Pyrazinyl substituted piperazine-piperidines with CXCR3 antagonist activity
View Patent ↗The present application discloses a compound, or enantiomers, stereoisomers, rotamers, tautomers, racemates or prodrug of said compound, or pharmaceutically acceptable salts, solvates or esters of said compound, or of said prodrug, said compound having the general structure shown in Formula 1: and the pharmaceutically acceptable salts, solvates and esters thereof. Also disclosed is a method of treating chemokine mediated diseases, such as, palliative therapy, curative therapy, prophylactic therapy of certain diseases and conditions such as inflammatory diseases (non-limiting example(s) include, psoriasis), autoimmune diseases (non-limiting example(s) include, rheumatoid arthritis, multiple sclerosis), graft rejection (non-limiting example(s) include, allograft rejection, xenograft rejection), infectious diseases (e.g, tuberculoid leprosy), fixed drug eruptions, cutaneous delayed-type hypersensitivity responses, ophthalmic inflammation, type I diabetes, viral meningitis and tumors using a compound of Formula 1.
1. A compound having the structure shown in Formula 1:
or a pharmaceutically acceptable salt thereof wherein:
X is N, O, alkyl, or heteroaryl;
ring D is a phenyl ring unsubstituted or optionally substituted with independently selected R 20 moieties as stated below;
R 1 and R 2 are independently absent or present, and if present each is independently selected from the group consisting of H, alkyl, alkoxy, alkenyl, carbonyl, cycloalkyl, alkyl-cycloalkyl-, cycloalkenyl, alkylaryl, arylalkyl, aryl, amino, alkylamino, amidinyl, carboxamido, cyano, hydroxyl, urea, —N≡CH, ═NCN, (CH 2 ) q CH, —(CH 2 ) q OR 31 , —(CH 2 ) q CF 3 , —(CH 2 ) q NH 2 , —(CH 2 ) q NHR 31 , —(CH 2 ) q N(R 31 ) 2 , —(CH 2 ) q -amidinyl, cyclopropylhydroxy, cyclobutylhydroxy, cyclopentylhydroxy, —(CH 2 ) q C(═O)NHR 31 , —(CH 2 ) q SO 2 R 31 , —(CH 2 ) q NHSO 2 R 31 , —(CH 2 ) q SO 2 NHR 31 , —C(═S)N(H)alkyl, —N(H)—S(O) 2 -alkyl, —N(H)C(═O)N(H)-alkyl, —S(O) 2 alkyl, —S(O) 2 N(H)alkyl, —S(O) 2 N(alkyl) 2 , —S(O) 2 aryl, —C(═S)N(H)cycloalkyl, —C(═O)N(H)NH 2 , —C(═O))alkyl, —CH 2 CH 2 Ophenyl, —CH 2 CH(OCH 2 CH 3 ) 2 , —C(═O)NHcyclopropyl, —C(═O)N(H)CH 2 CF 3 , —S(O) 2 CH 2 CF 3 , —S(O) 2 CF 3 , -heteroaryl, heterocyclyl, heterocyclenyl, difluorophenyl, aminooxadiazolyl, fluorophenylmethylene, trifluoromethylphenylmethylene, cyanophenylmethylene, difluorophenylmethylene, bromophenylmethylene, chlorophenylmethylene, bromochlorophenylmethylene, fluorochlorophenylmethylene, dichlorophenylmethylene, methoxylphenylmethylene, —CH 2 -cyclopropyl, cyclohexylmethylene, 5-methyl-isoxazolyl, chloropyridyl, pyridylmethylene,
or alternatively when X is N, the N taken together with the R 1 and R 2 forms a heterocycyl, heteroaryl or —N═C(NH 2 ) 2 ;
R 3 is selected from the group consisting of H, alkyl, haloalkyl, halogen, —N(R 30 ) 2 , and —OR 30 ;
R 6 is selected from the group consisting of H and —N(R 30 ) 2 ;
R 7 and R 8 taken together are ═O;
the R 10 moieties can be the same or different, each being independently selected from the group consisting of H, alkyl, —(CH 2 ) q OH, —(CH 2 ) q OR 31 , and —OR 30 ;
the R 11 moieties can be the same or different, each being independently selected from the group consisting of H, alkyl, carboxamide, and —OR 30 ;
R 12 is selected from the group consisting of H and alkyl;
the R 20 moieties can be the same or different, each being independently selected from the group consisting of H, alkyl, alkenyl, alkylaryl, alkynyl, alkoxy, alkylamino, alkylthiocarboxy, alkylheteroaryl, alkylthio, alkylsulfinyl, alkylsulfonyl, alkoxycarbonyl, aminoalkyl, amidinyl, aralkyl, aralkenyl, aralkoxy, aralkoxycarbonyl, aralkylthio, aryl, aroyl, aryloxy, cyano, cycloalkyl, cycloalkenyl, formyl, guanidinyl, halogen, haloalkyl, heteroalkyl, heteroaryl, heterocyclyl, heterocyclenyl, hydroxyalkyl, haloalkoxy, hydroxamate, nitro, trifluoromethyl, trifluoromethoxy, —(CH 2 ) q OH, —(CH 2 ) q OR 31 , —(CH 2 ) q NH 2 , —(CH 2 ) q NHR 31 , —(CH 2 ) q N(R 31 ) 2 , —(CH 2 ) q C(═O)NHR 31 , —(CH 2 ) q SO 2 R 31 , —(CH 2 ) q NHSO 2 R 31 , —(CH 2 ) q SO 2 NHR 31 , -alkynylC(R 31 ) 2 OR 31 , —C(═O)R 30 , —C(═O)N(R 30 ) 2 , —C(═NR 30 )NHR 30 , —C(═NOH)N(R 30 ) 2 , —C(═NOR 31 )N(R 30 ) 2 , —C(═O)OR 30 , —N(R 30 ) 2 , —N(R 30 )C(═O)R 31 , —NHC(═O)N(R 30 ) 2 , —N(R 30 )C(═O)OR 31 , —N(R 30 )C(═NCN)N(R 30 ) 2 , —N(R 30 )C(═O)N(R 30 )SO 2 (R 31 ), —N(R 30 )C(═O)N(R 30 ) 2 , —N(R 30 )SO 2 (R 31 ), —N(R 30 )S(O) 2 N(R 30 ) 2 , —OR 30 , —OC(═O)N(R 30 ) 2 , —SR 30 , —SO 2 N(R 30 ) 2 , —SO 2 (R 31 ), —OSO 2 (R 31 ), —O(CH 2 ) q SO 2 R 31 , and —OSi(R 30 ) 3 ; or
alternatively two R 20 moieties are linked together to form a five or six membered aryl, cycloalkyl, heterocyclyl, heterocyclenyl, or heteroaryl ring wherein said five or six membered aryl, cycloalkyl, heterocyclyl, heterocyclenyl, or heteroaryl ring is fused to ring D and the fused ring is optionally substituted with 0-4 R 21 moieties;
the R 21 moieties can be the same or different, each being independently selected from the group consisting of H, alkyl, alkenyl, alkylaryl, alkynyl, alkoxy, alkylamino, alkylthiocarboxy, alkylheteroaryl, alkylthio, alkylsulfinyl, alkylsulfonyl, alkoxycarbonyl, aminoalkyl, amidinyl, aralkyl, aralkenyl, aralkoxy, aralkoxycarbonyl, aralkylthio, aryl, aroyl, aryloxy, carboxamido, cyano, cycloalkyl, cycloalkenyl, formyl, guanidinyl, halogen, haloalkyl, heteroalkyl, heteroaryl, heterocyclyl, heterocyclenyl, hydroxyalkyl, hydroxamate, nitro, trifluoromethoxy, —(CH 2 ) q OH, —(CH 2 ) q OR 31 , —(CH 2 ) q NH 2 , —(CH 2 ) q NHR 31 , —(CH 2 ) q N(R 31 ) 2 , —(CH 2 ) q C(═O)NHR 31 , —(CH 2 ) q SO 2 R 31 , —(CH 2 ) q NHSO 2 R 31 , —(CH 2 ) q SO 2 NHR 31 , -alkynylC(R 31 ) 2 OR 31 , —C(═O)R 30 , —C(═O)N(R 30 ) 2 , —C(═NR 30 )NHR 30 , —C(═NOH)N(R 30 ) 2 , —C(═NOR 31 )N(R 30 ) 2 , —C(═O)OR 30 , —N(R 30 ) 2 , —N(R 30 )C(═O)R 31 , —NHC(═O)N(R 30 ) 2 , —N(R 30 )C(═O)OR 31 , —N(R 30 )C(═NCN)N(R 30 ) 2 , —N(R 30 )C(═O)N(R 30 )SO 2 (R 31 ), —N(R 30 )C(═O)N(R 30 ) 2 , —N(R 30 )SO 2 (R 31 ), —N(R 30 )S(O) 2 N(R 30 ) 2 , —OR 30 , —OC(═O)N(R 30 ) 2 , —SR 30 , —SO 2 N(R 30 ) 2 , —SO 2 (R 31 ), —OSO 2 (R 31 ), and —OSi(R 30 ) 3 ;
Y is selected from the group consisting of —(CR 13 R 13 ) r —, —(CHR 13 ) r O—, —C(═O)—, —C(═NR 30 )—, —(C(H)(heteroaryl))—, —(CHR 13 ) r C(═O)— and —(CHR 13 ) r N(H)C(═O)—;
the R 13 moieties can be the same or different, each being independently selected from the group consisting of H, alkyl, —CO 2 H, —C(═O)OR 31 , —C(═O)N(R 30 ) 2 , —(CHR 30 ) q OH, —(CHR 30 ) q OR 31 , —(CHR 30 ) q NH 2 , and —(CH 2 ) q NHSO 2 R 31 ;
the R 30 moieties can be the same or different, each being independently selected from the group consisting of H, alkyl, aralkyl, cycloalkyl, —(CH 2 ) q OH, —(CH 2 ) q Oalkyl, —(CH 2 ) q NH 2 , —(CH 2 ) q NHalkyl, —(CH 2 ) q N(alkyl) 2 , —(CH 2 ) q NHaralkyl, —(CH 2 ) q C(═O)NHalkyl, —(CH 2 ) q C(═O)N(alkyl) 2 , —(CH 2 ) q C(═O)NHaralkyl, —(CH 2 ) q SO 2 alkyl, and —(CH 2 ) q SO 2 NHalkyl;
the R 31 moieties can be the same or different, each being independently selected from the group consisting of alkyl, aralkyl, cycloalkyl, —(CH 2 ) q OH, —(CH 2 ) q Oalkyl, —(CH 2 ) q NH 2 , —(CH 2 ) q NHalkyl, —(CH 2 ) q N(alkyl) 2 , —(CH 2 ) q NHaralkyl, —(CH 2 ) q C(═O)NHalkyl, —(CH 2 ) q C(═O)N(alkyl) 2 , —(CH 2 ) q C(═O)NHaralkyl, —(CH 2 ) q SO 2 alkyl, and —(CH 2 ) q SO 2 NHalkyl;
m is 0 to 4;
n is 0 to 4;
p is 0 to 5;
each q can be the same or different, each being independently selected from 1 to 5; and
r is 1 to 4;
with the proviso that there are no two adjacent double bonds in any ring, and that when a nitrogen is substituted by two alkyl groups, said two alkyl groups may be optionally joined to each other to form a ring.
2. The compound according to claim 1 , wherein R 1 and R 2 are independently absent or present, and if present each is independently selected from the group consisting of H, alkyl, aryl, amino, alkoxy, hydroxy, cycloalkyl, alkyl-cycloalkyl-, cycloalkenyl, arylalkyl, amidinyl, carboxamido, heteroaryl, heterocyclyl, heterocyclenyl, urea, —S(O) 2 alkyl, —S(O) 2 N(H)alkyl, —S(O) 2 N(alkyl) 2 , and —C(═S)N(H)cycloalkyl.
3. The compound according to claim 1 , wherein R 1 and R 2 are independently absent or present, and if present each is independently selected from the group consisting of H, alkylaryl, alkyl-cycloalkyl-, aryl, heteroaryl, —(CH 2 ) q CF 3 , —(CH 2 ) q OH, —(CH 2 ) q OR 31 , —(CH 2 ) q NH 2 , —(CH 2 ) q NHR 31 , —(CH 2 ) q N(R 31 ) 2 , —(CH 2 ) q C(═O)NHR 31 , —(CH 2 ) q SO 2 R 31 , —(CH 2 ) q NHSO 2 R 31 , —(CH 2 ) q SO 2 NHR 31 , —(CH 2 ) q -amidinyl, cyclopropyl, cyclopropylhydroxyl, cyclobutyl, cyclobutylhydroxy, cyclopentyl, and cyclopentylhydroxy; and
q is an integer from 1 to 5.
4. The compound according to claim 1 , wherein R 1 and R 2 are independently absent or present, and if present each is independently selected from the group consisting of H, —CH 3 , fluorophenylmethylene, trifluoromethylphenylmethylene, indanyl, cyanophenylmethylene, difluorophenylmethylene, bromophenylmethylene, chlorophenylmethylene, —CH 2 CH 2 Ophenyl, cyclopentyl, bromochlorophenylmethylene, fluorochlorophenylmethylene, dichlorophenylmethylene, phenylmethylene, —(CH 2 ) 3 phenyl, —CH 2 CF 3 , methoxylphenylmethylene, —CH(CH 3 ) 2 , —C 2 H 5 , —CH 2 -cyclopropyl, —(CH 2 ) 2 CH 3 , cyclohexylmethylene, cyclohexyl, —CH 2 CH 2 SO 2 CH 3 , —CH 2 —CH 2 —NH 2 , —CH 2 CH 2 OCH 3 , cyclopropyl, CH 3 -cyclopropyl, isoxazolyl, —CH 2 CH 2 OH, —CH 2 CH 2 CH 3 , —NH 2 , pyrazolyl, 5-methyl-isoxazolyl, —CH 2 CH(OCH 2 CH 3 ) 2 , —OCH 3 , —NHC(═O)NH 2 , chloropyridyl, pyridylmethylene, —C(═O)NHcyclopropyl, —C(═O)N(H)C 2 H 5 , —C(═O)N(H)CH 2 CF 3 , —C(═O)N(H)C(CH 3 ) 3 , —C(═S)N(H)cyclopropyl, —C(═O)NH 2 , —C(═O)N(H)CH 3 , —S(O) 2 CH 3 , —S(O) 2 N(CH 3 ) 2 , —S(O) 2 CH 2 CH 3 , —C(═O)CH 3 , —S(O) 2 (CH 2 ) 2 CH 3 , —C(═O)N(H)cyclohexyl, —C(═NH )NH 2 , —C(═O)N(H)NH 2 , —C(═O)N(H)CH(CH 3 ) 2 , thiazolyl, —C(═O)N(CH 3 ) 2 , —S(O) 2 CH 2 CF 3 , —S(O) 2 CF 3 ,
or when X is N, the N taken together with the R 1 and R 2 to which X is shown attached, forms an aziridine, azetidine, piperidine or
5. The compound according to claim 1 , wherein R 1 and R 2 are independently absent or present, and if present each is independently selected from the group consisting of H, —CH 3 , —C 2 H 5 , difluorophenylmethylene, cyclopropyl, CH 3 -cyclopropyl-, dichlorophenylmethylene, —CH(CH 3 ) 2 , cyclohexylmethylene, cyclohexyl, isoxazolyl, oxadiazolyl, aminooxadiazoyl, difluorophenyl, —CH 2 CH 2 OH, —CH 2 CH 2 N(CH 3 ) 2 , —C(═O)N(H)cyclopropyl, —C(═O)N(H)C 2 H 5 , —C(═O)N(H)CH 2 CF 3 , —C(═O)N(H)CH(CH 3 ) 2 , —C(═O)N(H)C(CH 3 ) 3 , —C(═S)N(H)cyclopropyl, —C(═O)NH 2 , —C(═O)N(H)CH 3 , —S(O) 2 CH 3 , —S(O) 2 N(CH 3 ) 2 , —S(O) 2 CH 2 CH 3 , —C(═O)CH 3 , —S(O) 2 (CH 2 ) 2 CH 3 , —C(═O)N(H)cyclohexyl, —C(═NH)NH 2 , —C(═O)N(H)NH 2 , thiazolyl,
6. The compound according to claim 1 , wherein X is selected from the group consisting of N, O, —CH 3 , —CH 2 —, —CH, —CH 2 CH 3 , and
7. The compound according to claim 1 , wherein R 3 is selected from the group consisting of H, alkyl, halogen, —N(R 30 ) 2 , —OR 30 and —CF 3 .
8. The compound according to claim 1 , wherein R 3 is selected from the group consisting of H, —CH 3 , —CH 2 CH 3 , —F, —Cl, OCH 3 , and CF 3 .
9. The compound according to claim 1 , wherein R 6 is selected from the group consisting of H and —NH 2 .
10. The compound according to claim 1 , wherein R 10 is selected from the group consisting of —CH 3 , —CH 2 CH 3 and —CH 2 CH 2 CH 3 , and m is 0-2.
11. The compound according to claim 1 , wherein R 12 is selected from the group consisting of H, —CH 3 , and —CH 2 CH 3 .
12. The compound according to claim 1 , wherein the phenyl ring D is substituted by independently selected 1-4 R 20 moieties.
13. The compound according to claim 1 , wherein the R 20 moieties can be the same or different, each being independently selected from the group consisting of H, alkyl, alkylaryl, alkynyl, alkoxy, alkylamino, alkylheteroaryl, alkylsulfinyl, alkoxycarbonyl, aminoalkyl, amidinyl, aralkyl, aralkoxy, aryl, aryloxy, cyano, cycloalkyl, cycloalkenyl, halogen, haloalkyl, heteroalkyl, heteroaryl, heterocyclyl, hydroxyalkyl, trifluoromethyl, trifluoromethoxy, —(CH 2 ) q OR 31 , —(CH 2 ) q NHR 31 , —(CH 2 ) q C(═O)NHR 31 , —(CH 2 ) q SO 2 R 31 , —(CH 2 ) q NHSO 2 R 31 , —(CH 2 ) q SO 2 NHR 31 , -alkynylC(R 31 ) 2 R 31 , —C(═O)R 30 , —C(═O)N(R 30 ) 2 , —O(═O)OR 30 , —N(R 30 ) 2 , —N(R 30 )C(═O)R 31 , —NHC(═O)N(R 30 ) 2 , —N(R 30 )C(═O)OR 31 , —N(R 30 )C(═NCN)N(R 30 ) 2 , —N(R 30 )C(═O)N(R 30 ) 2 , —N(R 30 )SO 2 (R 31 ), —N(R 30 )SO 2 N(R 30 ) 2 , —OR 30 , —OC(═O)N(R 30 ) 2 , —SR 30 , —SO 2 N(R 30 ) 2 , —SO 2 (R 31 ), —OSO 2 (R 31 ), —O(CH 2 ) q SO 2 R 31 , and —OSi(R 30 ) 3 .
14. The compound according to claim 1 , wherein the R 20 moieties can be the same or different, each being independently selected from the group consisting of H, alkyl, alkoxy, amino, halogen, CN, CH 3 , CF 3 , OCH 3 , OCF 3 , —(CH 2 ) q OR 31 , —(CH 2 ) q NHR 31 , —(CH 2 ) q C(═O)NHR 31 , —(CH 2 ) q SO 2 R 31 , —(CH 2 ) q NHSO 2 R 31 , —(CH 2 ) q SO 2 NHR 31 , -alkynylC(R 31 ) 2 R 31 , —C(═O)R 30 , —C(═O)OR 30 , —N(R 30 ) 2 , —N(R 30 )C(═O)R 31 , —NHC(═O)N(R 30 ) 2 , —N(R 30 )C(═O)OR 31 , —N(R 30 )C(═NCN)N(R 30 ) 2 , —N(R 30 )C(═O)N(R 30 ) 2 , —OR 30 , —OC(═O)N(R 30 ) 2 , —O(CH 2 ) q SO 2 R 31 and —OSO 2 (R 31 ).
15. The compound according to claim 1 , wherein two R 20 moieties are linked together to form a five or six membered aryl, cycloalkyl, heterocyclenyl, heterocyclyl or heteroaryl ring wherein said five or six membered aryl, cycloalkyl, heterocyclenyl, heterocyclyl, and heteroaryl ring is fused to ring D and the fused ring is optionally substituted with 0 to 4 R 21 moieties.
16. The compound according to claim 1 , wherein the R 20 moieties can be the same or different, each being independently selected from the group consisting of H, —CN, —CH 3 , —CF 3 , —CH 2 OH, —CO 2 H, —CO 2 CH 3 , —NH 2 , —NHCH 3 , —OCF 3 , —OH, F, Cl, Br, —C(═NOH)NH 2 , —OCH 2 CH 2 S(O 2 )CH 3 , —C(═O)NH 2 ,
17. The compound according to claim 1 , wherein Y is selected from the group consisting of: —(CHR 13 ) r —, —(CR 13 R 13 ) r —, —C(═O)— and —CHR 13 C(═O)—.
18. The compound according to claim 1 , wherein Y is selected from the group consisting of: —CH 2 —, —CH(CH 3 )—, —CH(CH 2 OH)—, —C(═O)— and —CH(CO 2 alkyl)-.
19. The compound according to claim 1 , wherein m is 0-3.
20. The compound according to claim 1 , wherein n is 0-2.
21. The compound according to claim 1 , wherein q is 1, 2 or 3.
22. The compound according to claim 1 , wherein r is 1 or 2.
23. The compound according to claim 1 , wherein X is N;
R 1 and R 2 are independently selected from the group consisting of H, alkylaryl, aryl, heteroaryl, —(CH 2 ) q CF 3 , —(CH 2 ) q OH, —(CH 2 ) q OR 31 , —(CH 2 ) q NH 2 , —(CH 2 ) q NHR 31 , —(CH 2 ) q —N(R 31 ) 2 , —(CH 2 ) q C(═O)NHR 31 , —(CH 2 ) q SO 2 R 31 , —(CH 2 ) q NHSO 2 R 31 , —(CH 2 ) q SO 2 NHR 31 , —(CH 2 ) q -amidinyl, cyclopropyl, alkyl-cyclopropyl-, cyclopropylhydroxyl, cyclobutyl, cyclobutylhydroxy, cyclopentyl, and cyclopentylhydroxy;
R 3 is selected from the group consisting of H, alkyl, haloalkyl, halogen, —N(R 30 ) 2 , —OR 30 and —CF 3 ;
R 6 is selected from the group consisting of H and —N(R 30 );
R 7 and R 8 taken together are ═O;
R 10 is selected from the group consisting of H and alkyl;
R 11 is H;
R 12 is selected from the group consisting of H and alkyl;
the R 20 moieties can be the same or different, each being independently selected from the group consisting of H, alkyl, alkoxy, amino, halogen, CN, CH 3 , CF 3 , OCH 3 , OCF 3 , —(CH 2 ) q OR 31 , —(CH 2 ) q NHR 31 , —(CH 2 ) q C(═O)NHR 31 , —(CH 2 ) q SO 2 R 31 , —(CH 2 ) q NHSO 2 R 31 , —(CH 2 ) q SO 2 NHR 31 , -alkynylC(R 31 ) 2 OR 31 , —C(═O)R 30 , —C(═O)OR 30 , —N(R 30 ) 2 , —N(R 30 )C(═O)R 31 , —NHC(═O)N(R 30 ) 2 , —N(R 30 )C(═O)OR 31 , —N(R 30 )C(═NCN)N(R 30 ) 2 , —N(R 30 )C(═O)N(R 30 ) 2 , —OR 30 , —OC(═O)N(R 30 ) 2 ,
Y is selected from the group consisting of: —CH 2 —, —CH(CH 2 OH)—, —C(═O)— and —CH(CO 2 alkyl)-;
m is 0-2;
n is 0-2; and
q is 1 or 2.
24. The compound according to claim 1 , represented by the following structural Formula:
or a pharmaceutically acceptable salt thereof, wherein the various terms are as defined in claim 1 .
25. A compound selected from the group consisting of:
Com-
pound
No.
Compound Structure
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
100
101
102
103
104
105
106
107
108
109
110
111
112
113
114
115
116
117
118
119
120
121
122
123
124
125
126
127
128
129
130
131
132
133
134
135
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137
138
139
140
141
142
143
144
145
146
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148
149
150
151
152
153
154
155
156
157
158
159
160
161
162
163
164
165
166
167
168
169
170
171
172
173
174
175
176
177
178
179
180
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182
183
184
185
186
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188
189
190
191
192
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195
196
197
198
199
200
201
202
203
204
205
206
207
208
209
210
211
212
213
214
215
215A
216
217
218
219
220
221
222
223
224
225
226
227
228
229
230
231
232
233
234
235
236
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239
240
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252
253
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261
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266
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270
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273
274
275
276
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278
279
280
281
282
283
284
285
286
287
288
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291
292
293
294
295
296
297
298
299
300
301
302
303
304
305
306
307
308
309
310
311
312
313
314
315
316
317
318
319
320
321
322
323
324
325
326
327
328
329
330
331
332
333
334
335
336
337
338
339
340
341
342
343
344
345
346
347
348
349
350
351
352
353
354
355
356
357
358
359
360
361
362
363
364
365
366
367
368
369
370
371
372
373
374
375
376
377
378
379
380
381
382
383
384
385
386
387
388
389
390
391
392
393
394
395
396
397
398
399
400
401
402
403
404
405
406
407
408
409
410
411
412
413
414
415
416
417
418
419
420
421
422
423
424
425
426
427
428
429
430
431
432
433
434
435
436
437
438
439
440
441
442
443
444
445
446
447
448
449
450
451
452
453
454
455
456
457
458
459
460
461
462
463
464
465
466
467
468
469
470
471
472
473
474
475
476
477
478
479
480
481
482
483
484
485
486
487
488
489
490
491
and
492
or a pharmaceutically acceptable salt thereof.
26. The compound according to claim 25 , selected from the group consisting of:
or a pharmaceutically acceptable salt thereof.
27. A compound of Formula 7, Formula 8, Formula 9, Formula 10, Formula 11, Formula 12, Formula 13, Formula 14, Formula 15, Formula 16, or Formula 17:
or a pharmaceutically acceptable salt thereof.
28. A pharmaceutical composition comprising at least one compound of claim 1 or a pharmaceutically acceptable salt thereof, in combination with at least one pharmaceutically acceptable carrier.
29. A pharmaceutical composition comprising at least one compound of claim 25 or a pharmaceutically acceptable salt thereof, in combination with at least one pharmaceutically acceptable carrier.