Classifications

• • C—CHEMISTRY; METALLURGY
  • C12—BIOCHEMISTRY; BEER; SPIRITS; WINE; VINEGAR; MICROBIOLOGY; ENZYMOLOGY; MUTATION OR GENETIC ENGINEERING
  • C12N—MICROORGANISMS OR ENZYMES; COMPOSITIONS THEREOF; PROPAGATING, PRESERVING, OR MAINTAINING MICROORGANISMS; MUTATION OR GENETIC ENGINEERING; CULTURE MEDIA
  • C12N5/00—Undifferentiated human, animal or plant cells, e.g. cell lines; Tissues; Cultivation or maintenance thereof; Culture media therefor
  • C12N5/06—Animal cells or tissues; Human cells or tissues
  • C12N5/0602—Vertebrate cells
  • C12N5/0634—Cells from the blood or the immune system
  • C12N5/0641—Erythrocytes
• • A—HUMAN NECESSITIES
  • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
  • A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
  • A61K31/00—Medicinal preparations containing organic active ingredients
  • A61K31/33—Heterocyclic compounds
  • A61K31/395—Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins
  • A61K31/495—Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins having six-membered rings with two or more nitrogen atoms as the only ring heteroatoms, e.g. piperazine or tetrazines
  • A61K31/4965—Non-condensed pyrazines
• • A—HUMAN NECESSITIES
  • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
  • A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
  • A61K31/00—Medicinal preparations containing organic active ingredients
  • A61K31/33—Heterocyclic compounds
  • A61K31/395—Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins
  • A61K31/495—Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins having six-membered rings with two or more nitrogen atoms as the only ring heteroatoms, e.g. piperazine or tetrazines
  • A61K31/4965—Non-condensed pyrazines
  • A61K31/497—Non-condensed pyrazines containing further heterocyclic rings
• • A—HUMAN NECESSITIES
  • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
  • A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
  • A61P43/00—Drugs for specific purposes, not provided for in groups A61P1/00-A61P41/00
• • A—HUMAN NECESSITIES
  • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
  • A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
  • A61P7/00—Drugs for disorders of the blood or the extracellular fluid
• • A—HUMAN NECESSITIES
  • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
  • A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
  • A61P7/00—Drugs for disorders of the blood or the extracellular fluid
  • A61P7/06—Antianaemics
• • C—CHEMISTRY; METALLURGY
  • C07—ORGANIC CHEMISTRY
  • C07D—HETEROCYCLIC COMPOUNDS
  • C07D215/00—Heterocyclic compounds containing quinoline or hydrogenated quinoline ring systems
  • C07D215/02—Heterocyclic compounds containing quinoline or hydrogenated quinoline ring systems having no bond between the ring nitrogen atom and a non-ring member or having only hydrogen atoms or carbon atoms directly attached to the ring nitrogen atom
  • C07D215/16—Heterocyclic compounds containing quinoline or hydrogenated quinoline ring systems having no bond between the ring nitrogen atom and a non-ring member or having only hydrogen atoms or carbon atoms directly attached to the ring nitrogen atom with hetero atoms or with carbon atoms having three bonds to hetero atoms with at the most one bond to halogen, e.g. ester or nitrile radicals, directly attached to ring carbon atoms
  • C07D215/36—Sulfur atoms
• • C—CHEMISTRY; METALLURGY
  • C07—ORGANIC CHEMISTRY
  • C07D—HETEROCYCLIC COMPOUNDS
  • C07D401/00—Heterocyclic compounds containing two or more hetero rings, having nitrogen atoms as the only ring hetero atoms, at least one ring being a six-membered ring with only one nitrogen atom
  • C07D401/02—Heterocyclic compounds containing two or more hetero rings, having nitrogen atoms as the only ring hetero atoms, at least one ring being a six-membered ring with only one nitrogen atom containing two hetero rings
  • C07D401/12—Heterocyclic compounds containing two or more hetero rings, having nitrogen atoms as the only ring hetero atoms, at least one ring being a six-membered ring with only one nitrogen atom containing two hetero rings linked by a chain containing hetero atoms as chain links
• • C—CHEMISTRY; METALLURGY
  • C07—ORGANIC CHEMISTRY
  • C07D—HETEROCYCLIC COMPOUNDS
  • C07D405/00—Heterocyclic compounds containing both one or more hetero rings having oxygen atoms as the only ring hetero atoms, and one or more rings having nitrogen as the only ring hetero atom
  • C07D405/02—Heterocyclic compounds containing both one or more hetero rings having oxygen atoms as the only ring hetero atoms, and one or more rings having nitrogen as the only ring hetero atom containing two hetero rings
  • C07D405/12—Heterocyclic compounds containing both one or more hetero rings having oxygen atoms as the only ring hetero atoms, and one or more rings having nitrogen as the only ring hetero atom containing two hetero rings linked by a chain containing hetero atoms as chain links
• • C—CHEMISTRY; METALLURGY
  • C07—ORGANIC CHEMISTRY
  • C07D—HETEROCYCLIC COMPOUNDS
  • C07D413/00—Heterocyclic compounds containing two or more hetero rings, at least one ring having nitrogen and oxygen atoms as the only ring hetero atoms
  • C07D413/02—Heterocyclic compounds containing two or more hetero rings, at least one ring having nitrogen and oxygen atoms as the only ring hetero atoms containing two hetero rings
  • C07D413/12—Heterocyclic compounds containing two or more hetero rings, at least one ring having nitrogen and oxygen atoms as the only ring hetero atoms containing two hetero rings linked by a chain containing hetero atoms as chain links
• • C—CHEMISTRY; METALLURGY
  • C07—ORGANIC CHEMISTRY
  • C07D—HETEROCYCLIC COMPOUNDS
  • C07D417/00—Heterocyclic compounds containing two or more hetero rings, at least one ring having nitrogen and sulfur atoms as the only ring hetero atoms, not provided for by group C07D415/00
  • C07D417/02—Heterocyclic compounds containing two or more hetero rings, at least one ring having nitrogen and sulfur atoms as the only ring hetero atoms, not provided for by group C07D415/00 containing two hetero rings
  • C07D417/12—Heterocyclic compounds containing two or more hetero rings, at least one ring having nitrogen and sulfur atoms as the only ring hetero atoms, not provided for by group C07D415/00 containing two hetero rings linked by a chain containing hetero atoms as chain links
• • C—CHEMISTRY; METALLURGY
  • C07—ORGANIC CHEMISTRY
  • C07D—HETEROCYCLIC COMPOUNDS
  • C07D451/00—Heterocyclic compounds containing 8-azabicyclo [3.2.1] octane, 9-azabicyclo [3.3.1] nonane, or 3-oxa-9-azatricyclo [3.3.1.0<2,4>] nonane ring systems, e.g. tropane or granatane alkaloids, scopolamine; Cyclic acetals thereof
  • C07D451/02—Heterocyclic compounds containing 8-azabicyclo [3.2.1] octane, 9-azabicyclo [3.3.1] nonane, or 3-oxa-9-azatricyclo [3.3.1.0<2,4>] nonane ring systems, e.g. tropane or granatane alkaloids, scopolamine; Cyclic acetals thereof containing not further condensed 8-azabicyclo [3.2.1] octane or 3-oxa-9-azatricyclo [3.3.1.0<2,4>] nonane ring systems, e.g. tropane; Cyclic acetals thereof

Definitions

• PTD Pyruvate kinase deficiency
• Human erythrocytes are unique in that they anucleate when mature. Immature erythocytes have nuclei but during early erythropoiesis prior to becoming circulating
• red blood cells do not utilize any of the oxygen they transport to economically synthesize adenosine triphosphate (ATP) as other normal differentiated cells do. Instead, red blood cells depend entirely on anaerobic glycolysis to cycle nicotinamide adenine dinucleotide (NAD + ) and to make ATP, an essential energy source largely used to drive ATPase-dependent K + /Na + and Ca 2+ pumps, in order to maintain cell membrane integrity and pliability as they navigate through blood vessels.
• NAD + nicotinamide adenine dinucleotide
• PKD disorder two major distinctive metabolic abnormalities are ATP depletion and concomitant increase of 2,3-diphosphoglycerate consistent with accumulation of upper glycolytic intermediates.
• ATP depletion and concomitant increase of 2,3-diphosphoglycerate consistent with accumulation of upper glycolytic intermediates.
• lactate level leading to inability to regenerate NAD + through lactate dehydrogenase for further use in glycolysis.
• the lack of ATP disturbs the cation gradient across the red cell membrane, causing the loss of potassium and water, which causes cell dehydration, contraction, and crenation, and leads to premature destruction and diminished lifetime of the red blood cells (RBCs).
• RBCs red blood cells
• Pyruvate kinase catalyzes the transfer of a phosphoryl group from phosphoenolpyruvate (PEP) to ADP, yielding one molecule of pyruvate and one molecule of ATP.
• PEP phosphoenolpyruvate
• the enzyme has an absolute requirement for Mg 2+ and K + cations to drive catalysis.
• PK functions as the last critical step in glycolysis because it is an essentially irreversible reaction under physiological conditions.
• pyruvate kinase is also an important cellular metabolism regulator.
• pyruvate kinase is tightly controlled at both gene expression and enzymatic allostere levels. In mammals, fully activated pyruvate kinase exists as a tetrameric enzyme.
• isozymes Ml, M2, L and R
• Erythrocyte-specific isozyme PKR is expressed from the PKLR gene ("L gene") located on chromosome lq21.
• PKLR consists of 12 exons with exon 1 is erythroid- specific whereas exon 2 is liver- specific.
• the two other mammalian isozymes PKM1 and PKM2 are produced from the PKM gene ("M gene") by alternative splicing events controlled by hnRNP proteins.
• the PKM2 isozyme is expressed in fetal tissues and in adult proliferating cells such as cancer cells. Both PKR and PKM2 are in fact expressed in proerythroblasts. However, upon erythroid differentiation and maturation, PKM2 gradually is decreased in expression and progressively replaced by PKR in mature erythrocytes.
• hereditary PKR deficiency disorder manifests as non- spherocytic hemolytic anemia.
• the clinical severity of this disorder range from no observable symptoms in fully- compensated hemolysis to potentially fatal severe anemia requiring chronic transfusions and/or splenectomy at early development or during physiological stress or serious infections.
• Most of the most severe cases while extremely rare population- wise with estimated prevalence of 51 per million (Beutler, E. Blood 2000, 95 (11), 3585-8), there is no disease-modifying treatment available for these patients other than palliative care (Tavazzi, D. et al., Pediatr Ann 2008, 37 (5), 303-10).
• HNSHA hereditary non- spherocytic hemolytic anemia
• the present invention provides a method for increasing lifetime of the red blood cells (RBCs) in need thereof comprising contacting blood with an effective amount of (1) a compound disclosed herein or a pharmaceutically acceptable salt thereof; (2) a composition comprising a compound disclosed herein or a salt thereof and a carrier; or (3) a pharmaceutical composition comprising a compound disclosed herein or a pharmaceutically acceptable salt thereof, and a pharmaceutically acceptable carrier.
• RBCs red blood cells
• the present invention further provides a method for regulating 2,3-diphosphoglycerate levels in blood in need thereof comprising contacting blood with an effective amount of (1) a compound disclosed herein or a pharmaceutically acceptable salt thereof; (2) a composition comprising a compound disclosed herein or a salt thereof and a carrier; or (3) a pharmaceutical composition comprising a compound disclosed herein or a pharmaceutically acceptable salt thereof, and a pharmaceutically acceptable carrier.
• the present invention also provides a method for treating hereditary non-spherocytic hemolytic anemia comprising administering to a subject in need thereof a therapeutically effective amount of (1) a compound disclosed herein or a pharmaceutically acceptable salt thereof; (2) a pharmaceutical composition comprising a compound disclosed herein or a pharmaceutically acceptable salt thereof, and a pharmaceutically acceptable carrier.
• the present invention further provides a method for treating sickle cell anemia comprising administering to a subject in need thereof a therapeutically effective amount of (1) a compound disclosed herein or a pharmaceutically acceptable salt thereof; (2) a pharmaceutical composition comprising a compound disclosed herein or a pharmaceutically acceptable salt thereof, and a pharmaceutically acceptable carrier.
• the present invention further provides a method for treating hemolytic anemia (e.g., chronic hemolytic anemia caused by phosphoglycerate kinase deficiency, Blood Cells Mol Dis, 2011; 46(3):206) comprising administering to a subject in need thereof a therapeutically effective amount of (1) a compound disclosed herein or a pharmaceutically acceptable salt thereof; (2) a pharmaceutical composition comprising a compound disclosed herein or a pharmaceutically acceptable salt thereof, and a pharmaceutically acceptable carrier.
• hemolytic anemia e.g., chronic hemolytic anemia caused by phosphoglycerate kinase deficiency, Blood Cells Mol Dis, 2011; 46(3):206
• the present invention further provides a method for treating thalassemia (e.g., beta- thalassemia), hereditary spherocytosis, hereditary elliptocytosis, abetalipoproteinemia (or Bassen-Kornzweig syndrome), paroxysmal nocturnal hemoglobinuria, acquired hemolytic anemia (e.g., congenital anemias (e.g., enzymopathies)), or anemia of chronic diseases comprising administering to a subject in need thereof a therapeutically effective amount of (1) a compound disclosed herein or a pharmaceutically acceptable salt thereof; (2) a pharmaceutical composition comprising a compound disclosed herein or a pharmaceutically acceptable salt thereof, and a pharmaceutically acceptable carrier.
• thalassemia e.g., beta- thalassemia
• hereditary spherocytosis hereditary elliptocytosis
• abetalipoproteinemia or Bassen-Kornzweig syndrome
• the present invention further provides a method for treating diseases or conditions that are associated with increased 2,3-diphosphoglycerate levels (e.g., liver diseases (Am J
• Gastroenterol, 1987;82(12):1283) and Parkinson's comprising administering to a subject in need thereof a therapeutically effective amount of (1) a compound disclosed herein or a pharmaceutically acceptable salt thereof; (2) a pharmaceutical composition comprising a compound disclosed herein or a pharmaceutically acceptable salt thereof, and a pharmaceutically acceptable carrier.
• PKR mutants having lower activities compared to the wild type, thus are useful for methods of the present invention.
• Such mutations in PKR can affect enzyme activity (catalytic efficiency), regulatory properties (modulation by fructose bisphosphate (FBP)/ATP), and/or thermostability of the emzyme.
• mutants that are activated by the compounds described herein include G332S, G364D, T384M, G37E, R479H, R479K, R486W, R532W, R510Q, and R490W.
• compounds described herein affect the activities of PKR mutants by activating FBP non- responsive PKR mutants, restoring thermostability to mutants with decreased stability, or restoring catalytic efficiency to impaired mutants.
• the activating activity of the present compounds against PKR mutants may be tested following a method described in Example 1.
• Compounds described herein are also activators of wild type PKR.
• a compound, composition or pharmaceutical composition described herein is added directly to whole blood or packed cells extracorporeally or be provided to the subject (e.g., the patient) directly (e.g., by i.p., i.v., i.m., oral, inhalation (aerosolized delivery), transdermal, sublingual and other delivery routes).
• compounds described herein increase the lifetime of the RBCs, thus counteract aging of stored blood, by impacting the rate of release of 2,3-DPG from the blood.
• compositions described herein are useful as antisickling agents.
• a compound, composition or pharmaceutical composition described herein is added directly to whole blood or packed cells extracorporeally or be provided to the subject (e.g., the patient) directly (e.g., by i.p., i.v., i.m., oral, inhalation (aerosolized delivery), transdermal, sublingual and other delivery routes).
• PLR pyruvate kinase R
• wild type and/or mutant enzymes such as those described herein
• W, X, Y and Z are each independently selected from CH or N;
• Q and Q 1 are independently selected from a bond or NR b ;
• A is optionally substituted bicyclic aryl or optionally substituted bicyclic heteroaryl
• L is a bond, -C(O)-, -(CR c R c ) m -, -OC(O)-, -(CR c R c ) m -OC(0)-, -(CR c R c ) m -C(0)-, -NR b C(S)-, or -NR b C(0)- (wherein the point of the attachment to R 1 is on the left-hand side);
• R 1 is selected from alkyl, carbocycle, aryl, heteroaryl, and heterocyclyl; each of which is substituted with 0-5 occurrences of R d ;
• each R 3 is independently selected from halo, haloalkyl, alkyl, hydroxyl and -OR a , or two adjacent R taken together with the carbon atoms to which they are attached form an optionally substituted heterocyclyl;
• each R a is independently selected from alkyl, acyl, hydroxyalkyl and haloalkyl;
• each R b is independently selected from hydrogen and alkyl
• each R c is independently selected from hydrogen, halo, alkyl, alkoxy and halo alkoxy or two R c taken together with the carbon atoms to which they are attached form an optionally substituted carbocycle;
• each R d is independently selected from halo, haloalkyl, haloalkoxy, alkyl, alkynyl, nitro, cyano, hydroxyl, -C(0)R a , -OC(0)R a , -C(0)OR a , -SR a , -NR a R b and -OR a , or two R d taken together with the carbon atoms to which they are attached form an optionally substituted heterocyclyl; n is 0, 1, or 2;
• n 1, 2 or 3;
• h 0, 1, 2;
• g 0, 1 or 2;
• p 0, 1 or 2; and provided that the compound of formula (I) is not
• compositions comprising a compound of Formula I or a pharmaceutically acceptable salt thereof and a pharmaceutically acceptable carrier.
• halo or halogen refers to any radical of fluorine, chlorine, bromine or iodine.
• alkyl refers to a monovalent hydrocarbon chain that may be a straight chain or branched chain, containing the indicated number of carbon atoms.
• Q-C 12 alkyl indicates that the group may have from 1 to 12 (inclusive) carbon atoms in it.
• the term “alkyl” refers to a monovalent hydrocarbon chain that may be a straight chain or branched chain, containing 1 to 6 carbon atoms.
• the term “alkyl” refers to a monovalent hydrocarbon chain that may be a straight chain or branched chain, containing 1 to 4 carbon atoms.
• haloalkyl refers to an alkyl in which one or more hydrogen atoms are replaced by halo, and includes alkyl moieties in which all hydrogens have been replaced by halo (e.g., perfluoroalkyl).
• alkenyl refers to a monovalent straight or branched hydrocarbon chain containing 2-12 carbon atoms and having one or more double bonds.
• alkenyl groups include, but are not limited to, allyl, propenyl, 2-butenyl, 3-hexenyl and 3-octenyl groups.
• One of the double bond carbons may optionally be the point of attachment of the alkenyl substituent.
• alkenyl refers to a monovalent straight or branched hydrocarbon chain containing 2-6 carbon atoms and having one or more double bonds.
• alkenyl refers to a monovalent straight or branched hydrocarbon chain containing 2-4 carbon atoms and having one or more double bonds.
• alkynyl refers to a monovalent straight or branched hydrocarbon chain containing 2-12 carbon atoms and characterized in having one or more triple bonds. Examples of alkynyl groups include, but are not limited to, ethynyl, propargyl, and 3-hexynyl. One of the triple bond carbons may optionally be the point of attachment of the alkynyl substituent.
• alkylamino and “dialkylamino” refer to -NH(alkyl) and -NH(alkyl) 2 radicals respectively.
• aralkylamino refers to a -NH(aralkyl) radical.
• alkylaminoalkyl refers to a (alkyl)NH-alkyl- radical.
• dialkylaminoalkyl refers to a (alkyl) 2 N-alkyl- radical.
• mercapto refers to an -SH radical.
• thioalkoxy refers to an -S-alkyl radical.
• thioaryloxy refers to an -S-aryl radical.
• alkoxy refers to an -O-alkyl radical.
• aryl refers to a monocyclic, bicyclic, or tricyclic aromatic hydrocarbon ring system.
• aryl moieties include, but are not limited to, phenyl, naphthyl, and anthracenyl.
• arylalkyl or “aralkyl” refer to an alkyl moiety in which an alkyl hydrogen atom is replaced by an aryl group.
• Aralkyl includes groups in which more than one hydrogen atom has been replaced by an aryl group. Examples of “arylalkyl” or “aralkyl” include benzyl, 2-phenylethyl, 3-phenylpropyl, 9-fluorenyl, benzhydryl, and trityl groups.
• Carbocyclyl refers to a non-aromatic, monocyclic, bicyclic, or tricyclic hydrocarbon ring system.
• Carbocyclyl groups include fully saturated ring systems (e.g., cycloalkyls), and partially saturated ring systems.
• cycloalkyl as employed herein includes saturated cyclic, bicyclic, tricyclic, or polycyclic hydrocarbon groups having 3 to 12 carbons. Any ring atom can be substituted (e.g., by one or more substituents). Examples of cycloalkyl moieties include, but are not limited to, cyclopropyl, cyclohexyl, methylcyclohexyl, adamantyl, and norbornyl.
• heteroaryl refers to a fully aromatic 5-8 membered monocyclic, 8-12 membered bicyclic, or 11-14 membered tricyclic ring system having 1-3 heteroatoms if monocyclic, 1-6 heteroatoms if bicyclic, or 1-9 heteroatoms if tricyclic, said heteroatoms selected from O, N, or S (e.g., carbon atoms and 1-3, 1-6, or 1-9 heteroatoms selected independently from N, O, or S if monocyclic, bicyclic, or tricyclic, respectively).
• heterocyclyl refers to a nonaromatic, 3-10 membered monocyclic, 8-12 membered bicyclic, or 11-14 membered tricyclic ring system having 1-3 heteroatoms if monocyclic, 1-6 heteroatoms if bicyclic, or 1-9 heteroatoms if tricyclic, said heteroatoms selected from O, N, or S (e.g., carbon atoms and 1-3, 1-6, or 1-9 heteroatoms of N, O, or S if monocyclic, bicyclic, or tricyclic, respectively).
• the heteroatom may optionally be the point of attachment of the heterocyclyl substituent.
• heterocyclyl examples include, but are not limited to, tetrahydrofuranyl, tetrahydropyranyl, piperidinyl, morpholino, pyrrolinyl, pyrimidinyl, and pyrrolidinyl.
• Bicyclic and tricyclic ring systems containing one or more heteroatoms and both aromatic and non-aromatic rings are considered to be heterocyclyl groups according to the present definition.
• Such bicyclic or tricyclic ring systems may be alternately characterized as being an aryl or a heteroaryl fused to a carbocyclyl or heterocyclyl, particularly in those instances where the ring bound to the rest of the molecule is required to be aromatic.
• heteroarylalkyl and “heteroaralkyl”, as used herein, refers to an alkyl group substituted with a heteroaryl group.
• heterocyclylalkyl refers to an alkyl group substituted with a heterocyclyl group.
• acyl refers to an alkylcarbonyl, carbocyclecarbonyl, arylcarbonyl,
• heterocyclylcarbonyl or heteroarylcarbonyl substituent, any of which may be further substituted (e.g., by one or more substituents).
• All ring systems i.e, aryl, heteroaryl, carbocyclyl, cycloalkyl, heterocyclyl, etc.
• ring system portions of groups e.g., the aryl portion of an aralkyl group
• each R b is independently selected from hydrogen, -C 1 -C4 alkyl, carbocycle, carbocyclylalkyl, aryl, aralkyl, heteroaryl, heteroa
• any alkyl substituent is optionally further substituted with one or more of -OH, -0-(Ci-C 4 alkyl), halo, -NH 2 , -NH(C C 4 alkyl), or -N(C C 4 alkyl) 2 ; and
• any carbon atom on a phenyl, carbocycle (e.g., cycloalkyl), heteroaryl or heterocycle substituent is optionally further substituted with one or more of -(C 1 -C 4 alkyl), -(C 1 -C4 fluoroalkyl), -OH, -0-(Ci-C 4 alkyl), -0-(Ci-C 4 fluoroalkyl), halo, -NH 2 , -NH(Ci-C 4 alkyl), or -N(C C 4 alkyl) 2 .
• All heterocyclyl ring systems (and any heterocyclyl substituents on any ring system) are optionally substituted on one or more any substitutable nitrogen atom with -C 1 -C 4 alkyl, oxo, fluoro-substituted C 1 -C 4 alkyl, or acyl.
• substituted refers to the replacement of a hydrogen atom by another group.
• oxo refers to an oxygen atom, which forms a carbonyl when attached to carbon, an N-oxide when attached to nitrogen, and a sulfoxide or sulfone when attached to sulfur.
• activator means an agent that (measurably) increases the activity of wild type pyruvate kinase R (wtPKR) or causes wild type pyruvate kinase R (wt PKR) activity to increase to a level that is greater than wt PKR's basal levels of activity or an agent that (measurably) increases the activity of a mutant pyruvate kinase R (mPKR) or causes mutant pyruvate kinase R (mPKR) activity to increase to a level that is greater than that mutant PKR's basal levels of activity, for examples, to a level that is 20%, 40%, 50%, 60%, 70%, 80%, 90% or 100% of the activity of wild type PKR.
• Described herein are compounds and compositions that activate wild type PKR and/or mutant PKRs such as those described herein.
• a compound of formula (I) or a pharmaceutically acceptable salt thereof or a pharmaceutical composition comprising a compound of formula (I) or a pharmaceutically acceptable salt thereof:
• W, X, Y and Z are each independently selected from CH or N;
• Q and Q 1 are independently selected from a bond or NR b ;
• A is optionally substituted bicyclic aryl or optionally substituted bicyclic heteroaryl
• L is a bond, -C(O)-, -(CR c R c ) m -, -OC(O)-, -(CR c R c ) m -OC(0)-, -(CR c R c ) m -C(0)-, - NR b C(S)-, or -NR b C(0)- (wherein the point of the attachment to R 1 is on the left-hand side);
• R 1 is selected from alkyl, carbocycle, aryl, heteroaryl, and heterocyclyl; each of which is substituted with 0-5 occurrences of R d ;
• each R 3 is independently selected from halo, haloalkyl, alkyl, hydroxyl and -OR a , or two adjacent R taken together with the carbon atoms to which they are attached form an optionally substituted heterocyclyl;
• each R a is independently selected from alkyl, acyl, hydroxyalkyl and haloalkyl;
• each R b is independently selected from hydrogen and alkyl
• each R c is independently selected from hydrogen, halo, alkyl, alkoxy and halo alkoxy or two R c taken together with the carbon atoms to which they are attached form an optionally substituted cycloalkyl;
• each R d is independently selected from halo, haloalkyl, haloalkoxy, alkyl, alkynyl, nitro, cyano, hydroxyl, -C(0)R a , -OC(0)R a , -C(0)OR a , -SR a , -NR a R b and -OR a , or two R d taken together with the carbon atoms to which they are attached form an optionally substituted heterocyclyl;
• n 0, 1, or 2;
• n 1, 2 or 3;
• h 0, 1, 2;
• g is 0, 1 or 2; the sum of g + h is equal to or greater than 2; and
• p 0, 1 or 2; and provided that the compound of formula (I) is not
• p is 1 or 2. In one aspect of this embodiment, p is 2 and the compound has the formula la:
• p is 1 or 2; and each R 4 is independently selected from (S')-alkyl, (R)-alkyl, (S)- phenyl, and (R)-phenyl.
• g is 1, h is 1 ; p is 1 or 2; and each R 4 is independently selected from (S')-methyl, (R)-methyl, (S')-ethyl, (R)-ethyl, (S)- isopropyl, (R)-isopropyl, ( ⁇ -phenyl, and (R)-phenyl.
• p is 2 and the two R 4 taken together with the carbon atoms to which they are attached form a phenyl ring that is fused to the piperazine ring.
• n 1 or 2.
• A is an optionally substituted bicyclic heteroaryl.
• A is
• W, X, Y, Z and the carbons to which they are attached form a phenyl ring.
• W, X, Y, Z and the carbons to which they are attached form a pyridyl ring.
• W, X and Y are CH and Z is N.
• X, Y and Z are CH and W is N.
• W, X, Y, Z and the carbon atoms to which they are attached form a pyrimidyl ring.
• W, X, Y, Z and the carbon atoms to which they are attached form a pyridazinyl ring.
• the ring comprising W, X, Y and Z is unsubstituted (i.e., n is 0). In some embodiments, the ring comprising W, X, Y and Z is mono substituted (i.e., n is 1).
• R is selected from fluoro, chloro methyl, ethyl, CF 3 , methoxy, and OCF 3 .
• Q is NR b and Q 1 is a bond. In some aspects of these
• R b is methyl. In other aspects of these embodiments, R b is hydrogen (H).
• L is a bond
• L is -(CR c R c ) m - and m is 1. In some aspects of these
• each R c is hydrogen. In other aspects of these embodiments, one R c is methyl and the other R c is hydrogen. In some aspects of these embodiments, one R c is -CF 3 and one R c is hydrogen. In some aspects of these embodiments, both R c are methyl. In some aspects of these embodiments, two R c taken together with the carbon to which they are attached form a cyclopropyl, cyclobutyl, cyclopentyl or cyclohexyl.
• L is ethyl or n-propyl.
• L is -C(O)-.
• L is -O-C(O)-.
• L is -(CR c R c ) m -C(0)- and m is 1.
• each R c is hydrogen.
• one R c is methyl and one R c is hydrogen.
• both R c are methyl.
• L is -(CR c R c ) m -0-C(0)- and m is 1 or 2.
• each R c is hydrogen.
• L is selected from bond, -C(O)-, -OC(O)-, -CH 2 -OC(0)-,
• R 1 is selected from methyl, ethyl, isopropyl, cyclopropyl, cyclobutyl, cyclopentyl, cyclohexyl, phenyl, pyridin-2-yl, pyridin-3-yl, pyridin-4-yl, 1,2,3- thiadiazol-5-yl, l,2,3-thiadiazol-4-yl, thiazol-4-yl, thiazol-5-yl, lH-imidazol-4-yl, lH-imidazol- 2-yl, lH-pyrazol-3-yl, l
• R 1 is substituted with one or more substituents independently selected from fluoro, chloro, methyl, CF 3 , and methoxy.
• PKR mutants having lower activities compared to the wild type, thus are useful for methods of the present invention.
• Such mutations in PKR can affect enzyme activity (catalytic efficiency), regulatory properties (modulation by fructose bisphosphate (FBP)/ATP), and/or thermostability of the emzyme.
• FBP fructose bisphosphate
• mutants that are activated by the compounds described herein include G332S, G364D, T384M, G37E, R479H, R479K, R486W, R532W, R510Q, and R490W.
• compounds described herein affect the activities of PKR mutants by activating FBP non- responsive PKR mutants, restoring thermostability to mutants with decreased stability, or restoring catalytic efficiency to impaired mutants.
• the activating activity of the present compounds against PKR mutants may be tested following a method described in Example 18.
• Compounds described herein are also useful as activators of wild type PKR.
• a compound, composition or pharmaceutical composition described herein is added directly to whole blood or packed cells extracorporeally or be provided to the patient directly (e.g., by i.p., i.v., i.m., oral, inhalation (aerosolized delivery), transdermal, sublingual and other delivery routes).
• compounds described herein increase the lifetime of the RBCs, thus counteract aging of stored blood, by impacting the rate of release of 2,3-DPG from the blood.
• a decrease in the level of 2, 3-DPG concentration induces a leftward shift of the oxygen- hemoglobin dissociation curve and shifts the allosteric equilibribrium to the R, or oxygenated state, thus producing a therapeutic inhibition of the intracellular polymerization that underlies sickling by increasing oxygen affinity due to the 2,3-DPG depletion, thereby stabilizing the more soluble oxy-hemoglobin.
• compounds and pharmaceutical compositions described herein are useful as antisickling agents.
• a compound, composition or pharmaceutical composition described herein is added directly to whole blood or packed cells extracorporeally or be provided to the patient directly (e.g., by i.p., i.v., i.m., oral, inhalation (aerosolized delivery), transdermal, sublingual and other delivery routes).
• a compound described herein may be an activator of a PKR, for example, a wild type (wt) or mutated PKR (e.g., R510Q, R532W, OR T384W).
• exemplary compounds are shown in Table 1. As shown in Table 1 , A refers to a compound that has a % activation at 1 ⁇ of from 1 to 100.
• B refers to an a compound that has a % activation at 1 ⁇ of from 101 to 500.
• C refers a compound that has a % activation at 1 ⁇ of > 500.
• a compound described herein may also have an AC50 of wild type PKR, PKR R532W, PKR T384W, PKR G332S, PKR G364D, PKR G37E and/or PKR R479H.
• AA refers to an AC50 less than 100 nM
• BB refers to an AC50 from 101 nM to 500 nM
• CC refers to an AC50 greater than 500 nM.
• the compound of Formula I is selected from any one of the compounds set forth in the Examples, Table 2 or Table 3.Table 2
• the compounds described herein can be made using a variety of synthetic techniques as set forth in the Examples. As can be appreciated by the skilled artisan, methods of synthesizing additional compounds of the formulae herein will be evident to those of ordinary skill in the art by appropriate modifications of the exemplified schemes. Additionally, the various synthetic steps may be performed in an alternate sequence or order to give the desired compounds. Synthetic chemistry transformations and protecting group methodologies (protection and deprotection) useful in synthesizing the compounds described herein are known in the art and include, for example, those such as described in R. Larock, Comprehensive Organic Transformations, VCH Publishers (1989); T.W. Greene and P.G.M. Wuts, Protective Groups in Organic Synthesis, 2d.
• the compounds provided herein may contain one or more asymmetric centers and thus occur as racemates and racemic mixtures, single enantiomers, individual
• the compounds provided herein may also comprise one or more isotopic substitutions.
• H may be in any isotopic form, including 1H,
• C may be in any isotopic form, including 12 C, 13 C, and 14 C; O may be in any isotopic form, including 16 0 and 18 0; and the like.
• the compounds provided herein may also be represented in multiple tautomeric forms, in such instances, expressly includes all tautomeric forms of the compounds described herein, even though only a single tautomeric form may be represented (e.g., alkylation of a ring system may result in alkylation at multiple sites; all such reaction products are expressly included). All such isomeric forms of such compounds are expressly included.
• a salt for example, can be formed between an anion and a positively charged substituent (e.g., amino) on a compound described herein. Suitable anions include chloride, bromide, iodide, sulfate, nitrate, phosphate, citrate, methanesulfonate, trifluoroacetate, and acetate. Likewise, a salt can also be formed between a cation and a negatively charged substituent (e.g., carboxylate) on a compound described herein.
• a positively charged substituent e.g., amino
• Suitable anions include chloride, bromide, iodide, sulfate, nitrate, phosphate, citrate, methanesulfonate, trifluoroacetate, and acetate.
• a salt can also be formed between a cation and a negatively charged substituent (e.g., carboxylate) on a compound described herein.
• Suitable cations include sodium ion, potassium ion, magnesium ion, calcium ion, and an ammonium cation such as tetramethylammonium ion.
• Examples of prodrugs include esters and other pharmaceutically acceptable derivatives, which, upon administration to a subject, are capable of providing active compounds.
• the compounds provided herein may be modified by appending appropriate functionalities to enhance selected biological properties, e.g., targeting to a particular tissue.
• modifications are known in the art and include those which increase biological penetration into a given biological compartment (e.g., blood, lymphatic system, central nervous system), increase oral availability, increase solubility to allow administration by injection, alter metabolism and alter rate of excretion.
• Certain activator compounds useful as PKR wild type and/or mutant activators are those that demonstrate specificity and activation of PKR enzyme (wild type and/or a mutant enzyme) in the absence of FBP to a level greater than that of 10, 15, 20, 25, 30, 35, 40, 45, 50, 55, 60, 65, 70, 75, 80, 85, 90, 95, 99, or 100% in the presence of FBP.
• a method for treating or preventing a disease, condition or disorder as described herein comprising administering a compound, a pharmaceutically acceptable salt of a compound or pharmaceutical composition comprising a compound described herein (e.g., a compound of formula (I), (Ta), (II), in Examples, Table 1 or Table 2).
• the compounds and compositions described herein can be administered to cells in culture, e.g. in vitro or ex vivo, or to a subject, e.g., in vivo, to treat, prevent, and/or diagnose a variety of disorders, including those described herein below.
• the term "treat” or “treatment” is defined as the application or administration of a compound, alone or in combination with, a second therapeutic agent to a subject, e.g., a patient, or application or administration of the compound to an isolated tissue or cell, e.g., cell line, from a subject, e.g., a patient, who has a disorder (e.g., a disorder as described herein), a symptom of a disorder, with the purpose to cure, heal, alleviate, relieve, alter, remedy, ameliorate, improve or affect the disorder, or one or more symptoms of the disorder.
• a disorder e.g., a disorder as described herein
• an amount of a compound effective to treat a disorder refers to an amount of the compound which is effective, upon single or multiple dose administration to a subject, in treating a cell, or in curing, alleviating, relieving or improving a subject with a disorder beyond that expected in the absence of such treatment.
• the term "prevent” is defined as the application or administration of a compound, alone or in combination with, a second therapeutic agent to a subject, e.g., a patient, or application or administration of the compound to an isolated tissue or cell, e.g., cell line, from a subject, e.g., a patient, who has a predisposition toward a disorder, with the purpose to prevent the occurrence of at least one symptom of the disorder or to delay onset of at least one symptom of the disorder).
• an amount of a compound effective to prevent a disorder refers to an amount effective, upon single- or multiple-dose administration to the subject, in preventing or delaying the occurrence of the onset or recurrence of a disorder or a symptom of the disorder.
• the term "subject” is intended to include human and non-human animals.
• exemplary human subjects include a human patient having a disorder, e.g., a disorder described herein or a normal subject.
• non-human animals includes all vertebrates, e.g., non-mammals (such as chickens, amphibians, reptiles) and mammals, such as non-human primates, domesticated and/or agriculturally useful animals, e.g., sheep, dog, cat, cow, pig, etc.
• compositions and routes of administration are provided.
• compositions delineated herein include the compounds delineated herein (e.g., a compound described herein), as well as additional therapeutic agents if present, in amounts effective for achieving a modulation of disease or disease symptoms, including those described herein.
• pharmaceutically acceptable carrier or adjuvant refers to a carrier or adjuvant that may be administered to a patient, together with a compound provided herewith, and which does not destroy the pharmacological activity thereof and is nontoxic when administered in doses sufficient to deliver a therapeutic amount of the compound.
• Pharmaceutically acceptable carriers, adjuvants and vehicles that may be used in the pharmaceutical compositions provided herewith include, but are not limited to, ion exchangers, alumina, aluminum stearate, lecithin, self-emulsifying drug delivery systems (SEDDS) such as d-oc-tocopherol polyethyleneglycol 1000 succinate, surfactants used in pharmaceutical dosage forms such as Tweens or other similar polymeric delivery matrices, serum proteins, such as human serum albumin, buffer substances such as phosphates, glycine, sorbic acid, potassium sorbate, partial glyceride mixtures of saturated vegetable fatty acids, water, salts or electrolytes, such as protamine sulfate, disodium hydrogen phosphate, potassium hydrogen phosphate, sodium chloride, zinc salts, colloidal silica, magnesium trisilicate, polyvinyl pyrrolidone, cellulose-based substances, polyethylene glycol, sodium carboxymethylcellulose, polyacrylates, waxes, polyethylene
• Cyclodextrins such as ⁇ -, ⁇ -, and ⁇ -cyclodextrin, or chemically modified derivatives such as hydroxyalkylcyclodextrins, including 2- and 3-hydroxypropyl- -cyclodextrins, or other solubilized derivatives may also be advantageously used to enhance delivery of compounds of the formulae described herein.
• compositions provided herewith may be administered orally, parenterally, by inhalation spray, topically, rectally, nasally, buccally, vaginally or via an implanted reservoir, preferably by oral administration or administration by injection.
• the pharmaceutical compositions provided herewith may contain any conventional non-toxic pharmaceutically-acceptable carriers, adjuvants or vehicles.
• the pH of the formulation may be adjusted with pharmaceutically acceptable acids, bases or buffers to enhance the stability of the formulated compound or its delivery form.
• parenteral as used herein includes subcutaneous, intracutaneous, intravenous, intramuscular, intraarticular, intraarterial, intrasynovial, intrasternal, intrathecal, intralesional and intracranial injection or infusion techniques.
• the pharmaceutical compositions may be in the form of a sterile injectable preparation, for example, as a sterile injectable aqueous or oleaginous suspension.
• This suspension may be formulated according to techniques known in the art using suitable dispersing or wetting agents (such as, for example, Tween 80) and suspending agents.
• the sterile injectable preparation may also be a sterile injectable solution or suspension in a non-toxic parenterally acceptable diluent or solvent, for example, as a solution in 1,3-butanediol.
• suitable vehicles and solvents that may be employed are mannitol, water, Ringer's solution and isotonic sodium chloride solution.
• sterile, fixed oils are conventionally employed as a solvent or suspending medium.
• any bland fixed oil may be employed including synthetic mono- or diglycerides.
• Fatty acids, such as oleic acid and its glyceride derivatives are useful in the preparation of injectables, as are natural pharmaceutically-acceptable oils, such as olive oil or castor oil, especially in their polyoxyethylated versions.
• These oil solutions or suspensions may also contain a long-chain alcohol diluent or dispersant, or
• carboxymethyl cellulose or similar dispersing agents which are commonly used in the formulation of pharmaceutically acceptable dosage forms such as emulsions and or suspensions.
• Other commonly used surfactants such as Tweens or Spans and/or other similar emulsifying agents or bioavailability enhancers which are commonly used in the manufacture of pharmaceutically acceptable solid, liquid, or other dosage forms may also be used for the purposes of formulation.
• compositions provided herewith may be orally administered in any orally acceptable dosage form including, but not limited to, capsules, tablets, emulsions and aqueous suspensions, dispersions and solutions.
• carriers which are commonly used include lactose and corn starch.
• Lubricating agents such as magnesium stearate, are also typically added.
• useful diluents include lactose and dried corn starch.
• aqueous suspensions and/or emulsions are administered orally, the active ingredient may be suspended or dissolved in an oily phase is combined with emulsifying and/or suspending agents. If desired, certain sweetening and/or flavoring and/or coloring agents may be added.
• compositions provided herewith may also be administered in the form of suppositories for rectal administration.
• These compositions can be prepared by mixing a compound provided herewith with a suitable non-irritating excipient which is solid at room temperature but liquid at the rectal temperature and therefore will melt in the rectum to release the active components.
• suitable non-irritating excipient include, but are not limited to, cocoa butter, beeswax and polyethylene glycols.
• compositions provided herewith may be administered by nasal aerosol or inhalation.
• Such compositions are prepared according to techniques well-known in the art of pharmaceutical formulation and may be prepared as solutions in saline, employing benzyl alcohol or other suitable preservatives, absorption promoters to enhance bioavailability, fluorocarbons, and/or other solubilizing or dispersing agents known in the art.
• compositions provided herewith comprise a combination of a compound of the formulae described herein and one or more additional therapeutic or prophylactic agents
• both the compound and the additional agent should be present at dosage levels of between about 1 to 100%, and more preferably between about 5 to 95% of the dosage normally administered in a monotherapy regimen.
• the additional agents may be administered separately, as part of a multiple dose regimen, from the compounds provided herewith. Alternatively, those agents may be part of a single dosage form, mixed together with the compounds provided herewith in a single composition.
• the compounds described herein can, for example, be administered by injection, intravenously, intraarterially, subdermally, intraperitoneally, intramuscularly, or subcutaneously; or orally, buccally, nasally, transmucosally, topically, in an ophthalmic preparation, or by inhalation, with a dosage ranging from about 0.5 to about 100 mg/kg of body weight, alternatively dosages between 1 mg and 1000 mg/dose, every 4 to 120 hours, or according to the requirements of the particular drug.
• the methods herein contemplate administration of an effective amount of compound or compound
• compositions provided herewith will be administered from about 1 to about 6 times per day or alternatively, as a continuous infusion. Such administration can be used as a chronic or acute therapy.
• the amount of active ingredient that may be combined with the carrier materials to produce a single dosage form will vary depending upon the host treated and the particular mode of administration.
• a typical preparation will contain from about 5% to about 95% active compound (w/w).
• such preparations contain from about 20% to about 80% active compound.
• a maintenance dose of a compound, composition or combination provided herewith may be administered, if necessary.
• the dosage or frequency of administration, or both may be reduced, as a function of the symptoms, to a level at which the improved condition is retained when the symptoms have been alleviated to the desired level.
• Patients may, however, require intermittent treatment on a long-term basis upon any recurrence of disease symptoms.
• the compounds described herein can activate mutant PKRs. Accordingly, a patient and/or subject can be selected for treatment using a compound described herein by first evaluating the patient and/or subject to determine whether the subject carries a mutation in PKR (for examples, one of the mutations as described herein), and if the subject is determined to be carrying a mutation in PKR thus is in need of activation of the activity of the mutant PKR, then optionally administering to the subject a compound described herein. A subject can be evaluated as carrying a mutation in PKR using methods known in the art.
• R 1 is aryl or cyclopropyl
• R c is methyl or CF 3
• R 3 is alkyl and n is 0 or 1.
• R d when present, is aryl; R 3 is methoxy or OCF 3 ; and q is 1, 2, 3, or 4.
• R d Aryl (when present)
• R 1 is cycloalkyl, heterocyclyl, aryl, or heteroaryl
• R 3 is chloro, fluoro, CF 3 or OCF 3
• R 4 is alkyl or phenyl.
• R 4 alkyl, phenyl
• R 3 CI, F, CF 3 , OCF 3
• STAB Sodium tri-acetoxy borohydride
• L -(CR c R c ) m -
• R 1 carbocyclyl, aryl, heterocyclyl, heteroaryl
• L is -(CR c R c ) m -; and R 1 is alkyl, carbocyclyl or aryl.
• amine LVI 0.5 gm, 1.9 mmol
• appropriate aldehyde 2.28 mmol
• dichloroethane acetic acid
• sodium triacetoxyborohydride 1.2 gm, 5.7 mmol
• R 1 is alkyl or aryl; and L is -(CR
• R 1 Alkyl, Aryl
• reaction mixture was then brought to room temperature and stirred for 6 h. After completion of the reaction, the reaction mixture was diluted with water and extracted with ethyl acetate (3 x 25 ml). The organic layer was washed with water (3 x 10 ml), dried over anhydrous sodium sulfate, filtered and concentrated over the rotary evaporator to get the crude product.
• the crude product was purified by column chromatography (60-120 silica gel, ethyl acetate:hexane, 4:6) to afford pure product LXI (0.3 gm, 60%) as an off-white solid.
• reaction mixture was quenched by the addition of water (10 mL), diluted with diethyl ether (100 mL), washed with water (2 x 25 mL), brine (25 mL), dried over anhydrous sodium sulfate and concentrated in vacuo.
• the crude product was purified by column chromatography (Silica gel, 60:120; ethyl acetate:hexane, 3:7) to afford product LXII in 65-72% yield.
• reaction mixture was cooled at room temperature and the residue was purified by column chromatography (silica gel, 60-120 mesh; EA-Hexane, 2:8) to afford the 3,8-dibenzyl- 3,8-diazabicyclo[3.2.1]octane-2,4-dione in 40-45% yield.
• R 1 is aryl or carbocyclyl; and L is -(CR c R c ) m -.
• R aryl, carbocyclyl
• R 1 is aryl, carbocyclyl, heterocyclyl or heteroaryl;
• R 3 is OCF 3 or OCH 3 ;
• R 4 is alkyl;
• L is -C(O)- or -(CR c R c )-C(0)-;
• n is 0 or 1; and
• p is 0 or 1.
• R 1 is alkyl, cycloalkyl, aryl, or heteroaryl
• R 3 is OCH 3 , or OCF 3
• R 4 is alkyl
• X and Y are independently selected from CH and N
• p is 0 or 1
• n is 0 or 1.

Landscapes

• Chemical & Material Sciences (AREA)
• Organic Chemistry (AREA)
• Health & Medical Sciences (AREA)
• Life Sciences & Earth Sciences (AREA)
• General Health & Medical Sciences (AREA)
• Engineering & Computer Science (AREA)
• Animal Behavior & Ethology (AREA)
• Public Health (AREA)
• Medicinal Chemistry (AREA)
• Veterinary Medicine (AREA)
• Pharmacology & Pharmacy (AREA)
• Bioinformatics & Cheminformatics (AREA)
• Epidemiology (AREA)
• Biomedical Technology (AREA)
• Hematology (AREA)
• General Chemical & Material Sciences (AREA)
• Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
• Chemical Kinetics & Catalysis (AREA)
• Zoology (AREA)
• Biotechnology (AREA)
• Genetics & Genomics (AREA)
• Wood Science & Technology (AREA)
• Diabetes (AREA)
• Cell Biology (AREA)
• Microbiology (AREA)
• Immunology (AREA)
• Biochemistry (AREA)
• General Engineering & Computer Science (AREA)
• Pharmaceuticals Containing Other Organic And Inorganic Compounds (AREA)
• Enzymes And Modification Thereof (AREA)

Priority Applications (7)

Applications Claiming Priority (2)

Publications (1)

Family

ID=46085224

Family Applications (1)

Country Status (8)

Cited By (33)

Families Citing this family (2)

Citations (6)

Family Cites Families (27)

• 2012
  • 2012-05-03 WO PCT/US2012/036413 patent/WO2012151452A1/en not_active Ceased
  • 2012-05-03 ES ES12721111T patent/ES2746558T3/es active Active
  • 2012-05-03 JP JP2014509459A patent/JP6267112B2/ja not_active Expired - Fee Related
  • 2012-05-03 CA CA2834692A patent/CA2834692A1/en not_active Abandoned
  • 2012-05-03 CN CN201280028693.4A patent/CN103608016A/zh active Pending
  • 2012-05-03 US US14/115,292 patent/US9404081B2/en not_active Expired - Fee Related
  • 2012-05-03 EP EP12721111.8A patent/EP2704720B1/en active Active
  • 2012-05-03 AU AU2012250690A patent/AU2012250690B2/en not_active Ceased
• 2016
  • 2016-09-05 JP JP2016173166A patent/JP6267299B2/ja not_active Expired - Fee Related

Patent Citations (6)

Non-Patent Citations (18)

Also Published As

Similar Documents

Legal Events