RU2794327C2 - PRODRUGS OF CONJUGATED BICYCLIC C5aR ANTAGONISTS - Google Patents

Abstract

FIELD: pharmaceutical chemistry.

SUBSTANCE: group of inventions includes compounds of formulas (IB), (IC), (IIA) or (IIB) or their pharmaceutically acceptable salts, a pharmaceutical composition and a treatment method based on them. In formulas (IB), (IC), (IIA) or (IIB), cycle term a is C(R^2c), cycle term b is C(R^2d) and cycle term e is C(R^2e); X¹ is selected from the group consisting of bond and C_1-8 alkylene; R¹ is selected from the following: a) a 6-membered heteroaryl containing as ring(s) vertices 1-4 heteroatoms selected from N, O and S; b) C_6-10 aryl; the -X¹-R¹ group is unsubstituted or substituted with 1-5 R^x substituents; R^2a and R^2e are each independent C_1-6 alkyl; R^2b, R^2c and R^2d each independently represents a hydrogen atom; each R³ is C_1-4 alkyl; R⁴ is -NHC(O)NHP¹; each R⁵ is halogen; R^5' is a hydrogen atom; R⁶ is selected from the group consisting of C_1-6 alkoxy and halo; R⁷ is P¹ ; and R⁸ is -CH₂OP¹; each P¹ is a prodrug component; each R^x is independently selected from the group consisting of halo, CN, C_1-4 alkyl, C_1-4 alkoxy, C_1-4 haloalkyl, C_1-4 haloalkoxy, C_1-4 hydroxyalkyl, C_2-4 alkenyl, C_3-6 cycloalkyl, CO₂-C_1-4 alkyl and CONH₂; subscript m is 0, 1, 2, 3, or 4; and subscript n is 0, 1, 2, or 3; where P¹ is selected from the groups indicated in the claims.

EFFECT: technical result: compounds of formulas (IB), (IC), (IIA) or (IIB) with inhibitory activity against C5aR.

14 cl, 2 dwg, 1 tbl, 65 ex

Description

Cross-references to related applications

The present invention claims priority under 35 U.S.C. § 119(e) U.S. Provisional Application No. 62/651,512, filed April 2, 2018, the contents of which are hereby incorporated by reference in their entirety.

Statement of rights for inventions made in the course of government-sponsored research and development

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Link to a “sequence listing”, table or computer program listing the applications filed on the CD

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Prerequisites for the creation of the invention

The complement system plays a central role in the clearance of immune complexes and immune responses to infectious agents, foreign antigens, virus-infected cells, and tumor cells. Inappropriate or excessive activation of the complement system can lead to harmful and even potentially life-threatening consequences due to severe inflammation and resulting tissue destruction. These consequences are clinically manifested in the form of various disorders, including septic shock; myocardial ischemia as well as bowel/reperfusion injury; transplant rejection; organ failure; nephritis; pathological inflammation and autoimmune diseases.

The complement system consists of a group of proteins that are normally present in the blood plasma in an inactive state. Activation of the complement system mainly covers three different pathways, namely the classical, alternative and lectin pathways (V. M. Holers, In Clinical Immunology: Principles and Practice, ed. R. R. Rich, Mosby Press; 1996, 363-391): 1) The classical pathway represents is a calcium/magnesium dependent cascade that is typically activated by the formation of antigen-antibody complexes. It can also be activated in an antibody-independent manner by binding to a C-reactive protein complexed with a ligand, as well as by many pathogens, including gram-negative bacteria. 2) The alternative pathway is a magnesium-dependent cascade that is activated by the deposition and activation of C3 on certain receptive surfaces (eg, yeast and bacterial cell wall polysaccharides, and some biopolymer materials). 3) The lectin pathway includes initial binding of a mannose-dependent lectin and subsequent activation of C2 and C4, which are shared with the classical pathway (Matsushita, M. et al., J. Exp. Med. 176: 1497-1502 (1992); Suankratay, C. et al., J. Immunol 160: 3006-3013 (1998)).

Activation of the complement system generates biologically active fragments of complement proteins, eg C3a, C4a and C5a anaphylotoxins and C5b-9 membrane attack complexes (MACs), all of which induce an inflammatory response by affecting leukocyte chemotaxis; activation of macrophages, neutrophils, platelets, mast cells and endothelial cells; and enhancing vascular permeability, cytolysis and tissue damage.

Complement C5a is one of the most potent pro-inflammatory mediators in the complement system. (The anaphylactic C5a peptide is 100 times more active, on a mole basis, in generating an inflammatory response than C3a.) C5a is the activated form of C5 (molecular weight 190 kDa). C5a is present in human plasma at about 80 μg/ml (Kohler, P. F. et al., J. Immunol. 99: 1211-1216 (1967)). It consists of two polypeptide chains, α and β, with approximate molecular weights of 115 kDa and 75 kDa, respectively (Tack, B. F. et al., Biochemistry 18: 1490-1497 (1979)). Biosynthesized as a single-stranded promolecule, C5 is enzymatically cleaved into a double-stranded structure during processing and secretion. After cleavage, the two resulting chains are held together by at least one disulfide bond as well as non-covalent interactions (Ooi, Y. M. et al., J. Immunol. 124: 2494-2498 (1980)).

C5 is cleaved into C5a and C5b fragments during complementary pathway activation. The convertase enzymes responsible for C5 activation are multi-subunit complexes from C4b, C2a and C3b for the classical pathway, and from (C3b) ₂ , Bb and P for the alternative pathway (Goldlust, MB et al., J. Immunol. 113 : 998-1007 (1974); Schreiber, R. D. et al, Proc. Natl. Acad. Sci. 75: 3948-3952 (1978)). C5 is activated by cleavage at position 74-75 (Arg-Leu) in the α chain. Upon activation, the 11.2 kDa 74-amino acid peptide C5a is released from the amino-terminal portion of the α-chain. C5a and C3a are both potent neutrophil and monocyte stimulators (Schindler, R. et al., Blood 76: 1631-1638 (1990); Haeffner-Cavaillon, N. et al., J. Immunol. 138: 794-700 (1987 ); Cavaillon, JM et al., Eur. J. Immunol. 20: 253-257 (1990)).

In addition to its anaphylotoxic properties, C5a induces chemotactic migration of neutrophils (Ward, P. A. et al., J. Immunol. 102: 93-99 (1969)), eosinophils (Kay, A. B. et al., Immunol. 24: 969-976 (1973)), basophils (Lett-Brown, M. A. et al., J. Immunol. 117: 246-252 1976)) and monocytes (Snyderman, R. et al., Proc. Soc. Exp. Biol. Med. 138 : 387-390 1971)). C5a and C5b-9 both activate endothelial cells to produce adhesive molecules necessary for the sequestration of activated leukocytes, which are involved in the mechanisms of inflammation and tissue damage (Foreman, K. E. et al., J. Clin. Invest. 94: 1147-1155 (1994) ; Foreman, K. E. et al., Inflammation 20: 1-9 (1996); Rollins, S. A. et al., Transplantation 69: 1959-1967 (2000)). C5a also mediates inflammatory responses by inducing smooth muscle contraction, increasing vascular permeability, initiating degranulation of basophils and mast cells, and inducing the release of lysosomal proteases and oxidative free radicals (Gerard, C. et al., Ann. Rev. Immunol. 12:775- 808 (1994)). In addition, C5a modulates liver gene expression in the acute phase and enhances the overall immune response by increasing the production of TNF-α, IL-1-β, IL-6, IL-8, prostaglandins, and leukotrienes (Lambris, J. D. et al., In: The Human Complement System in Health and Disease, Volanakis, J. E. ed., Marcel Dekker, New York, pp. 83-118).

The anaphylactic and chemotactic effects of C5a are thought to work through its interaction with the C5a receptor. The human C5a receptor (C5aR) is a 52 kDa membrane-bound G protein-coupled receptor that is expressed on neutrophils, monocytes, basophils, eosinophils, hepatocytes, lung smooth muscle, and endothelial cells, as well as in tissues of the renal glomeruli (Van-Epps, D. E. et al., J. Immunol. 132: 2862-2867 (1984); Haviland, D. L. et al., J. Immunol. 154:1861-1869 (1995); Wetsel, R. A., Immunol. Leff. 44: 183- 187 (1995); Buchner, R. R. et al., J. Immunol. 155: 308-315 (1995); Chenoweth, D. E. et al., Proc. Natl. Acad. Sci. 75: 3943-3947 (1978); Zwirner , J. et al., Mol Immunol 36:877-884 (1999)). The C5aR ligand-binding site is complex and consists of at least two physically separable binding domains. One binds to the amino terminus of C5a (amino acids 1-20) and the disulfide-linked core (amino acids 21-61) and the other binds to the carboxyl terminus of C5a (amino acids 62-74) (Wetsel, R. A., Curr. Opin. Immunol. 7 : 48-53 (1995)).

C5a plays an important role in inflammation and tissue damage. In cardiopulmonary bypass and hemodialysis, C5a is generated as a result of activation of the alternative pathway of the complement system when human blood comes into contact with the artificial surface of a heart-lung machine or kidney dialysis machine (Howard, R. J. et al., Arch. Surg. 123: 1496-1501 ( 1988); Kirklin, J. K. et al., J. Cardiovasc. Surg. 86: 845-857 (1983); Craddock, P. R. et al., N. Engl. J. Med. 296: 769-774 (1977)). C5a increases capillary permeability and causes edema, bronchial constriction, pulmonary vasoconstriction, activation of leukocytes and platelets and their infiltration into tissues, in particular in the lungs (Czermak, B. J. et al., J. Leukoc. Biol. 64: 40-48 (1998) ). Administration of C5a monoclonal antibodies has been shown to reduce coronary endothelial dysfunction caused by extracorporeal circulation and cardiac arrest (Tofukuji, M. et al., J. Thorac. Cardiovasc. Surg. 116: 1060-1068 (1998)).

C5a is also implicated in acute respiratory distress syndrome (ARDS), chronic obstructive pulmonary disease (COPD) and multiple organ failure (MOF) (Hack, C. E. et al., Am. J. Med. 1989: 86: 20-26; Hammerschmidt DE et al Lancet 1980 1:947-949 Heideman M. et al J Trauma 1984 4:1038-1043 Marc, MM, et al., Am. J. Respir. Cell and Mol. Biol., 2004 :31:216-219). C5a enhances monocyte production of two important pro-inflammatory cytokines, TNF-α and IL-1. C5a has also been shown to play an important role in the development of tissue damage, and in particular lung tissue, in animal models of septic shock (Smedegard G et al. Am. J. Pathol. 1989; 135: 489-497; Markus, S., et al., FASEB Journal (2001), 15: 568-570). In rat, pig, and non-human primate models of sepsis, C5a antibodies administered to animals prior to endotoxin or E. coli treatment resulted in a reduction in tissue damage as well as a decrease in IL-6 production (Smedegard, G. et al., Am. J. Pathol 135: 489-497 (1989), Hopken, U. et al., Eur. J. Immunol. 26: 1103-1109 (1996), Stevens, J. H. et al., J. Clin. Invest. 77 : 1812-1816 (1986)). More importantly, blockade of C5a by C5a polyclonal antibodies significantly improves survival in caecal ligation/puncture sepsis models in rats (Czermak, B.J. et al., Nat. Med. 5: 788-792 (1999)). This model shares many aspects with the clinical manifestations of sepsis in humans. (Parker, S. J. et al., Br. J. Surg. 88: 22-30 (2001)). In the same model of sepsis, C5a antibodies have been shown to inhibit thymocyte apoptosis (Guo, R.F. et al., J. Clin. Invest. 106: 1271-1280 (2000)) and prevent MOF (Huber-Lang, M. et al. ., J Immunol 166: 1193-1199 (2001)). C5a antibodies were also protective in the cobra venom factor rat lung injury model and in immune complex-induced lung injury (Mulligan, M. S. et al. J. Clin. Invest. 98: 503-512 (1996)). The importance of C5a in immune complex-induced lung injury was later confirmed in mice (Bozic, C. R. et al., Science 26: 1103-1109 (1996)).

C5a is an active mediator in myocardial ischemia and reperfusion. Inactivation of complement components reduced the incidence of myocardial infarction in mice (Weisman, H. F. et al., Science 249: 146-151 (1990)), and administration of C5a antibodies reduced damage in a rat model of ischemia-reperfusion in the hind legs (Bless, N. M. et al. ., Am J Physiol 276: L57-L63 (1999)). Reperfusion injury from myocardial infarction was also significantly reduced in pigs treated with monoclonal anti-C5a immunoglobulin G (Amsterdam, E. A. et al., Am. J. Physiol. 268:H448-H457 (1995)). A recombinant human C5aR antagonist reduced infarct size in a porcine model of surgical revascularization (Riley, R. D. et al., J. Thorac. Cardiovasc. Surg. 120: 350-358 (2000)).

C5a-activated neutrophils are also involved in many bullous diseases (eg, bullous pemphigoid, pemphigus vulgaris, and exfoliative pemphigus). These are chronic and recurrent inflammatory disorders clinically characterized by sterile vesicles that occur in the subepidermal space of the skin and mucosa. It is believed that antibodies to keratinocytes localized in the dermal basement membranes provide detachment of the basal keratinocytes of the epidermis from the underlying basement membrane; in this case, the bubbles are also characterized by the accumulation of neutrophils both in the higher layers of the skin and inside the cavity of the bubbles. In experimental models, a decrease in the number of neutrophils or the absence of complement components (total or C5-selective) can suppress the formation of subepidermal vesicles, even in the presence of high antibody titers.

Complement levels are elevated in patients with rheumatoid arthritis (Jose, P. J. et al., Ann. Rheum. Dis. 49: 747-752 (1990); Grant, E. P., et al., J. of Exp. Med., 196(11 ): 1461-1471, (2002)), lupus nephritis (Bao, L., et al., Eur. J. of Immunol., 35(8), 2496-2506, (2005)) and systemic lupus erythematosus (SLE ) (Porcel, J. M. et al., Clin. Immunol. Immunopathol. 74: 283-288 (1995)). The concentration of C5a correlates with the severity of the disease state. Collagen-induced arthritis in mice and rats is similar to rheumatoid arthritis in humans. Mice deficient in C5a receptors show complete protection against arthritis induced by injection of anti-collagen monoclonal antibodies (Banda, N.K., et al., J. of Immunol., 2003, 171: 2109-2115). Therefore, suppression of C5a and/or C5a receptor (C5aR) can be used to treat these chronic diseases.

The complement system is believed to be activated in patients with inflammatory bowel disease (IBD) and is involved in the pathogenesis of this disease. Activated complement components have been found on the surface of epithelial cells as well as in the muscle layer of the mucosa and submucosal blood vessels in patients suffering from inflammatory bowel disease (IBD) (Woodruff, T.M., et al., J of Immunol., 2003, 171: 5514 -5520).

C5aR expression is upregulated in responsive astrocytes, microglia and endothelial cells in the inflamed human central nervous system (Gasque, P. et al., Am. J. Pathol. 150: 31-41 (1997)). It is possible that C5a is involved in the development of neurodegenerative diseases such as Alzheimer's disease (Mukherjee, P. et al., J. Neuroimmunol. 105: 124-130 (2000); O'Barr, S. et al., J. Neuroimmunol. ( 2000) 105: 87-94; Farkas, I., et al J. Immunol. (2003) 170:5764-5771), Parkinson's disease, Pick's disease and transmissible spongiform encephalopathy. Activation of neuronal C5aRs can induce apoptosis (Farkas I et al. J. Physiol. 1998; 507: 679-687). Therefore, suppression of the C5a and/or C5a receptor (C5aR) can be used to treat neurodegenerative diseases.

There is some evidence that C5a production worsens the inflammation associated with atopic dermatitis (Neuber, K., et al., Immunology 73:83-87, (1991)) and chronic allergic rash (Kaplan, A.P., J. Allergy Clin. Immunol 114, 465-474 (2004).

Psoriasis is now known to be a disease in which T cells are involved (Gottlieb, E. L. et al., Nat. Med. 1: 442-447 (1995)). However, neutrophils and mast cells may also be involved in the pathogenesis of this disease (Terui, T. et al., Exp. Dermatol. 9: 1-10; 2000); Werfel, T. et al., Arch. Dermatol. Res. 289: 83-86 (1997)). The accumulation of neutrophils under the stratum corneum of the epidermis is observed in highly inflamed areas of psoriatic plaques, and extracts from psoriatic sores contain very high concentrations of C5a and show potential chemotactic activity against neutrophils, and this effect can be suppressed by the addition of antibodies to C5a. C5a are chemoattractants for T cells and neutrophils (Nataf, S. et al., J. Immunol. 162: 4018-4023 (1999); Tsuji, R. F. et al., J. Immunol. 165: 1588-1598 (2000) ; Cavaillon, J. M. et al., Eur. J. Immunol. 20: 253-257 (1990)). In addition, C5aR expression in plasmacytoid dendritic cells (pDCs) isolated from cutaneous lupus erythematosus sores has been shown, and these cells have shown chemotactic behavior towards C5a, suggesting that blockade of C5aR on pDCs may be an effective means to reduce pDC infiltration. in inflamed skin in lupus erythematosus and psoriasis. Thus, C5a may serve as an important therapeutic target in the treatment of psoriasis.

Immunoglobulin G-containing immune complexes are implicated in the pathophysiology of a number of autoimmune diseases such as systemic lupus erythematosus, rheumatoid arthritis, Sjögren's syndrome, Goodpasture's syndrome, and hypersensitivity pneumonitis (Madaio, M. P., Semin. Nephrol. 19: 48-56 (1999); Korganow , A. S. et al., Immunity 10: 451-459 (1999); Bolten, W. K., Kidney Int. 50: 1754-1760 (1996); Ando, M. et al., Curr. Opin. Pulm. Med. 3: 391-399 (1997)). These diseases are very heterogeneous and usually affect one or more of the following organs: skin, blood vessels, joints, kidneys, heart, lungs, nervous system, and liver (including liver cirrhosis and fibrosis). The classic animal model of the inflammatory response in these immune complex diseases is the Arthus phenomenon, with polymorphonuclear cell infiltration, hemorrhage, and plasma exudation (Arthus, M., C.R. Soc. Biol. 55: 817-824 (1903)). Recent studies have shown that C5aR-deficient mice are protected from tissue damage caused by the immune complex (Kohl, J. et al., Mol. Immunol. 36: 893-903 (1999); Baumann, U. et al., J. Immunol 164: 1065-1070 (2000)). These results are in agreement with the observation that a small peptide anti-C5aR antagonist suppresses the inflammatory response caused by immune complex deposition (Strachan, A. J. et al., J. Immunol. 164: 6560-6565 (2000)). Together with its receptor, C5a plays an important role in the pathogenesis of diseases in which the immune complex is involved. C5a and C5aR inhibitors may be useful in the treatment of these diseases.

Description of the prior art

Non-peptidic C5a receptor antagonists have been described in the literature as effective for the treatment of endotoxic shock in rats (Stracham, A. J., et al., J. of Immunol. (2000), 164(12): 6560-6565); and for the treatment of IBD (inflammatory bowel disease) in a rat model (Woodruff, T.M., et al., J of Immunol., 2003, 171: 5514-5520). Non-peptide C5a receptor modulators have also been described in the patent literature by Neurogen Corporation, (e.g. WO 2004/043925, WO 2004/018460, WO 2005/007087, WO 03/082826, WO 03/08828, WO 02/49993, WO 03/ 084524); Dompe S.P.A. (WO 02/029187); The University of Queenland (WO 2004/100975); and ChemoCentryx (WO 2010/075257).

There is strong experimental evidence in the literature that elevated C5a levels are associated with a number of diseases and disorders, in particular autoimmune and inflammatory diseases and disorders. Thus, there is a need in the art for new small molecular weight organic modulators, e.g., agonists, partial agonists, and preferably C5a receptor (C5aR) antagonists, that are useful in suppressing pathogenic events, e.g., chemotaxis associated with increased levels of anaphylatoxin activity. The present invention satisfies this and other needs.

Brief description of the invention

In one aspect, the present invention describes compounds having formulas (IA), (IB), (IC), (IIA), (IIB) and (IIC):

or their pharmaceutically acceptable salt, where symbols, letters and subscripts n, m, a, b, e, X ¹ , R ¹ , R ^2a , R ^2b , R ³ , R ⁴ , R ⁵ , R ⁵ ', R ⁶ , R ⁷ and R ⁸ have the meanings given below in the description.

In addition to the compounds described herein, the present invention also describes pharmaceutical compositions containing one or more of these compounds, as well as methods for using these compounds in therapeutic methods, primarily for the treatment of diseases associated with C5a signaling activity.

In another aspect, the present invention describes methods for diagnosing a disease in a patient. In these methods, the compounds described herein are administered to a subject in labeled form, followed by diagnostic imaging to determine the presence or absence of C5aR and/or localization of cells expressing the C5aR receptor. In a related aspect, a method for diagnosing a disease is carried out by contacting a tissue or blood sample with a labeled compound as described herein and determining the presence, absence, amount, or location of C5aR in the sample.

Brief description of the drawings

In FIG. 1 shows the release of the active substance of intermediate 4 from the compound of Example 1 (0.5 mg/kg mol-eq., AUC = 4.160 ng.h/ml).

In FIG. 2 shows the release of the active substance of intermediate 1 from the compound of Example 4 (0.5 mg/kg mol-eq., AUC=753 ng.h/ml).

Detailed description of the invention

Abbreviations and definitions

The term "alkyl", by itself and as part of another substituent, means, unless otherwise indicated, a linear or branched hydrocarbon radical having the designated number of carbon atoms (for example, C ₁ - ₈ means 1-8 carbon atoms). Examples of alkyl groups include methyl, ethyl, n-propyl, isopropyl, n-butyl, t-butyl, isobutyl, sec-butyl, n-pentyl, n-hexyl, n-heptyl, n-octyl, and the like. The term "alkenyl" means an unsaturated alkyl group containing one or more double bonds. Similarly, the term "alkynyl" means an unsaturated alkyl group containing one or more triple bonds. Examples of such unsaturated alkyl groups include vinyl, 2-propenyl, crotyl, 2-isopentenyl, 2-(butadienyl), isobutenyl, 2,4-pentadienyl, 3-(1,4-pentadienyl), ethynyl, 1- and 3-propynyl. , 3-butynyl and their higher homologues and isomers. The term "cycloalkyl" also refers to bicyclic and polycyclic hydrocarbon rings such as, for example, bicyclo[2.2.1]heptane, bicyclo[2.2.2]octane, etc. The term "heterocycloalkyl" refers to a cycloalkyl group containing 1-5 heteroatoms selected from N, O, and S, where the nitrogen and sulfur atoms are optionally oxidized and the nitrogen atom(s) are optionally quaternized(s). Heterocycloalkyl may be a monocyclic, bicyclic or polycyclic ring system. Non-limiting examples of heterocycloalkyl groups include pyrrolidine, imidazolidine, pyrazolidine, butyrolactam, valerolactam, imidazolidinone, hydantoin, dioxolane, phthalimide, piperidine, 1,4-dioxane, morpholine, thiomorpholine, thiomorpholine-S-oxide, thiomorpholine-S,S-oxide, piperazine , pyran, pyridone, 3-pyrroline, thiopyran, pyrone, tetrahydrofuran, tetrahydrothiophene, quinuclidine, and the like. The heterocycloalkyl group may be attached to the rest of the molecule via a ring carbon atom or a ring heteroatom.

The term "alkylene", by itself or as part of another substituent, means a divalent radical derived from an alkane, exemplified by -CH ₂ CH ₂ CH ₂ CH ₂ -. Typically, an alkyl (or alkylene) group contains from 1 to 24 carbon atoms, groups having 10 or fewer carbon atoms are preferred in the present invention. "Lower alkyl" or "lower alkylene" is a short chain alkyl or alkylene group typically containing four or fewer carbon atoms. Similarly, "alkenylene" or "alkynylene" means unsaturated forms of "alkylene" containing double or triple bonds, respectively.

The term "heteroalkyl", by itself or in combination with another term, means, unless otherwise indicated, a stable linear or branched chain or cyclic hydrocarbon radical, or a combination thereof, consisting of the indicated number of carbon atoms and 1-3 heteroatoms selected from a group consisting of O, N, Si and S, where the nitrogen and sulfur atoms may optionally be oxidized and the nitrogen heteroatom may optionally be quaternized. The heteroatom(s) O, N and S may be located at any internal position of the heteroalkyl group. The heteroatom Si may be located at any position of the heteroalkyl group, including the position at which the alkyl group is attached to the rest of the molecule. Examples include -CH ₂ -CH ₂ -O-CH ₃ , -CH ₂ -CH ₂ -NH-CH ₃ , -CH ₂ -CH ₂ -N(CH ₃ )-CH ₃ , -CH ₂ -S-CH ₂ -CH ₃ , -CH ₂ -CH ₂ , -S(O)-CH ₃ , -CH ₂ -CH ₂ -S(O) ₂ -CH ₃ , -CH=CH-O-CH ₃ , -Si(CH ₃ ) ₃ , -CH ₂ -CH=N-OCH ₃ and -CH=CH-N(CH ₃ )-CH ₃ . Up to two heteroatoms can be arranged in series, as, for example, in -CH ₂ -NH-OCH ₃ and -CH ₂ -O-Si(CH ₃ ) ₃ . Similarly, the terms "heteroalkenyl" and "heteroalkynyl", by themselves or in combination with another term, mean, unless otherwise indicated, an alkenyl group or an alkynyl group, respectively, which contains the number of carbon atoms indicated and 1-3 heteroatoms selected from from the group consisting of O, N, Si and S, where the nitrogen and sulfur atoms may optionally be oxidized and the nitrogen heteroatom may optionally be quaternized. The heteroatom(s) O, N and S can be located in the internal position of the heteroalkyl group.

The term "heteroalkylene", by itself or as part of another substituent, means a divalent radical, saturated or unsaturated or polyunsaturated, derived from heteroalkyl, for example -CH ₂ -CH ₂ -S-CH ₂ CH ₂ - and -CH ₂ -S- CH ₂ -CH ₂ -NH-CH ₂ -, -O-CH ₂ -CH=CH-, -CH ₂ -CH=C(H)CH ₂ -O-CH ₂ - and -S-CH ₂ -C≡ C-. In the case of heteroalkylene groups, heteroatoms may also occupy one or both of the terminal positions (eg, alkyleneoxy, alkylenedioxy, alkyleneamino, alkylenediamino, etc.).

The terms "alkoxy,""alkylamino" and "alkylthio" (or thioalkoxy) are used in their usual sense and refer to alkyl groups attached to the rest of the molecule via an oxygen atom, an amino group, or a sulfur atom, respectively. In addition, for dialkylamino groups, the alkyl moieties may be the same or different, and may also combine to form a 3-7 membered ring with the nitrogen atom to which they are attached. Accordingly, the group represented as -NR ^a R ^b includes piperidinyl, pyrrolidinyl, morpholinyl, azetidinyl, and the like.

The term "hydroxyalkyl" is used in its usual sense and refers to a branched or straight chain alkyl group substituted with at least one hydroxyl group. The hydroxyl group may be at any position on the alkyl group. For example, the term "C _1-4 hydroxylalkyl" includes hydroxymethyl, hydroxyethyl , hydroxypropyl, hydroxyisopropyl, and the like.

The term "halogen" by itself or as part of another substituent means, unless otherwise indicated, a fluorine, chlorine, bromine or iodine atom. In addition, terms such as "haloalkyl" include monohaloalkyl and polyhaloalkyl. For example, the term "C _1-4 haloalkyl" includes trifluoromethyl, 2,2,2-trifluoroethyl, 4-chlorobutyl, 3-bromopropyl, and the like.

The term "aryl" means, unless otherwise indicated, a polyunsaturated, typically aromatic, hydrocarbon group, which may be single or multi-cycle (up to three cycles), conjugated or covalently linked. The term "heteroaryl" means aryl groups (or cycles) containing from one to five heteroatoms selected from N, O and S, where the nitrogen and sulfur atoms are optionally oxidized and the nitrogen atom(s) are optionally quaternized(s). The heteroaryl group may be attached to the rest of the molecule via a heteroatom. Non-limiting examples of aryl groups include phenyl, naphthyl, and biphenyl, and non-limiting examples of heteroaryl groups include pyridyl, pyridazinyl, pyrazinyl, pyrimidinyl, triazinyl, quinolinyl, quinoxalinyl, quinazolinyl, cinnolyl, phthalazinyl, benzotriazinyl, purinyl, benzimidazolyl, benzopyrazolyl, benzeneisoxazolyl, , isobenzofuryl, isoindolyl, indolizinyl, benzotriazinyl, thienopyridinyl, thienopyrimidinyl, pyrazolopyrimidinyl, pyrrolopyridyl, imidazopyridinyl, benzothiaxolyl, benzofuranyl, benzothienyl, indolyl, quinolyl, isoquinolyl, isothiazolyl, pyrazolyl, indazolyl, pteridinyl, imidazolyl, tetrazolyl, triazolyl , thiadiazolyl , pyrrolyl, thiazolyl, furyl, thienyl, and the like. The substituents in each of the above aryl or heteroaryl ring systems are selected from the group of acceptable substituents described below.

The term "pharmaceutically acceptable salts" includes salts of substances prepared with relatively non-toxic acids or bases, depending on the particular substituents in the compounds described herein. When the compounds of the present invention contain relatively acidic functionalities, base addition salts can be prepared by reacting the neutral form of such compounds with a sufficient amount of the desired base, even without a solvent or in a suitable inert solvent. Examples of salts derived from pharmaceutically acceptable inorganic bases include aluminum, ammonium, calcium, copper, iron(II), iron(III), lithium, magnesium, manganese, potassium, sodium, zinc, and the like. Salts derived from pharmaceutically acceptable organic bases include salts of primary, secondary and tertiary amines, including substituted amines, cyclic amines, natural amines, etc. such as arginine, betaine, caffeine, choline, N,N'-dibenzylethylenediamine, diethylamine, 2-diethylaminoethanol, 2-dimethylaminoethanol, ethanolamine, ethylenediamine, N-ethylmorpholine, N-ethylpiperidine, glucamine, glucosamine, histidine, hydrabamine, isopropylamine, lysine, methylglucamine, morpholine, piperazine, piperidine, polyamine resins, procaine, purines, theobromine , triethylamine, trimethylamine, tripropylamine, tromethamine, and the like. When the compounds of the present invention contain relatively basic functional groups, acid addition salts can be prepared by reacting the neutral form of such compounds with a sufficient amount of the desired acid, without solvent or in a suitable inert solvent. Examples of pharmaceutically acceptable acid addition salts include salts with inorganic acids such as hydrochloric, hydrobromic, nitric, carbonic, monohydrocarbonic, phosphoric, monohydrophosphoric, dihydrophosphoric, sulfuric, monohydrosulfuric, hydroiodic or phosphorous acid and the like, and salts with relatively non-toxic organic acids such as acetic, propionic, isobutyric, malonic, benzoic, succinic, suberic, fumaric, mandelic, phthalic, benzenesulfonic, p-toluenesulfonic, citric, tartaric, methanesulfonic, and the like. Also included are salts with amino acids such as arginates and the like, and salts of organic acids such as glucuronic or galacturonic acids and the like. (See, for example, Berge, S.M., et al, "Pharmaceutical Salts", Journal of Pharmaceutical Science, 1977, 66, 1-19). Some particular compounds of the present invention contain both basic and acid functional groups, which allows such compounds to form both base addition and acid addition salts.

The neutral forms of the compounds can be regenerated by reacting the salt with a base or acid and isolating the parent compound in the usual manner. The parent form of the compound differs from the various salt forms in certain physical characteristics, such as solubility in polar solvents, but otherwise the salts are equivalent to the parent compounds, in terms of the present invention.

In addition to salt forms, the present invention describes compounds in prodrug form. Prodrugs of the compounds described in this text are compounds that easily undergo chemical changes under physiological conditions, giving the compounds of the present invention. In addition, prodrugs can be converted to the compounds of the present invention by ex vivo chemical or biological methods. For example, prodrugs can be slowly converted to the compounds of the present invention when placed in a transdermal patch with an appropriate enzyme or chemical.

Some compounds of the present invention may exist in unsolvated forms as well as solvated forms, including hydrated forms. In general, the solvated forms are equivalent to the unsolvated forms, all of which are covered by the present invention. Some compounds of the present invention may exist in multiple crystalline or amorphous forms. In general, all physical forms are equivalent for the uses covered by the present invention and are within the scope of the present invention.

Some compounds of the present invention have asymmetric carbon atoms (optical centers) or double bonds; all racemates, diastereomers, geometric isomers, regioisomers, and individual isomers (eg, individual enantiomers) are within the scope of the present invention. The compounds of the present invention may also have non-natural isotope ratios of one or more of the atoms that make up these compounds. For example, compounds can be radioactively labeled with radioactive isotopes such as, for example, tritium ( ³ H), iodine-125 ( ¹²⁵ I) or carbon-14 ( ¹⁴ C). All isotopic variations of the compounds of the present invention, radioactive and non-radioactive, are within the scope of the present invention.

1 The term "prodrug moiety" means a group that imparts desirable properties to a compound, improving, for example, compound stability, in vivo residence time in the circulatory system, or solubility. A compound having a prodrug component is metabolized (usually via hydrolysis or enzymatically) after administration to a subject to provide the active compound. Compounds with a prodrug moiety may become active upon cleavage, but compounds with a prodrug moiety may be active in their unreacted forms. In addition, the prodrug component itself may be active. Examples of prodrug components covered by this application include, but are not limited to, phosphate, phosphomethyl, hydroxymethyl, amino acid, dipeptide and tripeptide fragments. Other covered by the present invention embodiments are described later in this text.

The term "amino acid" refers to natural and non-natural amino acids. Non-natural amino acids means compounds that have the same basic chemical structure as naturally occurring amino acids, i.e. an α-carbon that is bonded to a hydrogen atom, a carboxyl group, an amino group, and an R group, such as (but not limited to) homoserine, norleucine, methionine sulfoxide, methylsulfonium methionine. Such analogs have modified R groups (such as 2,5-diaminopentanoic acid) or modified peptide pendants, but retain the same basic chemical structure as naturally occurring amino acids. The amino acids of the present invention include N-methylated and N-acylated fragments. When the terminal group of an amino acid is an N atom, it may be dimethylated.

", которая пересекает простую, двойную или тройную связь в любой изображенной в настоящем тексте химической структуре, обозначает точку присоединения этой простой, двойной или тройной связи к остальной части молекулы.When used in the present text, the wavy line"

", which crosses a single, double or triple bond in any chemical structure depicted in this text, denotes the point of attachment of this single, double or triple bond to the rest of the molecule.

Description of Embodiments

Connections

In one aspect, the present invention describes compounds having formulas (IA), (IB), (IC), (IIA), (IIB) and (IIC):

or their pharmaceutically acceptable salt, where

cycle term a is N or C(R ^2c ), cycle term b is N or C(R ^2d ), and cycle term e is N or C(R ^2e ), where no more than one of a, b, and e is N;

X ¹ is selected from the group consisting of bond, C _1-8 alkylene, C(O), C(O)-C _1-4 alkylene and S(O) ₂ ;

R ¹ is selected from the group consisting of the following:

a) 5-10-membered heteroaryl containing as ring(s) vertices 1-4 heteroatoms selected from N, O and S;

b) C _6-10 aryl;

c) C _3-8 cycloalkyl;

d) 4-8-membered heterocycloalkyl containing as ring(s) vertices 1-2 heteroatoms selected from N, O and S; And

e) C _1-8 alkyl, C _1-8 alkoxy, C _1-8 haloalkyl, -C(O)NR ^1a R ^1b and -CO ₂ R ^1a ; where R ^1a and R ^1b are each independently selected from the group consisting of hydrogen, C _1-8 alkyl, C _6-10 aryl, and -C _1-6 alkylene-C _6-10 aryl;

where the group -X ¹ -R ¹ is optionally substituted with 1-5 substituents R ^x ;

R ^2a and R ^2e are each independently selected from the group consisting of hydrogen, C _1-6 alkyl, C _1-6 alkoxy, C _1-6 haloalkyl, -OC _1-6 haloalkyl, -SC _1-6 alkyl, -C _1-6 alkyl-OC _1-6 alkyl, -C _1-6 alkyl-SC _1-6 alkyl, CN and halo, and at least one of R ^2a and R ^2e is other than a hydrogen atom;

R ^2b , R ^2c and R ^2d are each independently selected from the group consisting of hydrogen, C _1-6 alkyl, C _1-6 alkoxy, C _1-6 haloalkyl, -OC _1-6 haloalkyl, -SC _1-6 alkyl , -C _1-6 alkyl-OC _1-6 alkyl, -C _1-6 alkyl-SC _1-6 alkyl, cyano and halogen;

each R ³ is independently selected from the group consisting of hydroxyl, C _1-4 alkyl, C _1-4 haloalkyl and C _1-4 hydroxyalkyl, and optionally two R ³ groups at the same carbon atom are combined to form an oxo group ( =O), and optionally two R ³ groups and the carbon atoms to which they are attached, form a 3-6-membered ring containing as ring members 0-2 heteroatoms selected from O, N and S;

R ⁴ is selected from the group consisting of -NHP ¹ , -NHC(O)NHP ¹ , -CH ₂ NHP ¹ and -CH ₂ NHC(O)NHP ¹ ;

each R ⁵ is independently selected from the group consisting of C _1-8 alkyl, C _1-8 alkoxy, C _1-8 haloalkyl, C _1-8 haloalkoxy, C _1-8 hydroxyalkyl, halogen, OH, CN, C(O) R ^5a and CO ₂ R ^5a ;

R ^5' is selected from the group consisting of hydrogen, C _1-8 alkyl, C _1-8 haloalkyl, C _1-8 hydroxyalkyl, C(O)R ^5a and CO ₂ R ^5a ; where each R ^5a is independently selected from the group consisting of a hydrogen atom, C _1-4 alkyl and C _1-4 haloalkyl;

R ⁶ is selected from the group consisting of hydrogen, C _1-6 alkyl, C _1-6 alkoxy, C _1-6 haloalkyl, -OC _1-6 haloalkyl, -SC _1-6 alkyl, -C _1-6 alkyl- OC _1-6 alkyl, -C _1-6 alkyl-SC _1-6 alkyl, cyano and halogen;

R ⁷ is P ¹ ; And

R ⁸ is -CH ₂ OP ¹ ;

each P ¹ is a prodrug component;

each R ^x is independently selected from the group consisting of halo, CN, C _1-4 alkyl, C _1-4 alkoxy, C _1-4 haloalkyl, C _1-4 haloalkoxy, C _1-4 hydroxyalkyl, C _2-4 alkenyl, C _3-6 cycloalkyl, CO ₂ -C _1-4 alkyl and CONH ₂ ;

subscript m is 0, 1, 2, 3, or 4; And

subscript n is 0, 1, 2, or 3.

In one group of embodiments, the compounds of the present invention have the formula (IA). In another group of embodiments, the compounds of the present invention have the formula (IB). In another group of embodiments, the compounds of the present invention have the formula (IC). In another group of embodiments, the compounds of the present invention have the formula (IIA). In another group of embodiments, the compounds of the present invention have the formula (IIB). In another group of embodiments, the compounds of the present invention have the formula (IIC).

In some embodiments of compounds having formula (IA), (IB), (IC), (IIA), (IIB), (IIC), or their pharmaceutically acceptable salts, as well as any of the above groups of embodiments, P ¹ is selected from the group consisting of:

where each R ⁹ is independently selected from the group consisting of H and C _1-3 alkyl; And

each R ¹⁰ is independently selected from the group consisting of H, C _1-3 alkyl, phenyl and benzyl.

In some embodiments of compounds having formula (IA), (IB), (IC), (IIA), (IIB), (IIC), or their pharmaceutically acceptable salts, as well as any of the above groups of embodiments, P ¹ is selected from the group consisting of:

,

,

Where

each R ^y is independently selected from the group consisting of -OP(O)(OR ^y1 ) ₂ , -OC(O)CH ₂ N(R ^y2 ) ₂ , -N(R ^y2 ) ₂ and piperazine;

each R ^y1 is independently selected from the group consisting of H, C _1-3 alkyl and benzyl;

each R ^y2 is independently H or C _1-3 alkyl; And

each phenyl ring containing an R ^y or -CH ₂ R ^y substituent is further substituted with 0-3 substituents independently selected from the group consisting of nitro, halogen, CN, CF ₃ , C _1-4 alkyl, C _1-4 alkoxy, C _1-4 haloalkyl, C _1-4 haloalkoxy and C _1-4 hydroxyalkyl.

In some embodiments of compounds having formula (IA), (IB), (IC), (IIA), (IIB), (IIC), or their pharmaceutically acceptable salts, as well as any of the above groups of embodiments, P ¹ is selected from the group consisting of -CH ₂ OH, -P(O)(OR ¹⁰ ) ₂ and -CH ₂ -OP(O) (OR ¹⁰ ) ₂ where each R ¹⁰ is independently selected from the group consisting of H, C _{1 -3} alkyl, phenyl and benzyl,

In some embodiments of compounds having formula (IA), (IB), (IC), (IIA), (IIB), (IIC), or their pharmaceutically acceptable salts, as well as any of the above groups of embodiments, P ¹ is selected from the group consisting of amino acid, dipeptide and tripeptide. In some embodiments, said amino acid, dipeptide, or tripeptide is a naturally occurring amino acid. In some embodiments, said amino acid, dipeptide, or tripeptide fragments are independently selected from the group consisting of glycine, alanine, valine, leucine, isoleucine, lysine, cysteine, aspartate, glutamate, histidine, and phenylalanine, wherein the N-atom of each amino acid fragment may be methylated. or acylated.

The amino acids of the present invention may be covalently linked to the rest of the molecule in any suitable manner. Suitable linkers include, but are not limited to, amide moieties between an amine group and a hydroxyl group, ester moieties between a carboxyl group and a hydroxyl group, and a sulfonamide moiety (N-S linker) between a thio group and an amino group. Typically, amino acids are linked to the rest of the molecule via an alpha amino group or an alpha carboxyl group; however, when the R-group of an amino acid contains a functional group, it can also serve as a binding point. For example, the carboxyl group in glutamate can serve as a point of attachment to the rest of the molecule. Similarly, the thiol in cysteine can also serve as a point of attachment to the rest of the molecule.

In some embodiments of compounds having formula (IA), (IB), (IC), (IIA), (IIB), (IIC), or their pharmaceutically acceptable salts, as well as any of the above groups of embodiments, P ¹ is selected from the group consisting of:

In compounds having the formula (IA), (IB), (IC), (IIA), (IIB), (IIC), or their pharmaceutically acceptable salts, as well as in any of the above groups of options, in some private embodiments X ¹ is a bond; in other particular embodiments, X ¹ is C(O); in other particular embodiments, X ¹ is C _1-8 alkylene; in other particular embodiments, X ¹ is C(O)-C _1-4 alkylene or S(O) ₂ .

In compounds having the formula (IA), (IB), (IC), (IIA), (IIB), (IIC), or their pharmaceutically acceptable salts, as well as in any of the above groups of options or particular embodiments, in in some additional embodiments, R ¹ is a 5-10 membered heteroaryl containing 1-4 heteroatoms selected from N, O, and S as ring(s) vertices; and the -X ¹ -R ¹ group is optionally substituted with 1-4 R ^x substituents. In other additional embodiments, R ¹ is selected from the group consisting of pyrazolyl, pyridyl, pyrimidinyl, imidazolyl, thiazolyl, thiadiazolyl, and pyrazinyl; and the -X ¹ -R ¹ group is optionally substituted with 1-4 R ^x substituents.

In compounds having the formula (IA), (IB), (IC), (IIA), (IIB), (IIC), or their pharmaceutically acceptable salts, as well as in any of the above groups of options or particular embodiments, in in some additional embodiments, R ¹ is C _6-10 aryl; and the -X ¹ -R ¹ group is optionally substituted with 1-4 R ^x substituents. In other additional embodiments, R ¹ is phenyl; and the -X ¹ -R ¹ group is optionally substituted with 1-4 R ^x substituents.

In compounds having the formula (IA), (IB), (IC), (IIA), (IIB), (IIC), or their pharmaceutically acceptable salts, as well as in any of the above groups of options or particular embodiments, in in some additional embodiments, R ¹ is C _3-8 cycloalkyl; and the -X ¹ -R ¹ group is optionally substituted with 1-4 R ^x substituents. In other additional embodiments, R ¹ is selected from the group consisting of cyclobutyl, cyclopentyl, and cyclohexyl; and the -X ¹ -R ¹ group is optionally substituted with 1-4 R ^x substituents.

In compounds having the formula (IA), (IB), (IC), (IIA), (IIB), (IIC), or their pharmaceutically acceptable salts, as well as in any of the above groups of options or particular embodiments, in in some additional embodiments, R ¹ is a 4-8 membered heterocycloalkyl containing 1-2 heteroatoms selected from N, O, and S as ring(s) vertices; and where the group -X ¹ -R ¹ is optionally substituted with 1-4 substituents R ^x . In other further private embodiments, R ¹ is selected from the group consisting of oxetanyl, tetrahydrofuranyl, tetrahydropyranyl, and morpholinyl; and the -X ¹ -R ¹ group is optionally substituted with 1-4 R ^x substituents.

In compounds having the formula (IA), (IB), (IC), (IIA), (IIB), (IIC), or their pharmaceutically acceptable salts, as well as in any of the above groups of options or particular embodiments, in in some additional embodiments, R ¹ is selected from the group consisting of C _1-8 alkyl, C _1-8 alkoxy, C _1-8 haloalkyl, -C(O)NR ^1a R ^1b and -CO ₂ R ^1a ; where R ^1a and R ^1b are each independently selected from the group consisting of a hydrogen atom, C _1-8 alkyl, C _6-10 aryl and -C _1-6 alkylene-C _6-10 aryl; and the -X ¹ -R ¹ group is optionally substituted with 1-4 R ^x substituents.

In compounds having the formula (IA), (IB), (IC), (IIA), (IIB), (IIC), or their pharmaceutically acceptable salts, as well as in any of the above groups of options or particular embodiments, in in some additional embodiments, R ¹ is selected from the group consisting of phenyl, pyridyl, pyrimidinyl, and pyrazinyl; and the -X ¹ -R ¹ group is optionally substituted with 1-4 R ^x substituents.

In compounds having formula (IA), (IB), (IC), (IIA), (IIB), (IIC), or pharmaceutically acceptable salts thereof, as well as in any of the above embodiments, in some additional embodiments cycle members a and b are CH; R ^2b is H; ring member e is C(R ^2e ), and R ^2a and R ^2e are independently selected from the group consisting of C _1-6 alkyl, C _1-6 alkoxy, C _1-6 haloalkyl, -OC _1-6 haloalkyl, - SC _1-6 alkyl, -C _1-6 alkyl-OC _1-6 alkyl, -C _1-6 alkyl-SC _1-6 alkyl, CN and halogen.

In compounds having formula (IA), (IB), (IC), (IIA), (IIB), (IIC), or their pharmaceutically acceptable salts, as well as in any of the above embodiments, in some additional embodiments cycle members a and b are CH; R ^2b is H; ring member e is C(R ^2e ), and R ^2a and R ^2e are independently selected from the group consisting of C _1-6 alkyl, C _1-6 alkoxy and halo.

In compounds having formula (IA), (IB), (IC), (IIA), (IIB), (IIC), or pharmaceutically acceptable salts thereof, as well as in any of the above embodiments, in some additional embodiments subscript n is 0, 1, or 2, and each R ⁵ , if present, is selected from the group consisting of F, Cl, CN, C _1-4 alkyl, and C _1-4 alkoxy. In other further private embodiments, the subscript n is 0, 1, or 2, and each R ⁵ , if present, is selected from the group consisting of F, Cl, CN, CH ₃ and OCH ₃ .

In compounds having formula (IA), (IB), (IC), (IIA), (IIB), (IIC), or their pharmaceutically acceptable salts, as well as in any of the above embodiments, in some additional embodiments the subscript m is 0, 1, or 2, and each R ³ , if present, is C _1-4 alkyl.

In a private group of variants of compounds having formula (IA), (IB), (IC), (IIA), (IIB), (IIC), or their pharmaceutically acceptable salts, R ¹ is selected from the group consisting of phenyl or pyridyl, the group -X ¹ -R ¹ is optionally substituted with 1-4 R ^x substituents; cycle members a and b are CH; R ^2b is H; ring member e is C(R ^2e ), and R ^2a and R ^2e are independently selected from the group consisting of C _1-6 alkyl, C _1-6 alkoxy and halogen; m is 0, 1 or 2 and each R ³ if present is CH ₃ n is 0, 1 or 2 and each R ⁵ if present is selected from the group consisting of F, Cl, CN , CH ₃ and OCH ₃ .

In some embodiments of compounds having formula (IA), (IB), (IC), (IIA), (IIB), (IIC), or their pharmaceutically acceptable salts, R ¹ is selected from the group consisting of

In some embodiments of compounds having formula (IA), (IB), (IC), (IIA), (IIB), (IIC), or their pharmaceutically acceptable salts, -X ¹ -R ¹ is selected from the group consisting of:

.

.

In some embodiments of compounds having formula (IA), (IB), (IC), (IIA), (IIB), (IIC), or their pharmaceutically acceptable salts, R ¹ is selected from the group consisting of:

.

.

In some embodiments of compounds having formula (IA), (IB), (IC), (IIA), (IIB), (IIC), or their pharmaceutically acceptable salts, R ¹ is selected from the group consisting of:

.

.

In some embodiments of compounds having formula (IA), (IB), (IC), (IIA), (IIB), (IIC), or their pharmaceutically acceptable salts, R ¹ is selected from the group consisting of:

.

.

выбрана из группы, состоящей изIn compounds having formula (IA), (IB), (IC), (IIA), (IIB), (IIC), or their pharmaceutically acceptable salts, as well as in any of the above embodiments, in some additional embodiments group

selected from the group consisting of

.

.

In compounds having formula (IA), (IB), (IC), (IIA), (IIB), (IIC), or their pharmaceutically acceptable salts, as well as in any of the above embodiments, in some additional embodiments n is 0.

In compounds having formula (IA), (IB), (IC), (IIA), (IIB), (IIC), or pharmaceutically acceptable salts thereof, as well as in any of the above embodiments, in some additional embodiments subscript n is 2, and two R ³ groups are attached to the same carbon atom and combined to form an oxo group (=O).

In some embodiments, the compound of the present invention is the compound described in the Examples and Tables section.

Getting connections

Some compounds of the present invention can be obtained according to the methods described in this application in the Examples section. In addition, syntheses of certain intermediates that can be used to synthesize the compounds of the present invention are also described.

Pharmaceutical compositions

In addition to the compounds described above, compositions for modulating C5a activity in humans and animals typically contain a pharmaceutically acceptable carrier or diluent.

The term "composition" as used in this text includes a product containing the specified ingredients in the specified amounts, as well as any product that is obtained, directly or indirectly, by combining the specified ingredients in the specified amounts. The term "pharmaceutically acceptable" means a carrier, diluent or excipient that must be compatible with the other ingredients of the drug and not cause harm to the patient receiving it.

Pharmaceutical compositions for administering the compounds of the present invention may be presented in unit dosage form and may be prepared by any of the methods known in the art of pharmacology and drug administration. All methods include the step of bringing into association the active substance with the carrier which contains one or more accessory ingredients. In general, pharmaceutical compositions are prepared by uniformly and intimately mixing the active ingredient with a liquid carrier or a finely divided solid carrier, or both, and then, if necessary, shaping the product into the desired formulation. In the pharmaceutical composition, the active substance is present in an amount sufficient to provide the desired effect on the disease or pathological condition.

Pharmaceutical compositions containing the active ingredient may be in a form suitable for oral administration, for example, they may be in the form of tablets, sachets, lozenges, aqueous or oily suspensions, dispersible powders or granules, emulsions, and self-emulsifying preparations, as described in the US Patent Application. 2002-0012680, hard or soft capsules, syrups, elixirs, solutions, buccal patches, oral gel, chewing gum, chewable tablets, effervescent powders and effervescent tablets. Compositions intended for oral administration may be prepared by any means known in the pharmaceutical art. Such compositions may contain one or more agents selected from the group consisting of sweeteners, flavors, colors, antioxidants, and preservatives to provide pharmaceutically attractive and palatable preparations. The tablets contain the active ingredient mixed with non-toxic pharmaceutically acceptable excipients suitable for the manufacture of tablets. Such excipients may be, for example, inert diluents such as cellulose, carbon dioxide, alumina, calcium carbonate, sodium carbonate, glucose, mannitol, sorbitol, lactose, calcium phosphate or sodium phosphate; granulating agents and agents that accelerate the disintegration of tablets, such as corn starch or alginic acid; binding agents such as polyvinylpyrrolidone, cellulose, starch, gelatin or acacia gum; and lubricants such as magnesium stearate, stearic acid or talc. Tablets may be uncoated or they may be enteric-coated or coated in some other known manner to slow disintegration and absorption in the gastrointestinal tract, thereby providing a prolonged action for a longer time. For example, disintegrating materials such as glyceryl monostearate or glyceryl distearate can be used. Tablets can also be coated using the methods described in US Pat. Nos. 4,256,108; 4,166,452 and 4,265,874 to form sustained release osmotic tablets.

Preparations intended for oral administration may also be in the form of hard gelatin capsules, where the active substance is mixed with an inert solid diluent, such as calcium carbonate, calcium phosphate or kaolin, or in the form of soft gelatin capsules, where the active substance is mixed with an aqueous or oily medium, such as peanut butter, liquid paraffin or olive oil. It is also possible to prepare emulsions with water-insoluble ingredients such as oils and stabilize them with surfactants such as mono- or diglycerides, PEG esters, and the like.

Aqueous suspensions contain the active ingredients mixed with excipients suitable for the production of aqueous suspensions. Such excipients are suspending agents such as sodium carboxymethylcellulose, methylcellulose, hydroxypropylmethylcellulose, sodium alginate, polyvinylpyrrolidone, gum tragacanth, and acacia gum; dispersing or wetting agents can be natural phosphatides, such as lecithin, or alkylene oxide condensates with fatty acids, eg polyoxyethylene stearate, or ethylene oxide condensates with long chain aliphatic alcohols, eg heptadecaethyleneoxycetanol, or ethylene oxide condensates with partial esters derived from fatty acids and hexitol, such as polyoxyethylene sorbitan monooleate, or condensates of ethylene oxide with partial esters derived from fatty acids and hexitol anhydrides, such as polyethylene sorbitan monooleate. Aqueous suspensions may also contain one or more preservatives, such as ethyl or n-propyl p-hydroxybenzoate, one or more colorants, one or more flavors, and one or more sweeteners, such as sucrose or saccharin.

Oil suspensions can be prepared by suspending the active ingredient in a vegetable oil such as peanut oil, olive oil, sesame oil or coconut oil, or in a mineral oil such as liquid paraffin. Oily suspensions may contain thickeners such as beeswax, hard paraffin or cetyl alcohols. Sweetening agents such as those listed above and coloring agents may be added to provide a palatable oral composition. Such compositions can be stabilized by the addition of an antioxidant such as ascorbic acid.

Dispersible powders and granules suitable for the preparation of an aqueous suspension with the addition of water contain the active ingredient in admixture with a dispersing or wetting agent, a suspending agent and one or more preservatives. Examples of dispersing or wetting agents, suspending agents are given above. Additional adjuvants may also be present, such as sweeteners, flavors and colors.

The pharmaceutical compositions of the present invention may also be in the form of oil-in-water emulsions. The oil phase can be a vegetable oil, such as olive oil or peanut oil, or a mineral oil, such as liquid paraffin, or a mixture thereof. Suitable emulsifiers may be natural gums such as acacia gum or gum tragacanth, natural phosphatides such as soybean oil, lecithin, and esters or partial esters derived from fatty acids and hexitol anhydrides, such as sorbitan monooleate, and condensation products of said partial esters. esters with ethylene oxide, such as polyoxyethylene sorbitan monooleate. The emulsion may also contain sweeteners and flavors.

Syrups and elixirs may contain sweeteners such as glycerin, propylene glycol, sorbitol or sucrose. Such formulations may also contain emollients, a preservative, flavorings and coloring agents. Oral solutions can be prepared in combination with, for example, cyclodextrin, PEG and surfactants.

Pharmaceutical compositions may take the form of sterile injectable aqueous or oily suspensions. Such a suspension can be prepared according to methods known in the art using suitable dispersants or wetting agents and suspending agents as mentioned above. Sterile injectable preparations may also be sterile injectable solutions or suspensions in a non-toxic parenterally acceptable diluent or solvent, for example may be in the form of a solution in 1,3-butanediol. Suitable vehicles and solvents that may be used include water, Ringer's solution, and isotonic sodium chloride solution. In addition, sterile oils are often used as a solvent or suspending medium. Any bland fixed oil can be used for this purpose, including synthetic mono- and diglycerides. In addition, fatty acids such as oleic acid find use in the preparation of injectables.

The compounds described herein may also be administered in the form of suppositories for rectal administration of the drug. Such compositions can be prepared by mixing the drug with a suitable non-irritating excipient which is solid at room temperature but liquefies at body temperature and therefore melts in the rectum to release the drug. Such materials include cocoa butter and polyethylene glycols. In addition, the compounds can be administered as ophthalmic preparations as drops or ointments. It is also possible to carry out transdermal administration of the compounds in question by means of iontophoretic patches and the like. For topical application, creams, ointments, gels, solutions or suspensions containing the compounds of the present invention are used. In the context of the present invention, topical application also includes the use of rinses and mouth solutions.

The compounds of the present invention may also be coupled with suitable polymer carriers as targeted drug carriers. Such polymers may include polyvinylpyrrolidone, a pyran copolymer, polyhydroxypropyl methacrylamide phenol, polyhydroxyethyl aspartamide phenol or polyethylene oxide polylysine substituted with palmitoyl residues. In addition, the compounds of the present invention can be combined with a carrier belonging to the class of biodegradable polymers that can be used to achieve controlled drug release, for example: polylactic acid, polyglycolic acid, copolymers of polylactic and polyglycolic acid, poly-epsilon-caprolactone, polyhydroxybutyric acid , polyorthoesters, polyacetals, polydihydropyrans, polycyanoacrylates, and cross-linked or amphipathic hydrogel block copolymers. Polymers and semi-permeable polymer matrices can be molded into articles such as valves, stents, tubes, prostheses, and the like. In one embodiment of the present invention, the compound of the present invention is combined with a polymer or a semi-permeable polymeric matrix formed into a stent or stent graft.

Pharmaceutical compositions of the present invention may contain one or more additional therapeutic agents. The one or more additional therapeutic agents are selected from the group consisting of corticosteroids, steroids, immunosuppressants, immunoglobulin G agonists, dipeptidyl peptidase IV inhibitors, lymphocytic function-associated antigen-3 antagonists, interleukin-2 ligands, inhibitors of interleukin-1 beta ligands, alpha inhibitors. - IL-2 receptor subunits, HGF gene stimulators, IL-6 antagonists, IL-5 antagonists, alpha-1 antitrypsin stimulants, cannabinoid receptor antagonists, histone deacetylase inhibitors, AKT protein kinase inhibitors, CD20 inhibitors, Abl tyrosine kinase inhibitors, JAK tyrosine kinase inhibitors, inhibitors TNF-alpha ligands, hemoglobin modulators, TNF antagonists, proteasome inhibitors, CD3 modulators, Hsp 70 family inhibitors, immunoglobulin agonists, CD30 antagonists, tubulin antagonists, sphingosine-1-phosphate receptor agonists, connective tissue growth factor ligand inhibitors, caspase inhibitors, ligands adrenocorticotropic hormone, Btk tyrosine kinase inhibitors, C1s complement component inhibitors, erythropoietin receptor agonists, B-lymphocyte stimulator inhibitors, cyclin-dependent kinase 2 inhibitors, P-selectin 1 glycoprotein ligand stimulators, mTOR inhibitors, elongation factor 2 inhibitors, cell adhesion molecule inhibitors, agonists factor XIII, calcineurin inhibitors, immunoglobulin G1 agonists, inosine monophosphate dehydrogenase inhibitors, complement component C1s inhibitors, thymidine kinase modulators, CTLA-4 modulators, angiotensin II receptor antagonists, angiotensin II receptor modulators, TNF superfamily 12A receptor antagonists, CD52 antagonists , adenosine deaminase inhibitors, CD6 T-cell differentiation antigen inhibitors, FGF-7 ligands, dihydroorotate dehydrogenase inhibitors, Syk tyrosine kinase inhibitors, type I interferon receptor antagonists, interferon alfa inhibitors, macrophage migration inhibition factor inhibitors, alpha-V/beta integrin antagonists 6, cysteine protease stimulators, p38 MAP kinase inhibitors, TP53 gene inhibitors, Shiga-like toxin I inhibitors, fucosyl transferase 6 stimulators, interleukin 22 ligands, IRS1 gene inhibitors, protein kinase C stimulators, protein kinase C alpha inhibitors, CD74 antagonists, immunoglobulin gamma Fc receptor antagonists 2B, CD7 T cell antigen inhibitors, CD95 antagonists, N-acetylmannosamine kinase stimulators, cardiotropin-1 ligands, leukocyte elastase inhibitors, CD40 receptor ligand antagonists, CD40 receptor ligand modulators, IL-17 antagonists, TLR-2 antagonists, mannan inhibitors -lectin-binding serine protease-2 (MASP-2), factor B inhibitors, factor D inhibitors, C3aR modulators, C5aR2 modulators, T-cell receptor antagonists, PD-1 inhibitors, PD-L1 inhibitors, TIGIT inhibitors, TIM- inhibitors 3, LAG-3 inhibitors, VISTA inhibitors, STING agonists, IDO inhibitors, adenosine receptor modulators, CD39 inhibitors, CD73 inhibitors, chemokine receptor antagonists, especially CXCR1, CXCR2, CXCR3, CXCR4, CXCR7, CCR1, CCR2, CCR3, CCR4, CCR5, CCR7, CCR7, CCR9, CX3CR1 and CXCR6, and combinations thereof.

In some embodiments, one or more additional therapeutic agents are selected from the group consisting of the following: obinutuzumab, rituximab, ocrelizumab, cyclophosphamide, prednisone, hydrocortisone, hydrocortisone acetate, cortisone acetate, thixocortol pivalate, prednisolone, methylprednisolone, triamcinolone acetonide, triamcinolone alcohol, mometasone , amcinonide, budesonide, desonide, fluocinonide, fluocinolone acetonide, galcinonide, betamethasone, betamethasone sodium phosphate, dexamethasone, dexamethasone sodium phosphate, fluocortolone, hydrocortisone-17-valerate, halomethasone, aclomethasone dipropionate, beclomethasone, betamethasone valerate, pretarpianobetamethasone -17-butyrate, clobetasol-17-propionate, fluocortolone caproate, fluocortolone pivalate, flupredniden acetate, hydrocortisone-17-butyrate, hydrocortisone-17-aceponate, hydrocortisone-17-buteprate, ciclesonide and prednicarbate, GB-0998, immuglo, begelomab, alefacept, aldesleukin, gevokizumab, daclizumab, basilixumab, inolimomab, beperminogen perplasmid, sirukumab, tocilizumab, clasakizumab, mepolizumab, fingolimod, panobinostat, triciribine, nilotinib, imatinib, tofacitinib, momelotinib, peficitinib, etatinib, etatacitinib , ixazomib, bortezomib, muromonab, otelixizumab, gusperimus, brentuximab vedotin, ponezimod, KRP-203, FG-3019, emricasan, corticotropin, ibrutinib, synrise, conestat, methoxypolyethylene glycol-epoetin beta, belimumab, blisibimod, ataciccept, everolizumalibe, seliciclib, , sirolimus, denileukin diphytox, LMB-2, natalizumab, catridecacog, cyclosporine, tacrolimus, voclosporin, canakinumab, mycophenolate, mizoribine, CE-1145, TK-DLI, abatacept, belatacept, olmesartan medoxomil, sparsentan, TXA-127, BIIB-023 , alemtuzumab, pentostatin, itolizumab, palifermine, leflunomide, PRO-140, cenicriviroc, fostamatinib, anifrolumab, sifalimumab, BAX-069, BG-00011, losmapimod, QPI-1002, ShigamAbs, TZ-101, F-652, reparixin, ladarixin , PTX-9908, aganirsen, APH-703, sotrastaurine, milatuzumab, SM-101, T-Guard, APG-101, DEX-M74, cardiotrophin-1, tiprelestat, ASKP-1240, BMS-986004, HPH-116, KD -025, OPN-305, TOL-101, defibrotide, pomalidomide, thymoglobulin, laquinimod, remestemcel-L, equine anti-thymocyte immunoglobulin, stempeucel, LIV-gamma, Octagam 10%, t2c-001, 99mTc-sestamibi, Clairyg, Prosorba , pomalidomide, laquinimod, teplizumab, FCRx, solnatide, foralumab, ATIR-101, BPX-501, ACP-01, ALLO-ASC-DFU, irbesartan + propgermanium, ApoCell, cannabidiol, RGI-2001, saratin, bivalent anti-CD3 conjugate antibody-diphtheria toxin, NOX-100, LT-1951, OMS721, ALN-CC5, ACH-4471, AMY-101, Acthar gel and CD4+CD25+ regulatory T cells, MEDI7814, P32, P59, pembrolizumab, nivolumab, atezolizumab, avelumab, durvalumab, CCX354, CCX721, CCX9588, CCX140, CCX872, CCX598, CCX6239, CCX587, CCX624, CCX282, CCX025, CCX507, CCX430, CCX765, CCX758, CCX771, CCX662, CCX650 and combinations thereof. Additional discussion of combination therapy is included in the present application under "Methods of Use".

Application methods

The compounds of the present invention can be used as agonists, (preferably) antagonists, partial agonists, inverse agonists of C5a receptors in various contexts, both in vitro and in vivo. In one embodiment, the compounds of the present invention are a C5aR antagonist that can be used to inhibit the binding of a C5a receptor ligand (eg, C5a) to the C5a receptor in vitro or in vivo. In general, such methods include the step of contacting the C5a receptor with a sufficient amount of one or more of the C5a receptor modulators described herein in the presence of a C5a receptor ligand in aqueous solution and under conditions suitable to bind that ligand to the C5a receptor. The C5a receptor may be present in suspension (eg, as an isolated membrane or cell preparation), in a grown or isolated cell, or in a tissue or organ.

Preferably, the amount of C5a receptor modulator contacting the receptor should be sufficient to inhibit C5a binding to the C5a receptor in vitro and is measured, for example, using a radioligand assay, a calcium mobilization assay, or a chemotaxis assay as described herein.

In one embodiment of the present invention, the C5a modulators of the present invention are used to modulate, preferably inhibit, C5a receptor signal transduction activity, for example, by contacting one or more compounds of the present invention with the C5a receptor (in vitro or in vivo) under conditions suitable for binding receptor modulators. The receptor may be in solution or suspension, in cultured or isolated cell preparations, or in a patient. Any modulation of signal transduction activity can be assessed by detecting an effect on calcium ion mobilization or by detecting an effect on C5a receptor-mediated cellular chemotaxis. In general, an effective amount of C5a modulator(s) is an amount sufficient to modulate in vitro C5a receptor signal transduction activity in a calcium mobilization assay, or C5a receptor-mediated cellular chemotaxis in a migration assay.

When the compounds of the present invention are used to inhibit C5a receptor-mediated cellular chemotaxis, preferably leukocyte (e.g., neutrophil) chemotaxis, in an in vitro chemotaxis assay, such methods include contacting white blood cells (particularly primate white blood cells, especially white blood cells). human bodies) with one or more compounds of the present invention. Preferably the concentration is sufficient to inhibit white blood cell chemotaxis in an in vitro chemotaxis assay such that the level of chemotaxis observed in the control is significantly higher than that observed in the assay supplemented with a compound of the present invention.

In another embodiment, the compounds of the present invention may also be used to treat patients suffering from pathological conditions sensitive to C5a receptor modulation. As used herein, the term "treatment" encompasses both disease-modifying treatment and symptomatic treatment, either of which may be prophylactic (i.e., before the onset of symptoms, to prevent, delay, or lessen the severity of symptoms) or therapeutic (i.e., i.e. after the onset of symptoms, to reduce the severity and/or duration of symptoms). As used herein, a condition is considered "responsive to C5a receptor modulation" if modulation of C5a receptor activity results in a decrease in abnormal C5a receptor activity. As used in this text, the term "patients" includes primates (especially humans), companion animals (such as dogs, cats, horses, etc.) and farm animals (such as cattle, pigs, sheep, etc.). .p.), where the dosages are as described in this text.

Conditions that can be treated with C5a modulation:

Autoimmune diseases - eg, rheumatoid arthritis, systemic lupus erythematosus, Guillain-Barré syndrome, pancreatitis, lupus nephritis, lupus glomerulonephritis, psoriasis, Crohn's disease, vasculitis, irritable bowel syndrome, dermatomyositis, multiple sclerosis, bronchial asthma, hard sediment disease, pemphigus, pemphigoid, scleroderma, myasthenia gravis, autoimmune hemolytic and thrombocytopenic conditions, Goodpasture's syndrome (and associated glomerulonephritis and pulmonary hemorrhage), C3 glomerulopathy, C3 glomerulonephritis, mesangioproliferative glomerulonephritis, Kawasaki disease, IH nephropathy, immunovasculitis, tissue graft rejection, "graft versus host", hyperacute rejection of transplanted organs; and so on.

Inflammatory disorders and related pathological conditions - for example, neutropenia, sepsis, septic shock, Alzheimer's disease, multiple sclerosis, neutrophilia, stroke, inflammatory bowel disease (IBD), inflammation due to severe burns, lung injury and ischemia-reperfusion injury, osteoarthritis, and acute respiratory distress syndrome (adult) (ARDS), chronic obstructive pulmonary disease (COPD), systemic inflammatory response syndrome (SIRS), atopic dermatitis, psoriasis, chronic urticaria and multiple organ failure syndrome (MODS), hemolytic uremic syndrome, atypical hemolytic -uremic syndrome (aHUS). Also included are pathological complications associated with insulin-dependent diabetes mellitus (including diabetic retinopathy), lupus nephropathy, Hayman's nephritis, membranous nephritis and other forms of glomerulonephritis, contact sensitive response, and inflammation due to contact of blood with artificial surfaces, which can cause complement activation, for example in time of extracorporeal circulation (for example, during hemodialysis or through a cardiopulmonary resuscitator, for example, in connection with vascular surgery such as coronary artery bypass grafting or heart valve replacement), or in connection with contact with the surface of other artificial vessels or containers (eg, ventricular support device, artificial heart machine, transfusion tubes, blood bags, plasmapheresis, thrombophoresis, etc.). Also included are diseases related to ischemia-reperfusion injury, such as those arising from graft transplantation, including solid organ transplantation, and syndromes, such as ischemia-reperfusion injury, ischemic colitis, and cardiac ischemia. The compounds of the present invention may also be used in the treatment of age-related macular degeneration (Hageman et al, P.N.A.S, 102: 7227-7232, 2005).

Cardiovascular and cerebrovascular disorders - for example, myocardial infarction, coronary artery thrombosis, vascular occlusion, postoperative vascular reocclusion, atherosclerosis, traumatic injury to the central nervous system, and coronary heart disease. In one embodiment, an effective amount of a compound of the present invention can be administered to a patient who is at risk of developing myocardial infarction or thrombosis (e.g., who has one or more recognized risk factors for myocardial infarction or thrombosis, such as (but not limited to) obesity, smoking, high blood pressure, hypercholesterolemia, previous or hereditary history of myocardial infarction or thrombosis to reduce the risk of myocardial infarction or thrombosis.

Cancers or disorders—eg, melanoma, lung cancer, lymphoma, sarcoma, carcinoma, fibrosarcoma, liposarcoma, chondrosarcoma, osteosarcoma, angiosarcoma, lymphangiosarcoma, synovioma, mesothelioma, meningioma, leukemia, lymphoma, leiomyosarcoma, rhabdomyosarcoma, squamous cell carcinoma, basal cell carcinoma , adenocarcinoma, papillary carcinoma, cystadenocarcinoma, bronchogenic carcinoma, renal cell carcinoma, hepatocellular carcinoma, transitional cell carcinoma, choriocarcinoma, seminoma, embryonic carcinoma, Wilm's tumor, pleomorphic adenoma, liver cell papilloma, renal tubular adenoma, cystadenoma, papilloma, adenoma , rhabdomyoma, hemangioma, lymphangioma, osteoma, chondroma, lipoma and fibroma.

Vasculitic diseases - Vasculitic diseases are characterized by inflammation of blood vessels. Leukocyte infiltration leads to destruction of the vascular wall, and complement activity is thought to play an important role in initiating leukocyte migration as well as resulting damage at the site of inflammation (Vasculitis, Second Edition, Edited by Ball and Bridges, Oxford University Press, pp 47-53 , 2008). The compounds described in this application can be used to treat leukoclastic vasculitis, ANCA-associated vasculitis (vasculitis in which antineutrophil cytoplasmic antibodies are detected in the blood), immune vasculitis, Wegener's granulomatosis, microscopic polyangiitis, Churg-Strauss syndrome, Schonlein-Henoch purpura, nodular periarteritis , rapidly progressive glomerulonephritis (RPGN), cryoglobulinemia, giant cell arteritis (GCA), Behçet's disease, and aortic arch syndrome.

HIV Infection and AIDS - The C5a receptor modulators described herein can be used to suppress HIV infection, slow the progression of AIDS, or reduce the severity of symptoms of HIV infection and AIDS.

Neurodegenerative Disorders and Related Diseases - In other aspects, the C5a antagonists described herein can be used to treat Alzheimer's disease, multiple sclerosis, and cognitive decline associated with cardiopulmonary bypass surgery and similar procedures.

In one embodiment of the present invention, the compounds of the present invention may be used to treat diseases selected from the group consisting of sepsis (and related disorders), COPD, rheumatoid arthritis, lupus nephritis, and multiple sclerosis.

The methods of treatment described in the present invention include the introduction to the patient of an effective amount of one or more of the compounds described in this text. Suitable patients include patients suffering from a disease or disorder or undergoing (ie, prophylactic treatment) a disease or disorder referred to herein. Typical patients for the treatment described in the present invention include mammals, in particular primates, especially humans. Other suitable patients include companion animals such as dogs, cats, horses, and the like, or farm animals such as cattle, pigs, sheep, and the like.

In general, the methods of treatment described herein comprise administering to a patient an effective amount of one or more of the compounds described herein. In a preferred embodiment, the compound(s) of the present invention is preferably administered to a patient (eg, human) orally or topically. An effective amount may be an amount sufficient to modulate C5a receptor activity and/or an amount sufficient to reduce or alleviate symptoms in a patient. Preferably, the amount administered is sufficient to create a plasma concentration of the compound (or its active metabolite if the compound is a prodrug) high enough to detectably inhibit white blood cell (eg, neutrophil) chemotaxis in vitro. Treatment regimens may vary depending on the compound used and the particular condition being treated; for the treatment of most disorders, the preferred frequency of administration is 4 times a day or less. In general, twice daily administration is more preferred, and once daily administration is particularly preferred. It should be understood, however, that the specific dosage level and mode of administration for any particular patient depends on a number of factors, including the potency of the particular compound, age, body weight, general health, sex, diet, time of administration, route of administration, rate of elimination, combination of drugs. (for example, other drugs that are administered to the patient) and the severity of the specific disease being treated, as well as the opinion of the attending physician. In general, it is preferable to use the lowest dosage sufficient to provide effective therapy. Therapeutic efficacy for patients may be monitored by medical or veterinary criteria appropriate to the particular condition being treated.

Dosages on the order of about 0.1 mg to about 140 mg per kilogram of body weight per day may be used in the treatment or prevention of conditions involving pathogenic C5a activity (from about 0.5 mg to about 7 g per person per day). The amount of active ingredient that can be combined with carriers to produce a single dosage form varies depending on the particular patient being treated and on the method of administration used. Dosage formulations typically contain from about 1 mg to about 500 mg of the active ingredient. For compounds that are administered orally, transdermally, intravenously or subcutaneously, it is preferred that a sufficient amount of the compound be administered to achieve a plasma concentration of 5 ng (nanogram)/ml to 10 μg (microgram)/ml plasma, more preferably a sufficient amount of the compound to achieve a plasma concentration of 20 ng/ml to 1 μg/ml of blood plasma, most preferably a sufficient amount of the compound to achieve a plasma concentration of 50 ng/ml to 200 ng/ml of blood plasma. For direct administration to the synovium (for the treatment of arthritis), a sufficient amount of the compound should be administered to locally achieve about 1 micromolar concentration.

The frequency of administration may also vary depending on the compound used and the particular condition being treated. However, for the treatment of most diseases, an administration regimen of 4 times a day, three times a day or less is preferred, with one administration regimen or 2 times a day being particularly preferred. It should be understood, however, that the specific dosage level for any given patient will depend on a number of factors, including the activity of the particular compound, age, body weight, general health, sex, diet, time of administration, route of administration, rate of elimination, drug combination (e.g., other drugs that are administered to the patient), the severity of the specific disease being treated, and other factors, including the opinion of the attending physician.

Combination Therapy

The compounds described herein may be used in combination with one or more additional therapeutic agents that are used in the treatment, prevention, suppression or amelioration of diseases or conditions for which the compounds and compositions of the present invention may be used. Such one or more additional therapeutic agents can be administered in the manner and in the amounts normally used for them, simultaneously or sequentially with the compound or composition of the present invention. When a compound or composition of the present invention is used simultaneously with one or more other drugs, a pharmaceutical composition containing such other drugs in addition to the compound or composition of the present invention is preferred. Accordingly, the pharmaceutical compositions of the present invention include those which also contain one or more other active substances or therapeutic agents, in addition to the compound or composition of the present invention.

Examples of one or more additional therapeutic agents are corticosteroids, steroids, immunosuppressants, immunoglobulin G agonists, dipeptidyl peptidase IV inhibitors, lymphocytic function-associated antigen-3 antagonists, IL-2 ligands, IL-1 beta ligand inhibitors, IL2RA inhibitors, HGF gene stimulators, IL-6 antagonists, IL-5 antagonists, alpha-1 antitrypsin stimulants, cannabinoid receptor antagonists, histone deacetylase inhibitors, AKT protein kinase inhibitors, CD20 inhibitors, Abl tyrosine kinase inhibitors, JAK tyrosine kinase inhibitors, TNF-alpha ligand inhibitors, hemoglobin modulators, TNF antagonists, proteasome inhibitors, CD3 modulators, Hsp 70 family inhibitors, immunoglobulin agonists, CD30 antagonists, tubulin antagonists, sphingosine-1-phosphate receptor agonists, connective tissue growth factor ligand inhibitors, caspase inhibitors, adrenocorticotropic hormone ligands, Btk tyrosine kinase inhibitors, complement component inhibitors C1s, erythropoietin receptor agonists, B-lymphocyte stimulator inhibitors, cyclin-dependent kinase 2 inhibitors, P-selectin 1 glycoprotein ligand stimulators, mTOR inhibitors, elongation factor 2 inhibitors, cell adhesion molecule inhibitors, factor XIII agonists, calcineurin inhibitors, immunoglobulin G1 agonists, inhibitors inosine monophosphate dehydrogenase, C1s component inhibitors, thymidine kinase modulators, CTLA-4 modulators, angiotensin II receptor antagonists, angiotensin II receptor modulators, TNF superfamily 12A receptor antagonists, CD52 antagonists, adenosine deaminase inhibitors, CD6 T-cell differentiation antigen inhibitors , FGF-7 ligands, dihydroorotate dehydrogenase inhibitors, Syk tyrosine kinase inhibitors, type I interferon receptor antagonists, interferon alpha inhibitors, macrophage migration inhibitory factor inhibitors, alpha-V/beta-6 integrin antagonists, cysteine protease stimulants, p38 MAP kinase inhibitors, inhibitors TP53 inhibitors, Shiga-like toxin I inhibitors, fucosyl transferase 6 stimulators, interleukin 22 ligands, IRS1 gene inhibitors, protein kinase C stimulators, protein kinase C alpha inhibitors, CD74 antagonists, FCGR2B antagonists, CD7 T-cell antigen inhibitors, CD95 antagonists, N-stimulators acetylmannosamine kinases, cardiotropin-1 ligands, leukocyte elastase inhibitors, CD40 receptor ligand antagonists, CD40 receptor ligand modulators, IL-17 antagonists, TLR-2 antagonists, mannan-binding lectin-dependent serine protease-2 (MASP-2) inhibitors, inhibitors factor B inhibitors, factor D inhibitors, C3aR modulators, C5aR2 modulators, T-cell receptor antagonists, PD-1 inhibitors, PD-L1 inhibitors, TIGIT inhibitors, TIM-3 inhibitors, LAG-3 inhibitors, VISTA inhibitors, STING agonists, IDO inhibitors , adenosine receptor modulators, CD39 inhibitors, CD73 inhibitors, chemokine receptor antagonists, especially CXCR1, CXCR2, CXCR3, CXCR4, CXCR7, CCR1, CCR2, CCR3, CCR4, CCR5, CCR7, CCR7, CCR9, CX3CR1 and CXCR6, and combinations thereof .

In some embodiments, the additional therapeutic agent used in the therapeutic methods described herein is selected from the group consisting of the following: obinutuzumab, rituximab, ocrelizumab, cyclophosphamide, prednisone, hydrocortisone, hydrocortisone acetate, cortisone acetate, thixocortol pivalate, prednisolone, methylprednisolone, triamcinolone acetonide, triamcinolone alcohol, mometasone, amcinonide, budesonide, desonide, fluocinonide, fluocinolone acetonide, galcinonide, betamethasone, betamethasone sodium phosphate, dexamethasone, dexamethasone sodium phosphate, fluocortolone, hydrocortisone-17-valerate, halomethasone, aclomethasone, betapropionate, betamethasone dipropionate , betamethasone dipropionate, prednicarbate, clobetasone-17-butyrate, clobetasol-17-propionate, fluocortolone caproate, fluocortolone pivalate, flupredniden acetate, hydrocortisone-17-butyrate, hydrocortisone-17-aceponate, hydrocortisone-17-buteprate, ciclesonide and prednicarbate, GB -0998, immuglo, begelomab, alefacept, aldesleukin, gevokizumab, daclizumab, basilixumab, inolimomab, beperminogen perplasmid, sirukumab, tocilizumab, clasakizumab, mepolizumab, fingolimod, panobinostat, triciribine, nilotinib, imatinib, tofacitinib, infcitomelotinib, pecitomelotinib , PEG-bHb-CO, etanercept, ixazomib, bortezomib, muromonab, teloxizumab, husperimus, brentuximab vedotin, ponesimod, KRP-203, FG-3019, emricasan, corticotropin, ibrutinib, synrise, conestat, methoxypolyethylene glycol-epoetin beta, belimumab, blisibimod, atacicept, seliciclib, neihulizumab, everolimus, sirolimus, denileukin diphytox, LMB-2, natalizumab, catridecacog, cyclosporine, tacrolimus, voclosporin, canakinumab, mycophenolate, mizoribine, CE-1145, TK-DLI, abatacept, belatacept, olmesartan medoxomil, TXA-127, BIIB-023, alemtuzumab, pentostatin, itolizumab, palifermin, leflunomide, PRO-140, cenicriviroc, fostamatinib, anifrolumab, sifalimumab, BAX-069, BG-00011, losmapimod, QPI-1002, ShigamAbs, TZ-101, F-652, reparixin, ladarixin, PTX-9908, aganirsen, APH-703, sotrastaurine, milatuzumab, SM-101, T-Guard, APG-101, DEX-M74, cardiotrophin-1, tiprelestat, ASKP-1240, BMS- 986004, HPH-116, KD-025, OPN-305, TOL-101, defibrotide, pomalidomide, thymoglobulin, laquinimod, remestemcel-L, equine anti-thymocyte immunoglobulin, stempeicel, LIV-gamma, Octagam 10%, t2c-001, 99mTc-sestamibi, Clairyg, Prosorba, Pomalidomide, Laquinimod, Teplizumab, FCRx, Solnatide, Foralumab, ATIR-101, BPX-501, ACP-01, ALLO-ASC-DFU, Irbesartan + Progermanium, ApoCell, Cannabidiol, RGI-2001, Saratin, anti-CD3 bivalent antibody-diphtheria toxin conjugate, NOX-100, LT-1951, OMS721, ALN-CC5, ACH-4471, AMY-101, Acthar gel and CD4+CD25+ regulatory T cells, MEDI7814, P32, P59 , pembrolizumab, nivolumab, atezolizumab, avelumab, durvalumab, CCX354, CCX721, CCX9588, CCX140, CCX872, CCX598, CCX6239, CCX587, CCX624, CCX282, CCX025, CCX507, CCX430, CCX765, CCX6, CCX7158 their combinations.

The disease or disorder to be treated determines which additional therapeutic agent or therapeutic agents are most suitable for administration in combination with the compounds of the present invention - this can be determined by a person skilled in the art.

The weight ratio of the compound of the present invention to the second active ingredient may vary and depends on the effective dosage of each ingredient. Generally, an effective dosage of each ingredient is used. Thus, for example, when a compound of the present invention is combined with an NSAID, the weight ratio of the compound of the present invention to the NSAID is typically in the range of about 1000:1 to about 1:1000, preferably about 200:1 to about 1:200. Combinations of a compound of the present invention and other active ingredients will usually also fall within the indicated ranges, but in each case the effective dosage of each active ingredient should be used.

Non-pharmaceutical applications

In another aspect of the present invention, the compounds of the present invention can be used in various non-pharmaceutical in vitro and in vivo applications. For example, the compounds of the present invention can be labeled and used as a probe for detection and localization of the C5a receptor (cell preparations or tissue section samples). The compounds of the present invention can also be used as positive controls in C5a receptor activity assays, i.e. as standards for determining the ability of a candidate to bind to the C5a receptor, or as radioactively labeled tracers for positron emission tomography (PET) or single photon emission computed tomography (SPECT). Such methods can be used to characterize C5a receptors in living subjects. For example, a C5a receptor modulator can be labeled using a number of well-known techniques (eg, administering a radionuclide label such as tritium) and incubated with the sample for the appropriate incubation time (eg, first determined by tracking binding dynamics). After incubation, the unbound compound is removed (e.g., by washing) and the bound compound is detected by any method suitable for the label used (e.g., autoradiography or scintillation activity measurement for radioactively labeled compounds; spectroscopic methods can be used to detect luminescent groups and fluorescent groups ). For a control, a corresponding sample containing a labeled compound and a larger (eg, 10 times larger) amount of an unlabeled compound can be tested in a similar manner. A greater amount of detectable label remaining in the test sample than in the control sample indicates the presence of the C5a receptor in the sample. Detection including receptor autoradiography (receptor mapping) for the C5a receptor in cell cultures or tissue samples can be performed as described by Kuhar in sections 8,1,1-8,1,9 in Current Protocols in Pharmacology (1998) John Wiley & Sons , New York.

The compounds described herein may also be used in various well known cell separation techniques. For example, modulators can be coupled to the inner surface of a cell growth plate or other support, for use as affinity ligands to immobilize and consequently isolate C5a receptors (eg, to isolate receptor-expressing cells) in vitro. In one preferred application, a modulator associated with a fluorescent marker, such as fluorescein, is contacted with cells, which are then analyzed (or isolated) by fluorescent activated cell sorting (FACS).

- Examples

The following examples are given to illustrate and not to limit the scope of the present invention.

The reagents and solvents described below can be obtained from commercial sources such as Aldrich Chemical Co. (Milwaukee, Wisconsin, USA). ¹ H-NMR spectra were recorded on a Varian Mercury 400 MHz NMR spectrometer. Chemical shift values are given relative to tetramethylsilane (TMS) and are described in order of multiplicity (s, singlet; d, doublet; t, triplet; q, quartet; m, multiplet) and number of protons. Mass spectrometry results are given as mass divided by charge followed by the relative intensity of each ion (in brackets). In the examples, one m/e value is given for each M+H (or MH if indicated) of an ion containing the most common atomic isotopes. In all cases, the isotopic distribution corresponds to the expected formula. Electrospray ionization (ESI) mass spectrometry was performed on a Hewlett-Packard MSD electrospray ionization mass spectrometer equipped with an HP1100 HPLC for sample injection. Typically, the analyte was dissolved in methanol at a concentration of 0.1 mg/ml, and 1 microliter of the resulting solution was injected into a mass spectrometer scanning ions in the range from 100 to 1500 daltons. All compounds were analyzed in positive ion ESI mode using acetonitrile/water with 1% formic acid as solvent. The compounds described below can be analyzed in ESI mode with negative ion detection using 2 mM NH ₄ OAc in acetonitrile/water as solvent.

In the Examples and in the rest of the application, the following abbreviations apply:

EtOH: Ethanol

EtONa: Sodium ethoxide

THF: Tetrahydrofuran

TLC: Thin layer chromatography

MeOH: Methanol

The compounds of the present invention can be synthesized as described below using a variety of reactions known to those skilled in the art. One of skill in the art will also appreciate that alternative methods for synthesizing the target compounds may be used, and that the approaches used herein are not intended to be exhaustive, but provide workable and practical methods for preparing the compounds of the present invention.

Some of the molecules claimed in this patent may exist in various enantiomeric and diastereomeric forms, and all such compound variants are within the scope of the present invention.

The detailed description of the experimental procedures used to synthesize the key compounds in this text leads to molecules that are described by physical data that identifies them, as well as chemical structure images that describe them.

Those skilled in the art will also appreciate that acids and bases are often used during standard processing procedures in organic chemistry. Occasionally, during the experimental procedures described in this text, salts of the parent compounds are formed if they have the required intrinsic acidity or basicity.

Synthesis of intermediate 1: 3-(6-chloro-7-methoxy-1H-indol-4-yl)-2-(2,6-diethylphenyl)-5-(5-(trifluoromethyl)pyrimidin-2-yl)-4 ,5,6,7-tetrahydro-2H-pyrazolo[4,3-c]pyridine

Caution: Formation of diazonium compounds is potentially dangerous, please be careful and use proper personal protective equipment!

Step a: To a 250 ml flask containing 90 ml concentrated hydrochloric acid was added 2,6-diethylaniline (10.0 g, 67.0 mmol) with magnetic stirring. The reaction mixture was stirred for 30 minutes and cooled in an ice/salt bath to an internal flask temperature of -5°C. A solution of sodium nitrite (5.5 g, 80.0 mmol) in water (60 ml) was slowly added to the resulting mixture, keeping the internal temperature below 5°C.

Separately, with mechanical stirring, dihydrate tin(II) chloride (31.6 g, 140 mmol) was added to a 500 ml 3-necked round bottom flask, into which concentrated hydrochloric acid (60 ml) was first poured. The resulting solution was then cooled in an ice bath.

The diazonium salt slurry was then filtered into a 500 ml flask containing chilled tin chloride solution with vigorous stirring. After 90 minutes, the reaction mixture was transferred to a 500 ml Erlenmeyer flask and the flask was washed with water (20 ml) and chloroform (8 ml). The combined mixture was stirred overnight at room temperature. The entire liquid layer was decanted to give a wet solid. The resulting material was dried in vacuo for one day and then transferred to a 500 ml three neck round bottom flask equipped with an overhead mechanical stirrer and stirred with ether (180 ml). The resulting mixture was cooled in an ice bath, and NaOH solution (10N, 30 ml) was slowly added to the resulting mixture, keeping the internal temperature below 12°C. After the addition, the mixture was left for 2 hours in an ice bath. The ethereal layer was decanted into a 500 ml flask and a stream of hydrogen chloride was passed through this ethereal solution with stirring. The precipitate that formed was filtered off to give (2,6-diethylphenyl)hydrazine hydrochloride. MS: (ES) m/z calculated for C ₁₀ H ₁₇ N ₂ [M+H] ⁺ 165.1, found 165.1.

Step b: N,N-diisopropylethylamine (8 ml, 46.0 mmol) was added to a mixture of (2,6-diethylphenyl)hydrazine hydrochloride (8 g, 39.9 mmol), tert-butyl 3-cyano-4-oxo-piperidine- 1-carboxylate (5 g, 22.3 mmol) and EtOH (60 ml) in a 250 ml round bottom flask with magnetic stirring. The resulting mixture was stirred at the boil for 3 hours. Glacial acetic acid (12 mL, 208 mmol) was added and the mixture was stirred at reflux for an additional 2 hours. The solvent was removed under reduced pressure, the residue was dissolved in EtOAc and washed with NaOH solution (2N), saturated sodium chloride solution and dried over MgSO ₄ . The solvent was removed under reduced pressure and the residue was purified by silica gel flash chromatography (5-55% EtOAc in hexanes) to give t-butyl 3-amino-2-(2,6-diethylphenyl)-6,7-dihydro-2H -pyrazolo[4,3-c]pyridine-5(4H)-carboxylate. MS: (ES) m/z calculated for C ₂₁ H ₃₁ N ₄ O ₂ [M+H] ⁺ 371.2, found 371.2.

Caution: Formation of diazonium compounds is potentially hazardous, please be careful and use proper personal protective equipment!

Isopentyl nitrite (4 ml, 28.6 mmol) was added slowly at room temperature to a mixture of tert-butyl 3-amino-2-(2,6-diethylphenyl)-6,7-dihydro-2H-pyrazolo[4,3-c ]pyridine-5(4H)-carboxylate (3 g, 8.1 mmol), CuBr (4 g, 27.9 mmol) and MeCN (50 ml) in a 250 ml round bottom flask with stirring on a magnetic stirrer. The resulting mixture was stirred at room temperature for 1 hour, diluted with ethyl acetate, filtered through celite, washed with saturated NH ₄ Cl solution and dried over MgSO ₄ . The solvent was removed under reduced pressure and the residue was purified by silica gel flash chromatography (2-25% EtOAc in hexane) to give tert-butyl 3-bromo-2-(2,6-diethylphenyl)-6,7-dihydro-2H -pyrazolo[4,3-c]pyridine-5(4H)-carboxylate. MS: (ES) m/z calculated for C ₂₁ H ₂₉ BrN ₃ O ₂ [M+H] ⁺ 434.1, found 434.2.

Step c: Iodomethane (1.5 ml, 24 mmol) was added to a suspension of 4-bromo-2-chloro-6-nitrophenol (3.2 g, 12.7 mmol) and K ₂ CO ₃ (3 g, 21.7 mmol) in DMF (40 ml) in a 250 ml round bottom flask with magnetic stirring. The resulting mixture was stirred at 45°C for 4 hours, diluted with ethyl acetate, washed with saturated sodium chloride solution and dried over MgSO ₄ . The solvent was removed under reduced pressure and the residue was purified by silica gel flash chromatography (2-25% EtOAc in hexane) to give 5-bromo-1-chloro-2-methoxy-3-nitrobenzene. MS: (ES) m/z calculated for C ₇ H ₆ BrClNO ₃ [M+H] ⁺ 265.9, found 265.9.

A solution of vinylmagnesium bromide in THF (1 M, 40 ml, 40 mmol) was quickly added to a solution of 5-bromo-1-chloro-2-methoxy-3-nitrobenzene (3.2 g, 12 mmol) in anhydrous THF (40 ml) under nitrogen atmosphere and with vigorous stirring at -60°C. The reaction mixture was left to warm to -30°C for 1.5 hours. The reaction was quenched with saturated aqueous NH ₄ Cl and the mixture was allowed to warm to room temperature over 1 hour. The reaction mixture was diluted with ethyl acetate, washed with saturated sodium chloride solution and dried over MgSO ₄ . The solvent was removed under reduced pressure and the residue was purified by silica gel flash chromatography (2-20% EtOAc in hexane) to give 4-bromo-6-chloro-7-methoxy-1H-indole. MS: (ES) m/z calculated for C ₉ H ₈ BrClNO [M+H] ⁺ 259.9, found 259.9.

To a suspension of 4-bromo-6-chloro-7-methoxy-1H-indole (1.2 g, 4.6 mmol), 4,4,4',4',5,5,5',5'-octamethyl Pd( dppf)Cl ₂ with dichloromethane (600 mg, 0.73 mmol). The reaction mixture was degassed (N ₂ ) 2 minutes and stirred at 120°C for 2 hours. The reaction mixture was diluted with ethyl acetate, filtered through celite, washed with saturated sodium chloride solution and dried over MgSO ₄ . The solvent was removed under reduced pressure and the residue was purified by silica gel flash chromatography (5-20% EtOAc in hexane) to give 6-chloro-7-methoxy-4-(4,4,5,5-tetramethyl-1,3 ,2-dioxaborolan-2-yl)-1H-indole. MS: (ES) m/z calculated for C ₁₅ H ₂₀ BClNO ₃ [M+H] ⁺ 308.1, found 308.1.

Into a suspension of tert-butyl 3-bromo-2-(2,6-diethylphenyl)-6,7-dihydro-2H-pyrazolo[4,3-c]pyridine-5(4H)-carboxylate (600 mg, 1.4 mmol), 6-chloro-7-methoxy-4-(4,4,5,5-tetramethyl-1,3,2-dioxaborolan-2-yl)-1H-indole (550 mg, 1.8 mmol) and Pd(dppf)Cl ₂ complex with dichloromethane (300 mg, 0.37 mmol) was added to K ₂ CO ₃ (500 mg, 3.6 mmol) in p-dioxane (6 ml) and H ₂ O (1 ml). The reaction mixture was degassed (N ₂ ) 2 minutes and stirred under nitrogen at 100° C. for 2 hours. The reaction mixture was diluted with ethyl acetate, filtered through celite, washed with saturated sodium chloride solution and dried over MgSO ₄ . The solvent was removed under reduced pressure and the residue was purified by silica gel flash chromatography (5-20% EtOAc in hexane) to give tert-butyl 3-(6-chloro-7-methoxy-1H-indol-4-yl)-2- (2,6-diethylphenyl)-6,7-dihydro-2H-pyrazolo[4,3-c]pyridine-5(4H)-carboxylate. MS: (ES) m/z calculated for C ₃₀ H ₃₆ ClN ₄ O ₃ [M+H] ⁺ 535.2.1, found 535.2.

The above-described tert-butyl 3-(6-chloro-7-methoxy-1H-indol-4-yl)-2-(2,6-diethylphenyl)-6,7-dihydro-2H-pyrazolo[4,3-c ]pyridine-5(4H)-carboxylate was dissolved in dichloromethane (5 ml) and 4N was added. HCl solution in dioxane (5 ml, 20 mmol). The resulting mixture was stirred at room temperature for 2 hours. After completion of the reaction, the solvent was evaporated in vacuo to give 3-(6-chloro-7-methoxy-1H-indol-4-yl)-2-(2,6-diethylphenyl)-4,5,6,7-tetrahydro- 2H-pyrazolo[4,3-c]pyridine hydrochloride. MS: (ES) m/z calculated for C ₂₅ H ₂₉ ClN ₄ O [M+H] ⁺ 435.2, found 435.2.

Step d: N,N-diisopropylethylamine (0.2 ml, 1.15 mmol) was added to the suspension of 3-(6-chloro-7-methoxy-1H-indol-4-yl)-2-(2,6-diethylphenyl )-4,5,6,7-tetrahydro-2H-pyrazolo[4,3-c]pyridine hydrochloride (100 mg, 0.21 mmol), 2-chloro-5-(trifluoromethyl)pyrimidine (45 mg, 0, 25 mmol) and Li ₂ CO ₃ (20 mg, 0.27 mmol) in MeCN (10 ml) with magnetic stirring. The resulting mixture was stirred at 75°C for 30 minutes. After cooling to room temperature, the reaction mixture was diluted with ethyl acetate, washed with saturated sodium chloride solution and dried over MgSO ₄ . The solvent was removed under reduced pressure and the residue was purified by preparative TLC (40% EtOAc in hexane), then triturated in MeOH to give 3-(6-chloro-7-methoxy-1H-indol-4-yl)-2-(2 ,6-diethylphenyl)-5-(5-(trifluoromethyl)pyrimidin-2-yl)-4,5,6,7-tetrahydro-2H-pyrazolo[4,3-c]pyridine. ¹ H NMR (400 MHz, CDCl ₃ ) δ 8.48 (s, 2H), 8.46 (s, 1H), 7.06-7.27 (m, 4H), 6.62 (d, J= 1.0 Hz, 1H), 6.42-6.49 (m, 1H), 4.83 (s, 2H), 4.36 (t, J=5.7 Hz, 2H), 4.00 ( s, 3H), 3.03 (t, J=5.7 Hz, 2H), 2.10-2.40 (m, 4H), 0.80-1.08 (m, 6H). MS: (ES) m/z calculated for C ₃₀ H ₂₉ ClF ₃ N ₆ O [M+H] ⁺ 581.2, found 581.2.

Synthesis of intermediate 2: [4-[2-(2,6-diethylphenyl)-5-[5-(trifluoromethyl)pyrimidin-2-yl]-6,7-dihydro-4H-pyrazolo[4,3-c]pyridine -3-yl]-5-fluoro-1H-indol-7-yl]methanol

Step a: A solution of vinyl magnesium bromide in THF (1M, 341 mL, 341 mmol) was added to a solution of 4-bromo-5-fluoro-2-nitrobenzoic acid (15.0 g, 56.8 mmol) in anhydrous THF (200 mL) under nitrogen atmosphere at -50°C. The reaction mixture was stirred at the same temperature and left to warm to -40°C for 1.5 hours. The reaction mixture was quenched with saturated aqueous NH ₄ Cl and allowed to warm to room temperature over 1 hour. The reaction mixture was acidified with 1N. aqueous HCl solution, diluted with ethyl acetate, washed with saturated sodium chloride solution and dried over Na ₂ SO ₄ . The solvent was removed under reduced pressure to give a crude residue.

The crude residue described above was stirred in a mixture of H ₂ SO ₄ (25 ml) and MeOH (250 ml) at reflux for 5 hours. Then cooled to room temperature and evaporated under reduced pressure. The resulting residue was diluted with ethyl acetate and saturated sodium chloride solution. The organic layer was separated, dried over Na ₂ SO ₄ , evaporated under reduced pressure and purified by silica gel flash chromatography (0-50% EtOAc in hexane) to give methyl 4-bromo-5-fluoro-1H-indole-7-carboxylate . MS: (ES) m/z calculated for C ₁₀ H ₈ BrFNO ₂ [M+H] ⁺ 271.9, found 271.9.

To a suspension of methyl 4-bromo-5-fluoro-1H-indole-7-carboxylate (0.900 g, 3.3 mmol), 4,4,4',4',5,5,5',5'-octamethyl- Pd(dppf )Cl ₂ with dichloromethane (400 mg, 0.49 mmol). The reaction mixture was degassed (N ₂ ) 2 minutes and stirred at 115°C for 1.5 hours. The reaction mixture was diluted with ethyl acetate, filtered through celite, washed with saturated sodium chloride solution and dried over Na ₂ SO ₄ . The solvent was removed under reduced pressure and the residue was purified by silica gel flash chromatography (0-100% CH ₂ Cl ₂ /hexane) to give methyl 5-fluoro-4-(4,4,5,5-tetramethyl-1,3 ,2-dioxaborolan-2-yl)-1H-indole-7-carboxylate. MS: (ES) m/z calculated for C ₁₆ H ₂₀ BFNO ₄ [M+H] ⁺ 320.1, found 320.1.

To a suspension of tert-butyl 3-bromo-2-(2,6-diethylphenyl)-6,7-dihydro-2H-pyrazolo[4,3-c]pyridine-5(4H)-carboxylate (1.00 g, 2 .31 mmol), methyl 5-fluoro-4-(4,4,5,5-tetramethyl-1,3,2-dioxaborolan-2-yl)-1H-indole-7-carboxylate (740 mg, 2.31 mmol) and K ₂ CO ₃ (1.28 g, 9.24 mmol) in p-dioxane (14 ml) and water (2.5 ml) was added a complex of Pd(dppf)Cl ₂ with dichloromethane (400 mg, 0. 49 mmol). The reaction mixture was degassed (N ₂ ) 2 minutes and stirred under nitrogen at 100° C. for 2.5 hours. The reaction mixture was diluted with ethyl acetate, washed with an aqueous solution of NaHCO ₃ and dried over Na ₂ SO ₄ . The solvent was removed under reduced pressure and the residue was purified by silica gel flash chromatography (0-70% EtOAc in hexanes) to give t-butyl 2-(2,6-diethylphenyl)-3-(5-fluoro-7-methoxycarbonyl- 1H-indol-4-yl)-6,7-dihydro-4H-pyrazolo[4,3-c]pyridine-5-carboxylate. MS: (ES) m/z calculated for C ₃₁ H ₃₆ FN ₄ O ₄ [M+H] ⁺ 547.2, found 547.2.

Step b: The above-described tert-butyl 2-(2,6-diethylphenyl)-3-(5-fluoro-7-methoxycarbonyl-1H-indol-4-yl)-6,7-dihydro-4H-pyrazolo[4, 3-c]pyridine-5-carboxylate (1.00 g, 1.83 mmol) was dissolved in THF (35 ml) and a solution of LiAlH ₄ in ether (1M, 2.7 ml) was added at 0°C. The resulting mixture was stirred at 0°C for 40 minutes. Then extinguished with water, diluted with a mixture of IPA/CHCl ₃ (1:3), washed with saturated sodium chloride solution and dried over Na ₂ SO ₄ . The solvent was removed under reduced pressure and the residue was purified by silica gel flash chromatography (0-90% EtOAc in hexane) to give t-butyl 2-(2,6-diethylphenyl)-3-[5-fluoro-7-(hydroxymethyl )-1H-indol-4-yl]-6,7-dihydro-4H-pyrazolo[4,3-c]pyridine-5-carboxylate. MS: (ES) m/z calculated for C ₃₀ H ₃₆ FN ₄ O ₃ [M+H] ⁺ 519.2, found 519.2.

The above-described tert-butyl 2-(2,6-diethylphenyl)-3-(5-fluoro-7-(hydroxymethyl)-1H-indol-4-yl]-6,7-dihydro-4H-pyrazolo[4,3 -c]pyridine-5-carboxylate (650 mg, 1.25 mmol) was dissolved in dichloromethane (13 ml) and a 4N solution of HCl in dioxane (35 ml, 140 mmol) was added.The resulting mixture was stirred at room temperature for 1.5 hours After completion of the reaction, the solvent was evaporated in vacuo to give [4-[2-(2,6-diethylphenyl)-4,5,6,7-tetrahydropyrazolo[4,3-c]pyridin-3-yl]-5-fluoro -1H-indol-7-yl]methanol hydrochloride MS: (ES) m/z calculated for C ₂₅ H ₂₈ FN ₄ O [M+H] ⁺ 419.2, found 419.2.

Step c: Triethylamine (1.50 ml, 10.7 mmol) was added to the suspension of [4-[2-(2,6-diethylphenyl)-4,5,6,7-tetrahydropyrazolo[4,3-c]pyridine- 3-yl]-5-fluoro-1H-indol-7-yl] methanol hydrochloride (600 mg, 1.32 mmol) and 2-chloro-5-(trifluoromethyl)pyrimidine (350 mg, 1.9 mmol) in MeCN (70 ml). The resulting mixture was stirred at 80°C for 30 minutes. After cooling to room temperature, the reaction mixture was diluted with ethyl acetate, washed with an aqueous solution of NaHCO ₃ and dried over Na ₂ SO ₄ . The solvent was removed under reduced pressure and the residue was purified by silica gel flash chromatography (0-90% EtOAc in hexane) to give [4-[2-(2,6-diethylphenyl)-5-[5-(trifluoromethyl)pyrimidine- 2-yl]-6,7-dihydro-4H-pyrazolo[4,3-c]pyridin-3-yl]-5-fluoro-1H-indol-7-yl]methanol. ¹ H NMR (400 MHz, CDCl ₃ ) δ 9.05 (br s, 1H), 8.47 (br s, 2 H), 7.27 (m, 1H), 7.16 (m, 2H ), 6.86 (d, J=7.26 Hz, 1H), 6.56 (d, J=10.0 Hz, 1H), 6.37 (t, J=2.6 Hz, 1H), 4.88 (m, 3H), 4.68 (d, J=16.4 Hz, 1H), 4.43 (m, 1H), 4.29 (m, 1H), 3.04 (t, J =6.0 Hz, 2H), 2.38-2.58 (m, 3H), 2.17 (sextet, J=7.3 Hz, 1H), 1.94 (sextet, J=7.3 Hz , 1H), 1.21 (t, J=7.4 Hz, 3H), 0.75 (t, J=7.4 Hz, 3H). MS: (ES) m/z calculated for C ₃₀ H ₂₉ F ₄ N ₆ O [M+H] ⁺ 565.2, found 565.2.

Synthesis of intermediate 3: 1-(4-(5-(2,4-bis(trifluoromethyl)benzyl)-2-(2,6-diethylphenyl)-6,6-dimethyl-2,4,5,6-tetrahydropyrrolo[ 3,4-c]pyrazol-3-yl)-2,5-difluorophenyl)urea

Step a: Pyridine (4.0 ml, 49.5 mmol) was added to a mixture of (2,6-diethylphenyl) hydrazine hydrochloride (5.0 g, 24.9 mmol), tert-butyl 4-cyano-2,2- dimethyl 3-oxopyrrolidine-1-carboxylate (5.0 g, 21.0 mmol) and EtOH (60 ml) in a 250 ml round bottom flask with magnetic stirring. The resulting mixture was stirred at 70°C for 24 hours. The solvent was removed under reduced pressure, the residue was diluted with ethyl acetate and washed with aqueous citric acid, saturated aqueous NaHCO ₃ , saturated aqueous sodium chloride and dried over MgSO ₄ . The solvent was removed under reduced pressure and the residue was crystallized from cyclohexane to give tert-butyl 3-amino-2-(2,6-diethylphenyl)-6,6-dimethyl-2,6-dihydropyrrolo[3,4-c]pyrazole- 5(4H)-carboxylate. MS: (ES) m/z calculated for C ₂₂ H ₃₃ N ₄ O ₂ [M+H] ⁺ 385.2, found 385.2.

Caution: Formation of diazonium compounds is potentially dangerous, please be careful and use proper personal protective equipment!

Tert-butyl nitrite (0.5 ml, 3.8 mmol) was added slowly at room temperature to a mixture of tert-butyl 3-amino-2-(2,6-diethylphenyl)-6,6-dimethyl-2,6-dihydropyrrolo[ 3,4-c]pyrazole-5(4H)-carboxylate (1 g, 2.6 mmol), diiodomethane (1.5 ml, 18.6 mmol) and MeCN (15 ml) in a 100 ml round bottom flask with stirring on a magnetic stirrer. The resulting mixture was stirred at 45°C for 3 hours, then diluted with toluene, washed with saturated NH ₄ Cl/NH ₄ OH (3:1), saturated aqueous sodium chloride and dried over MgSO ₄ . The solvent was removed under reduced pressure and the residue was purified by silica gel flash chromatography (2 to 25% EtOAc in hexanes) to give t-butyl 2-(2,6-diethylphenyl)-3-iodo-6,6-dimethyl- 2,6-dihydropyrrolo[3,4-c]pyrazole-5(4H)-carboxylate. MS: (ES) m/z calculated for C ₂₂ H ₃₁ IN ₃ O ₂ [M+H] ⁺ 496.1, found 496.2.

Step b: Mixture of 4-bromo-2,5-difluoroaniline (1.5 g, 7.2 mmol), 4,4,4',4',5,5,5',5'-octamethyl-2,2 '-bi(1,3,2-dioxaborolane) (2.2 g, 8.7 mmol), KOAc (1.8 g, 18.3 mmol) and Pd(dppf)Cl ₂ complex with dichloromethane (580.0 mg, 0.7 mmol) in dioxane (12 ml) was stirred at 95° C. for 2 hours under nitrogen. The resulting mixture was then cooled to room temperature and filtered through celite. The filtrate was collected, evaporated under reduced pressure and purified by silica gel flash chromatography (0 to 50% EtOAc in hexane) to give 2,5-difluoro-4-(4,4,5,5-tetramethyl-1,3, 2-dioxaborolan-2-yl)aniline. MS: (ES) m/z calculated for C ₁₂ H ₁₇ BF ₂ NO ₂ [M+H] ⁺ 256.1, found 256.2.

Into a suspension of tert-butyl 2-(2,6-diethylphenyl)-3-iodo-6,6-dimethyl-2,6-dihydropyrrolo[3,4-c]pyrazole-5(4H)-carboxylate (0.7 g , 1.4 mmol), 2,5-difluoro-4-(4,4,5,5-tetramethyl-1,3,2-dioxaborolan-2-yl)aniline (0.7 g, 2.7 mmol) , K ₂ CO ₃ (1.3 g, 7.2 mmol) in dioxane (10 ml) and water (2 ml) was added a complex of Pd(dppf)Cl ₂ with dichloromethane (300.0 mg, 0.37 mmol). The reaction mixture was degassed (N ₂ ) for 2 minutes and stirred under N ₂ at 100° C. for 2 hours. The reaction mixture was diluted with ethyl acetate, filtered through celite, washed with saturated sodium chloride solution, dried over MgSO ₄ and filtered. The solvent was evaporated under reduced pressure and the residue was purified by silica gel flash chromatography (2 to 10% EtOAc in hexane) to give tert-butyl 3-(4-amino-2,5-difluorophenyl)-2-(2,6 -diethylphenyl)-6,6-dimethyl-2,6-dihydropyrrolo[3,4-c]pyrazole-5(4H)-carboxylate. MS: (ES) m/z calculated for C ₂₈ H ₃₅ F ₂ N ₄ O ₂ [M+H] ⁺ 497.3, found 497.5.

Step c: tert-Butyl mixture -5(4H)-carboxylate (0.5 g, 1.0 mmol) and benzoyl isocyanate (0.5 g, 3.4 mmol) in THF (10 ml) were stirred for 3 hours at room temperature. The resulting mixture was evaporated under reduced pressure to give tert-butyl 3-(4-(3-benzoylureido)-2,5-difluorophenyl)-2-(2,6-diethylphenyl)-6,6-dimethyl-2,6-dihydropyrrolo [3,4-c]pyrazole-5(4H)-carboxylate.

tert-Butyl mixture pyrazole-5(4H)-carboxylate (~1.0 mmol, see above) and K ₂ CO ₃ (1.3 g, 7.2 mmol) in MeOH (15 ml) were stirred for 2 hours at room temperature and then 20 minutes at 50°C. The resulting mixture was extracted with ethyl acetate. The organic layer was separated, dried over MgSO ₄ , evaporated under reduced pressure and purified by silica gel flash chromatography (10 to 50% EtOAc in hexane) to give tert-butyl 2-(2,6-diethylphenyl)-3-(2 ,5-difluoro-4-ureidophenyl)-6,6-dimethyl-2,6-dihydropyrrolo[3,4-c]pyrazole-5(4H)-carboxylate. MS: (ES) m/z calculated for C ₂₉ H ₃₆ F ₂ N ₅ O ₃ [M+H] ⁺ 540.3, found 540.3.

Step d: The above-described tert-butyl 2-(2,6-diethylphenyl)-3-iodo-6,6-dimethyl-2,6-dihydropyrrolo[3,4-c]pyrazole-5(4H)-carboxylate was dissolved in dichloromethane (10 ml) and a solution of HCl in dioxane (4N, 5 ml) was added. The resulting mixture was stirred at room temperature for 12 hours. After completion of the reaction, the solvent was evaporated in vacuo to give 1-(4-(2-(2,6-diethylphenyl)-6,6-dimethyl-2,4,5,6-tetrahydropyrrolo[3,4-c]pyrazole-3 -yl)-2,5-difluorophenyl)urea hydrochloride. MS: (ES) m/z calculated for C ₂₄ H ₂₈ F ₂ N ₅ O [M+H] ⁺ 440.2, found 440.3.

Step e: N,N-diisopropylethylamine (0.2 ml, 1.2 mmol) was added to a suspension of 1-(4-(2-(2,6-diethylphenyl)-6,6-dimethyl-2,4,5, 6-tetrahydropyrrolo[3,4-c]pyrazol-3-yl)-2,5-difluorophenyl)urea hydrochloride (0.1 g, 0.2 mmol) and 2,4-bis(trifluoromethyl) benzaldehyde (0.2 g, 0.8 mmol) in 1,2-dichloroethane (10 ml) with stirring on a magnetic stirrer. After stirring at room temperature for 10 minutes, NaBH(OAc) ₃ (0.3 g, 1.4 mmol) was added portionwise. The resulting mixture was stirred at 45°C for 2 hours. After cooling to room temperature, the reaction mixture was diluted with ethyl acetate, washed with aqueous NaHCO ₃ , saturated aqueous sodium chloride and dried over MgSO ₄ . The solvent was removed under reduced pressure and the residue was purified by preparative TLC (50% EtOAc in hexane) then HPLC (MeCN/H ₂ O with 1% TFA) to give 1-(4-(5-(2,4- bis(trifluoromethyl)benzyl)-2-(2,6-diethylphenyl)-6,6-dimethyl-2,4,5,6-tetrahydropyrrolo[3,4-c]pyrazol-3-yl)-2,5- difluorophenyl)urea. ¹ H NMR (400 MHz, CDCl ₃ ) δ 8.18 (d, J=8.3 Hz, 1H), 7.88-7.98 (m, 2H), 7.75-7.83 (m, 1H), 7.31 (t, J=7.7 Hz, 1H), 7.14 (d, J=7.7 Hz, 2H), 6.79-6.85 (broad, 1H), 6, 40 (dd, J=6.5, 12.1 Hz, 1H), 4.79 (s, 2H), 4.13 (s, 2H), 3.74 (s, 2H), 2.20-2 .34 (m, 4H), 1.51 (s, 6H), 1.06 (t, J=7.6 Hz, 6H). MS: (ES) m/z calculated for C ₃₃ H ₃₂ F ₈ N ₅ O [M+H] ⁺ 666.2, found 666.2.

Synthesis of intermediate 4: 4-(5-(2,4-bis(trifluoromethyl)benzyl)-2-(2,6-diethylphenyl)-6,6-dimethyl-2,4,5,6-tetrahydropyrrolo[3,4 -c]pyrazol-3-yl)-7-fluoro-1H-indole

Step a: tert-Butyl 2-(2,6-diethylphenyl)-3-iodo-6,6-dimethyl-2,6-dihydropyrrolo[3,4-c]pyrazole-5(4H)-carboxylate prepared as described above dissolved in dichloromethane (10 ml) and added 4n. HCl solution in dioxane (5 ml, 20 mmol). The resulting mixture was stirred at room temperature for 12 hours. After completion of the reaction, the solvent was evaporated in vacuo to give 2-(2,6-diethylphenyl)-3-iodo-6,6-dimethyl-2,4,5,6-tetrahydropyrrolo[3,4-c]pyrazole hydrochloride. MS: (ES) m/z calculated for C ₁₇ H ₂₃ IN ₃ [M+H] ⁺ 396.1, found 396.2.

N,N-diisopropylethylamine (0.3 ml, 1.73 mmol) was added to a suspension of 2-(2,6-diethylphenyl)-3-iodo-6,6-dimethyl-2,4,5,6-tetrahydropyrrolo[3 ,4-c]pyrazole hydrochloride (680.0 mg, 1.57 mmol) and 2,4-bis(trifluoromethyl)benzaldehyde (800 mg, 3.3 mmol) in 1,2-dichloroethane (10 mL) with stirring for magnetic stirrer. After stirring at room temperature for 10 minutes, NaBH(OAc) ₃ (800 mg, 3.77 mmol) was added portionwise. The resulting mixture was stirred at 45°C for 2 hours. After cooling to room temperature, the reaction mixture was diluted with ethyl acetate, washed with aqueous NaHCO ₃ , saturated aqueous sodium chloride and dried over MgSO ₄ . The solvent was removed under reduced pressure and the residue was purified by silica gel flash chromatography (2 to 25% EtOAc in hexane) to give 5-(2,4-bis(trifluoromethyl)benzyl)-2-(2,6-diethylphenyl) -3-iodo-6,6-dimethyl-2,4,5,6-tetrahydropyrrolo[3,4-c]pyrazole. MS: (ES) m/z calculated for C ₂₆ H ₂₇ F ₆ IN ₃ [M+H] ⁺ 622.1, found 622.1.

Step b: To a suspension of 4-bromo-7-fluoro-1H-indole (1.00 g, 4.67 mmol), bis(pinacolato)diborone (1.31 g, 5.14 mmol) and KOAc (1.15 g, 11.7 mmol) in dioxane (15 ml) was added a complex of Pd(dppf)Cl ₂ with dichloromethane (416 mg, 0.51 mmol). The reaction mixture was degassed with nitrogen for 2 minutes and stirred at 100° C. for 2 hours. The reaction mixture was cooled to room temperature, diluted with ethyl acetate and filtered through celite. The solvent was removed under reduced pressure and the residue was purified by silica gel flash chromatography (0-30% EtOAc in hexane) to give 7-fluoro-4-(4,4,5,5-tetramethyl-1,3,2-dioxaborolane -2-yl)-1H-indole. MS: (ES) m/z calculated for C ₁₄ H ₁₈ BFNO ₂ [M+H] ⁺ 262.1, found 262.1.

A mixture of 5-(2,4-bis(trifluoromethyl)benzyl)-3-iodo-2-(2,6-diethylphenyl)-6,6-dimethyl-2,4,5,6-tetrahydropyrrolo[3,4-c ]pyrazole (200 mg, 0.32 mmol), 7-fluoro-4-(4,4,5,5-tetramethyl-1,3,2-dioxaborolan-2-yl)-1H-indole (150 mg, 0 .57 mmol), K ₂ CO ₃ (276 mg, 2.0 mmol) and Pd(dppf)Cl ₂ complex with dichloromethane (60 mg, 0.07 mmol) in dioxane (6 ml) and water (1 ml) were stirred at 100°C for 5 hours under nitrogen atmosphere. The mixture was cooled to room temperature, diluted with ethyl acetate and filtered through a pad of celite. The filtrate was collected, evaporated in vacuo and the residue was purified by silica gel flash chromatography (0-50% EtOAc in hexane) to give 4-(5-(2,4-bis(trifluoromethyl)benzyl)-2-(2.6 -diethylphenyl)-6,6-dimethyl-2,4,5,6-tetrahydropyrrolo[3,4-c]pyrazol-3-yl)-7-fluoro-1H-indole. ¹ H NMR (400 MHz, CDCl ₃ ) δ 8.44 (s, 1H), 8.19 (d, J=8.0 Hz, 1H), 7.86 (s, 1H), 7.75 (d , J=8.4Hz, 1H), 7.22(m, 2H), 7.07(d, J=7.6Hz, 2H), 6.61(m, 1H), 6.47(m , 2H), 4.15 (s, 2H), 3.71 (s, 2H), 2.37 (m, 2H), 2.22 (m, 2H), 1.56 (s, 6H), 1 .00 (t, J=7.6 Hz, 6H). MS: (ES) m/z calculated for C ₃₄ H ₃₂ F ₇ N ₄ [M+H] ⁺ 629.2, found 629.2.

Example 1 Synthesis of (phosphonooxy)methyl 4-(5-(2,4-bis(trifluoromethyl)benzyl)-2-(2,6-diethylphenyl)-6,6-dimethyl-2,4,5,6-tetrahydropyrrolo [3,4-c]pyrazol-3-yl)-7-fluoro-1H-indole-1-carboxylate

Step a: To a stirred solution of 4-(5-(2,4-bis(trifluoromethyl)benzyl)-2-(2,6-diethylphenyl)-6,6-dimethyl-2,4,5,6-tetrahydropyrrolo[3 ,4-c]pyrazol-3-yl)-7-fluoro-1H-indole (240 mg, 0.35 mmol) in DMF was added NaH (60%, 60 mg, 1.5 mmol) at 0°C. The mixture was stirred at 0°C for 10 minutes, then dibenzyloxyphosphoryloxy-methyl chloroformate (263 mg, 0.71 mmol) was added at 0°C. The resulting mixture was stirred and allowed to warm to room temperature over 30 minutes. After the reaction was complete, the reaction was quenched with water, extracted with ethyl acetate, dried over Mg ₂ SO ₄ and evaporated in vacuo. The crude product was purified by silica gel chromatography (10-50% EtOAc in hexanes) to give ((bis(benzyloxy)phosphoryl)oxy)methyl 4-(5-(2,4-bis(trifluoromethyl)benzyl)-2-(2 ,6-diethylphenyl)-6,6-dimethyl-2,4,5,6-tetrahydropyrrolo[3,4-c]pyrazol-3-yl)-7-fluoro-1H-indole-1-carboxylate. MS: (ES) m/z calculated for C ₅₀ H ₄₇ F ₇ N ₄ O ₆ P [M+H] ⁺ 963.3, found 963.3.

Step b: To a solution of ((bis(benzyloxy)phosphoryl)oxy)methyl 4-(5-(2,4-bis(trifluoromethyl)benzyl)-2-(2,6-diethylphenyl)-6,6-dimethyl-2 ,4,5,6-tetrahydropyrrolo[3,4-c]pyrazol-3-yl)-7-fluoro-1H-indole-1-carboxylate (79 mg, 0.08 mmol) in ethyl acetate (40 ml) was added 10 % Pd/C (100 mg) and hydrogenated at 45 psi for 20 minutes. The reaction mixture was filtered through Celite, the precipitate was washed with 1:1 EtOAc/MeOH (15 ml) and evaporated to dryness. The residue was purified by HPLC (MeCN/H ₂ O, with 0.1% TFA) to give (phosphonooxy)methyl 4-(5-(2,4-bis(trifluoromethyl)benzyl)-2-(2,6-diethylphenyl) -6,6-dimethyl-2,4,5,6-tetrahydropyrrolo[3,4-c]pyrazol-3-yl)-7-fluoro-1H-indole-1-carboxylate. ¹ H NMR (400 MHz, d ₆ -DMSO) δ 8.13 (d, J=8.2 Hz, 1H), 8.01 (d, J=8.2 Hz, 1H), 7.95 (s , 1H), 7.80 (d, J=4.8 Hz, 1H), 7.30 (t, J=7.8 Hz, 1H), 7.12 (d, J=7.8 Hz, 2H ), 6.95 (dd, J=8.6, 12.1 Hz, 1H), 6.56-6.66 (m, 2H), 5.70 (d, J=14.4 Hz, 2H) , 4.15 (s, 2H), 3.60 (s, 2H), 3.35 (broad, 2H), 2.14-2.22 (m, 4H), 1.47 (s, 6H), 0.90 (t, J=7.6 Hz, 6H). MS: (ES) m/z calculated for C ₃₆ H ₃₅ F ₇ N ₄ O ₆ P [M+H] ⁺ 783.2, found 783.2.

- Example 2 Synthesis of (S)-(4-(5-(2,4-bis(trifluoromethyl)benzyl)-2-(2,6-diethylphenyl)-6,6-dimethyl-2,4,5,6 -tetrahydropyrrolo[3,4-c]pyrazol-3-yl)-7-fluoro-1H-indol-1-yl)-L-cysteine

Step a: To a stirred solution of di-tert-butyl 3,3'-disulfandiyl(2R,2'R)-bis(2-((tert-butoxycarbonyl)amino)propanoate) (830 mg, 1.5 mmol) in dichloroethane ( 6 ml) at 0°C was added thionyl chloride (0.14 ml, 1.9 mmol). The mixture was stirred at 0°C for 15 minutes, forming tert-butyl N-(tert-butoxycarbonyl)-S-chloro-L-cysteinate, which was used directly in the next step.

Into a stirred solution of 4-(5-(2,4-bis(trifluoromethyl)benzyl)-2-(2,6-diethylphenyl)-6,6-dimethyl-2,4,5,6-tetrahydropyrrolo[3,4- c]pyrazol-3-yl)-7-fluoro-1H-indole (240 mg, 0.35 mmol) in THF (10 ml) under nitrogen atmosphere at -45°C was added a 1M solution of LiHMDS in THF (0.8 ml , 0.8 mmol). After stirring for 15 minutes at -45°C, was added tert-butyl N-(tert-butoxycarbonyl)-S-chloro-L-cysteinate obtained as described above (~1.5 mmol). The resulting mixture was stirred and allowed to warm to room temperature over 30 minutes. After completion, the reaction was quenched with water, extracted with ethyl acetate, dried over MgSO ₄ and evaporated in vacuo. The crude product was purified by silica gel chromatography (10-50% EtOAc in hexanes) to give tert-butyl (S)-(4-(5-(2,4-(trifluoromethyl)benzyl)-2-(2,6-diethylphenyl )-6,6-dimethyl-2,4,5,6-tetrahydropyrrolo[3,4-c]pyrazol-3-yl)-7-fluoro-1H-indol-1-yl)-N-(tert-butoxycarbonyl )-L-cysteinate. MS: (ES) m/z calculated for C ₄₆ H ₅₃ F ₇ N ₅ O ₄ S [M+H] ⁺ 904.4, found 904.5.

Step b: To a solution of tert-butyl (S)-(4-(5-(2,4-bis(trifluoromethyl)benzyl)-2-(2,6-diethylphenyl)-6,6-dimethyl-2,4, 5,6-tetrahydropyrrolo[3,4-c]pyrazol-3-yl)-7-fluoro-1H-indol-1-yl)-N-(tert-butoxycarbonyl)-L-cysteinate (220 mg, 0.24 mmol) in dichloromethane (6 ml) was added 4N. HCl solution in dioxane (5 ml, 20 mmol). The resulting mixture was stirred at room temperature overnight. After completion of the reaction, the mixture was evaporated in vacuo. The residue was purified by HPLC (MeCN/H ₂ O, with 0.1% TFA) to give (S)-(4-(5-(2,4-bis(trifluoromethyl)benzyl)-2-(2,6-diethylphenyl )-6,6-dimethyl-2,4,5,6-tetrahydropyrrolo[3,4-c]pyrazol-3-yl)-7-fluoro-1H-indol-1-yl)-L-cysteine. ¹ H NMR (400 MHz, CD ₃ OD) δ 8.24 (d, J=7.6 Hz, 1H), 7.98-8.10 (m, 2H), 7.63-7.66 (m , 2H), 7.22-7.37 (m, 2H), 6.97-7.03 (m, 1H), 6.63-6.68 (m, 1H), 6.43-6.47 (m, 1H), 4.71-4.86 (m, 5H), 4.07-4.27 (m, 3H), 3.14-3.33 (m, 2H), 2.37-2 .49 (m, 2H), 2.02-2.26 (m, 2H), 1.85-1.94 (m, 6H), 1.25-1.42 (m, 3H), 0.77 -0.84 (m, 3H). MS: (ES) m/z calculated for C ₃₇ H ₃₇ F ₇ N ₅ O ₂ S [M+H] ⁺ 748.3, found 748.2.

Example 3 Synthesis of (4-(2-(2,6-diethylphenyl)-5-(5-(trifluoromethyl)pyrimidin-2-yl)-4,5,6,7-tetrahydro-2H-pyrazolo[4,3 -c]pyridin-3-yl)-6-fluoro-7-methoxy-1H-indol-1-yl)phosphonic acid

Step a: To a stirred solution of 2-(2,6-diethylphenyl)-3-(6-fluoro-7-methoxy-1H-indol-4-yl)-5-(5-(trifluoromethyl)pyrimidin-2-yl) -4,5,6,7-tetrahydro-2H-pyrazolo[4,3-c]pyridine (230 mg, 0.4 mmol) in THF (10 ml) under nitrogen at -70°C was added a 1M solution of LiHMDS in THF (0.6 ml, 0.6 mmol). After stirring for 15 minutes at -70° C., diethyl chlorophosphate (0.1 ml, 0.8 mmol) was added. The resulting mixture was allowed to warm to room temperature over 1 hour. After the reaction was complete, the mixture was quenched with water, extracted with ethyl acetate, washed with saturated aqueous NaHCO ₃ , dried over MgSO ₄ and evaporated in vacuo. The crude product was purified by silica gel chromatography (5-25% EtOAc in hexane) to give diethyl (4-(2-(2,6-diethylphenyl)-5-(5-(trifluoromethyl)pyrimidin-2-yl)-4, 5,6,7-tetrahydro-2H-pyrazolo[4,3-c]pyridin-3-yl)-6-fluoro-7-methoxy-1H-indol-1-yl)phosphonate. MS: (ES) m/z calculated for C ₃₄ H ₃₈ F ₄ N ₆ O ₄ P [M+H] ⁺ 701.3, found 701.3.

Step b: To a solution of diethyl (4-(2-(2,6-diethylphenyl)-5-(5-(trifluoromethyl)pyrimidin-2-yl)-4,5,6,7-tetrahydro-2H-pyrazolo[4 ,3-c]pyridin-3-yl)-6-fluoro-7-methoxy-1H-indol-1-yl)phosphonate (75 mg, 0.11 mmol) in dichloromethane (6 mL) TMSBr was added at 0°C (0.2 ml, 1.5 mmol). The resulting mixture was allowed to warm to room temperature over 1 hour and then stirred at 40° C. overnight. After completion of the reaction, the reaction mixture was evaporated in vacuo. The residue was purified by HPLC (MeCN/H ₂ O, with 0.1% TFA) to give (4-(2-(2,6-diethylphenyl)-5-(5-(trifluoromethyl)pyrimidin-2-yl)-4 ,5,6,7-tetrahydro-2H-pyrazolo[4,3-c]pyridin-3-yl)-6-fluoro-7-methoxy-1H-indol-1-yl)phosphonic acid. ¹ H NMR (400 MHz, CD ₃ OD) δ 8.58 (s, 2H), 7.68 (dd, J=2.5, 3.5 Hz, 1H), 7.32 (t, J=7 .7 Hz, 1H), 7.16 (broad, 2H), 6.49-6.57 (m, 2H), 4.82-4.90 (m, 4H), 4.39 (s, 2H) , 3.99 (s, 3H), 2.98 (t, J=5.9 Hz, 2H), 2.05-2.42 (m, 4H), 0.78-1.25 (m, 6H ). MS: (ES) m/z calculated for C ₃₀ H ₃₀ F ₄ N ₆ O ₄ P [M+H] ⁺ 645.2, found 645.4.

Example 4 Synthesis of (phosphonooxy)methyl 4-(2-(2,6-diethylphenyl)-5-(5-(trifluoromethyl)pyrimidin-2-yl)-4,5,6,7-tetrahydro-2H-pyrazolo[ 4,3-c]pyridin-3-yl)-6-fluoro-7-methoxy-1H-indole-1-carboxylate

Step a: To a stirred solution of 2-(2,6-diethylphenyl)-3-(6-fluoro-7-methoxy-1H-indol-4-yl)-5-(5-(trifluoromethyl)pyrimidin-2-yl) -4,5,6,7-tetrahydro-2H-pyrazolo[4,3-c]pyridine (570 mg, 1.0 mmol) NaH (60%, 60 mg, 1.5 mmol) was added to DMF at 0° C. The mixture was stirred at 0° C. for 10 minutes, then dibenzyloxy-phosphoryloxymethyl chloroformate (526 mg, 1.42 mmol) was added. The resulting mixture was stirred and allowed to warm to room temperature over 30 minutes. After the reaction was complete, the mixture was quenched with water, extracted with ethyl acetate, dried over MgSO ₄ and evaporated in vacuo. The crude product was purified by silica gel chromatography (10-100% EtOAc in hexanes) to give ((bis(benzyloxy)phosphoryl)oxy)methyl 4-(2-(2,6-diethylphenyl)-5-(5-(trifluoromethyl) pyrimidin-2-yl)-4,5,6,7-tetrahydro-2H-pyrazolo[4,3-c]pyridin-3-yl)-6-fluoro-7-methoxy-1H-indole-1-carboxylate. MS: (ES) m/z calculated for C ₄₆ H ₄₄ F ₄ N ₆ O ₇ P [M+H] ⁺ 899.3, found 899.3.

Step b: To a solution of ((bis(benzyloxy)phosphoryl)oxy)methyl 4-(2-(2,6-diethylphenyl)-5-(5-(trifluoromethyl)pyrimidin-2-yl)-4,5,6, 7-tetrahydro-2H-pyrazolo[4,3-c]pyridin-3-yl)-6-fluoro-7-methoxy-1H-indole-1-carboxylate (120 mg, 0.13 mmol) in ethyl acetate (45 ml ) was added 10% Pd/C (200 mg) and hydrogenated at 50 psi for 20 minutes. The reaction mixture was filtered through celite, the precipitate was washed with a mixture of 1:1 EtOAc/MeOH (15 ml), evaporated to dryness. The residue was purified by HPLC (MeCN/H ₂ O, with 0.1% TFA) to give (phosphonooxy)methyl 4-(2-(2,6-diethylphenyl)-5-(5-(trifluoromethyl)pyrimidin-2-yl )-4,5,6,7-tetrahydro-2H-pyrazolo[4,3-c]pyridin-3-yl)-6-fluoro-7-methoxy-1H-indole-1-carboxylate. ¹ H NMR (400 MHz, CD ₃ OD) δ 8.58 (s, 2H), 7.87 (d, J=3.9 Hz, 1H), 7.33 (t, J=7.6 Hz, 1H), 7.16 (brs, 2H), 6.59-6.64 (m, 2H), 5.87 (d, J=14.4 Hz, 2H), 4.74-4.86 (m, 4H), 4.39 (s, 2H), 3.97 (s, 3H), 2.98 (t, J=5.7 Hz, 2H), 2.05-2.42 (m, 4H), 0.76-1.28 (m, 6H). MS: (ES) m/z calculated for C ₃₂ H ₃₂ F ₄ N ₆ O ₇ P [M+H] ⁺ 719.2, found 719.2.

Example 5 Synthesis of (E)-4-(((4-(2-(2,6-diethylphenyl)-5-(5-(trifluoromethyl)pyrimidin-2-yl)-4,5,6,7-tetrahydro -2H-pyrazolo[4,3-c]pyridin-3-yl)-6-fluoro-7-methoxy-1H-indole-1-carbonyl)oxy)methoxy)-4-oxobut-2-enoic acid

Step a: To a stirred solution of 2-(2,6-diethylphenyl)-3-(6-fluoro-7-methoxy-1H-indol-4-yl)-5-(5-(trifluoromethyl)pyrimidin-2-yl) -4,5,6,7-tetrahydro-2H-pyrazolo[4,3-c]pyridine (280 mg, 0.5 mmol) in THF (10 ml) at -78°C was added a 1M solution of LiHMDS in THF (0 .8 ml, 0.8 mmol). The mixture was stirred at -78°C for 15 minutes, then chloromethyl chloroformate (80 μl, 0.9 mmol) was added. The resulting mixture was stirred and allowed to warm to room temperature over 30 minutes. After the reaction was complete, the mixture was quenched with saturated aqueous NH ₄ Cl, extracted with ethyl acetate, dried over Mg ₂ SO ₄ and evaporated in vacuo to give chloromethyl 4-(2-(2,6-diethylphenyl)-5-(5-(trifluoromethyl)pyrimidine -2-yl)-4,5,6,7-tetrahydro-2H-pyrazolo[4,3-c]pyridin-3-yl)-6-fluoro-7-methoxy-1H-indole-1-carboxylate, which directly used in the next step. MS: (ES) m/z calculated for C ₃₂ H ₃₀ ClF ₄ N ₆ O ₃ [M+H] ⁺ 657.2, found 657.2.

Step a: NaI (350 mg, 2.33 mmol) was added to a stirred solution of chloromethyl 4-(2-(2,6-diethylphenyl)-5-(5-(trifluoromethyl)pyrimidin-2-yl)-4.5, 6,7-tetrahydro-2H-pyrazolo[4,3-c]pyridin-3-yl)-6-fluoro-7-methoxy-1H-indole-1-carboxylate (300 mg, 0.46 mmol) in acetone ( 10 ml) at room temperature. The resulting mixture was stirred at 45° C. overnight. After the reaction was complete, the mixture was quenched with saturated sodium chloride solution, extracted with ethyl acetate, dried over MgSO ₄ and evaporated in vacuo. The crude product was purified by silica gel chromatography (5-25% EtOAc in hexane) to give iodomethyl 4-(2-(2,6-diethylphenyl)-5-(5-(trifluoromethyl)pyrimidin-2-yl)-4.5 ,6,7-tetrahydro-2H-pyrazolo[4,3-c]pyridin-3-yl)-6-fluoro-7-methoxy-1H-indole-1-carboxylate. MS: (ES) m/z calculated for C ₃₂ H ₃₀ F ₄ IN ₆ O ₃ [M+H] ⁺ 749.1, found 749.2.

Step c: To a solution of iodomethyl 4-(2-(2,6-diethylphenyl)-5-(5-(trifluoromethyl)pyrimidin-2-yl)-4,5,6,7-tetrahydro-2H-pyrazolo[4, 3-c]pyridin-3-yl)-6-fluoro-7-methoxy-1H-indole-1-carboxylate (50 mg, 0.07 mmol) in THF (5 ml) at 0°C was added tetrabutylammonium salt of fumaric acid (25 mg, 0.07 mmol) in DMF (1 ml). The resulting mixture was allowed to warm to room temperature over 1 hour. After completion of the reaction, the mixture was evaporated in vacuo. The residue was purified by HPLC (MeCN/H ₂ O, with 0.1% TFA) to give (E)-4-(((4-(2-(2,6-diethylphenyl)-5-(5-(trifluoromethyl) pyrimidin-2-yl)-4,5,6,7-tetrahydro-2H-pyrazolo[4,3-c]pyridin-3-yl)-6-fluoro-7-methoxy-1H-indole-1-carbonyl) hydroxy)methoxy)-4-oxobut-2-enoic acid. ¹ H NMR (400 MHz, CD ₃ OD) δ 8.58 (s, 2H), 7.87 (d, J=3.9 Hz, 1H), 7.33 (t, J=7.6 Hz, 1H), 7.16 (brs, 2H), 6.59-6.64 (m, 2H), 5.87 (d, J=14.4 Hz, 2H), 4.74-4.86 (m, 4H), 4.39 (s, 2H), 3.97 (s, 3H), 2.98 (t, J=5.7 Hz, 2H), 2.05-2.42 (m, 4H), 0.76-1.28 (m, 6H). MS: (ES) m/z calculated for C ₃₆ H ₃₃ F ₄ N ₆ O ₇ [M+H] ⁺ 737.2, found 737.2.

Example 6 Synthesis of ((dimethylglycyl)oxy)methyl 4-(2-(2,6-diethylphenyl)-5-(5-(trifluoromethyl)pyrimidin-2-yl)-4,5,6,7-tetrahydro-2H -pyrazolo[4,3-c]pyridin-3-yl)-6-fluoro-7-methoxy-1H-indole-1-carboxylate

Into a solution of iodomethyl 4-(2-(2,6-diethylphenyl)-5-(5-(trifluoromethyl)pyrimidin-2-yl)-4,5,6,7-tetrahydro-2H-pyrazolo[4,3-c ]pyridin-3-yl)-6-fluoro-7-methoxy-1H-indole-1-carboxylate (40 mg, 0.06 mmol) in MeCN (5 ml) at 0°C was added tetrabutylammonium dimethylglycinate (20 mg, 0 .06 mmol) in DMF (1 ml). The resulting mixture was allowed to warm to room temperature over 1 hour. After completion of the reaction, the mixture was quenched with 1N. HCl solution (0.1 ml, 0.1 mmol) and purified by HPLC (MeCN/H ₂ O, with 0.1% TFA) to give ((dimethylglycyl)oxy)methyl 4-(2-(2,6- diethylphenyl)-5-(5-(trifluoromethyl)pyrimidin-2-yl)-4,5,6,7-tetrahydro-2H-pyrazolo[4,3-c]pyridin-3-yl)-6-fluoro-7 -methoxy-1H-indole-1-carboxylate as a salt with TFA. ¹ H NMR (400 MHz, CD ₃ OD) δ 8.59 (s, 2H), 7.92 (d, J=3.9 Hz, 1H), 7.34 (t, J=7.6 Hz, 1H), 7.17 (brs, 2H), 6.63-6.74 (m, 2H), 5.83 (s, 2H), 4.81-4.88 (brs, 1H) , 4.46 (s, 2H), 4.39 (s, 2H), 3.97 (s, 3H), 3.45 (s, 5H), 2.95-3.03 (m, 5H), 2.05-2.42 (m, 4H), 0.76-1.28 (m, 6H). MS: (ES) m/z calculated for C ₃₆ H ₃₈ F ₄ N ₇ O ₅ [M+H] ⁺ 724.2, found 724.2.

Example 7 Synthesis of ((4-(5-(2,4-bis(trifluoromethyl)benzyl)-2-(2,6-diethylphenyl)-6,6-dimethyl-2,4,5,6-tetrahydropyrrolo[3 ,4-c]pyrazol-3-yl)-2,5-difluorophenyl)carbamoyl) phosphamide acid

Step a: To a solution of 4-(5-(2,4-bis(trifluoromethyl)benzyl)-2-(2,6-diethylphenyl)-6,6-dimethyl-2,4,5,6-tetrahydropyrrolo[3, 4-c]pyrazol-3-yl)-2,5-difluoroaniline (100 mg, 0.16 mmol) in THF (6 ml) at -50°C was added phosphoisocyanate dichloride (0.04 ml, 0.41 mmol). The mixture was allowed to warm to room temperature over 1 hour and then evaporated in vacuo. The residue was triturated in hexane to give ((4-(5-(2,4-bis(trifluoromethyl)benzyl)-2-(2,6-diethylphenyl)-6,6-dimethyl-2,4,5,6-tetrahydropyrrolo [3,4-c]pyrazol-3-yl)-2,5-difluorophenyl)carbamoyl)phosphamidodichloride, which was used directly in the next step.

Step b: To a solution of the above ((4-(5-(2,4-bis(trifluoromethyl)benzyl)-2-(2,6-diethylphenyl)-6,6-dimethyl-2,4,5,6- tetrahydropyrrolo[3,4-c]pyrazol-3-yl)-2,5-difluorophenyl)carbamoyl)phosphamidodichloride (~0.16 mmol) in THF (6 ml) at room temperature was added water (3 ml). The mixture was stirred at room temperature for 2 hours, then added 1N. NaOH solution (0.5 ml, 0.5 mmol). The mixture was stirred for another 2 hours. After completion of the reaction, the mixture was purified by HPLC (MeCN/H ₂ O, with 0.1% TFA) to give ((4-(5-(2,4-bis(trifluoromethyl)benzyl)-2-(2,6-diethylphenyl )-6,6-dimethyl-2,4,5,6-tetrahydropyrrolo[3,4-c]pyrazol-3-yl)-2,5-difluorophenyl)carbamoyl)phosphamidic acid. ¹ H NMR (400 MHz, DMSO-d ₆ ) δ 9.60 (broad, 1H), 8.29 (s, 1H), 8.16 (d, J=8.2 Hz, 2H), 7.92 -8.08 (m, 2H), 7.38 (d, J=7.9 Hz, 1H), 7.21 (d, J=7.7 Hz, 2H), 6.45 (dd, J= 6.7, 11.9 Hz, 1H), 4.13 (s, 2H), 3.64 (s, 2H), 3.24-3.48 (broad, 2H), 2.16 (q, J =7.6 Hz, 4H), 1.42 (s, 6H), 0.95 (t, J=7.6 Hz, 6H). MS: (ES) m/z calculated for C ₃₃ H ₃₃ F ₈ N ₅ O ₄ P [M+H] ⁺ 746.2, found 746.2.

Example 8 4,5,6,7-tetrahydro-2H-pyrazolo[4,3-c]pyridin-3-yl)-6-fluoro-7-methoxy-1H-indole-1-carboxylate

Step a: To a flask containing 4,4-dimethyldihydro-2H-pyran-2,6(3H)-dione (5 g, 35 mmol) in THF (140 ml) was added dropwise a 1M solution of LiAlH ₄ in THF (35 ml, 35 mmol). The mixture was heated at 75°C for 2 hours. After completion, the reaction was quenched with water and the mixture was filtered. The filtrate was evaporated to give 3,3-dimethylpentan-1,5-diol.

To a solution of 3,3-dimethylpentan-1,5-diol (1 g, 7.6 mmol) in THF (15.6 ml) was added dropwise a 1M solution of tBuOK (8.3 ml, 8.3 mmol), then tetrabenzyl diphosphate (4.2 g, 7.8 mmol). After heating at 70° C. for 16 hours, the mixture was evaporated and purified by silica gel column chromatography (0-100% EtOAc in hexane) to give dibenzyl (5-hydroxy-3,3-dimethylpentyl) phosphate. MS: (ES) m/z calculated for C ₂₁ H ₂₉ O ₅ P [M+H] ⁺ 393.2, found 393.1.

To a solution of dibenzyl (5-hydroxy-3,3-dimethylpentyl)phosphate (400 mg, 1 mmol) in DMF (10 ml) was added pyridinium dichromate (2.3 g, 6 mmol). The mixture was stirred at room temperature for 2 hours, then evaporated and purified by silica gel column chromatography (0-100% EtOAc in hexanes). The purified residue was dissolved in 10 ml of a 1:1 mixture of tBuOH and H ₂ O. NaH ₂ PO ₄ (0.61 g, 5 mmol) was added to the solution, followed by sodium chlorite (0.46 g, 5 mmol) and a 2M solution of 2- methyl-2-butene (5 ml, 10 mmol). The mixture was stirred at room temperature for 16 hours. After the reaction was complete, the mixture was evaporated in vacuo and the crude product was purified by silica gel column chromatography (0-100% EtOAc in hexane) to give 5-((bis(benzyloxy)phosphoryl)oxy)-3,3-dimethylpentanoic acid. MS: (ES) m/z calculated for C ₂₁ H ₂₇ O ₆ P [M+H] ⁺ 407.2, found 407.1.

Into a solution of iodomethyl 4-(2-(2,6-diethylphenyl)-5-(5-(trifluoromethyl)pyrimidin-2-yl)-4,5,6,7-tetrahydro-2H-pyrazolo[4,3-c ]pyridin-3-yl)-6-fluoro-7-methoxy-1H-indole-1-carboxylate (70 mg, 0.09 mmol) 5-((bis(benzyloxy)phosphoryl)oxy )-3,3-dimethylpentanoic acid (54 mg, 0.13 mmol) followed by Et ₃ N (0.02 ml, 0.14 mmol). The mixture was stirred at room temperature for 2 hours, then evaporated in vacuo. The resulting residue was purified by silica gel column chromatography (0-100% EtOAc in hexane) to give (((5-((bis(benzyloxy)phosphoryl)oxy)-3,3-dimethylpentanoyl)oxy)methyl 4-(2-(2 ,6-diethylphenyl)-5-(5-(trifluoromethyl)pyrimidin-2-yl)-4,5,6,7-tetrahydro-2H-pyrazolo[4,3-c]pyridin-3-yl)-6- fluoro-7-methoxy-1H-indole-1-carboxylate.

Step b: To a solution of (((5-((bis(benzyloxy)phosphoryl)oxy)-3,3-dimethylpentanoyl)oxy)methyl 4-(2-(2,6-diethylphenyl)-5-(5-(trifluoromethyl )pyrimidin-2-yl)-4,5,6,7-tetrahydro-2H-pyrazolo[4,3-c]pyridin-3-yl)-6-fluoro-7-methoxy-1H-indole-1-carboxylate (50 mg, 0.05 mmol) in MeOH (1 ml) was added 10% Pd/C (6 mg, 0.005 mmol) The mixture was stirred under hydrogen pressure from a balloon for 1 hour, then filtered through celite, evaporated and purified by HPLC ( MeCN/H ₂ O with 0.1% TFA) to give ((3,3-dimethyl-5-(phosphonooxy)pentanoyl)oxy)methyl 4-(2-(2,6-diethylphenyl)-5-(5 -(trifluoromethyl)pyrimidin-2-yl)-4,5,6,7-tetrahydro-2H-pyrazolo[4,3-c]pyridin-3-yl)-6-fluoro-7-methoxy-1H-indol- 1-carboxylate ¹ H NMR (400 MHz, CDCl ₃ ) δ 8.54 (s, 2H), 7.63 (d, J=3.9 Hz, 1H), 7.28 (t, J=7, 7 Hz, 1H), 7.08 (d, J=7.6 Hz, 2H), 6.59 (d, J=12.1 Hz, 1H), 6.47 (d, J=3.8 Hz , 1H), 6.02 (s, 2H), 5.60 (brs, 2H), 4.76 (brs, 2H), 4.38 (t, J=5.9 Hz, 2H) , 4.03 (dd, J=14.1, 7.1 Hz, 2H), 3.99 (s, 3H), 3.10 (t, J=3.1 Hz, 2H), 2.35 ( s, 2H), 2.20 (br s, 4H), 1.74 (t, J=7.0 Hz, 2H), 1.05 (br s, 12H). MS: (ES) m/z calculated for C ₃₉ H ₄₃ FN ₆ O ₉ P [M+H] ⁺ 847.3, found 847.2.

Example 9: Synthesis of (3-fluoro-4-phosphonooxyphenyl)methyl N-((4-(5-((2,4-bis(trifluoromethyl)phenyl)methyl)-2-(2,6-diethylphenyl)-6, 6-dimethyl-4H-pyrrolo[3,4-c]pyrazol-3-yl)-2,5-difluorophenyl)carbamoyl]carbamate

Step a: To a solution of 3-fluoro-4-hydroxybenzaldehyde (5 g, 35.7 mmol) in dichloromethane (36 ml) was added Et ₃ N (7.5 ml, 53.8 mmol) followed by diethyl chlorophosphate (5.7 ml , 39.4 mmol). The mixture was stirred at room temperature for 3 hours, then quenched with water. The organic and aqueous layers were separated and the aqueous layer was extracted with ethyl acetate. The organic layers were combined, dried over sodium sulfate, filtered and evaporated in vacuo. The resulting residue was purified by silica gel column chromatography to give diethyl (2-fluoro-4-formylphenyl)phosphate. MS: (ES) m/z calculated for C ₁₁ H ₁₄ FO ₅ P [M+H] ⁺ 277.1, found 277.0.

To a solution of diethyl (2-fluoro-4-formylphenyl)phosphate (8.99 g, 32.5 mmol) in THF (32.5 ml) was added NaBH ₄ (3.6 g, 97.3 mmol ). After stirring at -78°C for 1 hour, the reaction was quenched with water. The organic and aqueous layers were separated and the aqueous layer was extracted with ethyl acetate. The organic layers were combined, dried over sodium sulfate, filtered and evaporated in vacuo. The residue was purified by silica gel column chromatography (85-100% EtOAc in hexanes) to give diethyl (2-fluoro-4-(hydroxymethyl)phenyl)phosphate. MS: (ES) m/z calculated for C ₁₁ H ₁₆ FO ₅ P [M+H] ⁺ 279.1, found 279.0.

To a solution of diethyl (2-fluoro-4-(hydroxymethyl)phenyl)phosphate (1 g, 3.6 mmol) in THF (8.7 ml) at 0°C was added diisopropylethylamine (0.76 ml, 4.4 mmol) and triphosgene (0.53 g, 1.8 mmol). After stirring at 0°C for 1 hour, was added NH ₄ OH (1.6 ml, 41 mmol). The mixture was stirred at room temperature for 16 hours, then evaporated in vacuo and the residue was purified by silica gel column chromatography (0-100% EtOAc in hexane) to give 4-((diethoxyphosphoryl)oxy)-3-fluorobenzyl carbamate. MS: (ES) m/z calculated for C ₁₂ H ₁₇ FNO ₆ P [M+H] ⁺ 322.1, found 322.0.

To a solution of 4-((diethoxyphosphoryl)oxy)-3-fluorobenzyl carbamate (155 mg, 0.48 mmol) in dichloromethane (4.8 ml) at 0°C was added oxalyl chloride (0.06 ml, 0.71 mmol). The mixture was heated at 40°C for 16 hours, then evaporated in vacuum. The residue was dissolved in THF (2 ml) and added to a solution of 4-(5-(2,4-bis(trifluoromethyl)benzyl)-2-(2,6-diethylphenyl)-6,6-dimethyl-2,4,5 ,6-tetrahydropyrrolo[3,4-c]pyrazol-3-yl)-2,5-difluoroaniline (100 mg, 0.16 mmol) in THF (2 mL). The mixture was stirred at room temperature for 5 hours, then evaporated in vacuo. The residue was purified by silica gel column chromatography (0-100% EtOAc in hexanes) to give (4-diethoxyphosphoryloxy-3-fluorophenyl)methyl N-((4-(5-((2,4-bis(trifluoromethyl)phenyl)methyl )-2-(2,6-diethylphenyl)-6,6-dimethyl-4H-pyrrolo[3,4-c]pyrazol-3-yl)-2,5-difluorophenyl)carbamoyl)carbamate. MS: (ES) m/z calculated for C ₄₅ H ₄₅ F ₉ N ₅ O ₇ P [M+H] ⁺ 970.3, found 970.0.

Step b: To a solution of (4-diethoxyphosphoryloxy-3-fluorophenyl)methyl N-((4-(5-((2,4-bis(trifluoromethyl)phenyl)methyl)-2-(2,6-diethylphenyl)-6 ,6-dimethyl-4H-pyrrolo[3,4-c]pyrazol-3-yl)-2,5-difluorophenyl)carbamoyl)carbamate (77mg, 0.08mmol) in dichloromethane (1ml) was added dropwise TMSBr (0.13 ml, 0.10 mmol). The mixture was stirred at room temperature for 16 hours, then evaporated in vacuo. The residue was purified by HPLC (MeCN/H ₂ O, with 0.1% TFA) to give (3-fluoro-4-phosphonooxyphenyl)methyl N-((4-(5-((2,4-bis(trifluoromethyl)phenyl )methyl)-2-(2,6-diethylphenyl)-6,6-dimethyl-4H-pyrrolo[3,4-c]pyrazol-3-yl)-2,5-difluorophenyl)carbamoyl)carbamate. ¹ H NMR (400 MHz, CD ₃ OD) δ 8.22 (d, J=8.2 Hz, 1H), 8.15 (s, 1H), 8.08-8.15 (m, 2H), 7.46 (dd, J=7.6, 7.9 Hz, 1H), 7.38 (dd, J=8.2, 8.2 Hz, 1H), 7.28 (d, J=7, 6 Hz, 2H), 7.17 (d, J=11.0 Hz, 1H), 7.10 (d, J=8.6 Hz, 1H), 6.42 (dd, J=6.5, 11.5Hz, 1H), 5.14(s, 2H), 4.77(s, 2H), 4.57(s, 2H), 3.34(s, 2H), 2.24(kv, J=7.7 Hz, 4H), 1.89 (s, 6H), 1.05 (t, J=7.2 Hz, 6H). MS: (ES) m/z calculated for C ₄₁ H ₃₇ F ₉ N ₅ O ₇ P [M+H] ⁺ 914.2, found 914.1.

- Example 10 Synthesis of 3-nitro-4-(phosphonooxy)benzyl 4-(2-(2,6-diethylphenyl)-5-(5-(trifluoromethyl)pyrimidin-2-yl)-4,5,6,7 -tetrahydro-2H-pyrazolo[4,3-c]pyridin-3-yl)-6-fluoro-7-methoxy-1H-indole-1-carboxylate

Step a: Et ₃ N (1.25 ml, 9.0 mmol) and diethyl chlorophosphate (0.95 ml, 6.6 mmol). The mixture was stirred at room temperature for 16 hours then quenched with water. The organic and aqueous layers were separated and the aqueous layer was extracted with ethyl acetate. The organic layers were combined, dried over sodium sulfate, filtered and evaporated in vacuo. The residue was purified by silica gel column chromatography (0-100% EtOAc in hexane) to give diethyl (4-formyl-2-nitrophenyl)phosphate. MS: (ES) m/z calculated for C ₁₁ H ₁₄ NO ₇ P [M+H] ⁺ 304.1, found 304.0.

To a solution of diethyl (4-formyl-2-nitrophenyl)phosphate (1.36 g, 4.5 mmol) in THF (4.5 ml) at -78°C was added NaBH ₄ (500 mg, 13.5 mmol). After stirring at -78°C for 1 hour, the reaction was quenched with water. The organic and aqueous layers were separated and the aqueous layer was extracted with ethyl acetate. The organic layers were combined, dried over sodium sulfate, filtered and evaporated. The resulting residue was purified by silica gel column chromatography (0-100% EtOAc in hexane) to give diethyl (4-(hydroxymethyl)-2-nitrophenyl)phosphate. MS: (ES) m/z calculated for C ₁₁ H ₁₆ NO ₇ P [M+H] ⁺ 306.1, found 306.0.

To a solution of diethyl (4-(hydroxymethyl)-2-nitrophenyl)phosphate (100 mg, 0.33 mmol) in THF (1.6 ml) at 0°C was added diisopropylethylamine (0.07 ml, 0.40 mmol) and triphosgene (50 mg, 0.17 mmol). After stirring at 0° C. for 1 hour, the reaction was quenched with water. The organic and aqueous layers were separated and the aqueous layer was extracted with ethyl acetate. The organic layers were combined, dried over sodium sulfate, filtered and evaporated to give the crude chloroformate intermediate.

To a solution of 2-(2,6-diethylphenyl)-3-(6-fluoro-7-methoxy-1H-indol-4-yl)-5-(5-(trifluoromethyl)pyrimidin-2-yl)-4.5 ,6,7-Tetrahydro-2H-pyrazolo[4,3-c]pyridine (93 mg, 0.16 mmol) in THF (1 mL) NaH (13 mg, 0.32 mmol) was added at 0°C. After stirring at 0° C. for 30 minutes, a solution of crude chloroformate (obtained as described above) in THF (0.5 ml) was added to the mixture. The solution was stirred at room temperature for 16 hours. The reaction was quenched with water. The organic and aqueous layers were separated and the aqueous layer was extracted with ethyl acetate. The organic layers were combined, dried over sodium sulfate, filtered and evaporated in vacuo. The residue was purified by silica gel column chromatography (0-100% EtOAc in hexane) to give 4-((diethoxyphosphoryl)oxy)-3-nitrobenzyl 4-(2-(2,6-diethylphenyl)-5-(5-(trifluoromethyl )pyrimidin-2-yl)-4,5,6,7-tetrahydro-2H-pyrazolo[4,3-c]pyridin-3-yl)-6-fluoro-7-methoxy-1H-indole-1-carboxylate .

Step b: To a solution of 4-((diethoxyphosphoryl)oxy)-3-nitrobenzyl 4-(2-(2,6-diethylphenyl)-5-(5-(trifluoromethyl)pyrimidin-2-yl)-4,5,6 ,7-tetrahydro-2H-pyrazolo[4,3-c]pyridin-3-yl)-6-fluoro-7-methoxy-1H-indole-1-carboxylate (128 mg, 0.14 mmol) in dichloromethane (1 .4 ml) was added dropwise TMSBr (0.11 ml, 0.86 mmol). After stirring at room temperature for 5 hours, additional TMSBr (0.11 ml, 0.86 mmol) was added to the mixture. The mixture was stirred at room temperature for 16 hours, evaporated in vacuo and purified by HPLC (MeCN/H ₂ O, with 0.1% TFA) to give 3-nitro-4-(phosphonooxy)benzyl 4-(2-(2 ,6-diethylphenyl)-5-(5-(trifluoromethyl)pyrimidin-2-yl)-4,5,6,7-tetrahydro-2H-pyrazolo[4,3-c]pyridin-3-yl)-6- fluoro-7-methoxy-1H-indole-1-carboxylate. ¹ H NMR (400 MHz, DMSO-d ₆ ) δ 8.68 (s, 2H), 8.12 (dd, J=0.9, 2.3 Hz, 1H), 7.85 (d, J= 3.8 Hz, 1H), 7.85 (dd, J=2.2, 8.6 Hz, 1H), 7.60 (dd, J=1.1, 8.5 Hz, 1H), 7, 29 (t, J=7.6 Hz, 1H), 7.12 (broad s, 2H), 6.62 (d, J=3.8 Hz, 1H), 6.55 (d, J=12 .4 Hz, 1H), 5.48 (s, 2H), 4.76 (s, 2H), 4.30 (broad s, 2H), 3.83 (d, J=1.2 Hz, 3H ), 2.91 (t, J=6.0 Hz, 2H), 2.16 (brs, 4H), 2.04 (s, 2H), 0.91 (brs, 6H). MS: (ES) m/z calculated for C ₃₈ H ₃₄ FN ₇ O ₉ P [M+H] ⁺ 840.2, found 840.0.

Example 11 Synthesis of 3-fluoro-4-(phosphonooxy)benzyl 4-(2-(2,6-diethylphenyl)-5-(5-(trifluoromethyl)pyrimidin-2-yl)-4,5,6,7- tetrahydro-2H-pyrazolo[4,3-c]pyridin-3-yl)-6-fluoro-7-methoxy-1H-indole-1-carboxylate

Step a: To a solution of 3-fluoro-4-hydroxybenzaldehyde (1 g, 7.1 mmol) in THF (32 mL) was added a 1M solution of tBuOK in THF (7.6 mL, 7.6 mmol). The mixture was heated to 70° C. and tetrabenzyl phosphate (4.0 g, 7.4 mmol) was added. After 1 hour at 70° C., hexane was added to the mixture and the mixture was filtered. The filtrate was evaporated in vacuo and the resulting residue was purified by silica gel column chromatography (0-100% EtOAc in hexanes) to give dibenzyl (2-fluoro-4-formylphenyl)phosphate. MS: (ES) m/z calculated for C ₂₁ H ₁₈ FO ₅ P [M+H] ⁺ 401.1, found 401.1.

NaBH ₄ (0.76 g, 20.5 mmol ). After stirring at -78°C for 1 hour, the mixture was quenched with water. The organic and aqueous layers were separated and the aqueous layer was extracted with ethyl acetate. The combined organic layers were dried over sodium sulfate, filtered and evaporated in vacuo. The resulting residue was purified by silica gel column chromatography (0-100% EtOAc in hexanes) to give dibenzyl (2-fluoro-4-(hydroxymethyl)phenyl)phosphate. MS: (ES) m/z calculated for C ₂₁ H ₂₀ FO ₅ P [M+H] ⁺ 403.1, found 403.0.

To a solution of dibenzyl (2-fluoro-4-(hydroxymethyl)phenyl)phosphate (200 mg, 0.50 mmol) in THF (2.4 ml) at 0°C was added diisopropylethylamine (0.1 ml, 0.57 mmol) and triphosgene (72 mg, 0.24 mmol). After stirring at 0° C. for 1 hour, the reaction was quenched with water. The organic and aqueous layers were separated and the aqueous layer was extracted with ethyl acetate. The organic layers were combined, dried over sodium sulfate, filtered and evaporated to give the crude chloroformate intermediate.

To a solution of 2-(2,6-diethylphenyl)-3-(6-fluoro-7-methoxy-1H-indol-4-yl)-5-(5-(trifluoromethyl)pyrimidin-2-yl)-4.5 ,6,7-tetrahydro-2H-pyrazolo[4,3-c]pyridine (70 mg, 0.12 mmol) in THF (1.2 ml) NaH (10 mg, 0.24 mmol) was added at 0°C . After stirring at 0° C. for 30 minutes, a solution of crude chloroformate (obtained as described above) in THF (1.2 ml) was added to the mixture. The solution was stirred at 0° C. for 1 hour then quenched with water. The organic and aqueous layers were separated and the aqueous layer was extracted with ethyl acetate. The organic layers were combined, dried over sodium sulfate, filtered and evaporated in vacuo. The residue was purified by silica gel column chromatography (0-100% EtOAc in hexane) to give 4-((bis(benzyloxy)phosphoryl)oxy)-3-fluorobenzyl 4-(2-(2,6-diethylphenyl)-5-( 5-(trifluoromethyl)pyrimidin-2-yl)-4,5,6,7-tetrahydro-2H-pyrazolo[4,3-c]pyridin-3-yl)-6-fluoro-7-methoxy-1H-indole -1-carboxylate.

Step b: To a solution of 4-((bis(benzyloxy)phosphoryl)oxy)-3-fluorobenzyl 4-(2-(2,6-diethylphenyl)-5-(5-(trifluoromethyl)pyrimidin-2-yl)-4 ,5,6,7-tetrahydro-2H-pyrazolo[4,3-c]pyridin-3-yl)-6-fluoro-7-methoxy-1H-indole-1-carboxylate (100 mg, 0.10 mmol) in MeOH (1 ml) was added 10% Pd/C (10 mg, 0.01 mmol). The mixture was stirred under hydrogen pressure from a balloon for 1 hour, then filtered through celite, evaporated and purified by HPLC (MeCN/H ₂ O, with 0.1% TFA) to give 3-fluoro-4-(phosphonooxy)benzyl 4-(2 -(2,6-diethylphenyl)-5-(5-(trifluoromethyl)pyrimidin-2-yl)-4,5,6,7-tetrahydro-2H-pyrazolo[4,3-c]pyridin-3-yl) -6-fluoro-7-methoxy-1H-indole-1-carboxylate. ¹ H NMR (400 MHz, DMSO-d ₆ ) δ 8.68 (s, 2H), 7.84 (s, 1H), 7.52-7.38 (m, 2H), 7.37-7, 25 (m, 2H), 7.11 (br s, 2H), 6.62 (s, 1H), 6.54 (d, J=12.3 Hz, 1H), 5.40 (s, 2H ), 4.76 (s, 2H), 4.30 (s, 2H), 3.83 (s, 3H), 2.90 (br s, 2H), 2.16 (br s, 4H) , 2.04 (br s, 2H), 0.90 (br s, 6H). MS: (ES) m/z calculated for C ₃₈ H ₃₄ F ₅ N ₆ O ₇ P [M+H] ⁺ 813.2, found 813.2.

Example 12 Synthesis of (2-(4-(phosphonooxy)phenyl)acetoxy)methyl 4-(2-(2,6-diethylphenyl)-5-(5-(trifluoromethyl)pyrimidin-2-yl)-4.5, 6,7-tetrahydro-2H-pyrazolo[4,3-c]pyridin-3-yl)-6-fluoro-7-methoxy-1H-indole-1-carboxylate

Step a: To a flask containing ethyl 2-(4-hydroxyphenyl)acetate (1 g, 5.6 mmol) in THF (11 ml) was added dropwise a 1M solution of tBuOK in THF (5.9 ml, 5.9 mmol ) and tetrabenzyl diphosphate (3 g, 5.6 mmol). The mixture was heated at 70°C for 2 hours. Additional 1.0 M tBuOK (1.2 ml, 1.2 mmol) and tetrabenzyl diphosphate (0.6 g, 1.1 mmol) were added. The mixture was heated for another 3 hours. After completion of the reaction, hexane was added and the mixture was filtered. The filtrate was evaporated and the residue was purified by silica gel column chromatography (0-100% EtOAc in hexanes) to give ethyl 2-(4-((bis(benzyloxy)phosphoryl)oxy)phenyl)acetate. MS: (ES) m/z calculated for C ₂₄ H ₂₅ O ₆ P [M+H] ⁺ 441.1, found 441.1.

To a solution of ethyl 2-(4-((bis(benzyloxy)phosphoryl)oxy)phenyl)acetate (1.54 g, 3.5 mmol) in THF (9 ml) was added dropwise a solution of LiOH (0.32 g, 7 .6 mmol) in H ₂ O (9 ml). The mixture was stirred at room temperature for 1 hour. The reaction was quenched with 1N. HCl solution. The aqueous layer was extracted with ethyl acetate. The organic layers were combined, dried over sodium sulfate, filtered and evaporated. The residue was purified by silica gel column chromatography (0-100% EtOAc in hexane) to give 2-(4-((bis(benzyloxy)phosphoryl)oxy)phenyl)acetic acid. MS: (ES) m/z calculated for C ₂₂ H ₂₁ O ₆ P [M+H] ⁺ 413.1, found 413.1.

Into a solution of iodomethyl 4-(2-(2,6-diethylphenyl)-5-(5-(trifluoromethyl)pyrimidin-2-yl)-4,5,6,7-tetrahydro-2H-pyrazolo[4,3-c ]pyridin-3-yl)-6-fluoro-7-methoxy-1H-indole-1-carboxylate (100 mg, 13 mmol) in DMF (0.5 ml) was added 2-(4-((bis(benzyloxy) phosphoryl)oxy)phenyl)acetic acid (82 mg, 20 mmol) and triethylamine (0.03 ml, 0.20 mmol). The mixture was stirred at room temperature for 16 hours, then evaporated. The residue was purified by silica gel column chromatography (0-100% EtOAc in hexanes) to give (2-(4-((bis(benzyloxy)phosphoryl)oxy)phenyl)acetoxy)methyl 4-(2-(2,6-diethylphenyl )-5-(5-(trifluoromethyl)pyrimidin-2-yl)-4,5,6,7-tetrahydro-2H-pyrazolo[4,3-c]pyridin-3-yl)-6-fluoro-7- methoxy-1H-indole-1-carboxylate.

Step b: To a solution of (2-(4-((bis(benzyloxy)phosphoryl)oxy)phenyl)acetoxy)methyl 4-(2-(2,6-diethylphenyl)-5-(5-(trifluoromethyl)pyrimidine-2 -yl)-4,5,6,7-tetrahydro-2H-pyrazolo [4,3-c]pyridin-3-yl)-6-fluoro-7-methoxy-1H-indole-1-carboxylate (66 mg, 0.06 mmol) in MeOH (1 ml) was added 10% Pd/C (7 mg, 0.006 mmol). The mixture was stirred under hydrogen pressure from a balloon for 1 hour, then filtered through celite, evaporated and purified by HPLC (MeCN/H ₂ O, with 0.1% TFA) to give (2-(4-(phosphonooxy)phenyl)acetoxy)methyl 4-(2-(2,6-diethylphenyl)-5-(5-(trifluoromethyl)pyrimidin-2-yl)-4,5,6,7-tetrahydro-2H-pyrazolo[4,3-c]pyridine- 3-yl)-6-fluoro-7-methoxy-1H-indole-1-carboxylate. ¹ H NMR (400 MHz, CDCl ₃ ) δ 8.47 (s, 2H), 7.38 (d, J=3.8 Hz, 1H), 7.22-7.26 (m, 2H), 7 .10 (d, J=7.7 Hz, 2H), 7.01-7.06 (m, 4H), 6.57 (d, J=12.1 Hz, 1H), 6.45 (d, J=3.8Hz, 1H), 5.97(s, 2H), 5.02(brs, 2H), 4.77(s, 2H), 4.36(brs, 2H), 3.95 (s, 3H), 3.60 (s, 2H), 3.07 (brs, 2H), 2.05-2.35 (m, 4H), 0.99 (brs, 6H). MS: (ES) m/z calculated for C ₄₀ H ₃₇ F ₄ N ₆ O ₉ P [M+H] ⁺ 853.2, found 853.0.

Example 13 Synthesis of (4-phosphonooxy-3-(trifluoromethyl)phenyl)methyl N-((4-(5-((2,4-bis(trifluoromethyl)phenyl)methyl)-2-(2,6-diethylphenyl) -6,6-dimethyl-4H-pyrrolo[3,4-c]pyrazol-3-yl)-2,5-difluorophenyl)carbamoyl)carbamate

Step a: To a solution of 4-hydroxy-3-(trifluoromethyl)benzaldehyde (1 g, 0.53 mmol) in dichloromethane (10 mL) was added triethylamine (1.1 mL, 0.79 mmol) followed by diethyl chlorophosphate (0.84 ml, 0.58 mmol). The mixture was stirred at room temperature for 1 hour, then evaporated in vacuo. The residue was purified by silica gel column chromatography (0-100% EtOAc in hexane) to give diethyl (4-formyl-2-(trifluoromethyl)phenyl)phosphate. MS: (ES) m/z calculated for C ₁₂ H ₁₄ F ₃ O ₅ P [M+H] ⁺ 327.1, found 327.0.

NaBH ₄ (0.49 g, 13 .2 mmol). The reaction mixture was warmed to room temperature and stirred for 16 hours. After completion, the reaction was quenched with water. The organic and aqueous layers were separated and the aqueous layer was extracted with ethyl acetate. The organic layers were combined, dried over sodium sulfate, filtered and evaporated in vacuo. The residue was purified by silica gel column chromatography (85-100% EtOAc in hexane) to give diethyl (4-(hydroxymethyl)-2-(trifluoromethyl)phenyl)phosphate. MS: (ES) m/z calculated for C ₁₂ H ₁₆ F ₃ O ₅ P [M+H] ⁺ 329.1, found 329.1.

Diisopropylethylamine (0.39 ml, 2 .2 mmol) and triphosgene (0.27 ml, 0.9 mmol). After stirring at 0° C. for 1 hour, NH ₄ OH (0.8 ml, 21 mmol) was added. The mixture was stirred at room temperature for 1 hour, then evaporated in vacuo and the residue was purified by silica gel column chromatography (0-100% EtOAc in hexane) to give 4-((diethoxyphosphoryl)oxy)-3-(trifluoromethyl)benzyl carbamate. MS: (ES) m/z calculated for C ₁₃ H ₁₇ F ₃ NO ₆ P [M+H] ⁺ 372.1, found 372.0.

To a solution of 4-((diethoxyphosphoryl)oxy)-3-(trifluoromethyl)benzyl carbamate (240 mg, 0.65 mmol) in dichloromethane (2 ml) at 0°C was added oxalyl chloride (0.09 ml, 1.0 mmol) . The mixture was heated at 40°C for 16 hours, then evaporated in vacuum. The residue was dissolved in 2 ml of THF and added to a solution of 4-(5-(2,4-bis(trifluoromethyl)benzyl)-2-(2,6-diethylphenyl)-6,6-dimethyl-2,4,5,6 -tetrahydropyrrolo[3,4-c]pyrazol-3-yl)-2,5-difluoroaniline (200 mg, 0.32 mmol) in THF (4 ml). The mixture was stirred at room temperature for 5 hours, then evaporated in vacuo. The residue was purified by silica gel column chromatography (0-100% EtOAc in hexane) to give (4-diethoxyphosphoryloxy-3-(trifluoromethyl)phenyl)methyl N-((4-(5-((2,4-bis(trifluoromethyl) phenyl)methyl)-2-(2,6-diethylphenyl)-6,6-dimethyl-4H-pyrrolo[3,4-c]pyrazol-3-yl)-2,5-difluorophenyl)carbamoyl)carbamate.

Step b: To a solution of (4-diethoxyphosphoryloxy-3-(trifluoromethyl)phenyl)methyl N-((4-(5-((2,4-bis(trifluoromethyl)phenyl)methyl)-2-(2,6-diethylphenyl )-6,6-dimethyl-4H-pyrrolo[3,4-c]pyrazol-3-yl)-2,5-difluorophenyl)carbamoyl)carbamate (176 mg, 0.17 mmol) in dichloromethane (1.7 ml ) was added dropwise with TMSBr (0.29 mL, 2 mmol). The mixture was stirred at room temperature for 16 hours, then evaporated in vacuo. The residue was purified by HPLC (MeCN/H ₂ O, with 0.1% TFA) to give (4-phosphonooxy-3-(trifluoromethyl)phenyl)methyl N-((4-(5-((2,4-bis( trifluoromethyl)phenyl)methyl)-2-(2,6-diethylphenyl)-6,6-dimethyl-4H-pyrrolo[3,4-c]pyrazol-3-yl)-2,5-difluorophenyl)carbamoyl)carbamate. ¹ H NMR (400 MHz, DMSO-d ₆ ) δ: 10.80 (s, 1H), 10.11 (s, 1H), 8.15 (s, 1H), 7.90-8.15 (m , 3H), 7.73 (brs, 1H), 7.63-7.69 (m, 1H), 7.54-7.61 (m, 1H), 7.35-7.42 (m , 1H), 7.18-7.24 (m, 2H), 6.49-6.58 (m, 1H), 5.19 (s, 2H), 4.13 (s, 2H), 3, 65 (s, 2H), 2.07-2.23 (m, 4H), 1.30-1.40 (m, 6H), 0.88-1.03 (m, 6H). MS: (ES) m/z calculated for C ₄₂ H ₃₇ F ₁₁ N ₅ O ₇ P [M+H] ⁺ 964.2, found 964.0.

Example 14 Synthesis of (3-nitro-4-phosphonooxyphenyl)methyl N-((4-(5-((2,4-bis(trifluoromethyl)phenyl)methyl)-2-(2,6-diethylphenyl)-6, 6-dimethyl-4H-pyrrolo[3,4-c]pyrazol-3-yl)-2,5-difluorophenyl)carbamoyl)carbamate

Step a: Et ₃ N (1.25 ml, 9.0 mmol) and diethyl chlorophosphate (0.95 ml, 6.6 mmol). The mixture was stirred at room temperature for 16 hours then quenched with water. The organic and aqueous layers were separated and the aqueous layer was extracted with ethyl acetate. The organic layers were combined, dried over sodium sulfate, filtered and evaporated in vacuo. The residue was purified by silica gel column chromatography (0-100% EtOAc in hexanes) to give diethyl (4-formyl-2-nitrophenyl)phosphate. MS: (ES) m/z calculated for C ₁₁ H ₁₄ NO ₇ P [M+H] ⁺ 304.1, found 304.0.

NaBH ₄ (500 mg, 13.5 mmol) was added to a solution of diethyl (4-formyl-2-nitrophenyl)phosphate (1.36 g, 4.5 mmol) in THF (4.5 ml) at -78°C. After stirring at -78°C for 1 hour, the reaction was quenched with water. The organic and aqueous layers were separated and the aqueous layer was extracted with ethyl acetate. The organic layers were combined, dried over sodium sulfate, filtered and evaporated. The residue was purified by silica gel column chromatography (0-100% EtOAc in hexane) to give diethyl (4-(hydroxymethyl)-2-nitrophenyl) phosphate. MS: (ES) m/z calculated for C ₁₁ H ₁₆ NO ₇ P [M+H] ⁺ 306.1, found 306.1.

Diisopropylethylamine (0.14 ml, 0.80 mmol) was added to a solution of diethyl (4-(hydroxymethyl)-2-nitrophenyl)phosphate (200 mg, 0.66 mmol) in THF (1.6 ml) at 0°C and triphosgene (100 mg, 0.34 mmol). After stirring at 0° C. for 1 hour, NH ₄ OH (0.32 ml, 8.2 mmol) was added. The mixture was stirred at room temperature for 1 hour, then evaporated in vacuo and the residue was purified by silica gel column chromatography (0-100% EtOAc in hexane) to give 4-((diethoxyphosphoryl)oxy)-3-nitrobenzyl carbamate. MS: (ES) m/z calculated for C ₁₂ H ₁₇ N ₂ O ₈ P [M+H] ⁺ 349.1, found 349.0.

To a solution of 4-((diethoxyphosphoryl)oxy)-3-(trifluoromethyl)benzyl carbamate (0.4 g, 1.2 mmol) in dichloromethane (11.5 ml) at 0 .8 mmol). The mixture was heated at 40°C for 16 hours, then evaporated in vacuum. The residue was dissolved in THF (1 ml) and added to a solution of 4-(5-(2,4-bis(trifluoromethyl)benzyl)-2-(2,6-diethylphenyl)-6,6-dimethyl-2,4,5 ,6-tetrahydropyrrolo[3,4-c]pyrazol-3-yl)-2,5-difluoroaniline (200 mg, 0.32 mmol) in THF (5 ml). The mixture was stirred at room temperature for 3 hours, then evaporated in vacuo. The residue was purified by silica gel column chromatography (0-100% EtOAc in hexane) to give (4-diethoxyphosphoryloxy-3-nitrophenyl)methyl N-((4-(5-((2,4-bis(trifluoromethyl)phenyl)methyl )-2-(2,6-diethylphenyl)-6,6-dimethyl-4H-pyrrolo[3,4-c]pyrazol-3-yl)-2,5-difluorophenyl)carbamoyl)carbamate.

Step b: To a solution of (4-diethoxyphosphoryloxy-3-nitrophenyl)methyl N-((4-(5-((2,4-bis(trifluoromethyl)phenyl)methyl)-2-(2,6-diethylphenyl)-6 ,6-dimethyl-4H-pyrrolo[3,4-c]pyrazol-3-yl)-2,5-difluorophenyl)carbamoyl)carbamate (100mg, 0.10mmol) in dichloromethane (1ml) was added dropwise TMSBr (0.09 ml, 0.6 mmol). After stirring at room temperature for 3 hours, additional TMSBr (0.09 ml, 0.6 mmol) was added to the mixture. The mixture was stirred at room temperature for 16 hours, evaporated in vacuo and purified by HPLC (MeCN/H ₂ O, with 0.1% TFA) to give (3-nitro-4-phosphonooxyphenyl)methyl N-((4-( 5-((2,4-bis(trifluoromethyl)phenyl)methyl)-2-(2,6-diethylphenyl)-6,6-dimethyl-4H-pyrrolo[3,4-c]pyrazol-3-yl)- 2,5-difluorophenyl)carbamoyl)carbamate. ¹ H NMR (400 MHz, CD ₃ OD) δ: 8.25 (d, J=8.0 Hz, 1H), 8.16 (s, 2H), 8.01-8.12 (m, 1H) , 7.82 (s, 1H), 7.54 (s, 2H), 7.46 (t, J=7.7 Hz, 1H), 7.28 (d, J=7.8 Hz, 2H) , 6.38 (dd, J=7.6, 11.2 Hz, 1H), 5.20 (s, 2H), 4.81 (s, 2H), 4.66 (s, 2H), 2, 25 (q, J=7.7 Hz, 4H), 1.92 (s, 6H), 1.05 (t, J=7.7 Hz, 6H). MS: (ES) m/z calculated for C ₄₁ H ₃₇ F ₈ N ₆ O ₉ P [M+H] ⁺ 941.2, found 941.1

Example 15 Synthesis of 2-(4-(2-(2,6-diethylphenyl)-5-(5-(trifluoromethyl)pyrimidin-2-yl)-4,5,6,7-tetrahydro-2H-pyrazolo[ 4,3-c]pyridin-3-yl)-6-fluoro-7-methoxy-1H-indole-1-carbonyl)-5-fluorobenzyl dihydrogen phosphate

Step a: Tube containing 5-fluoroisobenzofuran-1(3H)-one (50 mg, 0.33 mmol), boric acid (2 mg, 0.03 mmol) and triethylbenzylammonium chloride (6 mg, 0.03 mmol), heated at 110°C. Thionyl chloride (0.05 ml, 0.69 mmol) was added to the mixture. After stirring at 110° C. for 16 hours, the mixture was evaporated to give 2-(chloromethyl)-4-fluorobenzoyl chloride.

To a solution of 2-(2,6-diethylphenyl)-3-(6-fluoro-7-methoxy-1H-indol-4-yl)-5-(5-(trifluoromethyl)pyrimidin-2-yl)-4.5 ,6,7-tetrahydro-2H-pyrazolo[4,3-c]pyridine (46 mg, 0.08 mmol) in THF (0.5 ml) at -78°C was added a 1M solution of LHMDS in THF (0.12 ml, 0.12 mmol). The mixture was stirred at -78°C for 30 minutes, heated to 0°C and stirred for 15 minutes, then cooled again to -78°C. A solution of 2-(chloromethyl)-4-fluorobenzoyl chloride (0.33 mmol) in THF (0.5 ml) was added dropwise to the mixture. After stirring at room temperature for 16 hours, the reaction was quenched with water. The aqueous and organic layers were separated and the aqueous layer was extracted with ethyl acetate. The organic layers were combined, dried over sodium sulfate, filtered and evaporated. The residue was purified by silica gel column chromatography (0-100% EtOAc in hexane) to give (2-(chloromethyl)-4-fluorophenyl)(4-(2-(2,6-diethylphenyl)-5-(5-(trifluoromethyl )pyrimidin-2-yl)-4,5,6,7-tetrahydro-2H-pyrazolo[4,3-c]pyridin-3-yl)-6-fluoro-7-methoxy-1H-indol-1-yl ) methanone. MS: (ES) m/z calculated for C ₃₈ H ₃₂ ClF ₅ N ₆ O ₂ [M+H] ⁺ 735.2, found 735.1.

Step b: To a solution of (2-(chloromethyl)-4-fluorophenyl)(4-(2-(2,6-diethylphenyl)-5-(5-(trifluoromethyl)pyrimidin-2-yl)-4,5,6 ,7-tetrahydro-2H-pyrazolo[4,3-c]pyridin-3-yl)-6-fluoro-7-methoxy-1H-indol-1-yl)methanone (48 mg, 0.065 mmol) in acetone (1 ml) sodium iodide (32 mg, 0.21 mmol) was added. The mixture was heated at 70°C for 1 hour, then evaporated in vacuum. The residue was purified by silica gel column chromatography (0-100% EtOAc in hexanes) to give (4-(2-(2,6-diethylphenyl)-5-(5-(trifluoromethyl)pyrimidin-2-yl)-4.5 ,6,7-tetrahydro-2H-pyrazolo[4,3-c]pyridin-3-yl)-6-fluoro-7-methoxy-1H-indol-1-yl)(4-fluoro-2-(iodomethyl) phenyl) methanone. MS: (ES) m/z calculated for C ₃₈ H ₃₂ F ₅ IN ₆ O ₂ [M+H] ⁺ 827.2, found 827.0.

Step c: To a solution of (4-(2-(2,6-diethylphenyl)-5-(5-(trifluoromethyl)pyrimidin-2-yl)-4,5,6,7-tetrahydro-2H-pyrazolo[4, 3-c]pyridin-3-yl)-6-fluoro-7-methoxy-1H-indol-1-yl)(4-fluoro-2-(iodomethyl)phenyl)methanone (26 mg, 0.031 mmol) in toluene ( 1 ml) silver dibenzyl phosphate (24 mg, 0.062 mmol) was added. The mixture was heated at 110° C. for 16 hours, then evaporated in vacuo. The residue was purified by silica gel column chromatography (0-100% EtOAc in hexanes) to give dibenzyl (2-(4-(2-(2,6-diethylphenyl)-5-(5-(trifluoromethyl)pyrimidin-2-yl) -4,5,6,7-tetrahydro-2H-pyrazolo[4,3-c]pyridin-3-yl)-6-fluoro-7-methoxy-1H-indole-1-carbonyl)-5-fluorobenzyl)phosphate .

Step d: To a solution of dibenzyl (2-(4-(2-(2,6-diethylphenyl)-5-(5-(trifluoromethyl)pyrimidin-2-yl)-4,5,6,7-tetrahydro-2H- pyrazolo[4,3-c]pyridin-3-yl)-6-fluoro-7-methoxy-1H-indole-1-carbonyl)-5-fluorobenzyl)phosphate (17 mg, 0.017 mmol) in MeOH (1 ml) 10% Pd/C (2 mg) was added. The mixture was stirred under hydrogen pressure from a balloon for 1 hour, then filtered through celite, evaporated and purified by HPLC (MeCN/H ₂ O, with 0.1% TFA) to give 2-(4-(2-(2,6-diethylphenyl )-5-(5-(trifluoromethyl)pyrimidin-2-yl)-4,5,6,7-tetrahydro-2H-pyrazolo[4,3-c]pyridin-3-yl)-6-fluoro-7- methoxy-1H-indole-1-carbonyl)-5-fluorobenzyl dihydrogen phosphate. ¹ H NMR (400 MHz, CD ₃ OD) δ 8.58 (s, 2H), 7.60 (d, J=10.0 Hz, 1H), 7.49 (broad s, 2H), 7. 33 (t, J=7.6 Hz, 1H), 7.11-7.24 (m, 3H), 6.65 (s, 1H), 6.59 (d, J=13.0 Hz, 1H ), 5.35 (d, J=7.3 Hz, 2H), 4.87 (s, 2H), 4.38 (s, 2H), 3.75 (s, 3H), 2.98 (s , 2H), 2.25 (brs, 4H), 1.02 (brs, 6H). MS: (ES) m/z calculated for C ₃₈ H ₃₄ F ₅ N ₆ O ₆ P [M+H] ⁺ 797.2, found 797.1.

Example 16 Synthesis of 2-(4-(2-(2,6-diethylphenyl)-5-(5-(trifluoromethyl)pyrimidin-2-yl)-4,5,6,7-tetrahydro-2H-pyrazolo[4 ,3-c]pyridin-3-yl)-6-fluoro-7-methoxy-1H-indole-1-carbonyl)benzyl dimethylglycinate

Step a: To a solution of 2-(2,6-diethylphenyl)-3-(6-fluoro-7-methoxy-1H-indol-4-yl)-5-(5-(trifluoromethyl)pyrimidin-2-yl)- 4,5,6,7-tetrahydro-2H-pyrazolo[4,3-c]pyridine (500 mg, 0.9 mmol) in THF (8.8 ml) at -78°C was added a 1M solution of LHMDS in THF ( 0.98 ml, 0.98 mmol). After stirring at -78° C. for 30 minutes, 2-(chloromethyl)benzoyl chloride (0.25 ml, 1.78 mmol) was added to the mixture. After stirring at room temperature for 16 hours, the reaction was quenched with water. The aqueous and organic layers were separated and the aqueous layer was extracted with ethyl acetate. The organic layers were combined, dried over sodium sulfate, filtered and evaporated. The residue was purified by silica gel column chromatography (0-100% EtOAc in hexanes) to give (2-(chloromethyl)phenyl)(4-(2-(2,6-diethylphenyl)-5-(5-(trifluoromethyl)pyrimidine- 2-yl)-4,5,6,7-tetrahydro-2H-pyrazolo[4,3-c]pyridin-3-yl)-6-fluoro-7-methoxy-1H-indol-1-yl)methanone. MS: (ES) m/z calculated for C ₃₈ H ₃₃ ClF ₄ N ₆ O ₂ [M+H] ⁺ 717.2, found 717.0.

Step b: To a solution of (2-(chloromethyl)phenyl)(4-(2-(2,6-diethylphenyl)-5-(5-(trifluoromethyl)pyrimidin-2-yl)-4,5,6,7- tetrahydro-2H-pyrazolo[4,3-c]pyridin-3-yl)-6-fluoro-7-methoxy-1H-indol-1-yl)methanone (156 mg, 0.22 mmol) in acetone (2, 2 ml) sodium iodide (129 mg, 0.9 mmol) was added. After heating at 70°C for 1 hour, the reaction was quenched with water. The aqueous and organic layers were separated and the aqueous layer was extracted with ethyl acetate. The organic layers were combined, dried over sodium sulfate, filtered and evaporated. The residue was purified by silica gel column chromatography (0-100% EtOAc in hexanes) to give (4-(2-(2,6-diethylphenyl)-5-(5-(trifluoromethyl)pyrimidin-2-yl)-4.5 ,6,7-tetrahydro-2H-pyrazolo[4,3-c]pyridin-3-yl)-6-fluoro-7-methoxy-1H-indol-1-yl)(2-(iodomethyl)phenyl)methanone.

Step c: To a solution of (4-(2-(2,6-diethylphenyl)-5-(5-(trifluoromethyl)pyrimidin-2-yl)-4,5,6,7-tetrahydro-2H-pyrazolo[4, 3-c]pyridin-3-yl)-6-fluoro-7-methoxy-1H-indol-1-yl)(2-(iodomethyl)phenyl)methanone (76 mg, 0.094 mmol) in DMF (1 ml) at 0° Cs ₂ CO ₃ (31 mg, 0.1 mmol) and dimethylglycine (10 mg, 0.1 mmol) were added. After stirring at room temperature for 16 hours, the reaction was quenched with water. The aqueous and organic layers were separated and the aqueous layer was extracted with ethyl acetate. The organic layers were combined, dried over sodium sulfate, filtered and evaporated. The residue was purified by HPLC (MeCN/H ₂ O, with 0.1% TFA) to give 2-(4-(2-(2,6-diethylphenyl)-5-(5-(trifluoromethyl)pyrimidin-2-yl) -4,5,6,7-tetrahydro-2H-pyrazolo[4,3-c]pyridin-3-yl)-6-fluoro-7-methoxy-1H-indole-1-carbonyl)benzyl dimethylglycinate. ¹ H NMR (400 MHz, CDCl ₃ ) δ 8.54 (s, 2H), 7.65-7.81 (m, 4H), 7.31 (t, J=7.7 Hz, 1H), 7 .22 (d, J=3.7 Hz, 1H), 7.11 (broad s, 2H), 6.64 (d, J=12.7 Hz, 1H), 6.52 (d, J= 3.7 Hz, 1H), 5.08 (s, 2H), 4.76 (s, 2H), 4.37 (s, 2H), 4.14 (s, 2H), 3.85 (s, 3H), 3.32 (s, 6H), 3.09 (t, J=5.9 Hz, 2H), 2.08 (broad s, 4H), 1.04 (broad s, 6H). MS: (ES) m/z calculated for C ₄₂ H ₄₁ F ₄ N ₇ O ₄ [M+H] ⁺ 784.3, found 784.2.

Example 17 Synthesis of 3-chloro-4-(phosphonooxy)benzyl 4-(5-(2,4-bis(trifluoromethyl)benzyl)-2-(2,6-diethylphenyl)-6,6-dimethyl-2,4 ,5,6-tetrahydropyrrolo[3,4-c]pyrazol-3-yl)-7-fluoro-1H-indole-1-carboxylate

Step a: To a flask containing 3-chloro-4-hydroxybenzoic acid (5 g, 29 mmol) in MeOH (100 ml) was added dropwise thionyl chloride (7.4 ml, 102 mmol). The mixture was heated at 60° C. for 1 hour, then evaporated in vacuo. The resulting residue was dissolved in THF (100 ml). LiAlH ₄ (4.4 g, 110 mmol) was added to the solution. After heating at 65°C for 1 hour, the reaction was quenched with 1N. HCl solution. The aqueous and organic layers were separated and the aqueous layer was extracted with ethyl acetate. The organic layers were combined, dried over sodium sulfate, filtered and evaporated. The residue was purified by silica gel column chromatography (0-100% EtOAc in hexane) to give 2-chloro-4-(hydroxymethyl)phenol.

To a solution of 2-chloro-4-(hydroxymethyl)phenol (2 g, 12.7 mmol) in dioxane (25 ml) was added DDQ (2.87 g, 12.7 mmol). The mixture was stirred at room temperature for 4 hours, then filtered. The filtrate was washed with water, then dried over sodium sulfate, filtered and evaporated. The residue was purified by silica gel column chromatography (0-100% EtOAc in hexane) to give 3-chloro-4-hydroxybenzaldehyde. MS: (ES) m/z calculated for C ₇ H ₅ ClO ₂ [M+H] ⁺ 157.0, found 157.0.

To a flask containing 3-chloro-4-hydroxybenzaldehyde (1.4 g, 9.0 mmol) in THF (14.6 ml) was added dropwise a 1.0 M solution of tBuOK in THF (9.5 ml, 9.5 mmol) and tetrabenzyl diphosphate (4.8 g, 8.9 mmol). The mixture was heated at 70°C for 2 hours. Upon completion, hexane was added and the mixture was filtered. The filtrate was evaporated and the resulting residue was purified by silica gel column chromatography (0-100% EtOAc in hexane) to give dibenzyl (2-chloro-4-formylphenyl)phosphate. MS: (ES) m/z calculated for C ₂₁ H ₁₈ ClO ₅ P [M+H] ⁺ 417.1, found 417.0.

NaBH ₄ (0.73 g, 19.7 mmol ). After stirring at -78°C for 1 hour, the reaction was quenched with water. The organic and aqueous layers were separated and the aqueous layer was extracted with ethyl acetate. The organic layers were combined, dried over sodium sulfate, filtered and evaporated in vacuo. The resulting residue was purified by silica gel column chromatography (0-100% EtOAc in hexane) to give dibenzyl (2-chloro-4-(hydroxymethyl)phenyl)phosphate. MS: (ES) m/z calculated for C ₂₁ H ₂₀ ClO ₅ P [M+H] ⁺ 419.1, found 419.0.

Diisopropylethylamine (0.12 ml, 0.69 mmol) and triphosgene (92 mg, 0.3 mmol). After stirring at 0° C. for 1 hour, the reaction was quenched with water. The organic and aqueous layers were separated and the aqueous layer was extracted with ethyl acetate. The organic layers were combined, dried over sodium sulfate, filtered and evaporated to give the crude chloroformate.

Into a solution of 4-(5-(2,4-bis(trifluoromethyl)benzyl)-2-(2,6-diethylphenyl)-6,6-dimethyl-2,4,5,6-tetrahydropyrrolo[3,4-c ]pyrazol-3-yl)-7-fluoro-1H-indole (187 mg, 0.30 mmol) in THF (1.5 ml) NaH (24 mg, 0.60 mmol) was added at 0°C. After stirring at 0° C. for 30 minutes, a solution of crude chloroformate (obtained as described above) in THF (1.5 ml) was added to the mixture. After stirring at 0° C. for 1 hour, the reaction was quenched with water. The organic and aqueous layers were separated and the aqueous layer was extracted with ethyl acetate. The organic layers were combined, dried over sodium sulfate, filtered and evaporated in vacuo. The residue was purified by silica gel column chromatography (0-100% EtOAc in hexanes) to give 4-((bis(benzyloxy)phosphoryl)oxy)-3-chlorobenzyl 4-(5-(2,4-bis(trifluoromethyl)benzyl) -2-(2,6-diethylphenyl)-6,6-dimethyl-2,4,5,6-tetrahydropyrrolo[3,4-c]pyrazol-3-yl)-7-fluoro-1H-indol-1- carboxylate.

Step b: To a solution of 4-((bis(benzyloxy)phosphoryl)oxy)-3-chlorobenzyl 4-(5-(2,4-bis(trifluoromethyl)benzyl)-2-(2,6-diethylphenyl)-6, 6-dimethyl-2,4,5,6-tetrahydropyrrolo[3,4-c]pyrazol-3-yl)-7-fluoro-1H-indole-1-carboxylate (298 mg, 0.28 mmol) in MeOH ( 4 ml) was added 10% Pd/C (30 mg, 0.03 mmol). The mixture was stirred under hydrogen pressure from a balloon for 1 hour, then filtered through celite, evaporated and purified by HPLC (MeCN/H ₂ O, with 0.1% TFA) to give 3-chloro-4-(phosphonooxy)benzyl 4-(5 -(2,4-bis(trifluoromethyl)benzyl)-2-(2,6-diethylphenyl)-6,6-dimethyl-2,4,5,6-tetrahydropyrrolo[3,4-c]pyrazol-3-yl )-7-fluoro-1H-indole-1-carboxylate. ¹ H NMR (400 MHz, CD ₃ OD) δ 8.12 (s, 1H), 8.04-8.12 (m, 2H), 7.83 (s, 1H), 7.55 (s, 1H ), 7.51 (d, J=8.4 Hz, 1H), 7.33-7.37 (m, 2H), 7.17 (d, J=7.9 Hz, 2H), 6.82 (dd, J=10.2, 10.2 Hz, 1H), 6.67 (broad s, 2H), 5.36 (s, 2H), 4.77 (s, 2H), 4.50 ( s, 2H), 2.16-2.29 (m, 4H), 1.93 (br s, 6H), 0.99 (br s, 6H). MS: (ES) m/z calculated for C ₄₂ H ₃₇ ClF ₇ N ₄ O ₆ P [M+H] ⁺ 893.2, found 893.1.

Example 18 Synthesis of 3-fluoro-4-(phosphonooxy)benzyl 4-(5-(2,4-bis(trifluoromethyl)benzyl)-2-(2,6-diethylphenyl)-6,6-dimethyl-2,4 ,5,6-tetrahydropyrrolo[3,4-c]pyrazol-3-yl)-7-fluoro-1H-indole-1-carboxylate

Step a: To a flask containing 3-fluoro-4-hydroxybenzaldehyde (1 g, 7.1 mmol) in THF (32 mL) was added dropwise a 1.0 M solution of tBuOK in THF (7.6 mL, 7.6 mmol) and tetrabenzyl diphosphate (4.0 g, 7.4 mmol). The mixture was heated at 70°C for 1 hour. Upon completion, hexane was added and the mixture was filtered. The filtrate was evaporated and the residue was purified by silica gel column chromatography (0-100% EtOAc in hexanes) to give dibenzyl (2-fluoro-4-formylphenyl)phosphate. MS: (ES) m/z calculated for C ₂₁ H ₁₈ FO ₅ P [M+H] ⁺ 401.1, found 401.1.

NaBH ₄ (0.76 g, 20.5 mmol ). After stirring at -78°C for 1 hour, the reaction was quenched with water. The organic and aqueous layers were separated and the aqueous layer was extracted with ethyl acetate. The organic layers were combined, dried over sodium sulfate, filtered and evaporated in vacuo. The residue was purified by silica gel column chromatography (0-100% EtOAc in hexane) to give dibenzyl (2-fluoro-4-(hydroxymethyl)phenyl)phosphate. MS: (ES) m/z calculated for C ₂₁ H ₂₀ FO ₅ P [M+H] ⁺ 403.1, found 403.0.

Diisopropylethylamine (0.12 ml, 0.69 mmol) and triphosgene (92 mg, 0.3 mmol). After stirring at room temperature for 30 minutes, the reaction was quenched with water. The organic and aqueous layers were separated and the aqueous layer was extracted with ethyl acetate. The organic layers were combined, dried over sodium sulfate, filtered and evaporated to give the crude chloroformate.

Into a solution of 4-(5-(2,4-bis(trifluoromethyl)benzyl)-2-(2,6-diethylphenyl)-6,6-dimethyl-2,4,5,6-tetrahydropyrrolo[3,4-c ]pyrazol-3-yl)-7-fluoro-1H-indole (195 mg, 0.31 mmol) in THF (1.5 ml) NaH (24 mg, 0.60 mmol) was added at 0°C. After stirring at room temperature for 30 minutes, a solution of crude chloroformate (obtained as described above) in THF (1.5 ml) was added to the mixture. After stirring at room temperature for 16 hours, the reaction was quenched with water. The organic and aqueous layers were separated and the aqueous layer was extracted with ethyl acetate. The organic layers were combined, dried over sodium sulfate, filtered and evaporated in vacuo. The residue was purified by silica gel column chromatography (0-100% EtOAc in hexanes) to give 4-((bis(benzyloxy)phosphoryl)oxy)-3-fluorobenzyl 4-(5-(2,4-bis(trifluoromethyl)benzyl) -2-(2,6-diethylphenyl)-6,6-dimethyl-2,4,5,6-tetrahydropyrrolo[3,4-c]pyrazol-3-yl)-7-fluoro-1H-indol-1- carboxylate.

Step b: To a solution of 4-((bis(benzyloxy)phosphoryl)oxy)-3-fluorobenzyl 4-(5-(2,4-bis(trifluoromethyl)benzyl)-2-(2,6-diethylphenyl)-6, 6-dimethyl-2,4,5,6-tetrahydropyrrolo[3,4-c]pyrazol-3-yl)-7-fluoro-1H-indole-1-carboxylate (307 mg, 0.29 mmol) in EtOAc ( 1.5 ml) was added 10% Pd/C (30 mg, 0.03 mmol). The mixture was stirred under hydrogen pressure from a balloon for 3 hours, then filtered through celite, evaporated and purified by HPLC (MeCN/H ₂ O, with 0.1% TFA) to give 3-fluoro-4-(phosphonooxy)benzyl 4-(5 -(2,4-bis(trifluoromethyl)benzyl)-2-(2,6-diethylphenyl)-6,6-dimethyl-2,4,5,6-tetrahydropyrrolo[3,4-c]pyrazol-3-yl )-7-fluoro-1H-indole-1-carboxylate. ¹ H NMR (400 MHz, CD ₃ OD) δ: 8.13 (s, 1H), 8.05-8.11 (m, 2H), 7.83 (m, 1H), 7.44 (dd, J=8.4, 8.4 Hz, 1H), 7.30-7.37 (m, 2H), 7.23 (d, J=8.4 Hz, 1H), 7.17 (d, J =7.8 Hz, 2H), 6.83 (dd, J=10.4, 10.4 Hz, 1H), 6.67 (broad s, 2H), 5.38 (s, 2H), 4 .80 (s, 2H), 4.54 (s, 2H), 2.15-2.29 (m, 4H), 1.96 (br s, 6H), 0.99 (br s, 6H ). MS: (ES) m/z calculated for C ₄₂ H ₃₇ F ₈ N ₄ O ₆ P [M+H] ⁺ 877.2, found 877.1.

Example 19 Synthesis of 2-((phosphonooxy)methyl)phenyl 4-(5-(2,4-bis(trifluoromethyl)benzyl)-2-(2,6-diethylphenyl)-6,6-dimethyl-2,4, 5,6-tetrahydropyrrolo[3,4-c]pyrazol-3-yl)-7-fluoro-1H-indole-1-carboxylate

Step a: To a flask containing 2-hydroxybenzaldehyde (10 g, 82 mmol) in DMF (82 ml) was added dropwise imidazole (6.1 g, 90 mmol) and TBDMSCl (13.6 g, 90 mmol). After stirring at room temperature for 3 hours, the reaction was quenched with water. The mixture was extracted with ethyl acetate. The combined organic layers were dried over sodium sulfate, filtered and evaporated. The residue was purified by silica gel column chromatography (0-100% EtOAc in hexane) to give 2-((tert-butyldimethylsilyl)oxy)benzaldehyde. MS: (ES) m/z calculated for C ₁₃ H ₂₀ O ₂ Si [M+H] ⁺ 237.1, found 237.1.

To a solution of 2-((tert-butyldimethylsilyl)oxy)benzaldehyde (16.4 g, 69 mmol) in MeOH (126 ml) was added NaBH ₄ (2.55 g, 67.4 mmol). After stirring at room temperature for 2 hours, the reaction was quenched with water. The mixture was evaporated in vacuo, then extracted with hexane. The organic layers were combined, dried over sodium sulfate, filtered and evaporated in vacuo. The residue was purified by silica gel column chromatography (0-10% EtOAc in hexanes) to give (2-((tert-butyldimethylsilyl)oxy)phenyl) methanol.

To a flask containing (2-((tert-butyldimethylsilyl)oxy)phenyl)methanol (1 g, 4.2 mmol) in THF (42 ml) was added dropwise a 1.0 M solution of tBuOK in THF (4.6 ml , 4.6 mmol) and tetrabenzyl diphosphate (2.5 g, 4.6 mmol). The mixture was heated at 60°C for 1 hour. Upon completion, hexane was added and the mixture was filtered. The filtrate was evaporated and the residue was used further without further purification.

To a solution of the crude residue in MeCN (42 ml) was added dropwise HF-pyridine (4.2 ml). After stirring at room temperature for 1 hour, the mixture was evaporated in vacuo. The residue was purified by silica gel column chromatography (0-100% EtOAc in hexanes) to give dibenzyl (2-hydroxybenzyl) phosphate. MS: (ES) m/z calculated for C ₂₁ H ₂₁ O ₅ P [M+H] ⁺ 385.1, found 385.0.

Diisopropylethylamine (0.18 ml, 1.0 mmol) and triphosgene (139 mg, 0.47 mmol) were added to a solution of dibenzyl (2-hydroxybenzyl) phosphate (366 mg, 0.95 mmol) in THF (4.8 ml) . After stirring at room temperature for 30 minutes, the reaction was quenched with water. The organic and aqueous layers were separated and the aqueous layer was extracted with ethyl acetate. The organic layers were combined, dried over sodium sulfate, filtered and evaporated.

Into a solution of 4-(5-(2,4-bis(trifluoromethyl)benzyl)-2-(2,6-diethylphenyl)-6,6-dimethyl-2,4,5,6-tetrahydropyrrolo[3,4-c ]pyrazol-3-yl)-7-fluoro-1H-indole (300 mg, 0.48 mmol) in THF (4.8 ml) was added NaH (37 mg, 0.97 mmol). After stirring at room temperature for 20 minutes, a solution of crude chloroformate (obtained as described above) in 1 ml of THF was added to the mixture. After stirring at room temperature for 16 hours, the reaction was quenched with water. The organic and aqueous layers were separated and the aqueous layer was extracted with ethyl acetate. The organic layers were combined, dried over sodium sulfate, filtered and evaporated in vacuo. The residue was purified by silica gel column chromatography (0-100% EtOAc in hexane) to give 2-(((bis(benzyloxy)phosphoryl)oxy)methyl)phenyl 4-(5-(2,4-bis(trifluoromethyl)benzyl) -2-(2,6-diethylphenyl)-6,6-dimethyl-2,4,5,6-tetrahydropyrrolo[3,4-c]pyrazol-3-yl)-7-fluoro-1H-indol-1- carboxylate.

Step b: To a solution of 2-(((bis(benzyloxy)phosphoryl)oxy)methyl)phenyl 4-(5-(2,4-bis(trifluoromethyl)benzyl)-2-(2,6-diethylphenyl)-6, 6-dimethyl-2,4,5,6-tetrahydropyrrolo[3,4-c]pyrazol-3-yl)-7-fluoro-1H-indole-1-carboxylate (500 mg, 0.48 mmol) in EtOAc ( 2.4 ml) was added 10% Pd/C (51 mg). The mixture was stirred under hydrogen pressure from a bead for 2 hours, then filtered through celite, evaporated and purified by HPLC (MeCN/H ₂ O, with 0.1% TFA) to give 2-((phosphonooxy)methyl)phenyl 4-(5- (2,4-bis(trifluoromethyl)benzyl)-2-(2,6-diethylphenyl)-6,6-dimethyl-2,4,5,6-tetrahydropyrrolo[3,4-c]pyrazol-3-yl) -7-fluoro-1H-indole-1-carboxylate. ¹ H NMR (400 MHz, DMSO-d ₆ ) δ 8.12 (d, J=8.1 Hz, 1H), 7.94-8.06 (m, 2H), 7.85 (s, 1H) , 7.51 (d, J=7.6 Hz, 1H), 7.35-7.39 (m, 1H), 7.28-7.33 (m, 2H), 7.07-7.20 (m, 3H), 6.90-6.95 (m, 1H), 6.60 (s, 1H), 6.56 (dd, J=8.4, 3.7 Hz, 1H), 5, 42 (s, 2H), 4.15 (br. s, 2H), 3.59 (br. s, 2H), 2.16 (kv, J=7.8 Hz, 4H), 1.48 (br. .s, 6H), 0.90 (t, J=7.5 Hz, 6H). MS: (ES) m/z calculated for C ₄₂ H ₃₈ F ₇ N ₄ O ₆ P [M+H] ⁺ 859.2, found 859.2.

Example 20 Synthesis of 2-(4-(5-(2,4-bis(trifluoromethyl)benzyl)-2-(2,6-diethylphenyl)-6,6-dimethyl-2,4,5,6-tetrahydropyrrolo [3,4-c]pyrazol-3-yl)-7-fluoro-1H-indole-1-carbonyl)benzyl dihydrogen phosphate

Step a: To a solution of 4-(5-(2,4-bis(trifluoromethyl)benzyl)-2-(2,6-diethylphenyl)-6,6-dimethyl-2,4,5,6-tetrahydropyrrolo[3, 4-c]pyrazol-3-yl)-7-fluoro-1H-indole (500 mg, 0.80 mmol) in THF (8 ml) at -78°C was added a 0.5 M solution of KHMDS in THF (2, 6 ml, 1.3 mmol). After stirring at -78° C. for 30 minutes, 2-(chloromethyl) benzoyl chloride (0.28 ml, 1.9 mmol) was added to the mixture. After stirring at room temperature for 16 hours, the reaction mixture was diluted with ethyl acetate and washed with saturated aqueous NaHCO ₃ . The aqueous and organic layers were separated and the aqueous layer was extracted with ethyl acetate. The organic layers were combined, dried over sodium sulfate, filtered and evaporated. The residue was purified by silica gel column chromatography (0-100% EtOAc in hexane) to give (4-(5-(2,4-bis(trifluoromethyl)benzyl)-2-(2,6-diethylphenyl)-6,6- dimethyl-2,4,5,6-tetrahydropyrrolo[3,4-c]pyrazol-3-yl)-7-fluoro-1H-indol-1-yl)(2-(chloromethyl)phenyl)methanone. MS: (ES) m/z calculated for C ₄₂ H ₃₆ ClF ₇ N ₄ O [M+H] ⁺ 781.3, found 781.0.

Step b: To a solution of (4-(5-(2,4-bis(trifluoromethyl)benzyl)-2-(2,6-diethylphenyl)-6,6-dimethyl-2,4,5,6-tetrahydropyrrolo[3 ,4-c]pyrazol-3-yl)-7-fluoro-1H-indol-1-yl)(2-(chloromethyl)phenyl)methanone (194 mg, 0.25 mmol) in acetone (3.1 ml) sodium iodide (149 mg, 0.99 mmol) was added. After heating at 70°C for 2 hours, the reaction mixture was diluted with ethyl acetate and washed with water. The aqueous and organic layers were separated and the aqueous layer was extracted with ethyl acetate. The organic layers were combined, dried over sodium sulfate, filtered and evaporated to give (4-(5-(2,4-bis(trifluoromethyl)benzyl)-2-(2,6-diethylphenyl)-6,6-dimethyl-2, 4,5,6-tetrahydropyrrolo[3,4-c]pyrazol-3-yl)-7-fluoro-1H-indol-1-yl)(2-(iodomethyl)phenyl)methanone, which was used in the next step without additional cleaning.

Step c: To a solution of crude (4-(5-(2,4-bis(trifluoromethyl)benzyl)-2-(2,6-diethylphenyl)-6,6-dimethyl-2,4,5,6-tetrahydropyrrolo[ 3,4-c]pyrazol-3-yl)-7-fluoro-1H-indol-1-yl)(2-(iodomethyl)phenyl)methanone (0.25 mmol) in toluene (1 ml) was added silver dibenzylphosphate ( 190 mg, 0.49 mmol). After heating the mixture at 110°C for 3 hours, the mixture was filtered through celite. The filtrate was evaporated and the residue was purified by silica gel column chromatography (0-100% EtOAc in hexanes) to give dibenzyl (2-(4-(5-(2,4-bis(trifluoromethyl)benzyl)-2-(2.6 -diethylphenyl)-6,6-dimethyl-2,4,5,6-tetrahydropyrrolo[3,4-c]pyrazol-3-yl)-7-fluoro-1H-indole-1-carbonyl)benzyl)phosphate.

Step d: To a solution of dibenzyl (2-(4-(5-(2,4-bis(trifluoromethyl)benzyl)-2-(2,6-diethylphenyl)-6,6-dimethyl-2,4,5,6 10% Pd/C (10 mg , 0.009 mmol). The mixture was stirred under hydrogen pressure from a bead for 4 hours, then filtered through celite, evaporated and purified by HPLC (MeCN/H ₂ O, with 0.1% TFA) to give 2-(4-(5-(2,4-bis (trifluoromethyl)benzyl)-2-(2,6-diethylphenyl)-6,6-dimethyl-2,4,5,6-tetrahydropyrrolo[3,4-c]pyrazol-3-yl)-7-fluoro-1H -indole-1-carbonyl)benzyl dihydrogen phosphate. ¹ H NMR (400 MHz, CD ₃ OD) δ: 8.12 (s, 1H), 8.09 (broad s, 2H), 7.74 (d, J=7.7 Hz, 1H), 7 .67 (ddd, J=1.4, 7.3, 7.3 Hz, 1H), 7.57 (dd, J=1.4, 7.7 Hz, 1H), 7.49 (ddd, J =1.4, 7.2, 7.2 Hz, 1H), 7.40 (d, J=3.7 Hz, 1H), 7.36 (d, J=7.7 Hz, 1H), 7 .20 (d, J=7.7 Hz, 1H), 6.84 (dd, J=8.3, 11.3 Hz, 1H), 6.72 (dd, J=3.8, 8.4 Hz, 1H), 6.67 (dd, J=1.8, 3.8 Hz, 1H), 5.19 (d, J=7.4 Hz, 2H), 4.75 (s, 2H), 4.55 (s, 2H), 2.26 (q, J=7.5 Hz, 4H), 1.93 (s, 6H), 1.03 (t, J=7.5 Hz, 6H). MS: (ES) m/z calculated for C ₄₂ H ₃₈ F ₇ N ₄ O ₅ P [M+H] ⁺ 843.3, found 843.2.

Example 21 Synthesis of ((4-(piperazin-1-ylmethyl)benzoyl)oxy)methyl 4-(2-(2,6-diethylphenyl)-5-(5-(trifluoromethyl)pyrimidin-2-yl)-4, 5,6,7-tetrahydro-2H-pyrazolo[4,3-c]pyridin-3-yl)-6-fluoro-7-methoxy-1H-indole-1-carboxylate

Step a: Iodomethyl mixture 4-(2-(2,6-diethylphenyl)-5-(5-(trifluoromethyl)pyrimidin-2-yl)-4,5,6,7-tetrahydro-2H-pyrazolo[4,3 -c]pyridin-3-yl)-6-fluoro-7-methoxy-1H-indole-1-carboxylate (840 mg, 1.12 mmol), 4-formylbenzoic acid (252 mg, 1.68 mmol) and diisopropylethylamine (0.74 ml, 4.48 mmol) in dichloromethane (20 ml) was heated to 50°C for 3 hours. The mixture was cooled to room temperature, poured into saturated aqueous NaHCO ₃ and extracted with dichloromethane. The organic layer was separated, dried over Na ₂ SO ₄ , evaporated under reduced pressure, and purified by silica gel flash chromatography (0-60% EtOAc in hexanes) to give ((4-formylbenzoyl)oxy)methyl 4-(2-(2 ,6-diethylphenyl)-5-(5-(trifluoromethyl)pyrimidin-2-yl)-4,5,6,7-tetrahydro-2H-pyrazolo[4,3-c]pyridin-3-yl)-6- fluoro-7-methoxy-1H-indole-1-carboxylate. MS: (ES) m/z calculated for C ₄₀ H ₃₅ F ₄ N ₆ O ₆ [M+H] ⁺ 771.2, found 771.2.

Step b: To a 200 ml flask containing piperazine (1.0 g, 11.6 mmol) in dichloromethane (25 ml), acetic acid (40 ml), NaBH(OAc) ₃ (1, 5 g, 7.0 mmol) and ((4-formylbenzoyl)oxy)methyl 4-(2-(2,6-diethylphenyl)-5-(5-(trifluoromethyl)pyrimidin-2-yl)-4.5, 6,7-tetrahydro-2H-pyrazolo[4,3-c]pyridin-3-yl)-6-fluoro-7-methoxy-1H-indole-1-carboxylate (0.5 g, 0.65 mmol). The mixture was allowed to warm to room temperature and stirred overnight. The mixture was cooled to 0° C. and 2M HCl in ether (20 ml, 40 mmol) was added. The mixture was purified by flash chromatography on silica gel (0-100% EtOAc in hexanes, then 0-60% MeOH in CH ₂ Cl ₂ ). The pure fractions were combined, cooled to 0°C, 2M HCl in ether (10 mL, 20 mmol) was added and evaporated under reduced pressure to give the HCl salt ((4-(piperazin-1-ylmethyl)benzoyl)oxy)methyl 4 -(2-(2,6-diethylphenyl)-5-(5-(trifluoromethyl)pyrimidin-2-yl)-4,5,6,7-tetrahydro-2H-pyrazolo[4,3-c]pyridine-3 -yl)-6-fluoro-7-methoxy-1H-indole-1-carboxylate. ¹ H NMR (400 MHz, CD ₃ OD) δ 8.58 (s, 2H), 8.21 (d, J=8.4 Hz, 2H), 7.80 (d, J=3.6 Hz, 1H), 7.75 (d, J=8.0 Hz, 2H), 7.33 (t, J=7.8 Hz, 1H), 7.16 (broad s, 2H), 6.59- 6.66 (m, 2H), 6.30 (s, 2H), 4.32-4.50 (m, 4H), 3.96 (d, J=1.2 Hz, 3H), 3.40 -3.60 (m, 9H), 3.28-3.34 (m, 3H), 2.98 (dd, J=5.8, 5.8 Hz, 2H), 2.25 (br.s , 4H), 1.00 (brs, 6H); MS (free form): (ES) m/z calculated for C ₄₄ H ₄₅ F ₄ N ₈ O ₅ [M+H] ⁺ 841.3, found 841.7.

Example 22 Synthesis of ((4-((phosphonooxy)methyl)benzoyl)oxy)methyl 4-(5-(2,4-bis(trifluoromethyl)benzyl)-2-(2,6-diethylphenyl)-6,6 -dimethyl-2,4,5,6-tetrahydropyrrolo[3,4-c]pyrazol-3-yl)-7-fluoro-1H-indole-1-carboxylate

Step a: To a solution of 4-(5-(2,4-bis(trifluoromethyl)benzyl)-2-(2,6-diethylphenyl)-6,6-dimethyl-2,4,5,6-tetrahydropyrrolo[3, 4-c]pyrazol-3-yl)-7-fluoro-1H-indole (3.0 g, 4.76 mmol) in THF (30 ml) at -78°C was added a 1M solution of LiHMDS in toluene (7.61 ml, 7.61 mmol) drop by drop. The mixture was stirred at the same temperature for another 15 minutes. Chloromethyl chloroformate (0.83 ml, 9.52 mmol) was added to the mixture. The resulting mixture was allowed to warm to room temperature and stirred for 0.5 hour. The mixture was quenched with saturated aqueous NH ₄ Cl and extracted with ethyl acetate. The organic layer was separated, washed with saturated aqueous NaHCO ₃ , dried over Na ₂ SO ₄ , evaporated under reduced pressure and purified by silica gel flash chromatography (0 to 40% EtOAc in hexane) to give chloromethyl 4-(5-(2, 4-bis(trifluoromethyl)benzyl)-2-(2,6-diethylphenyl)-6,6-dimethyl-2,4,5,6-tetrahydropyrrolo[3,4-c]pyrazol-3-yl)-7- fluoro-1H-indole-1-carboxylate. MS: (ES) m/z calculated for C ₃₆ H ₃₃ ClF ₇ N ₄ O ₂ [M+H] ⁺ 721.1, found 721.0.

Step b: A mixture of chloromethyl 4-(5-(2,4-bis(trifluoromethyl)benzyl)-2-(2,6-diethylphenyl)-6,6-dimethyl-2,4,5,6-tetrahydropyrrolo[3, 4-c]pyrazol-3-yl)-7-fluoro-1H-indole-1-carboxylate (2.5 g, 3.46 mmol) and NaI (6.0 g, 40.0 mmol) in acetone (50 ml) was heated at 45°C for 7 hours. The mixture was cooled to room temperature, poured into saturated aqueous NaHCO ₃ and extracted with ethyl acetate. The organic layer was separated, dried over Na ₂ SO ₄ , evaporated under reduced pressure and purified by silica gel flash chromatography (0-40% EtOAc in hexane) to give iodomethyl 4-(5-(2,4-bis(trifluoromethyl)benzyl )-2-(2,6-diethylphenyl)-6,6-dimethyl-2,4,5,6-tetrahydropyrrolo[3,4-c]pyrazol-3-yl)-7-fluoro-1H-indole-1 -carboxylate. MS: (ES) m/z calculated for C ₃₆ H ₃₃ F ₇ IN ₄ O ₂ [M+H] ⁺ 813.2, found 813.2.

Step c: Iodomethyl mixture 4-(5-(2,4-bis(trifluoromethyl)benzyl)-2-(2,6-diethylphenyl)-6,6-dimethyl-2,4,5,6-tetrahydropyrrolo[3, 4-c]pyrazol-3-yl)-7-fluoro-1H-indole-1-carboxylate (156 mg, 0.19 mmol) and ((4-(((bis(benzyloxy)phosphoryl)oxy)methyl)benzoyl )oxy)silver (100 mg, 0.19 mmol) in toluene (10 ml) was heated at 110° C. for 1 hour. The mixture was cooled to room temperature, poured into saturated aqueous NaHCO ₃ and extracted with ethyl acetate. The organic layer was separated, dried over Na ₂ SO ₄ , evaporated under reduced pressure and purified by silica gel flash chromatography (0-60% EtOAc in hexane, then 0-30% EtOAc in CH ₂ Cl ₂ ) to give ((4- (((bis(benzyloxy)phosphoryl)oxy)methyl)-benzoyl)oxy)methyl 4-(5-(2,4-bis(trifluoromethyl)benzyl)-2-(2,6-diethylphenyl)-6,6- dimethyl 2,4,5,6-tetrahydropyrrolo[3,4-c]pyrazol-3-yl)-7-fluoro-1H-indole-1-carboxylate. MS: (ES) m/z calculated for C ₅₈ H ₅₃ F ₇ N ₄ O ₈ P[M+H] ⁺ 1097.3, only fragments of the molecular peak were observed.

Step d: Mixture of ((4-(((bis(benzyloxy)phosphoryl)oxy)methyl)benzoyl)oxy)methyl 4-(5-(2,4-bis(trifluoromethyl)benzyl)-2-(2,6- diethylphenyl)-6,6-dimethyl-2,4,5,6-tetrahydropyrrolo[3,4-c]pyrazol-3-yl)-7-fluoro-1H-indole-1-carboxylate (0.10 g, 0 .09 mmol), TFA (1 ml), dichloromethane (1 ml) and water (1 ml) were heated at 45°C for 6 hours. The mixture was cooled to room temperature, evaporated under reduced pressure and purified by HPLC (MeCN/H₂O, with 0.1% TFA) to give ((4-((phosphonooxy)methyl)benzoyl)oxy)methyl 4-(5-(2,4-bis(trifluoromethyl)benzyl)-2-(2,6- diethylphenyl)-6,6-dimethyl-2,4,5,6-tetrahydropyrrolo[3,4-c]pyrazol-3-yl)-7-fluoro-1H-indole-1-carboxylate as a salt with TFA.¹H NMR (400 MHz, CD₃OD) δ 8.01-8.13 (m, 6H), 7.85 (d, J=3.6 Hz, 1H), 7.54 (d, J=8.4 Hz, 2H), 7, 35 (dd, J=7.8, 7.8 Hz, 1H), 7.16 (d, J=8.0 Hz, 2H), 6.81-6.88 (m, 1H), 6.66 -6.71(m, 2H), 6.26(s, 2H), 5.07(d, J=7.2Hz, 2H), 4.70(brs, 2H), 4.40( brs, 2H), 3.30 (brs, 2H), 2.16-2.30 (m, 4H), 1.88 (s, 6H), 1.00 (t, J=7, 6Hz, 6H); MS: (ES) m/z calculated for C₄₄H₄₁F₇N₄O₈P[M+H]⁺ 917.3, found 917.1.

Example 23 Synthesis of ((4-(piperazin-1-ylmethyl)benzoyl)oxy)methyl 4-(5-(2,4-bis(trifluoromethyl)-benzyl)-2-(2,6-diethylphenyl)-6, 6-dimethyl-2,4,5,6-tetrahydropyrrolo[3,4-c]pyrazol-3-yl)-7-fluoro-1H-indole-1-carboxylate

Step a: Mixture of 4-formylbenzoic acid (0.5 g, 3.3 mmol) and LiOH monohydrate (0.15 g, 3.7 mmol) in THF (7.5 ml), MeOH (1 ml) and water ( 0.5 ml) was stirred at room temperature for 15 minutes. AgNO ₃ (0.65 g, 3.8 mmol) was added to the mixture. The mixture was stirred for another 15 minutes and evaporated to dryness under reduced pressure to give ((4-formylbenzoyl)oxy)silver.

Iodomethyl mixture 4-(5-(2,4-bis(trifluoromethyl)benzyl)-2-(2,6-diethylphenyl)-6,6-dimethyl-2,4,5,6-tetrahydropyrrolo[3,4-c ]pyrazol-3-yl)-7-fluoro-1H-indole-1-carboxylate (0.30 g, 0.37 mmol) and ((4-formylbenzoyl)oxy) silver (0.14 g, 0.37 mmol) described above 55 mmol) in toluene (5 ml) was heated at 100°C for 1 hour. The mixture was cooled to room temperature, poured into saturated aqueous NaHCO ₃ and extracted with ethyl acetate. The organic layer was separated, dried over Na ₂ SO ₄ , evaporated under reduced pressure, and purified by silica gel flash chromatography (0-60% EtOAc in hexane) to give ((4-formylbenzoyl)oxy)methyl 4-(5-(2 ,4-bis(trifluoromethyl)benzyl)-2-(2,6-diethylphenyl)-6,6-dimethyl-2,4,5,6-tetrahydropyrrolo[3,4-c]pyrazol-3-yl)-7 -fluoro-1H-indole-1-carboxylate. MS: (ES) m/z calculated for C ₄₄ H ₃₈ F ₇ N ₄ O ₅ [M+H] ⁺ 835.3, found 835.3.

Step c: To a tube containing piperazine (0.150 g, 1.74 mmol) in dichloromethane (4 ml), acetic acid (3 ml), NaBH(OAc) ₃ (0.400 g, 1.88 mmol) was added at 0°C and ((4-formylbenzoyl)oxy)methyl 4-(5-(2,4-bis(trifluoromethyl)benzyl)-2-(2,6-diethylphenyl)-6,6-dimethyl-2,4,5,6 -tetrahydropyrrolo[3,4-c]pyrazol-3-yl)-7-fluoro-1H-indole-1-carboxylate (0.060 g, 0.071 mmol) in series. The mixture was allowed to warm to room temperature and stirred overnight. The mixture was cooled to 0° C. and the reaction was quenched with 2M HCl in ether (2 ml, 4 mmol). The mixture was purified by silica gel flash chromatography (0-100% MeOH in CH ₂ Cl ₂ ). The pure fractions were combined, cooled to 0°C, 2M HCl in ether (2 ml, 4 mmol) was added and evaporated under reduced pressure to give the HCl salt ((4-(piperazin-1-ylmethyl)benzoyl)oxy)methyl 4 -(5-(2,4-bis(trifluoromethyl)benzyl)-2-(2,6-diethylphenyl)-6,6-dimethyl-2,4,5,6-tetrahydropyrrolo[3,4-c]pyrazole- 3-yl)-7-fluoro-1H-indole-1-carboxylate. ¹ H NMR (400 MHz, CD ₃ OD) δ 8.04-8.26 (m, 6H), 7.74-7.90 (m, 3H), 7.35 (dd, J=7.2, 7.2 Hz, 1H), 7.16 (d, J=7.2 Hz, 2H), 6.80-6.90 (m, 2H), 6.66-6.74 (m, 1H), 6.27 (s, 2H), 4.80-5.00 (m, 2H), 4.58 (s, 2H), 4.36 (br s, 1H), 3.63 (br s, 10H), 2.23 (br s, 4H), 2.03 (br s, 6H), 0.99 (t, J=6.4 Hz, 6H); MS: (ES) m/z calculated for C ₄₈ H ₄₈ F ₇ N ₆ O ₄ [M+H] ⁺ 905.3, found 905.3.

Example 24 Synthesis of ((4-((phosphonooxy)methyl)benzoyl)oxy)methyl 4-(2-(2,6-diethylphenyl)-5-(5-(trifluoromethyl)pyrimidin-2-yl)-4.5 ,6,7-tetrahydro-2H-pyrazolo[4,3-c]pyridin-3-yl)-6-fluoro-7-methoxy-1H-indole-1-carboxylate

Step a: Iodomethyl mixture 4-(2-(2,6-diethylphenyl)-5-(5-(trifluoromethyl)pyrimidin-2-yl)-4,5,6,7-tetrahydro-2H-pyrazolo[4,3 -c]pyridin-3-yl)-6-fluoro-7-methoxy-1H-indole-1-carboxylate (0.15 g, 0.20 mmol) and ((4-(((bis(benzyloxy)phosphoryl) oxy)methyl)benzoyl)oxy)silver (0.11 g, 0.21 mmol) in toluene (4 ml) was heated at 110° C. for 1 hour. The mixture was cooled to room temperature, poured into saturated aqueous NaHCO ₃ and extracted with ethyl acetate. The organic layer was separated, dried over Na ₂ SO ₄ , evaporated under reduced pressure and purified by silica gel flash chromatography (0-40% EtOAc in CH ₂ Cl ₂ ) to give ((4-(((bis(benzyloxy)phosphoryl) hydroxy)methyl)benzoyl)oxy)methyl 4-(2-(2,6-diethylphenyl)-5-(5-(trifluoromethyl)pyrimidin-2-yl)-4,5,6,7-tetrahydro-2H-pyrazolo [4,3-c]pyridin-3-yl)-6-fluoro-7-methoxy-1H-indole-1-carboxylate. MS: (ES) m/z calculated for C ₅₄ H ₅₀ F ₄ N ₆ O ₉ P[M+H] ⁺ 1033.3, only fragments of the molecular peak were observed.

Step b: Mixture of ((4-(((bis(benzyloxy)phosphoryl)oxy)methyl)benzoyl)oxy)methyl 4-(2-(2,6-diethylphenyl)-5-(5-(trifluoromethyl)pyrimidine-2 -yl)-4,5,6,7-tetrahydro-2H-pyrazolo [4,3-c]pyridin-3-yl)-6-fluoro-7-methoxy-1H-indole-1-carboxylate (0.08 g, 0.08 mmol), TFA (1 ml), dichloromethane (1 ml) and water (1 ml) were heated at 45°C for 7 hours. The mixture was cooled to room temperature, evaporated under reduced pressure and purified by HPLC (MeCN/H ₂ O, with 0.1% TFA) to give ((4-((phosphonooxy)methyl)benzoyl)oxy)methyl 4-(2- (2,6-diethylphenyl)-5-(5-(trifluoromethyl)pyrimidin-2-yl)-4,5,6,7-tetrahydro-2H-pyrazolo[4,3-c]pyridin-3-yl)- 6-fluoro-7-methoxy-1H-indole-1-carboxylate. ¹ H NMR (400 MHz, CD ₃ OD) δ 8.55 (s, 2H), 8.10 (d, J=7.6 Hz, 2H), 7.78 (s, 1H), 7.54 ( d, J=8.0 Hz, 2H), 7.32 (dd, J=7.2 Hz, 1H), 7.15 (brs, 2H), 6.57-6.64 (m, 2H ), 6.28 (s, 2H), 5.08 (d, J=7.6 Hz, 2H), 4.81 (broad s, 2H), 4.36 (broad s, 2H), 3 .95 (s, 3H), 3.25-3.34 (m, 2H), 2.92-3.00 (m, 2H), 2.20 (br s, 4H), 1.00 (br .c, 6H); MS: (ES) m/z calculated for C ₄₀ H ₃₈ F ₄ N ₆ O ₉ P[M+H] ⁺ 853.2, found 853.0.

Example 25 Synthesis of (glycyloxy)methyl 4-(2-(2,6-diethylphenyl)-5-(5-(trifluoromethyl)pyrimidin-2-yl)-4,5,6,7-tetrahydro-2H-pyrazolo [4,3-c]pyridin-3-yl)-6-fluoro-7-methoxy-1H-indole-1-carboxylate

Step a: Iodomethyl mixture 4-(2-(2,6-diethylphenyl)-5-(5-(trifluoromethyl)pyrimidin-2-yl)-4,5,6,7-tetrahydro-2H-pyrazolo[4,3 -c]pyridin-3-yl)-6-fluoro-7-methoxy-1H-indole-1-carboxylate (0.080 g, 0.10 mmol), (tert-butoxycarbonyl)glycine (0.056 g, 0.32 mmol) and diisopropylethylamine (0.088 ml, 0.53 mmol) in dichloromethane (3 ml) was heated at 45°C for 1.5 hours. The mixture was cooled to room temperature, evaporated under reduced pressure to give (((tert-butoxycarbonyl)glycyl)oxy)methyl 4-(2-(2,6-diethylphenyl)-5-(5-(trifluoromethyl)pyrimidin-2-yl )-4,5,6,7-tetrahydro-2H-pyrazolo[4,3-c]pyridin-3-yl)-6-fluoro-7-methoxy-1H-indole-1-carboxylate. MS: (ES) m/z calculated for C ₃₉ H ₄₂ F ₄ N ₇ O ₇ [M+H] ⁺ 796.3, found 796.3.

Step b: Mixture of (((tert-butoxycarbonyl)glycyl)oxy)methyl 4-(2-(2,6-diethylphenyl)-5-(5-(trifluoromethyl)pyrimidin-2-yl)-4,5,6, 7-tetrahydro-2H-pyrazolo[4,3-c]pyridin-3-yl)-6-fluoro-7-methoxy-1H-indole-1-carboxylate (~0.10 mmol) and 4M HCl solution in dioxane ( 1.5 ml, 6 mmol) in dichloromethane (3 ml) was stirred at room temperature for 1.5 hours. The mixture was evaporated under reduced pressure and purified by silica gel flash chromatography (0-100% EtOAc in hexane, then 0-80% MeOH in EtOAc). Pure fractions were combined, cooled to 0°C, 2M HCl in ether (1 ml, 2 mmol) was added and evaporated under reduced pressure to give (glycyloxy)methyl 4-(2-(2,6-diethylphenyl)-5-( 5-(trifluoromethyl)pyrimidin-2-yl)-4,5,6,7-tetrahydro-2H-pyrazolo[4,3-c]pyridin-3-yl)-6-fluoro-7-methoxy-1H-indole -1-carboxylate as HCl salt. ¹ H NMR (400 MHz, CD ₃ OD) δ 8.59 (s, 2H), 7.78-7.83 (m, 1H), 7.34 (dd, J=7.2, 7.2 Hz , 1H), 7.18 (br s, 2H), 6.60-6.68 (m, 2H), 6.17 (s, 2H), 4.83 (br s, 2H), 4, 39 (brs, 2H), 4.01 (brs, 2H), 3.97 (s, 3H), 2.96-3.03 (m, 2H), 2.26 (brs, 4H), 1.96-2.03 (m, 2H), 1.20-1.26 (m, 1H), 1.00 (brs, 6H); MS: (ES) m/z calculated for C ₃₄ H ₃₄ F ₄ N ₇ O ₅ [M+H] ⁺ 696.2, found 696.2.

Example 26 Synthesis of ((L-valyl)oxy)methyl 4-(2-(2,6-diethylphenyl)-5-(5-(trifluoromethyl)pyrimidin-2-yl)-4,5,6,7-tetrahydro -2H-pyrazolo[4,3-c]pyridin-3-yl)-6-fluoro-7-methoxy-1H-indole-1-carboxylate

Step a: Iodomethyl mixture 4-(2-(2,6-diethylphenyl)-5-(5-(trifluoromethyl)pyrimidin-2-yl)-4,5,6,7-tetrahydro-2H-pyrazolo[4,3 -c]pyridin-3-yl)-6-fluoro-7-methoxy-1H-indole-1-carboxylate (0.080 g, 0.10 mmol), (tert-butoxycarbonyl)-L-valine (0.07 g, 0.32 mmol) and diisopropylethylamine (0.09 ml, 0.53 mmol) in dichloromethane (3 ml) were stirred at room temperature for 2 hours. The mixture was rotary evaporated under reduced pressure and purified by silica gel flash chromatography (0-60% EtOAc in hexanes) to give (((tert-butoxycarbonyl)-L-valyl)oxy)methyl 4-(2-(2, 6-diethylphenyl)-5-(5-(trifluoromethyl)pyrimidin-2-yl)-4,5,6,7-tetrahydro-2H-pyrazolo[4,3-c]pyridin-3-yl)-6-fluoro -7-methoxy-1H-indole-1-carboxylate; MS: (ES) m/z calculated for C ₄₂ H ₄₈ F ₄ N ₇ O ₇ [M+H] ⁺ 838.4, found 838.8.

Step b: Mixture of (((tert-butoxycarbonyl)-L-valyl)oxy)methyl 4-(2-(2,6-diethylphenyl)-5-(5-(trifluoromethyl)pyrimidin-2-yl)-4.5 ,6,7-tetrahydro-2H-pyrazolo[4,3-c]pyridin-3-yl)-6-fluoro-7-methoxy-1H-indole-1-carboxylate (31 mg, 0.037 mmol) and 4M HCl solution in dioxane (0.5 ml, 2 mmol) in dichloromethane (0.5 ml) was stirred at room temperature for 1 hour. The mixture was evaporated under reduced pressure and purified by silica gel flash chromatography (0-30% MeOH in CH ₂ Cl ₂ ). Pure fractions were combined, cooled to 0°C, 2M HCl in ether (0.5 ml, 2 mmol) was added and evaporated under reduced pressure to give ((L-valyl)oxy)methyl 4-(2-(2.6 -diethylphenyl)-5-(5-(trifluoromethyl)pyrimidin-2-yl)-4,5,6,7-tetrahydro-2H-pyrazolo[4,3-c]pyridin-3-yl)-6-fluoro- 7-methoxy-1H-indole-1-carboxylate as HCl salt. ¹ H NMR (400 MHz, CD ₃ OD) δ 8.60 (s, 2H), 7.81 (s, 1H), 7.36 (dd, J=7.2, 7.2 Hz, 1H), 7.19 (brs, 2H), 6.62-6.72 (m, 2H), 6.24 (d, J=5.6 Hz, 1H), 6.13 (d, J=5, 2 Hz, 1H), 5.49 (s, 1H), 4.82 (broad s, 2H), 4.41 (broad s, 2H), 4.10 (s, 1H), 3.98 ( s, 3H), 3.01 (s, 2H), 1.80-2.60 (m, 5H), 0.60-1.40 (m, 14H); MS: (ES) m/z calculated for C ₃₇ H ₄₀ F ₄ N ₇ O ₅ [M+H] ⁺ 738.3, found 738.2.

Example 27 Synthesis of (glycyloxy)methyl 4-(5-(2,4-bis(trifluoromethyl)benzyl)-2-(2,6-diethylphenyl)-6,6-dimethyl-2,4,5,6-tetrahydropyrrolo [3,4-c]pyrazol-3-yl)-7-fluoro-1H-indole-1-carboxylate

Step a: Iodomethyl mixture 4-(5-(2,4-bis(trifluoromethyl)benzyl)-2-(2,6-diethylphenyl)-6,6-dimethyl-2,4,5,6-tetrahydropyrrolo[3, 4-c]pyrazol-3-yl)-7-fluoro-1H-indole-1-carboxylate (0.06 g, 0.07 mmol), (tert-butoxycarbonyl)glycine (0.04 g, 0.18 mmol ) and diisopropylethylamine (0.08 ml, 0.48 mmol) in dichloromethane (1 ml) was stirred at 45°C for 1.5 hours. The mixture was cooled to room temperature and evaporated under reduced pressure to give (((tert-butoxycarbonyl)glycyl)oxy)methyl 4-(5-(2,4-bis(trifluoromethyl)benzyl)-2-(2,6-diethylphenyl) -6,6-dimethyl-2,4,5,6-tetrahydropyrrolo[3,4-c]pyrazol-3-yl)-7-fluoro-1H-indole-1-carboxylate. MS: (ES) m/z calculated for C ₄₃ H ₄₅ F ₇ N ₅ O ₆ [M+H] ⁺ 860.3, found 860.3.

Step b: Mixture of (((tert-butoxycarbonyl)glycyl)oxy)methyl 4-(5-(2,4-bis(trifluoromethyl)benzyl)-2-(2,6-diethylphenyl)-6,6-dimethyl-2 ,4,5,6-tetrahydropyrrolo[3,4-c]pyrazol-3-yl)-7-fluoro-1H-indole-1-carboxylate (~0.07 mmol) and 4M HCl solution in dioxane (1 ml, 4 mmol) in dioxane (2 ml) was stirred at room temperature for 2 hours. The mixture was evaporated under reduced pressure and purified by HPLC (MeCN/H ₂ O, with 0.1% TFA) to give (glycyloxy)methyl 4-(5-(2,4-bis(trifluoromethyl)benzyl)-2-(2 ,6-diethylphenyl)-6,6-dimethyl-2,4,5,6-tetrahydropyrrolo[3,4-c]pyrazol-3-yl)-7-fluoro-1H-indole-1-carboxylate as a salt with TFA. ¹ H NMR (400 MHz, CDCl ₃ ) δ 8.37 (d, J=7.6 Hz, 1H), 7.88-7.94 (m, 2H), 7.59 (d, J=4, 0 Hz, 1H), 7.20-7.30 (m, 2H), 7.07 (d, J=7.6 Hz, 2H), 6.58-6.70 (m, 3H), 5, 96 (s, 2H), 4.50-4.70 (m, 2H), 4.30 (br s, 2H), 3.79 (s, 2H), 2.19 (br s, 4H) , 1.83-2.03 (m, 8H), 0.98 (t, J=7.2 Hz, 6H); MS: (ES) m/z calculated for C ₃₈ H ₃₇ F ₇ N ₅ O ₄ [M+H] ⁺ 760.3, found 760.1.

Example 28 Synthesis of ((L-valyl)oxy)methyl 4-(5-(2,4-bis(trifluoromethyl)benzyl)-2-(2,6-diethylphenyl)-6,6-dimethyl-2,4, 5,6-tetrahydropyrrolo[3,4-c]pyrazol-3-yl)-7-fluoro-1H-indole-1-carboxylate

Step a: Iodomethyl mixture 4-(5-(2,4-bis(trifluoromethyl)benzyl)-2-(2,6-diethylphenyl)-6,6-dimethyl-2,4,5,6-tetrahydropyrrolo[3, 4-c]pyrazol-3-yl)-7-fluoro-1H-indole-1-carboxylate (0.10 g, 0.12 mmol), (tert-butoxycarbonyl)-L-valine (0.08 g, 0 .37 mmol) and diisopropylethylamine (0.10 ml, 0.61 mmol) in dichloromethane (3 ml) were stirred at 45°C. After 2 hours, the mixture was cooled to room temperature, evaporated under reduced pressure, and purified by silica gel flash chromatography (0-50% EtOAc in hexanes) to give (((tert-butoxycarbonyl)-L-valyl)oxy)methyl 4-( 5-(2,4-bis(trifluoromethyl)benzyl)-2-(2,6-diethylphenyl)-6,6-dimethyl-2,4,5,6-tetrahydropyrrolo[3,4-c]pyrazole-3- yl)-7-fluoro-1H-indole-1-carboxylate. MS: (ES) m/z calculated for C ₄₆ H ₅₁ F ₇ N ₅ O ₆ [M+H] ⁺ 902.3, found 902.3.

Step b: To a solution of (((tert-butoxycarbonyl)-L-valyl)oxy)methyl 4-(5-(2,4-bis(trifluoromethyl)benzyl)-2-(2,6-diethylphenyl)-6.6 -dimethyl-2,4,5,6-tetrahydropyrrolo[3,4-c]pyrazol-3-yl)-7-fluoro-1H-indole-1-carboxylate (25 mg, 0.028 mmol) in dichloromethane (0.3 ml) was added 4M HCl solution in dioxane (0.1 ml, 0.4 mmol). The mixture was stirred at room temperature for 3 hours and then evaporated under reduced pressure to give ((L-valyl)oxy)methyl 4-(5-(2,4-bis(trifluoromethyl)benzyl)-2-(2,6-diethylphenyl) -6,6-dimethyl-2,4,5,6-tetrahydropyrrolo[3,4-c]pyrazol-3-yl)-7-fluoro-1H-indole-1-carboxylate as HCl salt. ¹ H NMR (400 MHz, CDCl ₃ ) δ 9.33 (s, 1H), 8.99 (s, 2H), 7.99-8.06 (m, 1H), 7.93 (s, 1H) , 7.72 (s, 1H), 7.10-7.30 (m, 3H), 6.97 (bd s, 1H), 6.68-6.78 (m, 1H), 6.59 -6.66 (m, 1H), 6.16-6.22 (m, 1H), 5.90-5.98 (m, 1H), 4.69 (brs, 2H), 4.47 (brs, 1H), 4.03 (s, 1H), 3.60-3.90 (m, 3H), 1.70-2.60 (m, 10H), 0.75-1.34 (m, 12H); MS: (ES) m/z calculated for C ₄₁ H ₄₃ F ₇ N ₅ O ₄ [M+H] ⁺ 802.3, found 802.2.

Example 29 Synthesis of ((4-((dimethylamino)methyl)benzoyl)oxy)methyl 4-(5-(2,4-bis(trifluoromethyl)benzyl)-2-(2,6-diethylphenyl)-6,6 -dimethyl-2,4,5,6-tetrahydropyrrolo[3,4-c]pyrazol-3-yl)-7-fluoro-1H-indole-1-carboxylate

Dimethylamine mixture (0.40 ml, saturated solution in dichloromethane), HOAc (0.80 ml), ((4-formylbenzoyl)oxy)methyl 4-(5-(2,4-bis(trifluoromethyl)benzyl)-2- (2,6-diethylphenyl)-6,6-dimethyl-2,4,5,6-tetrahydropyrrolo[3,4-c]pyrazol-3-yl)-7-fluoro-1H-indole-1-carboxylate (0.080 g, 0.096 mmol) and NaBH(OAc) ₃ (0.200 g, 0.94 mmol) in dichloromethane were stirred at room temperature for 1 hour. The mixture was poured into saturated aqueous NaHCO ₃ and extracted with ethyl acetate. The organic layer was separated, dried over Na ₂ SO ₄ , evaporated under reduced pressure, and purified by silica gel flash chromatography (0-100% EtOAc in hexane, then 0-30% MeOH in EtOAc) to give ((4-((dimethylamino )methyl)benzoyl)oxy)methyl 4-(5-(2,4-bis(trifluoromethyl)benzyl)-2-(2,6-diethylphenyl)-6,6-dimethyl-2,4,5,6-tetrahydropyrrolo [3,4-c]pyrazol-3-yl)-7-fluoro-1H-indole-1-carboxylate. ¹ H NMR (400 MHz, CDCl ₃ ) δ 8.15 (d, J=8.0 Hz, 1H), 8.03 (d, J=7.2 Hz, 2H), 7.86 (s, 1H ), 7.75 (d, J=8.0 Hz, 1H), 7.66 (m, 1H), 7.40 (d, J=7.6 Hz, 2H), 7.25 (m, 1H ), 7.07 (d, J=7.6 Hz, 2H), 6.77 (m, 1H), 6.62 (m, 1H), 6.56 (m, 1H), 6.23 (s , 2H), 4.12 (s, 2H), 3.63 (s, 2H), 3.47 (s, 2H), 2.23 (s, 6H), 2.10-2.40 (m, 4H), 1.55 (s, 6H), 1.01 (t, J=7.4 Hz, 6H); MS: (ES) m/z calculated for C ₄₆ H ₄₅ F ₇ N ₅ O ₄ [M+H] ⁺ 864.3, found 864.2.

- Example 30 Synthesis of ((dimethylglycyl)oxy)methyl 4-(5-(2,4-bis(trifluoromethyl)-benzyl)-2-(2,6-diethylphenyl)-6,6-dimethyl-2,4, 5,6-tetrahydropyrrolo[3,4-c]pyrazol-3-yl)-7-fluoro-1H-indole-1-carboxylate

Iodomethyl mixture 4-(5-(2,4-bis(trifluoromethyl)benzyl)-2-(2,6-diethylphenyl)-6,6-dimethyl-2,4,5,6-tetrahydropyrrolo[3,4-c ]pyrazol-3-yl)-7-fluoro-1H-indole-1-carboxylate (0.03 g, 0.04 mmol) and tetrabutylammonium dimethylglycinate (20 mg, 0.06 mmol) in THF (0.6 ml) stirred at room temperature for 0.5 hour. The mixture was evaporated under reduced pressure and purified by HPLC (MeCN/H ₂ O, with 1% HOAc) to give ((dimethylglycyl)oxy)methyl 4-(5-(2,4-bis(trifluoromethyl)benzyl)-2-( 2,6-diethylphenyl)-6,6-dimethyl-2,4,5,6-tetrahydropyrrolo[3,4-c]pyrazol-3-yl)-7-fluoro-1H-indole-1-carboxylate. ¹ H NMR (400 MHz, CD ₃ OD) δ 8.21 (d, J=8.4 Hz, 1H), 7.91-7.96 (m, 2H), 7.80 (d, J=4 .0 Hz, 1H), 7.34 (dd, J=7.6, 7.6 Hz, 1H), 7.17 (d, J=7.6 Hz, 2H), 6.81-6.87 (m, 1H), 6.65-6.72 (m, 2H), 6.12 (s, 2H), 4.23 (s, 2H), 4.17 (s, 2H), 3.69 ( s, 2H), 2.90 (s, 6H), 2.17-2.36 (m, 4H), 1.57 (s, 6H), 1.02 (t, J=7.4 Hz, 6H ); MS: (ES) m/z calculated for C ₄₀ H ₄₁ F ₇ N ₅ O ₄ [M+H] ⁺ 788.3, found 788.2.

Example 31 Synthesis of ((dimethoxyphosphoryl)oxy)methyl 4-(5-(2,4-bis(trifluoromethyl)benzyl)-2-(2,6-diethylphenyl)-6,6-dimethyl-2,4,5, 6-tetrahydropyrrolo[3,4-c]pyrazol-3-yl)-7-fluoro-1H-indole-1-carboxylate

Iodomethyl mixture 4-(5-(2,4-bis(trifluoromethyl)benzyl)-2-(2,6-diethylphenyl)-6,6-dimethyl-2,4,5,6-tetrahydropyrrolo[3,4-c ]pyrazol-3-yl)-7-fluoro-1H-indole-1-carboxylate (40 mg, 0.037 mmol) and tetrabutylammonium dimethyl phosphate (30 mg, 0.08 mmol) in THF (6 ml) was stirred at room temperature in within 1.5 hours. After completion of the reaction, the mixture was diluted with ethyl acetate, washed with saturated sodium chloride solution and dried over MgSO ₄ . The solvent was removed under reduced pressure and the residue was purified by silica gel flash chromatography (5-20% EtOAc in hexanes) to give ((dimethoxyphosphoryl)oxy)methyl 4-(5-(2,4-bis(trifluoromethyl)benzyl)- 2-(2,6-diethylphenyl)-6,6-dimethyl-2,4,5,6-tetrahydropyrrolo[3,4-c]pyrazol-3-yl)-7-fluoro-1H-indole-1-carboxylate . ¹ H NMR (400 MHz, CD ₃ OD) δ 8.13 (d, J=8.2 Hz, 1H), 7.75-7.88 (m, 2H), 7.66-7.68 (m , 1H), 7.23-7.27 (m, 1H), 7.07-7.09 (m, 2H), 6.77 (dd, J=8.4, 11.8 Hz, 1H), 6.59-6.66 (m, 2H), 5.81 (d, J=14.1 Hz, 2H), 4.12 (s, 2H), 3.79 (s, 3H), 3.76 (s, 3H), 3.70 (s, 2H), 2.14-2.38 (m, 4H), 1.56 (s, 6H), 1.02 (t, J=7.6 Hz, 6H). MS: (ES) m/z calculated for C ₃₈ H ₃₉ F ₇ N ₄ O ₆ P [M+H] ⁺ 811.2, found 811.2.

Example 32 Synthesis of (4-(2-(2,6-diethylphenyl)-5-(5-(trifluoromethyl)pyrimidin-2-yl)-4,5,6,7-tetrahydro-2H-pyrazolo[4,3 -c]pyridin-3-yl)-6-fluoro-7-methoxy-1H-indol-1-yl)methanol

Mixture 2-(2,6-diethylphenyl)-3-(6-fluoro-7-methoxy-1H-indol-4-yl)-5-(5-(trifluoromethyl)pyrimidin-2-yl)-4,5,6 ,7-tetrahydro-2H-pyrazolo[4,3-c]pyridine (200 mg, 0.35 mmol), di-tert-butyl (chloromethyl) phosphate (183 mg, 0.35 mmol) and NaH (100 mg, 60% in mineral oil, 2.5 mmol) in DMF (5 ml) was stirred at room temperature for 2 hours. The mixture was poured into water and extracted with ethyl acetate. The organic layer was separated, dried over Na ₂ SO ₄ , evaporated under reduced pressure and purified by silica gel flash chromatography (0-80% EtOAc in hexane) to give (4-(2-(2,6-diethylphenyl)-5- (5-(trifluoromethyl)pyrimidin-2-yl)-4,5,6,7-tetrahydro-2H-pyrazolo[4,3-c]pyridin-3-yl)-6-fluoro-7-methoxy-1H- indol-1-yl)methanol. ¹ H NMR (400 MHz, CDCl ₃ ) δ 8.48 (s, 2H), 7.24 (dd, J=7.2, 7.2 Hz, 1H), 7.15 (d, J=3, 2 Hz, 1H), 7.00-7.10 (m, 2H), 6.44 (d, J=12.8 Hz, 1H), 6.33 (d, J=3.2 Hz, 1H) , 5.59 (d, J=8.0 Hz, 2H), 4.80 (s, 2H), 4.35 (s, 2H), 4.11 (d, J=2.4 Hz, 3H) , 3.71 (t, J=8.2 Hz, 1H), 3.02 (t, J=5.8 Hz, 2H), 2.30 (br.s, 4H), 1.02 (b.s.). s, 6H). MS: (ES) m/z calculated for C ₃₁ H ₃₁ F ₄ N ₆ O ₂ [M+H] ⁺ 595.2, found 595.5.

Example 33 Synthesis of (4-(2-(2,6-diethylphenyl)-5-(4-(trifluoromethyl)phenyl)-4,5,6,7-tetrahydro-2H-pyrazolo[4,3-c]pyridine -3-yl)-5-fluoro-1H-indol-7-yl)methyl glycinate hydrochloride

(4-(2-(2,6-diethylphenyl)-5-(4-(trifluoromethyl)phenyl)-4,5,6,7-tetrahydro-2H-pyrazolo[ 4,3-c]pyridin-3-yl)-5-fluoro-1H-indol-7-yl)methanol (100mg, 0.18mmol), (tert-butoxycarbonyl)glycine (61mg, 0.35mmol) ), HATU (134 mg, 0.35 mmol) and diisopropylethylamine (68 mg, 0.52 mmol). The mixture was stirred at room temperature for 24 hours. After completion, the reaction was quenched with water and the crude product obtained was purified by silica gel chromatography (10-50% EtOAc in hexanes) and evaporated in vacuo. The residue was then dissolved in dichloromethane (3.0 ml) and 4N was added. HCl solution in dioxane (2.0 ml) at room temperature for 2 hours. After the reaction was complete, the solvent was removed and the residue was triturated in dichloromethane to give (4-(2-(2,6-diethylphenyl)-5-(4-(trifluoromethyl)phenyl)-4,5,6,7-tetrahydro-2H-pyrazolo [4,3-c]pyridin-3-yl)-5-fluoro-1H-indol-7-yl)methylglycinate hydrochloride. ¹ H NMR (400 MHz, CD ₃ OD) δ 11.07 (br s, 1H), 8.56 (br s, 2H), 7.47-7.50 (m, 1H), 7.19 -7.26 (m, 2H), 6.91 (dd, J=1.9, 3.1 Hz, 1H), 6.85 (d, J=10.9 Hz 1H), 6.40-6 .43 (m, 1H), 5.53 (s, 2H), 4.90 (d, J=16.1 Hz, 1H), 4.62 (d, J=16.0 Hz, 1H), 4 .42-4.50 (m, 1H), 4.25-4.35 (m, 1H), 3.90 (s, 2H), 3.76 (s, 2H), 3.00 (t, J =5.9 Hz, 2H), 2.43-2.50 (m, 2H), 2.12-2.20 (m, 1H), 1.90-1.98 (m, 1H), 1, 22 (t, J=7.8 Hz, 3H), 0.73 (t, J=7.4 Hz, 3H) MS: (ES) m/z calculated for C ₃₂ H ₃₁ F ₄ N ₇ O ₂ [ M+H] ⁺ 622.3, found 622.2

Example 34 Synthesis of (4-(2-(2,6-diethylphenyl)-5-(5-(trifluoromethyl)pyrimidin-2-yl)-4,5,6,7-tetrahydro-2H-pyrazolo[4,3 -c]pyridin-3-yl)-5-fluoro-1H-indol-7-yl)methyl-L-valinate hydrochloride

Step a: DMF vial (3.0 ml) was charged with (4-(2-(2,6-diethylphenyl)-5-(4-(trifluoromethyl)phenyl)-4,5,6,7-tetrahydro-2H -pyrazolo[4,3-c]pyridin-3-yl)-5-fluoro-1H-indol-7-yl)methanol (100mg, 0.18mmol), (tert-butoxycarbonyl)valine (77mg, 0 .35 mmol), HATU (134 mg, 0.35 mmol) and diisopropylethylamine (68 mg, 0.53 mmol). The reaction mixture was stirred at 50°C for 24 hours. After the reaction was complete, the mixture was quenched with water and the resulting crude product was purified by silica gel chromatography (10-50% EtOAc in hexanes) and evaporated in vacuo to give (4-(2-(2,6-diethylphenyl)-5-(5- (trifluoromethyl)pyrimidin-2-yl)-4,5,6,7-tetrahydro-2H-pyrazolo[4,3-c]pyridin-3-yl)-5-fluoro-1H-indol-7-yl)methyl (tert-butoxycarbonyl)-L-valinate. MS: (ES) m/z calculated for C ₄₀ H ₄₅ F ₄ N ₇ O ₄ [M+H] ⁺ 764.4, found 764.3.

Step b: To a stirred solution of (4-(2-(2,6-diethylphenyl)-5-(5-(trifluoromethyl)pyrimidin-2-yl)-4,5,6,7-tetrahydro-2H-pyrazolo[4 ,3-c]pyridin-3-yl)-5-fluoro-1H-indol-7-yl)methyl (tert-butoxycarbonyl)-L-valinate (60 mg, 0.08 mmol) in dichloromethane (5 ml) was added 4n. HCl solution in dioxane (0.2 ml, 0.8 mmol). The resulting mixture was stirred at room temperature for 2 hours. After completion of the reaction, the mixture was diluted with water and saturated aqueous NaHCO ₃ , extracted with dichloromethane, washed with saturated sodium chloride solution and dried over MgSO ₄ . The solvent was removed under reduced pressure and the residue was purified by HPLC (MeCN/H ₂ O, with 0.1% TFA) to give the desired product. This material was converted to the HCl salt to give (4-(2-(2,6-diethylphenyl)-5-(5-(trifluoromethyl)pyrimidin-2-yl)-4,5,6,7-tetrahydro-2H- pyrazolo[4,3-c]pyridin-3-yl)-5-fluoro-1H-indol-7-yl)methyl-L-valinate hydrochloride. ¹ H NMR (400 MHz, DMSO-d ₆ ) δ 11.65 (br s, 1H), 8.61-8.72 (m, 2H), 8.42 (br s, 2H), 7, 56 (bd s, 1H), 7.15-7.25 (m, 2H), 6.88-6.98 (m, 2H), 6.33 (s, 1H), 5.42-5, 55 (m, 2H), 4.74 (dd, J=6.2, 15.2 Hz, 1H), 4.57 (d, J=15.7 Hz, 1H), 4.35-4.45 (m, 1H), 4.15-4.20 (m, 1H), 3.92-4.05 (m, 1H), 2.85-2.95 (m, 2H), 2.28-2 .40 (m, 2H), 2.00-2.20 (m, 2H), 1.85-1.92 (m, 1H), 1.12 (t, J=7.4 Hz, 3H), 0.83-0.90 (m, 6H), 0.61-0.63 (m, 3H). MS: (ES) m/z calculated for C ₃₅ H ₃₇ F ₄ N ₇ O ₂ [M+H] ⁺ 664.3, found 664.2.

Example 35 Synthesis of 4-(2-(2,6-diethylphenyl)-5-(5-(trifluoromethyl)pyrimidin-2-yl)-4,5,6,7-tetrahydro-2H-pyrazolo[4,3 -c]pyridin-3-yl)-5-fluoro-1H-indol-7-yl)methyl (S)-2,5-diaminopentanoate hydrochloride

Step a: DMF vial (3.0 ml) was charged with (4-(2-(2,6-diethylphenyl)-5-(4-(trifluoromethyl)phenyl)-4,5,6,7-tetrahydro-2H -pyrazolo[4,3-c]pyridin-3-yl)-5-fluoro-1H-indol-7-yl)methanol (110 mg, 0.19 mmol), 2,5-bis(tert-butoxycarbonylamino)pentanoic acid (96 mg, 0.29 mmol), HATU (149 mg, 0.39 mmol) and diisopropylethylamine (75 mg, 1.17 mmol). The reaction was stirred at room temperature for 24 hours. After the reaction was complete, the mixture was quenched with water and the resulting crude product was purified by silica gel chromatography (10-100% EtOAc in hexanes) and dried in vacuo to give 4-(2-(2,6-diethylphenyl)-5-(5-( trifluoromethyl)pyrimidin-2-yl)-4,5,6,7-tetrahydro-2H-pyrazolo[4,3-c]pyridin-3-yl)-5-fluoro-1H-indol-7-yl)methyl ( S)-2,5-bis((tert-butoxycarbonyl)amino)pentanoate. MS: (ES) m/z calculated for C ₄₅ H ₅₄ F ₄ N ₈ O ₆ [M+H] ⁺ 879.41, found 879.5

Step b: To a stirred solution of 4-(2-(2,6-diethylphenyl)-5-(5-(trifluoromethyl)pyrimidin-2-yl)-4,5,6,7-tetrahydro-2H-pyrazolo[4, 3-c]pyridin-3-yl)-5-fluoro-1H-indol-7-yl)methyl-(S)-2,5-bis((tert-butoxycarbonyl)-amino)pentanoate (75 mg, 3, 6 mmol) in dichloromethane (5 ml) was added 4N. HCl solution in dioxane (0.18 ml, 0.68 mmol). The resulting mixture was stirred at room temperature for 2 hours. After completion of the reaction, the mixture was diluted with water and saturated aqueous NaHCO ₃ , extracted with dichloromethane, washed with saturated sodium chloride solution and dried over MgSO ₄ . The solvent was removed under reduced pressure and the residue was purified by HPLC (MeCN/H ₂ O, with 0.1% TFA) to give the desired product. This material was converted to the HCl salt to give (4-(2-(2,6-diethylphenyl)-5-(5-(trifluoromethyl)pyrimidin-2-yl)-4,5,6,7-tetrahydro-2H- pyrazolo[4,3-c]pyridin-3-yl)-5-fluoro-1H-indol-7-yl)methyl (S)-2,5-diaminopentanoate hydrochloride. ¹ H NMR (400 MHz, DMSO-d ₆ ) δ 11.77 (brs, 1H), 8.50-8.65 (m, 4H), 7.90-8.25 (m, 2H), 7.55 (brs, 1H), 7.15-7.25 (m, 2H), 6.97 (dd, J=1.9, 10.9 Hz, 1H), 6.91 (d, J=7.4 Hz 1H), 6.34 (brs, 1H), 5.35-5.54 (m, 2H), 4.73 (d, J=15.7 Hz, 1H), 4 .56 (d, J=16.0 Hz, 1H), 4.38-4.45 (m, 2H), 4.05-4.25 (m, 2H), 2.85-3.00 (m , 2H), 2.75-2.80 (m, 2H), 2.31-2.40 (m, 2H), 1.95-2.10 (m, 1H), 1.65-1.78 (m, 4H), 1.12 (t, J=7.4 Hz, 3H), 0.65 (t, J=7.4 Hz, 3H), MS: (ES) m/z calculated for C ₃₅ H ₃₈ F ₄ N ₈ O ₂ [M+H] ⁺ 679.3, found 679.2.

Example 36 Synthesis of (4-(2-(2,6-diethylphenyl)-5-(5-(trifluoromethyl)pyrimidin-2-yl)-4,5,6,7-tetrahydro-2H-pyrazolo[4,3 -c]pyridin-3-yl)-5-fluoro-1H-indol-7-yl)methyl L-lysinate hydrochloride

Example 36 was prepared in a manner similar to that described for Example 35 using N ₂ ,N ₆ -bis(tert-butoxycarbonyl)-L-lysine and (4-(2-(2,6-diethylphenyl)-5-(4-( trifluoromethyl)phenyl)-4,5,6,7-tetrahydro-2H-pyrazolo[4,3-c]pyridin-3-yl)-5-fluoro-1H-indol-7-yl)methanol. ¹ H NMR (400 MHz, DMSO-d ₆ ) δ 11.71 (br s, 1H), 8.50-8.75 (m, 4H), 7.89 (br s, 2H), 7, 56 (t, J=2.8 Hz 1H), 7.15-7.25 (m, 2H), 6.94 (d, J=11.0 Hz, 1H), 6.91 (d, J= 7.1 Hz 1H), 6.30-6.35 (m, 1H), 5.38-5.54 (m, 2H), 4.73 (d, J=15.6 Hz, 1H), 4 .57 (d, J=15.7 Hz, 1H), 4.35-4.45 (m, 1H), 4.15-4.30 (m, 1H), 4.05-4.15 (m , 2H), 2.85-3.00 (m, 2H), 2.65-2.75 (m, 2H), 2.30-2.42 (m, 2H), 2.00-2.15 (m, 1H), 1.75-1.90 (m, 3H), 1.25-1.60 (m, 3H), 1.12 (t, J=7.4 Hz, 3H), 0, 65 (t, J=7.4 Hz, 3H), MS: (ES) m/z calculated for C ₃₆ H ₄₀ F ₄ N ₈ O ₂ [M+H] ⁺ 693.3, found 693.3.

Example 37 Synthesis of (4-(2-(2,6-diethylphenyl)-5-(5-(trifluoromethyl)pyrimidin-2-yl)-4,5,6,7-tetrahydro-2H-pyrazolo[4,3 -c]pyridin-3-yl)-5-fluoro-1H-indol-7-yl)methyl 4-aminobutanoate hydrochloride

Example 37 was prepared in a manner similar to that described for Example 35 using 4-((tert-butoxycarbonyl)amino)butanoic acid and (4-(2-(2,6-diethylphenyl)-5-(4-(trifluoromethyl)phenyl) -4,5,6,7-tetrahydro-2H-pyrazolo[4,3-c]pyridin-3-yl)-5-fluoro-1H-indol-7-yl)methanol. ¹ H NMR (400 MHz, DMSO-d ₆ ) δ 11.98 (s, 1H), 8.52-8.72 (m, 2H), 7.79 (br s, 2H), 7.52 ( t, J=3.1 Hz 1H), 7.14-7.30 (m, 2H), 6.91 (dd, J=1.6, 7.4 Hz, 1H), 6.84 (d, J=10.9 Hz, 1H), 6.31 (dd, J=1.9, 3.1 Hz, 1H), 5.27 (d, J=3.1 Hz, 2H), 4.74 ( d, J=15.6 Hz, 1H), 4.57 (d, J=15.6 Hz, 1H), 4.35-4.50 (m, 2H), 4.15-4.25 (m , 2H), 2.85-3.00 (m, 2H), 2.76-2.84 (m, 2H), 2.31-2.40 (m, 2H), 2.0-2.15 (m, 1H), 1.76-1.90 (m, 3H), 1.12 (t, J=7.4Hz, 3H), 0.65 (t, J=7.5Hz, 3H) , MS: (ES) m/z calculated for C ₃₄ H ₃₅ F ₄ N ₇ O ₂ [M+H] ⁺ 650.3, found 650.3.

Example 38 Synthesis of (4-(2-(2,6-diethylphenyl)-5-(5-(trifluoromethyl)pyrimidin-2-yl)-4,5,6,7-tetrahydro-2H-pyrazolo[4,3 -c]pyridin-3-yl)-5-fluoro-1H-indol-7-yl)methyl-L-histidinate hydrochloride

Example 38 was prepared in a manner similar to that described for Example 35 using (tert-butoxycarbonyl)-L-histidine and (4-(2-(2,6-diethylphenyl)-5-(4-(trifluoromethyl)phenyl)-4, 5,6,7-tetrahydro-2H-pyrazolo[4,3-c]pyridin-3-yl)-5-fluoro-1H-indol-7-yl)methanol. ¹ H NMR (400 MHz, DMSO-d ₆ ) δ 11.76 (broad s, 1H), 9.01 (d, J=3.9 Hz 1H), 8.55-8.75 (m, 4H ), 7.55 (d, J=2.8 Hz 1H), 7.48 (s, 1H), 7.15-7.25 (m, 2H), 6.90-6.98 (m, 2H ), 6.34 (brs, 1H), 5.37-5.54 (m, 2H), 4.75 (dd, J=2.7, 15.6 Hz, 1H), 4.56 ( d, J=15.6 Hz, 1H), 4.35-4.45 (m, 2H), 4.15-4.25 (m, 1H), 3.25-3.35 (m, 2H) , 2.85-2.95 (m, 3H), 2.30-2.42 (m, 2H), 2.00-2.10 (m, 1H), 1.82-1.90 (m, 1H), 1.13 (t, J=7.8 Hz, 3H), 0.65 (t, J=7.8 Hz, 3H). MS: (ES) m/z calculated for C ₃₆ H ₃₅ F ₄ N ₉ O ₂ [M+H] ⁺ 702.3, found 701.9.

Example 39 Synthesis of (S)-3-amino-4-((4-(2-(2,6-diethylphenyl)-5-(5-(trifluoromethyl)pyrimidin-2-yl)-4,5,6, 7-tetrahydro-2H-pyrazolo[4,3-c]pyridin-3-yl)-5-fluoro-1H-indol-7-yl)methoxy)-4-oxobutanoic acid hydrochloride

Example 39 was prepared in a manner similar to that described for Example 35 using (S)-4-(tert-butoxy)-2-((tert-butoxycarbonyl)amino)-4-oxobutanoic acid and (4-(2-(2, 6-diethylphenyl)-5-(4-(trifluoromethyl)phenyl)-4,5,6,7-tetrahydro-2H-pyrazolo[4,3-c]pyridin-3-yl)-5-fluoro-1H-indole -7-yl)methanol. ¹ H NMR (400 MHz, DMSO-d ₆ ) δ 11.65 (br s, 1H), 8.60-8.75 (m, 2H), 8.46 (br s, 3H), 7, 52 (t, J=2.9 Hz 1H), 7.15-7.25 (m, 2H), 6.90 (d, J=7.8 Hz, 1H), 6.87 (brs, 1H), 6.31 (brs, 1H), 5.25-5.40 (m, 2H), 4.57 (d, J=15.7 Hz, 1H), 4.35-4.45 (m, 1H), 4.15-4.30 (m, 2H), 3.53 (s, 2H), 2.99 (d, J=5.5 Hz, 1H), 2.85-2, 92 (m, 2H), 2.30-2.38 (m, 2H), 2.00-2.15 (m, 1H), 1.82-1.90 (m, 1H), 1.11 ( t, J=7.8 Hz, 3H), 0.65 (t, J=7.8 Hz, 3H). MS: (ES) m/z calculated for C ₃₄ H ₃₃ F ₄ N ₇ O ₂ [M+H] ⁺ 680.3, found 680.1.

Example 40 Synthesis of (4-(2-(2,6-diethylphenyl)-5-(5-(trifluoromethyl)pyrimidin-2-yl)-4,5,6,7-tetrahydro-2H-pyrazolo[4, 3-c]pyridin-3-yl)-5-fluoro-1H-indol-7-yl)methyl L-valylglycinate hydrochloride

Step a: DMF vial (3.0 ml) was charged with (4-(2-(2,6-diethylphenyl)-5-(4-(trifluoromethyl)phenyl)-4,5,6,7-tetrahydro-2H -pyrazolo[4,3-c]pyridin-3-yl)-5-fluoro-1H-indol-7-yl)methanol (150 mg, 0.27 mmol), (tert-butoxycarbonyl)-L-valylglycine (145 mg, 0.53 mmol), EDCI (101 mg, 0.53 mmol), HOBT (61 mg, 0.39 mmol) and DIPEA (102 mg, 0.77 mmol). The mixture was stirred at 50°C for 24 hours. After completion of the reaction, the mixture was worked up and the resulting crude product was purified by silica gel chromatography (10-60% EtOAc in hexane) to give (4-(2-(2,6-diethylphenyl)-5-(5-(trifluoromethyl)pyrimidine- 2-yl)-4,5,6,7-tetrahydro-2H-pyrazolo[4,3-c]pyridin-3-yl)-5-fluoro-1H-indol-7-yl)methyl (tert-butoxycarbonyl) -L-valylglycinate.

Step b: To a stirred solution of (4-(2-(2,6-diethylphenyl)-5-(5-(trifluoromethyl)pyrimidin-2-yl)-4,5,6,7-tetrahydro-2H-pyrazolo[4 ,3-c]pyridin-3-yl)-5-fluoro-1H-indol-7-yl)methyl-(tert-butoxycarbonyl)-L-valylglycinate (180 mg, 0.02 mmol) in dichloromethane (5 ml) added 4n. HCl solution in dioxane (0.25 ml, 0.1 mmol). The resulting mixture was stirred at room temperature for 5 hours. After completion of the reaction, the solvent was diluted with water and saturated aqueous NaHCO ₃ , extracted with dichloromethane, washed with saturated sodium chloride solution and dried over Na ₂ SO ₄ . The solvent was removed under reduced pressure and the resulting crude product was purified by column chromatography (20-100% EtOAc/hexane) to give the title product which was converted to the HCl salt to give (4-(2-(2,6-diethylphenyl)- 5-(5-(trifluoromethyl)pyrimidin-2-yl)-4,5,6,7-tetrahydro-2H-pyrazolo[4,3-c]pyridin-3-yl)-5-fluoro-1H-indol- 7-yl)methyl-L-valylglycinate hydrochloride. ¹ H NMR (400 MHz, DMSO-d ₆ ) δ 11.58 (br s, 1H), 8.85 (br s, 1H), 8.60-8.75 (m, 2H), 8, 09 (broad s, 2H), 7.53 (t, J=3.1 Hz 1H), 7.12-7.25 (m, 2H), 6.90 (d, J=6.3 Hz, 1H), 6.86 (d, J=10.9 Hz, 1H), 6.31 (t, J=2.8 Hz, 1H), 5.25-5.35 (m, 2H), 4, 72 (d, J=15.9 Hz, 1H), 4.57 (d, J=16.3 Hz, 1H), 4.40-4.45 (m, 1H), 4.10-4.25 (m, 2H), 3.91 (dd, J=5.1, 17.2 Hz, 1H), 3.59 (t, J=0.8 Hz, 1H), 2.85-2.92 ( m, 2H), 2.31-2.40 (m, 2H), 1.90-2.08 (m, 2H), 1.80-1.90 (m, 1H), 1.12 (t, J=7.8 Hz, 3H), 0.80-0.85 (m, 6H), 0.65 (t, J=7.8 Hz, 3H), MS: (ES) m/z calculated for C ₃₇ H ₄₀ F ₄ N ₈ O ₃ [M+H] ⁺ 721.3, found 721.3.

Example 41 Synthesis of (4-(2-(2,6-diethylphenyl)-5-(5-(trifluoromethyl)pyrimidin-2-yl)-4,5,6,7-tetrahydro-2H-pyrazolo[4,3 -c]pyridin-3-yl)-5-fluoro-1H-indol-7-yl)methyl L-isoleucinate hydrochloride

Example 41 was prepared in a manner similar to that described for Example 35 using (tert-butoxycarbonyl)-L-isoleucine and (4-(2-(2,6-diethylphenyl)-5-(4-(trifluoromethyl)phenyl)-4, 5,6,7-tetrahydro-2H-pyrazolo[4,3-c]pyridin-3-yl)-5-fluoro-1H-indol-7-yl)methanol. ¹ H NMR (400 MHz, DMSO-d ₆ ) δ 11.63 (br s, 1H), 8.60-8.75 (m, 2H), 8.42 (br s, 2H), 7, 43-7.60 (m, 1H), 7.14-7.25 (m, 2H), 6.85-6.95 (m, 2H), 6.30-6.35 (m, 1H), 5.38-5.45 (m, 2H), 4.76 (dd, J=5.8, 16.0 Hz, 1H), 4.56 (d, J=15.7 Hz, 1H), 4 .35-4.45 (m, 1H), 4.15-4.20 (m, 1H), 3.98-4.05 (m, 1H), 2.82-2.97 (m, 2H) , 2.30-2.42 (m, 3H), 2.00-2.10 (m, 1H), 1.80-1.90 (m, 2H), 1.25-1.35 (m, 1H), 1.12 (t, J=7.4 Hz, 3H), 0.72-0.85 (m, 6H), 0.65 (t, J=7.4 Hz, 3H). MS: (ES) m/z calculated for C ₃₆ H ₃₉ F ₄ N ₇ O ₂ [M+H] ⁺ 678.3, found 678.3.

Example 42 Synthesis of (4-(2-(2,6-diethylphenyl)-5-(5-(trifluoromethyl)pyrimidin-2-yl)-4,5,6,7-tetrahydro-2H-pyrazolo[4,3 -c]pyridin-3-yl)-5-fluoro-1H-indol-7-yl)methyl L-alaninate hydrochloride

Example 42 was prepared in a manner similar to that described for Example 35 using (tert-butoxycarbonyl)-L-alanine and (4-(2-(2,6-diethylphenyl)-5-(4-(trifluoromethyl)phenyl)-4, 5,6,7-tetrahydro-2H-pyrazolo[4,3-c]pyridin-3-yl)-5-fluoro-1H-indol-7-yl)methanol. ¹ H NMR (400 MHz, DMSO-d ₆ ) δ 11.62 (br s, 1H), 8.60-8.75 (m, 2H), 8.35 (br s, 2H), 7, 56 (t, J=2.7 Hz, 1H), 7.12-7.25 (m, 2H), 6.85-6.95 (m, 2H), 6.30-6.35 (m, 1H), 5.35-5.50 (m, 2H), 4.73 (d, J=17.0 Hz, 1H), 4.56 (d, J=15.76 Hz, 1H), 4, 35-4.45(m, 1H), 4.15-4.22(m, 2H), 2.85-2.95(m, 2H), 2.25-2.40(m, 2H), 2.00-2.10 (m, 1H), 1.82 -1.90 (m, 1H), 1.38 (dd, J=2.4, 7.5 Hz, 3H), 1.12 ( t, J=7.8 Hz, 3H), 0.65 (dd, J=7.2, 15.6 Hz, 3H). MS: (ES) m/z calculated for C ₃₃ H ₃₃ F ₄ N ₇ O ₂ [M+H] ⁺ 636.3, found 636.2.

Example 43 Synthesis of 4-(2-(2,6-diethylphenyl)-5-(5-(trifluoromethyl)pyrimidin-2-yl)-4,5,6,7-tetrahydro-2H-pyrazolo[4,3- c]pyridin-3-yl)-5-fluoro-1H-indol-7-yl)methyl-L-phenylalaninate hydrochloride

Example 43 was prepared in a manner similar to that described for Example 35 using (tert-butoxycarbonyl)-L-phenylalanine and (4-(2-(2,6-diethylphenyl)-5-(4-(trifluoromethyl)phenyl)-4, 5,6,7-tetrahydro-2H-pyrazolo[4,3-c]pyridin-3-yl)-5-fluoro-1H-indol-7-yl)methanol. ¹ H NMR (400 MHz, DMSO-d ₆ ) δ 11.55 (brs, 1H), 8.60-8.75 (m, 2H), 8.45-8.52 (m, 2H), 7.52-7.58 (m, 1H), 7.10-7.25 (m, 7H), 6.88-6.95 (m, 1H), 6.71 (dd, J=11.4 , 24.3 Hz, 1H), 6.30-6.38 (m, 1H), 5.35-5.45 (m, 2H), 4.73 (d, J=15.9 Hz, 1H) , 4.57 (d, J=16.0 Hz, 1H), 4.35-4.45 (m, 2H), 4.15-4.22 (m, 1H), 3.05-3.15 (m, 2H), 2.85-2.95 (m, 2H), 2.30-2.45 (m, 2H), 2.00-2.15 (m, 1H), 1.82-1 .90 (m, 1H), 1.13 (t, J=7.4 Hz, 3H), 0.64 (t, J=7.8 Hz, 3H). MS: (ES) m/z calculated for C ₃₉ H ₃₇ F ₄ N ₇ O ₂ [M+H] ⁺ 712.3, found 712.2.

Example 44 Synthesis of (S)-2-amino-5-((4-(2-(2,6-diethylphenyl)-5-(5-(trifluoromethyl)pyrimidin-2-yl)-4,5,6, 7-tetrahydro-2H-pyrazolo[4,3-c]pyridin-3-yl)-5-fluoro-1H-indol-7-yl)methoxy)-5-oxopentanoic acid hydrochloride

Example 44 was prepared in a manner similar to that described for Example 35 using (S)-5-(tert-butoxy)-4-((tert-butoxycarbonyl)amino)-5-oxopentanoic acid and (4-(2-(2, 6-diethylphenyl)-5-(4-(trifluoromethyl)phenyl)-4,5,6,7-tetrahydro-2H-pyrazolo[4,3-c]pyridin-3-yl)-5-fluoro-1H-indole -7-yl)methanol. ¹ H NMR (400 MHz, DMSO-d ₆ ) δ 11.61 (brs, 1H), 8.62-8.75 (m, 2H), 8.35-8.45 (m, 3H), 7.52 (t, J=2.7 Hz 1H), 7.12-7.25 (m, 2H), 6.90 (dd, J=7.8, 11.6 Hz, 1H), 6, 84 (d, J=11.0 Hz, 1H), 6.31 (q, J=2.0 Hz, 1H), 5.23-5.31 (m, 2H), 4.74 (d, J =16.0 Hz, 1H), 4.57 (d, J=16.0 Hz, 1H), 4.35-4.45 (m, 1H), 3.85-4.00 (m, 2H) , 2.85-2.95 (m, 2H), 2.45-2.65 (m, 2H), 2.25-2.40 (m, 2H), 1.85-2.10 (m, 3H), 1.80-1.95 (m, 1H), 1.12 (t, J=7.8 Hz, 3H), 0.64 (t, J=7.8 Hz, 3H). MS: (ES) m/z calculated for C ₃₅ H ₃₅ F ₄ N ₇ O ₄ [M+H] ⁺ 694.3, found 694.2.

- Example 45 Synthesis of (S)-2-acetamido-5-((4-(2-(2,6-diethylphenyl)-5-(5-(trifluoromethyl)pyrimidin-2-yl)-4,5,6 ,7-tetrahydro-2H-pyrazolo[4,3-c]pyridin-3-yl)-5-fluoro-1H-indol-7-yl)methoxy)-5-oxopentanoic acid

Into a stirred solution of (S)-2-amino-5-((4-(2-(2,6-diethylphenyl)-5-(5-(trifluoromethyl)pyrimidin-2-yl)-4,5,6,7 -tetrahydro-2H-pyrazolo[4,3-c]pyridin-3-yl)-5-fluoro-1H-indol-7-yl)methoxy)-5-oxopentanoic acid (70 mg, 0.113 mmol) in dichloromethane (3 0 ml) pyridine (27 mg, 0.4 mmol) and acetic anhydride (30 mg, 0.34 mmol) were added at room temperature. The reaction mixture was stirred at room temperature for 1 hour. After completion of the reaction, the solvent was removed and the resulting crude product was purified by HPLC (MeCN/H ₂ O, with 0.1% TFA) to give (S)-2-acetamido-5-((4-(2-(2.6 -diethylphenyl)-5-(5-(trifluoromethyl)pyrimidin-2-yl)-4,5,6,7-tetrahydro-2H-pyrazolo[4,3-c]pyridin-3-yl)-5-fluoro- 1H-indol-7-yl)methoxy)-5-oxopentanoic acid. ¹ H NMR (400 MHz, DMSO-d ₆ ) δ 11.53 (broad s, 1H), 8.55-8.80 (m, 2H), 8.12 (d, J=7.8 Hz, 1H), 7.53 (t, J=2.7 Hz, 1H), 7.15-7.25 (m, 2H), 6.91 (d, J=7.5 Hz, 1H), 6, 85 (d, J=10.2 Hz, 1H), 6.31 (t, J=10.2 Hz, 1H), 5.25 (d, J=2.7 Hz, 2H), 4.75 ( d, J=16.0 Hz, 1H), 4.58 (d, J=16.0 Hz, 1H), 4.37-4.45 (m, 1H), 4.18-4.25 (m , 2H), 3.45-3.85 (m, 1H), 2.85-2.98 (m, 2H), 2.30-2.45 (m, 4H), 1.95-2.10 (m, 2H), 1.85-1.92 (m, 1H), 1.81 (s, 3H), 1.70-1.78 (m, 1H), 1.12 (t, J=7 .8 Hz, 3H), 0.65 (t, J=7.8 Hz, 3H), MS: (ES) m/z calculated for C ₃₇ H ₃₇ F ₄ N ₇ O ₅ [M+H] ⁺ 736 .3, found 736.2.

Example 46 Synthesis of (S)-4-amino-5-((4-(2-(2,6-diethylphenyl)-5-(5-(trifluoromethyl)pyrimidin-2-yl)-4,5,6, 7-tetrahydro-2H-pyrazolo[4,3-c]pyridin-3-yl)-5-fluoro-1H-indol-7-yl)methoxy)-5-oxopentanoic acid hydrochloride

Example 46 was prepared in a manner similar to that described for Example 35 using (S)-5-(tert-butoxy)-2-((tert-butoxycarbonyl)amino)-5-oxopentanoic acid and (4-(2-(2, 6-diethylphenyl)-5-(4-(trifluoromethyl)phenyl)-4,5,6,7-tetrahydro-2H-pyrazolo[4,3-c]pyridin-3-yl)-5-fluoro-1H-indole -7-yl)methanol. ¹ H NMR (400 MHz, DMSO-d ₆ ) δ 11.56 (brs, 1H), 8.60-8.75 (m, 2H), 8.30-8.45 (m, 2H), 7.56 (t, J=2.7 Hz 1H), 7.15-7.25 (m, 2H), 6.90-6.98 (m, 2H), 6.30-6.38 (m , 1H), 5.36-5.52 (m, 2H), 4.74 (dd, J=5.6, 16.0 Hz, 1H), 4.57 (d, J=15.7 Hz, 1H), 4.35-4.45(m, 1H), 4.05-4.25(m, 2H), 3.35-4.00(m, 1H), 2.85-2.95( m, 2H), 2.30-2.45 (m, 4H), 1.95-2.10 (m, 3H), 1.83-1.95 (m, 1H), 1.12 (t, J=7.8 Hz, 3H), 0.65 (dd, J=7.5, 14.9 Hz, 3H), MS: (ES) m/z calculated for C ₃₅ H ₃₅ F ₄ N ₇ O ₄ [M+H] ⁺ 694.3, found 694.2.

Example 47 Synthesis of (4-(2-(2,6-diethylphenyl)-5-(5-(trifluoromethyl)pyrimidin-2-yl)-4,5,6,7-tetrahydro-2H-pyrazolo[4,3 -c]pyridin-3-yl)-5-fluoro-1H-indol-7-yl)methyl glycyl-L-valinate hydrochloride

Example 47 was prepared in a manner similar to that described for Example 40 using (tert-butoxycarbonyl)glycyl-L-valine and (4-(2-(2,6-diethylphenyl)-5-(4-(trifluoromethyl)phenyl)-4 ,5,6,7-tetrahydro-2H-pyrazolo[4,3-c]pyridin-3-yl)-5-fluoro-1H-indol-7-yl)methanol. ¹ H NMR (400 MHz, DMSO-d ₆ ) δ 11.60 (br s, 1H), 8.60-8.75 (m, 2H), 8.05 (br s, 2H), 7, 55 (brs, 1H), 7.14-7.25 (m, 2H), 6.90-6.95 (m, 1H), 6.86 (dd, J=2.0, 11.0 Hz, 1H), 6.32 (t, J=2.3 Hz, 1H), 5.30-5.45 (m, 2H), 4.78 (d, J=3.5 Hz, 1H), 4.74 (d, J=3.1 Hz, 1H), 4.58 (d, J=16.0 Hz, 2H), 4.35-4.45 (m, 2H), 4.15-4 .25 (m, 1H), 3.55-3.70 (m, 2H), 2.85-2.96 (m, 2H), 2.30-2.45 (m, 2H), 2.00 -2.10(m, 2H), 1.83-1.90(m, 1H), 1.12(t, J=7.5Hz, 3H), 0.75-0.85(m, 6H ), 0.63 (t, J=7.4 Hz, 3H). MS: (ES) m/z calculated for C ₃₇ H ₄₀ F ₄ N ₈ O ₃ [M+H] ⁺ 721.3, found 721.2.

Example 48 Synthesis of (4-(2-(2,6-diethylphenyl)-5-(5-(trifluoromethyl)pyrimidin-2-yl)-4,5,6,7-tetrahydro-2H-pyrazolo[4,3 -c]pyridin-3-yl)-5-fluoro-1H-indol-7-yl)methyl L-alanyl-L-alaninate hydrochloride

Example 48 was prepared in a manner similar to that described for Example 40 using (tert-butoxycarbonyl)-L-alanyl-L-alanine and (4-(2-(2,6-diethylphenyl)-5-(4-(trifluoromethyl)phenyl )-4,5,6,7-tetrahydro-2H-pyrazolo[4,3-c]pyridin-3-yl)-5-fluoro-1H-indol-7-yl)methanol. ¹ H NMR (400 MHz, DMSO-d ₆ ) δ 11.58 (br s, 1H), 8.50-8.95 (m, 3H), 8.10 (br s, 2H), 7, 53 (broad s, 1H), 7.12-7.25 (m, 2H), 6.90 (d, J=7.5 Hz, 1H), 6.84 (dd, J=6.0, 10.6 Hz, 1H), 6.31 (brs, 1H), 5.25-5.38 (m, 2H), 4.73 (d, J=16.5 Hz, 1H), 4, 57 (d, J=16.0 Hz, 1H), 4.35-4.45 (m, 2H), 4.15-4.25 (m, 1H), 3.70-3.92 (m, 1H), 2.85-2.95 (m, 2H), 2.30-2.38 (m, 2H), 2.00-2.10 (m, 1H), 1.80-1.87 ( m, 1H), 1.30 (t, J=5.6 Hz, 3H), 1.10-1.18 (m, 6H), 0.60-0.66 (m, 3H). MS: (ES) m/z calculated for C ₃₆ H ₃₈ F ₄ N ₈ O ₃ [M+H] ⁺ 707.3, found 707.2.

Example 49 Synthesis of 4-(((4-(2-(2,6-diethylphenyl)-5-(5-(trifluoromethyl)pyrimidin-2-yl)-4,5,6,7-tetrahydro-2H-pyrazolo [4,3-c]pyridin-3-yl)-5-fluoro-1H-indol-7-yl)methoxy)methyl)-5-methyl-1,3-dioxol-2-one

Into a stirred solution of (4-(2-(2,6-diethylphenyl)-5-(4-(trifluoromethyl)phenyl)-4,5,6,7-tetrahydro-2H-pyrazolo[4,3-c]pyridine- 3-yl)-5-fluoro-1H-indol-7-yl)methanol (100 mg, 0.18 mmol) in dichloromethane (4.0 ml) diisopropylethylamine (151 mg, 1.2 mmol) was added at room temperature and 4-(chloromethyl)-5-methyl-1,3-dioxol-2-one (150 mg, 0.78 mmol). The reaction was stirred at room temperature for 24 hours. After the reaction was complete, the mixture was quenched with water and the resulting crude product was purified by HPLC (MeCN/H ₂ O, with 0.1% TFA) to give 4-(((4-(2-(2,6-diethylphenyl)-5- (5-(trifluoromethyl)pyrimidin-2-yl)-4,5,6,7-tetrahydro-2H-pyrazolo[4,3-c]pyridin-3-yl)-5-fluoro-1H-indol-7- yl)methoxy)methyl)-5-methyl-1,3-dioxol-2-one. ¹ H NMR (400 MHz, CDCl ₃ ) δ 9.17 (br s, 1H), 8.47 (br s, 2H), 7.32-7.40 (m, 1H), 7.10- 7.35 (m, 2H), 6.85 (d, J=7.4 Hz, 1H), 6.63 (d, J=10.5 Hz, 1H), 6.35-6.45 (m , 1H), 5.49 (d, J=15.1 Hz, 1H), 5.29 (d, J=15.5 Hz, 1H), 4.87 (dd, J=4.3, 16, 1 Hz, 1H), 4.66 (dd, J=6.0, 16.5 Hz, 1H), 4.38-4.45 (m, 1H), 4.25-4.35 (m, 1H ), 3.04 (t, J=5.8 Hz, 1H), 2.38-2.55 (m, 2H), 2.35 (s, 3H), 2.11-2.25 (m, 2H), 1.85-2.05 (m, 2H), 0.91-1.12 (m, 3H), 0.70-0.89 (m, 3H). MS: (ES) m/z calculated for C ₃₅ H ₃₂ F ₄ N ₆ O ₄ [M+H] ⁺ 677.2, found 677.3.

Example 50 Synthesis of (4-(2-(2,6-diethylphenyl)-5-(5-(trifluoromethyl)pyrimidin-2-yl)-4,5,6,7-tetrahydro-2H-pyrazolo[4, 3-c]pyridin-3-yl)-5-fluoro-1H-indol-7-yl)methyl dihydrogen phosphate

Step a: To a stirred solution of (4-(2-(2,6-diethylphenyl)-5-(4-(trifluoromethyl)phenyl)-4,5,6,7-tetrahydro-2H-pyrazolo[4,3-c ]pyridin-3-yl)-5-fluoro-1H-indol-7-yl)methanol (100 mg, 0.16 mmol) in dichloromethane (30 ml) at -20°C was added PBr ₃ (95 mg, 0. 32 mmol). The reaction mixture was allowed to warm to 0° C. and stirred for 2 hours. After completion of the reaction, the solvent was removed in vacuo to give 3-(7-(bromomethyl)-5-fluoro-1H-indol-4-yl)-2-(2,6-diethylphenyl)-5-(5-(trifluoromethyl)pyrimidine -2-yl)-4,5,6,7-tetrahydro-2H-pyrazolo[4,3-c]pyridine, which was used directly in the next step without further purification.

Step b: To a stirred solution of 3-(7-(bromomethyl)-5-fluoro-1H-indol-4-yl)-2-(2,6-diethylphenyl)-5-(5-(trifluoromethyl)pyrimidin-2- yl)-4,5,6,7-tetrahydro-2H-pyrazolo[4,3-c]pyridine (85 mg, 1.24 mmol) in THF (4 ml) was added tetrabutylammonium di-tert-butyl phosphate (91 mg, 0.2 mmol). The reaction mixture was stirred at room temperature overnight. The reaction mixture was evaporated and the resulting crude product was purified by silica gel chromatography (10-100% EtOAc in hexane) to give di-tert-butyl-((4-(2-(2,6-diethylphenyl)-5-(5- (trifluoromethyl)pyrimidin-2-yl)-4,5,6,7-tetrahydro-2H-pyrazolo[4,3-c]pyridin-3-yl)-5-fluoro-1H-indol-7-yl)methyl )phosphate. MS: (ES) m/z calculated for C ₃₈ H ₄₅ F ₄ N ₆ O ₄ P [M+H] ⁺ 757.32, found 757.3.

Step c: To a stirred solution of di-tert-butyl-((4-(2-(2,6-diethylphenyl)-5-(5-(trifluoromethyl)pyrimidin-2-yl)-4,5,6,7- tetrahydro-2H-pyrazolo[4,3-c]pyridin-3-yl)-5-fluoro-1H-indol-7-yl)methyl)phosphate (70 mg, 0.92 mmol) in anhydrous dichloromethane (15 mL) at 0° C., TFA (52 mg, 0.46 mmol) was added dropwise over 5 minutes. The reaction mixture was stirred at room temperature for 2 hours. After completion of the reaction, the solvent was removed in vacuo and the residue was purified by HPLC (MeCN/H ₂ O, with 0.1% TFA) to give (4-(2-(2,6-diethylphenyl)-5-(5-(trifluoromethyl )pyrimidin-2-yl)-4,5,6,7-tetrahydro-2H-pyrazolo[4,3-c]pyridin-3-yl)-5-fluoro-1H-indol-7-yl)methyl dihydrogen phosphate. ¹ H NMR (400 MHz, CD ₃ OD) δ 8.56 (br s, 2H), 7.43 (d, J=3.2 Hz, 1H), 7.15-7.25 (m, 2H ), 6.90 (d, J=5.9 Hz, 1H), 6.81 (d, J=11.3 Hz, 1H), 6.37 (d, J=3.1 Hz, 1H), 5.20-5.30 (m, 2H), 4.91 (d, J=16.1 Hz, 1H), 4.64 (d, J=15.6 Hz, 1H), 4.42-4 .50 (m, 1H), 4.30-4.37 (m, 1H), 2.98 (t, J=5.1 Hz, 2H), 2.44 (kv, J=7.8 Hz, 2H), 2.12-2.19 (m, 1H), 1.90-1.98 (m, 2H), 1.22 (t, J=7.4 Hz, 3H), 0.72 (t , J=7.4 Hz, 3H), MS: (ES) m/z calculated for C ₃₀ H ₂₉ F ₄ N ₆ O ₄ P[M+H] ⁺ 645.2, found 645.6.

Example 51 Synthesis of ((4-(2-(2,6-diethylphenyl)-5-(5-(trifluoromethyl)pyrimidin-2-yl)-4,5,6,7-tetrahydro-2H-pyrazolo[4, 3-c]pyridin-3-yl)-5-fluoro-1H-indol-7-yl)methoxy)methyl dihydrogen phosphate

Step a: To a stirred solution of (4-(2-(2,6-diethylphenyl)-5-(4-(trifluoromethyl)phenyl)-4,5,6,7-tetrahydro-2H-pyrazolo[4,3-c ]pyridin-3-yl)-5-fluoro-1H-indol-7-yl)methanol (140 mg, 0.25 mmol) in dichloromethane (4 ml) diisopropylethylamine (77 mg, 0.74 mmol) was added at room temperature and ((chloromethoxy)methyl)benzene (77 mg, 0.49 mmol). The reaction mixture was heated to 50°C and stirred for 4 hours. After completion of the reaction, the mixture was cooled to room temperature. The mixture was diluted with water and saturated aqueous NaHCO ₃ , extracted with dichloromethane, washed with saturated sodium chloride solution and dried over Na ₂ SO ₄ . The solvent was removed under reduced pressure and the residue was purified by silica gel chromatography (10-100% EtOAc in hexane) to give 3-(7-(((benzyloxy)methoxy)methyl)-5-fluoro-1H-indol-4-yl )-2-(2,6-diethylphenyl)-5-(5-(trifluoromethyl)pyrimidin-2-yl)-4,5,6,7-tetrahydro-2H-pyrazolo[4,3-c]pyridine. ¹ H NMR (400 MHz, CDCl ₃ ) δ 8.82 (br s, 1H), 8.47 (br s, 2H), 7.32-7.40 (m, 4H), 7.12- 7.25 (m, 3H), 6.85 (d, J=7.4 Hz, 1H), 6.63 (d, J=10.5 Hz, 1H), 6.35 (t, J=3 .1 Hz, 1H), 4.85-4.98 (m, 7H), 4.69 (d, J=16.8 Hz, 1H), 4.65 (s, 2H), 4.40-4 .50 (m, 1H), 4.25-4.35 (m, 1H), 3.0-3.12 (m, 1H), 2.45-2.60 (m, 2H), 2.15 -2.25(m, 1H), 1.85-2.05(m, 1H), 1.12(t, J=7.4Hz, 3H), 0.73(t, J=7.4 Hz, 3H). MS: (ES) m/z calculated for C ₃₈ H ₃₆ F ₄ N ₆ O ₂ [M+H] ⁺ 685.74, found 685.5.

Step b: To a stirred solution of 3-(7-(((benzyloxy)methoxy)methyl)-5-fluoro-1H-indol-4-yl)-2-(2,6-diethylphenyl)-5-(5-( trifluoromethyl)pyrimidin-2-yl)-4,5,6,7-tetrahydro-2H-pyrazolo[4,3-c]pyridine (140 mg, 0.20 mmol) in dichloromethane (3 ml) was added trimethylsilyl iodide (0. 5 ml, 0.51 mmol). The reaction mixture was stirred for 2 hours at room temperature. After completion of the reaction, the solvent was removed in vacuo to give 2-(2,6-diethylphenyl)-3-(5-fluoro-7-((iodomethoxy)methyl)-1H-indol-4-yl)-5-(5-( trifluoromethyl)pyrimidin-2-yl)-4,5,6,7-tetrahydro-2H-pyrazolo[4,3-c]pyridine, which was directly used in the next step without further purification.

Step c: To a stirred suspension of the diisopropylethylamine salt of phosphonic acid (482 mg, 1.0 mmol) in MeCN (5 ml) and H ₂ O (5 drops) was added 2-(2,6-diethylphenyl)-3-(5- fluoro-7-((iodomethoxy)methyl)-1H-indol-4-yl)-5-(5-(trifluoromethyl)pyrimidin-2-yl)-4,5,6,7-tetrahydro-2H-pyrazolo[4 ,3-c]pyridine (140 mg, 0.19 mmol). The reaction mixture was stirred for 2 hours at room temperature. After completion of the reaction, the solvent was removed in vacuo and the mixture was diluted with water and extracted with ethyl acetate. The solvent was removed under reduced pressure, the residue was purified by HPLC (MeCN/H ₂ O, with 0.1% NH ₄ CO ₃ ) and lyophilized to give the ammonium salt ((4-(2-(2,6-diethylphenyl)-5- (5-(trifluoromethyl)pyrimidin-2-yl)-4,5,6,7-tetrahydro-2H-pyrazolo[4,3-c]pyridin-3-yl)-5-fluoro-1H-indol-7- yl)methoxy)methyl dihydrogen phosphate. This material was converted to the sodium salt by dilution with acetonitrile (0.6 ml)/H ₂ O (0.4 ml) and addition of 0.1M NaOH solution (213 μl, 2 eq.) and lyophilization to dryness to give the disodium salt (( 4-(2-(2,6-diethylphenyl)-5-(5-(trifluoromethyl)pyrimidin-2-yl)-4,5,6,7-tetrahydro-2H-pyrazolo[4,3-c]pyridine- 3-yl)-5-fluoro-1H-indol-7-yl)methoxy)methyl dihydrogen phosphate. ¹ H NMR (400 MHz, D ₂ O) δ 8.07 (br s, 2H), 7.37 (br s, 1H), 7.07-7.15 (m, 2H), 6.79 (d, J=6.6 Hz, 1H), 6.21 (broad s, 2H), 4.87-4.95 (m, 2H), 4.76 (d, J=11.3 Hz, 1H), 4.15-4.25(m, 2H), 3.60-3.85(m, 2H), 2.79(brs, 2H), 2.00-2.25(m, 4H), 1.65-1.85 (m, 2H), 0.93 (t, J=7.4 Hz, 3H), 0.35-0.50 (m, 3H), MS: (ES) m/z calculated for C ₃₁ H ₃₁ F ₄ N ₆ O ₅ P[M+H] ⁺ 675.2, found 675.7.

Example 52 Synthesis of 4-((4-(5-(2,4-bis(trifluoromethyl)benzyl)-2-(2,6-diethylphenyl)-6,6-dimethyl-2,4,5,6-tetrahydropyrrolo [3,4-c]pyrazol-3-yl)-7-fluoro-1H-indol-1-yl)methyl)-5-methyl-1,3-dioxol-2-one

Step a: To a stirred solution of 4-(5-(2,4-bis(trifluoromethyl)benzyl)-2-(2,6-diethylphenyl)-6,6-dimethyl-2,4,5,6-tetrahydropyrrolo[3 ,4-c]pyrazol-3-yl)-7-fluoro-1H-indole (400 mg, 0.64 mmol) in THF (10 mL) was added 1M LiHMDS in THF (1 mL, 1 mmol) at -78 °C After stirring for 30 minutes, a solution of 4-(chloromethyl)-5-methyl-1,3-dioxol-2-one (113 mg, 0.76 mmol) in THF (3 ml) was added at -78°C. The mixture was warmed to room temperature and stirred for 3 hours. Then a saturated solution of NH ₄ Cl was added and the mixture was extracted with ethyl acetate. The organic layers were combined, dried over Na ₂ SO ₄ , filtered and evaporated. The residue was purified by silica gel column chromatography (10-30% EtOAc in hexanes) to give 4-((4-(5-(2,4-bis(trifluoromethyl)benzyl)-2-(2,6-diethylphenyl)-6 ,6-dimethyl-2,4,5,6-tetrahydropyrrolo[3,4-c]pyrazol-3-yl)-7-fluoro-1H-indol-1-yl)methyl)-5-methyl-1,3 -dioxol-2-one. ¹ H NMR (400 MHz, DMSO-d ₆ ) δ 8.16 (d, J=8.2 Hz, 1H), 8.01 (d, J=8.2 Hz, 1H), 7.97 (broad .s, 1H), 7.82 (d, J=3.5 Hz, 1H), 7.28 (t, J=7.8 Hz, 1H), 7.13 (d, J=8.1 Hz , 1H), 7.08 (d, J=7.0 Hz, 1H), 6.84 (dd, J=8.06, 13.7 Hz, 1H), 6.54 (dd, J=2, 8, 3.6 Hz, 1H), 6.45 (dd, J=4.3, 8.2 Hz, 1H), 4.99 (d, J=4.7 Hz, 1H), 4.45 ( d, J=4.7 Hz, 1H), 4.15 (brs, 2H), 3.61 (q, J=3.5 Hz, 1H), 2.33 (s, 3H), 2, 20-2.25 (m, 2H), 2.05-2.15 (m, 2H), 1.85-2.05 (m, 1H), 1.47 (s, 6H), 0.90 ( t, J=7.4 Hz, 3H), 0.85 (t, J=7.4 Hz, 3H). MS: (ES) m/z calculated for C ₃₉ H ₃₅ F ₇ N ₄ O ₃ [M+H] ⁺ 741.3, found 741.2.

Example 53 Synthesis of (5-methyl-2-oxo-1,3-dioxol-4-yl)methyl 4-(5-(2,4-bis(trifluoromethyl)benzyl)-2-(2,6-diethylphenyl) -2,4,5,6-tetrahydro-6,6-dimethylpyrrolo[3,4-c]pyrazol-3-yl)-7-fluoro-1H-indole-1-carboxylate

To a 50 ml round bottom flask, in which was placed 4-(hydroxymethyl)-5-methyl-1,3-dioxol-2-one (0.5 g, 3.84 mmol) in anhydrous dichloromethane (6 ml), at - 40°C was added triethylamine (0.77 g, 7.62 mmol) and then triphosgene (0.88 g, 4.58 mmol) dropwise over 5 minutes. The reaction mixture was stirred at -40°C for 1 hour, then warmed to room temperature for 1 hour. After completion of the reaction, the mixture was diluted with water and extracted with dichloromethane. The combined organic layers were dried over Na ₂ SO ₄ , filtered and evaporated in vacuo to give (5-methyl-2-oxo-1,3-dioxol-4-yl)methyl chloroformate which was used directly in the next step without further purification.

Example 53 was prepared in a manner similar to that described for Example 52 using (5-methyl-2-oxo-1,3-dioxol-4-yl)methyl chloroformate and 4-(5-(2,4-bis(trifluoromethyl) benzyl)-2-(2,6-diethylphenyl)-6,6-dimethyl-2,4,5,6-tetrahydropyrrolo[3,4-c]pyrazol-3-yl)-7-fluoro-1H-indole. ¹ H NMR (400 MHz, CD ₃ OD) δ 8.22 (d, J=6.6 Hz, 1H), 7.90-7.97 (m, 2H), 7.81 (br s, 1H ), 7.34 (t, J=7.4 Hz, 1H), 7.16 (d, J=7.4 Hz, 2H), 6.83 (t, J=8.6 Hz, 1H), 6.60-6.75(m, 2H), 5.24(s, 2H), 4.23(brs, 2H), 3.71(s, 2H), 2.25-2.38( m, 4H), 2.24 (s, 3H), 1.57 (s, 6H), 1.03 (t, J=7.4 Hz, 6H). MS: (ES) m/z calculated for C ₄₀ H ₃₅ F ₇ N ₄ O ₅ [M+H] ⁺ 785.2, found 785.1.

Example 54 Synthesis of 4-((4-(2-(2,6-diethylphenyl)-5-(5-(trifluoromethyl)pyrimidin-2-yl)-4,5,6,7-tetrahydro-2H-pyrazolo[ 4,3-c]pyridin-3-yl)-6-fluoro-7-methoxy-1H-indol-1-yl)methyl)-5-methyl-1,3-dioxol-2-one

Example 54 was prepared in a manner similar to that described for Example 52 using 4-(chloromethyl)-5-methyl-1,3-dioxol-2-one and 2-(2,6-diethylphenyl)-3-(6-fluoro- 7-methoxy-1H-indol-4-yl)-5-(5-(trifluoromethyl)pyrimidin-2-yl)-4,5,6,7-tetrahydro-2H-pyrazolo[4,3-c]pyridine. ¹ H NMR (400 MHz, CD ₃ OD) δ 8.70 (broad s, 2H), 7.86 (s, 1H), 7.28 (t, J=6.9 Hz, 1H), 6, 59 (brs, 1H), 6.40 (d, J=13.3 Hz, 1H), 5.02 (brs, 2H), 4.78 (brs, 2H), 4.25 -4.60 (m, 2H), 3.79 (s, 3H), 3.30 (brs, 2H), 2.89 (brs, 2H), 2.47 (s, 3H), 2.36 (brs, 4H), 0.67-1.12 (m, 6H). MS: (ES) m/z calculated for C ₃₅ H ₃₂ F ₄ N ₆ O ₄ [M+H] ⁺ 677.24, found 677.2.

Example 55 Synthesis of (5-methyl-2-oxo-1,3-dioxol-4-yl)methyl 4-(2-(2,6-diethylphenyl)-5-(5-(trifluoromethyl)pyrimidine-2- yl)-4,5,6,7-tetrahydro-2H-pyrazolo[4,3-c]pyridin-3-yl)-6-fluoro-7-methoxy-1H-indole-1-carboxylate

Example 55 was prepared in a manner similar to that described for Example 52 using (5-methyl-2-oxo-1,3-dioxol-4-yl)methyl chloroformate and 2-(2,6-diethylphenyl)-3-(6- fluoro-7-methoxy-1H-indol-4-yl)-5-(5-(trifluoromethyl)pyrimidin-2-yl)-4,5,6,7-tetrahydro-2H-pyrazolo[4,3-c] pyridine. ¹ H NMR (400 MHz, CD ₃ OD) δ 8.58 (broad s, 2H), 7.78 (d, J=1.2 Hz, 1H), 7.32 (t, J=1.2 Hz, 1H), 7.15-7.22(m, 2H), 6.50-6.65(m, 2H), 5.28(s, 2H), 4.38(brs, 2H) , 3.95 (s, 3H), 2.97 (br s, 2H), 2.30-2.40 (m, 6H), 2.26 (s, 3H), 0.98-1.25 (m, 6H). MS: (ES) m/z calculated for C ₃₆ H ₃₂ F ₄ N ₆ O ₆ [M+H] ⁺ 721.23, found 721.2.

Example 56 Synthesis of 4-((4-(5-(2,4-bis(trifluoromethyl)benzyl)-2-(2,6-diethylphenyl)-2,4,5,6-tetrahydro-6,6-dimethylpyrrolo [3,4-c]pyrazol-3-yl)-7-fluoro-1H-indole-1-carboxyloyloxy)methyl)phenyl dihydrogen phosphate

Step a: Into a 50 ml round bottom flask in which were placed 4-(hydroxymethyl)phenol (0.27 g, 1.73 mmol), triethylamine (0.27 g, 1.73 mmol) and anhydrous dichloromethane (6 ml) , at 0° C., diethylphosphoryl chloride (0.54 g, 4.32 mmol) was added dropwise over 5 minutes. The reaction mixture was stirred at room temperature for 16 hours. After completion of the reaction, the mixture was extracted with ethyl acetate. The organic layers were combined, dried over Na ₂ SO ₄ , filtered and evaporated. The residue was purified by silica gel column chromatography (10-80% EtOAc in hexanes) to give diethyl 4-(hydroxymethyl)-phenyl phosphate.

To a stirred solution of diethyl 4-(hydroxymethyl)phenyl phosphate (0.27 g, 1.73 mmol) and triethylamine in anhydrous dichloromethane (10 mL) at 0°C was added triphosgene (0.54 g, 4.32 mmol) slowly over 5 minutes. The reaction mixture was stirred at room temperature for 1 hour. After completion of the reaction, the mixture was diluted with water and extracted with dichloromethane. The combined organic layers were dried over Na ₂ SO ₄ , filtered and evaporated in vacuo to give 4-((diethoxyphosphoryl)oxy)benzyl chloroformate which was used directly in the next step without further purification.

In a solution of 4-(5-(2,4-bis(trifluoromethyl)benzyl)-2-(2,6-diethylphenyl)-2,4,5,6-tetrahydro-6,6-dimethylpyrrolo[3,4-c ]pyrazol-3-yl)-7-fluoro-1H-indole (150 mg, 0.23 mmol) in THF (4 mL) was added 1M LiHMDS in THF (0.38 mL, 0.38 mmol) at -78 °C. After stirring for 30 minutes, a solution of 4-((diethoxyphosphoryl)oxy)benzyl chloroformate (153 mg, 0.47 mmol) in THF (2 ml) was added at -78°C. The reaction mixture was warmed to room temperature and stirred for 2 hours. After completion of the reaction, a saturated aqueous solution of NH₄Cl was extracted with ethyl acetate. The organic layers were combined, dried over Na₂SO₄, filtered and evaporated. The residue was purified by silica gel column chromatography (10-60% EtOAc in hexane) to give 4-((diethoxyphosphoryl)oxy)benzyl-4-(5-(2,4-bis(trifluoromethyl)benzyl)-2-(2, 6-diethylphenyl)-6,6-dimethyl-2,4,5,6-tetrahydropyrrolo[3,4-c]pyrazol-3-yl)-7-fluoro-1H-indole-1-carboxylate. MS: (ES) m/z calculated for C₄₆H₄₆F₇N₄O₆P [M+H]⁺ 915.3, found 915.3.

Step b: To a stirred solution of 4-((diethoxyphosphoryl)oxy)benzyl-4-(5-(2,4-bis(trifluoromethyl)benzyl)-2-(2,6-diethylphenyl)-6,6-dimethyl-2 ,4,5,6-tetrahydropyrrolo[3,4-c]pyrazol-3-yl)-7-fluoro-1H-indole-1-carboxylate (100 mg, 0.11 mmol) in dichloromethane (2.5 ml) bromotrimethylsilane (83 mg, 0.55 mmol) was added at room temperature over 8 hours. After the reaction was complete, the mixture was evaporated to dryness and purified by HPLC (MeCN/H ₂ O, with 0.1% TFA) to give 4-(phosphonooxy)benzyl-4-(5-(2,4-bis(trifluoromethyl)benzyl)- 2-(2,6-diethylphenyl)-6,6-dimethyl-2,4,5,6-tetrahydropyrrolo[3,4-c]pyrazol-3-yl)-7-fluoro-1H-indole-1-carboxylate . ¹ H NMR (400 MHz, CD ₃ OD) δ 8.13 (s, 1H), 8.06 (s, 2H), 7.82 (d, J=3.5 Hz, 1H), 7.46 ( d, J=8.6Hz, 2H), 7.35(t, J=7.8Hz, 1H), 7.22(d, J=7.9Hz, 2H), 7.16(d, J=7.8Hz, 2H), 6.83(dd, J=8.2, 12.1Hz, 1H), 6.65-6.75(m, 2H), 5.40(s, 2H ), 4.72 (brs, 2H), 4.50 (brs, 2H), 2.15-2.30 (m, 4H), 1.93 (s, 6H), 0.99 ( t, J=7.4 Hz, 6H) MS: (ES) m/z calculated for C ₄₂ H ₃₈ F ₇ N ₄ O ₆ P [M+H] ⁺ 859.24, found 859.2.

Example 57 Synthesis of 4-(phosphonooxy)benzyl-4-(2-(2,6-diethylphenyl)-5-(5-(trifluoromethyl)-pyrimidin-2-yl)-4,5,6,7-tetrahydro- 2H-pyrazolo[4,3-c]pyridin-3-yl)-6-fluoro-7-methoxy-1H-indole-1-carboxylate

Step a: To a solution of 4-hydroxybenzaldehyde (3.0 g, 24.5 mmol) in 100 ml THF was added a 1.0 M solution of tBuOK in THF (27.04 ml, 27.04 mmol). The mixture was heated to 70° C. and tetrabenzyl phosphate (14.5 g, 26.95 mmol) was added. After 1 hour at 70°C, hexane was added and the mixture was filtered. The filtrate was evaporated in vacuo and the resulting residue was purified by silica gel column chromatography (0-100% EtOAc in hexane) to give dibenzyl (4-formylphenyl)phosphate. MS: (ES) m/z calculated for C ₂₁ H ₁₉ O ₅ P [M+H] ⁺ 383.1, found 383.2.

NaBH ₄ (0.65 g, 18.3 mmol) was added to a solution of dibenzyl (4-formylphenyl)phosphate (3.5 g, 9.16 mmol) in 50 ml THF at -78°C. After stirring at room temperature for 2 hours, the mixture was quenched with water. The organic and aqueous layers were separated and the aqueous layer was extracted with ethyl acetate. The combined organic layers were dried over sodium sulfate, filtered and evaporated in vacuo. The residue was purified by silica gel column chromatography (0-100% EtOAc in hexane) to give dibenzyl-4-(hydroxymethyl)phenyl)phosphate. MS: (ES) m/z calculated for C ₂₁ H ₂₁ O ₅ P [M+H] ⁺ 385, found 385.1.

Diisopropylethylamine (2.98, 23.1 mmol) and triphosgene (3.0 g , 10.1 mmol). After stirring at 0° C. for 1 hour, the reaction was quenched with water. The organic and aqueous layers were separated and the aqueous layer was extracted with ethyl acetate. The organic layers were combined, dried over sodium sulfate, filtered and evaporated to give the crude chloroformate.

To a solution of 2-(2,6-diethylphenyl)-3-(6-fluoro-7-methoxy-1H-indol-4-yl)-5-(5-(trifluoromethyl)pyrimidin-2-yl)-4.5 ,6,7-tetrahydro-2H-pyrazolo[4,3-c]pyridine (250 mg, 0.442 mmol) in 1.2 ml THF at 0° C. was added NaH (26 mg, 1.05 mmol). After stirring at 0° C. for 30 minutes, a solution of the crude chloroformate prepared as described above (247 mg, 0.553 mmol) in THF (2 ml) was added to the mixture. The solution was stirred at 0°C for 1 hour, then quenched with water. The organic and aqueous layers were separated and the aqueous layer was extracted with ethyl acetate. The organic layers were combined, dried over sodium sulfate, filtered and evaporated in vacuo. The residue was purified by silica gel column chromatography (0-50% EtOAc in hexane) to give 4-((bis(benzyloxy)phosphoryl)oxy)benzyl 4-(2-(2,6-diethylphenyl)-5-(5-( trifluoromethyl) pyrimidin-2-yl)-4,5,6,7-tetrahydro-2H-pyrazolo[4,3-c]pyridin-3-yl)-6-fluoro-7-methoxy-1H-indol-1- carboxylate.

Step b: To a solution of 4-((bis(benzyloxy)phosphoryl)oxy)benzyl 4-(2-(2,6-diethylphenyl)-5-(5-(trifluoromethyl)pyrimidin-2-yl)-4.5, 6,7-tetrahydro-2H-pyrazolo[4,3-c]pyridin-3-yl)-6-fluoro-7-methoxy-1H-indole-1-carboxylate (150 mg, 0.15 mmol) in 7 ml THF was added 10% Pd/C (50 mg). The mixture was stirred under hydrogen pressure from a balloon for 1 hour, then filtered through celite, evaporated and purified by HPLC (MeCN/H ₂ O, with 0.1% TFA) to give 4-(phosphonooxy)benzyl 4-(2-(2, 6-diethylphenyl)-5-(5-(trifluoromethyl)pyrimidin-2-yl)-4,5,6,7-tetrahydro-2H-pyrazolo[4,3-c]pyridin-3-yl)-6-fluoro -7-methoxy-1H-indole-1-carboxylate. ¹ H NMR (400 MHz, DMSO-d ₆ ) δ 7.90 (broad s, 1H), 6.99 (d, J=3.5 Hz, 1H), 6.20-6.60 (m, 10H), 5.80 (d, J=3.5 Hz, 1H), 5.69 (d, J=12.5 Hz, 1H), 4.53 (s, 2H), 3.94 (br. s, 2H), 3.48 (br s, 2H), 3.0 (s, 3H), 2.08 (br s, 2H), 1.68-1.95 (m, 2H), 0 .98-1.45 (m, 6H), MS: (ES) m/z calculated for C ₃₈ H ₃₅ F ₄ N ₆ O ₇ P [M+H] ⁺ 795.22, found 795.2.

Example 58 Synthesis of 2-(4-(4-(5-(2,4-bis(trifluoromethyl)benzyl)-2-(2,6-diethylphenyl)-2,4,5,6-tetrahydro-6,6 -dimethylpyrrolo-[3,4-c]pyrazol-3-yl)-7-fluoro-1H-indol-1-yl)-2-methyl-4-oxobutan-2-yl)-3,5-dimethylphenyl dihydrophosphate

To a solution of 3-(2-((bis(benzyloxy)phosphoryl)oxy)-4,6-dimethylphenyl)-3-methylbutanoic acid (1.0 g, 2.07 mmol) in anhydrous dichloromethane (10 ml) was added diisopropylethylamine and then isobutyl chloroformate (298 mg, 2.49 mmol) in dichloromethane (10 ml) at 0° C. dropwise over 5 minutes. The reaction mixture was stirred at room temperature for 2 hours. After completion of the reaction, the mixture was diluted with water and extracted with dichloromethane. The combined organic layers were dried over Na ₂ SO ₄ , filtered and evaporated in vacuo to give 3-(2-((bis(benzyloxy)phosphoryl)oxy)-4,6-dimethylphenyl)-3-methylbutanoic (isobutylcarboxylic) anhydride, which directly used in the next step without further purification.

Into a solution of 4-(5-(2,4-bis(trifluoromethyl)benzyl)-2-(2,6-diethylphenyl)-6,6-dimethyl-2,4,5,6-tetrahydropyrrolo[3,4-c ]pyrazol-3-yl)-7-fluoro-1H-indole (400 mg, 0.63 mmol) in THF (10 mL) was added 1M LiHMDS in THF (1.01 mL, 1.01 mmol) at -78 °C After stirring for 30 minutes, a solution of 3-(2-((bis(benzyloxy)phosphoryl)oxy)-4,6-dimethylphenyl)-3-methylbutanoic (isobutylcarboxylic) anhydride (0.46 g, 0.8 mmol) was added in THF (5 ml) at -78°C and stirred for 1 hour. The mixture was warmed to room temperature and stirred for 2 hours. After completion of the reaction, a saturated aqueous NH ₄ Cl solution was added and the mixture was extracted with ethyl acetate. The organic layers were combined, dried over Na ₂ SO ₄ , filtered and evaporated. The residue was purified by silica gel column chromatography (10-60% EtOAc in hexanes) to give dibenzyl (2-(4-(4-(5-(2,4-bis(trifluoromethyl)benzyl))-2-(2,6- diethylphenyl)-6,6-dimethyl-2,4,5,6-tetrahydropyrrolo[3,4-c]pyrazol-3-yl)-7-fluoro-1H-indol-1-yl)-2-methyl-4 -oxobutan-2-yl)-3,5-dimethylphenyl)phosphate.

To a solution of the resulting phosphate (270 mg, 0.25 mmol) in ethanol (10 ml) was added 10% Pd/C (200 mg) at room temperature. The resulting mixture was stirred under a hydrogen atmosphere (balloon) for 1 hour at room temperature. The reaction mixture was filtered through Celite and the filtrate was evaporated under reduced pressure to give 2-(4-(4-(5-(2,4-bis(trifluoromethyl)benzyl)-2-(2,6-diethylphenyl)-6.6 -dimethyl-2,4,5,6-tetrahydropyrrolo[3,4-c]pyrazol-3-yl)-7-fluoro-1H-indol-1-yl)-2-methyl-4-oxobutan-2-yl )-3,5-dimethylphenyl dihydrogen phosphate.¹H NMR (400 MHz, DMSO-d₆) δ 12.22 (broad s, 1H), 8.47 (d, J=8.2 Hz, 1H), 8.35 (d, J=7.4 Hz, 1H), 8.30 (s , 1H), 8.23 (s, 1H), 7.62 (t, J=8.2 Hz, 1H), 7.44 (d, J=7.0 Hz, 2H), 7.32 (broad .s, 1H), 7.15 (t, J=10.9 Hz, 1H), 6.82-6.95 (m, 3H), 4.49 (br.s, 2H), 3.85- 4.05 (m, 4H), 3.66 (br s, 1H), 2.72 (s, 3H), 2.42-2.60 (m, 4H), 2.38 (s, 3H) , 1.90 (s, 4H), 1.80 (s, 6H), 1.23 (t, J=7.4 Hz, 6H). MS: (ES) m/z calculated for C₄₇H₄₈F₇N₄O₅P [M+H]⁺ 913.3, found 913.3.

Example 59 Synthesis of 2-(4-(4-(2-(2,6-diethylphenyl)-5-(5-(trifluoromethyl)pyrimidin-2-yl)-4,5,6,7-tetrahydro-2H- pyrazolo-[4,3-c]pyridin-3-yl)-7-fluoro-1H-indol-1-yl)-2-methyl-4-oxobutan-2-yl)-3,5-dimethylphenyl dihydrophosphate

To a solution of 2-(2,6-diethylphenyl)-3-(6-fluoro-7-methoxy-1H-indol-4-yl)-5-(5-(trifluoromethyl)pyrimidin-2-yl)-4.5 ,6,7-tetrahydro-2H-pyrazolo[4,3-c]pyridine (150 mg, 0.27 mmol) in THF (5 mL) 1M LiHMDS in THF (0.43 mL, 0.43 mmol) was added at -78°C. After stirring for 30 minutes, a solution of 3-(2-((bis(benzyloxy)phosphoryl)oxy)-4,6-dimethylphenyl)-3-methylbutanoic anhydride (193 mg, 0.33 mmol) in THF (2. 5 ml) at -78°C and stirred for 1 hour. The mixture was warmed to room temperature and stirred for 2 hours. After completion of the reaction, a saturated aqueous NH ₄ Cl solution was added and the mixture was extracted with ethyl acetate. The organic layers were combined, dried over Na ₂ SO ₄ , filtered and evaporated. The residue was purified by silica gel column chromatography (10-40% EtOAc in hexane) to give dibenzyl (2-(4-(4-(2-(2,6-diethylphenyl)-5-(5-(trifluoromethyl)pyrimidine-2 -yl)-4,5,6,7-tetrahydro-2H-pyrazolo[4,3-c]pyridin-3-yl)-6-fluoro-7-methoxy-1H-indol-1-yl)-2- methyl 4-oxobutan-2-yl)-3,5-dimethylphenyl)phosphate.

To a solution of the resulting phosphate (120 mg, 0.12 mmol) in ethanol (5 ml) was added 10% Pd/C (100 mg) at room temperature. The resulting mixture was stirred under a hydrogen atmosphere (balloon) for 1 hour at room temperature. The reaction mixture was filtered through Celite and the filtrate was evaporated under reduced pressure to give 2-(4-(4-(2-(2,6-diethylphenyl)-5-(5-(trifluoromethyl)pyrimidin-2-yl)-4, 5,6,7-tetrahydro-2H-pyrazolo[4,3-c]pyridin-3-yl)-6-fluoro-7-methoxy-1H-indol-1-yl)-2-methyl-4-oxobutan- 2-yl)-3,5-dimethylphenyl dihydrogen phosphate.¹H NMR (400 MHz, DMSO-d₆) δ 8.74 (brs, 2H), 7.89 (d, J=1.2 Hz, 1H), 7.30-7.38 (m, 1H), 7.21 (brs, 2H), 7.07 (d, J=6.2 Hz, 2H), 6.96 (s, 1H), 6.64 (s, 1H), 6.54 (s, 1H), 6.46- 6.50 (m, 2H), 4.76 (brs, 2H), 4.25-4.45 (m, 2H), 3.72 (s, 6H), 2.91 (brs, 2H), 2.46 (br s, 5H), 2.14 (s, 3H), 1.65-2.05 (m, 4H), 0.80-1.20 (m, 6H). MS: (ES) m/z calculated for C₄₃H₄₅F₄N₆O₆P [M+H]⁺ 849.31, found 849.2.

Example 60 Synthesis of (4-phosphonooxyphenyl)methyl N-((4-(5-((2,4-bis(trifluoromethyl)phenyl)methyl)-2-(2,6-diethylphenyl)-6,6-dimethyl -4H-pyrrolo[3,4-c]pyrazol-3-yl)-2,5-difluoro-phenyl)carbamoyl)carbamate

Step a: Diisopropylethylamine (2.98, 23.1 mmol) and triphosgene were added to a solution of dibenzyl-4-(hydroxymethyl)phenyl)phosphate (3.56 g, 9.24 mmol) in 2.4 ml THF at 0°C. (3.0 g, 10.1 mmol). After stirring at 0° C. for 1 hour, NH ₄ OH (5.0 ml, 41 mmol) was added. The mixture was stirred at room temperature for 16 hours, then evaporated in vacuo and the resulting residue was purified by silica gel column chromatography (20-80% EtOAc in hexanes) to give 4-((bis(benzyloxy)phosphoryl)oxy)benzyl carbamate. MS: (ES) m/z calculated for C ₂₂ H ₂₂ NO ₆ P [M+H] ⁺ 428.1, found 428.1.

To a solution of 4-((bis(benzyloxy)phosphoryl)oxy)benzyl carbamate (700 mg, 1.63 mmol) in dichloromethane (12 ml) at 0° C. was added oxalyl chloride (0.3 g, 2.45 mmol). After stirring at 0° C. for 1 hour, the mixture was heated at 50° C. for 16 hours, then evaporated in vacuo. The residue was dissolved in THF (2 ml) and added to a solution of 4-(5-(2,4-bis(trifluoromethyl)benzyl)-2-(2,6-diethylphenyl)-6,6-dimethyl-2,4,5 ,6-tetrahydropyrrolo[3,4-c]pyrazol-3-yl)-2,5-difluoroaniline (150 mg, 0.16 mmol) in THF (2 mL). The mixture was stirred at room temperature for 5 hours, then evaporated in vacuo. The residue was purified by silica gel column chromatography (0-100% EtOAc in hexane) to give (4-dibenzyloxyphosphoryloxy-3-phenyl)methyl N-((4-(5-((2,4-bis(trifluoromethyl)phenyl)methyl )-2-(2,6-diethylphenyl)-6,6-dimethyl-4H-pyrrolo[3,4-c]pyrazol-3-yl)-2,5-difluorophenyl)carbamoyl)carbamate.

Step b: To a solution of 4-dibenzyloxyphosphoryloxy-3-phenyl)methyl N-((4-(5-((2,4-bis(trifluoromethyl)phenyl)methyl)-2-(2,6-diethylphenyl)-6, 6-dimethyl-4H-pyrrolo[3,4-c]pyrazol-3-yl)-2,5-difluorophenyl)carbamoyl)carbamate (150 mg, 0.14 mmol) in dichloromethane (2 ml) was added dropwise 1: 1 mixture of TFA:CH ₂ Cl ₂ (2 ml) and H ₂ O (0.4 ml). The reaction mixture was heated at 50°C for 48 hours, then evaporated in vacuum. The residue was purified by HPLC (MeCN/H ₂ O, with 0.1% TFA) to give (4-phosphonooxyphenyl)methyl N-((4-(5-((2,4-bis(trifluoromethyl)phenyl)methyl)- 2-(2,6-diethylphenyl)-6,6-dimethyl-4H-pyrrolo[3,4-c]pyrazol-3-yl)-2,5-difluorophenyl)carbamoyl)carbamate. ¹ H NMR (400 MHz, DMSO-d ₆ ) δ 10.78 (s, 1H), 10.15 (s, 1H), 8.14 (d, J=8.4 Hz, 1H), 7.95 -8.08 (m, 3H), 7.35-7.45 (m, 3H), 7.08-7.25 (m, 4H), 6.53 (dd, J=6.7, 11, 7 Hz, 1H), 5.11 (s, 2H), 4.12 (br s, 2H), 3.65 (br s, 2H), 2.05-2.25 (m, 4H), 1.43 (s, 6H), 0.96 (t, J=7.4 Hz, 6H). MS: (ES) m/z calculated for C ₄₁ H ₃₈ F ₈ N ₅ O ₇ P [M+H] ⁺ 896.2, found 896.2.

Example 61 4-(Benzyloxy(hydroxy)phosphoryl)oxyphenyl)methyl N-((4-(5-((2,4-bis(trifluoromethyl)phenyl)methyl)-2-(2,6-diethylphenyl)-6 ,6-dimethyl-4H-pyrrolo[3,4-c]pyrazol-3-yl)-2,5-difluorophenyl)carbamoyl)carbamate

Step b in Example 60 also gave Example 61. ¹ H NMR (400 MHz, DMSO-d ₆ ) δ 10.79 (s, 1H), 10.14 (br s, 1H), 8.14 (d, J =7.0 Hz, 1H), 7.85-8.10 (m, 3H), 7.25-7.40 (m, 7H), 7.20 (d, J=22.2 Hz, 2H), 7.14 (d, J=9.0 Hz, 2H), 6.53 (dd, J=6.7, 11.4 Hz, 1H), 5.13 (s, 2H), 4, 99 (d, J=7.9 Hz, 2H), 4.12 (br s, 2H), 3.65 (br s, 2H), 2.10-2.25 (m, 4H), 1 .43 (s, 6H), 0.96 (t, J=7.4 Hz, 6H). MS: (ES) m/z calculated for C ₄₈ H ₄₄ F ₈ N ₅ O ₇ P [M+H] ⁺ 986.3, found 986.3.

Example 62 Synthesis of N-((4-(5-(2,4-bis(trifluoromethyl)benzyl)-2-(2,6-diethylphenyl)-6,6-dimethyl-2,4,5,6-tetrahydropyrrolo [3,4-c]pyrazol-3-yl)-2,5-difluorophenyl)carbamoyl)-2-(dimethylamino)acetamide.

Into a stirred solution of 4-(5-(2,4-bis(trifluoromethyl)benzyl)-2-(2,6-diethylphenyl)-6,6-dimethyl-2,4,5,6-tetrahydropyrrolo[3,4- c]pyrazol-3-yl)-2,5-difluoroaniline (400 mg, 0.64 mmol) in THF (5 ml) was added 2-chloroacetyl isocyanate at room temperature. After 16 hours of stirring, the mixture was quenched with water and extracted with ethyl acetate. The combined organic layers were dried over sodium sulfate, filtered and evaporated in vacuo to give N-((4-(5-(2,4-bis(trifluoromethyl)benzyl)-2-(2,6-diethylphenyl)-6,6- dimethyl-2,4,5,6-tetrahydropyrrolo[3,4-c]pyrazol-3-yl)-2,5-difluorophenyl)carbamoyl)-2-chloroacetamide.

In a solution of N-((4-(5-(2,4-bis(trifluoromethyl)benzyl)-2-(2,6-diethylphenyl)-6,6-dimethyl-2,4,5,6-tetrahydropyrrolo[3 ,4-c]pyrazol-3-yl)-2,5-difluorophenyl)carbamoyl)-2-chloroacetamide, the preparation of which is described above (125 mg, 0.17 mmol) in THF (5 ml) was added dimethylamine (0.35 ml, 0.34 mmol) at room temperature. The reaction mixture was stirred for 16 hours, then evaporated in vacuo. The residue was purified by HPLC (H ₂ O/acetonitrile, 0.1% TFA) to give N-((4-(5-(2,4-bis(trifluoromethyl)benzyl)-2-(2,6-diethylphenyl)- 6,6-dimethyl-2,4,5,6-tetrahydropyrrolo[3,4-c]pyrazol-3-yl)-2,5-difluorophenyl)carbamoyl)-2-(dimethylamino)acetamide. ¹ H NMR (400 MHz, DMSO-d ₆ ) δ 11.3 (br s, 1H), 10.3 (br s, 1H), 9.85 (br s, 1H), 7.90- 8.25 (m, 4H), 7.40-7.45 (m, 1H), 7.20-7.28 (m, 2H), 6.55-6.65 (m, 1H), 4, 10-4.35(m, 3H), 3.70(brs, 2H), 2.83(s, 6H), 2.17(q, J=8.2Hz, 4H), 1.45 (s, 6H), 0.95 (t, J=7.4 Hz, 6H). MS: (ES) m/z calculated for C ₃₇ H ₃₈ F ₈ N ₆ O ₂ P [M+H] ⁺ 751.3, found 751.2.

Example 63 Synthesis of 1-(4-(5-(2,4-bis(trifluoromethyl)benzyl)-2-(2,6-diethylphenyl)-6,6-dimethyl-2,4,5,6-tetrahydropyrrolo[ 3,4-c]pyrazol-3-yl)-2,5-difluorophenyl)-3-(pyrrolidin-1-ylmethyl)urea

Step a: To a stirred solution of 2-hydroxyacetic acid (5.0 g, 65.7 mmol) in dichloromethane (100 mL) at 0°C was added imidazole (11.7 g, 164.3 mmol) and TBSCl (19.7 g, 131.4 mmol). The reaction mixture was stirred for 16 hours at room temperature. The reaction mixture was quenched by dropwise addition of saturated aqueous NaHCO ₃ and extracted with dichloromethane. The organic layer was washed with saturated sodium chloride solution, dried over Na ₂ SO ₄ , filtered and evaporated. The resulting crude product was directly used in the next step without further purification.

To a solution of 2-t-butyldimethylsilyloxyacetic acid (10.0 g, 32.6 mmol) in 50 ml dichloromethane at 0° C. was added oxalyl chloride (8.23 g, 65.3 mmol). The reaction mixture was stirred for 3 hours at room temperature. After completion of the reaction, the solvent was removed under reduced pressure and the residue was dried in vacuo. The resulting crude product was directly used in the next step.

To a stirred solution of 2-tert-butyldimethylsilyloxyacetyl chloride (5.0 g, 15.4 mmol) in 1:1 acetone:H ₂ O (30 ml) was added NaN ₃ (2.5 g, 38.5 mmol) at room temperature and stirred for 2 hours. After completion of the reaction, the solvent was removed under reduced pressure, and the mixture was extracted with ethyl acetate. The combined organic layers were dried over sodium sulfate, filtered and evaporated in vacuo to give 2-tert-butyldimethylsilyloxyacetyl azide. The resulting azide (3.2 g, 1.63 mmol) was dissolved in 20 ml of chloroform at room temperature, and the mixture was heated at 80° C. for 2 hours. The solvent was removed in vacuo and used directly in the next step.

tert-Butyl(isocyanatomethoxy)dimethylsilane (0.56 g) was dissolved in THF (5 ml) and added to a solution of 4-(5-(2,4-bis(trifluoromethyl)benzyl)-2-(2,6-diethylphenyl) -6,6-dimethyl-2,4,5,6-tetrahydropyrrolo[3,4-c]pyrazol-3-yl)-2,5-difluoroaniline (1.25 g, 2.0 mmol) in THF (10 ml). The mixture was stirred at room temperature for 5 hours, then evaporated in vacuo. The residue was purified by silica gel column chromatography (0-100% EtOAc in hexane with 1% Et ₃ N) to give 1-(4-(5-(2,4-bis(trifluoromethyl)benzyl)-2-(2, 6-diethylphenyl)-6,6-dimethyl-2,4,5,6-tetrahydropyrrolo[3,4-c]pyrazol-3-yl)-2,5-difluorophenyl)-3-(((tert-butyldimethylsilyl) hydroxy)methyl)urea. MS: (ES) m/z calculated for C ₄₀ H ₄₇ F ₈ N ₅ O ₂ Si [M+H] ⁺ 810.3, found 810.1.

Step b: To a solution of 1-(4-(5-(2,4-bis(trifluoromethyl)benzyl)-2-(2,6-diethylphenyl)-6,6-dimethyl-2,4,5,6-tetrahydropyrrolo [3,4-c]pyrazol-3-yl)-2,5-difluorophenyl)-3-(((tert-butyldimethylsilyl)oxy)methyl)urea (150 mg, 0.19 mmol) in dichloromethane (3 ml) TMSBr (84 mg, 0.55 mmol) was added dropwise at 0°C. The mixture was stirred at room temperature for 1 hour, evaporated in vacuo. The residue was dissolved in dichloromethane (4.0 ml) and pyrrolidine (65 mg, 0.92 mmol) was added. The mixture was stirred at room temperature for 4 hours, then evaporated in vacuo. The residue was purified by HPLC (MeCN/H ₂ O, with 0.1% TFA) to give 1-(4-(5-(2,4-bis(trifluoromethyl)benzyl)-2-(2,6-diethylphenyl)- 6,6-dimethyl-2,4,5,6-tetrahydropyrrolo[3,4-c]pyrazol-3-yl)-2,5-difluorophenyl)-3-(pyrrolidin-1-ylmethyl)urea. ¹ H NMR (400 MHz, CD ₃ OD) δ 8.19 (d, J=5.9, Hz, 1H), 8.00-8.10 (m, 3H), 7.42-7.48 ( m, 1H), 7.20-7.35 (m, 2H), 6.45 (dd, J=6.6, 11.7 Hz, 1H), 4.61 (s, 2H), 4.35 -4.55(m, 2H), 3.85-4.20(m, 2H), 3.45-3.55(m, 2H), 3.10-3.35(m, 3H), 2 .25(kv, J=7.4Hz, 4H), 1.90-2.18(m, 5H), 1.65(s, 6H), 1.06(t, J=7.8Hz, 6H). MS: (ES) m/z calculated for C ₃₈ H ₄₀ F ₈ N ₆ O [M+H] ⁺ 749.3, found 749.2.

Example 64 Synthesis of 1-(4-(5-(2,4-bis(trifluoromethyl)benzyl)-2-(2,6-diethylphenyl)-6,6-dimethyl-2,4,5,6-tetrahydropyrrolo[ 3,4-c]pyrazol-3-yl)-2,5-difluorophenyl)-3-(hydroxymethyl)urea

Step a: To a solution of 1-(4-(5-(2,4-bis(trifluoromethyl)benzyl)-2-(2,6-diethylphenyl)-6,6-dimethyl-2,4,5,6-tetrahydropyrrolo [3,4-c]pyrazol-3-yl)-2,5-difluorophenyl)-3-(((tert-butyldimethylsilyl)oxy)methyl)urea (200 mg, 0.24 mmol) in dichloromethane (1.4 ml) was added dropwise TMSBr (0.11 ml, 0.86 mmol). The mixture was stirred at room temperature for 1 hour, then evaporated in vacuo and purified by HPLC (MeCN/H ₂ O, with 0.1% TFA) to give 1-(4-(5-(2,4-bis(trifluoromethyl)benzyl )-2-(2,6-diethylphenyl)-6,6-dimethyl-2,4,5,6-tetrahydropyrrolo[3,4-c]pyrazol-3-yl)-2,5-difluorophenyl)-3- (hydroxymethyl)urea. ¹ H NMR (400 MHz, CD ₃ OD) δ 8.00-8.25 (m, 4H), 7.42-7.50 (m, 1H), 7.25-7.30 (m, 2H) , 6.36-6.45(m, 1H), 4.75(brs, 1H), 4.40-4.70(m, 5H), 2.25(kv, J=7.4Hz , 4H), 1.80-1.95 (m, 6H), 1.04 (t, J=3.5 Hz, 6H). MS: (ES) m/z calculated for C ₃₄ H ₃₃ F ₈ N ₅ O ₂ [M+H] ⁺ 696.3, found 696.3.

Example 65

This example illustrates the evaluation of the biological activity of particular variants of the compounds of the present invention.

Materials and methods

Cells

Cells expressing C5a receptors

U937 cells

U937 cells are a line of monocytic leukocytes that express C5aR and are available from the American Type Culture Collection (ATCC (VA)). These cells were grown in suspension in RPMI-1640 medium supplemented with 2 mM L-glutamine, 1.5 g/l sodium bicarbonate, 4.5 g/l glucose, 10 mM HEPES, 1 mM sodium pyruvate, and 10% PBS (fetal bovine serum). Cells were grown in 5% CO ₂ /95% air, 100% humidity at 37°C, subcultured twice a week at a ratio of 1:6 (cells were grown at a density ranging from 1×10 ⁵ to 2×10 ⁶ cells /ml) and collected at a concentration of 1×10 ⁶ cells/ml. Before analysis, cells were added overnight with 0.5 mM cyclic AMP (Sigma, OH) and washed once before use. cAMP-treated U937 cells were used in C5aR ligand binding assays and in functional assays.

Isolated human neutrophils

Optionally, human or rodent neutrophils can be used to test the activity of the compounds. Neutrophils can be isolated from fresh human blood by density separation and centrifugation techniques. Briefly, whole blood is incubated with equal parts of 3% dextran and allowed to separate for 45 minutes. After separation of the layers, the top layer is placed on top of 15 ml Ficoll (15 ml Ficoll for every 30 ml of blood suspension) and centrifuged for 30 minutes at 400 x g without stopping. The pellet at the bottom of the tube is removed and resuspended in PharmLyse RBC lysis buffer (BD Biosciences, San Jose, CA), after which the sample is centrifuged again for 10 minutes at 400 x g without stopping. The resulting pellet of cells is re-suspended as necessary, it consists of isolated neutrophils.

Tests

Suppression of ligand binding to C5aR

CAMP-treated U937 cells expressing C5aR were centrifuged and resuspended in assay buffer (20 mM HEPES pH 7.1, 140 mM NaCl, 1 mM CaCl ₂ , 5 mM MgCl ₂ , with 0.1% bovine serum albumin) in concentration 3×10 ⁶ cells/ml. The binding assay was performed as follows. 0.1 ml of cell suspension was added to assay plates containing 5 μl of compounds, resulting in a final concentration of ~2-10 μM of each screened compound (or part of the dose-response relationship in determining the IC ₅₀ value for this compound). Then 0.1 ml of ¹²⁵ I-labeled C5a (obtained from Perkin Elmer Life Sciences, Boston, MA) diluted in assay buffer to a final concentration of ~50 pM, giving ~30,000 cpm/well, was added and the plates were sealed. and incubated for approximately 3 hours at 4°C on a platform shaker. The reaction solutions were aspirated on GF/B glass filters soaked in 0.3% polyethyleneimine (PEI) solution into a vacuum cell collector (Packard Instruments; Meriden, CT). Scintillation fluid (40 μl; Microscint 20, Packard Instruments) was added to each well, the plates were sealed, and the radioactivity level was measured in a Topcount scintillation counter (Packard Instruments). Control wells containing either diluent alone (to assess overall pulse levels) or excess C5a (1 μg/mL, for non-specific binding) were used to calculate percent total inhibition for each compound. The computer program Prism from GraphPad, Inc. was used. (San Diego, Ca) to calculate IC ₅₀ values. The IC ₅₀ values are the concentrations required to reduce the binding of radiolabeled C5a to the receptor by 50%. (For more information on ligand binding and other functional assays, see Dairaghi, et al., J. Biol. Chem. 274:21569-21574 (1999), Penfold, et al., Proc. Natl. Acad. Sci USA 96:9839-9844 (1999) and Dairaghi, et al, J Biol Chem 272:28206-28209 (1997)).

Mobilization of calcium

Optionally, compounds can be tested for their ability to inhibit calcium flux in cells. To detect calcium release from intracellular stores, cells (eg, cAMP-stimulated U937 or neutrophils) are incubated with 3 μM INDO-1AM dye (Molecular Probes; Eugene, OR) in cell growth medium for 45 minutes at room temperature and washed with phosphate - saline buffer (PBS). After INDO-1AM loading, cells were resuspended in flow assay buffer (Hanks Balanced Salt Solution (HBSS) and 1% FBS). Calcium mobilization was measured using a Photon Technology International spectrophotometer (Photon Technology International; New Jersey) with an excitation wavelength of 350 nm and double simultaneous detection of emitted fluorescence at a wavelength of 400 nm and 490 nm. Relative concentrations of intracellular calcium are expressed as the emission ratio of 400nm/490nm. Experiments are carried out at 37° C. with continuous agitation in cuvettes each containing 10 ⁶ cells in 2 ml of flow analysis buffer. Chemokine ligands can be used in the concentration range from 1 to 100 nM. The emission ratio is plotted on a chart against time (usually 2-3 minutes). Candidate compounds blocking ligand binding (up to 10 μM) are added at time 10 seconds, followed by addition of chemokines at time 60 seconds (C5a; R&D Systems; Minneapolis, MN) and control chemokine (SDF-1α; R&D Systems; Minneapolis , MN) at time 150 seconds.

Chemotaxis analysis

Optionally, compounds can be tested for their ability to inhibit chemotaxis in cells. Chemotaxis assays are performed with polyvinylpyrrolidone-coated polycarbonate filters with a pore size of 5 μm in 96-well chemotaxis assay chambers (Neuroprobe; Gaithersburg, MD) using a chemotaxis assay buffer (Hanks Balanced Salt Solution (HBSS) and 1% FBS) . C5aR ligands (C5a, R&D Systems; Minneapolis, MN) were used to evaluate compound inhibition of C5aR mediated migration. Other chemokines (SDF-1α; R&D Systems; Minneapolis, MN) are used to control specificity. 29 μl of chemokine (0.03 nM C5a) and various amounts of the compound are placed in the lower chamber; the upper chamber contains 100,000 U937 cells or 20 µl of neutrophils. The chambers are incubated for 1.5 hours at 37°C and the number of cells in the lower chamber is quantified, either by direct cell count in five high magnification fields of view, or by CyQuant (Molecular Probes), a fluorescent staining method that determines the content of nucleic acid and gives a microscopic picture.

Identification of C5aR inhibitors

Analysis

To test for small organic molecules that interfere with C5a receptor binding to ligand, an assay that detects a radioactive ligand (eg, C5a) bound to cells expressing C5aR on the surface (eg, cAMP-stimulated U937 cells or isolated human neutrophils) was used. For compounds that inhibit binding, competitively or non-competitively, lower radioactivity values are observed compared to uninhibited controls.

Equal numbers of cells were added to each well in the plate. The cells were then incubated with radiolabeled C5a. Unbound ligand was removed by washing the cells, and bound ligand was determined by quantitative counting of the number of pulses. Cells that were incubated without adding any organic compound gave the total number of pulses (ppm total); non-specific binding was determined by incubating cells with unlabeled ligand and labeled ligand. The percentage of inhibition was determined by the equation:

% inhibition = (1 - [(imp/min in sample) - (non-specific imp/min)]/[(imp/min total) - (non-specific imp/min)]) × 100.

Dose-response curves

To determine the affinity of candidate compounds for C5aR, as well as confirm their ability to inhibit ligand binding, their inhibitory activity was determined in the concentration range from 1×10 ^-10 to 1×10 ^-4 M. In this study, the amount of the compound was varied; the number of white blood cells and the concentration of the ligand remained constant.

In vivo efficacy model

Test compounds were evaluated for their potential efficacy in the treatment of C5a-mediated conditions by determining the efficacy of the compound in an animal model. In addition to the models described below, other suitable animal models for testing these compounds can be found in Mizuno, M. et al., Expert Opin. Investig. Drugs (2005), 14(7), 807-821, which is hereby incorporated by reference in its entirety.

Models of C5a-induced leukopenia

C5a-induced leukopenia in a knock-in mouse model with the human C5aR gene

To test the efficacy of the compounds of the present invention in an animal model, recombinant mice were generated by standard procedures in which the genetic sequence encoding mouse C5aR was changed to that encoding human C5aR, resulting in hC5aR-KI mice. In these mice, administration of hC5a leads to increased production of adhesion molecules on the walls of blood vessels that bind white blood cells, removing them from the bloodstream. Animals were injected with 20 μg/kg hC5a, and after 1 minute the number of leukocytes in the peripheral blood was determined according to standard methods. Preliminary administration to mice of various dosages of the compounds of the present invention can almost completely block hC5a-induced leukopenia.

C5a-induced leukopenia in a cynomolgus monkey (Cynomolgus) model

To investigate the efficacy of the compounds of the present invention in a non-human simian model, C5a-induced leukopenia was investigated in a cynomolgus (cynomolgus) model. In this model, administration of hC5a leads to increased production of adhesion molecules on the walls of blood vessels that bind white blood cells, removing them from the bloodstream. Animals were injected with 10 μg/kg hC5a and after 1 minute the number of leukocytes in the peripheral blood was determined.

Mouse model of ANCA-induced vasculitis

On Day 0, hC5aR-KI mice were intravenously injected with 50 mg/kg of purified anti-myeloperoxidase antibodies (Xiao et al, J. Clin. Invest. 110: 955-963 (2002)). The mice were then given oral doses of the compounds of the present invention or placebo once a day for seven days, then the mice were sacrificed and the kidneys were taken for histological examination. Analysis of sections of the kidneys shows a significant reduction in the number and severity of crescentic and necrotic lesions in the glomeruli, compared with animals that were injected with placebo.

Mouse model of choroidal neovascularization

To investigate the efficacy of the compounds of the present invention in the treatment of age-related macular degeneration (AMD), Bruch's membrane in the eyes of hC5aR-KI mice was ruptured by laser photocoagulation (Nozika et al, PNAS 103: 2328-2333 (2006). Mice were administered orally or a placebo or a compound of the present invention was injected into the vitreous at appropriate dosages for 1 to 2 weeks.Healing of laser-induced lesions and neovascularization were determined by histology and angiography.

Models of rheumatoid arthritis

Rabbit model of destructive joint inflammation

To investigate the effectiveness of the compounds of the present invention in inhibiting the inflammatory response in rabbits to intra-articular injection of LPS liposaccharide (a component of a bacterial membrane), a rabbit model of destructive joint inflammation was used. This study models the destructive joint inflammation seen in arthritis. Intra-articular injection of LPS elicits an acute inflammatory response characterized by the release of cytokines and chemokines, many of which are seen in rheumatoid arthritis joints. There is a sharp increase in the concentration of leukocytes in the synovial fluid and in the synovial membrane in response to the appearance of these chemotactic mediators. Selective chemokine receptor antagonists have shown efficacy in this model (see Podolin, et al., J. Immunol. 169(11):6435-6444 (2002)).

LPS study in rabbits was carried out according to the methods described in the above work by Podolin et al. Female New Zealand rabbits (weighing about 2 kilograms) were injected intra-articularly in one knee with LPS (10 ng) or together with placebo (phosphate-buffered saline with 1% DMSO) , or with the addition of a candidate compound (dosage 1 = 50 μM, or dosage 2 = 100 μM), in a total volume of 1.0 ml. 16 hours after LPS injection, the knees were washed and cell counts were performed. The positive effect of the administration of the compounds was confirmed by histopathological examination of synovial inflammation. Histopathological examination used a scoring system for assessing inflammation: 1 - minimal, 2 - weak, 3 - moderate, 4 - average.

Testing Compounds in a Rat Model of Collagen-Induced Arthritis

A 17-day collagen-induced type II arthritis study was conducted to evaluate the effect of a candidate compound on arthritis-induced clinical ankle swelling. Collagen-induced arthritis in rats is an experimental model of polyarthritis that is widely used in preclinical testing of numerous antirheumatic drugs (see Trentham et al., J. Exp. Med. 146(3):857-868 (1977), Bendele et al. , Toxicologic Pathol 27:134-142 (1999), Bendele et al, Arthritis Rheum 42:498-506 (1999)). The hallmarks of this model are reliable onset and progression of sustained, easily measurable, multi-articular inflammation, severe cartilage destruction coupled with pannus formation, mild to moderate bone resorption, and pericartilaginous bone proliferation.

Female Lewis rats (weighing approximately 0.2 kg) were euthanized with isoflurane and injected with incomplete Freund's adjuvant containing 2 mg/ml bovine type II collagen at the base of the tail and at two sites on the back on days 0 and 6 of this 17-day period. research. The candidate compound was administered daily by subcutaneous injection from day 0 to day 17 at an effective dosage. The ankle diameter was measured with a caliper, and the reduction in ankle swelling was taken as a measure of effectiveness.

Rat model of sepsis

To investigate the efficacy of the compounds of the present invention in inhibiting the generalized inflammatory response associated with sepsis-like diseases, a cecal ligation and puncture (CLP) sepsis rat model was used. The study of rats with CLP was performed as described in Fujimura N, et al. (American Journal of Respiratory Critical Care Medicine 2000; 161: 440-446). Briefly, Wistar albino rats of both sexes weighing 200-250 grams were fasted for 12 hours prior to the experiment. Animals were kept under normal conditions with alternating 12 hour periods of light and dark and were fed standard rat chow for up to 12 hours prior to the start of the experiment. Then the animals were divided into four groups; (i) two sham groups and (ii) two CLP groups. Each of these two groups (ie (i) and (ii)) was divided into a control group (placebo administered) and a test compound group. Sepsis was called by the CLP method. Under short anesthesia, a midline laparotomy was performed with minimal incision, and the caecum was ligated just below the ileocecal valve with 3-0 silk suture so as to maintain intestinal continuity. The antimesenteric surface of the caecum was perforated with a 18-gauge needle in two places at a distance of 1 cm from each other, and the caecum was gently squeezed until the fecal mass was squeezed out. Then the intestine was returned to the abdominal cavity and the incision was sutured. At the end of the operation, all rats were resuscitated with saline, 3 ml/100 grams of body weight, subcutaneously. After the operation, the rats were not given food, but they had unlimited access to water for 16 hours, after which the rats were slaughtered. The sham groups underwent laparotomy and caecal manipulation, but no ligation or perforation. The positive effect of the administration of test compounds was determined by histopathological scoring of tissues and organs, as well as measurements of several key indicators of liver, kidney and lipid peroxidation. Aspartate transaminase (AST) and alanine transaminase (ALT) levels were measured to assess liver function. To assess the work of the kidneys, the concentrations of urea nitrogen and creatinine in the blood were studied. The blood levels of pro-inflammatory cytokines, such as TNF-alpha and IL-1beta, were also analyzed by ELISA.

Mouse SLE model of experimental lupus nephritis.

An MRL/lpr mouse SLE model was used to study the effect of the compounds of the present invention on systemic lupus erythematosus (SLE). The MRL/Mp-Tmfrsf6 ^lpr/lpr (MRL/lpr) line is a widely used model of human SLE. To test the efficacy of the compounds in this model, male MRL/lpr mice are evenly divided between control and C5aR antagonist groups at 13 weeks of age. Compound or placebo is then administered via osmotic pumps for the next 6 weeks to minimize stress effects in animals. Blood and urine samples are taken every 2 weeks during the 6 weeks of disease onset and progression. A minority of these mice develop glomerulosclerosis, leading to death of the animal due to kidney failure. Mortality as an indicator of kidney failure is one of the criteria measured, and successful treatment usually results in a reduction in the number of sudden deaths in test groups. In addition, the presence and severity of kidney damage can also be continuously monitored by measurements of blood urea nitrogen and urine protein. Tissues and organs were also harvested at 19 weeks of age, histopathological and immunohistochemical examinations were performed, and tissue damage and cell infiltration were scored on a scale.

Rat model of COPD

Smoke-induced inflammation of the airways in a rat model can be used to evaluate the efficacy of compounds in chronic obstructive pulmonary disease (COPD). Selective chemokine antagonists have shown efficacy in this model (see Stevenson, et al., Am. J. Physiol Lung Cell Mol Physiol. 288 L514-L522, (2005)). A rat model of acute COPD was created as described by Stevenson et al. The test compound was administered either systemically orally or intravenously, or applied topically via a nebulizer. Male Sprague-Dawley rats (350-400 g) were placed in Perspex chambers and exposed to cigarette smoke via a pump (50 ml every 30 seconds, with fresh air pauses). The total exposure time in rats was 32 minutes. Rats were sacrificed 7 days after initial exposure. The positive effect of the administration of the compounds was assessed by a decrease in the infiltration of inflammatory cells, a decrease in the levels of chemokines and cytokines.

In the chronic model, mice or rats were exposed to daily tobacco smoke for up to 12 months. The compound was administered systemically once a day orally or topically via a nebulizer. In addition to the inflammation seen in the acute model (according to Stevensen et al.), other pathologies similar to those observed in humans with COPD, such as emphysema (indicated by midlinear intercept) and changes in lung chemistry, can also be observed in animals (see Martorana). et al, Am J Respir Crit Care Med 172(7): 848-53.

Mouse EAE model of multiple sclerosis

Experimental autoimmune encephalomyelitis (EAE) is a model of human multiple sclerosis. Variations of this model have been published and are well known in the art. In a typical procedure, C57BL/6 mice (Charles River Laboratories) are used to create an EAE model. Mice are immunized with 200 µg of myelin oligodendrocyte glycoprotein (MOG) 35-55 (Peptide International) emulsified in Freund's complete adjuvant (CFA) containing 4 mg/ml Mycobacterium tuberculosis (Sigma-Aldrich) subcutaneously on day 0. In addition, at day 0 and day 2 animals are injected with 200 ng of pertussis toxin (Calbiochem) intravenously. Clinical symptoms are assessed on a scale from 0 to 5 points: 0, no signs of disease; 1, flaccid tail; 2, hind limb weakness; 3, hind limb paralysis; 4, weakness or paralysis of the forelimbs; 5, a dying animal. The administration of the test compound begins on day 0 (prophylactic) or day 7 (therapeutic, when there is histological evidence of the presence of the disease, but clinical symptoms are observed in a small number of animals), and is administered once or more times a day at concentrations suitable for assessing their activity and pharmacokinetic parameters, eg 100 mg/kg subcutaneously. The efficacy of the compounds can be assessed by comparing the severity (maximum mean score in the presence of the compound versus placebo) or by measuring the reduction in the number of macrophages (F4/80 positive) shed from the spinal cord. Spinal cord mononuclear cells can be isolated with a discontinuous Percoll gradient. Cells can be stained with rat anti-mouse F4/80-PE or rat IgG2b-PE (Caltag Laboratories) and quantified by FACS analysis using 10 µl of Polybeads per sample (Polysciences).

Mouse model of kidney transplantation

Transplantation models can be created in mice, for example, the allogeneic kidney transplant model from C57BL/6 to BALB/c mice is described in Faikah Gueler et al, JASN Express, Aug 27th, 2008. Briefly, mice are anesthetized and the left kidney attached to the to the cuff of the aorta and the renal vein with a small hollow cuff, with the ureters. After removal of the left kidney from the recipient, the cuffs of the vessels are connected by anastomosis to the recipient's abdominal aorta and vena cava, respectively, below the level of native renal vessels. The ureter is directly connected by an anastomosis to the bladder. The critical graft storage time in the cold is 60 minutes, and the critical graft storage time in heat is 30 minutes. The right native kidney can be removed at the time of allograft transplantation or on day 4 post-transplantation for long-term survival studies. Monitor the general physical condition of the mice as an indicator of rejection. The administration of the test compound to the animals can be started before surgery or immediately after transplantation, for example by subcutaneous injection once a day. Monitor kidney and animal function and survival. Plasma creatinine levels are monitored by an automated method (Beckman Analyzer, Krefeld, Germany).

Mouse model of ischemia/reperfusion

A mouse model of ischemia-reperfusion injury can be created as described by Xiufen Zheng et al, Am. J. Pathol, Vol 173:4, Oct, 2008. Briefly, 6-8 week old CD1 mice are anesthetized and placed on a warm mat to maintain temperature during surgery. After the abdominal wall is cut, the renal pedicles are excised and a microvascular clip is placed on the left renal pedicle for 25-30 minutes. After ischemia, the clips are removed along with the right kidney, the incision is sutured, and the animal is left to recover. They take blood for the analysis of the concentration of creatinine and urea nitrogen as indicators of kidney health. Alternatively, animal survival is monitored over time. The compound can be administered to animals before and/or after surgery; and the effect on creatinine and urea nitrogen concentrations, as well as on animal survival, is used as an indicator of compound efficacy.

Mouse model of tumor growth

C57BL/6 mice aged 6-16 weeks are injected subcutaneously with 1×10 ⁵ TC-1 cells (ATCC, VA) in the left or right flank. 2 weeks after the injection of cells begin to measure the size of the tumor with a caliper every 2-4 days until the tumor reaches a size that requires the slaughter of the animal. At slaughter, the animals are opened and the spleen and tumors are taken. The excised tumors are measured and weighed. Compounds can be administered before and/or after injection of tumor cells; and inhibition or inhibition of tumor growth is used to evaluate the effectiveness of the compound.

Intermediates 1-4 are potent C5aR antagonists with IC ₅₀ values ≤ 5nM in the chemotaxis assay using U937 cells described in Example 65. Characteristic data for Examples 1-64 are shown in Table 1 (below).

Table 1. Structure and characteristic data for particular embodiments Example Structure MS: (ES) m/z
[M+H] ⁺ _Rt (min) 1

783.2 2.37 (Method A) 2

748.2 2.67 (method A) 3

645.4 3.45 (Method A) 4

719.2 2.50 (Method A) 5

737.2 3.07 (Method A) 6

724.2 2.95 (Method A) 7

746.2 3.60 (Method A) 8

847.2 3.11 (Method A) 9

914.1 2.68 (Method A) 10

840.0 2.73 (Method A) eleven

813.2 2.76 (Method A) 12

853.0 2.85 (Method A) 13

964.0 2.89 (Method A) 14

941.0 2.68 (Method A) 15

797.1 2.92 (Method A) 16

784.2 3.18 (Method A) 17

893.1 2.83 (Method A) 18

877.1 2.77 (Method A) 19

859.2 2.86 (Method A) 21

841.2 3.86 (Method B) 21

843.2 2.95 (Method A) 22

917.1 3.67 (Method B) 23

905.3 4.71 (Method C) 24

853.0 3.51 (Method B) 25

696.2 3.67 (Method B) 26

738.2 3.34 (Method B) 27

760.1 3.54 (Method B) 28

802.2 3.55 (Method B) 29

864.2 3.84 (Method B) thirty

788.2 4.96 (Method C) 31

811.2 5.36 (Method A) 32

595.5 4.88 (Method C) 33

622.2 2.51 (Method A) 34

664.2 2.68 (Method A) 35

679.2 2.27 (Method A) 36

693.3 2.09 (Method A) 37

650.3 2.60 (Method A) 38

701.9 2.10 (Method A) 39

680.1 2.55 (Method A) 40

721.2 2.62 (Method A) 41

678.3 2.64 (Method A) 42

636.2 2.50 (Method A) 43

712.2 2.80 (Method A) 44

694.2 2.43 (Method A) 45

736.2 2.87 (Method A) 46

694.2 2.45 (Method A) 47

721.2 2.56 (Method A) 48

707.2 2.50 (Method A) 49

677.7 3.25 (Method A) 50

645.6 2.60 (Method A) 51

675.7 2.39 (Method A) 52

741.2 2.95 (Method A) 53

785.1 3.83 (Method A) 54

677.2 2.40 (Method A) 55

721.2 2.35 (Method A) 56

859.2 4.05 (Method A) 57

795.2 2.82 (Method A) 58

913.3 3.06 (Method A) 59

849.2 3.16 (Method A) 60

896.2 2.56 (Method A) 61

986.3 2.93 (Method A) 62

751.2 3.05 (Method A) 63

749.2 4.65 (Method A) 64

696.3 4.69 (Method A)

Reverse phase HPLC conditions used in determining the retention time in Table 1:

Column: ZORBAX (SB-C18 2.1 x 50 mm, 5 µm)

Mobile phase A: 95% H ₂ O, 5% MeCN (with 0.1% formic acid)

Mobile phase B: 5% H ₂ O, 95% MeCN (with 0.1% formic acid)

Flow rate: 1.0 ml/min

Gradient: 20-100% B in 5.5 min (Method A)

0-100% B in 4.5 min (Method B)

0-100% B in 5.5 min (Method C)

Intravenous administration to rats

Male rats weighing 0.22 to 0.25 kg were purchased from Charles River Laboratories (Hollister, Calif.) and acclimated prior to experiments. All compounds were prepared in the form of solutions and administered to animals intravenously. Compounds from Example 1 and Example 4 were prepared in 31.6% DMA/36.8% EtOH/31.6% PG and each animal was administered 1 ml/kg. Blood samples (0.2 ml) were taken via the jugular vein or during cardiac puncture (only at the terminal point) before dosing, at 2, 5, 10, 15 and 30 minutes, 1, 2, 4, 6 and 8 hours after intravenous administration. Blood samples were taken into chilled polypropylene tubes containing EDTA potassium salt as an anticoagulant and plasma was separated by centrifugation (Eppendorf Centrifuge 5417R) at 10,000 rpm and 4°C for 6 minutes, then stored at -20°C until analysis.

Plasma samples (50 µl) were extracted with 200 µl of acetonitrile containing an internal standard on a linear shaker for 10 minutes and then centrifuged at 4450 rpm for 10 minutes at 4°C (Allegra X-15R centrifuge, Beckman Coulter, Inc. , Fullerton, Calif.). One hundred microliters of the obtained supernatant solution was transferred to a new plate and mixed with 100 μl of 0.1% formic acid in water for LC-MS/MS analysis. Significant amounts of the active compounds were found to be released after intravenous injections in male rats for both compounds, as shown in FIG. 1 and 2.

Although particular embodiments of the present invention are described herein, variations of the disclosed embodiments may become apparent to a person skilled in the art upon reading the description, and those skilled in the art may, if necessary, make such variations. Accordingly, the present invention may be practiced in ways other than those specifically disclosed in this application, and the present invention includes all modifications and equivalents to the invention described in the appended claims, in accordance with applicable law. In addition, any combination of the elements described above in all their possible variations are included in the scope of the present invention, unless otherwise specified or clearly follows from the context.

All publications, patent applications, account numbers, and other references cited in this text are incorporated herein by reference, as if each individual publication or patent application were separately and specifically indicated as incorporated by reference in the text.

Claims (52)

1. A compound having any of the formulas (IB), (IC), (IIA) or (IIB):

or a pharmaceutically acceptable salt thereof, wherein cycle member a is C(R ^2c ), cycle member b is C(R ^2d ) and cycle member e is C(R ^2e ); X ¹ is selected from the group consisting of bond and C _1-8 alkylene; R ¹ is selected from the group consisting of the following: a) 6-membered heteroaryl containing as ring(s) vertices 1-4 heteroatoms selected from N, O and S; b) C _6-10 aryl; where the group -X ¹ -R ¹ is unsubstituted or substituted with 1-5 substituents R ^x ; R ^2a and R ^2e are each independently C _1-6 alkyl; R ^2b , R ^2c and R ^2d each independently represents a hydrogen atom; each R ³ is C _1-4 alkyl; R ⁴ is -NHC(O)NHP ¹ ; each R ⁵ is halogen; R^5'represents a hydrogen atom; R ⁶ is selected from the group consisting of C _1-6 alkoxy and halo; R ⁷ is P ¹ ; And R ⁸ is -CH ₂ OP ¹ ; each P ¹ is a prodrug component; each R ^x is independently selected from the group consisting of halo, CN, C _1-4 alkyl, C _1-4 alkoxy, C _1-4 haloalkyl, C _1-4 haloalkoxy, C _1-4 hydroxyalkyl, C _2-4 alkenyl, C _3-6 cycloalkyl, CO ₂ -C _1-4 alkyl and CONH ₂ ; subscript m is 0, 1, 2, 3, or 4; And subscript n is 0, 1, 2, or 3; where (i) P ¹ is selected from the group consisting of:

where each R ⁹ is independently selected from the group consisting of H and C _1-3 alkyl; And each R ¹⁰ is independently selected from the group consisting of H, C _1-3 alkyl, phenyl and benzyl; or (ii) where P ¹ is selected from the group consisting of:

where each R ^y is independently selected from the group consisting of -OP(O)(OR ^y1 ) ₂ , -OC(O)CH ₂ N(R ^y2 ) ₂ , -N(R ^y2 ) ₂ and piperazine; each R ^y1 is independently selected from the group consisting of H, C _1-3 alkyl and benzyl; each R ^y2 is independently H or C _1-3 alkyl; And each phenyl ring containing R ^y or -CH ₂ R ^y is further substituted with 0-3 substituents independently selected from the group consisting of nitro, halogen, CF ₃ and C _1-4 alkyl; or (iii) where P ¹ is selected from the group consisting of -CH ₂ OH, -P(O)(OR ¹⁰ ) ₂ and -CH ₂ -OP(O)(OR ¹⁰ ) ₂ where each R ¹⁰ is independently selected from the group , consisting of H, C _1-3 alkyl, phenyl and benzyl; or (iv) where P ¹ is selected from the group consisting of amino acid, dipeptide and tripeptide, where said amino acid, dipeptide or tripeptide fragments are independently selected from the group consisting of glycine, alanine, valine, leucine, isoleucine, lysine, cysteine, aspartate, glutamate , histidine and phenylalanine, where the N-atom of each amino acid fragment can be methylated or acylated; or (v) where P ¹ is selected from the group consisting of:

2. The compound according to p. 1 or its pharmaceutically acceptable salt, where R ¹ represents a 6-membered heteroaryl containing as tops of the ring(s) 1-4 heteroatoms selected from N, O and S; and where the group -X ¹ -R ¹ is optionally substituted with 1-4 substituents R ^x . 3. The compound according to claim 2 or its pharmaceutically acceptable salt, where R ¹ is selected from the group consisting of pyridyl, pyrimidinyl and pyrazinyl; and where the group -X ¹ -R ¹ is optionally substituted with 1-4 substituents R ^x . 4. The connection according to any one of paragraphs. 1 - 3 or its pharmaceutically acceptable salt, where R ¹ represents C _6-10 aryl; and where the group -X ¹ -R ¹ is optionally substituted with 1-4 substituents R ^x . 5. The compound according to claim 4 or its pharmaceutically acceptable salt, where R ¹ represents phenyl; and where the group -X ¹ -R ¹ is optionally substituted with 1-4 substituents R ^x . 6. The connection according to any one of paragraphs. 1-4 or its pharmaceutically acceptable salt, where R ¹ is selected from the group consisting of phenyl, pyridyl, pyrimidinyl and pyrazinyl; and where the group -X ¹ -R ¹ is optionally substituted with 1-4 substituents R ^x . 7. Connection according to any one of paragraphs. 1-6 or a pharmaceutically acceptable salt thereof, wherein n is 0, 1 or 2 and each R ⁵ , if present, is selected from the group consisting of F and Cl. 8. The compound according to p. 1 or its pharmaceutically acceptable salt, where R ¹ is selected from the group consisting of phenyl or pyridyl, where the group -X ¹ -R ¹ is optionally substituted with 1-4 substituents R ^x ; m is 0, 1, or 2 and each R ³ , if present, is CH _{3 ;} n is 0, 1 or 2 and each R ⁵ , if present, is selected from the group consisting of F and Cl. 9. The compound according to claim 1 or a pharmaceutically acceptable salt thereof, where -X ¹ -R ¹ is selected from the group consisting of:

10. The compound according to claim 1 or a pharmaceutically acceptable salt thereof, where R ¹ is selected from the group consisting of:

11. The connection according to any one of paragraphs. 1-10 or a pharmaceutically acceptable salt thereof, where

selected from the group consisting of

12. Connection according to any one of paragraphs. 1-11 or a pharmaceutically acceptable salt thereof, where n is 0. 13. Pharmaceutical composition having inhibitory activity against C5aR, containing an effective amount of the compound according to any one of paragraphs. 1-12 or a pharmaceutically acceptable salt thereof and a pharmaceutically acceptable carrier. 14. A method of treating a human suffering from a disease or disorder, or susceptible to a disease or disorder involving abnormal activation of C5a receptors, comprising administering to a mammal a therapeutically effective amount of a compound according to any one of paragraphs. 1-11 or a pharmaceutically acceptable salt thereof or a pharmaceutical composition according to claim 13, wherein the disease or disorder is selected from the group consisting of Wegener's granulomatosis, microscopic polyangiitis, C3 glomerulopathy, C3 glomerulonephritis, dense sediment disease, atypical hemolytic uremic syndrome ( aHUS), ANCA vasculitis, hidradenitis suppurativa, systemic lupus erythematosus, lupus nephritis, lupus glomerulonephritis.

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