Inhibitors of NLRP3 inflammasome
The present disclosure relates to compounds that act as inhibitors of NLRP3 inflammasomes; pharmaceutical compositions comprising the compounds; and methods of treating cancer and disorders associated with inflammation and inflammaging.
1 . A compound of Formula I:
or a pharmaceutically acceptable salt thereof;
wherein
Ring A is selected from the group consisting of C 6-10 aryl, 5-10 membered heteroaryl, C 3-10 cycloalkyl, and 4-10 membered heterocycloalkyl;
Ring B is selected from the group consisting of C 6-10 aryl, 5-6 membered heteroaryl, C 3-6 cycloalkyl, and 3-6 membered heterocycloalkyl;
alternatively, Ring B and R 5 are absent;
R 1 is selected from the group consisting of H, C 1-6 alkyl, C 3-6 cycloalkyl, C 1-6 alkoxy, OC 3-6 cycloalkyl, O(C 0-6 alkylene-C 6-10 aryl), and C 0-6 alkylene-C 6-10 aryl, wherein alkyl and cycloalkyl are optionally substituted with OH, OC(O)C 1-6 alkyl, C(O)C 1-6 alkyl, N(R a ) 2 , and halo;
each R a is independently H, C 1-6 alkyl, C 3-6 cycloalkyl, and C(O)C 1-6 alkyl;
R 2 is H or C 1-6 alkyl;
R 3 is selected from the group consisting of C 1-6 alkyl, C 3-6 cycloalkyl, 3-6 membered heterocycloalkyl, and 5-10 membered heteroaryl, wherein C 1-6 alkyl and C 3-6 cycloalkyl are substituted by OH, C 1-6 alkoxy, NH 2 , NH(C 1-6 alkyl), N(C 1-6 alkyl)(C 1-6 haloalkyl), NH(C 1-6 haloalkyl), N(C 1-6 alkyl) 2 , N(C 1-6 haloalkyl) 2 , halo, SO 2 R 6 , NHCOR 6 , 3-6 membered heterocycloalkyl optionally substituted with one or two halo or OH, or C 0-3 alkylene-5-10 membered heteroaryl, wherein 3-6 membered heterocycloalkyl is independently optionally oxidized and independently optionally substituted by C 1-6 alkyl; and the nitrogen atom of NH(C 1-6 alkyl), N(C 1-6 alkyl)(C 1-6 haloalkyl), NH(C 1-6 haloalkyl), N(C 1-6 alkyl) 2 , and N(C 1-6 haloalkyl) 2 is optionally oxidized and one or more carbon atoms of the alkyl groups on the nitrogen atom are optionally substituted with 1-6 deuterium atoms or C 1-6 alkoxy;
alternatively, R 2 and R 3 , together with the atom to which they are attached, form a ring selected from the group consisting of C 3-7 cycloalkyl and 3-7 membered heterocycloalkyl, both of which are substituted by OH, C 1-6 alkoxy, or C 1-4 alkylene-O—C 1-4 alkyl;
each R 4 is independently selected from the group consisting of C 1-6 alkyl, C 2-6 alkenyl, C 2-6 alkynyl, halo, OH, OR 6 , NH 2 , NH(C 1-6 alkyl), N(C 1-6 alkyl) 2 , C 1-6 alkylene-NHCOR 6 , NHCOR 6 , CN, C 1-6 haloalkyl, C 3-7 cycloalkyl, 3-7 membered heterocycloalkyl, and COR 6 ;
alternatively, two R 4 , together with the atoms to which they are attached, form a ring selected from the group consisting of phenyl, 5-6 membered heteroaryl, C 4-6 cycloalkyl, and 4-6 membered heterocycloalkyl all of which are optionally substituted with one, two, or three R 7 ;
each R 5 is independently selected from the group consisting of C 1-6 alkyl, C 1-6 haloalkyl, halo, OH, OR 6 , NH 2 , NH(C 1-6 alkyl), N(C 1-6 alkyl) 2 , NHCOR 6 , CN, C 3-7 cycloalkyl, 3-7 membered heterocycloalkyl, COR 6 , and SO 2 R 6 ;
alternatively, two R 5 , together with the atoms to which they are attached, form a ring selected from the group consisting of phenyl, 5-6 membered heteroaryl, C 4-6 cycloalkyl, and 4-6 membered heterocycloalkyl all of which are optionally substituted with one, two, or three R 7 ;
each R 6 is independently selected from the group consisting of C 1-6 alkyl, C 2-6 alkenyl, C 0-6 alkylene-C 6-10 aryl, C 0-6 alkylene-5-10 membered heteroaryl, C 1-6 alkoxy, C 3-6 cycloalkyl, 3-6 membered heterocycloalkyl, halo, NH 2 , NH(C 1-6 alkyl), and N(C 1-6 alkyl) 2 ;
each R 7 is independently selected from the group consisting of C 1-6 alkyl, C 1-6 haloalkyl, halo, OH, C 1-6 alkoxy, NH 2 , NH(C 1-6 alkyl), N(C 1-6 alkyl) 2 , CN, COR 8 , and SO 2 R 8 ;
each R 8 is independently selected from the group consisting of C 1-6 alkyl, C 1-6 alkoxy, halo, NH 2 , NH(C 1-6 alkyl), and N(C 1-6 alkyl) 2 ;
each R 9 is independently selected from the group consisting of C 1-6 alkyl, C 1-6 alkoxy, C 1-6 alkyl-OH, halo, CN, OH, SO 2 R 6 , NH 2 , NH(C 1-6 alkyl), and N(C 1-6 alkyl) 2 ;
m is 0, 1, 2, or 3;
n is 0, 1, 2, or 3; and
p is 0, 1, 2, or 3.
2 . The compound of claim 1 , wherein
Ring A is C 6-10 aryl;
Ring B is C 6-10 aryl;
R 1 is C 1-6 alkyl;
R 2 is H;
R 3 is selected from the group consisting of C 1-6 alkyl, C 3-6 cycloalkyl, and 3-6 membered heterocycloalkyl, all of which are substituted by OH, C 1-6 alkoxy, NH 2 , NH(C 1-6 alkyl), N(C 1-6 alkyl) 2 , halo, SO 2 R 6 , or C 1-3 alkylene-5-10 membered heteroaryl;
alternatively, R 2 and R 3 , together with the atom to which they are attached, form a ring selected from the group consisting of C 3-7 cycloalkyl and 3-7 membered heterocycloalkyl, both of which are substituted by OH C 1-6 alkoxy, or C 1-4 alkylene-O—C 1-4 alkyl;
each R 4 is independently selected from the group consisting of C 1-6 alkyl, C 2-6 alkenyl, C 2-6 alkynyl, halo, OH, OR 6 , NH 2 , NH(C 1-6 alkyl), N(C 1-6 alkyl) 2 , C 1-6 alkylene-NHCOR 6 , NHCOR 6 , CN, C 1-6 haloalkyl, C 3-7 cycloalkyl, 3-7 membered heterocycloalkyl, and COR 6 ;
each R 5 is independently selected from the group consisting of C 1-6 alkyl, C 1-6 haloalkyl, halo, OH, OR 6 , NH 2 , NH(C 1-6 alkyl), N(C 1-6 alkyl) 2 , NHCOR 6 , CN, C 3-7 cycloalkyl, 3-7 membered heterocycloalkyl, COR 6 , and SO 2 R6;
each R 6 is independently selected from the group consisting of C 1-6 alkyl, C 2-6 alkenyl, C 0-6 alkylene-C 6-10 aryl, C 0-6 alkylene-5-10 membered heteroaryl, C 1-6 alkoxy, C 3-6 cycloalkyl, 3-6 membered heterocycloalkyl, halo, NH 2 , NH(C 1-6 alkyl), and N(C 1-6 alkyl) 2 ;
each R 9 is independently selected from the group consisting of C 1-6 alkyl, C 1-6 alkoxy, C 1-6 alkyl-OH, SO 2 R 6 , and halo;
m is 0, 1, 2, or 3;
n is 0, 1, 2, or 3; and
p is 0, 1, 2, or 3.
3 . The compound of claim 1 , wherein
Ring A is C 6-10 aryl;
Ring B is C 6-10 aryl;
R 1 is C 1-6 alkyl;
R 2 is H;
R 3 is selected from the group consisting of C 1-6 alkyl, C 3-6 cycloalkyl, and 3-6 membered heterocycloalkyl, all of which are substituted by OH, NH(C 1-6 alkyl), N(C 1-6 alkyl) 2 , or C 1-6 alkoxy;
alternatively, R 2 and R 3 , together with the atom to which they are attached, form a ring selected from the group consisting of C 3-7 cycloalkyl and 3-7 membered heterocycloalkyl, both of which is substituted by OH;
each R 4 is independently selected from the group consisting of C 1-6 alkyl, halo, OH, C 1-6 alkoxy, OC 3-6 cycloalkyl, NH 2 , NH(C 1-6 alkyl), N(C 1-6 alkyl) 2 , NHC(O)C 1-6 alkyl, CN, and C 1-6 haloalkyl;
each R 5 is independently selected from the group consisting of C 1-6 alkyl, halo, OH, C 1-6 alkoxy, OC 3-6 cycloalkyl, NH 2 , NH(C 1-6 alkyl), N(C 1-6 alkyl) 2 , CONH 2 , CONH(C 1-6 alkyl), CN, and C 1-6 haloalkyl;
each R 9 is independently selected from the group consisting of C 1-6 alkyl, C 1-6 alkoxy, C 1-6 alkyl-OH, halo, CN, OH, NH 2 , NH(C 1-6 alkyl), and N(C 1-6 alkyl) 2 ;
m is 0, 1, or 2;
n is 0, 1, or 2; and
p is 0 or 1.
4 . The compound of claim 1 , wherein the compound of Formula I is a compound of Formula Ia:
or a pharmaceutically acceptable salt thereof.
5 . The compound of claim 1 , wherein R 1 is C 1-6 alkyl;
R 2 is H;
each R 4 is independently selected from the group consisting of halo, C 1-6 alkoxy, OC 3-6 cycloalkyl, and C 1-6 haloalkyl;
each R 5 is independently selected from the group consisting of C 1-6 alkyl, halo, CN, and C(O)NH(C 1-6 alkyl); and
each R 9 is independently selected from the group consisting of C 1-3 alkyl, C 1-6 alkoxy, C 1-3 alkyl-OH, and halo.
6 . The compound of claim 1 , wherein R 3 is C 1-6 alkyl substituted by OH, NH(C 1-6 alkyl), N(C 1-6 alkyl) 2 , or C 1-3 alkoxy.
7 . The compound of claim 1 , wherein m is 0, 1, or 2,
n is 1; and
p is 0 or 1.
8 . The compound of claim 1 , wherein the compound of Formula I is selected from
or a pharmaceutically acceptable salt thereof.
9 . A compound of Formula II:
or a pharmaceutically acceptable salt thereof;
wherein
Ring A is selected from the group consisting of C 6-10 aryl, 5-10 membered heteroaryl, C 3-10 cycloalkyl, and 4-10 membered heterocycloalkyl;
Ring B is selected from the group consisting of phenyl, 5-6 membered heteroaryl, C 3-6 cycloalkyl, and 3-6 membered heterocycloalkyl;
alternatively, Ring B and R 5 are absent;
R 1 is selected from the group consisting of C 1-6 alkyl, C 3-6 cycloalkyl, C 0-6 alkylene-C 6-10 aryl, and 3-7 membered heterocycloalkyl, wherein C 1-6 alkyl, C 3-6 cycloalkyl, and C 0-6 alkylene-C 6-10 aryl are substituted with OH, halo, SO 2 R 6 , OC(O)C 1-6 alkyl, C(O)C 1-6 alkyl, 3-6 membered heterocycloalkyl, and N(R a ) 2 , wherein 3-6 membered heterocycloalkyl is optionally substituted by one or two halo;
each R a is independently H, C 1-6 alkyl, C 3-6 cycloalkyl, and C(O)C 1-6 alkyl;
R 2 is H or C 1-6 alkyl;
each R 4 is independently selected from the group consisting of C 1-6 alkyl, C 2-6 alkenyl, C 2-6 alkynyl, halo, OH, OR 6 , NH 2 , NH(C 1-6 alkyl), N(C 1-6 alkyl) 2 , C 1-6 alkyl-NHCOR 6 , NHCOR 6 , CN, C 1-6 haloalkyl, C 3-7 cycloalkyl, 3-7 membered heterocycloalkyl, and COR 6 ;
alternatively, two R 4 , together with the atoms to which they are attached, form a ring selected from the group consisting of phenyl, 5-6 membered heteroaryl, C 4-6 cycloalkyl, and 4-6 membered heterocycloalkyl all of which are optionally substituted with one, two, or three R 7 ;
each R 5 is independently selected from the group consisting of C 1-6 alkyl, C 1-6 haloalkyl, halo, OH, OR 6 , NH 2 , NH(C 1-6 alkyl), N(C 1-6 alkyl) 2 , NHCOR 6 , CN, C 3-7 cycloalkyl, 3-7 membered heterocycloalkyl, COR 6 , and SO 2 R 6 ;
alternatively, two R 5 , together with the atoms to which they are attached, form a ring selected from the group consisting of phenyl, 5-6 membered heteroaryl, C 4-6 cycloalkyl, and 4-6 membered heterocycloalkyl all of which are optionally substituted with one, two, or three R 7 ;
each R 6 is independently selected from the group consisting of C 1-6 alkyl, C 2-6 alkenyl, C 0-6 alkylene-C 6-10 aryl, C 0-6 alkylene-5-10 membered heteroaryl, C 1-6 alkoxy, C 3-6 cycloalkyl, 3-6 membered heterocycloalkyl, halo, NH 2 , NH(C 1-6 alkyl), and N(C 1-6 alkyl) 2 ;
each R 7 is independently selected from the group consisting of C 1-6 alkyl, C 1-6 haloalkyl, halo, OH, C 1-6 alkoxy, NH 2 , NH(C 1-6 alkyl), N(C 1-6 alkyl) 2 , CN, COR, and SO 2 R 8 ;
each R 8 is independently selected from the group consisting of C 1-6 alkyl, C 1-6 alkoxy, halo, NH 2 , NH(C 1-6 alkyl), and N(C 1-6 alkyl) 2 ;
each R 9 is independently selected from the group consisting of C 1-6 alkyl, C 1-6 alkoxy, C 1-6 alkyl-OH, C 1-6 alkyl-NH(C 1-3 alkyl), halo, CN, OH, SO 2 R 6 , NH 2 , NH(C 1-6 alkyl), and N(C 1-6 alkyl) 2 ;
m is 0, 1, 2, or 3;
n is 0, 1, 2, or 3; and
p is 0, 1, 2, or 3.
10 . The compound of claim 9 , wherein
Ring A is C 6-10 aryl;
Ring B is C 6-10 aryl;
R 1 is selected from the group consisting of C 1-6 alkyl, C 3-6 cycloalkyl, C 1-6 alkoxy, OC 3-6 cycloalkyl, O(C 0-6 alkylene-C 6-10 aryl), and C 0-6 alkylene-C 6-10 aryl, all of which are substituted with OH, halo, SO 2 R 6 , OC(O)C 1-6 alkyl, C(O)C 1-6 alkyl, and N(R a ) 2 ;
each R a is independently H, C 1-6 alkyl, C 3-6 cycloalkyl, and C(O)C 1-6 alkyl;
R 2 is H or C 1-6 alkyl;
each R 4 is independently selected from the group consisting of halo, OH, C 1-6 alkoxy, OC 3-6 cycloalkyl, CN, and C 1-6 haloalkyl;
each R 5 is independently selected from the group consisting of C 1-6 alkyl, C 1-6 haloalkyl, halo, CN, CONH 2 , and CONH(C 1-6 alkyl);
each R 9 is independently selected from the group consisting of C 1-6 alkyl, C 1-6 alkoxy, C 1-6 alkyl-OH, halo, CN, OH, SO 2 R 6 , NH 2 , NH(C 1-6 alkyl), and N(C 1-6 alkyl) 2 ;
m is 0, 1, 2, or 3;
n is 0, 1, 2, or 3; and
p is 0, 1, 2, or 3.
11 . The compound of claim 9 , wherein
Ring A is phenyl;
Ring B is phenyl;
R 1 is selected from the group consisting of C 1-6 alkyl and C 3-6 cycloalkyl, both of which are substituted with OH;
R 2 is H or C 1-6 alkyl;
each R 4 is independently selected from the group consisting of halo, OH, C 1-6 alkoxy, OC 3-6 cycloalkyl, and C 1-6 haloalkyl;
each R 5 is independently selected from the group consisting of C 1-6 alkyl, C 1-6 haloalkyl, halo, CN, CONH 2 , and CONH(C 1-6 alkyl);
each R 9 is independently selected from the group consisting of C 1-6 alkyl, C 1-6 alkoxy, C 1-6 alkyl-OH, halo, CN, OH, NH 2 , NH(C 1-6 alkyl), and N(C 1-6 alkyl) 2 ;
m is 0, 1, or 2;
n is 0, 1, or 2; and
p is 0 or 1.
12 . The compound of claim 9 , wherein the compound of Formula II is a compound of Formula IIa:
or a pharmaceutically acceptable salt thereof.
13 . The compound of claim 9 , wherein R 1 is C 1-6 alkyl substituted by OH.
14 . The compound of claim 9 , wherein each R 4 is independently selected from the group consisting of C 1-6 alkoxy and OC 3-6 cycloalkyl;
each R 5 is independently selected from the group consisting of halo, CN, CONH 2 , and CONH(C 1-6 alkyl); and
each R 9 is independently selected from the group consisting of C 1-6 alkyl-OH, halo, OH, NH 2 , NH(C 1-6 alkyl), and N(C 1-6 alkyl) 2 .
15 . The compound of claim 9 , wherein m is 0, 1, or 2;
n is 1; and
p is 0 or 1.
16 . The compound of claim 9 , wherein the compound of Formula II is selected from
or a pharmaceutically acceptable salt thereof.
17 . A compound of Formula III:
or a pharmaceutically acceptable salt thereof;
wherein
Ring A is selected from the group consisting of C 6-10 aryl, C 3-10 cycloalkyl, and 4-10 membered heterocycloalkyl;
Ring B is selected from the group consisting of C 6-10 aryl, 5-6 membered heteroaryl, C 3-6 cycloalkyl, and 3-6 membered heterocycloalkyl;
alternatively, Ring B and R 5 are absent;
R 1 is selected from the group consisting of H, C 1-6 alkyl, C 3-6 cycloalkyl, OC 3-6 cycloalkyl, O(C 0-6 alkylene-C 6-10 aryl), and C 0-6 alkylene-C 6-10 aryl, wherein alkyl and cycloalkyl are optionally substituted with OH, OC(O)C 1-6 alkyl, C(O)C 1-6 alkyl, N(R a ) 2 , and halo;
each R a is independently H, C 1-6 alkyl, C 3-6 cycloalkyl, and C(O)C 1-6 alkyl;
R 2 is H or C 1-6 alkyl;
R 3 is selected from the group consisting of H, C 1-6 alkyl, C 3-6 cycloalkyl, 3-6 membered heterocycloalkyl, and 5-10 membered heteroaryl, wherein C 1-6 alkyl and C 3-6 cycloalkyl are substituted by OH, C 1-6 alkoxy, NH 2 , NH(C 1-6 alkyl), N(C 1-6 alkyl)(C 1-6 haloalkyl), NH(C 1-6 haloalkyl), N(C 1-6 alkyl) 2 , N(C 1-6 haloalkyl) 2 , halo, SO 2 R 6 , NHCOR 6 , 3-6 membered heterocycloalkyl optionally substituted with one or two halo or OH, or C 0-3 alkylene-5-10 membered heteroaryl, wherein 3-6 membered heterocycloalkyl is independently optionally oxidized and independently optionally substituted by C 1-6 alkyl; and the nitrogen atom of NH 2 , NH(C 1-6 alkyl), N(C 1-6 alkyl)(C 1-6 haloalkyl), NH(C 1-6 haloalkyl), N(C 1-6 alkyl) 2 , and N(C 1-6 haloalkyl) 2 is optionally oxidized and one or more carbon atoms of the alkyl groups on the nitrogen atom are optionally substituted with 1-6 deuterium atoms or C 1-6 alkoxy;
alternatively, R 2 and R 3 , together with the atom to which they are attached, form a ring selected from the group consisting of C 3-7 cycloalkyl and 3-7 membered heterocycloalkyl, both of which are substituted by OH, C 1-6 alkoxy, or C 1-4 alkylene-O—C 1-4 alkyl;
each R 4 is independently selected from the group consisting of C 1-6 alkyl, C 2-6 alkenyl, C 2-6 alkynyl, halo, OH, OR 6 , NH 2 , NH(C 1-6 alkyl), N(C 1-6 alkyl) 2 , C 1-6 alkylene-NHCOR 6 , NHCOR 6 , CN, C 1-6 haloalkyl, C 3-7 cycloalkyl, 3-7 membered heterocycloalkyl, and COR 6 ;
alternatively, two R 4 , together with the atoms to which they are attached, form a ring selected from the group consisting of phenyl, 5-6 membered heteroaryl, C 4-6 cycloalkyl, and 4-6 membered heterocycloalkyl all of which are optionally substituted with one, two, or three R 7 ;
each R 5 is independently selected from the group consisting of C 1-6 alkyl, C 1-6 haloalkyl, halo, OH, OR 6 , NH 2 , NH(C 1-6 alkyl), N(C 1-6 alkyl) 2 , NHCOR 6 , CN, C 3-7 cycloalkyl, 3-7 membered heterocycloalkyl, COR 6 , and SO 2 R 6 ;
alternatively, two R 5 , together with the atoms to which they are attached, form a ring selected from the group consisting of phenyl, 5-6 membered heteroaryl, C 4-6 cycloalkyl, and 4-6 membered heterocycloalkyl all of which are optionally substituted with one, two, or three R 7 ;
each R 6 is independently selected from the group consisting of C 1-6 alkyl, C 2-6 alkenyl, C 0-6 alkylene-C 6-10 aryl, C 0-6 alkylene-5-10 membered heteroaryl, C 1-6 alkoxy, C 3-6 cycloalkyl, 3-6 membered heterocycloalkyl, halo, NH 2 , NH(C 1-6 alkyl), and N(C 1-6 alkyl) 2 ;
each R 7 is independently selected from the group consisting of C 1-6 alkyl, C 1-6 haloalkyl, halo, OH, C 1-6 alkoxy, NH 2 , NH(C 1-6 alkyl), N(C 1-6 alkyl) 2 , CN, COR 8 , and SO 2 R 8 ;
each R 8 is independently selected from the group consisting of C 1-6 alkyl, C 1-6 alkoxy, halo, NH 2 , NH(C 1-6 alkyl), and N(C 1-6 alkyl) 2 ;
each R 9 is independently selected from the group consisting of C 1-6 alkyl, CN, SO 2 R 6 , NH 2 , NH(C 1-6 alkyl), and N(C 1-6 alkyl) 2 ;
m is 0, 1, 2, or 3;
n is 0, 1, 2, or 3; and
p is 0, 1, 2, or 3.
18 . The compound of claim 17 , wherein the compound of Formula III is a compound selected from
or a pharmaceutically acceptable salt thereof.
19 . The compound of claim 1 wherein the compound binds to one or more amino acids of Y143, R147, F257, Y258, H260, E263, V264, L272, L275, I276, C279, F299, G328, L331, L332, L335, and C514 of a NLRP3 amino acid sequence of SEQ ID NO: 1.
20 . A pharmaceutical composition comprising a compound of claim 1 , or a pharmaceutically acceptable salt thereof, and a pharmaceutically acceptable excipient.
21 . A method of inhibiting NLRP3 inflammasome in a subject in need thereof comprising administering to the subject a therapeutically effective amount of a compound according to claim 1 .
22 . A method of treating obesity in a subject in need thereof, comprising administering to the subject a therapeutically effective amount of a compound according to claim 1 , or a pharmaceutically acceptable salt thereof.
23 . A method of improving lipid metabolism in a subject in need thereof, comprising administering to the subject a therapeutically effective amount of a compound according to claim 1 , or a pharmaceutically acceptable salt thereof.
24 . A method of treating an ocular disease in a subject in need thereof comprising administering to the subject a therapeutically effective amount of a compound according to claim 1 , or a pharmaceutically acceptable salt thereof.
25 . A method of treating gout in a subject in need thereof comprising administering to the subject a therapeutically effective amount of a compound according to claim 1 , or a pharmaceutically acceptable salt thereof.
26 . The compound of claim 1 , wherein the compound of Formula I is selected from the group consisting of
or a pharmaceutically acceptable salt thereof.
27 . The compound of claim 1 , wherein the compound of Formula I is
or a pharmaceutically acceptable salt thereof.
28 . The compound of claim 1 , wherein the compound of Formula I is
or a pharmaceutically acceptable salt thereof.
29 . The compound of claim 1 , wherein the compound of Formula I is
or a pharmaceutically acceptable salt thereof.