WO2024046406A1 - Alkylidene carbamate as kras inhibitors - Google Patents
Alkylidene carbamate as kras inhibitors Download PDFInfo
- Publication number
- WO2024046406A1 WO2024046406A1 PCT/CN2023/116008 CN2023116008W WO2024046406A1 WO 2024046406 A1 WO2024046406 A1 WO 2024046406A1 CN 2023116008 W CN2023116008 W CN 2023116008W WO 2024046406 A1 WO2024046406 A1 WO 2024046406A1
- Authority
- WO
- WIPO (PCT)
- Prior art keywords
- compound
- pharmaceutically acceptable
- heterocyclyl
- acceptable salt
- heterocyclylalkyl
- Prior art date
Links
- -1 Alkylidene carbamate Chemical compound 0.000 title claims description 372
- 229940124785 KRAS inhibitor Drugs 0.000 title description 2
- 150000001875 compounds Chemical class 0.000 claims abstract description 469
- 206010028980 Neoplasm Diseases 0.000 claims abstract description 32
- 238000000034 method Methods 0.000 claims abstract description 30
- 239000008194 pharmaceutical composition Substances 0.000 claims abstract description 21
- 150000003839 salts Chemical class 0.000 claims description 268
- 229910052739 hydrogen Inorganic materials 0.000 claims description 156
- 239000001257 hydrogen Substances 0.000 claims description 156
- 125000000623 heterocyclic group Chemical group 0.000 claims description 150
- 125000000217 alkyl group Chemical group 0.000 claims description 129
- 150000002431 hydrogen Chemical group 0.000 claims description 120
- 125000005843 halogen group Chemical group 0.000 claims description 87
- 125000001188 haloalkyl group Chemical group 0.000 claims description 84
- 125000003545 alkoxy group Chemical group 0.000 claims description 81
- YZCKVEUIGOORGS-OUBTZVSYSA-N Deuterium Chemical group [2H] YZCKVEUIGOORGS-OUBTZVSYSA-N 0.000 claims description 78
- 229910052805 deuterium Inorganic materials 0.000 claims description 78
- 125000004415 heterocyclylalkyl group Chemical group 0.000 claims description 75
- 125000002496 methyl group Chemical group [H]C([H])([H])* 0.000 claims description 67
- 125000002618 bicyclic heterocycle group Chemical group 0.000 claims description 64
- 125000000753 cycloalkyl group Chemical group 0.000 claims description 61
- 125000001072 heteroaryl group Chemical group 0.000 claims description 61
- 125000002887 hydroxy group Chemical group [H]O* 0.000 claims description 61
- 125000004093 cyano group Chemical group *C#N 0.000 claims description 54
- 125000001153 fluoro group Chemical group F* 0.000 claims description 53
- 125000004438 haloalkoxy group Chemical group 0.000 claims description 52
- 125000004183 alkoxy alkyl group Chemical group 0.000 claims description 46
- 229910052757 nitrogen Inorganic materials 0.000 claims description 44
- 125000004433 nitrogen atom Chemical group N* 0.000 claims description 40
- 125000002768 hydroxyalkyl group Chemical group 0.000 claims description 35
- 125000001997 phenyl group Chemical group [H]C1=C([H])C([H])=C(*)C([H])=C1[H] 0.000 claims description 32
- 125000002924 primary amino group Chemical group [H]N([H])* 0.000 claims description 32
- 229910052702 rhenium Inorganic materials 0.000 claims description 31
- UFHFLCQGNIYNRP-UHFFFAOYSA-N Hydrogen Chemical compound [H][H] UFHFLCQGNIYNRP-UHFFFAOYSA-N 0.000 claims description 27
- 125000002947 alkylene group Chemical group 0.000 claims description 26
- 125000003118 aryl group Chemical group 0.000 claims description 26
- 125000004432 carbon atom Chemical group C* 0.000 claims description 23
- 125000001424 substituent group Chemical group 0.000 claims description 23
- 201000011510 cancer Diseases 0.000 claims description 21
- 125000004994 halo alkoxy alkyl group Chemical group 0.000 claims description 20
- 229910052703 rhodium Inorganic materials 0.000 claims description 18
- 229910052799 carbon Inorganic materials 0.000 claims description 17
- 125000004404 heteroalkyl group Chemical group 0.000 claims description 17
- 125000000304 alkynyl group Chemical group 0.000 claims description 15
- 239000000546 pharmaceutical excipient Substances 0.000 claims description 15
- 125000004435 hydrogen atom Chemical group [H]* 0.000 claims description 13
- 229910052760 oxygen Inorganic materials 0.000 claims description 13
- 125000001309 chloro group Chemical group Cl* 0.000 claims description 12
- 125000001316 cycloalkyl alkyl group Chemical group 0.000 claims description 12
- 125000000956 methoxy group Chemical group [H]C([H])([H])O* 0.000 claims description 12
- 125000003107 substituted aryl group Chemical group 0.000 claims description 12
- OKTJSMMVPCPJKN-UHFFFAOYSA-N Carbon Chemical compound [C] OKTJSMMVPCPJKN-UHFFFAOYSA-N 0.000 claims description 11
- 229910052720 vanadium Inorganic materials 0.000 claims description 11
- 125000001495 ethyl group Chemical group [H]C([H])([H])C([H])([H])* 0.000 claims description 10
- 125000002023 trifluoromethyl group Chemical group FC(F)(F)* 0.000 claims description 10
- 125000003342 alkenyl group Chemical group 0.000 claims description 9
- 125000001559 cyclopropyl group Chemical group [H]C1([H])C([H])([H])C1([H])* 0.000 claims description 9
- 125000004390 alkyl sulfonyl group Chemical group 0.000 claims description 8
- 125000004414 alkyl thio group Chemical group 0.000 claims description 8
- 125000004475 heteroaralkyl group Chemical group 0.000 claims description 8
- SJSSFUMSAFMFNM-NSHDSACASA-N (2s)-5-(diaminomethylideneamino)-2-(phenylmethoxycarbonylamino)pentanoic acid Chemical compound NC(N)=NCCC[C@@H](C(O)=O)NC(=O)OCC1=CC=CC=C1 SJSSFUMSAFMFNM-NSHDSACASA-N 0.000 claims description 7
- 125000001118 alkylidene group Chemical group 0.000 claims description 7
- 208000002154 non-small cell lung carcinoma Diseases 0.000 claims description 7
- 125000004214 1-pyrrolidinyl group Chemical group [H]C1([H])N(*)C([H])([H])C([H])([H])C1([H])[H] 0.000 claims description 6
- 125000004448 alkyl carbonyl group Chemical group 0.000 claims description 6
- 125000003710 aryl alkyl group Chemical group 0.000 claims description 6
- 125000004566 azetidin-1-yl group Chemical group N1(CCC1)* 0.000 claims description 6
- 150000001721 carbon Chemical group 0.000 claims description 6
- 125000000000 cycloalkoxy group Chemical group 0.000 claims description 6
- 125000002993 cycloalkylene group Chemical group 0.000 claims description 6
- 125000001028 difluoromethyl group Chemical group [H]C(F)(F)* 0.000 claims description 6
- 125000004194 piperazin-1-yl group Chemical group [H]N1C([H])([H])C([H])([H])N(*)C([H])([H])C1([H])[H] 0.000 claims description 6
- 125000000587 piperidin-1-yl group Chemical group [H]C1([H])N(*)C([H])([H])C([H])([H])C([H])([H])C1([H])[H] 0.000 claims description 6
- 208000029729 tumor suppressor gene on chromosome 11 Diseases 0.000 claims description 6
- 206010009944 Colon cancer Diseases 0.000 claims description 5
- 125000004692 haloalkylcarbonyl group Chemical group 0.000 claims description 5
- 125000004029 hydroxymethyl group Chemical group [H]OC([H])([H])* 0.000 claims description 5
- 125000000325 methylidene group Chemical group [H]C([H])=* 0.000 claims description 5
- 125000004573 morpholin-4-yl group Chemical group N1(CCOCC1)* 0.000 claims description 5
- 125000001624 naphthyl group Chemical group 0.000 claims description 5
- 229910052701 rubidium Inorganic materials 0.000 claims description 5
- 208000001333 Colorectal Neoplasms Diseases 0.000 claims description 4
- 206010061902 Pancreatic neoplasm Diseases 0.000 claims description 4
- 239000002246 antineoplastic agent Substances 0.000 claims description 4
- 208000015486 malignant pancreatic neoplasm Diseases 0.000 claims description 4
- 125000004184 methoxymethyl group Chemical group [H]C([H])([H])OC([H])([H])* 0.000 claims description 4
- 201000002528 pancreatic cancer Diseases 0.000 claims description 4
- 208000008443 pancreatic carcinoma Diseases 0.000 claims description 4
- 125000000876 trifluoromethoxy group Chemical group FC(F)(F)O* 0.000 claims description 4
- 125000001731 2-cyanoethyl group Chemical group [H]C([H])(*)C([H])([H])C#N 0.000 claims description 3
- IYABWNGZIDDRAK-UHFFFAOYSA-N allene Chemical group C=C=C IYABWNGZIDDRAK-UHFFFAOYSA-N 0.000 claims description 3
- HSFWRNGVRCDJHI-UHFFFAOYSA-N alpha-acetylene Natural products C#C HSFWRNGVRCDJHI-UHFFFAOYSA-N 0.000 claims description 3
- 125000004786 difluoromethoxy group Chemical group [H]C(F)(F)O* 0.000 claims description 3
- 125000002534 ethynyl group Chemical group [H]C#C* 0.000 claims description 3
- RBIIKVXVYVANCQ-CUWPLCDZSA-N (2s,4s,5s)-5-amino-n-(3-amino-2,2-dimethyl-3-oxopropyl)-6-[4-(2-chlorophenyl)-2,2-dimethyl-5-oxopiperazin-1-yl]-4-hydroxy-2-propan-2-ylhexanamide Chemical compound C1C(C)(C)N(C[C@H](N)[C@@H](O)C[C@@H](C(C)C)C(=O)NCC(C)(C)C(N)=O)CC(=O)N1C1=CC=CC=C1Cl RBIIKVXVYVANCQ-CUWPLCDZSA-N 0.000 claims description 2
- WQUBEIMCFHCJCO-AWCRTANDSA-N 4-amino-n-{4-[2-(2,6-dimethyl-phenoxy)-acetylamino]-3-hydroxy-1-isobutyl-5-phenyl-pentyl}-benzamide Chemical compound C([C@@H]([C@@H](O)C[C@H](CC(C)C)NC(=O)C=1C=C(N)C=CC=1)NC(=O)COC=1C(=CC=CC=1C)C)C1=CC=CC=C1 WQUBEIMCFHCJCO-AWCRTANDSA-N 0.000 claims description 2
- SCEVBRBKKQZTKM-UHFFFAOYSA-N 5-[[6-chloro-5-(1-methylindol-5-yl)-1H-benzimidazol-2-yl]oxy]-N-hydroxy-2-methylbenzamide Chemical compound ClC=1C(=CC2=C(NC(=N2)OC=2C=CC(=C(C(=O)NO)C=2)C)C=1)C=1C=C2C=CN(C2=CC=1)C SCEVBRBKKQZTKM-UHFFFAOYSA-N 0.000 claims description 2
- 125000000131 cyclopropyloxy group Chemical group C1(CC1)O* 0.000 claims description 2
- 125000000262 haloalkenyl group Chemical group 0.000 claims description 2
- 101710113436 GTPase KRas Proteins 0.000 abstract description 39
- 238000011282 treatment Methods 0.000 abstract description 26
- 108090000623 proteins and genes Proteins 0.000 abstract description 11
- 102000004169 proteins and genes Human genes 0.000 abstract description 7
- 230000001404 mediated effect Effects 0.000 abstract description 5
- 230000008569 process Effects 0.000 abstract description 2
- 150000004657 carbamic acid derivatives Chemical class 0.000 abstract 1
- 239000000203 mixture Substances 0.000 description 144
- 239000000243 solution Substances 0.000 description 92
- OKKJLVBELUTLKV-UHFFFAOYSA-N Methanol Chemical compound OC OKKJLVBELUTLKV-UHFFFAOYSA-N 0.000 description 79
- XEKOWRVHYACXOJ-UHFFFAOYSA-N Ethyl acetate Chemical compound CCOC(C)=O XEKOWRVHYACXOJ-UHFFFAOYSA-N 0.000 description 63
- 125000006413 ring segment Chemical group 0.000 description 45
- 239000003112 inhibitor Substances 0.000 description 41
- 239000004698 Polyethylene Substances 0.000 description 40
- 239000011541 reaction mixture Substances 0.000 description 40
- 239000007832 Na2SO4 Substances 0.000 description 37
- PMZURENOXWZQFD-UHFFFAOYSA-L Sodium Sulfate Chemical compound [Na+].[Na+].[O-]S([O-])(=O)=O PMZURENOXWZQFD-UHFFFAOYSA-L 0.000 description 37
- 229910052938 sodium sulfate Inorganic materials 0.000 description 37
- 239000012044 organic layer Substances 0.000 description 36
- 239000012267 brine Substances 0.000 description 32
- HPALAKNZSZLMCH-UHFFFAOYSA-M sodium;chloride;hydrate Chemical compound O.[Na+].[Cl-] HPALAKNZSZLMCH-UHFFFAOYSA-M 0.000 description 32
- LFQSCWFLJHTTHZ-UHFFFAOYSA-N Ethanol Chemical compound CCO LFQSCWFLJHTTHZ-UHFFFAOYSA-N 0.000 description 30
- 235000019439 ethyl acetate Nutrition 0.000 description 30
- XLYOFNOQVPJJNP-UHFFFAOYSA-N water Substances O XLYOFNOQVPJJNP-UHFFFAOYSA-N 0.000 description 30
- 208000037265 diseases, disorders, signs and symptoms Diseases 0.000 description 27
- 238000010898 silica gel chromatography Methods 0.000 description 27
- 125000000999 tert-butyl group Chemical group [H]C([H])([H])C(*)(C([H])([H])[H])C([H])([H])[H] 0.000 description 27
- 150000003254 radicals Chemical class 0.000 description 22
- 238000003786 synthesis reaction Methods 0.000 description 22
- 201000010099 disease Diseases 0.000 description 21
- 230000015572 biosynthetic process Effects 0.000 description 20
- VEXZGXHMUGYJMC-UHFFFAOYSA-N Hydrochloric acid Chemical compound Cl VEXZGXHMUGYJMC-UHFFFAOYSA-N 0.000 description 18
- 239000003814 drug Substances 0.000 description 17
- 238000009472 formulation Methods 0.000 description 17
- 239000000543 intermediate Substances 0.000 description 17
- CDRSBPYJKRZQAY-UHFFFAOYSA-N methyl morpholine-4-carboxylate Chemical compound COC(=O)N1CCOCC1 CDRSBPYJKRZQAY-UHFFFAOYSA-N 0.000 description 17
- 239000004215 Carbon black (E152) Substances 0.000 description 16
- 229930195733 hydrocarbon Natural products 0.000 description 16
- 238000004440 column chromatography Methods 0.000 description 15
- 102200006539 rs121913529 Human genes 0.000 description 15
- 229920006395 saturated elastomer Polymers 0.000 description 14
- IXCSERBJSXMMFS-UHFFFAOYSA-N hydrogen chloride Substances Cl.Cl IXCSERBJSXMMFS-UHFFFAOYSA-N 0.000 description 13
- 229910000041 hydrogen chloride Inorganic materials 0.000 description 13
- 239000004480 active ingredient Substances 0.000 description 12
- 125000004429 atom Chemical group 0.000 description 12
- 229940079593 drug Drugs 0.000 description 12
- KDLHZDBZIXYQEI-UHFFFAOYSA-N palladium Substances [Pd] KDLHZDBZIXYQEI-UHFFFAOYSA-N 0.000 description 12
- BWHMMNNQKKPAPP-UHFFFAOYSA-L potassium carbonate Chemical compound [K+].[K+].[O-]C([O-])=O BWHMMNNQKKPAPP-UHFFFAOYSA-L 0.000 description 12
- QTBSBXVTEAMEQO-UHFFFAOYSA-N Acetic acid Chemical compound CC(O)=O QTBSBXVTEAMEQO-UHFFFAOYSA-N 0.000 description 11
- 102000037982 Immune checkpoint proteins Human genes 0.000 description 11
- 108091008036 Immune checkpoint proteins Proteins 0.000 description 11
- 210000004027 cell Anatomy 0.000 description 11
- 238000006243 chemical reaction Methods 0.000 description 11
- 230000002829 reductive effect Effects 0.000 description 11
- 229910052717 sulfur Inorganic materials 0.000 description 10
- JGFZNNIVVJXRND-UHFFFAOYSA-N N,N-Diisopropylethylamine (DIPEA) Chemical compound CCN(C(C)C)C(C)C JGFZNNIVVJXRND-UHFFFAOYSA-N 0.000 description 9
- 239000003795 chemical substances by application Substances 0.000 description 9
- 125000005842 heteroatom Chemical group 0.000 description 9
- RAXXELZNTBOGNW-UHFFFAOYSA-N imidazole Natural products C1=CNC=N1 RAXXELZNTBOGNW-UHFFFAOYSA-N 0.000 description 9
- 229940126546 immune checkpoint molecule Drugs 0.000 description 9
- 150000002825 nitriles Chemical class 0.000 description 9
- 239000000651 prodrug Substances 0.000 description 9
- 229940002612 prodrug Drugs 0.000 description 9
- RYHBNJHYFVUHQT-UHFFFAOYSA-N 1,4-Dioxane Chemical compound C1COCCO1 RYHBNJHYFVUHQT-UHFFFAOYSA-N 0.000 description 8
- QGZKDVFQNNGYKY-UHFFFAOYSA-N Ammonia Chemical compound N QGZKDVFQNNGYKY-UHFFFAOYSA-N 0.000 description 8
- FAPWRFPIFSIZLT-UHFFFAOYSA-M Sodium chloride Chemical compound [Na+].[Cl-] FAPWRFPIFSIZLT-UHFFFAOYSA-M 0.000 description 8
- 150000001412 amines Chemical class 0.000 description 8
- 239000003153 chemical reaction reagent Substances 0.000 description 8
- 239000000706 filtrate Substances 0.000 description 8
- 125000002950 monocyclic group Chemical group 0.000 description 8
- 125000005322 morpholin-1-yl group Chemical group 0.000 description 8
- FBUKVWPVBMHYJY-UHFFFAOYSA-N nonanoic acid Chemical compound CCCCCCCCC(O)=O FBUKVWPVBMHYJY-UHFFFAOYSA-N 0.000 description 8
- XHXFXVLFKHQFAL-UHFFFAOYSA-N phosphoryl trichloride Chemical compound ClP(Cl)(Cl)=O XHXFXVLFKHQFAL-UHFFFAOYSA-N 0.000 description 8
- 239000000843 powder Substances 0.000 description 8
- 125000006239 protecting group Chemical group 0.000 description 8
- 102200006538 rs121913530 Human genes 0.000 description 8
- 239000003826 tablet Substances 0.000 description 8
- 125000002619 bicyclic group Chemical group 0.000 description 7
- 230000007423 decrease Effects 0.000 description 7
- 239000007788 liquid Substances 0.000 description 7
- 239000012299 nitrogen atmosphere Substances 0.000 description 7
- 230000037361 pathway Effects 0.000 description 7
- 239000002243 precursor Substances 0.000 description 7
- 239000000725 suspension Substances 0.000 description 7
- 208000024891 symptom Diseases 0.000 description 7
- NLXLAEXVIDQMFP-UHFFFAOYSA-N Ammonia chloride Chemical compound [NH4+].[Cl-] NLXLAEXVIDQMFP-UHFFFAOYSA-N 0.000 description 6
- IAZDPXIOMUYVGZ-UHFFFAOYSA-N Dimethylsulphoxide Chemical compound CS(C)=O IAZDPXIOMUYVGZ-UHFFFAOYSA-N 0.000 description 6
- DNIAPMSPPWPWGF-UHFFFAOYSA-N Propylene glycol Chemical compound CC(O)CO DNIAPMSPPWPWGF-UHFFFAOYSA-N 0.000 description 6
- UIIMBOGNXHQVGW-UHFFFAOYSA-M Sodium bicarbonate Chemical compound [Na+].OC([O-])=O UIIMBOGNXHQVGW-UHFFFAOYSA-M 0.000 description 6
- YXFVVABEGXRONW-UHFFFAOYSA-N Toluene Chemical compound CC1=CC=CC=C1 YXFVVABEGXRONW-UHFFFAOYSA-N 0.000 description 6
- 229960000473 altretamine Drugs 0.000 description 6
- 239000002775 capsule Substances 0.000 description 6
- 208000035475 disorder Diseases 0.000 description 6
- 230000000694 effects Effects 0.000 description 6
- UUVWYPNAQBNQJQ-UHFFFAOYSA-N hexamethylmelamine Chemical compound CN(C)C1=NC(N(C)C)=NC(N(C)C)=N1 UUVWYPNAQBNQJQ-UHFFFAOYSA-N 0.000 description 6
- 230000002401 inhibitory effect Effects 0.000 description 6
- 239000007924 injection Substances 0.000 description 6
- 238000002347 injection Methods 0.000 description 6
- 208000020816 lung neoplasm Diseases 0.000 description 6
- 239000003921 oil Substances 0.000 description 6
- 235000019198 oils Nutrition 0.000 description 6
- 229910000027 potassium carbonate Inorganic materials 0.000 description 6
- 235000018102 proteins Nutrition 0.000 description 6
- 125000004076 pyridyl group Chemical group 0.000 description 6
- 230000011664 signaling Effects 0.000 description 6
- 239000007787 solid Substances 0.000 description 6
- 125000006570 (C5-C6) heteroaryl group Chemical group 0.000 description 5
- UXHYWADURMRPON-UHFFFAOYSA-N 2,3,4,5,6,7-hexahydro-1h-pyrrolizin-4-ium-8-carboxylate Chemical compound C1CCN2CCCC21C(=O)O UXHYWADURMRPON-UHFFFAOYSA-N 0.000 description 5
- 229940045513 CTLA4 antagonist Drugs 0.000 description 5
- UHDGCWIWMRVCDJ-CCXZUQQUSA-N Cytarabine Chemical compound O=C1N=C(N)C=CN1[C@H]1[C@@H](O)[C@H](O)[C@@H](CO)O1 UHDGCWIWMRVCDJ-CCXZUQQUSA-N 0.000 description 5
- ZBNZXTGUTAYRHI-UHFFFAOYSA-N Dasatinib Chemical compound C=1C(N2CCN(CCO)CC2)=NC(C)=NC=1NC(S1)=NC=C1C(=O)NC1=C(C)C=CC=C1Cl ZBNZXTGUTAYRHI-UHFFFAOYSA-N 0.000 description 5
- RTZKZFJDLAIYFH-UHFFFAOYSA-N Diethyl ether Chemical compound CCOCC RTZKZFJDLAIYFH-UHFFFAOYSA-N 0.000 description 5
- 206010069755 K-ras gene mutation Diseases 0.000 description 5
- 206010058467 Lung neoplasm malignant Diseases 0.000 description 5
- 206010025323 Lymphomas Diseases 0.000 description 5
- 102000038030 PI3Ks Human genes 0.000 description 5
- 108091007960 PI3Ks Proteins 0.000 description 5
- UBPYILGKFZZVDX-UHFFFAOYSA-N bosutinib Chemical compound C1=C(Cl)C(OC)=CC(NC=2C3=CC(OC)=C(OCCCN4CCN(C)CC4)C=C3N=CC=2C#N)=C1Cl UBPYILGKFZZVDX-UHFFFAOYSA-N 0.000 description 5
- KRKNYBCHXYNGOX-UHFFFAOYSA-N citric acid Chemical compound OC(=O)CC(O)(C(O)=O)CC(O)=O KRKNYBCHXYNGOX-UHFFFAOYSA-N 0.000 description 5
- 238000001816 cooling Methods 0.000 description 5
- 238000001727 in vivo Methods 0.000 description 5
- 201000005202 lung cancer Diseases 0.000 description 5
- 238000002360 preparation method Methods 0.000 description 5
- 125000000714 pyrimidinyl group Chemical group 0.000 description 5
- OAWXZFGKDDFTGS-UHFFFAOYSA-N pyrrolidine-1,2-dicarboxylic acid Chemical compound OC(=O)C1CCCN1C(O)=O OAWXZFGKDDFTGS-UHFFFAOYSA-N 0.000 description 5
- 239000011780 sodium chloride Substances 0.000 description 5
- 238000003756 stirring Methods 0.000 description 5
- 125000000037 tert-butyldiphenylsilyl group Chemical group [H]C1=C([H])C([H])=C([H])C([H])=C1[Si]([H])([*]C(C([H])([H])[H])(C([H])([H])[H])C([H])([H])[H])C1=C([H])C([H])=C([H])C([H])=C1[H] 0.000 description 5
- FDKXTQMXEQVLRF-ZHACJKMWSA-N (E)-dacarbazine Chemical compound CN(C)\N=N\c1[nH]cnc1C(N)=O FDKXTQMXEQVLRF-ZHACJKMWSA-N 0.000 description 4
- BUROJSBIWGDYCN-GAUTUEMISA-N AP 23573 Chemical compound C1C[C@@H](OP(C)(C)=O)[C@H](OC)C[C@@H]1C[C@@H](C)[C@H]1OC(=O)[C@@H]2CCCCN2C(=O)C(=O)[C@](O)(O2)[C@H](C)CC[C@H]2C[C@H](OC)/C(C)=C/C=C/C=C/[C@@H](C)C[C@@H](C)C(=O)[C@H](OC)[C@H](O)/C(C)=C/[C@@H](C)C(=O)C1 BUROJSBIWGDYCN-GAUTUEMISA-N 0.000 description 4
- 208000010839 B-cell chronic lymphocytic leukemia Diseases 0.000 description 4
- MLDQJTXFUGDVEO-UHFFFAOYSA-N BAY-43-9006 Chemical compound C1=NC(C(=O)NC)=CC(OC=2C=CC(NC(=O)NC=3C=C(C(Cl)=CC=3)C(F)(F)F)=CC=2)=C1 MLDQJTXFUGDVEO-UHFFFAOYSA-N 0.000 description 4
- BDJCPCDJACVKAL-IENPIDJESA-N COC1CC[C@@H](CO)N1C(=O)OC(C)(C)C Chemical compound COC1CC[C@@H](CO)N1C(=O)OC(C)(C)C BDJCPCDJACVKAL-IENPIDJESA-N 0.000 description 4
- PTOAARAWEBMLNO-KVQBGUIXSA-N Cladribine Chemical compound C1=NC=2C(N)=NC(Cl)=NC=2N1[C@H]1C[C@H](O)[C@@H](CO)O1 PTOAARAWEBMLNO-KVQBGUIXSA-N 0.000 description 4
- 102100030708 GTPase KRas Human genes 0.000 description 4
- 101000584612 Homo sapiens GTPase KRas Proteins 0.000 description 4
- 241001465754 Metazoa Species 0.000 description 4
- 229910019213 POCl3 Inorganic materials 0.000 description 4
- GSEJCLTVZPLZKY-UHFFFAOYSA-N Triethanolamine Chemical compound OCCN(CCO)CCO GSEJCLTVZPLZKY-UHFFFAOYSA-N 0.000 description 4
- RJURFGZVJUQBHK-UHFFFAOYSA-N actinomycin D Natural products CC1OC(=O)C(C(C)C)N(C)C(=O)CN(C)C(=O)C2CCCN2C(=O)C(C(C)C)NC(=O)C1NC(=O)C1=C(N)C(=O)C(C)=C2OC(C(C)=CC=C3C(=O)NC4C(=O)NC(C(N5CCCC5C(=O)N(C)CC(=O)N(C)C(C(C)C)C(=O)OC4C)=O)C(C)C)=C3N=C21 RJURFGZVJUQBHK-UHFFFAOYSA-N 0.000 description 4
- 208000020990 adrenal cortex carcinoma Diseases 0.000 description 4
- 239000000443 aerosol Substances 0.000 description 4
- 125000004453 alkoxycarbonyl group Chemical group 0.000 description 4
- BIIVYFLTOXDAOV-YVEFUNNKSA-N alvocidib Chemical compound O[C@@H]1CN(C)CC[C@@H]1C1=C(O)C=C(O)C2=C1OC(C=1C(=CC=CC=1)Cl)=CC2=O BIIVYFLTOXDAOV-YVEFUNNKSA-N 0.000 description 4
- 239000000611 antibody drug conjugate Substances 0.000 description 4
- 229940049595 antibody-drug conjugate Drugs 0.000 description 4
- 239000002585 base Substances 0.000 description 4
- 229960003736 bosutinib Drugs 0.000 description 4
- XJHCXCQVJFPJIK-UHFFFAOYSA-M cesium fluoride Substances [F-].[Cs+] XJHCXCQVJFPJIK-UHFFFAOYSA-M 0.000 description 4
- 238000005660 chlorination reaction Methods 0.000 description 4
- 239000000460 chlorine Substances 0.000 description 4
- 238000002648 combination therapy Methods 0.000 description 4
- KTEIFNKAUNYNJU-GFCCVEGCSA-N crizotinib Chemical compound O([C@H](C)C=1C(=C(F)C=CC=1Cl)Cl)C(C(=NC=1)N)=CC=1C(=C1)C=NN1C1CCNCC1 KTEIFNKAUNYNJU-GFCCVEGCSA-N 0.000 description 4
- 125000001995 cyclobutyl group Chemical group [H]C1([H])C([H])([H])C([H])(*)C1([H])[H] 0.000 description 4
- 125000001511 cyclopentyl group Chemical group [H]C1([H])C([H])([H])C([H])([H])C([H])(*)C1([H])[H] 0.000 description 4
- 125000004851 cyclopentylmethyl group Chemical group C1(CCCC1)C* 0.000 description 4
- 239000002552 dosage form Substances 0.000 description 4
- 125000005448 ethoxyethyl group Chemical group [H]C([H])([H])C([H])([H])OC([H])([H])C([H])([H])* 0.000 description 4
- 229910052736 halogen Inorganic materials 0.000 description 4
- 150000002367 halogens Chemical class 0.000 description 4
- KTUFNOKKBVMGRW-UHFFFAOYSA-N imatinib Chemical compound C1CN(C)CCN1CC1=CC=C(C(=O)NC=2C=C(NC=3N=C(C=CN=3)C=3C=NC=CC=3)C(C)=CC=2)C=C1 KTUFNOKKBVMGRW-UHFFFAOYSA-N 0.000 description 4
- 230000036210 malignancy Effects 0.000 description 4
- HAWPXGHAZFHHAD-UHFFFAOYSA-N mechlorethamine Chemical compound ClCCN(C)CCCl HAWPXGHAZFHHAD-UHFFFAOYSA-N 0.000 description 4
- SGDBTWWWUNNDEQ-LBPRGKRZSA-N melphalan Chemical compound OC(=O)[C@@H](N)CC1=CC=C(N(CCCl)CCCl)C=C1 SGDBTWWWUNNDEQ-LBPRGKRZSA-N 0.000 description 4
- 230000035772 mutation Effects 0.000 description 4
- 229910000069 nitrogen hydride Inorganic materials 0.000 description 4
- 229960002621 pembrolizumab Drugs 0.000 description 4
- 238000000746 purification Methods 0.000 description 4
- 125000003226 pyrazolyl group Chemical group 0.000 description 4
- 102000016914 ras Proteins Human genes 0.000 description 4
- 229940044601 receptor agonist Drugs 0.000 description 4
- 239000000018 receptor agonist Substances 0.000 description 4
- RIOQSEWOXXDEQQ-UHFFFAOYSA-N triphenylphosphine Chemical compound C1=CC=CC=C1P(C=1C=CC=CC=1)C1=CC=CC=C1 RIOQSEWOXXDEQQ-UHFFFAOYSA-N 0.000 description 4
- 229960005486 vaccine Drugs 0.000 description 4
- AQTQHPDCURKLKT-JKDPCDLQSA-N vincristine sulfate Chemical compound OS(O)(=O)=O.C([C@@H](C[C@]1(C(=O)OC)C=2C(=CC3=C([C@]45[C@H]([C@@]([C@H](OC(C)=O)[C@]6(CC)C=CCN([C@H]56)CC4)(O)C(=O)OC)N3C=O)C=2)OC)C[C@@](C2)(O)CC)N2CCC2=C1NC1=CC=CC=C21 AQTQHPDCURKLKT-JKDPCDLQSA-N 0.000 description 4
- FWIVDMJALNEADT-SFTDATJTSA-N (2s)-n-(1-cyanocyclopropyl)-4-fluoro-4-methyl-2-[[(1s)-2,2,2-trifluoro-1-[4-(4-methylsulfonylphenyl)phenyl]ethyl]amino]pentanamide Chemical compound C1=CC([C@H](N[C@@H](CC(C)(F)C)C(=O)NC2(CC2)C#N)C(F)(F)F)=CC=C1C1=CC=C(S(C)(=O)=O)C=C1 FWIVDMJALNEADT-SFTDATJTSA-N 0.000 description 3
- NXLNNXIXOYSCMB-UHFFFAOYSA-N (4-nitrophenyl) carbonochloridate Chemical compound [O-][N+](=O)C1=CC=C(OC(Cl)=O)C=C1 NXLNNXIXOYSCMB-UHFFFAOYSA-N 0.000 description 3
- HGEIYKJSFPCMLX-WDSKDSINSA-N (4aS,7aS)-3,4a,5,6,7,7a-hexahydro-2H-[1,4]dioxino[2,3-c]pyrrole Chemical compound O1CCO[C@@H]2[C@@H]1CNC2 HGEIYKJSFPCMLX-WDSKDSINSA-N 0.000 description 3
- HGEIYKJSFPCMLX-PHDIDXHHSA-N (4ar,7ar)-3,4a,5,6,7,7a-hexahydro-2h-[1,4]dioxino[2,3-c]pyrrole Chemical compound O1CCO[C@@H]2CNC[C@H]21 HGEIYKJSFPCMLX-PHDIDXHHSA-N 0.000 description 3
- DEQANNDTNATYII-OULOTJBUSA-N (4r,7s,10s,13r,16s,19r)-10-(4-aminobutyl)-19-[[(2r)-2-amino-3-phenylpropanoyl]amino]-16-benzyl-n-[(2r,3r)-1,3-dihydroxybutan-2-yl]-7-[(1r)-1-hydroxyethyl]-13-(1h-indol-3-ylmethyl)-6,9,12,15,18-pentaoxo-1,2-dithia-5,8,11,14,17-pentazacycloicosane-4-carboxa Chemical compound C([C@@H](N)C(=O)N[C@H]1CSSC[C@H](NC(=O)[C@H]([C@@H](C)O)NC(=O)[C@H](CCCCN)NC(=O)[C@@H](CC=2C3=CC=CC=C3NC=2)NC(=O)[C@H](CC=2C=CC=CC=2)NC1=O)C(=O)N[C@H](CO)[C@H](O)C)C1=CC=CC=C1 DEQANNDTNATYII-OULOTJBUSA-N 0.000 description 3
- 102100025573 1-alkyl-2-acetylglycerophosphocholine esterase Human genes 0.000 description 3
- 125000003903 2-propenyl group Chemical group [H]C([*])([H])C([H])=C([H])[H] 0.000 description 3
- XAUDJQYHKZQPEU-KVQBGUIXSA-N 5-aza-2'-deoxycytidine Chemical compound O=C1N=C(N)N=CN1[C@@H]1O[C@H](CO)[C@@H](O)C1 XAUDJQYHKZQPEU-KVQBGUIXSA-N 0.000 description 3
- ZYLBDQDHPKYAOH-UHFFFAOYSA-N 6-oxa-2-azaspiro[3.4]octane;oxalic acid Chemical compound OC(=O)C(O)=O.C1NCC11COCC1 ZYLBDQDHPKYAOH-UHFFFAOYSA-N 0.000 description 3
- 208000031261 Acute myeloid leukaemia Diseases 0.000 description 3
- 108010024976 Asparaginase Proteins 0.000 description 3
- VXWDYPJHDGKJHG-HDICACEKSA-N CC(C)(C)OC(N([C@H](CC1)C2)[C@@H]1CN2C1=NC(Cl)=NC2=C1C=NC(C(C1=C3C#C)=CC=CC1=CC=C3F)=C2F)=O Chemical compound CC(C)(C)OC(N([C@H](CC1)C2)[C@@H]1CN2C1=NC(Cl)=NC2=C1C=NC(C(C1=C3C#C)=CC=CC1=CC=C3F)=C2F)=O VXWDYPJHDGKJHG-HDICACEKSA-N 0.000 description 3
- QQFRMMAFDXUADZ-CUNXSJBXSA-N CC(C)(C)[Si](C1=CC=CC=C1)(C1=CC=CC=C1)OC[C@H](CC1)N(CC(C2)=C)[C@@]12C(OC)=O Chemical compound CC(C)(C)[Si](C1=CC=CC=C1)(C1=CC=CC=C1)OC[C@H](CC1)N(CC(C2)=C)[C@@]12C(OC)=O QQFRMMAFDXUADZ-CUNXSJBXSA-N 0.000 description 3
- 101150013553 CD40 gene Proteins 0.000 description 3
- 108010021064 CTLA-4 Antigen Proteins 0.000 description 3
- 102100039498 Cytotoxic T-lymphocyte protein 4 Human genes 0.000 description 3
- 102000013446 GTP Phosphohydrolases Human genes 0.000 description 3
- 108091006109 GTPases Proteins 0.000 description 3
- 208000021309 Germ cell tumor Diseases 0.000 description 3
- PEDCQBHIVMGVHV-UHFFFAOYSA-N Glycerine Chemical compound OCC(O)CO PEDCQBHIVMGVHV-UHFFFAOYSA-N 0.000 description 3
- 101001137987 Homo sapiens Lymphocyte activation gene 3 protein Proteins 0.000 description 3
- 101000916644 Homo sapiens Macrophage colony-stimulating factor 1 receptor Proteins 0.000 description 3
- 101000831007 Homo sapiens T-cell immunoreceptor with Ig and ITIM domains Proteins 0.000 description 3
- 101000596234 Homo sapiens T-cell surface protein tactile Proteins 0.000 description 3
- 101000801234 Homo sapiens Tumor necrosis factor receptor superfamily member 18 Proteins 0.000 description 3
- 101000851370 Homo sapiens Tumor necrosis factor receptor superfamily member 9 Proteins 0.000 description 3
- FBOZXECLQNJBKD-ZDUSSCGKSA-N L-methotrexate Chemical compound C=1N=C2N=C(N)N=C(N)C2=NC=1CN(C)C1=CC=C(C(=O)N[C@@H](CCC(O)=O)C(O)=O)C=C1 FBOZXECLQNJBKD-ZDUSSCGKSA-N 0.000 description 3
- 102000017578 LAG3 Human genes 0.000 description 3
- 108091054455 MAP kinase family Proteins 0.000 description 3
- 102000043136 MAP kinase family Human genes 0.000 description 3
- 102100028198 Macrophage colony-stimulating factor 1 receptor Human genes 0.000 description 3
- OFOBLEOULBTSOW-UHFFFAOYSA-N Malonic acid Chemical compound OC(=O)CC(O)=O OFOBLEOULBTSOW-UHFFFAOYSA-N 0.000 description 3
- 241000124008 Mammalia Species 0.000 description 3
- AFVFQIVMOAPDHO-UHFFFAOYSA-N Methanesulfonic acid Chemical compound CS(O)(=O)=O AFVFQIVMOAPDHO-UHFFFAOYSA-N 0.000 description 3
- 208000034578 Multiple myelomas Diseases 0.000 description 3
- 208000033776 Myeloid Acute Leukemia Diseases 0.000 description 3
- XKFTZKGMDDZMJI-HSZRJFAPSA-N N-[5-[(2R)-2-methoxy-1-oxo-2-phenylethyl]-4,6-dihydro-1H-pyrrolo[3,4-c]pyrazol-3-yl]-4-(4-methyl-1-piperazinyl)benzamide Chemical compound O=C([C@H](OC)C=1C=CC=CC=1)N(CC=12)CC=1NN=C2NC(=O)C(C=C1)=CC=C1N1CCN(C)CC1 XKFTZKGMDDZMJI-HSZRJFAPSA-N 0.000 description 3
- 208000034176 Neoplasms, Germ Cell and Embryonal Diseases 0.000 description 3
- 108010016076 Octreotide Proteins 0.000 description 3
- 108700020796 Oncogene Proteins 0.000 description 3
- 206010035226 Plasma cell myeloma Diseases 0.000 description 3
- VYPSYNLAJGMNEJ-UHFFFAOYSA-N Silicium dioxide Chemical compound O=[Si]=O VYPSYNLAJGMNEJ-UHFFFAOYSA-N 0.000 description 3
- HEMHJVSKTPXQMS-UHFFFAOYSA-M Sodium hydroxide Chemical compound [OH-].[Na+] HEMHJVSKTPXQMS-UHFFFAOYSA-M 0.000 description 3
- 102100024834 T-cell immunoreceptor with Ig and ITIM domains Human genes 0.000 description 3
- 102100035268 T-cell surface protein tactile Human genes 0.000 description 3
- NKANXQFJJICGDU-QPLCGJKRSA-N Tamoxifen Chemical compound C=1C=CC=CC=1C(/CC)=C(C=1C=CC(OCCN(C)C)=CC=1)/C1=CC=CC=C1 NKANXQFJJICGDU-QPLCGJKRSA-N 0.000 description 3
- FOCVUCIESVLUNU-UHFFFAOYSA-N Thiotepa Chemical compound C1CN1P(N1CC1)(=S)N1CC1 FOCVUCIESVLUNU-UHFFFAOYSA-N 0.000 description 3
- 102100033728 Tumor necrosis factor receptor superfamily member 18 Human genes 0.000 description 3
- 102100040245 Tumor necrosis factor receptor superfamily member 5 Human genes 0.000 description 3
- JXLYSJRDGCGARV-WWYNWVTFSA-N Vinblastine Natural products O=C(O[C@H]1[C@](O)(C(=O)OC)[C@@H]2N(C)c3c(cc(c(OC)c3)[C@]3(C(=O)OC)c4[nH]c5c(c4CCN4C[C@](O)(CC)C[C@H](C3)C4)cccc5)[C@@]32[C@H]2[C@@]1(CC)C=CCN2CC3)C JXLYSJRDGCGARV-WWYNWVTFSA-N 0.000 description 3
- 125000003282 alkyl amino group Chemical group 0.000 description 3
- SHGAZHPCJJPHSC-YCNIQYBTSA-N all-trans-retinoic acid Chemical compound OC(=O)\C=C(/C)\C=C\C=C(/C)\C=C\C1=C(C)CCCC1(C)C SHGAZHPCJJPHSC-YCNIQYBTSA-N 0.000 description 3
- 239000012298 atmosphere Substances 0.000 description 3
- ZGBAJMQHJDFTQJ-DEOSSOPVSA-N bafetinib Chemical compound C1[C@@H](N(C)C)CCN1CC1=CC=C(C(=O)NC=2C=C(NC=3N=C(C=CN=3)C=3C=NC=NC=3)C(C)=CC=2)C=C1C(F)(F)F ZGBAJMQHJDFTQJ-DEOSSOPVSA-N 0.000 description 3
- 230000008901 benefit Effects 0.000 description 3
- FZDACFZWWMAUBO-UHFFFAOYSA-N benzyl 6-oxa-3-azabicyclo[3.1.0]hexane-3-carboxylate Chemical compound C1C2OC2CN1C(=O)OCC1=CC=CC=C1 FZDACFZWWMAUBO-UHFFFAOYSA-N 0.000 description 3
- 210000004369 blood Anatomy 0.000 description 3
- 239000008280 blood Substances 0.000 description 3
- 125000003178 carboxy group Chemical group [H]OC(*)=O 0.000 description 3
- VERWOWGGCGHDQE-UHFFFAOYSA-N ceritinib Chemical compound CC=1C=C(NC=2N=C(NC=3C(=CC=CC=3)S(=O)(=O)C(C)C)C(Cl)=CN=2)C(OC(C)C)=CC=1C1CCNCC1 VERWOWGGCGHDQE-UHFFFAOYSA-N 0.000 description 3
- 229960002271 cobimetinib Drugs 0.000 description 3
- BSMCAPRUBJMWDF-KRWDZBQOSA-N cobimetinib Chemical compound C1C(O)([C@H]2NCCCC2)CN1C(=O)C1=CC=C(F)C(F)=C1NC1=CC=C(I)C=C1F BSMCAPRUBJMWDF-KRWDZBQOSA-N 0.000 description 3
- 125000004850 cyclobutylmethyl group Chemical group C1(CCC1)C* 0.000 description 3
- 125000004186 cyclopropylmethyl group Chemical group [H]C([H])(*)C1([H])C([H])([H])C1([H])[H] 0.000 description 3
- JOGKUKXHTYWRGZ-UHFFFAOYSA-N dactolisib Chemical compound O=C1N(C)C2=CN=C3C=CC(C=4C=C5C=CC=CC5=NC=4)=CC3=C2N1C1=CC=C(C(C)(C)C#N)C=C1 JOGKUKXHTYWRGZ-UHFFFAOYSA-N 0.000 description 3
- 238000011161 development Methods 0.000 description 3
- 125000004663 dialkyl amino group Chemical group 0.000 description 3
- XBDQKXXYIPTUBI-UHFFFAOYSA-N dimethylselenoniopropionate Natural products CCC(O)=O XBDQKXXYIPTUBI-UHFFFAOYSA-N 0.000 description 3
- 229950009791 durvalumab Drugs 0.000 description 3
- 150000002148 esters Chemical class 0.000 description 3
- 239000012065 filter cake Substances 0.000 description 3
- 238000001914 filtration Methods 0.000 description 3
- 238000003818 flash chromatography Methods 0.000 description 3
- VVIAGPKUTFNRDU-ABLWVSNPSA-N folinic acid Chemical compound C1NC=2NC(N)=NC(=O)C=2N(C=O)C1CNC1=CC=C(C(=O)N[C@@H](CCC(O)=O)C(O)=O)C=C1 VVIAGPKUTFNRDU-ABLWVSNPSA-N 0.000 description 3
- 235000008191 folinic acid Nutrition 0.000 description 3
- 239000011672 folinic acid Substances 0.000 description 3
- 125000002541 furyl group Chemical group 0.000 description 3
- 239000000499 gel Substances 0.000 description 3
- 230000007062 hydrolysis Effects 0.000 description 3
- 238000006460 hydrolysis reaction Methods 0.000 description 3
- 230000028993 immune response Effects 0.000 description 3
- 238000000338 in vitro Methods 0.000 description 3
- 239000004615 ingredient Substances 0.000 description 3
- 230000005764 inhibitory process Effects 0.000 description 3
- 125000002183 isoquinolinyl group Chemical group C1(=NC=CC2=CC=CC=C12)* 0.000 description 3
- GOTYRUGSSMKFNF-UHFFFAOYSA-N lenalidomide Chemical compound C1C=2C(N)=CC=CC=2C(=O)N1C1CCC(=O)NC1=O GOTYRUGSSMKFNF-UHFFFAOYSA-N 0.000 description 3
- CMJCXYNUCSMDBY-ZDUSSCGKSA-N lgx818 Chemical compound COC(=O)N[C@@H](C)CNC1=NC=CC(C=2C(=NN(C=2)C(C)C)C=2C(=C(NS(C)(=O)=O)C=C(Cl)C=2)F)=N1 CMJCXYNUCSMDBY-ZDUSSCGKSA-N 0.000 description 3
- 230000000670 limiting effect Effects 0.000 description 3
- MPVGZUGXCQEXTM-UHFFFAOYSA-N linifanib Chemical compound CC1=CC=C(F)C(NC(=O)NC=2C=CC(=CC=2)C=2C=3C(N)=NNC=3C=CC=2)=C1 MPVGZUGXCQEXTM-UHFFFAOYSA-N 0.000 description 3
- 208000012987 lip and oral cavity carcinoma Diseases 0.000 description 3
- 201000007270 liver cancer Diseases 0.000 description 3
- 208000014018 liver neoplasm Diseases 0.000 description 3
- 229960004961 mechlorethamine Drugs 0.000 description 3
- RQZAXGRLVPAYTJ-GQFGMJRRSA-N megestrol acetate Chemical compound C1=C(C)C2=CC(=O)CC[C@]2(C)[C@@H]2[C@@H]1[C@@H]1CC[C@@](C(C)=O)(OC(=O)C)[C@@]1(C)CC2 RQZAXGRLVPAYTJ-GQFGMJRRSA-N 0.000 description 3
- 229960000485 methotrexate Drugs 0.000 description 3
- BMGQWWVMWDBQGC-IIFHNQTCSA-N midostaurin Chemical compound CN([C@H]1[C@H]([C@]2(C)O[C@@H](N3C4=CC=CC=C4C4=C5C(=O)NCC5=C5C6=CC=CC=C6N2C5=C43)C1)OC)C(=O)C1=CC=CC=C1 BMGQWWVMWDBQGC-IIFHNQTCSA-N 0.000 description 3
- KSERXGMCDHOLSS-LJQANCHMSA-N n-[(1s)-1-(3-chlorophenyl)-2-hydroxyethyl]-4-[5-chloro-2-(propan-2-ylamino)pyridin-4-yl]-1h-pyrrole-2-carboxamide Chemical compound C1=NC(NC(C)C)=CC(C=2C=C(NC=2)C(=O)N[C@H](CO)C=2C=C(Cl)C=CC=2)=C1Cl KSERXGMCDHOLSS-LJQANCHMSA-N 0.000 description 3
- LBWFXVZLPYTWQI-IPOVEDGCSA-N n-[2-(diethylamino)ethyl]-5-[(z)-(5-fluoro-2-oxo-1h-indol-3-ylidene)methyl]-2,4-dimethyl-1h-pyrrole-3-carboxamide;(2s)-2-hydroxybutanedioic acid Chemical compound OC(=O)[C@@H](O)CC(O)=O.CCN(CC)CCNC(=O)C1=C(C)NC(\C=C/2C3=CC(F)=CC=C3NC\2=O)=C1C LBWFXVZLPYTWQI-IPOVEDGCSA-N 0.000 description 3
- 231100000252 nontoxic Toxicity 0.000 description 3
- 230000003000 nontoxic effect Effects 0.000 description 3
- 229940124531 pharmaceutical excipient Drugs 0.000 description 3
- 239000006187 pill Substances 0.000 description 3
- PHXJVRSECIGDHY-UHFFFAOYSA-N ponatinib Chemical compound C1CN(C)CCN1CC(C(=C1)C(F)(F)F)=CC=C1NC(=O)C1=CC=C(C)C(C#CC=2N3N=CC=CC3=NC=2)=C1 PHXJVRSECIGDHY-UHFFFAOYSA-N 0.000 description 3
- 238000002953 preparative HPLC Methods 0.000 description 3
- 239000000047 product Substances 0.000 description 3
- 125000001436 propyl group Chemical group [H]C([*])([H])C([H])([H])C([H])([H])[H] 0.000 description 3
- 125000004527 pyrimidin-4-yl group Chemical group N1=CN=C(C=C1)* 0.000 description 3
- 125000002943 quinolinyl group Chemical group N1=C(C=CC2=CC=CC=C12)* 0.000 description 3
- CVWXJKQAOSCOAB-UHFFFAOYSA-N quizartinib Chemical compound O1C(C(C)(C)C)=CC(NC(=O)NC=2C=CC(=CC=2)C=2N=C3N(C4=CC=C(OCCN5CCOCC5)C=C4S3)C=2)=N1 CVWXJKQAOSCOAB-UHFFFAOYSA-N 0.000 description 3
- OUKYUETWWIPKQR-UHFFFAOYSA-N saracatinib Chemical compound C1CN(C)CCN1CCOC1=CC(OC2CCOCC2)=C(C(NC=2C(=CC=C3OCOC3=2)Cl)=NC=N2)C2=C1 OUKYUETWWIPKQR-UHFFFAOYSA-N 0.000 description 3
- CYOHGALHFOKKQC-UHFFFAOYSA-N selumetinib Chemical compound OCCONC(=O)C=1C=C2N(C)C=NC2=C(F)C=1NC1=CC=C(Br)C=C1Cl CYOHGALHFOKKQC-UHFFFAOYSA-N 0.000 description 3
- 238000000926 separation method Methods 0.000 description 3
- 239000000741 silica gel Substances 0.000 description 3
- 229910002027 silica gel Inorganic materials 0.000 description 3
- 229910000030 sodium bicarbonate Inorganic materials 0.000 description 3
- NXQKSXLFSAEQCZ-SFHVURJKSA-N sotorasib Chemical compound FC1=CC2=C(N(C(N=C2N2[C@H](CN(CC2)C(C=C)=O)C)=O)C=2C(=NC=CC=2C)C(C)C)N=C1C1=C(C=CC=C1O)F NXQKSXLFSAEQCZ-SFHVURJKSA-N 0.000 description 3
- 239000007858 starting material Substances 0.000 description 3
- 239000000126 substance Substances 0.000 description 3
- 239000000758 substrate Substances 0.000 description 3
- 230000004083 survival effect Effects 0.000 description 3
- AYUNIORJHRXIBJ-TXHRRWQRSA-N tanespimycin Chemical compound N1C(=O)\C(C)=C\C=C/[C@H](OC)[C@@H](OC(N)=O)\C(C)=C\[C@H](C)[C@@H](O)[C@@H](OC)C[C@H](C)CC2=C(NCC=C)C(=O)C=C1C2=O AYUNIORJHRXIBJ-TXHRRWQRSA-N 0.000 description 3
- NRUKOCRGYNPUPR-QBPJDGROSA-N teniposide Chemical compound COC1=C(O)C(OC)=CC([C@@H]2C3=CC=4OCOC=4C=C3[C@@H](O[C@H]3[C@@H]([C@@H](O)[C@@H]4O[C@@H](OC[C@H]4O3)C=3SC=CC=3)O)[C@@H]3[C@@H]2C(OC3)=O)=C1 NRUKOCRGYNPUPR-QBPJDGROSA-N 0.000 description 3
- MHYGQXWCZAYSLJ-UHFFFAOYSA-N tert-butyl-chloro-diphenylsilane Chemical compound C=1C=CC=CC=1[Si](Cl)(C(C)(C)C)C1=CC=CC=C1 MHYGQXWCZAYSLJ-UHFFFAOYSA-N 0.000 description 3
- 238000012360 testing method Methods 0.000 description 3
- 229940124597 therapeutic agent Drugs 0.000 description 3
- 238000002560 therapeutic procedure Methods 0.000 description 3
- 238000011200 topical administration Methods 0.000 description 3
- 229960001612 trastuzumab emtansine Drugs 0.000 description 3
- JXLYSJRDGCGARV-XQKSVPLYSA-N vincaleukoblastine Chemical compound C([C@@H](C[C@]1(C(=O)OC)C=2C(=CC3=C([C@]45[C@H]([C@@]([C@H](OC(C)=O)[C@]6(CC)C=CCN([C@H]56)CC4)(O)C(=O)OC)N3C)C=2)OC)C[C@@](C2)(O)CC)N2CCC2=C1NC1=CC=CC=C21 JXLYSJRDGCGARV-XQKSVPLYSA-N 0.000 description 3
- XYLPKCDRAAYATL-OAHLLOKOSA-N (11S)-7-(3,5-dimethyl-1,2-oxazol-4-yl)-11-pyridin-2-yl-9-oxa-1,3-diazatricyclo[6.3.1.04,12]dodeca-4(12),5,7-trien-2-one Chemical compound CC1=NOC(C)=C1C1=CC=C2C3=C1OC[C@H](C=1N=CC=CC=1)N3C(=O)N2 XYLPKCDRAAYATL-OAHLLOKOSA-N 0.000 description 2
- AVIWDYSJSPOOAR-LSDHHAIUSA-N (1S,3R)-3-acetamido-N-[5-chloro-4-(5,5-dimethyl-4,6-dihydropyrrolo[1,2-b]pyrazol-3-yl)pyridin-2-yl]cyclohexane-1-carboxamide Chemical compound C(C)(=O)N[C@H]1C[C@H](CCC1)C(=O)NC1=NC=C(C(=C1)C1=C2N(N=C1)CC(C2)(C)C)Cl AVIWDYSJSPOOAR-LSDHHAIUSA-N 0.000 description 2
- PKYIMGFMRFVOMB-LDLOPFEMSA-N (2R)-2-[5-[3-chloro-2-methyl-4-[2-(4-methylpiperazin-1-yl)ethoxy]phenyl]-6-(4-fluorophenyl)thieno[2,3-d]pyrimidin-4-yl]oxy-3-[2-[[2-(2-methoxyphenyl)pyrimidin-4-yl]methoxy]phenyl]propanoic acid Chemical compound COc1ccccc1-c1nccc(COc2ccccc2C[C@@H](Oc2ncnc3sc(c(-c4ccc(OCCN5CCN(C)CC5)c(Cl)c4C)c23)-c2ccc(F)cc2)C(O)=O)n1 PKYIMGFMRFVOMB-LDLOPFEMSA-N 0.000 description 2
- DLPIYBKBHMZCJI-WBVHZDCISA-N (2r,3s)-3-[[6-[(4,6-dimethylpyridin-3-yl)methylamino]-9-propan-2-ylpurin-2-yl]amino]pentan-2-ol Chemical compound C=12N=CN(C(C)C)C2=NC(N[C@@H](CC)[C@@H](C)O)=NC=1NCC1=CN=C(C)C=C1C DLPIYBKBHMZCJI-WBVHZDCISA-N 0.000 description 2
- UCJZOKGUEJUNIO-IINYFYTJSA-N (3S,4S)-8-[6-amino-5-(2-amino-3-chloropyridin-4-yl)sulfanylpyrazin-2-yl]-3-methyl-2-oxa-8-azaspiro[4.5]decan-4-amine Chemical compound C[C@@H]1OCC2(CCN(CC2)C2=CN=C(SC3=C(Cl)C(N)=NC=C3)C(N)=N2)[C@@H]1N UCJZOKGUEJUNIO-IINYFYTJSA-N 0.000 description 2
- WSMQUUGTQYPVPD-OAHLLOKOSA-N (7r)-2-amino-7-[4-fluoro-2-(6-methoxypyridin-2-yl)phenyl]-4-methyl-7,8-dihydro-6h-pyrido[4,3-d]pyrimidin-5-one Chemical compound COC1=CC=CC(C=2C(=CC=C(F)C=2)[C@@H]2NC(=O)C3=C(C)N=C(N)N=C3C2)=N1 WSMQUUGTQYPVPD-OAHLLOKOSA-N 0.000 description 2
- VNTHYLVDGVBPOU-QQYBVWGSSA-N (7s,9s)-9-acetyl-7-[(2r,4s,5s,6s)-4-amino-5-hydroxy-6-methyloxan-2-yl]oxy-6,9,11-trihydroxy-4-methoxy-8,10-dihydro-7h-tetracene-5,12-dione;2-hydroxypropane-1,2,3-tricarboxylic acid Chemical compound OC(=O)CC(O)(C(O)=O)CC(O)=O.O([C@H]1C[C@@](O)(CC=2C(O)=C3C(=O)C=4C=CC=C(C=4C(=O)C3=C(O)C=21)OC)C(C)=O)[C@H]1C[C@H](N)[C@H](O)[C@H](C)O1 VNTHYLVDGVBPOU-QQYBVWGSSA-N 0.000 description 2
- RORXKSRVCJTFQM-UHFFFAOYSA-N 1,4-dioxa-9-azaspiro[5.5]undecane Chemical compound C1CNCCC21OCCOC2 RORXKSRVCJTFQM-UHFFFAOYSA-N 0.000 description 2
- PLAVWQHGBMTMFR-UHFFFAOYSA-N 1-(2,3-dichlorobenzoyl)-4-[[5-fluoro-6-[(5-methyl-1h-pyrazol-3-yl)amino]pyridin-2-yl]methyl]piperidine-4-carboxylic acid Chemical compound N1C(C)=CC(NC=2C(=CC=C(CC3(CCN(CC3)C(=O)C=3C(=C(Cl)C=CC=3)Cl)C(O)=O)N=2)F)=N1 PLAVWQHGBMTMFR-UHFFFAOYSA-N 0.000 description 2
- IPFOCHMOYUMURK-UHFFFAOYSA-N 1-[3-[4-[2-[4-chloro-2-hydroxy-5-(1-methylcyclopropyl)anilino]acetyl]piperazin-1-yl]azetidin-1-yl]prop-2-en-1-one Chemical compound C=1C(NCC(=O)N2CCN(CC2)C2CN(C2)C(=O)C=C)=C(O)C=C(Cl)C=1C1(C)CC1 IPFOCHMOYUMURK-UHFFFAOYSA-N 0.000 description 2
- VBICKXHEKHSIBG-UHFFFAOYSA-N 1-monostearoylglycerol Chemical compound CCCCCCCCCCCCCCCCCC(=O)OCC(O)CO VBICKXHEKHSIBG-UHFFFAOYSA-N 0.000 description 2
- FNTAOUUEQHKLIU-ZETCQYMHSA-N 1-o-tert-butyl 2-o-methyl (2s)-5-oxopyrrolidine-1,2-dicarboxylate Chemical compound COC(=O)[C@@H]1CCC(=O)N1C(=O)OC(C)(C)C FNTAOUUEQHKLIU-ZETCQYMHSA-N 0.000 description 2
- DGHHQBMTXTWTJV-BQAIUKQQSA-N 119413-54-6 Chemical compound Cl.C1=C(O)C(CN(C)C)=C2C=C(CN3C4=CC5=C(C3=O)COC(=O)[C@]5(O)CC)C4=NC2=C1 DGHHQBMTXTWTJV-BQAIUKQQSA-N 0.000 description 2
- KBQCEQAXHPIRTF-UHFFFAOYSA-N 17-chloro-5,13,14,22-tetramethyl-28-oxa-2,9-dithia-5,6,12,13,22-pentazaheptacyclo[27.7.1.14,7.011,15.016,21.020,24.030,35]octatriaconta-1(36),4(38),6,11,14,16,18,20,23,29(37),30,32,34-tridecaene-23-carboxylic acid Chemical compound CN1N=C2CSCC3=NN(C)C(CSC4=CC(OCCCC5=C(N(C)C6=C5C=CC(Cl)=C6C2=C1C)C(O)=O)=C1C=CC=CC1=C4)=C3 KBQCEQAXHPIRTF-UHFFFAOYSA-N 0.000 description 2
- 125000004206 2,2,2-trifluoroethyl group Chemical group [H]C([H])(*)C(F)(F)F 0.000 description 2
- 125000004778 2,2-difluoroethyl group Chemical group [H]C([H])(*)C([H])(F)F 0.000 description 2
- UEJJHQNACJXSKW-UHFFFAOYSA-N 2-(2,6-dioxopiperidin-3-yl)-1H-isoindole-1,3(2H)-dione Chemical compound O=C1C2=CC=CC=C2C(=O)N1C1CCC(=O)NC1=O UEJJHQNACJXSKW-UHFFFAOYSA-N 0.000 description 2
- OOVTUOCTLAERQD-OJMBIDBESA-N 2-(2-chlorophenyl)-5,7-dihydroxy-8-[(2r,3s)-2-(hydroxymethyl)-1-methylpyrrolidin-3-yl]chromen-4-one;hydrochloride Chemical compound Cl.OC[C@@H]1N(C)CC[C@H]1C1=C(O)C=C(O)C2=C1OC(C=1C(=CC=CC=1)Cl)=CC2=O OOVTUOCTLAERQD-OJMBIDBESA-N 0.000 description 2
- RWEVIPRMPFNTLO-UHFFFAOYSA-N 2-(2-fluoro-4-iodoanilino)-N-(2-hydroxyethoxy)-1,5-dimethyl-6-oxo-3-pyridinecarboxamide Chemical compound CN1C(=O)C(C)=CC(C(=O)NOCCO)=C1NC1=CC=C(I)C=C1F RWEVIPRMPFNTLO-UHFFFAOYSA-N 0.000 description 2
- HZAXFHJVJLSVMW-UHFFFAOYSA-N 2-Aminoethan-1-ol Chemical compound NCCO HZAXFHJVJLSVMW-UHFFFAOYSA-N 0.000 description 2
- VFUXSYAXEKYYMB-UHFFFAOYSA-N 2-[2-ethyl-3,5-dihydroxy-6-[3-methoxy-4-(2-morpholin-4-ylethoxy)benzoyl]phenyl]-n,n-bis(2-methoxyethyl)acetamide Chemical compound CCC1=C(O)C=C(O)C(C(=O)C=2C=C(OC)C(OCCN3CCOCC3)=CC=2)=C1CC(=O)N(CCOC)CCOC VFUXSYAXEKYYMB-UHFFFAOYSA-N 0.000 description 2
- LHGWWAFKVCIILM-AMZGXZFVSA-N 2-[[(2r)-butan-2-yl]amino]-4-n-[(1s,5r)-8-[5-(cyclopropanecarbonyl)pyridin-2-yl]-8-azabicyclo[3.2.1]octan-3-yl]-5-methylbenzene-1,4-dicarboxamide Chemical compound C1=C(C(N)=O)C(N[C@H](C)CC)=CC(C(=O)NC2C[C@H]3CC[C@H](N3C=3N=CC(=CC=3)C(=O)C3CC3)C2)=C1C LHGWWAFKVCIILM-AMZGXZFVSA-N 0.000 description 2
- HZTYDQRUAWIZRE-UHFFFAOYSA-N 2-[[2-[[1-[2-(dimethylamino)-1-oxoethyl]-5-methoxy-2,3-dihydroindol-6-yl]amino]-7H-pyrrolo[2,3-d]pyrimidin-4-yl]amino]-6-fluoro-N-methylbenzamide Chemical compound CNC(=O)C1=C(F)C=CC=C1NC1=C2C=CN=C2NC(NC=2C(=CC=3CCN(C=3C=2)C(=O)CN(C)C)OC)=N1 HZTYDQRUAWIZRE-UHFFFAOYSA-N 0.000 description 2
- PDGKHKMBHVFCMG-UHFFFAOYSA-N 2-[[5-(4-methylpiperazin-1-yl)pyridin-2-yl]amino]spiro[7,8-dihydropyrazino[5,6]pyrrolo[1,2-d]pyrimidine-9,1'-cyclohexane]-6-one Chemical compound C1CN(C)CCN1C(C=N1)=CC=C1NC1=NC=C(C=C2N3C4(CCCCC4)CNC2=O)C3=N1 PDGKHKMBHVFCMG-UHFFFAOYSA-N 0.000 description 2
- LDLCZOVUSADOIV-UHFFFAOYSA-N 2-bromoethanol Chemical compound OCCBr LDLCZOVUSADOIV-UHFFFAOYSA-N 0.000 description 2
- LIOLIMKSCNQPLV-UHFFFAOYSA-N 2-fluoro-n-methyl-4-[7-(quinolin-6-ylmethyl)imidazo[1,2-b][1,2,4]triazin-2-yl]benzamide Chemical compound C1=C(F)C(C(=O)NC)=CC=C1C1=NN2C(CC=3C=C4C=CC=NC4=CC=3)=CN=C2N=C1 LIOLIMKSCNQPLV-UHFFFAOYSA-N 0.000 description 2
- 125000000954 2-hydroxyethyl group Chemical group [H]C([*])([H])C([H])([H])O[H] 0.000 description 2
- 125000004200 2-methoxyethyl group Chemical group [H]C([H])([H])OC([H])([H])C([H])([H])* 0.000 description 2
- YYVPZQADFREIFR-UHFFFAOYSA-N 3,3-difluoropyrrolidine;hydrochloride Chemical compound [Cl-].FC1(F)CC[NH2+]C1 YYVPZQADFREIFR-UHFFFAOYSA-N 0.000 description 2
- HCDMJFOHIXMBOV-UHFFFAOYSA-N 3-(2,6-difluoro-3,5-dimethoxyphenyl)-1-ethyl-8-(morpholin-4-ylmethyl)-4,7-dihydropyrrolo[4,5]pyrido[1,2-d]pyrimidin-2-one Chemical compound C=1C2=C3N(CC)C(=O)N(C=4C(=C(OC)C=C(OC)C=4F)F)CC3=CN=C2NC=1CN1CCOCC1 HCDMJFOHIXMBOV-UHFFFAOYSA-N 0.000 description 2
- XYDNMOZJKOGZLS-NSHDSACASA-N 3-[(1s)-1-imidazo[1,2-a]pyridin-6-ylethyl]-5-(1-methylpyrazol-4-yl)triazolo[4,5-b]pyrazine Chemical compound N1=C2N([C@H](C3=CN4C=CN=C4C=C3)C)N=NC2=NC=C1C=1C=NN(C)C=1 XYDNMOZJKOGZLS-NSHDSACASA-N 0.000 description 2
- RCLQNICOARASSR-SECBINFHSA-N 3-[(2r)-2,3-dihydroxypropyl]-6-fluoro-5-(2-fluoro-4-iodoanilino)-8-methylpyrido[2,3-d]pyrimidine-4,7-dione Chemical compound FC=1C(=O)N(C)C=2N=CN(C[C@@H](O)CO)C(=O)C=2C=1NC1=CC=C(I)C=C1F RCLQNICOARASSR-SECBINFHSA-N 0.000 description 2
- ONBSHRSJOPSEGS-INIZCTEOSA-N 3-[[(1s)-2,2-difluoro-1-hydroxy-7-methylsulfonyl-1,3-dihydroinden-4-yl]oxy]-5-fluorobenzonitrile Chemical compound C=1([C@H](O)C(F)(F)CC=11)C(S(=O)(=O)C)=CC=C1OC1=CC(F)=CC(C#N)=C1 ONBSHRSJOPSEGS-INIZCTEOSA-N 0.000 description 2
- NVVPMZUGELHVMH-UHFFFAOYSA-N 3-ethyl-4-[4-[4-(1-methylpyrazol-4-yl)imidazol-1-yl]-3-propan-2-ylpyrazolo[3,4-b]pyridin-1-yl]benzamide Chemical compound CCC1=CC(C(N)=O)=CC=C1N1C2=NC=CC(N3C=C(N=C3)C3=CN(C)N=C3)=C2C(C(C)C)=N1 NVVPMZUGELHVMH-UHFFFAOYSA-N 0.000 description 2
- XMIIGOLPHOKFCH-UHFFFAOYSA-N 3-phenylpropionic acid Chemical compound OC(=O)CCC1=CC=CC=C1 XMIIGOLPHOKFCH-UHFFFAOYSA-N 0.000 description 2
- YTXSYWAKVMZICI-PVCZSOGJSA-N 4-(carboxymethyl)-2-[(1r)-1-[[2-[(2,5-dichlorobenzoyl)amino]acetyl]amino]-3-methylbutyl]-6-oxo-1,3,2-dioxaborinane-4-carboxylic acid Chemical compound N([C@@H](CC(C)C)B1OC(CC(O)=O)(CC(=O)O1)C(O)=O)C(=O)CNC(=O)C1=CC(Cl)=CC=C1Cl YTXSYWAKVMZICI-PVCZSOGJSA-N 0.000 description 2
- ZLHFILGSQDJULK-UHFFFAOYSA-N 4-[[9-chloro-7-(2-fluoro-6-methoxyphenyl)-5H-pyrimido[5,4-d][2]benzazepin-2-yl]amino]-2-methoxybenzoic acid Chemical compound C1=C(C(O)=O)C(OC)=CC(NC=2N=C3C4=CC=C(Cl)C=C4C(=NCC3=CN=2)C=2C(=CC=CC=2F)OC)=C1 ZLHFILGSQDJULK-UHFFFAOYSA-N 0.000 description 2
- DBPKMSBWOKAKLA-UHFFFAOYSA-N 4-chloropyrimidine Chemical compound ClC1=CC=NC=N1 DBPKMSBWOKAKLA-UHFFFAOYSA-N 0.000 description 2
- NMUSYJAQQFHJEW-KVTDHHQDSA-N 5-azacytidine Chemical compound O=C1N=C(N)N=CN1[C@H]1[C@H](O)[C@H](O)[C@@H](CO)O1 NMUSYJAQQFHJEW-KVTDHHQDSA-N 0.000 description 2
- QIEKHLDZKRQLLN-FOIQADDNSA-N 6-(difluoromethyl)-8-[(1R,2R)-2-hydroxy-2-methylcyclopentyl]-2-[(1-methylsulfonylpiperidin-4-yl)amino]pyrido[2,3-d]pyrimidin-7-one Chemical compound FC(C1=CC2=C(N=C(N=C2)NC2CCN(CC2)S(=O)(=O)C)N(C1=O)[C@H]1[C@](CCC1)(C)O)F QIEKHLDZKRQLLN-FOIQADDNSA-N 0.000 description 2
- BDHMQGDCUCSDHX-UHFFFAOYSA-N 6-oxa-2-azaspiro[3.4]octane Chemical compound C1NCC11COCC1 BDHMQGDCUCSDHX-UHFFFAOYSA-N 0.000 description 2
- VVIAGPKUTFNRDU-UHFFFAOYSA-N 6S-folinic acid Natural products C1NC=2NC(N)=NC(=O)C=2N(C=O)C1CNC1=CC=C(C(=O)NC(CCC(O)=O)C(O)=O)C=C1 VVIAGPKUTFNRDU-UHFFFAOYSA-N 0.000 description 2
- GNMUEVRJHCWKTO-FQEVSTJZSA-N 6h-thieno[3,2-f][1,2,4]triazolo[4,3-a][1,4]diazepine-6-acetamide, 4-(4-chlorophenyl)-n-(4-hydroxyphenyl)-2,3,9-trimethyl-, (6s)- Chemical compound C([C@@H]1N=C(C2=C(N3C(C)=NN=C31)SC(=C2C)C)C=1C=CC(Cl)=CC=1)C(=O)NC1=CC=C(O)C=C1 GNMUEVRJHCWKTO-FQEVSTJZSA-N 0.000 description 2
- STQGQHZAVUOBTE-UHFFFAOYSA-N 7-Cyan-hept-2t-en-4,6-diinsaeure Natural products C1=2C(O)=C3C(=O)C=4C(OC)=CC=CC=4C(=O)C3=C(O)C=2CC(O)(C(C)=O)CC1OC1CC(N)C(O)C(C)O1 STQGQHZAVUOBTE-UHFFFAOYSA-N 0.000 description 2
- RHXHGRAEPCAFML-UHFFFAOYSA-N 7-cyclopentyl-n,n-dimethyl-2-[(5-piperazin-1-ylpyridin-2-yl)amino]pyrrolo[2,3-d]pyrimidine-6-carboxamide Chemical compound N1=C2N(C3CCCC3)C(C(=O)N(C)C)=CC2=CN=C1NC(N=C1)=CC=C1N1CCNCC1 RHXHGRAEPCAFML-UHFFFAOYSA-N 0.000 description 2
- 206010000871 Acute monocytic leukaemia Diseases 0.000 description 2
- 102000004452 Arginase Human genes 0.000 description 2
- 108700024123 Arginases Proteins 0.000 description 2
- BFYIZQONLCFLEV-DAELLWKTSA-N Aromasine Chemical compound O=C1C=C[C@]2(C)[C@H]3CC[C@](C)(C(CC4)=O)[C@@H]4[C@@H]3CC(=C)C2=C1 BFYIZQONLCFLEV-DAELLWKTSA-N 0.000 description 2
- IJGRMHOSHXDMSA-UHFFFAOYSA-N Atomic nitrogen Chemical compound N#N IJGRMHOSHXDMSA-UHFFFAOYSA-N 0.000 description 2
- 102100029822 B- and T-lymphocyte attenuator Human genes 0.000 description 2
- 102100022005 B-lymphocyte antigen CD20 Human genes 0.000 description 2
- 108010074708 B7-H1 Antigen Proteins 0.000 description 2
- 208000032791 BCR-ABL1 positive chronic myelogenous leukemia Diseases 0.000 description 2
- QADPYRIHXKWUSV-UHFFFAOYSA-N BGJ-398 Chemical compound C1CN(CC)CCN1C(C=C1)=CC=C1NC1=CC(N(C)C(=O)NC=2C(=C(OC)C=C(OC)C=2Cl)Cl)=NC=N1 QADPYRIHXKWUSV-UHFFFAOYSA-N 0.000 description 2
- 206010004446 Benign prostatic hyperplasia Diseases 0.000 description 2
- KXDAEFPNCMNJSK-UHFFFAOYSA-N Benzamide Chemical compound NC(=O)C1=CC=CC=C1 KXDAEFPNCMNJSK-UHFFFAOYSA-N 0.000 description 2
- 206010004593 Bile duct cancer Diseases 0.000 description 2
- 206010005003 Bladder cancer Diseases 0.000 description 2
- 206010006187 Breast cancer Diseases 0.000 description 2
- 208000026310 Breast neoplasm Diseases 0.000 description 2
- KHOZDWDKTJARAL-UHFFFAOYSA-N C#CC1=C2C(C(N=CC(C(Cl)=N3)=C4N=C3Cl)=C4F)=CC=CC2=CC=C1F Chemical compound C#CC1=C2C(C(N=CC(C(Cl)=N3)=C4N=C3Cl)=C4F)=CC=CC2=CC=C1F KHOZDWDKTJARAL-UHFFFAOYSA-N 0.000 description 2
- CVUDJSSJKJZBCF-UHFFFAOYSA-N C#CC1=C2C(C(N=CC(C(O)=N3)=C4N=C3O)=C4F)=CC=CC2=CC=C1F Chemical compound C#CC1=C2C(C(N=CC(C(O)=N3)=C4N=C3O)=C4F)=CC=CC2=CC=C1F CVUDJSSJKJZBCF-UHFFFAOYSA-N 0.000 description 2
- GWSLEBFRXGGQEO-UHFFFAOYSA-N CC(C)(C)OC(N1CC(CC(C)(C2)O)C2C1)=O Chemical compound CC(C)(C)OC(N1CC(CC(C)(C2)O)C2C1)=O GWSLEBFRXGGQEO-UHFFFAOYSA-N 0.000 description 2
- RBMAPLGMHDFYHT-UHFFFAOYSA-N CC(C)[Si](C(C)C)(C(C)C)C#CC1=C2C(C(N=CC(C(O)=N3)=C4N=C3O)=C4F)=CC=CC2=CC=C1F Chemical compound CC(C)[Si](C(C)C)(C(C)C)C#CC1=C2C(C(N=CC(C(O)=N3)=C4N=C3O)=C4F)=CC=CC2=CC=C1F RBMAPLGMHDFYHT-UHFFFAOYSA-N 0.000 description 2
- 102100027207 CD27 antigen Human genes 0.000 description 2
- 102100038078 CD276 antigen Human genes 0.000 description 2
- 101710185679 CD276 antigen Proteins 0.000 description 2
- SCJNYBYSTCRPAO-LXBQGUBHSA-N CN(C)C\C=C\C(=O)NC1=CC=C(N=C1)C(=O)N[C@@]1(C)CCC[C@H](C1)NC1=NC(C2=CNC3=CC=CC=C23)=C(Cl)C=N1 Chemical compound CN(C)C\C=C\C(=O)NC1=CC=C(N=C1)C(=O)N[C@@]1(C)CCC[C@H](C1)NC1=NC(C2=CNC3=CC=CC=C23)=C(Cl)C=N1 SCJNYBYSTCRPAO-LXBQGUBHSA-N 0.000 description 2
- GAGWJHPBXLXJQN-UORFTKCHSA-N Capecitabine Chemical compound C1=C(F)C(NC(=O)OCCCCC)=NC(=O)N1[C@H]1[C@H](O)[C@H](O)[C@@H](C)O1 GAGWJHPBXLXJQN-UORFTKCHSA-N 0.000 description 2
- CURLTUGMZLYLDI-UHFFFAOYSA-N Carbon dioxide Chemical compound O=C=O CURLTUGMZLYLDI-UHFFFAOYSA-N 0.000 description 2
- 208000005623 Carcinogenesis Diseases 0.000 description 2
- 201000009030 Carcinoma Diseases 0.000 description 2
- 206010008342 Cervix carcinoma Diseases 0.000 description 2
- 108010019670 Chimeric Antigen Receptors Proteins 0.000 description 2
- ZAMOUSCENKQFHK-UHFFFAOYSA-N Chlorine atom Chemical compound [Cl] ZAMOUSCENKQFHK-UHFFFAOYSA-N 0.000 description 2
- YQQZZYYQTCPEAS-OYLFLEFRSA-N ClC=1C(=C(C=CC=1)CN1[C@@H](C[C@@](CC1)(C(=O)O)CC1=NC(=CC=C1F)NC1=NNC(=C1)C)C)F Chemical compound ClC=1C(=C(C=CC=1)CN1[C@@H](C[C@@](CC1)(C(=O)O)CC1=NC(=CC=C1F)NC1=NNC(=C1)C)C)F YQQZZYYQTCPEAS-OYLFLEFRSA-N 0.000 description 2
- 102100026810 Cyclin-dependent kinase 7 Human genes 0.000 description 2
- 102100024457 Cyclin-dependent kinase 9 Human genes 0.000 description 2
- RGHNJXZEOKUKBD-SQOUGZDYSA-N D-gluconic acid Chemical group OC[C@@H](O)[C@@H](O)[C@H](O)[C@@H](O)C(O)=O RGHNJXZEOKUKBD-SQOUGZDYSA-N 0.000 description 2
- 108010092160 Dactinomycin Proteins 0.000 description 2
- AOJJSUZBOXZQNB-TZSSRYMLSA-N Doxorubicin Chemical compound O([C@H]1C[C@@](O)(CC=2C(O)=C3C(=O)C=4C=CC=C(C=4C(=O)C3=C(O)C=21)OC)C(=O)CO)[C@H]1C[C@H](N)[C@H](O)[C@H](C)O1 AOJJSUZBOXZQNB-TZSSRYMLSA-N 0.000 description 2
- 102000001301 EGF receptor Human genes 0.000 description 2
- 108060006698 EGF receptor Proteins 0.000 description 2
- 206010014733 Endometrial cancer Diseases 0.000 description 2
- 206010014759 Endometrial neoplasm Diseases 0.000 description 2
- HKVAMNSJSFKALM-GKUWKFKPSA-N Everolimus Chemical compound C1C[C@@H](OCCO)[C@H](OC)C[C@@H]1C[C@@H](C)[C@H]1OC(=O)[C@@H]2CCCCN2C(=O)C(=O)[C@](O)(O2)[C@H](C)CC[C@H]2C[C@H](OC)/C(C)=C/C=C/C=C/[C@@H](C)C[C@@H](C)C(=O)[C@H](OC)[C@H](O)/C(C)=C/[C@@H](C)C(=O)C1 HKVAMNSJSFKALM-GKUWKFKPSA-N 0.000 description 2
- LOMMPXLFBTZENJ-ZACQAIPSSA-N F[C@H]1[C@H](C2=C(C=CC(=C2[C@H]1F)OC=1C=C(C#N)C=C(C=1)F)S(=O)(=O)C)O Chemical compound F[C@H]1[C@H](C2=C(C=CC(=C2[C@H]1F)OC=1C=C(C#N)C=C(C=1)F)S(=O)(=O)C)O LOMMPXLFBTZENJ-ZACQAIPSSA-N 0.000 description 2
- PXGOKWXKJXAPGV-UHFFFAOYSA-N Fluorine Chemical compound FF PXGOKWXKJXAPGV-UHFFFAOYSA-N 0.000 description 2
- WSFSSNUMVMOOMR-UHFFFAOYSA-N Formaldehyde Chemical compound O=C WSFSSNUMVMOOMR-UHFFFAOYSA-N 0.000 description 2
- VWUXBMIQPBEWFH-WCCTWKNTSA-N Fulvestrant Chemical compound OC1=CC=C2[C@H]3CC[C@](C)([C@H](CC4)O)[C@@H]4[C@@H]3[C@H](CCCCCCCCCS(=O)CCCC(F)(F)C(F)(F)F)CC2=C1 VWUXBMIQPBEWFH-WCCTWKNTSA-N 0.000 description 2
- VZCYOOQTPOCHFL-OWOJBTEDSA-N Fumaric acid Chemical compound OC(=O)\C=C\C(O)=O VZCYOOQTPOCHFL-OWOJBTEDSA-N 0.000 description 2
- 102000018898 GTPase-Activating Proteins Human genes 0.000 description 2
- 108091006094 GTPase-accelerating proteins Proteins 0.000 description 2
- 208000022072 Gallbladder Neoplasms Diseases 0.000 description 2
- RVAQIUULWULRNW-UHFFFAOYSA-N Ganetespib Chemical compound C1=C(O)C(C(C)C)=CC(C=2N(C(O)=NN=2)C=2C=C3C=CN(C)C3=CC=2)=C1O RVAQIUULWULRNW-UHFFFAOYSA-N 0.000 description 2
- 206010051066 Gastrointestinal stromal tumour Diseases 0.000 description 2
- 108010010803 Gelatin Proteins 0.000 description 2
- WQZGKKKJIJFFOK-GASJEMHNSA-N Glucose Natural products OC[C@H]1OC(O)[C@H](O)[C@@H](O)[C@@H]1O WQZGKKKJIJFFOK-GASJEMHNSA-N 0.000 description 2
- AEMRFAOFKBGASW-UHFFFAOYSA-N Glycolic acid Chemical compound OCC(O)=O AEMRFAOFKBGASW-UHFFFAOYSA-N 0.000 description 2
- 239000000579 Gonadotropin-Releasing Hormone Substances 0.000 description 2
- 102100039619 Granulocyte colony-stimulating factor Human genes 0.000 description 2
- 102000002812 Heat-Shock Proteins Human genes 0.000 description 2
- 108010004889 Heat-Shock Proteins Proteins 0.000 description 2
- 102100034458 Hepatitis A virus cellular receptor 2 Human genes 0.000 description 2
- 208000017604 Hodgkin disease Diseases 0.000 description 2
- 208000021519 Hodgkin lymphoma Diseases 0.000 description 2
- 208000010747 Hodgkins lymphoma Diseases 0.000 description 2
- 241000282412 Homo Species 0.000 description 2
- 101000864344 Homo sapiens B- and T-lymphocyte attenuator Proteins 0.000 description 2
- 101000897405 Homo sapiens B-lymphocyte antigen CD20 Proteins 0.000 description 2
- 101000914511 Homo sapiens CD27 antigen Proteins 0.000 description 2
- 101000911952 Homo sapiens Cyclin-dependent kinase 7 Proteins 0.000 description 2
- 101000980930 Homo sapiens Cyclin-dependent kinase 9 Proteins 0.000 description 2
- 101001068133 Homo sapiens Hepatitis A virus cellular receptor 2 Proteins 0.000 description 2
- 101000914514 Homo sapiens T-cell-specific surface glycoprotein CD28 Proteins 0.000 description 2
- 101000666896 Homo sapiens V-type immunoglobulin domain-containing suppressor of T-cell activation Proteins 0.000 description 2
- 229920002153 Hydroxypropyl cellulose Polymers 0.000 description 2
- 206010061218 Inflammation Diseases 0.000 description 2
- 102000006992 Interferon-alpha Human genes 0.000 description 2
- 108010047761 Interferon-alpha Proteins 0.000 description 2
- 102000003815 Interleukin-11 Human genes 0.000 description 2
- 108090000177 Interleukin-11 Proteins 0.000 description 2
- 108010002350 Interleukin-2 Proteins 0.000 description 2
- 102000000588 Interleukin-2 Human genes 0.000 description 2
- SHGAZHPCJJPHSC-NUEINMDLSA-N Isotretinoin Chemical compound OC(=O)C=C(C)/C=C/C=C(C)C=CC1=C(C)CCCC1(C)C SHGAZHPCJJPHSC-NUEINMDLSA-N 0.000 description 2
- 229940123830 K-Ras inhibitor Drugs 0.000 description 2
- 108010043610 KIR Receptors Proteins 0.000 description 2
- 101150105104 Kras gene Proteins 0.000 description 2
- 239000005517 L01XE01 - Imatinib Substances 0.000 description 2
- 239000005511 L01XE05 - Sorafenib Substances 0.000 description 2
- 239000002067 L01XE06 - Dasatinib Substances 0.000 description 2
- 239000002145 L01XE14 - Bosutinib Substances 0.000 description 2
- 239000002146 L01XE16 - Crizotinib Substances 0.000 description 2
- UIARLYUEJFELEN-LROUJFHJSA-N LSM-1231 Chemical compound C12=C3N4C5=CC=CC=C5C3=C3C(=O)NCC3=C2C2=CC=CC=C2N1[C@]1(C)[C@](CO)(O)C[C@H]4O1 UIARLYUEJFELEN-LROUJFHJSA-N 0.000 description 2
- GUBGYTABKSRVRQ-QKKXKWKRSA-N Lactose Natural products OC[C@H]1O[C@@H](O[C@H]2[C@H](O)[C@@H](O)C(O)O[C@@H]2CO)[C@H](O)[C@@H](O)[C@H]1O GUBGYTABKSRVRQ-QKKXKWKRSA-N 0.000 description 2
- 108010000817 Leuprolide Proteins 0.000 description 2
- 229910010084 LiAlH4 Inorganic materials 0.000 description 2
- GQYIWUVLTXOXAJ-UHFFFAOYSA-N Lomustine Chemical compound ClCCN(N=O)C(=O)NC1CCCCC1 GQYIWUVLTXOXAJ-UHFFFAOYSA-N 0.000 description 2
- 208000031422 Lymphocytic Chronic B-Cell Leukemia Diseases 0.000 description 2
- FQISKWAFAHGMGT-SGJOWKDISA-M Methylprednisolone sodium succinate Chemical compound [Na+].C([C@@]12C)=CC(=O)C=C1[C@@H](C)C[C@@H]1[C@@H]2[C@@H](O)C[C@]2(C)[C@@](O)(C(=O)COC(=O)CCC([O-])=O)CC[C@H]21 FQISKWAFAHGMGT-SGJOWKDISA-M 0.000 description 2
- 208000035489 Monocytic Acute Leukemia Diseases 0.000 description 2
- YNAVUWVOSKDBBP-UHFFFAOYSA-N Morpholine Chemical compound C1COCCN1 YNAVUWVOSKDBBP-UHFFFAOYSA-N 0.000 description 2
- 208000003445 Mouth Neoplasms Diseases 0.000 description 2
- NWIBSHFKIJFRCO-WUDYKRTCSA-N Mytomycin Chemical compound C1N2C(C(C(C)=C(N)C3=O)=O)=C3[C@@H](COC(N)=O)[C@@]2(OC)[C@@H]2[C@H]1N2 NWIBSHFKIJFRCO-WUDYKRTCSA-N 0.000 description 2
- ZDZOTLJHXYCWBA-VCVYQWHSSA-N N-debenzoyl-N-(tert-butoxycarbonyl)-10-deacetyltaxol Chemical compound O([C@H]1[C@H]2[C@@](C([C@H](O)C3=C(C)[C@@H](OC(=O)[C@H](O)[C@@H](NC(=O)OC(C)(C)C)C=4C=CC=CC=4)C[C@]1(O)C3(C)C)=O)(C)[C@@H](O)C[C@H]1OC[C@]12OC(=O)C)C(=O)C1=CC=CC=C1 ZDZOTLJHXYCWBA-VCVYQWHSSA-N 0.000 description 2
- CXQHYVUVSFXTMY-UHFFFAOYSA-N N1'-[3-fluoro-4-[[6-methoxy-7-[3-(4-morpholinyl)propoxy]-4-quinolinyl]oxy]phenyl]-N1-(4-fluorophenyl)cyclopropane-1,1-dicarboxamide Chemical compound C1=CN=C2C=C(OCCCN3CCOCC3)C(OC)=CC2=C1OC(C(=C1)F)=CC=C1NC(=O)C1(C(=O)NC=2C=CC(F)=CC=2)CC1 CXQHYVUVSFXTMY-UHFFFAOYSA-N 0.000 description 2
- 229910017906 NH3H2O Inorganic materials 0.000 description 2
- 208000015914 Non-Hodgkin lymphomas Diseases 0.000 description 2
- 102000004473 OX40 Ligand Human genes 0.000 description 2
- 108010042215 OX40 Ligand Proteins 0.000 description 2
- 241000283973 Oryctolagus cuniculus Species 0.000 description 2
- SUDAHWBOROXANE-SECBINFHSA-N PD 0325901 Chemical compound OC[C@@H](O)CONC(=O)C1=CC=C(F)C(F)=C1NC1=CC=C(I)C=C1F SUDAHWBOROXANE-SECBINFHSA-N 0.000 description 2
- 229930012538 Paclitaxel Natural products 0.000 description 2
- NBIIXXVUZAFLBC-UHFFFAOYSA-N Phosphoric acid Chemical compound OP(O)(O)=O NBIIXXVUZAFLBC-UHFFFAOYSA-N 0.000 description 2
- 102100024216 Programmed cell death 1 ligand 1 Human genes 0.000 description 2
- 208000004403 Prostatic Hyperplasia Diseases 0.000 description 2
- LCTONWCANYUPML-UHFFFAOYSA-N Pyruvic acid Chemical compound CC(=O)C(O)=O LCTONWCANYUPML-UHFFFAOYSA-N 0.000 description 2
- 102100023320 Ral guanine nucleotide dissociation stimulator Human genes 0.000 description 2
- 101150015043 Ralgds gene Proteins 0.000 description 2
- 206010039491 Sarcoma Diseases 0.000 description 2
- WQDUMFSSJAZKTM-UHFFFAOYSA-N Sodium methoxide Chemical compound [Na+].[O-]C WQDUMFSSJAZKTM-UHFFFAOYSA-N 0.000 description 2
- 101000857870 Squalus acanthias Gonadoliberin Proteins 0.000 description 2
- 229920002472 Starch Polymers 0.000 description 2
- 238000006619 Stille reaction Methods 0.000 description 2
- CZMRCDWAGMRECN-UGDNZRGBSA-N Sucrose Chemical compound O[C@H]1[C@H](O)[C@@H](CO)O[C@@]1(CO)O[C@@H]1[C@H](O)[C@@H](O)[C@H](O)[C@@H](CO)O1 CZMRCDWAGMRECN-UGDNZRGBSA-N 0.000 description 2
- 229930006000 Sucrose Natural products 0.000 description 2
- QAOWNCQODCNURD-UHFFFAOYSA-N Sulfuric acid Chemical compound OS(O)(=O)=O QAOWNCQODCNURD-UHFFFAOYSA-N 0.000 description 2
- 102100027213 T-cell-specific surface glycoprotein CD28 Human genes 0.000 description 2
- 210000001744 T-lymphocyte Anatomy 0.000 description 2
- CBPNZQVSJQDFBE-FUXHJELOSA-N Temsirolimus Chemical compound C1C[C@@H](OC(=O)C(C)(CO)CO)[C@H](OC)C[C@@H]1C[C@@H](C)[C@H]1OC(=O)[C@@H]2CCCCN2C(=O)C(=O)[C@](O)(O2)[C@H](C)CC[C@H]2C[C@H](OC)/C(C)=C/C=C/C=C/[C@@H](C)C[C@@H](C)C(=O)[C@H](OC)[C@H](O)/C(C)=C/[C@@H](C)C(=O)C1 CBPNZQVSJQDFBE-FUXHJELOSA-N 0.000 description 2
- 208000024770 Thyroid neoplasm Diseases 0.000 description 2
- XSQUKJJJFZCRTK-UHFFFAOYSA-N Urea Chemical compound NC(N)=O XSQUKJJJFZCRTK-UHFFFAOYSA-N 0.000 description 2
- 208000007097 Urinary Bladder Neoplasms Diseases 0.000 description 2
- 208000006105 Uterine Cervical Neoplasms Diseases 0.000 description 2
- 108010079206 V-Set Domain-Containing T-Cell Activation Inhibitor 1 Proteins 0.000 description 2
- 102100038929 V-set domain-containing T-cell activation inhibitor 1 Human genes 0.000 description 2
- 102100038282 V-type immunoglobulin domain-containing suppressor of T-cell activation Human genes 0.000 description 2
- 108010073929 Vascular Endothelial Growth Factor A Proteins 0.000 description 2
- 102000005789 Vascular Endothelial Growth Factors Human genes 0.000 description 2
- 108010019530 Vascular Endothelial Growth Factors Proteins 0.000 description 2
- YYLKKYCXAOBSRM-JXMROGBWSA-N [4-[(e)-2-(1h-indazol-3-yl)ethenyl]phenyl]-piperazin-1-ylmethanone Chemical compound C=1C=C(\C=C\C=2C3=CC=CC=C3NN=2)C=CC=1C(=O)N1CCNCC1 YYLKKYCXAOBSRM-JXMROGBWSA-N 0.000 description 2
- 239000002253 acid Substances 0.000 description 2
- RJURFGZVJUQBHK-IIXSONLDSA-N actinomycin D Chemical compound C[C@H]1OC(=O)[C@H](C(C)C)N(C)C(=O)CN(C)C(=O)[C@@H]2CCCN2C(=O)[C@@H](C(C)C)NC(=O)[C@H]1NC(=O)C1=C(N)C(=O)C(C)=C2OC(C(C)=CC=C3C(=O)N[C@@H]4C(=O)N[C@@H](C(N5CCC[C@H]5C(=O)N(C)CC(=O)N(C)[C@@H](C(C)C)C(=O)O[C@@H]4C)=O)C(C)C)=C3N=C21 RJURFGZVJUQBHK-IIXSONLDSA-N 0.000 description 2
- 230000004913 activation Effects 0.000 description 2
- 239000000556 agonist Substances 0.000 description 2
- KDGFLJKFZUIJMX-UHFFFAOYSA-N alectinib Chemical compound CCC1=CC=2C(=O)C(C3=CC=C(C=C3N3)C#N)=C3C(C)(C)C=2C=C1N(CC1)CCC1N1CCOCC1 KDGFLJKFZUIJMX-UHFFFAOYSA-N 0.000 description 2
- 229950010817 alvocidib Drugs 0.000 description 2
- ROBVIMPUHSLWNV-UHFFFAOYSA-N aminoglutethimide Chemical compound C=1C=C(N)C=CC=1C1(CC)CCC(=O)NC1=O ROBVIMPUHSLWNV-UHFFFAOYSA-N 0.000 description 2
- 229910021529 ammonia Inorganic materials 0.000 description 2
- TVWRQCIPWUCNMI-UHFFFAOYSA-N anagrelide hydrochloride Chemical compound Cl.N1=C2NC(=O)CN2CC2=C(Cl)C(Cl)=CC=C21 TVWRQCIPWUCNMI-UHFFFAOYSA-N 0.000 description 2
- YBBLVLTVTVSKRW-UHFFFAOYSA-N anastrozole Chemical compound N#CC(C)(C)C1=CC(C(C)(C#N)C)=CC(CN2N=CN=C2)=C1 YBBLVLTVTVSKRW-UHFFFAOYSA-N 0.000 description 2
- 239000005557 antagonist Substances 0.000 description 2
- 229940034982 antineoplastic agent Drugs 0.000 description 2
- RITAVMQDGBJQJZ-FMIVXFBMSA-N axitinib Chemical compound CNC(=O)C1=CC=CC=C1SC1=CC=C(C(\C=C\C=2N=CC=CC=2)=NN2)C2=C1 RITAVMQDGBJQJZ-FMIVXFBMSA-N 0.000 description 2
- 229950002365 bafetinib Drugs 0.000 description 2
- WPYMKLBDIGXBTP-UHFFFAOYSA-N benzoic acid Chemical compound OC(=O)C1=CC=CC=C1 WPYMKLBDIGXBTP-UHFFFAOYSA-N 0.000 description 2
- 125000001164 benzothiazolyl group Chemical group S1C(=NC2=C1C=CC=C2)* 0.000 description 2
- QGJNFDXTCSGVHG-CHWSQXEVSA-N benzyl (3r,4r)-3-(2-bromoethoxy)-4-hydroxypyrrolidine-1-carboxylate Chemical compound C1[C@@H](OCCBr)[C@H](O)CN1C(=O)OCC1=CC=CC=C1 QGJNFDXTCSGVHG-CHWSQXEVSA-N 0.000 description 2
- 125000001797 benzyl group Chemical group [H]C1=C([H])C([H])=C(C([H])=C1[H])C([H])([H])* 0.000 description 2
- WGQKYBSKWIADBV-UHFFFAOYSA-N benzylamine Chemical compound NCC1=CC=CC=C1 WGQKYBSKWIADBV-UHFFFAOYSA-N 0.000 description 2
- WQZGKKKJIJFFOK-VFUOTHLCSA-N beta-D-glucose Chemical compound OC[C@H]1O[C@@H](O)[C@H](O)[C@@H](O)[C@@H]1O WQZGKKKJIJFFOK-VFUOTHLCSA-N 0.000 description 2
- 208000026900 bile duct neoplasm Diseases 0.000 description 2
- ACWZRVQXLIRSDF-UHFFFAOYSA-N binimetinib Chemical compound OCCONC(=O)C=1C=C2N(C)C=NC2=C(F)C=1NC1=CC=C(Br)C=C1F ACWZRVQXLIRSDF-UHFFFAOYSA-N 0.000 description 2
- HTJWUNNIRKDDIV-UHFFFAOYSA-N bis(1-adamantyl)-butylphosphane Chemical compound C1C(C2)CC(C3)CC2CC13P(CCCC)C1(C2)CC(C3)CC2CC3C1 HTJWUNNIRKDDIV-UHFFFAOYSA-N 0.000 description 2
- 125000005620 boronic acid group Chemical group 0.000 description 2
- GXJABQQUPOEUTA-RDJZCZTQSA-N bortezomib Chemical compound C([C@@H](C(=O)N[C@@H](CC(C)C)B(O)O)NC(=O)C=1N=CC=NC=1)C1=CC=CC=C1 GXJABQQUPOEUTA-RDJZCZTQSA-N 0.000 description 2
- 229950005993 brivanib alaninate Drugs 0.000 description 2
- LTEJRLHKIYCEOX-OCCSQVGLSA-N brivanib alaninate Chemical compound C1=C2NC(C)=CC2=C(F)C(OC2=NC=NN3C=C(C(=C32)C)OC[C@@H](C)OC(=O)[C@H](C)N)=C1 LTEJRLHKIYCEOX-OCCSQVGLSA-N 0.000 description 2
- 230000036952 cancer formation Effects 0.000 description 2
- 229940022399 cancer vaccine Drugs 0.000 description 2
- 231100000504 carcinogenesis Toxicity 0.000 description 2
- 208000002458 carcinoid tumor Diseases 0.000 description 2
- BLMPQMFVWMYDKT-NZTKNTHTSA-N carfilzomib Chemical compound C([C@@H](C(=O)N[C@@H](CC(C)C)C(=O)N[C@@H](CC=1C=CC=CC=1)C(=O)N[C@@H](CC(C)C)C(=O)[C@]1(C)OC1)NC(=O)CN1CCOCC1)CC1=CC=CC=C1 BLMPQMFVWMYDKT-NZTKNTHTSA-N 0.000 description 2
- 230000006369 cell cycle progression Effects 0.000 description 2
- 239000013592 cell lysate Substances 0.000 description 2
- 230000004663 cell proliferation Effects 0.000 description 2
- 210000003169 central nervous system Anatomy 0.000 description 2
- 201000010881 cervical cancer Diseases 0.000 description 2
- 229910052801 chlorine Inorganic materials 0.000 description 2
- 125000004218 chloromethyl group Chemical group [H]C([H])(Cl)* 0.000 description 2
- 208000006990 cholangiocarcinoma Diseases 0.000 description 2
- 238000004587 chromatography analysis Methods 0.000 description 2
- 239000012230 colorless oil Substances 0.000 description 2
- DYNHJHQFHQTFTP-UHFFFAOYSA-N crenolanib Chemical compound C=1C=C2N(C=3N=C4C(N5CCC(N)CC5)=CC=CC4=CC=3)C=NC2=CC=1OCC1(C)COC1 DYNHJHQFHQTFTP-UHFFFAOYSA-N 0.000 description 2
- 229960005061 crizotinib Drugs 0.000 description 2
- 125000004966 cyanoalkyl group Chemical group 0.000 description 2
- 230000001351 cycling effect Effects 0.000 description 2
- 125000000113 cyclohexyl group Chemical group [H]C1([H])C([H])([H])C([H])([H])C([H])(*)C([H])([H])C1([H])[H] 0.000 description 2
- 125000004210 cyclohexylmethyl group Chemical group [H]C([H])(*)C1([H])C([H])([H])C([H])([H])C([H])([H])C([H])([H])C1([H])[H] 0.000 description 2
- 125000000151 cysteine group Chemical group N[C@@H](CS)C(=O)* 0.000 description 2
- 229960000684 cytarabine Drugs 0.000 description 2
- 229940127089 cytotoxic agent Drugs 0.000 description 2
- 239000002254 cytotoxic agent Substances 0.000 description 2
- 231100000599 cytotoxic agent Toxicity 0.000 description 2
- BFSMGDJOXZAERB-UHFFFAOYSA-N dabrafenib Chemical compound S1C(C(C)(C)C)=NC(C=2C(=C(NS(=O)(=O)C=3C(=CC=CC=3F)F)C=CC=2)F)=C1C1=CC=NC(N)=N1 BFSMGDJOXZAERB-UHFFFAOYSA-N 0.000 description 2
- 229960000640 dactinomycin Drugs 0.000 description 2
- 229950006418 dactolisib Drugs 0.000 description 2
- 229960002448 dasatinib Drugs 0.000 description 2
- STQGQHZAVUOBTE-VGBVRHCVSA-N daunorubicin Chemical compound O([C@H]1C[C@@](O)(CC=2C(O)=C3C(=O)C=4C=CC=C(C=4C(=O)C3=C(O)C=21)OC)C(C)=O)[C@H]1C[C@H](N)[C@H](O)[C@H](C)O1 STQGQHZAVUOBTE-VGBVRHCVSA-N 0.000 description 2
- 229960003603 decitabine Drugs 0.000 description 2
- SJFBTAPEPRWNKH-CCKFTAQKSA-N delanzomib Chemical compound CC(C)C[C@@H](B(O)O)NC(=O)[C@H]([C@@H](C)O)NC(=O)C1=CC=CC(C=2C=CC=CC=2)=N1 SJFBTAPEPRWNKH-CCKFTAQKSA-N 0.000 description 2
- NKLCNNUWBJBICK-UHFFFAOYSA-N dess–martin periodinane Chemical compound C1=CC=C2I(OC(=O)C)(OC(C)=O)(OC(C)=O)OC(=O)C2=C1 NKLCNNUWBJBICK-UHFFFAOYSA-N 0.000 description 2
- UREBDLICKHMUKA-CXSFZGCWSA-N dexamethasone Chemical compound C1CC2=CC(=O)C=C[C@]2(C)[C@]2(F)[C@@H]1[C@@H]1C[C@@H](C)[C@@](C(=O)CO)(O)[C@@]1(C)C[C@@H]2O UREBDLICKHMUKA-CXSFZGCWSA-N 0.000 description 2
- AXYCCUUFBQELMR-UHFFFAOYSA-N diethyl 1-benzyl-3,4-dihydroxypyrrole-2,5-dicarboxylate Chemical compound CCOC(=O)C1=C(O)C(O)=C(C(=O)OCC)N1CC1=CC=CC=C1 AXYCCUUFBQELMR-UHFFFAOYSA-N 0.000 description 2
- 239000003937 drug carrier Substances 0.000 description 2
- 238000007876 drug discovery Methods 0.000 description 2
- 229960004137 elotuzumab Drugs 0.000 description 2
- 208000014616 embryonal neoplasm Diseases 0.000 description 2
- 239000000839 emulsion Substances 0.000 description 2
- GTTBEUCJPZQMDZ-UHFFFAOYSA-N erlotinib hydrochloride Chemical compound [H+].[Cl-].C=12C=C(OCCOC)C(OCCOC)=CC2=NC=NC=1NC1=CC=CC(C#C)=C1 GTTBEUCJPZQMDZ-UHFFFAOYSA-N 0.000 description 2
- HIZZJSBSOJLOQQ-UHFFFAOYSA-N ethyl 2-[benzyl-(2-ethoxy-2-oxoethyl)amino]acetate Chemical compound CCOC(=O)CN(CC(=O)OCC)CC1=CC=CC=C1 HIZZJSBSOJLOQQ-UHFFFAOYSA-N 0.000 description 2
- VJJPUSNTGOMMGY-MRVIYFEKSA-N etoposide Chemical compound COC1=C(O)C(OC)=CC([C@@H]2C3=CC=4OCOC=4C=C3[C@@H](O[C@H]3[C@@H]([C@@H](O)[C@@H]4O[C@H](C)OC[C@H]4O3)O)[C@@H]3[C@@H]2C(OC3)=O)=C1 VJJPUSNTGOMMGY-MRVIYFEKSA-N 0.000 description 2
- 229910052731 fluorine Inorganic materials 0.000 description 2
- 239000011737 fluorine Substances 0.000 description 2
- YLRFCQOZQXIBAB-RBZZARIASA-N fluoxymesterone Chemical compound C1CC2=CC(=O)CC[C@]2(C)[C@]2(F)[C@@H]1[C@@H]1CC[C@](C)(O)[C@@]1(C)C[C@@H]2O YLRFCQOZQXIBAB-RBZZARIASA-N 0.000 description 2
- IJJVMEJXYNJXOJ-UHFFFAOYSA-N fluquinconazole Chemical compound C=1C=C(Cl)C=C(Cl)C=1N1C(=O)C2=CC(F)=CC=C2N=C1N1C=NC=N1 IJJVMEJXYNJXOJ-UHFFFAOYSA-N 0.000 description 2
- MKXKFYHWDHIYRV-UHFFFAOYSA-N flutamide Chemical compound CC(C)C(=O)NC1=CC=C([N+]([O-])=O)C(C(F)(F)F)=C1 MKXKFYHWDHIYRV-UHFFFAOYSA-N 0.000 description 2
- 108020001507 fusion proteins Proteins 0.000 description 2
- 102000037865 fusion proteins Human genes 0.000 description 2
- 201000010175 gallbladder cancer Diseases 0.000 description 2
- 201000011243 gastrointestinal stromal tumor Diseases 0.000 description 2
- 239000008273 gelatin Substances 0.000 description 2
- 229920000159 gelatin Polymers 0.000 description 2
- 235000019322 gelatine Nutrition 0.000 description 2
- 235000011852 gelatine desserts Nutrition 0.000 description 2
- OKKDEIYWILRZIA-OSZBKLCCSA-N gemcitabine hydrochloride Chemical compound [H+].[Cl-].O=C1N=C(N)C=CN1[C@H]1C(F)(F)[C@H](O)[C@@H](CO)O1 OKKDEIYWILRZIA-OSZBKLCCSA-N 0.000 description 2
- XLXSAKCOAKORKW-AQJXLSMYSA-N gonadorelin Chemical compound C([C@@H](C(=O)NCC(=O)N[C@@H](CC(C)C)C(=O)N[C@@H](CCCNC(N)=N)C(=O)N1[C@@H](CCC1)C(=O)NCC(N)=O)NC(=O)[C@H](CO)NC(=O)[C@H](CC=1C2=CC=CC=C2NC=1)NC(=O)[C@H](CC=1N=CNC=1)NC(=O)[C@H]1NC(=O)CC1)C1=CC=C(O)C=C1 XLXSAKCOAKORKW-AQJXLSMYSA-N 0.000 description 2
- 229940035638 gonadotropin-releasing hormone Drugs 0.000 description 2
- 230000012010 growth Effects 0.000 description 2
- 208000024348 heart neoplasm Diseases 0.000 description 2
- 125000000592 heterocycloalkyl group Chemical group 0.000 description 2
- JYGXADMDTFJGBT-VWUMJDOOSA-N hydrocortisone Chemical compound O=C1CC[C@]2(C)[C@H]3[C@@H](O)C[C@](C)([C@@](CC4)(O)C(=O)CO)[C@@H]4[C@@H]3CCC2=C1 JYGXADMDTFJGBT-VWUMJDOOSA-N 0.000 description 2
- 235000010977 hydroxypropyl cellulose Nutrition 0.000 description 2
- 230000003463 hyperproliferative effect Effects 0.000 description 2
- 229940121569 ieramilimab Drugs 0.000 description 2
- 229960002411 imatinib Drugs 0.000 description 2
- YLMAHDNUQAMNNX-UHFFFAOYSA-N imatinib methanesulfonate Chemical compound CS(O)(=O)=O.C1CN(C)CCN1CC1=CC=C(C(=O)NC=2C=C(NC=3N=C(C=CN=3)C=3C=NC=CC=3)C(C)=CC=2)C=C1 YLMAHDNUQAMNNX-UHFFFAOYSA-N 0.000 description 2
- 230000004054 inflammatory process Effects 0.000 description 2
- 229950004101 inotuzumab ozogamicin Drugs 0.000 description 2
- 229940074383 interleukin-11 Drugs 0.000 description 2
- 238000007918 intramuscular administration Methods 0.000 description 2
- 238000001990 intravenous administration Methods 0.000 description 2
- UWKQSNNFCGGAFS-XIFFEERXSA-N irinotecan Chemical compound C1=C2C(CC)=C3CN(C(C4=C([C@@](C(=O)OC4)(O)CC)C=4)=O)C=4C3=NC2=CC=C1OC(=O)N(CC1)CCC1N1CCCCC1 UWKQSNNFCGGAFS-XIFFEERXSA-N 0.000 description 2
- SUMDYPCJJOFFON-UHFFFAOYSA-N isethionic acid Chemical compound OCCS(O)(=O)=O SUMDYPCJJOFFON-UHFFFAOYSA-N 0.000 description 2
- 238000010829 isocratic elution Methods 0.000 description 2
- 125000001449 isopropyl group Chemical group [H]C([H])([H])C([H])(*)C([H])([H])[H] 0.000 description 2
- 229960005280 isotretinoin Drugs 0.000 description 2
- FABUFPQFXZVHFB-PVYNADRNSA-N ixabepilone Chemical compound C/C([C@@H]1C[C@@H]2O[C@]2(C)CCC[C@@H]([C@@H]([C@@H](C)C(=O)C(C)(C)[C@@H](O)CC(=O)N1)O)C)=C\C1=CSC(C)=N1 FABUFPQFXZVHFB-PVYNADRNSA-N 0.000 description 2
- JVTAAEKCZFNVCJ-UHFFFAOYSA-N lactic acid Chemical compound CC(O)C(O)=O JVTAAEKCZFNVCJ-UHFFFAOYSA-N 0.000 description 2
- 239000008101 lactose Substances 0.000 description 2
- BCFGMOOMADDAQU-UHFFFAOYSA-N lapatinib Chemical compound O1C(CNCCS(=O)(=O)C)=CC=C1C1=CC=C(N=CN=C2NC=3C=C(Cl)C(OCC=4C=C(F)C=CC=4)=CC=3)C2=C1 BCFGMOOMADDAQU-UHFFFAOYSA-N 0.000 description 2
- HPJKCIUCZWXJDR-UHFFFAOYSA-N letrozole Chemical compound C1=CC(C#N)=CC=C1C(N1N=CN=C1)C1=CC=C(C#N)C=C1 HPJKCIUCZWXJDR-UHFFFAOYSA-N 0.000 description 2
- 229960001691 leucovorin Drugs 0.000 description 2
- GFIJNRVAKGFPGQ-LIJARHBVSA-N leuprolide Chemical compound CCNC(=O)[C@@H]1CCCN1C(=O)[C@H](CCCNC(N)=N)NC(=O)[C@H](CC(C)C)NC(=O)[C@@H](CC(C)C)NC(=O)[C@@H](NC(=O)[C@H](CO)NC(=O)[C@H](CC=1C2=CC=CC=C2NC=1)NC(=O)[C@H](CC=1N=CNC=1)NC(=O)[C@H]1NC(=O)CC1)CC1=CC=C(O)C=C1 GFIJNRVAKGFPGQ-LIJARHBVSA-N 0.000 description 2
- 229960004338 leuprorelin Drugs 0.000 description 2
- 239000012280 lithium aluminium hydride Substances 0.000 description 2
- HQKMJHAJHXVSDF-UHFFFAOYSA-L magnesium stearate Chemical compound [Mg+2].CCCCCCCCCCCCCCCCCC([O-])=O.CCCCCCCCCCCCCCCCCC([O-])=O HQKMJHAJHXVSDF-UHFFFAOYSA-L 0.000 description 2
- 239000000463 material Substances 0.000 description 2
- 229960001924 melphalan Drugs 0.000 description 2
- 230000004060 metabolic process Effects 0.000 description 2
- BDAGIHXWWSANSR-UHFFFAOYSA-N methanoic acid Natural products OC=O BDAGIHXWWSANSR-UHFFFAOYSA-N 0.000 description 2
- 229950010895 midostaurin Drugs 0.000 description 2
- 239000002480 mineral oil Substances 0.000 description 2
- 235000010446 mineral oil Nutrition 0.000 description 2
- KKZJGLLVHKMTCM-UHFFFAOYSA-N mitoxantrone Chemical compound O=C1C2=C(O)C=CC(O)=C2C(=O)C2=C1C(NCCNCCO)=CC=C2NCCNCCO KKZJGLLVHKMTCM-UHFFFAOYSA-N 0.000 description 2
- 125000002757 morpholinyl group Chemical group 0.000 description 2
- RAHBGWKEPAQNFF-UHFFFAOYSA-N motesanib Chemical compound C=1C=C2C(C)(C)CNC2=CC=1NC(=O)C1=CC=CN=C1NCC1=CC=NC=C1 RAHBGWKEPAQNFF-UHFFFAOYSA-N 0.000 description 2
- TXXHDPDFNKHHGW-UHFFFAOYSA-N muconic acid Chemical group OC(=O)C=CC=CC(O)=O TXXHDPDFNKHHGW-UHFFFAOYSA-N 0.000 description 2
- 201000005962 mycosis fungoides Diseases 0.000 description 2
- OLAHOMJCDNXHFI-UHFFFAOYSA-N n'-(3,5-dimethoxyphenyl)-n'-[3-(1-methylpyrazol-4-yl)quinoxalin-6-yl]-n-propan-2-ylethane-1,2-diamine Chemical compound COC1=CC(OC)=CC(N(CCNC(C)C)C=2C=C3N=C(C=NC3=CC=2)C2=CN(C)N=C2)=C1 OLAHOMJCDNXHFI-UHFFFAOYSA-N 0.000 description 2
- RDSACQWTXKSHJT-NSHDSACASA-N n-[3,4-difluoro-2-(2-fluoro-4-iodoanilino)-6-methoxyphenyl]-1-[(2s)-2,3-dihydroxypropyl]cyclopropane-1-sulfonamide Chemical compound C1CC1(C[C@H](O)CO)S(=O)(=O)NC=1C(OC)=CC(F)=C(F)C=1NC1=CC=C(I)C=C1F RDSACQWTXKSHJT-NSHDSACASA-N 0.000 description 2
- UZWDCWONPYILKI-UHFFFAOYSA-N n-[5-[(4-ethylpiperazin-1-yl)methyl]pyridin-2-yl]-5-fluoro-4-(7-fluoro-2-methyl-3-propan-2-ylbenzimidazol-5-yl)pyrimidin-2-amine Chemical compound C1CN(CC)CCN1CC(C=N1)=CC=C1NC1=NC=C(F)C(C=2C=C3N(C(C)C)C(C)=NC3=C(F)C=2)=N1 UZWDCWONPYILKI-UHFFFAOYSA-N 0.000 description 2
- FUZZWVXGSFPDMH-UHFFFAOYSA-N n-hexanoic acid Natural products CCCCCC(O)=O FUZZWVXGSFPDMH-UHFFFAOYSA-N 0.000 description 2
- 208000018795 nasal cavity and paranasal sinus carcinoma Diseases 0.000 description 2
- 239000007922 nasal spray Substances 0.000 description 2
- 229940097496 nasal spray Drugs 0.000 description 2
- 239000006199 nebulizer Substances 0.000 description 2
- 229950008835 neratinib Drugs 0.000 description 2
- JWNPDZNEKVCWMY-VQHVLOKHSA-N neratinib Chemical compound C=12C=C(NC(=O)\C=C\CN(C)C)C(OCC)=CC2=NC=C(C#N)C=1NC(C=C1Cl)=CC=C1OCC1=CC=CC=N1 JWNPDZNEKVCWMY-VQHVLOKHSA-N 0.000 description 2
- XWXYUMMDTVBTOU-UHFFFAOYSA-N nilutamide Chemical compound O=C1C(C)(C)NC(=O)N1C1=CC=C([N+]([O-])=O)C(C(F)(F)F)=C1 XWXYUMMDTVBTOU-UHFFFAOYSA-N 0.000 description 2
- 229960003301 nivolumab Drugs 0.000 description 2
- 210000001331 nose Anatomy 0.000 description 2
- 239000002997 ophthalmic solution Substances 0.000 description 2
- 229940054534 ophthalmic solution Drugs 0.000 description 2
- 125000002524 organometallic group Chemical group 0.000 description 2
- 229940127084 other anti-cancer agent Drugs 0.000 description 2
- 125000006299 oxetan-3-yl group Chemical group [H]C1([H])OC([H])([H])C1([H])* 0.000 description 2
- 229960001592 paclitaxel Drugs 0.000 description 2
- NFHFRUOZVGFOOS-UHFFFAOYSA-N palladium;triphenylphosphane Chemical compound [Pd].C1=CC=CC=C1P(C=1C=CC=CC=1)C1=CC=CC=C1.C1=CC=CC=C1P(C=1C=CC=CC=1)C1=CC=CC=C1.C1=CC=CC=C1P(C=1C=CC=CC=1)C1=CC=CC=C1.C1=CC=CC=C1P(C=1C=CC=CC=1)C1=CC=CC=C1 NFHFRUOZVGFOOS-UHFFFAOYSA-N 0.000 description 2
- WRUUGTRCQOWXEG-UHFFFAOYSA-N pamidronate Chemical compound NCCC(O)(P(O)(O)=O)P(O)(O)=O WRUUGTRCQOWXEG-UHFFFAOYSA-N 0.000 description 2
- 238000007911 parenteral administration Methods 0.000 description 2
- 229960005415 pasireotide Drugs 0.000 description 2
- 108700017947 pasireotide Proteins 0.000 description 2
- CUIHSIWYWATEQL-UHFFFAOYSA-N pazopanib Chemical compound C1=CC2=C(C)N(C)N=C2C=C1N(C)C(N=1)=CC=NC=1NC1=CC=C(C)C(S(N)(=O)=O)=C1 CUIHSIWYWATEQL-UHFFFAOYSA-N 0.000 description 2
- GCWIQUVXWZWCLE-INIZCTEOSA-N pelabresib Chemical compound N([C@@H](CC(N)=O)C=1ON=C(C=1C1=CC=CC=C11)C)=C1C1=CC=C(Cl)C=C1 GCWIQUVXWZWCLE-INIZCTEOSA-N 0.000 description 2
- RYYNGWLOYLRZLK-RBUKOAKNSA-N pf03814735 Chemical compound C1([C@H]2CC[C@@H](C1=CC=1)N2C(=O)CNC(=O)C)=CC=1NC(N=1)=NC=C(C(F)(F)F)C=1NC1CCC1 RYYNGWLOYLRZLK-RBUKOAKNSA-N 0.000 description 2
- 239000012071 phase Substances 0.000 description 2
- LHNIIDJUOCFXAP-UHFFFAOYSA-N pictrelisib Chemical compound C1CN(S(=O)(=O)C)CCN1CC1=CC2=NC(C=3C=4C=NNC=4C=CC=3)=NC(N3CCOCC3)=C2S1 LHNIIDJUOCFXAP-UHFFFAOYSA-N 0.000 description 2
- 125000003386 piperidinyl group Chemical group 0.000 description 2
- 229960001131 ponatinib Drugs 0.000 description 2
- LPNYRYFBWFDTMA-UHFFFAOYSA-N potassium tert-butoxide Chemical compound [K+].CC(C)(C)[O-] LPNYRYFBWFDTMA-UHFFFAOYSA-N 0.000 description 2
- 125000006225 propoxyethyl group Chemical group [H]C([H])([H])C([H])([H])C([H])([H])OC([H])([H])C([H])([H])* 0.000 description 2
- 125000003373 pyrazinyl group Chemical group 0.000 description 2
- UBQKCCHYAOITMY-UHFFFAOYSA-N pyridin-2-ol Chemical compound OC1=CC=CC=N1 UBQKCCHYAOITMY-UHFFFAOYSA-N 0.000 description 2
- 125000000719 pyrrolidinyl group Chemical group 0.000 description 2
- 229950001626 quizartinib Drugs 0.000 description 2
- GZUITABIAKMVPG-UHFFFAOYSA-N raloxifene Chemical compound C1=CC(O)=CC=C1C1=C(C(=O)C=2C=CC(OCCN3CCCCC3)=CC=2)C2=CC=C(O)C=C2S1 GZUITABIAKMVPG-UHFFFAOYSA-N 0.000 description 2
- 108091006082 receptor inhibitors Proteins 0.000 description 2
- 102000005962 receptors Human genes 0.000 description 2
- 108020003175 receptors Proteins 0.000 description 2
- 229960001302 ridaforolimus Drugs 0.000 description 2
- YGSDEFSMJLZEOE-UHFFFAOYSA-N salicylic acid Chemical group OC(=O)C1=CC=CC=C1O YGSDEFSMJLZEOE-UHFFFAOYSA-N 0.000 description 2
- 229950009919 saracatinib Drugs 0.000 description 2
- 229940095743 selective estrogen receptor modulator Drugs 0.000 description 2
- 239000000333 selective estrogen receptor modulator Substances 0.000 description 2
- 239000008159 sesame oil Substances 0.000 description 2
- 235000011803 sesame oil Nutrition 0.000 description 2
- 230000019491 signal transduction Effects 0.000 description 2
- 210000003491 skin Anatomy 0.000 description 2
- 102000030938 small GTPase Human genes 0.000 description 2
- 108060007624 small GTPase Proteins 0.000 description 2
- 208000000587 small cell lung carcinoma Diseases 0.000 description 2
- 239000012279 sodium borohydride Substances 0.000 description 2
- 229910000033 sodium borohydride Inorganic materials 0.000 description 2
- 239000002904 solvent Substances 0.000 description 2
- 229960003787 sorafenib Drugs 0.000 description 2
- 229950007213 spartalizumab Drugs 0.000 description 2
- 125000003003 spiro group Chemical group 0.000 description 2
- 239000007921 spray Substances 0.000 description 2
- 239000003381 stabilizer Substances 0.000 description 2
- 230000000087 stabilizing effect Effects 0.000 description 2
- KXCAEQNNTZANTK-UHFFFAOYSA-N stannane Chemical compound [SnH4] KXCAEQNNTZANTK-UHFFFAOYSA-N 0.000 description 2
- 229910000080 stannane Inorganic materials 0.000 description 2
- 239000008107 starch Substances 0.000 description 2
- 235000019698 starch Nutrition 0.000 description 2
- 239000005720 sucrose Substances 0.000 description 2
- 125000000472 sulfonyl group Chemical group *S(*)(=O)=O 0.000 description 2
- 229960002812 sunitinib malate Drugs 0.000 description 2
- 239000000829 suppository Substances 0.000 description 2
- 239000000375 suspending agent Substances 0.000 description 2
- 238000007910 systemic administration Methods 0.000 description 2
- UXXQOJXBIDBUAC-UHFFFAOYSA-N tandutinib Chemical compound COC1=CC2=C(N3CCN(CC3)C(=O)NC=3C=CC(OC(C)C)=CC=3)N=CN=C2C=C1OCCCN1CCCCC1 UXXQOJXBIDBUAC-UHFFFAOYSA-N 0.000 description 2
- 229950007866 tanespimycin Drugs 0.000 description 2
- RCINICONZNJXQF-MZXODVADSA-N taxol Chemical compound O([C@@H]1[C@@]2(C[C@@H](C(C)=C(C2(C)C)[C@H](C([C@]2(C)[C@@H](O)C[C@H]3OC[C@]3([C@H]21)OC(C)=O)=O)OC(=O)C)OC(=O)[C@H](O)[C@@H](NC(=O)C=1C=CC=CC=1)C=1C=CC=CC=1)O)C(=O)C1=CC=CC=C1 RCINICONZNJXQF-MZXODVADSA-N 0.000 description 2
- AHYMHWXQRWRBKT-UHFFFAOYSA-N tepotinib Chemical compound C1CN(C)CCC1COC1=CN=C(C=2C=C(CN3C(C=CC(=N3)C=3C=C(C=CC=3)C#N)=O)C=CC=2)N=C1 AHYMHWXQRWRBKT-UHFFFAOYSA-N 0.000 description 2
- HNINFCBLGHCFOJ-DTORHVGOSA-N tert-butyl (1s,5r)-3,8-diazabicyclo[3.2.1]octane-8-carboxylate Chemical compound C1NC[C@H]2CC[C@@H]1N2C(=O)OC(C)(C)C HNINFCBLGHCFOJ-DTORHVGOSA-N 0.000 description 2
- FPGGTKZVZWFYPV-UHFFFAOYSA-M tetrabutylammonium fluoride Chemical compound [F-].CCCC[N+](CCCC)(CCCC)CCCC FPGGTKZVZWFYPV-UHFFFAOYSA-M 0.000 description 2
- 125000003718 tetrahydrofuranyl group Chemical group 0.000 description 2
- 125000001412 tetrahydropyranyl group Chemical group 0.000 description 2
- 230000001225 therapeutic effect Effects 0.000 description 2
- 208000008732 thymoma Diseases 0.000 description 2
- 201000002510 thyroid cancer Diseases 0.000 description 2
- WYWHKKSPHMUBEB-UHFFFAOYSA-N tioguanine Chemical compound N1C(N)=NC(=S)C2=C1N=CN2 WYWHKKSPHMUBEB-UHFFFAOYSA-N 0.000 description 2
- JOXIMZWYDAKGHI-UHFFFAOYSA-N toluene-4-sulfonic acid Chemical compound CC1=CC=C(S(O)(=O)=O)C=C1 JOXIMZWYDAKGHI-UHFFFAOYSA-N 0.000 description 2
- 229940042129 topical gel Drugs 0.000 description 2
- LIRYPHYGHXZJBZ-UHFFFAOYSA-N trametinib Chemical compound CC(=O)NC1=CC=CC(N2C(N(C3CC3)C(=O)C3=C(NC=4C(=CC(I)=CC=4)F)N(C)C(=O)C(C)=C32)=O)=C1 LIRYPHYGHXZJBZ-UHFFFAOYSA-N 0.000 description 2
- VZCYOOQTPOCHFL-UHFFFAOYSA-N trans-butenedioic acid Natural products OC(=O)C=CC(O)=O VZCYOOQTPOCHFL-UHFFFAOYSA-N 0.000 description 2
- 229960000575 trastuzumab Drugs 0.000 description 2
- LEIMLDGFXIOXMT-UHFFFAOYSA-N trimethylsilyl cyanide Chemical compound C[Si](C)(C)C#N LEIMLDGFXIOXMT-UHFFFAOYSA-N 0.000 description 2
- 201000005112 urinary bladder cancer Diseases 0.000 description 2
- GPXBXXGIAQBQNI-UHFFFAOYSA-N vemurafenib Chemical compound CCCS(=O)(=O)NC1=CC=C(F)C(C(=O)C=2C3=CC(=CN=C3NC=2)C=2C=CC(Cl)=CC=2)=C1F GPXBXXGIAQBQNI-UHFFFAOYSA-N 0.000 description 2
- 229960003048 vinblastine Drugs 0.000 description 2
- OGWKCGZFUXNPDA-UHFFFAOYSA-N vincristine Natural products C1C(CC)(O)CC(CC2(C(=O)OC)C=3C(=CC4=C(C56C(C(C(OC(C)=O)C7(CC)C=CCN(C67)CC5)(O)C(=O)OC)N4C=O)C=3)OC)CN1CCC1=C2NC2=CC=CC=C12 OGWKCGZFUXNPDA-UHFFFAOYSA-N 0.000 description 2
- 230000003612 virological effect Effects 0.000 description 2
- XRASPMIURGNCCH-UHFFFAOYSA-N zoledronic acid Chemical compound OP(=O)(O)C(P(O)(O)=O)(O)CN1C=CN=C1 XRASPMIURGNCCH-UHFFFAOYSA-N 0.000 description 2
- QBYIENPQHBMVBV-HFEGYEGKSA-N (2R)-2-hydroxy-2-phenylacetic acid Chemical compound O[C@@H](C(O)=O)c1ccccc1.O[C@@H](C(O)=O)c1ccccc1 QBYIENPQHBMVBV-HFEGYEGKSA-N 0.000 description 1
- ZVAFCKLQJCZGAP-WDEREUQCSA-N (2r,3s)-2-hydroxy-3-[(2-methylpropan-2-yl)oxycarbonylamino]-3-phenylpropanoic acid Chemical compound CC(C)(C)OC(=O)N[C@H]([C@@H](O)C(O)=O)C1=CC=CC=C1 ZVAFCKLQJCZGAP-WDEREUQCSA-N 0.000 description 1
- STPKWKPURVSAJF-LJEWAXOPSA-N (4r,5r)-5-[4-[[4-(1-aza-4-azoniabicyclo[2.2.2]octan-4-ylmethyl)phenyl]methoxy]phenyl]-3,3-dibutyl-7-(dimethylamino)-1,1-dioxo-4,5-dihydro-2h-1$l^{6}-benzothiepin-4-ol Chemical compound O[C@H]1C(CCCC)(CCCC)CS(=O)(=O)C2=CC=C(N(C)C)C=C2[C@H]1C(C=C1)=CC=C1OCC(C=C1)=CC=C1C[N+]1(CC2)CCN2CC1 STPKWKPURVSAJF-LJEWAXOPSA-N 0.000 description 1
- SWDZPNJZKUGIIH-QQTULTPQSA-N (5z)-n-ethyl-5-(4-hydroxy-6-oxo-3-propan-2-ylcyclohexa-2,4-dien-1-ylidene)-4-[4-(morpholin-4-ylmethyl)phenyl]-2h-1,2-oxazole-3-carboxamide Chemical compound O1NC(C(=O)NCC)=C(C=2C=CC(CN3CCOCC3)=CC=2)\C1=C1/C=C(C(C)C)C(O)=CC1=O SWDZPNJZKUGIIH-QQTULTPQSA-N 0.000 description 1
- FPVKHBSQESCIEP-UHFFFAOYSA-N (8S)-3-(2-deoxy-beta-D-erythro-pentofuranosyl)-3,6,7,8-tetrahydroimidazo[4,5-d][1,3]diazepin-8-ol Natural products C1C(O)C(CO)OC1N1C(NC=NCC2O)=C2N=C1 FPVKHBSQESCIEP-UHFFFAOYSA-N 0.000 description 1
- LKJPYSCBVHEWIU-KRWDZBQOSA-N (R)-bicalutamide Chemical compound C([C@@](O)(C)C(=O)NC=1C=C(C(C#N)=CC=1)C(F)(F)F)S(=O)(=O)C1=CC=C(F)C=C1 LKJPYSCBVHEWIU-KRWDZBQOSA-N 0.000 description 1
- MIOPJNTWMNEORI-GMSGAONNSA-N (S)-camphorsulfonic acid Chemical compound C1C[C@@]2(CS(O)(=O)=O)C(=O)C[C@@H]1C2(C)C MIOPJNTWMNEORI-GMSGAONNSA-N 0.000 description 1
- BJEPYKJPYRNKOW-REOHCLBHSA-N (S)-malic acid Chemical compound OC(=O)[C@@H](O)CC(O)=O BJEPYKJPYRNKOW-REOHCLBHSA-N 0.000 description 1
- NQQRXZOPZBKCNF-NSCUHMNNSA-N (e)-but-2-enamide Chemical compound C\C=C\C(N)=O NQQRXZOPZBKCNF-NSCUHMNNSA-N 0.000 description 1
- WBYWAXJHAXSJNI-VOTSOKGWSA-M .beta-Phenylacrylic acid Natural products [O-]C(=O)\C=C\C1=CC=CC=C1 WBYWAXJHAXSJNI-VOTSOKGWSA-M 0.000 description 1
- DDMOUSALMHHKOS-UHFFFAOYSA-N 1,2-dichloro-1,1,2,2-tetrafluoroethane Chemical compound FC(F)(Cl)C(F)(F)Cl DDMOUSALMHHKOS-UHFFFAOYSA-N 0.000 description 1
- AMSMVCOBCOZLEE-UHFFFAOYSA-N 1,3,5-Norcaratriene Chemical compound C1=CC=C2CC2=C1 AMSMVCOBCOZLEE-UHFFFAOYSA-N 0.000 description 1
- VEFLKXRACNJHOV-UHFFFAOYSA-N 1,3-dibromopropane Chemical compound BrCCCBr VEFLKXRACNJHOV-UHFFFAOYSA-N 0.000 description 1
- HJTAZXHBEBIQQX-UHFFFAOYSA-N 1,5-bis(chloromethyl)naphthalene Chemical compound C1=CC=C2C(CCl)=CC=CC2=C1CCl HJTAZXHBEBIQQX-UHFFFAOYSA-N 0.000 description 1
- HGYTYZKWKUXRKA-MRXNPFEDSA-N 1-[4-[3-amino-5-[(4S)-4-amino-2-oxa-8-azaspiro[4.5]decan-8-yl]pyrazin-2-yl]sulfanyl-3,3-difluoro-2H-indol-1-yl]ethanone Chemical compound NC=1C(=NC=C(N=1)N1CCC2([C@@H](COC2)N)CC1)SC1=C2C(CN(C2=CC=C1)C(C)=O)(F)F HGYTYZKWKUXRKA-MRXNPFEDSA-N 0.000 description 1
- WBPWDDPSYSUQJA-VQTJNVASSA-N 1-[[4-(methoxymethyl)-4-[[[(1R,2S)-2-phenylcyclopropyl]amino]methyl]piperidin-1-yl]methyl]cyclobutane-1-carboxylic acid Chemical compound COCC1(CCN(CC1)CC1(CCC1)C(=O)O)CN[C@H]1[C@@H](C1)C1=CC=CC=C1 WBPWDDPSYSUQJA-VQTJNVASSA-N 0.000 description 1
- UUFQTNFCRMXOAE-UHFFFAOYSA-N 1-methylmethylene Chemical compound C[CH] UUFQTNFCRMXOAE-UHFFFAOYSA-N 0.000 description 1
- LHYPVPVUVYIWBX-VEDVMXKPSA-N 1-o-tert-butyl 2-o-methyl (2r)-5-methoxypyrrolidine-1,2-dicarboxylate Chemical compound COC1CC[C@H](C(=O)OC)N1C(=O)OC(C)(C)C LHYPVPVUVYIWBX-VEDVMXKPSA-N 0.000 description 1
- FUFLCEKSBBHCMO-UHFFFAOYSA-N 11-dehydrocorticosterone Natural products O=C1CCC2(C)C3C(=O)CC(C)(C(CC4)C(=O)CO)C4C3CCC2=C1 FUFLCEKSBBHCMO-UHFFFAOYSA-N 0.000 description 1
- NMIZONYLXCOHEF-UHFFFAOYSA-N 1h-imidazole-2-carboxamide Chemical compound NC(=O)C1=NC=CN1 NMIZONYLXCOHEF-UHFFFAOYSA-N 0.000 description 1
- 125000003163 2-(2-naphthyl)ethyl group Chemical group [H]C1=C([H])C([H])=C2C([H])=C(C([H])=C([H])C2=C1[H])C([H])([H])C([H])([H])* 0.000 description 1
- TXQPXJKRNHJWAX-UHFFFAOYSA-N 2-(3-aminopropylamino)ethylsulfanylphosphonic acid;trihydrate Chemical compound O.O.O.NCCCNCCSP(O)(O)=O TXQPXJKRNHJWAX-UHFFFAOYSA-N 0.000 description 1
- PEMUGDMSUDYLHU-ZEQRLZLVSA-N 2-[(2S)-4-[7-(8-chloronaphthalen-1-yl)-2-[[(2S)-1-methylpyrrolidin-2-yl]methoxy]-6,8-dihydro-5H-pyrido[3,4-d]pyrimidin-4-yl]-1-(2-fluoroprop-2-enoyl)piperazin-2-yl]acetonitrile Chemical compound ClC=1C=CC=C2C=CC=C(C=12)N1CC=2N=C(N=C(C=2CC1)N1C[C@@H](N(CC1)C(C(=C)F)=O)CC#N)OC[C@H]1N(CCC1)C PEMUGDMSUDYLHU-ZEQRLZLVSA-N 0.000 description 1
- DGKFALHOXXLEEF-UHFFFAOYSA-N 2-[2-fluoro-8-(4,4,5,5-tetramethyl-1,3,2-dioxaborolan-2-yl)naphthalen-1-yl]ethynyl-tri(propan-2-yl)silane Chemical compound CC(C)[Si](C#CC1=C(F)C=CC2=C1C(=CC=C2)B1OC(C)(C)C(C)(C)O1)(C(C)C)C(C)C DGKFALHOXXLEEF-UHFFFAOYSA-N 0.000 description 1
- RTQWWZBSTRGEAV-PKHIMPSTSA-N 2-[[(2s)-2-[bis(carboxymethyl)amino]-3-[4-(methylcarbamoylamino)phenyl]propyl]-[2-[bis(carboxymethyl)amino]propyl]amino]acetic acid Chemical compound CNC(=O)NC1=CC=C(C[C@@H](CN(CC(C)N(CC(O)=O)CC(O)=O)CC(O)=O)N(CC(O)=O)CC(O)=O)C=C1 RTQWWZBSTRGEAV-PKHIMPSTSA-N 0.000 description 1
- RVJIQAYFTOPTKK-UHFFFAOYSA-N 2-[[6-(dimethylamino)-1,3-benzodioxol-5-yl]sulfanyl]-1-[2-(2,2-dimethylpropylamino)ethyl]imidazo[4,5-c]pyridin-4-amine Chemical compound N1=CC=C2N(CCNCC(C)(C)C)C(SC3=CC=4OCOC=4C=C3N(C)C)=NC2=C1N RVJIQAYFTOPTKK-UHFFFAOYSA-N 0.000 description 1
- SFRJQFICUQFDFU-UHFFFAOYSA-N 2-amino-4-bromo-3-fluorobenzoic acid Chemical compound NC1=C(F)C(Br)=CC=C1C(O)=O SFRJQFICUQFDFU-UHFFFAOYSA-N 0.000 description 1
- HDKYIPMDJJVHHA-UHFFFAOYSA-N 2-amino-4-bromo-5-chloro-3-fluorobenzoic acid Chemical compound Nc1c(F)c(Br)c(Cl)cc1C(O)=O HDKYIPMDJJVHHA-UHFFFAOYSA-N 0.000 description 1
- BNNICQAVXPXQAH-UHFFFAOYSA-N 2-amino-4-bromobenzoic acid Chemical compound NC1=CC(Br)=CC=C1C(O)=O BNNICQAVXPXQAH-UHFFFAOYSA-N 0.000 description 1
- VUGYOFOYGPXOFL-UHFFFAOYSA-N 2-chloro-3-fluoropyridin-4-amine Chemical compound NC1=CC=NC(Cl)=C1F VUGYOFOYGPXOFL-UHFFFAOYSA-N 0.000 description 1
- UNCQVRBWJWWJBF-UHFFFAOYSA-N 2-chloropyrimidine Chemical compound ClC1=NC=CC=N1 UNCQVRBWJWWJBF-UHFFFAOYSA-N 0.000 description 1
- UPHOPMSGKZNELG-UHFFFAOYSA-N 2-hydroxynaphthalene-1-carboxylic acid Chemical group C1=CC=C2C(C(=O)O)=C(O)C=CC2=C1 UPHOPMSGKZNELG-UHFFFAOYSA-N 0.000 description 1
- WIISOYLZJJYTHT-UHFFFAOYSA-N 2-methyl-1h-pyrazol-5-one Chemical compound CN1C=CC(O)=N1 WIISOYLZJJYTHT-UHFFFAOYSA-N 0.000 description 1
- 125000004637 2-oxopiperidinyl group Chemical group O=C1N(CCCC1)* 0.000 description 1
- 125000000094 2-phenylethyl group Chemical group [H]C1=C([H])C([H])=C(C([H])=C1[H])C([H])([H])C([H])([H])* 0.000 description 1
- 125000001494 2-propynyl group Chemical group [H]C#CC([H])([H])* 0.000 description 1
- 125000004105 2-pyridyl group Chemical group N1=C([*])C([H])=C([H])C([H])=C1[H] 0.000 description 1
- XLZYKTYMLBOINK-UHFFFAOYSA-N 3-(4-hydroxybenzoyl)benzoic acid Chemical compound OC(=O)C1=CC=CC(C(=O)C=2C=CC(O)=CC=2)=C1 XLZYKTYMLBOINK-UHFFFAOYSA-N 0.000 description 1
- RQFUZUMFPRMVDX-UHFFFAOYSA-N 3-Bromo-1-propanol Chemical compound OCCCBr RQFUZUMFPRMVDX-UHFFFAOYSA-N 0.000 description 1
- WEVYNIUIFUYDGI-UHFFFAOYSA-N 3-[6-[4-(trifluoromethoxy)anilino]-4-pyrimidinyl]benzamide Chemical compound NC(=O)C1=CC=CC(C=2N=CN=C(NC=3C=CC(OC(F)(F)F)=CC=3)C=2)=C1 WEVYNIUIFUYDGI-UHFFFAOYSA-N 0.000 description 1
- BMYNFMYTOJXKLE-UHFFFAOYSA-N 3-azaniumyl-2-hydroxypropanoate Chemical compound NCC(O)C(O)=O BMYNFMYTOJXKLE-UHFFFAOYSA-N 0.000 description 1
- XJFZOSUFGSANIF-UHFFFAOYSA-N 3-chloro-2-(chloromethyl)prop-1-ene Chemical compound ClCC(=C)CCl XJFZOSUFGSANIF-UHFFFAOYSA-N 0.000 description 1
- NHQDETIJWKXCTC-UHFFFAOYSA-N 3-chloroperbenzoic acid Chemical compound OOC(=O)C1=CC=CC(Cl)=C1 NHQDETIJWKXCTC-UHFFFAOYSA-N 0.000 description 1
- ZRPLANDPDWYOMZ-UHFFFAOYSA-N 3-cyclopentylpropionic acid Chemical compound OC(=O)CCC1CCCC1 ZRPLANDPDWYOMZ-UHFFFAOYSA-N 0.000 description 1
- QOXOZONBQWIKDA-UHFFFAOYSA-N 3-hydroxypropyl Chemical group [CH2]CCO QOXOZONBQWIKDA-UHFFFAOYSA-N 0.000 description 1
- 102100037263 3-phosphoinositide-dependent protein kinase 1 Human genes 0.000 description 1
- AOJJSUZBOXZQNB-VTZDEGQISA-N 4'-epidoxorubicin Chemical compound O([C@H]1C[C@@](O)(CC=2C(O)=C3C(=O)C=4C=CC=C(C=4C(=O)C3=C(O)C=21)OC)C(=O)CO)[C@H]1C[C@H](N)[C@@H](O)[C@H](C)O1 AOJJSUZBOXZQNB-VTZDEGQISA-N 0.000 description 1
- OSWFIVFLDKOXQC-UHFFFAOYSA-N 4-(3-methoxyphenyl)aniline Chemical compound COC1=CC=CC(C=2C=CC(N)=CC=2)=C1 OSWFIVFLDKOXQC-UHFFFAOYSA-N 0.000 description 1
- BLBDTBCGPHPIJK-UHFFFAOYSA-N 4-Amino-2-chloropyridine Chemical compound NC1=CC=NC(Cl)=C1 BLBDTBCGPHPIJK-UHFFFAOYSA-N 0.000 description 1
- YFCIFWOJYYFDQP-PTWZRHHISA-N 4-[3-amino-6-[(1S,3S,4S)-3-fluoro-4-hydroxycyclohexyl]pyrazin-2-yl]-N-[(1S)-1-(3-bromo-5-fluorophenyl)-2-(methylamino)ethyl]-2-fluorobenzamide Chemical compound CNC[C@@H](NC(=O)c1ccc(cc1F)-c1nc(cnc1N)[C@H]1CC[C@H](O)[C@@H](F)C1)c1cc(F)cc(Br)c1 YFCIFWOJYYFDQP-PTWZRHHISA-N 0.000 description 1
- RJWBTWIBUIGANW-UHFFFAOYSA-N 4-chlorobenzenesulfonic acid Chemical compound OS(=O)(=O)C1=CC=C(Cl)C=C1 RJWBTWIBUIGANW-UHFFFAOYSA-N 0.000 description 1
- HIQIXEFWDLTDED-UHFFFAOYSA-N 4-hydroxy-1-piperidin-4-ylpyrrolidin-2-one Chemical compound O=C1CC(O)CN1C1CCNCC1 HIQIXEFWDLTDED-UHFFFAOYSA-N 0.000 description 1
- SXIFAEWFOJETOA-UHFFFAOYSA-N 4-hydroxy-butyl Chemical group [CH2]CCCO SXIFAEWFOJETOA-UHFFFAOYSA-N 0.000 description 1
- QTQGHKVYLQBJLO-UHFFFAOYSA-N 4-methylbenzenesulfonate;(4-methyl-1-oxo-1-phenylmethoxypentan-2-yl)azanium Chemical compound CC1=CC=C(S(O)(=O)=O)C=C1.CC(C)CC(N)C(=O)OCC1=CC=CC=C1 QTQGHKVYLQBJLO-UHFFFAOYSA-N 0.000 description 1
- 102100022464 5'-nucleotidase Human genes 0.000 description 1
- XFJBGINZIMNZBW-CRAIPNDOSA-N 5-chloro-2-[4-[(1r,2s)-2-[2-(5-methylsulfonylpyridin-2-yl)oxyethyl]cyclopropyl]piperidin-1-yl]pyrimidine Chemical compound N1=CC(S(=O)(=O)C)=CC=C1OCC[C@H]1[C@@H](C2CCN(CC2)C=2N=CC(Cl)=CN=2)C1 XFJBGINZIMNZBW-CRAIPNDOSA-N 0.000 description 1
- QQWUGDVOUVUTOY-UHFFFAOYSA-N 5-chloro-N2-[2-methoxy-4-[4-(4-methyl-1-piperazinyl)-1-piperidinyl]phenyl]-N4-(2-propan-2-ylsulfonylphenyl)pyrimidine-2,4-diamine Chemical compound COC1=CC(N2CCC(CC2)N2CCN(C)CC2)=CC=C1NC(N=1)=NC=C(Cl)C=1NC1=CC=CC=C1S(=O)(=O)C(C)C QQWUGDVOUVUTOY-UHFFFAOYSA-N 0.000 description 1
- YGUFCDOEKKVKJK-UHFFFAOYSA-N 6-(4-amino-4-methylpiperidin-1-yl)-3-(2,3-dichlorophenyl)pyrazin-2-amine Chemical compound NC1(CCN(CC1)C1=CN=C(C(=N1)N)C1=C(C(=CC=C1)Cl)Cl)C YGUFCDOEKKVKJK-UHFFFAOYSA-N 0.000 description 1
- VHRSUDSXCMQTMA-UWKORSIYSA-N 6-methylprednisolone Chemical compound C([C@@]12C)=CC(=O)C=C1C(C)C[C@@H]1[C@@H]2[C@@H](O)C[C@]2(C)[C@@](O)(C(=O)CO)CC[C@H]21 VHRSUDSXCMQTMA-UWKORSIYSA-N 0.000 description 1
- UQERDTKJRJNCHD-UHFFFAOYSA-N 7-chloro-8-fluoro-1H-pyrido[4,3-d]pyrimidine-2,4-dione Chemical compound C1(=C(C2=C(C=N1)C(=O)NC(=O)N2)F)Cl UQERDTKJRJNCHD-UHFFFAOYSA-N 0.000 description 1
- ZCYVEMRRCGMTRW-UHFFFAOYSA-N 7553-56-2 Chemical compound [I] ZCYVEMRRCGMTRW-UHFFFAOYSA-N 0.000 description 1
- HBAQYPYDRFILMT-UHFFFAOYSA-N 8-[3-(1-cyclopropylpyrazol-4-yl)-1H-pyrazolo[4,3-d]pyrimidin-5-yl]-3-methyl-3,8-diazabicyclo[3.2.1]octan-2-one Chemical class C1(CC1)N1N=CC(=C1)C1=NNC2=C1N=C(N=C2)N1C2C(N(CC1CC2)C)=O HBAQYPYDRFILMT-UHFFFAOYSA-N 0.000 description 1
- SHGAZHPCJJPHSC-ZVCIMWCZSA-N 9-cis-retinoic acid Chemical compound OC(=O)/C=C(\C)/C=C/C=C(/C)\C=C\C1=C(C)CCCC1(C)C SHGAZHPCJJPHSC-ZVCIMWCZSA-N 0.000 description 1
- 208000030507 AIDS Diseases 0.000 description 1
- WEVYAHXRMPXWCK-UHFFFAOYSA-N Acetonitrile Chemical compound CC#N WEVYAHXRMPXWCK-UHFFFAOYSA-N 0.000 description 1
- 208000024893 Acute lymphoblastic leukemia Diseases 0.000 description 1
- GUBGYTABKSRVRQ-XLOQQCSPSA-N Alpha-Lactose Chemical compound O[C@@H]1[C@@H](O)[C@@H](O)[C@@H](CO)O[C@H]1O[C@@H]1[C@@H](CO)O[C@H](O)[C@H](O)[C@H]1O GUBGYTABKSRVRQ-XLOQQCSPSA-N 0.000 description 1
- 238000012815 AlphaLISA Methods 0.000 description 1
- 206010061424 Anal cancer Diseases 0.000 description 1
- 208000007860 Anus Neoplasms Diseases 0.000 description 1
- 206010073360 Appendix cancer Diseases 0.000 description 1
- 101100452478 Arabidopsis thaliana DHAD gene Proteins 0.000 description 1
- 101100404726 Arabidopsis thaliana NHX7 gene Proteins 0.000 description 1
- 101100297694 Arabidopsis thaliana PIP2-7 gene Proteins 0.000 description 1
- 241000416162 Astragalus gummifer Species 0.000 description 1
- 206010003571 Astrocytoma Diseases 0.000 description 1
- 102100038080 B-cell receptor CD22 Human genes 0.000 description 1
- 239000012664 BCL-2-inhibitor Substances 0.000 description 1
- 229940125565 BMS-986016 Drugs 0.000 description 1
- 229940124291 BTK inhibitor Drugs 0.000 description 1
- 101000840545 Bacillus thuringiensis L-isoleucine-4-hydroxylase Proteins 0.000 description 1
- 239000003840 Bafetinib Substances 0.000 description 1
- 206010004146 Basal cell carcinoma Diseases 0.000 description 1
- 229940123711 Bcl2 inhibitor Drugs 0.000 description 1
- 239000005711 Benzoic acid Substances 0.000 description 1
- 229940122361 Bisphosphonate Drugs 0.000 description 1
- 108010006654 Bleomycin Proteins 0.000 description 1
- 206010005949 Bone cancer Diseases 0.000 description 1
- 208000018084 Bone neoplasm Diseases 0.000 description 1
- 229940078581 Bone resorption inhibitor Drugs 0.000 description 1
- 241000283690 Bos taurus Species 0.000 description 1
- 208000003174 Brain Neoplasms Diseases 0.000 description 1
- 206010006143 Brain stem glioma Diseases 0.000 description 1
- 208000011691 Burkitt lymphomas Diseases 0.000 description 1
- COVZYZSDYWQREU-UHFFFAOYSA-N Busulfan Chemical compound CS(=O)(=O)OCCCCOS(C)(=O)=O COVZYZSDYWQREU-UHFFFAOYSA-N 0.000 description 1
- 102100031151 C-C chemokine receptor type 2 Human genes 0.000 description 1
- 101710149815 C-C chemokine receptor type 2 Proteins 0.000 description 1
- 101710149863 C-C chemokine receptor type 4 Proteins 0.000 description 1
- 102100024217 CAMPATH-1 antigen Human genes 0.000 description 1
- VXWDYPJHDGKJHG-UHFFFAOYSA-N CC(C)(C)OC(N(C(CC1)C2)C1CN2C(C1=CN=C2C(C=CC=C3C=C4)=C3C(C#C)=C4F)=NC(Cl)=NC1=C2F)=O Chemical compound CC(C)(C)OC(N(C(CC1)C2)C1CN2C(C1=CN=C2C(C=CC=C3C=C4)=C3C(C#C)=C4F)=NC(Cl)=NC1=C2F)=O VXWDYPJHDGKJHG-UHFFFAOYSA-N 0.000 description 1
- 102100032976 CCR4-NOT transcription complex subunit 6 Human genes 0.000 description 1
- 108010065524 CD52 Antigen Proteins 0.000 description 1
- 229940124297 CDK 4/6 inhibitor Drugs 0.000 description 1
- WEGLOYDTDILXDA-OAHLLOKOSA-N CNCc1ccccc1-c1csc(c1)[C@@H](C)Nc1nc(C)nc2cc(OC)c(OC)cc12 Chemical compound CNCc1ccccc1-c1csc(c1)[C@@H](C)Nc1nc(C)nc2cc(OC)c(OC)cc12 WEGLOYDTDILXDA-OAHLLOKOSA-N 0.000 description 1
- HOMKHOXBNGOVDJ-ONGXEEELSA-N COC([C@]1(CC(C2)=C)N2[C@H](CO)CC1)=O Chemical compound COC([C@]1(CC(C2)=C)N2[C@H](CO)CC1)=O HOMKHOXBNGOVDJ-ONGXEEELSA-N 0.000 description 1
- BJTFTQIBRVBSBH-VCQPVEJUSA-N CO[C@]1(CN2CCN3CCCC[C@@H]3C2)\C=C\C[C@H](C)[C@@H](C)S(=O)(=O)NC(=O)C2=CC3=C(OC[C@]4(CCCC5=C4C=CC(Cl)=C5)CN3C[C@@H]3CC[C@@H]13)C=C2 Chemical compound CO[C@]1(CN2CCN3CCCC[C@@H]3C2)\C=C\C[C@H](C)[C@@H](C)S(=O)(=O)NC(=O)C2=CC3=C(OC[C@]4(CCCC5=C4C=CC(Cl)=C5)CN3C[C@@H]3CC[C@@H]13)C=C2 BJTFTQIBRVBSBH-VCQPVEJUSA-N 0.000 description 1
- UVUILCJJGCRSNW-UHFFFAOYSA-N CSC(NC1=O)=NC2=C1C(Cl)=NC(Cl)=C2F Chemical compound CSC(NC1=O)=NC2=C1C(Cl)=NC(Cl)=C2F UVUILCJJGCRSNW-UHFFFAOYSA-N 0.000 description 1
- 101001059929 Caenorhabditis elegans Forkhead box protein O Proteins 0.000 description 1
- UXVMQQNJUSDDNG-UHFFFAOYSA-L Calcium chloride Chemical compound [Cl-].[Cl-].[Ca+2] UXVMQQNJUSDDNG-UHFFFAOYSA-L 0.000 description 1
- 241000282472 Canis lupus familiaris Species 0.000 description 1
- GAGWJHPBXLXJQN-UHFFFAOYSA-N Capecitabine Natural products C1=C(F)C(NC(=O)OCCCCC)=NC(=O)N1C1C(O)C(O)C(C)O1 GAGWJHPBXLXJQN-UHFFFAOYSA-N 0.000 description 1
- 241000283707 Capra Species 0.000 description 1
- WWZKQHOCKIZLMA-UHFFFAOYSA-N Caprylic acid Natural products CCCCCCCC(O)=O WWZKQHOCKIZLMA-UHFFFAOYSA-N 0.000 description 1
- KXDHJXZQYSOELW-UHFFFAOYSA-M Carbamate Chemical compound NC([O-])=O KXDHJXZQYSOELW-UHFFFAOYSA-M 0.000 description 1
- UGFAIRIUMAVXCW-UHFFFAOYSA-N Carbon monoxide Chemical compound [O+]#[C-] UGFAIRIUMAVXCW-UHFFFAOYSA-N 0.000 description 1
- OKTJSMMVPCPJKN-NJFSPNSNSA-N Carbon-14 Chemical compound [14C] OKTJSMMVPCPJKN-NJFSPNSNSA-N 0.000 description 1
- 206010007275 Carcinoid tumour Diseases 0.000 description 1
- 206010007279 Carcinoid tumour of the gastrointestinal tract Diseases 0.000 description 1
- DLGOEMSEDOSKAD-UHFFFAOYSA-N Carmustine Chemical compound ClCCNC(=O)N(N=O)CCCl DLGOEMSEDOSKAD-UHFFFAOYSA-N 0.000 description 1
- 102000004171 Cathepsin K Human genes 0.000 description 1
- 108090000625 Cathepsin K Proteins 0.000 description 1
- 102000009410 Chemokine receptor Human genes 0.000 description 1
- 108050000299 Chemokine receptor Proteins 0.000 description 1
- 201000009047 Chordoma Diseases 0.000 description 1
- WBYWAXJHAXSJNI-SREVYHEPSA-N Cinnamic acid Chemical compound OC(=O)\C=C/C1=CC=CC=C1 WBYWAXJHAXSJNI-SREVYHEPSA-N 0.000 description 1
- 102100030977 Collagen alpha-3(IX) chain Human genes 0.000 description 1
- MFYSYFVPBJMHGN-ZPOLXVRWSA-N Cortisone Chemical compound O=C1CC[C@]2(C)[C@H]3C(=O)C[C@](C)([C@@](CC4)(O)C(=O)CO)[C@@H]4[C@@H]3CCC2=C1 MFYSYFVPBJMHGN-ZPOLXVRWSA-N 0.000 description 1
- MFYSYFVPBJMHGN-UHFFFAOYSA-N Cortisone Natural products O=C1CCC2(C)C3C(=O)CC(C)(C(CC4)(O)C(=O)CO)C4C3CCC2=C1 MFYSYFVPBJMHGN-UHFFFAOYSA-N 0.000 description 1
- 208000009798 Craniopharyngioma Diseases 0.000 description 1
- 108010024986 Cyclin-Dependent Kinase 2 Proteins 0.000 description 1
- 108010025454 Cyclin-Dependent Kinase 5 Proteins 0.000 description 1
- 108010016788 Cyclin-Dependent Kinase Inhibitor p21 Proteins 0.000 description 1
- 102000000578 Cyclin-Dependent Kinase Inhibitor p21 Human genes 0.000 description 1
- 102100021906 Cyclin-O Human genes 0.000 description 1
- 102100032857 Cyclin-dependent kinase 1 Human genes 0.000 description 1
- 101710106279 Cyclin-dependent kinase 1 Proteins 0.000 description 1
- 102100036239 Cyclin-dependent kinase 2 Human genes 0.000 description 1
- 102100036329 Cyclin-dependent kinase 3 Human genes 0.000 description 1
- 102100024456 Cyclin-dependent kinase 8 Human genes 0.000 description 1
- 102100026805 Cyclin-dependent-like kinase 5 Human genes 0.000 description 1
- CMSMOCZEIVJLDB-UHFFFAOYSA-N Cyclophosphamide Chemical compound ClCCN(CCCl)P1(=O)NCCCO1 CMSMOCZEIVJLDB-UHFFFAOYSA-N 0.000 description 1
- 102000004127 Cytokines Human genes 0.000 description 1
- 108090000695 Cytokines Proteins 0.000 description 1
- FBPFZTCFMRRESA-FSIIMWSLSA-N D-Glucitol Natural products OC[C@H](O)[C@H](O)[C@@H](O)[C@H](O)CO FBPFZTCFMRRESA-FSIIMWSLSA-N 0.000 description 1
- FBPFZTCFMRRESA-JGWLITMVSA-N D-glucitol Chemical compound OC[C@H](O)[C@@H](O)[C@H](O)[C@H](O)CO FBPFZTCFMRRESA-JGWLITMVSA-N 0.000 description 1
- RGHNJXZEOKUKBD-UHFFFAOYSA-N D-gluconic acid Chemical group OCC(O)C(O)C(O)C(O)C(O)=O RGHNJXZEOKUKBD-UHFFFAOYSA-N 0.000 description 1
- 108010041986 DNA Vaccines Proteins 0.000 description 1
- 229940123780 DNA topoisomerase I inhibitor Drugs 0.000 description 1
- 229940124087 DNA topoisomerase II inhibitor Drugs 0.000 description 1
- 229940021995 DNA vaccine Drugs 0.000 description 1
- 108010019673 Darbepoetin alfa Proteins 0.000 description 1
- WEAHRLBPCANXCN-UHFFFAOYSA-N Daunomycin Natural products CCC1(O)CC(OC2CC(N)C(O)C(C)O2)c3cc4C(=O)c5c(OC)cccc5C(=O)c4c(O)c3C1 WEAHRLBPCANXCN-UHFFFAOYSA-N 0.000 description 1
- GUGHGUXZJWAIAS-QQYBVWGSSA-N Daunorubicin hydrochloride Chemical compound Cl.O([C@H]1C[C@@](O)(CC=2C(O)=C3C(=O)C=4C=CC=C(C=4C(=O)C3=C(O)C=21)OC)C(C)=O)[C@H]1C[C@H](N)[C@H](O)[C@H](C)O1 GUGHGUXZJWAIAS-QQYBVWGSSA-N 0.000 description 1
- 229920002307 Dextran Polymers 0.000 description 1
- FEWJPZIEWOKRBE-JCYAYHJZSA-N Dextrotartaric acid Chemical compound OC(=O)[C@H](O)[C@@H](O)C(O)=O FEWJPZIEWOKRBE-JCYAYHJZSA-N 0.000 description 1
- 239000004338 Dichlorodifluoromethane Substances 0.000 description 1
- 102100029722 Ectonucleoside triphosphate diphosphohydrolase 1 Human genes 0.000 description 1
- LVGKNOAMLMIIKO-UHFFFAOYSA-N Elaidinsaeure-aethylester Natural products CCCCCCCCC=CCCCCCCCC(=O)OCC LVGKNOAMLMIIKO-UHFFFAOYSA-N 0.000 description 1
- 241000196324 Embryophyta Species 0.000 description 1
- 241000792859 Enema Species 0.000 description 1
- 206010014967 Ependymoma Diseases 0.000 description 1
- HTIJFSOGRVMCQR-UHFFFAOYSA-N Epirubicin Natural products COc1cccc2C(=O)c3c(O)c4CC(O)(CC(OC5CC(N)C(=O)C(C)O5)c4c(O)c3C(=O)c12)C(=O)CO HTIJFSOGRVMCQR-UHFFFAOYSA-N 0.000 description 1
- 241000283086 Equidae Species 0.000 description 1
- 241000588698 Erwinia Species 0.000 description 1
- 102000003951 Erythropoietin Human genes 0.000 description 1
- 108090000394 Erythropoietin Proteins 0.000 description 1
- 208000000461 Esophageal Neoplasms Diseases 0.000 description 1
- 208000006168 Ewing Sarcoma Diseases 0.000 description 1
- 208000017259 Extragonadal germ cell tumor Diseases 0.000 description 1
- 108091008794 FGF receptors Proteins 0.000 description 1
- JNCMHMUGTWEVOZ-UHFFFAOYSA-N F[CH]F Chemical compound F[CH]F JNCMHMUGTWEVOZ-UHFFFAOYSA-N 0.000 description 1
- 241000282326 Felis catus Species 0.000 description 1
- 102000003972 Fibroblast growth factor 7 Human genes 0.000 description 1
- 108090000385 Fibroblast growth factor 7 Proteins 0.000 description 1
- 206010053717 Fibrous histiocytoma Diseases 0.000 description 1
- 108010029961 Filgrastim Proteins 0.000 description 1
- GHASVSINZRGABV-UHFFFAOYSA-N Fluorouracil Chemical compound FC1=CNC(=O)NC1=O GHASVSINZRGABV-UHFFFAOYSA-N 0.000 description 1
- MPJKWIXIYCLVCU-UHFFFAOYSA-N Folinic acid Natural products NC1=NC2=C(N(C=O)C(CNc3ccc(cc3)C(=O)NC(CCC(=O)O)CC(=O)O)CN2)C(=O)N1 MPJKWIXIYCLVCU-UHFFFAOYSA-N 0.000 description 1
- WHUUTDBJXJRKMK-UHFFFAOYSA-N Glutamic acid Chemical group OC(=O)C(N)CCC(O)=O WHUUTDBJXJRKMK-UHFFFAOYSA-N 0.000 description 1
- 244000060234 Gmelina philippensis Species 0.000 description 1
- BLCLNMBMMGCOAS-URPVMXJPSA-N Goserelin Chemical compound C([C@@H](C(=O)N[C@H](COC(C)(C)C)C(=O)N[C@@H](CC(C)C)C(=O)N[C@@H](CCCN=C(N)N)C(=O)N1[C@@H](CCC1)C(=O)NNC(N)=O)NC(=O)[C@H](CO)NC(=O)[C@H](CC=1C2=CC=CC=C2NC=1)NC(=O)[C@H](CC=1NC=NC=1)NC(=O)[C@H]1NC(=O)CC1)C1=CC=C(O)C=C1 BLCLNMBMMGCOAS-URPVMXJPSA-N 0.000 description 1
- 108010069236 Goserelin Proteins 0.000 description 1
- 108010017080 Granulocyte Colony-Stimulating Factor Proteins 0.000 description 1
- 108010017213 Granulocyte-Macrophage Colony-Stimulating Factor Proteins 0.000 description 1
- 102100039620 Granulocyte-macrophage colony-stimulating factor Human genes 0.000 description 1
- 108010067218 Guanine Nucleotide Exchange Factors Proteins 0.000 description 1
- 102000016285 Guanine Nucleotide Exchange Factors Human genes 0.000 description 1
- 239000004010 HER dimerization inhibitor Substances 0.000 description 1
- 208000002250 Hematologic Neoplasms Diseases 0.000 description 1
- GVGLGOZIDCSQPN-PVHGPHFFSA-N Heroin Chemical compound O([C@H]1[C@H](C=C[C@H]23)OC(C)=O)C4=C5[C@@]12CCN(C)[C@@H]3CC5=CC=C4OC(C)=O GVGLGOZIDCSQPN-PVHGPHFFSA-N 0.000 description 1
- 101000600756 Homo sapiens 3-phosphoinositide-dependent protein kinase 1 Proteins 0.000 description 1
- 101000678236 Homo sapiens 5'-nucleotidase Proteins 0.000 description 1
- 101000884305 Homo sapiens B-cell receptor CD22 Proteins 0.000 description 1
- 101000897441 Homo sapiens Cyclin-O Proteins 0.000 description 1
- 101000715946 Homo sapiens Cyclin-dependent kinase 3 Proteins 0.000 description 1
- 101000980937 Homo sapiens Cyclin-dependent kinase 8 Proteins 0.000 description 1
- 101001012447 Homo sapiens Ectonucleoside triphosphate diphosphohydrolase 1 Proteins 0.000 description 1
- 101000746367 Homo sapiens Granulocyte colony-stimulating factor Proteins 0.000 description 1
- 101001037256 Homo sapiens Indoleamine 2,3-dioxygenase 1 Proteins 0.000 description 1
- 101001056180 Homo sapiens Induced myeloid leukemia cell differentiation protein Mcl-1 Proteins 0.000 description 1
- 101000868279 Homo sapiens Leukocyte surface antigen CD47 Proteins 0.000 description 1
- 101001138062 Homo sapiens Leukocyte-associated immunoglobulin-like receptor 1 Proteins 0.000 description 1
- 101000934338 Homo sapiens Myeloid cell surface antigen CD33 Proteins 0.000 description 1
- 101001012157 Homo sapiens Receptor tyrosine-protein kinase erbB-2 Proteins 0.000 description 1
- 101000932478 Homo sapiens Receptor-type tyrosine-protein kinase FLT3 Proteins 0.000 description 1
- 101000830565 Homo sapiens Tumor necrosis factor ligand superfamily member 10 Proteins 0.000 description 1
- 101001117146 Homo sapiens [Pyruvate dehydrogenase (acetyl-transferring)] kinase isozyme 1, mitochondrial Proteins 0.000 description 1
- VSNHCAURESNICA-UHFFFAOYSA-N Hydroxyurea Chemical compound NC(=O)NO VSNHCAURESNICA-UHFFFAOYSA-N 0.000 description 1
- 206010021042 Hypopharyngeal cancer Diseases 0.000 description 1
- 206010056305 Hypopharyngeal neoplasm Diseases 0.000 description 1
- XDXDZDZNSLXDNA-TZNDIEGXSA-N Idarubicin Chemical compound C1[C@H](N)[C@H](O)[C@H](C)O[C@H]1O[C@@H]1C2=C(O)C(C(=O)C3=CC=CC=C3C3=O)=C3C(O)=C2C[C@@](O)(C(C)=O)C1 XDXDZDZNSLXDNA-TZNDIEGXSA-N 0.000 description 1
- XDXDZDZNSLXDNA-UHFFFAOYSA-N Idarubicin Natural products C1C(N)C(O)C(C)OC1OC1C2=C(O)C(C(=O)C3=CC=CC=C3C3=O)=C3C(O)=C2CC(O)(C(C)=O)C1 XDXDZDZNSLXDNA-UHFFFAOYSA-N 0.000 description 1
- 229940076838 Immune checkpoint inhibitor Drugs 0.000 description 1
- 102100040061 Indoleamine 2,3-dioxygenase 1 Human genes 0.000 description 1
- 102100026539 Induced myeloid leukemia cell differentiation protein Mcl-1 Human genes 0.000 description 1
- 102000037984 Inhibitory immune checkpoint proteins Human genes 0.000 description 1
- 108091008026 Inhibitory immune checkpoint proteins Proteins 0.000 description 1
- 102100030694 Interleukin-11 Human genes 0.000 description 1
- 206010061252 Intraocular melanoma Diseases 0.000 description 1
- 208000009164 Islet Cell Adenoma Diseases 0.000 description 1
- 102000042838 JAK family Human genes 0.000 description 1
- 108091082332 JAK family Proteins 0.000 description 1
- 102000002698 KIR Receptors Human genes 0.000 description 1
- 208000007766 Kaposi sarcoma Diseases 0.000 description 1
- 208000008839 Kidney Neoplasms Diseases 0.000 description 1
- WHUUTDBJXJRKMK-VKHMYHEASA-N L-glutamic acid Chemical group OC(=O)[C@@H](N)CCC(O)=O WHUUTDBJXJRKMK-VKHMYHEASA-N 0.000 description 1
- 239000002136 L01XE07 - Lapatinib Substances 0.000 description 1
- 239000005536 L01XE08 - Nilotinib Substances 0.000 description 1
- 239000003798 L01XE11 - Pazopanib Substances 0.000 description 1
- 239000002137 L01XE24 - Ponatinib Substances 0.000 description 1
- 239000002176 L01XE26 - Cabozantinib Substances 0.000 description 1
- 239000002177 L01XE27 - Ibrutinib Substances 0.000 description 1
- 206010023825 Laryngeal cancer Diseases 0.000 description 1
- 240000007472 Leucaena leucocephala Species 0.000 description 1
- 235000010643 Leucaena leucocephala Nutrition 0.000 description 1
- 102100032913 Leukocyte surface antigen CD47 Human genes 0.000 description 1
- 102100020943 Leukocyte-associated immunoglobulin-like receptor 1 Human genes 0.000 description 1
- 206010061523 Lip and/or oral cavity cancer Diseases 0.000 description 1
- 241000186781 Listeria Species 0.000 description 1
- 206010073099 Lobular breast carcinoma in situ Diseases 0.000 description 1
- 229940123628 Lysine (K)-specific demethylase 1A inhibitor Drugs 0.000 description 1
- 206010025557 Malignant fibrous histiocytoma of bone Diseases 0.000 description 1
- 208000032271 Malignant tumor of penis Diseases 0.000 description 1
- 208000025205 Mantle-Cell Lymphoma Diseases 0.000 description 1
- 208000002030 Merkel cell carcinoma Diseases 0.000 description 1
- 206010027476 Metastases Diseases 0.000 description 1
- TXXHDPDFNKHHGW-CCAGOZQPSA-N Muconic acid Chemical group OC(=O)\C=C/C=C\C(O)=O TXXHDPDFNKHHGW-CCAGOZQPSA-N 0.000 description 1
- 206010028193 Multiple endocrine neoplasia syndromes Diseases 0.000 description 1
- 101100261153 Mus musculus Mpl gene Proteins 0.000 description 1
- 101100407308 Mus musculus Pdcd1lg2 gene Proteins 0.000 description 1
- 241001467552 Mycobacterium bovis BCG Species 0.000 description 1
- 201000003793 Myelodysplastic syndrome Diseases 0.000 description 1
- 102100025243 Myeloid cell surface antigen CD33 Human genes 0.000 description 1
- GXCLVBGFBYZDAG-UHFFFAOYSA-N N-[2-(1H-indol-3-yl)ethyl]-N-methylprop-2-en-1-amine Chemical compound CN(CCC1=CNC2=C1C=CC=C2)CC=C GXCLVBGFBYZDAG-UHFFFAOYSA-N 0.000 description 1
- ULXXDDBFHOBEHA-INIZCTEOSA-N N-[4-(3-chloro-4-fluoroanilino)-7-[[(3S)-3-oxolanyl]oxy]-6-quinazolinyl]-4-(dimethylamino)-2-butenamide Chemical compound N1=CN=C2C=C(O[C@@H]3COCC3)C(NC(=O)C=CCN(C)C)=CC2=C1NC1=CC=C(F)C(Cl)=C1 ULXXDDBFHOBEHA-INIZCTEOSA-N 0.000 description 1
- LKJPYSCBVHEWIU-UHFFFAOYSA-N N-[4-cyano-3-(trifluoromethyl)phenyl]-3-[(4-fluorophenyl)sulfonyl]-2-hydroxy-2-methylpropanamide Chemical compound C=1C=C(C#N)C(C(F)(F)F)=CC=1NC(=O)C(O)(C)CS(=O)(=O)C1=CC=C(F)C=C1 LKJPYSCBVHEWIU-UHFFFAOYSA-N 0.000 description 1
- MBBZMMPHUWSWHV-BDVNFPICSA-N N-methylglucamine Chemical compound CNC[C@H](O)[C@@H](O)[C@H](O)[C@H](O)CO MBBZMMPHUWSWHV-BDVNFPICSA-N 0.000 description 1
- 108010057466 NF-kappa B Proteins 0.000 description 1
- 102000003945 NF-kappa B Human genes 0.000 description 1
- 229910020284 Na2SO4.10H2O Inorganic materials 0.000 description 1
- 208000001894 Nasopharyngeal Neoplasms Diseases 0.000 description 1
- 206010061306 Nasopharyngeal cancer Diseases 0.000 description 1
- 206010029260 Neuroblastoma Diseases 0.000 description 1
- 206010029266 Neuroendocrine carcinoma of the skin Diseases 0.000 description 1
- 102100026379 Neurofibromin Human genes 0.000 description 1
- 108010085793 Neurofibromin 1 Proteins 0.000 description 1
- GRYLNZFGIOXLOG-UHFFFAOYSA-N Nitric acid Chemical compound O[N+]([O-])=O GRYLNZFGIOXLOG-UHFFFAOYSA-N 0.000 description 1
- 102000007399 Nuclear hormone receptor Human genes 0.000 description 1
- 108020005497 Nuclear hormone receptor Proteins 0.000 description 1
- QWZRZYWLWTWVLF-UHFFFAOYSA-N O.OP(O)=O Chemical compound O.OP(O)=O QWZRZYWLWTWVLF-UHFFFAOYSA-N 0.000 description 1
- 206010030155 Oesophageal carcinoma Diseases 0.000 description 1
- 208000000160 Olfactory Esthesioneuroblastoma Diseases 0.000 description 1
- 206010031096 Oropharyngeal cancer Diseases 0.000 description 1
- 206010057444 Oropharyngeal neoplasm Diseases 0.000 description 1
- 240000007594 Oryza sativa Species 0.000 description 1
- 235000007164 Oryza sativa Nutrition 0.000 description 1
- 206010033128 Ovarian cancer Diseases 0.000 description 1
- 206010061535 Ovarian neoplasm Diseases 0.000 description 1
- 239000012828 PI3K inhibitor Substances 0.000 description 1
- 101150037263 PIP2 gene Proteins 0.000 description 1
- 206010061332 Paraganglion neoplasm Diseases 0.000 description 1
- 208000000821 Parathyroid Neoplasms Diseases 0.000 description 1
- 235000019483 Peanut oil Nutrition 0.000 description 1
- 241001494479 Pecora Species 0.000 description 1
- 208000002471 Penile Neoplasms Diseases 0.000 description 1
- 206010034299 Penile cancer Diseases 0.000 description 1
- 208000009565 Pharyngeal Neoplasms Diseases 0.000 description 1
- 206010034811 Pharyngeal cancer Diseases 0.000 description 1
- OAICVXFJPJFONN-UHFFFAOYSA-N Phosphorus Chemical compound [P] OAICVXFJPJFONN-UHFFFAOYSA-N 0.000 description 1
- 201000008199 Pleuropulmonary blastoma Diseases 0.000 description 1
- 239000002202 Polyethylene glycol Substances 0.000 description 1
- 108700030875 Programmed Cell Death 1 Ligand 2 Proteins 0.000 description 1
- 102100024213 Programmed cell death 1 ligand 2 Human genes 0.000 description 1
- 206010060862 Prostate cancer Diseases 0.000 description 1
- 208000000236 Prostatic Neoplasms Diseases 0.000 description 1
- 229940079156 Proteasome inhibitor Drugs 0.000 description 1
- 102000001253 Protein Kinase Human genes 0.000 description 1
- 201000004681 Psoriasis Diseases 0.000 description 1
- IWYDHOAUDWTVEP-UHFFFAOYSA-N R-2-phenyl-2-hydroxyacetic acid Natural products OC(=O)C(O)C1=CC=CC=C1 IWYDHOAUDWTVEP-UHFFFAOYSA-N 0.000 description 1
- 102100033479 RAF proto-oncogene serine/threonine-protein kinase Human genes 0.000 description 1
- 229940126002 RMC-4630 Drugs 0.000 description 1
- 102100031426 Ras GTPase-activating protein 1 Human genes 0.000 description 1
- 108050004017 Ras GTPase-activating protein 1 Proteins 0.000 description 1
- 229940078123 Ras inhibitor Drugs 0.000 description 1
- 102100030086 Receptor tyrosine-protein kinase erbB-2 Human genes 0.000 description 1
- 102100020718 Receptor-type tyrosine-protein kinase FLT3 Human genes 0.000 description 1
- 208000015634 Rectal Neoplasms Diseases 0.000 description 1
- 206010038389 Renal cancer Diseases 0.000 description 1
- 201000000582 Retinoblastoma Diseases 0.000 description 1
- 229940125859 S64315 Drugs 0.000 description 1
- 102000057028 SOS1 Human genes 0.000 description 1
- 108700022176 SOS1 Proteins 0.000 description 1
- 229940044665 STING agonist Drugs 0.000 description 1
- 101001037255 Saccharomyces cerevisiae (strain ATCC 204508 / S288c) Indoleamine 2,3-dioxygenase Proteins 0.000 description 1
- 101100456541 Saccharomyces cerevisiae (strain ATCC 204508 / S288c) MEC3 gene Proteins 0.000 description 1
- 101100197320 Saccharomyces cerevisiae (strain ATCC 204508 / S288c) RPL35A gene Proteins 0.000 description 1
- 101100262439 Saccharomyces cerevisiae (strain ATCC 204508 / S288c) UBA2 gene Proteins 0.000 description 1
- 101100483663 Saccharomyces cerevisiae (strain ATCC 204508 / S288c) UFD1 gene Proteins 0.000 description 1
- 208000004337 Salivary Gland Neoplasms Diseases 0.000 description 1
- 206010061934 Salivary gland cancer Diseases 0.000 description 1
- 102100023085 Serine/threonine-protein kinase mTOR Human genes 0.000 description 1
- 208000000453 Skin Neoplasms Diseases 0.000 description 1
- 206010041067 Small cell lung cancer Diseases 0.000 description 1
- 208000021712 Soft tissue sarcoma Diseases 0.000 description 1
- 102000005588 Son of Sevenless Proteins Human genes 0.000 description 1
- 108010059447 Son of Sevenless Proteins Proteins 0.000 description 1
- 101150100839 Sos1 gene Proteins 0.000 description 1
- 235000021355 Stearic acid Nutrition 0.000 description 1
- 101710196623 Stimulator of interferon genes protein Proteins 0.000 description 1
- 208000005718 Stomach Neoplasms Diseases 0.000 description 1
- KDYFGRWQOYBRFD-UHFFFAOYSA-N Succinic acid Natural products OC(=O)CCC(O)=O KDYFGRWQOYBRFD-UHFFFAOYSA-N 0.000 description 1
- 241000282887 Suidae Species 0.000 description 1
- NINIDFKCEFEMDL-UHFFFAOYSA-N Sulfur Chemical compound [S] NINIDFKCEFEMDL-UHFFFAOYSA-N 0.000 description 1
- 230000006044 T cell activation Effects 0.000 description 1
- 208000031673 T-Cell Cutaneous Lymphoma Diseases 0.000 description 1
- 206010042971 T-cell lymphoma Diseases 0.000 description 1
- 208000027585 T-cell non-Hodgkin lymphoma Diseases 0.000 description 1
- 108091005735 TGF-beta receptors Proteins 0.000 description 1
- 229940125811 TNO155 Drugs 0.000 description 1
- 108010065917 TOR Serine-Threonine Kinases Proteins 0.000 description 1
- 239000005463 Tandutinib Substances 0.000 description 1
- NAVMQTYZDKMPEU-UHFFFAOYSA-N Targretin Chemical compound CC1=CC(C(CCC2(C)C)(C)C)=C2C=C1C(=C)C1=CC=C(C(O)=O)C=C1 NAVMQTYZDKMPEU-UHFFFAOYSA-N 0.000 description 1
- FEWJPZIEWOKRBE-UHFFFAOYSA-N Tartaric acid Natural products [H+].[H+].[O-]C(=O)C(O)C(O)C([O-])=O FEWJPZIEWOKRBE-UHFFFAOYSA-N 0.000 description 1
- 229940123237 Taxane Drugs 0.000 description 1
- BPEGJWRSRHCHSN-UHFFFAOYSA-N Temozolomide Chemical compound O=C1N(C)N=NC2=C(C(N)=O)N=CN21 BPEGJWRSRHCHSN-UHFFFAOYSA-N 0.000 description 1
- 208000024313 Testicular Neoplasms Diseases 0.000 description 1
- 206010057644 Testis cancer Diseases 0.000 description 1
- 206010043515 Throat cancer Diseases 0.000 description 1
- 102000036693 Thrombopoietin Human genes 0.000 description 1
- 108010041111 Thrombopoietin Proteins 0.000 description 1
- 201000009365 Thymic carcinoma Diseases 0.000 description 1
- 229910003074 TiCl4 Inorganic materials 0.000 description 1
- 239000000365 Topoisomerase I Inhibitor Substances 0.000 description 1
- 239000000317 Topoisomerase II Inhibitor Substances 0.000 description 1
- 229920001615 Tragacanth Polymers 0.000 description 1
- 102000016715 Transforming Growth Factor beta Receptors Human genes 0.000 description 1
- 206010044407 Transitional cell cancer of the renal pelvis and ureter Diseases 0.000 description 1
- 102100040653 Tryptophan 2,3-dioxygenase Human genes 0.000 description 1
- 101710136122 Tryptophan 2,3-dioxygenase Proteins 0.000 description 1
- 102100033019 Tyrosine-protein phosphatase non-receptor type 11 Human genes 0.000 description 1
- 101710116241 Tyrosine-protein phosphatase non-receptor type 11 Proteins 0.000 description 1
- 206010046431 Urethral cancer Diseases 0.000 description 1
- 206010046458 Urethral neoplasms Diseases 0.000 description 1
- 201000005969 Uveal melanoma Diseases 0.000 description 1
- 241000700605 Viruses Species 0.000 description 1
- 206010047741 Vulval cancer Diseases 0.000 description 1
- 208000004354 Vulvar Neoplasms Diseases 0.000 description 1
- HISJAYUQVHMWTA-BLLLJJGKSA-N [6-(2-amino-3-chloropyridin-4-yl)sulfanyl-3-[(3S,4S)-4-amino-3-methyl-2-oxa-8-azaspiro[4.5]decan-8-yl]-5-methylpyrazin-2-yl]methanol Chemical compound NC1=NC=CC(=C1Cl)SC1=C(N=C(C(=N1)CO)N1CCC2([C@@H]([C@@H](OC2)C)N)CC1)C HISJAYUQVHMWTA-BLLLJJGKSA-N 0.000 description 1
- 229950001573 abemaciclib Drugs 0.000 description 1
- 230000002159 abnormal effect Effects 0.000 description 1
- 235000011054 acetic acid Nutrition 0.000 description 1
- IKDXDQDKCZPQSZ-JHYYTBFNSA-N acetic acid;(2s)-n-[(2s)-1-[[(2s)-1-[[(2s)-1-[[(2s)-1-[[(2r)-1-[[(2s)-1-[[(2s)-1-[(2s)-2-[(carbamoylamino)carbamoyl]pyrrolidin-1-yl]-5-(diaminomethylideneamino)-1-oxopentan-2-yl]amino]-4-methyl-1-oxopentan-2-yl]amino]-3-[(2-methylpropan-2-yl)oxy]-1-oxopro Chemical compound CC(O)=O.C([C@@H](C(=O)N[C@H](COC(C)(C)C)C(=O)N[C@@H](CC(C)C)C(=O)N[C@@H](CCCNC(N)=N)C(=O)N1[C@@H](CCC1)C(=O)NNC(N)=O)NC(=O)[C@H](CO)NC(=O)[C@H](CC=1C2=CC=CC=C2NC=1)NC(=O)[C@H](CC=1NC=NC=1)NC(=O)[C@H]1NC(=O)CC1)C1=CC=C(O)C=C1 IKDXDQDKCZPQSZ-JHYYTBFNSA-N 0.000 description 1
- MGVGMXLGOKTYKP-ZFOBEOMCSA-N acetic acid;(6s,8s,9s,10r,11s,13s,14s,17r)-11,17-dihydroxy-17-(2-hydroxyacetyl)-6,10,13-trimethyl-7,8,9,11,12,14,15,16-octahydro-6h-cyclopenta[a]phenanthren-3-one Chemical compound CC(O)=O.C([C@@]12C)=CC(=O)C=C1[C@@H](C)C[C@@H]1[C@@H]2[C@@H](O)C[C@]2(C)[C@@](O)(C(=O)CO)CC[C@H]21 MGVGMXLGOKTYKP-ZFOBEOMCSA-N 0.000 description 1
- DPXJVFZANSGRMM-UHFFFAOYSA-N acetic acid;2,3,4,5,6-pentahydroxyhexanal;sodium Chemical compound [Na].CC(O)=O.OCC(O)C(O)C(O)C(O)C=O DPXJVFZANSGRMM-UHFFFAOYSA-N 0.000 description 1
- 125000003668 acetyloxy group Chemical group [H]C([H])([H])C(=O)O[*] 0.000 description 1
- 230000002378 acidificating effect Effects 0.000 description 1
- 239000008186 active pharmaceutical agent Substances 0.000 description 1
- 229940124988 adagrasib Drugs 0.000 description 1
- 208000009956 adenocarcinoma Diseases 0.000 description 1
- 239000002671 adjuvant Substances 0.000 description 1
- 239000003470 adrenal cortex hormone Substances 0.000 description 1
- 208000007128 adrenocortical carcinoma Diseases 0.000 description 1
- 230000002411 adverse Effects 0.000 description 1
- QNAYBMKLOCPYGJ-UHFFFAOYSA-M alaninate Chemical compound CC(N)C([O-])=O QNAYBMKLOCPYGJ-UHFFFAOYSA-M 0.000 description 1
- 150000001298 alcohols Chemical class 0.000 description 1
- 108700025316 aldesleukin Proteins 0.000 description 1
- 229960005310 aldesleukin Drugs 0.000 description 1
- 229960001611 alectinib Drugs 0.000 description 1
- 229960000548 alemtuzumab Drugs 0.000 description 1
- 229950009447 alisertib Drugs 0.000 description 1
- 229960001445 alitretinoin Drugs 0.000 description 1
- 229910001413 alkali metal ion Inorganic materials 0.000 description 1
- 229930013930 alkaloid Natural products 0.000 description 1
- 229940100198 alkylating agent Drugs 0.000 description 1
- 239000002168 alkylating agent Substances 0.000 description 1
- BJEPYKJPYRNKOW-UHFFFAOYSA-N alpha-hydroxysuccinic acid Natural products OC(=O)C(O)CC(O)=O BJEPYKJPYRNKOW-UHFFFAOYSA-N 0.000 description 1
- 229910052782 aluminium Inorganic materials 0.000 description 1
- 229910000147 aluminium phosphate Inorganic materials 0.000 description 1
- 229960001097 amifostine Drugs 0.000 description 1
- 125000004103 aminoalkyl group Chemical group 0.000 description 1
- 229960003437 aminoglutethimide Drugs 0.000 description 1
- 229960001694 anagrelide Drugs 0.000 description 1
- 229960002932 anastrozole Drugs 0.000 description 1
- 239000003098 androgen Substances 0.000 description 1
- 229940030486 androgens Drugs 0.000 description 1
- 229960004543 anhydrous citric acid Drugs 0.000 description 1
- 239000003242 anti bacterial agent Substances 0.000 description 1
- 230000002280 anti-androgenic effect Effects 0.000 description 1
- 229940046836 anti-estrogen Drugs 0.000 description 1
- 230000001833 anti-estrogenic effect Effects 0.000 description 1
- 230000000340 anti-metabolite Effects 0.000 description 1
- 229940044684 anti-microtubule agent Drugs 0.000 description 1
- 230000001062 anti-nausea Effects 0.000 description 1
- 230000000259 anti-tumor effect Effects 0.000 description 1
- 239000000051 antiandrogen Substances 0.000 description 1
- 229940030495 antiandrogen sex hormone and modulator of the genital system Drugs 0.000 description 1
- 229940088710 antibiotic agent Drugs 0.000 description 1
- 239000000427 antigen Substances 0.000 description 1
- 108091007433 antigens Proteins 0.000 description 1
- 102000036639 antigens Human genes 0.000 description 1
- 229940100197 antimetabolite Drugs 0.000 description 1
- 239000002256 antimetabolite Substances 0.000 description 1
- 239000003080 antimitotic agent Substances 0.000 description 1
- 239000003963 antioxidant agent Substances 0.000 description 1
- 201000011165 anus cancer Diseases 0.000 description 1
- 230000006907 apoptotic process Effects 0.000 description 1
- 208000021780 appendiceal neoplasm Diseases 0.000 description 1
- 239000008135 aqueous vehicle Substances 0.000 description 1
- 239000003886 aromatase inhibitor Substances 0.000 description 1
- 229940046844 aromatase inhibitors Drugs 0.000 description 1
- GOLCXWYRSKYTSP-UHFFFAOYSA-N arsenic trioxide Inorganic materials O1[As]2O[As]1O2 GOLCXWYRSKYTSP-UHFFFAOYSA-N 0.000 description 1
- 229960003272 asparaginase Drugs 0.000 description 1
- DCXYFEDJOCDNAF-UHFFFAOYSA-M asparaginate Chemical compound [O-]C(=O)C(N)CC(N)=O DCXYFEDJOCDNAF-UHFFFAOYSA-M 0.000 description 1
- 238000003556 assay Methods 0.000 description 1
- 238000003149 assay kit Methods 0.000 description 1
- 229960003852 atezolizumab Drugs 0.000 description 1
- QVGXLLKOCUKJST-UHFFFAOYSA-N atomic oxygen Chemical compound [O] QVGXLLKOCUKJST-UHFFFAOYSA-N 0.000 description 1
- 239000003719 aurora kinase inhibitor Substances 0.000 description 1
- 229960003005 axitinib Drugs 0.000 description 1
- VSRXQHXAPYXROS-UHFFFAOYSA-N azanide;cyclobutane-1,1-dicarboxylic acid;platinum(2+) Chemical compound [NH2-].[NH2-].[Pt+2].OC(=O)C1(C(O)=O)CCC1 VSRXQHXAPYXROS-UHFFFAOYSA-N 0.000 description 1
- 229960000190 bacillus calmette–guérin vaccine Drugs 0.000 description 1
- 229960002707 bendamustine Drugs 0.000 description 1
- YTKUWDBFDASYHO-UHFFFAOYSA-N bendamustine Chemical compound ClCCN(CCCl)C1=CC=C2N(C)C(CCCC(O)=O)=NC2=C1 YTKUWDBFDASYHO-UHFFFAOYSA-N 0.000 description 1
- 230000009286 beneficial effect Effects 0.000 description 1
- 208000001119 benign fibrous histiocytoma Diseases 0.000 description 1
- SRSXLGNVWSONIS-UHFFFAOYSA-N benzenesulfonic acid Chemical compound OS(=O)(=O)C1=CC=CC=C1 SRSXLGNVWSONIS-UHFFFAOYSA-N 0.000 description 1
- 229940092714 benzenesulfonic acid Drugs 0.000 description 1
- UMIVXZPTRXBADB-UHFFFAOYSA-N benzocyclobutene Chemical compound C1=CC=C2CCC2=C1 UMIVXZPTRXBADB-UHFFFAOYSA-N 0.000 description 1
- 235000010233 benzoic acid Nutrition 0.000 description 1
- 125000004541 benzoxazolyl group Chemical group O1C(=NC2=C1C=CC=C2)* 0.000 description 1
- YUXTXQYKRSIWRC-BETUJISGSA-N benzyl (4aR,7aS)-2,3,4a,5,7,7a-hexahydro-[1,4]dioxino[2,3-c]pyrrole-6-carboxylate Chemical compound O1CCO[C@H]2[C@@H]1CN(C2)C(=O)OCC1=CC=CC=C1 YUXTXQYKRSIWRC-BETUJISGSA-N 0.000 description 1
- YUXTXQYKRSIWRC-CHWSQXEVSA-N benzyl (4ar,7ar)-2,3,4a,5,7,7a-hexahydro-[1,4]dioxino[2,3-c]pyrrole-6-carboxylate Chemical compound C([C@H]1OCCO[C@@H]1C1)N1C(=O)OCC1=CC=CC=C1 YUXTXQYKRSIWRC-CHWSQXEVSA-N 0.000 description 1
- FDDADAAYFIUZLX-UHFFFAOYSA-N benzyl 1-oxa-6-azaspiro[2.5]octane-6-carboxylate Chemical compound C1CC2(OC2)CCN1C(=O)OCC1=CC=CC=C1 FDDADAAYFIUZLX-UHFFFAOYSA-N 0.000 description 1
- XSKKIFJNZPNVGO-UHFFFAOYSA-N benzyl 2,5-dihydropyrrole-1-carboxylate Chemical compound C1C=CCN1C(=O)OCC1=CC=CC=C1 XSKKIFJNZPNVGO-UHFFFAOYSA-N 0.000 description 1
- HDMXGKDIDQZITN-UHFFFAOYSA-N benzyl 2,5-dimethylpiperazine-1-carboxylate Chemical compound CC1CNC(C)CN1C(=O)OCC1=CC=CC=C1 HDMXGKDIDQZITN-UHFFFAOYSA-N 0.000 description 1
- QSKMFYCQRQLYMF-UHFFFAOYSA-N benzyl 2-(cyanomethyl)piperazine-1-carboxylate Chemical compound O=C(OCc1ccccc1)N1CCNCC1CC#N QSKMFYCQRQLYMF-UHFFFAOYSA-N 0.000 description 1
- CTOUWUYDDUSBQE-UHFFFAOYSA-N benzyl piperazine-1-carboxylate Chemical compound C1CNCCN1C(=O)OCC1=CC=CC=C1 CTOUWUYDDUSBQE-UHFFFAOYSA-N 0.000 description 1
- GONOPSZTUGRENK-UHFFFAOYSA-N benzyl(trichloro)silane Chemical compound Cl[Si](Cl)(Cl)CC1=CC=CC=C1 GONOPSZTUGRENK-UHFFFAOYSA-N 0.000 description 1
- 229960000397 bevacizumab Drugs 0.000 description 1
- 229960002938 bexarotene Drugs 0.000 description 1
- 229960000997 bicalutamide Drugs 0.000 description 1
- 210000003445 biliary tract Anatomy 0.000 description 1
- 229950003054 binimetinib Drugs 0.000 description 1
- 230000008512 biological response Effects 0.000 description 1
- 229950000080 birabresib Drugs 0.000 description 1
- 150000004663 bisphosphonates Chemical class 0.000 description 1
- 229960001561 bleomycin Drugs 0.000 description 1
- OYVAGSVQBOHSSS-UAPAGMARSA-O bleomycin A2 Chemical compound N([C@H](C(=O)N[C@H](C)[C@@H](O)[C@H](C)C(=O)N[C@@H]([C@H](O)C)C(=O)NCCC=1SC=C(N=1)C=1SC=C(N=1)C(=O)NCCC[S+](C)C)[C@@H](O[C@H]1[C@H]([C@@H](O)[C@H](O)[C@H](CO)O1)O[C@@H]1[C@H]([C@@H](OC(N)=O)[C@H](O)[C@@H](CO)O1)O)C=1N=CNC=1)C(=O)C1=NC([C@H](CC(N)=O)NC[C@H](N)C(N)=O)=NC(N)=C1C OYVAGSVQBOHSSS-UAPAGMARSA-O 0.000 description 1
- 230000037396 body weight Effects 0.000 description 1
- 210000000988 bone and bone Anatomy 0.000 description 1
- 239000002617 bone density conservation agent Substances 0.000 description 1
- 210000001185 bone marrow Anatomy 0.000 description 1
- 229960001467 bortezomib Drugs 0.000 description 1
- 125000001246 bromo group Chemical group Br* 0.000 description 1
- 239000000872 buffer Substances 0.000 description 1
- 229960002092 busulfan Drugs 0.000 description 1
- KDYFGRWQOYBRFD-NUQCWPJISA-N butanedioic acid Chemical compound O[14C](=O)CC[14C](O)=O KDYFGRWQOYBRFD-NUQCWPJISA-N 0.000 description 1
- 125000004369 butenyl group Chemical group C(=CCC)* 0.000 description 1
- 125000000484 butyl group Chemical group [H]C([*])([H])C([H])([H])C([H])([H])C([H])([H])[H] 0.000 description 1
- 125000000480 butynyl group Chemical group [*]C#CC([H])([H])C([H])([H])[H] 0.000 description 1
- BMQGVNUXMIRLCK-OAGWZNDDSA-N cabazitaxel Chemical compound O([C@H]1[C@@H]2[C@]3(OC(C)=O)CO[C@@H]3C[C@@H]([C@]2(C(=O)[C@H](OC)C2=C(C)[C@@H](OC(=O)[C@H](O)[C@@H](NC(=O)OC(C)(C)C)C=3C=CC=CC=3)C[C@]1(O)C2(C)C)C)OC)C(=O)C1=CC=CC=C1 BMQGVNUXMIRLCK-OAGWZNDDSA-N 0.000 description 1
- 229960001573 cabazitaxel Drugs 0.000 description 1
- 229960001292 cabozantinib Drugs 0.000 description 1
- ONIQOQHATWINJY-UHFFFAOYSA-N cabozantinib Chemical compound C=12C=C(OC)C(OC)=CC2=NC=CC=1OC(C=C1)=CC=C1NC(=O)C1(C(=O)NC=2C=CC(F)=CC=2)CC1 ONIQOQHATWINJY-UHFFFAOYSA-N 0.000 description 1
- 239000001110 calcium chloride Substances 0.000 description 1
- 229910001628 calcium chloride Inorganic materials 0.000 description 1
- KVUAALJSMIVURS-ZEDZUCNESA-L calcium folinate Chemical compound [Ca+2].C1NC=2NC(N)=NC(=O)C=2N(C=O)C1CNC1=CC=C(C(=O)N[C@@H](CCC([O-])=O)C([O-])=O)C=C1 KVUAALJSMIVURS-ZEDZUCNESA-L 0.000 description 1
- 238000009566 cancer vaccine Methods 0.000 description 1
- 229960004117 capecitabine Drugs 0.000 description 1
- 229950005852 capmatinib Drugs 0.000 description 1
- 239000007963 capsule composition Substances 0.000 description 1
- 239000004202 carbamide Substances 0.000 description 1
- 150000001722 carbon compounds Chemical class 0.000 description 1
- 239000001569 carbon dioxide Substances 0.000 description 1
- 229910002092 carbon dioxide Inorganic materials 0.000 description 1
- 229960004424 carbon dioxide Drugs 0.000 description 1
- OSQPUMRCKZAIOZ-UHFFFAOYSA-N carbon dioxide;ethanol Chemical compound CCO.O=C=O OSQPUMRCKZAIOZ-UHFFFAOYSA-N 0.000 description 1
- 229910002091 carbon monoxide Inorganic materials 0.000 description 1
- 230000006315 carbonylation Effects 0.000 description 1
- 238000005810 carbonylation reaction Methods 0.000 description 1
- 229960004562 carboplatin Drugs 0.000 description 1
- 239000001768 carboxy methyl cellulose Substances 0.000 description 1
- 150000001732 carboxylic acid derivatives Chemical class 0.000 description 1
- 229960002438 carfilzomib Drugs 0.000 description 1
- 108010021331 carfilzomib Proteins 0.000 description 1
- 229960005243 carmustine Drugs 0.000 description 1
- 239000000969 carrier Substances 0.000 description 1
- XGGTZCKQRWXCHW-WMTVXVAQSA-N casopitant Chemical compound C1([C@H]2C[C@H](CCN2C(=O)N(C)[C@H](C)C=2C=C(C=C(C=2)C(F)(F)F)C(F)(F)F)N2CCN(CC2)C(C)=O)=CC=C(F)C=C1C XGGTZCKQRWXCHW-WMTVXVAQSA-N 0.000 description 1
- 229960003778 casopitant Drugs 0.000 description 1
- 239000003054 catalyst Substances 0.000 description 1
- 230000010261 cell growth Effects 0.000 description 1
- 230000012292 cell migration Effects 0.000 description 1
- 230000001413 cellular effect Effects 0.000 description 1
- 239000001913 cellulose Substances 0.000 description 1
- 229920002678 cellulose Polymers 0.000 description 1
- 201000007455 central nervous system cancer Diseases 0.000 description 1
- 229960001602 ceritinib Drugs 0.000 description 1
- 229960005395 cetuximab Drugs 0.000 description 1
- 208000011654 childhood malignant neoplasm Diseases 0.000 description 1
- 229960004630 chlorambucil Drugs 0.000 description 1
- JCKYGMPEJWAADB-UHFFFAOYSA-N chlorambucil Chemical compound OC(=O)CCCC1=CC=C(N(CCCl)CCCl)C=C1 JCKYGMPEJWAADB-UHFFFAOYSA-N 0.000 description 1
- 230000001684 chronic effect Effects 0.000 description 1
- 235000013985 cinnamic acid Nutrition 0.000 description 1
- 229930016911 cinnamic acid Natural products 0.000 description 1
- 229960004316 cisplatin Drugs 0.000 description 1
- DQLATGHUWYMOKM-UHFFFAOYSA-L cisplatin Chemical compound N[Pt](N)(Cl)Cl DQLATGHUWYMOKM-UHFFFAOYSA-L 0.000 description 1
- 229960004106 citric acid Drugs 0.000 description 1
- 235000015165 citric acid Nutrition 0.000 description 1
- 229960002436 cladribine Drugs 0.000 description 1
- 238000003776 cleavage reaction Methods 0.000 description 1
- 238000011260 co-administration Methods 0.000 description 1
- RESIMIUSNACMNW-BXRWSSRYSA-N cobimetinib fumarate Chemical compound OC(=O)\C=C\C(O)=O.C1C(O)([C@H]2NCCCC2)CN1C(=O)C1=CC=C(F)C(F)=C1NC1=CC=C(I)C=C1F.C1C(O)([C@H]2NCCCC2)CN1C(=O)C1=CC=C(F)C(F)=C1NC1=CC=C(I)C=C1F RESIMIUSNACMNW-BXRWSSRYSA-N 0.000 description 1
- 229940110456 cocoa butter Drugs 0.000 description 1
- 235000019868 cocoa butter Nutrition 0.000 description 1
- 208000029742 colonic neoplasm Diseases 0.000 description 1
- 229940125904 compound 1 Drugs 0.000 description 1
- 229940126214 compound 3 Drugs 0.000 description 1
- 230000006552 constitutive activation Effects 0.000 description 1
- 238000007796 conventional method Methods 0.000 description 1
- BGSOJVFOEQLVMH-VWUMJDOOSA-N cortisol phosphate Chemical compound O=C1CC[C@]2(C)[C@H]3[C@@H](O)C[C@](C)([C@@](CC4)(O)C(=O)COP(O)(O)=O)[C@@H]4[C@@H]3CCC2=C1 BGSOJVFOEQLVMH-VWUMJDOOSA-N 0.000 description 1
- 229960004544 cortisone Drugs 0.000 description 1
- 238000005859 coupling reaction Methods 0.000 description 1
- 239000006071 cream Substances 0.000 description 1
- 229950009240 crenolanib Drugs 0.000 description 1
- 238000002425 crystallisation Methods 0.000 description 1
- 230000008025 crystallization Effects 0.000 description 1
- 201000007241 cutaneous T cell lymphoma Diseases 0.000 description 1
- 208000017763 cutaneous neuroendocrine carcinoma Diseases 0.000 description 1
- 125000004122 cyclic group Chemical group 0.000 description 1
- 239000002875 cyclin dependent kinase inhibitor Substances 0.000 description 1
- 229940043378 cyclin-dependent kinase inhibitor Drugs 0.000 description 1
- 125000005112 cycloalkylalkoxy group Chemical group 0.000 description 1
- 125000004976 cyclobutylene group Chemical group 0.000 description 1
- 125000004979 cyclopentylene group Chemical group 0.000 description 1
- 229960004397 cyclophosphamide Drugs 0.000 description 1
- 230000001120 cytoprotective effect Effects 0.000 description 1
- 230000001086 cytosolic effect Effects 0.000 description 1
- 229960002465 dabrafenib Drugs 0.000 description 1
- 229960003901 dacarbazine Drugs 0.000 description 1
- 229950007409 dacetuzumab Drugs 0.000 description 1
- 229950002966 danusertib Drugs 0.000 description 1
- 229960005029 darbepoetin alfa Drugs 0.000 description 1
- 229960000975 daunorubicin Drugs 0.000 description 1
- 229940052372 daunorubicin citrate liposome Drugs 0.000 description 1
- 229940041983 daunorubicin liposomal Drugs 0.000 description 1
- 229950001466 delanzomib Drugs 0.000 description 1
- 239000003405 delayed action preparation Substances 0.000 description 1
- 239000007950 delayed release tablet Substances 0.000 description 1
- 239000012649 demethylating agent Substances 0.000 description 1
- 210000004443 dendritic cell Anatomy 0.000 description 1
- 229960002923 denileukin diftitox Drugs 0.000 description 1
- 108010017271 denileukin diftitox Proteins 0.000 description 1
- 229960001251 denosumab Drugs 0.000 description 1
- 239000008121 dextrose Substances 0.000 description 1
- PXBRQCKWGAHEHS-UHFFFAOYSA-N dichlorodifluoromethane Chemical compound FC(F)(Cl)Cl PXBRQCKWGAHEHS-UHFFFAOYSA-N 0.000 description 1
- 235000019404 dichlorodifluoromethane Nutrition 0.000 description 1
- 229940042935 dichlorodifluoromethane Drugs 0.000 description 1
- 229940087091 dichlorotetrafluoroethane Drugs 0.000 description 1
- 235000014113 dietary fatty acids Nutrition 0.000 description 1
- ZBCBWPMODOFKDW-UHFFFAOYSA-N diethanolamine Chemical compound OCCNCCO ZBCBWPMODOFKDW-UHFFFAOYSA-N 0.000 description 1
- WYACBZDAHNBPPB-UHFFFAOYSA-N diethyl oxalate Chemical compound CCOC(=O)C(=O)OCC WYACBZDAHNBPPB-UHFFFAOYSA-N 0.000 description 1
- 238000010790 dilution Methods 0.000 description 1
- 239000012895 dilution Substances 0.000 description 1
- 230000003467 diminishing effect Effects 0.000 description 1
- 239000002270 dispersing agent Substances 0.000 description 1
- 238000006073 displacement reaction Methods 0.000 description 1
- 238000004821 distillation Methods 0.000 description 1
- 229960003668 docetaxel Drugs 0.000 description 1
- MOTZDAYCYVMXPC-UHFFFAOYSA-N dodecyl hydrogen sulfate Chemical group CCCCCCCCCCCCOS(O)(=O)=O MOTZDAYCYVMXPC-UHFFFAOYSA-N 0.000 description 1
- 230000007783 downstream signaling Effects 0.000 description 1
- 229960004679 doxorubicin Drugs 0.000 description 1
- 239000006196 drop Substances 0.000 description 1
- 238000001647 drug administration Methods 0.000 description 1
- 239000000890 drug combination Substances 0.000 description 1
- 229940088679 drug related substance Drugs 0.000 description 1
- 208000028715 ductal breast carcinoma in situ Diseases 0.000 description 1
- 229950000317 dulanermin Drugs 0.000 description 1
- 239000012636 effector Substances 0.000 description 1
- XDXWLKQMMKQXPV-QYQHSDTDSA-N eltrombopag Chemical compound CC1=NN(C=2C=C(C)C(C)=CC=2)C(=O)\C1=N/NC(C=1O)=CC=CC=1C1=CC=CC(C(O)=O)=C1 XDXWLKQMMKQXPV-QYQHSDTDSA-N 0.000 description 1
- 229960001069 eltrombopag Drugs 0.000 description 1
- 229950001969 encorafenib Drugs 0.000 description 1
- 239000007920 enema Substances 0.000 description 1
- 229940079360 enema for constipation Drugs 0.000 description 1
- BJXYHBKEQFQVES-NWDGAFQWSA-N enpatoran Chemical compound N[C@H]1CN(C[C@H](C1)C(F)(F)F)C1=C2C=CC=NC2=C(C=C1)C#N BJXYHBKEQFQVES-NWDGAFQWSA-N 0.000 description 1
- 239000002662 enteric coated tablet Substances 0.000 description 1
- 210000002615 epidermis Anatomy 0.000 description 1
- 229960001904 epirubicin Drugs 0.000 description 1
- 150000003885 epothilone B derivatives Chemical class 0.000 description 1
- 229950004444 erdafitinib Drugs 0.000 description 1
- 229960005073 erlotinib hydrochloride Drugs 0.000 description 1
- 229940105423 erythropoietin Drugs 0.000 description 1
- 201000004101 esophageal cancer Diseases 0.000 description 1
- 208000032099 esthesioneuroblastoma Diseases 0.000 description 1
- 229960001842 estramustine Drugs 0.000 description 1
- FRPJXPJMRWBBIH-RBRWEJTLSA-N estramustine Chemical compound ClCCN(CCCl)C(=O)OC1=CC=C2[C@H]3CC[C@](C)([C@H](CC4)O)[C@@H]4[C@@H]3CCC2=C1 FRPJXPJMRWBBIH-RBRWEJTLSA-N 0.000 description 1
- 239000000328 estrogen antagonist Substances 0.000 description 1
- 102000015694 estrogen receptors Human genes 0.000 description 1
- 108010038795 estrogen receptors Proteins 0.000 description 1
- AFAXGSQYZLGZPG-UHFFFAOYSA-N ethanedisulfonic acid Chemical compound OS(=O)(=O)CCS(O)(=O)=O AFAXGSQYZLGZPG-UHFFFAOYSA-N 0.000 description 1
- CCIVGXIOQKPBKL-UHFFFAOYSA-M ethanesulfonate Chemical compound CCS([O-])(=O)=O CCIVGXIOQKPBKL-UHFFFAOYSA-M 0.000 description 1
- 125000003754 ethoxycarbonyl group Chemical group C(=O)(OCC)* 0.000 description 1
- GWNFQAKCJYEJEW-UHFFFAOYSA-N ethyl 3-[8-[[4-methyl-5-[(3-methyl-4-oxophthalazin-1-yl)methyl]-1,2,4-triazol-3-yl]sulfanyl]octanoylamino]benzoate Chemical compound CCOC(=O)C1=CC(NC(=O)CCCCCCCSC2=NN=C(CC3=NN(C)C(=O)C4=CC=CC=C34)N2C)=CC=C1 GWNFQAKCJYEJEW-UHFFFAOYSA-N 0.000 description 1
- PQJJJMRNHATNKG-UHFFFAOYSA-N ethyl bromoacetate Chemical compound CCOC(=O)CBr PQJJJMRNHATNKG-UHFFFAOYSA-N 0.000 description 1
- RTBBWCJKGBZVGL-UHFFFAOYSA-N ethyl morpholine-4-carboxylate Chemical compound CCOC(=O)N1CCOCC1 RTBBWCJKGBZVGL-UHFFFAOYSA-N 0.000 description 1
- LVGKNOAMLMIIKO-QXMHVHEDSA-N ethyl oleate Chemical compound CCCCCCCC\C=C/CCCCCCCC(=O)OCC LVGKNOAMLMIIKO-QXMHVHEDSA-N 0.000 description 1
- 229940093471 ethyl oleate Drugs 0.000 description 1
- 125000006125 ethylsulfonyl group Chemical group 0.000 description 1
- 229960005420 etoposide Drugs 0.000 description 1
- 229960000752 etoposide phosphate Drugs 0.000 description 1
- LIQODXNTTZAGID-OCBXBXKTSA-N etoposide phosphate Chemical compound COC1=C(OP(O)(O)=O)C(OC)=CC([C@@H]2C3=CC=4OCOC=4C=C3[C@@H](O[C@H]3[C@@H]([C@@H](O)[C@@H]4O[C@H](C)OC[C@H]4O3)O)[C@@H]3[C@@H]2C(OC3)=O)=C1 LIQODXNTTZAGID-OCBXBXKTSA-N 0.000 description 1
- 229960005167 everolimus Drugs 0.000 description 1
- 229960000255 exemestane Drugs 0.000 description 1
- 239000000284 extract Substances 0.000 description 1
- 239000003889 eye drop Substances 0.000 description 1
- 208000024519 eye neoplasm Diseases 0.000 description 1
- 239000000194 fatty acid Substances 0.000 description 1
- 229930195729 fatty acid Natural products 0.000 description 1
- 239000010685 fatty oil Substances 0.000 description 1
- 102000052178 fibroblast growth factor receptor activity proteins Human genes 0.000 description 1
- 229950008085 figitumumab Drugs 0.000 description 1
- 229960004177 filgrastim Drugs 0.000 description 1
- 235000013312 flour Nutrition 0.000 description 1
- 229960000961 floxuridine Drugs 0.000 description 1
- ODKNJVUHOIMIIZ-RRKCRQDMSA-N floxuridine Chemical compound C1[C@H](O)[C@@H](CO)O[C@H]1N1C(=O)NC(=O)C(F)=C1 ODKNJVUHOIMIIZ-RRKCRQDMSA-N 0.000 description 1
- 229960000390 fludarabine Drugs 0.000 description 1
- GIUYCYHIANZCFB-FJFJXFQQSA-N fludarabine phosphate Chemical compound C1=NC=2C(N)=NC(F)=NC=2N1[C@@H]1O[C@H](COP(O)(O)=O)[C@@H](O)[C@@H]1O GIUYCYHIANZCFB-FJFJXFQQSA-N 0.000 description 1
- 125000004428 fluoroalkoxy group Chemical group 0.000 description 1
- 125000003709 fluoroalkyl group Chemical group 0.000 description 1
- 229960002949 fluorouracil Drugs 0.000 description 1
- 229960001751 fluoxymesterone Drugs 0.000 description 1
- 229960002074 flutamide Drugs 0.000 description 1
- 239000011888 foil Substances 0.000 description 1
- 229950008692 foretinib Drugs 0.000 description 1
- 235000019253 formic acid Nutrition 0.000 description 1
- 229960002258 fulvestrant Drugs 0.000 description 1
- 239000001530 fumaric acid Substances 0.000 description 1
- 235000011087 fumaric acid Nutrition 0.000 description 1
- 229950000456 galunisertib Drugs 0.000 description 1
- 239000007789 gas Substances 0.000 description 1
- 206010017758 gastric cancer Diseases 0.000 description 1
- 230000002496 gastric effect Effects 0.000 description 1
- 239000007903 gelatin capsule Substances 0.000 description 1
- 229960005144 gemcitabine hydrochloride Drugs 0.000 description 1
- 229960003297 gemtuzumab ozogamicin Drugs 0.000 description 1
- 201000007116 gestational trophoblastic neoplasm Diseases 0.000 description 1
- 230000000762 glandular Effects 0.000 description 1
- 239000000174 gluconic acid Chemical group 0.000 description 1
- 235000012208 gluconic acid Nutrition 0.000 description 1
- 239000008103 glucose Substances 0.000 description 1
- 239000004220 glutamic acid Chemical group 0.000 description 1
- 235000013922 glutamic acid Nutrition 0.000 description 1
- 125000005456 glyceride group Chemical group 0.000 description 1
- YQEMORVAKMFKLG-UHFFFAOYSA-N glycerine monostearate Natural products CCCCCCCCCCCCCCCCCC(=O)OC(CO)CO YQEMORVAKMFKLG-UHFFFAOYSA-N 0.000 description 1
- SVUQHVRAGMNPLW-UHFFFAOYSA-N glycerol monostearate Natural products CCCCCCCCCCCCCCCCC(=O)OCC(O)CO SVUQHVRAGMNPLW-UHFFFAOYSA-N 0.000 description 1
- 150000002334 glycols Chemical class 0.000 description 1
- 229960002913 goserelin Drugs 0.000 description 1
- 239000008187 granular material Substances 0.000 description 1
- 239000003324 growth hormone secretagogue Substances 0.000 description 1
- 239000001963 growth medium Substances 0.000 description 1
- 201000009277 hairy cell leukemia Diseases 0.000 description 1
- 201000010536 head and neck cancer Diseases 0.000 description 1
- 208000014829 head and neck neoplasm Diseases 0.000 description 1
- 230000036541 health Effects 0.000 description 1
- 201000010235 heart cancer Diseases 0.000 description 1
- XLYOFNOQVPJJNP-ZSJDYOACSA-N heavy water Substances [2H]O[2H] XLYOFNOQVPJJNP-ZSJDYOACSA-N 0.000 description 1
- 229940022353 herceptin Drugs 0.000 description 1
- 125000004366 heterocycloalkenyl group Chemical group 0.000 description 1
- 125000004476 heterocycloamino group Chemical group 0.000 description 1
- 229940121372 histone deacetylase inhibitor Drugs 0.000 description 1
- 239000003276 histone deacetylase inhibitor Substances 0.000 description 1
- 229940088597 hormone Drugs 0.000 description 1
- 239000005556 hormone Substances 0.000 description 1
- 102000044949 human TNFSF10 Human genes 0.000 description 1
- 150000004677 hydrates Chemical class 0.000 description 1
- 229960000890 hydrocortisone Drugs 0.000 description 1
- 229950000785 hydrocortisone phosphate Drugs 0.000 description 1
- 229960004204 hydrocortisone sodium phosphate Drugs 0.000 description 1
- 229960001401 hydrocortisone sodium succinate Drugs 0.000 description 1
- 230000003301 hydrolyzing effect Effects 0.000 description 1
- 230000002209 hydrophobic effect Effects 0.000 description 1
- 229960001330 hydroxycarbamide Drugs 0.000 description 1
- 239000001863 hydroxypropyl cellulose Substances 0.000 description 1
- 235000010979 hydroxypropyl methyl cellulose Nutrition 0.000 description 1
- 229920003088 hydroxypropyl methyl cellulose Polymers 0.000 description 1
- 206010020718 hyperplasia Diseases 0.000 description 1
- 201000006866 hypopharynx cancer Diseases 0.000 description 1
- 229960001001 ibritumomab tiuxetan Drugs 0.000 description 1
- 229960001507 ibrutinib Drugs 0.000 description 1
- XYFPWWZEPKGCCK-GOSISDBHSA-N ibrutinib Chemical compound C1=2C(N)=NC=NC=2N([C@H]2CN(CCC2)C(=O)C=C)N=C1C(C=C1)=CC=C1OC1=CC=CC=C1 XYFPWWZEPKGCCK-GOSISDBHSA-N 0.000 description 1
- 239000005457 ice water Substances 0.000 description 1
- 229960000908 idarubicin Drugs 0.000 description 1
- 229960001101 ifosfamide Drugs 0.000 description 1
- HOMGKSMUEGBAAB-UHFFFAOYSA-N ifosfamide Chemical compound ClCCNP1(=O)OCCCN1CCCl HOMGKSMUEGBAAB-UHFFFAOYSA-N 0.000 description 1
- 229960003685 imatinib mesylate Drugs 0.000 description 1
- 125000002883 imidazolyl group Chemical group 0.000 description 1
- 230000002519 immonomodulatory effect Effects 0.000 description 1
- 210000002865 immune cell Anatomy 0.000 description 1
- 210000000987 immune system Anatomy 0.000 description 1
- 239000012274 immune-checkpoint protein inhibitor Substances 0.000 description 1
- 238000002649 immunization Methods 0.000 description 1
- 230000003053 immunization Effects 0.000 description 1
- 239000002955 immunomodulating agent Substances 0.000 description 1
- 229940121354 immunomodulator Drugs 0.000 description 1
- 238000002513 implantation Methods 0.000 description 1
- 239000012535 impurity Substances 0.000 description 1
- 238000000099 in vitro assay Methods 0.000 description 1
- 238000011534 incubation Methods 0.000 description 1
- 125000003453 indazolyl group Chemical group N1N=C(C2=C1C=CC=C2)* 0.000 description 1
- 125000003387 indolinyl group Chemical group N1(CCC2=CC=CC=C12)* 0.000 description 1
- 125000001041 indolyl group Chemical group 0.000 description 1
- 229950005712 infigratinib Drugs 0.000 description 1
- 238000001802 infusion Methods 0.000 description 1
- 239000007972 injectable composition Substances 0.000 description 1
- 230000003993 interaction Effects 0.000 description 1
- 230000002452 interceptive effect Effects 0.000 description 1
- 229950000038 interferon alfa Drugs 0.000 description 1
- 238000010255 intramuscular injection Methods 0.000 description 1
- 239000007927 intramuscular injection Substances 0.000 description 1
- 238000007912 intraperitoneal administration Methods 0.000 description 1
- 230000026045 iodination Effects 0.000 description 1
- 238000006192 iodination reaction Methods 0.000 description 1
- PNDPGZBMCMUPRI-UHFFFAOYSA-N iodine Chemical compound II PNDPGZBMCMUPRI-UHFFFAOYSA-N 0.000 description 1
- 229910052740 iodine Inorganic materials 0.000 description 1
- 239000011630 iodine Substances 0.000 description 1
- 125000002346 iodo group Chemical group I* 0.000 description 1
- 239000003456 ion exchange resin Substances 0.000 description 1
- 229920003303 ion-exchange polymer Polymers 0.000 description 1
- 150000002500 ions Chemical class 0.000 description 1
- 229960005386 ipilimumab Drugs 0.000 description 1
- 229960004768 irinotecan Drugs 0.000 description 1
- 229940075525 iron chelating agent Drugs 0.000 description 1
- 239000000797 iron chelating agent Substances 0.000 description 1
- 125000002510 isobutoxy group Chemical group [H]C([H])([H])C([H])(C([H])([H])[H])C([H])([H])O* 0.000 description 1
- 125000004594 isoindolinyl group Chemical group C1(NCC2=CC=CC=C12)* 0.000 description 1
- 125000000904 isoindolyl group Chemical group C=1(NC=C2C=CC=CC12)* 0.000 description 1
- FZWBNHMXJMCXLU-BLAUPYHCSA-N isomaltotriose Chemical compound O[C@@H]1[C@@H](O)[C@H](O)[C@@H](CO)O[C@@H]1OC[C@@H]1[C@@H](O)[C@H](O)[C@@H](O)[C@@H](OC[C@@H](O)[C@@H](O)[C@H](O)[C@@H](O)C=O)O1 FZWBNHMXJMCXLU-BLAUPYHCSA-N 0.000 description 1
- 125000003253 isopropoxy group Chemical group [H]C([H])([H])C([H])(O*)C([H])([H])[H] 0.000 description 1
- 239000000644 isotonic solution Substances 0.000 description 1
- 125000000842 isoxazolyl group Chemical group 0.000 description 1
- 229960002014 ixabepilone Drugs 0.000 description 1
- 229960003648 ixazomib Drugs 0.000 description 1
- 201000010982 kidney cancer Diseases 0.000 description 1
- 229940043355 kinase inhibitor Drugs 0.000 description 1
- 239000004310 lactic acid Substances 0.000 description 1
- 235000014655 lactic acid Nutrition 0.000 description 1
- 229960004891 lapatinib Drugs 0.000 description 1
- 229960001320 lapatinib ditosylate Drugs 0.000 description 1
- 229950005692 larotaxel Drugs 0.000 description 1
- SEFGUGYLLVNFIJ-QDRLFVHASA-N larotaxel dihydrate Chemical compound O.O.O([C@@H]1[C@@]2(C[C@@H](C(C)=C(C2(C)C)[C@H](C([C@@]23[C@H]1[C@@]1(CO[C@@H]1C[C@@H]2C3)OC(C)=O)=O)OC(=O)C)OC(=O)[C@H](O)[C@@H](NC(=O)OC(C)(C)C)C=1C=CC=CC=1)O)C(=O)C1=CC=CC=C1 SEFGUGYLLVNFIJ-QDRLFVHASA-N 0.000 description 1
- 206010023841 laryngeal neoplasm Diseases 0.000 description 1
- 229960004942 lenalidomide Drugs 0.000 description 1
- 229950001845 lestaurtinib Drugs 0.000 description 1
- 229960003881 letrozole Drugs 0.000 description 1
- 208000032839 leukemia Diseases 0.000 description 1
- 229950002216 linifanib Drugs 0.000 description 1
- 239000000865 liniment Substances 0.000 description 1
- 239000002502 liposome Substances 0.000 description 1
- YNESATAKKCNGOF-UHFFFAOYSA-N lithium bis(trimethylsilyl)amide Chemical compound [Li+].C[Si](C)(C)[N-][Si](C)(C)C YNESATAKKCNGOF-UHFFFAOYSA-N 0.000 description 1
- 244000144972 livestock Species 0.000 description 1
- 229960002247 lomustine Drugs 0.000 description 1
- 239000006210 lotion Substances 0.000 description 1
- 239000007937 lozenge Substances 0.000 description 1
- 229950005069 luminespib Drugs 0.000 description 1
- NDAZATDQFDPQBD-UHFFFAOYSA-N luminespib Chemical compound CCNC(=O)C1=NOC(C=2C(=CC(O)=C(C(C)C)C=2)O)=C1C(C=C1)=CC=C1CN1CCOCC1 NDAZATDQFDPQBD-UHFFFAOYSA-N 0.000 description 1
- 201000009546 lung large cell carcinoma Diseases 0.000 description 1
- 201000005243 lung squamous cell carcinoma Diseases 0.000 description 1
- 210000001165 lymph node Anatomy 0.000 description 1
- 239000012139 lysis buffer Substances 0.000 description 1
- 229940124302 mTOR inhibitor Drugs 0.000 description 1
- 235000019359 magnesium stearate Nutrition 0.000 description 1
- NXPHGHWWQRMDIA-UHFFFAOYSA-M magnesium;carbanide;bromide Chemical compound [CH3-].[Mg+2].[Br-] NXPHGHWWQRMDIA-UHFFFAOYSA-M 0.000 description 1
- CCERQOYLJJULMD-UHFFFAOYSA-M magnesium;carbanide;chloride Chemical compound [CH3-].[Mg+2].[Cl-] CCERQOYLJJULMD-UHFFFAOYSA-M 0.000 description 1
- 230000014759 maintenance of location Effects 0.000 description 1
- VZCYOOQTPOCHFL-UPHRSURJSA-N maleic acid Chemical compound OC(=O)\C=C/C(O)=O VZCYOOQTPOCHFL-UPHRSURJSA-N 0.000 description 1
- 239000011976 maleic acid Substances 0.000 description 1
- 239000001630 malic acid Substances 0.000 description 1
- 235000011090 malic acid Nutrition 0.000 description 1
- 208000006178 malignant mesothelioma Diseases 0.000 description 1
- 208000026045 malignant tumor of parathyroid gland Diseases 0.000 description 1
- 239000003628 mammalian target of rapamycin inhibitor Substances 0.000 description 1
- 229960002510 mandelic acid Drugs 0.000 description 1
- 229960001786 megestrol Drugs 0.000 description 1
- 229960004296 megestrol acetate Drugs 0.000 description 1
- ANZJBCHSOXCCRQ-FKUXLPTCSA-N mertansine Chemical compound CO[C@@H]([C@@]1(O)C[C@H](OC(=O)N1)[C@@H](C)[C@@H]1O[C@@]1(C)[C@@H](OC(=O)[C@H](C)N(C)C(=O)CCS)CC(=O)N1C)\C=C\C=C(C)\CC2=CC(OC)=C(Cl)C1=C2 ANZJBCHSOXCCRQ-FKUXLPTCSA-N 0.000 description 1
- 230000002503 metabolic effect Effects 0.000 description 1
- 229910021645 metal ion Inorganic materials 0.000 description 1
- 230000009401 metastasis Effects 0.000 description 1
- 208000037970 metastatic squamous neck cancer Diseases 0.000 description 1
- 229940098779 methanesulfonic acid Drugs 0.000 description 1
- 125000001160 methoxycarbonyl group Chemical group [H]C([H])([H])OC(*)=O 0.000 description 1
- WBYWAXJHAXSJNI-UHFFFAOYSA-N methyl p-hydroxycinnamate Natural products OC(=O)C=CC1=CC=CC=C1 WBYWAXJHAXSJNI-UHFFFAOYSA-N 0.000 description 1
- 229960004584 methylprednisolone Drugs 0.000 description 1
- 229960001293 methylprednisolone acetate Drugs 0.000 description 1
- 229960000334 methylprednisolone sodium succinate Drugs 0.000 description 1
- 125000004170 methylsulfonyl group Chemical group [H]C([H])([H])S(*)(=O)=O 0.000 description 1
- 230000005012 migration Effects 0.000 description 1
- 238000013508 migration Methods 0.000 description 1
- 150000007522 mineralic acids Chemical class 0.000 description 1
- 229960004857 mitomycin Drugs 0.000 description 1
- 229960001156 mitoxantrone Drugs 0.000 description 1
- 230000004048 modification Effects 0.000 description 1
- 238000012986 modification Methods 0.000 description 1
- 239000003607 modifier Substances 0.000 description 1
- 229950003968 motesanib Drugs 0.000 description 1
- 206010051747 multiple endocrine neoplasia Diseases 0.000 description 1
- 201000006462 myelodysplastic/myeloproliferative neoplasm Diseases 0.000 description 1
- 208000025113 myeloid leukemia Diseases 0.000 description 1
- AZBFJBJXUQUQLF-UHFFFAOYSA-N n-(1,5-dimethylpyrrolidin-3-yl)pyrrolidine-1-carboxamide Chemical compound C1N(C)C(C)CC1NC(=O)N1CCCC1 AZBFJBJXUQUQLF-UHFFFAOYSA-N 0.000 description 1
- HBWSXXBJOQKNBL-CYBMUJFWSA-N n-[3-[(1r)-1-(2,6-dichloro-3-fluorophenyl)ethoxy]-5-(1-piperidin-4-ylpyrazol-4-yl)pyridin-2-yl]acetamide Chemical compound O([C@H](C)C=1C(=C(F)C=CC=1Cl)Cl)C(C(=NC=1)NC(C)=O)=CC=1C(=C1)C=NN1C1CCNCC1 HBWSXXBJOQKNBL-CYBMUJFWSA-N 0.000 description 1
- 125000006606 n-butoxy group Chemical group 0.000 description 1
- OHDXDNUPVVYWOV-UHFFFAOYSA-N n-methyl-1-(2-naphthalen-1-ylsulfanylphenyl)methanamine Chemical compound CNCC1=CC=CC=C1SC1=CC=CC2=CC=CC=C12 OHDXDNUPVVYWOV-UHFFFAOYSA-N 0.000 description 1
- KVBGVZZKJNLNJU-UHFFFAOYSA-N naphthalene-2-sulfonic acid Chemical compound C1=CC=CC2=CC(S(=O)(=O)O)=CC=C21 KVBGVZZKJNLNJU-UHFFFAOYSA-N 0.000 description 1
- 229950004847 navitoclax Drugs 0.000 description 1
- JLYAXFNOILIKPP-KXQOOQHDSA-N navitoclax Chemical compound C([C@@H](NC1=CC=C(C=C1S(=O)(=O)C(F)(F)F)S(=O)(=O)NC(=O)C1=CC=C(C=C1)N1CCN(CC1)CC1=C(CCC(C1)(C)C)C=1C=CC(Cl)=CC=1)CSC=1C=CC=CC=1)CN1CCOCC1 JLYAXFNOILIKPP-KXQOOQHDSA-N 0.000 description 1
- IXOXBSCIXZEQEQ-UHTZMRCNSA-N nelarabine Chemical compound C1=NC=2C(OC)=NC(N)=NC=2N1[C@@H]1O[C@H](CO)[C@@H](O)[C@@H]1O IXOXBSCIXZEQEQ-UHTZMRCNSA-N 0.000 description 1
- 229960000801 nelarabine Drugs 0.000 description 1
- 229960001346 nilotinib Drugs 0.000 description 1
- HHZIURLSWUIHRB-UHFFFAOYSA-N nilotinib Chemical compound C1=NC(C)=CN1C1=CC(NC(=O)C=2C=C(NC=3N=C(C=CN=3)C=3C=NC=CC=3)C(C)=CC=2)=CC(C(F)(F)F)=C1 HHZIURLSWUIHRB-UHFFFAOYSA-N 0.000 description 1
- 229960002653 nilutamide Drugs 0.000 description 1
- HYWYRSMBCFDLJT-UHFFFAOYSA-N nimesulide Chemical compound CS(=O)(=O)NC1=CC=C([N+]([O-])=O)C=C1OC1=CC=CC=C1 HYWYRSMBCFDLJT-UHFFFAOYSA-N 0.000 description 1
- 229910017604 nitric acid Inorganic materials 0.000 description 1
- 239000003865 nucleic acid synthesis inhibitor Substances 0.000 description 1
- 239000012038 nucleophile Substances 0.000 description 1
- 239000002773 nucleotide Substances 0.000 description 1
- 125000003729 nucleotide group Chemical group 0.000 description 1
- 229960003347 obinutuzumab Drugs 0.000 description 1
- QIQXTHQIDYTFRH-UHFFFAOYSA-N octadecanoic acid Chemical group CCCCCCCCCCCCCCCCCC(O)=O QIQXTHQIDYTFRH-UHFFFAOYSA-N 0.000 description 1
- OQCDKBAXFALNLD-UHFFFAOYSA-N octadecanoic acid Chemical group CCCCCCCC(C)CCCCCCCCC(O)=O OQCDKBAXFALNLD-UHFFFAOYSA-N 0.000 description 1
- 229960002700 octreotide Drugs 0.000 description 1
- 229960001494 octreotide acetate Drugs 0.000 description 1
- 201000008106 ocular cancer Diseases 0.000 description 1
- 201000002575 ocular melanoma Diseases 0.000 description 1
- 229950009755 odanacatib Drugs 0.000 description 1
- 229960002450 ofatumumab Drugs 0.000 description 1
- 239000002674 ointment Substances 0.000 description 1
- 230000000174 oncolytic effect Effects 0.000 description 1
- 108010046821 oprelvekin Proteins 0.000 description 1
- 229960001840 oprelvekin Drugs 0.000 description 1
- 150000007524 organic acids Chemical class 0.000 description 1
- 235000005985 organic acids Nutrition 0.000 description 1
- 150000007530 organic bases Chemical class 0.000 description 1
- 239000012074 organic phase Substances 0.000 description 1
- 238000006053 organic reaction Methods 0.000 description 1
- 239000003960 organic solvent Substances 0.000 description 1
- 201000006958 oropharynx cancer Diseases 0.000 description 1
- 230000001599 osteoclastic effect Effects 0.000 description 1
- 201000008968 osteosarcoma Diseases 0.000 description 1
- 229960001756 oxaliplatin Drugs 0.000 description 1
- DWAFYCQODLXJNR-BNTLRKBRSA-L oxaliplatin Chemical compound O1C(=O)C(=O)O[Pt]11N[C@@H]2CCCC[C@H]2N1 DWAFYCQODLXJNR-BNTLRKBRSA-L 0.000 description 1
- 125000002971 oxazolyl group Chemical group 0.000 description 1
- 230000001590 oxidative effect Effects 0.000 description 1
- 125000005476 oxopyrrolidinyl group Chemical group 0.000 description 1
- 239000001301 oxygen Substances 0.000 description 1
- 125000003854 p-chlorophenyl group Chemical group [H]C1=C([H])C(*)=C([H])C([H])=C1Cl 0.000 description 1
- 229960002502 paclitaxel protein-bound Drugs 0.000 description 1
- 229960002404 palifermin Drugs 0.000 description 1
- 229940046231 pamidronate Drugs 0.000 description 1
- 208000022102 pancreatic neuroendocrine neoplasm Diseases 0.000 description 1
- 208000021010 pancreatic neuroendocrine tumor Diseases 0.000 description 1
- 229960001972 panitumumab Drugs 0.000 description 1
- FJKROLUGYXJWQN-UHFFFAOYSA-N papa-hydroxy-benzoic acid Chemical group OC(=O)C1=CC=C(O)C=C1 FJKROLUGYXJWQN-UHFFFAOYSA-N 0.000 description 1
- 208000003154 papilloma Diseases 0.000 description 1
- 208000029211 papillomatosis Diseases 0.000 description 1
- 208000007312 paraganglioma Diseases 0.000 description 1
- VMZMNAABQBOLAK-DBILLSOUSA-N pasireotide Chemical compound C([C@H]1C(=O)N2C[C@@H](C[C@H]2C(=O)N[C@H](C(=O)N[C@H](CC=2C3=CC=CC=C3NC=2)C(=O)N[C@H](C(N[C@@H](CC=2C=CC(OCC=3C=CC=CC=3)=CC=2)C(=O)N1)=O)CCCCN)C=1C=CC=CC=1)OC(=O)NCCN)C1=CC=CC=C1 VMZMNAABQBOLAK-DBILLSOUSA-N 0.000 description 1
- NEEFMPSSNFRRNC-HQUONIRXSA-N pasireotide aspartate Chemical compound OC(=O)[C@@H](N)CC(O)=O.OC(=O)[C@@H](N)CC(O)=O.C([C@H]1C(=O)N2C[C@@H](C[C@H]2C(=O)N[C@H](C(=O)N[C@H](CC=2C3=CC=CC=C3NC=2)C(=O)N[C@H](C(N[C@@H](CC=2C=CC(OCC=3C=CC=CC=3)=CC=2)C(=O)N1)=O)CCCCN)C=1C=CC=CC=1)OC(=O)NCCN)C1=CC=CC=C1 NEEFMPSSNFRRNC-HQUONIRXSA-N 0.000 description 1
- 239000006072 paste Substances 0.000 description 1
- 235000010603 pastilles Nutrition 0.000 description 1
- 229960000639 pazopanib Drugs 0.000 description 1
- MQHIQUBXFFAOMK-UHFFFAOYSA-N pazopanib hydrochloride Chemical compound Cl.C1=CC2=C(C)N(C)N=C2C=C1N(C)C(N=1)=CC=NC=1NC1=CC=C(C)C(S(N)(=O)=O)=C1 MQHIQUBXFFAOMK-UHFFFAOYSA-N 0.000 description 1
- 239000000312 peanut oil Substances 0.000 description 1
- HQQSBEDKMRHYME-UHFFFAOYSA-N pefloxacin mesylate Chemical compound [H+].CS([O-])(=O)=O.C1=C2N(CC)C=C(C(O)=O)C(=O)C2=CC(F)=C1N1CCN(C)CC1 HQQSBEDKMRHYME-UHFFFAOYSA-N 0.000 description 1
- 108010044644 pegfilgrastim Proteins 0.000 description 1
- 229960001373 pegfilgrastim Drugs 0.000 description 1
- QOFFJEBXNKRSPX-ZDUSSCGKSA-N pemetrexed Chemical compound C1=N[C]2NC(N)=NC(=O)C2=C1CCC1=CC=C(C(=O)N[C@@H](CCC(O)=O)C(O)=O)C=C1 QOFFJEBXNKRSPX-ZDUSSCGKSA-N 0.000 description 1
- 229960005079 pemetrexed Drugs 0.000 description 1
- 229940121317 pemigatinib Drugs 0.000 description 1
- 230000035515 penetration Effects 0.000 description 1
- 125000006340 pentafluoro ethyl group Chemical group FC(F)(F)C(F)(F)* 0.000 description 1
- 125000002255 pentenyl group Chemical group C(=CCCC)* 0.000 description 1
- 229960002340 pentostatin Drugs 0.000 description 1
- FPVKHBSQESCIEP-JQCXWYLXSA-N pentostatin Chemical compound C1[C@H](O)[C@@H](CO)O[C@H]1N1C(N=CNC[C@H]2O)=C2N=C1 FPVKHBSQESCIEP-JQCXWYLXSA-N 0.000 description 1
- 125000001147 pentyl group Chemical group C(CCCC)* 0.000 description 1
- 125000001151 peptidyl group Chemical group 0.000 description 1
- 229960002087 pertuzumab Drugs 0.000 description 1
- 239000003208 petroleum Substances 0.000 description 1
- JGWRKYUXBBNENE-UHFFFAOYSA-N pexidartinib Chemical compound C1=NC(C(F)(F)F)=CC=C1CNC(N=C1)=CC=C1CC1=CNC2=NC=C(Cl)C=C12 JGWRKYUXBBNENE-UHFFFAOYSA-N 0.000 description 1
- 230000000144 pharmacologic effect Effects 0.000 description 1
- 125000003356 phenylsulfanyl group Chemical group [*]SC1=C([H])C([H])=C([H])C([H])=C1[H] 0.000 description 1
- 239000008055 phosphate buffer solution Substances 0.000 description 1
- 229940043441 phosphoinositide 3-kinase inhibitor Drugs 0.000 description 1
- 239000003358 phospholipase A2 inhibitor Substances 0.000 description 1
- 229910052698 phosphorus Inorganic materials 0.000 description 1
- 239000011574 phosphorus Substances 0.000 description 1
- 230000026731 phosphorylation Effects 0.000 description 1
- 238000006366 phosphorylation reaction Methods 0.000 description 1
- 239000003757 phosphotransferase inhibitor Substances 0.000 description 1
- 230000004962 physiological condition Effects 0.000 description 1
- 229950010773 pidilizumab Drugs 0.000 description 1
- 125000004193 piperazinyl group Chemical group 0.000 description 1
- IUGYQRQAERSCNH-UHFFFAOYSA-N pivalic acid Chemical compound CC(C)(C)C(O)=O IUGYQRQAERSCNH-UHFFFAOYSA-N 0.000 description 1
- 208000010626 plasma cell neoplasm Diseases 0.000 description 1
- 210000004180 plasmocyte Anatomy 0.000 description 1
- 229920001223 polyethylene glycol Polymers 0.000 description 1
- 235000010482 polyoxyethylene sorbitan monooleate Nutrition 0.000 description 1
- 229920000053 polysorbate 80 Polymers 0.000 description 1
- 238000002600 positron emission tomography Methods 0.000 description 1
- WSHYKIAQCMIPTB-UHFFFAOYSA-M potassium;2-oxo-3-(3-oxo-1-phenylbutyl)chromen-4-olate Chemical compound [K+].[O-]C=1C2=CC=CC=C2OC(=O)C=1C(CC(=O)C)C1=CC=CC=C1 WSHYKIAQCMIPTB-UHFFFAOYSA-M 0.000 description 1
- OXCMYAYHXIHQOA-UHFFFAOYSA-N potassium;[2-butyl-5-chloro-3-[[4-[2-(1,2,4-triaza-3-azanidacyclopenta-1,4-dien-5-yl)phenyl]phenyl]methyl]imidazol-4-yl]methanol Chemical compound [K+].CCCCC1=NC(Cl)=C(CO)N1CC1=CC=C(C=2C(=CC=CC=2)C2=N[N-]N=N2)C=C1 OXCMYAYHXIHQOA-UHFFFAOYSA-N 0.000 description 1
- 229960005205 prednisolone Drugs 0.000 description 1
- OIGNJSKKLXVSLS-VWUMJDOOSA-N prednisolone Chemical compound O=C1C=C[C@]2(C)[C@H]3[C@@H](O)C[C@](C)([C@@](CC4)(O)C(=O)CO)[C@@H]4[C@@H]3CCC2=C1 OIGNJSKKLXVSLS-VWUMJDOOSA-N 0.000 description 1
- 229960004618 prednisone Drugs 0.000 description 1
- XOFYZVNMUHMLCC-ZPOLXVRWSA-N prednisone Chemical compound O=C1C=C[C@]2(C)[C@H]3C(=O)C[C@](C)([C@@](CC4)(O)C(=O)CO)[C@@H]4[C@@H]3CCC2=C1 XOFYZVNMUHMLCC-ZPOLXVRWSA-N 0.000 description 1
- 239000003755 preservative agent Substances 0.000 description 1
- 230000002335 preservative effect Effects 0.000 description 1
- 208000025638 primary cutaneous T-cell non-Hodgkin lymphoma Diseases 0.000 description 1
- 230000000861 pro-apoptotic effect Effects 0.000 description 1
- 230000001686 pro-survival effect Effects 0.000 description 1
- CPTBDICYNRMXFX-UHFFFAOYSA-N procarbazine Chemical compound CNNCC1=CC=C(C(=O)NC(C)C)C=C1 CPTBDICYNRMXFX-UHFFFAOYSA-N 0.000 description 1
- 229960000624 procarbazine Drugs 0.000 description 1
- 102000004196 processed proteins & peptides Human genes 0.000 description 1
- 108090000765 processed proteins & peptides Proteins 0.000 description 1
- 239000000186 progesterone Substances 0.000 description 1
- 150000003146 progesterones Chemical class 0.000 description 1
- 230000001902 propagating effect Effects 0.000 description 1
- VVWRJUBEIPHGQF-MDZDMXLPSA-N propan-2-yl (ne)-n-propan-2-yloxycarbonyliminocarbamate Chemical compound CC(C)OC(=O)\N=N\C(=O)OC(C)C VVWRJUBEIPHGQF-MDZDMXLPSA-N 0.000 description 1
- 239000003380 propellant Substances 0.000 description 1
- 125000004368 propenyl group Chemical group C(=CC)* 0.000 description 1
- 235000019260 propionic acid Nutrition 0.000 description 1
- 125000002572 propoxy group Chemical group [*]OC([H])([H])C(C([H])([H])[H])([H])[H] 0.000 description 1
- QQONPFPTGQHPMA-UHFFFAOYSA-N propylene Chemical group CC=C QQONPFPTGQHPMA-UHFFFAOYSA-N 0.000 description 1
- 125000004805 propylene group Chemical group [H]C([H])([H])C([H])([*:1])C([H])([H])[*:2] 0.000 description 1
- 125000002568 propynyl group Chemical group [*]C#CC([H])([H])[H] 0.000 description 1
- 210000002307 prostate Anatomy 0.000 description 1
- 239000003207 proteasome inhibitor Substances 0.000 description 1
- 108060006633 protein kinase Proteins 0.000 description 1
- 239000008213 purified water Substances 0.000 description 1
- 125000004309 pyranyl group Chemical group O1C(C=CC=C1)* 0.000 description 1
- 125000002098 pyridazinyl group Chemical group 0.000 description 1
- 125000006513 pyridinyl methyl group Chemical group 0.000 description 1
- 125000005344 pyridylmethyl group Chemical group [H]C1=C([H])C([H])=C([H])C(=N1)C([H])([H])* 0.000 description 1
- 125000000168 pyrrolyl group Chemical group 0.000 description 1
- 229940107700 pyruvic acid Drugs 0.000 description 1
- 125000002294 quinazolinyl group Chemical group N1=C(N=CC2=CC=CC=C12)* 0.000 description 1
- IUVKMZGDUIUOCP-BTNSXGMBSA-N quinbolone Chemical compound O([C@H]1CC[C@H]2[C@H]3[C@@H]([C@]4(C=CC(=O)C=C4CC3)C)CC[C@@]21C)C1=CCCC1 IUVKMZGDUIUOCP-BTNSXGMBSA-N 0.000 description 1
- QZZYYBQGTSGDPP-UHFFFAOYSA-N quinoline-3-carbonitrile Chemical compound C1=CC=CC2=CC(C#N)=CN=C21 QZZYYBQGTSGDPP-UHFFFAOYSA-N 0.000 description 1
- 102000009929 raf Kinases Human genes 0.000 description 1
- 108010077182 raf Kinases Proteins 0.000 description 1
- 229960004622 raloxifene Drugs 0.000 description 1
- 102000001378 ras Guanine Nucleotide Exchange Factors Human genes 0.000 description 1
- 108010080092 ras Guanine Nucleotide Exchange Factors Proteins 0.000 description 1
- 108091006084 receptor activators Proteins 0.000 description 1
- 229940044551 receptor antagonist Drugs 0.000 description 1
- 239000002464 receptor antagonist Substances 0.000 description 1
- 238000001953 recrystallisation Methods 0.000 description 1
- 206010038038 rectal cancer Diseases 0.000 description 1
- 201000001275 rectum cancer Diseases 0.000 description 1
- 230000009467 reduction Effects 0.000 description 1
- 229950008933 refametinib Drugs 0.000 description 1
- 230000009703 regulation of cell differentiation Effects 0.000 description 1
- 230000025053 regulation of cell proliferation Effects 0.000 description 1
- 239000003488 releasing hormone Substances 0.000 description 1
- 208000030859 renal pelvis/ureter urothelial carcinoma Diseases 0.000 description 1
- 208000037803 restenosis Diseases 0.000 description 1
- 229930002330 retinoic acid Natural products 0.000 description 1
- 230000002441 reversible effect Effects 0.000 description 1
- 201000009410 rhabdomyosarcoma Diseases 0.000 description 1
- 229950003687 ribociclib Drugs 0.000 description 1
- 235000009566 rice Nutrition 0.000 description 1
- 238000007363 ring formation reaction Methods 0.000 description 1
- 229960004641 rituximab Drugs 0.000 description 1
- 229950001808 robatumumab Drugs 0.000 description 1
- 108010017584 romiplostim Proteins 0.000 description 1
- 229960004262 romiplostim Drugs 0.000 description 1
- 102200006531 rs121913529 Human genes 0.000 description 1
- 102200006537 rs121913529 Human genes 0.000 description 1
- 102200006540 rs121913530 Human genes 0.000 description 1
- 102200006541 rs121913530 Human genes 0.000 description 1
- 235000002020 sage Nutrition 0.000 description 1
- 229960004889 salicylic acid Drugs 0.000 description 1
- 229940072272 sandostatin Drugs 0.000 description 1
- 229950003500 savolitinib Drugs 0.000 description 1
- 230000007017 scission Effects 0.000 description 1
- 229950010746 selumetinib Drugs 0.000 description 1
- WUWDLXZGHZSWQZ-WQLSENKSSA-N semaxanib Chemical compound N1C(C)=CC(C)=C1\C=C/1C2=CC=CC=C2NC\1=O WUWDLXZGHZSWQZ-WQLSENKSSA-N 0.000 description 1
- 235000020183 skimmed milk Nutrition 0.000 description 1
- 201000000849 skin cancer Diseases 0.000 description 1
- 201000002314 small intestine cancer Diseases 0.000 description 1
- 150000003384 small molecules Chemical class 0.000 description 1
- 235000019812 sodium carboxymethyl cellulose Nutrition 0.000 description 1
- 229920001027 sodium carboxymethylcellulose Polymers 0.000 description 1
- QDRKDTQENPPHOJ-UHFFFAOYSA-N sodium ethoxide Chemical compound [Na+].CC[O-] QDRKDTQENPPHOJ-UHFFFAOYSA-N 0.000 description 1
- RYYKJJJTJZKILX-UHFFFAOYSA-M sodium octadecanoate Chemical compound [Na+].CCCCCCCCCCCCCCCCCC([O-])=O RYYKJJJTJZKILX-UHFFFAOYSA-M 0.000 description 1
- JQWHASGSAFIOCM-UHFFFAOYSA-M sodium periodate Chemical compound [Na+].[O-]I(=O)(=O)=O JQWHASGSAFIOCM-UHFFFAOYSA-M 0.000 description 1
- RSIJVJUOQBWMIM-UHFFFAOYSA-L sodium sulfate decahydrate Chemical compound O.O.O.O.O.O.O.O.O.O.[Na+].[Na+].[O-]S([O-])(=O)=O RSIJVJUOQBWMIM-UHFFFAOYSA-L 0.000 description 1
- GEHJYWRUCIMESM-UHFFFAOYSA-L sodium sulfite Chemical compound [Na+].[Na+].[O-]S([O-])=O GEHJYWRUCIMESM-UHFFFAOYSA-L 0.000 description 1
- 239000000600 sorbitol Substances 0.000 description 1
- 239000003549 soybean oil Substances 0.000 description 1
- 235000012424 soybean oil Nutrition 0.000 description 1
- 230000003595 spectral effect Effects 0.000 description 1
- LBJQKYPPYSCCBH-UHFFFAOYSA-N spiro[3.3]heptane Chemical compound C1CCC21CCC2 LBJQKYPPYSCCBH-UHFFFAOYSA-N 0.000 description 1
- IWDANOJGJIFBEL-UHFFFAOYSA-N spiro[3.4]octane Chemical compound C1CCC21CCCC2 IWDANOJGJIFBEL-UHFFFAOYSA-N 0.000 description 1
- VMWOETMUNAQFAX-UHFFFAOYSA-N spiro[3.5]nonane Chemical compound C1CCC21CCCCC2 VMWOETMUNAQFAX-UHFFFAOYSA-N 0.000 description 1
- 239000008117 stearic acid Chemical group 0.000 description 1
- 230000000638 stimulation Effects 0.000 description 1
- 210000002784 stomach Anatomy 0.000 description 1
- 201000011549 stomach cancer Diseases 0.000 description 1
- 229960001052 streptozocin Drugs 0.000 description 1
- ZSJLQEPLLKMAKR-GKHCUFPYSA-N streptozocin Chemical compound O=NN(C)C(=O)N[C@H]1[C@@H](O)O[C@H](CO)[C@@H](O)[C@@H]1O ZSJLQEPLLKMAKR-GKHCUFPYSA-N 0.000 description 1
- 238000007920 subcutaneous administration Methods 0.000 description 1
- 238000006467 substitution reaction Methods 0.000 description 1
- 239000011593 sulfur Substances 0.000 description 1
- 230000000153 supplemental effect Effects 0.000 description 1
- 239000002511 suppository base Substances 0.000 description 1
- 238000013268 sustained release Methods 0.000 description 1
- 239000012730 sustained-release form Substances 0.000 description 1
- 208000011580 syndromic disease Diseases 0.000 description 1
- 230000009885 systemic effect Effects 0.000 description 1
- 239000007916 tablet composition Substances 0.000 description 1
- 239000000454 talc Substances 0.000 description 1
- 229910052623 talc Inorganic materials 0.000 description 1
- 229960001603 tamoxifen Drugs 0.000 description 1
- 229950009893 tandutinib Drugs 0.000 description 1
- 230000008685 targeting Effects 0.000 description 1
- 239000011975 tartaric acid Substances 0.000 description 1
- 235000002906 tartaric acid Nutrition 0.000 description 1
- DKPFODGZWDEEBT-QFIAKTPHSA-N taxane Chemical class C([C@]1(C)CCC[C@@H](C)[C@H]1C1)C[C@H]2[C@H](C)CC[C@@H]1C2(C)C DKPFODGZWDEEBT-QFIAKTPHSA-N 0.000 description 1
- 229960004964 temozolomide Drugs 0.000 description 1
- 229960000235 temsirolimus Drugs 0.000 description 1
- QFJCIRLUMZQUOT-UHFFFAOYSA-N temsirolimus Natural products C1CC(O)C(OC)CC1CC(C)C1OC(=O)C2CCCCN2C(=O)C(=O)C(O)(O2)C(C)CCC2CC(OC)C(C)=CC=CC=CC(C)CC(C)C(=O)C(OC)C(O)C(C)=CC(C)C(=O)C1 QFJCIRLUMZQUOT-UHFFFAOYSA-N 0.000 description 1
- 229960001278 teniposide Drugs 0.000 description 1
- 229950009455 tepotinib Drugs 0.000 description 1
- 125000004213 tert-butoxy group Chemical group [H]C([H])([H])C(O*)(C([H])([H])[H])C([H])([H])[H] 0.000 description 1
- UJIOQJJFPYXAEM-UHFFFAOYSA-N tert-butyl 2,7-diazaspiro[3.4]octane-2-carboxylate Chemical compound C1N(C(=O)OC(C)(C)C)CC21CNCC2 UJIOQJJFPYXAEM-UHFFFAOYSA-N 0.000 description 1
- HWLNKJXLGQVMJH-UHFFFAOYSA-N tert-butyl 2,7-diazaspiro[3.5]nonane-2-carboxylate Chemical compound C1N(C(=O)OC(C)(C)C)CC21CCNCC2 HWLNKJXLGQVMJH-UHFFFAOYSA-N 0.000 description 1
- BTWCKQOWWVNXTC-UHFFFAOYSA-N tert-butyl 2-(cyanomethyl)piperazine-1-carboxylate Chemical compound C(#N)CC1N(CCNC1)C(=O)OC(C)(C)C BTWCKQOWWVNXTC-UHFFFAOYSA-N 0.000 description 1
- DATRVIMZZZVHMP-UHFFFAOYSA-N tert-butyl 2-methylpiperazine-1-carboxylate Chemical compound CC1CNCCN1C(=O)OC(C)(C)C DATRVIMZZZVHMP-UHFFFAOYSA-N 0.000 description 1
- HZPQHQKQIQDTTN-UHFFFAOYSA-N tert-butyl 3-(2,7-dichloro-8-fluoropyrido[4,3-d]pyrimidin-4-yl)-3,8-diazabicyclo[3.2.1]octane-8-carboxylate Chemical compound ClC1=NC=C2C(=C1F)N=C(N=C2N1CC2CCC(N2C(=O)OC(C)(C)C)C1)Cl HZPQHQKQIQDTTN-UHFFFAOYSA-N 0.000 description 1
- IMEKDXXPNDWOAG-UHFFFAOYSA-N tert-butyl 4-oxo-2-oxa-8-azaspiro[4.5]decane-8-carboxylate Chemical compound O=C1COCC12CCN(CC2)C(=O)OC(C)(C)C IMEKDXXPNDWOAG-UHFFFAOYSA-N 0.000 description 1
- GGNDIMLSSMWKDR-UHFFFAOYSA-N tert-butyl 5-oxo-1,3,3a,4,6,6a-hexahydrocyclopenta[c]pyrrole-2-carboxylate Chemical compound C1C(=O)CC2CN(C(=O)OC(C)(C)C)CC21 GGNDIMLSSMWKDR-UHFFFAOYSA-N 0.000 description 1
- CWXPZXBSDSIRCS-UHFFFAOYSA-N tert-butyl piperazine-1-carboxylate Chemical compound CC(C)(C)OC(=O)N1CCNCC1 CWXPZXBSDSIRCS-UHFFFAOYSA-N 0.000 description 1
- 201000003120 testicular cancer Diseases 0.000 description 1
- 125000000383 tetramethylene group Chemical group [H]C([H])([*:1])C([H])([H])C([H])([H])C([H])([H])[*:2] 0.000 description 1
- 125000003831 tetrazolyl group Chemical group 0.000 description 1
- 229960003433 thalidomide Drugs 0.000 description 1
- 125000000335 thiazolyl group Chemical group 0.000 description 1
- 239000002562 thickening agent Substances 0.000 description 1
- 125000001544 thienyl group Chemical group 0.000 description 1
- 125000005505 thiomorpholino group Chemical group 0.000 description 1
- 229960001196 thiotepa Drugs 0.000 description 1
- 229960003087 tioguanine Drugs 0.000 description 1
- 238000003354 tissue distribution assay Methods 0.000 description 1
- XJDNKRIXUMDJCW-UHFFFAOYSA-J titanium tetrachloride Chemical compound Cl[Ti](Cl)(Cl)Cl XJDNKRIXUMDJCW-UHFFFAOYSA-J 0.000 description 1
- 229960002190 topotecan hydrochloride Drugs 0.000 description 1
- 229960005026 toremifene Drugs 0.000 description 1
- XFCLJVABOIYOMF-QPLCGJKRSA-N toremifene Chemical compound C1=CC(OCCN(C)C)=CC=C1C(\C=1C=CC=CC=1)=C(\CCCl)C1=CC=CC=C1 XFCLJVABOIYOMF-QPLCGJKRSA-N 0.000 description 1
- 229960005267 tositumomab Drugs 0.000 description 1
- 239000000196 tragacanth Substances 0.000 description 1
- 235000010487 tragacanth Nutrition 0.000 description 1
- 229940116362 tragacanth Drugs 0.000 description 1
- 229960004066 trametinib Drugs 0.000 description 1
- 238000013518 transcription Methods 0.000 description 1
- 230000035897 transcription Effects 0.000 description 1
- 238000010361 transduction Methods 0.000 description 1
- 230000026683 transduction Effects 0.000 description 1
- 238000012546 transfer Methods 0.000 description 1
- 230000009466 transformation Effects 0.000 description 1
- 238000000844 transformation Methods 0.000 description 1
- 206010044412 transitional cell carcinoma Diseases 0.000 description 1
- 238000011269 treatment regimen Methods 0.000 description 1
- 229950007217 tremelimumab Drugs 0.000 description 1
- 229960001727 tretinoin Drugs 0.000 description 1
- ZGYICYBLPGRURT-UHFFFAOYSA-N tri(propan-2-yl)silicon Chemical compound CC(C)[Si](C(C)C)C(C)C ZGYICYBLPGRURT-UHFFFAOYSA-N 0.000 description 1
- 150000003626 triacylglycerols Chemical class 0.000 description 1
- 125000001425 triazolyl group Chemical group 0.000 description 1
- CYRMSUTZVYGINF-UHFFFAOYSA-N trichlorofluoromethane Chemical compound FC(Cl)(Cl)Cl CYRMSUTZVYGINF-UHFFFAOYSA-N 0.000 description 1
- 229940029284 trichlorofluoromethane Drugs 0.000 description 1
- 229950007127 trilaciclib Drugs 0.000 description 1
- HYWCXWRMUZYRPH-UHFFFAOYSA-N trimethyl(prop-2-enyl)silane Chemical compound C[Si](C)(C)CC=C HYWCXWRMUZYRPH-UHFFFAOYSA-N 0.000 description 1
- UCPYLLCMEDAXFR-UHFFFAOYSA-N triphosgene Chemical compound ClC(Cl)(Cl)OC(=O)OC(Cl)(Cl)Cl UCPYLLCMEDAXFR-UHFFFAOYSA-N 0.000 description 1
- LWIHDJKSTIGBAC-UHFFFAOYSA-K tripotassium phosphate Chemical compound [K+].[K+].[K+].[O-]P([O-])([O-])=O LWIHDJKSTIGBAC-UHFFFAOYSA-K 0.000 description 1
- 229910000404 tripotassium phosphate Inorganic materials 0.000 description 1
- LENZDBCJOHFCAS-UHFFFAOYSA-N tris Chemical compound OCC(N)(CO)CO LENZDBCJOHFCAS-UHFFFAOYSA-N 0.000 description 1
- 229960000281 trometamol Drugs 0.000 description 1
- 208000029387 trophoblastic neoplasm Diseases 0.000 description 1
- 229940030325 tumor cell vaccine Drugs 0.000 description 1
- 229910052721 tungsten Inorganic materials 0.000 description 1
- 229940121358 tyrosine kinase inhibitor Drugs 0.000 description 1
- 239000005483 tyrosine kinase inhibitor Substances 0.000 description 1
- 208000018417 undifferentiated high grade pleomorphic sarcoma of bone Diseases 0.000 description 1
- 208000037965 uterine sarcoma Diseases 0.000 description 1
- 206010046885 vaginal cancer Diseases 0.000 description 1
- 208000013139 vaginal neoplasm Diseases 0.000 description 1
- 235000013311 vegetables Nutrition 0.000 description 1
- 239000003981 vehicle Substances 0.000 description 1
- 229960003862 vemurafenib Drugs 0.000 description 1
- KDQAABAKXDWYSZ-PNYVAJAMSA-N vinblastine sulfate Chemical compound OS(O)(=O)=O.C([C@H](C[C@]1(C(=O)OC)C=2C(=CC3=C([C@]45[C@H]([C@@]([C@H](OC(C)=O)[C@]6(CC)C=CCN([C@H]56)CC4)(O)C(=O)OC)N3C)C=2)OC)C[C@@](C2)(O)CC)N2CCC2=C1NC1=CC=CC=C21 KDQAABAKXDWYSZ-PNYVAJAMSA-N 0.000 description 1
- 229960004982 vinblastine sulfate Drugs 0.000 description 1
- 229940028393 vincasar Drugs 0.000 description 1
- OGWKCGZFUXNPDA-XQKSVPLYSA-N vincristine Chemical compound C([N@]1C[C@@H](C[C@]2(C(=O)OC)C=3C(=CC4=C([C@]56[C@H]([C@@]([C@H](OC(C)=O)[C@]7(CC)C=CCN([C@H]67)CC5)(O)C(=O)OC)N4C=O)C=3)OC)C[C@@](C1)(O)CC)CC1=C2NC2=CC=CC=C12 OGWKCGZFUXNPDA-XQKSVPLYSA-N 0.000 description 1
- 229960004528 vincristine Drugs 0.000 description 1
- 229960002110 vincristine sulfate Drugs 0.000 description 1
- GBABOYUKABKIAF-GHYRFKGUSA-N vinorelbine Chemical compound C1N(CC=2C3=CC=CC=C3NC=22)CC(CC)=C[C@H]1C[C@]2(C(=O)OC)C1=CC([C@]23[C@H]([C@]([C@H](OC(C)=O)[C@]4(CC)C=CCN([C@H]34)CC2)(O)C(=O)OC)N2C)=C2C=C1OC GBABOYUKABKIAF-GHYRFKGUSA-N 0.000 description 1
- 229960002066 vinorelbine Drugs 0.000 description 1
- 125000000391 vinyl group Chemical group [H]C([*])=C([H])[H] 0.000 description 1
- 229960004854 viral vaccine Drugs 0.000 description 1
- 229960004449 vismodegib Drugs 0.000 description 1
- BPQMGSKTAYIVFO-UHFFFAOYSA-N vismodegib Chemical compound ClC1=CC(S(=O)(=O)C)=CC=C1C(=O)NC1=CC=C(Cl)C(C=2N=CC=CC=2)=C1 BPQMGSKTAYIVFO-UHFFFAOYSA-N 0.000 description 1
- 201000005102 vulva cancer Diseases 0.000 description 1
- 238000010792 warming Methods 0.000 description 1
- WJJYZXPHLSLMGE-UHFFFAOYSA-N xaliproden Chemical compound FC(F)(F)C1=CC=CC(C=2CCN(CCC=3C=C4C=CC=CC4=CC=3)CC=2)=C1 WJJYZXPHLSLMGE-UHFFFAOYSA-N 0.000 description 1
- 229960004664 xaliproden Drugs 0.000 description 1
- 229960004276 zoledronic acid Drugs 0.000 description 1
- 229940052129 zykadia Drugs 0.000 description 1
Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
- A61P35/00—Antineoplastic agents
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
- A61K45/00—Medicinal preparations containing active ingredients not provided for in groups A61K31/00 - A61K41/00
- A61K45/06—Mixtures of active ingredients without chemical characterisation, e.g. antiphlogistics and cardiaca
-
- C—CHEMISTRY; METALLURGY
- C07—ORGANIC CHEMISTRY
- C07D—HETEROCYCLIC COMPOUNDS
- C07D519/00—Heterocyclic compounds containing more than one system of two or more relevant hetero rings condensed among themselves or condensed with a common carbocyclic ring system not provided for in groups C07D453/00 or C07D455/00
Definitions
- the present disclosure provides certain alkylidene carbamate compounds that inhibit certain K-Ras proteins and are therefore useful for the treatment of cancers mediated by such proteins. Also provided are pharmaceutical compositions containing such compounds and processes for preparing such compounds.
- Kirsten Rat Sarcoma 2 Viral Oncogene Homolog (KRAS) gene is a prevalent oncogene that encodes a small GTPase transductor protein called K-Ras.
- K-Ras can serve as a molecular switch by cycling between active GTP-bound and inactive GDP-bound forms (see Science 2001; 294: 1299–304. ) .
- K-Ras signaling is activated by RAS guanine nucleotide exchange factors (GEFs) , e.g., Son of Sevenless homologue (SOS) protein, that facilitate the GDP to GTP exchange of K-Ras (see Curr Biol 2005; 15: 563–74. ) .
- GEFs RAS guanine nucleotide exchange factors
- SOS Son of Sevenless homologue
- GAPs GTPase-activating proteins
- K-Ras plays a crucial role in the regulation of cell proliferation, differentiation and survival by signaling through several major downstream pathways, including the MAPK, the PI3K and the Ral-GEFs pathways (see Lung Cancer 2018; 124: 53–64) , among them the MAPK pathway is the best characterized (see Mol. Cell Biol. 1995; 15: 6443–6453. ) .
- K-Ras-GTP binds to and activates RAF kinases, which phosphorylates MEK and subsequently phosphorylates ERK. Phospho-ERK can further activate downstream cytosolic proteins and which then translocate to the nucleus to drive the expression of diverse genes, propagating the growth signal.
- PI3K pathway is also involved in RAS-mediated tumorigenesis (see Cell 2007; 129: 957–968. ) .
- PI3K phosphorylates PIP2 to form PIP3, activates PDK1 and then phosphorylates AKT.
- pAKT yields phosphorylation of several physiological substrates, e.g., mTOR, FOXO and NF- ⁇ B that promote metabolism, cell-cycle progression, resistance to apoptosis, cell survival and migration.
- the Ral-GEFs signaling pathway plays a key role in RAS-mediated oncogenesis as well (see Proc. Natl. Acad. Sci. U.S.A.
- RALGDS The K-Ras effector, RALGDS, stimulates the RAS family RAL-A/B small GTPases for the subsequent signaling cascades. RALGDS can also promote the JNK pathway to stimulate transcription of pro-survival and cell-cycle progression genes for cell proliferation and survival.
- KRAS gene is the most frequently mutated oncogene in human cancer. KRAS mutations are associated with poor clinical outcome and found at high frequency in pancreatic cancer ( ⁇ 90%) , colorectal cancer ( ⁇ 44%) and non-small-cell lung cancer (NSCLC) ( ⁇ 29%) (see Cancer Discov. 2021; 11: 1–16) . KRAS mutations are also present in breast cancer, liver cancer, biliary tract malignancies, endometrial cancer, cervical cancer, bladder cancer and myeloid leukemia.
- K-Ras G12C offers special opportunity, because it harbors a non-native cysteine residue, which can act as nucleophile and therefore can be targeted by covelent attachment.
- covelent inhibitors including AMG510, MRTX849, JNJ-74699157 and LY349944631, are in clinical trials for treating cancer patients with KRAS G12C mutation (see ACS Cent. Sci. 2020; 6: 1753-1761) . These compounds occupy a dynamic pocket in the switch II region of K-Ras thereby irreversibly locking K-Ras G12C in inactive GDP-bound state.
- KRAS mutations including G12C, enrich predominantly active-state protein in cancer cells, sufficient residual GTPase activity and nucleotide cycling are required for effective inhibition of K-Ras by inactive state-selective drugs (see Cell 2020; 183 (4) : 850-859) .
- K-ras G12C mutant other prevalent K-Ras mutants, such as G12D, do not contain non-native cysteine residue and cycle through inactive state at extremely low rate, thus making non-G12C mutant-specific drug discovery more challenging.
- U, V, and W are CH; or one or two of U, V, and W are N and the other of U, V, and W are CH;
- R 1 is a ring of formula:
- one of m and n is 0, 1, or 2, and the other of m and n is 0, 1, 2, or 3;
- n1, n1, m5 and n5 are independently 0, 1, or 2, provided one of m5 and n5 is at least 1;
- p, q, p4 and q4 are independently 0, 1, or 2, and y is 0 or 1;
- R 6 , R 8 , R 10 , R 26 , and R 28 are independently hydrogen, deuterium, alkyl, alkoxy, halo, haloalkyl, hydroxy, hydroxylalkyl, alkoxyalkyl, cyano, or cyanomethyl, provided R 6 , R 10 , and R 28 are not attached to the ring -NH-;
- R 7 , R 9 , R 11 , R 27 , and R 29 are independently hydrogen, deuterium, alkyl, alkoxy, halo, haloalkyl, hydroxy, hydroxylalkyl, or alkoxyalkyl, provided R 7 , R 11 , and R 29 are not attached to the ring -NH-; or
- R 6a is hydrogen, deuterium, alkyl, alkylidenyl, alkoxy, halo, haloalkyl, hydroxy, hydroxyalkyl, alkoxyalkyl, cyano, cyanomethyl, cyanoethyl, or 2-cyanovinyl, provided R 6a is not attached to the ring -NH-;
- R 6b is hydrogen or alkyl, provided R 6b is not attached to the ring -NH-; or
- R 6a and R 6b when R 6a and R 6b are attached to the same carbon of ring (a’) , they can combine to form cycloalkylene;
- R 29a and R 29b are independently hydrogen, alkyl, hydroxy, cyano, or cyanomethyl provided R 29a and R 29b are not attached to the ring -NH-;
- R 2 is hydrogen, deuterium, alkyl, halo, haloalkyl, alkoxy, hydroxy, or cyano, provided that R 2 is absent when two of U, V, and W are N;
- R 3 is hydrogen, deuterium, alkyl, halo, haloalkyl, alkoxy, cycloalkyl, cycloalkyloxy, hydroxy, or cyano;
- R 4 is -Z-R 30 where Z is a bond, O, NH, N (alkyl) , or S; and R 30 is heterocyclylalkyl, fused heterocyclylalkyl, bicyclic heterocyclyl, bicyclic heterocyclylalkyl, fused bicyclic heterocyclyl, fused bicyclic heterocyclylalkyl, heterocyclyl fused bicyclic heterocyclyl, heterocyclyl fused bicyclic heterocyclylalkyl, tricyclic heterocyclyl, or tricyclic heterocyclylalkyl, wherein:
- R 31 , R 33 , and R 35 are independently hydrogen, alkyl, or fluoro and R 32 , R 34 , and R 36 are independently cyano, alkoxyalkyloxyalkyl, cycloalkyl, cycloalkylalkyl, or cycloalkylalkyloxyalkyl (where cycloalkyl, by itself or as part of cycloalkylalkyl and cycloalkylalkyloxyalkyl is optionally substituted with one or two substituents independently selected from alkyl, halo, haloalkoxy, alkoxy, alkoxyalkyl, and hydroxy) , heterocyclyl, phenyl, or heteroaryl (where heterocyclyl, phenyl, and heteroaryl are optionally substituted with one, two, or three substituents independently selected from alkyl, halo, haloalkyl, haloalkoxy, alkoxy, cyano, and hydroxy) , or independently
- R b , R e , and R h are:
- Q 1 is alkylene
- R 39 is hydrogen, deuterium, alkyl, deuterioalkyl, haloalkyl, haloalkoxyalkyl, or alkoxyalkyl
- R 40 is deuterium, deuterioalkyl, cycloalkyl, alkoxy, alkoxyalkyl, haloalkyl, haloalkoxyalkyl, or heterocyclyl optionally substituted with one or two substituents independently selected from alkyl, halo, alkoxy, haloalkyl, and haloalkoxy; or R 39 and R 40 together with the nitrogen atom to which they are attached form heterocyclyl, bicyclic heterocyclyl, bridged heterocyclyl, fused heterocyclyl, or spiroheterocyclyl wherein (a) the heterocyclyl formed together by R 39 and R 40 is substituted with R n , R o , R p , and R q where R n and R o
- Q 1 is deuterioalkylene
- R 39 is hydrogen, deuterium, alkyl, deuterioalkyl, haloalkyl, haloalkoxyalkyl, or alkoxyalkyl
- R 40 is hydrogen, deuterium, alkyl, deuterioalkyl, cycloalkyl, alkoxy, alkoxyalkyl, haloalkyl, haloalkoxyalkyl, or heterocyclyl optionally substituted with one or two substituents independently selected from alkyl, halo, alkoxy, haloalkyl, and haloalkoxy; or R 39 and R 40 together with the nitrogen atom to which they are attached form heterocyclyl, bicyclic heterocyclyl, bridged heterocyclyl, fused heterocyclyl, or spiroheterocyclyl wherein (a) heterocyclyl is substituted with R u , R v , R w , and R x where R u and R v
- R c , R f , and R i are independently hydrogen, deuterium, alkyl, halo, alkoxy, alkoxyalkyl, or hydroxy;
- R c1 , R f1 , and R i1 are independently selected from hydrogen, deuterium, alkyl, and halo;
- R b , R e , and R h are – (Q 1 ) -OC (O) NR 39 R 40 where Q 1 is alkylene and R 39 and R 40 together with the nitrogen atom to which they are attached form heterocyclyl substituted with R n , R o , R p , and R q ;
- R a , R d , and R g are other than deuterioalkylidene; alkyl of fused heterocyclylalkyl, heterocyclylalkyl, bicyclic heterocyclylalkyl, fused bicyclic heterocyclylalkyl, fused bicyclic heterocyclylalkyl, heterocyclyl fused bicyclic heterocyclylalkyl, and tricyclic heterocyclylalkyl are not substituted with one or two deuterium; R c , R f , and R i are other than deuterium; and R c1 , R f1
- a pharmaceutical composition comprising a compound of Formula (I) (or any of the embodiments thereof described herein) or a pharmaceutically acceptable salt thereof and a pharmaceutically acceptable excipient.
- a method of inhibiting K-Ras in particular K-Ras G12D, in a cell, comprising contacting the cell with a compound of Formula (I) (or any of the embodiments thereof described herein) .
- the contacting is in vitro.
- the contacting is in vivo.
- a method of inhibiting cell proliferation in vitro or in vivo comprising contacting a cell with a compound of Formula (I) (or any of the embodiments thereof described herein) or a pharmaceutical composition thereof as disclosed herein.
- the contacting is in vitro.
- the contacting is in vivo.
- a method of treating cancer in a patient preferably the patient is in need of such treatment, which method comprises administering to the patient, preferably a patient in need of such treatment, a therapeutically effective amount of a compound of Formula (I) (or any of the embodiments thereof described herein) or a pharmaceutically acceptable salt thereof or a a pharmaceutical composition thereof as disclosed herein.
- a method of treating cancer associated with K-Ras, in particular K-Ras G12D, in a patient, preferably the patient is in need of such treatment comprises administering to the patient, preferably a patient in need of such treatment, a therapeutically effective amount of a compound of Formula (I) (or any of the embodiments thereof described herein) or a pharmaceutically acceptable salt thereof or a a pharmaceutical composition thereof as disclosed herein.
- a compound of Formula (I) (or any embodiments thereof described herein) or a pharmaceutically acceptable salt thereof or a pharmaceutical composition thereof as disclosed herein for use as a medicament.
- the medicament is useful for the treatment of cancer.
- a compound of Formula (I) (or any embodiments thereof described herein) or a pharmaceutically acceptable salt thereof or a pharmaceutical composition thereof as disclosed herein for use as a therapy.
- a compound of Formula (I) (or any embodiments thereof described herein) or a pharmaceutically acceptable salt thereof or a pharmaceutical composition thereof as disclosed herein for use in the treatment of cancer.
- a compound of Formula (I) (or any embodiments thereof described herein) or a pharmaceutically acceptable salt thereof or a pharmaceutical composition thereof as disclosed herein for use in the treatment of cancers associated with KRas, in particular cancers associated with K-Ras G12D.
- a compound of Formula (I) (or any embodiments thereof described herein) or a pharmaceutically acceptable salt thereof or a pharmaceutical composition thereof as disclosed herein for use in inhibiting K-Ras, in particular K-Ras G12D.
- any of the aforementioned aspects involving the treatment of cancer are further embodiments comprising administering the compound of Formula (I) (or any embodiments thereof disclosed herein) , or a pharmaceutically acceptable salt thereof in combination with at least one additional anticancer agent.
- the agents can be administered simultaneously or sequentially.
- Alkyl means a linear saturated monovalent hydrocarbon radical of one to six carbon atoms or a branched saturated monovalent hydrocarbon radical of three to six carbon atoms, e.g., methyl, ethyl, propyl, 2-propyl, butyl, pentyl, and the like.
- Alkylene means a linear saturated divalent hydrocarbon radical of one to six carbon atoms or a branched saturated divalent hydrocarbon radical of three to six carbon atoms unless otherwise stated e.g., methylene, ethylene, propylene, 1-methylpropylene, 2-methylpropylene, butylene, pentylene, and the like.
- Alkenyl means a linear monovalent hydrocarbon radical of two to six carbon atoms or a branched monovalent hydrocarbon radical of three to six carbon atoms containing a double bond e.g., ethenyl, propenyl, 2-propenyl, butenyl, pentenyl, and the like.
- Alkynyl means a linear monovalent hydrocarbon radical of two to six carbon atoms or a branched monovalent hydrocarbon radical of three to six carbon atoms containing a triple bond e.g., ethynyl, propynyl, 2-propynyl, butynyl, and the like.
- Alkylamino means a –NHR radical where R is alkyl as defined above, e.g., methylamino, ethylamino, and the like.
- Alkylthio means a -SR radical where R is alkyl as defined above, e.g., methylthio, ethylthio, and the like.
- Alkylsulfonyl means a -SO 2 R radical where R is alkyl as defined above, e.g., methylsulfonyl, ethylsulfonyl, and the like.
- Alkoxy means a -OR radical where R is alkyl as defined above, e.g., methoxy, ethoxy, propoxy, or 2-propoxy, n-, iso-, or tert-butoxy, and the like.
- Alkoxyalkyl means a linear monovalent hydrocarbon radical of one to six carbon atoms or a branched monovalent hydrocarbon radical of three to six carbons substituted with at least one alkoxy group, such as one or two alkoxy groups, as defined above, e.g., 2-methoxyethyl, 1-, 2-, or 3-methoxypropyl, 2-ethoxyethyl, and the like.
- Alkoxyalkyloxyalkyl means a – (alkylene) -OR radical where R is alkyloxyalkyl as defined above. Examples include, but are not limited to, 2-methoxyethyloxymethyl, methoxymethoxymethyl, 1-, 2-, or 3-methoxypropyloxymethyl, 2-ethoxyethyloxymethyl, and the like.
- the alkylidene group, methylidenyl is enclosed by the box which is indicated by the arrow.
- alkoxyalkylidenyl group methoxethylidenyl
- box which is indicated by the arrow.
- Alkylcarbonyl means a –C (O) R radical where R is alkyl as defined above e.g., -C (O) CH 3 , and the like.
- Alkoxycarbonyl means a –C (O) OR radical where R is alkyl as defined above, e.g., methoxycarbonyl, ethoxycarbonyl, and the like.
- Amino means a —NH 2 radical.
- Aryl means a monovalent monocyclic or bicyclic aromatic hydrocarbon radical of 6 to 10 ring atoms e.g., phenyl or naphthyl.
- Alkyl means a – (alkylene) -R radical where R is aryl as defined above. Examples include, but are not limited to, benzyl, phenethyl, and the like.
- Bicyclic heterocyclyl means a saturated monovalent fused bicyclic ring of 8 to 12 ring atoms in which one or two ring atoms are heteroatom independently selected from N, O, and S (O) n , where n is an integer from 0 to 2, the remaining ring atoms being C, unless stated otherwise. Additionally, one or two ring carbon atoms in the heterocyclyl ring can optionally be replaced by a –CO-group. More specifically the term bicyclic heterocyclyl includes, but is not limited to, hexahydro-1H-pyrrolizinyl, and the like.
- Bicyclic heterocyclylalkyl means a – (alkylene) -R radical where R is bicyclic heterocyclyl as defined above. Examples include, but are not limited to, hexahydro-1H-pyrrolizinylmethyl, hexahydro-1H-pyrrolizinylethyl, and the like.
- “Bridged heterocyclyl” means a saturated bicyclic ring having 6 to 9 ring atoms in which two non-adjacent ring atoms are linked by a (CRR’) n group where n is 1 to 3 and R and R’ are independently H or methyl (also may be referred to herein as “bridging” group) and further wherein one or two ring atoms, including the atoms of the bridging group, are heteroatoms independently selected from N, O, and S (O) n , where n is an integer from 0 to 2. Examples include, but are not limited to, 6-oxa-3-azabicyclo [3.1.1] heptane-3-yl8-oxa-3-azabicyclo [3.2.1] octane-3-yl, and the like.
- Cycloalkyl means a monocyclic saturated monovalent hydrocarbon radical of three to ten carbon atoms. Examples include, but are not limited to, cyclopropyl, cyclobutyl, cyclopentyl, cyclohexyl, and the like.
- Cycloalkylene means a monocyclic saturated divalent hydrocarbon radical of three to ten carbon atoms. Examples include, but are not limited to, 1, 1-cyclopropylene, 1, 1-cyclobutylene, 1, 1-cyclopentylene, and the like.
- Cycloalkylalkyl means a – (alkylene) -R radical where R is cycloalkyl as defined above. Examples include, but are not limited to, cyclopropylmethyl cyclobutylethyl, cyclopentylmethyl, cyclohexylmethyl, and the like.
- Cycloalkyloxy or “cycloalkoxy” means a -OR radical where R is cycloalkyl as defined above. Examples include, but are not limited to, cyclopropyloxy, cyclobutyloxy, cyclopentyloxy, cyclohexyloxy, and the like.
- Cycloalkylalkyloxy means a -OR radical where R is cycloalkylalkyl as defined above. Examples include, but are not limited to, cyclopropylmethyloxy, cyclobutylmethyloxy, cyclopentylmethyloxy, cyclohexylethyloxy, and the like.
- Cycloalkylalkyloxyalkyl means a – (alkylene) -OR radical where R is cycloalkylalkyl as defined above. Examples include, but are not limited to, cyclopropylmethyloxymethyl, cyclobutylmethoxymethyl, and the like.
- Cyanoalkyl means a linear monovalent hydrocarbon radical of one to six carbon atoms or a branched monovalent hydrocarbon radical of three to six carbons substituted with cyano e.g., cyanomethyl, cyanoethyl, and the like.
- Cyanoalkynyl means an alkynyl radical as defined above where one of the hydrogen atom in the alkynyl chain is replace by a cyano. Examples include, but are not limited to, -C ⁇ C (CN) , -CH 2 C ⁇ C (CN) , and the like.
- Deuterioalkyl means alkyl as defined above that is substituted with one or two deuterium, e.g., CD 2 , CHD, and the like.
- Deuterioalkylene means alkylene as defined above that is substituted with one or two deuterium, e.g., CD 2 , CHD, and the like.
- the alkylidene group, methylidenyl-d 2 is enclosed by the box which is indicated by the arrow.
- Dialkylamino means a –NRR’ radical where R and R’ are independently alkyl as defined above, e.g., dimethylamino, methylethylamino, and the like.
- “Fused bicyclic heterocyclyl” means a saturated monovalent fused bicyclic ring of 8 to 10 ring atoms in which one or two ring atoms are heteroatoms independently selected from N, O, and S (O) n , where n is an integer from 0 to 2, one ring atom can be -CO-, and the remaining ring atoms being C, unless stated otherwise, and where two adjacent ring atoms of the bicyclic ring are fused to two adjacent ring atoms of phenyl or a five or six membered heteroaryl, each as defined herein, unless stated otherwise.
- fused bicyclic heterocyclyl includes, but is not limited to, 2, 3-dihydro-1H-pyrrolo [2, 1-a] isoindol-9b (5H) -yl, 2, 3-dihydro-1H-pyrrolo [1, 2-a] indol-9a (9H) -yl, 1, 3b, 4, 5, 6, 8-hexahydropyrrolo [3, 2-a] pyrrolizin-3b-yl, and the like.
- “Fused bicyclic heterocyclylalkyl” means a – (alkylene) -R radical where R is fused bicyclic heterocyclyl as defined above. Examples include, but are not limited to, hexahydro-1H-pyrrolizinylmethyl, hexahydro-1H-pyrrolizinylethyl, 2, 3-dihydro-1H-pyrrolo [2, 1-a] isoindol-9b (5H) -ylmethyl, 2, 3-dihydro-1H-pyrrolo [1, 2-a] indol-9a (9H) -ylmethyl, and the like.
- fused cycloalkyl as used herein, means cycloalkyl as defined above where two adjacent ring atoms of the cycloalkyl ring are fused to two adjacent ring atoms of phenyl or a five or six membered heteroaryl, each as defined herein, unless stated otherwise.
- the fused cycloalkyl can be attached at any atom of the ring.
- Non limiting examples of the fused cycloalkyl include bicyclo [4.1.0] hepta-1, 3, 5-triene, bicyclo [4.2.0] octa-1, 3, 5-triene, and the like.
- “Fused spirocycloalkyl” means spiro cycloalkyl as defined herein where two adjacent ring atoms of the spiro cycloalkyl are fused to two adjacent ring atoms of a phenyl or a five or six membered heteroaryl, each as defined herein.
- “Fused heterocyclyl” means a saturated monovalent monocyclic ring of 4 to 7 ring atoms having from one to three heteroatoms independently selected from N, O, and S (O) n where n is 0, one ring atoms can be -CO-, and the remaining ring atoms being carbon, and further wherein two adjacent ring atoms of the monocyclic ring are fused to two adjacent ring atoms of a cycloalkyl, phenyl or a five or six membered heteroaryl, each as defined herein, unless stated otherwise.
- the nitrogen atom (s) are optionally oxidized optionally quaternized and one or two carbon atoms of the fused ring atoms in the saturated monocyclic ring includes the two common ring vertices shared with the fused phenyl or five or six membered heteroaryl.
- the fused heterocyclyl can be attached at any atom of the ring.
- Non limiting examples of the fused heterocycloalkyl include 2, 3-dihydrobenzo [b] [1, 4] -dioxinyl, 2-oxabicyclo [3.1.0] hexanyl, indolin-2-one-1-yl, indolinyl, and the like.
- “Fused heterocyclylalkyl” as used herein, means a – (alkylene) -R radical where R is fused heterocyclyl, as defined herein.
- “Fused heteroaryl” means fused bicyclic heteroaryl, as defined herein, where two adjacent ring atoms of the heteroaryl ring are fused to two adjacent ring atoms of phenyl.
- Halo means fluoro, chloro, bromo, or iodo, preferably fluoro or chloro.
- Haloalkyl means alkyl radical as defined above, which is substituted with one or more halogen atoms, e.g., one to five halogen atoms, such as fluorine or chlorine, including those substituted with different halogens, e.g., -CH 2 Cl, -CF 3 , -CHF 2 , -CH 2 CF 3 , -CF 2 CF 3 , -CF (CH 3 ) 2 , and the like.
- halogen atoms e.g., one to five halogen atoms, such as fluorine or chlorine, including those substituted with different halogens, e.g., -CH 2 Cl, -CF 3 , -CHF 2 , -CH 2 CF 3 , -CF 2 CF 3 , -CF (CH 3 ) 2 , and the like.
- fluoroalkyl When the alkyl is substituted with only fluoro, it can be referred to in this Application
- the group pointed to by the arrow is the haloalkylidenyl group, difluoromethylidenyl.
- Haloalkoxy means a –OR radical where R is haloalkyl as defined above e.g., -OCF 3 , -OCHF 2 , and the like.
- R is haloalkyl where the alkyl is substituted with only fluoro, it is referred to in this Application as fluoroalkoxy.
- Haloalkoxyalkyl means a – (alkylene) OR radical where R is haloalkylas defined above, e.g., trifluoromethoxymethyl, difluoromethoxymethyl, and the like.
- Haloalkylcarbonyl means a –C (O) R radical where R is haloalkyl as defined above e.g., -C (O) CF 3 , -C (O) CHF 2 , and the like.
- Hydroalkyl means a linear monovalent hydrocarbon radical of one to six carbon atoms or a branched monovalent hydrocarbon radical of three to six carbons substituted with one or two hydroxy groups, provided that if two hydroxy groups are present they are not both on the same carbon atom.
- Representative examples include, but are not limited to, hydroxymethyl, 2-hydroxy-ethyl, 2-hydroxypropyl, 3-hydroxypropyl, 1- (hydroxymethyl) -2-methylpropyl, 2-hydroxybutyl, 3-hydroxybutyl, 4-hydroxybutyl, 2, 3-dihydroxypropyl, 1- (hydroxymethyl) -2-hydroxyethyl, 2, 3-dihydroxybutyl, 3, 4-dihydroxybutyl and 2- (hydroxymethyl) -3-hydroxypropyl, preferably 2-hydroxyethyl, 2, 3-dihydroxypropyl, and 1- (hydroxymethyl) -2-hydroxyethyl.
- Heteroalkyl mean alkyl radical as defined above wherein one or two carbon atoms are replaced by O, NR (R is H or alkyl) , or S, provided the heteroalkyl group is attached to the remainder of the molecule via a carbon atom, e.g., methoxymethyl, methylethylaminoethyl, and the like.
- Heteroaryl means a monovalent monocyclic or fused bicyclic aromatic radical of 5 to 10 ring atoms, unless otherwise stated, where one or more, (in one embodiment, one, two, or three) , ring atoms are heteroatom selected from N, O, and S, the remaining ring atoms being carbon.
- Representative examples include, but are not limited to, pyrrolyl, thienyl, thiazolyl, imidazolyl, furanyl, indolyl, isoindolyl, oxazolyl, isoxazolyl, benzothiazolyl, benzoxazolyl, quinolinyl, isoquinolinyl, pyridinyl, pyrimidinyl, pyrazinyl, pyridazinyl, triazolyl, tetrazolyl, and the like.
- the terms “heteroaryl” and “aryl” are mutually exclusive.
- heteroaryl ring contains 5-or 6 ring atoms it is also referred to herein as 5-or 6-membered heteroaryl.
- heteroaryl ring is fused bicyclic aromatic radical 9-or 10 ring atoms it is also referred to herein as fused bicyclic heteroaryl.
- Heteroaralkyl means a – (alkylene) -R radical where R is heteroaryl as defined above, e.g., pyridinylmethyl, and the like.
- R is heteroaryl as defined above, e.g., pyridinylmethyl, and the like.
- heteroaryl ring in heteroaralkyl contains 5-or 6 ring atoms it is also referred to herein as 5-or 6-membered heteroaralkyl.
- Heterocyclyl means a saturated or unsaturated monovalent monocyclic group of 4 to 8 ring atoms in which one or two ring atoms are heteroatom independently selected from N, O, and S (O) n , where n is an integer from 0 to 2, the remaining ring atoms being C, unless stated otherwise. Additionally, one or two ring carbon atoms in the heterocyclyl ring can optionally be replaced by a –CO-group.
- heterocyclyl includes, but is not limited to, pyrrolidino, piperidino, homopiperidino, 2-oxopyrrolidinyl, 2-oxopiperidinyl, morpholino, piperazino, tetrahydro-pyranyl, thiomorpholino, and the like.
- heterocyclyl ring When the heterocyclyl ring is unsaturated it can contain one or two ring double bonds provided that the ring is not aromatic and may be referred to herein as heterocycloalkenyl.
- the heterocyclyl group contains at least one nitrogen atom, it is also referred to herein as heterocycloamino and is a subset of the heterocyclyl group.
- Heterocyclylalkyl or “heterocycloalkyl” means a – (alkylene) -R radical where R is heterocyclyl ring as defined above e.g., tetraydrofuranylmethyl, piperazinylmethyl, morpholinylethyl, and the like.
- Heterocyclyl fused bicyclic heterocyclyl means a bicyclic heterocyclyl as defined herein (preferably a bicyclic heterocyclyl of 8 to 10 ring atoms) where two adjacent ring atoms of the bicyclic heterocyclyl are fused to two adjacent ring atoms of a hetereocyclyl ring as defined herein, provided the heterocyclyl ring contains at least two heteroatoms independently selected from N, O, and S (O) n , where n is an integer from 0 to 2.
- the term heterocyclyl fused bicyclic heterocyclyl includes, but is not limited to, and the like.
- Heterocyclyl fused bicyclic heterocyclylalkyl mean – (alkylene) -R where R is heterocyclyl fused bicyclic heterocyclyl as defined above.
- Optionally substituted aryl means aryl as defined above, that is optionally substituted with one, two, or three substituents independently selected from alkyl, hydroxyl, cycloalkyl, carboxy, alkoxycarbonyl, hydroxy, alkoxy, alkylsulfonyl, amino, alkylamino, dialkylamino, halo, haloalkyl, haloalkoxy, and cyano.
- substituents independently selected from alkyl, hydroxyl, cycloalkyl, carboxy, alkoxycarbonyl, hydroxy, alkoxy, alkylsulfonyl, amino, alkylamino, dialkylamino, halo, haloalkyl, haloalkoxy, and cyano.
- aryl is phenyl
- optionally substituted aryl is referred to herein as optionally substituted phenyl.
- Optionally substituted heteroaryl means heteroaryl as defined above that is optionally substituted with one, two, or three substituents independently selected from alkyl, alkylsulfonyl, hydroxyl, cycloalkyl, carboxy, alkoxycarbonyl, hydroxy, alkoxy, halo, haloalkyl, haloalkoxy, amino, alkylamino, dialkylamino, and cyano.
- Optionally substituted heterocyclyl means heterocyclyl as defined above that is optionally substituted with one, two, or three substituents independently selected from alkyl, alkylsulfonyl, alkylcarbonyl, hydroxyl, cycloalkyl, cycloalkylalkyl, carboxy, alkoxycarbonyl, hydroxy, hydroxyalkyl, alkoxy, alkoxyalkyl, aminoalkyl, cyanoalkyl, halo, haloalkyl, haloalkoxy, and cyano, unless stated otherwise.
- Optionally substituted heterocyclylalkyl means — (alkylene) -R where R is optionally substituted heterocyclyl as defined above.
- Tricyclic heterocyclyl means a saturated monovalent fused tricyclic ring of 9 to 14, preferably 12 to 14, ring atoms in which one or two ring atoms are heteroatom independently selected from N, O, and S (O) n , where n is an integer from 0 to 2, one ring atom can be -CO-, and the remaining ring atoms being C, unless stated otherwise. Additionally, one or two ring carbon atoms in the heterocyclyl ring can optionally be replaced by a –CO-group.
- the term tricyclic heterocyclyl includes, but is not limited to, and the like.
- Tricyclic heterocyclylalkyl means a – (alkylene) -R radical where R is tricyclic heterocyclyl as defined above. Examples include, but are not limited to, and the like.
- “Spiro heterocyclyl” means a saturated bicyclic monovalent ring having 6 to 10 ring atoms in which one, two, or three ring atoms are heteroatom selected from N, O, and S (O) n, where n is an integer selected from 0 to 2, the remaining ring atoms being C and the rings are connected through only one atom, the connecting atom is also called the spiroatom, most often a quaternary carbon ( “spiro carbon” ) .
- Representative examples include, but are not limited to, 2, 6-diazaspiro- [3.3] heptanyl, 2, 2-dioxido-2-thiaspiro [3.3] heptan-6-yl, 2, 6-diazaspiro [3.4] octanyl, 2-azaspiro [3.4] octanyl, 2-azaspiro [3.5] -nonanyl, 2, 7-diazaspiro [4.4] nonanyl, and the like.
- the present disclosure also includes protected derivatives of compounds of Formula (I) .
- compounds of Formula (I) when compounds of Formula (I) contain groups such as hydroxy, carboxy, or any group containing a nitrogen atom (s) , these groups can be protected with suitable protecting groups.
- suitable protecting groups A comprehensive list of suitable protective groups can be found in T. W. Greene, Protective Groups in Organic Synthesis, 5 th Ed., John Wiley & Sons, Inc. (2014) , the disclosure of which is incorporated herein by reference in its entirety.
- the protected derivatives of compounds of the present disclosure can be prepared by methods well known in the art.
- the present disclosure also includes polymorphic forms and deuterated forms of the compound of Formula (I) or a pharmaceutically acceptable salt thereof.
- prodrug refers to a compound that is made more active in vivo.
- Certain compounds Formula (I) may also exist as prodrugs, as described in Hydrolysis in Drug and Prodrug Metabolism: Chemistry, Biochemistry, and Enzymology (Testa, Bernard and Mayer, Joachim M. Wiley-VHCA, Zurich, Switzerland 2003) .
- Prodrugs of the compounds described herein are structurally modified forms of the compound that readily undergo chemical changes under physiological conditions to provide the active compound. Prodrugs are often useful because, in some situations, they may be easier to administer than the compound, or parent drug. They may, for instance, be bioavailable by oral administration whereas the parent drug is not.
- prodrug derivatives are known in the art, such as those that rely on hydrolytic cleavage or oxidative activation of the prodrug.
- An example, without limitation, of a prodrug would be a compound which is administered as an ester (the “prodrug” ) , but then is metabolically hydrolyzed to the carboxylic acid, the active entity. Additional examples include peptidyl derivatives of a compound.
- a “pharmaceutically acceptable salt” of a compound means a salt that is pharmaceutically acceptable and that possesses the desired pharmacological activity of the parent compound.
- Such salts include:
- acid addition salts formed with inorganic acids such as hydrochloric acid, hydrobromic acid, sulfuric acid, nitric acid, phosphoric acid, and the like; or formed with organic acids such as formic acid, acetic acid, propionic acid, hexanoic acid, cyclopentanepropionic acid, glycolic acid, pyruvic acid, lactic acid, malonic acid, succinic acid, malic acid, maleic acid, fumaric acid, tartaric acid, citric acid, benzoic acid, 3- (4-hydroxybenzoyl) benzoic acid, cinnamic acid, mandelic acid, methanesulfonic acid, ethanesulfonic acid, 1, 2-ethanedisulfonic acid, 2-hydroxyethanesulfonic acid, benzenesulfonic acid, 4-chlorobenzenesulfonic acid, 2-naphthalenesulfonic acid, 4-toluenesulfonic acid, camphorsulfonic
- a metal ion e.g., an alkali metal ion, an alkaline earth ion, or an aluminum ion
- organic base such as ethanolamine, diethanolamine, triethanolamine, tromethamine, N-methylglucamine, and the like.
- the compounds of Formula (I) may have asymmetric centers.
- Compounds of Formula (I) containing an asymmetrically substituted atom may be isolated in optically active or racemic forms.
- Individual stereoisomers of compounds can be prepared synthetically from commercially available starting materials which contain chiral centers or by preparation of mixtures of enantiomeric products followed by separation such as conversion to a mixture of diastereomers followed by separation or recrystallization, chromatographic techniques, direct separation of enantiomers on chiral chromatographic columns, or any other appropriate method known in the art. All chiral, diastereomeric, all mixtures of chiral or diastereomeric forms, and racemic forms are within the scope of this disclosure, unless the specific stereochemistry or isomeric form is specifically indicated. It will also be understood by a person of ordinary skill in the art that when a compound is denoted as (R) stereoisomer, it may contain the corresponding (S) stereoisomer as an impurity and vice versa.
- Certain compounds of Formula (I) can exist as tautomers and/or geometric isomers. All possible tautomers and cis and trans isomers, as individual forms and mixtures thereof are within the scope of this disclosure. Additionally, as used herein the term alkyl includes all the possible isomeric forms of said alkyl group albeit only a few examples are set forth. Furthermore, when the cyclic groups such as aryl is substituted, it includes all the positional isomers albeit only a few examples are set forth. Furthermore, all hydrates of a compound of Formula (I) are within the scope of this disclosure.
- the compounds of Formula (I) may also contain unnatural amounts of isotopes at one or more of the atoms that constitute such compounds.
- Unnatural amounts of an isotope may be defined as ranging from the amount found in nature to an amount 100%of the atom in question. that differ only in the presence of one or more isotopically enriched atoms.
- Exemplary isotopes that can be incorporated into compounds of the present invention include isotopes of hydrogen, carbon, nitrogen, oxygen, phosphorus, sulfur, fluorine, chlorine, and iodine, such as 2 H, 3 H, 11 C, 13 C, 14 C, 13 N, 15 N, 15 O, 17 O, 18 O, 32 P, 33 P, 35 S, 18 F, 36 Cl, 123 I, and 125 1, respectively.
- Isotopically labeled compounds e.g., those labeled with 3 H and 14 C
- Tritiated (i.e., 3 H) and carbon-14 (i.e., 14 C) isotopes can be useful for their ease of preparation and detectability. Further, substitution with heavier isotopes such as deuterium (i.e., 2 H) may afford certain therapeutic advantages resulting from greater metabolic stability (e.g., increased in vivo half-life or reduced dosage requirements) .
- substituents such as deuterium (i.e., 2 H)
- one or more hydrogen atoms are replaced by 2 H or 3 H, or one or more carbon atoms are replaced by 13 C-or 14 C-enriched carbon.
- Positron emitting isotopes such as 15 O, 13 N, 11 C, and 15 F are useful for positron emission tomography (PET) studies to examine substrate receptor occupancy.
- Isotopically labeled compounds can generally be prepared by following procedures analogous to those disclosed in the Schemes or in the Examples herein, by substituting an isotopically labeled reagent for a non-isotopically labeled reagent.
- a “pharmaceutically acceptable carrier or excipient” means a carrier or an excipient that is useful in preparing a pharmaceutical composition that is generally safe, non-toxic and neither biologically nor otherwise undesirable, and includes a carrier or an excipient that is acceptable for veterinary use as well as human pharmaceutical use.
- a pharmaceutically acceptable carrier/excipient includes both one and more than one such excipient.
- “Spiro cycloalkyl” means a saturated bicyclic monovalent ring having 5 to 10 ring atoms in in which the rings are connected through only one atom, the connecting atom is also called the spiroatom, most often a quaternary carbon ( "spiro carbon” ) .
- spiro cycloalkyl is optionally substituted with one or two substituents independently selected from alkyl, halo, alkoxy, hydroxy, and cyano. Examples include, but are not limited to, Representative examples include, but are not limited to, spiro [3.3] heptane, spiro [3.4] octane, spiro [3.5] -nonane, and the like.
- aryl substituted with alkyl is intended to cover aryl that is unsubstituted and aryl that is substituted with alkyl.
- R 2 and R 3 groups are floating substituents and can replace the hydrogen atom of any one of U, V, and W of the portion of the quinazoline ring ring when U, V, and W are CH.
- disease as used herein is intended to be generally synonymous, and is used interchangeably with, the terms “disorder, ” “syndrome, ” and “condition” (as in medical condition) , in that all reflect an abnormal condition of the human or animal body or of one of its parts that impairs normal functioning, is typically manifested by distinguishing signs and symptoms, and causes the human or animal to have a reduced duration or quality of life.
- combination therapy means the administration of two or more therapeutic agents to treat a disease or disorder described in the present disclosure. Such administration encompasses co-administration of these therapeutic agents in a substantially simultaneous manner, such as in a single capsule having a fixed ratio of active ingredients or in multiple, separate capsules for each active ingredient. In addition, such administration also encompasses use of each type of therapeutic agent in a sequential manner. In either case, the treatment regimen will provide beneficial effects of the drug combination in treating the conditions or disorders described herein.
- patient is generally synonymous with the term “subject” and includes all mammals including humans. Examples of patients include humans, livestock such as cows, goats, sheep, pigs, and rabbits, and companion animals such as dogs, cats, rabbits, and horses. Preferably, the patient is a human.
- Treating” or “treatment” of a disease includes:
- treating or treatment of a disease includes inhibiting the disease, i.e., delaying, arresting or reducing the development or severity of the disease or its clinical symptoms; or relieving the disease, i.e., causing regression of the disease or its clinical symptoms.
- a “therapeutically effective amount” means the amount of a compound of the present disclosure or a pharmaceutically acceptable salt thereof that, when administered to a patient for treating a disease, is sufficient to affect such treatment for the disease.
- the “therapeutically effective amount” will vary depending on the compound, the disease and its severity and the age, weight, etc., of the mammal to be treated.
- the therapeutically effective amount of a K-ras inhibitor disclosed herein can be administered to the patient in a single dosage form or multiples thereof. For example, 600 mg dose of a K-ras inhibitor can be administered in a single 600 mg tablet or two 300 mg tablets.
- inhibitors and “reducing, “ or any variation of these terms in relation of K-Ras G12D, includes any measurable decrease or complete inhibition to achieve a desired result. For example, there may be a decrease of about, at most about, or at least about 5%, 10%, 15%, 20%, 25%, 30%, 35%, 40%, 45%, 50%, 55%, 60%, 65%, 70%, 75%, 80%, 85%, 90%, 95%, 99%, or more, or any range derivable therein, reduction of K-Ras G12D GTPase activity; a decrease of K-Ras G12D GTP binding affinity or an increase of G12D GDP binding affinity; an increase of GTP off rate or a decrease of GDP off rate; a decrease of signaling transduction molecules levels downstream in the K-Ras pathway, e.g., a decrease in pERK level; and/or a decrease of K-Ras complex binding to downstream signaling molecules compared to normal.
- Embodiment A is a diagrammatic representation of Embodiment A.
- the present disclosure includes:
- the compound of embodiment 1, or a pharmaceutically acceptable salt thereof is wherein R 30 is fused heterocyclylalkyl where fused heterocyclyl of fused heterocyclylalkyl is substituted with R a , R b , R c and R c1 as defined in the Summary.
- the compound of any one of embodiments 1 and 2, or a pharmaceutically acceptable salt thereof is wherein the fused heterocyclyl of fused heterocyclylalkyl is isoindolinyl substituted with R a , R b , R c and R c1 as defined therein.
- the compound of embodiment 1, 2 or 3, or a pharmaceutically acceptable salt thereof, is wherein R a is alkylidene.
- the compound of any one of embodiments 1 to 3, or a pharmaceutically acceptable salt thereof, is wherein R a is deuterioalkylidenyl.
- the compound of any one of embodiments 1 to 3 and 5, or a pharmaceutically acceptable salt thereof, is wherein R a is methylidene or methylidene-d 2 .
- the compound of any one of embodiments 1 to 3, or a pharmaceutically acceptable salt thereof, is wherein R a is haloalkylidenyl.
- the compound of any one of embodiments 1 to 7, or a pharmaceutically acceptable salt thereof, is wherein the fused heterocyclylalkyl of R 30 is:
- R a , R b and R c are as defined therein and R c1 is hydrogen.
- the compound of embodiment 1, or a pharmaceutically acceptable salt thereof is wherein R 30 is heterocyclylalkyl, bicyclic heterocyclyl, or bicyclic heterocyclylalkyl, where heterocyclyl of heterocyclylalkyl and bicyclic heterocyclyl, by itself or as part of bicyclic heterocyclylalkyl are substituted with R d , R e , R f , and R f1 as defined therein.
- the compound of embodiment 1, or a pharmaceutically acceptable salt thereof is wherein R 30 is heterocyclylalkyl or bicyclic heterocyclylalkyl, where heterocyclyl of heterocyclylalkyl and bicyclic heterocyclyl of bicyclic heterocyclylalkyl are substituted with R d , R e , R f , and R f1 as defined therein and alkyl of heterocyclylalkyl and bicyclic heterocyclylalkyl is substituted with one or two deuterium.
- the compound of any one of embodiments 1, 9, and 10, or a pharmaceutically acceptable salt thereof is wherein R 30 is heterocyclylalkyl where heterocyclyl of heterocyclylalkyl is substituted with R d , R e , R f , and R f1 as defined therein (for avoidance of doubt, embodiment 11 covers heterocyclylalkyl where the alkyl of heterocyclylalkyl is substituted with one or two deuterium and is not substituted with one or two deuterium) .
- the compound of any one of embodiments 1, 9 and 11, or a pharmaceutically acceptable salt thereof is wherein the heterocyclylalkyl is pyrrolidin-2-ylmethyl, piperidin-2-ylmethyl, or piperidin-3-ylmethyl, preferably pyrrolidin-2-ylmethyl substituted with R d , R e , R f , and R f1 as defined therein.
- the compound of any one of embodiments 1, 10, and 11, or a pharmaceutically acceptable salt thereof is wherein the heterocyclylalkyl is pyrrolidin-2-ylmethyl-d2, piperidin-2-ylmethyl-d2, or piperidin-3-ylmethyl-d2, preferably pyrrolidin-2-ylmethyl-d2 substituted with R d , R e , R f , and R f1 as defined therein.
- the compound of any one of embodiments 1, 9, and 10, or a pharmaceutically acceptable salt thereof is wherein R 30 is bicyclic heterocyclalkylalkyl substituted with R d , R e , R f , and R f1 as defined therein (for avoidance of doubt, embodiment 14 covers bicyclic heterocyclylalkyl where the alkyl of bicyclic heterocyclylalkyl is substituted with one or two deuterium and is not substituted with one or two deuterium) .
- the compound of any one of embodiments 1, 9, and 14, or a pharmaceutically acceptable salt thereof is wherein the bicyclic heterocyclylalkyl is hexahydro-1H- pyrrolizin-7a-ylalkyl, preferably, hexahydro-1H-pyrrolizin-7a-ylmethyl, where hexahydro-1H-pyrrolizin-7a-yl is substituted with R d , R e , R f , and R f1 as defined therein.
- the compound of any one of embodiments 1, 10, and 14, or a pharmaceutically acceptable salt thereof is wherein the bicyclic heterocyclylalkyl is hexahydro-1H-pyrrolizin-7a-ylalkyl-d2, preferably, hexahydro-1H-pyrrolizin-7a-ylmethyl-d2, where hexahydro-1H-pyrrolizin-7a-yl is substituted with R d , R e , R f , and R f1 as defined therein.
- the compound of any one of embodiments 1, 9, 14, and 15, or a pharmaceutically acceptable salt thereof is wherein the bicyclic heterocyclylalkyl of R 30 is a ring of formula:
- R e , R f , and R f1 are substituted with R e , R f , and R f1 as defined therein, preferably is where R d , R e , R f , and R f1 are as defined therein.
- the compound of any one of embodiments 1, 9, 14, 15, and 17, or a pharmaceutically acceptable salt thereof is wherein R f1 is hydrogen and the bicyclic heterocyclylalkyl of R 30 is a ring of formula: where R d , R e , R f , are as defined therein.
- the compound of any one of embodiments 1, 9, 14, 15, 17, and 18, or a pharmaceutically acceptable salt thereof is wherein the bicyclic heterocyclylalkyl of R 30 is a ring of formula:
- R d , R e , and R f are as defined therein.
- the compound of any one of embodiments 1, 10, 14, and 16, or a pharmaceutically acceptable salt thereof is wherein the bicyclic heterocyclylalkyl of R 30 is a ring of formula:
- R e , R f , and R f1 as defined therein, preferably is where R d , R e and R f are as defined therein.
- the compound of any one of embodiments 1, 10, 14, 16, and 20, or a pharmaceutically acceptable salt thereof is wherein R f1 is hydrogen and the bicyclic heterocyclylalkyl of R 30 is a ring of formula:
- R d , R e and R f are as defined therein.
- the compound of embodiment 1, or a pharmaceutically acceptable salt thereof is wherein R 30 is fused bicyclic heterocyclyl, fused bicyclic heterocyclylalkyl, heterocyclyl fused bicyclic heterocyclyl, heterocyclyl fused bicyclic heterocyclylalkyl, tricyclic heterocyclyl, or tricyclic heterocyclylalkyl, wherein fused bicyclic heterocyclyl, by itself or as part of fused bicyclic heterocyclylalkyl, heterocyclyl fused bicyclic heterocyclyl, by itself or as part of heterocyclyl fused bicyclic heterocyclylalkyl, or tricyclic heterocyclyl, by itself or as part of tricyclic heterocyclylalkyl are independently substituted with R g , R h , R i and R i1 as defined therein.
- the compound of embodiment 1, or a pharmaceutically acceptable salt thereof is wherein R 30 is fused bicyclic heterocyclylalkyl, heterocyclyl fused bicyclic heterocyclylalkyl, or tricyclic heterocyclylalkyl, wherein fused bicyclic heterocyclyl of fused bicyclic heterocyclylalkyl, heterocyclyl fused bicyclic heterocyclyl of heterocyclyl fused bicyclic heterocyclylalkyl, and tricyclic heterocyclyl of tricyclic heterocyclylalkyl are independently substituted with R g , R h , R i , and R i1 as defined therein and alkyl of fused bicyclic heterocyclylalkyl, heterocyclyl fused bicyclic heterocyclylalkyl, and tricyclic heterocyclylalkyl are substituted with one or two deuterium.
- the compound of embodiment 1 or 22, or a pharmaceutically acceptable salt thereof is wherein R 30 is fused bicyclic heterocyclyl substituted with R g , R h , R i , and R i1 as defined therein.
- the compound of embodiment 1, 22, or 24, or a pharmaceutically acceptable salt thereof is wherein the fused bicyclic heterocyclyl of R 30 is a ring of formula:
- ring A is phenyl or 5-or 6-membered heteroaryl and the fused bicyclic heterocyclyl is additionally substituted with R h and R i where R g , R h and R i are as defined as defined therein, preferably ring A is phenyl or 5-or 6-membered heteroaryl substituted with R h and R i as defined therein.
- the compound of embodiment 1, 22, or 24, or a pharmaceutically acceptable salt thereof is wherein the fused bicyclic heterocyclyl of R 30 is a ring of formula:
- ring A is phenyl, pyrazolyl, pyridinyl, or pyrimidinyl, where each ring substituted with R h and R i as defined therein.
- the compound of any one of embodiments 1, 22, and 23, or a pharmaceutically acceptable salt thereof is wherein R 30 is fused bicyclic heterocyclylalkyl where fused bicyclic heterocyclyl of fused bicyclic heterocyclylalkyl is substituted with R g , R h , and R i as defined therein.
- the compound of embodiment 1, 22, or 26, or a pharmaceutically acceptable salt thereof is wherein fused bicyclic heterocyclylalkyl of R 30 is a ring of formula:
- ring A is phenyl or 5-or 6-membered heteroaryl and the fused bicyclic heterocyclyl is additionally substituted with R h and R i where R g , R h and R i are as defined as defined therein.
- the compound of embodiment 1, 22, 26, or 27, or a pharmaceutically acceptable salt thereof is wherein the fused bicyclic heterocyclyl of R 30 is a ring of formula:
- ring A is phenyl, pyrazolyl, pyridinyl, or pyrimidinyl, each ring substituted with R h and R i as defined therein.
- the compound of embodiment 1, 23, or 26, or a pharmaceutically acceptable salt thereof is wherein fused bicyclic heterocyclylalkyl of R 30 is a ring of formula:
- ring A is phenyl or 5-or 6-membered heteroaryl and the fused bicyclic heterocyclyl is additionally substituted with R h and R i where R g , R h and R i are as defined as defined therein.
- the compound of embodiment 1, 23, 26, or 28, or a pharmaceutically acceptable salt thereof is wherein the fused bicyclic heterocyclylalkyl of R 30 is a ring of formula:
- ring A is phenyl, pyrazolyl, pyridinyl, or pyrimidinyl, each ring substituted with R h and R i as defined therein.
- the compound of any one of embodiments 1 and 22 to 28a, or a pharmaceutically acceptable salt thereof is wherein the fused bicyclic heterocyclyl of fused bicyclic heterocyclylalkyl is 2, 3-dihydro-1H-pyrrolo [2, 1-a] isoindol-9b (5H) -yl, 2, 3-dihydro-1H-pyrrolo [1, 2-a] indol-9a (9H) -yl, 1, 3b, 4, 5, 6, 8-hexahydropyrrolo [3, 2-a] pyrrolizin-3b-yl, 1-methyl-1, 3b, 4, 5, 6, 8-hexahydropyrrolo [4, 3-a] pyrrolizin-3b-yl, 4b, 6, 7, 9-tetrahydro-5H-pyrido [3, 2-a] -pyrrolizin-4b-yl, 3, 3a, 4, 5-tetrahydro-2H-pyrano [4, 3, 2-cd] isoindol
- the compound of embodiment 1 or 22, or a pharmaceutically acceptable salt thereof is wherein R 30 is tricyclic heterocyclyl substituted with R g , R h , and R i as defined therein.
- the compound of embodiment 1 or 22, or a pharmaceutically acceptable salt thereof is wherein R 30 is tricyclic heterocyclylalkyl where tricyclic heterocyclyl of tricyclic heterocyclylalkyl is substituted with R g , R h , and R i as defined therein.
- the compound of embodiment 1 or 23, or a pharmaceutically acceptable salt thereof is wherein R 30 is tricyclic heterocyclylalkyl where tricyclic heterocyclyl of tricyclic heterocyclylalkyl is substituted with R g , R h , and R i as defined therein and the alkyl of tricyclic heterocyclylalkyl is substituted with one or two deuterium.
- the compound of any one of embodiments 1, 9, 14, 15, and 17, or a pharmaceutically acceptable salt thereof is wherein the bicyclic heterocyclylalkyl of R 30 is a ring of formula:
- the compound of any one of embodiments 1 and 9 to 33, or a pharmaceutically acceptable salt thereof is wherein R d and R g are independently haloalkenyl, alkylidenyl, deuterioalkylidenyl, haloalkylidenyl, or alkoxyalkylidenyl.
- the compound of any one of embodiments 1 and 9 to 34, or a pharmaceutically acceptable salt thereof is wherein R d and R g are alkylidenyl.
- the compound of any one of embodiments 1 and 9 to 35, or a pharmaceutically acceptable salt thereof, is wherein R d and R g are methylidenyl.
- the compound of any one of embodiments 1 and 9 to 34, or a pharmaceutically acceptable salt thereof is wherein R d and R g are haloalkylidenyl.
- the compound of any one of embodiments 1 to 3, 8, and 9 to 34, or a pharmaceutically acceptable salt thereof is wherein R a , R d , and R g are alkoxyalkylidenyl.
- the compound of any one of embodiments 1 and 9 to 34, or a pharmaceutically acceptable salt thereof is wherein R d and R g are deuterioalkylidenyl.
- the compound of any one of embodiments 1 to 3, 8 to 33 and 43, or a pharmaceutically acceptable salt thereof is wherein R 31 , R 33 , and R 35 are hydrogen.
- the compound of any one of embodiments 1 to 3, 8 to 33, and 43, or a pharmaceutically acceptable salt thereof is wherein R 31 , R 33 , and R 35 are fluoro.
- the compound of any one of embodiments 1 to 3, 8 to 33, and 43, or a pharmaceutically acceptable salt thereof is wherein R 31 , R 33 , and R 35 are alkyl.
- the compound of any one of embodiments 1 to 3, 8 to 33, 43, and 46, or a pharmaceutically acceptable salt thereof, is wherein R 31 , R 33 , and R 35 are independently methyl, ethyl, or propyl.
- the compound of any one of embodiments 1 to 3, 8 to 33, and 43 to 47, or a pharmaceutically acceptable salt thereof is wherein R 32 , R 34 , and R 36 are independently cyano, alkoxyalkyloxyalkyl, cycloalkyl, cycloalkylalkyl, or cycloalkylalkyloxyalkyl (where cycloalkyl, by itself or as part of cycloalkylalkyl, and cycloalkylalkyloxyalkyl is optionally substituted with one or two substituents independently selected from alkyl, halo, haloalkoxy, alkoxy, alkoxyalkyl, and hydroxy) .
- the compound of any one of embodiments 1 to 3, 8 to 33 and 43 to 48, or a pharmaceutically acceptable salt thereof is wherein R 32 , R 34 , and R 36 are independently cyano, methoxymethyloxymethyl, 2-methoxyethyloxymethyl, cyclopropyl, cyclobutyl, cyclopentyl, cyclopropylmethyl, cyclobutylmethyl, cyclopentylmethyl, cyclopropylethyl, cyclobutylethyl, cyclopentylethyl, cyclopropylmethyloxymethyl, cyclobutylmethyloxymethyl, or cyclopentylmethyloxymethyl, wherein cyclopropyl, cyclobutyl or cyclopentyl, by itself or as part of cyclopropylmethyl, cyclobutylmethyl, cyclopentylmethyl, cyclopropylethyl, cyclobutylethyl, cyclopent
- the compound of any one of embodiments 1 to 3, 8 to 33, and 43 to 49, or a pharmaceutically acceptable salt thereof, is wherein R 32 , R 34 , R 36 , and R 38 are cyano.
- the compound of any one of embodiments 1 to 3, 8 to 33 and 43 to 49, or a pharmaceutically acceptable salt thereof is wherein R 32 , R 34 , and R 36 are independently methoxymethyloxymethyl or 2-methoxyethyloxymethyl.
- the compound of any one of embodiments 1 to 3, 8 to 33 and 43 to 47, or a pharmaceutically acceptable salt thereof is wherein R 32 , R 34 , and R 36 are independently heterocyclyl, phenyl, or heteroaryl (where heterocyclyl, phenyl, and heteroaryl are optionally substituted with one, two, or three substituents independently selected from alkyl, halo, haloalkyl, haloalkoxy, alkoxy, cyano, and hydroxy) .
- the compound of any one of embodiments 1 to 3, 8 to 33, 43 to 47, and 52 or a pharmaceutically acceptable salt thereof is wherein R 32 , R 34 , and R 36 are independently phenyl, pyrrolidinyl, furanyl, pyranyl, piperidinyl, morpholinyl, or 5-or 6-membereing heteroaryl, each ring optionally substituted with one, two, or three substituents independently selected from alkyl, halo, haloalkyl, haloalkoxy, alkoxy, cyano, and hydroxy.
- the compound of any one of embodiments 1 to 3, 8 to 33, and 43, or a pharmaceutically acceptable salt thereof is wherein R 31 and R 32 , R 33 and R 4 , and R 35 and R 36 together with the carbon atom to which they are attached form cycloalkylene optionally substituted with alkyl, halo, alkoxy, or hydroxy.
- the compound of any one of embodiments 1 to 3, 8 to 33, 43 and 54, or a pharmaceutically acceptable salt thereof is wherein R 31 and R 32 , R 33 and R 34 , and R 35 and R 36 together with the carbon atom to which they are attached form cyclopropyl, cyclobutylene, or cyclopentylene, each ring optionally substituted with methyl, fluoro, or methoxy.
- the compound of any one of embodiments 1 to 55, or a pharmaceutically acceptable salt thereof, is wherein Q 1 is deuterioalkyl.
- embodiment 58 the compound of any one of embodiments 1 to 57, or a pharmaceutically acceptable salt thereof, wherein Q 1 is methylene, ethylene, -CH (CH 3 ) -, -C (CH 3 ) 2 -, or -CD 2 -.
- embodiment 60 the compound of any one of embodiments 1 to 55, 57, and 58, or a pharmaceutically acceptable salt thereof, wherein Q 1 is -CD 2 -.
- the compound of any one of embodiments 1 to 56 and 59, or a pharmaceutically acceptable salt thereof wherein R 39 is hydrogen, deuterium, alkyl, deuterioalkyl, haloalkyl, haloalkoxyalkyl, or alkoxyalkyl and R 40 is deuterioalkyl, cycloalkyl, alkoxy, alkoxyalkyl, haloalkyl, haloalkoxyalkyl, or heterocyclyl optionally substituted with one or two substituents independently selected from alkyl, halo, alkoxy, haloalkoxy, and haloalkyl.
- embodiment 65 the compound of any one of embodiments 1 to 61, or a pharmaceutically acceptable salt thereof, wherein R 39 is haloalkoxyalkyl.
- embodiment 70 the compound of any one of embodiments 1 to 66a, or a pharmaceutically acceptable salt thereof, wherein R 40 is haloalkoxyalkyl.
- embodiment 72a the compound of any one of embodiments 1 to 66a, or a pharmaceutically acceptable salt thereof, wherein R 40 is heterocyclyl optionally substituted with one or two substituents independently selected from alkyl, halo, alkoxy, haloalkoxy, and haloalkyl.
- the compound of any one of embodiments 1 to 56, 59, 74, 75 and 77 is wherein R n , R o are independently selected from hydrogen, alkyl, haloalkyl, and alkoxy.
- the compound of any one of embodiments 1 to 56, 59, 74, 75, 77, and 77a is wherein R p is hydrogen, fluoro, or alkoxyalkyl.
- the compound of any one of embodiments 1 to 56, 59, 74, 75, and 77 to 79, or a pharmaceutically acceptable salt thereof, wherein R 39 and R 40 together with the nitrogen atom to which they are attached form morpholin-1-yl. 2, 6-dimethylmorpholin-4-yl, 2, 2-dimethylmorpholin-4-yl, 2- (trifluoromethyl) morpholin-4-yl, 2, 2-difluoromorpholin-4-yl, 2-methylmorpholin-4-yl, 3-methylmorpholin-4-yl, or 2- (difluoromethyl) morpholin-4-yl.
- embodiment 83 the compound of any one of embodiments 1 to 56, 59, 74, and 76, or a pharmaceutically acceptable salt thereof, wherein R 39 and R 40 together with the nitrogen atom to which they are attached form fused heterocyclyl substituted with R r , R s , and R t .
- embodiment 84 the compound of any one of embodiments 1 to 56, 59, 74, and 76, or a pharmaceutically acceptable salt thereof, wherein R 39 and R 40 together with the nitrogen atom to which they are attached form spiroheterocyclyl substituted with R r , R s , and R t .
- the compound of any one of embodiments 1 to 56, 59, 74, 76, and 81-84, or a pharmaceutically acceptable salt thereof is wherein R r , R s , and R t are independently selected from hydrogen, alkyl, halo, and alkoxy.
- each ring is substituted with R r , R s , and R t .
- embodiment 95 the compound of any one of embodiments 1 to 55, 57, 58, 60, and 89, or a pharmaceutically acceptable salt thereof, wherein R 39 is deuterioalkyl.
- embodiment 96 the compound of any one of embodiments 1 to 55, 57, 58, 60, and 89 to 95, or a pharmaceutically acceptable salt thereof, wherein R 40 is alkoxy.
- embodiment 100 the compound of any one of embodiments 1 to 55, 57, 58, 60, and 89 to 95, or a pharmaceutically acceptable salt thereof, wherein R 40 is cycloalkyl.
- embodiment 103 the compound of any one of embodiments 1 to 55, 57, 58, and 60, or a pharmaceutically acceptable salt thereof, wherein R 39 is hydrogen, methyl, methyl-d3, methoxyethyl, ethoxyethyl, or propoxyethyl; and R 40 is hydrogen, methyl, methyl-D3.
- embodiment 105 the compound of any one of embodiments 1 to 56, 59, and 104, or a pharmaceutically acceptable salt thereof, wherein R 39 and R 40 together with the nitrogen atom to which they are attached form heterocyclyl substituted with R u , R v , R w , and R x .
- embodiment 106 the compound of any one of embodiments 1 to 56, 57, 58, 60, and 104, or a pharmaceutically acceptable salt thereof, wherein R 39 and R 40 together with the nitrogen atom to which they are attached form bicyclic heterocyclyl, bridged heterocyclyl, fused heterocyclyl, or spiroheterocyclyl, each ring independently substituted with R y , R y1 , and R y2 .
- the compound of any one of embodiments 1 to 56, 57, 58, 60, 104, 105, and 107 to 109, or a pharmaceutically acceptable salt thereof, wherein R 39 and R 40 together with the nitrogen atom to which they are attached form morpholin-1-yl. 2, 6-dimethylmorpholin-4-yl, 2, 2-dimethylmorpholin-4-yl, 2- (trifluoromethyl) morpholin-4-yl, 2, 2-difluoromorpholin-4-yl, 2-methylmorpholin-4-yl, 3-methylmorpholin-4-yl, or 2- (difluoromethyl) morpholin-4-yl.
- embodiment 111 the compound of any one of embodiments 1 to 56, 57, 58, 60, 104, and 106, or a pharmaceutically acceptable salt thereof, wherein R 39 and R 40 together with the nitrogen atom to which they are attached form bicyclic heterocyclyl substituted with R y , R y1 , and R y2 .
- embodiment 113 the compound of any one of embodiments 1 to 56, 57, 58, 60, 104, and 106, or a pharmaceutically acceptable salt thereof, wherein R 39 and R 40 together with the nitrogen atom to which they are attached form fused heterocyclyl substituted with R y , R y1 , and R y2 .
- each ring is substituted with R r , R s , and R t .
- the compound of any one of embodiments 1 to 55, or a pharmaceutically acceptable salt thereof is wherein R b , R e , and R h are independently – (Q 2 ) -OR 41 .
- the compound of any one of embodiments 1 to 55 and 118a, or a pharmaceutically acceptable salt thereof, is wherein Q 2 is alkylene.
- the compound of any one of embodiments 1 to 55, 118a, and 118a1, or a pharmaceutically acceptable salt thereof, is wherein Q 2 is deuterioalkylene.
- the compound of any one of embodiments 1 to 55 and 118a to 118a2, or a pharmaceutically acceptable salt thereof, is wherein Q 2 is methylene, methylene-d2, ethylene, propylene, or butylene.
- the compound of any one of embodiments 1 to 55 and 118a to 118a3, or a pharmaceutically acceptable salt thereof, is wherein Q 2 is methylene, methylene-d2, ethylene, or propylene.
- the compound of any one of embodiments 1 to 55 and 118a to 118a4, or a pharmaceutically acceptable salt thereof is wherein R 41 is cycloalkyl (such as cyclopropyl, cyclobutyl, cyclopentyl or cyclohexyl) substituted with R y3 , R y4 , and R y5 independently selected from hydrogen, alkyl, halo, haloalkyl, haloalkoxy, alkoxy, alkoxyalkyl, hydroxy, hydroxyalkyl, and nitrile.
- R 41 is cycloalkyl (such as cyclopropyl, cyclobutyl, cyclopentyl or cyclohexyl) substituted with R y3 , R y4 , and R y5 independently selected from hydrogen, alkyl, halo, haloalkyl, haloalkoxy, alkoxy, alkoxyalkyl, hydroxy, hydroxyalkyl
- the compound of any one of embodiments 1 to 55 and 118a to 118a4, or a pharmaceutically acceptable salt thereof is wherein R 41 is cycloalkylalkyl (such as cyclopropylmethyl or -ethyl, cyclobutylmethyl or -ethyl, cyclopentylmethyl or -ethyl or cyclohexylmethyl or -ethyl) substituted with R y3 , R y4 , and R y5 independently selected from hydrogen, alkyl, halo, haloalkyl, haloalkoxy, alkoxy, alkoxyalkyl, hydroxy, hydroxyalkyl, and nitrile.
- R 41 is cycloalkylalkyl (such as cyclopropylmethyl or -ethyl, cyclobutylmethyl or -ethyl, cyclopentylmethyl or -ethyl or cyclohexylmethyl or -e
- the compound of any one of embodiments 1 to 55 and 118a to 118a4, or a pharmaceutically acceptable salt thereof is wherein R 41 is haloalkoxyalkyl such as trifluoromethoxymethyl or difluoromethoxymethyl.
- the compound of any one of embodiments 1 to 55 and 118a to 118a4, or a pharmaceutically acceptable salt thereof is wherein R 41 is heterocyclyl (such as pyrrolidinyl, piperidinyl, piperazinyl, or morpholinyl) substituted with R y3 , R y4 , and R y5 independently selected from hydrogen, alkyl, halo, haloalkyl, haloalkoxy, alkoxy, alkoxyalkyl, hydroxy, hydroxyalkyl, and nitrile.
- R 41 is heterocyclyl (such as pyrrolidinyl, piperidinyl, piperazinyl, or morpholinyl) substituted with R y3 , R y4 , and R y5 independently selected from hydrogen, alkyl, halo, haloalkyl, haloalkoxy, alkoxy, alkoxyalkyl, hydroxy, hydroxyalkyl, and nitrile.
- the compound of any one of embodiments 1 to 55 and 118a to 118a4, or a pharmaceutically acceptable salt thereof is wherein R 41 is heterocyclylalkyl (such as pyrrolidinylmethyl or -ethyl, piperidinylmethyl or -ethyl, piperazinylmethyl or -ethyl or morpholinylmethyl or -ethyl) substituted with R y3 , R y4 , and R y5 independently selected from hydrogen, alkyl, halo, haloalkyl, haloalkoxy, alkoxy, alkoxyalkyl, hydroxy, hydroxyalkyl, and nitrile.
- R 41 is heterocyclylalkyl (such as pyrrolidinylmethyl or -ethyl, piperidinylmethyl or -ethyl, piperazinylmethyl or -ethyl or morpholinylmethyl or -ethyl) substituted with R y
- the compound of any one of embodiments 1 to 55 and 118a to 118a4, or a pharmaceutically acceptable salt thereof is wherein R 41 is phenyl substituted with R y3 , R y4 , and R y5 independently selected from hydrogen, alkyl, halo, haloalkyl, haloalkoxy, alkoxy, alkoxyalkyl, hydroxy, hydroxyalkyl, and nitrile.
- the compound of any one of embodiments 1 to 55 and 118a to 118a4, or a pharmaceutically acceptable salt thereof is wherein R 41 is phenylmethyl or -ethyl substituted with R y3 , R y4 , and R y5 independently selected from hydrogen, alkyl, halo, haloalkyl, haloalkoxy, alkoxy, alkoxyalkyl, hydroxy, hydroxyalkyl, and nitrile.
- the compound of any one of embodiments 1 to 55 and 118a to 118a4, or a pharmaceutically acceptable salt thereof is wherein R 41 is heteroaryl (such as furanyl, pyridyl, pyrazinyl, quinolinyl, or isoquinolinyl) substituted with R y3 , R y4 , and R y5 independently selected from hydrogen, alkyl, halo, haloalkyl, haloalkoxy, alkoxy, alkoxyalkyl, hydroxy, hydroxyalkyl, and nitrile.
- R 41 is heteroaryl (such as furanyl, pyridyl, pyrazinyl, quinolinyl, or isoquinolinyl) substituted with R y3 , R y4 , and R y5 independently selected from hydrogen, alkyl, halo, haloalkyl, haloalkoxy, alkoxy, alkoxyalkyl, hydroxy, hydroxyal
- the compound of any one of embodiments 1 to 55 and 118a to 118a4, or a pharmaceutically acceptable salt thereof is wherein R 41 is heteroaryalkyl (such as furanylmethyl or -ethyl, pyridylmethyl or -ethyl, pyrazinylmethyl or -ethyl, quinolinylmethyl or -ethyl, or isoquinolinylmethyl or -ethyl) substituted with R y3 , R y4 , and R y5 independently selected from hydrogen, alkyl, halo, haloalkyl, haloalkoxy, alkoxy, alkoxyalkyl, hydroxy, hydroxyalkyl, and nitrile.
- R 41 is heteroaryalkyl (such as furanylmethyl or -ethyl, pyridylmethyl or -ethyl, pyrazinylmethyl or -ethyl, quinolinylmethyl or -eth
- the compound of any one of embodiments 1 to 118a13, or a pharmaceutically acceptable salt thereof is wherein R c , R f , and R i are independently hydrogen, deuterium, methyl, ethyl, methoxy, ethoxy, methyloxy, ethyloxy, chloro, or fluoro.
- the compound of any one of embodiments 1 to 119, or a pharmaceutically acceptable salt thereof is wherein R c , R f , and R i are hydrogen.
- the compound of any one of embodiments 1 to 119, or a pharmaceutically acceptable salt thereof is wherein R c , R f , and R i are deuerium.
- the compound of any one of embodiments 1 to 119, or a pharmaceutically acceptable salt thereof is wherein R c , R f , and R i are independently methyl, methoxy, methyloxy, chloro, or fluoro.
- the compound of any one of embodiments 1 to 122, or a pharmaceutically acceptable salt thereof is wherein R c1 , R f1 , and R i1 are independently selected from hydrogen, deuterium, or fluoro.
- the compound of any one of embodiments 1 to 123, or a pharmaceutically acceptable salt thereof, is wherein R c1 , R f1 , and R i1 are hydrogen.
- the compound of any one of embodiments 1 to 123, or a pharmaceutically acceptable salt thereof is wherein R c1 , R f1 , and R i1 are deuterium.
- the compound of any one of embodiments 1 to 123, or a pharmaceutically acceptable salt thereof is wherein R c1 , R f1 , and R i1 are fluoro.
- the compound of any one of embodiments 1 to 126, or a pharmaceutically acceptable salt thereof, is wherein Z is O.
- R 1 is a ring of formula where one of m and n is 0, 1, or 2, and the other of m and n is 0, 1, 2, or 3.
- the compound of any one of embodiments 1 to 128, or a pharmaceutically acceptable salt thereof is wherein m and n are each 1, or one of m and n is 1 and the other of m and n is 2.
- the compound of any one of embodiments 1 to 128, or a pharmaceutically acceptable salt thereof is wherein m and n are each 1, or one of m and n is 1.
- the compound of any one of embodiments 1 to 128, or a pharmaceutically acceptable salt thereof is wherein one of m and n is 1 and the other of m and n is 2.
- embodiment 128d1 the compound of any one of embodiments 1 to 128, or a pharmaceutically acceptable salt thereof, is wherein m and n are each 1.
- the compound of any one of embodiments 1 to 128, or a pharmaceutically acceptable salt thereof is wherein m is 1 and n is 3.
- embodiment 128f1 the compound of any one of embodiments 1 to 128e1, or a pharmaceutically acceptable salt thereof, is wherein R 6 and R 7 are independently selected from hydrogen, methyl, and ethyl, and R 6a and R 6b are hydrogen.
- the compound of any one of embodiments 1 to 128e1, or a pharmaceutically acceptable salt thereof is wherein R 6 is cyanomethyl and R 7 is hydrogen, methyl, or ethyl, preferably R 7 is hydrogen, and R 6a and R 6b are hydrogen.
- the compound of any one of embodiments 1 to 128e1, or a pharmaceutically acceptable salt thereof is wherein R 6 and R 7 are attached to the carbon atoms of the ring that are opposite or diagonal to each other and combine to form – (CH 2 ) z -where z is 1, 2, or 3, preferably z is 2, and R 6a and R 6b are hydrogen.
- the compound of any one of embodiments 1 to 127, or a pharmaceutically acceptable salt thereof is wherein R 1 is a ring of formula
- the compound of any one of embodiments 1 to 127, or a pharmaceutically acceptable salt thereof is wherein R 1 is a ring of formula In a subembodiment, R 29a and R 29b are hydrogen.
- the compound of Formula (I) of any one of embodiments 1 to 133, or a pharmaceutically acceptable salt thereof has a structure of formula (I’a) as follows:
- the compound of Formula (I) of any one of embodiments 1 to 133, or a pharmaceutically acceptable salt thereof has a structure of formula (I’b) as follows:
- the compound of Formula (I) of any one of embodiments 1 to 133, or a pharmaceutically acceptable salt thereof has a structure of formula (I’c) as follows:
- the compound of Formula (I) of any one of embodiments 1 to 133 and 136, or a pharmaceutically acceptable salt thereof has a structure of formula (I’d) as follows:
- the compound of Formula (I) of any one of embodiments 1 to 133, or a pharmaceutically acceptable salt thereof has a structure of formula (I’e) as follows:
- the compound of Formula (I) of any one of embodiments 1 to 133, and 138, or a pharmaceutically acceptable salt thereof has a structure of formula (I’f) as follows:
- the compound of any one of embodiments 1 to 139, or a pharmaceutically acceptable salt thereof is wherein R 5 is -Q-R 37 where Q is a bond and R 37 is cycloalkyl, fused cycloalkyl, fused spirocycloalkyl, aryl, heteroaryl, or fused heteroaryl, wherein aryl, heteroaryl, and fused heteroaryl are substituted with R aa , R bb , R cc and R dd wherein R aa and R bb are independently selected from hydrogen, alkyl, cycloalkyl, halo, haloalkyl, haloalkoxy, hydroxy, alkoxy, heteroalkyl, hydroxyalkyl, amino, and cyano, R cc is hydrogen, alkenyl, alkynyl, cyanoalkenyl, cyanoalkynyl, or halo, and R dd is hydrogen, alky
- the compound of any one of embodiments 1 to 139, or a pharmaceutically acceptable salt thereof is wherein R 5 is -Q-R 37 where Q is alkylene and R 27 is cycloalkyl, aryl, or fused heteroaryl, wherein aryl, fused heteroaryl, and heteroaryl are substituted with R aa , R bb , R cc and R dd wherein R aa and R bb are independently selected from hydrogen, alkyl, cycloalkyl, halo, haloalkyl, haloalkoxy, hydroxy, alkoxy, heteroalkyl, hydroxyalkyl, amino, and cyano, R cc is hydrogen, alkynyl, or halo, and R dd is hydrogen, alkyl, cycloalkyl, halo, haloalkyl, haloalkoxy, alkoxy, heteroalkyl, hydroxyalkyl, amino, and cyano, R cc
- the compound of any one of embodiments 1 to 139, or a pharmaceutically acceptable salt thereof is wherein R 5 is -Q-R 37 where Q is -C (O) -and R 37 is cycloalkyl, aryl, fused heteroaryl, or heteroaryl, wherein aryl, fused heteroaryl and heteroaryl are substituted with R aa , R bb , R cc and R dd wherein R aa and R bb are independently selected from hydrogen, alkyl, cycloalkyl, halo, haloalkyl, haloalkoxy, hydroxy, alkoxy, heteroalkyl, hydroxyalkyl, amino, and cyano, R cc is hydrogen, alkynyl, or halo, and R dd is hydrogen, alkyl, cycloalkyl, halo, haloalkyl, haloalkoxy, alkoxy, heteroalkyl,
- the compound of any one of embodiments 1 to 139, or a pharmaceutically acceptable salt thereof is wherein R 37 is cycloalkyl, fused cycloalkyl, aryl, or heteroaryl wherein aryl, and heteroaryl are substituted with R aa , R bb , R cc and R dd wherein R aa and R bb are independently selected from hydrogen, alkyl, cycloalkyl, halo, haloalkyl, haloalkoxy, hydroxy, alkoxy, heteroalkyl, hydroxyalkyl, amino, and cyano, R cc is hydrogen, alkenyl, alkynyl, cyanoalkenyl, cyanoalkynyl, or halo, and R dd is hydrogen, alkyl, cycloalkyl, halo, haloalkyl, haloalkoxy, alkoxy, heteroalkyl, hydroxyalkyl, hydroxyalkyl
- the compound of any one of embodiments 1 to 139, or a pharmaceutically acceptable salt thereof is wherein R 5 is -Q-R 37 where Q is a bond and R 37 is phenyl or naphthyl substituted with R aa , R bb , R cc and R dd .
- the compound of any one of embodiments 1 to 139 and 144, or a pharmaceutically acceptable salt thereof is wherein R 5 is -Q-R 37 where Q is a bond and R 37 is phenyl or naphthyl substituted with R aa , R bb , R cc and R dd where R aa and R bb are independently selected from hydrogen, alkyl, halo, haloalkyl, hydroxy, alkoxy, haloalkoxy, cycloalkyl, amino, cyano, and hydroxyalkyl, R cc is hydrogen, fluoro, alkynyl, and R dd is hydrogen, alkyl, cycloalkyl, halo, haloalkyl, haloalkoxy, alkoxy, heteroalkyl, hydroxyalkyl, amino, cyano, optionally substituted aryl, optionally substituted heteroaryl, optionally substituted heterocyclyl, or optional
- the compound of any one of embodiments 1 to 145, or a pharmaceutically acceptable salt thereof is wherein R aa and R bb independently selected from hydrogen, methyl, ethyl, fluoro, chloro, trifluoromethyl, difluoromethyl, trifluoromethoxy, hydroxy, methyl, ethoxy, cyclopropyl, amino, cyano, and hydroxymethyl, R cc is hydrogen, ethynyl, 2-cyanovinyl, 2-cyanoethyn-1-yl, or fluoro, and R dd is hydrogen, methyl, fluoro, amino, or cyclopropyl.
- the compound of any one of embodiments 1 to 139, or a pharmaceutically acceptable salt thereof is wherein R 5 is -Q-R 37 where Q is a bond and R 37 is heteroaryl or fused heteroaryl substituted with R aa , R bb , R cc and R dd .
- the compound of any one of embodiments 1 to 139 and 147, or a pharmaceutically acceptable salt thereof is wherein R 5 is -Q-R 37 where Q is a bond and R 37 is a monocyclic heteroaryl (e.g., pyridyl, pyrimidinyl, benzothiazolyl, pyrazolyl) substituted with R aa , R bb , R cc and R dd .
- R 5 is -Q-R 37 where Q is a bond and R 37 is a monocyclic heteroaryl (e.g., pyridyl, pyrimidinyl, benzothiazolyl, pyrazolyl) substituted with R aa , R bb , R cc and R dd .
- the compound of any one of embodiments 1 to 139 and 147, or a pharmaceutically acceptable salt thereof is wherein R 5 is -Q-R 37 where Q is a bond and R 37 is bicyclic heteroaryl (e, g, quinolinyl, isoquinolinyl, or indazolyl) , substituted with R aa , R bb , R cc and R dd .
- R 5 is -Q-R 37 where Q is a bond and R 37 is bicyclic heteroaryl (e, g, quinolinyl, isoquinolinyl, or indazolyl) , substituted with R aa , R bb , R cc and R dd .
- the compound of any one of embodiments 1 to 139 and 147 to 149, or a pharmaceutically acceptable salt thereof is wherein the heteroaryl is substituted with R aa , R bb , and R dd where R aa and R bb independently selected from hydrogen, alkyl, halo, haloalkyl, hydroxy, alkoxy, haloalkoxy, cycloalkyl, amino, cyano, and hydroxyalkyl and R dd is hydrogen, alkyl, cycloalkyl, halo, haloalkyl, haloalkoxy, alkoxy, heteroalkyl, hydroxyalkyl, amino, cyano, optionally substituted aryl, optionally substituted heteroaryl, optionally substituted heterocyclyl, or optionally substituted heterocyclylalkyl.
- the compound of any one of embodiments 1 to 139 and 147 to 150, or a pharmaceutically acceptable salt thereof is wherein R aa and R bb are independently selected from hydrogen, methyl, ethyl, fluoro, chloro, trifluoromethyl, difluoromethyl, trifluoromethoxy, hydroxy, methyl, ethoxy, cyclopropyl, amino, cyano, and hydroxymethyl, R cc is hydrogen or fluoro, and R dd is hydrogen, methyl, fluoro, amino, or cyclopropyl.
- the compound of any one of embodiments 1 to 151, or a pharmaceutically acceptable salt thereof is wherein R 5 is -Q-R 37 where Q is a bond and R 37 is:
- the compound of any one of embodiments 1 to 139, 144 to 146, and 152, or a pharmaceutically acceptable salt thereof is wherein R 5 is -Q-R 37 where Q is a bond and R 37 is:
- the compound of any one of embodiments 1 to 139, 144 to 146, and 153, or a pharmaceutically acceptable salt thereof is wherein R 5 is -Q-R 37 where Q is a bond and R 44 is:
- the compound of any one of embodiments 1 to 139, 144 to 146, and 153, or a pharmaceutically acceptable salt thereof is wherein R 5 is -Q-R 37 where Q is a bond and R 44 is:
- the compound of any one of embodiments 1 to 154a, or a pharmaceutically acceptable salt thereof is wherein R 2 is hydrogen, halo, or alkyl, and R 3 is hydrogen, halo, cycloalkyloxy, or alkyl.
- the compound of any one of embodiments 1 to 155a, or a pharmaceutically acceptable salt thereof, is wherein R 2 and R 3 are each hydrogen.
- the compound of any one of embodiments 1 to 155a, or a pharmaceutically acceptable salt thereof is wherein R 2 is hydrogen or chloro and R 3 is hydrogen, fluoro, or cyclopropyloxy.
- the compound of any one of embodiments 1 to 155a, or a pharmaceutically acceptable salt thereof, is wherein R 2 is hydrogen and R 3 is fluoro.
- the starting materials and reagents used in preparing these compounds are either available from commercial suppliers such as Aldrich Chemical Co., (Milwaukee, Wis. ) , Bachem (Torrance, Calif. ) , or Sigma (St. Louis, Mo.
- the reactions described herein take place at atmospheric pressure over a temperature range from about –78 °C to about 150 °C, such as from about 0 °C to about 125 °C and further such as at about room (or ambient) temperature, e.g., about 20 °C.
- a precursor group as used herein is one that can be converted to a group covered by Formula (I) .
- a representative example of conversion of a precursor group to a group covered by Formula (I) is illustrated and described in Scheme 3 below) with a suitable chlorination reagent such as POCl 3 optionally in presence of a base such as DIPEA provides a 2, 4-dichloro compound of formula 1-b.
- a suitable chlorination reagent such as POCl 3
- DIPEA a base
- Compounds of formula 1-a is either commercially available or they can be prepared by method well known in the art. Once such method is illustrated and described in Methods 1 and 2 below.
- Displacement of chloro group at C-2 position in compound 1-c with an alcohol of formula 1-f where R 30A- Q 1- OPG 1 is a precursor group of R 30 provides a compound of formula 1-d.
- Alcohols of formula 1-f are either commercially available or can be made by methods known in the art. Representative methods for preparing compound of formula 1-f are described in in the Working Examples below.
- Amines of formula (a”) are either commercially available or can be made by methods known in the art.
- benzyl 2- (cyanomethyl) piperazine-1-carboxylate, tert-butyl 2- (cyanomethyl) piperazine-1-carboxylate, benzyl 2, 5-dimethylpiperazine-1-carboxylate, tert-butyl 2-methylpiperazine-1-carboxylate, tert-butyl piperazine-1-carboxylate, benzyl piperazine-1-carboxylate are commercially available. Others can be prepared by methods well known in the art.
- Compounds of Formula 1-a where X a is halogen, U, V and W are CH, R 2 and R 3 are as defined in the Summary (or any embodiments thereof) can be prepared by reacting a compound of formula with urea at elevated temperature.
- Compounds of formula 5 are either commercially available or can be made by methods known in the art. For example, 2-amino-4-bromo-5-chloro-3-fluorobenzoic acid, 2-amino-4-bromo-3-fluorobenzoic acid and 2-amino-4-bromobenzoic acid are commercially available.
- Removal of the hydroxy protecting group in formula 3-a provides a compound of formula 3-b.
- Treatment of a compound of formula 3-b with a couling agent such as CDI, (4-nitrophenyl) carbonochloridate and the like, followed by treatment of the resulting intermediate with an amine of formula HR 39 R 40 , where R 39 and R 40 are as defined in the Summary provides a compound of formula 3-c which can the converted to compound of Formula (I) as described above.
- the present disclosure provides treatment of cancer mediated by K-ras, in particular with K-ras G12D mutants.
- the cancer is pancreatic cancer, colorectal cancer, lung cancer, gall bladder cancer, thyroid cancer, and bile duct cancer.
- the lung cancer is a non-small cell lung carcinoma (NSCLC) , for example adenocarcinoma, squamous-cell lung carcinoma or large-cell lung carcinoma.
- the lung cancer is a small cell lung carcinoma.
- Other lung cancers treatable with the disclosed compounds include, but are not limited to, glandular tumors, carcinoid tumors and undifferentiated carcinomas.
- K-ras G12D mutations are observed in hematological malignancies that affect blood, bone marrow, and/or lymph nodes.
- the compounds of Formula (I) or a pharmaceutically acceptable salt thereof can be used for the treatment of acute lymphoblastic leukemia (ALL) , acute myelogenous leukemia (AML) , chronic lymphocytic leukemia (CLL) , small lymphocytic lymphoma (SLL) , chronic myelogenous leukemia (CML) , acute monocytic leukemia (AMoL) and/or other leukemias, lymphomas such as all subtypes of Hodgkins lymphoma or non-Hodgkins lymphoma, plasma cell malignancies such as multiple myeloma, mantle cell lymphoma, and Waldenstrom’s macroglubunemia.
- ALL acute lymphoblastic leukemia
- AML acute myelogenous leukemia
- CLL chronic lymphocy
- the compounds of Formula (I) can be used for the treatment of a hyperproliferative disorder or metastasis in human who suffers from a cancer such as acute myeloid leukemia, cancer in adolescents, adrenocortical carcinoma childhood, AIDS related cancers (e.g.
- Lymphoma and Kaposi's Sarcoma anal cancer, appendix cancer, astrocytomas, atypical teratoid, basal cell carcinoma, bile duct cancer, bladder cancer, bone cancer, brain stem glioma, brain tumor, breast cancer, bronchial tumors, Burkitt lymphoma, carcinoid tumor, atypical teratoid, embryonal tumors, germ cell tumor, primary lymphoma, cervical cancer, childhood cancers, chordoma, cardiac tumors, chronic lymphocytic leukemia (CLL) , chronic myelogenous leukemia (CML) , chronic myleoproliferative disorders, colon cancer, colorectal cancer, craniopharyngioma, cutaneous T-cell lymphoma, extrahepatic ductal carcinoma in situ (DCIS) , embryonal tumors, CNS cancer, endometrial cancer, ependymoma, esophageal cancer, esthe
- the compounds of Formula (I) , or a pharmaceutically acceptable salt thereof can also be used for the treatment of a non-cancerous hyperproliferative disorder such as benign hyperplasia of the skin (e.g., psoriasis) , restenosis, or prostate (e.g., benign prostatic hypertrophy (BPH) ) .
- a non-cancerous hyperproliferative disorder such as benign hyperplasia of the skin (e.g., psoriasis) , restenosis, or prostate (e.g., benign prostatic hypertrophy (BPH) ) .
- the K-Ras G12D activity of the compounds of Formula (I) , or a pharmaceutically acceptable salt thereof can be tested using the in vitro assay described in Biological Examples 1 below.
- the compounds Formula (I) (unless stated otherwise, reference to compound/compounds of Formula (I) herein includes any embodiments thereof described herein or a pharmaceutically acceptable salt thereof) will be administered in a therapeutically effective amount by any of the accepted modes of administration for agents that serve similar utilities.
- Therapeutically effective amounts of compounds Formula (I) may range from about 0.01 to about 500 mg per kg patient body weight per day, which can be administered in single or multiple doses.
- a suitable dosage level may be from about 0.1 to about 250 mg/kg per day; about 0.5 to about 100 mg/kg per day.
- a suitable dosage level may be about 0.01 to about 250 mg/kg per day, about 0.05 to about 100 mg/kg per day, or about 0.1 to about 50 mg/kg per day.
- the dosage can be about 0.05 to about 0.5, about 0.5 to about 5 or about 5 to about 50 mg/kg per day.
- the compositions can be provided in the form of tablets containing about 1.0 to about 1000 milligrams of the active ingredient, particularly about 1, 5, 10, 15, 20, 25, 50, 75, 100, 150, 200, 250, 300, 400, 500, 600, 750, 800, 900, and 1000 milligrams of the active ingredient.
- the actual amount of the compound Formula (I) i.e., the active ingredient, will depend upon numerous factors such as the severity of the disease to be treated, the age and relative health of the patient, the potency of the compound being utilized, the route and form of administration, and other factors.
- compounds Formula (I) will be administered as pharmaceutical compositions by any one of the following routes: oral, systemic (e.g., transdermal, intranasal or by suppository) , or parenteral (e.g., intramuscular, intravenous or subcutaneous) administration.
- routes oral, systemic (e.g., transdermal, intranasal or by suppository) , or parenteral (e.g., intramuscular, intravenous or subcutaneous) administration.
- parenteral e.g., intramuscular, intravenous or subcutaneous
- compositions can take the form of tablets, pills, capsules, semisolids, powders, sustained release formulations, solutions, suspensions, elixirs, aerosols, or any other appropriate compositions.
- formulations in the form of tablets, pills or capsules, including enteric coated or delayed release tablets, pills or capsules are preferred.
- compositions are comprised of in general, a compound of Formula (I) in combination with at least one pharmaceutically acceptable excipient.
- Acceptable excipients are generally non-toxic, aid administration, and do not adversely affect the therapeutic benefit of the compound of Formula (I) .
- excipient may be any solid, liquid, semi-solid or, in the case of an aerosol composition, gaseous excipient that is generally available to one of skill in the art.
- Solid pharmaceutical excipients include starch, cellulose, talc, glucose, lactose, sucrose, gelatin, malt, rice, flour, chalk, silica gel, magnesium stearate, sodium stearate, glycerol monostearate, sodium chloride, dried skim milk and the like.
- Liquid and semisolid excipients may be selected from glycerol, propylene glycol, water, ethanol and various oils, including those of petroleum, animal, vegetable or synthetic origin, e.g., peanut oil, soybean oil, mineral oil, sesame oil, etc.
- Preferred liquid carriers, particularly for injectable solutions include water, saline, aqueous dextrose, and glycols.
- the compounds of Formula (I) may be formulated for parenteral administration by injection, e.g., by bolus injection or continuous infusion.
- Formulations for injection may be presented in unit dosage form, e.g., in ampoules or in multi-dose containers, with an added preservative.
- the compositions may take such forms as suspensions, solutions or emulsions in oily or aqueous vehicles, and may contain formulatory agents such as suspending, stabilizing and/or dispersing agents.
- the formulations may be presented in unit-dose or multi-dose containers, for example sealed ampoules and vials, and may be stored in powder form or in a freeze-dried (lyophilized) condition requiring only the addition of the sterile liquid carrier, for example, saline or sterile pyrogen-free water, immediately prior to use.
- sterile liquid carrier for example, saline or sterile pyrogen-free water
- Extemporaneous injection solutions and suspensions may be prepared from sterile powders, granules and tablets of the kind previously described.
- Formulations for parenteral administration include aqueous and non-aqueous (oily) sterile injection solutions of the active compounds which may contain antioxidants, buffers, bacteriostats and solutes which render the formulation isotonic with the blood of the intended recipient; and aqueous and non-aqueous sterile suspensions which may include suspending agents and thickening agents.
- Suitable lipophilic solvents or vehicles include fatty oils such as sesame oil, or synthetic fatty acid esters, such as ethyl oleate or triglycerides, or liposomes.
- Aqueous injection suspensions may contain substances which increase the viscosity of the suspension, such as sodium carboxymethyl cellulose, sorbitol, or dextran.
- the suspension may also contain suitable stabilizers or agents which increase the solubility of the compounds to allow for the preparation of highly concentrated solutions.
- the compounds of Formula (I) may also be formulated as a depot preparation.
- Such long -acting formulations may be administered by implantation (for example subcutaneously or intramuscularly) or by intramuscular injection.
- the compounds may be formulated with suitable polymeric or hydrophobic materials (for example as an emulsion in an acceptable oil) or ion exchange resins, or as sparingly soluble derivatives, for example, as a sparingly soluble salt.
- compositions may take the form of tablets, lozenges, pastilles, or gels formulated in conventional manner.
- Such compositions may comprise the active ingredient in a flavored basis such as sucrose and acacia or tragacanth.
- the compounds of Formula (I) may also be formulated in rectal compositions such as suppositories or retention enemas, e.g., containing conventional suppository bases such as cocoa butter, polyethylene glycol, or other glycerides.
- Certain compounds of Formula (I) may be administered topically, that is by non-systemic administration. This includes the application of a compound of Formula (I) externally to the epidermis or the buccal cavity and the instillation of such a compound into the ear, eye and nose, such that the compound does not significantly enter the blood stream.
- systemic administration refers to oral, intravenous, intraperitoneal and intramuscular administration.
- Formulations suitable for topical administration include liquid or semi-liquid preparations suitable for penetration through the skin to the site of inflammation such as gels, liniments, lotions, creams, ointments or pastes, and drops suitable for administration to the eye, ear or nose.
- the active ingredient for topical administration may comprise, for example, from 0.001%to 10%w/w (by weight) of the formulation. In certain embodiments, the active ingredient may comprise as much as 10%w/w. In other embodiments, it may comprise less than 5%w/w. In certain embodiments, the active ingredient may comprise from 2%w/w to 5%w/w. In other embodiments, it may comprise from 0.1%to 1%w/w of the formulation.
- compounds of Formula (I) may be conveniently delivered from an insufflator, nebulizer pressurized packs or other convenient means of delivering an aerosol spray.
- Pressurized packs may comprise a suitable propellant such as dichlorodifluoromethane, trichlorofluoromethane, dichlorotetrafluoroethane, carbon dioxide or other suitable gas.
- the dosage unit may be determined by providing a valve to deliver a metered amount.
- the compounds of Formula (I) may take the form of a dry powder composition, for example a powder mix of the compound and a suitable powder base such as lactose or starch.
- the powder composition may be presented in unit dosage form, in for example, capsules, cartridges, gelatin or blister packs from which the powder may be administered with the aid of an inhalator or insufflator.
- suitable pharmaceutical excipients and their formulations are described in Remington’s Pharmaceutical Sciences, edited by E. W. Martin (Mack Publishing Company, 20th ed., 2000) .
- the level of the compound of Formula (I) in a formulation can vary within the full range employed by those skilled in the art.
- the formulation will contain, on a weight percent (wt. %) basis, from about 0.01-99.99 wt. %of a compound of Formula (I) based on the total formulation, with the balance being one or more suitable pharmaceutical excipients.
- the compound is present at a level of about 1-80 wt. %.
- the compounds of Formula (I) or a pharmaceutically acceptable salt thereof may be used in combination with one or more other drugs in the treatment of diseases or conditions for which compounds of Formula (I) or the other drugs may have utility.
- Such other drug (s) may be administered, by a route and in an amount commonly used therefore, contemporaneously or sequentially with a compound of Formula (I) or a pharmaceutically acceptable salt thereof.
- a pharmaceutical composition in unit dosage form containing such other drugs and the compound of Formula (I) or a pharmaceutically acceptable salt thereof can be used.
- the pharmaceutical compositions of the present disclosure also include those that contain one or more other drugs, in addition to a compound of Formula (I) or a pharmaceutically acceptable salt thereof.
- the combination therapy may also include therapies in which the compound of Formula (I) or a pharmaceutically acceptable salt thereof and one or more other drugs are administered on different overlapping schedules. It is also contemplated that when used in combination with one or more other active ingredients, the compounds of Formula (I) and the other active ingredients may be used in lower doses than when each is used singly.
- the weight ratio of the compound of this disclosure to the second active ingredient may be varied and will depend upon the effective dose of each ingredient. Generally, an effective dose of each will be used.
- the patient can be treated with a compound of Formula (I) or a pharmaceutically acceptable salt thereof in any combination with one or more other anti-cancer agents including but not limited to:
- MAP kinase pathway (RAS/RAF/MEK/ERK) inhibitors including but not limited to: Vemurafanib (PLX4032, CAS No. 918504-65-1) , Dabrafenib (CAS No. 1195765-45-7) , Encorafenib (LGX818 CAS No. 1269440-17-6) , TQ-B3233, XL-518 (Cas No. 1029872-29-4, available from ACC Corp) ; trametinib (CAS No. 871700-17-3) , selumetinib (AZD6244 CAS No. 606143-52-6) , TQ-B3234, PD184352 (CAS No.
- SHP2 inhibitors including but not limited to: SHP099 (CAS No. 2200214-93-1) , TNO155 (CAS No. 1801765-04-7) , RMC4630, JAB-3312, JAB-3068 and ERAS-601;
- SOS1 inhibitors including but not limited to BI1701963 and BAY-293;
- CSF1R inhibitors PLX3397, LY3022855,
- CSF1R antibodies IMC-054, RG7l55
- TGF beta receptor kinase inhibitor such as LY2157299
- BTK inhibitor such as ibrutinib; BCR-ABL inhibitors: Imatinib (CAS No. 152459-95-5) ; Inilotinib hydrochloride; Nilotinib (CAS No. 923288-95-3) ; Dasatinib (BMS-345825 CAS No. 302962-49-8) ; Bosutinib (SKI-606 CAS No. 380843-75-4) ; Ponatinib (AP24534 CAS No. 943319-70-8) ; Bafetinib (INNO406 CAS No. 859212-16-1) ; Danusertib (PHA-739358 CAS No.
- ALK inhibitors PF-2341066 ( crizotinib) ; 5-chloro-N4- (2- (isopropyl-sulfonyl) phenyl) -N2- (2-methoxy-4- (4- (4-methylpiperazin-l-yl) piperidin-l-yl) phenyl) pyrimidine-2, 4- diamine; GSK1838705A (CAS No. 1116235-97-2) ; CH5424802 (CAS No. 1256580-46-7) ; Ceritinib (ZYKADIA CAS No. 1032900-25-6) ; TQ-B3139, and TQ-B3101;
- PI3K inhibitors 4- [2- (1H-indazol-4-yl) -6- [ [4- (methylsulfonyl) -piperazin-l-yl] methyl] thieno [3, 2-d] pyrimidin-4-yl] morpholine (also known as GDC 0941 and described in PCT Publication Nos. WO 09/036082 and WO 09/055730) , BEZ235 or NVP-BEZ235 (CAS No. 915019-65-7) , disclosed in PCT Publication No. WO 06/122806) ;
- VEGF receptor inhibitors Bevacizumab (sold under the trademark by Genentech/Roche) , axitinib, (N-methyl-2- [ [3- [ (E) -2-pyridin-2-ylethenyl] -lH-indazol-6-yl] sulfanyl] benzamide, also known as AG013736, and described in PCT Publication No.
- pasireotide also known as SOM230, and described in PCT Publication No. WO 02/010192
- sorafenib sold under the tradename CAS No. 284461-73-0
- AL-2846 AL-2846
- MET inhibitor such as foretinib (CAS No. 849217-64-7) , cabozantinib (CAS No. 1140909-48-3) , capmatinib (CAS No. 1029712-80-8) , tepotinib (CAS No. 1100598-32-0) , savolitinib (CAS No. 1313725-88-0, or crizotinib (CAS No. 877399-52-5) ;
- FLT3 inhibitors -sunitinib malate (CAS No. 341031-54-7, sold under the tradename by Pfizer) ; PKC412 (CAS No. 120685-11-2, midostaurin) ; tandutinib (CAS No. 387867-13-2) , sorafenib (CAS No. 284461-73-0) , lestaurtinib (CAS No.: 111358-88-4) , KW-2449 (CAS No. 1000669-72-6) , quizartinib (AC220, CAS No. 950769-58-1) , or crenolanib (CAS No. 670220-88-9) ;
- Epidermal growth factor receptor (EGFR) inhibitors Gefitnib (sold under the tradename ) , N- [4- [ (3-chloro-4-fluorophenyl) amino] -7- [ [ (3S) -tetrahydro-3-furanyl] oxy] -6-quinazolinyl] -4 (dimethylamino) -2-butenamide, sold under the tradename by Boehringer Ingelheim) , cetuximab (sold under the tradename by Bristol-Myers Squibb) , or panitumumab (sold under the tradename by Amgen) ;
- HER2 receptor inhibitors Trastuzumab (sold under the trademark by Genentech/Roche) , neratinib (also known as HKI-272, (2E) -N- [4- [ [3-chloro-4- [ (pyridin-2-yl) methoxy] phenyl] amino] -3-cyano-7-ethoxyquinolin-6-yl] -4- (d imethylamino) but-2-enamide, and described PCT Publication No. WO 05/028443) , lapatinib (CAS No.
- lapatinib ditosylate (CAS No: 388082-77-7 ) (sold under the trademark by GlaxoSmithKline) ; or Trastuzumab emtansine (in the United States, ado-trastuzumab emtansine, trade name Kadcyla) -an antibody-drug conjugate consisting of the monoclonal antibody trastuzumab (Herceptin) linked to the cytotoxic agent mertansine (DM1) ;
- HER dimerization inhibitors Pertuzumab (sold under the trademark by Genentech) ;
- FGFR inhibitors Erdafitinib (CAS No. 1346242-81-6) , Pemigatinib (CAS No. 1513857-77-6) or Infigratinib (CAS No. 872511-34-7)
- Aurora kinase inhibitors TAS-119 (CAS No. 1453099-83-6) , LY3295668 (CAS No. 1919888-06-4) , or alisertib (CAS No. 1028486-01-2) ;
- CD20 antibodies Rituximab (sold under the trademarks and by Genentech/Roche) , tositumomab (sold under the trademarks by GlaxoSmithKline) , or ofatumumab (sold under the trademark by GlaxoSmithKline) ;
- Tyrosine kinase inhibitors Erlotinib hydrochloride (CAS No. 183319-69-9, sold under the trademark by Genentech/Roche) , Linifanib (N- [4- (3-amino-1H-indazol-4-yl) phenyl] -N'- (2-fluoro-5-methylphenyl) urea, also known as ABT 869, available from Genentech) , sunitinib malate (CAS No.
- DNA Synthesis inhibitors Capecitabine (CAS No. 154361-50-9) (sold under the trademark by Roche) , gemcitabine hydrochloride (CAS No. 122111-03-9) (sold under the trademark by Eli Lilly and Company) , or nelarabine ( (2R3S, 4R, 5R) -2- (2-amino-6-methoxypurin-9-yl) -5- (hydroxymethyl) oxolane-3, 4-diol, sold under the tradenames and by GlaxoSmithKline) ;
- Antineoplastic agents oxaliplatin (CAS No. 61825-94-3) (sold under the tradename ay Sanofi-Aventis and described in US Patent No. 4, 169, 846) ;
- G-CSF modulators Human Granulocyte colony-stimulating factor (G-CSF) modulators: Filgrastim (sold under the tradename by Amgen) ;
- Immunomodulators Afutuzumab (available from ) , pegfilgrastim (sold under the tradename by Amgen) , lenalidomide (CAS No. 191732-72-6, also known as CC-5013, sold under the tradename ) , or thalidomide (CAS No. 50-35-1, sold under the tradename );
- CD40 inhibitors Dacetuzumab (also known as SGN-40 or huS2C6, available from Seattle Genetics, Inc) ;
- PARAs Pro-apoptotic receptor agonists
- Hedgehog antagonists 2-chloro-N- [4-chloro-3- (2-pyridinyl) phenyl] -4- (methylsulfony 1) -benzamide (also known as GDC-0449, and described in PCT Publication No. WO 06/028958) ;
- Phospholipase A2 inhibitors Anagrelide (CAS No. 58579-51-4, sold under the tradename );
- BCL-2 inhibitors 4- [4- [ [2- (4-chlorophenyl) -5, 5-dimethyl-l-cyclohexen-l-yl] met hyl] -1-piperazinyl] -N- [ [4- [ [ (lR) -3- (4-morpholinyl) -l- [ (phenylthio) m ethyl] propyl] amino] -3- [ (trifluoromethyl) sulfonyl] phenyl] sulfonyl] benzamide (also known as ABT-263 and described in PCT Publication No. WO 09/155386) ;
- MCL-1 inhibitors MIK665 (CAS No. 1799631-75-6, S64315) , AMG 397, and AZD5991 (CAS No. 2143010-83-5) ;
- Aromatase inhibitors Exemestane (CAS No. 107868-30-4, sold under the trademark by Pfizer) , letrozole (CAS No. 112809-51-5, sold under the tradename by Novartis) , or anastrozole (CAS No. 120511-73-1, sold under the tradename ) ;
- Topoisomerase I inhibitors Irinotecan (CAS No. 97682-44-5, sold under the trademark by Pfizer) , topotecan hydrochloride (CAS No. 119413-54-6, sold under the tradename by GlaxoSmithKline) ;
- Topoisomerase II inhibitors etoposide (CAS No. 33419-42-0, also known as VP-
- Proteasome inhibitor such as carfilzomib (CAS No. 868540-17-4) , MLN9708 (CAS No. 1201902-80-8) , delanzomib (CAS No. 847499-27-8) , or bortezomib (CAS No. 179324-69-7) ;
- BET inhibitors such as INCB054329 (CAS No. 1628607-64-6) , OTX015 (CAS No. 202590-98-5) , or CPI-0610 (CAS No. 1380087-89-7) ;
- LSD1 inhibitors such as GSK2979552, or INCB059872;
- HIF-2 ⁇ inhibitors such as PT2977 (1672668-24-4) , NKT2152, or PT2385 (CAS No. 1672665-49-4) ;
- Osteoclastic bone resorption inhibitors 1-hydroxy-2-imidazol-l-yl-phosphonoethyl) phosphonic acid monohydrate (sold under the tradename by Novartis) ;
- CD33 Antibody Drug Conjugates Gemtuzumab ozogamicin (sold under the tradename by Pfizer/Wyeth) ;
- CD22 Antibody Drug Conjugates Inotuzumab ozogamicin (also referred to as CMC-544 and WAY-207294, available from Hangzhou Sage Chemical Co., Ltd. ) ;
- CD20 Antibody Drug Conjugates Ibritumomab tiuxetan (sold under the tradename );
- octreotide also known as octreotide acetate, sold under the tradenames and Sandostatin ) ;
- Synthetic Interleukin-11 (IL-l 1) : oprelvekin (sold under the tradename by Pfizer/Wyeth) ;
- Receptor Activator for Nuclear Factor k B (RANK) inhibitors Denosumab (sold under the tradename by Amgen) ;
- Thrombopoietin mimetic peptibodies Romiplostim (sold under the tradename by Amgen;
- IGF-1R antibodies Anti-insulin-like Growth Factor-l receptor (IGF-1R) antibodies: Figitumumab (also known as CP-751, 871, available from ACC Corp) , robatumumab (CAS No. 934235-44-6) ;
- Anti-CSl antibodies Elotuzumab (HuLuc63, CAS No. 915296-00-3) ;
- CD52 antibodies Alemtuzumab (sold under the tradename ) ;
- Histone deacetylase inhibitors Voninostat (sold under the tradename by Merck) ;
- Alkylating agents Temozolomide (sold under the tradenames and by Schering-Plough/Merck) , dactinomycin (also known as actinomycin-D and sold under the tradename ) , melphalan (also known as L-PAM, L-sarcolysin, and phenylalanine mustard, sold under the tradename ) , altretamine (also known as hexamethylmelamine (HMM) , sold under the tradename ) , carmustine (sold under the tradename ) , bendamustine (sold under the tradename ) , busulfan (sold under the tradenames and ) , carboplatin (sold under the tradename ) , lomustine (also known as CCNU, sold under the tradename ) , cisplatin (also known as CDDP, sold under the tradenames and -AQ) , chlorambucil (sold under the tradename ) , cyclophos
- Biologic response modifiers bacillus calmette-guerin (sold under the tradenames and BCG) , or Denileukin diftitox (sold under the tradename ) ;
- Anti-tumor antibiotics doxorubicin (sold under the tradenames and ) , bleomycin (sold under the tradename ) , daunorubicin (also known as dauorubicin hydrochloride, daunomycin, and rubidomycin hydrochloride, sold under the tradename ) , daunorubicin liposomal (daunorubicin citrate liposome, sold under the tradename ) , mitoxantrone (also known as DHAD, sold under the tradename ) , epirubicin (sold under the tradename Ellence TM ) , idarubicin (sold under the tradenames Idamycin ) , or mitomycin C (sold under the tradename ) ;
- Anti -microtubule agents Estramustine (CAS No. 52205-73-9, sold under the tradename );
- Cathepsin K inhibitors Odanacatib (CAS No. 603139-19-1, also know as MK-0822 available from Lanzhou Chon Chemicals, ACC Corp., and ChemieTek, and described in PCT Publication no. WO 03/075836) ;
- Epothilone B analogs Ixabepilone (CAS No. 219989-84-1, sold under the tradename by Bristol-Myers Squibb) ;
- HSP Heat Shock Protein
- TpoR agonists Eltrombopag (sold under the tradenames and by GlaxoSmithKline) ;
- Anti-mitotic agents Docetaxel (CAS No. 114977-28-5, sold under the tradename by Sanofi-Aventis) ; Adrenal steroid inhibitors: aminoglutethimide (CAS No. 125-84-8, sold under the tradename ) ;
- Anti-androgens Nilutamide (CAS No. 63612-50-0, sold under the tradenames and ) , bicalutamide (CAS No. 90357-06-5, sold under tradename ) , or flutamide (CAS No. 13311-84-7, sold under the tradename Fulexin TM ) ;
- Androgens Fluoxymesterone (CAS No. 76-43-7, sold under the tradename ) ;
- CDK inhibitors including but not limited to: Alvocidib (CAS No. 146426-40-6, pan-CDK inhibitor, also known as flovopirdol or HMR-1275, 2- (2-chlorophenyl) -5, 7-dihydroxy-8- [ (3S, 4R) -3-hydroxy-l-methyl -4-piperidinyl] -4-chromenone, and described in US Patent No. 5,621,002) ;
- CDK2 inhibitor PF-07104091 CDK2 inhibitor PF-07104091
- CDK4/6 inhibitors pabociclib (CAS No. 827022-33-3) , ribociclib (CAS No. 1211441-98-3) , abemaciclib (CAS No. 1231929-97-7) , PF-06873600 (CAS No. 2185857-97-8) , NUV-422 and Trilaciclib (CAS No. 1374743-00-6) ;
- CDK7 inhibitors CT7001 (CAS No. 1805789-54-1) and SY-1365 (CAS No. 1816989-16-8) ;
- CDK9 inhibtiors AZD 4573 (CAS No. 2057509-72-3) , P276-00 (CAS No. 920113-03-7) , AT7519 (CAS No. 844442-38-2) , CYC065 (CAS No. 1070790-89-4) or TP-1287;
- GnRH Gonadotropin-releasing hormone receptor agonists: Leuprolide or leuprolide acetate (sold under the tradenames by Bayer AG, by Sanofi-Aventis and by Abbott Lab) ;
- Taxane anti-neoplastic agents Cabazitaxel (l-hydroxy-7, 10 -dimethoxy-9-oxo-5, 20-epoxytax-11-ene-2a, 4, 13a-triyl-4-acetate-2-benzoate-13- [ (2R, 3S) -3- ⁇ [ (tert-butoxy) carbonyl] -amino ⁇ -2-hydroxy-3-phenylpropanoate) , or larotaxel ( (2a, 3x, 4a, 5b, 7a, 10b, 13a) -4, 10-bis (acetyloxy) -l3- ( ⁇ (2R, 3S) -3- [ (tert-butoxycarbonyl) amino] -2-hydroxy-3-phenylpropanoyl ⁇ oxy) -l-hydroxy-9-oxo-5, 20-epoxy-7, l9-cyclotax-11-en-2-ylbenzoate) ;
- 5HTla receptor agonists Xaliproden (also known as SR57746, l- [2- (2-naphthyl) ethyl] -4- [3- (trifluoromethyl) phenyl] -l, 2, 3, 6-tetrahydropyridine, and described in US Patent No. 5,266,573) ;
- HPC vaccines sold by GlaxoSmithKline, sold by Merck;
- Iron Chelating agents Deferasinox (CAS No. 201530-41-8, sold under the tradename by Novartis) ;
- Anti-metabolites Claribine (2-chlorodeoxyadenosine, sold under the tradename ) , 5-fluorouracil (sold under the tradename ) , 6-thioguanine (sold under the tradename ) , pemetrexed (sold under the tradename ) , cytarabine (also known as arabinosylcytosine (Ara-C) , sold under the tradename Cytosar- ) , cytarabine liposomal (also known as Liposomal Ara-C, sold under the tradename DepoCyt TM ) , decitabine (sold under the tradename ) , hydroxyurea (sold under the tradenames Droxia TM and Mylocel TM ) , fludarabine (sold under the tradename ) , floxuridine (sold under the tradename ) , cladribine (also known as 2-chlorodeoxyadenosine (2-
- Bisphosphonates Pamidronate (CAS No. 57248-88-1, sold under the tradename ) , zoledronic acid CAS No. 118072-93-8 (sold under the tradename ) ;
- Demethylating agents 5-azacitidine (CAS No. 320-67-2, sold under the tradename ) , decitabine (CAS No. 2353-33-5, sold under the tradename ) ;
- Paclitaxel protein-bound (sold under the tradename ) , vinblastine (also known as vinblastine sulfate, vincaleukoblastine and VLB, sold under the tradenames Alkaban- and ) , vincristine (also known as vincristine sulfate, LCR, and VCR, sold under the tradenames and Vincasar ) , vinorelbine (sold under the tradename ) , or paclitaxel (sold under the tradenames Taxol and Onxal TM ) ;
- Retinoids Ali tretinoin (sold under the tradename ) , tretinoin (all-trans retinoic acid, also known as ATRA, sold under the tradename ) , Isotretinoin (13-cis-retinoic acid, sold under the tradenames and ) , or bexarotene (sold under the tradename ) ;
- Glucocorticosteroids Hydrocortisone (also known as cortisone, hydrocortisone sodium succinate, hydrocortisone sodium phosphate, and sold under the tradenames Ala- Hydrocortisone Phosphate, Solu- Hydrocort and ) , dexamethazone ( (8S, 9R, 10S, 11S, 13S, 14S, 16R, 17R) -9-fluoro-11, 17-dihydroxy-17- (2-hydroxyacetyl) -10, 13, 16-trimethyl-6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16, 17-dodecahydro-3H-cyclopenta [a] phenanthren-3-one) , prednisolone (sold under the tradenames Delta- and ) , prednisone (sold under the tradenames Liquid and ) , or methylprednisolone (also known as 6-Methylprednisolone, Methylprednisolone Acetate
- Cytokines interleukin-2 (also known as aldesleukin and IL-2, sold under the tradename ) , interleukin-11 (also known as oprevelkin, sold under the tradename ) , alpha interferon alfa (also known as IFN-alpha, sold under the tradenames A, and Roferon- ) ;
- Estrogen receptor downregulators Fulvestrant (CAS No. 129453-61-8, sold under the tradename ) ;
- Anti-estrogens tamoxifen (CAS No. 10540-29-1, sold under the tradename ) ; or Toremifene (CAS No. 89778-27-8, sold under the tradename ) ;
- SERMs Selective estrogen receptor modulators
- LfRH Leutinizing hormone releasing hormone
- Goserelin CAS No. 145781-92-6, sold under the tradename
- Progesterones megestrol (also known as megestrol acetate, CAS No. 595-33-5, sold under the tradename )
- megestrol also known as megestrol acetate, CAS No. 595-33-5, sold under the tradename
- Miscellaneous cytotoxic agents Arsenic trioxide (sold under the tradename ) , or asparaginase (also known as L-asparaginase, Erwinia L-asparaginase, sold under the tradenames and ) ;
- immune checkpoint inhibitors include inhibitors (smack molecules or biologies) against immune checkpoint molecules such as CD27, CD28, CD40, CD 122, CD96, CD73, CD39, CD47, 0X40, GITR, CSF1R, JAK, PI3K delta, PI3K gamma, TAM kinase, arginase, CD137 (also known as 4-1BB) , ICOS, A2AR, A2BR, HIF-2a, B7-H3, B7-H4, BTLA, CTLA-4, LAG3, TIM3, VISTA, CD96, TIGIT, PD-l, PD-L1 and PD-L2.
- inhibitors smack molecules or biologies against immune checkpoint molecules
- immune checkpoint molecules such as CD27, CD28, CD40, CD 122, CD96, CD73, CD39, CD47, 0X40, GITR, CSF1R, JAK, PI3K delta, PI3K
- the immune checkpoint molecule is a stimulatory checkpoint molecule selected from CD27, CD28, CD40, ICOS, 0X40, GITR, CD137 and STING.
- the immune checkpoint molecule is an inhibitory checkpoint molecule selected from B7-H3, B7-H4, BTLA, CTLA-4, IDO, TDO, Arginase, KIR, LAG3, PD-l, TIM3, CD96, TIGIT and VISTA.
- the compounds provided herein can be used in combination with one or more agents selected from KIR inhibitors, TIGIT inhibitors, LAIR1 inhibitors, CD 160 inhibitors, 2B4 inhibitors and TGFR beta inhibitors.
- the inhibitor of an immune checkpoint molecule is an inhibitor of PD-l, e.g., an anti-PD-l monoclonal antibody.
- the anti-PD-l monoclonal antibody is nivolumab, pembrolizumab (also known as MK-3475) , pidilizumab, SHR-1210, PDR001, or AMP -224.
- the anti-PD-l monoclonal antibody is nivolumab, or pembrolizumab or PDR001.
- the anti -PD 1 antibody is pembrolizumab.
- the inhibitor of an immune checkpoint molecule is an inhibitor of PD-L1, e.g., an anti-PD-Ll monoclonal antibody.
- the anti-PD-Ll monoclonal antibody is BMS-935559, MEDI4736, MPDL3280A (also known as RG7446) , or MSB0010718C.
- the anti-PD-Ll monoclonal antibody is MPDL3280A (atezolizumab) or MEDI4736 (durvalumab) .
- the anti-PD-L1 small molecule inhibitor is INCB86550.
- the inhibitor of an immune checkpoint molecule is an inhibitor of CTLA-4, e.g., an anti-CTLA-4 antibody.
- the anti-CTLA-4 antibody is ipilimumab or tremelimumab.
- the inhibitor of an immune checkpoint molecule is an inhibitor of LAG3, e.g., an anti-LAG3 antibody.
- the anti-LAG3 antibody is BMS-986016 or LAG525.
- the inhibitor of an immune checkpoint molecule is an inhibitor of GITR, e.g., an anti-GITR antibody.
- the anti-GITR antibody is TRX518 or, MK-4166, INCAGN01876 or MK-1248.
- the inhibitor of an immune checkpoint molecule is an inhibitor of 0X40, e.g., an anti-OX40 antibody or OX40L fusion protein.
- the anti-OX40 antibody is MED 10562 or, INCAGN01949, GSK2831781, GSK-3174998, MOXR-0916, PF-04518600 or LAG525.
- the OX40L fusion protein is MEDI6383.
- Compounds of the invention can also be used to increase or enhance an immune response, including increasing the immune response to an antigen; to improve immunization, including increasing vaccine efficacy; and to increase inflammation.
- the compounds of the invention can be sued to enhance the immune response to vaccines including, but not limited, Listeria vaccines, oncolytic viral vaccines, and cancer vaccines such as (granulocyte-macrophage colony-stimulating factor (GM-CF) gene-transfected tumor cell vaccine) .
- Anti-cancer vaccines include dendritic cells, synthetic peptides, DNA vaccines and recombinant viruses.
- immune-modulatory agents also include those that block immune cell migration such as antagonists to chemokine receptors, including CCR2 and CCR4; Sting agonists and Toll receptor agonists.
- Other anti-cancer agents also include those that augment the immune system such as adjuvants or adoptive T cell transfer. Compounds of this application may be effective in combination with CAR (Chimeric antigen receptor) T cell treatment as a booster for T cell activation.
- CAR Chimeric antigen receptor
- a compound of the invention can also be used in combination with the following adjunct therapies: Anti-nausea drugs: NK-l receptor antagonists: Casopitant (sold under the tradenames and by GlaxoSmithKline) ; and Cytoprotective agents: Amifostine (sold under the tradename ) , leucovorin (also known as calcium leucovorin, citrovorum factor and folinic acid) .
- NK-l receptor antagonists Casopitant (sold under the tradenames and by GlaxoSmithKline)
- Cytoprotective agents Amifostine (sold under the tradename ) , leucovorin (also known as calcium leucovorin, citrovorum factor and folinic acid) .
- Step 1 8-fluoro-7- (7-fluoro-8- ( (triisopropylsilyl) ethynyl) naphthalen-1-yl) pyrido [4, 3-d] -pyrimidine-2, 4-diol
- Step 2 7- (8-ethynyl-7-fluoronaphthalen-1-yl) -8-fluoropyrido [4, 3-d] pyrimidine-2, 4-diol
- Step 3 2, 4-dichloro-7- (8-ethynyl-7-fluoronaphthalen-1-yl) -8-fluoropyrido [4, 3-d] pyrimidine
- Step 4 tert-butyl (1R, 5S) -3- (2-chloro-7- (8-ethynyl-7-fluoronaphthalen-1-yl) -8-fluoropyrido [4, 3-d] pyrimidin-4-yl) -3, 8-diazabicyclo [3.2.1] octane-8-carboxylate
- Step 5 tert-butyl (1R, 5S) -3- (7- (8-ethynyl-7-fluoronaphthalen-1-yl) -8-fluoro-2- ( ( (2R, 7aS) -2-methoxy-6-methylenetetrahydro-1H-pyrrolizin-7a (5H) -yl) methoxy) pyrido [4, 3-d] pyrimidin-4-yl) -3, 8-diazabicyclo [3.2.1] octane-8-carboxylate
- Step 4 (5S) -1-tert-butyl 2-methyl 5- ( ( (tert-butyldiphenylsilyl) oxy) methyl) pyrrolidine-1, 2-dicarboxylate
- Step 5 1- (tert-butyl) 2-methyl (2S, 5S) -5- ( ( (tert-butyldiphenylsilyl) oxy) methyl) -2- (2- (chloromethyl) allyl) pyrrolidine-1, 2-dicarboxylate
- Step 6 methyl (5S, 7aS) -5- ( ( (tert-butyldiphenylsilyl) oxy) methyl) -2-methylenetetrahydro-1H-pyrrolizine-7a (5H) -carboxylate
- Step 7 ( (5S, 7aS) -5- ( ( (tert-butyldiphenylsilyl) oxy) methyl) -2-methylenetetrahydro-1H-pyrrolizin-7a (5H) -yl) methanol
- Step 2 tert-butyl (2S) -2-formyl-5-methoxypyrrolidine-1-carboxylate
- Step 3 tert-butyl (2S) -2- (1-hydroxyethyl) -5-methoxypyrrolidine-1-carboxylate
- Step 3 tert-butyl (5S) -2-cyano-5- (1-hydroxyethyl) pyrrolidine-1-carboxylate
- Step 4 1- (tert-butyl) 2-methyl (5S) -5- (1-hydroxyethyl) pyrrolidine-1, 2-dicarboxylate
- Step 5 1- (tert-butyl) 2-methyl (5S) -5- (1- ( (tert-butyldiphenylsilyl) oxy) ethyl) pyrrolidine 1, 2-dicarboxylate
- Step 6 ( (5S, 7aS) -5- (1- ( (tert-butyldiphenylsilyl) oxy) ethyl) -2-methylenetetrahydro-1H-pyrrolizin-7a (5H) -yl) methanol
- Step 1 1- (tert-butyl) 2-methyl (2R, 5S) -5-allylpyrrolidine-1, 2-dicarboxylate
- Step 2 1- (tert-butyl) 2-methyl (2R, 5S) -5- (2-oxoethyl) pyrrolidine-1, 2-dicarboxylate
- Step 3 1- (tert-butyl) 2-methyl (2R, 5S) -5- (2-hydroxyethyl) pyrrolidine-1, 2-dicarboxylate
- Step 4 1- (tert-butyl) 2-methyl (2R, 5S) -5- (2- ( (tert-butyldiphenylsilyl) oxy) ethyl) pyrrolidine-1, 2-dicarboxylate
- Step 5 ( (5S, 7aS) -5- (2- ( (tert-butyldiphenylsilyl) oxy) ethyl) -2-methylenetetrahydro-1H-pyrrolizin-7a (5H) -yl) methanol
- Step 1 ethyl 2- [benzyl- (2-ethoxy-2-oxo-ethyl) amino] acetate
- Step 2 diethyl 1-benzyl-3, 4-dihydroxy-pyrrole-2, 5-dicarboxylate
- Step 3 diethyl 7-benzyl-3, 4-dihydro-2H- [1, 4] dioxepino [2, 3-c] pyrrole-6, 8-dicarboxylate
- Step 4 7-benzyl-3, 4-dihydro-2H- [1, 4] dioxepino [2, 3-c] pyrrole-6, 8-dicarboxylic acid
- Step 5 7-benzyl-3, 4-dihydro-2H- [1, 4] dioxepino [2, 3-c] pyrrole
- Step 6 2, 3, 4, 5a, 6, 7, 8, 8a-octahydro- [1, 4] dioxepino [2, 3-c] pyrrole
- Step 1 benzyl 6-oxa-3-azabicyclo [3.1.0] hexane-3-carboxylate
- Step 2 mixture of benzyl (3R, 4R) -3- (3-bromopropoxy) -4-hydroxypyrrolidine-1-carboxylate and benzyl (3S, 4S) -3- (3-bromopropoxy) -4-hydroxypyrrolidine-1-carboxylate
- Step 3 mixture of benzyl (5aR, 8aR) -hexahydro-2H, 7H- [1, 4] dioxepino [2, 3-c] pyrrole-7-carboxylate and benzyl (5aS, 8aS) -hexahydro-2H, 7H- [1, 4] dioxepino [2, 3-c] pyrrole-7-carboxylate
- Step 4 mixture of (5aR, 8aR) -hexahydro-2H, 6H- [1, 4] dioxepino [2, 3-c] pyrrole and (5aS, 8aS) -hexahydro-2H, 6H- [1, 4] dioxepino [2, 3-c] pyrrole
- Step 1 a mixture of benzyl (3S, 4S) -3- (2-bromoethoxy) -4-hydroxypyrrolidine-1-carboxylate and benzyl (3R, 4R) -3- (2-bromoethoxy) -4-hydroxypyrrolidine-1-carboxylate
- Step 2 benzyl (4aS, 7aS) -hexahydro-6H- [1, 4] dioxino [2, 3-c] pyrrole-6-carboxylate and benzyl (4aR, 7aS) -hexahydro-6H- [1, 4] dioxino [2, 3-c] pyrrole-6-carboxylate
- the product was further purified by SFC (column: DAICEL CHIRALPAK AD (250mm*30mm, 10um) ; mobile phase: [CO 2 -EtOH (0.1%NH 3 H 2 O) ] ; B%: 25%, isocratic elution mode) to give each of the title compounds.
- Step 4 (4aS, 7aS) -hexahydro-5H- [1, 4] dioxino [2, 3-c] pyrrole and (4aR, 7aR) -hexahydro-5H- [1, 4] dioxino [2, 3-c] pyrrole
- Step 1 tert-butyl 4, 4-difluoro-2-oxa-8-azaspiro [4.5] decane-8-carboxylate
- Step 1 benzyl 4- ( (2-bromoethoxy) methyl) -4-hydroxypiperidine-1-carboxylate
- Step 2 benzyl 1, 4-dioxa-9-azaspiro [5.5] undecane-9-carboxylate
- Step 1 2- (8-ethynyl-7-fluoronaphthalen-1-yl) -4, 4, 5, 5-tetramethyl-1, 3, 2-dioxaborolane
- Step 1 methyl (5S, 7aR) -5- (hydroxymethyl) -2-methylenetetrahydro-1H-pyrrolizine-7a (5H) -carboxylate
- Step 2 ( (3S, 7aS) -7a- (methoxycarbonyl) -6-methylenehexahydro-1H-pyrrolizin-3-yl) methyl morpholine-4-carboxylate
- Step 3 ( (3S, 7aS) -7a- (hydroxymethyl) -6-methylenehexahydro-1H-pyrrolizin-3-yl) methyl morpholine-4-carboxylate
- Step 1 tert-butyl 3- [2- [ [ (3S, 8S) -3- [ [tert-butyl (diphenyl) silyl] oxymethyl] -6-methylene-2, 3, 5, 7-tetrahydro-1H pyrrolizin-8-yl] methoxy] -7- (8-ethynyl-7-fluoro-1-naphthyl) -8-fluoro-pyrido [4, 3-d] pyrimidin-4-yl] -3, 8-diazabicyclo [3.2.1] octane-8-carboxylate
- Step 2 tert-butyl 3- [7- (8-ethynyl-7-fluoro-1-naphthyl) -8-fluoro-2- [ [ (3S, 8S) -3- (hydroxymethyl) -6-methylene-2, 3, 5, 7-tetrahydro-1H-pyrrolizin-8-yl] methoxy] pyrido [4, 3-d] pyrimidin-4-yl] -3, 8-diazabicyclo [3.2.1] octane-8-carboxylate
- Step 3 ( (3S, 7aS) -7a- ( ( (4- ( (1R, 5S) -8- (tert-butoxycarbonyl) -3, 8-diazabicyclo [3.2.1] octan-3-yl) -7- (8-ethynyl-7-fluoronaphthalen-1-yl) -8-fluoropyrido [4, 3-d] pyrimidin-2-yl) oxy) methyl) -6- methylenehexahydro-1H-pyrrolizin-3-yl) methyl6-oxa-2-azaspiro [3.4] octane-2-carboxylate
- Step 3 ( (3S, 7aS) -7a- ( ( (4- ( (1R, 5S) -3, 8-diazabicyclo [3.2.1] octan-3-yl) -7- (8-ethynyl-7-fluoronaphthalen-1-yl) -8-fluoropyrido [4, 3-d] pyrimidin-2-yl) oxy) methyl) -6-methyl enehexahydro-1H-pyrrolizin-3-yl) methyl 6-oxa-2-azaspiro [3.4] octane-2-carboxylate
- Step 1 methyl (5S, 7aS) -2-methylene-5- ( (pyrimidin-4-yloxy) methyl) tetrahydro-1H-pyrrolizine-7a (5H) -carboxylate
- Step 2 ( (5S, 7aS) -2-methylene-5- ( (pyrimidin-4-yloxy) methyl) tetrahydro-1H-pyrrolizin-7a (5H) -yl) methanol
- Step 3 tert-butyl (1R, 5S) -3- (7- (8-ethynyl-7-fluoronaphthalen-1-yl) -8-fluoro-2- ( ( (5S, 7aS) -2-methylene-5- ( (pyrimidin-4-yloxy) methyl) tetrahydro-1H-pyrrolizin-7a (5H) -yl) methoxy) pyrido [4, 3-d] pyrimidin-4-yl) -3, 8-diazabicyclo [3.2.1] octane-8-carboxylate
- Step 4 4- ( (1R, 5S) -3, 8-diazabicyclo [3.2.1] octan-3-yl) -7- (8-ethynyl-7-fluoronaphthalen-1-yl) -8-fluoro-2- ( ( (5S, 7aS) -2-methylene-5- ( (pyrimidin-4-yloxy) methyl) tetrahydro-1H-pyrrolizin-7a (5H) -yl) methoxy) pyrido [4, 3-d] pyrimidine
- Step 1 methyl (5S, 7aS) -2-methylene-5- ( (pyridin-2-yloxy) methyl) tetrahydro-1H-pyrrolizine-7a (5H) -carboxylate
- Step 2 4- ( (1R, 5S) -3, 8-diazabicyclo [3.2.1] octan-3-yl) -7- (8-ethynyl-7-fluoronaphthalen-1-yl) -8-fluoro-2- ( ( (5S, 7aS) -2-methylene-5- ( (pyridin-2-yloxy) methyl) tetrahydro-1H-pyrrolizin-7a (5H) -yl) methoxy) pyrido [4, 3-d] pyrimidine
- Step 1 7-chloro-8-fluoro-5-methoxy-2- (methylthio) pyrido [4, 3-d] pyrimidin-4 (3H) -one
- Step 2 tert-butyl (1R, 5S) -3- (7-chloro-8-fluoro-5-methoxy-2- (methylthio) pyrido [4, 3-d] pyrimidin-4-yl) -3, 8-diazabicyclo [3.2.1] octane-8-carboxylate
- Step 3 tert-butyl 3- (7- (8-ethynyl-7-fluoronaphthalen-1-yl) -8-fluoro-5-methoxy-2- (methylthio) pyrido [4, 3-d] pyrimidin-4-yl) -3, 8-diazabicyclo [3.2.1] octane-8-carboxylate
- Step 4 tert-butyl 3- (7- (8-ethynyl-7-fluoronaphthalen-1-yl) -8-fluoro-5-methoxy-2- (methylsulfonyl) pyrido [4, 3-d] pyrimidin-4-yl) -3, 8-diazabicyclo [3.2.1] octane-8-carboxylate
- reaction mixture was diluted with EA and then washed with saturated aqueous NaHCO 3 and brine successively.
- the organic layer was dried over Na 2 SO 4 , filtered and concentrated.
- the residue was purified by silica gel column chromatography eluted with EA/PE (0-100%) to give the title compound.
- Step 5 ( (3S, 7aS) -7a- ( ( (4- ( (1R, 5S) -8- (tert-butoxycarbonyl) -3, 8-diazabicyclo [3.2.1] octan-3-yl) -7- (8-ethynyl-7-fluoronaphthalen-1-yl) -8-fluoro-5-methoxypyrido [4, 3-d] pyrimidin-2-yl) oxy) methyl) -6-methylenehexahydro-1H-pyrrolizin-3-yl) methyl morpholine-4-carboxylate
- Step 6 ( (3S, 7aR) -7a- ( ( (4- (3, 8-diazabicyclo [3.2.1] octan-3-yl) -7- (8-ethynyl-7-fluoronaphthalen-1-yl) -8-fluoro-5-methoxypyrido [4, 3-d] pyrimidin-2-yl) oxy) methyl) -6-methylenehexahydro-1H-pyrrolizin-3-yl) methyl morpholine-4-carboxylate
- Step 1 ( (3S, 7aS) -7a- ( ( (4- ( (1R, 5S) -8- (tert-butoxycarbonyl) -3, 8-diazabicyclo [3.2.1] octan-3-yl) -7-chloro-8-fluoropyrido [4, 3-d] pyrimidin-2-yl) oxy) methyl) -6-methylenehexahydro-1H-pyrrolizin-3-yl) methyl morpholine-4-carboxylate
- Step 2 ( (3S, 7aS) -7a- ( ( (7- (3-amino-7-fluoro-8- ( (triisopropylsilyl) ethynyl) naphthalen-1-yl) -4- ( (1R, 5S) -8- (tert-butoxycarbonyl) -3, 8-diazabicyclo [3.2.1] octan-3-yl) -8-fluoropyrido [4, 3-d] pyrimidin-2-yl) oxy) methyl) -6-methylenehexahydro-1H-pyrrolizin-3-yl) methyl morpholine-4-carboxylate
- Step 3 ( (3S, 7aS) -7a- ( ( (7- (3-amino-8-ethynyl-7-fluoronaphthalen-1-yl) -4- ( (1R, 5S) -8- (tert-butoxycarbonyl) -3, 8-diazabicyclo [3.2.1] octan-3-yl) -8-fluoropyrido [4, 3-d] pyrimidin-2-yl) oxy) methyl) -6-methylenehexahydro-1H-pyrrolizin-3-yl) methyl morpholine-4-carboxylate
- reaction mixture was stirred at 60 °C for 3 h, after which it was cooled at rt, quenched with H 2 O and then extracted with DCM. The combined organic extracts were washed with brine, dried over Na 2 SO 4 , filtered and concentrated. The residue was purified by silica gel column chromatography, eluted with MeOH/DCM (0-10%) to afford the title compound (60 mg) .
- Step 4 ( (3S, 7aS) -7a- ( ( (7- (3-amino-8-ethynyl-7-fluoronaphthalen-1-yl) -4- ( (1R, 5S) -3, 8-diazabicyclo [3.2.1] octan-3-yl) -8-fluoropyrido [4, 3-d] pyrimidin-2-yl) oxy) methyl) -6-methylenehexahydro-1H-pyrrolizin-3-yl) methyl morpholine-4-carboxylate
- test compound The ability of the compound of Formula (I) or a pharmaceutically acceptable salt thereof (test compound) to inhibit K-Ras G12D activity was tested using AGS (Cobioer, CBP60476) cell lines which harbor KRAS G12D mutation as described below.
- AGS (Cobioer, CBP60476) were seeded in 384-well plates and cultured overnight (5,000 cells per well, 40 ⁇ l total volume) . The following morning, cells were treated with test compound, with starting concentration at 10 ⁇ M and 3-fold dilution down to 0.5 nM for 3 h at 37 °C. DMSO treatment served as Control. p-ERK was then measured using AlphaLISA SureFire Ultra p-ERK1/2 (Thr202/Tyr204) Assay Kit (Perkin Elmer, cat# ALSU-PERK) following the manufacturer’s instruction as follows.
- the culture medium was removed and 10 ⁇ l 1 ⁇ lysis buffer was added to each well, followed by 10 minutes incubation on a plate shaker at room temperature.
- Acceptor mixture was prepared according to manufacturer's instruction. 5 ⁇ l acceptor mixture was added to the cell lysate and the plate was wrapped with foil, spun at 500 rpm for 10s and incubated at RT for 60 min. Donor mixture was prepared under subdued light. 5 ⁇ l donor mixture was added to the cell lysate and the plate was spun at 500 rpm for 10s and incubated at RT for another 60 min. in the dark. Signal was then measured on a EnVision 2105 multimode plate reader. Percentage inhibition was calculated with DMSO treatment as 100%of signal, and EC 50 was calculated by XLfit 5.5. x.
- Compound of the disclosure e.g., compound 1 in 2%HPMC, 1%Tween 80 in DI water, pH 2.2 with MSA, q.s. to at least 20 mg/mL
- a pharmaceutical composition for inhalation delivery 20 mg of a compound disclosed herein is mixed with 50 mg of anhydrous citric acid and 100 mL of 0.9%sodium chloride solution. The mixture is incorporated into an inhalation delivery unit, such as a nebulizer, which is suitable for inhalation administration.
- an inhalation delivery unit such as a nebulizer
- a pharmaceutical topical gel composition 100 mg of a compound disclosed herein is mixed with 1.75 g of hydroxypropyl cellulose, 10 mL of propylene glycol, 10 mL of isopropyl myristate and 100 mL of purified alcohol USP. The resulting gel mixture is then ncorporated into containers, such as tubes, which are suitable for topical administration.
- a pharmaceutical ophthalmic solution composition 100 mg of a compound disclosed herein is mixed with 0.9 g of NaCl in 100 mL of purified water and filtered using a 0.2 micron filter. The resulting isotonic solution is then incorporated into ophthalmic delivery units, such as eye drop containers, which are suitable for ophthalmic administration.
- a pharmaceutical nasal spray solution 10 g of a compound disclosed herein is mixed with 30 mL of a 0.05M phosphate buffer solution (pH 4.4) .
- the solution is placed in a nasal administrator designed to deliver 100 ul of spray for each application.
Abstract
Provided herein are certain alkylidenyl carbamate compounds that inhibit certain K-Ras proteins and are therefore useful for the treatment of cancers mediated by such proteins. Also provided are pharmaceutical compositions containing such compounds and processes for preparing such compounds.
Description
Related Application
This application claims priority to, and the benefit of, International Application No. PCT/CN2022/116281, filed on August 31, 2022, the content of which is incorporated by reference herein in its entirety.
Field of the disclosure
The present disclosure provides certain alkylidene carbamate compounds that inhibit certain K-Ras proteins and are therefore useful for the treatment of cancers mediated by such proteins. Also provided are pharmaceutical compositions containing such compounds and processes for preparing such compounds.
Kirsten Rat Sarcoma 2 Viral Oncogene Homolog (KRAS) gene is a prevalent oncogene that encodes a small GTPase transductor protein called K-Ras. K-Ras can serve as a molecular switch by cycling between active GTP-bound and inactive GDP-bound forms (see Science 2001; 294: 1299–304. ) . K-Ras signaling is activated by RAS guanine nucleotide exchange factors (GEFs) , e.g., Son of Sevenless homologue (SOS) protein, that facilitate the GDP to GTP exchange of K-Ras (see Curr Biol 2005; 15: 563–74. ) . The interaction between K-Ras and GTPase-activating proteins (GAPs) such as p120GAP and neurofibromin, potentiates K-Ras intrinsic GTPase activity and accelerates GTP hydrolysis and diminishing K-Ras signaling (see Curr. Biol. 2005; 15: 563–74. ) .
K-Ras plays a crucial role in the regulation of cell proliferation, differentiation and survival by signaling through several major downstream pathways, including the MAPK, the PI3K and the Ral-GEFs pathways (see Lung Cancer 2018; 124: 53–64) , among them the MAPK pathway is the best characterized (see Mol. Cell Biol. 1995; 15: 6443–6453. ) . K-Ras-GTP binds to and activates RAF kinases, which phosphorylates MEK and subsequently phosphorylates ERK. Phospho-ERK can
further activate downstream cytosolic proteins and which then translocate to the nucleus to drive the expression of diverse genes, propagating the growth signal.
PI3K pathway is also involved in RAS-mediated tumorigenesis (see Cell 2007; 129: 957–968. ) . Upon activation by K-Ras-GTP, PI3K phosphorylates PIP2 to form PIP3, activates PDK1 and then phosphorylates AKT. pAKT yields phosphorylation of several physiological substrates, e.g., mTOR, FOXO and NF-κB that promote metabolism, cell-cycle progression, resistance to apoptosis, cell survival and migration. The Ral-GEFs signaling pathway plays a key role in RAS-mediated oncogenesis as well (see Proc. Natl. Acad. Sci. U.S.A. 1994; 91: 11089–11093. ) . The K-Ras effector, RALGDS, stimulates the RAS family RAL-A/B small GTPases for the subsequent signaling cascades. RALGDS can also promote the JNK pathway to stimulate transcription of pro-survival and cell-cycle progression genes for cell proliferation and survival.
KRAS gene is the most frequently mutated oncogene in human cancer. KRAS mutations are associated with poor clinical outcome and found at high frequency in pancreatic cancer (~90%) , colorectal cancer (~44%) and non-small-cell lung cancer (NSCLC) (~29%) (see Cancer Discov. 2021; 11: 1–16) . KRAS mutations are also present in breast cancer, liver cancer, biliary tract malignancies, endometrial cancer, cervical cancer, bladder cancer and myeloid leukemia. The most common KRAS mutations are observed at residues G12 (77%) , G13 (10%) , and Q61 (6%) , and the most predominant KRAS variant in human malignancies is G12D (35%) , followed by G12V (29%) , G12C (21%) , G12A (7%) , G12R (5%) , and G12S (3%) (see Cancer Discov. 2021; 11: 1-16) . These mutations perturbate GTP hydrolysis of K-Ras by interfering with GAP binding/stimulation and/or reducing K-Ras intrinsic GTPase activity, resulting in constitutive activation of the protein and K-Ras signaling.
Targeting KRAS signaling has been a long pursuit in drug discovery. Among KRAS mutants, K-Ras G12C offers special opportunity, because it harbors a non-native cysteine residue, which can act as nucleophile and therefore can be targeted by covelent attachment. Several such covelent inhibitors, including AMG510, MRTX849, JNJ-74699157 and LY349944631, are in clinical trials for treating cancer patients with KRAS G12C mutation (see ACS Cent. Sci. 2020; 6: 1753-1761) . These compounds occupy a dynamic pocket in the switch II region of K-Ras thereby irreversibly locking K-Ras G12C in inactive GDP-bound state. Since KRAS mutations, including G12C, enrich predominantly active-state protein in cancer cells, sufficient residual GTPase activity and nucleotide
cycling are required for effective inhibition of K-Ras by inactive state-selective drugs (see Cell 2020; 183 (4) : 850-859) . Currently, there are no molecules in clinical trial that can inhibit K-Ras G12C by binding to its active GTP form or both GTP and GDP forms. Compared to K-ras G12C mutant, other prevalent K-Ras mutants, such as G12D, do not contain non-native cysteine residue and cycle through inactive state at extremely low rate, thus making non-G12C mutant-specific drug discovery more challenging.
Given the role of K-Ras mutants in human malignancy, there is still unmet medical need for development of new treatments for cancer patients with KRAS mutations. The present disclosure fulfills this and related needs.
In a first aspect, provided is a compound of Formula (I) :
wherein:
U, V, and W are CH; or one or two of U, V, and W are N and the other of U, V, and W are CH;
R1 is a ring of formula:
where:
one of m and n is 0, 1, or 2, and the other of m and n is 0, 1, 2, or 3;
m1, n1, m5 and n5 are independently 0, 1, or 2, provided one of m5 and n5 is at least 1;
p, q, p4 and q4 are independently 0, 1, or 2, and y is 0 or 1;
R6, R8, R10, R26, and R28 are independently hydrogen, deuterium, alkyl, alkoxy, halo, haloalkyl, hydroxy, hydroxylalkyl, alkoxyalkyl, cyano, or cyanomethyl, provided R6, R10, and R28 are not attached to the ring -NH-;
R7, R9, R11, R27, and R29 are independently hydrogen, deuterium, alkyl, alkoxy, halo, haloalkyl, hydroxy, hydroxylalkyl, or alkoxyalkyl, provided R7, R11, and R29 are not attached to the ring -NH-; or
when R6 and R7 are attached to the carbon atoms of the ring that are opposite or diagonal to each other, then R6 and R7 can combine to form – (CH2) z-where (z is 1, 2, or 3) , or -CH=CH-;
R6a is hydrogen, deuterium, alkyl, alkylidenyl, alkoxy, halo, haloalkyl, hydroxy, hydroxyalkyl, alkoxyalkyl, cyano, cyanomethyl, cyanoethyl, or 2-cyanovinyl, provided R6a is not attached to the ring -NH-;
R6b is hydrogen or alkyl, provided R6b is not attached to the ring -NH-; or
when R6a and R6b are attached to the same carbon of ring (a’) , they can combine to form cycloalkylene;
R29a and R29b are independently hydrogen, alkyl, hydroxy, cyano, or cyanomethyl provided R29a and R29b are not attached to the ring -NH-;
R2 is hydrogen, deuterium, alkyl, halo, haloalkyl, alkoxy, hydroxy, or cyano, provided that R2 is absent when two of U, V, and W are N;
R3 is hydrogen, deuterium, alkyl, halo, haloalkyl, alkoxy, cycloalkyl, cycloalkyloxy, hydroxy, or cyano;
R4 is -Z-R30 where Z is a bond, O, NH, N (alkyl) , or S; and R30 is heterocyclylalkyl, fused heterocyclylalkyl, bicyclic heterocyclyl, bicyclic heterocyclylalkyl, fused bicyclic heterocyclyl, fused bicyclic heterocyclylalkyl, heterocyclyl fused bicyclic heterocyclyl, heterocyclyl fused bicyclic heterocyclylalkyl, tricyclic heterocyclyl, or tricyclic heterocyclylalkyl, wherein:
(1) fused heterocyclyl of fused heterocyclylalkyl is substituted with Ra, Rb, Rc, and Rc1 where Ra is alkylidenyl, deuterioalkylidenyl, haloalkylidenyl, alkoxyalkylidenyl, or =CR31R32 and the alkyl portion of fused heterocyclylalkyl is optionally substituted with one or two deuterium;
(2) heterocyclyl of heterocyclylalkyl and bicyclic heterocyclyl, by itself or as part of bicyclic heterocyclylalkyl, are substituted with Rd, Re, Rf and Rf1 where Rd is alkylidenyl, deuterioalkylidenyl,
haloalkylidenyl, alkoxyalkylidenyl, or =CR33R34 and the alkyl portion of heterocyclylalkyl, and bicyclic heterocyclylalkyl is optionally substituted with one or two deuterium;
(3) fused bicyclic heterocyclyl, by itself or as part of fused bicyclic heterocyclylalkyl, heterocyclyl fused bicyclic heterocyclyl, by itself or as part of heterocyclyl fused bicyclic heterocyclylalkyl, and tricyclic heterocyclyl, by itself or as part of tricyclic heterocyclylalkyl, are independently substituted with Rg, Rh, Ri, and Ri1 where Rg alkylidenyl, deuterioalkylidenyl, haloalkylidenyl, alkoxyalkylidenyl, or =CR35R36 and the alkyl portion of fused bicyclic heterocyclylalkyl, heterocyclyl fused bicyclic heterocyclylalkyl, and tricyclic heterocyclylalkyl are optionally substituted with one or two deuterium;
R31, R33, and R35 are independently hydrogen, alkyl, or fluoro and R32, R34, and R36 are independently cyano, alkoxyalkyloxyalkyl, cycloalkyl, cycloalkylalkyl, or cycloalkylalkyloxyalkyl (where cycloalkyl, by itself or as part of cycloalkylalkyl and cycloalkylalkyloxyalkyl is optionally substituted with one or two substituents independently selected from alkyl, halo, haloalkoxy, alkoxy, alkoxyalkyl, and hydroxy) , heterocyclyl, phenyl, or heteroaryl (where heterocyclyl, phenyl, and heteroaryl are optionally substituted with one, two, or three substituents independently selected from alkyl, halo, haloalkyl, haloalkoxy, alkoxy, cyano, and hydroxy) , or independently of each other, R31 and R32, R33 and R34, and R35 and R36 together with the carbon atom to which they are attached form cycloalkylene optionally substituted with alkyl, halo, alkoxy, or hydroxy;
Rb, Re, and Rh are:
(i) – (Q1) -OC (O) NR39R40 wherein:
(a) Q1 is alkylene, R39 is hydrogen, deuterium, alkyl, deuterioalkyl, haloalkyl, haloalkoxyalkyl, or alkoxyalkyl and R40 is deuterium, deuterioalkyl, cycloalkyl, alkoxy, alkoxyalkyl, haloalkyl, haloalkoxyalkyl, or heterocyclyl optionally substituted with one or two substituents independently selected from alkyl, halo, alkoxy, haloalkyl, and haloalkoxy; or R39 and R40 together with the nitrogen atom to which they are attached form heterocyclyl, bicyclic heterocyclyl, bridged heterocyclyl, fused heterocyclyl, or spiroheterocyclyl wherein (a) the heterocyclyl formed together by R39 and R40 is substituted with Rn, Ro, Rp, and Rq where Rn and Ro are independently selected from hydrogen, deuterium, alkyl, halo, haloalkyl, haloalkoxy, cyano, alkoxy and hydroxy, Rp is hydrogen, deuterium, alkylidene, deuterioalkylidene, alkenyl, alkynyl, fluoro, alkoxyalkyl, alkylcarbonyl, haloalkylcarbonyl, or alkylsulfonyl, and Rq is hydrogen, deuterium, or fluoro and (b) the bicyclic
heterocyclyl, bridged heterocyclyl, fused heterocyclyl, and spiroheterocyclyl formed together by R39 and R40 are independently substituted with Rr, Rs, and Rt independently selected from hydrogen, deuterium, alkyl, alkylthio, halo, haloalkyl, haloalkoxy, cyano, alkoxy, and hydroxy; or
(b) Q1 is deuterioalkylene, R39 is hydrogen, deuterium, alkyl, deuterioalkyl, haloalkyl, haloalkoxyalkyl, or alkoxyalkyl and R40 is hydrogen, deuterium, alkyl, deuterioalkyl, cycloalkyl, alkoxy, alkoxyalkyl, haloalkyl, haloalkoxyalkyl, or heterocyclyl optionally substituted with one or two substituents independently selected from alkyl, halo, alkoxy, haloalkyl, and haloalkoxy; or R39 and R40 together with the nitrogen atom to which they are attached form heterocyclyl, bicyclic heterocyclyl, bridged heterocyclyl, fused heterocyclyl, or spiroheterocyclyl wherein (a) heterocyclyl is substituted with Ru, Rv, Rw, and Rx where Ru and Rv are independently selected from hydrogen, deuterium, alkyl, halo, haloalkyl, haloalkoxy, cyano, alkoxy and hydroxy, Rw is hydrogen, deuterium, alkylidene, deuterioalkylidene, alkenyl, alkynyl, fluoro, alkoxyalkyl, alkylcarbonyl, haloalkylcarbonyl, or alkylsulfonyl, and Rx is hydrogen, deuterium, or fluoro and (b) bicyclic heterocyclyl, bridged heterocyclyl, fused heterocyclyl, and spiroheterocyclyl are independently substituted with Ry, Ry1, and Ry2 independently selected from hydrogen, deuterium, alkyl, alkylthio, halo, haloalkyl, haloalkoxy, cyano, alkoxy, and hydroxy; or
(ii) – (Q2) -OR41 (wherein Q2 is alkylene or deuterioalkylene and R41 is cycloalkyl, cycloalkylalkyl, haloalkoxyalkyl, heterocyclyl heterocyclcylalkyl, aryl, aralkyl, heteroaryl, or heteroaralkyl (wherein each ring of R41 is substituted with Ry3, Ry4, and Ry5 independently selected from hydrogen, alkyl, halo, haloalkyl, haloalkoxy, alkoxy, alkoxyalkyl, hydroxy, hydroxyalkyl, and nitrile) ;
Rc, Rf, and Ri are independently hydrogen, deuterium, alkyl, halo, alkoxy, alkoxyalkyl, or hydroxy;
Rc1, Rf1, and Ri1 are independently selected from hydrogen, deuterium, alkyl, and halo; and
R5 is -Q-R37 where Q is a bond, alkylene, or -C (=O) -; and R37 is cycloalkyl, fused cycloalkyl, fused spirocycloalkyl, aryl, aralkyl, heteroaryl, fused heteroaryl, or heteroaralkyl wherein aryl, aryl in aralkyl, heteroaryl, fused heteroaryl, and heteroaryl in heteroaralkyl are independently substituted with Raa, Rbb, Rcc and Rdd wherein Raa and Rbb are independently selected from hydrogen, alkyl, cycloalkyl, halo, haloalkyl, haloalkoxy, hydroxy, alkoxy, heteroalkyl, hydroxyalkyl, amino, and cyano, Rcc is hydrogen, alkenyl, alkynyl, cyanoalkenyl, cyanoalkynyl, or halo, and Rdd is hydrogen,
alkyl, alkylthio, cycloalkyl, halo, haloalkyl, haloalkoxy, alkoxy, heteroalkyl, hydroxyalkyl, amino, cyano, optionally substituted aryl, optionally substituted heteroaryl, optionally substituted heterocyclyl, or optionally substituted heterocyclylalkyl; or
a pharmaceutically acceptable salt thereof; provided that when Rb, Re, and Rh are – (Q1) -OC (O) NR39R40 where Q1 is alkylene and R39 and R40 together with the nitrogen atom to which they are attached form heterocyclyl substituted with Rn, Ro, Rp, and Rq; Ra, Rd, and Rg are other than deuterioalkylidene; alkyl of fused heterocyclylalkyl, heterocyclylalkyl, bicyclic heterocyclylalkyl, fused bicyclic heterocyclylalkyl, fused bicyclic heterocyclylalkyl, heterocyclyl fused bicyclic heterocyclylalkyl, and tricyclic heterocyclylalkyl are not substituted with one or two deuterium; Rc, Rf, and Ri are other than deuterium; and Rc1, Rf1, and Ri1 are hydrogen; then: (i) when Rp is fluoro, then Rn and Ro are other than hydrogen; and (ii) when Rp is hydrogen, then Rn, Ro and Rq are other than hydrogen.
In a second aspect, provided is a pharmaceutical composition comprising a compound of Formula (I) (or any of the embodiments thereof described herein) or a pharmaceutically acceptable salt thereof and a pharmaceutically acceptable excipient.
In a third aspect, provided is a method of inhibiting K-Ras, in particular K-Ras G12D, in a cell, comprising contacting the cell with a compound of Formula (I) (or any of the embodiments thereof described herein) . In one embodiment of the third aspect, the contacting is in vitro. In another embodiment of the third aspect, the contacting is in vivo.
In a fourth aspect, provided is a method of inhibiting cell proliferation in vitro or in vivo, comprising contacting a cell with a compound of Formula (I) (or any of the embodiments thereof described herein) or a pharmaceutical composition thereof as disclosed herein. In one embodiment of the fourth aspect, the contacting is in vitro. In another embodiment of the fourth aspect, the contacting is in vivo.
In a fifth aspect, provided is a method of treating cancer in a patient, preferably the patient is in need of such treatment, which method comprises administering to the patient, preferably a patient in need of such treatment, a therapeutically effective amount of a compound of Formula (I) (or any of the embodiments thereof described herein) or a pharmaceutically acceptable salt thereof or a a pharmaceutical composition thereof as disclosed herein.
In a sixth aspect, provided is a method of treating cancer associated with K-Ras, in particular K-Ras G12D, in a patient, preferably the patient is in need of such treatment, which method comprises administering to the patient, preferably a patient in need of such treatment, a therapeutically effective amount of a compound of Formula (I) (or any of the embodiments thereof described herein) or a pharmaceutically acceptable salt thereof or a a pharmaceutical composition thereof as disclosed herein.
In a seventh aspect, provided is a compound of Formula (I) , (or any embodiments thereof described herein) or a pharmaceutically acceptable salt thereof or a pharmaceutical composition thereof as disclosed herein for use as a medicament. In one embodiment, the medicament is useful for the treatment of cancer.
In an eighth aspect, provided is a compound of Formula (I) , (or any embodiments thereof described herein) or a pharmaceutically acceptable salt thereof or a pharmaceutical composition thereof as disclosed herein for use as a therapy.
In a ninth aspect, provided is a compound of Formula (I) , (or any embodiments thereof described herein) or a pharmaceutically acceptable salt thereof or a pharmaceutical composition thereof as disclosed herein for use in the treatment of cancer.
In a tenth aspect, provided is a compound of Formula (I) , (or any embodiments thereof described herein) or a pharmaceutically acceptable salt thereof or a pharmaceutical composition thereof as disclosed herein for use in the treatment of cancers associated with KRas, in particular cancers associated with K-Ras G12D.
In an eleventh aspect, provided is a compound of Formula (I) , (or any embodiments thereof described herein) or a pharmaceutically acceptable salt thereof or a pharmaceutical composition thereof as disclosed herein for use in inhibiting K-Ras, in particular K-Ras G12D.
In any of the aforementioned aspects involving the treatment of cancer, are further embodiments comprising administering the compound of Formula (I) (or any embodiments thereof disclosed herein) , or a pharmaceutically acceptable salt thereof in combination with at least one additional anticancer agent. When combination therapy is used, the agents can be administered simultaneously or sequentially.
Definitions:
Unless otherwise stated, the following terms used in the specification and claims are defined for the purposes of this Application and have the following meaning:
“Alkyl” means a linear saturated monovalent hydrocarbon radical of one to six carbon atoms or a branched saturated monovalent hydrocarbon radical of three to six carbon atoms, e.g., methyl, ethyl, propyl, 2-propyl, butyl, pentyl, and the like.
“Alkylene” means a linear saturated divalent hydrocarbon radical of one to six carbon atoms or a branched saturated divalent hydrocarbon radical of three to six carbon atoms unless otherwise stated e.g., methylene, ethylene, propylene, 1-methylpropylene, 2-methylpropylene, butylene, pentylene, and the like.
“Alkenyl” means a linear monovalent hydrocarbon radical of two to six carbon atoms or a branched monovalent hydrocarbon radical of three to six carbon atoms containing a double bond e.g., ethenyl, propenyl, 2-propenyl, butenyl, pentenyl, and the like.
“Alkynyl” means a linear monovalent hydrocarbon radical of two to six carbon atoms or a branched monovalent hydrocarbon radical of three to six carbon atoms containing a triple bond e.g., ethynyl, propynyl, 2-propynyl, butynyl, and the like.
“Alkylamino” means a –NHR radical where R is alkyl as defined above, e.g., methylamino, ethylamino, and the like.
“Alkylthio” means a -SR radical where R is alkyl as defined above, e.g., methylthio, ethylthio, and the like.
“Alkylsulfonyl” means a -SO2R radical where R is alkyl as defined above, e.g., methylsulfonyl, ethylsulfonyl, and the like.
“Alkoxy” means a -OR radical where R is alkyl as defined above, e.g., methoxy, ethoxy, propoxy, or 2-propoxy, n-, iso-, or tert-butoxy, and the like.
“Alkoxyalkyl” means a linear monovalent hydrocarbon radical of one to six carbon atoms or a branched monovalent hydrocarbon radical of three to six carbons substituted with at least one alkoxy group, such as one or two alkoxy groups, as defined above, e.g., 2-methoxyethyl, 1-, 2-, or 3-methoxypropyl, 2-ethoxyethyl, and the like.
“Alkoxyalkyloxyalkyl” means a – (alkylene) -OR radical where R is alkyloxyalkyl as defined above. Examples include, but are not limited to, 2-methoxyethyloxymethyl, methoxymethoxymethyl, 1-, 2-, or 3-methoxypropyloxymethyl, 2-ethoxyethyloxymethyl, and the like.
“Alkylidenyl” means refers to a group of formula R= where R is alkyl as defined above. Examples include, but are not limited to, methylidenyl (H2C=) , ethylidenyl (CH3CH=) , hexylidenyl (CH3 (CH2) 4CH=) , 2-propylidenyl (=C (CH3) 2) , and the like. For example, in the compound below:
the alkylidene group, methylidenyl, is enclosed by the box which is indicated by the arrow.
“Alkoxyalkylidenyl” means refers to a group of formula =R where R is alkoxyalkyl as defined above. Examples include, but are not limited to, methoxethylidenyl (CH3OCH2CH=) , ethoxyethylidenyl (C2H5OCH2CH=) , 1-methoxyethylidenyl (=C (CH3) OCH3) , and the like. For example, in the compound below:
the alkoxyalkylidenyl group, methoxethylidenyl, is enclosed by the box which is indicated by the arrow.
“Alkylcarbonyl” means a –C (O) R radical where R is alkyl as defined above e.g., -C (O) CH3, and the like.
“Alkoxycarbonyl” means a –C (O) OR radical where R is alkyl as defined above, e.g., methoxycarbonyl, ethoxycarbonyl, and the like.
“Amino” means a –NH2 radical.
“Aryl” means a monovalent monocyclic or bicyclic aromatic hydrocarbon radical of 6 to 10 ring atoms e.g., phenyl or naphthyl.
“Aralkyl” means a – (alkylene) -R radical where R is aryl as defined above. Examples include, but are not limited to, benzyl, phenethyl, and the like.
“Bicyclic heterocyclyl” means a saturated monovalent fused bicyclic ring of 8 to 12 ring atoms in which one or two ring atoms are heteroatom independently selected from N, O, and S (O) n, where n is an integer from 0 to 2, the remaining ring atoms being C, unless stated otherwise.
Additionally, one or two ring carbon atoms in the heterocyclyl ring can optionally be replaced by a –CO-group. More specifically the term bicyclic heterocyclyl includes, but is not limited to, hexahydro-1H-pyrrolizinyl, and the like.
“Bicyclic heterocyclylalkyl” means a – (alkylene) -R radical where R is bicyclic heterocyclyl as defined above. Examples include, but are not limited to, hexahydro-1H-pyrrolizinylmethyl, hexahydro-1H-pyrrolizinylethyl, and the like.
“Bridged heterocyclyl” means a saturated bicyclic ring having 6 to 9 ring atoms in which two non-adjacent ring atoms are linked by a (CRR’) n group where n is 1 to 3 and R and R’ are independently H or methyl (also may be referred to herein as “bridging” group) and further wherein one or two ring atoms, including the atoms of the bridging group, are heteroatoms independently selected from N, O, and S (O) n, where n is an integer from 0 to 2. Examples include, but are not limited to, 6-oxa-3-azabicyclo [3.1.1] heptane-3-yl8-oxa-3-azabicyclo [3.2.1] octane-3-yl, and the like.
“Cycloalkyl” means a monocyclic saturated monovalent hydrocarbon radical of three to ten carbon atoms. Examples include, but are not limited to, cyclopropyl, cyclobutyl, cyclopentyl, cyclohexyl, and the like.
“Cycloalkylene” means a monocyclic saturated divalent hydrocarbon radical of three to ten carbon atoms. Examples include, but are not limited to, 1, 1-cyclopropylene, 1, 1-cyclobutylene, 1, 1-cyclopentylene, and the like.
“Cycloalkylalkyl” means a – (alkylene) -R radical where R is cycloalkyl as defined above. Examples include, but are not limited to, cyclopropylmethyl cyclobutylethyl, cyclopentylmethyl, cyclohexylmethyl, and the like.
“Cycloalkyloxy” or “cycloalkoxy” means a -OR radical where R is cycloalkyl as defined above. Examples include, but are not limited to, cyclopropyloxy, cyclobutyloxy, cyclopentyloxy, cyclohexyloxy, and the like.
Cycloalkylalkyloxy” means a -OR radical where R is cycloalkylalkyl as defined above. Examples include, but are not limited to, cyclopropylmethyloxy, cyclobutylmethyloxy, cyclopentylmethyloxy, cyclohexylethyloxy, and the like.
“Cycloalkylalkyloxyalkyl” means a – (alkylene) -OR radical where R is cycloalkylalkyl as defined above. Examples include, but are not limited to, cyclopropylmethyloxymethyl, cyclobutylmethoxymethyl, and the like.
“Cyanoalkyl” means a linear monovalent hydrocarbon radical of one to six carbon atoms or a branched monovalent hydrocarbon radical of three to six carbons substituted with cyano e.g., cyanomethyl, cyanoethyl, and the like.
“Cyanoalkenyl” means an alkenyl radical as defined above where one of the hydrogen atom in the alkynyl chain is replace by a cyano. Examples include, but are not limited to, -C=C (CN) , -CH2C=C (CN) , and the like.
“Cyanoalkynyl” means an alkynyl radical as defined above where one of the hydrogen atom in the alkynyl chain is replace by a cyano. Examples include, but are not limited to, -C≡C (CN) , -CH2C≡C (CN) , and the like.
“Deuterium” mean refers to 2H or D.
“Deuterioalkyl” means alkyl as defined above that is substituted with one or two deuterium, e.g., CD2, CHD, and the like.
“Deuterioalkylene” means alkylene as defined above that is substituted with one or two deuterium, e.g., CD2, CHD, and the like.
“Deuterioalkylidenyl” means refers to a group of formula R= where R is deuterioalkyl as defined above. Examples include, but are not limited to, (D2C=) , ethylidenyl-2, 2, 2-d3 (CD3CH=) , For example, in the compound below:
the alkylidene group, methylidenyl-d2, is enclosed by the box which is indicated by the arrow.
“Dialkylamino” means a –NRR’ radical where R and R’ are independently alkyl as defined above, e.g., dimethylamino, methylethylamino, and the like.
“Fused bicyclic heterocyclyl” means a saturated monovalent fused bicyclic ring of 8 to 10 ring atoms in which one or two ring atoms are heteroatoms independently selected from N, O, and S (O) n, where n is an integer from 0 to 2, one ring atom can be -CO-, and the remaining ring atoms being C, unless stated otherwise, and where two adjacent ring atoms of the bicyclic ring are fused to two adjacent ring atoms of phenyl or a five or six membered heteroaryl, each as defined herein,
unless stated otherwise. More specifically the term fused bicyclic heterocyclyl includes, but is not limited to, 2, 3-dihydro-1H-pyrrolo [2, 1-a] isoindol-9b (5H) -yl, 2, 3-dihydro-1H-pyrrolo [1, 2-a] indol-9a (9H) -yl, 1, 3b, 4, 5, 6, 8-hexahydropyrrolo [3, 2-a] pyrrolizin-3b-yl, and the like.
“Fused bicyclic heterocyclylalkyl” means a – (alkylene) -R radical where R is fused bicyclic heterocyclyl as defined above. Examples include, but are not limited to, hexahydro-1H-pyrrolizinylmethyl, hexahydro-1H-pyrrolizinylethyl, 2, 3-dihydro-1H-pyrrolo [2, 1-a] isoindol-9b (5H) -ylmethyl, 2, 3-dihydro-1H-pyrrolo [1, 2-a] indol-9a (9H) -ylmethyl, and the like.
“Fused cycloalkyl” as used herein, means cycloalkyl as defined above where two adjacent ring atoms of the cycloalkyl ring are fused to two adjacent ring atoms of phenyl or a five or six membered heteroaryl, each as defined herein, unless stated otherwise. The fused cycloalkyl can be attached at any atom of the ring. Non limiting examples of the fused cycloalkyl include bicyclo [4.1.0] hepta-1, 3, 5-triene, bicyclo [4.2.0] octa-1, 3, 5-triene, and the like.
“Fused spirocycloalkyl” means spiro cycloalkyl as defined herein where two adjacent ring atoms of the spiro cycloalkyl are fused to two adjacent ring atoms of a phenyl or a five or six membered heteroaryl, each as defined herein.
“Fused heterocyclyl” means a saturated monovalent monocyclic ring of 4 to 7 ring atoms having from one to three heteroatoms independently selected from N, O, and S (O) n where n is 0, one ring atoms can be -CO-, and the remaining ring atoms being carbon, and further wherein two adjacent ring atoms of the monocyclic ring are fused to two adjacent ring atoms of a cycloalkyl, phenyl or a five or six membered heteroaryl, each as defined herein, unless stated otherwise. The nitrogen atom (s) are optionally oxidized optionally quaternized and one or two carbon atoms of the fused ring atoms in the saturated monocyclic ring includes the two common ring vertices shared with the fused phenyl or five or six membered heteroaryl. The fused heterocyclyl can be attached at any atom of the ring. Non limiting examples of the fused heterocycloalkyl include 2, 3-dihydrobenzo [b] [1, 4] -dioxinyl, 2-oxabicyclo [3.1.0] hexanyl, indolin-2-one-1-yl, indolinyl, and the like.
“Fused heterocyclylalkyl” as used herein, means a – (alkylene) -R radical where R is fused heterocyclyl, as defined herein.
“Fused heteroaryl” means fused bicyclic heteroaryl, as defined herein, where two adjacent ring atoms of the heteroaryl ring are fused to two adjacent ring atoms of phenyl.
“Halo” means fluoro, chloro, bromo, or iodo, preferably fluoro or chloro.
“Haloalkyl” means alkyl radical as defined above, which is substituted with one or more halogen atoms, e.g., one to five halogen atoms, such as fluorine or chlorine, including those substituted with different halogens, e.g., -CH2Cl, -CF3, -CHF2, -CH2CF3, -CF2CF3, -CF (CH3) 2, and the like. When the alkyl is substituted with only fluoro, it can be referred to in this Application as fluoroalkyl.
“Haloalkylidenyl” means refers to a group of formula =R where R is haloalkyl as defined above. Examples include, but are not limited to, difluoromethylidenyl (=CF2) , 2, 2-difluoroethylidenyl (=CHCHF2) , 1-fluoroethylidenyl =CFCH3) , and the like. For example, in the compound below:
the group pointed to by the arrow is the haloalkylidenyl group, difluoromethylidenyl.
“Haloalkoxy” means a –OR radical where R is haloalkyl as defined above e.g., -OCF3, -OCHF2, and the like. When R is haloalkyl where the alkyl is substituted with only fluoro, it is referred to in this Application as fluoroalkoxy.
“Haloalkoxyalkyl” means a – (alkylene) OR radical where R is haloalkylas defined above, e.g., trifluoromethoxymethyl, difluoromethoxymethyl, and the like.
“Haloalkylcarbonyl” means a –C (O) R radical where R is haloalkyl as defined above e.g., -C (O) CF3, -C (O) CHF2, and the like.
“Hydroxyalkyl” means a linear monovalent hydrocarbon radical of one to six carbon atoms or a branched monovalent hydrocarbon radical of three to six carbons substituted with one or two hydroxy groups, provided that if two hydroxy groups are present they are not both on the same carbon atom. Representative examples include, but are not limited to, hydroxymethyl, 2-hydroxy-ethyl, 2-hydroxypropyl, 3-hydroxypropyl, 1- (hydroxymethyl) -2-methylpropyl, 2-hydroxybutyl, 3-hydroxybutyl, 4-hydroxybutyl, 2, 3-dihydroxypropyl, 1- (hydroxymethyl) -2-hydroxyethyl, 2, 3-dihydroxybutyl, 3, 4-dihydroxybutyl and 2- (hydroxymethyl) -3-hydroxypropyl, preferably 2-hydroxyethyl, 2, 3-dihydroxypropyl, and 1- (hydroxymethyl) -2-hydroxyethyl.
“Heteroalkyl” mean alkyl radical as defined above wherein one or two carbon atoms are replaced by O, NR (R is H or alkyl) , or S, provided the heteroalkyl group is attached to the remainder of the molecule via a carbon atom, e.g., methoxymethyl, methylethylaminoethyl, and the like.
“Heteroaryl” means a monovalent monocyclic or fused bicyclic aromatic radical of 5 to 10 ring atoms, unless otherwise stated, where one or more, (in one embodiment, one, two, or three) , ring atoms are heteroatom selected from N, O, and S, the remaining ring atoms being carbon. Representative examples include, but are not limited to, pyrrolyl, thienyl, thiazolyl, imidazolyl, furanyl, indolyl, isoindolyl, oxazolyl, isoxazolyl, benzothiazolyl, benzoxazolyl, quinolinyl, isoquinolinyl, pyridinyl, pyrimidinyl, pyrazinyl, pyridazinyl, triazolyl, tetrazolyl, and the like. As defined herein, the terms “heteroaryl” and “aryl” are mutually exclusive. When the heteroaryl ring contains 5-or 6 ring atoms it is also referred to herein as 5-or 6-membered heteroaryl. When the heteroaryl ring is fused bicyclic aromatic radical 9-or 10 ring atoms it is also referred to herein as fused bicyclic heteroaryl.
“Heteroaralkyl” means a – (alkylene) -R radical where R is heteroaryl as defined above, e.g., pyridinylmethyl, and the like. When the heteroaryl ring in heteroaralkyl contains 5-or 6 ring atoms it is also referred to herein as 5-or 6-membered heteroaralkyl.
“Heterocyclyl” means a saturated or unsaturated monovalent monocyclic group of 4 to 8 ring atoms in which one or two ring atoms are heteroatom independently selected from N, O, and S (O) n, where n is an integer from 0 to 2, the remaining ring atoms being C, unless stated otherwise. Additionally, one or two ring carbon atoms in the heterocyclyl ring can optionally be replaced by a –CO-group. More specifically the term heterocyclyl includes, but is not limited to, pyrrolidino, piperidino, homopiperidino, 2-oxopyrrolidinyl, 2-oxopiperidinyl, morpholino, piperazino, tetrahydro-pyranyl, thiomorpholino, and the like. When the heterocyclyl ring is unsaturated it can contain one or two ring double bonds provided that the ring is not aromatic and may be referred to herein as heterocycloalkenyl. When the heterocyclyl group contains at least one nitrogen atom, it is also referred to herein as heterocycloamino and is a subset of the heterocyclyl group.
“Heterocyclylalkyl” or “heterocycloalkyl” means a – (alkylene) -R radical where R is heterocyclyl ring as defined above e.g., tetraydrofuranylmethyl, piperazinylmethyl, morpholinylethyl, and the like.
“Heterocyclyl fused bicyclic heterocyclyl” means a bicyclic heterocyclyl as defined herein (preferably a bicyclic heterocyclyl of 8 to 10 ring atoms) where two adjacent ring atoms of the bicyclic heterocyclyl are fused to two adjacent ring atoms of a hetereocyclyl ring as defined herein, provided the heterocyclyl ring contains at least two heteroatoms independently selected from N, O, and S (O) n, where n is an integer from 0 to 2. The term heterocyclyl fused bicyclic heterocyclyl includes, but is not limited to, and the like.
“Heterocyclyl fused bicyclic heterocyclylalkyl” mean – (alkylene) -R where R is heterocyclyl fused bicyclic heterocyclyl as defined above.
“Oxo, ” as used herein, alone or in combination, refers to = (O) .
“Optionally substituted aryl” means aryl as defined above, that is optionally substituted with one, two, or three substituents independently selected from alkyl, hydroxyl, cycloalkyl, carboxy, alkoxycarbonyl, hydroxy, alkoxy, alkylsulfonyl, amino, alkylamino, dialkylamino, halo, haloalkyl, haloalkoxy, and cyano. When aryl is phenyl, optionally substituted aryl is referred to herein as optionally substituted phenyl.
“Optionally substituted heteroaryl” means heteroaryl as defined above that is optionally substituted with one, two, or three substituents independently selected from alkyl, alkylsulfonyl, hydroxyl, cycloalkyl, carboxy, alkoxycarbonyl, hydroxy, alkoxy, halo, haloalkyl, haloalkoxy, amino, alkylamino, dialkylamino, and cyano.
“Optionally substituted heterocyclyl” means heterocyclyl as defined above that is optionally substituted with one, two, or three substituents independently selected from alkyl, alkylsulfonyl, alkylcarbonyl, hydroxyl, cycloalkyl, cycloalkylalkyl, carboxy, alkoxycarbonyl, hydroxy, hydroxyalkyl, alkoxy, alkoxyalkyl, aminoalkyl, cyanoalkyl, halo, haloalkyl, haloalkoxy, and cyano, unless stated otherwise.
“Optionally substituted heterocyclylalkyl” means – (alkylene) -R where R is optionally substituted heterocyclyl as defined above.
“Tricyclic heterocyclyl” means a saturated monovalent fused tricyclic ring of 9 to 14, preferably 12 to 14, ring atoms in which one or two ring atoms are heteroatom independently
selected from N, O, and S (O) n, where n is an integer from 0 to 2, one ring atom can be -CO-, and the remaining ring atoms being C, unless stated otherwise. Additionally, one or two ring carbon atoms in the heterocyclyl ring can optionally be replaced by a –CO-group. The term tricyclic heterocyclyl includes, but is not limited to, and the like.
“Tricyclic heterocyclylalkyl” means a – (alkylene) -R radical where R is tricyclic heterocyclyl as defined above. Examples include, but are not limited to,
and the like.
“Spiro heterocyclyl” means a saturated bicyclic monovalent ring having 6 to 10 ring atoms in which one, two, or three ring atoms are heteroatom selected from N, O, and S (O) n, where n is an integer selected from 0 to 2, the remaining ring atoms being C and the rings are connected through only one atom, the connecting atom is also called the spiroatom, most often a quaternary carbon ( “spiro carbon” ) . Representative examples include, but are not limited to, 2, 6-diazaspiro- [3.3] heptanyl, 2, 2-dioxido-2-thiaspiro [3.3] heptan-6-yl, 2, 6-diazaspiro [3.4] octanyl, 2-azaspiro [3.4] octanyl, 2-azaspiro [3.5] -nonanyl, 2, 7-diazaspiro [4.4] nonanyl, and the like.
The present disclosure also includes protected derivatives of compounds of Formula (I) . For example, when compounds of Formula (I) contain groups such as hydroxy, carboxy, or any group containing a nitrogen atom (s) , these groups can be protected with suitable protecting groups. A comprehensive list of suitable protective groups can be found in T. W. Greene, Protective Groups in Organic Synthesis, 5th Ed., John Wiley & Sons, Inc. (2014) , the disclosure of which is incorporated herein by reference in its entirety. The protected derivatives of compounds of the present disclosure can be prepared by methods well known in the art.
The present disclosure also includes polymorphic forms and deuterated forms of the compound of Formula (I) or a pharmaceutically acceptable salt thereof.
The term “prodrug” refers to a compound that is made more active in vivo. Certain compounds Formula (I) may also exist as prodrugs, as described in Hydrolysis in Drug and Prodrug Metabolism: Chemistry, Biochemistry, and Enzymology (Testa, Bernard and Mayer, Joachim M. Wiley-VHCA, Zurich, Switzerland 2003) . Prodrugs of the compounds described herein are structurally modified forms of the compound that readily undergo chemical changes under physiological conditions to provide the active compound. Prodrugs are often useful because, in some situations, they may be easier to administer than the compound, or parent drug. They may, for instance, be bioavailable by oral administration whereas the parent drug is not. A wide variety of prodrug derivatives are known in the art, such as those that rely on hydrolytic cleavage or oxidative activation of the prodrug. An example, without limitation, of a prodrug would be a compound which is administered as an ester (the “prodrug” ) , but then is metabolically hydrolyzed to the carboxylic acid, the active entity. Additional examples include peptidyl derivatives of a compound.
A “pharmaceutically acceptable salt” of a compound means a salt that is pharmaceutically acceptable and that possesses the desired pharmacological activity of the parent compound. Such salts include:
acid addition salts, formed with inorganic acids such as hydrochloric acid, hydrobromic acid, sulfuric acid, nitric acid, phosphoric acid, and the like; or formed with organic acids such as formic acid, acetic acid, propionic acid, hexanoic acid, cyclopentanepropionic acid, glycolic acid, pyruvic acid, lactic acid, malonic acid, succinic acid, malic acid, maleic acid, fumaric acid, tartaric acid, citric acid, benzoic acid, 3- (4-hydroxybenzoyl) benzoic acid, cinnamic acid, mandelic acid, methanesulfonic acid, ethanesulfonic acid, 1, 2-ethanedisulfonic acid, 2-hydroxyethanesulfonic acid, benzenesulfonic acid, 4-chlorobenzenesulfonic acid, 2-naphthalenesulfonic acid, 4-toluenesulfonic acid, camphorsulfonic acid, glucoheptonic acid, 4, 4’-methylenebis- (3-hydroxy-2-ene-1-carboxylic acid) , 3-phenylpropionic acid, trimethylacetic acid, tertiary butylacetic acid, lauryl sulfuric acid, gluconic acid, glutamic acid, hydroxynaphthoic acid, salicylic acid, stearic acid, muconic acid, and the like; or
salts formed when an acidic proton present in the parent compound either is replaced by a metal ion, e.g., an alkali metal ion, an alkaline earth ion, or an aluminum ion; or coordinates with an organic base such as ethanolamine, diethanolamine, triethanolamine, tromethamine, N-methylglucamine, and the like. It is understood that the pharmaceutically acceptable salts are non-toxic. Additional information on suitable pharmaceutically acceptable salts can be found in
Remington’s Pharmaceutical Sciences, 17th ed., Mack Publishing Company, Easton, PA, 1985, which is incorporated herein by reference in its entirety.
The compounds of Formula (I) may have asymmetric centers. Compounds of Formula (I) containing an asymmetrically substituted atom may be isolated in optically active or racemic forms. Individual stereoisomers of compounds can be prepared synthetically from commercially available starting materials which contain chiral centers or by preparation of mixtures of enantiomeric products followed by separation such as conversion to a mixture of diastereomers followed by separation or recrystallization, chromatographic techniques, direct separation of enantiomers on chiral chromatographic columns, or any other appropriate method known in the art. All chiral, diastereomeric, all mixtures of chiral or diastereomeric forms, and racemic forms are within the scope of this disclosure, unless the specific stereochemistry or isomeric form is specifically indicated. It will also be understood by a person of ordinary skill in the art that when a compound is denoted as (R) stereoisomer, it may contain the corresponding (S) stereoisomer as an impurity and vice versa.
Certain compounds of Formula (I) can exist as tautomers and/or geometric isomers. All possible tautomers and cis and trans isomers, as individual forms and mixtures thereof are within the scope of this disclosure. Additionally, as used herein the term alkyl includes all the possible isomeric forms of said alkyl group albeit only a few examples are set forth. Furthermore, when the cyclic groups such as aryl is substituted, it includes all the positional isomers albeit only a few examples are set forth. Furthermore, all hydrates of a compound of Formula (I) are within the scope of this disclosure.
The compounds of Formula (I) may also contain unnatural amounts of isotopes at one or more of the atoms that constitute such compounds. Unnatural amounts of an isotope may be defined as ranging from the amount found in nature to an amount 100%of the atom in question. that differ only in the presence of one or more isotopically enriched atoms. Exemplary isotopes that can be incorporated into compounds of the present invention, such as a compound of Formula (I) (and any embodiment thereof disclosed herein including specific compounds) include isotopes of hydrogen, carbon, nitrogen, oxygen, phosphorus, sulfur, fluorine, chlorine, and iodine, such as 2H, 3H, 11C, 13C, 14C, 13N, 15N, 15O, 17O, 18O, 32P, 33P, 35S, 18F, 36Cl, 123I, and 1251, respectively. Isotopically labeled compounds (e.g., those labeled with 3H and 14C) can be useful in compound or substrate
tissue distribution assays. Tritiated (i.e., 3H) and carbon-14 (i.e., 14C) isotopes can be useful for their ease of preparation and detectability. Further, substitution with heavier isotopes such as deuterium (i.e., 2H) may afford certain therapeutic advantages resulting from greater metabolic stability (e.g., increased in vivo half-life or reduced dosage requirements) . In some embodiments, in compounds of Formula (I) , including in Tables 1 and 2 below one or more hydrogen atoms are replaced by 2H or 3H, or one or more carbon atoms are replaced by 13C-or 14C-enriched carbon. Positron emitting isotopes such as 15O, 13N, 11C, and 15F are useful for positron emission tomography (PET) studies to examine substrate receptor occupancy. Isotopically labeled compounds can generally be prepared by following procedures analogous to those disclosed in the Schemes or in the Examples herein, by substituting an isotopically labeled reagent for a non-isotopically labeled reagent.
A “pharmaceutically acceptable carrier or excipient” means a carrier or an excipient that is useful in preparing a pharmaceutical composition that is generally safe, non-toxic and neither biologically nor otherwise undesirable, and includes a carrier or an excipient that is acceptable for veterinary use as well as human pharmaceutical use.
“A pharmaceutically acceptable carrier/excipient” as used in the specification and claims includes both one and more than one such excipient.
“Spiro cycloalkyl" means a saturated bicyclic monovalent ring having 5 to 10 ring atoms in in which the rings are connected through only one atom, the connecting atom is also called the spiroatom, most often a quaternary carbon ( "spiro carbon" ) . Unless stated otherwise, spiro cycloalkyl is optionally substituted with one or two substituents independently selected from alkyl, halo, alkoxy, hydroxy, and cyano. Examples include, but are not limited to, Representative examples include, but are not limited to, spiro [3.3] heptane, spiro [3.4] octane, spiro [3.5] -nonane, and the like.
The term “about, ” as used herein, is intended to qualify the numerical values which it modifies, denoting such a value as variable within a margin of error. When no particular margin of error, such as a standard deviation to a mean value given in a chart or table of data, is recited, the term “about” should be understood to mean that range which would encompass ± 10%of the recited value, preferably ± 5%of the recited value, wherein the recited value and the range is included.
"Optional" or "optionally" means that the subsequently described event or circumstance may but need not occur, and that the description includes instances where the event or circumstance
occurs and instances in which it does not. For example, optionally substituted aryl substituted with alkyl is intended to cover aryl that is unsubstituted and aryl that is substituted with alkyl.
Certain structures provided herein are drawn with one or more floating substituents. Unless provided otherwise or otherwise clear from the context, the substituent (s) may be present on any atom of the ring through which they are drawn, where chemically feasible and valency rules permitting. For example, in the structure of Formula (I) :
R2 and R3 groups are floating substituents and can replace the hydrogen atom of any one of U, V, and W of theportion of the quinazoline ring ring when U, V, and W are CH.
The term “disease” as used herein is intended to be generally synonymous, and is used interchangeably with, the terms “disorder, ” “syndrome, ” and “condition” (as in medical condition) , in that all reflect an abnormal condition of the human or animal body or of one of its parts that impairs normal functioning, is typically manifested by distinguishing signs and symptoms, and causes the human or animal to have a reduced duration or quality of life.
The term “combination therapy” means the administration of two or more therapeutic agents to treat a disease or disorder described in the present disclosure. Such administration encompasses co-administration of these therapeutic agents in a substantially simultaneous manner, such as in a single capsule having a fixed ratio of active ingredients or in multiple, separate capsules for each active ingredient. In addition, such administration also encompasses use of each type of therapeutic agent in a sequential manner. In either case, the treatment regimen will provide beneficial effects of the drug combination in treating the conditions or disorders described herein.
The term “patient” is generally synonymous with the term “subject” and includes all mammals including humans. Examples of patients include humans, livestock such as cows, goats, sheep, pigs, and rabbits, and companion animals such as dogs, cats, rabbits, and horses. Preferably, the patient is a human.
“Treating” or “treatment” of a disease includes:
(1) preventing the disease, i.e. causing the clinical symptoms of the disease not to develop in a mammal that may be exposed to or predisposed to the disease but does not yet experience or display symptoms of the disease;
(2) inhibiting the disease, i.e., delaying, arresting (i.e., stabilizing) , or reducing the development or severity of the disease or its clinical symptoms; or
(3) relieving the disease, i.e., causing regression of the disease or its clinical symptoms.
In one embodiment, treating or treatment of a disease includes inhibiting the disease, i.e., delaying, arresting or reducing the development or severity of the disease or its clinical symptoms; or relieving the disease, i.e., causing regression of the disease or its clinical symptoms.
A “therapeutically effective amount” means the amount of a compound of the present disclosure or a pharmaceutically acceptable salt thereof that, when administered to a patient for treating a disease, is sufficient to affect such treatment for the disease. The “therapeutically effective amount” will vary depending on the compound, the disease and its severity and the age, weight, etc., of the mammal to be treated. The therapeutically effective amount of a K-ras inhibitor disclosed herein can be administered to the patient in a single dosage form or multiples thereof. For example, 600 mg dose of a K-ras inhibitor can be administered in a single 600 mg tablet or two 300 mg tablets.
The terms "inhibiting" and "reducing, " or any variation of these terms in relation of K-Ras G12D, includes any measurable decrease or complete inhibition to achieve a desired result. For example, there may be a decrease of about, at most about, or at least about 5%, 10%, 15%, 20%, 25%, 30%, 35%, 40%, 45%, 50%, 55%, 60%, 65%, 70%, 75%, 80%, 85%, 90%, 95%, 99%, or more, or any range derivable therein, reduction of K-Ras G12D GTPase activity; a decrease of K-Ras G12D GTP binding affinity or an increase of G12D GDP binding affinity; an increase of GTP off rate or a decrease of GDP off rate; a decrease of signaling transduction molecules levels downstream in the K-Ras pathway, e.g., a decrease in pERK level; and/or a decrease of K-Ras complex binding to downstream signaling molecules compared to normal.
Representative compounds of Formula (I) are disclosed in Compound Table 1 below:
Compound Table 1
Contemplated compounds of Formula (I) are provided in Compound Table 2 below:
Compound Table 2
Embodiment A:
In further embodiments 1-158 below, the present disclosure includes:
1. In embodiment 1, provided is a compound of Formula (I) as defined in the first aspect of the Summary, or a pharmaceutically acceptable salt thereof and/or the first embodiment thereof in the Summary.
2. In embodiment 2, the compound of embodiment 1, or a pharmaceutically acceptable salt thereof, is wherein R30 is fused heterocyclylalkyl where fused heterocyclyl of fused heterocyclylalkyl is substituted with Ra, Rb, Rc and Rc1 as defined in the Summary.
3. In embodiment 3, the compound of any one of embodiments 1 and 2, or a pharmaceutically acceptable salt thereof, is wherein the fused heterocyclyl of fused heterocyclylalkyl is isoindolinyl substituted with Ra, Rb, Rc and Rc1 as defined therein.
4. In embodiment 4, the compound of embodiment 1, 2 or 3, or a pharmaceutically acceptable salt thereof, is wherein Ra is alkylidene.
5. In embodiment 5, the compound of any one of embodiments 1 to 3, or a pharmaceutically acceptable salt thereof, is wherein Ra is deuterioalkylidenyl.
6. In embodiment 6, the compound of any one of embodiments 1 to 3 and 5, or a pharmaceutically acceptable salt thereof, is wherein Ra is methylidene or methylidene-d2.
7. In embodiment 7, the compound of any one of embodiments 1 to 3, or a pharmaceutically acceptable salt thereof, is wherein Ra is haloalkylidenyl.
8. In embodiment 8, the compound of any one of embodiments 1 to 7, or a pharmaceutically acceptable salt thereof, is wherein the fused heterocyclylalkyl of R30 is:
where Ra, Rb and Rc are as defined therein and Rc1 is hydrogen.
9. In embodiment 9, the compound of embodiment 1, or a pharmaceutically acceptable salt thereof, is wherein R30 is heterocyclylalkyl, bicyclic heterocyclyl, or bicyclic heterocyclylalkyl, where heterocyclyl of heterocyclylalkyl and bicyclic heterocyclyl, by itself or as part of bicyclic heterocyclylalkyl are substituted with Rd, Re, Rf, and Rf1 as defined therein.
10. In embodiment 10, the compound of embodiment 1, or a pharmaceutically acceptable salt thereof, is wherein R30 is heterocyclylalkyl or bicyclic heterocyclylalkyl, where heterocyclyl of heterocyclylalkyl and bicyclic heterocyclyl of bicyclic heterocyclylalkyl are substituted with Rd, Re, Rf, and Rf1 as defined therein and alkyl of heterocyclylalkyl and bicyclic heterocyclylalkyl is substituted with one or two deuterium.
11. In embodiment 11, the compound of any one of embodiments 1, 9, and 10, or a pharmaceutically acceptable salt thereof, is wherein R30 is heterocyclylalkyl where heterocyclyl of heterocyclylalkyl is substituted with Rd, Re, Rf, and Rf1 as defined therein (for avoidance of doubt, embodiment 11 covers heterocyclylalkyl where the alkyl of heterocyclylalkyl is substituted with one or two deuterium and is not substituted with one or two deuterium) .
12. In embodiment 12, the compound of any one of embodiments 1, 9 and 11, or a pharmaceutically acceptable salt thereof, is wherein the heterocyclylalkyl is pyrrolidin-2-ylmethyl, piperidin-2-ylmethyl, or piperidin-3-ylmethyl, preferably pyrrolidin-2-ylmethyl substituted with Rd, Re, Rf, and Rf1 as defined therein.
13. In embodiment 13, the compound of any one of embodiments 1, 10, and 11, or a pharmaceutically acceptable salt thereof, is wherein the heterocyclylalkyl is pyrrolidin-2-ylmethyl-d2, piperidin-2-ylmethyl-d2, or piperidin-3-ylmethyl-d2, preferably pyrrolidin-2-ylmethyl-d2 substituted with Rd, Re, Rf, and Rf1 as defined therein.
14. In embodiment 14, the compound of any one of embodiments 1, 9, and 10, or a pharmaceutically acceptable salt thereof, is wherein R30 is bicyclic heterocyclalkylalkyl substituted with Rd, Re, Rf, and Rf1 as defined therein (for avoidance of doubt, embodiment 14 covers bicyclic heterocyclylalkyl where the alkyl of bicyclic heterocyclylalkyl is substituted with one or two deuterium and is not substituted with one or two deuterium) .
15. In embodiment 15, the compound of any one of embodiments 1, 9, and 14, or a pharmaceutically acceptable salt thereof, is wherein the bicyclic heterocyclylalkyl is hexahydro-1H-
pyrrolizin-7a-ylalkyl, preferably, hexahydro-1H-pyrrolizin-7a-ylmethyl, where hexahydro-1H-pyrrolizin-7a-yl is substituted with Rd, Re, Rf, and Rf1 as defined therein.
16. In embodiment 16, the compound of any one of embodiments 1, 10, and 14, or a pharmaceutically acceptable salt thereof, is wherein the bicyclic heterocyclylalkyl is hexahydro-1H-pyrrolizin-7a-ylalkyl-d2, preferably, hexahydro-1H-pyrrolizin-7a-ylmethyl-d2, where hexahydro-1H-pyrrolizin-7a-yl is substituted with Rd, Re, Rf, and Rf1 as defined therein.
17. In embodiment 17, the compound of any one of embodiments 1, 9, 14, and 15, or a pharmaceutically acceptable salt thereof, is wherein the bicyclic heterocyclylalkyl of R30 is a ring of formula:
and is substituted with Re, Rf, and Rf1 as defined therein, preferablyis where Rd, Re, Rf, and Rf1 are as defined therein.
18. In embodiment 18, the compound of any one of embodiments 1, 9, 14, 15, and 17, or a pharmaceutically acceptable salt thereof, is wherein Rf1 is hydrogen and the bicyclic heterocyclylalkyl of R30 is a ring of formula: where Rd, Re, Rf, are as defined therein.
19. In embodiment 19, the compound of any one of embodiments 1, 9, 14, 15, 17, and 18, or a pharmaceutically acceptable salt thereof, is wherein the bicyclic heterocyclylalkyl of R30 is a ring of formula:
preferably iswhere Rd, Re, and Rf are as defined therein.
20. In embodiment 20, the compound of any one of embodiments 1, 10, 14, and 16, or a pharmaceutically acceptable salt thereof, is wherein the bicyclic heterocyclylalkyl of R30 is a ring of formula:
substituted with Re, Rf, and Rf1 as defined therein, preferablyis where Rd, Re and Rf are as defined therein.
21. In embodiment 21, the compound of any one of embodiments 1, 10, 14, 16, and 20, or a pharmaceutically acceptable salt thereof, is wherein Rf1 is hydrogen and the bicyclic heterocyclylalkyl of R30 is a ring of formula:
where Rd, Re and Rf are as defined therein.
22. In embodiment 22, the compound of embodiment 1, or a pharmaceutically acceptable salt thereof, is wherein R30 is fused bicyclic heterocyclyl, fused bicyclic heterocyclylalkyl, heterocyclyl fused bicyclic heterocyclyl, heterocyclyl fused bicyclic heterocyclylalkyl, tricyclic heterocyclyl, or tricyclic heterocyclylalkyl, wherein fused bicyclic heterocyclyl, by itself or as part of fused bicyclic heterocyclylalkyl, heterocyclyl fused bicyclic heterocyclyl, by itself or as part of heterocyclyl fused bicyclic heterocyclylalkyl, or tricyclic heterocyclyl, by itself or as part of tricyclic heterocyclylalkyl are independently substituted with Rg, Rh, Ri and Ri1 as defined therein.
23. In embodiment 23, the compound of embodiment 1, or a pharmaceutically acceptable salt thereof, is wherein R30 is fused bicyclic heterocyclylalkyl, heterocyclyl fused bicyclic heterocyclylalkyl, or tricyclic heterocyclylalkyl, wherein fused bicyclic heterocyclyl of fused bicyclic heterocyclylalkyl, heterocyclyl fused bicyclic heterocyclyl of heterocyclyl fused bicyclic heterocyclylalkyl, and tricyclic heterocyclyl of tricyclic heterocyclylalkyl are independently
substituted with Rg, Rh, Ri, and Ri1 as defined therein and alkyl of fused bicyclic heterocyclylalkyl, heterocyclyl fused bicyclic heterocyclylalkyl, and tricyclic heterocyclylalkyl are substituted with one or two deuterium.
24. In embodiment 24, the compound of embodiment 1 or 22, or a pharmaceutically acceptable salt thereof, is wherein R30 is fused bicyclic heterocyclyl substituted with Rg, Rh, Ri, and Ri1 as defined therein.
25. In embodiment 25, the compound of embodiment 1, 22, or 24, or a pharmaceutically acceptable salt thereof, is wherein the fused bicyclic heterocyclyl of R30 is a ring of formula:
where ring A is phenyl or 5-or 6-membered heteroaryl and the fused bicyclic heterocyclyl is additionally substituted with Rh and Ri where Rg, Rh and Ri are as defined as defined therein, preferably ring A is phenyl or 5-or 6-membered heteroaryl substituted with Rh and Ri as defined therein.
25a. In embodiment 25a, the compound of embodiment 1, 22, or 24, or a pharmaceutically acceptable salt thereof, is wherein the fused bicyclic heterocyclyl of R30 is a ring of formula:
where ring A is phenyl, pyrazolyl, pyridinyl, or pyrimidinyl, where each ring substituted with Rh and Ri as defined therein.
26. In embodiment 26, the compound of any one of embodiments 1, 22, and 23, or a pharmaceutically acceptable salt thereof, is wherein R30 is fused bicyclic heterocyclylalkyl where fused bicyclic heterocyclyl of fused bicyclic heterocyclylalkyl is substituted with Rg, Rh, and Ri as defined therein.
27. In embodiment 27, the compound of embodiment 1, 22, or 26, or a pharmaceutically acceptable salt thereof, is wherein fused bicyclic heterocyclylalkyl of R30 is a ring of formula:
where ring A is phenyl or 5-or 6-membered heteroaryl and the fused bicyclic heterocyclyl is additionally substituted with Rh and Ri where Rg, Rh and Ri are as defined as defined therein.
27a. In embodiment 27a, the compound of embodiment 1, 22, 26, or 27, or a pharmaceutically acceptable salt thereof, is wherein the fused bicyclic heterocyclyl of R30 is a ring of formula:
where ring A is phenyl, pyrazolyl, pyridinyl, or pyrimidinyl, each ring substituted with Rh and Ri as defined therein.
28. In embodiment 28, the compound of embodiment 1, 23, or 26, or a pharmaceutically acceptable salt thereof, is wherein fused bicyclic heterocyclylalkyl of R30 is a ring of formula:
where ring A is phenyl or 5-or 6-membered heteroaryl and the fused bicyclic heterocyclyl is additionally substituted with Rh and Ri where Rg, Rh and Ri are as defined as defined therein.
28a. In embodiment 28a, the compound of embodiment 1, 23, 26, or 28, or a pharmaceutically acceptable salt thereof, is wherein the fused bicyclic heterocyclylalkyl of R30 is a ring of formula:
where ring A is phenyl, pyrazolyl, pyridinyl, or pyrimidinyl, each ring substituted with Rh and Ri as defined therein.
29. In embodiment 29, the compound of any one of embodiments 1 and 22 to 28a, or a pharmaceutically acceptable salt thereof, is wherein the fused bicyclic heterocyclyl of fused bicyclic heterocyclylalkyl is 2, 3-dihydro-1H-pyrrolo [2, 1-a] isoindol-9b (5H) -yl, 2, 3-dihydro-1H-pyrrolo [1, 2-a] indol-9a (9H) -yl, 1, 3b, 4, 5, 6, 8-hexahydropyrrolo [3, 2-a] pyrrolizin-3b-yl, 1-methyl-1, 3b, 4, 5, 6, 8-hexahydropyrrolo [4, 3-a] pyrrolizin-3b-yl, 4b, 6, 7, 9-tetrahydro-5H-pyrido [3, 2-a] -pyrrolizin-4b-yl, 3, 3a, 4, 5-tetrahydro-2H-pyrano [4, 3, 2-cd] isoindol-5-yl, or 1, 2, 3, 5, 10, 10a-hexahydropyrrolo [1, 2-b] isoquinolin-10a-yl, each ring substituted with Rg, Rh, and Ri as defined therein.
30. In embodiment 30, the compound of embodiment 1 or 22, or a pharmaceutically acceptable salt thereof, is wherein R30 is tricyclic heterocyclyl substituted with Rg, Rh, and Ri as defined therein.
31. In embodiment 31, the compound of embodiment 1 or 22, or a pharmaceutically acceptable salt thereof, is wherein R30 is tricyclic heterocyclylalkyl where tricyclic heterocyclyl of tricyclic heterocyclylalkyl is substituted with Rg, Rh, and Ri as defined therein.
32. In embodiment 32, the compound of embodiment 1 or 23, or a pharmaceutically acceptable salt thereof, is wherein R30 is tricyclic heterocyclylalkyl where tricyclic heterocyclyl of tricyclic heterocyclylalkyl is substituted with Rg, Rh, and Ri as defined therein and the alkyl of tricyclic heterocyclylalkyl is substituted with one or two deuterium.
33. In embodiment 33, the compound of any one of embodiments 1, 9, 14, 15, and 17, or a pharmaceutically acceptable salt thereof, is wherein the bicyclic heterocyclylalkyl of R30 is a ring of formula:
preferably
34. In embodiment 34, the compound of any one of embodiments 1 and 9 to 33, or a pharmaceutically acceptable salt thereof, is wherein Rd and Rg are independently haloalkenyl, alkylidenyl, deuterioalkylidenyl, haloalkylidenyl, or alkoxyalkylidenyl.
35. In embodiment 35, the compound of any one of embodiments 1 and 9 to 34, or a pharmaceutically acceptable salt thereof, is wherein Rd and Rg are alkylidenyl.
36. In embodiment 36, the compound of any one of embodiments 1 and 9 to 35, or a pharmaceutically acceptable salt thereof, is wherein Rd and Rg are methylidenyl.
37. In embodiment 37, the compound of any one of embodiments 1 and 9 to 34, or a pharmaceutically acceptable salt thereof, is wherein Rd and Rg are haloalkylidenyl.
38. In embodiment 38, the compound of any one of embodiments 1, 7, 9 to 34 and 37, or a pharmaceutically acceptable salt thereof, is wherein Ra, Rd, and Rg are independently =CHF, =CF2, =CHCH2F, =C (CH3) F, or =CHCHF2.
39. In embodiment 39, the compound of any one of embodiments 1 to 3, 8, and 9 to 34, or a pharmaceutically acceptable salt thereof, is wherein Ra, Rd, and Rg are alkoxyalkylidenyl.
40. In embodiment 40, the compound of any one of embodiments 1 to 3, 8, 9 to 34, and 39, or a pharmaceutically acceptable salt thereof, is wherein Ra, Rd and Rg are independently =CH2O (CH2) 2OCH3 or =CH2O (CH2) 2OC2H5.
41. In embodiment 41, the compound of any one of embodiments 1 and 9 to 34, or a pharmaceutically acceptable salt thereof, is wherein Rd and Rg are deuterioalkylidenyl.
42. In embodiment 42, the compound of any one of embodiments 1, 9 to 34, and 41, or a pharmaceutically acceptable salt thereof, is wherein Rd and Rg are independently =CD2.
43. In embodiment 43, the compound of any one of embodiments 1 to 3 and 8 to 33, or a pharmaceutically acceptable salt thereof, is wherein Ra, Rd, and Rg are =CR31R32, =CR33R4, and =CR35R36, respectively.
44. In embodiment 44, the compound of any one of embodiments 1 to 3, 8 to 33 and 43, or a pharmaceutically acceptable salt thereof, is wherein R31, R33, and R35 are hydrogen.
45. In embodiment 45, the compound of any one of embodiments 1 to 3, 8 to 33, and 43, or a pharmaceutically acceptable salt thereof, is wherein R31, R33, and R35 are fluoro.
46. In embodiment 46, the compound of any one of embodiments 1 to 3, 8 to 33, and 43, or a pharmaceutically acceptable salt thereof, is wherein R31, R33, and R35 are alkyl.
47. In embodiment 47, the compound of any one of embodiments 1 to 3, 8 to 33, 43, and 46, or a pharmaceutically acceptable salt thereof, is wherein R31, R33, and R35 are independently methyl, ethyl, or propyl.
48. In embodiment 48, the compound of any one of embodiments 1 to 3, 8 to 33, and 43 to 47, or a pharmaceutically acceptable salt thereof, is wherein R32, R34, and R36 are independently
cyano, alkoxyalkyloxyalkyl, cycloalkyl, cycloalkylalkyl, or cycloalkylalkyloxyalkyl (where cycloalkyl, by itself or as part of cycloalkylalkyl, and cycloalkylalkyloxyalkyl is optionally substituted with one or two substituents independently selected from alkyl, halo, haloalkoxy, alkoxy, alkoxyalkyl, and hydroxy) .
49. In embodiment 49, the compound of any one of embodiments 1 to 3, 8 to 33 and 43 to 48, or a pharmaceutically acceptable salt thereof, is wherein R32, R34, and R36 are independently cyano, methoxymethyloxymethyl, 2-methoxyethyloxymethyl, cyclopropyl, cyclobutyl, cyclopentyl, cyclopropylmethyl, cyclobutylmethyl, cyclopentylmethyl, cyclopropylethyl, cyclobutylethyl, cyclopentylethyl, cyclopropylmethyloxymethyl, cyclobutylmethyloxymethyl, or cyclopentylmethyloxymethyl, wherein cyclopropyl, cyclobutyl or cyclopentyl, by itself or as part of cyclopropylmethyl, cyclobutylmethyl, cyclopentylmethyl, cyclopropylethyl, cyclobutylethyl, cyclopentylethyl, cyclopropylmethyloxymethyl, cyclobutylmethyloxymethyl, and cyclopentylmethyloxymethyl, respectively, are optionally substituted with methoxy, fluoro, or methoxymethyl.
50. In embodiment 50, the compound of any one of embodiments 1 to 3, 8 to 33, and 43 to 49, or a pharmaceutically acceptable salt thereof, is wherein R32, R34, R36, and R38 are cyano.
51. In embodiment 51, the compound of any one of embodiments 1 to 3, 8 to 33 and 43 to 49, or a pharmaceutically acceptable salt thereof, is wherein R32, R34, and R36 are independently methoxymethyloxymethyl or 2-methoxyethyloxymethyl.
52. In embodiment 52, the compound of any one of embodiments 1 to 3, 8 to 33 and 43 to 47, or a pharmaceutically acceptable salt thereof, is wherein R32, R34, and R36 are independently heterocyclyl, phenyl, or heteroaryl (where heterocyclyl, phenyl, and heteroaryl are optionally substituted with one, two, or three substituents independently selected from alkyl, halo, haloalkyl, haloalkoxy, alkoxy, cyano, and hydroxy) .
53. In embodiment 53, the compound of any one of embodiments 1 to 3, 8 to 33, 43 to 47, and 52 or a pharmaceutically acceptable salt thereof, is wherein R32, R34, and R36 are independently phenyl, pyrrolidinyl, furanyl, pyranyl, piperidinyl, morpholinyl, or 5-or 6-membereing heteroaryl, each ring optionally substituted with one, two, or three substituents independently selected from alkyl, halo, haloalkyl, haloalkoxy, alkoxy, cyano, and hydroxy.
54. In embodiment 54, the compound of any one of embodiments 1 to 3, 8 to 33, and 43, or a pharmaceutically acceptable salt thereof, is wherein R31 and R32, R33 and R4, and R35 and R36 together with the carbon atom to which they are attached form cycloalkylene optionally substituted with alkyl, halo, alkoxy, or hydroxy.
55. In embodiment 55, the compound of any one of embodiments 1 to 3, 8 to 33, 43 and 54, or a pharmaceutically acceptable salt thereof, is wherein R31 and R32, R33 and R34, and R35 and R36 together with the carbon atom to which they are attached form cyclopropyl, cyclobutylene, or cyclopentylene, each ring optionally substituted with methyl, fluoro, or methoxy.
56. In embodiment 56, the compound of any one of embodiments 1 to 55, or a pharmaceutically acceptable salt thereof, wherein Q1 is alkylene.
57. In embodiment 57, the compound of any one of embodiments 1 to 55, or a pharmaceutically acceptable salt thereof, is wherein Q1 is deuterioalkyl.
58. In embodiment 58, the compound of any one of embodiments 1 to 57, or a pharmaceutically acceptable salt thereof, wherein Q1 is methylene, ethylene, -CH (CH3) -, -C (CH3) 2-, or -CD2-.
59. In embodiment 59, the compound of any one of embodiments 1 to 56 and 58, or a pharmaceutically acceptable salt thereof, wherein Q1 is methylene, ethylene, -CH (CH3) -, -C (CH3) 2, preferably methylene.
60. In embodiment 60, the compound of any one of embodiments 1 to 55, 57, and 58, or a pharmaceutically acceptable salt thereof, wherein Q1 is -CD2-.
61. In embodiment 61, the compound of any one of embodiments 1 to 56 and 59, or a pharmaceutically acceptable salt thereof, wherein R39 is hydrogen, deuterium, alkyl, deuterioalkyl, haloalkyl, haloalkoxyalkyl, or alkoxyalkyl and R40 is deuterioalkyl, cycloalkyl, alkoxy, alkoxyalkyl, haloalkyl, haloalkoxyalkyl, or heterocyclyl optionally substituted with one or two substituents independently selected from alkyl, halo, alkoxy, haloalkoxy, and haloalkyl.
62. In embodiment 62, the compound of any one of embodiments 1 to 61, or a pharmaceutically acceptable salt thereof, wherein R39 is hydrogen or deuterium.
63. In embodiment 63, the compound of any one of embodiments 1 to 61, or a pharmaceutically acceptable salt thereof, wherein R39 is alkyl.
64. In embodiment 64, the compound of any one of embodiments 1 to 61, or a pharmaceutically acceptable salt thereof, wherein R39 is haloalkyl.
65. In embodiment 65, the compound of any one of embodiments 1 to 61, or a pharmaceutically acceptable salt thereof, wherein R39 is haloalkoxyalkyl.
66. In embodiment 66, the compound of any one of embodiments 1 to 61, or a pharmaceutically acceptable salt thereof, wherein R39 is alkoxyalkyl.
66a. In embodiment 66a, the compound of any one of embodiments 1 to 61, or a pharmaceutically acceptable salt thereof, wherein R39 is deuterioalkyl.
67. In embodiment 67, the compound of any one of embodiments 1 to 66a, or a pharmaceutically acceptable salt thereof, wherein R40 is alkoxy.
68. In embodiment 68, the compound of any one of embodiments 1 to 66a, or a pharmaceutically acceptable salt thereof, wherein R40 is alkoxyalkyl.
69. In embodiment 69, the compound of any one of embodiments 1 to 66a, or a pharmaceutically acceptable salt thereof, wherein R40 is haloalkyl.
70. In embodiment 70, the compound of any one of embodiments 1 to 66a, or a pharmaceutically acceptable salt thereof, wherein R40 is haloalkoxyalkyl.
71. In embodiment 71, the compound of any one of embodiments 1 to 66a, or a pharmaceutically acceptable salt thereof, wherein R40 is cycloalkyl.
72. In embodiment 72, the compound of any one of embodiments 1 to 66a, or a pharmaceutically acceptable salt thereof, wherein R40 is deuterioalkyl.
72a. In embodiment 72a, the compound of any one of embodiments 1 to 66a, or a pharmaceutically acceptable salt thereof, wherein R40 is heterocyclyl optionally substituted with one or two substituents independently selected from alkyl, halo, alkoxy, haloalkoxy, and haloalkyl.
73. In embodiment 73, the compound of any one of embodiments 1 to 60, and 66a to 72a, or a pharmaceutically acceptable salt thereof, wherein R39 is hydrogen, methyl, methyl-d3, methoxyethyl, ethoxyethyl, or propoxyethyl; and R40 is methyl-d3, cyclopropyl, 2, 2-difluoroethyl, 2, 2, 2-trifluoroethyl, 2, 2-difluoroethoxy, 2, 2, 2-trifluoroethoxy, methoxyethyl, ethoxyethyl, oxetan-3-yl, tetrahydrofuranyl, or tetrahydropyranyl.
74. In embodiment 74, the compound of any one of embodiments 1 to 56 and 59, or a pharmaceutically acceptable salt thereof, wherein R39 and R40 together with the nitrogen atom to
which they are attached form heterocyclyl, bicyclic heterocyclyl, bridged heterocyclyl, fused heterocyclyl, or spiroheterocyclyl wherein (a) heterocyclyl is substituted with Rn, Ro, Rp, and Rq and (b) bicyclic heterocyclyl, bridged heterocyclyl, fused heterocyclyl, and spiroheterocyclyl are independently substituted with Rr, Rs, and Rt.
75. In embodiment 75, the compound of any one of embodiments 1 to 56, 59 and 74, or a pharmaceutically acceptable salt thereof, wherein R39 and R40 together with the nitrogen atom to which they are attached form heterocyclyl substituted with Rn, Ro, Rp, and Rq.
76. In embodiment 76, the compound of any one of embodiments 1 to 56, 59 and 74, or a pharmaceutically acceptable salt thereof, wherein R39 and R40 together with the nitrogen atom to which they are attached form bicyclic heterocyclyl, bridged heterocyclyl, fused heterocyclyl, or spiroheterocyclyl, each ring independently substituted with Rr, Rs, and Rt.
77. In embodiment 77, the compound of any one of embodiments 1 to 56, 59, 74, and 75, or a pharmaceutically acceptable salt thereof, wherein R39 and R40 together with the nitrogen atom to which they are attached form azetidin-1-yl, pyrrolidin-1-yl, piperidin-1-yl, piperazin-1-yl, morpholin-1-yl, or homomorpholin-1-yl, each ring substituted with Rn, Ro, Rp, and Rq.
77a. In embodiment 77a, the compound of any one of embodiments 1 to 56, 59, 74, 75 and 77, is wherein Rn, Ro are independently selected from hydrogen, alkyl, haloalkyl, and alkoxy.
77b. In embodiment 77b, the compound of any one of embodiments 1 to 56, 59, 74, 75, 77, and 77a is wherein Rp is hydrogen, fluoro, or alkoxyalkyl.
78. In embodiment 78, the compound of any one of embodiments 1 to 56, 59, 74, 75, and 77, or a pharmaceutically acceptable salt thereof, wherein R39 and R40 together with the nitrogen atom to which they are attached form azetidin-1-yl, pyrrolidin-1-yl, piperidin-1-yl, piperazin-1-yl, morpholin-1-yl, or homomorpholin-1-yl, each ring substituted with Rn, Ro, Rp, and Rq where Rn and Ro are independently selected from hydrogen, deuterium, methyl, fluoro, difluoromethyl, trifluoromethyl, difluoromethoxy, trifluoromethoxy, cyano, or methoxy, Rp is hydrogen, deuterium, methoxymethyl, or fluoro, and Rq is hydrogen, deuterium, or fluoro.
79. In embodiment 79, the compound of any one of embodiments 1 to 56, 59, 74, 75, 77, and 78, or a pharmaceutically acceptable salt thereof, wherein R39 and R40 together with the nitrogen atom to which they are attached form 3-methoxymethylazetidin-1-yl, 2-methoxymethyl-piperidin-1-yl, 3, 3, 4, 4-tetrafluoropyrrolidin-1-yl, morpholin-1-yl. 2, 6-dimethylmorpholin-4-yl, 2, 2-
dimethylmorpholin-4-yl, 2- (trifluoromethyl) morpholin-4-yl, 2, 2-difluoromorpholin-4-yl, 2-methylmorpholin-4-yl, 3-methylmorpholin-4-yl, or 2- (difluoromethyl) morpholin-4-yl.
80. In embodiment 80, the compound of any one of embodiments 1 to 56, 59, 74, 75, and 77 to 79, or a pharmaceutically acceptable salt thereof, wherein R39 and R40 together with the nitrogen atom to which they are attached form morpholin-1-yl. 2, 6-dimethylmorpholin-4-yl, 2, 2-dimethylmorpholin-4-yl, 2- (trifluoromethyl) morpholin-4-yl, 2, 2-difluoromorpholin-4-yl, 2-methylmorpholin-4-yl, 3-methylmorpholin-4-yl, or 2- (difluoromethyl) morpholin-4-yl.
81. In embodiment 81, the compound of any one of embodiments 1 to 56, 59, 74, and 76, or a pharmaceutically acceptable salt thereof, wherein R39 and R40 together with the nitrogen atom to which they are attached form bicyclic heterocyclyl substituted with Rr, Rs, and Rt.
82. In embodiment 82, the compound of any one of embodiments 1 to 56, 59, 74, and 76, or a pharmaceutically acceptable salt thereof, wherein R39 and R40 together with the nitrogen atom to which they are attached form bridged heterocyclyl substituted with Rr, Rs, and Rt.
83. In embodiment 83, the compound of any one of embodiments 1 to 56, 59, 74, and 76, or a pharmaceutically acceptable salt thereof, wherein R39 and R40 together with the nitrogen atom to which they are attached form fused heterocyclyl substituted with Rr, Rs, and Rt.
84. In embodiment 84, the compound of any one of embodiments 1 to 56, 59, 74, and 76, or a pharmaceutically acceptable salt thereof, wherein R39 and R40 together with the nitrogen atom to which they are attached form spiroheterocyclyl substituted with Rr, Rs, and Rt.
84a In embodiment 84a, the compound of any one of embodiments 1 to 56, 59, 74, 76, and 81-84, or a pharmaceutically acceptable salt thereof, is wherein Rr, Rs, and Rt are independently selected from hydrogen, alkyl, halo, and alkoxy.
85. In embodiment 85, the compound of any one of embodiments 1 to 56, 59, 74, 76, and 81 to 84, or a pharmaceutically acceptable salt thereof, wherein R39 and R40 together with the nitrogen atom to which they are attached form a ring selected from:
wherein each ring is substituted with Rr, Rs, and Rt.
86. In embodiment 86, the compound of any one of embodiments 1 to 56, 59, 74, 76, and 81 to 85, or a pharmaceutically acceptable salt thereof, wherein Rt is hydrogen.
87. In embodiment 87, the compound of any one of embodiments 1 to 56, 59, 74, 76, and 81 to 86, or a pharmaceutically acceptable salt thereof, wherein Rs and Rt are hydrogen.
88. In embodiment 88, the compound of any one of embodiments 1 to 56, 59, 74, 76, and 81 to 87, or a pharmaceutically acceptable salt thereof, wherein Rr, and Rs and Rt (where applicable) are independently selected from hydrogen, methyl, methoxy, or fluoro.
89. In embodiment 89, the compound of any one of embodiments 1 to 55, 57, 58, and 60, or a pharmaceutically acceptable salt thereof, wherein R39 is hydrogen, deuterium, alkyl, deuterioalkyl, haloalkyl, haloalkoxyalkyl, or alkoxyalkyl and R40 is hydrogen, alkyl, deuterioalkyl, cycloalkyl, alkoxy, alkoxyalkyl, haloalkyl, haloalkoxyalkyl, or heterocyclyl optionally substituted with one or two substituents independently selected from alkyl, halo, and haloalkyl.
90. In embodiment 90, the compound of any one of embodiments 1 to 55, 57, 58, 60, and 89, or a pharmaceutically acceptable salt thereof, wherein R39 is hydrogen or deuterium and R40 is hydrogen, alkyl, deuterioalkyl, cycloalkyl, alkoxy, alkoxyalkyl, haloalkyl, haloalkoxyalkyl, or
heterocyclyl optionally substituted with one or two substituents independently selected from alkyl, halo, and haloalkyl.
91. In embodiment 91, the compound of any one of embodiments 1 to 55, 57, 58, 60, and 89, or a pharmaceutically acceptable salt thereof, wherein R39 is alkyl.
92. In embodiment 92, the compound of any one of embodiments 1 to 55, 57, 58, 60, and 89, or a pharmaceutically acceptable salt thereof, wherein R39 is haloalkyl
93. In embodiment 93, the compound of any one of embodiments 1 to 55, 57, 58, 60, and 89, or a pharmaceutically acceptable salt thereof, wherein R39 is haloalkoxyalkyl.
94. In embodiment 94, the compound of any one of embodiments 1 to 55, 57, 58, 60, and 89, or a pharmaceutically acceptable salt thereof, wherein R39 is alkoxyalkyl.
95. In embodiment 95, the compound of any one of embodiments 1 to 55, 57, 58, 60, and 89, or a pharmaceutically acceptable salt thereof, wherein R39 is deuterioalkyl.
96. In embodiment 96, the compound of any one of embodiments 1 to 55, 57, 58, 60, and 89 to 95, or a pharmaceutically acceptable salt thereof, wherein R40 is alkoxy.
97. In embodiment 97, the compound of any one of embodiments 1 to 55, 57, 58, 60, and 89 to 95, or a pharmaceutically acceptable salt thereof, wherein R40 is alkoxyalkyl.
98. In embodiment 98, the compound of any one of embodiments 1 to 55, 57, 58, 60, and 89 to 95, or a pharmaceutically acceptable salt thereof, wherein R40 is haloalkyl.
99. In embodiment 99, the compound of any one of embodiments 1 to 55, 57, 58, 60, and 89 to 95, or a pharmaceutically acceptable salt thereof, wherein R40 is haloalkoxyalkyl.
100. In embodiment 100, the compound of any one of embodiments 1 to 55, 57, 58, 60, and 89 to 95, or a pharmaceutically acceptable salt thereof, wherein R40 is cycloalkyl.
101. In embodiment 101, the compound of any one of embodiments 1 to 55, 57, 58, 60, and 89 to 95, or a pharmaceutically acceptable salt thereof, wherein R40 is deuterioalkyl.
102. In embodiment 102, the compound of any one of embodiments 1 to 55, 57, 58, 60, and 89 to 95, or a pharmaceutically acceptable salt thereof, wherein R40 is heterocyclyl optionally substituted with one or two substituents independently selected from alkyl, halo, and haloalkyl.
103. In embodiment 103, the compound of any one of embodiments 1 to 55, 57, 58, and 60, or a pharmaceutically acceptable salt thereof, wherein R39 is hydrogen, methyl, methyl-d3, methoxyethyl, ethoxyethyl, or propoxyethyl; and R40 is hydrogen, methyl, methyl-D3. cyclopropyl,
2, 2-difluoroethyl, 2, 2, 2-trifluoroethyl, 2, 2-difluoroethoxy, 2, 2, 2-trifluoroethoxy, methoxyethyl, ethoxyethyl, oxetan-3-yl, tetrahydrofuranyl, or tetrahydropyranyl.
104. In embodiment 104, the compound of any one of embodiments 1 to 55, 57, 58, and 60, or a pharmaceutically acceptable salt thereof, wherein R39 and R40 together with the nitrogen atom to which they are attached form heterocyclyl, bicyclic heterocyclyl, bridged heterocyclyl, fused heterocyclyl, or spiroheterocyclyl wherein (a) heterocyclyl is substituted Ru, Rv, Rw, and Rx and (b) bicyclic heterocyclyl, bridged heterocyclyl, fused heterocyclyl, and spiroheterocyclyl are independently substituted with Ry, Ry1, and Ry2.
105. In embodiment 105, the compound of any one of embodiments 1 to 56, 59, and 104, or a pharmaceutically acceptable salt thereof, wherein R39 and R40 together with the nitrogen atom to which they are attached form heterocyclyl substituted with Ru, Rv, Rw, and Rx.
106. In embodiment 106, the compound of any one of embodiments 1 to 56, 57, 58, 60, and 104, or a pharmaceutically acceptable salt thereof, wherein R39 and R40 together with the nitrogen atom to which they are attached form bicyclic heterocyclyl, bridged heterocyclyl, fused heterocyclyl, or spiroheterocyclyl, each ring independently substituted with Ry, Ry1, and Ry2.
107. In embodiment 107, the compound of any one of embodiments 1 to 56, 57, 58, 60, 104, and 105, or a pharmaceutically acceptable salt thereof, wherein R39 and R40 together with the nitrogen atom to which they are attached form azetidin-1-yl, pyrrolidin-1-yl, piperidin-1-yl, piperazin-1-yl, morpholin-1-yl, or homomorpholin-1-yl, each ring substituted with Ru, Rv, Rw, and Rx.
108. In embodiment 108, the compound of any one of embodiments 1 to 56, 57, 58, 60, 104, 105, and 107, or a pharmaceutically acceptable salt thereof, wherein R39 and R40 together with the nitrogen atom to which they are attached form azetidin-1-yl, pyrrolidin-1-yl, piperidin-1-yl, piperazin-1-yl, morpholin-1-yl, or homomorpholin-1-yl, each ring substituted with Ru, Rv, Rw, and Rx where Ru and Rv are independently selected from hydrogen, deuterium, methyl, fluoro, difluoromethyl, trifluoromethyl, difluoromethoxy, trifluoromethoxy, cyano, or methoxy, Rw is hydrogen, deuterium, or fluoro, and Rx is hydrogen, deuterium, or fluoro.
109. In embodiment 109, the compound of any one of embodiments 1 to 56, 57, 58, 60, 104, 105, 107, and 108, or a pharmaceutically acceptable salt thereof, wherein R39 and R40 together with the nitrogen atom to which they are attached form 3-methoxymethylazetidin-1-yl, 2-methoxymethyl-piperidin-1-yl, 3, 3, 4, 4-tetrafluoropyrrolidin-1-yl, morpholin-1-yl. 2, 6-
dimethylmorpholin-4-yl, 2, 2-dimethylmorpholin-4-yl, 2- (trifluoromethyl) morpholin-4-yl, 2, 2-difluoromorpholin-4-yl, 2-methylmorpholin-4-yl, 3-methylmorpholin-4-yl, or 2- (difluoromethyl) morpholin-4-yl.
110. In embodiment 110, the compound of any one of embodiments 1 to 56, 57, 58, 60, 104, 105, and 107 to 109, or a pharmaceutically acceptable salt thereof, wherein R39 and R40 together with the nitrogen atom to which they are attached form morpholin-1-yl. 2, 6-dimethylmorpholin-4-yl, 2, 2-dimethylmorpholin-4-yl, 2- (trifluoromethyl) morpholin-4-yl, 2, 2-difluoromorpholin-4-yl, 2-methylmorpholin-4-yl, 3-methylmorpholin-4-yl, or 2- (difluoromethyl) morpholin-4-yl.
111. In embodiment 111, the compound of any one of embodiments 1 to 56, 57, 58, 60, 104, and 106, or a pharmaceutically acceptable salt thereof, wherein R39 and R40 together with the nitrogen atom to which they are attached form bicyclic heterocyclyl substituted with Ry, Ry1, and Ry2.
112. In embodiment 112, the compound of any one of embodiments 1 to 56, 57, 58, 60, 104, and 106, or a pharmaceutically acceptable salt thereof, wherein R39 and R40 together with the nitrogen atom to which they are attached form bridged heterocyclyl substituted with Ry, Ry1, and Ry2.
113. In embodiment 113, the compound of any one of embodiments 1 to 56, 57, 58, 60, 104, and 106, or a pharmaceutically acceptable salt thereof, wherein R39 and R40 together with the nitrogen atom to which they are attached form fused heterocyclyl substituted with Ry, Ry1, and Ry2.
114. In embodiment 114, the compound of any one of embodiments 1 to 56, 57, 58, 60, 104, and 106, or a pharmaceutically acceptable salt thereof, wherein R39 and R40 together with the nitrogen atom to which they are attached form spiroheterocyclyl substituted with Ry, Ry1, and Ry2.
115. In embodiment 115, the compound of any one of embodiments 1 to 56, 57, 58, 60, 104, 106, and 111 to 114, or a pharmaceutically acceptable salt thereof, wherein R39 and R40 together with the nitrogen atom to which they are attached form a ring selected from:
wherein each ring is substituted with Rr, Rs, and Rt.
116. In embodiment 116, the compound of any one of embodiments 1 to 58, 60, 104, 106, and 111 to 115, or a pharmaceutically acceptable salt thereof, wherein Ry2 is hydrogen.
117. In embodiment 117, the compound of any one of embodiments 1 to 58, 60, 104, 106, and 111 to 116, or a pharmaceutically acceptable salt thereof, wherein Ry1 and Ry2 are hydrogen.
118. In embodiment 118, the compound of any one of embodiments 1 to 58, 60, 104, 106, and 111 to 117, or a pharmaceutically acceptable salt thereof, wherein Ry, and Ry1 and Ry2 (where applicable) are independently selected from hydrogen, methyl, methoxy, or fluoro.
118a. In embodiment 118a, the compound of any one of embodiments 1 to 55, or a pharmaceutically acceptable salt thereof, is wherein Rb, Re, and Rh are independently – (Q2) -OR41.
118a1. In embodiment 118a1, the compound of any one of embodiments 1 to 55 and 118a, or a pharmaceutically acceptable salt thereof, is wherein Q2 is alkylene.
118a2. In embodiment 118a2, the compound of any one of embodiments 1 to 55, 118a, and 118a1, or a pharmaceutically acceptable salt thereof, is wherein Q2 is deuterioalkylene.
118a3. In embodiment 118a3, the compound of any one of embodiments 1 to 55 and 118a to 118a2, or a pharmaceutically acceptable salt thereof, is wherein Q2 is methylene, methylene-d2, ethylene, propylene, or butylene.
118a4. In embodiment 118a4, the compound of any one of embodiments 1 to 55 and 118a to 118a3, or a pharmaceutically acceptable salt thereof, is wherein Q2 is methylene, methylene-d2, ethylene, or propylene.
118a5. In embodiment 118a5, the compound of any one of embodiments 1 to 55 and 118a to 118a4, or a pharmaceutically acceptable salt thereof, is wherein R41 is cycloalkyl (such as cyclopropyl, cyclobutyl, cyclopentyl or cyclohexyl) substituted with Ry3, Ry4, and Ry5 independently selected from hydrogen, alkyl, halo, haloalkyl, haloalkoxy, alkoxy, alkoxyalkyl, hydroxy, hydroxyalkyl, and nitrile.
118a6. In embodiment 118a6, the compound of any one of embodiments 1 to 55 and 118a to 118a4, or a pharmaceutically acceptable salt thereof, is wherein R41 is cycloalkylalkyl (such as cyclopropylmethyl or -ethyl, cyclobutylmethyl or -ethyl, cyclopentylmethyl or -ethyl or cyclohexylmethyl or -ethyl) substituted with Ry3, Ry4, and Ry5 independently selected from hydrogen, alkyl, halo, haloalkyl, haloalkoxy, alkoxy, alkoxyalkyl, hydroxy, hydroxyalkyl, and nitrile.
118a7. In embodiment 118a7, the compound of any one of embodiments 1 to 55 and 118a to 118a4, or a pharmaceutically acceptable salt thereof, is wherein R41 is haloalkoxyalkyl such as trifluoromethoxymethyl or difluoromethoxymethyl.
118a8. In embodiment 118a8, the compound of any one of embodiments 1 to 55 and 118a to 118a4, or a pharmaceutically acceptable salt thereof, is wherein R41 is heterocyclyl (such as pyrrolidinyl, piperidinyl, piperazinyl, or morpholinyl) substituted with Ry3, Ry4, and Ry5 independently selected from hydrogen, alkyl, halo, haloalkyl, haloalkoxy, alkoxy, alkoxyalkyl, hydroxy, hydroxyalkyl, and nitrile.
118a9. In embodiment 118a9, the compound of any one of embodiments 1 to 55 and 118a to 118a4, or a pharmaceutically acceptable salt thereof, is wherein R41 is heterocyclylalkyl (such as pyrrolidinylmethyl or -ethyl, piperidinylmethyl or -ethyl, piperazinylmethyl or -ethyl or morpholinylmethyl or -ethyl) substituted with Ry3, Ry4, and Ry5 independently selected from hydrogen, alkyl, halo, haloalkyl, haloalkoxy, alkoxy, alkoxyalkyl, hydroxy, hydroxyalkyl, and nitrile.
118a10. In embodiment 118a10, the compound of any one of embodiments 1 to 55 and 118a to 118a4, or a pharmaceutically acceptable salt thereof, is wherein R41 is phenyl substituted with Ry3, Ry4, and Ry5 independently selected from hydrogen, alkyl, halo, haloalkyl, haloalkoxy, alkoxy, alkoxyalkyl, hydroxy, hydroxyalkyl, and nitrile.
118a11. In embodiment 118a11, the compound of any one of embodiments 1 to 55 and 118a to 118a4, or a pharmaceutically acceptable salt thereof, is wherein R41 is phenylmethyl or -ethyl substituted with Ry3, Ry4, and Ry5 independently selected from hydrogen, alkyl, halo, haloalkyl, haloalkoxy, alkoxy, alkoxyalkyl, hydroxy, hydroxyalkyl, and nitrile.
118a12. In embodiment 118a12, the compound of any one of embodiments 1 to 55 and 118a to 118a4, or a pharmaceutically acceptable salt thereof, is wherein R41 is heteroaryl (such as furanyl, pyridyl, pyrazinyl, quinolinyl, or isoquinolinyl) substituted with Ry3, Ry4, and Ry5 independently selected from hydrogen, alkyl, halo, haloalkyl, haloalkoxy, alkoxy, alkoxyalkyl, hydroxy, hydroxyalkyl, and nitrile.
118a13. In embodiment 118a13, the compound of any one of embodiments 1 to 55 and 118a to 118a4, or a pharmaceutically acceptable salt thereof, is wherein R41 is heteroaryalkyl (such as furanylmethyl or -ethyl, pyridylmethyl or -ethyl, pyrazinylmethyl or -ethyl, quinolinylmethyl or -ethyl, or isoquinolinylmethyl or -ethyl) substituted with Ry3, Ry4, and Ry5 independently selected from hydrogen, alkyl, halo, haloalkyl, haloalkoxy, alkoxy, alkoxyalkyl, hydroxy, hydroxyalkyl, and nitrile.
119. In embodiment 119, the compound of any one of embodiments 1 to 118a13, or a pharmaceutically acceptable salt thereof, is wherein Rc, Rf, and Ri are independently hydrogen, deuterium, methyl, ethyl, methoxy, ethoxy, methyloxy, ethyloxy, chloro, or fluoro.
120. In embodiment 120, the compound of any one of embodiments 1 to 119, or a pharmaceutically acceptable salt thereof, is wherein Rc, Rf, and Ri are hydrogen.
121. In embodiment 121, the compound of any one of embodiments 1 to 119, or a pharmaceutically acceptable salt thereof, is wherein Rc, Rf, and Ri are deuerium.
122. In embodiment 122, the compound of any one of embodiments 1 to 119, or a pharmaceutically acceptable salt thereof, is wherein Rc, Rf, and Ri are independently methyl, methoxy, methyloxy, chloro, or fluoro.
123. In embodiment 123, the compound of any one of embodiments 1 to 122, or a pharmaceutically acceptable salt thereof, is wherein Rc1, Rf1, and Ri1 are independently selected from hydrogen, deuterium, or fluoro.
124. In embodiment 124, the compound of any one of embodiments 1 to 123, or a pharmaceutically acceptable salt thereof, is wherein Rc1, Rf1, and Ri1 are hydrogen.
125. In embodiment 125, the compound of any one of embodiments 1 to 123, or a pharmaceutically acceptable salt thereof, is wherein Rc1, Rf1, and Ri1 are deuterium.
126. In embodiment 126, the compound of any one of embodiments 1 to 123, or a pharmaceutically acceptable salt thereof, is wherein Rc1, Rf1, and Ri1 are fluoro.
127. In embodiment 127, the compound of any one of embodiments 1 to 126, or a pharmaceutically acceptable salt thereof, is wherein Z is O.
128. In embodiment 128, the compound of any one of embodiments 1 to 127, or a pharmaceutically acceptable salt thereof, is wherein:
R1 is a ring of formulawhere one of m and n is 0, 1, or 2, and the other of m and n is 0, 1, 2, or 3.
128a1. In embodiment 128a1, the compound of any one of embodiments 1 to 128, or a pharmaceutically acceptable salt thereof, is wherein m and n are each 1, or one of m and n is 1 and the other of m and n is 2.
128b1. In embodiment 128b1, the compound of any one of embodiments 1 to 128, or a pharmaceutically acceptable salt thereof, is wherein m and n are each 1, or one of m and n is 1.
128c1. In embodiment 128c1, the compound of any one of embodiments 1 to 128, or a pharmaceutically acceptable salt thereof, is wherein one of m and n is 1 and the other of m and n is 2.
128d1. In embodiment 128d1, the compound of any one of embodiments 1 to 128, or a pharmaceutically acceptable salt thereof, is wherein m and n are each 1.
128e1. In embodiment 128e1, the compound of any one of embodiments 1 to 128, or a pharmaceutically acceptable salt thereof, is wherein m is 1 and n is 3.
128f1. In embodiment 128f1, the compound of any one of embodiments 1 to 128e1, or a pharmaceutically acceptable salt thereof, is wherein R6 and R7 are independently selected from hydrogen, methyl, and ethyl, and R6a and R6b are hydrogen.
128g1. In embodiment 128g1, the compound of any one of embodiments 1 to 128e1, or a pharmaceutically acceptable salt thereof, is wherein R6 is cyanomethyl and R7 is hydrogen, methyl, or ethyl, preferably R7 is hydrogen, and R6a and R6b are hydrogen.
128h1. In embodiment 128h1, the compound of any one of embodiments 1 to 128e1, or a pharmaceutically acceptable salt thereof, is wherein R6 and R7 are attached to the carbon atoms of the ring that are opposite or diagonal to each other and combine to form – (CH2) z-where z is 1, 2, or 3, preferably z is 2, and R6a and R6b are hydrogen.
128i1. In embodiment 128i1, the compound of any one of embodiments 1 to 128e1, or a pharmaceutically acceptable salt thereof, is wherein R6 and R7 are attached to the carbon atoms of the ring that are opposite or diagonal to each other and combine to form – (CH2) z-where z is 1, 2, or 3, preferably 2, R6b is hydrogen and R6a is attached to a carbon of the – (CH2) z-group and is alkylidenyl, preferably =CH2.
128j1. In embodiment 128j1, the compound of any one of embodiments 1 to 128, 128d1 and 128h1, or a pharmaceutically acceptable salt thereof, is wherein R1 is:
129. In embodiment 129, the compound of any one of embodiments 1 to 127, or a pharmaceutically acceptable salt thereof, is wherein R1 is a ring of formula
130. In embodiment 130, the compound of any one of embodiments 1 to 127, or a pharmaceutically acceptable salt thereof, is wherein R1 is a ring of formula
131a1. In embodiment 131a1, the compound of any one of embodiments 1 to 127 and 130, or a pharmaceutically acceptable salt thereof, is wherein R1 is:
132. In embodiment 132, the compound of any one of embodiments 1 to 127, and 129, or a pharmaceutically acceptable salt thereof, is wherein R1 is a ring of formula:
133. In embodiment 133, the compound of any one of embodiments 1 to 127, or a pharmaceutically acceptable salt thereof, is wherein R1 is a ring of formulaIn a subembodiment, R29a and R29b are hydrogen.
134. In embodiment 134, the compound of Formula (I) of any one of embodiments 1 to 133, or a pharmaceutically acceptable salt thereof, has a structure of formula (I’a) as follows:
135. In embodiment 135, the compound of Formula (I) of any one of embodiments 1 to 133, or a pharmaceutically acceptable salt thereof, has a structure of formula (I’b) as follows:
136. In embodiment 136, the compound of Formula (I) of any one of embodiments 1 to 133, or a pharmaceutically acceptable salt thereof, has a structure of formula (I’c) as follows:
137. In embodiment 137, the compound of Formula (I) of any one of embodiments 1 to 133 and 136, or a pharmaceutically acceptable salt thereof, has a structure of formula (I’d) as follows:
138. In embodiment 138, the compound of Formula (I) of any one of embodiments 1 to 133, or a pharmaceutically acceptable salt thereof, has a structure of formula (I’e) as follows:
139. In embodiment 139, the compound of Formula (I) of any one of embodiments 1 to 133, and 138, or a pharmaceutically acceptable salt thereof, has a structure of formula (I’f) as follows:
140. In embodiment 140, the compound of any one of embodiments 1 to 139, or a pharmaceutically acceptable salt thereof, is wherein R5 is -Q-R37 where Q is a bond and R37 is cycloalkyl, fused cycloalkyl, fused spirocycloalkyl, aryl, heteroaryl, or fused heteroaryl, wherein aryl, heteroaryl, and fused heteroaryl are substituted with Raa, Rbb, Rcc and Rdd wherein Raa and Rbb are independently selected from hydrogen, alkyl, cycloalkyl, halo, haloalkyl, haloalkoxy, hydroxy, alkoxy, heteroalkyl, hydroxyalkyl, amino, and cyano, Rcc is hydrogen, alkenyl, alkynyl, cyanoalkenyl, cyanoalkynyl, or halo, and Rdd is hydrogen, alkyl, cycloalkyl, halo, haloalkyl, haloalkoxy, alkoxy, alkylthio, heteroalkyl, hydroxyalkyl, amino, cyano, optionally substituted aryl, optionally substituted heteroaryl, optionally substituted heterocyclyl, or optionally substituted heterocyclylalkyl.
141. In embodiment 141, the compound of any one of embodiments 1 to 139, or a pharmaceutically acceptable salt thereof, is wherein R5 is -Q-R37 where Q is alkylene and R27is cycloalkyl, aryl, or fused heteroaryl, wherein aryl, fused heteroaryl, and heteroaryl are substituted with Raa, Rbb, Rcc and Rdd wherein Raa and Rbb are independently selected from hydrogen, alkyl, cycloalkyl, halo, haloalkyl, haloalkoxy, hydroxy, alkoxy, heteroalkyl, hydroxyalkyl, amino, and cyano, Rcc is hydrogen, alkynyl, or halo, and Rdd is hydrogen, alkyl, cycloalkyl, halo, haloalkyl, haloalkoxy, alkoxy, heteroalkyl, hydroxyalkyl, amino, cyano, optionally substituted aryl, optionally substituted heteroaryl, optionally substituted heterocyclyl, or optionally substituted heterocyclylalkyl.
142. In embodiment 142, the compound of any one of embodiments 1 to 139, or a pharmaceutically acceptable salt thereof, is wherein R5 is -Q-R37 where Q is -C (O) -and R37 is
cycloalkyl, aryl, fused heteroaryl, or heteroaryl, wherein aryl, fused heteroaryl and heteroaryl are substituted with Raa, Rbb, Rcc and Rdd wherein Raa and Rbb are independently selected from hydrogen, alkyl, cycloalkyl, halo, haloalkyl, haloalkoxy, hydroxy, alkoxy, heteroalkyl, hydroxyalkyl, amino, and cyano, Rcc is hydrogen, alkynyl, or halo, and Rdd is hydrogen, alkyl, cycloalkyl, halo, haloalkyl, haloalkoxy, alkoxy, heteroalkyl, hydroxyalkyl, amino, cyano, optionally substituted aryl, optionally substituted heteroaryl, optionally substituted heterocyclyl, or optionally substituted heterocyclylalkyl.
143. In embodiment 143, the compound of any one of embodiments 1 to 139, or a pharmaceutically acceptable salt thereof, is wherein R37 is cycloalkyl, fused cycloalkyl, aryl, or heteroaryl wherein aryl, and heteroaryl are substituted with Raa, Rbb, Rcc and Rdd wherein Raa and Rbb are independently selected from hydrogen, alkyl, cycloalkyl, halo, haloalkyl, haloalkoxy, hydroxy, alkoxy, heteroalkyl, hydroxyalkyl, amino, and cyano, Rcc is hydrogen, alkenyl, alkynyl, cyanoalkenyl, cyanoalkynyl, or halo, and Rdd is hydrogen, alkyl, cycloalkyl, halo, haloalkyl, haloalkoxy, alkoxy, heteroalkyl, hydroxyalkyl, amino, cyano, optionally substituted aryl, optionally substituted heteroaryl, optionally substituted heterocyclyl, or optionally substituted heterocyclylalkyl.
144. In embodiment 144, the compound of any one of embodiments 1 to 139, or a pharmaceutically acceptable salt thereof, is wherein R5 is -Q-R37 where Q is a bond and R37 is phenyl or naphthyl substituted with Raa, Rbb, Rcc and Rdd.
145. In embodiment 99, the compound of any one of embodiments 1 to 139 and 144, or a pharmaceutically acceptable salt thereof, is wherein R5 is -Q-R37 where Q is a bond and R37 is phenyl or naphthyl substituted with Raa, Rbb, Rcc and Rdd where Raa and Rbb are independently selected from hydrogen, alkyl, halo, haloalkyl, hydroxy, alkoxy, haloalkoxy, cycloalkyl, amino, cyano, and hydroxyalkyl, Rcc is hydrogen, fluoro, alkynyl, and Rdd is hydrogen, alkyl, cycloalkyl, halo, haloalkyl, haloalkoxy, alkoxy, heteroalkyl, hydroxyalkyl, amino, cyano, optionally substituted aryl, optionally substituted heteroaryl, optionally substituted heterocyclyl, or optionally substituted heterocyclylalkyl.
146. In embodiment 146, the compound of any one of embodiments 1 to 145, or a pharmaceutically acceptable salt thereof, is wherein Raa and Rbb independently selected from hydrogen, methyl, ethyl, fluoro, chloro, trifluoromethyl, difluoromethyl, trifluoromethoxy, hydroxy, methyl, ethoxy, cyclopropyl, amino, cyano, and hydroxymethyl, Rcc is hydrogen, ethynyl, 2-cyanovinyl, 2-cyanoethyn-1-yl, or fluoro, and Rdd is hydrogen, methyl, fluoro, amino, or cyclopropyl.
147. In embodiment 147, the compound of any one of embodiments 1 to 139, or a pharmaceutically acceptable salt thereof, is wherein R5 is -Q-R37 where Q is a bond and R37 is heteroaryl or fused heteroaryl substituted with Raa, Rbb, Rcc and Rdd.
148. In embodiment 148, the compound of any one of embodiments 1 to 139 and 147, or a pharmaceutically acceptable salt thereof, is wherein R5 is -Q-R37 where Q is a bond and R37 is a monocyclic heteroaryl (e.g., pyridyl, pyrimidinyl, benzothiazolyl, pyrazolyl) substituted with Raa, Rbb, Rcc and Rdd.
149. In embodiment 149, the compound of any one of embodiments 1 to 139 and 147, or a pharmaceutically acceptable salt thereof, is wherein R5 is -Q-R37 where Q is a bond and R37 is bicyclic heteroaryl (e, g, quinolinyl, isoquinolinyl, or indazolyl) , substituted with Raa, Rbb, Rcc and Rdd.
150. In embodiment 150, the compound of any one of embodiments 1 to 139 and 147 to 149, or a pharmaceutically acceptable salt thereof, is wherein the heteroaryl is substituted with Raa, Rbb, and Rdd where Raa and Rbb independently selected from hydrogen, alkyl, halo, haloalkyl, hydroxy, alkoxy, haloalkoxy, cycloalkyl, amino, cyano, and hydroxyalkyl and Rdd is hydrogen, alkyl, cycloalkyl, halo, haloalkyl, haloalkoxy, alkoxy, heteroalkyl, hydroxyalkyl, amino, cyano, optionally substituted aryl, optionally substituted heteroaryl, optionally substituted heterocyclyl, or optionally substituted heterocyclylalkyl.
151. In embodiment 151, the compound of any one of embodiments 1 to 139 and 147 to 150, or a pharmaceutically acceptable salt thereof, is wherein Raa and Rbb are independently selected from hydrogen, methyl, ethyl, fluoro, chloro, trifluoromethyl, difluoromethyl, trifluoromethoxy, hydroxy, methyl, ethoxy, cyclopropyl, amino, cyano, and hydroxymethyl, Rcc is hydrogen or fluoro, and Rdd is hydrogen, methyl, fluoro, amino, or cyclopropyl.
152. In embodiment 152, the compound of any one of embodiments 1 to 151, or a pharmaceutically acceptable salt thereof, is wherein R5 is -Q-R37 where Q is a bond and R37 is:
153. In embodiment 153, the compound of any one of embodiments 1 to 139, 144 to 146, and 152, or a pharmaceutically acceptable salt thereof, is wherein R5 is -Q-R37 where Q is a bond and R37 is:
154. In embodiment 154, the compound of any one of embodiments 1 to 139, 144 to 146, and 153, or a pharmaceutically acceptable salt thereof, is wherein R5 is -Q-R37 where Q is a bond and R44 is:
.
154a. In embodiment 154a, the compound of any one of embodiments 1 to 139, 144 to 146, and 153, or a pharmaceutically acceptable salt thereof, is wherein R5 is -Q-R37 where Q is a bond and R44 is:
155. In embodiment 155, the compound of any one of embodiments 1 to 154a, or a pharmaceutically acceptable salt thereof, is wherein R2 is hydrogen, halo, or alkyl, and R3 is hydrogen, halo, cycloalkyloxy, or alkyl.
156. In embodiment 156, the compound of any one of embodiments 1 to 155a, or a pharmaceutically acceptable salt thereof, is wherein R2 and R3 are each hydrogen.
157. In embodiment 157, the compound of any one of embodiments 1 to 155a, or a pharmaceutically acceptable salt thereof, is wherein R2 is hydrogen or chloro and R3 is hydrogen, fluoro, or cyclopropyloxy.
158. In embodiment 158, the compound of any one of embodiments 1 to 155a, or a pharmaceutically acceptable salt thereof, is wherein R2 is hydrogen and R3 is fluoro.
General Synthetic Scheme
Compounds Formula (I) can be made by the methods depicted in the reaction schemes shown below.
The starting materials and reagents used in preparing these compounds are either available from commercial suppliers such as Aldrich Chemical Co., (Milwaukee, Wis. ) , Bachem (Torrance, Calif. ) , or Sigma (St. Louis, Mo. ) or are prepared by methods known to those skilled in the art following procedures set forth in references such as Fieser and Fieser’s Reagents for Organic Synthesis, Volumes 1-17 (John Wiley and Sons, 1991) ; Rodd’s Chemistry of Carbon Compounds, Volumes 1-5 and Supplementals (Elsevier Science Publishers, 1989) ; Organic Reactions, Volumes 1-40 (John Wiley and Sons, 1991) , March’s Advanced Organic Chemistry, (John Wiley and Sons, 4th Edition) and Larock’s Comprehensive Organic Transformations (VCH Publishers Inc., 1989) . These schemes are merely illustrative of some methods by which the compounds Formula (I) can be synthesized, and various modifications to these schemes can be made and will be suggested to one skilled in the art reading this disclosure. The starting materials and the intermediates, and the final products of the reaction may be isolated and purified if desired using conventional techniques, including but not limited to filtration, distillation, crystallization, chromatography and the like. Such materials may be characterized using conventional means, including physical constants and spectral data.
Unless specified to the contrary, the reactions described herein take place at atmospheric pressure over a temperature range from about –78 ℃ to about 150 ℃, such as from about 0 ℃ to about 125 ℃ and further such as at about room (or ambient) temperature, e.g., about 20 ℃.
Compounds of Formula (I) can be prepared by methods known in the art. For example, compound of Formula (I) where R1 is a ring of formula (a’) where R6a and R6b are hydrogen, respectively, R4 is -O-R37, and other groups are as defined in the Summary can be prepared as illustrated and described in Scheme 1 below.
Scheme 1
Chlorination of a compound of formula 1-a where Xa is a halogen, and other groups as defined in the Summary or a precursor group thereof (a precursor group as used herein is one that can be converted to a group covered by Formula (I) . A representative example of conversion of a precursor group to a group covered by Formula (I) is illustrated and described in Scheme 3 below) with a suitable chlorination reagent such as POCl3 optionally in presence of a base such as DIPEA provides a 2, 4-dichloro compound of formula 1-b. Compounds of formula 1-a is either commercially available or they can be prepared by method well known in the art. Once such method is illustrated and described in Methods 1 and 2 below.
Treatment of compound 1-b with an amine of formula (a”) where m, n, R6 and R7 are as defined in the Summary or a precursor group thereof and PG is a suitable amino protecting group such as Boc, CBz, and the like, in the presence of a base such as DEA or DBU and the like, provides a 2-chloro compound of formula 1-c. Displacement of chloro group at C-2 position in compound 1-c with an alcohol of formula 1-f where R30A-Q1-OPG1 is a precursor group of R30, provides a compound of formula 1-d. Alcohols of formula 1-f are either commercially available or can be made by methods known in the art. Representative methods for preparing compound of formula 1-f are described in in the Working Examples below.
Amines of formula (a”) are either commercially available or can be made by methods known in the art. For example, benzyl 2- (cyanomethyl) piperazine-1-carboxylate, tert-butyl 2-
(cyanomethyl) piperazine-1-carboxylate, benzyl 2, 5-dimethylpiperazine-1-carboxylate, tert-butyl 2-methylpiperazine-1-carboxylate, tert-butyl piperazine-1-carboxylate, benzyl piperazine-1-carboxylate are commercially available. Others can be prepared by methods well known in the art.
Reaction of a compound of formula 1-d with a suitable organometallic reagent of formula R5-M where R5 is cycloalkyl, aryl or heteroaryl as defined in the Summary and M is boronic acid, boronic ester, or stannane, under Suzuki, Negeshi, and Stille reaction conditions, followed by removal of hydroxy protecting group and reaction of the resulting hydroxy group with an amine of formula NHR39R40 under carbomoylation reaction conditions provides a compound of formula 1-e.
Removal of amino protecting group PG in 1-e under standard reaction condition provides a compound of Formula (I) . It will be apparent to a person of ordinary skilled in the art, that compounds of Formula (I) where R1 is a group of formula (b’) , (f’) or (g’) can be similarly prepared by using appropriate mono-protected amines. For example, compound of Formula (I) where R1 is a ring of formula (b’) can be prepared using tert-butyl 2, 7-diazaspiro [3.5] nonane-2-carboxylate, and tert-butyl 2, 6-diazaspiro [3.4] octane-2-carboxylate. Other mono-protected amines can be prepared by methods disclosed in the art, e.g., PCT application publication No. WO2019099524.
Compounds of formula 1-a can be prepared by methods well known in the art. For example,
1. Compounds of Formula 1-a where Xa is halogen, U is CH, V is N, W is CH, R2 and R3 are as defined in the Summary (or any embodiments thereof) can be prepared as illustrated and described below.
Iodination of a compound of formula 1 where Xa is a halo and R2 and R3 are as defined in the Summary, with NIS and a suitable acid such as TsOH provides a compound of formula 2. The iodine in 2 can be converted to ethyl carboxylate under carbonylation condition including Pd catalyst such as Pd (PPh3) 4 in carbon monoxide atmosphere and ethanol solvent to provide a compound of formula 3.
Compound 3 can react with triphosgene to provide trichloroacetamido compound of formula 4, which upon treatment with ammonia in an organic solvent such as methanol, undergoes cyclization to provide compound of formula 1-a. Compounds of formula 1 are either commercially available or can be made by methods known in the art. For example, 2-chloro-3-fluoropyridin-4-amine and 2-chloropyridin-4-amine are commercially available.
2. Compounds of Formula 1-a where Xa is halogen, U, V and W are CH, R2 and R3 are as defined in the Summary (or any embodiments thereof) can be prepared by reacting a compound of formulawith urea at elevated temperature. Compounds of formula 5 are either commercially available or can be made by methods known in the art. For example, 2-amino-4-bromo-5-chloro-3-fluorobenzoic acid, 2-amino-4-bromo-3-fluorobenzoic acid and 2-amino-4-bromobenzoic acid are commercially available.
Alternatively, compounds of Formula (I) where R1 is, for example, a ring of formula (a’) , R4 is -O-R30, and other groups are as defined in the Summary can be prepared as illustrated and described in Scheme 2 below.
Scheme 2
Coupling reaction between compound 1-a and a suitable organometallic reagent of formula R5-M where R5 is cycloalkyl, aryl or heteroaryl as defined in the Summary or a precursor group thereof and M is boronic acid, boronic ester, or stannane, under Suzuki, Negeshi, and Stille reaction conditions respectively, to provide a compound of formula 2-a. Chlorination of a compound of formula 2-a with a suitable chlorination reagent such as POCl3 optionally in presence of a base such as DIPEA provides compound of formula 2-b. Compound 2-b is converted to a compound of Formula (I) as described in Scheme 1 above.
Compounds of Formula (I) where R4 iscan be prepared by a precursor group of formulaas illustrated and described in Scheme 3 below
Scheme 3
Removal of the hydroxy protecting group in formula 3-a provides a compound of formula 3-b. Treatment of a compound of formula 3-b with a couling agent such as CDI, (4-nitrophenyl) carbonochloridate and the like, followed by treatment of the resulting intermediate with an amine of
formula HR39R40, where R39 and R40 are as defined in the Summary provides a compound of formula 3-c which can the converted to compound of Formula (I) as described above.
Utility
The present disclosure provides treatment of cancer mediated by K-ras, in particular with K-ras G12D mutants. In some embodiments, the cancer is pancreatic cancer, colorectal cancer, lung cancer, gall bladder cancer, thyroid cancer, and bile duct cancer. In certain embodiments the lung cancer is a non-small cell lung carcinoma (NSCLC) , for example adenocarcinoma, squamous-cell lung carcinoma or large-cell lung carcinoma. In some embodiments, the lung cancer is a small cell lung carcinoma. Other lung cancers treatable with the disclosed compounds include, but are not limited to, glandular tumors, carcinoid tumors and undifferentiated carcinomas.
K-ras G12D mutations are observed in hematological malignancies that affect blood, bone marrow, and/or lymph nodes. As such the compounds of Formula (I) or a pharmaceutically acceptable salt thereof can be used for the treatment of acute lymphoblastic leukemia (ALL) , acute myelogenous leukemia (AML) , chronic lymphocytic leukemia (CLL) , small lymphocytic lymphoma (SLL) , chronic myelogenous leukemia (CML) , acute monocytic leukemia (AMoL) and/or other leukemias, lymphomas such as all subtypes of Hodgkins lymphoma or non-Hodgkins lymphoma, plasma cell malignancies such as multiple myeloma, mantle cell lymphoma, and Waldenstrom’s macroglubunemia.
The compounds of Formula (I) , or a pharmaceutically acceptable salt thereof can be used for the treatment of a hyperproliferative disorder or metastasis in human who suffers from a cancer such as acute myeloid leukemia, cancer in adolescents, adrenocortical carcinoma childhood, AIDS related cancers (e.g. Lymphoma and Kaposi's Sarcoma) , anal cancer, appendix cancer, astrocytomas, atypical teratoid, basal cell carcinoma, bile duct cancer, bladder cancer, bone cancer, brain stem glioma, brain tumor, breast cancer, bronchial tumors, Burkitt lymphoma, carcinoid tumor, atypical teratoid, embryonal tumors, germ cell tumor, primary lymphoma, cervical cancer, childhood cancers, chordoma, cardiac tumors, chronic lymphocytic leukemia (CLL) , chronic myelogenous leukemia (CML) , chronic myleoproliferative disorders, colon cancer, colorectal cancer, craniopharyngioma, cutaneous T-cell lymphoma, extrahepatic ductal carcinoma in situ (DCIS) , embryonal tumors, CNS cancer, endometrial cancer, ependymoma, esophageal cancer, esthesioneuroblastoma, ewing sarcoma,
extracranial germ cell tumor, extragonadal germ cell tumor, eye cancer, fibrous histiocytoma of bone, gall bladder cancer, gastric cancer, gastrointestinal carcinoid tumor, gastrointestinal stromal tumors (GIST) , germ cell tumor, gestational trophoblastic tumor, hairy cell leukemia, head and neck cancer, heart cancer, liver cancer, Hodgkin lymphoma, hypopharyngeal cancer, intraocular melanoma, islet cell tumors, pancreatic neuroendocrine tumors, kidney cancer, laryngeal cancer, lip and oral cavity cancer, liver cancer, lobular carcinoma in situ (LCIS) , lung cancer, lymphoma, metastatic squamous neck cancer with occult primary, midline tract carcinoma, mouth cancer, multiple endocrine neoplasia syndromes, multiple myeloma/plasma cell neoplasm, mycosis fungoides, myelodysplastic syndromes, myelodysplastic/myeloproliferative neoplasms, multiple myeloma, merkel cell carcinoma, malignant mesothelioma, malignant fibrous histiocytoma of bone and osteosarcoma, nasal cavity and paranasal sinus cancer, nasopharyngeal cancer, neuroblastoma, non-hodgkin lymphoma, non-small cell lung cancer (NSCLC) , oral cancer, lip and oral cavity cancer, oropharyngeal cancer, ovarian cancer, pancreatic cancer, papillomatosis, paraganglioma, paranasal sinus and nasal cavity cancer, parathyroid cancer, penile cancer, pharyngeal cancer, pleuropulmonary blastoma, primary central nervous system (CNS) lymphoma, prostate cancer, rectal cancer, transitional cell cancer, retinoblastoma, rhabdomyosarcoma, salivary gland cancer, skin cancer, stomach (gastric) cancer, small cell lung cancer, small intestine cancer, soft tissue sarcoma, T-Cell lymphoma, testicular cancer, throat cancer, thymoma and thymic carcinoma, thyroid cancer, transitional cell cancer of the renal pelvis and ureter, trophoblastic tumor, unusual cancers of childhood, urethral cancer, uterine sarcoma, vaginal cancer, vulvar cancer, or viral-induced cancer. The compounds of Formula (I) , or a pharmaceutically acceptable salt thereof can also be used for the treatment of a non-cancerous hyperproliferative disorder such as benign hyperplasia of the skin (e.g., psoriasis) , restenosis, or prostate (e.g., benign prostatic hypertrophy (BPH) ) .
Testing
The K-Ras G12D activity of the compounds of Formula (I) , or a pharmaceutically acceptable salt thereof can be tested using the in vitro assay described in Biological Examples 1 below.
Pharmaceutical Compositions
In general, the compounds Formula (I) (unless stated otherwise, reference to compound/compounds of Formula (I) herein includes any embodiments thereof described herein or a
pharmaceutically acceptable salt thereof) will be administered in a therapeutically effective amount by any of the accepted modes of administration for agents that serve similar utilities. Therapeutically effective amounts of compounds Formula (I) may range from about 0.01 to about 500 mg per kg patient body weight per day, which can be administered in single or multiple doses. A suitable dosage level may be from about 0.1 to about 250 mg/kg per day; about 0.5 to about 100 mg/kg per day. A suitable dosage level may be about 0.01 to about 250 mg/kg per day, about 0.05 to about 100 mg/kg per day, or about 0.1 to about 50 mg/kg per day. Within this range the dosage can be about 0.05 to about 0.5, about 0.5 to about 5 or about 5 to about 50 mg/kg per day. For oral administration, the compositions can be provided in the form of tablets containing about 1.0 to about 1000 milligrams of the active ingredient, particularly about 1, 5, 10, 15, 20, 25, 50, 75, 100, 150, 200, 250, 300, 400, 500, 600, 750, 800, 900, and 1000 milligrams of the active ingredient. The actual amount of the compound Formula (I) , i.e., the active ingredient, will depend upon numerous factors such as the severity of the disease to be treated, the age and relative health of the patient, the potency of the compound being utilized, the route and form of administration, and other factors.
In general, compounds Formula (I) will be administered as pharmaceutical compositions by any one of the following routes: oral, systemic (e.g., transdermal, intranasal or by suppository) , or parenteral (e.g., intramuscular, intravenous or subcutaneous) administration. The preferred manner of administration is oral using a convenient daily dosage regimen, which can be adjusted according to the degree of affliction. Compositions can take the form of tablets, pills, capsules, semisolids, powders, sustained release formulations, solutions, suspensions, elixirs, aerosols, or any other appropriate compositions.
The choice of formulation depends on various factors such as the mode of drug administration (e.g., for oral administration, formulations in the form of tablets, pills or capsules, including enteric coated or delayed release tablets, pills or capsules are preferred) and the bioavailability of the drug substance.
The compositions are comprised of in general, a compound of Formula (I) in combination with at least one pharmaceutically acceptable excipient. Acceptable excipients are generally non-toxic, aid administration, and do not adversely affect the therapeutic benefit of the compound of Formula (I) . Such excipient may be any solid, liquid, semi-solid or, in the case of an aerosol composition, gaseous excipient that is generally available to one of skill in the art.
Solid pharmaceutical excipients include starch, cellulose, talc, glucose, lactose, sucrose, gelatin, malt, rice, flour, chalk, silica gel, magnesium stearate, sodium stearate, glycerol monostearate, sodium chloride, dried skim milk and the like. Liquid and semisolid excipients may be selected from glycerol, propylene glycol, water, ethanol and various oils, including those of petroleum, animal, vegetable or synthetic origin, e.g., peanut oil, soybean oil, mineral oil, sesame oil, etc. Preferred liquid carriers, particularly for injectable solutions, include water, saline, aqueous dextrose, and glycols.
The compounds of Formula (I) may be formulated for parenteral administration by injection, e.g., by bolus injection or continuous infusion. Formulations for injection may be presented in unit dosage form, e.g., in ampoules or in multi-dose containers, with an added preservative. The compositions may take such forms as suspensions, solutions or emulsions in oily or aqueous vehicles, and may contain formulatory agents such as suspending, stabilizing and/or dispersing agents. The formulations may be presented in unit-dose or multi-dose containers, for example sealed ampoules and vials, and may be stored in powder form or in a freeze-dried (lyophilized) condition requiring only the addition of the sterile liquid carrier, for example, saline or sterile pyrogen-free water, immediately prior to use. Extemporaneous injection solutions and suspensions may be prepared from sterile powders, granules and tablets of the kind previously described.
Formulations for parenteral administration include aqueous and non-aqueous (oily) sterile injection solutions of the active compounds which may contain antioxidants, buffers, bacteriostats and solutes which render the formulation isotonic with the blood of the intended recipient; and aqueous and non-aqueous sterile suspensions which may include suspending agents and thickening agents. Suitable lipophilic solvents or vehicles include fatty oils such as sesame oil, or synthetic fatty acid esters, such as ethyl oleate or triglycerides, or liposomes. Aqueous injection suspensions may contain substances which increase the viscosity of the suspension, such as sodium carboxymethyl cellulose, sorbitol, or dextran. Optionally, the suspension may also contain suitable stabilizers or agents which increase the solubility of the compounds to allow for the preparation of highly concentrated solutions.
In addition to the formulations described previously, the compounds of Formula (I) may also be formulated as a depot preparation. Such long -acting formulations may be administered by implantation (for example subcutaneously or intramuscularly) or by intramuscular injection. Thus, for
example, the compounds may be formulated with suitable polymeric or hydrophobic materials (for example as an emulsion in an acceptable oil) or ion exchange resins, or as sparingly soluble derivatives, for example, as a sparingly soluble salt.
For buccal or sublingual administration, the compositions may take the form of tablets, lozenges, pastilles, or gels formulated in conventional manner. Such compositions may comprise the active ingredient in a flavored basis such as sucrose and acacia or tragacanth.
The compounds of Formula (I) may also be formulated in rectal compositions such as suppositories or retention enemas, e.g., containing conventional suppository bases such as cocoa butter, polyethylene glycol, or other glycerides.
Certain compounds of Formula (I) may be administered topically, that is by non-systemic administration. This includes the application of a compound of Formula (I) externally to the epidermis or the buccal cavity and the instillation of such a compound into the ear, eye and nose, such that the compound does not significantly enter the blood stream. In contrast, systemic administration refers to oral, intravenous, intraperitoneal and intramuscular administration.
Formulations suitable for topical administration include liquid or semi-liquid preparations suitable for penetration through the skin to the site of inflammation such as gels, liniments, lotions, creams, ointments or pastes, and drops suitable for administration to the eye, ear or nose. The active ingredient for topical administration may comprise, for example, from 0.001%to 10%w/w (by weight) of the formulation. In certain embodiments, the active ingredient may comprise as much as 10%w/w. In other embodiments, it may comprise less than 5%w/w. In certain embodiments, the active ingredient may comprise from 2%w/w to 5%w/w. In other embodiments, it may comprise from 0.1%to 1%w/w of the formulation.
For administration by inhalation, compounds of Formula (I) may be conveniently delivered from an insufflator, nebulizer pressurized packs or other convenient means of delivering an aerosol spray. Pressurized packs may comprise a suitable propellant such as dichlorodifluoromethane, trichlorofluoromethane, dichlorotetrafluoroethane, carbon dioxide or other suitable gas. In the case of a pressurized aerosol, the dosage unit may be determined by providing a valve to deliver a metered amount. Alternatively, for administration by inhalation or insufflation, the compounds of Formula (I) may take the form of a dry powder composition, for example a powder mix of the compound and a suitable powder base such as lactose or starch. The powder composition may be presented in unit
dosage form, in for example, capsules, cartridges, gelatin or blister packs from which the powder may be administered with the aid of an inhalator or insufflator. Other suitable pharmaceutical excipients and their formulations are described in Remington’s Pharmaceutical Sciences, edited by E. W. Martin (Mack Publishing Company, 20th ed., 2000) .
The level of the compound of Formula (I) in a formulation can vary within the full range employed by those skilled in the art. Typically, the formulation will contain, on a weight percent (wt. %) basis, from about 0.01-99.99 wt. %of a compound of Formula (I) based on the total formulation, with the balance being one or more suitable pharmaceutical excipients. For example, the compound is present at a level of about 1-80 wt. %.
Combinations and Combination Therapies
The compounds of Formula (I) or a pharmaceutically acceptable salt thereof may be used in combination with one or more other drugs in the treatment of diseases or conditions for which compounds of Formula (I) or the other drugs may have utility. Such other drug (s) may be administered, by a route and in an amount commonly used therefore, contemporaneously or sequentially with a compound of Formula (I) or a pharmaceutically acceptable salt thereof. When a compound of Formula (I) or a pharmaceutically acceptable salt thereof is used contemporaneously with one or more other drugs, a pharmaceutical composition in unit dosage form containing such other drugs and the compound of Formula (I) or a pharmaceutically acceptable salt thereof can be used. Accordingly, the pharmaceutical compositions of the present disclosure also include those that contain one or more other drugs, in addition to a compound of Formula (I) or a pharmaceutically acceptable salt thereof. The combination therapy may also include therapies in which the compound of Formula (I) or a pharmaceutically acceptable salt thereof and one or more other drugs are administered on different overlapping schedules. It is also contemplated that when used in combination with one or more other active ingredients, the compounds of Formula (I) and the other active ingredients may be used in lower doses than when each is used singly. The weight ratio of the compound of this disclosure to the second active ingredient may be varied and will depend upon the effective dose of each ingredient. Generally, an effective dose of each will be used.
Where the subject in need is suffering from or at risk of suffering from cancer, the patient can be treated with a compound of Formula (I) or a pharmaceutically acceptable salt thereof in any combination with one or more other anti-cancer agents including but not limited to:
MAP kinase pathway (RAS/RAF/MEK/ERK) inhibitors including but not limited to: Vemurafanib (PLX4032, CAS No. 918504-65-1) , Dabrafenib (CAS No. 1195765-45-7) , Encorafenib (LGX818 CAS No. 1269440-17-6) , TQ-B3233, XL-518 (Cas No. 1029872-29-4, available from ACC Corp) ; trametinib (CAS No. 871700-17-3) , selumetinib (AZD6244 CAS No. 606143-52-6) , TQ-B3234, PD184352 (CAS No. 212631-79-3) , PD325901 (CAS No. 391210-10-9) , TAK-733 (CAS No. 1035555-63-5) , pimasertinib (CAS No. 1236699-92-5) , binimetinib (CAS No. 606143-89-9) , refametinib (CAS No. 923032-37-5) , cobimetinib (GDC-0973 CAS No. 934660-93-2) , AZD8330 (CAS No. 869357-68-6) , BVD-523 (CAS No. 869886-67-9) , LTT462 (CAS No. 869886-67-9) , , AMG510 (CAS No. 2296729-00-3) , ARS853 (CAS No. 1629268-00-3) , and any RAS inhibitors disclosed in patents WO2016049565, W020l6l64675, W020l6l68540, WO2017015562, WO2017058728, WO2017058768, WO2017058792, W020l7058805, W02017058807, W02017058902, WO2017058915, W02017070256, WO2017087528, W02017100546, WO2017172979, W02017201161, WO2018064510, WO2018068017, and WO2018119183;
SHP2 inhibitors including but not limited to: SHP099 (CAS No. 2200214-93-1) , TNO155 (CAS No. 1801765-04-7) , RMC4630, JAB-3312, JAB-3068 and ERAS-601;
SOS1 inhibitors including but not limited to BI1701963 and BAY-293;
CSF1R inhibitors (PLX3397, LY3022855, ) and CSF1R antibodies (IMC-054, RG7l55) ;
TGF beta receptor kinase inhibitor such as LY2157299;
BTK inhibitor such as ibrutinib; BCR-ABL inhibitors: Imatinib (CAS No. 152459-95-5) ; Inilotinib hydrochloride; Nilotinib (CAS No. 923288-95-3) ; Dasatinib (BMS-345825 CAS No. 302962-49-8) ; Bosutinib (SKI-606 CAS No. 380843-75-4) ; Ponatinib (AP24534 CAS No. 943319-70-8) ; Bafetinib (INNO406 CAS No. 859212-16-1) ; Danusertib (PHA-739358 CAS No. 827318-97-8) , AT9283 (CAS No. 896466-04-9) ; Saracatinib (AZD0530 CAS No. 379231-04-6) ; and PF-03814735 (CAS 942487-16-3) ;
ALK inhibitors: PF-2341066 (crizotinib) ; 5-chloro-N4- (2- (isopropyl-sulfonyl) phenyl) -N2- (2-methoxy-4- (4- (4-methylpiperazin-l-yl) piperidin-l-yl) phenyl) pyrimidine-2, 4-
diamine; GSK1838705A (CAS No. 1116235-97-2) ; CH5424802 (CAS No. 1256580-46-7) ; Ceritinib (ZYKADIA CAS No. 1032900-25-6) ; TQ-B3139, and TQ-B3101;
PI3K inhibitors: 4- [2- (1H-indazol-4-yl) -6- [ [4- (methylsulfonyl) -piperazin-l-yl] methyl] thieno [3, 2-d] pyrimidin-4-yl] morpholine (also known as GDC 0941 and described in PCT Publication Nos. WO 09/036082 and WO 09/055730) , BEZ235 or NVP-BEZ235 (CAS No. 915019-65-7) , disclosed in PCT Publication No. WO 06/122806) ;
Vascular Endothelial Growth Factor (VEGF) receptor inhibitors: Bevacizumab (sold under the trademarkby Genentech/Roche) , axitinib, (N-methyl-2- [ [3- [ (E) -2-pyridin-2-ylethenyl] -lH-indazol-6-yl] sulfanyl] benzamide, also known as AG013736, and described in PCT Publication No. WO 01/002369) , Brivanib Alaninate ( (S) - ( (R) -l- (4- (4-fluoro-2-methyl-4H-indol-5-yloxy) -5-methylpyrrolo [2, l-f] [l, 2, 4] triazin-6-yloxy) propan-2-yl) 2-aminopropanoate, also known as BMS-582664) , motesanib (N- (2, 3-dihydro-3, 3-dimethyl-1H-indol-6-yl) -2- [ (4-pyridinylmethyl) amino] -3-pyridinecarboxamide, and described in PCT Publication No. WO 02/066470) , pasireotide (also known as SOM230, and described in PCT Publication No. WO 02/010192) , sorafenib (sold under the tradenameCAS No. 284461-73-0) ; or AL-2846;
MET inhibitor such as foretinib (CAS No. 849217-64-7) , cabozantinib (CAS No. 1140909-48-3) , capmatinib (CAS No. 1029712-80-8) , tepotinib (CAS No. 1100598-32-0) , savolitinib (CAS No. 1313725-88-0, or crizotinib (CAS No. 877399-52-5) ;
FLT3 inhibitors -sunitinib malate (CAS No. 341031-54-7, sold under the tradenameby Pfizer) ; PKC412 (CAS No. 120685-11-2, midostaurin) ; tandutinib (CAS No. 387867-13-2) , sorafenib (CAS No. 284461-73-0) , lestaurtinib (CAS No.: 111358-88-4) , KW-2449 (CAS No. 1000669-72-6) , quizartinib (AC220, CAS No. 950769-58-1) , or crenolanib (CAS No. 670220-88-9) ;
Epidermal growth factor receptor (EGFR) inhibitors: Gefitnib (sold under the tradename ) , N- [4- [ (3-chloro-4-fluorophenyl) amino] -7- [ [ (3S) -tetrahydro-3-furanyl] oxy] -6-quinazolinyl] -4 (dimethylamino) -2-butenamide, sold under the tradenameby Boehringer Ingelheim) , cetuximab (sold under the tradenameby Bristol-Myers Squibb) , or panitumumab (sold under the tradenameby Amgen) ;
HER2 receptor inhibitors: Trastuzumab (sold under the trademarkby Genentech/Roche) , neratinib (also known as HKI-272, (2E) -N- [4- [ [3-chloro-4- [ (pyridin-2-yl) methoxy] phenyl] amino] -3-cyano-7-ethoxyquinolin-6-yl] -4- (d imethylamino) but-2-enamide, and
described PCT Publication No. WO 05/028443) , lapatinib (CAS No. 231277-92-2) or lapatinib ditosylate (CAS No: 388082-77-7 ) (sold under the trademarkby GlaxoSmithKline) ; or Trastuzumab emtansine (in the United States, ado-trastuzumab emtansine, trade name Kadcyla) -an antibody-drug conjugate consisting of the monoclonal antibody trastuzumab (Herceptin) linked to the cytotoxic agent mertansine (DM1) ;
HER dimerization inhibitors: Pertuzumab (sold under the trademarkby Genentech) ;
FGFR inhibitors: Erdafitinib (CAS No. 1346242-81-6) , Pemigatinib (CAS No. 1513857-77-6) or Infigratinib (CAS No. 872511-34-7)
Aurora kinase inhibitors: TAS-119 (CAS No. 1453099-83-6) , LY3295668 (CAS No. 1919888-06-4) , or alisertib (CAS No. 1028486-01-2) ;
CD20 antibodies: Rituximab (sold under the trademarksandby Genentech/Roche) , tositumomab (sold under the trademarksby GlaxoSmithKline) , or ofatumumab (sold under the trademarkby GlaxoSmithKline) ;
Tyrosine kinase inhibitors: Erlotinib hydrochloride (CAS No. 183319-69-9, sold under the trademarkby Genentech/Roche) , Linifanib (N- [4- (3-amino-1H-indazol-4-yl) phenyl] -N'- (2-fluoro-5-methylphenyl) urea, also known as ABT 869, available from Genentech) , sunitinib malate (CAS No. 341031-54-7, sold under the tradenameby Pfizer) , bosutinib (4- [ (2, 4-dichloro-5-methoxyphenyl) amino] -6-methoxy-7- [3- (4-methylpiperazin4-yl) propoxy] quinoline-3-carbonitrile, also known as SKI-606, and described in US Patent No. 6, 780, 996) , dasatinib (CAS No. 302962-49-8, sold under the tradenameby Bristol-Myers Squibb) , armala (CAS No. 444731-52-6, also known as pazopanib, sold under the tradenameby GlaxoSmithKline) , imatinib (CAS No. 152459-95-5) and imatinib mesylate (CAS No. 220127-57-1) (sold under the tradenamesandby Novartis) ;
DNA Synthesis inhibitors: Capecitabine (CAS No. 154361-50-9) (sold under the trademark by Roche) , gemcitabine hydrochloride (CAS No. 122111-03-9) (sold under the trademark by Eli Lilly and Company) , or nelarabine ( (2R3S, 4R, 5R) -2- (2-amino-6-methoxypurin-9-yl) -5- (hydroxymethyl) oxolane-3, 4-diol, sold under the tradenamesandby GlaxoSmithKline) ;
Antineoplastic agents: oxaliplatin (CAS No. 61825-94-3) (sold under the tradename ay Sanofi-Aventis and described in US Patent No. 4, 169, 846) ;
Human Granulocyte colony-stimulating factor (G-CSF) modulators: Filgrastim (sold under the tradenameby Amgen) ;
Immunomodulators: Afutuzumab (available from) , pegfilgrastim (sold under the tradenameby Amgen) , lenalidomide (CAS No. 191732-72-6, also known as CC-5013, sold under the tradename) , or thalidomide (CAS No. 50-35-1, sold under the tradename );
CD40 inhibitors: Dacetuzumab (also known as SGN-40 or huS2C6, available from Seattle Genetics, Inc) ;
Pro-apoptotic receptor agonists (PARAs) : Dulanermin (also known as AMG-951, available from Amgen/Genentech) ;
Hedgehog antagonists: 2-chloro-N- [4-chloro-3- (2-pyridinyl) phenyl] -4- (methylsulfony 1) -benzamide (also known as GDC-0449, and described in PCT Publication No. WO 06/028958) ;
Phospholipase A2 inhibitors: Anagrelide (CAS No. 58579-51-4, sold under the tradename );
BCL-2 inhibitors: 4- [4- [ [2- (4-chlorophenyl) -5, 5-dimethyl-l-cyclohexen-l-yl] met hyl] -1-piperazinyl] -N- [ [4- [ [ (lR) -3- (4-morpholinyl) -l- [ (phenylthio) m ethyl] propyl] amino] -3- [ (trifluoromethyl) sulfonyl] phenyl] sulfonyl] benzamide (also known as ABT-263 and described in PCT Publication No. WO 09/155386) ;
MCL-1 inhibitors: MIK665 (CAS No. 1799631-75-6, S64315) , AMG 397, and AZD5991 (CAS No. 2143010-83-5) ; Aromatase inhibitors: Exemestane (CAS No. 107868-30-4, sold under the trademarkby Pfizer) , letrozole (CAS No. 112809-51-5, sold under the tradename by Novartis) , or anastrozole (CAS No. 120511-73-1, sold under the tradename) ;
Topoisomerase I inhibitors: Irinotecan (CAS No. 97682-44-5, sold under the trademark by Pfizer) , topotecan hydrochloride (CAS No. 119413-54-6, sold under the tradename by GlaxoSmithKline) ;
Topoisomerase II inhibitors: etoposide (CAS No. 33419-42-0, also known as VP-
16 and Etoposide phosphate, sold under the tradenames
and ) , or teniposide (CAS No. 29767-20-2, also known as VM-26, sold under the tradename );mTOR inhibitors: Temsirolimus (CAS No. 162635-04-3, sold under the tradenameby Pfizer) , ridaforolimus (CAS No. 572924-54-0, formally known as deferolimus, AP23573 and MK8669, and described in PCT Publication No. WO 03/064383) , or everolimus (CAS No. 159351-69-6, sold under the tradenameby Novartis) ;
Proteasome inhibitor such as carfilzomib (CAS No. 868540-17-4) , MLN9708 (CAS No. 1201902-80-8) , delanzomib (CAS No. 847499-27-8) , or bortezomib (CAS No. 179324-69-7) ;
BET inhibitors such as INCB054329 (CAS No. 1628607-64-6) , OTX015 (CAS No. 202590-98-5) , or CPI-0610 (CAS No. 1380087-89-7) ;
LSD1 inhibitors such as GSK2979552, or INCB059872;
HIF-2α inhibitors such as PT2977 (1672668-24-4) , NKT2152, or PT2385 (CAS No. 1672665-49-4) ;
Osteoclastic bone resorption inhibitors: 1-hydroxy-2-imidazol-l-yl-phosphonoethyl) phosphonic acid monohydrate (sold under the tradenameby Novartis) ;
CD33 Antibody Drug Conjugates: Gemtuzumab ozogamicin (sold under the tradename by Pfizer/Wyeth) ;
CD22 Antibody Drug Conjugates: Inotuzumab ozogamicin (also referred to as CMC-544 and WAY-207294, available from Hangzhou Sage Chemical Co., Ltd. ) ;
CD20 Antibody Drug Conjugates: Ibritumomab tiuxetan (sold under the tradename );
Somatostain analogs: octreotide (also known as octreotide acetate, sold under the tradenames and Sandostatin) ;
Synthetic Interleukin-11 (IL-l 1) : oprelvekin (sold under the tradenameby Pfizer/Wyeth) ;
Synthetic erythropoietin: Darbepoetin alfa (sold under the tradenameby Amgen) ;
Receptor Activator for Nuclear Factor k B (RANK) inhibitors: Denosumab (sold under the tradenameby Amgen) ;
Thrombopoietin mimetic peptibodies: Romiplostim (sold under the tradename
by Amgen;
Cell growth stimulators: Palifermin (sold under the tradenameby Amgen) ;
Anti-insulin-like Growth Factor-l receptor (IGF-1R) antibodies: Figitumumab (also known as CP-751, 871, available from ACC Corp) , robatumumab (CAS No. 934235-44-6) ;
Anti-CSl antibodies: Elotuzumab (HuLuc63, CAS No. 915296-00-3) ;
CD52 antibodies: Alemtuzumab (sold under the tradename) ;
Histone deacetylase inhibitors: Voninostat (sold under the tradenameby Merck) ;
Alkylating agents: Temozolomide (sold under the tradenamesandby Schering-Plough/Merck) , dactinomycin (also known as actinomycin-D and sold under the tradename ) , melphalan (also known as L-PAM, L-sarcolysin, and phenylalanine mustard, sold under the tradename) , altretamine (also known as hexamethylmelamine (HMM) , sold under the tradename) , carmustine (sold under the tradename) , bendamustine (sold under the tradename) , busulfan (sold under the tradenamesand ) , carboplatin (sold under the tradename) , lomustine (also known as CCNU, sold under the tradename) , cisplatin (also known as CDDP, sold under the tradenames and-AQ) , chlorambucil (sold under the tradename) , cyclophosphamide (sold under the tradenamesand) , dacarbazine (also known as DTIC, DIC and imidazole carboxamide, sold under the tradename DTIC -) , altretamine (also known as hexamethylmelamine (HMM) sold under the tradename) , ifosfamide (sold under the tradename) , procarbazine (sold under the tradename) , mechlorethamine (also known as nitrogen mustard, mustine and mechloroethamine hydrochloride, sold under the tradename ) , streptozocin (sold under the tradename) , thiotepa (also known as thiophosphoamide, TESPA and TSPA, sold under the tradename
Biologic response modifiers: bacillus calmette-guerin (sold under the tradenamesandBCG) , or Denileukin diftitox (sold under the tradename) ;
Anti-tumor antibiotics: doxorubicin (sold under the tradenamesand) , bleomycin (sold under the tradename) , daunorubicin (also known as dauorubicin hydrochloride, daunomycin, and rubidomycin hydrochloride, sold under the tradename) , daunorubicin liposomal (daunorubicin citrate liposome, sold under the tradename) , mitoxantrone (also known as DHAD, sold under the tradename) , epirubicin (sold under
the tradename EllenceTM) , idarubicin (sold under the tradenamesIdamycin) , or mitomycin C (sold under the tradename) ;
Anti -microtubule agents: Estramustine (CAS No. 52205-73-9, sold under the tradename );
Cathepsin K inhibitors: Odanacatib (CAS No. 603139-19-1, also know as MK-0822 available from Lanzhou Chon Chemicals, ACC Corp., and ChemieTek, and described in PCT Publication no. WO 03/075836) ;
Epothilone B analogs: Ixabepilone (CAS No. 219989-84-1, sold under the tradename by Bristol-Myers Squibb) ;
Heat Shock Protein (HSP) inhibitors: Tanespimycin (l7-allylamino-l7-demethoxygeldanamycin, also known as KOS-953 and 17-AAG, available from SIGMA, and described in US Patent No. 4, 261, 989) , NVP-HSP990 (CAS No. 934343-74-5) , AUY922 (CAS No. 747412-49-3) , AT13387 (CAS No. 912999-49-6) , STA-9090 (CAS No. 888216-25-9) , Debio 0932, KW-2478 (CAS No. 819812-04-9) , XL888 (CAS No. 1149705-71-4) , CNF2024 (CAS No. 848695-25-0) , and TAS-116 (CAS No. 1260533-36-5) ;
TpoR agonists: Eltrombopag (sold under the tradenamesandby GlaxoSmithKline) ;
Anti-mitotic agents: Docetaxel (CAS No. 114977-28-5, sold under the tradenameby Sanofi-Aventis) ; Adrenal steroid inhibitors: aminoglutethimide (CAS No. 125-84-8, sold under the tradename) ;
Anti-androgens: Nilutamide (CAS No. 63612-50-0, sold under the tradenamesand) , bicalutamide (CAS No. 90357-06-5, sold under tradename) , or flutamide (CAS No. 13311-84-7, sold under the tradename FulexinTM) ;
Androgens: Fluoxymesterone (CAS No. 76-43-7, sold under the tradename) ;
CDK (CDK1, CDK2, CDK3, CDK5, CDK7, CDK8, or CDK9) inhibitors including but not limited to: Alvocidib (CAS No. 146426-40-6, pan-CDK inhibitor, also known as flovopirdol or HMR-1275, 2- (2-chlorophenyl) -5, 7-dihydroxy-8- [ (3S, 4R) -3-hydroxy-l-methyl -4-piperidinyl] -4-chromenone, and described in US Patent No. 5,621,002) ;
CDK2 inhibitor PF-07104091;
CDK4/6 inhibitors: pabociclib (CAS No. 827022-33-3) , ribociclib (CAS No. 1211441-98-3) , abemaciclib (CAS No. 1231929-97-7) , PF-06873600 (CAS No. 2185857-97-8) , NUV-422 and Trilaciclib (CAS No. 1374743-00-6) ;
CDK7 inhibitors CT7001 (CAS No. 1805789-54-1) and SY-1365 (CAS No. 1816989-16-8) ;
CDK9 inhibtiors AZD 4573 (CAS No. 2057509-72-3) , P276-00 (CAS No. 920113-03-7) , AT7519 (CAS No. 844442-38-2) , CYC065 (CAS No. 1070790-89-4) or TP-1287;
Gonadotropin-releasing hormone (GnRH) receptor agonists: Leuprolide or leuprolide acetate (sold under the tradenamesby Bayer AG, by Sanofi-Aventis andby Abbott Lab) ;
Taxane anti-neoplastic agents: Cabazitaxel (l-hydroxy-7, 10 -dimethoxy-9-oxo-5, 20-epoxytax-11-ene-2a, 4, 13a-triyl-4-acetate-2-benzoate-13- [ (2R, 3S) -3- { [ (tert-butoxy) carbonyl] -amino} -2-hydroxy-3-phenylpropanoate) , or larotaxel ( (2a, 3x, 4a, 5b, 7a, 10b, 13a) -4, 10-bis (acetyloxy) -l3- ( { (2R, 3S) -3- [ (tert-butoxycarbonyl) amino] -2-hydroxy-3-phenylpropanoyl} oxy) -l-hydroxy-9-oxo-5, 20-epoxy-7, l9-cyclotax-11-en-2-ylbenzoate) ;
5HTla receptor agonists: Xaliproden (also known as SR57746, l- [2- (2-naphthyl) ethyl] -4- [3- (trifluoromethyl) phenyl] -l, 2, 3, 6-tetrahydropyridine, and described in US Patent No. 5,266,573) ;
HPC vaccines: sold by GlaxoSmithKline, sold by Merck;
Iron Chelating agents: Deferasinox (CAS No. 201530-41-8, sold under the tradename by Novartis) ;
Anti-metabolites: Claribine (2-chlorodeoxyadenosine, sold under the tradename) , 5-fluorouracil (sold under the tradename) , 6-thioguanine (sold under the tradename ) , pemetrexed (sold under the tradename) , cytarabine (also known as arabinosylcytosine (Ara-C) , sold under the tradename Cytosar-) , cytarabine liposomal (also known as Liposomal Ara-C, sold under the tradename DepoCytTM) , decitabine (sold under the tradename) , hydroxyurea (sold under the tradenamesDroxiaTM and MylocelTM) , fludarabine (sold under the tradename) , floxuridine (sold under the tradename) , cladribine (also known as 2-chlorodeoxyadenosine (2-CdA) sold under the tradename LeustatinTM) , methotrexate (also known as amethopterin, methotrexate sodim (MTX) , sold under the tradenames and TrexallTM) , or pentostatin (sold under the tradename) ;
Bisphosphonates: Pamidronate (CAS No. 57248-88-1, sold under the tradename) , zoledronic acid CAS No. 118072-93-8 (sold under the tradename) ;
Demethylating agents: 5-azacitidine (CAS No. 320-67-2, sold under the tradename) , decitabine (CAS No. 2353-33-5, sold under the tradename) ;
Plant Alkaloids: Paclitaxel protein-bound (sold under the tradename) , vinblastine (also known as vinblastine sulfate, vincaleukoblastine and VLB, sold under the tradenames Alkaban-and) , vincristine (also known as vincristine sulfate, LCR, and VCR, sold under the tradenamesand Vincasar) , vinorelbine (sold under the tradename) , or paclitaxel (sold under the tradenames Taxol and OnxalTM) ;
Retinoids: Ali tretinoin (sold under the tradename) , tretinoin (all-trans retinoic acid, also known as ATRA, sold under the tradename) , Isotretinoin (13-cis-retinoic acid, sold under the tradenames
and ) , or bexarotene (sold under the tradename) ;
Glucocorticosteroids: Hydrocortisone (also known as cortisone, hydrocortisone sodium succinate, hydrocortisone sodium phosphate, and sold under the tradenames Ala-Hydrocortisone Phosphate, Solu-Hydrocortand) , dexamethazone ( (8S, 9R, 10S, 11S, 13S, 14S, 16R, 17R) -9-fluoro-11, 17-dihydroxy-17- (2-hydroxyacetyl) -10, 13, 16-trimethyl-6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16, 17-dodecahydro-3H-cyclopenta [a] phenanthren-3-one) , prednisolone (sold under the tradenames Delta-
and) , prednisone (sold under the tradenamesLiquid
and) , or methylprednisolone (also known as 6-Methylprednisolone, Methylprednisolone Acetate, Methylprednisolone Sodium Succinate, sold under the tradenames
M-and Solu-) ;
Cytokines: interleukin-2 (also known as aldesleukin and IL-2, sold under the tradename ) , interleukin-11 (also known as oprevelkin, sold under the tradename) , alpha interferon alfa (also known as IFN-alpha, sold under the tradenamesA, and Roferon-) ;
Estrogen receptor downregulators: Fulvestrant (CAS No. 129453-61-8, sold under the tradename) ;
Anti-estrogens: tamoxifen (CAS No. 10540-29-1, sold under the tradename) ; or Toremifene (CAS No. 89778-27-8, sold under the tradename) ;
Selective estrogen receptor modulators (SERMs) : Raloxifene (CAS No. 84449-90-1, sold under the tradename) ;
Leutinizing hormone releasing hormone (LFfRH) agonists: Goserelin (CAS No. 145781-92-6, sold under the tradename) ; Progesterones: megestrol (also known as megestrol acetate, CAS No. 595-33-5, sold under the tradename) ;
Miscellaneous cytotoxic agents: Arsenic trioxide (sold under the tradename) , or asparaginase (also known as L-asparaginase, Erwinia L-asparaginase, sold under the tradenames and) ;
Exemplary immune checkpoint inhibitors include inhibitors (smack molecules or biologies) against immune checkpoint molecules such as CD27, CD28, CD40, CD 122, CD96, CD73, CD39, CD47, 0X40, GITR, CSF1R, JAK, PI3K delta, PI3K gamma, TAM kinase, arginase, CD137 (also known as 4-1BB) , ICOS, A2AR, A2BR, HIF-2a, B7-H3, B7-H4, BTLA, CTLA-4, LAG3, TIM3, VISTA, CD96, TIGIT, PD-l, PD-L1 and PD-L2. In some embodiments, the immune checkpoint molecule is a stimulatory checkpoint molecule selected from CD27, CD28, CD40, ICOS, 0X40, GITR, CD137 and STING. In some embodiments, the immune checkpoint molecule is an inhibitory checkpoint molecule selected from B7-H3, B7-H4, BTLA, CTLA-4, IDO, TDO, Arginase, KIR, LAG3, PD-l, TIM3, CD96, TIGIT and VISTA. In some embodiments, the compounds provided herein can be used in combination with one or more agents selected from KIR inhibitors, TIGIT inhibitors, LAIR1 inhibitors, CD 160 inhibitors, 2B4 inhibitors and TGFR beta inhibitors.
In some embodiments, the inhibitor of an immune checkpoint molecule is an inhibitor of PD-l, e.g., an anti-PD-l monoclonal antibody. In some embodiments, the anti-PD-l monoclonal antibody is nivolumab, pembrolizumab (also known as MK-3475) , pidilizumab, SHR-1210, PDR001, or AMP -224. In some embodiments, the anti-PD-l monoclonal antibody is nivolumab, or pembrolizumab or PDR001. In some embodiments, the anti -PD 1 antibody is pembrolizumab.
In some embodiments, the inhibitor of an immune checkpoint molecule is an inhibitor of PD-L1, e.g., an anti-PD-Ll monoclonal antibody. In some embodiments, the anti-PD-Ll monoclonal antibody is BMS-935559, MEDI4736, MPDL3280A (also known as RG7446) , or MSB0010718C. In some embodiments, the anti-PD-Ll monoclonal antibody is MPDL3280A (atezolizumab) or MEDI4736 (durvalumab) . In some embodiments, the anti-PD-L1 small molecule inhibitor is INCB86550.
In some embodiments, the inhibitor of an immune checkpoint molecule is an inhibitor of CTLA-4, e.g., an anti-CTLA-4 antibody. In some embodiments, the anti-CTLA-4 antibody is ipilimumab or tremelimumab. In some embodiments, the inhibitor of an immune checkpoint molecule is an inhibitor of LAG3, e.g., an anti-LAG3 antibody. In some embodiments, the anti-LAG3 antibody is BMS-986016 or LAG525. In some embodiments, the inhibitor of an immune checkpoint molecule is an inhibitor of GITR, e.g., an anti-GITR antibody. In some embodiments, the anti-GITR antibody is TRX518 or, MK-4166, INCAGN01876 or MK-1248. In some embodiments, the inhibitor of an immune checkpoint molecule is an inhibitor of 0X40, e.g., an anti-OX40 antibody or OX40L fusion protein. In some embodiments, the anti-OX40 antibody is MED 10562 or, INCAGN01949, GSK2831781, GSK-3174998, MOXR-0916, PF-04518600 or LAG525. In some embodiments, the OX40L fusion protein is MEDI6383.
Compounds of the invention can also be used to increase or enhance an immune response, including increasing the immune response to an antigen; to improve immunization, including increasing vaccine efficacy; and to increase inflammation. In some embodiments, the compounds of the invention can be sued to enhance the immune response to vaccines including, but not limited, Listeria vaccines, oncolytic viral vaccines, and cancer vaccines such as (granulocyte-macrophage colony-stimulating factor (GM-CF) gene-transfected tumor cell vaccine) . Anti-cancer vaccines include dendritic cells, synthetic peptides, DNA vaccines and recombinant viruses. Other immune-modulatory agents also include those that block immune cell migration such as antagonists to chemokine receptors, including CCR2 and CCR4; Sting agonists and Toll receptor agonists. Other anti-cancer agents also include those that augment the immune system such as adjuvants or adoptive T cell transfer. Compounds of this application may be effective in combination with CAR (Chimeric antigen receptor) T cell treatment as a booster for T cell activation.
A compound of the invention can also be used in combination with the following adjunct therapies: Anti-nausea drugs: NK-l receptor antagonists: Casopitant (sold under the tradenames andby GlaxoSmithKline) ; and Cytoprotective agents: Amifostine (sold under the tradename) , leucovorin (also known as calcium leucovorin, citrovorum factor and folinic acid) . The disclosure of the PCT applications referred to herein above are incorporated herein by reference in their entirety.
Examples
The following preparations of intermediates and compounds of of the disclosure (Examples) are given to enable those skilled in the art to more clearly understand and to practice the present disclosure. They should not be considered as limiting the scope of the disclosure, but merely as being illustrative and representative thereof.
Synthetic Examples
Intermediate 1
Synthesis of tert-butyl (1R, 5S) -3- (2-chloro-7- (8-ethynyl-7-fluoronaphthalen-1-yl) -8-fluoropyrido [4, 3-d] pyrimidin-4-yl) -3, 8-diazabicyclo [3.2.1] octane-8-carboxylate
Step 1: 8-fluoro-7- (7-fluoro-8- ( (triisopropylsilyl) ethynyl) naphthalen-1-yl) pyrido [4, 3-d] -pyrimidine-2, 4-diol
To a mixture of 7-chloro-8-fluoropyrido [4, 3-d] pyrimidine-2, 4-diol (4.0 g, 18.6 mmol, 1.0 eq. ) and ( (2-fluoro-8- (4, 4, 5, 5-tetramethyl-1, 3, 2-dioxaborolan-2-yl) naphthalen-1-yl) ethynyl) -triisopropylsilane (10.9 g, 24.1 mmol, 1.3 eq. ) in EtOH (150 mL) and H2O (50 mL) were added CATACXIUM A Pd G3 (2.4 g, 3.3 mmol, 0.18 eq. ) , K3PO4 (11.7 g, 55.1 mmol, 3.0 eq. ) at room temperature under nitrogen atmosphere. The resulting mixture was stirred for 16 h at 80 ℃ under nitrogen atmosphere. After cooling to rt, the mixture was added water, and then extracted with EtOAc. The combined organic layers were washed with water, brine, dried over anhydrous Na2SO4, filtered and then concentrated. The residue was purified by silica gel column chromatography, eluted with MeOH/DCM (0-10%) , to afford the title compound (5.5 g) .
Step 2: 7- (8-ethynyl-7-fluoronaphthalen-1-yl) -8-fluoropyrido [4, 3-d] pyrimidine-2, 4-diol
A mixture of 8-fluoro-7- (7-fluoro-8- ( (triisopropylsilyl) ethynyl) naphthalen-1-yl) pyrido [4, 3-d] pyrimidine-2, 4-diol (10.0 g, 19.8 mmol, 1.0 eq. ) and CsF (12.0 g, 79.0 mmol, 4.0 eq. ) in DMF (100 mL) was stirred for 1 h at 50 ℃ under nitrogen atmosphere. After cooling to rt, the reaction mixture was concentrated and the residue was purified by silica gel column chromatography, eluted with MeOH/DCM (0-10%) , to afford the title compound (6.0 g) .
Step 3: 2, 4-dichloro-7- (8-ethynyl-7-fluoronaphthalen-1-yl) -8-fluoropyrido [4, 3-d] pyrimidine
To a solution of POCl3 (15.8 g, 103.0 mmol, 30.3 eq. ) and DIPEA (13.4 g, 103.7 mmol, 30.5 eq. ) was added 7- (8-ethynyl-7-fluoronaphthalen-1-yl) -8-fluoropyrido [4, 3-d] -pyrimidine-2, 4-diol (1.2 g, 3.4 mmol, 1.0 eq. ) in portions at 0-5 ℃ and the resulting mixture was stirred for 1 h. The mixture was concentrated and the residue was diluted with ice water, and extracted with EtOAc. The combined organic layers were washed with water, brine, dried over anhydrous Na2SO4, filtered and concentrated to afford the title compound (1.5 g, crude) as a brown solid, which was used for next step without further purification.
Step 4: tert-butyl (1R, 5S) -3- (2-chloro-7- (8-ethynyl-7-fluoronaphthalen-1-yl) -8-fluoropyrido [4, 3-d] pyrimidin-4-yl) -3, 8-diazabicyclo [3.2.1] octane-8-carboxylate
To a solution of 2, 4-dichloro-7- (8-ethynyl-7-fluoronaphthalen-1-yl) -8-fluoropyrido- [4, 3-d] pyrimidine (1.5 g, 3.9 mmol, 1.0 eq., crude) in DCM (30 mL) was added DIEA (1.1 g, 8.5 mmol, 2.2 eq. ) dropwise at -40 ℃. After stirring for 5 min at -40 ℃, a solution of tert-butyl (1R, 5S) -3, 8-diazabicyclo [3.2.1] octane-8-carboxylate (870 mg, 4.1 mmol, 1.1 eq. ) in THF (5 mL) was added
dropwise and the resulting mixture was stirred for additional 15 min at -40 ℃. The reaction mixture was concentrated and the residue was purified by silica gel column chromatography, eluted with EA/PE (0-50%) , to afford the title compound (770 mg) .
Step 5: tert-butyl (1R, 5S) -3- (7- (8-ethynyl-7-fluoronaphthalen-1-yl) -8-fluoro-2- ( ( (2R, 7aS) -2-methoxy-6-methylenetetrahydro-1H-pyrrolizin-7a (5H) -yl) methoxy) pyrido [4, 3-d] pyrimidin-4-yl) -3, 8-diazabicyclo [3.2.1] octane-8-carboxylate
Intermediate 2
Synthesis of ( (5S, 7aS) -5- ( ( (tert-butyldiphenylsilyl) oxy) methyl) -2-methylenetetrahydro-1H-pyrrolizin-7a (5H) -yl) methanol
Step1: (2S) -tert-butyl 2- (hydroxymethyl) -5-methoxypyrrolidine-1-carboxylate
To a solution of (S) -1-tert-butyl 2-methyl 5-oxopyrrolidine-1, 2-dicarboxylate (150 g, 617 mmol) in DCM (900 mL) was added DIBAL-H (1 M, 2.47 L) and the resulting mixture was stirred at -78 ℃ for 0.5 h, then at 20℃ for 2 h. After cooling to 0 ℃, methyl alcohol (3000 mL) and 2 M HCl (5000 mL) were added. The mixture was stirred for 2 h at room temperature and then extracted with EtOAc. The combined organic layer was washed with brine, dried over anhydrous Na2SO4 and concentrated. The residue was purified by column chromatography, eluted with EA/PE (0-50%) , to afford the title compound (42.0 g, 181 mmol, 36.8%yield) was obtained as a yellow oil.
Step 2: (5S) -tert-butyl 2-cyano-5- (hydroxymethyl) pyrrolidine-1-carboxylate
To a solution of (2S) -tert-butyl 2- (hydroxymethyl) -5-methoxypyrrolidine-1-carboxylate (48.0 g, 208 mmol) in DCM (500 mL) at -70 ℃ was added TMSCN (51.5 g, 519 mmol, 64.9 mL) dropwise
and then BF3. Et2O (64.8 g, 457 mmol, 56.4 mL) . The resulting mixture was then stirred at -70 ℃ for 1 h and then. then quenched with sat. NahCO3 aq. solution. The mixture was then extracted with EtOAc. The combined organic layers were washed with brine, dried over Na2SO4, filtered and concentrated. The residue was purified by column chromatography, eluted with EA/PE (0-20%) , to afford the title compound (31.0 g) .
Step3: tert-butyl (2S) -2- [ [tert-butyl (diphenyl) silyl] oxymethyl] -5-cyano-pyrrolidine-1-carboxylate
To a solution of tert-butyl (5S) -2-cyano-5- (hydroxymethyl) pyrrolidine-1-carboxylate (50 g, 220 mmol, 1 eq) in THF (500 mL) was added imidazole (37.6 g, 552.43 mmol, 2.5 eq) and tert-butyl-chlorodiphenylsilane (66.8 g, 243 mmol, 62.4 mL, 1.1 eq) at 0 ℃. The mixture was stirred at 20 ℃for 12 h and then quenched with H2O, and extracted with EA. The combined organic layers were washed with brine, dried over Na2SO4, filtered and concentrated. The residue was purified by column chromatography, eluted with EA/PE (0-20%) , to afford the title compound (69.0 g) .
Step 4: (5S) -1-tert-butyl 2-methyl 5- ( ( (tert-butyldiphenylsilyl) oxy) methyl) pyrrolidine-1, 2-dicarboxylate
A mixture of tert-butyl (2S) -2- [ [tert-butyl (diphenyl) silyl] oxymethyl] -5-cyano-pyrrolidine-1-carboxylate (69.0 g, 148 mmol, 1 eq) and K2CO3 (26.6 g, 193 mmol, 1.3 eq) in MeOH (500 mL) was stirred at 50 ℃ for 12 h under N2 atmosphere. The mixture was acidified with 1.0 M HCl aq. to pH=4 and then extracted with EA. The combined organic layers were washed with brine, dried over Na2SO4, filtered and concentrated. The residue was purified by column chromatography, eluted with EA/PE (0-15%) , to afford the title compound (12 g, 19.53 mmol) .
Step 5: 1- (tert-butyl) 2-methyl (2S, 5S) -5- ( ( (tert-butyldiphenylsilyl) oxy) methyl) -2- (2- (chloromethyl) allyl) pyrrolidine-1, 2-dicarboxylate
To a solution of (5S) -1-tert-butyl 2-methyl 5- ( ( (tert-butyldiphenylsilyl) oxy) methyl) -pyrrolidine-1, 2-dicarboxylate (12.0 g, 24.1 mmol, 1 eq) in THF (100 mL) was added LiHMDS (1 M, 48.22 mL, 2 eq) at -70 ℃ and the mixture was stirred at -70 ℃ for 15 min. 3-Chloro-2- (chloromethyl) prop-1-ene (4.52 g, 36.1 mmol, 4.19 mL, 1.5 eq) was added dropwise at -70 ℃ under nitrogen atmosphere and the resulting mixture was stirred 16 h at 20 ℃. The mixture was quenched with sat. NahCO3 aq. and extracted with EtOAc. The combined organic layers were washed with water and brine, dried over anhydrous Na2SO4 and concentrated. The residue was purified by column chromatography, eluted with EA/PE (0-10%) , to afford the title compound (11 g) .
Step 6: methyl (5S, 7aS) -5- ( ( (tert-butyldiphenylsilyl) oxy) methyl) -2-methylenetetrahydro-1H-pyrrolizine-7a (5H) -carboxylate
To a solution of 1- (tert-butyl) 2-methyl (2S, 5S) -5- ( ( (tert-butyldiphenylsilyl) oxy) methyl) -2- (2- (chloromethyl) allyl) pyrrolidine-1, 2-dicarboxylate (10.7 g, 18.2 mmol, 1 eq) in DCM (90 mL) was added TFA (45 mL) at 0 ℃ and the resulting mixture was stirred at 20 ℃ for 2 h. The reaction was quenched by adding sat. aq. NaHCO3 solution at 0 ℃ and extracted with DCM. The combined organic layers were washed with brine, dried over Na2SO4 filtered and concentrated. The residue was purified by column chromatography eluted with EA/PE (0-10%) , to afford the title compound (3.2 g, crude) .
Step 7: ( (5S, 7aS) -5- ( ( (tert-butyldiphenylsilyl) oxy) methyl) -2-methylenetetrahydro-1H-pyrrolizin-7a (5H) -yl) methanol
To a solution of LiAlH4 (540 mg, 14.2 mmol, 2 eq) in THF (20 mL) was added dropwise methyl (5S, 7aS) -5- ( ( (tert-butyldiphenylsilyl) oxy) methyl) -2-methylenetetrahydro-1H-pyrrolizine-7a (5H) -carboxylate (3.2 g, 7.12 mmol, 1 eq) in THF (10 mL) at -40 ℃ and the resulting mixture was stirred at -40 ℃ for 1 h. After cooling the mixture to 0 ℃, the mixture was quenched by adding Na2SO4.10H2O. The mixture was then filtered and concentrated under reduced pressure to give the title compound (2.83 g, crude) . MS (ESI) m/z = 422.6 [M+1] +
Intermediate 3
Synthesis of ( (5S, 7aS) -5- (1- ( (tert-butyldiphenylsilyl) oxy) ethyl) -2-methylenetetrahydro-1H-pyrrolizin-7a (5H) -yl) methanol
Step1: (2S) -tert-butyl 2- (hydroxymethyl) -5-methoxypyrrolidine-1-carboxylate
To a solution of (S) -1-tert-butyl 2-methyl 5-oxopyrrolidine-1, 2-dicarboxylate (20 g, 82.3 mmol, 1.0 equiv) in DCM (200 mL) was added DIBAL-H (1 M, 329.2 mL) at -78 ℃ and the resulting mixture was stirred at -78 ℃ for 0.5 hrs and at 20 ℃ for 2 h. After cooling to 0 ℃, to the above solution were added methyl alcohol (320 mL) and 2.0 M HCl aq. solution (320 mL) dropwise at 0 ℃. The resulting mixture was stirred for 2 h at room temperature and then extracted with EtOAc. The combined organic layers were washed with brine, dried over anhydrous Na2SO4 and concentrated. The residue was purified by column chromatography, eluted with EA/PE (0-50%) , to afford the title compound (14.0 g) .
Step 2: tert-butyl (2S) -2-formyl-5-methoxypyrrolidine-1-carboxylate
To a solution of tert-butyl (2S) -2- (hydroxymethyl) -5-methoxypyrrolidine-1-carboxylate (9.0 g, 38.9 mmol, 1 eq) in DCM (90 mL) was added Dess-Martin periodinane (19.8 g, 46.7 mmol, 1.2 eq)
and the resulting mixture was stirred at 25 ℃ for 12 h. The mixutre was quenched with sat. NahCO3 aq. solution. The mixture was filtrated and the filtratewas diluted with water, and then extracted with DCM. The combined organic layers were washed with brine, dried over Na2SO4, filtered and concentrated, and the residue was purified by column chromatography, eluted with EA/PE (0-25%) to afford the title compound (4.9 g) .
Step 3: tert-butyl (2S) -2- (1-hydroxyethyl) -5-methoxypyrrolidine-1-carboxylate
To a solution of tert-butyl (2S) -2-formyl-5-methoxypyrrolidine-1-carboxylate (4.9 g, 21.4 mmol, 1.0 eq) in THF (50 mL) was added dropwise CH3MgCl in THF (3.0 M, 64.1mmol, 21.4 mL, 3.0 eq) at 0 ℃ and the resulting mixture was stirred at 25 ℃ for 1 h. After coolign to 0 ℃, the mixture was quenched by adding sat. Nh4Cl aq. solution at 0 ℃ and then extracted with EtOAc. The combined organic layers were washed with brine, dried over Na2SO4, filtered and concentrated. The residue was purified by column chromatography, eluted with EA/PE (0-20%) , to afford the title compound (3.7 g) .
Step 3: tert-butyl (5S) -2-cyano-5- (1-hydroxyethyl) pyrrolidine-1-carboxylate
To a solution of tert-butyl (2S) -2- (1-hydroxyethyl) -5-methoxypyrrolidine-1-carboxylate (3.7 g, 15.1 mmol, 1.0 eq) in DCM (35 mL) was added dropwise TMSCN (3.7g, 37.7 mmol, 2.5 eq) at -70 ℃ and then BF3. Et2O (4.7g, 33.2 mmol, 2.2 eq) at -70 ℃. The resulting mixture was stirred at -70 ℃ for 1 h. After warming to 0 ℃, the mixture was quenched with sat. NahCO3 aq. solution and then extracted with ethyl acetate. The combined organic layers were washed with brine, dried over Na2SO4, filtered and concentrated. The residue was purified by column chromatography, eluted with EA/PE (0-30%) , to afford the title compound (2.7 g) .
Step 4: 1- (tert-butyl) 2-methyl (5S) -5- (1-hydroxyethyl) pyrrolidine-1, 2-dicarboxylate
A mixture of tert-butyl (5S) -2-cyano-5- (1-hydroxyethyl) pyrrolidine-1-carboxylate (2.7 g, 11.2 mmol, 1 eq) , K2CO3 (3.1g, 22.5 mmol, 2.0 eq) in MeOH (25 mL) was stirred at 25 ℃ for 3 h under N2 atmosphere. The mixture was quenched with 1.0 M HCl aq. solution to pH= 2 and then stirred at 25 ℃ overnight. The mixture was basified to pH=8 by adding sat. NahCO3 aq. solution and extracted with EtOAc. The combined organic layers were washed with brine, dried over Na2SO4, filtered and concentrated. The residue was purified by column chromatography, eluted with EA/PE (0-35%) to afford the title compound (1.6 g) .
Step 5: 1- (tert-butyl) 2-methyl (5S) -5- (1- ( (tert-butyldiphenylsilyl) oxy) ethyl) pyrrolidine 1, 2-dicarboxylate
To a solution of 1- (tert-butyl) 2-methyl (5S) -5- (1-hydroxyethyl) pyrrolidine-1, 2-dicarboxylate (1.6 g, 5.9 mmol, 1.0 eq) in DMF (2 mL) was added imidazole (1.2 g, 17.6 mmol, 3.0 eq) and tert-butyl-chlorodiphenylsilane (3.2 g, 11.7 mmol, 2.0 eq) at 0 ℃ and the resulting mixture was stirred at 20 ℃ for 12 h. The mixutre was quenched with waterand extracted with EtOAc. The combined organic layers were washed with brine, dried over Na2SO4, filtered and concentrated. The residue was purified by column chromatography, eluted with EA/PE (0-20%) to afford crude compound. The crude compound was purified by reverse column to afford the title compound (2.6 g) as a colorless oil.
Step 6: ( (5S, 7aS) -5- (1- ( (tert-butyldiphenylsilyl) oxy) ethyl) -2-methylenetetrahydro-1H-pyrrolizin-7a (5H) -yl) methanol
The title compound was prepared by proceeding analogously as described in Intermediate 2, Steps 5-7, using 1- (tert-butyl) 2-methyl (5S) -5- (1- ( (tert-butyldiphenylsilyl) oxy) ethyl) -pyrrolidine-1, 2-dicarboxylate instead of (5S) -1-tert-butyl 2-methyl 5- ( ( (tert-butyldiphenylsilyl) -oxy) methyl) pyrrolidine-1, 2-dicarboxylate in Step 5.
Intermediate 4
Synthesis of ( (5S, 7aS) -5- (2- ( (tert-butyldiphenylsilyl) oxy) ethyl) -2-methylenetetrahydro-1H-pyrrolizin-7a (5H) -yl) methanol
Step 1: 1- (tert-butyl) 2-methyl (2R, 5S) -5-allylpyrrolidine-1, 2-dicarboxylate
To a stirred solution of 1- (tert-butyl) 2-methyl (2R) -5-methoxypyrrolidine-1, 2-dicarboxylate (J. Org. Chem. 2008, 73, 1661) (25 g, 96 mmol, 1 equiv) and allyltrimethylsilane (49.60 g, 434 mmol, 4.5 equiv) in DCM (250 mL) was added TiCl4 (18.29 g, 96 mmol, 1 equiv) dropwise at -78 ℃ and the resulting mixture was stirred for 1 h at -78 ℃. The reaction mixture was basified to pH=7 with saturated NahCO3 aq. solution. The mixture was filtered and the filtrate was extracted with DCM. The combined organic layers were washed with brine, dried over anhydrous Na2SO4 and concentrated. The residue was purified by silica gel column chromatography, eluted with EA/PE (0-10%) to afford the title compound (10 g) .
Step 2: 1- (tert-butyl) 2-methyl (2R, 5S) -5- (2-oxoethyl) pyrrolidine-1, 2-dicarboxylate
To a solution of 1-tert-butyl 2-methyl (2R, 5S) -5- (prop-2-en-1-yl) pyrrolidine-1, 2-dicarboxylate (10 g, 37 mmol, 1 equiv) in THF (120 mL) and H2O (40 mL) were added K2OsO4.2H2O (1.36 g, 3.7mmol, 0.1 equiv) and NaIO4 (23.80 g, 111 mmol, 3.0 equiv) at 0 ℃. The resulting mixture was stirred for 16 h at room temperature under air atmosphere. The mixture was then filtered and the filter cake was washed with EtOAc. The filtrate was extracted with EtOAc. The combined organic layers were washed with NahSO3 aq. solution and brine, dried over anhydrous
Na2SO4 and concentrated. The residue was purified by silica gel column chromatography, eluted with EA/PE (0-50%) to afford the title compound (7 g) .
Step 3: 1- (tert-butyl) 2-methyl (2R, 5S) -5- (2-hydroxyethyl) pyrrolidine-1, 2-dicarboxylate
To a stirred solution of 1- (tert-butyl) 2-methyl (2R, 5S) -5- (2-oxoethyl) pyrrolidine-1, 2-dicarboxylate (7 g, 25 mmol, 1 equiv) in MeOH (15 mL) was added NaBH4 (1.95 g, 51 mmol, 2 equiv) in portions at 0 ℃ and the resulting mixture was stirred for 30 min. at 0 ℃. The mixture was acidified to pH=6 with 2.0 M HCl aq. solution and then concentrated under reduced pressure. The mixture was then extracted with EtOAc. The combined organic layers were washed with brine, dried over anhydrous Na2SO4 and concentrated. The residue was purified by silica gel column chromatography, eluted with EA/PE (0-50%) to afford the title compound (7 g) .
Step 4: 1- (tert-butyl) 2-methyl (2R, 5S) -5- (2- ( (tert-butyldiphenylsilyl) oxy) ethyl) pyrrolidine-1, 2-dicarboxylate
To a stirred solution of 1- (tert-butyl) 2-methyl (2R, 5S) -5- (2-hydroxyethyl) pyrrolidine-1, 2-dicarboxylate (7 g, 25 mmol, 1 equiv) and TBDPSCl (8.45 g, 30 mmol, 1.2 equiv) in DCM (150 mL) was added imidazole (2.62 g, 38 mmol, 1.5 equiv) in portions at room temperature and the resulting mixture was stirred for 2 h at room temperature. The mixture was diluted with water and extracted with DCM. The combined organic layers were washed with brine, dried over anhydrous Na2SO4 and concentrated. The residue was purified by silica gel column chromatography, eluted with THF/PE (0-10%) to afford the title compound (7.0 g) .
Step 5: ( (5S, 7aS) -5- (2- ( (tert-butyldiphenylsilyl) oxy) ethyl) -2-methylenetetrahydro-1H-pyrrolizin-7a (5H) -yl) methanol
The title compound was prepared by proceeding analogously as described in Intermediate 2, Steps 5-7, using 1- (tert-butyl) 2-methyl (2R, 5S) -5- (2- ( (tert-butyldiphenylsilyl) oxy) -ethyl) pyrrolidine-1, 2-dicarboxylate instead of (5S) -1-tert-butyl 2-methyl 5- ( ( (tert-butyldiphenylsilyl) oxy) methyl) pyrrolidine-1, 2-dicarboxylate in Step 5.
Intermediate 5
Synthesis of 2, 3, 4, 5a, 6, 7, 8, 8a-octahydro- [1, 4] dioxepino [2, 3-c] pyrrole
Step 1: ethyl 2- [benzyl- (2-ethoxy-2-oxo-ethyl) amino] acetate
To a stirred solution of benzylamine (10.0 g, 93.3 mmol, 1.0 eq) in EtOH (300 mL) was added ethyl 2-bromoacetate (31.1 g, 186.2 mmol, 2.0 eq) and K2CO3 (77.3 g, 559 mmol, 6.0 eq) at room temperature. After stirring at 20 ℃ for 2 h, the reaction mixture was filtered, concentrated and then purified by silica gel column chromatography, eluted with EA/PE (5-10%) , to give the title compound (13.5 g) .
Step 2: diethyl 1-benzyl-3, 4-dihydroxy-pyrrole-2, 5-dicarboxylate
To a stirred solution of NaOEt in EtOH (2.86 M, 100 mL) was added a solution of ethyl 2- [benzyl- (2-ethoxy-2-oxo-ethyl) amino] acetate (10.5 g, 37.6 mmol, 1.0 eq) and diethyl oxalate (6.04 g, 41.3 mmol, 1.1 eq) in EtOH (100 mL) at 80 ℃. After stirring at 80 ℃ for 4 h, the reaction mixture was cooled to 0℃, acidified to pH = 5 with AcOH and then filtered. The solid cake was slurred in EtOH (30 mL) at 60 ℃ for 3 h and then filtered to give the title compound (3.00 g) .
Step 3: diethyl 7-benzyl-3, 4-dihydro-2H- [1, 4] dioxepino [2, 3-c] pyrrole-6, 8-dicarboxylate
To a stirred solution of diethyl 1-benzyl-3, 4-dihydroxy-pyrrole-2, 5-dicarboxylate (3.00 g, 9.0 mmol, 1.0 eq) and 1, 3-dibromopropane (2.00 g, 9.9 mmol, 1.1 eq) in DMF (60 mL) was added K2CO3 (3.11 g, 22.50 mmol, 2.5 eq) at room temperature under N2. The reaction mixture was stirred at 105℃ for 12 h, then cooled to 20 ℃ and water was added. The resulting mixture was filtered and the solid cake was dried in vacuo to give the title compound (3.00 g) .
Step 4: 7-benzyl-3, 4-dihydro-2H- [1, 4] dioxepino [2, 3-c] pyrrole-6, 8-dicarboxylic acid
To a stirred solution of diethyl 7-benzyl-3, 4-dihydro-2H- [1, 4] dioxepino [2, 3-c] pyrrole-6, 8-dicarboxylate (3.00 g, 8.0 mmol, 1.0 eq) in EtOH (40 mL) and H2O (8 mL) was added KOH (1.35 g, 24.1 mmol, 3.0 eq) . The reaction mixture was stirred at 90 ℃ for 12 h, cooled to 0 ℃, and then quenched with HCl aq. solution (10 mL, 1.0 M) at 0 ℃. The mixture was extracted with EtOAc. The combined organic layers were dried over anhydrous Na2SO4, filtered and then concentrated to give the title compound (3.00 g, crude) , which was used in the next step without further purification.
Step 5: 7-benzyl-3, 4-dihydro-2H- [1, 4] dioxepino [2, 3-c] pyrrole
A mixture of 7-benzyl-3, 4-dihydro-2H- [1, 4] dioxepino [2, 3-c] pyrrole-6, 8-dicarboxylic acid (3.00 g, 9.45 mmol, 1.00 eq) and 2- [bis (2-hydroxyethyl) amino] ethanol (15 mL) was stirred at 180 ℃for 0.5 h. The reaction mixture was cooled to 20 ℃, quenched with water and then extracted with EtOAc. The combined organic layers were dried over anhydrous Na2SO4, filtered and then concentrated. The residue was purified by silica gel column chromatography, eluted with EA/PE (5-10%) , to give the title compound (500 mg) .
Step 6: 2, 3, 4, 5a, 6, 7, 8, 8a-octahydro- [1, 4] dioxepino [2, 3-c] pyrrole
To a stirred solution of 7-benzyl-3, 4-dihydro-2H- [1, 4] dioxepino [2, 3-c] pyrrole (500 mg, 2.18 mmol, 1.00 eq) in MeOH (2 mL) were added AcOH (130 mg, 2.18 mmol, 1.00 eq) and 10%Pd/C (250 mg) at room temperature. The reaction mixture was stirred at 80 ℃ for 12 h under H2 (50 psi) . The reaction mixture was filtered and then concentrated to give the title compound (400 mg, crude) as a yellow oil, which was used in the next step without further purification. MS (ES, m/z) : [M+H] +=144.0.
Intermediate 6
Synthesis of a mixture of (5aR, 8aR) -hexahydro-2H, 6H- [1, 4] dioxepino [2, 3-c] pyrrole and (5aS, 8aS) -hexahydro-2H, 6H- [1, 4] dioxepino [2, 3-c] pyrrole
Step 1: benzyl 6-oxa-3-azabicyclo [3.1.0] hexane-3-carboxylate
To a stirred solution of benzyl 2, 5-dihydropyrrole-1-carboxylate (5.00 g, 24.6 mmol, 1.0 eq) in DCM (20 mL) was added m-CPBA (5.99 g, 29.5 mmol, 85%purity, 1.2 eq) at 20 ℃. The reaction mixture was stirred at 20 ℃ for 12 h, quenched with saturated aq. Na2SO3 (100 mL) , and then extracted with EtOAc. The combined organic layers were dried over anhydrous Na2SO4, filtered and then concentrated. The residue was purified by silica gel column chromatography, eluted with EA/PE (25-50%) , to give the title compound (3.70 g) .
Step 2: mixture of benzyl (3R, 4R) -3- (3-bromopropoxy) -4-hydroxypyrrolidine-1-carboxylate and benzyl (3S, 4S) -3- (3-bromopropoxy) -4-hydroxypyrrolidine-1-carboxylate
To a stirred solution of benzyl 6-oxa-3-azabicyclo [3.1.0] hexane-3-carboxylate (3.30 g, 15.1 mmol, 1.0 eq) and 3-bromopropan-1-ol (2.30 g, 16.5 mmol, 1.1 eq) in DCM (60 mL) was added
BF3·Et2O (213 mg, 1.51 mmol, 0.1 eq) . The reaction mixture was stirred at 20 ℃ for 5 h, concentrated and then purified by silica gel column chromatography, eluted with EA/PE (25-50%) , to give the title compound (2.40 g) .
Step 3: mixture of benzyl (5aR, 8aR) -hexahydro-2H, 7H- [1, 4] dioxepino [2, 3-c] pyrrole-7-carboxylate and benzyl (5aS, 8aS) -hexahydro-2H, 7H- [1, 4] dioxepino [2, 3-c] pyrrole-7-carboxylate
To a stirred solution of benzyl (3R, 4R) -3- (3-bromopropoxy) -4-hydroxypyrrolidine-1-carboxylate and benzyl (3S, 4S) -3- (3-bromopropoxy) -4-hydroxypyrrolidine-1-carboxylate (2.40 g, 6.70 mmol, 1.00 eq) in EtOH (50 mL) was added a solution of KOH (375 mg, 6.70 mmol, 1.00 eq) in EtOH (50 mL) . The reaction mixture was stirred at 85 ℃ for 0.5 h. The reaction mixture was concentrated and the residue was purified by silica gel column chromatography, eluted with EA/PE (15-25%) , to give the title compound (900 mg) .
Step 4: mixture of (5aR, 8aR) -hexahydro-2H, 6H- [1, 4] dioxepino [2, 3-c] pyrrole and (5aS, 8aS) -hexahydro-2H, 6H- [1, 4] dioxepino [2, 3-c] pyrrole
To a stirred solution of benzyl (5aR, 8aR) -hexahydro-2H, 7H- [1, 4] dioxepino [2, 3-c] pyrrole-7-carboxylate and benzyl (5aS, 8aS) -hexahydro-2H, 7H- [1, 4] dioxepino [2, 3-c] pyrrole-7-carboxylate (500 mg, 1.80 mmol, 1.00 eq) in MeOH (2 mL) was added AcOH (130 mg, 2.18 mmol, 1.21 eq) and 10%Pd/C (250 mg) . The reaction mixture was stirred at 80 ℃ for 12 h under H2 (50 psi) , cooled and then filtered. The filtrate was concentrated to give the title compounds (400 mg, crude) , which was used in the next step without further purification.
Intermediate 7
Synthesis of (4aS, 7aS) -hexahydro-5H- [1, 4] dioxino [2, 3-c] pyrrole and (4aR, 7aR) -hexahydro-5H- [1, 4] dioxino [2, 3-c] pyrrole
Step 1: a mixture of benzyl (3S, 4S) -3- (2-bromoethoxy) -4-hydroxypyrrolidine-1-carboxylate and benzyl (3R, 4R) -3- (2-bromoethoxy) -4-hydroxypyrrolidine-1-carboxylate
To a stirred solution of benzyl 6-oxa-3-azabicyclo [3.1.0] hexane-3-carboxylate (3.00 g, 13.7 mmol, 1.00 eq) , 2-bromoethanol (1.88 g, 15.1 mmol, 1.10 eq) in DCM (30 mL) was added dropwise BF3·Et2O (194 mg, 1.37 mmol, 0.10 eq) at 20 ℃. After stirring at 20℃ for 12 h, the reaction mixture was washed with brine, dried over Na2SO4, filtered and then concentrated. The residue was purified by silica gel column chromatography, eluted with EA/PE (25-50%) , to provide a mixture of the title compounds (1.1 g) .
Step 2: benzyl (4aS, 7aS) -hexahydro-6H- [1, 4] dioxino [2, 3-c] pyrrole-6-carboxylate and benzyl (4aR, 7aS) -hexahydro-6H- [1, 4] dioxino [2, 3-c] pyrrole-6-carboxylate
To a stirred solution of benzyl (3S, 4S) -3- (2-bromoethoxy) -4-hydroxypyrrolidine-1-carboxylate and benzyl (3R, 4R) -3- (2-bromoethoxy) -4-hydroxypyrrolidine-1-carboxylate (800 mg, 2.32 mmol, 1.00 eq) in EtOH (8.0 mL) was added dropwise KOH (143 mg, 2.56 mmol, 1.10 eq) . The resulting mixture was stirred at 80 ℃ for 6 h, cooled and then filtered. The filtrate was concentrated. The residue was purified by silica gel column chromatography eluted with EA/PE (20-25%) . The product was further purified by SFC (column: DAICEL CHIRALPAK AD (250mm*30mm, 10um) ; mobile phase: [CO2-EtOH (0.1%NH3H2O) ] ; B%: 25%, isocratic elution mode) to give each of the title compounds.
Step 4: (4aS, 7aS) -hexahydro-5H- [1, 4] dioxino [2, 3-c] pyrrole and (4aR, 7aR) -hexahydro-5H- [1, 4] dioxino [2, 3-c] pyrrole
To a stirred solution of benzyl (4aS, 7aS) -hexahydro-6H- [1, 4] dioxino [2, 3-c] pyrrole-6-carboxylate or benzyl (4aR, 7aR) -hexahydro-6H- [1, 4] dioxino [2, 3-c] pyrrole-6-carboxylate (140 mg, 531.74 μmol, 1.00 eq) in THF (5 mL) was added Pd/C (10%, 0.05 g) under N2. The reaction mixture was degassed and purged with H2 for 3 times. The reaction mixture was stirred under H2 (15 Psi) at 20℃ for 12 h and then filtered, and then concentrated to give (4aS, 7aS) -hexahydro-5H- [1, 4] dioxino [2, 3-c] pyrrole or (4aR, 7aR) -hexahydro-5H- [1, 4] dioxino [2, 3-c] pyrrole, respectively.
Intermediate 8
Synthesis of 4, 4-difluoro-2-oxa-8-azaspiro [4.5] decane
Step 1: tert-butyl 4, 4-difluoro-2-oxa-8-azaspiro [4.5] decane-8-carboxylate
To a solution of tert-butyl 4-oxo-2-oxa-8-azaspiro [4.5] decane-8-carboxylate (150 mg, 0.59 mmol) in DCM (3 mL) was added 2-methoxy-N- (2-methoxyethyl) -1- (trifluoro-lamda4-sulfanyl) ethan-1-amine (520 mg, 2.36 mmol) and the resulting mixture was stirred at 50 ℃ for 4 h. The reaction mixture was quenched with H2O and extracted with EtOAc. The organic phases were combined, dried over Na2SO4, and concentrated to give the title compound (130 mg) .
Step 2: 4, 4-difluoro-2-oxa-8-azaspiro [4.5] decane
To a solution of tert-butyl 4, 4-difluoro-2-oxa-8-azaspiro [4.5] decane-8-carboxylate (130mg, 0.47 mmol) in anhydrous DCM (2 mL) was added HCl/Dioxane (1 mL, 4 M) at 0 ℃ and the resulting mixture was stirred at 25 ℃ for 1 h. The reaction mixture was then concentrated to provide the title compound.
Intermediate 9
Synthesis of 5-methoxy-5-methyloctahydrocyclopenta [c] pyrrole
Step 1: tert-butyl 5-hydroxy-5-methylhexahydrocyclopenta [c] pyrrole-2 (1H) -carboxylate
To a solution of tert-butyl 5-oxohexahydrocyclopenta [c] pyrrole-2 (1H) -carboxylate (1.60 g, 7.10 mmol, 1.00 eq) in toluene (20 mL) was added MeMgBr (3 M, 4.73 mL, 2.00 eq) at -30℃ and the resulting mixture was stirred at -30 ℃ for 2 h. The reaction mixture was quenched by sat. aq. NH4Cl and then extracted with EtOAc. The combined organic layers were washed with H2O and brine, dried over Na2SO4 and concentrated. The residue was purified by flash column chromatography eluted with EA/PE (20-50%) to give the title compound (1.80 g) .
Step 2: tert-butyl 5-methoxy-5-methylhexahydrocyclopenta [c] pyrrole-2 (1H) -carboxylate
To a solution of tert-butyl 5-hydroxy-5-methylhexahydrocyclopenta [c] pyrrole-2 (1H) -carboxylate (0.30 g, 1.24 mmol, 1.00 eq) in THF (5 mL) was added NaH (99.4 mg, 2.49 mmol, 60%purity, 2.00 eq) dropwise at 0 ℃ and the resulting mixture was stirred at at 0 ℃ for 1 h. MeI (353 mg, 2.49 mmol, 0.155 mL, 2.00 eq) was then added dropwise at 0 ℃ and the resulting mixture was stirred at 20 ℃ for 4 h. The reaction mixture was quenched by sat. aq. NH4Cl at 0 ℃ and then extracted with EtOAc. The combined organic layers were washed with brine, dried over Na2SO4, filtered and concentrated to give the title compound (0.30 g) .
Step 3: 5-methoxy-5-methyloctahydrocyclopenta [c] pyrrole
To a solution of tert-butyl 5-methoxy-5-methylhexahydrocyclopenta [c] pyrrole-2 (1H) -carboxylate (0.30 g, 1.17 mmol, 1.00 eq) in dioxane (1 mL) was added HCl/dioxane (4 M, 4 mL) and the resulting mixture was stirred at 20 ℃ for 2 h. The reaction mixture was concentrated to give the title compound (0.30 g) .
Intermediate 10
Synthesis of 1, 4-dioxa-9-azaspiro [5.5] undecane
Step 1: benzyl 4- ( (2-bromoethoxy) methyl) -4-hydroxypiperidine-1-carboxylate
To a solution of benzyl 1-oxa-6-azaspiro [2.5] octane-6-carboxylate (243 mg, 984 μmol, 1 eq) , 2-bromoethanol (123 mg, 983 μmol, 69.7 μL, 1.00 eq) in DCM (5 mL) was added BF3. Et2O (14.0 mg, 98.4 μmol, 12.1 μL, 0.1 eq) at 0 ℃ and the resulting mixture was stirred at 0 ℃ for 2 h. The reaction mixture was washed with H2O and extracted with EtOAc. The combined organic layers were washed with brine, dried over Na2SO4, filtered and concentrated. The residue was purified by silica gel column flash chromatography eluted with EA/PE (5-10%) to give the title compound (70 mg) .
Step 2: benzyl 1, 4-dioxa-9-azaspiro [5.5] undecane-9-carboxylate
To a solution of benzyl 4- (2-bromoethoxymethyl) -4-hydroxy-piperidine-1-carboxylate (100 mg, 268 μmol, 1 eq) in THF (3 mL) was added t-BuOK (1 M, 268 μL, 1 eq) and the resulting mixture was stirred at 20 ℃ for 2 h. The reaction mixture was quenched by sat. aq. NH4Cl and then extracted with EtOAc. The combined organic layers were concentrated and the residue was purified by silica gel column flash chromatography eluted with EA/PE (10-50%) to give the title compound (70.0 mg) .
Step 3: 1, 4-dioxa-9-azaspiro [5.5] undecane
A mixture of benzyl 1, 4-dioxa-9-azaspiro [5.5] undecane-9-carboxylate (70 mg, 240.27 μmol, 1 eq) and Pd/C (365.28 mg, 10%) in MeOH (5 mL) was stirred at 20 ℃ for 12 h under H2 atmosphere
(15 psi) . The reaction mixture was filtered and the filtrate was concentrated to provide the title compound (40 mg) .
Intermediate 11
Synthesis of 2- (8-ethynyl-7-fluoronaphthalen-1-yl) -4, 4, 5, 5-tetramethyl-1, 3, 2-dioxaborolane
Step 1: 2- (8-ethynyl-7-fluoronaphthalen-1-yl) -4, 4, 5, 5-tetramethyl-1, 3, 2-dioxaborolane
To a solution of ( (2- (2-fluoro-8- (tetramethyl-1, 3, 2-dioxaborolan-2-yl) naphthalen-1-yl) ethynyl) tris (propan-2-yl) silane (500 mg, 1.11 mmol) in DMF (5 mL) was added cesium fluoride (843.05 mg, 5.55 mmol) and the resulting mixture was stirred at 50 ℃ for 2 h under N2. The reaction mixture was cooled at rt, then filtered and concentrated. The residue was purified by silica gel column chromatography eluted with EA/PE (0-100%) to give the title compound (300 mg) .
Intermediate 12
Synthesis of ( (3S, 7aS) -7a- (hydroxymethyl) -6-methylenehexahydro-1H-pyrrolizin-3-yl) methyl morpholine-4-carboxylate
Step 1: methyl (5S, 7aR) -5- (hydroxymethyl) -2-methylenetetrahydro-1H-pyrrolizine-7a (5H) -carboxylate
To a stirred solution of methyl (5S, 7aS) -5- ( ( (tert-butyldiphenylsilyl) oxy) methyl) -2-methylenetetrahydro-1H-pyrrolizine-7a (5H) -carboxylate (5 g, 11.11 mmol, 1.0 equiv) in THF (50 mL) was added 1M TBAF in THF (16.6 mL, 16.6 mmol, 1.5 equiv) dropwise at room temperature. The resulting mixture was stirred for 2 h at room temperature. The resulting mixture was concentrated under reduced pressure. The residue was purified by silica gel column chromatography, eluted with THF/PE (0-50%) to afford the title compound (2.1 g, 89.36%) as a colorless oil.
Step 2: ( (3S, 7aS) -7a- (methoxycarbonyl) -6-methylenehexahydro-1H-pyrrolizin-3-yl) methyl morpholine-4-carboxylate
To a stirred solution of methyl (5S, 7aR) -5- (hydroxymethyl) -2-methylenetetrahydro-1H-pyrrolizine-7a (5H) -carboxylate (2.1 g, 9.95 mmol, 1.0 equiv) and TEA (6.0 g, 59.7 mmol, 6.0 equiv) in THF (100 mL) was added 4-nitrophenyl carbonochloridate (10.0 g, 49.75 mmol, 5.0 equiv) in portions at 0-5 ℃. The resulting mixture was stirred 2 h at room temperature. To the above mixture was added morpholine (4.33 g, 49.75 mmol, 5.0 equiv) dropwise at 0-5 ℃. The resulting mixture was stirred for additional 16 h at room temperature. The resulting mixture was diluted with water. The resulting mixture was extracted with EA. The combined organic layers were washed with water and brine, dried over anhydrous Na2SO4. After filtration, the filtrate was concentrated under reduced pressure. The residue was purified by silica gel column chromatography, eluted with EA/PE (0-100%) to afford the title compound (2.25 g, 69.8 %) as yellow oil.
Step 3: ( (3S, 7aS) -7a- (hydroxymethyl) -6-methylenehexahydro-1H-pyrrolizin-3-yl) methyl morpholine-4-carboxylate
To a stirred solution of ( (3S, 7aS) -7a- (methoxycarbonyl) -6-methylenehexahydro-1H-pyrrolizin-3-yl) methyl morpholine-4-carboxylate (2.25 g, 7.58 mmol, 1.0 equiv) and CaCl2 (2.1 g, 18.9 mmol, 2.5 equiv) in EtOH (24 mL) and H2O (6 mL) was added NaBH4 (1.54 g, 40.9 mmol, 5.4 equiv) in portions at 0 ℃. The resulting mixture was stirred for 1 h at 0 -5℃. The reaction was quenched with water at 0 ℃. The resulting mixture was extracted with EA. The combined organic layers were washed with brine, dried over anhydrous Na2SO4. After filtration, the filtrate was concentrated under reduced pressure. This resulted in the title compound (1.7 g, 82.5%) as a yellow oil. MS (ES, m/z) : [M+H] +=297.1.
Example 1
Synthesis of ( (3S, 7aS) -7a- ( ( (4- ( (1R, 5S) -3, 8-diazabicyclo [3.2.1] octan-3-yl) -7- (8-ethynyl-7-fluoronaphthalen-1-yl) -8-fluoropyrido [4, 3-d] pyrimidin-2-yl) oxy) methyl) -6-methylenehexahydro-1H-pyrrolizin-3-yl) methyl 6-oxa-2-azaspiro [3.4] octane-2-carboxylate
Step 1: tert-butyl 3- [2- [ [ (3S, 8S) -3- [ [tert-butyl (diphenyl) silyl] oxymethyl] -6-methylene-2, 3, 5, 7-tetrahydro-1H pyrrolizin-8-yl] methoxy] -7- (8-ethynyl-7-fluoro-1-naphthyl) -8-fluoro-pyrido [4, 3-d] pyrimidin-4-yl] -3, 8-diazabicyclo [3.2.1] octane-8-carboxylate
To a solution of tert-butyl 3- [2-chloro-7- (8-ethynyl-7-fluoro-1-naphthyl) -8-fluoro-pyrido [4, 3-d] pyrimidin-4-yl] -3, 8-diazabicyclo [3.2.1] octane-8-carboxylate (900 mg, 1.60 mmol, 1 eq) and [ (3S, 8S) -3- [ [tert-butyl (diphenyl) silyl] oxymethyl] -6-methylene-2, 3, 5, 7-tetrahydro-1H-pyrrolizin-8-yl] methanol (742 mg, 1.76 mmol, 1.1 eq) in THF (20 mL) was added NaH (160 mg, 4.00 mmol, 60%purity, 2.5 eq) at 0 ℃ slowly. The mixture was stirred at 20 ℃ for 2 h under N2. The mixture was quenched by addition aq. NH4Cl 10 mL at 0 ℃, and then extracted with ethyl acetate. The combined organic layers were concentrated under reduced pressure and the residue was purified by column chromatography, eluted with EA/PE (0-30%) to afford the title compound (1.00 g) .
Step 2: tert-butyl 3- [7- (8-ethynyl-7-fluoro-1-naphthyl) -8-fluoro-2- [ [ (3S, 8S) -3- (hydroxymethyl) -6-methylene-2, 3, 5, 7-tetrahydro-1H-pyrrolizin-8-yl] methoxy] pyrido [4, 3-d] pyrimidin-4-yl] -3, 8-diazabicyclo [3.2.1] octane-8-carboxylate
To a solution of tert-butyl 3- [2- [ [ (3S, 8S) -3- [ [tert-butyl (diphenyl) silyl] oxymethyl] -6-methylene-2, 3, 5, 7-tetrahydro-1H-pyrrolizin-8-yl] methoxy] -7- (8-ethynyl-7-fluoro-1-naphthyl) -8-fluoro-pyrido [4, 3-d] pyrimidin-4-yl] -3, 8-diazabicyclo [3.2.1] octane-8-carboxylate (450 mg, 475 umol, 1 eq) in THF (5 mL) was added TBAF (1 M, 2.38 mL, 5 eq) and AcOH (142 mg, 2.38 mmol, 135 uL, 5 eq) . The mixture was stirred at 40 ℃ for 4 h under N2. The mixture was quenched with water and then extracted with ethyl acetate. The combined organic layers were concentrated under reduced pressure and the residue was purified by column chromatography eluted with EA/PE (0-10%) to afford the title compound (650 mg) .
Step 3: ( (3S, 7aS) -7a- ( ( (4- ( (1R, 5S) -8- (tert-butoxycarbonyl) -3, 8-diazabicyclo [3.2.1] octan-3-yl) -7- (8-ethynyl-7-fluoronaphthalen-1-yl) -8-fluoropyrido [4, 3-d] pyrimidin-2-yl) oxy) methyl) -6-
methylenehexahydro-1H-pyrrolizin-3-yl) methyl6-oxa-2-azaspiro [3.4] octane-2-carboxylate
To a solution of tert-butyl (1R, 5S) -3- (7- (8-ethynyl-7-fluoronaphthalen-1-yl) -8-fluoro-2- ( ( (5S, 7aS) -5- (hydroxymethyl) -2-methylenetetrahydro-1H-pyrrolizin-7a (5H) -yl) methoxy) pyrido [4, 3-d] pyrimidin-4-yl) -3, 8-diazabicyclo [3.2.1] octane-8-carboxylate (100 mg, 141.1 umol) in THF (1 mL) was added TEA (142.5 mg, 1410.8 umol, 10 eq. ) and (4-nitrophenyl) carbonochloridate (142.2 mg, 705.4 umol, 5 eq) . After stirring at 25 ℃ for 3 h., 6-oxa-2-azaspiro [3.4] octane oxalic acid (223.6mg, 705.4 umol, 5 eq. ) was added and the resulting mixture was stirred at 25 ℃ for 2 hrs. The reaction mixture was quenched by addition sat. NahCO3 aq. solution and then extracted with EtOAc. The combined organic layers were dried over anhydrous Na2SO4 and concentrated. The residue was purified by column chromatography, eluted with PE/EA (0-40%) to DCM/MeOH (0-4%) to afford the title compound (110 mg) .
Step 3: ( (3S, 7aS) -7a- ( ( (4- ( (1R, 5S) -3, 8-diazabicyclo [3.2.1] octan-3-yl) -7- (8-ethynyl-7-fluoronaphthalen-1-yl) -8-fluoropyrido [4, 3-d] pyrimidin-2-yl) oxy) methyl) -6-methyl enehexahydro-1H-pyrrolizin-3-yl) methyl 6-oxa-2-azaspiro [3.4] octane-2-carboxylate
To a solution of ( (3S, 7aS) -7a- ( ( (4- ( (1R, 5S) -8- (tert-butoxycarbonyl) -3, 8-diazabicyclo [3.2.1] octan-3-yl) -7- (8-ethynyl-7-fluoronaphthalen-1-yl) -8-fluoropyrido [4, 3-d] pyrimidin-2-yl) oxy) methyl) -6-methylenehexahydro-1H-pyrrolizin-3-yl) methyl 6-oxa-2-azaspiro [3.4] octane-2-carboxylate (110 mg, 129.7 umol) in DCM (1 mL) was added TFA (0.4 mL) at 5 ℃ and the mixture was stirred at rt for 1 h. The reaction mixture was basified to pH = 8 by adding a solution of NH3 in MeOH and then concentrated. The residue was purified by Prep-HPLC, to afford the title compound (43.52 mg) . MS (ES, m/z) : [M+H] + =748.3.
Proceeding analogously as described in Example 1, Steps 3 and 4, compounds in Table below were prepared by replacing 6-oxa-2-azaspiro [3.4] octane in Step 3, with amines indicated therein.
Example 2
Synthesis of 4- ( (1R, 5S) -3, 8-diazabicyclo [3.2.1] octan-3-yl) -7- (8-ethynyl-7-fluoronaphthalen-1-yl) -8-fluoro-2- ( ( (5S, 7aS) -2-methylene-5- ( (pyrimidin-4-yloxy) methyl) tetrahydro-1H-pyrrolizin-7a (5H) -yl) methoxy) pyrido [4, 3-d] pyrimidine
Step 1: methyl (5S, 7aS) -2-methylene-5- ( (pyrimidin-4-yloxy) methyl) tetrahydro-1H-pyrrolizine-7a (5H) -carboxylate
To a stirred solution of methyl (5S, 7aS) -5- (hydroxymethyl) -2-methylenetetrahydro-1H-pyrrolizine-7a (5H) -carboxylate (200 mg, 0.9 mmol, 1.0 equiv) and 4-chloropyrimidine (108 mg, 0.9 mmol, 1.0 equiv) in THF (4 mL) was added NaH (76 mg, 1.9 mmol, 2.0 equiv, 60%) at rt under nitrogen atmosphere and the resulting mixture was stirred for 2 h at rt. The reaction mixture was quenched by adding sat. NH4Cl aq. solution and then extracted with EtOAc. The combined organic layers were washed with brine, dried over anhydrous Na2SO4 and concentrated. The residue was purified by silica gel column chromatography, eluted with THF /PE (0-30%) to afford the title compound (100 mg) .
Step 2: ( (5S, 7aS) -2-methylene-5- ( (pyrimidin-4-yloxy) methyl) tetrahydro-1H-pyrrolizin-7a (5H) -yl) methanol
To a stirred solution of methyl (5S, 7aS) -2-methylene-5- ( (pyrimidin-4-yloxy) methyl) tetrahydro-1H-pyrrolizine-7a (5H) -carboxylate (100 mg, 0.35 mmol, 1.0 equiv) in THF (3 mL) at 0 ℃ was added LiAlH4 (1.0 M in THF, 0.5 mL, 0.5 mmol, 1.5 equiv) and the resulting
mixture was stirred at 0 ℃ for 1 h. The mixture was quenched by adding 15%NaOH aq. solution and Na2SO4 was added. The resulting mixture was filtered, and the filter cake was washed with EtOAc. The filtrate was concentrated under reduced pressure to provide the title compound (70 mg) .
Step 3: tert-butyl (1R, 5S) -3- (7- (8-ethynyl-7-fluoronaphthalen-1-yl) -8-fluoro-2- ( ( (5S, 7aS) -2-methylene-5- ( (pyrimidin-4-yloxy) methyl) tetrahydro-1H-pyrrolizin-7a (5H) -yl) methoxy) pyrido [4, 3-d] pyrimidin-4-yl) -3, 8-diazabicyclo [3.2.1] octane-8-carboxylate
To a stirred solution of tert-butyl (1R, 5S) -3- (2-chloro-7- (8-ethynyl-7-fluoronaphthalen-1-yl) -8-fluoropyrido [4, 3-d] pyrimidin-4-yl) -3, 8-diazabicyclo [3.2.1] octane-8-carboxylate (45 mg, 0.08 mmol, 1.0 equiv) and ( (5S, 7aS) -2-methylene-5- ( (pyrimidin-4-yloxy) methyl) tetrahydro-1H-pyrrolizin-7a (5H) -yl) methanol (21 mg, 0.08 mmol, 1.0 equiv) in THF (2 mL) at 0 ℃ was added NaH (6 mg, 60%in mineral oil, 0.16 mmol, 2 equiv) and the resulting mixture was stirred at 0 ℃ for 1 h. The resulting mixture was quenched by adding sat. NH4Cl aq. solution and then extracted with EtOAc. The combined organic layers were washed with brine, dried over anhydrous Na2SO4 and concentrated. The residue was purified by silica gel column chromatography, eluted with THF /PE (0-35%) to afford the title compound (35 mg) .
Step 4: 4- ( (1R, 5S) -3, 8-diazabicyclo [3.2.1] octan-3-yl) -7- (8-ethynyl-7-fluoronaphthalen-1-yl) -8-fluoro-2- ( ( (5S, 7aS) -2-methylene-5- ( (pyrimidin-4-yloxy) methyl) tetrahydro-1H-pyrrolizin-7a (5H) -yl) methoxy) pyrido [4, 3-d] pyrimidine
To a solution of tert-butyl (1R, 5S) -3- (7- (8-ethynyl-7-fluoronaphthalen-1-yl) -8-fluoro-2- ( ( (5S, 7aS) -2-methylene-5- ( (pyrimidin-4-yloxy) methyl) tetrahydro-1H-pyrrolizin-7a (5H) -yl) methoxy) pyrido [4, 3-d] pyrimidin-4-yl) -3, 8-diazabicyclo [3.2.1] octane-8-carboxylate (30 mg, 0.04 mmol, 1 equiv) in DCM (0.3 mL) at 0 ℃. was added HCl solution in 1, 4-dioxane (4.0 M, 0.15 mL) and the resulting mixture was stirred for 1 h at 0 ℃. The reaction mixture was basified to pH=8 by adding a solution of ammonia in MeOH and then concentrated under reduced pressure. The residue was purified by Prep-HPLC to afford the title compound (2.6 mg) . MS (ES, m/z) : [M+H] +=687.4.
Example 3
Synthesis of 4- ( (1R, 5S) -3, 8-diazabicyclo [3.2.1] octan-3-yl) -7- (8-ethynyl-7-fluoronaphthalen-1-yl) -8-fluoro-2- ( ( (5S, 7aS) -2-methylene-5- ( (pyrimidin-2-yloxy) methyl) tetrahydro-1H-pyrrolizin-7a (5H) -yl) methoxy) pyrido [4, 3-d] pyrimidine
The title compound was synthesized analogously as described in Example 2, steps 1-4 using 2-chloropyrimidine instead of 4-chloropyrimidine in step 1. MS (ES, m/z) : [M+H] +=687.4.
Example 4
Synthesis of 4- ( (1R, 5S) -3, 8-diazabicyclo [3.2.1] octan-3-yl) -7- (8-ethynyl-7-fluoronaphthalen-1-yl) -8-fluoro-2- ( ( (5S, 7aS) -2-methylene-5- ( (pyridin-2-yloxy) methyl) tetrahydro-1H-pyrrolizin-7a (5H) -yl) methoxy) pyrido [4, 3-d] pyrimidine
Step 1: methyl (5S, 7aS) -2-methylene-5- ( (pyridin-2-yloxy) methyl) tetrahydro-1H-pyrrolizine-7a (5H) -carboxylate
To a stirred solution of methyl (1R, 3aR) -1- (hydroxymethyl) -5-methylenehexahydropentalene-3a (1H) -carboxylate (210 mg, 0.99 mmol, 1.0 equiv) , PPh3 (390 mg, 1.49 mmol, 1.5 equiv) and 2-pyridone (142 mg, 1.49 mmol, 1.5 equiv) in THF (1 mL) at 0 ℃ was added DIAD (300 mg, 1.49 mmol, 1.5 equiv) and the resulting mixture was stirred for 2 h at rt. The reaction mixture was diluted with water and then extracted with EtOAc. The combined organic layers were washed with brine, dried over anhydrous Na2SO4 and concentrated. The residue was purified by silica gel column chromatography, eluted with EtOAc/PE (0-20%) to afford the title compound (100 mg) .
Step 2: 4- ( (1R, 5S) -3, 8-diazabicyclo [3.2.1] octan-3-yl) -7- (8-ethynyl-7-fluoronaphthalen-1-yl) -8-fluoro-2- ( ( (5S, 7aS) -2-methylene-5- ( (pyridin-2-yloxy) methyl) tetrahydro-1H-pyrrolizin-7a (5H) -yl) methoxy) pyrido [4, 3-d] pyrimidine
The title compound was synthesized analogously as described in Example 2, step 2-4 using methyl (5S, 7aS) -2-methylene-5- ( (pyridin-2-yloxy) methyl) tetrahydro-1H-pyrrolizine-7a (5H) -carboxylate instead of methyl (5S, 7aS) -2-methylene-5- ( (pyrimidin-4-yloxy) methyl) tetrahydro-1H-pyrrolizine-7a (5H) -carboxylate in step 2. MS (ES, m/z) : [M+H] +=686.4.
Example 5
Synthesis of 4- ( (1R, 5S) -3, 8-diazabicyclo [3.2.1] octan-3-yl) -7- (8-ethynyl-7-fluoronaphthalen-1-yl) -8-fluoro-2- ( ( (5S, 7aS) -2-methylene-5- ( (pyridin-2-yloxy) methyl) tetrahydro-1H-pyrrolizin-7a (5H) -yl) methoxy) pyrido [4, 3-d] pyrimidine
The title compound was synthesized analogously as described in Example 4, steps 1-2 using 1-methylpyrazol-3-ol instead of 2-pyridone in step 1. MS (ES, m/z) : [M+H] +=689.4.
Example 6
Compound 58
Synthesis of ( (3S, 7aS) -7a- ( ( (4- ( (1R, 5S) -3, 8-diazabicyclo [3.2.1] octan-3-yl) -7- (8-ethynyl-7-fluoronaphthalen-1-yl) -8-fluoro-5-methoxypyrido [4, 3-d] pyrimidin-2-yl) oxy) methyl) -6-methylenehexahydro-1H-pyrrolizin-3-yl) methyl morpholine-4-carboxylate
Step 1: 7-chloro-8-fluoro-5-methoxy-2- (methylthio) pyrido [4, 3-d] pyrimidin-4 (3H) -one
To a solution of 5, 7-dichloro-8-fluoro-2- (methylsulfanyl) -3H, 4H-pyrido [4, 3-d] pyrimidin-4-one (2.00 g, 7.14 mmol) in anhydrous DMF (10 mL) was added sodium methoxide (1.01 g, 18.56
mmol) and the resulting mixture was stirred at 25 ℃ for 16 h. The reaction mixture was cooled at 0 ℃ and acidified to pH~3 with conc. HCl. The mixture was then was filtered, and the filter cake was washed with brine, dried, and triturated in methanol to afford the title compound (1.86 g) .
Step 2: tert-butyl (1R, 5S) -3- (7-chloro-8-fluoro-5-methoxy-2- (methylthio) pyrido [4, 3-d] pyrimidin-4-yl) -3, 8-diazabicyclo [3.2.1] octane-8-carboxylate
To a solution of 7-chloro-8-fluoro-5-methoxy-2- (methylsulfanyl) -3H, 4H-pyrido [4, 3-d] pyrimidin-4-one (500.00 mg, 1.81 mmol) in CH3CN (3 mL) were added POCl3 (333.03 mg, 2.17 mmol) and DIPEA (701.77 mg, 5.43 mmol) . The mixture was stirred at 80 ℃ for 1 h under N2 and then cooled to 0 ℃. Tert-butyl (1R, 5S) -3, 8-diazabicyclo [3.2.1] octane-8-carboxylate (384.24 mg, 1.81 mmol) was added and the mixture was stirred for 1 h at 25 ℃. The reaction mixture was concentrated and the residue was purified by silica gel column chromatography eluted with MeOH/DCM (0-10%) to give the title compound (543.00 mg) .
Step 3: tert-butyl 3- (7- (8-ethynyl-7-fluoronaphthalen-1-yl) -8-fluoro-5-methoxy-2- (methylthio) pyrido [4, 3-d] pyrimidin-4-yl) -3, 8-diazabicyclo [3.2.1] octane-8-carboxylate
To a solution of tert-butyl (1R, 5S) -3- (7-chloro-8-fluoro-5-methoxy-2- (methylsulfanyl) pyrido [4, 3-d] pyrimidin-4-yl) -3, 8-diazabicyclo [3.2.1] octane-8-carboxylate (500.00 mg, 1.06 mmol) in dioxane (2 mL) and H2O (0.4 mL) were added 2- (8-ethynyl-7-fluoronaphthalen-1-yl) -4, 4, 5, 5-tetramethyl-1, 3, 2-dioxaborolane (627.82 mg, 2.12 mmol) , K2CO3 (439.51 mg, 3.18 mmol) and tetrakis (triphenylphosphine) palladium (122.49 mg, 0.11 mmol) . The mixture was then stirred at 85 ℃ for 16 h under N2. After cooled at rt, the reaction mixture was diluted with EtOAc, washed with sat. aq. NaHCO3 and brine successively. The combined organic layer was dried over Na2SO4, filtered
and concentrated. The residue was purified by silica gel column chromatography eluted with EA/PE (0%-100%) to give the title compound (100.00 mg) .
Step 4: tert-butyl 3- (7- (8-ethynyl-7-fluoronaphthalen-1-yl) -8-fluoro-5-methoxy-2- (methylsulfonyl) pyrido [4, 3-d] pyrimidin-4-yl) -3, 8-diazabicyclo [3.2.1] octane-8-carboxylate
To a solution of (tert-butyl (1R, 5S) -3- (7- (8-ethynyl-7-fluoronaphthalen-1-yl) -8-fluoro-5-methoxy-2- (methylsulfanyl) pyrido [4, 3-d] pyrimidin-4-yl) -3, 8-diazabicyclo [3.2.1] octane-8-carboxylate (45.00 mg, 0.075 mmol) in anhydrous DCM (2 mL) was added mCPBA (25.89 mg, 0.15 mmol) at 0 ℃ and the resulting mixture was stirred at 25 ℃ for 2 h. The reaction mixture was diluted with EA and then washed with saturated aqueous NaHCO3 and brine successively. The organic layer was dried over Na2SO4, filtered and concentrated. The residue was purified by silica gel column chromatography eluted with EA/PE (0-100%) to give the title compound.
Step 5: ( (3S, 7aS) -7a- ( ( (4- ( (1R, 5S) -8- (tert-butoxycarbonyl) -3, 8-diazabicyclo [3.2.1] octan-3-yl) -7- (8-ethynyl-7-fluoronaphthalen-1-yl) -8-fluoro-5-methoxypyrido [4, 3-d] pyrimidin-2-yl) oxy) methyl) -6-methylenehexahydro-1H-pyrrolizin-3-yl) methyl morpholine-4-carboxylate
To a solution of tert-butyl 3- (7- (8-ethynyl-7-fluoronaphthalen-1-yl) -8-fluoro-2-methanesulfonyl-5-methoxypyrido [4, 3-d] pyrimidin-4-yl) -3, 8-diazabicyclo [3.2.1] octane-8-carboxylate (15 mg, 0.024 mmol) in toluene (0.5 mL) were added [ (3S, 7aS) -7a- (hydroxymethyl) -6-methylidene-hexahydro-1H-pyrrolizin-3-yl] methyl morpholine-4-carboxylate (8.54 mg, 0.029 mmol) and potassium tert-butoxide (4.61 mg, 0.05 mmol) and the resulting mixture was stirred at 25 ℃ for 16 h. The mixture was concentrated and the residue was purified by silica gel column chromatography eluted with EA/PE (0-20%) to give the title compound (10.00 mg) .
Step 6: ( (3S, 7aR) -7a- ( ( (4- (3, 8-diazabicyclo [3.2.1] octan-3-yl) -7- (8-ethynyl-7-fluoronaphthalen-1-yl) -8-fluoro-5-methoxypyrido [4, 3-d] pyrimidin-2-yl) oxy) methyl) -6-methylenehexahydro-1H-pyrrolizin-3-yl) methyl morpholine-4-carboxylate
To a solution of tert-butyl tert-butyl 3- (2- { [ (5S, 7aS) -2-methylidene-5- [ (morpholine-4-carbonyloxy) methyl] -hexahydro-1H-pyrrolizin-7a-yl] methoxy} -7- (8-ethynyl-7-fluoronaphthalen-1-yl) -8-fluoro-5-methoxypyrido [4, 3-d] pyrimidin-4-yl) -3, 8-diazabicyclo [3.2.1] octane-8-carboxylate (10.00 mg, 0.01 mmol) in DCM (2 mL) was added HCl/Dioxane (1.5 mL, 4 M) at 0 ℃ and the resulting mixture was stirred at 25 ℃ for 1 h. The reaction mixture was concentrated and the residue was diluted with DCM and basified with NH3/MeOH (0.5 mL, 7 M) at 0 ℃. The resulting mixture was concentrated and the residue was purified by Prep-TLC [DCM: (NH3/MeOH, 2 M) =10: 1] to give the title compound (2.00 mg) . MS (ES, m/z) : [M+H] +=752.
Example 7
Compound 74
Synthesis of 2- ( (3S, 7aS) -7a- ( ( (4- ( (1R, 5S) -3, 8-diazabicyclo [3.2.1] octan-3-yl) -7- (8-ethynyl-7-fluoronaphthalen-1-yl) -8-fluoropyrido [4, 3-d] pyrimidin-2-yl) oxy) methyl) -6-methylenehexahydro-1H-pyrrolizin-3-yl) ethyl 3, 3-difluoropyrrolidine-1-carboxylate
The title compound was prepared by proceeding analogously as described in Example 1, step 1-3, using ( (5S, 7aR) -5- (2- ( (tert-butyldiphenylsilyl) oxy) ethyl) -2-methylenetetrahydro-1H-pyrrolizin-7a (5H) -yl) methanol instead of [ (3S, 8S) -3- [ [tert-butyl (diphenyl) silyl] oxymethyl] -6-methylene-2, 3, 5, 7-
tetrahydro-1H-pyrrolizin-8-yl] methanol in step 1, and 3, 3-difluoropyrrolidine hydrogen chloride instead of 6-oxa-2-azaspiro [3.4] octane oxalic acid in step 2. MS (ES, m/z) : [M+H] +=756.4.
Example 8
Compound 73
Synthesis of 2- ( (3S, 7aS) -7a- ( ( (4- ( (1R, 5S) -3, 8-diazabicyclo [3.2.1] octan-3-yl) -7- (8-ethynyl-7-fluoronaphthalen-1-yl) -8-fluoropyrido [4, 3-d] pyrimidin-2-yl) oxy) methyl) -6-methylenehexahydro-1H-pyrrolizin-3-yl) ethyl morpholine-4-carboxylate
The title compound was prepared by proceeding analogously as described in Example 1, step 1-3, using ( (5S, 7aR) -5- (2- ( (tert-butyldiphenylsilyl) oxy) ethyl) -2-methylenetetrahydro-1H-pyrrolizin-7a (5H) -yl) methanol instead of [ (3S, 8S) -3- [ [tert-butyl (diphenyl) silyl] oxymethyl] -6-methylene-2, 3, 5, 7-tetrahydro-1H-pyrrolizin-8-yl] methanol in step 1, and 3, 3-difluoropyrrolidine hydrogen chloride instead of 6-oxa-2-azaspiro [3.4] octane oxalic acid in step 2. MS (ES, m/z) : [M+H] +=736.4.
Example 9
Compound 75
Synthsis of ( (3S, 7aS) -7a- ( ( (7- (3-amino-8-ethynyl-7-fluoronaphthalen-1-yl) -4- ( (1R, 5S) -3, 8-diazabicyclo [3.2.1] octan-3-yl) -8-fluoropyrido [4, 3-d] pyrimidin-2-yl) oxy) methyl) -6-methylenehexahydro-1H-pyrrolizin-3-yl) methyl morpholine-4-carboxylate
Step 1: ( (3S, 7aS) -7a- ( ( (4- ( (1R, 5S) -8- (tert-butoxycarbonyl) -3, 8-diazabicyclo [3.2.1] octan-3-yl) -7-chloro-8-fluoropyrido [4, 3-d] pyrimidin-2-yl) oxy) methyl) -6-methylenehexahydro-1H-pyrrolizin-3-yl) methyl morpholine-4-carboxylate
To a solution of tert-butyl 3- {2, 7-dichloro-8-fluoropyrido [4, 3-d] pyrimidin-4-yl} -3, 8-diazabicyclo [3.2.1] octane-8-carboxylate (300 mg, 0.7 mmol, 1.0 eq) and ( (3S, 7aS) -7a- (hydroxymethyl) -6-methylenehexahydro-1H-pyrrolizin-3-yl) methyl morpholine-4-carboxylate (208 mg, 0.7 mmol, 1 eq) in THF (3 mL) was added NaH (56 mg, 1.4 mmol, 2 eq, 60%) at 0 ℃ under N2, and the resulting mixture was stirred at rt for 30 mins. The reaction mixture was quenched with H2O and extracted with DCM. The combined organic layers were washed with brine, dried over Na2SO4, filtered and concentrated. The residue was purified by silica gel column chromatography, eluted with EA/PE (0-100%) to afford the title compound (30 mg) .
Step 2: ( (3S, 7aS) -7a- ( ( (7- (3-amino-7-fluoro-8- ( (triisopropylsilyl) ethynyl) naphthalen-1-yl) -4- ( (1R, 5S) -8- (tert-butoxycarbonyl) -3, 8-diazabicyclo [3.2.1] octan-3-yl) -8-fluoropyrido [4, 3-d] pyrimidin-2-yl) oxy) methyl) -6-methylenehexahydro-1H-pyrrolizin-3-yl) methyl morpholine-4-carboxylate
To a solution of ( (3S, 7aS) -7a- ( ( (4- ( (1R, 5S) -8- (tert-butoxycarbonyl) -3, 8-diazabicyclo [3.2.1] octan-3-yl) -7-chloro-8-fluoropyrido [4, 3-d] pyrimidin-2-yl) oxy) methyl) -6-methylenehexahydro-1H-pyrrolizin-3-yl) methyl morpholine-4-carboxylate (80 mg, 0.1 mmol, 1.0 eq) and 6-fluoro-4- (4, 4, 5, 5-tetramethyl-1, 3, 2-dioxaborolan-2-yl) -5- [2- (triisopropylsilyl) ethynyl] -naphthalen-2-amine (54 mg, 0.1 mmol, 1.0 eq) in DME (0.4 mL) and H2O (0.1 mL) were added K2CO3 (48 mg, 0.3 mmol, 3.0 eq) and CATACXIUM A Pd G3 (8 mg, 0.01 mmol, 0.1 eq) . The
reaction mixture was stirred at 85 ℃ at 3 h under N2, after which it was cooled at rt and concentrated. The residue was purified by silica gel column chromatography, eluted with MeOH/DCM (0~10%) to afford the title compound (86 mg) .
Step 3: ( (3S, 7aS) -7a- ( ( (7- (3-amino-8-ethynyl-7-fluoronaphthalen-1-yl) -4- ( (1R, 5S) -8- (tert-butoxycarbonyl) -3, 8-diazabicyclo [3.2.1] octan-3-yl) -8-fluoropyrido [4, 3-d] pyrimidin-2-yl) oxy) methyl) -6-methylenehexahydro-1H-pyrrolizin-3-yl) methyl morpholine-4-carboxylate
To a solution of tert-butyl ( (3S, 7aS) -7a- ( ( (7- (3-amino-7-fluoro-8- ( (triisopropylsilyl) ethynyl) naphthalen-1-yl) -4- ( (1R, 5S) -8- (tert-butoxycarbonyl) -3, 8-diazabicyclo [3.2.1] octan-3-yl) -8-fluoropyrido [4, 3-d] pyrimidin-2-yl) oxy) methyl) -6-methylenehexahydro-1H-pyrrolizin-3-yl) methyl morpholine-4-carboxylate (86 mg, 0.087 mmol, 1.0 eq) in DMF (1 mL) was added CsF (66 mg, 0.4 mmol, 5.0 eq) at rt. The reaction mixture was stirred at 60 ℃ for 3 h, after which it was cooled at rt, quenched with H2O and then extracted with DCM. The combined organic extracts were washed with brine, dried over Na2SO4, filtered and concentrated. The residue was purified by silica gel column chromatography, eluted with MeOH/DCM (0-10%) to afford the title compound (60 mg) .
Step 4: ( (3S, 7aS) -7a- ( ( (7- (3-amino-8-ethynyl-7-fluoronaphthalen-1-yl) -4- ( (1R, 5S) -3, 8-diazabicyclo [3.2.1] octan-3-yl) -8-fluoropyrido [4, 3-d] pyrimidin-2-yl) oxy) methyl) -6-methylenehexahydro-1H-pyrrolizin-3-yl) methyl morpholine-4-carboxylate
To a mixture of ( (3S, 7aS) -7a- ( ( (7- (3-amino-8-ethynyl-7-fluoronaphthalen-1-yl) -4- ( (1R, 5S) -8- (tert-butoxycarbonyl) -3, 8-diazabicyclo [3.2.1] octan-3-yl) -8-fluoropyrido [4, 3-d] pyrimidin-2-
yl) oxy) methyl) -6-methylenehexahydro-1H-pyrrolizin-3-yl) methyl morpholine-4-carboxylate (30 mg, 0.036 mmol, 1.0 eq) in DCM (0.6 mL) was added HCl solution in Dioxane (0.3 mL, 4.0 M) dropwise at 5 ℃. The resulting mixture was stirred at 5℃ for 2 hrs, after which it was basified to pH~8 with NH3/MeOH at 5 ℃ and then concentrated. The residue was purified by Prep-HPLC to afford the title compound (6.9 mg) . MS (ES, m/z) : [M+H] +=737.4.
Example 10
Compound 76
Synthsis of ( (3S, 7aS) -7a- ( ( (4- ( (1R, 5S) -3, 8-diazabicyclo [3.2.1] octan-3-yl) -7- (8-ethynyl-7-fluoro-3-hydroxynaphthalen-1-yl) -8-fluoropyrido [4, 3-d] pyrimidin-2-yl) oxy) methyl) -6-methylenehexahydro-1H-pyrrolizin-3-yl) methyl morpholine-4-carboxylate
The title compound was prepared by proceeding analogously as described in Example 9, Steps 2-4, using ( (2-fluoro-6- (methoxymethoxy) -8- (4, 4, 5, 5-tetramethyl-1, 3, 2-dioxaborolan-2-yl) naphthalen-1-yl) ethynyl) triisopropylsilane instead of 6-fluoro-4- (4, 4, 5, 5-tetramethyl-1, 3, 2-dioxaborolan-2-yl) -5- [2- (triisopropylsilyl) ethynyl] naphthalen-2-amine in Step 2. MS (ES, m/z) : [M+H] +=738.2.
Proceeding analogously as described in Example 1, Steps 3 and 4, compounds in Table below were prepared by replacing 6-oxa-2-azaspiro [3.4] octane in Step 3, with amines indicated therein.
In examples 16, 38-43, 45-48, 51-54, 63-72, 77, and 78 HCl/Dioxane (1 mL, 4 M) was used instead of TFA in Step 3 to remove the Boc protecting group.
Compounds 55 and 56 were synthesized as a mixture and then were separated by chiral SFC: column: REGIS (s, s) WHELK-O1 (250mm*30mm, 5um) ; mobile phase: [CO2-ACN/EtOH (0.1%NH3H2O) ] ; B%: 50%, isocratic elution mode.
Biological Examples
Example 1
p-ERK Cellular 1-plate Assay
The ability of the compound of Formula (I) or a pharmaceutically acceptable salt thereof (test compound) to inhibit K-Ras G12D activity was tested using AGS (Cobioer, CBP60476) cell lines which harbor KRAS G12D mutation as described below.
AGS (Cobioer, CBP60476) were seeded in 384-well plates and cultured overnight (5,000 cells per well, 40 μl total volume) . The following morning, cells were treated with test compound, with starting concentration at 10 μM and 3-fold dilution down to 0.5 nM for 3 h at 37 ℃. DMSO treatment served as Control. p-ERK was then measured using AlphaLISA SureFire Ultra p-ERK1/2 (Thr202/Tyr204) Assay Kit (Perkin Elmer, cat# ALSU-PERK) following the manufacturer’s instruction as follows.
Briefly, the culture medium was removed and 10 μl 1× lysis buffer was added to each well, followed by 10 minutes incubation on a plate shaker at room temperature. Acceptor mixture was prepared according to manufacturer's instruction. 5 μl acceptor mixture was added to the cell lysate and the plate was wrapped with foil, spun at 500 rpm for 10s and incubated at RT for 60 min. Donor mixture was prepared under subdued light. 5 μl donor mixture was added to the cell lysate and the plate was spun at 500 rpm for 10s and incubated at RT for another 60 min. in the dark. Signal was then measured on a EnVision 2105 multimode plate reader. Percentage inhibition was calculated with DMSO treatment as 100%of signal, and EC50 was calculated by XLfit 5.5. x.
EC50 of compound in Compound Table 1 above are disclosed in Table A below
Table A
Formulation
Examples
The following are representative pharmaceutical formulations containing a compound of the present disclosure.
Tablet Formulation
The following ingredients are mixed intimately and pressed into single scored tablets.
Capsule Formulation
The following ingredients are mixed intimately and loaded into a hard-shell gelatin capsule.
Injectable Formulation
Compound of the disclosure (e.g., compound 1) in 2%HPMC, 1%Tween 80 in DI water, pH 2.2 with MSA, q.s. to at least 20 mg/mL
Inhalation Composition
To prepare a pharmaceutical composition for inhalation delivery, 20 mg of a compound disclosed herein is mixed with 50 mg of anhydrous citric acid and 100 mL of 0.9%sodium chloride
solution. The mixture is incorporated into an inhalation delivery unit, such as a nebulizer, which is suitable for inhalation administration.
Topical Gel Composition
To prepare a pharmaceutical topical gel composition, 100 mg of a compound disclosed herein is mixed with 1.75 g of hydroxypropyl cellulose, 10 mL of propylene glycol, 10 mL of isopropyl myristate and 100 mL of purified alcohol USP. The resulting gel mixture is then ncorporated into containers, such as tubes, which are suitable for topical administration.
Ophthalmic Solution Composition
To prepare a pharmaceutical ophthalmic solution composition, 100 mg of a compound disclosed herein is mixed with 0.9 g of NaCl in 100 mL of purified water and filtered using a 0.2 micron filter. The resulting isotonic solution is then incorporated into ophthalmic delivery units, such as eye drop containers, which are suitable for ophthalmic administration.
Nasal spray solution
To prepare a pharmaceutical nasal spray solution, 10 g of a compound disclosed herein is mixed with 30 mL of a 0.05M phosphate buffer solution (pH 4.4) . The solution is placed in a nasal administrator designed to deliver 100 ul of spray for each application.
Claims (47)
- A compound of Formula (I) :
wherein:U, V, and W are CH; or one or two of U, V, and W are N and the other of U, V, and W are CH;R1 is a ring of formula:
where:one of m and n is 0, 1, or 2, and the other of m and n is 0, 1, 2, or 3;R6 is hydrogen, deuterium, alkyl, alkoxy, halo, haloalkyl, hydroxy, hydroxylalkyl, alkoxyalkyl, cyano, or cyanomethyl, provided R6 is not attached to the ring -NH-;R7 is hydrogen, deuterium, alkyl, alkoxy, halo, haloalkyl, hydroxy, hydroxylalkyl, or alkoxyalkyl, provided R7 is not attached to the ring -NH-; orwhen R6 and R7 are attached to the carbon atoms of the ring that are opposite or diagonal to each other, then R6 and R7 can combine to form – (CH2) z-where (z is 1, 2, or 3) , or -CH=CH-;R6a is hydrogen, deuterium, alkyl, alkylidenyl, alkoxy, halo, haloalkyl, hydroxy, hydroxyalkyl, alkoxyalkyl, cyano, cyanomethyl, cyanoethyl, or 2-cyanovinyl,provided R6a is not attached to the ring -NH-;R6b is hydrogen or alkyl, provided R6b is not attached to the ring -NH-; orwhen R6a and R6b are attached to the same carbon of ring (a’) , they can combine to form cycloalkylene;R2 is hydrogen, deuterium, alkyl, halo, haloalkyl, alkoxy, hydroxy, or cyano, provided that R2 is absent when two of U, V, and W are N;R3 is hydrogen, deuterium, alkyl, halo, haloalkyl, alkoxy, cycloalkyl, cycloalkyloxy, hydroxy, or cyano;R4 is -Z-R30 where Z is a bond, O, NH, N (alkyl) , or S; and R30 is heterocyclylalkyl, fused heterocyclylalkyl, bicyclic heterocyclyl, bicyclic heterocyclylalkyl, fused bicyclic heterocyclyl, fused bicyclic heterocyclylalkyl, heterocyclyl fused bicyclic heterocyclyl, heterocyclyl fused bicyclic heterocyclylalkyl, tricyclic heterocyclyl, or tricyclic heterocyclylalkyl, wherein:(1) fused heterocyclyl of fused heterocyclylalkyl is substituted with Ra, Rb, Rc, and Rc1 where Ra is alkylidenyl, deuterioalkylidenyl, haloalkylidenyl, alkoxyalkylidenyl, or =CR31R32 and the alkyl portion of fused heterocyclylalkyl is optionally substituted with one or two deuterium;(2) heterocyclyl of heterocyclylalkyl and bicyclic heterocyclyl, by itself or as part of bicyclic heterocyclylalkyl, are substituted with Rd, Re, Rf and Rf1 where Rd is alkylidenyl, deuterioalkylidenyl, haloalkylidenyl, alkoxyalkylidenyl, or =CR33R34 and the alkyl portion of heterocyclylalkyl, and bicyclic heterocyclylalkyl is optionally substituted with one or two deuterium;(3) fused bicyclic heterocyclyl, by itself or as part of fused bicyclic heterocyclylalkyl, heterocyclyl fused bicyclic heterocyclyl, by itself or as part of heterocyclyl fused bicyclic heterocyclylalkyl, and tricyclic heterocyclyl, by itself or as part of tricyclic heterocyclylalkyl, are independently substituted with Rg, Rh, Ri, and Ri1 where Rg alkylidenyl, deuterioalkylidenyl, haloalkylidenyl, alkoxyalkylidenyl, or =CR35R36 and the alkyl portion of fused bicyclic heterocyclylalkyl, heterocyclyl fused bicyclic heterocyclylalkyl, and tricyclic heterocyclylalkyl is optionally substituted with one or two deuterium;R31, R33, and R35 are independently hydrogen, alkyl, or fluoro and R32, R34, and R36 are independently cyano, alkoxyalkyloxyalkyl, cycloalkyl, cycloalkylalkyl, or cycloalkylalkyloxyalkyl (where cycloalkyl, by itself or as part of cycloalkylalkyl and cycloalkylalkyloxyalkyl is optionally substituted with one or two substituents independently selected from alkyl, halo, haloalkoxy, alkoxy, alkoxyalkyl, and hydroxy) , heterocyclyl, phenyl, or heteroaryl (where heterocyclyl, phenyl, and heteroaryl are optionally substituted with one, two, or three substituents independently selected from alkyl, halo, haloalkyl, haloalkoxy, alkoxy, cyano, and hydroxy) , or independently of each other, R31 and R32, R33 and R34, and R35 and R36 together with the carbon atom to which they are attached form cycloalkylene optionally substituted with alkyl, halo, alkoxy, or hydroxy;Rb, Re, and Rh are – (Q1) -OC (O) NR39R40 wherein:(a) Q1 is alkylene, R39 is hydrogen, deuterium, alkyl, deuterioalkyl, haloalkyl, haloalkoxyalkyl, or alkoxyalkyl and R40 is deuterium, deuterioalkyl, cycloalkyl, alkoxy, alkoxyalkyl, haloalkyl, haloalkoxyalkyl, or heterocyclyl optionally substituted with one or two substituents independently selected from alkyl, halo, alkoxy, haloalkyl, and haloalkoxy; or R39 and R40 together with the nitrogen atom to which they are attached form heterocyclyl, bicyclic heterocyclyl, bridged heterocyclyl, fused heterocyclyl, or spiroheterocyclyl wherein (a) the heterocyclyl formed together by R39 and R40 is substituted with Rn, Ro, Rp, and Rq where Rn and Ro are independently selected from hydrogen, deuterium, alkyl, halo, haloalkyl, haloalkoxy, cyano, alkoxy and hydroxy, Rp is hydrogen, deuterium, alkylidene, deuterioalkylidene, alkenyl, alkynyl, fluoro, alkoxyalkyl, alkylcarbonyl, haloalkylcarbonyl, or alkylsulfonyl, and Rq is hydrogen, deuterium, or fluoro and (b) the bicyclic heterocyclyl, bridged heterocyclyl, fused heterocyclyl, and spiroheterocyclyl formed together by R39 and R40 are independently substituted with Rr, Rs, and Rt independently selected from hydrogen, deuterium, alkyl, alkylthio, halo, haloalkyl, haloalkoxy, cyano, alkoxy, and hydroxy; or(b) Q1 is deuterioalkylene, R39 is hydrogen, deuterium, alkyl, deuterioalkyl, haloalkyl, haloalkoxyalkyl, or alkoxyalkyl and R40 is hydrogen, deuterium, alkyl, deuterioalkyl, cycloalkyl, alkoxy, alkoxyalkyl, haloalkyl, haloalkoxyalkyl, or heterocyclyl optionally substituted with one or two substituents independently selected from alkyl, halo, alkoxy, haloalkyl, and haloalkoxy; or R39 and R40 together with the nitrogen atom to which they are attached form heterocyclyl, bicyclic heterocyclyl, bridged heterocyclyl, fused heterocyclyl, or spiroheterocyclyl wherein (a) heterocyclyl is substituted with Ru, Rv, Rw, and Rx where Ru and Rv are independently selected from hydrogen, deuterium, alkyl, halo, haloalkyl, haloalkoxy, cyano, alkoxy and hydroxy, Rw is hydrogen, deuterium, alkylidene, deuterioalkylidene, alkenyl, alkynyl, fluoro, alkoxyalkyl, alkylcarbonyl, haloalkylcarbonyl, or alkylsulfonyl, and Rx is hydrogen, deuterium, or fluoro and (b) bicyclic heterocyclyl, bridged heterocyclyl, fused heterocyclyl, and spiroheterocyclyl are independently substituted with Ry, Ry1, and Ry2 independently selected from hydrogen, deuterium, alkyl, alkylthio, halo, haloalkyl, haloalkoxy, cyano, alkoxy, and hydroxy;Rc, Rf, and Ri are independently hydrogen, deuterium, alkyl, halo, alkoxy, alkoxyalkyl, or hydroxy;Rc1, Rf1, and Ri1 are independently selected from hydrogen, deuterium, alkyl, and halo; andR5 is -Q-R37 where Q is a bond, alkylene, or -C (=O) -; and R37 is cycloalkyl, fused cycloalkyl, fused spirocycloalkyl, aryl, aralkyl, heteroaryl, fused heteroaryl, or heteroaralkyl wherein aryl, aryl in aralkyl, heteroaryl, fused heteroaryl, and heteroaryl in heteroaralkyl are independently substituted with Raa, Rbb, Rcc and Rdd wherein Raa and Rbb are independently selected from hydrogen, alkyl, cycloalkyl, halo, haloalkyl, haloalkoxy, hydroxy, alkoxy, heteroalkyl, hydroxyalkyl, amino, and cyano, Rcc is hydrogen, alkenyl, alkynyl, cyanoalkenyl, cyanoalkynyl, or halo, and Rdd is hydrogen, alkyl, alkylthio, cycloalkyl, halo, haloalkyl, haloalkoxy, alkoxy, heteroalkyl, hydroxyalkyl, amino, cyano, optionally substituted aryl, optionally substituted heteroaryl, optionally substituted heterocyclyl, or optionally substituted heterocyclylalkyl; ora pharmaceutically acceptable salt thereof; provided that when Rb, Re, and Rh are – (Q1) -OC (O) NR39R40 where Q1 is alkylene and R39 and R40 together with the nitrogen atom to which they are attached form heterocyclyl substituted with Rn, Ro, Rp, and Rq; Ra, Rd, and Rg are not deuterioalkylidene; R4 is fused heterocyclylalkyl, heterocyclylalkyl, bicyclic heterocyclylalkyl, fused bicyclic heterocyclylalkyl, fused bicyclic heterocyclylalkyl, heterocyclyl fused bicyclic heterocyclylalkyl, and tricyclic heterocyclylalkyl wherein the alkyl portion of fused heterocyclylalkyl, heterocyclylalkyl, bicyclic heterocyclylalkyl, fused bicyclic heterocyclylalkyl, fused bicyclic heterocyclylalkyl, heterocyclyl fused bicyclic heterocyclylalkyl, and tricyclic heterocyclylalkyl is not substituted with one or two deuterium; Rc, Rf, and Ri are not deuterium; and Rc1, Rf1, and Ri1 are hydrogen; then: (i) when Rp is fluoro, then Rn and Ro are not hydrogen; and (ii) when Rp is hydrogen, then Rn, Ro and Rq are not hydrogen. - The compound of claim 1, or a pharmaceutically acceptable salt thereof, having a structure according to Formula (I’c) :
- The compound of claim 1 or 2, or a pharmaceutically acceptable salt thereof, wherein R30 is heterocyclylalkyl, bicyclic heterocyclyl, or bicyclic heterocyclylalkyl, where heterocyclyl of heterocyclylalkyl and bicyclic heterocyclyl, by itself or as part of bicyclic heterocyclylalkyl are substituted with Rd, Re, Rf, and Rf1.
- The compound of claim 1 or 2, or a pharmaceutically acceptable salt thereof, wherein R30 is heterocyclylalkyl or bicyclic heterocyclylalkyl, where heterocyclyl of heterocyclylalkyl and bicyclic heterocyclyl of bicyclic heterocyclylalkyl are substituted with Rd, Re, Rf, and Rf1 and alkyl of heterocyclylalkyl and bicyclic heterocyclylalkyl is substituted with one or two deuterium.
- The compound of any one of claims 1 to 4, or a pharmaceutically acceptable salt thereof, wherein R30 is heterocyclylalkyl where heterocyclyl of heterocyclylalkyl is substituted with Rd, Re, Rf, and Rf1.
- The compound of any one of claims 1 to 5, or a pharmaceutically acceptable salt thereof, wherein the heterocyclylalkyl of R30 is pyrrolidin-2-ylmethyl, piperidin-2-ylmethyl, or piperidin-3-ylmethyl, each ring substituted with Rd, Re, Rf, and Rf1.
- The compound of any one of claims 1 to 6, or a pharmaceutically acceptable salt thereof, wherein the heterocyclylalkyl of R30 is pyrrolidin-2-ylmethyl substituted with Rd, Re, Rf, and Rf1.
- The compound of any one of claims 1 to 4, or a pharmaceutically acceptable salt thereof, wherein R30 is bicyclic heterocyclylalkyl substituted with Rd, Re, Rf, and Rf1.
- The compound of any one of claims 1 to 3 and 8, or a pharmaceutically acceptable salt thereof, wherein the bicyclic heterocyclylalkyl of R30 is hexahydro-1H-pyrrolizin-7a-ylalkyl where hexahydro-1H-pyrrolizin-7a-yl is substituted with Rd, Re, Rf, and Rf1.
- The compound of any one of claims 1 to 3, 8, and 9, or a pharmaceutically acceptable salt thereof, wherein the bicyclic heterocyclylalkyl of R30 is hexahydro-1H-pyrrolizin-7a-ylmethyl, where hexahydro-1H-pyrrolizin-7a-yl is substituted with Rd, Re, Rf, and Rf1.
- The compound of any one of claims 1 to 3, and 8 to 10, or a pharmaceutically acceptable salt thereof, wherein the bicyclic heterocyclylalkyl of R30 is a ring of formula:and is substituted with Re, Rf, and Rf1.
- The compound of any one of claims 1 to 3, 8 to 10, or a pharmaceutically acceptable salt thereof, wherein Rf1 is hydrogen and the bicyclic heterocyclylalkyl of R30 is a ring of formula:
- The compound of any one of claims 1 to 3, 8 to 10, and 12, or a pharmaceutically acceptable salt thereof, wherein Rf1 is hydrogen and the bicyclic heterocyclylalkyl of R30 is a ring of formula:
- The compound of any one of claims 1 to 13, or a pharmaceutically acceptable salt thereof, wherein Rd and Rg are independently haloalkenyl, alkylidenyl, deuterioalkylidenyl, haloalkylidenyl, or alkoxyalkylidenyl.
- The compound of any one of claims 1 to 14, or a pharmaceutically acceptable salt thereof, wherein Rd and Rg are alkylidenyl.
- The compound of any one of claims 1 to 15, or a pharmaceutically acceptable salt thereof, wherein Rd and Rg are methylidenyl.
- The compound of any one of claims 1 to 16, or a pharmaceutically acceptable salt thereof, wherein Q1 is alkylene.
- The compound of any one of claims 1 to 17, or a pharmaceutically acceptable salt thereof, wherein Q1 is methylene, ethylene, -CH (CH3) -, or -C (CH3) 2-.
- The compound of any one of claims 1 to 18, or a pharmaceutically acceptable salt thereof, wherein Q1 is methylene.
- The compound of any one of claims 1 to 19, or a pharmaceutically acceptable salt thereof, wherein R39 and R40 together with the nitrogen atom to which they are attached form heterocyclyl, bicyclic heterocyclyl, bridged heterocyclyl, fused heterocyclyl, or spiroheterocyclyl wherein (a) heterocyclyl is substituted with Rn, Ro, Rp, and Rq and (b) bicyclic heterocyclyl, bridged heterocyclyl, fused heterocyclyl, and spiroheterocyclyl are independently substituted with Rr, Rs, and Rt.
- The compound of any one of claims 1 to 20, or a pharmaceutically acceptable salt thereof, wherein R39 and R40 together with the nitrogen atom to which they are attached form heterocyclyl substituted with Rn, Ro, Rp, and Rq.
- The compound of any one of claims 1 to 20, or a pharmaceutically acceptable salt thereof, wherein R39 and R40 together with the nitrogen atom to which they are attached form bicyclic heterocyclyl, bridged heterocyclyl, fused heterocyclyl, or spiroheterocyclyl, wherein each ring independently is substituted with Rr, Rs, and Rt.
- The compound of any one of claims 1 to 21, or a pharmaceutically acceptable salt thereof, wherein R39 and R40 together with the nitrogen atom to which they are attached form azetidin-1-yl, pyrrolidin-1-yl, piperidin-1-yl, piperazin-1-yl, morpholin-4-yl, or homomorpholin-1-yl, each ring substituted with Rn, Ro, Rp, and Rq.
- The compound of any one of claims 1 to 21 and 23, or a pharmaceutically acceptable salt thereof, wherein R39 and R40 together with the nitrogen atom to which they are attached form azetidin-1-yl, pyrrolidin-1-yl, piperidin-1-yl, piperazin-1-yl, morpholin-4-yl, or homomorpholin-1-yl, each ring substituted with Rn, Ro, Rp, and Rq where Rn and Ro are independently selected from hydrogen, deuterium, methyl, fluoro, difluoromethyl, trifluoromethyl, difluoromethoxy, trifluoromethoxy, cyano, or methoxy, Rp is hydrogen, deuterium, methoxymethyl, or fluoro, and Rq is hydrogen, deuterium, or fluoro.
- The compound of any one of claims 1 to 21, 23, and 24, or a pharmaceutically acceptable salt thereof, wherein R39 and R40 together with the nitrogen atom to which they are attached form 3-methoxymethylazetidin-yl, 2-methoxymethyl-piperidin-1-yl, 3, 3, 4, 4-tetrafluoropyrrolidin-1-yl, morpholin-4-yl, 2, 6-dimethylmorpholin-4-yl, 2, 2-dimethylmorpholin-4-yl, 2- (trifluoromethyl) morpholin-4-yl, 2, 2-difluoromorpholin-4-yl, 2-methylmorpholin-4-yl, 3-methylmorpholin-4-yl, or 2- (difluoromethyl) morpholin-4-yl.
- The compound of any one of claims 1 to 21 and 23 to 25, or a pharmaceutically acceptable salt thereof, wherein R39 and R40 together with the nitrogen atom to which they are attached form morpholin-4-yl, 2, 6-dimethylmorpholin-4-yl, 2, 2-dimethylmorpholin-4-yl, 2- (trifluoromethyl) morpholin-4-yl, 2, 2-difluoromorpholin-4-yl, 2-methylmorpholin-4-yl, 3-methylmorpholin-4-yl, or 2- (difluoromethyl) morpholin-4-yl.
- The compound of any one of claims 1 to 26, or a pharmaceutically acceptable salt thereof, wherein Rc, Rf, and Ri are independently hydrogen, deuterium, methyl, ethyl, methoxy, ethoxy, methyloxy, ethyloxy, chloro, or fluoro.
- The compound of any one of claims 1 to 27, or a pharmaceutically acceptable salt thereof, wherein Rc, Rf, and Ri are each hydrogen.
- The compound of any one of claims 1 to 27, or a pharmaceutically acceptable salt thereof, wherein Rc, Rf, and Ri are independently methyl, methoxy, methyloxy, chloro, or fluoro.
- The compound of any one of claims 1 to 29, or a pharmaceutically acceptable salt thereof, wherein Rc1, Rf1, and Ri1 are independently selected from hydrogen, deuterium, and fluoro.
- The compound of any one of claims 1 to 30, or a pharmaceutically acceptable salt thereof, wherein Rc1, Rf1, and Ri1 are each hydrogen.
- The compound of any one of claims 1 to 31, or a pharmaceutically acceptable salt thereof, wherein Z is O.
- The compound of any one of claims 1 to 32, or a pharmaceutically acceptable salt thereof, wherein R1 is:
- The compound of any one of claims 1 to 33, or a pharmaceutically acceptable salt thereof, wherein R5 is -Q-R37 where Q is a bond and R37 is phenyl or naphthyl substituted with Raa, Rbb, Rcc and Rdd.
- The compound of any one of claims 1 to 34, or a pharmaceutically acceptable salt thereof, wherein R5 is -Q-R37 where Q is a bond and R37 is phenyl or naphthyl substituted with Raa, Rbb, Rcc and Rdd where Raa and Rbb are independently selected from hydrogen, alkyl, halo, haloalkyl, hydroxy, alkoxy, haloalkoxy, cycloalkyl, amino, cyano, and hydroxyalkyl, Rcc is hydrogen, fluoro, or alkynyl, and Rdd is hydrogen, alkyl, cycloalkyl, halo, haloalkyl, haloalkoxy, alkoxy, heteroalkyl, hydroxyalkyl, amino, cyano, optionally substituted aryl, optionally substituted heteroaryl, optionally substituted heterocyclyl, or optionally substituted heterocyclylalkyl.
- The compound of any one of claims 1 to 35, or a pharmaceutically acceptable salt thereof, wherein Raa and Rbb independently selected from hydrogen, methyl, ethyl, fluoro, chloro, trifluoromethyl, difluoromethyl, trifluoromethoxy, hydroxy, methyl, ethoxy, cyclopropyl, amino, cyano, and hydroxymethyl, Rcc is hydrogen, ethynyl, 2-cyanovinyl, 2-cyanoethyn-1-yl, or fluoro, and Rdd is hydrogen, methyl, fluoro, amino, or cyclopropyl.
- The compound of any one of claims 1 to 36, or a pharmaceutically acceptable salt thereof, wherein R5 is -Q-R37 where Q is a bond and R37 is:
- The compound of any one of claims 1 to 37, or a pharmaceutically acceptable salt thereof, wherein R5 is -Q-R37 where Q is a bond and R37 is:
- The compound of any one of claims 1 to 38, or a pharmaceutically acceptable salt thereof, wherein R5 is -Q-R37 where Q is a bond and R37 is:.
- The compound of any one of claims 1 to 39, or a pharmaceutically acceptable salt thereof, wherein R2 is hydrogen, halo, or alkyl, and R3 is hydrogen, halo, cycloalkyloxy, or alkyl.
- The compound of any one of claims 1 to 40, or a pharmaceutically acceptable salt thereof, wherein R2 and R3 are each hydrogen.
- The compound of any one of claims 1 to 40, or a pharmaceutically acceptable salt thereof, wherein R2 is hydrogen or chloro and R3 is hydrogen, fluoro, or cyclopropyloxy.
- The compound of any one of claims 1 to 40, or a pharmaceutically acceptable salt thereof, wherein R2 is hydrogen and R3 is fluoro.
- A pharmaceutical composition comprising a compound of any one of claims 1 to 43, or a pharmaceutically acceptable salt thereof and a pharmaceutically acceptable excipient.
- A method of treating cancer in a patient comprising administering to the patient, a therapeutically effective amount of a compound of any one of claims 1 to 43, or a pharmaceutically acceptable salt thereof; or a pharmaceutical composition of claim 44.
- The method of claim 45, wherein the cancer is non-small cell lung cancer, colorectal cancer, or pancreatic cancer.
- The method of claim 45 or 46, wherein the compound of any one of claims 1 to 43, or a pharmaceutically acceptable salt thereof; or the pharmaceutical composition of claim 44 is administered in combination with at least one additional anticancer agent.
Applications Claiming Priority (2)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
CNPCT/CN2022/116281 | 2022-08-31 | ||
PCT/CN2022/116281 WO2024045066A1 (en) | 2022-08-31 | 2022-08-31 | Alkylidene carbamate as kras inhibitors |
Publications (1)
Publication Number | Publication Date |
---|---|
WO2024046406A1 true WO2024046406A1 (en) | 2024-03-07 |
Family
ID=90100002
Family Applications (2)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
PCT/CN2022/116281 WO2024045066A1 (en) | 2022-08-31 | 2022-08-31 | Alkylidene carbamate as kras inhibitors |
PCT/CN2023/116008 WO2024046406A1 (en) | 2022-08-31 | 2023-08-31 | Alkylidene carbamate as kras inhibitors |
Family Applications Before (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
PCT/CN2022/116281 WO2024045066A1 (en) | 2022-08-31 | 2022-08-31 | Alkylidene carbamate as kras inhibitors |
Country Status (1)
Country | Link |
---|---|
WO (2) | WO2024045066A1 (en) |
Citations (8)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
WO2022015375A1 (en) * | 2020-07-16 | 2022-01-20 | Mirati Therapeutics, Inc. | Kras g12d inhibitors |
WO2022042630A1 (en) * | 2020-08-26 | 2022-03-03 | InventisBio Co., Ltd. | Heteroaryl compounds, preparation methods and uses thereof |
WO2022061251A1 (en) * | 2020-09-18 | 2022-03-24 | Plexxikon Inc. | Compounds and methods for kras modulation and indications therefor |
WO2022068921A1 (en) * | 2020-09-30 | 2022-04-07 | 上海医药集团股份有限公司 | Quinazoline compound and application thereof |
CN114615981A (en) * | 2019-08-29 | 2022-06-10 | 米拉蒂治疗股份有限公司 | KRAS G12D inhibitors |
WO2022173870A1 (en) * | 2021-02-09 | 2022-08-18 | Kumquat Biosciences Inc. | Heterocyclic compounds and uses thereof |
WO2023283933A1 (en) * | 2021-07-16 | 2023-01-19 | Silexon Biotech Co., Ltd. | Compounds useful as kras g12d inhibitors |
WO2023284730A1 (en) * | 2021-07-14 | 2023-01-19 | Nikang Therapeutics, Inc. | Alkylidene derivatives as kras inhibitors |
Family Cites Families (1)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
EP3908283A4 (en) * | 2019-01-10 | 2022-10-12 | Mirati Therapeutics, Inc. | Kras g12c inhibitors |
-
2022
- 2022-08-31 WO PCT/CN2022/116281 patent/WO2024045066A1/en unknown
-
2023
- 2023-08-31 WO PCT/CN2023/116008 patent/WO2024046406A1/en unknown
Patent Citations (8)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
CN114615981A (en) * | 2019-08-29 | 2022-06-10 | 米拉蒂治疗股份有限公司 | KRAS G12D inhibitors |
WO2022015375A1 (en) * | 2020-07-16 | 2022-01-20 | Mirati Therapeutics, Inc. | Kras g12d inhibitors |
WO2022042630A1 (en) * | 2020-08-26 | 2022-03-03 | InventisBio Co., Ltd. | Heteroaryl compounds, preparation methods and uses thereof |
WO2022061251A1 (en) * | 2020-09-18 | 2022-03-24 | Plexxikon Inc. | Compounds and methods for kras modulation and indications therefor |
WO2022068921A1 (en) * | 2020-09-30 | 2022-04-07 | 上海医药集团股份有限公司 | Quinazoline compound and application thereof |
WO2022173870A1 (en) * | 2021-02-09 | 2022-08-18 | Kumquat Biosciences Inc. | Heterocyclic compounds and uses thereof |
WO2023284730A1 (en) * | 2021-07-14 | 2023-01-19 | Nikang Therapeutics, Inc. | Alkylidene derivatives as kras inhibitors |
WO2023283933A1 (en) * | 2021-07-16 | 2023-01-19 | Silexon Biotech Co., Ltd. | Compounds useful as kras g12d inhibitors |
Also Published As
Publication number | Publication date |
---|---|
WO2024045066A1 (en) | 2024-03-07 |
Similar Documents
Publication | Publication Date | Title |
---|---|---|
AU2019344897B2 (en) | Tri-substituted heteroaryl derivatives AS SRC homology-2 phosphatase inhibitors | |
WO2022187528A1 (en) | Quinazoline amine derivatives as kras inhibitors | |
WO2023284730A1 (en) | Alkylidene derivatives as kras inhibitors | |
WO2022236578A1 (en) | Exocyclic amino quinazoline derivatives as kras inhibitors | |
WO2022187527A1 (en) | Quinazoline nitrile derivatives as kras inhibitors | |
IL303661A (en) | Compounds for degrading cyclin-dependent kinase 2 via ubiquitin proteosome pathway | |
WO2024046406A1 (en) | Alkylidene carbamate as kras inhibitors | |
WO2024050742A1 (en) | Bifunctional compounds for degrading kras g12d via ubiquitin proteasome pathway | |
WO2024051721A1 (en) | Tetracyclic derivatives as kras inhibitors | |
WO2024091409A1 (en) | Tricyclic derivatives as kras inhibitors | |
WO2024054625A2 (en) | Bifunctional compounds for degrading kras g12d via ubiquitin proteasome pathway | |
CN117255684A (en) | Quinazolinamine derivatives as KRAS inhibitors | |
WO2023250029A1 (en) | Bifunctional compounds containing substituted pyrimidine derivatives for degrading cyclin-dependent kinase 2 via ubiquitin proteasome pathway | |
WO2023249968A1 (en) | Bifunctional compounds containing pyrido[2,3-djpyrimidin-7(8h)-one derivatives for degrading cyclin-dependent kinase 2 via ubiquitin proteasome pathway | |
EA044940B1 (en) | DERIVATIVES OF CONDENSED TRICYCLIC RING AS PHOSPHATASE INHIBITORS WITH SRC2 HOMOLOGY DOMAIN | |
WO2023249970A1 (en) | Bifunctional compounds containing pyrimidine derivatives for degrading cyclin-dependent kinase 2 via ubiquitin proteasome pathway |
Legal Events
Date | Code | Title | Description |
---|---|---|---|
121 | Ep: the epo has been informed by wipo that ep was designated in this application |
Ref document number: 23859435 Country of ref document: EP Kind code of ref document: A1 |