IP Library Patent Application 18116183
Patent Application
App. No. 18/116,183

COMPOUNDS AND COMPOSITIONS FOR TREATING CONDITIONS ASSOCIATED WITH STING ACTIVITY

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Quick Facts
Patent No.
US None
App. No.
18/116,183
Abstract

This disclosure features chemical entities (e.g., a compound or a pharmaceutically acceptable salt, and/or hydrate, and/or cocrystal, and/or drug combination of the compound) that inhibit (e.g., antagonize) Stimulator of Interferon Genes (STING). Said chemical entities are useful, e.g., for treating a condition, disease or disorder in which increased (e.g., excessive) STING activation (e.g., STING signaling) contributes to the pathology and/or symptoms and/or progression of the condition, disease or disorder (e.g., cancer) in a subject (e.g., a human). This disclosure also features compositions containing the same as well as methods of using and making the same.

Claims (497)

1 . A compound of Formula (I):

or a pharmaceutically acceptable salt thereof, or an N-oxide thereof,

wherein:

Z is selected from the group consisting of a bond, CR 1 , C(R 3 ) 2 , N, and NR 2 ;

each of Y 1 , Y 2 , and Y 3 is independently selected from the group consisting of O, S, CR 1 , C(R 3 ) 2 , N, and NR 2 ;

Y 4 is C;

X 1 is selected from the group consisting of O, S, N, NR 2 , and CR 1 ;

X 2 is CR 5 ;

each is independently a single bond or a double bond, provided that the five-membered ring comprising Y 4 , X 1 , and X 2 is heteroaryl;

W is selected from the group consisting of:

(i) C(═O);

(ii) C(═S);

(iii) S(O) 1-2 ;

(iv) C(═NR d );

(v) C(═NH);

(vi) C(═C—NO 2 );

(vii) S(O)N(R d ); and

(viii) S(O)NH;

Q-A is defined according to (A) or (B) below:

(A)

Q is NH or N(C 1-6 alkyl) wherein the C 1-6 alkyl is optionally substituted with 1-2 independently selected R a , and

A is:

(i) —(Y A1 ) n —Y A2 , wherein:

n is 0 or 1;

Y A1 is C 1-6 alkylene, which is optionally substituted with from 1-6 R a ; and

Y A2 is:

(a) C 3-20 cycloalkyl, which is optionally substituted with from 1-4 R b ,

(b) C 6-20 aryl, which is optionally substituted with from 1-4 R c ;

(c) heteroaryl including from 5-20 ring atoms, wherein from 1-4 ring atoms are heteroatoms, each independently selected from the group consisting of N, N(H), N(R d ), O, and S, and wherein one or more of the heteroaryl ring carbon atoms are optionally substituted with from 1-4 independently selected R c , or

(d) heterocyclyl including from 3-16 ring atoms, wherein from 1-3 ring atoms are heteroatoms, each independently selected from the group consisting of N, N(H), N(R b ), N(R d ), and O, and wherein one or more of the heterocyclyl ring carbon atoms are optionally substituted with from 1-4 independently selected R b ,

OR

(ii) —Z 1 —Z 2 —Z 3 , wherein:

Z 1 is C 1-3 alkylene, which is optionally substituted with from 1-4 R a ;

Z 2 is —N(H)—, —N(R d )—, —O—, or —S—; and

Z 3 is C 2-7 alkyl, which is optionally substituted with from 1-4 R a ;

OR

(iii) C 1-10 alkyl, which is optionally substituted with from 1-6 independently selected R a , or

(B)

Q and A, taken together, form:

 wherein denotes point of attachment to W; and

E is a ring including from 3-16 ring atoms, wherein aside from the nitrogen atom present, from 0-3 additional ring atoms are heteroatoms, each independently selected from the group consisting of N, N(H), N(R d ), and O, and wherein one or more of the heterocyclyl ring carbon atoms are optionally substituted with from 1-4 independently selected R b ,

each occurrence of R 1 is independently selected from the group consisting of H; halo; cyano; C 1-6 alkyl optionally substituted with 1-2 R a ; C 2-6 alkenyl; C 2-6 alkynyl; C 1-4 haloalkyl; C 1-4 alkoxy; C 1-4 haloalkoxy; —(C 0-3 alkylene)-C 3-6 cycloalkyl optionally substituted with from 1-4 independently selected R g ; —(C 0-3 alkylene)-C 6-10 aryl optionally substituted with from 1-4 independently selected R g ; —(C 0-3 alkylene)-5-10 membered heteroaryl, wherein from 1-3 ring atoms of the heteroaryl are heteroatoms each independently selected from the group consisting of N, NH, NR d , O, and S, wherein the heteroaryl is optionally substituted with from 1-4 independently selected R g ; —(C 0-3 alkylene)-5-10 membered heterocyclyl, wherein from 1-3 ring atoms of the heterocyclyl are heteroatoms each independently selected from the group consisting of N, NH, NR d , O, and S, wherein the heterocyclyl is optionally substituted with 1-4 independently selected R g ; —S(O) 1-2 (C 1-4 alkyl); —NR e R f ; —OH; oxo; —S(O) 1-2 (NR′R″); —C 1-4 thioalkoxy; —NO 2 ; —C(═O)(C 1-4 alkyl); —C(═O)O(C 1-4 alkyl); —C(═O)OH; and —C(═O)N(R′)(R″);

each occurrence of R 2 is independently selected from the group consisting of:

(i) C 1-6 alkyl, which is optionally substituted with from 1-2 independently selected R a ;

(ii) C 3-6 cycloalkyl;

(iii) heterocyclyl including from 3-10 ring atoms, wherein from 1-3 ring atoms are heteroatoms, each independently selected from the group consisting of N, N(H), N(R d ), and O;

(iv) —C(O)(C 1-4 alkyl);

(v) —C(O)O(C 1-4 alkyl);

(vi) —CON(R′)(R″);

(vii) —S(O) 1-2 (NR′R″);

(viii) —S(O) 1-2 (C 1-4 alkyl);

(ix) —OH;

(x) C 1-4 alkoxy; and

(xi) H;

each occurrence of R 3 is independently selected from the group consisting of H, C 1-6 alkyl optionally substituted with from 1-6 independently selected R a ; C 1-4 haloalkyl; —OH; —F; —Cl; —Br; —NR e R f ; C 1-4 alkoxy; C 1-4 haloalkoxy; —C(═O)(C 1-4 alkyl); —C(═O)O(C 1-4 alkyl); —C(═O)OH; —C(═O)N(R′)(R″); —S(O) 1-2 (NR′R″); —S(O) 1-2 (C 1-4 alkyl); cyano; and C 3-6 cycloalkyl optionally substituted with from 1-4 independently selected C 1-4 alkyl; or two R 3 on the same carbon combine to form an oxo;

R 4 is selected from the group consisting of H and C 1-6 alkyl;

R 5 is selected from the group consisting of H, halo, C 1-4 alkoxy, OH, oxo, and C 1-6 alkyl;

each occurrence of R a is independently selected from the group consisting of: —OH; —F; —Cl; —Br; —NR e R f ; C 1-4 alkoxy; C 1-4 haloalkoxy; —C(═O)O(C 1-4 alkyl); —C(═O)(C 1-4 alkyl); —C(═O)OH; —CON(R′)(R″); —S(O) 1-2 (NR′R″); —S(O) 1-2 (C 1-4 alkyl); cyano, and C 3-6 cycloalkyl optionally substituted with from 1-4 independently selected C 1-4 alkyl;

each occurrence of R b is independently selected from the group consisting of: C 1-10 alkyl optionally substituted with from 1-6 independently selected R a ; C 1-4 haloalkyl; —OH; oxo; —F; —Cl; —Br; —NR e R f ; C 1-4 alkoxy; C 1-4 haloalkoxy; —C(═O)(C 1-4 alkyl); —C(═O)O(C 1-4 alkyl); —C(═O)OH; —C(═O)N(R′)(R″); —S(O) 1-2 (NR′R″); —S(O) 1-2 (C 1-4 alkyl); cyano; (C 0-3 alkylene)-C 6-10 aryl optionally substituted with 1-4 independently selected C 1-4 alkyl; and (C 0-3 alkylene)-C 3-6 cycloalkyl optionally substituted with from 1-4 independently selected C 1-4 alkyl;

each occurrence of R c is independently selected from the group consisting of:

(i) halo;

(ii) cyano;

(iii) C 1-10 alkyl which is optionally substituted with from 1-6 independently selected R a ;

(iv) C 2-6 alkenyl;

(v) C 2-6 alkynyl;

(vi) C 1-4 haloalkyl;

(vii) C 1-4 alkoxy;

(viii) C 1-4 haloalkoxy;

(ix) —(C 0-3 alkylene)-C 3-6 cycloalkyl optionally substituted with from 1-4 independently selected C 1-4 alkyl;

(x) —(C 0-3 alkylene)-heterocyclyl, wherein the heterocyclyl includes from 3-16 ring atoms, wherein from 1-3 ring atoms are heteroatoms, each independently selected from the group consisting of N, N(H), N(R d ), and O;

(xi) —S(O) 1-2 (C 1-4 alkyl);

(xii) —NR e R f ;

(xiii) —OH;

(xiv) —S(O) 1-2 (NR′R″);

(xv) —C 1-4 thioalkoxy;

(xvi) —NO 2 ;

(xvii) —C(═O)(C 1-4 alkyl);

(xviii) —C(═O)O(C 1-4 alkyl);

(xix) —C(═O)OH;

(xx) —C(═O)N(R′)(R″);

(xxi) —(C 0-3 alkylene)-C 6-10 aryl optionally substituted with from 1-4 independently selected C 1-4 alkyl; and

(xxii) —(C 0-3 alkylene)-5-10 membered heteroaryl, wherein from 1-3 ring atoms of the heteroaryl are heteroatoms each independently selected from the group consisting of N, NH, NR d , O, and S, wherein the heteroaryl is optionally substituted with from 1-4 independently selected C 1-4 alkyl;

R d is selected from the group consisting of: C 1-6 alkyl; C 3-6 cycloalkyl; —C(O)(C 1-4 alkyl); —C(O)O(C 1-4 alkyl); —CON(R′)(R″); —S(O) 1-2 (NR′R″); —S(O) 1-2 (C 1-4 alkyl); —CN; —OH; and C 1-4 alkoxy;

each occurrence of R e and R f is independently selected from the group consisting of: H; C 1-6 alkyl; C 1-6 haloalkyl; C 3-6 cycloalkyl; —C(O)(C 1-4 alkyl); —C(O)O(C 1-4 alkyl); —CON(R′)(R″); —S(O) 1-2 (NR′R″); —S(O) 1-2 (C 1-4 alkyl); —OH; and C 1-4 alkoxy; or R e and R f together with the nitrogen atom to which each is attached forms a ring including from 3-8 ring atoms, wherein the ring includes: (a) from 1-7 ring carbon atoms, each of which is substituted with from 1-2 substituents independently selected from the group consisting of H and C 1-3 alkyl; and (b) from 0-3 ring heteroatoms (in addition to the nitrogen atom attached to R e and R f ), which are each independently selected from the group consisting of N(R d ), O, and S;

each occurrence of R g is independently selected from the group consisting of: halo; cyano; C 1-6 alkyl optionally substituted with from 1-2 independently selected R a ; C 1-4 haloalkyl; C 1-6 alkoxy optionally substituted with 1-2 independently selected R a ; C 1-4 haloalkoxy; S(O) 1-2 (C 1-4 alkyl); —NR e R f ; —OH; oxo; —S(O) 1-2 (NR′R″); —C 1-4 thioalkoxy; —NO 2 ; —C(═O)(C 1-4 alkyl); —C(═O)O(C 1-4 alkyl); —C(═O)OH; and —C(═O)N(R′)(R″); and

each occurrence of R′ and R″ is independently selected from the group consisting of: H and C 1-4 alkyl; or R′ and R″ together with the nitrogen atom to which each is attached forms a ring including from 3-8 ring atoms, wherein the ring includes: (a) from 1-7 ring carbon atoms, each of which is substituted with from 1-2 substituents independently selected from the group consisting of: H and C 1-3 alkyl; and (b) from 0-3 ring heteroatoms (in addition to the nitrogen atom attached to R′ and R″), which are each independently selected from the group consisting of N(R d ), O, and S,

provided that one or more of a), b), and c) apply:

a) one or more of Z, Y 1 , Y 2 , Y 3 , and Y 4 in the ring below

 is an independently selected heteroatom;

b) the ring that includes Z, Y 1 , Y 2 , Y 3 , and Y 4 is partially unsaturated; OR

c) Z is a bond;

further provided that when Q-A is defined according to (A); A is C 6 aryl mono-substituted with C 4 alkyl such as n-butyl at the para position; and the ring that includes Z, Y 1 , Y 2 , Y 3 , and Y 4 is aromatic, then the ring that includes Z, Y 1 , Y 2 , Y 3 , and Y 4 must be substituted with one or more R 1 that is other than hydrogen; and

and further provided with the proviso that the compound is not selected from the group consisting of:

2 . (canceled)

3 . The compound of claim 1 , wherein the ring that includes Z, Y 1 , Y 2 , Y 3 , and Y 4 :

is aromatic.

4 . The compound of claim 1 , wherein Z is other than a bond.

5 . The compound of claim 1 , wherein from 1-2 of Z, Y 1 , Y 2 , Y 3 , and Y 4 is independently N.

6 . The compound of claim 1 , wherein the ring that includes Z, Y 1 , Y 2 , Y 3 , and Y 4 is selected from the group consisting of:

wherein each denotes points of attachment to the ring comprising X 1 and X 2 , and wherein the bottom denotes point of attachment to X 1 .

7 . The compound of claim 1 , wherein the ring comprising Z, Y 1 , Y 2 , Y 3 , and Y 4 is selected from the group consisting of:

wherein each denotes points of attachment to the ring comprising X 1 and X 2 , and wherein the bottom denotes point of attachment to X 1 .

8 . The compound of claim 1 , wherein Z is a bond.

9 - 12 . (canceled)

13 . The compound of claim 1 , wherein the ring that includes Z, Y 1 , Y 2 , Y 3 , and Y 4 is partially unsaturated.

14 - 19 . (canceled)

20 . The compound of claim 1 , wherein X 1 is NH.

21 . The compound of claim 1 , wherein the compound has a formula selected from the group consisting of:

22 . The compound of claim 1 , wherein the compound has a formula selected from the group consisting of:

23 - 44 . (canceled)

45 . The compound of claim 1 , wherein W is C(═O).

46 . The compound of claim 1 , wherein Q and A are defined according to (A).

47 . The compound of claim 46 , wherein A is —(Y A1 ) n —Y A2 .

48 . The compound of claim 47 , wherein n is 0.

49 . The compound of n m claim 47 , wherein n is 1.

50 . The compound of claim 49 , wherein Y A1 is C 1-3 alkylene, such as CH 2 or CH 2 CH 2 .

51 . The compound of claim 47 , wherein Y A2 is C 6-20 aryl, which is optionally substituted with from 1-4 R c .

52 - 55 . (canceled)

56 . The compound of claim 47 , wherein Y A2 is heteroaryl including from 5-20 ring atoms, wherein from 1-4 ring atoms are heteroatoms, each independently selected from the group consisting of N, N(H), N(R d ), O, and S, and wherein one or more of the heteroaryl ring carbon atoms are optionally substituted with from 1-4 independently selected R c .

57 - 70 . (canceled)

71 . The compound of claim 47 , wherein Y A2 is C 3-20 cycloalkyl, which is optionally substituted with from 1-4 R b .

72 . The compound of claim 47 , wherein Y A2 is heterocyclyl including from 3-12 ring atoms, wherein from 1-3 ring atoms are heteroatoms, each independently selected from the group consisting of N, N(H), N(R d ), and O, and wherein one or more of the heterocyclyl ring carbon atoms are optionally substituted with from 1-4 independently selected R b .

73 - 79 . (canceled)

80 . The compound of claim 1 , wherein Q and A are defined according to (B).

81 - 130 . (canceled)

131 . A compound of Formula (I):

or a pharmaceutically acceptable salt thereof, or an N-oxide thereof,

wherein:

one or more of Z, Y 1 , Y 2 , Y 3 , and Y 4 in the ring below

 is an independently selected heteroatom;

Z is selected from the group consisting of CR 1 and N;

each of Y 1 , Y 2 , and Y 3 is independently selected from the group consisting of CR 1 and N;

provided that one or more of Z, Y 1 , Y 2 , and Y 3 is an independently selected CR 1 ;

Y 4 is C;

X is NH;

X 2 is CH;

each is independently a single bond or a double bond, provided that the five-membered ring comprising Y 4 , X 1 , and X 2 is heteroaryl; and

the ring that includes Z, Y 1 , Y 2 , Y 3 , and Y 4 is aromatic;

W is selected from the group consisting of:

(i) C(═O);

(ii) C(═S);

(iv) C(═NR d ); and

(v) C(═NH);

Q-A is defined according to (A) or (B) below:

(A)

Q is NH or N(C 1-6 alkyl) wherein the C 1-6 alkyl is optionally substituted with 1-2 independently selected R a , and

A is:

(i) —(Y A1 ) n —Y A2 , wherein:

n is 0 or 1;

Y A1 is C 1-6 alkylene, which is optionally substituted with from 1-6 R a ; and

Y A2 is:

(a) C 3-20 cycloalkyl, which is optionally substituted with from 1-4 R b ,

(b) C 6-20 aryl, which is optionally substituted with from 1-4 R c ;

(c) heteroaryl including from 5-20 ring atoms, wherein from 1-4 ring atoms are heteroatoms, each independently selected from the group consisting of N, N(H), N(R d ), O, and S, and wherein one or more of the heteroaryl ring carbon atoms are optionally substituted with from 1-4 independently selected R c , or

(d) heterocyclyl including from 3-16 ring atoms, wherein from 1-3 ring atoms are heteroatoms, each independently selected from the group consisting of N, N(H), N(R b ), N(R d ), and O, and wherein one or more of the heterocyclyl ring carbon atoms are optionally substituted with from 1-4 independently selected R b ,

OR

(ii) —Z 1 —Z 2 —Z 3 , wherein:

Z 1 is C 1-3 alkylene, which is optionally substituted with from 1-4 R a ;

Z 2 is —N(H)—, —N(R d )—, —O—, or —S—; and

Z 3 is C 2-7 alkyl, which is optionally substituted with from 1-4 R a ;

OR

(iii) C 1-10 alkyl, which is optionally substituted with from 1-6 independently selected R a ,

OR

(B)

Q and A, taken together, form:

 wherein denotes point of attachment to W; and

E is a ring including from 3-16 ring atoms, wherein aside from the nitrogen atom present, from 0-3 additional ring atoms are heteroatoms, each independently selected from the group consisting of N, N(H), N(R d ), and O, and wherein one or more of the heterocyclyl ring carbon atoms are optionally substituted with from 1-4 independently selected R b ,

each occurrence of R 1 is independently selected from the group consisting of H; halo; cyano; C 1-6 alkyl optionally substituted with 1-2 R a ; C 2-6 alkenyl; C 2-6 alkynyl; C 1-4 haloalkyl; C 1-4 alkoxy; C 1-4 haloalkoxy; —(C 0-3 alkylene)-C 3-6 cycloalkyl optionally substituted with from 1-4 independently selected R g ; —(C 0-3 alkylene)-C 6-10 aryl optionally substituted with from 1-4 independently selected R g ; —(C 0-3 alkylene)-5-10 membered heteroaryl, wherein from 1-3 ring atoms of the heteroaryl are heteroatoms each independently selected from the group consisting of N, NH, NR d , O, and S, wherein the heteroaryl is optionally substituted with from 1-4 independently selected R g ; —(C 0-3 alkylene)-5-10 membered heterocyclyl, wherein from 1-3 ring atoms of the heterocyclyl are heteroatoms each independently selected from the group consisting of N, NH, NR d , O, and S, wherein the heterocyclyl is optionally substituted with 1-4 independently selected R g ; —S(O) 1-2 (C 1-4 alkyl); —NR e R f ; —OH; oxo; —S(O) 1-2 (NR′R″); —C 1-4 thioalkoxy; —NO 2 ; —C(═O)(C 1-4 alkyl); —C(═O)O(C 1-4 alkyl); —C(═O)OH; and —C(═O)N(R′)(R″);

each occurrence of R a is independently selected from the group consisting of: —OH; —F; —Cl; —Br; —NR e R f ; C 1-4 alkoxy; C 1-4 haloalkoxy; —C(═O)O(C 1-4 alkyl); —C(═O)(C 1-4 alkyl); —C(═O)OH; —CON(R′)(R″); —S(O) 1-2 (NR′R″); —S(O) 1-2 (C 1-4 alkyl); cyano; and C 3-6 cycloalkyl optionally substituted with from 1-4 independently selected C 1-4 alkyl;

each occurrence of R b is independently selected from the group consisting of: C 1-10 alkyl optionally substituted with from 1-6 independently selected R a ; C 1-4 haloalkyl; —OH; oxo; —F; —Cl; —Br; —NR e R f ; C 1-4 alkoxy; C 1-4 haloalkoxy; —C(═O)(C 1-4 alkyl); —C(═O)O(C 1-4 alkyl); —C(═O)OH; —C(═O)N(R′)(R″); —S(O) 1-2 (NR′R″); —S(O) 1-2 (C 1-4 alkyl); cyano; (C 0-3 alkylene)-C 6-10 aryl optionally substituted with 1-4 independently selected C 1-4 alkyl; and (C 0-3 alkylene)-C 3-6 cycloalkyl optionally substituted with from 1-4 independently selected C 1-4 alkyl;

each occurrence of R c is independently selected from the group consisting of:

(i) halo;

(ii) cyano;

(iii) C 1-10 alkyl which is optionally substituted with from 1-6 independently selected R a ;

(iv) C 2-6 alkenyl;

(v) C 2-6 alkynyl;

(vi) C 1-4 haloalkyl;

(vii) C 1-4 alkoxy;

(viii) C 1-4 haloalkoxy;

(ix) —(C 0-3 alkylene)-C 3-6 cycloalkyl optionally substituted with from 1-4 independently selected C 1-4 alkyl;

(x) —(C 0-3 alkylene)-heterocyclyl, wherein the heterocyclyl includes from 3-16 ring atoms, wherein from 1-3 ring atoms are heteroatoms, each independently selected from the group consisting of N, N(H), N(R d ), and O;

(xi) —S(O) 1-2 (C 1-4 alkyl);

(xii) —NR e R f ;

(xiii) —OH;

(xiv) —S(O) 1-2 (NR′R″);

(xv) —C 1-4 thioalkoxy;

(xvi) —NO 2 ;

(xvii) —C(═O)(C 1-4 alkyl);

(xviii) —C(═O)O(C 1-4 alkyl);

(xix) —C(═O)OH;

(xx) —C(═O)N(R′)(R″); and

(xxi) —(C 0-3 alkylene)-C 6-10 aryl optionally substituted with from 1-4 independently selected C 1-4 alkyl; and

(xxii) —(C 0-3 alkylene)-5-10 membered heteroaryl, wherein from 1-3 ring atoms of the heteroaryl are heteroatoms each independently selected from the group consisting of N, NH, NR d , O, and S, wherein the heteroaryl is optionally substituted with from 1-4 independently selected C 1-4 alkyl;

R d is selected from the group consisting of: C 1-6 alkyl; C 3-6 cycloalkyl; —C(O)(C 1-4 alkyl); —C(O)O(C 1-4 alkyl); —CON(R′)(R″); —S(O) 1-2 (NR′R″); —S(O) 1-2 (C 1-4 alkyl); —OH; —CN; and C 1-4 alkoxy;

each occurrence of R e and R f is independently selected from the group consisting of: H; C 1-6 alkyl; C 1-6 haloalkyl; C 3-6 cycloalkyl; —C(O)(C 1-4 alkyl); —C(O)O(C 1-4 alkyl); —CON(R′)(R″); —S(O) 1-2 (NR′R″); —S(O) 1-2 (C 1-4 alkyl); —OH; and C 1-4 alkoxy; or R e and R f together with the nitrogen atom to which each is attached forms a ring including from 3-8 ring atoms, wherein the ring includes: (a) from 1-7 ring carbon atoms, each of which is substituted with from 1-2 substituents independently selected from H and C 1-3 alkyl; and (b) from 0-3 ring heteroatoms (in addition to the nitrogen atom attached to R e and R f ), which are each independently selected from the group consisting of N(R d ), O, and S;

each occurrence of R g is independently selected from the group consisting of: halo; cyano; C 1-6 alkyl optionally substituted with from 1-2 independently selected R a ; C 1-4 haloalkyl; C 1-6 alkoxy optionally substituted with 1-2 independently selected R a ; C 1-4 haloalkoxy; S(O) 1-2 (C 1-4 alkyl); —NR e R f ; —OH; oxo; —S(O) 1-2 (NR′R″); —C 1-4 thioalkoxy; —NO 2 ; —C(═O)(C 1-4 alkyl); —C(═O)O(C 1-4 alkyl); —C(═O)OH; and —C(═O)N(R′)(R″);

and

each occurrence of R′ and R″ is independently selected from the group consisting of: H and C 1-4 alkyl; or R′ and R″ together with the nitrogen atom to which each is attached forms a ring including from 3-8 ring atoms, wherein the ring includes: (a) from 1-7 ring carbon atoms, each of which is substituted with from 1-2 substituents independently selected from H and C 1-3 alkyl; and (b) from 0-3 ring heteroatoms (in addition to the nitrogen atom attached to R′ and R″), which are each independently selected from the group consisting of N(R d ), O, and S;

provided that when Q-A is defined according to (A); A is C 6 aryl mono-substituted with a C 4 alkyl such as n-butyl at the para position, then the ring that includes Z, Y 1 , Y 2 , Y 3 , and Y 4 must be substituted with one or more R 1 that is other than hydrogen; and

further provided with the proviso that the compound is other than one or more of the following:

132 - 254 . (canceled)

255 . A compound selected from the group consisting of the following compounds.

Compound #

Structure

100

102

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106

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109

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183b

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383

384

385

386

387

388

;

or a pharmaceutically acceptable salt thereof.

256 . A pharmaceutical composition comprising a compound of claim 1 and one or more pharmaceutically acceptable excipients.

257 . A method for inhibiting STING activity, the method comprising contacting STING with a compound as claimed in claim 1 .

258 - 273 . (canceled)

274 . A method of treating cancer, comprising administering to a subject in need of such treatment an effective amount of a compound as claimed in claim 1 , or a pharmaceutical composition thereof.

275 - 281 . (canceled)

282 . A method of inducing an immune response in a subject in need thereof, the method comprising administering to the subject an effective amount of a compound as claimed in claim 1 , or a pharmaceutical composition thereof.

283 - 290 . (canceled)

291 . A method of treatment of a disease in which increased (e.g., excessive) STING signaling contributes to the pathology and/or symptoms and/or progression of the disease, comprising administering to a subject in need of such treatment an effective amount of a compound as claimed in claim 1 , or a pharmaceutical composition thereof.

292 - 301 . (canceled)

302 . A method of treatment of a disease, disorder, or condition associated with STING, comprising administering to a subject in need of such treatment an effective amount of a compound as claimed in claim 1 , or a pharmaceutical composition thereof.

303 - 310 . (canceled)

Assignments (3)
ASSIGNMENT OF ASSIGNOR'S INTEREST Recorded Oct 16, 2024
From: IFM DUE, INC.
To: NOVARTIS PHARMA AG
Reel/Frame 069303/0483 →
ASSIGNMENT OF ASSIGNOR'S INTEREST Recorded May 23, 2024
From: ROUSH, WILLIAM R.; VENKATRAMAN, SHANKAR; GLICK, GARY; SEIDEL, HANS MARTIN
To: IFM MANAGEMENT, INC.
Reel/Frame 067513/0724 →
ASSIGNMENT OF ASSIGNOR'S INTEREST Recorded May 23, 2024
From: IFM MANAGEMENT, INC.
To: IFM DUE, INC.
Reel/Frame 067513/0790 →