IP Library Granted Patent US 11,680,060
Granted Patent B2
US 11,680,060 · App. 17/402,932 · Granted Jun 20, 2023

Bicycloheptane pyrrolidine orexin receptor agonists

Inventors: Stephane L. Bogen (Somerset, NJ); Dane James Clausen (Rahway, NJ); Deodial Guy Guiadeen (Chesterfield, NJ); Jinsong Hao (Belle Meade, NJ); Shishi Lin (Somerset, NJ); Michael T. Rudd (Collegeville, PA); Lan Wei (N. Berkeley Heights, NJ); Li Xiao (Cranbury, NJ); Dexi Yang (Livingston, NJ)
Assignee: Merck Sharp & Dohme LLC
C07D403/14C07D207/14C07D401/12C07D403/12C07D405/14C07D417/12C07D491/048
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Quick Facts
Patent No.
US 11,680,060
App. No.
17/402,932
Granted
Jun 20, 2023
Kind
B2
Abstract

The present invention is directed to bicyclo[4.1.0]heptane pyrrolidine compounds which are agonists of orexin receptors. The present invention is also directed to uses of the compounds described herein in the potential treatment or prevention of neurological and psychiatric disorders and diseases in which orexin receptors are involved. The present invention is also directed to compositions comprising these compounds. The present invention is also directed to uses of these compositions in the potential prevention or treatment of such diseases in which orexin receptors are involved.

Claims (219)

1. A compound of the formula I:

wherein:

wherein n is 0 or 1;

X is —O— or —NH—, or X may be a direct bond to R 1 ;

Y is O or CH 2 ;

R 1 is selected from:

(1) —C 1-6 alkyl, where the alkyl is unsubstituted or substituted with one to six substituents independently selected from R 4 ,

(2) —C 3-6 cycloalkyl, where the cycloalkyl is unsubstituted or substituted with one to six substituents independently selected from R 4 ; and

(3) -heterocyclyl, where the heterocyclyl is unsubstituted or substituted with one to three substituents independently selected from R 4 ;

R 2a and R 2b are selected from:

(1) hydrogen,

(2) —C 1-6 alkyl, where the alkyl is unsubstituted or substituted with one to six substituents independently selected from R 4 ,

(3) —C 3-6 cycloalkyl, where the cycloalkyl is unsubstituted or substituted with one to six substituents independently selected from R 4 ,

(4) -phenyl, where the phenyl is unsubstituted or substituted with one to three substituents independently selected from R 4 , and

(5) -heteroaryl, where the heteroaryl is selected from: pyridyl, pyrimidinyl, benzothiazolyl, thiazolyl and pyrazinyl, and the heteroaryl is unsubstituted or substituted with one to three substituents independently selected from R 4 ,

Provided that at least one of R 2a and R 2b is hydrogen;

R 2c and R 2d are independently selected from:

(1) hydrogen, and

(2) fluoro;

R 3 is selected from:

(1) —C 1-6 alkyl, where the alkyl is unsubstituted or substituted with one to six substituents independently selected from R 4 ,

(2) —C 3-6 cycloalkyl, where the cycloalkyl is unsubstituted or substituted with one to six substituents independently selected from R 4 ,

(3) -phenyl, where the phenyl is unsubstituted or substituted with one to three substituents independently selected from R 4 ,

(4) —NR 10 R 11 , wherein R 10 and R 11 are independently selected from:

(a) hydrogen, and

(b) C 1-6 alkyl, which is unsubstituted or substituted with one to six R 4 ,

(5) -heterocyclyl, where the heterocyclyl is unsubstituted or substituted with one to three substituents independently selected from R 4 ,

(6) —CHF 2 , and

(7) —CF 3 ;

R 4 is independently selected from:

(1) hydroxyl,

(2) halogen,

(3) C 1-6 alkyl, which is unsubstituted or substituted with one to six substituents independently selected from R 7 ,

(4) C 2-4 alkenyl,

(5) C 2-4 alkynyl,

(6) —C 3-6 cycloalkyl, which is unsubstituted or substituted with one to six substituents independently selected from R 7 ,

(7) —O—C 1-6 alkyl, where the alkyl is unsubstituted or substituted with one to six substituents independently selected from R 7 ,

(8) —O(C═O)—C 1-6 alkyl,

(9) —NH 2 ,

(10) —NH—C 1-6 alkyl,

(11) —NO 2 ,

(12) phenyl,

(13) —CO 2 H,

(14) —SO 2 —C 1-6 alkyl,

(15) —C 3-5 cycloalkyl(SO 2 ),

(16) —CN,

(17) -heterocyclyl, where the heterocyclyl is unsubstituted or substituted with one to three substituents independently selected from R 7 ,

(18) —CHF 2 , and

(19) —CF 3 ;

R 5 and R 6 are independently selected from:

(1) hydrogen,

(2) C 1-6 alkyl, where the alkyl is unsubstituted or substituted with one to six substituents independently selected from R 4 , and

(3) —C 3-6 cycloalkyl, where the cycloalkyl is unsubstituted or substituted with one to six substituents independently selected from R 4 ,

or R 5 and R 6 are joined together with the carbon atoms to which they are attached to form a —C 3-6 cycloalkyl ring, where the cycloalkyl is unsubstituted or substituted with one to six substituents independently selected from R 4 ;

R 7 is independently selected from:

(1) halogen,

(2) C 1-6 alkyl, which is unsubstituted or substituted with one to six substituents independently selected from halo, phenyl or cycloalkyl,

(3) —CHF 2 , and

(4) —CF 3 ;

or a pharmaceutically acceptable salt thereof.

2. The compound of claim 1 , or a pharmaceutically acceptable salt thereof, wherein\

wherein n is 0 or 1.

3. The compound of claim 1 , according to formula IA:

wherein:

X is —O— or —NH—, or X may be a direct bond to R 1 ;

R 1 is selected from:

(1) —C 1-6 alkyl, where the alkyl is unsubstituted or substituted with one to six substituents independently selected from R 4 , and

(2) —C 3-6 cycloalkyl, where the cycloalkyl is unsubstituted or substituted with one to six substituents independently selected from R 4 ;

R 2a and R 2b are selected from:

(1) hydrogen,

(2) —C 1-6 alkyl, where the alkyl is unsubstituted or substituted with one to six substituents independently selected from R 4 ,

(3) —C 3-6 cycloalkyl, where the cycloalkyl is unsubstituted or substituted with one to six substituents independently selected from R 4 ,

(4) -phenyl, where the phenyl is unsubstituted or substituted with one to three substituents independently selected from R 4 , and

(5) -heteroaryl, where the heteroaryl is selected from: pyridyl, pyrimidinyl, and pyrazinyl, and the heteroaryl is unsubstituted or substituted with one to three substituents independently selected from R 4 ;

Provided that at least one of R 2a and R 2b is hydrogen;

R 2c and R 2d are independently selected from:

(1) hydrogen, and

(2) fluoro;

R 3 is selected from:

(1) —C 1-6 alkyl, where the alkyl is unsubstituted or substituted with one to six substituents independently selected from R 4 ,

(2) —C 3-6 cycloalkyl, where the cycloalkyl is unsubstituted or substituted with one to six substituents independently selected from R 4 ,

(3) -phenyl, where the phenyl is unsubstituted or substituted with one to three substituents independently selected from R 4 , and

(4) —NR 10 R 11 , wherein R 10 and R 11 are independently selected from:

(a) hydrogen, and

(b) C 1-6 alkyl, which is unsubstituted or substituted with one to six R 4 ;

R 4 is independently selected from:

(1) hydroxyl,

(2) halogen,

(3) C 1-6 alkyl, which is unsubstituted or substituted with one to six substituents independently selected from R 7 ,

(4) C 2-4 alkenyl,

(5) C 2-4 alkynyl,

(6) —C 3-6 cycloalkyl, which is unsubstituted or substituted with one to six substituents independently selected from R 7 ,

(7) —O—C 1-6 alkyl, where the alkyl is unsubstituted or substituted with one to six substituents independently selected from R 7 ,

(8) —O(C═O)—C 1-6 alkyl,

(9) —NH 2 ,

(10) —NH—C 1-6 alkyl,

(11) —NO 2 ,

(12) phenyl,

(13) —CO 2 H,

(14) —SO 2 —C 1-6 alkyl,

(15) —C 3-5 cycloalkyl(SO 2 ),

(16) —CN,

(17) -heterocyclyl, where the heterocyclyl is unsubstituted or substituted with one to three substituents independently selected from R 7 ,

(18) —CHF 2 , and

(19) —CF 3 ;

R 5 and R 6 are independently selected from:

(1) hydrogen,

(2) C 1-6 alkyl, where the alkyl is unsubstituted or substituted with one to six substituents independently selected from R 4 , and

(3) —C 3-6 cycloalkyl, where the cycloalkyl is unsubstituted or substituted with one to six substituents independently selected from R 4 ,

or R 5 and R 6 are joined together with the carbon atoms to which they are attached to form a —C 3-6 cycloalkyl ring, where the cycloalkyl is unsubstituted or substituted with one to six substituents independently selected from R 4 ;

R 7 is independently selected from:

(1) halogen,

(2) C 1-6 alkyl, which is unsubstituted or substituted with one to six substituents independently selected from halo, phenyl or cycloalkyl,

(3) —CHF 2 , and

(4) —CF 3 ;

or a pharmaceutically acceptable salt thereof.

4. The compound of claim 1 or a pharmaceutically acceptable salt thereof wherein R 1 is selected from:

(1) —C 1-6 alkyl, where the alkyl is unsubstituted or substituted with one to three substituents independently selected from hydroxyl, halo, —C 3-6 cycloalkyl, —O—C 1-6 alkyl, —O(C═O)—C 1-6 alkyl, and

(2) —C 3-6 cycloalkyl, where the cycloalkyl is unsubstituted or substituted with one to three substituents independently selected from R 4 .

5. The compound of claim 1 or a pharmaceutically acceptable salt thereof wherein R 2a and R 2b are selected from:

(1) hydrogen,

(2) —C 1-6 alkyl, where the alkyl is unsubstituted or substituted with one to three fluoro,

(3) phenyl, which is unsubstituted or substituted with one to three fluoro, —CN, or —C 1-6 alkyl, where the alkyl is unsubstituted or substituted with one to three fluoro, and

(4) heteroaryl, where the heteroaryl is selected from: pyridyl, pyrimidinyl, benzothiazolyl, thiazolyl and pyrazinyl, and the heteroaryl is unsubstituted or substituted with one to three substituents selected from halo, —C 3-6 cycloalkyl, —O—C 1-6 alkyl, CN, or —C 1-6 alkyl, where the alkyl is unsubstituted or substituted with one to three fluoro;

Provided that at least one of R 2a and R 2b is hydrogen.

6. The compound of claim 1 or a pharmaceutically acceptable salt thereof wherein R 2a and R 2b are selected from:

(1) hydrogen,

(2) —CH 2 (CH 3 ) 2 ,

(3) —CF 3 ,

(4) —CH 2 CHF 2 ,

(5) —CH 2 CF 3 ,

(6) pyridyl,

(7) pyrimidinyl,

(8) pyrazinyl,

(9) phenyl,

(10) benzothiazolyl, and

(11) thiazolyl;

Wherein said pyridyl, pyrimidinyl, pyrazinyl, phenyl, benzothiazolyl or thiazolyl is unsubstituted or substituted with halo, —C 3-6 cycloalkyl, —O—C 1-6 alkyl, CN, or —C 1-6 alkyl, where the alkyl is unsubstituted or substituted with one to three fluoro;

Provided that at least one of R 2a and R 2b is hydrogen.

7. The compound of claim 1 or a pharmaceutically acceptable salt thereof wherein R 3 is selected from:

(1) —C 1-6 alkyl, where the alkyl is unsubstituted or substituted with one to four substituents independently selected from R 4 ,

(2) —C 3-6 cycloalkyl, where the cycloalkyl is unsubstituted or substituted with one to four substituents independently selected from R 4 ,

(3) -phenyl, where the phenyl is unsubstituted or substituted with one to three substituents independently selected from R 4 ,

(4) —NR 10 R 11 , wherein R 10 and R 11 are independently selected from:

(a) hydrogen, and

(b) C 1-6 alkyl, which is unsubstituted or substituted with one to four R 4 ,

(5) -heterocyclyl, where the heterocyclyl is azetidinyl or oxetanyl and is unsubstituted or substituted with one to three substituents independently selected from R 4 ,

(6) —CHF 2 , and

(7) —CF 3 .

8. The compound of claim 1 or a pharmaceutically acceptable salt thereof wherein R 3 is —C 1-6 alkyl, where the alkyl is unsubstituted or substituted with one to three fluoro.

9. The compound of claim 1 or a pharmaceutically acceptable salt thereof wherein R 5 and R 6 are independently selected from:

(1) hydrogen,

(2) methyl,

(3) ethyl,

(4) —CHF 2 ,

(5) —CF 3 ,

(6) —CH 2 OH,

(7) —CH 2 OCH 3 , and

(8) cyclopropyl.

10. The compound of claim 1 or a pharmaceutically acceptable salt thereof wherein R 5 is C 1-6 alkyl, where the alkyl is unsubstituted or substituted with one to six substituents independently selected from R 4 , and R 6 is hydrogen.

11. A pharmaceutical composition which comprises an inert carrier and a compound of claim 1 or a pharmaceutically acceptable salt thereof.

12. A method for treating a sleep disorder in a mammalian subject which comprises administering to the patient an effective amount of the compound of claim 1 or a pharmaceutically acceptable salt thereof.

13. A method for treating narcolepsy in a mammalian subject which comprises administering to the patient an effective amount of the compound of claim 1 or a pharmaceutically acceptable salt thereof.

14. A method for treating hypersomnia in a mammalian subject which comprises administering to the patient an effective amount of the compound of claim 1 or a pharmaceutically acceptable salt thereof.

15. A compound which is selected from

methyl (2R,3S,5R)-3-((fluoromethyl)sulfonamido)-2-((((1S,3S,6R)-6-(5-fluoropyrimidin-2-yl)bicyclo[4.1.0]heptan-3-yl)oxy)methyl)-5-methylpyrrolidine-1-carboxylate;

methyl (2R,3S,5R)-2-((((1S,3S,6R)-6-(5-fluoropyrimidin-2-yl)bicyclo[4.1.0]heptan-3-yl)oxy)methyl)-5-methyl-3-((trifluoromethyl)sulfonamido)pyrrolidine-1-carboxylate;

methyl (2R,3S,5R)-3-(ethylsulfonamido)-2-((((1S,3S,6R)-6-(5-fluoropyrimidin-2-yl)bicyclo[4.1.0]heptan-3-yl)oxy)methyl)-5-methylpyrrolidine-1-carboxylate;

methyl (2R,3S,5R)-3-((difluoromethyl)sulfonamido)-2-((((1S,3S,6R)-6-(5-fluoropyrimidin-2-yl)bicyclo[4.1.0]heptan-3-yl)oxy)methyl)-5-methylpyrrolidine-1-carboxylate;

2,2-difluoroethyl (2R,3S,5R)-2-((((1S,3S,6R)-6-(5-fluoropyrimidin-2-yl)bicyclo[4.1.0]heptan-3-yl)oxy)methyl)-5-methyl-3-(methylsulfonamido)pyrrolidine-1-carboxylate;

methyl (2R,3S,5R)-3-((difluoromethyl)sulfonamido)-5-methyl-2-(((6-(pyrimidin-2-yl)bicyclo[4.1.0]heptan-3-yl)oxy)methyl)pyrrolidine-1-carboxylate;

methyl (2R,3S,5R)-3-((difluoromethyl)sulfonamido)-5-methyl-2-((((1S,3S,6R)-6-(pyrimidin-2-yl)bicyclo[4.1.0]heptan-3-yl)oxy)methyl)pyrrolidine-1-carboxylate;

methyl (2R,3S,5R)-3-((difluoromethyl)sulfonamido)-5-methyl-2-((((1R,3R,6S)-6-(pyrimidin-2-yl)bicyclo[4.1.0]heptan-3-yl)oxy)methyl)pyrrolidine-1-carboxylate;

methyl (2R,3S,5 S)-2-((((1S,3S,6R)-6-(5-fluoropyrimidin yl)bicyclo[4.1.0]heptan-3-yl)oxy)methyl)-5-(methoxymethyl)-3-(methylsulfonamido) pyrrolidine-1-carboxylate;

methyl (2R,3S,5R)-2-(((6-(5-fluoropyrimidin-2-yl)bicyclo[4.1.0]heptan yl)oxy)methyl)-5-methyl-3-(methylsulfonamido)pyrrolidine-1-carboxylate;

methyl (2R,3S,5R)-2-((((1R,3R,6S)-6-(5-fluoropyrimidin yl)bicyclo[4.1.0]heptan-3-yl)oxy)methyl)-5-methyl-3-(methylsulfonamido)pyrrolidine-1-carboxylate;

methyl (2R,3S,5R)-2-((((1S,3S,6R)-6-(5-fluoropyrimidin-2-yl)bicyclo[4.1.0]heptan-3-yl)oxy)methyl)-5-methyl-3-(methylsulfonamido)pyrrolidine-1-carboxylate;

methyl (2R,3S,5R)-2-(((6-(5-chloropyrimidin-2-yl)bicyclo[4.1.0]heptan-3-yl)oxy)methyl)-5-methyl-3-(methylsulfonamido)pyrrolidine-1-carboxylate;

methyl (2R,3S,5R)-2-((((1R,3R,6S)-6-(5-chloropyrimidin-2-yl)bicyclo[4.1.0]heptan-3-yl)oxy)methyl)-5-methyl-3-(methylsulfonamido)pyrrolidine-1-carboxylate;

methyl (2R,3S,5R)-2-((((1S,3S,6R)-6-(5-chloropyrimidin-2-yl)bicyclo[4.1.0]heptan-3-yl)oxy)methyl)-5-methyl-3-(methylsulfonamido)pyrrolidine-1-carboxylate;

methyl (2R,3S,5R)-5-methyl-3-(methylsulfonamido)-2-((((1R,3R,6S)-6-(thiazol-2-yl)bicyclo[4.1.0]heptan-3-yl)oxy)methyl)pyrrolidine-1-carboxylate;

methyl (2R,3S,5R)-5-methyl-3-(methylsulfonamido)-2-((((1S,3S,6R)-6-(thiazol-2-yl)bicyclo[4.1.0]heptan-3-yl)oxy)methyl)pyrrolidine-1-carboxylate;

methyl (2R,3S,5R)-5-methyl-3-(methylsulfonamido)-2-(((6-(thiazol-2-yl)bicyclo[4.1.0]heptan-3-yl)oxy)methyl)pyrrolidine-1-carboxylate;

methyl (2R,3S,5R)-3-((N,N-dimethylsulfamoyl)amino)-2-((((1R,3R,6S)-6-(5-fluoropyrimidin-2-yl)bicyclo[4.1.0]heptan-3-yl)oxy)methyl)-5-methylpyrrolidine-1-carboxylate;

methyl (2R,3S,5R)-3-((N,N-dimethylsulfamoyl)amino)-2-((((1S,3S,6R)-6-(5-fluoropyrimidin-2-yl)bicyclo[4.1.0]heptan-3-yl)oxy)methyl)-5-methylpyrrolidine-1-carboxylate; and

methyl (2R,3S,5R)-3-((N,N-dimethylsulfamoyl)amino)-2-(((6-(5-fluoropyrimidin-2-yl)bicyclo[4.1.0]heptan-3-yl)oxy)methyl)-5-methylpyrrolidine-1-carboxylate;

or a pharmaceutically acceptable salt thereof.

16. A pharmaceutical composition which comprises an inert carrier and a compound of claim 15 or a pharmaceutically acceptable salt thereof.

17. A method for treating a sleep disorder in a mammalian subject in need which comprises administering to the patient an effective amount of the compound of claim 15 or a pharmaceutically acceptable salt thereof.

18. A method for treating narcolepsy in a mammalian subject in need which comprises administering to the patient an effective amount of the compound of claim 15 or a pharmaceutically acceptable salt thereof.

19. A method for treating hypersomnia in a mammalian subject in need which comprises administering to the patient an effective amount of the compound of claim 15 or a pharmaceutically acceptable salt thereof.

20. A compound having the structure

2,2-difluoroethyl (2R,3S,5R)-2-((((1S,3S,6R)-6-(5-fluoropyrimidin-2-yl)bicyclo[4.1.0]heptan-3-yl)oxy)methyl)-5-methyl-3-(methylsulfonamido)pyrrolidine-1-carboxylate or a pharmaceutically acceptable salt thereof.

21. The compound of claim 20 with the structure

2,2-difluoroethyl (2R,3S,5R)-2-((((1S,3S,6R)-6-(5-fluoropyrimidin-2-yl)bicyclo[4.1.0]heptan-3-yl)oxy)methyl)-5-methyl-3-(methylsulfonamido)pyrrolidine-1-carboxylate.

22. A pharmaceutical composition which comprises an inert carrier and a compound of claim 20 or a pharmaceutically acceptable salt thereof.

23. A compound having the structure

methyl (2R,3S,5R)-3-((difluoromethyl)sulfonamido)-5-methyl-2-(((6-(pyrimidin-2-yl)bicyclo[4.1.0]heptan-3-yl)oxy)methyl)pyrrolidine-1-carboxylate or a pharmaceutically acceptable salt thereof.

24. The compound of claim 23 having the structure:

methyl (2R,3S,5R)-3-((difluoromethyl)sulfonamido)-5-methyl-2-((((1S,3S,6R)-6-(pyrimidin-2-yl)bicyclo[4.1.0]heptan-3-yl)oxy)methyl)pyrrolidine-1-carboxylate or a pharmaceutically acceptable salt thereof.

25. The compound of claim 23 having the structure:

methyl (2R,3S,5R)-3-((difluoromethyl)sulfonamido)-5-methyl-2-((((1R,3R,6S)-6-(pyrimidin-2-yl)bicyclo[4.1.0]heptan-3-yl)oxy)methyl)pyrrolidine-1-carboxylate or a pharmaceutically acceptable salt thereof.

26. The compound of claim 23 having the structure

methyl (2R,3S,5R)-3-((difluoromethyl)sulfonamido)-5-methyl-2-(((6-(pyrimidin-2-yl)bicyclo[4.1.0]heptan-3-yl)oxy)methyl)pyrrolidine-1-carboxylate.

27. A pharmaceutical composition which comprises an inert carrier and a compound of claim 23 or a pharmaceutically acceptable salt thereof.

28. A pharmaceutical composition which comprises an inert carrier and a compound of claim 24 or a pharmaceutically acceptable salt thereof.

29. A pharmaceutical composition which comprises an inert carrier and a compound of claim 25 or a pharmaceutically acceptable salt thereof.

30. A compound having the structure

methyl (2R,3S,5R)-2-(((6-(5-fluoropyrimidin-2-yl)bicyclo[4.1.0]heptan-3-yl)oxy)methyl) methyl-3-(methylsulfonamido)pyrrolidine-1-carboxylate or a pharmaceutically acceptable salt thereof.

31. The compound of claim 30 , having the structure

methyl (2R,3S,5R)-2-((((1R,3R,6S)-6-(5-fluoropyrimidin-2-yl)bicyclo[4.1.0]heptan-3-yl)oxy)methyl)-5-methyl-3-(methylsulfonamido)pyrrolidine-1-carboxylate or a pharmaceutically acceptable salt thereof.

32. The compound of claim 30 , having the structure

methyl (2R,3S,5R)-2-((((1S,3S,6R)-6-(5-fluoropyrimidin-2-yl)bicyclo[4.1.0]heptan-3-yl)oxy)methyl)-5-methyl-3-(methylsulfonamido)pyrrolidine-1-carboxylate or a pharmaceutically acceptable salt thereof.

33. The compound of claim 30 , having the structure

methyl (2R,3S,5R)-2-(((6-(5-fluoropyrimidin-2-yl)bicyclo[4.1.0]heptan-3-yl)oxy)methyl)-5-methyl-3-(methylsulfonamido)pyrrolidine-1-carboxylate.

34. A pharmaceutical composition which comprises an inert carrier and a compound of claim 30 or a pharmaceutically acceptable salt thereof.

35. A pharmaceutical composition which comprises an inert carrier and a compound of claim 31 or a pharmaceutically acceptable salt thereof.

36. A pharmaceutical composition which comprises an inert carrier and a compound of claim 32 or a pharmaceutically acceptable salt thereof.

37. A pharmaceutical composition which comprises an inert carrier and a compound of claim 33 or a pharmaceutically acceptable salt thereof.

Assignments (2)
MERGER Recorded Aug 8, 2022
From: MERCK SHARP & DOHME CORP.
To: MERCK SHARP & DOHME LLC
Reel/Frame 061102/0145 →
ASSIGNMENT OF ASSIGNOR'S INTEREST Recorded Aug 16, 2021
From: BOGEN, STEPHANE L.; CLAUSEN, DANE JAMES; GUIADEEN, DEODIAL GUY; HAO, JINSONG; LIN, SHISHI; RUDD, MICHAEL T.; WEI, LAN; XIAO, LI; YANG, DEXI
To: MERCK SHARP & DOHME CORP.
Reel/Frame 057189/0094 →