WO2019052545A1 - CYCLIC PEPTIDE ANTIBIOTICS - Google Patents

CYCLIC PEPTIDE ANTIBIOTICS Download PDF

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Publication number
WO2019052545A1
WO2019052545A1 PCT/CN2018/105821 CN2018105821W WO2019052545A1 WO 2019052545 A1 WO2019052545 A1 WO 2019052545A1 CN 2018105821 W CN2018105821 W CN 2018105821W WO 2019052545 A1 WO2019052545 A1 WO 2019052545A1
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Prior art keywords
optionally substituted
alkyl
compound
cycloalkyl
aryl
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
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PCT/CN2018/105821
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English (en)
French (fr)
Inventor
Emily J. HANAN
Georgette Castanedo
Marie Gabrielle BRAUN
Keira GARLAND
Peter Andrew Smith
Richard Pastor
Paul Gibbons
Po-Wai Yuen
Yunxing CHENG
Guosheng Wu
Yuhong FU
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
F Hoffmann La Roche AG
Genentech Inc
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F Hoffmann La Roche AG
Genentech Inc
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Publication date
Application filed by F Hoffmann La Roche AG, Genentech Inc filed Critical F Hoffmann La Roche AG
Priority to CN201880059496.6A priority Critical patent/CN111148739B/zh
Priority to EP18855877.9A priority patent/EP3681875B1/en
Priority to JP2020515090A priority patent/JP2020533374A/ja
Publication of WO2019052545A1 publication Critical patent/WO2019052545A1/en
Priority to US16/816,969 priority patent/US11279735B2/en
Anticipated expiration legal-status Critical
Priority to JP2023189200A priority patent/JP7678057B2/ja
Ceased legal-status Critical Current

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Classifications

    • C—CHEMISTRY; METALLURGY
    • C07—ORGANIC CHEMISTRY
    • C07K—PEPTIDES
    • C07K11/00—Depsipeptides having up to 20 amino acids in a fully defined sequence; Derivatives thereof
    • C07K11/02—Depsipeptides having up to 20 amino acids in a fully defined sequence; Derivatives thereof cyclic, e.g. valinomycins ; Derivatives thereof
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P31/00—Antiinfectives, i.e. antibiotics, antiseptics, chemotherapeutics
    • C—CHEMISTRY; METALLURGY
    • C07—ORGANIC CHEMISTRY
    • C07D—HETEROCYCLIC COMPOUNDS
    • C07D273/00—Heterocyclic compounds containing rings having nitrogen and oxygen atoms as the only ring hetero atoms, not provided for by groups C07D261/00 - C07D271/00
    • C—CHEMISTRY; METALLURGY
    • C07—ORGANIC CHEMISTRY
    • C07D—HETEROCYCLIC COMPOUNDS
    • C07D413/00—Heterocyclic compounds containing two or more hetero rings, at least one ring having nitrogen and oxygen atoms as the only ring hetero atoms
    • C07D413/02—Heterocyclic compounds containing two or more hetero rings, at least one ring having nitrogen and oxygen atoms as the only ring hetero atoms containing two hetero rings
    • C07D413/12—Heterocyclic compounds containing two or more hetero rings, at least one ring having nitrogen and oxygen atoms as the only ring hetero atoms containing two hetero rings linked by a chain containing hetero atoms as chain links
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K38/00—Medicinal preparations containing peptides
    • Y—GENERAL TAGGING OF NEW TECHNOLOGICAL DEVELOPMENTS; GENERAL TAGGING OF CROSS-SECTIONAL TECHNOLOGIES SPANNING OVER SEVERAL SECTIONS OF THE IPC; TECHNICAL SUBJECTS COVERED BY FORMER USPC CROSS-REFERENCE ART COLLECTIONS [XRACs] AND DIGESTS
    • Y02—TECHNOLOGIES OR APPLICATIONS FOR MITIGATION OR ADAPTATION AGAINST CLIMATE CHANGE
    • Y02A—TECHNOLOGIES FOR ADAPTATION TO CLIMATE CHANGE
    • Y02A50/00—TECHNOLOGIES FOR ADAPTATION TO CLIMATE CHANGE in human health protection, e.g. against extreme weather
    • Y02A50/30—Against vector-borne diseases, e.g. mosquito-borne, fly-borne, tick-borne or waterborne diseases whose impact is exacerbated by climate change

Definitions

  • LspA The Type II signal peptidase LspA plays a critical role in the biosynthesis of Gram-negative bacterial lipoproteins. Blocking of lipoprotein synthesis via inhibition of LspA function not only depletes essential as well as virulence-associated lipoproteins but can also lead to accumulation of mislocalized unprocessed lipoproteins, all of which leads to bacterial cell death. LspA inhibitors thus offer a novel approach to combatting Gram-negative bacterial infection.
  • the present disclosure provides cyclic peptide, depsipeptide, and peptide-containing compounds for the treatment of bacterial infections.
  • the present disclosure provides classes and subclasses of chemical compounds structurally related to globomycin for the treatment of bacterial infections.
  • the cyclic peptide, depsipeptide and peptide containing compounds act by inhibition of lipoprotein signal peptidase II (lspA) , a key enzyme involved in the posttranslational processing of lipoproteins in bacteria.
  • lspA lipoprotein signal peptidase II
  • X 1 is -O-or -NR 1a -;
  • X 2 is -O-or -NR 2a -;
  • X 3 is -O-or -NR 3a -;
  • X 4 is -O-or -NR 4a -;
  • X 5 is -O-or -NR 5a -;
  • X 6 is -O-or -NR 6a -;
  • R 1a , R 2a , R 3a , R 4a , R 5a , and R 6a are each independently hydrogen or optionally substituted C 1 -C 6 alkyl;
  • R 1 and R 2 are taken together with the nitrogen atom to which they are attached to form an optionally substituted heterocycloalkyl
  • R 3 and R 4 are each independently hydrogen, optionally substituted C 1 -C 6 alkyl, optionally substituted C 2 -C 6 alkenyl, optionally substituted C 2 -C 6 alkynyl, optionally substituted cycloalkyl, optionally substituted heterocycloalkyl, optionally substituted aryl, or optionally substituted heteroaryl;
  • R 3 and R 4 are taken together with the carbon atom to which they are attached to form an oxo
  • R 5 is hydrogen, halogen, optionally substituted C 1 -C 6 alkyl, optionally substituted C 2 -C 6 alkenyl, or optionally substituted C 2 -C 6 alkynyl;
  • R 6 and R 7 are each independently hydrogen, halogen, optionally substituted C 1 -C 6 alkyl, optionally substituted C 2 -C 6 alkenyl, optionally substituted C 2 -C 6 alkynyl, optionally substituted cycloalkyl, optionally substituted (C 1 -C 6 alkyl) cycloalkyl, optionally substituted heterocycloalkyl, optionally substituted (C 1 -C 6 alkyl) heterocycloalkyl, optionally substituted aryl, optionally substituted (C 1 -C 6 alkyl) aryl, optionally substituted heteroaryl, or optionally substituted (C 1 -C 6 alkyl) heteroaryl;
  • R 8 and R 9 are each independently hydrogen, halogen, optionally substituted C 1 -C 6 alkyl, optionally substituted C 2 -C 6 alkenyl, optionally substituted C 2 -C 6 alkynyl, optionally substituted cycloalkyl, optionally substituted (C 1 -C 6 alkyl) cycloalkyl, optionally substituted heterocycloalkyl, optionally substituted (C 1 -C 6 alkyl) heterocycloalkyl, optionally substituted aryl, optionally substituted (C 1 -C 6 alkyl) aryl, optionally substituted heteroaryl, or optionally substituted (C 1 -C 6 alkyl) heteroaryl;
  • R 10 and R 11 are each independently hydrogen, halogen, optionally substituted C 1 -C 20 alkyl, optionally substituted C 2 -C 20 alkenyl, optionally substituted C 2 -C 20 alkynyl, optionally substituted cycloalkyl, optionally substituted (C 1 -C 6 alkyl) cycloalkyl, optionally substituted heterocycloalkyl, optionally substituted (C 1 -C 6 alkyl) heterocycloalkyl, optionally substituted aryl, optionally substituted (C 1 -C 6 alkyl) aryl, optionally substituted heteroaryl, or optionally substituted (C 1 -C 6 alkyl) heteroaryl;
  • R 12 and R 13 are each independently hydrogen, halogen, optionally substituted C 1 -C 6 alkyl, optionally substituted C 2 -C 6 alkenyl, optionally substituted C 2 -C 6 alkynyl, optionally substituted cycloalkyl, optionally substituted (C 1 -C 6 alkyl) cycloalkyl, optionally substituted heterocycloalkyl, optionally substituted (C 1 -C 6 alkyl) heterocycloalkyl, optionally substituted aryl, optionally substituted (C 1 -C 6 alkyl) aryl, optionally substituted heteroaryl, or optionally substituted (C 1 -C 6 alkyl) heteroaryl;
  • R 10 and R 12 are taken together to form an optionally substituted cycloalkyl or an optionally substituted cycloalkenyl;
  • R 14 and R 15 are each independently hydrogen, halogen, optionally substituted C 1 -C 6 alkyl, optionally substituted C 2 -C 6 alkenyl, optionally substituted C 2 -C 6 alkynyl, optionally substituted cycloalkyl, optionally substituted (C 1 -C 6 alkyl) cycloalkyl, optionally substituted heterocycloalkyl, optionally substituted (C 1 -C 6 alkyl) heterocycloalkyl, optionally substituted aryl, optionally substituted (C 1 -C 6 alkyl) aryl, optionally substituted heteroaryl, or optionally substituted (C 1 -C 6 alkyl) heteroaryl;
  • R 14 and R 4a are taken together with the atoms to which they are attached to form an optionally substituted heterocycloalkyl
  • R 16 and R 17 are each independently hydrogen, halogen, optionally substituted C 1 -C 6 alkyl, optionally substituted C 2 -C 6 alkenyl, optionally substituted C 2 -C 6 alkynyl, optionally substituted cycloalkyl, optionally substituted (C 1 -C 6 alkyl) cycloalkyl, optionally substituted heterocycloalkyl, optionally substituted (C 1 -C 6 alkyl) heterocycloalkyl, optionally substituted aryl, optionally substituted (C 1 -C 6 alkyl) aryl, optionally substituted heteroaryl, or optionally substituted (C 1 -C 6 alkyl) heteroaryl;
  • R 18 and R 19 are each independently hydrogen, halogen, optionally substituted C 1 -C 6 alkyl, optionally substituted C 2 -C 6 alkenyl, optionally substituted C 2 -C 6 alkynyl, optionally substituted cycloalkyl, optionally substituted (C 1 -C 6 alkyl) cycloalkyl, optionally substituted heterocycloalkyl, optionally substituted (C 1 -C 6 alkyl) heterocycloalkyl, optionally substituted aryl, optionally substituted (C 1 -C 6 alkyl) aryl, optionally substituted heteroaryl, or optionally substituted (C 1 -C 6 alkyl) heteroaryl;
  • R 18 and R 19 are taken together with the carbon atom to which they are attached to form an oxo
  • each R a is independently optionally substituted C 1 -C 6 alkyl, optionally substituted C 2 -C 6 alkenyl, optionally substituted C 2 -C 6 alkynyl, optionally substituted cycloalkyl, optionally substituted heterocycloalkyl, optionally substituted aryl, or optionally substituted heteroaryl;
  • each R b and R c is independently hydrogen, optionally substituted C 1 -C 6 alkyl, optionally substituted C 2 -C 6 alkenyl, optionally substituted C 2 -C 6 alkynyl, optionally substituted cycloalkyl, optionally substituted heterocycloalkyl, optionally substituted aryl, or optionally substituted heteroaryl;
  • R b and R c are taken together with the nitrogen atom to which they are attached to form an optionally substituted heterocycloalkyl
  • X 1 is -O-or -NR 1a -;
  • X 2 is -O-or -NR 2a -;
  • X 3 is -O-or -NR 3a -;
  • X 4 is -O-or -NR 4a -;
  • X 5 is -O-or -NR 5a -;
  • X 6 is -O-or -NR 6a -;
  • R 1a , R 2a , R 3a , R 4a , R 5a , and R 6a are each independently hydrogen or optionally substituted C 1 -C 6 alkyl;
  • R 1 and R 2 are taken together with the nitrogen atom to which they are attached to form an optionally substituted heterocycloalkyl
  • R 3 and R 4 are each independently hydrogen, optionally substituted C 1 -C 6 alkyl, optionally substituted C 2 -C 6 alkenyl, optionally substituted C 2 -C 6 alkynyl, optionally substituted cycloalkyl, optionally substituted heterocycloalkyl, optionally substituted aryl, or optionally substituted heteroaryl;
  • R 3 and R 4 are taken together with the carbon atom to which they are attached to form an oxo
  • R 5 is hydrogen, halogen, optionally substituted C 1 -C 6 alkyl, optionally substituted C 2 -C 6 alkenyl, or optionally substituted C 2 -C 6 alkynyl;
  • R 6 and R 7 are each independently hydrogen, halogen, optionally substituted C 1 -C 6 alkyl, optionally substituted C 2 -C 6 alkenyl, optionally substituted C 2 -C 6 alkynyl, optionally substituted cycloalkyl, optionally substituted (C 1 -C 6 alkyl) cycloalkyl, optionally substituted heterocycloalkyl, optionally substituted (C 1 -C 6 alkyl) heterocycloalkyl, optionally substituted aryl, optionally substituted (C 1 -C 6 alkyl) aryl, optionally substituted heteroaryl, or optionally substituted (C 1 -C 6 alkyl) heteroaryl;
  • R 8 and R 9 are each independently hydrogen, halogen, optionally substituted C 1 -C 6 alkyl, optionally substituted C 2 -C 6 alkenyl, optionally substituted C 2 -C 6 alkynyl, optionally substituted cycloalkyl, optionally substituted (C 1 -C 6 alkyl) cycloalkyl, optionally substituted heterocycloalkyl, optionally substituted (C 1 -C 6 alkyl) heterocycloalkyl, optionally substituted aryl, optionally substituted (C 1 -C 6 alkyl) aryl, optionally substituted heteroaryl, or optionally substituted (C 1 -C 6 alkyl) heteroaryl;
  • R 10 and R 11 are each independently hydrogen, halogen, optionally substituted C 1 -C 20 alkyl, optionally substituted C 2 -C 20 alkenyl, optionally substituted C 2 -C 20 alkynyl, optionally substituted cycloalkyl, optionally substituted (C 1 -C 6 alkyl) cycloalkyl, optionally substituted heterocycloalkyl, optionally substituted (C 1 -C 6 alkyl) heterocycloalkyl, optionally substituted aryl, optionally substituted (C 1 -C 6 alkyl) aryl, optionally substituted heteroaryl, or optionally substituted (C 1 -C 6 alkyl) heteroaryl;
  • R 12 and R 13 are each independently hydrogen, halogen, optionally substituted C 1 -C 6 alkyl, optionally substituted C 2 -C 6 alkenyl, optionally substituted C 2 -C 6 alkynyl, optionally substituted cycloalkyl, optionally substituted (C 1 -C 6 alkyl) cycloalkyl, optionally substituted heterocycloalkyl, optionally substituted (C 1 -C 6 alkyl) heterocycloalkyl, optionally substituted aryl, optionally substituted (C 1 -C 6 alkyl) aryl, optionally substituted heteroaryl, or optionally substituted (C 1 -C 6 alkyl) heteroaryl;
  • R 10 and R 12 are taken together to form an optionally substituted cycloalkyl or an optionally substituted cycloalkenyl;
  • R 14 and R 15 are each independently hydrogen, halogen, optionally substituted C 1 -C 6 alkyl, optionally substituted C 2 -C 6 alkenyl, optionally substituted C 2 -C 6 alkynyl, optionally substituted cycloalkyl, optionally substituted (C 1 -C 6 alkyl) cycloalkyl, optionally substituted heterocycloalkyl, optionally substituted (C 1 -C 6 alkyl) heterocycloalkyl, optionally substituted aryl, optionally substituted (C 1 -C 6 alkyl) aryl, optionally substituted heteroaryl, or optionally substituted (C 1 -C 6 alkyl) heteroaryl;
  • R 14 and R 4a are taken together with the atoms to which they are attached to form an optionally substituted heterocycloalkyl
  • R 16 and R 17 are each independently hydrogen, halogen, optionally substituted C 1 -C 6 alkyl, optionally substituted C 2 -C 6 alkenyl, optionally substituted C 2 -C 6 alkynyl, optionally substituted cycloalkyl, optionally substituted (C 1 -C 6 alkyl) cycloalkyl, optionally substituted heterocycloalkyl, optionally substituted (C 1 -C 6 alkyl) heterocycloalkyl, optionally substituted aryl, optionally substituted (C 1 -C 6 alkyl) aryl, optionally substituted heteroaryl, or optionally substituted (C 1 -C 6 alkyl) heteroaryl;
  • R 18 and R 19 are each independently hydrogen, halogen, optionally substituted C 1 -C 6 alkyl, optionally substituted C 2 -C 6 alkenyl, optionally substituted C 2 -C 6 alkynyl, optionally substituted cycloalkyl, optionally substituted (C 1 -C 6 alkyl) cycloalkyl, optionally substituted heterocycloalkyl, optionally substituted (C 1 -C 6 alkyl) heterocycloalkyl, optionally substituted aryl, optionally substituted (C 1 -C 6 alkyl) aryl, optionally substituted heteroaryl, or optionally substituted (C 1 -C 6 alkyl) heteroaryl;
  • R 20 is -NR 1 R 2 or -OH
  • each R a is independently optionally substituted C 1 -C 6 alkyl, optionally substituted C 2 -C 6 alkenyl, optionally substituted C 2 -C 6 alkynyl, optionally substituted cycloalkyl, optionally substituted heterocycloalkyl, optionally substituted aryl, or optionally substituted heteroaryl;
  • each R b and R c is independently hydrogen, optionally substituted C 1 -C 6 alkyl, optionally substituted C 2 -C 6 alkenyl, optionally substituted C 2 -C 6 alkynyl, optionally substituted cycloalkyl, optionally substituted heterocycloalkyl, optionally substituted aryl, or optionally substituted heteroaryl;
  • R b and R c are taken together with the nitrogen atom to which they are attached to form an optionally substituted heterocycloalkyl
  • X 1 is -O-or -NR 1a -;
  • X 2 is -O-or -NR 2a -;
  • X 3 is -O-or -NR 3a -;
  • X 4 is -O-or -NR 4a -;
  • X 5 is -O-or -NR 5a -;
  • X 6 is -O-or -NR 6a -;
  • X 1 , X 2 , X 3 , X 4 , X 5 , or X 6 is -O-;
  • Y is a bond or optionally substituted C 1 -C 6 alkylene
  • R 1a , R 2a , R 3a , R 4a , R 5a , and R 6a are each independently hydrogen or optionally substituted C 1 -C 6 alkyl;
  • R 1 and R 2 are taken together with the nitrogen atom to which they are attached to form an optionally substituted heterocycloalkyl
  • R 3 and R 4 are each independently hydrogen, optionally substituted C 1 -C 6 alkyl, optionally substituted C 2 -C 6 alkenyl, optionally substituted C 2 -C 6 alkynyl, optionally substituted cycloalkyl, optionally substituted heterocycloalkyl, optionally substituted aryl, or optionally substituted heteroaryl;
  • R 3 and R 4 are taken together with the carbon atom to which they are attached to form an oxo
  • R 5 is hydrogen, halogen, optionally substituted C 1 -C 6 alkyl, optionally substituted C 2 -C 6 alkenyl, or optionally substituted C 2 -C 6 alkynyl;
  • R 6 and R 7 are each independently hydrogen, halogen, optionally substituted C 1 -C 6 alkyl, optionally substituted C 2 -C 6 alkenyl, optionally substituted C 2 -C 6 alkynyl, optionally substituted cycloalkyl, optionally substituted (C 1 -C 6 alkyl) cycloalkyl, optionally substituted (C 1 -C 6 alkyl) heterocycloalkyl, optionally substituted heterocycloalkyl, optionally substituted (C 1 -C 6 alkyl) aryl, or optionally substituted (C 1 -C 6 alkyl) heteroaryl;
  • R 8 and R 9 are each independently hydrogen, halogen, optionally substituted C 1 -C 6 alkyl, optionally substituted C 2 -C 6 alkenyl, optionally substituted C 2 -C 6 alkynyl, optionally substituted cycloalkyl, optionally substituted (C 1 -C 6 alkyl) cycloalkyl, optionally substituted (C 1 -C 6 alkyl) heterocycloalkyl, optionally substituted (C 1 -C 6 alkyl) aryl, or optionally substituted (C 1 -C 6 alkyl) heteroaryl;
  • R 10 and R 11 are each independently hydrogen, halogen, optionally substituted C 1 -C 20 alkyl, optionally substituted C 2 -C 20 alkenyl, optionally substituted C 2 -C 20 alkynyl, optionally substituted cycloalkyl, optionally substituted (C 1 -C 6 alkyl) cycloalkyl, optionally substituted (C 1 -C 6 alkyl) heterocycloalkyl, optionally substituted (C 1 -C 6 alkyl) aryl, or optionally substituted (C 1 -C 6 alkyl) heteroaryl;
  • R 12 and R 13 are each independently hydrogen, halogen, optionally substituted C 1 -C 6 alkyl, optionally substituted C 2 -C 6 alkenyl, optionally substituted C 2 -C 6 alkynyl, optionally substituted cycloalkyl, optionally substituted (C 1 -C 6 alkyl) cycloalkyl, optionally substituted (C 1 -C 6 alkyl) heterocycloalkyl, optionally substituted (C 1 -C 6 alkyl) aryl, or optionally substituted (C 1 -C 6 alkyl) heteroaryl;
  • R 10 and R 12 are taken together to form an optionally substituted cycloalkyl or an optionally substituted cycloalkenyl;
  • R 14 and R 15 are each independently hydrogen, halogen, optionally substituted C 1 -C 6 alkyl, optionally substituted C 2 -C 6 alkenyl, optionally substituted C 2 -C 6 alkynyl, optionally substituted cycloalkyl, optionally substituted (C 1 -C 6 alkyl) cycloalkyl, optionally substituted (C 1 -C 6 alkyl) heterocycloalkyl, optionally substituted (C 1 -C 6 alkyl) aryl, or optionally substituted (C 1 -C 6 alkyl) heteroaryl;
  • R 14 and R 4a are taken together with the atoms to which they are attached to form an optionally substituted heterocycloalkyl
  • R 17 is hydrogen, halogen, optionally substituted C 1 -C 6 alkyl, optionally substituted C 2 -C 6 alkenyl, optionally substituted C 2 -C 6 alkynyl, optionally substituted cycloalkyl, optionally substituted (C 1 -C 6 alkyl) cycloalkyl, optionally substituted (C 1 -C 6 alkyl) heterocycloalkyl, optionally substituted (C 1 -C 6 alkyl) aryl, or optionally substituted (C 1 -C 6 alkyl) heteroaryl;
  • R 18 and R 19 are each independently hydrogen, halogen, optionally substituted C 1 -C 6 alkyl, optionally substituted C 2 -C 6 alkenyl, optionally substituted C 2 -C 6 alkynyl, optionally substituted cycloalkyl, optionally substituted (C 1 -C 6 alkyl) cycloalkyl, optionally substituted heterocycloalkyl, optionally substituted (C 1 -C 6 alkyl) heterocycloalkyl, optionally substituted aryl, optionally substituted (C 1 -C 6 alkyl) aryl, optionally substituted heteroaryl, or optionally substituted (C 1 -C 6 alkyl) heteroaryl;
  • R 18 and R 19 are taken together with the carbon atom to which they are attached to form an oxo
  • R 20 is hydroxyl or -NR 1 R 2 ;
  • R 21 is optionally substituted cycloalkyl
  • each R a is independently optionally substituted C 1 -C 6 alkyl, optionally substituted C 2 -C 6 alkenyl, optionally substituted C 2 -C 6 alkynyl, optionally substituted cycloalkyl, optionally substituted heterocycloalkyl, optionally substituted aryl, or optionally substituted heteroaryl;
  • each R b and R c is independently hydrogen, optionally substituted C 1 -C 6 alkyl, optionally substituted C 2 -C 6 alkenyl, optionally substituted C 2 -C 6 alkynyl, optionally substituted cycloalkyl, optionally substituted heterocycloalkyl, optionally substituted aryl, or optionally substituted heteroaryl;
  • R b and R c are taken together with the nitrogen atom to which they are attached to form an optionally substituted heterocycloalkyl
  • X 1 is -O-or -NR 1a -;
  • X 2 is -O-or -NR 2a -;
  • X 3 is -O-or -NR 3a -;
  • X 4 is -O-or -NR 4a -;
  • X 5 is -O-or -NR 5a -;
  • X 6 is -O-or -NR 6a -;
  • X 1 , X 2 , X 3 , X 4 , X 5 , or X 6 is -O-;
  • R 1a , R 2a , R 3a , R 4a , R 5a , and R 6a are each independently hydrogen or optionally substituted C 1 -C 6 alkyl;
  • R 3 and R 4 are each independently hydrogen, halogen, optionally substituted C 1 -C 6 alkyl, optionally substituted C 2 -C 6 alkenyl, optionally substituted C 2 -C 6 alkynyl, optionally substituted cycloalkyl, optionally substituted heterocycloalkyl, optionally substituted aryl, or optionally substituted heteroaryl;
  • R 3 and R 4 are taken together with the carbon atom to which they are attached to form an oxo
  • R 5 is hydrogen, halogen, optionally substituted C 1 -C 6 alkyl, optionally substituted C 2 -C 6 alkenyl, or optionally substituted C 2 -C 6 alkynyl;
  • R 6 and R 7 are each independently hydrogen, halogen, optionally substituted C 1 -C 6 alkyl, optionally substituted C 2 -C 6 alkenyl, optionally substituted C 2 -C 6 alkynyl, optionally substituted cycloalkyl, optionally substituted (C 1 -C 6 alkyl) cycloalkyl, optionally substituted heterocycloalkyl, optionally substituted (C 1 -C 6 alkyl) heterocycloalkyl, optionally substituted aryl, optionally substituted (C 1 -C 6 alkyl) aryl, optionally substituted heteroaryl, or optionally substituted (C 1 -C 6 alkyl) heteroaryl;
  • R 8 and R 9 are each independently hydrogen, halogen, optionally substituted C 1 -C 6 alkyl, optionally substituted C 2 -C 6 alkenyl, optionally substituted C 2 -C 6 alkynyl, optionally substituted cycloalkyl, optionally substituted (C 1 -C 6 alkyl) cycloalkyl, optionally substituted heterocycloalkyl, optionally substituted (C 1 -C 6 alkyl) heterocycloalkyl, optionally substituted aryl, optionally substituted (C 1 -C 6 alkyl) aryl, optionally substituted heteroaryl, or optionally substituted (C 1 -C 6 alkyl) heteroaryl;
  • R 10 is optionally substituted branched C 3 -C 20 alkyl or optionally substituted C 10 -C 20 alkyl;
  • R 11 is hydrogen, halogen, optionally substituted C 1 -C 6 alkyl, optionally substituted C 2 -C 6 alkenyl, optionally substituted C 2 -C 6 alkynyl, optionally substituted cycloalkyl, optionally substituted (C 1 -C 6 alkyl) cycloalkyl, optionally substituted heterocycloalkyl, optionally substituted (C 1 -C 6 alkyl) heterocycloalkyl, optionally substituted aryl, optionally substituted (C 1 -C 6 alkyl) aryl, optionally substituted heteroaryl, or optionally substituted (C 1 -C 6 alkyl) heteroaryl;
  • R 12 is optionally substituted C 1 -C 6 alkyl, optionally substituted C 2 -C 6 alkenyl, optionally substituted C 2 -C 6 alkynyl, optionally substituted cycloalkyl, optionally substituted (C 1 -C 6 alkyl) cycloalkyl, optionally substituted heterocycloalkyl, optionally substituted (C 1 -C 6 alkyl) heterocycloalkyl, optionally substituted aryl, optionally substituted (C 1 -C 6 alkyl) aryl, optionally substituted heteroaryl, or optionally substituted (C 1 -C 6 alkyl) heteroaryl;
  • R 13 is hydrogen, halogen, optionally substituted C 1 -C 6 alkyl, optionally substituted C 2 -C 6 alkenyl, optionally substituted C 2 -C 6 alkynyl, optionally substituted cycloalkyl, optionally substituted (C 1 -C 6 alkyl) cycloalkyl, optionally substituted heterocycloalkyl, optionally substituted (C 1 -C 6 alkyl) heterocycloalkyl, optionally substituted aryl, optionally substituted (C 1 -C 6 alkyl) aryl, optionally substituted heteroaryl, or optionally substituted (C 1 -C 6 alkyl) heteroaryl;
  • R 14 and R 15 are each independently hydrogen, halogen, optionally substituted C 1 -C 6 alkyl, optionally substituted C 2 -C 6 alkenyl, optionally substituted C 2 -C 6 alkynyl, optionally substituted cycloalkyl, optionally substituted (C 1 -C 6 alkyl) cycloalkyl, optionally substituted heterocycloalkyl, optionally substituted (C 1 -C 6 alkyl) heterocycloalkyl, optionally substituted aryl, optionally substituted (C 1 -C 6 alkyl) aryl, optionally substituted heteroaryl, or optionally substituted (C 1 -C 6 alkyl) heteroaryl;
  • R 14 and R 4a are taken together with the atoms to which they are attached to form an optionally substituted heterocycloalkyl
  • R 16 and R 17 are each independently hydrogen, halogen, optionally substituted C 1 -C 6 alkyl, optionally substituted C 2 -C 6 alkenyl, optionally substituted C 2 -C 6 alkynyl, optionally substituted cycloalkyl, optionally substituted (C 1 -C 6 alkyl) cycloalkyl, optionally substituted heterocycloalkyl, optionally substituted (C 1 -C 6 alkyl) heterocycloalkyl, optionally substituted aryl, optionally substituted (C 1 -C 6 alkyl) aryl, optionally substituted heteroaryl, or optionally substituted (C 1 -C 6 alkyl) heteroaryl;
  • R 18 and R 19 are each independently hydrogen, halogen, optionally substituted C 1 -C 6 alkyl, optionally substituted C 2 -C 6 alkenyl, optionally substituted C 2 -C 6 alkynyl, optionally substituted cycloalkyl, optionally substituted (C 1 -C 6 alkyl) cycloalkyl, optionally substituted heterocycloalkyl, optionally substituted (C 1 -C 6 alkyl) heterocycloalkyl, optionally substituted aryl, optionally substituted (C 1 -C 6 alkyl) aryl, optionally substituted heteroaryl, or optionally substituted (C 1 -C 6 alkyl) heteroaryl;
  • R 18 and R 19 are taken together with the carbon atom to which they are attached to form an oxo
  • each R a is independently optionally substituted C 1 -C 6 alkyl, optionally substituted C 2 -C 6 alkenyl, optionally substituted C 2 -C 6 alkynyl, optionally substituted cycloalkyl, optionally substituted heterocycloalkyl, optionally substituted aryl, or optionally substituted heteroaryl;
  • each R b and R c is independently hydrogen, optionally substituted C 1 -C 6 alkyl, optionally substituted C 2 -C 6 alkenyl, optionally substituted C 2 -C 6 alkynyl, optionally substituted cycloalkyl, optionally substituted heterocycloalkyl, optionally substituted aryl, or optionally substituted heteroaryl;
  • R b and R c are taken together with the nitrogen atom to which they are attached to form an optionally substituted heterocycloalkyl
  • X 1 is -O-or -NR 1a -;
  • X 2 is -O-or -NR 2a -;
  • X 3 is -O-or -NR 3a -;
  • X 4 is -O-or -NR 4a -;
  • X 5 is -O-or -NR 5a -;
  • X 6 is -O-or -NR 6a -;
  • R 1a , R 2a , R 3a , R 4a , R 5a , and R 6a are each independently hydrogen or optionally substituted C 1 -C 6 alkyl;
  • R 3 and R 4 are each independently hydrogen, halogen, optionally substituted C 1 -C 6 alkyl, optionally substituted C 2 -C 6 alkenyl, optionally substituted C 2 -C 6 alkynyl, optionally substituted cycloalkyl, optionally substituted heterocycloalkyl, optionally substituted aryl, or optionally substituted heteroaryl;
  • R 3 and R 4 are taken together with the carbon atom to which they are attached to form an oxo
  • R 5 is hydrogen, halogen, optionally substituted C 1 -C 6 alkyl, optionally substituted C 2 -C 6 alkenyl, or optionally substituted C 2 -C 6 alkynyl;
  • R 6 and R 7 are each independently hydrogen, halogen, optionally substituted C 1 -C 6 alkyl, optionally substituted C 2 -C 6 alkenyl, optionally substituted C 2 -C 6 alkynyl, optionally substituted cycloalkyl, optionally substituted (C 1 -C 6 alkyl) cycloalkyl, optionally substituted heterocycloalkyl, optionally substituted (C 1 -C 6 alkyl) heterocycloalkyl, optionally substituted aryl, optionally substituted (C 1 -C 6 alkyl) aryl, optionally substituted heteroaryl, or optionally substituted (C 1 -C 6 alkyl) heteroaryl;
  • R 8 and R 9 are each independently hydrogen, halogen, optionally substituted C 1 -C 6 alkyl, optionally substituted C 2 -C 6 alkenyl, optionally substituted C 2 -C 6 alkynyl, optionally substituted cycloalkyl, optionally substituted (C 1 -C 6 alkyl) cycloalkyl, optionally substituted heterocycloalkyl, optionally substituted (C 1 -C 6 alkyl) heterocycloalkyl, optionally substituted aryl, optionally substituted (C 1 -C 6 alkyl) aryl, optionally substituted heteroaryl, or optionally substituted (C 1 -C 6 alkyl) heteroaryl;
  • R 10 is optionally substituted C 2 -C 20 alkyl
  • R 11 is hydrogen, halogen, optionally substituted C 1 -C 6 alkyl, optionally substituted C 2 -C 6 alkenyl, optionally substituted C 2 -C 6 alkynyl, optionally substituted cycloalkyl, optionally substituted (C 1 -C 6 alkyl) cycloalkyl, optionally substituted heterocycloalkyl, optionally substituted (C 1 -C 6 alkyl) heterocycloalkyl, optionally substituted aryl, optionally substituted (C 1 -C 6 alkyl) aryl, optionally substituted heteroaryl, or optionally substituted (C 1 -C 6 alkyl) heteroaryl;
  • Z is -CR 23 R 24 , -O-, or -NR 25 -;
  • R 22 is optionally substituted C 1 -C 6 alkyl, optionally substituted C 2 -C 6 alkenyl, optionally substituted C 2 -C 6 alkynyl, optionally substituted cycloalkyl, optionally substituted (C 1 -C 6 alkyl) cycloalkyl, optionally substituted heterocycloalkyl, optionally substituted (C 1 -C 6 alkyl) heterocycloalkyl, optionally substituted aryl, optionally substituted (C 1 -C 6 alkyl) aryl, optionally substituted heteroaryl, or optionally substituted (C 1 -C 6 alkyl) heteroaryl;
  • R 23 , R 24 , and R 25 are each independently hydrogen or optionally substituted C 1 -C 6 alkyl
  • R 13 is hydrogen, halogen, optionally substituted C 1 -C 6 alkyl, optionally substituted C 2 -C 6 alkenyl, optionally substituted C 2 -C 6 alkynyl, optionally substituted cycloalkyl, optionally substituted (C 1 -C 6 alkyl) cycloalkyl, optionally substituted heterocycloalkyl, optionally substituted (C 1 -C 6 alkyl) heterocycloalkyl, optionally substituted aryl, optionally substituted (C 1 -C 6 alkyl) aryl, optionally substituted heteroaryl, or optionally substituted (C 1 -C 6 alkyl) heteroaryl;
  • R 14 and R 15 are each independently hydrogen, halogen, optionally substituted C 1 -C 6 alkyl, optionally substituted C 2 -C 6 alkenyl, optionally substituted C 2 -C 6 alkynyl, optionally substituted cycloalkyl, optionally substituted (C 1 -C 6 alkyl) cycloalkyl, optionally substituted heterocycloalkyl, optionally substituted (C 1 -C 6 alkyl) heterocycloalkyl, optionally substituted aryl, optionally substituted (C 1 -C 6 alkyl) aryl, optionally substituted heteroaryl, or optionally substituted (C 1 -C 6 alkyl) heteroaryl;
  • R 14 and R 4a are taken together with the atoms to which they are attached to form an optionally substituted heterocycloalkyl
  • R 16 and R 17 are each independently hydrogen, halogen, optionally substituted C 1 -C 6 alkyl, optionally substituted C 2 -C 6 alkenyl, optionally substituted C 2 -C 6 alkynyl, optionally substituted cycloalkyl, optionally substituted (C 1 -C 6 alkyl) cycloalkyl, optionally substituted heterocycloalkyl, optionally substituted (C 1 -C 6 alkyl) heterocycloalkyl, optionally substituted aryl, optionally substituted (C 1 -C 6 alkyl) aryl, optionally substituted heteroaryl, or optionally substituted (C 1 -C 6 alkyl) heteroaryl;
  • R 18 and R 19 are each independently hydrogen, halogen, optionally substituted C 1 -C 6 alkyl, optionally substituted C 2 -C 6 alkenyl, optionally substituted C 2 -C 6 alkynyl, optionally substituted cycloalkyl, optionally substituted (C 1 -C 6 alkyl) cycloalkyl, optionally substituted heterocycloalkyl, optionally substituted (C 1 -C 6 alkyl) heterocycloalkyl, optionally substituted aryl, optionally substituted (C 1 -C 6 alkyl) aryl, optionally substituted heteroaryl, or optionally substituted (C 1 -C 6 alkyl) heteroaryl;
  • R 18 and R 19 are taken together with the carbon atom to which they are attached to form an oxo
  • each R a is independently optionally substituted C 1 -C 6 alkyl, optionally substituted C 2 -C 6 alkenyl, optionally substituted C 2 -C 6 alkynyl, optionally substituted cycloalkyl, optionally substituted heterocycloalkyl, optionally substituted aryl, or optionally substituted heteroaryl;
  • each R b and R c is independently hydrogen, optionally substituted C 1 -C 6 alkyl, optionally substituted C 2 -C 6 alkenyl, optionally substituted C 2 -C 6 alkynyl, optionally substituted cycloalkyl, optionally substituted heterocycloalkyl, optionally substituted aryl, or optionally substituted heteroaryl;
  • R b and R c are taken together with the nitrogen atom to which they are attached to form an optionally substituted heterocycloalkyl
  • composition comprising the compound disclosed herein, or a pharmaceutically acceptable salt, solvate, or stereoisomer thereof, and a pharmaceutically acceptable excipient.
  • Also disclosed herein is the use of a compound disclosed herein, or a pharmaceutically acceptable salt, solvate, or stereoisomer thereof, for preparation of a medicament for treatment of a bacterial infection in a patient.
  • Also disclosed herein is a method of treatment of a bacterial infection in a mammal, comprising administering to the mammal an effective amount of a compound disclosed herein, or a pharmaceutically acceptable salt, solvate, or stereoisomer thereof, to the mammal at a frequency and for a duration sufficient to provide a beneficial effect to the mammal.
  • Alkyl refers to an optionally substituted straight-chain, or optionally substituted branched-chain saturated hydrocarbon monoradical having from one to about ten carbon atoms, or from one to six carbon atoms, wherein a sp3-hybridized carbon of the alkyl residue is attached to the rest of the molecule by a single bond.
  • Examples include, but are not limited to, methyl, ethyl, n-propyl, isopropyl, 2-methyl-1-propyl, 2-methyl-2-propyl, 2-methyl-1-butyl, 3-methyl-1-butyl, 2-methyl-3-butyl, 2, 2-dimethyl-1-propyl, 2-methyl-1-pentyl, 3-methyl-1-pentyl, 4-methyl-1-pentyl, 2-methyl-2-pentyl, 3-methyl-2-pentyl, 4-methyl-2-pentyl, 2, 2-dimethyl-1-butyl, 3, 3-dimethyl-1-butyl, 2-ethyl-1-butyl, n-butyl, isobutyl, sec-butyl, t-butyl, n-pentyl, isopentyl, neopentyl, tert-amyl and hexyl, and longer alkyl groups, such as heptyl, octyl, and
  • C 1 -C 6 alkyl means that the alkyl group consists of 1 carbon atom, 2 carbon atoms, 3 carbon atoms, 4 carbon atoms, 5 carbon atoms or 6 carbon atoms, although the present definition also covers the occurrence of the term “alkyl” where no numerical range is designated.
  • the alkyl is a C 1 -C 10 alkyl, a C 1 -C 9 alkyl, a C 1 -C 8 alkyl, a C 1 -C 7 alkyl, a C 1 -C 6 alkyl, a C 1 -C 5 alkyl, a C 1 -C 4 alkyl, a C 1 -C 3 alkyl, a C 1 -C 2 alkyl, or a C 1 alkyl.
  • an alkyl group is optionally substituted as described below, for example, with oxo, halogen, amino, nitrile, nitro, hydroxyl, haloalkyl, alkoxy, aryl, cycloalkyl, heterocycloalkyl, heteroaryl, and the like.
  • the alkyl is optionally substituted with oxo, halogen, -CN, -CF 3 , -OH, -OMe, -NH 2 , or -NO 2 .
  • the alkyl is optionally substituted with oxo, halogen, -CN, -CF 3 , -OH, or -OMe.
  • the alkyl is optionally substituted with halogen.
  • Alkenyl refers to an optionally substituted straight-chain, or optionally substituted branched-chain hydrocarbon monoradical having one or more carbon-carbon double-bonds and having from two to about ten carbon atoms, more preferably two to about six carbon atoms, wherein a sp2-hybridized carbon of the alkenyl residue is attached to the rest of the molecule by a single bond.
  • the group may be in either the cis or trans conformation about the double bond (s) , and should be understood to include both isomers.
  • a numerical range such as “C 2 -C 6 alkenyl” means that the alkenyl group may consist of 2 carbon atoms, 3 carbon atoms, 4 carbon atoms, 5 carbon atoms or 6 carbon atoms, although the present definition also covers the occurrence of the term “alkenyl” where no numerical range is designated.
  • the alkenyl is a C 2 -C 10 alkenyl, a C 2 -C 9 alkenyl, a C 2 -C 8 alkenyl, a C 2 -C 7 alkenyl, a C 2 -C 6 alkenyl, a C 2 -C 5 alkenyl, a C 2 -C 4 alkenyl, a C 2 -C 3 alkenyl, or a C 2 alkenyl.
  • an alkenyl group is optionally substituted as described below, for example, with oxo, halogen, amino, nitrile, nitro, hydroxyl, haloalkyl, alkoxy, aryl, cycloalkyl, heterocycloalkyl, heteroaryl, and the like.
  • an alkenyl is optionally substituted with oxo, halogen, -CN, -CF 3 , -OH, -OMe, -NH 2 , or -NO 2 .
  • an alkenyl is optionally substituted with oxo, halogen, -CN, -CF 3 , -OH, or -OMe.
  • the alkenyl is optionally substituted with halogen.
  • Alkynyl refers to an optionally substituted straight-chain or optionally substituted branched-chain hydrocarbon monoradical having one or more carbon-carbon triple-bonds and having from two to about ten carbon atoms, more preferably from two to about six carbon atoms. Examples include, but are not limited to ethynyl, 2-propynyl, 2-butynyl, 1, 3-butadiynyl and the like.
  • C 2 -C 6 alkynyl means that the alkynyl group may consist of 2 carbon atoms, 3 carbon atoms, 4 carbon atoms, 5 carbon atoms or 6 carbon atoms, although the present definition also covers the occurrence of the term “alkynyl” where no numerical range is designated.
  • the alkynyl is a C 2 -C 10 alkynyl, a C 2 -C 9 alkynyl, a C 2 -C 8 alkynyl, a C 2 -C 7 alkynyl, a C 2 -C 6 alkynyl, a C 2 -C 5 alkynyl, a C 2 -C 4 alkynyl, a C 2 -C 3 alkynyl, or a C 2 alkynyl.
  • an alkynyl group is optionally substituted as described below, for example, with oxo, halogen, amino, nitrile, nitro, hydroxyl, haloalkyl, alkoxy, aryl, cycloalkyl, heterocycloalkyl, heteroaryl, and the like.
  • an alkynyl is optionally substituted with oxo, halogen, -CN, -CF 3 , -OH, -OMe, -NH 2 , or -NO 2 .
  • an alkynyl is optionally substituted with oxo, halogen, -CN, -CF 3 , -OH, or -OMe. In some embodiments, the alkynyl is optionally substituted with halogen.
  • Alkylene refers to a straight or branched divalent hydrocarbon chain. Unless stated otherwise specifically in the specification, an alkylene group may be optionally substituted as described below, for example, with oxo, halogen, amino, nitrile, nitro, hydroxyl, haloalkyl, alkoxy, aryl, cycloalkyl, heterocycloalkyl, heteroaryl, and the like. In some embodiments, an alkylene is optionally substituted with oxo, halogen, -CN, -CF 3 , -OH, -OMe, -NH 2 , or -NO 2 . In some embodiments, an alkylene is optionally substituted with oxo, halogen, -CN, -CF 3 , -OH, or -OMe. In some embodiments, the alkylene is optionally substituted with halogen.
  • Alkoxy refers to a radical of the formula -OR a where R a is an alkyl radical as defined. Unless stated otherwise specifically in the specification, an alkoxy group may be optionally substituted as described below, for example, with oxo, halogen, amino, nitrile, nitro, hydroxyl, haloalkyl, alkoxy, aryl, cycloalkyl, heterocycloalkyl, heteroaryl, and the like. In some embodiments, an alkoxy is optionally substituted with oxo, halogen, -CN, -CF 3 , -OH, -OMe, -NH 2 , or -NO 2 . In some embodiments, an alkoxy is optionally substituted with oxo, halogen, -CN, -CF 3 , -OH, or -OMe. In some embodiments, the alkoxy is optionally substituted with halogen.
  • Aryl refers to a radical derived from a hydrocarbon ring system comprising hydrogen, 6 to 30 carbon atoms and at least one aromatic ring.
  • the aryl radical may be a monocyclic, bicyclic, tricyclic or tetracyclic ring system, which may include fused (when fused with a cycloalkyl or heterocycloalkyl ring, the aryl is bonded through an aromatic ring atom) or bridged ring systems.
  • the aryl is a 6-to 10-membered aryl.
  • the aryl is a 6-membered aryl.
  • Aryl radicals include, but are not limited to, aryl radicals derived from the hydrocarbon ring systems of anthrylene, naphthylene, phenanthrylene, anthracene, azulene, benzene, chrysene, fluoranthene, fluorene, as-indacene, s-indacene, indane, indene, naphthalene, phenalene, phenanthrene, pleiadene, pyrene, and triphenylene.
  • the aryl is phenyl.
  • an aryl may be optionally substituted as described below, for example, with halogen, amino, nitrile, nitro, hydroxyl, alkyl, alkenyl, alkynyl, haloalkyl, alkoxy, aryl, cycloalkyl, heterocycloalkyl, heteroaryl, and the like.
  • an aryl is optionally substituted with halogen, methyl, ethyl, -CN, -CF 3 , -OH, -OMe, -NH 2 , or -NO 2 .
  • an aryl is optionally substituted with halogen, methyl, ethyl, -CN, -CF 3 , -OH, or -OMe. In some embodiments, the aryl is optionally substituted with halogen or methyl. In some embodiments, the aryl is optionally substituted with halogen.
  • Cycloalkyl refers to a stable, partially or fully saturated, monocyclic or polycyclic carbocyclic ring, which may include fused (when fused with an aryl or a heteroaryl ring, the cycloalkyl is bonded through a non-aromatic ring atom) or bridged ring systems.
  • Representative cycloalkyls include, but are not limited to, cycloalkyls having from three to fifteen carbon atoms (C 3 -C 15 cycloalkyl) , from three to ten carbon atoms (C 3 -C 10 cycloalkyl) , from three to eight carbon atoms (C 3 -C 8 cycloalkyl) , from three to six carbon atoms (C 3 -C 6 cycloalkyl) , from three to five carbon atoms (C 3 -C 5 cycloalkyl) , or three to four carbon atoms (C 3 -C 4 cycloalkyl) .
  • the cycloalkyl is a 3-to 6-membered cycloalkyl. In some embodiments, the cycloalkyl is a 5-to 6-membered cycloalkyl.
  • Monocyclic cycloalkyls include, for example, cyclopropyl, cyclobutyl, cyclopentyl, cyclohexyl, cycloheptyl, and cyclooctyl.
  • Polycyclic cycloalkyls or carbocycles include, for example, adamantyl, norbornyl, decalinyl, bicyclo [3.3.0] octane, bicyclo [4.3.0] nonane, cis-decalin, trans-decalin, bicyclo [2.1.1] hexane, bicyclo [2.2.1] heptane, bicyclo [2.2.2] octane, bicyclo [3.2.2] nonane, and bicyclo [3.3.2] decane, and 7, 7-dimethyl-bicyclo [2.2.1] heptanyl.
  • Partially saturated cycloalkyls include, for example cyclopentenyl, cyclohexenyl, cycloheptenyl, and cyclooctenyl.
  • a cycloalkyl is optionally substituted as described below, for example, with oxo, halogen, amino, nitrile, nitro, hydroxyl, alkyl, alkenyl, alkynyl, haloalkyl, alkoxy, aryl, cycloalkyl, heterocycloalkyl, heteroaryl, and the like.
  • a cycloalkyl is optionally substituted with oxo, halogen, methyl, ethyl, -CN, -CF 3 , -OH, -OMe, -NH 2 , or -NO 2 .
  • a cycloalkyl is optionally substituted with oxo, halogen, methyl, ethyl, -CN, -CF 3 , -OH, or -OMe.
  • the cycloalkyl is optionally substituted with halogen or methyl.
  • the cycloalkyl is optionally substituted with halogen.
  • Halo or “halogen” refers to bromo, chloro, fluoro, or iodo. In some embodiments, halogen is fluoro or chloro. In some embodiments, halogen is fluoro.
  • Haloalkyl refers to an alkyl radical, as defined above, that is substituted by one or more halo radicals, as defined above, e.g., trifluoromethyl, difluoromethyl, fluoromethyl, trichloromethyl, 2, 2, 2-trifluoroethyl, 1, 2-difluoroethyl, 3-bromo-2-fluoropropyl, 1, 2-dibromoethyl, and the like.
  • Heterocycloalkyl refers to a stable 3-to 24-membered partially or fully saturated ring radical comprising 2 to 23 carbon atoms and from one to 8 heteroatoms selected from the group consisting of nitrogen, oxygen, phosphorous and sulfur.
  • the heterocycloalkyl radical may be a monocyclic, bicyclic, tricyclic or tetracyclic ring system, which may include fused (when fused with an aryl or a heteroaryl ring, the heterocycloalkyl is bonded through a non-aromatic ring atom) or bridged ring systems; and the nitrogen, carbon or sulfur atoms in the heterocycloalkyl radical may be optionally oxidized; the nitrogen atom may be optionally quaternized.
  • the heterocycloalkyl is a 3-to 6-membered heterocycloalkyl. In some embodiments, the heterocycloalkyl is a 5-to 6-membered heterocycloalkyl.
  • heterocycloalkyl radicals include, but are not limited to, aziridinyl, azetidinyl, dioxolanyl, thienyl [1, 3] dithianyl, decahydroisoquinolyl, imidazolinyl, imidazolidinyl, isothiazolidinyl, isoxazolidinyl, morpholinyl, octahydroindolyl, octahydroisoindolyl, 2-oxopiperazinyl, 2-oxopiperidinyl, 2-oxopyrrolidinyl, oxazolidinyl, piperidinyl, piperazinyl, 4-piperidonyl, pyrrolidinyl
  • heterocycloalkyl also includes all ring forms of the carbohydrates, including but not limited to the monosaccharides, the disaccharides and the oligosaccharides. Unless otherwise noted, heterocycloalkyls have from 2 to 10 carbons in the ring. It is understood that when referring to the number of carbon atoms in a heterocycloalkyl, the number of carbon atoms in the heterocycloalkyl is not the same as the total number of atoms (including the heteroatoms) that make up the heterocycloalkyl (i.e. skeletal atoms of the heterocycloalkyl ring) .
  • a heterocycloalkyl is optionally substituted as described below, for example, with oxo, halogen, amino, nitrile, nitro, hydroxyl, alkyl, alkenyl, alkynyl, haloalkyl, alkoxy, aryl, cycloalkyl, heterocycloalkyl, heteroaryl, and the like.
  • a heterocycloalkyl is optionally substituted with oxo, halogen, methyl, ethyl, -CN, -CF 3 , -OH, -OMe, -NH 2 , or -NO 2 .
  • a heterocycloalkyl is optionally substituted with oxo, halogen, methyl, ethyl, -CN, -CF 3 , -OH, or -OMe. In some embodiments, the heterocycloalkyl is optionally substituted with halogen or methyl. In some embodiments, the heterocycloalkyl is optionally substituted with halogen.
  • Heteroalkyl refers to an alkyl group in which one or more skeletal atoms of the alkyl are selected from an atom other than carbon, e.g., oxygen, nitrogen (e.g. -NH-, -N (alkyl) -) , sulfur, or combinations thereof.
  • a heteroalkyl is attached to the rest of the molecule at a carbon atom of the heteroalkyl.
  • a heteroalkyl is a C 1 -C 6 heteroalkyl.
  • a Heteroalkyl is optionally substituted as described below, for example, with oxo, halogen, amino, nitrile, nitro, hydroxyl, alkyl, alkenyl, alkynyl, haloalkyl, alkoxy, aryl, cycloalkyl, heterocycloalkyl, heteroaryl, and the like.
  • a heteroalkyl is optionally substituted with oxo, halogen, methyl, ethyl, -CN, -CF 3 , -OH, -OMe, -NH 2 , or -NO 2 .
  • a heteroalkyl is optionally substituted with oxo, halogen, methyl, ethyl, -CN, -CF 3 , -OH, or -OMe. In some embodiments, the heteroalkyl is optionally substituted with halogen.
  • Heteroaryl refers to a 5-to 14-membered ring system radical comprising hydrogen atoms, one to thirteen carbon atoms, one to six heteroatoms selected from the group consisting of nitrogen, oxygen, phosphorous and sulfur, and at least one aromatic ring.
  • the heteroaryl radical may be a monocyclic, bicyclic, tricyclic or tetracyclic ring system, which may include fused (when fused with a cycloalkyl or heterocycloalkyl ring, the heteroaryl is bonded through an aromatic ring atom) or bridged ring systems; and the nitrogen, carbon or sulfur atoms in the heteroaryl radical may be optionally oxidized; the nitrogen atom may be optionally quaternized.
  • the heteroaryl is a 5-to 10-membered heteroaryl. In some embodiments, the heteroaryl is a 5-to 6-membered heteroaryl. Examples include, but are not limited to, azepinyl, acridinyl, benzimidazolyl, benzothiazolyl, benzindolyl, benzodioxolyl, benzofuranyl, benzooxazolyl, benzothiazolyl, benzothiadiazolyl, benzo [b] [1, 4] dioxepinyl, 1, 4-benzodioxanyl, benzonaphthofuranyl, benzoxazolyl, benzodioxolyl, benzodioxinyl, benzopyranyl, benzopyranonyl, benzofuranyl, benzofuranonyl, benzothienyl (benzothiophenyl) , benzotriazolyl, benzo [4, 6] imid
  • a heteroaryl is optionally substituted as described below, for example, with halogen, amino, nitrile, nitro, hydroxyl, alkyl, alkenyl, alkynyl, haloalkyl, alkoxy, aryl, cycloalkyl, heterocycloalkyl, heteroaryl, and the like.
  • a heteroaryl is optionally substituted with halogen, methyl, ethyl, -CN, -CF 3 , -OH, -OMe, -NH 2 , or -NO 2 .
  • a heteroaryl is optionally substituted with halogen, methyl, ethyl, -CN, -CF 3 , -OH, or -OMe. In some embodiments, the heteroaryl is optionally substituted with halogen or methyl. In some embodiments, the heteroaryl is optionally substituted with halogen.
  • treat, ” “prevent, ” “ameliorate, ” and “inhibit, ” as well as words stemming therefrom, as used herein, do not necessarily imply 100%or complete treatment, prevention, amelioration, or inhibition. Rather, there are varying degrees of treatment, prevention, amelioration, and inhibition of which one of ordinary skill in the art recognizes as having a potential benefit or therapeutic effect.
  • the disclosed methods can provide any amount of any level of treatment, prevention, amelioration, or inhibition of the disorder in a mammal.
  • a disorder, including symptoms or conditions thereof may be reduced by, for example, about 100%, about 90%, about 80%, about 70%, about 60%, about 50%, about 40%, about 30%, about 20%, or about 10%.
  • treatment, prevention, amelioration, or inhibition provided by the methods disclosed herein can include treatment, prevention, amelioration, or inhibition of one or more conditions or symptoms of the disorder, e.g., cancer or an inflammatory disease.
  • treatment, ” “prevention, ” “amelioration, ” or “inhibition” encompass delaying the onset of the disorder, or a symptom or condition thereof.
  • an “effective amount” or “therapeutically effective amount, ” as used herein refer to a sufficient amount of a compound disclosed herein being administered which will relieve to some extent one or more of the symptoms of the disease or condition being treated, e.g., cancer or an inflammatory disease. In some embodiments, the result is a reduction and/or alleviation of the signs, symptoms, or causes of a disease, or any other desired alteration of a biological system.
  • an “effective amount” for therapeutic uses is the amount of the composition comprising a compound disclosed herein required to provide a clinically significant decrease in disease symptoms.
  • an appropriate “effective” amount in any individual case is determined using techniques, such as a dose escalation study.
  • mammals as used herein, “individual” (as in the subject of the treatment) means both mammals and non-mammals. Mammals include, for example, humans; non-human primates, e.g. apes and monkeys; and non-primates, e.g. dogs, cats, cattle, horses, sheep, and goats. Non-mammals include, for example, fish and birds.
  • disease or “disorder” are used interchangeably, and are used to refer to diseases or conditions wherein a bacterial signal peptidase plays a role in the biochemical mechanisms involved in the disease or disorder such that a therapeutically beneficial effect can be achieved by acting on the enzyme.
  • Acting on signal peptidase can include binding to signal peptidase and/or inhibiting the bioactivity of an signal peptidase.
  • X 1 is -O-or -NR 1a -;
  • X 2 is -O-or -NR 2a -;
  • X 3 is -O-or -NR 3a -;
  • X 4 is -O-or -NR 4a -;
  • X 5 is -O-or -NR 5a -;
  • X 6 is -O-or -NR 6a -;
  • X 1 , X 2 , X 3 , X 4 , X 5 , or X 6 is -O-;
  • R 1a , R 2a , R 3a , R 4a , R 5a , and R 6a are each independently hydrogen or optionally substituted C 1 -C 6 alkyl;
  • R 1 and R 2 are taken together with the nitrogen atom to which they are attached to form an optionally substituted heterocycloalkyl
  • R 3 and R 4 are each independently hydrogen, optionally substituted C 1 -C 6 alkyl, optionally substituted C 2 -C 6 alkenyl, optionally substituted C 2 -C 6 alkynyl, optionally substituted cycloalkyl, optionally substituted heterocycloalkyl, optionally substituted aryl, or optionally substituted heteroaryl;
  • R 3 and R 4 are taken together with the carbon atom to which they are attached to form an oxo
  • R 5 is hydrogen, halogen, optionally substituted C 1 -C 6 alkyl, optionally substituted C 2 -C 6 alkenyl, or optionally substituted C 2 -C 6 alkynyl;
  • R 6 and R 7 are each independently hydrogen, halogen, optionally substituted C 1 -C 6 alkyl, optionally substituted C 2 -C 6 alkenyl, optionally substituted C 2 -C 6 alkynyl, optionally substituted cycloalkyl, optionally substituted (C 1 -C 6 alkyl) cycloalkyl, optionally substituted heterocycloalkyl, optionally substituted (C 1 -C 6 alkyl) heterocycloalkyl, optionally substituted aryl, optionally substituted (C 1 -C 6 alkyl) aryl, optionally substituted heteroaryl, or optionally substituted (C 1 -C 6 alkyl) heteroaryl;
  • R 8 and R 9 are each independently hydrogen, halogen, optionally substituted C 1 -C 6 alkyl, optionally substituted C 2 -C 6 alkenyl, optionally substituted C 2 -C 6 alkynyl, optionally substituted cycloalkyl, optionally substituted (C 1 -C 6 alkyl) cycloalkyl, optionally substituted heterocycloalkyl, optionally substituted (C 1 -C 6 alkyl) heterocycloalkyl, optionally substituted aryl, optionally substituted (C 1 -C 6 alkyl) aryl, optionally substituted heteroaryl, or optionally substituted (C 1 -C 6 alkyl) heteroaryl;
  • R 10 and R 11 are each independently hydrogen, halogen, optionally substituted C 1 -C 20 alkyl, optionally substituted C 2 -C 20 alkenyl, optionally substituted C 2 -C 20 alkynyl, optionally substituted cycloalkyl, optionally substituted (C 1 -C 6 alkyl) cycloalkyl, optionally substituted heterocycloalkyl, optionally substituted (C 1 -C 6 alkyl) heterocycloalkyl, optionally substituted aryl, optionally substituted (C 1 -C 6 alkyl) aryl, optionally substituted heteroaryl, or optionally substituted (C 1 -C 6 alkyl) heteroaryl;
  • R 12 and R 13 are each independently hydrogen, halogen, optionally substituted C 1 -C 6 alkyl, optionally substituted C 2 -C 6 alkenyl, optionally substituted C 2 -C 6 alkynyl, optionally substituted cycloalkyl, optionally substituted (C 1 -C 6 alkyl) cycloalkyl, optionally substituted heterocycloalkyl, optionally substituted (C 1 -C 6 alkyl) heterocycloalkyl, optionally substituted aryl, optionally substituted (C 1 -C 6 alkyl) aryl, optionally substituted heteroaryl, or optionally substituted (C 1 -C 6 alkyl) heteroaryl;
  • R 10 and R 12 are taken together to form an optionally substituted cycloalkyl or an optionally substituted cycloalkenyl;
  • R 14 and R 15 are each independently hydrogen, halogen, optionally substituted C 1 -C 6 alkyl, optionally substituted C 2 -C 6 alkenyl, optionally substituted C 2 -C 6 alkynyl, optionally substituted cycloalkyl, optionally substituted (C 1 -C 6 alkyl) cycloalkyl, optionally substituted heterocycloalkyl, optionally substituted (C 1 -C 6 alkyl) heterocycloalkyl, optionally substituted aryl, optionally substituted (C 1 -C 6 alkyl) aryl, optionally substituted heteroaryl, or optionally substituted (C 1 -C 6 alkyl) heteroaryl;
  • R 14 and R 4a are taken together with the atoms to which they are attached to form an optionally substituted heterocycloalkyl
  • R 16 and R 17 are each independently hydrogen, halogen, optionally substituted C 1 -C 6 alkyl, optionally substituted C 2 -C 6 alkenyl, optionally substituted C 2 -C 6 alkynyl, optionally substituted cycloalkyl, optionally substituted (C 1 -C 6 alkyl) cycloalkyl, optionally substituted heterocycloalkyl, optionally substituted (C 1 -C 6 alkyl) heterocycloalkyl, optionally substituted aryl, optionally substituted (C 1 -C 6 alkyl) aryl, optionally substituted heteroaryl, or optionally substituted (C 1 -C 6 alkyl) heteroaryl;
  • R 18 and R 19 are each independently hydrogen, halogen, optionally substituted C 1 -C 6 alkyl, optionally substituted C 2 -C 6 alkenyl, optionally substituted C 2 -C 6 alkynyl, optionally substituted cycloalkyl, optionally substituted (C 1 -C 6 alkyl) cycloalkyl, optionally substituted heterocycloalkyl, optionally substituted (C 1 -C 6 alkyl) heterocycloalkyl, optionally substituted aryl, optionally substituted (C 1 -C 6 alkyl) aryl, optionally substituted heteroaryl, or optionally substituted (C 1 -C 6 alkyl) heteroaryl;
  • R 18 and R 19 are taken together with the carbon atom to which they are attached to form an oxo
  • each R a is independently optionally substituted C 1 -C 6 alkyl, optionally substituted C 2 -C 6 alkenyl, optionally substituted C 2 -C 6 alkynyl, optionally substituted cycloalkyl, optionally substituted heterocycloalkyl, optionally substituted aryl, or optionally substituted heteroaryl;
  • each R b and R c is independently hydrogen, optionally substituted C 1 -C 6 alkyl, optionally substituted C 2 -C 6 alkenyl, optionally substituted C 2 -C 6 alkynyl, optionally substituted cycloalkyl, optionally substituted heterocycloalkyl, optionally substituted aryl, or optionally substituted heteroaryl;
  • R b and R c are taken together with the nitrogen atom to which they are attached to form an optionally substituted heterocycloalkyl
  • R 18 and R 19 are taken together with the carbon atom to which they are attached to form an oxo.
  • R 18 and R 19 are each independently hydrogen, halogen, optionally substituted C 1 -C 6 alkyl, optionally substituted cycloalkyl, optionally substituted heterocycloalkyl, optionally substituted aryl, or optionally substituted heteroaryl. In some embodiments of a compound of Formula (I) , R 18 and R 19 are each independently hydrogen, halogen, or optionally substituted C 1 -C 6 alkyl. In some embodiments of a compound of Formula (I) , R 18 and R 19 are each independently hydrogen or C 1 -C 6 alkyl. In some embodiments of a compound of Formula (I) , R 18 and R 19 are hydrogen.
  • the compound of Formula (I) has the structure of Formula (Ia) :
  • R 5 is hydrogen or optionally substituted C 1 -C 6 alkyl. In some embodiments of a compound of Formula (I) or (Ia) , R 5 is hydrogen or C 1 -C 6 alkyl. In some embodiments of a compound of Formula (I) or (Ia) , R 5 is hydrogen.
  • R 7 is hydrogen or optionally substituted C 1 -C 6 alkyl. In some embodiments of a compound of Formula (I) or (Ia) , R 7 is hydrogen or C 1 -C 6 alkyl. In some embodiments of a compound of Formula (I) or (Ia) , R 7 is hydrogen.
  • R 9 is hydrogen or optionally substituted C 1 -C 6 alkyl. In some embodiments of a compound of Formula (I) or (Ia) , R 9 is hydrogen or C 1 -C 6 alkyl. In some embodiments of a compound of Formula (I) or (Ia) , R 9 is hydrogen.
  • R 11 is hydrogen or optionally substituted C 1 -C 6 alkyl. In some embodiments of a compound of Formula (I) or (Ia) , R 11 is hydrogen or C 1 -C 6 alkyl. In some embodiments of a compound of Formula (I) or (Ia) , R 11 is hydrogen.
  • R 13 is hydrogen or optionally substituted C 1 -C 6 alkyl. In some embodiments of a compound of Formula (I) or (Ia) , R 13 is hydrogen or C 1 -C 6 alkyl. In some embodiments of a compound of Formula (I) or (Ia) , R 13 is hydrogen.
  • R 15 is hydrogen or optionally substituted C 1 -C 6 alkyl. In some embodiments of a compound of Formula (I) or (Ia) , R 15 is hydrogen or C 1 -C 6 alkyl. In some embodiments of a compound of Formula (I) or (Ia) , R 15 is hydrogen.
  • R 17 is hydrogen or optionally substituted C 1 -C 6 alkyl. In some embodiments of a compound of Formula (I) or (Ia) , R 17 is hydrogen or C 1 -C 6 alkyl. In some embodiments of a compound of Formula (I) or (Ia) , R 17 is hydrogen.
  • the compound of Formula (I) or (Ia) has the structure of Formula (Ib) :
  • R 1a is hydrogen or C 1 -C 6 alkyl. In some embodiments of a compound of Formula (I) , (Ia) , or (Ib) , R 1a is hydrogen. In some embodiments of a compound of Formula (I) , (Ia) , or (Ib) , R 1a is C 1 -C 6 alkyl.
  • R 2a is hydrogen or C 1 -C 6 alkyl. In some embodiments of a compound of Formula (I) , (Ia) , or (Ib) , R 2a is hydrogen. In some embodiments of a compound of Formula (I) , (Ia) , or (Ib) , R 2a is C 1 -C 6 alkyl.
  • R 5a is hydrogen or C 1 -C 6 alkyl. In some embodiments of a compound of Formula (I) , (Ia) , or (Ib) , R 5a is hydrogen. In some embodiments of a compound of Formula (I) , (Ia) , or (Ib) , R 5a is C 1 -C 6 alkyl.
  • R 6a is hydrogen or C 1 -C 6 alkyl. In some embodiments of a compound of Formula (I) , (Ia) , or (Ib) , R 6a is hydrogen. In some embodiments of a compound of Formula (I) , (Ia) , or (Ib) , R 6a is C 1 -C 6 alkyl.
  • the compound of Formula (I) , (Ia) , or (Ib) has the structure of Formula (Ic) :
  • R 4a is hydrogen or C 1 -C 6 alkyl. In some embodiments of a compound of Formula (I) , (Ia) , (Ib) , or (Ic) , R 4a is hydrogen. In some embodiments of a compound of Formula (I) , (Ia) , (Ib) , or (Ic) , R 4a is C 1 -C 6 alkyl.
  • R 14 and R 4a are taken together with the atoms to which they are attached to form an optionally substituted 5-or 6-membered heterocycloalkyl. In some embodiments of a compound of Formula (I) , (Ia) , (Ib) , or (Ic) , R 14 and R 4a are taken together with the atoms to which they are attached to form an optionally substituted 5-membered heterocycloalkyl.
  • R 14 and R 4a are taken together with the atoms to which they are attached to form an optionally substituted 6-membered heterocycloalkyl.
  • each R 3 and R 4 are independently hydrogen or optionally substituted C 1 -C 6 alkyl. In some embodiments of a compound of Formula (I) , (Ia) , (Ib) , or (Ic) , each R 3 and R 4 are independently hydrogen or C 1 -C 6 alkyl. In some embodiments of a compound of Formula (I) , (Ia) , (Ib) , or (Ic) , each R 3 and R 4 are hydrogen. In some embodiments of a compound of Formula (I) , (Ia) , (Ib) , or (Ic) , R 3 is hydrogen and R 4 is C 1 -C 6 alkyl.
  • R 6 is hydrogen, halogen, optionally substituted C 1 -C 6 alkyl, optionally substituted cycloalkyl, optionally substituted heterocycloalkyl, optionally substituted aryl, or optionally substituted heteroaryl. In some embodiments of a compound of Formula (I) , (Ia) , (Ib) , or (Ic) , R 6 is hydrogen, optionally substituted C 1 -C 6 alkyl, or optionally substituted heterocycloalkyl.
  • R 6 is optionally substituted C 1 -C 6 alkyl or optionally substituted heterocycloalkyl. In some embodiments of a compound of Formula (I) , (Ia) , (Ib) , or (Ic) , R 6 is optionally substituted heterocycloalkyl selected from aziridinyl, azetidinyl, pyrrolidinyl, piperidinyl, or piperazinyl.
  • R 6 is C 1 -C 6 alkyl optionally substituted with one, two, or three -OR b . In some embodiments of a compound of Formula (I) , (Ia) , (Ib) , or (Ic) , R 6 is selected from:
  • R 8 is hydrogen, halogen, optionally substituted C 1 -C 6 alkyl, optionally substituted cycloalkyl, optionally substituted heterocycloalkyl, optionally substituted aryl, or optionally substituted heteroaryl. In some embodiments of a compound of Formula (I) , (Ia) , (Ib) , or (Ic) , R 8 is hydrogen or C 1 -C 6 alkyl. In some embodiments of a compound of Formula (I) , (Ia) , (Ib) , or (Ic) , R 8 is hydrogen. In some embodiments of a compound of Formula (I) , (Ia) , (Ib) , or (Ic) , R 8 is C 1 -C 6 alkyl.
  • R 10 is optionally substituted C 1 -C 20 alkyl, optionally substituted C 2 -C 20 alkenyl, or optionally substituted (C 1 -C 6 alkyl) cycloalkyl.
  • R 10 is hydrogen, halogen, optionally substituted C 1 -C 20 alkyl, optionally substituted cycloalkyl, optionally substituted heterocycloalkyl, optionally substituted aryl, or optionally substituted heteroaryl.
  • R 10 is hydrogen or optionally substituted C 1 -C 20 alkyl. In some embodiments of a compound of Formula (I) , (Ia) , (Ib) , or (Ic) , R 10 is optionally substituted C 1 -C 20 alkyl. In some embodiments of a compound of Formula (I) , (Ia) , (Ib) , or (Ic) , R 10 is C 1 -C 20 alkyl optionally substituted with one, two, or three halogen, -OH, -OCH 3 , cycloalkyl, or aryl.
  • R 10 is C 1 -C 20 alkyl optionally substituted with one, two, or three halogen, -OH, or -OCH 3 . In some embodiments of a compound of Formula (I) , (Ia) , (Ib) , or (Ic) , R 10 is C 1 -C 20 alkyl optionally substituted with one aryl or one cycloalkyl. In some embodiments of a compound of Formula (I) , (Ia) , (Ib) , or (Ic) , R 10 is optionally substituted C 8 -C 12 alkyl.
  • R 10 is C 8 -C 12 alkyl optionally substituted with one, two, or three halogen, -OH, or -OCH 3 . In some embodiments of a compound of Formula (I) , (Ia) , (Ib) , or (Ic) , R 10 is optionally substituted C 1 -C 8 alkyl.
  • R 10 is C 1 -C 8 alkyl optionally substituted with one, two, or three halogen, -OH, -OCH 3 , cycloalkyl, or aryl. In some embodiments of a compound of Formula (I) , (Ia) , (Ib) , or (Ic) , R 10 is C 1 -C 8 alkyl optionally substituted with one, two, or three halogen, -OH, or -OCH 3 .
  • R 10 is C 1 -C 8 alkyl optionally substituted with one aryl or one cycloalkyl. In some embodiments of a compound of Formula (I) , (Ia) , (Ib) , or (Ic) , R 10 is optionally substituted C 11 -C 20 alkyl. In some embodiments of a compound of Formula (I) , (Ia) , (Ib) , or (Ic) , R 10 is optionally substituted C 6 -C 12 alkyl.
  • R 10 is optionally substituted C 8 -C 15 alkyl. In some embodiments of a compound of Formula (I) , (Ia) , (Ib) , or (Ic) , R 10 is C 1 -C 20 alkyl. In some embodiments of a compound of Formula (I) , (Ia) , (Ib) , or (Ic) , R 10 is C 8 -C 12 alkyl. In some embodiments of a compound of Formula (I) , (Ia) , (Ib) , or (Ic) , R 10 is C 11 -C 20 alkyl.
  • R 10 is C 6 -C 12 alkyl. In some embodiments of a compound of Formula (I) , (Ia) , (Ib) , or (Ic) , R 10 is C 8 -C 15 alkyl. In some embodiments of a compound of Formula (I) , (Ia) , (Ib) , or (Ic) , R 10 is hydrogen.
  • R 10 is
  • R 12 is hydrogen, halogen, optionally substituted C 1 -C 6 alkyl, optionally substituted cycloalkyl, optionally substituted heterocycloalkyl, optionally substituted aryl, or optionally substituted heteroaryl.
  • R 12 is halogen, optionally substituted C 1 -C 6 alkyl, optionally substituted (C 1 -C 6 alkyl) aryl, or optionally substituted (C 1 -C 6 alkyl) cycloalkyl.
  • R 12 is C 1 -C 6 alkyl, C 1 -C 6 haloalkyl, (C 1 -C 6 alkyl) aryl, or (C 1 -C 6 alkyl) cycloalkyl; wherein the aryl is optionally substituted with one, two, or three halogen, C 1 -C 6 alkyl, C 1 -C 6 haloalkyl, -OH, -OCH 3 , or aryl.
  • R 12 is hydrogen or optionally substituted C 1 -C 6 alkyl. In some embodiments of a compound of Formula (I) , (Ia) , (Ib) , or (Ic) , R 12 is optionally substituted C 1 -C 6 alkyl. In some embodiments of a compound of Formula (I) , (Ia) , (Ib) , or (Ic) , R 12 is C 1 -C 6 alkyl.
  • R 12 is methyl or ethyl. In some embodiments of a compound of Formula (I) , (Ia) , (Ib) , or (Ic) , R 12 is methyl. In some embodiments of a compound of Formula (I) , (Ia) , (Ib) , or (Ic) , R 12 is hydrogen.
  • R 12 is
  • R 10 and R 12 are taken together to form an optionally substituted cycloalkyl.
  • the cycloalkyl is cycloheptane.
  • the cycloalkyl is cyclooctane.
  • R 10 and R 12 are taken together to form an optionally substituted cycloalkenyl group.
  • the cycloalkenyl group is cycloheptene.
  • the cycloalkenyl group is cyclooctene.
  • R 14 is hydrogen, halogen, optionally substituted C 1 -C 6 alkyl, optionally substituted cycloalkyl, optionally substituted (C 1 -C 6 alkyl) cycloalkyl, optionally substituted heterocycloalkyl, optionally substituted (C 1 -C 6 alkyl) heterocycloalkyl, optionally substituted aryl, or optionally substituted heteroaryl.
  • R 14 is hydrogen, optionally substituted C 1 -C 6 alkyl, optionally substituted cycloalkyl, or optionally substituted (C 1 -C 6 alkyl) cycloalkyl. In some embodiments of a compound of Formula (I) , (Ia) , (Ib) , or (Ic) , R 14 is optionally substituted C 1 -C 6 alkyl or optionally substituted (C 1 -C 6 alkyl) cycloalkyl.
  • R 14 is C 1 -C 6 alkyl, C 1 -C 6 haloalkyl, or (C 1 -C 6 alkyl) cycloalkyl. In some embodiments of a compound of Formula (I) , (Ia) , (Ib) , or (Ic) , R 14 is selected from:
  • R 16 is hydrogen, halogen, optionally substituted C 1 -C 6 alkyl, optionally substituted cycloalkyl, optionally substituted (C 1 -C 6 alkyl) cycloalkyl, optionally substituted heterocycloalkyl, optionally substituted (C 1 -C 6 alkyl) heterocycloalkyl, optionally substituted aryl, optionally substituted (C 1 -C 6 alkyl) aryl, or optionally substituted heteroaryl.
  • R 16 is optionally substituted C 1 -C 6 alkyl, optionally substituted (C 1 -C 6 alkyl) cycloalkyl, optionally substituted cycloalkyl, optionally substituted (C 1 -C 6 alkyl) aryl, or optionally substituted aryl.
  • R 16 is optionally substituted C 1 -C 6 alkyl, optionally substituted (C 1 -C 6 alkyl) cycloalkyl, or optionally substituted cycloalkyl. In some embodiments of a compound of Formula (I) , (Ia) , (Ib) , or (Ic) , R 16 is optionally substituted C 1 -C 6 alkyl, optionally substituted (C 1 -C 6 alkyl) cycloalkyl, or optionally substituted cycloalkyl.
  • R 16 is C 3 -C 7 cycloalkyl. In some embodiments of a compound of Formula (I) , (Ia) , (Ib) , or (Ic) , R 16 is cyclobutyl, cyclopentyl, cyclohexyl, or cycloheptyl. In some embodiments of a compound of Formula (I) , (Ia) , (Ib) , or (Ic) , R 16 is cyclohexyl.
  • R 16 is cycloheptyl. In some embodiments of a compound of Formula (I) , (Ia) , (Ib) , or (Ic) , R 16 is selected from:
  • R 1 and R 2 are each independently hydrogen or optionally substituted C 1 -C 6 alkyl.
  • R 1 and R 2 are each independently hydrogen or C 1 -C 6 alkyl.
  • R 1 is hydrogen. In some embodiments of a compound of Formula (I) , (Ia) , (Ib) , or (Ic) , R 2 is hydrogen.
  • each R a is independently C 1 -C 6 alkyl. In some embodiments of a compound of Formula (I) , (Ia) , (Ib) , or (Ic) , each R b and R c is independently hydrogen or C 1 -C 6 alkyl. In some embodiments of a compound of Formula (I) , (Ia) , (Ib) , or (Ic) , each R b and R c is hydrogen.
  • X 1 is -O-or -NR 1a -;
  • X 2 is -O-or -NR 2a -;
  • X 3 is -O-or -NR 3a -;
  • X 4 is -O-or -NR 4a -;
  • X 5 is -O-or -NR 5a -;
  • X 6 is -O-or -NR 6a -;
  • R 1a , R 2a , R 3a , R 4a , R 5a , and R 6a are each independently hydrogen or optionally substituted C 1 -C 6 alkyl;
  • R 1 and R 2 are taken together with the nitrogen atom to which they are attached to form an optionally substituted heterocycloalkyl
  • R 3 and R 4 are each independently hydrogen, optionally substituted C 1 -C 6 alkyl, optionally substituted C 2 -C 6 alkenyl, optionally substituted C 2 -C 6 alkynyl, optionally substituted cycloalkyl, optionally substituted heterocycloalkyl, optionally substituted aryl, or optionally substituted heteroaryl;
  • R 3 and R 4 are taken together with the carbon atom to which they are attached to form an oxo
  • R 5 is hydrogen, halogen, optionally substituted C 1 -C 6 alkyl, optionally substituted C 2 -C 6 alkenyl, or optionally substituted C 2 -C 6 alkynyl;
  • R 6 and R 7 are each independently hydrogen, halogen, optionally substituted C 1 -C 6 alkyl, optionally substituted C 2 -C 6 alkenyl, optionally substituted C 2 -C 6 alkynyl, optionally substituted cycloalkyl, optionally substituted (C 1 -C 6 alkyl) cycloalkyl, optionally substituted heterocycloalkyl, optionally substituted (C 1 -C 6 alkyl) heterocycloalkyl, optionally substituted aryl, optionally substituted (C 1 -C 6 alkyl) aryl, optionally substituted heteroaryl, or optionally substituted (C 1 -C 6 alkyl) heteroaryl;
  • R 8 and R 9 are each independently hydrogen, halogen, optionally substituted C 1 -C 6 alkyl, optionally substituted C 2 -C 6 alkenyl, optionally substituted C 2 -C 6 alkynyl, optionally substituted cycloalkyl, optionally substituted (C 1 -C 6 alkyl) cycloalkyl, optionally substituted heterocycloalkyl, optionally substituted (C 1 -C 6 alkyl) heterocycloalkyl, optionally substituted aryl, optionally substituted (C 1 -C 6 alkyl) aryl, optionally substituted heteroaryl, or optionally substituted (C 1 -C 6 alkyl) heteroaryl;
  • R 10 and R 11 are each independently hydrogen, halogen, optionally substituted C 1 -C 20 alkyl, optionally substituted C 2 -C 20 alkenyl, optionally substituted C 2 -C 20 alkynyl, optionally substituted cycloalkyl, optionally substituted (C 1 -C 6 alkyl) cycloalkyl, optionally substituted heterocycloalkyl, optionally substituted (C 1 -C 6 alkyl) heterocycloalkyl, optionally substituted aryl, optionally substituted (C 1 -C 6 alkyl) aryl, optionally substituted heteroaryl, or optionally substituted (C 1 -C 6 alkyl) heteroaryl;
  • R 12 and R 13 are each independently hydrogen, halogen, optionally substituted C 1 -C 6 alkyl, optionally substituted C 2 -C 6 alkenyl, optionally substituted C 2 -C 6 alkynyl, optionally substituted cycloalkyl, optionally substituted (C 1 -C 6 alkyl) cycloalkyl, optionally substituted heterocycloalkyl, optionally substituted (C 1 -C 6 alkyl) heterocycloalkyl, optionally substituted aryl, optionally substituted (C 1 -C 6 alkyl) aryl, optionally substituted heteroaryl, or optionally substituted (C 1 -C 6 alkyl) heteroaryl;
  • R 10 and R 12 are taken together to form an optionally substituted cycloalkyl or an optionally substituted cycloalkenyl;
  • R 14 and R 15 are each independently hydrogen, halogen, optionally substituted C 1 -C 6 alkyl, optionally substituted C 2 -C 6 alkenyl, optionally substituted C 2 -C 6 alkynyl, optionally substituted cycloalkyl, optionally substituted (C 1 -C 6 alkyl) cycloalkyl, optionally substituted heterocycloalkyl, optionally substituted (C 1 -C 6 alkyl) heterocycloalkyl, optionally substituted aryl, optionally substituted (C 1 -C 6 alkyl) aryl, optionally substituted heteroaryl, or optionally substituted (C 1 -C 6 alkyl) heteroaryl;
  • R 14 and R 4a are taken together with the atoms to which they are attached to form an optionally substituted heterocycloalkyl
  • R 16 and R 17 are each independently hydrogen, halogen, optionally substituted C 1 -C 6 alkyl, optionally substituted C 2 -C 6 alkenyl, optionally substituted C 2 -C 6 alkynyl, optionally substituted cycloalkyl, optionally substituted (C 1 -C 6 alkyl) cycloalkyl, optionally substituted heterocycloalkyl, optionally substituted (C 1 -C 6 alkyl) heterocycloalkyl, optionally substituted aryl, optionally substituted (C 1 -C 6 alkyl) aryl, optionally substituted heteroaryl, or optionally substituted (C 1 -C 6 alkyl) heteroaryl;
  • R 18 and R 19 are each independently hydrogen, halogen, optionally substituted C 1 -C 6 alkyl, optionally substituted C 2 -C 6 alkenyl, optionally substituted C 2 -C 6 alkynyl, optionally substituted cycloalkyl, optionally substituted (C 1 -C 6 alkyl) cycloalkyl, optionally substituted heterocycloalkyl, optionally substituted (C 1 -C 6 alkyl) heterocycloalkyl, optionally substituted aryl, optionally substituted (C 1 -C 6 alkyl) aryl, optionally substituted heteroaryl, or optionally substituted (C 1 -C 6 alkyl) heteroaryl;
  • R 20 is -NR 1 R 2 or -OH
  • each R a is independently optionally substituted C 1 -C 6 alkyl, optionally substituted C 2 -C 6 alkenyl, optionally substituted C 2 -C 6 alkynyl, optionally substituted cycloalkyl, optionally substituted heterocycloalkyl, optionally substituted aryl, or optionally substituted heteroaryl;
  • each R b and R c is independently hydrogen, optionally substituted C 1 -C 6 alkyl, optionally substituted C 2 -C 6 alkenyl, optionally substituted C 2 -C 6 alkynyl, optionally substituted cycloalkyl, optionally substituted heterocycloalkyl, optionally substituted aryl, or optionally substituted heteroaryl;
  • R b and R c are taken together with the nitrogen atom to which they are attached to form an optionally substituted heterocycloalkyl
  • R 18 and R 19 are each independently hydrogen, halogen, optionally substituted C 1 -C 6 alkyl, optionally substituted cycloalkyl, optionally substituted heterocycloalkyl, optionally substituted aryl, or optionally substituted heteroaryl. In some embodiments of a compound of Formula (II) , R 18 and R 19 are each independently hydrogen, halogen, or optionally substituted C 1 -C 6 alkyl. In some embodiments of a compound of Formula (II) , R 18 and R 19 are each independently hydrogen or C 1 -C 6 alkyl. In some embodiments of a compound of Formula (II) , R 18 and R 19 are hydrogen.
  • the compound of Formula (II) has the structure of Formula (IIa) :
  • R 5 is hydrogen or optionally substituted C 1 -C 6 alkyl. In some embodiments of a compound of Formula (II) or (IIa) , R 5 is hydrogen or C 1 -C 6 alkyl. In some embodiments of a compound of Formula (II) or (IIa) , R 5 is hydrogen.
  • R 7 is hydrogen or optionally substituted C 1 -C 6 alkyl. In some embodiments of a compound of Formula (II) or (IIa) , R 7 is hydrogen or C 1 -C 6 alkyl. In some embodiments of a compound of Formula (II) or (IIa) , R 7 is hydrogen.
  • R 9 is hydrogen or optionally substituted C 1 -C 6 alkyl. In some embodiments of a compound of Formula (II) or (IIa) , R 9 is hydrogen or C 1 -C 6 alkyl. In some embodiments of a compound of Formula (II) or (IIa) , R 9 is hydrogen.
  • R 11 is hydrogen or optionally substituted C 1 -C 6 alkyl. In some embodiments of a compound of Formula (II) or (IIa) , R 11 is hydrogen or C 1 -C 6 alkyl. In some embodiments of a compound of Formula (II) or (IIa) , R 11 is hydrogen.
  • R 13 is hydrogen or optionally substituted C 1 -C 6 alkyl. In some embodiments of a compound of Formula (II) or (IIa) , R 13 is hydrogen or C 1 -C 6 alkyl. In some embodiments of a compound of Formula (II) or (IIa) , R 13 is hydrogen.
  • R 15 is hydrogen or optionally substituted C 1 -C 6 alkyl. In some embodiments of a compound of Formula (II) or (IIa) , R 15 is hydrogen or C 1 -C 6 alkyl. In some embodiments of a compound of Formula (II) or (IIa) , R 15 is hydrogen.
  • R 17 is hydrogen or optionally substituted C 1 -C 6 alkyl. In some embodiments of a compound of Formula (II) or (IIa) , R 17 is hydrogen or C 1 -C 6 alkyl. In some embodiments of a compound of Formula (II) or (IIa) , R 17 is hydrogen.
  • the compound of Formula (II) or (IIa) has the structure of Formula (IIb) :
  • R 1a is hydrogen or C 1 -C 6 alkyl. In some embodiments of a compound of Formula (II) , (IIa) , or (IIb) , R 1a is hydrogen. In some embodiments of a compound of Formula (II) , (IIa) , or (IIb) , R 1a is C 1 -C 6 alkyl.
  • R 2a is hydrogen or C 1 -C 6 alkyl. In some embodiments of a compound of Formula (II) , (IIa) , or (IIb) , R 2a is hydrogen. In some embodiments of a compound of Formula (II) , (IIa) , or (IIb) , R 2a is C 1 -C 6 alkyl.
  • R 5a is hydrogen or C 1 -C 6 alkyl. In some embodiments of a compound of Formula (II) , (IIa) , or (IIb) , R 5a is hydrogen. In some embodiments of a compound of Formula (II) , (IIa) , or (IIb) , R 5a is C 1 -C 6 alkyl.
  • R 6a is hydrogen or C 1 -C 6 alkyl. In some embodiments of a compound of Formula (II) , (IIa) , or (IIb) , R 6a is hydrogen. In some embodiments of a compound of Formula (II) , (IIa) , or (IIb) , R 6a is C 1 -C 6 alkyl.
  • the compound of Formula (II) , (IIa) , or (IIb) has the structure of Formula (IIc) :
  • R 4a is hydrogen or C 1 -C 6 alkyl. In some embodiments of a compound of Formula (II) , (IIa) , (IIb) , or (IIc) , R 4a is hydrogen. In some embodiments of a compound of Formula (II) , (IIa) , (IIb) , or (IIc) , R 4a is C 1 -C 6 alkyl.
  • R 14 and R 4a are taken together with the atoms to which they are attached to form an optionally substituted 5-or 6-membered heterocycloalkyl. In some embodiments of a compound of Formula (II) , (IIa) , (IIb) , or (IIc) , R 14 and R 4a are taken together with the atoms to which they are attached to form an optionally substituted 5-membered heterocycloalkyl.
  • R 14 and R 4a are taken together with the atoms to which they are attached to form an optionally substituted 6-membered heterocycloalkyl.
  • each R 3 and R 4 are independently hydrogen or optionally substituted C 1 -C 6 alkyl. In some embodiments of a compound of Formula (II) , (IIa) , (IIb) , or (IIc) , each R 3 and R 4 are independently hydrogen or C 1 -C 6 alkyl. In some embodiments of a compound of Formula (II) , (IIa) , (IIb) , or (IIc) , each R 3 and R 4 are hydrogen. In some embodiments of a compound of Formula (II) , (IIa) , (IIb) , or (IIc) , R 3 is hydrogen and R 4 is C 1 -C 6 alkyl.
  • R 6 is hydrogen, halogen, optionally substituted C 1 -C 6 alkyl, optionally substituted cycloalkyl, optionally substituted heterocycloalkyl, optionally substituted aryl, or optionally substituted heteroaryl. In some embodiments of a compound of Formula (II) , (IIa) , (IIb) , or (IIc) , R 6 is hydrogen, optionally substituted C 1 -C 6 alkyl, or optionally substituted heterocycloalkyl.
  • R 6 is optionally substituted C 1 -C 6 alkyl or optionally substituted heterocycloalkyl.
  • R 6 is optionally substituted heterocycloalkyl selected from aziridinyl, azetidinyl, pyrrolidinyl, piperidinyl, or piperazinyl.
  • R 6 is C 1 -C 6 alkyl optionally substituted with one, two, or three -OR b . In some embodiments of a compound of Formula (II) , (IIa) , (IIb) , or (IIc) , R 6 is selected from:
  • R 8 is hydrogen, halogen, optionally substituted C 1 -C 6 alkyl, optionally substituted cycloalkyl, optionally substituted heterocycloalkyl, optionally substituted aryl, or optionally substituted heteroaryl. In some embodiments of a compound of Formula (II) , (IIa) , (IIb) , or (IIc) , R 8 is hydrogen or C 1 -C 6 alkyl.
  • R 8 is hydrogen. In some embodiments of a compound of Formula (II) , (IIa) , (IIb) , or (IIc) , R 8 is C 1 -C 6 alkyl.
  • R 10 is optionally substituted C 1 -C 20 alkyl, optionally substituted C 2 -C 20 alkenyl, or optionally substituted (C 1 -C 6 alkyl) cycloalkyl.
  • R 10 is hydrogen, halogen, optionally substituted C 1 -C 20 alkyl, optionally substituted cycloalkyl, optionally substituted heterocycloalkyl, optionally substituted aryl, or optionally substituted heteroaryl. In some embodiments of a compound of Formula (II) , (IIa) , (IIb) , or (IIc) , R 10 is hydrogen or optionally substituted C 1 -C 20 alkyl.
  • R 10 is C 1 -C 20 alkyl optionally substituted with one, two, or three halogen, -OH, -OCH 3 , cycloalkyl, or aryl. In some embodiments of a compound of Formula (II) , (IIa) , (IIb) , or (IIc) , R 10 is C 1 -C 20 alkyl optionally substituted with one, two, or three halogen, -OH, or -OCH 3 .
  • R 10 is C 1 -C 20 alkyl optionally substituted with one aryl or one cycloalkyl. In some embodiments of a compound of Formula (II) , (IIa) , (IIb) , or (IIc) , R 10 is optionally substituted C 1 -C 20 alkyl.
  • R 10 is optionally substituted C 8 -C 12 alkyl optionally substituted with one, two, or three halogen, -OH, or -OCH 3 . In some embodiments of a compound of Formula (II) , (IIa) , (IIb) , or (IIc) , R 10 is optionally substituted C 1 -C 8 alkyl.
  • R 10 is C 1 -C 8 alkyl optionally substituted with one, two, or three halogen, -OH, -OCH 3 , cycloalkyl, or aryl. In some embodiments of a compound of Formula (II) , (IIa) , (IIb) , or (IIc) , R 10 is C 1 -C 8 alkyl optionally substituted with one, two, or three halogen, -OH, or -OCH 3 .
  • R 10 is C 1 -C 8 alkyl optionally substituted with one aryl or one cycloalkyl. In some embodiments of a compound of Formula (II) , (IIa) , (IIb) , or (IIc) , R 10 is optionally substituted C 8 -C 12 alkyl. In some embodiments of a compound of Formula (II) , (IIa) , (IIb) , or (IIc) , R 10 is optionally substituted C 11 -C 20 alkyl.
  • R 10 is optionally substituted C 6 -C 12 alkyl. In some embodiments of a compound of Formula (II) , (IIa) , (IIb) , or (IIc) , R 10 is optionally substituted C 8 -C 15 alkyl. In some embodiments of a compound of Formula (II) , (IIa) , (IIb) , or (IIc) , R 10 is C 1 -C 20 alkyl.
  • R 10 is C 8 -C 12 alkyl. In some embodiments of a compound of Formula (II) , (IIa) , (IIb) , or (IIc) , R 10 is C 11 -C 20 alkyl. In some embodiments of a compound of Formula (II) , (IIa) , (IIb) , or (IIc) , R 10 is C 6 -C 12 alkyl.
  • R 10 is C 8 -C 15 alkyl. In some embodiments of a compound of Formula (II) , (IIa) , (IIb) , or (IIc) , R 10 is hydrogen.
  • R 10 is
  • R 12 is hydrogen, halogen, optionally substituted C 1 -C 6 alkyl, optionally substituted cycloalkyl, optionally substituted heterocycloalkyl, optionally substituted aryl, or optionally substituted heteroaryl.
  • R 12 is halogen, optionally substituted C 1 -C 6 alkyl, optionally substituted (C 1 -C 6 alkyl) aryl, or optionally substituted (C 1 -C 6 alkyl) cycloalkyl.
  • R 12 is C 1 -C 6 alkyl, C 1 -C 6 haloalkyl, (C 1 -C 6 alkyl) aryl, or (C 1 -C 6 alkyl) cycloalkyl; wherein the aryl is optionally substituted with one, two, or three halogen, C 1 -C 6 alkyl, C 1 -C 6 haloalkyl, -OH, -OCH 3 , or aryl.
  • R 12 is hydrogen or optionally substituted C 1 -C 6 alkyl. In some embodiments of a compound of Formula (II) , (IIa) , (IIb) , or (IIc) , R 12 is optionally substituted C 1 -C 6 alkyl. In some embodiments of a compound of Formula (II) , (IIa) , (IIb) , or (IIc) , R 12 is C 1 -C 6 alkyl.
  • R 12 is methyl or ethyl. In some embodiments of a compound of Formula (II) , (IIa) , (IIb) , or (IIc) , R 12 is methyl. In some embodiments of a compound of Formula (II) , (IIa) , (IIb) , or (IIc) , R 12 is hydrogen.
  • R 10 and R 12 are taken together to form an optionally substituted cycloalkyl.
  • the cycloalkyl is cycloheptane.
  • the cycloalkyl is cyclooctane.
  • R 10 and R 12 are taken together to form an optionally substituted cycloalkenyl group.
  • the cycloalkenyl group is cycloheptene.
  • the cycloalkenyl group is cyclooctene.
  • R 12 is
  • R 14 is hydrogen, halogen, optionally substituted C 1 -C 6 alkyl, optionally substituted cycloalkyl, optionally substituted (C 1 -C 6 alkyl) cycloalkyl, optionally substituted heterocycloalkyl, optionally substituted (C 1 -C 6 alkyl) heterocycloalkyl, optionally substituted aryl, or optionally substituted heteroaryl.
  • R 14 is hydrogen, optionally substituted C 1 -C 6 alkyl, optionally substituted cycloalkyl, or optionally substituted (C 1 -C 6 alkyl) cycloalkyl. In some embodiments of a compound of Formula (II) , (IIa) , (IIb) , or (IIc) , R 14 is optionally substituted C 1 -C 6 alkyl or optionally substituted (C 1 -C 6 alkyl) cycloalkyl.
  • R 14 is C 1 -C 6 alkyl, C 1 -C 6 haloalkyl, or (C 1 -C 6 alkyl) cycloalkyl. In some embodiments of a compound of Formula (II) , (IIa) , (IIb) , or (IIc) , R 14 is selected from:
  • R 16 is hydrogen, halogen, optionally substituted C 1 -C 6 alkyl, optionally substituted cycloalkyl, optionally substituted (C 1 -C 6 alkyl) cycloalkyl, optionally substituted heterocycloalkyl, optionally substituted (C 1 -C 6 alkyl) heterocycloalkyl, optionally substituted aryl, optionally substituted (C 1 -C 6 alkyl) aryl, or optionally substituted heteroaryl.
  • R 16 is optionally substituted C 1 -C 6 alkyl, optionally substituted (C 1 -C 6 alkyl) cycloalkyl, optionally substituted cycloalkyl, optionally substituted (C 1 -C 6 alkyl) aryl, or optionally substituted aryl.
  • R 16 is optionally substituted C 1 -C 6 alkyl, optionally substituted (C 1 -C 6 alkyl) cycloalkyl, or optionally substituted cycloalkyl. In some embodiments of a compound of Formula (II) , (IIa) , (IIb) , or (IIc) , R 16 is optionally substituted C 1 -C 6 alkyl, optionally substituted (C 1 -C 6 alkyl) cycloalkyl, or optionally substituted cycloalkyl.
  • R 16 is C 3 -C 7 cycloalkyl. In some embodiments of a compound of Formula (II) , (IIa) , (IIb) , or (IIc) , R 16 is cyclobutyl, cyclopentyl, cyclohexyl, or cycloheptyl. In some embodiments of a compound of Formula (II) , (IIa) , (IIb) , or (IIc) , R 16 is cyclohexyl.
  • R 16 is cycloheptyl. In some embodiments of a compound of Formula (II) , (IIa) , (IIb) , or (IIc) , R 16 is selected from:
  • R 20 is -OH.
  • R 20 is -NR 1 R 2 .
  • R 1 and R 2 are each independently hydrogen or optionally substituted C 1 -C 6 alkyl.
  • R 1 and R 2 are each independently hydrogen or C 1 -C 6 alkyl.
  • R 1 is hydrogen.
  • R 2 is hydrogen.
  • each R a is independently C 1 -C 6 alkyl. In some embodiments of a compound of Formula (II) , (IIa) , (IIb) , or (IIc) , each R b and R c is independently hydrogen or C 1 -C 6 alkyl. In some embodiments of a compound of Formula (II) , (IIa) , (IIb) , or (IIc) , each R b and R c is hydrogen.
  • X 1 is -O-or -NR 1a -;
  • X 2 is -O-or -NR 2a -;
  • X 3 is -O-or -NR 3a -;
  • X 4 is -O-or -NR 4a -;
  • X 5 is -O-or -NR 5a -;
  • X 6 is -O-or -NR 6a -;
  • X 1 , X 2 , X 3 , X 4 , X 5 , or X 6 is -O-;
  • Y is a bond or optionally substituted C 1 -C 6 alkylene
  • R 1a , R 2a , R 3a , R 4a , R 5a , and R 6a are each independently hydrogen or optionally substituted C 1 -C 6 alkyl;
  • R 1 and R 2 are taken together with the nitrogen atom to which they are attached to form an optionally substituted heterocycloalkyl
  • R 3 and R 4 are each independently hydrogen, optionally substituted C 1 -C 6 alkyl, optionally substituted C 2 -C 6 alkenyl, optionally substituted C 2 -C 6 alkynyl, optionally substituted cycloalkyl, optionally substituted heterocycloalkyl, optionally substituted aryl, or optionally substituted heteroaryl;
  • R 3 and R 4 are taken together with the carbon atom to which they are attached to form an oxo
  • R 5 is hydrogen, halogen, optionally substituted C 1 -C 6 alkyl, optionally substituted C 2 -C 6 alkenyl, or optionally substituted C 2 -C 6 alkynyl;
  • R 6 and R 7 are each independently hydrogen, halogen, optionally substituted C 1 -C 6 alkyl, optionally substituted C 2 -C 6 alkenyl, optionally substituted C 2 -C 6 alkynyl, optionally substituted cycloalkyl, optionally substituted (C 1 -C 6 alkyl) cycloalkyl, optionally substituted (C 1 -C 6 alkyl) heterocycloalkyl, optionally substituted heterocycloalkyl, optionally substituted (C 1 -C 6 alkyl) aryl, or optionally substituted (C 1 -C 6 alkyl) heteroaryl;
  • R 8 and R 9 are each independently hydrogen, halogen, optionally substituted C 1 -C 6 alkyl, optionally substituted C 2 -C 6 alkenyl, optionally substituted C 2 -C 6 alkynyl, optionally substituted cycloalkyl, optionally substituted (C 1 -C 6 alkyl) cycloalkyl, optionally substituted (C 1 -C 6 alkyl) heterocycloalkyl, optionally substituted (C 1 -C 6 alkyl) aryl, or optionally substituted (C 1 -C 6 alkyl) heteroaryl;
  • R 10 and R 11 are each independently hydrogen, halogen, optionally substituted C 1 -C 20 alkyl, optionally substituted C 2 -C 20 alkenyl, optionally substituted C 2 -C 20 alkynyl, optionally substituted cycloalkyl, optionally substituted (C 1 -C 6 alkyl) cycloalkyl, optionally substituted (C 1 -C 6 alkyl) heterocycloalkyl, optionally substituted (C 1 -C 6 alkyl) aryl, or optionally substituted (C 1 -C 6 alkyl) heteroaryl;
  • R 12 and R 13 are each independently hydrogen, halogen, optionally substituted C 1 -C 6 alkyl, optionally substituted C 2 -C 6 alkenyl, optionally substituted C 2 -C 6 alkynyl, optionally substituted cycloalkyl, optionally substituted (C 1 -C 6 alkyl) cycloalkyl, optionally substituted (C 1 -C 6 alkyl) heterocycloalkyl, optionally substituted (C 1 -C 6 alkyl) aryl, or optionally substituted (C 1 -C 6 alkyl) heteroaryl;
  • R 10 and R 12 are taken together to form an optionally substituted cycloalkyl or an optionally substituted cycloalkenyl;
  • R 14 and R 15 are each independently hydrogen, halogen, optionally substituted C 1 -C 6 alkyl, optionally substituted C 2 -C 6 alkenyl, optionally substituted C 2 -C 6 alkynyl, optionally substituted cycloalkyl, optionally substituted (C 1 -C 6 alkyl) cycloalkyl, optionally substituted (C 1 -C 6 alkyl) heterocycloalkyl, optionally substituted (C 1 -C 6 alkyl) aryl, or optionally substituted (C 1 -C 6 alkyl) heteroaryl;
  • R 14 and R 4a are taken together with the atoms to which they are attached to form an optionally substituted heterocycloalkyl
  • R 17 is hydrogen, halogen, optionally substituted C 1 -C 6 alkyl, optionally substituted C 2 -C 6 alkenyl, optionally substituted C 2 -C 6 alkynyl, optionally substituted cycloalkyl, optionally substituted (C 1 -C 6 alkyl) cycloalkyl, optionally substituted (C 1 -C 6 alkyl) heterocycloalkyl, optionally substituted (C 1 -C 6 alkyl) aryl, or optionally substituted (C 1 -C 6 alkyl) heteroaryl;
  • R 18 and R 19 are each independently hydrogen, halogen, optionally substituted C 1 -C 6 alkyl, optionally substituted C 2 -C 6 alkenyl, optionally substituted C 2 -C 6 alkynyl, optionally substituted cycloalkyl, optionally substituted (C 1 -C 6 alkyl) cycloalkyl, optionally substituted heterocycloalkyl, optionally substituted (C 1 -C 6 alkyl) heterocycloalkyl, optionally substituted aryl, optionally substituted (C 1 -C 6 alkyl) aryl, optionally substituted heteroaryl, or optionally substituted (C 1 -C 6 alkyl) heteroaryl;
  • R 18 and R 19 are taken together with the carbon atom to which they are attached to form an oxo
  • R 20 is hydroxyl or -NR 1 R 2 ;
  • R 21 is optionally substituted cycloalkyl
  • each R a is independently optionally substituted C 1 -C 6 alkyl, optionally substituted C 2 -C 6 alkenyl, optionally substituted C 2 -C 6 alkynyl, optionally substituted cycloalkyl, optionally substituted heterocycloalkyl, optionally substituted aryl, or optionally substituted heteroaryl;
  • each R b and R c is independently hydrogen, optionally substituted C 1 -C 6 alkyl, optionally substituted C 2 -C 6 alkenyl, optionally substituted C 2 -C 6 alkynyl, optionally substituted cycloalkyl, optionally substituted heterocycloalkyl, optionally substituted aryl, or optionally substituted heteroaryl;
  • R b and R c are taken together with the nitrogen atom to which they are attached to form an optionally substituted heterocycloalkyl
  • R 18 and R 19 are taken together with the carbon atom to which they are attached to form an oxo.
  • R 18 and R 19 are each independently hydrogen, halogen, optionally substituted C 1 -C 6 alkyl, optionally substituted cycloalkyl, optionally substituted heterocycloalkyl, optionally substituted aryl, or optionally substituted heteroaryl. In some embodiments of a compound of Formula (III) , R 18 and R 19 are each independently hydrogen, halogen, or optionally substituted C 1 -C 6 alkyl. In some embodiments of a compound of Formula (III) , R 18 and R 19 are each independently hydrogen or C 1 -C 6 alkyl. In some embodiments of a compound of Formula (III) , R 18 and R 19 are hydrogen.
  • the compound of Formula (III) has the structure of Formula (IIIa) :
  • R 5 is hydrogen or optionally substituted C 1 -C 6 alkyl. In some embodiments of a compound of Formula (III) or (IIIa) , R 5 is hydrogen or C 1 -C 6 alkyl. In some embodiments of a compound of Formula (III) or (IIIa) , R 5 is hydrogen.
  • R 7 is hydrogen or optionally substituted C 1 -C 6 alkyl. In some embodiments of a compound of Formula (III) or (IIIa) , R 7 is hydrogen or C 1 -C 6 alkyl. In some embodiments of a compound of Formula (III) or (IIIa) , R 7 is hydrogen.
  • R 9 is hydrogen or optionally substituted C 1 -C 6 alkyl. In some embodiments of a compound of Formula (III) or (IIIa) , R 9 is hydrogen or C 1 -C 6 alkyl. In some embodiments of a compound of Formula (III) or (IIIa) , R 9 is hydrogen.
  • R 11 is hydrogen or optionally substituted C 1 -C 6 alkyl. In some embodiments of a compound of Formula (III) or (IIIa) , R 11 is hydrogen or C 1 -C 6 alkyl. In some embodiments of a compound of Formula (III) or (IIIa) , R 11 is hydrogen.
  • R 13 is hydrogen or optionally substituted C 1 -C 6 alkyl. In some embodiments of a compound of Formula (III) or (IIIa) , R 13 is hydrogen or C 1 -C 6 alkyl. In some embodiments of a compound of Formula (III) or (IIIa) , R 13 is hydrogen.
  • R 15 is hydrogen or optionally substituted C 1 -C 6 alkyl. In some embodiments of a compound of Formula (III) or (IIIa) , R 15 is hydrogen or C 1 -C 6 alkyl. In some embodiments of a compound of Formula (III) or (IIIa) , R 15 is hydrogen.
  • R 17 is hydrogen or optionally substituted C 1 -C 6 alkyl. In some embodiments of a compound of Formula (III) or (IIIa) , R 17 is hydrogen or C 1 -C 6 alkyl. In some embodiments of a compound of Formula (III) or (IIIa) , R 17 is hydrogen.
  • the compound of Formula (III) or (IIIa) has the structure of Formula (IIIb) :
  • R 1a is hydrogen or C 1 -C 6 alkyl. In some embodiments of a compound of Formula (III) , (IIIa) , or (IIIb) , R 1a is hydrogen. In some embodiments of a compound of Formula (III) , (IIIa) , or (IIIb) , R 1a is C 1 -C 6 alkyl.
  • R 2a is hydrogen or C 1 -C 6 alkyl. In some embodiments of a compound of Formula (III) , (IIIa) , or (IIIb) , R 2a is hydrogen. In some embodiments of a compound of Formula (III) , (IIIa) , or (IIIb) , R 2a is C 1 -C 6 alkyl.
  • R 5a is hydrogen or C 1 -C 6 alkyl. In some embodiments of a compound of Formula (III) , (IIIa) , or (IIIb) , R 5a is hydrogen. In some embodiments of a compound of Formula (III) , (IIIa) , or (IIIb) , R 5a is C 1 -C 6 alkyl.
  • R 6a is hydrogen or C 1 -C 6 alkyl. In some embodiments of a compound of Formula (III) , (IIIa) , or (IIIb) , R 6a is hydrogen. In some embodiments of a compound of Formula (III) , (IIIa) , or (IIIb) , R 6a is C 1 -C 6 alkyl.
  • the compound of Formula (III) , (IIIa) , or (IIIb) has the structure of Formula (IIIc) :
  • R 4a is hydrogen or C 1 -C 6 alkyl. In some embodiments of a compound of Formula (III) , (IIIa) , (IIIb) , or (IIIc) , R 4a is hydrogen. In some embodiments of a compound of Formula (III) , (IIIa) , (IIIb) , or (IIIc) , R 4a is C 1 -C 6 alkyl.
  • R 14 and R 4a are taken together with the atoms to which they are attached to form an optionally substituted 5-or 6-membered heterocycloalkyl. In some embodiments of a compound of Formula (III) , (IIIa) , (IIIb) , or (IIIc) , R 14 and R 4a are taken together with the atoms to which they are attached to form an optionally substituted 5-membered heterocycloalkyl.
  • R 14 and R 4a are taken together with the atoms to which they are attached to form an optionally substituted 6-membered heterocycloalkyl.
  • each R 3 and R 4 are independently hydrogen or optionally substituted C 1 -C 6 alkyl. In some embodiments of a compound of Formula (III) , (IIIa) , (IIIb) , or (IIIc) , each R 3 and R 4 are independently hydrogen or C 1 -C 6 alkyl. In some embodiments of a compound of Formula (III) , (IIIa) , (IIIb) , or (IIIc) , each R 3 and R 4 are hydrogen. In some embodiments of a compound of Formula (III) , (IIIa) , (IIIb) , or (IIIc) , R 3 is hydrogen and R 4 is C 1 -C 6 alkyl.
  • R 6 is hydrogen, halogen, optionally substituted C 1 -C 6 alkyl, optionally substituted cycloalkyl, optionally substituted heterocycloalkyl, optionally substituted aryl, or optionally substituted heteroaryl. In some embodiments of a compound of Formula (III) , (IIIa) , (IIIb) , or (IIIc) , R 6 is hydrogen, optionally substituted C 1 -C 6 alkyl, or optionally substituted heterocycloalkyl.
  • R 6 is optionally substituted C 1 -C 6 alkyl or optionally substituted heterocycloalkyl. In some embodiments of a compound of Formula (III) , (IIIa) , (IIIb) , or (IIIc) , R 6 is optionally substituted heterocycloalkyl selected from aziridinyl, azetidinyl, pyrrolidinyl, piperidinyl, or piperazinyl.
  • R 6 is C 1 -C 6 alkyl optionally substituted with one, two, or three -OR b . In some embodiments of a compound of Formula (III) , (IIIa) , (IIIb) , or (IIIc) , R 6 is selected from:
  • R 8 is hydrogen, halogen, optionally substituted C 1 -C 6 alkyl, optionally substituted cycloalkyl, optionally substituted heterocycloalkyl, optionally substituted aryl, or optionally substituted heteroaryl. In some embodiments of a compound of Formula (III) , (IIIa) , (IIIb) , or (IIIc) , R 8 is hydrogen or C 1 -C 6 alkyl. In some embodiments of a compound of Formula (III) , (IIIa) , (IIIb) , or (IIIc) , R 8 is hydrogen. In some embodiments of a compound of Formula (III) , (IIIa) , (IIIb) , or (IIIc) , R 8 is C 1 -C 6 alkyl.
  • R 10 is optionally substituted C 1 -C 20 alkyl, optionally substituted C 2 -C 20 alkenyl, or optionally substituted (C 1 -C 6 alkyl) cycloalkyl.
  • R 10 is hydrogen, halogen, optionally substituted C 1 -C 20 alkyl, optionally substituted cycloalkyl, optionally substituted heterocycloalkyl, optionally substituted aryl, or optionally substituted heteroaryl.
  • R 10 is hydrogen or optionally substituted C 1 -C 20 alkyl. In some embodiments of a compound of Formula (III) , (IIIa) , (IIIb) , or (IIIc) , R 10 is C 1 -C 20 alkyl optionally substituted with one, two, or three halogen, -OH, -OCH 3 , cycloalkyl, or aryl.
  • R 10 is C 1 -C 20 alkyl optionally substituted with one, two, or three halogen, -OH, or -OCH 3 . In some embodiments of a compound of Formula (III) , (IIIa) , (IIIb) , or (IIIc) , R 10 is C 1 -C 20 alkyl optionally substituted with one aryl or one cycloalkyl. In some embodiments of a compound of Formula (III) , (IIIa) , (IIIb) , or (IIIc) , R 10 is optionally substituted C 1 -C 20 alkyl.
  • R 10 is optionally substituted C 8 -C 12 alkyl optionally substituted with one, two, or three halogen, -OH, or -OCH 3 . In some embodiments of a compound of Formula (III) , (IIIa) , (IIIb) , or (IIIc) , R 10 is optionally substituted C 1 -C 8 alkyl.
  • R 10 is C 1 -C 8 alkyl optionally substituted with one, two, or three halogen, -OH, -OCH 3 , cycloalkyl, or aryl. In some embodiments of a compound of Formula (III) , (IIIa) , (IIIb) , or (IIIc) , R 10 is C 1 -C 8 alkyl optionally substituted with one, two, or three halogen, -OH, or -OCH 3 .
  • R 10 is C 1 -C 8 alkyl optionally substituted with one aryl or one cycloalkyl. In some embodiments of a compound of Formula (III) , (IIIa) , (IIIb) , or (IIIc) , R 10 is optionally substituted C 8 -C 12 alkyl. In some embodiments of a compound of Formula (III) , (IIIa) , (IIIb) , or (IIIc) , R 10 is optionally substituted C 11 -C 20 alkyl.
  • R 10 is optionally substituted C 6 -C 12 alkyl. In some embodiments of a compound of Formula (III) , (IIIa) , (IIIb) , or (IIIc) , R 10 is optionally substituted C 8 -C 15 alkyl. In some embodiments of a compound of Formula (III) , (IIIa) , (IIIb) , or (IIIc) , R 10 is C 1 -C 20 alkyl.
  • R 10 is C 8 -C 12 alkyl. In some embodiments of a compound of Formula (III) , (IIIa) , (IIIb) , or (IIIc) , R 10 is C 11 -C 20 alkyl. In some embodiments of a compound of Formula (III) , (IIIa) , (IIIb) , or (IIIc) , R 10 is C 6 -C 12 alkyl. In some embodiments of a compound of Formula (III) , (IIIa) , (IIIb) , or (IIIc) , R 10 is C 8 -C 15 alkyl. In some embodiments of a compound of Formula (III) , (IIIa) , (IIIb) , or (IIIc) , R 10 is hydrogen.
  • R 10 is
  • R 12 is hydrogen, halogen, optionally substituted C 1 -C 6 alkyl, optionally substituted cycloalkyl, optionally substituted heterocycloalkyl, optionally substituted aryl, or optionally substituted heteroaryl.
  • R 12 is halogen, optionally substituted C 1 -C 6 alkyl, optionally substituted (C 1 -C 6 alkyl) aryl, or optionally substituted (C 1 -C 6 alkyl) cycloalkyl.
  • R 12 is C 1 -C 6 alkyl, C 1 -C 6 haloalkyl, (C 1 -C 6 alkyl) aryl, or (C 1 -C 6 alkyl) cycloalkyl; wherein the aryl is optionally substituted with one, two, or three halogen, C 1 -C 6 alkyl, C 1 -C 6 haloalkyl, -OH, -OCH 3 , or aryl.
  • R 12 is hydrogen or optionally substituted C 1 -C 6 alkyl. In some embodiments of a compound of Formula (III) , (IIIa) , (IIIb) , or (IIIc) , R 12 is optionally substituted C 1 -C 6 alkyl. In some embodiments of a compound of Formula (III) , (IIIa) , (IIIb) , or (IIIc) , R 12 is C 1 -C 6 alkyl.
  • R 12 is ethyl or methyl. In some embodiments of a compound of Formula (III) , (IIIa) , (IIIb) , or (IIIc) , R 12 is methyl. In some embodiments of a compound of Formula (III) , (IIIa) , (IIIb) , or (IIIc) , R 12 is hydrogen.
  • R 12 is
  • R 10 and R 12 are taken together to form an optionally substituted cycloalkyl.
  • the cycloalkyl is cycloheptane.
  • the cycloalkyl is cyclooctane.
  • R 10 and R 12 are taken together to form an optionally substituted cycloalkenyl group.
  • the cycloalkenyl group is cycloheptene.
  • the cycloalkenyl group is cyclooctene.
  • R 14 is hydrogen, halogen, optionally substituted C 1 -C 6 alkyl, optionally substituted cycloalkyl, optionally substituted (C 1 -C 6 alkyl) cycloalkyl, optionally substituted heterocycloalkyl, optionally substituted (C 1 -C 6 alkyl) heterocycloalkyl, optionally substituted aryl, or optionally substituted heteroaryl.
  • R 14 is hydrogen, optionally substituted C 1 -C 6 alkyl, optionally substituted cycloalkyl, or optionally substituted (C 1 -C 6 alkyl) cycloalkyl. In some embodiments of a compound of Formula (III) , (IIIa) , (IIIb) , or (IIIc) , R 14 is optionally substituted C 1 -C 6 alkyl or optionally substituted (C 1 -C 6 alkyl) cycloalkyl.
  • R 14 is C 1 -C 6 alkyl, C 1 -C 6 haloalkyl, or (C 1 -C 6 alkyl) cycloalkyl. In some embodiments of a compound of Formula (III) , (IIIa) , (IIIb) , or (IIIc) , R 14 is selected from:
  • Y is a bond. In some embodiments of a compound of Formula (III) , (IIIa) , (IIIb) , or (IIIc) , Y is optionally substituted C 1 -C 6 alkylene. In some embodiments of a compound of Formula (III) , (IIIa) , (IIIb) , or (IIIc) , Y is optionally substituted C 1 -C 2 alkylene. In some embodiments of a compound of Formula (III) , (IIIa) , (IIIb) , or (IIIc) , Y is optionally substituted C 1 alkylene.
  • Y is C 1 -C 6 alkylene. In some embodiments of a compound of Formula (III) , (IIIa) , (IIIb) , or (IIIc) , Y is C 1 -C 2 alkylene. In some embodiments of a compound of Formula (III) , (IIIa) , (IIIb) , or (IIIc) , Y is C 1 alkylene.
  • R 21 is C 3 -C 7 cycloalkyl optionally substituted with one, two, or three halogen or C 1 -C 6 alkyl. In some embodiments of a compound of Formula (III) , (IIIa) , (IIIb) , or (IIIc) , R 21 is C 3 -C 7 cycloalkyl optionally substituted with one, two, or three halogen. In some embodiments of a compound of Formula (III) , (IIIa) , (IIIb) , or (IIIc) , R 21 is C 3 -C 7 cycloalkyl.
  • R 21 is cyclobutyl, cyclopentyl, cyclohexyl, or cycloheptyl.
  • R 16 is cyclohexyl.
  • R 16 is cycloheptyl.
  • R 20 is -OH.
  • R 20 is -NR 1 R 2 .
  • R 1 and R 2 are each independently hydrogen or optionally substituted C 1 -C 6 alkyl.
  • R 1 and R 2 are each independently hydrogen or C 1 -C 6 alkyl.
  • R 1 is hydrogen.
  • R 2 is hydrogen.
  • each R a is independently C 1 -C 6 alkyl. In some embodiments of a compound of Formula (III) , (IIIa) , (IIIb) , or (IIIc) , each R b and R c is independently hydrogen or C 1 -C 6 alkyl. In some embodiments of a compound of Formula (III) , (IIIa) , (IIIb) , or (IIIc) , each R b and R c is hydrogen.
  • X 1 is -O-or -NR 1a -;
  • X 2 is -O-or -NR 2a -;
  • X 3 is -O-or -NR 3a -;
  • X 4 is -O-or -NR 4a -;
  • X 5 is -O-or -NR 5a -;
  • X 6 is -O-or -NR 6a -;
  • R 1a , R 2a , R 3a , R 4a , R 5a , and R 6a are each independently hydrogen or optionally substituted C 1 -C 6 alkyl;
  • R 3 and R 4 are each independently hydrogen, halogen, optionally substituted C 1 -C 6 alkyl, optionally substituted C 2 -C 6 alkenyl, optionally substituted C 2 -C 6 alkynyl, optionally substituted cycloalkyl, optionally substituted heterocycloalkyl, optionally substituted aryl, or optionally substituted heteroaryl;
  • R 3 and R 4 are taken together with the carbon atom to which they are attached to form an oxo
  • R 5 is hydrogen, halogen, optionally substituted C 1 -C 6 alkyl, optionally substituted C 2 -C 6 alkenyl, or optionally substituted C 2 -C 6 alkynyl;
  • R 6 and R 7 are each independently hydrogen, halogen, optionally substituted C 1 -C 6 alkyl, optionally substituted C 2 -C 6 alkenyl, optionally substituted C 2 -C 6 alkynyl, optionally substituted cycloalkyl, optionally substituted (C 1 -C 6 alkyl) cycloalkyl, optionally substituted heterocycloalkyl, optionally substituted (C 1 -C 6 alkyl) heterocycloalkyl, optionally substituted aryl, optionally substituted (C 1 -C 6 alkyl) aryl, optionally substituted heteroaryl, or optionally substituted (C 1 -C 6 alkyl) heteroaryl;
  • R 8 and R 9 are each independently hydrogen, halogen, optionally substituted C 1 -C 6 alkyl, optionally substituted C 2 -C 6 alkenyl, optionally substituted C 2 -C 6 alkynyl, optionally substituted cycloalkyl, optionally substituted (C 1 -C 6 alkyl) cycloalkyl, optionally substituted heterocycloalkyl, optionally substituted (C 1 -C 6 alkyl) heterocycloalkyl, optionally substituted aryl, optionally substituted (C 1 -C 6 alkyl) aryl, optionally substituted heteroaryl, or optionally substituted (C 1 -C 6 alkyl) heteroaryl;
  • R 10 is optionally substituted branched C 3 -C 20 alkyl or optionally substituted C 10 -C 20 alkyl;
  • R 11 is hydrogen, halogen, optionally substituted C 1 -C 6 alkyl, optionally substituted C 2 -C 6 alkenyl, optionally substituted C 2 -C 6 alkynyl, optionally substituted cycloalkyl, optionally substituted (C 1 -C 6 alkyl) cycloalkyl, optionally substituted heterocycloalkyl, optionally substituted (C 1 -C 6 alkyl) heterocycloalkyl, optionally substituted aryl, optionally substituted (C 1 -C 6 alkyl) aryl, optionally substituted heteroaryl, or optionally substituted (C 1 -C 6 alkyl) heteroaryl;
  • R 12 is optionally substituted C 1 -C 6 alkyl, optionally substituted C 2 -C 6 alkenyl, optionally substituted C 2 -C 6 alkynyl, optionally substituted cycloalkyl, optionally substituted (C 1 -C 6 alkyl) cycloalkyl, optionally substituted heterocycloalkyl, optionally substituted (C 1 -C 6 alkyl) heterocycloalkyl, optionally substituted aryl, optionally substituted (C 1 -C 6 alkyl) aryl, optionally substituted heteroaryl, or optionally substituted (C 1 -C 6 alkyl) heteroaryl;
  • R 13 is hydrogen, halogen, optionally substituted C 1 -C 6 alkyl, optionally substituted C 2 -C 6 alkenyl, optionally substituted C 2 -C 6 alkynyl, optionally substituted cycloalkyl, optionally substituted (C 1 -C 6 alkyl) cycloalkyl, optionally substituted heterocycloalkyl, optionally substituted (C 1 -C 6 alkyl) heterocycloalkyl, optionally substituted aryl, optionally substituted (C 1 -C 6 alkyl) aryl, optionally substituted heteroaryl, or optionally substituted (C 1 -C 6 alkyl) heteroaryl;
  • R 14 and R 15 are each independently hydrogen, halogen, optionally substituted C 1 -C 6 alkyl, optionally substituted C 2 -C 6 alkenyl, optionally substituted C 2 -C 6 alkynyl, optionally substituted cycloalkyl, optionally substituted (C 1 -C 6 alkyl) cycloalkyl, optionally substituted heterocycloalkyl, optionally substituted (C 1 -C 6 alkyl) heterocycloalkyl, optionally substituted aryl, optionally substituted (C 1 -C 6 alkyl) aryl, optionally substituted heteroaryl, or optionally substituted (C 1 -C 6 alkyl) heteroaryl;
  • R 14 and R 4a are taken together with the atoms to which they are attached to form an optionally substituted heterocycloalkyl
  • R 16 and R 17 are each independently hydrogen, halogen, optionally substituted C 1 -C 6 alkyl, optionally substituted C 2 -C 6 alkenyl, optionally substituted C 2 -C 6 alkynyl, optionally substituted cycloalkyl, optionally substituted (C 1 -C 6 alkyl) cycloalkyl, optionally substituted heterocycloalkyl, optionally substituted (C 1 -C 6 alkyl) heterocycloalkyl, optionally substituted aryl, optionally substituted (C 1 -C 6 alkyl) aryl, optionally substituted heteroaryl, or optionally substituted (C 1 -C 6 alkyl) heteroaryl;
  • R 18 and R 19 are each independently hydrogen, halogen, optionally substituted C 1 -C 6 alkyl, optionally substituted C 2 -C 6 alkenyl, optionally substituted C 2 -C 6 alkynyl, optionally substituted cycloalkyl, optionally substituted (C 1 -C 6 alkyl) cycloalkyl, optionally substituted heterocycloalkyl, optionally substituted (C 1 -C 6 alkyl) heterocycloalkyl, optionally substituted aryl, optionally substituted (C 1 -C 6 alkyl) aryl, optionally substituted heteroaryl, or optionally substituted (C 1 -C 6 alkyl) heteroaryl;
  • R 18 and R 19 are taken together with the carbon atom to which they are attached to form an oxo
  • each R a is independently optionally substituted C 1 -C 6 alkyl, optionally substituted C 2 -C 6 alkenyl, optionally substituted C 2 -C 6 alkynyl, optionally substituted cycloalkyl, optionally substituted heterocycloalkyl, optionally substituted aryl, or optionally substituted heteroaryl;
  • each R b and R c is independently hydrogen, optionally substituted C 1 -C 6 alkyl, optionally substituted C 2 -C 6 alkenyl, optionally substituted C 2 -C 6 alkynyl, optionally substituted cycloalkyl, optionally substituted heterocycloalkyl, optionally substituted aryl, or optionally substituted heteroaryl;
  • R b and R c are taken together with the nitrogen atom to which they are attached to form an optionally substituted heterocycloalkyl
  • R 18 and R 19 are taken together with the carbon atom to which they are attached to form an oxo.
  • R 18 and R 19 are each independently hydrogen, halogen, optionally substituted C 1 -C 6 alkyl, optionally substituted cycloalkyl, optionally substituted heterocycloalkyl, optionally substituted aryl, or optionally substituted heteroaryl. In some embodiments of a compound of Formula (IV) , R 18 and R 19 are each independently hydrogen, halogen, or optionally substituted C 1 -C 6 alkyl. In some embodiments of a compound of Formula (IV) , R 18 and R 19 are each independently hydrogen or C 1 -C 6 alkyl. In some embodiments of a compound of Formula (IV) , R 18 and R 19 are hydrogen.
  • the compound of Formula (IV) has the structure of Formula (IVa) :
  • R 5 is hydrogen or optionally substituted C 1 -C 6 alkyl. In some embodiments of a compound of Formula (IV) or (IVa) , R 5 is hydrogen or C 1 -C 6 alkyl. In some embodiments of a compound of Formula (IV) or (IVa) , R 5 is hydrogen.
  • R 7 is hydrogen or optionally substituted C 1 -C 6 alkyl. In some embodiments of a compound of Formula (IV) or (IVa) , R 7 is hydrogen or C 1 -C 6 alkyl. In some embodiments of a compound of Formula (IV) or (IVa) , R 7 is hydrogen.
  • R 9 is hydrogen or optionally substituted C 1 -C 6 alkyl. In some embodiments of a compound of Formula (IV) or (IVa) , R 9 is hydrogen or C 1 -C 6 alkyl. In some embodiments of a compound of Formula (IV) or (IVa) , R 9 is hydrogen.
  • R 11 is hydrogen or optionally substituted C 1 -C 6 alkyl. In some embodiments of a compound of Formula (IV) or (IVa) , R 11 is hydrogen or C 1 -C 6 alkyl. In some embodiments of a compound of Formula (IV) or (IVa) , R 11 is hydrogen.
  • R 13 is hydrogen or optionally substituted C 1 -C 6 alkyl. In some embodiments of a compound of Formula (IV) or (IVa) , R 13 is hydrogen or C 1 -C 6 alkyl. In some embodiments of a compound of Formula (IV) or (IVa) , R 13 is hydrogen.
  • R 15 is hydrogen or optionally substituted C 1 -C 6 alkyl. In some embodiments of a compound of Formula (IV) or (IVa) , R 15 is hydrogen or C 1 -C 6 alkyl. In some embodiments of a compound of Formula (IV) or (IVa) , R 15 is hydrogen.
  • R 17 is hydrogen or optionally substituted C 1 -C 6 alkyl. In some embodiments of a compound of Formula (IV) or (IVa) , R 17 is hydrogen or C 1 -C 6 alkyl. In some embodiments of a compound of Formula (IV) or (IVa) , R 17 is hydrogen.
  • the compound of Formula (IV) or (IVa) has the structure of Formula (IVb) :
  • R 1a is hydrogen or C 1 -C 6 alkyl. In some embodiments of a compound of Formula (IV) , (IVa) , or (IVb) , R 1a is hydrogen. In some embodiments of a compound of Formula (IV) , (IVa) , or (IVb) , R 1a is C 1 -C 6 alkyl.
  • R 2a is hydrogen or C 1 -C 6 alkyl. In some embodiments of a compound of Formula (IV) , (IVa) , or (IVb) , R 2a is hydrogen. In some embodiments of a compound of Formula (IV) , (IVa) , or (IVb) , R 2a is C 1 -C 6 alkyl.
  • R 5a is hydrogen or C 1 -C 6 alkyl. In some embodiments of a compound of Formula (IV) , (IVa) , or (IVb) , R 5a is hydrogen. In some embodiments of a compound of Formula (IV) , (IVa) , or (IVb) , R 5a is C 1 -C 6 alkyl.
  • R 6a is hydrogen or C 1 -C 6 alkyl. In some embodiments of a compound of Formula (IV) , (IVa) , or (IVb) , R 6a is hydrogen. In some embodiments of a compound of Formula (IV) , (IVa) , or (IVb) , R 6a is C 1 -C 6 alkyl.
  • the compound of Formula (IV) , (IVa) , or (IVb) has the structure of Formula (IVc) :
  • R 4a is hydrogen or C 1 -C 6 alkyl. In some embodiments of a compound of Formula (IV) , (IVa) , (IVb) , or (IVc) , R 4a is hydrogen. In some embodiments of a compound of Formula (IV) , (IVa) , (IVb) , or (IVc) , R 4a is C 1 -C 6 alkyl.
  • R 14 and R 4a are taken together with the atoms to which they are attached to form an optionally substituted 5-or 6-membered heterocycloalkyl. In some embodiments of a compound of Formula (IV) , (IVa) , (IVb) , or (IVc) , R 14 and R 4a are taken together with the atoms to which they are attached to form an optionally substituted 5-membered heterocycloalkyl.
  • R 14 and R 4a are taken together with the atoms to which they are attached to form an optionally substituted 6-membered heterocycloalkyl.
  • each R 3 and R 4 are independently hydrogen or optionally substituted C 1 -C 6 alkyl. In some embodiments of a compound of Formula (IV) , (IVa) , (IVb) , or (IVc) , each R 3 and R 4 are independently hydrogen or C 1 -C 6 alkyl. In some embodiments of a compound of Formula (IV) , (IVa) , (IVb) , or (IVc) , each R 3 and R 4 are hydrogen. In some embodiments of a compound of Formula (IV) , (IVa) , (IVb) , or (IVc) , R 3 is hydrogen and R 4 is C 1 -C 6 alkyl.
  • R 6 is hydrogen, halogen, optionally substituted C 1 -C 6 alkyl, optionally substituted cycloalkyl, optionally substituted heterocycloalkyl, optionally substituted aryl, or optionally substituted heteroaryl. In some embodiments of a compound of Formula (IV) , (IVa) , (IVb) , or (IVc) , R 6 is hydrogen, optionally substituted C 1 -C 6 alkyl, or optionally substituted heterocycloalkyl.
  • R 6 is optionally substituted C 1 -C 6 alkyl or optionally substituted heterocycloalkyl. In some embodiments of a compound of Formula (IV) , (IVa) , (IVb) , or (IVc) , R 6 is optionally substituted heterocycloalkyl selected from aziridinyl, azetidinyl, pyrrolidinyl, piperidinyl, or piperazinyl.
  • R 6 is C 1 -C 6 alkyl optionally substituted -OR b . In some embodiments of a compound of Formula (IV) , (IVa) , (IVb) , or (IVc) , R 6 is selected from:
  • R 8 is hydrogen, halogen, optionally substituted C 1 -C 6 alkyl, optionally substituted cycloalkyl, optionally substituted heterocycloalkyl, optionally substituted aryl, or optionally substituted heteroaryl. In some embodiments of a compound of Formula (IV) , (IVa) , (IVb) , or (IVc) , R 8 is hydrogen or C 1 -C 6 alkyl. In some embodiments of a compound of Formula (IV) , (IVa) , (IVb) , or (IVc) , R 8 is hydrogen. In some embodiments of a compound of Formula (IV) , (IVa) , (IVb) , or (IVc) , R 8 is C 1 -C 6 alkyl.
  • R 10 is optionally substituted branched C 3 -C 20 alkyl. In some embodiments of a compound of Formula (IV) , (IVa) , (IVb) , or (IVc) , R 10 is optionally substituted branched C 3 -C 10 alkyl. In some embodiments of a compound of Formula (IV) , (IVa) , (IVb) , or (IVc) , R 10 is optionally substituted branched C 3 -C 9 alkyl.
  • R 10 is branched C 3 -C 20 alkyl. In some embodiments of a compound of Formula (IV) , (IVa) , (IVb) , or (IVc) , R 10 is branched C 3 -C 10 alkyl. In some embodiments of a compound of Formula (IV) , (IVa) , (IVb) , or (IVc) , R 10 is branched C 3 -C 9 alkyl.
  • R 10 is optionally substituted linear C 10 -C 20 alkyl. In some embodiments of a compound of Formula (IV) , (IVa) , (IVb) , or (IVc) , R 10 is optionally substituted linear C 10 -C 15 alkyl. In some embodiments of a compound of Formula (IV) , (IVa) , (IVb) , or (IVc) , R 10 is optionally substituted linear C 11 -C 15 alkyl.
  • R 10 is optionally substituted linear C 10 -C 12 alkyl. In some embodiments of a compound of Formula (IV) , (IVa) , (IVb) , or (IVc) , R 10 is optionally substituted linear C 10 alkyl. In some embodiments of a compound of Formula (IV) , (IVa) , (IVb) , or (IVc) , R 10 is linear C 10 -C 15 alkyl.
  • R 10 is linear C 11 -C 15 alkyl. In some embodiments of a compound of Formula (IV) , (IVa) , (IVb) , or (IVc) , R 10 is linear C 10 -C 12 alkyl. In some embodiments of a compound of Formula (IV) , (IVa) , (IVb) , or (IVc) , R 10 is linear C 10 alkyl.
  • R 10 is optionally substituted C 10 -C 15 alkyl. In some embodiments of a compound of Formula (IV) , (IVa) , (IVb) , or (IVc) , R 10 is optionally substituted C 11 -C 15 alkyl. In some embodiments of a compound of Formula (IV) , (IVa) , (IVb) , or (IVc) , R 10 is optionally substituted C 10 -C 12 alkyl.
  • R 10 is C 10 -C 15 alkyl. In some embodiments of a compound of Formula (IV) , (IVa) , (IVb) , or (IVc) , R 10 is C 11 -C 15 alkyl. In some embodiments of a compound of Formula (IV) , (IVa) , (IVb) , or (IVc) , R 10 is C 10 -C 12 alkyl.
  • R 10 is
  • R 12 is halogen, optionally substituted C 1 -C 6 alkyl, optionally substituted cycloalkyl, optionally substituted heterocycloalkyl, optionally substituted aryl, or optionally substituted heteroaryl. In some embodiments of a compound of Formula (IV) , (IVa) , (IVb) , or (IVc) , R 12 is optionally substituted C 1 -C 6 alkyl. In some embodiments of a compound of Formula (IV) , (IVa) , (IVb) , or (IVc) , R 12 is C 1 -C 6 alkyl.
  • R 12 is ethyl or methyl. In some embodiments of a compound of Formula (IV) , (IVa) , (IVb) , or (IVc) , R 12 is methyl.
  • R 12 is halogen, optionally substituted C 2 -C 6 alkyl, optionally substituted cycloalkyl, optionally substituted heterocycloalkyl, optionally substituted aryl, or optionally substituted heteroaryl.
  • R 12 is halogen, optionally substituted C 1 -C 6 alkyl, optionally substituted (C 1 -C 6 alkyl) aryl, or optionally substituted (C 1 -C 6 alkyl) cycloalkyl.
  • R 12 is C 1 -C 6 alkyl, C 1 -C 6 haloalkyl, (C 1 -C 6 alkyl) aryl, or (C 1 -C 6 alkyl) cycloalkyl; wherein the aryl is optionally substituted with one, two, or three halogen, C 1 -C 6 alkyl, C 1 -C 6 haloalkyl, -OH, -OCH 3 , or aryl.
  • R 12 is C 2 -C 6 alkyl. In some embodiments of a compound of Formula (IV) , (IVa) , (IVb) , or (IVc) , R 12 is optionally substituted (C 1 -C 6 alkyl) aryl. In some embodiments of a compound of Formula (IV) , (IVa) , (IVb) , or (IVc) , R 12 is optionally substituted (C 1 -C 6 alkyl) aryl wherein the aryl is optionally substituted phenyl.
  • R 12 is
  • R 14 is hydrogen, halogen, optionally substituted C 1 -C 6 alkyl, optionally substituted cycloalkyl, optionally substituted (C 1 -C 6 alkyl) cycloalkyl, optionally substituted heterocycloalkyl, optionally substituted (C 1 -C 6 alkyl) heterocycloalkyl, optionally substituted aryl, or optionally substituted heteroaryl.
  • R 14 is hydrogen, optionally substituted C 1 -C 6 alkyl, optionally substituted cycloalkyl, or optionally substituted (C 1 -C 6 alkyl) cycloalkyl. In some embodiments of a compound of Formula (IV) , (IVa) , (IVb) , or (IVc) , R 14 is optionally substituted C 1 -C 6 alkyl or optionally substituted (C 1 -C 6 alkyl) cycloalkyl.
  • R 14 is C 1 -C 6 alkyl, C 1 -C 6 haloalkyl, or (C 1 -C 6 alkyl) cycloalkyl. In some embodiments of a compound of Formula (IV) , (IVa) , (IVb) , or (IVc) , R 14 is selected from:
  • R 16 is hydrogen, halogen, optionally substituted C 1 -C 6 alkyl, optionally substituted cycloalkyl, optionally substituted (C 1 -C 6 alkyl) cycloalkyl, optionally substituted heterocycloalkyl, optionally substituted (C 1 -C 6 alkyl) heterocycloalkyl, optionally substituted aryl, optionally substituted (C 1 -C 6 alkyl) aryl, or optionally substituted heteroaryl.
  • R 16 is optionally substituted C 1 -C 6 alkyl, optionally substituted (C 1 -C 6 alkyl) cycloalkyl, optionally substituted cycloalkyl, optionally substituted (C 1 -C 6 alkyl) aryl, or optionally substituted aryl.
  • R 16 is optionally substituted C 1 -C 6 alkyl, optionally substituted (C 1 -C 6 alkyl) cycloalkyl, or optionally substituted cycloalkyl. In some embodiments of a compound of Formula (IV) , (IVa) , (IVb) , or (IVc) , R 16 is optionally substituted C 1 -C 6 alkyl, optionally substituted (C 1 -C 6 alkyl) cycloalkyl, or optionally substituted cycloalkyl.
  • R 16 is C 3 -C 7 cycloalkyl. In some embodiments of a compound of Formula (IV) , (IVa) , (IVb) , or (IVc) , R 16 is cyclobutyl, cyclopentyl, cyclohexyl, or cycloheptyl. In some embodiments of a compound of Formula (IV) , (IVa) , (IVb) , or (IVc) , R 16 is cyclohexyl.
  • R 16 is cycloheptyl. In some embodiments of a compound of Formula (IV) , (IVa) , (IVb) , or (IVc) , R 16 is selected from:
  • each R a is independently C 1 -C 6 alkyl. In some embodiments of a compound of Formula (IV) , (IVa) , (IVb) , or (IVc) , each R b and R c is independently hydrogen or C 1 -C 6 alkyl. In some embodiments of a compound of Formula (IV) , (IVa) , (IVb) , or (IVc) , each R b and R c is hydrogen.
  • X 1 is -O-or -NR 1a -;
  • X 2 is -O-or -NR 2a -;
  • X 3 is -O-or -NR 3a -;
  • X 4 is -O-or -NR 4a -;
  • X 5 is -O-or -NR 5a -;
  • X 6 is -O-or -NR 6a -;
  • R 1a , R 2a , R 3a , R 4a , R 5a , and R 6a are each independently hydrogen or optionally substituted C 1 -C 6 alkyl;
  • R 3 and R 4 are each independently hydrogen, halogen, optionally substituted C 1 -C 6 alkyl, optionally substituted C 2 -C 6 alkenyl, optionally substituted C 2 -C 6 alkynyl, optionally substituted cycloalkyl, optionally substituted heterocycloalkyl, optionally substituted aryl, or optionally substituted heteroaryl;
  • R 3 and R 4 are taken together with the carbon atom to which they are attached to form an oxo
  • R 5 is hydrogen, halogen, optionally substituted C 1 -C 6 alkyl, optionally substituted C 2 -C 6 alkenyl, or optionally substituted C 2 -C 6 alkynyl;
  • R 6 and R 7 are each independently hydrogen, halogen, optionally substituted C 1 -C 6 alkyl, optionally substituted C 2 -C 6 alkenyl, optionally substituted C 2 -C 6 alkynyl, optionally substituted cycloalkyl, optionally substituted (C 1 -C 6 alkyl) cycloalkyl, optionally substituted heterocycloalkyl, optionally substituted (C 1 -C 6 alkyl) heterocycloalkyl, optionally substituted aryl, optionally substituted (C 1 -C 6 alkyl) aryl, optionally substituted heteroaryl, or optionally substituted (C 1 -C 6 alkyl) heteroaryl;
  • R 8 and R 9 are each independently hydrogen, halogen, optionally substituted C 1 -C 6 alkyl, optionally substituted C 2 -C 6 alkenyl, optionally substituted C 2 -C 6 alkynyl, optionally substituted cycloalkyl, optionally substituted (C 1 -C 6 alkyl) cycloalkyl, optionally substituted heterocycloalkyl, optionally substituted (C 1 -C 6 alkyl) heterocycloalkyl, optionally substituted aryl, optionally substituted (C 1 -C 6 alkyl) aryl, optionally substituted heteroaryl, or optionally substituted (C 1 -C 6 alkyl) heteroaryl;
  • R 10 is optionally substituted C 2 -C 20 alkyl
  • R 11 is hydrogen, halogen, optionally substituted C 1 -C 6 alkyl, optionally substituted C 2 -C 6 alkenyl, optionally substituted C 2 -C 6 alkynyl, optionally substituted cycloalkyl, optionally substituted (C 1 -C 6 alkyl) cycloalkyl, optionally substituted heterocycloalkyl, optionally substituted (C 1 -C 6 alkyl) heterocycloalkyl, optionally substituted aryl, optionally substituted (C 1 -C 6 alkyl) aryl, optionally substituted heteroaryl, or optionally substituted (C 1 -C 6 alkyl) heteroaryl;
  • Z is -CR 23 R 24 , -O-, or -NR 25 -;
  • R 22 is optionally substituted C 1 -C 6 alkyl, optionally substituted C 2 -C 6 alkenyl, optionally substituted C 2 -C 6 alkynyl, optionally substituted cycloalkyl, optionally substituted (C 1 -C 6 alkyl) cycloalkyl, optionally substituted heterocycloalkyl, optionally substituted (C 1 -C 6 alkyl) heterocycloalkyl, optionally substituted aryl, optionally substituted (C 1 -C 6 alkyl) aryl, optionally substituted heteroaryl, or optionally substituted (C 1 -C 6 alkyl) heteroaryl;
  • R 23 , R 24 , and R 25 are each independently hydrogen or optionally substituted C 1 -C 6 alkyl
  • R 13 is hydrogen, halogen, optionally substituted C 1 -C 6 alkyl, optionally substituted C 2 -C 6 alkenyl, optionally substituted C 2 -C 6 alkynyl, optionally substituted cycloalkyl, optionally substituted (C 1 -C 6 alkyl) cycloalkyl, optionally substituted heterocycloalkyl, optionally substituted (C 1 -C 6 alkyl) heterocycloalkyl, optionally substituted aryl, optionally substituted (C 1 -C 6 alkyl) aryl, optionally substituted heteroaryl, or optionally substituted (C 1 -C 6 alkyl) heteroaryl;
  • R 14 and R 15 are each independently hydrogen, halogen, optionally substituted C 1 -C 6 alkyl, optionally substituted C 2 -C 6 alkenyl, optionally substituted C 2 -C 6 alkynyl, optionally substituted cycloalkyl, optionally substituted (C 1 -C 6 alkyl) cycloalkyl, optionally substituted heterocycloalkyl, optionally substituted (C 1 -C 6 alkyl) heterocycloalkyl, optionally substituted aryl, optionally substituted (C 1 -C 6 alkyl) aryl, optionally substituted heteroaryl, or optionally substituted (C 1 -C 6 alkyl) heteroaryl;
  • R 14 and R 4a are taken together with the atoms to which they are attached to form an optionally substituted heterocycloalkyl
  • R 16 and R 17 are each independently hydrogen, halogen, optionally substituted C 1 -C 6 alkyl, optionally substituted C 2 -C 6 alkenyl, optionally substituted C 2 -C 6 alkynyl, optionally substituted cycloalkyl, optionally substituted (C 1 -C 6 alkyl) cycloalkyl, optionally substituted heterocycloalkyl, optionally substituted (C 1 -C 6 alkyl) heterocycloalkyl, optionally substituted aryl, optionally substituted (C 1 -C 6 alkyl) aryl, optionally substituted heteroaryl, or optionally substituted (C 1 -C 6 alkyl) heteroaryl;
  • R 18 and R 19 are each independently hydrogen, halogen, optionally substituted C 1 -C 6 alkyl, optionally substituted C 2 -C 6 alkenyl, optionally substituted C 2 -C 6 alkynyl, optionally substituted cycloalkyl, optionally substituted (C 1 -C 6 alkyl) cycloalkyl, optionally substituted heterocycloalkyl, optionally substituted (C 1 -C 6 alkyl) heterocycloalkyl, optionally substituted aryl, optionally substituted (C 1 -C 6 alkyl) aryl, optionally substituted heteroaryl, or optionally substituted (C 1 -C 6 alkyl) heteroaryl;
  • R 18 and R 19 are taken together with the carbon atom to which they are attached to form an oxo
  • each R a is independently optionally substituted C 1 -C 6 alkyl, optionally substituted C 2 -C 6 alkenyl, optionally substituted C 2 -C 6 alkynyl, optionally substituted cycloalkyl, optionally substituted heterocycloalkyl, optionally substituted aryl, or optionally substituted heteroaryl;
  • each R b and R c is independently hydrogen, optionally substituted C 1 -C 6 alkyl, optionally substituted C 2 -C 6 alkenyl, optionally substituted C 2 -C 6 alkynyl, optionally substituted cycloalkyl, optionally substituted heterocycloalkyl, optionally substituted aryl, or optionally substituted heteroaryl;
  • R b and R c are taken together with the nitrogen atom to which they are attached to form an optionally substituted heterocycloalkyl
  • R 18 and R 19 are taken together with the carbon atom to which they are attached to form an oxo.
  • R 18 and R 19 are each independently hydrogen, halogen, optionally substituted C 1 -C 6 alkyl, optionally substituted cycloalkyl, optionally substituted heterocycloalkyl, optionally substituted aryl, or optionally substituted heteroaryl. In some embodiments of a compound of Formula (V) , R 18 and R 19 are each independently hydrogen, halogen, or optionally substituted C 1 -C 6 alkyl. In some embodiments of a compound of Formula (V) , R 18 and R 19 are each independently hydrogen or C 1 -C 6 alkyl. In some embodiments of a compound of Formula (V) , R 18 and R 19 are hydrogen.
  • the compound of Formula (V) has the structure of Formula (Va) :
  • R 5 is hydrogen or optionally substituted C 1 -C 6 alkyl. In some embodiments of a compound of Formula (V) or (Va) , R 5 is hydrogen or C 1 -C 6 alkyl. In some embodiments of a compound of Formula (V) or (Va) , R 5 is hydrogen.
  • R 7 is hydrogen or optionally substituted C 1 -C 6 alkyl. In some embodiments of a compound of Formula (V) or (Va) , R 7 is hydrogen or C 1 -C 6 alkyl. In some embodiments of a compound of Formula (V) or (Va) , R 7 is hydrogen.
  • R 9 is hydrogen or optionally substituted C 1 -C 6 alkyl. In some embodiments of a compound of Formula (V) or (Va) , R 9 is hydrogen or C 1 -C 6 alkyl. In some embodiments of a compound of Formula (V) or (Va) , R 9 is hydrogen.
  • R 11 is hydrogen or optionally substituted C 1 -C 6 alkyl. In some embodiments of a compound of Formula (V) or (Va) , R 11 is hydrogen or C 1 -C 6 alkyl. In some embodiments of a compound of Formula (V) or (Va) , R 11 is hydrogen.
  • R 13 is hydrogen or optionally substituted C 1 -C 6 alkyl. In some embodiments of a compound of Formula (V) or (Va) , R 13 is hydrogen or C 1 -C 6 alkyl. In some embodiments of a compound of Formula (V) or (Va) , R 13 is hydrogen.
  • R 15 is hydrogen or optionally substituted C 1 -C 6 alkyl. In some embodiments of a compound of Formula (V) or (Va) , R 15 is hydrogen or C 1 -C 6 alkyl. In some embodiments of a compound of Formula (V) or (Va) , R 15 is hydrogen.
  • R 17 is hydrogen or optionally substituted C 1 -C 6 alkyl. In some embodiments of a compound of Formula (V) or (Va) , R 17 is hydrogen or C 1 -C 6 alkyl. In some embodiments of a compound of Formula (V) or (Va) , R 17 is hydrogen.
  • the compound of Formula (V) or (Va) has the structure of Formula (Vb) :
  • R 1a is hydrogen or C 1 -C 6 alkyl. In some embodiments of a compound of Formula (V) , (Va) , or (Vb) , R 1a is hydrogen. In some embodiments of a compound of Formula (V) , (Va) , or (Vb) , R 1a is C 1 -C 6 alkyl.
  • R 2a is hydrogen or C 1 -C 6 alkyl. In some embodiments of a compound of Formula (V) , (Va) , or (Vb) , R 2a is hydrogen. In some embodiments of a compound of Formula (V) , (Va) , or (Vb) , R 2a is C 1 -C 6 alkyl.
  • R 5a is hydrogen or C 1 -C 6 alkyl. In some embodiments of a compound of Formula (V) , (Va) , or (Vb) , R 5a is hydrogen. In some embodiments of a compound of Formula (V) , (Va) , or (Vb) , R 5a is C 1 -C 6 alkyl.
  • R 6a is hydrogen or C 1 -C 6 alkyl. In some embodiments of a compound of Formula (V) , (Va) , or (Vb) , R 6a is hydrogen. In some embodiments of a compound of Formula (V) , (Va) , or (Vb) , R 6a is C 1 -C 6 alkyl.
  • the compound of Formula (V) , (Va) , or (Vb) has the structure of Formula (Vc) :
  • R 4a is hydrogen or C 1 -C 6 alkyl. In some embodiments of a compound of Formula (V) , (Va) , (Vb) , or (Vc) , R 4a is hydrogen. In some embodiments of a compound of Formula (V) , (Va) , (Vb) , or (Vc) , R 4a is C 1 -C 6 alkyl.
  • R 14 and R 4a are taken together with the atoms to which they are attached to form an optionally substituted 5-or 6-membered heterocycloalkyl. In some embodiments of a compound of Formula (V) , (Va) , (Vb) , or (Vc) , R 14 and R 4a are taken together with the atoms to which they are attached to form an optionally substituted 5-membered heterocycloalkyl.
  • R 14 and R 4a are taken together with the atoms to which they are attached to form an optionally substituted 6-membered heterocycloalkyl.
  • each R 3 and R 4 are independently hydrogen or optionally substituted C 1 -C 6 alkyl. In some embodiments of a compound of Formula (V) , (Va) , (Vb) , or (Vc) , each R 3 and R 4 are independently hydrogen or C 1 -C 6 alkyl. In some embodiments of a compound of Formula (V) , (Va) , (Vb) , or (Vc) , each R 3 and R 4 are hydrogen. In some embodiments of a compound of Formula (V) , (Va) , (Vb) , or (Vc) , R 3 is hydrogen and R 4 is C 1 -C 6 alkyl.
  • R 6 is hydrogen, halogen, optionally substituted C 1 -C 6 alkyl, optionally substituted cycloalkyl, optionally substituted heterocycloalkyl, optionally substituted aryl, or optionally substituted heteroaryl. In some embodiments of a compound of Formula (V) , (Va) , (Vb) , or (Vc) , R 6 is hydrogen, optionally substituted C 1 -C 6 alkyl, or optionally substituted heterocycloalkyl.
  • R 6 is optionally substituted C 1 -C 6 alkyl or optionally substituted heterocycloalkyl. In some embodiments of a compound of Formula (V) , (Va) , (Vb) , or (Vc) , R 6 is optionally substituted heterocycloalkyl selected from aziridinyl, azetidinyl, pyrrolidinyl, piperidinyl, or piperazinyl.
  • R 6 is C 1 -C 6 alkyl optionally substituted with one, two, or three -OR b . In some embodiments of a compound of Formula (V) , (Va) , (Vb) , or (Vc) , R 6 is selected from:
  • R 8 is hydrogen, halogen, optionally substituted C 1 -C 6 alkyl, optionally substituted cycloalkyl, optionally substituted heterocycloalkyl, optionally substituted aryl, or optionally substituted heteroaryl. In some embodiments of a compound of Formula (V) , (Va) , (Vb) , or (Vc) , R 8 is hydrogen or C 1 -C 6 alkyl. In some embodiments of a compound of Formula (V) , (Va) , (Vb) , or (Vc) , R 8 is hydrogen. In some embodiments of a compound of Formula (V) , (Va) , (Vb) , or (Vc) , R 8 is C 1 -C 6 alkyl.
  • R 10 is optionally substituted C 5 -C 12 alkyl. In some embodiments of a compound of Formula (V) , (Va) , (Vb) , or (Vc) , R 10 is optionally substituted C 5 -C 10 alkyl. In some embodiments of a compound of Formula (V) , (Va) , (Vb) , or (Vc) , R 10 is optionally substituted C 10 -C 15 alkyl.
  • R 10 is C 2 -C 20 alkyl. In some embodiments of a compound of Formula (V) , (Va) , (Vb) , or (Vc) , R 10 is C 5 -C 12 alkyl. In some embodiments of a compound of Formula (V) , (Va) , (Vb) , or (Vc) , R 10 is C 5 -C 10 alkyl. In some embodiments of a compound of Formula (V) , (Va) , (Vb) , or (Vc) , R 10 is C 10 -C 15 alkyl.
  • R 10 is
  • R 22 is optionally substituted C 1 -C 6 alkyl or optionally substituted (C 1 -C 6 alkyl) aryl. In some embodiments of a compound of Formula (V) , (Va) , (Vb) , or (Vc) , R 22 is optionally substituted C 1 -C 6 alkyl. In some embodiments of a compound of Formula (V) , (Va) , (Vb) , or (Vc) , R 22 is optionally substituted C 1 alkyl.
  • R 22 is C 1 -C 6 alkyl. In some embodiments of a compound of Formula (V) , (Va) , (Vb) , or (Vc) , R 22 is C 1 alkyl. In some embodiments of a compound of Formula (V) , (Va) , (Vb) , or (Vc) , R 22 is optionally substituted (C 1 -C 6 alkyl) aryl.
  • R 22 is optionally substituted (C 1 -C 6 alkyl) phenyl. In some embodiments of a compound of Formula (V) , (Va) , (Vb) , or (Vc) , R 22 is (C 1 -C 6 alkyl) aryl. In some embodiments of a compound of Formula (V) , (Va) , (Vb) , or (Vc) , R 22 is (C 1 -C 6 alkyl) phenyl.
  • each R 22 is optionally substituted with one, two, or three halogen, -OR b , C 1 -C 6 alkyl, C 1 -C 6 haloalkyl, or aryl. In some embodiments of a compound of Formula (V) , (Va) , (Vb) , or (Vc) , each R 22 is optionally substituted with one, two, or three halogen or C 1 -C 6 alkyl. In some embodiments of a compound of Formula (V) , (Va) , (Vb) , or (Vc) , each R 22 is optionally substituted with one, two, or three C 1 -C 6 alkyl.
  • Z is -O-. In some embodiments of a compound of Formula (V) , (Va) , (Vb) , or (Vc) , Z is -NR 25 -; and R 25 is hydrogen or C 1 -C 6 alkyl. In some embodiments of a compound of Formula (V) , (Va) , (Vb) , or (Vc) , Z is -NR 25 -; and R 25 is hydrogen.
  • Z is -NR 25 -; and R 25 is C 1 -C 6 alkyl.
  • R 25 is C 1 -C 6 alkyl.
  • Z is -CR 23 R 24 -; and R 23 and R 24 are each independently hydrogen or C 1 -C 6 alkyl.
  • Z is -CR 23 R 24 -; and R 23 and R 24 are hydrogen.
  • -Z-R 22 is selected from
  • R 14 is hydrogen, halogen, optionally substituted C 1 -C 6 alkyl, optionally substituted cycloalkyl, optionally substituted (C 1 -C 6 alkyl) cycloalkyl, optionally substituted heterocycloalkyl, optionally substituted (C 1 -C 6 alkyl) heterocycloalkyl, optionally substituted aryl, or optionally substituted heteroaryl.
  • R 14 is hydrogen, optionally substituted C 1 -C 6 alkyl, optionally substituted cycloalkyl, or optionally substituted (C 1 -C 6 alkyl) cycloalkyl. In some embodiments of a compound of Formula (V) , (Va) , (Vb) , or (Vc) , R 14 is optionally substituted C 1 -C 6 alkyl or optionally substituted (C 1 -C 6 alkyl) cycloalkyl.
  • R 14 is C 1 -C 6 alkyl, C 1 -C 6 haloalkyl, or (C 1 -C 6 alkyl) cycloalkyl. In some embodiments of a compound of Formula (V) , (Va) , (Vb) , or (Vc) , R 14 is selected from:
  • R 16 is hydrogen, halogen, optionally substituted C 1 -C 6 alkyl, optionally substituted cycloalkyl, optionally substituted (C 1 -C 6 alkyl) cycloalkyl, optionally substituted heterocycloalkyl, optionally substituted (C 1 -C 6 alkyl) heterocycloalkyl, optionally substituted aryl, optionally substituted (C 1 -C 6 alkyl) aryl, or optionally substituted heteroaryl.
  • R 16 is optionally substituted C 1 -C 6 alkyl, optionally substituted (C 1 -C 6 alkyl) cycloalkyl, optionally substituted cycloalkyl, optionally substituted (C 1 -C 6 alkyl) aryl, or optionally substituted aryl.
  • R 16 is optionally substituted C 1 -C 6 alkyl, optionally substituted (C 1 -C 6 alkyl) cycloalkyl, or optionally substituted cycloalkyl. In some embodiments of a compound of Formula (V) , (Va) , (Vb) , or (Vc) , R 16 is optionally substituted C 1 -C 6 alkyl, optionally substituted (C 1 -C 6 alkyl) cycloalkyl, or optionally substituted cycloalkyl.
  • R 16 is C 3 -C 7 cycloalkyl. In some embodiments of a compound of Formula (V) , (Va) , (Vb) , or (Vc) , R 16 is cyclobutyl, cyclopentyl, cyclohexyl, or cycloheptyl. In some embodiments of a compound of Formula (V) , (Va) , (Vb) , or (Vc) , R 16 is cyclohexyl.
  • R 16 is cycloheptyl. In some embodiments of a compound of Formula (V) , (Va) , (Vb) , or (Vc) , R 16 is selected from:
  • each R a is independently C 1 -C 6 alkyl. In some embodiments of a compound of Formula (V) , (Va) , (Vb) , or (Vc) , each R b and R c is independently hydrogen or C 1 -C 6 alkyl. In some embodiments of a compound of Formula (V) , (Va) , (Vb) , or (Vc) , each R b and R c is hydrogen.
  • the compound of Formula (I) , (Ia) - (Ic) , (II) , (IIa) - (IIc) , (III) , (IIIa) - (IIIc) , (IV) , (IVa) - (IVc) , (V) , and (Va) - (Vc) is selected from a compound in table 1 or a pharmaceutically acceptable salt, solvate, or stereoisomer thereof.
  • the compounds described herein exist as geometric isomers. In some embodiments, the compounds described herein possess one or more double bonds. The compounds presented herein include all cis, trans, syn, anti,
  • Z) isomers as well as the corresponding mixtures thereof. In some situations, the compounds described herein possess one or more chiral centers and each center exists in the R configuration, or S configuration. The compounds described herein include all diastereomeric, enantiomeric, and epimeric forms as well as the corresponding mixtures thereof.
  • mixtures of enantiomers and/or diastereoisomers, resulting from a single preparative step, combination, or interconversion are useful for the applications described herein.
  • the compounds described herein are prepared as their individual stereoisomers by reacting a racemic mixture of the compound with an optically active resolving agent to form a pair of diastereoisomeric compounds, separating the diastereomers and recovering the optically pure enantiomers.
  • dissociable complexes are preferred.
  • the diastereomers have distinct physical properties (e.g., melting points, boiling points, solubilities, reactivity, etc.
  • the diastereomers are separated by chiral chromatography, or preferably, by separation/resolution techniques based upon differences in solubility.
  • the optically pure enantiomer is then recovered, along with the resolving agent.
  • the compounds described herein exist in their isotopically-labeled forms.
  • the methods disclosed herein include methods of treating diseases by administering such isotopically-labeled compounds.
  • the methods disclosed herein include methods of treating diseases by administering such isotopically-labeled compounds as pharmaceutical compositions.
  • the compounds disclosed herein include isotopically-labeled compounds, which are identical to those recited herein, but for the fact that one or more atoms are replaced by an atom having an atomic mass or mass number different from the atomic mass or mass number usually found in nature.
  • isotopes that can be incorporated into compounds described herein, or a solvate, or stereoisomer thereof, include isotopes of hydrogen, carbon, nitrogen, oxygen, phosphorous, sulfur, fluorine, and chloride, such as 2 H, 3 H, 13 C, 14 C, l5 N, 18 O, 17 O, 31 P, 32 P, 35 S, 18 F, and 36 Cl, respectively.
  • isotopically-labeled compounds for example those into which radioactive isotopes such as 3 H and 14 C are incorporated, are useful in drug and/or substrate tissue distribution assays.
  • Tritiated, i.e., 3 H and carbon-14, i.e., 14 C, isotopes are particularly preferred for their ease of preparation and detectability. Further, substitution with heavy isotopes such as deuterium, i.e., 2 H, produces certain therapeutic advantages resulting from greater metabolic stability, for example increased in vivo half-life or reduced dosage requirements.
  • the isotopically labeled compound or a pharmaceutically acceptable salt, solvate, or stereoisomer thereof is prepared by any suitable method.
  • the compounds described herein are labeled by other means, including, but not limited to, the use of chromophores or fluorescent moieties, bioluminescent labels, or chemiluminescent labels.
  • the compounds described herein exist as their pharmaceutically acceptable salts.
  • the methods disclosed herein include methods of treating diseases by administering such pharmaceutically acceptable salts.
  • the methods disclosed herein include methods of treating diseases by administering such pharmaceutically acceptable salts as pharmaceutical compositions.
  • the compounds described herein possess acidic or basic groups and therefor react with any of a number of inorganic or organic bases, and inorganic and organic acids, to form a pharmaceutically acceptable salt.
  • these salts are prepared in situ during the final isolation and purification of the compounds disclosed herein, or by separately reacting a purified compound in its free form with a suitable acid or base, and isolating the salt thus formed.
  • Examples of pharmaceutically acceptable salts include those salts prepared by reaction of the compounds described herein with a mineral, organic acid, or inorganic base, such salts including acetate, acrylate, adipate, alginate, aspartate, benzoate, benzenesulfonate, bisulfate, bisulfite, bromide, butyrate, butyn-1, 4-dioate, camphorate, camphorsulfonate, caproate, caprylate, chlorobenzoate, chloride, citrate, cyclopentanepropionate, decanoate, digluconate, dihydrogenphosphate, dinitrobenzoate, dodecylsulfate, ethanesulfonate, formate, fumarate, glucoheptanoate, glycerophosphate, glycolate, hemisulfate, heptanoate, hexanoate, hexyne-1, 6-dioate, hydroxybenzoate,
  • the compounds described herein can be prepared as pharmaceutically acceptable salts formed by reacting the free base form of the compound with a pharmaceutically acceptable inorganic or organic acid, including, but not limited to, inorganic acids such as hydrochloric acid, hydrobromic acid, sulfuric acid, nitric acid, phosphoric acid metaphosphoric acid, and the like; and organic acids such as acetic acid, propionic acid, hexanoic acid, cyclopentanepropionic acid, glycolic acid, pyruvic acid, lactic acid, malonic acid, succinic acid, malic acid, maleic acid, fumaric acid, p-toluenesulfonic acid, tartaric acid, trifluoroacetic acid, citric acid, benzoic acid, 3- (4-hydroxybenzoyl) benzoic acid, cinnamic acid, mandelic acid, arylsulfonic acid, methanesulfonic acid, ethanesulfonic acid, 1, 2-ethanedis
  • those compounds described herein which comprise a free acid group react with a suitable base, such as the hydroxide, carbonate, bicarbonate, sulfate, of a pharmaceutically acceptable metal cation, with ammonia, or with a pharmaceutically acceptable organic primary, secondary, tertiary, or quaternary amine.
  • a suitable base such as the hydroxide, carbonate, bicarbonate, sulfate, of a pharmaceutically acceptable metal cation, with ammonia, or with a pharmaceutically acceptable organic primary, secondary, tertiary, or quaternary amine.
  • Representative salts include the alkali or alkaline earth salts, like lithium, sodium, potassium, calcium, and magnesium, and aluminum salts and the like.
  • bases include sodium hydroxide, potassium hydroxide, choline hydroxide, sodium carbonate, N + (C 1-4 alkyl) 4 , and the like.
  • Organic amines useful for the formation of base addition salts include ethylamine, diethylamine, ethylenediamine, ethanolamine, diethanolamine, piperazine, and the like. It should be understood that the compounds described herein also include the quaternization of any basic nitrogen-containing groups they contain. In some embodiments, water or oil-soluble or dispersible products are obtained by such quaternization.
  • the compounds described herein exist as solvates.
  • the disclosure provides for methods of treating diseases by administering such solvates.
  • the disclosure further provides for methods of treating diseases by administering such solvates as pharmaceutical compositions.
  • Solvates contain either stoichiometric or non-stoichiometric amounts of a solvent, and, in some embodiments, are formed during the process of crystallization with pharmaceutically acceptable solvents such as water, ethanol, and the like. Hydrates are formed when the solvent is water, or alcoholates are formed when the solvent is alcohol. Solvates of the compounds described herein can be conveniently prepared or formed during the processes described herein.
  • hydrates of the compounds described herein can be conveniently prepared by recrystallization from an aqueous/organic solvent mixture, using organic solvents including, but not limited to, dioxane, tetrahydrofuran, or methanol.
  • organic solvents including, but not limited to, dioxane, tetrahydrofuran, or methanol.
  • the compounds provided herein can exist in unsolvated as well as solvated forms. In general, the solvated forms are considered equivalent to the unsolvated forms for the purposes of the compounds and methods provided herein.
  • Tautomers are compounds that are interconvertible by migration of a hydrogen atom, accompanied by a switch of a single bond and adjacent double bond. In bonding arrangements where tautomerization is possible, a chemical equilibrium of the tautomers will exist. All tautomeric forms of the compounds disclosed herein are contemplated. The exact ratio of the tautomers depends on several factors, including temperature, solvent, and pH.
  • Also disclosed herein are methods of treating a mammal in need of such treatment comprising administering to the mammal an antibacterial effective amount of any of the aforementioned compounds at a frequency and for a duration sufficient to provide a beneficial effect to the mammal.
  • the mammal has a bacteria-related infection that is resistant to treatment with one or more clinically used antibiotics.
  • the causative bacterial species of the bacterial infection is an infection involving Pseudomonas aeruginosa, Pseudomonas fluorescens, Pseudomonas acidovorans, Pseudomonas alcaligenes, Pseudomonas putida, Stenotrophomonas maltophilia, Burkholderia cepacia, Aeromonas hydrophilia, Escherichia coli, Citrobacter freundii, Salmonella typhimurium, Salmonella typhi, Salmonella paratyphi, Salmonella enteritidis, Shigella dysenteriae, Shigella flexneri, Shigella sonnei, Enterobacter cloacae, Enterobacter aerogenes, Klebsiella pneumoniae, Klebsiella oxytoca, Serratia marcescens, Francisella tularensis, Morganella morganii
  • Also disclosed herein are methods of treating a mammal in need of such treatment comprising administering to the mammal a second therapeutic agent to any of the aforementioned methods of treatment.
  • the second therapeutic agent is a not an LspA inhibitor.
  • the second therapeutic agent is an aminoglycoside antibiotic, fluoroquinolone antibiotic, ⁇ -lactam antibiotic, macrolide antibiotic, glycopeptide antibiotic, rifampicin, chloramphenicol, fluoramphenicol, colistin, mupirocin, bacitracin, daptomycin, or linezolid.
  • a method for treating a bacterial infection in a patient preferably a human
  • the treatment includes administering a therapeutically or pharmacologically effective amount of a combination of 1) a ⁇ -lactam antibiotic; and 2) a compound of Formula (I) , (Ia) - (Ic) , (II) , (IIa) - (IIc) , (III) , (IIIa) - (IIIc) , or (IV) , (IVa) - (IVc) , or a pharmaceutically acceptable salt, solvate, or stereoisomer thereof; and 3) a pharmaceutically acceptable carrier.
  • the ⁇ -lactam antibiotic is a carbapenem, cephalosporin, cephamycin, monobactam, or penicillin.
  • carbapenem antibiotics include, but are not limited to, ertapenem, imipenem, biapenem, and meropenem.
  • cephalosporin antibiotics include but are not limited to, ceftobiprole, ceftaroline, cefiprome, cefozopran, cefepime, cefotaxime, and ceftriazone.
  • Exemplary penicillin antibiotics include, but are not limited to, ampicillin, amoxacillin, piperacillin, oxacillin, cloxacillin, methicillin, and nafcillin.
  • the ⁇ -lactam is administered with a ⁇ -lactamase inhibitor.
  • the carbapenem is administered with a DHP inhibitor, e.g., cilastatin.
  • the ⁇ -lactam antibiotic and compound of Formula (I) , (Ia) - (Ic) , (II) , (IIa) - (IIc) , (III) , (IIIa) - (IIIc) , (IV) , (IVa) - (IVc) , (V) , or (Va) - (Vc) are administered sequentially or concurrently.
  • the ⁇ -lactam antibiotic and compound of Formula (I) , (Ia) - (Ic) , (II) , (IIa) - (IIc) , (III) , (IIIa) - (IIIc) , (IV) , (IVa) - (IVc) , (V) , or (Va) - (Vc) are administered together.
  • the ⁇ -lactam antibiotic and compound of Formula (I) , (Ia) - (Ic) , (II) , (IIa) - (IIc) , (III) , (IIIa) - (IIIc) , (IV) , (IVa) - (IVc) , (V) , or (Va) - (Vc) are administered in the same formulation or in separate formulations.
  • either the ⁇ -lactam or compound of Formula (I) , (Ia) - (Ic) , (II) , (IIa) - (IIc) , (III) , (IIIa) - (IIIc) , (IV) , (IVa) - (IVc) , (V) , or (Va) - (Vc) is administered first.
  • the other compound is administered, for example, within from 1 to 60 minutes, e.g., within 1, 2, 3, 4, 5, 10, 15, 30, or 60 minutes.
  • a ⁇ -lactamase inhibitor when used, it is administered separately, or in a formulation with the compound of Formula (I) , (Ia) - (Ic) , (II) , (IIa) - (IIc) , (III) , (IIIa) - (IIIc) , (IV) , (IVa) - (IVc) , (V) , or (Va) - (Vc) and/or ⁇ -lactam antibiotic.
  • a DHP inhibitor when used to improve the stability of a carbapenem, it is administered separately, or in a formulation with the compound of Formula (I) , (Ia) - (Ic) , (II) , (IIa) - (IIc) , (III) , (IIIa) - (IIIc) , (IV) , (IVa) - (IVc) , (V) , or (Va) - (Vc) and/or carbapenem.
  • compositions comprising a compound of Formula (I) , (Ia) - (Ic) , (II) , (IIa) - (IIc) , (III) , (IIIa) - (IIIc) , (IV) , (IVa) - (IVc) , (V) , or (Va) - (Vc) , a pharmaceutically acceptable carrier, and optionally a ⁇ -lactam antibiotic.
  • the ⁇ -lactam antibiotic and the compound of Formula (I) , (Ia) - (Ic) , (II) , (IIa) - (IIc) , (III) , (IIIa) - (IIIc) , (IV) , (IVa) - (IVc) , (V) , or (Va) - (Vc) are present in such amounts that their combination constitutes a therapeutically effective amount.
  • the amount of ⁇ -lactam antibiotic present in a combination may be less that of a ⁇ -lactam antibiotic used alone.
  • the composition further comprises a ⁇ -lactamase antibiotic.
  • a pharmaceutical composition comprising a carbapenem antibiotic, a DHP inhibitor, a compound of Formula (I) , (Ia) - (Ic) , (II) , (IIa) - (IIc) , (III) , (IIIa) - (IIIc) , (IV) , (IVa) - (IVc) , (V) , or (Va) - (Vc) , and a pharmaceutically acceptable carrier.
  • the carbapenem antibiotic is preferably selected from the group consisting of ertapenem, imipenem, and meropenem.
  • a compound of Formula (I) , (Ia) - (Ic) , (II) , (IIa) - (IIc) , (III) , (IIIa) - (IIIc) , (IV) , (IVa) - (IVc) , (V) , or (Va) - (Vc) can enhance the activity of a ⁇ -lactam antibacterial agent by inducing susceptibility to the antibacterial agent in a drug-resistant strain such as MRSA.
  • a compound of Formula (I) , (Ia) - (Ic) , (II) , (IIa) - (IIc) , (III) , (IIIa) - (IIIc) , (IV) , (IVa) - (IVc) , (V) , or (Va) - (Vc) can enhance the activity of a ⁇ -lactam antibacterial agent by reducing the dosage of the antibacterial agent need for a therapeutic effect in a drug-sensitive strain.
  • a compound of Formula (I) , (Ia) - (Ic) , (II) , (IIa) - (IIc) , (III) , (IIIa) - (IIIc) , (IV) , (IVa) - (IVc) , (V) , or (Va) - (Vc) reduces the Minimum Inhibitory Concentration (MIC) of an antibacterial agent (where the MIC is the minimum concentration of antibacterial agent which will completely inhibit growth) in a susceptible strain, then such treatment may be advantageous to enable a reduction in the amount of antibacterial agent administered (could reduce side effects of an antibiotic) , or to decrease the frequency of administration.
  • MIC Minimum Inhibitory Concentration
  • compounds of Formula (I) , (Ia) - (Ic) , (II) , (IIa) - (IIc) , (III) , (IIIa) - (IIIc) , (IV) , (IVa) - (IVc) , (V) , or (Va) - (Vc) can enhance the activity of an antibacterial agent such as a carbapenem to prevent the emergence of a resistant sub-population in a heterogeneous bacterial population with a resistant sub-population.
  • an antibacterial agent such as a carbapenem
  • potentiators are used to enhance the activity of antibacterial agents whose clinical efficacy has been limited by the increasing prevalence of resistant strains.
  • a compound of Formula (I) , (Ia) - (Ic) , (II) , (IIa) - (IIc) , (III) , (IIIa) - (IIIc) , (IV) , (IVa) - (IVc) , (V) , or (Va) - (Vc) is used as a potentiator wherein a compound of Formula (I) , (Ia) - (Ic) , (II) , (IIa) - (IIc) , (III) , (IIIa) - (IIIc) , (IV) , (IVa) - (IVc) , (V) , or (Va) - (Vc) can be administered together with a ⁇ -lactam antibiotic (
  • compositions described herein comprise a therapeutically effective amount of a compound described herein (i.e., a compound of any of Formula (I) , (Ia) - (Ic) , (II) , (IIa) - (IIc) , (III) , (IIIa) - (IIIc) , (IV) , (IVa) - (IVc) , (V) , or (Va) - (Vc) ) formulated together with one or more pharmaceutically acceptable carriers.
  • a pharmaceutically acceptable carrier means a non-toxic, inert solid, semi-solid or liquid filler, diluent, encapsulating material or formulation auxiliary of any type.
  • materials which can serve as pharmaceutically acceptable carriers are sugars such as lactose, glucose and sucrose; starches such as corn starch and potato starch; cellulose and its derivatives such as sodium carboxymethyl cellulose, ethyl cellulose and cellulose acetate; powdered tragacanth; malt; gelatin; talc; excipients such as cocoa butter and suppository waxes; oils such as peanut oil, cottonseed oil; safflower oil; sesame oil; olive oil; corn oil and soybean oil; glycols; such a propylene glycol; esters such as ethyl oleate and ethyl laurate; agar; buffering agents such as magnesium hydroxide and aluminum hydroxide; alginic acid; pyrogen-free water; isotonic saline; Ringer’s solution; ethyl alcohol, and phosphate buffer solutions, as well as other non-toxic compatible lubricants such as sodium lauryl sulf
  • compositions described herein can be administered to humans and other animals orally, rectally, parenterally, intracisternally, intravaginally, intraperitoneally, topically (as by powders, ointments, or drops) , bucally, or as an oral or nasal spray, or a liquid aerosol or dry powder formulation for inhalation.
  • Liquid dosage forms for oral administration include pharmaceutically acceptable emulsions, microemulsions, solutions, suspensions, syrups and elixirs.
  • the liquid dosage forms optionally contain inert diluents commonly used in the art such as, for example, water or other solvents, solubilizing agents and emulsifiers such as ethyl alcohol, isopropyl alcohol, ethyl carbonate, ethyl acetate, benzyl alcohol, benzyl benzoate, propylene glycol, 1, 3-butylene glycol, dimethylformamide, oils (in particular, cottonseed, groundnut, corn, germ, olive, castor, and sesame oils) , glycerol, tetrahydrofurfuryl alcohol, polyethylene glycols and fatty acid esters of sorbitan, and mixtures thereof.
  • the oral compositions can also include adjuvants such as wetting agents,
  • Injectable preparations for example, sterile injectable aqueous or oleaginous suspensions are optionally formulated according to the known art using suitable dispersing or wetting agents and suspending agents.
  • the sterile injectable preparation is optionally a sterile injectable solution, suspension or emulsion in a nontoxic parenterally acceptable diluent or solvent, for example, as a solution in 1, 3-butanediol.
  • the acceptable vehicles and solvents that are optionally employed are water, Ringer’s solution, U.S.P. and isotonic sodium chloride solution.
  • sterile, fixed oils are conventionally employed as a solvent or suspending medium.
  • any bland fixed oil can be employed including synthetic mono-or diglycerides.
  • fatty acids such as oleic acid are used in the preparation of injectables.
  • the injectable formulations can be sterilized, for example, by filtration through a bacterial-retaining filter, or by incorporating sterilizing agents in the form of sterile solid compositions which can be dissolved or dispersed in sterile water or other sterile injectable medium prior to use.
  • the rate of drug release can be controlled.
  • biodegradable polymers include poly (orthoesters) and poly (anhydrides) .
  • Depot injectable formulations are optionally prepared by entrapping the drug in liposomes or microemulsions which are compatible with body tissues.
  • compositions for rectal or vaginal administration are preferably suppositories which can be prepared by mixing the compound described herein (i.e., a compound of any of Formula (I) , (Ia) - (Ic) , (II) , (IIa) - (IIc) , (III) , (IIIa) - (IIIc) , (IV) , (IVa) - (IVc) , (V) , or (Va) - (Vc) ) with suitable non-irritating excipients or carriers such as cocoa butter, polyethylene glycol or a suppository wax which are solid at ambient temperature but liquid at body temperature and therefore melt in the rectum or vaginal cavity and release the active compound.
  • suitable non-irritating excipients or carriers such as cocoa butter, polyethylene glycol or a suppository wax which are solid at ambient temperature but liquid at body temperature and therefore melt in the rectum or vaginal cavity and release the active compound
  • Solid dosage forms for oral administration include capsules, tablets, pills, powders, and granules.
  • the active compound is mixed with at least one inert, pharmaceutically acceptable excipient or carrier such as sodium citrate or dicalcium phosphate and/or a) fillers or extenders such as starches, lactose, sucrose, glucose, mannitol, and silicic acid, b) binders such as, for example, carboxymethylcellulose, alginates, gelatin, polyvinylpyrrolidinone, sucrose, and acacia, c) humectants such as glycerol, d) disintegrating agents such as agar-agar, calcium carbonate, potato or tapioca starch, alginic acid, certain silicates, and sodium carbonate, e) solution retarding agents such as paraffin, f) absorption accelerators such as quaternary ammonium compounds, g) wetting agents such as, for example, acetyl alcohol and
  • compositions of a similar type are optionally employed as fillers in soft and hard-filled gelatin capsules using such excipients as lactose or milk sugar as well as high molecular weight polyethylene glycols and the like.
  • the solid dosage forms of tablets, dragees, capsules, pills, and granules can be prepared with coatings and shells such as enteric coatings and other coatings known in the pharmaceutical formulating art. They optionally contain opacifying agents and can also be of a composition that they release the active ingredient (s) only, or preferentially, in a certain part of the intestinal tract, optionally, in a delayed manner.
  • coatings and shells such as enteric coatings and other coatings known in the pharmaceutical formulating art. They optionally contain opacifying agents and can also be of a composition that they release the active ingredient (s) only, or preferentially, in a certain part of the intestinal tract, optionally, in a delayed manner.
  • embedding compositions which can be used include polymeric substances and waxes.
  • compositions of a similar type are optionally employed as fillers in soft and hard-filled gelatin capsules using such excipients as lactose or milk sugar as well as high molecular weight polyethylene glycols and the like.
  • the active compounds can also be in micro-encapsulated form with one or more excipients as noted above.
  • the solid dosage forms of tablets, dragees, capsules, pills, and granules can be prepared with coatings and shells such as enteric coatings, release controlling coatings and other coatings known in the pharmaceutical formulating art.
  • the active compound is optionally admixed with at least one inert diluent such as sucrose, lactose or starch.
  • Such dosage forms optionally comprise, as is normal practice, additional substances other than inert diluents, e.g., tableting lubricants and other tableting aids such a magnesium stearate and microcrystalline cellulose.
  • the dosage forms optionally comprise buffering agents. They optionally contain opacifying agents and can also be of a composition that they release the active ingredient (s) only, or preferentially, in a certain part of the intestinal tract, optionally, in a delayed manner.
  • opacifying agents include polymeric substances and waxes.
  • Dosage forms for topical or transdermal administration of a compound described herein include ointments, pastes, creams, lotions, gels, powders, solutions, sprays, inhalants or patches.
  • the active component is admixed under sterile conditions with a pharmaceutically acceptable carrier and any needed preservatives or buffers as are optionally required. Ophthalmic formulations, ear drops, and the like are also contemplated.
  • the ointments, pastes, creams and gels may contain, in addition to an active compound described herein, excipients such as animal and vegetable fats, oils, waxes, paraffins, starch, tragacanth, cellulose derivatives, polyethylene glycols, silicones, bentonites, silicic acid, talc and zinc oxide, or mixtures thereof.
  • excipients such as animal and vegetable fats, oils, waxes, paraffins, starch, tragacanth, cellulose derivatives, polyethylene glycols, silicones, bentonites, silicic acid, talc and zinc oxide, or mixtures thereof.
  • compositions described herein are optionally formulated for delivery as a liquid aerosol or inhalable dry powder.
  • Liquid aerosol formulations are optionally nebulized predominantly into particle sizes that can be delivered to the terminal and respiratory bronchioles where bacteria reside in patients with bronchial infections, such as chronic bronchitis and pneumonia.
  • Pathogenic bacteria are commonly present throughout airways down to bronchi, bronchioli and lung parenchema, particularly in terminal and respiratory bronchioles. During exacerbation of infection, bacteria can also be present in alveoli.
  • Liquid aerosol and inhalable dry powder formulations are preferably delivered throughout the endobronchial tree to the terminal bronchioles and eventually to the parenchymal tissue.
  • Aerosolized formulations described herein are optionally delivered using an aerosol forming device, such as a jet, vibrating porous plate or ultrasonic nebulizer, preferably selected to allow the formation of an aerosol particles having with a mass medium average diameter predominantly between 1 to 5 ⁇ m.
  • an aerosol forming device such as a jet, vibrating porous plate or ultrasonic nebulizer, preferably selected to allow the formation of an aerosol particles having with a mass medium average diameter predominantly between 1 to 5 ⁇ m.
  • the formulation preferably has balanced osmolarity ionic strength and chloride concentration, and the smallest aerosolizable volume able to deliver effective dose of the compounds described herein compound described herein (i.e., a compound of any of Formula (I) , (Ia) - (Ic) , (II) , (IIa) - (IIc) , (III) , (IIIa) - (IIIc) , (IV) , (IVa) - (IVc) , (V) , or (Va) - (Vc) ) to the site of the infection.
  • the aerosolized formulation preferably does not impair negatively the functionality of the airways and does not cause undesirable side effects.
  • Aerosolization devices suitable for administration of aerosol formulations described herein include, for example, jet, vibrating porous plate, ultrasonic nebulizers and energized dry powder inhalers, that are able to nebulize the formulation into aerosol particle size predominantly in the size range from 1-5 ⁇ . Predominantly in this application means that at least 70%but preferably more than 90%of all generated aerosol particles are within 1-5 ⁇ range.
  • a jet nebulizer works by air pressure to break a liquid solution into aerosol droplets. Vibrating porous plate nebulizers work by using a sonic vacuum produced by a rapidly vibrating porous plate to extrude a solvent droplet through a porous plate.
  • An ultrasonic nebulizer works by a piezoelectric crystal that shears a liquid into small aerosol droplets.
  • suitable devices including, for example, AeroNebTM and AeroDoseTM vibrating porous plate nebulizers (AeroGen, Inc., Sunnyvale, California) , nebulizers (Medic-Aid Ltd., West Wales, England) , Pari and Pari LC jet nebulizers (Pari Respiratory Equipment, Inc., Richmond, Virginia) , and AerosonicTM (DeVilbiss Medizinische Kunststoffische Kunststoffische Kunststoffische Kunststoffische Kunststoffische Kunststoffische Kunststoffische Kunststoffische Kunststoffische Kunststoffische Kunststoffische Kunststoffische Kunststoffische Kunststoffische Kunststoffische Kunststoffische Kunststoffische Kunststoffische Kunststoffische Kunststoffische Kunststoffische Kunststoffische Kunststoffische Kunststoffische Kunststoffische Kunststoffische Kunststoffische Kunststoffo Kunststoffo Kunststoffo Kunststoffo Kunststoffo Kunststoffo Kunststoffo Kunststoffo Kunststoffo Kunststoffo Kunststoffo Kunststoffo Kunststoffo Kunststoffo Kunststoffo Kunststoffo Kunststoffo Kunststoffo Kunststoffo Kunststoffo Kunststoffo Kunststoffo Kunststoffo Kunststoffo Kunststoffo Kunststoffo Kunststoff
  • compounds described herein compound described herein are formulated for use as topical powders and sprays that contain, in addition to the compounds described herein, excipients such as lactose, talc, silicic acid, aluminum hydroxide, calcium silicates and polyamide powder, or mixtures of these substances. Sprays optionally contain customary propellants such as chlorofluorohydrocarbons.
  • Transdermal patches have the added advantage of providing controlled delivery of a compound to the body.
  • dosage forms can be made by dissolving or dispensing the compound in the proper medium.
  • Absorption enhancers can also be used to increase the flux of the compound across the skin.
  • the rate can be controlled by either providing a rate controlling membrane or by dispersing the compound in a polymer matrix or gel.
  • bacterial infections are treated or prevented in a patient such as a human or lower mammal by administering to the patient a therapeutically effective amount of a compound described herein, in such amounts and for such time as is necessary to achieve the desired result.
  • a “therapeutically effective amount” of a compound described herein is meant a sufficient amount of the compound to treat bacterial infections, at a reasonable benefit/risk ratio applicable to any medical treatment. It will be understood, however, that the total daily usage of the compounds and compositions described herein will be decided by the attending physician within the scope of sound medical judgment.
  • the specific therapeutically effective dose level for any particular patient will depend upon a variety of factors including the disorder being treated and the severity of the disorder; the activity of the specific compound employed; the specific composition employed; the age, body weight, general health, sex and diet of the patient; the time of administration, route of administration, and rate of excretion of the specific compound employed; the duration of the treatment; drugs used in combination or coincidental with the specific compound employed; and like factors known in the medical arts.
  • the total daily dose of the compounds described herein compound described herein i.e., a compound of any of Formula (I) , (Ia) - (Ic) , (II) , (IIa) - (IIc) , (III) , (IIIa) - (IIIc) , (IV) , (IVa) - (IVc) , (V) , or (Va) - (Vc) ) administered to a human or other mammal in single or in divided doses can be in amounts, for example, from 0.01 to 50 mg/kg body weight or more usually from 0.1 to 25 mg/kg body weight.
  • Single dose compositions may contain such amounts or submultiples thereof to make up the daily dose.
  • treatment regimens described herein comprise administration to a patient in need of such treatment from about 10 mg to about 2000 mg of the compound (s) described herein per day in single or multiple doses.
  • the starting materials and reagents used in preparing these compounds are either available from commercial suppliers such as Aldrich Chemical Co., (Milwaukee, Wis. ) , Bachem (Torrance, Calif. ) , or Sigma (St. Louis, Mo.
  • beta-hydroxy acids 4 may be prepared starting with Oppolzer’s sultam 1, which may be acylated with acid chlorides to generate intermediate 2.
  • Intermediate 2 may be subjected to Lewis-acid mediated aldol alkylation to generate the anti-aldol product 3.
  • Compound 3 may be hydrolyzed with aqueous lithium hydroxide and hydrogen peroxide to yield the desired beta-hydroxy acid compounds 4.
  • chloro- (2-chlorotrityl) -resin may be loaded with an Fmoc-protected amino acid, and the Fmoc group removed with piperidine in DMF, to yield intermediate 5.
  • Intermediate 5 may be elaborated through steps 2-5 using standard solid-phase chemistry techniques utilizing HOBt couplings with Fmoc-protected amino acids and standard side-chain protecting groups, to yield elaborated peptide 6.
  • Depsipeptide 7 may be cyclized to yield the macrolactone 8 using Yamaguchi esterification conditions.
  • Macrolactone 8 may be globally deprotected using appropriate conditions (Pd hydrogenation or acidic conditions) to yield compounds 9.
  • beta-hydroxy acid compounds 4 may be alkylated with an appropriately substituted tert-butyl 2, 2-dioxo-oxathiazolidine-3-carboxylate to yield esters 10. These esters may be saponified to yield carboxylic acids 11.
  • the amino protecting group may be converted from Boc to Fmoc by acidic deprotection followed by reprotection with 9-fluorenylmethylchloroformate to yield intermediates 12.
  • resin-bound peptides 6 may be coupled to carboxylic acids 11 or 12 using standard coupling reagents such as HATU or PyAOP, followed by Boc or Fmoc deprotection and resin cleavage to yield protected peptides 13.
  • the linear peptides may be cyclized using macrolactamization conditions such as HATU/DIPEA to yield macrocycles 14.
  • the side chains of macrocyclic depsipeptides 14 may be globally deprotected using palladium/hydrogenation and/or acidic conditions to yield compounds 15.
  • Microwave experiments were carried out using a CEM Discover, Smith Synthesiser or a Biotage Initiator 60 TM , which uses a single-mode resonator and dynamic field tuning, both of which give reproducibility and control. Temperatures from 40-250°C can be achieved and pressures of up to 30 bar can be reached.
  • LCMS High Pressure Liquid Chromatography -Mass Spectrometry experiments to determine retention times (R T ) and associated mass ions were performed using one of the following methods.
  • the spectrometers have an electrospray source operating in positive and negative ion mode. UV absorbance was collected at 220 nm and 254 nm and mass spec full scan was applied to all experiments. Additional detection was achieved using a Sedex 85 evaporative light scattering detector.
  • a Thermo Scientific charged aerosol detector (model: Corona) was used to measure the purity of the UV-insensitive analytes.
  • the CAD parameters are set up as follows:
  • LCMS Method A Experiments performed on an Agilent 1290 HPLC coupled with Agilent MSD mass spectrometer using ESI as ionization source. The LC separation was using a Phenomenex XB-C18, 1.7 mm, 50 ⁇ 2.1 mm column with a 0.4 mL /minute flow rate. Solvent A is water with 0.1%formic acid and solvent B is acetonitrile with 0.1%formic acid. The gradient consisted with 2 -98%solvent B over 7 minutes and hold 97%B for 1.5 minutes following equilibration for 1.5 minutes. LC column temperature is 40 °C.
  • LCMS Method B Experiments performed on a Waters Micromass ZQ2000 quadrupole mass spectrometer linked to a Waters Acquity UPLC system with a PDA UV detector.
  • the spectrometer has an electrospray source operating in positive and negative ion mode.
  • This system uses an Acquity BEH C18 1.7 um 100 x 2.1 mm column, maintained at 40 °C or an Acquity BEH Shield RP18 1.7 ⁇ m 100 x 2.1 mm column, maintained at 40 °C and a 0.4 mL /minute flow rate.
  • the initial solvent system was 95%water containing 0.1%formic acid (solvent A) and 5%acetonitrile containing 0.1%formic acid (solvent B) for the first 0.4 minute followed by a gradient up to 5%solvent A and 95%solvent B over the next 5.6 minutes. This was maintained for 0.8 minutes before returning to 95%solvent A and 5%solvent B over the next 0.2 minutes.
  • LCMS Method C Experiments performed on Shimadzu UFLC coupled with DAD detector, ELSD detector and 2020EV MS.
  • the spectrometer has an electrospray source operating in positive ion mode. This system uses a Shim-Pack XR-ODS C18 2.2 ⁇ m 50*3.0mm column, maintained at 40 °C and a 1.2 mL /minute flow rate.
  • the initial solvent system was 95%water containing 0.05%trifluoroacetic acid (solvent A) and 5%acetonitrile containing 0.05% trifluoroacetic acid (solvent B) for the first 0.01 minute followed by a gradient up to 5%solvent A and 95%solvent B over the next 2.0 minutes. This was maintained for 0.7 minutes before returning to 95%solvent A and 5%solvent B over the next 0.3 minutes.
  • LCMS Method D Experiments performed on Shimadzu UFLC coupled with DAD detector, ELSD detector and 2020EV MS.
  • the spectrometer has an electrospray source operating in positive ion mode. This system uses a Shim-Pack XR-ODS C18 2.2 ⁇ m 50*3.0mm column, maintained at 40 °C and a 1.2 mL /minute flow rate.
  • the initial solvent system was 60%water containing 0.05%trifluoroacetic acid (solvent A) and 40%acetonitrile containing 0.05% trifluoroacetic acid (solvent B) for the first 0.01 minute followed by a gradient up to 5%solvent A and 95%solvent B over the next 3.5 minutes. This was maintained for 0.6 minutes before returning to 95%solvent A and 5%solvent B over the next 0.2 minutes.
  • LCMS Method F Experiments were performed on an Agilent 1290 HPLC coupled with Agilent MSD mass spectrometer using ESI as ionization source. The LC separation was done on an Agilent Zorbax Eclipse XDB-C18, 3.5mm, 100 ⁇ 3.0 mm column at a flow rate of 0.7 ml/minute. MPA (mobile phase A) was water with 0.1%FA and MPB (mobile phase B) was acetonitrile with 0.1%FA. The gradient started at 2%MPB and ended at 98%MPB over 25.5 min and held at 98%B for 2.5 min following equilibration for 1.5 min. LC column temperature was 40 °C. UV absorbance were collected at 220nm and 254nm and mass spec full scan was applied to all experiments.
  • LCMS Method G Experiments performed on Shimadzu UFLC coupled with DAD detector, ELSD detector and 2020EV MS.
  • the spectrometer has an electrospray source operating in positive ion mode. This system uses a Poroshell HPH-C18 2.7 ⁇ m 50*3.0mm column, maintained at 40 °C and a 1.2 mL /minute flow rate.
  • the initial solvent system was 90%water containing 5mM NH 4 HCO 3 (solvent A) and 10%acetonitrile (solvent B) for the first 0.01 minute followed by a gradient up to 5%solvent A and 95%solvent B over the next 2.0 minutes. This was maintained for 0.7 minutes before returning to 90%solvent A and 10%solvent B over the next 0.3 minutes.
  • LCMS Method H Experiments performed on Shimadzu UFLC coupled with DAD detector, ELSD detector and 2020EV MS.
  • the spectrometer has an electrospray source operating in positive ion mode. This system uses a Shim-Pack XR-ODS C18 2.2 ⁇ m 50*3.0mm column, maintained at 40 °C and a 1.2 mL /minute flow rate.
  • the initial solvent system was 95%water containing 0.05%trifluoroacetic acid (solvent A) and 5%acetonitrile containing 0.05% trifluoroacetic acid (solvent B) for the first 0.01 minute followed by a gradient up to 30%solvent A and 70%solvent B over the next 3.2 minutes. And then followed by a gradient up 100%solvent B over the next 0.5 minutes. This was maintained for 0.8 minutes before returning to 95%solvent A and 5%solvent B over the next 0.3 minutes.
  • LCMS Method I Experiments performed on Shimadzu UFLC coupled with DAD detector, ELSD detector and 2020EV MS.
  • the spectrometer has an electrospray source operating in positive ion mode. This system uses a Shim-Pack XR-ODS C18 2.2 ⁇ m 50*3.0mm column, maintained at 40 °C and a 1.2 mL /minute flow rate.
  • the initial solvent system was 50%water containing 0.05%trifluoroacetic acid (solvent A) and 50%acetonitrile containing 0.05% trifluoroacetic acid (solvent B) for the first 0.01 minute followed by a gradient up to 100%solvent B over the next 4.0 minutes. This was maintained for 0.7 minutes before returning to 95%solvent A and 5%solvent B over the next 0.3 minutes.
  • LCMS Method J Experiments performed on Shimadzu UFLC coupled with DAD detector, ELSD detector and 2020EV MS.
  • the spectrometer has an electrospray source operating in positive ion mode.
  • This system uses a Shim-Pack XR-ODS C18 2.2 ⁇ m 50*3.0mm column, maintained at 40 °C and a 1.2 mL /minute flow rate.
  • the initial solvent system was 60%water containing 0.05%trifluoroacetic acid (solvent A) and 40%acetonitrile containing 0.05% trifluoroacetic acid (solvent B) for the first 0.01 minute followed by a gradient up to 5%solvent A and 95%solvent B over the next 3.5 minutes. This was maintained for 0.6 minutes before returning to 95%solvent A and 5%solvent B over the next 0.3 minutes.
  • LCMS Method K Experiments performed on Shimadzu UFLC coupled with DAD detector, ELSD detector and 2020EV MS.
  • the spectrometer has an electrospray source operating in positive ion mode. This system uses a Shim-Pack XR-ODS C18 2.2 ⁇ m 50*3.0mm column, maintained at 40 °C and a 1.2 mL /minute flow rate.
  • the initial solvent system was 70%water containing 0.05%trifluoroacetic acid (solvent A) and 30%acetonitrile containing 0.05% trifluoroacetic acid (solvent B) for the first 0.01 minute followed by a gradient up to 5%solvent A and 95%solvent B over the next 3.5 minutes. This was maintained for 0.6 minutes before returning to 95%solvent A and 5%solvent B over the next 0.2 minutes.
  • LCMS Method L Experiments performed on Shimadzu UFLC coupled with DAD detector, ELSD detector and 2020EV MS.
  • the spectrometer has an electrospray source operating in positive ion mode. This system uses a Shim-Pack XR-ODS C18 2.2 ⁇ m 50*3.0mm column, maintained at 40 °C and a 1.2 mL /minute flow rate.
  • the initial solvent system was 95%water containing 0.05%trifluoroacetic acid (solvent A) and 5%acetonitrile containing 0.05% trifluoroacetic acid (solvent B) for the first 0.01 minute followed by a gradient up to 100%solvent B over the next 2.0 minutes. This was maintained for 0.7 minutes before returning to 95%solvent A and 5%solvent B over the next 0.3 minutes.
  • LCMS Method M Experiments performed on Shimadzu UFLC coupled with DAD detector, ELSD detector and 2020EV MS.
  • the spectrometer has an electrospray source operating in positive ion mode. This system uses a Shim-Pack XR-ODS C18 2.2 ⁇ m 50*3.0mm column, maintained at 40 °C and a 1.2 mL /minute flow rate.
  • the initial solvent system was 70%water containing 0.05%trifluoroacetic acid (solvent A) and 30%acetonitrile containing 0.05% trifluoroacetic acid (solvent B) for the first 0.01 minute followed by a gradient up to 30%solvent A and 70%solvent B over the next 3.6 minutes. And then followed by a gradient up 100%solvent B over the next 0.4 minutes. This was maintained for 0.5 minutes before returning to 95%solvent A and 5%solvent B over the next 0.3 minutes.
  • LCMS Method N Experiments performed on Shimadzu UFLC coupled with DAD detector, ELSD detector and 2020EV MS.
  • the spectrometer has an electrospray source operating in positive ion mode. This system uses a Shim-Pack XR-ODS C18 2.2 ⁇ m 50*3.0mm column, maintained at 40 °C and a 1.2 mL /minute flow rate.
  • the initial solvent system was 70%water containing 0.05%trifluoroacetic acid (solvent A) and 30%acetonitrile containing 0.05%trifluoroacetic acid (solvent B) for the first 0.01 minute followed by a gradient up to 100%solvent B over the next 3.2 minutes. This was maintained for 0.9 minutes before returning to 95%solvent A and 5%solvent B over the next 0.2 minutes.
  • Propionyl chloride (844 g, 894 mmol) was added to a solution of (3aR, 6S, 7aS) -8, 8-dimethylhexahydro-3H-3a, 6-methanobenzo [c] isothiazole 2, 2-dioxide (175 g, 813 mmol) , DMAP (10.5 g, 81.3 mmol) , and triethylamine (172 mL, 1220 mmol) in THF (1.4 L) at 0 °C. After 30 min, the reaction was warmed to room temperature and was allowed to stir for an additional 3 h. The reaction was evaporated under reduced pressure. The resulting residue was diluted with water and isopropyl acetate.
  • the mixture B was added to mixture A dropwise at -78 °C, and stirred for 4 h at -50 °C.
  • the reaction was quenched with 300 mL of saturated aqueous ammonium chloride, and extracted with 2x500 mL of ethyl acetate.
  • the organic layers were combined and washed with 1x300 mL brine, dried over anhydrous sodium sulfate, filtered and evaporated in vacuo.
  • the residue was applied onto a silica gel column eluting with ethyl acetate/petroleum ether (1: 4) .
  • the reaction was then quenched by the addition of 100 mL of saturated aqueous Na 2 SO 3 solution.
  • the pH value of the solution was adjusted to 3 with 1 N HCl solution.
  • the resulting solution was extracted with 3x200 mL of ethyl acetate and the organic layers combined and dried over anhydrous sodium sulfate, filtered and concentrated under vacuum.
  • the residue was applied onto a silica gel column eluting with ethyl acetate/petroleum ether (1: 2) .
  • the appropriate fractions were combined and concentrated under vacuum. This resulted in 2.2 g (70%yield) of the title compound as a light yellow oil.
  • Step 2 (2R, 3R) -1- ( (3aR, 6S, 7aS) -8, 8-Dimethyl-2, 2-dioxidotetrahydro-3H-3a, 6-methanobenzo [c] isothiazol-1 (4H) -yl) -3-hydroxy-2-methylnon-8-en-1-one
  • Step 3 (2R, 3R) -1- ( (3aR, 6S, 7aS) -8, 8-Dimethyl-2, 2-dioxidotetrahydro-3H-3a, 6-methanobenzo [c] isothiazol-1 (4H) -yl) -8, 9-difluoro-3-hydroxy-2-methylnonan-1-one
  • the reaction mixture was stirred for 3 h at room temperature and acidified with diluted hydrochloric acid (1 mol/L) to pH ⁇ 4.
  • the resulting solution was extracted with ethyl acetate (3x200 mL) .
  • the organic layers were combined, dried over anhydrous sodium sulfate, filtered and evaporated under reduced pressure.
  • the residue was purified on silica gel column eluting with 30%ethyl acetate in petroleum ether to afford the title compound (200 mg, 37%yield) as a light yellow oil.
  • Step 1 (R) -2- ( (tert-Butoxycarbonyl) amino) propyl (2S, 3R) -3- ( (R) -2- ( (tert-butoxy carbonyl) amino) propoxy) -2-methylnonanoate
  • Step 3 (2R, 3R) -3- ( (R) -2- ( (tert-Butoxycarbonyl) amino) propoxy) -2-methylnonanoic acid
  • Step 4 N- ( ( (9H-Fluoren-9-yl) methoxy) carbonyl) -O- (3- ( (tert-butoxycarbonyl) amino) propyl) -L-serine
  • Step 1 Methyl N- ( (benzyloxy) carbonyl) -O- ( (1r, 3S) -3- ( (tert-butoxycarbonyl) amino) cyclobutyl) -L-serinate
  • Step 2 N- ( ( (9H-Fluoren-9-yl) methoxy) carbonyl) -O- ( (1r, 3S) -3- ( (tert-butoxy carbonyl) amino) cyclobutyl) -L-serine
  • Step 1 Methyl (S) -2-azido-2- ( (R) -2, 2-dimethyl-1, 3-dioxolan-4-yl) acetate
  • Step 2 (S) -2- ( ( ( (9H-Fluoren-9-yl) methoxy) carbonyl) amino) -2- ( (R) -2, 2-dimethyl-1, 3-dioxolan-4-yl) acetic acid
  • Step 1 Benzyl (tert-butoxycarbonyl) -L-threoninate

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US12637411B2 (en) 2019-01-30 2026-05-26 Mggm Llc Structurally modified opioids for prevention and treatment of diseases and conditions
WO2020185999A1 (en) * 2019-03-14 2020-09-17 Genentech, Inc. Cyclic peptide antibiotics
JP2022524151A (ja) * 2019-03-14 2022-04-27 エフ・ホフマン－ラ・ロシュ・アクチェンゲゼルシャフト 環状ペプチド抗生物質
JP2025037920A (ja) * 2019-03-14 2025-03-18 エフ・ホフマン－ラ・ロシュ・アクチェンゲゼルシャフト 環状ペプチド抗生物質
JP7670618B2 (ja) 2019-03-14 2025-04-30 エフ・ホフマン－ラ・ロシュ・アクチェンゲゼルシャフト 環状ペプチド抗生物質
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WO2026077975A1 (en) * 2024-10-07 2026-04-16 Univerza V Ljubljani Polypeptides having nh-triazole functionalizations

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