JPWO2019212990A5 - - Google Patents

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JPWO2019212990A5
JPWO2019212990A5 JP2020561074A JP2020561074A JPWO2019212990A5 JP WO2019212990 A5 JPWO2019212990 A5 JP WO2019212990A5 JP 2020561074 A JP2020561074 A JP 2020561074A JP 2020561074 A JP2020561074 A JP 2020561074A JP WO2019212990 A5 JPWO2019212990 A5 JP WO2019212990A5
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cancer
tautomer
stereoisomer
pharmaceutically acceptable
acceptable salt
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JP2021523112A (en
JP7358387B2 (en
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Claims (37)

式Icの化合物:
Figure 2019212990000001
(式中:
32は、-H、=O、-OR、-Nまたは-O-C(=Z)-R32aであり;
28は、-H、(C~C)アルキルまたは-C(=Z)-R28aであり;
40は、-Hまたは-C(=Z)-R40aであり;
ここで、R28およびR40がHである場合、R32は、=Oではなく;
ここで、該化合物は、以下の構成:a)R32は、-O-C(=Z1)-R32aであり;b) R28は、-C(=Z1)-R28aであり;c)R40は、-C(=Z1)-R40aである、の1、2または3つを有し:
各Zは、独立して、OまたはSであり;
28a、R32aおよびR40aは、独立して、-A-L-A-B;-A-A- B;-L-A-L-A-L-Bであり;
およびAは、独立して、存在せず、または、独立して、
Figure 2019212990000002
から選択され;
ここで、描かれているAの左側の結合は、-C(=Z)-またはLに結合し;ここで、描かれているA部分の右側の結合は、BまたはLに結合し;
各Qは、独立して、アリーレン、シクロアルキレン、ヘテロアリーレンおよびヘテロシクリレンから選択される1から3個の環であり;
各Xは、独立して、存在せず、またはアリーレン、シクロアルキレン、ヘテロアリーレンおよびヘテロシクリレンから選択される1から2個の環であり;
各Xは、独立して、ヘテロアリーレンまたはヘテロシクリレン環であり;
各Wは、独立して、存在せず、またはアリーレン、シクロアルキレン、ヘテロアリーレンおよびヘテロシクリレンから選択される1から2個の環であり;
各Wは、独立して、ヘテロアリーレンまたはヘテロシクリレン環であり;
各Gは、独立して、存在せず、またはアリーレン、シクロアルキレン、ヘテロアリーレンおよびヘテロシクリレンから選択される環であり;
各GおよびGは、独立して、ヘテロアリーレンまたはヘテロシクリレン環であり;
各Lは、独立して、
Figure 2019212990000003
から選択され;
およびLは、独立して、存在せず、または、独立して、
Figure 2019212990000004
から選択され;
各Bは、独立して、
Figure 2019212990000005
から選択され;
各Bは、独立して、
Figure 2019212990000006
から選択され、ここで、描かれているBの左側の
Figure 2019212990000007
結合は、A、LまたはLに結合し;ここで、該ヘテロアリーレン、ヘテロシクリレンおよびアリーレンは、それぞれ独立して、場合により、アルキル、ヒドロキシアルキル、ハロアルキル、アルコキシ、ハロゲンまたはヒドロキシルで置換されており;
各Rは、独立して、Hまたは(C~C)アルキルであり;
各Rは、独立して、H、(C~C)アルキル、ハロゲン、5~12員ヘテロアリール、5~12員ヘテロシクリル、(C~C10)アリールであり、ここで、該ヘテロアリール、ヘテロシクリルおよびアリールは、場合により、-N(R、-OR、ハロゲン、(C~C)アルキル、-(C~C)アルキレン-ヘテロアリール、-(C~C)アルキレン-CN、-C(O)NR-ヘテロアリールまたは-C(O)NR-ヘテロシクリルで置換されており;
各Rは、独立して、H、(C~C)アルキル、-C(O)ORまたは-N(Rであり、ここで、(C~C)アルキルのアルキルは、場合により、-N(R
または-ORで置換されており;
各Rは、独立して、H、(C~C)アルキル、-C(O)ORまたは-N(Rであり、ここで、(C~C)アルキルのアルキルは、場合により、-N(Rまたは-ORで置換されており;
各Rは、独立して、H、(C~C)アルキル、-C(O)ORまたは-N(Rであり、ここで、(C~C)アルキルのアルキルは、場合により、-N(Rまたは-ORで置換されており;
各Rは、独立して、H、(C~C)アルキル、-C(O)ORまたは-N(Rであり、ここで、(C~C)アルキルのアルキルは、場合により、-N(Rまたは-ORで置換されており;
各Yは、独立して、C(Rまたは結合であり;
各nは、独立して、1から12の整数であり;
各oは、独立して、0から30の整数であり;
各pは、独立して、0から12の整数であり;
各qは、独立して、0から30の整数であり;
各rは、独立して、1から6の整数である)、またはその薬学的に許容される塩、互変異性体、立体異性体、もしくはオキセパン異性体。
Compound of formula Ic:
Figure 2019212990000001
(During the ceremony:
R 32 is -H, = O, -OR 3 , -N 3 or -OC (= Z 1 ) -R 32a ;
R 28 is -H, (C 1 to C 6 ) alkyl or -C (= Z 1 ) -R 28a ;
R 40 is -H or -C (= Z 1 ) -R 40a ;
Here, if R 28 and R 40 are H, then R 32 is not = O;
Here, the compound has the following composition: a) R 32 is -OC (= Z 1 ) -R 32a ; b) R 28 is -C (= Z 1 ) -R 28a . C) R 40 has one, two or three of -C (= Z 1 ) -R 40a :
Each Z 1 is independently O or S;
R 28a , R 32a and R 40a independently have -A 1 -L 1 -A 2 -B; -A 1 -A 2 -B; -L 2 -A 1 -L 1 -A 2 -L 3 -B;
A 1 and A 2 are independent, non-existent, or independent,
Figure 2019212990000002
Selected from;
Here, the bond on the left side of A 1 drawn is bound to -C (= Z 1 )-or L 2 ; where the bond on the right side of the portion A 2 drawn is B or L 3 Combined with;
Each Q is independently one to three rings selected from arylene, cycloalkylene, heteroarylene and heterocyclylene;
Each X is one or two rings independently, non-existent, or selected from arylene, cycloalkylene, heteroarylene and heterocyclylene;
Each X 1 is independently a heteroarylene or heterocyclylene ring;
Each W is one or two rings independently, non-existent, or selected from arylene, cycloalkylene, heteroarylene and heterocyclylene;
Each W1 is independently a heteroarylene or heterocyclylene ring;
Each G is a ring that does not exist independently or is selected from arylene, cycloalkylene, heteroarylene and heterocyclylene;
Each G 1 and G 2 is independently a heteroarylene or heterocyclylene ring;
Each L 1 is independent
Figure 2019212990000003
Selected from;
L 2 and L 3 are independent, non-existent, or independent,
Figure 2019212990000004
Selected from;
Each B is independent,
Figure 2019212990000005
Selected from;
Each B 1 is independent
Figure 2019212990000006
Selected from, here on the left side of B 1 drawn
Figure 2019212990000007
The bond is attached to A 2 , L 3 or L 1 ; where the heteroarylene, heterocyclylene and arylene are independent and optionally alkyl, hydroxyalkyl, haloalkyl, alkoxy, halogen or hydroxyl. Has been replaced;
Each R 3 is independently H or ( C 1-6 ) alkyl;
Each R 4 is independently H, (C 1 to C 6 ) alkyl, halogen, 5 to 12-membered heteroaryl, 5 to 12-membered heterocyclyl, (C 6 to C 10 ) aryl, wherein said. Heteroaryl, heterocyclyl and aryl may optionally be -N (R 3 ) 2 , -OR 3 , halogen, (C 1 to C 6 ) alkyl,-(C 1 to C 6 ) alkylene-heteroaryl,-(C). 1 -C 6 ) Substituted with alkylene-CN, -C (O) NR 3 -heteroaryl or -C (O) NR 3 -heterocyclyl;
Each R 5 is independently H, (C 1 to C 6 ) alkyl, -C (O) OR 3 or -N (R 3 ) 2 , where (C 1 to C 6 ) alkyl. Alkyl may be -N (R 3 ), as the case may be.
) Replaced by 2 or -OR 3 ;
Each R 6 is independently H, (C 1 to C 6 ) alkyl, -C (O) OR 3 or -N (R 3 ) 2 , where (C 1 to C 6 ) alkyl. Alkyl is optionally substituted with -N (R 3 ) 2 or -OR 3 ;
Each R 7 is independently H, (C 1 to C 6 ) alkyl, -C (O) OR 3 or -N (R 3 ) 2 , where (C 1 to C 6 ) alkyl. Alkyl is optionally substituted with -N (R 3 ) 2 or -OR 3 ;
Each R 8 is independently H, (C 1 to C 6 ) alkyl, -C (O) OR 3 or -N (R 3 ) 2 , where (C 1 to C 6 ) alkyl. Alkyl is optionally substituted with -N (R 3 ) 2 or -OR 3 ;
Each Y is independently a C (R 3 ) 2 or bond;
Each n is an independently integer from 1 to 12;
Each o is an independent integer from 0 to 30;
Each p is an independent integer from 0 to 12;
Each q is an independent integer from 0 to 30;
Each r is an independently integer from 1 to 6), or a pharmaceutically acceptable salt thereof, tautomer, stereoisomer, or oxepane isomer.
32は、=Oである、請求項1に記載の化合物、またはその薬学的に許容される塩、互変異性体、立体異性体、もしくはオキセパン異性体。 R 32 is the compound according to claim 1, or a pharmaceutically acceptable salt thereof, a tautomer, a stereoisomer, or an oxepane isomer, wherein = O. 32は、-ORである、請求項1に記載の化合物、またはその薬学的に許容される塩、互変異性体、立体異性体、もしくはオキセパン異性体。 R 32 is —OR 3 , the compound according to claim 1, or a pharmaceutically acceptable salt thereof, a tautomer, a stereoisomer, or an oxepane isomer. 式(I-40b):
Figure 2019212990000008
(式中、R40は、-C(=Z)-R40aである)
の構造により表される、請求項1~3のいずれか1項に記載の化合物、またはその薬学的に許容される塩、互変異性体、立体異性体、もしくはオキセパン異性体。
Equation (I-40b):
Figure 2019212990000008
(In the formula, R 40 is -C (= Z 1 ) -R 40a )
The compound according to any one of claims 1 to 3, or a pharmaceutically acceptable salt, tautomer, stereoisomer, or oxepane isomer thereof, which is represented by the structure of.
は、Oである、請求項4に記載の化合物、またはその薬学的に許容される塩、互変異性体、立体異性体、もしくはオキセパン異性体。 Z 1 is O, the compound according to claim 4, or a pharmaceutically acceptable salt thereof, a tautomer, a stereoisomer, or an oxepane isomer. 式(I-28b):
Figure 2019212990000009
(式中、R28は、-C(=Z)-R28aである)
の構造により表される、請求項1~3のいずれか1項に記載の化合物、またはその薬学的に許容される塩、互変異性体、立体異性体、もしくはオキセパン異性体。
Equation (I-28b):
Figure 2019212990000009
(In the formula, R 28 is -C (= Z 1 ) -R 28a )
The compound according to any one of claims 1 to 3, or a pharmaceutically acceptable salt, tautomer, stereoisomer, or oxepane isomer thereof, which is represented by the structure of.
は、Oである、請求項6に記載の化合物、またはその薬学的に許容される塩、互変異性体、立体異性体、もしくはオキセパン異性体。 Z 1 is O, the compound according to claim 6, or a pharmaceutically acceptable salt thereof, a tautomer, a stereoisomer, or an oxepane isomer. 式(I-32b):
Figure 2019212990000010
(式中、R32は、-O-C(=Z)-R32aである)
の構造により表される、請求項1に記載の化合物、またはその薬学的に許容される塩、互変異性体、立体異性体、もしくはオキセパン異性体。
Equation (I-32b):
Figure 2019212990000010
(In the formula, R 32 is -OC (= Z 1 ) -R 32a )
The compound according to claim 1, or a pharmaceutically acceptable salt, tautomer, stereoisomer, or oxepane isomer thereof, which is represented by the structure of the above.
は、Oである、請求項8に記載の化合物、またはその薬学的に許容される塩、互変異性体、立体異性体、もしくはオキセパン異性体。 Z 1 is O, the compound according to claim 8, or a pharmaceutically acceptable salt thereof, a tautomer, a stereoisomer, or an oxepane isomer. Bは、
Figure 2019212990000011
である、請求項1~9のいずれか1項に記載の化合物、またはその薬学的に許容される塩、互変異性体、立体異性体、もしくはオキセパン異性体。
B is
Figure 2019212990000011
The compound according to any one of claims 1 to 9, or a pharmaceutically acceptable salt thereof, a tautomer, a stereoisomer, or an oxepane isomer.
Bは、
Figure 2019212990000012
である、請求項1~9のいずれか1項に記載の化合物、またはその薬学的に許容される塩、互変異性体、立体異性体、もしくはオキセパン異性体。
B is
Figure 2019212990000012
The compound according to any one of claims 1 to 9, or a pharmaceutically acceptable salt thereof, a tautomer, a stereoisomer, or an oxepane isomer.
は、
Figure 2019212990000013
である、請求項1~9のいずれか1項に記載の化合物、またはその薬学的に許容される塩、互変異性体、立体異性体、もしくはオキセパン異性体。
B 1 is
Figure 2019212990000013
The compound according to any one of claims 1 to 9, or a pharmaceutically acceptable salt thereof, a tautomer, a stereoisomer, or an oxepane isomer.
は、
Figure 2019212990000014
である、請求項1~9のいずれか1項に記載の化合物、またはその薬学的に許容される塩、互変異性体、立体異性体、もしくはオキセパン異性体。
B 1 is
Figure 2019212990000014
The compound according to any one of claims 1 to 9, or a pharmaceutically acceptable salt thereof, a tautomer, a stereoisomer, or an oxepane isomer.
は、場合により-N(R、-OR、ハロゲン、(C~C)アルキル、-(C~C)アルキレン-ヘテロアリール、-(C~C)アルキレン-CNまたはC(O)NR-ヘテロアリールで置換されている5~12員ヘテロアリールである、請求項1~9のいずれか1項に記載の化合物、またはその薬学的に許容される塩、互変異性体、立体異性体、もしくはオキセパン異性体。 R 4 may be -N (R 3 ) 2 , -OR 3 , halogen, (C 1 to C 6 ) alkyl,-(C 1 to C 6 ) alkylene-heteroaryl,-(C 1 to C 6 ). The compound according to any one of claims 1-9, which is a 5- to 12-membered heteroaryl substituted with alkylene-CN or C (O) NR 3 -heteroaryl, or pharmaceutically acceptable thereof. Salt, tautomer, stereoisomer, or oxepane isomer. 以下の式:
Figure 2019212990000015
を有する、請求項1~14のいずれか1項に記載の化合物、またはその薬学的に許容される塩、互変異性体、立体異性体、もしくはオキセパン異性体。
The following formula:
Figure 2019212990000015
The compound according to any one of claims 1 to 14, or a pharmaceutically acceptable salt thereof, a tautomer, a stereoisomer, or an oxepane isomer having the above.
Figure 2019212990000016
Figure 2019212990000017
Figure 2019212990000018
Figure 2019212990000019
Figure 2019212990000020
Figure 2019212990000021
Figure 2019212990000022
Figure 2019212990000023
Figure 2019212990000024
Figure 2019212990000025
Figure 2019212990000026
Figure 2019212990000027
Figure 2019212990000028
Figure 2019212990000029
Figure 2019212990000030
Figure 2019212990000031
からなる群から選択される化合物、またはその薬学的に許容される塩、互変異性体、立体異性体、もしくはオキセパン異性体。
Figure 2019212990000016
Figure 2019212990000017
Figure 2019212990000018
Figure 2019212990000019
Figure 2019212990000020
Figure 2019212990000021
Figure 2019212990000022
Figure 2019212990000023
Figure 2019212990000024
Figure 2019212990000025
Figure 2019212990000026
Figure 2019212990000027
Figure 2019212990000028
Figure 2019212990000029
Figure 2019212990000030
Figure 2019212990000031
A compound selected from the group consisting of, or a pharmaceutically acceptable salt thereof, a tautomer, a stereoisomer, or an oxepane isomer.
以下:
Figure 2019212990000032
Figure 2019212990000033
Figure 2019212990000034
Figure 2019212990000035
Figure 2019212990000036
Figure 2019212990000037
Figure 2019212990000038
Figure 2019212990000039
Figure 2019212990000040
Figure 2019212990000041
Figure 2019212990000042
Figure 2019212990000043
Figure 2019212990000044
Figure 2019212990000045
からなる群から選択される化合物、またはその薬学的に許容される塩、互変異性体、立体異性体、もしくはオキセパン異性体。
Less than:
Figure 2019212990000032
Figure 2019212990000033
Figure 2019212990000034
Figure 2019212990000035
Figure 2019212990000036
Figure 2019212990000037
Figure 2019212990000038
Figure 2019212990000039
Figure 2019212990000040
Figure 2019212990000041
Figure 2019212990000042
Figure 2019212990000043
Figure 2019212990000044
Figure 2019212990000045
A compound selected from the group consisting of, or a pharmaceutically acceptable salt thereof, a tautomer, a stereoisomer, or an oxepane isomer.
Figure 2019212990000046
Figure 2019212990000047
Figure 2019212990000048
Figure 2019212990000049
からなる群から選択される化合物、またはその薬学的に許容される塩、互変異性体、立体異性体、もしくはオキセパン異性体。
Figure 2019212990000046
Figure 2019212990000047
Figure 2019212990000048
Figure 2019212990000049
A compound selected from the group consisting of, or a pharmaceutically acceptable salt thereof, a tautomer, a stereoisomer, or an oxepane isomer.
式:
Figure 2019212990000050
を有する化合物、またはその立体異性体。
formula:
Figure 2019212990000050
A compound having the above, or a stereoisomer thereof.
式:
Figure 2019212990000051
を有する化合物、またはその互変異性体。
formula:
Figure 2019212990000051
A compound having, or a tautomer thereof.
式:
Figure 2019212990000052
を有する化合物、またはそのオキセパン異性体。
formula:
Figure 2019212990000052
A compound having, or an oxepane isomer thereof.
式:
Figure 2019212990000053
を有する化合物、またはその立体異性体。
formula:
Figure 2019212990000053
A compound having the above, or a stereoisomer thereof.
式:
Figure 2019212990000054
を有する化合物、またはその互変異性体。
formula:
Figure 2019212990000054
A compound having, or a tautomer thereof.
式:
Figure 2019212990000055
を有する化合物。
formula:
Figure 2019212990000055
Compounds with.
式:
Figure 2019212990000056
を有する化合物。
formula:
Figure 2019212990000056
Compounds with.
Figure 2019212990000057
またはその立体異性体もしくは互変異性体と
Figure 2019212990000058
またはその立体異性体もしくは互変異性体との
混合物を含む組成物。
Figure 2019212990000057
Or with its stereoisomer or tautomer
Figure 2019212990000058
Or a composition comprising a mixture thereof with its stereoisomer or tautomer.
Figure 2019212990000059
との混合物を含む組成物。
Figure 2019212990000059
A composition comprising a mixture with.
請求項1~27のいずれか1項に記載の化合物、またはその薬学的に許容される塩、互変異性体、立体異性体、もしくはオキセパン異性体、および薬学的に許容される担体、希釈剤または賦形剤のうちの少なくとも1つを含む医薬組成物。 The compound according to any one of claims 1 to 27, or a pharmaceutically acceptable salt, tautomer, stereoisomer, or oxepan isomer thereof, and a pharmaceutically acceptable carrier or diluent. Alternatively, a pharmaceutical composition comprising at least one of the excipients. mTORにより介在される疾患または障害を処置する方法で使用するための、請求項28に記載の医薬組成物であって、該方法は、mTORにより介在される疾患または障害に罹患している、またはそれを発症しやすい対象に、治療有効量の該医薬組成物を投与する工程を含む、上記医薬組成物。 28. The pharmaceutical composition of claim 28 for use in a method of treating a disease or disorder mediated by mTOR, wherein the method is suffering from or suffering from a disease or disorder mediated by mTOR. The pharmaceutical composition comprising a step of administering a therapeutically effective amount of the pharmaceutical composition to a subject who is prone to develop it. mTORにより介在される疾患または障害を防止する方法で使用するための、請求項28に記載の医薬組成物であって、該方法は、mTORにより介在される疾患または障害に罹患している、またはそれを発症しやすい対象に、治療有効量の該医薬組成物を投与する工程を含む、上記医薬組成物。 28. The pharmaceutical composition of claim 28 for use in a method of preventing a disease or disorder mediated by mTOR, wherein the method is suffering from or suffering from a disease or disorder mediated by mTOR. The pharmaceutical composition comprising a step of administering a therapeutically effective amount of the pharmaceutical composition to a subject who is prone to develop it. 疾患は癌であり、該癌は、脳および神経血管腫瘍、頭頸部癌、乳癌、肺癌、中皮腫、リンパ系癌、胃癌、腎臓癌、腎臓癌、肝臓癌、卵巣癌、卵巣子宮内膜症、精巣癌、消化管癌、前立腺癌、膠芽腫、皮膚癌、黒色腫、神経癌、脾臓癌、膵臓癌、血液増殖障害、リンパ腫、白血病、子宮内膜癌、子宮頸癌、外陰癌、前立腺癌、陰茎癌、骨癌、筋肉癌、軟部組織癌、腸または直腸癌、肛門癌、膀胱癌、胆管癌、眼癌、消化管間質腫瘍および神経内分泌腫瘍から選択される、請求項29または30に記載の医薬組成物。 The disease is cancer, which is brain and neurovascular tumor, head and neck cancer, breast cancer, lung cancer, mesopharyngeal tumor, lymphoid cancer, gastric cancer, kidney cancer, kidney cancer, liver cancer, ovarian cancer, ovarian endometrial. Disease, testicular cancer, gastrointestinal cancer, prostate cancer, glioblastoma, skin cancer, melanoma, nerve cancer, spleen cancer, pancreatic cancer, blood growth disorder, lymphoma, leukemia, endometrial cancer, cervical cancer, genital cancer , Prostate cancer, penis cancer, bone cancer, muscle cancer, soft tissue cancer, intestinal or rectal cancer, anal cancer, bladder cancer, bile duct cancer, eye cancer, gastrointestinal stromal tumor and neuroendocrine tumor, claim. 29 or 30. The pharmaceutical composition. 癌を処置する方法で使用するための、請求項28に記載の医薬組成物であって、該方法は、対象に、治療有効量の該医薬組成物を投与する工程を含む、上記医薬組成物。 28. The pharmaceutical composition for use in a method of treating cancer, wherein the method comprises the step of administering to the subject a therapeutically effective amount of the pharmaceutical composition. .. 癌は、脳および神経血管腫瘍、頭頸部癌、乳癌、肺癌、中皮腫、リンパ系癌、胃癌、腎臓癌、腎臓癌、肝臓癌、卵巣癌、卵巣子宮内膜症、精巣癌、消化管癌、前立腺癌、膠芽腫、皮膚癌、黒色腫、神経癌、脾臓癌、膵臓癌、血液増殖障害、リンパ腫、白血病、子宮内膜癌、子宮頸癌、外陰癌、前立腺癌、陰茎癌、骨癌、筋肉癌、軟部組織癌、腸または直腸癌、肛門癌、膀胱癌、胆管癌、眼癌、消化管間質腫瘍および神経内分泌腫瘍から選択される、請求項32に記載の医薬組成物。 Cancers include brain and neurovascular tumors, head and neck cancers, breast cancers, lung cancers, mesothelomas, lymphoid cancers, gastric cancers, kidney cancers, kidney cancers, liver cancers, ovarian cancers, ovarian endometriosis, testicular cancers, gastrointestinal tract. Cancer, prostate cancer, glioblastoma, skin cancer, melanoma, nerve cancer, spleen cancer, pancreatic cancer, blood growth disorder, lymphoma, leukemia, endometrial cancer, cervical cancer, genital cancer, prostate cancer, penis cancer, 32. The pharmaceutical composition according to claim 32, which is selected from bone cancer, muscle cancer, soft tissue cancer, intestinal or rectal cancer, anal cancer, bladder cancer, bile duct cancer, eye cancer, gastrointestinal stromal tumor and neuroendocrine tumor. .. mTORにより介在される疾患または状態の危険性を処置する、防止する、または低下させるのに使用するための、請求項1~27のいずれか1項に記載の化合物、またはその薬学的に許容される塩、互変異性体、立体異性体、もしくはオキセパン異性体。 The compound according to any one of claims 1-27, or pharmaceutically acceptable thereof, for use in treating, preventing, or reducing the risk of a disease or condition mediated by mTOR. Salt, tautomer, stereoisomer, or oxepane isomer. mTORにより介在される疾患または障害の危険性を処置する、防止する、または低下させるための医薬の生産における、請求項1~27のいずれか1項に記載の化合物、またはその薬学的に許容される塩、互変異性体、立体異性体、もしくはオキセパン異性体の使用。 The compound according to any one of claims 1-27, or pharmaceutically acceptable thereof, in the production of a pharmaceutical agent for treating, preventing or reducing the risk of a disease or disorder mediated by mTOR. Use of salt, tautomer, steric isomer, or oxepane isomer. 癌を処置するのに使用するための、請求項1~27のいずれか1項に記載の化合物、またはその薬学的に許容される塩、互変異性体、立体異性体、もしくはオキセパン異性体。 The compound according to any one of claims 1 to 27, or a pharmaceutically acceptable salt thereof, a tautomer, a stereoisomer, or an oxepane isomer for use in treating cancer. 癌を処置するための医薬の生産における、請求項1~27のいずれか1項に記載の化合物、またはその薬学的に許容される塩、互変異性体、立体異性体、もしくはオキセパン異性体の使用。 The compound according to any one of claims 1 to 27, or a pharmaceutically acceptable salt, tautomer, stereoisomer, or oxepane isomer thereof in the production of a pharmaceutical agent for treating cancer. use.
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