WO2022122773A1 - 4-(2-fluoro-4-methoxy-5-3-(((1-methylcyclobutyl)methyl)carbamoyl)bicyclo[2.2.1]heptan-2-yl)carbamoyl)phenoxy)-1-methylcyclohexane-1-carboxylic acid derivatives and similar compounds as rxfp1 modulators for the treatment of heart failure - Google Patents

4-(2-fluoro-4-methoxy-5-3-(((1-methylcyclobutyl)methyl)carbamoyl)bicyclo[2.2.1]heptan-2-yl)carbamoyl)phenoxy)-1-methylcyclohexane-1-carboxylic acid derivatives and similar compounds as rxfp1 modulators for the treatment of heart failure Download PDF

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Publication number
WO2022122773A1
WO2022122773A1 PCT/EP2021/084673 EP2021084673W WO2022122773A1 WO 2022122773 A1 WO2022122773 A1 WO 2022122773A1 EP 2021084673 W EP2021084673 W EP 2021084673W WO 2022122773 A1 WO2022122773 A1 WO 2022122773A1
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WO
WIPO (PCT)
Prior art keywords
carbamoyl
bicyclo
carboxylic acid
fluoro
methoxy
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Ceased
Application number
PCT/EP2021/084673
Other languages
English (en)
French (fr)
Inventor
Kenneth Lars Granberg
Giulia BERGONZINI
Hans Fredrik BERGSTRÖM
Stig Jonas BOSTRÖM
Henrik GRADÉN
Lars Johan Andreas Ulander
Shigeki Sakamaki
Ryuichi FUCHIGAMI
Yasuki NIWA
Masakazu Fujio
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Tanabe Pharma Corp
AstraZeneca AB
Original Assignee
Mitsubishi Tanabe Pharma Corp
AstraZeneca AB
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
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Publication date
Priority to MX2023006178A priority Critical patent/MX2023006178A/es
Priority to AU2021395353A priority patent/AU2021395353B2/en
Priority to CR20230296A priority patent/CR20230296A/es
Priority to KR1020237022785A priority patent/KR20230118142A/ko
Priority to PE2023001826A priority patent/PE20240655A1/es
Priority to CN202180075461.3A priority patent/CN116547270A/zh
Priority to EP21824574.4A priority patent/EP4259605A1/en
Priority to IL303220A priority patent/IL303220A/en
Application filed by Mitsubishi Tanabe Pharma Corp, AstraZeneca AB filed Critical Mitsubishi Tanabe Pharma Corp
Priority to JP2023534685A priority patent/JP2023552793A/ja
Priority to CA3203024A priority patent/CA3203024A1/en
Publication of WO2022122773A1 publication Critical patent/WO2022122773A1/en
Priority to DO2023000111A priority patent/DOP2023000111A/es
Anticipated expiration legal-status Critical
Priority to CONC2023/0008303A priority patent/CO2023008303A2/es
Ceased legal-status Critical Current

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    • C07C233/81Carboxylic acid amides having carbon atoms of carboxamide groups bound to carbon atoms of six-membered aromatic rings having the nitrogen atom of at least one of the carboxamide groups bound to a carbon atom of a hydrocarbon radical substituted by carboxyl groups
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Definitions

  • Described in this specification are compounds (including salts thereof) that are modulators of RXFP1, uses of such compounds, compositions containing such compounds, intermediates useful in processes for preparing such compounds, and processes for preparing such compounds using such intermediates.
  • Relaxin is a pleiotropic hormone known to mediate systemic haemodynamic and renal adaptive changes during pregnancy. Relaxin has also been shown to have anti-fibrotic properties and to have beneficial effects in heart failure e.g. with acute decompensated heart failure (ADHF). Heart failure is associated with significant morbidity and mortality. It is characterized by complex tissue remodelling involving increased cardiomyocyte death and interstitial fibrosis. Relaxin activates a number of signalling cascades which have been shown to be beneficial in the setting of ischemia-reperfusion and heart failure. These signalling pathways include activation of the phosphoinositide 3 -kinase pathway and activation of the nitric oxide signalling pathway (Bathgate RA et al.
  • RXFP1 The cognate receptor for human relaxin is RXFP1 and is a well-validated pharmacologically important GPCR family 1c member whose activation by the hormone relaxin is associated with hemodynamic, anti-fibrotic and anti-inflammatory properties (Halls ML et al., (2015), Pharmacol Rev. 67(2): 389-440).
  • Small-molecule modulators of RXFP1 have been sought as relaxin mimetics. For example, Marugan, J. J., et al., WO2013/165606A1; Xiao J et al. (2013) Nat. Commun. 4: 1953; and McBride A et al. (2017) Scientific Reports 7: 10806 discuss small-molecule modulators of RXFP1.
  • the compound(s) of the invention may also exhibit improved modulation of RXFP1 in comparison with other known RXFP1 modulators.
  • the compound(s) of the invention may also exhibit favourable pharmacokinetic profiles (for example, lower intrinsic clearance) and/or advantageous physical properties (for example, higher aqueous solubility) in comparison with other known RXFP1 modulators. Therefore, such compound(s) may be especially useful in the treatment of disease states in which modulation of RXFP1 is beneficial.
  • Ring B is a 4- to 10-membered cycloalkyl; a 4- to 10-membered heterocycloalkyl having 1-2 heteroatoms independently selected from nitrogen and oxygen; a 4- to 10-membered heterocycloalkenyl having 1-2 heteroatoms independently selected from nitrogen and oxygen; or a 4- to 10-membered cycloalkenyl;
  • R 7 is selected from -H, -F, -CH 3 and -OCH 3 ; each R 8 is independently selected from C 1-4 alkyl substituted with 0-3 -F substituents; C 1 - 4 alkoxy; -OH; -F; and -COO( C 1-4 alkyl);
  • p is 0, 1 or 2;
  • 5 Ring C is a 6- to 10-membered aryl; a 5- to 10-membered heteroaryl having 1-4 heteroatoms independently selected from nitrogen, oxygen and sulfur; a 4- to 10-membered cycloalkenyl; or a 4- to 10-membered heterocycl
  • This specification also describes, in part, a pharmaceutical composition which comprises a compound of Formula (I), or a pharmaceutically acceptable salt thereof, and at least one pharmaceutically acceptable excipient.
  • This specification also describes, in part, a compound of Formula (I), or a pharmaceutically acceptable salt thereof, for use in therapy.
  • This specification also describes, in part, a compound of Formula (I), or a pharmaceutically acceptable salt thereof, for use in the treatment of a disease or condition selected from the group consisting of heart failure, heart failure with preserved ejection fraction, heart failure with reduced ejection fraction, chronic kidney disease and acute kidney injury.
  • This specification also describes, in part, the use of a compound of Formula (I), or a pharmaceutically acceptable salt thereof, in the manufacture of a medicament for the treatment of a disease or condition selected from the group consisting of heart failure, heart failure with preserved ejection fraction, heart failure with reduced ejection fraction, chronic kidney disease and acute kidney injury.
  • This specification also describes, in part, a method for treating a disease or condition selected from the group consisting of heart failure, heart failure with preserved ejection fraction, heart failure with reduced ejection fraction, chronic kidney disease and acute kidney injury in a subject in need of such treatment, which comprises administering to said subject a therapeutically effective amount of a compound of Formula (I), or a pharmaceutically acceptable salt thereof.
  • This specification also describes, in part, an Intermediate compound (as described herein), or a salt thereof. This specification also describes, in part, a process for preparing a compound of Formula
  • Ring B is a 4- to 10-membered cycloalkyl; a 4- to 10-membered heterocycloalkyl having
  • R 7 is selected from -H, -F, -CH 3 and -OCH 3
  • each R 8 is independently selected from C 1-4 alkyl substituted with 0-3 -F substituents; C 1 - 4 alkoxy; -OH; -F; and -COO(C 1-4 alkyl);
  • p is 0, 1 or 2
  • Ring C is a 6- to 10-membered aryl; a 5- to 10-membered heteroaryl having 1-4 heteroatoms independently selected from nitrogen, oxygen and sulfur; a 4- to 10-membered cycloalkenyl; or a 4- to 10-membered heterocycloalkenyl having 1-2 heteroatoms independently selected from nitrogen and oxygen
  • each R 9 is independently selected fromC 1-4 alkyl,C 1-4 alkoxy, -
  • R 4 is selected from -H, -halo, -CN, C 1-4 alkyl substituted with 0-3 substituents selected from -F and -OMe, C 1-4 alkoxy substituted with 0-3 substituents selected from -F and -OMe, C 3-4 cycloalkyl substituted with 0-3 substituents selected from -F and -OMe, and C 3-4 cycloalkoxy substituted with 0-3 substituents selected from -F and -Me; or (iii) V and W are each C;
  • R 3 and R 4 together with the atoms to which they are attached, form a 5- or 6- membered heterocyclic ring having 1-3 heteroatoms independently selected from nitrogen, oxygen and sulfur and substituted with 0-3 -Me substituents;
  • R 2 is selected from -H, -halo, -CN, C 1.4 alkyl substituted with 0-3 substituents selected from -F and -OMe, C 1.4 alkoxy substituted with 0-3 substituents selected from -F and -OMe, C 3-4 cycloalkyl substituted with 0-3 substituents selected from -F and -OMe, and C 3-4 cycloalkoxy substituted with 0-3 substituents selected from -F and -Me.
  • Ring B is a 4- to 10-membered cycloalkyl; a 4- to 10-membered heterocycloalkyl having 1-2 heteroatoms independently selected from nitrogen and oxygen; a 4- to 10-membered heterocycloalkenyl having 1-2 heteroatoms independently selected from nitrogen and oxygen; or a 4- to 10-membered cycloalkenyl.
  • Ring B is a monocyclic 5- to 7-membered cycloalkyl optionally bridged with C 1.3 alkylene; a monocyclic 5- to 7-membered heterocycloalkyl having 1-2 heteroatoms independently selected from nitrogen and oxygen and optionally bridged with C 1.3 alkylene; a monocyclic 5- to 7-membered heterocycloalkenyl having 1-2 heteroatoms independently selected from nitrogen and oxygen and optionally bridged with C 1.3 alkylene; or a monocyclic 5- to 7-membered cycloalkenyl optionally bridged with C 1.3 alkylene.
  • Ring B is a 4- to 10-membered cycloalkyl, or a 4- to 10-membered cycloalkenyl.
  • Ring B is a 5- to 8-membered cycloalkyl, or a 5- to 8-membered cycloalkenyl.
  • Ring B is a monocyclic 5- to 7-membered cycloalkyl optionally bridged with C 1.3 alkylene; or a monocyclic 5- to 7-membered cycloalkenyl optionally bridged with C 1.3 alkylene.
  • Ring B is cyclohexyl optionally bridged with C 1.2 alkylene, or cyclohexenyl optionally bridged with C 1.2 alkylene.
  • Ring B is cyclohexyl 1,4-bridged with C 1.2 alkylene, or cyclohexenyl 1,4-bridged with C 1-2 alkylene.
  • Ring B is bicyclo[2.2.1]heptanyl or bicyclo[2.2.1]hept-2-enyl.
  • Ring B is bicyclo[2.2. l]heptanyl.
  • R 7 is selected from -H, -F, -CH 3 and -OCH 3 .
  • R 7 is selected from -H and -F.
  • R 7 is -H.
  • each R 8 is independently selected from C 1.4 alkyl substituted with 0-3 -F substituents; C 1 - 4 alkoxy; -OH; -F; and -COO(C 1-4 alkyl).
  • each R 8 is independently selected from C 1.2 alkyl substituted with 0-3 -F substituents; C 1 - 2 alkoxy; -OH; and -F.
  • each R 8 is independently selected from C 1.2 alkyl substituted with 0-3 -F substituents; and -F.
  • each R 8 is independently selected from -Me and -F.
  • p is 0, 1 or 2.
  • p is 0 or 1.
  • p is 0.
  • Ring C is a 6- to 10-membered aryl; a 5- to 10-membered heteroaryl having 1-4 heteroatoms independently selected from nitrogen, oxygen and sulfur; a 4- to 10-membered cycloalkenyl; or a 4- to 10-membered heterocycloalkenyl having 1-2 heteroatoms independently selected from nitrogen and oxygen.
  • Ring C is phenyl; a monocyclic 5- or 6-membered heteroaryl having 1-3 heteroatoms independently selected from nitrogen, oxygen and sulfur; a monocyclic 4- to 7-membered cycloalkenyl optionally bridged with C 1.3 alkylene; or a monocyclic 4- to 7-membered heterocycloalkenyl having 1-2 heteroatoms independently selected from nitrogen and oxygen and optionally bridged with C 1.3 alkylene.
  • Ring C is a monocyclic 5- to 7-membered cycloalkenyl optionally bridged with C 1.2 alkylene; or a monocyclic 5- to 7-membered heterocycloalkenyl having 1 oxygen heteroatom and optionally bridged with C 1.2 alkylene.
  • Ring C is a mono- or poly-cyclic 6- to 10-membered aryl.
  • Ring C is phenyl
  • Ring C is not phenyl.
  • each R 9 is independently selected from C 1.4 alkyl, C 1.4 alkoxy, -halo and -OH.
  • each R 9 is independently selected from C 1.2 alkyl, C 1.2 alkoxy, -halo and -OH.
  • q is 0, 1 or 2.
  • q is 0 or 1.
  • q is 0.
  • R 1 is selected from -COOH, -CONH 2 , -CONHMe, -CONMe 2 , -C(CH 2 OH) 2 NH 2 , -
  • R 1 is -COOH or a bioisotere of a carboxylic acid such as tetrazolyl.
  • a bioisotere of carboxylic acids will be apparent to a person of skill in the art.
  • R 1 is selected from -
  • R 1 is -COOH.
  • X is selected from a bond, -CH 2 -, -O-, -S-, -CH 2 O- and -OCH 2 -.
  • X is selected from a bond, -CH 2 -, -O-, -CH 2 O- and -OCH 2 -.
  • X is selected from a bond, -CH 2 -, and -O-.
  • X is selected from -CH 2 - and -O-.
  • X is -O-.
  • Y is selected from C 2-6 alkylene substituted with 0-2 R 14 substituents; C 3-8 cycloalkylene substituted with 0-2 R 14 substituents; C5-8 cycloalkenylene substituted with 0-2 R 14 substituents; 5- to 8-membered heterocycloalkylene having 1-3 heteroatoms independently selected from oxygen and sulfur and substituted with 0-2 R 14 substituents; phenylene substituted with 0-2 R 14 substituents; 5- or 6-membered heteroarylene having 1-3 heteroatoms independently selected from nitrogen, oxygen and sulfur and substituted with 0-2 R 14 substituents; and
  • Y is selected from C 2-6 alkylene substituted with 0-1 R 14 substituents; C 3-8 cycloalkylene substituted with 0-1 R 14 substituents; C5-8 cycloalkenylene substituted with 0-1 R 14 substituents; 5- to 8-membered heterocycloalkylene having 1-3 heteroatoms independently selected from oxygen and sulfur and substituted with 0-1 R 14 substituents; phenylene substituted with 0-1 R 14 substituents; 5- or 6-membered heteroarylene having 1-3 heteroatoms independently selected from nitrogen, oxygen and sulfur and substituted with 0-1 R 14 substituents; and
  • Y is selected from C 2-4 alkylene substituted with 0-2 R 14 substituents; C 3-8 cycloalkylene substituted with 0-2 R 14 substituents; and 5- to 8-membered heterocycloalkylene having 1-2 heteroatoms independently selected from oxygen and sulfur and substituted with 0-2 R 14 substituents.
  • Y is selected from C 2-4 alkylene substituted with 0-1 R 14 substituents; C 3-8 cycloalkylene substituted with 0-1 R 14 substituents; and 5- to 8-membered heterocycloalkylene having 1-2 heteroatoms independently selected from oxygen and sulfur and substituted with 0-1 R 14 substituents.
  • Y is selected from C 4-6 cycloalkylene substituted with 0-1 R 14 substituents; and 5- or 6- membered heterocycloalkylene having 1-2 heteroatoms independently selected from oxygen and sulfur and substituted with 0-1 R 14 substituents.
  • Y is C 3-8 cycloalkylene substituted with 0-2 R 14 substituents.
  • Y is C 4-6 cycloalkylene substituted with 0-2 R 14 substituents.
  • Y is C 3-8 cycloalkylene substituted with 0-1 R 14 substituents.
  • Y is C 4-6 cycloalkylene substituted with 0-1 R 14 substituents.
  • Y is cyclohexylene substituted with 0-2 R 14 substituents.
  • Y is cyclohexylene substituted with 0-1 R 14 substituents.
  • Y is cyclohexylene substituted with 1 R 14 substituent.
  • the X and Z substituents are bonded to Y such that, where there are sufficient ring or chain atoms in Y, the X and Z substituents are not in a geminal or vicinal configuration.
  • r is 1, 2 or 3. r is 1 or 2. r is 2.
  • R 14 is -H.
  • R 14 is not -H.
  • R 14 is -Me.
  • Z is a bond.
  • R 5 is selected from -H, -Me and -F.
  • R 5 is -H.
  • R 6 is -(CR 10 R 11 ) n R 12 .
  • R 6 is -(CR 10 R 11 )R 12 .
  • R 6 is -(CH 2 )R 12 .
  • R 6 is -R 12 .
  • R 6 is selected from R 6 is selected from and .
  • R 6 is n is 0, 1 or 2.
  • n is 0 or 1.
  • n is 0. n is 1.
  • R 10 and R 11 are each independently selected from -H, -Me and -F, or R 10 and R 11 together with the carbon to which they are attached form cyclopropyl.
  • R 10 and R 11 are each independently selected from -H, -Me and -F.
  • R 10 and R 11 are each -H.
  • R 12 is selected from C 3-8 alkyl substituted with 0-5 substituents selected from -OH, -F, - CN, and C 1.4 alkoxy; C 3-10 cycloalkyl substituted with 0-4 R 13 substituents; 5- to 10-membered heterocycloalkyl having 1-2 heteroatoms independently selected from oxygen and sulfur and substituted with 0-4 R 13 substituents; phenyl substituted with 0-3 substituents selected from - halo, C 1.4 alkyl substituted with 0-3 -F substituents, C 3-5 cycloalkyl, -CN, -SF 5 , -OMe, -OCH 2 F, - OCHF 2 , -OCF 3 and -SO 2 CF 3 ; 6-membered heteroaryl having 1-2 nitrogen heteroatoms and substituted with 1-3 substituents selected from -halo, -SF 5 , -CF 3 , -OCF 3 and -SO 2 CF 3 ;
  • R 12 is selected from C 3-8 alkyl substituted with 0-3 substituents selected from -OH, -F, - CN, and C 1.4 alkoxy; C 3-10 cycloalkyl substituted with 0-3 R 13 substituents; and 5- to 10- membered heterocycloalkyl having 1-2 heteroatoms independently selected from oxygen and sulfur and substituted with 0-3 R 13 substituents.
  • R 12 is selected from C 4-6 alkyl substituted with 0-3 substituents selected from -F, -CN, and C 1-2 alkoxy; C 4-6 cycloalkyl substituted with 0-3 R 13 substituents; and 5- to 6-membered heterocycloalkyl having 1-2 heteroatoms independently selected from oxygen and sulfur and substituted with 0-3 R 13 substituents.
  • R 12 is selected from C 4-6 alkyl substituted with 0-2 substituents selected from -F, -CN, and C 1-2 alkoxy; C 4-6 cycloalkyl substituted with 0-1 R 13 substituents; and 5- to 6-membered heterocycloalkyl having 1-2 heteroatoms independently selected from oxygen and sulfur and substituted with 0-1 R 13 substituents.
  • R 12 is selected from C 4-6 alkyl substituted with 0-3 -F substituents; and C 4-6 cycloalkyl substituted with 0-3 substituents selected from -F and -Me.
  • R 12 is selected from C 3-6 alkyl substituted with 0-3 -F substituents; and C 3-6 cycloalkyl substituted with 0-3 substituents selected from -F and -Me.
  • R 12 is selected from C 3-6 alkyl substituted with 0-3 -F substituents; and C 3-6 cycloalkyl substituted with -F or -Me.
  • R 12 is selected from tert-butyl substituted with 0-3 -F substituents; cyclobutyl substituted with 0-2 substituents selected from -F and -Me; and bicyclo[l.l. l]pentanyl substituted with 0-2 substituents selected from -F and -Me.
  • R 12 is selected from tert-butyl substituted with 0-3 -F substituents; cyclobutyl substituted with 0-2 substituents selected from -F and -Me; and bicyclo[l.l. l]pentanyl substituted with 0-2 substituents selected from -F and -Me.
  • R 12 is selected from tert-butyl substituted with 0-3 -F substituents; cyclobutyl substituted with 0-1 substituents selected from -F and -Me; and bicyclo[l.l. l]pentanyl substituted with 0-2 substituents selected from -F and -Me.
  • R 12 is selected from
  • R 12 is selected from phenyl substituted with 0-3 substituents selected from -halo, C 1.4 alkyl substituted with 0-3 -F substituents, C 3-5 cycloalkyl, -CN, -SF 5 , -OMe, -OCH 2 F, -OCHF 2 , - OCF 3 and -SO 2 CF 3 ; 6-membered heteroaryl having 1-2 nitrogen heteroatoms and substituted with 1-3 substituents selected from -halo, -SF 5 , -CF 3 , -OCF 3 and -SO 2 CF 3 ;
  • R 12 is selected from phenyl substituted with 1-2 substituents selected from -halo, C 1-4 alkyl substituted with 0-3 -F substituents, C 3-5 cycloalkyl, -CN, -SF 5 , -OMe, -OCH 2 F, -OCHF 2 , - OCF 3 and -SO 2 CF 3 .
  • R 12 is selected from each R 13 is independently selected from -OH; -F; -CN; C 1.4 alkoxy substituted with 0-3 substituents selected from -F, -OH, -OMe and -OEt; and C 1.4 alkyl substituted with 0-3 substituents selected from -F, -OH, -OMe and -OEt.
  • each R 13 is independently selected from -F; -CN; C 1.2 alkoxy substituted with 0-1 substituents selected from -F, -OMe and -OEt; and C 1.2 alkyl substituted with 0-1 substituents selected from -F, -OMe and -OEt.
  • each R 13 is independently selected from -F; -CN; C 1.4 alkoxy; and C 1.4 alkyl. each R 13 is independently selected from -F; C 1.2 alkoxy; and C 1.2 alkyl. each R 13 is independently selected from -F; -OMe; and -Me. each R 13 is -F. each R 13 is -Me.
  • U, V and W are each independently selected from C and N; provided that when U is N, R 2 is absent; when V is N, R 3 is absent; and when W is N, R 4 is absent.
  • U, V and W are each C.
  • R 2 , R 3 and R 4 are each independently selected from -H, -halo, -CN, C 1.4 alkyl substituted with 0-3 substituents selected from -F and -OMe, C 1.4 alkoxy substituted with 0-3 substituents selected from -F and -OMe, C 3-4 cycloalkyl substituted with 0-3 substituents selected from -F and -OMe, and C 3-4 cycloalkoxy substituted with 0-3 substituents selected from -F and -Me.
  • R 2 is selected from -H, -halo, -CN, C 1.4 alkyl substituted with 0-3 substituents selected from -F and -OMe, C 1.4 alkoxy substituted with 0-3 substituents selected from -F and -OMe, and C 3-4 cycloalkyl substituted with 0-3 substituents selected from -F and -OMe.
  • R 2 is selected from -H, -halo, -CN, C 1.2 alkyl substituted with 0-3 -F substituents, C 1.2 alkyl substituted with 0-1 -OMe substituents, and C 3-4 cycloalkyl substituted with 0-1 substituents selected from -F and -OMe.
  • R 2 is selected from -H, -halo, -CN, C 1.2 alkyl substituted with 0-3 -F substituents, C 1.2 alkyl substituted with 0-1 -OMe substituents, and cyclopropyl.
  • R 2 is not -H.
  • R 2 is -CN or -F.
  • R 2 is -CN.
  • R 2 is -F.
  • R 3 is selected from -H, -halo, -CN, C 1.4 alkyl substituted with 0-3 substituents selected from -F and -OMe, C 1.4 alkoxy substituted with 0-3 substituents selected from -F and -OMe, and C 3-4 cycloalkyl substituted with 0-3 substituents selected from -F and -OMe.
  • R 3 is selected from -H, -halo, -CN, C 1.2 alkyl substituted with 0-3 -F substituents, C 1.2 alkyl substituted with 0-1 -OMe substituents, and C 3-4 cycloalkyl substituted with 0-1 substituents selected from -F and -OMe.
  • R 3 is selected from -H, -halo, -CN, C 1.2 alkyl substituted with 0-3 -F substituents, C 1.2 alkyl substituted with 0-1 -OMe substituents, and cyclopropyl.
  • R 3 is -H.
  • R 4 is selected from -H, -F, C 1.4 alkoxy substituted with 0-3 substituents selected from -F and -OMe, and C 3-4 cycloalkoxy substituted with 0-3 substituents selected from -F and -Me.
  • R 4 is selected from -H, -F, and C 1.4 alkoxy substituted with 0-3 substituents selected from -F and -OMe.
  • R 4 is selected from -F and C 1.4 alkoxy substituted with 0-3 substituents selected from -F and -OMe.
  • R 4 is selected from -F and C 1.3 alkoxy substituted with 0-2 substituents selected from -F and -OMe.
  • R 4 is selected from -F and C 1.3 alkoxy substituted with 0-2 substituents selected from -F and -OMe.
  • R 4 is C 1.3 alkoxy substituted with 0-2 substituents selected from -F and -OMe.
  • R 4 is -OMe or -OEt.
  • R 4 is not -H.
  • R 4 is selected from -F and -OMe.
  • R 4 is -OMe.
  • R 2 and R 3 together with the atoms to which they are attached, form a 5- or 6-membered heterocyclic ring having 1-3 heteroatoms independently selected from nitrogen, oxygen and sulfur and substituted with 0-3 -Me substituents; and U and V are each C.
  • R 3 and R 4 together with the atoms to which they are attached, form a 5- or 6-membered heterocyclic ring having 1-3 heteroatoms independently selected from nitrogen, oxygen and sulfur and substituted with 0-3 -Me substituents; and V and W are each C.
  • R 3 and R 4 are selected such that the ring containing R 3 , R 4 , V and W is and wherein said ring is optionally substituted with 0-2 -Me substituents.
  • R 3 and R 4 are selected such that the ring containing R 3 , R 4 , V and W is
  • R 2 is -CN; R 3 is -H; R 4 is -OMe; and R 5 is -H.
  • R 2 is -F; R 3 is -H; R 4 is -OMe; and R 5 is -H.
  • Ring B is a 4- to 10-membered cycloalkyl; a 4- to 10-membered heterocycloalkyl having 1-2 heteroatoms independently selected from nitrogen and oxygen; a 4- to 10-membered heterocycloalkenyl having 1-2 heteroatoms independently selected from nitrogen and oxygen; or a 4- to 10-membered cycloalkenyl;
  • R 7 is selected from -H, -F, -CH 3 and -OCH 3 ; each R 8 is independently selected from C 1.4 alkyl substituted with 0-3 -F substituents; C 1 - 4 alkoxy; -OH; -F; and -COO(C 1-4 alkyl); p is 0, 1 or 2;
  • Ring C is a 6- to 10-membered aryl; a 5- to 10-membered heteroaryl having 1-4 heteroatoms independently selected from nitrogen, oxygen and sulfur; a 4- to 10-membered cycloalkenyl; or a 4- to 10-membered heterocycloalkenyl having 1-2 heteroatoms independently selected from nitrogen and oxygen; each R 9 is independently selected from C 1.4 alkyl, C 1.4 alkoxy, -halo and -OH; q is 0, 1 or 2;
  • R 1 is selected from -COOH, -CONH 2 , -CONHMe, -CONMe 2 , -C(CH 2 OH) 2 NH 2 , -
  • X is selected from a bond, -CH 2 -, -O-, -S-, -CH 2 O- and -OCH 2 -;
  • Y is selected from C 2 -6 alkylene substituted with 0-2 R 14 substituents; C 3-8 cycloalkylene substituted with 0-2 R 14 substituents; C 5-8 cycloalkenylene substituted with 0-2 R 14 substituents; 5- to 8-membered heterocycloalkylene having 1-3 heteroatoms independently selected from oxygen and sulfur and substituted with 0-2 R 14 substituents; phenylene substituted with 0-2 R 14 substituents; 5- or 6-membered heteroarylene having 1-3 heteroatoms independently selected from nitrogen, oxygen and sulfur and substituted with 0-2 R 14 substituents; and R 14 is selected from C 1.3 alkyl substituted with 0-3 substituents selected from -OH, -OMe, -F and -CN; C 1.3 alkoxy substituted with 0-3 -F substituents; cyclopropyl substituted with 0-3 substituents selected from -OH, -OMe, -F and -CN; -F;
  • R 5 is selected from -H, -Me and -F;
  • R 6 is -(CR 10 R u )nR 12 ; n is 0, 1 or 2;
  • R 10 and R 11 are each independently selected from -H, -Me and -F, or R 10 and R 11 together with the carbon to which they are attached form cyclopropyl;
  • R 12 is selected from C 3-8 alkyl substituted with 0-5 substituents selected from -OH, -F, - CN, and C 1.4 alkoxy; C 3-10 cycloalkyl substituted with 0-4 R 13 substituents; 5- to 10-membered heterocycloalkyl having 1-2 heteroatoms independently selected from oxygen and sulfur and substituted with 0-4 R 13 substituents; phenyl substituted with 0-3 substituents selected from - halo, C 1.4 alkyl substituted with 0-3 -F substituents, C3-5 cycloalkyl, -CN, -SF 5 , -OMe, -OCH 2 F, - OCHF2, -OCF 3 and -SO 2 CF 3 ; 6-membered heteroaryl having 1-2 nitrogen heteroatoms and substituted with 1-3 substituents selected from -halo, -SF 5 , -CF 3 , -OCF 3 and -SO 2 CF 3 ; each R 13 is
  • U, V and W are each independently selected from C and N; provided that when U is N, R 2 is absent; when V is N, R 3 is absent; and when W is N, R 4 is absent;
  • R 2 and R 3 are each independently selected from -H, -halo, -CN, C 1.4 alkyl substituted with 0-3 substituents selected from -F and -OMe, C 1.4 alkoxy substituted with 0-3 substituents selected from -F and -OMe, C 3-4 cycloalkyl substituted with 0-3 substituents selected from -F and -OMe, and C 3-4 cycloalkoxy substituted with 0-3 substituents selected from -F and -Me; and R 4 is selected from -F and C 1.4 alkoxy substituted with 0-3 substituents selected from -F and -OMe; optionally R 4 is C 1.4 alkoxy substituted with 0-3 substituents selected from -F and -OMe; optionally R 4 is -OMe.
  • Ring B is a 4- to 10-membered cycloalkyl; a 4- to 10-membered heterocycloalkyl having 1-2 heteroatoms independently selected from nitrogen and oxygen; a 4- to 10-membered heterocycloalkenyl having 1-2 heteroatoms independently selected from nitrogen and oxygen; or a 4- to 10-membered cycloalkenyl;
  • Ring C is a 6- to 10-membered aryl; a 5- to 10-membered heteroaryl having 1-4 heteroatoms independently selected from nitrogen, oxygen and sulfur; a 4- to 10-membered cycloalkenyl; or a 4- to 10-membered heterocycloalkenyl having 1-2 heteroatoms independently selected from nitrogen and oxygen; each R 9 is independently selected from C 1-4 alkyl, C 1-4 alkoxy, -halo and -OH; q is 0, 1 or 2, optionally q is 0;
  • R 1 is -COOH
  • X is selected from a bond, -CH 2 -, -O-, -S-, -CH 2 O- and -OCH 2 -; optionally X is -O-;
  • R 5 is selected from -H, -Me and -F, optionally R 5 is -H;
  • R 6 is -(CR 10 R u )nR 12 ; n is 0, 1 or 2;
  • R 10 and R 11 are each independently selected from -H, -Me and -F, or R 10 and R 11 together with the carbon to which they are attached form cyclopropyl;
  • R 12 is selected from C 4-6 alkyl substituted with 0-3 substituents selected from -F, -CN, and C 1-2 alkoxy; C 4-6 cycloalkyl substituted with 0-3 R 13 substituents; and 5- to 6-membered heterocycloalkyl having 1-2 heteroatoms independently selected from oxygen and sulfur and substituted with 0-3 R 13 substituents; or selected from -halo, -Me, -CF 3 and -CN; each R 13 is independently selected from -OH; -F; -CN; C 1.4 alkoxy substituted with 0-3 substituents selected from -F, -OH, -OMe and -OEt; and C 1.4 alkyl substituted with 0-3 substituents selected from -F, -OH, -OMe and -OEt;
  • U, V and W are each independently selected from C and N; provided that when U is N, R 2 is absent; when V is N, R 3 is absent; and when W is N, R 4 is absent;
  • R 2 and R 3 are each independently selected from -H, -halo, -CN, C 1.4 alkyl substituted with 0-3 substituents selected from -F and -OMe, C 1.4 alkoxy substituted with 0-3 substituents selected from -F and -OMe, C 3-4 cycloalkyl substituted with 0-3 substituents selected from -F and -OMe, and C 3-4 cycloalkoxy substituted with 0-3 substituents selected from -F and -Me; and R 4 is selected from -F and C 1-4 alkoxy substituted with 0-3 substituents selected from -F and -OMe; optionally R 4 is C 1.4 alkoxy substituted with 0-3 substituents selected from -F and - OMe; optionally R 4 is -OMe.
  • Ring B is a 5- to 8-membered cycloalkyl, or a 5- to 8-membered cycloalkenyl
  • R 7 is selected from -H and -F; each R 8 is independently selected from C 1.2 alkyl substituted with 0-3 -F substituents; and
  • p is 0 or 1; optionally p is 0;
  • R 1 is selected from - X is -O-; r is 1 or 2;
  • R 5 is -H
  • R 6 is -(CR 10 R u )nR 12 ; n is 0 or 1; optionally n is 1;
  • R 10 and R 11 are each independently selected from -H, -Me and -F, or R 10 and R 11 together with the carbon to which they are attached form cyclopropyl;
  • R 12 is selected from C 4-6 alkyl substituted with 0-3 substituents selected from -F, -CN, and C 1-2 alkoxy;
  • each R 13 is independently selected from -F; -CN; C 1.2 alkoxy substituted with 0-1 substituents selected from -F, -OMe and -OEt; and C 1.2 alkyl substituted with 0-1 substituents selected from -F, -OMe and -OEt;
  • R 2 is selected from -H, -halo, -CN, C 1.2 alkyl substituted with 0-3 -F substituents, C 1.2 alkyl substituted with 0-1 -OMe substituents, and cyclopropyl; optionally R 2 is -F or -CN;
  • R 3 is selected from -H, -halo, -CN, C 1.2 alkyl substituted with 0-3 -F substituents, C 1.2 alkyl substituted with 0-1 -OMe substituents, and cyclopropyl; optionally R 3 is -H;
  • R 4 is selected from -F and C 1.4 alkoxy substituted with 0-3 substituents selected from -F and -OMe; optionally R 4 is C 1.4 alkoxy substituted with 0-3 substituents selected from -F and - OMe; optionally R 4 is -OMe.
  • a compound of Formula (Ila) or Formula (lib), or a pharmaceutically acceptable salt thereof wherein
  • Formula (I) there is provided a compound of Formula (IVa) or Formula (IVb), or a pharmaceutically acceptable salt thereof, wherein R 2 is -F or -CN; and R 6 is selected from
  • the compound of Formula (I) is pharmaceutically acceptable salt thereof.
  • the compound of Formula (I) is N-(2-aminoethyl)-2-aminoethyl-N-(2-aminoethyl)-2-aminoethyl-N-(2-aminoethyl)-2-aminoethyl-N-(2-aminoethyl)-2-aminoethyl-N-(2-aminoethyl)-2-aminoethyl-N-N-(2-aminoethyl)-2-aminoethyl-N-(2-aminoethyl)-2-aminoethyl-N-(2-aminoethyl)-2-aminoethyl-N-(2-aminoethyl)-2-aminoethyl-N-(2-aminoethyl)-2-aminoethyl-N-(2-aminoethyl)-2-aminoethyl
  • the compound of Formula (I) is pharmaceutically acceptable salt thereof.
  • the compound of Formula (I) is pharmaceutically acceptable salt thereof. In an embodiment, the compound of Formula (I) is pharmaceutically acceptable salt thereof. In an embodiment, the compound of Formula (I) is pharmaceutically acceptable salt thereof.
  • the compound of Formula (I) is N-(2-aminoethyl)-2-aminoethyl-N-(2-aminoethyl)-2-aminoethyl-N-(2-aminoethyl)-2-aminoethyl-N-(2-aminoethyl)-2-aminoethyl-N-(2-aminoethyl)-2-aminoethyl-N-N-(2-aminoethyl)-2-aminoethyl-N-(2-aminoethyl)-2-aminoethyl-N-(2-aminoethyl)-2-aminoethyl-N-(2-aminoethyl)-2-aminoethyl-N-(2-aminoethyl)-2-aminoethyl-N-(2-aminoethyl)-2-aminoethyl
  • the compound of Formula (I) is pharmaceutically acceptable salt thereof.
  • the compound of Formula (I) is N-(2-aminoethyl)-2-aminoethyl-N-(2-aminoethyl)-2-aminoethyl-N-(2-aminoethyl)-2-aminoethyl-N-(2-aminoethyl)-2-aminoethyl-N-(2-aminoethyl)-2-aminoethyl-N-N-(2-aminoethyl)-2-aminoethyl-N-(2-aminoethyl)-2-aminoethyl-N-(2-aminoethyl)-2-aminoethyl-N-(2-aminoethyl)-2-aminoethyl-N-(2-aminoethyl)-2-aminoethyl-N-(2-aminoethyl)-2-aminoethyl
  • the compound of Formula (I) is N-(2-aminoethyl)-2-aminoethyl-N-(2-aminoethyl)-2-aminoethyl-N-(2-aminoethyl)-2-aminoethyl-N-(2-aminoethyl)-2-aminoethyl-N-(2-aminoethyl)-2-aminoethyl-N-N-(2-aminoethyl)-2-aminoethyl-N-(2-aminoethyl)-2-aminoethyl-N-(2-aminoethyl)-2-aminoethyl-N-(2-aminoethyl)-2-aminoethyl-N-(2-aminoethyl)-2-aminoethyl-N-(2-aminoethyl)-2-aminoethyl
  • the compound of Formula (I) is N-(2-aminoethyl)-2-aminoethyl-N-(2-aminoethyl)-2-aminoethyl-N-(2-aminoethyl)-2-aminoethyl-N-(2-aminoethyl)-2-aminoethyl-N-(2-aminoethyl)-2-aminoethyl-N-N-(2-aminoethyl)-2-aminoethyl-N-(2-aminoethyl)-2-aminoethyl-N-(2-aminoethyl)-2-aminoethyl-N-(2-aminoethyl)-2-aminoethyl-N-(2-aminoethyl)-2-aminoethyl-N-(2-aminoethyl)-2-aminoethyl
  • the compound of Formula (I) is N-(2-aminoethyl)-2-aminoethyl-N-(2-aminoethyl)-2-aminoethyl-N-(2-aminoethyl)-2-aminoethyl-N-(2-aminoethyl)-2-aminoethyl-N-(2-aminoethyl)-2-aminoethyl-N-N-(2-aminoethyl)-2-aminoethyl-N-(2-aminoethyl)-2-aminoethyl-N-(2-aminoethyl)-2-aminoethyl-N-(2-aminoethyl)-2-aminoethyl-N-(2-aminoethyl)-2-aminoethyl-N-(2-aminoethyl)-2-aminoethyl
  • a compound is provided that is any one of the compounds from COMPOUND LIST A, or a pharmaceutically acceptable salt thereof. In an embodiment, a compound is provided that is any one of the compounds from COMPOUND LIST A.
  • the compound of Formula (I) is selected from the compounds of COMPOUND LIST A, or pharmaceutically acceptable salts thereof. In an embodiment, the compound of Formula (I) is selected from the compounds of

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PCT/EP2021/084673 2020-12-08 2021-12-07 4-(2-fluoro-4-methoxy-5-3-(((1-methylcyclobutyl)methyl)carbamoyl)bicyclo[2.2.1]heptan-2-yl)carbamoyl)phenoxy)-1-methylcyclohexane-1-carboxylic acid derivatives and similar compounds as rxfp1 modulators for the treatment of heart failure Ceased WO2022122773A1 (en)

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EP21824574.4A EP4259605A1 (en) 2020-12-08 2021-12-07 4-(2-fluoro-4-methoxy-5-3-(((1-methylcyclobutyl)methyl)carbamoyl)bicyclo[2.2.1]heptan-2-yl)carbamoyl)phenoxy)-1-methylcyclohexane-1-carboxylic acid derivatives and similar compounds as rxfp1 modulators for the treatment of heart failure
CR20230296A CR20230296A (es) 2020-12-08 2021-12-07 Derivados de ácido 4-(2-fluoro-4-metoxi-5-3-(((1-metilciclobutil)metil)carbamoil)biciclo[2.2.1]heptan-2-il)carbamoil)fenoxi)-1-metilciclohexano-1-carboxílico y compuestos similares como moduladores de rxfp1 para el tratamiento de insuficiencia cardíaca
KR1020237022785A KR20230118142A (ko) 2020-12-08 2021-12-07 심부전 치료용 rxfp1 조절제로서의 4-(2-플루오로-4-메톡시-5-3-(((1-메틸시클로부틸)메틸)카바모일)바이시클로[2.2.1]헵탄-2-일)카바모일)페녹시)-1-메틸시클로헥산-1-카복실산유도체 및 유사 화합물
PE2023001826A PE20240655A1 (es) 2020-12-08 2021-12-07 Derivados de acido 4-(2-fluoro-4-metoxi-5-3-(((1-metilciclobutil)metil)carbamoil)biciclo[2.2.1]heptan-2-il)carbamoil)fenoxi)-1-metilciclohexano-1-carboxilico y compuestos similares como moduladores de rxfp1 para el tratamiento de insuficiencia cardiaca
CN202180075461.3A CN116547270A (zh) 2020-12-08 2021-12-07 4-(2-氟-4-甲氧基-5-3-(((1-甲基环丁基)甲基)氨基甲酰基)双环[2.2.1]庚-2-基)氨基甲酰基)苯氧基)-1-甲基环己烷-1-甲酸衍生物以及类似化合物作为rxfp1调节剂用于治疗心力衰竭
IL303220A IL303220A (en) 2020-12-08 2021-12-07 4-(2-fluoro-4-methoxy-5-3-(((1-methylcyclobutyl)methyl)carbamoyl)bicyclo[2.2.1]heptan-2-yl)carbamoyl)phenoxy)-1-methylcyclohexane-1-carboxylic acid derivatives and similar compounds as rxfp1 modulators for the treatment of heart failure
JP2023534685A JP2023552793A (ja) 2020-12-08 2021-12-07 心不全の処置のための、rxfp1モデュレーターとしての4-(2-フルオロ-4-メトキシ-5-3-(((1-メチルシクロブチル)メチル)カルバモイル)ビシクロ[2.2.1]ヘプタン-2-イル)カルバモイル)フェノキシ)-1-メチルシクロヘキサン-1-カルボン酸誘導体及び類似化合物
MX2023006178A MX2023006178A (es) 2020-12-08 2021-12-07 Derivados de acido 4-(2-fluoro-4-metoxi-5-3-(((1-metilciclobutil)m etil)carbamoil)biciclo[2.2.1]heptan-2-il)carbamoil)fenoxi)-1-meti lciclohexano-1-carboxilico y compuestos similares como moduladores de rxfp1 para el tratamiento de insuficiencia cardiaca.
AU2021395353A AU2021395353B2 (en) 2020-12-08 2021-12-07 4-(2-fluoro-4-methoxy-5-3-(((1-methylcyclobutyl)methyl)carbamoyl)bicyclo[2.2.1]heptan-2-yl)carbamoyl)phenoxy)-1-methylcyclohexane-1-carboxylic acid derivatives and similar compounds as rxfp1 modulators for the treatment of heart failure
CA3203024A CA3203024A1 (en) 2020-12-08 2021-12-07 4-(2-fluoro-4-methoxy-5-3-(((1-methylcyclobutyl)methyl)carbamoyl)bicyclo[2.2.1]heptan-2-yl)carbamoyl)phenoxy)-1-methylcyclohexane-1-carboxylic acid derivatives and similar compounds as rxfp1 modulators for the treatment of heart failure
DO2023000111A DOP2023000111A (es) 2020-12-08 2023-06-05 Derivados de ácido 4-(2-fluoro-4-metoxi-5-3-(((1-metilciclobutil)metil)carbamoil)biciclo[2.2.1]heptan-2-il)carbamoil)fenoxi)-1-metilciclohexano-1-carboxílico y compuestos similares como moduladores de rxfp1 para el tratamiento de insuficiencia cardíaca
CONC2023/0008303A CO2023008303A2 (es) 2020-12-08 2023-06-26 Derivados de ácido 4-(2-fluoro-4-metoxi-5-3-(((1-metilciclobutil)metil)carbamoil)biciclo[2.2.1]heptan-2-il)carbamoil)fenoxi)-1-metilciclohexano-1-carboxílico y compuestos similares como moduladores de rxfp1 para el tratamiento de insuficiencia cardíaca

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WO2023077041A1 (en) * 2021-10-29 2023-05-04 Bristol-Myers Squibb Company Rxfp1 modulators for the treatment of heart failure
WO2023077070A1 (en) * 2021-10-29 2023-05-04 Bristol-Myers Squibb Company Rxfp1 agonists
WO2023077040A1 (en) * 2021-10-29 2023-05-04 Bristol-Myers Squibb Company Rxfp1 agonists
WO2023076626A1 (en) * 2021-10-29 2023-05-04 Bristol-Myers Squibb Company Rxfp1 agonists
WO2023237511A1 (en) * 2022-06-07 2023-12-14 Astrazeneca Ab Rxfp1 modulators for treating resistant hypertension or heart failure with pulmonary hypertension
WO2023237510A1 (en) * 2022-06-07 2023-12-14 Astrazeneca Ab Solid forms of rxfp1 modulators
WO2023237512A1 (en) * 2022-06-07 2023-12-14 Astrazeneca Ab Combinations of rxfp1 modulators and sglt2 inhibitors
WO2025036918A1 (en) 2023-08-15 2025-02-20 Astrazeneca Ab Compound azd5462 for use in the treatment of heart failure
WO2025077841A1 (zh) * 2023-10-13 2025-04-17 江苏恒瑞医药股份有限公司 酰胺取代的环烷基类化合物、其制备方法及其在医药上的应用
WO2025106780A1 (en) 2023-11-17 2025-05-22 Eli Lilly And Company Rxfp1 receptor agonists

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Cited By (10)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO2023077041A1 (en) * 2021-10-29 2023-05-04 Bristol-Myers Squibb Company Rxfp1 modulators for the treatment of heart failure
WO2023077070A1 (en) * 2021-10-29 2023-05-04 Bristol-Myers Squibb Company Rxfp1 agonists
WO2023077040A1 (en) * 2021-10-29 2023-05-04 Bristol-Myers Squibb Company Rxfp1 agonists
WO2023076626A1 (en) * 2021-10-29 2023-05-04 Bristol-Myers Squibb Company Rxfp1 agonists
WO2023237511A1 (en) * 2022-06-07 2023-12-14 Astrazeneca Ab Rxfp1 modulators for treating resistant hypertension or heart failure with pulmonary hypertension
WO2023237510A1 (en) * 2022-06-07 2023-12-14 Astrazeneca Ab Solid forms of rxfp1 modulators
WO2023237512A1 (en) * 2022-06-07 2023-12-14 Astrazeneca Ab Combinations of rxfp1 modulators and sglt2 inhibitors
WO2025036918A1 (en) 2023-08-15 2025-02-20 Astrazeneca Ab Compound azd5462 for use in the treatment of heart failure
WO2025077841A1 (zh) * 2023-10-13 2025-04-17 江苏恒瑞医药股份有限公司 酰胺取代的环烷基类化合物、其制备方法及其在医药上的应用
WO2025106780A1 (en) 2023-11-17 2025-05-22 Eli Lilly And Company Rxfp1 receptor agonists

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