Classifications

• • C—CHEMISTRY; METALLURGY
  • C07—ORGANIC CHEMISTRY
  • C07D—HETEROCYCLIC COMPOUNDS
  • C07D519/00—Heterocyclic compounds containing more than one system of two or more relevant hetero rings condensed among themselves or condensed with a common carbocyclic ring system not provided for in groups C07D453/00 or C07D455/00
• • 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
  • A61K31/435—Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins having six-membered rings with one nitrogen as the only ring hetero atom
  • A61K31/4353—Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins having six-membered rings with one nitrogen as the only ring hetero atom ortho- or peri-condensed with heterocyclic ring systems
  • A61K31/437—Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins having six-membered rings with one nitrogen as the only ring hetero atom ortho- or peri-condensed with heterocyclic ring systems the heterocyclic ring system containing a five-membered ring having nitrogen as a ring hetero atom, e.g. indolizine, beta-carboline
• • 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
  • A61K31/505—Pyrimidines; Hydrogenated pyrimidines, e.g. trimethoprim
  • A61K31/519—Pyrimidines; Hydrogenated pyrimidines, e.g. trimethoprim ortho- or peri-condensed with heterocyclic rings
• • 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
  • A61K31/535—Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins having six-membered rings with at least one nitrogen and one oxygen as the ring hetero atoms, e.g. 1,2-oxazines
  • A61K31/5375—1,4-Oxazines, e.g. morpholine
  • A61K31/5377—1,4-Oxazines, e.g. morpholine not condensed and containing further heterocyclic rings, e.g. timolol
• • 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
  • A61K31/535—Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins having six-membered rings with at least one nitrogen and one oxygen as the ring hetero atoms, e.g. 1,2-oxazines
  • A61K31/5375—1,4-Oxazines, e.g. morpholine
  • A61K31/538—1,4-Oxazines, e.g. morpholine ortho- or peri-condensed with carbocyclic ring systems
• • C—CHEMISTRY; METALLURGY
  • C07—ORGANIC CHEMISTRY
  • C07D—HETEROCYCLIC COMPOUNDS
  • C07D487/00—Heterocyclic compounds containing nitrogen atoms as the only ring hetero atoms in the condensed system, not provided for by groups C07D451/00 - C07D477/00
  • C07D487/02—Heterocyclic compounds containing nitrogen atoms as the only ring hetero atoms in the condensed system, not provided for by groups C07D451/00 - C07D477/00 in which the condensed system contains two hetero rings
  • C07D487/04—Ortho-condensed systems
• • C—CHEMISTRY; METALLURGY
  • C07—ORGANIC CHEMISTRY
  • C07D—HETEROCYCLIC COMPOUNDS
  • C07D487/00—Heterocyclic compounds containing nitrogen atoms as the only ring hetero atoms in the condensed system, not provided for by groups C07D451/00 - C07D477/00
  • C07D487/12—Heterocyclic compounds containing nitrogen atoms as the only ring hetero atoms in the condensed system, not provided for by groups C07D451/00 - C07D477/00 in which the condensed system contains three hetero rings
  • C07D487/14—Ortho-condensed systems

Definitions

• the present disclosure provides BET bromodomain inhibitors and therapeutic methods of treating conditions and diseases wherein inhibition of one or more BET bromodomains provides a benefit.
• the genomes of eukaryotic organisms are highly organized within the nucleus of the cell.
• the long strands of duplex DNA are wrapped around an octamer of histone proteins (usually comprising two copies of histones H2A, H2B, H3, and H4) to form a nucleosome, which then is further compressed to form a highly condensed chromatin structure.
• a range of different condensation states are possible, and the tightness of this structure varies during the cell cycle.
• the chromatin structure plays a critical role in regulating gene transcription, which cannot occur efficiently from highly condensed chromatin.
• the chromatin structure is controlled by a series of post translational modifications to histone proteins, notably histones H3 and H4. These modifications include acetylation, methylation, phosphorylation, ubiquitinylation, and SUMOylation.
• Histone acetylation usually is associated with the activation of gene transcription, as the modification loosens the interaction of the DNA and the histone octamer by changing the electrostatics.
• specific proteins bind to acetylated lysine residues within histones to read the epigenetic code.
• Bromodomains are small (about 110 amino acids) distinct domains within proteins that bind to acetylated lysine resides commonly, but not exclusively, in the context of histones. There is a family of about 50 proteins known to contain bromodomains, which have a range of functions within the cell.
• BET bromodomains The BET family of bromodomain-containing proteins (“BET bromodomains”) includes four proteins, i.e., BRD2, BRD3, BRD4, and BRD-t, which contain tandem bromodomains capable of binding to two acetylated lysine residues in close proximity, thereby increasing the specificity of the interaction.
• BRD2 and BRD3 associate with histones along actively transcribed genes and may be involved in facilitating transcriptional elongation, while BRD4 may be involved in the recruitment of the pTEF- ⁇ complex to inducible genes, resulting in phosphorylation of RNA polymerase and increased transcriptional output.
• BRD4 or BRD3 also may fuse with NUT (nuclear protein in testis) forming novel fusion oncogenes, BRD4-NUT or BRD3-NUT, in a highly malignant form of epithelial neoplasia.
• NUT nuclear protein in testis
• BRD-NUT fusion proteins contribute to carcinogenesis.
• BRD-t is uniquely expressed in the testes and ovary. All family members have been reported to have some function in controlling or executing aspects of the cell cycle, and have been shown to remain in complex with chromosomes during cell division, which suggests a role in the maintenance of epigenetic memory.
• some viruses make use of these proteins to tether their genomes to the host cell chromatin as part of the process of viral replication.
• BET bromodomain inhibitors e.g., I-BET-151 and I-BET-762
• I-BET-151 and I-BET-762 can be found in Delmore et al., Cell 746:904-917 (201 1) and Seal et al, Bioorg. Med. Chem. Lett. 22:2968-2972 (2012).
• Small molecule inhibitors of BET bromodomains have therapeutic potential for the treatment of many diseases and conditions in which BET bromodomains have a role, including cancer.
• BET bromodomain inhibitors are disclosed in the following U.S.
• BRD4 is a conserved member of the bromodomain and extraterminal (BET) family of chromatin readers that include BRD2/3 and BRDT. BRD4 plays a critical role in transcription by RNA PolII, by facilitating recruitment of the positive transcription elongation factor P-TEFb (Jang, M.K. et al, Mol Cell 7 :523-534 (2005); Yang, Z. et al, Mol Cell 19: 535-545 (2005).
• BRD4 contains two conserved bromodomains, BDl and BD2.
• Competitive binding of JQl or I-BET to the bromodomain pocket results in the displacement BRD4 from active chromatin and subsequent removal of RNA PolII from target genes (Dawson, M.A. et al, Nature 478: 529-533 (201 1); Delmore, J.E. et al, Cell 146: 904-917 (2011); Puissant, A. et al., Cancer Discov 5:308-323 (2013); Filippakopoulos, P. et al., Nature 468: 1067-1073 (2010); Loven, J.
• AR androgen receptor
• ER estrogen receptor
• AIs aromatase inhibitors
• MDV3100 direct AR antagonist Enzalutamide
• BET bromodomain inhibitors having physical and pharmacological properties that permit use of the inhibitors in therapeutic applications, especially in humans.
• present disclosure provides compounds that bind to BET bromodomains and inhibit BET bromodomain activity.
• the present disclosure provides 9H-pyrimido[4,5-b]indoles,
• Compounds of the Disclosure are potent and specific inhibitors of BET bromodomains that bind to BET bromodomains and function as potent antagonists of BET bromodomains.
• Compounds of the Disclosure are useful in treating diseases or conditions wherein inhibition of BET bromodomains, e.g., BRD2, BRD3, BRD4, BRD-t, or an isoform or mutant thereof, provides a benefit.
• the present disclosure provides methods of treating a condition or disease by administering a therapeutically effective amount of a Compound of the Disclosure to an individual, e.g., a human, in need thereof.
• the disease or condition of interest is treatable by inhibition of BET bromodomains, for example, a cancer, a chronic autoimmune disorder, an inflammatory condition, a proliferative disorder, sepsis, or a viral infection.
• methods of preventing the proliferation of unwanted proliferating cells, such as cancer, in a subject the methods comprising administering a therapeutically effective amount of a Compound of the Disclosure to a subject at risk of developing a condition characterized by unwanted proliferating cells.
• the Compounds of the Disclosure reduce the proliferation of unwanted cells by inducing apoptosis in those cells.
• the present disclosure provides a method of inhibiting
• BET bromodomains in an individual comprising administering to the individual an effective amount of at least one Compound of the Disclosure.
• the present disclosure provides a pharmaceutical composition
• a pharmaceutical composition comprising a Compound of the Disclosure and an excipient and/or pharmaceutically acceptable carrier.
• composition comprising a
• Compound of the Disclosure and an excipient and/or pharmaceutically acceptable carrier for use treating diseases or conditions wherein inhibition of BET bromodomains provides a benefit, e.g., cancer.
• composition comprising:
• the present disclosure provides a Compound of the Disclosure for use in treatment of a disease or condition of interest, e.g., cancer.
• the present disclosure provides a Compound of the Disclosure for use in treatment of breast cancer having active androgen receptor (AR) signaling.
• AR active androgen receptor
• the present disclosure provides a Compound of the Disclosure for use in treatment of prostate cancer, e.g., castration-resistant prostate cancer, having active AR signaling.
• prostate cancer e.g., castration-resistant prostate cancer, having active AR signaling.
• the present disclosure provides a use of a Compound of the
• Disclosure for the manufacture of a medicament for treating a disease or condition of interest e.g., cancer.
• the present disclosure provides a kit comprising a Compound of the Disclosure, and, optionally, a packaged composition comprising a second therapeutic agent useful in the treatment of a disease or condition of interest, and a package insert containing directions for use in the treatment of a disease or condition, e.g., cancer.
• the present disclosure provides compounds as synthetic intermediates that can be used to prepare Compounds of the Disclosure.
• the present disclosure provides methods of preparing
• Fig. 1 is a table showing the IQo for JQ1 in each cell line is listed.
• Fig. 2 is an illustration showing the induction of apoptosis in VCaP prostate cancer cells by JQ1.
• GAPDH served as a loading control.
• Fig. 3 is a bar graph showing colony formation assays of prostate cell lines.
• Cells were cultured in the presence or absence of 100 and 500 nM of JQ1 for 12 days, followed by staining and quantification.
• Fig. 4 is a bar graph showing QRT-PCR analysis of indicated genes in VCaP treated with different concentrations of JQ 1 for 24 h.
• FIG. 5 is an illustration showing immunoblot analyses of AR, PSA and ERG levels in VCaP treated with JQ1.
• FIG. 6 is four illustrations showing GSEA of the AR target gene signature in
• VCaP Long Term Evolution
• LNCaP Long Term Evolution
• 22RV1 Long Term Evolution
• DU145 cells NS, not-significant,*P ⁇ 0.05, ** ⁇ 0.005 by t-test.
• FIG. 7 is an illustration showing VCaP nuclear extracts fractionated on a
• Fig. 8 is two illustrations showing endogenous association of AR and
• VCaP and LNCaP nuclear extracts were subjected to immunoprecipitation using an anti-AR antibody. Immunoprecipitates were analyzed for the presence of BRD2/3/4 by immunoblotting (upper panel). The immunoblot was stripped and reprobed for AR (lower panel). 5% total lysate was used as input control.
• Fig. 9 is a schematic of BRD4 and AR constructs used for co -immunoprecipitation experiments (BD1 , bromodomain 1; BD2, bromodomain 2; ET, Extraterminal domain.
• Fig. 10 is an illustration showing the N-terminal domain of BRD4 interacts with
• Fig. 11 is an illustration as in Fig. 10 but with the indicated salt concentrations.
• Fig. 12 is an illustration showing representative sensorgrams for AR:BRD4
• BD1-BD2 by an OctetRED biolayer interferometry showing direct interaction. Real-time binding was measured by immobilizing biotinylated AR protein on the super streptavidin biosensor and subsequent interaction with different concentrations of BRD4 (BD1-BD2) protein. The plots show the response versus protein concentration curves derived from the raw binding data. Right, Dissociation constant (Kd) represents the BRD4 (BD1-BD2) concentration yielding half-maximal binding to AR. Protein RNF2 was used as negative control.
• FIG. 13 is an illustration showing in vitro binding analysis of AR and indicated domains of BRD4. Equal amounts of in vitro translated full-length Halo-tag- AR protein and GST-tag-BRD4 domains were combined and immunoprecipitated using Halo beads followed by immunoblot analysis with anti-GST antibody.
• FIG. 14 is an illustration showing the NTD domain of AR interacts with BD1 of
• Fig. 15 is an illustration showing the NTD domain of AR interacts with BD1 of
• Fig. 16 is an illustration showing JQ1 disrupts AR-BD1 interactions. Varying concentrations of JQ1 were incubated to the AR-BD1 , NTDlb-BDl, and AR-BD2 complex prior to immunoprecipitation followed by immunoblot analysis.
• Fig. 17 is an illustration showing AR ChlP-seq in VCaP cells treated for 12 h with vehicle, DHT ( ⁇ ), DHT+JQ1 (500nM), DHT+MD V3100 (10 ⁇ ) or DHT+Bicalutamide (25 ⁇ ). Summary plot of AR enrichment (average coverage) across ARBs (AR Binding sites) in different treatment groups is shown.
• Fig. 18 is a Venn diagram illustrating the overlap of AR and BRD4 enriched peaks in DHT treated sample.
• Fig. 19 is an illustration showing AR and BRD4 enrichment for the AR-BRD4 overlapping (2031) regions.
• FIG. 20 is an illustration showing AR and BRD4 enrichment for the AR-BRD4 overlapping (2031) regions.
• FIG. 21 is an illustration showing a genome browser representation of AR
• the j-axis denotes reads per million per base pair (rpm/bp).
• the x-axis denotes the genomic position with a scale bar on top right.
• the putative super-enhancer region enriched for AR, BRD4 and RNA PolII is depicted with a black bar on the top left.
• Fig. 22 is a line graph comparison of JQ1 and MDV3100 treatment on VCaP cell viability in vitro.
• VCaP cells were treated with MDV3100 or JQ1 for 8days and assayed for viability with Cell-titerGLO.
• Fig. 23 is a line graph comparison of JQ1 and MDV3100VCaP.
• Cells were implanted subcutaneously in mice and grown until tumors reached the size of approximately 100 mm .
• Xenografted mice were randomized and then received vehicle or 50 mg/kg JQ1 or 10 mg/kg MDV3100 as indicated 5 days/week. Caliper measurements were taken bi-weekly. Mean tumor volume ⁇ SEM is shown.
• Fig. 24 is an illustration of individual tumor volume and weight from different treatment groups with p-values is shown.
• Fig. 25 is an illustration of individual tumor volume and weight from different treatment groups with p-values is shown.
• Fig. 26 is a schematic illustrating the VCaP CRPC mouse xenograft experimental design (top panel). Castrated mice bearing VCaP CRPC xenograft received vehicle or 50 mg/kg JQ1 as indicated 5days/week (bottom panel).
• Fig. 27 is a schematic depicting varying mechanisms to block AR-signaling in
• CRPC CRPC.
• Abiraterone inhibits androgen biosynthesis by blocking the enzyme CYP17A1.
• MDV3100 competitively antagonizes androgen binding to AR preventing nuclear translocation and recruitment to target gene loci.
• JQ1 or BET- inhibitors blocks AR and BRD2/3/4 interaction and co-recruitment to target gene loci as well as the functional activity and/or expression of ETS and MYC.
• Compounds of the Disclosure are inhibitors of BET bromodomain proteins. In view of this property, Compounds of the Disclosure are useful for treating conditions or disorders responsive to BET bromodomain inhibition. [0054] In one embodiment, Compounds of the Disclosure are compounds represented by Formula I:
• R la and R lb are each independently selected from the group consisting of hydrogen, hydroxy, alkyl, haloalkyl, alkoxy, alkylthio, amino, and halo;
• R lc is selected from the group consisting of hydrogen, hydroxy, alkyl, haloalkyl, alkoxy, alkylthio, amino, carboxamido, and fluoro;
• R 2a and R 2c are independently selected from the group consisting of hydrogen, halo, alkyl, and carboxamido;
• R 2b is selected from the group consisting of hydrogen, amino, optionally substituted alkyl, hydroxyalkyl, alkoxyalkyl, heteroalkyl, (heterocyclo)alkyl,
• amino alkyl, optionally substituted cycloalkyl, optionally substituted heterocyclo, and carboxamido
• R is selected from the group consisting of optionally substituted cycloalkyl, optionally substituted aryl, optionally substituted heteroaryl, and optionally substituted heterocyclo;
• A is optionally substituted 5-membered heteroaryl
• R a is selected from the group consisting of hydrogen and alkyl
• R 5bl is selected from the group consisting of hydrogen and alkyl
• A is not l,3-dimethyl-lH-pyrazol-4-yl, or:
• R 4a and R 4b are each independently selected from the group consisting hydrogen, halo, haloalkyl, and alkyl;
• X 5 is selected from the group consisting of -O- and -S-.
• Compounds of the Disclosure are compounds represented by Formula I, and the pharmaceutically acceptable salts, hydrates, and solvates thereof, with the provisos that:
• Compounds of the Disclosure are compounds represented by Formula I, and the pharmaceutically acceptable salts, hydrates, and solvates thereof, with the provisos that:
• R 1 is selected from the group consisting of hydrogen, hydroxy, alkyl, haloalkyl, alkoxy, alkylthio, amino, and halo;
• R is selected from the group consisting of hydrogen, amino, alkyl, hydroxyalkyl, alkoxyalkyl, (heterocyclo)alkyl, (amino)alkyl, optionally substituted cycloalkyl, optionally substituted heterocyclo, and carboxamido;
• R is selected from the group consisting of optionally substituted cycloalkyl, optionally substituted aryl, optionally substituted heteroaryl, and optionally substituted heterocyclo;
• A is optionally substituted 5-membered heteroaryl
• X 1 is selected from the group consisting of -0-, -S-, and - ⁇ ( ⁇ ⁇ 1 )-;
• Z is selected from the group consisting of -0-, -S-, -SQ-, and -N(R 5b1 )-;
• R 5al is selected from the group consisting of hydrogen and alkyl
• R 5bl is selected from the group consisting of hydrogen and alkyl
• A is not l 3-dimethyl-lH-pyrazol-4-yl, or:
• R 4a and R 4b are each independently selected from the group consisting of hydrogen, halo, haloalkyl, and alkyl;
• X 5 is selected from the group consisting of -O- and -S-.
• Compounds of the Disclosure are compounds represented by Formula II, and the pharmaceutically acceptable salts, hydrates, and solvates thereof, wherein:
• R 1 is selected from the group consisting of hydrogen, hydroxy, alkyl, haloalkyl, alkoxy, alkylthio, amino, and halo;
• R is selected from the group consisting of hydrogen, alkyl, hydroxyalkyl, alkoxyalkyl, (heterocyclo)alkyl, (amino)alkyl, optionally substituted cycloalkyl, optionally substituted heterocyclo, and carboxamido;
• R is selected from the group consisting of optionally substituted aryl, optionally substituted heteroaryl, and optionally substituted heterocyclo;
• A is optionally substituted 5-membered heteroaryl
• X 1 is selected from the group consisting of -0-, -S-, and - ⁇ ( ⁇ ⁇ 1 )-;
• Z is selected from the group consisting of -0-, -S-, -SQ-, and -N(R 5b1 )-;
• R 5al is selected from the group consisting of hydrogen and alkyl
• R 5bl is selected from the group consisting of hydrogen and alkyl.
• Compounds of the Disclosure are compounds represented by Formulae I and II, and the pharmaceutically acceptable salts, hydrates, and solvates thereof, wherein:
• A is optionally substituted 5-membered heteroaryl selected from the group consisting of:
• R 4a , R 4b , and R 4c are each independently selected from the group consisting of hydrogen, halo, haloalkyl, and alkyl;
• X 2 is selected from the group consisting of -0-, -S-, and -IN ⁇ R 501 )-;
• R 5cl is selected from the group consisting of hydrogen and alkyl.
• R 4a , R 4b , and R 4c are each independently selected from the group consisting of hydrogen and alkyl, and X 2 is selected from the group consisting of -O- and -N(R 5c1 )-.
• Compounds of the Disclosure are compounds represented by Formulae I and II, and the pharmaceutically acceptable salts, hydrates, and solvates thereof, wherein A is A-3 and X 2 is -N(R 5c1 )-.
• Compounds of the Disclosure are compounds represented by Formulae I and II, and the pharmaceutically acceptable salts, hydrates, and solvates thereof, wherein A is A-9, R 4a is alkyl, and R 4b is alkyl.
• Compounds of the Disclosure are compounds represented by Formula III:
• R 2 , R 3 , X 1 , Y 1 , and Z are as defined above in connection with Formulall, and R 4a , R 4b , and X is as defined above in connection with groupsA-1 to A-9.
• Compounds of the Disclosure are compounds represented by Formula I, and the pharmaceutically acceptable salts, hydrates, and solvates thereof, wherein R la is Ci_ 4 alkoxy.
• Compounds of the Disclosure are compounds represented by Formulae II and III, and the pharmaceutically acceptable salts, hydrates, and solvates thereof, wherein R 1 is Ci_ 4 alkoxy.
• Compounds of the Disclosure are compounds represented by Formula III, and the pharmaceutically acceptable salts, hydrates, and solvates thereof, wherein R 4a and R 4b are each independently selected from the group consisting of hydrogen and Q_ 4 alkyl.
• Compounds of the Disclosure are compounds represented by Formula III, and the pharmaceutically acceptable salts, hydrates, and solvates thereof, wherein X is O.
• Compounds of the Disclosure are compounds represented by Formula I, and the pharmaceutically acceptable salts, hydrates, and solvates thereof, wherein Y 2 is -C(R 2b )- and R 2b is Ci_ 4 alkyl.
• Compounds of the Disclosure are compounds represented by Formulae II and III, and the pharmaceutically acceptable salts, hydrates, and solvates thereof, wherein R 2 is Ci_ 4 alkyl.
• Compounds of the Disclosure are compounds represented by Formulae I, II, and III, and the pharmaceutically acceptable salts, hydrates, and solvates thereof, wherein X 1 is -NH-.
• Compounds of the Disclosure are compounds represented by Formulae I, II, and III, and the pharmaceutically acceptable salts, hydrates, and solvates thereof, wherein X 1 is -N(R 5A1 )-, wherein R 5AL is Ci_ 4 alkyl.
• Compounds of the Disclosure are compounds represented by Formulae I, II, and III, and the pharmaceutically acceptable salts, hydrates, and solvates thereof, wherein X 1 is -N(CH 3 )-.
• Compounds of the Disclosure are compounds represented by Formulae I, II and III, and the pharmaceutically acceptable salts, hydrates, and solvates thereof, wherein Z is -NH-.
• Compounds of the Disclosure are compounds represented by Formula IV:
• Compounds of the Disclosure are compounds represented by Formula V:
• Compounds of the Disclosure are compounds represented by Formula VI:
• Compounds of the Disclosure are compounds represented by Formula I, and the pharmaceutically acceptable salts, hydrates, and solvates thereof, wherein G is selected from the group consisting of halo, hydroxy, optionally substituted cycloalkyl, optionally substituted aryl, optionally substituted heteroaryl, aralkyl, and (heteroaryl)alkyl.
• Compounds of the Disclosure are compounds represented by Formula I, and the pharmaceutically acceptable salts, hydrates, and solvates thereof, wherein G is -Z-R .
• Compounds of the Disclosure are compounds represented by any one of Formulae I-VI, and the pharmaceutically acceptable salts, hydrates, and solvates thereof, wherein Z is -NH-.
• Compounds of the Disclosure are compounds represented by any one of Formulae I-VI, and the pharmaceutically acceptable salts, hydrates, and solvates thereof, wherein Z is -0-.
• Compounds of the Disclosure are compounds represented by any one of Formulae I-VI, and the pharmaceutically acceptable salts, hydrates, and solvates thereof, wherein Z is -S-.
• Compounds of the Disclosure are compounds represented by any one of Formulae I-VI, and the pharmaceutically acceptable salts, hydrates, and solvates thereof, wherein Z is -SQ-.
• Compounds of the Disclosure are compounds represented by Formula I, and the pharmaceutically acceptable salts, hydrates, and solvates thereof, wherein Y 2 is -C(R 2b )- and R 2b is hydrogen.
• Compounds of the Disclosure are compounds represented by any one of Formulae II-VI, and the pharmaceutically acceptable salts, hydrates, and solvates thereof, wherein R 2 is hydrogen.
• Compounds of the Disclosure are compounds represented by Formula I, and the pharmaceutically acceptable salts, hydrates, and solvates thereof, wherein Y 2 is -C(R 2b )- and R 2b is Ci_ 4 alkyl.
• Compounds of the Disclosure are compounds represented by any one of Formulae II-VI, and the pharmaceutically acceptable salts, hydrates, and solvates thereof, wherein R 2 is alkyl.
• R 2 is Ci_6 alkyl.
• R is Ci_ 4 alkyl.
• Compounds of the Disclosure are compounds represented by Formula I, and the pharmaceutically acceptable salts, hydrates, and solvates thereof, wherein Y 2 is -C(R 2b )- and R 2b is optionally substituted heterocyclo.
• Compounds of the Disclosure are compounds represented by any one of Formulae II-VI, and the pharmaceutically acceptable salts, hydrates, and solvates thereof, wherein R 2 is optionally substituted heterocyclo.
• Compounds of the Disclosure are compounds represented by any one of Formulae I-VI, and the pharmaceutically acceptable salts, hydrates, and solvates thereof, wherein G or R 3 is optionally substituted aryl.
• Compounds of the Disclosure are compounds represented by any one of Formulae I-VI, and the pharmaceutically acceptable salts, hydrates, and solvates thereof, wherein G or R 3 is optionally substituted aryl selected from the group consisting of optionally substituted phenyl and optionally substituted naphthyl.
• Compounds of the Disclosure are compounds represented by any one of Formulae I-VI, and the pharmaceutically acceptable salts, hydrates, and solvates thereof, wherein G or E 5 is optionally substituted phenyl selected from the group consisting of:
• Compounds of the Disclosure are compounds represented by any one of Formulae I-VI, and the pharmaceutically acceptable salts, hydrates, and solvates thereof, wherein G or R 5 is optionally substituted naphthyl selected from the group consisting of:
• Compounds of the Disclosure are compounds represented by any one of Formulae I-VI, and the pharmaceutically acceptable salts, hydrates, and solvates thereof, wherein G or R 5 is optionally substituted heteroaryl.
• the optionally substituted heteroaryl is selected from the group consisting of:
• the optionally substituted heteroaryl is selected from the group consisting of:
• Compounds of the Disclosure are compounds represented by any one of Formulae I-VI, and the pharmaceutically acceptable salts, hydrates, and solvates thereof, wherein G or R 5 is optionally substituted 6-membered heteroaryl.
• the optionally substituted 6-membered heteroaryl is selected from the group consisting of:
• Compounds of the Disclosure are compounds represented by any one of Formulae I-VI, and the pharmaceutically acceptable salts, hydrates, and solvates thereof, wherein G or R 5 is optionally substituted 5-membered heteroaryl.
• Compounds of the Disclosure are compounds represented by Formula I-VI, and the pharmaceutically acceptable salts, hydrates, and solvates thereof, wherein:
• G or R is optionally substituted 5-membered heteroaryl selected from the group consisting of:
• R 5a , R 5b , and R 5c are each independently selected from the group consisting of hydrogen, halo, cyano, alkylcarbonyl, alkoxycarbonyl, haloalkyl, optionally substituted alkyl, hydroxyalkyl, alkoxyalkyl, alkenyl, aralkyl, optionally substituted cycloalkyl, optionally substituted heterocyclo, optionally substituted aryl, optionally substituted heteroaryl, and carboxamido;
• X 3 is selected from the group consisting of -0-, -S-, and - ⁇ ( ⁇ ⁇ )-;
• R 5e is selected from the group consisting of alkyl and alkoxy.
• Compounds of the Disclosure are compounds represented by any one of Formulae I-VI, and the pharmaceutically acceptable salts, hydrates, and solvates thereof, wherein:
• G or R is optionally substituted 5-membered heteroaryl selected from the group consisting of:
• R 5a , R 5b , and R 5c are each independently selected from the group consisting of hydrogen, halo, cyano, alkylcarbonyl, alkoxycarbonyl, haloalkyl, optionally substituted alkyl, hydroxyalkyl, alkoxyalkyl, alkenyl, aralkyl, optionally substituted cycloalkyl, optionally substituted heterocyclo, optionally substituted aryl, optionally substituted heteroaryl, and carboxamido;
• X 3 is selected from the group consisting of -0-, -S-, and - ⁇ ( ⁇ ⁇ )-;
• R 5e is selected from the group consisting of alkyl and alkoxy.
• Compounds of the Disclosure are compounds represented by any one of Formulae I-VI, and the pharmaceutically acceptable salts, hydrates, and solvates thereof, wherein:
• G or R is optionally substituted heteroaryl selected from the group consisting of:
• X 4 is selected from the group consisting of -0-, -S-, and -N(R" f )-;
• R is selected from the group consisting of hydrogen, alkyl, haloalkyl, hydroxyalkyl, aralkyl, optionally substituted cycloalkyl, optionally substituted aryl, optionally substituted heteroaryl, and carboxamido;
• n is 1 , 2, or 3.
• X* is -N(R 5f )- and n is 1 or 2.
• Compounds of the Disclosure are compounds represented by any one of Formulae I-VI, and the pharmaceutically acceptable salts, hydrates, and solvates thereof, wherein G or R 3 is R3-1.
• Compounds of the Disclosure are compounds represented by any one of Formulae I-VI, and the pharmaceutically acceptable salts, hydrates, and solvates thereof, wherein G or R 3 is R3-2.
• Compounds of the Disclosure are compounds represented by any one of Formulae I-VI, and the pharmaceutically acceptable salts, hydrates, and solvates thereof, wherein G or R 3 is R3-3.
• Compounds of the Disclosure are compounds represented by any one of Formulae I-VI, and the pharmaceutically acceptable salts, hydrates, and solvates thereof, wherein G or R 3 is R3-4.
• Compounds of the Disclosure are compounds represented by any one of Formulae I-VI, and the pharmaceutically acceptable salts, hydrates, and solvates thereof, wherein G or R 3 is R3-5.
• Compounds of the Disclosure are compounds represented by any one of Formulae I-VI, and the pharmaceutically acceptable salts, hydrates, and solvates thereof, wherein G or R 3 is R3-6.
• Compounds of the Disclosure are compounds represented by any one of Formulae I-VI, and the pharmaceutically acceptable salts, hydrates, and solvates thereof, wherein G or E 5 is R3-7.
• Compounds of the Disclosure are compounds represented by any one of Formulae I-VI, and the pharmaceutically acceptable salts, hydrates, and solvates thereof, wherein G or E 5 is R3-8.
• Compounds of the Disclosure are compounds represented by any one of Formulae I-VI, and the pharmaceutically acceptable salts, hydrates, and solvates thereof, wherein G or E 5 is R3-9.
• Compounds of the Disclosure are compounds represented by any one of Formulae I-VI, and the pharmaceutically acceptable salts, hydrates, and solvates thereof, wherein R 3 is R3-10.
• Compounds of the Disclosure are compounds represented by any one of Formulae I-VI, and the pharmaceutically acceptable salts, hydrates, and solvates thereof, wherein G or E 5 is R3-11.
• Compounds of the Disclosure are compounds represented by any one of Formulae I-VI, and the pharmaceutically acceptable salts, hydrates, and solvates thereof, wherein G or E 5 is R3-12.
• Compounds of the Disclosure are compounds represented by any one of Formulae I-VI, and the pharmaceutically acceptable salts, hydrates, and solvates thereof, wherein G or E 5 is optionally substituted 5-membered heteroaryl selected from the group consisting of:
• Compounds of the Disclosure are compounds represented by any one of Formulae I-V, and the pharmaceutically acceptable salts, hydrates, and solvates thereof, wh rein G or E 5 is selected from the group consisting of:
• Compounds of the Disclosure are compounds represented by any one of Formulae I-VI, and the pharmaceutically acceptable salts, hydrates, and solvates thereof, wherein R 3 is optionally substituted cycloalkyl.
• R is selected from the group consisting of cyclopentyl and cyclohexyl.
• Compounds of the Disclosure are compounds represented Formula I, and the pharmaceutically acceptable salts, hydrates, and solvates thereof, wherein R la is selected from the group consisting of hydroxy, alkyl, haloalkyl, alkoxy, alkylthio, amino, and halo; R lb is halo; and R lc is hydrogen.
• Compounds of the Disclosure are compounds represented Formula I, and the pharmaceutically acceptable salts, hydrates, and solvates thereof, wherein R la is selected from the group consisting of hydroxy, alkyl, haloalkyl, alkoxy, alkylthio, amino, and halo; R lb is hydrogen; and R lc is fluoro.
• Compounds of the Disclosure are compounds represented by Formula IX:
• R, R 2 , R 5al , R 5a , R 5c , R 5d , A, Z, and Y 1 are as defined above in connection with Formulall, with the proviso that A is not l,3-dimethyl-lH-pyrazol-4-yl, or:
• R 4a and R 4b are each independently selected from the group consisting of hydrogen, halo, haloalkyl, and alkyl;
• X 5 is selected from the group consisting of -O- and -S-.
• Compounds of the Disclosure are compounds represented by Formula IX, and the pharmaceutically acceptable salts, hydrates, and solvates thereof, wherein R 5al is hydrogen. In another embodiment, R 5al is Ci_ 4 alkyl.
• Compounds of the Disclosure are compounds represented by Formula IX, and the pharmaceutically acceptable salts, hydrates, and solvates thereof, wherein R 1 is alkoxy. In another embodiment, R 1 is methoxy.
• Compounds of the Disclosure are compounds represented by Formula IX, and the pharmaceutically acceptable salts, hydrates, and solvates thereof, wherein A is selected from the group consisting of A-3 and A-9.
• A is A-3.
• X 2 is -0-, and R 4a and R 4b are independently Q_ 4 alkyl.
• R 4a and R 4b are methyl.
• Compounds of the Disclosure are compounds represented by Formula IX, and the pharmaceutically acceptable salts, hydrates, and solvates thereof, wherein, Z is -NH-.
• Compounds of the Disclosure are compounds represented by Formula IX, and the pharmaceutically acceptable salts, hydrates, and solvates thereof, wherein R 5a , R 5c , and R 5d are independently selected from the group consisting of hydrogen, Ci_ 6 alkyl, and C3-6 cycloalkyl.
• A, G, X , Y , Y ⁇ and Y J are as defined above in connection with Formula I, with the proviso that A is not l,3-dimeth l-lH- razol-4- l, or:
• R 4a and R 4b are each independently selected from the group consisting of hydrogen, halo, haloalkyl, and alkyl;
• X 5 is selected from the group consisting of -O- and -S-.
• G is selected from the group consisting of halo, hydroxy, optionally substituted heterocyclo, optionally substituted aryl, optionally substituted heteroaryl, aralkyl, and (heteroaryl)alkyl.
• G is selected from the group consisting of optionally substituted aryl, optionally substituted heteroaryl, aralkyl, and (heteroaryl)alkyl.
• G is -Z-R 3 .
• Compounds of the Disclosure are compounds represented by Formula XI:
• A, G, X , Y , Y ⁇ and Y J are as defined above in connection with Formulal, with the proviso that A is not l,3-dimethyl-lH-pyrazol-4-yl, or: wherein:
• R 4a and R 4b are each independently selected from the group consisting of hydrogen, halo, haloalkyl, and alkyl;
• X 5 is selected from the group consisting of -O- and -S-.
• G is selected from the group consisting of halo, hydroxy, optionally substituted heterocyclo, optionally substituted aryl, optionally substituted heteroaryl, aralkyl, and (heteroaryl)alkyl.
• G is selected from the group consisting of optionally substituted aryl, optionally substituted heteroaryl, aralkyl, and (heteroaryl)alkyl.
• G is -Z-R 3 .
• Compounds of the Disclosure are compounds represented by Formula XII:
• R a and R lb are independently selected from the group consisting of hydroxy, alkyl, haloalkyl, alkoxy, alkylthio, amino, and halo; and A, G, X, Y , Y and Y J are as defined above in connection with Formula I, with the proviso that A is not 1 ,3- dimethyl-lH-pyrazol-4-yl, or: wherein:
• R 4a and R 4b are each independently selected from the group consisting of hydrogen, halo, haloalkyl, and alkyl;
• X 5 is selected from the group consisting of -O- and -S-.
• G is selected from the group consisting of halo, hydroxy, optionally substituted heterocyclo, optionally substituted aryl, optionally substituted heteroaryl, aralkyl, and (heteroaryl)alkyl.
• G is selected from the group consisting of optionally substituted aryl, optionally substituted heteroaryl, aralkyl, and (heteroaryl)alkyl.
• G is -Z-R 3 .
• Compounds of the Disclosure are compounds represented by Formula XIII:
• R a and R lc are independently selected from the group consisting of hydroxy, optionally substituted heterocyclo, alkyl, haloalkyl, alkoxy, alkylthio, amino, and fluoro; and A,
• G, X , Y , Y and Y J are as defined above in connection with Formula I, with the proviso that A is not l,3-dimethyl-lH-pyrazol-4-yl, or: wherein:
• R 4a and R 4b are each independently selected from the group consisting of hydrogen, halo, haloalkyl, and alkyl;
• X 5 is selected from the group consisting of -O- and -S-.
• G is selected from the group consisting of halo, hydroxy, optionally substituted aryl, optionally substituted heteroaryl, aralkyl, and (heteroaryl)alkyl.
• G is selected from the group consisting of optionally substituted aryl, optionally substituted heteroaryl, aralkyl, and (heteroaryl)alkyl.
• G is -Z-R 3.
• Compounds of the Disclosure are compounds represented by Formula XIV:
• R a is selected from the group consisting of hydroxy, alkyl, haloalkyl, alkoxy, alkylthio, ammo, and halo; and R lb , R lc , R 2b , R 2c , A, G, and X 1 are as defined above in connection with Formula I, with the proviso that A is not l,3-dimethyl-lH-pyrazol-4-yl, or: wherein:
• R 4a and R 4b are each independently selected from the group consisting of hydrogen, halo, haloalkyl, and alkyl;
• X 5 is selected from the group consisting of -O- and -S-.
• G is selected from the group consisting of halo, hydroxy, optionally substituted aryl, optionally substituted heterocyclo, optionally substituted heteroaryl, aralkyl, and (heteroaryl)alkyl; and either R lb or R lc , or both, is hydroxy, alkyl, haloalkyl, alkoxy, alkylthio, amino, or fluoro.
• G is selected from the group consisting of optionally substituted aryl, optionally substituted heteroaryl, aralkyl, and (heteroaryl)alkyl; and either R 1 * 5 or R lc , or both, is hydroxy, alkyl, haloalkyl, alkoxy, alkylthio, amino, or fluoro.
• R 1 * 5 or R lc is hydroxy, alkyl, haloalkyl, alkoxy, alkylthio, amino, or fluoro.
• G is -Z-R 3 .
• Compounds of the Disclosure are compounds represented by Formula XV:
• R a is selected from the group consisting of hydroxy, alkyl, haloalkyl, alkoxy, alkylthio, ammo, and halo; and R lb , R lc , R 2a , R 2c , A, G, and X 1 are as defined above in connection with Formula I, with the proviso that A is not 1,3 -dimethyl- lH-pyrazol-4-yl, or: wherein:
• R 4a and R 4b are each independently selected from the group consisting of hydrogen, halo, haloalkyl, and alkyl;
• X 5 is selected from the group consisting of -O- and -S-.
• G is selected from the group consisting of halo, hydroxy, optionally substituted heterocyclo, optionally substituted aryl, optionally substituted heteroaryl, aralkyl, and (heteroaryl)alkyl; and either R lb or R lc , or both, is hydroxy, alkyl, haloalkyl, alkoxy, alkylthio, amino, or fluoro.
• G is selected from the group consisting of optionally substituted aryl, optionally substituted heteroaryl, aralkyl, and (heteroaryl)alkyl; and either R 1 * 5 or R lc , or both, is hydroxy, alkyl, haloalkyl, alkoxy, alkylthio, amino, or fluoro.
• R 1 * 5 or R lc is hydroxy, alkyl, haloalkyl, alkoxy, alkylthio, amino, or fluoro.
• G is -Z-R 3 .
• Compounds of the Disclosure are compounds represented by Formula XVI:
• R a is selected from the group consisting of hydroxy, alkyl, haloalkyl, alkoxy, alkylthio, ammo, and halo; and R lb , R lc , R 2a , R 2b , A, G, and X 1 are as defined above in connection with Formula I, with the proviso that A is not l,3-dimethyl-lH-pyrazol-4-yl, or: wherein:
• R 4a and R 4b are each independently selected from the group consisting of hydrogen, halo, haloalkyl, and alkyl;
• X 5 is selected from the group consisting of -O- and -S-.
• G is selected from the group consisting of halo, hydroxy, optionally substituted heterocyclo, optionally substituted aryl, optionally substituted heteroaryl, aralkyl, and (heteroaryl)alkyl; and either R lb or R lc , or both, is hydroxy, alkyl, haloalkyl, alkoxy, alkylthio, amino, or fluoro.
• G is -Z-R ⁇
• Compounds of the Disclosure are compounds represented by Formula XVII:
• R a is selected from the group consisting of hydroxy, alkyl, haloalkyl, alkoxy, alkylthio, ammo, and halo; and R lb , R lc , R 2b , A, G, and X 1 are as defined above in connection with Formula I, with the proviso that A is not 1,3 -dimethyl- lH-pyrazol-4-yl, or: wherein:
• R 4a and R 4b are each independently selected from the group consisting of hydrogen, halo, haloalkyl, and alkyl;
• X 5 is selected from the group consisting of -O- and -S-.
• G is selected from the group consisting of halo, hydroxy, optionally substituted heterocyclo, optionally substituted aryl, optionally substituted heteroaryl, aralkyl, and (heteroaryl)alkyl; and either R lb or R lc , or both, is hydroxy, alkyl, haloalkyl, alkoxy, alkylthio, amino, or fluoro.
• G is selected from the group consisting of optionally substituted aryl, optionally substituted heteroaryl, aralkyl, and (heteroaryl)alkyl; and either R 1 * 5 or R lc , or both, is hydroxy, alkyl, haloalkyl, alkoxy, alkylthio, amino, or fluoro.
• R 1 * 5 or R lc is hydroxy, alkyl, haloalkyl, alkoxy, alkylthio, amino, or fluoro.
• G is -Z-R 3 .
• Compounds of the Disclosure are compounds represented by Formula XVIII:
• R, R 2 , R 5al , R 5a , R 5c , R 5d , A, Z, and Y 1 are as defined above in connection with Formulall, with the proviso that A is not 1,3 -dimethyl- lH-pyrazol-4-yl, or: wherein:
• R 4a and R 4b are each independently selected from the group consisting of hydrogen, halo, haloalkyl, and alkyl;
• X 5 is selected from the group consisting of -O- and -S-.
• Compounds of the Disclosure are compounds represented by Formula XVIII, and the pharmaceutically acceptable salts, hydrates, and solvates thereof, wherein R 5al is hydrogen.
• R 5al is Ci_4 alkyl.
• Compounds of the Disclosure are compounds represented by Formula XVIII, and the pharmaceutically acceptable salts, hydrates, and solvates thereof, wherein R 1 is alkoxy. In another embodiment, R 1 is methoxy.
• Compounds of the Disclosure are compounds represented by Formula XVIII, and the pharmaceutically acceptable salts, hydrates, and solvates thereof, wherein A is selected from the group consisting of A-3 and A-9.
• A is A-3.
• X 2 is -0-, and R 4a and R 4b are independently Ci_ 4 alkyl.
• R 4a and R 4b are methyl.
• Compounds of the Disclosure are compounds represented by Formula XVIII, and the pharmaceutically acceptable salts, hydrates, and solvates thereof, wherein, Z is -NH-.
• Compounds of the Disclosure are compounds represented by Formula XVIII, and the pharmaceutically acceptable salts, hydrates, and solvates thereof, wherein R 5a , R 5c , and R 5d are independently selected from the group consisting of hydrogen, Q_6 alkyl, and C 3 _ 6 cycloalkyl.
• Compounds of the Disclosure are compounds represented by Formula XVIII, and the pharmaceutically acceptable salts, hydrates, and solvates thereof, wherein R 5al is hydrogen, and R 5f is selected from the group consisting of Ci_ 6 alky land C 3 _ 6 cycloalkyl.
• Compounds of the Disclosure are compounds represented by Formula XVIII, and the pharmaceutically acceptable salts, hydrates,
• R is -OCH 3
• R is selected from the group consisting of -CH 3 and -CH 2 OCH 3
• Z is -N(H)-.
• the present disclosure provides the following specific embodiments:
• Embodiment I A method of treating a cancer selected from the group consisting of prostate cancer and breast cancer in a subject, the method comprising administering to the subject an effective amount of a compound that inhibits one or more BET bromodomain proteins.
• Embodiment II The method of Embodiment I, wherein the cancer is prostate cancer.
• Embodiment III The method of Embodiment II, wherein the prostate cancer has active AR signaling.
• Embodiment IV The method of Embodiments II or III, wherein the prostate cancer is castration resistant prostate cancer.
• Embodiment V The method of Embodiment I, wherein the cancer is breast cancer.
• Embodiment VI The method of Embodiment V, wherein the breast cancer has active AR signaling.
• Embodiment VII A method of identifying a patient sensitive to a compound that inhibits BET bromodomain proteins, the method comprising evaluating
• AR-signaling status in a patient having prostate cancer or breast cancer tumors is AR-signaling status in a patient having prostate cancer or breast cancer tumors.
• Embodiment VIII The method of any one of Embodiments I- VII, wherein the compound inhibits BRD2, BRD3, BRD4, and/or BRD-t.
• Embodiment IX The method of Embodiment VIII, wherein the compound inhibits BRD4.
• Embodiment X The method of any one of Embodiments I-IX, wherein the compound is:
• Embodiment XI The method of any one of Embodiments I-IX, wherein the compound is:
• Embodiment XII The method of any one of Embodiments I-IX, wherein the compound is:
• Embodiment XIII The method of any one of Embodiments I-IX, wherein the compound is:
• Embodiment XIV The method of any one of Embodiments I-IX, wherein the compound is:
• Embodiment XV The method of any one of Embodiments I-IX, wherein the compound is:
• Embodiment XVI The method of any one of Embodiments I-IX, wherein the compound is:
• Embodiment XVII The method of any one of Embodiments I-IX, wherein the compound is:
• Embodiment XVIII The method of any one of Embodiments I-IX, wherein the compound is:
• Embodiment XIX The method of any one of Embodiments I-IX, wherein the compound is:
• Embodiment XX The method of any one of Embodiments I-IX, wherein the compound is:
• Embodiment XXI The method of any one of Embodiments I-IX, wherein the compound is:
• Embodiment XXII The method of any one of Embodiments I-IV or VII-XXI, wherein the compound is administered as a single agent or in combination with standard therapy for prostate cancer.
• Embodiment XXIII The method of Embodiment XXII, wherein the standard therapy for prostate cancer is an inhibitor of AR signaling selected from the group consisting of biclutamide, abiraterone, and enzalutamide.
• Embodiment XXIV The method of any one of Embodiments I, V, 6VI, or
• VIII-XXI wherein the compound is administered as a single agent or in combination with standard therapy for breast cancer.
• Embodiment XXV The method of Embodiment XXIV, wherein the standard therapy for breast cancer is selected from the group consisting of Herceptin, Taxol,
• Taxotere Perjeta, Adriamycin, Cytoxan, Paraplatin, and Kadcyla.
• Embodiment XXVII The method of any one of Embodiments I-IX, wherein the compound any one of Formula I-XVII, or a pharmaceutically acceptable salt, hydrate, or solvates thereof.
• Embodiment XXVIII The method of any one of Embodiments I-IX, wherein the compound is any one of Cpd. Nos. 1-81, 83-113, 1 15-127, 129, 131-163, 166, 169-178, 181-183, 185-188, 190, 192-203, 205-207, 210-243, 247-274, 277-295, 304-331, or 333 of Table 1.
• Compounds of the Disclosure are compounds selected from the group consisting of:
• Compounds of the Disclosure are compounds selected from the group consisting of:
• the present disclosure provides methods of preparing
• L is a leaving group, e.g., CI, I, Br, or OS0 2 R 6 , wherein R 6 is selected from the group consisting of alkyl, haloalkyl, and optionally substituted aryl;
• R 1 is selected from the group consisting of hydrogen, hydroxy, alkyl, haloalkyl, alkoxy, alkylthio, amino, and halo;
• R is selected from the group consisting of hydrogen, amino, alkyl, hydroxyalkyl, alkoxyalkyl, (heterocyclo)alkyl, (amino)alkyl, optionally substituted cycloalkyl, optionally substituted heterocyclo, and carboxamido;
• A is optionally substituted 5-membered heteroaryl
• X 1 is selected from the group consisting of -0-, -S-, and - ⁇ ( ⁇ ⁇ 1 )-;
• R 5al is selected from the group consisting of hydrogen and alkyl
• Z is selected from the group consisting of -0-, -S-, and -N(R" b1 )-;
• R is selected from the group consisting of optionally substituted cycloalkyl, optionally substituted aryl, optionally substituted heteroaryl, and optionally substituted heterocyclo;
• R 5bl is selected from the group consisting of hydrogen and alkyl.
• the method further comprises isolating the Compound of the Disclosure, e.g., free from starting materials, reagents, solvents, and/or reaction side-products.
• the reaction is carried out in a solvent,e.g., one containing dimethylformamide, acetonitrile, dimethyl sulfoxide, and/or N-methyl-2- pyrrolidone.
• the reaction is carried out at a temperature of about 50°C to about 200°C, e.g., at about 50°C, about 60°C, about 70°C, about 80°C, about 90°C, about 100°C, about 110°C, about 120°C, about 130°C, about 140°C, about 150°C, about 160°C, about 170°C, about 180°C, about 190°C, or about 200°C.
• Compounds of the Disclosure inhibit BET bromodomains and are useful in the treatment of a variety of diseases and conditions.
• Compounds of the Disclosure are useful in methods of treating a disease or condition wherein inhibition of BET bromodomains provides a benefit, for example, cancers and proliferative diseases.
• Methods of the disclosure comprise administering a therapeutically effective amount of a Compound of the Disclosure to an individual in need thereof.
• the present methods also encompass administering a second therapeutic agent to the individual in addition to the Compound of the Disclosure.
• the second therapeutic agent is selected from drugs known as useful in treating the disease or condition afflicting the individual in need thereof, e.g., a chemotherapeutic agent and/or radiation known as useful in treating a particular cancer.
• Salts, hydrates, and solvates of the Compounds of the Disclosure can also be used in the methods disclosed herein.
• the present disclosure further includes all possible stereoisomers and geometric isomers of Compounds of the Disclosure to include both racemic compounds and optically active isomers.
• a Compound of the Disclosure When a Compound of the Disclosure is desired as a single enantiomer, it can be obtained either by resolution of the final product or by stereospecific synthesis from either isomerically pure starting material or use of a chiral auxiliary reagent, for example, see Z. Ma et al.,Tetrahedron: Asymmetry, 8(6), pages 883-888 (1997). Resolution of the final product, an intermediate, or a starting material can be achieved by any suitable method known in the art. Additionally, in situations where tautomers of the Compounds of the Disclosure are possible, the present disclosure is intended to include all tautomeric forms of the compounds.
• the present disclosure encompasses the preparation and use of salts of
• the pharmaceutical "pharmaceutically acceptable salt” refers to salts or zwitterionic forms of Compounds of the Disclosure. Salts of Compounds of the Disclosure can be prepared during the final isolation and purification of the compounds or separately by reacting the compound with an acid having a suitable cation.
• the pharmaceutically acceptable salts of Compounds of the Disclosure can be acid addition salts formed with pharmaceutically acceptable acids. Examples of acids which can be employed to form pharmaceutically acceptable salts include inorganic acids such as nitric, boric, hydrochloric, hydrobromic, sulfuric, and phosphoric, and organic acids such as oxalic, maleic, succinic, and citric.
• Nonlimiting examples of salts of compounds of the disclosure include, but are not limited to, the hydrochloride, hydrobromide, hydroiodide, sulfate, bisulfate, 2-hydroxyethansulfonate, phosphate, hydrogen phosphate, acetate, adipate, alginate, aspartate, benzoate, bisulfate, butyrate, camphorate, camphorsulfonate, digluconate, glycerolphsphate, hemisulfate, heptanoate, hexanoate, formate, succinate, fumarate, maleate, ascorbate, isethionate, salicylate, methanesulfonate, mesitylenesulfonate, naphthylenesulfonate, nicotinate, 2-naphthalenesulfonate, oxalate, pamoate, pectinate, persulfate, 3-phenylproprionate, picrate, pi
• any reference Compounds of the Disclosure appearing herein is intended to include compounds of Compounds of the Disclosure as well as pharmaceutically acceptable salts, hydrates, or solvates thereof.
• the present disclosure encompasses the preparation and use of solvates of
• Solvates typically do not significantly alter the physiological activity or toxicity of the compounds, and as such may function as pharmacological equivalents.
• the term "solvate” as used herein is a combination, physical association and/or solvation of a compound of the present disclosure with a solvent molecule such as, e.g. a disolvate, monosolvate or hemisolvate, where the ratio of solvent molecule to compound of the present disclosure is about 2: 1 , about 1 : 1 or about 1 :2, respectively.
• This physical association involves varying degrees of ionic and covalent bonding, including hydrogen bonding.
• the solvate can be isolated, such as when one or more solvent molecules are incorporated into the crystal lattice of a crystalline solid.
• solvate encompasses both solution-phase and isolatable solvates.
• Compounds of the Disclosure can be present as solvated forms with a pharmaceutically acceptable solvent, such as water, methanol, ethanol, and the like, and it is intended that the disclosure includes both solvated and unsolvated forms of Compounds of the Disclosure.
• a pharmaceutically acceptable solvent such as water, methanol, ethanol, and the like
• solvate is a hydrate.
• a "hydrate” relates to a particular subgroup of solvates where the solvent molecule is water.
• Solvates typically can function as pharmacological equivalents. Preparation of solvates is known in the art. See, for example, M. Cairaet al, J. Pharmaceut.
• a typical, non- limiting, process of preparing a solvate would involve dissolving a Compound of the Disclosure in a desired solvent (organic, water, or a mixture thereof) at temperatures above 20°C to about 25°C, then cooling the solution at a rate sufficient to form crystals, and isolating the crystals by known methods, e.g., filtration.
• Analytical techniques such as infrared spectroscopy can be used to confirm the presence of the solvent in a crystal of the solvate.
• BET bromodomain inhibitors for the treatment of a variety of diseases and conditions wherein inhibition of BET bromodomains has a beneficial effect.
• Compounds of the Disclosure typically have a binding affinity (IQo) to BET bromodomains of less than 100 ⁇ , e.g., less than 50 ⁇ , less than 25 ⁇ , and less than 5 ⁇ , less than about 1 ⁇ , less than about 0.5 ⁇ , or less than about 0.1 ⁇ .
• the present disclosure relates to a method of treating an individual suffering from a disease or condition wherein inhibition of the BET bromodomains provides a benefit comprising administering a therapeutically effective amount of a Compound of the Disclosure to an individual in need thereof.
• Compounds of the Disclosure are inhibitors of one or more BET bromodomains, a number of diseases and conditions mediated by BET bromodomain proteins can be treated by employing these compounds.
• the present disclosure is thus directed generally to a method for treating a condition or disorder responsive to inhibition of BRD2, BRD3, BRD4, BRD-t, or an isoform or mutant thereof, in an animal, e.g., a human, suffering from, or at risk of suffering from, the condition or disorder, the method comprising administering to the animal an effective amount of one or more Compounds of the Disclosure.
• the present disclosure is further directed to a method of inhibiting BET bromodomains in an animal in need thereof, said method comprising administering to the animal an effective amount of at least one Compound of the Disclosure.
• the methods of the present disclosure can be accomplished by administering a
• kits comprising a Compound of the Disclosure and, optionally, a second therapeutic agent useful in the treatment of diseases and conditions wherein inhibition of BET bromodomains provides a benefit, packaged separately or together, and an insert having instructions for using these active agents.
• a Compound of the Disclosure is administered in conjunction with a second therapeutic agent useful in the treatment of a disease or condition wherein inhibition of BET bromodomains provides a benefit.
• the second therapeutic agent is different from the Compound of the Disclosure.
• a Compound of the Disclosure and the second therapeutic agent can be administered simultaneously or sequentially to achieve the desired effect.
• the Compound of the Disclosure and second therapeutic agent can be administered from a single composition or two separate compositions.
• the second therapeutic agent is administered in an amount to provide its desired therapeutic effect.
• the effective dosage range for each second therapeutic agent is known in the art, and the second therapeutic agent is administered to an individual in need thereof within such established ranges.
• a Compound of the Disclosure and the second therapeutic agent can be administered together as a single-unit dose or separately as multi-unit doses, wherein the Compound of the Disclosure is administered before the second therapeutic agent or vice versa.
• One or more doses of the Compound of the Disclosure and/or one or more dose of the second therapeutic agent can be administered.
• the Compound of the Disclosure therefore can be used in conjunction with one or more second therapeutic agents, for example, but not limited to, anticancer agents.
• Diseases and conditions treatable by the methods of the present disclosure include, but are not limited to, cancer and other proliferative disorders, inflammatory diseases, sepsis, autoimmune disease, and viral infection.
• a human patient is treated with a Compound of the Disclosure, or a pharmaceutical composition comprising a Compound of the Disclosure, wherein the compound is administered in an amount sufficient to inhibit BET bromodomain activity in the patient.
• cancer examples include, but are not limited to, adrenal cancer, acinic cell carcinoma, acoustic neuroma, acral lentigious melanoma, acrospiroma, acute eosinophilic leukemia, acute erythroid leukemia, acute lymphoblastic leukemia, acute megakaryoblastic leukemia, acute monocytic leukemia, acute promyelocytic leukemia, adenocarcinoma, adenoid cystic carcinoma, adenoma, adenomatoid odontogenic tumor, adenosquamous carcinoma, adipose tissue neoplasm, adrenocortical carcinoma, adult T-cell leukemia/lymphoma, aggressive NK-cell leukemia, AIDS-related lymphoma, alveolar rhabdomyosarcoma, alveolar soft part sarcoma, ameloblastic fibroma, an
• the cancer is a leukaemia, for example a leukaemia selected from acute monocytic leukemia, acute myelogenous leukemia, chronic myelogenous leukemia, chronic lymphocytic leukemia and mixed lineage leukaemia (MLL).
• the cancer is NUT -midline carcinoma.
• the cancer is multiple myeloma.
• the cancer is a lung cancer such as small cell lung cancer (SCLC).
• SCLC small cell lung cancer
• the cancer is a neuroblastoma.
• the cancer is Burkitt's lymphoma.
• the cancer is cervical cancer.
• the cancer is esophageal cancer.
• the cancer is ovarian cancer.
• the cancer is colorectal cancer.
• the cancer is prostate cancer.
• the cancer is breast cancer.
• the present disclosure provides a method of treating a benign proliferative disorder, such as, but are not limited to, benign soft tissue tumors, bone tumors, brain and spinal tumors, eyelid and orbital tumors, granuloma, lipoma, meningioma, multiple endocrine neoplasia, nasal polyps, pituitary tumors, prolactinoma, pseudotumor cerebri, seborrheic keratoses, stomach polyps, thyroid nodules, cystic neoplasms of the pancreas, hemangiomas, vocal cord nodules, polyps, and cysts, Castleman disease, chronic pilonidal disease, dermatofibroma, pilar cyst, pyogenic granuloma, and juvenile polyposis syndrome.
• a benign proliferative disorder such as, but are not limited to, benign soft tissue tumors, bone tumors, brain and spinal tumors, eyelid and orbital tumors, granul
• Compounds of the Disclosure can also treat infectious and noninfectious inflammatory events and autoimmune and other inflammatory diseases by administration of an effective amount of a present compound to a mammal, in particular a human in need of such treatment.
• autoimmune and inflammatory diseases, disorders, and syndromes treated using the compounds and methods described herein include inflammatory pelvic disease, urethritis, skin sunburn, sinusitis, pneumonitis, encephalitis, meningitis, myocarditis, nephritis, osteomyelitis, myositis, hepatitis, gastritis, enteritis, dermatitis, gingivitis, appendictitis, pancreatitis, cholocystitus, agammaglobulinemia, psoriasis, allergy, Crohn's disease, irritable bowel syndrome, ulcerative colitis, Sjogren's disease, tissue graft rejection, hyperacute rejection of transplanted organs, asthma, allergic rhin
• the present disclosure provides a method of treating systemic inflammatory response syndromes, such as LPS-induced endotoxic shock and/or bacteria-induced sepsis by administration of an effective amount of a Compound of the Disclosure to a mammal, in particular a human in need of such treatment.
• systemic inflammatory response syndromes such as LPS-induced endotoxic shock and/or bacteria-induced sepsis
• the present disclosure provides a method for treating viral infections and diseases.
• viral infections and diseases treated using the compounds and methods described herein include episome-based DNA viruses including, but not limited to, human papillomavirus, Herpesvirus, Epstein-Barr virus, human immunodeficiency virus, hepatis B virus, and hepatitis C virus.
• the present disclosure provides therapeutic method of modulating protein methylation, gene expression, cell proliferation, cell differentiation and/or apoptosis in vivo in diseases mentioned above, in particular cancer, inflammatory disease, and/or viral disease is provided by administering a therapeutically effective amount of a Compound of the Disclosure to a subject in need of such therapy.
• the present disclosure provides a method of regulating endogenous or heterologous promoter activity by contacting a cell with a Compound of the Disclosure.
• Compound of the Disclosure is administered to a human being in need thereof. Whether such a treatment is indicated depends on the individual case and is subject to medical assessment (diagnosis) that takes into consideration signs, symptoms, and/or malfunctions that are present, the risks of developing particular signs, symptoms and/or malfunctions, and other factors.
• diagnosis medical assessment
• a Compound of the Disclosure can be administered by any suitable route, for example by oral, buccal, inhalation, sublingual, rectal, vaginal, intracisternal or intrathecal through lumbar puncture, transurethral, nasal, percutaneous, i.e., transdermal, or parenteral (including intravenous, intramuscular, subcutaneous, intracoronary, intradermal, intramammary, intraperitoneal, intraarticular, intrathecal, retrobulbar, intrapulmonary injection and/or surgical implantation at a particular site) administration.
• Parenteral administration can be accomplished using a needle and syringe or using a high pressure technique.
• compositions include those wherein a Compound of the
• Toxicity and therapeutic efficacy of the Compounds of the Disclosure can be determined by standard pharmaceutical procedures in cell cultures or experimental animals, e.g., for determining the maximum tolerated dose (MTD) of a compound, which defines as the highest dose that causes no toxicity in animals.
• MTD maximum tolerated dose
• the dose ratio between the maximum tolerated dose and therapeutic effects (e.g. inhibiting of tumor growth) is the therapeutic index.
• the dosage can vary within this range depending upon the dosage form employed, and the route of administration utilized. Determination of a therapeutically effective amount is well within the capability of those skilled in the art, especially in light of the detailed disclosure provided herein.
• a therapeutically effective amount of a Compound of the Disclosure required for use in therapy varies with the nature of the condition being treated, the length of time that activity is desired, and the age and the condition of the patient, and ultimately is determined by the attendant physician. Dosage amounts and intervals can be adjusted individually to provide plasma levels of the BET bromodomain inhibitor that are sufficient to maintain the desired therapeutic effects.
• the desired dose conveniently can be administered in a single dose, or as multiple doses administered at appropriate intervals, for example as one, two, three, four or more subdoses per day. Multiple doses often are desired, or required.
• a Compound of the Disclosure can be administered at a frequency of: four doses delivered as one dose per day at four-day intervals (q4d x 4); four doses delivered as one dose per day at three-day intervals (q3d x 4); one dose delivered per day at five-day intervals (qd x 5); one dose per week for three weeks (qwk3); five daily doses, with two days rest, and another five daily doses (5/2/5); or, any dose regimen determined to be appropriate for the circumstance.
• a Compound of the Disclosure used in a method of the present disclosure can be administered in an amount of about 0.005 to about 500 milligrams per dose, about 0.05 to about 250 milligrams per dose, or about 0.5 to about 100 milligrams per dose.
• a Compound of the Disclosure can be administered, per dose, in an amount of about 0.005, 0.05, 0.5, 5, 10, 20, 30, 40, 50, 100, 150, 200, 250, 300, 350, 400, 450, or 500 milligrams, including all doses between 0.005 and 500 milligrams.
• the dosage of a composition containing a Compound of the Disclosure can be from about 1 ng/kg to about 200 mg/kg, about 1 ⁇ g/kg to about 100 mg/kg, or about 1 mg/kg to about 50 mg/kg.
• the dosage of a composition can be at any dosage including, but not limited to, about 1 ⁇ g/kg.
• the dosage of a composition may be at any dosage including, but not limited to, about 1 ⁇ g/kg, about 10 ⁇ g/kg, about 25 ⁇ g/kg, about 50 ⁇ g/kg, about 75 ⁇ g/kg, about 100 ⁇ g/kg, about 125 ⁇ g/kg, about 150 ⁇ g/kg, about 175 ⁇ g/kg, about 200 ⁇ g/kg, about 225 ⁇ g/kg, about 250 ⁇ g/kg, about 275 ⁇ g/kg, about 300 ⁇ g/kg, about 325 ⁇ g/kg, about 350 ⁇ g/kg, about 375 ⁇ g/kg, about 400 ⁇ g/kg, about 425 ⁇ g/kg, about 450 ⁇ g/kg, about 475 ⁇ g/kg, about 500 ⁇ g/kg, about 525 ⁇ g/kg, about 550 ⁇ g/kg, about 575 ⁇ g/kg, about 600 ⁇ g/kg, about 625 ⁇ g/kg, about 650 ⁇ g/
• the above dosages are exemplary of the average case, but there can be individual instances in which higher or lower dosages are merited, and such are within the scope of this disclosure.
• the physician determines the actual dosing regimen that is most suitable for an individual patient, which can vary with the age, weight, and response of the particular patient.
• a Compound of the Disclosure can be administered in combination with a second therapeutically active agent.
• the second therapeutic agent is an epigenetic drug.
• epigenetic drug refers to a therapeutic agent that targets an epigenetic regulator.
• epigenetic regulators include the histone lysine methyltransferases, histone arginine methyl transferases, histone demethylases, histone deacetylases, histone acetylases, and DNA methyltransferases.
• Histone deacetylase inhibitors include, but are not limited to, vorinostat.
• chemotherapeutic agents or other anti-pro liferative agents can be combined with Compound of the Disclosure to treat proliferative diseases and cancer.
• therapies and anticancer agents that can be used in combination with Compounds of the Disclosure include surgery, radiotherapy (e.g., gamma-radiation, neutron beam radiotherapy, electron beam radiotherapy, proton therapy, brachytherapy, and systemic radioactive isotopes), endocrine therapy, a biologic response modifier (e.g., an interferon, an interleukin, tumor necrosis factor (TNF), hyperthermia and cryotherapy, an agent to attenuate any adverse effect (e.g., an antiemetic), and any other approved chemotherapeutic drug.
• radiotherapy e.g., gamma-radiation, neutron beam radiotherapy, electron beam radiotherapy, proton therapy, brachytherapy, and systemic radioactive isotopes
• endocrine therapy e.g., a biologic response modifier (e.g
• antiproliferative compounds include, but are not limited to, an aromatase inhibitor; an anti-estrogen; an anti-androgen; a gonadorelin agonist; a topoisomerase I inhibitor; a topoisomerase II inhibitor; a microtubule active agent; an alkylating agent; a retinoid, a carontenoid, or a tocopherol; a cyclooxygenase inhibitor; an MMP inhibitor; an mTOR inhibitor; an antimetabolite; a platin compound; a methionine aminopeptidase inhibitor; a bisphosphonate; an antiproliferative antibody; a heparanase inhibitor; an inhibitor of Ras oncogenic isoforms; a telomerase inhibitor; a proteasome inhibitor; a compound used in the treatment of hematologic malignancies; a Flt-3 inhibitor; an Hsp90 inhibitor; a kinesin spindle protein inhibitor;
• Nonlimiting exemplary aromatase inhibitors include, but are not limited to, steroids, such as atamestane, exemestane, and formestane, and non-steroids, such as aminoglutethimide, roglethimide, pyridoglutethimide, trilostane, testolactone, ketokonazole, vorozole, fadrozole, anastrozole, and letrozole.
• steroids such as atamestane, exemestane, and formestane
• non-steroids such as aminoglutethimide, roglethimide, pyridoglutethimide, trilostane, testolactone, ketokonazole, vorozole, fadrozole, anastrozole, and letrozole.
• Nonlimiting anti-estrogens include, but are not limited to, tamoxifen, fulvestrant, raloxifene, and raloxifene hydrochloride.
• Anti-androgens include, but are not limited to, bicalutamide.
• Gonadorelin agonists include, but are not limited to, abarelix, goserelin, and goserelin acetate.
• topoisomerase I inhibitors include, but are not limited to, topotecan, gimatecan, irinotecan, camptothecin and its analogues, 9-nitrocamptothecin, and the macromolecular camptothecin conjugate PNU-166148.
• Topoisomerase II inhibitors include, but are not limited to, anthracyclines, such as doxorubicin, daunorubicin, epirubicin, idarubicin, and nemorubicin; anthraquinones, such as mitoxantrone and losoxantrone; and podophillotoxines, such as etoposide and teniposide.
• Microtubule active agents include microtubule stabilizing, microtubule destabilizing compounds, and microtubulin polymerization inhibitors including, but not limited to, taxanes, such as paclitaxel and docetaxel; vinca alkaloids, such as vinblastine, vinblastine sulfate, vincristine, and vincristine sulfate, and vinorelbine; discodermolides; cochicine and epothilones and derivatives thereof.
• taxanes such as paclitaxel and docetaxel
• vinca alkaloids such as vinblastine, vinblastine sulfate, vincristine, and vincristine sulfate, and vinorelbine
• discodermolides such as cochicine and epothilones and derivatives thereof.
• Exemplary nonlimiting alkylating agents include cyclophosphamide, ifosfamide, melphalan, and nitrosoureas, such as carmustine and lomustine.
• Exemplary nonlimiting cyclooxygenase inhibitors include Cox-2 inhibitors, 5- alkyl substituted 2-arylaminophenylacetic acid and derivatives, such as celecoxib, rofecoxib, etoricoxib, valdecoxib, or a 5-alkyl-2-arylaminophenylacetic acid, such as lumiracoxib.
• MMP inhibitors include collagen peptidomimetic and nonpeptidomimetic inhibitors, tetracycline derivatives, batimastat, marimastat, prinomastat, metastat, BMS-279251 , BAY 12-
• Exemplary nonlimiting mTOR inhibitors include compounds that inhibit the mammalian target of rapamycin (mTOR) and possess antiproliferative activity such as sirolimus, everolimus, CCI-779, and ABT578.
• mTOR mammalian target of rapamycin
• Exemplary nonlimiting antimetabolites include 5-fluorouracil (5-FU), capecitabine, gemcitabine, DNA demethylating compounds, such as 5-azacytidine and decitabine, methotrexate and edatrexate, and folic acid antagonists, such as pemetrexed.
• 5-fluorouracil 5-FU
• capecitabine gemcitabine
• gemcitabine DNA demethylating compounds, such as 5-azacytidine and decitabine
• methotrexate and edatrexate methotrexate and edatrexate
• folic acid antagonists such as pemetrexed.
• Exemplary nonlimiting platin compounds include carboplatin, cis-platin, cisplatinum, and oxaliplatin.
• Exemplary nonlimiting methionine aminopeptidase inhibitors include bengamide or a derivative thereof and PPI-2458.
• Exemplary nonlimiting bisphosphonates include etridonic acid, clodronic acid, tiludronic acid, pamidronic acid, alendronic acid, ibandronic acid, risedronic acid, and zoledronic acid.
• Exemplary nonlimiting antiproliferative antibodies include trastuzumab, trastuzumab-DMl, cetuximab, bevacizumab, rituximab, PR064553, and 2C4.
• the term "antibody” is meant to include intact monoclonal antibodies, polyclonal antibodies, multispecific antibodies formed from at least two intact antibodies, and antibody fragments, so long as they exhibit the desired biological activity.
• Exemplary nonlimiting heparanase inhibitors include compounds that target, decrease, or inhibit heparin sulfate degradation, such as PI-88 and OGT2115.
• an inhibitor of Ras oncogenic iso forms such as H-Ras, K-Ras, or N-
• Ras refers to a compound which targets, decreases, or inhibits the oncogenic activity of Ras, for example, a farnesyl transferase inhibitor, such as L-
• telomerase inhibitors include compounds that target, decrease, or inhibit the activity of telomerase, such as compounds that inhibit the telomerase receptor, such as telomestatin.
• Exemplary nonlimiting proteasome inhibitors include compounds that target, decrease, or inhibit the activity of the proteasome including, but not limited to, bortezomid.
• FMS-like tyrosine kinase inhibitors which are compounds targeting, decreasing or inhibiting the activity of FMS-like tyrosine kinase receptors (Flt-3R); interferon, ⁇ - ⁇ -D-arabinofuransylcytosine (ara-c), and bisulfan; and ALK inhibitors, which are compounds which target, decrease, or inhibit anaplastic lymphoma kinase.
• Exemplary nonlimiting Flt-3 inhibitors include PKC412, midostaurin, a staurosporine derivative, SU1 1248, and MLN518.
• Exemplary nonlimiting HSP90 inhibitors include compounds targeting, decreasing, or inhibiting the intrinsic ATPase activity of HSP90; or degrading, targeting, decreasing or inhibiting the HSP90 client proteins via the ubiquitin proteosome pathway.
• Compounds targeting, decreasing or inhibiting the intrinsic ATPase activity of HSP90 are especially compounds, proteins, or antibodies that inhibit the ATPase activity of HSP90, such as 17-allylamino,17-demethoxygeldanamycin (17AAG), a geldanamycin derivative; other geldanamycin related compounds; radicicol and HDAC inhibitors.
• a compound targeting/decreasing a protein or lipid kinase activity; or a protein or lipid phosphatase activity; or any further anti-angiogenic compound includes a protein tyrosine kinase and/or serine and/or threonine kinase inhibitor or lipid kinase inhibitor, such as a) a compound targeting, decreasing, or inhibiting the activity of the platelet- derived growth factor-receptors (PDGFR), such as a compound that targets, decreases, or inhibits the activity of PDGFR, such as an N-phenyl-2-pyrimidine-amine derivatives, such as imatinib, SU101, SU6668, and GFB-111 ; b) a compound targeting, decreasing, or inhibiting the activity of the fibroblast growth factor-receptors (FGFR); c) a compound targeting, decreasing, or inhibiting the activity of the insulin-like growth factor receptor I (PDGFR), such as a compound that
• Bcr-Abl kinase and mutants, such as an N-phenyl-2-pyrimidine-amine derivative, such as imatinib or nilotinib; PD180970; AG957; NSC 680410; PD173955; or dasatinib; j) a compound targeting, decreasing, or inhibiting the activity of members of the protein kinase C (PKC) and Raf family of serine/threonine kinases, members of the MEK, SRC, JAK, FAK, PDK1, PKB/Akt, and Ras/MAPK family members, and/or members of the cyclin-dependent kinase family (CDK), such as a staurosporine derivative disclosed in U.S.
• PKC protein kinase C
• Raf family of serine/threonine kinases members of the MEK, SRC, JAK, FAK, PDK1, PKB/Akt, and Ras/MAPK family members,
• Patent No. 5,093,330 such as midostaurin
• examples of further compounds include UCN-01, safmgol, BAY 43-9006, bryostatin 1, perifosine; ilmofosine; RO 318220 and RO 320432; GO 6976; Isis 3521 ; LY333531/LY379196; a isochinoline compound; a farnesyl transferase inhibitor; PD 184352 or QAN697, or AT7519; k) a compound targeting, decreasing or inhibiting the activity of a protein- tyrosine kinase, such as imatinib mesylate or a tyrphostin, such as Tyrphostin A23/RG- 50810; AG 99; Tyrphostin AG 213; Tyrphostin AG 1748; Tyrphostin AG 490; Tyrphostin B44; Tyrphostin B44 (+) enantiomer; Tyrphostin AG 555; AG 494
• Exemplary compounds that target, decrease, or inhibit the activity of a protein or lipid phosphatase include inhibitors of phosphatase 1 , phosphatase 2A, or CDC25, such as okadaic acid or a derivative thereof.
• Further anti-angiogenic compounds include compounds having another mechanism for their activity unrelated to protein or lipid kinase inhibition, e.g., thalidomide and TNP-470.
• Additional, nonlimiting, exemplary chemotherapeutic compounds include: daunorubicin, adriamycin, Ara-C, VP-16, teniposide, mitoxantrone, idarubicin, carboplatinum, PKC412, 6-mercaptopurine (6-MP), fludarabine phosphate, octreotide, SOM230, FTY720, 6-thioguanine, cladribine, 6-mercaptopurine, pentostatin, hydroxyurea, 2-hydroxy-lH-isoindole-l,3-dione derivatives, l-(4-chloroanilino)-4-(4- pyridylmethyl)phthalazine or a pharmaceutically acceptable salt thereof, l-(4- chloroanilino)-4-(4-pyridylmethyl)phthalazine succinate,
• BET bromodomain inhibitor also can be combined, include, but are not limited to: a treatment for Alzheimer's Disease, such as donepezil and rivastigmine; a treatment for Parkinson's Disease, such as L-DOPA/carbidopa, entacapone, ropinrole, pramipexole, bromocriptine, pergolide, trihexephendyl, and amantadine; an agent for treating multiple sclerosis (MS) such as beta interferon ⁇ p.g., AVONEX® and REBIF®), glatiramer acetate, and mitoxantrone; a treatment for asthma, such as albuterol and montelukast; an agent for treating schizophrenia, such as zyprexa, risperdal, seroquel, and haloperidol; an anti-inflammatory agent, such as a corticosteroid, a TNF blocker, IL-1 RA, azathioprine, cyclophosp
• Compound of the Disclosure typically are administered in admixture with a pharmaceutical carrier selected with regard to the intended route of administration and standard pharmaceutical practice.
• Pharmaceutical compositions for use in accordance with the present disclosure are formulated in a conventional manner using one or more physiologically acceptable carriers comprising excipients and/or auxiliaries that facilitate processing of Compound of the Disclosure.
• compositions can be manufactured, for example, by conventional mixing, dissolving, granulating, dragee-making, emulsifying, encapsulating, entrapping, or lyophilizing processes. Proper formulation is dependent upon the route of administration chosen.
• a therapeutically effective amount of the Compound of the Disclosure is administered orally, the composition typically is in the form of a tablet, capsule, powder, solution, or elixir.
• the composition additionally can contain a solid carrier, such as a gelatin or an adjuvant.
• the tablet, capsule, and powder contain about 0.01% to about 95%, and preferably from about 1% to about 50%, of a Compound of the Disclosure.
• a liquid carrier such as water, petroleum, or oils of animal or plant origin
• the liquid form of the composition can further contain physiological saline solution, dextrose or other saccharide solutions, or glycols.
• the composition When administered in liquid form, the composition contains about 0.1% to about 90%, and preferably about 1% to about 50%>, by weight, of a Compound of the Disclosure.
• composition When a therapeutically effective amount of a Compound of the Disclosure is administered by intravenous, cutaneous, or subcutaneous injection, the composition is in the form of a pyrogen-free, parenterally acceptable aqueous solution.
• parenterally acceptable aqueous solution having due regard to pH, isotonicity, stability, and the like, is within the skill in the art.
• a preferred composition for intravenous, cutaneous, or subcutaneous injection typically contains, an isotonic vehicle.
• Compounds of the Disclosure can be readily combined with pharmaceutically acceptable carriers well-known in the art. Standard pharmaceutical carriers are described in Remington's Pharmaceutical Sciences, Mack Publishing Co., Easton, PA, 19th ed. 1995. Such carriers enable the active agents to be formulated as tablets, pills, dragees, capsules, liquids, gels, syrups, slurries, suspensions and the like, for oral ingestion by a patient to be treated.
• Pharmaceutical preparations for oral use can be obtained by adding the Compound of the Disclosure to a solid excipient, optionally grinding the resulting mixture, and processing the mixture of granules, after adding suitable auxiliaries, if desired, to obtain tablets or dragee cores. Suitable excipients include, for example, fillers and cellulose preparations. If desired, disintegrating agents can be added.
• Compound of the Disclosure can be formulated for parenteral administration by injection, e.g., by bolus injection or continuous infusion.
• Formulations for injection can be presented in unit dosage form, e.g., in ampules or in multidose containers, with an added preservative.
• the compositions can take such forms as suspensions, solutions, or emulsions in oily or aqueous vehicles, and can contain formulatory agents such as suspending, stabilizing, and/or dispersing agents.
• Pharmaceutical compositions for parenteral administration include aqueous solutions of the active agent in water-soluble form. Additionally, suspensions of a Compound of the Disclosure can be prepared as appropriate oily injection suspensions.
• Suitable lipophilic solvents or vehicles include fatty oils or synthetic fatty acid esters.
• Aqueous injection suspensions can contain substances which increase the viscosity of the suspension.
• the suspension also can contain suitable stabilizers or agents that increase the solubility of the compounds and allow for the preparation of highly concentrated solutions.
• a present composition can be in powder form for constitution with a suitable vehicle, e.g., sterile pyrogen-free water, before use.
• Compounds of the Disclosure also can be formulated in rectal compositions, such as suppositories or retention enemas, e.g., containing conventional suppository bases.
• the Compound of the Disclosure also can be formulated as a depot preparation.
• Such long-acting formulations can be administered by implantation (for example, subcutaneously or intramuscularly) or by intramuscular injection.
• the Compound of the Disclosure can be formulated with suitable polymeric or hydrophobic materials (for example, as an emulsion in an acceptable oil) or ion exchange resins.
• the Compounds of the Disclosure can be administered orally, buccally, or sublingually in the form of tablets containing excipients, such as starch or lactose, or in capsules or ovules, either alone or in admixture with excipients, or in the form of elixirs or suspensions containing flavoring or coloring agents.
• excipients such as starch or lactose
• capsules or ovules either alone or in admixture with excipients, or in the form of elixirs or suspensions containing flavoring or coloring agents.
• Such liquid preparations can be prepared with pharmaceutically acceptable additives, such as suspending agents.
• Compound of the Disclosure also can be injected parenterally, for example, intravenously, intramuscularly, subcutaneously, or intracoronarily.
• the Compound of the Disclosure are typically used in the form of a sterile aqueous solution which can contain other substances, for example, salts or monosaccharides, such as mannitol or glucose, to make the solution isotonic with blood.
• a sterile aqueous solution which can contain other substances, for example, salts or monosaccharides, such as mannitol or glucose, to make the solution isotonic with blood.
• kits which comprise a
• the kit includes a Compound of the Disclosure (or a composition comprising a Compound of the Disclosure) packaged in a manner that facilitates their use to practice methods of the present disclosure.
• the kit includes a Compound of the Disclosure (or a composition comprising a Compound of the Disclosure) packaged in a container, such as a sealed bottle or vessel, with a label affixed to the container or included in the kit that describes use of the compound or composition to practice the method of the disclosure.
• the compound or composition is packaged in a unit dosage form.
• the kit further can include a device suitable for administering the composition according to the intended route of administration.
• BET bromodomain means one or more of BRD2,
• BRD3, BRD4, and BRD-t or an isoform or mutant thereof.
• a disease or condition wherein inhibition of BET bromodomains provides a benefit pertains to a condition in which at least one of BRD2, BRD3, BRD4, and BRD-t, and/or an action of at least one of BRD2, BRD3, BRD4, and BRD-t, is important or necessary, e.g., for the onset, progress, expression of that disease or condition, or a disease or a condition which is known to be treated by a BET bromodomain inhibitor.
• examples of such conditions include, but are not limited to, a cancer, a chronic autoimmune disease, an inflammatory disease, a proliferative disease, sepsis, and a viral infection.
• One of ordinary skill in the art is readily able to determine whether a compound treats a disease or condition mediated by a BET bromodomain for any particular cell type, for example, by assays which conveniently can be used to assess the activity of particular compounds.
• second therapeutic agent refers to a therapeutic agent different from a Compound of the Disclosure and that is known to treat the disease or condition of interest.
• the second therapeutic agent can be a known chemotherapeutic drug, like taxol, or radiation, for example.
• disease or "condition” denotes disturbances and/or anomalies that as a rule are regarded as being pathological conditions or functions, and that can manifest themselves in the form of particular signs, symptoms, and/or malfunctions.
• a Compound of the Disclosure is a potent inhibitor of BET bromodomains and can be used in treating diseases and conditions wherein inhibition of BET bromodomains provides a benefit.
• the terms “treat,” “treating,” “treatment,” and the like refer to eliminating, reducing, or ameliorating a disease or condition, and/or symptoms associated therewith. Although not precluded, treating a disease or condition does not require that the disease, condition, or symptoms associated therewith be completely eliminated.
• the terms “treat,” “treating,” “treatment,” and the like may include “prophylactic treatment,” which refers to reducing the probability of redeveloping a disease or condition, or of a recurrence of a previously-controlled disease or condition, in a subject who does not have, but is at risk of or is susceptible to, redeveloping a disease or condition or a recurrence of the disease or condition.
• the term “treat” and synonyms contemplate administering a therapeutically effective amount of a Compound of the Disclosure to an individual in need of such treatment.
• treatment also includes relapse prophylaxis or phase prophylaxis, as well as the treatment of acute or chronic signs, symptoms and/or malfunctions.
• the treatment can be orientated symptomatically, for example, to suppress symptoms. It can be effected over a short period, be oriented over a medium term, or can be a long-term treatment, for example within the context of a maintenance therapy.
• terapéuticaally effective amount refers to an amount of the active ingredient(s) that is(are) sufficient, when administered by a method of the disclosure, to efficaciously deliver the active ingredient(s) for the treatment of condition or disease of interest to an individual in need thereof.
• the therapeutically effective amount of the agent may reduce (i.e., retard to some extent and preferably stop) unwanted cellular proliferation; reduce the number of cancer cells; reduce the tumor size; inhibit (i.e., retard to some extent and preferably stop) cancer cell infiltration into peripheral organs; inhibit (i.e., retard to some extent and preferably stop) tumor metastasis; inhibit, to some extent, tumor growth; reduce BET bromodomain signaling in the target cells; and/or relieve, to some extent, one or more of the symptoms associated with the cancer.
• the administered compound or composition prevents growth and/or kills existing cancer cells, it may be cytostatic and/or cytotoxic.
• container means any receptacle and closure therefore suitable for storing, shipping, dispensing, and/or handling a pharmaceutical product.
• insert means information accompanying a pharmaceutical product that provides a description of how to administer the product, along with the safety and efficacy data required to allow the physician, pharmacist, and patient to make an informed decision regarding use of the product.
• the package insert generally is regarded as the "label" for a pharmaceutical product.
• Constant administration means that two or more agents are administered concurrently to the subject being treated.
• concurrently it is meant that each agent is administered either simultaneously or sequentially in any order at different points in time. However, if not administered simultaneously, it is meant that they are administered to an individual in a sequence and sufficiently close in time so as to provide the desired therapeutic effect and can act in concert.
• a Compound of the Disclosure can be administered at the same time or sequentially in any order at different points in time as a second therapeutic agent.
• a Compound of the Disclosure and the second therapeutic agent can be administered separately, in any appropriate form and by any suitable route.
• a Compound of the Disclosure and the second therapeutic agent are not administered concurrently, it is understood that they can be administered in any order to a subject in need thereof.
• a Compound of the Disclosure can be administered prior to (e.g., 5 minutes, 15 minutes, 30 minutes, 45 minutes, 1 hour, 2 hours, 4 hours, 6 hours, 12 hours, 24 hours, 48 hours, 72 hours, 96 hours, 1 week, 2 weeks, 3 weeks, 4 weeks, 5 weeks, 6 weeks, 8 weeks, or 12 weeks before), concomitantly with, or subsequent to (e.g., 5 minutes, 15 minutes, 30 minutes, 45 minutes, 1 hour, 2 hours, 4 hours, 6 hours, 12 hours, 24 hours, 48 hours, 72 hours, 96 hours, 1 week, 2 weeks, 3 weeks, 4 weeks, 5 weeks, 6 weeks, 8 weeks, or 12 weeks after) the administration of a second therapeutic agent treatment modality (e.g., radiotherapy), to an individual in need thereof.
• a second therapeutic agent treatment modality e.g., radiotherapy
• a Compound of the Disclosure and the second therapeutic agent are administered 1 minute apart, 10 minutes apart, 30 minutes apart, less than 1 hour apart, 1 hour apart, 1 hour to 2 hours apart, 2 hours to 3 hours apart, 3 hours to 4 hours apart, 4 hours to 5 hours apart, 5 hours to 6 hours apart, 6 hours to 7 hours apart, 7 hours to 8 hours apart, 8 hours to 9 hours apart, 9 hours to 10 hours apart, 10 hours to 1 1 hours apart, 1 1 hours to 12 hours apart, no more than 24 hours apart or no more than 48 hours apart.
• the components of the combination therapies are administered at about 1 minute to about 24 hours apart.
• alkyl refers to a straight- or branched-chain aliphatic hydrocarbon containing one to twelve carbon atoms (z ' .e., Ci_i 2 alkyl) or the number of carbon atoms designated (i.e., a Ci alkyl such as methyl, a C 2 alkyl such as ethyl, a C 3 alkyl such as propyl or isopropyl, etc.).
• the alkyl group is chosen from a straight chain Ci_io alkyl group.
• the alkyl group is chosen from a branched chain C 3 _io alkyl group.
• the alkyl group is chosen from a straight chain Q_6 alkyl group. In another embodiment, the alkyl group is chosen from a branched chain C 3 _ 6 alkyl group. In another embodiment, the alkyl group is chosen from a straight chain Q_4 alkyl group. In another embodiment, the alkyl group is chosen from a branched chain Q_ 4 alkyl group. In another embodiment, the alkyl group is chosen from a straight or branched chain Q_ 4 alkyl group.
• Non-limiting exemplary Q_io alkyl groups include methyl, ethyl, propyl, isopropyl, butyl, sec-butyl, tert-butyl, z ' so-butyl, 3-pentyl, hexyl, heptyl, octyl, nonyl, decyl, and the like.
• Non-limiting exemplary Q_ 4 alkyl groups include methyl, ethyl, propyl, isopropyl, butyl, sec-butyl, tert-butyl, and z ' so-butyl.
• the term "optionally substituted alkyl" as used by itself or as part of another group means that the alkyl as defined above is either unsubstituted or substituted with one, two, or three substituents independently chosen from nitro, haloalkoxy, aryloxy, aralkyloxy, alkylthio, sulfonamido, alkylcarbonyl, arylcarbonyl, alkylsulfonyl, arylsulfonyl, carboxy, carboxyalkyl, cycloalkyl, and the like.
• the optionally substituted alkyl is substituted with two substituents.
• the optionally substituted alkyl is substituted with one substituent.
• Non-limiting exemplary optionally substituted alkyl groups include -CH 2 CH 2 N0 2 , -CH 2 S0 2 CH 3
• cycloalkyl refers to saturated and partially unsaturated (containing one or two double bonds) cyclic aliphatic hydrocarbons containing one to three rings having from three to twelve carbon atoms (i.e., C 3 _i 2 cycloalkyl) or the number of carbons designated.
• the cycloalkyl group has two rings.
• the cycloalkyl group has one ring.
• the cycloalkyl group is chosen from a C 3 _8 cycloalkyl group.
• the cycloalkyl group is chosen from a C 3 _ 6 cycloalkyl group.
• Non-limiting exemplary cycloalkyl groups include cyclopropyl, cyclobutyl, cyclopentyl, cyclohexyl, cycloheptyl, cyclooctyl, norbornyl, decalin, adamantyl, cyclohexenyl, and cyclopentenyl, cyclohexenyl.
• the term "optionally substituted cycloalkyl" as used by itself or as part of another group means that the cycloalkyl as defined above is either unsubstituted or substituted with one, two, or three substituents independently chosen from halo, nitro, cyano, hydroxy, amino, haloalkyl, hydroxyalkyl, alkoxy, haloalkoxy, aryloxy, aralkyloxy, alkylthio, carboxamido, sulfonamido, alkylcarbonyl, arylcarbonyl, alkylsulfonyl, arylsulfonyl, carboxy, carboxyalkyl, alkyl, optionally substituted cycloalkyl, alkenyl, alkynyl, optionally substituted aryl, optionally substituted heteroaryl, optionally substituted heterocyclo, alkoxyalkyl, (amino)alkyl, (amino)alkyl, (amin
• alkenyl refers to an alkyl group as defined above containing one, two or three carbon-to-carbon double bonds.
• the alkenyl group is chosen from a C 2 _6 alkenyl group.
• the alkenyl group is chosen from a C 2 _ 4 alkenyl group.
• Non- limiting exemplary alkenyl groups include ethenyl, propenyl, isopropenyl, butenyl, sec-butenyl, pentenyl, and hexenyl.
• the term "optionally substituted alkenyl” as used herein by itself or as part of another group means the alkenyl as defined above is either unsubstituted or substituted with one, two or three substituents independently chosen from halo, nitro, cyano, hydroxy, amino, alkylamino, dialkylamino, haloalkyl, hydroxyalkyl, alkoxy, haloalkoxy, aryloxy, aralkyloxy, alkylthio, carboxamido, sulfonamido, alkylcarbonyl, arylcarbonyl, alkylsulfonyl, arylsulfonyl, carboxy, carboxyalkyl, alkyl, cycloalkyl, alkenyl, alkynyl, aryl, heteroaryl, or heterocyclo.
• alkynyl refers to an alkyl group as defined above containing one to three carbon-to-carbon triple bonds.
• the alkynyl has one carbon- to-carbon triple bond.
• the alkynyl group is chosen from a C-6 alkynyl group.
• the alkynyl group is chosen from a Q_ 4 alkynyl group.
• Non-limiting exemplary alkynyl groups include ethynyl, propynyl, butynyl, 2- butynyl, pentynyl, and hexynyl groups.
• the term "optionally substituted alkynyl" as used herein by itself or as part of another group means the alkynyl as defined above is either unsubstituted or substituted with one, two or three substituents independently chosen from halo, nitro, cyano, hydroxy, amino, alkylamino, dialkylamino, haloalkyl, hydroxyalkyl, alkoxy, haloalkoxy, aryloxy, aralkyloxy, alkylthio, carboxamido, sulfonamido, alkylcarbonyl, arylcarbonyl, alkylsulfonyl, arylsulfonyl, carboxy, carboxyalkyl, alkyl, cycloalkyl, alkenyl, alkynyl, aryl, heteroaryl, or heterocyclo.
• haloalkyl refers to an alkyl group substituted by one or more fluorine, chlorine, bromine and/or iodine atoms.
• the alkyl group is substituted by one, two, or three fluorine and/or chlorine atoms.
• the haloalkyl group is chosen from a Q_ 4 haloalkyl group.
• Non-limiting exemplary haloalkyl groups include fluoromethyl, 2-fiuoroethyl, difluoromethyl, trifiuoromethyl, pentafiuoroethyl, 1 ,1-difiuoroethyl, 2,2-difiuoroethyl, 2,2,2- trifiuoroethyl, 3,3,3-trifiuoropropyl, 4,4,4-trifiuorobutyl, and trichloromethyl groups.
• hydroxyalkyl refers to an alkyl group substituted with one or more, e.g., one, two, or three, hydroxy groups.
• the hydroxyalkyl group is a monohydroxyalkyl group, i.e., substituted with one hydroxy group.
• the hydroxyalkyl group is a dihydroxyalkyl group, i.e., substituted with two hydroxy groups, e.g.,
• the hydroxyalkyl group is chosen from a Q_ 4 hydroxyalkyl group.
• Non- limiting exemplary hydroxyalkyl groups include hydroxymethyl, hydroxyethyl, hydroxypropyl and hydroxybutyl groups, such as 1 -hydro xyethyl, 2-hydroxyethyl, 1,2-dihydroxyethyl, 2-hydroxypropyl, 3- hydroxypropyl, 3-hydroxybutyl, 4-hydroxybutyl, 2-hydroxy-l-methylpropyl, and 1 ,3- dihydroxyprop-2-yl.
• alkoxy refers to an optionally substituted alkyl, optionally substituted cycloalkyl, optionally substituted alkenyl or optionally substituted alkynyl attached to a terminal oxygen atom.
• the alkoxy group is chosen from a C_ 4 alkoxy group.
• the alkoxy group is chosen from a Q_ 4 alkyl attached to a terminal oxygen atom, e.g., methoxy, ethoxy, and tert-butoxy.
• alkylthio refers to a sulfur atom substituted by an optionally substituted alkyl group.
• the alkylthio group is chosen from a C_ 4 alkylthio group.
• Non- limiting exemplary alkylthio groups include -SC3 ⁇ 4 and -SCH 2 CH 3 .
• alkoxyalkyl refers to an alkyl group substituted with an alkoxy group.
• Non-limiting exemplary alkoxyalkyl groups include methoxymethyl, methoxyethyl, methoxypropyl, methoxybutyl, ethoxymethyl, ethoxyethyl, ethoxypropyl, ethoxybutyl, propoxymethyl, iso-propoxymethyl, propoxyethyl, propoxypropyl, butoxymethyl, tert-butoxymethyl, isobutoxymethyl, sec-butoxymethyl, and pentyloxymethyl.
• haloalkoxy as used by itself or as part of another group refers to a haloalkyl attached to a terminal oxygen atom.
• Non-limiting exemplary haloalkoxy groups include fluoromethoxy, difluoromethoxy, trifluoromethoxy, and 2,2,2-trifluoroethoxy.
• aryl refers to a monocyclic or bicyclic aromatic ring system having from six to fourteen carbon atoms (z ' .e., C 6 -Ci4 aryl).
• Non-limiting exemplary aryl groups include phenyl (abbreviated as "Ph"), naphthyl, phenanthryl, anthracyl, indenyl, azulenyl, biphenyl, biphenylenyl, and fluorenyl groups.
• the aryl group is chosen from phenyl or naphthyl.
• the term "optionally substituted aryl" as used herein by itself or as part of another group means that the aryl as defined above is either unsubstituted or substituted with one to five substituents independently chosen from halo, nitro, cyano, hydroxy, amino, alkylamino, dialkylamino, haloalkyl, hydroxyalkyl, alkoxy, haloalkoxy, aryloxy, aralkyloxy, alkylthio, carboxamido, sulfonamido, alkylcarbonyl, arylcarbonyl, alkylsulfonyl, arylsulfonyl, carboxy, carboxyalkyl, alkyl, optionally substituted cycloalkyl, alkenyl, alkynyl, optionally substituted aryl, optionally substituted heteroaryl, optionally substituted heterocyclo, alkoxyalkyl, (amino)
• the optionally substituted aryl is an optionally substituted phenyl. In one embodiment, the optionally substituted phenyl has four substituents. In another embodiment, the optionally substituted phenyl has three substituents. In another embodiment, the optionally substituted phenyl has two substituents. In another embodiment, the optionally substituted phenyl has one substituent.
• Non-limiting exemplary substituted aryl groups include 2-methylphenyl, 2-methoxyphenyl, 2- fluorophenyl, 2-chlorophenyl, 2-bromophenyl, 3-methylphenyl, 3-methoxyphenyl, 3- fluorophenyl, 3-chlorophenyl, 4-methylphenyl, 4-ethylphenyl, 4-methoxyphenyl, 4- fluorophenyl, 4-chlorophenyl, 2,6-di-fluorophenyl, 2,6-di-chlorophenyl, 2-methyl, 3- methoxyphenyl, 2-ethyl, 3-methoxyphenyl, 3,4-di-methoxyphenyl, 3,5-di-fluorophenyl 3,5-di-methylphenyl, 3,5-dimethoxy, 4-methylphenyl, 2-fluoro-3-chlorophenyl, and 3- chloro-4-fluorophenyl.
• the term optionally substituted aryl
• aryloxy as used by itself or as part of another group refers to an optionally substituted aryl attached to a terminal oxygen atom.
• a non-limiting exemplary aryloxy group is PhO-.
• aralkyloxy refers to an aralkyl group attached to a terminal oxygen atom.
• a non- limiting exemplary aralkyloxy group is PhCFJO-.
• heteroalkyl refers to a stable straight or branched chain hydrocarbon radical containing 1 to 10 carbon atoms and at least two heteroatoms, which can be the same or different, selected from O, N, or S, wherein: 1) the nitrogen atom(s) and sulfur atom(s) can optionally be oxidized; and/or 2) the nitrogen atom(s) can optionally be quaternized.
• the heteroatoms can be placed at any interior position of the heteroalkyl group or at a position at which the heteroalkyl group is attached to the remainder of the molecule.
• the heteroalkyl group contains two oxygen atoms.
• the heteroalkyl contains one oxygen and one nitrogen atom. In one embodiment, the heteroalkyl contains two nitrogen atoms.
• Non- limiting exemplary heteroalkyl groups include -C3 ⁇ 4OCH 2 CH 2 OCH 3 , -OCH 2 CH 2 OCH 2 CH 2 OCH 3 , - CH 2 NHCH 2 CH 2 OCH 2 , -OCH 2 CH 2 NH 2 , -NHCH 2 CH 2 N(H)CH 3 , -NHCH 2 CH 2 OCH 3 and -OCH 2 CH 2 OCH 3 .
• heteroaryl or
• heteroaryl refers to monocyclic and bicyclic aromatic ring systems having 5 to 14 ring atoms (i.e., C5-C14 heteroaryl), wherein at least one carbon atom of one of the rings is replaced with a heteroatom independently selected from the group consisting of oxygen, nitrogen and sulfur.
• the heteroaryl contains 1, 2, 3, or 4 heteroatoms independently selected from the group consisting of oxygen, nitrogen and sulfur.
• the heteroaryl has three heteroatoms.
• the heteroaryl has two heteroatoms.
• the heteroaryl has one heteroatom.
• Non-limiting exemplary heteroaryl groups include thienyl, benzo[b]thienyl, naphtho[2,3-b]thienyl, thianthrenyl, furyl, benzofuryl, pyranyl, isobenzofuranyl, benzooxazonyl, chromenyl, xanthenyl, 2F/-pyrrolyl, pyrrolyl, imidazolyl, pyrazolyl, pyridyl, pyrazinyl, pyrimidinyl, pyridazinyl, isoindolyl, ⁇ - indolyl, indolyl, indazolyl, purinyl, isoquinolyl, quinolyl, phthalazinyl, naphthyridinyl, cinnolinyl, quinazolinyl, pteridinyl, 4aF/-carbazolyl, carbazolyl, ⁇ -carbol
• the heteroaryl is chosen from thienyl (g.g., thien-2-yl and thien-3-yl), furyl ⁇ e.g., 2-furyl and 3-furyl), pyrrolyl (e.g., lH-pyrrol-2-yl and lH-pyrrol-3-yl), imidazolyl (e.g., 2H-imidazol-2-yl and 2H-imidazol-4-yl), pyrazolyl ( g.g., lH-pyrazol-
• pyridyl ⁇ g.g., pyridin-2-yl, pyridin-3-yl, and pyridin-4-yl
• pyrimidinyl e.g., pyrimidin-2-yl, pyrimidin-4-yl, and pyrimidin-5- yl
• thiazolyl e.g., thiazol-2-yl, thiazol-4-yl, and thiazol-5-yl
• isothiazolyl ⁇ .g., isothiazol-3-yl, isothiazol-4-yl, and isothiazol-5-yl
• oxazolyl ⁇ .g., oxazol-2-yl, oxazol-
• heteroaryl is also meant to include possible N-oxides.
• a non-limiting exemplary N-oxide is pyridyl N-oxide.
• the heteroaryl is a 5- or 6-membered heteroaryl.
• the heteroaryl is a 5-membered heteroaryl, i.e., the heteroaryl is a monocyclic aromatic ring system having 5 ring atoms wherein at least one carbon atom of the ring is replaced with a heteroatom independently selected from nitrogen, oxygen, and sulfur.
• Non- limiting exemplary 5-membered heteroaryl groups include thienyl, furyl, pyrrolyl, oxazolyl, pyrazolyl, imidazolyl, thiazolyl, isothiazolyl, and isoxazolyl.
• the heteroaryl is a 6-membered heteroaryl, e.g., the heteroaryl is a monocyclic aromatic ring system having 6 ring atoms wherein at least one carbon atom of the ring is replaced with a nitrogen atom.
• Non-limiting exemplary 6-membered heteroaryl groups include pyridyl, pyrazinyl, pyrimidinyl, and pyridazinyl.
• the term "optionally substituted heteroaryl" as used by itself or as part of another group means that the heteroaryl as defined above is either unsubstituted or substituted with one to four substituents,e.g., one or two substituents, independently chosen from halo, nitro, cyano, hydroxy, amino, alkylamino, dialkylamino, haloalkyl, hydroxyalkyl, alkoxy, haloalkoxy, aryloxy, aralkyloxy, alkylthio, carboxamido, sulfonamido, alkylcarbonyl, arylcarbonyl, alkylsulfonyl, arylsulfonyl, carboxy, carboxyalkyl, alkyl, optionally substituted cycloalkyl, alkenyl, alkynyl, optionally substituted aryl, optionally substituted heteroaryl, optionally substituted heterocyclo, al
• optionally substituted heteroaryl is also meant to include groups having fused optionally substituted cycloalkyl and fused optionally substituted heterocyclo rings.
• Non-limiting examples include:
• heterocyclo as used by itself or as part of another group refers to saturated and partially unsaturated (e.g., containing one or two double bonds) cyclic groups containing one, two, or three rings having from three to fourteen ring members (.e., a 3- to 14-membered heterocyclo) wherein at least one carbon atom of one of the rings is replaced with a heteroatom.
• Each heteroatom is independently selected from the group consisting of oxygen, sulfur, including sulfoxide and sulfone, and/or nitrogen atoms, which can be oxidized or quaternized.
• cyclic ureido groups such as 2-imidazolidinone
• cyclic amide groups such as ⁇ -lactam, ⁇ -lactam, ⁇ -lactam, ⁇ -lactam, and piperazin-2-one.
• heterocyclo is also meant to include groups having fused optionally substituted aryl groups, e.g., indolinyl, chroman-4-yl.
• the heterocyclo group is chosen from a 5- or 6- membered cyclic group containing one ring and one or two oxygen and/or nitrogen atoms.
• the heterocyclo can be optionally linked to the rest of the molecule through any available carbon or nitrogen atom.
• Non-limiting exemplary heterocyclo groups include dioxanyl, tetrahydropyranyl, 2-oxopyrrolidin-3-yl, piperazin-2-one, piperazine-2,6- dione, 2-imidazolidinone, piperidinyl, morpholinyl, piperazinyl, pyrrolidinyl, and indolinyl.
• amino refers to -NR 7a R 7b , wherein R 7a and R 7b are each independently hydrogen, alkyl, hydroxyalkyl, optionally substituted cycloalkyl, optionally substituted aryl, optionally substituted heterocyclo, or optionally substituted heteroaryl, or and R 7b are taken together to form a 3- to 8-membered optionally substituted heterocyclo.
• Non-limiting exemplary amino groups include -Nf3 ⁇ 4 and -N(H)(CH 3 ).
• (amino)alkyl refers to an alkyl group substituted with an amino group.
• Non-limiting exemplary amino alkyl groups include -C3 ⁇ 4CH 2 NH 2 , and -CH 2 CH 2 N(H)CH 3 , -CH 2 CH 2 N(CH 3 ) 2 , and -CH 2 N(H)cyclopropyl.
• I ⁇ a and R 9b are each independently hydrogen or optionally substituted alkyl.
• R ⁇ and R 9b are taken together to taken together with the nitrogen to which they are attached form a 3- to 8-membered optionally substituted heterocyclo group.
• Non-limiting exemplary carboxamido groups include, but are not limited to, -CONH 2 , -CON(H)CH 3 , -CON(CH 3 ) 2 , -CON(H)Ph,
• sulfonamido refers to a radical of the formula -SQNR 8a R 8b , wherein R 8a and R 8b are each independently hydrogen, optionally substituted alkyl, or optionally substituted aryl, or R 8a and R 8b taken together with the nitrogen to which they are attached from a 3- to 8-membered heterocyclo group.
• Non- limiting exemplary sulfonamido groups include -SQ>NH 2 , -S0 2 N(H)CH 3 , and -S0 2 N(H)Ph.
• a non- limiting exemplary alkylcarbonyl group is -COCFJ.
• a non- limiting exemplary arylcarbonyl group is -COPh.
• alkylsulfonyl as used by itself or as part of another group refers to a sulfonyl group, i.e., -S0 2 -, substituted by any of the above-mentioned optionally substituted alkyl groups.
• a non-limiting exemplary alkylsulfonyl group is -S(3 ⁇ 4CH 3 .
• arylsulfonyl as used by itself or as part of another group refers to a sulfonyl group, i.e., -S0 2 -, substituted by any of the above-mentioned optionally substituted aryl groups.
• a non- limiting exemplary arylsulfonyl group is -S(3 ⁇ 4Ph.
• mercaptoalkyl as used by itself or as part of another group refers to any of the above-mentioned alkyl groups substituted by a -SH group.
• carboxy as used by itself or as part of another group refers to a radical of the formula -COOH.
• the term "carboxyalkyl” as used by itself or as part of another group refers to any of the above-mentioned alkyl groups substituted with a -COOH.
• a non-limiting exemplary carboxyalkyl group is -CH 2 C0 2 H.
• the terms "aralkyl” or “arylalkyl” as used by themselves or as part of another group refers to an alkyl group substituted with one, two, or three optionally substituted aryl groups.
• the optionally substituted aralkyl group is a Q_ 4 alkyl substituted with one optionally substituted aryl group.
• the optionally substituted aralkyl group is a Ci or C 2 alkyl substituted with one optionally substituted aryl group. In one embodiment, the optionally substituted aralkyl group is a Q or C 2 alkyl substituted with one optionally substituted phenyl group.
• Non-limiting exemplary optionally substituted aralkyl groups include benzyl, phenethyl, -CHPh>, -CH 2 (4-F-Ph), -CH 2 (4-Me- Ph), -CH 2 (4-CF 3 -Ph), and -CH(4-F-Ph)z.
• the terms "(heterocyclo)alkyl” as used by itself or part of another group refers to an alkyl group substituted with an optionally substituted heterocyclo group.
• the (heterocyclo)alkyl is a C_ 4 alkyl substituted with one optionally substituted heterocyclo group.
• Non-limiting exemplary (heterocyclo)alkyl groups include:
• the term "(carboxamido)alkyl” as used by itself or as part of another group refers to an alkyl group substituted with one or two carboxamido groups.
• the (carboxamido)alkyl is a Q_ 4 alkyl substituted with one carboxamido group.
• the (carboxamido)alkyl is a Q_ 4 alkyl substituted with two carboxamido groups.
• Non-limiting exemplary (carboxamido)alkyl groups include -CH 2 CONH 2 , -C(H)CH 3 -CONH 2 , -CH 2 CON(H)CH 3 , and -CH(C0 2 NH 2 )CH- 2CH 2 C0 2 NH 2
• Step 1 To a round-bottom flask, S6 (0.37 g, 1.1 mmol) and MeCN (20 mL) were added at room temperature. Dry HCl was bubbled through MeCN for 30 min and the reaction mixture was warmed up to reflux (ca, 82 °C) for 2.5 h. The reaction was then cooled to room temperature and the volatile components were removed on a rotary evaporator. To this crude mixture, 10% NaOH aqueous solution (20 mL) and EtOH (50 mL) were added and the solution was heated at reflux for 6 h. The volatile components were then removed on a rotary evaporator and the aqueous residue was acidified with 2N HCl aqueous solution.
• Step 2 To a round-bottom flask, S12 (0.278 g, 0.8 mmol) and POCJ (8 mL) were added. The mixture was heated at 90 °C for 6 h. The reaction mixture was cooled to room temperature and the volatile components were removed on a rotary evaporator.
• Step 1 S6 (0.45 g, 1.4 mmol), ammonium formate (1.06 g, 17 mmol), and formamide (16 mL) were heated at 175 °C for 14 h. The reaction was cooled to room temperature and water was added. Filtration of the mixture yielded S7 as a brown solid (0.24 g, 0.77 mmol, 55% yield).
• Step 2 S7 (0.24 g, 0.77 mmol) was dissolved in POQ (10 mL) and the mixture was heated at 90°C for 5 h. The mixture was cooled to room temperature and the volatile components were removed on a rotary evaporator. Ethyl acetate (20 mL) was added at 0°C, followed by NaHC(3 ⁇ 4 (20 mL) and water (20 mL). The mixture was filtered and the desired CD54 product was collected as a brown solid (0.17 g). The aqueous layer was extracted with ethyl acetate and the combined organic layers were washed with brine and dried over anhydrous N3 ⁇ 4S0 4 .
• Step 2 CD171 (0.26 g) was mixed with phosphorus(V) oxychloride (5 mL) and heated at 90 °C for 6 h. The mixture was concentrated in vacuum and neutralized with excess aqueous NaHCQ saturated solution. Ethyl acetate (30 mL) was added and the precipitate was collected by filtration. The solid residue was washed with diethyl ether to furnish CD177 in 120 mg (43% yield).
• Step 1 S6 (300 mg), tetrahydropyranyl-4-carbonitrile (330 mg), and dioxane
• Step 2 CD188 (0.12 g) was mixed with phosphorus(V) oxychloride (10 mL) and heated at 90 °C for 6 h. The mixture was concentrated in vacuum and neutralized with excess aqueous NaHCO? saturated solution. Ethyl acetate (20 mL) was added and the precipitate was collected by filtration. The solid residue was washed with diethyl ether to furnish CD197 in 80 mg (63% yield).
• Step 1 2-(Hydroxyimino)-l-phenylbutane-l,3-dione (1.3 g) and isopropyl hydrazine (500 mg) were dissolved in ethanol. The solution was stirred at ambient temperature for overnight. The volatile components were removed a rotary evaporator. Ethyl acetate and water were added and the aqueous layer was extracted with ethyl acetate. The combined organic layers were dried and concentrated on a rotary evaporator.
• Step 2 The previous remaining residue was dissolved in acetic acid (20 mL) followed by addition of zinc powder (1.8 g). The mixture was heat at 80 °C for overnight. The mixture was filtered and the filtrate was concentrated. The remaining residue was purified on preparative HPLC to yield the desired product CE261 in 96 mg as a salt of trifluoroacetic acid.
• Oxazole-2-carbaldehyde (1 g), sulfur (352 mg), and 2-amino-2- phenylacetonitrile-HCl (1.69 g) were mixed in ethanol (50 mL). Triethyl amine (2.1 mL) was added and the mixture was heated at 50°C for 1 h. The mixture was cooled to ambient temperature and aqueous hydroxylamine (hydroxylamine-HCl 1.90 g neutralized by sodium hydroxide) was added. The reaction was stirred at ambient temperature for overnight. The reaction mixture was filtered, concentrated, and partitioned between ethyl acetate and water. The aqueous layer was extracted with ethyl acetate.
• Step 1 (3 -Chlorophenyl) hydrazine (415 mg), 3-oxobutanenitrile (895 mg), and sodium acetate (415 mg) were dissolved in ethanol (20 mL). The solution was heated at reflux for overnight. The reaction mixture was concentrated and partitioned between ethyl acetate and water. The aqueous layer was extracted with ethyl acetate. The combined organic layers were dried and concentrated on a rotary evaporator.
• Step 2 The previous remaining residue was dissolved in methanol and trifiuoroacetic acid (1 mL) was added. The mixture was left at ambient temperature for overnight. The reaction mixture was concentrated and neutralized by sodium bicarbonate saturated solution. The aqueous layer was extracted with ethyl acetate. The combined organic layers were dried and concentrated on a rotary evaporator. The remaining residue was purified by flash column chromatography to yield CE280 in 0.84 g.
• Cpd. No. 8 was prepared from S 13 (68 mg) and l,3-dimethyl-lH-pyrazol-5- amine (50 mg) following the same procedure for preparation of Cpd. No. 7.
• Cpd. No. 8 was isolated as a CF 3 C0 2 H salt in 40 mg.
• Cpd. No. 9 was prepared from S13 (70 mg) and 1 -isopropyl-3 -methyl- 1H- pyrazol-5 -amine (640 mg) following the same procedure for preparation of Cpd. No. 7.
• Cpd. No. 9 was isolated as a CF 3 C0 2 H salt in 26 mg.
• Cpd. No. 22 was prepared from S13 (102 mg) and l-isopropyl-3-
• Cpd. No. 10 was prepared from S13 (68 mg) and l-methyl-lH-pyrazolo[3,4- b]pyridin-3 -amine (60 mg) following the same procedure for preparation of Cpd. No. 7.
• Cpd. No. 10 was isolated as a CF 3 CO 2 H salt in 32 mg.
• Cpd. No. 11 was prepared from S13 (70 mg) and 1 -methyl- lH-pyrazolo [4,3- c]pyridin-3 -amine (60 mg) following the same procedure for preparation of Cpd. No. 7.
• Cpd. No. 11 was isolated as a CF 3 CO 2 H salt in 47 mg.
• Step 1 1-Aminopyridinium iodide (10 g), ethyl but-2-ynoate (6.05 g), potassium carbonate (7.45 g) were mixed in anhydrous DMF (50 mL). The reaction mixture was stirred at ambient temperature for 3 days. A mixture of water (100 mL), ethyl acetate (100 mL) and hexane (100 mL) was added and the product was collected by filtration.
• Step 2 6.4 g of ethyl 2-methylpyrazolo[l,5-a]pyridine-3-carboxylate was dissolved in a mixture of methanol (40 mL) and THF (40 mL). To this mixture, 8 N NaOH (20 mL) was added and the mixture was heated at reflux for 70°C for overnight. Acid-base work-up of the reaction mixture yielded CD 157 in 4.1 g (75% yield), which was used without further purification.
• Step 3 CD 157 (350 mg) and tri ethyl amine (0.5 mL) were dissolved in tert- butanol (5 mL). Diphenyl phosphoryl azide (DPPA, 0.65 mL) was added via a syringe. The reaction mixture was stirred at ambient temperature for overnight followed by heat-up at reflux for 24 hours. The reaction mixture was then filtered and washed with tert-butanol. The mixture was concentrated and purified by flash column chromatography to yield CE298 in 1 16 mg.
• DPPA Diphenyl phosphoryl azide
• Pd 2 (dba)3 (18 mg) and BINAP (26 mg) were mixed in anhydrous toluene. And the mixture was heated at reflux for 3-4 minutes. This mixture was transferred into a round-bottom flask containing S 13 (60 mg), 4-tert-butyl-l,3-thiazol-5-amine (84 mg), K 3 PO 4 (130 mg), and toluene (1 mL). The mixture was heated at reflux for overnight before quenching with methanol. The reaction mixture was filtered and the mixture was purified by HPLC to yield Cpd. No. 33 as a CF 3 CO 2 H salt in 4 mg.
• 3,5-dimethylisoxazole-4-boronic acid pinacol ester (655 mg, 2.0 mmol), and 3 ⁇ 4C0 3 (345 mg, 2.5 mmol) were dissolved in DME/3 ⁇ 40 (50 mL/25 mL) system. Then vacuumed, and refilled with N2. After that, tetrakis(triphenylphosphine)palladium (0) was added, followed by vacuuming and refilling with Nj. The reaction mixture was heated to reflux for overnight, when cooled to room temperature, it was extracted with EtOAc, and the combined organic fractions were concentrated before purification in prep-RFLC. 57 mg (34.6%) of the titled compound was obtained after being lyophilized for 24 hours as a pale yellow powder.
• Step 1 LiHMDS (10 mL of 1.0 M in THF) was cooled to -78 °C for 10 min.
• Step 2 The residue from step 1 was dissolved in ethanol and methyl hydrazine

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