Disubstituted compounds for treatment of medical disorders
Compounds, methods of use, and processes for making inhibitors of complement Factor D are provided comprising Formula I, or a pharmaceutically acceptable salt or composition thereof. The inhibitors of Factor D described herein reduce the excessive activation of complement, and are useful to treat disorders mediated by the complement system.
1. A method for the treatment of a disorder mediated by complement factor D selected from paroxysmal nocturnal hemoglobinuria (PNH), atypical hemolytic uremic syndrome (ANUS), and C3 Glomerulonephritis, comprising administering an effective amount to a host in need thereof a compound of the formula
or a pharmaceutically acceptable salt thereof, wherein:
each of R 1 , R 2 and R 3 is hydrogen and R 2′ is fluoro;
R 9 and R 10 are independently chosen from hydrogen, C 1 -C 6 alkyl, (C 3 -C 7 cycloalkyl)C 0 -C 4 alkyl, —C 0 -C 4 alkyl(C 3 -C 7 cycloalkyl), and —O—C 0 -C 4 alkyl(C 3 -C 7 cycloalkyl);
or R 1 and R 2 are linked to form a 3-membered carbocyclic ring and each of R 2′ and R 3 is hydrogen;
R 5 is hydrogen and R 6 is —C(O)NH 2 or C 2 alkanoyl;
R 8 and R 8′ are hydrogen;
X 11 is CR 11 ;
X 12 is CR 12 ;
X 13 is CR 13 ;
X 14 is CR 14 ;
R 12 and R 13 are each independently selected from R 69 ;
R 69 is R 80 , R 81 , R 82 , R 83 , R 84 , R 85 , R 86 , or R 87 ; wherein R 12 and R 13 are not both from the same R 80 , R 81 , R 82 , R 83 , R 84 , R 85 , R 86 , or R 87 moiety;
R 80 is —C 2 -C 6 alkynylR 70 ,
R 81 is —C(O)NR 24 R 25 , —C(O)NR 21 SO 2 R 22 , —NR 9 C(O)OR 10 , —NR 9 C(O)OR 23 , —NR 9 C(O)R 21 , —NR 9 C(O)NR 9 R 10 , —NR 9 C(O)NR 10 R 23 , or —NR 9 C(O)NR 24 R 25 ;
R 82 is NR 9 SO 2 R 73 , or N(SO 2 R 9 )CH 2 C(O)R 74 ;
R 83 is —OC(O)NR 21 R 22 , —OC(O)NR 24 R 25 , —OC(O)(C 1-6 alkyl or C 3-6 cycloalkyl)(aryl), —OC(O)(C 1-6 alkyl or C 3-6 cycloalkyl)(heteroaryl), —OC(O)(C 1-6 alkyl or C 3-6 cycloalkyl)(heterocycle), —OC(O)(heteroaryl), —OC(O)(aryl), —OC(O)NR 9 (CH 2 ) 1-4 P(O)(OR 21 )(OR 22 ), —C(O)(C 1-6 alkyl or C 3-6 cycloalkyl)(aryl), —C(O)(C 1-6 alkyl or C 3-6 cycloalkyl)(heteroaryl), —C(O)(C 1-6 alkyl or C 3-6 cycloalkyl)(heterocycle), —C(O)(heteroaryl), —C(O)(heterocycle), —C(O)(aryl), or —C(O)(CH 2 )S(O)R 21 ;
R 84 is aryl; saturated or unsaturated heterocycle, wherein the heterocycle is bonded through a carbon atom in the heterocycle to the carbon atom to which it is attached; or heteroaryl;
R 85 is —O(CH 2 ) 1-4 R 23a , —OC 2 -C 4 alkenylR 23a , —OC 2 -C 4 alkynylR 23 , —O(CH 2 ) 1-4 paracyclophane, —O(CH 2 ) 1-4 P(O)R 23b R 23b , —O(CH 2 ) 1-4 S(O)NR 21 R 22 , —O(CH 2 ) 1-4 S(O)NR 24 R 25 , —O(CH 2 ) 1-4 SO 2 NR 21 R 22 , —O(CH 2 ) 1-4 SO 2 NR 24 R 25 , —O(C 3 -C 7 cycloalkyl), —O(aryl), —O(heteroaryl), or —O(heterocycle);
R 86 is —P(O)R 75 R 75 ;
R 87 is —(C 3 -C 7 cycloalkyl)-R 76 ;
R 70 is independently selected at each occurrence from hydrogen, C 1 -C 6 alkyl, C 1 -C 6 haloalkyl, (aryl)C 0 -C 4 alkyl, (C 3 -C 7 cycloalkyl)C 0 -C 4 alkyl, (phenyl)C 0 -C 4 alkyl, (4- to 7-membered heterocycloalkyl)C 0 -C 4 alkyl having 1, 2, or 3 heteroatoms independently selected from N, O, and S; (5- or 6-membered unsaturated or aromatic heterocycle)C 0 -C 4 alkyl having 1, 2, or 3 heteroatoms independently selected from N, O, and S; COOH, Si(CH 3 ) 3 , COOR 70a , C 2 -C 6 alkanoyl, —B(OH) 2 , —C(O)(CH 2 ) 1-4 S(O)R 21 , —P(O)(OR 21 )(OR 22 ), —P(O)(OR 21 )R 22 , —P(O)R 21 R 22 , —NR 9 P(O)(NHR 21 )(NHR 22 ), —NR 9 P(O)(OR 21 )(NHR 22 ), —NR 9 P(O)(OR 21 )(OR 22 ), —C(S)R 21 , —NR 21 SO 2 R 22 , —NR 9 S(O)NR 10 R 22 , —NR 9 SO 2 NR 10 R 22 , —SO 2 NR 9 COR 22 , —SO 2 NR 9 CONR 21 R 22 , —NR 21 SO 2 R 22 , —C(O)NR 21 SO 2 R 22 , —C(NH 2 )NR 9 R 22 , —C(NH 2 )NR 9 S(O) 2 R 22 , —NR 9 C(O)OR 10 , —NR 21 OC(O)R 22 , —(CH 2 ) 1-4 C(O)NR 21 R 22 , —NR 9 C(O)R 21 , —C(O)R 21 , —NR 9 C(O)NR 9 R 10 , —NR 9 C(O)NR 24 R 25 , or —(CH 2 ) 1-4 OC(O)R 21 ;
R 70a is C 1 -C 6 alkyl, C 2 -C 6 alkenyl, C 2 -C 6 alkynyl, (C 3 -C 7 cycloalkyl)C 0 -C 4 alkyl-, (aryl)C 0 -C 4 alkyl-, (3- to 7-membered heterocycloalkyl)C 0 -C 4 alkyl- having 1, 2, or 3 heteroatoms independently selected from N, O, and S, or (5- or 6-membered unsaturated or aromatic heterocycle)C 0 -C 4 alkyl having 1, 2, or 3 heteroatoms independently selected from N, O, and S;
R 73 is selected at each occurrence from hydrogen, hydroxyl, cyano, amino, C 1 -C 6 alkyl, C 1 -C 6 haloalkyl, C 1 -C 6 alkoxy, (C 3 -C 7 cycloalkyl)C 0 -C 4 alkyl, (phenyl)C 0 -C 4 alkyl, —C 1 -C 4 alkylOC(O)OC 1 -C 6 alkyl, —C 1 -C 4 alkylOC(O)C 1 -C 6 alkyl, —C 1 -C 4 alkylC(O)OC 1 -C 6 alkyl, (4- to 7-membered heterocycloalkyl)C 0 -C 4 alkyl having 1, 2, or 3 heteroatoms independently selected from N, O, and S, and (5- or 6-membered unsaturated or aromatic heterocycle)C 0 -C 4 alkyl having 1, 2, or 3 heteroatoms independently selected from N, O, and S;
R 74 is proline amide;
R 23a is independently selected at each occurrence from C 3 -C 7 cycloalkyl;
R 23b is independently selected at each occurrence from hydroxyl, C 1 -C 6 alkoxy, C 1 -C 6 alkyl, (C 3 -C 7 cycloalkyl)C 0 -C 4 alkyl, (phenyl)C 0 -C 4 alkyl, —O(CH 2 ) 2-4 O(CH 2 ) 8-18 , —OC(R 23c ) 2 OC(O)OR 23d , —OC(R 23c ) 2 OC(O)R 23d , an N-linked amino acid or an N-linked amino acid ester;
R 23c is independently selected at each occurrence from hydrogen, C 1 -C 8 alkyl, C 2 -C 8 alkenyl, C 2 -C 8 alkynyl, (aryl)C 0 -C 4 alkyl, (aryl)C 2 -C 8 alkenyl- or (aryl)C 2 -C 8 alkynyl; or two R 23c groups can be taken together with the carbon that they are bonded to form a 3-6 membered heterocycloalkyl having 1, 2, or 3 heteroatoms independently selected from N, O, and S, or a 3-6 membered carbocyclic ring;
R 23d is independently selected at each occurrence from C 1 -C 8 alkyl, C 2 -C 8 alkenyl, C 2 -C 8 alkynyl, (aryl)C 0 -C 4 alkyl, (aryl)C 2 -C 8 alkenyl, and (aryl)C 2 -C 8 alkynyl;
R 75 is independently selected at each occurrence from hydroxyl, C 1 -C 6 alkoxy, C 1 -C 6 haloalkoxy, C 1 -C 6 alkyl, (C 3 -C 7 cycloalkyl)C 0 -C 4 alkyl-, (aryl)C 0 -C 4 alkyl-, —O—C 0 -C 4 alkyl(aryl), —O—C 0 -C 4 alkyl(C 3 -C 7 cycloalkyl), (4- to 7-membered heterocycloalkyl)C 0 -C 4 alkyl-O— having 1, 2, or 3 heteroatoms independently selected from N, O, and S; (5- or 6-membered unsaturated or aromatic heterocycle)C 0 -C 4 alkyl-O— having 1, 2, or 3 heteroatoms independently selected from N, O, and S; —O(CH 2 ) 2-4 O(CH 2 ) 8-18 , —OC(R 75a ) 2 OC(O)OR 75b , —OC(R 75a ) 2 OC(O)R 75b , —NR 9 R 10 , an N-linked amino acid, and an N-linked amino acid ester;
R 75a is independently selected at each occurrence from hydrogen, C 1 -C 8 alkyl, C 2 -C 8 alkenyl, C 2 -C 8 alkynyl, (aryl)C 0 -C 4 alkyl-, (aryl)C 2 -C 8 alkenyl, or (aryl)C 2 -C 8 alkynyl-; or two R 75a groups can be taken together with the carbon that they are bonded to form a 3-6 membered heterocycloalkyl having 1, 2, or 3 heteroatoms independently selected from N, O, and S, or a 3-6 membered carbocyclic ring;
R 75b is independently selected at each occurrence from C 1 -C 8 alkyl, C 2 -C 8 alkenyl, C 2 -C 8 alkynyl, (aryl)C 0 -C 4 alkyl, (aryl)C 2 -C 8 alkenyl, and (aryl)C 2 -C 8 alkynyl;
R 76 is —NR 9 C(O)R 77 ;
R 77 is selected from C 1 -C 6 alkyl, C 1 -C 6 haloalkyl, C 2 C 6 alkenyl, C 2 -C 6 alkynyl, (C 3 -C 7 cycloalkyl)C 0 -C 4 alkyl, (aryl)C 0 -C 4 alkyl, (heterocycle)C 0 -C 4 alkyl, and (heteroaryl)C 0 -C 4 alkyl, wherein each R 77 can be unsubstituted or substituted with one or more substituents independently selected from halogen, hydroxyl, nitro, cyano, amino, oxo, —B(OH) 2 , —Si(CH 3 ) 3 , —COOH, —CONH 2 , —P(O)(OH) 2 , C 1 -C 6 alkyl, C 1 -C 6 alkoxy, —C 0 -C 2 alkyl(mono- and di-C 1 -C 4 alkylamino), C 1 -C 6 alkylester, C 1 -C 4 alkylamino, C 1 -C 4 hydroxylalkyl, C 1 -C 2 haloalkyl, and C 1 -C 2 haloalkoxy;
each of R 11 and R 14 is hydrogen;
R 21 and R 22 are independently selected at each occurrence from hydrogen, hydroxyl, cyano, amino, C 1 -C 6 alkyl, C 1 -C 6 haloalkyl, C 1 -C 6 alkoxy, (C 3 -C 7 cycloalkyl)C 0 -C 4 alkyl, (phenyl)C 0 -C 4 alkyl, —C 1 -C 4 alkylOC(O)OC 1 -C 6 alkyl, —C 1 -C 4 alkylOC(O)C 1 -C 6 alkyl, —C 1 -C 4 alkylC(O)OC 1 -C 6 alkyl, (4- to 7-membered heterocycloalkyl)C 0 -C 4 alkyl having 1, 2, or 3 heteroatoms independently selected from N, O, and S, and (5- or 6-membered unsaturated or aromatic heterocycle)C 0 -C 4 alkyl having 1, 2, or 3 heteroatoms independently selected from N, O, and S;
R 23 is independently selected from (C 3 -C 7 cycloalkyl)C 0 -C 4 alkyl, (aryl)C 0 -C 4 alkyl, (4- to 7-membered heterocycloalkyl)C 0 -C 4 alkyl having 1, 2, or 3 heteroatoms independently selected from N, O, and S, and (5- or 6-membered unsaturated or aromatic heterocycle)C 0 -C 4 alkyl having 1, 2, or 3 heteroatoms independently selected from N, O, and S;
R 24 and R 25 are taken together with the nitrogen to which they are attached to form a 4- to 7-membered monocyclic heterocycloalkyl group, or a 6- to 10-membered bicyclic heterocyclic group having fused, spiro, or bridged rings;
L is
R 17 is hydrogen;
R 18 and R 18′ are independently selected from hydrogen, halogen, hydroxymethyl, and methyl;
m is 0; and
B is selected from:
2. The method of claim 1 , wherein the host is a human.
3. The method of claim 2 , wherein the disorder is paroxysymal nocturnal hemoglobinuria (PNH).
4. The method of claim 2 , wherein the disorder is atypical hemolytic uremic syndrome.
5. The method of claim 2 , wherein the disorder is C3 glomerulonephritis.
6. The method of claim 2 , wherein the compound is administered in combination with an effective amount of an additional active agent.
7. The method of claim 2 , wherein one R 69 is R 84 .
8. The method of claim 2 , wherein the compound is selected from:
or a pharmaceutically acceptable salt thereof.
9. The method of claim 2 , wherein the compound is of the formula:
or a pharmaceutically acceptable salt thereof.