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  • 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
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  • A61P3/08—Drugs for disorders of the metabolism for glucose homeostasis
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• • A—HUMAN NECESSITIES
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Definitions

• the present invention relates to novel compounds which modulate the activity of RORy and their use as medicaments.
• RORy retinoic acid receptor related orphan receptor gamma
• RORyt retinoic acid receptor related orphan receptor gamma
• IL-17 Interleukin 17
• the invention comprises a novel class of heteroaromatic compounds and methods for making and using the same, said compounds having the general structure of formula (I), wherein the substituent groups are as herein defined:
• These compounds are useful for the treatment of autoimmune and allergic disorders in that they exhibit potent inhibitory activity against RORy.
• a goal of the present invention is to provide compounds with metabolic stability properties consistent with acceptable pharmacokinetic properties.
• compounds having poor metabolic stability may not readily achieve desirable therapeutic levels.
• the preferred compounds of the present invention would be expected to have metabolic stability properties consistent with being a suitable drug.
• the last named subgroup is the radical attachment point
• the substituent "aryl-Ci- 3 -alkyl” means an aryl group which is bound to a Ci- 3 -alkyl-group, the latter of which is bound to the core or to the group to which the substituent is attached.
• the substituent "-S(0) n Ci- 6 alkyl” means a Ci- 6 -alkyl-group which is bound to an S(0) n group, the latter of which is bound to the core or to the group to which the substituent is attached.
• Alkyl denotes monovalent, saturated hydrocarbon chains, which may be present in both straight- chain (unbranched) and branched form. If an alkyl is substituted, the substitution may take place independently of one another, by mono- or polysubstitution in each case, on all the hydrogen- carrying carbon atoms.
• Ci_ 5 alkyl includes for example H 3 C-, H 3 C-CH 2 -, H 3 C-CH 2 -CH 2 -, H 3 C- CH(CH 3 )-, H 3 C-CH 2 -CH 2 -CH 2 -, H 3 C-CH 2 -CH(CH 3 )-, H 3 C-CH(CH 3 )-CH 2 -, H 3 C-C(CH 3 ) 2 -, H 3 C-CH 2 -CH 2 -CH 2 -CH 2 -, H 3 C-CH 2 -CH 2 -CH(CH 3 )-, H 3 C-CH 2 -CH(CH 3 )-CH 2 -, H 3 C-CH(CH 3 )- CH 2 -CH 2 -, H 3 C-CH 2 -C(CH 3 ) 2 -, H 3 C-C(CH 3 ) 2 -CH 2 -, H 3 C-CH(CH 3 )-CH(CH 3 )- and
• alkyl are methyl (Me; -CH 3 ), ethyl (Et; -CH 2 CH 3 ), 1-propyl (n-propyl; n- Pr; -CH 2 CH 2 CH 3 ), 2-propyl (z ' -Pr; wo-propyl; -CH(CH 3 ) 2 ), 1 -butyl (n-butyl; n- Bu; -CH 2 CH 2 CH 2 CH 3 ), 2-methyl- 1-propyl (wo-butyl; z ' -Bu; -CH 2 CH(CH 3 ) 2 ), 2-butyl (sec-butyl; sec-Bu; -CH(CH 3 )CH 2 CH 3 ), 2-methyl-2-propyl (tert-butyl; t-Bu; -C(CH 3 ) 3 ),l-pentyl n-pentyl; - CH 2 CH 2 CH 2 CH 3 ), 2-pentyl (-CH(CH 3 )
• alkyl also applies if alkyl is a part of another (combined) group such as for example C x _ y alkylamino or C x _ y alkoxy.
• alkenyl when used alone or in combination, consists of at least two carbon atoms, wherein at least two adjacent carbon atoms are joined together by a C-C double bond and a carbon atom can only be part of one C-C double bond. If in an alkyl as hereinbefore defined having at least two carbon atoms, two hydrogen atoms on adjacent carbon atoms are formally removed and the free valencies are saturated to form a second bond, the corresponding alkenyl is formed. Alkenyl may optionally be present in the cis or trans or E or Z orientation with regard to the double bond(s).
• alkynyl when used alone or in combination, consists of at least two carbon atoms, wherein at least two adjacent carbon atoms are joined together by a C-C triple bond. If in an alkyl as hereinbefore defined having at least two carbon atoms, two hydrogen atoms in each case at adjacent carbon atoms are formally removed and the free valencies are saturated to form two further bonds, the corresponding alkynyl is formed.
• Haloalkyl when used alone or in combination, is derived from the previously defined alkyl (alkenyl, alkynyl) by replacing one or more hydrogen atoms of the hydrocarbon chain independently of one another by halogen atoms, which may be identical or different. If a haloalkyl (haloalkenyl, haloalkynyl) is to be further substituted, the substitutions may take place independently of one another, in the form of mono- or polysubstitutions in each case, on all the hydrogen-carrying carbon atoms.
• haloalkyl haloalkenyl, haloalkynyl
• haloalkyl haloalkenyl, haloalkynyl
• -CC1 CH 2
• -CBr CH 2 , - C ⁇ C-CF 3 , -CHFCH 2 CH 3 , -CHFCH 2 CF 3 etc.
• Halogen relates to fluorine, chlorine, bromine and/or iodine atoms.
• cycloalkyl when used alone or in combination, refers to a nonaromatic 3 to 12- membered (but preferably, 3 to 6-membered) monocyclic carbocyclic radical or a nonaromatic 6 to 10-membered fused bicyclic, bridged bicyclic, propellane or spirocyclic carbocyclic radical.
• the C 3 _i 2 cycloalkyl may be either saturated or partially unsaturated, and the carbocycle may be attached by any atom of the cycle which results in the creation of a stable structure.
• Non-limiting examples of 3 to 10-membered monocyclic carbocycles include cyclopropyl, cyclobutyl, cyclopentyl, cyclopentenyl, cyclohexyl, cyclohexenyl, cycloheptanyl, cycloheptenyl, and cyclohexanone.
• Non-limiting examples of 6 to 10-membered fused bicyclic carbocyclic radicals include bicyclo[l.l. l]pentane, bicyclo[3.3.0]octane, bicyclo[4.3.0]nonane, and bicyclo[4.4.0]decanyl (decahydronaphthalenyl).
• Non-limiting examples of 6 to 10-membered bridged bicyclic carbocyclic radicals include bicyclo[2.2.2]heptanyl, bicyclo[2.2.2]octanyl, and bicyclo[3.2.1]octanyl.
• Non-limiting examples of 6 to 10-membered propellane carbocyclic radicals include but are not limited to [l.l. l.]propellane, [3.3.3]propellane and [3.3.1]propellane.
• Non-limiting examples of 6 to 10-membered spirocyclic carbocyclic radicals include but are not limited to spiro[3,3]heptanyl, spiro[3,4]octanyl and spiro[4,4]heptanyl.
• heterocyclyl when used alone or in combination, refers to a heterocyclic ring system that contains 2-10 carbon atoms and one to four heteroatom ring atoms chosen from NH, NR', oxygen and sulfur wherein R' is Ci_ 6 alkyl.
• heterocyclyl includes stable nonaromatic 4-8 membered monocyclic heterocyclic radicals or a stable nonaromatic 6 to 11-membered fused bicyclic, bridged bicyclic or spirocyclic heterocyclic radical.
• the heterocycle may be either completely saturated or partially unsaturated. In one embodiment the heterocycle is a C 3 _ 6 heterocycle, i.e., containing 3 to 6 ring carbon atoms.
• Non-limiting examples of nonaromatic monocyclic heterocyclic radicals include tetrahydrofuranyl, azetidinyl, pyrrolidinyl, pyranyl, tetrahydropyranyl, dioxanyl, thiomorpholinyl, l,l-dioxo-l.lamda 6 -thiomorpholinyl, morpholinyl, piperidinyl, piperazinyl, and azepinyl.
• Non-limiting examples of nonaromatic 6 to 11-membered fused bicyclic radicals include octahydroindolyl, octahydrobenzofuranyl, and octahydrobenzothiophenyl.
• Non-limiting examples of nonaromatic 6 to 11-membered bridged bicyclic radicals include 2-azabicyclo[2.2.1]heptanyl, 3-azabicyclo[3.1.0]hexanyl, and 3- azabicyclo[3.2.1]octanyl.
• Non-limiting examples of nonaromatic 6 to 11-membered spirocyclic heterocyclic radicals include 7-aza-spiro[3,3]heptanyl, 7-spiro[3,4]octanyl, and 7-aza- spiro[3,4]octanyl.
• Sulfur and nitrogen may optionally be present in all the possible oxidation stages (for example, sulfur: sulfoxide -SO-, sulfone -SO 2 -; nitrogen: N-oxide).
• aryl when used alone or in combination, refers to an aromatic hydrocarbon ring containing from six to fourteen carbon ring atoms (e.g., a C 6 -i4 aryl, preferably C 6-1 o aryl).
• C 6-14 aryl includes monocyclic rings, fused rings and bicyclic rings where at least one of the rings is aromatic.
• Non-limiting examples of C 6 -i4 aryls include phenyl, indanyl, indenyl, benzocyclobutanyl, dihydronaphthyl, tetrahydronaphthyl, naphthyl, benzocycloheptanyl and benzocycloheptenyl.
• heteroaryl when used alone or in combination, refers to a heteroaromatic ring system that contains 2-10 carbon atoms and 1-4 heteroatom ring atoms selected from N, NH, NR', O and S wherein R' is C 1-6 alkyl.
• heteroaryl includes aromatic 5 to 6-membered monocyclic heteroaryls and aromatic 7 to 11-membered heteroaryl bicyclic or fused_rings where at least one of the rings is aromatic.
• Non-limiting examples of 5 to 6-membered monocyclic heteroaryl rings include furanyl, oxazolyl, isoxazolyl, oxadiazolyl, pyranyl, thiazolyl, pyrazolyl, pyrrolyl, imidazolyl, tetrazolyl, triazolyl, thienyl, thiadiazolyl, pyridinyl, pyrimidinyl, pyridazinyl, pyrazinyl, triazinyl, and purinyl.
• Non-limiting examples of 7 to 11-membered heteroaryl bicyclic or fused rings include benzimidazolyl, 1,3- dihydrobenzoimidazol-2-one, quinolinyl, dihydro-2H-quinolinyl, isoquinolinyl, quinazolinyl, indazolyl, thieno[2,3-d]pyrimidinyl, indolyl, isoindolyl, indazolyl, benzotriazolyl, benzofuranyl, benzopyranyl, benzodioxolyl, benzoxazolyl, benzothiazolyl, pyrrolo[2,3-b]pyridinyl, and imidazo[4,5-b]pyridinyl.
• Sulfur and nitrogen may optionally be present in all the possible oxidation stages (for example, sulphur: sulfoxide -SO-, sulfone -SO 2 -; nitrogen: N-oxide
• the compounds of the invention are only those which are contemplated to be chemically stable as will be appreciated by those skilled in the art.
• a compound which would have a "dangling valency", or a carbanion are not compounds contemplated by the inventive methods disclosed herein.
• a given chemical formula or name shall encompass tautomers and all stereo, optical and geometrical isomers (e.g. enantiomers, diastereomers, EIZ isomers, etc.) and racemates thereof as well as mixtures in different proportions of the separate enantiomers, mixtures of diastereomers, or mixtures of any of the foregoing forms where such isomers and enantiomers exist, as well as salts, including pharmaceutically acceptable salts thereof, and their corresponding unsolvated as well as solvated forms with pharmaceutically acceptable solvents such as water, ethanol and the like.
• pharmaceutically acceptable solvents such as water, ethanol and the like.
• Compounds of the invention also include their isotopically-labelled forms.
• An isotopically- labelled form of an active agent of a combination of the present invention is identical to said active agent but for the fact that one or more atoms of said active agent have been replaced by an atom or atoms having an atomic mass or mass number different from the atomic mass or mass number of said atom which is usually found in nature.
• isotopes which are readily available commercially and which can be incorporated into an active agent of a combination of the present invention in accordance with well established procedures, include isotopes of
• phrases "pharmaceutically acceptable” is employed herein to refer to those compounds, materials, compositions, and/or dosage forms which are, within the scope of sound medical judgement, suitable for use in contact with the tissues of human beings and animals without excessive toxicity, irritation, allergic response, or other problem or complication, and commensurate with a reasonable benefit/risk ratio.
• Pharmaceutically acceptable salts include those derived from pharmaceutically acceptable inorganic and organic acids and bases.
• acids examples include hydrochloric, hydrobromic, sulfuric, nitric, perchloric, fumaric, maleic, phosphoric, glycolic, lactic, salicylic, succinic, toluene-p-sulfuric, tartaric, acetic, citric, methanesulfonic, formic, benzoic, malonic, naphthalene-2- sulfuric and benzenesulfonic acids.
• Other acids such as oxalic acid, while not themselves pharmaceutically acceptable, may be employed in the preparation of salts useful as intermediates in obtaining the compounds and their pharmaceutically acceptable acid addition salts.
• salts can be formed with cations from metals like aluminium, calcium, lithium, magnesium, potassium, sodium, zinc and the like (also see Pharmaceutical salts, Birge, S.M. et al., J. Pharm. Sci., (1977), 66, 1-19).
• the pharmaceutically acceptable salts of the present invention can be synthesised from the parent compound which contains a basic or acidic moiety by conventional chemical methods. Generally, such salts can be prepared by reacting the free acid or base form of these compounds with a sufficient amount of the appropriate base or acid in water or in an organic diluent like ether, ethyl acetate, ethanol, isopropanol, or acetonitrile, or a mixture thereof.
• a therapeutically effective amount for the purposes of this invention is meant a quantity of substance that is capable of obviating symptoms of illness or alleviating these symptoms, or which prolong the survival of a treated patient.
• Embodiments of the Invention A general embodiment of the invention is directed to a compound of formula (I) below:
• X is N and Y is C;
• X is C and Y is N;
• W is selected from pyridinyl, pyrimidinyl, pyrizinyl and phenyl;
• R 1 is selected from -S(0) n R 7 , -S(0) 11 NR 8 R 9 , and - S(0)(NH)R 7 ;
• R 7 is Ci-3 alkyl
• RR 8 8 aanndd RR 9 9 a are each -H;
• n 1 or 2;
• R 2 is Ci_ 6 alkyl, optionally substituted with one or two groups independently selected from C3_ 6 cycloalkyl, halogen, -CF 3 and -CN;
• R is selected from
• R 4 and R 5 are independently selected from Ci ⁇ alkyl, cyclopropyl and methoxy;
• R 6 is selected from H, -NH 2 , Ci- 3 alkyl, cyclopropyl and methoxy; and the pharmaceutically acceptable salts thereof.
• R 6 is selected from H, -NH 2 , Ci- 3 alkyl, cyclopropyl and methoxy; and the pharmaceutically acceptable salts thereof.
• X is N and Y is C;
• X is C and Y is N;
• W is selected from 2-pyridinyl, 3-pyridinyl, 2-pyrimidinyl and phenyl;
• R 1 is selected from -S(0) n R 7 ; wherein R 7 is Ci_ 3 alkyl and n is 2;
• R is Ci_ 6 alkyl, optionally substituted with one or two groups independently selected from cyclopropyl, -CF 3 and -CN;
• R is selected from
• R 4 and R 5 are independently selected from Ci_ 3 alkyl, cyclopropyl and methoxy;
• R 6 is selected from H and -N3 ⁇ 4; and the pharmaceutically acceptable salts thereof.
• X is C and Y is N; and the pharmaceutically acceptable salts thereof.
• X is N and Y is C;
• W is 2-pyridinyl or 3-pyridinyl
• R 1 is selected from -S(0) n R 7 ; wherein R 7 is Ci_ 3 alkyl and n is 2;
• R is Ci_ 5 alkyl, optionally substituted cyclopropyl
• R 4 and R 5 are independently selected from Ci_ 3 alkyl, cyclopropyl and methoxy;
• R 6 is H
• Table 1 shows representative compounds of the invention which can be made by the methods described in the general synthetic schemes, the examples, and known methods in the art.
• the invention relates to a compound selected from the group consisting of compounds 1-12 depicted in Table 1 above and the pharmaceutically acceptable salts thereof.
• the present invention further relates to a pharmaceutically acceptable salt of a compound of the formula (I) with inorganic or organic acids or bases.
• the invention relates to compounds of formula (I) or the pharmaceutically acceptable salts thereof as medicaments.
• the invention relates to compounds of formula (I) or the pharmaceutically acceptable salts thereof for use in a method for treatment of a patient.
• the invention relates to compounds of formula (I) or the pharmaceutically acceptable salts thereof for use in the treatment of autoimmune diseases and allergic disorders.
• the invention relates to the use of compounds of formula (I) or the pharmaceutically acceptable salts thereof for preparing a pharmaceutical composition for the treatment of autoimmune diseases and allergic disorders.
• the invention in another aspect, relates to a method for the treatment of autoimmune diseases and allergic disorders comprising administering a therapeutically effective amount of a compound of formula (I) or one of the pharmaceutically acceptable salts thereof to a patient.
• the invention relates to a pharmaceutical composition containing as active substance one or more compounds of formula (I) or the pharmaceutically acceptable salts thereof optionally in combination with conventional excipients and/or carriers.
• the compounds of formula (I) may be made using the general synthetic methods described below, which also constitute part of the invention.
• the compounds according to the invention may be prepared by the methods of synthesis and synthetic examples below, methods known to those of ordinary skill in the art and methods reported in the chemical literature.
• the substituents R 1 , R2 , R 3 , X, Y and W shall have the meanings defined hereinbefore in the detailed description of the compounds of formula I.
• the methods that are described here are intended as an illustration and for the enablement of the instant invention without restricting the scope of its subject matter, the claimed compounds, and the examples.
• the preparation of starting compounds is not described, they are commercially obtainable, may be prepared analogously to compounds or methods described herein, or are described in the chemical literature. Unless otherwise specified, solvents, temperatures, pressures, and other reaction conditions may be readily selected by one of ordinary skill in the art.
• Non-limiting examples demonstrating the preparation of the compounds of the invention are provided below. Optimum reaction conditions and reaction times may vary depending on the particular reactants used. Unless otherwise specified, solvents, temperatures, pressures and other reaction conditions may be readily selected by one of ordinary skill in the art. Specific procedures are provided in the Synthetic Examples section. Intermediates and products may be purified by chromatography on silica gel, recrystallization and/or reverse phase HPLC (RP- HPLC). Discrete enantiomers may be obtained by resolution of racemic products using chiral HPLC.
• RP-HPLC purification methods used anywhere from 0-100% acetonitrile in water containing 0.1% formic acid or 0.1% TFA and used one of the following columns: a) Waters Sunfire OBD C18 5 ⁇ 30x150 mm column b) Waters XBridge OBD C18 5 ⁇ 30x150 mm column c) Waters ODB C8 5 ⁇ 19x150 mm column d) Waters Atlantis ODB C18 5 ⁇ 19x50 mm column e) Waters Atlantis T3 OBD 5 ⁇ 30x100 mm column f) Phenomenex Gemini Axia C18 5 ⁇ 30x100 mm column
• A-1 (6 g, 23.73 mmol) in water (60 mL) was added A-2 (4.04 g, 47.45 mmol) and K 2 CO 3 (6.55 g; 47.45 mmol) in a sealed tube.
• the reaction is stirred at 120 °C for 12 h.
• the mixture is extracted with EtOAc.
• the organic layer is dried over Na 2 S0 4 and concentrated.
• the residue is purified by Si0 2 flash chromatography to yield A-3.
• Step 3 and Step 4 are analogous to step 4 and step 5 in Method 1.
• Table 2 summarizes the synthetic method used to prepare intermediates B-F and the m/z found for each intermediate.
• AG-1 AG-2 AG To a suspension of AG-1 (2 g, 13.41 mmol) in CH 3 CN (50 mL) is added AG-2 (2.62 g, 14.75 mmol) and the reaction mixture is stirred at room temperature for 20 min and then filtered to yield intermediate AG. MS (ES+): m/z 229.7 [M+H] + .
• AI-1 8.2.0 g, 448 mmol
• ACN 1.0 L
• sodium t-butoxide 64.5 g
• the reaction mixture is then allowed to stir at rt for 16 h.
• Water 800 mL
• the combined organic phases are washed with brine, dried (Na 2 S0 4 ) and concentrated.
• the residue is purified by Si0 2 flash chromatography to yield AI-2.
• AI-3 (15.0 g, 82 mmol) in MeOH (200 mL) is added RaNi (10.0 g), TEA (34.4 mL) and Boc 2 0 (17.8 g).
• the mixture is stirred at rt under H 2 (50 psi) for 12 h.
• the vessel is purged with N 2 , filtered and the filtrate concentrated.
• the residue is purified by Si0 2 flash chromatography to yield AI-4.
• the compounds of the present invention have activity as modulators of RORy (retinoid acid receptor-related orphan receptor ⁇ ).
• a nuclear receptor transactivation assay is performed to quantitate the ability of test compounds to inhibit RORy transactivation of a luciferase reporter.
• a similar assay is described in: Khan et al., Bioorganic & Medicinal Chemistry Letters 23 (2013), 532-536.
• the system uses transiently transfected HEK 293 cells cotransfected with two plasmids (pGL4.3, luc2P/GAL4UAS/Hygro, and pBIND, Gal4DBD hRORC LBD1-3).
• the positive control is co-transiently transfected with both plasmids, and the negative control contains the pGL4.3 promoter sequence.
• Assays are assembled in 384 well plates where transiently transfected cells and test compound at varying concentrations are incubated for 20-24 h. The next day, assays plates are taken out and equilibrated at RT for 20-30 minutes. Bright-GloTM Luciferase Assay System is used to detect Luciferase production. After addition of Bright GLO detection reagent, the plates are incubated at RT for 20 minutes. The plates are read on an Envision plate reader to measure luminescence signal. The RLU signal is converted to POC relative to control and blank wells.
• Table 3 presents the results obtained when the compounds of the present invention were tested in the above assay, demonstrating their activity as modulators of RORy.
• the compounds of formula (I) according to the invention are suitable for treating autoimmune and allergic disorders in that they exhibit good modulatory effect upon RORy .
• the present invention is therefore directed to compounds of general formula (I), and the pharmaceutically acceptable salts thereof, and all tautomers, racemates, enantiomers, diastereomers, mixtures thereof, which are useful in the treatment of a disease and/or condition wherein the activity of RORy modulators is of therapeutic benefit, including but not limited to the treatment of autoimmune or allergic disorders.
• Such disorders include for example: rheumatoid arthritis, psoriasis, systemic lupus erythromatosis, lupus nephritis, systemic sclerosis, vasculitis, scleroderma, asthma, allergic rhinitis, allergic eczema, multiple sclerosis, juvenile rheumatoid arthritis, juvenile idiopathic arthritis, type I diabetes, Crohn's disease, ulcerative colitis, graft versus host disease, psoriatic arthritis, reactive arthritis, ankylosing spondylitis, atherosclerosis, uveitis and non-radiographic spondyloarthropathy.
• a therapeutically effective dose will generally be in the range of approximately 0.01 mg to about 10 mg/kg of body weight per dosage of a compound of the invention; preferably, from about 0.1 mg to about 5 mg/kg of body weight per dosage.
• the dosage range would be approximately 0.7 mg to about 750 mg per dosage of a compound of the invention, preferably from about 7.0 mg to about 350 mg per dosage.
• Some degree of routine dose optimization may be required to determine an optimal dosing level and pattern.
• the active ingredient may be administered from 1 to 6 times a day.
• the compounds of the invention are typically administered in the form of a pharmaceutical composition.
• Such compositions can be prepared using procedures well known in the pharmaceutical art and generally comprise at least one compound of the invention and at least one pharmaceutically acceptable carrier.
• the compounds of the invention may also be administered alone or in combination with adjuvants that enhance stability of the compounds of the invention, facilitate administration of pharmaceutical compositions containing them in certain embodiments, provide increased dissolution or dispersion, increased antagonist activity, provide adjunct therapy, and the like.
• the compounds according to the invention may be used on their own or in conjunction with other active substances according to the invention, optionally also in conjunction with other pharmacologically active substances.
• the compounds of this invention are administered in a therapeutically or pharmaceutically effective amount, but may be administered in lower amounts for diagnostic or other purposes.
• Administration of the compounds of the invention, in pure form or in an appropriate pharmaceutical composition can be carried out using any of the accepted modes of administration of pharmaceutical compositions.
• administration can be, for example, orally, buccally (e.g., sublingually), nasally, parenterally, topically, transdermally, vaginally, or rectally, in the form of solid, semi-solid, lyophilized powder, or liquid dosage forms, such as, for example, tablets, suppositories, pills, soft elastic and hard gelatin capsules, powders, solutions, suspensions, or aerosols, or the like, preferably in unit dosage forms suitable for simple administration of precise dosages.
• the pharmaceutical compositions will generally include a conventional pharmaceutical carrier or excipient and a compound of the invention as the/an active agent, and, in addition, may include other medicinal agents, pharmaceutical agents, carriers, adjuvants, diluents, vehicles, or combinations thereof.
• Such pharmaceutically acceptable excipients, carriers, or additives as well as methods of making pharmaceutical compositions for various modes or administration are well-known to those of skill in the art. The state of the art is evidenced, e.g., by Remington: The Science and Practice of Pharmacy, 20th Edition, A. Gennaro (ed.), Lippincott Williams & Wilkins, 2000; Handbook of Pharmaceutical Additives, Michael & Irene Ash (eds.), Gower, 1995; Handbook of Pharmaceutical Excipients, A.

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• 2017
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