WO2024040266A2 - Analogues de benzoimidazole et d'indole disubstitués en tant que modulateurs de pink1 - Google Patents

Analogues de benzoimidazole et d'indole disubstitués en tant que modulateurs de pink1 Download PDF

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WO2024040266A2
WO2024040266A2 PCT/US2023/072587 US2023072587W WO2024040266A2 WO 2024040266 A2 WO2024040266 A2 WO 2024040266A2 US 2023072587 W US2023072587 W US 2023072587W WO 2024040266 A2 WO2024040266 A2 WO 2024040266A2
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compound
pharmaceutically acceptable
acceptable salt
alkyl
hydrogen
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WO2024040266A3 (fr
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Nicholas Thomas Hertz
Dara DITSWORTH
Robert Devita
Lorna Duffy
Pauline DROUHIN
Joseph WRIGGLESWORTH
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Mitokinin, Inc.
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    • C—CHEMISTRY; METALLURGY
    • C07—ORGANIC CHEMISTRY
    • C07D—HETEROCYCLIC COMPOUNDS
    • C07D471/00—Heterocyclic compounds containing nitrogen atoms as the only ring hetero atoms in the condensed system, at least one ring being a six-membered ring with one nitrogen atom, not provided for by groups C07D451/00 - C07D463/00
    • C07D471/02—Heterocyclic compounds containing nitrogen atoms as the only ring hetero atoms in the condensed system, at least one ring being a six-membered ring with one nitrogen atom, not provided for by groups C07D451/00 - C07D463/00 in which the condensed system contains two hetero rings
    • C07D471/04—Ortho-condensed systems
    • C—CHEMISTRY; METALLURGY
    • C07—ORGANIC CHEMISTRY
    • C07D—HETEROCYCLIC COMPOUNDS
    • C07D405/00—Heterocyclic compounds containing both one or more hetero rings having oxygen atoms as the only ring hetero atoms, and one or more rings having nitrogen as the only ring hetero atom
    • C07D405/02—Heterocyclic compounds containing both one or more hetero rings having oxygen atoms as the only ring hetero atoms, and one or more rings having nitrogen as the only ring hetero atom containing two hetero rings
    • C07D405/12—Heterocyclic compounds containing both one or more hetero rings having oxygen atoms as the only ring hetero atoms, and one or more rings having nitrogen as the only ring hetero atom containing two hetero rings linked by a chain containing hetero atoms as chain links
    • C—CHEMISTRY; METALLURGY
    • C07—ORGANIC CHEMISTRY
    • C07D—HETEROCYCLIC COMPOUNDS
    • C07D405/00—Heterocyclic compounds containing both one or more hetero rings having oxygen atoms as the only ring hetero atoms, and one or more rings having nitrogen as the only ring hetero atom
    • C07D405/14—Heterocyclic compounds containing both one or more hetero rings having oxygen atoms as the only ring hetero atoms, and one or more rings having nitrogen as the only ring hetero atom containing three or more hetero rings
    • C—CHEMISTRY; METALLURGY
    • C07—ORGANIC CHEMISTRY
    • C07D—HETEROCYCLIC COMPOUNDS
    • C07D413/00—Heterocyclic compounds containing two or more hetero rings, at least one ring having nitrogen and oxygen atoms as the only ring hetero atoms
    • C07D413/14—Heterocyclic compounds containing two or more hetero rings, at least one ring having nitrogen and oxygen atoms as the only ring hetero atoms containing three or more hetero rings
    • C—CHEMISTRY; METALLURGY
    • C07—ORGANIC CHEMISTRY
    • C07D—HETEROCYCLIC COMPOUNDS
    • C07D487/00—Heterocyclic compounds containing nitrogen atoms as the only ring hetero atoms in the condensed system, not provided for by groups C07D451/00 - C07D477/00
    • C07D487/02—Heterocyclic compounds containing nitrogen atoms as the only ring hetero atoms in the condensed system, not provided for by groups C07D451/00 - C07D477/00 in which the condensed system contains two hetero rings
    • C07D487/04—Ortho-condensed systems

Definitions

  • PINK1-Phosphorylated Mitofusin-2 Is a Parkin Receptor for Culling Damaged Mitochondria. Science 340, 471-475, (2013)).
  • the mitochondrial kinase PTEN Induced Kinase 1 (PINK1) plays an important role in the mitochondrial quality control processes by responding to damage at the level of individual mitochondria.
  • the PINK1 pathway has also been linked to the induction of mitochondrial biogenesis and, critically, to the reduction of mitochondrially- induced apoptosis. See e.g., Narendra, D. P. et al. PINK1 is selectively stabilized on impaired mitochondria to activate Parkin.
  • Parkinson’s Disease is one of the most common neurodegenerative disorders; however, no disease modifying therapies are currently approved to treat PD. Both environmental and genetic factors lead to progressive apoptosis of dopaminergic neurons, lowered dopamine levels, and, ultimately, PD.
  • Cardiomyopathy refers to a disease of cardiac muscle tissue, and it is estimated that cardiomyopathy accounts for 5–10% of the 5–6 million patients already diagnosed with heart failure in the United States. Based on etiology and pathophysiology, the World Health Organization created a classification of cardiomyopathy types which includes dilated cardiomyopathy, hypertrophic cardiomyopathy, restrictive cardiomyopathy, arrhythmogenic right ventricular cardiomyopathy, and unclassified cardiomyopathy.
  • PINK1 kinase activity appears to mediate its’ cardio-protective activity.
  • the regulation of mitochondrial movement, distribution, and clearance is a part of cardiac cell oxidative stress response. Disruptions to these regulatory pathways have been shown to contribute to cardiomyopathy. See Schapira and Chen cited above. Wang, X., (2011) et al. PINK1 and Parkin target Miro for phosphorylation and degradation to arrest mitochondrial motility Cell 147, 893-906, (2011) and Richardson P, et al.
  • PINK1 acts as a molecular checkpoint in the maintenance of mitochondrial function and integrity, Mol Cells 34, 7-13, (2012), Martins-Branco, D. et al. Ubiquitin proteasome system in Parkinson's disease: a keeper or a witness? Exp Neurol 238, 89-99, (2012), and Geisler, S. et al.
  • the PINK1/Parkin-mediated mitophagy is compromised by PD- associated mutations. Autophagy 6, 871-878, (2010). Henchcliffe, C.
  • the lesions usually correlate with gliosis, demyelination, capillary proliferation, and/or necrosis See Geisler, S. et al.
  • the PINK1/Parkin-mediated mitophagy is compromised by PD-associated mutations.
  • Autophagy 6, 871-878, (2010) and Gautier, C. A., Kitada, T. & Shen, J. Loss of PINK1 causes mitochondrial functional defects and increased sensitivity to oxidative stress.
  • Leigh syndrome is a severe neurological disorder caused by mutation of mitochondrial genes.
  • LS patients can include (with a wide variety of clinical presentation) developmental retardation, hypotonia, ataxia, spasticity, dystonia, weakness, optic atrophy, defects in eye or eyelid movement, hearing impairment, breathing abnormalities, dysarthria, swallowing difficulties, failure to thrive, and gastrointestinal problems.
  • developmental retardation hypotonia, ataxia, spasticity, dystonia, weakness, optic atrophy, defects in eye or eyelid movement, hearing impairment, breathing abnormalities, dysarthria, swallowing difficulties, failure to thrive, and gastrointestinal problems.
  • Several cases of adult-onset LS have also been reported recently. See e.g., Longo, D, et al. Harrison’s Internal Medicine.18 th ed. (online), Ch.238 (2011).
  • Samaranch, L. et al. PINK1-linked parkinsonism is associated with Lewy body pathology.
  • Parkinson’s Disease is one of the most common neurodegenerative disorder; however, no disease modifying therapies are currently approved to treat PD. Both environmental and genetic factors lead to progressive apoptosis of dopaminergic neurons, lowered dopamine levels, and, ultimately, PD. PINK1 kinase activity appears to mediate its’ neuroprotective activity. The regulation of mitochondrial movement, distribution, and clearance is a key part of neuronal oxidative stress response.
  • the disclosure in some embodiments, relates to adenine compounds useful in the treatment of disorders associated with PINK1 kinase activity such as, for example, a neurodegenerative disease, a mitochondrial disease, fibrosis, and/or cardiomyopathy.
  • an advantage of the presently described compounds is that they possess improved potency and reduced toxicity.
  • the disclosed compounds can exhibit an EC50 of less than 1.0 ⁇ M with low toxicity. See, e.g., Tables 2 and 3, compound nos. EP-0042466, EP-0043892, and EP-0043899.
  • methods for making a disclosed compound are also provided.
  • pharmaceutical compositions comprising a therapeutically effective amount of a disclosed compound and a pharmaceutically acceptable carrier.
  • Also disclosed are methods of modulating PINK1 kinase activity in at least one cell the method comprising contacting the cell with an effective amount of at least one disclosed compound.
  • the cell is in culture in vitro.
  • kits comprising a disclosed compound, and one or more selected from: (a) at least one agent known for the treatment of one or more disorders selected from neurodegenerative disorder, a mitochondrial disorder, a fibrosis, cardiomyopathy, a kidney disease, a fibrotic disorder, and a reperfusion injury; (b) instructions for administering the compound in connection with treating one or more disorders selected from a neurodegenerative disorder, a mitochondrial disorder, a fibrosis, cardiomyopathy, a kidney disease, a fibrotic disorder, and a reperfusion injury; and (c) instructions for treating one or more disorders selected from a neurodegenerative disorder, a mitochondrial disorder, a fibrosis, cardiomyopathy, a kidney disease, a fibrotic disorder, and a reperfusion injury.
  • references to “A and/or B,” when used in conjunction with open-ended language such as “comprising” can refer, in various embodiments, to A without B (optionally including elements other than B); in another embodiment, to B without A (optionally including elements other than A); in yet another embodiment, to both A and. B (optionally including other elements); etc.
  • the term “about” means that the numerical value is approximate and small variations would not significantly affect the practice of the disclosed embodiments. Where a numerical limitation is used, unless indicated otherwise by the context, “about” means the numerical value can vary by ⁇ 10% and remain within the scope of the disclosed embodiments. Ranges may be expressed herein as from “about” one particular value, and/or to “about” another particular value. When such a range is expressed, also specifically contemplated and considered disclosed is the range from the one particular value and/or to the other particular value unless the context specifically indicates otherwise.
  • the terms “optional” or “optionally” mean that the subsequently described event or circumstance can or cannot occur, and that the description includes instances where said event or circumstance occurs and instances where it does not.
  • diagnosis means having been subjected to a physical examination by a person of skill, for example, a physician, and found to have a condition that can be diagnosed or treated by the compounds, compositions, or methods disclosed herein.
  • the subject has been diagnosed with a need for treatment of a disorder associated with PINK1 kinase activity such as, for example, a neurodegenerative disease, a mitochondrial disease, fibrosis, and/or cardiomyopathy, prior to the administering step.
  • a disorder associated with PINK1 kinase activity such as, for example, a neurodegenerative disease, a mitochondrial disease, fibrosis, and/or cardiomyopathy
  • the phrase “identified to be in need of treatment for a disorder,” or the like refers to selection of a subject based upon need for treatment of the disorder. It is contemplated that the identification can, in some embodiments, be performed by a person different from the person making the diagnosis. It is also contemplated, in further embodiments, that the administration can be performed by one who subsequently performed the administration.
  • administering refers to any method of providing a pharmaceutical preparation to a subject. Such methods are well known to those skilled in the art and include, but are not limited to, oral administration, transdermal administration, administration by inhalation, nasal administration, topical administration, intravaginal administration, ophthalmic administration, intraaural administration, intracerebral administration, rectal administration, and parenteral administration, including injectable such as intravenous administration, intra-arterial administration, intramuscular administration, and subcutaneous administration. Administration can be continuous or intermittent.
  • a preparation can be administered therapeutically; that is, administered to treat an existing disease or condition.
  • a preparation can be administered prophylactically; that is, administered for prevention of a disease or condition.
  • contacting refers to bringing a disclosed compound and a cell, target receptor, or other biological entity together in such a manner that the compound can affect the activity of the target (e.g., receptor, cell, etc.), either directly; i.e., by interacting with the target itself, or indirectly; i.e., by interacting with another molecule, co- factor, factor, or protein on which the activity of the target is dependent.
  • IC 50 is intended to refer to the concentration of a substance (e.g., a compound or a drug) that is required for about 50% inhibition of a biological process, or component of a process, including a protein, subunit, organelle, ribonucleoprotein, etc.
  • a substance e.g., a compound or a drug
  • an IC50 can refer to the concentration of a substance that is required for 50% inhibition in vivo, as further defined elsewhere herein.
  • EC50 is intended to refer to the concentration of a substance (e.g., a compound or a drug) that is results in a half-maximal response (i.e., 50% of the maximum response) of a biological process, or component of a process, including a protein, subunit, organelle, ribonucleoprotein, etc.
  • a substance e.g., a compound or a drug
  • an EC50 can refer to the concentration of a substance that is required to achieve about 50% of the maximum response in vivo, as further defined elsewhere herein.
  • an EC50 can refer to the concentration of a substance that is required to achieve about 40% of the maximum response in vivo, as further defined elsewhere herein.
  • an EC50 can refer to the concentration of a substance that is required to achieve about 30% of the maximum response in vivo, as further defined elsewhere herein. In some embodiments, an EC50 can refer to the concentration of a substance that is required to achieve about 20% of the maximum response in vivo, as further defined elsewhere herein. In some embodiments, an EC50 can refer to the concentration of a substance that is required to achieve about 10% of the maximum response in vivo, as further defined elsewhere herein. [0036]
  • the compounds according to this disclosure may form prodrugs at hydroxyl or amino functionalities using alkoxy, amino acids, etc., groups as the prodrug forming moieties.
  • the hydroxymethyl position may form mono-, di- or triphosphates and again these phosphates can form prodrugs.
  • Preparations of such prodrug derivatives are discussed in various literature sources (examples are: Alexander et al., J. Med. Chem.1988, 31, 318; Aligas-Martin et al., PCT WO 2000/041531, p.30).
  • the nitrogen function converted in preparing these derivatives is one (or more) of the nitrogen atoms of a compound of the disclosure.
  • “Derivatives” of the compounds disclosed herein are pharmaceutically acceptable salts, prodrugs, deuterated forms, radio-actively labeled forms, isomers, solvates and combinations thereof.
  • the “combinations” mentioned in this context are refer to derivatives falling within at least two of the groups: pharmaceutically acceptable salts, prodrugs, deuterated forms, radio-actively labeled forms, isomers, and solvates.
  • radio-actively labeled forms include compounds labeled with tritium, phosphorous-32, iodine-129, carbon-11, fluorine-18, and the like.
  • the term “leaving group” refers to an atom (or a group of atoms) with electron withdrawing ability that can be displaced as a stable species, taking with it the bonding electrons.
  • Suitable leaving groups include sulfonate esters, including triflate, mesylate, tosylate, brosylate, and halides.
  • the term “substituted” is contemplated to include all permissible substituents of organic compounds.
  • the permissible substituents include acyclic and cyclic, branched and unbranched, carbocyclic and heterocyclic, and aromatic and nonaromatic substituents of organic compounds.
  • Illustrative substituents include, for example, those described below.
  • the permissible substituents can be one or more and the same or different for appropriate organic compounds.
  • the heteroatoms such as nitrogen
  • the heteroatoms can have hydrogen substituents and/or any permissible substituents of organic compounds described herein which satisfy the valences of the heteroatoms.
  • This disclosure is not intended to be limited in any manner by the permissible substituents of organic compounds.
  • substitution or “substituted with” include the implicit proviso that such substitution is in accordance with permitted valence of the substituted atom and the substituent, and that the substitution results in a stable compound, e.g., a compound that does not spontaneously undergo transformation such as by rearrangement, cyclization, elimination, etc.
  • halo and halogen refer to an atom selected from fluorine (fluoro, -F), chlorine (chloro, -Cl), bromine (bromo, -Br), and iodine (iodo, -I).
  • aliphatic or “aliphatic group,” as used herein, denotes a hydrocarbon moiety that may be straight-chain (i.e., unbranched), branched, or cyclic (including fused, bridging, and spirofused polycyclic) and may be completely saturated or may contain one or more units of unsaturation, but which is not aromatic.
  • aliphatic groups contain 1-20 carbon atoms.
  • Aliphatic groups include, but are not limited to, linear or branched, alkyl, alkenyl, and alkynyl groups, and hybrids thereof such as (cycloalkyl)alkyl, (cycloalkenyl)alkyl or (cycloalkyl)alkenyl.
  • alkyl refers to a monovalent saturated, straight- or branched-chain hydrocarbon radical, having unless otherwise specified, 1-6 carbon atoms.
  • alkyl radicals include, but are not limited to, methyl, ethyl, n-propyl, isopropyl, n-butyl, iso-butyl, sec-butyl, n-pentyl, tert-pentyl, neopentyl, sec-pentyl, 3-pentyl, sec- isopentyl, hexyl, 2-methylpentane, 3-methylpentane, 2,2-dimethylbutane, 2,3-dimentybutane and the like.
  • the alkyl group can also be substituted or unsubstituted.
  • the alkyl group can be substituted with one or more groups including, but not limited to, alkyl, cycloalkyl, alkoxy, amino, ether, halide, hydroxy, nitro, silyl, sulfo-oxo, or thiol, as described herein.
  • a “lower alkyl” group is an alkyl group containing from one to six (e.g., from one to four) carbon atoms.
  • alkyl group can also be a C1 alkyl, C1-C2 alkyl, C1-C3 alkyl, C1-C4 alkyl, C1-C5 alkyl, C1-C6 alkyl, C1-C7 alkyl, C1-C8 alkyl, C1-C9 alkyl, C1-C10 alkyl, and the like up to and including a C1-C24 alkyl.
  • alkyl is generally used to refer to both unsubstituted alkyl groups and substituted alkyl groups; however, substituted alkyl groups are also specifically referred to herein by identifying the specific substituent(s) on the alkyl group.
  • halogenated alkyl or “haloalkyl” specifically refers to an alkyl group that is substituted with one or more halide, e.g., fluorine, chlorine, bromine, or iodine.
  • halogenated alkyl specifically refers to an alkyl group that is substituted with one or more halide, e.g., fluorine, chlorine, bromine, or iodine.
  • monohaloalkyl specifically refers to an alkyl group that is substituted with a single halide, e.g. fluorine, chlorine, bromine, or iodine.
  • polyhaloalkyl specifically refers to an alkyl group that is independently substituted with two or more halides, i.e.
  • alkoxyalkyl specifically refers to an alkyl group that is substituted with one or more alkoxy groups, as described below.
  • aminoalkyl specifically refers to an alkyl group that is substituted with one or more amino groups.
  • hydroxyalkyl specifically refers to an alkyl group that is substituted with one or more hydroxy groups.
  • alkyl is used in one instance and a specific term such as “hydroxyalkyl” is used in another, it is not meant to imply that the term “alkyl” does not also refer to specific terms such as “hydroxyalkyl” and the like. [0045] This practice is also used for other groups described herein.
  • cycloalkyl refers to both unsubstituted and substituted cycloalkyl moieties
  • the substituted moieties can, in addition, be specifically identified herein; for example, a particular substituted cycloalkyl can be referred to as, e.g., an “alkylcycloalkyl.”
  • a substituted alkoxy can be specifically referred to as, e.g., a “halogenated alkoxy”
  • a particular substituted alkenyl can be, e.g., an “alkenylalcohol,” and the like.
  • alkenyl as used herein is a hydrocarbon group of from 2 to 24 carbon atoms with a structural formula containing at least one carbon-carbon double bond.
  • the alkenyl group can be substituted with one or more groups including, but not limited to, alkyl, cycloalkyl, alkoxy, alkenyl, cycloalkenyl, alkynyl, cycloalkynyl, aryl, heteroaryl, aldehyde, amino, carboxylic acid, ester, ether, halide, hydroxy, ketone, azide, nitro, silyl, sulfo-oxo, or thiol, as described herein.
  • alkynyl as used herein is a hydrocarbon group of 2 to 24 carbon atoms with a structural formula containing at least one carbon-carbon triple bond.
  • the alkynyl group can be unsubstituted or substituted with one or more groups including, but not limited to, alkyl, cycloalkyl, alkoxy, alkenyl, cycloalkenyl, alkynyl, cycloalkynyl, aryl, heteroaryl, aldehyde, amino, carboxylic acid, ester, ether, halide, hydroxy, ketone, azide, nitro, silyl, sulfo-oxo, or thiol, as described herein.
  • heteroalkyl refers to an alkyl group containing at least one heteroatom.
  • Suitable heteroatoms include, but are not limited to, O, N, Si, P, and S, wherein the nitrogen, phosphorous and sulfur atoms are optionally oxidized, and the nitrogen heteroatom is optionally quaternized.
  • Heteroalkyls can be substituted as defined above for alkyl groups.
  • haloalkyl includes mono, poly, and perhaloalkyl groups where the halogens are independently selected from fluorine, chlorine, bromine, and iodine.
  • Alkoxy is an alkyl group which is attached to another moiety via an oxygen linker (–O(alkyl)). Non-limiting examples include methoxy, ethoxy, propoxy, and butoxy.
  • Haloalkoxy is a haloalkyl group which is attached to another moiety via an oxygen atom such as, e.g., but are not limited to –OCHCF 2 or –OCF 3 .
  • the term “9- to 10-membered carbocyclyl” means a 9- or 10- membered monocyclic, bicyclic (e.g., a bridged or spiro bicyclic ring), polycyclic (e.g., tricyclic), or fused hydrocarbon ring system that is saturated or partially unsaturated.
  • 9- to 10- membered carbocyclyl also includes saturated or partially unsaturated hydrocarbon rings that are fused to one or more aromatic or partically saturated hydrocarbon rings (e.g., dihydroindenyl and tetrahydronaphthalenyl).
  • Bridged bicyclic cycloalkyl groups include, without limitation, bicyclo[4.3.1]decanyl and the like.
  • Spiro bicyclic cycloalkyl groups include, e.g., spiro[3.6]decanyl, spiro[4.5]decanyl, spiro [4.4]nonyl and the like.
  • Fused cycloalkyl rings include, e.g., decahydronaphthalenyl, dihydroindenyl, decahydroazulenyl, octahydroazulenyl, tetrahydronaphthalenyl, and the like. It will be understood that when specified, optional substituents on a carbocyclyl (e.g., in the case of an optionally substituted cycloalkyl) may be present on any substitutable position and, include, e.g., the position at which the carbocyclyl group is attached. [0053]
  • cycloalkyl as used herein is a non-aromatic carbon-based ring composed of at least three carbon atoms.
  • cycloalkyl groups include, but are not limited to, cyclopropyl, cyclobutyl, cyclopentyl, cyclohexyl, cycloheptyl, cyclooctyl, norbornyl, and the like.
  • heterocycloalkyl is a type of cycloalkyl group as defined above, and is included within the meaning of the term “cycloalkyl,” where at least one of the carbon atoms of the ring is replaced with a heteroatom such as, but not limited to, nitrogen, oxygen, sulfur, or phosphorus.
  • the cycloalkyl group and heterocycloalkyl group can be substituted or unsubstituted.
  • the cycloalkyl group and heterocycloalkyl group can be substituted with one or more groups including, but not limited to, alkyl, cycloalkyl, alkoxy, amino, ether, halide, hydroxy, nitro, silyl, sulfo-oxo, or thiol as described herein.
  • the cycloalkyl group and heterocycloalkyl group can be monocyclic, bicyclic (e.g., bridged such as, for example, bicyclo[4.3.1]decanyl or spiro such as, for example, spiro[3.6]decanyl, spiro[4.5]decanyl, spiro [4.4]nonyl), polycyclic (e.g., tricyclic), or a fused hydrocarbon ring system that is saturated or partially unsaturated (e.g., decahydronaphthalenyl, dihydroindenyl, decahydroazulenyl, octahydroazulenyl, tetrahydronaphthalenyl).
  • bicyclic e.g., bridged such as, for example, bicyclo[4.3.1]decanyl or spiro such as, for example, spiro[3.6]decanyl, spiro[4.5]decanyl,
  • Examples of cycloalkenyl groups include, but are not limited to, cyclopropenyl, cyclobutenyl, cyclopentenyl, cyclopentadienyl, cyclohexenyl, cyclohexadienyl, norbornenyl, and the like.
  • heterocycloalkenyl is a type of cycloalkenyl group as defined above, and is included within the meaning of the term “cycloalkenyl,” where at least one of the carbon atoms of the ring is replaced with a heteroatom such as, but not limited to, nitrogen, oxygen, sulfur, or phosphorus.
  • the cycloalkenyl group and heterocycloalkenyl group can be substituted or unsubstituted.
  • the cycloalkenyl group and heterocycloalkenyl group can be substituted with one or more groups including, but not limited to, alkyl, cycloalkyl, alkoxy, alkenyl, cycloalkenyl, alkynyl, cycloalkynyl, aryl, heteroaryl, aldehyde, amino, carboxylic acid, ester, ether, halide, hydroxy, ketone, azide, nitro, silyl, sulfo-oxo, or thiol as described herein.
  • cycloalkynyl as used herein is a non-aromatic carbon-based ring composed of at least seven carbon atoms and containing at least one carbon-carbon triple bound.
  • cycloalkynyl groups include, but are not limited to, cycloheptynyl, cyclooctynyl, cyclononynyl, and the like.
  • heterocycloalkynyl is a type of cycloalkenyl group as defined above, and is included within the meaning of the term “cycloalkynyl,” where at least one of the carbon atoms of the ring is replaced with a heteroatom such as, but not limited to, nitrogen, oxygen, sulfur, or phosphorus.
  • the cycloalkynyl group and heterocycloalkynyl group can be substituted or unsubstituted.
  • the cycloalkynyl group and heterocycloalkynyl group can be substituted with one or more groups including, but not limited to, alkyl, cycloalkyl, alkoxy, alkenyl, cycloalkenyl, alkynyl, cycloalkynyl, aryl, heteroaryl, aldehyde, amino, carboxylic acid, ester, ether, halide, hydroxy, ketone, azide, nitro, silyl, sulfo-oxo, or thiol as described herein.
  • heterocycle or “heterocyclyl,” as used herein can be used interchangeably and refer to single and multi-cyclic aromatic or non-aromatic ring systems in which at least one of the ring members is other than carbon.
  • the term is inclusive of, but not limited to, “heterocycloalkyl,” “heteroaryl,” “bicyclic heterocycle,” and “polycyclic heterocycle.”
  • the heterocycle can be monocyclic, bicyclic (e.g., spiro or bridged), polycyclic, or a fused system that is saturated or partially saturated.
  • Heterocycle includes pyridine, pyrimidine, furan, thiophene, pyrrole, isoxazole, isothiazole, pyrazole, oxazole, thiazole, imidazole, oxazole, including, 1,2,3-oxadiazole, 1,2,5-oxadiazole and 1,3,4- oxadiazole, thiadiazole, including, 1,2,3-thiadiazole, 1,2,5-thiadiazole, and 1,3,4-thiadiazole, triazole, including, 1,2,3-triazole, 1,3,4-triazole, tetrazole, including 1,2,3,4-tetrazole and 1,2,4,5-tetrazole, pyridazine, pyrazine, triazine, including 1,2,4-triazine and 1,3,5-triazine, tetrazine, including 1,2,4,5-tetrazine, pyrrolidine, piperidine, piperaz
  • heterocyclyl group can also be a C2 heterocyclyl, C2-C3 heterocyclyl, C2-C4 heterocyclyl, C2-C5 heterocyclyl, C2-C6 heterocyclyl, C2-C7 heterocyclyl, C2-C8 heterocyclyl, C2-C9 heterocyclyl, C2-C10 heterocyclyl, C2-C11 heterocyclyl, and the like up to and including a C2-C18 heterocyclyl.
  • a C2 heterocyclyl comprises a group which has two carbon atoms and at least one heteroatom, including, but not limited to, aziridinyl, diazetidinyl, dihydrodiazetyl, oxiranyl, thiiranyl, and the like.
  • a C5 heterocyclyl comprises a group which has five carbon atoms and at least one heteroatom, including, but not limited to, piperidinyl, tetrahydropyranyl, tetrahydrothiopyranyl, diazepanyl, pyridinyl, and the like.
  • bicyclic heterocycle or “bicyclic heterocyclyl” as used herein refers to a ring system in which at least one of the ring members is other than carbon.
  • Bicyclic heterocyclyl encompasses ring systems wherein an aromatic ring is fused with another aromatic ring, or wherein an aromatic ring is fused with a non-aromatic ring.
  • Bicyclic heterocyclyl encompasses ring systems wherein a benzene ring is fused to a 5- or a 6- membered ring containing 1, 2 or 3 ring heteroatoms or wherein a pyridine ring is fused to a 5- or a 6-membered ring containing 1, 2 or 3 ring heteroatoms.
  • Bicyclic heterocyclic groups include, but are not limited to, indolyl, indazolyl, pyrazolo[1,5-a]pyridinyl, benzofuranyl, quinolinyl, quinoxalinyl, 1,3-benzodioxolyl, 2,3-dihydro-1,4-benzodioxinyl, 3,4-dihydro-2H- chromenyl, 1H-pyrazolo[4,3-c]pyridin-3-yl; 1H-pyrrolo[3,2-b]pyridin-3-yl; and 1H- pyrazolo[3,2-b]pyridin-3-yl.
  • heterocycloalkyl refers to an aliphatic, partially unsaturated or fully saturated, 3- to 14-membered ring system, including single rings of 3 to 8 atoms and bi- and tricyclic ring systems.
  • the heterocycloalkyl ring-systems include one to four heteroatoms independently selected from oxygen, nitrogen, and sulfur, wherein a nitrogen and sulfur heteroatom optionally can be oxidized and a nitrogen heteroatom optionally can be substituted.
  • heterocycloalkyl groups include, but are not limited to, pyrrolidinyl, pyrazolinyl, pyrazolidinyl, imidazolinyl, imidazolidinyl, piperidinyl, piperazinyl, oxazolidinyl, isoxazolidinyl, morpholinyl, thiazolidinyl, isothiazolidinyl, and tetrahydrofuryl.
  • the term “9-membered fused heterocyclyl” means a 9-membered saturated or partially unsaturated fused monocyclic heterocyclic ring comprising at least one oxygen heteroatom and optionally two to four additional heteroatoms independently selected from N, O, and S.
  • heterocycle used interchangeably herein.
  • heterocyclyl can be attached to its pendant group at any heteroatom or carbon atom that results in a stable structure.
  • fused saturated or partially unsaturated heterocyclic radicals compristing at least one oxygen atom include, without limitation, dihydrobenzofuranyl, dihydrofuropyridinyl, octahydrobenzofuranyl, and the like.
  • substituents on a heterocyclyl may be present on any substitutable position and include, e.g., the position at which the heterocyclyl group is attached.
  • aromatic group refers to a ring structure having cyclic clouds of delocalized ⁇ electrons above and below the plane of the molecule, where the ⁇ clouds contain (4n+2) ⁇ electrons.
  • aromatic group is inclusive of both aryl and heteroaryl groups.
  • aryl as used herein is a group that contains any carbon-based aromatic group including, but not limited to, benzene, naphthalene, phenyl, biphenyl, anthracene, and the like. The aryl group can be substituted or unsubstituted.
  • the aryl group can be substituted with one or more groups including, but not limited to, alkyl, cycloalkyl, alkoxy, alkenyl, cycloalkenyl, alkynyl, cycloalkynyl, aryl, heteroaryl, aldehyde, ⁇ NH2, carboxylic acid, ester, ether, halide, hydroxy, ketone, azide, nitro, silyl, sulfo-oxo, or thiol as described herein.
  • biaryl is a specific type of aryl group and is included in the definition of “aryl.”
  • the aryl group can be a single ring structure or comprise multiple ring structures that are either fused ring structures or attached via one or more bridging groups such as a carbon-carbon bond.
  • biaryl can be two aryl groups that are bound together via a fused ring structure, as in naphthalene, or are attached via one or more carbon-carbon bonds, as in biphenyl.
  • heteroaryl refers to an aromatic group that has at least one heteroatom incorporated within the ring of the aromatic group.
  • heteroatoms include, but are not limited to, nitrogen, oxygen, sulfur, and phosphorus, where N-oxides, sulfur oxides, and dioxides are permissible heteroatom substitutions.
  • the heteroaryl group can be substituted or unsubstituted.
  • the heteroaryl group can be substituted with one or more groups including, but not limited to, alkyl, cycloalkyl, alkoxy, amino, ether, halide, hydroxy, nitro, silyl, sulfo-oxo, or thiol as described herein.
  • Heteroaryl groups can be monocyclic, or alternatively fused ring systems.
  • Heteroaryl groups include, but are not limited to, furyl, imidazolyl, pyrimidinyl, tetrazolyl, thienyl, pyridinyl, pyrrolyl, N- methylpyrrolyl, quinolinyl, isoquinolinyl, pyrazolyl, triazolyl, thiazolyl, oxazolyl, isoxazolyl, oxadiazolyl, thiadiazolyl, isothiazolyl, pyridazinyl, pyrazinyl, benzofuranyl, benzodioxolyl, benzothiophenyl, indolyl, indazolyl, benzimidazolyl, imidazopyridinyl, pyrazolopyridinyl, and pyrazolopyrimidinyl.
  • heteroaryl groups include, but are not limited to, pyridinyl, pyridazinyl, pyrimidinyl, pyrazinyl, thiophenyl, pyrazolyl, imidazolyl, benzo[d]oxazolyl, benzo[d]thiazolyl, quinolinyl, quinazolinyl, indazolyl, imidazo[1,2-b]pyridazinyl, imidazo[1,2-a]pyrazinyl, benzo[c][1,2,5]thiadiazolyl, benzo[c][1,2,5]oxadiazolyl, and pyrido[2,3-b]pyrazinyl.
  • 5- or 6- membered heteroaryl refers to a 5- or 6-membered aromatic radical containing 1-4 heteroatoms selected from N, O, and S.
  • Nonlimiting examples include thienyl, furanyl, pyrrolyl, imidazolyl, pyrazolyl, triazolyl, tetrazolyl, oxazolyl, isoxazolyl, oxadiazolyl, thiazolyl, isothiazolyl, thiadiazolyl, pyridyl, pyridazinyl, pyrimidinyl, pyrazinyl, etc.
  • heteroaryl group When specified, optional substituents on a heteroaryl group may be present on any substitutable position and, include, e.g., the position at which the heteroaryl is attached.
  • amine or “amino” as used herein are represented by the formula —NA 1 A 2 , where A 1 and A 2 can be, independently, hydrogen or alkyl, cycloalkyl, alkenyl, cycloalkenyl, alkynyl, cycloalkynyl, aryl, or heteroaryl group as described herein.
  • a specific example of amino is ⁇ NH2.
  • alkylamino as used herein is represented by the formula —NH(- alkyl) where alkyl is a described herein.
  • Representative examples include, but are not limited to, methylamino group, ethylamino group, propylamino group, isopropylamino group, butylamino group, isobutylamino group, (sec-butyl)amino group, (tert-butyl)amino group, pentylamino group, isopentylamino group, (tert-pentyl)amino group, hexylamino group, and the like.
  • dialkylamino as used herein is represented by the formula —N(- alkyl) 2 where alkyl is a described herein.
  • Representative examples include, but are not limited to, dimethylamino group, diethylamino group, dipropylamino group, diisopropylamino group, dibutylamino group, diisobutylamino group, di(sec-butyl)amino group, di(tert-butyl)amino group, dipentylamino group, diisopentylamino group, di(tert- pentyl)amino group, dihexylamino group, N-ethyl-N-methylamino group, N-methyl-N- propylamino group, N-ethyl-N-propylamino group and the like.
  • carboxylic acid as used herein is represented by the formula — C(O)OH.
  • esteer as used herein is represented by the formula —OC(O)A 1 or —C(O)OA 1 , where A 1 can be alkyl, cycloalkyl, alkenyl, cycloalkenyl, alkynyl, cycloalkynyl, aryl, or heteroaryl group as described herein.
  • polyester as used herein is represented by the formula —(A 1 O(O)C-A 2 -C(O)O)a— or —(A 1 O(O)C-A 2 -OC(O))a—, where A 1 and A 2 can be, independently, an alkyl, cycloalkyl, alkenyl, cycloalkenyl, alkynyl, cycloalkynyl, aryl, or heteroaryl group described herein and “a” is an integer from 1 to 500. “Polyester” is as the term used to describe a group that is produced by the reaction between a compound having at least two carboxylic acid groups with a compound having at least two hydroxyl groups.
  • ether as used herein is represented by the formula A 1 OA 2 , where A 1 and A 2 can be, independently, an alkyl, cycloalkyl, alkenyl, cycloalkenyl, alkynyl, cycloalkynyl, aryl, or heteroaryl group described herein.
  • polyether as used herein is represented by the formula —(A 1 O-A 2 O)a—, where A 1 and A 2 can be, independently, an alkyl, cycloalkyl, alkenyl, cycloalkenyl, alkynyl, cycloalkynyl, aryl, or heteroaryl group described herein and “a” is an integer of from 1 to 500.
  • Examples of polyether groups include polyethylene oxide, polypropylene oxide, and polybutylene oxide.
  • substituted means that one or more hydrogens of the designated moiety are replaced with a suitable substituent.
  • an “optionally substituted” group may have a suitable substituent at each substitutable position of the group, and when more than one position in any given structure may be substituted with more than one substituent selected from a specified group, the substituent may be either the same or different at every position.
  • Combinations of substituents envisioned by this invention are preferably those that result in the formation of stable or chemically feasible compounds.
  • a structure of a compound can be represented by a formula: , which is understood to be equivalent to a formula: , wherein n is typically an integer. That is, R n is understood to represent five independent substituents, R n(a) , R n(b) , R n(c) , R n(d) , R n(e) . In each such case, each of the five R n can be hydrogen or a recited substituent.
  • a structure of a compound can be represented by a formula: , wherein R y represents, for example, 0-2 independent substituents selected from A 1 , A 2 , and A 3 , which is understood to be equivalent to the groups of formulae: wherein R y represents 0 independent substituents wherein R y represents 1 independent substituent wherein R y represents 2 independent substituents [0074] Again, by “independent substituents,” it is meant that each R substituent can be independently defined.
  • a structure of a compound can be represented by a formula, wherein, for example, Q comprises three substituents independently selected from hydrogen and A, which is understood to be equivalent to a formula: .
  • Q comprises three substituents independently selected from hydrogen and A, which is understood to be equivalent to a formula: .
  • independent substituents it is meant that each Q substituent is independently defined as hydrogen or A, which is understood to be equivalent to the groups of formulae: wherein Q comprises three substituents independently selected from H and A
  • the disclosed compounds exists as geometric isomers.
  • “Geometric isomer” refers to isomers that differ in the orientation of substituent atoms in relationship to a cycloalkyl ring, i.e., cis or trans isomers.
  • cis or trans isomers that differ in the orientation of substituent atoms in relationship to a cycloalkyl ring.
  • a disclosed compound is named or depicted by structure without indicating a particular cis or trans geometric isomer form, it is to be understood that the name or structure encompasses one geometric isomer free of other geometric isomers, mixtures of geometric isomers, or mixtures enriched in one geometric isomer relative to its corresponding geometric isomer.
  • the depicted isomer is at least about 60%, 70%, 80%, 90%, 99%, or 99.9% by weight pure relative to the other geometric isomer.
  • the compounds described herein may be present in the form of pharmaceutically acceptable salts.
  • the salts of the compounds described herein refer to non-toxic “pharmaceutically acceptable salts.”
  • Pharmaceutically acceptable salt forms include pharmaceutically acceptable acidic/anionic or basic/cationic salts.
  • Suitable pharmaceutically acceptable acid addition salts of the compounds described herein include e.g., salts of inorganic acids (such as hydrochloric acid, hydrobromic, phosphoric, nitric, and sulfuric acids) and of organic acids (such as, acetic acid, benzenesulfonic, benzoic, methanesulfonic, and p-toluenesulfonic acids).
  • examples of pharmaceutically acceptable base addition salts include e.g., sodium, potassium, calcium, ammonium, organic amino, or magnesium salt.
  • pharmaceutically acceptable carrier refers to a non-toxic carrier, adjuvant, or vehicle that does not destroy the pharmacological activity of the compound with which it is formulated.
  • Pharmaceutically acceptable carriers, adjuvants or vehicles that may be used in the compositions described herein include, but are not limited to, ion exchangers, alumina, aluminum stearate, lecithin, serum proteins, such as human serum albumin, buffer substances such as phosphates, glycine, sorbic acid, potassium sorbate, partial glyceride mixtures of saturated vegetable fatty acids, water, salts or electrolytes, such as protamine sulfate, disodium hydrogen phosphate, potassium hydrogen phosphate, sodium chloride, zinc salts, colloidal silica, magnesium trisilicate, polyvinyl pyrrolidone, cellulose-based substances, polyethylene glycol, sodium carboxymethylcellulose, polyacrylates, waxes, polyethylene-polyoxypropylene-block polymers, polyethylene glycol and wool fat.
  • ion exchangers alumina, aluminum stearate, lecithin
  • serum proteins such as human serum albumin
  • buffer substances such as phosphate
  • the phrase “pharmaceutically acceptable” means those compounds, materials, compositions, and/or dosage forms which are, within the scope of sound medical judgment, suitable for use in contact with tissues of humans and animals.
  • “pharmaceutically acceptable” means approved by a regulatory agency of the Federal or a state government or listed in the U.S. Pharmacopeia or other generally recognized pharmacopeia for use in animals, and more particularly in humans.
  • Disease, disorder, and condition are used interchangeably herein.
  • treatment refers to reversing, alleviating, delaying the onset of, or inhibiting the progress of a disease or disorder, or one or more symptoms thereof, as described herein.
  • treatment may be administered after one or more symptoms have developed, i.e., therapeutic treatment.
  • treatment may be administered in the absence of symptoms.
  • treatment may be administered to a susceptible individual prior to the onset of symptoms (e.g., in light of a history of symptoms and/or in light of exposure to a particular organism, or other susceptibility factors), i.e., prophylactic treatment. Treatment may also be continued after symptoms have resolved, for example to delay their recurrence.
  • the term “prevent” or “preventing” refers to precluding, averting, obviating, forestalling, stopping, or hindering something from happening, especially by advance action. It is understood that where reduce, inhibit, or prevent are used herein, unless specifically indicated otherwise, the use of the other two words is also expressly disclosed.
  • the term “preventing” refers to preventing a disease, disorder, or condition from occurring in a human or an animal that may be predisposed to the disease, disorder and/or condition, but has not yet been diagnosed as having it; and/or inhibiting the disease, disorder, or condition, i.e., arresting its development.
  • a “therapeutically effective amount” refers to an amount that is sufficient to achieve the desired result (e.g., that will elicit a biological or medical response of a subject e.g., a dosage of between 0.01 - 100 mg/kg body weight/day) or to have an effect on an undesired condition.
  • a “therapeutically effective amount” refers to an amount that is sufficient to achieve the desired therapeutic result or to have an effect on undesired symptoms, but is generally insufficient to cause adverse side effects.
  • the specific therapeutically effective dose level for any particular patient will depend upon a variety of factors including the disorder being treated and the severity of the disorder; the specific composition employed; the age, body weight, general health, sex and diet of the patient; the time of administration; the route of administration; the rate of excretion of the specific compound employed; the duration of the treatment; drugs used in combination or coincidental with the specific compound employed and like factors well known in the medical arts. For example, it is well within the skill of the art to start doses of a compound at levels lower than those required to achieve the desired therapeutic effect and to gradually increase the dosage until the desired effect is achieved. If desired, the effective daily dose can be divided into multiple doses for purposes of administration.
  • compositions can contain such amounts or submultiples thereof to make up the daily dose.
  • the dosage can be adjusted by the individual physician in the event of any contraindications. Dosage can vary, and can be administered in one or more dose administrations daily, for one or several days. Guidance can be found in the literature for appropriate dosages for given classes of pharmaceutical products. In further various embodiments, a preparation can be administered in a “prophylactically effective amount”; that is, an amount effective for prevention of a disease or condition. [0085] As used herein, the term “salt” refers to acid or base salts of the compounds used in the methods of the present disclosure.
  • Illustrative examples of acceptable salts are mineral acid (hydrochloric acid, hydrobromic acid, phosphoric acid, and the like) salts, organic acid (acetic acid, propionic acid, glutamic acid, citric acid and the like) salts, quaternary ammonium (methyl iodide, ethyl iodide, and the like) salts.
  • subject and “patient” may be used interchangeably, and means a mammal in need of treatment, e.g., companion animals (e.g., dogs, cats, and the like), farm animals (e.g., cows, pigs, horses, sheep, goats and the like) and laboratory animals (e.g., rats, mice, guinea pigs and the like).
  • companion animals e.g., dogs, cats, and the like
  • farm animals e.g., cows, pigs, horses, sheep, goats and the like
  • laboratory animals e.g., rats, mice, guinea pigs and the like.
  • the subject is a human in need of treatment.
  • a disease e.g., a protein associated disease, a symptom associated with a cardiomyopathy, neurodegenerative disease, or symptom associated with Parkinson’s disease
  • a disease e.g., a protein associated disease, a symptom associated with a cardiomyopathy, neurodegenerative disease, or symptom associated with Parkinson’s disease
  • the disease e.g., cardiomyopathy, neurodegenerative disease or Parkinson’s disease
  • a symptom of the disease is caused by (in whole or in part) the substance or substance activity or function.
  • a symptom of a disease or condition associated with a reduction in the level of PINK1 activity may be a symptom that results (entirely or partially) from a reduction in the level of PINK1 activity (e.g., loss of function mutation or gene deletion or modulation of PINK1 signal transduction pathway).
  • a disease associated with PINK1 may be treated with an agent (e.g., compound as described herein) effective for increasing the level of activity of PINK1.
  • the compositions and compounds disclosed herein are useful to treat cancers associated with Pink1 kinase activity.
  • cancer associated with PINK1 kinase activity are those cancers derived from a cell or plurality of cells that comprise a mutation or mutations that confer impaired or dysfunctional PINK1 kinase activity, such dysfunctional PINK1 kinase activity resulting in an impaired or dysregulated growth cycle of the cell or cells.
  • cancer associated with PINK1 kinase activity is treated by one or a plurality of the pharmaceutical compositions comprising a therapeutic effective amount of an active the compounds or derivatives, salts or analogs disclosed herein.
  • Control or “control experiment” is used in accordance with its plain ordinary meaning and refers to an experiment in which the subjects or reagents of the experiment are treated as in a parallel experiment except for omission of a procedure, reagent, or variable of the experiment. In some instances, the control is used as a standard of comparison in evaluating experimental effects.
  • Contacting is used in accordance with its plain ordinary meaning and refers to the process of allowing at least two distinct species (e.g., chemical compounds including biomolecules, or cells) to become sufficiently proximal to react, interact or physically touch.
  • the resulting reaction product can be produced directly from a reaction between the added reagents or from an intermediate from one or more of the added reagents which can be produced in the reaction mixture.
  • the term “contacting” may include allowing two species to react, interact, or physically touch, wherein the two species may be a compound as described herein and a protein or enzyme (e.g., PINK1).
  • contacting includes allowing a compound described herein to interact with a protein or enzyme that is involved in a signaling pathway.
  • inhibition means negatively affecting (e.g., decreasing) the activity or function of the protein relative to the activity or function of the protein in the absence of the inhibitor.
  • inhibition refers to reduction of a disease or symptoms of disease.
  • inhibition refers to a reduction in the activity of a signal transduction pathway or signaling pathway.
  • inhibition includes, at least in part, partially or totally blocking stimulation, decreasing, preventing, or delaying activation, or inactivating, desensitizing, or down-regulating signal transduction or enzymatic activity or the amount of a protein.
  • activation refers to an increase in the activity of a signal transduction pathway or signaling pathway (e.g., PINK1 pathway).
  • activation may include, at least in part, partially or totally increasing stimulation, increasing or enabling activation, or activating, sensitizing, or up-regulating signal transduction or enzymatic activity or the amount of a protein decreased in a disease (e.g., reduction of the level of PINK1 activity or protein associated with a cardiomyopathy or a neurodegenerative disease such as Parkinson’s disease).
  • a disease e.g., reduction of the level of PINK1 activity or protein associated with a cardiomyopathy or a neurodegenerative disease such as Parkinson’s disease.
  • Activation may include, at least in part, partially or totally increasing stimulation, increasing or enabling activation, or activating, sensitizing, or up-regulating signal transduction or enzymatic activity or the amount of a protein (e.g., PINK1) that may modulate the level of another protein or increase cell survival (e.g., increase in PINK1 activity may increase cell survival in cells that may or may not have a reduction in PINK1 activity relative to a non-disease control).
  • a protein e.g., PINK1
  • modulator refers to a composition that increases or decreases the level of a target molecule or the function of a target molecule. In some embodiments, the modulator is a modulator of PINK1.
  • the modulator is a modulator of PINK1 and is a compound that reduces the severity of one or more symptoms of a disease associated with PINK1 (e.g., reduction of the level of PINK1 activity or protein associated with a cardiomyopathy, neurodegenerative disease such as Parkinson’s disease).
  • a modulator is a compound that reduces the severity of one or more symptoms of a cardiomyopathy or neurodegenerative disease that is not caused or characterized by PINK1 (e.g., loss of PINK1 function) but may benefit from modulation of PINK1 activity (e.g., increase in level of PINK1 or PINK1 activity).
  • “Patient” or “subject in need thereof” refers to a living organism suffering from or prone to a disease or condition that can be treated by administration of a compound or pharmaceutical composition, as provided herein.
  • Non-limiting examples include humans, other mammals, bovines, rats, mice, dogs, monkeys, goat, sheep, cows, deer, and other non- mammalian animals.
  • a patient is human.
  • “Disease” or “condition” refer to a state of being or health status of a patient or subject capable of being treated with a compound, pharmaceutical composition, or method provided herein.
  • the disease is a disease related to (e.g., characterized by) a reduction in the level of PINK1.
  • the disease is a disease characterized by loss of dopamine-producing cells (e.g., Parkinson’s disease). In some embodiments, the disease is a disease characterized by neurodegeneration. In some embodiments, the disease is a disease characterized by neural cell death. In some embodiments, the disease is a disease characterized by a reduction in the level of PINK1 activity. In some embodiments, the disease is Parkinson’s disease. In some embodiments, the disease is a neurodegenerative disease. In some embodiments, the disease is a cardiomyopathy.
  • cardiomyopathy refers to a disease condition that adversely affects cardiac cell tissue leading to a measurable deterioration in myocardial function (e.g., systolic function, diastolic function).
  • Dilated cardiomyopathy is characterized by ventricular chamber enlargement with systolic dysfunction and no hypertrophy.
  • Hypertrophic cardiomyopathy is a genetic disease transmitted as an autosomal dominant trait.
  • Hypertrophic cardiomyopathy is morphologically characterized by a hypertrophied and non-dialated left ventricle.
  • Restrictive cardiomyopathy is characterized by nondialated nonhypertrophied morphology with diminished ventricular volume leading to poor ventricular filling.
  • Arrhythmogenic right ventricular cardiomyopathy is an inheritable heart disease characterized by myocardial electric instability.
  • Unclassified cardiomyopathy is a category for cardiomyopathies that do not match the features of any one of the other types. Unclassified cardiomyopathies may have features of multiple types or, for example, have the features of fibroelastosis, noncompacted myocardium, or systolic dysfunction with minimal dilatation.
  • the term “neurodegenerative disease” refers to a disease or condition in which the function of a subject’s nervous system becomes impaired.
  • neurodegenerative diseases that may be treated with a compound or method described herein include Alexander's disease, Alper's disease, Alzheimer's disease, Amyotrophic lateral sclerosis, Ataxia telangiectasia, Batten disease (also known as Spielmeyer-Vogt-Sjogren- Batten disease), Bovine spongiform encephalopathy (BSE), Canavan disease, Cockayne syndrome, Corticobasal degeneration, Creutzfeldt-Jakob disease, epilepsy, Friedreich ataxia, frontotemporal dementia, Gerstmann-St Hurssler-Scheinker syndrome, Huntington's disease, HIV-associated dementia, Kennedy's disease, Krabbe's disease, kuru, Leigh’s disease (Leigh syndrome), Lewy body dementia, Machado-Joseph disease (Spinocerebellar ataxia type 3), Multiple sclerosis, Multiple System Atrophy, Narcolepsy, Neuroborreliosis, Parkinson's disease, Pel
  • dysautonomia is not a neurodegenerative disease.
  • signaling pathway refers to a series of interactions between cellular and optionally extra-cellular components (e.g., proteins, nucleic acids, small molecules, ions, lipids) that conveys a change in one component to one or more other components, which in turn may convey a change to additional components, which is optionally propagated to other signaling pathway components.
  • preparation is intended to include the formulation of the active compound with encapsulating material as a carrier providing a capsule in which the active component with or without other carriers, is surrounded by a carrier, which is thus in association with it. Similarly, cachets and lozenges are included.
  • administering means oral administration, administration as a suppository, topical contact, intravenous, parenteral, intraperitoneal, intramuscular, intralesional, intrathecal, intracranial, intranasal or subcutaneous administration, or the implantation of a slow-release device, e.g., a mini-osmotic pump, to a subject.
  • Administration is by any route, including parenteral and transmucosal (e.g., buccal, sublingual, palatal, gingival, nasal, vaginal, rectal, or transdermal).
  • Parenteral administration includes, e.g., intravenous, intramuscular, intra-arteriole, intradermal, subcutaneous, intraperitoneal, intraventricular, and intracranial.
  • Other modes of delivery include, but are not limited to, the use of liposomal formulations, intravenous infusion, transdermal patches, etc.
  • compositions described herein are administered at the same time, just prior to, or just after the administration of one or more additional therapies (e.g., cardiomyopathy therapies including, for example, Angiotensin Converting Enzyme Inhibitors (e.g., Enalipril, Lisinopril), Angiotensin Receptor Blockers (e.g., Losartan, Valsartan), Beta Blockers (e.g., Lopressor, Toprol-XL), Digoxin, or Diuretics (e.g., Lasix; or Parkinson’s disease therapies including, for example, levodopa, dopamine agonists (e.g., bromocriptine, pergolide, pramipexole, ropinirole, piribedil, cabergoline, apomorphine, lisuride), MAO-B inhibitors (e.g., selegiline or rasagiline), amantadine, anticholinergic
  • cardiomyopathy therapies including, for example, An
  • the compound of the disclosure can be administered alone or can be coadministered to the patient. Coadministration is meant to include simultaneous or sequential administration of the compound individually or in combination (more than one compound or agent). Thus, the preparations can also be combined, when desired, with other active substances (e.g., to reduce metabolic degradation).
  • the compositions of the present disclosure can be delivered by transdermally, by a topical route, formulated as applicator sticks, solutions, suspensions, emulsions, gels, creams, ointments, pastes, jellies, paints, powders, and aerosols.
  • Oral preparations include tablets, pills, powder, dragees, capsules, liquids, lozenges, cachets, gels, syrups, slurries, suspensions, etc., suitable for ingestion by the patient.
  • Solid form preparations include powders, tablets, pills, capsules, cachets, suppositories, and dispersible granules.
  • Liquid form preparations include solutions, suspensions, and emulsions, for example, water or water/propylene glycol solutions.
  • the compositions of the present disclosure may additionally include components to provide sustained release and/or comfort. Such components include high molecular weight, anionic mucomimetic polymers, gelling polysaccharides and finely-divided drug carrier substrates.
  • compositions of the present disclosure can also be delivered as microspheres for slow release in the body.
  • microspheres can be administered via intradermal injection of drug-containing microspheres, which slowly release subcutaneously (see Rao, J. Biomater Sci. Polym. Ed.7:623-645, 1995; as biodegradable and injectable gel formulations (see, e.g., Gao Pharm.
  • the formulations of the compositions of the present disclosure can be delivered by the use of liposomes which fuse with the cellular membrane or are endocytosed, i.e., by employing receptor ligands attached to the liposome, that bind to surface membrane protein receptors of the cell resulting in endocytosis.
  • compositions of the present disclosure can focus the delivery of the compositions of the present disclosure into the target cells in vivo.
  • the compositions of the present disclosure can also be delivered as nanoparticles.
  • compositions provided by the present disclosure include compositions wherein the active ingredient (e.g., compounds described herein, including embodiments or examples) is contained in a therapeutically effective amount, i.e., in an amount effective to achieve its intended purpose.
  • the actual amount effective for a particular application will depend, inter alia, on the condition being treated.
  • such compositions When administered in methods to treat a disease, such compositions will contain an amount of active ingredient effective to achieve the desired result, e.g., modulating the activity of a target molecule (e.g., PINK1), and/or reducing, eliminating, or slowing the progression of disease symptoms (e.g., symptoms of cardiomyopathy or a neurodegeneration such as symptoms of Parkinson’s disease).
  • a target molecule e.g., PINK1
  • reducing, eliminating, or slowing the progression of disease symptoms e.g., symptoms of cardiomyopathy or a neurodegeneration such as symptoms of Parkinson’s disease.
  • the dosage and frequency (single or multiple doses) administered to a mammal can vary depending upon a variety of factors, for example, whether the mammal suffers from another disease, and its route of administration; size, age, sex, health, body weight, body mass index, and diet of the recipient; nature and extent of symptoms of the disease being treated (e.g., symptoms of cardiomyopathy or neurodegeneration such as Parkinson’s disease and severity of such symptoms), kind of concurrent treatment, complications from the disease being treated or other health-related problems.
  • the therapeutically effective amount can be initially determined from cell culture assays. Target concentrations will be those concentrations of active compound(s) that are capable of achieving the methods described herein, as measured using the methods described herein or known in the art.
  • therapeutically effective amounts for use in humans can also be determined from animal models. For example, a dose for humans can be formulated to achieve a concentration that has been found to be effective in animals.
  • the dosage in humans can be adjusted by monitoring compounds effectiveness and adjusting the dosage upwards or downwards, as described above. Adjusting the dose to achieve maximal efficacy in humans based on the methods described above and other methods is well within the capabilities of the ordinarily skilled artisan.
  • Dosages may be varied depending upon the requirements of the patient and the compound being employed.
  • the dose administered to a patient, in the context of the present disclosure should be sufficient to effect a beneficial therapeutic response in the patient over time.
  • the size of the dose also will be determined by the existence, nature, and extent of any adverse side-effects. Determination of the proper dosage for a particular situation is within the skill of the practitioner. Generally, treatment is initiated with smaller dosages which are less than the optimum dose of the compound.
  • Dosage amounts and intervals can be adjusted individually to provide levels of the administered compound effective for the particular clinical indication being treated. This will provide a therapeutic regimen that is commensurate with the severity of the individual's disease state.
  • an effective prophylactic or therapeutic treatment regimen can be planned that does not cause substantial toxicity and yet is effective to treat the clinical symptoms demonstrated by the particular patient. This planning should involve the careful choice of active compound by considering factors such as compound potency, relative bioavailability, patient body weight, presence and severity of adverse side effects, preferred mode of administration and the toxicity profile of the selected agent.
  • the compounds described herein can be used in combination with one another, with other active agents known to be useful in treating a disease associated neurodegeneration (e.g., Parkinson’s disease such as levodopa, dopamine agonists (e.g., bromocriptine, pergolide, pramipexole, ropinirole, piribedil, cabergoline, apomorphine, lisuride), MAO-B inhibitors (e.g., selegiline or rasagiline), amantadine, anticholinergics, antipsychotics (e.g., clozapine), cholinesterase inhibitors, modafinil, or non-steroidal anti- inflammatory drugs), or with adjunctive agents that may not be effective alone, but may contribute to the efficacy of the active agent.
  • the compounds described herein can be used in combination with one another, with other active agents known to be useful in treating a cardiomyopathy such as Angiotensin Converting Enzyme Inhibitors (e.g., Enalipril, Lisinopril), Angiotensin Receptor Blockers (e.g., Losartan, Valsartan), Beta Blockers (e.g., Lopressor, Toprol-XL), Digoxin, or Diuretics (e.g., Lasixdisease associated neurodegeneration (e.g., Parkinson’s disease such as levodopa, dopamine agonists (e.g., bromocriptine, pergolide, pramipexole, ropinirole, piribedil, cabergoline, apomorphine, lisuride), MAO-B inhibitors (e.g., selegiline or rasagiline), amantadine, anticholinergics, antipsychotics (e.g.,
  • co-administration includes administering one active agent within about 0.5, 1, 2, 4, 6, 8, 10, 12, 16, 20, or 24 hours of a second active agent.
  • Co- administration includes administering two active agents simultaneously, approximately simultaneously (e.g., within about 1, 5, 10, 15, 20, or 30 minutes of each other), or sequentially in any order.
  • co-administration can be accomplished by co-formulation, i.e., preparing a single pharmaceutical composition including both active agents.
  • the active agents can be formulated separately.
  • the active and/or adjunctive agents may be linked or conjugated to one another.
  • the compounds described herein may be combined with treatments for neurodegeneration such as surgery.
  • PINK1 is used according to its common, ordinary meaning and refers to proteins of the same or similar names and functional fragments and homologs thereof.
  • the term includes and recombinant or naturally occurring form of PINK1 (e.g., “PTEN induced putative kinase 1”; Entrez Gene 65018, OMIM 608309, UniProtKB Q9BXM7, and/or RefSeq (protein) NP_115785.1).
  • PINK1 includes PINK1 and variants thereof that maintain PINK1 activity (e.g., within at least about 30%, 40%, 50%, 60%, 70%, 80%, 90%, 95%, or 100% activity as compared to PINK1).
  • neo-substrate refers to a composition that is structurally similar to a composition that is a substrate for a protein or enzyme during the normal functioning of the protein or enzyme, but that is structurally distinct from the normal substrate of the protein or enzyme.
  • the composition comprises a neo-substrate.
  • the neo-substrate is a better substrate for the protein or enzyme than the normal substrate (e.g., the reaction kinetics are better (e.g., faster), binding is stronger, turnover rate is higher, reaction is more productive, equilibrium favors product formation).
  • the neo-substrate is a derivative of adenine, adenosine, AMP, ADP, or ATP.
  • the neo-substrate is a substrate for PINK1.
  • the neo-substrate is an N6 substituted adenine, adenosine, AMP, ADP, or ATP.
  • derivative as applied to a phosphate containing, monophosphate, diphosphate, or triphosphate group or moiety refers to a chemical modification of such group wherein the modification may include the addition, removal, or substitution of one or more atoms of the phosphate containing, monophosphate, diphosphate, or triphosphate group or moiety.
  • such a derivative is a prodrug of the phosphate containing, monophosphate, diphosphate, or triphosphate group or moiety, which is converted to the phosphate containing, monophosphate, diphosphate, or triphosphate group or moiety from the derivative following administration to a subject, patient, cell, biological sample, or following contact with a subject, patient, cell, biological sample, or protein (e.g., enzyme).
  • a triphosphate derivative is a gamma-thio triphosphate.
  • a derivative is a phosphoramidate.
  • the derivative of a phosphate containing, monophosphate, diphosphate, or triphosphate group or moiety is as described in Murakami et al. J. Med Chem., 2011, 54, 5902; Sofia et al., J. Med Chem.2010, 53, 7202; Lam et al.
  • mitochondrial dysfunction is used in accordance with its ordinary meaning and refers to aberrant activity of function of the mitochondria, including for example aberrant respiratory chain activity, reactive oxygen species levels, calcium homeostasis, programmed cell death mediated by the mitochondria, mitochondrial fusion, mitochondrial fission, mitophagy, lipid concentrations in the mitochondrial membrane, and/or mitochondrial permeability transition.
  • mitochondrial fusion refers to a disease, disorder, or condition in which the function of a subject’s mitochondria becomes impaired or dysfunctional.
  • mitochondrial diseases examples include Alzheimer’s disease, amyotrophic lateral sclerosis, Asperger’s Disorder, Autistic Disorder, bipolar disorder, cancer, cardiomyopathy, Charcot Marie Tooth disease (CMT, including various subtypes such as CMT type 2b and 2b), Childhood Disintegrative Disorder (CDD), diabetes, diabetic nephropathy, epilepsy, Friedreich’s Ataxia (FA), Hereditary motor and sensory neuropathy (HMSN), Huntington’s Disease, Keams-Sayre Syndrome (KSS), Leber’s Hereditary Optic Neuropathy (LHON, also referred to as Leber’s Disease, Leber’s Optic Atrophy (LOA), or Leber’ s Optic Neuropathy (LON)), Leigh Disease or Leigh Syndrome, macular degeneration, Mitochondrial Myopathy, Lactacidosis, and Stroke (MELAS), mitochondrial neurogastrointestinal encephalomyophathy (MNGIE),
  • oxidative stress is used in accordance with its ordinary meaning and refers to aberrant levels of reactive oxygen species.
  • animal includes, but is not limited to, humans and non-human vertebrates such as wild, domestic, and farm animals.
  • antiagonize or “antagonizing” means reducing or completely eliminating an effect, such as an activity of GPR109a.
  • anti-receptor effective amount of a compound can be measured by the anti-receptor effectiveness of the compound.
  • an anti-receptor effective amount inhibits an activity of the receptor by at least 10%, by at least 20%, by at least 30%, by at least 40%, by at least 50%, by at least 60%, by at least 70%, by at least 80%, by at least 90%, or by at least 95%.
  • an “anti-receptor effective amount” is also a “therapeutically effective amount” whereby the compound reduces or eliminates at least one effect of GPR109a.
  • the effect is the B-arrestin effect.
  • the effect is the G-protein mediated effect.
  • carrier means a diluent, adjuvant, or excipient with which a compound is administered.
  • Pharmaceutical carriers can be liquids, such as water and oils, including those of petroleum, animal, vegetable or synthetic origin, such as peanut oil, soybean oil, mineral oil, sesame oil and the like.
  • the pharmaceutical carriers can also be saline, gum acacia, gelatin, starch paste, talc, keratin, colloidal silica, urea, and the like.
  • auxiliary, stabilizing, thickening, lubricating and coloring agents can be used.
  • the terms “comprising” (and any form of comprising, such as “comprise,” “comprises,” and “comprised”), “having” (and any form of having, such as “have” and “has”), “including” (and any form of including, such as “includes” and “include”), or “containing” (and any form of containing, such as “contains” and “contain”), are inclusive or open-ended and do not exclude additional, unrecited elements or method steps.
  • the term “contacting” means bringing together of two elements in an in vitro system or an in vivo system.
  • “contacting” a compound disclosed herein with an individual or patient or cell includes the administration of the compound to an individual or patient, such as a human, as well as, for example, introducing a compound into a sample containing a cellular or purified preparation containing the compounds or pharmaceutical compositions disclosed herein.
  • the terms “individual,” “subject,” and “patient,” used interchangeably, means any animal, including mammals, such as mice, rats, other rodents, rabbits, dogs, cats, swine, cattle, sheep, horses, or primates, such as humans.
  • the phrase “inhibiting activity” such as enzymatic or receptor activity means reducing by any measurable amount the activity of PINK1.
  • the phrase “in need thereof” means that the animal or mammal has been identified as having a need for the particular method or treatment. In some embodiments, the identification can be by any means of diagnosis. In any of the methods and treatments described herein, the animal or mammal can be in need thereof. In some embodiments, the animal or mammal is in an environment or will be traveling to an environment in which a particular disease, disorder, or condition is prevalent. [00127] As used herein, the phrase “integer from X to Y” means any integer that includes the endpoints. For example, the phrase “integer from 1 to 5” means 1, 2, 3, 4, or 5.
  • the term “isolated” means that the compounds described herein are separated from other components of either (a) a natural source, such as a plant or cell, or (b) a synthetic organic chemical reaction mixture, such as by conventional techniques.
  • a natural source such as a plant or cell
  • a synthetic organic chemical reaction mixture such as by conventional techniques.
  • the term “mammal” means a rodent (i.e., a mouse, a rat, or a guinea pig), a monkey, a cat, a dog, a cow, a horse, a pig, or a human. In some embodiments, the mammal is a human.
  • prodrug means a derivative of a known direct acting drug, which derivative has enhanced delivery characteristics and therapeutic value as compared to the drug, and is transformed into the active drug by an enzymatic or chemical process.
  • the compounds described herein also include derivatives referred to as prodrugs, which can be prepared by modifying functional groups present in the compounds in such a way that the modifications are cleaved, either in routine manipulation or in vivo, to the parent compounds.
  • prodrugs include compounds of the disclosure as described herein that contain one or more molecular moieties appended to a hydroxyl, amino, sulfhydryl, or carboxyl group of the compound, and that when administered to a patient, cleaves in vivo to form the free hydroxyl, amino, sulfhydryl, or carboxyl group, respectively.
  • prodrugs include, but are not limited to, acetate, formate and benzoate derivatives of alcohol and amine functional groups in the compounds of the disclosure. Preparation and use of prodrugs is discussed in T. Higuchi et al., “Pro-drugs as Novel Delivery Systems,” Vol.14 of the A.C.S.
  • the term “purified” means that when isolated, the isolate contains at least 90%, at least 95%, at least 98%, or at least 99% of a compound described herein by weight of the isolate.
  • the phrase “solubilizing agent” means agents that result in formation of a micellar solution or a true solution of the drug.
  • solution/suspension means a liquid composition wherein a first portion of the active agent is present in solution and a second portion of the active agent is present in particulate form, in suspension in a liquid matrix.
  • substantially isolated means a compound that is at least partially or substantially separated from the environment in which it is formed or detected.
  • therapeutically effective amount means the amount of active compound or pharmaceutical agent that elicits the biological or medicinal response that is being sought in a tissue, system, animal, individual or human by a researcher, veterinarian, medical doctor or other clinician. The therapeutic effect is dependent upon the disorder being treated or the biological effect desired.
  • the therapeutic effect can be a decrease in the severity of symptoms associated with the disorder and/or inhibition (partial or complete) of progression of the disorder, or improved treatment, healing, prevention or elimination of a disorder, or side-effects.
  • the amount needed to elicit the therapeutic response can be determined based on the age, health, size and sex of the subject. Optimal amounts can also be determined based on monitoring of the subject’s response to treatment.
  • any embodiment of the disclosure can optionally exclude one or more embodiment for purposes of claiming the subject matter.
  • the compounds, or salts thereof are substantially isolated. Partial separation can include, for example, a composition enriched in the compound of the disclosure. Substantial separation can include compositions containing at least about 50%, at least about 60%, at least about 70%, at least about 80%, at least about 90%, at least about 95%, at least about 97%, or at least about 99% by weight of the compound of the disclosure, or salt thereof. Methods for isolating compounds and their salts are routine in the art. B.
  • the disclosure relates to compounds useful in treating disorders associated with PINK1 kinase activity such as, for example, neurodegenerative diseases, mitochondrial diseases, fibrosis, and/or cardiomyopathy.
  • the compounds are useful in treating a disorder associated with PINK1 kinase activity in a mammal.
  • the compounds are useful in treating PINK1 kinase activity in a human.
  • each disclosed derivative can be optionally further substituted. It is also contemplated that any one or more derivative can be optionally omitted from the disclosure. It is understood that a disclosed compound can be provided by the disclosed methods.
  • STRUCTURE [00142]
  • the compound has a structure represented by a formula: , or a pharmaceutically acceptable salt thereof.
  • the compound has a structure represented by a formula: , or a pharmaceutically acceptable salt thereof.
  • the compound has a structure represented by a formula: , or a pharmaceutically acceptable salt thereof.
  • the compound has a structure represented by a formula: , or a pharmaceutically acceptable salt thereof.
  • the compound has a structure represented by a formula selected from: and , or a pharmaceutically acceptable salt thereof.
  • the compound has a structure represented by a formula selected from: and , or a pharmaceutically acceptable salt thereof.
  • the compound has a structure represented by a formula selected from: F , F , , , , , , a or a pharmaceutically acceptable salt thereof.
  • the compound has a structure represented by a formula selected from: , , , , , , a or a pharmaceutically acceptable salt thereof.
  • the compound has a structure represented by a formula: , or a pharmaceutically acceptable salt thereof.
  • the compound has a structure represented by a formula: , or a pharmaceutically acceptable salt thereof. [00153] In some embodiments, the compound is: , or a pharmaceutically acceptable salt thereof. [00154] In some embodiments, the compound is: , or a pharmaceutically acceptable salt thereof. [00155] In some embodiments, the compound is: ,
  • the compound is: , ,
  • the compound has a structure represented by a formula: , or a pharmaceutically acceptable salt thereof.
  • the compound has a structure represented by a formula: , or a pharmaceutically acceptable salt thereof.
  • the compound is: , or a pharmaceutically acceptable salt thereof.
  • the compound is: , or a pharmaceutically acceptable salt thereof.
  • the compound is: , or a pharmaceutically acceptable salt thereof.
  • the compound is: , or a pharmaceutically acceptable salt thereof.
  • the compound is: , or a pharmaceutically acceptable salt thereof.
  • the compound is: , ,
  • the compound has a structure represented by a formula: , or a pharmaceutically acceptable salt thereof.
  • the compound has a structure represented by a formula: , or a pharmaceutically acceptable salt thereof.
  • the compound is selected from: and or a pharmaceutically acceptable salt thereof.
  • the compound is selected from: , a or a pharmaceutically acceptable salt thereof.
  • the compound is selected from: ,
  • the compound is selected from: , ,
  • the compound has a structure represented by a formula: , or a pharmaceutically acceptable salt thereof.
  • the compound has a structure represented by a formula: , or a pharmaceutically acceptable salt thereof.
  • the compound is selected from:
  • the compound is selected from:
  • the compound is selected from:
  • the compound is selected from: ,
  • the compound has a structure represented by a formula: , or a pharmaceutically acceptable salt thereof.
  • the compound has a structure represented by a formula:
  • the compound is selected from: ,
  • the compound is selected from:
  • the compound is selected from: ,
  • the compound is selected from: ,
  • the compound has a structure represented by a formula:
  • the compound has a structure represented by a formula: , or a pharmaceutically acceptable salt thereof. [00183] In some embodiments, the compound is: , or a pharmaceutically acceptable salt thereof. [00184] In some embodiments, the compound is: , or a pharmaceutically acceptable salt thereof. [00185] In some embodiments, the compound is selected from: , , ,
  • the compound is selected from:
  • the compound has a structure represented by a formula: , or a pharmaceutically acceptable salt thereof.
  • the compound has a structure represented by a formula:
  • the compound is selected from: , , , ,
  • the compound is selected from:
  • the compound has a structure represented by a formula: , or a pharmaceutically acceptable salt thereof.
  • the compound has a structure represented by a formula:
  • the compound is selected from: and , or a pharmaceutically acceptable salt thereof.
  • the compound is selected from: and , or a pharmaceutically acceptable salt thereof.
  • the compound is selected from: and , or a pharmaceutically acceptable salt thereof.
  • the compound is selected from: and , or a pharmaceutically acceptable salt thereof.
  • the compound is selected from: ,
  • the compound has a structure represented by a formula: , or a pharmaceutically acceptable salt thereof.
  • the compound has a structure represented by a formula:
  • the compound is selected from: and , or a pharmaceutically acceptable salt thereof.
  • the compound is selected from: and , or a pharmaceutically acceptable salt thereof.
  • the compound is selected from: and , or a pharmaceutically acceptable salt thereof.
  • the compound is selected from:
  • the compound is selected from: ,
  • each of n and m is independently 0 or 1. In further embodiments, each of n and m is 0. In still further embodiments, each of n and m is 1. In yet further embodiments, n is 0 and m is 1. In even further embodiments, n is 1 and m is 0. [00204] In some embodiments, q, when present, is 0, 1, or 2. In further embodiments, q, when present, is 0 or 1. In still further embodiments, q, when present, is 1 or 2. In yet further embodiments, q, when present, is 0 or 2. In even further embodiments, q, when present, is 0. In still further embodiments, q, when present, is 1.
  • q when present, is 2.
  • Z is CR 11a R 11b , NR 12 , or O.
  • Z is CR 11a R 11b or NR 12 .
  • Z is NR 12 or O.
  • Z is CR 11a R 11b or O.
  • Z is CR 11a R 11b .
  • Z is CH2.
  • Z is O.
  • Z is NR 12 . b. R 1A , R 1B , R 1C , AND R 1D GROUPS (R 1 GROUPS) [00250]
  • each of R 1a , R 1b , R 1c , and R 1d is independently selected from hydrogen, halogen, ⁇ CN, ⁇ NH 2 , ⁇ OH, ⁇ NO 2 , C1-C4 alkyl, C2-C4 alkenyl, C1-C4 haloalkyl, C1-C4 cyanoalkyl, C1-C4 hydroxyalkyl, C1-C4 haloalkoxy, C1-C4 alkoxy, C1-C4 alkylamino, and (C1-C4)(C1-C4) dialkylamino.
  • each of R 1a , R 1b , R 1c , and R 1d is independently selected from hydrogen, ⁇ F, ⁇ Cl, ⁇ CN, ⁇ NH2, ⁇ OH, ⁇ NO2, methyl, ethyl, n-propyl, isopropyl, ethenyl, propenyl, ⁇ CH 2 F, ⁇ CH 2 CH 2 F, ⁇ CH(CH 3 )CH 2 F, ⁇ CH2CH2CH2F, ⁇ CH2Cl, ⁇ CH2CH2Cl, ⁇ CH(CH3)CH2Cl, ⁇ CH2CH2CH2Cl, ⁇ CH2CN, ⁇ CH 2 CH 2 CN, ⁇ CH(CH 3 )CH 2 CN, ⁇ CH 2 CH 2 CH 2 CN, ⁇ CH(CH 3 )CH 2 CN, ⁇ CH 2 CH 2 CH 2 CN, ⁇ CH 2 OH, ⁇ CH 2 CH 2 OH, ⁇ CH(CH3)CH2OH, ⁇ CH2CH
  • each of R 1a , R 1b , R 1c , and R 1d is independently selected from hydrogen, ⁇ F, ⁇ Cl, ⁇ CN, ⁇ NH2, ⁇ OH, ⁇ NO2, methyl, ethyl, ethenyl, ⁇ CH 2 F, ⁇ CH 2 CH 2 F, ⁇ CH 2 Cl, ⁇ CH 2 CH 2 Cl, ⁇ CH 2 CN, ⁇ CH 2 CH 2 CN, ⁇ CH 2 OH, ⁇ CH2CH2OH, methoxy, ethoxy, ⁇ OCF3, ⁇ OCHF2, ⁇ OCH2F, ⁇ OCH2CH2F, ⁇ OCCl3, ⁇ OCHCl2, ⁇ OCH 2 Cl, ⁇ OCH 2 CH 2 Cl, ⁇ NHCH 3 , ⁇ NHCH 2 CH 3 , ⁇ N(CH 3 ) 2 , and ⁇ N(CH 3 )CH 2 CH 3 .
  • each of R 1a , R 1b , R 1c , and R 1d is independently selected from hydrogen, ⁇ F, ⁇ Cl, ⁇ CN, ⁇ NH 2 , ⁇ OH, ⁇ NO 2 , methyl, ⁇ CH 2 F, ⁇ CH 2 Cl, ⁇ CH 2 CN, ⁇ CH 2 OH, methoxy, ⁇ OCF3, ⁇ OCHF2, ⁇ OCH2F, ⁇ OCCl3, ⁇ OCHCl2, ⁇ OCH2Cl, ⁇ NHCH3, and ⁇ N(CH3)2.
  • each of R 1a , R 1b , R 1c , and R 1d is hydrogen.
  • each of R 1a , R 1b , R 1c , and R 1d is independently selected from hydrogen, halogen, ⁇ CN, ⁇ NH2, ⁇ OH, ⁇ NO2, C1-C4 hydroxyalkyl, C1-C4 haloalkoxy, C1-C4 alkoxy.
  • each of R 1a , R 1b , R 1c , and R 1d is independently selected from hydrogen, ⁇ F, ⁇ Cl, ⁇ CN, ⁇ NH2, ⁇ OH, ⁇ NO2, ⁇ CH2OH, ⁇ CH 2 CH 2 OH, ⁇ CH(CH 3 )CH 2 OH, ⁇ CH 2 CH 2 CH 2 OH, methoxy, ethoxy, n-propoxy, isopropoxy, ⁇ OCF3, ⁇ OCHF2, ⁇ OCH2F, ⁇ OCH2CH2F, ⁇ OCH(CH3)CH2F, ⁇ OCH2CH2CH2F, ⁇ OCCl 3 , ⁇ OCHCl 2 , ⁇ OCH 2 Cl, ⁇ OCH 2 CH 2 Cl, ⁇ OCH(CH 3 )CH 2 Cl, and ⁇ OCH 2 CH 2 CH 2 Cl.
  • each of R 1a , R 1b , R 1c , and R 1d is independently selected from hydrogen, ⁇ F, ⁇ Cl, ⁇ CN, ⁇ NH 2 , ⁇ OH, ⁇ NO 2 , ⁇ CH 2 OH, ⁇ CH 2 CH 2 OH, methoxy, ethoxy, ⁇ OCF3, ⁇ OCHF2, ⁇ OCH2F, ⁇ OCH2CH2F, ⁇ OCCl3, ⁇ OCHCl2, ⁇ OCH2Cl, and ⁇ OCH2CH2Cl.
  • each of R 1a , R 1b , R 1c , and R 1d is independently selected from hydrogen, ⁇ F, ⁇ Cl, ⁇ CN, ⁇ NH2, ⁇ OH, ⁇ NO2, ⁇ CH2OH, methoxy, ⁇ OCF3, ⁇ OCHF2, ⁇ OCH2F, ⁇ OCCl3, ⁇ OCHCl2, and ⁇ OCH2Cl.
  • each of R 1a , R 1b , R 1c , and R 1d is independently selected from hydrogen, halogen, ⁇ CN, ⁇ NH2, ⁇ OH, ⁇ NO2, C1-C4 alkylamino, and (C1- C4)(C1-C4) dialkylamino.
  • each of R 1a , R 1b , R 1c , and R 1d is independently selected from hydrogen, ⁇ F, ⁇ Cl, ⁇ CN, ⁇ NH2, ⁇ OH, ⁇ NO2, ⁇ NHCH3, ⁇ NHCH 2 CH 3 , ⁇ NHCH(CH 3 )CH 3 , ⁇ NHCH 2 CH 2 CH 3 , ⁇ N(CH 3 ) 2 , ⁇ N(CH 3 )CH 2 CH 3 , ⁇ N(CH3)CH(CH3)CH3, and ⁇ N(CH3)CH2CH2CH3.
  • each of R 1a , R 1b , R 1c , and R 1d is independently selected from hydrogen, ⁇ F, ⁇ Cl, ⁇ CN, ⁇ NH 2 , ⁇ OH, ⁇ NO 2 , ⁇ NHCH3, ⁇ NHCH2CH3, ⁇ N(CH3)2, and ⁇ N(CH3)CH2CH3.
  • each of R 1a , R 1b , R 1c , and R 1d is independently selected from hydrogen, ⁇ F, ⁇ Cl, ⁇ CN, ⁇ NH 2 , ⁇ OH, ⁇ NO 2 , ⁇ NHCH 3 , and ⁇ N(CH 3 ) 2 .
  • each of R 1a , R 1b , R 1c , and R 1d is independently selected from hydrogen, halogen, ⁇ CN, ⁇ NH 2 , ⁇ OH, ⁇ NO 2 , C1-C4 haloalkyl, and C1-C4 cyanoalkyl.
  • each of R 1a , R 1b , R 1c , and R 1d is independently selected from hydrogen, ⁇ F, ⁇ Cl, ⁇ CN, ⁇ NH 2 , ⁇ OH, ⁇ NO 2 , ⁇ CH 2 F, ⁇ CH 2 CH 2 F, ⁇ CH(CH 3 )CH 2 F, ⁇ CH2CH2CH2F, ⁇ CH2Cl, ⁇ CH2CH2Cl, ⁇ CH(CH3)CH2Cl, ⁇ CH2CH2CH2Cl, ⁇ CH2CN, ⁇ CH 2 CH 2 CN, ⁇ CH(CH 3 )CH 2 CN, and ⁇ CH 2 CH 2 CH 2 CN.
  • each of R 1a , R 1b , R 1c , and R 1d is independently selected from hydrogen, ⁇ F, ⁇ Cl, ⁇ CN, ⁇ NH2, ⁇ OH, ⁇ NO 2 , ⁇ CH 2 F, ⁇ CH 2 CH 2 F, ⁇ CH 2 Cl, ⁇ CH 2 CH 2 Cl, ⁇ CH 2 CN, and ⁇ CH 2 CH 2 CN.
  • each of R 1a , R 1b , R 1c , and R 1d is independently selected from hydrogen, ⁇ F, ⁇ Cl, ⁇ CN, ⁇ NH2, ⁇ OH, ⁇ NO2, ⁇ CH2F, ⁇ CH2Cl, and ⁇ CH2CN.
  • each of R 1a , R 1b , R 1c , and R 1d is independently selected from hydrogen, halogen, ⁇ CN, ⁇ NH2, ⁇ OH, ⁇ NO2, C1-C4 alkyl, and C2-C4 alkenyl.
  • each of R 1a , R 1b , R 1c , and R 1d is independently selected from hydrogen, ⁇ F, ⁇ Cl, ⁇ CN, ⁇ NH2, ⁇ OH, ⁇ NO2, methyl, ethyl, n-propyl, isopropyl, ethenyl, and propenyl.
  • each of R 1a , R 1b , R 1c , and R 1d is independently selected from hydrogen, ⁇ F, ⁇ Cl, ⁇ CN, ⁇ NH2, ⁇ OH, ⁇ NO2, methyl, ethyl, and ethenyl.
  • each of R 1a , R 1b , R 1c , and R 1d is independently selected from hydrogen, ⁇ F, ⁇ Cl, ⁇ CN, ⁇ NH2, ⁇ OH, ⁇ NO2, and methyl.
  • each of R 1a , R 1b , R 1c , and R 1d is independently selected from hydrogen and C1-C4 alkyl.
  • each of R 1a , R 1b , R 1c , and R 1d is independently selected from hydrogen, methyl, ethyl, n-propyl, and isopropyl. In still further embodiments, each of R 1a , R 1b , R 1c , and R 1d is independently selected from hydrogen, methyl, and ethyl. In yet further embodiments, each of R 1a , R 1b , R 1c , and R 1d is independently selected from hydrogen and methyl. [00257] In various embodiments, each of R 1a , R 1b , R 1c , and R 1d is independently selected from hydrogen and halogen.
  • each of R 1a , R 1b , R 1c , and R 1d is independently selected from hydrogen, ⁇ F, ⁇ Cl, and ⁇ Br. In still further embodiments, each of R 1a , R 1b , R 1c , and R 1d is independently selected from hydrogen, ⁇ F, and ⁇ Cl. In yet further embodiments, each of R 1a , R 1b , R 1c , and R 1d is independently selected from hydrogen and ⁇ Cl. In still further embodiments, each of R 1a , R 1b , R 1c , and R 1d is independently selected from hydrogen and ⁇ F.
  • each of R 1a , R 1b , R 1c , and R 1d is independently hydrogen, halogen, or C1-C4 alkyl.
  • each of R 1a , R 1b , R 1c , and R 1d is independently hydrogen, ⁇ F, ⁇ Cl, ⁇ Br, methyl, ethyl, n-propyl, or isopropyl.
  • each of R 1a , R 1b , R 1c , and R 1d is independently hydrogen, ⁇ F, ⁇ Cl, methyl, and ethyl.
  • each of R 1a , R 1b , R 1c , and R 1d is independently hydrogen, ⁇ F, and methyl.
  • R 1c is selected from halogen, ⁇ CN, ⁇ NH 2 , ⁇ OH, ⁇ NO 2 , C1-C4 alkyl, C2-C4 alkenyl, C1-C4 haloalkyl, C1-C4 cyanoalkyl, C1-C4 hydroxyalkyl, C1- C4 haloalkoxy, C1-C4 alkoxy, C1-C4 aminoalkyl, C1-C4 alkylamino, and (C1-C4)(C1-C4) dialkylamino.
  • R 1c is selected from hydrogen, ⁇ F, ⁇ Cl, ⁇ CN, ⁇ NH2, ⁇ OH, ⁇ NO 2 , methyl, ethyl, n-propyl, isopropyl, ethenyl, propenyl, ⁇ CH 2 F, ⁇ CH 2 CH 2 F, ⁇ CH(CH3)CH2F, ⁇ CH2CH2CH2F, ⁇ CH2Cl, ⁇ CH2CH2Cl, ⁇ CH(CH3)CH2Cl, ⁇ CH2CH2CH2Cl, ⁇ CH2CN, ⁇ CH2CH2CN, ⁇ CH(CH3)CH2CN, ⁇ CH2CH2CH2CN, ⁇ CH2OH, ⁇ CH2CH2OH, ⁇ CH(CH3)CH2OH, ⁇ CH2CH2CH2OH, methoxy, ethoxy, n-propoxy, isopropoxy, ⁇ OCF3, ⁇ OCHF2, ⁇ OCH2F, ⁇
  • R 1c is selected from hydrogen, ⁇ F, ⁇ Cl, ⁇ CN, ⁇ NH2, ⁇ OH, ⁇ NO2, methyl, ethyl, ethenyl, ⁇ CH2F, ⁇ CH2CH2F, ⁇ CH2Cl, ⁇ CH 2 CH 2 Cl, ⁇ CH 2 CN, ⁇ CH 2 CH 2 CN, ⁇ CH 2 OH, ⁇ CH 2 CH 2 OH, methoxy, ethoxy, ⁇ OCF 3 , ⁇ OCHF2, ⁇ OCH2F, ⁇ OCH2CH2F, ⁇ OCCl3, ⁇ OCHCl2, ⁇ OCH2Cl, ⁇ OCH2CH2Cl, ⁇ NHCH3, ⁇ NHCH 2 CH 3 , ⁇ N(CH 3 ) 2 , and ⁇ N(CH 3 )CH 2 CH 3 .
  • R 1c is selected from hydrogen, ⁇ F, ⁇ Cl, ⁇ CN, ⁇ NH2, ⁇ OH, ⁇ NO2, methyl, ⁇ CH2F, ⁇ CH2Cl, ⁇ CH2CN, ⁇ CH 2 OH, methoxy, ⁇ OCF 3 , ⁇ OCHF 2 , ⁇ OCH 2 F, ⁇ OCCl 3 , ⁇ OCHCl 2 , ⁇ OCH 2 Cl, ⁇ NHCH 3 , and ⁇ N(CH3)2.
  • R 1c is halogen.
  • R 1c is selected from ⁇ F, ⁇ Cl, and ⁇ Br.
  • R 1c is selected from ⁇ F and ⁇ Cl. In yet further embodiments, R 1c is ⁇ F. [00212] In some embodiments, at least one of R 1a , R 1b , R 1c , and R 1d is hydrogen. In further embodiments, at least two of R 1a , R 1b , R 1c , and R 1d is hydrogen. In still further embodiments, at least three of R 1a , R 1b , R 1c , and R 1d is hydrogen. In yet further embodiments, each of R 1a , R 1b , R 1c , and R 1d is hydrogen. c.
  • R 2 is selected from ⁇ (CH 2 ) q Cy 1 , ⁇ O(CH 2 ) q Cy 1 , ⁇ NR 13 (CH2)qCy 1 , ⁇ CH(OH)Cy 1 , and Cy 1 .
  • R 2 is selected from ⁇ (CH 2 ) n Cy 1 and ⁇ CH(OH)Cy 1 .
  • R 2 is ⁇ (CH 2 ) n Cy 1 .
  • R 2 is ⁇ CH(OH)Cy 1 .
  • R 2 is selected from ⁇ O(CH 2 ) q Cy 1 , ⁇ NR 13 (CH 2 ) q Cy 1 , and Cy 1 . In further embodiments, R 2 is selected from ⁇ OCy 1 , ⁇ NR 13 Cy 1 , ⁇ OCH2Cy 1 , ⁇ NR 13 CH 2 Cy 1 , and Cy 1 . In still further embodiments, R 2 is selected from ⁇ OCy 1 , ⁇ NR 13 Cy 1 , and Cy 1 . [00215] In some embodiments, R 2 is selected from ⁇ O(CH2)qCy 1 and ⁇ NR 13 (CH2)qCy 1 .
  • R 2 is selected from ⁇ OCy 1 , ⁇ NR 13 Cy 1 , ⁇ OCH2Cy 1 , and ⁇ NR 13 CH2Cy 1 . In still further embodiments, R 2 is selected from ⁇ OCy 1 and ⁇ NR 13 Cy 1 . [00216] In some embodiments, R 2 is Cy 1 . d. R 3 G ROUPS [00217] In some embodiments, R 3 is ⁇ CN, C1-C6 alkyl, C1-C6 haloalkyl, C1-C6 haloalkoxy, C1-C6 halohydroxyalkyl, or a 3- to 6-membered cycloalkyl.
  • R 3 is ⁇ CN, methyl, ethyl, n-propyl, isopropyl, ⁇ CH2F, ⁇ CH2CH2F, ⁇ CH(CH3)CH2F, ⁇ CH2CH2CH2F, ⁇ CH2Cl, ⁇ CH2CH2Cl, ⁇ CH(CH3)CH2Cl, ⁇ CH2CH2CH2Cl, ⁇ OCF 3 , ⁇ OCHF 2 , ⁇ OCH 2 F, ⁇ OCH 2 CH 2 F, ⁇ OCH(CH 3 )CH 2 F, ⁇ OCH 2 CH 2 CH 2 F, ⁇ OCCl 3 , ⁇ OCHCl2, ⁇ OCH2Cl, ⁇ OCH2CH2Cl, ⁇ OCH(CH3)CH2Cl, ⁇ OCH2CH2CH2Cl, ⁇ CH(OH)F, ⁇ CH(OH)CH 2 F, ⁇ CH 2 CH(OH)CH 2 F, ⁇ CH 2 CH(OH)CH 2 F,
  • R 3 is ⁇ CN, methyl, ethyl, ⁇ CH 2 F, ⁇ CH 2 CH 2 F, ⁇ CH 2 Cl, ⁇ CH 2 CH 2 Cl, ⁇ OCF3, ⁇ OCHF2, ⁇ OCH2F, ⁇ OCH2CH2F, ⁇ OCCl3, ⁇ OCHCl2, ⁇ OCH2Cl, ⁇ OCH2CH2Cl, ⁇ CH(OH)F, ⁇ CH(OH)CH 2 F, ⁇ CH(OH)Cl, ⁇ CH(OH)CH 2 Cl, cyclopropyl, or cyclobutyl.
  • R 3 is ⁇ CN, methyl, ⁇ CH2F, ⁇ CH2Cl, ⁇ OCF3, ⁇ OCHF2, ⁇ OCH2F, ⁇ OCCl3, ⁇ OCHCl2, ⁇ OCH2Cl, ⁇ CH(OH)F, ⁇ CH(OH)Cl, or cyclopropyl.
  • R 3 is ⁇ CN.
  • R 3 is C1-C6 alkyl or C1-C6 haloalkyl.
  • R 3 is methyl, ethyl, n-propyl, isopropyl, ⁇ CH 2 F, ⁇ CH 2 CH 2 F, ⁇ CH(CH 3 )CH 2 F, ⁇ CH2CH2CH2F, ⁇ CH2Cl, ⁇ CH2CH2Cl, ⁇ CH(CH3)CH2Cl, or ⁇ CH2CH2CH2Cl.
  • R 3 is methyl, ethyl, ⁇ CH 2 F, ⁇ CH 2 CH 2 F, ⁇ CH 2 Cl, or ⁇ CH 2 CH 2 Cl.
  • R 3 is methyl, ⁇ CH2F, or ⁇ CH2Cl.
  • R 3 is C1-C6 alkyl. In further embodiments, R 3 is methyl, ethyl, n-propyl, or isopropyl. In still further embodiments, R 3 is methyl or ethyl. In yet further embodiments, R 3 is methyl. [00221] In some embodiments, R 3 is C1-C6 haloalkyl. In further embodiments, R 3 is ⁇ CH2F, ⁇ CH2CH2F, ⁇ CH(CH3)CH2F, ⁇ CH2CH2CH2F, ⁇ CH2Cl, ⁇ CH2CH2Cl, ⁇ CH(CH 3 )CH 2 Cl, or ⁇ CH 2 CH 2 CH 2 Cl.
  • R 3 is ⁇ CH 2 F, ⁇ CH 2 CH 2 F, ⁇ CH2Cl, or ⁇ CH2CH2Cl. In yet further embodiments, R 3 is ⁇ CH2F or ⁇ CH2Cl. [00222] In some embodiments, R 3 is C1-C6 haloalkoxy or C1-C6 halohydroxyalkyl, or a 3- to 6-membered cycloalkyl.
  • R 3 is ⁇ OCF3, ⁇ OCHF2, ⁇ OCH2F, ⁇ OCH 2 CH 2 F, ⁇ OCH(CH 3 )CH 2 F, ⁇ OCH 2 CH 2 CH 2 F, ⁇ OCCl 3 , ⁇ OCHCl 2 , ⁇ OCH 2 Cl, ⁇ OCH2CH2Cl, ⁇ OCH(CH3)CH2Cl, ⁇ OCH2CH2CH2Cl, ⁇ CH(OH)F, ⁇ CH(OH)CH2F, ⁇ CH(CH 2 OH)CH 2 F, ⁇ CH 2 CH(OH)CH 2 F, ⁇ CH(OH)Cl, ⁇ CH(OH)CH 2 Cl, ⁇ CH(CH2OH)CH2Cl, or ⁇ CH2CH(OH)CH2Cl.
  • R 3 is ⁇ OCF3, ⁇ OCHF2, ⁇ OCH2F, ⁇ OCH2CH2F, ⁇ OCCl3, ⁇ OCHCl2, ⁇ OCH2Cl, ⁇ OCH2CH2Cl, ⁇ CH(OH)F, ⁇ CH(OH)CH2F, ⁇ CH(OH)Cl, or ⁇ CH(OH)CH2Cl.
  • R 3 is ⁇ OCF3, ⁇ OCHF2, ⁇ OCH2F, ⁇ OCCl3, ⁇ OCHCl2, ⁇ OCH2Cl, ⁇ CH(OH)F, or ⁇ CH(OH)Cl.
  • R 3 is a 3- to 6-membered cycloalkyl. In further embodiments, R 3 is cyclopropyl, cyclobutyl, or cyclopentyl. In still further embodiments, R 3 is cyclopropyl or cyclobutyl. In yet further embodiments, R 3 is cyclopropyl. [00224] In some embodiments, R 3 is a 3- to 6-membered cycloalkyl or a C1-C6 haloalkyl. In further embodiments, R 3 is a 3-membered cycloalkyl or ⁇ CF 3 . e.
  • R 4 is selected from hydrogen and C1-C4 alkyl. In further embodiments, R 4 is selected from hydrogen, methyl, ethyl, n-propyl, and isopropyl. In still further embodiments, R 4 is selected from hydrogen, methyl, and ethyl. In yet further embodiments, R 4 is selected from hydrogen and ethyl. In an even further embodiment, R 4 is selected from hydrogen and methyl. [00226] In some embodiments, R 4 is hydrogen. [00227] In some embodiments, R 4 is C1-C4 alkyl.
  • each of R 11a and R 11b when present, is independently selected from hydrogen, halogen, ⁇ OH, and C1-C4 alkoxy. In further embodiments, each of R 11a and R 11b , when present, is independently selected from hydrogen, ⁇ F, ⁇ Cl, ⁇ Br, ⁇ OH, methoxy, ethoxy, n-propoxy, and isopropoxy. In still further embodiments, each of R 11a and R 11b , when present, is independently selected from hydrogen, ⁇ F, ⁇ Cl, ⁇ OH, methoxy, and ethoxy.
  • each of R 11a and R 11b when present, is independently selected from hydrogen, ⁇ F, ⁇ OH, and methoxy. [00230] In some embodiments, each of R 11a and R 11b , when present, is independently selected from hydrogen, ⁇ OH, and C1-C4 alkoxy. In further embodiments, each of R 11a and R 11b , when present, is independently selected from hydrogen, ⁇ OH, methoxy, ethoxy, n- propoxy, and isopropoxy. In still further embodiments, each of R 11a and R 11b , when present, is independently selected from hydrogen, ⁇ OH, methoxy, and ethoxy.
  • each of R 11a and R 11b when present, is independently selected from hydrogen, ⁇ OH, and methoxy. [00231] In some embodiments, each of R 11a and R 11b , when present, is independently selected from hydrogen and C1-C4 alkoxy. In further embodiments, each of R 11a and R 11b , when present, is independently selected from hydrogen, methoxy, ethoxy, n-propoxy, and isopropoxy. In still further embodiments, each of R 11a and R 11b , when present, is independently selected from hydrogen, methoxy, and ethoxy. In yet further embodiments, each of R 11a and R 11b , when present, is independently selected from hydrogen and methoxy.
  • each of R 11a and R 11b when present, is independently selected from hydrogen and ⁇ OH. In further embodiments, each of R 11a and R 11b , when present, is ⁇ OH. In still further embodiments, each of R 11a and R 11b , when present, is hydrogen. [00233] In some embodiments, each of R 11a and R 11b , when present, is independently selected from hydrogen and halogen. In further embodiments, each of R 11a and R 11b , when present, is independently selected from hydrogen, ⁇ F, ⁇ Cl, and ⁇ Br. In still further embodiments, each of R 11a and R 11b , when present, is independently selected from hydrogen, ⁇ F, and ⁇ Cl.
  • R 12 when present, is hydrogen, methyl, ethyl, n-propyl, isopropyl, cyclopropyl, cyclobutyl, cyclopentyl, ⁇ CH 2 (cyclopropyl), ⁇ CH 2 CH 2 (cyclopropyl), ⁇ CH 2 CH 2 CH 2 (cyclopropyl), ⁇ CH(CH3)CH2(cyclopropyl), ⁇ CH2(cyclobutyl), ⁇ CH2CH2(cyclobutyl), ⁇ CH2CH2CH2(cyclobutyl), ⁇ CH(CH3)CH2(cyclobutyl), ⁇ CH2(cyclopentyl), ⁇ CH2CH2(cyclopentyl), ⁇ CH2CH2CH2(cyclopentyl), or ⁇ CH(CH3)CH2(cyclopentyl).
  • R 12 when present, is hydrogen, methyl, ethyl, cyclopropyl, cyclobutyl, ⁇ CH 2 (cyclopropyl), ⁇ CH 2 CH 2 (cyclopropyl), ⁇ CH 2 (cyclobutyl), ⁇ CH 2 CH 2 (cyclobutyl), ⁇ CH2(cyclopentyl), or ⁇ CH2CH2(cyclopentyl).
  • R 12 when present, is hydrogen, methyl, cyclopropyl, ⁇ CH 2 (cyclopropyl), ⁇ CH 2 (cyclobutyl), or ⁇ CH2(cyclopentyl).
  • R 12 when present, is hydrogen or C1-C4 alkyl. In further embodiments, R 12 , when present, is hydrogen, methyl, ethyl, n-propyl, or isopropyl. In still further embodiments, R 12 , when present, is hydrogen, methyl, or ethyl. In yet further embodiments, R 12 , when present, is hydrogen or methyl. [00237] In some embodiments, R 12 , when present, is C1-C4 alkyl. In further embodiments, R 12 , when present, is methyl, ethyl, n-propyl, or isopropyl.
  • R 12 when present, is methyl or ethyl. In yet further embodiments, R 12 , when present, is methyl. [00238] In some embodiments, R 12 , when present, is C3-C6 cycloalkyl or ⁇ (C1-C4 alkyl)(C3-C6 cycloalkyl).
  • R 12 when present, is cyclopropyl, cyclobutyl, cyclopentyl, ⁇ CH2(cyclopropyl), ⁇ CH2CH2(cyclopropyl), ⁇ CH2CH2CH2(cyclopropyl), ⁇ CH(CH3)CH2(cyclopropyl), ⁇ CH2(cyclobutyl), ⁇ CH 2 CH 2 (cyclobutyl), ⁇ CH 2 CH 2 CH 2 (cyclobutyl), ⁇ CH(CH 3 )CH 2 (cyclobutyl), ⁇ CH2(cyclopentyl), ⁇ CH2CH2(cyclopentyl), ⁇ CH2CH2CH2(cyclopentyl), ⁇ CH2CH2CH2(cyclopentyl), or ⁇ CH(CH 3 )CH 2 (cyclopentyl).
  • R 12 when present, is ⁇ CH2(cyclopropyl), ⁇ CH2CH2(cyclopropyl), ⁇ CH2(cyclobutyl), ⁇ CH2CH2(cyclobutyl), ⁇ CH 2 (cyclopentyl), or ⁇ CH 2 CH 2 (cyclopentyl).
  • R 12 when present, is ⁇ CH2(cyclopropyl), ⁇ CH2(cyclobutyl), or ⁇ CH2(cyclopentyl).
  • R 12 when present, is hydrogen. h.
  • R 13 GROUPS [00240] In some embodiments, R 13 , when present, is selected from hydrogen and C1- C4 alkyl. In further embodiments, R 13 , when present, is selected from hydrogen, methyl, ethyl, n-propyl, and isopropyl. In still further embodiments, R 13 , when present, is selected from hydrogen, methyl, and ethyl. In yet further embodiments, R 13 , when present, is selected from hydrogen and ethyl. In even further embodiments, R 13 , when present, is selected from hydrogen and methyl. [00241] In some embodiments, R 13 , when present, is C1-C4 alkyl.
  • R 13 when present, is selected from methyl, ethyl, n-propyl, and isopropyl. In still further embodiments, R 13 , when present, is selected from methyl and ethyl. In yet further embodiments, R 13 , when present, is ethyl. In even further embodiments, R 13 , when present, is methyl. [00242] In some embodiments, R 13 , when present, is hydrogen. i. R 14 GROUPS [00243] In some embodiments, R 14 , when present, is selected from hydrogen and C1- C4 alkyl.
  • R 14 when present, is selected from hydrogen, methyl, ethyl, n-propyl, and isopropyl. In still further embodiments, R 14 , when present, is selected from hydrogen, methyl, and ethyl. In yet further embodiments, R 14 , when present, is selected from hydrogen and ethyl. In even further embodiments, R 14 , when present, is selected from hydrogen and methyl. [00244] In some embodiments, R 14 , when present, is C1-C4 alkyl. In further embodiments, R 14 , when present, is selected from methyl, ethyl, n-propyl, and isopropyl.
  • R 14 when present, is selected from methyl and ethyl. In yet further embodiments, R 14 , when present, is ethyl. In even further embodiments, R 14 , when present, is methyl. [00245] In some embodiments, R 14 , when present, is hydrogen. j.
  • each of R 15a , R 15b , and R 15c when present, is independently selected from halogen, ⁇ CN, ⁇ NH2, ⁇ OH, ⁇ NO2, C1-C4 alkyl, C2-C4 alkenyl, C1-C4 haloalkyl, C1-C4 cyanoalkyl, C1-C4 hydroxyalkyl, C1-C4 haloalkoxy, C1-C4 alkoxy, C1-C4 aminoalkyl, C1-C4 alkylamino, and (C1-C4)(C1-C4) dialkylamino.
  • each of R 15a , R 15b , and R 15c when present, is independently selected from ⁇ F, ⁇ Cl, ⁇ CN, ⁇ NH2, ⁇ OH, ⁇ NO2, methyl, ethyl, n-propyl, isopropyl, ethenyl, propenyl, ⁇ CH2F, ⁇ CH 2 CH 2 F, ⁇ CH(CH 3 )CH 2 F, ⁇ CH 2 CH 2 CH 2 F, ⁇ CH 2 Cl, ⁇ CH 2 CH 2 Cl, ⁇ CH(CH 3 )CH 2 Cl, ⁇ CH2CH2CH2Cl, ⁇ CH2CN, ⁇ CH2CH2CN, ⁇ CH(CH3)CH2CN, ⁇ CH2CH2CH2CN, ⁇ CH2OH, ⁇ CH 2 CH 2 OH, ⁇ CH(CH 3 )CH 2 OH, ⁇ CH 2 CH 2 CH 2 OH, methoxy, ethoxy, n-propoxy, isopropoxy,
  • each of R 15a , R 15b , and R 15c when present, is independently selected from ⁇ F, ⁇ Cl, ⁇ CN, ⁇ NH2, ⁇ OH, ⁇ NO2, methyl, ethyl, ethenyl, ⁇ CH2F, ⁇ CH2CH2F, ⁇ CH2Cl, ⁇ CH2CH2Cl, ⁇ CH2CN, ⁇ CH 2 CH 2 CN, ⁇ CH 2 OH, ⁇ CH 2 CH 2 OH, methoxy, ethoxy, ⁇ OCF 3 , ⁇ OCHF 2 , ⁇ OCH 2 F, ⁇ OCH2CH2F, ⁇ OCCl3, ⁇ OCHCl2, ⁇ OCH2Cl, ⁇ OCH2CH2Cl, ⁇ NHCH3, ⁇ NHCH2CH3, ⁇ N(CH 3 ) 2 , and ⁇ N(CH 3 )CH 2 CH 3 .
  • each of R 15a , R 15b , and R 15c when present, is independently selected from hydrogen, ⁇ F, ⁇ Cl, ⁇ CN, ⁇ NH2, ⁇ OH, ⁇ NO2, methyl, ⁇ CH 2 F, ⁇ CH 2 Cl, ⁇ CH 2 CN, ⁇ CH 2 OH, methoxy, ⁇ OCF 3 , ⁇ OCHF 2 , ⁇ OCH 2 F, ⁇ OCCl 3 , ⁇ OCHCl2, ⁇ OCH2Cl, ⁇ NHCH3, and ⁇ N(CH3)2.
  • each of R 15a , R 15b , and R 15c when present, is independently selected from halogen, ⁇ CN, ⁇ NH2, ⁇ OH, ⁇ NO2, C1-C4 hydroxyalkyl, C1-C4 haloalkoxy, C1-C4 alkoxy.
  • each of R 15a , R 15b , and R 15c when present, is independently selected from ⁇ F, ⁇ Cl, ⁇ CN, ⁇ NH 2 , ⁇ OH, ⁇ NO 2 , ⁇ CH 2 OH, ⁇ CH2CH2OH, ⁇ CH(CH3)CH2OH, ⁇ CH2CH2CH2OH, methoxy, ethoxy, n-propoxy, isopropoxy, ⁇ OCF 3 , ⁇ OCHF 2 , ⁇ OCH 2 F, ⁇ OCH 2 CH 2 F, ⁇ OCH(CH 3 )CH 2 F, ⁇ OCH 2 CH 2 CH 2 F, ⁇ OCCl3, ⁇ OCHCl2, ⁇ OCH2Cl, ⁇ OCH2CH2Cl, ⁇ OCH(CH3)CH2Cl, and ⁇ OCH2CH2CH2Cl.
  • each of R 15a , R 15b , and R 15c when present, is independently selected from ⁇ F, ⁇ Cl, ⁇ CN, ⁇ NH2, ⁇ OH, ⁇ NO2, ⁇ CH2OH, ⁇ CH2CH2OH, methoxy, ethoxy, ⁇ OCF3, ⁇ OCHF2, ⁇ OCH2F, ⁇ OCH2CH2F, ⁇ OCCl3, ⁇ OCHCl2, ⁇ OCH2Cl, and ⁇ OCH2CH2Cl.
  • each of R 15a , R 15b , and R 15c when present, is independently selected from ⁇ F, ⁇ Cl, ⁇ CN, ⁇ NH2, ⁇ OH, ⁇ NO2, ⁇ CH2OH, methoxy, ⁇ OCF3, ⁇ OCHF2, ⁇ OCH 2 F, ⁇ OCCl 3 , ⁇ OCHCl 2 , and ⁇ OCH 2 Cl.
  • each of R 15a , R 15b , and R 15c when present, is independently selected from halogen, ⁇ CN, ⁇ NH 2 , ⁇ OH, ⁇ NO 2 , C1-C4 alkylamino, and (C1- C4)(C1-C4) dialkylamino.
  • each of R 15a , R 15b , and R 15c when present, is independently selected from ⁇ F, ⁇ Cl, ⁇ CN, ⁇ NH 2 , ⁇ OH, ⁇ NO 2 , ⁇ NHCH 3 , ⁇ NHCH2CH3, ⁇ NHCH(CH3)CH3, ⁇ NHCH2CH2CH3, ⁇ N(CH3)2, ⁇ N(CH3)CH2CH3, ⁇ N(CH 3 )CH(CH 3 )CH 3 , and ⁇ N(CH 3 )CH 2 CH 2 CH 3 .
  • each of R 15a , R 15b , and R 15c when present, is independently selected from ⁇ F, ⁇ Cl, ⁇ CN, ⁇ NH 2 , ⁇ OH, ⁇ NO2, ⁇ NHCH3, ⁇ NHCH2CH3, ⁇ N(CH3)2, and ⁇ N(CH3)CH2CH3.
  • each of R 15a , R 15b , and R 15c when present, is independently selected from ⁇ F, ⁇ Cl, ⁇ CN, ⁇ NH2, ⁇ OH, ⁇ NO2, ⁇ NHCH3, and ⁇ N(CH3)2.
  • each of R 15a , R 15b , and R 15c when present, is independently selected from halogen, ⁇ CN, ⁇ NH2, ⁇ OH, ⁇ NO2, C1-C4 haloalkyl, and C1-C4 cyanoalkyl.
  • each of R 15a , R 15b , and R 15c when present, is independently selected from ⁇ F, ⁇ Cl, ⁇ CN, ⁇ NH2, ⁇ OH, ⁇ NO2, ⁇ CH2F, ⁇ CH2CH2F, ⁇ CH(CH 3 )CH 2 F, ⁇ CH 2 CH 2 CH 2 F, ⁇ CH 2 Cl, ⁇ CH 2 CH 2 Cl, ⁇ CH(CH 3 )CH 2 Cl, ⁇ CH 2 CH 2 CH 2 Cl, ⁇ CH2CN, ⁇ CH2CH2CN, ⁇ CH(CH3)CH2CN, and ⁇ CH2CH2CH2CN.
  • each of R 15a , R 15b , and R 15c when present, is independently selected from ⁇ F, ⁇ Cl, ⁇ CN, ⁇ NH2, ⁇ OH, ⁇ NO2, ⁇ CH2F, ⁇ CH2CH2F, ⁇ CH2Cl, ⁇ CH2CH2Cl, ⁇ CH2CN, and ⁇ CH2CH2CN.
  • each of R 15a , R 15b , and R 15c when present, is independently selected from ⁇ F, ⁇ Cl, ⁇ CN, ⁇ NH2, ⁇ OH, ⁇ NO2, ⁇ CH2F, ⁇ CH2Cl, and ⁇ CH2CN.
  • each of R 15a , R 15b , and R 15c when present, is independently selected from halogen, ⁇ CN, ⁇ NH2, ⁇ OH, ⁇ NO2, C1-C4 alkyl, and C2-C4 alkenyl.
  • each of R 15a , R 15b , and R 15c when present, is independently selected from ⁇ F, ⁇ Cl, ⁇ CN, ⁇ NH2, ⁇ OH, ⁇ NO2, methyl, ethyl, n-propyl, isopropyl, ethenyl, and propenyl.
  • each of R 15a , R 15b , and R 15c when present, is independently selected from ⁇ F, ⁇ Cl, ⁇ CN, ⁇ NH2, ⁇ OH, ⁇ NO2, methyl, ethyl, and ethenyl.
  • each of R 15a , R 15b , and R 15c when present, is independently selected from ⁇ F, ⁇ Cl, ⁇ CN, ⁇ NH2, ⁇ OH, ⁇ NO2, and methyl.
  • each of R 15a , R 15b , and R 15c when present, is independently C1-C4 alkyl.
  • each of R 15a , R 15b , and R 15c when present, is independently selected from methyl, ethyl, n-propyl, and isopropyl. In still further embodiments, each of R 15a , R 15b , and R 15c , when present, is independently selected from methyl and ethyl. In yet further embodiments, each of R 15a , R 15b , and R 15c , when present, is methyl. [00256] In various embodiments, each of R 15a , R 15b , and R 15c , when present, is independently halogen.
  • each of R 15a , R 15b , and R 15c when present, is independently selected from ⁇ F, ⁇ Cl, and ⁇ Br. In still further embodiments, each of R 15a , R 15b , and R 15c , when present, is independently selected from ⁇ F and ⁇ Cl. In yet further embodiments, each of R 15a , R 15b , and R 15c , when present, is ⁇ Cl. In still further embodiments, each of R 15a , R 15b , and R 15c , when present, is ⁇ F. k.
  • R 16 G ROUPS
  • R 16 when present, is selected from hydrogen, halogen, and C1-C4 alkyl.
  • R 16 when present, is selected from hydrogen, ⁇ F, ⁇ Cl, methyl, ethyl, n-propyl, and isopropyl.
  • R 16 when present, is selected from hydrogen, ⁇ F, ⁇ Cl, methyl, and ethyl.
  • R 16 when present, is selected from ⁇ F, ⁇ Cl, and methyl.
  • R 16 when present, is C1-C4 alkyl.
  • R 16 when present, is selected from methyl, ethyl, n-propyl, and isopropyl. In still further embodiments, R 16 , when present, is selected from methyl and ethyl. In yet further embodiments, R 16 , when present, is methyl. [00248] In some embodiments, R 16 , when present, is halogen. In further embodiments, R 16 , when present, is selected from ⁇ F, ⁇ Cl, and ⁇ Br. In still further embodiments, R 16 , when present, is selected from ⁇ F and ⁇ Cl. In yet further embodiments, R 16 , when present, is ⁇ Cl.
  • R 16 when present, is ⁇ F.
  • R 16 when present, is hydrogen. l.
  • R 20 G ROUPS
  • R 20 when present, is selected from ⁇ OH, ⁇ NH2, ⁇ O(C1-C4 alkyl), ⁇ NH(C1-C4 alkyl), and ⁇ N(C1-C4 alkyl)(C1-C4 alkyl).
  • R 20 when present, is selected from ⁇ OH, ⁇ NH2, ⁇ OCH3, ⁇ OCH2CH3, ⁇ OCH(CH 3 ) 2 , ⁇ OCH 2 CH 2 CH 3 , ⁇ NHCH 3 , ⁇ NHCH 2 CH 3 , ⁇ NHCH(CH 3 ) 2 , ⁇ NHCH 2 CH 2 CH 3 , ⁇ N(CH3)2, ⁇ N(CH3)CH2CH3, ⁇ N(CH3)CH(CH3)2, and ⁇ N(CH2CH3)CH2CH2CH3.
  • R 20 when present, is selected from ⁇ OH, ⁇ NH2, ⁇ OCH3, ⁇ OCH2CH3, ⁇ NHCH 3 , ⁇ NHCH 2 CH 3 , ⁇ N(CH 3 ) 2 , and ⁇ N(CH 3 )CH 2 CH 3 .
  • R 20 when present, is selected from ⁇ OH, ⁇ NH2, ⁇ OCH3, ⁇ NHCH3, and ⁇ N(CH3)2.
  • R 20 when present, is selected from ⁇ OH and ⁇ O(C1- C4 alkyl).
  • R 20 when present, is selected from ⁇ OH, ⁇ OCH3, ⁇ OCH 2 CH 3 , ⁇ OCH(CH 3 ) 2 , and ⁇ OCH 2 CH 2 CH 3 . In still further embodiments, R 20 , when present, is selected from ⁇ OH, ⁇ OCH3, and ⁇ OCH2CH3. In yet further embodiments, R 20 , when present, is selected from ⁇ OH and ⁇ OCH 3 . [00252] In some embodiments, R 20 , when present, is selected from ⁇ NH2, ⁇ NH(C1-C4 alkyl), and ⁇ N(C1-C4 alkyl)(C1-C4 alkyl).
  • R 20 when present, is selected from ⁇ NH 2 , ⁇ NHCH 3 , ⁇ NHCH 2 CH 3 , ⁇ NHCH(CH 3 ) 2 , ⁇ NHCH 2 CH 2 CH 3 , ⁇ N(CH 3 ) 2 , ⁇ N(CH3)CH2CH3, ⁇ N(CH3)CH(CH3)2, and ⁇ N(CH2CH3)CH2CH2CH3.
  • R 20 when present, is selected from ⁇ NH 2 , ⁇ NHCH 3 , ⁇ NHCH 2 CH 3 , ⁇ N(CH 3 ) 2 , and ⁇ N(CH3)CH2CH3.
  • R 20 when present, is selected from ⁇ NH 2 , ⁇ NHCH 3 , and ⁇ N(CH 3 ) 2 .
  • R 20 when present, is selected from ⁇ OH and ⁇ NH2.
  • R 20 when present, is ⁇ OH.
  • R 20 when present, is ⁇ NH2.
  • Ar 1 is a structure selected from: , , , , and ; wherein * represents a bond connected to R 3 ; and wherein ** represents a bond connected to N.
  • Ar 1 is a structure: .
  • Ar 1 is a structure: . [00257] In some embodiments, Ar 1 is a structure: . [00258] In some embodiments, Ar 1 is a structure: . [00259] In some embodiments, Ar 1 is a structure: . [00260] In some embodiments, Ar 1 is a structure: . [00261] In some embodiments, Ar 1 is a structure: . [00262] In some embodiments, Ar 1 is a structure: . [00263] In some embodiments, Ar 1 is a structure selected from: , ,
  • Ar 1 is a structure: . [00265] In some embodiments, Ar 1 is a structure: . [00266] In some embodiments, Ar 1 is a structure: . [00267] In some embodiments, Ar 1 is a structure: . [00268] In some embodiments, Ar 1 is a structure: . [00269] In some embodiments, Ar 1 is a structure: . [00270] In some embodiments, Ar 1 is a structure: . [00271] In some embodiments, Ar 1 is a structure: . n.
  • C4-C9 cycloalkyls include, but are not limited to, cyclobutyl, cyclopentyl, cyclohexyl, and spiro[2.4]heptane.
  • Cy 1 is an unsubstituted C4-C9 cycloalkyl.
  • C3-C9 heterocycles include, but are not limited to, tetrahydrofuran, pyrrolidine, tetrahydrothiophene, piperidine, piperazine, tetrahydropyran, thiane, 1,3-dithiane, 1,4-dithiane, thiomorpholine, dioxane, morpholine, and hexahydro-1H-furo[3,4-c]pyrrole.
  • a group selected from halogen, ⁇ CN, ⁇ NH2, ⁇ OH, ⁇ NO2, O, C3-C
  • Cy 1 is an unsubstituted C3-C9 heterocycle.
  • C2-C9 heteroaryls include, but are not limited to, furyl, imidazolyl, pyrimidinyl, tetrazolyl, thienyl, pyridinyl, pyrrolyl, N- methylpyrrolyl, quinolinyl, isoquinolinyl, pyrazolyl, triazolyl, thiazolyl, oxazolyl, isoxazolyl, oxadiazolyl, thiadiazolyl, isothiazolyl, pyridazinyl, pyrazinyl, benzofuranyl, benzodioxolyl, benzothiophenyl, indolyl, indazolyl, benzimidazolyl, imidazopyridinyl, pyrazolopyridinyl, pyrazolopyrimidinyl, pyridinyl, pyridazinyl, pyrimidinyl, pyrazinyl
  • a group selected from halogen, ⁇ CN, ⁇ NH2, ⁇ OH, ⁇ NO2, O, C3-C
  • Cy 1 is an unsubstituted C2-C9 heteroaryl.
  • Cy 1 is a C3-C9 heterocycle having at least one O, S, or N atom and substituted with 0, 1, 2, or 3 groups independently selected from halogen, ⁇ CN, ⁇ NH 2 , ⁇ OH, ⁇ NO 2 , C1-C4 alkyl, C2-C4 alkenyl, C1-C4 haloalkyl, C1-C4 cyanoalkyl, C1-C4 hydroxyalkyl, C1-C4 haloalkoxy, C1-C4 alkoxy, C1-C4 alkylamino, and (C1-C4)(C1-C4) dialkylamino.
  • C3-C9 heterocycles include, but are not limited to, tetrahydrofuran, pyrrolidine, tetrahydrothiophene, piperidine, piperazine, tetrahydropyran, thiane, 1,3-dithiane, 1,4-dithiane, thiomorpholine, dioxane, morpholine, and hexahydro-1H- furo[3,4-c]pyrrole.
  • Cy 1 is a C3-C9 heterocycle having at least one O, S, or N atom and unsubstituted.
  • C1-C4 alkyl C2-C4 alkenyl
  • C1-C4 haloalkyl C1-C4 cyanoalkyl
  • C1-C4 hydroxyalkyl C1-C4 haloalkoxy, C1-C4 al
  • Cy 1 is a C3-C9 heterocycle having at least one O atom and unsubstituted.
  • C1-C4 alkyl C2-C4 alkenyl
  • C1-C4 haloalkyl C1-C4 cyanoalkyl
  • C1-C4 hydroxyalkyl C1-C4 haloalkoxy, C1-C4 al
  • Cy 1 is a C3-C9 heterocycle having at least one S atom and unsubstituted.
  • Cy 1 is a C3-C9 heterocycle having at least one N atom and unsubstituted.
  • Cy 1 is a C3-C9 heterocycle having at least one O, S, or N atom.
  • the C3-C9 heterocycle is a monocyclic heterocycle.
  • the C3-C9 heterocycle is a bicyclic heterocycle.
  • the C3-C9 heterocycle is a spirocyclic heterocycle.
  • the C3-C9 heterocycle is a fused heterocycle.
  • Cy 1 is a C2-C9 heteroaryl having at least one O, S, or N atom.
  • Cy 1 is a structure represented by a formula selected from: and .
  • Cy 1 is a C3-C9 heterocycle having at least one O, S, or N atom, and wherein Cy 1 is unsubstituted.
  • Cy 1 is a structure represented by a formula selected from:
  • Cy 1 is a C3-C9 heterocycle having at least one O, S, or N atom.
  • Cy 1 is unsubstituted.
  • Cy 1 is a structure represented by a formula selected from: , and .
  • the C3-C9 heterocycle is a monocyclic heterocycle. In further embodiments, the C3-C9 heterocycle is a bicyclic heterocycle. In still further embodiments, the C3-C9 heterocycle is a spirocyclic heterocycle. In yet further embodiments, the C3-C9 heterocycle is a fused heterocycle. [00288] In some embodiments, Cy 1 is a C2-C9 heteroaryl having at least one O, S, or N atom.
  • a compound can be present as one or more of the following structures: ,
  • a compound can be present as one or more of the following structures: and , or a pharmaceutically acceptable salt thereof.
  • a compound can be present as the following structure: , or a pharmaceutically acceptable salt thereof.
  • a compound can be present as the following structure: , or a pharmaceutically acceptable salt thereof.
  • a compound can be present as one or more of the following structures: , , , ,
  • a compound can be present as one or more of the following structures: ,
  • a compound can be present as one or more of the following structures:
  • a compound can be present as one or more of the following structures:
  • a compound can be present as the following structure: H and , or a pharmaceutically acceptable salt thereof.
  • a compound can be present as one or more of the following structures: F and or a pharmaceutically acceptable salt thereof.
  • a compound can be present as one or more of the following structures: , and or a pharmaceutically acceptable salt thereof.
  • a compound can be present as one or more of the following structures: , a or a pharmaceutically acceptable salt thereof.
  • a compound can be present as one or more of the following structures: and or a pharmaceutically acceptable salt thereof.
  • a compound can be present as one or more of the following structures: , and or a pharmaceutically acceptable salt thereof.
  • 3. PROPHETIC COMPOUND EXAMPLES [00257] The following compound examples are prophetic, and can be prepared using the synthesis methods described herein above and other general methods as needed as would be known to one skilled in the art. It is anticipated that the prophetic compounds would be active as modulators of PINK1 kinase activity, and such activity can be determined using the assay methods described herein below.
  • a compound is selected from: ,
  • a compound is selected from: , ,
  • a compound is selected from: , , , ,
  • a compound is selected from:
  • a compound is selected from: ,
  • a compound is selected from: , ,
  • a compound is selected from: ,
  • a compound is selected from: ,
  • a compound is selected from: , ,
  • a compound is selected from: and or a pharmaceutically acceptable salt thereof.
  • a compound is selected from: , , , ,
  • a compound is selected from:
  • a compound is selected from: ,
  • a compound is selected from: , , , ,
  • a compound is selected from:
  • a compound is selected from: ,
  • a compound is selected from: , ,
  • a compound is selected from: , , , ,
  • a or a pharmaceutically acceptable salt thereof It is contemplated that one or more compounds can optionally be omitted from the disclosed invention. [00259] It is understood that the disclosed compounds can be used in connection with the disclosed methods, compositions, kits, and uses. [00260] It is understood that pharmaceutical acceptable derivatives of the disclosed compounds can be used also in connection with the disclosed methods, compositions, kits, and uses.
  • the pharmaceutical acceptable derivatives of the compounds can include any suitable derivative, such as pharmaceutically acceptable salts as discussed below, isomers, radiolabeled analogs, tautomers, and the like. C.
  • compositions comprising a disclosed compound, or pharmaceutically acceptable salt thereof; and a pharmaceutically acceptable carrier.
  • pharmaceutical compositions comprising a therapeutically effective amount at least one disclosed compound and a pharmaceutically acceptable carrier.
  • a pharmaceutical composition can be provided comprising a therapeutically effective amount of at least one disclosed compound.
  • a pharmaceutical composition can be provided comprising a prophylactically effective amount of at least one disclosed compound.
  • the disclosure relates to pharmaceutical compositions comprising a pharmaceutically acceptable carrier and a compound, wherein the compound is present in an effective amount.
  • Pharmaceutically acceptable salts of the compounds are conventional acid- addition salts or base-addition salts that retain the biological effectiveness and properties of the compounds and are formed from suitable non-toxic organic or inorganic acids or organic or inorganic bases.
  • Exemplary acid-addition salts include those derived from inorganic acids such as hydrochloric acid, hydrobromic acid, hydroiodic acid, sulfuric acid, sulfamic acid, phosphoric acid and nitric acid, and those derived from organic acids such as p- toluenesulfonic acid, salicylic acid, methanesulfonic acid, oxalic acid, succinic acid, citric acid, malic acid, lactic acid, fumaric acid, and the like.
  • Example base-addition salts include those derived from ammonium, potassium, sodium and, quaternary ammonium hydroxides, such as for example, tetramethylammonium hydroxide.
  • Chemical modification of a pharmaceutical compound into a salt is a known technique to obtain improved physical and chemical stability, hygroscopicity, flowability and solubility of compounds. See, e.g., H. Ansel et. al., Pharmaceutical Dosage Forms and Drug Delivery Systems (6th Ed.1995) at pp. 196 and 1456-1457.
  • the pharmaceutical compositions comprise the compounds in a pharmaceutically acceptable carrier.
  • a pharmaceutically acceptable carrier refers to sterile aqueous or nonaqueous solutions, dispersions, suspensions or emulsions, as well as sterile powders for reconstitution into sterile injectable solutions or dispersions just prior to use.
  • suitable aqueous and nonaqueous carriers, diluents, solvents or vehicles include water, ethanol, polyols (such as glycerol, propylene glycol, polyethylene glycol and the like), carboxymethylcellulose and suitable mixtures thereof, vegetable oils (such as olive oil) and injectable organic esters such as ethyl oleate.
  • the compounds can be formulated with pharmaceutically acceptable carriers or diluents as well as any other known adjuvants and excipients in accordance with conventional techniques such as those disclosed in Remington: The Science and Practice of Pharmacy, 19th Edition, Gennaro, Ed., Mack Publishing Co., Easton, Pa., 1995.
  • the pharmaceutical composition is administered to a mammal.
  • the mammal is a human.
  • the human is a patient.
  • the pharmaceutical composition is administered following identification of the mammal in need of treatment of a disorder associated with PINK1 kinase activity.
  • the mammal has been diagnosed with a need for treatment of a disorder associated with PINK1 kinase activity prior to the administering step.
  • the disclosed pharmaceutical compositions comprise the disclosed compounds (including pharmaceutically acceptable salt(s) thereof) as an active ingredient, a pharmaceutically acceptable carrier, and, optionally, other therapeutic ingredients or adjuvants.
  • the instant compositions include those suitable for oral, rectal, topical, and parenteral (including subcutaneous, intramuscular, and intravenous) administration, although the most suitable route in any given case will depend on the particular host, and nature and severity of the conditions for which the active ingredient is being administered.
  • the pharmaceutical compositions can be conveniently presented in unit dosage form and prepared by any of the methods well known in the art of pharmacy.
  • compositions of the present invention are merely exemplary and are in no way limiting.
  • Formulations suitable for oral administration can consist of (a) liquid solutions, such as an effective amount of the compound dissolved in diluents, such as water, saline, or orange juice; (b) capsules, sachets, tablets, lozenges, and troches, each containing a predetermined amount of the active ingredient, as solids or granule; (c) powders; (d) suspensions in an appropriate liquid; and (e) suitable emulsions.
  • Liquid formulations may include diluents, such as water, cyclodextrin, dimethyl sulfoxide and alcohols, for example, ethanol, benzyl alcohol, propylene glycol, glycerin, and the polyethylene alcohols including polyethylene glycol, either with or without the addition of a pharmaceutically acceptable surfactant, suspending agent, or emulsifying agent.
  • diluents such as water, cyclodextrin, dimethyl sulfoxide and alcohols, for example, ethanol, benzyl alcohol, propylene glycol, glycerin, and the polyethylene alcohols including polyethylene glycol, either with or without the addition of a pharmaceutically acceptable surfactant, suspending agent, or emulsifying agent.
  • Capsule forms can be of the ordinary hard-or soft-shelled gelatin type containing, for example, surfactants, lubricants, and inert fillers, such as lactose, sucrose, calcium phosphat
  • Tablet forms can include one or more of the following: lactose, sucrose, mannitol, corn starch, potato starch, alginic acid, microcrystalline cellulose, acacia, gelatin, guar gum, colloidal silicon dioxide, croscarmellose sodium, talc, magnesium stearate, calcium stearate, zinc stearate, stearic acid, and other excipients, colorants, diluents, buffering agents, disintegrating agents, moistening agents, preservatives, flavoring agents, and pharmacologically compatible carriers.
  • Lozenge forms can comprise the active ingredient in a flavor, usually sucrose and acacia or tragacanth, as well as pastilles comprising the active ingredient in an inert base, such as gelatin and glycerin, or sucrose and acadia, emulsions, and gels containing, the addition to the active ingredient in an inert base, such as gelatin and glycerin, or sucrose and acadia, emulsions, and gels containing, in addition to the active ingredient, such carriers as are known in the art.
  • the compounds of the present disclosure alone or in combination with other suitable components, can be made into aerosol formulations to be administered via inhalation.
  • Formulations suitable for parenteral administration include aqueous and non- aqueous, isotonic sterile injection solutions, which can contain anti-oxidants, buffers, bacteriostats, and solutes that render the formulation isotonic with the blood of the intended recipient, and aqueous and non-aqueous sterile suspensions that can include suspending agents, solubilizers, thickening agents, stabilizers, and preservatives.
  • the compound can be administered in a physiologically acceptable diluent in a pharmaceutical carrier, such as a sterile liquid or mixture of liquids, including water, saline, aqueous dextrose and related sugar solutions, an alcohol, such as ethanol, isopropanol, or hexadecyl alcohol, glycols, such as propylene glycol or polyethylene glycol such as poly(ethyleneglycol) 400, glycerol ketals, such as 2,2-dimethyl-1, 3-dioxolane-4-methanol, ethers, an oil, a fatty acid, a fatty acid ester or glyceride, or an acetylated fatty acid glyceride with or without the addition of a pharmaceutically acceptable surfactant, such as a soap or a detergent, suspending agent, such as pectin, carbomers, methylcellulose, hydroxypropylmethylcellulose, or carboxymethylcelluslose, or emulsifying agents and other pharmaceutical adj
  • Oils which can be used in parenteral formulations include petroleum, animal, vegetable, or synthetic oils. Specific examples of oils include peanut, soybean, sesame, cottonseed, corn, olive, petrolatum, and mineral.
  • Suitable fatty acids for use in parenteral formulations include oleic acid, stearic acid, and isostearic acid. Ethyl oleate and isopropyl myristate are examples of suitable fatty acid esters.
  • Suitable soaps for use in parenteral formulations include fatty alkali metal, ammonium, and triethanolamine salts, and suitable detergents include (a) cationic detergents such as, for example.
  • anionic detergents such as, for example, alkyl, aryl, and olefin sulfonates, alkyl olefin, ether, and monoglyceride sulfates, and sulfosuccinates
  • nonionic detergents such as, for example, fatty amine oxides, fatty acid alkanolamides, and polyoxyethylene polypropylene copolymers
  • amphoteric detergents such as, for example, alkyl ⁇ -aminopropionates, and 2-alkylimidazoline quaternary ammonium salts, and (e) mixtures thereof.
  • the parenteral formulations typically contain from about 0.5% to about 25% by weight of the active ingredient in solution. Suitable preservatives and buffers can be used in such formulations. In order to minimize or eliminate irritation at the site of injection, such compositions may contain one or more nonionic surfactants having a hydrophile-lipophile balance (HLB) of from about 12 to about 17. The quantity of surfactant in such formulations ranges from about 5% to about 15% by weight. Suitable surfactants include polyethylene sorbitan fatty acid esters, such as sorbitan monooleate and the high molecular weight adducts of ethylene oxide with a hydrophobic base, formed by the condensation of propylene oxide with propylene glycol.
  • HLB hydrophile-lipophile balance
  • compositions of the present disclosure are also well-known to those who are skilled in the art. The choice of excipient will be determined in part by the particular compound, as well as by the particular method used to administer the composition. Accordingly, there is a wide variety of suitable formulations of the pharmaceutical composition of the present disclosure. The following methods and excipients are merely exemplary and are in no way limiting.
  • the pharmaceutically acceptable excipients preferably do not interfere with the action of the active ingredients and do not cause adverse side- effects.
  • Suitable carriers and excipients include solvents such as water, alcohol, and propylene glycol, solid absorbants and diluents, surface active agents, suspending agent, tableting binders, lubricants, flavors, and coloring agents.
  • the formulations can be presented in unit-dose or multi-dose sealed containers, such as ampules and vials, and can be stored in a freeze-dried (lyophilized) condition requiring only the addition of the sterile liquid excipient, for example, water, for injections, immediately prior to use.
  • sterile liquid excipient for example, water
  • Extemporaneous injection solutions and suspensions can be prepared from sterile powders, granules, and tablets.
  • the requirements for effective pharmaceutical carriers for injectable compositions are well known to those of ordinary skill in the art. See Pharmaceutics and Pharmacy Practice, J.B.
  • Formulations suitable for topical administration include lozenges comprising the active ingredient in a flavor, usually sucrose and acacia or tragacanth; pastilles comprising the active ingredient in an inert base, such as gelatin and glycerin, or sucrose and acacia; and mouthwashes comprising the active ingredient in a suitable liquid carrier; as well as creams, emulsions, and gels containing, in addition to the active ingredient, such carriers as are known in the art.
  • formulations suitable for rectal administration may be presented as suppositories by mixing with a variety of bases such as emulsifying bases or water-soluble bases.
  • Formulations suitable for vaginal administration may be presented as pessaries, tampons, creams, gels, pastes, foams, or spray formulas containing, in addition to the active ingredient, such carriers as are known in the art to be appropriate.
  • suitable methods of exogenously administering a compound of the present disclosure to an animal are available, and, although more than one route can be used to administer a particular compound, a particular route can provide a more immediate and more effective reaction than another route.
  • the present method includes the administration to an animal, particularly a mammal, and more particularly a human, of a therapeutically effective amount of the compound effective in the treatment (e.g., prophylactic or therapeutic) of a disorder associated with PINK1 kinase activity.
  • the method also includes the administration of a therapeutically effect amount of the compound for the treatment of patient having a predisposition for being afflicted with a disorder associated with PINK1 kinase activity.
  • the dose administered to an animal, particularly a human, in the context of the present invention should be sufficient to affect a therapeutic response in the animal over a reasonable timeframe.
  • the total amount of the compound of the present disclosure administered in a typical treatment is preferably from about 1 mg/kg to about 100 mg/kg of body weight for mice, and from about 10 mg/kg to about 50 mg/kg of body weight, and from about 20 mg/kg to about 40 mg/kg of body weight for humans per daily dose.
  • This total amount is typically, but not necessarily, administered as a series of smaller doses over a period of about one time per day to about three times per day for about 24 months, and over a period of twice per day for about 12 months.
  • compositions described herein are formulated for administration to a patient in need of such composition.
  • Compositions described herein may be administered orally, parenterally, by inhalation spray, topically, rectally, nasally, buccally, vaginally or via an implanted reservoir.
  • parenteral as used herein includes subcutaneous, intravenous, intramuscular, intra-articular, intra-synovial, intrasternal, intrathecal, intrahepatic, intralesional and intracranial injection or infusion techniques.
  • the compositions are administered orally, intraperitoneally or intravenously.
  • Sterile injectable forms of the compositions described herein may be aqueous or oleaginous suspension. These suspensions may be formulated according to techniques known in the art using suitable dispersing or wetting agents and suspending agents.
  • a specific dosage and treatment regimen for any particular patient will depend upon a variety of factors, including the activity of the specific compound employed, the age, body weight, general health, sex, diet, time of administration, rate of excretion, drug combination, and the judgment of the treating physician and the severity of the particular disease being treated.
  • the amount of a compound described herein in the composition will also depend upon the particular compound in the composition.
  • a compound described herein can be administered alone or can be coadministered with an additional therapeutic agent.
  • the preparations can also be combined, when desired, with other active substances (e.g., to reduce metabolic degradation).
  • Additional therapeutic agents include, but are not limited to, other active agents known to be useful in treating a disease associated neurodegeneration (e.g., Parkinson’s disease such as levodopa), dopamine agonists (e.g., bromocriptine, pergolide, pramipexole, ropinirole, piribedil, cabergoline, apomorphine, lisuride), MAO-B inhibitors (e.g., selegiline or rasagiline), amantadine, anticholinergics, antipsychotics (e.g., clozapine), cholinesterase inhibitors, modafinil, or non-steroidal anti-inflammatory drugs), Angiotensin Converting Enzyme Inhibitors (e.g., Enalipril, Lisinopril), Angiotensin Receptor Blockers (e.g., Losartan, Valsartan), Beta Blockers (e.g., Lopressor, Toprol-XL), Digoxi
  • the compounds described herein can be delivered in a vesicle, in particular a liposome (see, Langer, Science, 1990, 249, 1527-1533; Treat et al., in Liposomes in the Therapy of Infectious Disease and Cancer, Lopez-Berestein and Fidler (eds.), Liss, New York, pp.353-365 (1989); Lopez-Berestein, ibid., pp.317-327; see generally ibid.).
  • Suitable compositions include, but are not limited to, oral non-absorbed compositions.
  • compositions also include, but are not limited to saline, water, cyclodextrin solutions, and buffered solutions of pH 3-9.
  • the compounds described herein, or pharmaceutically acceptable salts thereof can be formulated with numerous excipients including, but not limited to, purified water, propylene glycol, PEG 400, glycerin, DMA, ethanol, benzyl alcohol, citric acid/sodium citrate (pH3), citric acid/sodium citrate (pH5), tris(hydroxymethyl)amino methane HCl (pH7.0), 0.9% saline, 1.2% saline, acetate, aspartate, benzenesulfonate, benzoate, besylate, bicarbonate, bitartrate, bromide, camsylate, carbonate, chloride, citrate, decanoate, edetate, esylate, fumarate, gluceptate, gluconate, glutamate, glyco
  • excipient is chosen from propylene glycol, purified water, and glycerin.
  • the formulation can be lyophilized to a solid and reconstituted with, for example, water prior to use.
  • the compounds When administered to a mammal (e.g., to an animal for veterinary use or to a human for clinical use) the compounds can be administered in isolated form.
  • the compounds When administered to a human, the compounds can be sterile. Water is a suitable carrier when the compound of Formula I is administered intravenously. Saline solutions and aqueous dextrose and glycerol solutions can also be employed as liquid carriers, particularly for injectable solutions.
  • Suitable pharmaceutical carriers also include excipients such as starch, glucose, lactose, sucrose, gelatin, malt, rice, flour, chalk, silica gel, sodium stearate, glycerol monostearate, talc, sodium chloride, dried skim milk, glycerol, propylene, glycol, water, ethanol and the like.
  • the present compositions if desired, can also contain minor amounts of wetting or emulsifying agents, or pH buffering agents.
  • the compositions described herein can take the form of a solution, suspension, emulsion, tablet, pill, pellet, capsule, capsule containing a liquid, powder, sustained-release formulation, suppository, aerosol, spray, or any other form suitable for use.
  • the compounds are formulated in accordance with routine procedures as a pharmaceutical composition adapted for administration to humans.
  • compounds are solutions in sterile isotonic aqueous buffer.
  • the compositions can also include a solubilizing agent.
  • Compositions for intravenous administration may optionally include a local anesthetic such as lidocaine to ease pain at the site of the injection.
  • the ingredients are supplied either separately or mixed together in unit dosage form, for example, as a dry lyophilized powder or water free concentrate in a hermetically sealed container such as an ampoule or sachette indicating the quantity of active agent.
  • a hermetically sealed container such as an ampoule or sachette indicating the quantity of active agent.
  • the compound is to be administered by infusion, it can be dispensed, for example, with an infusion bottle containing sterile pharmaceutical grade water or saline.
  • an ampoule of sterile water for injection or saline can be provided so that the ingredients may be mixed prior to administration.
  • the pharmaceutical compositions can be in unit dosage form. In such form, the composition can be divided into unit doses containing appropriate quantities of the active component.
  • the unit dosage form can be a packaged preparation, the package containing discrete quantities of the preparations, for example, packeted tablets, capsules, and powders in vials or ampules.
  • the unit dosage form can also be a capsule, cachet, or tablet itself, or it can be the appropriate number of any of these packaged forms.
  • a composition of the present disclosure is in the form of a liquid wherein the active agent is present in solution, in suspension, as an emulsion, or as a solution/suspension.
  • the liquid composition is in the form of a gel.
  • the liquid composition is aqueous.
  • the composition is in the form of an ointment.
  • the composition is in the form of a solid article.
  • the ophthalmic composition is a solid article that can be inserted in a suitable location in the eye, such as between the eye and eyelid or in the conjunctival sac, where it releases the active agent as described, for example, U.S. Pat. No. 3,863,633; U.S. Pat. No.3,867,519; U.S. Pat. No.3,868,445; U.S. Pat. No.3,960,150; U.S. Pat. No.3,963,025; U.S. Pat. No.4,186,184; U.S. Pat. No.4,303,637; U.S. Pat. No.
  • Solid articles suitable for implantation in the eye in such fashion are generally composed primarily of polymers and can be bioerodible or non-bioerodible.
  • Bioerodible polymers that can be used in the preparation of ocular implants carrying one or more of the compounds described herein in accordance with the present disclosure include, but are not limited to, aliphatic polyesters such as polymers and copolymers of poly(glycolide), poly(lactide), poly(epsilon- caprolactone), poly-(hydroxybutyrate) and poly(hydroxyvalerate), polyamino acids, polyorthoesters, polyanhydrides, aliphatic polycarbonates and polyether lactones.
  • Suitable non-bioerodible polymers include silicone elastomers.
  • Suitable preservatives include, but are not limited to, mercury-containing substances such as phenylmercuric salts (e.g., phenylmercuric acetate, borate and nitrate) and thimerosal; stabilized chlorine dioxide; quaternary ammonium compounds such as benzalkonium chloride, cetyltrimethylammonium bromide and cetylpyridinium chloride; imidazolidinyl urea; parabens such as methylparaben, ethylparaben, propylparaben and butylparaben, and salts thereof; phenoxyethanol; chlorophenoxyethanol; phenoxypropanol; chlorobutanol; chlorocresol; phenylethyl alcohol; disodium EDTA; and sorbic acid and salts thereof.
  • mercury-containing substances such as phenylmercuric salts (e.g., phenylmercuric acetate, borate and nit
  • the compound or pharmaceutical composition comprising the compounds discosed herein, or the pharmaceutically acceptable salts herein are neo-substrates of PINK1.
  • the neo-substrate is not kinetin.
  • the neo-substrate is not kinetin riboside.
  • the neo- substrate is not kinetin riboside 5’ monophosphate.
  • the neo-substrate is not kinetin riboside 5’ diphosphate.
  • the neo-substrate is not kinetin riboside 5’ triphosphate.
  • the neo-substrate is not a derivative (e.g., prodrug) of kinetin, kinetin riboside, kinetin riboside 5’ monophosphate, kinetin riboside 5’ diphosphate, or kinetin riboside 5’ triphosphate.
  • the neo-substrate is not N6-(delta 2-Isopentenyl)-adenine.
  • the neo-substrate is not N6- (delta 2-Isopentenyl)-adenosine, N6-(delta 2-Isopentenyl)-adenosine 5’ monophosphate, N6- (delta 2-Isopentenyl)-adenosine 5’ diphosphate, N6-(delta 2-Isopentenyl)-adenosine 5’ triphosphate, or a derivative (e.g., prodrug) thereof.
  • the neo-substrate is not a cytokinin.
  • the neo-substrate is not a cytokinin riboside, cytokinin riboside 5’ monophosphate, cytokinin riboside 5’ diphosphate, cytokinin riboside 5’ triphosphate, or a derivative (e.g., prodrug) thereof.
  • the disclosed compositions can be prepared from the disclosed compounds. It is also understood that the disclosed compositions can be employed in the disclosed methods of using. D. METHODS OF MAKING THE COMPOUNDS [00360] In various embodiments, the disclosures relates to methods of making compounds useful to treat a disorder associated with PINK1 kinase activity.
  • a disclosed compound in some embodiments, disclosed are methods of making a disclosed compound.
  • Compounds according to the present disclosure can, for example, be prepared by the several methods outlined below. A practitioner skilled in the art will understand the appropriate use of protecting groups [see: Greene and Wuts, Protective Groups in Organic Synthesis] and the preparation of known compounds found in the literature using the standard methods of organic synthesis. There may come from time to time the need to rearrange the order of the recommended synthetic steps, however this will be apparent to the judgment of a chemist skilled in the art of organic synthesis. The following examples are provided so that the disclosure might be more fully understood, are illustrative only, and should not be construed as limiting.
  • the disclosed compounds comprise the products of the synthetic methods described herein.
  • the disclosed compounds comprise a compound produced by a synthetic method described herein.
  • the disclosure comprises a pharmaceutical composition comprising a therapeutically effective amount of the product of the disclosed methods and a pharmaceutically acceptable carrier.
  • the disclosure comprises a method for manufacturing a medicament comprising combining at least one compound of any of disclosed compounds or at least one product of the disclosed methods with a pharmaceutically acceptable carrier or diluent. 1.
  • ROUTE 1 [00363] In some embodiments, disubstituted benzoimidazole and indole analogs analogs can be prepared as shown below. SCHEME 1A.
  • compounds of type 1.6 can be prepared according to reaction Scheme 1B above.
  • compounds of type 1.6 can be prepared by a coupling reaction between an appropriate amine, e.g., 1.4 as shown above, and an appropriate aryl halide, e.g., 1.5 as shown above.
  • Appropriate amines and appropriate aryl halides are commercially available or prepared by methods known to one of skill in the art.
  • the coupling reaction is carried out in the presence of an appropriate catalyst, e.g., tris(dibenzylideneacetone)dipalladium(0), an appropriate ligand, e.g., 2,2′- bis(diphenylphosphino)-1,1′-binaphthyl (BINAP), and an appropriate base, e.g., sodium tert- butoxide, in an appropriate solvent, e.g., toluene, at an appropriate temperature, e.g., 100 °C, for an appropriate period of time, e.g., 4 hours.
  • an appropriate catalyst e.g., tris(dibenzylideneacetone)dipalladium(0)
  • an appropriate ligand e.g., 2,2′- bis(diphenylphosphino)-1,1′-binaphthyl (BINAP)
  • BINAP 2,2′- bis(diphenylphosphino)-1,1′-bina
  • the above reaction provides an example of a generalized approach wherein compounds similar in structure to the specific reactants above (compounds similar to compounds of type 1.1 and 1.2), can be substituted in the reaction to provide disubstituted benzoimidazole and indole analogs analogs similar to Formula 1.3.
  • ROUTE II [00366] In some embodiments, disubstituted benzoimidazole and indole analogs can be prepared as shown below.
  • d [00367] Compounds are represented in generic form, wherein PG is an amine protecting group, Q is N or CR 16 , and Q’ is N or CR 15a , and with other substituents as noted in compound descriptions elsewhere herein.
  • compounds of type 2.4 can be prepared according to reaction Scheme 2B above.
  • compounds of type 2.2 can be prepared by deprotection of an appropriate protected N-containing heteroaryl, e.g., 2.3 as shown above.
  • the reaction is carried out in the presence of an appropriate deprotecting agent, e.g., tetra-n-butylammonium fluoride (TBAF), in an appropriate solvent, e.g., 1,2- diaminoethane, at an appropriate temperature, e.g., 85 °C.
  • TBAF tetra-n-butylammonium fluoride
  • compounds of type 3.10, and similar compounds can be prepared according to reaction Scheme 3B above.
  • compounds of type 3.8 can be prepared by substitution of an appropriate heteroaryl, e.g., 3.6 as shown above.
  • the substitution reaction is carried out in the presence of an appropriate alcohol, e.g., 3.7 as shown above, an appropriate phosphine reagent, e.g., triphenylphosphine, and an appropriate activating agent, e.g., diisopropyl azodicarboxylate (DIAD).
  • an appropriate alcohol e.g., 3.7 as shown above
  • an appropriate phosphine reagent e.g., triphenylphosphine
  • an appropriate activating agent e.g., diisopropyl azodicarboxylate (DIAD).
  • Appropriate alcohols are commercially available or can be prepared by methods known to one of skill in the art.
  • Compounds of type 3.10 can be prepared by a coupling reaction between an appropriate aryl halide, e.g., 3.8 as shown above, and an appropriate amine, e.g., 3.9 as shown above.
  • Appropriate amines are commercially available or can be prepared by methods known to one of skill in the art.
  • the coupling reaction is carried out in the presence of an appropriate catalyst, e.g., palladium (II) acetate, an appropriate ligand, e.g., 2,2′-bis(diphenylphosphino)- 1,1′-binaphthyl (BINAP), and an appropriate base, e.g., cesium carbonate, in an appropriate solvent, e.g., toluene.
  • an appropriate catalyst e.g., palladium (II) acetate
  • an appropriate ligand e.g., 2,2′-bis(diphenylphosphino)- 1,1′-binaphth
  • the above reaction provides an example of a generalized approach wherein compounds similar in structure to the specific reactants above (compounds similar to compounds of type 3.1, 3.2, 3.3, and 3.4), can be substituted in the reaction to provide disubstituted benzoimidazole and indole analogs similar to Formula 3.5.
  • Compounds and compositions described herein are generally useful for modulating the activity of PINK1. In some embodiments, the compounds and compositions described herein inhibit the activity of PINK1.
  • E. METHODS OF USING THE COMPOUNDS [00373] The compounds and pharmaceutical compositions of the disclosure are useful in treating or controlling disorders associated with PINK1 kinase activity.
  • the compounds and pharmaceutical compositions comprising the compounds are administered to a subject in need thereof, such as a vertebrate, e.g., a mammal, a fish, a bird, a reptile, or an amphibian.
  • a subject in need thereof, such as a vertebrate, e.g., a mammal, a fish, a bird, a reptile, or an amphibian.
  • the subject can be a human, non-human primate, horse, pig, rabbit, dog, sheep, goat, cow, cat, guinea pig or rodent.
  • the term does not denote a particular age or sex. Thus, adult and newborn subjects, as well as fetuses, whether male or female, are intended to be covered.
  • the subject is preferably a mammal, such as a human.
  • the subject Prior to administering the compounds or compositions, the subject can be diagnosed with a need for treatment of the disorder associated with PINK1 kinase activity.
  • the compounds or compositions can be administered to the subject according to any method. Such methods are well known to those skilled in the art and include, but are not limited to, oral administration, transdermal administration, administration by inhalation, nasal administration, topical administration, intravaginal administration, ophthalmic administration, intraaural administration, intracerebral administration, rectal administration, sublingual administration, buccal administration and parenteral administration, including injectable such as intravenous administration, intra-arterial administration, intramuscular administration, and subcutaneous administration. Administration can be continuous or intermittent.
  • a preparation can be administered therapeutically; that is, administered to treat an existing disease or condition.
  • a preparation can also be administered prophylactically; that is, administered for prevention of a disease or condition.
  • the therapeutically effective amount or dosage of the compound can vary within wide limits. Such a dosage is adjusted to the individual requirements in each particular case including the specific compound(s) being administered, the route of administration, the condition being treated, as well as the patient being treated. In general, in the case of oral or parenteral administration to adult humans weighing approximately 70 Kg or more, a daily dosage of about 10 mg to about 10,000 mg, preferably from about 200 mg to about 1,000 mg, should be appropriate, although the upper limit may be exceeded.
  • the daily dosage can be administered as a single dose or in divided doses, or for parenteral administration, as a continuous infusion.
  • Single dose compositions can contain such amounts or submultiples thereof of the compound or composition to make up the daily dose.
  • the dosage can be adjusted by the individual physician in the event of any contraindications. Dosage can vary, and can be administered in one or more dose administrations daily, for one or several days.
  • the use relates to a treatment of a disorder associated with PINK1 kinase activity in a mammalian subject. In some embodiments, the use is characterized in that the mammal is a human.
  • the use is characterized in that the disorder associated with PINK1 kinase activity is a neurodegenerative disease, a mitochondrial disease, fibrosis, and/or cardiomyopathy.
  • the disclosure relates to a method of treating a subject in need thereof, wherein the subject has been diagnosed or is suspected as having a disorder associated with PINK1 kinase activity.
  • the disclosure also relates to a method of treating a disease associated with PINK1 kinase activity in a subject in need thereof comprising administering to the subject a composition comprising a therapeutically effective amount of a compound disclosed herein, or the derivatives, pharmaceutically acceptable salts, or analogs or derivatives thereof.
  • the disorder associated with PINK1 kinase activity is cancer associated with PINK1 kinase activity.
  • the disorder associated with PINK1 kinase activity is kidney disease, neurodegenerative disease, fibrosis, or cardiomyopathy.
  • the disclosure also relates to a method of modulating PINK1 kinase activity in a cell or subject in need thereof comprising administering to the subject (or exposing the cell to) a composition comprising a therapeutically effective amount of a compound disclosed herein, or the derivatives, pharmaceutically acceptable salts, or analogs thereof.
  • the method further comprises allowing a time period sufficient for the PINK1 kinase activity to be activated or increased.
  • the disclosure relates to a method of activating or increasing PINK1 kinase activity in a subject in need thereof without induction of cytochrome p450, the method comprising administering to the subject a pharmaceutical composition comprising an effective amount of the compounds, derivative, salts or analogs thereof; and a pharmaceutically acceptable carrier.
  • TREATMENT METHODS [00378]
  • the compounds disclosed herein are useful for treating or controlling disorders associated with PINK1 kinase activity.
  • a method comprising administering a therapeutically effective amount of a composition comprising a disclosed compound to a subject.
  • the present disclosure provides methods of treating or preventing a neurodegenerative disease (e.g., Parkinson’s disease, Leigh’s disease, or ALS) in a subject in need thereof comprising administering to the subject one or more compounds, or a pharmaceutically acceptable salt thereof, of any one of the compounds described herein or a pharmaceutical composition comprising one or more of the compounds described herein, or pharmaceutically acceptable salt thereof.
  • a neurodegenerative disease e.g., Parkinson’s disease, Leigh’s disease, or ALS
  • the treating of the neurodegenerative disease comprises ameliorating symptoms by stimulating PINK1 or a mutated PINK1.
  • the present disclosure provides methods of treating or preventing a mitochondrial disease in a subject comprising administering to the subject one or more compounds, or a pharmaceutically acceptable salt thereof, of any one of the compounds described herein or a pharmaceutical composition comprising one or more of the compounds described herein, or pharmaceutically acceptable salt thereof.
  • the treating of the mitochondrial disease comprises ameliorating symptoms by stimulating PINK1 or a mutated PINK1.
  • a method of treating one or more of the following mitochondrial diseases in a subject is provided: LHON, MELAS, and Charcot Marie Tooth.
  • the present disclosure provides methods of treating or preventing cardiomyopathy in a subject comprising administering to the subject one or more compounds, or a pharmaceutically acceptable salt thereof, of any one of the compounds described herein or a pharmaceutical composition comprising one or more of the compounds described herein, or pharmaceutically acceptable salt thereof.
  • the treating of the cardiomyopathy comprises ameliorating symptoms by stimulating PINK1 or a mutated PINK1.
  • the present disclosure provides methods of treating or preventing a kidney disease in a subject comprising administering to the subject one or more compounds, or a pharmaceutically acceptable salt thereof, of any one of the compounds described herein or a pharmaceutical composition comprising one or more of the compounds described herein, or pharmaceutically acceptable salt thereof.
  • the treating of the kidney disease comprises ameliorating symptoms by stimulating PINK1 or a mutated PINK1.
  • the present disclosure provides methods of treating or preventing a fibrotic disorder in a subject comprising administering to the subject one or more compounds, or a pharmaceutically acceptable salt thereof, of any one of the compounds described herein or a pharmaceutical composition comprising one or more of the compounds described herein, or pharmaceutically acceptable salt thereof.
  • the treating of the fibrotic disorder comprises ameliorating symptoms by stimulating PINK1 or a mutated PINK1.
  • the present disclosure provides methods of treating or preventing a reperfusion injury in a subject comprising administering to the subject one or more compounds, or a pharmaceutically acceptable salt thereof, of any one of the compounds described herein or a pharmaceutical composition comprising one or more of the compounds described herein, or pharmaceutically acceptable salt thereof.
  • the treating of the reperfusion injury comprises ameliorating symptoms by stimulating PINK1 or a mutated PINK1.
  • the present disclosure provides methods of treating or preventing fibrosis in a subject comprising administering to the subject one or more compounds, or a pharmaceutically acceptable salt thereof, of any one of the compounds described herein or a pharmaceutical composition comprising one or more of the compounds described herein, or pharmaceutically acceptable salt thereof.
  • the treating of the fibrosis comprises ameliorating symptoms by stimulating PINK1 or a mutated PINK1.
  • the method comprises administering to a subject one or more compounds described herein, or a pharmaceutically acceptable salt thereof, or a pharmaceutical composition comprising one or more compounds described herein, or pharmaceutically acceptable salt thereof.
  • the method comprises administering to a subject a compound or pharmaceutically acceptable salt thereof that acts as a PINK1 substrate with one or more compounds described herein, or a pharmaceutically acceptable salt thereof, or a pharmaceutical composition comprising one or more compounds described herein, or pharmaceutically acceptable salt thereof.
  • the subject is a subject in need thereof. a. TREATING A DISORDER ASSOCIATED WITH PINK1 ACTIVITY [00388]
  • compounds and compositions described herein are useful in treating a disorder associated with PINK1 function.
  • a disorder associated with PINK1 function comprising administering to a subject in need thereof, a therapeutically effective amount of a compound described herein, or a pharmaceutically acceptable salt thereof, or a composition comprising a disclosed compound or pharmaceutically acceptable salt thereof.
  • Disorders treatable by the present compounds and compositions include, e.g., a neurodegenerative disease, a mitochondrial disease, a fibrosis, cardiomyopathy, a kidney disease, a fibrotic disorder, and a reperfusion injury.
  • the disclosure relates to any of the above disclosed methods disclosed herein, wherein the administerating step comprises administering a pharmaceutical composition comprising: (i) a pharmaceutically effective amount of any of the disclosed compounds; and (ii) a pharmaceutically acceptable carrier.
  • Examples of neurodegenerative diseases that may be treated with a compound or composition described herein include Alexander's disease, Alper's disease, Alzheimer's disease, Amyotrophic lateral sclerosis, Ataxia telangiectasia, Batten disease (also known as Spielmeyer-Vogt-Sjogren-Batten disease), Bovine spongiform encephalopathy (BSE), Canavan disease, Cockayne syndrome, Corticobasal degeneration, Creutzfeldt-Jakob disease, epilepsy, Friedreich ataxia, frontotemporal dementia, Gerstmann-St Hurssler-Scheinker syndrome, Huntington's disease, HIV-associated dementia, Kennedy's disease, Krabbe's disease, kuru, Leigh’s disease (Leigh syndrome), Lewy body dementia, Machado-Joseph disease (Spinocerebellar ataxia type 3), Multiple sclerosis, Multiple System Atrophy, Narcolepsy, Neuroborreliosis,
  • dysautonomia is not a neurodegenerative disease.
  • mitochondrial diseases that may be treated with a compound or composition described herein include Alzheimer’s disease, amyotrophic lateral sclerosis, Asperger’s Disorder, Autistic Disorder, bipolar disorder, cancer, cardiomyopathy, Charcot Marie Tooth disease (CMT, including various subtypes such as CMT type 2b and 2b), Childhood Disintegrative Disorder (CDD), diabetes, diabetic nephropathy, epilepsy, Friedreich’s Ataxia (FA), Hereditary motor and sensory neuropathy (HMSN), Huntington’s Disease, Keams-Sayre Syndrome (KSS), Leber’s Hereditary Optic Neuropathy (LHON, also referred to as Leber’s Disease, Leber’s Optic Atrophy (LOA), or Leber’ s Optic Neuropathy (LON)), Leigh Disease or Leigh Syndrome, macular degeneration, Mitochondrial Myopathy, Lactacidosis, and Strok
  • Cardiomyopathy refers to a disease condition that adversely affects cardiac cell tissue leading to a measurable deterioration in myocardial function (e.g., systolic function, diastolic function).
  • Dilated cardiomyopathy is characterized by ventricular chamber enlargement with systolic dysfunction and no hypertrophy.
  • Hypertrophic cardiomyopathy is a genetic disease transmitted as an autosomal dominant trait.
  • Hypertrophic cardiomyopathy is morphologically characterized by a hypertrophied and non-dialated left ventricle.
  • Restrictive cardiomyopathy is characterized by nondialated nonhypertrophied morphology with diminished ventricular volume leading to poor ventricular filling.
  • Arrhythmogenic right ventricular cardiomyopathy is an inheritable heart disease characterized by myocardial electric instability.
  • Unclassified cardiomyopathy is a category for cardiomyopathies that do not match the features of any one of the other types. Unclassified cardiomyopathies may have features of multiple types or, for example, have the features of fibroelastosis, noncompacted myocardium, or systolic dysfunction with minimal dilatation.
  • kidney diseases that may be treated with a compound or composition described herein include chronic kidney disease (e.g., autosomal dominant polycystic kidney disease, diabetic nephropathy, hypertension-induced renal injury, crescentic glomerulonephritis, membranous nephropathy, membranous nephropathy, IgA nephropathy, amyloid A amyloidosis, secondary nephrotic syndrome) or acute kidney injury (AKI).
  • chronic kidney disease e.g., autosomal dominant polycystic kidney disease, diabetic nephropathy, hypertension-induced renal injury, crescentic glomerulonephritis, membranous nephropathy, membranous nephropathy, IgA nephropathy, amyloid A amyloidosis, secondary nephrotic syndrome
  • AKI acute kidney injury
  • fibrotic disorders examples include pulmonary fibrosis, liver fibrosis, heart fibrosis, mediastinal fibrosis, retroperitoneal cavity fibrosis, bone marrow fibrosis, skin fibrosis, scleroderma, pancreatic fibrillation, prostatic hyperplasia caused by fibrillation, and renal fibrosis.
  • reperfusion injuries that may be treated with a compound or composition described herein include reperfusion injuries induced by a mitochondrial disease (e.g., myocardial ischemia or stroke caused by Mitochondrial Encephalopathy, Lactic Acidosis, and Stroke-like episodes (MELAS)) and reperfusion injuries that are not induced by a mitochondrial disease (e.g., transplantation reperfusion, hepatic ischemia reperfusion, renal ischemia reperfusion, cerebral ischemia reperfusion).
  • a mitochondrial disease e.g., myocardial ischemia or stroke caused by Mitochondrial Encephalopathy, Lactic Acidosis, and Stroke-like episodes (MELAS)
  • reperfusion injuries that are not induced by a mitochondrial disease
  • transplantation reperfusion e.g., transplantation reperfusion, hepatic ischemia reperfusion, renal ischemia reperfusion, cerebral ischemia reperfusion.
  • the compounds and compositions described herein can be used to treat Parkinson’s disease by decreasing the production of Lewy bodies, decreasing the accumulation of alpha-synuclein, decreasing cell death, decreasing loss of dopamine-generating cells, decreasing loss of cells in the substantia nigra, decreasing loss of dopamine production, decreasing a symptom of Parkinson’s disease, decreasing loss of motor function, decreasing shaking or slowing an increase in shaking (tremor), decreasing rigidity or an increase in rigidity, decreasing slowness (bradykinesia) of movement or a slowing of movement, decreasing sensory symptoms, decreasing insomnia, decreasing sleepiness, increasing mental wellbeing, increasing mental function, slowing the decrease of mental function, decreasing dementia, delaying the onset of dementia, improving cognitive skills, decreasing the loss of cognitive skills, improving memory, decreasing the degradation of memory, or extending survival.
  • the compounds and compositions described herein can be used to treat cardiomyopathy by increasing cardiac performance, improving exercise tolerance, preventing heart failure, increasing blood oxygen content, or improving respiratory function.
  • the disease treated by a disclosed compound or composition is one that is characterized by a reduction in the level of PINK1.
  • the disease is one characterized by loss of dopamine-producing cells (e.g., Parkinson’s disease).
  • the disease is one characterized by neurodegeneration.
  • the disease is one characterized by neural cell death.
  • the disease is one characterized by a reduction in the level of PINK1 activity.
  • the disease is Parkinson’s disease. In certaIn some embodiments, the disease is a neurodegenerative disease. In certaIn some embodiments, the disease is a cardiomyopathy. [00399] In further embodiments, the neurodegenerative disorder is Parkinson's disease, Huntington’s disease, or amyotrophic lateral sclerosis. [00400] In further embodiments, the subject has been diagnosed with a need for treatment of a disorder associated with PINK1 kinase activity prior to the administering step. [00401] In further embodiments, the subject is a mammal. In still further embodiments, the mammal is a human.
  • the method further comprises the step of identifying a subject in need of treatment of a disorder associated with PINK1 kinase activity.
  • the administering is accomplished by oral adminstration, parenteral administration, sublingual administration, transdermal administration, rectal administration, transmucosal administration, topical administration, inhalation, buccal administration, intrapleural administration, intravenous administration, intraarterial administration, intraperitoneal administration, subcutaneous administration, intramuscular administration, intranasal administration, intrathecal administration, and intraarticular administration, or combinations thereof.
  • the method further comprises administering an effective amount of an agent associated with the treatment of a neurodegenerative disorder, a mitochondrial disorder, a fibrosis, cardiomyopathy, a kidney disease, a fibrotic disorder, or a reperfusion injury.
  • the method further comprises administering an agent known for the treatment of a neurodegenerative disorder.
  • agents known for the treatment of neurodegenerative disorders include, but are not limited to, cholinesterase inhibitor, an antidepressant, memantine, rilutek, radicava, levodopa, carbidopa, a dopamine agonist, a MAO-B inhibitor, a catechol-O-methyltransferase inhibitor, an anticholinergic, spinraza, tetrabenazine, an antipsychotic agent, levetiracetam, clonazepam, an antipsychotic agent, a mood-stabilizing agent, and amantadine.
  • the method further comprises administering an agent known for the treatment of a mitochondrial disease.
  • agents known for the treatment of mitochondrial diseases include, but are not limited to, vitamins and supplements such as coenzyme Q10, B complex vitamins (e.g., thiamine (B1) and riboflavin (B2)), alpha lipoic acid, L-carnitine (Carnitor), creatine, and L-arginine.
  • the method further comprises administering an agent known for the treatment of fibrosis such as, for example, idiopathic pulmonary fibrosis (IPF), non-alcoholic fatty liver disease (NASH), liver fibrosis, heart fibrosis, mediastinal fibrosis, bone marrow fibrosis, retroperitoneal cavity fibrosis, and renal fibrosis.
  • IPF idiopathic pulmonary fibrosis
  • NASH non-alcoholic fatty liver disease
  • liver fibrosis fibrosis
  • heart fibrosis mediastinal fibrosis
  • bone marrow fibrosis retroperitoneal cavity fibrosis
  • agents known for the treatment of fibrosis include, but are not limited to, pirfenidone, nintedanib, a prostaglandin such as latanoprost and bimaotoprost, a beta blocker such as timolol and betaxolol, an alpha-adrenergic agonist such as apraclonidine and brimonidine, a carbonic anhydrase inhibitor such as dorzolamide and brinzolamide, a moitic or cholinergic agent such as pilocarpine, a diuretic, an angiotenisin-converting enzyme (ACE) inhibitor, an angiotensin II receptor blocker, an anti-inflammatory agent, and an anti-fibrotic agent.
  • pirfenidone pirfenidone
  • nintedanib a prostaglandin
  • a beta blocker such as timolol and betaxolol
  • an alpha-adrenergic agonist such as
  • the method further comprises administering an agent known for the treatment of cardiomyopathy.
  • agents known for the treatment of cardiomyopathy include, but are not limited to, ACE inhibitors, angiotensin II receptor blockers, beta blockers, calcium channel blockers, digoxin, and antiarrhythmics.
  • the agent known for the treatment of cardiomyopathy is a medical device such as, for example, an implantable cardioverter-defibrillator (ICD), a ventricular assist device (VAD), or a pacemaker.
  • ICD implantable cardioverter-defibrillator
  • VAD ventricular assist device
  • the method further comprises administering an agent associated with the treatment of a kidney disease or a fibrotic disorder.
  • agents associated with the treatment of a kidney disease or a fibrotic disorder include, but are not limited to an angiotensin-converting enzyme (ACE) inhibitors (e.g., benazepril, captopril, enalapril, fosinopril, lisinopril, moexipril, perindopril, quinapril, Ramipril, trandolapril), an angiotensin II receptor blockers (e.g., azilsartan, candesartan, eprosartan, irbesartan, losartan, olmesartan, telmisartan, valsartan), nintedanib, pirfenidone, autotaxin inhibitors, and peroxisome proliferator-activated receptor (PPAR) modulators (e.g., ADGE, EPI-001, INT- 131, K-0533, S26948).
  • ACE angiotensin-
  • the method further comprises administering an agent associated with the treatment of a reperfusion injury.
  • agents associated with the treatment of a reperfusion injury include, but are not limited to, hydrogen sulfide, cyclosporine, TRO40303, superoxide dismutase, metformin, elamipretide, and cannabinoids.
  • the compound and the agent are administered simultaneously.
  • the compound and the agent are administered sequentially. 2.
  • PINK1 kinase activity in a mammal, the method comprising the step of administering to the mammal a therapeutically effective amount of at least one disclosed compound, or a pharmaceutically acceptable salt thereof.
  • modulation can refer to either inhibition or enhancement of a specific activity.
  • the modulation of PINK1 activity can refer to the inhibition and/or activation of PINK1 dependent activities, such as a decrease in Parkin recruitment.
  • the modulation refers to the inhibition or activation of Parkin recruitment.
  • the compounds described herein activate PINK1 activity by a factor from about 1% to about 50%.
  • the activity of PINK1 can be measured by any method including but not limited to the methods described herein.
  • the compounds described herein are neo-substrates of PINK1.
  • PINK1 activity refers to the ability of PINK1 to phosphorylate any substrate. Such activity can be measured, e.g., in a cell(s), by expressing mutant PINK1, administering the compounds disclosed herein and measuring the degree to which cells expressing the mutant PINK1 were able to phosphorylate an enzymatically active substrate as compared to a cell(s) expressing wild-type PINK1.
  • PINK1 activity can be measured by changes in the time necessary to recruit 50% of a substrate (“R 50 ”).
  • the compounds reduce a R 50 by a factor of about 2%, 3%, 4%, 5%, 6%, 7%, 8%, 9%, 10%, 11%, 12%, 13%, 14%, 15%, 16%, 17%, 18%, 19%, 20%, 21%, 22%, 23%, 24%, 25%, 26%, 27%, 28%, 29%, 30%, 31%, 32%, 33%, 34%, 35%, 36%, 37%, 38%, 39%, 40%, 41%, 42%, 43%, 44%, 45%, 46%, 47%, 48%, 49%, or 50%. In some embodiments, the compounds reduce a R 50 by a factor from about 1% to about 50%.
  • the compounds reduce a R50 by a factor from about 2% to about 50%. In some embodiments, the compounds reduce a R 50 by a factor from about 3% to about 50%. In some embodiments, the compounds reduce a R50 by a factor from about 4% to about 50%. In some embodiments, the compounds reduce a R50 by a factor from about 5% to about 50%. In some embodiments, the compounds reduce a R50 by a factor from about 6% to about 50%. In some embodiments, the compounds reduce a R50 by a factor from about 7% to about 50%. In some embodiments, the compounds reduce a R50 by a factor from about 8% to about 50%. In some embodiments, the compounds reduce a R50 by a factor from about 9% to about 50%.
  • the compounds reduce a R 50 by a factor from about 10% to about 50%. In some embodiments, the compounds reduce a R50 by a factor from about 15% to about 50%. In some embodiments, the compounds reduce a R 50 by a factor from about 20% to about 50%. In some embodiments, the compounds reduce a R50 by a factor from about 25% to about 50%. In some embodiments, the compounds reduce a R 50 by a factor from about 30% to about 50%. In some embodiments, the compounds reduce a R50 by a factor from about 35% to about 50%. In some embodiments, the compounds reduce a R 50 by a factor from about 40% to about 50%. In some embodiments, the compounds reduce a R50 by a factor from about 45% to about 50%.
  • the compounds reduce a R50 by a factor from about 10% to about 40%. In some embodiments, the compounds reduce a R 50 by a factor from about 10% to about 30%. In some embodiments, the compounds reduce a R50 by a factor from about 10% to about 20%.
  • Plasmids expressing PINK1 can be transfected into an isolated cell and expressed in an isolated cell, expressed in a membrane derived from a cell, expressed in tissue or in an animal. For example, neuronal cells, cells of the immune system, transformed cells, or membranes can be used to test the PINK1 activity described above. Modulation is tested using one of the in vitro or in vivo assays described herein. Other assays generally known can also be used to test the compounds.
  • Signal transduction can also be examined in vitro with soluble or solid state reactions, using a chimeric molecule such as an extracellular domain of a receptor covalently linked to a heterologous signal transduction domain, or a heterologous extracellular domain covalently linked to the transmembrane and or cytoplasmic domain of a receptor.
  • ligand-binding domains of the protein of interest can be used in vitro in soluble or solid state reactions to assay for ligand binding.
  • a compound’s effect on the modulation of PINK1 will be measured using cells expressing mutant and wild-type verisons of PINK1.
  • PINK1 is generally known.
  • the enzymatic rescue is measured.
  • Enzymatic rescue experiments are experiments in which cells expressing mutated forms of the PINK1 with reduced or deficient enzymatic activity are contacted with compounds of the present invention and are able to re-activate the mutated PINK1 enzymatic activity.
  • PINK1 molecules are known.
  • the compounds of the present invention are able to enzymatically rescue human PINK1 (accession number NM_032409.3, which is incorporated by reference in its entirety) having the following amino acid sequence: G [00419] In some embodiment, the compounds of the present invention are able to enzymatically rescue mouse PINK1 (accession number XM_924521, which is incorporated by reference in its entirety) having the following amino acid sequence: [00420] In some embodiments, the compounds of the present invention are able to enzymatically rescue rat PINK1 (accession number XM_216565, which is incorporated by reference in its entirety) having the following amino acid sequence: [00421] In further embodiments, modulating is inhibiting.
  • modulating is decreasing.
  • the compound exhibits inhibition of PINK1 kinase activity with an IC50 of less than about 30 ⁇ M. In still further embodiments, the compound exhibits inhibition of PINK1 kinase activity with an IC 50 of less than about 25 ⁇ M. In yet further embodiments, the compound exhibits inhibition of PINK1 kinase activity with an IC50 of less than about 20 ⁇ M. In an even further embodiment, the compound exhibits inhibition of PINK1 kinase activity with an IC50 of less than about 15 ⁇ M.
  • the compound exhibits inhibition of PINK1 kinase activity with an IC 50 of less than about 10 ⁇ M. In yet further embodiments, the compound exhibits inhibition of PINK1 kinase activity with an IC 50 of less than about 5 ⁇ M. In an even further embodiment, the compound exhibits inhibition of PINK1 kinase activity with an IC 50 of less than about 1 ⁇ M. In still further embodiments, the compound exhibits inhibition of PINK1 kinase activity with an IC50 of less than about 0.5 ⁇ M. [00423] In further embodiments, the subject is a mammal. In still further embodiments, the subject is a human.
  • the subject has been diagnosed with a need for treatment of an disorder associated with PINK1 kinase dysfunction prior to the administering step.
  • the method further comprises the step of identifying a subject at risk of becoming infected with a disorder associated with PINK1 kinase dysfunction prior to treatment of the disorder. 3. METHODS OF MODULATING PINK1 KINASE ACTIVITY IN AT LEAST ONE CELL [00425]
  • disclosed are methods for modulating PINK1 kinase activity in at least one cell comprising the step of contacting the at least one cell with an effective amount of at least one disclosed compound, or a pharmaceutically acceptable salt thereof.
  • R 14 when present, is selected from hydrogen and C1-C4 alkyl; wherein each of R 15a , R 15b , and R 15c , when present, is independently selected from halogen, ⁇ CN, ⁇ NH2, ⁇ OH, ⁇ NO2, C1-C4 alkyl, C2-C4 alkenyl, C1-C4 haloalkyl, C1-C4 cyanoalkyl, C1-C4 hydroxyalkyl, C1-C4 haloalkoxy, C1-C4 alkoxy, C1-C4 aminoalkyl, C1-C4 alkylamino, and (C1-C4)(C1- C4) dialkylamino; and wherein R 16 , when present, is selected from hydrogen, halogen, and C1-C4 alkyl, or a pharmaceutically acceptable salt thereof.
  • the cell is mammalian. In still further embodiments, the cell is human. In yet further embodiments, the cell has been isolated from a mammal prior to the contacting step. [00428] In further embodiments, modulating is inhibiting. In still further embodiments, modulating is decreasing. [00429] In further embodiments, contacting is via administration to a mammal. [00430] In further embodiments, the step of contacting is performed in vitro. 4.
  • a use relates to the manufacture of a medicament for the treatment of a disorder associated with PINK1 kinase activity in a mammal.
  • the disclosure relates to use of at least one disclosed compound; or a pharmaceutically acceptable salt, hydrate, solvate, or polymorph thereof.
  • the compound used is a product of a disclosed method of making.
  • the use relates to a process for preparing a pharmaceutical composition comprising a therapeutically effective amount of a disclosed compound or a product of a disclosed method of making, or a pharmaceutically acceptable salt, solvate, or polymorph thereof, for use as a medicament.
  • the use relates to a process for preparing a pharmaceutical composition comprising a therapeutically effective amount of a disclosed compound or a product of a disclosed method of making, or a pharmaceutically acceptable salt, solvate, or polymorph thereof, wherein a pharmaceutically acceptable carrier is intimately mixed with a therapeutically effective amount of the compound or the product of a disclosed method of making.
  • the use relates to a treatment of a disorder associated with PINK1 kinase activity in a mammal. In some embodiments, the use is characterized in that the mammal is a human.
  • the use is characterized in that the disorder associated with PINK1 kinase activity is a neurodegenerative disease, a mitochondrial disease, fibrosis, and/or cardiomyopathy.
  • the use relates to the manufacture of a medicament for the treatment of a disorder associated with PINK1 kinase activity in a mammal.
  • the disclosed uses can be employed in connection with the disclosed compounds, products of disclosed methods of making, methods, compositions, and kits.
  • the disclosure relates to the use of a disclosed compound or a disclosed product in the manufacture of a medicament for the treatment of a disorder associated with PINK1 kinase activity in a mammal. 5.
  • the disclosure relates to a method for the manufacture of a medicament for treating a disorder associated with PINK1 kinase activity in a mammal, the method comprising combining a therapeutically effective amount of a disclosed compound or product of a disclosed method with a pharmaceutically acceptable carrier or diluent.
  • the present method includes the administration to an animal, particularly a mammal, and more particularly a human, of a therapeutically effective amount of the compound effective in treatment of a disorder associated with PINK1 kinase activity.
  • the dose administered to an animal, particularly a human, in the context of the present invention should be sufficient to affect a therapeutic response in the animal over a reasonable timeframe.
  • dosage will depend upon a variety of factors including the condition of the animal and the body weight of the animal.
  • the total amount of the compound of the present disclosure administered in a typical treatment is preferably between about 1 mg/kg and about 100 mg/kg of body weight for mice, and between about 10 mg/kg and about 50 mg/kg of body weight, and more preferably between 20 mg/kg and about 40 mg/kg of body weight for humans per daily dose.
  • This total amount is typically, but not necessarily, administered as a series of smaller doses over a period of about one time per day to about three times per day for about 24 months, and preferably over a period of twice per day for about 12 months.
  • the size of the dose also will be determined by the route, timing and frequency of administration as well as the existence, nature and extent of any adverse side effects that might accompany the administration of the compound and the desired physiological effect. It will be appreciated by one of skill in the art that various conditions or disease states, in particular chronic conditions or disease states, may require prolonged treatment involving multiple administrations.
  • the additional medicament can be administered in co-therapy (including co- formulation) with the one or more of the compounds described herein.
  • the response of the disease or disorder to the treatment is monitored and the treatment regimen is adjusted if necessary in light of such monitoring.
  • Frequency of administration is typically such that the dosing interval, for example, the period of time between one dose and the next, during waking hours is from about 2 to about 12 hours, from about 3 to about 8 hours, or from about 4 to about 6 hours. It will be understood by those of skill in the art that an appropriate dosing interval is dependent to some degree on the length of time for which the selected composition is capable of maintaining a concentration of the compound(s) in the subject and/or in the target tissue (e.g., above the EC 50 (the minimum concentration of the compound which modulates the receptor’s activity by 90%).
  • the disclosure relates to the manufacture of a medicament comprising combining a disclosed compound or a product of a disclosed method of making, or a pharmaceutically acceptable salt, solvate, or polymorph thereof, with a pharmaceutically acceptable carrier or diluent. 6.
  • kits comprising a disclosed compound, and one or more selected from: (a) at least one agent known for the treatment of one or more disorders selected from neurodegenerative disorder, a mitochondrial disorder, a fibrosis, cardiomyopathy, a kidney disease, a fibrotic disorder, and a reperfusion injury; (b) instructions for administering the compound in connection with treating one or more disorders selected from a neurodegenerative disorder, a mitochondrial disorder, a fibrosis, cardiomyopathy, a kidney disease, a fibrotic disorder, and a reperfusion injury; and (c) instructions for treating one or more disorders selected from a neurodegenerative disorder, a mitochondrial disorder, a fibrosis, cardiomyopathy, a kidney disease, a fibrotic disorder, and a reperfusion injury.
  • the agent is known for the treatment of a neurodegenerative disorder.
  • agents known for the treatment of neurodegenerative disorders include, but are not limited to, cholinesterase inhibitor, an antidepressant, memantine, rilutek, radicava, levodopa, carbidopa, a dopamine agonist, a MAO-B inhibitor, a catechol-O-methyltransferase inhibitor, an anticholinergic, spinraza, tetrabenazine, an antipsychotic agent, levetiracetam, clonazepam, an antipsychotic agent, a mood-stabilizing agent, and amantadine.
  • the agent is known for the treatment of a mitochondrial disease.
  • agents known for the treatment of mitochondrial diseases include, but are not limited to, vitamins and supplements such as coenzyme Q10, B complex vitamins (e.g., thiamine (B1) and riboflavin (B2)), alpha lipoic acid, L-carnitine (Carnitor), creatine, and L-arginine.
  • the agent is known for the treatment of fibrosis such as, for example, idiopathic pulmonary fibrosis (IPF), non-alcoholic fatty liver disease (NASH), liver fibrosis, heart fibrosis, mediastinal fibrosis, bone marrow fibrosis, retroperitoneal cavity fibrosis, and renal fibrosis.
  • fibrosis such as, for example, idiopathic pulmonary fibrosis (IPF), non-alcoholic fatty liver disease (NASH), liver fibrosis, heart fibrosis, mediastinal fibrosis, bone marrow fibrosis, retroperitoneal cavity fibrosis, and renal fibrosis.
  • IPF idiopathic pulmonary fibrosis
  • NASH non-alcoholic fatty liver disease
  • liver fibrosis such as, for example, idiopathic pulmonary fibrosis (IPF), non-alcoholic fatty liver disease (NASH), liver fibrosis, heart fibrosis, media
  • agents known for the treatment of fibrosis include, but are not limited to, pirfenidone, nintedanib, a prostaglandin such as latanoprost and bimaotoprost, a beta blocker such as timolol and betaxolol, an alpha- adrenergic agonist such as apraclonidine and brimonidine, a carbonic anhydrase inhibitor such as dorzolamide and brinzolamide, a moitic or cholinergic agent such as pilocarpine, a diuretic, an angiotenisin-converting enzyme (ACE) inhibitor, an angiotensin II receptor blocker, an anti-inflammatory agent, and an anti-fibrotic agent.
  • pirfenidone pirfenidone
  • nintedanib a prostaglandin
  • a beta blocker such as timolol and betaxolol
  • an alpha- adrenergic agonist
  • the agent is known for the treatment of cardiomyopathy.
  • agents known for the treatment of cardiomyopathy include, but are not limited to, ACE inhibitors, angiotensin II receptor blockers, beta blockers, calcium channel blockers, digoxin, and antiarrhythmics.
  • the agent known for the treatment of cardiomyopathy is a medical device such as, for example, an implantable cardioverter-defibrillator (ICD), a ventricular assist device (VAD), or a pacemaker.
  • ICD implantable cardioverter-defibrillator
  • VAD ventricular assist device
  • the agent is known for the treatment of a kidney disease or a fibrotic disorder.
  • agents known for the treatment of a kidney disease or a fibrotic disorder include, but are not limited to an angiotensin-converting enzyme (ACE) inhibitors (e.g., benazepril, captopril, enalapril, fosinopril, lisinopril, moexipril, perindopril, quinapril, Ramipril, trandolapril), an angiotensin II receptor blockers (e.g., azilsartan, candesartan, eprosartan, irbesartan, losartan, olmesartan, telmisartan, valsartan), nintedanib, pirfenidone, autotaxin inhibitors, and peroxisome proliferator-activated receptor (PPAR) modulators (e.g., ADGE, EPI-001, INT-131, K-0533, S26948, ASP1128).
  • ACE angioten
  • the agent is known for the treatment of a reperfusion injury.
  • agents known for the treatment of a reperfusion injury include, but are not limited to, hydrogen sulfide, cyclosporine, TRO40303, superoxide dismutase, metformin, elamipretide, and cannabinoids.
  • the at least one compound and the at least one agent are co-formulated.
  • the at least one compound and the at least one agent are co-packaged.
  • the compound and the agent are administered sequentially. In still further embodiments, the compound and the agent are administered simultaneously.
  • kits can also comprise compounds and/or products co-packaged, co- formulated, and/or co-delivered with other components.
  • a drug manufacturer, a drug reseller, a physician, a compounding shop, or a pharmacist can provide a kit comprising a disclosed compound and/or product and another component for delivery to a patient.
  • the disclosed kits can be prepared from the disclosed compounds, products, and pharmaceutical compositions. It is also understood that the disclosed kits can be employed in connection with the disclosed methods of using.
  • the foregoing description illustrates and describes the disclosure.
  • the disclosure shows and describes only the preferred embodiments but, as mentioned above, it is to be understood that it is capable to use in various other combinations, modifications, and environments and is capable of changes or modifications within the scope of the disclosure concepts as expressed herein, commensurate with the above teachings and/or the skill or knowledge of the relevant art.
  • the embodiments described herein above are further intended to explain best modes known by applicant and to enable others skilled in the art to utilize the disclosure in such, or other, embodiments and with the various modifications required by the particular applications or uses thereof. Accordingly, the description is not intended to limit the disclosure to the form disclosed herein. Also, it is intended to the appended claims be construed to include alternative embodiments.
  • the names of the products were determined using the naming software included in Biovia electronic lab notebook.
  • Silica gel chromatography was performed on Teledyne Isco instruments using pre-packaged disposable SiO 2 stationary phase columns with eluent flow rate range of 15 to 200 mL/min, UV detection (254 and 280 nm).
  • Reverse phase preparative HPLC was carried out using C18 columns, UV detection (214 and 254 nm) eluting with gradients of MeCN in H2O (0.03% (NH 4 ) 2 CO 3 / 0.375% NH 4 OH, high pH) or MeCN in H 2 O (0.1% HCOOH, low pH).
  • the analytical HPLC chromatograms were performed using an Agilent 1100 series instrument with DAD detector (190 nm to 300 nm). The mass spectra were recorded with a Waters Micromass ZQ detector at 130 oC. The mass spectrometer was equipped with an electrospray ion source (ESI) operated in a positive ion mode and was set to scan between m/z 150-750 with a scan time of 0.3 s.
  • ESI electrospray ion source
  • Step 2 N-((3R,4S)-7-fluoro-3-((R)-2-methylmorpholino)chroman-4-yl)-2- (trifluoromethyl)-1-((2-(trimethylsilyl)ethoxy)methyl)-1H-benzo[d]imidazol-4-amine.
  • the vial was degassed and purged with nitrogen (x2) and then sodium 2-methylpropan-2- olate (124 mg, 1.29 mmol), bis(3,5-bis(trifluoromethyl)phenyl)(2',4',6'-triisopropyl-3,6- dimethoxy-[1,1'-biphenyl]-2-yl)phosphane (88 mg, 108 ⁇ mol) and Di- ⁇ -chlorobis[2′-(amino- N)[1,1′-biphenyl]-2-yl-C]dipalladium(II) (17 mg, 27.1 ⁇ mol) were added, the vial sealed, degassed and purged with nitrogen (x2).
  • sodium 2-methylpropan-2- olate 124 mg, 1.29 mmol
  • the reaction mixture was heated to 120 °C under stirring for 17 hours.
  • the reaction mixture was allowed to cool to RT and then filtered through celite, and washed with EtOAc (30 mL).
  • the solution was washed with brine (25 mL), and the aqueous fraction back-extracted with EtOAc (25 mL).
  • the combined organic fractions were dried (MgSO4), filtered and concentrated onto silica.
  • Step 3 N-((3R,4S)-7-fluoro-3-((R)-2-methylmorpholino)chroman-4-yl)-2- (trifluoromethyl)-1H-benzo[d]imidazol-4-amine.
  • EP-0044011 N-((3R,4S)-3-(3- METHOXYAZETIDIN -1- YL ) CHROMAN -4- YL )-2- (TRIFLUOROMETHYL)-1H-BENZO[D]IMIDAZOL-4-AMINE [00469]
  • EP-0044011 was prepared following the same procedure as EP-0043892 using the conditions in Table 2.
  • the product was dissolved to in MeOH (1.5 mL), filtered and was then separated by chiral SFC on a Sepiatec with UV detection by DAD at 220 nm, 40 °C, 125 bar.
  • the column was an IG 10 x 250mm, 5um, flow rate 20mL/ min at 15% MeOH (0.2% DEA), 85% CO2.
  • the clean fractions were pooled, rinsed with methanol and concentrated to dryness using a rotary evaporator.
  • EP-0044012 N-((3R,4S)-3-(PYRROLIDIN-1-YL)CHROMAN-4-YL)-2- (TRIFLUOROMETHYL)-1H-BENZO[D]IMIDAZOL-4-AMINE [00471]
  • EP-0044012 was prepared following the same procedure as EP-0044011.
  • At-column dilution pump gives 2 mL min -1 Methanol over the entire method, which is included in the following MeCN percentages.
  • the clean fractions were evaporated in a Genevac to afford N-((3R,4S)-3-(pyrrolidin-1-yl)chroman-4-yl)-2- (trifluoromethyl)-1H-benzo[d]imidazol-4-amine (13 mg, 15%, 98% purity) as a yellow solid.
  • EP-0044021 N-((3R,4S)-3-((R)-2-METHYLMORPHOLINO)CHROMAN-4-YL)-2- (TRIFLUOROMETHYL)-1H-BENZO[D]IMIDAZOL-4-AMINE [00473]
  • EP-0044021 was prepared following the same procedure as EP-0043892 using conditions listed in Table 2.
  • N-((3R,4S)-3-((R)-2-methylmorpholino)chroman-4-yl)-2-(trifluoromethyl)-1- ((2-(trimethylsilyl)ethoxy)methyl)-1H-benzo[d]imidazol-4-amine (66 mg, 0.12 mmol) was taken up in TBAF (1M in THF) (1.20 mL, 1.20 mmol) and the reaction mixture was heated to 55 °C overnight. The mixture was allowed to cool to RT and EtOAc (20 mL) and sat. NaHCO3 solution (20 mL) were added.
  • EP-0044043 6-METHOXY-N-((3R,4S)-3-((R)-2- METHYLMORPHOLINO)CHROMAN-4-YL)-2-(TRIFLUOROMETHYL)-1H- BENZO[D]IMIDAZOL-4-AMINE [00475]
  • EP-0044043 was prepared following the same procedure as EP-0044011.
  • EP-0044033 6-FLUORO-N-((3R,4S)-3-((R)-2- METHYLMORPHOLINO)CHROMAN-4-YL)-2-(TRIFLUOROMETHYL)-1H- BENZO[D]IMIDAZOL-4-AMINE [00477]
  • EP-0044033 was prepared following the same procedure as EP-0044011.
  • EP-0044034 2-CYCLOPROPYL-N-((3R,4S)-3-((R)-2- METHYLMORPHOLINO)CHROMAN-4-YL)-1H-BENZO[D]IMIDAZOL-4-AMINE [00479]
  • EP-0044034 was prepared following the same procedure as EP-0043892 using conditions in Table 2.
  • the aqueous phase was further extracted with EtOAc (2 x 20 mL) before the organic phases were combined, washed with brine (20 mL), dried (MgSO 4 ), filtered and concentrated on to celite.
  • the crude product was purified by chromatography on RP Flash C18 (12 g cartridge, 20-80% MeCN/10 mM Ammonium Bicarbonate) to afford impure product.
  • EP-0044035 2-CYCLOBUTYL-N-((3R,4S)-3-((R)-2- METHYLMORPHOLINO)CHROMAN-4-YL)-1H-BENZO[D]IMIDAZOL-4-AMINE
  • EP-0044035 was prepared following the same procedure as EP-0044034.
  • the aqueous phase was further extracted with EtOAc (2 x 20 mL) before the organic phases were combined, washed with brine (20 mL), dried (MgSO 4 ), filtered and concentrated on to celite.
  • the crude was purified by chromatography on RP Flash C18 (12 g cartridge, 20-80% MeCN/10 mM Ammonium Bicarbonate) to afford impure product.
  • EP-0044038 (R)-N-(CHROMAN-4-YL)-2-CYCLOPROPYL-1H- BENZO[D]IMIDAZOL-4-AMINE [00483] EP-0044038 was prepared following the same procedure as EP-0044034.
  • the crude product was purified by chromatography on RP Flash C18 (12 g cartridge, 20-80% MeCN/10 mM Ammonium Bicarbonate) to afford impure product with residual tetrabutylammonium derivative ( ⁇ 10 wt. %).
  • EP-0044059 N-((3R,4S)-7-FLUORO-3-((R)-3-METHOXYPYRROLIDIN-1- YL)CHROMAN-4-YL)-2-(TRIFLUOROMETHYL)-1H-BENZO[D]IMIDAZOL-4-AMINE [00485]
  • EP-0044059 was prepared following the same procedure as EP-0044011.
  • N-((3R,4S)-7-fluoro-3-((R)-3-methoxypyrrolidin-1-yl)chroman-4-yl)-2- (trifluoromethyl)-1-((2-(trimethylsilyl)ethoxy)methyl)-1H-benzo[d]imidazol-4-amine (70 mg, 115 ⁇ mol) was suspended in a solution of TBAF (1M in THF) (1.72 mL, 1.72 mmol) and left stirring at 60 °C for 16 hours. The reaction was quenched with sat.
  • EP-0044060 N-((3R,4S)-3-((R)-3-METHYLPYRROLIDIN-1-YL)CHROMAN-4-YL)- 2-(TRIFLUOROMETHYL)-1H-BENZO[D]IMIDAZOL-4-AMINE [00487] EP-0044060 was prepared following the same procedure as EP-0044011.
  • N-((3R,4S)-3-((R)-3-methylpyrrolidin-1-yl)chroman-4-yl)-2- (trifluoromethyl)-1-((2-(trimethylsilyl)ethoxy)methyl)-1H-benzo[d]imidazol-4-amine 60 mg, 104 ⁇ mol was suspended in a solution of TBAF (1M in THF) (1.72 mL, 1.72 mmol) and left stirring at 60 °C for 16 hours. The reaction was quenched with sat.
  • EP-0044061 1-METHYL-N-((3R,4S)-3-((R)-2- METHYLMORPHOLINO)CHROMAN-4-YL)-2-(TRIFLUOROMETHYL)-1H- BENZO[D]IMIDAZOL-7-AMINE [00489] EP-0044061 was prepared following the same procedure as EP-0044034.
  • EP-0044062 1-METHYL-N-((3R,4S)-3-((R)-2- METHYLMORPHOLINO)CHROMAN-4-YL)-2-(TRIFLUOROMETHYL)-1H- BENZO[D]IMIDAZOL-4-AMINE [00491]
  • EP-0044062 was prepared following the same procedure as EP-0044034.
  • EP-0044066 5-FLUORO-N-((3R,4S)-3-((R)-2- METHYLMORPHOLINO)CHROMAN-4-YL)-2-(TRIFLUOROMETHYL)-1H- BENZO[D]IMIDAZOL-4-AMINE [00493]
  • EP-0044066 was prepared following the same procedure as EP-0044011.
  • EP-0043899 N-((3R,4S)-7-FLUORO-3-((R)-2- METHYLMORPHOLINO)CHROMAN-4-YL)-2-(TRIFLUOROMETHYL)-1H-INDOL-4- AMINE
  • EP-0043899 was prepared following the same procedure as EP-0043892
  • N-((3R,4S)-7-fluoro-3-((R)-2-methylmorpholino)chroman-4-yl)-2- (trifluoromethyl)-1-((2-(trimethylsilyl)ethoxy)methyl)-1H-indol-4-amine 51 mg, 77 ⁇ mol
  • THF 500 ⁇ L
  • TBAF (1M in THF 480 ⁇ L, 480 ⁇ mol
  • reaction mixture was stirred at 50 °C under nitrogen for 16 hours. Additional TBAF (1M in THF) (480 ⁇ L, 480 ⁇ mol) was added and the reaction mixture continued to be stirred at 50 °C under nitrogen for 5.5 hours. Further TBAF (1M in THF) (480 ⁇ L, 480 ⁇ mol) was added and the reaction mixture stirred at 60 °C under nitrogen for 17 hours. The reaction mixture was allowed to cool to RT, sat. sodium bicarbonate (20 mL) and EtOAc (15 mL) was added and the phases separated. The aqueous phase was extracted with EtOAc (15 mL), the combined organic fractions were washed with brine (20 mL), dried (MgSO4), filtered and concentrated onto celite.
  • EP-0044022 N-((3R,4S)-3-((R)-3-METHOXYPIPERIDIN-1-YL)CHROMAN-4-YL)- 2-(TRIFLUOROMETHYL)-1H-INDOL-4-AMINE [00497]
  • EP-0043899 was prepared following the same procedure as EP-0044011.
  • EP-0044020 N-((3R,4S)-3-((R)-2-METHYLMORPHOLINO)CHROMAN-4-YL)-2- (TRIFLUOROMETHYL)-1H-INDOL-4-AMINE [00499]
  • EP-0044020 was prepared following the same procedure as EP-0044034.
  • N-((3R,4S)-3-((R)-2-methylmorpholino)chroman-4-yl)-2-(trifluoromethyl)-1- ((2-(trimethylsilyl)ethoxy)methyl)-1H-indol-4-amine (66 mg, 0.12 mmol) was taken up in TBAF (1M in THF) (1.20 mL, 1.20 mmol) and the reaction mixture was heated to 50 °C for 18 hours. The mixture was allowed to cool to RT and EtOAc (20 mL) and sat. sodium bicarbonate (20 mL) were added.
  • EP-0044028 N-((3R,4S)-3-((R)-3-METHYLPYRROLIDIN-1-YL)CHROMAN-4-YL)- 2-(TRIFLUOROMETHYL)-1H-INDOL-4-AMINE [00501]
  • EP-0044028 was prepared following the same procedure as EP-0044022.
  • N-((3R,4S)-3-((R)-3-methylpyrrolidin-1-yl)chroman-4-yl)-2- (trifluoromethyl)-1-((2-(trimethylsilyl)ethoxy)methyl)-1H-indol-4-amine (65 mg, 113 ⁇ mol) was suspended in a solution of TBAF (1M in THF) (1.93 mL, 1.93 mmol) and left stirring at 60 °C for 16 hours.
  • EP-0044029 N-((3R,4S)-7-FLUORO-3-((R)-3-METHOXYPYRROLIDIN-1- YL)CHROMAN-4-YL)-2-(TRIFLUOROMETHYL)-1H-INDOL-4-AMINE [00503]
  • EP-0044029 was prepared following the same procedure as EP-0044022.
  • EP-0044032 (S)-1-((3R,4S)-7-FLUORO-4-((2-(TRIFLUOROMETHYL)-1H-INDOL- 4-YL)AMINO)CHROMAN-3-YL)PYRROLIDINE-3-CARBONITRILE [00505]
  • EP-0044032 was prepared following the same procedure as EP-0044022.
  • EP-0044074 N-((3R,4S)-7-FLUORO-3-(3-FLUOROAZETIDIN-1-YL)CHROMAN-4- YL)-2-(TRIFLUOROMETHYL)-1H-INDOL-4-AMINE [00507]
  • EP-0044074 was prepared following the same procedure as EP-0044046.
  • the crude product was purified by chromatography on silica gel (24 g cartridge, 0-10% MTBE:DCM) to afford impure product.
  • the crude was dissolved in 1.3 mL with DMSO, filtered and purified by reversed phase preparative HPLC (Waters 2767 Sample Manager, Waters 2545 Binary Gradient Module, Waters Systems Fluidics Organiser, Waters 515 ACD pump, Waters 515 Makeup pump, Waters 2998 Photodiode Array Detector, Waters QDa) on a Waters X-Select CSH C18 ODB prep column, 130 ⁇ , 5 ⁇ m, 30 mm X 100 mm, flow rate 40 mL min-1 eluting with a 0.1% Formic acid in water-MeCN gradient over 8.5 mins using UV across all wavelengths with PDA as well as a QDA and ELS detector.
  • At-column dilution pump gives 2 mL min-1 Methanol over the entire method, which is included in the following MeCN percentages.
  • Gradient information 0.0-0.5 min, 37.5% MeCN; 0.5-5.5 min, ramped from 37.5% MeCN to 67.5% MeCN; 5.5-5.6 min, ramped from 67.5% MeCN to 100% MeCN; 5.6-8.5 min, held at 100% MeCN.
  • the clean fractions were evaporated in a Genevac. The dried fractions were dissolved in DCM for transfer to a tared vial.
  • EP-0044045 N-((3R,4S)-3-((S)-3-METHYLPYRROLIDIN-1-YL)CHROMAN-4-YL)- 2-(TRIFLUOROMETHYL)-1H-INDOL-4-AMINE [00509]
  • EP-0044045 was prepared following the same procedure as EP-0044022.
  • N-((3R,4S)-3-((S)-3-methylpyrrolidin-1-yl)chroman-4-yl)-2-(trifluoromethyl)- 1-((2-(trimethylsilyl)ethoxy)methyl)-1H-indol-4-amine (52 mg, 91 ⁇ mol) was dissolved in TBAF (1M in THF) (1.00 mL, 1.00 mmol) and the reaction was stirred at 60 °C for 24 hours. The reaction was quenched with aq. sat. NaHCO3 (25 mL) and extracted with EtOAc (4 x 25 mL).
  • EP-0044053 N-((3R,4S)-3-((S)-3-METHOXYPIPERIDIN-1-YL)CHROMAN-4-YL)- 2-(TRIFLUOROMETHYL)-1H-INDOL-4-AMINE [00511]
  • EP-0044053 was prepared following the same procedure as EP-0044022.
  • N-((3R,4S)-3-((S)-3-methoxypiperidin-1-yl)chroman-4-yl)-2- (trifluoromethyl)-1-((2-(trimethylsilyl)ethoxy)methyl)-1H-indol-4-amine 32 mg, 49 ⁇ mol
  • TBAF 1M in THF
  • the reaction was stirred at 60 °C for 17 hours.
  • the reaction was quenched with aq. sat. NaHCO3 (25 mL) and extracted with EtOAc (4 x 25 mL).
  • EP-0044046 N-((3R,4S)-3-(AZETIDIN-1-YL)-7-FLUOROCHROMAN-4-YL)-2- (TRIFLUOROMETHYL)-1H-INDOL-4-AMINE [00513] EP-0044046 was prepared following the same procedure as EP-0043892 using the conditions in Table 2.
  • the reaction mixture was allowed to cool to rt and was quenched with sat. aq. sodium bicarbonate (40 mL). Organics were extracted with EtOAc (40 mL) and the organic fractions was washed with brine (40 mL), dried (MgOS4) and filtered. The solution was concentrated in vacuo, re-dissolved in DCM (60 mL) and washed with sat. aq. ammonium chloride (80 mL), followed by sat. aq. sodium bicarbonate (80 mL). The organic fraction was dried (MgSO4), filtered and concentrated onto silica.
  • the crude product was purified by chromatography on silica gel (24 g cartridge, 0-10% MeOH/DCM) to afford impure product (122 mg, 62% purity by UPLC) as a brown oil.
  • the crude was re-dissolved in DCM and concentrated onto celite.
  • the crude product was purified by chromatography on RP Flash C18 (12 g cartridge, 0-70% MeCN/10 mM Ammonium Bicarbonate) to afford N-((3R,4S)-3- (azetidin-1-yl)-7-fluorochroman-4-yl)-2-(trifluoromethyl)-1H-indol-4-amine (43.61 mg, 0.10 mmol, 38 %, 95% Purity) as a red solid.
  • EP-0044058 (R)-1-((3R,4S)-7-FLUORO-4-((2-(TRIFLUOROMETHYL)-1H- INDOL-4-YL)AMINO)CHROMAN-3-YL)PYRROLIDINE-3-CARBONITRILE [00515]
  • EP-0044058 was prepared following the same procedure as EP-0044022.
  • EP-0044052 4-(((3R,4S)-7-FLUORO-3-((R)-2- METHYLMORPHOLINO)CHROMAN-4-YL)AMINO)-1H-INDOLE-2-CARBONITRILE [00517]
  • EP-0044052 was prepared following the same procedure as EP-0043892 using conditions from Table 2.
  • This product was purified by chromatography on silica gel (4 g cartridge, 0-50% isohexane:EA/EtOH(3:1)) then was dissolved in 1.6 mL with DMSO, filtered and purified by reversed phase preparative HPLC (Method A using Gradient information: 0.0-0.5 min, 17.5% MeCN; 0.5-15.5 min, ramped from 17.5% MeCN to 47.5% MeCN; 15.5-15.6 min, ramped from 47.5% MeCN to 100% MeCN; 15.6-17.5 min, held at 100% MeCN).
  • EP-0044228 (R)-N-(CHROMAN-4-YL)-2-CYCLOPROPYL-1H-PYRROLO[2,3- B]PYRIDIN-4-AMINE [00520] EP-0044228 was prepared following the same procedure as EP-0044227.
  • Triphenylphosphane (410 mg, 1.56 mmol), methanol (79 ⁇ L, 1.95 mmol) and 4-chloro-1H-benzo[d][1,2,3]triazole (200 mg, 1.30 mmol) were mixed under nitrogen in dry THF (8 mL). Then DIAD (307 ⁇ L, 1.56 mmol) was added and the reaction mixture was left at 23 °C for 16 hours. The reaction mixture was filtrated and concentrated in vacuo.
  • EP-0044055 N-((3R,4S)-7-FLUORO-3-((R)-2- METHYLMORPHOLINO)CHROMAN-4-YL)-2-(TRIFLUOROMETHYL)-1H- PYRROLO[2,3-B]PYRIDIN-4-AMINE [00526]
  • EP-0044055 was prepared following the same procedure as EP-0043892.
  • SKOV3 cells ATCC HTB-77 were plated in DMEM (Corning 10- 013-CV) medium containing 25 mM glucose or DMEM with no glucose (Gibco 11966-025) supplemented with 10 mM galactose at 9,000 cells/well in 96 well plates (Corning costar 3610).24 hrs later, compounds, in DMSO, were added at various concentrations to a final 0.1% DMSO for all wells.
  • the Mito-Safety Index in Table 4 is equal to the highest mito-safe dose divided by the mt-Keima EC50 dose.
  • 38. INSPECTION OF CRYSTALLIZATION AND ROUND CELLS [00530] Briefly, the Hela MKYP (mt-Keima / YFP-Parkin) cells were seeded at 10K cells/well. EP/MTK compounds were added at seeding (cells were still in suspension). The cells were incubated with the EP/MTK compounds for 16 hours, then 1 ⁇ M FCCP/oligomycin was added for 6 hours. Prior to harvesting, cells were scored by eye under 20x magnification for the presence or absence of crystalline or aggregated compound, or round cells. 39.
  • HeLa MKYP HeLa MKYP
  • FCCP/oligomycin 1 ⁇ M FCCP/oligomycin
  • NP-40 lysis buffer containing 10 mM Tris-HCl, pH 7.4, 150 mM NaCl, 5 mM EDTA, 0.5% Nonidet P-40, 1x HaltTM Protease and Phosphatase Inhibitor Cocktail, with Benzonase (1:1000).
  • the NP-40 insoluble pellet was resuspended in SDS-Brain lysis buffer (containing 10 mM Tris-HCl, pH 7.4, 150 mM NaCl, 5 mM EDTA, 0.5% Nonidet P-40, 1% SDS, 0.5% sodium deoxycholate, 1x HaltTM Protease and Phosphatase Inhibitor Cocktail, with Benzonase (1:1000) and sonicated. Protein concentrations were determined using the BCA assay and samples were analyzed for pS129 ⁇ -synuclein and total ⁇ -synuclein levels by western blot. 41.
  • Brains will be removed and fixed, then sectioned for analysis. It is anticipated that untreated A53T animals will show significant spreading of aggregated alpha-synuclein pathology and pS129 staining, as well as some possible neurodegeneration; wt animals are also expected to show pS129 synuclein staining and synuclein aggregation, albeit less than that seen in the A53T background. Drug treated animals are expected to show significantly less pS129 staining and reduced synuclein spreading. 42.
  • HeLa MKYP cells will be plated at 1,300,000 cells/plate in 10 cm plates in 10 mL of medium containing compound at various concentrations. Following 16 hrs of incubation, cells will be treated with 1 ⁇ M FCCP/oligomycin for 2 hours, then harvested. Mitochondria will then be isolated according to published protocols (Ordureau et al, 2014; https://doi.org/10.1016/j.molcel.2014.09.007).
  • mice will be provided at least one week of acclimation to the animal facility and group housed. Mice will be injected intraperitoneally with 1 mg/mL cisplatin solution (BluePoint Labs) or 10 mL/kg sterile-filtered saline using 29G insulin syringes.
  • mice will be weighed and administered vehicle or compound by oral gavage. Mice will be monitored for excessive weight loss and euthanized if moribund.
  • COMPOUND FORMULATION [00538] Compounds will be formulated at ten-fold the dosing concentration in NMP (N- methylpyrrolidone) followed by dilution with solutol-15 and water for a final vehicle concentration of 10% NMP/10% solutol-15/80% water.
  • NMP N- methylpyrrolidone
  • solutol-15 solutol-15 and water for a final vehicle concentration of 10% NMP/10% solutol-15/80% water.
  • SACRIFICE AND TISSUE COLLECTION AND STORAGE [00539] For tissue harvest, mice will be anesthetized using isofluorane. Cardiac puncture will be performed to withdraw blood for serum collection.
  • Kidneys will be removed from -80 ⁇ C and minced on an ice block.
  • Minced tissues were transferred to a dounce homogenizer and homogenized with 20 ⁇ strokes of the “loose” pestle and 20 ⁇ strokes of the “tight” pestle using 1 mL of cold mitochondrial isolation buffer (MIB, 50 mM Tris-HCl (pH 7.5), 70 mM sucrose, 210 mM sorbitol, 1 mM EDTA, 1 mM EGTA, 100 mM chloroacetamide, HaltTM Protease and Phosphatase Inhibitor Cocktail, EDTA-free (100 ⁇ ) (PI), 10 ⁇ M PR619).
  • MIB cold mitochondrial isolation buffer
  • Kidney homogenate will be transferred to a 1.5 mL Eppendorf tube and were centrifuged at 300xg for 5 min at 4 ⁇ C. Approximately 800 ul of supernatant will be transferred to a new 1.5 mL microcentrifuge tube. The supernatant (cytosol + mitochondria) will be transferred to a new tube and centrifuged at 10,000 x g for 20 min at 4 oC to pellet the mitochondrial fraction.
  • mitochondria will be resuspended in lysis buffer (100 mM Bicine pH 8.0, 0.27M Sucrose, 1 mM EDTA, 1 mM EGTA, 5 mM Na 4 P 2 O 7 , 100 mM Tris pH 7.5, 1 % Triton X- 100), containing benzonase (1:1000), HALT protease/phosphatase inhibitors (1:100), and PR-619 de-ubiquitinase inhibitor (1:1000).
  • lysis buffer 100 mM Bicine pH 8.0, 0.27M Sucrose, 1 mM EDTA, 1 mM EGTA, 5 mM Na 4 P 2 O 7 , 100 mM Tris pH 7.5, 1 % Triton X- 100
  • benzonase (1:1000
  • HALT protease/phosphatase inhibitors (1:100
  • PR-619 de-ubiquitinase inhibitor (1:1000).
  • Blood urea nitrogen (“BUN”) levels in the serum sample will be analyzed using ThermoFisher’s Urea Nitrogen Colorimetric Detection Kit. Assay will be performed following manufacturer’s published protocol.
  • KIDNEY INJURY MARKER (KIM-1) DETERMINATION Urine will be collected from scruffed mice (serial collection) or directly from bladder using insulin syringe during harvest (terminal collection). KIM-1 will be measured in mouse urine using R&D System’s Mouse TIM-1/KIM-1/HAVCR DuoSet ELISA following manufacturer’s published protocol. h.
  • RNA will be isolated from kidney samples using Rneasy Mini kit (commercially available from Qiagen) according to its product manual. RNA concentration will be measured using NanoDropTM 2000/2000c Spectrophotometers (commercially available from Thermo Scientific).50 ng of RNA for each sample was used to generate cDNA. cDNA will be synthesized using High-Capacity RNA-to-cDNATM Kit (commercially available from Thermo Scientific) according to its product manual. Quantitative PCR will be performed using Power SYBRTM Green PCR Master Mix (commercially available from Applied Biosystems) according to its product manual.
  • the following primers will be used to analyze gene expression levels in the kidney: Tnfrsf12a; 5′-GTGTTGGGATTCGGCTTGGT-3′ (SEQ ID NO:4) and 5′-GTCCATGCACTTGTCGAGGTC-3′ (SEQ ID NO:5), Atf3; 5′-GAGGATTTTGCTAACCTGACACC-3′ (SEQ ID NO:6) and 5′-TTGACGGTAACTGACTCCAGC -3′ (SEQ ID NO:7), Plk3; 5′-GCACATCCATCGGTCATCCAG-3′ (SEQ ID NO: 8) and 5′-GCCACAGTCAAACCTTCTTCAA-3′ (SEQ ID NO:9), Gdf15; 5′-CTGGCAATGCCTGAACAACG-3′ (SEQ ID NO:10) and 5′-GGTCGGGACTTGGTTCTGAG-3′ (SEQ ID NO:11), b-act; 5′-GGGCATCCTGACCCTC AAG-3′ (SEQ ID NO:12) and
  • mtDNA/nucDNA ratio will be determined using a qPCR protocol from the Aurwex lab (Quiros et al, 2017), using the following primers: 16S rRNA 5’-CCGCAAGGGAAAGATGAAAGAC-3’(SEQ ID NO:14) and 5’-TCGTTTGGTTTCGGGGTTTC-3’ (SEQ ID NO:15); ND15’-CTAGCAGAAACAAACCGGGC-3’ (SEQ ID NO:16) and 5’-CCGGCTGCGTATTCTACGTT-3 (SEQ ID NO:17); HK25’-GCCAGCCTCTCCTGATTTTAGTGT-3’ (SEQ ID NO:18) and 5’-GGGAACACAAAAGACCTCTTCTGG-3’ (SEQ ID NO:19).
  • pS65-Ub ELISA capture monoclonal rabbit antibody anti-pS65-Ub will be diluted to 1 ⁇ g/mL in PBS and pipetted into 96 well half-area polystyrene plates (50 ⁇ L /well). Sealed plates will be shaken at 800 rpm for 5 minutes and incubated overnight at 4 ⁇ C on an even surface. The next day, blocking solution (5% BSA in TBST, sterile filtered) will be added to each well (100 ⁇ L/well) and shaken for 1 hr at 800 rpm at room temperature. Plates will either be used immediately or stored sealed at 4 ⁇ C for maximum one week.
  • Samples will be diluted in lysis buffer to a concentration of 10 ⁇ g/ ⁇ L and 50 ⁇ L will be loaded onto plates in duplicate after washing 5 ⁇ with TBST using an automated plate washer (used for all subsequent wash steps).
  • Standard protein recombinant pS65-Ub was diluted in lysis buffer + 0.1% BSA and serial dilutions (4000 ng/mL – 0 ng/mL) will be added in duplicate to the sample plate (50 ⁇ L/well). Plates will be shaken at 800 rpm at room temperature for 2 hr. After washing 5 ⁇ with TBST, 50 ⁇ L of mouse anti-Ub detection antibody (1 ⁇ g/mL in 5% BSA in TBST) was added to the wells.
  • Plates will be shaken at 800 rpm at room temperature for 1 hr, followed by washing 5 ⁇ with TBST, and shaking at 800 rpm at room temperature for 45 minutes with goat anti-mouse peroxidase-conjugated IgG antibody (1:10,000 dilution in 5% BSA in TBST) (50 ⁇ L/well).
  • 50 ⁇ L of TMB reagent (Pierce #34029) will be added to the wells after washing and wells will be monitored closely for reaction development.
  • 50 ⁇ L 2N sulfuric acid will be added. Absorbance was measured at 450 nm using LifeTechnologies and SpectraMax. k.
  • the total protein concentration of kidney mitopreps will be measured with the Thermo Scientific Pierce BCA Protein Assay Kit (commercially available from Thermo Scientific), according to its product manual. These samples will be normalized with their respective lysis buffers. For SDS-PAGE, the samples will be prepared with 4 ⁇ Laemmli Sample Buffer with the reducing agent 2 mercaptoethanol. For each lane of a 26 well gel (4– 20% CriterionTM Tris-HCl Protein Gel, Bio-Rad Laboratories), 10 ⁇ g per sample will be loaded and analyzed by Western Blotting. Indicated bands will be quantified using ImageStudio Lite and normalized to beta actin band intensity. 44.
  • mice (C57Bl/6, fed) will be dosed by oral gavage with compound in NMP/solutol vehicle. Plasma concentrations of compound will be determined by mass spectrometry in at least 3 mice per study. 46.
  • LIPOPOLYSACCHARIDE (LPS) ASSAY P0 to P2 mice will be sacrificed and their cortical tissue dissected and plated according to stardard methods to obtain primary mixed cortical cultures. Cultures will be maintained for 14 days. On or around Day 15, MTK compound will be added and allowed to incubate for 24 hours. After incubation with compound, the cells will be challenged with 100 ng/mL LPS.24 hours after challenge initiation, cellular media is collected for analysis of cytokine levels via ELISA. A commercial ELISA kit for IL-6, TNF- ⁇ , and IL1- ⁇ will be used. 47.
  • ORNITHINE CARBAMOYLTRANSFERASE (DOTC) ASSAY [00551] The expression of a deletion mutant of dOTC yields Triton X-100 insoluble protein aggregates in the mitochondrial matrix. This misfolded protein expression is capable of recruiting PINK1/Parkin to mitochondria without depolarizing the inner mitochondrial membrane. Thus, without wishing to be bound by theory, it may represent a more physiological mechanism of PINK1 stabilization. [00552] Here, HeLa cells stably expressing YFP parkin, containing doxycycline inducible expression of dOTC, are obtained.
  • the cells are seeded at 7,000 cells/well plus doxycycline (13 ng/mL) plus MTK in a 96-well plate. The next day, the cells are fixed and permeabilized and bound with OTC antibody. DAPI and cell mask are added. There is no wash off of doxycycline. The results are imaged at 40 ⁇ , non-confocal.85-600 cells are analyzed per well. Each condition has 1-3 wells. 48. EFFECT OF COMPOUNDS ON CISPLATIN-MEDIATED KIDNEY FIBROSIS MODEL [00553] Repeated low-level tissue damage can lead to fibrosis and chronic disease in the affected tissue.
  • Cisplatin can cause lung and kidney fibrosis in humans (Guinee et al., Cancer 1993), and repeated low-dose cisplatin challenge in mice causes fibrosis in mice (Sharp et al, AJPNephrology, 2016; Katagiri et al, Kidney International, 2015). By reducing cisplatin-mediated mtDNA damage, though a PINK1-dependent mechanism identical for evidence provided above, MTK compounds 35985 and 40180 will be shown to be protective for kidney fibrosis. [00554] Sharp et al. describe a protocol by which mice (FVB strain) are injected weekly with 7 mg/kg cisplatin by intraperitoneal injection.
  • mice per group will be injected with saline or 7 mg/kg cisplatin weekly for four weeks, and dosed with either a vehicle or the MTK compounds by oral gavage at doses of about 1 mg/kg, about 2 mg/kg, about 5 mg/kg, about 10 mg/kg, about 20 mg/kg, or about 50 mg/kg, either once a day or twice a day.
  • blood urea nitrogen or creatinine (urine), and kidney-injury marker-1 (KIM-1) will be assessed to evaluate kidney function and injury, respectively.
  • quantitative PCR quantitative PCR (qPCR) will be used to measure the expression of inflammatory markers such TNFalpha, IL-1beta, and IL-6.
  • TGFbeta and fibronectin will be measured using western blot or commercially available ELISA kit as the principle readout for fibrosis, and count the number of infiltrating reactive immune cells in kidney sections by immunofluorescence or immunohistochemistry as a secondary measure of kidney fibrosis. Without wishing to be bound by theory, it is expected that administration of a disclosed compound will reduce fibrosis by 50% or more at therapeutic doses. [00555] It will be apparent to those skilled in the art that various modifications and variations can be made in the present invention without departing from the scope or spirit of the disclosure. Other embodiments of the disclosure will be apparent to those skilled in the art from consideration of the specification and practice of the disclosure disclosed herein. It is intended that the specification and examples be considered as exemplary only, with a true scope and spirit of the disclosure being indicated by the following claims.

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Abstract

La présente invention concerne des composés de benzoimidazole et d'indole disubstitués, des procédés de fabrication des composés, et des méthodes de traitement de troubles associés à l'activité de la kinase PINK1 comprenant, mais sans y être limités, des maladies neurodégénératives, des maladies mitochondriales, une fibrose et/ou une cardiomyopathie, à l'aide de ces composés. Le présent abrégé est proposé à titre d'outil d'exploration à des fins de recherche dans cette technique particulière et n'est pas destiné à limiter la présente invention.
PCT/US2023/072587 2022-08-19 2023-08-21 Analogues de benzoimidazole et d'indole disubstitués en tant que modulateurs de pink1 WO2024040266A2 (fr)

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