Amido spirocyclic amide and sulfonamide derivatives
Provided are amido spirocyclic amide and sulfonamide compounds, pharmaceutical compositions comprising such compounds, and methods of treatment using such compounds.
1. A compound of Formula I:
wherein:
R is (a) an 8-, 9-, or 10-membered bicyclic heteroaryl comprising one heteroatom selected from N, S, and O, and one, two, or three additional N atoms, wherein said bicyclic heteroaryl is unsubstituted or is substituted with one or more substituents selected from the group consisting of deuterium, amino, alkylamino, dialkylamino, alkyl, halo, cyano, haloalkyl, hydroxy, hydroxyalkyl, and alkoxy, and wherein one or more N atoms of said bicyclic heteroaryl is optionally an N-oxide; or
(b) a five- or six-membered nitrogen-linked heterocycloalkyl ring fused to a phenyl or monocyclic five- or six-membered heteroaryl, wherein said phenyl or heteroaryl is unsubstituted or is substituted with one or more substituents selected from the group consisting of deuterium, amino, alkylamino, dialkylamino, alkyl, halo, cyano, haloalkyl, hydroxy, hydroxyalkyl, and alkoxy; and
R 1 is H, —(C 1-4 alkylene) 0-1 C(O)R a , —(C 1-4 alkylene) 0-1 CO 2 R a , —(C 1-4 alkylene) 0-1 S(O)R a , —(C 1-4 alkylene) 0-1 SO 2 R a , —C(O)NH(R a ), —C(O)N(R a ) 2 , or —C(O)C(O)NH(R a );
wherein each R a is independently
(1) alkyl, unsubstituted or substituted with one or more R m substituents,
wherein each R m is independently selected from the group consisting of hydroxy, —NR b R c , alkoxy, cyano, halo, —C(O)alkyl, —CO 2 alkyl, —CONR b R c , —S(O)alkyl, —SO 2 alkyl, —SO 2 NR b R c , aryl, heteroaryl, cycloalkyl, heterocycloalkyl, phenoxy, and —O-alkyl-OH;
wherein R b is H or alkyl;
R c is H, alkyl, alkoxyalkyl, haloalkyl, —C(O)alkyl, —CO 2 alkyl, —SO 2 alkyl, —C(O)NH 2 , or C(O)H; and
each aryl, heteroaryl, cycloalkyl, and heterocycloalkyl group within R m is unsubstituted or substituted with one or more substituents independently selected from the group consisting of alkyl, haloalkyl, hydroxy, —NR b R c , alkoxy, haloalkoxy, cyano, halo, oxo, —C(O)alkyl, —CO 2 alkyl, —C(O)-heterocycloalkyl, —CONR b R c , —S(O)alkyl, —SO 2 alkyl, —SO 2 -haloalkyl, —SO 2 NR b R c , aryl, heteroaryl, cycloalkyl, and heterocycloalkyl;
wherein each alkyl or alkoxy is unsubstituted or substituted with —NR b R c , heterocycloalkyl, heteroaryl, or —C(O)alkyl; and
each aryl, heteroaryl, cycloalkyl, and heterocycloalkyl is unsubstituted or substituted with alkyl, halo, or —C(O)alkyl;
(2) phenyl, cycloalkyl, heteroaryl, or heterocycloalkyl, each unsubstituted or substituted with one or more substituents selected from the group consisting of alkyl, haloalkyl, hydroxy, —NR b R c , alkoxy, haloalkoxy, cyano, halo, oxo, —C(O)alkyl, —CO 2 alkyl, —C(O)-heterocycloalkyl, —CONR b R c , —S(O)alkyl, —SO 2 alkyl, —SO 2 -haloalkyl, —SO 2 NR b R c , aryl, heteroaryl, cycloalkyl, and heterocycloalkyl;
wherein each alkyl or alkoxy is unsubstituted or substituted with —NR b R c , heterocycloalkyl, heteroaryl, or —C(O)alkyl; and
each aryl, heteroaryl, cycloalkyl, and heterocycloalkyl is unsubstituted or substituted with alkyl, halo, or —C(O)alkyl; or
(3) —NR x R y ,
where R x is H or alkyl; and
R y is H, alkyl, alkoxyalkyl, haloalkyl, —C(O)alkyl, —CO 2 alkyl, or —SO 2 alkyl;
R 2 and R 3 are each independently H or deuterium; and
n is 1 or 2;
or a stereoisomer thereof, or a pharmaceutically acceptable salt of such a compound or stereoisomer.
2. The compound of claim 1 , wherein R is an 8- or 9-membered heteroaryl, unsubstituted or substituted as described for claim 1 .
3. The compound of claim 1 , wherein R is:
each unsubstituted or substituted as described for claim 1 .
4. The compound of claim 1 , wherein, R is a five- or six-membered nitrogen-linked heterocycloalkyl ring fused to an unsubstituted or substituted phenyl or monocyclic heteroaryl, as defined in claim 1 .
5. The compound of claim 1 , wherein R is
6. The compound of claim 1 , wherein R 1 is H, —C(O)R a , —CO 2 R a , —S(O)R a , or —SO 2 R a .
7. The compound of claim 1 , wherein R a is methyl, ethyl, propyl, isopropyl, tert-butyl, isobutyl, isopentyl, phenyl, cyclopropyl, cyclobutyl, cyclopentyl, cyclohexyl, pyrrolyl, furanyl, thiophenyl, imidazolyl, pyrazolyl, oxazolyl, isoxazolyl, thiazolyl, triazoyl, pyridyl, pyrimidinyl, pyrazinyl, pyridazinyl, isoindolinyl, azetidinyl, oxetanyl, pyrrolidinyl, piperidinyl, morpholinyl, piperazinyl, tetrahydrofuranyl, tetrahydropyranyl, or tetrahydrothiophenyl, each unsubstituted or substituted.
8. The compound of claim 1 , wherein R a is phenyl, cycloalkyl, heteroaryl, or heterocycloalkyl, each unsubstituted or substituted with one or more substituents selected from the group consisting of fluoro, oxo, methyl, —CONH 2 , acetyl, —SO 2 methyl, —C(O)-isopropyl, pyridazinyl, triazolyl, dimethylaminomethyl, cyano, methyl-triazolyl-methoxy, trifluoromethoxy, pyrrolidinylmethyl, acetylamino, tetrazolylmethyl, methyl-tetrazolyl-methyl, methyl-imidazolyl-methyl, —NHSO 2 methyl, 1,1-dioxothiomorpholinyl, 4-methyl-piperazinylmethyl, —NHCONH 2 , —SO 2 CF 3 , morpholinylmethyl, imidazolyl, —SO 2 NH 2 , methylpiperidinyl, methyl-piperazinyl, —C(O)(4-methyl-piperazinyl), morpholinyl, trifluoromethyl, cyclopropyl, ethyl, isoxazolyl, tetrazolyl, isopropyl, phenyl, fluoro-phenyl, tert-butyl, benzyl, N-methylpyrrolidinyl, N-acetyl-pyrrolidinyl, isobutyl, propyl, methylpyrazolyl, trifluoroethyl, pyrimidinyl, oxo, acetyl, cyano, —CO 2 -tert-butyl, and amino.
9. The compound of claim 1 , wherein R a is alkyl, unsubstituted or substituted with one or more substituents selected from the group consisting of fluoro, tert-butoxy, —C(O)NMe 2 , —NHCHO, methoxy, phenoxy, cyano, acetyl, hydroxy, —OCH 2 C(CH 3 )═OH, —NH(acetyl), and —N(Me)(acetyl).
10. The compound of claim 1 , wherein R 1 is —SO 2 R a , where R a is methyl, ethyl, phenyl, benzyl, or 2,2-dimethylpropyl.
11. The compound of claim 1 , wherein R 1 is —C(O)NHR a , wherein R a is methyl, ethyl, propyl, isopropyl, tertobutyl, cyclohexyl, —CH 2 -cyclohexyl, oxetanyl, or methyloxetanyl, or R a is a phenyl or benzyl group, each optionally substituted with one or more substituents selected from the group consisting of cyano, methyl, fluoro, methoxy, and chloro.
12. The compound of claim 1 , wherein both R 2 and R 3 are H.
13. The compound of claim 1 , which is a compound of Formula I-a:
wherein R, R 1 , R 2 , and R 3 are as defined for Formula I;
or a stereoisomer thereof, or a pharmaceutically acceptable salt of such a compound or stereoisomer.
14. A compound selected from the group consisting of:
tert-butyl 2-[(1,3- dihydropyrrolo[3,4- c]pyridine-2- carbonylamino)methyl]-8- azaspiro[2.5]octane-8- carboxylate;
tert-butyl 2-[(thieno[2,3- c]pyridine-2- carbonylamino)methyl]-8- azaspiro[2.5]octane-8- carboxylate;
tert-butyl 2-[(imidazo[1,2- a]pyrimidine-6- carbonylamino)methyl]-8- azaspiro[2.5]octane-8- carboxylate;
tert-butyl 2-[(furo[2,3- c]pyridine-2- carbonylamino)methyl]-8- azaspiro[2.5]octane-8- carboxylate;
tert-butyl 2-[(imidazo[1,2- a]pyridine-6- carbonylamino)methyl]-8- azaspiro[2.5]octane-8- carboxylate;
N-[[8-(3,3- dimethylbutanoyl)-8- azaspiro[2.5]octan-2- yl]methyl]-1H-pyrrolo[3,2- c]pyridine-2-carboxamide;
N-[[8-(2-phenylacetyl)-8- azaspiro[2.5]octan-2- yl]methyl]-1H-pyrrolo[3,2- c]pyridine-2-carboxamide
tert-butyl 2-[(1H-pyrrolo[3,2- c]pyridine-2- carbonylamino)methyl]-8- azaspiro[2.5]octane-8- carboxylate;
N-[[8- (cyclohexanecarbonyl)-8- azaspiro[2.5]octan-2- yl]methyl]-1H-pyrrolo[3,2- c]pyridine-2-carboxamide;
N-[[8-(tetrahydropyran-4- carbonyl)-8- azaspiro[2.5]octan-2- yl]methyl]-1H-pyrrolo[3,2- c]pyridine-2-carboxamide;
N-[(8-benzoyl-8- azaspiro[2.5]octan-2- yl)methyl]-1H-pyrrolo[3,2- c]pyridine-2-carboxamide;
N-[[8-(2-methylpropanoyl)-8- azaspiro[2.5]octan-2- yl]methyl]-1H-pyrrolo[3,2- c]pyridine-2-carboxamide;
N-[[8-(benzenesulfonyl)-8- azaspiro[2.5]octan-2- yl]methyl]-1H-pyrrolo[3,2- c]pyridine-2-carboxamide
N-[(8-ethylsulfonyl-8- azaspiro[2.5]octan-2- yl)methyl]-1H-pyrrolo[3,2- c]pyridine-2-carboxamide;
tert-butyl 2-[(1H- pyrazolo[3,4-b]pyridine-5- carbonylamino)methyl]-8- azaspiro[2.5]octane-8- carboxylate;
N-[(8-acetyl-8- azaspiro[2.5]octan-2- yl)methyl]-1H-pyrrolo[3,2- c]pyridine-2-carboxamide;
N-[(8-methylsulfonyl-8- azaspiro[2.5]octan-2- yl)methyl]-1H-pyrrolo[3,2- c]pyridine-2-carboxamide;
N-(8-azaspiro[2.5]octan-2- ylmethyl)-1H-pyrrolo[3.2- c]pyridine-2-carboxamide;
N-(8-azaspiro[2.5]octan-2- ylmethyl)-1H-pyrazolo[3,4- b]pyridine-5-carboxamide;
N-[(8-propanoyl-8- azaspiro[2.5]octan-2- yl)methyl]-1H-pyrrolo[3,2- c]pyridine-2-carboxamide;
tert-butyl 2-((imidazo[1,2- a]pyridine-6- carboxamido)methyl)-7- azaspiro[3.5]nonane-7- carboxylate;
tert-butyl 2-[(imidazo[1,2- a]pyridine-6- carbonylamino)methyl]-6- azaspiro[2.5]octane-6- carboxylate;
tert-butyl 2-[(furo[2,3- c]pyridine-2- carbonylamino)methyl]-6- azaspiro[2.5]octane-6- carboxylate;
N-[[6-(3,3- dimethylbutanoyl)-6- azaspiro[2.5]octan-2- yl]methyl]-1H-pyrrolo[3,2- c]pyridine-2-carboxamide;
tert-butyl 2-[(1,3- dihydropyrrolo[3,4- c]pyridine-2- carbonylamino)methyl]-6- azaspiro[2.5]octane-6- carboxylate;
N-[[6-(2-imidazol-1-ylacetyl)- 6-azaspiro[2.5]octan-2- yl]methyl]furo[2,3-c]pyridine- 2-carboxamide;
N-[[6-(4,4,4- trifluorobutanoyl)-6- azaspiro[2.5]octan-2- yl]methyl]furo[2,3-c]pyridine- 2-carboxamide;
N-[[6-[2-(3- methylsulfonylphenyl)acetyl]- 6-azaspiro[2.5]octan-2- yl]methyl]furo[2,3-c]pyridine- 2-carboxamide;
N-[[6-(3,3- dimethylbutanoyl)-6- azaspiro[2.5]octan-2- yl]methyl]furo[2,3-c]pyridine- 2-carboxamide;
N-[[6-[2-(4-methylpiperazin- 1-yl)acetyl]-6- azaspiro[2.5]octan-2- yl]methyl]furo[2,3-c]pyridine- 2-carboxamide;
N-[[6-[2-(3- cyanophenyl)acetyl]-6- azaspiro[2.5]octan-2- yl]methyl]furo[2,3-c]pyridine- 2-carboxamide;
N-[[6-(2-cyclopropylacetyl)- 6-azaspiro[2.5]octan-2- yl]methyl]furo[2,3-c]pyridine- 2-carboxamide;
N-[[6-(2-pyrrolidin-1- ylacetyl)-6- azaspiro[2.5]octan-2- yl]methyl]furo[2,3-c]pyridine- 2-carboxamide;
N-[[6-[2-(3-methylisoxazol-5- yl)acetyl]-6- azaspiro[2.5]octan-2- yl]methyl]furo[2,3-c]pyridine- 2-carboxamide;
N-[[6-[2-(1-piperidyl)acetyl]- 6-azaspiro[2.5]octan-2- yl]methyl]furo[2,3-c]pyridine- 2-carboxamide;
N-[[6-(2-tetrahydropyran-4- ylacetyl)-6- azaspiro[2.5]octan-2- yl]methyl]furo[2,3-c]pyridine- 2-carboxamide;
N-[[6-(2-tetrahydrofuran-2- ylacetyl)-6- azaspiro[2.5]octan-2- yl]methyl]furo[2,3-c]pyridine- 2-carboxamide;
N-[[6-(2-tert-butoxyacetyl)-6- azaspiro[2.5]octan-2- yl]methyl]furo[2,3-c]pyridine- 2-carboxamide;
N-[[6-[2-(3-pyridyl)acetyl]-6- azaspiro[2.5]octan-2- yl]methyl]furo[2,3-c]pyridine- 2-carboxamide;
N-[[6-[2-[1-(2,2,2- trifluoroethyl)-4- piperidyl]acetyl]-6- azaspiro[2.5]octan-2- yl]methyl]-1H-pyrrolo[3,2- c]pyridine-2-carboxamide;
tert-butyl 2-[(imidazo[1,2- a]pyridine-6- carbonylamino)methyl]-6- azaspiro[2.5]octane-6- carboxylate;
tert-butyl 2-[(imidazo[1,2- a]pyridine-6- carbonylamino)methyl]-6- azaspiro[2.5]octane-6- carboxylate;
tert-butyl 2-[(furo[2,3- c]pyridine-2- carbonylamino)methyl]-6- azaspiro[2.5]octane-6- carboxylate;
tert-butyl 2-[(furo[2,3- c]pyridine-2- carbonylamino)methyl]-6- azaspiro[2.5]octane-6- carboxylate;
N-[[6-(3,3- dimethylbutanoyl)-6- azaspiro[2.5]octan-2- yl]methyl]-1,3- dihydropyrrolo[3,4- c]pyridine-2-carboxamide;
N-[[6-(3-methylbutanoyl)-6- azaspiro[2.5]octan-2- yl]methyl]-1H-pyrrolo[3,2- c]pyridine-2-carboxamide;
N-[[6-(2-phenylacetyl)-6- azaspiro[2.5]octan-2- yl]methyl]-1,3- dihydropyrrolo[3,4- c]pyridine-2-carboxamide;
tert-butyl 2-[(1,3- dihydropyrrolo[3,4- c]pyridine-2- carbonylamino)methyl]-6- azaspiro[2.5]octane-6- carboxylate;
tert-butyl 2-[(1,3- dihydropyrrolo[3,4- c]pyridine-2- carbonylamino)methyl]-6- azaspiro[2.5]octane-6- carboxylate;
N-[[6-(2-pyrazin-2-ylacetyl)- 6-azaspiro[2.5]octan-2- yl]methyl]furo[2,3-c]pyridine- 2-carboxamide;
N-[[6-(2-morpholinoacetyl)- 6-azaspiro[2.5]octan-2- yl]methyl]furo[2,3-c]pyridine- 2-carboxamide;
N-[[6-(2-tetrahydropyran-2- ylacetyl)-6- azaspiro[2.5]octan-2- yl]methyl]furo[2,3-c]pyridine- 2-carboxamide;
N-[[6-(2-pyrrolidin-1- ylpropanoyl)-6- azaspiro[2.5]octan-2- yl]methyl]furo[2,3-c]pyridine- 2-carboxamide;
N-[[6-[2-(tert-butylamino)-2- oxo-acetyl]-6- azaspiro[2.5]octan-2- yl]methyl]furo[2,3-c]pyridine- 2-carboxamide;
N-[[6-[4-(dimethylamino)-4- oxo-butanoyl]-6- azaspiro[2.5]octan-2- yl]methyl]furo[2,3-c]pyridine- 2-carboxamide;
N-[[6-(1-methyl-5-oxo- pyrrolidine-3-carbonyl)-6- azaspiro[2.5]octan-2- yl]methyl]furo[2,3-c]pyridine- 2-carboxamide;
N-[[6-[2-(2-oxopyrrolidin-1- yl)acetyl]-6- azaspiro[2.5]octan-2- yl]methyl]furo[2,3-c]pyridine- 2-carboxamide;
N-[[6-(2,2- difluorocyclopropanecarbonyl)- 6-azaspiro[2.5]octan-2- yl]methyl]furo[2,3-c]pyridine- 2-carboxamide;
N-[[6-(tetrahydrofuran-3- carbonyl)-6- azaspiro[2.5]octan-2- yl]methyl]furo[2,3-c]pyridine- 2-carboxamide;
N-[[6-(tetrahydropyran-4- carbonyl)-6- azaspiro[2.5]octan-2- yl]methyl]furo[2,3-c]pyridine- 2-carboxamide;
N-[[6-(tetrahydrofuran-2- carbonyl)-6- azaspiro[2.5]octan-2- yl]methyl]furo[2,3-c]pyridine- 2-carboxamide;
N-[[6-(2-formamidoacetyl)-6- azaspiro[2.5]octan-2- yl]methyl]furo[2,3-c]pyridine- 2-carboxamide;
N-[[6-[3-(3,5- dimethylpyrazol-1- yl)propanoyl]-6- azaspiro[2.5]octan-2- yl]methyl]furo[2,3-c]pyridine- 2-carboxamide;
N-[[6-(1- carbamoylpyrrolidine-2- carbonyl)-6- azaspiro[2.5]octan-2- yl]methyl]furo[2,3-c]pyridine- 2-carboxamide;
N-[[6-(3- morpholinopropanoyl)-6- azaspiro[2.5]octan-2- yl]methyl]furo[2,3-c]pyridine- 2-carboxamide;
N-[[6-(1,1-dioxothiolane-3- carbonyl)-6- azaspiro[2.5]octan-2- yl]methyl]furo[2,3-c]pyridine- 2-carboxamide;
N-[[6-[2-(3,5- dimethylpyrazol-1-yl)acetyl]- 6-azaspiro[2.5]octan-2- yl]methyl]furo[2,3-c]pyridine- 2-carboxamide;
N-[[6-(1-acetylpyrrolidine-2- carbonyl)-6- azaspiro[2.5]octan-2- yl]methyl]furo[2,3-c]pyridine- 2-carboxamide;
N-[[6-(2- methylsulfonylbenzoyl)-6- azaspiro[2.5]octan-2- yl]methyl]furo[2,3-c]pyridine- 2-carboxamide;
N-[[6-[3-(1,2,4-triazol-4- yl)benzoyl]-6- azaspiro[2.5]octan-2- yl]methyl]furo[2,3-c]pyridine- 2-carboxamide;
N-[[6-[4- [(dimethylamino)methyl] benzoyl]-6-azaspiro[2.5]octan-2- yl]methyl]furo[2,3-c]pyridine- 2-carboxamide;
N-[[6-(4-acetamidobenzoyl)- 6-azaspiro[2.5]octan-2- yl]methyl]furo[2,3-c]pyridine- 2-carboxamide;
N-[[6-(1- methylsulfonylpiperidine-3- carbonyl)-6- azaspiro[2.5]octan-2- yl]methyl]furo[2,3-c]pyridine- 2-carboxamide;
N-[[6-(1- methylsulfonylpiperidine-4- carbonyl)-6- azaspiro[2.5]octan-2- yl]methyl]furo[2,3-c]pyridine- 2-carboxamide;
N-[[6-(2- morpholinopropanoyl)-6- azaspiro[2.5]octan-2- yl]methyl]furo[2,3-c]pyridine- 2-carboxamide;
N-[[6-(1- methylsulfonylpyrrolidine-2- carbonyl)-6- azaspiro[2.5]octan-2- yl]methyl]furo[2,3-c]pyridine- 2-carboxamide;
N-[[6-[2-(3-oxoisoindolin-1- yl)acetyl]-6- azaspiro[2.5]octan-2- yl]methyl]furo[2,3-c]pyridine- 2-carboxamide;
N-[[6-(1- carbamoylpiperidine-4- carbonyl)-6- azaspiro[2.5]octan-2- yl]methyl]furo[2,3-c]pyridine- 2-carboxamide;
N-[[6-(1- carbamoylpiperidine-3- carbonyl)-6- azaspiro[2.5]octan-2- yl]methyl]furo[2,3-c]pyridine- 2-carboxamide;
N-[[6-[2-(1,1-dioxothiolan-3- yl)acetyl]-6- azaspiro[2.5]octan-2- yl]methyl]furo[2,3-c]pyridine- 2-carboxamide;
N-[[6-[2-(2,4-dioxopyrimidin- 1-yl)acetyl]-6- azaspiro[2.5]octan-2- yl]methyl]furo[2,3-c]pyridine- 2-carboxamide;
N-[[6-(1-acetylpiperidine-4- carbonyl)-6- azaspiro[2.5]octan-2- yl]methyl]furo[2,3-c]pyridine- 2-carboxamide;
N-[[6-[4-(tetrazol-1- ylmethyl)benzoyl]-6- azaspiro[2.5]octan-2- yl]methyl]furo[2,3-c]pyridine- 2-carboxamide;
N-[[6-[4- (methanesulfonamido)benzoyl]- 6-azaspiro[2.5]octan-2- yl]methyl]furo[2,3-c]pyridine- 2-carboxamide;
N-[[6-[4-(1,1-dioxo-1,4- thiazinan-4-yl)benzoyl]-6- azaspiro[2.5]octan-2- yl]methyl]furo[2,3-c]pyridine- 2-carboxamide;
N-[[6-[4-[(4-methylpiperazin- 1-yl)methyl]benzoyl]-6- azaspiro[2.5]octan-2- yl]methyl]furo[2,3-c]pyridine- 2-carboxamide;
N-[[6-[2-[(4-methylpiperazin- 1-yl)methyl]benzoyl]-6- azaspiro[2.5]octan-2- yl]methyl]furo[2,3-c]pyridine- 2-carboxamide;
N-[[6-[3-[(4-methylpiperazin- 1-yl)methyl]benzoyl]-6- azaspiro[2.5]octan-2- yl]methyl]furo[2,3-c]pyridine- 2-carboxamide;
N-[[6-[3-(4-methylpiperazin- 1-yl)propanoyl]-6- azaspiro[2.5]octan-2- yl]methyl]furo[2,3-c]pyridine- 2-carboxamide;
N-[[6-(1-isopropyl-5-oxo- pyrrolidine-3-carbonyl)-6- azaspiro[2.5]octan-2- yl]methyl]furo[2,3-c]pyridine- 2-carboxamide;
N-[[6-[2-(3-oxopiperazin-1- yl)acetyl]-6- azaspiro[2.5]octan-2- yl]methyl]furo[2,3-c]pyridine- 2-carboxamide;
N-[[6-(3- methylsulfonylbenzoyl)-6- azaspiro[2.5]octan-2- yl]methyl]furo[2,3-c]pyridine- 2-carboxamide;
N-[[6-(4- methylsulfonylbenzoyl)-6- azaspiro[2.5]octan-2- yl]methyl]furo[2,3-c]pyridine- 2-carboxamide;
N-[[6-(4-ureidobenzoyl)-6- azaspiro[2.5]octan-2- yl]methyl]furo[2,3-c]pyridine- 2-carboxamide;
N-[[6-[2-(4-acetylpiperazin- 1-yl)acetyl]-6- azaspiro[2.5]octan-2- yl]methyl]furo[2,3-c]pyridine- 2-carboxamide;
N-[[6-[4-[(5-methyltetrazol-1- yl)methyl]benzoyl]-6- azaspiro[2.5]octan-2- yl]methyl]furo[2,3-c]pyridine- 2-carboxamide;
N-[[6-(pyridine-4-carbonyl)- 6-azaspiro[2.5]octan-2- yl]methyl]furo[2,3-c]pyridine- 2-carboxamide;
N-[[6-(pyridine-2-carbonyl)- 6-azaspiro[2.5]octan-2- yl]methyl]furo[2,3-c]pyridine- 2-carboxamide;
N-[[6-(oxazole-4-carbonyl)- 6-azaspiro[2.5]octan-2- yl]methyl]furo[2,3-c]pyridine- 2-carboxamide;
N-[[6-(1H-1,2,4-triazole-3- carbonyl)-6- azaspiro[2.5]octan-2- yl]methyl]furo[2,3-c]pyridine- 2-carboxamide;
N-[[6-(1H-imidazole-4- carbonyl)-6- azaspiro[2.5]octan-2- yl]methyl]furo[2,3-c]pyridine- 2-carboxamide;
N-[[6-(pyrimidine-4- carbonyl)-6- azaspiro[2.5]octan-2- yl]methyl]furo[2,3-c]pyridine- 2-carboxamide;
N-[[6-(pyridine-3-carbonyl)- 6-azaspiro[2.5]octan-2- yl]methyl]furo[2,3-c]pyridine- 2-carboxamide;
N-[[6-(1H-pyrazole-3- carbonyl)-6- azaspiro[2.5]octan-2- yl]methyl]furo[2,3-c]pyridine- 2-carboxamide;
N-[[6-(1-methylimidazole-4- carbonyl)-6- azaspiro[2.5]octan-2- yl]methyl]furo[2,3-c]pyridine- 2-carboxamide;
N-[[6-(3-methyl-1H- pyrazole-4-carbonyl)-6- azaspiro[2.5]octan-2- yl]methyl]furo[2,3-c]pyridine- 2-carboxamide;
N-[[6-(2-methylpyrazole-3- carbonyl)-6- azaspiro[2.5]octan-2- yl]methyl]furo[2,3-c]pyridine- 2-carboxamide;
N-[[6-(5-methyl-1H- pyrazole-3-carbonyl)-6- azaspiro[2.5]octan-2- yl]methyl]furo[2,3-c]pyridine- 2-carboxamide;
N-[[6-(1-methylpyrazole-3- carbonyl)-6- azaspiro[2.5]octan-2- yl]methyl]furo[2,3-c]pyridine- 2-carboxamide;
N-[[6-(pyridazine-3- carbonyl)-6- azaspiro[2.5]octan-2- yl]methyl]furo[2,3-c]pyridine- 2-carboxamide;
N-[[6-(pyrimidine-5- carbonyl)-6- azaspiro[2.5]octan-2- yl]methyl]furo[2,3-c]pyridine- 2-carboxamide;
N-[[6-(pyrazine-2-carbonyl)- 6-azaspiro[2.5]octan-2- yl]methyl]furo[2,3-c]pyridine- 2-carboxamide;
N-[[6-(pyridazine-4- carbonyl)-6- azaspiro[2.5]octan-2- yl]methyl]furo[2,3-c]pyridine- 2-carboxamide;
N-[[6-(1-methylpyrazole-4- carbonyl)-6- azaspiro[2.5]octan-2- yl]methyl]furo[2,3-c]pyridine- 2-carboxamide;
N-[[6-(1,5-dimethylpyrazole- 3-carbonyl)-6- azaspiro[2.5]octan-2- yl]methyl]furo[2,3-c]pyridine- 2-carboxamide;
N-[[6-(2,5-dimethylpyrazole- 3-carbonyl)-6- azaspiro[2.5]octan-2- yl]methyl]furo[2,3-c]pyridine- 2-carboxamide;
N-[[6-(5-methylisoxazole-3- carbonyl)-6- azaspiro[2.5]octan-2- yl]methyl]furo[2,3-c]pyridine- 2-carboxamide;
N-[[6-(4-methyl-1,2,5- oxadiazole-3-carbonyl)-6- azaspiro[2.5]octan-2- yl]methyl]furo[2,3-c]pyridine- 2-carboxamide;
N-[[6-(2-methylpyridine-3- carbonyl)-6- azaspiro[2.5]octan-2- yl]methyl]furo[2,3-c]pyridine- 2-carboxamide;
N-[[6-(4-methylpyridine-3- carbonyl)-6- azaspiro[2.5]octan-2- yl]methyl]furo[2,3-c]pyridine- 2-carboxamide;
N-[[6-(2-methylpyridine-4- carbonyl)-6- azaspiro[2.5]octan-2- yl]methyl]furo[2,3-c]pyridine- 2-carboxamide;
N-[[6-(5-methylpyrazine-2- carbonyl)-6- azaspiro[2.5]octan-2- yl]methyl]furo[2,3-c]pyridine- 2-carboxamide;
N-[[6-(3-cyclopropyl-1H- pyrazole-5-carbonyl)-6- azaspiro[2.5]octan-2- yl]methyl]furo[2,3-c]pyridine- 2-carboxamide;
N-[[6-(1-ethyl-5-methyl- pyrazole-4-carbonyl)-6- azaspiro[2.5]octan-2- yl]methyl]furo[2,3-c]pyridine- 2-carboxamide;
N-[[6-(3,5- dimethylisoxazole-4- carbonyl)-6- azaspiro[2.5]octan-2- yl]methyl]furo[2,3-c]pyridine- 2-carboxamide;
N-[[6-(1-ethylpyrazole-4- carbonyl)-6- azaspiro[2.5]octan-2- yl]methyl]furo[2,3-c]pyridine- 2-carboxamide;
N-[[6-(6-cyanopyridine-3- carbonyl)-6- azaspiro[2.5]octan-2- yl]methyl]furo[2,3-c]pyridine- 2-carboxamide;
N-[[6-(2,4-dimethyloxazole- 5-carbonyl)-6- azaspiro[2.5]octan-2- yl]methyl]furo[2,3-c]pyridine- 2-carboxamide;
N-[[6-(2-morpholinopyridine- 4-carbonyl)-6- azaspiro[2.5]octan-2- yl]methyl]furo[2,3-c]pyridine- 2-carboxamide;
N-[[6- (cyclopropanecarbonyl)-6- azaspiro[2.5]octan-2- yl]methyl]furo[2,3-c]pyridine- 2-carboxamide;
N-[[6-[1-methyl-5- (trifluoromethyl)pyrazole-3- carbonyl]-6- azaspiro[2.5]octan-2- yl]methyl]furo[2,3-c]pyridine- 2-carboxamide;
N-[[6-(4-isoxazol-5-yl-1- methyl-pyrazole-3- carbonyl)-6- azaspiro[2.5]octan-2- yl]methyl]furo[2,3-c]pyridine- 2-carboxamide;
N-[[6-(2-acetamidopyridine- 4-carbonyl)-6- azaspiro[2.5]octan-2- yl]methyl]furo[2,3-c]pyridine- 2-carboxamide;
N-[[6-[3-(tetrazol-1-yl)-1H- pyrazole-4-carbonyl]-6- azaspiro[2.5]octan-2- yl]methyl]furo[2,3-c]pyridine- 2-carboxamide;
N-[[6-(6-acetamidopyridine- 2-carbonyl)-6- azaspiro[2.5]octan-2- yl]methyl]furo[2,3-c]pyridine- 2-carboxamide;
N-[[6-(3-ethyl-5-methyl- isoxazole-4-carbonyl)-6- azaspiro[2.5]octan-2- yl]methyl]furo[2,3-c]pyridine- 2-carboxamide;
N-[[6-(2-ethyl-5-methyl- pyrazole-3-carbonyl)-6- azaspiro[2.5]octan-2- yl]methyl]furo[2,3-c]pyridine- 2-carboxamide;
N-[[6-(1-ethyl-3-methyl- pyrazole-4-carbonyl)-6- azaspiro[2.5]octan-2- yl]methyl]furo[2,3-c]pyridine- 2-carboxamide;
N-[[6-(3-methylisoxazole-4- carbonyl)-6- azaspiro[2.5]octan-2- yl]methyl]furo[2,3-c]pyridine- 2-carboxamide;
N-[[6-[2-methyl-3-(3- methylpyrazol-1- yl)propanoyl]-6- azaspiro[2.5]octan-2- yl]methyl]furo[2,3-c]pyridine- 2-carboxamide;
N-[[6-(1H-pyrazole-4- carbonyl)-6- azaspiro[2.5]octan-2- yl]methyl]furo[2,3-c]pyridine- 2-carboxamide;
N-[[6-[2-(1-methylsulfonyl-4- piperidyl)acetyl]-6- azaspiro[2.5]octan-2- yl]methyl]furo[2,3-c]pyridine- 2-carboxamide;
N-[[6-(4-methylmorpholine- 2-carbonyl)-6- azaspiro[2.5]octan-2- yl]methyl]furo[2,3-c]pyridine- 2-carboxamide;
N-[[6-[1-(2- methylpropanoyl)azetidine- 3-carbonyl]-6- azaspiro[2.5]octan-2- yl]methyl]furo[2,3-c]pyridine- 2-carboxamide;
N-[[6-(1-acetylazetidine-3- carbonyl)-6- azaspiro[2.5]octan-2- yl]methyl]furo[2,3-c]pyridine- 2-carboxamide;
N-[[6-(1-pyridazin-3- ylpyrrolidine-3-carbonyl)-6- azaspiro[2.5]octan-2- yl]methyl]furo[2,3-c]pyridine- 2-carboxamide;
N-[[6-[2-(1-pyrimidin-2-yl-4- piperidyl)acetyl]-6- azaspiro[2.5]octan-2- yl]methyl]furo[2,3-c]pyridine- 2-carboxamide;
N-[[6-[2-(1-isopropyl-4- piperidyl)acetyl]-6- azaspiro[2.5]octan-2- yl]methyl]furo[2,3-c]pyridine- 2-carboxamide;
N-[[6-[2-(1-methyl-4- piperidyl)acetyl]-6- azaspiro[2.5]octan-2- yl]methyl]furo[2,3-c]pyridine- 2-carboxamide
N-[[6-[2-(3-methyloxetan-3- yl)acetyl]-6- azaspiro[2.5]octan-2- yl]methyl]-1H-pyrrolo[3,2- c]pyridine-2-carboxamide;
isopropyl 2-[(1,3- dihydropyrrolo[3,4- c]pyridine-2- carbonylamino)methyl]-6- azaspiro[2.5]octane-6- carboxylate;
N-[[6-[2-(2- cyanophenyl)acetyl]-6- azaspiro[2.5]octan-2- yl]methyl]furo[2,3-c]pyridine- 2-carboxamide;
N-[[6-(3-methoxypropanoyl)- 6-azaspiro[2.5]octan-2- yl]methyl]furo[2,3-c]pyridine- 2-carboxamide;
N-[[6-[2-[4- (trifluoromethylsulfonyl) phenyl]acetyl]-6- azaspiro[2.5]octan-2- yl]methyl]furo[2,3-c]pyridine- 2-carboxamide;
N-[[6-[3- [acetyl(methyl)amino]propanoyl]- 6-azaspiro[2.5]octan-2- yl]methyl]furo[2,3-c]pyridine- 2-carboxamide;
N-[[6-[2-(2-pyridyl)acetyl]-6- azaspiro[2.5]octan-2- yl]methyl]furo[2,3-c]pyridine- 2-carboxamide;
N-[[6-[(4- cyanophenyl)carbamoyl]-6- azaspiro[2.5]octan-2- yl]methyl]furo[2,3-c]pyridine- 2-carboxamide;
N-[[6-(m- tolylmethylcarbamoyl)-6- azaspiro[2.5]octan-2- yl]methyl]furo[2,3-c]pyridine- 2-carboxamide;
N-[[6-(p-tolylcarbamoyl)-6- azaspiro[2.5]octan-2- yl]methyl]furo[2,3-c]pyridine- 2-carboxamide;
N-[[6-(benzylcarbamoyl)-6- azaspiro[2.5]octan-2- yl]methyl]furo[2,3-c]pyridine- 2-carboxamide;
N-[[6-[(2- fluorophenyl)methylcarbamoyl]- 6-azaspiro[2.5]octan-2- yl]methyl]furo[2,3-c]pyridine- 2-carboxamide;
N-[[6-(p- tolylmethylcarbamoyl)-6- azaspiro[2.5]octan-2- yl]methyl]furo[2,3-c]pyridine- 2-carboxamide;
N-[[6-(m-tolylmethylcarbamoyl)- 6-azaspiro[2.5]octan-2- yl]methyl]furo[2,3-c]pyridine-2- carboxamide;
N-[[6-(p-tolylcarbamoyl)-6- azaspiro[2.5]octan-2- yl]methyl]furo[2,3-c]pyridine-2- carboxamide;
N-[[6-(benzylcarbamoyl)-6- azaspiro[2.5]octan-2- yl]methyl]furo[2,3-c]pyridine-2- carboxamide;
N-[[6-[(2- fluorophenyl)methylcarbamoyl]- 6-azaspiro[2.5]octan-2- yl]methyl]furo[2,3-c]pyridine-2- carboxamide;
N-[[6-(p-tolylmethylcarbamoyl)-6- azaspiro[2.5]octan-2- yl]methyl]furo[2,3-c]pyridine-2- carboxamide;
N-[[6-[(4- fluorophenyl)methylcarbamoyl]- 6-azaspiro[2.5]octan-2- yl]methyl]furo[2,3-c]pyridine-2- carboxamide;
N-[[6-[(2- methoxyphenyl)methylcarbamoyl]- 6-azaspiro[2.5]octan-2- yl]methyl]furo[2,3-c]pyridine-2- carboxamide;
N-[[6-[(3- methoxyphenyl)methylcarbamoyl]- 6-azaspiro[2.5]octan-2- yl]methyl]furo[2,3-c]pyridine-2- carboxamide;
N-[[6-[(3- fluorophenyl)methylcarbamoyl]- 6-azaspiro[2.5]octan-2- yl]methyl]furo[2,3-c]pyridine-2- carboxamide;
N-[[6-[(4- methoxyphenyl)methylcarbamoyl]- 6-azaspiro[2.5]octan-2- yl]methyl]furo[2,3-c]pyridine-2- carboxamide;
N-[[6-[(3,4- dichlorophenyl)methylcarbamoyl]- 6-azaspiro[2.5]octan-2- yl]methyl]furo[2,3-c]pyridine-2- carboxamide;
N-[[6-(1-adamantylcarbamoyl)-6- azaspiro[2.5]octan-2- yl]methyl]furo[2,3-c]pyridine-2- carboxamide;
N-[[6-[(4- chlorophenyl)methylcarbamoyl]- 6-azaspiro[2.5]octan-2- yl]methyl]furo[2,3-c]pyridine-2- carboxamide;
N-[[6-[(2- chlorophenyl)methylcarbamoyl]- 6-azaspiro[2.5]octan-2- yl]methyl]furo[2,3-c]pyridine-2- carboxamide;
N-[[6-(ethylcarbamoyl)-6- azaspiro[2.5]octan-2- yl]methyl]furo[2,3-c]pyridine-2- carboxamide;
N-[[6-[(2,4- dichlorophenyl)methylcarbamoyl]- 6-azaspiro[2.5]octan-2- yl]methyl]furo[2,3-c]pyridine-2- carboxamide;
N-[[6-[2-(3-hydroxy-3-methyl- cyclobutyl)acetyl]-6- azaspiro[2.5]octan-2- yl]methyl]furo[2,3-c]pyridine-2- carboxamide;
N-[[6-[2-(3-methyloxetan-3- yl)acetyl]-6-azaspiro[2.5]octan-2- yl]methyl]-1,3-dihydropyrrolo[3,4- c]pyridine-2-carboxamide;
N-[[6-[2-(2-pyridyl)acetyl]-6- azaspiro[2.5]octan-2-yl]methyl]- 1,3-dihydropyrrolo[3,4- c]pyridine-2-carboxamide;
N-[[6-[2-(3-pyridyl)acetyl]-6- azaspiro[2.5]octan-2-yl]methyl]- 1,3-dihydropyrrolo[3,4- c]pyridine-2-carboxamide;
N-[[6-[2-(3-cyanophenyl)acetyl]- 6-azaspiro[2.5]octan-2- yl]methyl]-1,3-dihydropyrrolo[3,4- c]pyridine-2-carboxamide;
N-[[6-[4-(1,2,4-triazol-1- yl)benzoyl]-6-azaspiro[2.5]octan- 2-yl]methyl]furo[2,3-c]pyridine-2- carboxamide;
N-[[6-[2-(2-methylimidazol-1- yl)acetyl]-6-azaspiro[2.5]octan-2- yl]methyl]furo[2,3-c]pyridine-2- carboxamide;
N-[[6-(1,3,5-trimethylpyrazole-4- carbonyl)-6-azaspiro[2.5]octan- 2-yl]methyl]furo[2,3-c]pyridine-2- carboxamide;
N-[[6-(tert-butylcarbamoyl)-6- azaspiro[2.5]octan-2- yl]methyl]furo[2,3-c]pyridine-2- carboxamide;
N-[[6-(isopropylcarbamoyl)-6- azaspiro[2.5]octan-2- yl]methyl]furo[2,3-c]pyridine-2- carboxamide;
N-[[6- (cyclohexylmethylcarbamoyl)-6- azaspiro[2.5]octan-2- yl]methyl]furo[2,3-c]pyridine-2- carboxamide;
N-[[6-(propylcarbamoyl)-6- azaspiro[2.5]octan-2- yl]methyl]furo[2,3-c]pyridine-2- carboxamide;
N-[[6-(cyclohexylcarbamoyl)-6- azaspiro[2.5]octan-2- yl]methyl]furo[2,3-c]pyridine-2- carboxamide;
N-[[6-(phenylcarbamoyl)-6- azaspiro[2.5]octan-2- yl]methyl]furo[2,3-c]pyridine-2- carboxamide;
N-[[6-[2-(1-isopropyl-4- piperidyl)acetyl]-6- azaspiro[2.5]octan-2-yl]methyl]- 1,3-dihydropyrrolo[3,4- c]pyridine-2-carboxamide;
N-[[6-(3-methylbutanoyl)-6- azaspiro[2.5]octan-2-yl]methyl]- 1,3-dihydropyrrolo[3,4- c]pyridine-2-carboxamide;
N-[[6-[2-(4-pyridyl)acetyl]-6- azaspiro[2.5]octan-2-yl]methyl]- 1,3-dihydropyrrolo[3,4- c]pyridine-2-carboxamide;
N-[[6-(2-cyanoacetyl)-6- azaspiro[2.5]octan-2-yl]methyl]- 1,3-dihydropyrrolo[3,4- c]pyridine-2-carboxamide;
ethyl 2-[(1,3-dihydropyrrolo[3,4- c]pyridine-2- carbonylamino)methyl]-6- azaspiro[2.5]octane-6- carboxylate;
tert-butyl 2-[(1H-pyrrolo[3,2- c]pyridine-2- carbonylamino)methyl]-7- azaspiro[3.5]nonane-7- carboxylate;
tert-butyl 2-[(furo[2,3-c]pyridine- 2-carbonylamino)methyl]-7- azaspiro[3.5]nonane-7- carboxylate;
N-[[6-[2-(3-methyloxetan-3- yl)acetyl]-6-azaspiro[2.5]octan-2- yl]methyl]furo[2,3-c]pyridine-2- carboxamide;
N-[[6-(2-cyclohexylacetyl)-6- azaspiro[2.5]octan-2-yl]methyl]- 1,3-dihydropyrrolo[3,4- c]pyridine-2-carboxamide;
N-[[6-(3-cyclohexylpropanoyl)-6- azaspiro[2.5]octan-2-yl]methyl]- 1,3-dihydropyrrolo[3,4- c]pyridine-2-carboxamide;
N-[[6-(2-morpholinoacetyl)-6- azaspiro[2.5]octan-2-yl]methyl]- 1,3-dihydropyrrolo[3,4- c]pyridine-2-carboxamide;
N-[[6-(3-phenylpropanoyl)-6- azaspiro[2.5]octan-2-yl]methyl]- 1,3-dihydropyrrolo[3,4- c]pyridine-2-carboxamide;
tert-butyl 2-[(1,3- dihydropyrrolo[3,4-c]pyridine-2- carbonylamino)methyl]-7- azaspiro[3.5]nonane-7- carboxylate;
N-[[6-[2-(3,5- difluorophenyl)acetyl]-6- azaspiro[2.5]octan-2-yl]methyl]- 1,3-dihydropyrrolo[3,4- c]pyridine-2-carboxamide;
N-[[6-[2-[3- (trifluoromethyl)phenyl]acetyl]-6- azaspiro[2.5]octan-2-yl]methyl]- 1,3-dihydropyrrolo[3,4- c]pyridine-2-carboxamide;
N-[[6-(tert-butylcarbamoyl)-6- azaspiro[2.5]octan-2-yl]methyl]- 1H-pyrrolo[3,2-c]pyridine-2- carboxamide;
[2.2,2-trideuterio-1,1- bis(trideuteriomethyl)ethyl] 2- [(1,3-dihydropyrrolo[3,4- c]pyridine-2- carbonylamino)methyl]-6- azaspiro[2.5]octane-6- carboxylate;
(2-methoxy-1,1-dimethyl-2-oxo- ethyl) 2-[(furo[2,3-c]pyridine-2- carbonylamino)methyl]-6- azaspiro[2.5]octane-6- carboxylate;
N-[[6-[2-(3-cyanophenyl)acetyl]- 6-azaspiro[2.5]octan-2- yl]methyl]-1H-pyrrolo[3,2- c]pyridine-2-carboxamide;
N-[[6-[2-(4-cyanophenyl)acetyl]- 6-azaspiro[2.5]octan-2- yl]methyl]-1,3-dihydropyrrolo[3,4- c]pyridine-2-carboxamide;
N-[[6-(phenylcarbamoyl)-6- azaspiro[2.5]octan-2-yl]methyl]- 1,3-dihydropyrrolo[3,4- c]pyridine-2-carboxamide;
N-[[6-[3-(3-pyridyl)propanoyl]-6- azaspiro[2.5]octan-2-yl]methyl]- 1,3-dihydropyrrolo[3,4- c]pyridine-2-carboxamide;
N-[[6-(benzylcarbamoyl)-6- azaspiro[2.5]octan-2-yl]methyl]- 1,3-dihydropyrrolo[3,4- c]pyridine-2-carboxamide;
N-[(6-benzylsulfonyl-6- azaspiro[2.5]octan-2-yl)methyl]- 1,3-dihydropyrrolo[3,4- c]pyridine-2-carboxamide;
N-[[6-(tert-butylcarbamoyl)-6- azaspiro[2.5]octan-2-yl]methyl]- 1,3-dihydropyrrolo[3,4- c]pyridine-2-carboxamide;
N-[[6-(3,3-dimethylbutanoyl)-6- azaspiro[2.5]octan-2-yl]methyl]- 1H-pyrrolo[3,2-c]pyridine-2- carboxamide;
N-[[6-(3,3-dimethylbutanoyl)-6- azaspiro[2.5]octan-2-yl]methyl]- 1H-pyrrolo[3,2-c]pyridine-2- carboxamide;
(2-hydroxy-1,1-dimethyl-ethyl) 2- [(furo[2,3-c]pyridine-2- carbonylamino)methyl]-6- azaspiro[2.5]octane-6- carboxylate;
N-[[6-[2-(4-cyanophenyl)acetyl]- 6-azaspiro[2.5]octan-2- yl]methyl]-1H-pyrrolo[3,2- c]pyridine-2-carboxamide;
(2-methoxy-1,1-dimethyl-ethyl) 2-[(1,3-dihydropyrrolo[3,4- c]pyridine-2- carbonylamino)methyl]-6- azaspiro[2.5]octane-6- carboxylate;
N-[[6-(2-tetrahydropyran-4- ylacetyl)-6-azaspiro[2.5]octan-2- yl]methyl]-1,3-dihydropyrrolo[3,4- c]pyridine-2-carboxamide;
N-[[6-(1,3,5-trimethylpyrazole-4- carbonyl)-6-azaspiro[2.5]octan- 2-yl]methyl]-1,3- dihydropyrrolo[3,4-c]pyridine-2- carboxamide;
N-[[6-(1-methylpyrazole-4- carbonyl)-6-azaspiro[2.5]octan- 2-yl]methyl]-1,3- dihydropyrrolo[3,4-c]pyridine-2- carboxamide;
N-[[6-(1-isopropyl-3,5-dimethyl- pyrazole-4-carbonyl)-6- azaspiro[2.5]octan-2- yl]methyl]furo[2,3-c]pyridine-2- carboxamide;
N-[[6-[1-(4-fluorophenyl)-3.5- dimethyl-pyrazole-4-carbonyl]-6- azaspiro[2.5]octan-2- yl]methyl]furo[2,3-c]pyridine-2- carboxamide;
(1-methylcyclobutyl) 2-[(1,3- dihydropyrrolo[3,4-c]pyridine-2- carbonylamino)methyl]-6- azaspiro[2.5]octane-6- carboxylate;
N-[[6-(3-morpholinopropanoyl)-6- azaspiro[2.5]octan-2-yl]methyl]- 1,3-dihydropyrrolo[3,4- c]pyridine-2-carboxamide;
N-[[6-(2,2-difluoro-2-phenyl- acetyl)-6-azaspiro[2.5]octan-2- yl]methyl]-1,3-dihydropyrrolo[3,4- c]pyridine-2-carboxamide;
N-[[6-(3-methylpyridine-2- carbonyl)-6-azaspiro[2.5]octan- 2-yl]methyl]furo[2,3-c]pyridine-2- carboxamide;
N-[[6-(3-methylpyridine-4- carbonyl)-6-azaspiro[2.5]octan- 2-yl]methyl]furo[2,3-c]pyridine-2- carboxamide;
N-[[6-(6-methylpyridine-3- carbonyl)-6-azaspiro[2.5]octan- 2-yl]methyl]furo[2,3-c]pyridine-2- carboxamide;
N-[[6-(6-methylpyridine-2- carbonyl)-6-azaspiro[2.5]octan- 2-yl]methyl]furo[2,3-c]pyridine-2- carboxamide;
N-[[6-(4-methylpyridine-2- carbonyl)-6-azaspiro[2.5]octan- 2-yl]methyl]furo[2,3-c]pyridine-2- carboxamide;
N-[[6-(1H-benzimidazole-4- carbonyl)-6-azaspiro[2.5]octan- 2-yl]methyl]furo[2,3-c]pyridine-2- carboxamide;
N-[[6-(pyrrolo[1,2-c]pyrimidine-3- carbonyl)-6-azaspiro[2.5]octan- 2-yl]methyl]furo[2,3-c]pyridine-2- carboxamide;
N-[[6-(1H-benzotriazole-5- carbonyl)-6-azaspiro[2.5]octan- 2-yl]methyl]furo[2,3-c]pyridine-2- carboxamide;
N-[[6-(1H-pyrrolo[2,3-b]pyridine- 4-carbonyl)-6- azaspiro[2.5]octan-2- yl]methyl]furo[2,3-c]pyridine-2- carboxamide;
N-[[6-(1H-indazole-4-carbonyl)- 6-azaspiro[2.5]octan-2- yl]methyl]furo[2,3-c]pyridine-2- carboxamide;
N-[[6-(1H-benzimidazole-5- carbonyl)-6-azaspiro[2.5]octan- 2-yl]methyl]furo[2,3-c]pyridine-2- carboxamide;
N-[[6-(4-cyanobenzoyl)-6- azaspiro[2.5]octan-2- yl]methyl]furo[2,3-c]pyridine-2- carboxamide;
N-[[6-(3-cyanobenzoyl)-6- azaspiro[2.5]octan-2- yl]methyl]furo[2,3-c]pyridine-2- carboxamide;
N-[[6-[4-[(5-methyl-1,2,4- oxadiazol-3-yl)methoxy]benzoyl]- 6-azaspiro[2.5]octan-2- yl]methyl]furo[2,3-c]pyridine-2- carboxamide;
N-[[6-[4- (morpholinomethyl)benzoyl]-6- azaspiro[2.5]octan-2- yl]methyl]furo[2,3-c]pyridine-2- carboxamide;
N-[[6-[4-[(2-methylimidazol-1- yl)methyl]benzoyl]-6- azaspiro[2.5]octan-2- yl]methyl]furo[2,3-c]pyridine-2- carboxamide;
N-[[6-[4- (trifluoromethoxy)benzoyl]-6- azaspiro[2.5]octan-2- yl]methyl]furo[2,3-c]pyridine-2- carboxamide;
N-[[6-[4-(pyrrolidin-1- ylmethyl)benzoyl]-6- azaspiro[2.5]octan-2- yl]methyl]furo[2,3-c]pyridine-2- carboxamide;
N-[[6-[3-(1,2,4-triazol-1- ylmethyl)benzoyl]-6- azaspiro[2.5]octan-2- yl]methyl]furo[2,3-c]pyridine-2- carboxamide;
N-[[6-[2-(1,2,4-triazol-1- ylmethyl)benzoyl]-6- azaspiro[2.5]octan-2- yl]methyl]furo[2,3-c]pyridine-2- carboxamide;
N-[[6-[4-(1,2,4-triazol-1- ylmethyl)benzoyl]-6- azaspiro[2.5]octan-2- yl]methyl]furo[2,3-c]pyridine-2- carboxamide;
N-[[6-[3-(imidazol-1- ylmethyl)benzoyl]-6- azaspiro[2.5]octan-2- yl]methyl]furo[2,3-c]pyridine-2- carboxamide;
N-[[6-(4-imidazol-1-ylbenzoyl)-6- azaspiro[2.5]octan-2- yl]methyl]furo[2,3-c]pyridine-2- carboxamide;
N-[[6-[4-(1H-1,2,4-triazol-5- yl)benzoyl]-6-azaspiro[2.5]octan- 2-yl]methyl]furo[2,3-c]pyridine-2- carboxamide;
N-[[6-(6-imidazol-1-ylpyridine-3- carbonyl)-6-azaspiro[2.5]octan- 2-yl]methyl]furo[2,3-c]pyridine-2- carboxamide;
N-[[6-[4-(trifluoromethyl)pyridine- 2-carbonyl]-6- azaspiro[2.5]octan-2- yl]methyl]furo[2,3-c]pyridine-2- carboxamide;
N-[[6-[6-(trifluoromethyl)pyridine- 3-carbonyl]-6- azaspiro[2.5]octan-2- yl]methyl]furo[2,3-c]pyridine-2- carboxamide;
N-[[6-(3-oxo-4H-1,4- benzoxazine-6-carbonyl)-6- azaspiro[2.5]octan-2- yl]methyl]furo[2,3-c]pyridine-2- carboxamide;
N-[[6-(4-sulfamoylbenzoyl)-6- azaspiro[2.5]octan-2- yl]methyl]furo[2,3-c]pyridine-2- carboxamide;
N-[[6-[2-(imidazol-1- ylmethyl)benzoyl]-6- azaspiro[2.5]octan-2- yl]methyl]furo[2,3-c]pyridine-2- carboxamide;
N-[[6-(quinoxaline-6-carbonyl)-6- azaspiro[2.5]octan-2- yl]methyl]furo[2,3-c]pyridine-2- carboxamide;
N-[[6-(1,6-naphthyridine-2- carbonyl)-6-azaspiro[2.5]octan- 2-yl]methyl]furo[2,3-c]pyridine-2- carboxamide;
N-[[6-(2-methyl-1H- benzimidazole-5-carbonyl)-6- azaspiro[2.5]octan-2- yl]methyl]furo[2,3-c]pyridine-2- carboxamide;
N-[[6-(3-acetamidobenzoyl)-6- azaspiro[2.5]octan-2- yl]methyl]furo[2,3-c]pyridine-2- carboxamide;
N-[[6-(3-acetamidopyridine-4- carbonyl)-6-azaspiro[2.5]octan- 2-yl]methyl]furo[2,3-c]pyridine-2- carboxamide;
N-[[6-(2,1,3-benzoxadiazole-5- carbonyl)-6-azaspiro[2.5]octan- 2-yl]methyl]furo[2,3-c]pyridine-2- carboxamide;
N-[[6-(1,8-naphthyridine-4- carbonyl)-6-azaspiro[2.5]octan- 2-yl]methyl]furo[2,3-c]pyridine-2- carboxamide;
N-[[6-(isoquinoline-5-carbonyl)- 6-azaspiro[2.5]octan-2- yl]methyl]furo[2,3-c]pyridine-2- carboxamide;
N-[[6-(quinoxaline-2-carbonyl)-6- azaspiro[2.5]octan-2- yl]methyl]furo[2,3-c]pyridine-2- carboxamide;
N-[[6-(1,5-naphthyridine-2- carbonyl)-6-azaspiro[2.5]octan- 2-yl]methyl]furo[2,3-c]pyridine-2- carboxamide;
N-[[6-(1,8-naphthyridine-2- carbonyl)-6-azaspiro[2.5]octan- 2-yl]methyl]furo[2,3-c]pyridine-2- carboxamide;
N-[[6-(isoxazole-5-carbonyl)-6- azaspiro[2.5]octan-2- yl]methyl]furo[2,3-c]pyridine-2- carboxamide;
N-[[6-(3-methylbutanoyl)-6- azaspiro[2.5]octan-2- yl]methyl]furo[2,3-c]pyridine-2- carboxamide;
tert-butyl 2-[(4,6-dihydro-1H- pyrrolo[3,4-c]pyrazole-5- carbonylamino)methyl]-6- azaspiro[2.5]octane-6- carboxylate;
N-[[6-[2-(1,4-dimethyl-4- piperidyl)acetyl]-6- azaspiro[2.5]octan-2- yl]methyl]furo[2,3-c]pyridine-2- carboxamide;
N-[[6-[2-(3-hydroxy-3-methyl- cyclobutyl)acetyl]-6- azaspiro[2.5]octan-2-yl]methyl]- 1,3-dihydropyrrolo[3,4- c]pyridine-2-carboxamide;
N-[[6-[2-(3-pyridyl)acetyl]-6- azaspiro[2.5]octan-2-yl]methyl]- 1H-pyrrolo[3,2-c]pyridine-2- carboxamide;
N-[[6-[2-(4-pyridyl)acetyl]-6- azaspiro[2.5]octan-2-yl]methyl]- 1H-pyrrolo[3,2-c]pyridine-2- carboxamide;
N-[[6-(1,3-dimethylpyrazole-4- carbonyl)-6-azaspiro[2.5]octan- 2-yl]methyl]-1,3- dihydropyrrolo[3,4-c]pyridine-2- carboxamide;
N-[[6-[4-(2-methyltetrazol-5- yl)benzoyl]-6-azaspiro[2.5]octan- 2-yl]methyl]furo[2,3-c]pyridine-2- carboxamide;
N-[[6-(4,6-dimethylpyridine-3- carbonyl)-6-azaspiro[2.5]octan- 2-yl]methyl]furo[2,3-c]pyridine-2- carboxamide;
N-[[6-(4-oxopentanoyl)-6- azaspiro[2.5]octan-2- yl]methyl]furo[2,3-c]pyridine-2 carboxamide;
N-[[6-(4-hydroxy-4-methyl- pentanoyl)-6-azaspiro[2.5]octan- 2-yl]methyl]furo[2,3-c]pyridine-2- carboxamide;
N-[[6-(3-hydroxy-3-methyl- butanoyl)-6-azaspiro[2.5]octan- 2-yl]methyl]furo[2,3-c]pyridine-2- carboxamide;
N-[[6-[2-(2-pyridyl)acetyl]-6- azaspiro[2.5]octan-2-yl]methyl]- 1H-pyrrolo[3,2-c]pyridine-2- carboxamide;
N-[[6-(2-pyrimidin-2-ylacetyl)-6- azaspiro[2.5]octan-2-yl]methyl]- 1,3-dihydropyrrolo[3,4- c]pyridine-2-carboxamide;
N-[[6-(2-pyrazin-2-ylacetyl)-6- azaspiro[2.5]octan-2-yl]methyl]- 1,3-dihydropyrrolo[3,4- c]pyridine-2-carboxamide;
N-[[6-(3-thiazol-2-ylpropanoyl)-6- azaspiro[2.5]octan-2-yl]methyl]- 1,3-dihydropyrrolo[3,4- c]pyridine-2-carboxamide;
N-[[6-(2-phenoxyacetyl)-6- azaspiro[2.5]octan-2-yl]methyl]- 1,3-dihydropyrrolo[3,4- c]pyridine-2-carboxamide;
N-[[6-(3-tetrahydropyran-4- ylpropanoyl)-6- azaspiro[2.5]octan-2-yl]methyl]- 1,3-dihydropyrrolo[3,4- c]pyridine-2-carboxamide;
N-[[6-(4-methylpyridine-3- carbonyl)-6-azaspiro[2.5]octan- 2-yl]methyl]-1H-pyrrolo[3,2- c]pyridine-2-carboxamide;
N-[[6-(3,5-dimethyl-1H-pyrazole- 4-carbonyl)-6- azaspiro[2.5]octan-2-yl]methyl]- 1,3-dihydropyrrolo[3,4- c]pyridine-2-carboxamide;
N-[[6-(1,3,5-trimethylpyrazole-4- carbonyl)-6-azaspiro[2.5]octan- 2-yl]methyl]-1H-pyrrolo[3,2- c]pyridine-2-carboxamide;
N-[[6-(1-tert-butyl-3,5-dimethyl- pyrazole-4-carbonyl)-6- azaspiro[2.5]octan-2- yl]methyl]furo[2,3-c]pyridine-2- carboxamide;
N-[[6-(1-benzyl-3,5-dimethyl- pyrazole-4-carbonyl)-6- azaspiro[2.5]octan-2- yl]methyl]furo[2,3-c]pyridine-2- carboxamide;
N-[[6-(5-tert-butyl-2-methyl- pyrazole-3-carbonyl)-6- azaspiro[2.5]octan-2- yl]methyl]furo[2,3-c]pyridine-2- carboxamide;
N-[[6-(2-ethylpyrazole-3- carbonyl)-6-azaspiro[2.5]octan- 2-yl]methyl]furo[2,3-c]pyridine-2- carboxamide;
N-[[6-(2-tert-butyl-4-methyl- pyrazole-3-carbonyl)-6- azaspiro[2.5]octan-2- yl]methyl]furo[2,3-c]pyridine-2- carboxamide;
N-[[6-(2,4-dimethylpyrazole-3- carbonyl)-6-azaspiro[2.5]octan- 2-yl]methyl]furo[2,3-c]pyridine-2- carboxamide;
N-[[6-(1,3,5-trimethylpyrazole-4- carbonyl)-6-azaspiro[2.5]octan- 2-yl]methyl]furo[2,3-c]pyridine-2- carboxamide;
N-[[6-(1,3,5-trimethylpyrazole-4- carbonyl)-6-azaspiro[2.5]octan- 2-yl]methyl]furo[2,3-c]pyridine-2- carboxamide;
N-[[6-(1H-indazole-3-carbonyl)- 6-azaspiro[2.5]octan-2- yl]methyl]furo[2,3-c]pyridine-2- carboxamide;
N-[[6-[1-(1-isopropylpyrrolidin-3- yl)pyrazole-4-carbonyl]-6- azaspiro[2.5]octan-2- yl]methyl]furo[2,3-c]pyridine-2- carboxamide;
N-[[6-[1-(1-acetylpyrrolidin-3- yl)pyrazole-4-carbonyl]-6- azaspiro[2.5]octan-2- yl]methyl]furo[2,3-c]pyridine-2- carboxamide;
N-[[6-[5-(1,3-dimethylpyrazol-4- yl)isoxazole-3-carbonyl]-6- azaspiro[2.5]octan-2- yl]methyl]furo[2,3-c]pyridine-2- carboxamide;
tert-butyl 3-[2-[(furo[2,3- c]pyridine-2- carbonylamino)methyl]-6- azaspiro[2.5]octane-6-carbonyl]- 4,6-dihydro-1H-pyrrolo[3,4- c]pyrazole-5-carboxylate;
N-[[6-[1-(1-methylpyrrolidin-3- yl)pyrazole-4-carbonyl]-6- azaspiro[2.5]octan-2- yl]methyl]furo[2,3-c]pyridine-2- carboxamide;
N-[[6-(2-tert-butyl-5-methyl- pyrazole-3-carbonyl)-6- azaspiro[2.5]octan-2- yl]methyl]furo[2,3-c]pyridine-2- carboxamide;
N-[[6-(2-methylimidazo[1,2- a]pyridine-3-carbonyl)-6- azaspiro[2.5]octan-2- yl]methyl]furo[2,3-c]pyridine-2- carboxamide;
N-[[6-(6-methyl-1H- benzimidazole-2-carbonyl)-6- azaspiro[2.5]octan-2- yl]methyl]furo[2,3-c]pyridine-2- carboxamide;
N-[[6-(5-methylimidazo[1,2- a]pyridine-2-carbonyl)-6- azaspiro[2.5]octan-2- yl]methyl]furo[2,3-c]pyridine-2- carboxamide;
N-[[6-(6-fluoro-1H-indazole-3- carbonyl)-6-azaspiro[2.5]octan- 2-yl]methyl]furo[2,3-c]pyridine-2- carboxamide;
N-[[6-(pyrazolo[1,5-a]pyrimidine- 2-carbonyl)-6- azaspiro[2.5]octan-2- yl]methyl]furo[2,3-c]pyridine-2- carboxamide;
N-[[6-(1-ethyl-3,5-dimethyl- pyrazole-4-carbonyl)-6- azaspiro[2.5]octan-2- yl]methyl]furo[2,3-c]pyridine-2- carboxamide;
N-[[6-(6-methylimidazo[1,2- a]pyridine-2-carbonyl)-6- azaspiro[2.5]octan-2- yl]methyl]furo[2,3-c]pyridine-2- carboxamide;
N-[[6-(imidazo[1,2-a]pyridine-2- carbonyl)-6-azaspiro[2.5]octan- 2-yl]methyl]furo[2,3-c]pyridine-2- carboxamide;
N-[[6-(5-isopropylisoxazole-4- carbonyl)-6-azaspiro[2.5]octan- 2-yl]methyl]furo[2,3-c]pyridine-2- carboxamide;
N-[[6-(3-isobutyl-1H-pyrazole-5- carbonyl)-6-azaspiro[2.5]octan- 2-yl]methyl]furo[2,3-c]pyridine-2- carboxamide;
N-[[6-(imidazo[1,2-a]pyrimidine- 2-carbonyl)-6- azaspiro[2.5]octan-2- yl]methyl]furo[2,3-c]pyridine-2- carboxamide;
N-[[6-(pyrazolo[1,5-a]pyrimidine- 3-carbonyl)-6- azaspiro[2.5]octan-2- yl]methyl]furo[2,3-c]pyridine-2- carboxamide;
N-[[6-(3-tert-butyl-1H-pyrazole-5- carbonyl)-6-azaspiro[2.5]octan- 2-yl]methyl]furo[2,3-c]pyridine-2- carboxamide;
N-[[6-(5-isopropyl-1H-pyrazole- 3-carbonyl)-6- azaspiro[2.5]octan-2- yl]methyl]furo[2,3-c]pyridine-2- carboxamide;
N-[[6-(3-isopropyl-1H-pyrazole- 4-carbonyl)-6- azaspiro[2.5]octan-2- yl]methyl]furo[2,3-c]pyridine-2- carboxamide;
N-[[6-(2-isopropylpyrazole-3- carbonyl)-6-azaspiro[2.5]octan- 2-yl]methyl]furo[2,3-c]pyridine-2- carboxamide;
N-[[6-(5-ethyl-2-methyl-pyrazole- 3-carbonyl)-6- azaspiro[2.5]octan-2- yl]methyl]furo[2,3-c]pyridine-2- carboxamide;
N-[[6-(5-cyclopropylisoxazole-3- carbonyl)-6-azaspiro[2.5]octan- 2-yl]methyl]furo[2,3-c]pyridine-2- carboxamide;
N-[[6-(5-cyclopropylisoxazole-4- carbonyl)-6-azaspiro[2.5]octan- 2-yl]methyl]furo[2,3-c]pyridine-2- carboxamide;
N-[[6-(3,5-dimethyl-1H-pyrazole- 4-carbonyl)-6- azaspiro[2.5]octan-2- yl]methyl]furo[2,3-c]pyridine-2- carboxamide;
N-[[6-(1,5-dimethylpyrazole-4- carbonyl)-6-azaspiro[2.5]octan- 2-yl]methyl]furo[2,3-c]pyridine-2- carboxamide;
N-[[6-(4-methyloxazole-5- carbonyl)-6-azaspiro[2.5]octan- 2-yl]methyl]furo[2,3-c]pyridine-2- carboxamide;
N-[[6-(3-cyclopropyl-1H- pyrazole-4-carbonyl)-6- azaspiro[2.5]octan-2- yl]methyl]furo[2,3-c]pyridine-2- carboxamide;
N-[[6-(1,4,5,6- tetrahydrocyclopenta[c]pyrazole- 3-carbonyl)-6- azaspiro[2.5]octan-2- yl]methyl]furo[2,3-c]pyridine-2- carboxamide;
N-[[6-(2,5-dimethyloxazole-4- carbonyl)-6-azaspiro[2.5]octan- 2-yl]methyl]furo[2,3-c]pyridine-2- carboxamide;
N-[[6-(1,3-dimethylpyrazole-4- carbonyl)-6-azaspiro[2.5]octan- 2-yl]methyl]furo[2,3-c]pyridine-2- carboxamide;
N-[[6-(oxazole-5-carbonyl)-6- azaspiro[2.5]octan-2- yl]methyl]furo[2,3-c]pyridine-2- carboxamide;
N-[[6-(isoxazole-4-carbonyl)-6- azaspiro[2.5]octan-2- yl]methyl]furo[2,3-c]pyridine-2- carboxamide;
N-[[6-(1H-imidazole-2-carbonyl)- 6-azaspiro[2.5]octan-2- yl]methyl]furo[2,3-c]pyridine-2- carboxamide;
N-[[6-[4-(4-methylpiperazin-1- yl)benzoyl]-6-azaspiro[2.5]octan- 2-yl]methyl]furo[2,3-c]pyridine-2- carboxamide;
N-[[6-(3H-imidazo[4,5-b]pyridine- 6-carbonyl)-6- azaspiro[2.5]octan-2- yl]methyl]furo[2,3-c]pyridine-2- carboxamide;
N-[[6-(5-methylpyridine-2- carbonyl)-6-azaspiro[2.5]octan- 2-yl]methyl]furo[2,3-c]pyridine-2- carboxamide;
N-[[6-[4-[(4-methylpiperazin-1- yl)methyl]benzoyl]-6- azaspiro[2.5]octan-2-yl]methyl]- 1H-pyrrolo[3,2-c]pyridine-2- carboxamide;
N-[[6-[3-[(4-methylpiperazin-1- yl)methyl]benzoyl]-6- azaspiro[2.5]octan-2-yl]methyl]- 1H-pyrrolo[3,2-c]pyridine-2- carboxamide;
N-[[6-[4- [(dimethylamino)methyl]benzoyl]- 6-azaspiro[2.5]octan-2- yl]methyl]-1H-pyrrolo[3,2- c]pyridine-2-carboxamide;
N-[[6-[4-[(4-methylpiperazin-1- yl)methyl]benzoyl]-6- azaspiro[2.5]octan-2-yl]methyl]- 1,3-dihydropyrrolo[3,4- c]pyridine-2-carboxamide;
N-[[6-(1,5-dimethylpyrazole-4- carbonyl)-6-azaspiro[2.5]octan- 2-yl]methyl]-1,3- dihydropyrrolo[3,4-c]pyridine-2- carboxamide;
N-[[6-(2,2- dimethylcyclopropanecarbonyl)- 6-azaspiro[2.5]octan-2- yl]methyl]-1H-pyrrolo[3,2- c]pyridine-2-carboxamide;
(3-methyloxetan-3-yl) 2-[(1,3- dihydropyrrolo[3,4-c]pyridine-2- carbonylamino)methyl]-6- azaspiro[2.5]octane-6- carboxylate;
(2-hydroxy-1,1-dimethyl-ethyl) 2- [(1,3-dihydropyrrolo[3,4- c]pyridine-2- carbonylamino)methyl]-6- azaspiro[2.5]octane-6- carboxylate;
N-[[6-(4-methylpyridine-3- carbonyl)-6-azaspiro[2.5]octan- 2-yl]methyl]-1,3- dihydropyrrolo[3,4-c]pyridine-2- carboxamide;
N-[[6-(3-cyclopropyl-1H- pyrazole-5-carbonyl)-6- azaspiro[2.5]octan-2-yl]methyl]- 1,3-dihydropyrrolo[3,4- c]pyridine-2-carboxamide;
N-[[6-(4-isoxazol-5-yl-1-methyl- pyrazole-3-carbonyl)-6- azaspiro[2.5]octan-2-yl]methyl]- 1,3-dihydropyrrolo[3,4- c]pyridine-2-carboxamide;
N-[[6-(2,4-dimethyloxazole-5- carbonyl)-6-azaspiro[2.5]octan- 2-yl]methyl]-1,3- dihydropyrrolo[3,4-c]pyridine-2- carboxamide;
N-[[6-[2-(1,4-dimethyl-4- piperidyl)acetyl]-6- azaspiro[2.5]octan-2-yl]methyl]- 1,3-dihydropyrrolo[3,4- c]pyridine-2-carboxamide;
N-[[6-[2-(2-cyanophenyl)acetyl]- 6-azaspiro[2.5]octan-2- yl]methyl]-1,3-dihydropyrrolo[3,4- c]pyridine-2-carboxamide;
(2-acetamido-1,1-dimethyl-ethyl) 2-[(1,3-dihydropyrrolo[3,4- c]pyridine-2- carbonylamino)methyl]-6- azaspiro[2.5]octane-6- carboxylate;
N-[[6-(2-thiazol-2-ylacetyl)-6- azaspiro[2.5]octan-2-yl]methyl]- 1,3-dihydropyrrolo[3,4- c]pyridine-2-carboxamide;
N-[[6-(4-hydroxy-4-methyl- pentanoyl)-6-azaspiro[2.5]octan- 2-yl]methyl]-1,3- dihydropyrrolo[3,4-c]pyridine-2- carboxamide;
N-[[6-[(3-methyloxetan-3- yl)carbamoyl]-6- azaspiro[2.5]octan-2-yl]methyl]- 1,3-dihydropyrrolo[3,4- c]pyridine-2-carboxamide;
N-[[6-[4-(4-methylpiperazin-1- yl)benzoyl]-6-azaspiro[2.5]octan- 2-yl]methyl]-1,3- dihydropyrrolo[3,4-c]pyridine-2- carboxamide;
N-[[6-[4-(4-methylpiperazin-1- yl)benzoyl]-6-azaspiro[2.5]octan- 2-yl]methyl]-1H-pyrrolo[3,2- c]pyridine-2-carboxamide;
N-[[6-(2,2- dimethylcyclopropanecarbonyl)- 6-azaspiro[2.5]octan-2- yl]methyl]-1H-pyrrolo[3,2- c]pyridine-2-carboxamide;
N-[[6-(1,3,5-trimethylpyrazole-4- carbonyl)-6-azaspiro[2.5]octan- 2-yl]methyl]-1,3- dihydropyrrolo[3,4-c]pyridine-2- carboxamide;
N-[[6-(1,3,5-trimethylpyrazole-4- carbonyl)-6-azaspiro[2.5]octan- 2-yl]methyl]-1,3- dihydropyrrolo[3,4-c]pyridine-2- carboxamide;
tert-butyl 2-[[(1,1,3,3- tetradeuteriopyrrolo[3,4- c]pyridine-2- carbonyl)amino]methyl]-6- azaspiro[2.5]octane-6- carboxylate;
N-[[6-(3-cyclopropyl-1H- pyrazole-5-carbonyl)-6- azaspiro[2.5]octan-2-yl]methyl]- 1H-pyrrolo[3,2-c]pyridine-2- carboxamide;
N-[[6-(4-isoxazol-5-yl-1-methyl- pyrazole-3-carbonyl)-6- azaspiro[2.5]octan-2-yl]methyl]- 1H-pyrrolo[3,2-c]pyridine-2- carboxamide;
N-[[6-(2,4-dimethyloxazole-5- carbonyl)-6-azaspiro[2.5]octan- 2-yl]methyl]-1H-pyrrolo[3,2- c]pyridine-2-carboxamide;
N-[[6-(2,2- dimethylcyclopropanecarbonyl)- 6-azaspiro[2.5]octan-2- yl]methyl]furo[2,3-c]pyridine-2- carboxamide;
N-[[6-[4-(4-methylpiperazine-1- carbonyl)benzoyl]-6- azaspiro[2.5]octan-2-yl]methyl]- 1,3-dihydropyrrolo[3,4- c]pyridine-2-carboxamide;
N-[[6-(2,2- dimethylcyclopropanecarbonyl)- 6-azaspiro[2.5]octan-2- yl]methyl]furo[2,3-c]pyridine-2- carboxamide;
(3-methyltetrahydrofuran-3-yl) 2- [(1,3-dihydropyrrolo[3,4- c]pyridine-2- carbonylamino)methyl]-6- azaspiro[2.5]octane-6- carboxylate;
(2-hydroxy-2-methyl-propyl) 2- [(1,3-dihydropyrrolo[3,4- c]pyridine-2- carbonylamino)methyl]-6- azaspiro[2.5]octane-6- carboxylate;
N-[[6-(2,2- dimethylcyclopropanecarbonyl)- 6-azaspiro[2.5]octan-2- yl]methyl]-1,3-dihydropyrrolo[3,4- c]pyridine-2-carboxamide;
N-[[6-(2,2- dimethylpropylsulfonyl)-6- azaspiro[2.5]octan-2- yl]methyl]furo[2,3-c]pyridine-2- carboxamide;
N-[[6-(2,2- dimethylpropylsulfonyl)-6- azaspiro[2.5]octan-2-yl]methyl]- 1H-pyrrolo[3,2-c]pyridine-2- carboxamide;
N-[[6-(2,2- dimethylpropylsulfonyl)-6- azaspiro[2.5]octan-2-yl]methyl]- 1,3-dihydropyrrolo[3,4- c]pyridine-2-carboxamide;
N-[[6-(4,4,4-trifluorobutanoyl)-6- azaspiro[2.5]octan-2-yl]methyl]- 1,3-dihydropyrrolo[3,4- c]pyridine-2-carboxamide;
tert-butyl 2-[(pyrazolo[1,5- b]pyridazine-5- carbonylamino)methyl]-6- azaspiro[2.5]octane-6- carboxylate;
N-[[6-(2,4-dimethyloxazole-5- carbonyl)-6-azaspiro[2.5]octan- 2-yl]methyl]furo[2,3-c]pyridine-2- carboxamide;
N-[[6-(2,4-dimethyloxazole-5- carbonyl)-6-azaspiro[2.5]octan- 2-yl]methyl]furo[2,3-c]pyridine-2- carboxamide;
N-[[6-[2-(2-hydroxy-2-methyl- propoxy)acetyl]-6- azaspiro[2.5]octan-2-yl]methyl]- 1H-pyrrolo[3,2-c]pyridine-2- carboxamide;
N-[[6-[2-methyl-4- (trifluoromethyl)thiazole-5- carbonyl]-6-azaspiro[2.5]octan- 2-yl]methyl]-1,3- dihydropyrrolo[3,4-c]pyridine-2- carboxamide;
N-[[6-(2,2- dimethylcyclopropanecarbonyl)- 6-azaspiro[2.5]octan-2- yl]methyl]-1,3-dihydropyrrolo[3,4- c]pyridine-2-carboxamide;
tert-butyl 2-[(imidazo[1,2- a]pyridin-6- ylmethylcarbamoylamino)methyl]- 6-azaspiro[2.5]octane-6- carboxylate;
N-[[6-[2-(2-hydroxy-2-methyl- propoxy)acetyl]-6- azaspiro[2.5]octan-2-yl]methyl]- 1,3-dihydropyrrolo[3,4- c]pyridine-2-carboxamide;
N-[[6-[2-(6-amino-3- pyridyl)acetyl]-6- azaspiro[2.5]octan-2-yl]methyl]- 1,3-dihydropyrrolo[3,4- c]pyridine-2-carboxamide;
N-[[6-(morpholine-4-carbonyl)-6- azaspiro[2.5]octan-2-yl]methyl]- 1,3-dihydropyrrolo[3,4- c]pyridine-2-carboxamide;
N-[[6-[5-(trifluoromethyl)-1H- pyrazole-3-carbonyl]-6- azaspiro[2.5]octan-2-yl]methyl]- 1,3-dihydropyrrolo[3,4- c]pyridine-2-carboxamide;
N-[[6-(4-hydroxy-4-methyl- pentanoyl)-6-azaspiro[2.5]octan- 2-yl]methyl]-1H-pyrrolo[3,2- c]pyridine-2-carboxamide;
N-[[6-[4-(trifluoromethyl)pyridine- 3-carbonyl]-6- azaspiro[2.5]octan-2-yl]methyl]- 1,3-dihydropyrrolo[3,4- c]pyridine-2-carboxamide;
N-[[6-[2-(4- methyltetrahydropyran-4- yl)acetyl]-6-azaspiro[2.5]octan-2- yl]methyl]-1,3-dihydropyrrolo[3,4- c]pyridine-2-carboxamide;
N-[[6-[2-(3-hydroxy-3-methyl- cyclobutyl)acetyl]-6- azaspiro[2.5]octan-2-yl]methyl]- 1H-pyrrolo[3,2-c]pyridine-2- carboxamide;
(2-hydroxy-2-methyl-propyl) 2- [(1H-pyrrolo[3,2-c]pyridine-2- carbonylamino)methyl]-6- azaspiro[2.5]octane-6- carboxylate;
tert-butyl 2-[(imidazo[1,2- b]pyridazine-6- carbonylamino)methyl]-6- azaspiro[2.5]octane-6- carboxylate;
N-[[6-[2-[4-methyl-1-(2,2,2- trifluoroethyl)-4-piperidyl]acetyl]- 6-azaspiro[2.5]octan-2- yl]methyl]-1,3-dihydropyrrolo[3,4- c]pyridine-2-carboxamide;
N-[[6-(2,4-dimethylthiazole-5- carbonyl)-6-azaspiro[2.5]octan- 2-yl]methyl]-1,3- dihydropyrrolo[3,4-c]pyridine-2- carboxamide;
N-[[6-[4-(1-methyl-4- piperidyl)benzoyl]-6- azaspiro[2.5]octan-2-yl]methyl]- 1,3-dihydropyrrolo[3,4- c]pyridine-2-carboxamide;
tert-butyl 2-[[(6-amino-1,3- dihydropyrrolo[3,4-c]pyridine-2- carbonyl)amino]methyl]-6- azaspiro[2.5]octane-6- carboxylate;
N-[[6-(2-pyrimidin-5-ylacetyl)-6- azaspiro[2.5]octan-2-yl]methyl]- 1,3-dihydropyrrolo[3,4- c]pyridine-2-carboxamide;
1,1,3,3-tetradeuterio-N-[[6-(3- methylbutanoyl)-6- azaspiro[2.5]octan-2- yl]methyl]pyrrolo[3,4-c]pyridine- 2-carboxamide;
(3-methyloxetan-3-yl) 2- [[(1,1,3,3- tetradeuteriopyrrolo[3,4- c]pyridine-2- carbonyl)amino]methyl]-6- azaspiro[2.5]octane-6- carboxylate;
1,1,3,3-tetradeuterio-N-[[6-(2,4- dimethyloxazole-5-carbonyl)-6- azaspiro[2.5]octan-2- yl]methyl]pyrrolo[3,4-c]pyridine- 2-carboxamide;
N-[(6-benzoyl-6- azaspiro[2.5]octan-2- yl)methyl]furo[2,3-c]pyridine-2- carboxamide;
N-[[(2S)-6-(3-methylbutanoyl)-6- azaspiro[2.5]octan-2-yl]methyl]- 1,3-dihydropyrrolo[3,4- c]pyridine-2-carboxamide;
N-[[(2R)-6-(3-methylbutanoyl)-6- azaspiro[2.5]octan-2-yl]methyl]- 1,3-dihydropyrrolo[3,4- c]pyridine-2-carboxamide;
N-[[6-(4-methyloxazole-5- carbonyl)-6-azaspiro[2.5]octan- 2-yl]methyl]-1,3- dihydropyrrolo[3,4-c]pyridine-2- carboxamide;
isopropyl 2-[(furo[2,3-c]pyridine- 2-carbonylamino)methyl]-6- azaspiro[2.5]octane-6- carboxylate;
(3-methyloxetan-3-yl) 2- [(furo[2,3-c]pyridine-2- carbonylamino)methyl]-6- azaspiro[2.5]octane-6- carboxylate;
N-[(6-benzoyl-6- azaspiro[2.5]octan-2-yl)methyl]- 1,3-dihydropyrrolo[3,4- c]pyridine-2-carboxamide; and
(3-methyloxetan-3-yl) (2S)-2- [(1,3-dihydropyrrolo[3,4- c]pyridine-2- carbonylamino)methyl]-6- azaspiro[2.5]octane-6- carboxylate;
and stereoisomers thereof, and pharmaceutically acceptable salts of such compounds and stereoisomers.
15. A compound selected from the group consisting of: 1,1,3,3-tetradeuterio-N-[[6-(2,4-dimethyloxazole-5-carbonyl)-6-azaspiro[2.5]octan-2-yl]methyl]pyrrolo[3,4-c]pyridine-2-carboxamide, (3-methyloxetan-3-yl) 2-[[(1,1,3,3-tetradeuteriopyrrolo[3,4-c]pyridine-2-carbonyl)amino]methyl]-6-azaspiro[2.5]octane-6-carboxylate; 1,1,3,3-tetradeuterio-N-[[6-(3-methylbutanoyl)-6-azaspiro[2.5]octan-2-yl]methyl]pyrrolo[3,4-c]pyridine-2-carboxamide, N-[[6-[3-[(4-methylpiperazin-1-yl)methyl]benzoyl]-6-azaspiro[2.5]octan-2-yl]methyl]-1H-pyrrolo[3,2-c]pyridine-2-carboxamide, N-[[6-(isoxazole-4-carbonyl)-6-azaspiro[2.5]octan-2-yl]methyl]furo[2,3-c]pyridine-2-carboxamide, N-[[6-(imidazo[1,2-a]pyridine-2-carbonyl)-6-azaspiro[2.5]octan-2-yl]methyl]furo[2,3-c]pyridine-2-carboxamide,N-[[6-(1,8-naphthyridine-4-carbonyl)-6-azaspiro[2.5]octan-2-yl]methyl]furo[2,3-c]pyridine-2-carboxamide, N-[[6-[4-(2-methyltetrazol-5-yl)benzoyl]-6-azaspiro[2.5]octan-2-yl]methyl]furo[2,3-c]pyridine-2-carboxamide, N-[[6-[4-(2-methyltetrazol-5-yl)benzoyl]-6-azaspiro[2.5]octan-2-yl]methyl]furo[2,3-c]pyridine-2-carboxamide, N-[[6-[4-(2-methyltetrazol-5-yl)benzoyl]-6-azaspiro[2.5]octan-2-yl]methyl]furo[2,3-c]pyridine-2-carboxamide, (3-methyloxetan-3-yl) (2S)-2-[(1,3-dihydropyrrolo[3,4-c]pyridine-2-carbonylamino)methyl]-6-azaspiro[2.5]octane-6-carboxylate, N-[[6-[4-(2-methyltetrazol-5-yl)benzoyl]-6-azaspiro[2.5]octan-2-yl]methyl]furo[2,3-c]pyridine-2-carboxamide, N-[[6-(2,4-dimethyloxazole-5-carbonyl)-6-azaspiro[2.5]octan-2-yl]methyl]-1,3-dihydropyrrolo[3,4-c]pyridine-2-carboxamide, N-[[6-[4-[(4-methylpiperazin-1-yl)methyl]benzoyl]-6-azaspiro[2.5]octan-2-yl]methyl]-1H-pyrrolo[3,2-c]pyridine-2-carboxamide, N-[[6-(3-cyclopropyl-1H-pyrazole-5-carbonyl)-6-azaspiro[2.5]octan-2-yl]methyl]-1,3-dihydropyrrolo[3,4-c]pyridine-2-carboxamide, N-[[6-(3-methylbutanoyl)-6-azaspiro[2.5]octan-2-yl]methyl]-1,3-dihydropyrrolo[3,4-c]pyridine-2-carboxamide, N-[[(2S)-6-(3-methylbutanoyl)-6-azaspiro[2.5]octan-2-yl]methyl]-1,3-dihydropyrrolo[3,4-c]pyridine-2-carboxamide, N-[[6-(2-isopropylpyrazole-3-carbonyl)-6-azaspiro[2.5]octan-2-yl]methyl]furo[2,3-c]pyridine-2-carboxamide, N-[[6-(pyrrolo[1,2-c]pyrimidine-3-carbonyl)-6-azaspiro[2.5]octan-2-yl]methyl]furo[2,3-c]pyridine-2-carboxamide, N-[[(2S)-6-(3-methylbutanoyl)-6-azaspiro[2.5]octan-2-yl]methyl]-1,3-dihydropyrrolo[3,4-c]pyridine-2-carboxamide, N-[[6-(pyrazine-2-carbonyl)-6-azaspiro[2.5]octan-2-yl]methyl]furo[2,3-c]pyridine-2-carboxamide, N-[[(2R)-6-(3-methylbutanoyl)-6-azaspiro[2.5]octan-2-yl]methyl]-1,3-dihydropyrrolo[3,4-c]pyridine-2-carboxamide, N-[[6-(1,3,5-trimethylpyrazole-4-carbonyl)-6-azaspiro[2.5]octan-2-yl]methyl]-1,3-dihydropyrrolo[3,4-c]pyridine-2-carboxamide, N-[[6-(2,2-dimethylpropylsulfonyl)-6-azaspiro[2.5]octan-2-yl]methyl]furo[2,3-c]pyridine-2-carboxamide, and stereoisomers thereof, and pharmaceutically acceptable salts of such compounds and stereoisomers.
16. A compound comprising N-[[6-(1,3,5-trimethylpyrazole-4-carbonyl)-6-azaspiro[2.5]octan-2-yl]methyl]-1,3-dihydropyrrolo[3,4-c]pyridine-2-carboxamide, or stereoisomers thereof, or pharmaceutically acceptable salts of such compounds thereof.
17. A compound comprising N-[[6-(imidazo[1,2-a]pyridine-2-carbonyl)-6-azaspiro[2.5]octan-2-yl]methyl]furo[2,3-c]pyridine-2-carboxamide, or stereoisomers thereof, or pharmaceutically acceptable salts of such compounds thereof.
18. A compound comprising N-[[6-(3-methylbutanoyl)-6-azaspiro[2.5]octan-2-yl]methyl]-1,3-dihydropyrrolo[3,4-c]pyridine-2-carboxamide, or stereoisomers thereof, or pharmaceutically acceptable salts of such compounds thereof.
19. A compound comprising N-[[6-[3-[(4-methylpiperazin-1-yl)methyl]benzoyl]-6-azaspiro[2.5]octan-2-yl]methyl]-1H-pyrrolo[3,2-c]pyridine-2-carboxamide, or stereoisomers thereof, or pharmaceutically acceptable salts of such compounds thereof.
20. A compound comprising N-[[6-(1,8-naphthyridine-4-carbonyl)-6-azaspiro[2.5]octan-2-yl]methyl]furo[2,3-c]pyridine-2-carboxamide, or stereoisomers thereof, or pharmaceutically acceptable salts of such compounds thereof.
21. A compound comprising N-[[6-(isoxazole-4-carbonyl)-6-azaspiro[2.5]octan-2-yl]methyl]furo[2,3-c]pyridine-2-carboxamide, or stereoisomers thereof, or pharmaceutically acceptable salts of such compounds thereof.
22. A compound comprising (3-methyloxetan-3-yl) 2-[(1,3-dihydropyrrolo[3,4-c]pyridine-2-carbonylamino)methyl]-6-azaspiro[2.5]octane-6-carboxylate, or stereoisomers thereof, or pharmaceutically acceptable salts of such compounds thereof.
23. A compound comprising N-[[6-[4-[(4-methylpiperazin-1-yl)methyl]benzoyl]-6-azaspiro[2.5]octan-2-yl]methyl]-1H-pyrrolo[3,2-c]pyridine-2-carboxamide, or stereoisomers thereof, or pharmaceutically acceptable salts of such compounds thereof.
24. A compound comprising N-[[6-(3-cyclopropyl-1H-pyrazole-5-carbonyl)-6-azaspiro[2.5]octan-2-yl]methyl]-1,3-dihydropyrrolo[3,4-c]pyridine-2-carboxamide, or stereoisomers thereof, or pharmaceutically acceptable salts of such compounds thereof.
25. A compound comprising N-[[6-(2-isopropylpyrazole-3-carbonyl)-6-azaspiro[2.5]octan-2-yl]methyl]furo[2,3-c]pyridine-2-carboxamide, or stereoisomers thereof, or pharmaceutically acceptable salts of such compounds thereof.
26. A compound comprising N-[[6-[4-(2-methyltetrazol-5-yl)benzoyl]-6-azaspiro[2.5]octan-2-yl]methyl]furo[2,3-c]pyridine-2-carboxamide, or stereoisomers thereof, or pharmaceutically acceptable salts of such compounds thereof.
27. A compound comprising N-[[6-(2,4-dimethyloxazole-5-carbonyl)-6-azaspiro[2.5]octan-2-yl]methyl]-1,3-dihydropyrrolo[3,4-c]pyridine-2-carboxamide, or stereoisomers thereof, or pharmaceutically acceptable salts of such compounds thereof.
28. A compound comprising N-[[6-(pyrrolo[1,2-c]pyrimidine-3-carbonyl)-6-azaspiro[2.5]octan-2-yl]methyl]furo[2,3-c]pyridine-2-carboxamide, or stereoisomers thereof, or pharmaceutically acceptable salts of such compounds thereof.
29. A compound comprising N-[[6-(2,2-dimethylpropylsulfonyl)-6-azaspiro[2.5]octan-2-yl]methyl]furo[2,3-c]pyridine-2-carboxamide, or stereoisomers thereof, or pharmaceutically acceptable salts of such compounds thereof.
30. A compound comprising N-[[6-(pyrazine-2-carbonyl)-6-azaspiro[2.5]octan-2-yl]methyl]furo[2,3-c]pyridine-2-carboxamide, or stereoisomers thereof, or pharmaceutically acceptable salts of such compounds thereof.
31. A pharmaceutical composition comprising: (a) an effective amount of at least one compound of claim 27 ; and (b) a pharmaceutically acceptable carrier.
32. The pharmaceutical composition of claim 31 , further comprising a rescuing agent selected from the group consisting of nicotinamide, nicotinic acid, and nicotinamide mononucleotide (NMN), or therapeutically effective amounts of one or more additional adjunctive active agents, wherein said one or more additional adjunctive active agents are selected from the group consisting of cytotoxic agent, cisplatin, doxorubicin, taxotere, taxol, etoposide, irinotecan, camptostar, topotecan, paclitaxel, docetaxel, the epothilones, tamoxifen, 5-fluorouracil, methoxtrexate, temozolomide, cyclophosphamide, SCH 66336, tipifarnib (Zarnestra®), R115777, L778,123, BMS 214662, Iressa®, Tarceva®, C225, GLEEVEC®, Intron®, Peg-Intron®, aromatase combinations, ara-C, adriamycin, cytoxan, gemcitabine, Uracil mustard, Chlormethine, Ifosfamide, Melphalan, Chlorambucil, Pipobroman, Triethylenemelamine, Triethylenethiophosphoramine, Busulfan, Carmustine, Lomustine, Streptozocin, Dacarbazine, Floxuridine, Cytarabine, 6-Mercaptopurine, 6-Thioguanine, Fludarabine phosphate, oxaliplatin, leucovirin, oxaliplatin (ELOXATIN®), Pentostatine, Vinblastine, Vincristine, Vindesine, Bleomycin, Dactinomycin, Daunorubicin, Doxorubicin, Epirubicin, Idarubicin, Mithramycin™, Deoxycoformycin, Mitomycin-C, L-Asparaginase, Teniposide 17α-Ethinylestradiol, Diethylstilbestrol, Testosterone, Prednisone, Fluoxymesterone, Dromostanolone propionate, Testolactone, Megestrol acetate, Methylprednisolone, Methyltestosterone, Prednisolone, Triamcinolone, Chlorotrianisene, Hydroxyprogesterone, Aminoglutethimide, Estramustine, Medroxyprogesteroneacetate, Leuprolide, Flutamide, Toremifene, goserelin, Carboplatin, Hydroxyurea, Amsacrine, Procarbazine, Mitotane, Mitoxantrone, Levamisole, Navelbene, Anastrazole, Letrazole, Capecitabine, Reloxafine, Droloxafine, Hexamethylmelamine, Avastin, herceptin, Bexxar, Velcade, Zevalin, Trisenox, Xeloda, Vinorelbine, Porfimer, Erbitux, Liposomal, Thiotepa, Altretamine, Melphalan, Trastuzumab, Lerozole, Fulvestrant, Exemestane, Ifosfomide, Rituximab, C225, Campath, leucovorin, and dexamethasone, bicalutamide, carboplatin, chlorambucil, cisplatin, letrozole, megestrol, valrubicin, vinblastine and NIASPAN®.
33. A method of treating a subject suffering from or diagnosed with a medical condition mediated by NAMPT activity, comprising administering to the subject in need of such treatment an effective amount of at least one compound of claim 1 .
34. The method of claim 33 , wherein the medical condition is ovarian cancer, breast cancer, and cervical cancer.
35. The method of claim 33 , further comprising administering to the subject an effective amount of a rescuing agent selected from the group consisting of nicotinamide, nicotinic acid, and nicotinamide mononucleotide (NMN), or at least one compound selected from the group consisting of: a cytotoxic agent, cisplatin, doxorubicin, taxotere, taxol, etoposide, irinotecan, camptostar, topotecan, paclitaxel, docetaxel, the epothilones, tamoxifen, 5-fluorouracil, methoxtrexate, temozolomide, cyclophosphamide, SCH 66336, tipifarnib (Zarnestra®), R115777, L778,123, BMS 214662, Iressa®, Tarceva®, C225, GLEEVEC®, Intron®, Peg-Intron®, aromatase combinations, ara-C, adriamycin, cytoxan, gemcitabine, Uracil mustard, Chlormethine, Ifosfamide, Melphalan, Chlorambucil, Pipobroman, Triethylenemelamine, Triethylenethiophosphoramine, Busulfan, Carmustine, Lomustine, Streptozocin, Dacarbazine, Floxuridine, Cytarabine, 6-Mercaptopurine, 6-Thioguanine, Fludarabine phosphate, leucovirin, oxaliplatin (ELOXATIN®), Pentostatine, vincristine, Vindesine, Bleomycin, Dactinomycin, Daunorubicin, Doxorubicin, Epirubicin, Idarubicin, Mithramycin™, Deoxycoformycin, Mitomycin-C, L-Asparaginase, Teniposide 17α-Ethinylestradiol, Diethylstilbestrol, Testosterone, Prednisone, Fluoxymesterone, Dromostanolone propionate, Testolactone, Megestrol acetate, Methylprednisolone, Methyltestosterone, Prednisolone, Triamcinolone, Chlorotrianisene, Hydroxyprogesterone, Aminoglutethimide, Estramustine, Medroxyprogesteroneacetate, Leuprolide, Flutamide, Toremifene, goserelin, Carboplatin, Hydroxyurea, Amsacrine, Procarbazine, Mitotane, Mitoxantrone, Levamisole, Navelbene, Anastrazole, Letrazole, Capecitabine, Reloxafine, Droloxafine, Hexamethylmelamine, Avastin, herceptin, Bexxar, Velcade, Zevalin, Trisenox, Xeloda, Vinorelbine, Porfimer, Erbitux, Liposomal, Thiotepa, Altretamine, Melphalan, Trastuzumab, Lerozole, Fulvestrant, Exemestane, Ifosfomide, Rituximab, C225, Campath, leucovorin, dexamethasone, bicalutamide, chlorambucil, letrozole, megestrol, valrubicin, vinblastine, and NIASPAN®.