WO2021262815A1 - Cereblon binding compounds, compositions thereof, and methods of treatment therewith - Google Patents

Cereblon binding compounds, compositions thereof, and methods of treatment therewith Download PDF

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Publication number
WO2021262815A1
WO2021262815A1 PCT/US2021/038629 US2021038629W WO2021262815A1 WO 2021262815 A1 WO2021262815 A1 WO 2021262815A1 US 2021038629 W US2021038629 W US 2021038629W WO 2021262815 A1 WO2021262815 A1 WO 2021262815A1
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mmol
equiv
trans
methyl
cyclohexyl
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English (en)
French (fr)
Inventor
Matthew D. Alexander
Matthew D. Correa
Deepak DALVIE
Virginia Heather Sharron Grant
Joshua Hansen
III Roy L. HARRIS
Evan J. Horn
Dehua Huang
Christopher Mayne
Stephen Norris
Veronique Plantevin-Krenitsky
John J. Sapienza
Lida Tehrani
Brandon W. Whitefield
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Celgene Corp
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Celgene Corp
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Priority to EP21829558.2A priority Critical patent/EP4171567B1/en
Priority to KR1020237002103A priority patent/KR20230027214A/ko
Priority to CN202180043585.3A priority patent/CN115968293B/zh
Priority to ES21829558T priority patent/ES3047718T3/es
Priority to JP2022578998A priority patent/JP7781083B2/ja
Publication of WO2021262815A1 publication Critical patent/WO2021262815A1/en
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    • CCHEMISTRY; METALLURGY
    • C07ORGANIC CHEMISTRY
    • C07DHETEROCYCLIC COMPOUNDS
    • C07D401/00Heterocyclic compounds containing two or more hetero rings, having nitrogen atoms as the only ring hetero atoms, at least one ring being a six-membered ring with only one nitrogen atom
    • C07D401/14Heterocyclic compounds containing two or more hetero rings, having nitrogen atoms as the only ring hetero atoms, at least one ring being a six-membered ring with only one nitrogen atom containing three or more hetero rings
    • 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
    • A61K31/505Pyrimidines; Hydrogenated pyrimidines, e.g. trimethoprim
    • A61K31/513Pyrimidines; Hydrogenated pyrimidines, e.g. trimethoprim having oxo groups directly attached to the heterocyclic ring, e.g. cytosine
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P35/00Antineoplastic agents
    • CCHEMISTRY; METALLURGY
    • C07ORGANIC CHEMISTRY
    • C07DHETEROCYCLIC COMPOUNDS
    • C07D403/00Heterocyclic compounds containing two or more hetero rings, having nitrogen atoms as the only ring hetero atoms, not provided for by group C07D401/00
    • C07D403/14Heterocyclic compounds containing two or more hetero rings, having nitrogen atoms as the only ring hetero atoms, not provided for by group C07D401/00 containing three or more hetero rings

Definitions

  • Androgen receptor signaling is known to play a crucial role in the pathogenesis of prostate cancer and is involved in the development of other androgen receptor positive cancers (Chen Y et al., Lancet Oncol, 2009, 10:981-91; Mills I G, Nat Rev Cancer, 2014, 14:187-98; Taplin M E, Nat Clin Pract Oncol, 2007, 4:236-44; Wirth M P et al., Eur Urol, 2007, 51(2):306- 13).
  • the inhibition of androgen receptor signaling with anti-androgens that antagonize the androgen receptor has been used or proposed for the treatment of prostate cancer.
  • the androgen receptor normally resides in the cytoplasm bound to chaperones such as HSP90 (Brinkmann A O et al., J Steroid Biochem Mol Biol, 1999, 69:307-13).
  • DHT dihydrotestosterone
  • the androgen receptor changes its conformation and translocates to the nucleus, where it binds androgen responsive elements (AREs) driving the transcription of canonical targets such as KLK3 (also known as prostate specific antigen PSA), TMPRSS2 and KLK2 (Tran C et al., Science, 2009, 324:787-90; Murtha P et al., Biochemistry (Mosc.), 1993, 32:6459-64).
  • KLK3 also known as prostate specific antigen PSA
  • TMPRSS2 TMPRSS2
  • KLK2 Tran C et al., Science, 2009, 324:787-90; Murtha P et al., Biochemistry (Mosc.), 1993, 32:
  • Prostate cancer is one of the most frequently diagnosed non-cutaneous cancers among men in the US and is the second most common cause of cancer deaths with more than 200,000 new cases and over 30,000 deaths each year in the United States.
  • Androgen-deprivation therapy is the standard of treatment for advanced PCa. Patients with advanced PCa undergo ADT, either by luteinizing hormone releasing hormone (LHRH) agonists, LHRH antagonists or by bilateral orchiectomy. Despite initial response to ADT, disease progression is inevitable and the cancer emerges as castration-resistant prostate cancer (CRPC). Up to 30% of patients with prostate cancer that undergo primary treatment by radiation or surgery will develop metastatic disease within 10 years of the primary treatment.
  • metastatic CRPC metastatic CRPC
  • compositions comprising an effective amount of a compound as described herein, and a pharmaceutically acceptable carrier, excipient or vehicle.
  • pharmaceutical compositions comprising an effective amount of a compound as described herein, and a pharmaceutically acceptable carrier, excipient or vehicle.
  • the pharmaceutical composition is suitable for oral, parenteral, mucosal, transdermal or topical administration.
  • methods for treating or preventing androgen receptor mediated diseases in a subject comprising administering to a subject in need thereof an effective amount of a compound as described herein; and a pharmaceutically acceptable carrier, excipient or vehicle.
  • provided herein are methods for treating or preventing androgen receptor mediated diseases in a subject, comprising administering to a subject in need thereof an effective amount of a compound as described herein; and a pharmaceutically acceptable carrier, excipient or vehicle.
  • compounds for use in methods of treatment of androgen receptor mediated diseases In another aspect, provided herein are compounds for use in methods of treatment of androgen receptor mediated diseases.
  • methods for preparing compounds as described herein In another aspect provided herein are methods for preparing compounds as described herein.
  • methods for preparing compounds as described herein are methods for preparing compounds as described herein.
  • alkyl is a saturated, partially saturated, or unsaturated straight chain or branched non-cyclic hydrocarbon having from 1 to 10 carbon atoms, typically from 1 to 8 carbons or, in some embodiments, from 1 to 6, 1 to 4, or 2 to 6 carbon atoms. In some embodiments, the alkyl group is a saturated alkyl group.
  • saturated alkyl groups include -methyl, -ethyl, -n-propyl, -n-butyl, -n-pentyl and -n-hexyl; while saturated branched alkyls include -isopropyl, -sec-butyl, -isobutyl, -tert-butyl, -isopentyl, -neopentyl, tert-pentyl, -2-methylpentyl, -3-methylpentyl, -4-methylpentyl, -2,3-dimethylbutyl and the like.
  • the alkyl group is an unsaturated alkyl group, also termed an alkenyl or alkynyl group.
  • An “alkenyl” group is an alkyl group that contains one or more carbon-carbon double bonds.
  • An “alkynyl” group is an alkyl group that contains one or more carbon-carbon triple bonds.
  • An alkyl group can be substituted or unsubstituted.
  • alkyl groups described herein When the alkyl groups described herein are said to be “substituted,” they may be substituted with any substituent or substituents as those found in the exemplary compounds and embodiments disclosed herein, as well as halogen; hydroxy; alkoxy; cycloalkyloxy, aryloxy, heterocyclyloxy, heteroaryloxy, heterocycloalkyloxy, cycloalkylalkyloxy, aralkyloxy, heterocyclylalkyloxy, heteroarylalkyloxy, heterocycloalkylalkyloxy; oxo ( ⁇ O); amino, alkylamino, cycloalkylamino, arylamino, heterocyclylamino, heteroarylamino, heterocycloalkylamino, cycloalkylalkylamino, aralkylamino, heterocyclylalkylamino, heteroaralkylamino, heterocycloalkylalkylamino; imino;
  • alkyl groups described herein when they are said to be “substituted,” they may be substituted with any substituent or substituents as those found in the exemplary compounds and embodiments disclosed herein, as well as halogen (chloro, iodo, bromo, or fluoro); alkyl; hydroxyl; alkoxy; alkoxyalkyl; amino; alkylamino; carboxy; nitro; cyano; thiol; thioether; imine; imide; amidine; guanidine; enamine; aminocarbonyl; acylamino; phosphonate; phosphine; thiocarbonyl; sulfinyl; sulfone; sulfonamide; ketone; aldehyde; ester; urea; urethane; oxime; hydroxyl amine; alkoxyamine; aralkoxyamine; N-oxide; hydrazine; hydrazide;
  • a “cycloalkyl” group is a saturated, or partially saturated cyclic alkyl group of from 3 to 10 carbon atoms having a single cyclic ring or multiple condensed or bridged rings which can be optionally substituted.
  • the cycloalkyl group has 3 to 8 ring members, whereas in other embodiments the number of ring carbon atoms ranges from 3 to 5, 3 to 6, or 3 to 7.
  • the cycloalkyl groups are saturated cycloalkyl groups.
  • Such saturated cycloalkyl groups include, by way of example, single ring structures such as cyclopropyl, cyclobutyl, cyclopentyl, cyclohexyl, cycloheptyl, cyclooctyl, 1-methylcyclopropyl, 2-methylcyclopentyl, 2-methylcyclooctyl, and the like, or multiple or bridged ring structures such as 1-bicyclo[1.1.1]pentyl, bicyclo[2.1.1]hexyl, bicyclo[2.2.1]heptyl, bicyclo[2.2.2]octyl, adamantyl and the like.
  • the cycloalkyl groups are unsaturated cycloalkyl groups.
  • unsaturared cycloalkyl groups include cyclohexenyl, cyclopentenyl, cyclohexadienyl, butadienyl, pentadienyl, hexadienyl, among others.
  • a cycloalkyl group can be substituted or unsubstituted. Such substituted cycloalkyl groups include, by way of example, cyclohexanol and the like.
  • aryl group is an aromatic carbocyclic group of from 6 to 14 carbon atoms having a single ring (e.g., phenyl) or multiple condensed rings (e.g., naphthyl or anthryl). In some embodiments, aryl groups contain 6-14 carbons, and in others from 6 to 12 or even 6 to 10 carbon atoms in the ring portions of the groups. Particular aryls include phenyl, biphenyl, naphthyl and the like. An aryl group can be substituted or unsubstituted.
  • aryl groups also includes groups containing fused rings, such as fused aromatic-aliphatic ring systems (e.g., indanyl, tetrahydronaphthyl, and the like).
  • a “heteroaryl” group is an aromatic ring system having one to four heteroatoms as ring atoms in a heteroaromatic ring system, wherein the remainder of the atoms are carbon atoms.
  • heteroaryl groups contain 3 to 6 ring atoms, and in others from 6 to 9 or even 6 to 10 atoms in the ring portions of the groups. Suitable heteroatoms include oxygen, sulfur and nitrogen.
  • the heteroaryl ring system is monocyclic or bicyclic.
  • Non-limiting examples include but are not limited to, groups such as pyrrolyl, pyrazolyl, imidazolyl, triazolyl, tetrazolyl, oxazolyl, isoxazolyl, benzisoxazolyl (e.g., benzo[d]isoxazolyl), thiazolyl, pyrolyl, pyridazinyl, pyrimidyl, pyrazinyl, thiophenyl, benzothiophenyl, furanyl, benzofuranyl, indolyl (e.g., indolyl-2-onyl or isoindolin-1-onyl), azaindolyl (pyrrolopyridyl or 1H-pyrrolo[2,3-b]pyridyl), indazolyl, benzimidazolyl (e.g., 1H-benzo[d]imidazolyl), imidazopyridyl
  • a heteroaryl group can be substituted or unsubstituted.
  • a “heterocyclyl” is an aromatic (also referred to as heteroaryl) or non-aromatic cycloalkyl in which one to four of the ring carbon atoms are independently replaced with a heteroatom from the group consisting of O, S and N.
  • heterocyclyl groups include 3 to10 ring members, whereas other such groups have 3 to 5, 3 to 6, or 3 to 8 ring members.
  • Heterocyclyls can also be bonded to other groups at any ring atom (i.e., at any carbon atom or heteroatom of the heterocyclic ring).
  • a heterocycloalkyl group can be substituted or unsubstituted.
  • Heterocyclyl groups encompass unsaturated, partially saturated and saturated ring systems, such as, for example, imidazolyl, imidazolinyl and imidazolidinyl (e.g., imidazolidin-4- one or imidazolidin-2,4-dionyl) groups.
  • heterocyclyl includes fused ring species, including those comprising fused aromatic and non-aromatic groups, such as, for example, 1- and 2-aminotetraline, benzotriazolyl (e.g., 1H-benzo[d][1,2,3]triazolyl), benzimidazolyl (e.g., 1H-benzo[d]imidazolyl), 2,3-dihydrobenzo[l,4]dioxinyl, and benzo[l,3]dioxolyl.
  • the phrase also includes bridged polycyclic ring systems containing a heteroatom such as, but not limited to, quinuclidyl.
  • heterocyclyl group examples include, but are not limited to, aziridinyl, azetidinyl, azepanyl, oxetanyl, pyrrolidyl, imidazolidinyl (e.g., imidazolidin-4-onyl or imidazolidin-2,4-dionyl), pyrazolidinyl, thiazolidinyl, tetrahydrothiophenyl, tetrahydrofuranyl, dioxolyl, furanyl, thiophenyl, pyrrolyl, pyrrolinyl, imidazolyl, imidazolinyl, pyrazolyl, pyrazolinyl, triazolyl, tetrazolyl, oxazolyl, isoxazolyl, benzisoxazolyl (e.g., benzo[d]isoxazolyl), thiazolyl, thiazol
  • non-aromatic heterocyclyl groups do not include fused ring species that comprise a fused aromatic group.
  • non-aromatic heterocyclyl groups include aziridinyl, azetidinyl, azepanyl, pyrrolidyl, imidazolidinyl (e.g., imidazolidin-4- onyl or imidazolidin-2,4-dionyl), pyrazolidinyl, thiazolidinyl, tetrahydrothiophenyl, tetrahydrofuranyl, piperidyl, piperazinyl (e.g., piperazin-2-onyl), morpholinyl, thiomorpholinyl, tetrahydropyranyl (e.g., tetrahydro-2H-pyranyl), tetrahydrothiopyranyl, oxathianyl, dithianyl, 1,4-dioxaspiro[4.5]de
  • substituted heterocyclyl groups may be mono-substituted or substituted more than once, such as, but not limited to, pyridyl or morpholinyl groups, which are 2-, 3-, 4-, 5-, or 6-substituted, or disubstituted with various substituents such as those listed below.
  • a “cycloalkylalkyl” group is a radical of the formula: -alkyl-cycloalkyl, wherein alkyl and cycloalkyl are defined above.
  • Substituted cycloalkylalkyl groups may be substituted at the alkyl, the cycloalkyl, or both the alkyl and the cycloalkyl portions of the group.
  • Representative cycloalkylalkyl groups include but are not limited to cyclopropylmethyl, cyclobutylmethyl, cyclopentylmethyl, cyclohexylmethyl, cyclopropylethyl, cyclobutylethyl, cyclopentylethyl, cyclohexylethyl, cyclopentylpropyl, cyclohexylpropyl and the like.
  • an “aralkyl” group is a radical of the formula: -alkyl-aryl, wherein alkyl and aryl are defined above. Substituted aralkyl groups may be substituted at the alkyl, the aryl, or both the alkyl and the aryl portions of the group.
  • Representative aralkyl groups include but are not limited to benzyl and phenethyl groups and aralkyl groups wherein the aryl group is fused to a cycloalkyl group such as indan-4-yl ethyl.
  • a “heterocyclylalkyl” group is a radical of the formula: -alkyl-heterocyclyl, wherein alkyl and heterocyclyl are defined above.
  • a “heteroarylalkyl” group is a radical of the formula: -alkyl-heteroaryl, wherein alkyl and heteroaryl are defined above.
  • a “heterocycloalkylalkyl” group is a radical of the formula: -alkyl-heterocycloalkyl, wherein alkyl and heterocycloalkyl are defined above.
  • Substituted heterocyclylalkyl groups may be substituted at the alkyl, the heterocyclyl, or both the alkyl and the heterocyclyl portions of the group.
  • Representative heterocylylalkyl groups include but are not limited to morpholin-4-yl ethyl, morpholin-4-yl propyl, furan-2-yl methyl, furan-3-yl methyl, pyridin-3-yl methyl, tetrahydrofuran-2-yl ethyl, and indol-2-yl propyl.
  • a “halogen” is fluorine, chlorine, bromine or iodine.
  • a “hydroxyalkyl” group is an alkyl group as described above substituted with one or more hydroxy groups.
  • An “alkoxy” group is -O-(alkyl), wherein alkyl is defined above.
  • An “alkoxyalkyl” group is -(alkyl)-O-(alkyl), wherein alkyl is defined above.
  • An “amino” group is a radical of the formula: -NH2, -NH(R # ), or -N(R # )2, wherein each R # is independently an alkyl, cycloalkyl, cycloalkylalkyl, aryl, aralkyl, heterocyclyl (e.g., heteroaryl or heterocycloalkyl), or heterocyclylalkyl (e.g., heteroarylalkyl or heterocycloalkylalkyl) group defined above, each of which is independently substituted or unsubstituted.
  • an “amino” group is an “alkylamino” group, which is a radical of the formula: -NH-alkyl or –N(alkyl)2, wherein each alkyl is independently defined above.
  • a “carboxy” group is a radical of the formula: -C(O)OH.
  • an “acyl” group is a radical of the formula: -C(O)(R # ) or -C(O)H, wherein R # is defined above.
  • a “formyl” group is a radical of the formula: -C(O)H.
  • an “amido” group is a radical of the formula: -C(O)-NH2, -C(O)-NH(R # ), -C(O)-N(R # )2, -NH-C(O)H, -NH-C(O)-(R # ), -N(R # )-C(O)H, or -N(R # )-C(O)-(R # ), wherein each R # is independently defined above.
  • an “amido” group is an “aminocarbonyl” group, which is a radical of the formula: -C(O)-NH2, -C(O)-NH(R # ), -C(O)-N(R # )2, wherein each R # is independently defined above.
  • an “amido” group is an “acylamino” group, which is a radical of the formula: -NH-C(O)H, -NH-C(O)-(R # ), -N(R # )-C(O)H, or -N(R # )-C(O)-(R # ), wherein each R # is independently defined above.
  • a “sulfonylamino” group is a radical of the formula: -NHSO 2 (R # ) or -N(alkyl)SO 2 (R # ), wherein each alkyl and R # are defined above.
  • a “urea” group is a radical of the formula: -N(alkyl)C(O)N(R # )2, -N(alkyl)C(O)NH(R # ), –N(alkyl)C(O)NH2, -NHC(O)N(R # )2, -NHC(O)NH(R # ), or -NH(CO)NH 2 , wherein each alkyl and R # are independently as defined above.
  • substituents are those found in the exemplary compounds and embodiments disclosed herein, as well as halogen (chloro, iodo, bromo, or fluoro); alkyl; hydroxyl; alkoxy; alkoxyalkyl; amino; alkylamino; carboxy; nitro; cyano; thiol; thioether; imine; imide; amidine; guanidine; enamine; aminocarbonyl; acylamino; phosphonate; phosphine; thiocarbonyl; sulfinyl; sulfone; sulfonamide; ketone; aldehyde; ester; urea; urethane; oxime; hydroxyl amine; alkoxyamine; aralkoxyamine;
  • the term “pharmaceutically acceptable salt(s)” refers to a salt prepared from a pharmaceutically acceptable non-toxic acid or base including an inorganic acid and base and an organic acid and base.
  • Suitable pharmaceutically acceptable base addition salts of the compounds of formula I include, but are not limited to metallic salts made from aluminum, calcium, lithium, magnesium, potassium, sodium and zinc or organic salts made from lysine, N,N’-dibenzylethylenediamine, chloroprocaine, choline, diethanolamine, ethylenediamine, meglumine (N-methyl-glucamine) and procaine.
  • Suitable non-toxic acids include, but are not limited to, inorganic and organic acids such as acetic, alginic, anthranilic, benzenesulfonic, benzoic, camphorsulfonic, citric, ethenesulfonic, formic, fumaric, furoic, galacturonic, gluconic, glucuronic, glutamic, glycolic, hydrobromic, hydrochloric, isethionic, lactic, maleic, malic, mandelic, methanesulfonic, mucic, nitric, pamoic, pantothenic, phenylacetic, phosphoric, propionic, salicylic, stearic, succinic, sulfanilic, sulfuric, tartaric acid, and p-toluenesulfonic acid.
  • inorganic and organic acids such as acetic, alginic, anthranilic, benzenesulfonic, benzoic, camphorsulfonic
  • non-toxic acids include hydrochloric, hydrobromic, maleic, phosphoric, sulfuric, and methanesulfonic acids.
  • specific salts thus include hydrochloride formic, and mesylate salts.
  • Others are well known in the art, see for example, Remington’s Pharmaceutical Sciences, 18 th eds., Mack Publishing, Easton PA (1990) or Remington: The Science and Practice of Pharmacy, 19 th eds., Mack Publishing, Easton PA (1995).
  • the term “stereoisomer” or “stereoisomerically pure” means one stereoisomer of a compound provided herein that is substantially free of other stereoisomers of that compound.
  • a stereoisomerically pure compound having one chiral center will be substantially free of the opposite enantiomer of the compound.
  • a stereoisomerically pure compound having two chiral centers will be substantially free of other diastereomers of the compound.
  • a typical stereoisomerically pure compound comprises greater than about 80% by weight of one stereoisomer of the compound and less than about 20% by weight of other stereoisomers of the compound, greater than about 90% by weight of one stereoisomer of the compound and less than about 10% by weight of the other stereoisomers of the compound, greater than about 95% by weight of one stereoisomer of the compound and less than about 5% by weight of the other stereoisomers of the compound, or greater than about 97% by weight of one stereoisomer of the compound and less than about 3% by weight of the other stereoisomers of the compound.
  • the compounds can have chiral centers and can occur as racemates, individual enantiomers or diastereomers, and mixtures thereof. All such isomeric forms are included within the embodiments disclosed herein, including mixtures thereof. [0042] The use of stereoisomerically pure forms of such compounds, as well as the use of mixtures of those forms, are encompassed by the embodiments disclosed herein. For example, mixtures comprising equal or unequal amounts of the enantiomers of a particular compound may be used in methods and compositions disclosed herein. These isomers may be asymmetrically synthesized or resolved using standard techniques such as chiral columns or chiral resolving agents.
  • the compounds can include E and Z isomers, or a mixture thereof, and cis and trans isomers or a mixture thereof.
  • the compounds are isolated as either the E or Z isomer. In other embodiments, the compounds are a mixture of the E and Z isomers.
  • Tautomers refers to isomeric forms of a compound that are in equilibrium with each other. The concentrations of the isomeric forms will depend on the environment the compound is found in and may be different depending upon, for example, whether the compound is a solid or is in an organic or aqueous solution. For example, in aqueous solution, pyrazoles may exhibit the following isomeric forms, which are referred to as tautomers of each other: . [0045] As readily understood by one skilled in the art, a wide variety of functional groups and other structures may exhibit tautomerism and all tautomers of compounds of formula I are within the scope of the present invention.
  • the compounds provided herein can contain unnatural proportions of atomic isotopes at one or more of the atoms.
  • the compounds may be radiolabeled with radioactive isotopes, such as for example tritium ( 3 H), iodine-125 ( 125 I), sulfur-35 ( 35 S), or carbon-14 ( 14 C), or may be isotopically enriched, such as with deuterium ( 2 H), carbon-13 ( 13 C), or nitrogen-15 ( 15 N).
  • an “isotopologue” is an isotopically enriched compound.
  • the term “isotopically enriched” refers to an atom having an isotopic composition other than the natural isotopic composition of that atom.
  • “Isotopically enriched” may also refer to a compound containing at least one atom having an isotopic composition other than the natural isotopic composition of that atom.
  • the term “isotopic composition” refers to the amount of each isotope present for a given atom.
  • Radiolabeled and isotopically enriched compounds are useful as therapeutic agents, e.g., cancer therapeutic agents, research reagents, e.g., binding assay reagents, and diagnostic agents, e.g., in vivo imaging agents. All isotopic variations of the compounds as described herein, whether radioactive or not, are intended to be encompassed within the scope of the embodiments provided herein.
  • isotopologues of the compounds are deuterium, carbon-13, and/or nitrogen-15 enriched compounds.
  • deuterated means a compound wherein at least one hydrogen (H) has been replaced by deuterium (indicated by D or 2 H), that is, the compound is enriched in deuterium in at least one position.
  • each compound referred to herein can be provided in the form of any of the pharmaceutically acceptable salts discussed herein. Equally, it is understood that the isotopic composition may vary independently from the stereoisomerical composition of each compound referred to herein.
  • the isotopic composition while being restricted to those elements present in the respective compound or salt thereof, may otherwise vary independently from the selection of the pharmaceutically acceptable salt of the respective compound.
  • “Treating” as used herein means an alleviation, in whole or in part, of a disorder, disease or condition, or one or more of the symptoms associated with a disorder, disease, or condition, or slowing or halting of further progression or worsening of those symptoms, or alleviating or eradicating the cause(s) of the disorder, disease, or condition itself.
  • the disorder is an androgen receptor mediated disease, as described herein, or a symptom thereof.
  • Preventing means a method of delaying and/or precluding the onset, recurrence or spread, in whole or in part, of a disorder, disease or condition; barring a subject from acquiring a disorder, disease, or condition; or reducing a subject’s risk of acquiring a disorder, disease, or condition.
  • the disorder is an androgen receptor mediated disease, as described herein, or symptoms thereof.
  • the term “effective amount” in connection with a compound means an amount capable of treating or preventing a disorder, disease or condition, or symptoms thereof, disclosed herein.
  • subject and patient as used herein include an animal, including, but not limited to, an animal such a cow, monkey, horse, sheep, pig, chicken, turkey, quail, cat, dog, mouse, rat, rabbit or guinea pig, in one embodiment a mammal, in another embodiment a human.
  • a subject is a human having or at risk for having an androgen receptor mediated disease, or a symptom thereof.
  • androgen receptor or "AR” or "NR3C4" as used herein refers to a nuclear hormone receptor activated by binding of the androgenic hormones, including testosterone or dihydrotestosterone.
  • AR-full length refers to AR protein that contains all four functional domains, including the N-terminal transactivation domain (NTD, exon 1), the DNA-binding domain (DBD, exons 2-3), the hinge domain (exon 4), and the C-terminal ligand binding domain (LBD, exons 4-8).
  • CRPC castration resistant prostate cancer
  • CRPC castration resistant prostate cancer
  • Castration resistant prostate cancer is defined as prostate cancer that continues to progress or worsen or adversely affect the health of the patient despite prior surgical castration, continued treatment with gonadotropin releasing hormone agonists (e.g., leuprolide) or antagonists (e.g., degarelix or abarelix), antiandrogens (e.g., bicalutamide, flutamide, enzalutamide, ketoconazole, aminoglutethamide), chemotherapeutic agents (e.g., docetaxel, paclitaxel, cabazitaxel, adriamycin, mitoxantrone, estramustine, cyclophosphamide), kinase inhibitors (imatinib (Gleevec®) or gefitinib (Iressa®), cabozantinib (Cometriq®, also known as XL184)) or other prostate cancer therapies (e.g., vaccines (sipuleucel-T
  • R 1 is C 1-3 alkyl
  • A’ is NH or O
  • a is 1 or 2
  • R 2 and R 3 are each independently selected from H, and C 1-3 alkyl, or R 2 and R 3 and the carbon to which they are attached form a substituted or unsubstituted C3-6 cycloalkyl
  • m is 0-8
  • each R 4 is independently substituted or unsubstituted C 1-3 alkyl, or two R 4 groups, together with the same carbon atom or adjacent carbon atoms to which they are attached, form a substituted or unsubstituted C3-6 cycloalkyl, or two R 4 groups together with the non-adjacent carbon atoms to which they are attached form a substituted or unsubstituted 4-7-membered heterocycl
  • m is 0, 1, 2, 3 or 4. In some embodiments of compounds of formula I, m is 1 or 2.
  • X is N. In some embodiments of compounds of formula I, X is CR X ; and R X is hydrogen, halogen, -O(C1-6 alkyl) or -(C1-9 alkyl). In some embodiments of compounds of formula I, X is CH.
  • L is substituted or unsubstituted -O(CH 2 ) p -, -(C 1-6 alkyl)O-, -O(C 1-6 alkyl)O- or -(CH 2 ) p -, and p is 1-4.
  • L is substituted or unsubstituted -O(CH 2 ) p -, and p is 2 or 3.
  • L is substituted or unsubstituted -O(CH2)pO-, and p is 2 or 3.
  • L is substituted or unsubstituted -(CH 2 ) p -, and p is 3 or 4.
  • L is -O(CH2)(CH2)-, -O(CH 2 )(CH 2 )(CH 2 )-, -O(CH 2 )(CH 2 )-, -(CH 2 )(CH 2 )-, -(CH 2 )(CH 2 )(CH 2 )-, or -(CH 2 )(CH 2 )(CH 2 )(CH 2 )-.
  • L is -O(CH2)(CH2)-, -O(CH2)(CH2)(CH2)-, -(CH2)(CH2)-, -(CH2)(CH2)(CH2)-, or -(CH2)(CH2)(CH2)(CH2)-.
  • L is -O(CH 2 )(CH 2 )-, -O(CH 2 )(CH 2 )O- or -(CH2)(CH2)(CH2)-.
  • L is -O(CH2)(CH2)- or -(CH2)(CH2)(CH2)-.
  • B is CH.
  • B is N.
  • b is 0.
  • R C is CF 3 , Cl or SF 5 .
  • R C is CF 3 .
  • R 5 and R 6 are methyl.
  • the compound is or a pharmaceutically acceptable salt, tautomer, isotopolog, or stereoisomer thereof, where the variables are as described elsewhere herein.
  • the compound is or a pharmaceutically acceptable salt, tautomer, isotopolog, or stereoisomer thereof, wherein R 1 is methyl; A’ is NH or O; a is 1 or 2; each R 4m is independently hydrogen or substituted or unsubstituted methyl, wherein the substituents, when present are selected from 1 to 5 halo; L is substituted or unsubstituted -O(C 1-3 alkyl)-, -O(C 1-3 alkyl)O- or -(C 1-4 alkyl)-; V is , B is N or CH; R C is halogen, CF3 or SF5; and R 5 and R 6 are C1-3 alkyl.
  • the compound is or a pharmaceutically acceptable salt, tautomer, isotopolog, or stereoisomer thereof, wherein R 1 is methyl; A’ is NH or O; a is 1 or 2; L is substituted or unsubstituted -O(C 1-3 alkyl)-, -O(C 1-3 alkyl)O- or -(C 1-4 alkyl)-; V is , B is N or CH; R C is halogen, CF3 or SF5; and R 5 and R 6 are C1-3 alkyl.
  • A is CH2.
  • A’ is O.
  • A’ is NH.
  • R 1 is methyl;
  • X is N or CR X ,
  • R X is hydrogen, halogen, -O(C 1-6 alkyl) or -(C 1-9 alkyl);
  • L is substituted or unsubstituted -O(CH 2 ) p -, -O(CH 2 ) p O- or -(CH 2 ) p -, p is 1-4;
  • B is CH or N;
  • b is 0;
  • R C is CF3, Cl or SF5;
  • R C is CF3; and
  • R 5 and R 6 are methyl.
  • R 1 is methyl;
  • X is N or CR X ,
  • R X is hydrogen, halogen, -O(C 1-6 alkyl) or -(C 1-9 alkyl);
  • L is substituted or unsubstituted -O(CH2)p- or -(CH2)p-, p is 1-4;
  • B is CH or N;
  • b is 0;
  • R C is CF3, Cl or SF5; R C is CF3; and
  • R 5 and R 6 are methyl.
  • L is -O(CH2)(CH2)-, -O(CH2)(CH2)(CH2)-, -O(CH2)(CH2)O-, -(CH2)(CH2)-, - (CH2)(CH2)(CH2)-, or -(CH2)(CH2)(CH2)(CH2)-.
  • L is -O(CH2)(CH2)-, -O(CH2)(CH2)(CH2)-, -(CH2)(CH2)-, -(CH2)(CH2)(CH2)-, or -(CH2)(CH2)(CH2)(CH2)-.
  • Further embodiments provided herein include any combination of one or more of the particular embodiments set forth above.
  • the compound is a compound from Table 1.
  • Table 1 The compounds set forth in Table 1 were tested in the AR mediated assays described herein and were found to have activity therein.
  • the compounds described herein at a concentration of 1 ⁇ M, leads to degradation of AR protein, by at least about 50% or more.
  • METHODS FOR MAKING PIPERIDINE DIONE COMPOUNDS [0087]
  • the compounds described herein can be made using conventional organic syntheses and commercially available starting materials, or the methods provided herein.
  • compounds of formula I wherein R 1 , R 2 , R 3 , R 4 , R 5 , R 6 , R B , R C , L,V, X, m, a and b are as defined herein, can be prepared as outlined in the schemes shown below, as well as in the examples set forth herein.
  • L is -O(C1-3 alkyl)-, -(C1-3 alkyl)O-, or -(C1-4 alkyl)-, A is CO, and A’ is NH
  • A is CO
  • A’ is NH
  • a solvent for example, N,N- diisopropylethylamine in DMF, or K2CO3 in acetonitrile
  • an iodide salt is used to facilitate this transformation (such as sodium iodide or potassium iodide).
  • an iodide salt is used to facilitate this transformation (such as sodium iodide or potassium iodide).
  • a coupling agent for example HATU, HBTU, or EDC or TCFH, optionally in combination with HOBt
  • a base for example N,N- diisopropylethylamine, tri
  • intermediate c wherein X is N and L is -O(C 1-3 alkyl)- or -(C 1-4 alkyl)-, can be prepared starting by reacting the derivative V-L-LG (LG is an appropriate leaving group such as Cl, Br, I, triflate or alkyl sulfonate) with an appropriately derivatized piperidyl ester derivative f (for example, wherein alk is an alkyl group such as Me, Et, Bn, or tert-Bu) in the presence of a base, in a solvent (for example, N,N-diisopropylethylamine in DMF, or K 2 CO 3 in acetonitrile), at elevated temperature (for example, between about 40 °C and about 80 °C) to provide intermediate c.
  • a solvent for example, N,N-diisopropylethylamine in DMF, or K 2 CO 3 in acetonitrile
  • an iodide salt is used to facilitate this transformation (such as sodium iodide or potassium iodide).
  • compounds of formula (I) wherein X is N or CR X and L is -O(C1-3 alkyl)-, -(C1-3 alkyl)O-, or -(C1-4 alkyl)-, A is CO, and A’ is NH can be prepared starting by reacting compound e with an appropriately functionalized carbonyl intermediate h (where LG is a leaving group such as Cl, Br, I triflate or alkyl sulfonate) in the presence of a base, in a solvent (for example, N,N-diisopropylethylamine in DCM, or triethylamine in pyridine) at a temperature between 0 °c to about 60 °C to provide intermediate i.
  • a solvent for example, N,N-diisopropylethylamine in DCM, or triethylamine in pyr
  • Reacting i (where LG is a leaving group such as Cl, Br, I triflate or alkyl sulfonate) with amine intermediate a in the presence of a base, in a solvent (for example, N,N-diisopropylethylamine in DMF, or K2CO3 in acetonitrile), at elevated temperature (for example, between about 40 °C and about 80 °C) provides compound of formula (I) wherein X is N or CR X and L is -O(C 1-3 alkyl)-, -(C 1-3 alkyl)O-, or -(C 1-4 alkyl)-, A is CO, and A’ is NH.
  • a solvent for example, N,N-diisopropylethylamine in DMF, or K2CO3 in acetonitrile
  • ester intermediate b where LG is a leaving group such as Cl, Br, I triflate or alkyl sulfonate, and alk is an alkyl group such as Me, Et, Bn, or tert-Bu
  • LG is a leaving group such as Cl, Br, I triflate or alkyl sulfonate
  • alk is an alkyl group such as Me, Et, Bn, or tert-Bu
  • a base for example, N,N- diisopropylethylamine in DMF, or K 2 CO 3 in acetonitrile
  • elevated temperature for example, between about 40 °C and about 100 °C
  • an iodide salt is used to facilitate this transformation (such as sodium iodide or potassium iodide).
  • a coupling agent for example HATU, HBTU, or EDC or TCFH, optionally in combination with HOBt
  • a base for example N,N- diisopropy
  • Intermediates such as amine f can be prepared by removal of the N-protecting group P N from intermediate k, (for example, when P N is Boc, by treatment with an acid in a solvent, for example, HCl in dioxane or EtOAc, at room temperature, or with TFA in DCM, at room temperature or when P N is Bn or Cbz by hydrogenation with a metal catalyst, in a solvent such as palladium on carbon in methanol).
  • Scheme 4 [0091] Intermediates such as a wherein X is N and L is -O(C 1-3 alkyl)- or -(C 1-4 alkyl)- can be prepared according to Scheme 4.
  • V-L-LG where L is -O(C1-3 alkyl)- or -(C 1-4 alkyl)- and LG is a leaving group such as Cl, Br, I triflate or alkyl sulfonate
  • amine n in the presence of a base, in a solvent (for example, N,N- diisopropylethylamine in DMF, or K 2 CO 3 in acetonitrile) at elevated temperature (for example, between about 40 °C and about 100 °C) to provide intermediate o.
  • a solvent for example, N,N- diisopropylethylamine in DMF, or K 2 CO 3 in acetonitrile
  • elevated temperature for example, between about 40 °C and about 100 °C
  • an iodide salt is used to facilitate this transformation (such as sodium iodide or potassium iodide).
  • N-protecting group P N from intermediate o (for example, when P N is Boc, by treatment with an acid in a solvent, for example, HCl in dioxane or EtOAc, at room temperature, or with TFA in DCM, at room temperature or when P N is Bn or Cbz by hydrogenation with a metal catalyst, in a solvent such as palladium on carbon in methanol) provides intermediate a wherein X is N and L is -O(C 1-3 alkyl)- or -(C 1-4 alkyl)-.
  • a solvent for example, HCl in dioxane or EtOAc
  • Intermediates such as u wherein LG is a leaving group (such as Cl, Br, I triflate or alkyl sulfonate), and L is -O(C 1-3 alkyl)- or -(C 1-4 alkyl)- can be prepared from intermediate s (where P O is an alcohol protecting group such as THP, TBS, acetate or benzyl). Removal of the protecting group P O (for example, when P O is THP by treatment with catalytic acid in a solvent, for example HCl in dioxane) in s provides alcohol intermediate t.
  • P O is an alcohol protecting group such as THP, TBS, acetate or benzyl
  • Reduction of cc by hydrogenation, in the presence of a catalyst, in a solvent (for example, palladium on carbon in methanol under a hydrogen atmosphere), at elevated pressure (for example between 10 and 100 psi) provides intermediate dd.
  • Reduction of the ester functional group can be accomplished by treatment with a reducing agent, in a solvent (for example, diisobutylaluminum hydride in DCM) at a temperature between -78 °C and 25 °C provides intermediate ee, wherein R Y is H.
  • intermediate ee can be prepared by treatment of intermediate cc with a reducing agent, in a solvent (for example, diisobutylaluminum hydride in DCM) at a temperature between -78 °C and 25 °C to provide intermediate ff. Hydrogenation of ff, in the presence of a catalyst, in a solvent (for example, palladium on carbon, in methanol, under a hydrogen atmosphere), at elevated pressure (for example between 10 and 100 psi) provides intermediate ee.
  • a solvent for example, diisobutylaluminum hydride in DCM
  • amine intermediate gg Reacting amine gg with ester z (where alk is an alkyl group such as Me, Et, Bn, or tert-Bu, and LG is a leaving group such as Cl, Br, I triflate or alkyl sulfonate) in the presence of a base, optionally with an iodide salt, in a solvent (for example, potassium carbonate and potassium iodide in acetonitrile), at an elevated temperature (for example between about 70 °C and 130 °C) provides intermediate hh, where R Y is H or an alcohol protecting group (for example THP, TBS or Tr) which can be further reacted to provide compounds of formula (I) where in L -(C 1-3 alkyl)-.
  • ester z where alk is an alkyl group such as Me, Et, Bn, or tert-Bu, and LG is a leaving group such as Cl, Br, I triflate or alkyl sulfonate
  • Scheme 9 For certain intermediates p wherein L is -O(C1-3 alkyl)- and R Z is a protected heterocycle or cycloalkyl group, for example qq, a modified sequence can be used, shown in Scheme 9.
  • P N is an amine protecting group such as Bn or Boc
  • electrophile intermediate nn where LG is a leaving group, for example Cl, Br, I, triflate or alkyl sulfonate
  • P N’ is an amine protecting group such as Bn or Boc
  • a base optionally with a catalyst
  • a solvent for example KOH and tetrabutylammonium bromide in xylene
  • elevated temperature for example between 70 °C and 130 °C
  • Piperidine dihydrouracils e can be prepared from indazole derivatives ww by treatment with acrylic acid, in the presence of a lewis acid catalyst, in a solvent (for example, aluminum oxide in dioxane) at an elevated temperature (for example, between 60 °C and 150 °C) to provide intermediate xx.
  • a lewis acid catalyst for example, aluminum oxide in dioxane
  • Methylation of the carboxylic acid in xx (for example, by treatment with diazomethane in toluene and methanol, or treatment with catalytic sulfuric acid in methanol) provides methyl ester yy, which when reacted with an isocyanate salt (for example, potassium isocyanate or sodium isocyanate ) in a solvent (for example, acetic acid) give urea intermediate zz.
  • an isocyanate salt for example, potassium isocyanate or sodium isocyanate
  • a solvent for example, acetic acid
  • Reduction of the nitro group in intermediate zz by treatment with a reducing agent for example, H2, in the presence of a catalyst, such as Pd/C, in a solvent, such as EtOH or MeOH; or Fe and NH4Cl, in a solvent such as EtOH and H2O
  • a reducing agent for example, H2
  • a catalyst such as Pd/C
  • a solvent such as EtOH or MeOH
  • Fe and NH4Cl in a solvent such as EtOH and H2O
  • Coupling bbb with an appropriately derived piperazine intermediate ccc wherein P N is an amine protecting group (for example, Bn or Cbz), A is CH2 and R Y is a leaving group (for example, Cl, Br, I, OTf or OMs), in the presence of a base, possibly with an iodide salt, in a solvent (for example, N,N-diisopropylethylamine and sodium iodide in acetonitrile) at an elevated temperature (for example, between 50 °C to about 120 °C) provides intermediate ddd.
  • P N is an amine protecting group (for example, Bn or Cbz)
  • A is CH2
  • R Y is a leaving group (for example, Cl, Br, I, OTf or OMs)
  • a base possibly with an iodide salt, in a solvent (for example, N,N-diisopropylethylamine and sodium iod
  • Cyclization of intermediate ddd to intermediate eee can be accomplished by treatment with a strong acid (for example, concentrated aqueous hydrochloric acid), and subsequent removal of the P N protecting group (for example, when P N is Cbz, by hydrogenation in the presence of a catalyst, in a solvent, for example palladium on carbon in ethyl acetate) provides intermediate g, which can be further reacted to provide compounds of formula (I), wherein wherein A is CH 2 and A’ is NH.
  • a strong acid for example, concentrated aqueous hydrochloric acid
  • P N protecting group for example, when P N is Cbz, by hydrogenation in the presence of a catalyst, in a solvent, for example palladium on carbon in ethyl acetate
  • Reacting piperazine intermediate j wherein P N is an amine protecting group (for example, Bn or Cbz) with intermediate fff, wherein LG is a leaving group (for example, Cl, Br, I, OTf or OMs) A is CH2, and R Y is a leaving group (for example, Cl, Br, I, OTf or OMs), an alcohol, or a protected alcohol (for example, OTBS, OPiv or OTHP) in the presence of a base, optionally with an iodide salt, in a solvent (for example, N,N-diisopropylethylamine and sodium iodide in DMF) at an elevated temperature (for example, between 40 °C and about 100 °C) provides intermediate ccc wherein P N is an amine protecting group (for example, Bn or Cbz), A is CH2 and R Y is a leaving group (for example, Cl, Br, I, OTf or OMs), an alcohol, or
  • Intermediates ccc wherein R Y is an alcohol or protected alcohol, can be converted to intermediates ccc, wherein R Y is a leaving group (for example, Cl, Br, I, OTf or OMs), by treatment under alcohol activation conditions (for example, formation of ccc wherein R Y is Br can be accomplished by treatment under bromination conditions, for example, thionly bromide in dichloromethane and DMF; or when R Y is OTf, by treatment under triflation conditions, for example, by treating with triflic anhydride in dichloromethane).
  • R Y is an alcohol or protected alcohol
  • Coupling hhh with methyl acrylate, in the presence of a catalyst, in a solvent (for example, aluminum oxide in methyl acrylate) provides intermediate iii, which can be reacted with an isocyanate salt (for example, sodium isocyanate ot potassium isocyanate) in a solvent (for example, potassium iscyanate in acetic acid) to give intermediate ddd, wherein A’ is O.
  • a solvent for example, aluminum oxide in methyl acrylate
  • an isocyanate salt for example, sodium isocyanate ot potassium isocyanate
  • a solvent for example, potassium iscyanate in acetic acid
  • the methods provided herein comprise the administration of an effective amount of a compound to a subject in need thereof.
  • the methods provided herein comprise the administration of an effective amount of one or more compound(s) to a subject in need thereof.
  • Provided herein are methods for treating or preventing an androgen receptor (AR) mediated disease in a subject, the method comprising administering to a subject in need thereof an effective amount of a compound as described herein.
  • Provided herein are methods for treating or preventing an AR mediated disease in a subject, the method comprising administering to a subject in need thereof an effective amount of a compound as described herein.
  • provided herein are compounds for use in the treatment or prevention of an AR mediated disease in a subject, comprising administering to a subject in need thereof an effective amount of a compound as described herein.
  • compounds for use in the treatment of an AR mediated disease in a subject comprising administering to a subject in need thereof an effective amount of a compound as described herein.
  • compounds for use in the prevention of an AR mediated disease in a subject comprising administering to a subject in need thereof an effective amount of a compound as described herein.
  • the compound used in the methods herein is a compound as described herein.
  • the compound is a compound of formula I. In some embodiments, the compound is a compound of formula II. In some embodiments, the compound is a compound of formula III. In some embodiments, the compound is a compound of formula IV. In some embodiments, the compound is a compound of formula V. In some embodiments, the compound is a compound of formula VI. In some embodiments, the compound is a compound of formula VII. In some embodiments, the compound is a compound of formula VIII. In some embodiments, the compound is a compound from Table 1. [00108] In some embodiments, the AR mediated disease is AR wild-type mediated disease. In other embodiments, the AR mediated disease is the result of AR amplification.
  • the AR mediated disease is prostate cancer.
  • the prostate cancer is castration resistant prostate cancer (CRPC).
  • the prostate cancer is metastatic castration resistant prostate cancer (mCRPC).
  • the prostate cancer is non-metastatic CRPC (nmCRPC).
  • the prostate cancer is hormone refractory.
  • the prostate cancer is resistant to treatment with an AR antagonist.
  • the prostate cancer is resistant to treatment with enzalutamide, bicalutamide, abiraterone, ARN-509, ODM-201, EPI-001, EPI-506, AZD-3514, galeterone, ASC-J9, flutamide, hydroxyflutamide, nilutamide, cyproterone acetate, ketoconazole, or spironolactone.
  • methods of reducing AR levels comprising administering to a subject an effective amount of a compound.
  • the cell is in a patient. In one embodiment, the cell is not in a patient. In one embodiment, provided herein are methods of reducing levels of wild-type AR within a tumor, the method comprising administering a therapeutically effective amount of a compound, to reduce the level of wild-type AR within the tumor. In one embodiment, provided herein are methods of reducing levels of AR-full length (AR-FL) within a tumor, the method comprising administering a therapeutically effective amount of a compound, to reduce the level of AR-full length (AR-FL) within the tumor. In some embodiments, the AR levels are reduced compared to the AR levels prior to compound administration.
  • the AR levels are reduced by 20%, 30%, 40%, 50%, 60%, 70%, 80%, 90%, 95%, or 99% compared to the AR levels prior to compound administration.
  • methods for regulating protein activity of AR in a patient in need thereof comprising administering to said patient an amount of a compound.
  • methods for decreasing protein activity of AR in a patient in need thereof comprising administering to said patient an amount of a compound.
  • the protein activity of AR is reduced compared to the protein activity of AR prior to compound administration.
  • the protein activity of AR is reduced by 20%, 30%, 40%, 50%, 60%, 70%, 80%, 90%, 95%, or 99% compared to the protein activity of AR prior to compound administration.
  • the methods additionally comprise administering one or more second agents selected from an AR antagonist (such as cyproterone acetate, spironolactone, bicalutamide, and enzalutamide), a 5 ⁇ -reductase inhibitor (such as finasteride and dutasteride), a CYP17A1 inhibitor (such as abiraterone acetate), a gonadotropin-releasing hormone (GnRH) analog (such as leuprorelin and cetrorelix), and an anti- gonadotropin (such as megestrol acetate and medroxyprogesterone acetate).
  • an AR antagonist such as cyproterone acetate, spironolactone, bicalutamide, and enzalutamide
  • the compounds provided herein may be used in any of the above-mentioned methods.
  • the compound provided herein may be used in any of the above-mentioned methods.
  • PHARMACEUTICAL COMPOSITIONS AND ROUTES OF ADMINISTRATION [00115] The compounds provided herein can be administered to a subject orally, topically or parenterally in the conventional form of preparations, such as capsules, microcapsules, tablets, granules, powder, troches, pills, suppositories, injections, suspensions, syrups, patches, creams, lotions, ointments, gels, sprays, solutions and emulsions.
  • the compounds can be administered to a subject orally, topically or parenterally in the conventional form of preparations, such as capsules, microcapsules, tablets, granules, powder, troches, pills, suppositories, injections, suspensions, syrups, patches, creams, lotions, ointments, gels, sprays, solutions and emulsions.
  • preparations such as capsules, microcapsules, tablets, granules, powder, troches, pills, suppositories, injections, suspensions, syrups, patches, creams, lotions, ointments, gels, sprays, solutions and emulsions.
  • Suitable formulations can be prepared by methods commonly employed using conventional, organic or inorganic additives, such as an excipient (e.g., sucrose, starch, mannitol, sorbitol, lactose, glucose, cellulose, talc, calcium phosphate or calcium carbonate), a binder (e.g., cellulose, methylcellulose, hydroxymethylcellulose, polypropylpyrrolidone, polyvinylpyrrolidone, gelatin, gum arabic, polyethyleneglycol, sucrose or starch), a disintegrator (e.g., starch, carboxymethylcellulose, hydroxypropylstarch, low substituted hydroxypropylcellulose, sodium bicarbonate, calcium phosphate or calcium citrate), a lubricant (e.g., magnesium stearate, light anhydrous silicic acid, talc or sodium lauryl sulfate), a flavoring agent (e.g., citric acid, menthol, glycine or orange powder
  • the effective amount of the compounds in the pharmaceutical composition may be at a level that will exercise the desired effect; for example, about 0.005 mg/kg of a subject’s body weight to about 10 mg/kg of a subject’s body weight in unit dosage for both oral and parenteral administration.
  • the dose of a compound to be administered to a subject is rather widely variable and can be subject to the judgment of a health-care practitioner. In general, the compounds can be administered one to four times a day in a dose of about 0.001 mg/kg of a subject’s body weight to about 10 mg/kg of a subject’s body weight, but the above dosage may be properly varied depending on the age, body weight and medical condition of the subject and the type of administration.
  • the dose is about 0.001 mg/kg of a subject’s body weight to about 5 mg/kg of a subject’s body weight, about 0.01 mg/kg of a subject’s body weight to about 5 mg/kg of a subject’s body weight, about 0.05 mg/kg of a subject’s body weight to about 1 mg/kg of a subject’s body weight, about 0.1 mg/kg of a subject’s body weight to about 0.75 mg/kg of a subject’s body weight or about 0.25 mg/kg of a subject’s body weight to about 0.5 mg/kg of a subject’s body weight.
  • one dose is given per day.
  • the amount of the compound administered will depend on such factors as the solubility of the active component, the formulation used and the route of administration.
  • methods for the treatment or prevention of a disease or disorder comprising the administration of about 0.01 mg/day to about 750 mg/day, about 0.1 mg/day to about 375 mg/day, about 0.1 mg/day to about 150 mg/day, about 0.1 mg/day to about 75 mg/day, about 0.1 mg/day to about 50 mg/day, about 0.1 mg/day to about 25 mg/day, or about 0.1 mg/day to about 10 mg/day of a compound to a subject in need thereof.
  • unit dosage formulations that comprise between about 0.1 mg and 500 mg, about 1 mg and 250 mg, about 1 mg and about 100 mg, about 1 mg and about 50 mg, about 1 mg and about 25 mg, or between about 1 mg and about 10 mg of a compound.
  • unit dosage formulations comprising about 0.1 mg or 100 mg of a compound.
  • unit dosage formulations that comprise 0.5 mg, 1 mg, 5 mg, 10 mg, 15 mg, 20 mg, 30 mg, 35 mg, 50 mg, 70 mg, 100 mg, 125 mg, 140 mg, 175 mg, 200 mg, 250 mg, 280 mg, 350 mg, 500 mg, 560 mg, 700 mg, 750 mg, 1000 mg or 1400 mg of a compound.
  • An compound can be administered once, twice, three, four or more times daily. In a particular embodiment, doses of 100 mg or less are administered as a once daily dose and doses of more than 100 mg are administered twice daily in an amount equal to one half of the total daily dose.
  • An compound can be administered orally for reasons of convenience.
  • a compound when administered orally, is administered with a meal and water.
  • the compound is dispersed in water or juice (e.g., apple juice or orange juice) or any other liquid and administered orally as a solution or a suspension.
  • the compound can also be administered intradermally, intramuscularly, intraperitoneally, percutaneously, intravenously, subcutaneously, intranasally, epidurally, sublingually, intracerebrally, intravaginally, transdermally, rectally, mucosally, by inhalation, or topically to the ears, nose, eyes, or skin.
  • the mode of administration is left to the discretion of the health-care practitioner, and can depend in-part upon the site of the medical condition.
  • compositions comprising an effective amount of a compound and a pharmaceutically acceptable carrier or vehicle, wherein a pharmaceutically acceptable carrier or vehicle can comprise an excipient, diluent, or a mixture thereof.
  • the composition is a pharmaceutical composition.
  • the compositions can be in the form of tablets, chewable tablets, capsules, solutions, parenteral solutions, troches, suppositories and suspensions and the like.
  • compositions can be formulated to contain a daily dose, or a convenient fraction of a daily dose, in a dosage unit, which may be a single tablet or capsule or convenient volume of a liquid.
  • the solutions are prepared from water-soluble salts, such as the hydrochloride salt.
  • all of the compositions are prepared according to known methods in pharmaceutical chemistry.
  • Capsules can be prepared by mixing a compound with a suitable carrier or diluent and filling the proper amount of the mixture in capsules.
  • the usual carriers and diluents include, but are not limited to, inert powdered substances such as starch of many different kinds, powdered cellulose, especially crystalline and microcrystalline cellulose, sugars such as fructose, mannitol and sucrose, grain flours and similar edible powders.
  • Tablets can be prepared by direct compression, by wet granulation, or by dry granulation. Their formulations usually incorporate diluents, binders, lubricants and disintegrators as well as the compound.
  • Typical diluents include, for example, various types of starch, lactose, mannitol, kaolin, calcium phosphate or sulfate, inorganic salts such as sodium chloride and powdered sugar. Powdered cellulose derivatives are also useful.
  • Typical tablet binders are substances such as starch, gelatin and sugars such as lactose, fructose, glucose and the like. Natural and synthetic gums are also convenient, including acacia, alginates, methylcellulose, polyvinylpyrrolidine and the like. Polyethylene glycol, ethylcellulose and waxes can also serve as binders.
  • a lubricant might be necessary in a tablet formulation to prevent the tablet and punches from sticking in the dye.
  • the lubricant can be chosen from such slippery solids as talc, magnesium and calcium stearate, stearic acid and hydrogenated vegetable oils.
  • Tablet disintegrators are substances that swell when wetted to break up the tablet and release the compound. They include starches, clays, celluloses, algins and gums. More particularly, corn and potato starches, methylcellulose, agar, bentonite, wood cellulose, powdered natural sponge, cation-exchange resins, alginic acid, guar gum, citrus pulp and carboxymethyl cellulose, for example, can be used as well as sodium lauryl sulfate.
  • Tablets can be coated with sugar as a flavor and sealant, or with film-forming protecting agents to modify the dissolution properties of the tablet.
  • the compositions can also be formulated as chewable tablets, for example, by using substances such as mannitol in the formulation.
  • typical bases can be used. Cocoa butter is a traditional suppository base, which can be modified by addition of waxes to raise its melting point slightly.
  • Water-miscible suppository bases comprising, particularly, polyethylene glycols of various molecular weights are in wide use.
  • the effect of the compound can be delayed or prolonged by proper formulation.
  • a slowly soluble pellet of the compound can be prepared and incorporated in a tablet or capsule, or as a slow-release implantable device.
  • the technique also includes making pellets of several different dissolution rates and filling capsules with a mixture of the pellets. Tablets or capsules can be coated with a film that resists dissolution for a predictable period of time. Even the parenteral preparations can be made long-acting, by dissolving or suspending the compound in oily or emulsified vehicles that allow it to disperse slowly in the serum.
  • ENUMERATED EMBODIMENTS [00132] The invention may be defined by reference to the following enumerated, illustrative embodiments. 1.
  • a compound of formula I or a pharmaceutically acceptable salt, tautomer, isotopolog, or stereoisomer thereof, wherein R 1 is C1-3 alkyl; A is CH2 or C O; A’ is NH or O; a is 1 or 2; R 2 and R 3 are each independently selected from H, and C 1-3 alkyl, or R 2 and R 3 and the carbon to which they are attached form a substituted or unsubstituted C3-6 cycloalkyl; m is 0-8; each R 4 is independently substituted or unsubstituted C 1-3 alkyl, or two R 4 groups, together with the same carbon atom or adjacent carbon atoms to which they are attached, form a substituted or unsubstituted C3-6 cycloalkyl, or two R 4 groups together with the non-adjacent carbon atoms to which they are attached form a substituted or unsubstituted 4-7-membered heterocyclyl; L is substituted or unsubstituted -O
  • R 1 is methyl
  • each R 4m is independently hydrogen or substituted or unsubstituted methyl, wherein the substituents, when present are selected from 1 to 5 halo
  • L is substituted or unsubstituted -O(C 1-3 alkyl)-, -O(C 1-3 alkyl)O- or -(C 1-4 alkyl)-
  • V is ,
  • B is N or CH
  • R C is halogen, CF3 or SF5
  • R 5 and R 6 are C1-3 alkyl.
  • the compound of embodiment 1, having formula IV or a pharmaceutically acceptable salt, tautomer, isotopolog, or stereoisomer thereof, wherein L is substituted or unsubstituted -O(C1-3 alkyl)-, -O(C1-3 alkyl)O- or -(C1-4 alkyl)-; R 1 is methyl; A is CH 2 or C O; V is , B is N or CH; R C is halogen, CF3 or SF5; and R 5 and R 6 are C 1-3 alkyl. 28.
  • the compound of embodiment 1, having formula V or a pharmaceutically acceptable salt, tautomer, isotopolog, or stereoisomer thereof, wherein R 1 is methyl; A is CH 2 or C O; L is substituted or unsubstituted -O(C 1-3 alkyl)-, -O(C 1-3 alkyl)O- or -(C 1-4 alkyl)-; V is , B is N or CH; R C is halogen, CF3 or SF5; and R 5 and R 6 are C 1-3 alkyl. 29.
  • R 1 is methyl
  • A’ is NH or O
  • a is 1 or 2
  • each R 4m is independently hydrogen or substituted or unsubstituted methyl, wherein the substituents, when present are selected from 1 to 5 halo
  • L is substituted or unsubstituted -O(C 1-3 alkyl)-, -O(C 1-3 alkyl)- or -(C 1-4 alkyl)-
  • V is , B is N or CH;
  • R C is halogen, CF3 or SF5; and
  • R 5 and R 6 are C 1-3 alkyl.
  • the compound of embodiment 1, wherein the compound is selected from Table 1 or a pharmaceutically acceptable salt, tautomer, isotopolog, or stereoisomer thereof. 33.
  • a pharmaceutical composition comprising an effective amount of a compound of any one of embodiments 1 to 32, or a pharmaceutically acceptable salt, tautomer, isotopologue, or stereoisomer thereof, and a pharmaceutically acceptable carrier, excipient or vehicle.
  • a method for the treatment of an androgen receptor mediated disease the method comprising administering to a subject in need thereof an effective amount of a compound of any one of embodiments 1 to 32.
  • 35. A method for the treatment of an androgen receptor mediated disease, the method comprising administering to a subject in need thereof an effective amount of the pharmaceutical composition of embodiment 33.
  • Salts of the compounds described herein can be prepared by standard methods, such as inclusion of an acid (for example TFA, formic acid, or HCl) in the mobile phases during chromatography purification, or stirring of the products after chromatography purification, with a solution of an acid (for example, aqueous HCl).
  • an acid for example TFA, formic acid, or HCl
  • a solution of an acid for example, aqueous HCl
  • Salts of the compounds described herein can be prepared by standard methods, such as inclusion of an acid (for example TFA, formic acid, or HCl) in the mobile phases during chromatography purification, or stirring of the products after chromatography purification, with a solution of an acid (for example, aqueous HCl).
  • an acid for example TFA, formic acid, or HCl
  • a solution of an acid for example, aqueous HCl
  • trans-N,N-Dibenzyl-4-(2-((tetrahydro-2H-pyran-2-yl)oxy)ethoxy)cyclohexan- 1-amine To a mixture of trans-4-(dibenzylamino)cyclohexan-1-ol(60 g, 203 mmol, 1.0 equiv.) and tetrabutylammonium hydrogensulfate (13.8 g, 40.6 mmol, 0.2 equiv.) in THF (400 mL) and water (200 mL) was added 2-(2-bromoethoxy)tetrahydro-2H-pyran (84.9 g, 406 mmol, 61.5 mL, 2.0 equiv.) and sodium hydroxide (200 g, 5.00 mol, 24.6 equiv.) at 0 °C.
  • reaction solution was heated to 65 °C. After 12 h the reaction solution was poured into ice-water (1.0 L) and the aqueous phase was extracted with ethyl acetate (2 x 300 mL). The combined organic layers were washed with brine (300 mL), dried with anhydrous sodium sulfate, filtered and concentrated. The resulting crude material was purified by column chromatography (SiO2, 2-50% ethyl acetate in petroleum ether) to give trans-N,N-dibenzyl-4-(2-((tetrahydro-2H-pyran-2- yl)oxy)ethoxy)cyclohexan-1-amine (60 g, 142 mmol, 70% yield) as a colorless oil.
  • reaction solution was heated to 110 °C. After 16 h the reaction solution was diluted with water (100 mL) and extracted with ethyl acetate (2 x 75 mL). The combined organic layers were washed with brine (50 mL), dried over anhydrous sodium sulfate concentrated. The resulting crude material was purified by column chromatography (SiO2, 0- 50% ethyl acetate in petroleum ether) to afford methyl 2-methyl-2-((trans-4-(2-((tetrahydro-2H- pyran-2-yl)oxy)ethoxy)cyclohexyl)amino)propanoate (18.6 g, 54 mmol, 53% yield) as a yellow oil.
  • tert-Butyl (3R,5S)-4-(2-methoxy-2-oxoethyl)-3,5-dimethylpiperazine-1- carboxylate A solution of tert-butyl (3S,5R)-3,5-dimethylpiperazine-1-carboxylate (5. g, 23.33 mmol, 1 equiv.), methyl bromoacetate (3.57 g, 23.33 mmol, 1 equiv.) and triethylamine (10.2 mL, 70 mmol, 3 equiv.) in THF (100 mL, 0.23 M) was stirred at 50 °C.
  • Example 2 2-((2R,6S)-4-(3-(trans-4-(3-(4-Cyano-3-(trifluoromethyl)phenyl)- 5,5-dimethyl-4-oxo-2-thioxoimidazolidin-1-yl)cyclohexyl)propyl)-2,6-dimethylpiperazin-1- yl)-N-(3-(2,4-dioxotetrahydropyrimidin-1(2H)-yl)-1-methyl-1H-indazol-7-yl)acetamide hydrochloride [00159] tert-butyl (trans-4-formylcyclohexyl)carbamate.To a mixture of tert-butyl (trans-4-(hydroxymethyl)cyclohexyl)carbamate (240 g, 1.05 mol, 1 equiv.) in acetonitrile (1.60 L) was added IBX (352 g,
  • Ethyl (E)-3-(trans-4-((tert-butoxycarbonyl)amino)cyclohexyl)acrylate To a mixture of sodium hydride (49.6 g, 1.24 mol, 60% purity, 1.2 equiv.) in THF (900 mL) at 0 °C was added ethyl 2-(diethoxyphosphoryl)acetate (255 g, 1.14 mol, 1.1 equiv.) drop-wise. The reaction was stirred at 0 °C for 1 h.
  • citric acid 1.0 kg citric acid in 4.0 L H 2 O
  • the mixture was extracted with ethyl acetate (2.0 L, 1.5 L).
  • the combined organic layers were washed with aqeous sodium bicarbonate (2.0 L), brine (2.0 L), dried over anhydrous sodium sulfate and concentrated.
  • reaction solution was diluted with ethyl acetate (100 mL) and washed with saturated aqueous sodium bicarbonate (2 x 100 mL) and brine (100 mL). The organic layer was dried over anhydrous magnesium sulfate and concentrated.
  • reaction solution was stirred until all solids were dissolved.1- Methylimidazole (0.07 mL, 0.84 mmol, 5 equiv.) was added followed N- (chloro(dimethylamino)methylene)-N-methylmethanaminium hexafluorophosphate (0.1 g, 0.36 mmol, 2.2 equiv.) and the reaction solution was stirred at room temperature.
  • Example 3 2-((2R,6S)-4-(2-((trans-4-(3-(3-Chloro-4-cyanophenyl)-5,5- dimethyl-4-oxo-2-thioxoimidazolidin-1-yl)cyclohexyl)oxy)ethyl)-2,6-dimethylpiperazin-1- yl)-N-(3-(2,4-dioxotetrahydropyrimidin-1(2H)-yl)-1-methyl-1H-indazol-7-yl)acetamide hydrochloride [00172] 2-Chloro-4-(4,4-dimethyl-5-oxo-3-(trans-4-(2-((tetrahydro-2H-pyran-2- yl)oxy)ethoxy)cyclohexyl)-2-thioxoimidazolidin-1-yl)benzonitrile.
  • reaction solution was stirred at room temperature until all solids had dissolved. After 5 min, N-(chloro(dimethylamino)methylene)-N- methylmethanaminium hexafluorophosphate (101 mg, 0.360 mmol, 2.2 equiv.) was added, and the reaction was stirred at room temperature. After 2 h the reaction solution was diluted with water (50 mL) and extracted with ethyl acetate (3 x 50 mL). the combined organic layers were washed with brine (30 mL), dried over anhydrous sodium sulfate and concentrated.
  • Example 4 2-((2R,6S)-4-(2-((trans-4-(3-(6-Cyano-5-(trifluoromethyl)pyridin- 3-yl)-5,5-dimethyl-4-oxo-2-thioxoimidazolidin-1-yl)cyclohexyl)oxy)ethyl)-2,6- dimethylpiperazin-1-yl)-N-(3-(2,4-dioxotetrahydropyrimidin-1(2H)-yl)-1-methyl-1H- indazol-7-yl)acetamide hydrochloride [00179] 5-(4,4-Dimethyl-5-oxo-3-(trans-4-(2-((tetrahydro-2H-pyran-2- yl)oxy)ethoxy)cyclohexyl)-2-thioxoimidazolidin-1-yl)-3-(trifluoromethyl)picolinonitrile.
  • Methyl 2-methyl-2-((trans-4-(2-((tetrahydro-2H-pyran-2- yl)oxy)ethoxy)cyclohexyl)amino)propanoate (6.70 g, 19.51 mmol, 1 equiv.), 5-isothiocyanato-3- (trifluoromethyl)picolinonitrile (8.94 g, 39.0 mmol, 2 equiv.), and N,N-diisopropylethylamine (6.8 mL, 39.0 mmol, 2 equiv.) were combined in ethyl acetate (56 mL, 0.35 M) and heated to 90 °C in a sealed tube for 16 h.
  • Example 5 3-((2R,6S)-4-(2-((trans-4-(3-(4-Cyano-3-(trifluoromethyl)phenyl)- 5,5-dimethyl-4-oxo-2-thioxoimidazolidin-1-yl)cyclohexyl)oxy)ethyl)-2,6-dimethylpiperazin- 1-yl)-N-(3-(2,4-dioxotetrahydropyrimidin-1(2H)-yl)-1-methyl-1H-indazol-7- yl)propanamide [00184] tert-Butyl (3R,5S)-4-(3-ethoxy-3-oxopropyl)-3,5-dimethylpiperazine-1- carboxylate.
  • reaction solution was heated to 50 °C with stirring. After 14 the reaction solution was diluted with 100 ml ethyl acetate and washed with saturated aqueous sodium bicarbonate (100 mL) followed by brine (100 mL). The organic layer was dried over magnesium sulfate and concentrated to give a yellow oil.
  • Example 6 2-((2R,6S)-4-(2-((trans-4-(3-(5-Chloro-6-cyanopyridin-3-yl)-5,5- dimethyl-4-oxo-2-thioxoimidazolidin-1-yl)cyclohexyl)oxy)ethyl)-2,6-dimethylpiperazin-1- yl)-N-(3-(2,4-dioxotetrahydropyrimidin-1(2H)-yl)-1-methyl-1H-indazol-7-yl)acetamide hydrochloride [00190] 3-Chloro-5-isothiocyanato-pyridine-2-carbonitrile.
  • reaction solution was poured into water (20 mL) and stirred for 1 min.
  • the aqueous phase was extracted with ethyl acetate (2 x 20 mL).
  • the combined organic layers were washed with brine (20 mL), dried over anhydrous sodium sulfate, filtered and concentrated.
  • Example 7 2-((2R,6S)-4-(3-((trans-4-(3-(6-Cyano-5-(trifluoromethyl)pyridin- 3-yl)-5,5-dimethyl-4-oxo-2-thioxoimidazolidin-1-yl)cyclohexyl)oxy)propyl)-2,6- dimethylpiperazin-1-yl)-N-(3-(2,4-dioxotetrahydropyrimidin-1(2H)-yl)-1-methyl-1H- indazol-7-yl)acetamide hydrochloride [00196] trans-N,N-Dibenzyl-4-(3-((tetrahydro-2H-pyran-2- yl)oxy)propoxy)cyclohexan-1-amine.
  • Example 8 2-((2R,6S)-4-(3-((trans-4-(3-(4-Cyano-3-(trifluoromethyl)phenyl)- 5,5-dimethyl-4-oxo-2-thioxoimidazolidin-1-yl)cyclohexyl)oxy)propyl)-2,6- dimethylpiperazin-1-yl)-N-(3-(2,4-dioxotetrahydropyrimidin-1(2H)-yl)-1-methyl-1H- indazol-7-yl)acetamide hydrochloride [00204] 4-(4,4-Dimethyl-5-oxo-3-(trans-4-(3-((tetrahydro-2H-pyran-2- yl)oxy)propoxy)cyclohexyl)-2-thioxoimidazolidin-1-yl)-2-(trifluoromethyl)benzonitrile.
  • reaction solution was heated to 50 °C with stirring. After 13 h the reaction solution was filtered and purified by standard methods to provide 2-((2R,6S)-4-(3-((trans-4-(3- (4-cyano-3-(trifluoromethyl)phenyl)-5,5-dimethyl-4-oxo-2-thioxoimidazolidin-1- yl)cyclohexyl)oxy)propyl)-2,6-dimethylpiperazin-1-yl)-N-(3-(2,4-dioxotetrahydropyrimidin- 1(2H)-yl)-1-methyl-1H-indazol-7-yl)acetamide hydrochloride (106.24 mg, 0.12 mmol, 43% yield,) as a yellow solid.
  • Example 9 2-((2R,6S)-4-(3-((trans-4-(3-(3-Chloro-4-cyanophenyl)-5,5- dimethyl-4-oxo-2-thioxoimidazolidin-1-yl)cyclohexyl)oxy)propyl)-2,6-dimethylpiperazin-1- yl)-N-(3-(2,4-dioxotetrahydropyrimidin-1(2H)-yl)-1-methyl-1H-indazol-7-yl)acetamide hydrochloride [00209] 2-Chloro-4-(4,4-dimethyl-5-oxo-3-(trans-4-(3-((tetrahydro-2H-pyran-2- yl)oxy)propoxy)cyclohexyl)-2-thioxoimidazolidin-1-yl)benzonitrile.
  • reaction solution was diluted with water (100 mL) and extracted with ethyl acetate (3 x 40 mL). The combined organic layers were washed brine (40 mL), dried over anhydrous sodium sulfate and concentrated.
  • Example 10 2-((2R,6S)-4-(3-(trans-4-(3-(6-Cyano-5-(trifluoromethyl)pyridin- 3-yl)-5,5-dimethyl-4-oxo-2-thioxoimidazolidin-1-yl)cyclohexyl)propyl)-2,6- dimethylpiperazin-1-yl)-N-(3-(2,4-dioxotetrahydropyrimidin-1(2H)-yl)-1-methyl-1H- indazol-7-yl)acetamide hydrochloride [00214] 5-(3-(trans-4-(3-Hydroxypropyl)cyclohexyl)-4,4-dimethyl-5-oxo-2- thioxoimidazolidin-1-yl)-3-(trifluoromethyl)picolinonitrile.
  • Example 11 2-((2S,6R)-4-(3-(trans-4-(3-(3-Chloro-4-cyanophenyl)-5,5- dimethyl-4-oxo-2-thioxoimidazolidin-1-yl)cyclohexyl)propyl)-2,6-dimethylpiperazin-1-yl)- N-(3-(2,4-dioxotetrahydropyrimidin-1(2H)-yl)-1-methyl-1H-indazol-7-yl)acetamide hydrochloride [00218] 2-Chloro-4-(3-(trans-4-(3-hydroxypropyl)cyclohexyl)-4,4-dimethyl-5-oxo-2- thioxoimidazolidin-1-yl)benzonitrile.
  • Example 12 2-((2R,6S)-4-(3-(trans-4-(3-(5-Chloro-6-cyanopyridin-3-yl)-5,5- dimethyl-4-oxo-2-thioxoimidazolidin-1-yl)cyclohexyl)propyl)-2,6-dimethylpiperazin-1-yl)- N-(3-(2,4-dioxotetrahydropyrimidin-1(2H)-yl)-1-methyl-1H-indazol-7-yl)acetamide hydrochloride [00222] 3-Chloro-5-(3-(trans-4-(3-hydroxypropyl)cyclohexyl)-4,4-dimethyl-5-oxo-2- thioxoimidazolidin-1-yl)picolinonitrile.
  • the aqueous phase was extracted with ethyl acetate (2 x 100 mL). The combined organic layers were washed with brine (25 mL), dried over anhydrous sodium sulfate, filtered and concentrated.
  • the crude material was purified by silica gel column chromatography (50-100% ethyl acetate in petroleum ether) to give 5-(3-(trans-4-(3- bromopropyl)cyclohexyl)-4,4-dimethyl-5-oxo-2-thioxoimidazolidin-1-yl)-3-chloropicolinonitrile (1.600 g, 3.31 mmol, 70% yield) as a red solid.
  • Example 13 2-((2R,4s,6S)-4-(2-((trans-4-(3-(4-Cyano-3- (trifluoromethyl)phenyl)-5,5-dimethyl-4-oxo-2-thioxoimidazolidin-1- yl)cyclohexyl)oxy)ethyl)-2,6-dimethylpiperidin-1-yl)-N-(3-(2,4-dioxotetrahydropyrimidin- 1(2H)-yl)-1-methyl-1H-indazol-7-yl)acetamide hydrochloride [00226] (2S,6R)-1-Benzyl-2,6-dimethylpiperidin-4-one.
  • reaction solution was extracted with ethyl acetate 3000 mL(1000 mL ⁇ 3) and the combined organic layers were washed with brine 500 mL. The organic layers were dried with anhydrous sodium sulfate, filtrated and concentrated. The crude material was purified by silica gel column chromatography to give (2S,6R)-1-benzyl-2,6-dimethylpiperidin-4-one (27.70 g, 127.5 mmol, 19% yield) as a yellow oil.
  • reaction solution was neutralized by addition of ammonium chloride saturated solution and poured into ice-water (200 mL). The aqueous phase was extracted with ethyl acetate (3 x 500 mL). The combined organic layers were washed with brine (300 mL), dried with anhydrous sodium sulfate, filtered and concentrated.
  • reaction mixture was stirred at room temperature for 12 hours under hydrogen (50 psi).
  • reaction solution was diluted with water (200 mL) and extracted with ethyl acetate (3 x 250 mL). The combined organic layers were washed with brine (150 mL), dried over anhydrous sodium sulfate, filtered and concentrated.
  • the crude material was purified by flash silica gel column chromatography (2.5- 3% ethyl acetate in petroleum ether) to provide tert-butyl (2R,6S)-4-(2-((trans-4- (dibenzylamino)cyclohexyl)oxy)ethyl)-2,6-dimethylpiperidine-1-carboxylate (2.800 g, 5.236 mmol, 25% yield) as a yellow oil.
  • tert-Butyl (2R,6S)-4-(2-((trans-4-aminocyclohexyl)oxy)ethyl)-2,6- dimethylpiperidine-1-carboxylate To a solution of tert-butyl (2R,6S)-4-(2-((trans-4- (dibenzylamino)cyclohexyl)oxy)ethyl)-2,6-dimethylpiperidine-1-carboxylate (2.800 g, 5.240 mmol, 1 equiv.) in methanol (60 mL) was added palladium on carbon (2.000 g) under nitrogen. The reaction was stirred at room temperature for 12 hours under hydrogen (15 psi).
  • reaction solution was diluted with water (50 mL) and extracted with ethyl acetate (3 x 50 mL). The combined organic layers were washed with brine (50 mL), dried over anhydrous sodium sulfate, filtered and concentrated.
  • Example 14 2-((2R,4r,6S)-4-(2-((trans-4-(3-(4-Cyano-3- (trifluoromethyl)phenyl)-5,5-dimethyl-4-oxo-2-thioxoimidazolidin-1- yl)cyclohexyl)oxy)ethyl)-2,6-dimethylpiperidin-1-yl)-N-(3-(2,4-dioxotetrahydropyrimidin- 1(2H)-yl)-1-methyl-1H-indazol-7-yl)acetamide hydrochloride [00240] 4-(3-(trans-4-(2-((2R,4r,6S)-2,6-Dimethylpiperidin-4-yl)ethoxy)cyclohexyl)- 4,4-dimethyl-5-oxo-2-thioxoimidazolidin-1-yl)-2-(trifluoromethyl)benzon
  • Example 15 4-(3-(trans-4-(2-((3R,5S)-4-(2-((3-(2,4- Dioxotetrahydropyrimidin-1(2H)-yl)-1-methyl-1H-indazol-7-yl)oxy)ethyl)-3,5- dimethylpiperazin-1-yl)ethoxy)cyclohexyl)-4,4-dimethyl-5-oxo-2-thioxoimidazolidin-1-yl)- 2-(trifluoromethyl)benzonitrile hydrochloride [00245] Benzyl (3S,5R)-4-(2-chloroacetyl)-3,5-dimethylpiperazine-1-carboxylate.
  • Example 16 4-(3-(trans-4-(2-((3S,5R)-4-(3-((3-(2,4- dioxotetrahydropyrimidin-1(2H)-yl)-1-methyl-1H-indazol-7-yl)oxy)propyl)-3,5- dimethylpiperazin-1-yl)ethoxy)cyclohexyl)-4,4-dimethyl-5-oxo-2-thioxoimidazolidin-1-yl)- 2-(trifluoromethyl)benzonitrile hydrochloride [00253] Benzyl (3R,5S)-4-(3-bromopropyl)-3,5-dimethylpiperazine-1-carboxylate.
  • the resulting crude material was purified by semi-preparative reverse phase HPLC (30% - 60% acetonitrile in water + 0.1%TFA, 20min). The pH value of the collected fractions was adjusted to 7-8 with saturated sodium bicarbonate. Then it was concentrated to remove organic volatiles and the aqueous solution was extracted with ethyl acetate (3 x 100 mL).
  • reaction solution was concentrated and purified by semi- preparative reverse phase HPLC (15% - 45% acetonitrile in water + 0.05% hydrochloride, 22min).
  • the pH of the collected fractions was adjusted to 7-8 with saturated sodium bicarbonate and concentrated to remove organic volatiles and the aqueous solution was extracted with ethyl acetate (30 mL ⁇ 3).
  • Example 17 2-((2R,6S)-4-(4-(trans-4-(3-(4-Cyano-3-(trifluoromethyl)phenyl)- 5,5-dimethyl-4-oxo-2-thioxoimidazolidin-1-yl)cyclohexyl)butyl)-2,6-dimethylpiperazin-1- yl)-N-(3-(2,4-dioxotetrahydropyrimidin-1(2H)-yl)-1-methyl-1H-indazol-7-yl)acetamide hydrochloride [00262] tert-Butyl (trans-4-(2-(methoxy(methyl)amino)-2- oxoethyl)cyclohexyl)carbamate.
  • reaction solution was quenched by slow addition of 1 M aqueous hydrochloric acid (10 mL) and the solution was extracted with ethyl acetate (3 x 20 mL). The combined organic layers were dried over anhydrous sodium sulfate, concentrated, and purified by silica gel column chromatography (0-25% ethyl acetate in hexanes) to give tert-butyl (trans-4-(4-hydroxybutyl)cyclohexyl)carbamate (0.750 g, 2.763 mmol, 96% yield) as a white solid.
  • reaction solution was diluted with water (50 mL) and extracted with dichloromethane (2 x 50 mL). The combined organic layers were washed with brine (40 mL), dried over anhydrous sodium sulfate and concentrated.
  • Example 18 4-(3-(trans-4-(2-((3R,5S)-4-(2-((3-(2,4- Dioxotetrahydropyrimidin-1(2H)-yl)-1-methyl-1H-indazol-7-yl)amino)ethyl)-3,5- dimethylpiperazin-1-yl)ethoxy)cyclohexyl)-4,4-dimethyl-5-oxo-2-thioxoimidazolidin-1-yl)- 2-(trifluoromethyl)benzonitrile hydrochloride [00272] 1-Methyl-7-nitro-1H-indazol-3-amine.
  • the resulting crus material was purified by semi-preparative reverse phase HPLC (16% - 46% acetonitrile in water + 0.225% formic acid, 23 min) to give methyl 3-(1-(1- methyl-7-nitro-1H-indazol-3-yl)ureido)propanoate (6.400 g, 19.920 mmol, 64% yield) as a light orange solid.
  • reaction was acidified with 1 M aqueous hydrochloric acid (10 mL) and the solution was adjusted to pH 8 by addition of saturated aqueous sodium bicarbonate.
  • aqueous solution was extracted with ethyl acetate (3 x 50 mL), and the combined organic layers were washed with brine (10 mL), dried over anhydrous sodium sulfate and concentrated.
  • Example 19 4-(3-(trans-4-(2-((3R,5S)-4-(2-((3-(2,4- Dioxotetrahydropyrimidin-1(2H)-yl)-1-methyl-1H-indazol-7-yl)amino)ethyl)-3,5- dimethylpiperazin-1-yl)ethoxy)cyclohexyl)-4,4-dimethyl-5-oxo-2-thioxoimidazolidin-1-yl)- 2-(trifluoromethyl)benzonitrile hydrochloride [00282] Benzyl (3S,5R)-4-(3-hydroxypropyl)-3,5-dimethylpiperazine-1-carboxylate.
  • reaction solution was diluted with water (50 mL) and extracted with ethyl acetate (3 x 50 mL). the combined organic layers were washed with brine (100 mL), dried over anhydrous sodium sulfate and concentrated.
  • the resulting crude material was purified by semi-preparative reverse phase HPLC (30% - 60% acetonitrile in water + 0.05% ammonium hydroxide, 20 min) to give benzyl (3S,5R)-4-(3-((3-(1-(3-methoxy-3- oxopropyl)ureido)-1-methyl-1H-indazol-7-yl)amino)propyl)-3,5-dimethylpiperazine-1- carboxylate (1.300 g, 4.463 mmol, 52% yield) as a light pink solid.
  • Example 20 2-((R)-4-(2-((trans-4-(3-(4-Cyano-3-(trifluoromethyl)phenyl)- 5,5-dimethyl-4-oxo-2-thioxoimidazolidin-1-yl)cyclohexyl)oxy)ethyl)-2- (trifluoromethyl)piperazin-1-yl)-N-(3-(2,4-dioxotetrahydropyrimidin-1(2H)-yl)-1-methyl- 1H-indazol-7-yl)acetamide hydrochloride [00288] tert-Butyl (R)-4-(2-methoxy-2-oxoethyl)-3-(trifluoromethyl)piperazine-1- carboxylate.
  • reaction vial was heated with stirring to 60 °C. After 16 h the reaction solution was diluted with ethyl acetate (100 mL), washed with saturated aqueous sodium chloride (100 mL), dried over anhydrous sodium sulfate and concentrated.
  • Example 21 2-((2R,6S)-4-(2-((trans-4-(3-(4-Cyano-3-(pentafluoro- ⁇ 6 - sulfaneyl)phenyl)-5,5-dimethyl-4-oxo-2-thioxoimidazolidin-1-yl)cyclohexyl)oxy)ethyl)-2,6- dimethylpiperazin-1-yl)-N-(3-((2,6-dioxopiperidin-3-yl)amino)phenyl)acetamide hydrochloride [00294] 4-Bromo-3-(pentafluoro- ⁇ 6 -sulfanyl)aniline.
  • the intermediate solid was suspended in dichloromethane (1.5 mL), followed by the addition of 4 M hydrochloric acid in dioxane (4 mL, 16 mmol, 3 equiv.), and allowed to stir at 25 °C for 12 h.
  • Example 22 2-((R)-4-(3-(trans)-4-(3-(6-cyano-5-(trifluoromethyl)pyridin-3- yl)-5,5-dimethyl-4-oxo-2-thioxoimidazolidin-1-yl)cyclohexyl)propyl)-2- (trifluoromethyl)piperazin-1-yl)-N-(3-(2,4-dioxotetrahydropyrimidin-1(2H)-yl)-1-methyl- 1H-indazol-7-yl)acetamide hydrochloride [00301] (R)-tert-Butyl 4-(2-((3-(2,4-dioxotetrahydropyrimidin-1(2H)-yl)-1-methyl-1H- indazol-7-yl)amino)-2-oxoethyl)-3-(trifluoromethyl)piperazine-1-carboxylate.
  • Example 23 2-((R)-4-(3-(trans)-4-(3-(6-cyano-5-(trifluoromethyl)pyridin-3- yl)-5,5-dimethyl-4-oxo-2-thioxoimidazolidin-1-yl)cyclohexyl)propyl)-2- (trifluoromethyl)piperazin-1-yl)-N-(3-(2,4-dioxotetrahydropyrimidin-1(2H)-yl)-1-methyl- 1H-indazol-7-yl)acetamide.
  • reaction solution was diluted with DMSO, filtered, and purified by standard methods to provide 2-((R)-4-(3-(trans)-4-(3-(6-cyano-5-(trifluoromethyl)pyridin-3-yl)-5,5- dimethyl-4-oxo-2-thioxoimidazolidin-1-yl)cyclohexyl)propyl)-2-(trifluoromethyl)piperazin-1- yl)-N-(3-(2,4-dioxotetrahydropyrimidin-1(2H)-yl)-1-methyl-1H-indazol-7-yl)acetamide hydrochloride (0.073 g, 0.082 mmol, 61% yield) as a yellow solid.
  • Example 24 2-((R)-4-(3-(((trans)-4-(3-(6-cyano-5-(trifluoromethyl)pyridin-3- yl)-5,5-dimethyl-4-oxo-2-thioxoimidazolidin-1-yl)cyclohexyl)oxy)propyl)-2- (trifluoromethyl)piperazin-1-yl)-N-(3-(2,4-dioxotetrahydropyrimidin-1(2H)-yl)-1-methyl- 1H-indazol-7-yl)acetamide [00307] 2-((R)-4-(3-(((trans)-4-(3-(6-cyano-5-(trifluoromethyl)pyridin-3-yl)-5,5- dimethyl-4-oxo-2-thioxoimidazolidin-1-yl)cyclohexyl)oxy)propyl)-2- (trifluoromethyl)piperazin-1
  • reaction solution was diluted with water (100 mL) and extracted with ethyl acetate (4 x 40 mL). the combined organic layers were washed with brine (80 mL), dried over anhydrous sodium sulfate and concentrated.
  • Example 25 2-((2R,4s,6S)-4-(2-(((trans)-4-(3-(6-Cyano-5- (trifluoromethyl)pyridin-3-yl)-5,5-dimethyl-4-oxo-2-thioxoimidazolidin-1- yl)cyclohexyl)oxy)ethyl)-2,6-dimethylpiperidin-1-yl)-N-(3-(2,4-dioxotetrahydropyrimidin- 1(2H)-yl)-1-methyl-1H-indazol-7-yl)acetamide [00309] Benzyl 2-((2R,4s,6S)-4-(2-(((trans)-4-(3-(6-cyano-5-(trifluoromethyl)pyridin- 3-yl)-5,5-dimethyl-4-oxo-2-thioxoimidazolidin-1-yl)cyclohe
  • reaction solution was diluted with water (50 mL) and extracted with ethyl acetate (2 x 50 mL). the combined oprganic layers were washed with brine, dried over anhydrous sodium sulfate and concentrated.
  • Example 26 2-((R)-4-(3-(((trans)-4-(3-(4-Cyano-3-(trifluoromethyl)phenyl)- 5,5-dimethyl-4-oxo-2-thioxoimidazolidin-1-yl)cyclohexyl)oxy)propyl)-2- (trifluoromethyl)piperazin-1-yl)-N-(3-(2,4-dioxotetrahydropyrimidin-1(2H)-yl)-1-methyl- 1H-indazol-7-yl)acetamide [00313] 2-((R)-4-(3-(((trans)-4-(3-(4-Cyano-3-(trifluoromethyl)phenyl)-5,5-dimethyl- 4-oxo-2-thioxoimidazolidin-1-yl)cyclohexyl)oxy)propyl)-2-(trifluoromethyl)piperazin
  • Example 27 2-((R)-4-(2-(((trans)-4-(3-(6-Cyano-5-(trifluoromethyl)pyridin-3- yl)-5,5-dimethyl-4-oxo-2-thioxoimidazolidin-1-yl)cyclohexyl)oxy)ethyl)-2- (trifluoromethyl)piperazin-1-yl)-N-(3-(2,4-dioxotetrahydropyrimidin-1(2H)-yl)-1-methyl- 1H-indazol-7-yl)acetamide [00315] 2-((R)-4-(2-(((trans)-4-(3-(6-Cyano-5-(trifluoromethyl)pyridin-3-yl)-5,5- dimethyl-4-oxo-2-thioxoimidazolidin-1-yl)cyclohexyl)oxy)ethyl)-2-(trifluoromethyl)
  • Example 28 2-((2R,4r,6S)-4-(2-(((trans)-4-(3-(6-Cyano-5- (trifluoromethyl)pyridin-3-yl)-5,5-dimethyl-4-oxo-2-thioxoimidazolidin-1- yl)cyclohexyl)oxy)ethyl)-2,6-dimethylpiperidin-1-yl)-N-(3-(2,4-dioxotetrahydropyrimidin- 1(2H)-yl)-1-methyl-1H-indazol-7-yl)acetamide [00317] Benzyl 2-((2R,4r,6S)-4-(2-(((trans)-4-(3-(6-cyano-5-(trifluoromethyl)pyridin- 3-yl)-5,5-dimethyl-4-oxo-2-thioxoimidazolidin-1-yl)cyclohex
  • reaction solution was diluted with water (50 mL) and extracted with ethyl acetate (2 x 50 mL). the combined organic layers were washed with brine (30 mL), dried over anhydrous sodium sulfate and concentrated.
  • Example 29 2-((2R,4r,6S)-4-(3-((trans)-4-(3-(4-Cyano-3- (trifluoromethyl)phenyl)-5,5-dimethyl-4-oxo-2-thioxoimidazolidin-1- yl)cyclohexyl)propoxy)-2,6-dimethylpiperidin-1-yl)-N-(3-(2,4-dioxotetrahydropyrimidin- 1(2H)-yl)-1-methyl-1H-indazol-7-yl)acetamide [00321] (2R,4r,6S)-tert-Butyl 4-(3-((trans)-4-(dibenzylamino)cyclohexyl)propoxy)-2,6- dimethylpiperidine-1-carboxylate.
  • (2R,4r,6S)-tert-Butyl 4-(3-((trans)-4-aminocyclohexyl)propoxy)-2,6- dimethylpiperidine-1-carboxylate To a solution of (2R,4r,6S)-tert-butyl 4-(3-((trans)-4- (dibenzylamino)cyclohexyl)propoxy)-2,6-dimethylpiperidine-1-carboxylate (5.300 g, 9.657 mmol) in methanol (100 mL) and ammonium hydroxide (2 mL) was added 10% palladium on activated carbon (3.000 g, 28.19 mmol) under nitrogen atmosphere.
  • reaction solution was diluted with water (20 mL) and extracted with ethyl acetate (3 x 20 mL). the combined organic layers were washed with brine (20 mL), dried over anhydrous sodium sulfate and concentrated.
  • Example 30 2-((2R,4r,6S)-4-(3-((trans)-4-(3-(6-Cyano-5- (trifluoromethyl)pyridin-3-yl)-5,5-dimethyl-4-oxo-2-thioxoimidazolidin-1- yl)cyclohexyl)propoxy)-2,6-dimethylpiperidin-1-yl)-N-(3-(2,4-dioxotetrahydropyrimidin- 1(2H)-yl)-1-methyl-1H-indazol-7-yl)acetamide [00330] 2-((2R,4r,6S)-4-(3-((trans)-4-(3-(6-Cyano-5-(trifluoromethyl)pyridin-3-yl)- 5,5-dimethyl-4-oxo-2-thioxoimidazolidin-1-yl)cyclohexyl)propoxy)
  • Example 31 2-((2R,4r,6S)-4-(2-((trans)-4-(3-(4-Cyano-3- (trifluoromethyl)phenyl)-5,5-dimethyl-4-oxo-2-thioxoimidazolidin-1-yl)cyclohexyl)ethoxy)- 2,6-dimethylpiperidin-1-yl)-N-(3-(2,4-dioxotetrahydropyrimidin-1(2H)-yl)-1-methyl-1H- indazol-7-yl)acetamide [00332] (2R,4r,6S)-tert-Butyl 4-(2-((trans)-4-(3-(4-cyano-3-(trifluoromethyl)phenyl)- 5,5-dimethyl-4-oxo-2-thioxoimidazolidin-1-yl)cyclohexyl)ethoxy)-2,6-dimethylpiperidin-1-y
  • Example 32 2-((2R,4r,6S)-4-(2-((trans)-4-(3-(6-Cyano-5- (trifluoromethyl)pyridin-3-yl)-5,5-dimethyl-4-oxo-2-thioxoimidazolidin-1- yl)cyclohexyl)ethoxy)-2,6-dimethylpiperidin-1-yl)-N-(3-(2,4-dioxotetrahydropyrimidin- 1(2H)-yl)-1-methyl-1H-indazol-7-yl)acetamide [00338] (2R,4r,6S)-tert-Butyl 4-(2-((trans)-4-(dibenzylamino)cyclohexyl)ethoxy)-2,6- dimethylpiperidine-1-carboxylate.
  • Example 33 2-((2R,4r,6S)-4-(2-(((trans)-4-(3-(4-Cyano-3- (trifluoromethyl)phenyl)-5,5-dimethyl-4-oxo-2-thioxoimidazolidin-1- yl)cyclohexyl)oxy)ethoxy)-2,6-dimethylpiperidin-1-yl)-N-(3-(2,4-dioxotetrahydropyrimidin- 1(2H)-yl)-1-methyl-1H-indazol-7-yl)acetamide [00347] (2R,4r,6S)-tert-Butyl 4-(2-(((trans)-4-(dibenzylamino)cyclohexyl)oxy)ethoxy)- 2,6-dimethylpiperidine-1-carboxylate.
  • (2R,4r,6S)-tert-Butyl 4-(2-(((trans)-4-aminocyclohexyl)oxy)ethoxy)-2,6- dimethylpiperidine-1-carboxylate To a solution of (2R,4r,6S)-tert-butyl 4-(2-(((trans)-4- (dibenzylamino)cyclohexyl)oxy)ethoxy)-2,6-dimethylpiperidine-1-carboxylate (0.600 g, 1.089 mmol)in methanol (5 mL)and THF (5 mL)was added 10% palladium on activated carbon (0.115g, 1.089 mmol)under nitrogen atmosphere.
  • Example 34 2-((2R,4r,6S)-4-(2-(((trans)-4-(3-(6-Cyano-5- (trifluoromethyl)pyridin-3-yl)-5,5-dimethyl-4-oxo-2-thioxoimidazolidin-1- yl)cyclohexyl)oxy)ethoxy)-2,6-dimethylpiperidin-1-yl)-N-(3-(2,4-dioxotetrahydropyrimidin- 1(2H)-yl)-1-methyl-1H-indazol-7-yl)acetamide [00356] (2R,4r,6S)-tert-Butyl 4-(2-(((trans)-4-(dibenzylamino)cyclohexyl)oxy)ethoxy)- 2,6-dimethylpiperidine-1-carboxylate.
  • (2R,4r,6S)-tert-Butyl 4-(2-(((trans)-4-aminocyclohexyl)oxy)ethoxy)-2,6- dimethylpiperidine-1-carboxylate To a solution of (2R,4r,6S)-tert-butyl 4-(2-(((trans)-4- (dibenzylamino)cyclohexyl)oxy)ethoxy)-2,6-dimethylpiperidine-1-carboxylate (0.600 g, 1.089 mmol)in methanol (5 mL)and THF (5 mL)was added 10% palladium on activated carbon (0.115g, 1.089 mmol)under nitrogen atmosphere.
  • reaction soltution was diluted with water (20 mL) and extracted with ethyl acetate (3 x 20 mL). the combined organic layers were washed with brine (20 mL), dried over anhydrous sodium sulfate and concentrated.
  • Example 35 2-(4-(2-(((trans)-4-(3-(4-Cyano-3-(trifluoromethyl)phenyl)-5,5- dimethyl-4-oxo-2-thioxoimidazolidin-1-yl)cyclohexyl)oxy)ethyl)-3,3-difluoropiperidin-1-yl)- N-(3-(2,4-dioxotetrahydropyrimidin-1(2H)-yl)-1-methyl-1H-indazol-7-yl)acetamide [00365] tert-Butyl 4-(2-(((trans)-4-(dibenzylamino)cyclohexyl)oxy)ethyl)-3,3- difluoropiperidine-1-carboxylate.
  • the organic layer was removed and the aqueous layer was extracted with ethyl acetate twice more.
  • the combined organic layer was washed with brine, dried over sodium sulfate, and filtered.
  • the filtrate was taken and volatile organics were removed under reduced pressure to give a light yellow solid.
  • the solid was taken up in ethyl acetate and purified on a silica gel column using 0-75% ethyl acetate in hexanes over 2000 mL.
  • the reaction mixture was partitioned between water and ethyl acetate.5 mL of brine were added to reduce emulsion. The organic layer was removed and the aqueous layer was extracted with ethyl acetate twice more. The combined organic layer was washed with brine, dried over sodium sulfate, and filtered. The filtrate was taken and volatile organics were removed under reduced pressure to give a foamy dark orange semi-solid. The solid was taken up in ethyl acetate and purified on a silica gel column using 0-100% ethyl acetate in hexanes over 1000 mL.
  • reaction solution was diluted with DMSO (1 mL), filtered, and purified by standard methods to provide 2-(4-(2-(((trans)-4-(3-(4-cyano-3-(trifluoromethyl)phenyl)-5,5- dimethyl-4-oxo-2-thioxoimidazolidin-1-yl)cyclohexyl)oxy)ethyl)-3,3-difluoropiperidin-1-yl)-N- (3-(2,4-dioxotetrahydropyrimidin-1(2H)-yl)-1-methyl-1H-indazol-7-yl)acetamide hydrochloride (20 mg, 0.022 mmol, 20% yield) as an off-white solid.
  • Example 36 2-(4-(2-(((trans)-4-(3-(6-Cyano-5-(trifluoromethyl)pyridin-3-yl)- 5,5-dimethyl-4-oxo-2-thioxoimidazolidin-1-yl)cyclohexyl)oxy)ethyl)-3,3-difluoropiperidin-1- yl)-N-(3-(2,4-dioxotetrahydropyrimidin-1(2H)-yl)-1-methyl-1H-indazol-7-yl)acetamide [00372] tert-Butyl 4-(2-(((trans)-4-(dibenzylamino)cyclohexyl)oxy)ethyl)-3,3- difluoropiperidine-1-carboxylate.
  • the organic layer was removed and the aqueous layer was extracted with ethyl acetate twice more.
  • the combined organic layer was washed with brine, dried over sodium sulfate, and filtered.
  • the filtrate was taken and volatile organics were removed under reduced pressure to give a light yellow solid.
  • the solid was taken up in ethyl acetate and purified on a silica gel column using 0-75% ethyl acetate in hexanes over 2000 mL.
  • the reaction mixture was partitioned between water and ethyl acetate. A few mL of brine were added to reduce emulsion. The organic layer was removed and the aqueous layer was extracted with ethyl acetate twice more. The combined organic layer was washed with brine, dried over sodium sulfate, and filtered. The filtrate was taken and volatile organics were removed under reduced pressure to give a foamy dark orange semi-solid. The solid was taken up in ethyl acetate and purified on a silica gel column using 0-100% ethyl acetate in hexanes over 1800 mL.
  • reaction solution was diluted with DMSO and purified by standard methods to provide 2- (4-(2-(((trans)-4-(3-(6-cyano-5-(trifluoromethyl)pyridin-3-yl)-5,5-dimethyl-4-oxo-2- thioxoimidazolidin-1-yl)cyclohexyl)oxy)ethyl)-3,3-difluoropiperidin-1-yl)-N-(3-((2,6- dioxopiperidin-3-yl)amino)phenyl)acetamide hydrochloride (50 mg, 0.058 mmol, 38% yield) as a white solid.
  • reaction solution was diluted with DMSO (1 mL), filtered, and purified by standard methods to provide 2-(4-(2-(((trans)-4-(3-(6- cyano-5-(trifluoromethyl)pyridin-3-yl)-5,5-dimethyl-4-oxo-2-thioxoimidazolidin-1- yl)cyclohexyl)oxy)ethyl)-3,3-difluoropiperidin-1-yl)-N-(3-(2,4-dioxotetrahydropyrimidin-1(2H)- yl)-1-methyl-1H-indazol-7-yl)acetamide (35 mg, 0.041 mmol, 27% yield) as a white solid.
  • VCAP AR Degradation Assay Test compounds were pre-dispensed into a Corning CellBind 96-well clear bottom plate (Cat#3300) using an acoustic dispenser to make a 10-point concentration series at 1:3 dilution for each compound. The final top concentration of each compound was 5 ⁇ M. DMSO at a final concentration of 0.1% was used as a control. VCaP cells cultured in DMEM with 8% fetal bovine serum (FBS) were seeded at 50K cells per well in a 200 ⁇ L volume into the compound plate and incubated at 37 °C in a CO 2 incubator for 24 h.
  • FBS fetal bovine serum
  • VCAP or ENZR cells were plated at 10K cells per well in 96-well CellBind (Costar) plates using DMEM + 8% FBS media. Cells were incubated overnight at 37 °C and test compound was serially diluted and added to the well. Following seven-day incubation, the assay media was removed by inversion and the plate was frozen overnight at -80 °C.
  • AR Degradation Assay In vivo AR degradation assays were performed in NSG mice bearing VCaP prostate cancer xenograft tumors. Male NSG mice were inoculated with VCaP cells in the flank region above the right leg. Following inoculation of the animals, the tumors were allowed to grow to approximately 500 mm 3 prior to randomization. The randomized animals were administered with test compounds formulated in 20% Labrasol, 80% 25mM citrate buffer pH 3. The compounds were administered orally once daily for 3 days. After the last dose of compound administration, the plasma and tumors were collected and processed for AR degradation assays. Intratumoral AR levels were measured using western blot analysis.
  • VCaP Prostate Cancer Xenograft model The xenograft study was conducted with male NSG mice bearing VCaP prostate cancer xenograft tumors. Male NSG mice were inoculated subcutaneously with VCaP cells in the flank region above the right hind leg. Following inoculation of the animals, the tumors were allowed to grow to approximately 200 mm 3 prior to randomization.
  • mice bearing VCaP tumors ranging between 75 and 250 mm 3 were pooled together and randomized into various treatment groups.
  • Test compounds formulated in 20% Labrasol, 80% 25mM citrate buffer pH 3 were administered in a dose volume of 5 mL/kg. The compounds were administered orally once daily for the duration of the study. Tumors were measured twice a week using calipers and tumor volumes were calculated using the formula W 2 x L / 2. Statistical analysis was performed using a one-way or two-way analysis of variance (ANOVA). [00389]
  • the compounds provided herein have been, or will be tested in the VCAP prostate cancer xenograft model and have shown, or will be shown, to be effective as treatments of prostate cancer in the models.
  • Each of the compounds in Table 1 was tested in one or more of the AR degradation assays shown above, for example, the VCAP AR Degradation Assay, and was found to have activity therein. [00391] All of the compounds in Table 1 were shown to have a DC50 ⁇ 10 ⁇ M and Y ⁇ 60% of DMSO control, with some compounds having a DC 50 value D: DC 50 ⁇ 0.002 ⁇ M, some a DC 50 value C: 0.002 ⁇ M ⁇ DC 50 ⁇ 0.010 ⁇ M, and some a DC 50 value B: 0.010 ⁇ M ⁇ DC50 ⁇ 0.1 ⁇ M and some a DC50 value A: 0.1 ⁇ M ⁇ DC50 ⁇ 10 ⁇ M,.

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