Azepane derivatives and methods of treating hepatitis B infections
Provided herein are compounds useful for the treatment of HBV infection in a subject in need thereof, pharmaceutical compositions thereof, and methods of inhibiting, suppressing, or preventing HBV infection in the subject.
1. A compound of Formula V:
or a pharmaceutically acceptable salt thereof;
wherein
each R 1 is, independently at each occurrence, halo, OH, —C 1 -C 6 alkyl, or —O—C 1 -C 6 alkyl, wherein the alkyl group is optionally substituted 1-3 times with halo or OH;
each R 2 is, independently at each occurrence, halo, OH, —C 1 -C 6 alkyl, or —O—C 1 -C 6 alkyl, wherein the alkyl group is optionally substituted 1-3 times with halo or OH;
Cy is
R 11 is, independently at each occurrence, —OH, —C 1 -C 6 alkyl, —OC(O)CH 3 , or —C 3 -C 10 cycloalkyl;
R 13 and R 14 , together with the carbons to which they are attached, join to form a cyclopropyl ring;
m is 1, 2, or 3;
n is 1, 2, or 3; and
x is 2 or 3.
2. The compound of claim 1 , or a pharmaceutically acceptable salt thereof, wherein each R 1 is, independently at each occurrence, halo.
3. The compound of claim 1 , or a pharmaceutically acceptable salt thereof, wherein each R 2 is, independently at each occurrence, halo or —C 1 -C 6 alkyl, wherein the alkyl is optionally substituted 1-3 times with halo.
4. A pharmaceutical composition comprising a compound of claim 1 , or a pharmaceutically acceptable salt thereof, together with a pharmaceutically acceptable carrier.
5. A method of treating an HBV infection in an individual in need thereof, comprising administering to the individual a therapeutically effective amount of a compound of claim 1 .
6. A method of reducing the viral load associated with an HBV infection in an individual in need thereof, comprising administering to the individual a therapeutically effective amount of a compound of claim 1 .
7. The method of claim 5 , further comprising administering to the individual at least one additional therapeutic agent selected from the group consisting of a HBV polymerase inhibitor, immunomodulatory agents, pegylated interferon, viral entry inhibitor, viral maturation inhibitor, literature-described capsid assembly modulator, reverse transcriptase inhibitor, a cyclophilin/TNF inhibitor, a TLR-agonist, an HBV vaccine, and a combination thereof.
8. The method of claim 7 , wherein the therapeutic agent is a reverse transcriptase inhibitor, and is at least one of Zidovudine, Didanosine, Zalcitabine, 2′,3′-dideoxyadenosine, Stavudine, Lamivudine, Abacavir, Emtricitabine, Entecavir, Apricitabine, Atevirapine, ribavirin, acyclovir, famciclovir, valacyclovir, ganciclovir, valganciclovir, Tenofovir, Adefovir, cidofovir, Efavirenz, Nevirapine, Delavirdine, and Etravirine.
9. The method of claim 7 , wherein the therapeutic agent is a TLR agonist, and wherein the TLR agonist is selected from the group consisting of SM360320 (9-benzyl-8-hydroxy-2-(2-methoxy-ethoxy)adenine) and AZD 8848 (methyl [3-({[3-(6-amino-2-butoxy-8-oxo-7,8-dihydro-9H-purin-9-yl)propyl][3-(4-morpholinyl)propyl]amino}methyl)phenyl]acetate).
10. The method of claim 7 , wherein the therapeutic agent is an interferon selected from the group consisting of interferon alpha (IFN-α), interferon beta (IFN-β), interferon lambda (IFN-λ), and interferon gamma (IFN-γ).
11. The method of claim 10 , wherein the interferon is interferon-alpha-2a, interferon-alpha-2b, or interferon-alpha-n1.
12. The method of claim 10 , wherein the interferon-alpha-2a or interferon-alpha-2b is pegylated.
13. The method of claim 10 , wherein the interferon-alpha-2a is pegylated interferon-alpha-2a (PEGASYS).
14. The method of claim 5 , further comprising administering to the individual at least one HBV vaccine, a nucleoside HBV inhibitor, an interferon or any combination thereof.
15. The method of claim 14 , wherein the HBV vaccine is selected from the group consisting of RECOMBIVAX HB, ENGERIX-B, ELOVAC B, GENEVAC-B, and SHANVAC B.
16. A method of treating an HBV infection in an individual in need thereof, comprising reducing the HBV viral load by administering to the individual a therapeutically effective amount of a compound of claim 1 alone or in combination with a reverse transcriptase inhibitor; and further administering to the individual a therapeutically effective amount of HBV vaccine.
17. The method of claim 5 further comprising monitoring the HBV viral load of the subject, and wherein the method is carried out for a period of time such that the HBV virus is undetectable.
18. The compound of claim 1 , wherein
each R 1 is, independently at each occurrence, halo;
each R 2 is, independently at each occurrence, halo or —C 1 -C 6 alkyl, wherein the alkyl is optionally substituted 1-3 times with halo
Cy is
R 11 is, independently at each occurrence, —OH, —C 1 -C 6 alkyl, —OC(O)CH 3 , or —C 3 -C 10 cycloalkyl;
m is 1, 2, or 3;
n is 1 or 2; and
x is 2 or 3.
19. The compound of claim 1 , wherein Cy is
20. The compound of claim 1 , wherein n is 1 or 2.