ENHANCED TREATMENT REGIMENS USING MTOR INHIBITORS

1 . A method of treating a disorder in a subject in need thereof, comprising administering an mTorC1/mTorC2 inhibitor to said subject according to an intermittent regimen effective to achieve an mTorC1/mTorC2 inhibitor plasma concentration at or above about 100 nM for a duration of time that is longer than that achieved by administering an equivalent dose of the mTorC1/mTorC2 inhibitor once daily.

2 . The method of claim 1 , wherein the intermittent regimen is effective to achieve an mTorC1/mTorC2 inhibitor plasma concentration of greater than about 100 nM for a duration longer than about 20 hours during a 7-day period of administration.

3 . The method of claim 1 , wherein the intermittent regimen is effective to achieve an mTorC1/mTorC2 inhibitor plasma concentration of greater than about 100 nM for a duration of at least about 30 hours during a 7-day period of administration.

4 . A method of treating a disorder in a subject in need thereof, comprising administering an mTorC1/mTorC2 inhibitor to said subject according to an intermittent regimen, such that the achieved Cmax is greater than that achieved by administering an equivalent dose of the mTorC1/mTorC2 inhibitor once daily.

5 . The method of claim 4 , wherein the intermittent regimen is effective to achieve a Cmax which is greater by about 10%, 20%, 30%, 40%, 50%, 100%, 200%, or 300% than the Cmax achieved by administering an equivalent dose of the mTorC1/mTorC2 inhibitor once daily.

6 . The method of claim 4 , wherein the intermittent regimen is effective to achieve a Cmax of greater than about 200, 250, 300, 350, 400, 450, 500, 550 or 600 nM.

7 . The method of claim 4 , wherein the intermittent regimen is effective to achieve a Cmax of greater than about 300 nM.

8 . The method of any preceding claim, wherein the intermittent regimen achieves similar or better pathway inhibition than administering an equivalent dose of the mTorC1/mTorC2 once daily.

9 . The method of claim 8 , wherein the pathway inhibition is measured as percentage of decrease in phosphorylation of a protein chosen from p4EBP1, pS6, and pRAS40.

10 . The method of any preceding claim, wherein the intermittent regimen achieves similar or better therapeutic efficacy than administering an equivalent dose of the mTorC1/mTorC2 once daily.

11 . The method of any preceding claim, wherein the intermittent regimen achieves at least the same level of tolerability as compared to administering an equivalent dose of the mTorC1/mTorC2 inhibitor once daily.

12 . The method of claim 11 , wherein the level of tolerability is measured as the occurrence or lack of occurrence in the subject of a grade 3 or higher adverse event.

13 . The method of claim 11 , wherein the adverse event is rash.

14 . The method of claim any preceding claim, wherein the intermittent regimen comprises at least one cycle in which the mTorC1/mTorC2 inhibitor is administered for at least 1 day, followed by an intermission in which the mTorC1/mTorC2 inhibitor is not administered for at least 1 day.

15 . The method of claim 14 , wherein the mTorC1/mTorC2 inhibitor is administered for 2, 3, 4, 5, 6 or 7 consecutive days followed by an intermission in which the mTorC1/mTorC2 inhibitor is not administered for at least 1 day.

16 . The method of claim 14 , wherein the regimen comprises at least one cycle in which the mTorC1/mTorC2 inhibitor is administered for 2, 3, 4, 5, 6 or 7 consecutive days followed by an intermission in which the mTorC1/mTorC2 inhibitor is not administered for at least 3, 4, or 5 consecutive days.

17 . The method of claim 14 , wherein the regimen comprises at least one cycle in which the mTorC1/mTorC2 inhibitor is administered for 1 day followed by an intermission in which the mTorC1/mTorC2 inhibitor is not administered for 6 consecutive days.

18 . The method of claim 14 , wherein the regimen comprises at least one 7-day cycle in which the mTorC1/mTorC2 inhibitor is administered for 3 consecutive days followed by an intermission of 4 consecutive days.

19 . The method of claim 14 , wherein the regimen comprises at least one 7-day cycle in which the mTorC1/mTorC2 inhibitor is administered for 5 consecutive days followed by an intermission of 2 consecutive days.

20 . The method of claim 14 , wherein the regimen comprises at least one 7-day cycle in which the mTorC1/mTorC2 inhibitor is administered at least 3 times on alternate days within the 7 days.

21 . A dosage form for administration to a subject comprising an mTorC1/mTorC2 inhibitor, wherein the dosage form is formulated to provide a Cmax of greater than about 200 nM when administered to the subject.

22 . The dosage form of claim 21 , wherein the dosage form is capable of providing a plasma concentration of said mTorC1/mTorC2 inhibitor of greater than about 100 nM for a duration of time longer than about 20 hours during a 7-day period of administration.

23 . The dosage form of claim 21 , wherein the dosage form is capable of providing a plasma concentration of greater than 100 nM for a duration of time that is at least about 30 hours during a 7-day period of administration.

24 . The dosage form of claim 21 , comprising about 45, 50, 55, 60, 70, 75 mg or less of the mTorC1/mTorC2 inhibitor.

25 . A method of treating a disorder in a subject in need thereof, comprising administering a dosage form of any of claims 21 - 24 .

26 . A kit comprising the dosage form of claim 21 and additionally comprising instructions for administration to a subject in need thereof.

27 . The kit of claim 26 , wherein the instructions provide for at least one 7-day cycle of administration to the subject for 2, 3, 4, or 5 consecutive days followed by an intermission of 5, 4, 3, or 2 days, respectively.

28 . The kit of claim 26 , wherein the instructions provide for administration of the mTorC1/mTorC2 inhibitor to the subject for 3 consecutive days followed by an intermission of 4 consecutive days.

29 . A pharmaceutical regimen for the treatment of a disorder, the regimen comprising an mTorC1/mTorC2 inhibitor, wherein the regimen provides an area under the curve that is similar to that obtained by administering the mTorC1/mTorC2 inhibitor once daily, and wherein the regimen results in higher therapeutic efficacy as compared to administering said inhibitor once daily.

30 . The method of claim 1 , wherein the disorder is a neoplastic condition, autoimmune disease, inflammatory disease, fibrotic disease or kidney disease.

31 . The method of claim 30 , wherein the disorder is a neoplastic condition.

32 . The method of claim 31 , wherein the neoplastic condition is cancer.

33 . A method of treating a disorder in a subject in need thereof, comprising administering an mTorC1/mTorC2 inhibitor to said subject according to an intermittent regimen effective to achieve (a) higher therapeutic efficacy, (b) similar or better tolerability of the mTorC1/mTorC2 inhibitor, and (c) similar or smaller area under the curve, as compared to administering an equivalent dose of the mTorC1/mTorC2 inhibitor once daily.

34 . The method, dosage form, or pharmaceutical regimen of any preceding claim, wherein the mTorC1/mTorC2 inhibitor is administered parenterally, orally, intraperitoneally, intravenously, intraarterially, transdermally, intramuscularly, liposomally, via local delivery by catheter or stent, subcutaneously, intraadiposally, or intrathecally.

35 . The method, dosage form, or pharmaceutical regimen of claim 34 , wherein the mTorC1/mTorC2 inhibitor is administered orally.

36 . The method, dosage form, or pharmaceutical regimen of any preceding claim, wherein the mTorC1/mTorC2 inhibitor inhibits both mTORC1 and mTORC2 with an IC50 value of about 100 nM or less as ascertained in an in vitro kinase assay.

37 . The method, dosage form, or pharmaceutical regimen of any preceding claim, wherein the mTorC1/mTorC2 inhibitor inhibits both mTORC1 and mTORC2 with an IC50 value of about 10 nM or less as ascertained in an in vitro kinase assay.

38 . The method, dosage form, or pharmaceutical regimen of any preceding claim, wherein the mTorC1/mTorC2 inhibitor inhibits both mTORC1 and mTORC2 with an IC50 value of about 10 nM or less as ascertained in an in vitro kinase assay, and that the mTorC1/mTorC2 inhibitor is substantially inactive against one or more types I PI3-kinases selected from the group consisting of PI3-kinase α, PI3-kinase β, PI3-kinase γ, and PI3-kinase δ.

39 . The method, dosage form, or pharmaceutical regimen of any preceding claim, wherein the mTorC1/mTorC2 inhibitor inhibits both mTORC1 and mTORC2 with an IC50 value of about 100 nM or less as ascertained in an in vitro kinase assay, and said IC50 value is at least 5 times less than its IC50 value against all other type I PI3-kinases selected from the group consisting of PI3-kinase α, PI3-kinase β, PI3-kinase γ, and PI3-kinase δ.

40 . The method, dosage form, or pharmaceutical regimen of any preceding claim, wherein the mTorC1/mTorC2 inhibitor is a compound of Formula I:

or a pharmaceutically acceptable salt thereof, wherein:

X 1 is N or C-E 1 , X 2 is N or C, X 3 is N or C, X 4 is C—R 9 or N, X 5 is N or C-E 1 , X 6 is C or N, and X 7 is C or N; and wherein no more than two nitrogen ring atoms are adjacent;

R 1 is H, -L-C 1-10 alkyl, -L-C 3-8 cycloalkyl, -L-C 1-10 alkyl-C 3-8 cycloalkyl, -L-aryl, -L-heteroaryl, -L-C 1-10 alkylaryl, -L-C 1-10 alkylhetaryl, -L-C 1-10 alkylheterocylyl, -L-C 2-10 alkenyl, -L-C 2-10 alkynyl, -L-C 2-10 alkenyl-C 3-8 cycloalkyl, -L-C 2-10 alkynyl-C 3-8 cycloalkyl, -L-heteroalkyl, -L-heteroalkylaryl, -L-heteroalkylheteroaryl, -L-heteroalkyl-heterocylyl, -L-heteroalkyl-C 3-8 cycloalkyl, -L-aralkyl, -L-heteroaralkyl, or -L-heterocyclyl, each of which is unsubstituted or is substituted by one or more independent R 3 ;

L is absent, —(C═O)—, —C(═O)O—, —C(═O)N(R 31 )—, —S—, —S(O)—, —S(O) 2 —, —S(O) 2 N(R 31 )—, or —N(R 31 )—;

E 1 and E 2 are independently —(W 1 ) j —R 4 ;

M 1 is a 5, 6, 7, 8, 9, or -10 membered ring system, wherein the ring system is monocyclic or bicyclic, substituted with R 5 and additionally optionally substituted with one or more —(W 2 ) k —R 2 ;

each k is 0 or 1;

j in E 1 or j in E 2 , is independently 0 or 1;

W 1 is —O—, —NR 7 —, —S(O) 0-2 —, —C(O)—, —C(O)N(R 7 )—, —N(R 7 )C(O)—, —N(R 7 )S(O)—, —N(R 7 )S(O) 2 —, —C(O)O—, —CH(R 7 )N(C(O)OR 8 )—, —CH(R 7 )N(C(O)R 8 )—, —CH(R 7 )N(SO 2 R 8 )—, —CH(R 7 )N(R 8 )—, —CH(R 7 )C(O)N(R 8 )—, —CH(R 7 )N(R 8 )C(O)—, —CH(R 7 )N(R 8 )S(O)—, or —CH(R 7 )N(R 8 )S(O) 2 —;

W 2 is —O—, —NR 7 —, —S(O) 0-2 —, —C(O)—, —C(O)N(R 7 )—, —N(R 7 )C(O)—, —N(R 7 )C(O)N(R 8 )—, —N(R 7 )S(O)—, —N(R 7 )S(O) 2 —, —C(O)O—, —CH(R 7 )N(C(O)OR 8 )—, —CH(R 7 )N(C(O)R 8 )—, —CH(R 7 )N(SO 2 R 8 )—, —CH(R 7 )N(R 8 )—, —CH(R 7 )C(O)N(R 8 )—, —CH(R 7 )N(R 8 )C(O)—, —CH(R 7 )N(R 8 )S(O)—, or —CH(R 7 )N(R 8 )S(O) 2 —;

R 2 is hydrogen, halogen, —OH, —R 31 , —CF 3 , —OCF 3 , —OR 31 , —NR 31 R 32 , —NR 34 R 35 , —C(O)R 31 , —CO 2 R 31 , —C(═O)NR 31 R 32 , —C(═O)NR 34 R 35 , —NO 2 , —CN, —S(O) 0-2 R 31 , —SO 2 NR 31 R 32 , —SO 2 NR 34 R 35 , —NR 31 C(═O)R 32 , —NR 31 C(═O)OR 32 , —NR 31 C(═O)NR 32 R 33 , —NR 31 S(O) 0-2 R 32 , —C(═S)OR 31 , —C(═O)SR 31 , —NR 31 C(═NR 32 )NR 33 R 32 , —NR 31 C(═NR 32 )OR 33 , —NR 31 C(═NR 32 )SR 33 , —OC(═O)OR 33 , —OC(═O)NR 31 R 32 , —OC(═O)SR 31 , —SC(═O)OR 31 , —P(O)OR 31 OR 32 , —SC(═O)NR 31 R 32 , aryl (e.g. bicyclic aryl, unsubstituted aryl, or substituted monocyclic aryl), hetaryl, C 1-10 alkyl, C 3-8 cycloalkyl, C 1-10 alkyl-C 3-8 cycloalkyl, C 3-8 cycloalkyl-C 1-10 alkyl, C 3-8 cycloalkyl-C 2-10 alkenyl, C 3-8 cycloalkyl-C 2-10 alkynyl, C 1-10 alkyl-C 2-10 alkenyl, C 1-10 alkyl-C 2-10 alkynyl, C 1-10 alkylaryl (e.g. C 2-10 alkyl-monocyclic aryl, C 1-10 alkyl-substituted monocyclic aryl, or C 1-10 alkylbicycloaryl), C 1-10 alkylhetaryl, C 1-10 alkylheterocyclyl, C 2-10 alkenyl, C 2-10 alkynyl, C 2-10 alkenyl-C 1-10 alkyl, C 2-10 alkynyl-C 1-10 alkyl, C 2-10 alkenylaryl, C 2-10 alkenylhetaryl, C 2-10 alkenylheteroalkyl, C 2-10 alkenylheterocyclcyl, C 2-10 alkenyl-C 3-8 cycloalkyl, C 2-10 alkynylaryl, C 2-10 alkynylhetaryl, C 2-10 alkynylheteroalkyl, C 2-10 alkynylheterocylyl, C 2-10 alkynyl-C 3-8 cycloalkenyl, C 1-10 alkoxy C 1-10 alkyl, C 1-10 alkoxy-C 2-10 alkenyl, C 1-10 alkoxy-C 2-10 alkynyl, heterocyclyl, heteroalkyl, heterocyclyl-C 1-10 alkyl, heterocyclyl-C 2-10 alkenyl, heterocyclyl-C 2-10 alkynyl, aryl-C 1-10 alkyl (e.g. monocyclic aryl-C 2-10 alkyl, substituted monocyclic aryl-C 1-10 alkyl, or bicycloaryl-C 1-10 alkyl), aryl-C 2-10 alkenyl, aryl-C 2-10 alkynyl, aryl-heterocyclyl, hetaryl-C 1-10 alkyl, hetaryl-C 2-10 alkenyl, hetaryl-C 2-10 alkynyl, hetaryl-C 3-8 cycloalkyl, hetaryl-heteroalkyl, or hetaryl-heterocyclyl, wherein each of said bicyclic aryl or heteroaryl moiety is unsubstituted, or wherein each of bicyclic aryl, heteroaryl moiety or monocyclic aryl moiety is substituted with one or more independent alkyl, heteroalkyl, alkenyl, alkynyl, cycloalkyl, heterocycloalkyl, aryl, arylalkyl, heteroaryl, heteroarylalkyl, halo, —OH, —R 31 , —CF 3 , —OCF 3 , —OR 31 , —NR 31 R 32 , —NR 34 R 35 , —C(O)R 31 , —CO 2 R 31 , —C(═O)NR 31 R 32 , —C(═O)NR 34 R 35 , —NO 2 , —CN, —S(O) 0-2 R 31 , —SO 2 NR 31 R 32 , —SO 2 NR 34 R 35 , —NR 31 C(═O)R 32 , —NR 31 C(═O)OR 32 , —NR 31 C(═O)NR 32 R 33 , —NR 31 S(O) 0-2 R 32 , —C(═S)OR 31 , —C(═O)SR 31 , —NR 31 C(═NR 32 )NR 33 R 32 , —NR 31 C(═NR 32 )OR 33 , —NR 31 C(═NR 32 )SR 33 , —OC(═O)OR 33 , —OC(═O)NR 31 R 32 , —OC(═O)SR 31 , —SC(═O)OR 31 , —P(O)OR 31 OR 32 , or —SC(═O)NR 31 R 32 , and wherein each of said alkyl, cycloalkyl, heterocyclyl, or heteroalkyl moiety is unsubstituted or is substituted with one or more alkyl, heteroalkyl, alkenyl, alkynyl, cycloalkyl, heterocycloalkyl, aryl, arylalkyl, heteroaryl, heteroarylalkyl, halo, —OH, —R 31 , —CF 3 , —OCF 3 , —OR 31 , —O-aryl, —NR 31 R 32 , —NR 34 R 35 , —C(O)R 31 , —CO 2 R 31 , —C(═O)NR 34 R 35 , or —C(═O)NR 31 R 32 ;

R 3 and R 4 are independently hydrogen, halogen, —OH, —R 31 , —CF 3 , —OCF 3 , —OR 31 , —NR 31 R 32 , —NR 34 R 35 , —C(O)R 31 , —CO 2 R 31 , —C(═O)NR 31 R 32 , —C(═O)NR 34 R 35 , —NO 2 , —CN, —S(O) 0-2 R 31 , —SO 2 NR 31 R 32 , —SO 2 NR 34 R 35 , —NR 31 C(═O)R 32 , —NR 31 C(═O)OR 32 , —NR 31 C(═O)NR 32 R 33 , —NR 31 S(O) 0-2 R 32 , —C(═S)OR 31 , —C(═O)SR 31 , —NR 31 C(═NR 32 )NR 33 R 32 , —NR 31 C(═NR 32 )OR 33 , —NR 31 C(═NR 32 )SR 33 , —OC(═O)OR 33 , —OC(═O)NR 31 R 32 , —OC(═O)SR 31 , —SC(═O)OR 31 , —P(O)OR 31 OR 32 , —SC(═O)NR 31 R 32 aryl, hetaryl, C 1-4 alkyl, C 1-10 alkyl, C 3-8 cycloalkyl, C 1-10 alkyl-C 3-8 cycloalkyl, C 3-8 cycloalkyl-C 1-10 alkyl, C 3-8 cycloalkyl-C 2-10 alkenyl, C 3-8 cycloalkyl-C 2-10 alkynyl, C 1-10 alkyl-C 2-10 alkenyl, C 1-10 alkyl-C 2-10 alkynyl, C 1-10 alkylaryl, C 1-10 alkylhetaryl, C 1-10 alkylheterocyclyl, C 2-10 alkenyl, C 2-10 alkynyl, C 2-10 alkenyl-C 1-10 alkyl, C 2-10 alkynyl-C 1-10 alkyl, C 2-10 alkenylaryl, C 2-10 alkenylhetaryl, C 2-10 alkenylheteroalkyl, C 2-10 alkenylheterocyclcyl, C 2-10 alkenyl-C 3-8 cycloalkyl, C 2-10 alkynyl-C 3-8 cycloalkyl, C 2-10 alkynylaryl, C 2-10 alkynylhetaryl, C 2-10 alkynylheteroalkyl, C 2-10 alkynylheterocylyl, C 2-10 alkynyl-C 3-8 cycloalkenyl, C 1-10 alkoxy C 1-10 alkyl, C 1-10 alkoxy-C 2-10 alkenyl, C 1-10 alkoxy-C 2-10 alkynyl, heterocyclyl, heterocyclyl-C 1-10 alkyl, heterocyclyl-C 2-10 alkenyl, heterocyclyl-C 2-10 alkynyl, aryl-C 1-10 alkyl, aryl-C 2-10 alkenyl, aryl-C 2-10 alkynyl, aryl-heterocyclyl, hetaryl-C 1-10 alkyl, hetaryl-C 2-10 alkenyl, hetaryl-C 2-10 alkynyl, hetaryl-C 3-8 cycloalkyl, heteroalkyl, hetaryl-heteroalkyl, or hetaryl-heterocyclyl, wherein each of said aryl or heteroaryl moiety is unsubstituted or is substituted with one or more independent halo, —OH, —R 31 , —CF 3 , —OCF 3 , —OR 31 , —NR 31 R 32 , —NR 34 R 35 , —C(O)R 31 , —CO 2 R 31 , —C(═O)NR 31 R 32 , —C(═O)NR 34 R 35 , —NO 2 , —CN, —S(O) 0-2 R 31 , —SO 2 NR 31 R 32 , —SO 2 NR 34 R 35 , —NR 31 C(═O)R 32 , —NR 31 C(═O)OR 32 , —NR 31 C(═O)NR 32 R 33 , —NR 31 S(O) 0-2 R 32 , —C(═S)OR 31 , —C(═O)SR 31 , —NR 31 C(═NR 32 )NR 33 R 32 , —NR 31 C(═NR 32 )OR 33 , —NR 31 C(═NR 32 )SR 33 , —OC(═O)OR 33 , —OC(═O)NR 31 R 32 , —OC(═O)SR 31 , —SC(═O)OR 31 , —P(O)OR 31 OR 32 , or —SC(═O)NR 31 R 32 , and wherein each of said alkyl, cycloalkyl, heterocyclyl, or heteroalkyl moiety is unsubstituted or is substituted with one or more halo, —OH, —R 31 , —CF 3 , —OCF 3 , —OR 31 , —O-aryl, —NR 31 R 32 , —NR 34 R 35 , —C(O)R 31 , —CO 2 R 31 , —C(═O)NR 34 R 35 , or —C(═O)NR 31 R 32 ;

R 5 is hydrogen, halogen, —OH, —R 31 , —CF 3 , —OCF 3 , —OR 31 , —NR 31 R 32 , —NR 34 R 35 , —C(O)R 31 , —CO 2 R 31 , —C(═O)NR 31 R 32 , —C(═O)NR 34 R 35 , —NO 2 , —CN, —S(O) 0-2 R 31 , —SO 2 NR 31 R 32 , —SO 2 NR 34 R 35 , —NR 31 C(═O)R 32 , —NR 31 C(═O)OR 32 , —NR 31 C(═O)NR 32 R 33 , —NR 31 S(O) 0-2 R 32 , —C(═S)OR 31 , —C(═O)SR 31 , —NR 31 C(═NR 32 )NR 33 R 32 , —NR 31 C(═NR 32 )OR 33 , —NR 31 C(═NR 32 )SR 33 , —OC(═O)OR 33 , —OC(═O)NR 31 R 32 , —OC(═O)SR 31 , —SC(═O)OR 31 , —P(O)OR 31 OR 32 , or —SC(═O)NR 31 R 32 ;

each of R 31 , R 32 , and R 33 is independently H or C 1-10 alkyl, wherein the C 1-10 alkyl is unsubstituted or is substituted with one or more aryl, heteroalkyl, heterocyclyl, or hetaryl group, wherein each of said aryl, heteroalkyl, heterocyclyl, or hetaryl group is unsubstituted or is substituted with one or more halo, —OH, —C 1-10 alkyl, —CF 3 , —O-aryl, —OCF 3 , —OC 1-10 alkyl, —NH 2 , —N(C 1-10 alkyl)(C 1-10 alkyl), —NH(C 1-10 alkyl), —NH(aryl), —NR 34 R 35 , —C(O)(C 1-10 alkyl), —C(O)(C 1-10 alkyl-aryl), —C(O)(aryl), —CO 2 —C 1-10 alkyl, —CO 2 -aryl, —C(═O)N(C 1-10 alkyl)(C 1-10 alkyl), —C(═O)NH(C 1-10 alkyl), —C(═O)NR 34 R 35 , —C(═O)NH 2 , —OCF 3 , —O(C 1-10 alkyl), —O-aryl, —N(aryl)(C 1-10 alkyl), —NO 2 , —CN, —S(O) 0-2 C 1-10 alkyl, —S(O) 0-2 C 1-10 alkylaryl, —S(O) 0-2 aryl, —SO 2 N(aryl), —SO 2 N(C 1-10 alkyl)(C 1-10 alkyl), —SO 2 NH(C 1-10 alkyl) or —SO 2 NR 34 R 35 ;

R 34 and R 35 in —NR 34 R 35 , —C(═O)NR 34 R 35 , or —SO 2 NR 34 R 35 , are taken together with the nitrogen atom to which they are attached to form a 3-10 membered saturated or unsaturated ring; wherein said ring is independently unsubstituted or is substituted by one or more —NR 31 R 32 , hydroxyl, halogen, oxo, aryl, hetaryl, C 1-6 alkyl, or O-aryl, and wherein said 3-10 membered saturated or unsaturated ring independently contains 0, 1, or 2 more heteroatoms in addition to the nitrogen atom;

each of R 7 and R 8 is independently hydrogen, C 1-10 alkyl, C 2-10 alkenyl, aryl, heteroaryl, heterocyclyl or C 3-10 cycloalkyl, each of which except for hydrogen is unsubstituted or is substituted by one or more independent R 6 ;

R 6 is halo, —OR 31 , —SH, —NH 2 , —NR 34 R 35 , —NR 31 R 32 , —CO 2 R 31 , —CO 2 aryl, —C(═O)NR 31 R 32 , C(═O)NR 34 R 35 , —NO 2 , —CN, —S(O) 0-2 C 1-10 alkyl, —S(O) 0-2 aryl, —SO 2 NR 34 R 35 , —SO 2 NR 31 R 32 , C 1-10 alkyl, C 2-10 alkenyl, C 2-10 alkynyl; aryl-C 1-10 alkyl, aryl-C 2-10 alkenyl, aryl-C 2-10 alkynyl, hetaryl-C 1-10 alkyl, hetaryl-C 2-10 alkenyl, hetaryl-C 2-10 alkynyl, wherein each of said alkyl, alkenyl, alkynyl, aryl, heteroalkyl, heterocyclyl, or hetaryl group is unsubstituted or is substituted with one or more independent halo, cyano, nitro, —OC 1-10 alkyl, C 1-10 alkyl, C 2-10 alkenyl, C 2-10 alkynyl, haloC 1-10 alkyl, haloC 2-10 alkenyl, haloC 2-10 alkynyl, —COOH, —C(═O)NR 31 R 32 , —C(═O)NR 34 R″, —SO 2 NR 34 R″, —SO 2 NR 31 R 32 , —NR 31 R 32 , or —NR 34 R 35 ; and

R 9 is H, halo, —OR 31 , —SH, —NH 2 , —NR 34 R 35 , —NR 31 R 32 , —CO 2 R 31 , —CO 2 aryl, —C(═O)NR 31 R 32 , C(═O)NR 34 R 35 , —NO 2 , —CN, —S(O) 0-2 C 1-10 alkyl, —S(O) 0-2 aryl, —SO 2 NR 34 R 35 , —SO 2 NR 31 R 32 , C 1-10 alkyl, C 2-10 alkenyl, C 2-10 alkynyl; aryl-C 1-10 alkyl, aryl-C 2-10 alkenyl, aryl-C 2-10 alkynyl, hetaryl-C 1-10 alkyl, hetaryl-C 2-10 alkenyl, hetaryl-C 2-10 alkynyl, wherein each of said alkyl, alkenyl, alkynyl, aryl, heteroalkyl, heterocyclyl, or hetaryl group is unsubstituted or is substituted with one or more independent halo, cyano, nitro, —OC 1-10 alkyl, C 1-10 alkyl, C 2-10 alkenyl, C 2-10 alkynyl, haloC 1-10 alkyl, haloC 2-10 alkenyl, haloC 2-10 alkynyl, —COOH, —C(═O)NR 31 R 32 , —C(═O)NR 34 R 35 , —SO 2 NR 34 R 35 , —SO 2 NR 31 R 32 , —NR 31 R 32 , or —NR 34 R 35 .

41 . The method, dosage form, or pharmaceutical regimen of claim 40 , wherein the mTorC1/mTorC2 inhibitor has the Formula:

or a pharmaceutically acceptable salt thereof, wherein: E 2 is —H; X 1 is N; X 2 is N; W 2 is —NH; and k is 1.

42 . The method, dosage form, or pharmaceutical regimen of claim 41 , wherein R 2 is H.

43 . The method, dosage form, or pharmaceutical regimen of claim 42 , wherein R 1 is isopropyl.

44 . The method, dosage form, or pharmaceutical regimen of claim 42 , wherein R 1 is

45 . The method, dosage form, or pharmaceutical regimen of claim 42 , wherein R 1 is

46 . The method, dosage form, or pharmaceutical regimen of claim 42 , wherein R 1

47 . The method, dosage form, or pharmaceutical regimen of claim 40 , wherein E 2 is —H; X 1 is CH; X 2 is N;

W 2 is —NH; R 2 is H; k is 1; and R 1 is isopropyl or