Bicyclic bromodomain inhibitors

1. A compound of Formula IIc′″:

or a stereoisomer, tautomer, pharmaceutically acceptable salt, or hydrate thereof, wherein:

the A-B bicyclic ring is optionally substituted with one or more groups independently selected from deuterium, —NH 2 , amino, heterocycle(C 4 -C 6 ), carbocycle(C 4 -C 6 ), halogen, —CN, —OH, —CF 3 , alkyl(C 1 -C 6 ), thioalkyl(C 1 -C 6 ), alkenyl(C 1 -C 6 ), and alkoxy(C 1 -C 6 );

D 1 is

X is selected from —CH 2 — and —CH(CH 3 )—; and

R 4 is a phenyl ring optionally substituted with groups independently selected from deuterium, alkyl(C 1 -C 4 ), alkoxy(C 1 -C 4 ), halogen, —CF 3 , CN, and -thioalkyl(C 1 -C 4 ), wherein each alkyl, alkoxy, and thioalkyl may be optionally substituted with F, Cl, or Br.

2. The compound according to claim 1 , or a stereoisomer, tautomer, pharmaceutically acceptable salt, or hydrate thereof, wherein the A-B bicyclic ring is substituted with one or more groups independently selected from deuterium, methyl, and halogen.

3. The compound according to claim 1 , or a stereoisomer, tautomer, pharmaceutically acceptable salt, or hydrate thereof, wherein R 4 is a phenyl ring optionally substituted with one or more of the following groups:

alkyl(C 1 -C 4 ) selected from methyl, ethyl, propyl, isopropyl, and butyl;

alkoxy(C 1 -C 4 ) selected from methoxy, ethoxy, and isopropoxy;

halogen selected from F and Cl; and

thioalkyl(C 1 -C 4 ) selected from —SMe, —SEt, —SPr, and —SBu.

4. The compound according to claim 2 , or a stereoisomer, tautomer, pharmaceutically acceptable salt, or hydrate thereof, wherein R 4 is a phenyl ring optionally substituted with one or more of the following groups:

alkyl(C 1 -C 4 ) selected from methyl, ethyl, propyl, isopropyl, and butyl;

alkoxy(C 1 -C 4 ) selected from methoxy, ethoxy, and isopropoxy;

halogen selected from F and Cl; and

thioalkyl(C 1 -C 4 ) selected from —SMe, —SEt, —SPr, and —SBu.

5. The compound according to claim 1 , or a stereoisomer, tautomer, pharmaceutically acceptable salt, or hydrate thereof, wherein R 4 is phenyl or 4-methoxyphenyl.

6. The compound according to claim 2 , or a stereoisomer, tautomer, pharmaceutically acceptable salt, or hydrate thereof, wherein R 4 is phenyl or 4-methoxyphenyl.

7. The compound according to claim 1 , selected from:

4-amino-1-benzyl-6-(3,5-dimethylisoxazol-4-yl)-1H-benzo[d]imidazol-2(3H)-one;

4-amino-1-(4-chlorobenzyl)-6-(3,5-dimethylisoxazol-4-yl)-1H-benzo[d]imidazol-2(3H)-one;

4-amino-6-(3,5-dimethylisoxazol-4-yl)-1-(4-methoxybenzyl)-1H-benzo[d]imidazol-2(3H)-one;

4-amino-6-(3,5-dimethylisoxazol-4-yl)-1-(1-phenylethyl)-1H-benzo[d]imidazol-2(3H)-one;

4-amino-1-benzyl-6-(3,5-dimethylisoxazol-4-yl)-3-methyl-1H-benzo[d]imidazol-2(3H)-one;

(S)-4-amino-6-(3,5-dimethylisoxazol-4-yl)-1-(1-phenylethyl)-1H-benzo[d]imidazol-2(3H)-one; and

(R)-4-amino-6-(3,5-dimethylisoxazol-4-yl)-1-(1-phenylethyl)-1H-benzo[d]imidazol-2(3H)-one,

or a stereoisomer, tautomer, pharmaceutically acceptable salt, or hydrate thereof.

8. A pharmaceutical composition comprising a compound of claim 1 or a stereoisomer, tautomer, pharmaceutically acceptable salt, or hydrate thereof, and a pharmaceutically acceptable carrier.

9. A pharmaceutical composition comprising a compound of claim 2 or a stereoisomer, tautomer, pharmaceutically acceptable salt, or hydrate thereof, and a pharmaceutically acceptable carrier.

10. A method for treating a disease or disorder selected from an autoimmune disease or disorder, an inflammatory disease or disorder, a cancer, a benign proliferative or fibrotic disorder, a cardiovascular disease or disorder, a metabolic disease or disorder, HIV, and a neurological disease or disorder, comprising administering a therapeutically effective amount of a compound or a stereoisomer, tautomer, pharmaceutically acceptable salt, or hydrate thereof according to claim 1 .

11. The method according to claim 10 , wherein the autoimmune disease or disorder is selected from Acute Disseminated Encephalomyelitis, Agammaglobulinemia, Allergic Disease, Ankylosing spondylitis, Anti-GBM/Anti-TBM nephritis, Anti-phospholipid syndrome, Autoimmune aplastic anemia, Autoimmune hepatitis, Autoimmune inner ear disease, Autoimmune myocarditis, Autoimmune pancreatitis, Autoimmune retinopathy, Autoimmune thrombocytopenic purpura, Behcet's Disease, Bullous pemphigoid, Castleman's Disease, Celiac Disease, Churg-Strauss syndrome, Crohn's Disease, Cogan's syndrome, Dry eye syndrome, Essential mixed cryoglobulinemia, Dermatomyositis, Devic's Disease, Encephalitis, Eosinophlic esophagitis, Eosinophilic fasciitis, Erythema nodosum, Giant cell arteritis, Glomerulonephritis, Goodpasture's syndrome, Granulomatosis with Polyangiitis (Wegener's), Graves' Disease, Guillain-Barre syndrome, Hashimoto's thyroiditis, Hemolytic anemia, Henoch-Schonlein purpura, IgA nephropathy, Inclusion body myositis, Type I diabetes, Interstitial cystitis, Kawasaki's Disease, Leukocytoclastic vasculitis, Lichen planus, Systemic lupus erythematosus (SLE), Microscopic polyangitis, Multiple sclerosis, Myasthenia gravis, myositis, Optic neuritis, Pemphigus, POEMS syndrome, Polyarteritis nodosa, Primary biliary cirrhosis, Psoriasis, Psoriatic arthritis, Pyoderma gangrenosum, Relapsing polychondritis, Rheumatoid arthritis, Sarcoidosis, Scleroderma, Sjogren's syndrome, Takayasu's arteritis, Transverse myelitis, Ulcerative colitis, Uveitis, and Vitiligo.

12. The method according to claim 10 , wherein the inflammatory disease or disorder is selected from sinusitis, pneumonitis, osteomyelitis, gastritis, enteritis, gingivitis, appendicitis, irritable bowel syndrome, tissue graft rejection, chronic obstructive pulmonary disease (COPD), septic shock, toxic shock syndrome, SIRS, bacterial sepsis, osteoarthritis, acute gout, acute lung injury, acute renal failure, burns, Herxheimer reaction, and SIRS associated with viral infections.

13. The method according to claim 10 , wherein the disease or disorder is a cancer.

14. The method according to claim 13 , wherein the cancer is selected from B-acute lymphocytic leukemia, Burkitt's lymphoma, diffuse large cell lymphoma, multiple myeloma, primary plasma cell leukemia, atypical carcinoid lung cancer, bladder cancer, breast cancer, cervix cancer, colon cancer, gastric cancer, glioblastoma, hepatocellular carcinoma, large cell neuroendocrine carcinoma, medulloblastoma, melanoma, nodular melanoma, neuroblastoma, esophageal squamous cell carcinoma, osteosarcoma, ovarian cancer, prostate cancer, renal clear cell carcinoma, retinoblastoma, rhabdomyosarcoma, small cell lung carcinoma, NUT midline carcinoma, B-cell lymphoma, non-small cell lung cancer, head and neck squamous cell carcinoma, chronic lymphocytic leukemia, follicular lymphoma, diffuse large B cell lymphoma with germinal center phenotype, Hodgkin's lymphoma, activated anaplastic large cell lymphoma, primary neuroectodermal tumor, pancreatic cancer, adenoid cystic carcinoma, T-cell prolymphocytic leukemia, malignant glioma, thyroid cancer, Barret's adenocarcinoma, hepatoma, pro-myelocytic leukemia, and mantle cell lymphoma.

15. The method according to claim 13 , wherein the cancer:

(a) exhibits overexpression, translocation, amplification, or rearrangement of a myc family oncoprotein;

(b) results from aberrant regulation of BET proteins;

(c) relies on pTEFb (Cdk9/cyclin T) and BET proteins to regulate oncogenes;

(d) is associated with upregulation of BET responsive genes CDK6, Bcl2, TYRO3, MYB, and/or hTERT; and/or

(e) is associated with a viral infection.

16. The method according to claim 15 , wherein the cancer exhibits overexpression, translocation, amplification, or rearrangement of a myc family oncoprotein and is selected from B-acute lymphocytic leukemia, Burkitt's lymphoma, Diffuse large cell lymphoma, Multiple myeloma, Primary plasma cell leukemia, Atypical carcinoid lung cancer, Bladder cancer, Breast cancer, Cervix cancer, Colon cancer, Gastric cancer, Glioblastoma, Hepatocellular carcinoma, Large cell neuroendocrine carcinoma, Medulloblastoma, Nodular melanoma, Superficial spreading melanoma, Neuroblastoma, Esophageal squamous cell carcinoma, Osteosarcoma, Ovarian cancer, Prostate cancer, Renal clear cell carcinoma, Retinoblastoma, Rhabdomyosarcoma, and Small cell lung carcinoma.

17. The method according to claim 15 , wherein the cancer results from aberrant regulation of BET proteins and is selected from NUT midline carcinoma, B-cell lymphoma, non-small cell lung cancer, esophageal cancer, head and neck squamous cell carcinoma, and colon cancer.

18. The method according to claim 15 , wherein the cancer relies on pTEFb (Cdk9/cyclin T) and BET proteins to regulate oncogenes and is selected from chronic lymphocytic leukemia, multiple myeloma, follicular lymphoma, diffuse large B cell lymphoma with germinal center phenotype, Burkitt's lymphoma, Hodgkin's lymphoma, anaplastic large cell lymphoma, neuroblastoma, primary neuroectodermal tumor, rhabdomyosarcoma, prostate cancer, and breast cancer.

19. The method according to claim 15 , wherein the cancer is associated with upregulation of BET responsive genes CDK6, Bcl2, TYRO3, MYB, and/or hTERT and is selected from pancreatic cancer, breast cancer, colon cancer, glioblastoma, adenoid cystic carcinoma, T-cell prolymphocytic leukemia, malignant glioma, bladder cancer, medulloblastoma, thyroid cancer, melanoma, multiple myeloma, Barret's adenocarcinoma, hepatoma, prostate cancer, pro-myelocytic leukemia, chronic lymphocytic leukemia, mantle cell lymphoma, diffuse large B-cell lymphoma, small cell lung cancer, and renal carcinoma.

20. The method according to claim 15 , wherein the cancer is associated with a viral infection selected from Epstein-Barr Virus, hepatitis B virus, hepatitis C virus, Kaposi's sarcoma associated virus, human papilloma virus, Merkel cell polyomavirus, and human cytomegalovirus.

21. The method according to claim 10 , wherein the compound or a stereoisomer, tautomer, pharmaceutically acceptable salt, or hydrate thereof is administered in combination with another anticancer agent.

22. The method according to claim 21 , wherein the anticancer agent is selected from ABT-737, Azacitidine (Vidaza®), AZD1152 (Barasertib), AZD2281 (Olaparib), AZD6244 (Selumetinib), BEZ235, Bleomycin Sulfate, Bortezomib (Velcade®), Busulfan (Myleran®), Camptothecin, Cisplatin, Cyclophosphamide (Clafen®), CVT387, Cytarabine (AraC), Dacarbazine, DAPT (GSI-IX), Decitabine, Dexamethasone, Doxorubicin (Adriamycin®), Etoposide, Everolimus (RAD00I), Flavopiridol (Alvocidib), Ganetespib (STA-9090), Gefitinib (Iressa®), Idarubicin, Ifosfamide (Mitoxana), IFNa2a (Roferon® A), Melphalan (Alkeran®), Methazolastone (temozolomide), Metformin, Mitoxantrone (Novantrone®), Paclitaxel, Phenformin, PKC412 (Midostaurin), PLX4032 (Vemurafenib), Pomalidomide (CC-4047), Prednisone (Deltasone®), Rapamycin, Revlimid® (Lenalidomide), Ruxolitinib (INCB018424), Sorafenib (Nexavar®), SU11248 (Sunitinib), SU11274, Vinblastine, Vincristine (Oncovin®), Vinorelbine (Navelbine®), Vorinostat (SAHA), and WP1130 (Degrasyn).