IP Library › Granted Patent US 11,084,795

Granted Patent B2

US 11,084,795 · App. 16/016,281 · Granted Aug 10, 2021

CFTR regulators and methods of use thereof

Inventors: Alan S. Verkman (San Francisco, CA); Marc H. Levin (San Francisco, CA); Onur Cil (San Francisco, CA); Mark J. Kurth (Davis, CA)

Assignee: The Regents of the University of California

C07D241/44 C07D401/06 C07D403/04 C07D405/04 C07D405/06 C07D409/04 C07D409/06 C07D498/06

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Quick Facts

Patent No.: US 11,084,795
App. No.: 16/016,281
Granted: Aug 10, 2021
Kind: B2

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Abstract

Provided herein are compounds that activate CFTR and methods for treating constipation, dry eye disorders, and other diseases and disorders.

Claims (185)

1. A method of treating constipation in a subject in need thereof, comprising administering to the subject an effective amount of a compound of Formula I:

wherein:

L 1 is a bond, —O—, —S—, —N(R 15 )—, —C(O)N(R 15 )—, —C(O)—, substituted or unsubstituted alkylene or substituted or unsubstituted heteroalkylene, and R 20 is substituted or unsubstituted cycloalkyl, substituted or unsubstituted heterocycloalkyl, substituted or unsubstituted aryl or substituted or unsubstituted heteroaryl; or

-L 1 -R 20 is substituted or unsubstituted alkyl;

n1, n2, n3, n4, n5, n6, n7, n8, and n9 are independently an integer from 0 to 4;

m1, m2, m3, m4, m5, m6, m7, m8, m9, v1, v2, v3, v4, v5, v6, v7, v8, and v9 are independently 1 or 2;

R 1 is hydrogen, halogen, —CX 1.1 3 , —CHX 1.1 2 , —CH 2 X 1.1 , —CN, —SO n1 R 1A , —SO v1 NR 1B R 1C , —NHNR 1B R 1C , —ONR 1B R 1C , —NHC(O)NHNR 1B R 1C , —NHC(O)NR 1B R 1C , —N(O) m1 , —NR 1B R 1C , —C(O)R 1D , —C(O)OR 1D , —C(O)NR 1B R 1C , —OR 1A , —NR 1B SO 2 R 1A , —NR 1B C(O)R 1D , —NR 1B C(O)OR 1D —, —NR 1B OR 1D , —OCX 1.1 3 , —OCHX 1.1 2 , substituted or unsubstituted alkyl, substituted or unsubstituted heteroalkyl, substituted or unsubstituted cycloalkyl, substituted or unsubstituted heterocycloalkyl, substituted or unsubstituted aryl, or substituted or unsubstituted heteroaryl;

R 2 is hydrogen, halogen, —CX 2.1 3 , —CHX 2.1 2 , —CH 2 X 2.1 , —CN, —SO n2 R 2A , —SO v2 NR 2B R 2C , —NHNR 2B R 2C , —ONR 2B R 2C , —NHC(O)NHNR 2B R 2C , —NHC(O)NR 2B R 2C , N(O) m2 , —NR 2B R 2C , —C(O)R 2D , —C(O)OR 2D , —C(O)NR 2B R 2C , —OR 2A , —NR 2B SO 2 R 2A , —NR 2B C(O)R 2D , —NR 2B C(O)OR 2D , —NR 2B OR 2D , —OCX 2.1 3 , —OCHX 2.1 2 , substituted or unsubstituted alkyl, substituted or unsubstituted heteroalkyl, substituted or unsubstituted cycloalkyl, substituted or unsubstituted heterocycloalkyl, substituted or unsubstituted aryl, or substituted or unsubstituted heteroaryl;

R 3 is hydrogen, halogen, —CX 3.1 3 , —CHX 3.1 2 , —CH 2 X 3.1 , —CN, —SO n3 R 3A , —SO v3 NR 3B R 3C , —NHNR 3B R 3C , —ONR 3B R 3C , —NHC(O)NHNR 3B R 3C , —NHC(O)NR 3B R 3B R 3C , N(O) m3 , —NR 3B R 3C , —C(O)R 3D , —C(O)OR 3D , —C(O)NR 3B R 3C , —OR 3A , —NR 3B SO 2 R 3A , —NR 3B C(O)R 3D , —NR 3B C(O)OR 3D , —NR 3B OR 3D , —OCX 3.1 3 , —OCHX 3.1 2 , substituted or unsubstituted alkyl, substituted or unsubstituted heteroalkyl, substituted or unsubstituted cycloalkyl, substituted or unsubstituted heterocycloalkyl, substituted or unsubstituted aryl, or substituted or unsubstituted heteroaryl;

R 4 is hydrogen, halogen, —CX 4.1 3 , —CHX 4.1 2 , —CH 2 X 4.1 , —CN, —SO n4 R 4A , —SO v4 NR 4B R 4C , —NHNR 4B R 4C , —ONR 4B R 4C , —NHC(O)NHNR 4B R 4C , —NHC(O)NR 4B R 4C , N(O) m4 , —NR 4B R 4C , —C(O)R 4D , —C(O)OR 4D , —C(O)NR 4B R 4C , —OR 4A , —N 4B SO 2 R 4A , —N 4B C(O)R 4D , —NR 4B C(O)OR 4D , —NR 4B OR 4D , —OCX 4.1 3 , —OCHX 4.1 2 , substituted or unsubstituted alkyl, substituted or unsubstituted heteroalkyl, substituted or unsubstituted cycloalkyl, substituted or unsubstituted heterocycloalkyl, substituted or unsubstituted aryl, or substituted or unsubstituted heteroaryl;

R 5 is hydrogen, halogen, —CX 5.1 3 , —CHX 5.1 2 , —CH 2 X 5.1 , —CN, —SO n5 R 5A , —SO v5 NR 5B R 5C , —NHNR 5B R 5C , —ONR 5B R 5C , —NHC(O)NHNR 5B R 5C , —NHC(O)NR 5B R 5C , N(O) m5 , —NR 5B R 5C , —C(O)R 5D , —C(O)OR 5D , —C(O)NR 5B R 5C , —OR 5A , —NR 5B SO 2 R 5A , —NR 5B C(O)R 5D , —NR 5B C(O)OR 5D , —NR 5B OR 5D , —OCX 5.1 3 , —OCHX 5.1 2 , substituted or unsubstituted alkyl, substituted or unsubstituted heteroalkyl, substituted or unsubstituted cycloalkyl, substituted or unsubstituted heterocycloalkyl, substituted or unsubstituted aryl, or substituted or unsubstituted heteroaryl;

R 1 and R 2 , R 2 and R 3 , R 3 and R 4 , or R 1 and R 5 are optionally joined to form substituted or unsubstituted cycloalkyl, substituted or unsubstituted heterocycloalkyl, substituted or unsubstituted aryl, or substituted or unsubstituted heteroaryl;

R 6 is hydrogen, halogen, —CX 6.1 3 , —CHX 6.1 2 , —CH 2 X 6.1 , —CN, —SO n6 R 6A , —SO v6 NR 6B R 6C , —NHNR 6B R 6C , —ONR 6B R 6C , —NHC(O)NHNR 6B R 6C , —NHC(O)NR 6B R 6C , N(O) m6 , —NR 6B R 6C , —C(O)R 6D , —C(O)OR 6D , —C(O)NR 6B R 6C , —OR 6A , —NR 6B SO 2 R 6A , —N 6B C(O)R 6D , —NR 6B C(O)OR 6D , —NR 6B OR 6D , —OCX 6.1 3 , —OCHX 6.1 2 , substituted or unsubstituted alkyl, substituted or unsubstituted heteroalkyl, substituted or unsubstituted cycloalkyl, substituted or unsubstituted heterocycloalkyl, substituted or unsubstituted aryl, or substituted or unsubstituted heteroaryl;

R 7 is hydrogen, halogen, —CX 7.1 3 , —CHX 7.1 2 , —CH 2 X 7.1 , —CN, —SO n7 R 7A , —SO v7 NR 7B R 7C , —NHNR 7B R 7C , —ONR 7B R 7C , —NHC(O)NHNR 7B R 7C , —NHC(O)NR 7B R 7C , N(O) m7 , —NR 7B R 7C , —C(O)R 7D , —C(O)OR 7D , —C(O)NR 7B R 7C , —OR 7A , —NR 7B SO 2 R 7A , —NR 7A C(O)R 7C , —NR 7B C(O)OR 7D , —NR 7B OR 7D , —OCX 7.1 3 , —OCHX 7.1 2 , substituted or unsubstituted alkyl, substituted or unsubstituted heteroalkyl, substituted or unsubstituted cycloalkyl, substituted or unsubstituted heterocycloalkyl, substituted or unsubstituted aryl, or substituted or unsubstituted heteroaryl;

R 8 is hydrogen, halogen, —CX 8.1 3 , —CHX 8.1 2 , —CH 2 X 8.1 , —CN, —SO n8 R 8A , —SO v8 NR 8B R 8C , —NHNR 8B R 8C , —ONR 8B R 8C , —NHC(O)NHNR 8B R 8C , —NHC(O)NR 8B R 8C , N(O) m8 , —NR 8B R 8C , —C(O)R 8D , —C(O)OR 8D , —C(O)NR 8B R 8C , —OR 8A , —NR 8B SO 2 R 8A , —NR 8B C(O)R 8D , —NR 8B C(O)OR 8D , —NR 8B OR 8D , —OCX 8.1 3 , —OCHX 8.1 2 , substituted or unsubstituted alkyl, substituted or unsubstituted heteroalkyl, substituted or unsubstituted cycloalkyl, substituted or unsubstituted heterocycloalkyl, substituted or unsubstituted aryl, or substituted or unsubstituted heteroaryl;

R 9 is hydrogen, halogen, —CX 9.1 3 , —CHX 9.1 2 , —CH 2 X 9.1 , —CN, —SO n9 R 9A , —SO v9 NR 9B R 9C , —NHNR 9B R 9C , —ONR 9B R 9C , —NHC(O)NHNR 9B R 9C , —NHC(O)NR 9B R 9C , N(O) m9 , —NR 9B R 9C , —C(O)R 9D , —C(O)OR 9D , —C(O)NR 9B R 9C , —OR 9A , —NR 9B SO 2 R 9A , —NR 9B C(O)R 9D , —NR 9B C(O)OR 9D , —NR 9B OR 9D , —OCX 9.1 3 , —OCHX 9.1 2 , substituted or unsubstituted alkyl, substituted or unsubstituted heteroalkyl, substituted or unsubstituted cycloalkyl, substituted or unsubstituted heterocycloalkyl, substituted or unsubstituted aryl, or substituted or unsubstituted heteroaryl;

R 15 is hydrogen, substituted or unsubstituted alkyl, substituted or unsubstituted heteroalkyl, substituted or unsubstituted cycloalkyl, substituted or unsubstituted heterocycloalkyl, substituted or unsubstituted aryl, or substituted or unsubstituted heteroaryl;

R 1A , R 1B , R 1C , R 1D , R 2A , R 2B , R 2C , R 2D , R 3A , R 3B , R 3C , R 3D , R 4A , R 4B , R 4C , R 4D , R 5A , R 5B , R 5C , R 5D , R 6A , R 6B , R 6C , R 6D , R 7A , R 7B , R 7C , R 7D , R 8A , R 8B , R 8C , R 8D , R 9A , R 9B , R 9C , and R 9D are independently hydrogen, halogen, —CF 3 , —CCl 3 , —CBr 3 , —CI 3 , —OH, —NH 2 , —COOH, —CONH 2 , —NO 2 , —SH, —SO 3 H, —SO 4 H, —SO 2 NH 2 , —NHNH 2 , —ONH 2 , —NHC(O)NHNH 2 , —NHC(O)NH 2 , —NHSO 2 H, —NHC(O)H, —NHC(O)—OH, —NHOH, —OCF 3 , —OCCl 3 , —OCBr 3 , —OCI 3 , —OCHF 2 , —OCHCl 2 , —OCHBr 2 , —OCHI 2 , substituted or unsubstituted alkyl, substituted or unsubstituted heteroalkyl, substituted or unsubstituted cycloalkyl, substituted or unsubstituted heterocycloalkyl, substituted or unsubstituted aryl, or substituted or unsubstituted heteroaryl; R 1B , R 1C , R 2B , R 2C , R 3B , R 3C , R 4B , R 4C , R 5B , R 5C , R 6B , R 6C , R 7B , R 7C , R 8B , R 8C , R 9B and R 9C substituents bonded to the same nitrogen atom may optionally be joined to form a substituted or unsubstituted heterocycloalkyl or substituted or unsubstituted heteroaryl; and

X 1.1 , X 2.1 , X 3.1 , X 4.1 , X 5.1 , X 6.1 , X 7.1 , X 8.1 and X 9.1 are independently —Cl, —Br, —I or —F.

2. A method of treating a dry eye disorder in a subject in need thereof, comprising administering to the subject an effective amount a compound of Formula I:

wherein:

-L 1 -R 20 is substituted or unsubstituted alkyl;

n1, n2, n3, n4, n5, n6, n7, n8, and n9 are independently an integer from 0 to 4;

m1, m2, m3, m4, m5, m6, m7, m8, m9, v1, v2, v3, v4, v5, v6, v7, v8, and v9 are independently 1 or 2;

R 1 is hydrogen, halogen, —CX 1.1 3 , —CHX 1.1 2 , —CH 2 X 1.1 , —CN, —SO n1 R 1A , —SO v1 NR 1B R 1C , —NHNR 1B R 1C , —ONR 1B R 1C , —NHC(O)NHNR 1B R 1C , —NHC(O)NR 1B R 1C , —N(O) m1 , —NR 1B R 1C ,

—C(O)R 1D , —C(O)OR 1D , —C(O)NR 1B R 1C , —OR 1A , —NR 1B SO 2 R 1A , —NR 1B C(O)R 1D , —NR 1B C(O)OR 1D , —NR 1B OR 1D , —OCX 1.1 3 , —OCHX 1.1 2 , substituted or unsubstituted alkyl, substituted or unsubstituted heteroalkyl, substituted or unsubstituted cycloalkyl, substituted or unsubstituted heterocycloalkyl, substituted or unsubstituted aryl, or substituted or unsubstituted heteroaryl;

R 2 is hydrogen, halogen, —CX 2.1 3 , —CHX 2.1 2 , —CH 2 X 2.1 , —CN, —SO n2 R 2A , —SO v2 NR 2B R 2C , —NHNR 2B R 2C , —NR 2B R 2C , —NHC(O)NHNR 2B R 2C , —NHC(O)NR 2B R 2C , N(O) m2 , —NR 2B R 2C ,

—C(O)R 2D , —C(O)OR 2D , —C(O)NR 2B R 2C , —OR 2A , —N 2B SO 2 R 2A , —NR 2B C(O)R 2D , —NR 2B C(O)OR 2D , —NR 2B OR 2D , —OCX 2.1 3 , —OCHX 2.1 2 , substituted or unsubstituted alkyl, substituted or unsubstituted heteroalkyl, substituted or unsubstituted cycloalkyl, substituted or unsubstituted heterocycloalkyl, substituted or unsubstituted aryl, or substituted or unsubstituted heteroaryl;

R 3 is hydrogen, halogen, —CX 3.1 3 , —CHX 3.1 2 , —CH 2 X 3.1 , —CN, —SO n3 R 3A , —SO v3 NR 3B R 3C , —NHNR 3B R 3C , —ONR 3B R 3C , —NHC(O)NHNR 3B R 3C , —NHC(O)NR 3B R 3C , N(O) m3 , —NR 3B R 3C ,

—C(O)R 3D , —C(O)OR 3D , —C(O)NR 3B R 3C , —OR 3A , —NR 3B SO 2 R 3A , —NR 3B C(O)R 3D , —NR 3B C(O)OR 3D , —NR 3B OR 3D , —OCX 3.1 3 , —OCHX 3.1 2 , substituted or unsubstituted alkyl, substituted or unsubstituted heteroalkyl, substituted or unsubstituted cycloalkyl, substituted or unsubstituted heterocycloalkyl, substituted or unsubstituted aryl, or substituted or unsubstituted heteroaryl;

R 4 is hydrogen, halogen, —CX 4.1 3 , —CHX 4.1 2 , —CH 2 X 4.1 , —CN, —SO n4 R 4A , —SO v4 NR 4B R 4C , —NHNR 4B R 4C , —ONR 4B R 4C , —NHC(O)NHNR 4B R 4C , —NHC(O)NR 4B R 4C , N(O) m4 , —NR 4B R 4C ,

—C(O)R 4D , —C(O)OR 4D , —C(O)NR 4B R 4C , —OR 4A , —N 4B SO 2 R 4A , —NR 4B C(O)R 4D , —NR 4B C(O)OR 4D , —NR 4B OR 4D , —OCX 4.1 3 , —OCHX 4.1 2 , substituted or unsubstituted alkyl, substituted or unsubstituted heteroalkyl, substituted or unsubstituted cycloalkyl, substituted or unsubstituted heterocycloalkyl, substituted or unsubstituted aryl, or substituted or unsubstituted heteroaryl;

R 5 is hydrogen, halogen, —CX 5.1 3 , —CHX 5.1 2 , —CH 2 X 5.1 , —CN, —SO n5 R 5A , —SO v5 NR 5B R 5C , —NHNR 5B R 5C , —ONR 5B R 5C , —NHC(O)NHNR 5B R 5C , —NHC(O)NR 5B R 5C , N(O) m5 , —NR 5B R 5C ,

—C(O)R 5D , —C(O)OR 5D , —C(O)NR 5B R 5C , —OR 5A , —NR 5B SO 2 R 5A , —NR 5B C(O)R 5D , —NR 5B C(O)OR 5D , —NR 5B OR 5D , —OCX 5.1 3 , —OCHX 5.1 2 , substituted or unsubstituted alkyl, substituted or unsubstituted heteroalkyl, substituted or unsubstituted cycloalkyl, substituted or unsubstituted heterocycloalkyl, substituted or unsubstituted aryl, or substituted or unsubstituted heteroaryl;

R 6 is hydrogen, halogen, —CX 6.1 3 , —CHX 6.1 2 , —CH 2 X 6.1 , —CN, —SO n6 R 6A , —SO v6 NR 6B R 6C , —NHNR 6B R 6C , —ONR 6B R 6C , —NHC(O)NHNR 6B R 6C , —NHC(O)NR 6B R 6C , N(O) m6 , —NR 6B R 6C ,

—C(O)R 6D , —C(O)OR 6D , —C(O)NR 6B R 6C , —OR 6 A, —NR 6B SO 2 R 6A , —NR 6B C(O)R 6D , —NR 6B C(O)OR 6D , —NR 6B OR 6D , —OCX 6.1 3 , —OCHX 6.1 2 , substituted or unsubstituted alkyl, substituted or unsubstituted heteroalkyl, substituted or unsubstituted cycloalkyl, substituted or unsubstituted heterocycloalkyl, substituted or unsubstituted aryl, or substituted or unsubstituted heteroaryl;

R 7 is hydrogen, halogen, —CX 7.1 3 , —CHX 7.1 2 , —CH 2 X 7.1 , —CN, —SO n7 R 7A , —SO v7 NR 7B R 7C , —NHNR 7B R 7C , —ONR 7B R 7C , —NHC(O)NHNR 7B R 7C , —NHC(O)NR 7B R 7C , N(O) m7 , —NR 7B R 7C ,

—C(O)R 7D , —C(O)OR 7D , —C(O)NR 7B R 7C , —OR 7A , —NR 7B SO 2 R 7A , —NR 7A C(O)R 7C , —NR 7B C(O)OR 7D , —NR 7B OR 7D , —OCX 7.1 3 , —OCHX 7.1 2 , substituted or unsubstituted alkyl, substituted or unsubstituted heteroalkyl, substituted or unsubstituted cycloalkyl, substituted or unsubstituted heterocycloalkyl, substituted or unsubstituted aryl, or substituted or unsubstituted heteroaryl;

R 8 is hydrogen, halogen, —CX 8.1 3 , —CHX 8.1 2 , —CH 2 X 8.1 , —CN, —SO n8 R 8A , —SO v8 NR 8B R 8C , —NHNR 8B R 8C , —ONR 8B R 8C , —NHC(O)NHNR 8B R 8C , —NHC(O)NR 8B R 8C , N(O) m8 , —NR 8B R 8C ,

—C(O)R 8D , —C(O)OR 8D , —C(O)NR 8B R 8C , —OR 8A , —NR 8B SO 2 R 8A , —NR 8B C(O)R 8D , —NR 8B C(O)OR 8D , —NR 8B OR 8D , —OCX 8.1 3 , —OCHX 8.1 2 , substituted or unsubstituted alkyl, substituted or unsubstituted heteroalkyl, substituted or unsubstituted cycloalkyl, substituted or unsubstituted heterocycloalkyl, substituted or unsubstituted aryl, or substituted or unsubstituted heteroaryl;

R 9 is hydrogen, halogen, —CX 9.1 3 , —CHX 9.1 2 , —CH 2 X 9.1 , —CN, —SO n9 R 9A , —SO v9 NR 9B R 9C , —NHNR 9B R 9C , —ONR 9B R 9C , —NHC(O)NHNR 9B R 9C , —NHC(O)NR 9B R 9C , N(O) m9 , —NR 9B R 9C ,

—C(O)R 9D , —C(O)OR 9D , —C(O)NR 9B R 9C , —OR 9A , —NR 9B SO 2 R 9A , —NR 9 BC(O)R 9D , —NR 9B C(O)OR 9D , —NR 9B OR 9D , —OCX 9.1 3 , —OCHX 9.1 2 , substituted or unsubstituted alkyl, substituted or unsubstituted heteroalkyl, substituted or unsubstituted cycloalkyl, substituted or unsubstituted heterocycloalkyl, substituted or unsubstituted aryl, or substituted or unsubstituted heteroaryl;

R 1A , R 1B , R 1C , R 1D , R 2A , R 2B , R 2C , R 2D , R 3A , R 3B , R 3C , R 3D , R 4A , R 4B , R 4C , R 4D , R 5A , R 5B , R 5C , R 5D , R 6A , R 6B , R 6C , R 6D , R 7A , R 7B , R 7C , R 7D , R 8A , R 8B , R 8C , R 8D , R 9A , R 9B , R 9C and R 9D are independently hydrogen, halogen, —CF 3 , —CCl 3 , —CBr 3 , —CI 3 , —OH, —NH 2 , —COOH, —CONH 2 , —NO 2 , —SH, —SO 3 H, —SO 4 H, —SO 2 NH 2 , —NHNH 2 , —ONH 2 , —NHC(O)NHNH 2 , —NHC(O)NH 2 , —NHSO 2 H, —NHC(O)H, —NHC(O)—OH, —NHOH, —OCF 3 , —OCCl 3 , —OCBr 3 , —OCI 3 , —OCHF 2 , —OCHCl 2 , —OCHBr 2 , —OCHI 2 , substituted or unsubstituted alkyl, substituted or unsubstituted heteroalkyl, substituted or unsubstituted cycloalkyl, substituted or unsubstituted heterocycloalkyl, substituted or unsubstituted aryl, or substituted or unsubstituted heteroaryl; R 1B , R 1C , R 2B , R 2C , R 3B , R 3C , R 4B , R 4C , R 5B , R 5C , R 6B , R 6C , R 7B , R 7C , R 8B , R 8C , R 9B and R 9D substituents bonded to the same nitrogen atom may optionally be joined to form a substituted or unsubstituted heterocycloalkyl or substituted or unsubstituted heteroaryl; and

X 1.1 , X 2.1 , X 3.1 , X 4.1 , X 5.1 , X 6.1 , X 7.1 , X 8.1 and X 9.1 are independently —Cl, —Br, —I or —F.

3. A method of increasing lacrimation in a subject in need thereof, comprising administering to the subject an effective amount of a compound of Formula I:

wherein:

-L 1 -R 20 is substituted or unsubstituted alkyl;

n1, n2, n3, n4, n5, n6, n7, n8, and n9 are independently an integer from 0 to 4;

m1, m2, m3, m4, m5, m6, m7, m8, m9, v1, v2, v3, v4, v5, v6, v7, v8, and v9 are independently 1 or 2;

R 1 is hydrogen, halogen, —CX 1.1 3 , —CHX 1.1 2 , —CH 2 X 1.1 , —CN, —SO n1 R 1A , —SO v1 NR 1B R 1C , —NHNR 1B R 1C , —ONR 1B R 1C , —NHC(O)NHNR 1B R 1C , —NHC(O)NR 1B R 1C , N(O) m1 , —NR 1B R 1C ,

R 2 is hydrogen, halogen, —CX 2.1 3 , —CHX 2.1 2 , —CH 2 X 2.1 , —CN, —SO n2 R 2A , —SO v2 NR 2B R 2C , —NHNR 2B R 2C NR 2C , —ONR 2B R 2C , —NHC(O)NHNR 2B R 2C , —NHC(O)N 2B R 2C , N(O) m2 , —NR 2B R 2C ,

—C(O)R 4D , —C(O)OR 4D , —C(O)NR 4B R 4C , —OR 4A , —NR 4B SO 2 R 4A , —NR 4B C(O)R 4D , —NR 4B C(O)OR 4D , —NR 4B OR 4D , —OCX 4.1 3 , —OCHX 4.1 2 , substituted or unsubstituted alkyl, substituted or unsubstituted heteroalkyl, substituted or unsubstituted cycloalkyl, substituted or unsubstituted heterocycloalkyl, substituted or unsubstituted aryl, or substituted or unsubstituted heteroaryl;

R 5 is hydrogen, halogen, —CX 5.1 3 , —CHX 5.1 2 , —CH 2 X 5.1 , —CN, —SO n5 R 5A , —SO v5 NR 5B R 5C , —NHNR 5B R 5C , —ONR 5B R 5C , —NHC(O)—NHNR 5B R 5C , —NCH(O)NR 5B R 5C , N(O) m5 , —NR 5B R 5C ,

R 6 is hydrogen, halogen, —CX 6.1 3 , —CHX 6.1 2 , —CH 2 X 6.1 , —CN, —SO n6 R 6A , —SO v6 NR 6B R 6C , —NHNR 6B R 6C , —ONR 6B R 6C , —ONR 6B R 6C , —NHC(O)NHNR 6B R 6C , —NHC(O)N 6B R 6C , N(O) m6 , —NR 6B R 6C ,

—C(O)R 6D , —C(O)OR 6D , —C(O)NR 6B R 6C , —OR 6A , —NR 6B SO 2 R 6A , —NR 6B C(O)R 6D , —NR 6B C(O)OR 6D , —NR 6B OR 6D , —OCX 6.1 3 , —OCHX 6.1 2 , substituted or unsubstituted alkyl, substituted or unsubstituted heteroalkyl, substituted or unsubstituted cycloalkyl, substituted or unsubstituted heterocycloalkyl, substituted or unsubstituted aryl, or substituted or unsubstituted heteroaryl;

—C(O)R 8D , —C(O)OR 8D , —C(O)NR 8B R 8C , —OR 8A , —NR 8B SO 2 R 8A , —NR 8B C(O)R 8D , —NR 8B C(O)OR D , —NR 8B OR 8D , —OCX 8.1 3 , —OCHX 8.1 2 , substituted or unsubstituted alkyl, substituted or unsubstituted heteroalkyl, substituted or unsubstituted cycloalkyl, substituted or unsubstituted heterocycloalkyl, substituted or unsubstituted aryl, or substituted or unsubstituted heteroaryl;

R 9 is hydrogen, halogen, —CX 9.1 3 , —CHX 9.1 2 , —CH 2 X 9.1 , —CN, —SO n9 R 9A , —SO v9 NR 9B R 9C , —NHNR 9B R 9C , —ONR 9B R 9C , —NHC(O)NHNR 9B R 9C , —NHC(O)NR 9B R 9C , —N(O) m9 , —NR 9B R 9C ,

—C(O)R 9D , —C(O)OR 9D , —C(O)NR 9B R 9C , —OR 9A , —NR 9B SO 2 R 9A , —NR 9B C(O)R 9D , —NR 9B C(O)OR 9D , —NR 9B OR 9D , —OCX 9.1 3 , —OCHX 9.1 2 , substituted or unsubstituted alkyl, substituted or unsubstituted heteroalkyl, substituted or unsubstituted cycloalkyl, substituted or unsubstituted heterocycloalkyl, substituted or unsubstituted aryl, or substituted or unsubstituted heteroaryl;

R 1A , R 1B , R 1C , R 1D , R 2A , R 2B , R 2C , R 2D , R 3A , R 3B , R 3C , R 3D , R 4A , R 4B , R 4C , R 4D , R 5A , R 5B , R 5C , R 5D , R 6A , R 6B , R 6C , R 6D , R 7A , R 7B , R 7C , R 7D , R 8A , R 8B , R 8C , R 8D , R 9A , R 9B , R 9C and R 9D are independently hydrogen, halogen, —CF 3 , —CCl 3 , —CBr 3 , —CI 3 , —OH, —NH 2 , —COOH, —CONH 2 , —NO 2 , —SH, —SO 3 H, —SO 4 H, —SO 2 NH 2 , —NHNH 2 , —ONH 2 , —NHC(O)NHNH 2 , —NHC(O)NH 2 , —NHSO 2 H, —NHC(O)H, —NHC(O)—OH, —NHOH, —OCF 3 , —OCCl 3 , —OCBr 3 , —OCI 3 , —OCHF 2 , —OCHCl 2 , —OCHBr 2 , —OCHI 2 , substituted or unsubstituted alkyl, substituted or unsubstituted heteroalkyl, substituted or unsubstituted cycloalkyl, substituted or unsubstituted heterocycloalkyl, substituted or unsubstituted aryl, or substituted or unsubstituted heteroaryl; R 1B , R 1C , R 2B , R 2C , R 3B , R 3C , R 4B , R 4C , R 5B , R 5C , R 6B , R 6C , R 7B , R 7C , R 8B , R 8C , R 9B and R 9C substituents bonded to the same nitrogen atom may optionally be joined to form a substituted or unsubstituted heterocycloalkyl or substituted or unsubstituted heteroaryl; and

X 1.1 , X 2.1 , X 3.1 , X 4.1 , X 5.1 , X 6.1 , X 7.1 , X 8.1 , and X 9.1 are independently —Cl, —Br, —I or —F.

4. A method of activating a Cystic Fibrosis Transmembrane Conductance Regulator (CFTR), comprising contacting the CFTR with an effective amount of a compound of Formula I:

wherein:

-L 1 -R 20 is substituted or unsubstituted alkyl;

n1, n2, n3, n4, n5, n6, n7, n8, and n9 are independently an integer from 0 to 4;

m1, m2, m3, m4, m5, m6, m7, m8, m9, v1, v2, v3, v4, v5, v6, v7, v8, and v9 are independently 1 or 2;

R 2 is hydrogen, halogen, —CX 2.1 3 , —CHX 2.1 2 , —CH 2 X 2.1 , —CN, —SO n2 R 2A , —SO v2 NR 2B R 2C , —NHNR 2B R 2C , —ONR 2B R 2C , —NHC(O)NHNR 2B R 2C , —NHC(O)NR 2B R 2C , N(O) m2 , —NR 2B R 2C ,

—C(O)R 2D , —C(O)OR 2D , —C(O)NR 2B R 2C , —OR 2A , —NR 2B SO 2 R 2A , —NR 2B C(O)R 2D , —NR 2B C(O)OR 2D , —NR 2B OR 2D , —OCX 2.1 3 , —OCHX 2.1 2 , substituted or unsubstituted alkyl, substituted or unsubstituted heteroalkyl, substituted or unsubstituted cycloalkyl, substituted or unsubstituted heterocycloalkyl, substituted or unsubstituted aryl, or substituted or unsubstituted heteroaryl;

—C(O)R 6D , —C(O)OR 6D , —C(O)NR 6B R 6C , —OR 6A , —N 6B SO 2 R 6A , —NR 6B C(O)R 6D , —NR 6B C(O)OR 6D , —NR 6B OR 6D , —OCX 6.1 3 , —OCHX 6.1 2 , substituted or unsubstituted alkyl, substituted or unsubstituted heteroalkyl, substituted or unsubstituted cycloalkyl, substituted or unsubstituted heterocycloalkyl, substituted or unsubstituted aryl, or substituted or unsubstituted heteroaryl;

R 7 is hydrogen, halogen, —CX 1.7 3 , —CHX 7.1 2 , —CH 2 X 7.1 , —CN, —SO n7 R 7A , —SO v7 NR 7B R 7C , —NHNR 7B NR 7C , —ONR 7B R 7C , —NHC(O)NHNR 7B R 7C , —NHC(O)NR 7B R 7C , N(O) m7 , —NR 7B R 7C ,

—C(O)R 7D , —C(O)—OR 7D , —C(O)NR 7B R 7C , —OR 7A , —NR 7B SO 2 R 7A , —NR 7A C(O)R 7C , —NR 7B C(O)OR 7D , —NR 7B OR 7D , —OCX 7.1 3 , —OCHX 7.1 2 , substituted or unsubstituted alkyl, substituted or unsubstituted heteroalkyl, substituted or unsubstituted cycloalkyl, substituted or unsubstituted heterocycloalkyl, substituted or unsubstituted aryl, or substituted or unsubstituted heteroaryl;

R 1A , R 1B , R 1C , R 1D , R 2A , R 2B , R 2C , R 2D , R 3A , R 3B , R 3C , R 3D , R 4A , R 4B , R 4C , R 4D , R 5A , R 5B , R 5C , R 5D , R 6A , R 6B , R 6C , R 6D , R 7A , R 7B , R 7C , R 7D , R 8A , R 8B , R 8C , R 8D , R 9A , R 9B , R 9C and R 9D are independently hydrogen, halogen, —CF 3 , —CCl 3 , —CBr 3 , —CI 3 , —OH, —NH 2 , —COOH, —CONH 2 , —NO 2 , —SH, —SO 3 H, —SO 4 H, —SO 2 NH 2 , —NHNH 2 , —ONH 2 , —NHC(O)NHNH 2 , —NHC(O)NH 2 , —NHSO 2 H, —NHC(O)H, —NHC(O)—OH, —NHOH, —OCF 3 , —OCCl 3 , —OCBr 3 , —OCI 3 , —OCHF 2 , —OCHCl 2 , —OCHBr 2 , —OCHI 2 , substituted or unsubstituted alkyl, substituted or unsubstituted heteroalkyl, substituted or unsubstituted cycloalkyl, substituted or unsubstituted heterocycloalkyl, substituted or unsubstituted aryl, or substituted or unsubstituted heteroaryl; R 1B , R 1C , R 2B , R 2C , R 3B , R 3C , R 4B , R 4C , R 5B , R 5C , R 6B , R 6C , R 7B , R 7C , R 8B , R 8C , R 9B and R 9C , substituents bonded to the same nitrogen atom may optionally be joined to form a substituted or unsubstituted heterocycloalkyl or substituted or unsubstituted heteroaryl; and

X 1.1 , X 2.1 , X 3.1 , X 4.1 , X 5.1 , X 6.1 , X 7.1 , X 8.1 and X 9.1 are independently —Cl, —Br, —I or —F.

5. A method of therapeutically treating a cholestatic liver disease in a subject in need thereof, the method comprising administering to the subject an effective amount of a compound of Formula I:

wherein:

-L 1 -R 20 is substituted or unsubstituted alkyl;

n1, n2, n3, n4, n5, n6, n7, n8, and n9 are independently an integer from 0 to 4;

m1, m2, m3, m4, m5, m6, m7, m8, m9, v1, v2, v3, v4, v5, v6, v7, v8, and v9 are independently 1 or 2;

—C(O)R 2D , —C(O)OR 2D , —C(O)NR 2B R 2C , —OR 2A , —N 2B SO 2 R 2A , —N 2 BC(O)R 2D , —NR 2B C(O)OR 2D , —NR 2B OR 2D , —OCX 2.1 3 , —OCHX 2.1 2 , substituted or unsubstituted alkyl, substituted or unsubstituted heteroalkyl, substituted or unsubstituted cycloalkyl, substituted or unsubstituted heterocycloalkyl, substituted or unsubstituted aryl, or substituted or unsubstituted heteroaryl;

R 3 is hydrogen, halogen, —CX 3.1 3 , —CHX 3.1 2 , —CH 2 X 3.1 , —CN, —SO n3 R 3A , —SO v3 NR 3B R 3C , —NHNR 3B R B3 , —ONR 3B R 3C , —NHC(O)NHNR 3B R 3C , —NHC(O)NR 3B R 3C , N(O) m3 , —NR 3B R 3C ,

R 6 is hydrogen, halogen, —CX 6.1 3 , —CHX 6.1 2 , —CH 2 X 6.1 , —CN, —SO n6 R 6A , —SO v6 NR 6B R 6C , —NHNR 6B R 6C , —ONR 6B R 6C , —NHC(O)NHNR 6B R 6C , —NHC(O)N 6B R 6C N(O) m6 , —NR 6B R 6C ,

R 7 is hydrogen, halogen, —CX 7.1 3 , —CHX 7.1 2 , —CH 2 X 7.1 , —CN, —SO n7 R 7A , —SO v7 NR 7B R 7C , —NHNR 7B R 7C , —ONR 7B R 7C , —ONR 7B R 7C , —NHC(O)NHNR 7B R 7C , —NHC(O)NR 7B R 7C , N(O) m7 , —NR 7B R 7C ,

—C(O)R 7D , —C(O)OR 7D , —C(O)NR 7B R 7C , —OR 7A , —NR 7B SO 2 R 7A , —N 7A C(O)R 7C , —NR 7B C(O)OR 7D , —NR 7B OR 7D , —OCX 7.1 3 , —OCHX 7.1 2 , substituted or unsubstituted alkyl, substituted or unsubstituted heteroalkyl, substituted or unsubstituted cycloalkyl, substituted or unsubstituted heterocycloalkyl, substituted or unsubstituted aryl, or substituted or unsubstituted heteroaryl;

—C(O)R 9D , —C(O)OR 9D , —C(O)NR 9B R 9C , —OR 9A , —NR 9B SO 2 R 9A , —NR 9B C(O)R 9D , —NR 9B C(O)OR 9D , —NR 9B OR 9D , —OCX 9.1 3 , —OCHX 9.1 2 , substituted or unsubstituted alkyl, substituted or unsubstituted heteroalkyl, substituted or unsubstituted cycloalkyl, substituted or unsubstituted heterocycloalkyl, substituted or unsubstituted aryl, or substituted or unsubstituted heteroaryl;

R 1A , R 1B , R 1C , R 1D , R 2A , R 2B , R 2C , R 2D , R 3A , R 3B , R 3C , R 3D , R 4A , R 4B , R 4C , R 4D , R 5A , R 5B , R 5C , R 5D , R 6A , R 6B , R 6C , R 6D , R 7A , R 7B , R 7C , R 7D , R 8A , R 8B , R 8C , R 8D , R 9A , R 9B , R 9C and R 9D are independently hydrogen, halogen, —CF 3 , —CCl 3 , —CBr 3 , —CI 3 , —OH, —NH 2 , —COOH, —CONH 2 , —NO 2 , —SH, —SO 3 H, —SO 4 H, —SO 2 NH 2 , —NHNH 2 , —ONH 2 , —NHC(O)NHNH 2 , —NHC(O)NH 2 , —NHSO 2 H, —NHC(O)H, —NHC(O)—OH, —NHOH, —OCF 3 , —OCCl 3 , —OCBr 3 , —OCI 3 , —OCHF 2 , —OCHCl 2 , —OCHBr 2 , —OCHI 2 , substituted or unsubstituted alkyl, substituted or unsubstituted heteroalkyl, substituted or unsubstituted cycloalkyl, substituted or unsubstituted heterocycloalkyl, substituted or unsubstituted aryl, or substituted or unsubstituted heteroaryl; R 1B , R 1C , R 2B , R 2C , R 3B , R 3C , R 4B , R 4C , R 5B , R 5C , R 6B , R 6C , R 7B , R 7C , R 8B , R 8C , R 9B and R 9C , substituents bonded to the same nitrogen atom may optionally be joined to form a substituted or unsubstituted heterocycloalkyl or substituted or unsubstituted heteroaryl; and

X 1.1 , X 2.1 , X 3.1 , X 4.1 , X 5.1 , X 6.1 , X 7.1 , X 8.1 and X 9.1 are independently —Cl, —Br, —I or —F.

6. A method of therapeutically treating a pulmonary disease or disorder in a subject in need thereof, the method comprising administrating to the subject an effective amount of a compound of Formula I:

wherein:

-L 1 -R 20 is substituted or unsubstituted alkyl;

n1, n2, n3, n4, n5, n6, n7, n8, and n9 are independently an integer from 0 to 4;

m1, m2, m3, m4, m5, m6, m7, m8, m9, v1, v2, v3, v4, v5, v6, v7, v8, and v9 are independently 1 or 2;

—C(O)R 2D , —C(O)OR 2D , —C(O)NR 2B R 2C , —OR 2 A, —N 2B SO 2 R 2A , —NR 2 BC(O)R 2D , —NR 2B C(O)OR 2D , —NR 2B OR 2D , —OCX 2.1 3 , —OCHX 2.1 2 , substituted or unsubstituted alkyl, substituted or unsubstituted heteroalkyl, substituted or unsubstituted cycloalkyl, substituted or unsubstituted heterocycloalkyl, substituted or unsubstituted aryl, or substituted or unsubstituted heteroaryl;

—C(O)R 6D , —C(O)OR 6D , —C(O)NR 6B R 6C , —OR 6A , —NR 6B SO 2 R 6A , —NR 6B C(O)R 6D , —NR 6B C(O)OR 6D , —NR 6B OR 6D , —OCX 6.1 3 , —OCHX 6.1 2 , substituted or unsubstituted alkyl, substituted or unsubstituted heteroalkyl, substituted or unsubstituted cycloalkyl, substituted or unsubstituted heterocycloalkyl, substituted or unsubstituted aryl, or substituted or unsubstituted heteroaryl;

—C(O)R 9D , —C(O)OR 9D , —C(O)NR 9B R 9C , OR 9A , —NR 9B SO 2 R 9A , —NR 9B C(O)R 9D , —NR 9B C(O)OR 9D , —NR 9B OR 9D , —OCX 9.1 3 , —OCHX 9.1 2 , substituted or unsubstituted alkyl, substituted or unsubstituted heteroalkyl, substituted or unsubstituted cycloalkyl, substituted or unsubstituted heterocycloalkyl, substituted or unsubstituted aryl, or substituted or unsubstituted heteroaryl;

R 1A , R 1B , R 1C , R 1D , R 2A , R 2B , R 2C , R 2D , R 3A , R 3B , R 3C , R 3D , R 4A , R 4B , R 4C , R 4D , R 5A , R 5B , R 5C , R 5D , R 6A , R 6B , R 6C , R 6D , R 7A , R 7B , R 7C , R 7D , R 8A , R 8B , R 8C , R 8D , R 9A , R 9B , R 9C and R 9D are independently hydrogen, halogen, —CF 3 , —CCl 3 , —CBr 3 , —CI 3 , —OH, —NH 2 , —COOH, —CONH 2 , —NO 2 , —SH, —SO 3 H, —SO 4 H, —SO 2 NH 2 , —NHNH 2 , —ONH 2 , —NHC(O)NHNH 2 , —NHC(O)NH 2 , —NHSO 2 H, —NHC(O)H, —NHC(O)—OH, —NHOH, —OCF 3 , —OCCl 3 , —OCBr 3 , —OCI 3 , —OCHF 2 , —OCHCl 2 , —OCHBr 2 , —OCHI 2 , substituted or unsubstituted alkyl, substituted or unsubstituted heteroalkyl, substituted or unsubstituted cycloalkyl, substituted or unsubstituted heterocycloalkyl, substituted or unsubstituted aryl, or substituted or unsubstituted heteroaryl; R 1B , R 1C , R 2B , R 2C , R 3B , R 3C , R 4B , R 4C , R 5B , R 5C , R 6B , R 6C , R 7B , R 7C , R 8B , R 8C , R 9B and R 9C , substituents bonded to the same nitrogen atom may optionally be joined to form a substituted or unsubstituted heterocycloalkyl or substituted or unsubstituted heteroaryl; and

X 1.1 , X 2.1 , X 3.1 , X 4.1 , X 5.1 , X 6.1 , X 7.1 , X 8.1 and X 9.1 are independently —Cl, —Br, —I or —F.

7. The method of claim 1 , wherein the compound of Formula I is:

8. The method of claim 2 , wherein the compound of Formula I is:

9. The method of claim 3 , wherein the compound of formula I is:

10. The method of claim 4 , wherein the compound of formula I is:

11. The method of claim 5 , wherein the compound of formula I is:

12. The method of claim 6 , wherein the compound of formula I is:

13. The method of claim 1 , further comprising administering to the subject an anti-constipation agent.

14. The method of claim 1 , wherein the constipation is opioid-induced constipation, chronic idiopathic constipation or irritable bowel syndrome with constipation predominance.

15. A compound being selected from the group consisting of:

16. A pharmaceutical composition comprising a pharmaceutically acceptable excipient, and a compound selected from the group consisting of:

17. A compound of Formula I:

wherein:

L 1 is —CH 2 —;

R 20 is

R 1 and R 4 are each hydrogen;

R 2 is hydrogen or halogen;

R 3 is —NO 2 ;

R 5 is hydrogen or —NH 2 ;

R 6 , R 7 , and R 8 are hydrogen;

R 9 is hydrogen, —CH 3 , or halogen;

R 10 and R 11 are hydrogen or halogen; and

R 12 , R 13 , and R 14 are hydrogen,

with proviso that when R 3 is —NO 2 and R 6 , R 7 , R 8 and R 9 are hydrogen, then R 5 is not —NH 2 , or

with proviso that when R 3 is —NO 2 and R 5 is —NH 2 , then at least one of R 6 , R 7 , R 8 and R 9 is not hydrogen, or

with proviso that when R 5 is —NH 2 and R 3 is —NO 2 , then R 9 is —Cl.

18. A pharmaceutical composition comprising a pharmaceutically acceptable excipient, and a compound according to claim 17 .

Assignments (2)

ASSIGNMENT OF ASSIGNOR'S INTEREST Recorded Apr 19, 2019

From: VERKMAN, ALAN S.; LEVIN, MARC H.; CIL, ONUR; KURTH, MARK J.

To: THE REGENTS OF THE UNIVERSITY OF CALIFORNIA

Reel/Frame 048940/0593 →

CONFIRMATORY LICENSE Recorded Apr 10, 2019

From: UNIVERSITY OF CALIFORNIA, SAN FRANCISCO

To: NATIONAL INSTITUTES OF HEALTH (NIH), U.S. DEPT. OF HEALTH AND HUMAN SERVICES (DHHS), U.S. GOVERNMENT

Reel/Frame 050259/0678 →

Continuity (3)

Provisional Application 62376808 · Aug 18, 2016

Provisional Application 62387579 · Dec 24, 2015

Related Publication 20190031622A1 · Jan 31, 2019