Compounds comprising a spiro-ring

1. A compound of Formula (I):

or a stereoisomer, a geometric isomer, a tautomer, an N-oxide, or a pharmaceutically acceptable salt thereof, wherein:

Q 1 is formula (IIa):

Q 2 is formula (III):

R 1 is hydroxy-substituted cyclopropylalkoxy, R 5 S(═O) 2 O-substituted cyclopropylalkoxy, spiro bicyclyl, spiro heterobicyclyl, spiro bicyclyl aliphatic, spiro heterobicyclyl aliphatic, spiro bicycloxy, spiro heterobicyclylamino, spiro bicycloxoalkoxy, spiro heterobicycloxoalkoxy, spiro bicyclylaminoalkoxy, spiro heterobicyclylaminoalkoxy, spiro bicyclyl —C(═O)—, spiro bicyclyl-C(═O)O—, spiro heterobicyclyl-C(═O)—, spiro heterobicyclyl-C(═O)O—, spiro bicyclylamino-C(═O)—, spiro heterobicyclylamino-C(═O)—, spiro bicyclyl-C(═O)NR 5 —, or spiro heterobicyclyl-C(═O)NR 5 —, or R 1 has one of the following structures:

wherein each of X 4 and X 4 ′ is independently (CR 4 R 4a ) m , NR 5 , O, S, S═O or SO 2 ; each of m and n is independently 0, 1 or 2; and t is 1, 2 or 3;

R 2 is H, halo, cyano, hydroxyl, R 5a R 5 N—, —C(═O)NR 5 R 5a , —OC(═O)NR 5 R 5a , —OC(═O)OR 5 , —NR 5 C(═O)NR 5 R 5a , —NR 5 C(═O)OR 5a , —NR 5 C(═O)—R 5a , R 5 R 5a N—O 2 S—, R 5 O 2 S—, R 5 O 2 SR 5a N—, R 5a R 5 N-alkyl, R 5 (S═O)-alkyl, R 5 R 5a N-(C═O)alkyl, R 5a R 5 N-alkoxy, R 5 (S═O)-alkoxy, R 5 R 5a N-(C═O)-alkoxy, aliphatic, alkoxy, hydroxyalkoxy, aminoalkoxy, hydroxy-substituted aminoalkoxy, haloalkoxy, amino-substituted haloalkoxy, alkylamino haloalkoxy, hydroxy-substituted haloalkoxy, alkylaminoalkoxy, alkoxyalkoxy, arylalkoxy, heterocyclylalkoxy, carbocyclylalkoxy, heterocyclyl(hydroxyalkoxy), carbocyclyl(hydroxyalkoxy), aryl(hydroxyalkoxy), aryloxyalkoxy, aryloxy, heterocyclyloxyalkoxy, carbocyclyloxyalkoxy, heterocyclyloxy, cycloalkyloxy, (heterocyclo)hydroxyalkoxy, azidoalkoxy, fused bicyclyl, fused heterobicyclyl, fused bicyclyl aliphatic, fused heterobicyclyl aliphatic, fused bicycloxy, fused heterobicycloxy, fused bicyclylamino, fused heterobicyclylamino, fused bicycloxoalkoxy, fused heterobicycloxoalkoxy, fused bicyclyl aminoalkoxy, fused heterobicyclyl aminoalkoxy, fused bicyclyl-C(═O)—, fused bicyclyl-C(═O)O—, fused heterobicyclyl-C(═O)—, fused heterobicyclyl-C(═O)O—, fused bicyclylamino-C(═O)—, fused heterobicyclylamino-C(═O)—, fused bicyclyl-C(═O)NR 5 —, fused heterobicyclyl-C(═O)NR 5 —, spiro bicyclyl, spiro heterobicyclyl, spiro bicyclyl aliphatic, spiro heterobicyclyl aliphatic, spiro bicycloxy, spiro heterobicycloxy, spiro bicyclylamino, spiro heterobicyclylamino, spiro bicycloxoalkoxy, spiro heterobicycloxoalkoxy, spiro bicyclylaminoalkoxy, spiro heterobicyclylaminoalkoxy, spiro bicyclyl —C(═O)—, spiro bicyclyl-C(═O)O—, spiro heterobicyclyl-C(═O)—, spiro heterobicyclyl-C(═O)O—, spiro bicyclylamino-C(═O)—, spiro heterobicyclylamino-C(═O)—, spiro bicyclyl-C(═O)NR 5 —, or spiro heterobicyclyl-C(═O)NR 5 —, aryl, heteroaryl, arylaliphatic or heteroarylaliphatic, with the proviso that when alkoxy or alkylamino is substituted, each of alkoxy or alkylamino is independently substituted with one or more hydroxy groups, amino groups or substituted amino groups;

R 3 is H, F, Cl, Br, I, —CN, hydroxyl, R 5a R 5 N—, aliphatic, alkoxy, haloalkyl, heterocyclyl, heterocyclylalkyl, cycloalkyl, cycloalkyl aliphatic, cycloalkylalkoxy, or heterocyclylalkoxy;

each of U 1 and U 2 is independently CR 4 or N;

V 1 is O or NR 5 ;

V 2 is cR 4 R 4a , NRS, CR 4 or N, and V 3 and V 4 combine to become CR 4 R 4a , NR 5 , O, CR 4 or N;

each of W 1 , W 2 , W 3 and W 4 is independently CR 4 R 4a , NR 5 , CR 4 or N;

X 1 is (CR 4 R 4a ) m , NR 5 , O, S, S═O or SO 2 , where m is 0, 1 or 2;

X 2 is O, S or NR 5 ;

Z is —NR 5 C(═O)—(CR 4 R 4a ) p —, —NR 5 C(═S)—(CR 4 R 4a ) p —, —NR 5a —(CR 4 R 4a ) p —, —NR 5 —(CR 4 R 4a ) p C(═O)—, —NR 5 —(CR 4 R 4a ) p C(═S)—, —NR 5 S(═O) r —, —NR 5 S(═O) r (CR 4 R 4a ) p —, —C(═O)NR 5 (CR 4 R 4a ) p — or —NR 5 —(CR 4 R 4a ) n S(═O) r —, where p is 0, 1, 2 or 3 and r is 1 or 2;

each of R 4 and R 4a is independently H, F, Cl, Br, I, —CN, hydroxyl, —NR 5a R 5 , alkoxy, cycloalkoxy, heterocycloalkoxy, aliphatic, haloaliphatic, hydroxyaliphatic, aminoaliphatic, alkoxyaliphatic, alkylaminoaliphatic, alkylthioaliphatic, arylaliphatic, heterocyclylaliphatic, cycloalkylaliphatic, aryloxyaliphatic, heterocyclyloxyaliphatic, cycloalkyloxyaliphatic, arylaminoaliphatic, heterocyclylaminoaliphatic, cycloalkylaminoaliphatic, aryl, heteroaryl, heterocyclyl or carbocyclyl, with the proviso that where R 4 and R 4a are bonded to the same carbon atom, R 4 and R 4a , together with the carbon atom they are attached to, optionally form a substituted or unsubstituted 3-8 membered carbocyclic or heterocyclic ring;

each of R 5 and R 5a is independently H, R 6 R 6a NC(═O)—, R 6 OC(═O)—, R 6 C(═O)—, R 6 R 6a NS(═O)—, R 6 OS(═O)—, R 6 S(═O)—, R 6 R 6a NSO 2 —, R 6 OSO 2 —, R 6 SO 2 —, aliphatic, haloaliphatic, hydroxyaliphatic, aminoaliphatic, alkoxyaliphatic, alkylaminoaliphatic, alkylthioaliphatic, arylaliphatic, heterocyclylaliphatic, cycloalkylaliphatic, aryloxyaliphatic, heterocyclyloxyaliphatic, cycloalkyloxyaliphatic, arylaminoaliphatic, heterocyclylaminoaliphatic, cycloalkylaminoaliphatic, aryl, heteroaryl, heterocyclyl or carbocyclyl, with the proviso that where R 5 and R 5a are bonded to the same nitrogen atom, R 5 and R 5a , together with the nitrogen atom they are attached to, optionally form a substituted or unsubstituted 3-8 membered ring, including spiro and fused bicyclic rings;

each of R 6 and R 6a is independently H, aliphatic, haloaliphatic, hydroxyaliphatic, aminoaliphatic, alkoxyaliphatic, alkylaminoaliphatic, alkylthioaliphatic, arylaliphatic, heterocyclylaliphatic, cycloalkylaliphatic, aryloxyaliphatic, heterocyclyloxyaliphatic, cycloalkyloxyaliphatic, arylaminoaliphatic, heterocyclylaminoaliphatic, cycloalkylaminoaliphatic, aryl, heteroaryl, heterocyclyl, or carbocyclyl;

wherein each of R 5a R 5 N—, —C(═O)NR 5 R 5a , —OC(═O)NR 5 R 5a , —OC(═O)OR 5 , —NR 5 C(═O)NR 5 R 5a , —NR 5 C(═O)OR 5a , —NR 5 C(═O)—R 5a , R 5 R 5 N—O 2 S—, R 5 O 2 S—, R 5 O 2 SR 5a N—, OR 5 , NR 5 , CR 4 R 4a , CR 4 , (CR 4 R 4a ) m , —NR 5 C(═O)—(CR 4 R 4a ) p —, —NR 5 C(═S)—(CR 4 R 4a ) p —, —NR 5a -(CR 4 R 4a ) p —, —NR 5 —(CR 4 R 4a ) p C(═O)—, —NR 5 —(CR 4 R 4a ) p C(═S)—, —NR 5 S(═O) r —, —NR 5 S(═O)(CR 4 R 4a ) p —, —C(═O)NR 5 —(CR 4 R 4a ) p —, —NR 5 —(CR 4 R 4a ) p —S(═O) r —, R 5a R 5 N-alkyl, R 5 S(═O)-alkyl, R 5 R 5 N—C(═O)-alkyl, R 5a R 5 N-alkoxy, R 5 S(═O), alkoxy, R 5 R 5 N—C(═O)-alkoxy, R 6 R 6a NC(═O)—, R 6 OC(═O)—, R 6 C(═O)—, R 6 R 6a NS(═O)—, R 6 OS(═O)—, R 6 S(═O)—, R 6 R 6a NSO 2 —, R 6 OSO 2 —, R 6 SO 2 —, hydroxy-substituted cyclopropylalkoxy, R 5 S(═O) 2 O-substituted cyclopropylalkoxy, aliphatic, alkoxy, hydroxyalkoxy, aminoalkoxy, hydroxy-substituted aminoalkoxy, haloalkoxy, amino-substituted haloalkoxy, alkylamino haloalkoxy, hydroxy-substituted haloalkoxy, alkylaminoalkoxy, alkoxyalkoxy, arylalkoxy, heterocyclylalkoxy, carbocyclylalkoxy, heterocyclyl(hydroxyalkoxy), carbocyclyl(hydroxyalkoxy), aryl(hydroxyalkoxy), aryloxyalkoxy, aryloxy, heterocyclyloxyalkoxy, carbocyclyloxyalkoxy, heterocyclyloxy, cycloalkyloxy, (heterocyclo)hydroxyalkoxy, azidoalkoxy, fused bicyclyl, fused heterobicyclyl, fused bicyclyl aliphatic, fused heterobicyclyl aliphatic, fused bicycloxy, fused heterobicycloxy, fused bicyclylamino, fused heterobicyclylamino, fused bicycloxoalkoxy, fused heterobicycloxoalkoxy, fused bicyclyl aminoalkoxy, fused heterobicyclyl aminoalkoxy, fused bicyclyl-C(═O)—, fused bicyclyl-C(═O)O—, fused heterobicyclyl-C(═O)—, fused heterobicyclyl-C(═O)O—, fused bicyclylamino-C(═O)—, fused heterobicyclylamino-C(═O)—, fused bicyclyl-C(═O)NR 5 —, fused heterobicyclyl-C(═O)NR 5 —, spiro bicyclyl, spiro heterobicyclyl, spiro bicyclyl aliphatic, spiro heterobicyclyl aliphatic, spiro bicycloxy, spiro heterobicycloxy, spiro bicyclylamino, spiro heterobicyclylamino, spiro bicycloxoalkoxy, spiro heterobicycloxoalkoxy, spiro bicyclylaminoalkoxy, spiro heterobicyclylaminoalkoxy, spiro bicyclyl —C(═O)—, spiro bicyclyl-C(═O)O—, spiro heterobicyclyl-C(═O)—, spiro heterobicyclyl-C(═O)O—, spiro bicyclylamino-C(═O)—, spiro heterobicyclylamino-C(═O)—, spiro bicyclyl-C(═O)NR 5 —, or spiro heterobicyclyl-C(═O)NR 5 —, aryl, heteroaryl, arylaliphatic and heteroarylaliphatic, haloaliphatic, hydroxyaliphatic, aminoaliphatic, alkoxyaliphatic, alkylaminoaliphatic, alkylthioaliphatic, aryloxyaliphatic, heterocyclyloxyaliphatic, cycloalkyloxyaliphatic, arylaminoaliphatic, heterocyclylaminoaliphatic, cycloalkylaminoaliphatic, arylaliphatic, heterocyclylaliphatic, cycloalkylaliphatic, heterocyclyl and carbocyclyl is independently substituted or unsubstituted.

2. The compound according to claim 1 , wherein R 3 is independently H, F, Cl, Br, —CN, C 1-3 aliphatic, C 1-3 alkoxy, or C 1-3 haloalkyl.

3. The compound according to claim 1 , wherein Q i is

wherein R 3a is H, F, Cl, Br, I, —CN, hydroxyl, R 5a R 5 N—, R 5a R 5 N-aliphatic, hydroxyaliphatic, aliphatic, alkoxy, alkoxyaliphatic, haloalkyl, heterocyclyl, heterocyclylalkyl, cycloalkyl, cycloalkoxy aliphatic, heterocycloxy aliphatic, cycloalkylalkoxy, heterocyclylalkoxy, aryloxyalkyl, heteroaryloxy aliphatic, arylaliphatic, heteroaryl aliphatic, aryl, or heteroaryl.

4. The compound according to claim 1 , wherein Q 2 is

5. The compound according to claim 1 , wherein X 1 is O or NR 5 .

6. The compound according to claim 1 , wherein Z of formula (IIa) is —NHC(═O)—, and the substructure defined by X 1 , U 1 and R 3 of Formula I is:

7. The compound according to claim 1 , wherein:

R 1 is hydroxy-substituted cyclopropyl C 1-6 alkoxy, R 5 S(═O) 2 O-substituted cyclopropyl C 1-6 alkoxy, C 5-12 spiro bicyclyl, C 5-12 spiro heterobicyclyl, C 5-12 spiro bicyclyl C 1-6 aliphatic, C 5-12 spiro heterobicyclyl C 1-6 aliphatic, C 5-12 spiro heterobicycloxo C 1-6 alkoxy, C 5-12 spiro heterobicyclylamino C 1-6 alkoxy, C 5-12 spiro bicyclyl —C(═O)—, C 5-12 spiro bicyclyl-C(═O)O—, C 5-12 spiro heterobicyclyl-C(═O)—, C 5-12 spiro heterobicyclyl-C(═O)O—, C 5-12 spiro bicyclylamino-C(═O)—, C 5-12 spiro heterobicyclylamino-C(═O)—, C 5-12 spiro bicyclyl-C(═O)NR 5 —, or C 5-12 spiro heterobicyclyl-C(═O)NR 5 —; and

R 2 is H, halo, cyano(CN), R 5a R 5 N—C 1-6 alkoxy, optionally substituted C 1-6 alkoxy, C 1-6 hydroxyalkoxy, C 1-6 aminoalkoxy, C 1-6 hydroxy-substituted aminoalkoxy, C 1-6 haloalkoxy, C 1-6 alkylamino C 1-6 alkoxy, C 1-6 alkoxy C 1-6 alkoxy, C 4-10 heterocyclyloxy C 1-6 alkoxy, C 5-12 fused bicyclyl, C 5-12 fused bicyclyl C 1-6 aliphatic, C 5-12 fused heterobicyclyl C 1-6 aliphatic, C 5-12 fused bicycloxy, C 5-12 fused bicyclylamino, C 5-12 fused bicycloxo C 1-6 alkoxy, C 5-12 fused bicyclylamino C 1-6 alkoxy, C 5-12 fused bicyclyl-C(═O)—, C 5-12 fused bicyclyl-C(═O)O—, C 5-12 fused heterobicyclyl-C(═O)—, C 5-12 fused heterobicyclyl-C(═O)O—, C 5-12 fused bicyclylamino-C(═O)—, C 5-12 fused heterobicyclylamino-C(═O)—, C 5-12 fused bicyclyl-C(═O)NR 5 —, C 5-12 fused heterobicyclyl-C(═O)NR 5 —, C 5-12 spiro bicyclyl, C 5-12 spiro bicycloxy, C 5-12 spiro bicyclylamino, C 5-12 spiro bicycloxo C 1-6 alkoxy, C 5-12 spiro bicyclylamino C 1-6 alkoxy, C 5-12 fused heterobicyclyl, C 5-12 fused heterobicycloxy, C 5-12 fused heterobicyclylamino, C 5-12 fused heterobicycloxo C 1-6 alkoxy, C 5-12 fused heterobicyclylamino C 1-6 alkoxy, C 5-12 spiro bicyclyl, C 5-12 spiro heterobicyclyl, C 5-12 spiro bicyclyl C 1-6 aliphatic, C 5-12 spiro heterobicyclyl C 1-6 aliphatic, C 5-12 spiro heterobicycloxo C 1-6 alkoxy, C 5-12 spiro heterobicyclylamino C 1-6 alkoxy, C 5-12 spiro bicyclyl —C(═O)—, C 5-12 spiro bicyclyl-C(═O)O—, C 5-12 spiro heterobicyclyl-C(═O)—, C 5-12 spiro heterobicyclyl-C(═O)O—, C 5-12 spiro bicyclylamino-C(═O)—, C 5-12 spiro heterobicyclylamino-C(═O)—, C 5-12 spiro bicyclyl-C(═O)NR 5 —, or C 5-12 spiro heterobicyclyl-C(═O)NR 5 —, C 6-10 aryl, C 1-10 heteroaryl, C 6-10 aryl C 1-6 aliphatic or C 1-10 heteroaryl C 1-6 aliphatic.

8. The compound according to claim 1 , wherein R 1 has one of the following structures:

wherein each of X 4 and X 4 ′ is independently (CR 4 R 4a ) m , Me, O, S, S═O or SO 2 ; each of m and n is independently 0, 1 or 2; and t is 1, 2 or 3.

9. The compound of claim 1 having one of the following structures:

or a stereoisomer, a geometric isomer, a tautomer, an N-oxide, or a pharmaceutically acceptable salt thereof.

10. A compound of Formula (IV):

or a stereoisomer, a geometric isomer, a tautomer, an N-oxide, or a pharmaceutically acceptable salt thereof, wherein:

Q 2 has formula (III):

R 1 is one of the following structures:

wherein each of X 4 and X 4 ′ is independently (CR 4 R 4a ) m , NR 5 , O, S, S═O or SO 2 ; each of m and n is independently 0, 1 or 2; and t is 1, 2 or 3;

R 2 is H, halo, cyano, hydroxyl, R 5a R 5 N—, —C(═O)NR 5 R 5a , —OC(═O)NR 5 R 5a , —OC(═O)OR 5 , —NR 5 C(═O)NR 5 R 5a , —NR 5 C(═O)OR 5a , —NR 5 C(═O)—R 5a , R 5 R 5a N—O 2 S—, R 5 O 2 S—, R 5 O 2 SR 5a N—, R 5a R 5 N-alkyl, R 5 S(═O)-alkyl, R 5 R 5a N-C(═O)-alkyl, R 5a R 5 N-alkoxy, R 5 S(═O)-alkoxy, R 5 R 5a N-C(═O)-alkoxy, aliphatic, alkoxy, hydroxyalkoxy, aminoalkoxy, hydroxy-substituted aminoalkoxy, haloalkoxy, amino-substituted haloalkoxy, alkylamino haloalkoxy, hydroxy-substituted haloalkoxy, alkylaminoalkoxy, alkoxyalkoxy, arylalkoxy, heterocyclylalkoxy, carbocyclylalkoxy, heterocyclyl(hydroxyalkoxy), carbocyclyl(hydroxyalkoxy), aryl(hydroxyalkoxy), aryloxyalkoxy, aryloxy, heterocyclyloxyalkoxy, carbocyclyloxyalkoxy, heterocyclyloxy, cycloalkyloxy, (heterocyclo)hydroxyalkoxy, azidoalkoxy, fused bicyclyl, fused heterobicyclyl, fused bicyclyl aliphatic, fused heterobicyclyl aliphatic, fused bicycloxy, fused heterobicycloxy, fused bicyclylamino, fused heterobicyclylamino, fused bicycloxoalkoxy, fused heterobicycloxoalkoxy, fused bicyclyl aminoalkoxy, fused heterobicyclyl aminoalkoxy, fused bicyclyl-C(═O)—, fused bicyclyl-C(═O)O—, fused heterobicyclyl-C(═O)—, fused heterobicyclyl-C(═O)O—, fused bicyclylamino-C(═O)—, fused heterobicyclylamino-C(═O)—, fused bicyclyl-C(═O)NR 5 —, fused heterobicyclyl-C(═O)NR 5 —, spiro bicyclyl, spiro heterobicyclyl, spiro bicyclyl aliphatic, spiro heterobicyclyl aliphatic, spiro bicycloxy, spiro heterobicycloxy, spiro bicyclylamino, spiro heterobicyclylamino, spiro bicycloxoalkoxy, spiro heterobicycloxoalkoxy, spiro bicyclylaminoalkoxy, spiro heterobicyclylaminoalkoxy, spiro bicyclyl —C(═O)—, spiro bicyclyl-C(═O)O—, spiro heterobicyclyl-C(═O)—, spiro heterobicyclyl-C(═O)O—, spiro bicyclylamino-C(═O)—, spiro heterobicyclylamino-C(═O)—, spiro bicyclyl-C(═O)NR 5 —, or spiro heterobicyclyl-C(═O)NR 5 —, aryl, heteroaryl, arylaliphatic or heteroarylaliphatic, with the proviso that when alkoxy or alkylamino is substituted, each of alkoxy or alkylamino is independently substituted with one or more hydroxy groups, amino groups or substituted amino groups;

R 3 is H, F, Cl, Br, I, —CN, hydroxyl, R 5a R 5 N—, aliphatic, alkoxy, haloalkyl, heterocyclyl, heterocyclylalkyl, cycloalkyl, cycloalkyl aliphatic, cycloalkylalkoxy, or heterocyclylalkoxy;

each of U 1 and U 2 is independently CR 4 or N;

V 1 is O or NR 5 ;

V 2 is cR 4 R 4a , NR 5 , CR 4 or N, and V 3 and V 4 combine to become CR 4 R 4a , NR 5 , O, CR 4 or N;

each of W 1 , W 2 , W 3 and W 4 is independently CR 4 R 4a , NR 5 , CR 4 or N;

X 1 is (CR 4 R 4a ) m , NR 5 , O, S, S═O or SO 2 , where m is 0, 1 or 2;

X 2 is independently O, S or NR 5 ;

Z is —NR 5 C(═O)—(CR 4 R 4a ) p —, —NR 5 C(═S)—(CR 4 R 4a ) p —, —NR 5a —(CR 4 R 4a ) p —, —NR 5 —(CR 4 R 4a ) p C(═O)—, —NR 5 —(CR 4 R 4a ) p C(═S)—, —NR 5 S(═O) r —, —NR 5 S(═O) r (CR 4 R 4a ) p —, —C(═O)NR 5 (CR 4 R 4a ) p — or —NR 5 (CR 4 R 4a ) p S(═O) r —, where p is 0, 1, 2 or 3; and r is 1 or 2;

each of R 4 and R 4a is independently H, F, Cl, Br, I, —CN, hydroxyl, —NR 5a R 5 , alkoxy, cycloalkoxy, heterocycloalkoxy, aliphatic, haloaliphatic, hydroxyaliphatic, aminoaliphatic, alkoxyaliphatic, alkylaminoaliphatic, alkylthioaliphatic, aryloxyaliphatic, heterocyclyloxyaliphatic, cycloalkyloxyaliphatic, arylaminoaliphatic, heterocyclylaminoaliphatic, cycloalkylaminoaliphatic, arylaliphatic, heterocyclylaliphatic, cycloalkylaliphatic, aryl, heteroaryl, heterocyclyl or carbocyclyl, with the proviso that where R 4 and R 4a are bonded to the same carbon atom, R 4 and R 4a , together with the carbon atom they are attached to, optionally form a substituted or unsubstituted 3-8 membered carbocyclic or heterocyclic ring;

each of R 5 and R 5a is independently H, R 6 R 6a NC(═O)—, R 6 OC(═O)—, R 6 C(═O)—, R 6 R 6a NS(═O)—, R 6 OS(═O)—, R 6 S(═O)—, R 6 R 6a NSO 2 —, R 6 OSO 2 —, R 6 SO 2 —, aliphatic, haloaliphatic, hydroxyaliphatic, aminoaliphatic, alkoxyaliphatic, alkylaminoaliphatic, alkylthioaliphatic, arylaliphatic, heterocyclylaliphatic, cycloalkylaliphatic, aryloxyaliphatic, heterocyclyloxyaliphatic, cycloalkyloxyaliphatic, arylaminoaliphatic, heterocyclylaminoaliphatic, cycloalkylaminoaliphatic, aryl, heteroaryl, heterocyclyl or carbocyclyl, with the proviso that where R 5 and R 5a are bonded to the same nitrogen atom, R 5 and R 5a , together with the nitrogen atom they are attached to, optionally form a substituted or unsubstituted 3-8 membered ring, including spiro and fused bicyclic rings;

each of R 6 and R 6a is independently H, aliphatic, haloaliphatic, hydroxyaliphatic, aminoaliphatic, alkoxyaliphatic, alkylaminoaliphatic, alkylthioaliphatic, arylaliphatic, heterocyclylaliphatic, cycloalkylaliphatic, aryloxyaliphatic, heterocyclyloxyaliphatic, cycloalkyloxyaliphatic, arylaminoaliphatic, heterocyclylaminoaliphatic, cycloalkylaminoaliphatic, aryl, heteroaryl, heterocyclyl, or carbocyclyl;

wherein each of R 5a R 5 N—, —C(═O)NR 5 R 5a , —OC(═O)NR 5 R 5a , —OC(═O)OR 5 , —NR 5 C(═O)NR 5 R 5a , —NR 5 C(═O)OR 5a , —NR 5 C(═O)—R 5a , R 5 R 5a N-O 2 S—, R 5 O 2 S—, R 5 O 2 SR 5a N—, OR 5 , NR 5 , CR 4 R 4a , CR 4 , (CR 4 R 4a ) m , —NR 5 C(═O)—(CR 4 R 4a ) p —, —NR 5 C(═S)—(CR 4 R 4a ) p —, —NR 5a -(CR 4 R 4a ) p —, —NR 5 —(CR 4 R 4a ) p C(═O)—, —NR 5 —(CR 4 R 4a ) p C(═S)—, —NR 5 S(═O) r —, —NR 5 S(═O)(CR 4 R 4a ) p —, —C(═O)NR 5 —(CR 4 R 4a ) p —, —NR 5 —(CR 4 R 4a ) p —S(═O) r —, R 5a R 5 N-alkyl, R 5 (S═O)-alkyl, R 5 R 5a N—(C═O)-alkyl, R 5a R 5 N-alkoxy, R 5 (S═O)-alkoxy, R 5 R 5 N—(C═O)-alkoxy, R 6 R 6a NC(═O)—, R 6 OC(═O)—, R 6 C(═O)—, R 6 R 6a NS(═O)—, R 6 OS(═O)—, R 6 S(═O)—, R 6 R 6a NSO 2 —, R 6 OSO 2 —, R 6 SO 2 —, hydroxy-substituted cyclopropylalkoxy, R 5 S(═O) 2 O-substituted cyclopropylalkoxy, aliphatic, alkoxy, hydroxyalkoxy, aminoalkoxy, hydroxy-substituted aminoalkoxy, haloalkoxy, amino-substituted haloalkoxy, alkylamino haloalkoxy, hydroxy-substituted haloalkoxy, alkylaminoalkoxy, alkoxyalkoxy, arylalkoxy, heterocyclylalkoxy, carbocyclylalkoxy, heterocyclyl(hydroxyalkoxy), carbocyclyl(hydroxyalkoxy), aryl(hydroxyalkoxy), aryloxyalkoxy, aryloxy, heterocyclyloxyalkoxy, carbocyclyloxyalkoxy, heterocyclyloxy, cycloalkyloxy, (heterocyclo)hydroxyalkoxy, azidoalkoxy, fused bicyclyl, fused heterobicyclyl, fused bicyclyl aliphatic, fused heterobicyclyl aliphatic, fused bicycloxy, fused heterobicycloxy, fused bicyclylamino, fused heterobicyclylamino, fused bicycloxoalkoxy, fused heterobicycloxoalkoxy, fused bicyclyl aminoalkoxy, fused heterobicyclyl aminoalkoxy, fused bicyclyl-C(═O)—, fused bicyclyl-C(═O)O—, fused heterobicyclyl-C(═O)—, fused heterobicyclyl-C(═O)O—, fused bicyclylamino-C(═O)—, fused heterobicyclylamino-C(═O)—, fused bicyclyl-C(═O)NR 5 —, fused heterobicyclyl-C(═O)NR 5 —, spiro bicyclyl, spiro heterobicyclyl, spiro bicyclyl aliphatic, spiro heterobicyclyl aliphatic, spiro bicycloxy, spiro heterobicycloxy, spiro bicyclylamino, spiro heterobicyclylamino, spiro bicycloxoalkoxy, spiro heterobicycloxoalkoxy, spiro bicyclylaminoalkoxy, spiro heterobicyclylaminoalkoxy, spiro bicyclyl —C(═O)—, spiro bicyclyl-C(═O)O—, spiro heterobicyclyl-C(═O)—, spiro heterobicyclyl-C(═O)O—, spiro bicyclylamino-C(═O)—, spiro heterobicyclylamino-C(═O)—, spiro bicyclyl-C(═O)NR 5 —, or spiro heterobicyclyl-C(═O)NR 5 —, aryl, heteroaryl, arylaliphatic and heteroarylaliphatic, haloaliphatic, hydroxyaliphatic, aminoaliphatic, alkoxyaliphatic, alkylaminoaliphatic, alkylthioaliphatic, aryloxyaliphatic, heterocyclyloxyaliphatic, cycloalkyloxyaliphatic, arylaminoaliphatic, heterocyclylaminoaliphatic, cycloalkylaminoaliphatic, arylaliphatic, heterocyclylaliphatic, cycloalkylaliphatic, heterocyclyl and carbocyclyl is independently substituted or unsubstituted.

11. The compound according to claim 10 , wherein R 3 is independently H, F, Cl, Br, —CN, C 1-3 aliphatic, C 1-3 alkoxy, or C 1-3 haloalkyl.

12. The compound according to claim 10 , wherein the substructure defined by X 2 , V 1 , V 2 , V 3 , V 4 and Z of Formula (IV) is

wherein R 3a is H, F, Cl, Br, I, —CN, hydroxyl, R 5a R 5 N—, R 5a R 5 N-aliphatic, hydroxyaliphatic, aliphatic, alkoxy, alkoxyaliphatic, haloalkyl, heterocyclyl, heterocyclylalkyl, cycloalkyl, cycloalkoxy aliphatic, heterocycloxy aliphatic, cycloalkylalkoxy, heterocyclylalkoxy, aryloxyalkyl, heteroaryloxy aliphatic, arylaliphatic, heteroaryl aliphatic, aryl, or heteroaryl.

13. The compound according to claim 10 wherein Q 2 is

14. The compound according to claim 10 , wherein X 1 is O or NR 5 .

15. The compound according to claim 10 , wherein Z is —NHC(═O)—.

16. The compound according to claim 10 , wherein the substructure defined by X i , Z, U 1 and R 3 is

17. The compound according to claim 1 , wherein the substructure defined by X 1 , Z, U 1 and R 3 of Formula (IV) is:

the substructure defined by X 2 , V 1 , V 2 , V 3 , V 4 and Z of Formula (IV) is:

Q 2 is

R 1 is

wherein each of X 4 and X 4 ′ is independently O, and t is 3;

R 2 is H;

R 3a is aliphatic; and

each of R 5 and R 5a is independently H, aliphatic or aryl.

18. The compound of claim 10 having one of the following structures:

or a stereoisomer, a geometric isomer, a tautomer, an N-oxide, or a pharmaceutically acceptable salt thereof.

19. A pharmaceutical composition comprising a compound according to claim 1 and a pharmaceutically acceptable carrier, excipient, diluent, adjuvant, vehicle or a combination thereof.

20. The composition according to claim 19 further comprising a therapeutic agent selected from a chemotherapeutic agent, an anti-proliferative agent, an agent for treating atherosclerosis, an agent for treating lung fibrosis, and combinations thereof.

21. The composition according to claim 20 , wherein the additional therapeutic agent is adriamycin, rapamycin, temsirolimus, everolimus, ixabepilone, gemcitabin, cyclophosphamide, dexamethasone, etoposide, fluorouracil, imatinib mesylate, dasatinib, nilotinib, erlotinib, lapatinib, iressa, sorafenib, sunitinib, an interferon, carboplatin, topotecan, taxol, vinblastine, vincristine, temozolomide, tositumomab, trabecdectin, bevacizumab, panitumumab, or a combination thereof.