WO2020010197A1 - Fused pyrazine derivatives as a2a / a2b inhibitors - Google Patents

Fused pyrazine derivatives as a2a / a2b inhibitors Download PDF

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Publication number
WO2020010197A1
WO2020010197A1 PCT/US2019/040496 US2019040496W WO2020010197A1 WO 2020010197 A1 WO2020010197 A1 WO 2020010197A1 US 2019040496 W US2019040496 W US 2019040496W WO 2020010197 A1 WO2020010197 A1 WO 2020010197A1
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Prior art keywords
alkyl
independently selected
cycloalkyl
membered heterocycloalkyl
membered heteroaryl
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English (en)
French (fr)
Inventor
Gia HOANG
Xiaozhao Wang
Peter Niels Carlsen
Pei Gan
Yong Li
Chao QI
Liangxing Wu
Wenqing Yao
Zhiyong Yu
Wenyu Zhu
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Incyte Corp
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Incyte Corp
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Priority to CA3105721A priority Critical patent/CA3105721A1/en
Priority to AU2019297361A priority patent/AU2019297361B2/en
Priority to CR20210071A priority patent/CR20210071A/es
Priority to IL300821A priority patent/IL300821B2/en
Priority to JP2021500095A priority patent/JP7490631B2/ja
Priority to JOP/2020/0342A priority patent/JOP20200342A1/ar
Priority to IL279829A priority patent/IL279829B2/en
Priority to EP19745853.2A priority patent/EP3818063A1/en
Priority to BR112021000075-5A priority patent/BR112021000075A2/pt
Priority to KR1020217003641A priority patent/KR20210049090A/ko
Priority to CN202310852285.0A priority patent/CN117304191A/zh
Priority to SG11202013216RA priority patent/SG11202013216RA/en
Priority to EA202190204A priority patent/EA202190204A1/ru
Application filed by Incyte Corp filed Critical Incyte Corp
Priority to CN201980057732.5A priority patent/CN113166153B/zh
Priority to UAA202100418A priority patent/UA128332C2/uk
Priority to CR20240054A priority patent/CR20240054A/es
Priority to PE2021000005A priority patent/PE20211807A1/es
Priority to MX2021000116A priority patent/MX2021000116A/es
Publication of WO2020010197A1 publication Critical patent/WO2020010197A1/en
Priority to PH12021550019A priority patent/PH12021550019A1/en
Anticipated expiration legal-status Critical
Priority to MX2024011913A priority patent/MX2024011913A/es
Priority to CONC2021/0001251A priority patent/CO2021001251A2/es
Priority to JP2023186994A priority patent/JP7700196B2/ja
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    • CCHEMISTRY; METALLURGY
    • C07ORGANIC CHEMISTRY
    • C07DHETEROCYCLIC COMPOUNDS
    • C07D487/00Heterocyclic compounds containing nitrogen atoms as the only ring hetero atoms in the condensed system, not provided for by groups C07D451/00 - C07D477/00
    • C07D487/02Heterocyclic compounds containing nitrogen atoms as the only ring hetero atoms in the condensed system, not provided for by groups C07D451/00 - C07D477/00 in which the condensed system contains two hetero rings
    • C07D487/04Ortho-condensed systems
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K31/00Medicinal preparations containing organic active ingredients
    • A61K31/33Heterocyclic compounds
    • A61K31/395Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins
    • A61K31/495Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins having six-membered rings with two or more nitrogen atoms as the only ring heteroatoms, e.g. piperazine or tetrazines
    • A61K31/4985Pyrazines or piperazines ortho- or peri-condensed with heterocyclic ring systems
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P25/00Drugs for disorders of the nervous system
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P25/00Drugs for disorders of the nervous system
    • A61P25/28Drugs for disorders of the nervous system for treating neurodegenerative disorders of the central nervous system, e.g. nootropic agents, cognition enhancers, drugs for treating Alzheimer's disease or other forms of dementia
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P29/00Non-central analgesic, antipyretic or antiinflammatory agents, e.g. antirheumatic agents; Non-steroidal antiinflammatory drugs [NSAID]
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P3/00Drugs for disorders of the metabolism
    • A61P3/08Drugs for disorders of the metabolism for glucose homeostasis
    • A61P3/10Drugs for disorders of the metabolism for glucose homeostasis for hyperglycaemia, e.g. antidiabetics
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P35/00Antineoplastic agents
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P9/00Drugs for disorders of the cardiovascular system
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P9/00Drugs for disorders of the cardiovascular system
    • A61P9/10Drugs for disorders of the cardiovascular system for treating ischaemic or atherosclerotic diseases, e.g. antianginal drugs, coronary vasodilators, drugs for myocardial infarction, retinopathy, cerebrovascula insufficiency, renal arteriosclerosis
    • CCHEMISTRY; METALLURGY
    • C07ORGANIC CHEMISTRY
    • C07DHETEROCYCLIC COMPOUNDS
    • C07D519/00Heterocyclic compounds containing more than one system of two or more relevant hetero rings condensed among themselves or condensed with a common carbocyclic ring system not provided for in groups C07D453/00 or C07D455/00

Definitions

  • adenosine level in solid tumors is unusually high compared to normal physiological conditions.
  • mice also exhibited increased vascular adhesion molecules that mediate inflammation as well leukocyte adhesion/rolling; enhanced mast-cell activation; increased sensitivity to IgE-mediated anaphylaxis and increased vascular leakage and neutrophil influx under hypoxia (Antonioli, L. et al., Nature Reviews Cancer, 2013, 13, 842-857).
  • each R r? and R g7 is independently selected from H, Ci-b alkyl, Ci-b alkoxy, Ci-6 haloalkyl, Ci-b haloalkoxy, C2-6 alkenyl, C2-6 alkynyl, Ce-io aryl, C3-10 cycloalkyl, 5-10 membered heteroaryl, 4-10 membered heterocycloalkyl, Ce-io aryl-Ci-b alkyl-, C3-io cycloalkyl-Ci- 6 alkyl-, (5-10 membered heteroaryl)-Ci- 6 alkyl-, and (4-10 membered heterocycloalkyl)-Ci-6 alkyl-;
  • alkylaminosulfonyl di(Ci- 6 alkyl)aminosulfonyl, aminosulfonylamino, Ci- 6 alkylaminosulfonylamino, di(Ci- 6 alkyl)aminosulfonylamino, aminocarbonylamino, Ci-6 alkylaminocarbonylamino, and di(Ci-6 alkyl)aminocarbonylamino;
  • R 2 is selected from H, D, halo, Ci- 6 alkyl, Ci- 6 haloalkyl, C2-6 alkenyl, C2-6 alkynyl, Ce-io aryl-Ci-b alkyl-, C3-10 cycloalkyl-Ci-6 alkyl-, (5-10 membered heteroaryl)-Ci-6 alkyl-, (4-10 membered heterocycloalkyl)-Ci-6 alkyl-, CN, N0 2 , OR a2 , SR 32 , NHOR a2 , C(0)R b2 , C(0)NR c2 R d2 ,
  • each R 2A is independently selected from D, halo, Ci- 6 alkyl, Ci- 6 haloalkyl, C 2 - 6 alkenyl, C2-6 alkynyl, Ce-io aryl, C3-10 cycloalkyl, 5-10 membered heteroaryl, 4-10 membered heterocycloalkyl, Ce-io aryl-Ci-b alkyl-, C3-10 cycloalkyl-Ci-6 alkyl-, (5-10 membered heteroaryl)-Ci-6 alkyl-, (4-10 membered heterocycloalkyl)-Ci-6 alkyl-, CN, NO2, OR 821 , SR
  • each R f21 and R g21 is independently selected from H, Ci-b alkyl, Ci-b alkoxy, Ci- 6 haloalkyl, Ci-b haloalkoxy, C2-6 alkenyl, C2-6 alkynyl, Ce-io aryl, C3-io cycloalkyl, 5-10 membered heteroaryl, 4-10 membered heterocycloalkyl, Ce-io aryl-Ci-b alkyl-, C3-io cycloalkyl-Ci-6 alkyl-, (5-10 membered heteroaryl)-Ci-6 alkyl-, and (4-10 membered heterocycloalkyl)-Ci-6 alkyl-;
  • heterocycloalkyl)-Ci-6 alkyl- wherein the Ci-b alkyl, C2-6 alkenyl, C2-6 alkynyl, Ce-io aryl, C3-10 cycloalkyl, 5-10 membered heteroaryl, 4-10 membered heterocycloalkyl, Cf-io aryl-Ci-6 alkyl-, C3-io cycloalkyl-Ci-6 alkyl-, (5-10 membered heteroaryl)-Ci-6 alkyl-, and (4-10 membered heterocycloalkyl)-Ci- 6 alkyl- of R a22 , R b22 , R c22 and R d22 are each optionally substituted with 1 , 2, 3, or 4 independently selected R 2C substituents;
  • each R 2C is independently selected from OH, NO2, CN, halo, Ci -3 alkyl, C2-3 alkenyl, C2-3 alkynyl, Ci -3 haloalkyl, cyano-Ci -3 alkyl, HO-C I-3 alkyl, Ci -3 alkoxy-Ci -3 alkyl, C 3-5 cycloalkyl, Ci -3 alkoxy, Ci -3 haloalkoxy, amino, Ci -3 alkylamino, di(Ci -3 alkyl)amino, thio, Ci -3 alkylthio, Ci -3 alkylsulfmyl, Ci -3 alkylsulfonyl, carbamyl, Ci -3 alkylcarbamyl, di(Ci -3 alkyl) carbamyl, carboxy, Ci -3 alkylcarbonyl, C
  • each R a4 , R b4 , R c4 , and R d4 is independently selected from H, Ci-6 alkyl, Ci-6 haloalkyl, C2-6 alkenyl, C2-6 alkynyl, Ce-io aryl, C 3-i o cycloalkyl, 5-10 membered heteroaryl, 4-10 membered heterocycloalkyl, Ce-io aryl-Ci- 6 alkyl-, C 3-i o cycloalkyl- Ci- 6 alkyl-, (5-10 membered heteroaryl)-Ci- 6 alkyl-, and (4-10 membered
  • any R c41 and R d41 attached to the same N atom, together with the N atom to which they are attached, form a 4-10 membered heterocycloalkyl group, wherein the 4-10 membered hetero cycloalkyl group is optionally substituted with 1, 2, 3, 4, 5, or 6 independently selected R 4B substituents;
  • heterocycloalkyl, Ce-io aryl-Ci-b alkyl-, C3-10 cycloalkyl-Ci-6 alkyl-, (5-10 membered heteroaryl)-Ci-6 alkyl-, and (4-10 membered heterocycloalkyl)-Ci-6 alkyl- of R 4B are each optionally substituted with 1, 2, 3, or 4 independently selected R 4C substituents; each R a42 , R b42 , R c42 and R d42 is independently selected from H, Ci-6 alkyl, Ci-6 haloalkyl, C2-6 alkenyl, C2-6 alkynyl, Ce-io aryl, C3-10 cycloalkyl, 5-10 membered heteroaryl, 4-10 membered heterocycloalkyl, Ce-io aryl-Ci-b alkyl-, C3-10 cycloalkyl- Ci- 6 alkyl-, (5-10 membered heteroaryl)-Ci- 6
  • each R h42 and R l42 is independently selected from H, Ci- 6 alkyl, Ci- 6 haloalkyl, C2-6 alkenyl, C2-6 alkynyl, Ce-io aryl, C3-10 cycloalkyl, 5-10 membered heteroaryl, 4-10 membered heterocycloalkyl, Ce-io aryl-Ci-6 alkyl-, C3-10 cycloalkyl-Ci-6 alkyl-, (5-10 membered heteroaryl)-Ci-6 alkyl-, and (4-10 membered heterocycloalkyl)-Ci-6 alkyl-; each R
  • 42 and R k42 is independently selected from OH, Ci-b alkoxy, and Ci-6 haloalkoxy;
  • R' 43 and R k43 attached to the same B atom, together with the B atom to which they are attached, form a 5- or 6-membered heterocycloalkyl group optionally substituted with 1, 2, 3, or 4 substituents independently selected from Ci-b alkyl and Ci- 6 haloalkyl;
  • each R 4D is independently selected from D, halo, Ci-b alkyl, Ci-b haloalkyl, C2- 6 alkenyl, C2-6 alkynyl, phenyl, C3-7 cycloalkyl, 5-7 membered heteroaryl, 4-7 membered heterocycloalkyl, phenyl-Ci-b alkyl-, C3-7 cycloalkyl-Ci-6 alkyl-, (5-7 membered heteroaryl)-Ci-6 alkyl-, (4-7 membered heterocycloalkyl)-Ci-6 alkyl-, CN, NO2, OR a44 , SR 344 , NHOR 344 , C(0)R b44 , C(0)NR c44 R d44 , C(0)NR c44 (0R a44 ), C(0)0R a44 , 0C(0)R b44 , 0C(0)NR c44 R d44 , NR c44 R d44
  • any R c44 and R d44 attached to the same N atom, together with the N atom to which they are attached, form a 4-, 5-, 6-, or 7-membered heterocycloalkyl group, wherein the 4-, 5-, 6-, or 7-membered heterocycloalkyl group is optionally substituted with 1, 2, 3, or 4 independently selected R 4E substituents;
  • R 1 is H.
  • R 2 is selected from C 3-6 cycloalkyl, 5-6 membered heteroaryl, and 4-6 membered heterocycloalkyl, wherein the C 3-6 cycloalkyl, 5-6 membered heteroaryl, and 4-6 membered heterocycloalkyl of R 2 are each optionally substituted with 1 or 2 independently selected R 2A substituents.
  • heterocycloalkyl of R 2 are each optionally substituted with 1, 2, or 3 independently selected R 2A substituents;
  • R 2 is selected from C3-6 cycloalkyl, 5-6 membered heteroaryl, and 4-6 membered heterocycloalkyl, wherein the C3-6 cycloalkyl, 5-6 membered heteroaryl, and 4-6 membered heterocycloalkyl of R 2 are each optionally substituted with 1 or 2 independently selected R 2A substituents; each R 2A is independently selected from halo, Ci -4 alkyl, Ci -4 haloalkyl, and C(0)NR c21 R d21 , wherein said Ci -4 alkyl of R 2A is optionally substituted with 1, 2, or 3 independently selected R 2B substitutents;
  • each R a21 , R b21 , R c21 , and R d21 is independently selected from H, Ci- 6 alkyl, and Ci- 6 haloalkyl;
  • each R 2A is independently selected from halo, Ci- 6 alkyl, Ci- 6 haloalkyl, C2-6 alkenyl, C 2-6 alkynyl, CN, N0 2 , OR a21 , SR a21 , NHOR a21 , C(0)R b21 , C(0)NR c21 R d21 , C(0)OR a21 , OC(0)R b21 , 0C(0)NR c21 R d21 , NR c21 R d21 , NR c21 C(0)R b21 ,
  • R 2 is selected from 1- (trifluoromethyl)cycloprop-l -yl, 1 -ethyl- 1 H-pyrazol-5-yl, 1 -propyl- 1 H-pyrazol-5 -yl,
  • R 4 is selected from H, D, halo, Ci-6 alkyl, Ci-b haloalkyl, C2-6 alkenyl, C2-6 alkynyl, Ce-io aryl, C3-10 cycloalkyl, 5-10 membered heteroaryl, 4-10 membered heterocycloalkyl, Ce-io aryl-Ci-b alkyl-, C3-10 cycloalkyl-Ci- 6 alkyl-, (5-10 membered heteroaryl)-Ci- 6 alkyl-, (4-10 membered heterocycloalkyl)-C i- 6 alkyl-, CN, N0 2 , OR a4 , SR a4 , NHOR a4 , C(0)R b4 , C(0)NR c4 R d4 , C(0)0R a4 , 0C(0)R b4 , 0C(0)NR c4 R
  • each R 4B is independently selected from Ci -6 alkyl, Ci -6 haloalkyl, C 2-6 alkenyl, C 2-6 alkynyl, C 6-i o aryl, C3-io cycloalkyl, 5-10 membered heteroaryl, 4-10 membered heterocycloalkyl, C 6-i o aryl- Ci- 6 alkyl-, C3-io cycloalkyl-Ci -6 alkyl-, (5-10 membered heteroaryl)-Ci -6 alkyl-, and (4-10 membered heterocycloalkyl)-Ci -6 alkyl-.
  • each R 4A is independently selected from D, halo, Ci-6 alkyl, Ci-6 haloalkyl, C 2- 6 alkenyl, C2-6 alkynyl, Ce-io aryl, C3-10 cycloalkyl, 5-10 membered heteroaryl, 4-10 membered heterocycloalkyl, CN, N0 2 , OR a41 , SR a41 , NHOR a41 , C(0)R b41 ,
  • each R 4A is independently selected from D, halo, Ci- 6 alkyl, Ci- 6 haloalkyl, C2-6 alkenyl, C2-6 alkynyl, Ce-io aryl, C3-10 cycloalkyl, 5-10 membered heteroaryl, 4-10 membered heterocycloalkyl, CN, N0 2 , and OR a41 .
  • each R a4 , R b4 , R c4 , and R d4 is independently selected from H, Ci-b alkyl, Ci-6 haloalkyl, C2-6 alkenyl, and C2-6 alkynyl.
  • each R 4A is independently selected from D, halo, Ci- 6 alkyl, Ci- 6 haloalkyl, C2- 6 alkenyl, C2-6 alkynyl, Ce-io aryl, C3-10 cycloalkyl, 5-10 membered heteroaryl, 4-10 membered heterocycloalkyl, CN, NO2, and OR a41 ;
  • each R a4 , R b4 , R c4 , and R d4 is independently selected from H, Ci- 6 alkyl, Ci- 6 haloalkyl, C2-6 alkenyl, and C2-6 alkynyl; and
  • each R a41 is independently selected from H, Ci- 6 alkyl, Ci- 6 haloalkyl, C2-6 alkenyl, and C2-6 alkynyl.
  • each R 4A is independently selected from D, halo, Ci-6 alkyl, Ci-6 haloalkyl, C2-6 alkenyl, C2-6 alkynyl, Ce-io aryl, C3-10 cycloalkyl, 5-10 membered heteroaryl, 4-10 membered heterocycloalkyl, CN, NO2, and OR a41 .
  • each R a4 , R c4 , and R d4 is independently selected from H, Ci- 6 alkyl, Ci- 6 haloalkyl, C2-6 alkenyl, and C2-6 alkynyl;
  • each R a41 is independently selected from H, Ci-b alkyl, Ci-6 haloalkyl, C2-6 alkenyl, and C2-6 alkynyl.
  • each R 4B is independently selected from halo, OH, Ci-4 alkoxy, Ci-4 haloalkoxy, Ci-4 alkyl, Ci-4 haloalkyl, amino, Ci-3 alkylamino, and di(Ci-3
  • each R a4 , R b4 , R c4 , and R d4 is independently selected from H, Ci-6 alkyl, phenyl, and 4-7 membered heterocycloalkyl, wherein said Ci- 6 alkyl, phenyl, and 4-7 membered heterocycloalkyl of R a4 , R b4 , R c4 , and R d4 are optionally substituted with 1, 2, or 3 independently selected R 4A substituents;
  • each R 4A is independently selected from D, halo, Ci-b alkyl, Ci-b haloalkyl, C 2- 6 alkenyl, C2-6 alkynyl, Ce-io aryl, C3-io cycloalkyl, 5-10 membered heteroaryl, 4-10 membered heterocycloalkyl, CN, NO2, and OR a41 ;
  • each R a41 is independently selected from H, Ci-b alkyl, Ci-b haloalkyl, C2-6 alkenyl, and C2-6 alkynyl.
  • R 4 is selected from
  • R 4 is selected from Ce-io aryl- Ci-6 alkyl-, C3-io cycloalkyl-Ci-6 alkyl-, (5-10 membered heteroaryl)-Ci-6 alkyl-, (4-10 membered heterocycloalkyl)-Ci- 6 alkyl-, C(0)R b4 , C(0)NR c4 R d4 , C(0)OR a4 ,
  • each R a4 , R c4 , and R d4 is independently selected from H and Ci- 6 alkyl.
  • each R 4A is independently selected from D, halo, Ci-6 alkyl, Ci-6 haloalkyl, C2-6 alkenyl, C2-6 alkynyl, Ce-io aryl, C3-10 cycloalkyl, 5-10 membered heteroaryl, 4-10 membered heterocycloalkyl, CN, NO2, OR a41 , SR a41 , NHOR a41 , C(0)R b41 , C(0)NR c41 R d41 , C(0)OR a41 , OC(0)R b41 , 0C(0)NR c41 R d41 , NR c41 R d41 , NR c41 C(0)R b41 , NR c41 C(0)0R a41 , NR c41 C(0)NR c41 R d41 , S(0)R b41 , and S(0) 2 R b41 .
  • R 4 is selected from Ce-io aryl- Ci-6 alkyl-, C3-10 cycloalkyl-Ci-6 alkyl-, (5-10 membered heteroaryl)-Ci-6 alkyl-, (4-10 membered heterocycloalkyl)-Ci- 6 alkyl-, C(0)R b4 , C(0)NR c4 R d4 , C(0)OR a4 , 0C(0)R b4 , 0C(0)NR c4 R d4 , NR c4 R d4 , NR c4 C(0)R M , NR c4 C(0)0R a4 ,
  • each R 4 is selected from phenyl-Ci- 6 alkyl-, (5-6 membered heteroaryl)-Ci- 6 alkyl-, and C(0)NR c4 R d4 , wherein the phenyl-Ci- 6 alkyl- and (5-6 membered heteroaryl)-Ci- 6 alkyl- of R 4 are each optionally substituted with 1 or 2 substituents independently selected from OH and halo; and
  • Ci -6 alkyl, C2 -6 alkenyl, C2 -6 alkynyl, C 6- 10 aryl, C3-10 cycloalkyl, 5-10 membered heteroaryl, 4-10 membered heterocycloalkyl, C 6-i o aryl-Ci -6 alkyl-, C3-10 cycloalkyl-Ci -6 alkyl-, (5-10 membered heteroaryl)-Ci -6 alkyl-, and (4-10 membered heterocycloalkyl)-Ci- 6 alkyl- of R 4 are each optionally substituted with 1, 2, 3, 4, 5, or 6 independently selected R 4A substituents.
  • each R 7 is independently selected from halo, Ci-b alkyl, Ci-b haloalkyl, C2-6 alkenyl, C2-6 alkynyl, CN, and NO2.
  • Cy 1 is phenyl which is substituted by 1 or 2 independently selected R 7 substituents;
  • Cy 1 is unsubstituted phenyl.
  • Cy 1 is 3-formylphenyl.
  • R 1 is H
  • R 1 is H
  • R 1 is selected from H, Ci- 6 alkyl, C2-6 alkenyl, C2-6 alkynyl, and Ci- 6 haloalkyl;
  • R 4 is selected from H, D, halo, Ci- 6 alkyl, Ci- 6 haloalkyl, C2-6 alkenyl, C2-6 alkynyl, Ce-io aryl, C3-10 cycloalkyl, 5-10 membered hetero aryl, 4-10 membered heterocycloalkyl, Ce-io aryl-Ci-b alkyl-, C3-10 cycloalkyl-Ci-6 alkyl-, (5-10 membered heteroaryl)-Ci-6 alkyl-, (4-10 membered heterocycloalkyl)-Ci-6 alkyl-, CN, NO2, OR a4 , SR a4 , NHOR a4 , C(0)R b4 , C(0)NR c4 R d4 , C(0)OR a4 , OC(0)R b4 , 0C(0)NR c4 R d4 , NR c4 R d4 , NR C4 C
  • each R 2A is independently selected from D, halo, Ci- 6 alkyl, Ci- 6 haloalkyl, C 2- 6 alkenyl, C2-6 alkynyl, Ce-io aryl, C3-10 cycloalkyl, 5-10 membered heteroaryl, 4-10 membered heterocycloalkyl, CN, N0 2 , OR 321 , SR 321 , NHOR 321 , C(0)R b21 ,
  • each R c21 and R d21 is independently selected from H, Ci- 6 alkyl, Ci- 6 haloalkyl, C2-6 alkenyl, C2-6 alkynyl, Ce-io aryl, C3-10 cycloalkyl, 5-10 membered heteroaryl, and 4-10 membered heterocyclo alkyl;
  • each R 4A is independently selected from D, halo, Ci- 6 alkyl, Ci- 6 haloalkyl, C2- 6 alkenyl, C2-6 alkynyl, Ce-io aryl, C3-10 cycloalkyl, 5-10 membered heteroaryl, 4-10 membered heterocycloalkyl, CN, N0 2 , OR a41 , SR a41 , NHOR a41 , C(0)R b41 ,
  • each R a4 , R b4 , R c4 , and R 4 is independently selected from H, Ci- 6 alkyl, Ci- 6 haloalkyl, C2-6 alkenyl, and C2-6 alkynyl;
  • each R 7 is independently selected from halo, Ci- 6 alkyl, Ci- 6 haloalkyl, C2-6 alkenyl, C2-6 alkynyl, CN, and NO2.
  • R 1 is selected from H, Ci- 6 alkyl, C2-6 alkenyl, C2-6 alkynyl, and Ci- 6 haloalkyl
  • R 2 is selected from H, D, halo, Ci- 6 alkyl, Ci- 6 haloalkyl, C2-6 alkenyl, C2-6 alkynyl, CN, N0 2 , OR a2 , SR a2 , C(0)R b2 , C(0)NR c2 R d2 , C(0)OR a2 , OC(0)R b2 , 0C(0)NR c2 R d2 , NR c2 R d2 , NR c2 C(0)R b2 , NR c2 C(0)0R a2 , NR c2 C(0)NR c2 R d2 , S(0)R b2 , and S(0) 2 R b2 ;
  • R 4 is selected from Ce-io aryl-Ci-b alkyl-, C3-10 cycloalkyl-Ci-b alkyl-, (5-10 membered heteroaryl)-Ci-6 alkyl-, (4-10 membered heterocycloalkyl)-Ci-6 alkyl-, C(0)R b4 , C(0)NR c4 R d4 , C(0)OR a4 , OC(0)R b4 , 0C(0)NR c4 R d4 , NR c4 R d4 ,
  • each R 4A is independently selected from D, halo, Ci- 6 alkyl, Ci- 6 haloalkyl, C 2 - 6 alkenyl, C2-6 alkynyl, Ce-io aryl, C3-10 cycloalkyl, 5-10 membered heteroaryl, 4-10 membered heterocycloalkyl, CN, NO2, OR
  • Cy 1 is C 6 - l o aryl which is optionally substituted by 1, 2, 3, or 4 independently selected R 7 substituents;
  • R 2 is selected from C3-6 cycloalkyl, 5-6 membered heteroaryl, and 4-6 membered heterocycloalkyl, wherein the C3-6 cycloalkyl, 5-6 membered heteroaryl, and 4-6 membered heterocycloalkyl of R 2 are each optionally substituted with 1 or 2 independently selected R 2A substituents;
  • each R a21 , R b21 , R c21 , and R d21 is independently selected from H, Ci-6 alkyl, Ci- 6 haloalkyl, C2-6 alkenyl, and C2-6 alkynyl; each R 4A is independently selected from D, halo, Ci- 6 alkyl, Ci- 6 haloalkyl, C 2 - 6 alkenyl, C2-6 alkynyl, Ce-io aryl, C3-10 cycloalkyl, 5-10 membered heteroaryl, 4-10 membered heterocycloalkyl, CN, NO2, and OR a41 ;
  • each R 7 is independently selected from halo, Ci- 6 alkyl, Ci- 6 haloalkyl, C2-6 alkenyl, C2-6 alkynyl, CN, and NO2.
  • R 2 is selected from H, D, halo, Ci- 6 alkyl, Ci- 6 haloalkyl, and CN;
  • Cy 1 is phenyl which is optionally substituted by 1 or 2 independently selected R 7 substituents;
  • R 1 is H;
  • R 2 is selected from cyclopropyl, pyrazolyl, pyridyl, pyrimidinyl,
  • each R a21 , R b21 , R c21 , and R d21 is independently selected from H, Ci- 6 alkyl, Ci- 6 haloalkyl, C 2-6 alkenyl, and C 2-6 alkynyl.
  • variables R 2 , R 3 , R 4 , and Cy 1 are defined according to the definitions provided herein for compounds of Formulas (I) and (II).
  • R 2 is selected from phenyl, C3-7 cycloalkyl, 5-6 membered heteroaryl and 4-7 membered heterocycloalkyl, wherein the phenyl, C3-7 cycloalkyl, 5-6 membered heteroaryl and 4-7 membered hetero cycloalkyl of R 2 are each optionally substituted with 1 , 2, or 3 independently selected R 2A substituents;
  • each R a21 , R b21 , R c21 , and R d21 is independently selected from H, Ci-6 alkyl, and Ci- 6 haloalkyl; each R 2B is independently selected from halo, OH, Ci -4 alkoxy, Ci -4 haloalkoxy, Ci -4 alkyl, Ci -4 haloalkyl, amino, Ci-3 alkylamino, and di(Ci-3
  • R 4 is selected from H, D, halo, Ci- 6 alkyl, Ci- 6 haloalkyl, C 2-6 alkenyl, C2-6 alkynyl, Ce-io aryl, C3-10 cycloalkyl, 5-10 membered heteroaryl, 4-10 membered heterocycloalkyl, Ce-io aryl-Ci-b alkyl-, C3-10 cycloalkyl-Ci-6 alkyl-, (5-10 membered heteroaryl)-Ci-6 alkyl-, (4-10 membered heterocycloalkyl)-Ci-6 alkyl-, CN, NO2, OR a4 , SR a4 , NHOR a4 , C(0)R b4 , C(0)NR c4 R d4 , C(0)OR a4 , OC(0)R b4 , 0C(0)NR c4 R d4 , NR c4 R d4 , NR C4 C(0)
  • each R 4A is independently selected from D, halo, Ci- 6 alkyl, Ci- 6 haloalkyl, C 2- 6 alkenyl, C2-6 alkynyl, phenyl, C3-7 cycloalkyl, 5-6 membered heteroaryl, 4-7 membered heterocycloalkyl, CN, N0 2 , OR a41 , SR a41 , NHOR a41 , C(0)R b41 ,
  • Cy 1 is 3-cyanophenyl or 3-cyano-2-fluorophenyl
  • R 2 is selected from C3-6 cycloalkyl, 5-6 membered heteroaryl, and 4-6 membered heterocycloalkyl, wherein the C3-6 cycloalkyl, 5-6 membered heteroaryl, and 4-6 membered heterocycloalkyl of R 2 are each optionally substituted with 1 or 2 independently selected R 2A substituents;
  • each R 4A is independently selected from halo, 4-7 membered heterocycloalkyl, and OH, wherein said 4-7 membered heterocycloalkyl of R 4A is optionally substituted with 1 or 2 independently selected R 4B substituents; and
  • each R a4 , R c4 , and R d4 is independently selected from H and Ci- 6 alkyl.
  • n is an integer from 0 to 4, and wherein variables R 2 , R 4 , and R 7 are defined according to the definitions provided herein for compounds of Formulas (I) and (II).
  • variables R 2 , R 4 , and R 7 are defined according to the definitions provided herein for compounds of Formulas (I) and (II).
  • R 1 is selected from H, Ci- 6 alkyl, C2-6 alkenyl, C2-6 alkynyl, and Ci- 6 haloalkyl, wherein the Ci- 6 alkyl, C2-6 alkenyl, C2-6 alkynyl, and Ci- 6 haloalkyl of R 1 are each optionally substituted with 1, 2, 3, or 4 independently selected R 1A substituents.
  • R 1 is selected from H, Ci- 6 alkyl, C2-6 alkenyl, C2-6 alkynyl, and Ci-6 haloalkyl.
  • R 1 is H or Ci- 6 alkyl.
  • R 2 is selected from Ce-io aryl, C3-10 cycloalkyl, 5-10 membered heteroaryl, and 4-10 membered heterocycloalkyl, wherein the Ce-io aryl, C3-10 cycloalkyl, 5-10 membered heteroaryl, and 4-10 membered heterocycloalkyl of R 2 are each optionally substituted with 1, 2, 3, or 4 independently selected R 2A substituents.
  • each R 2A is independently selected from D, halo, Ci-6 alkyl, Ci-6 haloalkyl, C2-6 alkenyl, C2-6 alkynyl, Ce-io aryl, C3-10 cycloalkyl, 5-10 membered heteroaryl, 4-10 membered heterocycloalkyl, CN, NO2, OR 321 , SR a21 , NHOR a21 , C(0)R b21 , C(0)NR c21 R d21 , C(0)OR a21 , OC(0)R b21 , 0C(0)NR c21 R d21 , NR c21 R d21 , NR c21 C(0)R b21 , NR c21 C(0)0R a21 , NR c21 C(0)NR c21 R d21 , S(0)R b21 , and S(0) 2 R b21 .
  • R 2 is selected from Ce-io aryl, C3-10 cycloalkyl, 5-10 membered heteroaryl and 4-10 membered heterocycloalkyl, wherein the Ce-io aryl, C3-10 cycloalkyl, 5-10 membered heteroaryl and 4-10 membered heterocycloalkyl of R 2 are each optionally substituted with 1, 2, 3, or 4 independently selected R 2A substituents;
  • Ci -6 alkyl, Ci- 6 haloalkyl, C2-6 alkenyl, C2-6 alkynyl, Ce-io aryl, C3-10 cycloalkyl, 5-10 membered heteroaryl, and 4-10 membered heterocycloalkyl of R 2A are each optionally substituted by 1, 2, or 3 independently selected R 2B substitutents;
  • each R 2A is independently selected from D, halo, Ci-6 alkyl, Ci-6 haloalkyl, C2- 6 alkenyl, C2-6 alkynyl, Ce-io aryl, C3-10 cycloalkyl, 5-10 membered heteroaryl, 4-10 membered heterocycloalkyl, CN, NO2, OR a21 , SR 321 , NHOR a21 , C(0)R b21 ,
  • each R 2A is independently selected from halo, Ci-b alkyl, Ci-b haloalkyl, and OH, wherein said Ci-b alkyl of R 2A is optionally substituted by 1, 2, or 3
  • each R 2A is independently selected from D, halo, Ci-b alkyl, Ci-b haloalkyl, C2-6 alkenyl, C2-6 alkynyl, CN, NO2, OR a21 , SR a21 , NHOR a21 , C(0)R b21 , C(0)NR c21 R d21 , C(0)OR a21 , OC(0)R b21 ,
  • each R a21 , R b21 , R c21 , and R d21 is independently selected from H, Ci- 6 alkyl, Ci- 6 haloalkyl, C2-6 alkenyl, and C2-6 alkynyl.
  • R 2 is a 5-6 membered heteroaryl, optionally substituted with 1, 2, or 3 independently selected R 2A substituents.
  • R 2 is a 5-6 membered heteroaryl.
  • R 2 is selected from 6-oxo-l,6- dihydropyridin-3-yl, pyrimidin-4-yl, l-methyl-6-oxo-l,6-dihydropyridin-3-yl, 1- methyl-6-oxo-l,6-dihydropyridazin-3-yl, 4-methyl oxazol-5-yl, 4-ethyloxazol-5-yl, 3- methylpyridin-4-yl, 4-(2,2-difluoro-l -hydroxyethyl)-2-methyloxazol-5-yl, 2-methyl- 4-(2,2,2-trifluoro-l-hydroxyethyl)oxazol-5-yl, l-ethyl-lH-pyrazol-5-yl, 6- hydroxypyridin-3-yl, 2,6-dimethylpyridin-4-yl, 3 -methyl- 1 H-pyrazol-4-y
  • R 2 is pyrimidin-4-yl.
  • R 2 is selected from the group consisting of l-methyl-6-oxo-l,6-dihydropyridazin-3-yl, pyrimidin-4-yl, and 2,6- dimethylpyridin-4-yl.
  • each R 4A is independently selected from D, halo, Ci -6 alkyl, Ci -6 haloalkyl, C2-6 alkenyl, C2-6 alkynyl, C 6-i o aryl, C3-10 cycloalkyl, 5-10 membered heteroaryl, 4-10 membered heterocycloalkyl, CN, NO2, OR 341 , SR a41 , NHOR a41 , C(0)R b41 , C(0)NR c41 R d41 , C(0)OR a41 , OC(0)R b41 , 0C(0)NR c41 R d41 , NR c41 R d41 , NR c41 C(0)R M1 , NR c41 C(0)0R a41 , NR c41 C(0)NR c41 R d41 , S(0)R b41 , and S(0) 2 R M1 , wherein the Ci -6
  • R 4 is selected from H, D, halo, Ci- 6 alkyl, Ci -6 haloalkyl, C2-6 alkenyl, and C2-6 alkynyl.
  • R 4 is H.
  • R 2 is H.
  • R 2 is 6-oxo-l,6- dihydropyridin-3-yl or imidazo[l,2-a]pyridin-6-yl; and R 4 is H.
  • R 2 is H; and R 4 is - NHC(0)OCI -6 alkyl.
  • R 4 is selected from C(0)R b4 , C(0)NR c4 R d4 , C(0)OR a4 , OC(0)R b4 , 0C(0)NR c4 R d4 , NR c4 R d4 , NR c4 C(0)R M , NR c4 C(0)0R a4 , NR c4 C(0)NR c4 R d4 , S(0)R b4 , and S(0) 2 R M
  • each R a4 , R b4 , R c4 , and R d4 is independently selected from H, Ci -6 alkyl, Ci -6 haloalkyl, C2-6 alkenyl, and C2-6 alkynyl.
  • R 4 is selected from C(0)R b4 , C(0)NR c4 R d4 , C(0)OR a4 , OC(0)R b4 , 0C(0)NR c4 R d4 , NR c4 R d4 , NR c4 C(0)R b4 , NR c4 C(0)0R a4 , NR c4 C(0)NR c4 R d4 , S(0)R b4 , and S(0) 2 R b4 ; and
  • each R a4 , R b4 , R c4 , and R d4 is independently selected from H, Ci- 6 alkyl, Ci- 6 haloalkyl, C 2-6 alkenyl, and C2-6 alkynyl.
  • R 4 is selected from
  • R 4 is NR c4 C(0)0R a4 .
  • each R a4 , R c4 , and R d4 is independently selected from H and Ci-b alkyl.
  • R 4 is -NHC(0)0CH 2 CH 3 .
  • R 4 is selected from Ce-io aryl-
  • each R a4 , R b4 , R c4 , and R d4 is independently selected from H, Ci-b alkyl, Ci- 6 haloalkyl, Ce-io aryl, C3-io cycloalkyl, 5-10 membered heteroaryl, 4-10 membered heterocycloalkyl, Ce-io aryl-Ci-b alkyl-, C3-10 cycloalkyl-Ci-6 alkyl-, (5-10 membered heteroaryl)-Ci-6 alkyl-, and (4-10 membered heterocycloalkyl)-Ci-6 alkyl-, wherein the Ci- 6 alkyl, Ce-io aryl, C3-io cycloalkyl, 5-10 membered heteroaryl, 4-10 membered heterocycloalkyl, Ce-io aryl-Ci-b alkyl-, C3-io cycloalkyl-Ci-6 alkyl-, (5-10 member
  • each R 4B is independently selected from halo, Ci- 6 alkyl, Ci- 6 haloalkyl, phenyl, C 3-6 cycloalkyl, 4-7 membered heterocycloalkyl, 5-6 membered heteroaryl, phenyl-Ci -3 alkyl-, (C3-6 cycloalkyl)-Ci -3 alkyl-, (4-7 membered heterocycloalkyl)-Ci -3 alkyl-, (5-6 membered heteroaryl)-Ci -3 alkyl-, CN, OR a42 , C(0)R b42 , C(0)NR c42 R d42 , C(0)0R a42 , NR c42 R d42 , S(0) 2 NR c42 R d42 , and S(0) 2 R b42 , wherein the Ci-e alkyl, phenyl, C 3-6 cycloalkyl, 4-7 membered heterocycloalkyl, 5-6 membere
  • each R a42 , R b42 , R c42 and R d42 is independently selected from H, Ci- 6 alkyl, Ci- 6 haloalkyl, phenyl, C3-6 cycloalkyl, 4-7 membered heterocycloalkyl, and 5-6 membered heteroaryl, wherein the Ci- 6 alkyl, phenyl, C3-6 cycloalkyl, 4-7 membered heterocycloalkyl, and 5-6 membered heteroaryl of R a42 , R b42 , R c42 and R d42 are each optionally substituted with 1, 2, or 3 independently selected R 4C substituents;
  • each R 4C is independently selected from Ci- 6 alkyl, Ci- 6 haloalkyl, CN, OR a43 , C(0)R b43 , C(0)NR c43 R d43 , C(0)0R a43 , NR c43 R d43 , S(0) 2 NR c43 R d43 , and S(0) 2 R b43 , wherein the Ci-6 alkyl of R 4C is optionally substituted with 1 or 2 independently selected R 4D substituents; each R a43 , R b43 , R c43 and R d43 is independently selected from H, Ci- 6 alkyl, and Ci-6 haloalkyl, wherein the Ci-6 alkyl of R a43 , R b43 , R c43 and R d43 are each optionally substituted with 1 or 2 independently selected R 4D substituents;
  • any R c43 and R d43 attached to the same N atom, together with the N atom to which they are attached, form a 4-, 5-, or 6-membered heterocycloalkyl group, wherein the 4-, 5-, or 6-membered heterocycloalkyl group is optionally substituted with 1 , 2, 3, or 4 independently selected R 4D substituents; and
  • each R 4D is independently selected from Ci-3 alkyl and OH.
  • R 4 is selected from phenyl-Ci- 3 alkyl-, (4-7 membered heterocycloalkyl)-Ci- 3 alkyl-, (5-10 membered heteroaryl)-Ci- 3 alkyl-, OR a4 , C(0)R b4 , and S(0) 2 R M , wherein the phenyl-Ci- 3 alkyl-, (4-7 membered heterocycloalkyl)-Ci-3 alkyl- and (5-10 membered heteroaryl)-Ci-3 alkyl- of R 4 are each optionally substituted with 1, 2, or 3 independently selected R 4A substituents; each R a4 , R b4 , R c4 , and R d4 is independently selected from phenyl, 4-7 membered heterocycloalkyl, and (5-6 membered heteroaryl)-Ci- 3 alkyl-, wherein the phenyl, 4-7 membered heterocyclo
  • each R 4A is independently selected from halo, Ci-b alkyl, Ci-b haloalkyl, 5-6 membered heteroaryl, (4-10 membered heterocycloalkyl)-Ci- 3 alkyl-, OR a41 ,
  • Ci-b alkyl, 5-6 membered heteroaryl, and (4-10 membered heterocycloalkyl)-Ci- 3 alkyl- of R 4A are each optionally substituted with 1, 2, or 3 independently selected R 4B substituents;
  • each R 4B is independently selected from halo, Ci-b alkyl, Ci-b haloalkyl, C3-6 cycloalkyl, 4-7 membered heterocycloalkyl, (5-6 membered heteroaryl)-C 1-3 alkyl-, CN, OR a42 , C(0)R b42 , C(0)0R a42 , and NR c42 R d42 , wherein the Ci-e alkyl, C3-6 cycloalkyl, 5-6 membered heteroaryl, 4-7 membered heterocycloalkyl, and (5-6 membered heteroaryl)-Ci- 3 alkyl- of R 4B are each optionally substituted with 1 , 2, or 3 independently selected R 4C substituents;
  • each R a42 , R b42 , R c42 and R d42 is independently selected from H, Ci- 6 alkyl, C3-6 cycloalkyl, 5-6 membered heteroaryl, and 5-7 membered heterocycloalkyl, wherein the Ci- 6 alkyl, C3-6 cycloalkyl, 5-6 membered heteroaryl, and 5-7 membered heterocycloalkyl of R a42 , R b42 , R c42 and R d42 are each optionally substituted with 1, 2, or 3 independently selected R 4C substituents;
  • each R 4C is independently selected from Ci-b alkyl, CN, C(0)NR c43 R d43 , C(0)0R a43 , NR c43 R d43 , and S(0) 2 R b43 , wherein the Ci-b alkyl of R 4C is optionally substituted with 1 or 2 independently selected R 4D substituents;
  • each R a43 , R b43 , R c43 and R d43 is independently selected from H, Ci-b alkyl, and Ci- 6 haloalkyl, wherein the Ci-b alkyl of R a43 , R b43 , R c43 and R d43 are each optionally substituted with 1 or 2 independently selected R 4D substituents;
  • any R c43 and R d43 attached to the same N atom, together with the N atom to which they are attached, form a 4-, 5-, or 6-membered heterocycloalkyl group, wherein the 4-, 5-, or 6-membered heterocycloalkyl group is optionally substituted with 1 , 2, 3, or 4 independently selected R 4D substituents;
  • each R 4D is independently selected from Ci- 3 alkyl and OH.
  • R 4 is selected from Ce-io aryl- Ci- 6 alkyl-, (5-10 membered heteroaryl)-Ci- 6 alkyl-, OR a4 , C(0)R b4 , and S(0) 2 R M , wherein the Ce-io aryl-Ci-b alkyl- and (5-10 membered heteroaryl)-Ci-6 alkyl- of R 4 are each optionally substituted with 1, 2, 3, or 4 independently selected R 4A substituents; and
  • each R 4A is independently selected from D, halo, Ci-b alkyl, Ci-b haloalkyl, CV,. lo aryl, C3-10 cycloalkyl, 5-10 membered heteroaryl, 4-10 membered heterocycloalkyl, Co- 10 aryl-Ci-6 alkyl-, C3-io cycloalkyl-Ci-6 alkyl-, (5-10 membered heteroaryl)-Ci-6 alkyl-, (4-10 membered heterocycloalkyl)-Ci-6 alkyl-, CN, OR a41 , SR a41 , and
  • each R a4 and R b4 is independently selected from H, Ci-b alkyl, Ci-b haloalkyl, phenyl, and azetidinyl wherein the phenyl is optionally substituted with 1 or 2 groups selected from halo, Ci-b alkyl, and Ci-b haloalkyl;
  • R 4 is selected from Ce-io aryl- Ci-3 alkyl- and (5-10 membered heteroaryl)-Ci-3 alkyl- wherein the Ce-io aryl-Ci-3 alkyl- and (5-10 membered heteroaryl)-Ci- 3 alkyl- of R 4 are each optionally substituted with 1, 2, 3, or 4 independently selected R 4A substituents;
  • each R 4A is independently selected from halo, Ci-b alkyl, Ci-b haloalkyl, and OR a41 ;
  • each R a41 is independently selected from H and Ci- 3 alkyl.
  • R 4 is C 6 aryl-Ci- 3 alkyl- optionally substituted with 1, 2, or 3 substituents independently selected from OH and halo.
  • R 4 is selected from pyridin-2- ylmethyl, 1 //-Pyrrolo
  • R 4 is selected from pyridin-2- ylmethyl, l //-pyrrolo
  • Cy 1 is Ce-io aryl which is optionally substituted by 1, 2, 3, or 4 independently selected R 7 substituents.
  • each R 7 is independently selected from halo, Ci-b alkyl, Ci-b haloalkyl, C2-6 alkenyl, C2-6 alkynyl, CN, and NO2.
  • Cy 1 is phenyl which is substituted by 1 or 2 independently selected R 7 substituents;
  • each R 7 is independently selected from halo and CN.
  • Cy 1 is phenyl which is optionally substituted by 1 or 2 substituents independently selected from Ci- 6 alkyl, halo, and CN.
  • Cy 1 is phenyl which is optionally substituted by 1 or 2 substituents independently selected from Ci- 6 alkyl and CN.
  • Cy 1 is unsubstituted phenyl.
  • Cy 1 is cyanophenyl or cyanofluorophenyl.
  • R 1 is H
  • Cy 1 is C 6 - l o aryl which is optionally substituted by 1, 2, 3, or 4 independently selected R 7 substituents;
  • R 2 is selected from Ce-io aryl, C3-10 cycloalkyl, 5-10 membered heteroaryl, 4- 10 membered heterocycloalkyl, wherein the Co- 10 aryl, C3-10 cycloalkyl, 5-10 membered heteroaryl, and 4-10 membered heterocycloalkyl of R 2 are each optionally substituted with 1, 2, 3, or 4 independently selected R 2A substituents.
  • Cy 1 is phenyl which is optionally substituted by 1 or 2 independently selected R 7 substituents;
  • R 2 is selected from Ce-io aryl, C3-io cycloalkyl, 5-10 membered heteroaryl, and 4-10 membered heterocycloalkyl, wherein the Ce-io aryl, C3-io cycloalkyl, 5-10 membered heteroaryl, and 4-10 membered heterocycloalkyl of R 2 are each optionally substituted with 1, 2, 3, or 4 independently selected R 2A substituents.
  • R 1 is H or Ci- 6 alkyl
  • R 4 is selected from Ce-io aryl-Ci-3 alkyl-, (5-10 membered heteroaryl)-Ci-3 alkyl-, OR a4 , C(0)R b4 , and S(0) 2 R M , wherein the Ce-io aryl-Ci- 3 alkyl- and (5-10 membered heteroaryl)-Ci-3 alkyl- of R 4 are each optionally substituted with 1, 2, 3, or 4 independently selected R 4A substituents;
  • heterocycloalkyl)-Ci-3 alkyl- of R 4A are each optionally substituted with 1, 2, or 3 independently selected R 4B substituents;
  • Cy 1 is phenyl which is optionally substituted by 1, 2, or 3 independently selected R 7 substituents;
  • each R a4 and R b4 is independently selected from H, Ci-b alkyl, Ci-6 haloalkyl, phenyl, and azetidinyl wherein the phenyl is optionally substituted with 1 or 2 groups selected from halo, Ci- 6 alkyl, and Ci- 6 haloalkyl;
  • R 1 is H or Ci- 6 alkyl
  • R 2 is 5-6 membered heteroaryl, optionally substituted with 1, 2, or 3 independently selected R 2A substituents;
  • R 4 is selected from Ce-io aryl-Ci-3 alkyl- and (5-10 membered heteroaryl)-Ci-3 alkyl-, wherein the Ce-io aryl-Ci-3 alkyl- and (5-10 membered heteroaryl)-Ci-3 alkyl- of R 4 are each optionally substituted with 1, 2, 3, or 4 independently selected R 4A substituents;
  • each R 4A is independently selected from halo, Ci- 6 alkyl, Ci- 6 haloalkyl, and
  • Cy 1 is phenyl which is optionally substituted by 1 or 2 substituents independently selected from Ci- 6 alkyl and CN;
  • each R a41 is independently selected from H and Ci-3 alkyl.
  • R 1 is selected from H, Ci- 6 alkyl, C2-6 alkenyl, C2-6 alkynyl, and Ci- 6 haloalkyl
  • R 2 is selected from H, D, halo, Ci-b alkyl, Ci-6 haloalkyl, C2-6 alkenyl, and C2-6 alkynyl
  • R 4 is selected from C(0)R b4 , C(0)NR c4 R d4 , C(0)0R a4 , 0C(0)R b4 ,
  • each R a4 , R b4 , R c4 , and R d4 is independently selected from H, Ci- 6 alkyl, Ci- 6 haloalkyl, C2-6 alkenyl, and C2-6 alkynyl; and
  • R 1 is selected from H, Ci- 6 alkyl, C2-6 alkenyl, C2-6 alkynyl, and Ci- 6 haloalkyl;
  • R 2 is selected from Ce-io aryl, C3-10 cycloalkyl, 5-10 membered heteroaryl and 4-10 membered heterocycloalkyl, wherein the Ce-io aryl, C3-10 cycloalkyl, 5-10 membered heteroaryl and 4-10 membered heterocycloalkyl of R 2 are each optionally substituted with 1, 2, 3, or 4 independently selected R 2A substituents;
  • R 4 is selected from H, D, halo, Ci- 6 alkyl, Ci- 6 haloalkyl, C2-6 alkenyl, and C2-6 alkynyl;
  • each R 2A is independently selected from D, halo, Ci- 6 alkyl, Ci- 6 haloalkyl, C2- 6 alkenyl, C2-6 alkynyl, Ce-io aryl, C3-10 cycloalkyl, 5-10 membered heteroaryl, 4-10 membered heterocycloalkyl, CN, NO2, OR 321 , SR 321 , NHOR 321 , C(0)R b21 ,
  • Cy 1 is C 6 - l o aryl which is optionally substituted by 1, 2, 3, or 4 independently selected R 7 substituents;
  • each R 321 , R b21 , R c21 , and R d21 is independently selected from H, Ci-6 alkyl, Ci- 6 haloalkyl, C2-6 alkenyl, and C2-6 alkynyl; and
  • R 2 is selected from H, D, halo, Ci-b alkyl, Ci-6 haloalkyl, C2-6 alkenyl, and C2-6 alkynyl;
  • R 4 is selected from C(0)NR c4 R d4 and NR c4 C(0)0R a4 ;
  • Cy 1 is phenyl which is optionally substituted by 1 or 2 independently selected R 7 substituents;
  • R 1 is H
  • R 2 is selected from 5-6 membered heteroaryl and 4-6 membered
  • heterocycloalkyl wherein the 5-6 membered heteroaryl and 4-6 membered heterocycloalkyl of R 2 are each optionally substituted with 1 or 2 independently selected R 2A substituents;
  • R 4 is selected from H, D, halo, Ci-b alkyl, Ci-6 haloalkyl, C2-6 alkenyl, and C2-6 alkynyl;
  • each R 2A is independently selected from D, halo, Ci- 6 alkyl, Ci- 6 haloalkyl, C2- e alkenyl, C 2-6 alkynyl, CN, N0 2 , OR 821 , SR a21 , NHOR a21 , C(0)R b21 , C(0)NR c21 R d21 , C(0)OR a21 , OC(0)R b21 , 0C(0)NR c21 R d21 , NR c21 R d21 , NR c21 C(0)R b21 ,
  • Cy 1 is phenyl which is optionally substituted by 1 or 2 independently selected R 7 substituents;
  • each R a21 , R b21 , R c21 , and R d21 is independently selected from H and Ci- 6 alkyl;
  • each R 7 is independently selected from halo, Ci- 6 alkyl, Ci- 6 haloalkyl, C2-6 alkenyl, C2-6 alkynyl, CN, and NO2.
  • R 2 is H
  • R 4 is NR c4 C(0)0R a4 ;
  • Cy 1 is cyanophenyl
  • R a4 and R c4 are each independently selected from H and Ci-b alkyl.
  • R 1 is H
  • R 2 is selected from 5-6 membered heteroaryl and 4-6 membered heterocycloalkyl
  • R 4 is H
  • Cy 1 is cyanophenyl
  • R 1 is H
  • R 2 is selected from 5-6 membered heteroaryl and 4-6 membered heterocycloalkyl, wherein the 5-6 membered heteroaryl and 4-6 membered heterocycloalkyl are each optionally substituted with 1 or 2 Ci-3 alkyl groups;
  • R 4 is phenyl-Ci-3 alkyl- or pyridyl-Ci-3 alkyl-, wherein the phenyl-Ci-3 alkyl- and pyridyl-Ci- 3 alkyl- are each optionally substituted with 1, 2, or 3 substituents independently selected from OH and halo; and
  • Cy 1 is cyanophenyl
  • R 1 is H
  • R 2 is selected from 5-6 membered heteroaryl and 4-6 membered heterocycloalkyl
  • R 4 is phenyl-Ci- 3 alkyl- optionally substituted with 1, 2, or 3 substituents independently selected from OH and halo;
  • Cy 1 is cyanophenyl
  • R 1 is H
  • R 2 is pyrimidin-4-yl
  • R 4 is phenyl-Ci- 3 alkyl- optionally substituted with 1, 2, or 3 substituents independently selected from OH and halo;
  • R 2 is selected from H, Ce-io aryl, C3-10 cycloalkyl, 5-10 membered heteroaryl, and 4-10 membered heterocycloalkyl, wherein the Ce-io aryl, C3-10 cycloalkyl, 5-10 membered heteroaryl and 4-10 membered heterocycloalkyl of R 2 are each optionally substituted with 1, 2, 3, or 4 independently selected R 2A substituents;
  • each R 2A is independently selected from D, halo, Ci- 6 alkyl, Ci- 6 haloalkyl, C2-
  • each R a21 , R 241 , R c21 , and R d21 is independently selected from H, Ci- 6 alkyl, and C i- 6 haloalkyl, wherein said Ci- 6 alkyl of R a21 , R 241 , R c21 , and R d21 is optionally substituted by 1 , 2, or 3 independently selected R 2A substituents; and each R 2B is independently selected from D, halo, OH, C alkoxy, C haloalkoxy, CM alkyl, CM haloalkyl, amino, Ci-3 alkylamino, and di(Ci-3 alkyl)amino.
  • R 4 is selected from C6-io atyl-Ci-6 alkyl-, C 3-i o cycloalkyl-Ci-6 alkyl-, (5-10 membered heteroaryl)-Ci-6 alkyl-, (4-10 membered heterocycloalkyl)-Ci-6 alkyl-,
  • each R a4 , R b4 , R c4 , and R d4 is independently selected from H, CM alkyl, CM haloalkyl, Ce-io aryl, C3-10 cycloalkyl, 5-10 membered heteroaryl, 4-10 membered heterocycloalkyl, Ce-i
  • each R 4A is independently selected from halo, Ci-b alkyl, Ci-b haloalkyl, Ce-io aryl, C3-10 cycloalkyl, 5-10 membered hetero aryl, 4-10 membered heterocycloalkyl, Ce-io aryl-Ci-6 alkyl-, C3-10 cycloalkyl-Ci-6 alkyl-, (5-10 membered heteroaryl)-Ci-6 alkyl-, (4-10 membered heterocycloalkyl)-Ci- 6 alkyl-, CN, OR a41 , C(0)R b41 ,
  • each R a42 , R b42 , R c42 and R d42 is independently selected from H, Ci- 6 alkyl, Ci- 6 haloalkyl, phenyl, C3-6 cycloalkyl, 4-7 membered heterocycloalkyl, and 5-6 membered heteroaryl, wherein the Ci- 6 alkyl, phenyl, C3-6 cycloalkyl, 4-7 membered heterocycloalkyl, and 5-6 membered heteroaryl of R a42 , R b42 , R c42 and R d42 are each optionally substituted with 1, 2, or 3 independently selected R 4C substituents;
  • each R 4C is independently selected from Ci- 6 alkyl, Ci- 6 haloalkyl, CN, OR a43 , C(0)R b43 , C(0)NR c43 R d43 , C(0)0R a43 , NR c43 R d43 , S(0) 2 NR c43 R d43 , and S(0) 2 R b43 , wherein the Ci- 6 alkyl, 4-7 membered heterocycloalkyl, and (5-6 membered heteroaryl)-Ci- 3 alkyl- of R 4C are each optionally substituted with 1 or 2 independently selected R 4D substituents;
  • each R a43 , R b43 , R c43 and R d43 is independently selected from H, Ci- 6 alkyl, and C i- 6 haloalkyl, wherein the Ci -6 alkyl of R a43 , R b43 , R c43 and R d43 are each optionally substituted with 1 or 2 independently selected R 4D substituents;
  • any R c43 and R d43 attached to the same N atom, together with the N atom to which they are attached, form a 4-, 5-, or 6-membered heterocycloalkyl group, wherein the 4-, 5-, or 6-membered heterocycloalkyl group is optionally substituted with 1 , 2, 3, or 4 independently selected R 4D substituents; and
  • each R 4D is independently selected from Ci-3 alkyl and OH.
  • R 2 is selected from H, 5-10 membered heteroaryl and 4-7 membered heterocycloalkyl, wherein the 5-10 membered heteroaryl and 4-7 membered heterocycloalkyl of R 2 are each optionally substituted with 1, 2, or 3 independently selected R 2A substituents;
  • each R 2A is independently selected from halo, Ci- 6 alkyl, Ci- 6 haloalkyl, and OH, wherein said Ci- 6 alkyl of R 2A is optionally substituted by 1, 2, or 3
  • each R 2B is independently selected from D, halo, and OH;
  • R 4 is selected from phenyl-Ci-3 alkyl-, (4-7 membered heterocycloalkyl)-Ci-3 alkyl-, (5-10 membered heteroaryl)-Ci-3 alkyl-, OR a4 , C(0)R b4 , and S(0)2R M , wherein the phenyl-Ci-3 alkyl-, (4-7 membered heterocycloalkyl)-Ci-3 alkyl- and (5-10 membered heteroaryl)-Ci- 3 alkyl- of R 4 are each optionally substituted with 1, 2, or 3 independently selected R 4A substituents;
  • each R 4B is independently selected from halo, Ci- 6 alkyl, Ci- 6 haloalkyl, C3-6 cycloalkyl, 4-7 membered heterocycloalkyl, (5-6 membered heteroaryl)-C 1-3 alkyl-, CN, OR a42 , C(0)R b42 , C(0)0R a42 , and NR c42 R d42 , wherein the Ci -6 alkyl, C 3-6 cycloalkyl, 5-6 membered heteroaryl, 4-7 membered heterocycloalkyl, and (5-6 membered heteroaryl)-Ci-3 alkyl- of R 4B are each optionally substituted with 1 , 2, or 3 independently selected R 4C substituents; each R a42 , R b42 , R c42 and R d42 is independently selected from H, Ci- 6 alkyl, C3-6 cycloalkyl, 5-6 membered heteroaryl, and 5-7 membered heterocycloal
  • each R 4C is independently selected from Ci-b alkyl, CN, C(0)NR c43 R d43 , C(0)0R a43 , NR c43 R d43 , and S(0)2R b43 , wherein the Ci-b alkyl, 4-7 membered heterocycloalkyl, and (5-6 membered heteroaryl)-Ci-3 alkyl- of R 4C are each optionally substituted with 1 or 2 independently selected R 4D substituents;
  • Ci- 6 haloalkyl wherein the Ci-b alkyl of R a43 , R b43 , R c43 and R d43 are each optionally substituted with 1 or 2 independently selected R 4D substituents;
  • any R c43 and R d43 attached to the same N atom, together with the N atom to which they are attached, form a 4-, 5-, or 6-membered heterocycloalkyl group, wherein the 4-, 5-, or 6-membered heterocycloalkyl group is optionally substituted with 1 , 2, 3, or 4 independently selected R 4D substituents; and
  • R 2 is selected from 5-6 membered heteroaryl and 4-6 membered
  • heterocycloalkyl wherein the 5-6 membered heteroaryl and 4-6 membered heterocyclo alkyl are each optionally substituted with 1 or 2 Ci- 3 alkyl groups;
  • R 4 is phenyl-Ci-3 alkyl- or pyridyl-Ci-3 alkyl-, wherein the phenyl-Ci-3 alkyl- and pyridyl-Ci- 3 alkyl- are each optionally substituted with 1 , 2, or 3 substituents independently selected from OH and halo; and
  • Cy 1 is 3 -cyano phenyl.
  • the compound is a compound of Formula (Illb):
  • n is an integer from 0 to 4, and wherein variables R 2 , R 4 , and R 7 are defined according to the definitions provided herein for compounds of Formulas (I) and (III).
  • variables R 2 , R 4 , and R 7 are defined according to the definitions provided herein for compounds of Formulas (I) and (III).
  • the compound is the (S) -enantiomer of one of the preceding compounds, or a pharmaceutically acceptable salt thereof. In some embodiments, the compound is the (R) -enantiomer of one of the preceding compounds, or a pharmaceutically acceptable salt thereof.
  • each divalent linking substituent include both the forward and backward forms of the linking substituent.
  • - NR(CR’R”) n - includes both -NR(CR’R”)n- and -(CR’R”) n NR-.
  • the Markush variables listed for that group are understood to be linking groups.
  • n-membered where n is an integer typically describes the number of ring-forming atoms in a moiety where the number of ring-forming atoms is n.
  • piperidinyl is an example of a 6-membered heterocycloalkyl ring
  • pyrazolyl is an example of a 5-membered heteroaryl ring
  • pyridyl is an example of a 6- membered heteroaryl ring
  • l,2,3,4-tetrahydro-naphthalene is an example of a 10- membered cycloalkyl group.
  • the phrase“optionally substituted” means unsubstituted or substituted.
  • the substituents are independently selected, and substitution may be at any chemically accessible position.
  • the term“substituted” means that a hydrogen atom is removed and replaced by a substituent.
  • a single divalent substituent, e.g., oxo, can replace two hydrogen atoms. It is to be understood that substitution at a given atom is limited by valency.
  • phrase“each‘variable’ is independently selected from” means substantially the same as wherein“at each occurence‘variable’ is selected from.”
  • C n-m indicates a range which includes the endpoints, wherein n and m are integers and indicate the number of carbons. Examples include Ci-3, C , CI-6, and the like.
  • C n-m alkyl refers to a saturated hydrocarbon group that may be straight-chain or branched, having n to m carbons.
  • alkyl moieties include, but are not limited to, chemical groups such as methyl (Me), ethyl (Et), «-propyl (/i-Pr). isopropyl (iPr), «-butyl, tert- butyl, isobutyl, sec- buh l: higher homologs such as 2-methyl- 1- butyl, «-pentyl, 3-pentyl, «-hexyl, l,2,2-trimethylpropyl, and the like.
  • the alkyl group contains from 1 to 6 carbon atoms, from 1 to 4 carbon atoms, from 1 to 3 carbon atoms, or 1 to 2 carbon atoms.
  • C n-m alkenyl refers to an alkyl group having one or more double carbon-carbon bonds and having n to m carbons.
  • Example alkenyl groups include, but are not limited to, ethenyl, «-propenyl. isopropenyl, «-butenyl. sec- butenyl, and the like.
  • the alkenyl moiety contains 2 to 6, 2 to 4, or 2 to 3 carbon atoms.
  • C n -m alkynyl refers to an alkyl group having one or more triple carbon-carbon bonds and having n to m carbons.
  • Example alkynyl groups include, but are not limited to, ethynyl, propyn-l-yl, propyn-2-yl, and the like.
  • the alkynyl moiety contains 2 to 6, 2 to 4, or 2 to 3 carbon atoms.
  • C n-m alkoxy refers to a group of formula -O-alkyl, wherein the alkyl group has n to m carbons.
  • Example alkoxy groups include, but are not limited to, methoxy, ethoxy, propoxy (e.g., «-propoxy and isopropoxy), butoxy (e.g., «-butoxy and tert- butoxy), and the like.
  • the alkyl group has 1 to 6, 1 to 4, or 1 to 3 carbon atoms.
  • amino refers to a group of formula -NEE.
  • aryl refers to an aromatic hydrocarbon group, which may be monocyclic or polycyclic (e.g., having 2, 3 or 4 fused rings).
  • C n-m aryl refers to an aryl group having from n to m ring carbon atoms.
  • Aryl groups include, e.g., phenyl, naphthyl, anthracenyl, phenanthrenyl, indanyl, indenyl, and the like. In some embodiments, aryl groups have from 5 to 10 carbon atoms. In some embodiments, the aryl group is phenyl or naphthyl. In some embodiments, the aryl is phenyl.
  • C n-m haloalkoxy refers to a group of formula -O-haloalkyl having n to m carbon atoms.
  • Example haloalkoxy groups include OCF3 and OCHF2.
  • the haloalkoxy group is fluorinated only.
  • thio refers to a group of formula-SH.
  • carbonyl employed alone or in combination with other terms, refers to a -C(O)- group.
  • C n-m alkyl amino refers to a group of
  • alkyl group has n to m carbon atoms.
  • the alkyl group has 1 to 6, 1 to 4, or 1 to 3 carbon atoms.
  • C n-m alkoxycarbonyl refers to a group of formula -C(0)0-alkyl, wherein the alkyl group has n to m carbon atoms. In some embodiments, the alkyl group has 1 to 6, 1 to 4, or 1 to 3 carbon atoms.
  • C n-m alkyl carbonyl refers to a group of
  • formula -C(0)-alkyl wherein the alkyl group has n to m carbon atoms. In some embodiments, the alkyl group has 1 to 6, 1 to 4, or 1 to 3 carbon atoms.
  • C n-m alkylcarbonylamino refers to a group of formula -NHC(0)-alkyl, wherein the alkyl group has n to m carbon atoms. In some embodiments, the alkyl group has 1 to 6, 1 to 4, or 1 to 3 carbon atoms.
  • C n-m alkyl sulfonylamino refers to a group of formula -NHS(0) 2 -alkyl, wherein the alkyl group has n to m carbon atoms. In some embodiments, the alkyl group has 1 to 6, 1 to 4, or 1 to 3 carbon atoms.
  • aminosulfonyl refers to a group of
  • the term“C n-m alkylaminosulfonyl” refers to a group of formula -S(0) 2 NH(alkyl), wherein the alkyl group has n to m carbon atoms. In some embodiments, the alkyl group has 1 to 6, 1 to 4, or 1 to 3 carbon atoms.
  • the term“di(C n-m alkyl)aminosulfonyl” refers to a group of formula -S(0)2N(alkyl)2, wherein each alkyl group independently has n to m carbon atoms. In some embodiments, each alkyl group has, independently, 1 to 6, 1 to 4, or 1 to 3 carbon atoms.
  • C n-m alkylaminosulfonylamino refers to a group of formula -NHS(0) 2 NH(alkyl), wherein the alkyl group has n to m carbon atoms. In some embodiments, the alkyl group has 1 to 6, 1 to 4, or 1 to 3 carbon atoms.
  • the term“di(C n-m alkyl)aminosulfonylamino” refers to a group of formula -NHS(0) 2 N(alkyl) 2 , wherein each alkyl group independently has n to m carbon atoms. In some embodiments, each alkyl group has, independently, 1 to 6, 1 to 4, or 1 to 3 carbon atoms.
  • aminocarbonylamino employed alone or in combination with other terms, refers to a group of formula -NHC(0)NH 2 .
  • the term“di(C n -m alkyl)aminocarbonylamino” refers to a group of formula -NHC(0)N(alkyl) 2 , wherein each alkyl group independently has n to m carbon atoms. In some embodiments, each alkyl group has, independently, 1 to 6, 1 to 4, or 1 to 3 carbon atoms.
  • C n-m alkylcarbamyl refers to a group of formula -C(0)-NH(alkyl), wherein the alkyl group has n to m carbon atoms. In some embodiments, the alkyl group has 1 to 6, 1 to 4, or 1 to 3 carbon atoms.
  • C n-m alkylthio refers to a group of formula -S-alkyl, wherein the alkyl group has n to m carbon atoms. In some embodiments, the alkyl group has 1 to 6, 1 to 4, or 1 to 3 carbon atoms.
  • C n-m alkylsulfmyl refers to a group of
  • the alkyl group has n to m carbon atoms. In some embodiments, the alkyl group has 1 to 6, 1 to 4, or 1 to 3 carbon atoms.
  • the term“C n-m alkylsulfonyl” refers to a group of
  • formula -S(0) 2 -alkyl wherein the alkyl group has n to m carbon atoms. In some embodiments, the alkyl group has 1 to 6, 1 to 4, or 1 to 3 carbon atoms.
  • cyano-Ci -n alkyl refers to a group of formula -(Ci -n alkylene)-CN, wherein the alkyl group has 1 to n carbon atoms.
  • the alkyl group has 1 to 6, 1 to 4, or 1 to 3 carbon atoms, e.g., -(Ci-3 alkylene)-CN.
  • HO-Ci -n alkyl refers to a group of formula -(Ci -n alkylene)-OH, wherein the alkyl group has 1 to n carbon atoms.
  • the alkyl group has 1 to 6, 1 to 4, or 1 to 3 carbon atoms, e.g., -(Ci-3 alkylene)-OH.
  • the term“Ci -n alkoxy-Ci -n alkyl” refers to a group of formula - (Ci- n alkyl ene)-0(Ci -n alkyl), wherein the alkyl group has 1 to n carbon atoms. In some embodiments, the alkyl group has 1 to 6, 1 to 4, or 1 to 3 carbon atoms, e.g., - (Ci-6 alkyl ene)-0(C i-6 alkyl).
  • the term“di(C n-m -alkyl)amino” refers to a group of formula - N(alkyl) 2 , wherein the two alkyl groups each has, independently, n to m carbon atoms. In some embodiments, each alkyl group independently has 1 to 6, 1 to 4, or 1 to 3 carbon atoms.
  • the term“di(C n-m -alkyl)carbamyl” refers to a group of formula -C(0)N(alkyl) 2 , wherein the two alkyl groups each has, independently, n to m carbon atoms. In some embodiments, each alkyl group independently has 1 to 6, 1 to 4, or 1 to 3 carbon atoms.
  • C n -m alkylcarbonyloxy is a group of formula -
  • OC(0)-alkyl wherein the alkyl group has n to m carbon atoms.
  • C n-m alkylaminocarbonyloxy is a group of formula -OC(O)- NH-alkyl, wherein the alkyl group has n to m carbon atoms.
  • C n-m alkoxycarbonylamino refers to a group of formula - NHC(0)0(Cn-m alkyl), wherein the alkyl group has n to m carbon atoms.
  • cycloalkyl refers to non-aromatic cyclic hydrocarbons including cyclized alkyl and alkenyl groups.
  • Cycloalkyl groups can include mono- or polycyclic (e.g., having 2 fused rings) groups, spirocycles, and bridged rings (e.g., a bridged bicycloalkyl group). Ring-forming carbon atoms of a cycloalkyl group can be optionally substituted by oxo or sulfido (e.g., C(O) or C(S)).
  • oxo or sulfido e.g., C(O) or C(S)
  • moieties that have one or more aromatic rings fused ( /. e..
  • Cycloalkyl groups can have 3, 4, 5, 6, 7, 8,
  • Example cycloalkyl groups include cyclopropyl, cyclobutyl, cyclopentyl, cyclohexyl, cycloheptyl, cyclop entenyl, cyclohexenyl, cyclohexadienyl, cycloheptatrienyl, norbomyl, norpinyl, norcamyl, cubane, adamantane, bicyclo[l. l.l]pentyl, bicyclo[2.l. l]hexyl,
  • cycloalkyl is cyclopropyl, cyclobutyl, cyclopentyl, or cyclohexyl.
  • the heteroaryl is a 5-10 membered monocyclic or bicyclic heteroaryl having 1, 2, 3, or 4 heteroatom ring members independently selected fromN, O, and S. In some embodiments, the heteroaryl is a 5-6 monocyclic heteroaryl having 1 or 2 heteroatom ring members independently selected from N, O, S, and B. In some embodiments, the heteroaryl is a 5-6 monocyclic heteroaryl having 1 or 2 heteroatom ring members independently selected from N, O, and S. In some embodiments, the heteroaryl group contains 3 to 10, 4 to 10, 5 to 10, 5 to 7, 3 to 7, or 5 to 6 ring-forming atoms.
  • the heteroaryl group has 1 to 4 ring forming heteroatoms, 1 to 3 ring-forming heteroatoms, 1 to 2 ring-forming heteroatoms or 1 ring-forming heteroatom.
  • the heteroatoms may be the same or different.
  • 2-b]thiazolyl purinyl, triazinyl, thieno[3,2-b]pyridinyl, imidazo[l,2-a]pyridinyl, l,5-naphthyridinyl, 1H- pyrazolo[4,3-b]pyridinyl, triazolo[4,3-a]pyridinyl, lH-pyrrolo[3,2-b]pyridinyl, 1H- pyrrolo[2,3-b]pyridinyl, pyrazolo[l,5-a]pyridinyl, indazolyl, and the like.
  • heterocycloalkyl refers to monocyclic or polycyclic heterocycles having at least one non-aromatic ring (saturated or partially unsaturated ring), wherein one or more of the ring-forming carbon atoms of the heterocycloalkyl is replaced by a heteroatom selected from N, O, S, and B, and wherein the ring forming carbon atoms and heteroatoms of a heterocycloalkyl group can be optionally substituted by one or more oxo or sulfido (e.g., C(O), S(O), C(S), or S(0) 2 , etc.).
  • oxo or sulfido e.g., C(O), S(O), C(S), or S(0) 2 , etc.
  • a ring-forming carbon atom or heteroatom of a heterocycloalkyl group is optionally substituted by one or more oxo or sulfide
  • the O or S of said group is in addition to the number of ring-forming atoms specified herein (e.g., a l-methyl-6- oxo-l,6-dihydropyridazin-3-yl is a 6-membered heterocycloalkyl group, wherein a ring-forming carbon atom is substituted with an oxo group, and wherein the 6- membered heterocycloalkyl group is further substituted with a methyl group).
  • Heterocycloalkyl groups can also include spirocycles and bridged rings (e.g., a 5 to 10 membered bridged biheterocycloalkyl ring having one or more of the ring-forming carbon atoms replaced by a heteroatom independently selected from N, O, S, and B).
  • the heterocycloalkyl group can be attached through a ring-forming carbon atom or a ring-forming heteroatom.
  • the heterocycloalkyl group contains 0 to 3 double bonds. In some embodiments, the heterocycloalkyl group contains 0 to 2 double bonds.
  • the heterocycloalkyl group contains 3 to 10 ring-forming atoms, 4 to 10 ring- forming atoms, 3 to 7 ring-forming atoms, or 5 to 6 ring-forming atoms. In some embodiments, the heterocycloalkyl group has 1 to 4 heteroatoms, 1 to 3 heteroatoms, 1 to 2 heteroatoms or 1 heteroatom. In some embodiments, the heterocycloalkyl is a monocyclic 4-6 membered heterocycloalkyl having 1 or 2 heteroatoms independently selected from N, O, S and B and having one or more oxidized ring members.
  • the heterocycloalkyl is a monocyclic or bicyclic 5-10 membered hetero cycloalkyl having 1, 2, 3, or 4 heteroatoms independently selected from N, O, S, and B and having one or more oxidized ring members. In some embodiments, the heterocycloalkyl is a monocyclic or bicyclic 5 to 10 membered hetero cycloalkyl having 1, 2, 3, or 4 heteroatoms independently selected fromN, O, and S and having one or more oxidized ring members. In some embodiments, the heterocycloalkyl is a monocyclic 5 to 6 membered heterocycloalkyl having 1, 2, 3, or 4 heteroatoms independently selected from N, O, and S and having one or more oxidized ring members.
  • Example heterocycloalkyl groups include pyrrolidin-2-one (or 2- oxopyrrolidinyl), l,3-isoxazolidin-2-one, pyranyl, tetrahydropyran, oxetanyl, azetidinyl, morpholino, thiomorpholino, piperazinyl, tetrahydrofuranyl,
  • C 0-P cycloalkyl-C n-m alkyl- refers to a group of formula cycloalkyl-alkylene-, wherein the cycloalkyl has o to p carbon atoms and the alkylene linking group has n to m carbon atoms.
  • C 0-P aryl-C n-m alkyl- refers to a group of formula aryl- alkylene-, wherein the aryl has o to p carbon atoms and the alkylene linking group has n to m carbon atoms.
  • heterocycloalkyl-CVm alkyl- refers to a group of formula heterocycloalkyl-alkylene-, wherein alkylene linking group has n to m carbon atoms.
  • an“alkyl linking group” is a bivalent straight chain or branched alkyl linking group (“alkylene group”).
  • alkylene group a bivalent straight chain or branched alkyl linking group.
  • “alkyl linking groups” or“alkyl ene groups” include methylene, ethan-l,l-diyl, ethan-l,2- diyl, propan-l,3-dilyl, propan-l,2-diyl, propan-l,l-diyl and the like.
  • the definitions or embodiments refer to specific rings (e.g., an azetidine ring, a pyridine ring, etc.). Unless otherwise indicated, these rings can be attached to any ring member provided that the valency of the atom is not exceeded. For example, an azetidine ring may be attached at any position of the ring, whereas a pyridin-3-yl ring is attached at the 3 -position.
  • the term“independently selected from” means that each occurrence of a variable or substituent, e.g., R 7 or R 2A , are independently selected at each occurrence from the applicable list.
  • the compounds described herein can be asymmetric (e.g., having one or more stereocenters). All stereoisomers, such as enantiomers and diastereomers, are intended unless otherwise indicated.
  • Cis and trans geometric isomers of the compounds of the present disclosure are described and may be isolated as a mixture of isomers or as separated isomeric forms.
  • the compound has the (R) -configuration.
  • the compound has the (S) -configuration.
  • the Formulas (e.g., Formula (I), (II), etc.) provided herein include stereoisomers of the compounds.
  • An example method includes fractional recrystallizaion using a chiral resolving acid which is an optically active, salt-forming organic acid.
  • Suitable resolving agents for fractional recrystallization methods are, for example, optically active acids, such as the D and L forms of tartaric acid, diacetyltartaric acid, dibenzoyltartaric acid, mandelic acid, malic acid, lactic acid or the various optically active camphorsulfonic acids such as b-camphorsulfonic acid.
  • resolving agents suitable for fractional crystallization methods include stereoisomerically pure forms of a-methylbenzylamine (e.g., S and R forms, or diastereomerically pure forms), 2-phenylglycinol, norephedrine, ephedrine, N- methylephedrine, cyclohexylethylamine, 1 ,2-diaminocyclohexane, and the like.
  • Tautomeric forms result from the swapping of a single bond with an adjacent double bond together with the concomitant migration of a proton.
  • Tautomeric forms include prototropic tautomers which are isomeric protonation states having the same empirical formula and total charge.
  • Example prototropic tautomers include ketone - enol pairs, amide - imidic acid pairs, lactam - lactim pairs, enamine - imine pairs, and annular forms where a proton can occupy two or more positions of a heterocyclic system, for example, 1H- and 3H-imidazole, 1H-, 2H- and 4H- 1,2, 4-triazole, 1H- and 2H- isoindole, 2-hydroxypyridine and 2-pyridone, and 1H- and 2H-pyrazole.
  • Tautomeric forms can be in equilibrium or sterically locked into one form by appropriate substitution.
  • All compounds, and pharmaceutically acceptable salts thereof, can be found together with other substances such as water and solvents (e.g. hydrates and solvates) or can be isolated.
  • preparation of compounds can involve the addition of acids or bases to affect, for example, catalysis of a desired reaction or formation of salt forms such as acid addition salts.
  • the compounds provided herein, or salts thereof are substantially isolated.
  • substantially isolated is meant that the compound is at least partially or substantially separated from the environment in which it was formed or detected.
  • Partial separation can include, for example, a composition enriched in the compounds provided herein.
  • Substantial separation can include compositions containing at least about 50%, at least about 60%, at least about 70%, at least about 80%, at least about 90%, at least about 95%, at least about 97%, or at least about 99% by weight of the compounds provided herein, or salt thereof. Methods for isolating compounds and their salts are routine in the art.
  • phrases“pharmaceutically acceptable” is employed herein to refer to those compounds, materials, compositions, and/or dosage forms which are, within the scope of sound medical judgment, suitable for use in contact with the tissues of human beings and animals without excessive toxicity, irritation, allergic response, or other problem or complication, commensurate with a reasonable benefit/risk ratio.
  • the present application also includes pharmaceutically acceptable salts of the compounds described herein.
  • pharmaceutically acceptable salts refers to derivatives of the disclosed compounds wherein the parent compound is modified by converting an existing acid or base moiety to its salt form.
  • pharmaceutically acceptable salts include, but are not limited to, mineral or organic acid salts of basic residues such as amines; alkali or organic salts of acidic residues such as carboxylic acids; and the like.
  • the pharmaceutically acceptable salts of the present disclosure include the conventional non-toxic salts of the parent compound formed, for example, from non-toxic inorganic or organic acids.
  • the pharmaceutically acceptable salts of the present disclosure can be synthesized from the parent compound which contains a basic or acidic moiety by conventional chemical methods.
  • such salts can be prepared by reacting the free acid or base forms of these compounds with a stoichiometric amount of the appropriate base or acid in water or in an organic solvent, or in a mixture of the two; generally, non-aqueous media like ether, ethyl acetate, alcohols (e.g., methanol, ethanol, iso-propanol, or butanol) or acetonitrile (ACN) are preferred.
  • non-aqueous media like ether, ethyl acetate, alcohols (e.g., methanol, ethanol, iso-propanol, or butanol) or acetonitrile (ACN) are preferred.
  • ACN acetonitrile
  • the compounds provided herein can be prepared using known organic synthesis techniques and can be synthesized according to any of numerous possible synthetic routes.
  • Compounds of formula 1-14 and 1-15 can be prepared via the synthetic route outlined in Scheme 1. Alkylation of commercially available starting material 1-1 with carbonyl adduct 1-2 (Hal is a halide, such as F, Cl, Br, or I), followed by a condensation reaction at elevated temperature, using an appropriate reagent, such as ammonium acetate, generates bicyclic compound 1-3. Compound 1-3 can then react with reagents, such as phosphoryl chloride (POCI3), to give intermediate 1-4.
  • reagents such as phosphoryl chloride (POCI3)
  • a nucleophilic aromatic substitution (S N Ar) reaction of intermediate 1-4 with amine adduct 1-5 (PG is a suitable protecting group, such as 2,4-dimethoxybenzyl), followed by reduction of the ester functionality with a suitable reductant (e.g., DIBAL-H), affords alcohol 1-6.
  • PG is a suitable protecting group, such as 2,4-dimethoxybenzyl
  • a suitable reductant e.g., DIBAL-H
  • Halogenation of 1-6 with an appropriate reagent, such as phosphorous tribromide (PBrs) generates intermediate 1-7.
  • Compound 1-7 can then be cross-coupled with an adduct of formula 1-8, in which M is a boronic acid, boronic ester or an appropriately substituted metal [e.g., M is B(OR) 2 , Sn(Alkyl)3, or Zn-Hal], under standard Suzuki cross-coupling conditions (e.g., in the presence of a palladium catalyst and a suitable base), or standard Stille cross-coupling conditions (e.g., in the presence of a palladium catalyst), or standard Negishi cross-coupling conditions (e.g., in the presence of a palladium catalyst) to afford the cross-coupling product, which undergoes protecting group removal to generate intermediate 1-9.
  • M is a boronic acid, boronic ester or an appropriately substituted metal
  • M is B(OR) 2 , Sn(Alkyl)3, or Zn-Hal
  • Suzuki cross-coupling conditions e.g., in the presence of a palladium catalyst and
  • Cy 4 can be a R 4 or a R 4 -R 4a .
  • Halogenation of 1-9 with an appropriate reagent, such as N- b ro mo s ucci n i m i d e (NBS) affords two isomers 1-10 and 1-11.
  • the final products 1-14 and 1-15 can then be prepared by reacting the two isomers 1-10 and 1-11 with either adduct 1-12 or 1-13 using reaction conditions similar to that described for the preparation of 1-9 from 1-7.
  • Scheme 1 N- b ro mo s ucci n i m i d e
  • Compounds of formula 2-7 can be prepared via the synthetic route outlined in Scheme 2. Alkylation of commercially available starting material 2-1 (Hal is a halide, such as F, Cl, Br, or I) with carbonyl adduct 1-2, followed by condensation using an appropriate reagent, such as ammonium acetate, at elevated temperature generates bicyclic compound 2-2. Compound 2-2 can then react with a suitable reagent, such as phosphoryl chloride (POCI3), to give intermediate 2-3. A nucleophilic aromatic substitution (S N Ar) reaction of intermediate 2-3 with amine adduct 1-5 (PG is a suitable protecting group, such as 2,4-dimethoxybenzyl), followed by removal of the protecting group, affords compound 2-4.
  • PG is a suitable protecting group, such as 2,4-dimethoxybenzyl
  • Intermediate 3-2 can then be oxidized with an appropriate oxidant (e.g., Dess-Martin periodinane) to afford aldehyde 3-3.
  • an appropriate oxidant e.g., Dess-Martin periodinane
  • An addition reaction between 3-3 and 3-4 (M 1 is a metal group, such as MgBr or Li) then affords secondary alcohol 3-5.
  • the final product 3-6 can be prepared via a cross-coupling reaction between intermediate 3-5 and an adduct of formula 1-12, in which M is a boronic acid, boronic ester or an appropriately substituted metal [e.g., M is B(OR) 2 , Sn(Alkyl)3, or Zn-Hal], under standard Suzuki cross-coupling conditions (e.g ., in the presence of a palladium catalyst and a suitable base), or standard Stille cross-coupling conditions (e.g., in the presence of a palladium catalyst), or standard Negishi cross-coupling conditions (e.g., in the presence of a palladium catalyst).
  • M is a boronic acid, boronic ester or an appropriately substituted metal
  • M is B(OR) 2 , Sn(Alkyl)3, or Zn-Hal
  • Suzuki cross-coupling conditions e.g ., in the presence of a palladium catalyst and a suitable base
  • Compound of formula 4-5 can be prepared via the synthetic route outlined in Scheme 4.
  • a halogenation reaction of compound 3-1 (prepared using procedures from Scheme 3) with an appropriate reagent, such as /V-bromosuccinimide (NBS), affords compound 4-1 (Hal is a halide, such as F, Cl, Br, or I).
  • Compound 4-1 can then be cross-coupled with an adduct of formula 1-12, in which M is a boronic acid, boronic ester or an appropriately substituted metal [e.g., M is B(OR) 2 , Sn(Alkyl)3, or Zn-Hal], under standard Suzuki cross-coupling conditions (e.g., in the presence of a palladium catalyst and a suitable base), or standard Stille cross-coupling conditions (e.g., in the presence of a palladium catalyst), or standard Negishi cross-coupling conditions (e.g., in the presence of a palladium catalyst) to generate intermediate 4-2.
  • a suitable reagent such as sodium hydroxide
  • Compound 4-3 can then react with amine 4-4 under standard amide coupling conditions, such as using HATU as coupling reagent and DIPEA as base, to generate product 4-5.
  • Scheme 4
  • Compound 5-2 can then be cross-coupled with an adduct of formula 5-3, in which M is a boronic acid, boronic ester or an appropriately substituted metal [e.g., M is B(OR)2, Sn(Alkyl)3, or Zn-Hal], under standard Suzuki cross-coupling conditions (e.g., in the presence of a palladium catalyst and a suitable base), or standard Stille cross-coupling conditions (e.g., in the presence of a palladium catalyst), or standard Negishi cross-coupling conditions (e.g., in the presence of a palladium catalyst) to generate intermediate 5-4.
  • the protecting group in 5-4 can be removed to give compound 5-5.
  • Compound 6-6 can then be prepared via a cross-coupling reaction between intermediate 6-5 and an adduct of formula 5-3, in which M is a boronic acid, boronic ester or an appropriately substituted metal [e.g., M is B(OR)2, Sn(Alkyl)3, or Zn-Hal], under standard Suzuki cross-coupling conditions (e.g., in the presence of a palladium catalyst and a suitable base), or standard Stille cross-coupling conditions (e.g., in the presence of a palladium catalyst), or standard Negishi cross-coupling conditions (e.g., in the presence of a palladium catalyst).
  • M is a boronic acid, boronic ester or an appropriately substituted metal
  • M is B(OR)2, Sn(Alkyl)3, or Zn-Hal
  • Suzuki cross-coupling conditions e.g., in the presence of a palladium catalyst and a suitable base
  • Stille cross-coupling conditions e.g.
  • the protecting group in 6-6 can be removed to afford compound 6-7, which undergoes a halogenation reaction using an appropriate reagent, such as N- b ro mo s ucci n i m i d e (NBS), to form compound 6-8.
  • NBS N- b ro mo s ucci n i m i d e
  • the final product 6-9 can be synthesized by coupling 6-8 with an adduct of formula 1-12, using similar procedures as described for the preparation of compound 6-6 from 6-5. Scheme 6.
  • Compound 7-5 can then be cross-coupled with an adduct of formula 7-6, in which M is a boronic acid, boronic ester or an appropriately substituted metal [e.g., M is B(OR)2, Sn(Alkyl)3, or Zn-Hal], under standard Suzuki Cross-Coupling conditions
  • Compounds of formula 8-7, 8-10, and 8-11 can be prepared via the synthetic route outlined in Scheme 8.
  • Compound 7-5 (can be prepared as described in Scheme 7) can first be cross-coupled with reagent of formula 8-1, in which M is a boronic acid, boronic ester or an appropriately substituted metal [e.g., M is B(OR) 2 ,
  • Sn(Alkyl)3, or Zn-Hal under standard Suzuki Cross-Coupling conditions (e.g., in the presence of a palladium catalyst and a suitable base), or standard Stille cross-coupling conditions (e.g., in the presence of a palladium catalyst), or standard Negishi cross coupling conditions (e.g., in the presence of a palladium catalyst) to generate compound 8-2.
  • a halogenation reaction of 8-2 can then be carried out using an appropriate reagent, such as l-bromopyrrolidine-2,5-dione, to afford intermediate 8-3.
  • Another cross-coupling reaction between 8-3 and reagent 1-12 can then be performed using similar conditions as described for the transformation from 7-5 to 8-2 to deliver compound 8-4.
  • the vinyl group in 8-4 is cleaved under suitable conditions, such as using osmium (VIII) oxide and sodium periodate, and the resulting aldehyde 8-5 is reacted with 3-4 in an 1, 2-addition reaction (M 1 is a metal group, such as MgCl or Li) to generate alcohol 8-6.
  • M 1 is a metal group, such as MgCl or Li
  • the protecting group (PG) in 8-6 can then be removed to generate the desired product 8-7.
  • aldehyde 8-5 can undergo a reduction reaction using appropriate reagents, such as NaBH 4 , to afford alcohol 8-8.
  • a halogenation reaction of 8-8 then affords intermediate 8-9 using reagents such as PBr3.
  • a cross-coupling reaction between 8-9 and 1-8 (using conditions described for the synthesis of 8-2 from 7-5), followed by the removal of protecting groups (PG), will generate product 8-10.
  • 8-9 can react with amine 4-4 in a nucleophilic substitution (SN2) reaction, followed by removal of protecting groups (PG), to afford product 8-11.
  • SN2 nucleophilic substitution
  • PG protecting groups
  • Compound 9-6 can undergo halogenation using an appropriate reagent, such as /V-bromosuccinimide (NBS), to form compound 9-7.
  • Compound 9-8 can be synthesized by coupling 9-7 with an intermediate of formula 1-12, using similar procedures as described for the preparation of compound 9-6 from 9-5.
  • the final product 9-9 can be formed after removal of the protecting group in intermediate 9-8. Certain synthetic steps described herein can be rearranged, and/or omitted, to prepare different analogues.
  • the compounds of the present disclosure can modulate the activity of adenosine receptors, such as subtypes A2A and A2B receptors. Accordingly, the compounds, salts or stereoisomers described herein can be used in methods of inhibiting adenosine receptors (e.g., A2A and/or A2B receptors) by contacting the receptor with any one or more of the compounds, salts, or compositions described herein. In some embodiments, the compounds or salts can be used in methods of inhibiting activity of an adenosine receptor in an individual/patient in need of the inhibition by administering an effective amount of a compound or salt of described herein. In some embodiments, modulating is inhibiting. In some embodiments, the contacting is in vivo. In some embodiments, the contacting is ex vivo or in vitro.
  • An adenosine receptor associated disease or disorder can include any disease, disorder or condition that is directly or indirectly linked to expression or activity of the adenosine receptor, including overexpression and/or abnormal activity levels.
  • the compounds of the present disclosure are useful in the treatment of diseases related to the activity of adenosine receptors including, for example, cancer, inflammatory diseases, cardiovascular diseases, neurodegenerative diseases, immunomodulatory disorders, central nerve system diseases, and diabetes.
  • Adenosine receptor inhibitors can be used to treat, alone or in combination with other therapies, bladder cancer, lung cancer (e.g., non-small cell lung cancer (NSCLC), lung metastasis), melanoma (e.g., metastatic melanoma), breast cancer, cervical cancer, ovarian cancer, colorectal cancer, pancreatic cancer, esophageal cancer, prostate cancer, kidney cancer, skin cancer, thyroid cancer, liver cancer, uterine cancer, head and neck cancer, and renal cell carcinoma (Antonioli, L.
  • NSCLC non-small cell lung cancer
  • melanoma e.g., metastatic melanoma
  • breast cancer cervical cancer
  • ovarian cancer colorectal cancer
  • pancreatic cancer esophageal cancer
  • prostate cancer kidney cancer
  • skin cancer thyroid cancer
  • liver cancer uterine cancer
  • head and neck cancer and renal cell carcinoma
  • the prostate cancer is metastatic castrate-resistant prostate carcinoma (mCRPC).
  • the colorectal cancer is colorectal carcinoma (CRC).
  • the disease or disorder is mesothelioma or
  • the disease or disorder is mesothelioma. In some embodiments, the disease or disorder is adrenocarcinoma.
  • MDSC myeloid-derived suppressor cells
  • myeloid lineage a family of cells that originate from bone marrow stem cells.
  • MDSCs strongly expand in pathological situations such as chronic infections and cancer, as a result of an altered haematopoiesis. MDSCs are discriminated from other myeloid cell types in which they possess strong
  • MDSCs Similar to other myeloid cells, MDSCs interact with other immune cell types including T cells, dendritic cells, macrophages and natural killer cells to regulate their functions.
  • the compounds, etc. described herein can be used in methods realted to cancer tissue (e.g., tumors) with high infiltration of MDSCs, including Solid tumors with high basal level of macrophage and/or MDSC infiltration.
  • the compounds of the disclosure can be used in treating pulmonary inflammation, including bleomycin-induced pulmonary fibrosis and injury related to adenosine deaminase deficiency (Baraldi, et al, ( 'hem. Rev., 2008, 108, 238-263).
  • the compounds of the disclosure can be used as a treatment for inflammatory disease such as allergic reactions (e.g., A2B adenosine receptor dependent allergic reactions) and other adenosine receptor dependent immune reactions.
  • inflammatory diseases such as allergic reactions (e.g., A2B adenosine receptor dependent allergic reactions) and other adenosine receptor dependent immune reactions.
  • Further inflammatory diseases that can be treated by compounds of the disclosure include respiratory disorders, sepsis, reperfusion injury, and thrombosis.
  • the compounds of the disclosure can be used as a treatment for cardiovascular disease such as coronary artery disease (myocardial infarction, angina pectoris, heart failure), cerebrovascular disease (stroke, transient ischemic attack), peripheral artery disease, and aortic atherosclerosis and aneurysm.
  • cardiovascular disease such as coronary artery disease (myocardial infarction, angina pectoris, heart failure), cerebrovascular disease (stroke, transient ischemic attack), peripheral artery disease, and aortic atherosclerosis and aneurysm.
  • Atherosclerosis is an underlying etiologic factor in many types of cardiovascular disease. Atherosclerosis begins in adolescence with fatty streaks, which progress to plaques in adulthood and finally results in thrombotic events that cause occlusion of vessels leading to clinically significant morbidity and mortality.
  • Antagonists to the A2B adenosine receptor and A2A adenosine receptor may be beneficial in preventing atherosclerotic plaque formation (Eisenstein, A. et al., J. Cell Physiol. , 2015, 230(12), 2891-2897).
  • the compounds of the disclosure can be used as a treatment for disorders in motor activity; deficiency caused by degeneration of the striatonigral dopamine system; and Parkinson’s disease; some of the motivational symptoms of depression (Collins, L. E. et al. Pharmacol. Biochem. Behav., 2012, 100, 498-505.).
  • the compounds of the disclosure can be used as a treatment for diabetes and related disorders, such as insulin resistance.
  • Diabetes affects the production of adenosine and the expression of A2B adenosine receptors (A2BRs) that stimulate IL-6 and CRP production, insulin resistance, and the association between A 2B R gene single-nucleotide polymorphisms (ADORA2B SNPs) and inflammatory markers.
  • A2BRs A2B adenosine receptors
  • ADORA2B SNPs A 2B R gene single-nucleotide polymorphisms
  • Selective A2BR blockers may be useful to treat insulin resistance (Figler, R. A. et al. Diabetes, 2011, 60 (2), 669-679).
  • compounds provided herein e.g., compounds of Formula (I), or any of the embodiments thereof, may possess satisfactory pharmacological profile and promising biopharmaceutical properties, such as toxicological profile, metabolism and pharmacokinetic properties, solubility, and permeability. It will be understood that determination of appropriate biopharmaceutical properties is within the knowledge of a person skilled in the art, e.g., determination of cytotoxicity in cells or inhibition of certain targets or channels to determine potential toxicity.
  • the phrase“therapeutically effective amount” refers to the amount of active compound or pharmaceutical agent that elicits the biological or medicinal response in a tissue, system, animal, individual or human that is being sought by a researcher, veterinarian, medical doctor or other clinician.
  • the term“treating” or“treatment” refers to one or more of (1) inhibiting the disease; e.g., inhibiting a disease, condition or disorder in an individual who is experiencing or displaying the pathology or symptomatology of the disease, condition or disorder (i.e..
  • ameliorating the disease e.g., ameliorating a disease, condition or disorder in an individual who is experiencing or displaying the pathology or symptomatology of the disease, condition or disorder (i.e., reversing the pathology and/or symptomatology) such as decreasing the severity of disease.
  • the compounds of the invention are useful in preventing or reducing the risk of developing any of the diseases referred to herein; e.g., preventing or reducing the risk of developing a disease, condition or disorder in an individual who may be predisposed to the disease, condition or disorder but does not yet experience or display the pathology or symptomatology of the disease.
  • A2A and A2B dual inhibitors provided herein can be used in combination with one or more immune checkpoint inhibitors for the treatment of cancer as described herein.
  • the combination with one or more immune checkpoint inhibitors as described herein can be used for the treatment of melanoma.
  • Compounds of the present disclosure can be used in combination with one or more immune checkpoint inhibitors.
  • immune checkpoint inhibitors include inhibitors against immune checkpoint molecules such as CD20, CD28, CD40, CD122, CD96, CD73, CD47, GITR, CSF1R, JAK, PI3K delta, PI3K gamma, TAM, arginase, HPK1, CD137 (also known as 4-1BB), ICOS, B7-H3, B7-H4, BTLA,
  • CTLA-4 LAG3, TIM3, VISTA, TIGIT, PD-l, PD-L1 and PD-L2.
  • the immune checkpoint molecule is a stimulatory checkpoint molecule selected from CD27, CD28, CD40, ICOS, 0X40, GITR and CD137.
  • the immune checkpoint molecule is an inhibitory checkpoint molecule selected from A2AR, B7-H3, B7-H4, BTLA, CTLA-4, IDO, KIR, LAG3, PD-l,
  • the compounds of the disclosure provided herein can be used in combination with one or more agents selected from KIR inhibitors, TIGIT inhibitors, LAIR1 inhibitors, CD160 inhibitors, 2B4 inhibitors and TGFR beta inhibitors.
  • the A2A and A2B dual inhibitors provided herein can be used in combination with one or more agonists of immune checkpoint molecules, e.g., 0X40, CD27, 0X40, GITR, and CD137 (also known as 4-1BB).
  • one or more agonists of immune checkpoint molecules e.g., 0X40, CD27, 0X40, GITR, and CD137 (also known as 4-1BB).
  • the inhibitor of an immune checkpoint molecule is anti- PD1 antibody, anti-PD-Ll antibody, or anti-CTLA-4 antibody.
  • the inhibitor of an immune checkpoint molecule is an inhibitor of PD-l, e.g., an anti-PD-l monoclonal antibody.
  • the anti-PD-l monoclonal antibody is nivolumab, pembrolizumab (also known as MK- 3475), durvalumab (Imfinzi®), pidilizumab, SHR-1210, PDR001, MGA012,
  • the anti-PD-l monoclonal antibody is nivolumab or pembrolizumab. In some embodiments, the anti-PDl antibody is pembrolizumab. In some embodiments, the anti-PD-l monoclonal antibody is MGA012. In some embodiments, the anti-PDl antibody is SHR-1210.
  • Other anti-cancer agent(s) include antibody therapeutics such as 4-1 BB (e.g. urelumab or utomilumab).
  • the inhibitor of an immune checkpoint molecule is an inhibitor of PD-L1, e.g., an anti-PD-Ll monoclonal antibody.
  • the anti-PD-Ll monoclonal antibody is BMS-935559, MEDI4736, MPDL3280A (also known as RG7446), or MSB0010718C.
  • the anti-PD-Ll monoclonal antibody is MPDL3280A or MEDI4736.
  • the inhibitor of an immune checkpoint molecule is an inhibitor of PD-l and PD-L1, e.g., an anti-PD-l/PD-Ll monoclonal antibody.
  • the anti-PD-l/PD-Ll is MCLA-136.
  • the inhibitor is INCB086550.
  • the inhibitor is MCLA-145.
  • the inhibitor of an immune checkpoint molecule is an inhibitor of CTLA-4, e.g., an anti-CTLA-4 antibody.
  • the anti- CTLA-4 antibody is ipilimumab, tremelimumab, AGEN1884, or CP-675,206.
  • the inhibitor of an immune checkpoint molecule is an inhibitor of LAG3, e.g., an anti-LAG3 antibody.
  • the anti- LAG3 antibody is BMS-986016, LAG525, or INCAGN2385.
  • the inhibitor of an immune checkpoint molecule is an inhibitor of TIM3, e.g., an anti-TIM3 antibody.
  • the anti-TIM3 antibody is INCAGN2390, MBG453, or TSR-022.
  • the inhibitor of an immune checkpoint molecule is an inhibitor of GITR, e.g., an anti-GITR antibody.
  • the anti-GITR antibody is TRX518, MK-4166, INCAGN1876, MK-1248, AMG228, BMS-986156, GWN323, or MEDI1873.
  • the inhibitor of an immune checkpoint molecule is an agonist of 0X40, e.g., 0X40 agonist antibody or OX40L fusion protein.
  • the anti-OX40 antibody is MEDI0562, MOXR-0916, PF-04518600, GSK3174998, or BMS-986178.
  • the OX40L fusion protein is MEDI6383.
  • the inhibitor of an immune checkpoint molecule is an inhibitor of CD20, e.g., an anti-CD20 antibody.
  • the anti-CD20 antibody is obinutuzumab or rituximab.
  • one of the domains of the bispecific antibody targets PD-l, PD-L1, CTLA-4, GITR, 0X40, TIM3, LAG3, CD137, ICOS, CD3, tumor specific antigens (e.g., CD70) or TGF receptor.
  • the compounds of the disclosure can be used in combination with one or more metabolic enzyme inhibitors.
  • the metabolic enzyme inhibitor is an inhibitor of IDOl, TDO, or arginase.
  • IDOl inhibitors include epacadostat, NLG919, BMS-986205, PF-06840003, IOM2983, RG-70099 and LY338196.
  • the additional compounds, inhibitors, agents, etc. can be combined with the present compound in a single or continuous dosage form, or they can be administered simultaneously or sequentially as separate dosage forms.
  • Cancer cell growth and survival can be impacted by multiple signaling pathways.
  • Targeting more than one signaling pathway (or more than one biological molecule involved in a given signaling pathway) may reduce the likelihood of drug-resistance arising in a cell population, and/or reduce the toxicity of treatment.
  • the compounds of the present disclosure can be used in combination with one or more other enzyme/protein/receptor inhibitors or one or more therapies for the treatment of diseases, such as cancer.
  • diseases and indications treatable with combination therapies include those as described herein.
  • the compounds of the present disclosure can be used in combination with one or more additional pharmaceutical agents such as, for example, chemotherapeutics, immune-oncology agents, metabolic enzyme inhibitors, chemokine receptor inhibitors, and phosphatase inhibitors, as well as targeted therapies such as Bcr-Abl, Flt-3, EGFR, HER2, JAK, c-MET, VEGFR, PDGFR, c-Kit, IGF-1R, RAF and FAK kinase inhibitors.
  • the one or more additional pharmaceutical agents can be administered to a patient simultaneously or sequentially.
  • the compounds as disclosed herein can be combined with one or more inhibitors of the following kinases for the treatment of cancer and other diseases or disorders described herein: Aktl, Akt2, Akt3, TGF-PR, PKA, PKG, PKC, CaM- kinase, phosphorylase kinase, MEKK, ERK, MAPK, mTOR, EGFR, HER2, HER3, HER4, INS-R, IGF-1R, IR-R, PDGFaR, PDGFpR.
  • Aktl, Akt2, Akt3, TGF-PR PKA, PKG, PKC, CaM- kinase, phosphorylase kinase, MEKK, ERK, MAPK, mTOR, EGFR, HER2, HER3, HER4, INS-R, IGF-1R, IR-R, PDGFaR, PDGFpR.
  • Non-limiting examples of inhibitors that can be combined with the compounds of the present disclosure for treatment of cancer and other diseases and disorders described herein include an FGFR inhibitor (FGFR1, FGFR2, FGFR3 or FGFR4, e g., INCB54828, INCB62079 and INCB63904), a JAK inhibitor (JAK1 and/or JAK2, e.g., ruxolitinib, baricitinib or INCB39110), an IDO inhibitor (e.g., epacadostat, NLG919, or BMS- 986205), an LSD1 inhibitor (e.g., INCB59872 and INCB60003), a TDO inhibitor, a PI3K-delta inhibitor (e.g., INCB50797 and INCB50465), a Pim inhibitor, a CSF1R inhibitor, a TAM receptor tyrosine kinases (Tyro-3, Axl, and Mer), a histone deacetylase
  • Example antibodies for use in combination therapy include but are not limited to Trastuzumab (e.g. anti-HER2), Ranibizumab (e.g. anti-VEGF-A), Bevacizumab (trade name Avastin, e.g. anti-VEGF, Panitumumab (e.g. anti-EGFR), Cetuximab (e.g. anti-EGFR), Rituxan (anti-CD20) and antibodies directed to c-MET.
  • Trastuzumab e.g. anti-HER2
  • Ranibizumab e.g. anti-VEGF-A
  • Bevacizumab trade name Avastin, e.g. anti-VEGF, Panitumumab (e.g. anti-EGFR), Cetuximab (e.g. anti-EGFR), Rituxan (anti-CD20) and antibodies directed to c-MET.
  • cytostatic agent cisplatin, doxorubicin, taxotere, taxol, etoposide, irinotecan, camptostar, topotecan, paclitaxel, docetaxel, epothilones, tamoxifen, 5-fluorouracil, methoxtrexate, temozolomide, cyclophosphamide, SCH 66336, Rl 15777, L778,l23, BMS 214662, IRESSATM(gefitinib), TARCEVATM (erlotinib), antibodies to EGFR, intron, ara-C, adriamycin, cytoxan, gemcitabine, uracil mustard, chlormethine, ifosfamide, melphalan, chlorambucil, pipobroman, triethylenemelamine,
  • megestrolacetate methylprednisolone, methyltestosterone, prednisolone,
  • alemtuzumab clofarabine, cladribine, aphidicolon, rituxan, sunitinib, dasatinib, tezacitabine, Smll, fludarabine, pentostatin, triapine, didox, trimidox, amidox, 3-AP, and MDL-l0l,73l.
  • the compounds of the present disclosure can further be used in combination with other methods of treating cancers, for example by chemotherapy, irradiation therapy, tumortargeted therapy, adjuvant therapy, immunotherapy or surgery.
  • immunotherapy examples include cytokine treatment (e.g., interferons, GM-CSF, G-CSF, IL-2), CRS-207 immunotherapy, cancer vaccine, monoclonal antibody, adoptive T cell transfer, Toll receptor agonists, STING agonists, oncolytic virotherapy and immunomodulating small molecules, including thalidomide or JAK1/2 inhibitor and the like.
  • cytokine treatment e.g., interferons, GM-CSF, G-CSF, IL-2
  • CRS-207 immunotherapy e.g., interferons, GM-CSF, G-CSF, IL-2
  • cancer vaccine e.g., monoclonal antibody, adoptive T cell transfer, Toll receptor agonists, STING agonists, oncolytic virotherapy and immunomodulating small molecules, including thalidomide or JAK1/2 inhibitor and the like.
  • the compounds can be administered in combination with one or more anti-cancer drugs, such as a chemo
  • Example chemotherapeutics include any of: abarelix, aldesleukin, alemtuzumab, alitretinoin, allopurinol, altretamine, anastrozole, arsenic trioxide, asparaginase, azacitidine, bevacizumab, bexarotene, baricitinib, bleomycin, bortezombi, bortezomib, busulfan intravenous, busulfan oral, calusterone, capecitabine, carboplatin, carmustine, cetuximab, chlorambucil, cisplatin, cladribine, clofarabine, cyclophosphamide, cytarabine, dacarbazine, dactinomycin, dalteparin sodium, daunorubicin, decitabine, denileukin, denileukin diftitox, dexrazoxane, docetaxe
  • mercaptopurine methotrexate, methoxsalen, mitomycin C, mitotane, mitoxantrone, nandrolone phenpropionate, nelarabine, nofetumomab, olaparib, oxaliplatin, paclitaxel, pamidronate, panitumumab, pegaspargase, pegfilgrastim, pemetrexed disodium, pentostatin, pipobroman, plicamycin, procarbazine, quinacrine, rasburicase, rituximab, ruxolitinib, rucaparib, streptozocin, tamoxifen, temozolomide, teniposide, testolactone, thalidomide, thioguanine, thiotepa, topotecan, toremifene, tositumomab, trastuzumab
  • Example Bcr-Abl inhibitors include imatinib mesylate (GLEEVACTM), nilotinib, dasatinib, bosutinib, and ponatinib, and pharmaceutically acceptable salts.
  • Other example suitable Bcr-Abl inhibitors include the compounds, and
  • Example suitable Flt-3 inhibitors include midostaurin, lestaurtinib, linifanib, sunitinib, sunitinib, maleate, sorafenib, quizartinib, crenolanib, pacritinib, tandutinib, PLX3397 and ASP2215, and their pharmaceutically acceptable salts.
  • Other example suitable Flt-3 inhibitors include compounds, and their pharmaceutically acceptable salts, as disclosed in WO 03/037347, WO 03/099771, and WO 04/046120.
  • Example suitable RAF inhibitors include dabrafenib, sorafenib, and vemurafenib, and their pharmaceutically acceptable salts.
  • Other example suitable RAF inhibitors include compounds, and their pharmaceutically acceptable salts, as disclosed in WO 00/09495 and WO 05/028444.
  • Example suitable FAK inhibitors include VS-4718, VS-5095, VS-6062, VS- 6063, BI853520, and GSK2256098, and their pharmaceutically acceptable salts.
  • the compounds of the disclosure can be used in combination with one or more other kinase inhibitors including imatinib, particularly for treating patients resistant to imatinib or other kinase inhibitors.
  • the compounds of the disclosure can be used in combination with a chemotherapeutic in the treatment of cancer, and may improve the treatment response as compared to the response to the chemotherapeutic agent alone, without exacerbation of its toxic effects.
  • the compounds of the disclosure can be used in combination with a chemotherapeutic provided herein.
  • additional pharmaceutical agents used in the treatment of multiple myeloma can include, without limitation, melphalan, melphalan plus prednisone [MP], doxorubicin, dexamethasone, and Velcade (bortezomib).
  • agents used in the treatment of multiple myeloma include Bcr-Abl, Flt-3, RAF and FAK kinase inhibitors.
  • the agent is an alkylating agent, a proteasome inhibitor, a corticosteroid, or an immunomodulatory agent.
  • an alkylating agent include cyclophosphamide (CY), melphalan (MEL), and bendamustine.
  • the proteasome inhibitor is carfilzomib.
  • the corticosteroid is dexamethasone (DEX).
  • the agents can be combined with the present compound in a single or continuous dosage form, or the agents can be administered simultaneously or sequentially as separate dosage forms.
  • the compounds of the present disclosure can be used in combination with one or more other inhibitors or one or more therapies for the treatment of infections.
  • infections include viral infections, bacterial infections, fungus infections or parasite infections.
  • a corticosteroid such as dexamethasone is administered to a patient in combination with the compounds of the disclosure where the dexamethasone is administered intermittently as opposed to continuously.
  • the compounds of Formula (I) or any of the formulas as described herein, a compound as recited in any of the claims and described herein, or salts thereof can be combined with another immunogenic agent, such as cancerous cells, purified tumor antigens (including recombinant proteins, peptides, and carbohydrate molecules), cells, and cells transfected with genes encoding immune stimulating cytokines.
  • tumor vaccines include peptides of melanoma antigens, such as peptides of gplOO, MAGE antigens, Trp-2, MARTI and/or tyrosinase, or tumor cells transfected to express the cytokine GM-CSF.
  • tumor vaccines include the proteins from viruses implicated in human cancers such as Human Papilloma Viruses (HPV), Hepatitis Viruses (HBV and HCV) and Kaposi's Herpes Sarcoma Virus (KHSV).
  • HPV Human Papilloma Viruses
  • HBV and HCV Hepatitis Viruses
  • KHSV Kaposi's Herpes Sarcoma Virus
  • the compounds of the present disclosure can be used in combination with tumor specific antigen such as heat shock proteins isolated from tumor tissue itself.
  • the compounds of Formula (I) or any of the formulas as described herein, a compound as recited in any of the claims and described herein, or salts thereof can be combined with dendritic cells immunization to activate potent anti -tumor responses.
  • combinations of the compounds of the disclosure with other therapeutic agents can be administered to a patient prior to, during, and/or after a bone marrow transplant or stem cell transplant.
  • the compounds of the present disclosure can be used in combination with bone marrow transplant for the treatment of a variety of tumors of hematopoietic origin.
  • the compounds of Formula (I) or any of the formulas as described herein, a compound as recited in any of the claims and described herein, or salts thereof can be used in combination with vaccines, to stimulate the immune response to pathogens, toxins, and self antigens.
  • pathogens for which this therapeutic approach may be particularly useful include pathogens for which there is currently no effective vaccine, or pathogens for which conventional vaccines are less than completely effective. These include, but are not limited to, HIV, Hepatitis (A, B, & C), Influenza, Herpes, Giardia, Malaria, Leishmania, Staphylococcus aureus, Pseudomonas Aeruginosa.
  • Viruses causing infections treatable by methods of the present disclosure include, but are not limit to human papillomavirus, influenza, hepatitis A, B, C or D viruses, adenovirus, poxvirus, herpes simplex viruses, human cytomegalovirus, severe acute respiratory syndrome virus, ebola virus, measles virus, herpes virus (e.g., VZV, HSV-l, HAV-6, HSV-II, and CMV, Epstein Barr virus), flaviviruses, echo virus, rhinovirus, coxsackie virus, comovirus, respiratory syncytial virus, mumpsvirus, rotavirus, measles virus, rubella virus, parvovirus, vaccinia virus, HTLV virus, dengue virus, papillomavirus, molluscum virus, poliovirus, rabies virus, JC virus and arboviral encephalitis virus.
  • human papillomavirus influenza, hepatitis
  • Pathogenic bacteria causing infections treatable by methods of the disclosure include, but are not limited to, chlamydia, rickettsial bacteria, mycobacteria, staphylococci, streptococci, pneumonococci, meningococci and conococci, klebsiella, proteus, serratia, pseudomonas, legionella, diphtheria, salmonella, bacilli, cholera, tetanus, botulism, anthrax, plague, leptospirosis, and Lyme's disease bacteria.
  • Pathogenic fungi causing infections treatable by methods of the disclosure include, but are not limited to, Candida (albicans, krusei, glabrata, tropicalis, etc.), Cryptococcus neoformans, Aspergillus (fumigatus, niger, etc.), Genus Muco rales (mucor, absidia, rhizophus), Sporothrix schenkii, Blastomyces dermatitidis,
  • Pathogenic parasites causing infections treatable by methods of the disclosure include, but are not limited to, Entamoeba histolytica, Balantidium coli, Naegleriafowleri, Acanthamoeba sp., Giardia lambia, Cryptosporidium sp., Pneumocystis carinii, Plasmodium vivax, Babesia microti, Trypanosoma brucei, Trypanosoma cruzi, Leishmania donovani, Toxoplasma gondi, and Nippostrongylus brasiliensis.
  • chemotherapeutic agents are known to those skilled in the art. In addition, their administration is described in the standard literature. For example, the administration of many of the chemotherapeutic agents is described in the“Physicians' Desk
  • compositions When employed as pharmaceuticals, the compounds of the disclosure can be administered in the form of pharmaceutical compositions. These compositions can be prepared in a manner well known in the pharmaceutical art, and can be administered by a variety of routes, depending upon whether local or systemic treatment is desired and upon the area to be treated. Administration may be topical (including transdermal, epidermal, ophthalmic and to mucous membranes including intranasal, vaginal and rectal delivery), pulmonary (e.g., by inhalation or insufflation of powders or aerosols, including by nebulizer; intratracheal or intranasal), oral, or parenteral. Parenteral administration includes intravenous, intraarterial, subcutaneous, intraperitoneal intramuscular or injection or infusion; or intracranial, e.g., intrathecal or
  • Parenteral administration can be in the form of a single bolus dose, or may be, for example, by a continuous perfusion pump.
  • compositions and formulations for topical administration may include transdermal patches, ointments, lotions, creams, gels, drops, suppositories, sprays, liquids and powders.
  • Conventional pharmaceutical carriers, aqueous, powder or oily bases, thickeners and the like may be necessary or desirable.
  • compositions which contain, as the active ingredient, the compound of the disclosure or a pharmaceutically acceptable salt thereof, in combination with one or more pharmaceutically acceptable carriers (excipients).
  • the composition is suitable for topical administration.
  • the active ingredient is typically mixed with an excipient, diluted by an excipient or enclosed within such a carrier in the form of, for example, a capsule, sachet, paper, or other container.
  • the excipient serves as a diluent, it can be a solid, semi-solid, or liquid material, which acts as a vehicle, carrier or medium for the active ingredient.
  • compositions can be in the form of tablets, pills, powders, lozenges, sachets, cachets, elixirs, suspensions, emulsions, solutions, syrups, aerosols (as a solid or in a liquid medium), ointments containing, for example, up to 10% by weight of the active compound, soft and hard gelatin capsules, suppositories, sterile injectable solutions, and sterile packaged powders.
  • the active compound can be milled to provide the appropriate particle size prior to combining with the other ingredients. If the active compound is substantially insoluble, it can be milled to a particle size of less than 200 mesh. If the active compound is substantially water soluble, the particle size can be adjusted by milling to provide a substantially uniform distribution in the formulation, e.g., about 40 mesh.
  • compositions of the disclosure can be formulated so as to provide quick, sustained or delayed release of the active ingredient after administration to the patient by employing procedures known in the art.
  • compositions of the disclosure contain from about 50 to about 500 mg of the active ingredient.
  • the active compound can be effective over a wide dosage range and is generally administered in a pharmaceutically effective amount. It will be understood, however, that the amount of the compound actually administered will usually be determined by a physician, according to the relevant circumstances, including the condition to be treated, the chosen route of administration, the actual compound administered, the age, weight, and response of the individual patient, the severity of the patient's symptoms, and the like.
  • the tablet or pill can comprise an inner dosage and an outer dosage component, the latter being in the form of an envelope over the former.
  • the two components can be separated by an enteric layer which serves to resist disintegration in the stomach and permit the inner component to pass intact into the duodenum or to be delayed in release.
  • enteric layers or coatings such materials including a number of polymeric acids and mixtures of polymeric acids with such materials as shellac, cetyl alcohol, and cellulose acetate.
  • liquid forms in which the compounds and compositions of the present disclosure can be incorporated for administration orally or by injection include aqueous solutions, suitably flavored syrups, aqueous or oil suspensions, and flavored emulsions with edible oils such as cottonseed oil, sesame oil, coconut oil, or peanut oil, as well as elixirs and similar pharmaceutical vehicles.
  • compositions for inhalation or insufflation include solutions and suspensions in pharmaceutically acceptable, aqueous or organic solvents, or mixtures thereof, and powders.
  • the liquid or solid compositions may contain suitable pharmaceutically acceptable excipients as described supra.
  • the compositions are administered by the oral or nasal respiratory route for local or systemic effect.
  • Topical formulations can contain one or more conventional carriers.
  • ointments can contain water and one or more hydrophobic carriers selected from, for example, liquid paraffin, polyoxyethylene alkyl ether, propylene glycol, white Vaseline, and the like.
  • Carrier compositions of creams can be based on water in combination with glycerol and one or more other components, e.g.
  • topical formulations contain at least about 0.1, at least about 0.25, at least about 0.5, at least about 1, at least about 2, or at least about 5 wt % of the compound of the disclosure.
  • the topical formulations can be suitably packaged in tubes of, for example, 100 g which are optionally associated with instructions for the treatment of the select indication, e.g., psoriasis or other skin condition.
  • compositions can be administered to a patient already suffering from a disease in an amount sufficient to cure or at least partially arrest the symptoms of the disease and its complications. Effective doses will depend on the disease condition being treated as well as by the judgment of the attending clinician depending upon factors such as the severity of the disease, the age, weight and general condition of the patient, and the like.
  • compositions administered to a patient can be in the form of
  • compositions described above can be sterilized by conventional sterilization techniques, or may be sterile filtered.
  • Aqueous solutions can be packaged for use as is, or lyophilized, the lyophilized preparation being combined with a sterile aqueous carrier prior to administration.
  • the pH of the compound preparations typically will be between 3 and 11, more preferably from 5 to 9 and most preferably from 7 to 8. It will be understood that use of certain of the foregoing excipients, carriers, or stabilizers will result in the formation of
  • the therapeutic dosage of a compound of the present disclosure can vary according to, for example, the particular use for which the treatment is made, the manner of administration of the compound, the health and condition of the patient, and the judgment of the prescribing physician.
  • the proportion or concentration of a compound of the disclosure in a pharmaceutical composition can vary depending upon a number of factors including dosage, chemical characteristics (e.g.,
  • the compounds of the disclosure can be provided in an aqueous physiological buffer solution containing about 0.1 to about 10% w/v of the compound for parenteral administration.
  • Some typical dose ranges are from about 1 pg/kg to about 1 g/kg of body weight per day. In some embodiments, the dose range is from about 0.01 mg/kg to about 100 mg/kg of body weight per day.
  • the dosage is likely to depend on such variables as the type and extent of progression of the disease or disorder, the overall health status of the particular patient, the relative biological efficacy of the compound selected, formulation of the excipient, and its route of administration. Effective doses can be extrapolated from dose-response curves derived from in vitro or animal model test systems.
  • compositions of the disclosure can further include one or more additional pharmaceutical agents such as a chemotherapeutic, steroid, anti-inflammatory compound, or immunosuppressant, examples of which are listed herein.
  • additional pharmaceutical agents such as a chemotherapeutic, steroid, anti-inflammatory compound, or immunosuppressant, examples of which are listed herein.
  • Another aspect of the present disclosure relates to labeled compounds of the disclosure (radio-labeled, fluorescent-labeled, etc.) that would be useful not only in imaging techniques but also in assays, both in vitro and in vivo, for localizing and quantitating A2A and/or A2B receptors in tissue samples, including human, and for identifying A2A and/or A2B antagonists by inhibition binding of a labeled compound.
  • labeled compounds of the disclosure radio-labeled, fluorescent-labeled, etc.
  • the present disclosure includes adenosine receptor (e.g., A2A and/or A2B) assays that contain such labeled or substituted compounds.
  • adenosine receptor e.g., A2A and/or A2B
  • the present disclosure further includes isotopically-labeled compounds of the disclosure.
  • An“isotopically” or“radio-labeled” compound is a compound of the disclosure where one or more atoms are replaced or substituted by an atom having an atomic mass or mass number different from the atomic mass or mass number typically found in nature (i.e., naturally occurring).
  • Suitable radionuclides that may be incorporated in compounds of the present disclosure include but are not limited to 2 H (also written as D for deuterium), 3 H (also written as T for tritium), n C, 13 C, 14 C, 13 N, 15 N, 15 0, 17 0, 18 0, 18 F, 35 S, 36 Cl, 82 Br, 75 Br, 76 Br, 77 Br, 123 I, 124 I, 125 I and 131 I.
  • one or more hydrogen atoms in a compound of the present disclosure can be replaced by deuterium atoms (e.g., one or more hydrogen atoms of a Ci- 6 alkyl group of Formula (I) can be optionally substituted with deuterium atoms, such as -CD3 being substituted for -CH 3 ).
  • alkyl groups in any of the disclosed Formulas, e.g., Formula (I) can be perdeuterated.
  • the compound includes at least one deuterium atom.
  • one or more hydrogen atoms in a compound presented herein can be replaced or substituted by deuterium (e.g., one or more hydrogen atoms of a Ci- 6 alkyl group can be replaced by deuterium atoms, such as -CD 3 being substituted for -CFh).
  • the compound includes two or more deuterium atoms.
  • the compound includes 1-2, 1-3, 1-4, 1-5, or 1-6 deuterium atoms.
  • all of the hydrogen atoms in a compound can be replaced or substituted by deuterium atoms.
  • substitution with heavier isotopes may afford certain therapeutic advantages resulting from greater metabolic stability, for example, increased in vivo half-life or reduced dosage requirements, and hence may be preferred in some circumstances (see e.g., A. Kerekes et. al. J. Med. Chem. 2011, 54, 201-210; R. Xu et. al. J. Label Compd. Radiopharm. 2015, 58, 308-312).
  • substitution at one or more metabolism sites may afford one or more of the therapeutic advantages.
  • a“radio-labeled” or“labeled compound” is a compound that has incorporated at least one radionuclide.
  • the radionuclide In some embodiments, the
  • radionuclide is selected from the group consisting of 3 H, 14 C, 125 1, 35 S and 82 Br.
  • the present disclosure can further include synthetic methods for incorporating radio-isotopes into compounds of the disclosure. Synthetic methods for incorporating radio-isotopes into organic compounds are well known in the art, and an ordinary skill in the art will readily recognize the methods applicable for the compounds of disclosure.
  • a labeled compound of the disclosure can be used in a screening assay to identify/evaluate compounds.
  • a newly synthesized or identified compound i.e.. test compound
  • a test compound which is labeled can be evaluated for its ability to bind an adenosine receptor by monitoring its concentration variation when contacting with the adenosine receptor, through tracking of the labeling.
  • a test compound (labeled) can be evaluated for its ability to reduce binding of another compound which is known to bind to a an adenosine receptor (i.e., standard compound). Accordingly, the ability of a test compound to compete with the standard compound for binding to the adenosine receptor directly correlates to its binding affinity.
  • kits useful for example, in the treatment or prevention of adenosine receptor-associated diseases or disorders (such as, e.g., cancer, an inflammatory disease, a cardiovascular disease, or a neuro degenerative disease) which include one or more containers containing a pharmaceutical composition comprising a therapeutically effective amount of a compound of the disclosure.
  • kits can further include, if desired, one or more of various conventional pharmaceutical kit components, such as, for example, containers with one or more pharmaceutically acceptable carriers, additional containers, etc., as will be readily apparent to those skilled in the art.
  • Instructions, either as inserts or as labels, indicating quantities of the components to be administered, guidelines for administration, and/or guidelines for mixing the components can also be included in the kit.
  • Typical preparative reverse-phase high performance liquid chromatography (RP-HPLC) column conditions are as follows:
  • pH 10 purifications: Waters XBridgeTM Cis 5 pm, 30 x 100 mm column, eluting with mobile phase A: 0.1% NH 4 OH in water and mobile phase B: acetonitrile; the flow rate was 60 mL/minute, the separating gradient was optimized for each compound using the Compound Specific Method Optimization protocol as described in the literature (see e.g. "Preparative LCMS Purification: Improved Compound Specific Method Optimization", K. Blom, B. Glass, R. Sparks, A. Combs, J. Comb. Chem. , 6, 874-883 (2004)).
  • Step 1 Diethyl l-(2-(3-cyanophenyl)-2-oxoethyl)-lH-pyrazole-3,5-dicarboxylate
  • Step 2 Ethyl 6-(3-cyanophenyl)-4-oxo-4 ,5-dihydropyrazolo [J5-a]pyrazine-2- carboxylate
  • Step 8 4-Amino-6-(3-cyanophenyl)-N-ethyl-7-(l-ethyl-lH-pyrazol-5-yl)pyrazolo[J5- a ]pyrazine-2-carboxamide

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EA202190204A EA202190204A1 (ru) 2018-11-05 2019-07-03 Производные конденсированных пиразинов как ингибиторы a2a/a2b
CR20210071A CR20210071A (es) 2018-07-05 2019-07-03 Derivados de pirazina fusionados como inhibidores de a2a/a2b
IL300821A IL300821B2 (en) 2018-07-05 2019-07-03 Fused pyrazine derivatives as A2A/A2B inhibitors
JP2021500095A JP7490631B2 (ja) 2018-07-05 2019-07-03 A2a/a2b阻害剤としての縮合ピラジン誘導体
JOP/2020/0342A JOP20200342A1 (ar) 2018-07-05 2019-07-03 مشتقات بيرازين مدمجة كمثبطات a2a/a2b
IL279829A IL279829B2 (en) 2018-07-05 2019-07-03 Fused pyrazine derivatives as A2A/A2B inhibitors
EP19745853.2A EP3818063A1 (en) 2018-07-05 2019-07-03 Fused pyrazine derivatives as a2a / a2b inhibitors
BR112021000075-5A BR112021000075A2 (pt) 2018-07-05 2019-07-03 Derivados de pirazina fundidos como inibidores de a2a/a2b
AU2019297361A AU2019297361B2 (en) 2018-07-05 2019-07-03 Fused pyrazine derivatives as A2A / A2B inhibitors
CN202310852285.0A CN117304191A (zh) 2018-07-05 2019-07-03 作为a2a/a2b抑制剂的稠合吡嗪衍生物
SG11202013216RA SG11202013216RA (en) 2018-07-05 2019-07-03 Fused pyrazine derivatives as a2a / a2b inhibitors
CA3105721A CA3105721A1 (en) 2018-07-05 2019-07-03 Fused pyrazine derivatives as a2a / a2b inhibitors
KR1020217003641A KR20210049090A (ko) 2018-07-05 2019-07-03 A2a/a2b 억제제로서 융합된 피라진 유도체
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UAA202100418A UA128332C2 (uk) 2018-07-05 2019-07-03 Похідні конденсованих піразинів як інгібітори a2a/a2b
CR20240054A CR20240054A (es) 2018-07-05 2019-07-03 DERIVADOS DE PIRAZINA FUSIONADOS COMO INHIBIDORES DE A2A/A2B (Div. 2021-71)
PE2021000005A PE20211807A1 (es) 2018-07-05 2019-07-03 Derivados de pirazina fusionados como inhibidores de a2a/a2b
CN201980057732.5A CN113166153B (zh) 2018-07-05 2019-07-03 作为a2a/a2b抑制剂的稠合吡嗪衍生物
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MX2024011913A MX2024011913A (es) 2018-07-05 2021-01-06 Derivados de pirazina fusionados como inhibidores de a2a/a2b
CONC2021/0001251A CO2021001251A2 (es) 2018-07-05 2021-02-04 Derivados de pirazina fusionados como inhibidores de a2a/a2b
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