FURIN INHIBITORS FOR TREATING CORONAVIRUS INFECTIONS
20230149401 · 2023-05-18
Assignee
Inventors
- Keith Wilcoxen (Cambridge, MA, US)
- Claudine Mapa (Cambridge, MA, US)
- Tatjana Odrljin (Cambridge, MA, US)
- Nabil G. Seidah (Montreal, CA)
Cpc classification
A61K31/4545
HUMAN NECESSITIES
A61K31/553
HUMAN NECESSITIES
A61K31/506
HUMAN NECESSITIES
A61K31/675
HUMAN NECESSITIES
A61K31/165
HUMAN NECESSITIES
A61K31/165
HUMAN NECESSITIES
A61K31/496
HUMAN NECESSITIES
A61K2300/00
HUMAN NECESSITIES
A61K31/506
HUMAN NECESSITIES
A61K2300/00
HUMAN NECESSITIES
A61K31/537
HUMAN NECESSITIES
A61K31/55
HUMAN NECESSITIES
International classification
A61K31/506
HUMAN NECESSITIES
A61K31/4545
HUMAN NECESSITIES
A61K31/496
HUMAN NECESSITIES
A61K31/4995
HUMAN NECESSITIES
A61K31/537
HUMAN NECESSITIES
A61K31/55
HUMAN NECESSITIES
A61K31/553
HUMAN NECESSITIES
A61K31/675
HUMAN NECESSITIES
Abstract
Provided herein are methods, pharmaceutical compositions, and kits for treating and/or preventing a viral infection resulting from a coronaviridae family virus in a subject in need thereof, comprising administering to the subject a compound of Formula (I), or a pharmaceutical composition comprising a compound of Formula (I). Further provided herein are methods for inhibiting the viral entry into a cell of a coronaviridae family virus (e.g., alpha-coronavirus (e.g., HCoV-NL63, HCoV-229E), betacoronavirus (e.g., SARS-CoV, SARS-CoV-2, MERS-CoV, HCoV-OC43, HCoV-HKU1)) in a subject in need thereof, comprising administering to the subject a therapeutically effective amount of a compound of Formula (I), or a pharmaceutically acceptable salt thereof, or a pharmaceutical composition comprising a compound of Formula (I) as described herein. Also provided are pharmaceutical compositions and kits comprising a compound of Formula (I), or a pharmaceutically acceptable salt thereof, for use in the treatment and/or prevention of a viral infection resulting from a coronaviridae family virus in a subject in need thereof.
##STR00001##
Claims
1. A method of treating a viral infection resulting from coronaviridae family virus in a subject in need thereof comprising administering to the subject a compound of Formula (I), wherein the compound of Formula (I) is of the formula: ##STR00373## or a pharmaceutically acceptable salt thereof, wherein: X is —O— or —N(R.sup.8)—; Y is —N═ or —C(R.sup.6)═; R.sup.1 and R.sup.2 are each independently H or optionally substituted (C.sub.1-C.sub.4)alkyl; optionally, R.sup.1 and R.sup.2 taken together with the nitrogen atom to which they are attached form a 4-11 membered monocyclic, fused bicyclic, bridged, or spiro-bicyclic saturated ring, optionally containing one or two additional heteroatoms independently selected from oxygen, nitrogen, and sulfur, wherein said ring is optionally substituted with one, two, or three of halogen, hydroxyl, oxo, —OCONR.sup.8R.sup.9, —CO.sub.2R.sup.8, —C(O)CO.sub.2R.sup.8, —R.sup.7, —OR.sup.7, —NHR.sup.8, —NR.sup.7R.sup.8, —C(O)R.sup.7, —CONHR.sup.8, —CONR.sup.7R.sup.8, or —SO.sub.2R.sup.7; each R.sup.3 is independently halogen, —CN, —O(C.sub.1-C.sub.4)alkyl, or optionally substituted (C.sub.1-C.sub.4)alkyl; R.sup.4 and R.sup.5 are each independently H or optionally substituted (C.sub.1-C.sub.4)alkyl; optionally, R.sup.4 and R.sup.5 taken together with the nitrogen atom to which they are attached form a 4-11 membered monocyclic, fused bicyclic, bridged, or spiro-bicyclic saturated ring, optionally containing one or two additional heteroatoms independently selected from oxygen, nitrogen, and sulfur, wherein said ring is optionally substituted with one, two, or three of halogen, hydroxyl, oxo, —OCONR.sup.8R.sup.9, —CO.sub.2R.sup.8, —C(O)CO.sub.2R.sup.8, —SO.sub.5(C.sub.1 C.sub.4)alkyl, —R.sup.7, —OR.sup.7, —NHR.sup.8, —NR.sup.7R.sup.8, —N(R.sup.8)C(O)R.sup.9, —N(R.sup.8)SO.sub.2R.sup.9, —N(R.sup.8)CONR.sup.8R.sup.9, —N(R.sup.8)CON(R.sup.8)SO.sub.2R.sup.9, —C(O)R.sup.7, —CONHR.sup.8, —CONR.sup.7R.sup.8, or —P(O)R.sup.8R.sup.9; each R.sup.6 is independently H, halogen, optionally substituted (C.sub.1-C.sub.4)alkyl, —OH, or optionally substituted (C.sub.1-C.sub.4)alkoxy; each R.sup.7 is independently (C.sub.1-C.sub.6)alkyl, (C.sub.2-C.sub.6)alkenyl, halo(C.sub.1-C.sub.6)alkyl, (C.sub.3-C.sub.6)cycloalkyl, or (C.sub.1-C.sub.4)alkyl(C.sub.3-C.sub.6)cycloalkyl, each of which is optionally substituted with one or two of triazolyl, tetrazolyl, —CO.sub.2R.sup.8, —CONR.sup.8R.sup.9, —CON(R.sup.8)CO.sub.2(C.sub.1-C.sub.4)alkyl, hydroxyl, oxo, —(C.sub.1-C.sub.4)alkoxy, —OCONR.sup.8R.sup.9, —OCON(R.sup.8)C(O)R.sup.9, (C.sub.1-C.sub.4)alkyl, (C.sub.1-C.sub.4)alkylOH, —NR.sup.8R.sup.9, —N(O)R.sup.8R.sup.9, —N(R.sup.8)C(O)R.sup.9, —N(R.sup.8)CO.sub.2(C.sub.1-C.sub.4)alkyl, —N(R.sup.8)CH.sub.2CO.sub.2R.sup.9, —N(R.sup.8)CONR.sup.8R.sup.9, —N(R.sup.8)CON(R.sup.8)C(O)R.sup.9, —N(R.sup.8)CON(R.sup.8)CO.sub.2(C.sub.1-C.sub.4)alkyl, —N(R.sup.8)SO.sub.2R.sup.9, —N(R.sup.8)CON(R.sup.8)SO.sub.2R.sup.9, —SO(C.sub.1-C.sub.4)alkyl, —SO.sub.2(C.sub.1-C.sub.4)alkyl, —SO.sub.3R.sup.8, —SO.sub.2NR.sup.8R.sup.9, —B(OH)z, —P(O)R.sup.8R.sup.9, or —P(O)(OR.sup.8)(OR.sup.9); each of R.sup.8 and R.sup.9 is independently H, optionally substituted (C.sub.1-C.sub.4)alkyl, or optionally substituted (C.sub.3-C.sub.6)cycloalkyl; and n is 1, 2, 3, or 4.
2. A method of inhibiting the entry of a coronaviridae family virus into a cell in a subject in need thereof, comprising administering to the subject an effective amount of a compound of Formula (I), wherein the compound of Formula (I) is of the formula: ##STR00374## or a pharmaceutically acceptable salt thereof, wherein: X is —O— or —N(R.sup.8)—; Y is —N═ or —C(R.sup.6)═; R.sup.1 and R.sup.2 are each independently H or optionally substituted (C.sub.1-C.sub.4)alkyl; optionally, R.sup.1 and R.sup.2 taken together with the nitrogen atom to which they are attached form a 4-11 membered monocyclic, fused bicyclic, bridged, or spiro-bicyclic saturated ring, optionally containing one or two additional heteroatoms independently selected from oxygen, nitrogen, and sulfur, wherein said ring is optionally substituted with one, two, or three of halogen, hydroxyl, oxo, —OCONR.sup.8R.sup.9, —CO.sub.2R.sup.8, —C(O)CO.sub.2R.sup.8, —R.sup.7, —OR.sup.7, —NHR.sup.8, —NR.sup.7R.sup.8, —C(O)R.sup.7, —CONHR.sup.8, —CONR.sup.7R.sup.8, or —SO.sub.2R.sup.7; each R.sup.3 is independently halogen, —CN, —O(C.sub.1-C.sub.4)alkyl, or optionally substituted (C.sub.1-C.sub.4)alkyl; R.sup.4 and R.sup.5 are each independently H or optionally substituted (C.sub.1-C.sub.4)alkyl; optionally, R.sup.4 and R.sup.5 taken together with the nitrogen atom to which they are attached form a 4-11 membered monocyclic, fused bicyclic, bridged, or spiro-bicyclic saturated ring, optionally containing one or two additional heteroatoms independently selected from oxygen, nitrogen, and sulfur, wherein said ring is optionally substituted with one, two, or three of halogen, hydroxyl, oxo, —OCONR.sup.8R.sup.9, —CO.sub.2R.sup.8, —C(O)CO.sub.2R.sup.8, —SO.sub.2(C.sub.1 C.sub.4)alkyl, —R.sup.7, —OR.sup.7, —NHR.sup.8, —NR.sup.7R.sup.8, —N(R.sup.8)C(O)R.sup.9, —N(R.sup.8)SO.sub.2R.sup.9, —N(R.sup.8)CONR.sup.8R.sup.9, —N(R.sup.8)CON(R.sup.8)SO.sub.2R.sup.9, —C(O)R.sup.7, —CONHR.sup.8, —CONR.sup.7R.sup.8, or —P(O)R.sup.8R.sup.9; each R.sup.6 is independently H, halogen, optionally substituted (C.sub.1-C.sub.4)alkyl, —OH, or optionally substituted (C.sub.1-C.sub.4)alkoxy; each R.sup.7 is independently (C.sub.1-C.sub.6)alkyl, (C.sub.2-C.sub.6)alkenyl, halo(C.sub.1-C.sub.6)alkyl, (C.sub.3-C.sub.6)cycloalkyl, or (C.sub.1-C.sub.4)alkyl(C.sub.3-C.sub.6)cycloalkyl, each of which is optionally substituted with one or two of triazolyl, tetrazolyl, —CO.sub.2R.sup.8, —CONR.sup.8R.sup.9, —CON(R.sup.8)CO.sub.2(C.sub.1-C.sub.4)alkyl, hydroxyl, oxo, —(C.sub.1-C.sub.4)alkoxy, —OCONR.sup.8R.sup.9, —OCON(R.sup.8)C(O)R.sup.9, (C.sub.1-C.sub.4)alkyl, (C.sub.1-C.sub.4)alkylOH, —NR.sup.8R.sup.9, —N(O)R.sup.8R.sup.9, —N(R.sup.8)C(O)R.sup.9, —N(R.sup.8)CO.sub.2(C.sub.1-C.sub.4)alkyl, —N(R.sup.8)CH.sub.2CO.sub.2R.sup.9, —N(R.sup.8)CONR.sup.8R.sup.9, —N(R.sup.8)CON(R.sup.8)C(O)R.sup.9, —N(R.sup.8)CON(R.sup.8)CO.sub.2(C.sub.1-C.sub.4)alkyl, —N(R.sup.8)SO.sub.2R.sup.9, —N(R.sup.8)CON(R.sup.8)SO.sub.2R.sup.9, —SO(C.sub.1-C.sub.4)alkyl, —SO.sub.2(C.sub.1-C.sub.4)alkyl, —SO.sub.3R.sup.8, —SO.sub.2NR.sup.8R.sup.9, —B(OH).sub.2, —P(O)R.sup.8R.sup.9, or —P(O)(OR.sup.8)(OR.sup.9); each of R.sup.8 and R.sup.9 is independently H, optionally substituted (C.sub.1-C.sub.4)alkyl, or optionally substituted (C.sub.3-C.sub.6)cycloalkyl; and n is 1, 2, 3, or 4.
3. A method of inhibiting the maturation of a coronaviridae family virus in a subject in need thereof, comprising administering to the subject an effective amount of a compound of Formula (I), wherein the compound of Formula (I) is of the formula: ##STR00375## or a pharmaceutically acceptable salt thereof, wherein: X is —O— or —N(R.sup.8)—; Y is —N═ or —C(R.sup.6)═; R.sup.1 and R.sup.2 are each independently H or optionally substituted (C.sub.1-C.sub.4)alkyl; optionally, R.sup.1 and R.sup.2 taken together with the nitrogen atom to which they are attached form a 4-11 membered monocyclic, fused bicyclic, bridged, or spiro-bicyclic saturated ring, optionally containing one or two additional heteroatoms independently selected from oxygen, nitrogen, and sulfur, wherein said ring is optionally substituted with one, two, or three of halogen, hydroxyl, oxo, —OCONR.sup.8R.sup.9, —CO.sub.2R.sup.9, —C(O)CO.sub.2R.sup.8, —R.sup.7, —OR.sup.7, —NHR.sup.8, —NR.sup.7R.sup.8, —C(O)R.sup.7, —CONHR.sup.8, CONR.sup.7R.sup.8, or —SO.sub.2R.sup.7; each R.sup.3 is independently halogen, —CN, —O(C.sub.1-C.sub.4)alkyl, or optionally substituted (C.sub.1-C.sub.4)alkyl; R.sup.4 and R.sup.5 are each independently H or optionally substituted (C.sub.1-C.sub.4)alkyl; optionally, R.sup.4 and R.sup.5 taken together with the nitrogen atom to which they are attached form a 4-11 membered monocyclic, fused bicyclic, bridged, or spiro-bicyclic saturated ring, optionally containing one or two additional heteroatoms independently selected from oxygen, nitrogen, and sulfur, wherein said ring is optionally substituted with one, two, or three of halogen, hydroxyl, oxo, —OCONR.sup.8R.sup.9, —CO.sub.2R.sup.8, —C(O)CO.sub.2R.sup.8, —SO.sub.2(C.sub.1 C.sub.4)alkyl, —R.sup.7, —OR.sup.7, —NHR.sup.8, —NR.sup.7R.sup.8, —N(R.sup.8)C(O)R.sup.9, —N(R.sup.8)SO.sub.2R.sup.9, —N(R.sup.8)CONR.sup.8R.sup.9, —N(R.sup.8)CON(R.sup.8)SO.sub.2R.sup.9, —C(O)R.sup.7, —CONHR.sup.8, CONR.sup.7R.sup.8, or —P(O)R.sup.8R.sup.9; each R.sup.6 is independently H, halogen, optionally substituted (C.sub.1-C.sub.4)alkyl, —OH, or optionally substituted (C.sub.1-C.sub.4)alkoxy; each R.sup.7 is independently (C.sub.1-C.sub.6)alkyl, (C.sub.2-C.sub.6)alkenyl, halo(C.sub.1-C.sub.6)alkyl, (C.sub.3-C.sub.6)cycloalkyl, or (C.sub.1-C.sub.4)alkyl(C.sub.3-C.sub.6)cycloalkyl, each of which is optionally substituted with one or two of triazolyl, tetrazolyl, —CO.sub.2R.sup.8, —CONR.sup.8R.sup.9, —CON(R.sup.8)CO.sub.2(C.sub.1-C.sub.4)alkyl, hydroxyl, oxo, —(C.sub.1-C.sub.4)alkoxy, —OCONR.sup.8R.sup.9, —OCON(R.sup.8)C(O)R.sup.9, (C.sub.1-C.sub.4)alkyl, (C.sub.1-C.sub.4)alkylOH, —NR.sup.8R.sup.9, —N(O)R.sup.8R.sup.9, —N(R.sup.8)C(O)R.sup.9, —N(R.sup.8)CO.sub.2(C.sub.1-C.sub.4)alkyl, —N(R.sup.8)CH.sub.2CO.sub.2R.sup.9, —N(R.sup.8)CONR.sup.8R.sup.9, —N(R.sup.8)CON(R.sup.8)C(O)R.sup.9, —N(R.sup.8)CON(R.sup.8)CO.sub.2(C.sub.1-C.sub.4)alkyl, —N(R.sup.8)SO.sub.2R.sup.9, —N(R.sup.8)CON(R.sup.8)SO.sub.2R.sup.9, —SO(C.sub.1-C.sub.4)alkyl, —SO.sub.2(C.sub.1-C.sub.4)alkyl, —SO.sub.3R.sup.8, —SO.sub.2NR.sup.8R.sup.9, —B(OH).sub.2, —P(O)R.sup.8R.sup.9, or —P(O)(OR.sup.8)(OR.sup.9); each of R.sup.8 and R.sup.9 is independently H, optionally substituted (C.sub.1-C.sub.4)alkyl, or optionally substituted (C.sub.3-C.sub.6)cycloalkyl; and n is 1, 2, 3, or 4.
4. A compound of Formula (I), or a pharmaceutically acceptable salt thereof, for use in treating and/or preventing a viral infection resulting from a coronaviridae family virus in a subject in need thereof, wherein the compound of Formula (I) is of the formula: ##STR00376## or a pharmaceutically acceptable salt thereof, wherein: X is —O— or —N(R.sup.8)—; Y is —N═ or —C(R.sup.6)═; R.sup.1 and R.sup.2 are each independently H or optionally substituted (C.sub.1-C.sub.4)alkyl; optionally, R.sup.1 and R.sup.2 taken together with the nitrogen atom to which they are attached form a 4-11 membered monocyclic, fused bicyclic, bridged, or spiro-bicyclic saturated ring, optionally containing one or two additional heteroatoms independently selected from oxygen, nitrogen, and sulfur, wherein said ring is optionally substituted with one, two, or three of halogen, hydroxyl, oxo, —OCONR.sup.8R.sup.9, —CO.sub.2R.sup.8, —C(O)CO.sub.2R.sup.8, —R.sup.7, —OR.sup.7, —NHR.sup.8, —NR.sup.7R.sup.8, —C(O)R.sup.7, —CONHR.sup.8, —CONR.sup.7R.sup.8, or —SO.sub.2R.sup.7; each R.sup.3 is independently halogen, —CN, —O(C.sub.1-C.sub.4)alkyl, or optionally substituted (C.sub.1-C.sub.4)alkyl; R.sup.4 and R.sup.5 are each independently H or optionally substituted (C.sub.1-C.sub.4)alkyl; optionally, R.sup.4 and R.sup.5 taken together with the nitrogen atom to which they are attached form a 4-11 membered monocyclic, fused bicyclic, bridged, or spiro-bicyclic saturated ring, optionally containing one or two additional heteroatoms independently selected from oxygen, nitrogen, and sulfur, wherein said ring is optionally substituted with one, two, or three of halogen, hydroxyl, oxo, —OCONR.sup.8R.sup.9, —CO.sub.2R.sup.8, —C(O)CO.sub.2R.sup.8, —SO.sub.2(C.sub.1 C.sub.4)alkyl, —R.sup.7, —OR.sup.7, —NHR.sup.8, —NR.sup.7R.sup.8, —N(R.sup.8)C(O)R.sup.9, —N(R.sup.8)SO.sub.2R.sup.9, —N(R.sup.8)CONR.sup.8R.sup.9, —N(R.sup.8)CON(R.sup.8)SO.sub.2R.sup.9, —C(O)R.sup.7, —CONHR.sup.8, —CONR.sup.7R.sup.8, or —P(O)R.sup.8R.sup.9; each R.sup.6 is independently H, halogen, optionally substituted (C.sub.1-C.sub.4)alkyl, —OH, or optionally substituted (C.sub.1-C.sub.4)alkoxy; each R.sup.7 is independently (C.sub.1-C.sub.6)alkyl, (C.sub.2-C.sub.6)alkenyl, halo(C.sub.1-C.sub.6)alkyl, (C.sub.3-C.sub.6)cycloalkyl, or (C.sub.1-C.sub.4)alkyl(C.sub.3-C.sub.6)cycloalkyl, each of which is optionally substituted with one or two of triazolyl, tetrazolyl, —CO.sub.2R.sup.8, —CONR.sup.8R.sup.9, —CON(R.sup.8)CO.sub.2(C.sub.1-C.sub.4)alkyl, hydroxyl, oxo, —(C.sub.1-C.sub.4)alkoxy, —OCONR.sup.8R.sup.9, —OCON(R.sup.8)C(O)R.sup.9, (C.sub.1-C.sub.4)alkyl, (C.sub.1-C.sub.4)alkylOH, —NR.sup.8R.sup.9, —N(O)R.sup.8R.sup.9, —N(R.sup.8)C(O)R.sup.9, —N(R.sup.8)CO.sub.2(C.sub.1-C.sub.4)alkyl, —N(R.sup.8)CH.sub.2CO.sub.2R.sup.9, —N(R.sup.8)CONR.sup.8R.sup.9, —N(R.sup.8)CON(R.sup.8)C(O)R.sup.9, —N(R.sup.8)CON(R.sup.8)CO.sub.2(C.sub.1-C.sub.4)alkyl, —N(R.sup.8)SO.sub.2R.sup.9, —N(R.sup.8)CON(R.sup.8)SO.sub.2R.sup.9, —SO(C.sub.1-C.sub.4)alkyl, —SO.sub.2(C.sub.1-C.sub.4)alkyl, —SO.sub.3R.sup.8, —SO.sub.2NR.sup.8R.sup.9, —B(OH).sub.2, —P(O)R.sup.8R.sup.9, or —P(O)(OR.sup.8)(OR.sup.9); each of R.sup.8 and R.sup.9 is independently H, optionally substituted (C.sub.1-C.sub.4)alkyl, or optionally substituted (C.sub.3-C.sub.6)cycloalkyl; and n is 1, 2, 3, or 4.
5. Use of a compound of Formula (I), or a pharmaceutically acceptable salt thereof, in the manufacture of a medicament for the treatment and/or prevention of a viral infection resulting from a coronaviridae family virus in a subject in need thereof, wherein the compound of Formula (I) is of the formula: ##STR00377## or a pharmaceutically acceptable salt thereof, wherein: X is —O— or —N(R.sup.8)—; Y is —N═ or —C(R.sup.6)═; R.sup.1 and R.sup.2 are each independently H or optionally substituted (C.sub.1-C.sub.4)alkyl; optionally, R.sup.1 and R.sup.2 taken together with the nitrogen atom to which they are attached form a 4-11 membered monocyclic, fused bicyclic, bridged, or spiro-bicyclic saturated ring, optionally containing one or two additional heteroatoms independently selected from oxygen, nitrogen, and sulfur, wherein said ring is optionally substituted with one, two, or three of halogen, hydroxyl, oxo, —OCONR.sup.8R.sup.9, —CO.sub.2R.sup.8, —C(O)CO.sub.2R.sup.8, —R.sup.7, —OR.sup.7, —NHR.sup.8, —NR.sup.7R.sup.8, —C(O)R.sup.7, —CONHR.sup.8, —CONR.sup.7R.sup.8, or —SO.sub.2R.sup.7; each R.sup.3 is independently halogen, —CN, —O(C.sub.1-C.sub.4)alkyl, or optionally substituted (C.sub.1-C.sub.4)alkyl; R.sup.4 and R.sup.5 are each independently H or optionally substituted (C.sub.1-C.sub.4)alkyl; optionally, R.sup.4 and R.sup.5 taken together with the nitrogen atom to which they are attached form a 4-11 membered monocyclic, fused bicyclic, bridged, or spiro-bicyclic saturated ring, optionally containing one or two additional heteroatoms independently selected from oxygen, nitrogen, and sulfur, wherein said ring is optionally substituted with one, two, or three of halogen, hydroxyl, oxo, —OCONR.sup.8R.sup.9, —CO.sub.2R.sup.8, —C(O)CO.sub.2R.sup.8, —SO.sub.2(C.sub.1 C.sub.4)alkyl, —R.sup.7, —OR.sup.7, —NHR.sup.8, —NR.sup.7R.sup.8, —N(R.sup.8)C(O)R.sup.9, —N(R.sup.8)SO.sub.2R.sup.9, —N(R.sup.8)CONR.sup.8R.sup.9, —N(R.sup.8)CON(R.sup.8)SO.sub.2R.sup.9, —C(O)R.sup.7, —CONHR.sup.8, —CONR.sup.7R.sup.8, or —P(O)R.sup.8R.sup.9; each R.sup.6 is independently H, halogen, optionally substituted (C.sub.1-C.sub.4)alkyl, —OH, or optionally substituted (C.sub.1-C.sub.4)alkoxy; each R.sup.7 is independently (C.sub.1-C.sub.6)alkyl, (C.sub.2-C.sub.6)alkenyl, halo(C.sub.1-C.sub.6)alkyl, (C.sub.3-C.sub.6)cycloalkyl, or (C.sub.1-C.sub.4)alkyl(C.sub.3-C.sub.6)cycloalkyl, each of which is optionally substituted with one or two of triazolyl, tetrazolyl, —CO.sub.2R.sup.8, —CONR.sup.8R.sup.9, —CON(R.sup.8)CO.sub.2(C.sub.1-C.sub.4)alkyl, hydroxyl, oxo, —(C.sub.1-C.sub.4)alkoxy, —OCONR.sup.8R.sup.9, —OCON(R.sup.8)C(O)R.sup.9, (C.sub.1-C.sub.4)alkyl, (C.sub.1-C.sub.4)alkylOH, —NR.sup.8R.sup.9, —N(O)R.sup.8R.sup.9, —N(R.sup.8)C(O)R.sup.9, —N(R.sup.8)CO.sub.2(C.sub.1-C.sub.4)alkyl, —N(R.sup.8)CH.sub.2CO.sub.2R.sup.9, —N(R.sup.8)CONR.sup.8R.sup.9, —N(R.sup.8)CON(R.sup.8)C(O)R.sup.9, —N(R.sup.8)CON(R.sup.8)CO.sub.2(C.sub.1-C.sub.4)alkyl, —N(R.sup.8)SO.sub.2R.sup.9, —N(R.sup.8)CON(R.sup.8)SO.sub.2R.sup.9, —SO(C.sub.1-C.sub.4)alkyl, —SO.sub.2(C.sub.1-C.sub.4)alkyl, —SO.sub.3R.sup.8, —SO.sub.2NR.sup.8R.sup.9, —B(OH).sub.2, —P(O)R.sup.8R.sup.9, or —P(O)(OR.sup.8)(OR.sup.9); each of R.sup.8 and R.sup.9 is independently H, optionally substituted (C.sub.1-C.sub.4)alkyl, or optionally substituted (C.sub.3-C.sub.6)cycloalkyl; n is 1, 2, 3, or 4.
6. A pharmaceutical composition comprising a compound of Formula (I), for use in the methods of any one of the preceding claims, wherein the compound of Formula (I) is of the formula: ##STR00378## or a pharmaceutically acceptable salt thereof, wherein: X is —O— or —N(R.sup.8)—; Y is —N═ or —C(R.sup.6)═; R.sup.1 and R.sup.2 are each independently H or optionally substituted (C.sub.1-C.sub.4)alkyl; optionally, R.sup.1 and R.sup.2 taken together with the nitrogen atom to which they are attached form a 4-11 membered monocyclic, fused bicyclic, bridged, or spiro-bicyclic saturated ring, optionally containing one or two additional heteroatoms independently selected from oxygen, nitrogen, and sulfur, wherein said ring is optionally substituted with one, two, or three of halogen, hydroxyl, oxo, —OCONR.sup.8R.sup.9, —CO.sub.2R.sup.8, —C(O)CO.sub.2R.sup.8, —R.sup.7, —OR.sup.7, —NHR.sup.8, —NR.sup.7R.sup.8, —C(O)R.sup.7, —CONHR.sup.8, CONR.sup.7R.sup.8, or —SO.sub.2R.sup.7; each R.sup.3 is independently halogen, —CN, —O(C.sub.1-C.sub.4)alkyl, or optionally substituted (C.sub.1-C.sub.4)alkyl; R.sup.4 and R.sup.5 are each independently H or optionally substituted (C.sub.1-C.sub.4)alkyl; optionally, R.sup.4 and R.sup.5 taken together with the nitrogen atom to which they are attached form a 4-11 membered monocyclic, fused bicyclic, bridged, or spiro-bicyclic saturated ring, optionally containing one or two additional heteroatoms independently selected from oxygen, nitrogen, and sulfur, wherein said ring is optionally substituted with one, two, or three of halogen, hydroxyl, oxo, —OCONR.sup.8R.sup.9, —CO.sub.2R.sup.8, —C(O)CO.sub.2R.sup.8, —SO.sub.2(C.sub.1 C.sub.4)alkyl, —R.sup.7, —OR.sup.7, —NHR.sup.8, —NR.sup.7R.sup.8, —N(R.sup.8)C(O)R.sup.9, —N(R.sup.8)SO.sub.2R.sup.9, —N(R.sup.8)CONR.sup.8R.sup.9, —N(R.sup.8)CON(R.sup.8)SO.sub.2R.sup.9, —C(O)R.sup.7, —CONHR.sup.8, CONR.sup.7R.sup.8, or —P(O)R.sup.8R.sup.9; each R.sup.6 is independently H, halogen, optionally substituted (C.sub.1-C.sub.4)alkyl, —OH, or optionally substituted (C.sub.1-C.sub.4)alkoxy; each R.sup.7 is independently (C.sub.1-C.sub.6)alkyl, (C.sub.2-C.sub.6)alkenyl, halo(C.sub.1-C.sub.6)alkyl, (C.sub.3-C.sub.6)cycloalkyl, or (C.sub.1-C.sub.4)alkyl(C.sub.3-C.sub.6)cycloalkyl, each of which is optionally substituted with one or two of triazolyl, tetrazolyl, —CO.sub.2R.sup.8, —CONR.sup.8R.sup.9, —CON(R.sup.8)CO.sub.2(C.sub.1-C.sub.4)alkyl, hydroxyl, oxo, —(C.sub.1-C.sub.4)alkoxy, —OCONR.sup.8R.sup.9, —OCON(R.sup.8)C(O)R.sup.9, (C.sub.1-C.sub.4)alkyl, (C.sub.1-C.sub.4)alkylOH, —NR.sup.8R.sup.9, —N(O)R.sup.8R.sup.9, —N(R.sup.8)C(O)R.sup.9, —N(R.sup.8)CO.sub.2(C.sub.1-C.sub.4)alkyl, —N(R.sup.8)CH.sub.2CO.sub.2R.sup.9, —N(R.sup.8)CONR.sup.8R.sup.9, —N(R.sup.8)CON(R.sup.8)C(O)R.sup.9, —N(R.sup.8)CON(R.sup.8)CO.sub.2(C.sub.1-C.sub.4)alkyl, —N(R.sup.8)SO.sub.2R.sup.9, —N(R.sup.8)CON(R.sup.8)SO.sub.2R.sup.9, —SO(C.sub.1-C.sub.4)alkyl, —SO.sub.2(C.sub.1-C.sub.4)alkyl, —SO.sub.3R.sup.8, —SO.sub.2NR.sup.8R.sup.9, —B(OH).sub.2, —P(O)R.sup.8R.sup.9, or —P(O)(OR.sup.8)(OR.sup.9); each of R.sup.8 and R.sup.9 is independently H, optionally substituted (C.sub.1-C.sub.4)alkyl, or optionally substituted (C.sub.3-C.sub.6)cycloalkyl; and n is 1, 2, 3, or 4.
7. The method, compound, pharmaceutical composition, or use of any one of claims 1-6, further comprising administering an additional pharmaceutical agent.
8. The method, compound, pharmaceutical composition, or use of claim 7, wherein the additional pharmaceutical agent is an antiviral agent.
9. The method, compound, pharmaceutical composition, or use of claim 8, wherein the antiviral agent is Abacavir, Acyclovir, Amantadine, Atazanavir, Chloroquine, Darunavir, Elvitegravir, Fosamprenavir, Ganciclovir, Indinavir, Ledipasvir, Lopinavir, Nitazoxanide, Oseltamivir, Penciclovir, Peramivir, Raltegravir, Ribavirin, Rimantadine, Ritonavir, Saquinavir, Sofosbuvir, Tipranavir, Velpatasvir, Zanamivirfavipiravir, remdesivir, Oyal, galidesivir, umifenovir, or hydroxychloroquine.
10. The method, compound, pharmaceutical composition, or use of claim any one of claims 1-6, wherein the additional pharmaceutical agent is an antibacterial agent.
11. The method, compound, pharmaceutical composition, or use of claim 10, wherein the antibacterial agent is azithromycin.
12. The method, compound, pharmaceutical composition, or use of claim 7, wherein the additional pharmaceutical agent is an anti-inflammatory agent.
13. The method, compound, pharmaceutical composition, or use of claim 12, wherein the anti-inflammatory agent is Gimsilumab, IL-6 antibodies, actemra, paracetamol, or non-steroidal anti-inflammatory drugs (NSAIDs).
14. The method, compound, pharmaceutical composition, or use of claim 7, wherein the additional pharmaceutical agent is human antibodies to SARS-CoV-2.
15. The method, compound, pharmaceutical composition, or use of claim 7, wherein the additional pharmaceutical agent is antibodies that bind the S-spike protein of SARS-CoV-2.
16. The method, compound, pharmaceutical composition, or use of claim 7, wherein the additional pharmaceutical agent is a serine protease inhibitor.
17. The method, compound, pharmaceutical composition, or use of claim 16, wherein the serine protease inhibitor is a TMPRSS2 inhibitor.
18. The method, compound, pharmaceutical composition, or use of claim 16 or 17, wherein the serine protease inhibitor is camostat.
19. The method, compound, pharmaceutical composition, or use of claim 7, wherein the additional pharmaceutical agent is an ACE2 inhibitor.
20. The method, compound, pharmaceutical composition, or use of claim 19, wherein the ACE2 inhibitor is benazepril, captopril, enalapril, fosinopril, lisinopril, moexipril, perindopril, quinapril, ramipril, or trandolapril.
21. The method, compound, pharmaceutical composition, or use of any one of claims 1 to 20, wherein the coronaviridae family virus is an alphacoronavirus.
22. The method, compound, pharmaceutical composition, or use of claim 21, wherein the alphacoronavirus is HCoV-NL63.
23. The method, compound, pharmaceutical composition, or use of claim 21, wherein the alphacoronavirus is HCoV-229E.
24. The method, compound, pharmaceutical composition, or use of any one of claims 1 to 20, wherein the coronaviridae family virus is a betacoronavirus.
25. The method, compound, pharmaceutical composition, or use of claim 24, wherein the betacoronavirus is SARS-CoV.
26. The method, compound, pharmaceutical composition, or use of claim 24, wherein the betacoronavirus is SARS-CoV-2.
27. The method, compound, pharmaceutical composition, or use of claim 24, wherein the betacoronavirus is MERS-CoV.
28. The method, compound, pharmaceutical composition, or use of claim 24, wherein the betacoronavirus is HCoV-OC43.
29. The method, compound, pharmaceutical composition, or use of claim 24, wherein the betacoronavirus is HCoV-HKU1.
30. The method, compound, pharmaceutical composition, or use of any one of claims 1 to 29, wherein Y is —N═.
31. The method, compound, pharmaceutical composition, or use of any one of claims 1 to 30, wherein the compound of Formula (I) is of Formula (H): ##STR00379## or a pharmaceutically acceptable salt thereof.
32. The method, compound, pharmaceutical composition, or use of any one of claims 1 to 30, wherein Y is —C(R.sup.6).
33. The method, compound, pharmaceutical composition, or use of any one of claims 1 to 30, or 31, wherein the compound of Formula (I) is of Formula (III): ##STR00380## or a pharmaceutically acceptable salt thereof.
34. The method, compound, pharmaceutical composition, or use of any one of claims 1 to 33, wherein R.sup.3 is halogen.
35. The method, compound, pharmaceutical composition, or use of any one of claims 1 to 34, wherein R.sup.3 is —Cl.
36. The method, compound, pharmaceutical composition, or use of any one of claims 1 to 35, wherein n is 2.
37. The method, compound, pharmaceutical composition, or use of any one of claims 1 to 36, wherein X is —O—.
38. The method, compound, pharmaceutical composition, or use of any one of claims 1 to 37, wherein R.sup.4 and R.sup.5 taken together with the nitrogen atom to which they are attached form a 4-11 membered heterocyclic ring, wherein said ring is optionally substituted with one, two, or three of halogen, hydroxyl, oxo, —OCONR.sup.8R.sup.9, —CO.sub.2R.sup.8, —C(O)CO.sub.2R.sup.8, —SO.sub.2(C.sub.1 C.sub.4)alkyl, —R.sup.7, —OR.sup.7, —NHR.sup.8, —NR.sup.7R.sup.8, —N(R.sup.8)C(O)R.sup.9, —N(R.sup.8)SO.sub.2R.sup.9, —N(R.sup.8)CONR.sup.8R.sup.9, —N(R.sup.8)CON(R.sup.8)SO.sub.2R.sup.9, —C(O)R.sup.7, —CONHR.sup.8, —CONR.sup.7R.sup.8, or —P(O)R.sup.8R.sup.9.
39. The method, compound, pharmaceutical composition, or use of any one of claims 1 to 38, wherein R.sup.4 and R.sup.5 taken together with the nitrogen atom to which they are attached form an optionally substituted pyrrolidine, pyrazolidine, imidazolidine, piperidine, piperazine, or morpholine ring.
40. The method, compound, pharmaceutical composition, or use of any one of claims 1 to 39, wherein R.sup.4 and R.sup.5 taken together with the nitrogen atom to which they are attached form a heterocyclic ring of the formula: ##STR00381##
41. The method, compound, pharmaceutical composition, or use of any one of claims 1 to 40, wherein R.sup.1 and R.sup.2 taken together with the nitrogen atom to which they are attached form a 4-11 membered heterocyclic ring, wherein said ring is optionally substituted with one, two, or three of halogen, hydroxyl, oxo, —OCONR.sup.8R.sup.9, —CO.sub.2R.sup.8, —C(O)CO.sub.2R.sup.8, —R.sup.7, —OR.sup.7, —NHR.sup.8, —NR.sup.7R.sup.8, —C(O)R.sup.7, —CONHR.sup.8, CONR.sup.7R.sup.8, or —SO.sub.2R.sup.7.
42. The method, compound, pharmaceutical composition, or use of any one of claims 1 to 37, wherein R.sup.1 and R.sup.2 taken together with the nitrogen atom to which they are attached form an optionally substituted an optionally substituted pyrrolidine, pyrazolidine, imidazolidine, piperidine, piperazine, or morpholine ring.
43. The method, compound, pharmaceutical composition, or use of any one of claims 1 to 31 or 34 to 42, wherein R.sup.1 and R.sup.2 taken together with the nitrogen atom to which they are attached form a piperazine ring of the formula: ##STR00382##
44. The method, compound, pharmaceutical composition, or use of any claims 1 to 31, or 34 to 43, wherein the compound, or pharmaceutically acceptable salt thereof, is: 1-((1-((2-(3,5-dichlorophenyl)-6-((2-(4-(3-(methylsulfinyl)butyl)piperazin-1-yl)pyrimidin-5-yl)oxy)pyridin-4-yl)methyl)piperidin-4-yl)methyl)-3-methylurea; 1-((1-((2-(3,5-dichlorophenyl)-6-((2-(4-(4-(methylsulfonyl)butan-2-yl)piperazin-1-yl)pyrimidin-5-yl)oxy)pyridin-4-yl)methyl)piperidin-4-yl)methyl)-3-methylurea; N-((1-((2-(3,5-dichlorophenyl)-6-((2-(4-(4-(methylsulfonyl)butan-2-yl)piperazin-1-yl)pyrimidin-5-yl)oxy)pyridin-4-yl)methyl)piperidin-4-yl)methyl)acetamide; 1-((1-((2-(3,5-dichlorophenyl)-6-((2-(4-(4-hydroxybutan-2-yl)piperazin-1-yl)pyrimidin-5-yl)oxy)pyridin-4-yl)methyl)piperidin-4-yl)methyl)-3-methylurea; 2-(1-((2-(3,5-dichlorophenyl)-6-((2-(4-(1-hydroxypropan-2-yl)piperazin-1-yl)pyrimidin-5-yl)oxy)pyridin-4-yl)methyl)piperidin-4-yl)acetic acid; 2-(1-((2-(3,5-dichlorophenyl)-6-((2-(4-(3-hydroxycyclobutyl)piperazin-1-yl)pyrimidin-5-yl)oxy)pyridin-4-yl)methyl)piperidin-4-yl)acetic acid; 2-(1-((2-(3,5-dichlorophenyl)-6-((2-(4-(1,3-dihydroxypropan-2-yl)piperazin-1-yl)pyrimidin-5-yl)oxy)pyridin-4-yl)methyl)piperidin-4-yl)acetic acid; 2-(1-((2-(3,5-dichlorophenyl)-6-((2-(4-((1s,3s)-3-hydroxy-3-methylcyclobutyl)piperazin-1-yl)pyrimidin-5-yl)oxy)pyridin-4-yl)methyl)piperidin-4-yl)acetic acid; 2-(1-((2-(3,5-dichlorophenyl)-6-((2-(4-((1r,3r)-3-hydroxy-3-methylcyclobutyl)piperazin-1-yl)pyrimidin-5-yl)oxy)pyridin-4-yl)methyl)piperidin-4-yl)acetic acid; 1-(2-(3,5-dichlorophenyl)-6-((2-(4-(3-(methylsulfonyl)propyl)piperazin-1-yl)pyrimidin-5-yl)oxy)pyridin-4-yl)-N-methylmethanamine; 1-((1-((2-(3,5-dichlorophenyl)-6-((2-(4-(2-hydroxyethyl)piperazin-1-yl)pyrimidin-5-yl)oxy)pyridin-4-yl)methyl)piperidin-4-yl)methyl)-3-methylurea; 3-(4-(5-((6-(3,5-dichlorophenyl)-4-((4-((3-methylureido)methyl)piperidin-1-yl)methyl) pyridin-2-yl)oxy)pyrimidin-2-yl)piperazin-1-yl)propane-1-sulfonamide; methyl((1-((2-(3,5-dichlorophenyl)-6-((2-(piperazin-1-yl)pyrimidin-5-yl)oxy)pyridin-4-yl)methyl)piperidin-4-yl)methyl)carbamate; 3-(4-(5-((6-(3,5-dichlorophenyl)-4-((4-fluoro-4-(((methoxycarbonyl)amino)methyl) piperidin-1-yl)methyl)pyridin-2-yl)oxy)pyrimidin-2-yl)piperazin-1-yl)propanoic acid; 2-(1-((2-(3,5-dichlorophenyl)-6-((2-(4-methylpiperazin-1-yl)pyrimidin-5-yl)oxy)pyridin-4-yl)methyl)piperidin-4-yl)ethanol; 2-((1-((2-(3,5-dichlorophenyl)-6-((2-(4-methylpiperazin-1-yl)pyrimidin-5-yl)oxy)pyridin-4-yl)methyl)piperidin-4-yl)oxy)acetic acid; 3-(4-(5-((4-((4-(2-(carbamoyloxy)ethyl)piperazin-1-yl)methyl)-6-(3,5-dichlorophenyl) pyridin-2-yl)oxy)pyrimidin-2-yl)piperazin-1-yl)propanoic acid; 3-(3-(5-((6-(3,5-dichlorophenyl)-4-((4-(((methoxycarbonyl)amino)methyl)piperidin-1-yl)methyl)pyridin-2-yl)oxy)pyrimidin-2-yl)-3,8-diazabicyclo[3.2.1]octan-8-yl)propanoic acid; 4-(4-(5-((6-(3,5-dichlorophenyl)-4-((4-(2-hydroxyethyl)piperidin-1-yl)methyl)pyridin-2-yl)oxy)pyrimidin-2-yl)piperazin-1-yl)-2-methylbutanoic acid; 4-(4-(5-((6-(3,5-dichlorophenyl)-4-((4-(propionamidomethyl)piperidin-1-yl)methyl) pyridin-2-yl)oxy)pyrimidin-2-yl)piperazin-1-yl)-2-methylbutanoic acid; 4-(4-(5-((6-(3,5-dichlorophenyl)-4-((4-fluoropiperidin-1-yl)methyl)pyridin-2-yl)oxy)pyrimidin-2-yl)piperazin-1-yl)butan-2-ol; 3-(4-(5-((4-((4-(acetamidomethyl)piperidin-1-yl)methyl)-6-(3-chloro-5-(difluoromethyl)phenyl)pyridin-2-yl)oxy)pyrimidin-2-yl)piperazin-1-yl)propanoic acid; 3-(4-(5-((6-(3,5-dichlorophenyl)-4-((4-(((methoxycarbonyl)amino)methyl)piperidin-1-yl)methyl)pyridin-2-yl)oxy)pyrimidin-2-yl)piperazin-1-yl)propanoic acid; methyl ((1-((2-(3,5-dichlorophenyl)-6-((2-(4-methylpiperazin-1-yl)pyrimidin-5-yl)oxy)pyridin-4-yl)methyl)piperidin-4-yl)methyl)carbamate; N-((1-((2-(3,5-dichlorophenyl)-6-((2-(4-methylpiperazin-1-yl)pyrimidin-5-yl)oxy)pyridin-4-yl)methyl)piperidin-4-yl)methyl)acetamide; (1-((2-(3,5-dichlorophenyl)-6-((2-(4-methylpiperazin-1-yl)pyrimidin-5-yl)oxy)pyridin-4-yl)methyl)piperidin-4-yl)methylmethylcarbamate; 1-((1-((2-(3,5-dichlorophenyl)-6-((2-(4-methylpiperazin-1-yl)pyrimidin-5-yl)oxy)pyridin-4-yl)methyl)piperidin-4-yl)methyl)-3-methylurea; N-((1-((2-(3,5-dichlorophenyl)-6-((2-(8-methyl-3,8-diazabicyclo[3.2.1]octan-3-yl)pyrimidin-5-yl)oxy)pyridin-4-yl)methyl)piperidin-4-yl)methyl)acetamide; 5-((4-((4-((1H-tetrazol-5-yl)methyl)piperidin-1-yl)methyl)-6-(3,5-dichlorophenyl)pyridin-2-yl)oxy)-2-(4-methylpiperazin-1-yl)pyrimidine; (1-((2-(3,5-dichlorophenyl)-6-((2-(piperazin-1-yl)pyrimidin-5-yl)oxy)pyridin-4-yl)methyl)piperidin-4-yl)methylmethylcarbamate; 1-((1-((2-(3,5-dichlorophenyl)-6-((2-(piperazin-1-yl)pyrimidin-5-yl)oxy)pyridin-4-yl)methyl)piperidin-4-yl)methyl)-3-methylurea; 3-(4-(5-((4-((4-(3-amino-3-oxopropyl)piperazin-1-yl)methyl)-6-(3,5-dichlorophenyl)pyridin-2-yl)oxy)pyrimidin-2-yl)piperazin-1-yl)propanoic acid; 3-(4-(5-((4-((4-(2-amino-2-oxoethyl)piperazin-1-yl)methyl)-6-(3,5-dichlorophenyl)pyridin-2-yl)oxy)pyrimidin-2-yl)piperazin-1-yl)propanoic acid; 3-(4-(5-((6-(3,5-dichlorophenyl)-4-(((1R,7S,8r)-8-(methylsulfonamido)-4-azabicyclo[5.1.0]octan-4-yl)methyl)pyridin-2-yl)oxy)pyrimidin-2-yl)piperazin-1-yl)propanoic acid; 4-(4-(5-((6-(3,5-dichlorophenyl)-4-(((1R,7S,8r)-8-(methylsulfonamido)-4-azabicyclo[5.1.0]octan-4-yl)methyl)pyridin-2-yl)oxy)pyrimidin-2-yl)piperazin-1-yl)-2-methylbutanoic acid; 4-(4-(5-((4-(((1R,7S,8r)-8-acetamido-4-azabicyclo[5.1.0]octan-4-yl)methyl)-6-(3,5-dichlorophenyl)pyridin-2-yl)oxy)pyrimidin-2-yl)piperazin-1-yl)-2-methylbutanoic acid; 4-(4-(5-((6-(3,5-dichlorophenyl)-4-(pyrrolidin-1-ylmethyl)pyridin-2-yl)oxy)pyrimidin-2-yl)piperazin-1-yl)-2-methylbutanoic acid; 3-(4-(5-((4-((4-(cyclopropanecarboxamidomethyl)piperidin-1-yl)methyl)-6-(3,5-dichlorophenyl)pyridin-2-yl)oxy)pyrimidin-2-yl)piperazin-1-yl)propanoic acid; 2-(1-((2-(3,5-dichlorophenyl)-6-((2-(piperazin-1-yl)pyrimidin-5-yl)oxy)pyridin-4-yl)methyl)piperidin-4-yl)acetamide; 2-(1-((2-(3,5-dichlorophenyl)-6-((2-(4-methylpiperazin-1-yl)pyrimidin-5-yl)oxy)pyridin-4-yl)methyl)piperidin-4-yl)ethanesulfonamide; 3-(4-(5-((4-((4-(acetamidomethyl)piperidin-1-yl)methyl)-6-(3,5-dichlorophenyl)pyridin-2-yl)oxy)pyrimidin-2-yl)piperazin-1-yl)propanamide; N-((1-((2-(3,5-dichlorophenyl)-6-((2-(piperazin-1-yl)pyrimidin-5-yl)oxy)pyridin-4-yl)methyl)piperidin-4-yl)methyl)acetamide; N-((1-((2-(3,5-dichlorophenyl)-6-((2-(4-(2-hydroxyethyl)piperazin-1-yl)pyrimidin-5-yl)oxy)pyridin-4-yl)methyl)piperidin-4-yl)methyl)acetamide; 3-(4-(5-((4-((4-(acetamidomethyl)piperidin-1-yl)methyl)-6-(3,5-dichlorophenyl)pyridin-2-yl)oxy)pyrimidin-2-yl)piperazin-1-yl)-N-methylpropanamide; 3-(4-(5-((4-((4-(acetamidomethyl)piperidin-1-yl)methyl)-6-(3,5-dichlorophenyl)pyridin-2-yl)oxy)pyrimidin-2-yl)piperazin-1-yl)butanamide; 4-(4-(5-((4-((4-(acetamidomethyl)piperidin-1-yl)methyl)-6-(3,5-dichlorophenyl)pyridin-2-yl)oxy)pyrimidin-2-yl)piperazin-1-yl)butanamide; N-((1-((2-((2-(1,4-diazepan-1-yl)pyrimidin-5-yl)oxy)-6-(3,5-dichlorophenyl)pyridin-4-yl)methyl)piperidin-4-yl)methyl)acetamide; N-((1-((2-((2-(4-aminopiperidin-1-yl)pyrimidin-5-yl)oxy)-6-(3,5-dichlorophenyl)pyridin-4-yl)methyl)piperidin-4-yl)methyl)acetamide; 2-((1-((2-(3,5-dichlorophenyl)-6-((2-(piperazin-1-yl)pyrimidin-5-yl)oxy)pyridin-4-yl)methyl)piperidin-4-yl)oxy)acetic acid; 2-(1-((2-(3,5-dichlorophenyl)-6-((2-(6-hydroxy-1,4-diazepan-1-yl)pyrimidin-5-yl)oxy)pyridin-4-yl)methyl)piperidin-4-yl)acetic acid; 2-(1-((2-((2-(4-amino-4-(2-hydroxyethyl)piperidin-1-yl)pyrimidin-5-yl)oxy)-6-(3,5-dichlorophenyl)pyridin-4-yl)methyl)piperidin-4-yl)acetic acid; ((1-((2-(3,5-dichlorophenyl)-6-((2-(piperazin-1-yl)pyrimidin-5-yl)oxy)pyridin-4-yl)methyl)piperidin-4-yl)methyl)dimethylphosphineoxide; 2-(1-((2-(3,5-dichlorophenyl)-6-((2-(4-methyl-1,4-diazepan-1-yl)pyrimidin-5-yl)oxy)pyridin-4-yl)methyl)piperidin-4-yl)acetic acid; 3-(1-((2-(3,5-dichlorophenyl)-6-((2-(4-methylpiperazin-1-yl)pyrimidin-5-yl)oxy)pyridin-4-yl)methyl)azetidin-3-yl)butanoic acid; 2-((1-((2-(3,5-dichlorophenyl)-6-((2-(4-methylpiperazin-1-yl)pyrimidin-5-yl)oxy)pyridin-4-yl)methyl)pyrrolidin-3-yl)oxy)acetic acid; 2-(2-((2-(3,5-dichlorophenyl)-6-((2-(4-methylpiperazin-1-yl)pyrimidin-5-yl)oxy)pyridin-4-yl)methyl)octahydrocyclopenta[c]pyrrol-5-yl)acetic acid; 3-(1-((2-(3,5-dichlorophenyl)-6-((2-(4-methylpiperazin-1-yl)pyrimidin-5-yl)oxy)pyridin-4-yl)methyl)piperidin-4-yl)propanoic acid; 3-(1-((2-(3,5-dichlorophenyl)-6-((2-(4-methylpiperazin-1-yl)pyrimidin-5-yl)oxy)pyridin-4-yl)methyl)piperidin-4-yl)-2-methylpropanoic acid; 2-(1-((2-((2-(1,4-diazepan-1-yl)pyrimidin-5-yl)oxy)-6-(3,5-dichlorophenyl)pyridin-4-yl)methyl)piperidin-4-yl)acetic acid; 2-(1-((2-(3,5-dichlorophenyl)-6-((2-(5-methylhexahydropyrrolo[3,4-c]pyrrol-2(1H)-yl)pyrimidin-5-yl)oxy)pyridin-4-yl)methyl)piperidin-4-yl)acetic acid; (S)-3-(1-((2-(3,5-dichlorophenyl)-6-((2-(4-methylpiperazin-1-yl)pyrimidin-5-yl)oxy)pyridin-4-yl)methyl)piperidin-4-yl)-2-methylpropanoic acid; 1-(7-((2-(3,5-dichlorophenyl)-6-((2-(4-methylpiperazin-1-yl)pyrimidin-5-yl)oxy)pyridin-4-yl)methyl)-2,7-diazaspiro[3.5]nonan-2-yl)-2-hydroxyethanone; (R)-3-(1-((2-(3,5-dichlorophenyl)-6-((2-(4-methylpiperazin-1-yl)pyrimidin-5-yl)oxy)pyridin-4-yl)methyl)piperidin-4-yl)-2-methylpropanoic acid; 1-(1-((2-(3,5-dichlorophenyl)-6-((2-(4-methylpiperazin-1-yl)pyrimidin-5-yl)oxy)pyridin-4-yl)methyl)piperidin-4-yl)propan-2-ol; 3-(1-((2-(3,5-dichlorophenyl)-6-((2-(4-methylpiperazin-1-yl)pyrimidin-5-yl)oxy)pyridin-4-yl)methyl)piperidin-4-yl)-2-hydroxypropanoic acid; 2-((1-((2-(3,5-dichlorophenyl)-6-((2-(4-methyl-1,4-diazepan-1-yl)pyrimidin-5-yl)oxy)pyridin-4-yl)methyl)piperidin-4-yl)oxy)acetic acid; 2-(1-((2-(3,5-dichlorophenyl)-6-((2-(4-methylpiperazin-1-yl)pyrimidin-5-yl)oxy)pyridin-4-yl)methyl)piperidin-4-yl)acetamide; 1-((1-((2-(3,5-dichlorophenyl)-6-((2-(4-methylpiperazin-1-yl)pyrimidin-5-yl)oxy)pyridin-4-yl)methyl)piperidin-4-yl)oxy)cyclopropanecarboxylic acid; 2-(1-((2-(3,5-dichlorophenyl)-6-((2-(6-methoxy-4-methyl-1,4-diazepan-1-yl)pyrimidin-5-yl)oxy)pyridin-4-yl)methyl)piperidin-4-yl)acetic acid; 2-(1-((2-(3,5-dichlorophenyl)-6-((2-(6-hydroxy-4,6-dimethyl-1,4-diazepan-1-yl)pyrimidin-5-yl)oxy)pyridin-4-yl)methyl)piperidin-4-yl)acetic acid; 2-(1-((2-(3,5-dichlorophenyl)-6-((2-(6-fluoro-4-methyl-1,4-diazepan-1-yl)pyrimidin-5-yl)oxy)pyridin-4-yl)methyl)piperidin-4-yl)acetic acid; 2-(1-((2-(3,5-dichlorophenyl)-6-((4-methyl-2-(4-methylpiperazin-1-yl)pyrimidin-5-yl)oxy)pyridin-4-yl)methyl)piperidin-4-yl)acetic acid; 2-(1-((2-(3,5-dichlorophenyl)-6-((2-(3-(methylamino)pyrrolidin-1-yl)pyrimidin-5-yl)oxy)pyridin-4-yl)methyl)piperidin-4-yl)acetic acid; (S)-2-(4-((2-(3,5-dichlorophenyl)-6-((2-(4-methylpiperazin-1-yl)pyrimidin-5-yl)oxy)pyridin-4-yl)methyl)-1,4-oxazepan-7-yl)ethanol; N-((1R,5S,6r)-3-((2-(3,5-dichlorophenyl)-6-((2-(4-methyl-1,4-diazepan-1-yl)pyrimidin-5-yl)oxy)pyridin-4-yl)methyl)-3-azabicyclo[3.1.0]hexan-6-yl)acetamide; 1-(1-((2-(3,5-dichlorophenyl)-6-((2-(4-methylpiperazin-1-yl)pyrimidin-5-yl)oxy)pyridin-4-yl)methyl)piperidin-4-yl)propan-2-one; 2-(1-((2-((2-(4-aminopiperidin-1-yl)pyrimidin-5-yl)oxy)-6-(3,5-dichlorophenyl)pyridin-4-yl)methyl)piperidin-4-yl)acetic acid; (S)-2-(1-((2-(3,5-dichlorophenyl)-6-((2-(3-methylpiperazin-1-yl)pyrimidin-5-yl)oxy)pyridin-4-yl)methyl)piperidin-4-yl)acetic acid; 2-(1-((2-(3,5-dichlorophenyl)-6-((2-(3,3-dimethylpiperazin-1-yl)pyrimidin-5-yl)oxy)pyridin-4-yl)methyl)piperidin-4-yl)acetic acid; 2-(1-((2-(3,5-dichlorophenyl)-6-((2-(hexahydropyrrolo[3,4-c]pyrrol-2(1H)-yl)pyrimidin-5-yl)oxy)pyridin-4-yl)methyl)piperidin-4-yl)acetic acid; 2-(1-((2-((2-(3,6-diazabicyclo[3.1.1]heptan-3-yl)pyrimidin-5-yl)oxy)-6-(3,5-dichlorophenyl)pyridin-4-yl)methyl)piperidin-4-yl)acetic acid; 2-(1-((2-((2-(3,8-diazabicyclo[3.2.1]octan-3-yl)pyrimidin-5-yl)oxy)-6-(3,5-dichlorophenyl)pyridin-4-yl)methyl)piperidin-4-yl)acetic acid; 2-(1-((2-((2-(4,7-diazaspiro[2.5]octan-7-yl)pyrimidin-5-yl)oxy)-6-(3,5-dichlorophenyl)pyridin-4-yl)methyl)piperidin-4-yl)acetic acid; 2-(1-((2-((2-(4-amino-4-(hydroxymethyl)piperidin-1-yl)pyrimidin-5-yl)oxy)-6-(3,5-dichlorophenyl)pyridin-4-yl)methyl)piperidin-4-yl)acetic acid; 1-((1-((2-(3,5-dichlorophenyl)-6-((2-(4-(3-hydroxypropyl)piperazin-1-yl)pyrimidin-5-yl)oxy)pyridin-4-yl)methyl)piperidin-4-yl)methyl)-3-methylurea; methyl (3-(4-(5-((4-((4-(acetamidomethyl)piperidin-1-yl)methyl)-6-(3,5-dichlorophenyl)pyridin-2-yl)oxy)pyrimidin-2-yl)piperazin-1-yl)propanoyl)carbamate; 1-(2-(4-(5-((4-((4-(acetamidomethyl)piperidin-1-yl)methyl)-6-(3,5-dichlorophenyl)pyridin-2-yl)oxy)pyrimidin-2-yl)piperazin-1-yl)ethyl)cyclopropanecarboxylic acid; methyl (3-(4-(5-((4-((4-(acetamidomethyl)piperidin-1-yl)methyl)-6-(3,5-dichlorophenyl)pyridin-2-yl)oxy)pyrimidin-2-yl)piperazin-1-yl)propanoyl)carbamate; 2-(1-((2-(3,5-dichlorophenyl)-6-((2-(4-(2,3-dihydroxypropyl)piperazin-1-yl)pyrimidin-5-yl)oxy)pyridin-4-yl)methyl)piperidin-4-yl)acetic acid; 2-(1-((2-(3,5-dichlorophenyl)-6-((2-(4-(3-(methylsulfinyl)butyl)piperazin-1-yl)pyrimidin-5-yl)oxy)pyridin-4-yl)methyl)piperidin-4-yl)acetic acid; 2-(1-((2-(3,5-dichlorophenyl)-6-((2-(4-(3-(methylsulfonyl)butyl)piperazin-1-yl)pyrimidin-5-yl)oxy)pyridin-4-yl)methyl)piperidin-4-yl)acetic acid; 2-(1-((2-(3,5-dichlorophenyl)-6-((2-(piperazin-1-yl)pyrimidin-5-yl)oxy)pyridin-4-yl)methyl)piperidin-4-yl)acetic acid; 2-(1-((2-(3,5-dichlorophenyl)-6-((2-(4-methylpiperazin-1-yl)pyrimidin-5-yl)oxy)pyridin-4-yl)methyl)piperidin-4-yl)acetic acid; 4-(4-(5-((6-(3,5-dichlorophenyl)-4-((4-(((methylcarbamoyl)oxy)methyl)piperidin-1-yl)methyl)pyridin-2-yl)oxy)pyrimidin-2-yl)piperazin-1-yl)pentanoic acid; (1-((2-(3,5-dichlorophenyl)-6-((2-(4-(4-hydroxybutan-2-yl)piperazin-1-yl)pyrimidin-5-yl)oxy)pyridin-4-yl)methyl)piperidin-4-yl)methylmethylcarbamate; (1-((2-(3,5-dichlorophenyl)-6-((2-(4-(3-(methylsulfonyl)propyl)piperazin-1-yl)pyrimidin-5-yl)oxy)pyridin-4-yl)methyl)piperidin-4-yl)methylmethylcarbamate; 3-(4-(5-((6-(3,5-dichlorophenyl)-4-((4-(((methylcarbamoyl)oxy)methyl)piperidin-1-yl)methyl)pyridin-2-yl)oxy)pyrimidin-2-yl)piperazin-1-yl)cyclobutanecarboxylic acid; N-((1-((2-(3,5-dichlorophenyl)-6-((2-(4-(3-(methylsulfonyl)butyl)piperazin-1-yl)pyrimidin-5-yl)oxy)pyridin-4-yl)methyl)piperidin-4-yl)methyl)acetamide; 4-(4-(5-((4-((4-(acetamidomethyl)piperidin-1-yl)methyl)-6-(3,5-dichlorophenyl)pyridin-2-yl)oxy)pyrimidin-2-yl)piperazin-1-yl)pentanoic acid; 3-(4-(5-((4-((4-(acetamidomethyl)piperidin-1-yl)methyl)-6-(3,5-dichlorophenyl)pyridin-2-yl)oxy)pyrimidin-2-yl)piperazin-1-yl)cyclobutanecarboxylic acid; 1-((1-((2-(3,5-dichlorophenyl)-6-((2-(4-(3-(methylsulfonyl)butyl)piperazin-1-yl)pyrimidin-5-yl)oxy)pyridin-4-yl)methyl)piperidin-4-yl)methyl)-3-methylurea; 3-(4-(5-((6-(3,5-dichlorophenyl)-4-((4-((3-methylureido)methyl)piperidin-1-yl)methyl)pyridin-2-yl)oxy)pyrimidin-2-yl)piperazin-1-yl)cyclobutanecarboxylic acid; 4-(4-(5-((6-(3,5-dichlorophenyl)-4-((4-(((methoxycarbonyl)amino)methyl)piperidin-1-yl)methyl)pyridin-2-yl)oxy)pyrimidin-2-yl)piperazin-1-yl)pentanoic acid; methyl ((1-((2-(3,5-dichlorophenyl)-6-((2-(4-(3-(methylsulfonyl)propyl)piperazin-1-yl)pyrimidin-5-yl)oxy)pyridin-4-yl)methyl)piperidin-4-yl)methyl)carbamate; 2-((1R,7S,8r)-4-((2-(3,5-dichlorophenyl)-6-((2-(4-methylpiperazin-1-yl)pyrimidin-5-yl)oxy)pyridin-4-yl)methyl)-4-azabicyclo[5.1.0]octan-8-yl)acetic acid; 2-((1-((2-(3,5-dichlorophenyl)-6-((2-(4-methylpiperazin-1-yl)pyrimidin-5-yl)oxy)pyridin-4-yl)methyl)piperidin-4-yl)oxy)-2-methylpropanoic acid; 2-(1-((2-(3,5-dichlorophenyl)-6-((2-(6-hydroxy-4-methyl-1,4-diazepan-1-yl)pyrimidin-5-yl)oxy)pyridin-4-yl)methyl)piperidin-4-yl)acetic acid; 2-(1-((2-(3,5-dichlorophenyl)-6-((2-(4-(dimethylamino)piperidin-1-yl)pyrimidin-5-yl)oxy)pyridin-4-yl)methyl)piperidin-4-yl)acetic acid; 2-(1-((2-(3,5-dichlorophenyl)-6-((2-(6-methyl-3,6-diazabicyclo[3.1.1]heptan-3-yl)pyrimidin-5-yl)oxy)pyridin-4-yl)methyl)piperidin-4-yl)acetic acid; 2-(1-((2-(3,5-dichlorophenyl)-6-((2-(4-((1-hydroxycyclopropyl)methyl)piperazin-1-yl)pyrimidin-5-yl)oxy)pyridin-4-yl)methyl)piperidin-4-yl)acetic acid; 2-(1-((2-(3,5-dichlorophenyl)-6-((2-(4-ethyl-1,4-diazepan-1-yl)pyrimidin-5-yl)oxy)pyridin-4-yl)methyl)piperidin-4-yl)acetic acid; 2-(1-((2-(3,5-dichlorophenyl)-6-((2-((1S,4S)-5-methyl-2,5-diazabicyclo[2.2.1]heptan-2-yl)pyrimidin-5-yl)oxy)pyridin-4-yl)methyl)piperidin-4-yl)acetic acid; 2-(1-((2-(3,5-dichlorophenyl)-6-((2-((1S,4S)-5-ethyl-2,5-diazabicyclo[2.2.1]heptan-2-yl)pyrimidin-5-yl)oxy)pyridin-4-yl)methyl)piperidin-4-yl)acetic acid; 2-(1-((2-((2-(4-cyclopropylpiperazin-1-yl)pyrimidin-5-yl)oxy)-6-(3,5-dichlorophenyl)pyridin-4-yl)methyl)piperidin-4-yl)acetic acid; 2-(1-((2-(3,5-dichlorophenyl)-6-((2-(4-ethylpiperazin-1-yl)pyrimidin-5-yl)oxy)pyridin-4-yl)methyl)piperidin-4-yl)acetic acid; 2-(1-((2-(3,5-dichlorophenyl)-6-((2-(4-isopropylpiperazin-1-yl)pyrimidin-5-yl)oxy)pyridin-4-yl)methyl)piperidin-4-yl)acetic acid; 2-(1-((2-(3,5-dichlorophenyl)-6-((2-(4-(2-fluoroethyl)piperazin-1-yl)pyrimidin-5-yl)oxy)pyridin-4-yl)methyl)piperidin-4-yl)acetic acid; 2-(1-((2-(3,5-dichlorophenyl)-6-((2-(4-(3-hydroxybutyl)piperazin-1-yl)pyrimidin-5-yl)oxy)pyridin-4-yl)methyl)piperidin-4-yl)acetic acid; 2-(1-((2-(3,5-dichlorophenyl)-6-((2-(4-(4-hydroxybutan-2-yl)piperazin-1-yl)pyrimidin-5-yl)oxy)pyridin-4-yl)methyl)piperidin-4-yl)acetic acid; 2-(1-((2-(3,5-dichlorophenyl)-6-((2-(4-(4-(methylamino)butan-2-yl)piperazin-1-yl)pyrimidin-5-yl)oxy)pyridin-4-yl)methyl)piperidin-4-yl)acetic acid; 2-(1-((2-(3,5-dichlorophenyl)-6-((2-(4-(4-(dimethylamino)butan-2-yl)piperazin-1-yl)pyrimidin-5-yl)oxy)pyridin-4-yl)methyl)piperidin-4-yl)acetic acid; 2-(1-((2-(3,5-dichlorophenyl)-6-((2-(4-(2-((methylcarbamoyl)oxy)ethyl)piperazin-1-yl)pyrimidin-5-yl)oxy)pyridin-4-yl)methyl)piperidin-4-yl)acetic acid; 2-(1-((2-(3,5-dichlorophenyl)-6-((2-(4-(3-(methylsulfonyl)propyl)piperazin-1-yl)pyrimidin-5-yl)oxy)pyridin-4-yl)methyl)piperidin-4-yl)acetic acid; N-((1-((2-(3,5-dichlorophenyl)-6-((2-(4-(2-methoxyethyl)piperazin-1-yl)pyrimidin-5-yl)oxy)pyridin-4-yl)methyl)piperidin-4-yl)methyl)acetamide; 2-(1-((2-(3,5-dichlorophenyl)-6-((2-(4-(3-sulfamoylpropyl)piperazin-1-yl)pyrimidin-5-yl)oxy)pyridin-4-yl)methyl)piperidin-4-yl)acetic acid; 2-(1-((2-(3,5-dichlorophenyl)-6-((2-(4-(2-methoxyethyl)piperazin-1-yl)pyrimidin-5-yl)oxy)pyridin-4-yl)methyl)piperidin-4-yl)acetic acid; 3-(4-(5-((6-(3,5-dichlorophenyl)-4-((4-(((methylcarbamoyl)oxy)methyl)piperidin-1-yl)methyl)pyridin-2-yl)oxy)pyrimidin-2-yl)piperazin-1-yl)propanoic acid; N-((1-((2-(3,5-dichlorophenyl)-6-((2-(4-(3-sulfamoylpropyl)piperazin-1-yl)pyrimidin-5-yl)oxy)pyridin-4-yl)methyl)piperidin-4-yl)methyl)acetamide; 3-(4-(5-((6-(3,5-dichlorophenyl)-4-((4-((3-methylureido)methyl)piperidin-1-yl)methyl)pyridin-2-yl)oxy)pyrimidin-2-yl)piperazin-1-yl)propanoic acid; 1-((1-((2-(3,5-dichlorophenyl)-6-((2-(4-(3-(methylsulfonyl)propyl)piperazin-1-yl)pyrimidin-5-yl)oxy)pyridin-4-yl)methyl)piperidin-4-yl)methyl)-3-methylurea; N-((1-((2-(3,5-dichlorophenyl)-6-((2-(4-(3-(methylsulfonyl)propyl)piperazin-1-yl)pyrimidin-5-yl)oxy)pyridin-4-yl)methyl)piperidin-4-yl)methyl)acetamide; 3-(4-(5-((6-(3,5-dichlorophenyl)-4-((4-((3-methylureido)methyl)piperidin-1-yl)methyl)pyridin-2-yl)oxy)pyrimidin-2-yl)piperazin-1-yl)propanamide; 1-((1-((2-(3,5-dichlorophenyl)-6-((2-(4-(2-methoxyethyl)piperazin-1-yl)pyrimidin-5-yl)oxy)pyridin-4-yl)methyl)piperidin-4-yl)methyl)-3-methylurea; 3-(4-(5-((4-((4-(acetamidomethyl)piperidin-1-yl)methyl)-6-(3,5-dichlorophenyl)pyridin-2-yl)oxy)pyrimidin-2-yl)piperazin-1-yl)propanoic acid; 3-(4-(5-((6-(3,5-dichlorophenyl)-4-((4-hydroxy-4-((3-methylureido)methyl)piperidin-1-yl)methyl)pyridin-2-yl)oxy)pyrimidin-2-yl)piperazin-1-yl)propanamide; 3-(4-(5-((6-(3,5-dichlorophenyl)-4-((4-(((ethoxycarbonyl)amino)methyl)piperidin-1-yl)methyl)pyridin-2-yl)oxy)pyrimidin-2-yl)piperazin-1-yl)propanoic acid; 3-(4-(5-((6-(3,5-dichlorophenyl)-4-((4-(2-(ethylamino)-2-oxoethyl)piperidin-1-yl)methyl)pyridin-2-yl)oxy)pyrimidin-2-yl)piperazin-1-yl)propanoic acid; 3-(1-((2-(3,5-dichlorophenyl)-6-((2-(piperazin-1-yl)pyrimidin-5-yl)oxy)pyridin-4-yl)methyl)piperidin-4-yl)-2-methylpropanoic acid; 3-(1-((2-(3,5-dichlorophenyl)-6-((2-(4-(3-(methylsulfonyl)propyl)piperazin-1-yl)pyrimidin-5-yl)oxy)pyridin-4-yl)methyl)piperidin-4-yl)propanoic acid; 3-(4-(5-((4-((4-(acetamidomethyl)piperidin-1-yl)methyl)-6-(3-chloro-4,5-difluorophenyl)pyridin-2-yl)oxy)pyrimidin-2-yl)piperazin-1-yl)propanamide; 1-((1-((2-(3-chloro-5-fluorophenyl)-6-((2-(4-(3-(methylsulfonyl)propyl)piperazin-1-yl)pyrimidin-5-yl)oxy)pyridin-4-yl)methyl)piperidin-4-yl)methyl)-3-methylurea; methyl ((1-((2-(3-chloro-5-fluorophenyl)-6-((2-(piperazin-1-yl)pyrimidin-5-yl)oxy)pyridin-4-yl)methyl)piperidin-4-yl)methyl)carbamate; 2-(1-((2-(3,5-dichlorophenyl)-6-((2-(4-(2-(1-hydroxycyclopropyl)ethyl)piperazin-1-yl)pyrimidin-5-yl)oxy)pyridin-4-yl)methyl)piperidin-4-yl)acetic acid; 2-(1-((2-(3,5-dichlorophenyl)-6-((2-(4-(3-hydroxy-3-methylbutyl)piperazin-1-yl)pyrimidin-5-yl)oxy)pyridin-4-yl)methyl)piperidin-4-yl)acetic acid; 2-(1-((2-(3,5-dichlorophenyl)-6-((2-(4-(3-hydroxy-2,2-dimethylpropyl)piperazin-1-yl)pyrimidin-5-yl)oxy)pyridin-4-yl)methyl)piperidin-4-yl)acetic acid; 3-(4-(5-((4-((4-(acetamidomethyl)piperidin-1-yl)methyl)-6-(3,5-dichlorophenyl)pyridin-2-yl)oxy)pyrimidin-2-yl)piperazin-1-yl)butanoic acid; 3-(4-(5-((4-((4-(acetamidomethyl)piperidin-1-yl)methyl)-6-(3,5-dichlorophenyl)pyridin-2-yl)oxy)pyrimidin-2-yl)piperazin-1-yl)-2-methylpropanoic acid; 3-(4-(5-((4-((4-(acetamidomethyl)piperidin-1-yl)methyl)-6-(3,5-dichlorophenyl)pyridin-2-yl)oxy)pyrimidin-2-yl)piperazin-1-yl)-2-methylpropanamide; N-((1-((2-(3,5-dichlorophenyl)-6-((2-(4-(2-(methylsulfonyl)ethyl)piperazin-1-yl)pyrimidin-5-yl)oxy)pyridin-4-yl)methyl)piperidin-4-yl)methyl)acetamide; N-((1-((2-(3,5-dichlorophenyl)-6-((2-(4-(2-sulfamoylethyl)piperazin-1-yl)pyrimidin-5-yl)oxy)pyridin-4-yl)methyl)piperidin-4-yl)methyl)acetamide; 3-(4-(5-((6-(3,5-dichlorophenyl)-4-((4-((3-methylureido)methyl)piperidin-1-yl)methyl)pyridin-2-yl)oxy)pyrimidin-2-yl)piperazin-1-yl)-2-methylpropanamide; (S)-3-(4-(5-((6-(3,5-dichlorophenyl)-4-((4-(((methoxycarbonyl)amino)methyl)piperidin-1-yl)methyl)pyridin-2-yl)oxy)pyrimidin-2-yl)-2-methylpiperazin-1-yl)propanoic acid; 1-((1-((2-(3,5-dichlorophenyl)-6-((2-(4-(3-hydroxybutyl)piperazin-1-yl)pyrimidin-5-yl)oxy)pyridin-4-yl)methyl)piperidin-4-yl)methyl)-3-methylurea; 3-(3-(5-((4-((4-(acetamidomethyl)piperidin-1-yl)methyl)-6-(3,5-dichlorophenyl)pyridin-2-yl)oxy)pyrimidin-2-yl)-3,8-diazabicyclo[3.2.1]octan-8-yl)propanoic acid; methyl3-(4-(5-((4-((4-(acetamidomethyl)piperidin-1-yl)methyl)-6-(3,5-dichlorophenyl)pyridin-2-yl)oxy)pyrimidin-2-yl)piperazin-1-yl)propanoate; (R)-2-(1-((2-(3,5-dichlorophenyl)-6-((2-(4-(2-hydroxypropyl)piperazin-1-yl)pyrimidin-5-yl)oxy)pyridin-4-yl)methyl)piperidin-4-yl)acetic acid; 3-(1-((2-(3,5-dichlorophenyl)-6-((2-(4-((R)-2-hydroxypropyl)piperazin-1-yl)pyrimidin-5-yl)oxy)pyridin-4-yl)methyl)piperidin-4-yl)-2-methylpropanoic acid; (R)-N-((1-((2-(3,5-dichlorophenyl)-6-((2-(4-(2-hydroxypropyl)piperazin-1-yl)pyrimidin-5-yl)oxy)pyridin-4-yl)methyl)piperidin-4-yl)methyl)acetamide; N-((1-((2-(3,5-dichlorophenyl)-6-((2-(4-(2-hydroxy-2-methylpropyl)piperazin-1-yl)pyrimidin-5-yl)oxy)pyridin-4-yl)methyl)piperidin-4-yl)methyl)acetamide; N-((1-((2-(3,5-dichlorophenyl)-6-((2-(4-(3-fluoro-2-hydroxypropyl)piperazin-1-yl)pyrimidin-5-yl)oxy)pyridin-4-yl)methyl)piperidin-4-yl)methyl)acetamide; 2-(1-((2-(3,5-dichlorophenyl)-6-((2-(4-(2-hydroxyethyl)piperazin-1-yl)pyrimidin-5-yl)oxy)pyridin-4-yl)methyl)piperidin-4-yl)acetic acid; (1-((2-(3,5-dichlorophenyl)-6-((2-(4-(2-hydroxyethyl)piperazin-1-yl)pyrimidin-5-yl)oxy)pyridin-4-yl)methyl)piperidin-4-yl)methylmethylcarbamate; (R)-(1-((2-(3,5-dichlorophenyl)-6-((2-(4-(2-hydroxypropyl)piperazin-1-yl)pyrimidin-5-yl)oxy)pyridin-4-yl)methyl)piperidin-4-yl)methylmethylcarbamate; (R)-1-((1-((2-(3,5-dichlorophenyl)-6-((2-(4-(2-hydroxypropyl)piperazin-1-yl)pyrimidin-5-yl)oxy)pyridin-4-yl)methyl)piperidin-4-yl)methyl)-3-methylurea; methyl ((1-((2-(3,5-dichlorophenyl)-6-((2-(4-(2-hydroxyethyl)piperazin-1-yl)pyrimidin-5-yl)oxy)pyridin-4-yl)methyl)piperidin-4-yl)methyl)carbamate; (R)-methyl ((1-((2-(3,5-dichlorophenyl)-6-((2-(4-(2-hydroxypropyl)piperazin-1-yl)pyrimidin-5-yl)oxy)pyridin-4-yl)methyl)piperidin-4-yl)methyl)carbamate; N-((1-((2-(3-chloro-5-fluorophenyl)-6-((2-(4-(2-hydroxyethyl)piperazin-1-yl)pyrimidin-5-yl)oxy)pyridin-4-yl)methyl)piperidin-4-yl)methyl)acetamide; 3-(4-(5-((4-((4-(acetamidomethyl)piperidin-1-yl)methyl)-6-(3,5-dichlorophenyl)pyridin-2-yl)oxy)pyrimidin-2-yl)piperazin-1-yl)-2-hydroxypropanoic acid; (R)-2-((1-((2-(3,5-dichlorophenyl)-6-((2-(4-(2-hydroxypropyl)piperazin-1-yl)pyrimidin-5-yl)oxy)pyridin-4-yl)methyl)piperidin-4-yl)oxy)acetic acid; ((1-((2-(3,5-dichlorophenyl)-6-((2-(4-methylpiperazin-1-yl)pyrimidin-5-yl)oxy)pyridin-4-yl)methyl)piperidin-4-yl)methyl)boronic acid; (2-(4-(5-((4-((4-(acetamidomethyl)piperidin-1-yl)methyl)-6-(3,5-dichlorophenyl)pyridin-2-yl)oxy)pyrimidin-2-yl)piperazin-1-yl)ethyl)boronic acid; ((1-((2-(3,5-dichlorophenyl)-6-((2-(4-methylpiperazin-1-yl)pyrimidin-5-yl)oxy)pyridin-4-yl)methyl)piperidin-4-yl)methyl)dimethylphosphineoxide; (1R,7S,8r)-4-((2-(3,5-dichlorophenyl)-6-((2-(4-methylpiperazin-1-yl)pyrimidin-5-yl)oxy)pyridin-4-yl)methyl)-4-azabicyclo[5.1.0]octane-8-carboxylic acid; ((1-((2-(3,5-dichlorophenyl)-6-((2-(4-methyl-1,4-diazepan-1-yl)pyrimidin-5-yl)oxy)pyridin-4-yl)methyl)piperidin-4-yl)methyl)boronic acid; (2-(1-((2-(3,5-dichlorophenyl)-6-((2-(4-methylpiperazin-1-yl)pyrimidin-5-yl)oxy)pyridin-4-yl)methyl)piperidin-4-yl)ethyl)boronic acid; (1-((2-(3,5-dichlorophenyl)-6-((6-(4-methylpiperazin-1-yl)pyridin-3-yl)oxy)pyridin-4-yl)methyl)piperidin-4-yl)methylacetylcarbamate; N-1-((1-((2-(3,5-dichlorophenyl)-6-((2-(4-methylpiperazin-1-yl)pyrimidin-5-yl)oxy)pyridin-4-yl)methyl)piperidin-4-yl)methyl)-N′-methoxylcarbonylurea; N-(((1-((2-(3,5-dichlorophenyl)-6-((2-(4-methylpiperazin-1-yl)pyrimidin-5-yl)oxy)pyridin-4-yl)methyl)piperidin-4-yl)methyl)carbamoyl)methanesulfonamide; N-(((1-((2-(3,5-dichlorophenyl)-6-((2-(4-methylpiperazin-1-yl)pyrimidin-5-yl)oxy)pyridin-4-yl)methyl)piperidin-4-yl)methyl)carbamoyl)acetamide; N-((1-((2-(3,5-dichlorophenyl)-6-((2-(4-methylpiperazin-1-yl)pyrimidin-5-yl)oxy)pyridin-4-yl)methyl)piperidin-4-yl)carbamoyl)methanesulfonamide; 1-(1-((2-(3,5-dichlorophenyl)-6-((2-(4-methylpiperazin-1-yl)pyrimidin-5-yl)oxy)pyridin-4-yl)methyl)piperidin-4-yl)urea; (S)-(4-((2-(3,5-dichlorophenyl)-6-((2-(4-methylpiperazin-1-yl)pyrimidin-5-yl)oxy)pyridin-4-yl)methyl)-1,4-oxazepan-7-yl)methanol; (1-((2-(3,5-dichlorophenyl)-6-((2-(4-methylpiperazin-1-yl)pyrimidin-5-yl)oxy)pyridin-4-yl)methyl)piperidin-4-yl)dimethylphosphineoxide; 2-(1-((2-(3,5-dichlorophenyl)-6-((2-(4-methylpiperazin-1-yl)pyrimidin-5-yl)amino)pyridin-4-yl)methyl)piperidin-4-yl)acetic acid; 2-(1-((2-((2-(1,4-diazabicyclo[3.2.1]octan-4-yl)pyrimidin-5-yl)oxy)-6-(3,5-dichlorophenyl)pyridin-4-yl)methyl)piperidin-4-yl)acetic acid; N-((1-((2-((2-(3,8-diazabicyclo[3.2.1]octan-3-yl)pyrimidin-5-yl)oxy)-6-(3,5-dichlorophenyl)pyridin-4-yl)methyl)piperidin-4-yl)methyl)acetamide; methyl ((1-((2-((2-(1,4-diazabicyclo[3.2.1]octan-4-yl)pyrimidin-5-yl)oxy)-6-(3,5-dichlorophenyl)pyridin-4-yl)methyl)piperidin-4-yl)methyl)carbamate; 4-((2-((2-(1,4-diazabicyclo[3.2.1]octan-4-yl)pyrimidin-5-yl)oxy)-6-(3,5-dichlorophenyl)pyridin-4-yl)methyl)-4-azabicyclo[5.1.0]octane-8-carboxylic acid; 4-(5-((6-(3,5-dichlorophenyl)-4-((4-fluoropiperidin-1-yl)methyl)pyridin-2-yl)oxy)pyrimidin-2-yl)-1,4-diazabicyclo[3.2.1]octane; 3-(4-(5-((4-(((1R,7S,8r)-8-acetamido-4-azabicyclo[5.1.0]octan-4-yl)methyl)-6-(3,5-dichlorophenyl)pyridin-2-yl)oxy)pyrimidin-2-yl)piperazin-1-yl)propanoic acid; methyl4-(4-(5-((4-((4-(acetamidomethyl)piperidin-1-yl)methyl)-6-(3,5-dichlorophenyl)pyridin-2-yl)oxy)pyrimidin-2-yl)piperazin-1-yl)-2-methylbutanoate; 4-(4-(5-((4-((4-(acetamidomethyl)piperidin-1-yl)methyl)-6-(3,5-dichlorophenyl)pyridin-2-yl)oxy)pyrimidin-2-yl)piperazin-1-yl)-2-methylbutanoic acid; 4-(4-(5-((4-((4-(acetamidomethyl)piperidin-1-yl)methyl)-6-(3,5-dichlorophenyl)pyridin-2-yl)oxy)pyrimidin-2-yl)piperazin-1-yl)-2,2-dimethylbutanoic acid; N-((1-((2-(3-chloro-5-fluorophenyl)-6-((2-(4-(4-(methylsulfonyl)butan-2-yl)piperazin-1-yl)pyrimidin-5-yl)oxy)pyridin-4-yl)methyl)piperidin-4-yl)methyl)acetamide; 1-((1-((2-(3-chloro-5-fluorophenyl)-6-((2-(4-(4-(methylsulfonyl)butan-2-yl)piperazin-1-yl)pyrimidin-5-yl)oxy)pyridin-4-yl)methyl)piperidin-4-yl)methyl)-3-methylurea; 2-(1-((2-(3-chloro-5-fluorophenyl)-6-((2-(4-methyl-1,4-diazepan-1-yl)pyrimidin-5-yl)oxy)pyridin-4-yl)methyl)piperidin-4-yl)acetic acid; 2-(1-((2-(3,5-dichlorophenyl)-6-(isopropyl(2-(4-methylpiperazin-1-yl)pyrimidin-5-yl)amino)pyridin-4-yl)methyl)piperidin-4-yl)acetic acid; 2-(1-((6-(3,5-dichlorophenyl)-3-fluoro-2-((2-(8-methyl-3,8-diazabicyclo[3.2.1]octan-3-yl)pyrimidin-5-yl)oxy)pyridin-4-yl)methyl)piperidin-4-yl)acetic acid; 2-(1-((6-(3,5-dichlorophenyl)-3-fluoro-2-((2-(4-methylpiperazin-1-yl)pyrimidin-5-yl)oxy)pyridin-4-yl)methyl)piperidin-4-yl)acetic acid; 2-(1-((6-(3,5-dichlorophenyl)-3-fluoro-2-((4-methyl-2-(4-methylpiperazin-1-yl)pyrimidin-5-yl)oxy)pyridin-4-yl)methyl)piperidin-4-yl)acetic acid; 4-(4-(5-((4-((4-(acetamidomethyl)piperidin-1-yl)methyl)-6-(3,5-dichlorophenyl)-3-fluoropyridin-2-yl)oxy)pyrimidin-2-yl)piperazin-1-yl)-2-methylbutanoic acid; 2-(1-((2-((2-(3,8-diazabicyclo[3.2.1]octan-3-yl)pyrimidin-5-yl)oxy)-6-(3,5-dichlorophenyl)-3-fluoropyridin-4-yl)methyl)piperidin-4-yl)acetic acid; 2-(1-((2-((2-(4-((1H-1,2,3-triazol-5-yl)methyl)piperazin-1-yl)pyrimidin-5-yl)oxy)-6-(3,5-dichlorophenyl)pyridin-4-yl)methyl)piperidin-4-yl)acetic acid; 2-(1-((2-(3,5-dichlorophenyl)-6-(methyl(2-(4-methylpiperazin-1-yl)pyrimidin-5-yl)amino)pyridin-4-yl)methyl)piperidin-4-yl)acetic acid; 2-(1-((2-(3,5-dichlorophenyl)-6-(ethyl(2-(4-methylpiperazin-1-yl)pyrimidin-5-yl)amino)pyridin-4-yl)methyl)piperidin-4-yl)acetic acid; (1R,7S,8r)-4-((2-(3,5-dichlorophenyl)-6-((2-(4-methyl-1,4-diazepan-1-yl)pyrimidin-5-yl)oxy)pyridin-4-yl)methyl)-4-azabicyclo[5.1.0]octane-8-carboxylic acid; 2-(1-((2-(3,5-dichlorophenyl)-6-((2-(8-methyl-3,8-diazabicyclo[3.2.1]octan-3-yl)pyrimidin-5-yl)oxy)pyridin-4-yl)methyl)piperidin-4-yl)acetic acid; or 2-(1-((2-(3,5-dichlorophenyl)-6-((2-(6-fluoro-1,4-diazepan-1-yl)pyrimidin-5-yl)oxy)pyridin-4-yl)methyl)piperidin-4-yl)acetic acid; or a pharmaceutically acceptable salt thereof.
45. The method, compound, pharmaceutical composition, or use of any one of claims 1 to 31 or 34 to 44, wherein the compound, or pharmaceutically acceptable salt thereof, is of the formula: ##STR00383##
46. The method, compound, pharmaceutical composition, or use of any one of claims 1 to 29 or 32 to 37, wherein R.sup.1 and R.sup.2 taken together with the nitrogen atom to which they are attached form a piperazine ring of the formula: ##STR00384##
47. The method, compound, pharmaceutical composition, or use of any one of claims 1 to 29, 32 to 42 or 46, wherein the compound, or pharmaceutically acceptable salt thereof, is: 2-(4-((2-(3,5-dichlorophenyl)-6-((6-(piperazin-1-yl)pyridin-3-yl)oxy)pyridin-4-yl)methyl)piperazin-1-yl)-N-methylacetamide; N-((1-((2-(3,5-dichlorophenyl)-6-((6-(piperazin-1-yl)pyridin-3-yl)oxy)pyridin-4-yl)methyl)-4-hydroxypiperidin-4-yl)methyl)acetamide; 3-(1-((2-(3,5-dichlorophenyl)-6-((6-(piperazin-1-yl)pyridin-3-yl)oxy)pyridin-4-yl)methyl)piperidin-4-yl)propanoicacid; 2-(1-((2-(3,5-dichlorophenyl)-6-((6-(piperazin-1-yl)pyridin-3-yl)oxy)pyridin-4-yl)methyl)piperidin-4-yl)aceticacid; 1-((1-((2-(3,5-dichlorophenyl)-6-((6-(piperazin-1-yl)pyridin-3-yl)oxy)pyridin-4-yl)methyl)-4-hydroxypiperidin-4-yl)methyl)-3-methylurea; methyl((1-((2-(3,5-dichlorophenyl)-6-((6-(piperazin-1-yl)pyridin-3-yl)oxy)pyridin-4-yl)methyl)-4-hydroxypiperidin-4-yl)methyl)carbamate; 2-(1-((2-(3,5-dichlorophenyl)-6-((6-(piperazin-1-yl)pyridin-3-yl)oxy)pyridin-4-yl)methyl)piperidin-4-yl)ethanesulfonicacid; (1-((2-(3,5-dichlorophenyl)-6-((6-(piperazin-1-yl)pyridin-3-yl)oxy)pyridin-4-yl)methyl)piperidin-4-yl)methanesulfonicacid; N-((1-((2-(3,5-dichlorophenyl)-6-((6-(piperazin-1-yl)pyridin-3-yl)oxy)pyridin-4-yl)methyl)piperidin-4-yl)methyl)acetamide; 2-(4-(5-((4-((4-(acetamidomethyl)piperidin-1-yl)methyl)-6-(3,5-dichlorophenyl)pyridin-2-yl)oxy)pyridin-2-yl)piperazin-1-yl)aceticacid; 3-(4-(5-((4-((4-(acetamidomethyl)piperidin-1-yl)methyl)-6-(3,5-dichlorophenyl)pyridin-2-yl)oxy)pyridin-2-yl)piperazin-1-yl)propanoicacid; N-((1-((2-(3,5-dichlorophenyl)-6-((6-(4-(2-(methylsulfonyl)ethyl)piperazin-1-yl)pyridin-3-yl)oxy)pyridin-4-yl)methyl)piperidin-4-yl)methyl)acetamide; 3-(4-(5-((4-((4-(acetamidomethyl)piperidin-1-yl)methyl)-6-(3,5-dichlorophenyl)pyridin-2-yl)oxy)pyridin-2-yl)piperazin-1-yl)propanamide; N-((1-((2-((6-(4-(2-(1H-tetrazol-5-yl)ethyl)piperazin-1-yl)pyridin-3-yl)oxy)-6-(3,5-dichlorophenyl)pyridin-4-yl)methyl)piperidin-4-yl)methyl)acetamide; N-((1-((2-(3,5-dichlorophenyl)-6-((6-(4-(2-(methylsulfinyl)ethyl)piperazin-1-yl)pyridin-3-yl)oxy)pyridin-4-yl)methyl)piperidin-4-yl)methyl)acetamide; N-((1-((2-(3,5-dichlorophenyl)-6-((6-(4-(4-(methylsulfonyl)butan-2-yl)piperazin-1-yl)pyridin-3-yl)oxy)pyridin-4-yl)methyl)piperidin-4-yl)methyl)acetamide; N-((1-((2-(3,5-dichlorophenyl)-6-((6-(4-((trans)-3-(methylsulfonamido)cyclobutyl)piperazin-1-yl)pyridin-3-yl)oxy)pyridin-4-yl)methyl)piperidin-4-yl)methyl)acetamide; N-((1-((2-(3,5-dichlorophenyl)-6-((6-(4-((cis)-3-(methylsulfonamido)cyclobutyl)piperazin-1-yl)pyridin-3-yl)oxy)pyridin-4-yl)methyl)piperidin-4-yl)methyl)acetamide; N-((1-((2-((6-(4-(2-aminoethyl)piperazin-1-yl)pyridin-3-yl)oxy)-6-(3,5-dichlorophenyl)pyridin-4-yl)methyl)piperidin-4-yl)methyl)acetamide; N-((1-((2-(3,5-dichlorophenyl)-6-((6-(4-(2,4-dihydroxybutyl)piperazin-1-yl)pyridin-3-yl)oxy)pyridin-4-yl)methyl)piperidin-4-yl)methyl)acetamide; (2-(4-(5-((4-((4-(acetamidomethyl)piperidin-1-yl)methyl)-6-(3,5-dichlorophenyl)pyridin-2-yl)oxy)pyridin-2-yl)piperazin-1-yl)ethyl)phosphonicacid; 2-(4-(5-((4-((4-(acetamidomethyl)piperidin-1-yl)methyl)-6-(3,5-dichlorophenyl)pyridin-2-yl)oxy)pyridin-2-yl)piperazin-1-yl)ethylcarbamate; N-((1-((2-(3,5-dichlorophenyl)-6-((6-(4-(2-(N-methylmethylsulfonamido)ethyl)piperazin-1-yl)pyridin-3-yl)oxy)pyridin-4-yl)methyl)piperidin-4-yl)methyl)acetamide; N-((1-((2-(3,5-dichlorophenyl)-6-((6-(4-((1-(hydroxymethyl)cyclopropyl)methyl)piperazin-1-yl)pyridin-3-yl)oxy)pyridin-4-yl)methyl)piperidin-4-yl)methyl)acetamide; N-((1-((2-(3,5-dichlorophenyl)-6-((6-(4-((1-hydroxycyclopropyl)methyl)piperazin-1-yl)pyridin-3-yl)oxy)pyridin-4-yl)methyl)piperidin-4-yl)methyl)acetamide; 2-(1-((2-(3,5-dichlorophenyl)-6-((6-(4-(3-(methylsulfonyl)propyl)piperazin-1-yl)pyridin-3-yl)oxy)pyridin-4-yl)methyl)piperidin-4-yl)-N-ethylacetamide; 3-(4-(5-((6-(3,5-dichlorophenyl)-4-((4-(sulfamoylmethyl)piperidin-1-yl)methyl)pyridin-2-yl)oxy)pyridin-2-yl)piperazin-1-yl)propanoicacid; 3-(4-(5-((6-(3,5-dichlorophenyl)-4-((4-((methylsulfonyl)methyl)piperidin-1-yl)methyl)pyridin-2-yl)oxy)pyridin-2-yl)piperazin-1-yl)propanoicacid; 1-((1-((2-(3,5-dichlorophenyl)-6-((6-(4-(2-hydroxyethyl)piperazin-1-yl)pyridin-3-yl)oxy)pyridin-4-yl)methyl)piperidin-4-yl)methyl)-3-methylurea; 3-(4-(5-((6-(3,5-dichlorophenyl)-4-((4-((3-methylureido)methyl)piperidin-1-yl)methyl)pyridin-2-yl)oxy)pyridin-2-yl)piperazin-1-yl)propanoicacid; 3-(4-(5-((6-(3,5-dichlorophenyl)-4-((4-(methylsulfonamidomethyl)piperidin-1-yl)methyl)pyridin-2-yl)oxy)pyridin-2-yl)piperazin-1-yl)propanoicacid; 3-(4-(5-((6-(3,5-dichlorophenyl)-4-((methylamino)methyl)pyridin-2-yl)oxy)pyridin-2-yl)piperazin-1-yl)propanoicacid; 3-(4-(5-((4-((4-(2-(carbamoyloxy)ethyl)piperazin-1-yl)methyl)-6-(3,5-dichlorophenyl)pyridin-2-yl)oxy)pyridin-2-yl)piperazin-1-yl)propanoicacid; 3-(4-(5-((4-((4-(cyclopropanecarboxamidomethyl)piperidin-1-yl)methyl)-6-(3,5-dichlorophenyl)pyridin-2-yl)oxy)pyridin-2-yl)piperazin-1-yl)propanoicacid; methyl((1-((2-(3,5-dichlorophenyl)-6-((6-(4-methylpiperazin-1-yl)pyridin-3-yl)oxy)pyridin-4-yl)methyl)piperidin-4-yl)methyl)carbamate; (1-((2-(3,5-dichlorophenyl)-6-((6-(4-methylpiperazin-1-yl)pyridin-3-yl)oxy)pyridin-4-yl)methyl)piperidin-4-yl)methylmethylcarbamate; 1-((1-((2-(3,5-dichlorophenyl)-6-((6-(4-methylpiperazin-1-yl)pyridin-3-yl)oxy)pyridin-4-yl)methyl)piperidin-4-yl)methyl)-3-methylurea; (1-((2-(3,5-dichlorophenyl)-6-((6-(piperazin-1-yl)pyridin-3-yl)oxy)pyridin-4-yl)methyl)piperidin-4-yl)methylmethylcarbamate; methyl((1-((2-(3,5-dichlorophenyl)-6-((6-(piperazin-1-yl)pyridin-3-yl)oxy)pyridin-4-yl)methyl)piperidin-4-yl)methyl)carbamate; 3-(4-(5-((6-(3,5-dichlorophenyl)-4-((4-(((methylcarbamoyl)oxy)methyl)piperidin-1-yl)methyl)pyridin-2-yl)oxy)pyridin-2-yl)piperazin-1-yl)propanoicacid; 3-(4-(5-((6-(3,5-dichlorophenyl)-4-((4-((dimethylphosphoryl)methyl)piperidin-1-yl)methyl)pyridin-2-yl)oxy)pyridin-2-yl)piperazin-1-yl)propanoicacid; N-((1-((2-(3,5-dichlorophenyl)-6-((5-fluoro-6-(piperazin-1-yl)pyridin-3-yl)oxy)pyridin-4-yl)methyl)-4-hydroxypiperidin-4-yl)methyl)acetamide; 1-(5-((6-(3-chloro-5-methylphenyl)-4-((methylamino)methyl)pyridin-2-yl)oxy)pyridin-2-yl)piperidin-4-amine; 3-(4-(5-((4-((4-(acetamidomethyl)piperidin-1-yl)methyl)-6-(3-chloro-5-fluorophenyl)pyridin-2-yl)oxy)pyridin-2-yl)piperazin-1-yl)propanoicacid; 3-(4-(5-((4-((4-(acetamidomethyl)piperidin-1-yl)methyl)-6-(3-bromo-5-fluorophenyl)pyridin-2-yl)oxy)pyridin-2-yl)piperazin-1-yl)propanoicacid; 2-(1-((2-(3,5-dichlorophenyl)-6-((6-(piperazin-1-yl)pyridin-3-yl)oxy)pyridin-4-yl)methyl)piperidin-4-yl)-N,N-dimethylethanamineoxide; N-((1-((2-(3,5-dichlorophenyl)-6-((5-fluoro-6-(piperazin-1-yl)pyridin-3-yl)oxy)pyridin-4-yl)methyl)piperidin-4-yl)methyl)acetamide; (1R,7S,8r)-4-((2-(3,5-dichlorophenyl)-6-((6-(4-methylpiperazin-1-yl)pyridin-3-yl)oxy)pyridin-4-yl)methyl)-4-azabicyclo[5.1.0]octane-8-carboxylicacid; 9-((2-(3,5-dichlorophenyl)-6-((6-(4-methylpiperazin-1-yl)pyridin-3-yl)oxy)pyridin-4-yl)methyl)-2-oxa-4,9-diazaspiro[5.5]undecan-3-one; N-((1-((2-(3,5-dichlorophenyl)-6-((6-(6-fluoro-4-methyl-1,4-diazepan-1-yl)pyridin-3-yl)oxy)pyridin-4-yl)methyl)piperidin-4-yl)methyl)acetamide; 2-(1-((2-(3,5-dichlorophenyl)-6-((2-methyl-6-(4-methylpiperazin-1-yl)pyridin-3-yl)oxy)pyridin-4-yl)methyl)piperidin-4-yl)aceticacid; 2-(1-((2-(3,5-dichlorophenyl)-6-((5-fluoro-6-(4-methylpiperazin-1-yl)pyridin-3-yl)oxy)pyridin-4-yl)methyl)piperidin-4-yl)aceticacid; 2-(1-((2-(3,5-dichlorophenyl)-6-((6-(4-methyl-1,4-diazepan-1-yl)pyridin-3-yl)oxy)pyridin-4-yl)methyl)piperidin-4-yl)aceticacid; 2-(1-((2-((6-(1,4-diazepan-1-yl)pyridin-3-yl)oxy)-6-(3,5-dichlorophenyl)pyridin-4-yl)methyl)piperidin-4-yl)aceticacid; 4-(4-(5-((4-((4-(acetamidomethyl)piperidin-1-yl)methyl)-6-(3,5-dichlorophenyl)pyridin-2-yl)oxy)pyridin-2-yl)piperazin-1-yl)-2-methylbutanoicacid; methyl(3-(4-(5-((4-((4-(acetamidomethyl)piperidin-1-yl)methyl)-6-(3,5-dichlorophenyl)pyridin-2-yl)oxy)pyridin-2-yl)piperazin-1-yl)propanoyl)carbamate; 4-(5-((4-((4-(acetamidomethyl)piperidin-1-yl)methyl)-6-(3,5-dichlorophenyl)pyridin-2-yl)oxy)pyridin-2-yl)-1-methylpiperazine1-oxide; 4-(5-((4-((4-(acetamidomethyl)piperidin-1-yl)methyl)-6-(3,5-dichlorophenyl)pyridin-2-yl)oxy)pyridin-2-yl)-1,1-bis(2-hydroxyethyl)piperazin-1-ium; N-((1-((2-(3,5-dichlorophenyl)-6-((6-(4-(2-hydroxyethyl)piperazin-1-yl)pyridin-3-yl)oxy)pyridin-4-yl)methyl)piperidin-4-yl)methyl)acetamide; 4-(5-((4-((4-(acetamidomethyl)piperidin-1-yl)methyl)-6-(3,5-dichlorophenyl)pyridin-2-yl)oxy)pyridin-2-yl)-1,1-dimethylpiperazin-1-ium; N-((1-((2-((6-(4-amino-3-fluoropiperidin-1-yl)pyridin-3-yl)oxy)-6-(3,5-dichlorophenyl)pyridin-4-yl)methyl)piperidin-4-yl)methyl)acetamide; N-((1-((2-(3,5-dichlorophenyl)-6-((6-((1S,4S)-5-(2-(methylsulfonyl)ethyl)-2,5-diazabicyclo[2.2.1]heptan-2-yl)pyridin-3-yl)oxy)pyridin-4-yl)methyl)piperidin-4-yl)methyl)acetamide; N-((1-((2-((6-((3S,4R)-3-(aminomethyl)-4-hydroxypyrrolidin-1-yl)pyridin-3-yl)oxy)-6-(3,5-dichlorophenyl)pyridin-4-yl)methyl)piperidin-4-yl)methyl)acetamide; 3-((1R,5S)-3-(5-((4-((4-(acetamidomethyl)piperidin-1-yl)methyl)-6-(3,5-dichlorophenyl)pyridin-2-yl)oxy)pyridin-2-yl)-3,8-diazabicyclo[3.2.1]octan-8-yl)propanoicacid; (S)-3-(4-(5-((4-((4-(acetamidomethyl)piperidin-1-yl)methyl)-6-(3,5-dichlorophenyl)pyridin-2-yl)oxy)pyridin-2-yl)-2-methylpiperazin-1-yl)propanoicacid; 2-(1-((2-((6-((1S,4S)-2,5-diazabicyclo[2.2.1]heptan-2-yl)pyridin-3-yl)oxy)-6-(3,5-dichlorophenyl)pyridin-4-yl)methyl)piperidin-4-yl)aceticacid; 4-(4-(5-((4-((4-(acetamidomethyl)piperidin-1-yl)methyl)-6-(3,5-dichlorophenyl)pyridin-2-yl)oxy)pyridin-2-yl)piperazin-1-yl)-2-ethylbutanoicacid; 3-(4-(5-((4-((4-(acetamidomethyl)piperidin-1-yl)methyl)-6-(3,5-dichlorophenyl)pyridin-2-yl)oxy)pyridin-2-yl)piperazin-1-yl)-2,2-dimethylpropanoicacid; 3-(4-(5-((4-((4-(acetamidomethyl)piperidin-1-yl)methyl)-6-(3,5-dichlorophenyl)pyridin-2-yl)oxy)pyridin-2-yl)-1,4-diazepan-1-yl)propanoicacid; 3-(4-(5-((4-((4-(acetamidomethyl)piperidin-1-yl)methyl)-6-(3,5-dichlorophenyl)pyridin-2-yl)oxy)pyridin-2-yl)-2,2-dimethylpiperazin-1-yl)propanoicacid; N-((1-((2-((6-(1,4-diazepan-1-yl)pyridin-3-yl)oxy)-6-(3,5-dichlorophenyl)pyridin-4-yl)methyl)piperidin-4-yl)methyl)acetamide; N-((1-((2-(3,5-dichlorophenyl)-6-((6-(4-(methylamino)piperidin-1-yl)pyridin-3-yl)oxy)pyridin-4-yl)methyl)piperidin-4-yl)methyl)acetamide; N-((1-((2-(3,5-dichlorophenyl)-6-((6-(hexahydropyrrolo[3,4-c]pyrrol-2(1H)-yl)pyridin-3-yl)oxy)pyridin-4-yl)methyl)piperidin-4-yl)methyl)acetamide; N-((1-((2-(3,5-dichlorophenyl)-6-((6-(3-(hydroxymethyl)piperazin-1-yl)pyridin-3-yl)oxy)pyridin-4-yl)methyl)piperidin-4-yl)methyl)acetamide; N-((1-((2-((6-(4-aminopiperidin-1-yl)pyridin-3-yl)oxy)-6-(3,5-dichlorophenyl)pyridin-4-yl)methyl)piperidin-4-yl)methyl)acetamide; N-((1-((2-(3,5-dichlorophenyl)-6-((6-(3,3-dimethylpiperazin-1-yl)pyridin-3-yl)oxy)pyridin-4-yl)methyl)piperidin-4-yl)methyl)acetamide; N-((1-((2-((6-(4-amino-3,3-dimethylpiperidin-1-yl)pyridin-3-yl)oxy)-6-(3,5-dichlorophenyl)pyridin-4-yl)methyl)piperidin-4-yl)methyl)acetamide; N-((1-((2-((6-(2,7-diazaspiro[4.4]nonan-2-yl)pyridin-3-yl)oxy)-6-(3,5-dichlorophenyl)pyridin-4-yl)methyl)piperidin-4-yl)methyl)acetamide; N-((1-((2-(3,5-dichlorophenyl)-6-((6-(4-methylpiperazin-1-yl)pyridin-3-yl)oxy)pyridin-4-yl)methyl)piperidin-4-yl)methyl)acetamide; 2-(1-((2-(3,5-dichlorophenyl)-6-((6-((1S,4S)-5-methyl-2,5-diazabicyclo[2.2.1]heptan-2-yl)pyridin-3-yl)oxy)pyridin-4-yl)methyl)piperidin-4-yl)aceticacid; 2-(1-((2-(3,5-dichlorophenyl)-6-((6-(4-methylpiperazin-1-yl)pyridin-3-yl)oxy)pyridin-4-yl)methyl)piperidin-4-yl)aceticacid; 3-(1-((2-(3,5-dichlorophenyl)-6-((6-(4-methylpiperazin-1-yl)pyridin-3-yl)oxy)pyridin-4-yl)methyl)piperidin-4-yl)-2-methylpropanoicacid; methyl((1-((2-(3,5-dichlorophenyl)-6-((6-(4-(3-(methylsulfonyl)propyl)piperazin-1-yl)pyridin-3-yl)oxy)pyridin-4-yl)methyl)piperidin-4-yl)methyl)carbamate; N-((1-((2-(3,5-dichlorophenyl)-6-((6-(4-(3-(methylsulfonyl)butyl)piperazin-1-yl)pyridin-3-yl)oxy)pyridin-4-yl)methyl)piperidin-4-yl)methyl)acetamide; 1-((1-((2-(3,5-dichlorophenyl)-6-((6-(4-(3-(methylsulfonyl)butyl)piperazin-1-yl)pyridin-3-yl)oxy)pyridin-4-yl)methyl)piperidin-4-yl)methyl)-3-methylurea; 2-(1-((2-(3,5-dichlorophenyl)-6-((6-(4-(3-(methylsulfonyl)propyl)piperazin-1-yl)pyridin-3-yl)oxy)pyridin-4-yl)methyl)piperidin-4-yl)aceticacid; 2-(1-((2-(3,5-dichlorophenyl)-6-((6-(4-(2-methoxyethyl)piperazin-1-yl)pyridin-3-yl)oxy)pyridin-4-yl)methyl)piperidin-4-yl)aceticacid; 4-(4-(5-((4-((4-(acetamidomethyl)piperidin-1-yl)methyl)-6-(3,5-dichlorophenyl)pyridin-2-yl)oxy)pyridin-2-yl)piperazin-1-yl)butanoicacid; N-((1-((2-(3,5-dichlorophenyl)-6-((6-(4-(2-methoxyethyl)piperazin-1-yl)pyridin-3-yl)oxy)pyridin-4-yl)methyl)piperidin-4-yl)methyl)acetamide; N-((1-((2-(3,5-dichlorophenyl)-6-((6-(4-(3-(methylsulfonyl)propyl)piperazin-1-yl)pyridin-3-yl)oxy)pyridin-4-yl)methyl)piperidin-4-yl)methyl)acetamide; 2-(1-((2-(3,5-dichlorophenyl)-6-((6-(4-(3-sulfamoylpropyl)piperazin-1-yl)pyridin-3-yl)oxy)pyridin-4-yl)methyl)piperidin-4-yl)aceticacid; 1-((1-((2-(3,5-dichlorophenyl)-6-((6-(4-(2-methoxyethyl)piperazin-1-yl)pyridin-3-yl)oxy)pyridin-4-yl)methyl)piperidin-4-yl)methyl)-3-methylurea; 1-((1-((2-(3,5-dichlorophenyl)-6-((6-(4-(3-(methylsulfonyl)propyl)piperazin-1-yl)pyridin-3-yl)oxy)pyridin-4-yl)methyl)piperidin-4-yl)methyl)-3-methylurea; 3-(4-(5-((6-(3,5-dichlorophenyl)-4-((4-((3-methylureido)methyl)piperidin-1-yl)methyl)pyridin-2-yl)oxy)pyridin-2-yl)piperazin-1-yl)propane-1-sulfonamide; 2-(1-((2-(3,5-dichlorophenyl)-6-((6-(4-(3-(methylsulfonyl)propyl)piperazin-1-yl)pyridin-3-yl)oxy)pyridin-4-yl)methyl)piperidin-4-yl)acetamide; 3-(4-(5-((4-((4-(acetamidomethyl)piperidin-1-yl)methyl)-6-(3,5-dichlorophenyl)pyridin-2-yl)oxy)-3-fluoropyridin-2-yl)piperazin-1-yl)propanoicacid; 3-(4-(5-((6-(3,5-dichlorophenyl)-4-((4-((3-methylureido)methyl)piperidin-1-yl)methyl)pyridin-2-yl)oxy)-3-fluoropyridin-2-yl)piperazin-1-yl)propanoicacid; 3-(1-((2-(3,5-dichlorophenyl)-6-((6-(4-(3-(methylsulfonyl)propyl)piperazin-1-yl)pyridin-3-yl)oxy)pyridin-4-yl)methyl)piperidin-4-yl)propanoicacid; 3-(4-(5-((6-(3,5-dichlorophenyl)-4-((4-(2-(methylsulfonyl)ethyl)piperidin-1-yl)methyl)pyridin-2-yl)oxy)pyridin-2-yl)piperazin-1-yl)propanoicacid; 3-(4-(5-((6-(3,5-dichlorophenyl)-4-((4-(2-sulfamoylethyl)piperidin-1-yl)methyl)pyridin-2-yl)oxy)pyridin-2-yl)piperazin-1-yl)propanoicacid; 3-(4-(5-((4-((4-(acetamidomethyl)piperidin-1-yl)methyl)-6-(3,5-dichlorophenyl)pyridin-2-yl)oxy)pyridin-2-yl)piperazin-1-yl)butanoicacid; 2-(4-(5-((4-((4-(acetamidomethyl)piperidin-1-yl)methyl)-6-(3,5-dichlorophenyl)pyridin-2-yl)oxy)pyridin-2-yl)piperazin-1-yl)ethanesulfonicacid; 2-((4-(5-((4-((4-(acetamidomethyl)piperidin-1-yl)methyl)-6-(3,5-dichlorophenyl)pyridin-2-yl)oxy)pyridin-2-yl)piperazin-1-yl)methyl)butanoicacid; N-((1-((2-(3,5-dichlorophenyl)-6-((6-(4-(2-sulfamoylethyl)piperazin-1-yl)pyridin-3-yl)oxy)pyridin-4-yl)methyl)piperidin-4-yl)methyl)acetamide; 1-((1-((2-(3,5-dichlorophenyl)-6-((6-(4-(2-(methylsulfonyl)ethyl)piperazin-1-yl)pyridin-3-yl)oxy)pyridin-4-yl)methyl)piperidin-4-yl)methyl)-3-methylurea; (R)-2-(1-((2-(3,5-dichlorophenyl)-6-((6-(4-(2-hydroxypropyl)piperazin-1-yl)pyridin-3-yl)oxy)pyridin-4-yl)methyl)piperidin-4-yl)aceticacid; 2-(1-((2-(3,5-dichlorophenyl)-6-((6-(4-(2-hydroxyethyl)piperazin-1-yl)pyridin-3-yl)oxy)pyridin-4-yl)methyl)piperidin-4-yl)aceticacid; (R)-(1-((2-(3,5-dichlorophenyl)-6-((6-(4-(2-hydroxypropyl)piperazin-1-yl)pyridin-3-yl)oxy)pyridin-4-yl)methyl)piperidin-4-yl)methylmethylcarbamate; (R)-1-((1-((2-(3,5-dichlorophenyl)-6-((6-(4-(2-hydroxypropyl)piperazin-1-yl)pyridin-3-yl)oxy)pyridin-4-yl)methyl)piperidin-4-yl)methyl)-3-methylurea; 3-(1-((2-(3,5-dichlorophenyl)-6-((6-(4-(2-hydroxyethyl)piperazin-1-yl)pyridin-3-yl)oxy)pyridin-4-yl)methyl)piperidin-4-yl)propanoicacid; 2-(1-((6-(3,5-dichlorophenyl)-3-fluoro-2-((6-(4-methylpiperazin-1-yl)pyridin-3-yl)oxy)pyridin-4-yl)methyl)piperidin-4-yl)aceticacid; 2-(1-((6-(3,5-dichlorophenyl)-3-fluoro-2-((2-methyl-6-(4-methylpiperazin-1-yl)pyridin-3-yl)oxy)pyridin-4-yl)methyl)piperidin-4-yl)aceticacid; methyl3-(4-(5-((4-((4-(acetamidomethyl)piperidin-1-yl)methyl)-6-(3,5-dichlorophenyl)pyridin-2-yl)oxy)pyridin-2-yl)piperazin-1-yl)propanoate; or 2-(1-((6-(3,5-dichlorophenyl)-3-methyl-2-((6-(4-methylpiperazin-1-yl)pyridin-3-yl)oxy)pyridin-4-yl)methyl)piperidin-4-yl)aceticacid; or a pharmaceutically acceptable salt thereof.
48. The method, compound, pharmaceutical composition, or use of any one of claims 1 to 29, 32 to 42, 46, or 47, wherein the compound, or pharmaceutically acceptable salt thereof, is of the formula: ##STR00385##
49. A method of identifying a compound useful for treating or preventing a viral infection resulting from a coronaviridae family virus, the method comprising: (i) providing a test compound or a pharmaceutically acceptable salt thereof; (ii) contacting a cell with the compound, wherein the cell expresses the pro-(S) protein of the virus; and (iii) determining if the pro-(S) protein has been processed by furin or an endogenous furin-like enzyme.
Description
BRIEF DESCRIPTION OF THE DRAWINGS
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[0097]
DETAILED DESCRIPTION OF CERTAIN EMBODIMENTS OF THE INVENTION
[0098] The present disclosure provides methods, pharmaceutical compositions, and kits for the treatment and/or prevention of a viral infection caused by a coronaviridae family virus (e.g., an alphacoronavirus (e.g., HCoV-NL63, HCoV-229E), a betacoronavirus (e.g., SARS-CoV, SARS-CoV-2, MERS-CoV, HCoV-OC43, HCoV-HKU1), a deltacoronavirus, a gammacoronavirus), comprising administering to the subject a therapeutically effective amount of a compound of Formula (I), a pharmaceutically acceptable salt thereof, or a pharmaceutical composition comprising a compound of Formula (I) as described herein. Further provided herein are methods, pharmaceutical compositions, and kits for the treatment and/or prevention of a viral infection caused by a variant of a SARS-CoV-2 virus (e.g. B.1.351 (i.e., the South African COVID-19 variant), B.1.1.7 (i.e., the UK COVID-19 variant), P.1 (i.e., the Brazilian COVID-19 variant)).
[0099] Further provided herein are methods for inhibiting viral entry into a cell of a coronaviridae family virus (e.g., an alphacoronavirus (e.g., HCoV-NL63, HCoV-229E), a betacoronavirus (e.g., SARS-CoV, SARS-CoV-2, MERS-CoV, HCoV-OC43, HCoV-HKU1), a deltacoronavirus, a gammacoronavirus) in a subject in need thereof, comprising administering to the subject a therapeutically effective amount of a compound of Formula (I) or a pharmaceutically acceptable salt thereof, or a pharmaceutical composition comprising a compound of Formula (I) as described herein.
[0100] Further provided herein are methods for decreasing the pathogenicity of a coronaviridae family virus (e.g., an alphacoronavirus (e.g., HCoV-NL63, HCoV-229E), a betacoronavirus (e.g., SARS-CoV, SARS-CoV-2, MERS-CoV, HCoV-OC43, HCoV-HKU1), a deltacoronavirus, a gammacoronavirus) in a subject in need thereof, comprising administering to the subject a therapeutically effective amount of a compound of Formula (I) or a pharmaceutically acceptable salt thereof, or a pharmaceutical composition comprising a compound of Formula (I) as described herein.
[0101] Also provided herein are methods for inhibiting viral exit from a cell of a coronaviridae family virus (e.g., an alphacoronavirus (e.g., HCoV-NL63, HCoV-229E), a betacoronavirus (e.g., SARS-CoV, SARS-CoV-2, MERS-CoV, HCoV-OC43, HCoV-HKU1), a deltacoronavirus, a gammacoronavirus) in a subject in need thereof, comprising administering to the subject a therapeutically effective amount of a compound of Formula (I) or a pharmaceutically acceptable salt thereof, or a pharmaceutical composition comprising a compound of Formula (I) as described herein.
[0102] In certain embodiments, the present disclosure provides methods for the treatment and/or prevention of a viral infection caused by a coronaviridae family virus (e.g., an alphacoronavirus (e.g., HCoV-NL63, HCoV-229E), a betacoronavirus (e.g., SARS-CoV, SARS-CoV-2, MERS-CoV, HCoV-OC43, HCoV-HKU1), a deltacoronavirus, a gammacoronavirus), comprising administering to the subject a therapeutically effective amount of a compound of Formula (I) or pharmaceutically acceptable salt thereof, or a pharmaceutical composition comprising a compound of Formula (I) as described herein. In certain embodiments, the provided methods are for the treatment and/or prevention of viral infections caused by a coronaviridae family virus. In certain embodiments, the provided methods are for the treatment and/or prevention of viral infections caused by an alphacoronavirus. In certain embodiments, the provided methods are for the treatment and/or prevention of viral infections caused by HCoV-NL63 or HCoV-229E. In certain embodiments, the provided methods are for the treatment and/or prevention of viral infections caused by a betacoronavirus. In certain embodiments, the provided methods are for the treatment and/or prevention of viral infections caused by SARS-CoV, SARS-CoV-2, MERS-CoV, HCoV-OC43, or HCoV-HKU1. In certain embodiments, the provided methods are for the treatment and/or prevention of viral infections caused by SARS-CoV. In certain embodiments, the provided methods are for the treatment and/or prevention of viral infections caused by SARS-CoV-2. In certain embodiments, the provided methods are for the treatment and/or prevention of viral infections caused by MERS-CoV.
[0103] In another aspect, the present disclosure provides methods of treating a viral infection resulting from a coronaviridae family virus (e.g., an alphacoronavirus (e.g., HCoV-NL63, HCoV-229E), a betacoronavirus (e.g., SARS-CoV, SARS-CoV-2, MERS-CoV, HCoV-OC43, HCoV-HKU1), a deltacoronavirus, a gammacoronavirus) in a subject in need thereof, the method comprising administering to the subject in need thereof an effective amount (e.g., therapeutically effective amount) of a compound of Formula (I) or a pharmaceutical acceptable salt thereof, or a pharmaceutical composition comprising a compound of Formula (I) as described herein. In certain embodiments, provided herein are methods of treating viral infections resulting from an alphacoronavirus. In certain embodiments, provided herein are methods of treating viral infections resulting from HCoV-NL63 or HCoV-229E. In certain embodiments, provided herein are methods of treating viral infections resulting from a betacoronavirus. In certain embodiments, provided herein are methods of treating viral infections resulting from SARS-CoV, SARS-CoV-2, MERS-CoV, HCoV-OC43, or HCoV-HKU1. In certain embodiments, provided herein are methods of treating viral infections resulting from SARS-CoV. In certain embodiments, provided herein are methods of treating viral infections resulting from SARS-CoV-2. In certain embodiments, provided herein are methods of treating viral infections resulting from MERS-CoV. In certain embodiments, provided herein are methods of treating viral infections resulting from HCoV-OC43. In certain embodiments, provided herein are methods of treating viral infections resulting from HCoV-HKU1.
[0104] In another aspect, the present disclosure provides methods of preventing a viral infection resulting from a coronaviridae family virus (e.g., an alphacoronavirus (e.g., HCoV-NL63, HCoV-229E), a betacoronavirus (e.g., SARS-CoV, SARS-CoV-2, MERS-CoV, HCoV-OC43, HCoV-HKU1), a deltacoronavirus, a gammacoronavirus) in a subject in need thereof, the method comprising administering to the subject in need thereof an effective amount (e.g., a prophylactically effective amount) of a compound of Formula (I) or a pharmaceutically acceptable salt thereof, or a pharmaceutical composition comprising Formula (I) as described herein. In certain embodiments, the present disclosure provides methods of preventing a viral infection resulting from a betacoronavirus (e.g., SARS-CoV, SARS-CoV-2, MERS-CoV, HCoV-OC43, HCoV-HKU1), a deltacoronavirus, a gammacoronavirus) in a subject in need thereof, the method comprising administering to the subject in need thereof an effective amount (e.g., a prophylactically effective amount) of a compound of Formula (I) or a pharmaceutically acceptable salt thereof, or a pharmaceutical composition comprising Formula (I) as described herein. In certain embodiments, the present disclosure provides methods of preventing a viral infection resulting from SARS-CoV in a subject in need thereof, the method comprising administering to the subject in need thereof an effective amount (e.g., a prophylactically effective amount) of a compound of Formula (I), or a pharmaceutically acceptable salt thereof, or a pharmaceutical composition comprising Formula (I) as described herein.
[0105] In another aspect, the present disclosure provides methods of inhibiting the entry of a coronaviridae family virus (e.g., an alphacoronavirus (e.g., HCoV-NL63, HCoV-229E), a betacoronavirus (e.g., SARS-CoV, SARS-CoV-2, MERS-CoV, HCoV-OC43, HCoV-HKU1), a deltacoronavirus, a gammacoronavirus) into a cell, in a subject in need thereof, the method comprising administering to the subject in need thereof an effective amount of a compound of Formula (I) or pharmaceutically acceptable salt thereof, or a pharmaceutical composition comprising a compound of Formula (I) as described herein.
[0106] In certain embodiments, provided herein are methods of inhibiting the entry of a coronaviridae family virus into a cell, in a subject by at least 1%, at least 3%, at least 10%, at least 20%, at least 30%, at least 40%, at least 50%, at least 60%, at least 70%, at least 80%, or at least 90%. In certain embodiments, the entry of a coronaviridae family virus into a cell, in a subject is inhibited by at least 1%, at least 3%, at least 10%, at least 20%, at least 30%, at least 40%, at least 50%, at least 60%, at least 70%, at least 80%, or at least 90%. In certain embodiments, provided herein are methods of inhibiting the entry of a coronaviridae family virus into a cell, in a subject by at least 30%. In certain embodiments, provided herein are methods of inhibiting the entry of a coronaviridae family virus into a cell, in a subject by at least 50%. In certain embodiments, provided herein are methods of inhibiting the entry of a coronaviridae family virus into a cell, in a subject by at least 75%.
[0107] In another aspect, the present disclosure provides methods of inhibiting the replication of a coronaviridae family virus (e.g., an alphacoronavirus (e.g., HCoV-NL63, HCoV-229E), a betacoronavirus (e.g., SARS-CoV, SARS-CoV-2, MERS-CoV, HCoV-OC43, HCoV-HKU1), a deltacoronavirus, a gammacoronavirus) in a subject in need thereof, the method comprising administering to the subject in need thereof an effective amount of a compound of Formula (I) or pharmaceutically acceptable salt thereof, or a pharmaceutical composition comprising a compound of Formula (I) as described herein.
[0108] In certain embodiments, provided herein are methods of inhibiting the replication of a coronaviridae family virus in a subject by at least 1%, at least 3%, at least 10%, at least 20%, at least 30%, at least 40%, at least 50%, at least 60%, at least 70%, at least 80%, or at least 90%. In certain embodiments, the replication of a coronaviridae family virus in a subject is inhibited by at least 1%, at least 3%, at least 10%, at least 20%, at least 30%, at least 40%, at least 50%, at least 60%, at least 70%, at least 80%, or at least 90%. In certain embodiments, provided herein are methods of inhibiting the replication of a coronaviridae family virus in a subject by at least 30%. In certain embodiments, provided herein are methods of inhibiting the replication of a coronaviridae family virus in a subject by at least 50%. In certain embodiments, provided herein are methods of inhibiting the replication of a coronaviridae family virus in a subject by at least 75%.
[0109] In another aspect, the present disclosure provides methods of decreasing viral infectivity of a coronaviridae family virus (e.g., an alphacoronavirus (e.g., HCoV-NL63, HCoV-229E), a betacoronavirus (e.g., SARS-CoV, SARS-CoV-2, MERS-CoV, HCoV-OC43, HCoV-HKU1), a deltacoronavirus, a gammacoronavirus) in a subject, the method comprising administering to the subject an effective amount of a compound of Formula (I) or a pharmaceutically acceptable salt thereof, or a pharmaceutical composition comprising Formula (I) as described herein.
[0110] In another aspect, the present disclosure provides methods of inhibiting viral infectivity in a biological sample (e.g., an in vitro biological sample), the method comprising contacting the biological sample with an effective amount of a compound of Formula (I) or a pharmaceutical composition described herein. In another aspect, the present disclosure provides methods of inhibiting viral infectivity in a cell (e.g., an in vitro cell), the method comprising contacting the cell with an effective amount of a compound of Formula (I) or a pharmaceutical composition described herein.
[0111] In certain embodiments, the methods, uses, pharmaceutical compositions, kits, and compounds described herein further comprise administering one or more additional pharmaceutical agents (e.g., therapeutically and/or prophylactically active agents). The compounds or compositions can be administered in combination with additional pharmaceutical agents that improve their activity (e.g., activity (e.g., potency and/or efficacy) in treating a disease in a subject in need thereof, in preventing a disease in a subject in need thereof, in reducing the risk to develop a disease in a subject in need thereof, and/or in inhibiting the activity of a transcription factor in a subject or cell), improve bioavailability, improve safety, reduce drug resistance, reduce and/or modify metabolism, inhibit excretion, and/or modify distribution in a subject or cell. It will also be appreciated that the therapy employed may achieve a desired effect for the same disorder, and/or it may achieve different effects. In certain embodiments, a pharmaceutical composition described herein including a compound described herein and an additional pharmaceutical agent shows a synergistic effect that is absent in a pharmaceutical composition including one of the compounds and the additional pharmaceutical agent, but not both. For example, the methods, uses, pharmaceutical compositions, kits, and compounds comprising a compound of Formula (I) and camostat may show a synergistic effect over compositions comprising Compound (I) or camostat in treating viral infections. The methods, uses, pharmaceutical compositions, kits, and compounds comprising a compound of Formula (I) and camostat may also show additive effects over compositions comprising Compound (I) or camostat in treating viral infections.
[0112] The compound or composition can be administered concurrently with, prior to, or subsequent to one or more additional pharmaceutical agents, which may be useful as, e.g., combination therapies. Pharmaceutical agents include therapeutically active agents. Pharmaceutical agents also include prophylactically active agents. Pharmaceutical agents include small organic molecules such as drug compounds (e.g., compounds approved for human or veterinary use by the U.S. Food and Drug Administration as provided in the Code of Federal Regulations (CFR)), peptides, proteins, carbohydrates, monosaccharides, oligosaccharides, polysaccharides, nucleoproteins, mucoproteins, lipoproteins, synthetic polypeptides or proteins, small molecules linked to proteins, glycoproteins, steroids, nucleic acids, DNAs, RNAs, nucleotides, nucleosides, oligonucleotides, antisense oligonucleotides, lipids, hormones, vitamins, and cells. In certain embodiments, the additional pharmaceutical agent is a pharmaceutical agent useful for treating and/or preventing a viral infection (e.g., a viral infection resulting from a coronaviridae family virus (e.g., an alphacoronavirus (e.g., HCoV-NL63, HCoV-229E), a betacoronavirus (e.g., SARS-CoV, SARS-CoV-2, MERS-CoV, HCoV-OC43, HCoV-HKU1), a deltacoronavirus, a gammacoronavirus). Each additional pharmaceutical agent may be administered at a dose and/or on a time schedule determined for that pharmaceutical agent. The additional pharmaceutical agents may also be administered together with each other and/or with the compound or composition described herein in a single dose or administered separately in different doses. The particular combination to employ in a regimen will take into account compatibility of the compound described herein with the additional pharmaceutical agent(s) and/or the desired therapeutic and/or prophylactic effect to be achieved. In general, it is expected that the additional pharmaceutical agent(s) in combination be utilized at levels that do not exceed the levels at which they are utilized individually. In some embodiments, the levels utilized in combination will be lower than those utilized individually.
[0113] The additional pharmaceutical agents include, but are not limited to, anti-inflammatory agents, immunosuppressants, antibacterial agents, antiviral agents, cardiovascular agents, anti-allergic agents, and pain-relieving agents. In certain embodiments, the additional pharmaceutical agent is an antiviral agent (e.g., Abacavir, Acyclovir, Amantadine, Atazanavir, Chloroquine, Darunavir, Elvitegravir, Fosamprenavir, Ganciclovir, Indinavir, Ledipasvir, Lopinavir, Nitazoxanide, Oseltamivir, Penciclovir, Peramivir, Raltegravir, Ribavirin, Rimantadine, Ritonavir, Saquinavir, Sofosbuvir, Tipranavir, Velpatasvir, Zanamivirfavipiravir, remdesivir, Oyal, galidesivir, umifenovir, hydroxychloroquine). In certain embodiments, the antiviral agent is chloroquine. In certain embodiments, the antiviral agent is hydroxychloroquine. In certain embodiments, the additional pharmaceutical agent is an antibacterial agent (e.g., azithromycin). In certain embodiments, the additional pharmaceutical agent is an anti-inflammatory (e.g., Gimsilumab, IL-6 antibodies, actemra, paracetamol, Nonsteroidal anti-inflammatory drugs (NSAIDs)). In certain embodiments, the anti-inflammatory may be a tumor necrosis factor (TNF) inhibitor (e.g., adalimumab, etanercept, infliximab, golimumab, certolizumab).
[0114] In certain embodiments, the additional pharmaceutical agent is an antifibrotic agent (e.g., Pirfenidone, Nintedanib). In certain embodiments, the additional pharmaceutical agent is Pirfenidone. In certain embodiments, the additional pharmaceutical agent is Nintedanib.
[0115] In certain embodiments, the additional pharmaceutical agent is in the form of an additional therapy (e.g., receiving antibodies from survivor patients' blood, DNA vaccines, RNA vaccines). In certain embodiments, the additional therapy is treatment with an antibody.
[0116] In certain embodiments, the additional therapy is treatment with a human antibody. In certain embodiments, the additional therapy is treatment with a human body from a survivor patients' blood. In certain embodiments, the additional therapy is treatment with a monoclonal antibody. In certain embodiments, the additional therapy is treatment with antibodies that bind the S-spike protein. In certain embodiments, the additional therapy is treatment with a monoclonal antibody that binds the S-spike protein.
[0117] In certain embodiments, the additional pharmaceutical agent is an N-methyl-D-aspartate (NDMA) receptor glutamate receptor antagonist (e.g., ifenprodil). In certain embodiments, the additional pharmaceutical agent is an ACE2 blocker (e.g., APNO1). In certain embodiments, the additional pharmaceutical agent is a CCR5 antagonist. In certain embodiments, the additional pharmaceutical agent is an antibody that bind S-spike protein (e.g., REGN3048-3051). In certain embodiments, the additional pharmaceutical agent is idebenone. In certain embodiments, the additional pharmaceutical agent is interferon beta. In certain embodiments, the additional pharmaceutical agent is an ADAM-17 inhibitor. In certain embodiments, the additional pharmaceutical agent is 4-methylumbelliferone.
[0118] Additional pharmaceutical agents may also include serine protease inhibitors (e.g., TMPRSS2 inhibitors (e.g., camostat, nafamostat)), ACE2 inhibitors (e.g., benazepril, captopril, enalapril, fosinopril, lisinopril, moexipril, perindopril, quinapril, ramipril, or trandolapril). In certain embodiments, the additional pharmaceutical agent is a TMPRSS2 inhibitor (e.g., camostat, nafamostat)). In certain embodiments, the additional pharmaceutical agent is camostat. In certain embodiments, the additional pharmaceutical agent is nafamostat. In certain embodiments, the additional pharmaceutical agent is benazepril, captopril, enalapril, fosinopril, lisinopril, moexipril, perindopril, quinapril, ramipril, or trandolapril. In certain embodiments, the additional pharmaceutical agent is benazepril. In certain embodiments, the additional pharmaceutical agent is captopril. In certain embodiments, the additional pharmaceutical agent is enalapril. In certain embodiments, the additional pharmaceutical agent is fosinopril. In certain embodiments, the additional pharmaceutical agent is lisinopril. In certain embodiments, the additional pharmaceutical agent is moexipril. In certain embodiments, the additional pharmaceutical agent is perindopril. In certain embodiments, the additional pharmaceutical agent is quinapril. In certain embodiments, the additional pharmaceutical agent is ramipril. In certain embodiments, the additional pharmaceutical agent is trandolapril.
[0119] In another aspect, the present disclosure provides compounds of Formula (I) or a pharmaceutically acceptable salt thereof, and pharmaceutical compositions described herein for use in treating and/or preventing a viral infection caused by a coronaviridae family virus (e.g., an alphacoronavirus (e.g., HCoV-NL63, HCoV-229E), a betacoronavirus (e.g., SARS-CoV, SARS-CoV-2, MERS-CoV, HCoV-OC43, HCoV-HKU1), a deltacoronavirus, a gammacoronavirus), comprising administering to the subject a therapeutically effective amount of a compound of Formula (I) or a pharmaceutically acceptable salt thereof, or a pharmaceutical composition comprising a compound of Formula (I) as described herein.
[0120] In another aspect, the present disclosure provides uses of compounds of Formula (I) or a pharmaceutically acceptable salt thereof, and pharmaceutical compositions as described herein in the manufacture of a medicament for treating a viral infection resulting from a coronaviridae family virus (e.g., an alphacoronavirus (e.g., HCoV-NL63, HCoV-229E), a betacoronavirus (e.g., SARS-CoV, SARS-CoV-2, MERS-CoV, HCoV-OC43, HCoV-HKU1), a deltacoronavirus, a gammacoronavirus) in a subject in need thereof.
[0121] In another aspect, the present disclosure provides uses of compounds of Formula (I) and pharmaceutical compositions described herein in the manufacture of a medicament for preventing a viral infection resulting from a coronaviridae family virus (e.g., an alphacoronavirus (e.g., HCoV-NL63, HCoV-229E), a betacoronavirus (e.g., SARS-CoV, SARS-CoV-2, MERS-CoV, HCoV-OC43, HCoV-HKU1), a deltacoronavirus, a gammacoronavirus) in a subject in need thereof.
[0122] In certain embodiments, the virus is a coronaviridae family virus. In certain embodiments, the coronaviridae family virus is an alphacoronavirus. In certain embodiments, the alphacoronavirus is HCoV-NL63. In certain embodiments, the alphacoronavirus is HCoV-229E. In certain embodiments, the coronaviridae family virus is a betacoronavirus. In certain embodiments, the betacoronavirus is SARS-CoV. In certain embodiments, the betacoronavirus is SARS-CoV-2. In certain embodiments, the betacoronavirus is MERS-CoV. In certain embodiments, the betacoronavirus is HCoV-OC43. In certain embodiments, the betacoronavirus is HCoV-HKU1. In certain embodiments, the coronaviridae family virus is a deltacoronavirus. In certain embodiments, the coronaviridae family virus is a gammacoronavirus.
[0123] In certain embodiments, the virus is a variant of a SARS-Cov-2 virus (e.g., B.1.351, B.1.1.7, P.1). In certain embodiments, the SARS-Cov-2 variant is the B.1.351 variant (i.e., the South African COVID-19 variant). In certain embodiments, the SARS-Cov-2 variant is the B.1.1.7 variant (i.e., the UK COVID-19 variant). In certain embodiments, the SARS-CoV-2 variant is the P.1 variant (i.e., the Brazilian COVID-19 variant).
[0124] Without wishing to be bound by any particular theory, in certain embodiments, the compounds of Formula (I) useful in the methods, compositions, and uses of this disclosure prevents or inhibits the furin-mediated processing Spike (S)-protein, which may be cleaved during virus egress.
[0125] Without wishing to be bound by any particular theory, in certain embodiments, the compounds of Formula (I) useful in the methods, compositions, and uses of this disclosure prevents or inhibits the furin-mediated processing Spike (S)-protein, which may be cleaved during virus entry into a cell.
[0126] Without wishing to be bound by any particular theory, in certain embodiments, the compounds of Formula (I) useful in the present disclosure inhibit viral fusion by cleaving the glycoproteins of a virus.
[0127] Without wishing to be bound by any particular theory, in certain embodiments, the compounds of Formula (I) useful in the present disclosure inhibit viral fusion (during viral entry or exit of the cell) by inhibiting the furin-mediated processing of the Spike (S)-protein.
[0128] Cleavage of the (S)-protein may be required to expose the fusion protein, which allows for viral entry and exit into the cell.
[0129] In certain embodiments, the compounds useful in the present disclosure are of Formula (I):
##STR00008##
or a pharmaceutically acceptable salt thereof, wherein:
[0130] X is —O— or —N(R.sup.8)—;
[0131] Y is —N═ or —C(R.sup.6)═;
[0132] R.sup.1 and R.sup.2 are each independently H or optionally substituted (C.sub.1-C.sub.4)alkyl; optionally, R.sup.1 and R.sup.2 taken together with the nitrogen atom to which they are attached form a 4-11 membered monocyclic, fused bicyclic, bridged, or spiro-bicyclic saturated ring, optionally containing one or two additional heteroatoms independently selected from oxygen, nitrogen, and sulfur, wherein said ring is optionally substituted with one, two, or three of halogen, hydroxyl, oxo, —OCONR.sup.8R.sup.9, —CO.sub.2R.sup.8, —C(O)CO.sub.2R.sup.8, —R.sup.7, —OR.sup.7, —NHR.sup.8, —NR.sup.7R.sup.8, —C(O)R.sup.7, —CONHR.sup.8, —CONR.sup.7R.sup.8, or —SO.sub.2R.sup.7;
[0133] each R.sup.3 is independently halogen, —CN, —O(C.sub.1-C.sub.4)alkyl, or optionally substituted (C.sub.1-C.sub.4)alkyl;
[0134] R.sup.4 and R.sup.5 are each independently H or optionally substituted (C.sub.1-C.sub.4)alkyl; optionally, R.sup.4 and R.sup.5 taken together with the nitrogen atom to which they are attached form a 4-11 membered monocyclic, fused bicyclic, bridged, or spiro-bicyclic saturated ring, optionally containing one or two additional heteroatoms independently selected from oxygen, nitrogen, and sulfur, wherein said ring is optionally substituted with one, two, or three of halogen, hydroxyl, oxo, —OCONR.sup.8R.sup.9, —CO.sub.2R.sup.8, —C(O)CO.sub.2R.sup.8, —SO.sub.2(C.sub.1 C.sub.4)alkyl, —R.sup.7, —OR.sup.7, —NHR.sup.8, —NR.sup.7R.sup.8, —N(R.sup.8)C(O)R.sup.9, —N(R.sup.8)SO.sub.2R.sup.9, —N(R.sup.8)CONR.sup.8R.sup.9, —N(R.sup.8)CON(R.sup.8)SO.sub.2R.sup.9, —C(O)R.sup.7, —CONHR.sup.8, —CONR.sup.7R.sup.8, or —P(O)R.sup.8R.sup.9;
[0135] each R.sup.6 is independently H, halogen, optionally substituted (C.sub.1-C.sub.4)alkyl, —OH, or optionally substituted (C.sub.1-C.sub.4)alkoxy;
[0136] each R.sup.7 is independently (C.sub.1-C.sub.6)alkyl, (C.sub.2-C.sub.6)alkenyl, halo(C.sub.1-C.sub.6)alkyl, (C.sub.3-C.sub.6)cycloalkyl, or (C.sub.1-C.sub.4)alkyl(C.sub.3-C.sub.6)cycloalkyl, each of which is optionally substituted with one or two of triazolyl, tetrazolyl, —CO.sub.2R.sup.8, —CONR.sup.8R.sup.9, —CON(R.sup.8)CO.sub.2(C.sub.1-C.sub.4)alkyl, hydroxyl, oxo, —(C.sub.1-C.sub.4)alkoxy, —OCONR.sup.8R.sup.9, —OCON(R.sup.8)C(O)R.sup.9, (C.sub.1-C.sub.4)alkyl, (C.sub.1-C.sub.4)alkylOH, —NR.sup.8R.sup.9, —N(O)R.sup.8R.sup.9, —N(R.sup.8)C(O)R.sup.9, —N(R.sup.8)CO.sub.2(C.sub.1-C.sub.4)alkyl, —N(R.sup.8)CH.sub.2CO.sub.2R.sup.9, —N(R.sup.8)CONR.sup.8R.sup.9, —N(R.sup.8)CON(R.sup.8)C(O)R.sup.9, —N(R.sup.8)CON(R.sup.8)CO.sub.2(C.sub.1-C.sub.4)alkyl, —N(R.sup.8)SO.sub.2R.sup.9, —N(R.sup.8)CON(R.sup.8)SO.sub.2R.sup.9, —SO(C.sub.1-C.sub.4)alkyl, —SO.sub.2(C.sub.1-C.sub.4)alkyl, —SO.sub.3R.sup.8, —SO.sub.2NR.sup.8R.sup.9, —B(OH).sub.2, —P(O)R.sup.8R.sup.9, or —P(O)(OR.sup.8)(OR.sup.9);
[0137] each of R.sup.8 and R.sup.9 is independently H, optionally substituted (C.sub.1-C.sub.4)alkyl, or optionally substituted (C.sub.3-C.sub.6)cycloalkyl;
[0138] n is 1, 2, 3, or 4.
[0139] In certain embodiments, X is —O— or —NR.sup.8, wherein R.sup.8 is (C.sub.1-C.sub.4)alkyl. In another embodiment, X is —NR.sup.8, wherein R.sup.8 is (C.sub.1-C.sub.4)alkyl. In certain embodiments, X is —O—.
[0140] In certain embodiments, Y is —N═ or —C(R.sup.6)═, wherein R.sup.6 is independently H, halogen, optionally substituted (C.sub.1-C.sub.4)alkyl, —OH, or optionally substituted (C.sub.1-C.sub.4)alkoxy. In certain embodiments, Y is —N═. In certain embodiments, Y is —C(R.sup.6)═.
[0141] In certain embodiments, R.sup.3 is optionally substituted —O(C.sub.1-C.sub.4)alkyl. In certain embodiments, R.sup.3 is optionally substituted —OCF.sub.3. In certain embodiments, R.sup.3 is optionally substituted (C.sub.1-C.sub.4)alkyl. In certain embodiments, R.sup.3 is -Me. In certain embodiments, R.sup.3 is —CF.sub.3. In certain embodiments, R.sup.3 is —CHF.sub.2. In certain embodiments, R.sup.3 is —CH.sub.2F. In certain embodiments, R.sup.3 is halogen. In certain embodiments, R.sup.3 is —F. In certain embodiments, R.sup.3 is —Cl. In certain embodiments, R.sup.3 is —Br. In certain embodiments, R.sup.3 is —I. In certain embodiments, R.sup.3 is -Me. In certain embodiments, each R.sup.3 is independently halogen, methyl, or difluoromethyl. In another embodiment, each R.sup.3 is independently fluoro, chloro, bromo, methyl, or difluoromethyl. In one embodiment, each R.sup.3 is independently halogen. In another embodiment, each R.sup.3 is independently fluoro, chloro, or bromo. In another embodiment, each R.sup.3 is independently fluoro or chloro. In certain embodiments, each R.sup.3 is chloro. In certain embodiments, R.sup.3 is —CN.
[0142] In certain embodiments, R.sup.1 and R.sup.2 are each independently H, (C.sub.1-C.sub.4)alkyl, or (C.sub.1-C.sub.4)alkylNH.sub.2. In certain embodiments, R.sup.1 and R.sup.2 taken together with the nitrogen atom to which they are attached form a 4-11 membered monocyclic, fused bicyclic, bridged, or spiro-bicyclic saturated ring, optionally containing one or two additional heteroatoms independently selected from oxygen, nitrogen, and sulfur, wherein said ring is optionally substituted with one, two, or three of halogen, hydroxyl, oxo, —OCONR.sup.8R.sup.9, —CO.sub.2R.sup.8, —C(O)CO.sub.2R.sup.8, —R.sup.7, —OR.sup.7, —NHR.sup.8, —NR.sup.7R.sup.8, —C(O)R.sup.7, —CONHR.sup.8, —CONR.sup.7R.sup.8, or —SO.sub.2R.sup.7. In one embodiment, R.sup.1 and R.sup.2 are each independently H, (C.sub.1-C.sub.4)alkyl, or —(C.sub.1-C.sub.4)alkylNH.sub.2. In another embodiment, R.sup.1 and R.sup.2 are each independently H or —(C.sub.1-C.sub.4)alkylNH.sub.2. R.sup.1 and R.sup.2 taken together with the nitrogen atom to which they are attached form a 4-11 membered monocyclic, fused bicyclic, bridged, or spiro-bicyclic saturated ring, optionally containing one or two additional heteroatoms independently selected from oxygen, nitrogen, and sulfur, wherein said ring is optionally substituted with one, two, or three of halogen, hydroxyl, oxo, —OCONR.sup.8R.sup.9, —CO.sub.2R.sup.8, —C(O)CO.sub.2R.sup.8, —R.sup.7, —OR.sup.7, —NHR.sup.8, —NR.sup.7R.sup.8, —C(O)R.sup.7, —CONHR.sup.8, —CONR.sup.7R.sup.8, or —SO.sub.2R.sup.7. In certain embodiments, R.sup.1 and R.sup.2 taken together with the nitrogen atom to which they are attached form an optionally substituted pyrrolidine, pyrazolidine, imidazolidine, piperidine, piperazine, or morpholine ring.
[0143] In another embodiment, R.sup.1 and R.sup.2 taken together with the nitrogen atom to which they are attached represent a 6- or 7-membered monocyclic ring, optionally containing one or two additional heteroatoms independently selected from oxygen, nitrogen, and sulfur, wherein said ring is optionally substituted by one, two, or three substituents independently halogen, hydroxyl, oxo, —OCONR.sup.8R.sup.9, —CO.sub.2R.sup.8, —C(O)CO.sub.2R.sup.8, —R.sup.7, —OR.sup.7, —NHR.sup.8, —NR.sup.7R.sup.8, —C(O)R.sup.7, —CONHR.sup.8, —CONR.sup.7R.sup.8, or —SO.sub.2R.sup.7. In another embodiment, R.sup.1 and R.sup.2 taken together with the nitrogen atom to which they are attached represent a 6- or 7-membered monocyclic ring, optionally containing one or two additional nitrogen heteroatoms, wherein said ring is optionally substituted by one, two, or three substituents independently selected from halogen, hydroxyl, oxo, R.sup.7, —OR.sup.7, —NHR.sup.8, —NR.sup.7R.sup.8, and —C(O)R.sup.7. In another embodiment, R.sup.1 and R.sup.2 taken together with the nitrogen atom to which they are attached represent a 6- or 7-membered monocyclic ring, optionally containing one additional nitrogen heteroatom, wherein said ring is optionally substituted by one substituent which is R.sup.7. In certain embodiments, R.sup.1 and R.sup.2 taken together with the nitrogen atom to which they are attached represent an optionally substituted piperazine ring.
[0144] In certain embodiments, R.sup.1 and R.sup.2 taken together with the nitrogen atom to which they are attached form an optionally substituted piperazine ring. In certain embodiments, R.sup.1 and R.sup.2 taken together with the nitrogen atom to which they are attached form a piperazine ring of the formula:
##STR00009##
In certain embodiments, R.sup.1 and R.sup.2 taken together with the nitrogen atom to which they are attached form a piperazine ring of the formula:
##STR00010##
In certain embodiments, R.sup.1 and R.sup.2 taken together with the nitrogen atom to which they are attached form a piperazine ring of the formula:
##STR00011##
In certain embodiments, R.sup.1 and R.sup.2 taken together with the nitrogen atom to which they are attached form a piperazine ring of the formula:
##STR00012##
In certain embodiments, R.sup.1 and R.sup.2 taken together with the nitrogen atom to which they are attached form a piperazine ring of the formula:
##STR00013##
In certain embodiments, R.sup.1 and R.sup.2 taken together with the nitrogen atom to which they are attached form a piperazine ring of the formula:
##STR00014##
In certain embodiments, R.sup.1 and R.sup.2 taken together with the nitrogen atom to which they are attached form a piperazine ring of the formula:
##STR00015##
In certain embodiments, R.sup.1 and R.sup.2 taken together with the nitrogen atom to which they are attached form a piperazine ring of the formula:
##STR00016##
In certain embodiments, R.sup.1 and R.sup.2 taken together with the nitrogen atom to which they are attached form a ring of the formula:
##STR00017##
In certain embodiments, R.sup.1 and R.sup.2 taken together with the nitrogen atom to which they are attached form a ring of the formula:
##STR00018##
In certain embodiments, R.sup.1 and R.sup.2 taken together with the nitrogen atom to which they are attached form a piperidine ring of the formula:
##STR00019##
In certain embodiments, R.sup.1 and R.sup.2 taken together with the nitrogen atom to which they are attached form a piperidine ring of the formula:
##STR00020##
In certain embodiments, R.sup.1 and R.sup.2 taken together with the nitrogen atom to which they are attached form a ring of the formula:
##STR00021##
In certain embodiments, R.sup.1 and R.sup.2 taken together with the nitrogen atom to which they are attached form a ring of the formula:
##STR00022##
In certain embodiments, R.sup.1 and R.sup.2 taken together with the nitrogen atom to which they are attached form a pyrrolidine ring of the formula:
##STR00023##
[0145] In certain embodiments, R.sup.4 and R.sup.5 are each independently H, or optionally substituted (C.sub.1-C.sub.4)alkyl. In certain embodiment, R.sup.4 and R.sup.5 are the same. In certain embodiments, R.sup.4 and R.sup.5 are different. In certain embodiments, R.sup.4 is H. In certain embodiments, R.sup.5 is H. In one embodiment, R.sup.4 and R.sup.5 are each independently H, (C.sub.1-C.sub.4)alkyl, or (C.sub.2-C.sub.4)alkyl(C.sub.1-C.sub.4)alkoxy. In certain embodiments, R.sup.4 is -Me. In certain embodiments, R4 is —C(O)R.sup.7. In certain embodiments, R.sup.4 is —C(O)Me. In another embodiment, R.sup.4 and R.sup.5 taken together with the nitrogen atom to which they are attached form a 4-11 membered monocyclic, fused bicyclic, bridged, or spiro-bicyclic saturated ring, optionally containing one or two additional heteroatoms independently selected from oxygen, nitrogen, and sulfur, wherein said ring is optionally substituted with one, two, or three of halogen, hydroxyl, oxo, —OCONR.sup.8R.sup.9, —CO.sub.2R.sup.8, —C(O)CO.sub.2R.sup.8, —SO.sub.2(C.sub.1 C.sub.4)alkyl, —R.sup.7, —OR.sup.7, —NHR.sup.8, —NR.sup.7R.sup.8, —N(R.sup.8)C(O)R.sup.9, —N(R.sup.8)SO.sub.2R.sup.9, —N(R.sup.8)CONR.sup.8R.sup.9, —N(R.sup.8)CON(R.sup.8)SO.sub.2R.sup.9, —C(O)R.sup.7, —CONHR.sup.8, —CONR.sup.7R.sup.8, or —P(O)R.sup.8R.sup.9. In another embodiment, R.sup.4 and R.sup.5 taken together with the nitrogen atom to which they are attached form a piperidine ring of the formula:
##STR00024##
In another embodiment, R.sup.4 and R.sup.5 taken together with the nitrogen atom to which they are attached form a piperidine ring of the formula:
##STR00025##
In another embodiment, R.sup.4 and R.sup.5 taken together with the nitrogen atom to which they are attached form a piperidine ring of the formula:
##STR00026##
In another embodiment, R.sup.4 and R.sup.5 taken together with the nitrogen atom to which they are attached form a ring of the formula:
##STR00027##
In another embodiment, R.sup.4 and R.sup.5 taken together with the nitrogen atom to which they are attached form a piperazine ring of the formula:
##STR00028##
In another embodiment, R.sup.4 and R.sup.5 taken together with the nitrogen atom to which they are attached form ring of the formula:
##STR00029##
In another embodiment, R.sup.4 and R.sup.5 taken together with the nitrogen atom to which they are attached form a pyrrolidine ring of the formula:
##STR00030##
In another embodiment, R.sup.4 and R.sup.5 taken together with the nitrogen atom to which they are attached form a pyrrolidine ring of the formula:
##STR00031##
In another embodiment, R.sup.4 and R.sup.5 taken together with the nitrogen atom to which they are attached form a pyrrolidine ring of the formula:
##STR00032##
In another embodiment, R.sup.4 and R.sup.5 taken together with the nitrogen atom to which they are attached form a ring of the formula:
##STR00033##
In another embodiment, R.sup.4 and R.sup.5 taken together with the nitrogen atom to which they are attached form a ring of the formula:
##STR00034##
[0146] In one embodiment, each R.sup.6 is independently halogen or (C.sub.1-C.sub.4)alkyl. In another embodiment, each R.sup.6 is independently halogen. In another embodiment, each R.sup.6 is independently selected from the group consisting of fluoro, chloro, bromo, and methyl. In another embodiment, each R.sup.6 is independently selected from the group consisting of fluoro, chloro, and bromo. In another embodiment, each R.sup.6 is independently fluoro or chloro. In certain embodiments, each R.sup.6 is fluoro. In another embodiment, each R.sup.6 is chloro. In another embodiment, each R.sup.6 is independently (C.sub.1-C.sub.4)alkyl. In another embodiment, each R.sup.6 is methyl.
[0147] In one embodiment, each R.sup.7 is independently (C.sub.1-C.sub.6)alkyl, halo(C.sub.1-C.sub.6)alkyl, (C.sub.3-C.sub.6)cycloalkyl, or —(C.sub.1-C.sub.4)alkyl(C.sub.3-C.sub.6)cycloalkyl, each of which is optionally substituted by one or two of triazolyl, tetrazolyl, —CO.sub.2R.sup.8, —CONR.sup.8R.sup.9, —CON(R.sup.8)CO.sub.2(C.sub.1-C.sub.4)alkyl, —OH, (C.sub.1-C.sub.4)alkoxy, —OCONR.sup.8R.sup.9, —OCON(R.sup.8)C(O)R.sup.9, (C.sub.1-C.sub.4)alkyl, —(C.sub.1-C.sub.4)alkylOH, —NR.sup.8R.sup.9, —N(O)R.sup.8R.sup.9, —N(R.sup.8)C(O)R.sup.9, —N(R.sup.8)CO.sub.2(C.sub.1-C.sub.4)alkyl, —N(R.sup.8)CONR.sup.8R.sup.9, —N(R.sup.8)CON(R.sup.8)C(O)R.sup.9, —N(R.sup.8)CON(R.sup.8)CO.sub.2(C.sub.1-C.sub.4)alkyl, —N(R.sup.8)SO.sub.2R.sup.9, —N(R.sup.8)CON(R.sup.8)SO.sub.2R.sup.9, —SO(C.sub.1-C.sub.4)alkyl, —SO.sub.2(C.sub.1-C.sub.4)alkyl, —SO.sub.3R.sup.8, —SO.sub.2NR.sup.8R.sup.9, —B(OH).sub.2, —P(O)R.sup.8R.sup.9, or —P(O)(OR.sup.8)(OR.sup.9). In another embodiment, each R.sup.7 is independently (C.sub.1-C.sub.4)alkyl, (C.sub.2-C.sub.4)alkenyl, halo(C.sub.1-C.sub.4)alkyl, (C.sub.3-C.sub.6)cycloalkyl, or —(C.sub.1-C.sub.2)alkyl(C.sub.3-C.sub.6)cycloalkyl, each of which is optionally substituted with —CO.sub.2R.sup.8, —CONR.sup.8R.sup.9, —OH, oxo, —(C.sub.1-C.sub.4)alkoxy, —OCONR.sup.8R.sup.9, —(C.sub.1-C.sub.4)alkylOH, —NR.sup.8R.sup.9, —N(R.sup.8)C(O)R.sup.9, —N(R.sup.8)CO.sub.2(C.sub.1-C.sub.4)alkyl, —N(R.sup.8)CH.sub.2CO.sub.2R.sup.9, —N(R.sup.8)CONR.sup.8R.sup.9, —N(R.sup.8)SO.sub.2R.sup.9, —SO(C.sub.1-C.sub.4)alkyl, —SO.sub.2(C.sub.1-C.sub.4)alkyl, —SO.sub.3R.sup.8, —SO.sub.2NR.sup.8R.sup.9, or —P(O)(OR.sup.8)(OR.sup.9). In another embodiment, each R.sup.7 is independently (C.sub.1-C.sub.4)alkyl, (C.sub.2-C.sub.4)alkenyl, halo(C.sub.1-C.sub.4)alkyl, (C.sub.3-C.sub.6)cycloalkyl, or —(C.sub.1-C.sub.2)alkyl(C.sub.3-C.sub.6)cycloalkyl, each of which is optionally substituted by one or two substituents —CO.sub.2R.sup.8, —CONR.sup.8R.sup.9, —OH, (C.sub.1-C.sub.4)alkoxy, —OCONR.sup.8R.sup.9, —(C.sub.1-C.sub.4)alkylOH, —NR.sup.8R.sup.9, —N(R.sup.8)C(O)R.sup.9, —N(R.sup.8)CO.sub.2(C.sub.1-C.sub.4)alkyl, —N(R.sup.8)CONR.sup.8R.sup.9, —N(R.sup.8)SO.sub.2R.sup.9, —SO(C.sub.1-C.sub.4)alkyl, —SO.sub.2(C.sub.1-C.sub.4)alkyl, —SO.sub.3R.sup.8, —SO.sub.2NR.sup.8R.sup.9, or —P(O)(OR.sup.8)(OR.sup.9). In another embodiment, each R.sup.7 is (C.sub.1-C.sub.6)alkyl which is optionally substituted by one substituent which is —CO.sub.2H, —OH, —N(R.sup.8)C(O)R.sup.9, or —SO(C.sub.1-C.sub.4)alkyl. In another embodiment, each R.sup.7 is (C.sub.1-C.sub.4)alkyl which is optionally substituted by one substituent which is —CO.sub.2H, —OH, —N(R.sup.8)C(O)R.sup.9, or —SO(C.sub.1-C.sub.4)alkyl.
[0148] In certain embodiments, each of R.sup.8 and R.sup.9 is independently H, optionally substituted (C.sub.1-C.sub.4)alkyl, or optionally substituted (C.sub.3-C.sub.6)cycloalkyl. In one embodiment, each R.sup.8 and R.sup.9 is independently H or (C.sub.1-C.sub.4)alkyl. In another embodiment, each R.sup.8 and R.sup.9 is independently (C.sub.1-C.sub.4)alkyl. In another embodiment, R.sup.8 and R.sup.9 are each methyl. In another embodiment, each R.sup.8 and R.sup.9 is H. In another embodiment, R.sup.8 is H; and R.sup.9 is (C.sub.1-C.sub.4)alkyl. In another embodiment, R.sup.8 is H; and R.sup.9 is -Me. In another embodiment, R.sup.8 is (C.sub.1-C.sub.4)alkyl. In another embodiment, R.sup.8 is -Me. In another embodiment, R.sup.8 is —H. In another embodiment, R.sup.9 is (C.sub.1-C.sub.4)alkyl. In another embodiment, R.sup.9 is -Me. In another embodiment, R.sup.9 is —H.
[0149] In one embodiment, n is 1, 2, or 3. In another embodiment, n is 2 or 3. In another embodiment, n is 2.
[0150] In certain embodiments, the compound of Formula (I) useful in the present disclosure is of the Formula (II):
##STR00035##
or a pharmaceutically acceptable salt thereof, wherein:
[0151] X is —O— or —N(R.sup.8)—;
[0152] R.sup.1 and R.sup.2 are each independently H or optionally substituted (C.sub.1-C.sub.4)alkyl; optionally, R.sup.1 and R.sup.2 taken together with the nitrogen atom to which they are attached form a 4-11 membered monocyclic, fused bicyclic, bridged, or spiro-bicyclic saturated ring, optionally containing one or two additional heteroatoms independently selected from oxygen, nitrogen, and sulfur, wherein said ring is optionally substituted with one, two, or three of halogen, hydroxyl, oxo, —OCONR.sup.8R.sup.9, —CO.sub.2R.sup.8, —C(O)CO.sub.2R.sup.8, —R.sup.7, —OR.sup.7, —NHR.sup.8, —NR.sup.7R.sup.8, —C(O)R.sup.7, —CONHR.sup.1, —CONR.sup.7R.sup.8, or —SO.sub.2R.sup.7;
[0153] each R.sup.3 is independently halogen, —CN, —O(C.sub.1-C.sub.4)alkyl, or optionally substituted (C.sub.1-C.sub.4)alkyl;
[0154] R.sup.4 and R.sup.5 are each independently H or optionally substituted (C.sub.1-C.sub.4)alkyl; optionally, R.sup.4 and R.sup.5 taken together with the nitrogen atom to which they are attached form a 4-11 membered monocyclic, fused bicyclic, bridged, or spiro-bicyclic saturated ring, optionally containing one or two additional heteroatoms independently selected from oxygen, nitrogen, and sulfur, wherein said ring is optionally substituted with one, two, or three of halogen, hydroxyl, oxo, —OCONR.sup.8R.sup.9, —CO.sub.2R.sup.8, —C(O)CO.sub.2R.sup.8, —SO.sub.2(C.sub.1 C.sub.4)alkyl, —R.sup.7, —OR.sup.7, —NHR.sup.8, —NR.sup.7R.sup.8, —N(R.sup.8)C(O)R.sup.9, —N(R.sup.8)SO.sub.2R.sup.9, —N(R.sup.8)CONR.sup.8R.sup.9, —N(R.sup.8)CON(R.sup.8)SO.sub.2R.sup.9, —C(O)R.sup.7, —CONHR.sup.8, —CONR.sup.7R.sup.8, or —P(O)R.sup.8R.sup.9;
[0155] each R.sup.6 is independently H, halogen, optionally substituted (C.sub.1-C.sub.4)alkyl, —OH, or optionally substituted (C.sub.1-C.sub.4)alkoxy;
[0156] each R.sup.7 is independently (C.sub.1-C.sub.6)alkyl, (C.sub.2-C.sub.6)alkenyl, halo(C.sub.1-C.sub.6)alkyl, (C.sub.3-C.sub.6)cycloalkyl, or (C.sub.1-C.sub.4)alkyl(C.sub.3-C.sub.6)cycloalkyl, each of which is optionally substituted with one or two of triazolyl, tetrazolyl, —CO.sub.2R.sup.8, —CONR.sup.8R.sup.9, —CON(R.sup.8)CO.sub.2(C.sub.1-C.sub.4)alkyl, hydroxyl, oxo, —(C.sub.1-C.sub.4)alkoxy, —OCONR.sup.8R.sup.9, —OCON(R.sup.8)C(O)R.sup.9, (C.sub.1-C.sub.4)alkyl, (C.sub.1-C.sub.4)alkylOH, —NR.sup.8R.sup.9, —N(O)R.sup.8R.sup.9, —N(R.sup.8)C(O)R.sup.9, —N(R.sup.8)CO.sub.2(C.sub.1-C.sub.4)alkyl, —N(R.sup.8)CH.sub.2CO.sub.2R.sup.9, —N(R.sup.8)CONR.sup.8R.sup.9, —N(R.sup.8)CON(R.sup.8)C(O)R.sup.9, —N(R.sup.8)CON(R.sup.8)CO.sub.2(C.sub.1-C.sub.4)alkyl, —N(R.sup.8)SO.sub.2R.sup.9, —N(R.sup.8)CON(R.sup.8)SO.sub.2R.sup.9, —SO(C.sub.1-C.sub.4)alkyl, —SO.sub.2(C.sub.1-C.sub.4)alkyl, —SO.sub.3R.sup.8, —SO.sub.2NR.sup.8R.sup.9, —B(OH).sub.2, —P(O)R.sup.8R.sup.9, or —P(O)(OR.sup.8)(OR.sup.9); each of R.sup.8 and R.sup.9 is independently H, optionally substituted (C.sub.1-C.sub.4)alkyl, or optionally substituted (C.sub.3-C.sub.6)cycloalkyl;
[0157] n is 1, 2, 3, or 4.
[0158] In certain embodiments, the compound of Formula (II) useful in the present disclosure is of the formula:
##STR00036##
[0159] In certain embodiments, the compound of Formula (II) useful in the present disclosure is of the formula:
##STR00037##
[0160] In certain embodiments, the compound of Formula (II) useful in the present disclosure is of the formula:
##STR00038##
[0161] In certain embodiments, the compound of Formula (II) useful in the present disclosure is of the formula:
##STR00039##
[0162] In certain embodiments, the compound of Formula (II) useful in the present disclosure is of the formula:
##STR00040##
[0163] In certain embodiments, the compound of Formula (II) useful in the present disclosure is of the formula (Table 1, #192):
##STR00041##
or a pharmaceutically acceptable salt thereof.
[0164] In certain embodiments, a compound of Formula (I) or Formula (II) may be any one of the compounds found in Table 1 below. In certain embodiments, the disclosed compositions, methods, and uses comprise administering to the subject in need thereof a therapeutically effective amount of any one of the compounds found in Table 1 below.
TABLE-US-00001 TABLE 1 Compounds useful in the present disclosure # Structure Name 1
[0165] In certain embodiments, the compound of Formula (I) useful in the present disclosure is of the Formula (III):
##STR00250##
or a pharmaceutically acceptable salt thereof, wherein:
[0166] X is —O— or —N(R.sup.8)—;
[0167] R.sup.1 and R.sup.2 are each independently H or optionally substituted (C.sub.1-C.sub.4)alkyl; optionally, R.sup.1 and R.sup.2 taken together with the nitrogen atom to which they are attached form a 4-11 membered monocyclic, fused bicyclic, bridged, or spiro-bicyclic saturated ring, optionally containing one or two additional heteroatoms independently selected from oxygen, nitrogen, and sulfur, wherein said ring is optionally substituted with one, two, or three of halogen, hydroxyl, oxo, —OCONR.sup.8R.sup.9, —CO.sub.2R.sup.9, —C(O)CO.sub.2R.sup.8, —R.sup.7, —OR.sup.7, —NHR.sup.8, —NR.sup.7R.sup.8, —C(O)R.sup.7, —CONHR.sup.8, CONR.sup.7R.sup.8, or —SO.sub.2R.sup.7;
[0168] each R.sup.3 is independently halogen, —CN, —O(C.sub.1-C.sub.4)alkyl, or optionally substituted (C.sub.1-C.sub.4)alkyl;
[0169] R.sup.4 and R.sup.5 are each independently H or optionally substituted (C.sub.1-C.sub.4)alkyl; optionally, R.sup.4 and R.sup.5 taken together with the nitrogen atom to which they are attached form a 4-11 membered monocyclic, fused bicyclic, bridged, or spiro-bicyclic saturated ring, optionally containing one or two additional heteroatoms independently selected from oxygen, nitrogen, and sulfur, wherein said ring is optionally substituted with one, two, or three of halogen, hydroxyl, oxo, —OCONR.sup.8R.sup.9, —CO.sub.2R.sup.8, —C(O)CO.sub.2R.sup.8, —SO.sub.2(C.sub.1 C.sub.4)alkyl, —R.sup.7, —OR.sup.7, —NHR.sup.8, —NR.sup.7R.sup.8, —N(R.sup.8)C(O)R.sup.9, —N(R.sup.8)SO.sub.2R.sup.9, —N(R.sup.8)CONR.sup.8R.sup.9, —N(R.sup.8)CON(R.sup.8)SO.sub.2R.sup.9, —C(O)R.sup.7, —CONHR.sup.8, —CONR.sup.7R.sup.8, or —P(O)R.sup.8R.sup.9;
[0170] each R.sup.6 is independently H, halogen, optionally substituted (C.sub.1-C.sub.4)alkyl, —OH, or optionally substituted (C.sub.1-C.sub.4)alkoxy;
[0171] each R.sup.7 is independently (C.sub.1-C.sub.6)alkyl, (C.sub.2-C.sub.6)alkenyl, halo(C.sub.1-C.sub.6)alkyl, (C.sub.3-C.sub.6)cycloalkyl, or (C.sub.1-C.sub.4)alkyl(C.sub.3-C.sub.6)cycloalkyl, each of which is optionally substituted with one or two of triazolyl, tetrazolyl, —CO.sub.2R.sup.8, —CONR.sup.8R.sup.9, —CON(R.sup.8)CO.sub.2(C.sub.1-C.sub.4)alkyl, hydroxyl, oxo, —(C.sub.1-C.sub.4)alkoxy, —OCONR.sup.8R.sup.9, —OCON(R.sup.8)C(O)R.sup.9, (C.sub.1-C.sub.4)alkyl, (C.sub.1-C.sub.4)alkylOH, —NR.sup.8R.sup.9, —N(O)R.sup.8R.sup.9, —N(R.sup.8)C(O)R.sup.9, —N(R.sup.8)CO.sub.2(C.sub.1-C.sub.4)alkyl, —N(R.sup.8)CH.sub.2CO.sub.2R.sup.9, —N(R.sup.8)CONR.sup.8R.sup.9, —N(R.sup.8)CON(R.sup.8)C(O)R.sup.9, —N(R.sup.8)CON(R.sup.8)CO.sub.2(C.sub.1-C.sub.4)alkyl, —N(R.sup.8)SO.sub.2R.sup.9, —N(R.sup.8)CON(R.sup.8)SO.sub.2R.sup.9, —SO(C.sub.1-C.sub.4)alkyl, —SO.sub.2(C.sub.1-C.sub.4)alkyl, —SO.sub.3R.sup.8, —SO.sub.2NR.sup.8R.sup.9, —B(OH).sub.2, —P(O)R.sup.8R.sup.9, or —P(O)(OR.sup.8)(OR.sup.9);
[0172] each of R.sup.8 and R.sup.9 is independently H, optionally substituted (C.sub.1-C.sub.4)alkyl, or optionally substituted (C.sub.3-C.sub.6)cycloalkyl; and
[0173] n is 1, 2, 3, or 4.
[0174] In certain embodiments, the compound of Formula (III), or a pharmaceutically acceptable salt thereof, useful in the present disclosure is of the formula:
##STR00251##
[0175] In certain embodiments, the compound of Formula (III), or a pharmaceutically acceptable salt thereof, useful in the present disclosure is of the formula:
##STR00252##
[0176] In certain embodiments, the compound of Formula (III), or a pharmaceutically acceptable salt thereof, useful in the present disclosure is of the formula:
##STR00253##
[0177] In certain embodiments, the compound of Formula (III), or a pharmaceutically acceptable salt thereof, useful in the present disclosure is of the formula:
##STR00254##
[0178] In certain embodiments, the compound of Formula (III), or a pharmaceutically acceptable salt thereof, useful in the present disclosure is of the formula:
##STR00255##
[0179] In certain embodiments, the compound of Formula (III) useful in the present disclosure is of the formula thereof, useful in the present disclosure is of the formula:
##STR00256##
[0180] In certain embodiments, the compound of Formula (III) useful in the present disclosure is of the formula (Table 2, #219):
##STR00257##
or a pharmaceutically acceptable salt thereof.
[0181] In certain embodiments, a compound of Formula (I) or Formula (III) may be any one of the compounds found in Table 2 below. In certain embodiments, the disclosed compositions, methods, and uses comprise administering to the subject in need thereof a therapeutically effective amount of any one of the compounds found in Table 2 below.
TABLE-US-00002 TABLE 2 Compounds useful in the present disclosure # Structure Name 209
[0182] The synthesis and characterization of the compounds in Table 1 and Table 2 can be found in international PCT application no.: PCT/EP2019/062098, filed May 10, 2019, published on Nov. 14, 2019 with publication No. WO 2019/215341, which is incorporated herein by reference.
[0183] Typically, but not absolutely, the salts of the present disclosure are pharmaceutically acceptable salts. Salts of the disclosed compounds containing a basic amine or other basic functional group may be prepared by any suitable method known in the art, including treatment of the free base with an inorganic acid, such as hydrochloric acid, hydrobromic acid, sulfuric acid, nitric acid, phosphoric acid, and the like, or with an organic acid, such as acetic acid, trifluoroacetic acid, maleic acid, succinic acid, mandelic acid, fumaric acid, malonic acid, pyruvic acid, oxalic acid, glycolic acid, salicylic acid, pyranosidyl acid, such as glucuronic acid or galacturonic acid, alpha-hydroxy acid, such as citric acid or tartaric acid, amino acid, such as aspartic acid or glutamic acid, aromatic acid, such as benzoic acid or cinnamic acid, sulfonic acid, such asp-toluenesulfonic acid, methanesulfonic acid, ethanesulfonic acid or the like. Examples of pharmaceutically acceptable salts include sulfates, pyrosulfates, bisulfates, sulfites, bisulfites, phosphates, chlorides, bromides, iodides, acetates, propionates, decanoates, caprylates, acrylates, formates, isobutyrates, caproates, heptanoates, propiolates, oxalates, malonates succinates, suberates, sebacates, fumarates, maleates, butyne-1,4-dioates, hexyne-1,6-dioates, benzoates, chlorobenzoates, methylbenzoates, dinitrobenzoates, hydroxybenzoates, methoxybenzoates, phthalates, phenylacetates, phenylpropionates, phenylbutrates, citrates, lactates, γ-hydroxybutyrates, glycolates, tartrates mandelates, and sulfonates, such as xylenesulfonates, methanesulfonates, propanesulfonates, naphthalene-1-sulfonates, and naphthalene-2-sulfonates.
[0184] Salts of the disclosed compounds containing a carboxylic acid or other acidic functional group can be prepared by reacting with a suitable base. Such a pharmaceutically acceptable salt may be made with a base which affords a pharmaceutically acceptable cation, which includes alkali metal salts (especially sodium and potassium), alkaline earth metal salts (especially calcium and magnesium), aluminum salts, and ammonium salts, as well as salts made from physiologically acceptable organic bases, such as trimethylamine, triethylamine, morpholine, pyridine, piperidine, picoline, dicyclohexylamine, N,N′-dibenzylethylenediamine, 2-hydroxyethylamine, bis-(2-hydroxyethyl)amine, tri-(2-hydroxyethyl)amine, procaine, dibenzylpiperidine, dehydroabietylamine, N,N′-bisdehydroabietylamine, glucamine, N-methylglucamine, collidine, quinine, quinoline, and basic amino acid such as lysine and arginine.
[0185] Other salts, which are not pharmaceutically acceptable, may be useful in the preparation of compounds of this disclosure and these should be considered to form a further aspect of this disclosure. These salts, such as oxalic or trifluoroacetate, while not in themselves pharmaceutically acceptable, may be useful in the preparation of salts useful as intermediates in obtaining the compounds of this disclosure and their pharmaceutically acceptable salts.
[0186] This disclosure further provides a pharmaceutical composition useful in the present disclosure (also referred to as pharmaceutical formulation) comprising a compound of Formula (I), or pharmaceutically acceptable salt thereof, and one or more excipients (also referred to as carriers and/or diluents in the pharmaceutical arts). The excipients are acceptable in the sense of being compatible with the other ingredients of the formulation and not deleterious to the recipient thereof (i.e., the patient).
[0187] Suitable pharmaceutically acceptable excipients will vary depending upon the particular dosage form chosen. In addition, suitable pharmaceutically acceptable excipients may be chosen for a particular function that they may serve in the composition. For example, certain pharmaceutically acceptable excipients may be chosen for their ability to facilitate the production of uniform dosage forms. Certain pharmaceutically acceptable excipients may be chosen for their ability to facilitate the production of stable dosage forms. Certain pharmaceutically acceptable excipients may be chosen for their ability to facilitate the carrying or transporting of the compound or compounds of this disclosure once administered to the patient from one organ, or portion of the body, to another organ, or portion of the body. Certain pharmaceutically acceptable excipients may be chosen for their ability to enhance patient compliance.
[0188] Suitable pharmaceutically acceptable excipients include the following types of excipients: diluents, fillers, binders, disintegrants, lubricants, glidants, granulating agents, coating agents, wetting agents, solvents, co-solvents, suspending agents, emulsifiers, sweeteners, flavoring agents, flavor masking agents, coloring agents, anticaking agents, hemectants, chelating agents, plasticizers, viscosity increasing agents, antioxidants, preservatives, stabilizers, surfactants, and buffering agents. The skilled artisan will appreciate that certain pharmaceutically acceptable excipients may serve more than one function and may serve alternative functions depending on how much of the excipient is present in the formulation and what other ingredients are present in the formulation.
[0189] Pharmaceutical compositions may be adapted for administration by any appropriate route, for example, by oral (including buccal or sublingual), rectal, nasal, topical (including buccal, sublingual, or transdermal), vaginal, or parenteral (including subcutaneous, intramuscular, intravenous, or intradermal) routes. Such compositions may be prepared by any method known in the art of pharmacy, for example, by bringing into association the active ingredient with the excipient(s).The exact amount of a compound required to achieve an effective amount will vary from subject to subject, depending, for example, on species, age, and general condition of a subject, severity of the side effects or disorder, identity of the particular compound, mode of administration, and the like. An effective amount may be included in a single dose (e.g., single oral dose) or multiple doses (e.g., multiple oral doses).
[0190] In certain embodiments, the duration between the first dose and last dose of the multiple doses is three months, six months, or one year. In certain embodiments, the duration between the first dose and last dose of the multiple doses is the lifetime of the subject. In certain embodiments, a dose (e.g., a single dose, or any dose of multiple doses) described herein includes independently between 0.1 μg and 1 μg, between 0.001 mg and 0.01 mg, between 0.01 mg and 0.1 mg, between 0.1 mg and 1 mg, between 1 mg and 3 mg, between 3 mg and 10 mg, between 10 mg and 30 mg, between 30 mg and 100 mg, between 100 mg and 300 mg, between 300 mg and 1,000 mg, or between 1 g and 10 g, inclusive, of a compound described herein. In certain embodiments, a dose described herein includes independently between 1 mg and 3 mg, inclusive, of a compound described herein. In certain embodiments, a dose described herein includes independently between 3 mg and 10 mg, inclusive, of a compound described herein. In certain embodiments, a dose described herein includes independently between 10 mg and 30 mg, inclusive, of a compound described herein. In certain embodiments, a dose described herein includes independently between 30 mg and 100 mg, inclusive, of a compound described herein.
[0191] Dose ranges as described herein provide guidance for the administration of provided pharmaceutical compositions to an adult. The amount to be administered to, for example, a child or an adolescent can be determined by a medical practitioner or person skilled in the art and can be lower or the same as that administered to an adult.
[0192] A therapeutically effective amount of a compound of the present disclosure will depend upon a number of factors including, for example, the age and weight of the intended recipient, the precise condition requiring treatment and its severity, the nature of the formulation, and the route of administration, and will ultimately be at the discretion of the attendant prescribing the medication. However, an effective amount of a compound of Formula (I) for the treatment of a viral infection resulting from a coronaviridae family virus (e.g., an alphacoronavirus (e.g., HCoV-NL63, HCoV-229E), a betacoronavirus (e.g., SARS-CoV, SARS-CoV-2, MERS-CoV, HCoV-OC43, HCoV-HKU1), a deltacoronavirus, a gammacoronavirus) will generally be in the range of 0.001 to 100 mg/kg body weight of recipient per day, suitably in the range of 0.01 to 10 mg/kg body weight per day. In certain embodiments, the effective amount of a compound of Formula (I) for the treatment of a viral infection resulting from SARS-CoV-2 is in the range of 0.001 to 100 mg/kg body weight of recipient per day. For example, a 70 kg adult mammal, the actual amount per day would suitably be from 7 to 700 mg and this amount may be given in a single dose per day or in a number (such as two, three, four, five or six) of sub-doses per day such that the total daily dose is the same. Inhaled daily dosages range from 10 μg -10 mg/day, with preferred 10 μg-2 mg/day, and more preferred 50 μg -500 μg/day. An effective amount of a salt or solvate, etc., may be determined as a proportion of the effective amount of the compound of Formula (I)per se. It is envisaged that similar dosages would be appropriate for treatment of the other conditions referred to above.
[0193] Also encompassed by the present disclosure are kits (e.g., pharmaceutical packs). In certain embodiments, the kit comprises a compound or pharmaceutical composition described herein, and instructions for using the compound or pharmaceutical composition. In certain embodiments, the kit comprises a first container, wherein the first container includes the compound or pharmaceutical composition. In some embodiments, the kit further comprises a second container. In certain embodiments, the second container includes an excipient (e.g., an excipient for dilution or suspension of the compound or pharmaceutical composition). In certain embodiments, each of the first or second containers are independently a vial, ampule, bottle, syringe, dispenser package, tube, or inhaler.
[0194] In certain embodiments, a kit described herein includes a first container comprising a compound of Formula (I), or a pharmaceutical composition, as described herein. In certain embodiments, a kit described herein is useful in treating and/or preventing a viral infection resulting from a coronaviridae family virus (e.g., an alphacoronavirus (e.g., HCoV-NL63, HCoV-229E), a betacoronavirus (e.g., SARS-CoV, SARS-CoV-2, MERS-CoV, HCoV-OC43, HCoV-HKU1), a deltacoronavirus, a gammacoronavirus).
[0195] In certain embodiments, the kit comprises a compound of Formula (I), or a pharmaceutical composition thereof, and instructions for using the compound or pharmaceutical composition.
[0196] In certain embodiments, a kit described herein further includes instructions for using the compound or pharmaceutical composition included in the kit. A kit described herein may also include information as required by a regulatory agency such as the U.S. Food and Drug Administration (FDA). In certain embodiments, the information included in the kits is prescribing information. In certain embodiments, the kits and instructions provide for treating a viral infection resulting from a coronaviridae family virus (e.g., an alphacoronavirus (e.g., HCoV-NL63, HCoV-229E), a betacoronavirus (e.g., SARS-CoV, SARS-CoV-2, MERS-CoV, HCoV-OC43, HCoV-HKU1), a deltacoronavirus, a gammacoronavirus).
[0197] In certain embodiments, the instructions are for administering the compound or pharmaceutical composition to a subject (e.g., a subject in need of treatment or prevention of a disease described herein). In certain embodiments, the instructions comprise information required by a regulatory agency, such as the U.S. Food and Drug Administration (FDA) or the European Agency for the Evaluation of Medicinal Products (EMA). In certain embodiments, the instructions comprise prescribing information.
EXAMPLES
[0198] In order that the disclosure described herein may be more fully understood, the following examples are set forth. The examples described in this application are offered to illustrate the compounds, pharmaceutical compositions, methods, and uses provided herein and are not meant to be limiting in any way.
Example 1. In-Vitro Inhibition of Furin-Like Enzymes in Different Cell Lines
[0199] To test the effect of the compounds on the processing of the pro-(S) protein to active (S)-protein by endogenous furin-like enzymes, three cell lines (VeroE6 (African green monkey kidney), BHK21 (Chinese hamster kidney), and A549 (human pulmonary epithelial)) were transfected to transiently express the proS Sars-Cov-2 protein. Each cell line was incubated for 5 h with either Compound 192, Compound 219, or a cell/permeable pan-PCSK inhibitor, decanoyl-RVKR-chloromethylketone (RVKR). The cells were washed and transfected (Lipofectamine™) with 1 microgram of a cDNA coding for codon optimized (S)-protein (obtained from Sino Biologicals) inserted in a pIRES expression vector with a V5 tagged at the C-terminus of the S-protein. All three cell lines were then incubated for 24 h with Compound 192 or Compound 219 at 0.3 μM, 1 μM, or 10 μM, or decanoyl-RVKR-CMK (RVKR) at 50 μM (
Example 2. ProS Processing by Furin-Like Convertases and TMPRSS2
[0200] The susceptibility to furin-cleavages of SARS-CoV-2'S-glycoprotein was first assessed in vitro. Incubation of quenched fluorogenic peptides encompassing S1/S2 and S2′ sites (Table 3), demonstrated that the S1/S2 cleavage of SARS-CoV-2 is efficiently hydrolysed by furin at pH 7.5 and less at pH 6, whereas the SARS-CoV-1 S1/S2 and MERS-CoV are poorly cleaved (
TABLE-US-00003 TABLE 3 Sequence of different peptides mimicking the Covid spike cleavage sites that has been tested in the enzymatic assay (The arrow indicates the expected cleavage site). S1/S2 Site S2′ Site Sars-CoV 1 YHTVSLLR↓ISTSQ Mers CoV TLTPRSVR↓SVPG GSRSAR↓SAIE Sars-CoV 2 TNSPRRAR↓SVAS SKPSKR↓SFIE Sars-CoV 2 TNSPRRAA SVAS Mutant 1 Sars-CoV 1 TNSPARAA SVAS Mutant 2 Sars-CoV 2 TNSPARAR SVAS Mutant 3
[0201] Furin less efficiently cleaved the SARS-CoV-2 and MERS-CoV at S2′, requiring 50-fold higher enzyme concentrations to detect cleavage (inset
[0202] To further decipher the cellular role of furin-like enzymes, HeLa cells were co-transfected with a plasmid containing a codon optimized cDNA coding for V5-tagged proS (
[0203] The double Ala-mutant [R685A+R682A] (denoted μS1/S2) of the S1/S2 site RRAR.sub.685←S eliminated the P1 and P4 Arg critical for recognition by furin-like enzymes, and completely abrogated processing of proS at S1/S2 and putative S2′ by endogenous enzymes or by overexpressed furin (
[0204] In order to better define the Arg-residues critical for processing at S1/S2, HeLa cells were expressed with the proS carrying single residue mutations: R682A, R685A and S686A in the absence or presence of furin (
[0205] The processing of proS by TMPRSS2 in HeLa cells was also examined (
[0206] The implication of ACE2 in the processing of proS in HeLa cells, was next assessed by co-expression of proS with furin or TMPRSS2 in the absence or presence of ACE2. While not significantly affecting S1/S2 cleavage, the expression of ACE2 strongly enhanced the generation of smaller-sized S2′ by furin, and S2b by TMPRSS2 (
[0207] Proteomic analysis of the V5 labeled S2 product confirmed the assignment of the primary PRRAR.sub.685← and secondary KR.sub.815← furin cleavage sites (
Example 3. Furin-Inhibitors Block S/S2 Cleavage, without Affecting TMPRSS2 Processing
[0208] The efficacy and selectivity of representative Compounds 93, 192, and 219 was tested in vitro on purified soluble forms of furin, PC5A, PACE4, and PC7. The enzymatic activity was determined using a quenched fluorogenic substrate FAM-QRVRRAVGIDK-TAMRA, and compared to those obtained with the known PC-inhibitor RVKR-cmk. The data showed that all three inhibitors effectively blocked the processing of the above dibasic substrate by all convertases with an IC.sub.50 of ˜7 nM compared to ˜9 nM for RVKR-cmk (
[0209] The inhibition of PC-activities by the compounds of this disclosure was next assessed intracellularly using a cell-based Golgi imaging assay of U2OS cells. The data demonstrated that the compounds inhibited endogenous furin processing of a BMP10-mimic with an IC.sub.50 of ˜8 nM versus 5 nM for RVKR-cmk (
[0210] The effects of Compound 93, 192, and 219 on the processing of proS in HeLa cells stably expressing ACE2 was evaluated (HeLa-ACE2;
Example 4. TMPRSS2 Sheds ACE2 and Cleaves SL
[0211] The data does not support the direct implication of TMPRSS2 in the generation of S2 or S2′, since it was found that overexpression of TMPRSS2 cleaves proS to generate ER-retained S2a and less so S2b (
[0212] Accordingly, other functions that TMPRSS2 may exert were explored to explain its reported enhancement of viral entry. Hence, increasing amounts of TRMPSS2 were expressed in HeLa-ACE2 cells and followed the S1 and TRMPSS2 processing by WB-analysis using anti-S1 and anti-TRMPSS2 antibodies. First, it was found that TMPRSS2 cleaved the furin-generated S1-subunit (˜135 kDa) into a shorter S1′ fragment (˜115 kDa) secreted into the medium (
Example 5. Immunocytochemistry
[0213] Immunocytochemical analyses of HeLa cells co-expressing the S-protein or μS1/S2 with ACE2 in the absence or presence of 1 μM Compound 192 was also investigated under cell-permeabilization (P; V5 and ACE2 antibodies) and non-permeabilization (NP; S2 and ACE2 antibodies) conditions (
Example 6. Cell-to-Cell Fusion
[0214] Having established that S-protein and ACE2 co-localize at the cell surface, the impact of furin-cleavage at S1/S2 on the ability of S-protein to induce cell-to-cell fusion was analyzed. Accordingly, a luminescence-based assay was developed using HeLa TZM-bl reporter cells stably transfected with an HIV-1-based vector expressing luciferase under the control of the HIV-1 long terminal repeat (LTR), which can be activated by HIV Tat protein. These cells endogenously express the HIV receptor CD4 and its co-receptors CCR5 and CXCR4. Without wishing to be bound by any particular theory, it is possible that fusion of donor WT HeLa cells (expressing Tat and the fusogenic S-protein) with acceptor TZM-bl cells expressing ACE2 would result in accrued luciferase activity (
[0215] TMPRSS2 was co-expressed with S-protein or with μS1/S2 in donor cells to assess the role of TMPRSS2 in cell-to-cell fusion. In agreement with our cell-biology data (
Example 7. Effects of Furin Inhibitors on Entry of Pseudoviruses
[0216] To asses the importance of spike processing at the S1/S2 site in SARS-CoV-2 entry, gp160-defective HIV with WT or μS1/S2 S-protein was pseudotyped and tested viral entry in different target cells. Using lung Calu-3 and kidney HEK293T-ACE2 as model cell targets, cell-entry of viruses expressing μS1/S2 were completely defective in Calu-3, but not in 293T-ACE2 that exhibited enhanced viral-entry (
[0217] When 293T17 producing cells were treated with representative compounds of this disclosure during viral packaging, HIV particles expressing the WT proS-protein remained highly infectious in 293T-ACE2 but were completely defective in Calu-3 (
Example 8. Furin-Like Inhibitors Reduce Virus Production in SARS-CoV-2-Infected Cells
[0218] The possible antiviral effects of these furin-like inhibitors on SARS-CoV-2 replication was evaluated in Calu-3 cells pretreated with 1 μM Compound 93, 192, or 219 24h before infection with laboratory isolated SARS-CoV-2 virus (MOI: 0.01) and harvested at 12, 24 and 48h post infection for plaque assay analysis. Compound 93, 192, or 219 significantly decreased viral titers at 12, 24 and 48h post-infection (
[0219] Based on the SI of the representative compounds in Vero E6 and Calu-3 cells, Compound 192 was further used in combination with Camostat to explore a potential synergistic effect of these inhibitors on viral replication in Calu-3 cells. To this end, it was observed that the two inhibitors could individually and meaningfully reduce viral replication, but co-treatment with both (1 μM Compound 192+100 μM Camostat) inhibited >99% of progeny viruses (
Example 9. Experimental Methods
Enzymatic PC-Inhibition and Cellular Furin Inhibition of Furin-Inhibitors
[0220] Biochemical assay: The proprotein convertases furin (108-574-Tev-Flag-6His), PC5A (PCSK5; 115-63-Tev-Flag-6His), PACE4 (PCSK6; 150-693-Tev-Flag-6His), and PC7 (PCSK7; 142-634-Tev-Flag-6His) enzymes were purified from BacMam transduced CHO cells. Reactions were performed in black 384-well polystyrene low volume plates (Greiner) at a final volume of 10 μL. Small-molecule inhibitors (e.g., Compound 93, Compound 219, and Compound 192) were dissolved in DMSO (1 mM) and serially diluted 1 to 3 with DMSO through eleven dilutions to provide a final compound concentration range from 0.00017 to 10 μM. 0.05 μl of each concentration was transferred to the corresponding well of an assay plate, and then 5 μl of enzyme (furin, PCSK5, PCSK6, and PCSK7) in assay buffer (100 mM HEPES pH 7.5, 1 mM CaCl.sub.2) and 0.005% Triton X-100) was added using a Multidrop Combi (Thermo) to the compound plates to give a final protein concentration of 0.02, 0.5, 2.5, and 1.0 nM respectively. The plates were mixed by inversion, and following a 30 min preincubation of enzyme with compound at room temperature (˜22° C.), the substrate FAM-QRVRRAVGIDK-TAMRA (AnaSpec #808143, 5 μl of a 1, 0.25, 0.20, and 0.5 μM solution in assay buffer for furin, PCSK5, PCSK6, and PCSK7 respectively) was added using a Multidrop Combi to the entire assay plate. The plates were centrifuged at 500×g for 1 minute and incubated at room temperature for two hours. Enzyme inhibition was then quantified using an Envision instrument (PerkinElmer). Data were normalized to maximal inhibition determined by 1 μM Decanoyl-Arg-Val-Lys-Arg-Chloromethylketone (Calbiochem #344930). Golgi imaging assay: This assay uses an image-based platform to evaluate the intracellular activity of furin inhibitors. Reactions were performed in black 384-well, tissue culture-treated, clear bottom plates (Greiner). Compounds under analysis were dissolved in DMSO (1.0 mM) and serially diluted 1 to 3 with DMSO through eleven dilutions. This creates a final compound concentration range from 0.00017 to 10 μM, and 0.1 μL of each concentration was transferred to the corresponding well of the assay plate.
[0221] Cellular assay: Analyses were initiated by the addition of U2OS cells simultaneously transduced with a BacMam-delivered construct containing a Golgi-targeting sequence followed by a 12-amino acid furin/PCSK cleavage site from Bone Morphogenic Protein 10 (BMP10) and then GFP at the C terminus. The dibasic furin cleavage site sequence was flanked by glycine rich linkers (GalNAc-T2-GGGGS-DSTARIRRNAKGGGGGS-GFP). Briefly, frozen cells are thawed in assay media (Dulbecco's Modified Eagles Medium Nutritional Mixture F-12 (Ham) without phenol red containing 5% FBS) and diluted to deliver 6000 cells/well (50 μl) to the plate using a Multidrop Combi (Thermo). After a 24-hour incubation period at 37° C., the cells are stained with Cell Mask Deep Red, fixed in paraformaldehyde and the nuclei stained using Ho33342. The Golgi-targeted GFP forms bright punctate clusters within the cell. In the absence of a furin/PCSK inhibitor, the endogenous protease cleaves GFP from its N-acetylgalactosaminyltransferase-2 Golgi tether, releasing GFP into the Golgi lumen where fluorescence is diluted below the threshold of assay sensitivity. In the presence of a cell permeable furin/PCSK inhibitor, GFP fluorescence increases as intra-Golgi protease activity is reduced. Cellular GFP intensity is determined by image-based acquisition (Incell 2200, Perkin Elmer) at 40× magnification with 4 fields measured per well. Multi-scale top hat segmentation is used to identify the GFP-tagged puncta and to quantitate the average fluorescence of all puncta on a per cell basis. Cellular toxicity is determined in parallel.
[0222] Furin and TRMPSS2 fluorogenic assays: Recombinant furin was purchased from BioLegend (#719406), TRMPSS2 from Cusabio and the DABCYLGlu-EDANS labelled peptides encompassing the different cleavage sites (Supplementary Table 1) were purchased from Genscript. Reactions were performed at room temperature in black 384-well polystyrene low volume plates (CELLSTAR-Greiner Bio-One #784476) at a final volume of 15 μL. The fluorescent peptides were used at 5 μM and the reactions were performed in 50 mM Tris buffer (pH 6.5 or 7.5), 0.2% Triton X-100, 1 mM CaCl.sub.2) and furin was added at a final concentration of 2-100 nM. Small-molecule inhibitors (Compound 93, Compound 219, and Compound 192) were dissolved in DMSO (1 mM) and serially diluted 1 to 2 with DMSO to provide a final compound concentration range from 50 μM to 0.01 nM with 5% DMSO in the enzymatic assay. For TMPRSS2, the fluorescent peptides were used at 5 μM and the reactions were performed in 50 mM Tris buffer (pH 6.5 or 7.5), 0.2% Triton X-100, 50 mM NaCl and TMPRSS2 was added at final concentrations of 25-100 nM. Cleavage of the synthetic peptides was quantitated by determining the increase of EDANS (493 nM) fluorescence following release of the DABCYL quencher, which is excited at 335 nM using a Safire 2 Tecan fluorimeter. The fluorescence was followed during 90 min, and the enzymatic activity was deduced by measurement of the increase of fluorescence during the linear phase of the reaction. Each reaction was performed in triplicate and the standard deviation was calculated using Excel-ecart type function
Plasmids
[0223] C-terminal V5 tagged Spike glycoprotein of SARS-CoV-2 (optimized sequence) and its mutants were cloned into the pIRES-neo3 vector. Site-directed mutagenesis was achieved using a Quick-Change kit (Stratagene, CA) according to the manufacturer's instructions. The plasmids pCI-NEO-hACE2 received from DW Lambert (University of Leeds) and pIRES-NEO3-hTMPRSS2 from P Jolicoeur (IRCM). The AEnv Vpr Luciferase Reporter Vector (pNL4-3.Luc.R-E-) was obtained from Dr. Nathaniel Landau through the NIH AIDS Reagent Program whereas the pHIV-1NL4-3 AEnv-NanoLuc construct was a kind gift from Dr. P Bieniasz. Plasmids encoding VSV-G, as HIV-1 Env and tat were previously described.
Cell Culture and Transfection
[0224] Monolayers of HeLa, HEK293T, HEK293T17 and Vero E6 cells were cultured in 5% CO.sub.2 at 37° C. in Dulbecco's modified Eagle's medium (DMEM; Invitrogen) supplemented with 10% (v/v) fetal bovine serum (FBS; Invitrogen). HEK293T-ACE2, a generous gift from Dr. Paul Bieniasz, were maintained in DMEM containing 10% FBS, 1% nonessential amino acids (NEAA) and 50 μg/ml blasticidin (Invivogen). Calu-3 were cultivated in F12K/DMEM containing 10% FBS. The cells were cultured in 5% CO.sub.2 at 37° C. in Dulbecco's modified Eagle's medium (DMEM; Invitrogen) supplemented with 10% (v/v) fetal bovine serum (FBS; Invitrogen). The cells were transfected with JetPrime transfection reagent according to the manufacturer's instructions (Polyplus transfection, New York, USA). At 24h post transfection the culture media were changed to serum-free DMEM and incubated for an additional 24h. To establish the stable HeLa cells over-expressing human ACE2, the cells were maintained in media containing 500 μg/mL of neomycin (G418, Wisent) for two weeks.
[0225] To generate HIV particles pseudotyped with SARS-CoV-2 S, 293T17 cells (600,000 cells plated in a 6-well vessel) were transfected with 1 μg pNL4-3.Luc.R-E- (or pHIV-1NLΔEnv-NanoLuc) in the presence or absence of 0.3 μg pIR-2019-nCoV-S V5 plasmids using Lipofectamine-3000 (Life Technologies). In certain experiments, 293T17 cells were treated with small-molecule inhibitors (e.g., Compound 93, 219, or 192) at 6 h post transfection. Pseudovirions expressing the nano- or firefly-luciferase were collected at 24 h or 48 h post transfection, respectively. Viral supernatants were clarified by centrifugation at 300×g, passed through a 0.45-μm pore-size polyvinylidene fluoride (PVDF; Milipore) syringe filter (Millipore; SLGVR33RS), and aliquots frozen at −80° C. For WB analysis of purified pseudovirions, viral supernatants were concentrated by ultracentrifugation on a 20% sucrose cushion for 3h at 35,000 RPM; Beckman Couter OPTIMA XE; Ti70.1 rotor). HIV particles lacking the SARS-CoV-2 S glycoprotein served as a negative control in all experiments.
Cell Viability Assay Using MTT
[0226] Cells, seeded in a 96-well plate, the day before, at 10,000 (HEK-293T and Vero E6) or 50,000 (Calu-3) cells, were treated with serial 10-fold dilutions of small-molecule inhibitors (e.g., Compound 93, 192, or 219) for up to 48h. Cells treated with vehicle alone were used as negative control. MTT was subsequently added to the medium (final concentration: 2.5 mg/ml) and cells were further incubated for 4h at 37° C. After removal of the culture media, DMSO was added and absorbance read at 595 nm using a microplate spectrophotometer. The data from two independent experiments done in triplicates was used to calculate the CC50 by nonlinear regression using GraphPad Prism V5.0 software.
Western Blots
[0227] The cells were washed with PBS and then lysed using RIPA buffer (1% Triton X-100, 150 mM NaCl, 5 mM EDTA, and 50 mM Tris, pH 7.5) for 30 min at 4° C. The cell lysates were collected after centrifugation at 14,000×g for 10 min. The proteins were separated on 7% tris-glycine or 8% tricine gels by SDS-PAGE and transferred to a PVDF membrane (Perkin Elmer). When specified, media from cultured and transfected cells were collected and concentrated 10x using Amicon Ultra 2 ml devices with a 10 kDa cut-off (Millipore; UFC 201024), as specified by the manufacturer, and analyzed by SDS-PAGE followed by Western blotting. The proteins were revealed using a V5-monoclonal antibody (V5-mAb V2660; 1:5000; Invitrogen), ACE2 antibody (rabbit monoclonal ab108252; 1:3,000; Abcam), TMPRSS2 antibody (rabbit polyclonal; 14427-1-AP; 1:1,000; Proteintech), Actin antibody (rabbit polyclonal A2066; 1:5,000; Sigma), or SARS-CoV-2 spike antibody (rabbit polyclonal GenTex GTX135356; 1:2,000; GenTex). The antigen-antibody complexes were visualized using appropriate HRP conjugated secondary antibodies and enhanced chemiluminescence kit (ECL; Amersham or Bio-Rad) and normalization was reported to β-actin. The quantification of the bands was performed using Image Lab software (Bio-Rad).
[0228] For analysis of SARS-CoV-2 S virions or pseudovirions, protein extracts of purified viral particles and corresponding producing cells (Calu-3 or 293T17, respectively) were resolved on 10% tris-glycine gels and immunoblotted for spike, nucleocapsid, HIV-1 Gag p24 or actin using anti-V5 (for pseudovirion detection; V2660)/anti-S2 (for virion detection; Sino Biologicals; 40590-T62), anti-N(Sino Biologicals; 40143-MM05), anti-p24 (MBS Hybridoma line 31-90-25) or anti-actin (MP Biomedicals, SKU 08691001), respectively.
Glycosidase Treatment
[0229] 30 to 50 μg proteins were digested for 90 min at 37° C. with endoglycosidase-H (Endo-H; P0702L) or endoglycosidase-F (Endo-F; P0705S) as recommended by the manufacturer (New England Biolabs).
Inhibitor Treatment
[0230] At 24h post transfection, cells were incubated for 6h with two pan-PC inhibitors: the cell permeable decanoyl-RVKR-chloromethylketone (cmk; 50 mM; 4026850.001; Bachem), or with the cell surface PC-inhibitor hexa-D-arginine (D6R; 20 μM; 344931; EMD). Culture media were then replaced with fresh ones containing the inhibitors for an additional 24h. For the selective cell-permeable furin-like inhibitors, the cells were treated with the inhibitors at the specified concentration starting at 5h pre-transfection and throughout the duration of the experiment.
Cell-to-Cell Fusion Assay
[0231] HeLa or HeLa TZM-bl cells were plated at 200,000 cells in 12-well plates. HeLa cells were transiently transfected with different constructs of SARS-COV-2 Spike or NL4.3-HIV Env, or an empty vector and 0.2 μg of CMV-Tat plasmid. HeLa TZM-bl cells were transfected with human ACE2, TMPRSS2 or a combination of both. At 6h post-transfection, media were replaced with fresh ones containing furin-inhibitors, and 24h later the cells were detached with PBS-EDTA (1 μM). Different combinations of HeLa and HeLa-TZM-bl cells were placed in co-culture plate at a ratio of 1:1 for a total of 60,000 cells/well of a 96 well place. After 18-24h the media were removed and 50 μl of cell lysis reagent was added in each well. 20 μl of the cell lysate was used for luciferase reading using 50 μl of Renilla luciferase reagent (Promega, Madison, Wis., USA). The relative light units (RLU) were measured using a Promega GLOMAX plate reader (Promega, Madison, Wis., USA) and values were reported as fold increase over the RLU measured in co-culture of HeLa cells transfected EV with respective TZM-bl cells.
Microscopy
[0232] To establish the luciferase assay, cell co-cultures were plated on glass coverslips.
[0233] After 18-24h, the cells were incubated with 488 CellMask™ to stain the membrane and then fixed with 4% PFA for 15 min at 4° C. The glass coverslips were mounted on glass slides using ProLong™ Gold Antifade containing DAPI (Invitrogen). The number of syncytia were counted over 10 fields.
Immunofluorescence
[0234] Cell culture and transfection were performed on glass coverslips. Cells were washed twice with PBS and fixed with fresh 4% paraformaldehyde for 10 min at room temperature. Following washes, cells were either non-permeabilized or permeabilized with 0.2% Triton X-100 in PBS containing 2% BSA for 5 min, washed, and then blocking was performed with PBS containing 2% BSA for 1 h. Cells were incubated with primary antibodies overnight at 4° C. using an antibody against V5 (mouse monoclonal R960-25; 1:1000; Invitrogen), Spike (mouse monoclonal GTX632604; 1:500; GeneTex) and ACE2 (goat polyclonal AF933; 1:500; RnDsystems). Following wash, corresponding species-specific Alexa-Fluor (488 or 555)-tagged antibodies (Molecular Probes) were incubated for 1 h at room temperature. Coverslips were mounted on a glass slide using ProLong Gold Reagent with DAPI (P36935, Life Technologies). Samples were visualized using a confocal laser-scanning microscope (LSM710, Carl Zeiss) with Plan-Apochromat 63x/1.40 Oil DIC M27 objective on ZEN software.
Pseudovirus Entry
[0235] 293T-ACE2 or Calu-3 (10,000 cells/well plated in a 96-well dish the day before) were incubated with up to 200 μl filtered pseudovirions for overnight. Viral inoculum was removed, then fresh media were added and the cells cultured for up to 72h. Upon removal of spent media, 293T-ACE2 and Calu-3 cells were gently washed twice with PBS and analyzed for firefly- or nano-luciferase activity, respectively using Promega luciferase assay (Cat #E1501) or Nano-Glo luciferase system (Cat #N1110), respectively.
Live Virus Assays
Replication Competent SARS-CoV-2 Viruses
[0236] SARS-CoV-2, which served as the viral source, was originally isolated from a COVID-19 patient in Quebec, Canada and was designated as LSPQ1. The clinical isolate was amplified, tittered in Vero E6 using a plaque assay as detailed below, and the integrity of the S-protein multi-basic protein convertase site validated by sequencing. All experiments involving infectious SARS-CoV-2 virus were performed in the designated areas of the Biosafety level 3 laboratory (IRCM) previously approved for SARS-CoV-2 work.
Plaque Assay in Vero E6
[0237] Vero E6 cells (1.2×10.sup.5 cells/well) were seeded in quadruplicate in 24-well tissue culture plates in DMEM supplemented with 10% FBS two days before infection. Cells were infected with up to six ten-fold serial dilutions (10.sup.−2-10.sup.−6) of viral supernatant containing SARS-CoV-2 for 1 h at 37° C. (200 μl infection volume). The plates were manually rocked every 15 min during the 1-hour period. Subsequently, virus was removed, cells were washed and overlaying media (containing 0.6% low melt agarose in DMEM with 10% FBS) was added, and incubated undisturbed for 60-65 h at 37° C. Post incubation, cells were fixed with 4% formaldehyde and stained with 0.25% crystal violet (prepared in 30% methanol). High quality plaque pictures were taken using a high resolution DLSR camera (Nikon model: D80, objective: “AF Micro-Nikkor 60 mm f/2.8D”). Plaques were counted manually and in parallel, imaged plaque plates were processed and plaques enumerated using an automated algorithm based Matlab software. Virus titer is expressed as plaque-forming units per ml (PFU/ml): (number of plaques×dilution factor of the virus)×1000/volume of virus dilution used for infection (in μl). Multiplicity of infection (MOI) expressed as: MOI=PFU of virus used for infection/number of cells.
Cell Infections with Fully Replicative SARS-CoV-2
[0238] Vero E.6 and Calu-3 cells were seeded in duplicates in 12-well plates (2.3×10.sup.5 cells/well) the day before. Cells were pre-treated with various concentrations (0.1-1 μM) of the small-molecule inhibitor (e.g., Compound 93, 192, or 219) and vehicle alone (DMSO) for up to 24h. In certain experiments, Calu-3 were also pre-treated with Camostat for 1 h. Thereafter, the cells were infected with SARS-CoV-2 virus at MOI of 0.001 for 1 h (Vero E6) or 0.01 for 3h (Calu-3 cells) in 350 μl of serum-free DMEM at 37° C. with occasional manual rocking of plates. Cells plus media only were used as a control. After incubation, virus was removed, and the cell monolayer was washed twice successively with PBS and serum-free DMEM. New media (total 1 ml) containing the aforementioned concentrations of the small molecule inhibitor was subsequently added to cells. Cell-free supernatant (250 μl) was removed at 12, 24 and 48h post infection. The drugs were replenished for 1 ml media at 24h post-infection. The virus supernatants were stored at −80° C. until further use. Viral production in the supernatant was quantified using a plaque assay on Vero E6.1 cells as described above. In certain experiments, viral supernatants were harvested at the end of infection and purified on a 20% sucrose cushion using ultracentrifugation as described above. The resulting concentrated virus and corresponding infected cells were analyzed by Western blotting as appropriate.
[0239] Quantification and statistical analysis: Virus titers quantified by plaque assay in triplicate were shown as mean f standard deviation. The results from experiments done in triplicates were used to calculate the IC.sub.50 by nonlinear regression using GraphPad Prism V5.0 software. The difference between the control cells (virus with 0.001% DMSO) and the cells treated with the small-molecule inhibitors (e.g., Compound 93, 192, or 219) were evaluated by Student's t test. The P values of 0.05 or lower were considered statistically significant (*, p<0.05; **, p<0.01; ***, p<0.001).
EQUIVALENTS AND SCOPE
[0240] In the claims articles such as “a,” “an,” and “the” may mean one or more than one unless indicated to the contrary or otherwise evident from the context. Claims or descriptions that include “or” between one or more members of a group are considered satisfied if one, more than one, or all of the group members are present in, employed in, or otherwise relevant to a given product or process unless indicated to the contrary or otherwise evident from the context. The disclosure includes embodiments in which exactly one member of the group is present in, employed in, or otherwise relevant to a given product or process. The disclosure includes embodiments in which more than one, or all of the group members are present in, employed in, or otherwise relevant to a given product or process.
[0241] Furthermore, the disclosure encompasses all variations, combinations, and permutations in which one or more limitations, elements, clauses, and descriptive terms from one or more of the listed claims is introduced into another claim. For example, any claim that is dependent on another claim can be modified to include one or more limitations found in any other claim that is dependent on the same base claim. Where elements are presented as lists, e.g., in Markush group format, each subgroup of the elements is also disclosed, and any element(s) can be removed from the group. It should it be understood that, in general, where the disclosure, or aspects of the disclosure, is/are referred to as comprising particular elements and/or features, certain embodiments of the disclosure or aspects of the disclosure consist, or consist essentially of, such elements and/or features. For purposes of simplicity, those embodiments have not been specifically set forth in haec verba herein. It is also noted that the terms “comprising” and “containing” are intended to be open and permits the inclusion of additional elements or steps. Where ranges are given, endpoints are included. Furthermore, unless otherwise indicated or otherwise evident from the context and understanding of one of ordinary skill in the art, values that are expressed as ranges can assume any specific value or sub-range within the stated ranges in different embodiments of the disclosure, to the tenth of the unit of the lower limit of the range, unless the context clearly dictates otherwise.
[0242] This application refers to various issued patents, published patent applications, journal articles, and other publications, all of which are incorporated herein by reference. If there is a conflict between any of the incorporated references and the instant specification, the specification shall control. In addition, any particular embodiment of the present disclosure that falls within the prior art may be explicitly excluded from any one or more of the claims. Because such embodiments are deemed to be known to one of ordinary skill in the art, they may be excluded even if the exclusion is not set forth explicitly herein. Any particular embodiment of the disclosure can be excluded from any claim, for any reason, whether or not related to the existence of prior art.
[0243] Those skilled in the art will recognize or be able to ascertain using no more than routine experimentation many equivalents to the specific embodiments described herein. The scope of the present embodiments described herein is not intended to be limited to the above Description, but rather is as set forth in the appended claims. Those of ordinary skill in the art will appreciate that various changes and modifications to this description may be made without departing from the spirit or scope of the present disclosure, as defined in the following claims.