxylic acid C-12 2-(2-((4-((S)-2-(4-chloro-2-fluorophenyl)-2-methylbenzo[d][1,3]dioxolane-4-yl )piperidin-1-yl)methyl)-5-methyl-1-(((S)-oxetan-2-yl)methyl)-1H-imidazol-4-yl)-5- Methylethazole-4-carboxylic acid C-13 2-(2-((4-((S)-2-(4-chloro-2-fluorophenyl)-2-methylbenzo[d][1,3]dioxolane-4-yl )piperidin-1-yl)methyl)-5-methyl-1-(((S)-oxetan-2-yl)methyl)-1H-imidazol-4-yl)ethazole- 4-Formic acid C-14 2-(2-((4-((S)-2-(4-chloro-2-fluorophenyl)-2-methylbenzo[d][1,3]dioxolane-4-yl )piperidin-1-yl)methyl)-5-methyl-1-(((S)-oxetan-2-yl)methyl)-1H-imidazol-4-yl)-4- (Trifluoromethyl)ethazole-5-carboxylic acid C-15 2-(2-((4-((S)-2-(4-chloro-2-fluorophenyl)-2-methylbenzo[d][1,3]dioxolane-4-yl )piperidin-1-yl)methyl)-5-methyl-1-(((S)-oxetan-2-yl)methyl)-1H-imidazol-4-yl)-4- Methylethazole-5-carboxylic acid C-16 5-(2-((4-((S)-2-(4-chloro-2-fluorophenyl)-2-methylbenzo[d][1,3]dioxolane-4-yl )piperidin-1-yl)methyl)-5-methyl-1-(((S)-oxetan-2-yl)methyl)-1H-imidazol-4-yl)ethazole- 2-Formic acid C-17 3-(2-((4-((S)-2-(4-chloro-2-fluorophenyl)-2-methylbenzo[d][1,3]dioxolane-4-yl )piperidin-1-yl)methyl)-5-methyl-1-(((S)-oxetan-2-yl)methyl)-1H-imidazol-4-yl)-1- Methyl-1H-pyrazole-5-carboxylic acid C-18 4-(2-((4-((S)-2-(4-chloro-2-fluorophenyl)-2-methylbenzo[d][1,3]dioxolane-4-yl )piperidin-1-yl)methyl)-5-methyl-1-(((S)-oxetan-2-yl)methyl)-1H-imidazol-4-yl)ethazole- 2-Formic acid C-19 5-(2-((4-((S)-2-(4-chloro-2-fluorophenyl)-2-methylbenzo[d][1,3]dioxolane-4-yl )piperidin-1-yl)methyl)-5-methyl-1-(((S)-oxetan-2-yl)methyl)-1H-imidazol-4-yl)-3- Methylfuran-2-carboxylic acid C-20 4-(2-((4-((S)-2-(4-chloro-2-fluorophenyl)-2-methylbenzo[d][1,3]dioxolane-4-yl )piperidin-1-yl)methyl)-4-methyl-1-(((S)-oxetan-2-yl)methyl)-1H-imidazol-5-yl)ethazole- 2-Formic acid C-21 3-(2-((4-((S)-2-(4-chloro-2-fluorophenyl)-2-methylbenzo[d][1,3]dioxolane-4-yl )piperidin-1-yl)methyl)-4-methyl-1-(((S)-oxetan-2-yl)methyl)-1H-imidazol-5-yl)-1- Methyl-1H-pyrazole-5-carboxylic acid C-22 5-(2-((4-((S)-2-(4-chloro-2-fluorophenyl)-2-methylbenzo[d][1,3]dioxolane-4-yl )piperidin-1-yl)methyl)-4-methyl-1-(((S)-oxetan-2-yl)methyl)-1H-imidazol-5-yl)furan-2 -Formic acid C-23 5-(2-((4-((S)-2-(4-chloro-2-fluorophenyl)-2-methylbenzo[d][1,3]dioxolane-4-yl )piperidin-1-yl)methyl)-5-methyl-1-(((S)-oxetan-2-yl)methyl)-1H-imidazol-4-yl) acid C-24 5-(2-((4-((S)-2-(4-chloro-2-fluorophenyl)-2-methylbenzo[d][1,3]dioxolane-4-yl )piperidin-1-yl)methyl)-5-methyl-1-(((S)-oxetan-2-yl)methyl)-1H-imidazol-4-yl)furan-2 -Formic acid C-25 2-(2-((4-((S)-2-(4-chloro-2-fluorophenyl)-2-methylbenzo[d][1,3]dioxolane-4-yl )piperidin-1-yl)methyl)-5-methyl-1-(((S)-oxetan-2-yl)methyl)-1H-imidazol-4-yl)ethazole- 5-Formic acid C-26 5-(2-((4-((S)-2-(4-chloro-2-fluorophenyl)-2-methylbenzo[d][1,3]dioxolane-4-yl )piperidin-1-yl)methyl)-5-methyl-1-(((S)-oxetan-2-yl)methyl)-1H-imidazol-4-yl)-1, 3,4-Diazole-2-carboxylic acid C-27 5-(2-((4-((S)-2-(4-chloro-2-fluorophenyl)-2-methylbenzo[d][1,3]dioxolane-4-yl )piperidin-1-yl)methyl)-5-methyl-1-(((S)-oxetan-2-yl)methyl)-1H-imidazol-4-yl)isoethazole -3-Formic acid C-28 3-(2-((4-((S)-2-(4-chloro-2-fluorophenyl)-2-methylbenzo[d][1,3]dioxolane-4-yl )piperidin-1-yl)methyl)-5-methyl-1-(((S)-oxetan-2-yl)methyl)-1H-imidazol-4-yl)isoethazole -5-Formic acid C-29 5-(2-((4-((S)-2-(4-chloro-2-fluorophenyl)-2-methylbenzo[d][1,3]dioxolane-4-yl )piperidin-1-yl)methyl)-5-methyl-1-(((S)-oxetan-2-yl)methyl)-1H-imidazol-4-yl)-1- Methyl-1H-pyrazole-3-carboxylic acid C-30 5-(2-((4-((S)-2-(4-chloro-2-fluorophenyl)-2-methylbenzo[d][1,3]dioxolane-4-yl )piperidin-1-yl)methyl)-4-methyl-1-(((S)-oxetan-2-yl)methyl)-1H-imidazol-5-yl)acid C-31 4-(2-((4-((S)-2-(4-chloro-2-fluorophenyl)-2-methylbenzo[d][1,3]dioxolane-4-yl )piperidin-1-yl)methyl)-4-methyl-1-(((S)-oxetan-2-yl)methyl)-1H-imidazol-5-yl)thiazole-2 -Formic acid C-32 2-(2-((4-((S)-2-(4-chloro-2-fluorophenyl)-2-methylbenzo[d][1,3]dioxolane-4-yl )piperidin-1-yl)methyl)-4-methyl-1-(((S)-oxetan-2-yl)methyl)-1H-imidazol-5-yl)ethazole- 5-Formic acid C-33 2-(2-((4-((S)-2-(4-cyano-2-fluorophenyl)-2-methylbenzo[d][1,3]dioxolane-4- yl)piperidin-1-yl)methyl)-4-methyl-1-(((S)-oxetan-2-yl)methyl)-1H-imidazol-5-yl)-5 -Methylethazole-4-carboxylate

在本文提供的任一式或其藥學上可接受的鹽的實施方式中,視需要取代的變數R 4和R 5中的一個或兩個變數包含羧酸、羧酸衍生物(例如,羧酸酯衍生物如羧酸甲酯或羧酸乙酯)或羧酸電子等排體(參見例如, J. Med. Chem. [ 藥物化學雜誌 ]2016, 59, 3183-3203)。在較佳的實施方式中,R 4和R 5不相同。例如,在較佳的實施方式中,R 4和R 5中僅一個包含羧酸、羧酸衍生物(例如,羧酸酯衍生物如羧酸甲酯或羧酸乙酯)或羧酸電子等排體。 In embodiments of any of the formulas provided herein, or a pharmaceutically acceptable salt thereof, one or both of the optionally substituted variables R4 and R5 comprise a carboxylic acid, a carboxylic acid derivative (e.g., a carboxylic acid ester Derivatives such as methyl carboxylate or ethyl carboxylate) or carboxylic acid isosteres (see, e.g., J. Med. Chem. [ Journal of Medicinal Chemistry ] 2016, 59, 3183-3203). In a preferred embodiment, R 4 and R 5 are different. For example, in a preferred embodiment, only one of R 4 and R 5 contains carboxylic acid, carboxylic acid derivatives (for example, carboxylic acid ester derivatives such as carboxylic acid methyl ester or carboxylic acid ethyl ester) or carboxylic acid electrons, etc. Exhaust body.

示例非環狀羧酸電子等排體的非限制性列表如下: 名稱 樣本結構 樣本式: 羧酸 COOH 異羥肟酸 C(O)NH(OH) N(OH)(C(O)CH 3) 異羥肟酸酯 C(O)NH(OCH 3) ONH(C(O)CH 3) 膦酸 P(O)(OH) 2 次膦酸 P(O)(OH)(H) 磺酸 S(O) 2OH 亞磺酸 S(O)OH 磺醯胺 S(O) 2NH 2 NH(S(O) 2CH 3) 醯基-磺醯胺 C(O)NH(S(O) 2CH 3) C(O)NH(S(O) 2N(CH 3) 2) 磺醯脲 NH(C(O)NH(S(O) 2CH 3)) 醯基脲 NH(C(O)NH(C(O)CH 3)) 亞胺基磺胺酮 S(=NH)(O)CH 3 磺醯亞胺醯胺 S(=NH)(O)NH 2 A non-limiting list of example acyclic carboxylic acid isosteres is as follows: Name sample structure Sample format: carboxylic acid COOH Hydroxamic acid C(O)NH(OH) N(OH)(C(O)CH 3 ) hydroxamates C(O)NH(OCH 3 ) ONH(C(O)CH 3 ) Phosphonic acid P(O)(OH) 2 Phosphinic acid P(O)(OH)(H) Sulfonic acid S(O) 2OH Sulfinic acid S(O)OH Sulfonamide S(O) 2 NH 2 NH(S(O) 2 CH 3 ) acyl-sulfonamide C(O)NH(S(O) 2 CH 3 ) C(O)NH(S(O) 2 N(CH 3 ) 2 ) Sulfonylurea NH(C(O)NH(S(O) 2 CH 3 )) acylurea NH(C(O)NH(C(O)CH 3 )) iminosulfazone S(=NH)(O)CH 3 sulfonamide S(=NH)(O)NH 2

環狀羧酸電子等排體的非限制性列表如下: 名稱 樣本結構 四唑 四氫噻唑二酮 㗁唑啶二酮 㗁二唑-5(4H)-酮 噻二唑-5(4H)-酮 㗁噻二唑-2-氧化物 㗁二唑-5(4H)-硫酮 異㗁唑 特胺酸(tetramic acid) 環戊烷1,3-二酮 環戊烷1,2-二酮 方酸(squaric acid)衍生物 取代的酚 A non-limiting list of cyclic carboxylic acid isosteres is as follows: Name sample structure Tetrazole Tetrahydrothiazodione Azolidinedione Dioxadiazole-5(4H)-one Thiadiazole-5(4H)-one Thiadiazole-2-oxide Dioxadiazole-5(4H)-thione Isoethazole tetramic acid Cyclopentane 1,3-dione Cyclopentane 1,2-dione squaric acid derivatives Substituted phenols

除非另有說明,否則術語「本發明的化合物(compounds of the present invention、compound of the present invention、compound of the invention或compounds of the invention)」係指具有式 (I)、其子式(例如,式 (Ia)、(II)、(IIa)、(III)、(IIIa)、(IIIb)、(IV)、(IVa)、(IVb)、(V)、(Va) 和 (Vb))的化合物和示例性化合物及其鹽,以及所有立體異構物(包括非鏡像異構物和鏡像異構物)、旋轉異構物、互變異構物和同位素標記的化合物(包括氘取代物),以及固有形成的部分。Unless otherwise stated, the term "compounds of the invention, compound of the invention, compound of the invention or compounds of the invention" means compounds of formula (I), its subformulas (e.g., Formula (Ia), (II), (IIa), (III), (IIIa), (IIIb), (IV), (IVa), (IVb), (V), (Va) and (Vb)) Compounds and Exemplary Compounds and their salts, as well as all stereoisomers (including diastereomers and enantiomers), rotamers, tautomers and isotopically labeled compounds (including deuterium substitutions), and inherently formed parts.

根據起始材料和程序的選擇,化合物可以呈可能的立體異構物之一的形式或作為其混合物(例如作為純的光學異構物或作為立體異構物混合物,如外消旋物和非鏡像異構物混合物)存在,這取決於不對稱碳原子的數目。本發明旨在包括所有此類可能的立體異構物,包括外消旋混合物、非鏡像異構物混合物和光學純的形式。光學活性( R)-和( S)-立體異構物可以使用手性合成子或手性試劑製備,或使用常規技術拆分。如果化合物含有雙鍵,則取代基可以是E或Z構型。如果化合物含有二取代的環烷基,則環烷基取代基可以具有順式或反式構型。所有互變異構形式也旨在包括在內。 Depending on the choice of starting materials and procedure, the compounds can be in the form of one of the possible stereoisomers or as a mixture thereof (e.g. as pure optical isomers or as mixtures of stereoisomers, such as racemates and non- Enantiomer mixtures) exist, depending on the number of asymmetric carbon atoms. The present invention is intended to include all such possible stereoisomers, including racemic mixtures, diastereomer mixtures and optically pure forms. Optically active ( R )- and ( S )-stereoisomers can be prepared using chiral synthons or chiral reagents, or resolved using conventional techniques. If the compound contains double bonds, the substituents can be in the E or Z configuration. If the compound contains a disubstituted cycloalkyl group, the cycloalkyl substituent may have a cis or trans configuration. All tautomeric forms are also intended to be included.

短語「視需要取代」意指未被取代或被取代。取代基係獨立地選擇的,並且取代可以在任何化學上可接近的位置處。術語「取代」意指氫原子被除去並被取代基替換。單個二價取代基(例如,側氧基)可以替換兩個氫原子。應理解的是,給定原子處的取代受化合價的限制。The phrase "substituted as appropriate" means either unsubstituted or substituted. Substituents are independently selected, and substitution can be at any chemically accessible position. The term "substituted" means that a hydrogen atom is removed and replaced with a substituent. A single divalent substituent (eg, a pendant oxygen group) can replace two hydrogen atoms. It is understood that substitution at a given atom is limited by valency.

如本文所用,單獨或與其他術語組合採用的「C n-m烷基」係指可以是直鏈或支鏈的、具有n至m個碳的飽和烴基。在一些實施方式中,烷基基團含有從1至6個碳原子、從1至4個碳原子、從1至3個碳原子、或從1至2個碳原子。 As used herein, "C nm alkyl" alone or in combination with other terms refers to a saturated hydrocarbon group having n to m carbons, which may be straight or branched. In some embodiments, an alkyl group contains from 1 to 6 carbon atoms, from 1 to 4 carbon atoms, from 1 to 3 carbon atoms, or from 1 to 2 carbon atoms.

如本文所用,「C n-m烯基」係指具有一個或多個碳-碳雙鍵並具有n至m個碳的烷基基團。在一些實施方式中,烯基基團含有從2至6個碳原子、從2至4個碳原子、或從2至3個碳原子。 As used herein, "C nm alkenyl" refers to an alkyl group having one or more carbon-carbon double bonds and having n to m carbons. In some embodiments, alkenyl groups contain from 2 to 6 carbon atoms, from 2 to 4 carbon atoms, or from 2 to 3 carbon atoms.

如本文所用,「C n-m炔基」係指具有一個或多個碳-碳三鍵並具有n至m個碳的烷基基團。在一些實施方式中,炔基基團含有從2至6個碳原子、從2至4個碳原子、或從2至3個碳原子。 As used herein, "C nm alkynyl" refers to an alkyl group having one or more carbon-carbon triple bonds and having n to m carbons. In some embodiments, an alkynyl group contains from 2 to 6 carbon atoms, from 2 to 4 carbon atoms, or from 2 to 3 carbon atoms.

如本文所用,「芳基」係指芳香族烴基,其可以是單環的或多環的(例如,具有2、3或4個稠環)。術語C n-m芳基係指具有從n至m個環碳原子的芳基基團。在一些實施方式中,芳基基團具有從5至10個碳原子。在一些實施方式中,芳基基團係苯基。 As used herein, "aryl" refers to an aromatic hydrocarbon group, which may be monocyclic or polycyclic (eg, having 2, 3, or 4 fused rings). The term Cnm aryl refers to an aryl group having from n to m ring carbon atoms. In some embodiments, an aryl group has from 5 to 10 carbon atoms. In some embodiments, the aryl group is phenyl.

如本文所用,「環烷基」係指包括環化烷基和烯基基團的非芳香族環狀烴。環烷基基團可包括單環或多環(例如,具有兩個稠環)基團、螺環和橋環。環烷基的成環碳原子可以被側氧基基或硫離子基(sulfido)(例如,C(O)或C(S))視需要取代。在一些實施方式中,環烷基基團具有3、4、5、6、7、8、9、或10個成環碳原子(即,C 3-10環烷基)。在一些實施方式中,環烷基基團具有3、4、5、或6個成環碳原子(即,C 3-6環烷基)。 As used herein, "cycloalkyl" refers to non-aromatic cyclic hydrocarbons including cyclized alkyl and alkenyl groups. Cycloalkyl groups may include monocyclic or polycyclic (eg, having two fused rings) groups, spiro rings, and bridged rings. The ring-forming carbon atoms of the cycloalkyl group may be optionally substituted with pendant oxy groups or sulfido groups (eg, C(O) or C(S)). In some embodiments, a cycloalkyl group has 3, 4, 5, 6, 7, 8, 9, or 10 ring-forming carbon atoms (i.e., C 3-10 cycloalkyl). In some embodiments, a cycloalkyl group has 3, 4, 5, or 6 ring-forming carbon atoms (i.e., C 3-6 cycloalkyl).

如本文所用,「雜芳基」係指具有至少一個選自N、O和S的雜原子環成員的單環或多環(例如,具有2個稠環)芳香族雜環。在一些實施方式中,雜芳基基團中的成環N可以是N-氧化物。在一些實施方式中,雜芳基係具有1、2、3、或4個獨立地選自N、O和S的雜原子環成員的5-10員單環或雙環雜芳基。在一些實施方式中,雜芳基係具有1、2、3、或4個獨立地選自N、O和S的雜原子環成員的5-10員單環或雙環雜芳基。As used herein, "heteroaryl" refers to a monocyclic or polycyclic (eg, having 2 fused rings) aromatic heterocycle having at least one heteroatom ring member selected from N, O, and S. In some embodiments, the ring-forming N in the heteroaryl group can be an N-oxide. In some embodiments, the heteroaryl group is a 5-10 membered monocyclic or bicyclic heteroaryl group having 1, 2, 3, or 4 heteroatom ring members independently selected from N, O, and S. In some embodiments, the heteroaryl group is a 5-10 membered monocyclic or bicyclic heteroaryl group having 1, 2, 3, or 4 heteroatom ring members independently selected from N, O, and S.

如本文所用,「雜環烷基」係指具有至少一個非芳香族環(飽和或部分不飽和環)的單環或多環雜環,其中雜環烷基的一個或多個成環碳原子被選自N、O、S和B的雜原子替換,並且其中雜環烷基基團的成環碳或雜原子可被一個或多個側氧基基或硫離子基(例如,C(O)、S(O)、C(S)、S(O) 2等)視需要取代。在一些實施方式中,雜環烷基基團含有4至10個成環原子(即,為4-10員的),其中1至4個原子係獨立地選自N、O和S的雜原子。 As used herein, "heterocycloalkyl" refers to a monocyclic or polycyclic heterocycle having at least one non-aromatic ring (saturated or partially unsaturated ring), wherein one or more of the ring-forming carbon atoms of the heterocycloalkyl Replaced with heteroatoms selected from N, O, S, and B, and wherein the ring-forming carbon or heteroatom of the heterocycloalkyl group may be replaced by one or more pendant oxy or sulfide groups (e.g., C(O ), S(O), C(S), S(O) 2 , etc.) are replaced as necessary. In some embodiments, the heterocycloalkyl group contains 4 to 10 ring-forming atoms (i.e., is 4-10 membered), wherein 1 to 4 atoms are heteroatoms independently selected from N, O, and S. .

如本文所用,「C o-p-環烷基-C n-m-烷基」係指具有式環烷基-伸烷基的基團,其中環烷基具有o至p個碳原子並且伸烷基連接基團具有n至m個碳原子。 As used herein, "C op -cycloalkyl-C nm- alkyl" refers to a group having the formula cycloalkyl-alkylene, wherein the cycloalkyl has o to p carbon atoms and the alkylene linkage A group has n to m carbon atoms.

如本文所用,「雜環烷基-C n-m-烷基」係指具有式雜環烷基-伸烷基的基團,其中伸烷基連接基團具有n至m個碳原子。 As used herein, "heterocycloalkyl-C nm -alkyl" refers to a group having the formula heterocycloalkyl-alkylene, wherein the alkylene linking group has n to m carbon atoms.

如本文所用,「雜芳基-C n-m-烷基」係指具有式雜芳基-伸烷基的基團,其中伸烷基連接基團具有n至m個碳原子。 As used herein, "heteroaryl-C nm- alkyl" refers to a group having the formula heteroaryl-alkylene, wherein the alkylene linking group has n to m carbon atoms.

如本文所用,「芳基-C n-m-烷基」(例如,「苯基-C n-m-烷基」)係指具有式芳基-伸烷基的基團,其中伸烷基連接基團具有n至m個碳原子。 As used herein, "aryl-C nm- alkyl" (e.g., "phenyl-C nm -alkyl") refers to a group having the formula aryl-alkylene, wherein the alkylene linking group has n to m carbon atoms.

如本文所用,術語「鹽(salt或salts)」係指本文提供的化合物的酸加成鹽或鹼加成鹽。「鹽」特別地包括「藥學上可接受的鹽」。術語「藥學上可接受的鹽」係指保留本文提供的化合物的生物有效性和特性的鹽,並且該等鹽典型地不是生物學上或其他方面不希望的。在多種情況下,本文提供的化合物能夠借助於鹼性氮原子(例如見於胺基和吡啶基團或與其相似的其他基團中)和/或酸性質子(例如見於羧酸或與其相似的其他基團中)的存在形成酸和/或鹼鹽。As used herein, the term "salt or salts" refers to acid or base addition salts of the compounds provided herein. "Salt" specifically includes "pharmaceutically acceptable salt". The term "pharmaceutically acceptable salts" refers to salts that retain the biological effectiveness and properties of the compounds provided herein, and such salts are typically not biologically or otherwise undesirable. In many cases, the compounds provided herein are capable of using basic nitrogen atoms (e.g., found in amine and pyridine groups or other groups similar thereto) and/or acidic protons (e.g., found in carboxylic acids or other groups similar thereto). The presence of ) in the group forms acid and/or base salts.

可以用無機酸和有機酸形成藥學上可接受的酸加成鹽。Pharmaceutically acceptable acid addition salts can be formed with inorganic acids and organic acids.

可以衍生出鹽的無機酸包括例如鹽酸、氫溴酸、硫酸、硝酸、磷酸等。Inorganic acids from which salts can be derived include, for example, hydrochloric acid, hydrobromic acid, sulfuric acid, nitric acid, phosphoric acid, and the like.

可以衍生出鹽的有機酸包括例如乙酸、丙酸、乙醇酸、草酸、馬來酸、丙二酸、琥珀酸、富馬酸、酒石酸、檸檬酸、苯甲酸、苦杏仁酸、甲磺酸、乙磺酸、甲苯磺酸、磺基水楊酸等。Organic acids from which salts can be derived include, for example, acetic acid, propionic acid, glycolic acid, oxalic acid, maleic acid, malonic acid, succinic acid, fumaric acid, tartaric acid, citric acid, benzoic acid, mandelic acid, methanesulfonic acid, Ethanesulfonic acid, toluenesulfonic acid, sulfosalicylic acid, etc.

可以用無機鹼和有機鹼形成藥學上可接受的鹼加成鹽。Pharmaceutically acceptable base addition salts can be formed with inorganic and organic bases.

可以衍生出鹽的無機鹼包括例如銨鹽和來自元素週期表第I至XII列的金屬。在某些實施方式中,鹽衍生自鈉、鉀、銨、鈣、鎂、鐵、銀、鋅和銅;特別合適的鹽包括銨鹽、鉀鹽、鈉鹽、鈣鹽和鎂鹽。Inorganic bases from which salts can be derived include, for example, ammonium salts and metals from columns I to XII of the Periodic Table of Elements. In certain embodiments, salts are derived from sodium, potassium, ammonium, calcium, magnesium, iron, silver, zinc and copper; particularly suitable salts include ammonium, potassium, sodium, calcium and magnesium salts.

可以衍生出鹽的有機鹼包括例如一級胺、二級胺和三級胺;取代胺(包括天然存在的取代胺);環胺;鹼性離子交換樹脂等。某些有機胺包括異丙胺、苄星、膽鹼鹽、二乙醇胺、二乙胺、離胺酸、葡甲胺、哌𠯤和胺丁三醇。Organic bases from which salts can be derived include, for example, primary, secondary and tertiary amines; substituted amines (including naturally occurring substituted amines); cyclic amines; basic ion exchange resins and the like. Some organic amines include isopropylamine, benzathine, choline salts, diethanolamine, diethylamine, lysine, meglumine, piperazine, and tromethamine.

在另一方面,本文提供的化合物呈以下形式:鈉、鉀、銨、鈣、鎂、鐵、銀、鋅、銅、異丙胺、苄星、膽鹼鹽、二乙醇胺、二乙胺、離胺酸、葡甲胺、哌𠯤或胺丁三醇鹽。In another aspect, the compounds provided herein are in the following form: sodium, potassium, ammonium, calcium, magnesium, iron, silver, zinc, copper, isopropylamine, benzathine, choline salt, diethanolamine, diethylamine, lyoamine Acid, meglumine, piperazine or tromethamine salt.

在另一方面,本文提供的化合物呈以下形式:乙酸鹽、抗壞血酸鹽、己二酸鹽、天冬胺酸鹽、苯甲酸鹽、苯磺酸鹽、溴化物/氫溴酸鹽、碳酸氫鹽/碳酸鹽、硫酸氫鹽/硫酸鹽、樟腦磺酸鹽、癸酸鹽、氯化物/鹽酸鹽、氯脲鎓酸鹽(chlortheophyllonate)、檸檬酸鹽、乙二磺酸鹽、富馬酸鹽、葡庚糖酸鹽、葡糖酸鹽、葡萄糖醛酸鹽、麩胺酸鹽、戊二酸鹽、乙醇酸鹽、馬尿酸鹽、氫碘酸鹽/碘化物、羥乙基磺酸鹽、乳酸鹽、乳糖醛酸鹽、十二烷基硫酸鹽、蘋果酸鹽、馬來酸鹽、丙二酸鹽、苦杏仁酸鹽、甲磺酸鹽、甲基硫酸鹽、黏酸鹽、萘甲酸鹽、萘磺酸鹽、酸鹽、硝酸鹽、十八烷酸鹽、油酸鹽、草酸鹽、棕櫚酸鹽、雙羥萘酸鹽、磷酸鹽/磷酸氫鹽/磷酸二氫鹽、聚半乳糖醛酸鹽、丙酸鹽、癸二酸鹽、硬脂酸鹽、琥珀酸鹽、磺基水楊酸鹽、硫酸鹽、酒石酸鹽、甲苯磺酸鹽、三苯乙酸鹽(trifenatate)、三氟乙酸鹽或昔萘酸鹽。In another aspect, the compounds provided herein are in the following forms: acetate, ascorbate, adipate, aspartate, benzoate, benzenesulfonate, bromide/hydrobromide, bicarbonate Salt/carbonate, bisulfate/sulfate, camphorsulfonate, caprate, chloride/hydrochloride, chlortheophyllonate, citrate, ethylenedisulfonate, fumaric acid Salt, glucoheptonate, gluconate, glucuronate, glutamate, glutarate, glycolate, hippurate, hydroiodide/iodide, isethionate , lactate, lactosuronate, lauryl sulfate, malate, maleate, malonate, mandelate, methanesulfonate, methyl sulfate, mucinate, naphthalene Formate, naphthalene sulfonate, acid salt, nitrate, stearate, oleate, oxalate, palmitate, pamoate, phosphate/hydrogen phosphate/dihydrogen phosphate , polygalacturonate, propionate, sebacate, stearate, succinate, sulfosalicylate, sulfate, tartrate, toluenesulfonate, trifenatate ), trifluoroacetate or xinafoate.

本文中給出的任何式還旨在代表該等化合物的非標記形式以及同位素標記形式。除了一個或多個原子被具有選定原子量或質量數的原子替換以外,同位素標記的化合物具有本文中給出的式所描述的結構。可以摻入本發明的化合物中的同位素包括例如氫的同位素。Any formulas given herein are also intended to represent unlabeled as well as isotopically labeled forms of such compounds. Isotopically labeled compounds have structures described by the formulas given herein, except that one or more atoms are replaced by atoms of selected atomic weight or mass number. Isotopes that may be incorporated into the compounds of the present invention include, for example, isotopes of hydrogen.

此外,摻入某些同位素,特別是氘(即 2H或D)可以提供由更大代謝穩定性產生的某些治療優點,例如增加的體內半衰期或減少的劑量要求或治療指數或耐受性的改善。應當理解,在此背景中的氘被認為係本發明化合物的取代基。氘的濃度可以由同位素富集因子定義。如本文所用,術語「同位素富集因子」意指同位素豐度與指定同位素的天然豐度之間的比率。如果本發明的化合物中的取代基指示為氘,則這種化合物具有的針對每個指定的氘原子的同位素富集因子為至少3500(在每個指定的氘原子上52.5%氘摻入)、至少4000(60%氘摻入)、至少4500(67.5%氘摻入)、至少5000(75%氘摻入)、至少5500(82.5%氘摻入)、至少6000(90%氘摻入)、至少6333.3(95%氘摻入)、至少6466.7(97%氘摻入)、至少6600(99%氘摻入)、或至少6633.3(99.5%氘摻入)。應理解,術語「同位素富集因子」能夠以與對氘描述的相同方式應用於任何同位素。 Additionally, incorporation of certain isotopes, particularly deuterium (i.e. , H or D) may provide certain therapeutic advantages resulting from greater metabolic stability, such as increased in vivo half-life or reduced dosage requirements or therapeutic index or tolerability improvement. It will be understood that deuterium in this context is considered a substituent of the compounds of the invention. The concentration of deuterium can be defined by the isotope enrichment factor. As used herein, the term "isotopic enrichment factor" means the ratio between the abundance of an isotope and the natural abundance of a given isotope. If a substituent in a compound of the invention is indicated as deuterium, such compound has an isotope enrichment factor for each designated deuterium atom of at least 3500 (52.5% deuterium incorporation per designated deuterium atom), At least 4000 (60% deuterium doping), at least 4500 (67.5% deuterium doping), at least 5000 (75% deuterium doping), at least 5500 (82.5% deuterium doping), at least 6000 (90% deuterium doping), At least 6333.3 (95% deuterium incorporated), at least 6466.7 (97% deuterium incorporated), at least 6600 (99% deuterium incorporated), or at least 6633.3 (99.5% deuterium incorporated). It will be understood that the term "isotopic enrichment factor" can be applied to any isotope in the same manner as described for deuterium.

可以摻入本發明的化合物的同位素的其他實例包括氫、碳、氮、氧、氟和硫的同位素,如分別是 3H、 11C、 13C、 14C、 15N、 18F、 35S。因此,應理解,本發明包括摻入一種或多種任何前述同位素(包括例如放射性同位素(如 3H和 14C))的化合物,或其中存在非放射性同位素(如 2H和 13C)的化合物。這種同位素標記的化合物可用於代謝研究(用 14C)、反應動力學研究(例如用 2H或 3H)、檢測或成像技術,例如正電子發射斷層掃描(PET)或單光子發射電腦斷層掃描(SPECT),包括藥物或底物組織分佈測定,或用於患者的放射治療。特別地, 18F或標記的化合物對於PET或SPECT研究可能是特別期望的。同位素標記的本發明的化合物通常可以藉由熟悉該項技術者已知的常規技術或藉由與所附實例和製備中所述之那些類似之方法,使用適當的同位素標記的試劑代替先前採用的未標記的試劑來製備。 Other examples of isotopes that may be incorporated into the compounds of the present invention include isotopes of hydrogen, carbon, nitrogen, oxygen, fluorine and sulfur, such as 3 H, 11 C, 13 C, 14 C, 15 N, 18 F, 35 S respectively. . Accordingly, it is to be understood that the present invention includes compounds incorporating one or more of any of the aforementioned isotopes, including, for example, radioactive isotopes such as 3 H and 14 C, or compounds in which non-radioactive isotopes such as 2 H and 13 C are present. Such isotopically labeled compounds can be used for metabolic studies (with 14 C), reaction kinetic studies (for example with 2 H or 3 H), detection or imaging techniques such as positron emission tomography (PET) or single photon emission computed tomography Scanning (SPECT), including determination of tissue distribution of drugs or substrates, or for radiation therapy in patients. In particular, 18F or labeled compounds may be particularly desirable for PET or SPECT studies. Isotopically labeled compounds of the invention can generally be prepared by conventional techniques known to those skilled in the art or by methods similar to those described in the accompanying Examples and Preparations, using appropriate isotopically labeled reagents in place of those previously employed. Unlabeled reagents are prepared.

如本文所用,術語「藥物組成物」係指呈適於口服或腸胃外施用的形式的本發明的化合物、或其藥學上可接受的鹽,以及至少一種藥學上可接受的載劑。As used herein, the term "pharmaceutical composition" refers to a compound of the invention, or a pharmaceutically acceptable salt thereof, in a form suitable for oral or parenteral administration, together with at least one pharmaceutically acceptable carrier.

如本文所用,術語「藥學上可接受的載劑」係指可用於製備或使用藥物組成物的物質,並且包括例如合適的稀釋劑、溶劑、分散介質、表面活性劑、抗氧化劑、防腐劑、等滲劑、緩衝劑、乳化劑、吸收延遲劑、鹽、藥物穩定劑、黏合劑、賦形劑、崩解劑、潤滑劑、潤濕劑、甜味劑、調味劑、染料及其組合,如熟悉該項技術者已知的(參見,例如,Remington The Science and Practice of Pharmacy [雷明頓:藥劑學科學與實踐], 第22版, Pharmaceutical Press [藥物出版社], 2013, 第1049-1070頁)。As used herein, the term "pharmaceutically acceptable carrier" refers to substances useful in the preparation or use of pharmaceutical compositions, and includes, for example, suitable diluents, solvents, dispersion media, surfactants, antioxidants, preservatives, Isotonic agents, buffers, emulsifiers, absorption delaying agents, salts, pharmaceutical stabilizers, binders, excipients, disintegrants, lubricants, wetting agents, sweeteners, flavorings, dyes and combinations thereof, As is known to those skilled in the art (see, e.g., Remington The Science and Practice of Pharmacy, 22nd ed., Pharmaceutical Press, 2013, pp. 1049-1070 page).

術語本發明化合物的「治療有效量」係指本發明化合物的會引發受試者的生物學或醫學響應(例如,激動GLP1R活性,改善症狀,減輕病症,減慢或延遲疾病、障礙或病症的進展,或預防疾病、障礙或病症)的量。在一個實施方式中,術語「治療有效量」係指當被施用於受試者時,本發明化合物有效地至少部分減輕、預防和/或改善對提高或激動GLP1R活性具有回應性的病症、或障礙或疾病的量。在另一實施方式中,術語「治療有效量」係指當被施用於受試者、細胞、或組織、或非細胞生物材料、或介質時,本發明化合物有效地部分或完全激動GLP1R的活性的量。在另一實施方式中,術語「治療有效量」係指當被施用於受試者時,本發明化合物有效地引起一種或多種希望的生物學或醫學回應的可觀察水平的量,該等希望的生物學或醫學回應例如選自:降低葡萄糖水平(或改善葡萄糖穩態)、增加胰島素敏感性、降低甘油三酯或膽固醇水平、減輕體重、減少食物攝入和減少身體脂肪量(如外周脂肪和/或內臟脂肪)。The term "therapeutically effective amount" of a compound of the invention refers to an amount of a compound of the invention that elicits a biological or medical response in a subject (e.g., agonizes GLP1R activity, ameliorates symptoms, alleviates a condition, slows or delays a disease, disorder or condition). progress, or prevention of a disease, disorder or condition). In one embodiment, the term "therapeutically effective amount" means that when administered to a subject, a compound of the invention is effective to at least partially alleviate, prevent and/or ameliorate a condition responsive to increased or agonistic GLP1R activity, or The amount of disorder or disease. In another embodiment, the term "therapeutically effective amount" refers to a compound of the invention that is effective to partially or fully agonize the activity of GLP1R when administered to a subject, cell, or tissue, or non-cellular biological material, or medium amount. In another embodiment, the term "therapeutically effective amount" refers to an observable level of a compound of the invention that, when administered to a subject, is effective in eliciting one or more desired biological or medical responses. The biological or medical response is, for example, selected from: lowering glucose levels (or improving glucose homeostasis), increasing insulin sensitivity, lowering triglyceride or cholesterol levels, losing weight, reducing food intake, and reducing body fat mass (e.g., peripheral fat and/or visceral fat).

如本文所用,術語「受試者」係指靈長類動物(例如,人(男性或女性))、狗、兔、豚鼠、豬、大鼠和小鼠。在某些實施方式中,受試者係靈長類動物。在又其他實施方式中,受試者係人。As used herein, the term "subject" refers to primates (eg, humans (male or female)), dogs, rabbits, guinea pigs, pigs, rats, and mice. In certain embodiments, the subject is a primate. In yet other embodiments, the subject is human.

如本文所用,術語「激動(agonize、agonism和agonizing)」係指增加GLP1R的傳訊和/或活性,例如,如藉由細胞內環磷酸腺苷(cAMP)的增加所測量的。As used herein, the terms "agonize, agonism and agonizing" refer to an increase in GLP1R signaling and/or activity, for example, as measured by an increase in intracellular cyclic adenosine monophosphate (cAMP).

如本文所用,任何疾病、障礙或病症的術語「治療(treat、treating或treatment)」係指減輕或改善疾病、障礙或病症(即,減緩或阻止疾病、障礙或病症或其至少一種臨床症狀的發展或進展);或者減輕或改善與該疾病、障礙或病症相關的至少一種物理參數或生物標誌物,包括患者可能無法辨別的那些物理參數或生物標誌物。As used herein, the term "treat, treating, or treatment" for any disease, disorder, or condition means to alleviate or ameliorate the disease, disorder, or condition (i.e., to slow or prevent the disease, disorder, or condition, or at least one clinical symptom thereof). development or progression); or alleviation or improvement of at least one physical parameter or biomarker associated with the disease, disorder or condition, including those physical parameters or biomarkers that the patient may not be able to discern.

如本文所用,任何疾病、障礙或病症的術語「預防(prevent、preventing或prevention)」係指疾病、障礙或病症的預防性治療;或延遲疾病、障礙或病症的發作或進展。As used herein, the term "prevent, preventing or prevention" of any disease, disorder or condition means preventive treatment of the disease, disorder or condition; or delaying the onset or progression of the disease, disorder or condition.

如本文所用,如果受試者將在生物學上、在醫學上或在生活品質上從治療中獲益,則這種受試者係「需要」這種治療的。As used herein, a subject "is in need" of treatment if the subject will benefit from the treatment biologically, medically, or in terms of quality of life.

如本文所用,術語「一個/一種(a,an)」、「該(the)」以及在本發明的上下文中(尤其是在請求項的上下文中)使用的類似術語應被解釋為涵蓋單數和複數兩者,除非本文另外指示或與上下文明顯矛盾。As used herein, the terms "a, an", "the" and similar terms used in the context of the present invention (especially in the context of the claims) shall be construed to cover the singular and Both in the plural unless otherwise indicated herein or otherwise clearly contradicted by context.

本文所描述的所有方法能夠以任何合適順序進行,除非本文另外指示或另外與上下文明顯矛盾。本文提供的任何和所有實例或示例性語言(例如「如」)的使用僅旨在更好地說明本發明,而不對另外要求保護的本發明範圍做出限制。All methods described herein can be performed in any suitable order unless otherwise indicated herein or otherwise clearly contradicted by context. The use of any and all examples, or exemplary language (eg, "such as") provided herein, is intended merely to better illuminate the invention and does not pose a limitation on the scope of the invention as otherwise claimed.

本發明的一種或多種化合物的任何非對稱原子(例如,碳等)可以以外消旋或鏡像異構物富集的形式存在,例如( R)-、( S)-或( R,S)-組態。在某些實施方式中,每個非對稱原子具有至少50%鏡像異構物過量、至少60%鏡像異構物過量、至少70%鏡像異構物過量、至少80%鏡像異構物過量、至少90%鏡像異構物過量、至少95%鏡像異構物過量、或至少99%鏡像異構物過量的( R)-或( S)-組態。 Any asymmetric atom (e.g., carbon, etc.) of one or more compounds of the present invention may exist in a racemic or enantiomer-enriched form, such as ( R )-, ( S )-, or ( R,S )- Configuration. In certain embodiments, each asymmetric atom has at least 50% enantiomer excess, at least 60% enantiomer excess, at least 70% enantiomer excess, at least 80% enantiomer excess, at least An ( R )- or ( S )-configuration of 90% enantiomer excess, at least 95% enantiomer excess, or at least 99% enantiomer excess.

據此,如本文所用,本發明的化合物可以呈以下之一的形式:可能的立體異構物、旋轉異構物、阻轉異構物、互變異構物或其混合物,例如,作為基本上純的非鏡像異構物、光學異構物(對映體)、外消旋物或其混合物。Accordingly, as used herein, the compounds of the invention may be in one of the following forms: possible stereoisomers, rotamers, atropisomers, tautomers or mixtures thereof, for example, as essentially Pure diastereomers, optical isomers (enantiomers), racemates or mixtures thereof.

可以基於組分的物理化學差異,例如藉由層析法和/或分步結晶將任何所得的立體異構物混合物分離成純的或基本上純的幾何或光學異構物、非鏡像異構物、外消旋物。Any resulting mixture of stereoisomers can be separated into pure or substantially pure geometric or optical isomers, diastereomers, based on physicochemical differences of the components, for example by chromatography and/or fractional crystallization. substance, racemate.

可以藉由已知方法將任何所得的本發明化合物或中間體的外消旋物拆分成旋光對映體,例如藉由將用光學活性酸或鹼獲得的其非鏡像異構物鹽進行分離,並釋放出光學活性的酸性或鹼性化合物。特別地,因此鹼性部分可被用於將本發明化合物拆分成其旋光對映體,例如藉由分級結晶用旋光活性的酸例如酒石酸、二苯甲醯基酒石酸、二乙醯基酒石酸、二- O,O'-對-甲苯醯酒石酸、苦杏仁酸、蘋果酸或樟腦-10-磺酸形成的鹽來拆分。本發明的外消旋化合物或外消旋中間體還可以藉由手性層析法(例如,使用手性吸附劑的高壓液相層析法(HPLC))拆分。 Any resulting racemate of a compound or intermediate of the invention may be resolved into its optical antipodes by known methods, for example by separation of diastereomeric salts thereof obtained with optically active acids or bases. , and release optically active acidic or basic compounds. In particular, basic moieties can thus be used to resolve the compounds of the invention into their optical antipodes, for example by fractional crystallization with optically active acids such as tartaric acid, dibenzoyltartaric acid, diethyltartaric acid, Di- O,O' -p-tolyl tartaric acid, mandelic acid, malic acid or camphor-10-sulfonic acid salts are used for separation. The racemic compound or racemic intermediate of the present invention can also be resolved by chiral chromatography (for example, high-pressure liquid chromatography (HPLC) using a chiral adsorbent).

本文提供的化合物(例如,具有式 (Ia)、(II)、(IIa)、(III)、(IIIa)、(IIIb)、(IV)、(IVa)、(IVb)、(V)、(Va) 和 (Vb) 的化合物及其藥學上可接受的鹽)能以有機合成領域技術人員熟知的多種方式製備。舉例來說,本文提供的化合物可以使用實例中所述之方法、以及合成有機化學領域中已知的合成方法或熟悉該項技術者所理解的其變體來合成。Compounds provided herein (e.g., having formulas (Ia), (II), (IIa), (III), (IIIa), (IIIb), (IV), (IVa), (IVb), (V), ( The compounds of Va) and (Vb) and their pharmaceutically acceptable salts) can be prepared in a variety of ways well known to those skilled in the art of organic synthesis. For example, the compounds provided herein may be synthesized using methods described in the Examples, as well as synthetic methods known in the art of synthetic organic chemistry or variations thereof understood by those skilled in the art.

很好理解的是,根據一般化學原理,在必要時採用敏感基團或反應性基團的保護基團。根據有機合成的標準方法(如例如在Protective Groups in Organic Synthesis [有機合成中的保護基團], 第3版, John Wiley & Sons [約翰威立父子出版公司]: 紐約, 1999或Protecting Groups [保護基團], 第3版, Thieme [蒂梅出版社], Stuttgart [斯圖加特], 2004中所描述的)操作保護基團。使用熟悉該項技術者顯而易見之方法,在化合物合成的方便階段去除保護基團。It is well understood that protecting groups for sensitive or reactive groups are employed where necessary in accordance with general chemical principles. According to standard methods of organic synthesis (such as, for example, Protective Groups in Organic Synthesis, 3rd ed., John Wiley & Sons: New York, 1999 or Protecting Groups Groups], 3rd edition, Thieme, Stuttgart, 2004) operating protecting groups. Protecting groups are removed at a convenient stage in the synthesis of the compound using methods obvious to those skilled in the art.

熟悉該項技術者將認識到本文揭露的化合物中是否存在立構中心。最終產物、中間體或起始材料的拆分可受到本領域已知的任何合適方法的影響。參見例如「Stereochemistry of Organic Compounds [有機化合物的立體化學]」 作者E. L. Eliel, S. H. Wilen, 和L. N. Mander(Wiley-lnterscience [威利科學出版社], 1994)。One skilled in the art will recognize the presence or absence of stereocenters in the compounds disclosed herein. Resolution of final products, intermediates or starting materials may be effected 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-Interscience, 1994).

根據本發明的具有式 (I) 的化合物和具有式 (Ia)、(II)、(IIa)、(III)、(IIIa)、(IIIb)、(IV)、(IVa)、(IVb)、(V)、(Va) 和 (Vb) 中任一項的化合物及其藥學上可接受的鹽能以有機合成領域技術人員熟知的多種方式製備。舉例來說,本文提供的化合物可以使用通用合成方案A和B中的任一個或實例中所述之方法、以及合成有機化學領域中已知的合成方法或如熟悉該項技術者所理解的其變體來合成。Compounds of formula (I) and compounds of formula (Ia), (II), (IIa), (III), (IIIa), (IIIb), (IV), (IVa), (IVb), The compounds of any one of (V), (Va) and (Vb) and pharmaceutically acceptable salts thereof can be prepared in a variety of ways well known to those skilled in the art of organic synthesis. For example, the compounds provided herein may be synthesized using any one of General Synthetic Schemes A and B or as described in the Examples, as well as synthetic methods known in the art of synthetic organic chemistry or as understood by those skilled in the art. Variants are synthesized.

如方案A中所述,使中間體 II.A(其中R 1、R 2和R 3如本文所定義)與中間體 III.A(其中Y係Br或I,並且R 4如本文所定義)反應,以提供中間體 I.A。然後使中間體 I.A(其中Y係Br或I,並且R 1、R 2、R 3和R 4如本文所定義)與羧酸酯衍生物 B1在Pd催化劑(例如,Xphos Pd G2)和鹼的存在下在溶劑(例如,甲苯)中反應以提供具有式 (I) 的化合物。在此實施方式的羧酸酯衍生物 B1中,R係C 1-3-烷基並且H A係5-10員雜芳基或(5-10員雜芳基)-C 1-3-烷基-,其中該5-10員雜芳基和(5-10員雜芳基)-C 1-3-烷基-各自視需要被1、2、或3個獨立地選自以下的基團取代:鹵素,CN,NO 2,OR 5A,SR 5A,C 1-3-烷基,被1、2或3個鹵素取代的C 1-3-烷基,C(O)R 5B,C(O)NR 5CR 5D,C(O)NR 5C(OR 5A),C(O)NR 5C(S(O) 2R 5B),C(O)NR 5C(S(O) 2NR 5CR 5D),NR 5COR 5A,NR 5CR 5D,NR 5C(C(O)R 5B),NR 5C(C(O)OR 5A),N(OR 5A)(C(O)R 5B),NR 5C(C(O)NR 5CR 5D),NR 5C(C(O)NR 5C(C(O)R 5B)),NR 5C(S(O) 2R 5B),NR 5C(S(O) 2NR 5CR 5D),NR 5C(C(O)NR 5C(S(O) 2R 5B)),OC(O)R 5B,OC(O)NR 5CR 5D,ONR 5C(C(O)R 5B),OS(O) 2R 5B,OP(O)(OR 5E)(OR 5F),S(O)OR 5A,S(O)R 5B,S(O) 2R 5B,S(O) 2NR 5CR 5D,S(O) 2OR 5A,S(=NR 5G)(O)R 5B,S(=NR 5G)(O)NR 5CNR 5D,P(O)(OR 5E)(OR 5F),和P(O)(OR 5E)(R 5F),其中R 5A、R 5B、R 5C、R 5D、R 5E、R 5F和R 5G係如本文所定義的。 As described in Scheme A, intermediate II.A (wherein R 1 , R 2 and R 3 are as defined herein) is combined with intermediate III.A (wherein Y is Br or I and R 4 is as defined herein) reaction to provide intermediate IA . Intermediate IA (where Y is Br or I, and R 1 , R 2 , R 3 and R 4 are as defined herein) is then reacted with carboxylate derivative B1 in the presence of a Pd catalyst (e.g., Xphos Pd G2) and a base. Reaction in the presence of a solvent (eg, toluene) provides a compound of formula (I). In the carboxylate derivative B1 of this embodiment, R is C 1-3 -alkyl and H A is 5-10 membered heteroaryl or (5-10 membered heteroaryl)-C 1-3 -alkyl group-, wherein the 5-10-membered heteroaryl and (5-10-membered heteroaryl)-C 1-3 -alkyl- are each optionally selected from 1, 2, or 3 groups independently selected from the following groups Substitution: Halogen, CN, NO 2 , OR 5A , SR 5A , C 1-3 -alkyl, C 1-3 -alkyl substituted by 1, 2 or 3 halogens, C(O)R 5B , C( O)NR 5C R 5D , C(O)NR 5C (OR 5A ), C(O)NR 5C (S(O) 2 R 5B ), C(O)NR 5C (S(O) 2 NR 5C R 5D ), NR 5C OR 5A , NR 5C R 5D , NR 5C (C(O)R 5B ), NR 5C (C(O)OR 5A ), N(OR 5A ) (C(O)R 5B ), NR 5C (C(O)NR 5C R 5D ), NR 5C (C(O)NR 5C (C(O)R 5B )), NR 5C (S(O) 2 R 5B ), NR 5C (S(O) 2 NR 5C R 5D ), NR 5C (C(O)NR 5C (S(O) 2 R 5B )), OC(O)R 5B , OC(O)NR 5C R 5D , ONR 5C (C(O)R 5B ), OS(O) 2 R 5B , OP(O)(OR 5E )(OR 5F ), S(O)OR 5A , S(O)R 5B , S(O) 2 R 5B , S(O) 2 NR 5C R 5D , S(O) 2 OR 5A , S(=NR 5G )(O)R 5B , S(=NR 5G )(O)NR 5C NR 5D , P(O)(OR 5E )(OR 5F ), and P(O)(OR 5E )(R 5F ), wherein R 5A , R 5B , R 5C , R 5D , R 5E , R 5F and R 5G are as defined herein.

在另一實施方式中,使中間體 I.A(其中Y係Br或I,並且R 1、R 2、R 3和R 4如本文所定義)與羧酸酯衍生物 B1(其中R係C 1-3-烷基並且H A係5-10員雜芳基或(5-10員雜芳基)-C 1-3-烷基-,其中該5-10員雜芳基和(5-10員雜芳基)-C 1-3-烷基-各自被硼酸或二氧雜環戊硼烷保護基團(例如,4,4,5,5-四甲基-1,3,2-二氧雜環戊硼烷-2-基)、並且視需要被1、2、或3個獨立地選自以下的基團取代:鹵素,CN,NO 2,OR 5A,SR 5A,C 1-3-烷基,被1、2或3個鹵素取代的C 1-3-烷基,C(O)R 5B,C(O)NR 5CR 5D,C(O)NR 5C(OR 5A),C(O)NR 5C(S(O) 2R 5B),C(O)NR 5C(S(O) 2NR 5CR 5D),NR 5COR 5A,NR 5CR 5D,NR 5C(C(O)R 5B),NR 5C(C(O)OR 5A),N(OR 5A)(C(O)R 5B),NR 5C(C(O)NR 5CR 5D),NR 5C(C(O)NR 5C(C(O)R 5B)),NR 5C(S(O) 2R 5B),NR 5C(S(O) 2NR 5CR 5D),NR 5C(C(O)NR 5C(S(O) 2R 5B)),OC(O)R 5B,OC(O)NR 5CR 5D,ONR 5C(C(O)R 5B),OS(O) 2R 5B,OP(O)(OR 5E)(OR 5F),S(O)OR 5A,S(O)R 5B,S(O) 2R 5B,S(O) 2NR 5CR 5D,S(O) 2OR 5A,S(=NR 5G)(O)R 5B,S(=NR 5G)(O)NR 5CNR 5D,P(O)(OR 5E)(OR 5F),和P(O)(OR 5E)(R 5F),其中R 5A、R 5B、R 5C、R 5D、R 5E、R 5F和R 5G如本文所定義)反應。 In another embodiment, intermediate IA (where Y is Br or I, and R 1 , R 2 , R 3 and R 4 are as defined herein) is reacted with carboxylate derivative B1 (where R is C 1 - 3 -alkyl and H A is a 5-10-membered heteroaryl or (5-10-membered heteroaryl)-C 1-3 -alkyl-, wherein the 5-10-membered heteroaryl and (5-10-membered heteroaryl Heteroaryl)-C 1-3 -alkyl-each protected by a boronic acid or dioxolaborane protecting group (e.g., 4,4,5,5-tetramethyl-1,3,2-dioxo Heterocyclopentane-2-yl), and optionally substituted by 1, 2, or 3 groups independently selected from: halogen, CN, NO 2 , OR 5A , SR 5A , C 1-3 - Alkyl, C 1-3 -alkyl substituted by 1, 2 or 3 halogens, C(O)R 5B , C(O)NR 5C R 5D , C(O)NR 5C (OR 5A ), C( O)NR 5C (S(O) 2 R 5B ), C(O)NR 5C (S(O) 2 NR 5C R 5D ), NR 5C OR 5A , NR 5C R 5D , NR 5C (C(O)R 5B ), NR 5C (C(O)OR 5A ), N(OR 5A ) (C(O)R 5B ), NR 5C (C(O)NR 5C R 5D ), NR 5C (C(O)NR 5C (C(O)R 5B )), NR 5C (S(O) 2 R 5B ), NR 5C (S(O) 2 NR 5C R 5D ), NR 5C (C(O)NR 5C (S(O) 2 R 5B )), OC(O)R 5B , OC(O)NR 5C R 5D , ONR 5C (C(O)R 5B ), OS(O) 2 R 5B , OP(O)(OR 5E )( OR 5F ), S(O)OR 5A , S(O)R 5B , S(O) 2 R 5B , S(O) 2 NR 5C R 5D , S(O) 2 OR 5A , S(=NR 5G ) (O)R 5B , S(=NR 5G )(O)NR 5C NR 5D , P(O)(OR 5E )(OR 5F ), and P(O)(OR 5E )(R 5F ), where R 5A , R 5B , R 5C , R 5D , R 5E , R 5F and R 5G are as defined herein) reaction.

在一個實施方式中,如此獲得的具有式 (I) 的化合物係羧酸酯衍生物,其中R 1、R 2、R 3和R 4係如本文所定義的,並且H A’係5-10員雜芳基或(5-10員雜芳基)-C 1-3-伸烷基-,其中該5-10員雜芳基和(5-10員雜芳基)-C 1-3-伸烷基-各自視需要被1、2、或3個獨立地選自以下的基團取代:鹵素,CN,NO 2,OR 5A,SR 5A,C 1-3-烷基,被1、2或3個鹵素取代的C 1-3-烷基,C(O)R 5B,C(O)NR 5CR 5D,C(O)NR 5C(OR 5A),C(O)NR 5C(S(O) 2R 5B),C(O)NR 5C(S(O) 2NR 5CR 5D),NR 5COR 5A,NR 5CR 5D,NR 5C(C(O)R 5B),NR 5C(C(O)OR 5A),N(OR 5A)(C(O)R 5B),NR 5C(C(O)NR 5CR 5D),NR 5C(C(O)NR 5C(C(O)R 5B)),NR 5C(S(O) 2R 5B),NR 5C(S(O) 2NR 5CR 5D),NR 5C(C(O)NR 5C(S(O) 2R 5B)),OC(O)R 5B,OC(O)NR 5CR 5D,ONR 5C(C(O)R 5B),OS(O) 2R 5B,OP(O)(OR 5E)(OR 5F),S(O)OR 5A,S(O)R 5B,S(O) 2R 5B,S(O) 2NR 5CR 5D,S(O) 2OR 5A,S(=NR 5G)(O)R 5B,S(=NR 5G)(O)NR 5CNR 5D,P(O)(OR 5E)(OR 5F),和P(O)(OR 5E)(R 5F),其中R 5A、R 5B、R 5C、R 5D、R 5E、R 5F和R 5G係如本文所定義的,其中所述羧酸酯衍生物可以藉由在一種或多種氫氧化物源(例如,MeOH和/或LiOH)的存在下在水中使羧酸酯部分水解為羧酸部分而轉化為另外的具有式 (I) 的化合物。 方案 A In one embodiment, the compound of formula (I) so obtained is a carboxylate derivative, wherein R 1 , R 2 , R 3 and R 4 are as defined herein, and H A′ is 5-10 Member heteroaryl or (5-10 membered heteroaryl)-C 1-3 -alkylene-, wherein the 5-10 membered heteroaryl and (5-10 membered heteroaryl)-C 1-3 - Alkylene - each optionally substituted by 1, 2, or 3 groups independently selected from: halogen, CN, NO2 , OR5A , SR5A , C1-3 -alkyl, by 1,2 Or 3 halogen-substituted C 1-3 -alkyl, C(O)R 5B , C(O)NR 5C R 5D , C(O)NR 5C (OR 5A ), C(O)NR 5C (S( O) 2 R 5B ), C(O)NR 5C (S(O) 2 NR 5C R 5D ), NR 5C OR 5A , NR 5C R 5D , NR 5C (C(O)R 5B ), NR 5C (C (O)OR 5A ), N(OR 5A ) (C(O)R 5B ), NR 5C (C(O)NR 5C R 5D ), NR 5C (C(O)NR 5C (C(O)R 5B )), NR 5C (S(O) 2 R 5B ), NR 5C (S(O) 2 NR 5C R 5D ), NR 5C (C(O)NR 5C (S(O) 2 R 5B )), OC (O)R 5B , OC(O)NR 5C R 5D , ONR 5C (C(O)R 5B ) , OS(O) 2 R 5B , OP(O)(OR 5E )(OR 5F ) ,S(O )OR 5A , S(O)R 5B , S(O) 2 R 5B , S(O) 2 NR 5C R 5D , S(O) 2 OR 5A , S(=NR 5G )(O)R 5B ,S (=NR 5G )(O)NR 5C NR 5D , P(O)(OR 5E )(OR 5F ), and P(O)(OR 5E )(R 5F ), where R 5A , R 5B , R 5C , R 5D , R 5E , R 5F and R 5G are as defined herein, wherein the carboxylate derivatives can be prepared by adding The carboxylate moiety is hydrolyzed in water to the carboxylic acid moiety and converted into another compound of formula (I). Plan A

如方案B中所述,使中間體 II.A(其中R 1、R 2和R 3如本文所定義)與中間體 III.B(其中Y係Br或I,並且R 5如本文所定義)反應,以提供中間體 I.B。然後使中間體 I.B(其中R 1、R 2、R 3和R 5如本文所定義並且Y係Br或I)與羧酸酯衍生物 B2在Pd催化劑(例如,Xphos Pd G2)和鹼的存在下在溶劑(例如,甲苯)中反應以提供具有式 (I) 的化合物。在此實施方式的羧酸酯衍生物 B2中,R係C 1-3-烷基並且H B係5-10員雜芳基或(5-10員雜芳基)-C 1-3-烷基-,其中該5-10員雜芳基和(5-10員雜芳基)-C 1-3-烷基-各自視需要被1、2、或3個獨立地選自以下的基團取代:鹵素,CN,NO 2,OR 4A,SR 4A,C 1-3-烷基,被1、2或3個鹵素取代的C 1-3-烷基,C(O)R 4B,C(O)NR 4CR 4D,C(O)NR 4C(OR 4A),C(O)NR 4C(S(O) 2R 4B),C(O)NR 4C(S(O) 2NR 4CR 4D),NR 4COR 4A,NR 4CR 4D,NR 4C(C(O)R 4B),NR 4C(C(O)OR 4A),N(OR 4A)(C(O)R 4B),NR 4C(C(O)NR 4CR 4D),NR 4C(C(O)NR 4C(C(O)R 4B)),NR 4C(S(O) 2R 4B),NR 4C(S(O) 2NR 4CR 4D),NR 4C(C(O)NR 4C(S(O) 2R 4B)),OC(O)R 4B,OC(O)NR 4CR 4D,ONR 4C(C(O)R 4B),OS(O) 2R 4B,OP(O)(OR 4E)(OR 4F),S(O)OR 4A,S(O)R 4B,S(O) 2R 4B,S(O) 2NR 4CR 4D,S(O) 2OR 4A,S(=NR 4G)(O)R 4B,S(=NR 4G)(O)NR 4CNR 4D,P(O)(OR 4E)(OR 4F),和P(O)(OR 4E)(R 4F),其中R 4A、R 4B、R 4C、R 4D、R 4E、R 4F和R 4G係如本文所定義的。 As described in Scheme B, intermediate II.A (wherein R 1 , R 2 and R 3 are as defined herein) is combined with intermediate III.B (wherein Y is Br or I and R 5 is as defined herein) reaction to provide intermediate IB . Intermediate IB (where R 1 , R 2 , R 3 and R 5 are as defined herein and Y is Br or I) is then reacted with carboxylate derivative B2 in the presence of a Pd catalyst (e.g., Xphos Pd G2) and a base The reaction is carried out in a solvent (eg, toluene) to provide a compound of formula (I). In the carboxylate derivative B2 of this embodiment, R is C 1-3 -alkyl and H B is 5-10 membered heteroaryl or (5-10 membered heteroaryl)-C 1-3 -alkyl group-, wherein the 5-10-membered heteroaryl and (5-10-membered heteroaryl)-C 1-3 -alkyl- are each optionally selected from 1, 2, or 3 groups independently selected from the following groups Substitution: Halogen, CN, NO 2 , OR 4A , SR 4A , C 1-3 -alkyl, C 1-3 -alkyl substituted by 1, 2 or 3 halogens, C(O)R 4B , C( O)NR 4C R 4D , C(O)NR 4C (OR 4A ), C(O)NR 4C (S(O) 2 R 4B ), C(O)NR 4C (S(O) 2 NR 4C R 4D ), NR 4C OR 4A , NR 4C R 4D , NR 4C (C(O)R 4B ), NR 4C (C(O)OR 4A ), N(OR 4A ) (C(O)R 4B ), NR 4C (C(O)NR 4C R 4D ), NR 4C (C(O)NR 4C (C(O)R 4B )), NR 4C (S(O) 2 R 4B ), NR 4C (S(O) 2 NR 4C R 4D ), NR 4C (C(O)NR 4C (S(O) 2 R 4B )), OC(O)R 4B , OC(O)NR 4C R 4D , ONR 4C (C(O)R 4B ), OS(O) 2 R 4B , OP(O)(OR 4E )(OR 4F ), S(O)OR 4A , S(O)R 4B , S(O) 2 R 4B , S(O) 2 NR 4C R 4D , S(O) 2 OR 4A , S(=NR 4G )(O)R 4B , S(=NR 4G )(O)NR 4C NR 4D , P(O)(OR 4E )(OR 4F ), and P(O)(OR 4E )(R 4F ), wherein R 4A , R 4B , R 4C , R 4D , R 4E , R 4F and R 4G are as defined herein.

在另一實施方式中,使中間體 I.B(其中R 1、R 2、R 3和R 5如本文所定義並且Y係Br或I)與羧酸酯衍生物 B2(其中R係C 1-3-烷基並且H B係5-10員雜芳基或(5-10員雜芳基)-C 1-3-烷基-,其中該5-10員雜芳基和(5-10員雜芳基)-C 1-3-烷基-各自被硼酸或二氧雜環戊硼烷保護基團(例如,4,4,5,5-四甲基-1,3,2-二氧雜環戊硼烷-2-基)、並且視需要被1、2、或3個獨立地選自以下的基團取代:鹵素,CN,NO 2,OR 4A,SR 4A,C 1-3-烷基,被1、2或3個鹵素取代的C 1-3-烷基,C(O)R 4B,C(O)NR 4CR 4D,C(O)NR 4C(OR 4A),C(O)NR 4C(S(O) 2R 4B),C(O)NR 4C(S(O) 2NR 4CR 4D),NR 4COR 4A,NR 4CR 4D,NR 4C(C(O)R 4B),NR 4C(C(O)OR 4A),N(OR 4A)(C(O)R 4B),NR 4C(C(O)NR 4CR 4D),NR 4C(C(O)NR 4C(C(O)R 4B)),NR 4C(S(O) 2R 4B),NR 4C(S(O) 2NR 4CR 4D),NR 4C(C(O)NR 4C(S(O) 2R 4B)),OC(O)R 4B,OC(O)NR 4CR 4D,ONR 4C(C(O)R 4B),OS(O) 2R 4B,OP(O)(OR 4E)(OR 4F),S(O)OR 4A,S(O)R 4B,S(O) 2R 4B,S(O) 2NR 4CR 4D,S(O) 2OR 4A,S(=NR 4G)(O)R 4B,S(=NR 4G)(O)NR 4CNR 4D,P(O)(OR 4E)(OR 4F),和P(O)(OR 4E)(R 4F),其中R 4A、R 4B、R 4C、R 4D、R 4E、R 4F和R 4G係如本文所定義的)反應。 In another embodiment, intermediate IB (wherein R 1 , R 2 , R 3 and R 5 are as defined herein and Y is Br or I) is reacted with carboxylate derivative B2 (where R is C 1-3 -Alkyl and H B is a 5-10-membered heteroaryl or (5-10-membered heteroaryl)-C 1-3 -alkyl-, wherein the 5-10-membered heteroaryl and (5-10-membered heteroaryl Aryl) -C 1-3 -alkyl - each protected by a boronic acid or dioxolaborane protecting group (e.g., 4,4,5,5-tetramethyl-1,3,2-dioxa cyclopentaborane-2-yl), and optionally substituted by 1, 2, or 3 groups independently selected from: halogen, CN, NO 2 , OR 4A , SR 4A , C 1-3 -alkyl Base, C 1-3 -alkyl substituted by 1, 2 or 3 halogens, C(O)R 4B , C(O)NR 4C R 4D , C(O)NR 4C (OR 4A ), C(O )NR 4C (S(O) 2 R 4B ), C(O)NR 4C (S(O) 2 NR 4C R 4D ), NR 4C OR 4A , NR 4C R 4D , NR 4C (C(O)R 4B ), NR 4C (C(O)OR 4A ), N(OR 4A )(C(O)R 4B ), NR 4C (C(O)NR 4C R 4D ), NR 4C (C(O)NR 4C ( C(O)R 4B )), NR 4C (S(O) 2 R 4B ), NR 4C (S(O) 2 NR 4C R 4D ), NR 4C (C(O)NR 4C (S(O) 2 R 4B )), OC(O)R 4B , OC(O)NR 4C R 4D , ONR 4C (C(O)R 4B ), OS(O) 2 R 4B , OP(O)(OR 4E )(OR 4F ), S(O)OR 4A , S(O)R 4B , S(O) 2 R 4B , S(O) 2 NR 4C R 4D , S(O) 2 OR 4A , S(=NR 4G )( O)R 4B , S(=NR 4G )(O)NR 4C NR 4D , P(O)(OR 4E )(OR 4F ), and P(O)(OR 4E )(R 4F ), where R 4A , R 4B , R 4C , R 4D , R 4E , R 4F and R 4G are as defined herein) reactions.

在一個實施方式中,如此獲得的具有式 (I) 的化合物係羧酸酯衍生物,其中R 1、R 2、R 3和R 5係如本文所定義的,並且H B’係5-10員雜芳基或(5-10員雜芳基)-C 1-3-伸烷基-,其中該5-10員雜芳基和(5-10員雜芳基)-C 1-3-伸烷基-各自視需要被1、2、或3個獨立地選自以下的基團取代:鹵素,CN,NO 2,OR 4A,SR 4A,C 1-3-烷基,被1、2或3個鹵素取代的C 1-3-烷基,C(O)R 4B,C(O)NR 4CR 4D,C(O)NR 4C(OR 4A),C(O)NR 4C(S(O) 2R 4B),C(O)NR 4C(S(O) 2NR 4CR 4D),NR 4COR 4A,NR 4CR 4D,NR 4C(C(O)R 4B),NR 4C(C(O)OR 4A),N(OR 4A)(C(O)R 4B),NR 4C(C(O)NR 4CR 4D),NR 4C(C(O)NR 4C(C(O)R 4B)),NR 4C(S(O) 2R 4B),NR 4C(S(O) 2NR 4CR 4D),NR 4C(C(O)NR 4C(S(O) 2R 4B)),OC(O)R 4B,OC(O)NR 4CR 4D,ONR 4C(C(O)R 4B),OS(O) 2R 4B,OP(O)(OR 4E)(OR 4F),S(O)OR 4A,S(O)R 4B,S(O) 2R 4B,S(O) 2NR 4CR 4D,S(O) 2OR 4A,S(=NR 4G)(O)R 4B,S(=NR 4G)(O)NR 4CNR 4D,P(O)(OR 4E)(OR 4F),和P(O)(OR 4E)(R 4F),其中R 4A、R 4B、R 4C、R 4D、R 4E、R 4F和R 4G係如本文所定義的,其中所述羧酸酯衍生物可以藉由在一種或多種氫氧化物源(例如,MeOH和/或LiOH)的存在下在水中使羧酸酯部分水解為羧酸部分而轉化為另外的具有式 (I) 的化合物。 方案 B In one embodiment, the compound of formula (I) so obtained is a carboxylate derivative, wherein R 1 , R 2 , R 3 and R 5 are as defined herein and HB′ is 5-10 Member heteroaryl or (5-10 membered heteroaryl)-C 1-3 -alkylene-, wherein the 5-10 membered heteroaryl and (5-10 membered heteroaryl)-C 1-3 - Alkylene - each optionally substituted by 1, 2, or 3 groups independently selected from: halogen, CN, NO 2 , OR 4A , SR 4A , C 1-3 -alkyl, substituted by 1, 2 Or 3 halogen-substituted C 1-3 -alkyl, C(O)R 4B , C(O)NR 4C R 4D , C(O)NR 4C (OR 4A ), C(O)NR 4C (S( O) 2 R 4B ), C(O)NR 4C (S(O) 2 NR 4C R 4D ), NR 4C OR 4A , NR 4C R 4D , NR 4C (C(O)R 4B ), NR 4C (C (O)OR 4A ), N(OR 4A ) (C(O)R 4B ), NR 4C (C(O)NR 4C R 4D ), NR 4C (C(O)NR 4C (C(O)R 4B )), NR 4C (S(O) 2 R 4B ), NR 4C (S(O) 2 NR 4C R 4D ), NR 4C (C(O)NR 4C (S(O) 2 R 4B )), OC (O)R 4B , OC(O)NR 4C R 4D , ONR 4C (C(O)R 4B ) , OS(O) 2 R 4B , OP(O)(OR 4E )(OR 4F ) ,S(O )OR 4A , S(O)R 4B , S(O) 2 R 4B , S(O) 2 NR 4C R 4D , S(O) 2 OR 4A , S(=NR 4G )(O)R 4B ,S (=NR 4G )(O)NR 4C NR 4D , P(O)(OR 4E )(OR 4F ), and P(O)(OR 4E )(R 4F ), where R 4A , R 4B , R 4C , R 4D , R 4E , R 4F and R 4G are as defined herein, wherein the carboxylate derivatives can be prepared by adding The carboxylate moiety is hydrolyzed in water to the carboxylic acid moiety and converted into another compound of formula (I). Plan B

中間體 II.A係可商購的或者可以藉由熟悉該項技術者已知的有機合成方法來生產。例如,中間體 II.A可以如以下方案C中所述之製備。 Intermediate II.A is commercially available or can be produced by organic synthesis methods known to those skilled in the art. For example, Intermediate II.A can be prepared as described in Scheme C below.

如方案C中所示,使中間體 II.1(其中R 1、R 2和R 3如本文所定義)與3-溴苯-1,2-二酚在p-TsOH存在下在溶劑(例如,甲苯)中反應以提供中間體 II.2。然後使中間體 II.2(其中R 1、R 2和R 3如本文所定義)與4-(4,4,5,5-四甲基-1,3,2-二氧雜環戊硼烷-2-基)-3,6-二氫吡啶-1(2H)-甲酸三級丁酯在Pd催化劑和鹼(例如,Na 2CO 3)的存在下在溶劑(例如,二㗁𠮿)中反應以提供中間體 II.3。使中間體 II.3(其中R 1、R 2和R 3如本文所定義)在H 2下在催化劑(例如,((C 6H 5) 3P) 3RhCl)的存在下轉化為中間體 II.4。然後將中間體 II.4(其中R 1、R 2和R 3如本文所定義)藉由SFC純化為中間體 II.5aII.5b。使中間體 II.5aII.5b(其中R 1、R 2和R 3如本文所定義)在HCl存在下在溶劑(例如,二㗁𠮿)中分別轉化為中間體 II.AaII.Ab(其中R 1、R 2和R 3如本文所定義)。 方案 C As shown in Scheme C, intermediate II.1 (wherein R 1 , R 2 and R 3 are as defined herein) is reacted with 3-bromobenzene-1,2-diphenol in the presence of p-TsOH in a solvent (e.g. , toluene) to provide intermediate II.2 . Intermediate II.2 (where R 1 , R 2 and R 3 are as defined herein) is then reacted with 4-(4,4,5,5-tetramethyl-1,3,2-dioxolabor Alk-2-yl)-3,6-dihydropyridine-1(2H)-carboxylic acid tertiary butyl ester in the presence of a Pd catalyst and a base (e.g., Na 2 CO 3 ) in a solvent (e.g., dihydropyridine) reaction to provide intermediate II.3 . Intermediate II.3 (wherein R 1 , R 2 and R 3 are as defined herein) is converted to intermediate II.3 in the presence of H 2 in the presence of a catalyst (e.g., ((C 6 H 5 ) 3 P) 3 RhCl). II.4 . Intermediate II.4 (wherein R 1 , R 2 and R 3 are as defined herein) is then purified by SFC to intermediates II.5a and II.5b . Intermediates II.5a and II.5b (where R 1 , R 2 and R 3 are as defined herein) are converted to intermediates II.Aa and II, respectively, in the presence of HCl in a solvent (e.g., dimethacin). Ab (where R 1 , R 2 and R 3 are as defined herein). Plan C

中間體 III.AIII.B係可商購的或者可以藉由熟悉該項技術者已知的有機合成方法來生產。例如,中間體 III.AIII.B可以如以下方案D中所述之製備。 方案 D Intermediates III.A and III.B are commercially available or can be produced by organic synthesis methods known to those skilled in the art. For example, intermediates III.A and III.B can be prepared as described in Scheme D below. Plan D

如方案D中所示,使中間體 III.a(其中Z係如本文所定義的R 4或R 5並且Y係Br或I)與氧雜環丁烷-2-基甲基4-甲基苯磺酸酯在碳酸銫存在下在溶劑(例如,乙腈)中反應。將殘餘物經由層析法純化以分離異構物,以提供中間體 III.1aIII.1b(其中R 4或R 5如本文所定義並且Y係Br或I)。使中間體 III.1aIII.1b(其中R 4或R 5如本文所定義並且Y係Br或I)獨立地與LDA在溶劑(例如,THF/庚烷/乙苯)中反應以分別提供中間體 III.AIII.BAs shown in Scheme D, intermediate III.a (where Z is R 4 or R 5 as defined herein and Y is Br or I) is reacted with oxetan-2-ylmethyl 4-methyl The benzenesulfonate ester is reacted in the presence of cesium carbonate in a solvent (eg, acetonitrile). The residue is purified via chromatography to isolate the isomers to provide intermediates III.1a and III.1b (where R or R is as defined herein and Y is Br or I). Intermediates III.1a and III.1b (where R or R are as defined herein and Y is Br or I ) are independently reacted with LDA in a solvent (e.g., THF/heptane/ethylbenzene) to provide respectively Intermediates III.A and III.B.

在另一方面,本文提供了一種藥物組成物,該藥物組成物包含具有式 (I) 的化合物或其藥學上可接受的鹽以及藥學上可接受的載劑。In another aspect, provided herein is a pharmaceutical composition comprising a compound of formula (I) or a pharmaceutically acceptable salt thereof and a pharmaceutically acceptable carrier.

在另一方面,本文提供了一種藥物組成物,該藥物組成物包含治療有效量的具有式 (I) 的化合物或其藥學上可接受的鹽以及藥學上可接受的載劑。In another aspect, provided herein is a pharmaceutical composition comprising a therapeutically effective amount of a compound of formula (I) or a pharmaceutically acceptable salt thereof and a pharmaceutically acceptable carrier.

在另外的實施方式中,組成物包含至少兩種藥學上可接受的載劑(如本文所描述的那些)。該藥物組成物可以被配製用於特定的施用途徑,如口服施用、腸胃外施用(例如,藉由注射、輸注、經皮或局部施用)和直腸施用。局部施用還可以涉及吸入或鼻內應用。本發明的藥物組成物能夠以固體形式(包括但不限於膠囊、片劑、丸劑、顆粒、粉末或栓劑)、或以液體形式(包括但不限於溶液、懸浮液或乳液)製成。片劑可以根據本領域已知之方法進行薄膜包衣或腸溶包衣。典型地,藥物組成物係包含活性成分及以下中的一種或多種的片劑或明膠膠囊: a) 稀釋劑,例如,乳糖、右旋糖、蔗糖、甘露醇、山梨醇、纖維素和/或甘胺酸; b) 潤滑劑,例如,二氧化矽、滑石、硬酯酸、其鎂鹽或鈣鹽和/或聚乙二醇;就片劑而言還包含 c) 黏合劑,例如,矽酸鋁鎂、澱粉糊、明膠、黃蓍膠、甲基纖維素、羧甲基纖維素鈉和/或聚乙烯吡咯啶酮;如果需要 d) 崩解劑,例如,澱粉、瓊脂、海藻酸或其鈉鹽或泡騰混合物;以及 e) 吸附劑、著色劑、調味劑及甜味劑。 In additional embodiments, the compositions include at least two pharmaceutically acceptable carriers (such as those described herein). The pharmaceutical compositions may be formulated for specific routes of administration, such as oral administration, parenteral administration (eg, by injection, infusion, transdermal or topical administration) and rectal administration. Topical administration may also involve inhalation or intranasal application. The pharmaceutical compositions of the present invention can be prepared in solid form (including but not limited to capsules, tablets, pills, granules, powders or suppositories), or in liquid form (including but not limited to solutions, suspensions or emulsions). Tablets may be film-coated or enteric-coated according to methods known in the art. Typically, the pharmaceutical composition is a tablet or gelatin capsule containing the active ingredient and one or more of the following: a) diluents such as lactose, dextrose, sucrose, mannitol, sorbitol, cellulose and/or glycine; b) Lubricants, for example, silica, talc, stearic acid, its magnesium or calcium salts and/or polyethylene glycol; in the case of tablets, also c) Binders such as aluminum magnesium silicate, starch paste, gelatin, tragacanth, methylcellulose, sodium carboxymethylcellulose and/or polyvinylpyrrolidone; if required d) disintegrating agents such as starch, agar, alginic acid or sodium salts or effervescent mixtures thereof; and e) Adsorbents, colorants, flavorings and sweeteners.

呈游離形式或藥學上可接受的鹽形式的本發明的化合物(例如,具有式 (Ia)、(II)、(IIa)、(III)、(IIIa)、(IIIb)、(IV)、(IVa)、(IVb)、(V)、(Va) 和 (Vb) 的化合物及其藥學上可接受的鹽)展現出有價值的藥理學特性,例如作為GLP1R的促效劑,例如,如在下一個部分中提供的 體外體內測試中所指示的,並且因此指示用於療法或用於作為研究化學品使用,例如作為工具化合物。 Compounds of the invention (e.g., having formulas (Ia), (II), (IIa), (III), (IIIa), (IIIb), (IV), ( Compounds of IVa), (IVb), (V), (Va) and (Vb) and their pharmaceutically acceptable salts) exhibit valuable pharmacological properties, such as acting as GLP1R agonists, for example, as follows In vitro and in vivo tests are provided in one section as indicated, and are therefore indicated for use as therapeutics or for use as research chemicals, e.g. as tool compounds.

本發明的化合物(例如,具有式 (Ia)、(II)、(IIa)、(III)、(IIIa)、(IIIb)、(IV)、(IVa)、(IVb)、(V)、(Va) 和 (Vb) 的化合物及其藥學上可接受的鹽)可用於治療代謝和相關的疾病、障礙和病症。特別地,本發明的化合物可用於治療選自以下的代謝和相關的疾病、障礙和病症:肥胖症、2型糖尿病、胰島素抗性、高胰島素血症、葡萄糖耐受不良、高血糖、一種或多種糖尿病併發症(包括但不限於慢性腎臟疾病)、糖尿病腎病、血脂異常、代謝綜合症、進行性肝病、心血管疾病和神經病變(特別是例如與糖尿病相關的周圍神經病變)。The compounds of the present invention (for example, having formulas (Ia), (II), (IIa), (III), (IIIa), (IIIb), (IV), (IVa), (IVb), (V), ( The compounds of Va) and (Vb) and their pharmaceutically acceptable salts) are useful in the treatment of metabolic and related diseases, disorders and conditions. In particular, the compounds of the invention are useful in the treatment of metabolic and related diseases, disorders and conditions selected from: obesity, type 2 diabetes, insulin resistance, hyperinsulinemia, glucose intolerance, hyperglycemia, one or Various complications of diabetes (including, but not limited to, chronic kidney disease), diabetic nephropathy, dyslipidemia, metabolic syndrome, progressive liver disease, cardiovascular disease, and neuropathy (particularly, for example, peripheral neuropathy associated with diabetes).

進行性肝病可以是例如非酒精性脂肪肝病(NAFLD)、或例如非酒精性脂肪性肝炎(NASH)。The progressive liver disease may be, for example, non-alcoholic fatty liver disease (NAFLD), or, for example, non-alcoholic steatohepatitis (NASH).

例如,心血管疾病可以選自:高血壓、動脈粥樣硬化、外周動脈疾病、中風、心肌病、心房顫動、心臟衰竭(例如射血分數降低的心臟衰竭(HFrEF)、射血分數中間值的心臟衰竭(HFmrEF)和射血分數保留的心臟衰竭(HFpEF))、冠心病和心律不整(例如房性心律不整和室性心律不整)。For example, cardiovascular disease may be selected from: hypertension, atherosclerosis, peripheral arterial disease, stroke, cardiomyopathy, atrial fibrillation, heart failure (e.g., heart failure with reduced ejection fraction (HFrEF), intermediate ejection fraction heart failure (HFmrEF) and heart failure with preserved ejection fraction (HFpEF)), coronary artery disease, and cardiac arrhythmias (such as atrial arrhythmias and ventricular arrhythmias).

本發明的化合物可用於治療在受試者中同時發生的幾種疾病、障礙或病症(稱為「合併症」)。The compounds of the present invention may be used to treat several diseases, disorders or conditions that occur simultaneously in a subject (referred to as "comorbidities").

例如,合併症可以是患有2型糖尿病並且另外地肥胖和/或另外展現出心臟衰竭和/或NASH的受試者中的那些。例如,肥胖受試者也可能展現出2型糖尿病和/或展現出心血管疾病(例如心臟衰竭)。此類受試者也可能展現出進行性肝病(例如NASH)。例如,肥胖受試者也可能展現出2型糖尿病和/或展現出心血管疾病(例如心臟衰竭)和/或展現出進行性肝病(例如NASH)。受試者也可能有高血壓和/或高血膽固醇水平。受試者也可能患有周圍神經病變。For example, comorbidities may be those in a subject who has type 2 diabetes and is otherwise obese and/or otherwise exhibits heart failure and/or NASH. For example, obese subjects may also exhibit type 2 diabetes and/or exhibit cardiovascular disease (eg, heart failure). Such subjects may also exhibit progressive liver disease (eg, NASH). For example, obese subjects may also exhibit type 2 diabetes and/or exhibit cardiovascular disease (eg, heart failure) and/or exhibit progressive liver disease (eg, NASH). Subjects may also have high blood pressure and/or high blood cholesterol levels. Subjects may also have peripheral neuropathy.

因此,本文提供的化合物可用於治療選自以下的疾病、障礙或病症:肥胖症、2型糖尿病、胰島素抗性、高胰島素血症、葡萄糖耐受不良、高血糖、一種或多種糖尿病併發症(包括但不限於慢性腎臟疾病)、糖尿病腎病、血脂異常、非酒精性脂肪肝病(NAFLD)、非酒精性脂肪性肝炎(NASH)、高血壓、動脈粥樣硬化、外周動脈疾病、中風、心肌病、心房顫動、心臟衰竭(特別是射血分數降低的心臟衰竭(HFrEF)、射血分數中間值的心臟衰竭(HFmrEF)和射血分數保留的心臟衰竭(HFpEF))、冠心病、心律不整(特別是房性心律不整和室性心律不整)和神經病變(特別是周圍神經病變)。Accordingly, the compounds provided herein may be used to treat a disease, disorder or condition selected from: obesity, type 2 diabetes, insulin resistance, hyperinsulinemia, glucose intolerance, hyperglycemia, one or more complications of diabetes ( Including but not limited to chronic kidney disease), diabetic nephropathy, dyslipidemia, non-alcoholic fatty liver disease (NAFLD), non-alcoholic steatohepatitis (NASH), hypertension, atherosclerosis, peripheral arterial disease, stroke, cardiomyopathy , atrial fibrillation, heart failure (especially heart failure with reduced ejection fraction (HFrEF), heart failure with intermediate ejection fraction (HFmrEF), and heart failure with preserved ejection fraction (HFpEF)), coronary heart disease, cardiac arrhythmias ( especially atrial arrhythmias and ventricular arrhythmias) and neuropathy (especially peripheral neuropathy).

在實施方式中,該疾病、障礙或病症選自肥胖症、2型糖尿病、動脈粥樣硬化、心臟衰竭(特別是HFpEF)和NASH。In embodiments, the disease, disorder or condition is selected from obesity, type 2 diabetes, atherosclerosis, heart failure (especially HFpEF) and NASH.

在實施方式中,該疾病、障礙或病症選自肥胖症、2型糖尿病、動脈粥樣硬化和心臟衰竭(特別是HFpEF)。In embodiments, the disease, disorder or condition is selected from obesity, type 2 diabetes, atherosclerosis and heart failure (especially HFpEF).

因此,作為另外的方面,本文提供了具有式 (I) 的化合物或其藥學上可接受的鹽(包括例如,具有式 (Ia)、(II)、(IIa)、(III)、(IIIa)、(IIIb)、(IV)、(IVa)、(IVb)、(V)、(Va) 和 (Vb) 中任一項的化合物或其藥學上可接受的鹽)在療法中之用途。在另外的實施方式中,療法係對可以藉由GLP1R的激動而治療的疾病、障礙或病症的治療。在另一實施方式中,療法係對疾病、障礙或病症的治療,該疾病、障礙或病症選自前述列表,適當地選自肥胖症、2型糖尿病、動脈粥樣硬化和心臟衰竭(特別是射血分數保留的心臟衰竭),包括該等作為例如在患有2型糖尿病、同時肥胖的受試者和/或患有2型糖尿病、同時患有心臟衰竭的受試者和/或患有2型糖尿病、同時患有NASH的受試者中的合併症存在的情況。Thus, as an additional aspect, provided herein are compounds of formula (I) or pharmaceutically acceptable salts thereof (including, for example, compounds of formula (Ia), (II), (IIa), (III), (IIIa) , a compound of any one of (IIIb), (IV), (IVa), (IVb), (V), (Va) and (Vb) or a pharmaceutically acceptable salt thereof) in therapy. In additional embodiments, the therapy is treatment of a disease, disorder or condition treatable by agonism of GLP1R. In another embodiment, the therapy is the treatment of a disease, disorder or condition selected from the foregoing list, suitably selected from obesity, type 2 diabetes, atherosclerosis and heart failure (in particular heart failure with preserved ejection fraction), including such conditions as, for example, in subjects with type 2 diabetes who are also obese and/or in subjects with type 2 diabetes who are also suffering from heart failure and/or who have The presence of comorbidities in subjects with type 2 diabetes and NASH.

因此,作為另外的方面,本文提供了一種具有式 (I) 的化合物或其藥學上可接受的鹽(包括例如,具有式 (Ia)、(II)、(IIa)、(III)、(IIIa)、(IIIb)、(IV)、(IVa)、(IVb)、(V)、(Va) 和 (Vb) 中任一項的化合物或其藥學上可接受的鹽),用於在療法中使用。在另外的實施方式中,療法係對可以藉由GLP1R的激動而治療的疾病、障礙或病症的治療。在另一實施方式中,療法係對疾病、障礙或病症的治療,該疾病、障礙或病症選自前述列表,適當地選自肥胖症、2型糖尿病、動脈粥樣硬化和心臟衰竭(特別是射血分數保留的心臟衰竭),包括該等作為例如在患有2型糖尿病、同時肥胖的受試者和/或患有2型糖尿病、同時患有心臟衰竭的受試者和/或患有2型糖尿病、同時患有NASH的受試者中的合併症存在的情況。Thus, as an additional aspect, provided herein is a compound of formula (I) or a pharmaceutically acceptable salt thereof (including, for example, compounds of formula (Ia), (II), (IIa), (III), (IIIa ), (IIIb), (IV), (IVa), (IVb), (V), (Va) and (Vb) or a pharmaceutically acceptable salt thereof), for use in therapy use. In additional embodiments, the therapy is treatment of a disease, disorder or condition treatable by agonism of GLP1R. In another embodiment, the therapy is the treatment of a disease, disorder or condition selected from the foregoing list, suitably selected from obesity, type 2 diabetes, atherosclerosis and heart failure (in particular heart failure with preserved ejection fraction), including such conditions as, for example, in subjects with type 2 diabetes who are also obese and/or in subjects with type 2 diabetes who are also suffering from heart failure and/or who have The presence of comorbidities in subjects with type 2 diabetes and NASH.

在另一方面,本文提供了一種治療可藉由GLP1R的激動而治療的疾病、障礙或病症之方法,該方法包括施用治療可接受量的具有式 (I) 的化合物或其藥學上可接受的鹽(包括例如,具有式 (Ia)、(II)、(IIa)、(III)、(IIIa)、(IIIb)、(IV)、(Iva)、(Ivb)、(V)、(Va) 和 (Vb) 中任一項的化合物或其藥學上可接受的鹽)。在另一實施方式中,本發明提供了一種在有需要的受試者中治療疾病、障礙或病症之方法,該方法包括向該受試者施用治療有效量的具有式 (I) 的化合物或其藥學上可接受的鹽,其中該疾病、障礙或病症選自前述列表,適當地選自肥胖症、2型糖尿病、動脈粥樣硬化和心臟衰竭(特別是射血分數保留的心臟衰竭),包括該等作為例如在患有2型糖尿病、同時肥胖的受試者和/或患有2型糖尿病、同時患有心臟衰竭的受試者和/或患有2型糖尿病、同時患有NASH的受試者中的合併症存在的情況。In another aspect, provided herein is a method of treating a disease, disorder or condition treatable by agonism of GLP1R, comprising administering a therapeutically acceptable amount of a compound of formula (I) or a pharmaceutically acceptable form thereof Salts (including, for example, those of formula (Ia), (II), (IIa), (III), (IIIa), (IIIb), (IV), (Iva), (Ivb), (V), (Va) and (Vb) a compound or a pharmaceutically acceptable salt thereof). In another embodiment, the invention provides a method of treating a disease, disorder or condition in a subject in need thereof, the method comprising administering to the subject a therapeutically effective amount of a compound of Formula (I) or a pharmaceutically acceptable salt thereof, wherein the disease, disorder or condition is selected from the foregoing list, suitably selected from obesity, type 2 diabetes, atherosclerosis and heart failure (especially heart failure with preserved ejection fraction), This includes, for example, subjects with type 2 diabetes and obesity and/or subjects with type 2 diabetes and heart failure, and/or subjects with type 2 diabetes and NASH. Presence of comorbidities among subjects.

在另外的方面,本文提供了具有式 (I) 的化合物或其藥學上可接受的鹽(包括例如,具有式 (Ia)、(II)、(IIa)、(III)、(IIIa)、(IIIb)、(IV)、(IVa)、(IVb)、(V)、(Va) 和 (Vb) 中任一項的化合物或其藥學上可接受的鹽)用於製造藥物之用途。在另外的實施方式中,該藥物用於治療可以藉由GLP1R的激動而治療的疾病。在另一實施方式中,該疾病選自前述列表,適當地選自肥胖症、2型糖尿病、動脈粥樣硬化和心臟衰竭(特別是射血分數保留的心臟衰竭),包括該等作為例如在患有2型糖尿病、同時肥胖的受試者和/或患有2型糖尿病、同時患有心臟衰竭的受試者和/或患有2型糖尿病、同時患有NASH的受試者中的合併症存在的情況。In additional aspects, provided herein are compounds of Formula (I) or pharmaceutically acceptable salts thereof (including, for example, compounds of Formula (Ia), (II), (IIa), (III), (IIIa), ( The compound of any one of IIIb), (IV), (IVa), (IVb), (V), (Va) and (Vb) or a pharmaceutically acceptable salt thereof) is used for the manufacture of medicines. In additional embodiments, the medicament is used to treat a disease treatable by agonism of GLP1R. In another embodiment, the disease is selected from the foregoing list, suitably selected from obesity, type 2 diabetes, atherosclerosis and heart failure (especially heart failure with preserved ejection fraction), including such as, for example, in Combination in subjects with type 2 diabetes and obesity and/or subjects with type 2 diabetes and heart failure and/or subjects with type 2 diabetes and NASH the presence of the disease.

術語「代謝失調或疾病」係指一組相關的特徵,該等特徵包括但不限於葡萄糖耐受不良,胰島素抗性,高胰島素血症,肥胖症,過度內臟肥胖,高血壓,以高甘油三酯、低高密度脂蛋白(HDL)-膽固醇和高低密度脂蛋白(LDL)膽固醇為特徵的血脂異常。患有代謝疾病或障礙的受試者有患上2型糖尿病和例如動脈粥樣硬化的風險。The term "metabolic disorder or disease" refers to a group of related characteristics including, but not limited to, glucose intolerance, insulin resistance, hyperinsulinemia, obesity, excessive visceral adiposity, hypertension, and elevated triglycerides. Dyslipidemia characterized by low high-density lipoprotein (HDL)-cholesterol and high low-density lipoprotein (LDL)-cholesterol. Subjects with metabolic diseases or disorders are at risk of developing type 2 diabetes and, for example, atherosclerosis.

術語「2型糖尿病」係以空腹和進食狀態下持續高葡萄糖水平為特徵的病症,這係由於葡萄糖利用受損和葡萄糖產生過多共同導致的。這可能是由於胰腺產生的胰島素不足或外周胰島素抗性所致。The term "type 2 diabetes" refers to a condition characterized by persistently high glucose levels in both fasting and fed states, resulting from a combination of impaired glucose utilization and excessive glucose production. This may be due to insufficient insulin production by the pancreas or peripheral insulin resistance.

如本文所用,術語「胰島素抗性」係指正常量的胰島素不能誘導預期的生理回應並且不能活化下游通路的病症。在多個實例中,內源性產生或外源性施用的超出生理範圍的胰島素足以誘導完全或部分生物回應以誘導預期的生理回應。As used herein, the term "insulin resistance" refers to a condition in which normal amounts of insulin fail to induce the expected physiological response and activate downstream pathways. In various instances, endogenously produced or exogenously administered insulin beyond the physiological range is sufficient to induce a complete or partial biological response to induce the desired physiological response.

術語「高胰島素血症」係指可以在血液中檢測到過量胰島素的病症。The term "hyperinsulinemia" refers to a condition in which excess insulin can be detected in the blood.

術語「葡萄糖耐受不良」包括以受試者中相對於健康個體與基礎或餐後葡萄糖水平升高和/或胰島素水平升高或葡萄糖刺激的胰島素釋放異常或HOMA-IR(胰島素抗性的穩態模型評估)相關的臨床症狀或臨床症狀組合為特徵的任何障礙。葡萄糖和/或胰島素的水平升高可表現在以下疾病、障礙和病症中:肥胖症、代謝綜合症、糖耐量減低、II型糖尿病、妊娠糖尿病、I型糖尿病、胰島素抗性、高胰島素血症、脂肪營養不良、脂肪萎縮和各種MODY(青年成熟期發病型糖尿病)突變。本文提供的GLP1R促效劑及其組成物可用於例如實現和/或維持葡萄糖穩態,例如降低血流中的葡萄糖水平和/或將胰島素水平降低至健康受試者的範圍。The term "glucose intolerance" includes abnormalities characterized by elevated basal or postprandial glucose levels and/or elevated insulin levels or glucose-stimulated insulin release or HOMA-IR (homeostasis of insulin resistance) in subjects relative to healthy individuals. Any disorder characterized by clinical symptoms or combinations of clinical symptoms associated with (state model assessment). Elevated levels of glucose and/or insulin can manifest in the following diseases, disorders and conditions: obesity, metabolic syndrome, impaired glucose tolerance, type 2 diabetes, gestational diabetes, type 1 diabetes, insulin resistance, hyperinsulinemia , lipodystrophy, lipoatrophy, and various MODY (maturity-onset diabetes of the young) mutations. GLP1R agonists and compositions thereof provided herein may be used, for example, to achieve and/or maintain glucose homeostasis, such as to reduce glucose levels in the bloodstream and/or to reduce insulin levels to the range of healthy subjects.

如本文所用,術語「高血糖」係指相對於健康個體而言升高量的葡萄糖在受試者的血漿中循環的病症。可以使用本領域已知之方法診斷高血糖,包括如本文所述測量空腹血糖水平。As used herein, the term "hyperglycemia" refers to a condition in which elevated amounts of glucose circulate in the plasma of a subject relative to healthy individuals. Hyperglycemia can be diagnosed using methods known in the art, including measuring fasting blood glucose levels as described herein.

術語「糖尿病併發症」係由持續高血糖水平引起的問題,該等問題會損害其他器官,包括腎臟、外周肢體和眼睛(例如視網膜病變)或誘發血管疾病和神經病變。血管功能受損會導致勃起功能障礙,並可能導致皮膚感染風險增加。糖尿病還會增加心臟病以及骨骼和關節障礙的風險。糖尿病的其他長期併發症包括癌症風險過高,該癌症包括肝細胞癌、子宮內膜癌、乳腺癌、和胰臟癌。The term "diabetic complications" refers to problems caused by persistently high blood sugar levels that can damage other organs, including the kidneys, peripheral limbs, and eyes (such as retinopathy), or induce vascular disease and neuropathy. Impaired blood vessel function can lead to erectile dysfunction and may lead to an increased risk of skin infections. Diabetes also increases the risk of heart disease and bone and joint disorders. Other long-term complications of diabetes include an excess risk of cancer, including hepatocellular carcinoma, endometrial cancer, breast cancer, and pancreatic cancer.

術語「糖尿病腎病」係由糖尿病引起的病症並且是由腎臟中的血管和其他細胞受損導致腎功能降低而引起的。The term "diabetic nephropathy" refers to a condition caused by diabetes and caused by damage to blood vessels and other cells in the kidneys, resulting in reduced kidney function.

術語「肥胖症」在人類成年人中係指體質指數(BMI)為30或更高(疾病控制和預防中心(Centers for Disease Control and Prevention))。這種受試者也可以被稱為肥胖。這被稱為I類肥胖症。II類肥胖症包括個體的BMI為35-39.9,並且III類肥胖症係指個體的BMI大於40。體質指數(BMI)係基於身高和體重的體脂肪量度。計算公式為BMI = 體重(千克)/身高(米 2)。 The term "obesity" refers to a body mass index (BMI) of 30 or higher in human adults (Centers for Disease Control and Prevention). Such subjects may also be termed obese. This is called type I obesity. Obesity Class II includes individuals with a BMI of 35-39.9, and obesity Class III refers to individuals with a BMI greater than 40. Body mass index (BMI) is a measure of body fat based on height and weight. The calculation formula is BMI = weight (kg)/height ( m2 ).

在實施方式中,患有肥胖症的人受試者具有 ≥ 30或 ≥ 35的BMI或在≥ 35至 < 40或 ≥ 30至 < 40範圍內的BMI。例如,< 40的量可以是39.9。在一些實施方式中,肥胖症係嚴重肥胖症或病態肥胖症,其中人受試者具有 ≥ 40的BMI。In embodiments, the human subject with obesity has a BMI of ≥30 or ≥35 or a BMI in the range of ≥35 to <40 or ≥30 to <40. For example, an amount < 40 could be 39.9. In some embodiments, obesity is severe obesity or morbid obesity, wherein the human subject has a BMI ≥ 40.

術語「血脂異常」係指脂蛋白代謝的複雜障礙,包括脂蛋白過度產生或代謝異常。血脂異常可能表現為總膽固醇升高、低密度脂蛋白(LDL)膽固醇和甘油三酯濃度升高、以及血液中高密度脂蛋白(HDL)膽固醇濃度降低。The term "dyslipidemia" refers to complex disorders of lipoprotein metabolism, including excessive production or abnormal metabolism of lipoproteins. Dyslipidemia may manifest as increased total cholesterol, increased concentrations of low-density lipoprotein (LDL) cholesterol and triglycerides, and decreased concentrations of high-density lipoprotein (HDL) cholesterol in the blood.

術語「動脈粥樣硬化」係指血管疾病,其特徵在於大動脈和中動脈的內膜中不規則分佈的脂質沈積,有時導致動脈腔變窄並最終進展成纖維化和鈣化。病變通常是局灶性的,並且進展緩慢且間歇地。血流的限制係大多數臨床表現的原因,其隨病變的分佈和嚴重程度而變化。The term "atherosclerosis" refers to a vascular disease characterized by irregularly distributed lipid deposits in the intima of large and medium-sized arteries, sometimes leading to narrowing of the arterial lumen and eventual progression to fibrosis and calcification. Lesions are usually focal and progress slowly and intermittently. Restriction of blood flow is responsible for most clinical manifestations and varies with the distribution and severity of the disease.

術語「進行性肝病」係指從肝脂肪變性的良性狀態進展,顯示纖維化和肝硬化,這使得易患肝細胞癌。肥胖症相關的非酒精性脂肪肝(NAFL)向NASH、纖維化和肝硬化的進展已得到充分證明。The term "progressive liver disease" refers to progression from a benign state of hepatic steatosis to display of fibrosis and cirrhosis, which predisposes to hepatocellular carcinoma. The progression of obesity-related nonalcoholic fatty liver disease (NAFL) to NASH, fibrosis, and cirrhosis is well documented.

術語「非酒精性脂肪肝病(FLD)」也稱為NAFLD,它係其中脂質在肝細胞中過度蓄積的病症,其可由肝臟中過度的從頭脂肪生成或脂肪酸的異常清除和氧化所致。NAFLD被排除在其他肝病(包括酒精性肝病和病毒性肝病)的病因之外。NAFLD包括三個反映疾病進展的組織學實體:脂肪肝、肝脂肪變性和纖維化或肝硬化。NAFLD最常見的病因係肥胖症,儘管NAFLD也可見於瘦的個體。脂肪的蓄積可使炎症進展,伴隨巨噬細胞的浸潤和肝細胞組織學的變化,包括氣球樣變性,其被稱為脂肪性肝炎,並被稱為非酒精性脂肪性肝炎(NASH)。NASH可進展為伴有小葉間橋接纖維化的纖維化或肝硬化。如本文所用,術語NASH可涵蓋脂肪性肝炎、肝細胞氣球樣變性和小葉炎症。The term "non-alcoholic fatty liver disease (FLD)", also known as NAFLD, is a condition in which lipids accumulate excessively in liver cells, which can be caused by excessive de novo lipogenesis or abnormal clearance and oxidation of fatty acids in the liver. NAFLD was excluded as a cause of other liver diseases, including alcoholic liver disease and viral liver disease. NAFLD includes three histological entities that reflect disease progression: fatty liver, hepatic steatosis, and fibrosis or cirrhosis. The most common cause of NAFLD is obesity, although NAFLD can also occur in lean individuals. Accumulation of fat can progress inflammation with macrophage infiltration and histological changes in liver cells, including ballooning degeneration, which is known as steatohepatitis and is known as nonalcoholic steatohepatitis (NASH). NASH can progress to fibrosis or cirrhosis with interlobular bridging fibrosis. As used herein, the term NASH may encompass steatohepatitis, hepatocellular ballooning, and lobular inflammation.

術語「代謝綜合症」係指一組增加心血管疾病(包括冠狀動脈疾病、射血分數降低的心臟衰竭、射血分數保留的心臟衰竭、腦血管疾病和外周血管疾病)風險的危險因素。該等風險因素包括:腹部脂肪、空腹後的高血糖(至少110毫克/分升(mg/dl));血流中的高甘油三酯(至少150 mg/dL);低HDL(小於40 mg/dl);以及130/85 mmHg或更高的血壓(世界衛生組織(World Health Organization))。The term "metabolic syndrome" refers to a group of risk factors that increase the risk of cardiovascular disease, including coronary artery disease, heart failure with reduced ejection fraction, heart failure with preserved ejection fraction, cerebrovascular disease, and peripheral vascular disease. Such risk factors include: abdominal fat, high blood sugar after fasting (at least 110 milligrams per deciliter (mg/dl)); high triglycerides in the bloodstream (at least 150 mg/dL); low HDL (less than 40 mg /dl); and blood pressure of 130/85 mmHg or higher (World Health Organization).

術語「心血管疾病」係指與心臟或血管有關的疾病。The term "cardiovascular disease" refers to diseases related to the heart or blood vessels.

術語「外周動脈疾病」係指動脈中脂肪沈積物的堆積限制了腿部肌肉的血液供應的情況。The term "peripheral arterial disease" refers to a condition in which the accumulation of fatty deposits in the arteries limits the blood supply to the leg muscles.

術語「中風」係指部分腦的血液供應被切斷的情況。The term "stroke" refers to a situation in which the blood supply to part of the brain is cut off.

術語「心臟衰竭」係指心臟具有降低的泵血能力的情況,並且可包括射血分數保留的心臟衰竭(HFpEF)、射血分數降低的心臟衰竭(HFrEF)和射血分數中間值的心臟衰竭(HFmrEF)。The term "heart failure" refers to a condition in which the heart has a reduced ability to pump blood, and may include heart failure with preserved ejection fraction (HFpEF), heart failure with reduced ejection fraction (HFrEF), and heart failure with intermediate ejection fraction (HFmrEF).

術語「冠心病」,也稱為冠狀動脈疾病,係向心臟供血的動脈變窄。The term coronary heart disease, also known as coronary artery disease, is the narrowing of the arteries that supply blood to the heart.

術語「心律不整」係指異常的心律,並且可以包括房性心律不整、心房顫動和室性心律不整。The term "arrhythmia" refers to an abnormal heart rhythm and may include atrial arrhythmias, atrial fibrillation, and ventricular arrhythmias.

術語「神經病變」係指神經受損的情況。該術語包括當手、腳和手臂等四肢中的神經受損時發生的周圍神經病變。糖尿病係周圍神經病變的常見病因。The term "neuropathy" refers to a condition in which nerves are damaged. The term includes peripheral neuropathy that occurs when nerves in extremities such as the hands, feet, and arms are damaged. Diabetes is a common cause of peripheral neuropathy.

術語「心肌病」被定義為心房或心室心肌的獲得性或先天性結構異常,這可能影響心臟功能或生理學和傳導。The term "cardiomyopathy" is defined as an acquired or congenital structural abnormality of the atrial or ventricular myocardium that may affect cardiac function or physiology and conduction.

本文提供的藥物組成物或組合針對約50-70 kg的受試者可以呈約1-1000 mg的一種或多種活性成分的單位劑量。化合物、藥物組成物、或其組合的治療有效劑量取決於受試者的物種、體重、年齡及治療中的個別病症、障礙或疾病或其嚴重程度。The pharmaceutical compositions or combinations provided herein may be presented in a unit dose of about 1-1000 mg of one or more active ingredients for a subject of about 50-70 kg. The therapeutically effective dose of a compound, pharmaceutical composition, or combination thereof depends on the species, weight, age of the subject and the individual condition, disorder or disease being treated or its severity.

本發明的化合物(包括例如,具有式 (Ia)、(II)、(IIa)、(III)、(IIIa)、(IIIb)、(IV)、(IVa)、(IVb)、(V)、(Va) 和 (Vb) 中任一項的化合物或其藥學上可接受的鹽)可以與一種或多種其他治療劑同時、或在其之前、或在其之後施用。本發明化合物可以藉由與其他藥劑相同或不同的施用途徑分開施用,或在相同的藥物組成物中一起施用。治療劑係例如化學化合物、肽、肽軛合物和融合物、抗體、抗體片段或核酸,當將該治療劑與本發明的化合物組合施用於受試者時,該治療劑具有治療活性或增強治療活性。Compounds of the present invention (including, for example, compounds having formulas (Ia), (II), (IIa), (III), (IIIa), (IIIb), (IV), (IVa), (IVb), (V), The compound of either (Va) and (Vb), or a pharmaceutically acceptable salt thereof) may be administered simultaneously with, before, or after one or more other therapeutic agents. The compounds of the present invention may be administered separately by the same or different routes of administration as the other pharmaceutical agents, or administered together in the same pharmaceutical composition. Therapeutic agents are, for example, chemical compounds, peptides, peptide conjugates and fusions, antibodies, antibody fragments, or nucleic acids that have therapeutic activity or enhance when administered to a subject in combination with a compound of the invention. therapeutic activity.

因此,在另一方面,本文提供了一種組合(特別是藥物組合),該組合包含(例如,治療有效量的)具有式 (I) 的化合物或其藥學上可接受的鹽(包括例如,具有式 (Ia)、(II)、(IIa)、(III)、(IIIa)、(IIIb)、(IV)、(IVa)、(IVb)、(V)、(Va) 和 (Vb) 中任一項的化合物或其藥學上可接受的鹽)、以及一種或多種其他治療活性劑。Accordingly, in another aspect, provided herein is a combination (especially a pharmaceutical combination) comprising (e.g., a therapeutically effective amount) of a compound of formula (I) or a pharmaceutically acceptable salt thereof (including, e.g., having Any of formulas (Ia), (II), (IIa), (III), (IIIa), (IIIb), (IV), (IVa), (IVb), (V), (Va) and (Vb) A compound or a pharmaceutically acceptable salt thereof), and one or more other therapeutically active agents.

在一個實施方式中,本文提供了一種產品,該產品包含具有式 (I) 的化合物或其藥學上可接受的鹽(包括例如,具有式 (Ia)、(II)、(IIa)、(III)、(IIIa)、(IIIb)、(IV)、(IVa)、(IVb)、(V)、(Va) 和 (Vb) 中任一項的化合物或其藥學上可接受的鹽),以及至少一種其他治療劑,作為用於在療法中同時、分開或依序使用的組合製劑。在一個實施方式中,療法係對疾病、障礙或病症的治療,該疾病、障礙或病症選自前述列表,適當地選自2型糖尿病、肥胖症、動脈粥樣硬化和心臟衰竭(特別是射血分數保留的心臟衰竭),包括該等作為例如在患有2型糖尿病、同時肥胖的受試者或患有2型糖尿病、同時患有心臟衰竭的受試者中的合併症存在的情況。In one embodiment, provided herein is a product comprising a compound of Formula (I) or a pharmaceutically acceptable salt thereof (including, for example, compounds of Formula (Ia), (II), (IIa), (III) ), a compound of any one of (IIIa), (IIIb), (IV), (IVa), (IVb), (V), (Va) and (Vb) or a pharmaceutically acceptable salt thereof), and At least one other therapeutic agent as a combined preparation for simultaneous, separate or sequential use in therapy. In one embodiment, the therapy is treatment of a disease, disorder or condition selected from the foregoing list, suitably selected from the group consisting of type 2 diabetes, obesity, atherosclerosis and heart failure (especially radioactivity). heart failure with preserved blood fraction), including conditions where such conditions exist as comorbidities, for example, in subjects with type 2 diabetes who are also obese or in subjects with type 2 diabetes and who are also suffering from heart failure.

作為組合製劑提供的產品包括組成物,該組成物包含一起在相同的藥物組成物中的具有式 (I) 的化合物或其藥學上可接受的鹽(包括例如,具有式 (Ia)、(II)、(IIa)、(III)、(IIIa)、(IIIb)、(IV)、(Iva)、(Ivb)、(V)、(Va) 和 (Vb) 中任一項的化合物或其藥學上可接受的鹽)、以及一種或多種其他治療劑,或者包含本發明的化合物和呈分開形式(例如,呈套組(kit)的形式)的一種或多種其他治療劑。Products provided as combination preparations include compositions containing compounds of formula (I) or pharmaceutically acceptable salts thereof (including, for example, compounds of formula (Ia), (II) together in the same pharmaceutical composition ), (IIa), (III), (IIIa), (IIIb), (IV), (Iva), (Ivb), (V), (Va) and (Vb) any one of the compounds or pharmaceuticals thereof an acceptable salt), and one or more other therapeutic agents, or a compound of the invention and one or more other therapeutic agents in separate form (eg, in the form of a kit).

在一個實施方式中,本發明提供了一種藥物組成物,該藥物組成物包含具有式 (I) 的化合物或其藥學上可接受的鹽(包括例如,具有式 (Ia)、(II)、(Iia)、(III)、(IIIa)、(IIIb)、(IV)、(Iva)、(Ivb)、(V)、(Va) 和 (Vb) 中任一項的化合物或其藥學上可接受的鹽)以及另外一種或多種治療劑。視需要,藥物組成物可以包含如上所述之藥學上可接受的載體。In one embodiment, the present invention provides a pharmaceutical composition comprising a compound of formula (I) or a pharmaceutically acceptable salt thereof (including, for example, a compound of formula (Ia), (II), ( A compound of any one of Iia), (III), (IIIa), (IIIb), (IV), (Iva), (Ivb), (V), (Va) and (Vb) or a pharmaceutically acceptable compound thereof salt) and one or more additional therapeutic agents. If necessary, the pharmaceutical composition may include a pharmaceutically acceptable carrier as described above.

在一個實施方式中,本文提供了一種套組,該套組包含兩種或更多種單獨的藥物組成物,其中至少一種藥物組成物含有本發明的化合物。在一個實施方式中,該套組包含用於分開保存所述組成物的裝置(如容器、分開的瓶子、或分開的箔包)。這種套組的實例係泡罩包裝,如典型地用於片劑、膠囊等的包裝。In one embodiment, provided herein is a kit comprising two or more separate pharmaceutical compositions, wherein at least one pharmaceutical composition contains a compound of the invention. In one embodiment, the kit includes means (eg, containers, separate bottles, or separate foil packets) for holding the compositions separately. An example of such a kit is a blister pack, as is typically used for the packaging of tablets, capsules, etc.

該套組可以用於施用不同的劑型(例如,口服劑型和腸胃外劑型),用於以不同劑量間隔施用單獨的組成物,或用於相對彼此滴定單獨的組成物。為有助於依從性,本文提供的套組典型地包含用於施用的說明書。The set may be used to administer different dosage forms (eg, oral and parenteral dosage forms), to administer the individual compositions at different dosage intervals, or to titrate the individual compositions relative to each other. To aid compliance, the kits provided herein typically include instructions for administration.

在本文提供的組合療法中,具有式 (I) 的化合物或其藥學上可接受的鹽(包括例如,具有式 (Ia)、(II)、(Iia)、(III)、(IIIa)、(IIIb)、(IV)、(Iva)、(Ivb)、(V)、(Va) 和 (Vb) 中任一項的化合物或其藥學上可接受的鹽)、以及其他治療劑可由相同或不同的製造商製造和/或配製。此外,具有式 (I) 的化合物或其藥學上可接受的鹽、以及其他治療劑可合併到組合療法中:(i) 在向醫師發放該組合產品(例如,在包含具有式 (I) 的化合物或其藥學上可接受的鹽、以及其他治療劑的套組的情況下)之前進行;(ii) 在施用前不久,由醫師自己(或在醫師的指導下)進行;(iii) 在患者自身中,例如在依序施用具有式 (I) 的化合物或其藥學上可接受的鹽、以及其他治療劑期間。In the combination therapies provided herein, compounds of formula (I) or pharmaceutically acceptable salts thereof (including, for example, compounds of formula (Ia), (II), (Iia), (III), (IIIa), ( The compound of any one of IIIb), (IV), (Iva), (Ivb), (V), (Va) and (Vb) or a pharmaceutically acceptable salt thereof), and other therapeutic agents may be composed of the same or different Made and/or formulated by the manufacturer. In addition, compounds of formula (I), or pharmaceutically acceptable salts thereof, and other therapeutic agents may be incorporated into combination therapies: (i) upon release of the combination product to a physician (e.g., in a compound containing a compound of formula (I) compounds or pharmaceutically acceptable salts thereof, and other therapeutic agents); (ii) shortly before administration, by the physician himself (or under the direction of a physician); (iii) in the patient itself, for example during the sequential administration of a compound of formula (I), or a pharmaceutically acceptable salt thereof, and another therapeutic agent.

據此,本文提供了具有式 (I) 的化合物或其藥學上可接受的鹽(包括例如,具有式 (Ia)、(II)、(Iia)、(III)、(IIIa)、(IIIb)、(IV)、(Iva)、(Ivb)、(V)、(Va) 和 (Vb) 中任一項的化合物或其藥學上可接受的鹽)在製備藥物中之用途,該藥物用於治療疾病、障礙或病症,該疾病、障礙或病症選自前述列表,適當地選自2型糖尿病、肥胖症、動脈粥樣硬化和心臟衰竭(特別是射血分數保留的心臟衰竭),包括該等作為例如在患有2型糖尿病、同時肥胖的受試者或患有2型糖尿病、同時患有心臟衰竭的受試者中的合併症存在的情況,其中製備該藥物用於與另一治療劑一起施用。Accordingly, provided herein are compounds of formula (I) or pharmaceutically acceptable salts thereof (including, for example, compounds of formula (Ia), (II), (Iia), (III), (IIIa), (IIIb) , a compound of any one of (IV), (Iva), (Ivb), (V), (Va) and (Vb) or a pharmaceutically acceptable salt thereof) in the preparation of a medicament for Treating a disease, disorder or condition selected from the foregoing list, suitably selected from type 2 diabetes, obesity, atherosclerosis and heart failure (especially heart failure with preserved ejection fraction), including the etc. as a comorbidity exists, for example in a subject with type 2 diabetes who is also obese or in a subject with type 2 diabetes who is also suffering from heart failure, where the drug is prepared for use with another treatment administered together.

本文提供了另一治療劑用於治療疾病、障礙或病症之用途,該疾病、障礙或病症選自前述列表,適當地選自2型糖尿病、肥胖症、動脈粥樣硬化和心臟衰竭(特別是射血分數保留的心臟衰竭),包括該等作為例如在患有2型糖尿病、同時肥胖的受試者或患有2型糖尿病、同時患有心臟衰竭的受試者中的合併症存在的情況,其中該藥物與本發明的化合物一起施用。Provided herein is the use of another therapeutic agent for the treatment of a disease, disorder or condition selected from the foregoing list, suitably selected from type 2 diabetes, obesity, atherosclerosis and heart failure (in particular heart failure with preserved ejection fraction), including conditions where such conditions exist as comorbidities, for example, in subjects with type 2 diabetes who are also obese or in subjects with type 2 diabetes and who are also suffering from heart failure. , wherein the drug is administered together with a compound of the invention.

本文提供了一種具有式 (I) 的化合物或其藥學上可接受的鹽(包括例如,具有式 (Ia)、(II)、(IIa)、(III)、(IIIa)、(IIIb)、(IV)、(IVa)、(IVb)、(V)、(Va) 和 (Vb) 中任一項的化合物或其藥學上可接受的鹽),用於在治療疾病、障礙或病症之方法中使用,該疾病、障礙或病症選自前述列表,適當地選自2型糖尿病、肥胖症、動脈粥樣硬化和心臟衰竭(特別是射血分數保留的心臟衰竭),包括該等作為例如在患有2型糖尿病、同時肥胖的受試者或患有2型糖尿病、同時患有心臟衰竭的受試者中的合併症存在的情況,其中製備該具有式 (I) 的化合物或其藥學上可接受的鹽用於與另一治療劑一起施用。Provided herein is a compound of formula (I) or a pharmaceutically acceptable salt thereof (including, for example, compounds of formula (Ia), (II), (IIa), (III), (IIIa), (IIIb), ( A compound of any one of IV), (IVa), (IVb), (V), (Va) and (Vb) or a pharmaceutically acceptable salt thereof) for use in a method of treating a disease, disorder or condition For use, the disease, disorder or condition is selected from the foregoing list, suitably selected from type 2 diabetes, obesity, atherosclerosis and heart failure (especially heart failure with preserved ejection fraction), including such as in patients with, e.g. There are cases where comorbidities exist in subjects with type 2 diabetes and obesity or subjects with type 2 diabetes and heart failure, wherein the compound of formula (I) is prepared or is pharmaceutically acceptable. Salts are accepted for administration with another therapeutic agent.

本文還提供了另一治療劑,用於在治療疾病、障礙或病症之方法中使用,該疾病、障礙或病症選自前述列表,適當地選自2型糖尿病、肥胖症、動脈粥樣硬化和心臟衰竭(特別是射血分數保留的心臟衰竭),包括該等作為例如在患有2型糖尿病、同時肥胖的受試者或患有2型糖尿病、同時患有心臟衰竭的受試者中的合併症存在的情況,其中製備該其他治療劑用於與具有式 (I) 的化合物或其藥學上可接受的鹽(包括例如,具有式 (Ia)、(II)、(IIa)、(III)、(IIIa)、(IIIb)、(IV)、(IVa)、(IVb)、(V)、(Va) 和 (Vb) 中任一項的化合物或其藥學上可接受的鹽)一起施用。Also provided herein is another therapeutic agent for use in a method of treating a disease, disorder, or condition selected from the foregoing list, suitably selected from type 2 diabetes, obesity, atherosclerosis, and Heart failure (especially heart failure with preserved ejection fraction), including such conditions as, for example, in a subject with type 2 diabetes and obesity or in a subject with type 2 diabetes and heart failure In the presence of comorbidities, the other therapeutic agent is prepared for use with a compound of formula (I) or a pharmaceutically acceptable salt thereof (including, for example, compounds of formula (Ia), (II), (IIa), (III) ), (IIIa), (IIIb), (IV), (IVa), (IVb), (V), (Va) and (Vb) or a pharmaceutically acceptable salt thereof) administered together .

本文還提供了一種具有式 (I) 的化合物或其藥學上可接受的鹽(包括例如,具有式 (Ia)、(II)、(IIa)、(III)、(IIIa)、(IIIb)、(IV)、(IVa)、(IVb)、(V)、(Va) 和 (Vb) 中任一項的化合物或其藥學上可接受的鹽),用於在治療疾病、障礙或病症之方法中使用,該疾病、障礙或病症選自前述列表,適當地選自2型糖尿病、肥胖症、動脈粥樣硬化和心臟衰竭(特別是射血分數保留的心臟衰竭),包括該等作為例如在患有2型糖尿病、同時肥胖的受試者或患有2型糖尿病、同時患有心臟衰竭的受試者中的合併症存在的情況,其中該具有式 (I) 的化合物或其藥學上可接受的鹽與另一治療劑一起施用。Also provided herein is a compound of formula (I) or a pharmaceutically acceptable salt thereof (including, for example, compounds of formula (Ia), (II), (IIa), (III), (IIIa), (IIIb), A compound of any one of (IV), (IVa), (IVb), (V), (Va) and (Vb) or a pharmaceutically acceptable salt thereof) for use in a method of treating a disease, disorder or condition As used in, the disease, disorder or condition is selected from the foregoing list, suitably selected from type 2 diabetes, obesity, atherosclerosis and heart failure (especially heart failure with preserved ejection fraction), including such as, for example, in The presence of comorbidities in subjects with type 2 diabetes and obesity or in subjects with type 2 diabetes and heart failure, wherein the compound of formula (I) or its pharmaceutically acceptable The salts received are administered together with another therapeutic agent.

還提供了另一治療劑,用於在治療疾病、障礙或病症之方法中使用,該疾病、障礙或病症選自前述列表,適當地選自2型糖尿病、肥胖症、動脈粥樣硬化和心臟衰竭(特別是射血分數保留的心臟衰竭),包括該等作為例如在患有2型糖尿病、同時肥胖的受試者或患有2型糖尿病、同時患有心臟衰竭的受試者中的合併症存在的情況,其中該其他治療劑與具有式 (I) 的化合物或其藥學上可接受的鹽一起施用。Also provided is another therapeutic agent for use in a method of treating a disease, disorder or condition selected from the foregoing list, suitably selected from the group consisting of type 2 diabetes, obesity, atherosclerosis and cardiac disease. Failure (especially heart failure with preserved ejection fraction), including such combinations as, for example, in a subject with type 2 diabetes who is also obese or in a subject with type 2 diabetes who is also suffering from heart failure In the presence of a disease, the other therapeutic agent is administered with a compound of formula (I) or a pharmaceutically acceptable salt thereof.

本文還提供了具有式 (I) 的化合物或其藥學上可接受的鹽(包括例如,具有式 (Ia)、(II)、(IIa)、(III)、(IIIa)、(IIIb)、(IV)、(IVa)、(IVb)、(V)、(Va) 和 (Vb) 中任一項的化合物或其藥學上可接受的鹽)用於治療疾病、障礙或病症之用途,該疾病、障礙或病症選自前述列表,適當地選自2型糖尿病、肥胖症、動脈粥樣硬化和心臟衰竭(特別是射血分數保留的心臟衰竭),包括該等作為例如在患有2型糖尿病、同時肥胖的受試者或患有2型糖尿病、同時患有心臟衰竭的受試者中的合併症存在的情況,其中患者之前(例如在24小時內)曾用另一治療劑治療。Also provided herein are compounds of formula (I) or pharmaceutically acceptable salts thereof (including, for example, compounds of formula (Ia), (II), (IIa), (III), (IIIa), (IIIb), ( The use of a compound of any one of IV), (IVa), (IVb), (V), (Va) and (Vb) or a pharmaceutically acceptable salt thereof) for the treatment of a disease, disorder or condition, , disorder or condition selected from the foregoing list, suitably selected from type 2 diabetes, obesity, atherosclerosis and heart failure (especially heart failure with preserved ejection fraction), including such as, for example, in patients with type 2 diabetes , the presence of comorbidities in subjects who are obese or who have type 2 diabetes and heart failure, where the patient has been previously (e.g., within 24 hours) treated with another therapeutic agent.

本文還提供了另一治療劑用於治療疾病、障礙或病症之用途,該疾病、障礙或病症選自前述列表,適當地選自2型糖尿病、肥胖症、動脈粥樣硬化和心臟衰竭(特別是射血分數保留的心臟衰竭),包括該等作為例如在患有2型糖尿病、同時肥胖的受試者或患有2型糖尿病、同時患有心臟衰竭的受試者中的合併症存在的情況,其中患者之前(例如在24小時內)曾用具有式 (I) 的化合物或其藥學上可接受的鹽(包括例如,具有式 (Ia)、(II)、(IIa)、(III)、(IIIa)、(IIIb)、(IV)、(IVa)、(IVb)、(V)、(Va) 和 (Vb) 中任一項的化合物或其藥學上可接受的鹽)治療。Also provided herein is the use of another therapeutic agent for the treatment of a disease, disorder or condition selected from the foregoing list, suitably selected from type 2 diabetes, obesity, atherosclerosis and heart failure (in particular heart failure with preserved ejection fraction), including those present as a comorbidity, for example, in a subject with type 2 diabetes who is also obese or in a subject with type 2 diabetes who is also suffering from heart failure Cases in which the patient has previously (e.g., within 24 hours) taken a compound of formula (I) or a pharmaceutically acceptable salt thereof (including, for example, compounds of formula (Ia), (II), (IIa), (III) , (IIIa), (IIIb), (IV), (IVa), (IVb), (V), (Va) and (Vb) any one of the compounds or pharmaceutically acceptable salts thereof) treatment.

在一個實施方式中,其他治療劑選自: 1.  抗糖尿病劑,如胰島素、胰島素衍生物和模擬物;胰島素促分泌劑,如磺醯脲(例如,氯磺丙脲、甲磺吖庚脲、乙醯苯磺醯環己脲、甲苯磺丁脲、格列本脲、格列美脲、格列吡𠯤);格列本脲和亞莫利阿瑪爾(Amaryl);促胰島素的磺醯脲受體配體,例如美格列脲,例如那格列奈和瑞格列奈;四氫噻唑二酮類(例如,羅格列酮(AVANDIA)、曲格列酮(REZULIN)、吡格列酮(ACTOS)、巴格列酮(balaglitazone)、利格列酮(rivoglitazone)、萘格列酮(netoglitazone)、曲格列酮、恩格列酮(englitazone)、賽格列酮(ciglitazone)、阿達格列酮(adaglitazone)、達格列酮(darglitazone)),其增強胰島素作用(例如,藉由胰島素增敏),從而促進葡萄糖在外周組織中的利用;蛋白酪胺酸磷酸酶-1B(PTP-1B)抑制劑,如PTP-112;膽固醇酯轉運蛋白(CETP)抑制劑,如托塞匹布(torcetrapib),GSK3(糖原合酶激酶-3)抑制劑,如SB-517955、SB-4195052、SB-216763、NN-57-05441和NN-57-05445;RXR配體,如GW-0791和AGN-194204;鈉依賴性葡萄糖協同轉運蛋白抑制劑,如卡格列淨、達格列淨、恩格列淨、埃格列淨、伊格列淨、魯格列淨、依碳酸瑞格列淨、索格列淨、托格列淨;糖原磷酸化酶A抑制劑,如BAY R3401;雙胍類(如二甲雙胍)和其他藉由促進葡萄糖利用、減少肝葡萄糖產生和/或減少腸葡萄糖輸出而起作用的藥劑;α-葡萄糖苷酶抑制劑(如阿卡波糖和migiitoi)和其他減慢碳水化合物消化並因此減慢從腸道吸收並降低餐後高血糖的藥劑;GIPR調節劑,如替爾泊肽(trizepatide)、CT-868、CT-388、AMG133、HM15211、NN9423、TAK-094、LBT-6030、ZP-I-98、NN9709、RG7685、RG7697、SAR438335;以及DPPIV(二肽基肽酶IV)抑制劑,如維格列汀; 2.  降血脂劑,如3-羥基-3-甲基-戊二醯輔酶A(HMG-CoA)還原酶抑制劑,例如洛伐他汀、匹伐他汀、辛伐他汀、普伐他汀、西立伐他汀、美伐他汀、維洛他汀、氟伐他汀、達伐他汀、阿托伐他汀、瑞舒伐他汀和利伐他汀;角鯊烯合酶抑制劑;FXR(菌綠烯醇X受體)和LXR(肝X受體)配體;膽汁酸螯合劑,如消膽胺和考來維侖;貝特類;酸和阿司匹林; 3.  抗肥胖劑,如奧利司他、利莫那班、芬特明、托吡酯、qunexa和綠卡色林(locaserin);GDF15(如其變體、軛合物、融合物、類似物、突變體和片段,包括其他GFRAL調節劑,如NGM386、NGM395);描述於以下中的分子:PCT公開WO 2013/148117、WO 2014/120619和所有有關的專利家族成員(包括但不限於美國專利9,161,966 B1)、WO 2012/138919、WO 2013/113008、WO 2015/017710、WO 2015/200078、WO 2015/197446、WO 2015/198199和WO 2017/109706,特別是GDF15與脂肪酸的軛合物(如描述於PCT公開WO 2015/200078和WO 2017/109706中的軛合物)和GDF15融合物(包括例如GDF15與人血清白蛋白(HSA)的融合物),如描述於PCT公開WO 2015/197446、WO 2015/198199和WO 2017/109706中的融合物;FGF21模擬物,如PEG-FGF21、派格貝弗明(Pegbelfermin);ActRII拮抗劑,如瑞馬特賽普特(ramatercept);和Alk7拮抗劑; 4.  抗高血壓劑,例如袢利尿劑,如依他尼酸、呋塞米和托拉塞米;血管緊張素轉換酶(ACE)抑制劑,如苯那普利、卡托普利、依那普利、福辛普利、賴諾普利、莫昔普利、培哚普利、喹那普利、雷米普利和群多普利;Na-K-ATP酶膜泵抑制劑,如長葉毛地黃苷;中性內肽酶(NEP)抑制劑;ACE/NEP抑制劑,如奧帕曲拉、山帕曲拉和法西多曲;血管緊張素II拮抗劑,如坎地沙坦、依普羅沙坦、厄貝沙坦、氯沙坦、替米沙坦和纈沙坦,特別是纈沙坦;血管緊張素受體-腦啡肽酶抑制劑(ARNi),如沙庫必曲/纈沙坦(Entresto);腎素抑制劑,如地替吉侖(ditekiren)、占吉侖(zankiren)、特拉吉侖(terlakiren)、阿利吉侖(aliskiren)、RO 66-1132和RO-66-1168;β-腎上腺素能受體阻滯劑,如醋丁洛爾、阿替洛爾、倍他洛爾、比索洛爾、美托洛爾、納多洛爾、普萘洛爾、索他洛爾和噻嗎洛爾;正性肌力劑,如長葉毛地黃苷、多巴酚丁胺和米力農;鈣通道阻滯劑,如胺氯地平、苄普地爾(bepridil)、地爾硫卓、非洛地平、尼卡地平、尼莫地平、硝苯地平、尼索地平和維拉帕米;醛固酮受體拮抗劑;以及醛固酮合酶抑制劑; 5.  過氧化物酶體增殖物-活化劑受體的促效劑,如非諾貝特、吡格列酮、羅格列酮、替格列紮、BMS-298585、L-796449、專利申請WO 2004/103995中具體描述的化合物(即實例1至35的化合物或請求項21中具體列出的化合物),或專利申請WO 03/043985中具體描述的化合物(即實例1至7的化合物或請求項19中具體列出的化合物)並且尤其是( R)-1-{4-[5-甲基-2-(4-三氟甲基-苯基)-㗁唑-4-基甲氧基]-苯磺醯基}-2,3-二氫-1H-吲哚-2-甲酸或其鹽; 6. Expert Opin Investig Drugs[研究藥物專家意見] 2003, 12(4): 623-633圖1至圖7中描述的具體抗糖尿病化合物。 7.  結合促腎上腺皮質激素釋放激素受體的化合物,如尿促皮素2。 In one embodiment, the other therapeutic agents are selected from: 1. Antidiabetic agents, such as insulin, insulin derivatives and mimetics; insulin secretagogues, such as sulfonamides (e.g., chlorpropamide, azepinamide tosilyl) , acetyl benzene sulfonamide, tolbutamide, glyburide, glimepiride, glipizide); glyburide and Amaryl; insulin-stimulating sulfonate urea receptor ligands, such as meglitazone, such as nateglinide and repaglinide; tetrahydrothiazodiones (such as rosiglitazone (AVANDIA), troglitazone (REZULIN), pioglitazone (ACTOS), balaglitazone, rivoglitazone, netoglitazone, troglitazone, englitazone, ciglitazone, ada adaglitazone, darglitazone), which enhance insulin action (e.g., by insulin sensitization), thereby promoting glucose utilization in peripheral tissues; protein tyrosine phosphatase-1B (PTP -1B) inhibitors, such as PTP-112; cholesteryl ester transfer protein (CETP) inhibitors, such as torcetrapib (torcetrapib), GSK3 (glycogen synthase kinase-3) inhibitors, such as SB-517955, SB- 4195052, SB-216763, NN-57-05441 and NN-57-05445; RXR ligands such as GW-0791 and AGN-194204; sodium-dependent glucose co-transporter inhibitors such as canagliflozin and dapagliflozin net, empagliflozin, empagliflozin, ipagliflozin, rupagliflozin, repagliflozin etabonate, sopagliflozin, togliflozin; glycogen phosphorylase A inhibitors, such as BAY R3401; biguanides (e.g., metformin) and other agents that act by promoting glucose utilization, reducing hepatic glucose production, and/or reducing intestinal glucose output; alpha-glucosidase inhibitors (e.g., acarbose and migiitoi) and Other agents that slow carbohydrate digestion and therefore absorption from the intestine and reduce postprandial hyperglycemia; GIPR modulators such as trizepatide, CT-868, CT-388, AMG133, HM15211, NN9423, TAK-094, LBT-6030, ZP-I-98, NN9709, RG7685, RG7697, SAR438335; and DPPIV (dipeptidyl peptidase IV) inhibitors, such as vildagliptin; 2. Lipid-lowering agents, such as 3- Hydroxy-3-methyl-glutaryl coenzyme A (HMG-CoA) reductase inhibitors, such as lovastatin, pitavastatin, simvastatin, pravastatin, cerivastatin, mevastatin, velovastatin Statins, fluvastatin, darvastatin, atorvastatin, rosuvastatin, and rivastatin; squalene synthase inhibitors; FXR (bacterioconol X receptor) and LXR (liver X receptor) Ligands; bile acid sequestrants, such as cholestyramine and colesevelam; fibrates; acids and aspirin; 3. Anti-obesity agents, such as orlistat, rimonabant, phentermine, topiramate, qunexa and locaserin; GDF15 (such as variants, conjugates, fusions, analogs, mutants and fragments thereof, including other GFRAL modulators such as NGM386, NGM395); molecules described in: PCT Disclosure WO 2013/148117, WO 2014/120619 and all related patent family members (including but not limited to US Patent 9,161,966 B1), WO 2012/138919, WO 2013/113008, WO 2015/017710, WO 2015/200078, WO 2015/ 197446, WO 2015/198199 and WO 2017/109706, in particular conjugates of GDF15 with fatty acids (such as those described in PCT Publications WO 2015/200078 and WO 2017/109706) and GDF15 fusions (including for example GDF15 Fusions with human serum albumin (HSA)), such as those described in PCT Publications WO 2015/197446, WO 2015/198199 and WO 2017/109706; FGF21 mimics, such as PEG-FGF21, PegBev Pegbelfermin; ActRII antagonists, such as ramatercept; and Alk7 antagonists; 4. Antihypertensive agents, such as loop diuretics, such as ethacrynic acid, furosemide, and tolasel m; Angiotensin-converting enzyme (ACE) inhibitors, such as benazepril, captopril, enalapril, fosinopril, lisinopril, moexipril, perindopril, quinopril Nalapril, ramipril and trandolapril; Na-K-ATPase membrane pump inhibitors, such as digitonin; neutral endopeptidase (NEP) inhibitors; ACE/NEP inhibitors, such as Opacadril, sampadril, and facidotril; angiotensin II antagonists such as candesartan, eprosartan, irbesartan, losartan, telmisartan, and valsartan , especially valsartan; angiotensin receptor-neprilysin inhibitors (ARNi), such as sacubitril/valsartan (Entresto); renin inhibitors, such as ditekiren (ditekiren), zankiren, terlakiren, aliskiren, RO 66-1132 and RO-66-1168; beta-adrenoceptor blockers such as acebutolol, Atenolol, betaxalol, bisoprolol, metoprolol, nadolol, propranolol, sotalol, and timolol; inotropic agents, such as inotropes Xanthosides, dobutamine and milrinone; calcium channel blockers such as amlodipine, bepridil (bepridil), diltiazem, felodipine, nicardipine, nimodipine, nifedipine, nisoldipine and verapamil; aldosterone receptor antagonists; and aldosterone synthase inhibitors; 5. Peroxisome proliferator-activator receptor agonists, such as fenofibrate, pioglitazone, rosin Glitazone, ticaglitazar, BMS-298585, L-796449, compounds specifically described in patent application WO 2004/103995 (i.e. compounds of examples 1 to 35 or compounds specifically listed in claim 21), or patents The compounds specifically described in application WO 03/043985 (i.e. the compounds of Examples 1 to 7 or the compounds specifically listed in claim 19) and especially ( R )-1-{4-[5-methyl-2-( 4-Trifluoromethyl-phenyl)-ethazol-4-ylmethoxy]-benzenesulfonyl}-2,3-dihydro-1H-indole-2-carboxylic acid or its salt; 6. Expert Opin Investig Drugs [Expert Opinion on Research Drugs] 2003 , 12(4): 623-633Specific antidiabetic compounds described in Figures 1 to 7. 7. Compounds that bind to corticotropin-releasing hormone receptors, such as urinary corticotropin 2.

此外,本發明提供了與促進體重減輕的藥劑和方法的組合療法,如刺激代謝或降低食欲的藥劑,以及改善的飲食和/或段煉方案以促進體重減輕。 實例 Additionally, the present invention provides combination therapies with agents and methods that promote weight loss, such as agents that stimulate metabolism or reduce appetite, as well as improved dietary and/or exercise regimens to promote weight loss. Example

以下實例旨在說明本發明,而不應被解釋為對其的限制。溫度以攝氏度給出。如果沒有另外提及,所有蒸發都在減壓下進行,典型地在約15 mm Hg與100 mm Hg(= 20-133毫巴)之間進行。最終產物、中間物及起始材料的結構由標準分析方法(例如,微量分析及光譜特徵(例如,MS、IR、NMR))證實。所使用的縮寫係本領域常規的縮寫。The following examples are intended to illustrate the invention and should not be construed as limiting it. Temperatures are given in degrees Celsius. If not mentioned otherwise, all evaporations are performed under reduced pressure, typically between about 15 mm Hg and 100 mm Hg (= 20-133 mbar). The structures of final products, intermediates, and starting materials are confirmed by standard analytical methods (e.g., microanalysis and spectroscopic characterization (e.g., MS, IR, NMR)). The abbreviations used are those conventional in the art.

用於合成本發明化合物的所有起始材料、結構單元、試劑、酸、鹼、脫水劑、溶劑和催化劑係可商購獲得的或可藉由熟悉該項技術者已知的有機合成方法製備。此外,本發明的化合物可以藉由熟悉該項技術者已知的有機合成方法生產,如以下實例所示。All starting materials, structural units, reagents, acids, bases, dehydrating agents, solvents and catalysts used for the synthesis of the compounds of the present invention are commercially available or can be prepared by organic synthesis methods known to those skilled in the art. In addition, the compounds of the present invention can be produced by organic synthesis methods known to those skilled in the art, as shown in the following examples.

以下實例和本文其他地方使用的縮寫詞係: A 0低濃度時希爾曲線的平臺值 AC 50半最大化合物效應時的濃度 A inf高濃度時希爾曲線的平臺值 ACN                                                  乙腈 BSA                                                   牛血清白蛋白 BOC                                                  三級丁基羧基 br                                                       寬峰 BSA                                                   牛血清白蛋白 cAMP                                                環腺苷單磷酸 CDI                                                   羰基二咪唑 CO 2二氧化碳 d                                                        雙重峰 dd                                                      雙雙重峰 DBU                                                  二氮雜雙環十一碳烯 DCM                                                 二氯甲烷 DIEA/DIPEA                                    二乙基異丙胺 DMA                                                 二甲基乙醯胺 DMEM                                              杜爾貝科改良伊格爾培養基 DMF                                                  N,N-二甲基甲醯胺 DMI                                                   二甲基咪唑啉酮 DMPU                                               N,N-二甲基丙烯脲 DMSO                                               二甲亞碸 EC                                                     有效濃度 EC 0沒有產生回應的化合物的有效濃度 EC 50產生半最大響應(AC 50,以µM計)的化合物的有效濃度 EC 100產生最大(100%)響應的化合物的有效濃度 EDTA                                                乙二胺四乙酸 E max功效:給藥的藥劑可達到的最大回應 ESI                                                    電灑電離 EtOAc                                               乙酸乙酯 ETOH                                                乙醇 FA                                                     甲酸 FBS                                                   胎牛血清 G418                                                 遺傳黴素,一種選擇抗生素 GLP1                                                 類升糖素肽1 GLP1R                                              類升糖素肽1受體 GPCR                                                G蛋白偶聯受體 h                                                        小時 HATU                                               (1-[雙(二甲基胺基)亞甲基]-1H-1,2,3-三唑并[4,5-b]吡啶鎓3-氧化物六氟磷酸鹽) hGLP1R                                            人類升糖素肽1受體 HPLC                                                高壓液相層析法 HRMS                                               高分辨質譜法 HTRF                                                均質時間分辨螢光 IBMX                                                3-異丁基-1-甲基黃嘌呤 KHMDS                                            雙(三甲基矽基)醯胺鉀 LCMS                                                液相層析法和質譜法 LDA                                                  二異丙基胺基鋰 LiOH                                                 氫氧化鋰 MeCN                                                乙腈 MeOH                                               甲醇 MS                                                     質譜法 m                                                       多重峰 mg                                                     毫克 min                                                    分鐘 mL                                                     毫升 mM                                                    毫莫耳 mmol                                                 毫莫耳 nM                                                     納莫耳 m/z                                                    質荷比 NMR                                                 核磁共振 ND                                                    未確定的 PBS                                                   磷酸鹽緩衝鹽水 Pd(OAc) 2乙酸鈀(II) PdCl 2(dppf)-CH 2Cl 21,1’-雙(二苯基膦基)二茂鐵-二氯化鈀(II)二氯甲烷錯合物 Pd(OAc) 2乙酸鈀(II) ppm                                                   百萬分率 p-TsOH                                             對甲苯磺酸 PyBOP                                              苯并三唑-1-基氧基三吡咯啶基鏻六氟磷酸鹽 PyBroP                                              溴代三吡咯啶基鏻六氟磷酸鹽 rac                                                     外消旋的 R t保留時間 rt                                                        室溫 s                                                         單峰 SFC                                                   超流體二氧化碳 SM                                                     起始材料(starting material / starting materials) SEM-Cl                                             2-(三甲基矽基)乙氧基甲基氯 t                                                         三重峰 TEA                                                   三乙胺 TFA                                                   三氟乙酸 THF                                                   四氫呋喃 TMS                                                  三甲基矽基 TMSCl                                               三甲基矽基氯化物 Tol                                                     甲苯 Turbo Grignard                                 異丙基氯化鎂氯化鋰錯合物溶液 v/v                                                     體積/體積 µL                                                      微升 µM                                                     微莫耳 通用條件: NMR The following examples and abbreviations used elsewhere in this article are: A 0 Plateau of the Hill curve at low concentrations AC 50 Concentration at half maximum compound effect A inf Plateau of the Hill curve at high concentrations ACN Acetonitrile BSA Bovine serum albumin BOC tertiary butylcarboxybr broad peak BSA bovine serum albumin cAMP cyclic adenosine monophosphate CDI carbonyldiimidazole CO 2 carbon dioxide d doublet dd double doublet DBU diazabicycloundecene DCM dichloromethane DIEA/DIPEA Diethylisopropylamine DMA Dimethylacetamide DMEM Dulbecco's modified Eagle's medium DMF N,N-dimethylformamide DMI Dimethylimidazolinone DMPU N,N-dimethylacrylamide DMSO Dimethyl sulfoxide EC Effective concentration EC 0 Effective concentration of the compound that produced no response EC 50 Effective concentration of the compound that produced a half-maximal response (AC 50 in µM) EC 100 Effective concentration of the compound that produced a maximum (100%) response Concentration EDTA Ethylenediaminetetraacetic acid E max efficacy: the maximum achievable response to the administered agent ESI Electrospray ionization EtOAc Ethyl acetate ETOH Ethanol FA Formic acid FBS Fetal bovine serum G418 Geneticin, a selected antibiotic GLP1 Glucagon-like peptide 1 GLP1R glucagon-like peptide 1 receptor GPCR G protein-coupled receptor h hour HATU (1-[bis(dimethylamino)methylene]-1H-1,2,3-triazolo[4 ,5-b]pyridinium 3-oxide hexafluorophosphate) hGLP1R human glucagon peptide 1 receptor HPLC high-pressure liquid chromatography HRMS high-resolution mass spectrometry HTRF homogeneous time-resolved fluorescence IBMX 3-isobutyl- 1-Methylxanthine KHMDS Potassium bis(trimethylsilyl)amide LCMS Liquid chromatography and mass spectrometry LDA Lithium diisopropylamine LiOH Lithium hydroxide MeCN Acetonitrile MeOH Methanol MS Mass spectrometry m Multiplet peak mg mg min min mL ml mM mmol mmol millimole nM nanomolar m/z mass-to-charge ratio NMR ND Undetermined PBS Phosphate Buffered Saline Pd(OAc) 2Palladium (II) acetate PdCl 2 (dppf) -CH 2 Cl 2 1,1'-Bis(diphenylphosphino)ferrocene-palladium(II) dichloride dichloromethane complex Pd(OAc) 2Palladium (II) acetate ppm parts per million p-TsOH p-toluenesulfonic acid PyBOP benzotriazol-1-yloxytripyrrolidinylphosphonium hexafluorophosphate PyBroP bromotripyrrolidinylphosphonium hexafluorophosphate rac racemic R t retention time rt chamber Temperature s single peak SFC superfluid carbon dioxide SM starting material (starting material / starting materials) SEM-Cl 2-(trimethylsilyl)ethoxymethyl chloride t triplet TEA triethylamine TFA trifluoroacetic acid THF tetrahydrofuran TMS Trimethylsilyl TMSCl Trimethylsilyl Chloride Tol Toluene Turbo Grignard Isopropyl Magnesium Chloride Lithium Chloride Complex Solution v/v Volume/Volume µL Microliter µM Micromol General conditions: NMR

除非另外注明,否則使用從商業供應商處收到的試劑和溶劑。質子核磁共振( 1H NMR)譜在以下條件記錄:(a) 在布魯克公司(Bruker)AVANCE 400 MHz或500 MHz NMR光譜儀上,使用ICON-NMR,在TopSpin程式控制下;(b) 在布魯克公司ASCEND 400 MHz NMR光譜儀上,使用Console-Avance III 400,在TopSpin 3.2程式控制下;或 (c) 在布魯克公司ASCEND 400 MHz NMR光譜儀上,使用Console-Avance III HD,在TopSpin 3.2程式控制下。除非另外指明,否則譜在293-298 K下測量,並相對於溶劑共振來參考。光譜以ppm(δ)給出,並且以赫茲報告耦合常數J。將四甲基矽烷(TMS)用作內標。 NMR-01 Reagents and solvents received from commercial suppliers were used unless otherwise noted. Proton nuclear magnetic resonance ( 1 H NMR) spectra were recorded under the following conditions: (a) on a Bruker AVANCE 400 MHz or 500 MHz NMR spectrometer, using ICON-NMR, under the control of the TopSpin program; (b) on a Bruker AVANCE 400 MHz or 500 MHz NMR spectrometer ASCEND 400 MHz NMR spectrometer, using Console-Avance III 400, controlled by the TopSpin 3.2 program; or (c) on a Bruker ASCEND 400 MHz NMR spectrometer, using Console-Avance III HD, controlled by the TopSpin 3.2 program. Unless otherwise stated, spectra were measured at 293-298 K and referenced relative to solvent resonance. Spectra are given in ppm (δ) and the coupling constant J is reported in Hertz. Tetramethylsilane (TMS) was used as internal standard. NMR-01 :

除非另外注明,否則使用從商業供應商處收到的試劑和溶劑。在布魯克公司ASCEND 400 MHz NMR光譜儀上使用Console-Avance III 400在TopSpin 3.2程式控制下記錄質子核磁共振(1H NMR)譜。除非另外指明,否則譜在293 K-298 K下測量,並相對於溶劑共振來參考。光譜以ppm(δ)給出,並且以赫茲報告耦合常數J。將四甲基矽烷(TMS)用作內標。 NMR-02 Reagents and solvents received from commercial suppliers were used unless otherwise noted. Proton nuclear magnetic resonance (1H NMR) spectra were recorded on a Bruker ASCEND 400 MHz NMR spectrometer using a Console-Avance III 400 under the control of the TopSpin 3.2 program. Unless otherwise stated, spectra were measured at 293 K-298 K and referenced relative to solvent resonance. Spectra are given in ppm (δ) and the coupling constant J is reported in Hertz. Tetramethylsilane (TMS) was used as internal standard. NMR-02 :

除非另外注明,否則使用從商業供應商處收到的試劑和溶劑。在布魯克公司ASCEND 400 MHz NMR光譜儀上使用Console-Avance III HD在TopSpin 3.2程式控制下記錄質子核磁共振(1H NMR)譜。除非另外指明,否則譜在293 K-298 K下測量,並相對於溶劑共振來參考。光譜以ppm(δ)給出,並且以赫茲報告耦合常數J。將四甲基矽烷(TMS)用作內標。 LCMS 儀器 Reagents and solvents received from commercial suppliers were used unless otherwise noted. Proton nuclear magnetic resonance (1H NMR) spectra were recorded on a Bruker ASCEND 400 MHz NMR spectrometer using Console-Avance III HD under the control of the TopSpin 3.2 program. Unless otherwise stated, spectra were measured at 293 K-298 K and referenced relative to solvent resonance. Spectra are given in ppm (δ) and the coupling constant J is reported in Hertz. Tetramethylsilane (TMS) was used as internal standard. LCMS instrument

使用配備Agilent 6110質譜儀的Agilent 1100 HPLC系統獲取質譜。[M+H] +係指化學種類的質子化分子離子。柱溫為50°C。流速為1.0 mL/min。 LCMS 方法 1 (酸性): Mass spectra were acquired using an Agilent 1100 HPLC system equipped with an Agilent 6110 mass spectrometer. [M+H] + refers to a protonated molecular ion of a chemical species. The column temperature is 50°C. The flow rate is 1.0 mL/min. LCMS method 1 (acidic):

儀器:Waters Acquity UPLC,光電二極體陣列檢測器;柱:AcQuity UPLC BEH C 181.7 µm,21 × 30 mm;2 min執行時間,2%溶劑B從0到0.1 min,2%→98%溶劑B: 溶劑A從0.1到1.8 min,98%溶劑B持續0.2 min。溶劑:溶劑A = 在水中的0.1%甲酸(v/v),溶劑B = 在乙腈中的0.1%甲酸(v/v)。注射體積2-5 uL;UV檢測陣列210-400,質量檢測120-1250(電灑電離);柱,在50°C下;流速1.0 mL/min。 LCMS 方法 2 (鹼性): Instrument: Waters Acquity UPLC, photodiode array detector; Column: AcQuity UPLC BEH C 18 1.7 µm, 21 × 30 mm; 2 min execution time, 2% solvent B from 0 to 0.1 min, 2% → 98% solvent B: Solvent A from 0.1 to 1.8 min, 98% solvent B for 0.2 min. Solvents: Solvent A = 0.1% formic acid in water (v/v), Solvent B = 0.1% formic acid in acetonitrile (v/v). Injection volume 2-5 uL; UV detection array 210-400, mass detection 120-1250 (spray ionization); column, at 50°C; flow rate 1.0 mL/min. LCMS method 2 (alkaline):

儀器:Waters Acquity UPLC,光電二極體陣列檢測器;柱:AcQuity UPLC BEH C 181.7 µm,21 × 50 mm;2 min執行時間,2%溶劑B從0到0.1 min,2%→98%溶劑B: 溶劑A從0.1到1.8 min,98%溶劑B持續0.2 min。溶劑:溶劑A = 在水中的5 mM氫氧化銨,溶劑B = 在乙腈中的5 mM氫氧化銨。注射體積2-5 uL;UV檢測陣列210-400,質量檢測120-1250(電灑電離);柱,在50°C下;流速1.0 mL/min。 LCMS 方法 3 (產物分析 - 酸性): Instrument: Waters Acquity UPLC, photodiode array detector; Column: AcQuity UPLC BEH C 18 1.7 µm, 21 × 50 mm; 2 min execution time, 2% solvent B from 0 to 0.1 min, 2% → 98% solvent B: Solvent A from 0.1 to 1.8 min, 98% solvent B for 0.2 min. Solvents: Solvent A = 5 mM ammonium hydroxide in water, Solvent B = 5 mM ammonium hydroxide in acetonitrile. Injection volume 2-5 uL; UV detection array 210-400, mass detection 120-1250 (spray ionization); column, at 50°C; flow rate 1.0 mL/min. LCMS Method 3 (Product Analysis - Acidity):

儀器:Waters Acquity UPLC,光電二極體陣列檢測器;柱AcQuity UPLC BEH C 181.7 µm,21 × 30 mm;5.2 min執行時間,2% → 98%溶劑B:溶劑A從0到5.15 min,98%溶劑B從5.15到5.20 min。溶劑:溶劑A = 在水中的0.1%甲酸(v/v),溶劑B = 在乙腈中的0.1%甲酸(v/v)。注射體積2-5 uL;UV檢測陣列210-400,質量檢測120-1600;柱,在50°C下,流速1.0 mL/min。 LCMS 方法 4 (產物分析 - 鹼性): Instrument: Waters Acquity UPLC, photodiode array detector; column AcQuity UPLC BEH C 18 1.7 µm, 21 × 30 mm; 5.2 min execution time, 2% → 98% Solvent B: Solvent A from 0 to 5.15 min, 98 % Solvent B from 5.15 to 5.20 min. Solvents: Solvent A = 0.1% formic acid in water (v/v), Solvent B = 0.1% formic acid in acetonitrile (v/v). Injection volume 2-5 uL; UV detection array 210-400, mass detection 120-1600; column, at 50°C, flow rate 1.0 mL/min. LCMS Method 4 (Product Analysis - Basic):

儀器:Waters Acquity UPLC,光電二極體陣列檢測器;柱AcQuity UPLC BEH C 181.7 µm,21 × 30 mm;5.2 min執行時間,2% → 98%溶劑B:溶劑A從0到5.15 min,98%溶劑B從5.15到5.20 min。溶劑:溶劑A = 在水中的5 mM氫氧化銨,溶劑B = 在乙腈中的5 mM氫氧化銨。注射體積2-5 uL;UV檢測陣列210-400,質量檢測120-1600;柱,在50°C下,流速1.0 mL/min。 HRMS 方法 5 Instrument: Waters Acquity UPLC, photodiode array detector; column AcQuity UPLC BEH C 18 1.7 µm, 21 × 30 mm; 5.2 min execution time, 2% → 98% Solvent B: Solvent A from 0 to 5.15 min, 98 % Solvent B from 5.15 to 5.20 min. Solvents: Solvent A = 5 mM ammonium hydroxide in water, Solvent B = 5 mM ammonium hydroxide in acetonitrile. Injection volume 2-5 uL; UV detection array 210-400, mass detection 120-1600; column, at 50°C, flow rate 1.0 mL/min. HRMS Method 5 :

儀器:Agilent 1200 LC/G1956A,二極體陣列檢測器;柱:Chromolith Flash C 18,1.6微米,2 × 25 mm;1.5分鐘執行時間,5% → 95%溶劑B:溶劑A從0 → 1.2分鐘並且然後95%溶劑B從1.21 → 1.5分鐘。溶劑:溶劑A = 在水中0.0375% TFA(v/v),溶劑B = 在乙腈中0.01875% TFA(v/v)。注射體積2-5 uL;UV檢測220和254 nM,質量檢測100-1000(電灑電離);柱,在50°C下;流速1.5 mL/min。 手性製備型 HPLC 方法:儀器:Shimadzu LC-20AP和UV檢測器。 柱:CHIRALPAK IG,(250 × 21.0)mm,5微米, 柱流速:16.0 mL/min。 流動相:(A) 在甲醇中的0.1% DEA。 在λ max為276.0 nm處記錄UV譜。 Instrument: Agilent 1200 LC/G1956A, diode array detector; Column: Chromolith Flash C 18 , 1.6 μm, 2 × 25 mm; 1.5 min execution time, 5% → 95% Solvent B: Solvent A from 0 → 1.2 min And then 95% solvent B from 1.21 → 1.5 minutes. Solvents: Solvent A = 0.0375% TFA in water (v/v), Solvent B = 0.01875% TFA in acetonitrile (v/v). Injection volume 2-5 uL; UV detection 220 and 254 nM, mass detection 100-1000 (spray ionization); column, at 50°C; flow rate 1.5 mL/min. Chiral preparative HPLC method: Instrument: Shimadzu LC-20AP and UV detector. Column: CHIRALPAK IG, (250 × 21.0) mm, 5 micron, column flow rate: 16.0 mL/min. Mobile phase: (A) 0.1% DEA in methanol. UV spectra were recorded at λ max of 276.0 nm.

等度比為: 時間(min) %A 0.01 100 18.00 100 實例 1 :中間體的合成 The isocratic ratio is: time(min) %A 0.01 100 18.00 100 Example 1 : Synthesis of intermediates

實例 1-1 (S)-3-氟-4-(2-甲基-4-(哌啶-4-基)苯并[d][1,3]二氧戊環-2-基)苯甲腈4-甲基苯磺酸鹽 ( II.B1) 的合成。 Example 1-1 : (S)-3-fluoro-4-(2-methyl-4-(piperidin-4-yl)benzo[d][1,3]dioxolane-2-yl) Synthesis of benzonitrile 4-methylbenzenesulfonate ( II.B1 ).

步驟1:(S)-4-(2-(4-氰基-2-氟苯基)-2-甲基苯并[d][1,3]二氧戊環-4-基)哌啶-1-甲酸三級丁酯 (I I.1b) 的合成。 Step 1: (S)-4-(2-(4-cyano-2-fluorophenyl)-2-methylbenzo[d][1,3]dioxolane-4-yl)piperidine -Synthesis of tertiary butyl 1-carboxylate (I I.1b ).

將中間體 II.2b(0.500 g,1.12 mmol)、氰化鋅(144 mg,77.9 µL,1.23 mmol)、和(2-二環己基膦基-2',6'-二甲氧基聯苯基)[2-(2'-胺基-1,1'-聯苯基)]甲磺酸鈀(II)(48.9 mg,55.8 µmol)在氮氣下溶解於乾燥的N,N-二甲基甲醯胺(5 mL)中。添加水(0.1 mL),並藉由鼓泡氮氣使混合物脫氣。將反應在微波中加熱至150°C持續25分鐘。藉由LCMS分析,發現接近完全轉化為希望的物質。將小瓶打開並倒入1 N氫氧化鈉(30 mL)和乙酸乙酯(75 mL)的混合物。將混合物強烈攪拌10 min,並然後將各相分離。將有機相用硫酸鈉乾燥並在減壓下蒸發至乾。使用ISCO(在庚烷中5%-60%乙酸乙酯梯度)進行純化,給出呈白色固體的所希望的 II.1b(445 mg,1.02 mmol,91%產率)。 1H NMR (400 MHz, CDCl 3) δ ppm 1.11 - 1.20 (m, 1 H) 1.30 - 1.38 (m, 9 H) 1.45 - 1.73 (m, 5 H) 1.89 - 1.95 (m, 3 H) 2.60 - 2.72 (m, 3 H) 4.03 - 4.15 (m, 2 H) 6.49 - 6.60 (m, 2 H) 6.60 - 6.69 (m, 1 H) 7.22 - 7.33 (m, 2 H) 7.53 - 7.59 (m, 1 H)。 Combine Intermediate II.2b (0.500 g, 1.12 mmol), zinc cyanide (144 mg, 77.9 µL, 1.23 mmol), and (2-dicyclohexylphosphino-2',6'-dimethoxybiphenyl Palladium(II)[2-(2'-amino-1,1'-biphenyl)]methanesulfonate (48.9 mg, 55.8 µmol) was dissolved in dry N,N-dimethyl under nitrogen formamide (5 mL). Water (0.1 mL) was added and the mixture was degassed by bubbling nitrogen. The reaction was heated to 150°C in the microwave for 25 minutes. By LCMS analysis, nearly complete conversion into the desired substance was found. Open the vial and pour a mixture of 1 N sodium hydroxide (30 mL) and ethyl acetate (75 mL). The mixture was stirred vigorously for 10 min and the phases were then separated. The organic phase was dried over sodium sulfate and evaporated to dryness under reduced pressure. Purification using ISCO (5%-60% ethyl acetate gradient in heptane) gave the desired II.1b as a white solid (445 mg, 1.02 mmol, 91% yield). 1 H NMR (400 MHz, CDCl 3 ) δ ppm 1.11 - 1.20 (m, 1 H) 1.30 - 1.38 (m, 9 H) 1.45 - 1.73 (m, 5 H) 1.89 - 1.95 (m, 3 H) 2.60 - 2.72 (m, 3 H) 4.03 - 4.15 (m, 2 H) 6.49 - 6.60 (m, 2 H) 6.60 - 6.69 (m, 1 H) 7.22 - 7.33 (m, 2 H) 7.53 - 7.59 (m, 1 H).

步驟2:(S)-3-氟-4-(2-甲基-4-(哌啶-4-基)苯并[d][1,3]二氧戊環-2-基)苯甲腈4-甲基苯磺酸鹽 ( II.B1) 的合成。 Step 2: (S)-3-fluoro-4-(2-methyl-4-(piperidin-4-yl)benzo[d][1,3]dioxolane-2-yl)benzyl Synthesis of nitrile 4-toluenesulfonate ( II.B1 ).

在25°C下向 II.1b(445 mg,1.02 mmol)在EtOAc(7 mL)中的溶液中添加Ts-OH.H 2O(231.6 mg,1.218 mmol)。將混合物加熱至45°C持續16 h,此時LCMS分析示出起始材料完全消耗並形成所希望的產物。將粗產物在減壓下蒸發至乾以獲得呈白色固體的 II.B1的甲苯磺酸鹽(518 mg,1.02 mmol,100%產率)。LCMS方法1(酸性):Rt = 0.75 min,MS (ESI+) m/z 339.1 (M+1) +To a solution of II.1b (445 mg, 1.02 mmol) in EtOAc (7 mL) was added Ts-OH.H 2 O (231.6 mg, 1.218 mmol) at 25 °C. The mixture was heated to 45°C for 16 h, at which time LCMS analysis showed complete consumption of starting material and formation of the desired product. The crude product was evaporated to dryness under reduced pressure to obtain the tosylate salt of II.B1 as a white solid (518 mg, 1.02 mmol, 100% yield). LCMS method 1 (acidic): Rt = 0.75 min, MS (ESI+) m/z 339.1 (M+1) + .

實例 1-2 ( S)-4-(2-(4-氯-2-氟苯基)-2-甲基苯并[d][1,3]二氧戊環-4-基)哌啶鹽酸鹽 ( II.A1) 和( S)-4-(2-(4-氯-2-氟苯基)-2-甲基苯并[d][1,3]二氧戊環-4-基)哌啶4-甲基苯磺酸鹽 ( II.B2) 的合成。 Example 1-2 : ( S )-4-(2-(4-chloro-2-fluorophenyl)-2-methylbenzo[d][1,3]dioxolane-4-yl)piper Hydrochloride ( II.A1 ) and ( S )-4-(2-(4-chloro-2-fluorophenyl)-2-methylbenzo[d][1,3]dioxolane- Synthesis of 4-yl)piperidine 4-methylbenzenesulfonate ( II.B2 ).

步驟1:4-溴-2-(4-氯-2-氟苯基)-2-甲基苯并[d][1,3]二氧戊環 ( II.2a) 的合成。 Step 1: Synthesis of 4-bromo-2-(4-chloro-2-fluorophenyl)-2-methylbenzo[d][1,3]dioxolane ( II.2a ).

在25°C下向1-(4-氯-2-氟苯基)乙-1-酮(150 g,793.61 mmol)在甲苯(1500 mL)中的溶液中添加3-溴苯-1,2-二酚(123.27 g,714.25 mmol)和p-TsOH(27.33 g,158.72 mmol)。將混合物在140°C下攪拌48 h。TLC(石油醚 : 乙酸乙酯 = 30 : 1)示出1-(4-氯-2-氟苯基)乙-1-酮完全消耗並且檢測到新的斑點(Rf = 0.4)。將混合物濃縮以給出粗產物。將粗產物藉由矽膠柱層析法(SiO 2,石油醚)純化以得到呈黑色油狀物的 II.2a(175 g,粗品)。將其不經進一步純化而用於下一步驟。 1H-NMR (400 MHz, CDCl 3) δ 2.04 (s, 3 H), 7.47 (t, J= 8.38 Hz, 1 H), 7.05-7.09 (m, 2 H), 6.88 (dd, J= 7.88, 1.13 Hz, 1 H), 6.57-6.71 (m, 2 H), 2.04 (s, 3 H)。 To a solution of 1-(4-chloro-2-fluorophenyl)ethan-1-one (150 g, 793.61 mmol) in toluene (1500 mL) at 25 °C was added 3-bromobenzene-1,2 -diphenol (123.27 g, 714.25 mmol) and p-TsOH (27.33 g, 158.72 mmol). The mixture was stirred at 140°C for 48 h. TLC (petroleum ether:ethyl acetate = 30:1) showed complete consumption of 1-(4-chloro-2-fluorophenyl)ethan-1-one and a new spot was detected (Rf = 0.4). The mixture was concentrated to give crude product. The crude product was purified by silica gel column chromatography (SiO 2 , petroleum ether) to obtain II.2a (175 g, crude product) as a black oil. It was used in the next step without further purification. 1 H-NMR (400 MHz, CDCl 3 ) δ 2.04 (s, 3 H), 7.47 (t, J = 8.38 Hz, 1 H), 7.05-7.09 (m, 2 H), 6.88 (dd, J = 7.88 , 1.13 Hz, 1 H), 6.57-6.71 (m, 2 H), 2.04 (s, 3 H).

步驟2:4-(2-(4-氯-2-氟苯基)-2-甲基苯并[d][1,3]二氧戊環-4-基)-3,6-二氫吡啶-1(2H)-甲酸三級丁酯 ( II.3a) 的合成。 Step 2: 4-(2-(4-chloro-2-fluorophenyl)-2-methylbenzo[d][1,3]dioxolane-4-yl)-3,6-dihydro Synthesis of tertiary butyl pyridine-1(2H)-carboxylate ( II.3a ).

在25°C下向 II.2a(150 g,436.58 mmol)在二㗁𠮿(1500 mL)中的溶液中添加4-(4,4,5,5-四甲基-1,3,2-二氧雜環戊硼烷-2-基)-3,6-二氫吡啶-1(2H)-甲酸三級丁酯(162.00 g,523.90 mmol)、Na 2CO 3(254.50 g,2401.19 mmol)和Pd(dppf)Cl 2(31.99 g,43.66 mmol)。將混合物在90°C下攪拌16 h。將反應混合物過濾並濃縮以給出粗產物。將粗產物藉由矽膠柱層析法(SiO 2,石油醚 : 乙酸乙酯 = 10 : 1)純化以得到呈黃色油狀物的 II.3a(50 g,112.11 mmol,96%純度,44%產率)。 1H NMR (400 MHz, CDCl 3) δ 7.52 (t, J = 8.3 Hz, 1H), 7.19 - 7.10 (m, 2H), 6.85 - 6.73 (m, 3H), 6.37 (br s, 1H),4.22 - 4.03 (m, 2H), 3.79 - 3.55 (m, 2H), 2.56 (br d, J = 14.3 Hz, 2H), 2.08 (d, J = 0.6 Hz, 3H), 1.51 (s, 9H)。 To a solution of II.2a (150 g, 436.58 mmol) in dimethacin (1500 mL) at 25 °C was added 4-(4,4,5,5-tetramethyl-1,3,2- Dioxolan-2-yl)-3,6-dihydropyridine-1(2H)-carboxylic acid tertiary butyl ester (162.00 g, 523.90 mmol), Na 2 CO 3 (254.50 g, 2401.19 mmol) and Pd(dppf)Cl 2 (31.99 g, 43.66 mmol). The mixture was stirred at 90°C for 16 h. The reaction mixture was filtered and concentrated to give crude product. The crude product was purified by silica gel column chromatography (SiO 2 , petroleum ether: ethyl acetate = 10: 1) to obtain II.3a as a yellow oil (50 g, 112.11 mmol, 96% purity, 44% yield). 1 H NMR (400 MHz, CDCl 3 ) δ 7.52 (t, J = 8.3 Hz, 1H), 7.19 - 7.10 (m, 2H), 6.85 - 6.73 (m, 3H), 6.37 (br s, 1H), 4.22 - 4.03 (m, 2H), 3.79 - 3.55 (m, 2H), 2.56 (br d, J = 14.3 Hz, 2H), 2.08 (d, J = 0.6 Hz, 3H), 1.51 (s, 9H).

步驟3:4-(2-(4-氯-2-氟苯基)-2-甲基苯并[d][1,3]二氧戊環-4-基)哌啶-1-甲酸三級丁酯 ( II.4a) 的合成。 Step 3: 4-(2-(4-chloro-2-fluorophenyl)-2-methylbenzo[d][1,3]dioxolane-4-yl)piperidine-1-carboxylic acid tris Synthesis of grade butyl ester ( II.4a ).

在25°C下向 II.3a(50 g,112.13 mmol)在MeOH(200 mL)中的溶液中添加((C 6H 5) 3P) 3RhCl(5.19 g,5.61 mmol)。將混合物在50°C下在H 2下攪拌16 h。將反應混合物過濾並濃縮以給出粗產物。將粗產物藉由矽膠柱層析法(SiO 2,PE : EA = 10 : 1)純化以得到呈黃色油狀物的 II.4a(37.5 g,83.71 mmol,98%純度,75%產率)。 1H NMR (400 MHz, CDCl 3) δ 7.52 (t, J = 8.3 Hz, 1H), 7.19 - 7.08 (m, 2H), 6.81 - 6.75 (m, 1H), 6.74 - 6.70 (m, 1H), 6.67 (dd, J = 0.9, 7.8 Hz, 1H), 4.25 (br s, 2H), 2.83 (tt, J = 3.7, 11.9 Hz, 3H), 2.06 (d, J = 0.7 Hz, 3H), 1.86 - 1.64 (m, 4H), 1.50 (s, 9H)。 To a solution of II.3a (50 g, 112.13 mmol) in MeOH (200 mL) was added ((C 6 H 5 ) 3 P) 3 RhCl (5.19 g, 5.61 mmol) at 25°C. The mixture was stirred at 50 °C under H2 for 16 h. The reaction mixture was filtered and concentrated to give crude product. The crude product was purified by silica gel column chromatography (SiO 2 , PE: EA = 10: 1) to obtain II.4a as a yellow oil (37.5 g, 83.71 mmol, 98% purity, 75% yield) . 1 H NMR (400 MHz, CDCl 3 ) δ 7.52 (t, J = 8.3 Hz, 1H), 7.19 - 7.08 (m, 2H), 6.81 - 6.75 (m, 1H), 6.74 - 6.70 (m, 1H), 6.67 (dd, J = 0.9, 7.8 Hz, 1H), 4.25 (br s, 2H), 2.83 (tt, J = 3.7, 11.9 Hz, 3H), 2.06 (d, J = 0.7 Hz, 3H), 1.86 - 1.64 (m, 4H), 1.50 (s, 9H).

步驟4: II.6aII.6b的SFC分離。 Step 4: SFC separation of II.6a and II.6b .

II.4a(170 g,379.52 mmol,96%純度)藉由SFC(CAS-WH-ANA-SFC-A(Agilent-1260),柱:Chiralpak AD-3 50 × 4.6 mm I.D.,3 um;流動相:相A為CO 2,並且相B為IPA(0.05% DEA);梯度洗脫:在A中的B從5%至40%;流速:3 mL/min;檢測器:DAD;柱溫:35°C;背壓:100巴)純化以得到 II.6a(77 g,171.90 mmol,100% e.e.)和 II.6b(75 g,167.44 mmol,100% e.e.)。SFC:Rt = 0.884 min, II.6a峰1。SFC:Rt = 1.118 min, II.6b峰2。 II.4a (170 g, 379.52 mmol, 96% purity) was analyzed by SFC (CAS-WH-ANA-SFC-A (Agilent-1260), column: Chiralpak AD-3 50 × 4.6 mm ID, 3 um; flow Phases: Phase A is CO2 , and Phase B is IPA (0.05% DEA); Gradient elution: B in A from 5% to 40%; Flow rate: 3 mL/min; Detector: DAD; Column temperature: 35°C; back pressure: 100 bar) to give II.6a (77 g, 171.90 mmol, 100% ee) and II.6b (75 g, 167.44 mmol, 100% ee). SFC: Rt = 0.884 min, II.6a peak 1. SFC: Rt = 1.118 min, II.6b peak 2.

步驟5a:( S)-4-(2-(4-氯-2-氟苯基)-2-甲基苯并[d][1,3]二氧戊環-4-基)哌啶4-甲基苯磺酸鹽 ( II.B2) 的合成。 Step 5a: ( S )-4-(2-(4-chloro-2-fluorophenyl)-2-methylbenzo[d][1,3]dioxolane-4-yl)piperidine 4 -Synthesis of toluene sulfonate ( II.B2 ).

向化合物 II.6b(19.4 g,43.3 mmol)在EtOAc(200 mL)中的溶液中添加TsOH.H 2O(9.88 g,51.9 mmol,1.20 當量)。添加後,將淡黃色懸浮液在45°C下攪拌12 h。將反應混合物倒入石油醚(400 mL)中、過濾、收集並乾燥。獲得呈白色固體的 II.B2(20.0 g,36.9 mmol,85.2%產率,96.0%純度)。 1H NMR (400 MHz, DMSO- d 6 ) δ) 8.58 (br d, J= 8.63 Hz, 1H), 8.31 (br d, J= 8.25 Hz, 1H), 7.49 (d, J= 8.00 Hz, 2H), 7.56 - 7.65 (m, 2H), 7.34 (dd, J= 8.38, 1.75 Hz, 1H) , 7.12 (d, J= 7.88 Hz, 2H), 6.82 - 6.87 (m, 2H), 6.68 - 6.74 (m, 1H), 3.37 (br d, J= 12.51 Hz, 2H), 2.94 - 3.07 (m, 3H), 2.03 (s, 3H), 2.29 (s, 3H), 1.84 - 1.94 (m, 4H)。 To a solution of compound II.6b (19.4 g, 43.3 mmol) in EtOAc (200 mL) was added TsOH.H2O (9.88 g, 51.9 mmol, 1.20 equiv ). After addition, the pale yellow suspension was stirred at 45 °C for 12 h. The reaction mixture was poured into petroleum ether (400 mL), filtered, collected and dried. II.B2 was obtained as a white solid (20.0 g, 36.9 mmol, 85.2% yield, 96.0% purity). 1 H NMR (400 MHz, DMSO- d 6 ) δ) 8.58 (br d, J = 8.63 Hz, 1H), 8.31 (br d, J = 8.25 Hz, 1H), 7.49 (d, J = 8.00 Hz, 2H ), 7.56 - 7.65 (m, 2H), 7.34 (dd, J = 8.38, 1.75 Hz, 1H), 7.12 (d, J = 7.88 Hz, 2H), 6.82 - 6.87 (m, 2H), 6.68 - 6.74 ( m, 1H), 3.37 (br d, J = 12.51 Hz, 2H), 2.94 - 3.07 (m, 3H), 2.03 (s, 3H), 2.29 (s, 3H), 1.84 - 1.94 (m, 4H).

步驟5b:( S)-4-(2-(4-氯-2-氟苯基)-2-甲基苯并[d][1,3]二氧戊環-4-基)哌啶鹽酸鹽 ( II.A1) 的合成。 Step 5b: ( S )-4-(2-(4-chloro-2-fluorophenyl)-2-methylbenzo[d][1,3]dioxolane-4-yl)piperidine salt Synthesis of acid salt ( II.A1 ).

在25°C下向 II.6b(67 g,149.58 mmol)在二㗁𠮿(670 mL)中的溶液中添加HCl(670 mL,在二㗁𠮿中1 M)。將混合物在25°C下攪拌16 h。將混合物濃縮以給出粗產物。將粗產物用MTBE : MeOH = 10 : 1(700 mL)研磨以得到呈白色固體的 II.A1(71 g,204.13 mmol,98%純度,99.27% e.e.定量)。 1H NMR (400 MHz, CDCl 3) δ 9.98 - 9.43 (m, 2H), 7.57 (t, J= 8.3 Hz, 1H), 7.19 - 7.09 (m, 2H), 6.87 - 6.65 (m, 3H), 3.96 (s, 1H), 3.64 (br d, J= 10.9 Hz, 2H), 3.50 (s, 2H), 3.22 (s, 1H), 3.12 - 2.90 (m, 3H), 2.39 - 2.19 (m, 2H), 2.15 - 1.98 (m, 5H), 1.20 (s, 1H)。 To a solution of II.6b (67 g, 149.58 mmol) in dimethicone (670 mL) was added HCl (670 mL, 1 M in dimethicone) at 25 °C. The mixture was stirred at 25°C for 16 h. The mixture was concentrated to give crude product. The crude product was triturated with MTBE:MeOH = 10:1 (700 mL) to give II.A1 as a white solid (71 g, 204.13 mmol, 98% purity, 99.27% ee quantification). 1 H NMR (400 MHz, CDCl 3 ) δ 9.98 - 9.43 (m, 2H), 7.57 (t, J = 8.3 Hz, 1H), 7.19 - 7.09 (m, 2H), 6.87 - 6.65 (m, 3H), 3.96 (s, 1H), 3.64 (br d, J = 10.9 Hz, 2H), 3.50 (s, 2H), 3.22 (s, 1H), 3.12 - 2.90 (m, 3H), 2.39 - 2.19 (m, 2H ), 2.15 - 1.98 (m, 5H), 1.20 (s, 1H).

實例 1-3 1-((4-溴-5-甲基-1-(((S)-氧雜環丁烷-2-基)甲基)-1H-咪唑-2-基)甲基)-4-((S)-2-(4-氯-2-氟苯基)-2-甲基苯并[d][1,3]二氧戊環-4-基)哌啶 ( I.A1) 的合成。 Example 1-3 : 1-((4-bromo-5-methyl-1-(((S)-oxetan-2-yl)methyl)-1H-imidazol-2-yl)methyl )-4-((S)-2-(4-chloro-2-fluorophenyl)-2-methylbenzo[d][1,3]dioxolane-4-yl)piperidine ( I .A1 ) synthesis.

步驟1:(S)-4-溴-5-甲基-1-(氧雜環丁烷-2-基甲基)-1H-咪唑 (2a) 和(S)-5-溴-4-甲基-1-(氧雜環丁烷-2-基甲基)-1H-咪唑 ( III.2b) 的合成。 Step 1: (S)-4-bromo-5-methyl-1-(oxetan-2-ylmethyl)-1H-imidazole (2a) and (S)-5-bromo-4-methyl Synthesis of 1-(oxetan-2-ylmethyl)-1H-imidazole ( III.2b ).

在室溫下向4-溴-5-甲基-1H-咪唑 ( III.a1)(2.000 g,12.4 mmol)在乙腈(50 mL)中的溶液中添加(S)-氧雜環丁烷-2-基甲基4-甲基苯磺酸酯(3.33 g,13.0 mmol)和碳酸銫(10.1 g,31.1 mmol)。使用findenser將混合物在80°C下攪拌16小時,並然後冷卻至室溫。添加水,並將混合物用乙酸乙酯萃取兩次,用鹽水洗滌,經硫酸鎂乾燥,過濾並濃縮。將殘餘物經由層析法(0-100% EtOAc/庚烷,0-5% MeOH/EtOAc)純化以分離異構物,以提供(S)-4-溴-5-甲基-1-(氧雜環丁烷-2-基甲基)-1H-咪唑 ( III.2a)(1.2 g,42%)(LCMS方法2(鹼性):Rt = 0.67 min,MS (ESI+) m/z 233.0 [M+1] +),以及(S)-5-溴-4-甲基-1-(氧雜環丁烷-2-基甲基)-1H-咪唑 ( III.2b)(0.35 g,12%)(LCMS方法2(鹼性):Rt = 0.68 min,MS (ESI+) m/z 231.3 (M+1) +)。 To a solution of 4-bromo-5-methyl-1H-imidazole ( III.a1 ) (2.000 g, 12.4 mmol) in acetonitrile (50 mL) at room temperature was added (S)-oxetane- 2-ylmethyl 4-methylbenzenesulfonate (3.33 g, 13.0 mmol) and cesium carbonate (10.1 g, 31.1 mmol). The mixture was stirred at 80°C for 16 hours using a findenser and then cooled to room temperature. Water was added and the mixture was extracted twice with ethyl acetate, washed with brine, dried over magnesium sulfate, filtered and concentrated. The residue was purified via chromatography (0-100% EtOAc/Heptane, 0-5% MeOH/EtOAc) to isolate the isomers to provide (S)-4-bromo-5-methyl-1-( Oxetan-2-ylmethyl)-1H-imidazole ( III.2a ) (1.2 g, 42%) (LCMS method 2 (basic): Rt = 0.67 min, MS (ESI+) m/z 233.0 [M+1] + ), and (S)-5-bromo-4-methyl-1-(oxetan-2-ylmethyl)-1H-imidazole ( III.2b ) (0.35 g, 12%) (LCMS method 2 (basic): Rt = 0.68 min, MS (ESI+) m/z 231.3 (M+1) + ).

步驟2:(S)-4-溴-5-甲基-1-(氧雜環丁烷-2-基甲基)-1H-咪唑-2-甲醛 ( III.3) 的合成 Step 2: Synthesis of (S)-4-bromo-5-methyl-1-(oxetan-2-ylmethyl)-1H-imidazole-2-carbaldehyde ( III.3 )

在-78°C下向(S)-4-溴-5-甲基-1-(氧雜環丁烷-2-基甲基)-1H-咪唑 ( III.2a)(580 mg,2.51 mmol)在THF(12 mL)中的溶液中緩慢添加在THF/庚烷/乙苯(2.51 mL,2 M,5.02 mmol)中的LDA。將反應在-78°C下攪拌40 min,然後添加N, N-二甲基甲醯胺(972 µL,12.5 mmol)。將反應從-78°C至室溫攪拌2 h。將反應用NH 4Cl的飽和水溶液淬滅,並用乙醚萃取三次。將合併的有機層用鹽水洗滌,經Na 2SO 4乾燥,過濾並濃縮以提供呈淡棕色固體的(S)-4-溴-5-甲基-1-(氧雜環丁烷-2-基甲基)-1H-咪唑-2-甲醛 ( III.3)(588.9 mg,90.6%產率)。將粗品不經進一步純化而用於下一步驟。LCMS方法2(鹼性):Rt = 1.02 min,MS (ESI+) m/z 259.1 (M+H) +(S)-4-bromo-5-methyl-1-(oxetan-2-ylmethyl)-1H-imidazole ( III.2a ) (580 mg, 2.51 mmol) at -78°C ) to a solution in THF (12 mL) was slowly added LDA in THF/heptane/ethylbenzene (2.51 mL, 2 M, 5.02 mmol). The reaction was stirred at -78°C for 40 min, then N,N-dimethylformamide (972 µL, 12.5 mmol) was added. The reaction was stirred from -78 °C to room temperature for 2 h. The reaction was quenched with saturated aqueous NH4Cl and extracted three times with diethyl ether. The combined organic layers were washed with brine, dried over Na2SO4 , filtered and concentrated to provide (S)-4-bromo-5-methyl-1-(oxetane-2- (Methyl)-1H-imidazole-2-carboxaldehyde ( III.3 ) (588.9 mg, 90.6% yield). The crude product was used in the next step without further purification. LCMS method 2 (basic): Rt = 1.02 min, MS (ESI+) m/z 259.1 (M+H) + .

步驟3:1-((4-溴-5-甲基-1-(((S)-氧雜環丁烷-2-基)甲基)-1H-咪唑-2-基)甲基)-4-((S)-2-(4-氯-2-氟苯基)-2-甲基苯并[d][1,3]二氧戊環-4-基)哌啶 ( I.A1) 的合成。 Step 3: 1-((4-bromo-5-methyl-1-((S)-oxetan-2-yl)methyl)-1H-imidazol-2-yl)methyl)- 4-((S)-2-(4-chloro-2-fluorophenyl)-2-methylbenzo[d][1,3]dioxolane-4-yl)piperidine ( I.A1 ) Synthesis.

向(S)-4-溴-5-甲基-1-(氧雜環丁烷-2-基甲基)-1H-咪唑-2-甲醛(1.6 g,6.18 mmol) ( III.3) 在DCM(40 mL)中的溶液中添加(S)-4-(2-(4-氯-2-氟苯基)-2-甲基苯并[d][1,3]二氧戊環-4-基)哌啶-1-鎓氯化物 ( II.A1)(1.9 g,4.94 mmol)和TEA(1.72 mL,12.4 mmol)。將反應在室溫下攪拌15-25 min,然後添加三乙醯氧基硼氫化鈉(1.36 g,6.43 mmol)。將反應在室溫下再攪拌2 h。將反應混合物冷卻至0°C並用NaHCO 3的飽和水溶液淬滅。將反應混合物用DCM萃取兩次。將合併的有機層經Na 2SO 4乾燥,過濾並濃縮,以給出灰白色泡沫固體。將此粗品藉由正相層析法(0-100% EtOAc/庚烷)進一步純化以提供呈白色泡沫固體的1-((4-溴-5-甲基-1-(((S)-氧雜環丁烷-2-基)甲基)-1H-咪唑-2-基)甲基)-4-((S)-2-(4-氯-2-氟苯基)-2-甲基苯并[d][1,3]二氧戊環-4-基)哌啶 ( I.A1)(1.7 g,58.2%產率)。LCMS方法4:(產物分析-鹼性):Rt = 3.42 min,MS (ESI+) m/z 592.3 (M+H) +1H NMR (400 MHz, CD 2Cl 2) δ 7.58 (t, J= 8.4 Hz, 1H), 7.24 - 7.13 (m, 2H), 6.85 - 6.77 (m, 1H), 6.74 (s, 2H), 5.07 (qd, J= 7.3, 2.9 Hz, 1H), 4.64 (td, J= 8.0, 5.8 Hz, 1H), 4.53 - 4.37 (m, 2H), 4.29 (d, J= 15.0 Hz, 1H), 3.67 (d, J= 13.5 Hz, 1H), 3.56 (d, J= 13.7 Hz, 1H), 3.07 - 2.84 (m, 2H), 2.76 (dtd, J= 11.4, 8.0, 5.9 Hz, 2H), 2.46 (ddt, J= 11.3, 9.3, 7.2 Hz, 1H), 2.23 (s, 3H), 2.21 (br,s, 2H), 2.08 (d, J= 1.2 Hz, 3H), 1.84 (d, J= 23.4 Hz, 4H)。 To (S)-4-bromo-5-methyl-1-(oxetan-2-ylmethyl)-1H-imidazole-2-carbaldehyde (1.6 g, 6.18 mmol) ( III.3 ) in To a solution in DCM (40 mL) was added (S)-4-(2-(4-chloro-2-fluorophenyl)-2-methylbenzo[d][1,3]dioxolane- 4-yl)piperidin-1-onium chloride ( II.A1 ) (1.9 g, 4.94 mmol) and TEA (1.72 mL, 12.4 mmol). The reaction was stirred at room temperature for 15-25 min, then sodium triacetyloxyborohydride (1.36 g, 6.43 mmol) was added. The reaction was stirred at room temperature for an additional 2 h. The reaction mixture was cooled to 0 °C and quenched with saturated aqueous NaHCO3 . The reaction mixture was extracted twice with DCM. The combined organic layers were dried over Na2SO4 , filtered and concentrated to give an off-white foamy solid. This crude product was further purified by normal phase chromatography (0-100% EtOAc/heptane) to provide 1-((4-bromo-5-methyl-1-(((S)- Oxetan-2-yl)methyl)-1H-imidazol-2-yl)methyl)-4-((S)-2-(4-chloro-2-fluorophenyl)-2-methyl ylbenzo[d][1,3]dioxolane-4-yl)piperidine ( I.A1 ) (1.7 g, 58.2% yield). LCMS Method 4: (Product Analysis - Basic): Rt = 3.42 min, MS (ESI+) m/z 592.3 (M+H) + . 1 H NMR (400 MHz, CD 2 Cl 2 ) δ 7.58 (t, J = 8.4 Hz, 1H), 7.24 - 7.13 (m, 2H), 6.85 - 6.77 (m, 1H), 6.74 (s, 2H), 5.07 (qd, J = 7.3, 2.9 Hz, 1H), 4.64 (td, J = 8.0, 5.8 Hz, 1H), 4.53 - 4.37 (m, 2H), 4.29 (d, J = 15.0 Hz, 1H), 3.67 (d, J = 13.5 Hz, 1H), 3.56 (d, J = 13.7 Hz, 1H), 3.07 - 2.84 (m, 2H), 2.76 (dtd, J = 11.4, 8.0, 5.9 Hz, 2H), 2.46 ( ddt, J = 11.3, 9.3, 7.2 Hz, 1H), 2.23 (s, 3H), 2.21 (br,s, 2H), 2.08 (d, J = 1.2 Hz, 3H), 1.84 (d, J = 23.4 Hz , 4H).

實例 2 2-(2-((4-((S)-2-(4-氯-2-氟苯基)-2-甲基苯并[d][1,3]二氧戊環-4-基)哌啶-1-基)甲基)-4-甲基-1-(((S)-氧雜環丁烷-2-基)甲基)-1H-咪唑-5-基)-5-甲基㗁唑-4-甲酸 ( C-1) 的合成。 Example 2 : 2-(2-((4-((S)-2-(4-chloro-2-fluorophenyl)-2-methylbenzo[d][1,3]dioxolane- 4-yl)piperidin-1-yl)methyl)-4-methyl-1-(((S)-oxetan-2-yl)methyl)-1H-imidazol-5-yl) -Synthesis of 5-methylethazole-4-carboxylic acid ( C-1 ).

步驟1:(S)-4-碘-5-甲基-1-(氧雜環丁烷-2-基甲基)-1 H-咪唑 ( III.3a) 和( S)-5-碘-4-甲基-1-(氧雜環丁烷-2-基甲基)-1 H-咪唑 ( III.3b)的合成。 Step 1: (S)-4-iodo-5-methyl-1-(oxetan-2-ylmethyl) -1H -imidazole ( III.3a ) and ( S )-5-iodo- Synthesis of 4-methyl-1-(oxetan-2-ylmethyl) -1H -imidazole ( III.3b) .

向(S)-氧雜環丁烷-2-基甲基4-甲基苯磺酸酯(2.17 g,8.96 mmol)和5-碘-4-甲基-1 H-咪唑(CAS號15813-07-72,2.049 g,9.85 mmol)在ACN(50 mL)中的溶液中添加Cs 2CO 3(2.92 g,8.96 mmol)。將反應混合物加熱至回流16 h。將反應混合物冷卻至室溫並過濾。將濾液濃縮,將殘餘物藉由FCC(MeOH/乙酸乙酯 = 0至20%)純化以分離位置異構物並提供中間體 III.3aIII.3b。(S)-4-碘-5-甲基-1-(氧雜環丁烷-2-基甲基)-1 H-咪唑 ( III.3a): 1H NMR (400 MHz, CDCl3) δ 7.51 (s, 1H), 5.03 - 4.95 (m, 1H), 4.64 - 4.56 (m, 1H), 4.32 (td, J = 6.0, 9.2 Hz, 1H), 4.11 - 4.05 (m, 2H), 2.68 (dtd, J = 6.0, 8.0, 11.6 Hz, 1H), 2.34 - 2.26 (m, 1H), 2.20 (s, 3H)。( S)-5-碘-4-甲基-1-(氧雜環丁烷-2-基甲基)-1 H-咪唑 ( III.3b): 1H NMR (400 MHz, CDCl3) δ 7.80 (s, 1H), 5.12 - 4.98 (m, 1H), 4.74 - 4.58 (m, 1H), 4.37 (td, J = 6.0, 9.2 Hz, 1H), 4.18 - 4.06 (m, 2H), 2.69 (dtd, J = 6.0, 8.0, 11.6 Hz, 1H), 2.35 (tdd, J = 7.2, 9.2, 11.2 Hz, 1H), 2.26 (s, 3H)。 To ( S )-oxetan-2-ylmethyl 4-methylbenzenesulfonate (2.17 g, 8.96 mmol) and 5-iodo-4-methyl-1 H -imidazole (CAS No. 15813- 07-72, 2.049 g, 9.85 mmol) to a solution in ACN (50 mL) was added Cs 2 CO 3 (2.92 g, 8.96 mmol). The reaction mixture was heated to reflux for 16 h. The reaction mixture was cooled to room temperature and filtered. The filtrate was concentrated and the residue was purified by FCC (MeOH/ethyl acetate = 0 to 20%) to isolate the positional isomers and provide intermediates III.3a and III.3b . (S)-4-iodo-5-methyl-1-(oxetan-2-ylmethyl) -1H -imidazole ( III.3a ): 1H NMR (400 MHz, CDCl3) δ 7.51 (s, 1H), 5.03 - 4.95 (m, 1H), 4.64 - 4.56 (m, 1H), 4.32 (td, J = 6.0, 9.2 Hz, 1H), 4.11 - 4.05 (m, 2H), 2.68 (dtd , J = 6.0, 8.0, 11.6 Hz, 1H), 2.34 - 2.26 (m, 1H), 2.20 (s, 3H). ( S )-5-iodo-4-methyl-1-(oxetan-2-ylmethyl) -1H -imidazole ( III.3b ): 1H NMR (400 MHz, CDCl3) δ 7.80 (s, 1H), 5.12 - 4.98 (m, 1H), 4.74 - 4.58 (m, 1H), 4.37 (td, J = 6.0, 9.2 Hz, 1H), 4.18 - 4.06 (m, 2H), 2.69 (dtd , J = 6.0, 8.0, 11.6 Hz, 1H), 2.35 (tdd, J = 7.2, 9.2, 11.2 Hz, 1H), 2.26 (s, 3H).

步驟2:( S)-5-碘-4-甲基-1-(氧雜環丁烷-2-基甲基)-1 H-咪唑-2-甲醛 ( III.4) 的合成。 Step 2 Synthesis of: ( S )-5-iodo-4-methyl-1-(oxetan-2-ylmethyl) -1H -imidazole-2-carbaldehyde ( III.4 ).

在-78°C下,向 III.3b(0.222 g,0.8 mmol)在THF(4 mL)中的溶液中緩慢添加LDA(1.600 mL,1.600 mmol)。將反應在-78°C下攪拌30 min,然後添加DMF(0.310 mL,4.00 mmol)。將反應從-78°C至室溫攪拌2 h。其後,將反應用飽和的NH 4Cl水溶液淬滅,並用醚萃取三次。將合併的有機層用鹽水洗滌並且經Na 2SO 4乾燥。過濾和濃縮後,將 III.4的殘餘物不經純化而用於下一步驟。LCMS方法2(鹼性):Rt = 0.69 min,MS (ESI+) m/z = 306.9 (M+1) +To a solution of III.3b (0.222 g, 0.8 mmol) in THF (4 mL) at -78 °C, LDA (1.600 mL, 1.600 mmol) was slowly added. The reaction was stirred at -78 °C for 30 min, then DMF (0.310 mL, 4.00 mmol) was added. The reaction was stirred from -78 °C to room temperature for 2 h. Afterwards, the reaction was quenched with saturated aqueous NH4Cl solution and extracted three times with ether. The combined organic layers were washed with brine and dried over Na2SO4 . After filtration and concentration, the residue of III.4 was used in the next step without purification. LCMS method 2 (basic): Rt = 0.69 min, MS (ESI+) m/z = 306.9 (M+1) + .

步驟3:4-(( S)-2-(4-氯-2-氟苯基)-2-甲基苯并[d][1,3]二氧戊環-4-基)-1-((5-碘-4-甲基-1-((( S)-氧雜環丁烷-2-基)甲基)-1 H-咪唑-2-基)甲基)哌啶 ( I.B1) 的合成。 Step 3: 4-(( S )-2-(4-chloro-2-fluorophenyl)-2-methylbenzo[d][1,3]dioxolane-4-yl)-1- ((5-iodo-4-methyl-1-((( S )-oxetan-2-yl)methyl)-1 H -imidazol-2-yl)methyl)piperidine ( I. Synthesis of B1 ).

III.4(245 mg,0.800 mmol)和中間體 II.A1(215 mg,0.560 mmol)在DCM(5 mL)中的溶液中添加吡啶(64.7 µl,0.800 mmol)。將反應在室溫下攪拌15 min,然後添加三乙醯氧基硼氫化鈉(170 mg,0.800 mmol)。將反應在室溫下攪拌1.5 h,之後冷卻至0°C,並用飽和的NaHCO 3水溶液淬滅並用DCM萃取兩次。將合併的有機層濃縮,將殘餘物藉由FCC(EA/Hep = 0至100%)純化以提供 I.B1。LCMS方法1(酸性):Rt = 1.23 min,MS (ESI+) m/z 638.2 (M+H) +To a solution of III.4 (245 mg, 0.800 mmol) and intermediate II.A1 (215 mg, 0.560 mmol) in DCM (5 mL) was added pyridine (64.7 µl, 0.800 mmol). The reaction was stirred at room temperature for 15 min, then sodium triacetoxyborohydride (170 mg, 0.800 mmol) was added. The reaction was stirred at room temperature for 1.5 h before being cooled to 0 °C, quenched with saturated aqueous NaHCO and extracted twice with DCM. The combined organic layers were concentrated and the residue was purified by FCC (EA/Hep = 0 to 100%) to provide I.B1 . LCMS method 1 (acidic): Rt = 1.23 min, MS (ESI+) m/z 638.2 (M+H) + .

步驟4:2-(2-((4-((S)-2-(4-氯-2-氟苯基)-2-甲基苯并[d][1,3]二氧戊環-4-基)哌啶-1-基)甲基)-4-甲基-1-(((S)-氧雜環丁烷-2-基)甲基)-1H-咪唑-5-基)-5-甲基㗁唑-4-甲酸乙酯 ( I.1) 的合成。 Step 4: 2-(2-((4-((S)-2-(4-chloro-2-fluorophenyl)-2-methylbenzo[d][1,3]dioxolane- 4-yl)piperidin-1-yl)methyl)-4-methyl-1-(((S)-oxetan-2-yl)methyl)-1H-imidazol-5-yl) -Synthesis of ethyl 5-methylethazole-4-carboxylate ( I.1 ).

在氮氣氣氛下向 I.B1(2.3 g,3.61 mmol)和5-甲基㗁唑-4-甲酸乙酯(1.12 g,7.21 mmol)在甲苯(16 mL)中的溶液中添加Xphos Pd G2(283.7 mg,360.5 µmol)和Cs 2CO 3(2.35 g,7.21 mmol)。將反應加熱至120°C持續16 h,此時LCMS分析示出存在所希望的產物。將反應混合物用飽和的NaHCO 3水溶液淬滅,並用EtOAc萃取三次。將合併的有機層經Na 2SO 4乾燥。過濾和濃縮後,將殘餘物藉由FCC(DCM/MeOH = 0至10%)純化以提供 I.1(1.6 g,2.4 mmol,66.7%產率)。LCMS方法2(鹼性):Rt = 1.41 min,MS (ESI+) m/z 665.5 (M+H) +To a solution of I.B1 (2.3 g, 3.61 mmol) and ethyl 5-methylethazole-4-carboxylate (1.12 g, 7.21 mmol) in toluene (16 mL) was added Xphos Pd G2 ( 283.7 mg, 360.5 µmol) and Cs 2 CO 3 (2.35 g, 7.21 mmol). The reaction was heated to 120°C for 16 h, at which time LCMS analysis showed the presence of the desired product. The reaction mixture was quenched with saturated aqueous NaHCO3 and extracted three times with EtOAc. The combined organic layers were dried over Na2SO4 . After filtration and concentration, the residue was purified by FCC (DCM/MeOH = 0 to 10%) to afford 1.1 (1.6 g, 2.4 mmol, 66.7% yield). LCMS method 2 (basic): Rt = 1.41 min, MS (ESI+) m/z 665.5 (M+H) + .

步驟5:2-(2-((4-((S)-2-(4-氯-2-氟苯基)-2-甲基苯并[d][1,3]二氧戊環-4-基)哌啶-1-基)甲基)-4-甲基-1-(((S)-氧雜環丁烷-2-基)甲基)-1H-咪唑-5-基)-5-甲基㗁唑-4-甲酸 ( C-1) 的合成。 Step 5: 2-(2-((4-((S)-2-(4-chloro-2-fluorophenyl)-2-methylbenzo[d][1,3]dioxolane- 4-yl)piperidin-1-yl)methyl)-4-methyl-1-(((S)-oxetan-2-yl)methyl)-1H-imidazol-5-yl) -Synthesis of 5-methylethazole-4-carboxylic acid ( C-1 ).

I.1(1.6 g, 2.405 mmol)在THF-MeOH(7 mL/4 mL)的混合溶劑中的溶液中添加在H 2O中的LiOH 1 M(9.622 mL,9.622 mmol)。將反應混合物攪拌過夜,此時LCMS分析示出起始酯完全消耗且形成所希望的產物。然後將反應用1 M檸檬酸酸化至pH = 4,並用乙酸乙酯萃取三次。將合併的有機層用鹽水洗滌並經Na 2SO 4乾燥。過濾和濃縮後,將殘餘物藉由RP ISCO(2 × 150 g C18柱,在水中的10%-70%ACN,作為改性劑的0.1%濃NH 4OH)純化以在凍乾後提供呈白色固體的化合物 C-1(155.0 mg,0.24 mmol,10%產率)。 To a solution of I.1 (1.6 g, 2.405 mmol) in a mixed solvent of THF-MeOH (7 mL/4 mL) was added LiOH 1 M in H 2 O (9.622 mL, 9.622 mmol). The reaction mixture was stirred overnight, at which time LCMS analysis showed complete consumption of the starting ester and formation of the desired product. The reaction was then acidified with 1 M citric acid to pH = 4 and extracted three times with ethyl acetate. The combined organic layers were washed with brine and dried over Na2SO4 . After filtration and concentration, the residue was purified by RP ISCO (2 × 150 g C18 column, 10%-70% ACN in water, 0.1% concentrated NH 4 OH as modifier) to provide the presentation after lyophilization Compound C-1 was a white solid (155.0 mg, 0.24 mmol, 10% yield).

C-11H NMR (400 MHz, DMSO) δ 7.57 - 7.39 (m, 2H), 7.27 (dd, J= 8.4, 2.1 Hz, 1H), 6.74 - 6.59 (m, 3H), 4.93 - 4.80 (m, 2H), 4.72 - 4.57 (m, 1H), 4.38 - 4.29 (m, 1H), 4.23 (dt, J= 8.9, 6.0 Hz, 1H), 3.69 (d, J= 13.4 Hz, 1H), 3.49 (d, J= 13.4 Hz, 1H), 2.90 (d, J= 11.2 Hz, 1H), 2.79 (d, J= 11.3 Hz, 1H), 2.62-2.48 (m, 5H), 2.32-2.21 (m, 4H), 2.16 - 1.99 (m, 2H), 1.95 (s, 3H), 1.66 (d, J= 27.9 Hz, 4H)。LCMS方法2(鹼性):Rt = 0.79 min,MS (ESI+) m/z 637.5 (M+H) +。HRMS針對C 33H 35ClFN 4O 6(M+H) +計算值係637.2229,實測值係637.2401。 C-1 : 1 H NMR (400 MHz, DMSO) δ 7.57 - 7.39 (m, 2H), 7.27 (dd, J = 8.4, 2.1 Hz, 1H), 6.74 - 6.59 (m, 3H), 4.93 - 4.80 ( m, 2H), 4.72 - 4.57 (m, 1H), 4.38 - 4.29 (m, 1H), 4.23 (dt, J = 8.9, 6.0 Hz, 1H), 3.69 (d, J = 13.4 Hz, 1H), 3.49 (d, J = 13.4 Hz, 1H), 2.90 (d, J = 11.2 Hz, 1H), 2.79 (d, J = 11.3 Hz, 1H), 2.62-2.48 (m, 5H), 2.32-2.21 (m, 4H), 2.16 - 1.99 (m, 2H), 1.95 (s, 3H), 1.66 (d, J = 27.9 Hz, 4H). LCMS method 2 (basic): Rt = 0.79 min, MS (ESI+) m/z 637.5 (M+H) + . HRMS calculated value for C 33 H 35 ClFN 4 O 6 (M+H) + is 637.2229, found value is 637.2401.

實例 2-1:2-(2-((4-((S)-2-(4-氯-2-氟苯基)-2-甲基苯并[d][1,3]二氧戊環-4-基)哌啶-1-基)甲基)-4-甲基-1-(((R)-氧雜環丁烷-2-基)甲基)-1H-咪唑-5-基)㗁唑-5-甲酸 ( C-2) 的合成。 Example 2-1 : 2-(2-((4-((S)-2-(4-chloro-2-fluorophenyl)-2-methylbenzo[d][1,3]dioxolane Cycl-4-yl)piperidin-1-yl)methyl)-4-methyl-1-(((R)-oxetan-2-yl)methyl)-1H-imidazole-5- Synthesis of ethazole-5-carboxylic acid ( C-2 ).

化合物 C-2使用與實例2中所述相同的程序但在步驟1中使用(R)-氧雜環丁烷-2-基甲基4-甲基苯磺酸酯、並且在步驟4中使用㗁唑-5-甲酸乙酯來合成。 Compound C-2 used the same procedure as described in Example 2 but used (R)-oxetan-2-ylmethyl 4-methylbenzenesulfonate in step 1 and in step 4 Synthesized from ethyl ethyl ethazole-5-carboxylate.

C-21H NMR (400 MHz, MeOD) δ 7.53 - 7.45 (m, 2H), 7.18 (dd, J= 11.0, 2.1 Hz, 1H), 7.11 (dd, J= 8.4, 2.1 Hz, 1H), 6.76 - 6.60 (m, 3H), 5.17 - 5.06 (m, 1H), 4.90 - 4.80 (m, 2H), 4.60 (td, J= 8.1, 5.8 Hz, 1H), 4.47 - 4.36 (m, 2H), 4.36 - 4.28 (m, 1H), 3.64 - 3.51 (m, 2H), 3.11 - 2.95 (m, 2H), 2.90 - 2.85 (m, 1H), 2.72 - 2.59 (m, 1H), 2.48 (s, 3H), 2.44 - 2.32 (m, 1H), 2.07 - 1.95 (m, 4H), 1.93 (s, 3H)。HRMS針對C 32H 33ClFN 4O 6(M+H) +計算值係623.2073,實測值係623.2139。 C-2 : 1 H NMR (400 MHz, MeOD) δ 7.53 - 7.45 (m, 2H), 7.18 (dd, J = 11.0, 2.1 Hz, 1H), 7.11 (dd, J = 8.4, 2.1 Hz, 1H) , 6.76 - 6.60 (m, 3H), 5.17 - 5.06 (m, 1H), 4.90 - 4.80 (m, 2H), 4.60 (td, J = 8.1, 5.8 Hz, 1H), 4.47 - 4.36 (m, 2H) , 4.36 - 4.28 (m, 1H), 3.64 - 3.51 (m, 2H), 3.11 - 2.95 (m, 2H), 2.90 - 2.85 (m, 1H), 2.72 - 2.59 (m, 1H), 2.48 (s, 3H), 2.44 - 2.32 (m, 1H), 2.07 - 1.95 (m, 4H), 1.93 (s, 3H). HRMS calculated value for C 32 H 33 ClFN 4 O 6 (M+H) + is 623.2073, found value is 623.2139.

實例 2-2:2-(2-((4-((S)-2-(4-氯-2-氟苯基)-2-甲基苯并[d][1,3]二氧戊環-4-基)哌啶-1-基)甲基)-4-甲基-1-(((R)-氧雜環丁烷-2-基)甲基)-1H-咪唑-5-基)㗁唑-4-甲酸 ( C-3) 的合成。 Example 2-2 : 2-(2-((4-((S)-2-(4-chloro-2-fluorophenyl)-2-methylbenzo[d][1,3]dioxolane Cycl-4-yl)piperidin-1-yl)methyl)-4-methyl-1-(((R)-oxetan-2-yl)methyl)-1H-imidazole-5- Synthesis of ethazole-4-carboxylic acid ( C-3 ).

化合物 C-3使用與實例2中所述相同的程序但在步驟1中使用(R)-氧雜環丁烷-2-基甲基4-甲基苯磺酸酯、並且在步驟4中使用㗁唑-4-甲酸乙酯來合成。 Compound C-3 used the same procedure as described in Example 2 except that in step 1 (R)-oxetan-2-ylmethyl 4-methylbenzenesulfonate was used and in step 4 Synthesized from ethyl ethazole-4-carboxylate.

C-31H NMR (400 MHz, MeOD) δ 8.23 (s, 1H), 7.49 (t, J = 8.3 Hz, 1H), 7.19 (dd, J = 10.9, 2.1 Hz, 1H), 7.11 (dd, J = 8.4, 2.1 Hz, 1H), 6.75 - 6.68 (m, 1H), 6.68 - 6.59 (m, 2H), 5.15 - 5.05 (m, 1H), 4.95 - 4.90 (m, 2H), 4.61 - 4.51 (m, 1H), 4.44 - 4.34 (m, 1H), 4.20 (s, 2H), 3.43 - 3.35 (m, 2H), 2.83 (d, J = 14.9 Hz, 3H), 2.74 - 2.61 (m, 1H), 2.43 (s, 3H), 2.41 - 2.30 (m, 1H), 1.98 - 1.86 (m, 7H)。HRMS針對C32H33ClFN4O6 (M+H) +計算值係623.2073,實測值係623.2103。 C-3 : 1 H NMR (400 MHz, MeOD) δ 8.23 (s, 1H), 7.49 (t, J = 8.3 Hz, 1H), 7.19 (dd, J = 10.9, 2.1 Hz, 1H), 7.11 (dd , J = 8.4, 2.1 Hz, 1H), 6.75 - 6.68 (m, 1H), 6.68 - 6.59 (m, 2H), 5.15 - 5.05 (m, 1H), 4.95 - 4.90 (m, 2H), 4.61 - 4.51 (m, 1H), 4.44 - 4.34 (m, 1H), 4.20 (s, 2H), 3.43 - 3.35 (m, 2H), 2.83 (d, J = 14.9 Hz, 3H), 2.74 - 2.61 (m, 1H ), 2.43 (s, 3H), 2.41 - 2.30 (m, 1H), 1.98 - 1.86 (m, 7H). HRMS calculated value for C32H33ClFN4O6 (M+H) + is 623.2073, and the measured value is 623.2103.

實例 2-3:2-(2-((4-((S)-2-(4-氯-2-氟苯基)-2-甲基苯并[d][1,3]二氧戊環-4-基)哌啶-1-基)甲基)-1-(((S)-氧雜環丁烷-2-基)甲基)-4-(三氟甲基)-1H-咪唑-5-基)㗁唑-4-甲酸 ( C-4) 的合成。 Example 2-3 : 2-(2-((4-((S)-2-(4-chloro-2-fluorophenyl)-2-methylbenzo[d][1,3]dioxolane Cycl-4-yl)piperidin-1-yl)methyl)-1-(((S)-oxetan-2-yl)methyl)-4-(trifluoromethyl)-1H- Synthesis of imidazol-5-yl)ethazole-4-carboxylic acid ( C-4 ).

化合物 C-4使用與實例2中所述相同的程序但在步驟1中使用5-碘-4-(三氟甲基)-1H-咪唑、並且在步驟4中使用㗁唑-4-甲酸乙酯來合成。 Compound C-4 used the same procedure as described in Example 2 but used 5-iodo-4-(trifluoromethyl)-1H-imidazole in step 1 and ethyl ethazole-4-carboxylate in step 4. synthesized from esters.

C-4 1H NMR (400 MHz, 甲醇- d 4) δ ppm 1.90 - 2.13 (m, 7 H) 2.31 - 2.57 (m, 1 H) 2.62 - 3.04 (m, 4 H) 3.32 - 3.46 (m, 2 H) 4.02 - 4.33 (m, 2 H) 4.34 - 4.49 (m, 1 H) 4.53 - 4.68 (m, 1 H) 4.88 - 4.98 (m, 1 H) 5.02 - 5.30 (m, 2 H) 6.66 - 6.76 (m, 2 H) 6.76 - 6.84 (m, 1 H) 7.17 - 7.24 (m, 1 H) 7.24 - 7.32 (m, 1 H) 7.53 - 7.62 (m, 1 H) 8.10 - 8.79 (m, 1 H)。HRMS針對C 32H 30ClF 4N 4O 6(M+H) +計算值係677.1790,實測值係677.1899。 C-4 : 1 H NMR (400 MHz, methanol- d 4 ) δ ppm 1.90 - 2.13 (m, 7 H) 2.31 - 2.57 (m, 1 H) 2.62 - 3.04 (m, 4 H) 3.32 - 3.46 (m , 2 H) 4.02 - 4.33 (m, 2 H) 4.34 - 4.49 (m, 1 H) 4.53 - 4.68 (m, 1 H) 4.88 - 4.98 (m, 1 H) 5.02 - 5.30 (m, 2 H) 6.66 - 6.76 (m, 2 H) 6.76 - 6.84 (m, 1 H) 7.17 - 7.24 (m, 1 H) 7.24 - 7.32 (m, 1 H) 7.53 - 7.62 (m, 1 H) 8.10 - 8.79 (m, 1H). HRMS calculated value for C 32 H 30 ClF 4 N 4 O 6 (M+H) + is 677.1790, found value is 677.1899.

實例 2-4:2-(2-((4-((S)-2-(4-氯-2-氟苯基)-2-甲基苯并[d][1,3]二氧戊環-4-基)哌啶-1-基)甲基)-4-乙基-1-(((S)-氧雜環丁烷-2-基)甲基)-1H-咪唑-5-基)㗁唑-4-甲酸 ( C-5) 的合成。 Example 2-4 : 2-(2-((4-((S)-2-(4-chloro-2-fluorophenyl)-2-methylbenzo[d][1,3]dioxolane Cycl-4-yl)piperidin-1-yl)methyl)-4-ethyl-1-(((S)-oxetan-2-yl)methyl)-1H-imidazole-5- Synthesis of ethazole-4-carboxylic acid ( C-5 ).

化合物 C-5使用與實例2中所述相同的程序但在步驟1中使用4-乙基-5-碘-1H-咪唑、並且在步驟4中使用㗁唑-4-甲酸乙酯來合成。 Compound C-5 was synthesized using the same procedure as described in Example 2 but using 4-ethyl-5-iodo-1H-imidazole in step 1 and ethyl ethazole-4-carboxylate in step 4.

C-5 1H NMR (400 MHz, 甲醇- d 4) δ ppm 1.27 (t, J= 7.52 Hz, 3 H) 1.91 - 2.14 (m, 8 H) 2.41 - 2.51 (m, 1 H) 2.73 - 2.81 (m, 1 H) 2.87 - 2.96 (m, 5 H) 3.44 - 3.52 (m, 2 H) 4.28 - 4.33 (m, 2 H) 4.46 - 4.53 (m, 1 H) 4.64 - 4.70 (m, 1 H) 4.99 - 5.08 (m, 2 H) 5.17 - 5.24 (m, 1 H) 6.72 - 6.82 (m, 3 H) 7.18 - 7.24 (m, 1 H) 7.25 - 7.32 (m, 1 H) 7.54 - 7.63 (m, 1 H) 8.27 - 8.34 (m, 1 H)。HRMS針對C 33H 35ClFN 4O 6(M+H) +計算值係637.2229,實測值係637.2405。 C-5 : 1 H NMR (400 MHz, methanol- d 4 ) δ ppm 1.27 (t, J = 7.52 Hz, 3 H) 1.91 - 2.14 (m, 8 H) 2.41 - 2.51 (m, 1 H) 2.73 - 2.81 (m, 1 H) 2.87 - 2.96 (m, 5 H) 3.44 - 3.52 (m, 2 H) 4.28 - 4.33 (m, 2 H) 4.46 - 4.53 (m, 1 H) 4.64 - 4.70 (m, 1 H) 4.99 - 5.08 (m, 2 H) 5.17 - 5.24 (m, 1 H) 6.72 - 6.82 (m, 3 H) 7.18 - 7.24 (m, 1 H) 7.25 - 7.32 (m, 1 H) 7.54 - 7.63 (m, 1 H) 8.27 - 8.34 (m, 1 H). HRMS calculated value for C 33 H 35 ClFN 4 O 6 (M+H) + is 637.2229, found value is 637.2405.

實例 2-5 2-(2-((4-((S)-2-(4-氯-2-氟苯基)-2-甲基苯并[d][1,3]二氧戊環-4-基)哌啶-1-基)甲基)-4-乙基-1-(((S)-氧雜環丁烷-2-基)甲基)-1H-咪唑-5-基)㗁唑-5-甲酸 ( C-6) 的合成。 Example 2-5 : 2-(2-((4-((S)-2-(4-chloro-2-fluorophenyl)-2-methylbenzo[d][1,3]dioxolane Cycl-4-yl)piperidin-1-yl)methyl)-4-ethyl-1-(((S)-oxetan-2-yl)methyl)-1H-imidazole-5- Synthesis of ethazole-5-carboxylic acid ( C-6 ).

化合物 C-6使用與實例2中所述相同的程序但在步驟1中使用4-乙基-5-碘-1H-咪唑、並且在步驟4中使用㗁唑-5-甲酸乙酯來合成。 Compound C-6 was synthesized using the same procedure as described in Example 2 but using 4-ethyl-5-iodo-1H-imidazole in step 1 and ethyl ethazole-5-carboxylate in step 4.

C-6 1H NMR (400 MHz, DMSO- d 6) δ ppm 1.15 - 1.23 (m, 3 H) 1.65 - 1.82 (m, 4 H) 2.02 (s, 3 H) 2.07 - 2.40 (m, 4 H) 2.62 - 2.68 (m, 2 H) 2.79 - 2.90 (m, 3 H) 2.96 - 3.02 (m, 1 H) 3.59 (br d, J=13.45 Hz, 1 H) 3.76 - 3.87 (m, 1 H) 4.27 - 4.46 (m, 2 H) 4.53 - 4.78 (m, 1 H) 4.79 - 5.06 (m, 2 H) 6.73 - 6.81 (m, 3 H) 7.31 - 7.37 (m, 1 H) 7.51 - 7.61 (m, 2 H)。HRMS針對C 33H 35ClFN 4O 6(M+H) +計算值係637.2229,實測值係637.2264。 C-6 : 1 H NMR (400 MHz, DMSO- d 6 ) δ ppm 1.15 - 1.23 (m, 3 H) 1.65 - 1.82 (m, 4 H) 2.02 (s, 3 H) 2.07 - 2.40 (m, 4 H) 2.62 - 2.68 (m, 2 H) 2.79 - 2.90 (m, 3 H) 2.96 - 3.02 (m, 1 H) 3.59 (br d, J =13.45 Hz, 1 H) 3.76 - 3.87 (m, 1 H ) 4.27 - 4.46 (m, 2 H) 4.53 - 4.78 (m, 1 H) 4.79 - 5.06 (m, 2 H) 6.73 - 6.81 (m, 3 H) 7.31 - 7.37 (m, 1 H) 7.51 - 7.61 ( m, 2 H). HRMS calculated value for C 33 H 35 ClFN 4 O 6 (M+H) + is 637.2229, found value is 637.2264.

實例 2-6 2-(2-((4-((S)-2-(4-氯-2-氟苯基)-2-甲基苯并[d][1,3]二氧戊環-4-基)哌啶-1-基)甲基)-4-乙基-1-(((R)-氧雜環丁烷-2-基)甲基)-1H-咪唑-5-基)㗁唑-4-甲酸 ( C-7) 的合成。 Example 2-6 : 2-(2-((4-((S)-2-(4-chloro-2-fluorophenyl)-2-methylbenzo[d][1,3]dioxolane Cycl-4-yl)piperidin-1-yl)methyl)-4-ethyl-1-(((R)-oxetan-2-yl)methyl)-1H-imidazole-5- Synthesis of ethazole-4-carboxylic acid ( C-7 ).

化合物 C-7使用與實例2中所述相同的程序但在步驟1中使用4-乙基-5-碘-1H-咪唑和(R)-氧雜環丁烷-2-基甲基4-甲基苯磺酸酯、並且在步驟4中使用㗁唑-4-甲酸乙酯來合成。 Compound C-7 was prepared using the same procedure as described in Example 2 but using 4-ethyl-5-iodo-1H-imidazole and (R)-oxetan-2-ylmethyl4- in step 1 Tosylate, and was synthesized in step 4 using ethyl ethazole-4-carboxylate.

C-7 1H NMR (400 MHz, DMSO- d 6) δ ppm 1.12 - 1.22 (m, 3 H) 1.68 - 1.82 (m, 4 H) 1.98 - 2.04 (m, 3 H) 2.06 - 2.25 (m, 2 H) 2.25 - 2.37 (m, 1 H) 2.57 - 2.68 (m, 2 H) 2.72 - 2.82 (m, 2 H) 2.82 - 2.91 (m, 1 H) 2.93 - 3.02 (m, 1 H) 3.54 - 3.65 (m, 1 H) 3.72 - 3.87 (m, 1 H) 4.23 - 4.33 (m, 1 H) 4.34 - 4.44 (m, 1 H) 4.63 - 4.76 (m, 1 H) 4.86 - 5.03 (m, 2 H) 6.70 - 6.82 (m, 3 H) 7.30 - 7.37 (m, 1 H) 7.51 - 7.61 (m, 2 H) 8.74 - 8.79 (m, 1 H)。HRMS針對C 33H 35ClFN 4O 6(M+H) +計算值係637.2229,實測值係637.2377。 C-7 : 1 H NMR (400 MHz, DMSO- d 6 ) δ ppm 1.12 - 1.22 (m, 3 H) 1.68 - 1.82 (m, 4 H) 1.98 - 2.04 (m, 3 H) 2.06 - 2.25 (m , 2 H) 2.25 - 2.37 (m, 1 H) 2.57 - 2.68 (m, 2 H) 2.72 - 2.82 (m, 2 H) 2.82 - 2.91 (m, 1 H) 2.93 - 3.02 (m, 1 H) 3.54 - 3.65 (m, 1 H) 3.72 - 3.87 (m, 1 H) 4.23 - 4.33 (m, 1 H) 4.34 - 4.44 (m, 1 H) 4.63 - 4.76 (m, 1 H) 4.86 - 5.03 (m, 2 H) 6.70 - 6.82 (m, 3 H) 7.30 - 7.37 (m, 1 H) 7.51 - 7.61 (m, 2 H) 8.74 - 8.79 (m, 1 H). HRMS calculated value for C 33 H 35 ClFN 4 O 6 (M+H) + is 637.2229, found value is 637.2377.

實例 2-7 2-(2-((4-((S)-2-(4-氯-2-氟苯基)-2-甲基苯并[d][1,3]二氧戊環-4-基)哌啶-1-基)甲基)-4-乙基-1-(((R)-氧雜環丁烷-2-基)甲基)-1H-咪唑-5-基)㗁唑-5-甲酸 ( C-8) 的合成。 Example 2-7 : 2-(2-((4-((S)-2-(4-chloro-2-fluorophenyl)-2-methylbenzo[d][1,3]dioxolane Cycl-4-yl)piperidin-1-yl)methyl)-4-ethyl-1-(((R)-oxetan-2-yl)methyl)-1H-imidazole-5- Synthesis of ethazole-5-carboxylic acid ( C-8 ).

化合物 C-8使用與實例2中所述相同的程序但在步驟1中使用4-乙基-5-碘-1H-咪唑和(R)-氧雜環丁烷-2-基甲基4-甲基苯磺酸酯、並且在步驟4中使用㗁唑-5-甲酸乙酯來合成。 Compound C-8 was prepared using the same procedure as described in Example 2 but using 4-ethyl-5-iodo-1H-imidazole and (R)-oxetan-2-ylmethyl4- in step 1 Tosylate, and was synthesized using ethyl ethazole-5-carboxylate in step 4.

C-81H NMR (400 MHz, DMSO- d 6) δ ppm 1.11 - 1.21 (m, 3 H) 1.69 - 1.80 (m, 4 H) 2.02 (s, 3 H) 2.08 - 2.28 (m, 2 H) 2.29 - 2.37 (m, 1 H) 2.59 - 2.68 (m, 2 H) 2.70 (br s, 3 H) 2.95 - 3.05 (m, 1 H) 3.59 - 3.65 (m, 1 H) 3.77 - 3.86 (m, 1 H) 4.27 - 4.46 (m, 2 H) 4.56 - 4.75 (m, 1 H) 4.75 - 5.06 (m, 2 H) 6.72 - 6.82 (m, 3 H) 7.31 - 7.37 (m, 1 H) 7.52 - 7.60 (m, 2 H) 7.76 - 8.03 (m, 1 H)。HRMS針對C 33H 35ClFN 4O 6(M+H) +計算值係637.2229,實測值係637.2351。 C-8 : 1 H NMR (400 MHz, DMSO- d 6 ) δ ppm 1.11 - 1.21 (m, 3 H) 1.69 - 1.80 (m, 4 H) 2.02 (s, 3 H) 2.08 - 2.28 (m, 2 H) 2.29 - 2.37 (m, 1 H) 2.59 - 2.68 (m, 2 H) 2.70 (br s, 3 H) 2.95 - 3.05 (m, 1 H) 3.59 - 3.65 (m, 1 H) 3.77 - 3.86 ( m, 1 H) 4.27 - 4.46 (m, 2 H) 4.56 - 4.75 (m, 1 H) 4.75 - 5.06 (m, 2 H) 6.72 - 6.82 (m, 3 H) 7.31 - 7.37 (m, 1 H) 7.52 - 7.60 (m, 2 H) 7.76 - 8.03 (m, 1 H). HRMS calculated value for C 33 H 35 ClFN 4 O 6 (M+H) + is 637.2229, found value is 637.2351.

實例 2-8 2-(2-((4-((S)-2-(4-氯-2-氟苯基)-2-甲基苯并[d][1,3]二氧戊環-4-基)哌啶-1-基)甲基)-4-甲基-1-(((S)-氧雜環丁烷-2-基)甲基)-1H-咪唑-5-基)㗁唑-4-甲酸 ( C-9) 的合成。 Example 2-8 : 2-(2-((4-((S)-2-(4-chloro-2-fluorophenyl)-2-methylbenzo[d][1,3]dioxolane Cycl-4-yl)piperidin-1-yl)methyl)-4-methyl-1-(((S)-oxetan-2-yl)methyl)-1H-imidazole-5- Synthesis of ethazole-4-carboxylic acid ( C-9 ).

化合物 C-9使用與實例2中所述相同的程序但在步驟4中使用㗁唑-4-甲酸乙酯來合成。 Compound C-9 was synthesized using the same procedure as described in Example 2 but using ethyl ethazole-4-carboxylate in step 4.

C-9 1H NMR (400 MHz, MeOD) δ 8.30 (s, 1H), 7.60 - 7.56 (m, 1H), 7.28 (dd, J = 11.2 Hz, 2 Hz, 1H), 7.23 - 7.20 (m, 1H), 6.82 - 6.78 (m, 1H), 6.75 - 6.71 (m, 2H), 5.22 - 5.20 (m, 1H), 5.06 - 5.04 (m, 2H), 4.68 - 4.66 (m, 1H), 4.5 - 4.48 (m, 1H), 4.26 (s, 2H), 3.47 - 3.43 (m, 2H), 2.88 - 2.77 (m, 4H), 2.52 (s, 3H), 2.51 - 2.47 (m, 1H), 2.03 (s, 3H), 2.02 - 1.99 (m, 4H)。LCMS方法1(酸性):Rt = 1.57 min,MS (ESI+) m/z 623.2 (M+H) + C-9 : 1 H NMR (400 MHz, MeOD) δ 8.30 (s, 1H), 7.60 - 7.56 (m, 1H), 7.28 (dd, J = 11.2 Hz, 2 Hz, 1H), 7.23 - 7.20 (m , 1H), 6.82 - 6.78 (m, 1H), 6.75 - 6.71 (m, 2H), 5.22 - 5.20 (m, 1H), 5.06 - 5.04 (m, 2H), 4.68 - 4.66 (m, 1H), 4.5 - 4.48 (m, 1H), 4.26 (s, 2H), 3.47 - 3.43 (m, 2H), 2.88 - 2.77 (m, 4H), 2.52 (s, 3H), 2.51 - 2.47 (m, 1H), 2.03 (s, 3H), 2.02 - 1.99 (m, 4H). LCMS method 1 (acidic): Rt = 1.57 min, MS (ESI+) m/z 623.2 (M+H) + .

實例 2-9 2-(2-((4-((S)-2-(4-氯-2-氟苯基)-2-甲基苯并[d][1,3]二氧戊環-4-基)哌啶-1-基)甲基)-4-甲基-1-(((S)-氧雜環丁烷-2-基)甲基)-1H-咪唑-5-基)-5-乙基㗁唑-4-甲酸 ( C-10) 的合成。 Example 2-9 : 2-(2-((4-((S)-2-(4-chloro-2-fluorophenyl)-2-methylbenzo[d][1,3]dioxolane Cycl-4-yl)piperidin-1-yl)methyl)-4-methyl-1-(((S)-oxetan-2-yl)methyl)-1H-imidazole-5- Synthesis of ethyl)-5-ethylethazole-4-carboxylic acid ( C-10 ).

化合物 C-10使用與實例2中所述相同的程序但在步驟4中使用5-乙基㗁唑-4-甲酸乙酯來合成。 Compound C-10 was synthesized using the same procedure as described in Example 2 but using ethyl 5-ethylethazole-4-carboxylate in step 4.

C-10 1H NMR (400 MHz, DMSO) δ 7.56 - 7.43 (m, 2H), 7.27 (dd, J= 8.5, 2.1 Hz, 1H), 6.76 - 6.63 (m, 3H), 4.86 (dd, J= 10.2, 3.4 Hz, 2H), 4.73 - 4.56 (m, 1H), 4.34 (q, J= 6.8 Hz, 1H), 4.24 (dt, J= 8.9, 6.0 Hz, 1H), 3.69 (d, J= 13.3 Hz, 1H), 3.49 (d, J= 13.4 Hz, 1H), 2.99 (q, J= 7.6 Hz, 2H), 2.90 (d, J= 11.0 Hz, 1H), 2.79 (d, J= 11.2 Hz, 1H), 2.56 (dd, J= 16.3, 11.7 Hz, 2H), 2.31 - 2.20 (m, 4H), 2.15 - 1.98 (m, 2H), 1.95 (s, 3H), 1.77 - 1.53 (m, 4H), 1.13 (t, J= 7.4 Hz, 3H)。HRMS針對C 34H 37ClFN 4O 6(M+H) +計算值係651.2386,實測值係651.2513。 C-10 : 1 H NMR (400 MHz, DMSO) δ 7.56 - 7.43 (m, 2H), 7.27 (dd, J = 8.5, 2.1 Hz, 1H), 6.76 - 6.63 (m, 3H), 4.86 (dd, J = 10.2, 3.4 Hz, 2H), 4.73 - 4.56 (m, 1H), 4.34 (q, J = 6.8 Hz, 1H), 4.24 (dt, J = 8.9, 6.0 Hz, 1H), 3.69 (d, J = 13.3 Hz, 1H), 3.49 (d, J = 13.4 Hz, 1H), 2.99 (q, J = 7.6 Hz, 2H), 2.90 (d, J = 11.0 Hz, 1H), 2.79 (d, J = 11.2 Hz, 1H), 2.56 (dd, J = 16.3, 11.7 Hz, 2H), 2.31 - 2.20 (m, 4H), 2.15 - 1.98 (m, 2H), 1.95 (s, 3H), 1.77 - 1.53 (m, 4H), 1.13 (t, J = 7.4 Hz, 3H). HRMS calculated value for C 34 H 37 ClFN 4 O 6 (M+H) + is 651.2386, found value is 651.2513.

實例 2-10 2-(2-((4-((S)-2-(4-氰基-2-氟苯基)-2-甲基苯并[d][1,3]二氧戊環-4-基)哌啶-1-基)甲基)-4-甲基-1-(((S)-氧雜環丁烷-2-基)甲基)-1H-咪唑-5-基)-5-甲基㗁唑-4-甲酸 ( C-11) 的合成。 Example 2-10 : 2-(2-((4-((S)-2-(4-cyano-2-fluorophenyl)-2-methylbenzo[d][1,3]dioxy Pentyl)-4-yl)piperidin-1-yl)methyl)-4-methyl-1-(((S)-oxetan-2-yl)methyl)-1H-imidazole-5 -Synthesis of -5-methylethazole-4-carboxylic acid ( C-11 ).

化合物 C-11使用與實例2中所述相同的程序但在步驟3中使用中間體 II.B1代替 II.A1來合成。 Compound C-11 was synthesized using the same procedure as described in Example 2 but using intermediate II.B1 instead of II.A1 in step 3.

C-111H NMR (400 MHz, DMSO) δ 7.91 (d, J= 11.2 Hz, 1H), 7.67 (d, J= 6.5 Hz, 2H), 6.82 - 6.62 (m, 3H), 4.94 - 4.78 (m, 2H), 4.71 - 4.53 (m, 1H), 4.34 (dt, J= 8.5, 6.3 Hz, 1H), 4.24 (dt, J= 8.8, 6.0 Hz, 1H), 3.70 (d, J= 13.5 Hz, 1H), 3.50 (d, J= 13.5 Hz, 1H), 2.90 (d, J= 11.1 Hz, 1H), 2.79 (d, J= 11.0 Hz, 1H), 2.63 - 2.51 (m, 5H), 2.33 -2.19 (m, 4H), 2.17 - 1.91 (m, 5H), 1.76 - 1.55 (m, 4H)。HRMS針對C 34H 35FN 5O 6(M+H) +計算值係628.2571,實測值係628.2587。 C-11 : 1 H NMR (400 MHz, DMSO) δ 7.91 (d, J = 11.2 Hz, 1H), 7.67 (d, J = 6.5 Hz, 2H), 6.82 - 6.62 (m, 3H), 4.94 - 4.78 (m, 2H), 4.71 - 4.53 (m, 1H), 4.34 (dt, J = 8.5, 6.3 Hz, 1H), 4.24 (dt, J = 8.8, 6.0 Hz, 1H), 3.70 (d, J = 13.5 Hz, 1H), 3.50 (d, J = 13.5 Hz, 1H), 2.90 (d, J = 11.1 Hz, 1H), 2.79 (d, J = 11.0 Hz, 1H), 2.63 - 2.51 (m, 5H), 2.33 -2.19 (m, 4H), 2.17 - 1.91 (m, 5H), 1.76 - 1.55 (m, 4H). HRMS calculated value for C 34 H 35 FN 5 O 6 (M+H) + is 628.2571, and the found value is 628.2587.

實例 3 2-(2-((4-((S)-2-(4-氯-2-氟苯基)-2-甲基苯并[d][1,3]二氧戊環-4-基)哌啶-1-基)甲基)-5-甲基-1-(((S)-氧雜環丁烷-2-基)甲基)-1H-咪唑-4-基)-5-甲基㗁唑-4-甲酸 ( C-12) 的合成。 Example 3 : 2-(2-((4-((S)-2-(4-chloro-2-fluorophenyl)-2-methylbenzo[d][1,3]dioxolane- 4-yl)piperidin-1-yl)methyl)-5-methyl-1-(((S)-oxetan-2-yl)methyl)-1H-imidazol-4-yl) -Synthesis of 5-methylethazole-4-carboxylic acid ( C-12 ).

步驟1:(S)-4-碘-5-甲基-1-(氧雜環丁烷-2-基甲基)-1H-咪唑-2-甲醛 ( III.5) 的合成。 Step 1 Synthesis of: (S)-4-iodo-5-methyl-1-(oxetan-2-ylmethyl)-1H-imidazole-2-carbaldehyde ( III.5 ).

中間體 III.5使用與實例2的步驟2中所述相同的程序但使用 III.3a代替 III.3b來合成。LCMS方法2(鹼性):Rt = 0.69 min,MS (ESI+) m/z 306.9 (M+H) +Intermediate III.5 was synthesized using the same procedure as described in step 2 of Example 2 but using III.3a instead of III.3b . LCMS method 2 (basic): Rt = 0.69 min, MS (ESI+) m/z 306.9 (M+H) + .

步驟2:4-((S)-2-(4-氯-2-氟苯基)-2-甲基苯并[d][1,3]二氧戊環-4-基)-1-((4-碘-5-甲基-1-(((S)-氧雜環丁烷-2-基)甲基)-1H-咪唑-2-基)甲基)哌啶 ( I.A2) 的合成。 Step 2: 4-((S)-2-(4-chloro-2-fluorophenyl)-2-methylbenzo[d][1,3]dioxolane-4-yl)-1- ((4-iodo-5-methyl-1-(((S)-oxetan-2-yl)methyl)-1H-imidazol-2-yl)methyl)piperidine ( I.A2 ) Synthesis.

中間體 I.A2使用與實例2的步驟3中所述相同的程序但使用 III.5代替 III.4來合成。LCMS方法2(鹼性):Rt = 1.43 min,MS (ESI+) m/z 638.0 (M+H) +Intermediate I.A2 was synthesized using the same procedure as described in step 3 of Example 2 but using III.5 instead of III.4 . LCMS method 2 (basic): Rt = 1.43 min, MS (ESI+) m/z 638.0 (M+H) + .

步驟3:2-(2-((4-((S)-2-(4-氯-2-氟苯基)-2-甲基苯并[d][1,3]二氧戊環-4-基)哌啶-1-基)甲基)-5-甲基-1-(((S)-氧雜環丁烷-2-基)甲基)-1H-咪唑-4-基)-5-甲基㗁唑-4-甲酸乙酯 ( I.2) 的合成。 Step 3: 2-(2-((4-((S)-2-(4-chloro-2-fluorophenyl)-2-methylbenzo[d][1,3]dioxolane- 4-yl)piperidin-1-yl)methyl)-5-methyl-1-(((S)-oxetan-2-yl)methyl)-1H-imidazol-4-yl) -Synthesis of ethyl 5-methylethazole-4-carboxylate ( I.2 ).

中間體 I.2使用與實例2的步驟4中所述相同的程序但使用 I.A2代替 I.B1來合成。LCMS方法2(鹼性):Rt = 1.38 min,MS (ESI+) m/z 665.5 (M+H) +Intermediate I.2 was synthesized using the same procedure as described in step 4 of Example 2 but using I.A2 instead of I.B1 . LCMS method 2 (basic): Rt = 1.38 min, MS (ESI+) m/z 665.5 (M+H) + .

步驟4:2-(2-((4-((S)-2-(4-氯-2-氟苯基)-2-甲基苯并[d][1,3]二氧戊環-4-基)哌啶-1-基)甲基)-5-甲基-1-(((S)-氧雜環丁烷-2-基)甲基)-1H-咪唑-4-基)-5-甲基㗁唑-4-甲酸 ( C-12) 的合成。 Step 4: 2-(2-((4-((S)-2-(4-chloro-2-fluorophenyl)-2-methylbenzo[d][1,3]dioxolane- 4-yl)piperidin-1-yl)methyl)-5-methyl-1-(((S)-oxetan-2-yl)methyl)-1H-imidazol-4-yl) -Synthesis of 5-methylethazole-4-carboxylic acid ( C-12 ).

化合物 C-12使用與實例2的步驟5中所述相同的程序但使用 I.2代替 I.1來合成。 Compound C-12 was synthesized using the same procedure as described in step 5 of Example 2 but using I.2 instead of I.1 .

C-12 1H NMR (400 MHz, DMSO) δ 7.55 - 7.44 (m, 2H), 7.27 (dd, J= 8.5, 2.1 Hz, 1H), 6.76 - 6.60 (m, 3H), 4.96 (dd, J= 8.8, 6.3 Hz, 1H), 4.49 - 4.29 (m, 3H), 4.23 (dd, J= 15.2, 2.8 Hz, 1H), 3.66 (d, J= 13.5 Hz, 1H), 3.42 (d, J= 13.4 Hz, 1H), 2.91 (d, J= 11.1 Hz, 1H), 2.76 (d, J= 11.3 Hz, 1H), 2.61 (td, J= 17.4, 8.7 Hz, 2H), 2.51 (s, 3H), 2.49 (s, 3H), 2.39 - 2.31 (m, 1H), 2.13 - 1.99 (m, 2H), 1.96 (s, 3H), 1.75 - 1.47 (m, 4H)。LCMS方法2(鹼性):Rt = 0.87 min,MS (ESI+) m/z 637.5 (M+H) +。HRMS針對C 33H 35ClFN 4O 6(M+H) +計算值係637.2229,實測值係637.2288。 C-12 : 1 H NMR (400 MHz, DMSO) δ 7.55 - 7.44 (m, 2H), 7.27 (dd, J = 8.5, 2.1 Hz, 1H), 6.76 - 6.60 (m, 3H), 4.96 (dd, J = 8.8, 6.3 Hz, 1H), 4.49 - 4.29 (m, 3H), 4.23 (dd, J = 15.2, 2.8 Hz, 1H), 3.66 (d, J = 13.5 Hz, 1H), 3.42 (d, J = 13.4 Hz, 1H), 2.91 (d, J = 11.1 Hz, 1H), 2.76 (d, J = 11.3 Hz, 1H), 2.61 (td, J = 17.4, 8.7 Hz, 2H), 2.51 (s, 3H ), 2.49 (s, 3H), 2.39 - 2.31 (m, 1H), 2.13 - 1.99 (m, 2H), 1.96 (s, 3H), 1.75 - 1.47 (m, 4H). LCMS method 2 (basic): Rt = 0.87 min, MS (ESI+) m/z 637.5 (M+H) + . HRMS calculated value for C 33 H 35 ClFN 4 O 6 (M+H) + is 637.2229, found value is 637.2288.

實例 3-1 2-(2-((4-((S)-2-(4-氯-2-氟苯基)-2-甲基苯并[d][1,3]二氧戊環-4-基)哌啶-1-基)甲基)-5-甲基-1-(((S)-氧雜環丁烷-2-基)甲基)-1H-咪唑-4-基)㗁唑-4-甲酸 ( C-13) 的合成。 Example 3-1 : 2-(2-((4-((S)-2-(4-chloro-2-fluorophenyl)-2-methylbenzo[d][1,3]dioxolane Cycl-4-yl)piperidin-1-yl)methyl)-5-methyl-1-(((S)-oxetan-2-yl)methyl)-1H-imidazole-4- Synthesis of ethazole-4-carboxylic acid ( C-13 ).

化合物 C-13使用與實例3中所述相同的程序但在步驟3中使用㗁唑-4-甲酸乙酯來合成。 Compound C-13 was synthesized using the same procedure as described in Example 3 but using ethyl ethazole-4-carboxylate in step 3.

C-131H NMR (400 MHz, MeOD) δ 8.64 (s, 1H), 7.58 - 7.53 (m, 2H), 7.33 (dd, J = 8.4, 1.6 Hz, 1H), 6.79 - 6.78 (m, 2H), 6.76 - 6.73 (m, 1H), 5.05 - 5.03 (m, 1H), 4.51 - 4.42 (m, 3H), 4.33 - 4.29 (m, 1H), 3.74 (d, J = 13.2 Hz, 1H), 3.50 (d, J = 5 Hz, 1H), 3.0 - 2.97 (m, 1H), 2.85 - 2.83 (m, 1H), 2.69 -2.67 (m, 2H), 2.58 (s, 3H), 2.49 - 2.32 (m, 1H), 2.18 - 2.01 (m, 3H), 2.02 (s, 3H), 1.76 - 1.66 (m, 4H)。LCMS方法1(酸性):Rt = 1.12 min,MS (ESI+) m/z 623.2 (M+H)+。 C-13 : 1 H NMR (400 MHz, MeOD) δ 8.64 (s, 1H), 7.58 - 7.53 (m, 2H), 7.33 (dd, J = 8.4, 1.6 Hz, 1H), 6.79 - 6.78 (m, 2H), 6.76 - 6.73 (m, 1H), 5.05 - 5.03 (m, 1H), 4.51 - 4.42 (m, 3H), 4.33 - 4.29 (m, 1H), 3.74 (d, J = 13.2 Hz, 1H) , 3.50 (d, J = 5 Hz, 1H), 3.0 - 2.97 (m, 1H), 2.85 - 2.83 (m, 1H), 2.69 -2.67 (m, 2H), 2.58 (s, 3H), 2.49 - 2.32 (m, 1H), 2.18 - 2.01 (m, 3H), 2.02 (s, 3H), 1.76 - 1.66 (m, 4H). LCMS method 1 (acidic): Rt = 1.12 min, MS (ESI+) m/z 623.2 (M+H)+.

實例 3-2 2-(2-((4-((S)-2-(4-氯-2-氟苯基)-2-甲基苯并[d][1,3]二氧戊環-4-基)哌啶-1-基)甲基)-5-甲基-1-(((S)-氧雜環丁烷-2-基)甲基)-1H-咪唑-4-基)-4-(三氟甲基)㗁唑-5-甲酸 ( C-14) 的合成。 Example 3-2 : 2-(2-((4-((S)-2-(4-chloro-2-fluorophenyl)-2-methylbenzo[d][1,3]dioxolane Cycl-4-yl)piperidin-1-yl)methyl)-5-methyl-1-(((S)-oxetan-2-yl)methyl)-1H-imidazole-4- Synthesis of methyl)-4-(trifluoromethyl)ethazole-5-carboxylic acid ( C-14 ).

化合物 C-14使用與實例3中所述相同的程序但在步驟3中使用4-(三氟甲基)㗁唑-5-甲酸乙酯來合成。 Compound C-14 was synthesized using the same procedure as described in Example 3 but using ethyl 4-(trifluoromethyl)ethazole-5-carboxylate in step 3.

C-14:1H NMR (400 MHz, DMSO) δ 7.54 - 7.44 (m, 2H), 7.28 (dd, J = 8.5, 2.1 Hz, 1H), 6.77 - 6.60 (m, 3H), 5.04 - 4.88 (m, 1H), 4.49 - 4.29 (m, 3H), 4.24 (d, J = 14.4 Hz, 1H), 3.67 (d, J = 13.6 Hz, 1H), 3.43 (d, J = 13.3 Hz, 1H), 2.92 (d, J = 11.1 Hz, 1H), 2.78 (d, J = 11.3 Hz, 1H), 2.67-2.54 (m, 2H), 2.49 (s, 3H), 2.37-2.31 (m, 1H), 2.15 - 1.97 (m, 2H), 1.96 (s, 3H), 1.77 - 1.44 (m, 4H)。HRMS針對C 33H 32ClF 4N 4O 6(M+H) +計算值係691.1947,實測值係691.1964。 C-14 : 1H NMR (400 MHz, DMSO) δ 7.54 - 7.44 (m, 2H), 7.28 (dd, J = 8.5, 2.1 Hz, 1H), 6.77 - 6.60 (m, 3H), 5.04 - 4.88 (m , 1H), 4.49 - 4.29 (m, 3H), 4.24 (d, J = 14.4 Hz, 1H), 3.67 (d, J = 13.6 Hz, 1H), 3.43 (d, J = 13.3 Hz, 1H), 2.92 (d, J = 11.1 Hz, 1H), 2.78 (d, J = 11.3 Hz, 1H), 2.67-2.54 (m, 2H), 2.49 (s, 3H), 2.37-2.31 (m, 1H), 2.15 - 1.97 (m, 2H), 1.96 (s, 3H), 1.77 - 1.44 (m, 4H). HRMS calculated value for C 33 H 32 ClF 4 N 4 O 6 (M+H) + is 691.1947, found value is 691.1964.

實例 3-3:2-(2-((4-((S)-2-(4-氯-2-氟苯基)-2-甲基苯并[d][1,3]二氧戊環-4-基)哌啶-1-基)甲基)-5-甲基-1-(((S)-氧雜環丁烷-2-基)甲基)-1H-咪唑-4-基)-4-甲基㗁唑-5-甲酸 ( C-15) 的合成。 Example 3-3 : 2-(2-((4-((S)-2-(4-chloro-2-fluorophenyl)-2-methylbenzo[d][1,3]dioxolane Cycl-4-yl)piperidin-1-yl)methyl)-5-methyl-1-(((S)-oxetan-2-yl)methyl)-1H-imidazole-4- Synthesis of methyl)-4-methylethazole-5-carboxylic acid ( C-15 ).

化合物 C-15使用與實例3中所述相同的程序但在步驟3中使用4-甲基㗁唑-5-甲酸乙酯來合成。 Compound C-15 was synthesized using the same procedure as described in Example 3 but using ethyl 4-methylethazole-5-carboxylate in step 3.

C-151H NMR (400 MHz, DMSO) δ 7.55 - 7.46 (m, 2H), 7.28 (dd, J= 8.4, 2.1 Hz, 1H), 6.77 - 6.62 (m, 3H), 4.97 (qd, J= 7.4, 2.9 Hz, 1H), 4.50 - 4.29 (m, 3H), 4.20 (dd, J= 15.5, 2.9 Hz, 1H), 3.65 (d, J= 13.3 Hz, 1H), 3.41 (d, J= 13.3 Hz, 1H), 2.92 (d, J= 11.2 Hz, 1H), 2.79 (d, J= 11.2 Hz, 1H), 2.65 - 2.54 (m, 2H), 2.48 (s, 3H), 2.38 - 2.29 (m, 1H), 2.24 (s, 3H), 2.13 - 1.89 (m, 5H), 1.79 - 1.51 (m, 4H)。HRMS針對C 33H 35ClFN 4O 6(M+H) +計算值係637.2229,實測值係637.2372。 C-15 : 1 H NMR (400 MHz, DMSO) δ 7.55 - 7.46 (m, 2H), 7.28 (dd, J = 8.4, 2.1 Hz, 1H), 6.77 - 6.62 (m, 3H), 4.97 (qd, J = 7.4, 2.9 Hz, 1H), 4.50 - 4.29 (m, 3H), 4.20 (dd, J = 15.5, 2.9 Hz, 1H), 3.65 (d, J = 13.3 Hz, 1H), 3.41 (d, J = 13.3 Hz, 1H), 2.92 (d, J = 11.2 Hz, 1H), 2.79 (d, J = 11.2 Hz, 1H), 2.65 - 2.54 (m, 2H), 2.48 (s, 3H), 2.38 - 2.29 (m, 1H), 2.24 (s, 3H), 2.13 - 1.89 (m, 5H), 1.79 - 1.51 (m, 4H). HRMS calculated value for C 33 H 35 ClFN 4 O 6 (M+H) + is 637.2229, found value is 637.2372.

實例 4 5-(2-((4-((S)-2-(4-氯-2-氟苯基)-2-甲基苯并[d][1,3]二氧戊環-4-基)哌啶-1-基)甲基)-5-甲基-1-(((S)-氧雜環丁烷-2-基)甲基)-1H-咪唑-4-基)㗁唑-2-甲酸 ( C-16) 的合成。 Example 4 : 5-(2-((4-((S)-2-(4-chloro-2-fluorophenyl)-2-methylbenzo[d][1,3]dioxolane- 4-yl)piperidin-1-yl)methyl)-5-methyl-1-(((S)-oxetan-2-yl)methyl)-1H-imidazol-4-yl) Synthesis of ethazole-2-carboxylic acid ( C-16 ).

步驟1:5-(2-((4-((S)-2-(4-氯-2-氟苯基)-2-甲基苯并[d][1,3]二氧戊環-4-基)哌啶-1-基)甲基)-5-甲基-1-(((S)-氧雜環丁烷-2-基)甲基)-1H-咪唑-4-基)㗁唑-2-甲酸乙酯 ( I.3) 的合成。 Step 1: 5-(2-((4-((S)-2-(4-chloro-2-fluorophenyl)-2-methylbenzo[d][1,3]dioxolane- 4-yl)piperidin-1-yl)methyl)-5-methyl-1-(((S)-oxetan-2-yl)methyl)-1H-imidazol-4-yl) Synthesis of ethyl ethyl ethazole-2-carboxylate ( I.3 ).

向1-((4-溴-5-甲基-1-(((S)-氧雜環丁烷-2-基)甲基)-1H-咪唑-2-基)甲基)-4-((S)-2-(4-氯-2-氟苯基)-2-甲基苯并[d][1,3]二氧戊環-4-基)哌啶 ( I.A1)(50.00 mg,84.61 µmol)在1,4-二㗁𠮿(1.000 mL)中的溶液中添加5-(4,4,5,5-四甲基-1,3,2-二氧雜環戊硼烷-2-基)㗁唑-2-甲酸乙酯(29.38 mg,110.0 µmol)、K 3PO 4(126.9 µL,2.000 M,253.8 µmol)和Pd 118(5.515 mg,8.461 µmol)。將反應混合物在120°C下微波30 min。LCMS示出反應完成。將粗品用DCM稀釋並用飽和NaHCO 3洗滌。將分離的有機層過濾以去除水,經由旋轉蒸發器濃縮以提供棕色油狀物 ( I.3),將其「按原樣」用於下一步驟。LCMS方法2(鹼性):Rt = 1.37 min,MS (ESI+) m/z 651.2 (M+H) +To 1-((4-bromo-5-methyl-1-(((S)-oxetan-2-yl)methyl)-1H-imidazol-2-yl)methyl)-4- ((S)-2-(4-chloro-2-fluorophenyl)-2-methylbenzo[d][1,3]dioxolane-4-yl)piperidine ( I.A1 ) ( To a solution of 50.00 mg, 84.61 µmol) in 1,4-dioxolaborate (1.000 mL) was added 5-(4,4,5,5-tetramethyl-1,3,2-dioxaborane Ethyl alk-2-yl)ethazole-2-carboxylate (29.38 mg, 110.0 µmol), K 3 PO 4 (126.9 µL, 2.000 M, 253.8 µmol), and Pd 118 (5.515 mg, 8.461 µmol). Microwave the reaction mixture at 120°C for 30 min. LCMS showed the reaction was complete. The crude product was diluted with DCM and washed with saturated NaHCO3 . The separated organic layer was filtered to remove water and concentrated via rotary evaporator to provide a brown oil ( 1.3 ), which was used "as is" in the next step. LCMS method 2 (basic): Rt = 1.37 min, MS (ESI+) m/z 651.2 (M+H) + .

步驟2:5-(2-((4-((S)-2-(4-氯-2-氟苯基)-2-甲基苯并[d][1,3]二氧戊環-4-基)哌啶-1-基)甲基)-5-甲基-1-(((S)-氧雜環丁烷-2-基)甲基)-1H-咪唑-4-基)㗁唑-2-甲酸 ( C-16) 的合成。 Step 2: 5-(2-((4-((S)-2-(4-chloro-2-fluorophenyl)-2-methylbenzo[d][1,3]dioxolane- 4-yl)piperidin-1-yl)methyl)-5-methyl-1-(((S)-oxetan-2-yl)methyl)-1H-imidazol-4-yl) Synthesis of ethazole-2-carboxylic acid ( C-16 ).

向5-(2-((4-((S)-2-(4-氯-2-氟苯基)-2-甲基苯并[d][1,3]二氧戊環-4-基)哌啶-1-基)甲基)-5-甲基-1-(((S)-氧雜環丁烷-2-基)甲基)-1H-咪唑-4-基)㗁唑-2-甲酸乙酯 ( I.3)(55.00 mg,84.47 µmol)在THF(0.500 mL)和甲醇(0.25 mL)中的溶液中添加LiOH(0.337 mL,1.000 M,337.9 µmol)。將反應混合物在室溫下攪拌1 h。LCMS示出反應完成。將粗品直接載入到50 g C18柱上,並藉由ISCO(在水中的10%-100% ACN,用0.1%濃NH 4OH改性)純化以在凍乾後提供5-(2-((4-((S)-2-(4-氯-2-氟苯基)-2-甲基苯并[d][1,3]二氧戊環-4-基)哌啶-1-基)甲基)-5-甲基-1-(((S)-氧雜環丁烷-2-基)甲基)-1H-咪唑-4-基)㗁唑-2-甲酸鋰鹽 ( C-16)(12.00 mg,22%)。 To 5-(2-((4-((S)-2-(4-chloro-2-fluorophenyl)-2-methylbenzo[d][1,3]dioxolane-4- yl)piperidin-1-yl)methyl)-5-methyl-1-(((S)-oxetan-2-yl)methyl)-1H-imidazol-4-yl)ethazole To a solution of -ethyl-2-formate ( I.3 ) (55.00 mg, 84.47 µmol) in THF (0.500 mL) and methanol (0.25 mL) was added LiOH (0.337 mL, 1.000 M, 337.9 µmol). The reaction mixture was stirred at room temperature for 1 h. LCMS showed the reaction was complete. The crude product was loaded directly onto a 50 g C18 column and purified by ISCO (10%-100% ACN in water, modified with 0.1% concentrated NH 4 OH) to provide 5-(2-( after lyophilization (4-((S)-2-(4-chloro-2-fluorophenyl)-2-methylbenzo[d][1,3]dioxolane-4-yl)piperidine-1- methyl)-5-methyl-1-(((S)-oxetan-2-yl)methyl)-1H-imidazol-4-yl)ethazole-2-carboxylic acid lithium salt ( C-16) (12.00 mg, 22%).

C-16:LCMS方法2(鹼性):Rt = 0.89 min,MS (ESI+) m/z 623.2 (M+H) +1H NMR (400 MHz, MeOD) δ 7.48 (t, J = 8.3 Hz, 1H), 7.21 - 7.06 (m, 3H), 6.72 - 6.54 (m, 3H), 5.08 (qd, J = 7.4, 2.5 Hz, 1H), 4.61 - 4.46 (m, 2H), 4.41 (dt, J = 9.2, 5.9 Hz, 1H), 4.30 (dd, J = 15.3, 2.6 Hz, 1H), 3.70 (d, J = 13.6 Hz, 1H), 3.53 (d, J = 13.6 Hz, 1H), 2.92 (d, J = 11.3 Hz, 1H), 2.85 - 2.74 (m, 1H), 2.71 (ddd, J = 11.5, 5.5, 2.7 Hz, 1H), 2.65 - 2.51 (m, 1H), 2.47 (s, 3H), 2.40 (dt, J = 11.2, 8.0 Hz, 1H), 2.10 (dtd, J = 30.6, 11.4, 2.9 Hz, 2H), 1.93 (s, 3H), 1.77 (dddd, J = 25.3, 17.4, 12.7, 7.0 Hz, 4H)。 C-16 : LCMS method 2 (basic): Rt = 0.89 min, MS (ESI+) m/z 623.2 (M+H) + . 1 H NMR (400 MHz, MeOD) δ 7.48 (t, J = 8.3 Hz, 1H), 7.21 - 7.06 (m, 3H), 6.72 - 6.54 (m, 3H), 5.08 (qd, J = 7.4, 2.5 Hz , 1H), 4.61 - 4.46 (m, 2H), 4.41 (dt, J = 9.2, 5.9 Hz, 1H), 4.30 (dd, J = 15.3, 2.6 Hz, 1H), 3.70 (d, J = 13.6 Hz, 1H), 3.53 (d, J = 13.6 Hz, 1H), 2.92 (d, J = 11.3 Hz, 1H), 2.85 - 2.74 (m, 1H), 2.71 (ddd, J = 11.5, 5.5, 2.7 Hz, 1H ), 2.65 - 2.51 (m, 1H), 2.47 (s, 3H), 2.40 (dt, J = 11.2, 8.0 Hz, 1H), 2.10 (dtd, J = 30.6, 11.4, 2.9 Hz, 2H), 1.93 ( s, 3H), 1.77 (dddd, J = 25.3, 17.4, 12.7, 7.0 Hz, 4H).

實例 4-1:3-(2-((4-((S)-2-(4-氯-2-氟苯基)-2-甲基苯并[d][1,3]二氧戊環-4-基)哌啶-1-基)甲基)-5-甲基-1-(((S)-氧雜環丁烷-2-基)甲基)-1H-咪唑-4-基)-1-甲基-1H-吡唑-5-甲酸 ( C-17) 的合成。 Example 4-1 : 3-(2-((4-((S)-2-(4-chloro-2-fluorophenyl)-2-methylbenzo[d][1,3]dioxolane Cycl-4-yl)piperidin-1-yl)methyl)-5-methyl-1-(((S)-oxetan-2-yl)methyl)-1H-imidazole-4- Synthesis of 1-methyl-1H-pyrazole-5-carboxylic acid ( C-17 ).

化合物 C-17使用與實例4中所述相同的程序但在步驟1中使用1-甲基-3-(4,4,5,5-四甲基-1,3,2-二氧雜環戊硼烷-2-基)-1H-吡唑-5-甲酸甲酯來合成。 Compound C-17 Use the same procedure as described in Example 4 but use 1-methyl-3-(4,4,5,5-tetramethyl-1,3,2-dioxetane in step 1 Pentaborane-2-yl)-1H-pyrazole-5-carboxylic acid methyl ester.

C-171H NMR (400 MHz, MeOD) δ 7.48 (t, J= 8.3 Hz, 1H), 7.18 (dd, J= 11.0, 2.1 Hz, 1H), 7.11 (dd, J= 8.3, 2.0 Hz, 1H), 6.76 (s, 1H), 6.71 - 6.53 (m, 3H), 5.07 (qd, J= 7.3, 2.6 Hz, 1H), 4.59 - 4.33 (m, 3H), 4.28 (dd, J= 15.4, 2.7 Hz, 1H), 4.05 (s, 3H), 3.67 (d, J= 13.5 Hz, 1H), 3.54 (d, J= 13.5 Hz, 1H), 2.93 (d, J= 11.3 Hz, 1H), 2.83 (d, J= 11.5 Hz, 1H), 2.69 (dtd, J= 11.2, 8.0, 6.0 Hz, 1H), 2.58 (ddd, J= 11.8, 7.6, 3.4 Hz, 1H), 2.47 - 2.38 (m, 1H), 2.36 (s, 3H), 2.10 (dtd, J= 26.9, 11.4, 2.9 Hz, 2H), 1.93 (s, 3H), 1.87 - 1.63 (m, 4H)。HRMS針對C 33H 36ClFN 5O 5(M+H) +計算值係636.2389,實測值係636.2411。 C-17 : 1 H NMR (400 MHz, MeOD) δ 7.48 (t, J = 8.3 Hz, 1H), 7.18 (dd, J = 11.0, 2.1 Hz, 1H), 7.11 (dd, J = 8.3, 2.0 Hz , 1H), 6.76 (s, 1H), 6.71 - 6.53 (m, 3H), 5.07 (qd, J = 7.3, 2.6 Hz, 1H), 4.59 - 4.33 (m, 3H), 4.28 (dd, J = 15.4 , 2.7 Hz, 1H), 4.05 (s, 3H), 3.67 (d, J = 13.5 Hz, 1H), 3.54 (d, J = 13.5 Hz, 1H), 2.93 (d, J = 11.3 Hz, 1H), 2.83 (d, J = 11.5 Hz, 1H), 2.69 (dtd, J = 11.2, 8.0, 6.0 Hz, 1H), 2.58 (ddd, J = 11.8, 7.6, 3.4 Hz, 1H), 2.47 - 2.38 (m, 1H), 2.36 (s, 3H), 2.10 (dtd, J = 26.9, 11.4, 2.9 Hz, 2H), 1.93 (s, 3H), 1.87 - 1.63 (m, 4H). HRMS calculated value for C 33 H 36 ClFN 5 O 5 (M+H) + is 636.2389, found value is 636.2411.

實例 4-2:4-(2-((4-((S)-2-(4-氯-2-氟苯基)-2-甲基苯并[d][1,3]二氧戊環-4-基)哌啶-1-基)甲基)-5-甲基-1-(((S)-氧雜環丁烷-2-基)甲基)-1H-咪唑-4-基)㗁唑-2-甲酸 ( C-18) 的合成。 Example 4-2 : 4-(2-((4-((S)-2-(4-chloro-2-fluorophenyl)-2-methylbenzo[d][1,3]dioxolane Cycl-4-yl)piperidin-1-yl)methyl)-5-methyl-1-(((S)-oxetan-2-yl)methyl)-1H-imidazole-4- Synthesis of ethazole-2-carboxylic acid ( C-18 ).

化合物 C-18使用與實例4中所述相同的程序但在步驟1中使用4-(4,4,5,5-四甲基-1,3,2-二氧雜環戊硼烷-2-基)㗁唑-2-甲酸乙酯來合成。 Compound C-18 Use the same procedure as described in Example 4 but use 4-(4,4,5,5-tetramethyl-1,3,2-dioxaborane-2 in step 1 -ethyl)ethyl ethazole-2-carboxylate.

C-181H NMR (400 MHz, MeOD) δ 7.92 (s, 1H), 7.48 (t, 1H), 7.18 (dd, J = 10.8, 2.0 Hz, 1H), 7.11 (dd, J = 8.5, 2.0 Hz, 1H), 6.73 - 6.53 (m, 3H), 5.13 - 4.98 (m, 1H), 4.59 - 4.44 (m, 2H), 4.40 (dt, J = 9.2, 5.9 Hz, 1H), 4.28 (dd, J = 15.3, 2.7 Hz, 1H), 3.69 (d, J = 13.6 Hz, 1H), 3.53 (d, J = 13.6 Hz, 1H), 2.93 (d, J = 11.3 Hz, 1H), 2.82 (d, J = 11.4 Hz, 1H), 2.77 - 2.65 (m, 1H), 2.63 - 2.53 (m, 1H), 2.50 (s, 3H), 2.46 - 2.34 (m, 1H), 2.21 - 1.99 (m, 2H), 1.93 (s, 3H), 1.86 - 1.61 (m, 4H)。LCMS方法2(鹼性):Rt = 0.81 min,MS (ESI+) m/z 623.2 (M+H) + C-18 : 1 H NMR (400 MHz, MeOD) δ 7.92 (s, 1H), 7.48 (t, 1H), 7.18 (dd, J = 10.8, 2.0 Hz, 1H), 7.11 (dd, J = 8.5, 2.0 Hz, 1H), 6.73 - 6.53 (m, 3H), 5.13 - 4.98 (m, 1H), 4.59 - 4.44 (m, 2H), 4.40 (dt, J = 9.2, 5.9 Hz, 1H), 4.28 (dd , J = 15.3, 2.7 Hz, 1H), 3.69 (d, J = 13.6 Hz, 1H), 3.53 (d, J = 13.6 Hz, 1H), 2.93 (d, J = 11.3 Hz, 1H), 2.82 (d , J = 11.4 Hz, 1H), 2.77 - 2.65 (m, 1H), 2.63 - 2.53 (m, 1H), 2.50 (s, 3H), 2.46 - 2.34 (m, 1H), 2.21 - 1.99 (m, 2H ), 1.93 (s, 3H), 1.86 - 1.61 (m, 4H). LCMS method 2 (basic): Rt = 0.81 min, MS (ESI+) m/z 623.2 (M+H) + .

實例 4-3:5-(2-((4-((S)-2-(4-氯-2-氟苯基)-2-甲基苯并[d][1,3]二氧戊環-4-基)哌啶-1-基)甲基)-5-甲基-1-(((S)-氧雜環丁烷-2-基)甲基)-1H-咪唑-4-基)-3-甲基呋喃-2-甲酸 ( C-19) 的合成。 Example 4-3 : 5-(2-((4-((S)-2-(4-chloro-2-fluorophenyl)-2-methylbenzo[d][1,3]dioxolane Cycl-4-yl)piperidin-1-yl)methyl)-5-methyl-1-(((S)-oxetan-2-yl)methyl)-1H-imidazole-4- Synthesis of methyl)-3-methylfuran-2-carboxylic acid ( C-19 ).

化合物 C-19使用與實例4中所述相同的程序但在步驟1中使用3-甲基-5-(4,4,5,5-四甲基-1,3,2-二氧雜環戊硼烷-2-基)呋喃-2-甲酸甲酯來合成。 Compound C-19 Use the same procedure as described in Example 4 but use 3-methyl-5-(4,4,5,5-tetramethyl-1,3,2-dioxetane in step 1 Synthesized from pentaborane-2-yl)furan-2-carboxylic acid methyl ester.

C-191H NMR (400 MHz, MeOD) δ 7.57 (t, J= 8.3 Hz, 1H), 7.26 (dd, J= 10.8, 2.0 Hz, 1H), 7.18 (dd, J= 8.5, 2.1 Hz, 1H), 6.81 - 6.74 (m, 1H), 6.70 (dd, J= 7.1, 5.5 Hz, 2H), 6.51 (s, 1H), 5.15 (qd, J= 7.4, 2.4 Hz, 1H), 4.64 (td, J= 7.8, 5.6 Hz, 1H), 4.59 - 4.51 (m, 1H), 4.48 (dt, J= 9.1, 5.9 Hz, 1H), 4.37 (dd, J= 15.6, 2.5 Hz, 1H), 3.90 (d, J= 13.8 Hz, 1H), 3.79 (d, J= 14.0 Hz, 1H), 3.24 (s, 1H), 3.11 (d, J= 12.3 Hz, 1H), 2.86 - 2.66 (m, 2H), 2.53 (s, 3H), 2.57 - 2.32 (m, 3H), 2.36 (s, 3H), 2.02 (s, 3H), 2.05 - 1.75 (m, 4H)。HRMS針對C 34H 36ClFN 3O 6(M+H) +計算值係636.2277,實測值係636.2281。 C-19 : 1 H NMR (400 MHz, MeOD) δ 7.57 (t, J = 8.3 Hz, 1H), 7.26 (dd, J = 10.8, 2.0 Hz, 1H), 7.18 (dd, J = 8.5, 2.1 Hz , 1H), 6.81 - 6.74 (m, 1H), 6.70 (dd, J = 7.1, 5.5 Hz, 2H), 6.51 (s, 1H), 5.15 (qd, J = 7.4, 2.4 Hz, 1H), 4.64 ( td, J = 7.8, 5.6 Hz, 1H), 4.59 - 4.51 (m, 1H), 4.48 (dt, J = 9.1, 5.9 Hz, 1H), 4.37 (dd, J = 15.6, 2.5 Hz, 1H), 3.90 (d, J = 13.8 Hz, 1H), 3.79 (d, J = 14.0 Hz, 1H), 3.24 (s, 1H), 3.11 (d, J = 12.3 Hz, 1H), 2.86 - 2.66 (m, 2H) , 2.53 (s, 3H), 2.57 - 2.32 (m, 3H), 2.36 (s, 3H), 2.02 (s, 3H), 2.05 - 1.75 (m, 4H). HRMS calculated value for C 34 H 36 ClFN 3 O 6 (M+H) + is 636.2277, found value is 636.2281.

實例 5 4-(2-((4-((S)-2-(4-氯-2-氟苯基)-2-甲基苯并[d][1,3]二氧戊環-4-基)哌啶-1-基)甲基)-4-甲基-1-(((S)-氧雜環丁烷-2-基)甲基)-1H-咪唑-5-基)㗁唑-2-甲酸 ( C-20) 的合成。 Example 5 : 4-(2-((4-((S)-2-(4-chloro-2-fluorophenyl)-2-methylbenzo[d][1,3]dioxolane- 4-yl)piperidin-1-yl)methyl)-4-methyl-1-(((S)-oxetan-2-yl)methyl)-1H-imidazol-5-yl) Synthesis of ethazole-2-carboxylic acid ( C-20 ).

步驟1:4-(2-((4-((S)-2-(4-氯-2-氟苯基)-2-甲基苯并[d][1,3]二氧戊環-4-基)哌啶-1-基)甲基)-4-甲基-1-(((S)-氧雜環丁烷-2-基)甲基)-1H-咪唑-5-基)㗁唑-2-甲酸乙酯 ( I.4) 的合成。 Step 1: 4-(2-((4-((S)-2-(4-chloro-2-fluorophenyl)-2-methylbenzo[d][1,3]dioxolane- 4-yl)piperidin-1-yl)methyl)-4-methyl-1-(((S)-oxetan-2-yl)methyl)-1H-imidazol-5-yl) Synthesis of ethyl ethyl ethazole-2-carboxylate ( I.4 ).

向4-((S)-2-(4-氯-2-氟苯基)-2-甲基苯并[d][1,3]二氧戊環-4-基)-1-((5-碘-4-甲基-1-(((S)-氧雜環丁烷-2-基)甲基)-1H-咪唑-2-基)甲基)哌啶 ( I.B1)(60.00 mg,94.06 µmol)在1,4-二㗁𠮿(1.000 mL)中的溶液中添加4-(4,4,5,5-四甲基-1,3,2-二氧雜環戊硼烷-2-基)㗁唑-2-甲酸乙酯(75.36 mg,.2 µmol)、K 2CO 3(211.6 µL,2.000 M,4423.3 µmol)和XPhos Pd G2(7.400 mg,9.406 µmol)。將反應混合物用氮氣吹掃5 min,之後在110°C下在微波中加熱30 min。LCMS示出形成了4-(2-((4-((S)-2-(4-氯-2-氟苯基)-2-甲基苯并[d][1,3]二氧戊環-4-基)哌啶-1-基)甲基)-4-甲基-1-(((S)-氧雜環丁烷-2-基)甲基)-1H-咪唑-5-基)㗁唑-2-甲酸乙酯 ( I.4)。還觀察到水解的酸pdt(Rt = 0.81 min)和相當量的雙偶聯側pdt(Rt = 1.27 min)。將粗品藉由1 M檸檬酸酸化(至pH = 4),並用鹽水稀釋並用EtOAc萃取(2×)。將分離的有機物過濾、濃縮並不經進一步純化而用於下一步驟。LCMS方法2(鹼性):Rt = 1.34 min,MS (ESI+) m/z 651.3 (M+H) +To 4-((S)-2-(4-chloro-2-fluorophenyl)-2-methylbenzo[d][1,3]dioxolane-4-yl)-1-(( 5-iodo-4-methyl-1-(((S)-oxetan-2-yl)methyl)-1H-imidazol-2-yl)methyl)piperidine ( I.B1 ) ( To a solution of 60.00 mg, 94.06 µmol) in 1,4-dioxolaborate (1.000 mL) was added 4-(4,4,5,5-tetramethyl-1,3,2-dioxolabor Ethyl alk-2-yl)ethazole-2-carboxylate (75.36 mg, .2 µmol), K 2 CO 3 (211.6 µL, 2.000 M, 4423.3 µmol), and XPhos Pd G2 (7.400 mg, 9.406 µmol). The reaction mixture was purged with nitrogen for 5 min and then heated in the microwave at 110°C for 30 min. LCMS showed formation of 4-(2-((4-((S)-2-(4-chloro-2-fluorophenyl)-2-methylbenzo[d][1,3]dioxolane Cycl-4-yl)piperidin-1-yl)methyl)-4-methyl-1-(((S)-oxetan-2-yl)methyl)-1H-imidazole-5- Ethyl)ethyl ethazole-2-carboxylate ( I.4 ). Hydrolyzed acid PDT (Rt = 0.81 min) and a considerable amount of doubly coupled side PDT (Rt = 1.27 min) were also observed. The crude product was acidified (to pH = 4) by 1 M citric acid, diluted with brine and extracted with EtOAc (2×). The isolated organics were filtered, concentrated and used in the next step without further purification. LCMS method 2 (basic): Rt = 1.34 min, MS (ESI+) m/z 651.3 (M+H) + .

步驟2:4-(2-((4-((S)-2-(4-氯-2-氟苯基)-2-甲基苯并[d][1,3]二氧戊環-4-基)哌啶-1-基)甲基)-4-甲基-1-(((S)-氧雜環丁烷-2-基)甲基)-1H-咪唑-5-基)㗁唑-2-甲酸 ( C-20) 的合成。 Step 2: 4-(2-((4-((S)-2-(4-chloro-2-fluorophenyl)-2-methylbenzo[d][1,3]dioxolane- 4-yl)piperidin-1-yl)methyl)-4-methyl-1-(((S)-oxetan-2-yl)methyl)-1H-imidazol-5-yl) Synthesis of ethazole-2-carboxylic acid ( C-20 ).

向4-(2-((4-((S)-2-(4-氯-2-氟苯基)-2-甲基苯并[d][1,3]二氧戊環-4-基)哌啶-1-基)甲基)-4-甲基-1-(((S)-氧雜環丁烷-2-基)甲基)-1H-咪唑-5-基)㗁唑-2-甲酸乙酯 ( I.4)(61.00 mg,93.68 µmol)在THF(0.500 mL)和MeOH(0.250 mL)中的溶液中添加LiOH(374.7 µL,1.000 M,374.7 µmol)。將所得混合物在室溫下攪拌過夜。LCMS示出反應完成。將粗品直接在50 g C18柱上用ISCO(在水中的10%-100% ACN,作為緩衝液的0.1%濃NH 4OH)純化,從而在凍乾後提供4-(2-((4-((S)-2-(4-氯-2-氟苯基)-2-甲基苯并[d][1,3]二氧戊環-4-基)哌啶-1-基)甲基)-4-甲基-1-(((S)-氧雜環丁烷-2-基)甲基)-1H-咪唑-5-基)㗁唑-2-甲酸鋰鹽 ( C-20)(7.000 mg,12%)。 To 4-(2-((4-((S)-2-(4-chloro-2-fluorophenyl)-2-methylbenzo[d][1,3]dioxolane-4- yl)piperidin-1-yl)methyl)-4-methyl-1-(((S)-oxetan-2-yl)methyl)-1H-imidazol-5-yl)ethazole To a solution of -ethyl-2-formate ( I.4 ) (61.00 mg, 93.68 µmol) in THF (0.500 mL) and MeOH (0.250 mL) was added LiOH (374.7 µL, 1.000 M, 374.7 µmol). The resulting mixture was stirred at room temperature overnight. LCMS showed the reaction was complete. The crude product was purified directly on a 50 g C18 column using ISCO (10%-100% ACN in water, 0.1% concentrated NH4OH as buffer) to provide 4-(2-((4- ((S)-2-(4-chloro-2-fluorophenyl)-2-methylbenzo[d][1,3]dioxolane-4-yl)piperidin-1-yl)methane methyl)-4-methyl-1-(((S)-oxetan-2-yl)methyl)-1H-imidazol-5-yl)ethazole-2-carboxylic acid lithium salt ( C-20 ) (7.000 mg, 12%).

C-20:LCMS方法2(鹼性):Rt = 0.78 min,MS (ESI+) m/z 623.4 (M+H) +1H NMR (400 MHz, MeOD) δ 7.94 (s, 1H), 7.48 (t, J = 8.3 Hz, 1H), 7.18 (dd, J = 11.0, 2.0 Hz, 1H), 7.11 (dd, J = 8.3, 2.1 Hz, 1H), 6.72 - 6.54 (m, 3H), 4.95 (dt, J = 7.4, 3.8 Hz, 1H), 4.85 (dd, J = 15.0, 7.6 Hz, 1H), 4.56 (dd, J = 15.1, 2.9 Hz, 1H), 4.45 (td, J = 7.9, 5.8 Hz, 1H), 4.30 (dt, J = 9.2, 5.9 Hz, 1H), 3.76 (d, J = 13.6 Hz, 1H), 3.55 (d, J = 13.6 Hz, 1H), 2.94 (d, J = 11.2 Hz, 1H), 2.83 (d, J = 11.4 Hz, 1H), 2.71 - 2.45 (m, 2H), 2.37 - 2.23 (m, 1H), 2.20 - 2.00 (m, 5H), 1.93 (s, 3H), 1.89 - 1.61 (m, 4H)。 C-20 : LCMS method 2 (basic): Rt = 0.78 min, MS (ESI+) m/z 623.4 (M+H) + . 1 H NMR (400 MHz, MeOD) δ 7.94 (s, 1H), 7.48 (t, J = 8.3 Hz, 1H), 7.18 (dd, J = 11.0, 2.0 Hz, 1H), 7.11 (dd, J = 8.3 , 2.1 Hz, 1H), 6.72 - 6.54 (m, 3H), 4.95 (dt, J = 7.4, 3.8 Hz, 1H), 4.85 (dd, J = 15.0, 7.6 Hz, 1H), 4.56 (dd, J = 15.1, 2.9 Hz, 1H), 4.45 (td, J = 7.9, 5.8 Hz, 1H), 4.30 (dt, J = 9.2, 5.9 Hz, 1H), 3.76 (d, J = 13.6 Hz, 1H), 3.55 ( d, J = 13.6 Hz, 1H), 2.94 (d, J = 11.2 Hz, 1H), 2.83 (d, J = 11.4 Hz, 1H), 2.71 - 2.45 (m, 2H), 2.37 - 2.23 (m, 1H ), 2.20 - 2.00 (m, 5H), 1.93 (s, 3H), 1.89 - 1.61 (m, 4H).

實例 5-1:3-(2-((4-((S)-2-(4-氯-2-氟苯基)-2-甲基苯并[d][1,3]二氧戊環-4-基)哌啶-1-基)甲基)-4-甲基-1-(((S)-氧雜環丁烷-2-基)甲基)-1H-咪唑-5-基)-1-甲基-1H-吡唑-5-甲酸 ( C-21) 的合成。 Example 5-1 : 3-(2-((4-((S)-2-(4-chloro-2-fluorophenyl)-2-methylbenzo[d][1,3]dioxolane Cycl-4-yl)piperidin-1-yl)methyl)-4-methyl-1-(((S)-oxetan-2-yl)methyl)-1H-imidazole-5- Synthesis of 1-methyl-1H-pyrazole-5-carboxylic acid ( C-21 ).

化合物 C-21使用與實例5中所述相同的程序但在步驟1中使用1-甲基-3-(4,4,5,5-四甲基-1,3,2-二氧雜環戊硼烷-2-基)-1H-吡唑-5-甲酸甲酯來合成。 Compound C-21 Use the same procedure as described in Example 5 but use 1-methyl-3-(4,4,5,5-tetramethyl-1,3,2-dioxetane in step 1 Pentaborane-2-yl)-1H-pyrazole-5-carboxylic acid methyl ester.

C:211H NMR (400 MHz, MeOD) δ 7.48 (t, J= 8.3 Hz, 1H), 7.18 (dd, J= 10.8, 2.0 Hz, 1H), 7.11 (dd, J= 8.4, 2.1 Hz, 1H), 6.73 - 6.54 (m, 4H), 4.91 (qd, J= 7.0, 3.3 Hz, 1H), 4.71 (dd, J= 15.0, 6.8 Hz, 1H), 4.52 - 4.43 (m, 2H), 4.30 (dt, J= 9.2, 5.9 Hz, 1H), 4.06 (s, 3H), 3.75 (d, J= 13.7 Hz, 1H), 3.59 (d, J= 13.5 Hz, 1H), 2.94 (d, J= 11.6 Hz, 1H), 2.87 (d, J= 11.5 Hz, 1H), 2.65 - 2.54 (m, 1H), 2.54 - 2.44 (m, 1H), 2.29 - 2.20 (m, 1H), 2.19 - 2.02 (m, 5H), 1.93 (s, 3H), 1.89 - 1.61 (m, 4H)。HRMS針對C 33H 36ClFN 5O 5(M+H) +計算值係636.2389,實測值係636.2394。 C:21 : 1 H NMR (400 MHz, MeOD) δ 7.48 (t, J = 8.3 Hz, 1H), 7.18 (dd, J = 10.8, 2.0 Hz, 1H), 7.11 (dd, J = 8.4, 2.1 Hz , 1H), 6.73 - 6.54 (m, 4H), 4.91 (qd, J = 7.0, 3.3 Hz, 1H), 4.71 (dd, J = 15.0, 6.8 Hz, 1H), 4.52 - 4.43 (m, 2H), 4.30 (dt, J = 9.2, 5.9 Hz, 1H), 4.06 (s, 3H), 3.75 (d, J = 13.7 Hz, 1H), 3.59 (d, J = 13.5 Hz, 1H), 2.94 (d, J = 11.6 Hz, 1H), 2.87 (d, J = 11.5 Hz, 1H), 2.65 - 2.54 (m, 1H), 2.54 - 2.44 (m, 1H), 2.29 - 2.20 (m, 1H), 2.19 - 2.02 ( m, 5H), 1.93 (s, 3H), 1.89 - 1.61 (m, 4H). HRMS calculated value for C 33 H 36 ClFN 5 O 5 (M+H) + is 636.2389, found value is 636.2394.

實例 5-2:5-(2-((4-((S)-2-(4-氯-2-氟苯基)-2-甲基苯并[d][1,3]二氧戊環-4-基)哌啶-1-基)甲基)-4-甲基-1-(((S)-氧雜環丁烷-2-基)甲基)-1H-咪唑-5-基)呋喃-2-甲酸 ( C-22) 的合成。 Example 5-2 : 5-(2-((4-((S)-2-(4-chloro-2-fluorophenyl)-2-methylbenzo[d][1,3]dioxolane Cycl-4-yl)piperidin-1-yl)methyl)-4-methyl-1-(((S)-oxetan-2-yl)methyl)-1H-imidazole-5- Synthesis of furan-2-carboxylic acid ( C-22 ).

化合物 C-22使用與實例5中所述相同的程序但在步驟1中使用(5-(乙氧基羰基)呋喃-2-基)硼酸來合成。 Compound C-22 was synthesized using the same procedure as described in Example 5 but using (5-(ethoxycarbonyl)furan-2-yl)boronic acid in step 1.

C-221H NMR (400 MHz, MeOD) δ 7.48 (t, J= 8.3 Hz, 1H), 7.18 (dd, J= 10.9, 2.2 Hz, 1H), 7.11 (dd, J= 8.3, 2.2 Hz, 1H), 6.93 (d, J= 3.4 Hz, 1H), 6.74 - 6.54 (m, 3H), 6.43 (d, J= 3.4 Hz, 1H), 4.93 (qd, J= 7.1, 3.0 Hz, 1H), 4.84 - 4.73 (m, 1H), 4.52 (dd, J= 15.1, 3.1 Hz, 1H), 4.45 (td, J= 7.9, 5.7 Hz, 1H), 4.31 (dt, J= 9.0, 6.0 Hz, 1H), 3.74 (d, J= 13.7 Hz, 1H), 3.56 (d, J= 13.6 Hz, 1H), 2.93 (d, J= 11.3 Hz, 1H), 2.83 (d, J= 11.4 Hz, 1H), 2.67 - 2.50 (m, 2H), 2.27 (ddt, J= 11.4, 9.2, 7.0 Hz, 1H), 2.19 - 2.01 (m, 5H), 1.93 (s, 3H), 1.88 - 1.60 (m, 4H)。HRMS針對C 33H 34ClFN 3O 6(M+H) +計算值係622.21,實測值係622.2185。 C-22 : 1 H NMR (400 MHz, MeOD) δ 7.48 (t, J = 8.3 Hz, 1H), 7.18 (dd, J = 10.9, 2.2 Hz, 1H), 7.11 (dd, J = 8.3, 2.2 Hz , 1H), 6.93 (d, J = 3.4 Hz, 1H), 6.74 - 6.54 (m, 3H), 6.43 (d, J = 3.4 Hz, 1H), 4.93 (qd, J = 7.1, 3.0 Hz, 1H) , 4.84 - 4.73 (m, 1H), 4.52 (dd, J = 15.1, 3.1 Hz, 1H), 4.45 (td, J = 7.9, 5.7 Hz, 1H), 4.31 (dt, J = 9.0, 6.0 Hz, 1H ), 3.74 (d, J = 13.7 Hz, 1H), 3.56 (d, J = 13.6 Hz, 1H), 2.93 (d, J = 11.3 Hz, 1H), 2.83 (d, J = 11.4 Hz, 1H), 2.67 - 2.50 (m, 2H), 2.27 (ddt, J = 11.4, 9.2, 7.0 Hz, 1H), 2.19 - 2.01 (m, 5H), 1.93 (s, 3H), 1.88 - 1.60 (m, 4H). HRMS calculated value for C 33 H 34 ClFN 3 O 6 (M+H) + is 622.21, found value is 622.2185.

實例 5-3:4-(2-((4-((S)-2-(4-氯-2-氟苯基)-2-甲基苯并[d][1,3]二氧戊環-4-基)哌啶-1-基)甲基)-4-甲基-1-(((S)-氧雜環丁烷-2-基)甲基)-1H-咪唑-5-基)噻唑-2-甲酸 ( C-31) 的合成。 Example 5-3 : 4-(2-((4-((S)-2-(4-chloro-2-fluorophenyl)-2-methylbenzo[d][1,3]dioxolane Cycl-4-yl)piperidin-1-yl)methyl)-4-methyl-1-(((S)-oxetan-2-yl)methyl)-1H-imidazole-5- Synthesis of thiazole-2-carboxylic acid ( C-31 ).

化合物 C-31使用與實例5中所述相同的程序但在步驟1中使用(2-(乙氧基羰基)噻唑-4-基)硼酸來合成。 Compound C-31 was synthesized using the same procedure as described in Example 5 but using (2-(ethoxycarbonyl)thiazol-4-yl)boronic acid in step 1.

C-31:LCMS方法2(鹼性):Rt = 0.83 min,MS (ESI+) m/z 639.2 (M+H) + C-31 : LCMS method 2 (basic): Rt = 0.83 min, MS (ESI+) m/z 639.2 (M+H) + .

1H NMR (400 MHz, DMSO) δ 7.91 (s, 1H), 7.63 - 7.53 (m, 2H), 7.34 (dd, J= 8.5, 2.1 Hz, 1H), 6.80 (d, J= 4.5 Hz, 2H), 6.78 - 6.72 (m, 1H), 4.89 - 4.68 (m, 2H), 4.52 (dd, J= 14.6, 3.3 Hz, 1H), 4.44 - 4.34 (m, 1H), 4.34 - 4.20 (m, 1H), 3.31 (s, 6H), 2.74 (s, 1H), 2.54 (s, 1H), 2.20 (s, 4H), 2.03 (s, 3H), 1.94 - 1.68 (m, 4H)。 1 H NMR (400 MHz, DMSO) δ 7.91 (s, 1H), 7.63 - 7.53 (m, 2H), 7.34 (dd, J = 8.5, 2.1 Hz, 1H), 6.80 (d, J = 4.5 Hz, 2H ), 6.78 - 6.72 (m, 1H), 4.89 - 4.68 (m, 2H), 4.52 (dd, J = 14.6, 3.3 Hz, 1H), 4.44 - 4.34 (m, 1H), 4.34 - 4.20 (m, 1H ), 3.31 (s, 6H), 2.74 (s, 1H), 2.54 (s, 1H), 2.20 (s, 4H), 2.03 (s, 3H), 1.94 - 1.68 (m, 4H).

實例 6 5-(2-((4-((S)-2-(4-氯-2-氟苯基)-2-甲基苯并[d][1,3]二氧戊環-4-基)哌啶-1-基)甲基)-5-甲基-1-(((S)-氧雜環丁烷-2-基)甲基)-1H-咪唑-4-基)酸 ( C-23) 的合成。 Example 6 : 5-(2-((4-((S)-2-(4-chloro-2-fluorophenyl)-2-methylbenzo[d][1,3]dioxolane- 4-yl)piperidin-1-yl)methyl)-5-methyl-1-(((S)-oxetan-2-yl)methyl)-1H-imidazol-4-yl) Synthesis of acid ( C-23 ).

向使用與實例1-3的步驟1至3中所述相同的程序製備的1-((4-溴-5-甲基-1-(((S)-氧雜環丁烷-2-基)甲基)-1H-咪唑-2-基)甲基)-4-((S)-2-(4-氯-2-氟苯基)-2-甲基苯并[d][1,3]二氧戊環-4-基)哌啶 ( I.A1)(39 mg,66 µmol)在1,4-二㗁𠮿(0.7 mL)中的溶液中添加5-羧基吡啶-3-硼酸(13 mg,79 µmol)、K 3PO 4(0.30 mL,1 M,0.30 mmol)和Pd 118(4.3 mg,6.6 µmol)。使混合物在N 2下脫氣,並然後在120°C下微波20 min。將反應混合物用水稀釋,通過塞過濾並在鹼性HPLC上純化以提供5-(2-((4-((S)-2-(4-氯-2-氟苯基)-2-甲基苯并[d][1,3]二氧戊環-4-基)哌啶-1-基)甲基)-5-甲基-1-(((S)-氧雜環丁烷-2-基)甲基)-1H-咪唑-4-基)酸 ( C-23) 的合成。 To 1-((4-bromo-5-methyl-1-((S)-oxetan-2-yl) prepared using the same procedure as described in steps 1 to 3 of Example 1-3 )methyl)-1H-imidazol-2-yl)methyl)-4-((S)-2-(4-chloro-2-fluorophenyl)-2-methylbenzo[d][1, To a solution of 3]dioxolane-4-yl)piperidine ( I.A1 ) (39 mg, 66 µmol) in 1,4-dichloromethane (0.7 mL) was added 5-carboxypyridine-3-boronic acid (13 mg, 79 µmol), K 3 PO 4 (0.30 mL, 1 M, 0.30 mmol), and Pd 118 (4.3 mg, 6.6 µmol). The mixture was degassed under N and then microwaved at 120 °C for 20 min. The reaction mixture was diluted with water, filtered through a plug and purified on basic HPLC to provide 5-(2-((4-((S))-2-(4-chloro-2-fluorophenyl)-2-methyl Benzo[d][1,3]dioxolane-4-yl)piperidin-1-yl)methyl)-5-methyl-1-(((S)-oxetane-2 Synthesis of -methyl)-1H-imidazol-4-yl) acid ( C-23 ).

C-23:LCMS方法4(產物分析-鹼性):Rt = 1.79 min,MS (ESI+) m/z 633.5 (M+H) + C-23 : LCMS method 4 (product analysis - basic): Rt = 1.79 min, MS (ESI+) m/z 633.5 (M+H) + .

1H NMR (400 MHz, DMSO) δ 8.91 (d, J = 2.3 Hz, 1H), 8.86 (d, J = 2.0 Hz, 1H), 8.42 (t, J = 2.1 Hz, 1H), 7.62 - 7.50 (m, 2H), 7.34 (dd, J = 8.4, 2.0 Hz, 1H), 6.83 - 6.71 (m, 3H), 5.04 (qd, J = 7.4, 2.8 Hz, 1H), 4.58 - 4.39 (m, 3H), 4.30 (dd, J = 15.2, 2.9 Hz, 1H), 3.76 (d, J = 13.4 Hz, 1H), 3.52 (d, J = 13.3 Hz, 1H), 3.05 - 2.96 (m, 1H), 2.88 (dq, J = 12.5, 4.2 Hz, 1H), 2.76 - 2.58 (m, 2H), 2.44 (s, 4H), 2.21 - 2.05 (m, 2H), 2.02 (s, 3H), 1.73 (dqd, J = 28.3, 11.3, 3.5 Hz, 4H)。 1 H NMR (400 MHz, DMSO) δ 8.91 (d, J = 2.3 Hz, 1H), 8.86 (d, J = 2.0 Hz, 1H), 8.42 (t, J = 2.1 Hz, 1H), 7.62 - 7.50 ( m, 2H), 7.34 (dd, J = 8.4, 2.0 Hz, 1H), 6.83 - 6.71 (m, 3H), 5.04 (qd, J = 7.4, 2.8 Hz, 1H), 4.58 - 4.39 (m, 3H) , 4.30 (dd, J = 15.2, 2.9 Hz, 1H), 3.76 (d, J = 13.4 Hz, 1H), 3.52 (d, J = 13.3 Hz, 1H), 3.05 - 2.96 (m, 1H), 2.88 ( dq, J = 12.5, 4.2 Hz, 1H), 2.76 - 2.58 (m, 2H), 2.44 (s, 4H), 2.21 - 2.05 (m, 2H), 2.02 (s, 3H), 1.73 (dqd, J = 28.3, 11.3, 3.5 Hz, 4H).

實例 7:5-(2-((4-((S)-2-(4-氯-2-氟苯基)-2-甲基苯并[d][1,3]二氧戊環-4-基)哌啶-1-基)甲基)-5-甲基-1-(((S)-氧雜環丁烷-2-基)甲基)-1H-咪唑-4-基)呋喃-2-甲酸 ( C-24)。 Example 7 : 5-(2-((4-((S)-2-(4-chloro-2-fluorophenyl)-2-methylbenzo[d][1,3]dioxolane- 4-yl)piperidin-1-yl)methyl)-5-methyl-1-(((S)-oxetan-2-yl)methyl)-1H-imidazol-4-yl) Furan-2-carboxylic acid ( C-24 ).

在室溫下,向5-硼呋喃-2-甲酸(1.3 mg,8.46 µmol)中添加含有PdCl 2(dtbpf)(1.4 mg,2.1 µmol)的1-((4-溴-5-甲基-1-(((S)-氧雜環丁烷-2-基)甲基)-1H-咪唑-2-基)甲基)-4-((S)-2-(4-氯-2-氟苯基)-2-甲基苯并[d][1,3]二氧戊環-4-基)哌啶 ( I.A1)(5 mg,85 µL,8.46 µmol)(使用與實例1-3的步驟1至3中所述相同的程序製備的)在DMA中的0.1 M溶液。向此溶液中添加磷酸三鉀(5.4 mg,25.4 µL,25.4 µmol)的1 M水溶液。將混合物在110°C下攪拌18小時。在此時間後,在genevac中在減壓下去除溶劑。將粗產物溶解於7 : 2 : 1乙腈 : 水 : 二甲亞碸中,穿過金屬清除劑過濾器(SiliCycle SiliaPrep 96孔二巰基三𠯤,40-63 µm,60 Å),藉由HPLC製備型方法MC-1純化並立即藉由配備CAD的LCMS(LCMS方法MC-1)進行定量。在Porvair Sciences Ultravap Mistral蒸發器下去除溶劑,然後立即將純化的固體在DMSO中重構以提供作為在DMSO中的溶液的5-(2-((4-((S)-2-(4-氯-2-氟苯基)-2-甲基苯并[d][1,3]二氧戊環-4-基)哌啶-1-基)甲基)-5-甲基-1-(((S)-氧雜環丁烷-2-基)甲基)-1H-咪唑-4-基)呋喃-2-甲酸 ( C-24)。LCMS方法MC-1:Rt = 1.23 min;MS m/z 622.8 [M+1] +。LCMS方法MC-2:Rt = 1.16 min;MS m/z 622.0 [M+1] +生物學測定和數據 To 5-borofuran-2-carboxylic acid (1.3 mg, 8.46 µmol) was added 1-((4-bromo-5-methyl-) containing PdCl 2 (dtbpf) (1.4 mg, 2.1 µmol) at room temperature. 1-(((S)-oxetan-2-yl)methyl)-1H-imidazol-2-yl)methyl)-4-((S)-2-(4-chloro-2- Fluorophenyl)-2-methylbenzo[d][1,3]dioxolane-4-yl)piperidine ( I.A1 ) (5 mg, 85 µL, 8.46 µmol) (Use as in Example 1 -3) 0.1 M solution in DMA prepared by the same procedure described in steps 1 to 3. To this solution was added tripotassium phosphate (5.4 mg, 25.4 µL, 25.4 µmol) in 1 M water. The mixture was stirred at 110°C for 18 hours. After this time, the solvent was removed under reduced pressure in the genevac. The crude product was dissolved in 7:2:1 acetonitrile:water:dimethylsulfoxide, passed through a metal scavenger filter (SiliCycle SiliaPrep 96-well dimercaptotrifluoroethylene, 40-63 µm, 60 Å), and prepared by HPLC Method MC-1 was purified and immediately quantified by LCMS equipped with CAD (LCMS Method MC-1). The solvent was removed under a Porvair Sciences Ultravap Mistral evaporator and the purified solid was immediately reconstituted in DMSO to provide 5-(2-((4-((S)-2-(4- Chloro-2-fluorophenyl)-2-methylbenzo[d][1,3]dioxolane-4-yl)piperidin-1-yl)methyl)-5-methyl-1- (((S)-oxetan-2-yl)methyl)-1H-imidazol-4-yl)furan-2-carboxylic acid ( C-24 ). LCMS method MC-1: Rt = 1.23 min; MS m/z 622.8 [M+1] + . LCMS method MC-2: Rt = 1.16 min; MS m/z 622.0 [M+1] + . Biological Assays and Data

將根據本發明的具有式 (I) 的化合物在以下細胞測定中進行了測試,該等測定測量了細胞內cAMP濃度、β-抑制蛋白募集和受體內化。cAMP係由GLP1R的活化產生的。所獲得的cAMP數據示於 1中。GLP1R活化後募集β-抑制蛋白,並且所獲得的數據示於 2中。活化後,GLP1R被內化到細胞中並遠離質膜的程度也示於 2中。每個測定的EC 50定義為導致最大回應的一半(在基線校正後)的化合物濃度。E max定義為觀察到的測試化合物的最大響應,其歸一化為觀察到的內源性配體(GLP1(7-36))對GLP1R的最大回應。 GLP1R cAMP 促效劑測定 Compounds of formula (I) according to the invention were tested in cellular assays measuring intracellular cAMP concentration, β-arrestin recruitment and receptor internalization. cAMP is produced by activation of GLP1R. The cAMP data obtained are shown in Table 1 . GLP1R activation recruits β-arrestin and the data obtained are shown in Table 2 . After activation, the extent to which GLP1R is internalized into cells and dissociated from the plasma membrane is also shown in Table 2 . The EC50 for each assay was defined as the compound concentration that resulted in half the maximum response (after baseline correction). Emax is defined as the maximum response observed for a test compound normalized to the maximum response observed to the endogenous ligand (GLP1(7-36)) for GLP1R. Human GLP1R cAMP agonist assay

使用GloSensor™ cAMP測定(普洛麥格公司(Promega Corp.))來確定化合物的促效劑活性,該測定測量GPCR的配體活化後細胞內的cAMP濃度的變化。該測定使用由pGloSensor™-22F cAMP質體(普洛麥格公司,目錄號E2301)編碼的生物感測器,其中cAMP結合結構域與 螢火蟲螢光素酶的突變形式融合。與cAMP的結合導致構象變化,該構象變化促進光輸出的大幅增加,這可以藉由發光檢測器測量。將穩定過表現人GLP1受體(hGLP1R)和pGloSensor™-22F的HEK293-SNAP-hGLP1R-GloSensor細胞接種於白色384孔聚-D-離胺酸包被板(格雷納生物一號公司(Greiner Bio One),目錄號781945)中的CO 2非依賴性培養基(吉布科公司(Gibco)目錄號18045-088,含1.0% FBS、2 mM L-麩醯胺酸、青黴素和鏈黴素)中並在37°C、5% CO 2和濕度下溫育過夜。第二天早上,藉由向所有孔中添加等體積的含有4% v/v稀釋度的GloSensor底物(普洛麥格公司,目錄號E1291)的CO 2非依賴性培養基開始該測定。將細胞板在黑暗中在室溫下溫育2 h。Biomek i7(貝克曼庫爾特公司(Beckman Coulter))儀器用於液體處理步驟。為了生成一式兩份劑量回應曲線,將3倍系列稀釋的化合物添加到細胞測定板中,最終體積為60 µL,在含有0.1% BSA、0.5 mM IBMX和0.4% DMSO的CO 2非依賴性培養基中的最終濃度範圍為30 µM至0.06 pM。含有最終濃度為2 nM的GLP1(7-36)肽(巴亨公司(Bachem),目錄號H-6795)的EC 100對照孔以及不含有肽的EC 0對照孔在與測試的化合物相同的板和測定緩衝液中。在向細胞中添加化合物後,將該板在黑暗中在室溫下溫育12 min。然後用具有「TRF光單元,337 nm」的Envision 2104 Multilabel讀取器(珀金埃爾默公司(PerkinElmer)),使用具有384孔發光孔的超靈敏方案設置「384孔US發光檢測器」,0.1秒/孔來測量發光。cAMP活性計算為GLP1(7-36)EC 100對照孔的百分比:[(樣本信號 - 平均EC 0信號)/(平均GLP1(7-36)EC 100信號 - 平均EC 0信號)]*100。EC 50測定的曲線擬合在套裝軟體DAVID的Helios模組中進行。使用了4參數邏輯模型希爾斜率:y = A inf+ (A 0- A inf) / (1 + (x / AC 50) 希爾斜率),其中y係功能回應;x係化合物濃度;A 0係最小值(在0劑量處);A inf係最大值(在無限劑量處);AC 50對應於拐點(即S形曲線上在A 0與A inf之間的一半的點)。EC 50值由從Helios計算的AC 50值表示,以µM計。E max係在濃度範圍內檢測到的最大活性,源自擬合曲線。 HEK293-SNAP-hGLP1R 細胞系的產生 The agonist activity of compounds was determined using the GloSensor™ cAMP assay (Promega Corp.), which measures changes in intracellular cAMP concentration following ligand activation of GPCRs. This assay uses a biosensor encoded by the pGloSensor™-22F cAMP plasmid (Promega, Cat. No. E2301) in which the cAMP binding domain is fused to a mutant form of firefly luciferase. Binding to cAMP results in a conformational change that promotes a large increase in light output, which can be measured by a luminescence detector. HEK293-SNAP-hGLP1R-GloSensor cells stably expressing human GLP1 receptor (hGLP1R) and pGloSensor™-22F were seeded in white 384-well poly-D-lysine-coated plates (Greiner Bio) One), Cat. No. 781945) in CO2 - independent medium (Gibco Cat. No. 18045-088, containing 1.0% FBS, 2 mM L-glutamic acid, penicillin, and streptomycin) and incubate overnight at 37°C, 5% CO2 , and humidity. The next morning, start the assay by adding an equal volume of CO2- independent medium containing a 4% v/v dilution of GloSensor substrate (Promega, Cat. No. E1291) to all wells. The cell plate was incubated in the dark at room temperature for 2 h. A Biomek i7 (Beckman Coulter) instrument was used for the liquid handling step. To generate duplicate dose-response curves, add 3-fold serial dilutions of compounds to cell assay plates in a final volume of 60 µL in CO2 -independent medium containing 0.1% BSA, 0.5 mM IBMX, and 0.4% DMSO The final concentration range is 30 µM to 0.06 pM. EC 100 control wells containing the GLP1(7-36) peptide (Bachem, Cat. No. H-6795) at a final concentration of 2 nM and EC 0 control wells without the peptide in the same plate as the compounds tested and in assay buffer. After adding compounds to the cells, the plate was incubated in the dark at room temperature for 12 min. Then an Envision 2104 Multilabel reader (PerkinElmer) with a "TRF light unit, 337 nm" was used to set up a "384-well US luminescence detector" using an ultra-sensitive solution with 384-well luminescence holes. 0.1 sec/well to measure luminescence. cAMP activity was calculated as a percentage of GLP1 (7-36) EC 100 control wells: [(sample signal - average EC 0 signal)/(average GLP1 (7-36) EC 100 signal - average EC 0 signal)]*100. Curve fitting for EC 50 determination was performed in the Helios module of the suite software DAVID. A 4-parameter logistic model Hill slope was used: y = A inf + (A 0 - A inf ) / (1 + (x / AC 50 ) Hill slope ), where y is the functional response; x is the compound concentration; A 0 is the minimum value (at 0 dose); A inf is the maximum value (at infinite dose); AC 50 corresponds to the inflection point (i.e., the point on the S-shaped curve halfway between A 0 and A inf ). The EC50 value is expressed in µM by the AC50 value calculated from Helios. E max is the maximum activity detected within the concentration range and is derived from the fitted curve. Generation of HEK293-SNAP-hGLP1R cell line

將327 µL的Opti-MEM培養基(吉布科公司,目錄號31985-062)與12 µL的FuGENE® HD(普洛麥格公司,目錄號E2311)混合並在室溫下溫育5 min。然後將8.2 µL(4 µg,0.485 µg/µL溶液)的編碼人GLP1R(NCBI參考序列:NM_002062.3)的融合有浠思生物科技有限公司(Cisbio)的SNAP標記的pSNAP-hGLP1R質體(浠思生物科技有限公司,目錄號PSNAP-GLP1)添加到Fugene HD/Opti-MEM混合物中,並在室溫下溫育20 min。以800,000個細胞/mL製備HEK293細胞(ATCC® CRL-1573™)的懸浮液。然後,將質體/FuGene HD混合物添加到8 mL的細胞中並輕輕混合。將2 mL新混合物添加到6孔板的4個孔中,並將2 mL未轉染的細胞添加到兩個孔中作為對照。將板在37°C下溫育直至100%匯合。抗生素選擇[800 µg/mL G418(遺傳黴素,吉布科公司,目錄號10131-035)]在細胞胰蛋白酶化後以2500個細胞/mL的稀釋度進行。將1 mL細胞懸浮液添加到10 cm培養皿中的20 mL選擇培養基中(共2500個細胞),並且平行地將4 mL稀釋的細胞懸浮液添加到10 cm培養皿中的20 mL選擇培養基中(共10000個細胞)。其餘細胞在T150燒瓶中培養。此外,將HEK293細胞在T75燒瓶中的選擇培養基中培養作為陰性對照。最後,從10 cm培養皿中挑取單個植株並繼續培養,直到有足夠的細胞用於基因表現分析和HTRF cAMP測定。植株2顯示出最高的GLP1R依賴性cAMP回應,並被擴增以產生GloSensor穩定細胞系。 HEK293-SNAP-hGLP1R-GloSensor 穩定細胞系的產生 Mix 327 µL of Opti-MEM medium (Gibco, Cat. No. 31985-062) with 12 µL of FuGENE® HD (Promega, Cat. No. E2311) and incubate at room temperature for 5 min. Then 8.2 µL (4 µg, 0.485 µg/µL solution) of the SNAP-tagged pSNAP-hGLP1R plasmid (Cisbio) encoding human GLP1R (NCBI reference sequence: NM_002062.3) fused to Si Biotechnology Co., Ltd., catalog number PSNAP-GLP1) was added to the Fugene HD/Opti-MEM mixture and incubated at room temperature for 20 min. Prepare a suspension of HEK293 cells (ATCC® CRL-1573™) at 800,000 cells/mL. Then, add the plasmid/FuGene HD mixture to 8 mL of cells and mix gently. Add 2 mL of new mixture to 4 wells of the 6-well plate and 2 mL of untransfected cells to two wells as a control. The plates were incubated at 37°C until 100% confluent. Antibiotic selection [800 µg/mL G418 (Geneticin, Gibco, Cat. No. 10131-035)] was performed at a dilution of 2500 cells/mL after trypsinization of cells. Add 1 mL of cell suspension to 20 mL of selection medium in a 10 cm dish (2500 cells total), and in parallel, add 4 mL of the diluted cell suspension to 20 mL of selection medium in a 10 cm dish (10,000 cells in total). The remaining cells were cultured in T150 flasks. Additionally, HEK293 cells were cultured in selection medium in T75 flasks as a negative control. Finally, individual plants were picked from the 10 cm culture dish and cultured until there were enough cells for gene expression analysis and HTRF cAMP determination. Plant 2 showed the highest GLP1R-dependent cAMP response and was expanded to generate the GloSensor stable cell line. Generation of HEK293-SNAP-hGLP1R-GloSensor Stable Cell Line

將穩定過表現SNAP-hGLP1R(如上所述)的HEK293細胞以300萬個細胞的密度鋪板在含有17 mL DMEM完全生長培養基(吉布科公司,目錄號11965-092) + 10%胎牛血清(FBS,吉布科公司,目錄號16140-071)的10 cm培養皿中。第二天,如下轉染細胞。藉由在1758 µL Opti-MEM溶液中添加37 µg的質體DNA,將DNA複合物製備為0.020 µg/µL pGloSensor™-22F cAMP質體(普洛麥格公司,目錄號E2301;GenBank®登錄號為GU174434)。然後,小心混合,添加112 µL FuGENE® HD試劑。在室溫下溫育5-10 min後,將每孔850 µL複合物添加至細胞,並徹底混合。在37°C、5% CO 2和濕度下溫育24 h後,除去培養基並用PBS沖洗細胞。然後,添加選擇培養基[600 µg/mL G418和600 µg/mL潮黴素B(吉布科公司,目錄號10687010)]。每週更換培養基兩次,直到不再觀察到死細胞。一旦細胞植株可見,就分離單細胞。為此,藉由向上和向下移液將10 µL的0.05%胰蛋白酶-EDTA溶液添加到單細胞中。然後將該等源自單細胞的植株在具有選擇培養基(600 µg/mL G418 + 600 µg/mL潮黴素B)的六孔板中培養,直到有足夠的細胞可用於在GloSensor發光測定中測試cAMP促效劑響應。產生所需響應的HEK293-SNAP-hGLP1R穩定細胞植株用於人GLP1R cAMP促效劑測定。 [ 1.] 化合物編號 EC 50 平均值( µM E max 平均值( % C-1 5.60E-05 110 C-2 1.49E-04 108 C-3 4.84E-05 105 C-4 2.98E-04 120 C-5 4.18E-05 123 C-6 4.64E-04 123 C-7 3.51E-05 118 C-8 3.53E-04 101 C-9 1.03E-04 107 C-10 1.42E-04 108 C-11 4.28E-05 105 C-12 5.75E-04 114 C-13 3.76E-04 102 C-14 4.92E-04 104 C-15 1.12E-04 103 C-16 1.71E-04 108 C-17 7.54E-04 113 C-18 1.88E-04 115 C-19 3.77E-04 109 C-20 2.40E-04 112 C-21 8.36E-04 117 C-22 3.50E-04 119 C-23 6.13E-04 106 C-24 1.02E-04 113 GLP1Rβ - 抑制蛋白募集測定 Stabilized HEK293 cells expressing SNAP-hGLP1R (as described above) were plated at a density of 3 million cells in DMEM complete growth medium containing 17 mL of DMEM (Gibco, Cat. No. 11965-092) + 10% fetal calf serum ( FBS, Gibco Corporation, catalog number 16140-071) in a 10 cm Petri dish. The next day, cells were transfected as follows. The DNA complex was prepared as 0.020 µg/µL pGloSensor™-22F cAMP plasmid (Promega Corporation, catalog number E2301; GenBank® accession no. for GU174434). Then, mixing carefully, add 112 µL FuGENE® HD Reagent. After incubation for 5-10 min at room temperature, add 850 µL of complex per well to the cells and mix thoroughly. After 24 h of incubation at 37°C, 5% CO and humidity , remove the medium and rinse the cells with PBS. Then, select medium [600 µg/mL G418 and 600 µg/mL hygromycin B (Gibco, Cat. No. 10687010)] was added. Change the medium twice a week until dead cells are no longer observed. Once the cell plant is visible, single cells are isolated. To do this, add 10 µL of 0.05% trypsin-EDTA solution to the single cells by pipetting up and down. The single cell-derived plants were then cultured in six-well plates with selective medium (600 µg/mL G418 + 600 µg/mL Hygromycin B) until sufficient cells were available for testing in the GloSensor luminescence assay. cAMP agonist response. HEK293-SNAP-hGLP1R stable cell lines producing the desired response were used in the human GLP1R cAMP agonist assay. [ Table 1.] Compound number EC 50 average ( µM ) E max average ( % ) C-1 5.60E-05 110 C-2 1.49E-04 108 C-3 4.84E-05 105 C-4 2.98E-04 120 C-5 4.18E-05 123 C-6 4.64E-04 123 C-7 3.51E-05 118 C-8 3.53E-04 101 C-9 1.03E-04 107 C-10 1.42E-04 108 C-11 4.28E-05 105 C-12 5.75E-04 114 C-13 3.76E-04 102 C-14 4.92E-04 104 C-15 1.12E-04 103 C-16 1.71E-04 108 C-17 7.54E-04 113 C-18 1.88E-04 115 C-19 3.77E-04 109 C-20 2.40E-04 112 C-21 8.36E-04 117 C-22 3.50E-04 119 C-23 6.13E-04 106 C-24 1.02E-04 113 Human GLP1R beta - arrestin recruitment assay

使用PathHunter® β-抑制蛋白測定(DiscoverX公司)測量促效劑募集β-抑制蛋白的程度。該測定使用酶互補方法測量β-抑制蛋白與受體的結合。對β-半乳糖苷酶的兩個無活性部分(稱為Prolink和酶受體,或「EA」)加標記,以便人GLP1R(hGLP1R)含有Prolink部分,並且β-抑制蛋白含有EA部分。當β-抑制蛋白被募集到受體上時,酶變得有活性並在化學發光底物(PathHunter®檢測套組,DiscoverX公司目錄號93-0001)存在下產生發光。可以在相關檢測器上測量發光。將穩定過表現帶有Prolink標記的hGLP1R和帶有EA標記的β-抑制蛋白的CHO-hGLP1R-β-抑制蛋白血球以每孔20 µL接種於白色384孔聚-D-離胺酸包被板(格雷納生物一號公司,目錄號781945)的鋪板試劑2(DiscoverX公司,目錄號93-0563R2A)中,並在37°C、5% CO 2和濕度下溫育過夜。第二天,以最終所需濃度的5倍製備促效劑。為了生成一式三份的劑量回應曲線,將化合物在測定緩衝液(HBSS、10 mM Hepes和0.1% BSA)中連續稀釋3倍,然後添加到細胞測定板中至最終體積為25 µL以及起始於30 µM的最終最高濃度。含有最終濃度為1 µM的GLP1(7-36)肽(巴亨公司,目錄號H-6795)的EC 100對照孔以及不含有化合物的EC 0對照孔在與測試的化合物相同的板和測定緩衝液中。將化合物添加至細胞後,將板在37°C、5% CO 2和濕度下溫育2 h。然後製備檢測試劑(19份細胞測定緩衝液、5份底物試劑1和1份底物試劑2,根據製造商的建議,DiscoverX公司目錄號93-0001),並向細胞測定板中每孔添加12 µL。將板在室溫下在黑暗中再溫育一小時。然後用具有「TRF光單元,337 nm」的Envision 2104 Multilabel讀取器(珀金埃爾默公司(Perkin Elmer)),使用具有384孔發光孔的超靈敏方案設置「384孔US發光檢測器」,0.1秒/孔來測量發光。計算β-抑制蛋白募集並表示為GLP1(7-36)EC 100對照孔的百分比:[(樣本信號 - 平均EC 0信號)/(平均GLP1(7-36)EC 100信號 - 平均EC 0信號)]*100,使用Microsoft Excel。使用GraphPad Prism進行EC 50測定的曲線擬合。使用了4參數邏輯模型希爾斜率:Y = 底值 + (頂值 - 底值)/(1 + 10 ^ ((Log EC 50- X) * 希爾斜率)),其中Y係功能回應;X係化合物濃度;底值係A 0或最小值(在0劑量處);頂值係A inf或最大值(在無限劑量處);EC 50係拐點(即S形曲線上在A 0與A inf之間的一半的點)。EC 50值以µM計算。E max係在濃度範圍內檢測到的最大活性,源自相對於GLP1(7-36)的擬合曲線。參考化合物係2-((4-((S)-2-(4-氯-2-氟苯基)-2-甲基苯并[d][1,3]二氧戊環-4-基)哌啶-1-基)甲基)-1-(((S)-氧雜環丁烷-2-基)甲基)-1H-苯并[d]咪唑-6-甲酸(WO 2019/239319,實例7)。 CHO-hGLP1R-β- 抑制蛋白血球系的產生 The extent of β-arrestin recruitment by agonists was measured using the PathHunter® β-arrestin assay (DiscoverX Inc.). This assay measures beta-arrestin binding to the receptor using an enzyme complementation method. The two inactive parts of beta-galactosidase (called Prolink and enzyme receptor, or "EA") are tagged so that human GLP1R (hGLP1R) contains the Prolink part and beta-arrestin contains the EA part. When beta-arrestin is recruited to the receptor, the enzyme becomes active and produces light in the presence of a chemiluminescent substrate (PathHunter® Assay Kit, DiscoverX Inc. Cat. No. 93-0001). Luminescence can be measured on an associated detector. Stabilized CHO-hGLP1R-β-arrestin blood cells expressing Prolink-tagged hGLP1R and EA-tagged β-arrestin were inoculated into a white 384-well poly-D-lysine acid-coated plate at 20 µL per well. Plating Reagent 2 (DiscoverX, Cat. No. 93-0563R2A) (Greiner BioOne, Cat. No. 781945) and incubate overnight at 37°C, 5 % CO, and humidity. The next day, prepare the agonist at 5 times the final desired concentration. To generate triplicate dose-response curves, compounds were serially diluted 3-fold in assay buffer (HBSS, 10 mM Hepes, and 0.1% BSA) and added to the cell assay plate to a final volume of 25 µL and starting at Final maximum concentration of 30 µM. EC 100 control wells containing GLP1(7-36) peptide (Bachem, Cat. No. H-6795) at a final concentration of 1 µM and EC 0 control wells without compound in the same plate and assay buffer as the compound tested liquid. After adding the compounds to the cells, the plates were incubated for 2 h at 37°C, 5 % CO, and humidity. Then prepare detection reagents (19 parts Cell Assay Buffer, 5 parts Substrate Reagent 1, and 1 part Substrate Reagent 2, according to manufacturer's recommendations, DiscoverX Inc. Cat. No. 93-0001) and add to each well of the cell assay plate. 12 µL. The plate was incubated for an additional hour at room temperature in the dark. Then an Envision 2104 Multilabel reader (Perkin Elmer) with a "TRF light unit, 337 nm" was used to set up a "384-well US luminescence detector" using an ultra-sensitive protocol with 384-well luminescence wells. , 0.1 sec/well to measure luminescence. β-arrestin recruitment was calculated and expressed as percentage of GLP1(7-36)EC 100 control wells: [(sample signal - mean EC 0 signal)/(mean GLP1(7-36)EC 100 signal - mean EC 0 signal) ]*100, using Microsoft Excel. Curve fitting for EC 50 determination was performed using GraphPad Prism. A 4-parameter logistic model Hill slope was used: Y = floor + (top - floor)/(1 + 10 ^ ((Log EC 50 - X) * Hill slope)), where Y is the functional response; is the concentration of the compound; the bottom value is A 0 or the minimum value (at 0 dose); the top value is A inf or the maximum value (at infinite dose); EC 50 is the inflection point (that is, the S-shaped curve between A 0 and A inf halfway between points). EC 50 values are calculated in µM. Emax is the maximum activity detected over the concentration range and is derived from a fitted curve relative to GLP1(7-36). The reference compound is 2-((4-((S)-2-(4-chloro-2-fluorophenyl)-2-methylbenzo[d][1,3]dioxolane-4-yl )piperidin-1-yl)methyl)-1-(((S)-oxetan-2-yl)methyl)-1H-benzo[d]imidazole-6-carboxylic acid (WO 2019/ 239319, Example 7). Generation of CHO-hGLP1R-beta- arrestin blood cell line

將PathHunter CHO-K1-EA親代細胞(DiscoverX公司,目錄號93-0164)以2 X 10 6個細胞/T75 cm 2燒瓶的密度鋪板在22 mL完全培養基中(測定完全細胞培養套組107,DiscoverX公司,目錄號92-3107G)。第二天,將培養基更換為22 mL不含抗生素的新鮮培養基,並如下轉染細胞。在Opti-MEM培養基(3 : 1比率的試劑 : DNA)中製備質體/Fugene® HD轉染混合物。將25 µg(34 µL)的pCMV-PK1-GLP1R質體[(DiscoverX公司pCMV PK載體束,目錄號93-0491,插入的序列編碼全長人GLP1R - NCBI參考序列:NM_002062,由GeneArt(賽默飛世爾科技公司(Thermo Fisher Scientific))合成]添加到1129 µL Opti-MEM中,總體積為1163 µL。然後,藉由小心混合來添加74 µL FuGENE® HD試劑。在室溫下溫育5-10 min後,將1125 µL複合物溶液添加至細胞並在37°C下溫育48 h。然後,去除培養基並添加含有300 µg/mL潮黴素(吉布科公司,目錄號10687010)和500 µg/mL遺傳黴素(吉布科公司,目錄號10131035)的選擇培養基。每2-3天更換培養基,直到不再觀察到死細胞。將細胞分離,以300000個細胞/mL重新懸浮,並用40 µm過濾器過濾。然後使用Aria G儀器將細胞進行FACS分選為黑色、透明底聚-D-離胺酸包被的96孔板中100 µL培養基中的單細胞。每2-3天藉由以下更換培養基:去除多達80 µL並添加含有選擇抗生素的新鮮培養基。對存活的單株進行擴增和測試。基於最佳信號和曲線譜選擇單株1用於β-抑制蛋白測定。 GLP1R DERET 內化測定 PathHunter CHO-K1-EA parental cells (DiscoverX, Cat. No. 93-0164) were plated in 22 mL of complete medium (Assay Complete Cell Culture Kit 107, DiscoverX Corporation, catalog number 92-3107G). The next day, replace the medium with 22 mL of fresh medium without antibiotics and transfect the cells as follows. Prepare plasmid/Fugene® HD transfection mix in Opti-MEM medium (3:1 ratio of reagents: DNA). Add 25 µg (34 µL) of pCMV-PK1-GLP1R plasmid [Discover (Thermo Fisher Scientific)] was added to 1129 µL Opti-MEM for a total volume of 1163 µL. Then, add 74 µL FuGENE® HD Reagent by mixing carefully. Incubate at room temperature for 5-10 min, 1125 µL of the complex solution was added to the cells and incubated at 37°C for 48 h. Then, the medium was removed and added containing 300 µg/mL hygromycin (Gibco, Cat. No. 10687010) and 500 µg /mL geneticin (Gibco, Cat. No. 10131035) selection medium. Change the medium every 2-3 days until dead cells are no longer observed. Cells were detached, resuspended at 300,000 cells/mL, and incubated with 40 µm filter. Cells were then FACS sorted using an Aria G instrument into single cells in 100 µL culture medium in black, clear bottom poly-D-lysine-coated 96-well plates. Every 2-3 days by Change the medium as follows: Remove up to 80 µL and add fresh medium containing the selection antibiotic. Expand and test surviving single strains. Select single strain 1 for β-arrestin assay based on best signal and profile. Human GLP1R DERET internalization assay

促效劑內化人GLP1R的程度係根據基於即時FRET的「DERET」(解離增強共振能量轉移)測定的優化版本確定的。該技術依賴於用SNAP-Lumi-Terbium(供體螢光團,浠思生物科技有限公司,目錄號SSNPTBD)標記經SNAP標記的GPCR。在過量螢光素(受體螢光團)的存在下,將化合物與過表現目的GPCR的細胞一起溫育。當GPCR在細胞表面時,供體信號被受體淬滅,並且供體/受體比率較低。隨著GPCR內化,供體信號不再被淬滅,並且受體不再被激發,因此供體/受體比率增加。The extent of agonist internalization of human GLP1R was determined based on an optimized version of the real-time FRET-based "DERET" (dissociation enhanced resonance energy transfer) assay. This technology relies on labeling SNAP-tagged GPCRs with SNAP-Lumi-Terbium (donor fluorophore, Xisi Biotechnology Co., Ltd., catalog number SSNPTBD). Compounds are incubated with cells expressing the GPCR of interest in the presence of excess luciferin (acceptor fluorophore). When the GPCR is on the cell surface, the donor signal is quenched by the receptor, and the donor/acceptor ratio is lower. As the GPCR is internalized, the donor signal is no longer quenched and the receptor is no longer excited, so the donor/acceptor ratio increases.

將HEK293-SNAP-hGLP1R-GloSensor細胞(穩定過表現經SNAP標記的hGLP1R)接種在白色384孔聚-D-離胺酸包被板(格雷納生物一號公司,目錄號781945)中的常規DMEM生長培養基(吉布科公司,目錄號11965-092、10%熱滅活FBS、10 mM HEPES、1 × 青黴素/鏈黴素、0.5 mg/mL遺傳黴素(吉布科公司,目錄號10131-035)和0.25 mg/mL潮黴素B(英傑公司(Invitrogen),目錄號10687010)中過夜。在測定當天,去除細胞培養基並在Opti-MEM溶液中添加100 nM SNAP-Lumi-Tb試劑。將細胞在37°C下溫育1 h。將細胞用板洗滌器在測定緩衝液 [1 X HBSS(10X吉布科公司,目錄號14065-056)、20 mM Hepes(吉布科公司,目錄號15630-080)、1 mM CaCl 2(弗盧卡公司(Fluka),目錄號21114-1L)、1 mM MgCl 2(安比恩公司(Ambion),目錄號AM9530G)pH 7.4] 中洗滌並且將20 µL含0.1% BSA的緩衝液添加到每個孔中。讓細胞在37°C下平衡約15 min後,以25 µM最終濃度添加10 µL的螢光素(鈉鹽,西格瑪公司(Sigma),目錄號F6377,在緩衝液中稀釋)。為了生成一式三份的劑量回應曲線,將化合物在測定緩衝液中連續稀釋3倍,然後添加到細胞測定板中至最終體積為40 µL以及起始於30 µM的最終最高濃度。在與測試的化合物相同的板和測定緩衝液中,包括GLP1(7-36)肽(巴亨公司,目錄號H-6795)對照曲線,最終最高濃度為1 µM,以建立EC 100。還包括僅具有緩衝液的EC 0孔。使用帶有LANCE/DELFIA D400單鏡、激發濾光片X320和發射濾光片M615_203(供體發射)和M515(受體發射)的珀金埃爾默公司Envision立即測量板FRET螢光,並且然後每30 min測量一次。在120 min時達到峰內化。在讀取之間將板保持在37°C下。使用Microsoft Excel將數據表示為供體/受體發射的比率,並在GraphPad Prism中繪製。為了確定內化的EC 50和E max,計算數據並表示為GLP1(7-36)EC 100對照孔的百分比:[(樣本信號 - 平均EC 0信號)/(平均GLP1(7-36)EC 100信號 - 平均EC 0信號)] * 100,使用Microsoft Excel。使用GraphPad Prism進行EC 50測定的曲線擬合。使用了4參數邏輯模型希爾斜率: Y = 底值 + (頂值 - 底值)/(1 + 10^((Log EC 50-X) * 希爾斜率)), 其中Y係功能回應;X係化合物濃度;底值係A 0或最小值(在0劑量處);頂值係A inf或最大值(在無限劑量處);EC 50係拐點(即S形曲線上在A 0與A inf之間的一半的點)。EC 50值以µM計算。E max係在濃度範圍內測量到的最大活性,源自相對於GLP1(7-36)的擬合曲線。 [ 2.] 化合物編號 β- 抑制蛋白測定 DERET 內化測定 EC 50 平均值( µM E max % EC 50 平均值( uM E max % C-1 > 30 2 > 30 8 C-4 > 30 0 > 30 1 C-5 > 30 0 > 30 6 C-7 > 30 5 0.03 51 C-9 > 30 0 > 30 11 C-10 > 30 0 > 30 7 C-12 > 30 10 > 30 45 C-13 > 30 12 1.279 42 C-14 > 30 0 > 30 20 C-16 > 30 11 2.943 50 C-17 > 30 2 > 30 6 C-18 > 30 16 2.376 86 C-19 > 30 7 > 30 34 C-20 > 30 0 > 30 5 C-21 > 30 0 > 30 2 C-23 ND ND > 30 10 C-24 > 30 1 0.49 19 參考化合物 0.123 27 0.015 87 HEK293-SNAP-hGLP1R-GloSensor cells (stable expressing SNAP-tagged hGLP1R) were seeded in regular DMEM in white 384-well poly-D-lysine-coated plates (Greiner BioOne, Cat. No. 781945) Growth medium (Gibco, Cat. No. 11965-092, 10% heat-inactivated FBS, 10 mM HEPES, 1 × Penicillin/Streptomycin, 0.5 mg/mL Geneticin (Gibco, Cat. No. 10131- 035) and 0.25 mg/mL hygromycin B (Invitrogen, Cat. No. 10687010) overnight. On the day of the assay, remove the cell culture medium and add 100 nM SNAP-Lumi-Tb reagent to the Opti-MEM solution. Place Cells were incubated for 1 h at 37°C. Cells were washed with a plate washer in assay buffer [1 15630-080), 1 mM CaCl 2 (Fluka, Cat. No. 21114-1L), 1 mM MgCl 2 (Ambion, Cat. No. AM9530G) pH 7.4] and wash 20 µL Buffer containing 0.1% BSA was added to each well. After allowing cells to equilibrate at 37°C for approximately 15 min, add 10 µL of luciferin (sodium salt, Sigma, catalog No. F6377, diluted in buffer). To generate triplicate dose-response curves, compounds were serially diluted 3-fold in assay buffer and added to the cell assay plate to a final volume of 40 µL and starting at 30 Final maximum concentration of 1 µM. In the same plate and assay buffer as the compounds tested, including the GLP1(7-36) peptide (Bachem, Cat. No. H-6795) control curve, the final maximum concentration was 1 µM, to Establish EC 100. Also include EC 0 wells with buffer only. Use a Percolator with LANCE/DELFIA D400 single lens, excitation filter X320 and emission filters M615_203 (donor emission) and M515 (acceptor emission) KingElmer Envision measured plate FRET fluorescence immediately and then every 30 min. In-peak integration was achieved at 120 min. The plate was maintained at 37°C between reads. Data were expressed using Microsoft Excel are the ratios of donor/acceptor emission and plotted in GraphPad Prism. To determine EC50 and Emax of internalization, data were calculated and expressed as percentage of GLP1(7-36) EC100 control wells: [(Sample signal - average EC 0 signal)/(average GLP1 (7-36) EC 100 signal - average EC 0 signal)] * 100, using Microsoft Excel. Curve fitting for EC 50 determination was performed using GraphPad Prism. A 4-parameter logistic model Hill slope was used: Y = floor + (top - floor)/(1 + 10^((Log EC 50 -X) * Hill slope)), where Y is the functional response; is the concentration of the compound; the bottom value is A 0 or the minimum value (at 0 dose); the top value is A inf or the maximum value (at infinite dose); EC 50 is the inflection point (that is, the S-shaped curve between A 0 and A inf halfway between points). EC 50 values are calculated in µM. Emax is the maximum activity measured over the concentration range and is derived from a fitted curve relative to GLP1(7-36). [ Table 2.] Compound number β- arrestin assay DERET internalization assay EC 50 average ( µM ) E max ( % ) EC 50 average ( uM ) E max ( % ) C-1 >30 2 >30 8 C-4 >30 0 >30 1 C-5 >30 0 >30 6 C-7 >30 5 0.03 51 C-9 >30 0 >30 11 C-10 >30 0 >30 7 C-12 >30 10 >30 45 C-13 >30 12 1.279 42 C-14 >30 0 >30 20 C-16 >30 11 2.943 50 C-17 >30 2 >30 6 C-18 >30 16 2.376 86 C-19 >30 7 >30 34 C-20 >30 0 >30 5 C-21 >30 0 >30 2 C-23 ND ND >30 10 C-24 >30 1 0.49 19 Reference compound 0.123 27 0.015 87

without

without

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Claims (25)

一種具有式 (I) 的化合物: (I), 或其藥學上可接受的鹽,其中, 係單鍵或雙鍵; , 其中 指示與該分子的其餘部分的附接點; W係O或CH 2; X係O或CH 2; R 1和R 2各自獨立地選自H、C 1-3-烷基、鹵素和CN; R 3選自H和C 1-3-烷基; R 4和R 5選自: (aa) R 4選自H、C 1-6-烷基、C 2-6烯基、C 2-6炔基、C 3-6-環烷基、4-10員雜環烷基、苯基、C 3-6-環烷基-C 1-3-烷基-、(4-10員雜環烷基)-C 1-3-烷基-、苯基-C 1-3-烷基-、鹵素、CN、NO 2、OR 4a、SR 4a、C(O)R 4b、C(O)NR 4cR 4d、C(O)NR 4c(OR 4a)、C(O)NR 4c(S(O) 2R 4b)、C(O)NR 4c(S(O) 2NR 4cR 4d)、NR 4cOR 4a、NR 4cR 4d、NR 4c(C(O)R 4b)、NR 4c(C(O)OR 4a)、N(OR 4a)(C(O)R 4b)、NR 4c(C(O)NR 4cR 4d)、NR 4c(C(O)NR 4c(C(O)R 4b))、NR 4c(S(O) 2R 4b)、NR 4c(S(O) 2NR 4cR 4d)、NR 4c(C(O)NR 4c(S(O) 2R 4b))、OC(O)R 4b、OC(O)NR 4cR 4d、ONR 4c(C(O)R 4b)、OS(O) 2R 4b、OP(O)(OR 4e)(OR 4f)、S(O)OR 4a、S(O)R 4b、S(O) 2R 4b、S(O) 2NR 4cR 4d、S(O) 2OR 4a、S(=NR 4g)(O)R 4b、S(=NR 4g)(O)NR 4cNR 4d、P(O)(OR 4e)(OR 4f)、和P(O)(OR 4e)(R 4f),其中R 4的該C 1-6-烷基、C 2-6烯基、C 2-6炔基、C 3-6-環烷基、4-10員雜環烷基、苯基、C 3-6-環烷基-C 1-3-烷基-、(4-10員雜環烷基)-C 1-3-烷基-、和苯基-C 1-3-烷基-各自視需要被1、2、或3個獨立地選自以下的基團取代:鹵素、CN、NO 2、OR 4A、SR 4A、C(O)R 4B、C(O)NR 4CR 4D、C(O)NR 4C(OR 4A)、C(O)NR 4C(S(O) 2R 4B)、C(O)NR 4C(S(O) 2NR 4CR 4D)、NR 4COR 4A、NR 4CR 4D、NR 4C(C(O)R 4B)、NR 4C(C(O)OR 4A)、N(OR 4A)(C(O)R 4B)、NR 4C(C(O)NR 4CR 4D)、NR 4C(C(O)NR 4C(C(O)R 4B))、NR 4C(S(O) 2R 4B)、NR 4C(S(O) 2NR 4CR 4D)、NR 4C(C(O)NR 4C(S(O) 2R 4B))、OC(O)R 4B、OC(O)NR 4CR 4D、ONR 4C(C(O)R 4B)、OS(O) 2R 4B、OP(O)(OR 4E)(OR 4F)、S(O)OR 4A、S(O)R 4B、S(O) 2R 4B、S(O) 2NR 4CR 4D、S(O) 2OR 4A、S(=NR 4G)(O)R 4B、S(=NR 4G)(O)NR 4CNR 4D、P(O)(OR 4E)(OR 4F)、和P(O)(OR 4E)(R 4F),並且 R 5係5-10員雜芳基或(5-10員雜芳基)-C 1-3-烷基-,其中該5-10員雜芳基和(5-10員雜芳基)-C 1-3-烷基-各自被C(O)OR 5A或被羧酸電子等排體並且視需要被1、2、或3個獨立地選自以下的基團取代:鹵素,CN,NO 2,OR 5A,SR 5A,C 1-3-烷基,被1、2或3個鹵素取代的C 1-3-烷基,C(O)R 5B,C(O)NR 5CR 5D,C(O)NR 5C(OR 5A),C(O)NR 5C(S(O) 2R 5B),C(O)NR 5C(S(O) 2NR 5CR 5D),NR 5COR 5A,NR 5CR 5D,NR 5C(C(O)R 5B),NR 5C(C(O)OR 5A),N(OR 5A)(C(O)R 5B),NR 5C(C(O)NR 5CR 5D),NR 5C(C(O)NR 5C(C(O)R 5B)),NR 5C(S(O) 2R 5B),NR 5C(S(O) 2NR 5CR 5D),NR 5C(C(O)NR 5C(S(O) 2R 5B)),OC(O)R 5B,OC(O)NR 5CR 5D,ONR 5C(C(O)R 5B),OS(O) 2R 5B,OP(O)(OR 5E)(OR 5F),S(O)OR 5A,S(O)R 5B,S(O) 2R 5B,S(O) 2NR 5CR 5D,S(O) 2OR 5A,S(=NR 5G)(O)R 5B,S(=NR 5G)(O)NR 5CNR 5D,P(O)(OR 5E)(OR 5F),和P(O)(OR 5E)(R 5F);或者 (bb) R 4係5-10員雜芳基或(5-10員雜芳基)-C 1-3-烷基-,其中該5-10員雜芳基和(5-10員雜芳基)-C 1-3-烷基-各自被C(O)OR 4A或被羧酸電子等排體並且視需要被1、2、或3個獨立地選自以下的基團取代:鹵素,CN,NO 2,OR 4A,SR 4A,C 1-3-烷基,被1、2或3個鹵素取代的C 1-3-烷基,C(O)R 4B,C(O)NR 4CR 4D,C(O)NR 4C(OR 4A),C(O)NR 4C(S(O) 2R 4B),C(O)NR 4C(S(O) 2NR 4CR 4D),NR 4COR 4A,NR 4CR 4D,NR 4C(C(O)R 4B),NR 4C(C(O)OR 4A),N(OR 4A)(C(O)R 4B),NR 4C(C(O)NR 4CR 4D),NR 4C(C(O)NR 4C(C(O)R 4B)),NR 4C(S(O) 2R 4B),NR 4C(S(O) 2NR 4CR 4D),NR 4C(C(O)NR 4C(S(O) 2R 4B)),OC(O)R 4B,OC(O)NR 4CR 4D,ONR 4C(C(O)R 4B),OS(O) 2R 4B,OP(O)(OR 4E)(OR 4F),S(O)OR 4A,S(O)R 4B,S(O) 2R 4B,S(O) 2NR 4CR 4D,S(O) 2OR 4A,S(=NR 4G)(O)R 4B,S(=NR 4G)(O)NR 4CNR 4D,P(O)(OR 4E)(OR 4F),和P(O)(OR 4E)(R 4F),並且 R 5選自H、C 1-6-烷基、C 2-6烯基、C 2-6炔基、C 3-6-環烷基、4-10員雜環烷基、苯基、C 3-6-環烷基-C 1-3-烷基、(4-10員雜環烷基)-C 1-3-烷基-、苯基-C 1-3-烷基-、鹵素、CN、NO 2、OR 5a、SR 5a、C(O)R 5b、C(O)NR 5cR 5d、C(O)NR 5c(OR 5a)、C(O)NR 5c(S(O) 2R 5b)、C(O)NR 5c(S(O) 2NR 5cR 5d)、NR 5cOR 5a、NR 5cR 5d、NR 5c(C(O)R 5b)、NR 5c(C(O)OR 5a)、N(OR 5a)(C(O)R 5b)、NR 5c(C(O)NR 5cR 5d)、NR 5c(C(O)NR 5c(C(O)R 5b))、NR 5c(S(O) 2R 5b)、NR 5c(S(O) 2NR 5cR 5d)、NR 5c(C(O)NR 5c(S(O) 2R 5b))、OC(O)R 5b、OC(O)NR 5cR 5d、ONR 5c(C(O)R 5b)、OS(O) 2R 5b、OP(O)(OR 5e)(OR 5f)、S(O)OR 5a、S(O)R 5b、S(O) 2R 5b、S(O) 2NR 5cR 5d、S(O) 2OR 5a、S(=NR 5g)(O)R 5b、S(=NR 5g)(O)NR 5cNR 5d、P(O)(OR 5e)(OR 5f)、和P(O)(OR 5e)(R 5f),其中R 5的該C 1-6-烷基、C 2-6烯基、C 2-6炔基、C 3-6-環烷基、4-10員雜環烷基、苯基、C 3-6-環烷基-C 1-3-烷基-、(4-10員雜環烷基)-C 1-3-烷基-、和苯基-C 1-3-烷基-各自視需要被1、2、或3個獨立地選自以下的基團取代:鹵素、CN、NO 2、OR 5A、SR 5A、C(O)R 5B、C(O)NR 5CR 5D、C(O)NR 5C(OR 5A)、C(O)NR 5C(S(O) 2R 5B)、C(O)NR 5C(S(O) 2NR 5CR 5D)、NR 5COR 5A、NR 5CR 5D、NR 5C(C(O)R 5B)、NR 5C(C(O)OR 5A)、N(OR 5A)(C(O)R 5B)、NR 5C(C(O)NR 5CR 5D)、NR 5C(C(O)NR 5C(C(O)R 5B))、NR 5C(S(O) 2R 5B)、NR 5C(S(O) 2NR 5CR 5D)、NR 5C(C(O)NR 5C(S(O) 2R 5B))、OC(O)R 5B、OC(O)NR 5CR 5D、ONR 5C(C(O)R 5B)、OS(O) 2R 5B、OP(O)(OR 5E)(OR 5F)、S(O)OR 5A、S(O)R 5B、S(O) 2R 5B、S(O) 2NR 5CR 5D、S(O) 2OR 5A、S(=NR 5G)(O)R 5B、S(=NR 5G)(O)NR 5CNR 5D、P(O)(OR 5E)(OR 5F)、和P(O)(OR 5E)(R 5F);R 6選自(4-10員雜環烷基)-C 1-3-烷基-和(5-10員雜芳基)-C 1-3-烷基-,其中R 6的所述(4-10員雜環烷基)-C 1-3-烷基-和(5-10員雜芳基)-C 1-3-烷基-各自視需要被1、2、或3個獨立地選自C 1-6-烷基、-OH、和鹵素的基團取代; R 4a、R 4b、R 4c、和R 4d各自獨立地選自H、C 1-6-烷基、C 2-6烯基、C 2-6炔基、C 3-6-環烷基、4-10員雜環烷基、5-10員雜芳基、和苯基,其中R 4a、R 4b、R 4c、和R 4d的該C 1-6-烷基、C 2-6烯基、和C 2-6炔基各自視需要被1、2、或3個獨立地選自-OH和鹵素的基團取代;並且R 4a、R 4b、R 4c、和R 4d的該C 3-6-環烷基、4-10員雜環烷基、5-10員雜芳基、和苯基各自視需要被1、2、或3個獨立地選自C 1-6-烷基、-OH、和鹵素的基團取代; R 4e、R 4f、和R 4g各自獨立地選自H和C 1-6-烷基; R 4A、R 4B、R 4C、和R 4D各自視需要被1、2、或3個獨立地選自-OH、鹵素和-OC(O)-C 1-15-烷基的基團取代;並且R 4A、R 4B、R 4C、和R 4D的該C 3-6-環烷基、4-10員雜環烷基、4-10員雜環烷基-C 1-3-烷基-、5-10員雜芳基、和苯基各自視需要被1、2、或3個獨立地選自C 1-6-烷基、-OH、和鹵素的基團取代; R 4E、R 4F、和R 4G各自獨立地選自H和C 1-6-烷基; R 5a、R 5b、R 5c、和R 5d各自獨立地選自H、C 1-6-烷基、C 2-6烯基、C 2-6炔基、C 3-6-環烷基、4-10員雜環烷基、5-10員雜芳基、和苯基,其中R 5a、R 5b、R 5c、和R 5d的該C 1-6-烷基、C 2-6烯基、和C 2-6炔基各自視需要被1、2、或3個獨立地選自-OH和鹵素的基團取代;並且R 5a、R 5b、R 5c、和R 5d的該C 3-6-環烷基、4-10員雜環烷基、5-10員雜芳基、和苯基各自視需要被1、2、或3個獨立地選自C 1-6-烷基、-OH、和鹵素的基團取代; R 5e、R 5f、和R 5g各自獨立地選自H和C 1-6-烷基; R 5A、R 5B、R 5C、和R 5D各自視需要被1、2、或3個獨立地選自-OH、鹵素和-OC(O)-C 1-15-烷基的基團取代;並且R 5A、R 5B、R 5C、和R 5D的該C 3-6-環烷基、4-10員雜環烷基、4-10員雜環烷基-C 1-3-烷基-、5-10員雜芳基、和苯基各自視需要被1、2、或3個獨立地選自C 1-6-烷基、-OH、和鹵素的基團取代;並且 R 5E、R 5F、和R 5G各自獨立地選自H和C 1-6-烷基。 A compound of formula (I): (I), or a pharmaceutically acceptable salt thereof, wherein, It is a single bond or a double bond; department , in indicates the point of attachment to the remainder of the molecule; W is O or CH2 ; X is O or CH2 ; R1 and R2 are each independently selected from H, C1-3 -alkyl, halogen and CN; R 3 is selected from H and C 1-3 -alkyl; R 4 and R 5 are selected from: (aa) R 4 is selected from H, C 1-6 -alkyl, C 2-6 alkenyl, C 2-6 Alkynyl, C 3-6 -cycloalkyl, 4-10 membered heterocycloalkyl, phenyl, C 3-6 -cycloalkyl-C 1-3 -alkyl-, (4-10 membered heterocycloalkyl base)-C 1-3 -alkyl-, phenyl-C 1-3 -alkyl-, halogen, CN, NO 2 , OR 4a , SR 4a , C(O)R 4b , C(O)NR 4c R 4d , C(O)NR 4c (OR 4a ), C(O)NR 4c (S(O) 2 R 4b ), C(O)NR 4c (S(O) 2 NR 4c R 4d ), NR 4c OR 4a , NR 4c R 4d , NR 4c (C(O)R 4b ), NR 4c (C(O)OR 4a ), N(OR 4a )(C(O)R 4b ), NR 4c (C(O) )NR 4c R 4d ), NR 4c (C(O)NR 4c (C(O)R 4b )), NR 4c (S(O) 2 R 4b ), NR 4c (S(O) 2 NR 4c R 4d ), NR 4c (C(O)NR 4c (S(O) 2 R 4b )), OC(O)R 4b , OC(O)NR 4c R 4d , ONR 4c (C(O)R 4b ), OS (O) 2 R 4b 、OP(O)(OR 4e )(OR 4f )、S(O)OR 4a 、S(O)R 4b 、S(O) 2 R 4b 、S(O) 2 NR 4c R 4d , S(O) 2 OR 4a , S(=NR 4g )(O)R 4b , S(=NR 4g )(O)NR 4c NR 4d , P(O)(OR 4e )(OR 4f ), and P(O)(OR 4e )(R 4f ), wherein R 4 is the C 1-6 -alkyl, C 2-6 alkenyl, C 2-6 alkynyl, C 3-6 -cycloalkyl, 4 -10-membered heterocycloalkyl, phenyl, C 3-6 -cycloalkyl-C 1-3 -alkyl-, (4-10-membered heterocycloalkyl)-C 1-3 -alkyl-, and Phenyl-C 1-3 -alkyl- are each optionally substituted with 1, 2, or 3 groups independently selected from: halogen, CN, NO 2 , OR 4A , SR 4A , C(O)R 4B , C(O)NR 4C R 4D , C(O)NR 4C (OR 4A ), C(O)NR 4C (S(O) 2 R 4B ), C(O)NR 4C (S(O) 2 NR 4C R 4D ), NR 4C OR 4A , NR 4C R 4D , NR 4C (C(O)R 4B ), NR 4C (C(O)OR 4A ), N(OR 4A )(C(O)R 4B ), NR 4C (C(O)NR 4C R 4D ), NR 4C (C(O)NR 4C (C(O)R 4B )), NR 4C (S(O) 2 R 4B ), NR 4C (S (O) 2 NR 4C R 4D ), NR 4C (C(O)NR 4C (S(O) 2 R 4B )), OC(O)R 4B , OC(O)NR 4C R 4D , ONR 4C (C (O)R 4B ), OS(O) 2 R 4B , OP(O)(OR 4E )(OR 4F ), S(O)OR 4A , S(O)R 4B , S(O) 2 R 4B , S(O) 2 NR 4C R 4D 、S(O) 2 OR 4A 、S(=NR 4G )(O)R 4B 、S(=NR 4G )(O)NR 4C NR 4D 、P(O)(OR 4E )(OR 4F ), and P(O)(OR 4E )(R 4F ), and R 5 is 5-10 membered heteroaryl or (5-10 membered heteroaryl)-C 1-3 -alkyl -, wherein the 5-10-membered heteroaryl and (5-10-membered heteroaryl)-C 1-3 -alkyl- are each replaced by C(O)OR 5A or by a carboxylic acid isostere and optionally by Substituted with 1, 2, or 3 groups independently selected from: halogen, CN, NO 2 , OR 5A , SR 5A , C 1-3 -alkyl, C 1 substituted with 1, 2 or 3 halogens -3 -Alkyl, C(O)R 5B , C(O)NR 5C R 5D , C(O)NR 5C (OR 5A ), C(O)NR 5C (S(O) 2 R 5B ), C (O)NR 5C (S(O) 2 NR 5C R 5D ), NR 5C OR 5A , NR 5C R 5D , NR 5C (C(O)R 5B ), NR 5C (C(O)OR 5A ), N (OR 5A )(C(O)R 5B ), NR 5C (C(O)NR 5C R 5D ), NR 5C (C(O)NR 5C (C(O)R 5B )), NR 5C (S( O) 2 R 5B ), NR 5C (S(O) 2 NR 5C R 5D ), NR 5C (C(O)NR 5C (S(O) 2 R 5B )), OC(O)R 5B , OC( O)NR 5C R 5D , ONR 5C (C(O)R 5B ) , OS(O) 2 R 5B , OP(O)(OR 5E )(OR 5F ) , S(O)OR 5A ,S(O) R 5B , S(O) 2 R 5B , S(O) 2 NR 5C R 5D , S(O) 2 OR 5A , S(=NR 5G )(O)R 5B , S(=NR 5G )(O) NR 5C NR 5D , P(O)(OR 5E )(OR 5F ), and P(O)(OR 5E )(R 5F ); or (bb) R 4 is a 5-10-membered heteroaryl or (5- (10-membered heteroaryl)-C 1-3 -alkyl-, wherein the 5-10-membered heteroaryl and (5-10-membered heteroaryl)-C 1-3 -alkyl- are each replaced by C(O) OR 4A may be substituted by a carboxylic acid isostere and optionally substituted by 1, 2, or 3 groups independently selected from: halogen, CN, NO 2 , OR 4A , SR 4A , C 1-3 -alkyl Base, C 1-3 -alkyl substituted by 1, 2 or 3 halogens, C(O)R 4B , C(O)NR 4C R 4D , C(O)NR 4C (OR 4A ), C(O )NR 4C (S(O) 2 R 4B ), C(O)NR 4C (S(O) 2 NR 4C R 4D ), NR 4C OR 4A , NR 4C R 4D , NR 4C (C(O)R 4B ), NR 4C (C(O)OR 4A ), N(OR 4A )(C(O)R 4B ), NR 4C (C(O)NR 4C R 4D ), NR 4C (C(O)NR 4C ( C(O)R 4B )), NR 4C (S(O) 2 R 4B ), NR 4C (S(O) 2 NR 4C R 4D ), NR 4C (C(O)NR 4C (S(O) 2 R 4B )), OC(O)R 4B , OC(O)NR 4C R 4D , ONR 4C (C(O)R 4B ), OS(O) 2 R 4B , OP(O)(OR 4E )(OR 4F ), S(O)OR 4A , S(O)R 4B , S(O) 2 R 4B , S(O) 2 NR 4C R 4D , S(O) 2 OR 4A , S(=NR 4G )( O)R 4B , S(=NR 4G )(O)NR 4C NR 4D , P(O)(OR 4E )(OR 4F ), and P(O)(OR 4E )(R 4F ), and R 5 is selected From H, C 1-6 -alkyl, C 2-6 alkenyl, C 2-6 alkynyl, C 3-6 -cycloalkyl, 4-10 membered heterocycloalkyl, phenyl, C 3-6 -Cycloalkyl-C 1-3 -alkyl, (4-10 membered heterocycloalkyl)-C 1-3 -alkyl-, phenyl-C 1-3 -alkyl-, halogen, CN, NO 2 , OR 5a , SR 5a , C(O)R 5b , C(O)NR 5c R 5d , C(O)NR 5c (OR 5a ), C(O)NR 5c (S(O) 2 R 5b ) , C(O)NR 5c (S(O) 2 NR 5c R 5d ), NR 5c OR 5a , NR 5c R 5d , NR 5c (C(O)R 5b ), NR 5c (C(O)OR 5a ) , N(OR 5a )(C(O)R 5b ), NR 5c (C(O)NR 5c R 5d ), NR 5c (C(O)NR 5c (C(O)R 5b )), NR 5c ( S(O) 2 R 5b ), NR 5c (S(O) 2 NR 5c R 5d ), NR 5c (C(O)NR 5c (S(O) 2 R 5b )), OC(O)R 5b , OC(O)NR 5c R 5d 、ONR 5c (C(O)R 5b )、OS(O) 2 R 5b 、OP(O)(OR 5e )(OR 5f )、S(O)OR 5a 、S( O)R 5b , S(O) 2 R 5b , S(O) 2 NR 5c R 5d , S(O) 2 OR 5a , S(=NR 5g )(O)R 5b , S(=NR 5g )( O)NR 5c NR 5d , P(O)(OR 5e )(OR 5f ), and P(O)(OR 5e )(R 5f ), wherein the C 1-6 -alkyl, C 2- of R 5 6 alkenyl, C 2-6 alkynyl, C 3-6 -cycloalkyl, 4-10 membered heterocycloalkyl, phenyl, C 3-6 -cycloalkyl-C 1-3 -alkyl-, (4-10 membered heterocycloalkyl)-C 1-3 -alkyl-, and phenyl-C 1-3 -alkyl- are each optionally independently selected from the following groups: 1, 2, or 3 Group substitution: halogen, CN, NO 2 , OR 5A , SR 5A , C(O)R 5B , C(O)NR 5C R 5D , C(O)NR 5C (OR 5A ), C(O)NR 5C ( S(O) 2 R 5B ), C(O)NR 5C (S(O) 2 NR 5C R 5D ), NR 5C OR 5A , NR 5C R 5D , NR 5C (C(O)R 5B ), NR 5C (C(O)OR 5A ), N(OR 5A )(C(O)R 5B ), NR 5C (C(O)NR 5C R 5D ), NR 5C (C(O)NR 5C (C(O) R 5B )), NR 5C (S(O) 2 R 5B ), NR 5C (S(O) 2 NR 5C R 5D ), NR 5C (C(O)NR 5C (S(O) 2 R 5B )) , OC(O)R 5B , OC(O)NR 5C R 5D , ONR 5C (C(O)R 5B ) , OS(O) 2 R 5B , OP(O)(OR 5E )(OR 5F ) ,S (O)OR 5A 、S(O)R 5B 、S(O) 2 R 5B 、S(O) 2 NR 5C R 5D 、S(O) 2 OR 5A 、S(=NR 5G )(O)R 5B , S(=NR 5G )(O)NR 5C NR 5D , P(O)(OR 5E )(OR 5F ), and P(O)(OR 5E )(R 5F ); R 6 is selected from (4-10 (membered heterocycloalkyl)-C 1-3 -alkyl- and (5-10 membered heteroaryl)-C 1-3 -alkyl-, wherein R 6 is the (4-10 membered heterocycloalkyl )-C 1-3 -alkyl- and (5-10 membered heteroaryl)-C 1-3 -alkyl- are each independently selected from C 1-6 -alkanes, as appropriate. substituted with groups such as -OH, and halogen; R 4a , R 4b , R 4c , and R 4d are each independently selected from H, C 1-6 -alkyl, C 2-6 alkenyl, C 2-6 Alkynyl, C 3-6 -cycloalkyl, 4-10 membered heterocycloalkyl, 5-10 membered heteroaryl, and phenyl, wherein the C 1 of R 4a , R 4b , R 4c , and R 4d -6 -Alkyl, C 2-6 alkenyl, and C 2-6 alkynyl are each optionally substituted with 1, 2, or 3 groups independently selected from -OH and halogen; and R 4a , R 4b The C 3-6 -cycloalkyl group, 4-10-membered heterocycloalkyl group, 5-10-membered heteroaryl group, and phenyl group of R 4c and R 4d are each optionally replaced by 1, 2, or 3 independently Substituted with a group independently selected from C 1-6 -alkyl, -OH, and halogen; R 4e , R 4f , and R 4g are each independently selected from H and C 1-6 -alkyl; R 4A , R 4B , R 4C , and R 4D are each optionally substituted with 1, 2, or 3 groups independently selected from -OH, halogen, and -OC(O)-C 1-15 -alkyl; and R 4A , R The C 3-6 -cycloalkyl, 4-10-membered heterocycloalkyl, 4-10-membered heterocycloalkyl-C 1-3 -alkyl-, 5-10-membered of 4B , R 4C , and R 4D Heteroaryl, and phenyl are each optionally substituted with 1, 2, or 3 groups independently selected from C 1-6 -alkyl, -OH, and halogen; each of R 4E , R 4F , and R 4G Independently selected from H and C 1-6 -alkyl; R 5a , R 5b , R 5c , and R 5d are each independently selected from H, C 1-6 -alkyl, C 2-6 alkenyl, C 2 -6 alkynyl, C 3-6 -cycloalkyl, 4-10 membered heterocycloalkyl, 5-10 membered heteroaryl, and phenyl, where R 5a , R 5b , R 5c , and R 5d are Each of C 1-6 -alkyl, C 2-6 alkenyl, and C 2-6 alkynyl is optionally substituted with 1, 2, or 3 groups independently selected from -OH and halogen; and R 5a , The C 3-6 -cycloalkyl group, 4-10-membered heterocycloalkyl group, 5-10-membered heteroaryl group, and phenyl group of R 5b , R 5c , and R 5d are each optionally replaced by 1, 2, or 3 Substituted with a group independently selected from C 1-6 -alkyl, -OH, and halogen; R 5e , R 5f , and R 5g are each independently selected from H and C 1-6 -alkyl; R 5A , R 5B , R 5C , and R 5D are each optionally substituted with 1, 2, or 3 groups independently selected from -OH, halogen, and -OC(O)-C 1-15 -alkyl; and R 5A , R 5B , R 5C , and the C 3-6 -cycloalkyl , 4-10-membered heterocycloalkyl, 4-10-membered heterocycloalkyl-C 1-3 -alkyl-, 5- The 10-membered heteroaryl, and phenyl are each optionally substituted with 1, 2, or 3 groups independently selected from C 1-6 -alkyl, -OH, and halogen; and R 5E , R 5F , and Each R 5G is independently selected from H and C 1-6 -alkyl. 如請求項1所述之化合物、或其藥學上可接受的鹽,其中,R 1係氯、氟或CN,R 2係氯或氟,並且R 3係-CH 3The compound of claim 1, or a pharmaceutically acceptable salt thereof, wherein R 1 is chlorine, fluorine or CN, R 2 is chlorine or fluorine, and R 3 is -CH 3 . 如請求項1或請求項2所述之化合物、或其藥學上可接受的鹽,其中,R 4選自C 1-3-烷基、C 2-4烯基、C 2-4炔基、C 3-6-環烷基、4-10員雜環烷基、苯基、和鹵素,其中R 4的該C 1-3-烷基、C 2-4烯基、C 2-4炔基、C 3-6-環烷基、4-10員雜環烷基、和苯基各自視需要被1、2、或3個獨立地選自鹵素和C 1-3-烷基的基團取代,並且R 5係5-10員雜芳基或(5-10員雜芳基)-C 1-3-烷基-,其中該5-10員雜芳基和(5-10員雜芳基)-C 1-3-烷基-各自被C(O)OR 5A或被羧酸電子等排體並且視需要被1、2、或3個獨立地選自以下的基團取代:鹵素,C 1-3-烷基和被1、2或3個鹵素取代的C 1-3-烷基;其中R 5A選自H和C 1-3-烷基。 The compound of claim 1 or claim 2, or a pharmaceutically acceptable salt thereof, wherein R 4 is selected from C 1-3 alkyl, C 2-4 alkenyl, C 2-4 alkynyl, C 3-6 -cycloalkyl, 4-10 membered heterocycloalkyl, phenyl, and halogen, wherein R 4 is the C 1-3 -alkyl, C 2-4 alkenyl, C 2-4 alkynyl , C 3-6 -cycloalkyl, 4-10 membered heterocycloalkyl, and phenyl are each optionally substituted with 1, 2, or 3 groups independently selected from halogen and C 1-3 -alkyl , and R 5 is a 5-10-membered heteroaryl or (5-10-membered heteroaryl)-C 1-3 -alkyl-, wherein the 5-10-membered heteroaryl and (5-10-membered heteroaryl )-C 1-3 -alkyl-each substituted by C(O)OR 5A or by a carboxylic acid isostere and optionally by 1, 2, or 3 groups independently selected from: halogen, C 1-3 -alkyl and C 1-3 -alkyl substituted by 1, 2 or 3 halogens; wherein R 5A is selected from H and C 1-3 -alkyl. 如請求項1至3中任一項所述之化合物、或其藥學上可接受的鹽,其中,R 4係C 1-3-烷基或被1、2或3個鹵素取代的C 1-3-烷基。 The compound as described in any one of claims 1 to 3, or a pharmaceutically acceptable salt thereof, wherein R 4 is C 1-3 -alkyl or C 1- substituted by 1, 2 or 3 halogens 3 -alkyl. 如請求項1或請求項2所述之化合物、或其藥學上可接受的鹽,其中,R 4係5-10員雜芳基或(5-10員雜芳基)-C 1-3-烷基-,其中該5-10員雜芳基和(5-10員雜芳基)-C 1-3-烷基-各自被C(O)OR 4A或被羧酸電子等排體並且視需要被1、2、或3個獨立地選自以下的基團取代:鹵素,C 1-3-烷基和被1、2或3個鹵素取代的C 1-3-烷基;其中R 4A選自H和C 1-3-烷基,並且R 5選自C 1-3-烷基、C 2-4烯基、C 2-4炔基、C 3-6-環烷基、4-10員雜環烷基、苯基、和鹵素,其中該C 1-3-烷基、C 2-4烯基、C 2-4炔基、C 3-6-環烷基、4-10員雜環烷基、和苯基各自視需要被1、2、或3個獨立地選自鹵素和C 1-3-烷基的基團取代。 The compound of claim 1 or claim 2, or a pharmaceutically acceptable salt thereof, wherein R 4 is a 5-10-membered heteroaryl group or (5-10-membered heteroaryl group)-C 1-3 - Alkyl-, wherein the 5-10-membered heteroaryl and (5-10-membered heteroaryl)-C 1-3 -alkyl- are each replaced by C(O)OR 4A or by a carboxylic acid isostere and viewed Needs to be substituted by 1, 2, or 3 groups independently selected from: halogen, C 1-3 -alkyl and C 1-3 -alkyl substituted by 1, 2 or 3 halogens; wherein R 4A is selected from H and C 1-3 -alkyl, and R 5 is selected from C 1-3 -alkyl, C 2-4 alkenyl, C 2-4 alkynyl, C 3-6 -cycloalkyl, 4- 10-membered heterocycloalkyl, phenyl, and halogen, wherein the C 1-3 -alkyl, C 2-4 alkenyl, C 2-4 alkynyl, C 3-6 -cycloalkyl, 4-10 membered Heterocycloalkyl, and phenyl are each optionally substituted with 1, 2, or 3 groups independently selected from halogen and C 1-3 -alkyl. 如請求項5所述之化合物、或其藥學上可接受的鹽,其中,R 5係C 1-3-烷基或被1、2或3個鹵素取代的C 1-3-烷基。 The compound of claim 5, or a pharmaceutically acceptable salt thereof, wherein R 5 is a C 1-3 -alkyl group or a C 1-3 -alkyl group substituted by 1, 2 or 3 halogens. 如請求項5或請求項6所述之化合物、或其藥學上可接受的鹽,其中,R 4係被C(O)OR 4A並且視需要被1、2、或3個獨立地選自以下的基團取代的5-10員雜芳基:鹵素,C 1-3-烷基和被1、2或3個鹵素取代的C 1-3-烷基;其中R 4A選自H和C 1-3-烷基。 The compound as claimed in claim 5 or claim 6, or a pharmaceutically acceptable salt thereof, wherein R 4 is C(O)OR 4A and optionally 1, 2, or 3 independently selected from the following 5-10 membered heteroaryl substituted by groups: halogen, C 1-3 -alkyl and C 1-3 -alkyl substituted by 1, 2 or 3 halogens; wherein R 4A is selected from H and C 1 -3 -alkyl. 如請求項5至7中任一項所述之化合物、或其藥學上可接受的鹽,其中,R 4具有式H1a或H2a的結構: 其中該環係芳香族的;其中 X 1係C,並且X 2、X 3、X 4、X 5、和X 6中的每一者獨立地是C=O、CR 4h、NR 4i、O、或S,其中X 2-X 6中的至少一者係N、O、或S; R 4A選自H和C 1-3-烷基;並且 如果存在,則R 4h係鹵素,C 1-3-烷基或被1、2或3個鹵素取代的C 1-3-烷基,並且R 4i係C 1-3-烷基。 The compound as described in any one of claims 5 to 7, or a pharmaceutically acceptable salt thereof, wherein R 4 has the structure of formula H1a or H2a: wherein the ring system is aromatic; wherein X1 is C, and each of X2 , X3 , X4 , X5 , and X6 is independently C=O, CR4h , NR4i , O, or S , wherein at least one of -alkyl or C 1-3 -alkyl substituted by 1, 2 or 3 halogens, and R 4i is C 1-3 -alkyl. 如請求項5至8中任一項所述之化合物、或其藥學上可接受的鹽,其中,R 4選自由以下組成之群組: 、和 , 其中Ra、Rb和Rc獨立地選自H,C 1-3-烷基和被1、2或3個鹵素取代的C 1-3-烷基,並且R 4A選自H和C 1-3-烷基。 The compound as described in any one of claims 5 to 8, or a pharmaceutically acceptable salt thereof, wherein R 4 is selected from the group consisting of: , , , , , , , , , , ,and , wherein Ra, Rb and Rc are independently selected from H, C 1-3 -alkyl and C 1-3 -alkyl substituted by 1, 2 or 3 halogens, and R 4A is selected from H and C 1-3 -alkyl. 如請求項1至4中任一項所述之化合物、或其藥學上可接受的鹽,其中,R 5係被C(O)OR 5A並且視需要被1、2、或3個獨立地選自以下的基團取代的5-10員雜芳基:鹵素,C 1-3-烷基和被1、2或3個鹵素取代的C 1-3-烷基;其中R 5A選自H和C 1-3-烷基。 The compound according to any one of claims 1 to 4, or a pharmaceutically acceptable salt thereof, wherein R 5 is C(O)OR 5A and 1, 2, or 3 are independently selected as needed. 5-10 membered heteroaryl substituted from: halogen, C 1-3 -alkyl and C 1-3 -alkyl substituted by 1, 2 or 3 halogens; wherein R 5A is selected from H and C 1-3 -alkyl. 如請求項10所述之化合物、或其藥學上可接受的鹽,其中,R 5具有式H11a或H12a的結構: 其中該環係芳香族的;其中 X 1係C,並且X 2、X 3、X 4、X 5、和X 6中的每一者獨立地是C=O、CR 5h、NR 5i、O、或S,其中X 2-X 6中的至少一者係N、O、或S; R 5A選自H和C 1-3-烷基;並且 如果存在,則R 5h係鹵素,C 1-3-烷基或被1、2或3個鹵素取代的C 1-3-烷基,並且R 5i係C 1-3-烷基。 The compound of claim 10, or a pharmaceutically acceptable salt thereof, wherein R 5 has the structure of formula H11a or H12a: wherein the ring system is aromatic; wherein X1 is C, and each of X2 , X3 , X4 , X5 , and X6 is independently C=O, CR5h , NR5i , O, or S , wherein at least one of -alkyl or C 1-3 -alkyl substituted by 1, 2 or 3 halogens, and R 5i is C 1-3 -alkyl. 如請求項10或請求項11所述之化合物、或其藥學上可接受的鹽,其中,R 5選自由以下組成之群組: 、和 , 其中Ra、Rb和Rc獨立地選自H,C 1-3-烷基和被1、2或3個鹵素取代的C 1-3-烷基,並且R 5A選自H和C 1-3-烷基。 The compound of claim 10 or claim 11, or a pharmaceutically acceptable salt thereof, wherein R5 is selected from the group consisting of: , , , , , , , , , , ,and , wherein Ra, Rb and Rc are independently selected from H, C 1-3 -alkyl and C 1-3 -alkyl substituted by 1, 2 or 3 halogens, and R 5A is selected from H and C 1-3 -alkyl. 如請求項1至12中任一項所述之化合物、或其藥學上可接受的鹽,其中,R 6選自(4-6員雜環烷基)-CH 2-和(5-6員雜芳基)-CH 2-,其中R 6的該(4-6員雜環烷基)-CH 2-和(5-6員雜芳基)-CH 2-各自視需要被1、2、或3個獨立地選自C 1-6-烷基、-OH、和鹵素的基團取代。 The compound as described in any one of claims 1 to 12, or a pharmaceutically acceptable salt thereof, wherein R 6 is selected from (4-6 membered heterocycloalkyl)-CH 2 - and (5-6 membered heterocycloalkyl) Heteroaryl)-CH 2 -, wherein the (4-6 membered heterocycloalkyl)-CH 2 - and (5-6 membered heteroaryl)-CH 2 - of R 6 are each optionally replaced by 1, 2, Or substituted by 3 groups independently selected from C 1-6 -alkyl, -OH, and halogen. 如請求項13所述之化合物、或其藥學上可接受的鹽,其中,R 6具有下式: , 其中 指示與該分子的其餘部分的附接點。 The compound of claim 13, or a pharmaceutically acceptable salt thereof, wherein R 6 has the following formula: , in Indicates the point of attachment to the rest of the molecule. 如請求項1至14中任一項所述之化合物,該化合物係具有式 (IIa) 的化合物: (IIa) 或其藥學上可接受的鹽。 The compound as described in any one of claims 1 to 14, which compound is a compound of formula (IIa): (IIa) or a pharmaceutically acceptable salt thereof. 如請求項1至15中任一項所述之化合物,該化合物係具有式 (IIIa) 的化合物: (IIIa), 或其藥學上可接受的鹽。 The compound as described in any one of claims 1 to 15, which compound is a compound of formula (IIIa): (IIIa), or a pharmaceutically acceptable salt thereof. 如請求項1所述之化合物,該化合物選自由以下組成之群組: 、和 , 或其藥學上可接受的鹽。 The compound as described in claim 1, which compound is selected from the group consisting of: , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , ,and , or its pharmaceutically acceptable salt. 如請求項1所述之化合物、或其藥學上可接受的鹽,其選自由以下組成之群組: 2-(2-((4-((S)-2-(4-氯-2-氟苯基)-2-甲基苯并[d][1,3]二氧戊環-4-基)哌啶-1-基)甲基)-4-甲基-1-(((S)-氧雜環丁烷-2-基)甲基)-1H-咪唑-5-基)-5-甲基㗁唑-4-甲酸, 2-(2-((4-((S)-2-(4-氯-2-氟苯基)-2-甲基苯并[d][1,3]二氧戊環-4-基)哌啶-1-基)甲基)-4-甲基-1-(((R)-氧雜環丁烷-2-基)甲基)-1H-咪唑-5-基)㗁唑-5-甲酸, 2-(2-((4-((S)-2-(4-氯-2-氟苯基)-2-甲基苯并[d][1,3]二氧戊環-4-基)哌啶-1-基)甲基)-4-甲基-1-(((R)-氧雜環丁烷-2-基)甲基)-1H-咪唑-5-基)㗁唑-4-甲酸, 2-(2-((4-((S)-2-(4-氯-2-氟苯基)-2-甲基苯并[d][1,3]二氧戊環-4-基)哌啶-1-基)甲基)-1-(((S)-氧雜環丁烷-2-基)甲基)-4-(三氟甲基)-1H-咪唑-5-基)㗁唑-4-甲酸, 2-(2-((4-((S)-2-(4-氯-2-氟苯基)-2-甲基苯并[d][1,3]二氧戊環-4-基)哌啶-1-基)甲基)-4-乙基-1-(((S)-氧雜環丁烷-2-基)甲基)-1H-咪唑-5-基)㗁唑-4-甲酸, 2-(2-((4-((S)-2-(4-氯-2-氟苯基)-2-甲基苯并[d][1,3]二氧戊環-4-基)哌啶-1-基)甲基)-4-乙基-1-(((S)-氧雜環丁烷-2-基)甲基)-1H-咪唑-5-基)㗁唑-5-甲酸, 2-(2-((4-((S)-2-(4-氯-2-氟苯基)-2-甲基苯并[d][1,3]二氧戊環-4-基)哌啶-1-基)甲基)-4-乙基-1-(((R)-氧雜環丁烷-2-基)甲基)-1H-咪唑-5-基)㗁唑-4-甲酸, 2-(2-((4-((S)-2-(4-氯-2-氟苯基)-2-甲基苯并[d][1,3]二氧戊環-4-基)哌啶-1-基)甲基)-4-乙基-1-(((R)-氧雜環丁烷-2-基)甲基)-1H-咪唑-5-基)㗁唑-5-甲酸, 2-(2-((4-((S)-2-(4-氯-2-氟苯基)-2-甲基苯并[d][1,3]二氧戊環-4-基)哌啶-1-基)甲基)-4-甲基-1-(((S)-氧雜環丁烷-2-基)甲基)-1H-咪唑-5-基)㗁唑-4-甲酸, 2-(2-((4-((S)-2-(4-氯-2-氟苯基)-2-甲基苯并[d][1,3]二氧戊環-4-基)哌啶-1-基)甲基)-4-甲基-1-(((S)-氧雜環丁烷-2-基)甲基)-1H-咪唑-5-基)-5-乙基㗁唑-4-甲酸, 2-(2-((4-((S)-2-(4-氰基-2-氟苯基)-2-甲基苯并[d][1,3]二氧戊環-4-基)哌啶-1-基)甲基)-4-甲基-1-(((S)-氧雜環丁烷-2-基)甲基)-1H-咪唑-5-基)-5-甲基㗁唑-4-甲酸, 2-(2-((4-((S)-2-(4-氯-2-氟苯基)-2-甲基苯并[d][1,3]二氧戊環-4-基)哌啶-1-基)甲基)-5-甲基-1-(((S)-氧雜環丁烷-2-基)甲基)-1H-咪唑-4-基)-5-甲基㗁唑-4-甲酸, 2-(2-((4-((S)-2-(4-氯-2-氟苯基)-2-甲基苯并[d][1,3]二氧戊環-4-基)哌啶-1-基)甲基)-5-甲基-1-(((S)-氧雜環丁烷-2-基)甲基)-1H-咪唑-4-基)㗁唑-4-甲酸, 2-(2-((4-((S)-2-(4-氯-2-氟苯基)-2-甲基苯并[d][1,3]二氧戊環-4-基)哌啶-1-基)甲基)-5-甲基-1-(((S)-氧雜環丁烷-2-基)甲基)-1H-咪唑-4-基)-4-(三氟甲基)㗁唑-5-甲酸, 2-(2-((4-((S)-2-(4-氯-2-氟苯基)-2-甲基苯并[d][1,3]二氧戊環-4-基)哌啶-1-基)甲基)-5-甲基-1-(((S)-氧雜環丁烷-2-基)甲基)-1H-咪唑-4-基)-4-甲基㗁唑-5-甲酸, 5-(2-((4-((S)-2-(4-氯-2-氟苯基)-2-甲基苯并[d][1,3]二氧戊環-4-基)哌啶-1-基)甲基)-5-甲基-1-(((S)-氧雜環丁烷-2-基)甲基)-1H-咪唑-4-基)㗁唑-2-甲酸, 3-(2-((4-((S)-2-(4-氯-2-氟苯基)-2-甲基苯并[d][1,3]二氧戊環-4-基)哌啶-1-基)甲基)-5-甲基-1-(((S)-氧雜環丁烷-2-基)甲基)-1H-咪唑-4-基)-1-甲基-1H-吡唑-5-甲酸, 4-(2-((4-((S)-2-(4-氯-2-氟苯基)-2-甲基苯并[d][1,3]二氧戊環-4-基)哌啶-1-基)甲基)-5-甲基-1-(((S)-氧雜環丁烷-2-基)甲基)-1H-咪唑-4-基)㗁唑-2-甲酸, 5-(2-((4-((S)-2-(4-氯-2-氟苯基)-2-甲基苯并[d][1,3]二氧戊環-4-基)哌啶-1-基)甲基)-5-甲基-1-(((S)-氧雜環丁烷-2-基)甲基)-1H-咪唑-4-基)-3-甲基呋喃-2-甲酸, 4-(2-((4-((S)-2-(4-氯-2-氟苯基)-2-甲基苯并[d][1,3]二氧戊環-4-基)哌啶-1-基)甲基)-4-甲基-1-(((S)-氧雜環丁烷-2-基)甲基)-1H-咪唑-5-基)㗁唑-2-甲酸, 3-(2-((4-((S)-2-(4-氯-2-氟苯基)-2-甲基苯并[d][1,3]二氧戊環-4-基)哌啶-1-基)甲基)-4-甲基-1-(((S)-氧雜環丁烷-2-基)甲基)-1H-咪唑-5-基)-1-甲基-1H-吡唑-5-甲酸, 5-(2-((4-((S)-2-(4-氯-2-氟苯基)-2-甲基苯并[d][1,3]二氧戊環-4-基)哌啶-1-基)甲基)-4-甲基-1-(((S)-氧雜環丁烷-2-基)甲基)-1H-咪唑-5-基)呋喃-2-甲酸, 5-(2-((4-((S)-2-(4-氯-2-氟苯基)-2-甲基苯并[d][1,3]二氧戊環-4-基)哌啶-1-基)甲基)-5-甲基-1-(((S)-氧雜環丁烷-2-基)甲基)-1H-咪唑-4-基)酸, 5-(2-((4-((S)-2-(4-氯-2-氟苯基)-2-甲基苯并[d][1,3]二氧戊環-4-基)哌啶-1-基)甲基)-5-甲基-1-(((S)-氧雜環丁烷-2-基)甲基)-1H-咪唑-4-基)呋喃-2-甲酸, 2-(2-((4-((S)-2-(4-氯-2-氟苯基)-2-甲基苯并[d][1,3]二氧戊環-4-基)哌啶-1-基)甲基)-5-甲基-1-(((S)-氧雜環丁烷-2-基)甲基)-1H-咪唑-4-基)㗁唑-5-甲酸, 5-(2-((4-((S)-2-(4-氯-2-氟苯基)-2-甲基苯并[d][1,3]二氧戊環-4-基)哌啶-1-基)甲基)-5-甲基-1-(((S)-氧雜環丁烷-2-基)甲基)-1H-咪唑-4-基)-1,3,4-㗁二唑-2-甲酸, 5-(2-((4-((S)-2-(4-氯-2-氟苯基)-2-甲基苯并[d][1,3]二氧戊環-4-基)哌啶-1-基)甲基)-5-甲基-1-(((S)-氧雜環丁烷-2-基)甲基)-1H-咪唑-4-基)異㗁唑-3-甲酸, 3-(2-((4-((S)-2-(4-氯-2-氟苯基)-2-甲基苯并[d][1,3]二氧戊環-4-基)哌啶-1-基)甲基)-5-甲基-1-(((S)-氧雜環丁烷-2-基)甲基)-1H-咪唑-4-基)異㗁唑-5-甲酸, 5-(2-((4-((S)-2-(4-氯-2-氟苯基)-2-甲基苯并[d][1,3]二氧戊環-4-基)哌啶-1-基)甲基)-5-甲基-1-(((S)-氧雜環丁烷-2-基)甲基)-1H-咪唑-4-基)-1-甲基-1H-吡唑-3-甲酸, 5-(2-((4-((S)-2-(4-氯-2-氟苯基)-2-甲基苯并[d][1,3]二氧戊環-4-基)哌啶-1-基)甲基)-4-甲基-1-(((S)-氧雜環丁烷-2-基)甲基)-1H-咪唑-5-基)酸, 4-(2-((4-((S)-2-(4-氯-2-氟苯基)-2-甲基苯并[d][1,3]二氧戊環-4-基)哌啶-1-基)甲基)-4-甲基-1-(((S)-氧雜環丁烷-2-基)甲基)-1H-咪唑-5-基)噻唑-2-甲酸,和 2-(2-((4-((S)-2-(4-氯-2-氟苯基)-2-甲基苯并[d][1,3]二氧戊環-4-基)哌啶-1-基)甲基)-4-甲基-1-(((S)-氧雜環丁烷-2-基)甲基)-1H-咪唑-5-基)㗁唑-5-甲酸,以及 2-(2-((4-((S)-2-(4-氰基-2-氟苯基)-2-甲基苯并[d][1,3]二氧戊環-4-基)哌啶-1-基)甲基)-4-甲基-1-(((S)-氧雜環丁烷-2-基)甲基)-1H-咪唑-5-基)-5-甲基㗁唑-4-甲酸乙酯, 或其藥學上可接受的鹽。 The compound described in claim 1, or a pharmaceutically acceptable salt thereof, is selected from the group consisting of: 2-(2-((4-((S)-2-(4-chloro-2-fluorophenyl)-2-methylbenzo[d][1,3]dioxolane-4-yl )piperidin-1-yl)methyl)-4-methyl-1-(((S)-oxetan-2-yl)methyl)-1H-imidazol-5-yl)-5- Methylethazole-4-carboxylic acid, 2-(2-((4-((S)-2-(4-chloro-2-fluorophenyl)-2-methylbenzo[d][1,3]dioxolane-4-yl )piperidin-1-yl)methyl)-4-methyl-1-(((R)-oxetan-2-yl)methyl)-1H-imidazol-5-yl)ethazole- 5-Formic acid, 2-(2-((4-((S)-2-(4-chloro-2-fluorophenyl)-2-methylbenzo[d][1,3]dioxolane-4-yl )piperidin-1-yl)methyl)-4-methyl-1-(((R)-oxetan-2-yl)methyl)-1H-imidazol-5-yl)ethazole- 4-Formic acid, 2-(2-((4-((S)-2-(4-chloro-2-fluorophenyl)-2-methylbenzo[d][1,3]dioxolane-4-yl )piperidin-1-yl)methyl)-1-(((S)-oxetan-2-yl)methyl)-4-(trifluoromethyl)-1H-imidazol-5-yl )ethazole-4-carboxylic acid, 2-(2-((4-((S)-2-(4-chloro-2-fluorophenyl)-2-methylbenzo[d][1,3]dioxolane-4-yl )piperidin-1-yl)methyl)-4-ethyl-1-(((S)-oxetan-2-yl)methyl)-1H-imidazol-5-yl)ethazole- 4-Formic acid, 2-(2-((4-((S)-2-(4-chloro-2-fluorophenyl)-2-methylbenzo[d][1,3]dioxolane-4-yl )piperidin-1-yl)methyl)-4-ethyl-1-(((S)-oxetan-2-yl)methyl)-1H-imidazol-5-yl)ethazole- 5-Formic acid, 2-(2-((4-((S)-2-(4-chloro-2-fluorophenyl)-2-methylbenzo[d][1,3]dioxolane-4-yl )piperidin-1-yl)methyl)-4-ethyl-1-(((R)-oxetan-2-yl)methyl)-1H-imidazol-5-yl)ethyl- 4-Formic acid, 2-(2-((4-((S)-2-(4-chloro-2-fluorophenyl)-2-methylbenzo[d][1,3]dioxolane-4-yl )piperidin-1-yl)methyl)-4-ethyl-1-(((R)-oxetan-2-yl)methyl)-1H-imidazol-5-yl)ethyl- 5-Formic acid, 2-(2-((4-((S)-2-(4-chloro-2-fluorophenyl)-2-methylbenzo[d][1,3]dioxolane-4-yl )piperidin-1-yl)methyl)-4-methyl-1-(((S)-oxetan-2-yl)methyl)-1H-imidazol-5-yl)ethazole- 4-Formic acid, 2-(2-((4-((S)-2-(4-chloro-2-fluorophenyl)-2-methylbenzo[d][1,3]dioxolane-4-yl )piperidin-1-yl)methyl)-4-methyl-1-(((S)-oxetan-2-yl)methyl)-1H-imidazol-5-yl)-5- Ethyl ethyl ethazole-4-carboxylic acid, 2-(2-((4-((S)-2-(4-cyano-2-fluorophenyl)-2-methylbenzo[d][1,3]dioxolane-4- yl)piperidin-1-yl)methyl)-4-methyl-1-(((S)-oxetan-2-yl)methyl)-1H-imidazol-5-yl)-5 -Methyl ethazole-4-carboxylic acid, 2-(2-((4-((S)-2-(4-chloro-2-fluorophenyl)-2-methylbenzo[d][1,3]dioxolane-4-yl )piperidin-1-yl)methyl)-5-methyl-1-(((S)-oxetan-2-yl)methyl)-1H-imidazol-4-yl)-5- Methylethazole-4-carboxylic acid, 2-(2-((4-((S)-2-(4-chloro-2-fluorophenyl)-2-methylbenzo[d][1,3]dioxolane-4-yl )piperidin-1-yl)methyl)-5-methyl-1-(((S)-oxetan-2-yl)methyl)-1H-imidazol-4-yl)ethazole- 4-Formic acid, 2-(2-((4-((S)-2-(4-chloro-2-fluorophenyl)-2-methylbenzo[d][1,3]dioxolane-4-yl )piperidin-1-yl)methyl)-5-methyl-1-(((S)-oxetan-2-yl)methyl)-1H-imidazol-4-yl)-4- (Trifluoromethyl)ethazole-5-carboxylic acid, 2-(2-((4-((S)-2-(4-chloro-2-fluorophenyl)-2-methylbenzo[d][1,3]dioxolane-4-yl )piperidin-1-yl)methyl)-5-methyl-1-(((S)-oxetan-2-yl)methyl)-1H-imidazol-4-yl)-4- Methylethazole-5-carboxylic acid, 5-(2-((4-((S)-2-(4-chloro-2-fluorophenyl)-2-methylbenzo[d][1,3]dioxolane-4-yl )piperidin-1-yl)methyl)-5-methyl-1-(((S)-oxetan-2-yl)methyl)-1H-imidazol-4-yl)ethazole- 2-Formic acid, 3-(2-((4-((S)-2-(4-chloro-2-fluorophenyl)-2-methylbenzo[d][1,3]dioxolane-4-yl )piperidin-1-yl)methyl)-5-methyl-1-(((S)-oxetan-2-yl)methyl)-1H-imidazol-4-yl)-1- Methyl-1H-pyrazole-5-carboxylic acid, 4-(2-((4-((S)-2-(4-chloro-2-fluorophenyl)-2-methylbenzo[d][1,3]dioxolane-4-yl )piperidin-1-yl)methyl)-5-methyl-1-(((S)-oxetan-2-yl)methyl)-1H-imidazol-4-yl)ethazole- 2-Formic acid, 5-(2-((4-((S)-2-(4-chloro-2-fluorophenyl)-2-methylbenzo[d][1,3]dioxolane-4-yl )piperidin-1-yl)methyl)-5-methyl-1-(((S)-oxetan-2-yl)methyl)-1H-imidazol-4-yl)-3- Methylfuran-2-carboxylic acid, 4-(2-((4-((S)-2-(4-chloro-2-fluorophenyl)-2-methylbenzo[d][1,3]dioxolane-4-yl )piperidin-1-yl)methyl)-4-methyl-1-(((S)-oxetan-2-yl)methyl)-1H-imidazol-5-yl)ethazole- 2-Formic acid, 3-(2-((4-((S)-2-(4-chloro-2-fluorophenyl)-2-methylbenzo[d][1,3]dioxolane-4-yl )piperidin-1-yl)methyl)-4-methyl-1-(((S)-oxetan-2-yl)methyl)-1H-imidazol-5-yl)-1- Methyl-1H-pyrazole-5-carboxylic acid, 5-(2-((4-((S)-2-(4-chloro-2-fluorophenyl)-2-methylbenzo[d][1,3]dioxolane-4-yl )piperidin-1-yl)methyl)-4-methyl-1-(((S)-oxetan-2-yl)methyl)-1H-imidazol-5-yl)furan-2 -Formic acid, 5-(2-((4-((S)-2-(4-chloro-2-fluorophenyl)-2-methylbenzo[d][1,3]dioxolane-4-yl )piperidin-1-yl)methyl)-5-methyl-1-(((S)-oxetan-2-yl)methyl)-1H-imidazol-4-yl) acid, 5-(2-((4-((S)-2-(4-chloro-2-fluorophenyl)-2-methylbenzo[d][1,3]dioxolane-4-yl )piperidin-1-yl)methyl)-5-methyl-1-(((S)-oxetan-2-yl)methyl)-1H-imidazol-4-yl)furan-2 -Formic acid, 2-(2-((4-((S)-2-(4-chloro-2-fluorophenyl)-2-methylbenzo[d][1,3]dioxolane-4-yl )piperidin-1-yl)methyl)-5-methyl-1-(((S)-oxetan-2-yl)methyl)-1H-imidazol-4-yl)ethazole- 5-Formic acid, 5-(2-((4-((S)-2-(4-chloro-2-fluorophenyl)-2-methylbenzo[d][1,3]dioxolane-4-yl )piperidin-1-yl)methyl)-5-methyl-1-(((S)-oxetan-2-yl)methyl)-1H-imidazol-4-yl)-1, 3,4-Diazole-2-carboxylic acid, 5-(2-((4-((S)-2-(4-chloro-2-fluorophenyl)-2-methylbenzo[d][1,3]dioxolane-4-yl )piperidin-1-yl)methyl)-5-methyl-1-(((S)-oxetan-2-yl)methyl)-1H-imidazol-4-yl)isoethazole -3-Formic acid, 3-(2-((4-((S)-2-(4-chloro-2-fluorophenyl)-2-methylbenzo[d][1,3]dioxolane-4-yl )piperidin-1-yl)methyl)-5-methyl-1-(((S)-oxetan-2-yl)methyl)-1H-imidazol-4-yl)isoethazole -5-Formic acid, 5-(2-((4-((S)-2-(4-chloro-2-fluorophenyl)-2-methylbenzo[d][1,3]dioxolane-4-yl )piperidin-1-yl)methyl)-5-methyl-1-(((S)-oxetan-2-yl)methyl)-1H-imidazol-4-yl)-1- Methyl-1H-pyrazole-3-carboxylic acid, 5-(2-((4-((S)-2-(4-chloro-2-fluorophenyl)-2-methylbenzo[d][1,3]dioxolane-4-yl )piperidin-1-yl)methyl)-4-methyl-1-(((S)-oxetan-2-yl)methyl)-1H-imidazol-5-yl) acid, 4-(2-((4-((S)-2-(4-chloro-2-fluorophenyl)-2-methylbenzo[d][1,3]dioxolane-4-yl )piperidin-1-yl)methyl)-4-methyl-1-(((S)-oxetan-2-yl)methyl)-1H-imidazol-5-yl)thiazole-2 -Formic acid, and 2-(2-((4-((S)-2-(4-chloro-2-fluorophenyl)-2-methylbenzo[d][1,3]dioxolane-4-yl )piperidin-1-yl)methyl)-4-methyl-1-(((S)-oxetan-2-yl)methyl)-1H-imidazol-5-yl)ethazole- 5-formic acid, and 2-(2-((4-((S)-2-(4-cyano-2-fluorophenyl)-2-methylbenzo[d][1,3]dioxolane-4- yl)piperidin-1-yl)methyl)-4-methyl-1-(((S)-oxetan-2-yl)methyl)-1H-imidazol-5-yl)-5 -Ethyl methylethazole-4-carboxylate, or a pharmaceutically acceptable salt thereof. 一種藥物組成物,該藥物組成物包含如請求項1至18中任一項所述之化合物、或其藥學上可接受的鹽,以及一種或多種藥學上可接受的載體。A pharmaceutical composition comprising a compound as described in any one of claims 1 to 18, or a pharmaceutically acceptable salt thereof, and one or more pharmaceutically acceptable carriers. 一種組合,該組合包含如請求項1至18中任一項所述之化合物、或其藥學上可接受的鹽,以及一種或多種治療活性劑。 A combination comprising a compound as described in any one of claims 1 to 18, or a pharmaceutically acceptable salt thereof, and one or more therapeutically active agents. 如請求項1至18中任一項所述之化合物、或其藥學上可接受的鹽,用於作為藥物使用。The compound described in any one of claims 1 to 18, or a pharmaceutically acceptable salt thereof, is used as a medicine. 如請求項1至18中任一項所述之化合物、或其藥學上可接受的鹽,用於在治療選自以下的障礙或疾病中使用:肥胖症、2型糖尿病、胰島素抗性、高胰島素血症、葡萄糖耐受不良、高血糖、一種或多種糖尿病併發症、糖尿病腎病、血脂異常、非酒精性脂肪肝病(NAFLD)、非酒精性脂肪性肝炎(NASH)、高血壓、動脈粥樣硬化、外周動脈疾病、中風、心肌病、心房顫動、心臟衰竭、冠心病、和神經病變。The compound according to any one of claims 1 to 18, or a pharmaceutically acceptable salt thereof, for use in the treatment of disorders or diseases selected from the group consisting of: obesity, type 2 diabetes, insulin resistance, hypertension Insulinemia, glucose intolerance, hyperglycemia, one or more complications of diabetes, diabetic nephropathy, dyslipidemia, non-alcoholic fatty liver disease (NAFLD), non-alcoholic steatohepatitis (NASH), hypertension, atherosclerosis Sclerosis, peripheral arterial disease, stroke, cardiomyopathy, atrial fibrillation, heart failure, coronary heart disease, and neuropathy. 如請求項1至18中任一項所述之化合物、或其藥學上可接受的鹽在製造藥物中之用途,該藥物用於治療選自以下的障礙或疾病:肥胖症、2型糖尿病、胰島素抗性、高胰島素血症、葡萄糖耐受不良、高血糖、一種或多種糖尿病併發症、糖尿病腎病、血脂異常、非酒精性脂肪肝病(NAFLD)、非酒精性脂肪性肝炎(NASH)、高血壓、動脈粥樣硬化、外周動脈疾病、中風、心肌病、心房顫動、心臟衰竭、冠心病、和神經病變。The use of a compound according to any one of claims 1 to 18, or a pharmaceutically acceptable salt thereof, in the manufacture of a medicament for the treatment of a disorder or disease selected from: obesity, type 2 diabetes, Insulin resistance, hyperinsulinemia, glucose intolerance, hyperglycemia, one or more complications of diabetes, diabetic nephropathy, dyslipidemia, non-alcoholic fatty liver disease (NAFLD), non-alcoholic steatohepatitis (NASH), hyperlipidemia blood pressure, atherosclerosis, peripheral arterial disease, stroke, cardiomyopathy, atrial fibrillation, heart failure, coronary heart disease, and neuropathy. 一種激動受試者中GLP1R活性之方法,其中該方法包括向該受試者施用治療有效量的如請求項1至18中任一項所述之化合物、或其藥學上可接受的鹽。A method of stimulating GLP1R activity in a subject, wherein the method comprises administering to the subject a therapeutically effective amount of a compound as described in any one of claims 1 to 18, or a pharmaceutically acceptable salt thereof. 一種治療受試者中障礙或疾病之方法,該障礙或疾病選自肥胖症、2型糖尿病、胰島素抗性、高胰島素血症、葡萄糖耐受不良、高血糖、一種或多種糖尿病併發症、糖尿病腎病、血脂異常、非酒精性脂肪肝病(NAFLD)、非酒精性脂肪性肝炎(NASH)、高血壓、動脈粥樣硬化、外周動脈疾病、中風、心肌病、心房顫動、心臟衰竭、冠心病、和神經病變,該方法包括向該受試者施用治療有效量的如請求項1至18中任一項所述之化合物、或其藥學上可接受的鹽。A method of treating a disorder or disease in a subject selected from the group consisting of obesity, type 2 diabetes, insulin resistance, hyperinsulinemia, glucose intolerance, hyperglycemia, one or more complications of diabetes, diabetes Kidney disease, dyslipidemia, non-alcoholic fatty liver disease (NAFLD), non-alcoholic steatohepatitis (NASH), hypertension, atherosclerosis, peripheral arterial disease, stroke, cardiomyopathy, atrial fibrillation, heart failure, coronary heart disease, and neuropathy, the method includes administering to the subject a therapeutically effective amount of the compound of any one of claims 1 to 18, or a pharmaceutically acceptable salt thereof.
TW112104838A 2022-02-10 2023-02-10 1,3-benzodioxole derivatives TW202342014A (en)

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