IP Library › Patent Application 16686934

Patent Application

App. No. 16/686,934

JANUS KINASE INHIBITORS FOR TREATMENT OF DRY EYE AND OTHER EYE RELATED DISEASES

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App. No.: 16/686,934

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Abstract

Methods, kits, and compositions for treating dry eye disorders and other related eye diseases are provided, wherein the methods, kits, and compositions utilize a JAK inhibitor.

Claims (404)

1 . A method of treating a dry eye disorder in a patient in need thereof, comprising administering to said patient a therapeutically effective amount of an agent selected from:

(a) compounds of Formula I:

wherein:

A 1 and A 2 are independently selected from C and N;

T, U, and V are independently selected from O, S, N, CR 5 , and NR 6 ;

wherein the 5-membered ring formed by A 1 , A 2 , U, T, and V is aromatic;

X is N or CR 4 ;

Y is C 1-8 alkylene, C 2-8 alkenylene, C 2-8 alkynylene, (CR 11 R 12 ) p —(C 3-10 cycloalkylene)-(CR 11 R 12 ) q , (CR 11 R 12 ) p -(arylene)-(CR 11 R 12 ) q , (CR 11 R 12 ) p —(C 1-10 heterocycloalkylene)-(CR 11 R 12 ) q , (CR 11 R 12 ) p -(heteroarylene)-(CR 11 R 12 ) q , (CR 11 R 12 ) p O(CR 11 R 12 ) q , (CR 11 R 12 ) p S(CR 11 R 12 ) q , (CR 11 R 12 ) p C(O)(CR 11 R 12 ) q , (CR 11 R 12 ) p C(O)NR c (CR 11 R 12 ) q , (CR 11 R 12 ) p C(O)O(CR 11 R 12 ) q , (CR 11 R 12 ) p OC(O)(CR 11 R 12 ) q , (CR 11 R 12 ) p OC(O)NR c C(CR 11 R 12 ) q , (CR 11 R 12 ) p NR c (CR 11 R 12 ) q , (CR 11 R 12 ) p NR c C(O)NR d (CR 11 R 12 ) q , (CR 11 R 12 ) p S(O)(CR 11 R 12 ) q , (CR 11 R 12 ) p S(O)NR c C(CR 11 R 12 ) q , (CR 11 R 12 ) p S(O) 2 (CR 11 R 12 ) q , or (CR 11 R 12 ) p S(O) 2 NR c (CR 11 R 12 ) q , wherein said C 1-8 alkylene, C 2-8 alkenylene, C 2-8 alkynylene, cycloalkylene, arylene, heterocycloalkylene, or heteroarylene, is optionally substituted with 1, 2, or 3 substituents independently selected from -D 1 -D 2 -D 3 -D 4 ;

Z is H, halo, C 1-8 alkyl, C 2-8 alkenyl, C 2-8 alkynyl, C 1-4 haloalkyl, halosulfanyl, C 1-4 hydroxyalkyl, C 1-4 cyanoalkyl, ═C—R i , ═N—R i , Cy 1 , CN, NO 2 , OR a , SR a , C(O)R b , C(O)NR c R d , C(O)OR a , OC(O)R b , OC(O)NR c R d , NR c R d , NR c C(O)R b , NR c C(O)NR c R d , NR c C(O)OR a , C(═NR i )NR c R d , NR c C(═NR i )NR c R d , S(O)R b , S(O)NR c R d , S(O) 2 R b , NR c S(O) 2 R b , C(═NOH)R b , C(═NO(C 1-6 alkyl)R b , and S(O) 2 NR c R d , wherein said C 1-8 alkyl, C 2-8 alkenyl, or C 2-8 alkynyl, is optionally substituted with 1, 2, 3, 4, 5, or 6 substituents independently selected from halo, C 1-4 alkyl, C 2-4 alkenyl, C 2-4 alkynyl, C 1-4 haloalkyl, halosulfanyl, C 1-4 hydroxyalkyl, C 1-4 cyanoalkyl, Cy 1 , CN, NO 2 , OR a , SR a , C(O)R b , C(O)NR c R d , C(O)OR a , OC(O)R b , OC(O)NR c R d , NR c R d , NR c C(O)R b , NR c C(O)NR c R d , NR c C(O)OR a , C(═NR i )NR c R d , NR c C(═NR i )NR c R d , S(O)R b , S(O)NR c R d , S(O) 2 R b , NR c S(O) 2 R b , C(═NOH)R b , C(═NO(C 1-6 alkyl))R b , and S(O) 2 NR c R d ;

wherein when Z is H, n is 1;

or the —(Y) n —Z moiety is taken together with i) A 2 to which the moiety is attached, ii) R 5 or R 6 of either T or V, and iii) the C or N atom to which the R 5 or R 6 of either T or V is attached to form a 4- to 20-membered aryl, cycloalkyl, heteroaryl, or heterocycloalkyl ring fused to the 5-membered ring formed by A 1 , A 2 , U, T, and V, wherein said 4- to 20-membered aryl, cycloalkyl, heteroaryl, or heterocycloalkyl ring is optionally substituted by 1, 2, 3, 4, or 5 substituents independently selected from —(W) m -Q;

W is C 1-8 alkylenyl, C 2-8 alkenylenyl, C 2-8 alkynylenyl, O, S, C(O), C(O)NR c′ , C(O)O, OC(O), OC(O)NR c′ , NR c′ , NR c′ C(O)NR d′ , S(O), S(O)NR c′ , S(O) 2 , or S(O) 2 NR c′ ;

Q is H, halo, CN, NO 2 , C 1-8 alkyl, C 2-8 alkenyl, C 2-8 alkynyl, C 1-8 haloalkyl, halosulfanyl, aryl, cycloalkyl, heteroaryl, or heterocycloalkyl, wherein said C 1-8 alkyl, C 2-8 alkenyl, C 2-8 alkynyl, C 1-8 haloalkyl, aryl, cycloalkyl, heteroaryl, or heterocycloalkyl is optionally substituted with 1, 2, 3 or 4 substituents independently selected from halo, C 1-4 alkyl, C 2-4 alkenyl, C 2-4 alkynyl, C 1-4 haloalkyl, halosulfanyl, C 1-4 hydroxyalkyl, C 1-4 cyanoalkyl, Cy 2 , CN, NO 2 , OR a′ , SR a′ , C(O)R b′ , C(O)NR c′ R d′ , C(O)OR a′ , OC(O)R b′ , OC(O)NR c′ R d′ , NR c′ R d′ , NR c′ C(O)R b′ , NR c′ C(O)NR c′ R d′ , NR c′ C(O)OR a′ , S(O)R b′ , S(O)NR c′ R d′ , S(O) 2 R b′ , NR c′ S(O) 2 R b′ , and S(O) 2 NR c′ R d′ ;

Cy 1 and Cy 2 are independently selected from aryl, heteroaryl, cycloalkyl, and heterocycloalkyl, each optionally substituted by 1, 2, 3, 4 or 5 substituents independently selected from halo, C 1-4 alkyl, C 2-4 alkenyl, C 2-4 alkynyl, C 1-4 haloalkyl, halosulfanyl, C 1-4 hydroxyalkyl, C 1-4 cyanoalkyl, CN, NO 2 , OR a″ , SR a″ , C(O)R b″ , C(O)NR c″ R d″ , C(O)OR a″ , OC(O)R b″ , OC(O)NR c″ R d″ , NR c″ R d″ , NR c″ C(O)R b″ , NR c″ C(O)OR a″ , NR c″ S(O)R b″ , NR c″ S(O) 2 R b″ , S(O)R b″ , S(O)NR c″ R d″ , S(O) 2 R b″ , and S(O) 2 NR c″ R d″ ;

R 1 , R 2 , R 3 , and R 4 are independently selected from H, halo, C 1-4 alkyl, C 2-4 alkenyl, C 2-4 alkynyl, C 1-4 haloalkyl, halosulfanyl, aryl, cycloalkyl, heteroaryl, heterocycloalkyl, CN, NO 2 , OR 7 , SR 7 , C(O)R 8 , C(O)NR 9 R 10 , C(O)OR 7 , OC(O)R 8 , OC(O)NR 9 R 10 , NR 9 R 10 , NR 9 C(O)R 8 , NR c C(O)OR 7 , S(O)R 8 , S(O)NR 9 R 10 , S(O) 2 R 8 , NR 9 S(O) 2 R 8 , and S(O) 2 NR 9 R 10 ;

R 5 is H, halo, C 1-4 alkyl, C 2-4 alkenyl, C 2-4 alkynyl, C 1-4 haloalkyl, halosulfanyl, CN, NO 2 , OR 7 , SR 7 , C(O)R 8 , C(O)NR 9 R 10 , C(O)OR 7 , OC(O)R 8 , OC(O)NR 9 R 10 , NR 9 R 10 , NR 9 C(O)R 8 , NR 9 C(O)OR 7 , S(O)R 8 , S(O)NR 9 R 10 , S(O) 2 R 8 , NR 9 S(O) 2 R 8 , or S(O) 2 NR 9 R 10 ;

R 6 is H, C 1-4 alkyl, C 2-4 alkenyl, C 2-4 alkynyl, C 1-4 haloalkyl, OR 7 , C(O)R 8 , C(O)NR 9 R 10 , C(O)OR 7 , S(O)R 8 , S(O)NR 9 R 10 , S(O) 2 R 8 , or S(O) 2 NR 9 R 10 ;

R 7 is H, C 1-6 alkyl, C 1-6 haloalkyl, C 2-6 alkenyl, C 2-6 alkynyl, aryl, cycloalkyl, heteroaryl, heterocycloalkyl, arylalkyl, heteroarylalkyl, cycloalkylalkyl or hetero cycloalkylalkyl;

R 8 is H, C 1-6 alkyl, C 1-6 haloalkyl, C 2-6 alkenyl, C 2-6 alkynyl, aryl, cycloalkyl, heteroaryl, heterocycloalkyl, arylalkyl, heteroarylalkyl, cycloalkylalkyl or hetero cycloalkylalkyl;

R 9 and R 10 are independently selected from H, C 1-10 alkyl, C 1-6 haloalkyl, C 2-6 alkenyl, C 2-6 alkynyl, C 1-6 alkylcarbonyl, arylcarbonyl, C 1-6 alkylsulfonyl, arylsulfonyl, aryl, heteroaryl, cycloalkyl, heterocycloalkyl, arylalkyl, heteroarylalkyl, cycloalkylalkyl and hetero cycloalkylalkyl;

or R 9 and R 10 together with the N atom to which they are attached form a 4-, 5-, 6- or 7-membered heterocycloalkyl group;

R 11 and R 12 are independently selected from H and -E 1 -E 2 -E 3 -E 4 ;

D 1 and E 1 are independently absent or independently selected from C 1-6 alkylene, C 2-6 alkenylene, C 2-6 alkynylene, arylene, cycloalkylene, heteroarylene, and heterocycloalkylene, wherein each of the C 1-6 alkylene, C 2-6 alkenylene, C 2-6 alkynylene, arylene, cycloalkylene, heteroarylene, and heterocycloalkylene is optionally substituted by 1, 2 or 3 substituents independently selected from halo, CN, NO 2 , N 3 , SCN, OH, C 1-6 alkyl, C 1-6 haloalkyl, C 2-8 alkoxyalkyl, C 1-6 alkoxy, C 1-6 haloalkoxy, amino, C 1-6 alkylamino, and C 2-8 dialkylamino;

D 2 and E 2 are independently absent or independently selected from C 1-6 alkylene, C 2-6 alkenylene, C 2-6 alkynylene, (C 1-6 alkylene) r -O—(C 1-6 alkylene) s , (C 1-6 alkylene) r -S—(C 1-6 alkylene) s , (C 1-6 alkylene) r -NR e —(C 1-6 alkylene) s , (C 1-6 alkylene) r -CO—(C 1-6 alkylene) s , (C 1-6 alkylene) r -COO—(C 1-6 alkylene) s , (C 1-6 alkylene) r -CONR e —(C 1-6 alkylene) s , (C 1-6 alkylene) r -SO—(C 1-6 alkylene) s , (C 1-6 alkylene) r -SO 2 —(C 1-6 alkylene) s , (C 1-6 alkylene) r -SONR e —(C 1-6 alkylene) s , and (C 1-6 alkylene) r -NR e CONR f —(C 1-6 alkylene) s , wherein each of the C 1-6 alkylene, C 2-6 alkenylene, and C 2-6 alkynylene is optionally substituted by 1, 2 or 3 substituents independently selected from halo, CN, NO 2 , N 3 , SCN, OH, C 1-6 alkyl, C 1-6 haloalkyl, C 2-8 alkoxyalkyl, C 1-6 alkoxy, C 1-6 haloalkoxy, amino, C 1-6 alkylamino, and C 2-8 dialkylamino;

D 3 and E 3 are independently absent or independently selected from C 1-6 alkylene, C 2-6 alkenylene, C 2-6 alkynylene, arylene, cycloalkylene, heteroarylene, and heterocycloalkylene, wherein each of the C 1-6 alkylene, C 2-6 alkenylene, C 2-6 alkynylene, arylene, cycloalkylene, heteroarylene, and heterocycloalkylene is optionally substituted by 1, 2 or 3 substituents independently selected from halo, CN, NO 2 , N 3 , SCN, OH, C 1-6 alkyl, C 1-6 haloalkyl, C 2-8 alkoxyalkyl, C 1-6 alkoxy, C 1-6 haloalkoxy, amino, C 1-6 alkylamino, and C 2-8 dialkylamino;

D 4 and E 4 are independently selected from H, halo, C 1-4 alkyl, C 2-4 alkenyl, C 2-4 alkynyl, C 1-4 haloalkyl, halosulfanyl, C 1-4 hydroxyalkyl, C 1-4 cyanoalkyl, Cy 1 , CN, NO 2 , OR a , SR a , C(O)R b , C(O)NR c R d , C(O)OR a , OC(O)R b , OC(O)NR c R d , NR c R d , NR c C(O)R b , NR c C(O)NR c R d , NR c C(O)OR a , C(═NR i )NR c R d , NR c C(═NR i )NR c R d , S(O)R b , S(O)NR c R d , S(O) 2 R b , NR c S(O) 2 R b , C(═NOH)R b , C(═NO(C 1-6 alkyl)R b , and S(O) 2 NR c R d , wherein said C 1-8 alkyl, C 2-8 alkenyl, or C 2-8 alkynyl, is optionally substituted with 1, 2, 3, 4, 5, or 6 substituents independently selected from halo, C 1-4 alkyl, C 2-4 alkenyl, C 2-4 alkynyl, C 1-4 haloalkyl, halosulfanyl, C 1-4 hydroxyalkyl, C 1-4 cyanoalkyl, Cy 1 , CN, NO 2 , OR a , SR a , C(O)R b , C(O)NR c R d , C(O)OR a , OC(O)R b , OC(O)NR c R d , NR c R d , NR c C(O)R b , NR c C(O)NR c R d , NR c C(O)OR a , C(═NR i )NR c R d , NR c C(═NR i )NR c R d , S(O)R b , S(O)NR c R d , S(O) 2 R b , NR c S(O) 2 R b , C(═NOH)R b , C(═NO(C 1-6 alkyl))R b , and S(O) 2 NR c R d ;

R a is H, Cy 1 , —(C 1-6 alkyl)-Cy 1 , C 1-6 alkyl, C 1-6 haloalkyl, C 2-6 alkenyl, C 2-6 alkynyl, wherein said C 1-6 alkyl, C 1-6 haloalkyl, C 2-6 alkenyl, or C 2-6 alkynyl is optionally substituted with 1, 2, or 3 substituents independently selected from OH, CN, amino, halo, C 1-6 alkyl, C 1-6 haloalkyl, halosulfanyl, aryl, arylalkyl, heteroaryl, heteroarylalkyl, cycloalkyl and heterocycloalkyl;

R b is H, Cy 1 , —(C 1-6 alkyl)-Cy 1 , C 1-6 alkyl, C 1-6 haloalkyl, C 2-6 alkenyl, C 2-6 alkynyl, wherein said C 1-6 alkyl, C 1-6 haloalkyl, C 2-6 alkenyl, or C 2-6 alkynyl is optionally substituted with 1, 2, or 3 substituents independently selected from OH, CN, amino, halo, C 1-6 alkyl, C 1-6 haloalkyl, C 1-6 haloalkyl, halosulfanyl, aryl, arylalkyl, heteroaryl, heteroarylalkyl, cycloalkyl and heterocycloalkyl;

R a and R a″ are independently selected from H, C 1-6 alkyl, C 1-6 haloalkyl, C 2-6 alkenyl, C 2-6 alkynyl, aryl, cycloalkyl, heteroaryl, heterocycloalkyl, arylalkyl, heteroarylalkyl, cycloalkylalkyl and heterocycloalkylalkyl, wherein said C 1-6 alkyl, C 1-6 haloalkyl, C 2-6 alkenyl, C 2-6 alkynyl, aryl, cycloalkyl, heteroaryl, heterocycloalkyl, arylalkyl, heteroarylalkyl, cycloalkylalkyl or heterocycloalkylalkyl is optionally substituted with 1, 2, or 3 substituents independently selected from OH, CN, amino, halo, C 1-6 alkyl, C 1-6 haloalkyl, halosulfanyl, aryl, arylalkyl, heteroaryl, heteroarylalkyl, cycloalkyl and heterocycloalkyl;

R b′ and R b″ are independently selected from H, C 1-6 alkyl, C 1-6 haloalkyl, C 2-6 alkenyl, C 2-6 alkynyl, aryl, cycloalkyl, heteroaryl, heterocycloalkyl, arylalkyl, heteroarylalkyl, cycloalkylalkyl and heterocycloalkylalkyl, wherein said C 1-6 alkyl, C 1-6 haloalkyl, C 2-6 alkenyl, C 2-6 alkynyl, aryl, cycloalkyl, heteroaryl, heterocycloalkyl, arylalkyl, heteroarylalkyl, cycloalkylalkyl or heterocycloalkylalkyl is optionally substituted with 1, 2, or 3 substituents independently selected from OH, CN, amino, halo, C 1-6 alkyl, C 1-6 haloalkyl, C 1-6 haloalkyl, halosulfanyl, aryl, arylalkyl, heteroaryl, heteroarylalkyl, cycloalkyl and heterocycloalkyl;

R c and R d are independently selected from H, Cy 1 , —(C 1-6 alkyl)-Cy 1 , C 1-10 alkyl, C 1-6 haloalkyl, C 2-6 alkenyl, C 2-6 alkynyl, wherein said C 1-10 alkyl, C 1-6 haloalkyl, C 2-6 alkenyl, or C 2-6 alkynyl, is optionally substituted with 1, 2, or 3 substituents independently selected from Cy 1 , —(C 1-6 alkyl)-Cy 1 , OH, CN, amino, halo, C 1-6 alkyl, C 1-6 haloalkyl, C 1-6 haloalkyl, and halosulfanyl;

or R c and R d together with the N atom to which they are attached form a 4-, 5-, 6- or 7-membered heterocycloalkyl group optionally substituted with 1, 2, or 3 substituents independently selected from Cy 1 , —(C 1-6 alkyl)-Cy 1 , OH, CN, amino, halo, C 1-6 alkyl, C 1-6 haloalkyl, C 1-6 haloalkyl, and halosulfanyl;

R c′ and R d′ are independently selected from H, C 1-10 alkyl, C 1-6 haloalkyl, C 2-6 alkenyl, C 2-6 alkynyl, aryl, heteroaryl, cycloalkyl, heterocycloalkyl, arylalkyl, heteroarylalkyl, cycloalkylalkyl and heterocycloalkylalkyl, wherein said C 1-10 alkyl, C 1-6 haloalkyl, C 2-6 alkenyl, C 2-6 alkynyl, aryl, heteroaryl, cycloalkyl, heterocycloalkyl, arylalkyl, heteroarylalkyl, cycloalkylalkyl or heterocycloalkylalkyl is optionally substituted with 1, 2, or 3 substituents independently selected from OH, CN, amino, halo, C 1-6 alkyl, C 1-6 haloalkyl, C 1-6 haloalkyl, halosulfanyl, aryl, arylalkyl, heteroaryl, heteroarylalkyl, cycloalkyl and heterocycloalkyl;

or R c′ and R d′ together with the N atom to which they are attached form a 4-, 5-, 6- or 7-membered heterocycloalkyl group optionally substituted with 1, 2, or 3 substituents independently selected from OH, CN, amino, halo, C 1-6 alkyl, C 1-6 haloalkyl, C 1-6 haloalkyl, halosulfanyl, aryl, arylalkyl, heteroaryl, heteroarylalkyl, cycloalkyl and heterocycloalkyl;

R c″ and R d″ are independently selected from H, C 1-10 alkyl, C 1-6 haloalkyl, C 2-6 alkenyl, C 2-6 alkynyl, aryl, heteroaryl, cycloalkyl, heterocycloalkyl, arylalkyl, heteroarylalkyl, cycloalkylalkyl and heterocycloalkylalkyl, wherein said C 1-10 alkyl, C 1-6 haloalkyl, C 2-6 alkenyl, C 2-6 alkynyl, aryl, heteroaryl, cycloalkyl, heterocycloalkyl, arylalkyl, heteroarylalkyl, cycloalkylalkyl or heterocycloalkylalkyl is optionally substituted with 1, 2, or 3 substituents independently selected from OH, CN, amino, halo, C 1-6 alkyl, C 1-6 haloalkyl, halosulfanyl, C 1-6 haloalkyl, aryl, arylalkyl, heteroaryl, heteroarylalkyl, cycloalkyl and heterocycloalkyl;

or R c″ and R d″ together with the N atom to which they are attached form a 4-, 5-, 6- or 7-membered heterocycloalkyl group optionally substituted with 1, 2, or 3 substituents independently selected from OH, CN, amino, halo, C 1-6 alkyl, C 1-6 haloalkyl, C 1-6 haloalkyl, halosulfanyl, aryl, arylalkyl, heteroaryl, heteroarylalkyl, cycloalkyl and heterocycloalkyl;

R i is H, CN, NO 2 , or C 1-6 alkyl;

R e and R f are independently selected from H and C 1-6 alkyl;

R i is H, CN, or NO 2 ;

m is 0 or 1;

n is 0 or 1;

p is 0, 1, 2, 3, 4, 5, or 6;

q is 0, 1, 2, 3, 4, 5 or 6;

r is 0 or 1; and

s is 0 or 1;

wherein when X is N, n is 1, and the moiety formed by A 1 , A 2 , U, T, V, and —(Y) n —Z has the formula:

then Y is other than (CR 11 R 12 ) p C(O)NR(CR 11 R 12 ) q ;

(b) compounds of Formula II:

wherein:

L a is SO 2 or CO;

R 1a is C 1-6 alkyl, C 3-7 cycloalkyl, phenyl, 5- or 6-membered heteroaryl, indolyl, NR 2a R 3a , or OR 4a , wherein said alkyl, cycloalkyl, phenyl, or heteroaryl is optionally substituted with 1, 2, or 3 substituents independently selected from F, CN, and C 1-4 alkyl;

R 2a and R 3a are independently selected from H, C 1-4 alkyl, and phenyl; and

R 4a is C 1-6 alkyl, phenyl, or benzyl;

wherein:

R 5a and R 6a are independently selected from H, F, CN, OH, C 1-4 alkyl, benzyloxy, C 2-8 dialkylaminosulfonyl, and 5-membered heteroaryl, wherein said alkyl is optionally substituted by 1, 2, or 3 substituents selected from F, OH, CN, and C 1-4 alkoxy, and wherein said 5-membered heteroaryl is optionally substituted with C 1-4 alkyl;

and pharmaceutically acceptable salts thereof;

provided that compound of Formula I is not selected from 4-[5-(2-isopropyl-5-methylcyclohexyloxymethyl)-1,2-4-oxadiazol-3-yl]-1H-pyrrolo[2,3-b]pyridine; 4-[5-(4-tert-butylphenoxymethyl)-1,2-4-oxadiazol-3-yl]-1H-pyrrolo[2,3-b]pyridine; 4-[5-cyclopentylethyl-1,2-4-oxadiazol-3-yl]-1H-pyrrolo[2,3-b]pyridine; 4-[5-(2,6-difluorophenyl)-1,2-4-oxadiazol-3-yl]-1H-pyrrolo[2,3-b]pyridine; 4-[5-(1-tert-butyl-3-methyl-1H-pyrazol-5-yl)-1,2-4-oxadiazol-3-yl]-1H-pyrrolo[2,3-b]pyridine; 4-[5-(benzyloxymethyl)-1,2-4-oxadiazol-3-yl]-1H-pyrrolo[2,3-b]pyridine; 4-[5-(3-fluorophenyl)-1,2-4-oxadiazol-3-yl]-1H-pyrrolo[2,3-b]pyridine; 4-[5-(phenoxymethyl)-1,2-4-oxadiazol-3-yl]-1H-pyrrolo[2,3-b]pyridine; 4-[5-(4-methoxybenzyl)-1,2-4-oxadiazol-3-yl]-1H-pyrrolo[2,3-b]pyridine; 4-[5-(phenylthiomethyl)-1,2-4-oxadiazol-3-yl]-1H-pyrrolo[2,3-b]pyridine; 4-[5-(3-methylbutyl)-1,2-4-oxadiazol-3-yl]-1H-pyrrolo[2,3-b]pyridine; 4-[5-benzyl-1,2-4-oxadiazol-3-yl]-1H-pyrrolo[2,3-b]pyridine; 4-[5-(2,2-dimethylpropyl)-1,2-4-oxadiazol-3-yl]-1H-pyrrolo[2,3-b]pyridine; 4-[5-methyl-1,2-4-oxadiazol-3-yl]-1H-pyrrolo[2,3-b]pyridine; 4-[5-(formyl)-1,2-4-oxadiazol-3-yl]-1H-pyrrolo[2,3-b]pyridine; 4-[5-(furan-2-yl)-1,2-4-oxadiazol-3-yl]-1H-pyrrolo[2,3-b]pyridine; 4-[5-(1-methyl-1H-pyrrol-2-yl)-1,2-4-oxadiazol-3-yl]-1H-pyrrolo[2,3-b]pyridine; 4-[5-(sec-butyl)-1,2-4-oxadiazol-3-yl]-1H-pyrrolo[2,3-b]pyridine; 4-[5-cyclopropyl-1,2-4-oxadiazol-3-yl]-1H-pyrrolo[2,3-b]pyridine; and pharmaceutically acceptable salts of any of the aforementioned.

2 . A method according to claim 1 , wherein said dry eye disorder is aqueous tear-deficient dry eye.

3 . A method according to claim 1 , wherein said dry eye disorder is evaporative dry eye.

4 . A method according to claim 1 , wherein said dry eye disorder is Sjogren syndrome dry eye.

5 . A method according to claim 1 , wherein said dry eye disorder is non-Sjogren syndrome dry eye.

6 . A method according to claim 1 , wherein said treating comprises ameliorating a symptom selected from eye discomfort, visual disturbance, tear film instability, tear hyperosmolarity, and inflammation of the ocular surface.

7 . A method according to any one of claims 1 to 6 , wherein said treating comprises administering a pharmaceutical composition to said patient, said composition comprising said agent and a pharmaceutically acceptable carrier.

8 . A method according to claim 7 , wherein said pharmaceutical composition is an oral dosage form.

9 . A method according to any one of claims 1 to 6 , wherein said treating comprises administering an ophthalmic composition to said patient, said composition comprising said agent and an ophthalmically acceptable carrier.

10 . A method according to claim 9 , wherein said ophthalmic composition is a topical composition.

11 . A method according to claim 9 , wherein said topical composition is an aqueous formulation, an aqueous suspension, an ointment or a gel.

12 . A method according to claim 9 , wherein said ophthalmic composition is an ophthalmic insert.

13 . A method according to claim 12 , wherein said ophthalmic insert comprises microspheres.

14 . A method according to claim 13 , wherein said microspheres are injected to the posterior segment of the eye, in the chroidal space, in the sclera, intravitreally or sub-retinally.

15 . A method according to claim 12 , wherein said ophthalmic insert comprises collagen, gelatin, or a polymer, wherein said polymer is selected from polycaprolactone (PCL), an ethylene/vinyl acetate copolymer (EVA), polyalkyl cyanoacralate, polyurethane, a nylon, poly(dl-lactide-co-glycolide) (PLGA), or a copolymer of any of the aforementioned.

16 . A method according to claim 12 , wherein said ophthalmic insert is implanted under the upper eyelid, in the posterior segment of the eye, in the chroidal space, in the sclera, intravitreally or sub-retinally.

17 . A method according to any one of claims 1 to 16 , further comprising administering at least one additional therapeutic agent.

18 . A method according to claim 17 , wherein said additional therapeutic agent is fluocinolone acetonide, rimexolone, cyclosporine, riaminolone, dexamethasone, fluocinolone, cortisone, prednisolone, flumetholone, civamide, testosterone, ecabet sodium, 15-(s)-hydroxyeicosatetraenoic acid, 2S,3S,4R,5R)-3,4-dihydroxy-5-[6-[(3-iodophenyl)methylamino]purin-9-yl]-N-methyl-oxolane-2-carboxamide, gefarnate, cevilemine, doxycline, minocycline, oxytetracycline, voclosporin, rivoglitazone, lacritin rebamipide, pilocarpine, tacrolimus, pimecrolimus, loteprednol etabonate, rituximab, diquafosol tetrasodium, dehydroepiandrosterone, anakinra, efalizumab, mycophenolate sodium, etanercept, hydroxychloroquine, or thalidomide.

19 . A method according to claim 18 , wherein said additional therapeutic agent is sodium hyaluronate, hyaluronic acid, polyvinylalcohol, hydroxypropyl methylcellulose, glycerin, polyethylene glycol, or carboxymethyl cellulose.

20 . A method according to any one of claims 1 to 19 , wherein said agent is selected from compounds of Formula I:

and pharmaceutically acceptable salts thereof.

21 . A method according to claim 20 , wherein n is 1 and Y is C 1-8 alkylene optionally substituted with 1, 2, or 3 substituents independently selected from D 4 .

22 . A method according to claim 20 , wherein n is 1 and Y is C 1-8 alkylene optionally substituted with 1, 2, or 3 halo, OH, CN, amino, C 1-4 alkylamino, or C 2-8 dialkylamino.

23 . A method according to claim 20 , wherein n is 1 and Y is C 1-8 alkylene optionally substituted with cyano.

24 . A method according to any one of claims 20 to 23 , wherein Z is cyclopropyl, cyclobutyl, cyclopentyl, cyclohexyl, or cycloheptyl, each optionally substituted with 1, 2, 3, 4, 5, or 6 substituents selected from halo, C 1-4 alkyl, C 2-4 alkenyl, C 2-4 alkynyl, C 1-4 haloalkyl, halosulfanyl, C 1-4 hydroxyalkyl, C 1-4 cyanoalkyl, Cy 1 , CN, NO 2 , OR a , SR a , C(O)R b , C(O)NR c R d , C(O)OR a , OC(O)R b , OC(O)NR c R d , NR c R d , NR c C(O)R b , NR c C(O)NR c R d , NR c C(O)OR a , C(═NR i )NR c R d , NR c C(═NR i )NR c R d , S(O)R b , S(O)NR c R d , S(O) 2 R b , NR c S(O) 2 R b , and S(O) 2 NR c R d .

25 . A method according to any one of claims 20 to 23 , wherein Z is cyclopentyl, which is optionally substituted with 1, 2, 3, 4, 5, or 6 substituents selected from halo, C 1-4 alkyl, C 2-4 alkenyl, C 2-4 alkynyl, C 1-4 haloalkyl, halosulfanyl, C 1-4 hydroxyalkyl, C 1-4 cyanoalkyl, Cy 1 , CN, NO 2 , OR a , SR a , C(O)R b , C(O)NR c R d , C(O)OR a , OC(O)R b , OC(O)NR c R d , NR c R d , NR c C(O)R b , NR c C(O)NR c R d , NR c C(O)OR a , C(═NR i )NR c R d , NR c C(═NR i )NR c R d , S(O)R b , S(O)NR c R d , S(O) 2 R b , NR c S(O) 2 R b , and S(O) 2 NR c R d .

26 . A method according to any one of claims 20 to 23 , wherein Z is cyclopentyl.

27 . A method according to any one of claims 20 to 26 , wherein X is N.

28 . A method according to any one of claims 20 to 27 , wherein A 1 is C.

29 . A method according to any one of claims 20 to 28 , wherein A 2 is N.

30 . A method according to any one of claims 20 to 29 , wherein T is N.

31 . A method according to any one of claims 20 to 30 , wherein U and V are independently CR 5 .

32 . A method according to any one of claims 20 to 31 , wherein R 1 , R 2 , R 3 , and R 4 are each H.

33 . A method according to any one of claims 20 to 32 , wherein the 5-membered ring formed by A 1 , A 2 , U, T, and V is selected from:

34 . A method according to any one of claims 20 to 32 , wherein said agent is selected from compounds having Formula Il:

and pharmaceutically acceptable salts thereof.

35 . A method according to any one of claims 20 to 32 , wherein the moiety formed by T, U, V, A 1 , and A 2 is not the following moiety:

36 . A method according to claim 20 , wherein said agent is selected from 3-cyclopentyl-3-[4-(7H-pyrrolo[2,3-d]pyrimidin-4-yl)-1H-pyrazol-1-yl]propanenitrile and pharmaceutically acceptable salts thereof.

37 . A method according to claim 20 , wherein said agent is selected from (3R)-3-cyclopentyl-3-[4-(7H-pyrrolo[2,3-d]pyrimidin-4-yl)-1H-pyrazol-1-yl]propanenitrile and pharmaceutically acceptable salts thereof.

38 . A method according to any one of claims 1 to 19 , wherein said agent is selected from compounds of Formula II:

and pharmaceutically acceptable salts thereof.

39 . A method according to claim 38 , wherein L a is SO 2 .

40 . A method according to claim 38 or 39 , wherein R 1a is C 1-4 alkyl.

41 . A method according to claim 38 or 39 , wherein R 1a is ethyl.

42 . A method according to claim 38 , wherein said agent is selected from {1-(Ethylsulfonyl)-3-[4-(7H-pyrrolo[2,3-d]pyrimidin-4-yl)-1H-pyrazol-1-yl]azetidin-3-yl}acetonitrile and pharmaceutically acceptable salts thereof.

43 . A method according to claim 38 , wherein said agent is {1-(Ethylsulfonyl)-3-[4-(7H-pyrrolo[2,3-d]pyrimidin-4-yl)-1H-pyrazol-1-yl]azetidin-3-yl}acetonitrile phosphoric acid salt.

44 . A method according to any one of claims 1 to 19 , wherein said agent is selected from compounds of Formula III:

and pharmaceutically acceptable salts thereof.

45 . A method according to claim 44 , wherein one of R 5a and R 6a is H and the other is selected from H, F, CN, OH, C 1-4 alkyl, benzyloxy, C 2-8 dialkylaminosulfonyl, and 5-membered heteroaryl, wherein said alkyl is optionally substituted by 1, 2, or 3 substituents selected from F, OH, CN, and C 1-4 alkoxy, and wherein said 5-membered heteroaryl is optionally substituted with C 1-4 alkyl.

46 . A method according to claim 44 , wherein R 5a and R 6a are independently selected from H and CN.

47 . A method according to claim 44 , wherein said agent is selected from 3-(cyanomethyl)-3-[4-(7H-pyrrolo[2,3-d]pyrimidin-4-yl)-1H-pyrazol-1-yl]cyclobutanecarbonitrile and pharmaceutically acceptable salts thereof.

48 . A method according to claim 44 , wherein said agent is selected from cis-3-(cyanomethyl)-3-[4-(7H-pyrrolo[2,3-d]pyrimidin-4-yl)-1H-pyrazol-1-yl]cyclobutanecarbonitrile and pharmaceutically acceptable salts thereof.

49 . A method according to claim 44 , wherein said agent is selected from trans-3-(cyanomethyl)-3-[4-(7H-pyrrolo[2,3-d]pyrimidin-4-yl)-1H-pyrazol-1-yl]cyclobutanecarbonitrile and pharmaceutically acceptable salts thereof.

50 . An ophthalmic insert comprising a therapeutically effective amount of an agent selected from:

(a) compounds of Formula I:

wherein:

A 1 and A 2 are independently selected from C and N;

T, U, and V are independently selected from O, S, N, CR 5 , and NR 6 ;

wherein the 5-membered ring formed by A 1 , A 2 , U, T, and V is aromatic;

X is N or CR 4 ;

Y is C 1-8 alkylene, C 2-8 alkenylene, C 2-8 alkynylene, (CR 11 R 12 ) p —(C 3-10 cycloalkylene)-(CR 11 R 12 ) q , (CR 11 R 12 ) p -(arylene)-(CR 11 R 12 ) q , (CR 11 R 12 ) p —(C 1-10 heterocycloalkylene)-(CR 11 R 12 ) q , (CR 11 R 12 ) p -(heteroarylene)-(CR 11 R 12 ) q , (CR 11 R 12 ) p O(CR 11 R 12 ) q , (CR 11 R 12 ) p S(CR 11 R 12 ) q , (CR 11 R 12 ) p C(O)(CR 11 R 12 ) q , (CR 11 R 12 ) p C(O)NR c (CR 11 R 12 ) q , (CR 11 R 12 ) p C(O)O(CR 11 R 12 ) q , (CR 11 R 12 ) p OC(O)(CR 11 R 12 ) q , (CR 11 R 12 ) p OC(O)NR(CR 11 R 12 ) q , (CR 11 R 12 ) p NR c (CR 11 R 12 ) q , (CR 11 R 12 ) p NR c C(O)NR d (CR 11 R 12 ) q , (CR 11 R 12 ) p S(O)(CR 11 R 12 ) q , (CR 11 R 12 ) p S(O)NR c C(CR 11 R 12 ) q , (CR 11 R 12 ) p S(O) 2 (CR 11 R 12 ) q , or (CR 11 R 12 ) p S(O) 2 NR c (CR 11 R 12 ) q , wherein said C 1-8 alkylene, C 2-8 alkenylene, C 2-8 alkynylene, cycloalkylene, arylene, heterocycloalkylene, or heteroarylene, is optionally substituted with 1, 2, or 3 substituents independently selected from -D 1 -D 2 -D 3 -D 4 ;

Z is H, halo, C 1-8 alkyl, C 2-8 alkenyl, C 2-8 alkynyl, C 1-4 haloalkyl, halosulfanyl, C 1-4 hydroxyalkyl, C 1-4 cyanoalkyl, ═C—R, ═N—R, Cy 1 , CN, NO 2 , OR a , SR a , C(O)R b , C(O)NR c R d , C(O)OR a , OC(O)R b , OC(O)NR c R d , NR c R d , NR c C(O)R b , NR c C(O)NR c R d , NR c C(O)OR a , C(═NR i )NR c R d , NR c C(═NR i )NR c R d , S(O)R b , S(O)NR c R d , S(O) 2 R b , NR c S(O) 2 R b , C(═NOH)R b , C(═NO(C 1-6 alkyl)R b , and S(O) 2 NR c R d , wherein said C 1-s alkyl, C 2-8 alkenyl, or C 2-8 alkynyl, is optionally substituted with 1, 2, 3, 4, 5, or 6 substituents independently selected from halo, C 1-4 alkyl, C 2-4 alkenyl, C 2-4 alkynyl, C 1-4 haloalkyl, halosulfanyl, C 1-4 hydroxyalkyl, C 1-4 cyanoalkyl, Cy 1 , CN, NO 2 , OR a , SR a , C(O)R b , C(O)NR c R d , C(O)OR a , OC(O)R b , OC(O)NR c R d , NR c R d , NR c C(O)R b , NR c C(O)NR c R d , NR c C(O)OR a , C(═NR i )NR c R d , NR c C(═NR i )NR c R d , S(O)R b , S(O)NR c R d , S(O) 2 R b , NR c S(O) 2 R b , C(═NOH)R b , C(═NO(C 1-6 alkyl))R b , and S(O) 2 NR c R d ;

wherein when Z is H, n is 1;

W is C 1-8 alkylenyl, C 2-8 alkenylenyl, C 2-8 alkynylenyl, O, S, C(O), C(O)NR c′ , C(O)O, OC(O), OC(O)NR c′ , NR c′ , NR c′ C(O)NR d′ , S(O), S(O)NR c′ , S(O) 2 , or S(O) 2 NR c′ ;

Cy 1 and Cy 2 are independently selected from aryl, heteroaryl, cycloalkyl, and heterocycloalkyl, each optionally substituted by 1, 2, 3, 4 or 5 substituents independently selected from halo, C 1-4 alkyl, C 2-4 alkenyl, C 2-4 alkynyl, C 1-4 haloalkyl, halosulfanyl, C 1-4 hydroxyalkyl, C 1-4 cyanoalkyl, CN, NO 2 , OR a″ , SR a″ , C(O)R b″ , C(O)NR c″ R d″ , C(O)OR a″ , OC(O)R b″ , OC(O)NR c″ R d″ , NR c″ R d″ , NR c″ C(O)R b″ , NR c″ C(O)OR a″ , NR c″ S(O)R b″ , NR c″ s(O) 2 R b″ , S(O)R b″ , S(O)NR c″ R d″ , S(O) 2 R b″ , and S(O) 2 NR c″ R d″ ;

R 1 , R 2 , R 3 , and R 4 are independently selected from H, halo, C 1-4 alkyl, C 2-4 alkenyl, C 2-4 alkynyl, C 1-4 haloalkyl, halosulfanyl, aryl, cycloalkyl, heteroaryl, heterocycloalkyl, CN, NO 2 , OR 7 , SR 7 , C(O)R S , C(O)NR 9 R 10 , C(O)OR 7 , OC(O)R 8 , OC(O)NR 9 R 10 , NR 9 R 10 , NR 9 C(O)R 8 , NR c C(O)OR 7 , S(O)R 8 , S(O)NR 9 R 10 , S(O) 2 R 8 , NR 9 S(O) 2 R 8 , and S(O) 2 NR 9 R 10 ;

R 5 is H, halo, C 1-4 alkyl, C 2-4 alkenyl, C 2-4 alkynyl, C 1-4 haloalkyl, halosulfanyl, CN, NO 2 , OR 7 , SR 7 , C(O)R S , C(O)NR 9 R 10 , C(O)OR 7 , OC(O)R 8 , OC(O)NR 9 R 10 , NR 9 R 10 , NR 9 C(O)R 8 , NR 9 C(O)OR 7 , S(O)R 8 , S(O)NR 9 R 10 , S(O) 2 R 8 , NR 9 S(O) 2 R 8 , or S(O) 2 NR 9 R 10 ;

R 6 is H, C 1-4 alkyl, C 2-4 alkenyl, C 2-4 alkynyl, C 1-4 haloalkyl, OR 7 , C(O)R 8 , C(O)NR 9 R 10 , C(O)OR 7 , S(O)R 8 , S(O)NR 9 R 10 , S(O) 2 R 8 , or S(O) 2 NR 9 R 10 ;

R 7 is H, C 1-6 alkyl, C 1-6 haloalkyl, C 2-6 alkenyl, C 2-6 alkynyl, aryl, cycloalkyl, heteroaryl, heterocycloalkyl, arylalkyl, heteroarylalkyl, cycloalkylalkyl or heterocycloalkylalkyl;

R 8 is H, C 1-6 alkyl, C 1-6 haloalkyl, C 2-6 alkenyl, C 2-6 alkynyl, aryl, cycloalkyl, heteroaryl, heterocycloalkyl, arylalkyl, heteroarylalkyl, cycloalkylalkyl or heterocycloalkylalkyl;

or R 9 and R 10 together with the N atom to which they are attached form a 4-, 5-, 6- or 7-membered heterocycloalkyl group;

R 11 and R 12 are independently selected from H and -E 1 -E 2 -E 3 -E 4 ;

R a′ and R a″ are independently selected from H, C 1-6 alkyl, C 1-6 haloalkyl, C 2-6 alkenyl, C 2-6 alkynyl, aryl, cycloalkyl, heteroaryl, heterocycloalkyl, arylalkyl, heteroarylalkyl, cycloalkylalkyl and heterocycloalkylalkyl, wherein said C 1-6 alkyl, C 1-6 haloalkyl, C 2-6 alkenyl, C 2-6 alkynyl, aryl, cycloalkyl, heteroaryl, heterocycloalkyl, arylalkyl, heteroarylalkyl, cycloalkylalkyl or heterocycloalkylalkyl is optionally substituted with 1, 2, or 3 substituents independently selected from OH, CN, amino, halo, C 1-6 alkyl, C 1-6 haloalkyl, halosulfanyl, aryl, arylalkyl, heteroaryl, heteroarylalkyl, cycloalkyl and heterocycloalkyl;

R i is H, CN, NO 2 , or C 1-6 alkyl;

R e and R f are independently selected from H and C 1-6 alkyl;

R i is H, CN, or NO 2 ;

m is 0 or 1;

n is 0 or 1;

p is 0, 1, 2, 3, 4, 5, or 6;

q is 0, 1, 2, 3, 4, 5 or 6;

r is O or 1; and

s is 0 or 1;

wherein when X is N, n is 1, and the moiety formed by A 1 , A 2 , U, T, V, and —(Y) n —Z has the formula:

then Y is other than (CR 11 R 12 ) p C(O)NR c (CR 11 R 12 ) q ;

(b) compounds of Formula II:

wherein:

L a is SO 2 or CO;

R 2a and R 3a are independently selected from H, C 1-4 alkyl, and phenyl; and

R 4a is C 1-6 alkyl, phenyl, or benzyl;

wherein:

and pharmaceutically acceptable salts thereof;

51 . A kit for treatment of dry eye disorder, comprising an ophthalmic or pharmaceutical composition and instructions;

wherein said composition comprises a therapeutically effective amount of an agent selected from:

(a) compounds of Formula I:

wherein:

A 1 and A 2 are independently selected from C and N;

T, U, and V are independently selected from O, S, N, CR 5 , and NR 6 ;

wherein the 5-membered ring formed by A 1 , A 2 , U, T, and V is aromatic;

X is N or CR 4 ;

Y is C 1-8 alkylene, C 2-8 alkenylene, C 2-8 alkynylene, (CR 11 R 12 ) p —(C 3-10 cycloalkylene)-(CR 11 R 12 ) q , (CR 11 R 12 ) p -(arylene)-(CR 11 R 12 ) q , (CR 11 R 12 ) p —(C 1-10 heterocycloalkylene)-(CR 11 R 12 ) q , (CR 11 R 12 ) p -(heteroarylene)-(CR 11 R 12 ) q , (CR 11 R 12 ) p O(CR 11 R 12 ) q , (CR 11 R 12 ) p S(CR 11 R 12 ) q , (CR 11 R 12 ) p C(O)(CR 11 R 12 ) q , (CR 11 R 12 ) p C(O)NR c C(CR 11 R 12 ) q , (CR 11 R 12 ) p C(O)O(CR 11 R 12 ) q , (CR 11 R 12 ) p OC(O)(CR 11 R 12 ) q , (CR 11 R 12 ) p OC(O)NR c C(CR 11 R 12 ) q , (CR 11 R 12 ) p NR c (CR 11 R 12 ) q , (CR 11 R 12 ) p NR c C(O)NR d (CR 11 R 12 ) q , (CR 11 R 12 ) p S(O)(CR 11 R 12 ) q , (CR 11 R 12 ) p S(O)NR c C(CR 11 R 12 ) q , (CR 11 R 12 ) p S(O) 2 (CR 11 R 12 ) q , or (CR 11 R 12 ) p S(O) 2 NR c (CR 11 R 12 ) q , wherein said C 1-8 alkylene, C 2-8 alkenylene, C 2-8 alkynylene, cycloalkylene, arylene, heterocycloalkylene, or heteroarylene, is optionally substituted with 1, 2, or 3 substituents independently selected from -D 1 -D 2 -D 3 -D 4 ;

wherein when Z is H, n is 1;

W is C 1-8 alkylenyl, C 2-8 alkenylenyl, C 2-8 alkynylenyl, O, S, C(O), C(O)NR c′ , C(O)O, OC(O), OC(O)NR c′ , NR c′ , NR c′ C(O)NR d′ , S(O), S(O)NR c′ , S(O) 2 , or S(O) 2 NR c′ ;

R 1 , R 2 , R 3 , and R 4 are independently selected from H, halo, C 1-4 alkyl, C 2-4 alkenyl, C 2-4 alkynyl, C 1-4 haloalkyl, halosulfanyl, aryl, cycloalkyl, heteroaryl, heterocycloalkyl, CN, NO 2 , OR 7 , SR 7 , C(O)R S , C(O)NR 9 R 10 , C(O)OR 7 , OC(O)R 8 , OC(O)NR 9 R 10 , NR 9 R 10 , NR 9 C(O)R 8 , NR c C(O)OR 7 , S(O)R 8 , S(O)NR 9 R 10 , S(O) 2 R 8 , NR 9 S(O) 2 R 8 , and S(O) 2 NR 9 R 10 ;

R 6 is H, C 1-4 alkyl, C 2-4 alkenyl, C 2-4 alkynyl, C 1-4 haloalkyl, OR 7 , C(O)R 8 , C(O)NR 9 R 10 , C(O)OR 7 , S(O)R 8 , S(O)NR 9 R 10 , S(O) 2 R 8 , or S(O) 2 NR 9 R 10 ;

R 7 is H, C 1-6 alkyl, C 1-6 haloalkyl, C 2-6 alkenyl, C 2-6 alkynyl, aryl, cycloalkyl, heteroaryl, heterocycloalkyl, arylalkyl, heteroarylalkyl, cycloalkylalkyl or heterocycloalkylalkyl;

R 8 is H, C 1-6 alkyl, C 1-6 haloalkyl, C 2-6 alkenyl, C 2-6 alkynyl, aryl, cycloalkyl, heteroaryl, heterocycloalkyl, arylalkyl, heteroarylalkyl, cycloalkylalkyl or heterocycloalkylalkyl;

or R 9 and R 10 together with the N atom to which they are attached form a 4-, 5-, 6- or 7-membered heterocycloalkyl group;

R 11 and R 12 are independently selected from H and -E 1 -E 2 -E 3 -E 4 ;

D 4 and E 4 are independently selected from H, halo, C 1-4 alkyl, C 2-4 alkenyl, C 2-4 alkynyl, C 1-4 haloalkyl, halosulfanyl, C 1-4 hydroxyalkyl, C 1-4 cyanoalkyl, Cy 1 , CN, NO 2 , OR a , SR a , C(O)R b , C(O)NR c R d , C(O)OR a , OC(O)R b , OC(O)NR c R d , NR c R d , NR c C(O)R b , NR c C(O)NR c R d , NR c C(O)OR a , C(═NR i )NR c R d , NR c C(═NR i )NR c R d , S(O)R b , S(O)NR c R d , S(O) 2 R b , NR c S(O) 2 R b , C(═NOH)R b , C(═NO(C 1-6 alkyl)R b , and S(O) 2 NR c R d , wherein said C 1 -8 alkyl, C 2-8 alkenyl, or C 2-8 alkynyl, is optionally substituted with 1, 2, 3, 4, 5, or 6 substituents independently selected from halo, C 1-4 alkyl, C 2-4 alkenyl, C 2-4 alkynyl, C 1-4 haloalkyl, halosulfanyl, C 1-4 hydroxyalkyl, C 1-4 cyanoalkyl, Cy 1 , CN, NO 2 , OR a , SR a , C(O)R b , C(O)NR c R d , C(O)OR a , OC(O)R b , OC(O)NR c R d , NR c R d , NR c C(O)R b , NR c C(O)NR c R d , NR c C(O)OR a , C(═NR i )NR c R d , NR c C(═NR i )NR c R d , S(O)R b , S(O)NR c R d , S(O) 2 R b , NR c S(O) 2 R b , C(═NOH)R b , C(═NO(C 1-6 alkyl))R b , and S(O) 2 NR c R d ;

R i is H, CN, NO 2 , or C 1-6 alkyl;

R e and R f are independently selected from H and C 1-6 alkyl;

R i is H, CN, or NO 2 ;

m is 0 or 1;

n is 0 or 1;

p is 0, 1, 2, 3, 4, 5, or 6;

q is 0, 1, 2, 3, 4, 5 or 6;

r is O or 1; and

s is 0 or 1;

wherein when X is N, n is 1, and the moiety formed by A 1 , A 2 , U, T, V, and —(Y) n —Z has the formula:

then Y is other than (CR 11 R 12 ) p C(O)NR c (CR 11 R 12 ) q ;

(b) compounds of Formula II:

wherein:

L a is SO 2 or CO;

R 2a and R 3a are independently selected from H, C 1-4 alkyl, and phenyl; and

R 4a is C 1-6 alkyl, phenyl, or benzyl;

wherein:

and pharmaceutically acceptable salts thereof;

and wherein said instructions comprise a direction to administer said composition to a patient in need of treatment of said dry eye disorder.

52 . Use of an agent for the preparation of a medicament for the treatment of an dry eye disorder; wherein said agent is selected from:

(a) compounds of Formula I:

wherein:

A 1 and A 2 are independently selected from C and N;

T, U, and V are independently selected from O, S, N, CR S , and NR 6 ;